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1 dr. Utun Supria, M.

KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-02
2020/09/02/000148 MUH. AMIRUL MUMININ

Subtotal :
Subtotal :
4 dr. Desy Erina Arianti, Sp.Og
1. 2020-09-02
5 Dr. Ellen, Sp.PD
1. 2020-09-01
2020/09/01/000058 AMAQ ASMA

Subtotal :
2020/09/01/000061 H SABLI

Subtotal :
2020/09/01/000062 INAQ YUNI

Subtotal :
2020/09/01/000064 SAKMAH

Subtotal :
2020/09/01/000254 BAIQ HAERIAH. NY
Subtotal :
2020/09/01/000258 SELAMET RIADI

Subtotal :
2020/09/01/000281 NABIL WARDI

Subtotal :
2020/09/01/000309 NURAINI

Subtotal :
2020/09/01/000310 HJ. SUPIANI

Subtotal :
2020/09/01/000313 HJ SUHAENI, NY

Subtotal :
2020/09/01/000345 HASANAH. NY

Subtotal :
2. 2020-09-02
2020/09/02/000130 MANSYUR
Subtotal :
2020/09/02/000137 HAJJAH KADARIYAH

Subtotal :
2020/09/02/000166 IDA LAELA

Subtotal :
2020/09/02/000177 SAMSUDIN

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-01
2020/09/01/000143 SOFWANUL HADI

Subtotal :
2. 2020-09-02
Subtotal :
7 dr. Hesti Wulandari, Sp.Jp
1. 2020-09-01
2020/09/01/000091 H MAS"UD

Subtotal :
Subtotal :
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-01
2020/09/01/000071 H. MUH. AMIN
Subtotal :
2020/09/01/000075 HJ. SITI KHADIJAH

Subtotal :
2020/09/01/000077 MOHAMMAD SARJAN NUR, TN

Subtotal :
2020/09/01/000155 SYAMSIR

Subtotal :
2020/09/01/000288 AMAQ SAHURIYATI

Subtotal :
2020/09/01/000291 AHMAD

Subtotal :
2020/09/01/000329 MUKSIN

Subtotal :
2. 2020-09-02
2020/09/02/000068 MURDAH

Subtotal :
2020/09/02/000160 AKBAR HADI
Subtotal :
2020/09/02/000171 LALU IRMAN SUGIATMA. SDR

Subtotal :
2020/09/02/000172 RUSNAN

Subtotal :
2020/09/02/000179 BQ. HANAN

Subtotal :
2020/09/02/000183 SARIYAH

Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-01
2. 2020-09-02
2020/09/02/000040 SUBUHIAH

Subtotal :
2020/09/02/000045 MIRA SILVIANA

Subtotal :
2020/09/02/000142 RISTI SEPTIANA

Subtotal :
2020/09/02/000168 NURHAYATI

Subtotal :
2020/09/02/000302 M.NAZRIL NADIF RAHMAN

Subtotal :
2020/09/02/000307 AHMAD MAULANA AGHA J
Subtotal :
Subtotal :
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-01
2020/09/01/000253 IMAN TAQWA

Subtotal :
2020/09/01/000321 SUKUR

Subtotal :
2020/09/01/000340 SULAIMAN

Subtotal :
2020/09/01/000341 SAFIRA WIDAYANTI. NN

Subtotal :
2020/09/01/000343 ARKHAREGA NABIGH ESSADIO

Subtotal :
2. 2020-09-02
2020/09/02/000182 NURUL FATIN

Subtotal :
2020/09/02/000303 LASIH
Subtotal :
Subtotal :
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-01
2. 2020-09-02
2020/09/02/000024 TAHIYATI

Subtotal :
2020/09/02/000114 LALU SAHWIL BAYANI

Subtotal :
2020/09/02/000156 OZI PURNAMA HISAN

Subtotal :
2020/09/02/000301 SUHARNI

Subtotal :
Subtotal :
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
1. 2020-09-02
2020/09/02/000003 AZKA SYANDANA RAHMAN

Subtotal :
Subtotal :
15 dr. Lalu Dona Mayartha
1. 2020-09-01
2. 2020-09-02
16 dr. Mushawwir Ummar
1. 2020-09-02
2020/09/02/000305 LALU MUHAMMAD PARMAN SH
Subtotal :
Subtotal :
17 dr. Yuslis Harlisanjaya
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-01
2020/09/01/000097 ANNI ZULAINI

Subtotal :
2020/09/01/000149 SRI YUNIAR AMNI

Subtotal :
2020/09/01/000285 HAMNIATUN

Subtotal :
2. 2020-09-02
2020/09/02/000073 ANI ZAHRO

Subtotal :
2020/09/02/000140 SUSILA WIRTA DIANA

Subtotal :
2020/09/02/000174 BAIQ SUMIATI

Subtotal :
Subtotal :
19 dr. Fibrianti Ratnasari
1. 2020-09-01
2020/09/01/000210 BQ. NURMALA HIKMAH NM

Subtotal :
2020/09/01/000318 JAMARIAH

Subtotal :
Subtotal :
20 dr. Basirun MMRS
21 dr. Winda Tri K.
1. 2020-09-01
22 dr. Febriana Puspita Adji Sp. Kj
1. 2020-09-01
2020/09/01/000057 BAIQ NURHASANAH, NY

Subtotal :
2020/09/01/000121 SAHDAN

Subtotal :
2020/09/01/000132 BAIQ SUHROH. HJ. NY

Subtotal :
2020/09/01/000137 JAUHARAH

Subtotal :
2020/09/01/000138 DAMRAH

Subtotal :
2020/09/01/000146 RUSWATI

Subtotal :
2020/09/01/000147 MAHYUNI
Subtotal :
2020/09/01/000158 ABD. RAHMAN

Subtotal :
2020/09/01/000163 RUSNIATI

Subtotal :
2020/09/01/000206 MURNE

Subtotal :
2020/09/01/000208 INAQ MASRI/MAHULAN

Subtotal :
2020/09/01/000209 DIANA

Subtotal :
2020/09/01/000250 MUSTINAH

Subtotal :
2020/09/01/000256 SUNARDI. NY
Subtotal :
2020/09/01/000282 MUHAMMAD MANSUR

Subtotal :
2020/09/01/000283 LALU WIRALAGA

Subtotal :
2020/09/01/000314 TULU"UL FAJRIAH

Subtotal :
2020/09/01/000333 SUADI RAHMAN

Subtotal :
Subtotal :
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-02
2020/09/02/000167 NURLAELATUL QOMARIYAH

Subtotal :
Subtotal :
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
30 drg. Bendoro Wahyu Nurmita Sari
1. 2020-09-01
2020/09/01/000344 HURIAH

Subtotal :
Subtotal :
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
1. 2020-09-01
2020/09/01/000045 RASIDI

Subtotal :
2020/09/01/000108 ABDUL MUKTI

Subtotal :
2020/09/01/000216 SAHABUDIN

Subtotal :
Subtotal :
33 dr. Syarif Hidayatulloh
1. 2020-09-01
2020/09/01/000153 YAKUB

Subtotal :
2. 2020-09-02
Subtotal :
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000000224 CEFIXIM 100MG 30ML SYRUP 1 25740 500 500
0 25740 500 500
25740 500 500

B000001068 REBAMID TABLET 15 72930 500 500


B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000001327 VESTEIN 300MG CAPSUL 15 107250 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 15 7950 500 500
0 194355 2000 2000

B000000201 CANDESARTAN CILEXETIL 8MG TAB 5 33785 500 500


B000000497 FUROSEMIDE 40MG TABLET 15 3135 500 500
B000000659 KETO G KAPLET 15 146940 500 500
B000001557 FOLAC TABLET 15 21450 500 500
0 205310 2000 2000

B000001068 REBAMID TABLET 15 72930 500 500


B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 15 7950 500 500
B000001806 FUCOTRAP 100MG CAPSUL 10 173030 500 500
0 260135 2000 2000

B000000248 CERINI 10MG TABLET 20 98100 500 500


B000000765 METILPREDNISOLON 4MG TABLET 20 11580 500 500
B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000001054 Racikan Kapsul 1 10000 0 0
B000001174 SISTENOL TABLET 15 42900 500 500
B000001234 TEOSAL TABLET 20 5440 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
0 603880 3000 3000

B000000278 CODEIN 10MG TABLET 14 12474 500 500


B000000288 COMBIVENT UDV 2 33000 500 500
B000000765 METILPREDNISOLON 4MG TABLET 14 8106 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001234 TEOSAL TABLET 60 16320 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 85270 3000 3000

B000000635 KALNEX 500MG TABLET 10 47910 500 500


B000001570 SUCRALFAT 100ML SUSPENSI 1 10668 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 7 3710 500 500
B000002105 PARASETAMOL 500 MG TABLET 14 5012 500 500
0 67300 2000 2000

B000000223 CEFIXIM 100MG CAPSUL 10 18590 500 500


B000001061 RANITIDIN 150MG TABLET 10 2860 500 500
0 21450 1000 1000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001068 REBAMID TABLET 15 72930 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 322540 2000 2000

B000000040 L CISIN TABLET 10 57200 500 500


B000000374 EFLAGEN 50MG TABLET 20 60060 500 500
B000000765 METILPREDNISOLON 4MG TABLET 20 11580 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
B000002105 PARASETAMOL 500 MG TABLET 20 7160 500 500
B000002128 OA FORTE KAPLET 10 141210 500 500
0 458520 3500 3500

B000000655 KEREN 50 MG TABLET 20 180180 500 500


B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
B000001749 GABAPENTIN 300MG CAPSUL 10 78650 500 500
B000002025 ELGRAN 1MG TABLET 1 4404 500 500
B000002105 PARASETAMOL 500 MG TABLET 20 7160 500 500
B000002220 VALISANBE 2 MG TABLET 5 1680 500 500
0 443384 3000 3000

B000001068 REBAMID TABLET 15 72930 500 500


B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000001296 UNALIUM 5MG TABLET 10 86520 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 10 5300 500 500
0 170975 2000 2000

B000000655 KEREN 50 MG TABLET 10 90090 500 500


B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000001301 UROTRACTIN 400MG KAPSUL 10 46620 500 500
0 401260 1500 1500

B000000765 METILPREDNISOLON 4MG TABLET 7 4053 500 500


B000001054 Racikan Kapsul 1 10000 500 500
B000001776 NATRIUM DIKLOPENAK 25MG TABLET 7 1281 500 500
B000002031 KALSIUM LACTAT 15 4050 500 500
B000002151 IFITAMOL KLG 500 MG 30 2940 500 500
0 22324 2500 2500

B000000635 KALNEX 500MG TABLET 10 47910 500 500


B000000941 PROVITAL PLUS CAPSUL 10 82940 500 500
B000001174 SISTENOL TABLET 15 42900 500 500
0 173750 1500 1500

B000000765 METILPREDNISOLON 4MG TABLET 10 5790 500 500


B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000001108 SALBUTAMOL 4MG TABLET 5 775 500 500
B000001174 SISTENOL TABLET 15 42900 500 500
B000001438 AZITROMYCIN 500MG CAPSUL 5 75075 500 500
0 389090 2500 2500
3819543 33500 33500

B000000447 FLAMAR 50MG TABLET 10 26100 500 500


B000001475 OPIMOX 500MG KAPLET 15 67575 500 500
B000002056 Hexadol 60 ml 1 14300 500 500
0 107975 1500 1500

107975 1500 1500

B000000117 ASPILETS 80MG TABLET 30 5160 500 500


B000000276 CLOPIDOGREL 75MG TABLET 30 405420 500 500
B000001985 ATORVASTATIN 20MG TABLET 30 171600 500 500
B000002390 CONCOR 2,5MG TABLET 30 24420 500 500
0 606600 2000 2000
606600 2000 2000

B000000041 ALGANAX 0,5MG TABLET 3 15015 500 500


B000000223 CEFIXIM 100MG CAPSUL 10 18590 500 500
B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001122 SANMOL 500MG TABLET 10 4150 500 500
B000001360 VOSEDON 10MG TABLET 10 33250 500 500
0 206441 2500 2500

B000000043 ALGANAX 1MG TABLET 3 23166 500 500


B000000053 ALPENTIN 100MG CAPSUL 60 289980 500 500
B000000752 MEGABAL 500MG CAPSUL 30 71220 500 500
B000000864 NOVOMIX FLEX PEN 3 579774 500 500
0 964140 2000 2000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
0 266410 1000 1000

B000000047 ALLOPURINOL 100MG TABLET 30 12870 500 500


B000002108 FENOFIBRATE 100MG CAPSUL 30 85800 500 500
0 98670 1000 1000

B000000140 BECOM C TABLET 10 22520 500 500


B000000391 EPEXOL 30MG TABLET 20 23740 500 500
B000001122 SANMOL 500MG TABLET 15 6225 500 500
0 52485 1500 1500

B000000085 ANALSIK TABLET 15 32715 500 500


B000000683 LANSOPRAZOLE 30MG CAPSUL 10 13000 500 500
B000001327 VESTEIN 300MG CAPSUL 15 107250 500 500
B000001449 OPIVASK 10MG TABLET 10 143000 500 500
B000001570 SUCRALFAT 100ML SUSPENSI 1 10668 500 500
0 306633 2500 2500

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000001122 SANMOL 500MG TABLET 20 8300 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
B000001449 OPIVASK 10MG TABLET 10 143000 500 500
0 215266 2000 2000

B000000148 BETADIN GARGLIN 190ML 1 31928 500 500


B000001062 RANTIN 150MG TABLET 15 96525 500 500
B000001120 SANMAAG SUSPENSI 1 35750 500 500
B000002167 GITAS PLUS KAPLET 10 87230 500 500
0 251433 2000 2000

B000000085 ANALSIK TABLET 10 21810 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
0 38910 1000 1000

B000000085 ANALSIK TABLET 15 32715 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001360 VOSEDON 10MG TABLET 10 33250 500 500
0 218501 2000 2000

B000000824 NEUROSANBE TABLET 10 17100 500 500


B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
0 210580 1000 1000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
0 266410 1000 1000

B000000085 ANALSIK TABLET 10 21810 500 500


B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001360 VOSEDON 10MG TABLET 15 49875 500 500
0 207121 1500 1500
3303000 21000 21000

B000000110 ASAM MAFENAMAT 500 MG TABLET 15 11580 500 500


B000000242 CENDO XITROL 5ML TETES MATA 1 38968 500 500
B000002487 AMOXICILLIN 500MG TABLET 15 7200 500 500
0 57748 1500 1500

B000000422 EYEFRESH 0,6ML MD 2 66138 500 500


0 66138 500 500

B000000085 ANALSIK TABLET 10 21810 500 500


0 21810 500 500

B000000572 HYALOPH TETES MATA 1 92235 500 500


0 92235 500 500

B000001005 CENDO POLYNEL 5ML TETES MATA 1 38432 500 500


0 38432 500 500

B000000653 KASA STERIL 16X16 HEXAHUSADA 1 4433 500 500


B000000751 MEFINAL 500MG TABLET 15 28635 500 500
B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500
B000001475 OPIMOX 500MG KAPLET 15 67575 500 500
B000002099 LEUKOPLAST 2,5X1M 1 10010 500 500
0 137108 2500 2500
413471 6000 6000

B000000034 AKILEN 5ML TT 1 86801 500 500


B000000295 CORTIDEX 0,5MG TABLET 10 4150 500 500
B000002554 ETAFENIN KAPLET 10 3650 500 500
0 94601 1500 1500

B000000127 AXTAN 60ML SYRUP 1 65780 500 500


B000000217 CEFADROXIL 500MG CAPSUL 10 10930 500 500
B000000765 METILPREDNISOLON 4MG TABLET 15 8685 500 500
B000001291 TUZALOS TABLET 15 19620 500 500
0 105015 2000 2000

B000000071 AMLODIPIN 5MG TABLET 5 1610 500 500


B000000127 AXTAN 60ML SYRUP 1 65780 500 500
B000000248 CERINI 10MG TABLET 5 24525 500 500
B000000635 KALNEX 500MG TABLET 10 47910 500 500
0 139825 2000 2000

B000001688 NEURODEX TABLET 6 4722 500 500


0 4722 500 500

B000000127 AXTAN 60ML SYRUP 1 65780 500 500


B000000219 CEFADROXIL 60ML SYRUP 1 10661 500 500
B000000257 Chlorpheniramin Maleat 4 mg Tab 5 585 500 500
B000000331 DEXAMETASON 0,5MG TABLET 5 885 500 500
B000002101 NYSTATIN DROP 1 31460 500 500
0 109371 2500 2500

B000000059 AMBROXOL 30MG TABLET 3 825 500 500


B000000127 AXTAN 60ML SYRUP 1 65780 500 500
B000000331 DEXAMETASON 0,5MG TABLET 3 531 500 500
B000001273 TREMENZA TABLET 3 6243 500 500
0 73379 2000 2000

B000000034 AKILEN 5ML TT 1 86801 500 500


B000000110 ASAM MAFENAMAT 500 MG TABLET 10 7720 500 500
B000000295 CORTIDEX 0,5MG TABLET 10 4150 500 500
B000001570 SUCRALFAT 100ML SUSPENSI 1 10668 500 500
0 109339 2000 2000
636252 12500 12500

B000000071 AMLODIPIN 5MG TABLET 7 2254 500 500


B000000200 CANDESARTAN CILEXETIL 16MG TAB 7 68320 500 500
B000000447 FLAMAR 50MG TABLET 15 39150 500 500
B000001749 GABAPENTIN 300MG CAPSUL 8 62920 500 500
0 172644 2000 2000

B000000070 AMLODIPIN 10MG TABLET 10 2820 500 500


B000000200 CANDESARTAN CILEXETIL 16MG TAB 10 97600 500 500
B000000271 CITICOLIN 500MG TABLET 20 190680 500 500
B000000276 CLOPIDOGREL 75MG TABLET 10 135140 500 500
B000000447 FLAMAR 50MG TABLET 15 39150 500 500
0 465390 2500 2500

B000000380 ELKANA SYRUP 1 28586 500 500


B000000835 NEUROTAM 100ML SYRUP 1 85800 500 500
0 114386 1000 1000

B000000151 BETA ONE 2,5MG TABLET 10 35750 500 500


B000000200 CANDESARTAN CILEXETIL 16MG TAB 10 97600 500 500
B000000752 MEGABAL 500MG CAPSUL 15 35610 500 500
B000000766 METILPREDNISOLON 8MG TABLET 20 18240 500 500
B000001040 PROVELYN 75 MG CAPSUL 15 222630 500 500
0 409830 2500 2500
1162250 8000 8000

B000000951 PARASETAMOL 60ML SYRUP 1 6554 500 500


0 6554 500 500
6554 500 500
B000000754 MELOXICAM 7,5MG TABLET 10 5430 500 500
B000001688 NEURODEX TABLET 10 7870 500 500
0 13300 1000 1000
13300 1000 1000

B000002535 MICROGEST 100MG CAPSUL 10 171600 500 500


0 171600 500 500

B000000921 OSFIT DHA CAPSUL 30 183060 500 500


0 183060 500 500

B000002038 VITAMULTI DHA SOFT CAPSUL 30 150150 500 500


0 150150 500 500

B000002038 VITAMULTI DHA SOFT CAPSUL 30 150150 500 500


0 150150 500 500

B000001557 FOLAC TABLET 30 42900 500 500


0 42900 500 500

B000000751 MEFINAL 500MG TABLET 15 28635 500 500


B000000824 NEUROSANBE TABLET 20 34200 500 500
0 62835 1000 1000
760695 3500 3500

B000000663 KETOROLAC 30MG INJEKSI 1 6416 500 500


B000001060 RANITIDIN 25MG INJEKSI 1 1544 500 500
B000001061 RANITIDIN 150MG TABLET 10 2860 500 500
B000001195 SPUIT 3CC TERUMO 1 6578 500 500
B000002431 SCOPMA PLUS KAPLET 10 13160 500 500
0 30558 2500 2500

B000000477 FORNEURO CAPSUL 10 81040 500 500


B000001296 UNALIUM 5MG TABLET 10 86520 500 500
0 167560 1000 1000
198118 3500 3500
B000000057 ALPRAZOLAM 1 MG TABLET 15 11805 500 500
B000000854 NOPRES 20MG TABLET 15 17595 500 500
0 29400 1000 1000

B000000057 ALPRAZOLAM 1 MG TABLET 6 4722 500 500


B000000854 NOPRES 20MG TABLET 4 4692 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001152 SEROQUEL 200MG TABLET 1 58174 500 500
B000002097 OLANZAPINE 10MG TABLET 1 11261 500 500
B000002426 VITAMIN B1 IPI 7 903 500 500
0 89752 3000 3000

B000000043 ALGANAX 1MG TABLET 7 54054 500 500


B000000071 AMLODIPIN 5MG TABLET 30 9660 500 500
B000002095 SERTRALINE 50MG CAP 15 83655 500 500
0 147369 1500 1500

B000000057 ALPRAZOLAM 1 MG TABLET 15 11805 500 500


B000001660 OMEPRAZOLE 20MG CAPSUL 15 7950 500 500
B000002077 VITAMIN B6 TABLET 30 5490 500 500
B000002095 SERTRALINE 50MG CAP 15 83655 500 500
B000002146 OLANZAPINE 5MG TABLET 15 112620 500 500
B000002220 VALISANBE 2 MG TABLET 30 10080 500 500
0 231600 3000 3000

B000000041 ALGANAX 0,5MG TABLET 7 35035 500 500


B000000547 HALOPERIDOL 1,5MG TABLET 2 286 500 500
B000001855 CLOBAZAM 10MG TABLET 4 5836 500 500
B000002077 VITAMIN B6 TABLET 7 1281 500 500
B000002095 SERTRALINE 50MG CAP 4 22308 500 500
0 64746 2500 2500

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000000854 NOPRES 20MG TABLET 7 8211 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001093 RISPERIDON 2MG TABLET 4 12968 500 500
B000001152 SEROQUEL 200MG TABLET 1 58174 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
B000002077 VITAMIN B6 TABLET 7 1281 500 500
0 97688 3500 3500

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000000854 NOPRES 20MG TABLET 7 8211 500 500
B000002105 PARASETAMOL 500 MG TABLET 14 5012 500 500
B000002146 OLANZAPINE 5MG TABLET 4 30032 500 500
0 46403 2000 2000

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000001855 CLOBAZAM 10MG TABLET 4 5836 500 500
B000002077 VITAMIN B6 TABLET 7 1281 500 500
B000002095 SERTRALINE 50MG CAP 4 22308 500 500
B000002146 OLANZAPINE 5MG TABLET 4 30032 500 500
0 62605 2500 2500

B000000057 ALPRAZOLAM 1 MG TABLET 15 11805 500 500


B000000454 FLUNARIZIN 5MG TABLET 30 58980 500 500
B000000683 LANSOPRAZOLE 30MG CAPSUL 14 18200 500 500
B000002146 OLANZAPINE 5MG TABLET 8 60064 500 500
0 149049 2000 2000

B000001093 RISPERIDON 2MG TABLET 11 35662 500 500


B000001688 NEURODEX TABLET 7 5509 500 500
0 41171 1000 1000

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000000854 NOPRES 20MG TABLET 4 4692 500 500
B000002220 VALISANBE 2 MG TABLET 7 2352 500 500
0 10192 1500 1500

B000000057 ALPRAZOLAM 1 MG TABLET 7 5509 500 500


B000000854 NOPRES 20MG TABLET 7 8211 500 500
B000002146 OLANZAPINE 5MG TABLET 4 30032 500 500
0 43752 1500 1500

B000000041 ALGANAX 0,5MG TABLET 4 20020 500 500


B000001054 Racikan Kapsul 1 10000 500 500
B000001152 SEROQUEL 200MG TABLET 1 58174 500 500
B000002025 ELGRAN 1MG TABLET 1 4404 500 500
B000002077 VITAMIN B6 TABLET 7 1281 500 500
0 93879 2500 2500

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000000547 HALOPERIDOL 1,5MG TABLET 3 429 500 500
B000000854 NOPRES 20MG TABLET 7 8211 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
B000002112 VITAMIN B COMPLEX TABLET 7 1288 500 500
0 26982 3000 3000

B000000043 ALGANAX 1MG TABLET 30 231660 500 500


B000001152 SEROQUEL 200MG TABLET 11 639914 500 500
B000001855 CLOBAZAM 10MG TABLET 15 21885 500 500
B000002095 SERTRALINE 50MG CAP 15 83655 500 500
B000002145 CLOZAPIN 100MG TABLET 8 68256 500 500
0 1045370 2500 2500

B000000057 ALPRAZOLAM 1 MG TABLET 4 3148 500 500


B000000854 NOPRES 20MG TABLET 7 8211 500 500
B000002146 OLANZAPINE 5MG TABLET 7 52556 500 500
0 63915 1500 1500

B000000057 ALPRAZOLAM 1 MG TABLET 6 4722 500 500


B000000547 HALOPERIDOL 1,5MG TABLET 5 715 500 500
B000002095 SERTRALINE 50MG CAP 4 22308 500 500
0 27745 1500 1500

B000000043 ALGANAX 1MG TABLET 7 54054 500 500


B000000547 HALOPERIDOL 1,5MG TABLET 5 715 500 500
B000001688 NEURODEX TABLET 14 11018 500 500
B000002095 SERTRALINE 50MG CAP 7 39039 500 500
B000002097 OLANZAPINE 10MG TABLET 3 33783 500 500
0 138609 2500 2500
2410227 38500 38500

B000001698 CEFAT 500MG CAPSUL 10 145070 500 500


B000001940 TORAMINE TABLET 10MG TABLET 10 78650 500 500
0 223720 1000 1000
223720 1000 1000

B000000583 IBUPROFEN 400MG TABLET 10 9150 500 500


B000002487 AMOXICILLIN 500MG TABLET 10 4800 500 500
0 13950 1000 1000
13950 1000 1000

B000000397 EPRINOC 50MG TABLET 10 49050 500 500


B000000655 KEREN 50 MG TABLET 6 54054 500 500
0 103104 1000 1000

B000000070 AMLODIPIN 10MG TABLET 2 564 500 500


0 564 500 500

B000000223 CEFIXIM 100MG CAPSUL 10 18590 500 500


B000000554 HARNAL OCAS 0,4MG TABLET 7 47551 500 500
0 66141 1000 1000
169809 2500 2500

B000000655 KEREN 50 MG TABLET 10 90090 500 500


B000001297 UNDERPAD SENSI L 1 4862 500 500
B000001698 CEFAT 500MG CAPSUL 10 145070 500 500
B000001804 CHANNA CAPSUL 30 285510 500 500
0 525532 2000 2000

525532 2000 2000

1.44E+07 138500 138500


1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-04
4 dr. Desy Erina Arianti, Sp.Og
5 Dr. Ellen, Sp.PD
1. 2020-09-04
2020/09/04/000061 HJ MAEMUNAH

Subtotal :
2020/09/04/000064 SUMAINI

Subtotal :
2020/09/04/000076 MUHAMMAD SALEH

Subtotal :
2020/09/04/000140 DARMA MITRAWAN

Subtotal :
2020/09/04/000159 JAMILAH

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-04
7 dr. Hesti Wulandari, Sp.Jp
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-04
2020/09/04/000066 NURHIMI

Subtotal :
2020/09/04/000067 FAESAL SS

Subtotal :
2020/09/04/000087 NURLAILI RAJABIYAH

Subtotal :
2020/09/04/000092 RIADATUL AMNI

Subtotal :
2020/09/04/000096 SELINAH

Subtotal :
2020/09/04/000097 ASIN

Subtotal :
2020/09/04/000114 SUBHAN BAHTIAR, SH

Subtotal :
2020/09/04/000126 JUNAIDI

Subtotal :
2020/09/04/000134 MULIANI
Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-04
2020/09/04/000045 SUBKI HS.

Subtotal :
2020/09/04/000053 MUH NURURRASYID ABDULLAH

Subtotal :
2020/09/04/000102 MAHYAM

Subtotal :
2020/09/04/000112 KAMARUDIN, TN

Subtotal :
2020/09/04/000117 FARHANA

Subtotal :
2020/09/04/000155 PATONI HAER

Subtotal :
2020/09/04/000168 SUHUR/ FATMAWATI. NY

Subtotal :
2020/09/04/000173 AMINAH

Subtotal :
2020/09/04/000174 MARNI SUMANTRI

Subtotal :
Subtotal :
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-04
2020/09/04/000161 DANEL MUHAMMAD JIWA
Subtotal :
Subtotal :
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-04
2020/09/04/000023 ROKYATUL HASANAH

Subtotal :
2020/09/04/000024 RENDALUN

Subtotal :
Subtotal :
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
15 dr. Lalu Dona Mayartha
16 dr. Mushawwir Ummar
1. 2020-09-04
2020/09/04/000156 BQ HALIMAH

Subtotal :
Subtotal :
17 dr. Yuslis Harlisanjaya
1. 2020-09-04
2020/09/04/000001 HABIBURAHMAN

Subtotal :
2020/09/04/000002 BALQIS SASLABILA
Subtotal :
Subtotal :
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-04
2020/09/04/000081 SUKMAWATI SUSANTI

Subtotal :
2020/09/04/000119 NURHAYATUN

Subtotal :
Subtotal :
19 dr. Fibrianti Ratnasari
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-04
2020/09/04/000125 SUNAR

Subtotal :
Subtotal :
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-04
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
1. 2020-09-04
33 dr. Syarif Hidayatulloh
1. 2020-09-04
2020/09/04/000070 HARPINA ANIZA
Subtotal :
Subtotal :
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000000090 ANPIRIDE 2MG TABLET 30 178050 500 500
B000000336 DIAFORMIN XR TABLET 30 85800 500 500
B000000686 LANTUS SOLOSTAR INSULIN 1 195135 500 500
B000001349 Voltaren SR 75 mg Tab 15 178140 500 500
B000002162 NOVO TWIST 32G NEEDLE 10 50000 500 500
0 687125 2500 2500

B000000117 ASPILETS 80MG TABLET 7 1204 500 500


B000000165 BISOPROLOL 5MG TABLET 7 22183 500 500
B000000497 FUROSEMIDE 40MG TABLET 15 3135 500 500
B000001314 VALSARTAN 80MG TABLET 7 40040 500 500
0 66562 2000 2000

B000001694 ISOSORBID 5MG TABLET 60 9420 500 500


0 9420 500 500

B000000655 KEREN 50 MG TABLET 15 135135 500 500


B000001301 UROTRACTIN 400MG KAPSUL 10 46620 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
B000002128 OA FORTE KAPLET 10 141210 500 500
0 494275 2000 2000

B000000683 LANSOPRAZOLE 30MG CAPSUL 15 19500 500 500


B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000002167 GITAS PLUS KAPLET 15 130845 500 500
0 487825 2000 2000
1745207 9000 9000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
0 208366 1000 1000
B000000085 ANALSIK TABLET 15 32715 500 500
B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001323 VERTIGOSAN 6MG TABLET 15 55890 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 10 5300 500 500
0 111005 2000 2000

B000000306 CURCUMA 200MG TABLET 30 37980 500 500


B000001062 RANTIN 150MG TABLET 20 128700 500 500
B000001557 FOLAC TABLET 10 14300 500 500
0 180980 1500 1500

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001360 VOSEDON 10MG TABLET 10 33250 500 500
0 241616 1500 1500

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000000824 NEUROSANBE TABLET 15 25650 500 500
B000001122 SANMOL 500MG TABLET 20 8300 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
0 97916 2000 2000

B000000374 EFLAGEN 50MG TABLET 15 45045 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000001310 VALISANBE 5 MG TABLET 5 2790 500 500
0 206596 2500 2500

B000000223 CEFIXIM 100MG CAPSUL 15 27885 500 500


B000001062 RANTIN 150MG TABLET 15 96525 500 500
B000002167 GITAS PLUS KAPLET 15 130845 500 500
0 255255 1500 1500

B000000085 ANALSIK TABLET 10 21810 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
0 230176 1500 1500

B000000248 CERINI 10MG TABLET 7 34335 500 500


B000000564 HEXILON 4MG TABLET 14 60060 500 500
B000000707 LEVOFLOXACIN 500MG TABLET 6 10728 500 500
B000001108 SALBUTAMOL 4MG TABLET 14 2170 500 500
B000001450 LAPRAZ 30 MG CAPSUL 7 119917 500 500
B000002034 ACETYLCYSTEINE 200MG CAP 15 21450 500 500
0 248660 3000 3000
1780570 16500 16500

B000001001 POLYDEX 5ML TETES MATA 1 51123 500 500


B000001937 CENDO CATARLEN 5ML TM 2 64708 500 500
0 115831 1000 1000

B000000765 METILPREDNISOLON 4MG TABLET 20 11580 500 500


0 11580 500 500

B000000766 METILPREDNISOLON 8MG TABLET 20 18240 500 500


B000001001 POLYDEX 5ML TETES MATA 1 51123 500 500
0 69363 1000 1000

B000000238 CENDO LYTEERS 15ML TM 1 32175 500 500


0 32175 500 500

B000000766 METILPREDNISOLON 8MG TABLET 20 18240 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001001 POLYDEX 5ML TETES MATA 1 51123 500 500
0 86463 1500 1500

B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500


B000001192 Spuit 1 cc Terumo 1 9500 500 500
0 35955 1000 1000

B000000998 POLIDEMISIN 5ML TM 1 39611 500 500


B000002554 ETAFENIN KAPLET 20 7300 500 500
0 46911 1000 1000

B000001114 SANBE TEARS 8ML TM 1 31532 500 500


B000002554 ETAFENIN KAPLET 15 5475 500 500
0 37007 1000 1000

B000000751 MEFINAL 500MG TABLET 20 38180 500 500


B000001001 POLYDEX 5ML TETES MATA 1 51123 500 500
0 89303 1000 1000
524588 8500 8500
B000000220 CEFAT 60ML SYRUP 1 61347 500 500
B000000331 DEXAMETASON 0,5MG TABLET 8 1416 500 500
B000001122 SANMOL 500MG TABLET 8 3320 500 500
0 66083 1500 1500
66083 1500 1500

B000000043 ALGANAX 1MG TABLET 5 38610 500 500


B000000752 MEGABAL 500MG CAPSUL 15 35610 500 500
B000000986 PIRACETAM 800MG TABLET 30 31320 500 500
0 105540 1500 1500

B000000053 ALPENTIN 100MG CAPSUL 20 96660 500 500


B000000447 FLAMAR 50MG TABLET 20 52200 500 500
B000000752 MEGABAL 500MG CAPSUL 15 35610 500 500
B000001122 SANMOL 500MG TABLET 16 6640 500 500
B000001688 NEURODEX TABLET 20 15740 500 500
B000001692 AMITRIPTYLINE 25MG TABLET 4 972 500 500
0 207822 3000 3000
313362 4500 4500

B000000663 KETOROLAC 30MG INJEKSI 1 6416 500 500


B000000754 MELOXICAM 7,5MG TABLET 10 5430 500 500
B000001060 RANITIDIN 25MG INJEKSI 1 1544 500 500
B000001195 SPUIT 3CC TERUMO 1 6578 500 500
B000001688 NEURODEX TABLET 10 7870 500 500
0 27838 2500 2500
27838 2500 2500

B000000583 IBUPROFEN 400MG TABLET 10 9150 500 500


B000000838 NEW DIATAB TALBET 10 6270 500 500
B000000905 ONDANSENTRON 4MG TABLET 10 20020 500 500
B000001381 Zink 20 mg Tab 10 5000 500 500
0 40440 2000 2000

B000000288 COMBIVENT UDV 1 16500 500 500


B000000331 DEXAMETASON 0,5MG TABLET 3 531 500 500
B000000785 MUCOHEXIN TABLET 3 2169 500 500
B000001123 SANMOL 650MG TABLET 3 1458 500 500
B000001173 SIRPLUS SERBUK ORIGINAL 3 1395 500 500
B000002199 Racikan Puyer 1 10000 500 500
0 32053 3000 3000
72493 5000 5000

B000002038 VITAMULTI DHA SOFT CAPSUL 30 150150 500 500


0 150150 500 500

B000000635 KALNEX 500MG TABLET 15 71865 500 500


B000000751 MEFINAL 500MG TABLET 15 28635 500 500
0 100500 1000 1000
250650 1500 1500

B000000275 CLINDAMYCIN 300MG CAPSUL 15 26820 500 500


B000000635 KALNEX 500MG TABLET 10 47910 500 500
B000000753 MELOXICAM 15MG TABLET 7 12537 500 500
0 87267 1500 1500
87267 1500 1500

B000000008 ABBOCATH 20 1 38610 500 500


B000000217 CEFADROXIL 500MG CAPSUL 10 10930 500 500
B000000603 INFUSAN RL 500ML SP 1 10011 500 500
B000000606 INFUSET MAKRO 1 25000 500 500
B000000758 MESS NO 15 ONEMED 1 4500 500 500
B000000964 FENTANYL 0,05 MG/ML 2ML 1 62920 500 500
B000001122 SANMOL 500MG TABLET 5 2075 500 500
B000001193 SPUIT 10CC TERUMO 1 10439 500 500
B000001953 SILKAM BLACK 75CM 2/0 B BRAUN 1 23746 500 500
B000002423 MIDANEST 5ML INJEKSI 1 28600 500 500
B000002540 HANDSCON 7 STARDEC 2 25740 500 500
0 242571 5500 5500
242571 5500 5500

5110629 56000 56000


1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-09
2020/09/09/000136 FIKI ARDIANSYAH

Subtotal :
Subtotal :
4 dr. Desy Erina Arianti, Sp.Og
1. 2020-09-09
5 Dr. Ellen, Sp.PD
1. 2020-09-09
2020/09/09/000146 SUAEDI

Subtotal :
2020/09/09/000147 NURMALA SARI

Subtotal :
2020/09/09/000156 AMAQ SONI

Subtotal :
2020/09/09/000160 INU AENAWATI

Subtotal :
2020/09/09/000195 AGUSTINUS SUKI
Subtotal :
2020/09/09/000196 INAQ SAMSUDIN. NY

Subtotal :
2020/09/09/000209 HAJI AINUDIN AKBAR

Subtotal :
2020/09/09/000220 H. KERTANAH

Subtotal :
2020/09/09/000233 JURI

Subtotal :
2020/09/09/000236 RABIATUL ADAWIYAH

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-09
2020/09/09/000132 M. ARIFIN

Subtotal :
Subtotal :
7 dr. Hesti Wulandari, Sp.Jp
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-09
2020/09/09/000092 ABDULLAH

Subtotal :
2020/09/09/000093 H. LALU SELAMET

Subtotal :
2020/09/09/000097 MULIAH

Subtotal :
2020/09/09/000098 ROMDIANA

Subtotal :
2020/09/09/000113 HJ. QURATUL AINI

Subtotal :
2020/09/09/000117 AHLAN

Subtotal :
2020/09/09/000142 SRI DARMA SARI

Subtotal :
2020/09/09/000158 RAPIAH
Subtotal :
2020/09/09/000198 MAHRUP

Subtotal :
2020/09/09/000203 SEMAH. HJ. NY

Subtotal :
2020/09/09/000206 HJ. BAIQ FAUZIAH

Subtotal :
2020/09/09/000217 HJ. ULFAINI

Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-09
2020/09/09/000052 MUHAMMAD FATHULLAH

Subtotal :
2020/09/09/000116 RAFIAH

Subtotal :
2020/09/09/000162 SAHRIM

Subtotal :
2020/09/09/000221 WINDA DIAN MASRORI

Subtotal :
Subtotal :
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-09
2020/09/09/000122 HUMAIRA RIZKI AMANI

Subtotal :
Subtotal :
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-09
2020/09/09/000023 ZAINAL MUAZZIN

Subtotal :
2020/09/09/000028 FRILLY YUANITA

Subtotal :
2020/09/09/000225 HAJJAH MARDIAH

Subtotal :
Subtotal :
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
1. 2020-09-09
2020/09/09/000237 KAMARUDIN

Subtotal :
Subtotal :
15 dr. Lalu Dona Mayartha
1. 2020-09-09
16 dr. Mushawwir Ummar
1. 2020-09-09
17 dr. Yuslis Harlisanjaya
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-09
2020/09/09/000108 NURHAYATUN

Subtotal :
2020/09/09/000139 JUNIYARTI

Subtotal :
Subtotal :
19 dr. Fibrianti Ratnasari
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-09
2020/09/09/000210 MAKRIPAH

Subtotal :
Subtotal :
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-09
2020/09/09/000133 LALU DEDY HARIANTO

Subtotal :
2020/09/09/000135 ABD LATIP

Subtotal :
2020/09/09/000140 ELKA WIDIA ASTUTI

Subtotal :
2020/09/09/000200 INAQ MISNAWATI

Subtotal :
2020/09/09/000207 NAMIRA OCTAVIA

Subtotal :
Subtotal :
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
33 dr. Syarif Hidayatulloh
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000000059 AMBROXOL 30MG TABLET 4 1100 500 500
B000000252 CETIRIZINE 10MG TABLET 3 1224 500 500
B000000263 CINOLON N 10GR KRIM 1 26455 500 500
B000000765 METILPREDNISOLON 4MG TABLET 6 3474 500 500
B000001108 SALBUTAMOL 4MG TABLET 4 620 500 500
B000001454 SPORETIK DRY SYRUP 1 119334 500 500
B000002008 SIRPLUS STROWBERI TAB 4 1980 500 500
0 154187 3500 3500
154187 3500 3500

B000000051 ALOCLAIR ORAL RINSE 60ML 1 117975 500 500


B000000217 CEFADROXIL 500MG CAPSUL 10 10930 500 500
B000000654 KENALOG IN ORABASE 5G 1 74360 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 208635 2000 2000

B000000055 ALPRAZOLAM 0,5 MG TABLET 4 2004 500 500


B000000098 ANTASIDA 60ML SUSPENSI 1 3075 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 7 3710 500 500
B000002431 SCOPMA PLUS KAPLET 10 13160 500 500
0 21949 2000 2000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001660 OMEPRAZOLE 20MG CAPSUL 15 7950 0 0
B000001806 FUCOTRAP 100MG CAPSUL 10 173030 500 500
0 253910 1000 1000

B000000336 DIAFORMIN XR TABLET 10 28600 500 500


B000000522 GLIMEPIRIDE 2MG TABLET 10 8580 500 500
B000001288 TRUVAZ 20MG TABLET 10 228800 500 500
B000001349 Voltaren SR 75 mg Tab 10 118760 500 500
B000001749 GABAPENTIN 300MG CAPSUL 10 78650 500 500
B000002108 FENOFIBRATE 100MG CAPSUL 30 85800 500 500
0 549190 3000 3000

B000000278 CODEIN 10MG TABLET 15 13365 500 500


B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
0 455450 2000 2000

B000000117 ASPILETS 80MG TABLET 7 1204 500 500


B000000717 LISINOPRIL 5MG TABLET 7 4403 500 500
B000001054 Racikan Kapsul 1 10000 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
B000001776 NATRIUM DIKLOPENAK 25MG TABLET 7 1281 500 500
B000002105 PARASETAMOL 500 MG TABLET 30 10740 500 500
B000002390 CONCOR 2,5MG TABLET 7 5698 500 500
0 37232 3500 3500

B000000655 KEREN 50 MG TABLET 20 180180 500 500


B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
B000002026 ELGRAN 2MG TABLET 5 34320 500 500
B000002105 PARASETAMOL 500 MG TABLET 20 7160 500 500
B000002112 VITAMIN B COMPLEX TABLET 20 3680 500 500
B000002128 OA FORTE KAPLET 10 141210 500 500
0 537860 3000 3000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001660 OMEPRAZOLE 20MG CAPSUL 10 5300 500 500
B000002011 TRACETAT 160MG TABLET 3 90090 500 500
0 168320 1500 1500

B000001022 PROCUR PLUS CAPSUL 10 100100 500 500


B000001189 SPIRONOLACTON 25MG TABLET 20 9460 500 500
B000001804 CHANNA CAPSUL 20 190340 500 500
0 299900 1500 1500

B000000639 KALTROFEN SUPOSITORIA 2 37180 500 500


B000000655 KEREN 50 MG TABLET 10 90090 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
0 298580 1500 1500
2831026 21000 21000

B000000085 ANALSIK TABLET 10 21810 500 500


B000001276 TRICHODAZOL 500MG TABLET 10 23740 500 500
B000001452 HEXADOL MINT 100ML 1 37180 500 500
B000001475 OPIMOX 500MG KAPLET 15 67575 500 500
0 150305 2000 2000
150305 2000 2000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 4 77392 500 500
B000001360 VOSEDON 10MG TABLET 5 16625 500 500
B000001448 OPIVASK 5MG TABLET 5 40040 500 500
0 206987 2000 2000

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000001062 RANTIN 150MG TABLET 15 96525 500 500
B000001122 SANMOL 500MG TABLET 20 8300 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
0 168791 2000 2000

B000000047 ALLOPURINOL 100MG TABLET 7 3003 500 500


B000000091 ANPIRIDE 3MG TABLET 7 55811 500 500
B000000760 METFORMIN 500MG TABLET 14 3500 500 500
B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
B000001287 TRUVAZ 10MG TABLET 7 160160 500 500
0 357910 2500 2500

B000000140 BECOM C TABLET 10 22520 500 500


B000000751 MEFINAL 500MG TABLET 15 28635 500 500
B000002094 SPORETIK 200MG CAPSUL 10 408270 500 500
0 459425 1500 1500

B000000723 LODIA 2MG TABLET 10 14300 500 500


B000001062 RANTIN 150MG TABLET 15 96525 500 500
0 110825 1000 1000

B000000085 ANALSIK TABLET 20 43620 500 500


B000000306 CURCUMA 200MG TABLET 30 37980 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
0 252910 1500 1500

B000000055 ALPRAZOLAM 0,5 MG TABLET 6 3006 500 500


B000001301 UROTRACTIN 400MG KAPSUL 10 46620 500 500
B000001403 TEQUINOL 500MG TABLET 10 178750 500 500
0 228376 1500 1500

B000000085 ANALSIK TABLET 20 43620 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001449 OPIVASK 10MG TABLET 10 143000 500 500
0 203720 1500 1500

B000000306 CURCUMA 200MG TABLET 30 37980 500 500


B000000361 DULCOLAX 10MG SUPPO 2 54702 500 500
B000000693 LAXADIN 60ML SYRUP 1 57200 500 500
B000001062 RANTIN 150MG TABLET 20 128700 500 500
0 278582 2000 2000

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000000564 HEXILON 4MG TABLET 20 85800 500 500
B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
0 360346 2500 2500

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000000564 HEXILON 4MG TABLET 20 85800 500 500
B000000824 NEUROSANBE TABLET 10 17100 500 500
B000001449 OPIVASK 10MG TABLET 10 143000 500 500
0 305960 2000 2000

B000001383 ZITHRAX 500MG TABLET 5 333670 500 500


B000002034 ACETYLCYSTEINE 200MG CAP 20 28600 500 500
0 362270 1000 1000
3296102 21000 21000

B000000648 KARY UNI 5ML TM 2 120120 500 500


B000000884 NUVISION TABLET 20 165880 500 500
0 286000 1000 1000

B000000141 BECOM ZET TABLET 15 45045 500 500


B000000238 CENDO LYTEERS 15ML TM 1 32175 500 500
0 77220 1000 1000

B000000751 MEFINAL 500MG TABLET 10 19090 500 500


B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500
0 45545 1000 1000

B000000110 ASAM MAFENAMAT 500 MG TABLET 15 11580 500 500


B000000999 POLIDEMISIN SALEP MATA 1 31532 500 500
B000002487 AMOXICILLIN 500MG TABLET 15 7200 500 500
0 50312 1500 1500
459077 4500 4500

B000000034 AKILEN 5ML TT 1 86801 500 500


B000000059 AMBROXOL 30MG TABLET 3 825 500 500
B000000219 CEFADROXIL 60ML SYRUP 1 10661 500 500
B000000331 DEXAMETASON 0,5MG TABLET 3 531 500 500
B000001273 TREMENZA TABLET 3 6243 500 500
B000002199 Racikan Puyer 1 10000 500 500
0 115061 3000 3000
115061 3000 3000

B000000151 BETA ONE 2,5MG TABLET 15 53625 500 500


B000000200 CANDESARTAN CILEXETIL 16MG TAB 15 146400 500 500
B000000276 CLOPIDOGREL 75MG TABLET 15 202710 500 500
B000000413 EVOTHYL 100MG CAPSUL 15 98670 500 500
B000001557 FOLAC TABLET 30 42900 500 500
0 544305 2500 2500

B000000835 NEUROTAM 100ML SYRUP 1 85800 500 500


0 85800 500 500

B000000117 ASPILETS 80MG TABLET 15 2580 500 500


B000000201 CANDESARTAN CILEXETIL 8MG TAB 15 101355 500 500
B000000271 CITICOLIN 500MG TABLET 30 286020 500 500
B000000477 FORNEURO CAPSUL 15 121560 500 500
B000001083 REVOLAN 1200MG TABLET 45 291510 500 500
B000002390 CONCOR 2,5MG TABLET 15 12210 500 500
0 815235 3000 3000
1445340 6000 6000

B000000374 EFLAGEN 50MG TABLET 10 30030 500 500


B000000663 KETOROLAC 30MG INJEKSI 1 1416 500 500
B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000001195 SPUIT 3CC TERUMO 1 6578 500 500
0 102374 2000 2000
102374 2000 2000
B000000751 MEFINAL 500MG TABLET 15 28635 500 500
0 28635 500 500

B000002038 VITAMULTI DHA SOFT CAPSUL 30 150150 500 500


0 150150 500 500
178785 1000 1000

B000000754 MELOXICAM 7,5MG TABLET 5 2715 500 500


B000000824 NEUROSANBE TABLET 5 8550 500 500
0 11265 1000 1000
11265 1000 1000

B000001373 XIDANE CAPSUL 5 53625 500 500


0 53625 500 500

B000000564 HEXILON 4MG TABLET 10 42900 500 500


B000000824 NEUROSANBE TABLET 10 17100 500 500
0 60000 1000 1000

B000000248 CERINI 10MG TABLET 3 14715 500 500


B000000382 ELOX 10GR CREAM 1 102960 500 500
B000000564 HEXILON 4MG TABLET 10 42900 500 500
B000002090 TOPICARE SOOTHING 3GR CREAM 1 103032 500 500
B000002147 Pot Salep 30 cc 1 2074 500 500
0 265681 2500 2500
B000000574 HYDROCORTISON 2,5% 10G TUBE 1 4945 500 500
B000000751 MEFINAL 500MG TABLET 10 19090 500 500
B000001192 Spuit 1 cc Terumo 1 9500 500 500
B000002032 FLAMICORT 10MG/ML 5ML/VIAL IAD 1 35750 500 500
0 69285 2000 2000

B000000382 ELOX 10GR CREAM 2 205920 500 500


B000000570 HISTAPAN 50MG TABLET 10 9580 500 500
B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000001631 PREDNICORT 8MG TABLET 15 96525 500 500
B000002090 TOPICARE SOOTHING 3GR CREAM 1 103032 500 500
B000002147 Pot Salep 30 cc 2 4148 500 500
0 483555 3000 3000
932146 9000 9000

9675668 74000 74000


1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-14
2020/09/14/000107 ADZKIYA HUWAIDA ALFANI

Subtotal :
2020/09/14/000154 MUHAMMAD HAFIZAR

Subtotal :
Subtotal :
4 dr. Desy Erina Arianti, Sp.Og
5 Dr. Ellen, Sp.PD
1. 2020-09-14
2020/09/14/000093 WIDIYA ASTUTIK

Subtotal :
2020/09/14/000113 SUMIATI

Subtotal :
2020/09/14/000124 BAIQ EKA KURNIA HIDAYATI

Subtotal :
2020/09/14/000147 INAQ NURHAYATI

Subtotal :
2020/09/14/000186 B. ASTIANI

Subtotal :
2020/09/14/000207 BAIQ JUNIARTI

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-14
7 dr. Hesti Wulandari, Sp.Jp
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-14
2020/09/14/000083 ANIS

Subtotal :
2020/09/14/000084 RUSTAM

Subtotal :
2020/09/14/000085 MUHAMMAD

Subtotal :
2020/09/14/000086 HAJJAH HUSNUL HOTIMAH

Subtotal :
2020/09/14/000135 M. ARIFIN

Subtotal :
2020/09/14/000145 SIRHAN HADI

Subtotal :
2020/09/14/000148 KHAERUDDIN
Subtotal :
2020/09/14/000160 NESA AULIA

Subtotal :
2020/09/14/000180 IDASIH, S.PD

Subtotal :
2020/09/14/000192 MISPAAH

Subtotal :
2020/09/14/000193 MARIANI

Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-14
2020/09/14/000014 ARIS

Subtotal :
2020/09/14/000073 MUHIMAH
Subtotal :
2020/09/14/000075 SALMIN

Subtotal :
2020/09/14/000121 PARHIYAH

Subtotal :
2020/09/14/000151 LALU HASAN BASRI

Subtotal :
2020/09/14/000158 ARNI BAITUL JANNAH

Subtotal :
2020/09/14/000162 SAHINUN

Subtotal :
2020/09/14/000168 BAHARUDIN

Subtotal :
2020/09/14/000173 HJ. MARDIAH

Subtotal :
2020/09/14/000177 NURMA

Subtotal :
2020/09/14/000179 MUHRIM

Subtotal :
2020/09/14/000182 TAESA RIADI

Subtotal :
2020/09/14/000185 MAUNNAH

Subtotal :
2020/09/14/000203 JUMERAH

Subtotal :
2020/09/14/000208 ERWIN

Subtotal :
Subtotal :
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-14
2020/09/14/000101 SMIATI

Subtotal :
2020/09/14/000102 NOVI ARISANTI

Subtotal :
2020/09/14/000122 AMAQ MUSIP

Subtotal :
2020/09/14/000170 LALU SAPOANDI

Subtotal :
2020/09/14/000210 BAIQ MULYANA

Subtotal :
2020/09/14/000212 HAERIAH

Subtotal :
2020/09/14/000213 LALU PARDI SUNARYA
Subtotal :
Subtotal :
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-14
2020/09/14/000030 MUHAMMAD IRWAN

Subtotal :
Subtotal :
13 dr. Yusuf T. Assa, Sp.A
1. 2020-09-14
2020/09/14/000131 FIRDA JENITA

Subtotal :
Subtotal :
14 dr. Maizar Rahman
15 dr. Lalu Dona Mayartha
16 dr. Mushawwir Ummar
17 dr. Yuslis Harlisanjaya
1. 2020-09-14
2020/09/14/000116 SYAMSUDI

Subtotal :
Subtotal :
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-14
19 dr. Fibrianti Ratnasari
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-14
2020/09/14/000095 AMAQ MUHAIDI

Subtotal :
Subtotal :
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-14
2020/09/14/000125 UNAYU

Subtotal :
2020/09/14/000167 EREP

Subtotal :
2020/09/14/000183 M.SAMSUL IRYADI

Subtotal :
Subtotal :
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
33 dr. Syarif Hidayatulloh
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000000671 L BIO SACHET 6 60060 500 500
B000000914 OPILAX 60ML SYRUP 1 78650 500 500
0 138710 1000 1000

B000000671 L BIO SACHET 4 40040 500 500


B000002143 ZINC SULFATE 60ML SYRUP 1 4319 500 500
0 44359 1000 1000
183069 2000 2000

B000001054 Racikan Kapsul 1 10000 500 500


B000001068 REBAMID TABLET 15 80220 500 500
B000001120 SANMAAG SUSPENSI 1 35750 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 131340 2000 2000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001054 Racikan Kapsul 1 10000 500 500
B000001068 REBAMID TABLET 15 80220 500 500
B000001450 LAPRAZ 30 MG CAPSUL 15 256965 500 500
B000002026 ELGRAN 2MG TABLET 10 68640 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 494125 3000 3000

B000001031 PROPANOLOL 10MG TABLET 20 2440 500 500


B000001296 UNALIUM 5MG TABLET 15 129780 500 500
0 132220 1000 1000

B000000201 CANDESARTAN CILEXETIL 8MG TAB 10 67570 500 500


B000000278 CODEIN 10MG TABLET 15 13365 500 500
B000000497 FUROSEMIDE 40MG TABLET 5 1045 500 500
B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
0 346530 2000 2000

B000000683 LANSOPRAZOLE 30MG CAPSUL 15 26355 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001298 URDAHEX 250MG CAPSUL 30 414720 500 500
0 514005 1500 1500
B000001033 PROPYLTHIURACIL (PTU) 100MG TABLET 7 4746 500 500
0 4746 500 500
1622966 10000 10000

B000000105 AQUADES WATER 25ML 1 3718 500 500


B000001196 SPUIT 5CC TERUMO 1 8008 500 500
B000001301 UROTRACTIN 400MG KAPSUL 10 46620 500 500
B000001323 VERTIGOSAN 6MG TABLET 15 55890 500 500
B000002424 URINE BAG AXI 1 11440 500 500
B000002468 CATETER 16 2W UROCARE 1 11440 500 500
0 137116 3000 3000

B000000693 LAXADIN 60ML SYRUP 1 57200 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
0 323610 1500 1500

B000000055 ALPRAZOLAM 0,5 MG TABLET 5 4585 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001122 SANMOL 500MG TABLET 10 4150 500 500
B000001450 LAPRAZ 30 MG CAPSUL 10 171310 500 500
0 252975 2000 2000

B000000374 EFLAGEN 50MG TABLET 15 45045 500 500


B000000824 NEUROSANBE TABLET 10 17090 500 500
0 62135 1000 1000

B000000374 EFLAGEN 50MG TABLET 30 90090 500 500


B000001054 Racikan Kapsul 1 10000 500 500
B000001448 OPIVASK 5MG TABLET 20 160160 500 500
B000001631 PREDNICORT 8MG TABLET 30 193050 500 500
0 453300 2000 2000

B000000751 MEFINAL 500MG TABLET 15 28635 500 500


B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000002093 SPORETIK 100MG CAPSUL 10 282710 500 500
0 375695 1500 1500

B000000306 CURCUMA 200MG TABLET 20 25320 500 500


B000001062 RANTIN 150MG TABLET 15 96525 500 500
0 121845 1000 1000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 7 135436 500 500
0 208366 1000 1000

B000000151 BETA ONE 2,5MG TABLET 10 35750 500 500


B000000201 CANDESARTAN CILEXETIL 8MG TAB 10 67570 500 500
B000000497 FUROSEMIDE 40MG TABLET 10 2090 500 500
B000001449 OPIVASK 10MG TABLET 10 143000 500 500
0 248410 2000 2000

B000000248 CERINI 10MG TABLET 10 49050 500 500


B000000306 CURCUMA 200MG TABLET 20 25320 500 500
B000001062 RANTIN 150MG TABLET 15 96525 500 500
B000001287 TRUVAZ 10MG TABLET 10 228800 500 500
0 399695 2000 2000

B000000085 ANALSIK TABLET 15 32715 500 500


B000000477 FORNEURO CAPSUL 10 81040 500 500
B000001062 RANTIN 150MG TABLET 20 128700 500 500
0 242455 1500 1500
2825602 18500 18500

B000000332 DEXAMETASONE 5MG/ML INJEKSI 1 3123 500 500


B000000603 INFUSAN RL 500ML SP 1 10011 500 500
B000000607 INFUSET MICRO 1 31920 500 500
B000000714 LIDOCAINE HCL 25% INJEKSI 1 2288 500 500
B000001192 Spuit 1 cc Terumo 4 38000 500 500
B000001193 SPUIT 10CC TERUMO 1 10439 500 500
B000001195 SPUIT 3CC TERUMO 1 6578 500 500
B000001196 SPUIT 5CC TERUMO 1 8008 500 500
B000002072 FIXOMUL 10CM 10 2920 500 500
B000002487 AMOXICILLIN 500MG TABLET 15 7200 500 500
B000002534 HANDSCON 8 AXIMED 1 18590 500 500
B000002554 ETAFENIN KAPLET 10 3650 500 500
B000002566 OTTOGENTA 80MG INJEKSI 1 17160 500 500
B000002570 HANDSCON 7,5 GAMMEX 1 16617 500 500
0 176504 7000 7000

B000000085 ANALSIK TABLET 10 21810 500 500


B000000572 HYALOPH TETES MATA 1 92235 500 500
0 114045 1000 1000

B000000824 NEUROSANBE TABLET 30 51270 500 500


B000001937 CENDO CATARLEN 5ML TM 2 64708 500 500
0 115978 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000824 NEUROSANBE TABLET 15 25635 500 500
0 117870 1000 1000

B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500


B000001192 Spuit 1 cc Terumo 1 9500 500 500
0 35955 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000001005 CENDO POLYNEL 5ML TETES MATA 1 38432 500 500
0 130667 1000 1000

B000000141 BECOM ZET TABLET 15 45045 500 500


B000000572 HYALOPH TETES MATA 1 92235 500 500
0 137280 1000 1000

B000000754 MELOXICAM 7,5MG TABLET 15 8145 500 500


B000001001 POLYDEX 5ML TETES MATA 1 51123 500 500
0 59268 1000 1000

B000000085 ANALSIK TABLET 10 21810 500 500


B000000141 BECOM ZET TABLET 15 45045 500 500
B000000572 HYALOPH TETES MATA 1 92235 500 500
0 159090 1500 1500

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000824 NEUROSANBE TABLET 15 25635 500 500
0 117870 1000 1000

B000000884 NUVISION TABLET 15 124410 500 500


B000001114 SANBE TEARS 8ML TM 1 31532 500 500
0 155942 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000824 NEUROSANBE TABLET 15 25635 500 500
0 117870 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


0 92235 500 500
B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500
0 26455 500 500

B000000775 MIDRIC 0,5% 5ML TM 2 82368 500 500


0 82368 500 500
1639397 20000 20000

B000000248 CERINI 10MG TABLET 7 34335 500 500


B000000683 LANSOPRAZOLE 30MG CAPSUL 12 21084 500 500
B000001570 SUCRALFAT 100ML SUSPENSI 1 10668 500 500
0 66087 1500 1500

B000000391 EPEXOL 30MG TABLET 10 11870 500 500


B000000707 LEVOFLOXACIN 500MG TABLET 5 8940 500 500
B000000751 MEFINAL 500MG TABLET 10 19090 500 500
B000001273 TREMENZA TABLET 15 31215 500 500
0 71115 2000 2000

B000000070 AMLODIPIN 10MG TABLET 7 1960 500 500


B000000127 AXTAN 60ML SYRUP 1 65780 500 500
B000000765 METILPREDNISOLON 4MG TABLET 10 5790 500 500
0 73530 1500 1500

B000000747 MECOBALAMIN 500UG CAPSUL 15 15015 500 500


B000000765 METILPREDNISOLON 4MG TABLET 10 5790 500 500
0 20805 1000 1000

B000000071 AMLODIPIN 5MG TABLET 6 1932 500 500


B000000098 ANTASIDA 60ML SUSPENSI 1 3075 500 500
B000000747 MECOBALAMIN 500UG CAPSUL 15 15015 500 500
B000000753 MELOXICAM 15MG TABLET 10 10370 500 500
B000001559 BETAHISTIN 6MG TABLET 16 20176 500 500
0 50568 2500 2500

B000000127 AXTAN 60ML SYRUP 1 65780 500 500


B000000707 LEVOFLOXACIN 500MG TABLET 6 10728 500 500
B000001122 SANMOL 500MG TABLET 15 6225 500 500
B000002101 NYSTATIN DROP 1 31460 500 500
0 114193 2000 2000

B000000248 CERINI 10MG TABLET 6 29430 500 500


B000000391 EPEXOL 30MG TABLET 10 11870 500 500
B000000765 METILPREDNISOLON 4MG TABLET 10 5790 500 500
B000001122 SANMOL 500MG TABLET 10 4150 500 500
0 51240 2000 2000
447538 12500 12500

B000000070 AMLODIPIN 10MG TABLET 7 1960 500 500


B000000200 CANDESARTAN CILEXETIL 16MG TAB 7 68320 500 500
B000000522 GLIMEPIRIDE 2MG TABLET 7 6006 500 500
B000000760 METFORMIN 500MG TABLET 14 3500 500 500
B000000804 NATRIUM DIKLOPENAK 50MG TABLET 20 3540 500 500
0 83326 2500 2500
83326 2500 2500

B000001383 ZITHRAX 500MG TABLET 1 66734 500 500


B000002008 SIRPLUS STROWBERI TAB 2 990 500 500
B000002199 Racikan Puyer 1 10000 500 500
B000002420 FERRO K SUSPENSI 120ML 1 43313 500 500
0 121037 2000 2000
121037 2000 2000

B000000008 ABBOCATH 20 1 38610 500 500


B000000603 INFUSAN RL 500ML SP 2 20022 500 500
B000000723 LODIA 2MG TABLET 10 14300 500 500
B000001060 RANITIDIN 25MG INJEKSI 2 3088 500 500
B000001195 SPUIT 3CC TERUMO 2 13156 500 500
B000001381 Zink 20 mg Tab 10 5000 500 500
0 94176 3000 3000
94176 3000 3000
B000001448 OPIVASK 5MG TABLET 7 56056 500 500
0 56056 500 500
56056 500 500

B000000150 BETAMETASON 0,1% 5GR TUBE 2 6340 500 500


B000000488 FULADIC 5GR CREAM 2 151580 500 500
B000000570 HISTAPAN 50MG TABLET 10 9580 500 500
B000002030 SCACID 10GR KRIM 3 165165 500 500
B000002147 Pot Salep 30 cc 1 2074 500 500
B000002198 Racika Salep 1 6500 500 500
0 341239 3000 3000

B000000150 BETAMETASON 0,1% 5GR TUBE 2 6340 500 500


B000000488 FULADIC 5GR CREAM 1 75790 500 500
B000000570 HISTAPAN 50MG TABLET 10 9580 500 500
B000002030 SCACID 10GR KRIM 3 165165 1000 1000
B000002147 Pot Salep 30 cc 1 2074 500 500
B000002198 Racika Salep 1 6500 500 500
0 265449 3500 3500

B000000223 CEFIXIM 100MG CAPSUL 20 37180 500 500


B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000001301 UROTRACTIN 400MG KAPSUL 20 93240 500 500
0 194770 1500 1500
801458 8000 8000

7874625 79000 79000


1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-16
2020/09/16/000142 BAIQ KINAN PARHANAH

Subtotal :
Subtotal :
4 dr. Desy Erina Arianti, Sp.Og
5 Dr. Ellen, Sp.PD
1. 2020-09-16
2020/09/16/000065 INAQ SUPARDI

Subtotal :
2020/09/16/000191 FATMAWATI

Subtotal :
2020/09/16/000193 JAWIRIAH

Subtotal :
2020/09/16/000214 ZUHAIRATUL ANWARIAH

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-16
2020/09/16/000106 L. TAUFAN AKBAR P

Subtotal :
2020/09/16/000108 AHMAD SAKHA WRATAMA. AN

Subtotal :
Subtotal :
7 dr. Hesti Wulandari, Sp.Jp
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-16
2020/09/16/000072 LASMITHA KUSMAWATI

Subtotal :
2020/09/16/000100 BAIQ HERNI MARINA

Subtotal :
2020/09/16/000107 SUHAM

Subtotal :
2020/09/16/000110 SAHNAN

Subtotal :
2020/09/16/000134 HAJI MAHRUP

Subtotal :
2020/09/16/000145 MAEMUNAH. HJ. NY

Subtotal :
2020/09/16/000158 AMAQ HARIJIN
Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-16
2020/09/16/000056 RAHIM

Subtotal :
2020/09/16/000058 NURHAYATI

Subtotal :
2020/09/16/000059 SITI BUNIARA

Subtotal :
2020/09/16/000060 MUHAMMAD HASAN

Subtotal :
2020/09/16/000097 AMIR SAHRUL

Subtotal :
2020/09/16/000160 SUTIANI

Subtotal :
2020/09/16/000213 RISNAWATI

Subtotal :
2020/09/16/000219 H. M. MUHARIR / ABDULLAH

Subtotal :
Subtotal :
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-16
2020/09/16/000025 NURLAILI
Subtotal :
2020/09/16/000033 HJ. HALIMAH

Subtotal :
2020/09/16/000146 HUNNAIYAH

Subtotal :
Subtotal :
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
15 dr. Lalu Dona Mayartha
16 dr. Mushawwir Ummar
17 dr. Yuslis Harlisanjaya
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-16
2020/09/16/000130 NURHASANAH

Subtotal :
2020/09/16/000194 SUHARNIWATI

Subtotal :
Subtotal :
19 dr. Fibrianti Ratnasari
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-16
2020/09/16/000076 AKUP

Subtotal :
2020/09/16/000095 NASRUDDIN

Subtotal :
2020/09/16/000098 NABILA MAR"ATUSSHOLIHAH

Subtotal :
2020/09/16/000137 HAERANI

Subtotal :
2020/09/16/000149 SALIHIN

Subtotal :
Subtotal :
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-16
30 drg. Bendoro Wahyu Nurmita Sari
1. 2020-09-16
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
33 dr. Syarif Hidayatulloh
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000002420 FERRO K SUSPENSI 120ML 2 86626 500 500
0 86626 500 500
86626 500 500

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000000680 LANCID CAPSUL 15 321750 500 500
B000001120 SANMAAG SUSPENSI 1 35750 500 500
B000002105 PARASETAMOL 500 MG TABLET 20 7160 500 500
B000002112 VITAMIN B COMPLEX TABLET 20 3680 500 500
B000002128 OA FORTE KAPLET 10 141210 500 500
0 569610 3000 3000

B000000201 CANDESARTAN CILEXETIL 8MG TAB 10 67570 500 500


B000000655 KEREN 50 MG TABLET 10 90090 500 500
B000000695 LEFOS 500MG TABLET 5 260975 500 500
0 418635 1500 1500

B000000278 CODEIN 10MG TABLET 15 13365 500 500


B000000336 DIAFORMIN XR TABLET 10 28600 500 500
B000000531 GLUKOLOS 80MG TABLET 10 38250 500 500
B000000635 KALNEX 500MG TABLET 15 71865 500 500
B000002094 SPORETIK 200MG CAPSUL 10 408270 500 500
0 560350 2500 2500

B000000201 CANDESARTAN CILEXETIL 8MG TAB 10 67570 500 500


B000000680 LANCID CAPSUL 15 321750 500 500
B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001068 REBAMID TABLET 10 53480 500 500
B000002105 PARASETAMOL 500 MG TABLET 10 3580 500 500
0 519310 2500 2500
2067905 9500 9500

B000000447 FLAMAR 50MG TABLET 10 26100 500 500


B000001475 OPIMOX 500MG KAPLET 15 67575 500 500
0 93675 1000 1000
B000002185 VICALCIN 60ML SYRUP 1 6339 500 500
0 6339 500 500
100014 1500 1500

B000000140 BECOM C TABLET 10 22520 500 500


B000001122 SANMOL 500MG TABLET 10 4150 500 500
B000001383 ZITHRAX 500MG TABLET 5 333670 500 500
B000002034 ACETYLCYSTEINE 200MG CAP 10 14300 500 500
0 374640 2000 2000

B000000043 ALGANAX 1MG TABLET 3 23166 500 500


B000000059 AMBROXOL 30MG TABLET 20 5500 500 500
B000001044 PUMPITOR 20MG CAPSUL 10 193480 500 500
B000002167 GITAS PLUS KAPLET 10 87230 500 500
0 309376 2000 2000

B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500


B000001044 PUMPITOR 20MG CAPSUL 6 116088 500 500
B000001360 VOSEDON 10MG TABLET 10 33250 500 500
0 222268 1500 1500

B000000374 EFLAGEN 50MG TABLET 20 60060 500 500


B000000680 LANCID CAPSUL 10 214500 500 500
B000000824 NEUROSANBE TABLET 10 17090 500 500
B000001122 SANMOL 500MG TABLET 20 8300 500 500
B000001310 VALISANBE 5 MG TABLET 7 3906 500 500
0 303856 2500 2500

B000000374 EFLAGEN 50MG TABLET 15 45045 500 500


B000000824 NEUROSANBE TABLET 10 17090 500 500
B000001062 RANTIN 150MG TABLET 15 96525 500 500
B000001122 SANMOL 500MG TABLET 15 6225 500 500
0 164885 2000 2000

B000000080 ANADIUM CAPSUL 20 220220 500 500


B000000635 KALNEX 500MG TABLET 20 95820 500 500
B000000693 LAXADIN 60ML SYRUP 1 57200 500 500
0 373240 1500 1500

B000000306 CURCUMA 200MG TABLET 30 37980 500 500


B000001062 RANTIN 150MG TABLET 20 128700 500 500
0 166680 1000 1000
1914945 12500 12500

B000000141 BECOM ZET TABLET 15 45045 500 500


B000000572 HYALOPH TETES MATA 1 92235 500 500
0 137280 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000824 NEUROSANBE TABLET 15 25635 500 500
0 117870 1000 1000

B000000085 ANALSIK TABLET 10 21810 500 500


B000000572 HYALOPH TETES MATA 1 92235 500 500
0 114045 1000 1000

B000001004 POLYGRAN EYE OIN 3,5 GR 1 26455 500 500


B000001192 Spuit 1 cc Terumo 1 9500 500 500
0 35955 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000766 METILPREDNISOLON 8MG TABLET 20 18240 500 500
B000000824 NEUROSANBE TABLET 10 17090 500 500
0 127565 1500 1500

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000884 NUVISION TABLET 15 124410 500 500
0 216645 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000002302 CENDO POLYNEL 0,6ML MD 1 25562 500 500
0 117797 1000 1000

B000000572 HYALOPH TETES MATA 1 92235 500 500


B000000751 MEFINAL 500MG TABLET 1 1909 500 500
0 94144 1000 1000
961301 8500 8500

B000000271 CITICOLIN 500MG TABLET 15 143010 500 500


B000000276 CLOPIDOGREL 75MG TABLET 10 135140 500 500
B000000686 LANTUS SOLOSTAR INSULIN 1 195135 500 500
B000000760 METFORMIN 500MG TABLET 10 2500 500 500
B000000984 PIRACETAM 1200MG TABLET 10 16820 500 500
0 492605 2500 2500

B000000747 MECOBALAMIN 500UG CAPSUL 10 10010 500 500


B000001040 PROVELYN 75 MG CAPSUL 10 148410 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 10 5300 500 500
0 163720 1500 1500

B000000639 KALTROFEN SUPOSITORIA 10 185900 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001539 TRACETAT 200ML SYRUP 1 543400 500 500
B000001804 CHANNA CAPSUL 10 95170 500 500
B000002026 ELGRAN 2MG TABLET 7 48048 500 500
0 945448 2500 2500
1601773 6500 6500

B000000635 KALNEX 500MG TABLET 20 95820 500 500


0 95820 500 500

B000002038 VITAMULTI DHA SOFT CAPSUL 15 75075 500 500


0 75075 500 500
170895 1000 1000

B000000266 CIPROFLOXACIN 500MG TABLET 10 10010 500 500


B000000554 HARNAL OCAS 0,4MG TABLET 10 67930 500 500
B000001940 TORAMINE TABLET 10MG TABLET 10 78650 500 500
0 156590 1500 1500
B000000754 MELOXICAM 7,5MG TABLET 7 3801 500 500
B000001698 CEFAT 500MG CAPSUL 10 145070 500 500
0 148871 1000 1000

B000001698 CEFAT 500MG CAPSUL 10 145070 500 500


B000002167 GITAS PLUS KAPLET 10 87230 500 500
0 232300 1000 1000

B000000824 NEUROSANBE TABLET 5 8545 500 500


B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000001940 TORAMINE TABLET 10MG TABLET 10 78650 500 500
0 151545 1500 1500

B000001804 CHANNA CAPSUL 10 95170 500 500


B000001904 IODINE POVIDONE 10% 30 ML 1 6188 500 500
B000002238 MOXIC 7,5 TABLET 5 39325 500 500
0 140683 1500 1500
829989 6500 6500

7733448 46500 46500


1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
4 dr. Desy Erina Arianti, Sp.Og
5 Dr. Ellen, Sp.PD
1. 2020-09-19
2020/09/19/000140 H.ABD MUHITH HASAN

Subtotal :
2020/09/19/000141 SAREATUN HIJRIAH

Subtotal :
2020/09/19/000173 MIWATE

Subtotal :
2020/09/19/000188 MAHINUN

Subtotal :
2020/09/19/000191 MOHAMAD KAMILUDIN

Subtotal :
2020/09/19/000208 LALU INDRA
Subtotal :
2020/09/19/000209 RIANTI HASANAH

Subtotal :
Subtotal :
6 drg. AA Istri Putri, Sp. Pros
7 dr. Hesti Wulandari, Sp.Jp
1. 2020-09-19
2020/09/19/000134 HASNAWATI JINAMAN RIAMAN

Subtotal :
Subtotal :
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-19
2020/09/19/000147 MURNIATI

Subtotal :
2020/09/19/000171 MULIADI

Subtotal :
2020/09/19/000184 RABIAH

Subtotal :
2020/09/19/000194 MAHRUP

Subtotal :
Subtotal :
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-19
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
12 dr. Safat Wahyudi, Sp.S
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
15 dr. Lalu Dona Mayartha
16 dr. Mushawwir Ummar
17 dr. Yuslis Harlisanjaya
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-19
2020/09/19/000175 BAIQ UMMATUN HASANAH

Subtotal :
2020/09/19/000181 ZULPIANI

Subtotal :
Subtotal :
19 dr. Fibrianti Ratnasari
1. 2020-09-19
2020/09/19/000199 H. SAMSUL HADI

Subtotal :
Subtotal :
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
33 dr. Syarif Hidayatulloh
1. 2020-09-19
2020/09/19/000153 MUHAMMAD NUR

Subtotal :
Subtotal :
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total :
B000000671 L BIO SACHET 10 100100 500 500
B000000838 NEW DIATAB TALBET 20 12540 500 500
B000001276 TRICHODAZOL 500MG TABLET 15 35610 500 500
B000002167 GITAS PLUS KAPLET 10 87230 500 500
0 235480 2000 2000

B000000386 EMIBION CAPSUL 10 20450 500 500


B000000680 LANCID CAPSUL 5 107250 500 500
B000001296 UNALIUM 5MG TABLET 10 86520 500 500
0 214220 1500 1500

B000000201 CANDESARTAN CILEXETIL 8MG TAB 3 20271 500 500


B000000497 FUROSEMIDE 40MG TABLET 5 1045 500 500
B000000680 LANCID CAPSUL 5 107250 500 500
B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000001174 SISTENOL TABLET 10 28600 500 500
B000001189 SPIRONOLACTON 25MG TABLET 5 2365 500 500
0 424081 3000 3000

B000000683 LANSOPRAZOLE 30MG CAPSUL 15 26355 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001068 REBAMID TABLET 10 53480 500 500
B000001286 TROVENSIS 8MG TABLET 15 360360 500 500
B000002105 PARASETAMOL 500 MG TABLET 10 3580 500 500
0 516705 2500 2500

B000000051 ALOCLAIR ORAL RINSE 60ML 1 117975 500 500


B000000447 FLAMAR 50MG TABLET 15 39150 500 500
B000000654 KENALOG IN ORABASE 5G 1 74360 500 500
B000000869 NUCEF 100MG CAPSUL 10 264550 500 500
B000000941 PROVITAL PLUS CAPSUL 5 41470 500 500
B000002105 PARASETAMOL 500 MG TABLET 15 5370 500 500
0 542875 3000 3000

B000000680 LANCID CAPSUL 15 321750 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001068 REBAMID TABLET 10 53480 500 500
B000002105 PARASETAMOL 500 MG TABLET 10 3580 500 500
0 451740 2000 2000

B000001068 REBAMID TABLET 10 53480 500 500


B000002105 PARASETAMOL 500 MG TABLET 10 3580 500 500
0 57060 1000 1000
2442161 15000 15000

B000000117 ASPILETS 80MG TABLET 7 1204 500 500


B000000201 CANDESARTAN CILEXETIL 8MG TAB 7 47299 500 500
B000001985 ATORVASTATIN 20MG TABLET 7 40040 500 500
B000002308 MIOZIDINE MR 35MG TABLET 15 72930 500 500
B000002390 CONCOR 2,5MG TABLET 7 5698 500 500
0 167171 2500 2500
167171 2500 2500

B000000278 CODEIN 10MG TABLET 20 17820 500 500


B000002539 SANBE C 500MG TABLET 10 8580 500 500
0 26400 1000 1000

B000000723 LODIA 2MG TABLET 10 14300 500 500


B000001062 RANTIN 150MG TABLET 10 64350 500 500
B000001122 SANMOL 500MG TABLET 10 4150 500 500
B000001276 TRICHODAZOL 500MG TABLET 15 35610 500 500
0 118410 2000 2000

B000000085 ANALSIK TABLET 15 32715 500 500


B000000875 NUCRAL SUSPENSI 100ML 1 72930 500 500
B000001062 RANTIN 150MG TABLET 10 64350 500 500
0 169995 1500 1500

B000000278 CODEIN 10MG TABLET 20 17820 500 500


B000000306 CURCUMA 200MG TABLET 15 18990 500 500
B000001660 OMEPRAZOLE 20MG CAPSUL 7 3710 500 500
0 40520 1500 1500
355325 6000 6000
B000000751 MEFINAL 500MG TABLET 15 28635 500 500
0 28635 500 500

B000002038 VITAMULTI DHA SOFT CAPSUL 30 150150 500 500


0 150150 500 500
178785 1000 1000

B000000477 FORNEURO CAPSUL 10 81040 500 500


B000000663 KETOROLAC 30MG INJEKSI 1 1416 500 500
B000000754 MELOXICAM 7,5MG TABLET 10 5430 500 500
B000001060 RANITIDIN 25MG INJEKSI 1 1544 500 500
B000001195 SPUIT 3CC TERUMO 1 6578 500 500
B000002431 SCOPMA PLUS KAPLET 10 13160 500 500
0 109168 3000 3000
109168 3000 3000

B000000223 CEFIXIM 100MG CAPSUL 10 18590 500 500


B000000570 HISTAPAN 50MG TABLET 10 9580 500 500
0 28170 1000 1000
28170 1000 1000
3280780 28500 28500
1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-21
2. 2020-09-23
2020/09/23/000649 ALI QEENAN AZIAN NIRWANTO
B00000024 1 4905 500 500
B000002080 5 545 500 500
B000002199 1 10000 500 500
B00000242 1 43313 500 500
Subtotal : 0 58763 2000 2000
2020/09/23/000664 JUITA
B00000049 1 32670 500 500
B00000242 1 43313 500 500
Subtotal : 0 75983 1000 1000
Subtot: 134746 3000 3000
4 dr. Desy Erina Arianti, Sp.Og
1. 2020-09-21
2020/09/21/004135 ERVINA RUTH SITUMORANG
B00000021 10 10930 500 500
B00000050 2 7636 500 500
B00000201 10 1240 500 500
B00000255 15 5685 500 500
Subtotal : 0 25491 2000 2000
2. 2020-09-22
Subtot: 25491 2000 2000
5 Dr. Ellen, Sp.PD
1. 2020-09-21
2020/09/21/004165 MULKIAH
B00000015 6 19020 500 500
B00000024 10 49050 500 500
B00000049 5 1045 500 500
B00000076 15 13680 500 500
B00000112 1 35750 500 500
B00000118 10 4730 500 500
B000001349 10 118760 500 500
B000002147 1 2074 500 500
Subtotal : 0 244109 4000 4000
2020/09/21/004184 ISNA AZIZAH
B00000022 10 18590 500 500
B00000210 15 5370 500 500
Subtotal : 0 23960 1000 1000
2020/09/21/004187 MUHAMMAD
B00000005 5 2505 500 500
B00000009 1 3075 500 500
B00000049 4 836 500 500
B00000068 7 12299 500 500
B00000071 4 2516 500 500
Subtotal : 0 21231 2500 2500
2020/09/21/004193 MUSMULIADI
B00000068 15 26355 500 500
B00000086 10 264550 500 500
B00000112 1 35750 500 500
B00000112 15 6225 500 500
Subtotal : 0 332880 2000 2000
2. 2020-09-22
2020/09/22/000095 NUR MINA HISMI. NY
B00000068 5 107250 500 500
B00000087 1 72930 500 500
B00000094 10 82940 500 500
B000001054 1 10000 500 500
B00000106 10 53480 500 500
B00000210 10 3580 500 500
Subtotal : 0 330180 3000 3000
2020/09/22/000141 MUKSIN BIN H RIDOAN
B00000068 10 214500 500 500
B00000076 20 11460 500 500
B000001054 1 10000 500 500
B00000110 10 1550 500 500
B00000112 1 35750 500 500
B00000203 20 28600 500 500
Subtotal : 0 301860 3000 3000
2020/09/22/000210 SUMIATI
B00000008 15 32715 500 500
B00000103 60 40680 500 500
Subtotal : 0 73395 1000 1000
2020/09/22/000228 BAIQ MURAHENI
B00000005 3 1503 500 500
B00000007 7 2254 500 500
B00000044 7 18270 500 500
B00000076 14 3500 500 500
B000001054 1 10000 500 500
B00000210 30 10740 500 500
B00000211 7 1288 500 500
Subtotal : 0 47555 3500 3500
3. 2020-09-23
2020/09/23/000643 SITI KHADIJAH
B00000005 20 96660 500 500
B00000065 20 180180 500 500
B00000091 1 78650 500 500
B000001054 1 10000 500 500
B00000210 20 7160 500 500
B00000212 10 141210 500 500
B00000222 5 1680 500 500
Subtotal : 0 515540 3500 3500
2020/09/23/000644 NASRUDIN
B00000050 7 5215 500 500
B00000052 7 7007 500 500
B00000076 14 3500 500 500
B00000166 7 3710 500 500
B00000200 7 9338 500 500
Subtotal : 0 28770 2500 2500
2020/09/23/000680 H. ASNAN YASIN
B00000011 30 5160 500 500
B00000033 30 85800 500 500
B00000049 15 3135 500 500
B00000053 30 114750 500 500
B00000071 15 9435 500 500
B00000118 30 14190 500 500
B00000198 30 171600 500 500
B00000239 30 24420 500 500
Subtotal : 0 428490 4000 4000
2020/09/23/000684 HAJJAH NURHASANAH
B00000033 10 28600 500 500
B00000087 1 72930 500 500
B000001349 10 118760 500 500
B00000145 15 256965 500 500
Subtotal : 0 477255 2000 2000
Subtot: 2825225 32000 32000
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-21
2. 2020-09-22
2020/09/22/000152 ERNI HARTINI
B00000005 1 117975 500 500
Subtotal : 0 117975 500 500
3. 2020-09-23
2020/09/23/000594 AQ. ZUHRO
B00000037 10 30030 500 500
B000000381 10 10870 500 500
B00000077 15 5145 500 500
Subtotal : 0 46045 1500 1500
Subtot: 164020 2000 2000
7 dr. Hesti Wulandari, Sp.Jp
1. 2020-09-21
2. 2020-09-22
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-21
2020/09/21/000092 SURAEN
B00000004 6 30030 500 500
B00000087 1 72930 500 500
B00000112 15 6225 500 500
Subtotal : 0 109185 1500 1500
2020/09/21/000094 SUKRON
B00000069 1 57200 500 500
B00000106 15 96525 500 500
B00000243 15 19740 500 500
Subtotal : 0 173465 1500 1500
2020/09/21/000117 HENDRA APRIADI
B00000008 15 32715 500 500
B00000014 10 22520 500 500
B00000068 10 214500 500 500
Subtotal : 0 269735 1500 1500
2020/09/21/004139 MISLAH ALIAS INAQ SUMIATI
B00000008 20 43620 500 500
B00000068 10 214500 0 0
B00000082 10 17090 500 500
Subtotal : 0 275210 1000 1000
2020/09/21/004142 HAJJAH RAINI. NY
B00000008 20 43620 500 500
B00000082 10 17090 500 500
B00000104 10 193480 500 500
Subtotal : 0 254190 1500 1500
2020/09/21/004148 HJ. BULKAINI
B00000011 7 1204 500 500
B00000068 7 12299 500 500
B00000071 7 4403 500 500
B00000075 7 7259 500 500
Subtotal : 0 25165 2000 2000
2020/09/21/004150 RIANITA
B00000008 20 43620 500 500
B00000068 10 214500 500 500
Subtotal : 0 258120 1000 1000
2020/09/21/004153 HAJJAH MISLAH
B00000014 1 31928 500 500
B00000104 10 193480 500 500
B00000144 10 80080 500 500
B00000253 10 8580 500 500
Subtotal : 0 314068 2000 2000
2020/09/21/004168 RIHANDI
B00000068 10 214500 500 500
B00000138 5 333670 500 500
B00000243 10 13160 500 500
Subtotal : 0 561330 1500 1500
2020/09/21/004174 ZAITUN. NY
B00000076 10 2500 500 500
B00000166 5 2650 500 500
B00000210 15 5370 0 0
Subtotal : 0 10520 1000 1000
2. 2020-09-22
2020/09/22/000137 SUHAM
B00000037 15 45045 500 500
B00000082 10 17090 500 500
B00000106 15 96525 500 500
Subtotal : 0 158660 1500 1500
2020/09/22/000174 DIAN KURNIATI
B00000024 5 24525 500 500
B00000056 10 42900 0 0
B000001054 1 10000 500 500
B00000106 10 64350 500 500
B00000110 10 1550 500 500
B00000203 10 14300 500 500
Subtotal : 0 157625 2500 2500
2020/09/22/000204 SOEKOTJO SARI BUSONO
B00000008 20 43620 500 500
B00000055 20 135860 500 500
Subtotal : 0 179480 1000 1000
2020/09/22/000209 SEMAH. HJ. NY
B00000037 20 60060 500 500
B00000068 10 214500 500 500
B00000163 20 128700 500 500
Subtotal : 0 403260 1500 1500
2020/09/22/000215 SAHLI
B00000011 7 1204 500 500
B00000068 7 12299 500 500
B00000076 14 8022 500 500
B000001054 1 10000 500 500
B00000110 14 2170 500 500
B00000169 14 2198 500 500
Subtotal : 0 35893 3000 3000
3. 2020-09-23
2020/09/23/000618 JAMALIAH
B00000008 20 43620 500 500
B00000014 1 31928 500 500
B00000104 10 193480 500 500
B00000144 10 80080 500 500
Subtotal : 0 349108 2000 2000
2020/09/23/000619 MUDRAH
B00000030 20 25320 500 500
B00000106 15 96525 500 500
B00000126 10 57200 500 500
Subtotal : 0 179045 1500 1500
2020/09/23/000658 MARWAN HADI
B00000014 5 11260 500 500
B00000037 7 21021 500 500
B00000106 7 45045 500 500
Subtotal : 0 77326 1500 1500
Subtot: 3791385 29000 29000
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-21
2020/09/21/000071 MUHAMMAD RUSLI
B00000075 15 35610 500 500
B00000100 1 38432 500 500
Subtotal : 0 74042 1000 1000
2020/09/21/000073 INAQ HUMAIDI
B00000057 1 92235 500 500
Subtotal : 0 92235 500 500
2020/09/21/000074 ZOHRATUL HIDAINI
B00000088 15 124410 500 500
B00000100 1 26455 500 500
B00000100 1 38432 500 500
B000001192 1 9500 500 500
Subtotal : 0 198797 2000 2000
2020/09/21/000116 FERI ASWARI
B00000023 1 32175 500 500
B00000100 1 38432 500 500
Subtotal : 0 70607 1000 1000
2020/09/21/004156 MUHAMMAD AL FATIH
B00000099 1 39611 500 500
Subtotal : 0 39611 500 500
2020/09/21/004164 WULANDARI
B00000075 10 5430 500 500
B00000137 1 47500 500 500
B00000248 10 4820 500 500
Subtotal : 0 57750 1500 1500
2020/09/21/004177 ZURIANI
B00000100 1 26455 500 500
Subtotal : 0 26455 500 500
2020/09/21/004195 AQ ISTIHARAH
B00000013 1 48406 500 500
B00000075 20 38180 500 500
Subtotal : 0 86586 1000 1000
2. 2020-09-22
2020/09/22/000009 MARNI SUMANTRI
B00000099 1 39611 500 500
B00000099 1 31532 500 500
B00000111 1 31532 500 500
B00000255 20 7580 500 500
Subtotal : 0 110255 2000 2000
2020/09/22/000018 RUMINSIH
B00000100 1 51123 500 500
B00000255 20 7580 500 500
Subtotal : 0 58703 1000 1000
3. 2020-09-23
2020/09/23/000599 SAKRAH
B00000005 2 1002 500 500
B00000065 1 4433 500 500
B00000099 1 39611 500 500
B00000206 1 10410 500 500
B00000248 15 7230 500 500
B00000255 15 5685 500 500
Subtotal : 0 68371 3000 3000
2020/09/23/000635 SUKARDI IRAWAN
B00000075 20 10860 500 500
B00000082 20 34180 500 500
B00000111 1 31532 500 500
Subtotal : 0 76572 1500 1500
2020/09/23/000639 MULIANA
B00000057 1 92235 500 500
B00000082 15 25635 500 500
Subtotal : 0 117870 1000 1000
2020/09/23/000653 HJ ROHAENIAH
B00000111 1 31532 500 500
Subtotal : 0 31532 500 500
2020/09/23/000662 LALU MOHAMMAD SAPTADI
B00000082 30 51270 500 500
Subtotal : 0 51270 500 500
2020/09/23/000663 SOPIAN ANDIKA PRATAMA
B00000057 1 92235 500 500
B00000082 15 25635 500 500
Subtotal : 0 117870 1000 1000
2020/09/23/000683 MLAH
B00000057 1 92235 500 500
B00000082 25 42725 500 500
B00000193 2 64708 500 500
Subtotal : 0 199668 1500 1500
Subtot: 1478194 20000 20000
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-21
2020/09/21/000100 Lina Susanti. Ny
B00000076 15 8595 500 500
B00000127 15 31215 500 500
B00000255 15 5685 500 500
Subtotal : 0 45495 1500 1500
2020/09/21/000102 JUHAELI
B00000012 1 65780 500 500
B00000129 15 19620 500 500
Subtotal : 0 85400 1000 1000
2020/09/21/004171 ALIMIN
B00000012 1 65780 500 500
B00000021 10 10930 500 500
B00000076 15 8595 500 500
B00000127 15 31215 500 500
Subtotal : 0 116520 2000 2000
2020/09/21/004186 AZIZATUL ASRI
B00000003 1 86801 500 500
B00000029 10 4150 500 500
B00000255 10 3790 500 500
Subtotal : 0 94741 1500 1500
2020/09/21/004191 PIAR DIKA PUTRI
B00000003 1 86801 500 500
B00000005 5 1375 500 500
B00000021 1 10661 500 500
B000000257 5 585 500 500
B00000033 5 885 500 500
B00000112 1 16731 500 500
Subtotal : 0 117038 3000 3000
2020/09/21/004200 NURHAYATI
B00000003 1 86801 500 500
B00000077 1 3933 500 500
Subtotal : 0 90734 1000 1000
2. 2020-09-22
2020/09/22/000110 HJ. SITI AISYAH
B00000007 7 2254 500 500
B00000012 1 65780 500 500
B00000020 7 68320 500 500
B00000074 15 15015 500 500
Subtotal : 0 151369 2000 2000
2020/09/22/000225 SAPAAT
B00000244 1 46145 500 500
Subtotal : 0 46145 500 500
2020/09/22/000240 SITI HADIJAH
B00000049 1 32670 500 500
Subtotal : 0 32670 500 500
2020/09/22/000247 HAERUL AZMI
B00000012 1 65780 500 500
Subtotal : 0 65780 500 500
3. 2020-09-23
2020/09/23/000626 NASRUDDIN
B00000070 7 12516 500 500
B00000075 15 28635 500 500
B00000076 17 9741 500 500
B00000087 1 72930 500 500
Subtotal : 0 123822 2000 2000
2020/09/23/000650 HADIJAH. NY
B00000024 10 49050 500 500
Subtotal : 0 49050 500 500
2020/09/23/000651 LALU MUHAMMAD RAMIZUL GHOLY
B00000005 7 1925 500 500
B00000012 1 65780 500 500
B00000033 7 1239 500 500
B00000127 5 10405 500 500
B000002199 1 10000 500 500
Subtotal : 0 89349 2500 2500
2020/09/23/000686 HJ SITI MARYAM
B00000003 1 86801 500 500
B00000112 10 4150 500 500
Subtotal : 0 90951 1000 1000
2020/09/23/000697 BAIQ MULYANA
B00000007 10 3220 500 500
B00000009 30 8220 500 500
B00000075 10 10370 500 500
B00000155 30 37830 500 500
Subtotal : 0 59640 2000 2000
2020/09/23/000700 MULIADI, TN
B00000003 1 86801 500 500
B00000029 10 4150 500 500
B00000075 10 19090 500 500
Subtotal : 0 110041 1500 1500
Subtot: 1368745 23000 23000
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-21
2020/09/21/000014 MUSTAKIM
B00000144 7 56056 500 500
Subtotal : 0 56056 500 500
2020/09/21/000022 MUHAYYAN
B00000007 7 1960 500 500
B00000018 15 268125 500 500
B00000020 7 68320 500 500
B00000047 15 121560 500 500
B00000212 7 25025 500 500
Subtotal : 0 484990 2500 2500
2020/09/21/000027 INAQ SALIHIN
B00000015 10 35750 500 500
B00000018 30 536250 500 500
B00000020 10 97600 500 500
B00000027 15 202710 500 500
B00000155 30 42900 500 500
Subtotal : 0 915210 2500 2500
2020/09/21/004183 HAPIZ
B00000007 15 4830 500 500
B00000044 20 52200 500 500
B00000074 30 30030 500 500
B00000082 30 51270 500 500
B00000104 30 445230 500 500
B000001054 1 10000 500 500
B00000105 30 26010 500 500
B00000112 30 12450 500 500
B00000169 12 2916 500 500
B00000222 15 5040 500 500
Subtotal : 0 639976 5000 5000
2. 2020-09-22
3. 2020-09-23
2020/09/23/000527 HAJJAH MARDIAH
B00000018 30 536250 500 500
B00000020 15 146400 500 500
B00000047 15 121560 500 500
B00000098 65 109330 500 500
B00000222 15 24675 500 500
B00000239 15 12210 500 500
Subtotal : 0 950425 3000 3000
2020/09/23/000531 AFIFATUL ZOHRA
B00000032 30 231180 500 500
B00000155 30 42900 500 500
B00000207 30 5490 500 500
Subtotal : 0 279570 1500 1500
2020/09/23/000542 NURILAH
B00000020 10 67570 500 500
B00000075 15 35610 500 500
B00000076 20 30420 500 500
B00000144 10 80080 500 500
Subtotal : 0 213680 2000 2000
2020/09/23/000647 H. JALALUDDIN
B00000015 10 35750 500 500
B00000020 10 97600 500 500
B00000082 20 34180 500 500
B00000087 1 72930 500 500
B000001054 1 10000 500 500
B00000112 20 8300 500 500
B00000129 10 114400 500 500
B00000131 6 3348 500 500
B00000169 6 1458 500 500
Subtotal : 0 377966 4500 4500
Subtot: 3917873 21500 21500
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
1. 2020-09-23
2020/09/23/000693 ENDANG SURYANI
B00000066 1 1416 500 500
B00000082 5 8545 500 500
B00000106 1 1544 500 500
B00000119 2 13156 500 500
B00000255 10 3790 500 500
Subtotal : 0 28451 2500 2500
Subtot: 28451 2500 2500
15 dr. Lalu Dona Mayartha
1. 2020-09-23
2020/09/23/000526 LIZA LUTFIANA
B00000057 1 2288 500 500
B00000083 15 9405 500 500
B00000106 1 1544 500 500
B00000119 1 8008 500 500
B00000136 10 33250 500 500
B00000166 10 5300 500 500
B00000216 6 52338 500 500
Subtotal : 0 112133 3500 3500
2020/09/23/000586 MUHTAR LUTFI
B00000060 2 20022 500 500
B00000066 2 2832 500 500
B00000090 1 102102 500 500
B00000119 2 13156 500 500
B00000119 2 16016 500 500
B00000127 1 20735 500 500
B00000157 1 10668 500 500
Subtotal : 0 185531 3500 3500
2020/09/23/000588 MAERIZALI
B00000090 1 7150 500 500
B00000106 1 1544 500 500
B00000119 2 13156 500 500
B00000136 10 33250 500 500
B00000157 1 10668 500 500
B00000166 10 5300 500 500
B00000202 1 38610 500 500
Subtotal : 0 109678 3500 3500
Subtot: 407342 10500 10500
16 dr. Mushawwir Ummar
1. 2020-09-21
2020/09/21/004204 BAIQ SUCIAH
B00000033 10 1770 500 500
B00000169 10 1900 500 500
B00000210 10 3580 500 500
B00000211 10 1840 500 500
Subtotal : 0 9090 2000 2000
2. 2020-09-22
3. 2020-09-23
2020/09/23/000601 AMAQ MUSIP
B00000007 10 3220 500 500
B00000012 1 65780 500 500
B00000020 10 67570 500 500
B00000075 10 23740 500 500
Subtotal : 0 160310 2000 2000
Subtot: 169400 4000 4000
17 dr. Yuslis Harlisanjaya
1. 2020-09-21
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-21
2020/09/21/000106 SELVANA MARTINDA
B00000113 15 19350 500 500
Subtotal : 0 19350 500 500
2020/09/21/004146 MUKKARROMAH
B00000008 1.5 23680.5 500 500
Subtotal : 0 23680.5 500 500
2. 2020-09-22
3. 2020-09-23
Subtot: 43030.5 1000 1000
19 dr. Fibrianti Ratnasari
1. 2020-09-22
2020/09/22/000241 BAHRUDDIN
B00000009 10 2740 500 500
B00000066 1 1416 500 500
B00000072 10 14300 500 500
B00000090 1 7150 500 500
B00000106 10 2860 500 500
B00000106 1 28600 500 500
Subtotal : 0 57066 3000 3000
Subtot: 57066 3000 3000
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
1. 2020-09-22
2020/09/22/00007 EFFENDI
B00000004 30 150150 500 500
B000001054 1 10000 500 500
B00000115 2 116348 500 500
B00000185 15 21885 500 500
B00000207 15 2745 500 500
B00000209 15 83655 500 500
B00000250 15 53625 500 500
Subtotal : 0 438408 3500 3500
2020/09/22/000112 H HAMDAN
B00000004 14 45052 500 500
B00000054 5 715 500 500
B00000082 7 11963 500 500
B000001054 1 10000 500 500
B00000209 4 22308 500 500
Subtotal : 0 90038 2500 2500
2020/09/22/000125 SAHDAN
B00000005 11 5511 500 500
B00000085 4 4692 500 500
B000001054 1 10000 500 500
B00000115 1 58174 500 500
B00000207 7 1281 500 500
B00000209 1 11261 500 500
Subtotal : 0 90919 3000 3000
2020/09/22/000128 IIS MUNZAIRINA
B00000005 7 5509 500 500
B00000085 7 8211 500 500
B000001054 1 10000 500 500
B00000211 7 1288 500 500
B00000214 4 30032 500 500
Subtotal : 0 55040 2500 2500
2020/09/22/000134 MAHYUNI
B00000005 7 3507 500 500
B00000085 7 8211 500 500
B00000210 14 5012 500 500
B00000214 7 52556 500 500
Subtotal : 0 69286 2000 2000
2020/09/22/000135 INAQ MASRI/MAHULAN
B00000005 7 3507 500 500
B00000085 7 8211 500 500
B00000222 7 2352 500 500
Subtotal : 0 14070 1500 1500
2020/09/22/000139 JAUHARUS SYAKDI
B00000005 14 7014 500 500
B00000085 7 8211 500 500
B00000185 7 10213 500 500
B00000250 4 14300 500 500
Subtotal : 0 39738 2000 2000
2020/09/22/000142 M. SAHDI, SPD
B00000005 6 4722 500 500
B00000085 7 8211 500 500
B00000250 4 14300 500 500
Subtotal : 0 27233 1500 1500
2020/09/22/000143 INAQ MULYANA. NY
B00000005 7 3507 500 500
B00000054 5 715 500 500
B00000085 7 8211 500 500
Subtotal : 0 12433 1500 1500
2020/09/22/000147 RUSWATI
B00000005 4 3148 500 500
B00000085 7 8211 500 500
B000001054 1 10000 500 500
B00000109 4 12968 500 500
B00000115 1 58174 500 500
B00000131 7 3906 500 500
B00000207 7 1281 500 500
Subtotal : 0 97688 3500 3500
2020/09/22/000154 ELMIANI
B00000005 60 30060 500 500
B00000109 30 97260 500 500
B00000185 30 43770 500 500
B00000209 30 167310 500 500
B00000214 15 112620 500 500
Subtotal : 0 451020 2500 2500
2020/09/22/000155 WAHIDAH, NY
B00000004 30 96540 500 500
B00000054 10 1430 0 0
B000001054 1 10000 500 500
Subtotal : 0 107970 1000 1000
2020/09/22/000159 NURHIDAYATI
B00000005 7 3507 500 500
B000001054 1 10000 500 500
B00000115 1 58174 500 500
B00000185 4 5836 500 500
B00000207 7 1281 500 500
B00000209 4 22308 500 500
Subtotal : 0 101106 3000 3000
2020/09/22/000160 ATIH / AMAQ ROHAN
B00000005 4 2004 500 500
B00000054 3 429 500 500
B00000085 7 8211 500 500
Subtotal : 0 10644 1500 1500
2020/09/22/000162 AGUNG RIZKA
B00000004 7 35035 500 500
B00000235 7 31920 500 500
Subtotal : 0 66955 1000 1000
2020/09/22/000172 GERI RETNO FAHMI
B00000004 14 70070 500 500
B00000054 14 5054 500 500
B000001054 1 10000 500 500
B00000211 7 1288 500 500
Subtotal : 0 86412 2000 2000
Subtot: 1758960 34500 34500
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-21
2020/09/21/00415 ASRONI
B00000082 7 11963 500 500
B00000194 10 78650 500 500
Subtotal : 0 90613 1000 1000
2. 2020-09-23
2020/09/23/000606 HUSNI
B00000169 10 145070 500 500
B00000194 10 78650 500 500
Subtotal : 0 223720 1000 1000
Subtot: 314333 2000 2000
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-21
2020/09/21/000109 FATIMAH
B00000057 6 5748 500 500
B00000067 1 57200 500 500
B00000106 6 38610 500 500
B00000163 10 64350 500 500
Subtotal : 0 165908 2000 2000
2020/09/21/004149 SUHAINI
B00000022 20 37180 500 500
B00000048 1 75790 500 500
B00000075 10 19090 500 500
Subtotal : 0 132060 1500 1500
2020/09/21/004159 ZAHIDUL AZKA
B00000048 1 75790 500 500
Subtotal : 0 75790 500 500
2. 2020-09-23
2020/09/23/000615 FATIMAH
B00000057 10 9580 500 500
B00000067 1 57200 500 500
B00000163 15 96525 500 500
Subtotal : 0 163305 1500 1500
2020/09/23/000617 NUR ISRO HAYATI
B00000002 50 60850 500 500
B00000048 1 75790 500 500
B00000086 5 51840 500 500
B00000147 10 45050 500 500
Subtotal : 0 233530 2000 2000
2020/09/23/000641 NIA AULIA SIFA
B00000075 10 19090 500 500
Subtotal : 0 19090 500 500
2020/09/23/000659 DAMAR WIJAYA
B00000048 1 42900 500 500
Subtotal : 0 42900 500 500
2020/09/23/000660 DAFIN WIJAYA
B00000024 1 56914 500 500
B00000048 1 42900 500 500
Subtotal : 0 99814 1000 1000
Subtot: 932397 9500 9500
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
1. 2020-09-22
2020/09/22/000057 RASIDI
B00000063 1 18590 500 500
B00000065 7 63063 500 500
B00000248 10 212360 500 500
Subtotal : 0 294013 1500 1500
2020/09/22/000227 H. MUHAMMAD MANSUR
B00000065 10 90090 500 500
Subtotal : 0 90090 500 500
Subtot: 384103 2000 2000
33 dr. Syarif Hidayatulloh
1. 2020-09-22
2020/09/22/000118 TARWIYAH
B00000021 10 10930 500 500
B00000065 10 90090 500 500
Subtotal : 0 101020 1000 1000
2. 2020-09-23
2020/09/23/000595 TGH. SAPRIADI, QH
B00000000 1 38610 500 500
B00000060 1 10011 500 500
B00000060 1 25000 500 500
B00000065 10 90090 500 500
B00000065 0.5 5255.5 500 500
B00000075 1 4500 500 500
B00000090 1 7150 500 500
B00000096 1 62920 500 500
B00000106 10 2860 500 500
B00000115 5 48620 500 500
B00000119 1 10439 500 500
B00000119 1 6578 500 500
B00000119 1 8008 500 500
B00000169 10 145070 500 500
B00000195 1 23746 500 500
B00000207 10 2920 500 500
B0000025 1 16617 500 500
B0000025 1 16617 500 500
Subtotal : 0 525011.5 9000 9000
Subtot: 626031.5 10000 10000
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total : 1.84E+07 211500 211500
1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
1. 2020-09-25
2020/09/25/000104 FAOZAN AZIMAL
B00000009 10 2740 500 500
B00000035 10 6440 500 500
B00000083 7 4389 500 500
B00000157 10 7160 500 500
Subtotal : 0 20729 2000 2000
Subtot: 20729 2000 2000
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-25
4 dr. Desy Erina Arianti, Sp.Og
1. 2020-09-24
2020/09/24/000084 MUSLIHATUN
B00000128 15 360360 500 500
B00000166 10 5300 500 500
B00000253 10 188760 500 500
Subtotal : 0 554420 1500 1500
2. 2020-09-25
Subtot: 554420 1500 1500
5 Dr. Ellen, Sp.PD
1. 2020-09-24
2020/09/24/000080 SAKNAH
B00000106 20 106960 500 500
B00000112 1 35750 500 500
B00000145 10 171310 500 500
B00000202 5 34320 500 500
B00000210 20 7160 500 500
Subtotal : 0 355500 2500 2500
2. 2020-09-25
2020/09/25/000026 INAQ ZULKARNAEN
B00000008 20 63620 500 500
B00000020 20 135140 500 500
B00000033 20 57200 500 500
B00000129 15 129780 500 500
B00000198 10 57200 500 500
Subtotal : 0 442940 2500 2500
2020/09/25/000031 MIWATE
B00000020 5 33785 500 500
B00000027 15 13365 500 500
B00000049 5 1045 500 500
B00000063 15 71865 500 500
B00000069 5 260975 500 500
B00000118 10 4730 500 500
Subtotal : 0 385765 3000 3000
2020/09/25/000203 NASRULLAH, TN
B00000086 10 264550 500 500
B00000094 10 82940 500 500
B00000117 15 42900 500 500
Subtotal : 0 390390 1500 1500
2020/09/25/000215 INAQ MARHAENI
B00000022 10 18590 500 500
B00000166 7 3710 500 500
B00000210 15 5370 500 500
Subtotal : 0 27670 1500 1500
2020/09/25/000249 KANARIAH
B00000009 15 4110 500 500
B00000086 10 264550 500 500
B00000117 15 42900 500 500
B00000145 5 85655 500 500
Subtotal : 0 397215 2000 2000
3. 2020-09-26
2020/09/26/000099 JOHARIAH
B00000005 14 67662 500 500
B00000050 7 5215 500 500
B00000165 7 4207 500 500
B00000169 14 12572 500 500
B00000200 7 9338 500 500
Subtotal : 0 98994 2500 2500
Subtot: 2098474 15500 15500
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-24
2020/09/24/000159 RELIA PUTRI
B00000145 1 37180 500 500
Subtotal : 0 37180 500 500
2. 2020-09-25
2020/09/25/000120 SITI HAJAR
B00000145 1 37180 500 500
Subtotal : 0 37180 500 500
2020/09/25/000122 MALINDA ZULASTARI
B00000008 10 21810 500 500
Subtotal : 0 21810 500 500
Subtot: 96170 1500 1500
7 dr. Hesti Wulandari, Sp.Jp
1. 2020-09-24
2. 2020-09-26
2020/09/26/000041 HAJI MARZUKI
B00000033 30 5580 500 500
B00000071 15 9435 500 500
B00000082 30 51270 500 500
B00000118 30 14190 500 500
B00000222 30 49350 500 500
Subtotal : 0 129825 2500 2500
2020/09/26/000043 HAJI SAMSUL RIZAL
B00000011 15 2580 500 500
B00000020 15 146400 500 500
B00000118 15 7095 500 500
B00000129 8 10296 500 500
B00000200 30 40020 500 500
B00000223 30 63930 500 500
B00000239 15 12210 500 500
Subtotal : 0 282531 3500 3500
Subtot: 412356 6000 6000
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-24
2020/09/24/000068 SAEPUDIN
B00000044 20 52200 500 500
B00000082 10 17090 500 500
B00000112 20 8300 500 500
B00000131 10 5580 500 500
Subtotal : 0 83170 2000 2000
2020/09/24/000088 H. NASRUDDIN AZHAR
B00000005 20 96660 500 500
B00000033 20 57200 500 500
B00000044 20 52200 500 500
B00000075 30 71220 500 500
B00000086 1 193258 500 500
B00000216 1 5000 500 500
Subtotal : 0 475538 3000 3000
2. 2020-09-25
2020/09/25/000087 AMAQ MAULANI. TN
B00000004 5 25025 500 500
B00000008 10 31810 500 500
B00000015 10 35750 500 500
B00000030 30 37980 500 500
B00000049 5 1045 500 500
B00000145 10 171310 500 500
Subtotal : 0 302920 3000 3000
2020/09/25/000209 RAHMAN
B00000108 20 181500 500 500
B00000126 15 85800 500 500
Subtotal : 0 267300 1000 1000
2020/09/25/000238 MASTINI
B00000037 10 30030 500 500
B00000056 10 42900 500 500
B00000106 10 64350 500 500
Subtotal : 0 137280 1500 1500
3. 2020-09-26
2020/09/26/000055 SUMIATI
B00000015 10 35750 500 500
B00000049 10 2090 500 500
B00000068 10 17570 500 500
B00000136 10 33250 500 500
B00000144 10 143000 500 500
Subtotal : 0 231660 2500 2500
2020/09/26/000093 ERLIN SULISTYANI
B00000004 10 50050 500 500
B00000087 1 72930 500 500
B00000145 10 171310 500 500
Subtotal : 0 294290 1500 1500
2020/09/26/000094 MAHRUP
B00000027 20 17820 500 500
B00000030 20 25320 500 500
B00000166 7 3710 500 500
Subtotal : 0 46850 1500 1500
2020/09/26/000101 RAHMAWATILLAH
B00000005 6 3006 500 500
B00000145 6 102786 500 500
Subtotal : 0 105792 1000 1000
Subtot: 1944800 17000 17000
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-24
2020/09/24/000013 Ruminah. Hj. Ny
B00000075 30 71220 500 500
B00000141 2 274202 500 500
Subtotal : 0 345422 1000 1000
2020/09/24/000015 ABD. MA"AT
B00000014 10 30030 500 500
B00000051 15 94815 500 500
B00000111 1 31532 500 500
Subtotal : 0 156377 1500 1500
2020/09/24/000025 PAHRUDIN
B00000002 25 30425 500 500
B00000013 1 48406 500 500
B00000075 15 28635 500 500
Subtotal : 0 107466 1500 1500
2020/09/24/000027 ETI ANDRIYANI
B00000042 2 66138 500 500
B00000075 20 47480 500 500
Subtotal : 0 113618 1000 1000
2. 2020-09-25
2020/09/25/000043 MUHAMMAD ABID RIZKI
B00000100 1 38432 500 500
Subtotal : 0 38432 500 500
2020/09/25/000046 MUHAMAD
B00000057 1 92235 500 500
Subtotal : 0 92235 500 500
2020/09/25/000047 HJ HADIJAH
B00000064 2 120120 500 500
B00000088 30 248820 500 500
Subtotal : 0 368940 1000 1000
2020/09/25/000049 ZAENUDIN BASRI. TN
B00000057 1 92235 500 500
B00000075 15 35610 500 500
Subtotal : 0 127845 1000 1000
2020/09/25/000050 M. NURURRASYID ABDULAH
B00000013 1 48406 500 500
B00000075 20 38180 500 500
Subtotal : 0 86586 1000 1000
2020/09/25/000105 HJ ROHAENIAH
B00000065 1 4433 500 500
B00000099 1 39611 500 500
B00000206 1 10410 500 500
B00000248 20 9640 500 500
B00000255 20 7580 500 500
Subtotal : 0 71674 2500 2500
2020/09/25/000134 MAHYUN
B00000075 30 71220 500 500
B00000193 2 64708 500 500
Subtotal : 0 135928 1000 1000
2020/09/25/000191 ALI MIMBAR JAELANI
B00000111 1 31532 500 500
Subtotal : 0 31532 500 500
2020/09/25/000237 DANIS AGHA RABANI
B00000044 1 53840 500 500
Subtotal : 0 53840 500 500
3. 2020-09-26
2020/09/26/000005 AINY DARWATI
B00000044 1 53840 500 500
B00000088 15 124410 500 500
Subtotal : 0 178250 1000 1000
2020/09/26/000007 SETAH
B00000023 2 64350 500 500
B00000088 30 248820 500 500
Subtotal : 0 313170 1000 1000
2020/09/26/000014 ASHABUL MAEMANAH
B00000042 2 66138 500 500
B00000082 15 25635 500 500
Subtotal : 0 91773 1000 1000
Subtot: 2313088 16500 16500
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-24
2020/09/24/000155 RIZKY FIRDAUS
B00000056 10 42900 500 500
B00000127 10 20810 500 500
Subtotal : 0 63710 1000 1000
2020/09/24/000166 SUKMAWATI
B00000012 1 65780 500 500
B00000070 6 10728 500 500
B00000203 10 14300 500 500
Subtotal : 0 90808 1500 1500
2. 2020-09-25
2020/09/25/000206 ABDURRAHMAN ARSANI
B00000003 1 86801 500 500
B00000005 4 1100 500 500
B00000021 1 10661 500 500
B00000033 4 708 500 500
B00000127 3 6243 500 500
Subtotal : 0 105513 2500 2500
2020/09/25/00024 WAHYU AGUNG SEFTIAN SASAKY
B00000029 15 6225 500 500
B00000070 5 8940 500 500
B00000075 10 19090 500 500
Subtotal : 0 34255 1500 1500
2020/09/25/000247 MINAWARNI
B00000012 1 65780 500 500
B00000029 15 6225 500 500
B00000074 15 15015 500 500
Subtotal : 0 87020 1500 1500
2020/09/25/000254 AZIZATUL ASRI
B00000012 1 65780 500 500
B00000024 10 49050 500 500
Subtotal : 0 114830 1000 1000
2020/09/25/000258 ALIMIN
B00000021 10 10930 500 500
B00000029 15 6225 500 500
B00000127 15 31215 500 500
B00000203 12 17160 500 500
Subtotal : 0 65530 2000 2000
Subtot: 561666 11000 11000
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-25
2020/09/25/000066 KURDIMAN
B00000020 15 101355 500 500
B00000027 20 190680 500 500
B00000027 15 202710 500 500
B00000212 15 53625 500 500
Subtotal : 0 548370 2000 2000
2020/09/25/000068 MUNAH
B00000007 10 2800 500 500
B00000020 10 97600 500 500
B00000047 20 162080 500 500
B00000076 20 5000 500 500
B00000239 13 116792 500 500
Subtotal : 0 384272 2500 2500
2020/09/25/000073 HUNNAIYAH
B00000087 1 72930 500 500
B00000106 10 53480 500 500
B00000201 5 150150 500 500
B00000202 5 22020 500 500
Subtotal : 0 298580 2000 2000
2020/09/25/000096 SURATMAN
B00000007 8 2576 500 500
B00000020 8 78080 500 500
B00000027 8 108112 500 500
B00000044 5 13050 500 500
B00000082 20 34180 500 500
B00000131 6 3348 500 500
B00000169 6 1458 500 500
B00000210 20 7160 500 500
Subtotal : 0 247964 4000 4000
Subtot: 1479186 10500 10500
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
1. 2020-09-24
2. 2020-09-25
15 dr. Lalu Dona Mayartha
1. 2020-09-24
16 dr. Mushawwir Ummar
1. 2020-09-25
17 dr. Yuslis Harlisanjaya
1. 2020-09-25
2020/09/25/000001 MUSLIHATIN
B00000058 10 9150 500 500
B00000104 10 193480 500 500
B00000112 10 4150 500 500
Subtotal : 0 206780 1500 1500
Subtot: 206780 1500 1500
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-24
2. 2020-09-26
2020/09/26/000065 BAIQ KARNILA KUSUMAWATI
B00000092 30 183060 500 500
Subtotal : 0 183060 500 500
2020/09/26/000067 NISA MAULINA
B00000203 20 100100 500 500
B00000236 20 343200 500 500
Subtotal : 0 443300 1000 1000
2020/09/26/000079 MEILIA FITRIANINGSIH
B00000203 30 150150 500 500
B00000236 20 343200 500 500
Subtotal : 0 493350 1000 1000
2020/09/26/000105 NENIE RAHMATUL LAILY
B00000203 30 150150 500 500
B00000236 7 120120 500 500
Subtotal : 0 270270 1000 1000
Subtot: 1389980 3500 3500
19 dr. Fibrianti Ratnasari
1. 2020-09-26
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
1. 2020-09-24
2020/09/24/000082 ISNIWATI
B00000005 7 3507 500 500
B00000109 4 12968 500 500
B00000214 4 30032 500 500
Subtotal : 0 46507 1500 1500
2020/09/24/000085 LALU FIET HANAFIE
B00000004 7 22526 500 500
B00000115 1 58174 500 500
B00000207 7 1281 500 500
Subtotal : 0 81981 1500 1500
2020/09/24/000087 RESITA YULIANA INDRASWARI
B00000005 11 5511 500 500
B00000068 7 12299 500 500
B00000214 4 30032 500 500
Subtotal : 0 47842 1500 1500
2020/09/24/000103 NURUL AINI
B00000005 4 3148 500 500
B00000085 7 8211 500 500
B000001054 1 10000 500 500
B00000115 1 58174 500 500
B00000207 7 1281 500 500
Subtotal : 0 80814 2500 2500
2020/09/24/000107 AGUS SALIM
B00000004 14 70070 500 500
B00000068 7 12299 500 500
B00000209 7 71575 500 500
B00000214 7 52556 500 500
B00000250 4 14300 500 500
Subtotal : 0 220800 2500 2500
2020/09/24/000109 NURHAER
B00000004 7 35035 500 500
B00000115 1 58174 500 500
B00000166 7 3710 500 500
B00000185 7 10213 500 500
B00000207 7 1281 500 500
B00000209 7 71575 500 500
Subtotal : 0 179988 3000 3000
2020/09/24/000119 SENAINI
B00000005 11 5511 500 500
B00000085 7 8211 500 500
Subtotal : 0 13722 1000 1000
2020/09/24/000121 ZUBAEDI
B00000004 7 35035 500 500
B00000064 7 40040 500 500
B00000115 1 58174 500 500
B00000185 4 5836 500 500
B00000207 7 1281 500 500
B00000214 7 52556 500 500
Subtotal : 0 192922 3000 3000
2020/09/24/000132 MARDIANTI
B00000005 7 3507 500 500
B00000085 7 8211 500 500
B00000185 7 10213 500 500
Subtotal : 0 21931 1500 1500
2020/09/24/000140 DIANA
B00000005 11 5511 500 500
B00000085 7 8211 500 500
B00000214 4 30032 500 500
Subtotal : 0 43754 1500 1500
2020/09/24/000143 ZOHRIAH
B00000109 7 22694 500 500
B00000214 4 10576 500 500
Subtotal : 0 33270 1000 1000
2020/09/24/000144 HJ. ZOHRIAH
B00000054 5 715 500 500
B00000155 14 20020 500 500
B00000185 4 5836 500 500
Subtotal : 0 26571 1500 1500
2020/09/24/000162 MUHAMMAD MANSUR
B00000004 30 231660 500 500
B00000115 11 639914 500 500
B00000185 15 21885 500 500
B00000209 15 153375 500 500
B00000214 8 68256 500 500
Subtotal : 0 1115090 2500 2500
Subtot: 2105192 24500 24500
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-25
2020/09/25/000202 AMAQ MUHAIDI
B00000021 10 10930 500 500
B00000025 5 2040 500 500
B00000190 1 6188 500 500
B00000194 10 78650 500 500
Subtotal : 0 97808 2000 2000
Subtot: 97808 2000 2000
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-25
2020/09/25/000095 SIGIT PAMUNGKAS
B00000048 1 75790 500 500
B00000057 10 9580 500 500
B00000067 1 57200 500 500
B00000101 1 2360 500 500
B00000209 1 103032 500 500
B000002198 1 6500 500 500
Subtotal : 0 254462 3000 3000
2020/09/25/000239 HUSNI MARDIANA
B00000027 30 53670 500 500
B00000048 6 454740 500 500
B00000056 10 42900 500 500
B00000057 10 9580 500 500
B00000101 1 2360 500 500
B000002198 1 6500 500 500
Subtotal : 0 569750 3000 3000
Subtot: 824212 6000 6000
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
1. 2020-09-24
2020/09/24/000040 SUBUH
B00000065 10 90090 500 500
B00000248 10 212360 500 500
Subtotal : 0 302450 1000 1000
2. 2020-09-25
Subtot: 302450 1000 1000
33 dr. Syarif Hidayatulloh
1. 2020-09-24
2020/09/24/000075 A ANDI PARMANTO
B00000082 10 17090 500 500
Subtotal : 0 17090 500 500
2. 2020-09-26
2020/09/26/000102 TGH. SAPRIADI, QH
B00000065 10 90090 500 500
B00000169 10 145070 500 500
Subtotal : 0 235160 1000 1000
Subtot: 252250 1500 1500
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
1. 2020-09-24
2. 2020-09-25
37 Total : 1.47E+07 121500 121500
1 dr. Utun Supria, M.KES
2 dr. Aluh Laraning Tias Dini
3 dr. Novita Purnamasari Assa, Sp.A
1. 2020-09-30
4 dr. Desy Erina Arianti, Sp.Og
1. 2020-09-29
2020/09/29/000137 ASMUL HIDAYAH
B00000092 10 61020 500 500
Subtotal : 0 61020 500 500
Subtot: 61020 500 500
5 Dr. Ellen, Sp.PD
1. 2020-09-29
2020/09/29/000090 SURIATI
B00000086 10 264550 500 500
B00000094 10 82940 500 500
B00000117 15 42900 500 500
Subtotal : 0 390390 1500 1500
2020/09/29/000883 INAQ IJAH
B00000020 10 67570 500 500
B00000027 15 13365 500 500
B00000033 30 85800 500 500
B00000063 15 71865 500 500
Subtotal : 0 238600 2000 2000
2020/09/29/000889 ENY OVIANI
B00000065 10 90090 500 500
B00000213 10 314600 500 500
Subtotal : 0 404690 1000 1000
2. 2020-09-30
2020/09/30/000097 H.ABD MUHITH HASAN
B00000083 16 10032 500 500
B00000157 7 5012 500 500
B00000166 7 3710 500 500
Subtotal : 0 18754 1500 1500
2020/09/30/000117 SITI AISYAH
B00000068 10 214500 500 500
B00000103 10 1900 500 500
B000001349 10 118760 500 500
B00000202 5 34320 500 500
Subtotal : 0 369480 2000 2000
2020/09/30/000121 JANUSIAH
B00000008 30 330330 500 500
B00000017 5 96525 500 500
B00000063 20 95820 500 500
B00000091 1 78650 500 500
Subtotal : 0 601325 2000 2000
2020/09/30/000132 SIDIK, S.PD.I
B00000044 7 18270 500 500
B00000076 7 4011 500 500
B000001054 1 10000 500 500
B00000174 10 78650 500 500
B00000210 30 10740 500 500
Subtotal : 0 121671 2500 2500
2020/09/30/000143 MUDAAH. TN
B00000076 20 11460 500 500
B00000086 10 264550 500 500
B00000123 20 5440 500 500
B00000137 5 53625 500 500
B00000143 5 75075 500 500
B00000203 20 28600 500 500
Subtotal : 0 438750 3000 3000
2020/09/30/000160 SAPI"I
B00000076 20 11460 500 500
B00000086 10 264550 500 500
B00000123 20 5440 500 500
B00000145 15 256965 500 500
B00000203 20 28600 500 500
Subtotal : 0 567015 2500 2500
Subtot: 3150675 18000 18000
6 drg. AA Istri Putri, Sp. Pros
1. 2020-09-29
2. 2020-09-30
2020/09/30/000115 M. NURUL IMAN
B00000008 10 21810 500 500
B00000145 1 37180 500 500
B00000169 15 217605 500 500
Subtotal : 0 276595 1500 1500
Subtot: 276595 1500 1500
7 dr. Hesti Wulandari, Sp.Jp
1. 2020-09-29
8 dr. Hj. Wikan Tyasning, Sp. PD. FINASIM
1. 2020-09-29
2020/09/29/000096 MAZIATI
B00000004 5 25025 500 500
B00000068 10 214500 500 500
B00000087 1 72930 500 500
Subtotal : 0 312455 1500 1500
2020/09/29/000097 BAIQ RAEHAN
B00000008 20 43620 500 500
B00000047 6 48624 500 500
B00000068 6 128700 500 500
Subtotal : 0 220944 1500 1500
2020/09/29/000163 AMAQ SUPARMAN
B00000020 15 146400 500 500
B00000049 15 3135 500 500
B00000065 45 440820 500 500
B00000155 15 21450 500 500
B00000180 45 428265 500 500
Subtotal : 0 1040070 2500 2500
2020/09/29/000177 SYAMSUDIN
B00000004 10 50050 500 500
B00000020 10 67570 500 500
B00000104 10 193050 500 500
B00000144 10 143000 500 500
B00000216 10 87230 500 500
Subtotal : 0 540900 2500 2500
2020/09/29/000882 ABDUL AFIF MUIS
B00000004 10 50050 500 500
B00000014 10 22520 500 500
Subtotal : 0 72570 1000 1000
2. 2020-09-30
2020/09/30/000073 DIMAS ARYAHYA HARIANTO PUTRA
B00000035 15 9660 500 500
B00000068 6 128700 500 500
B00000087 1 72930 500 500
Subtotal : 0 211290 1500 1500
2020/09/30/000078 HJ BQ MASRAH MAWARNI
B00000044 20 52200 500 500
B00000068 10 214500 500 500
B00000076 20 11460 500 500
B00000131 10 5580 500 500
Subtotal : 0 283740 2000 2000
2020/09/30/000081 NURHAESUM
B00000008 15 32715 500 500
B00000087 1 72930 500 500
B00000104 7 135135 500 500
B00000136 10 33250 500 500
Subtotal : 0 274030 2000 2000
2020/09/30/000107 SAHRE
B00000005 30 144990 500 500
B00000009 15 89025 500 500
B00000075 30 71220 500 500
B00000076 30 7500 500 500
Subtotal : 0 312735 2000 2000
2020/09/30/000147 ZUHRIAH
B00000008 20 43620 500 500
B00000047 6 48624 500 500
B00000155 20 25220 500 500
Subtotal : 0 117464 1500 1500
Subtot: 3386198 18000 18000
9 dr. H. Endro Pranoto, Sp.M
1. 2020-09-29
2020/09/29/000029 HUSNIAH
B00000082 15 25635 500 500
B00000111 1 31532 500 500
Subtotal : 0 57167 1000 1000
2020/09/29/000040 HAJI NU"MAN
B00000025 1 6721 500 500
Subtotal : 0 6721 500 500
2. 2020-09-30
2020/09/30/000050 ABD. MA"AT
B00000082 15 25635 500 500
Subtotal : 0 25635 500 500
2020/09/30/000052 ERNA PURNAWATI. NY
B00000111 1 31532 500 500
Subtotal : 0 31532 500 500
2020/09/30/000059 TADJRI
B00000057 1 92235 500 500
Subtotal : 0 92235 500 500
2020/09/30/000060 MUHAMMAD ROFII
B00000082 30 51270 500 500
B00000111 1 31532 500 500
Subtotal : 0 82802 1000 1000
2020/09/30/000062 HJ ROHAENIAH
B00000071 1 1672 500 500
B000001192 1 9500 500 500
B00000207 10 2920 500 500
B00000253 1 18590 500 500
B0000025 1 16617 500 500
Subtotal : 0 49299 2500 2500
2020/09/30/000092 LALU PUTRADI
B00000100 1 26455 500 500
B000001192 1 9500 500 500
Subtotal : 0 35955 1000 1000
2020/09/30/000114 IBNU HAJAR
B00000057 1 92235 500 500
Subtotal : 0 92235 500 500
2020/09/30/000153 HANIFIAH
B00000111 1 31532 500 500
Subtotal : 0 31532 500 500
2020/09/30/000177 SUMINAH
B00000057 1 92235 500 500
B00000082 15 25635 500 500
Subtotal : 0 117870 1000 1000
Subtot: 622983 9500 9500
10 dr. Iva Rini Aryani, Sp.M., M,Sc
11 dr. Ni Putu Anggraini Eka W, Sp. THT-KL
1. 2020-09-29
2020/09/29/000894 NOVI ARISANTI
B00000003 10 73070 500 500
B00000070 6 10728 500 500
B00000087 1 72930 500 500
B00000112 15 6225 500 500
B00000203 15 21450 500 500
Subtotal : 0 184403 2500 2500
2020/09/29/000896 MAULA HAJIK NABIL
B00000003 1 86801 500 500
B00000076 5 2865 500 500
B00000112 10 4150 500 500
Subtotal : 0 93816 1500 1500
2. 2020-09-30
2020/09/30/000130 NASRUDDIN
B00000068 15 26355 500 500
B00000070 7 12516 500 500
B00000076 15 8595 500 500
B00000112 15 6225 500 500
B00000157 1 10668 500 500
Subtotal : 0 64359 2500 2500
2020/09/30/000149 PUDA PIAN HUMAWA
B00000244 1 46145 500 500
Subtotal : 0 46145 500 500
2020/09/30/000172 NABILA NURHALISYAH HARIS
B00000012 1 65780 500 500
B00000021 10 10930 500 500
B00000056 10 42900 500 500
Subtotal : 0 119610 1500 1500
Subtot: 508333 8500 8500
12 dr. Safat Wahyudi, Sp.S
1. 2020-09-30
2020/09/30/000168 SITI MUKRIMAH, NY
B00000097 60 14580 500 500
Subtotal : 0 14580 500 500
Subtot: 14580 500 500
13 dr. Yusuf T. Assa, Sp.A
14 dr. Maizar Rahman
1. 2020-09-30
2020/09/30/000179 Sadarudin. H. Tn
B00000002 1 5642 500 500
B00000005 10 48330 500 500
Subtotal : 0 53972 1000 1000
Subtot: 53972 1000 1000
15 dr. Lalu Dona Mayartha
1. 2020-09-29
2020/09/29/000047 NUR HALIMAH
B00000007 7 1960 500 500
B00000025 7 2856 500 500
B00000030 10 12660 500 500
B00000118 7 3311 500 500
Subtotal : 0 20787 2000 2000
2. 2020-09-30
2020/09/30/000054 SULHAN KHAIRI
B00000025 6 2448 500 500
B00000033 1 3123 500 500
B00000034 1 2314 500 500
B00000076 6 3438 500 500
B00000119 2 13156 500 500
Subtotal : 0 24479 2500 2500
2020/09/30/000101 SULMAH/IQ SURYANI
B00000007 10 2800 500 500
B00000020 5 33785 500 500
B00000049 10 2090 500 500
B00000075 10 5430 500 500
B00000166 5 2650 500 500
Subtotal : 0 46755 2500 2500
Subtot: 92021 7000 7000
16 dr. Mushawwir Ummar
1. 2020-09-29
2. 2020-09-30
2020/09/30/000169 ZAHIRA LAELI
B00000007 1 7150 500 500
B00000112 1 16731 500 500
Subtotal : 0 23881 1000 1000
Subtot: 23881 1000 1000
17 dr. Yuslis Harlisanjaya
18 dr. Tri Sundari Tika Sp. OG
1. 2020-09-29
2020/09/29/000125 BAIQ HERLINA KUSUMA NINGRAT
B00000203 30 150150 500 500
Subtotal : 0 150150 500 500
2. 2020-09-30
2020/09/30/000091 DINI ARDIYANI
B00000038 30 61350 500 500
B00000063 15 71865 500 500
B00000253 15 283140 500 500
Subtotal : 0 416355 1500 1500
Subtot: 566505 2000 2000
19 dr. Fibrianti Ratnasari
1. 2020-09-29
20 dr. Basirun MMRS
21 dr. Winda Tri K.
22 dr. Febriana Puspita Adji Sp. Kj
1. 2020-09-29
2020/09/29/000118 Husnul Ripaah. Ny
B00000004 7 22526 500 500
B000001054 1 10000 500 500
B00000115 1 58174 500 500
Subtotal : 0 90700 1500 1500
2020/09/29/000119 NIRMALA
B00000004 30 96540 500 500
B00000082 15 25635 500 500
B000001054 1 10000 500 500
B00000209 7 71575 500 500
B00000209 6 67566 500 500
Subtotal : 0 271316 2500 2500
2020/09/29/000153 JAUHARAH
B00000004 30 150150 500 500
B000001054 1 10000 500 500
B00000131 12 6696 500 500
B00000166 15 7950 500 500
B00000209 15 153375 500 500
B00000214 15 112620 500 500
B00000250 8 28600 500 500
Subtotal : 0 469391 3500 3500
2020/09/29/000156 ZOHRIAH
B00000109 14 45388 500 500
B00000155 7 10010 500 500
B00000214 4 10576 500 500
Subtotal : 0 65974 1500 1500
2020/09/29/000157 HJ. ZOHRIAH
B00000054 5 715 500 500
B00000109 4 12968 500 500
B00000155 14 20020 500 500
B00000185 4 5836 500 500
Subtotal : 0 39539 2000 2000
2. 2020-09-30
2020/09/29/000103 TRIA NANDA RIZKI
B00000155 7 10010 500 500
B00000209 4 40900 500 500
Subtotal : 0 50910 1000 1000
Subtot: 987830 12000 12000
23 dr. Tantowi Jauhari Sp. B
24 dr. Arya Winata Sp. B K
25 dr. Niken Widyantini
26 dr. Lyana, Sp.B
1. 2020-09-29
2020/09/29/000052 ASRONI
B00000000 1 38610 500 500
B00000021 10 10930 500 500
B00000060 1 10011 500 500
B00000060 1 25000 500 500
B00000065 1 10511 500 500
B00000066 1 1416 500 500
B00000075 1 4500 500 500
B00000090 1 7150 500 500
B00000096 1 62920 500 500
B00000115 5 48620 500 500
B00000119 1 10439 500 500
B00000119 1 6578 500 500
B00000119 1 8008 500 500
B00000194 10 78650 500 500
B00000195 1 23746 500 500
B00000207 10 2920 500 500
B00000254 2 25740 500 500
Subtotal : 0 375749 8500 8500
2. 2020-09-30
Subtot: 375749 8500 8500
27 dr. FAUZI MAKRUF,Sp. Rad.
28 dr. Sudi, Sp.An
29 dr. Lysa Mariam, Sp,DV
1. 2020-09-30
30 drg. Bendoro Wahyu Nurmita Sari
31 dr. Kartika Wahyuningtyas Utami
32 dr. Akhada Maulana, Sp.U
1. 2020-09-29
2020/09/29/000165 RAHMAN
B00000129 10 12870 500 500
Subtotal : 0 12870 500 500
2020/09/29/000865 SITI PATIMAH
B00000068 10 214500 500 500
Subtotal : 0 214500 500 500
2020/09/29/000867 M. AMIN
B00000140 10 178750 500 500
B00000256 5 17520 500 500
Subtotal : 0 196270 1000 1000
2020/09/29/000870 M. DIMAS SATRIA
B00000022 1 141570 500 500
B00000201 1 5454 500 500
Subtotal : 0 147024 1000 1000
2020/09/29/00242 RIBAN
B00000063 10 47910 500 500
B00000065 7 63063 500 500
B00000086 10 264550 500 500
Subtotal : 0 375523 1500 1500
Subtot: 946187 4500 4500
33 dr. Syarif Hidayatulloh
34 dr. Novia Andansari Putri, Sp.Rad
35 -
36 dr. Muliawan Humaini
37 Total : 1.11E+07 92500 92500

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