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LAPORAN KEUANGAN GUDANG FARMASI ANGGARAN BLUD 2020

SALDO AWAL PEMBELIAN PENGELUARAN


No Bulan
Obat BMHP Bedah Radiologi Laboratorium Jumlah Obat BMHP Bedah Radiologi Laboratorium Jumlah Obat BMHP Bedah
1 Januari 458,219,903 222,039,148 73,260,985 217,248,000 - 970,768,036 - - - - - - 102,364,544 49,939,646 2,652,768
2 Februari 288,395,433 126,477,260 28,012,956 - - 442,885,649 196,764,837 70,929,416 9,568,572
3 Maret 296,640,671 97,246,104 5,430,440 - - 399,317,215 172,263,084 72,742,276 17,293,512
4 April 142,925,632 33,559,376 18,646,884 - - 195,131,892 140,383,459 47,581,055 4,544,520
5 Mei 65,370,220 30,021,860 3,721,440 - 24,860,000 123,973,520 98,047,850 53,640,159 8,032,848
6 Juni 150,587,540 178,873,214 1,062,600 - - 330,523,354 133,298,570 79,294,167 6,936,978
7 Juli 145,030,345 53,960,365 21,930,720 23,750,000 - 244,671,430 114,318,347 73,788,201 12,103,896
8 Agustus 68,417,920 35,241,300 1,771,200 - - 105,430,420 121,822,625 73,161,281 6,445,617
9 September 118,125,510 31,710,725 9,855,270 - 48,400,000 208,091,505 138,933,594 50,121,078 9,732,804
10 Oktober 107,154,680 36,190,800 2,528,400 62,080,000 - 207,953,880 137,173,116 84,574,204 5,857,004
11 November 193,663,258 52,994,440 10,312,992 - - 256,970,690 188,648,770 85,501,368 18,271,212
12 Desember 84,982,500 27,563,194 1,275,120 - - 113,820,814 150,586,210 59,026,894 3,808,320
970,768,036.00 1,661,293,709 703,838,638 104,548,022 85,830,000 73,260,000 2,628,770,369 1,694,605,006 800,299,745 105,248,051
AWAL MASUK
PENGELUARAN SALDO AKHIR
Radiologi Laboratorium Jumlah Obat BMHP Bedah Radiologi Laboratorium Jumlah
- - 154,956,958
- - 277,262,825
12,416,000 - 274,714,872
55,872,000 - 248,381,034
- 4,820,000 164,540,857
12,416,000 10,735,000 242,680,715
4,750,000 950,000 205,910,444
19,000,000 - 220,429,523
- - 198,787,476
118,304,000 35,200,000 381,108,324
- 20,560,000 312,981,350
80,320,000 995,000 294,736,424
303,078,000 73,260,000 2,976,490,802 424,908,606 125,578,041 72,560,956 - - 623,047,603.00
KELUAR AKHIR
LAPORAN STOK AKHIR GUDANG FARMASI (BLUD)
31 DESEMBER 2020

Persediaan Akhir
No Jenis Persediaan Satuan 31 DESEMBER 2020
Harga Satuan Jumlah Harga
Jlh (Rp) (Rp)
1 2 3 13 14 15
OBAT
1 Acarbose tab 50 mg Tablet 500 720 360,000
2 Acyclovir krim 5% Tube 100 3,217 321,700
3 Acyclovir tab 200 mg Tablet 700 655 458,500
4 Acyclovir tab 400 mg Tablet 750 898 673,500
5 Allopurinol tab 100 mg Tablet 1,000 231 231,000
6 Alprazolam tab 0,5 mg Tablet 500 327 163,500
7 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000
8 Ambroxol syr 15 mg/5 ml Botol 50 6,160 308,000
9 Ambroxol tab 30 mg Tablet 1,000 308 308,000
10 Aminophylline inj 240 mg/10 ml Ampul 90 4,320 388,800
11 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000
12 Amitriptyline tab 25 mg Tablet 1,000 220 220,000
13 Amlodipine tab 10 mg Tablet 2,500 216 540,000
14 Amlodipine tab 5 mg Tablet 2,500 70 175,000
15 Amoxiclav tab Tablet 450 5,808 2,613,600
16 Amoxycillin syr 125 mg/5 ml Botol 48 5,000 240,000
17 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100
18 Amoxycillin tab 500 mg Tablet 4,500 300 1,350,000
19 Ampicillin inj 1g Vial 100 11,124 1,112,400
20 Amykacin inj Vial 30 36,900 1,107,000
21 Antasida DOEN tab Tablet 4,500 178 801,000
22 Antasida syrup Botol 300 2,992 897,600
23 Anti Hemoroid supp Supp 100 2,970 297,000
24 Apialys Syrup Boto 60 ml 40 34,485 1,379,400
25 Aqua pro inj Vial 840 2,860 2,402,400
26 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 5,000 616 3,080,000
27 Asam Folat tab 1 mg Tablet 1,000 188 188,000
28 Asam Mefenamat tab 500 mg Tablet 4,500 263 1,183,500
29 Asam Tranexamat inj 250 mg/5 ml Ampul 50 6,248 312,400
30 Asam Tranexamat inj 500 mg/5 ml Ampul 50 4,620 231,000
31 Asetilsistein tab 200 mg Tablet 1,200 2,574 3,088,800
32 Aspar K tab Tablet 500 2,721 1,360,500
33 Atracurium inj 50 mg/5 ml (Farelax) Ampul 25 79,365 1,984,125
34 Atropin inj 0,25 mg/ml Ampul 400 1,958 783,200
35 Atropin sulfat inj 0,25 mgml Ampul 100 1,958 195,800
36 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml 10 31,156 311,560
37 Betahistin tab 6 mg Tablet 4,000 119 476,000
38 Betamethasone krim 0,1%  Tube 50 1,465 73,250
39 Bisoprolol tab 5 mg Tablet 300 256 76,800
40 Bunascan spinal inj Ampul 25 72,600 1,815,000
41 Burnazin krim Tube 24 61,792 1,483,008
42 Calcium Lactate tab 500 mg Tablet 8,000 224 1,792,000
43 Calsium gluconate inj 10% Ampul 48 10,351 496,848
44 Candesartan tab 16 mg Tablet 2,250 1,153 2,594,250
45 Candesartan tab 8 mg Tablet 3,000 661 1,983,000
46 Captopril tab 12,5 mg Tablet 3,000 84 252,000
47 Captopril tab 25 mg Tablet 4,500 137 616,500
48 Carbamazepin tab 200 mg Tablet 1,500 252 378,000
49 Cefadroxyl cap 500 mg Kapsul 1,500 831 1,246,500
50 Cefadroxyl syr 125 mg/5 ml Botol 125 7,759 969,875
51 Cefazoline inj 1 g Vial 50 12,650 632,500
52 Cefixime kaps 100 mg kapsul 1,500 1,053 1,579,500
53 Cefixime kaps 200 mg kapsul 1,000 3,105 3,105,000
54 Cefixime syr 100 mg/5 ml Botol 75 21,628 1,622,100
55 Cefotaxime inj 1 gr Vial 1,350 27,060 36,531,000
56 Ceftazidime inj 1 g Vial 160 40,260 6,441,600
57 Ceftriaxone inj 1 g Vial 550 12,500 6,875,000
58 Cefuroxime inj 1 g Vial 150 29,975 4,496,250
59 Cendo xytrol tetes mata Botol 20 29,975 599,500
60 Cetadop (Dopamin) inj 200 mg/5 ml Ampul 100 6,160 616,000
61 Cetirizine drop 10 mg/ml Botol 10 27,500 275,000
62 Cetirizine syr 5 mg/5 ml Botol 40 10,440 417,600
63 Chloramfenikol Salep Mata Tube 72 2,057 148,104
64 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000
65 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500
66 Cinam inj Vial 100 70,403 7,040,300
67 Ciprofloxacin infus Botol 150 42,996 6,449,400
68 Ciprofloxacin tab 500 mg Tablet 1,000 500 500,000
69 Citicolin inj 250 mg/2 ml  Ampul 50 14,438 721,900
70 Citicolin inj 500 mg/5 ml  Ampul 50 11,000 550,000
71 Citicolin tab 500 mg Tablet 150 5,984 897,600
72 Claneksi syr Botol 80 58,300 4,664,000
73 Clindamycin cap 300 mg Kapsul 1,000 1,426 1,426,000
74 Clobazam tab 10 mg Tablet 700 916 641,200
75 Clonidin tab 0,15 mg Tablet 700 266 186,200
76 Clopidogrel tab 75 mg Tablet 1,200 1,568 1,881,600
77 Codein tab 10 mg Tablet 3,000 685 2,055,000
78 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400
79 D40% inj otsu Vial 25 ml 120 10,010 1,201,200
80 Daryant Tulle (Framycetin) Pcs 110 10,175 1,119,250
81 Dexamethasone tab 0,5 mg Tablet 16,000 162 2,592,000
82 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 20 19,789 395,780
83 Diazepam tab 2 mg (Valisanbe) Tablet 800 259 207,200
84 Diazepam tab 5 mg (Valisanbe) Tablet 1,200 429 514,800
85 Digoxin tab 0,25 mg Tablet 2,500 104 260,000
86 Diltiazem tab 30 mg Tablet 2,000 212 424,000
87 Doksisiklin kap 100 mg Kapsul 200 451 90,200
88 Domperidone tab 10 mg Tablet 500 363 181,500
89 Dopamet tab 250 mg Kapsul 500 1,135 567,500
90 Dulcolax supp 10 mg Supp 25 22,693 567,325
91 Dulcolax tab 5 mg Tablet 600 1,401 840,600
92 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015
93 Ephedrin inj 50 mg/ml Ampul 150 8,569 1,285,350
94 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000
95 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 100 23,760 2,376,000
96 Erythromicyn tab 500 mg Tablet 1,000 963 963,000
97 Etambutol tab 500 mg Tablet 1,000 543 543,000
98 Fentanyl inj Ampul 15 44,391 665,865
99 Finasteride tab 5 mg Tablet 150 1,738 260,700
100 Fitomenadion (vit k 1) inj 2 mg/ml (i.m.)  Ampul 300 5,059 1,517,700
101 Flucadex syr Botol 98 10,267 1,006,166
102 Flunarizine tab 10 mg Tablet 800 1,870 1,496,000
103 Flunarizine tab 5 mg Tablet 400 1,058 423,200
104 Folavit tab Tablet 1,500 984 1,476,000
105 Fortanest inj 5 mg/5 ml Ampul 25 17,765 444,125
106 Furosemide inj 20 mg/2 ml Ampul 350 1,710 598,500
107 Furosemide tab 40 mg Tablet 9,000 153 1,377,000
108 Gabapentin tab 300 mg Tablet 1,800 2,750 4,950,000
109 Gastrul tab Tablet 150 11,797 1,769,550
110 Gemfibrozil kap 300 mg Tablet 2,000 656 1,312,000
111 Gentamicyn cream Tube 72 2,350 169,200
112 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 250 10,714 2,678,500
113 Gentamicyn krim (Gentalex) Tube 80 2,657 212,560
114 Glimepiride tab 2 mg Tablet 2,500 404 1,010,000
115 Glimepiride tab 4 mg Tablet 2,500 434 1,085,000
116 Griseofulvin tab 125 mg Tablet 500 416 208,000
117 Hidrocortisone cream 2,5% Tube 125 2,723 340,375
118 Ibuprofen syrup 100 mg/5 ml Botol 60 ml 60 9,350 561,000
119 Ibuprofen tab 200 mg Tablet 1,500 229 343,500
120 Ibuprofen tab 400 mg Tablet 2,500 380 950,000
121 Infus Aminoleban Btl 500 ml 24 74,655 1,791,720
122 Infus D5 + 1/2 NS Btl 500 ml 280 11,000 3,080,000
123 Infus D5 + 1/4 NS Btl 500 ml 440 11,000 4,840,000
124 Infus Dextrose 10% Btl 500 ml 92 11,880 1,092,960
125 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216
126 Infus Glukosa 5% Btl 500 ml 100 7,364 736,400
127 Infus HES Btl 500 ml 100 207,702 20,770,200
128 Infus Hes Btl 500 ml 60 181,913 10,914,780
129 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000
130 Infus Nacl 0,9 % 500 ml Btl 500 ml 1,920 6,840 13,132,800
131 Infus Nacl 100 ml Botol 50 7,700 385,000
132 Infus Ring As Botol 264 10,290 2,716,560
133 Infus Ringer Lactat Botol 500 ml 2,380 7,630 18,159,400
134 Infus Tridex 27 B Btl 500 ml 288 11,549 3,326,112
135 Inviclot (Heparin) inj Vial 20 69,300 1,386,000
136 Isoflurane (Terrel) Botol 250 ml 13 1,480,000 19,240,000
137 Isoniazid tab 300 mg Tablet 900 262 235,800
138 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400
139 Isosorbit Dinitrat tab 5 mg Tablet 1,000 121 121,000
140 Kalium Diclofenak tab 50 mg Tablet 2,000 460 920,000
141 KCl 7,46 Btl 25 ml 20 3,223 64,460
142 Ketamin inj 50 mg/ml Ktk 1 vial 120 71,929 8,631,480
143 Ketokonazole krim 2%  Tube 50 2,577 128,850
144 Ketorolac inj 30 mg/ml Ampul 400 4,455 1,782,000
145 Lacto-B Sachet 240 4,867 1,168,080
146 Lansoprazole cap 30 mg Kapsul 2,300 675 1,552,500
147 Levofloxacin tab 500 mg Tablet 200 1,142 228,400
148 Levopar tab Tablet 500 3,960 1,980,000
149 Lidocain inj 2% Ampul 2,600 1,475 3,835,000
150 Lisinopril tab 10 mg Tablet 1,000 369 369,000
151 Lisinopril tab 5 mg Tablet 1,000 250 250,000
152 Loratadin tab 10 mg Tablet 500 281 140,500
153 Methylergometrine inj Ampul 400 3,553 1,421,200
154 Methylprednisolone inj 125 mg Vial 40 11,449 457,960
155 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500
156 Methylprednisolone tab 4 mg Tablet 1,000 242 242,000
157 Methylprednisolone tab 8 mg Tablet 3,000 483 1,449,000
158 Metoclopramide inj 10 mg/2 ml Ampul 50 6,930 346,500
159 Metoclopramide tab 10 mg Tablet 3,000 135 405,000
160 Metronidazol infus Botol 50 8,250 412,500
161 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250
162 Metronidazol syr 125 mg/5 ml Botol 100 6,270 627,000
163 Metronidazole tab 500 mg Tablet 1,000 282 282,000
164 Meylon inj 8,4% (i.v.)  Vial 25 ml 50 6,448 322,400
165 Miconazole krim 2% Tube 72 3,415 245,880
166 Microlax Tube 40 18,975 759,000
167 Morfin inj 10 mg/ml Ampul 70 34,050 2,383,500
168 Moxifloxacin infus Botol 30 187,000 5,610,000
169 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000
170 Neurosanbe tab Tablet 500 1,315 657,500
171 New Diatabs tab Tablet 400 557 222,800
172 Nicardipine inj 10 mg/10 ml Ampul 15 23,092 346,380
173 Nifedipin tab 10 mg Tablet 400 163 65,200
174 Nopril tab 10 mg Tablet 500 600 300,000
175 Novorapid insulin Pen 50 87,000 4,350,000
176 Nystatin drop Botol 40 21,780 871,200
177 Nystatin ovula 100.000 IU Ovula 300 904 271,200
178 Olanzapin/ Sopavel tab 5 mg Tablet 60 12,155 729,300
179 Omeprazole kap 20 mg Kapsul 1,000 496 496,000
180 Ondancentron inj 4mg/2 ml Ampul 750 1,443 1,082,250
181 Ondancentron tab 4 mg Tablet 2,230 1,016 2,265,680
182 Otopain tetes telinga Botol 20 73,769 1,475,380
183 Oxytetracycline salep mata Tube 75 3,692 276,900
184 Oxytocin inj Ampul 400 1,287 514,800
185 Pantocain 2% tetes mata Botol 14 14,638 204,932
186 Paracetamol syr 120 mg/5 ml Botol 192 4,890 938,880
187 Paracetamol tab 500 mg Tablet 4,500 253 1,138,500
188 Pethidin inj 50 mg/ml Ampul 30 13,191 395,730
189 Phenobarbital inj 50 mg/1 ml Ampul 150 2,380 357,000
190 Phenobarbital tab 30 mg Tablet 2,200 187 411,400
191 Piracetam inj 1 gr/5 ml Ampul 150 4,950 742,500
192 Piracetam inj 3 g/15 ml Ampul 90 15,675 1,410,750
193 Piracetam tab 400 mg Tablet 500 460 230,000
194 Piracetam tab 800 mg Tablet 1,500 361 541,500
195 Piroxicam kap 20 mg Kapsul 3,000 178 534,000
196 Prednison tab 5 mg Tablet 1,500 198 297,000
197 Profofol/Proanes inj Ampul 10 88,935 889,350
198 Promavit tab Tablet 600 3,448 2,068,800
199 Propanolol tab 10 mg Tablet 2,500 93 232,500
200 Propanolol tab 40 mg Tablet 4,000 145 580,000
201 Propilthyouracil tab 100 mg Tablet 2,000 518 1,036,000
202 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050
203 Pulmicort Respules 0,5 mg/ml Respule 700 14,131 9,891,700
204 Pumpisel inj 40 mg Vial 21 72,600 1,524,600
205 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600
206 Quentiapin / Quetvel tab 200 mg Tablet 120 14,266 1,711,920
207 Ranitidin inj 50 mg/2 ml Ampul 600 4,002 2,401,200
208 Ranitidine tab 150 mg Tablet 1,000 903 903,000
209 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000
210 Salbutamol tab 2 mg Tablet 1,500 64 96,000
211 Salbutamol tab 4 mg Tablet 3,000 102 306,000
212 Sanmol drop Botol 50 17,270 863,500
213 Sanmol syr 120 mg/5 ml Botol 176 12,870 2,265,120
214 Sanmol tab 500 mg Tablet 2,000 319 638,000
215 Sevoflurane Botol 3 1,683,000 5,049,000
216 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400
217 Simvastatin tab 10 mg Tablet 1,000 564 564,000
218 Simvastatin tab 20 mg Tablet 1,500 204 306,000
219 Spironolactone tab 100 mg Tablet 4,000 661 2,644,000
220 Spironolactone tab 25 mg Tablet 6,000 226 1,356,000
221 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520
222 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 50 21,935 1,096,750
223 Sukralfate syr Botol 25 7,789 194,725
224 Symbicort turbuhaler Pcs 20 149,266 2,985,320
225 Tablet Tambah Darah Tablet 900 546 491,400
226 Thiamfenicol caps 500 mg Kapsul 400 880 352,000
227 Thrombophob gel Tube 30 52,275 1,568,250
228 Tramadol cap 50 mg Kapsul 1,700 825 1,402,500
229 Triamcinolon tab 4 mg Tablet 500 745 372,500
230 Urdafalk kaps 250 mg kapsul 510 6,343 3,234,930
231 Ventolin Respule Respule 400 4,000 1,600,000
232 Vitamin B Complex tab Tablet 1,000 131 131,000
233 Vitamin B6 tab 10 mg Tablet 2,500 158 395,000
234 Vitamin C tab 250 mg Tablet 3,000 195 585,000
235 Xepazym tab Tablet 210 3,025 635,250
236 Zidifec inj 1 g Vial 50 128,690 6,434,500
237 Zinc Tab 20 mg Tablet 4,000 708 2,832,000
238 Zink syr 10 mg/5 ml Botol 200 4,289 857,800
JUMLAH ( I ) 424,908,606
BMHP
1 Abbocath No. 20 Pcs 350 6,270 2,194,500
2 Abbocath No. 22 Pcs 50 6,306 315,300
3 Abbocath No. 24 Pcs 250 24,200 6,050,000
4 Abbocath No. 26 Pcs 250 15,397 3,849,250
5 Alkohol 70% 1 L Botol 1 L 9 30,110 270,990
6 Alkohol 95% 100 ml Btl 100 ml 336 5,879 1,975,344
7 Alkohol Swab Pcs 5100 242 1,234,200
8 Chlorhexidin 4% (onescrub) Btl 500 ml 12 75,000 900,000
9 Dermafix Pcs 50 1,039 51,950
10 EKG Elektroda Anak Pcs 650 3,300 2,145,000
11 EKG Elektroda Dewasa Pcs 450 4,950 2,227,500
12 Elastis Perband No. 3 inchi Roll 24 16,500 396,000
13 Elastis Perband No. 4 inchi Roll 12 17,600 211,200
14 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800
15 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080
16 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs 40 13,908 556,320
17 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs 10 137,500 1,375,000
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000
19 Folley Catheter 2-Way no. 08 Pcs 50 34,155 1,707,750
20 Folley Catheter 2-Way no. 10 Pcs 10 34,155 341,550
21 Folley Catheter 2-Way No. 12 Pcs 30 12,144 364,320
22 Folley catheter 2-Way no. 14 Pcs 20 12,144 242,880
23 Folley Catheter 2-Way No. 16 Pcs 40 12,144 485,760
24 Formalin cair Liter 45 140,008 6,300,360
25 Formalin tablet Botol 5 324,500 1,622,500
26 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300
27 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062
28 Gipsona no. 6 inch (Poligips) Rol 21 54,085 1,135,785
29 Guedel Airway No. 0 Pcs 25 24,750 618,750
30 Guedel Airway No. 1 Pcs 5 13,200 66,000
31 Guedel Airway No. 2 Pcs 5 24,750 123,750
32 Guedel Airway no. 4 Pcs 15 24,750 371,250
33 Guedel Airway No. 5 Pcs 18 24,750 445,500
34 Hand sanitizer Btl 500 ml 22 43,605 959,310
35 Infuset Makro / Dewasa Pcs 450 7,320 3,294,000
36 Infuset Mikro / Anak Pcs 200 12,334 2,466,800
37 Jarum Insulin Pcs 200 2,083 416,600
38 Kapas 500 g Roll 18 31,372 564,696
39 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500
40 Kertas CTG 152 mm x 25 m Roll 8 270,000 2,160,000
41 Kertas EKG 110 mm Rol 3 103,125 309,375
42 Kertas EKG 207 mm Roll 2 220,000 440,000
43 Kertas Lakmus Pak 2000 Lbr 7 66,000 462,000
44 Laryng Mask Airways (LMA) no. 4 Pcs 4 330,000 1,320,000
45 Masker Bedah Biasa Pcs 2700 4,400 11,880,000
46 Masker Nebulizer Anak Pcs 55 32,670 1,796,850
47 Masker Nebulizer Dewasa Pcs 80 26,464 2,117,120
48 Masker NRM Anak Pcs 30 33,000 990,000
49 Masker NRM Dewasa Pcs 25 19,154 478,850
50 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000
51 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200
52 Masker Oksigen Dewasa Pcs 35 15,180 531,300
53 Naso Gastrik Tube (NGT) no. 05 Pcs 10 12,797 127,970
54 Naso Gastrik Tube (NGT) no. 06 Pcs 10 33,000 330,000
55 Naso Gastrik Tube (NGT) no. 08 Pcs 35 49,500 1,732,500
56 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000
57 Naso Gastrik Tube (NGT) no. 12 Pcs 20 5,215 104,300
58 Naso Gastrik Tube (NGT) no. 14 Pcs 35 5,215 182,525
59 Naso Gastrik Tube (NGT) no. 16 Pcs 30 36,960 1,108,800
60 Naso Gastrik Tube (NGT) no. 18 Pcs 40 36,960 1,478,400
61 Naso Gastrik Tube (NGT) no. 3,5 Pcs 40 44,000 1,760,000
62 Paper printing UPP 110 HG Roll 2 275,000 550,000
63 Povidon Iodine 10 % 60 ml Botol 72 11,000 792,000
64 Povidon Iodine 10% 1 L Btl 1 L 2 59,967 119,934
65 Sarung tangan Gynecolog no. 6,5 pasang 80 45,000 3,600,000
66 Selang Oksigen Anak Pcs 15 8,760 131,400
67 Selang Oksigen Bayi Pcs 15 8,906 133,590
68 Selang Oksigen Dewasa Pcs 300 7,680 2,304,000
69 Softband 4 inchi Roll 12 27,500 330,000
70 Spinocain no. 25 Pcs 25 31,200 780,000
71 Spinocain No. 26 Pcs 50 31,300 1,565,000
72 Spuit no. 01 cc Pcs 4900 770 3,773,000
73 Spuit no. 03 cc Pcs 4600 1,159 5,331,400
74 Spuit no. 05 cc Pcs 3200 994 3,180,800
75 Spuit no. 10 cc Pcs 3700 1,282 4,743,400
76 Spuit no. 20 cc Pcs 1350 1,916 2,586,600
77 Spuit no. 50 cc (L. Tengah) Pcs 1125 4,704 5,292,000
78 Suction Catheter No. 06 Pcs 300 5,258 1,577,400
79 Suction Catheter No. 08 Pcs 50 4,224 211,200
80 Suction Catheter No. 10 Pcs 50 4,224 211,200
81 Suction Catheter No. 14 Pcs 50 4,224 211,200
82 Suction Catheter No. 16 Pcs 60 8,407 504,420
83 Tranfusi Set Pcs 200 13,761 2,752,200
84 Transofix Pcs 150 3,400 510,000
85 Underpad Pcs 500 3,905 1,952,500
86 Urine bag Pcs 75 10,450 783,750
JUMLAH ( II ) 125,578,041
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300
2 Benang Catgut Chromic 2/0 (Biasa) Set 48 8,855 425,040
3 Benang Catgut Chromic 3/0 (Biasa) Set 48 8,855 425,040
4 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600
5 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200
6 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565
7 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288
8 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976
9 Benang Premilene/Provein 5/0 Cutting Set 12 52,350 628,200
10 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800
11 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 72 61,392 4,420,224
12 Benang silk 2/0 + jarum Pcs 216 4,706 1,016,496
13 Benang silk 3/0 + jarum Pcs 252 4,706 1,185,912
14 Bisturi no. 11 Pcs 200 2,790 558,000
15 Bisturi no. 22 Pcs 500 2,790 1,395,000
16 Bisturi no. 24 Pcs 500 2,790 1,395,000
17 Bone wax 2,5 g Pcs 48 52,700 2,529,600
18 Cairan Pencuci Alat Bedah Galon 5 L 1 504,000 504,000
19 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299
20 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380
21 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900
22 Cortical screw 4,5 - 40 mm Pcs 44 89,018 3,916,792
23 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000
24 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000
25 Jackson Rees circuit 2 L Set 1 308,000 308,000
26 Jas Operasi disp (surgical gown spulen) uk. L Pcs 21 23,067 484,407
27 K. Wire - 1,4 mm Pcs 1 193,050 193,050
28 K. Wire - 1,6 mm Pcs 8 193,050 1,544,400
29 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400
30 K. Wire - 2 mm Pcs 8 193,050 1,544,400
31 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825
32 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700
33 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370
34 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700
35 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066
36 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533
37 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139
38 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278
39 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517
40 Mesh Hernia Pcs 5 218,562 1,092,810
41 S. Wire - 1,2 mm Meter 10 160,875 1,608,750
42 S. Wire - 1,4 mm Meter 10 160,875 1,608,750
43 S. Wire - 1,6 mm Meter 10 160,875 1,608,750

44 Small plate - DCP small narrow plate 3,5 mm, small bone Pcs 2 438,867 877,734
type A, 10 holes
45 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510
46 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255
47 Sodalime Galon 5 L 2 880,000 1,760,000
JUMLAH ( III ) 72,560,956
TOTAL JUMLAH ( I+II+III ) 623,047,603
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN DESEMBER 2020

Persediaan Awal Masuk Pemakaian Persedi


No Jenis Persediaan Satuan 01 DESEMBER 2020 SELAMA DESEMBER 2020 SELAMA DESEMBER 2020 31 DESEM
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh
1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
1 Acarbose tab 100 mg Tablet 500 720 360,000 720 - 500 720 360,000 -
2 Acarbose tab 50 mg Tablet 1,000 720 720,000 720 - 500 720 360,000 500
3 Acyclovir krim 5% Tube 25 3,438 85,950 3,438 - 25 3,438 85,950 -
4 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100
5 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700
6 Acyclovir tab 400 mg Tablet 750 898 673,500 898 - 898 - 750
7 Allopurinol tab 100 mg Tablet 1,000 231 231,000 231 - 231 - 1,000
8 Alprazolam tab 0,5 mg Tablet 500 327 163,500 327 - 327 - 500
9 Alprazolam tab 1 mg Tablet 2,900 900 2,610,000 900 - 200 900 180,000 2,700
10 Ambroxol syr 15 mg/5 ml Botol 100 6,160 616,000 6,160 - 50 6,160 308,000 50
11 Ambroxol tab 30 mg Tablet 1,500 308 462,000 308 - 500 308 154,000 1,000
12 Aminophylline inj 240 mg/10 ml Ampul 90 4,320 388,800 4,320 - 4,320 - 90
13 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30
14 Amitriptyline tab 25 mg Tablet 1,000 220 220,000 220 - 220 - 1,000
15 Amlodipine tab 10 mg Tablet 4,500 216 972,000 216 - 2,000 216 432,000 2,500
16 Amlodipine tab 5 mg Tablet 500 280 140,000 280 - 500 280 140,000 -
17 Amlodipine tab 5 mg Tablet 2,500 70 175,000 70 - 70 - 2,500
18 Amoxiclav tab Tablet 450 5,808 2,613,600 5,808 - 5,808 - 450
19 Amoxycillin syr 125 mg/5 ml Botol 48 5,000 240,000 5,000 - 5,000 - 48
20 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202
21 Amoxycillin tab 500 mg Tablet 4,500 300 1,350,000 300 - 300 - 4,500
22 Ampicillin inj 1g Vial 100 11,124 1,112,400 11,124 - 11,124 - 100
23 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30
24 Antasida DOEN tab Tablet 4,500 178 801,000 178 - 178 - 4,500
25 Antasida syrup Botol 300 2,992 897,600 2,992 - 2,992 - 300
26 Anti Hemoroid supp Supp 100 2,970 297,000 2,970 - 2,970 - 100
27 Apialys drop Botol 15 ml 20 41,800 836,000 41,800 - 20 41,800 836,000 -
28 Apialys Syrup Boto 60 ml 60 34,485 2,069,100 34,485 - 20 34,485 689,700 40
29 Aqua pro inj Vial 1,080 2,860 3,088,800 2,860 - 240 2,860 686,400 840
30 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 1,000 493 493,000 493 - 1,000 493 493,000 -
31 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 5,000 616 3,080,000 616 - 616 - 5,000
32 Asam Folat tab 1 mg Tablet 1,000 188 188,000 188 - 188 - 1,000
33 Asam Mefenamat tab 500 mg Tablet 500 293 146,500 293 - 500 293 146,500 -
34 Asam Mefenamat tab 500 mg Tablet 5,000 263 1,315,000 263 - 500 263 131,500 4,500
35 Asam Tranexamat inj 250 mg/5 ml Ampul 50 6,248 312,400 6,248 - 6,248 - 50
36 Asetilsistein tab 200 mg Tablet 300 825 247,500 825 - 300 825 247,500 -
37 Aspar K tab Tablet 1,000 2,721 2,721,000 2,721 - 500 2,721 1,360,500 500
38 Atracurium inj 50 mg/5 ml (Farelax) Ampul 25 79,365 1,984,125 79,365 - 79,365 - 25
39 Atropin inj 0,25 mg/ml Ampul 500 1,958 979,000 1,958 - 100 1,958 195,800 400
40 Atropin sulfat inj 0,25 mgml Ampul 100 1,958 195,800 1,958 - 1,958 - 100
41 Azythromicyn tab 500 mg Tablet 200 1,778 355,600 1,778 - 200 1,778 355,600 -
42 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml 10 31,156 311,560 31,156 - 31,156 - 10
43 Bedak salicyl Kotak 12 6,006 72,072 6,006 - 12 6,006 72,072 -
44 Betadine kumur Botol 6 28,380 170,280 28,380 - 6 28,380 170,280 -
45 Betahistin tab 6 mg Tablet 4,500 119 535,500 119 - 500 119 59,500 4,000
46 Betamethasone krim 0,1%  Tube 50 1,465 73,250 1,465 - 1,465 - 50
47 Bisoprolol tab 5 mg Tablet 900 256 230,400 256 - 600 256 153,600 300
48 Bricasma Respules 2,5 mg/ml Respule 50 7,602 380,100 7,602 - 50 7,602 380,100 -
49 Bunascan spinal inj Ampul 50 72,600 3,630,000 72,600 - 25 72,600 1,815,000 25
50 Burnazin krim Tube 24 61,792 1,483,008 61,792 - 61,792 - 24
51 Buscopan tab 10 mg Tablet 500 3,435 1,717,500 3,435 - 500 3,435 1,717,500 -
52 Calcium Lactate tab 500 mg Tablet 8,000 224 1,792,000 224 - 224 - 8,000
53 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 10,351 - 48
54 Candesartan tab 16 mg Tablet 1,200 1,153 1,383,600 1,153 - 1,200 1,153 1,383,600 -
55 Candesartan tab 8 mg Tablet 600 661 396,600 661 - 600 661 396,600 -
56 Captopril tab 12,5 mg Tablet 3,000 84 252,000 84 - 84 - 3,000
57 Captopril tab 25 mg Tablet 4,500 137 616,500 137 - 137 - 4,500
58 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500
59 Cefadroxyl cap 500 mg Kapsul 2,000 831 1,662,000 831 - 500 831 415,500 1,500
60 Cefadroxyl syr 125 mg/5 ml Botol 125 7,759 969,875 7,759 - 7,759 - 125
61 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50
62 Cefixime kaps 100 mg kapsul 2,000 1,053 2,106,000 1,053 - 500 1,053 526,500 1,500
63 Cefixime kaps 200 mg kapsul 1,500 3,105 4,657,500 3,105 - 500 3,105 1,552,500 1,000
64 Cefixime syr 100 mg/5 ml Botol 100 21,628 2,162,800 21,628 - 25 21,628 540,700 75
65 Cefotaxime inj 1 gr Vial 1,350 27,060 36,531,000 27,060 - 27,060 - 1,350
66 Ceftazidime inj 1 g Vial 160 40,260 6,441,600 40,260 - 40,260 - 160
67 Ceftriaxone inj 1 g Vial 750 12,500 9,375,000 12,500 - 200 12,500 2,500,000 550
68 Cefuroxime inj 1 g Vial 150 29,975 4,496,250 29,975 - 29,975 - 150
69 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 29,975 - 20
70 Cetadop (Dopamin) inj 200 mg/5 ml Ampul 100 6,160 616,000 6,160 - 6,160 - 100
71 Cetirizine drop 10 mg/ml Botol 20 27,500 550,000 27,500 - 10 27,500 275,000 10
72 Cetirizine syr 5 mg/5 ml Botol 40 10,440 417,600 10,440 - 10,440 - 40
73 Cetirizine tab 10 mg Tablet 300 383 114,900 383 - 300 383 114,900 -
74 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72
75 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000 58 - 58 - 2,000
76 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700
77 Cinam inj Vial 100 70,403 7,040,300 70,403 - 70,403 - 100
78 Ciprofloxacin infus Botol 150 42,996 6,449,400 42,996 - 42,996 - 150
79 Ciprofloxacin tab 500 mg Tablet 1,500 500 750,000 500 - 500 500 250,000 1,000
80 Citicolin inj 250 mg/2 ml  Ampul 50 14,438 721,900 14,438 - 14,438 - 50
81 Citicolin inj 500 mg/5 ml  Ampul 50 11,000 550,000 11,000 - 11,000 - 50
82 Citicolin tab 500 mg Tablet 300 5,984 1,795,200 5,984 - 150 5,984 897,600 150
83 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80
84 Clindamycin cap 300 mg Kapsul 1,000 1,426 1,426,000 1,426 - 1,426 - 1,000
85 Clobazam tab 10 mg Tablet 700 916 641,200 916 - 916 - 700
86 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700
87 Clozapine tab 100 mg Tablet 250 3,344 836,000 3,344 - 250 3,344 836,000 -
88 Clozapine tab 25 mg Tablet 250 1,121 280,250 1,121 - 250 1,121 280,250 -
89 Codein tab 10 mg Tablet 3,000 685 2,055,000 685 - 685 - 3,000
90 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 6,496 - 150
91 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120
92 Daryant Tulle (Framycetin) Pcs 150 10,175 1,526,250 10,175 - 40 10,175 407,000 110
93 Dexamethasone inj 5 mg/ml Ampul 100 2,636 263,600 2,636 - 100 2,636 263,600 -
94 Dexamethasone tab 0,5 mg Tablet 16,000 162 2,592,000 162 - 162 - 16,000
95 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 50 19,789 989,450 19,789 - 30 19,789 593,670 20
96 Diazepam tab 2 mg (Valisanbe) Tablet 800 259 207,200 259 - 259 - 800
97 Diazepam tab 5 mg (Valisanbe) Tablet 1,200 429 514,800 429 - 429 - 1,200
98 Difenhydramine inj 10 mg/ml Ampul 60 1,316 78,960 1,316 - 60 1,316 78,960 -
99 Digoxin tab 0,25 mg Tablet 2,500 104 260,000 104 - 104 - 2,500
100 Diltiazem tab 30 mg Tablet 500 135 67,500 135 - 500 135 67,500 -
101 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000
102 Dobutamin inj 250mg/5ml Ampul 25 14,643 366,075 14,643 - 25 14,643 366,075 -
103 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200
104 Domperidone syr 5 mg/5 ml Botol 50 12,320 616,000 12,320 - 50 12,320 616,000 -
105 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500
106 Dopamet tab 250 mg Kapsul 500 1,135 567,500 1,135 - 1,135 - 500
107 Dulcolax supp 10 mg Supp 25 22,693 567,325 22,693 - 22,693 - 25
108 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600
109 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 17,061 - 115
110 Ephedrin inj 50 mg/ml Ampul 150 8,569 1,285,350 8,569 - 8,569 - 150
111 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360
112 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 100 23,760 2,376,000 23,760 - 23,760 - 100
113 Erythromicyn tab 500 mg Tablet 1,000 963 963,000 963 - 963 - 1,000
114 Etambutol tab 500 mg Tablet 1,000 543 543,000 543 - 543 - 1,000
115 Fentanyl inj Ampul 25 44,391 1,109,775 44,391 - 10 44,391 443,910 15
116 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 1,738 - 150
117 Fitomenadion (vit k 1) inj 2 mg/ml (i.m.)  Ampul 360 5,059 1,821,240 5,059 - 60 5,059 303,540 300
118 Flucadex syr Botol 122 10,267 1,252,574 10,267 - 24 10,267 246,408 98
119 Flunarizine tab 10 mg Tablet 800 1,870 1,496,000 1,870 - 1,870 - 800
120 Flunarizine tab 5 mg Tablet 400 1,058 423,200 1,058 - 1,058 - 400
121 Folavit tab Tablet 1,500 984 1,476,000 984 - 984 - 1,500
122 Folavit tab Tablet 500 985 492,500 985 - 500 985 492,500 -
123 Fortanest inj 5 mg/5 ml Ampul 50 17,765 888,250 17,765 - 25 17,765 444,125 25
124 Furosemide tab 40 mg Tablet 9,000 153 1,377,000 153 - 153 - 9,000
125 Gabapentin tab 300 mg Tablet 1,800 3,850 6,930,000 3,850 - 1,800 3,850 6,930,000 -
126 Gastrul tab Tablet 150 11,797 1,769,550 11,797 - 11,797 - 150
127 Gemfibrozil kap 300 mg Tablet 2,000 656 1,312,000 656 - 656 - 2,000
128 Gentamicyn cream Tube 72 2,350 169,200 2,350 - 2,350 - 72
129 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 250 10,714 2,678,500 10,714 - 10,714 - 250
130 Gentamicyn krim (Gentalex) Tube 100 2,657 265,700 2,657 - 20 2,657 53,140 80
131 Glimepiride tab 2 mg Tablet 500 238 119,000 238 - 500 238 119,000 -
132 Glimepiride tab 2 mg Tablet 2,500 404 1,010,000 404 - 404 - 2,500
133 Glimepiride tab 4 mg Tablet 500 311 155,500 311 - 500 311 155,500 -
134 Glimepiride tab 4 mg Tablet 2,500 434 1,085,000 434 - 434 - 2,500
135 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500
136 Hidrocortisone cream 2,5% Tube 125 2,723 340,375 2,723 - 2,723 - 125
137 Human albumin 20% Botol 100 ml 10 939,048 9,390,480 939,048 - 10 939,048 9,390,480 -
138 Ibuprofen syrup 100 mg/5 ml Botol 60 ml 100 9,350 935,000 9,350 - 40 9,350 374,000 60
139 Ibuprofen tab 200 mg Tablet 1,500 229 343,500 229 - 229 - 1,500
140 Ibuprofen tab 400 mg Tablet 3,000 380 1,140,000 380 - 500 380 190,000 2,500
141 Infus Aminoleban Btl 500 ml 24 74,655 1,791,720 74,655 - 74,655 - 24
142 Infus D5 + 1/2 NS Btl 500 ml 320 11,000 3,520,000 11,000 - 40 11,000 440,000 280
143 Infus D5 + 1/4 NS Btl 500 ml 440 11,000 4,840,000 11,000 - 11,000 - 440
144 Infus Dextrose 10% Btl 500 ml 92 11,880 1,092,960 11,880 - 11,880 - 92
145 Infus Futrolit 500 ml Btl 500 ml 192 44,162 8,479,104 44,162 - 24 44,162 1,059,888 168
146 Infus Glukosa 5% Btl 500 ml 140 7,364 1,030,960 7,364 - 40 7,364 294,560 100
147 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100
148 Infus Hes Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60
149 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30
150 Infus Nacl 0,9 % 500 ml Btl 500 ml 820 6,840 5,608,800 6,840 - 400 6,840 2,736,000 420
151 Infus Nacl 100 ml Botol 100 7,700 770,000 7,700 - 50 7,700 385,000 50
152 Infus Ring As Botol 360 10,290 3,704,400 10,290 - 96 10,290 987,840 264
153 Infus Ringer Laktat Btl 500 ml 1,420 7,630 10,834,600 7,630 - 540 7,630 4,120,200 880
154 Infus Tridex 27 B Btl 500 ml 456 11,549 5,266,344 11,549 - 168 11,549 1,940,232 288
155 Inviclot (Heparin) inj Vial 20 69,300 1,386,000 69,300 - 69,300 - 20
156 Isoflurane (Terrel) Botol 250 ml 13 1,480,000 19,240,000 1,480,000 - 1,480,000 - 13
157 Isoniazid tab 300 mg Tablet 900 262 235,800 262 - 262 - 900
158 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30
159 Isosorbit Dinitrat tab 5 mg Tablet 2,000 121 242,000 121 - 1,000 121 121,000 1,000
160 Kalium Diclofenak tab 50 mg Tablet 2,000 460 920,000 460 - 460 - 2,000
161 KCl 7,46 Btl 25 ml 40 3,223 128,920 3,223 - 20 3,223 64,460 20
162 Ketamin inj 50 mg/ml Ktk 1 vial 120 71,929 8,631,480 71,929 - 71,929 - 120
163 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50
164 Ketorolac inj 30 mg/ml Ampul 700 4,455 3,118,500 4,455 - 300 4,455 1,336,500 400
165 Lansoprazole cap 30 mg Kapsul 1,900 675 1,282,500 675 - 600 675 405,000 1,300
166 Levofloxacin infus Botol 40 38,005 1,520,200 38,005 - 40 38,005 1,520,200 -
167 Levopar tab Tablet 1,500 3,960 5,940,000 3,960 - 1,000 3,960 3,960,000 500
168 Lidocain inj 2% Ampul 2,700 1,475 3,982,500 1,475 - 100 1,475 147,500 2,600
169 Lisinopril tab 10 mg Tablet 1,500 369 553,500 369 - 500 369 184,500 1,000
170 Lisinopril tab 5 mg Tablet 1,500 250 375,000 250 - 500 250 125,000 1,000
171 Loperamide tab 2 mg (Lodia) Tablet 720 1,100 792,000 1,100 - 720 1,100 792,000 -
172 Loratadin tab 10 mg Tablet 500 281 140,500 281 - 281 - 500
173 Meloxicam tab 15 mg Tablet 400 528 211,200 528 - 400 528 211,200 -
174 Meloxicam tab 7,5 mg Tablet 300 374 112,200 374 - 300 374 112,200 -
175 Metformin tab 500 mg Tablet 2,000 189 378,000 189 - 2,000 189 378,000 -
176 Methylergometrine inj Ampul 400 3,553 1,421,200 3,553 - 3,553 - 400
177 Methylprednisolone inj 125 mg Vial 100 11,449 1,144,900 11,449 - 60 11,449 686,940 40
178 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500 1,273 - 1,273 - 500
179 Methylprednisolone tab 4 mg Tablet 1,000 242 242,000 242 - 242 - 1,000
180 Methylprednisolone tab 8 mg Tablet 3,500 483 1,690,500 483 - 500 483 241,500 3,000
181 Metoclopramide inj 10 mg/2 ml Ampul 100 6,930 693,000 6,930 - 50 6,930 346,500 50
182 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000
183 Metronidazol infus Botol 150 8,250 1,237,500 8,250 - 100 8,250 825,000 50
184 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75
185 Metronidazol syr 125 mg/5 ml Botol 100 6,270 627,000 6,270 - 6,270 - 100
186 Metronidazole tab 500 mg Tablet 2,000 282 564,000 282 - 1,000 282 282,000 1,000
187 Meylon inj 8,4% (i.v.)  Vial 25 ml 50 6,448 322,400 6,448 - 6,448 - 50
188 Miconazole krim 2% Tube 72 3,415 245,880 3,415 - 3,415 - 72
189 Microlax Tube 60 18,975 1,138,500 18,975 - 20 18,975 379,500 40
190 Morfin inj 10 mg/ml Ampul 80 34,050 2,724,000 34,050 - 10 34,050 340,500 70
191 Moxifloxacin infus Botol 66 187,000 12,342,000 187,000 - 66 187,000 12,342,000 -
192 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000 164 - 164 - 250
193 Natrium Diclofenak tab 50 mg Tablet 500 156 78,000 156 - 500 156 78,000 -
194 Neurosanbe inj Ampul 100 6,017 601,700 6,017 - 100 6,017 601,700 -
195 Neurosanbe tab Tablet 1,500 1,315 1,972,500 1,315 - 1,000 1,315 1,315,000 500
196 New Diatabs tab Tablet 400 557 222,800 557 - 557 - 400
197 Nicardipine inj 10 mg/10 ml Ampul 50 23,092 1,154,600 23,092 - 35 23,092 808,220 15
198 Nifedipin tab 10 mg Tablet 1,900 163 309,700 163 - 1,500 163 244,500 400
199 Nopril tab 10 mg Tablet 500 600 300,000 600 - 600 - 500
200 Norephineprine inj 4 mg/4 ml Ampul 20 59,921 1,198,420 59,921 - 20 59,921 1,198,420 -
201 Novomix insulin Pen 25 110,968 2,774,200 110,968 - 25 110,968 2,774,200 -
202 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300
203 Olanzapin/ Sopavel tab 5 mg Tablet 60 12,155 729,300 12,155 - 12,155 - 60
204 Omeprazole inj 40 mg Vial 250 21,736 5,434,000 21,736 - 250 21,736 5,434,000 -
205 Omeprazole kap 20 mg Kapsul 2,000 496 992,000 496 - 1,000 496 496,000 1,000
206 Ondancentron inj 4 mg/2 ml Ampul 300 1,312 393,600 1,312 - 300 1,312 393,600 -
207 Ondancentron tab 4 mg Tablet 2,530 1,016 2,570,480 1,016 - 300 1,016 304,800 2,230
208 Ondancentron tab 8 mg Tablet 500 1,478 739,000 1,478 - 500 1,478 739,000 -
209 Oralit Sachet 100 281 28,100 281 - 100 281 28,100 -
210 Otopain tetes telinga Botol 20 73,769 1,475,380 73,769 - 73,769 - 20
211 Oxytetracycline salep mata Tube 100 3,692 369,200 3,692 - 25 3,692 92,300 75
212 Oxytocin inj Ampul 400 1,287 514,800 1,287 - 1,287 - 400
213 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14
214 Pantoprazole inj 40 mg Vial 120 31,790 3,814,800 31,790 - 120 31,790 3,814,800 -
215 Paracetamol infus Botol 100 11,990 1,199,000 11,990 - 100 11,990 1,199,000 -
216 Paracetamol syr 120 mg/5 ml Botol 240 4,890 1,173,600 4,890 - 48 4,890 234,720 192
217 Paracetamol tab 500 mg Tablet 6,500 253 1,644,500 253 - 2,000 253 506,000 4,500
218 Pethidin inj 50 mg/ml Ampul 30 13,191 395,730 13,191 - 13,191 - 30
219 Phenobarbital inj 50 mg/1 ml Ampul 150 2,380 357,000 2,380 - 2,380 - 150
220 Phenobarbital tab 30 mg Tablet 2,200 187 411,400 187 - 187 - 2,200
221 Piracetam inj 1 gr/5 ml Ampul 150 4,950 742,500 4,950 - 4,950 - 150
222 Piracetam inj 3 g/15 ml Ampul 90 15,675 1,410,750 15,675 - 15,675 - 90
223 Piracetam tab 400 mg Tablet 1,000 460 460,000 460 - 500 460 230,000 500
224 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 361 - 1,500
225 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000
226 Prednison tab 5 mg Tablet 1,500 198 297,000 198 - 198 - 1,500
227 Profofol/Proanes inj Ampul 10 88,935 889,350 88,935 - 88,935 - 10
228 Propanolol tab 10 mg Tablet 3,500 93 325,500 93 - 1,000 93 93,000 2,500
229 Propanolol tab 40 mg Tablet 4,500 145 652,500 145 - 500 145 72,500 4,000
230 Propilthyouracil tab 100 mg Tablet 3,000 518 1,554,000 518 - 1,000 518 518,000 2,000
231 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50
232 Pulmicort Respules 0,5 mg/ml Respule 700 14,131 9,891,700 14,131 - 14,131 - 700
233 Pumpisel inj 40 mg Vial 21 72,600 1,524,600 72,600 - 72,600 - 21
234 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800
235 Quentiapin / Quetvel tab 200 mg Tablet 120 14,266 1,711,920 14,266 - 14,266 - 120
236 Ranitidin inj 50 mg/2 ml Ampul 800 4,002 3,201,600 4,002 - 200 4,002 800,400 600
237 Ranitidine tab 150 mg Tablet 1,000 903 903,000 903 - 903 - 1,000
238 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000
239 Risperidone tab 2 mg Tablet 250 2,565 641,250 2,565 - 250 2,565 641,250 -
240 Risperidone tab 2 mg Tablet 500 1,543 771,500 1,543 - 500 1,543 771,500 -
241 Salbutamol tab 2 mg Tablet 2,000 64 128,000 64 - 500 64 32,000 1,500
242 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000
243 Sanmol drop Botol 50 17,270 863,500 17,270 - 17,270 - 50
244 Sanmol infus Botol 100 30,251 3,025,100 30,251 - 100 30,251 3,025,100 -
245 Sanmol syr 120 mg/5 ml Botol 176 12,870 2,265,120 12,870 - 12,870 - 176
246 Sanmol tab 500 mg Tablet 2,000 319 638,000 319 - 319 - 2,000
247 Santagesik inj Ampul 150 7,168 1,075,200 7,168 - 150 7,168 1,075,200 -
248 Sevoflurane Botol 4 1,683,000 6,732,000 1,683,000 - 1 1,683,000 1,683,000 3
249 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40
250 Simvastatin tab 10 mg Tablet 1,500 564 846,000 564 - 500 564 282,000 1,000
251 Simvastatin tab 20 mg Tablet 1,000 205 205,000 205 - 1,000 205 205,000 -
252 Simvastatin tab 20 mg Tablet 2,500 204 510,000 204 - 1,000 204 204,000 1,500
253 Spironolactone tab 100 mg Tablet 4,000 661 2,644,000 661 - 661 - 4,000
254 Spironolactone tab 25 mg Tablet 2,000 226 452,000 226 - 1,000 226 226,000 1,000
255 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40
256 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 30 15,088 452,640 15,088 - 30 15,088 452,640 -
257 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 50 21,935 1,096,750 21,935 - 21,935 - 50
258 Sukralfate syr Botol 200 7,789 1,557,800 7,789 - 175 7,789 1,363,075 25
259 Symbicort turbuhaler Pcs 30 149,266 4,477,980 149,266 - 10 149,266 1,492,660 20
260 Thiamfenicol caps 500 mg Kapsul 400 880 352,000 880 - 880 - 400
261 Thrombophob gel Tube 45 52,275 2,352,375 52,275 - 15 52,275 784,125 30
262 Tramadol cap 50 mg Kapsul 1,700 825 1,402,500 825 - 825 - 1,700
263 Tremenza tab Tablet 500 1,600 800,000 1,600 - 500 1,600 800,000 -
264 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500
265 Urdafalk kaps 250 mg kapsul 510 6,343 3,234,930 6,343 - 6,343 - 510
266 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400
267 Vitamin B Complex tab Tablet 1,500 131 196,500 131 - 500 131 65,500 1,000
268 Vitamin B6 tab 10 mg Tablet 3,000 158 474,000 158 - 500 158 79,000 2,500
269 Vitamin C tab 250 mg Tablet 4,000 195 780,000 195 - 1,000 195 195,000 3,000
270 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210
271 Zidifec inj 1 g Vial 100 128,690 12,869,000 128,690 - 50 128,690 6,434,500 50
272 Zinc tab 20 mg Tablet 1,000 708 708,000 708 - 1,000 708 708,000 -
273 Zink syr 10 mg/5 ml Botol 50 8,360 418,000 8,360 - 50 8,360 418,000 -
274 Zink syr 10 mg/5 ml Botol 300 4,289 1,286,700 4,289 - 100 4,289 428,900 200
1 Arixtra inj Pen - 10 300,900 3,009,000 10 300,900 3,009,000 -
2 Asam Tranexamat inj 500 mg/5 ml Ampul - 200 4,620 924,000 150 4,620 693,000 50
3 Asetilsistein tab 200 mg Tablet - 1500 2,574 3,861,000 300 2,574 772,200 1,200
4 Candesartan tab 16 mg Tablet - 3000 1,153 3,459,000 750 1,153 864,750 2,250
5 Candesartan tab 8 mg Tablet - 3000 661 1,983,000 661 - 3,000
6 Clopidogrel tab 75 mg Tablet - 1500 1,568 2,352,000 300 1,568 470,400 1,200
7 Furosemide inj 20 mg/2 ml Ampul - 500 1,710 855,000 150 1,710 256,500 350
8 Gabapentin tab 300 mg Tablet - 1800 2,750 4,950,000 2,750 - 1,800
9 Infus Nacl 0,9 % Botol 500 ml - 1500 6,840 10,260,000 6,840 - 1,500
10 Infus Ringer Lactat Botol 500 ml - 1500 7,630 11,445,000 7,630 - 1,500
11 Lacto-B Sachet - 800 4,867 3,893,600 560 4,867 2,725,520 240
12 Lansoprazole tab 30 mg Tablet - 1000 675 675,000 675 - 1,000
13 Levemir insulin Pen - 50 83,950 4,197,500 50 83,950 4,197,500 -
14 Levofloxacin tab 500 mg Tablet - 400 1,142 456,800 200 1,142 228,400 200
15 Meropenem inj 1 g Vial - 60 41,250 2,475,000 60 41,250 2,475,000 -
16 Moxifloxacin infus Botol - 40 187,000 7,480,000 10 187,000 1,870,000 30
17 Novorapid insulin Pen - 100 87,000 8,700,000 50 87,000 4,350,000 50
18 Nystatin drop Botol - 50 21,780 1,089,000 10 21,780 217,800 40
19 Ondancentron inj 4mg/2 ml Ampul - 1000 1,443 1,443,000 250 1,443 360,750 750
20 Pralax syr Botol - 24 77,000 1,848,000 24 77,000 1,848,000 -
21 Promavit tab Tablet - 1200 3,448 4,137,600 600 3,448 2,068,800 600
22 Spironolactone tab 25 mg Tablet - 5000 226 1,130,000 226 - 5,000
23 Tablet Tambah Darah Tablet - 1500 546 819,000 600 546 327,600 900
24 Zinc Tab 20 mg Tablet - 5000 708 3,540,000 1,000 708 708,000 4,000

SUBTOTAL 490,512,316 84,982,500 150,586,210


SALDO AKHIR NOVEMBER 2020 490,512,316
BMHP
1 Abbocath No. 22 Pcs 200 6,306 1,261,200 6,306 - 150 6,306 945,900 50
2 Abbocath No. 24 Pcs 400 24,200 9,680,000 24,200 - 150 24,200 3,630,000 250
3 Abbocath No. 26 Pcs 300 15,397 4,619,100 15,397 - 50 15,397 769,850 250
4 Alkohol 70% 1 L Botol 1 L 49 30,110 1,475,390 30,110 - 40 30,110 1,204,400 9
5 Alkohol 95% 100 ml Btl 100 ml 336 5,879 1,975,344 5,879 - 5,879 - 336
6 Alkohol Swab Pcs 500 102 51,000 102 - 500 102 51,000 0
7 Bisturi no. 15 Pcs 900 3,150 2,835,000 3,150 - 900 3,150 2,835,000 0
8 Chlorhexidin 4% (onescrub) Btl 500 ml 13 75,000 975,000 75,000 - 1 75,000 75,000 12
9 Dermafix Pcs 50 1,039 51,950 1,039 - 1,039 - 50
10 EKG Elektroda Anak Pcs 650 3,300 2,145,000 3,300 - 3,300 - 650
11 EKG Elektroda Dewasa Pcs 450 4,950 2,227,500 4,950 - 4,950 - 450
12 Elastis perband 3 inchi Roll 5 60,500 302,500 60,500 - 5 60,500 302,500 0
13 Elastis perband 6 inchi Roll 12 22,000 264,000 22,000 - 12 22,000 264,000 0
14 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 13,680 - 10
15 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10
16 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs 40 13,908 556,320 13,908 - 13,908 - 40
17 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs 10 137,500 1,375,000 137,500 - 137,500 - 10
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 77,000 - 20
19 Folley Catheter 2-Way no. 08 Pcs 50 34,155 1,707,750 34,155 - 34,155 - 50
20 Folley Catheter 2-Way no. 10 Pcs 10 34,155 341,550 34,155 - 34,155 - 10
21 Folley catheter 2-Way no. 12 Pcs 10 12,144 121,440 12,144 - 12,144 - 10
22 Folley catheter 2-Way no. 14 Pcs 20 12144 242,880 12,144 - 12,144 - 20
23 Formalin cair Liter 65 140,008 9,100,520 140,008 - 20 140,008 2,800,160 45
24 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5
25 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12
26 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14
27 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21
28 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25
29 Guedel Airway No. 1 Pcs 10 24,750 247,500 24,750 - 10 24,750 247,500 0
30 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5
31 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5
32 Guedel Airway no. 3 Pcs 20 24,750 495,000 24,750 - 20 24,750 495,000 0
33 Guedel Airway no. 4 Pcs 20 24,750 495,000 24,750 - 5 24,750 123,750 15
34 Guedel Airway No. 5 Pcs 5 49,500 247,500 49,500 - 5 49,500 247,500 0
35 Guedel Airway No. 5 Pcs 20 24,750 495,000 24,750 - 2 24,750 49,500 18
36 Hand sanitizer Btl 500 ml 27 43,605 1,177,335 43,605 - 5 43,605 218,025 22
37 Head cap disposible Pcs 200 635 127,000 635 - 200 635 127,000 0
38 Infuset Makro / Dewasa Pcs 750 7,320 5,490,000 7,320 - 300 7,320 2,196,000 450
39 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200
40 Jarum Insulin Pcs 600 2,083 1,249,800 2,083 - 400 2,083 833,200 200
41 Kapas 500 g Roll 19 31,372 596,068 31,372 - 1 31,372 31,372 18
42 Kasa Hydrofil 40 x 80 Roll 11 120,750 1,328,250 120,750 - 11 120,750 1,328,250 0
43 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9
44 Kertas CTG 152 mm x 25 m Roll 8 270,000 2,160,000 270,000 - 270,000 - 8
45 Kertas EKG 110 mm Rol 5 103,125 515,625 103,125 - 2 103,125 206,250 3
46 Kertas EKG 207 mm Roll 5 220,000 1,100,000 220,000 - 3 220,000 660,000 2
47 Kertas Lakmus Pak 2000 Lbr 7 66000 462,000 66,000 - 66,000 - 7
48 Laryng Mask Airways (LMA) no. 4 Pcs 4 330,000 1,320,000 330,000 - 330,000 - 4
49 Masker Bedah Biasa Pcs 2,700 4,400 11,880,000 4,400 - 4,400 - 2700
50 Masker N-95 Pcs 20 8,250 165,000 8,250 - 20 8,250 165,000 0
51 Masker N-95 Pcs 100 53,680 5,368,000 53,680 - 100 53,680 5,368,000 0
52 Masker Nebulizer Anak Pcs 55 32,670 1,796,850 32,670 - 32,670 - 55
53 Masker Nebulizer Dewasa Pcs 90 26,464 2,381,760 26,464 - 10 26,464 264,640 80
54 Masker NRM Anak Pcs 30 33,000 990,000 33,000 - 33,000 - 30
55 Masker NRM Dewasa Pcs 40 19,154 766,160 19,154 - 15 19,154 287,310 25
56 Masker Oksigen Anak (Pediatric Elongated) Pcs 30 15,585 467,550 15,585 - 30 15,585 467,550 0
57 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50
58 Masker Oksigen Bayi (Pediatric Standard) Pcs 5 16,698 83,490 16,698 - 5 16,698 83,490 0
59 Masker Oksigen Bayi (Pediatric Standard) Pcs 150 15,180 2,277,000 15,180 - 10 15,180 151,800 140
60 Masker Oksigen Dewasa Pcs 55 15,180 834,900 15,180 - 20 15,180 303,600 35
61 Naso Gastrik Tube (NGT) no. 05 Pcs 15 12,797 191,955 12,797 - 5 12,797 63,985 10
62 Naso Gastrik Tube (NGT) no. 06 Pcs 10 33,000 330,000 33,000 - 33,000 - 10
63 Naso Gastrik Tube (NGT) no. 08 Pcs 40 49,500 1,980,000 49,500 - 5 49,500 247,500 35
64 Naso Gastrik Tube (NGT) no. 10 Pcs 20 33,000 660,000 33,000 - 10 33,000 330,000 10
65 Naso Gastrik Tube (NGT) no. 12 Pcs 20 5,215 104,300 5,215 - 5,215 - 20
66 Naso Gastrik Tube (NGT) no. 14 Pcs 35 5,215 182,525 5,215 - 5,215 - 35
67 Naso Gastrik Tube (NGT) no. 16 Pcs 40 36,960 1,478,400 36,960 - 10 36,960 369,600 30
68 Naso Gastrik Tube (NGT) no. 18 Pcs 40 36,960 1,478,400 36,960 - 36,960 - 40
69 Naso Gastrik Tube (NGT) no. 3,5 Pcs 40 44,000 1,760,000 44,000 - 44,000 - 40
70 Paper printing UPP 110 HG Roll 4 275,000 1,100,000 275,000 - 2 275,000 550,000 2
71 Perfusor Pcs 50 37,000 1,850,000 37,000 - 50 37,000 1,850,000 0
72 Povidon Iodine 10 % 60 ml Botol 72 11,000 792,000 11,000 - 11,000 - 72
73 Povidon Iodine 10% 1 L Btl 1 L 10 59,967 599,670 59,967 - 8 59,967 479,736 2
74 Sarung tangan Gynecolog no. 6,5 pasang 80 45,000 3,600,000 45,000 - 45,000 - 80
75 Selang Oksigen Anak Pcs 30 8,760 262,800 8,760 - 15 8,760 131,400 15
76 Selang Oksigen Bayi Pcs 30 8,906 267,180 8,906 - 15 8,906 133,590 15
77 Selang Oksigen Dewasa Pcs 200 5,000 1,000,000 5,000 - 200 5,000 1,000,000 0
78 Selang Oksigen Dewasa Pcs 300 7,680 2,304,000 7,680 - 7,680 - 300
79 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 27,500 - 12
80 Softband 6 inchi Roll 12 24,636 295,632 24,636 - 12 24,636 295,632 0
81 Spinocain no. 25 Pcs 50 31,200 1,560,000 31,200 - 25 31,200 780,000 25
82 Spuit no. 01 cc Pcs 5,900 770 4,543,000 770 - 1,000 770 770,000 4900
83 Spuit no. 03 cc Pcs 6,800 1,159 7,881,200 1,159 - 2,200 1,159 2,549,800 4600
84 Spuit no. 05 cc Pcs 4,200 994 4,174,800 994 - 1,000 994 994,000 3200
85 Spuit no. 10 cc Pcs 5,200 1,282 6,666,400 1,282 - 1,500 1,282 1,923,000 3700
86 Spuit no. 20 cc Pcs 1,400 1,916 2,682,400 1,916 - 50 1,916 95,800 1350
87 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 4,704 - 1125
88 Spuit no. 50 cc (L. Pinggir) Pcs 35 15,000 525,000 15,000 - 35 15,000 525,000 0
89 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300
90 Suction Catheter No. 08 Pcs 50 4,224 211,200 4,224 - 4,224 - 50
91 Suction Catheter No. 10 Pcs 50 4,224 211,200 4,224 - 4,224 - 50
92 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50
93 Suction Catheter No. 16 Pcs 60 8,407 504,420 8,407 - 8,407 - 60
94 Tranfusi Set Pcs 100 13,976 1,397,600 13,976 - 100 13,976 1,397,600 0
95 Transofix Pcs 150 3,400 510,000 3,400 - 3,400 - 150
96 Underpad Pcs 90 5,500 495,000 5,500 - 90 5,500 495,000 0
97 Urine bag Pcs 150 10,450 1,567,500 10,450 - 75 10,450 783,750 75
1 Abbocath No. 20 Pcs - 500 6,270 3,135,000 150 6,270 940,500 350
2 Alkohol Swab Pcs - 10,000 242 2,420,000 4,900 242 1,185,800 5100
3 Elastis Perband No. 3 inchi Roll - 24 16,500 396,000 16,500 - 24
4 Elastis Perband No. 4 inchi Roll - 24 17,600 422,400 12 17,600 211,200 12
5 Folley Catheter 2-Way No. 12 Pcs - 20 12,144 242,880 12,144 - 20
6 Folley Catheter 2-Way No. 16 Pcs - 100 12,144 1,214,400 60 12,144 728,640 40
7 Hypafix 10 cm x 5 m Pcs - 36 113,256 4,077,216 36 113,256 4,077,216 0
8 Kasa Steril 16 x 16 Kotal - 174 7,877 1,370,598 174 7,877 1,370,598 0
9 Sarung Tangan Non Steril uk. M Pcs - 5,000 1,320 6,600,000 5,000 1,320 6,600,000 0
10 Spinocain No. 26 Pcs - 75 31,300 2,347,500 25 31,300 782,500 50
11 Three Way Stop Cock Pcs - 100 6,325 632,500 100 6,325 632,500 0
12 Tranfusi Set Pcs - 200 13,761 2,752,200 13,761 - 200
13 Underpad Pcs - 500 3,905 1,952,500 3,905 - 500

SUB TOTAL 157,041,741 27,563,194 59,026,894


SALDO AKHIR NOVEMBER 2020 157,041,741
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60
2 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24
3 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12
4 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19
5 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 117,137 - 24
6 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12
7 Benang Premilene/Provein 5/0 Cutting Set 12 52,350 628,200 52,350 - 52,350 - 12
8 Benang Safil (PGA) 2/0 Taper Set 96 93,980 9,022,080 93,980 - 36 93,980 3,383,280 60
9 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 72 61,392 4,420,224 61,392 - 61,392 - 72
10 Benang silk 2/0 + jarum Pcs 216 4,706 1,016,496 4,706 - 4,706 - 216
11 Benang silk 3/0 + jarum Pcs 252 4,706 1,185,912 4,706 - 4,706 - 252
12 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200
13 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
14 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
15 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48
16 Cairan Pencuci Alat Bedah Galon 5 L 1 504,000 504,000 504,000 - 504,000 - 1
17 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21
18 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20
19 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50
20 Cortical screw 4,5 - 40 mm Pcs 44 89,018 3,916,792 89,018 - 89,018 - 44
21 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000 82,500 - 82,500 - 30
22 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1
23 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1
24 Jas Operasi disp (surgical gown spulen) uk. L Pcs 21 23,067 484,407 23,067 - 23,067 - 21
25 K. Wire - 1,4 mm Pcs 1 193,050 193,050 193,050 - 193,050 - 1
26 K. Wire - 1,6 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
27 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
28 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
29 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1
30 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
31 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2
32 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
33 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2
34 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1
35 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1
36 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2
37 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9
38 Mesh Hernia Pcs 5 218,562 1,092,810 218,562 - 218,562 - 5
39 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
40 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
41 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10

42 Small plate - DCP small narrow plate 3,5 mm, small bone Pcs 2 438,867 877,734 438,867 - 438,867 - 2
type A, 10 holes
43 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2
44 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1
45 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2
1 Benang Catgut Chromic 2/0 (Biasa) Set - 72 8,855 637,560 24 8,855 212,520 48
2 Benang Catgut Chromic 3/0 (Biasa) Set - 72 8,855 637,560 24 8,855 212,520 48

SUB TOTAL 75,094,156 1,275,120 3,808,320


SALDO AKHIR NOVEMBER 2020 75,094,156
BAHAN RADIOLOGI
1 Film DR ukuran 14X17" Pcs 1000 80,320 80,320,000 80,320 - 1000 80,320 80,320,000 0

SUB TOTAL 80,320,000 - 80,320,000


SALDO AKHIR NOVEMBER 2020 80,320,000
BAHAN LABORATORIUM & BDRS
1 Botol Semprot 500 ml Pcs 4 85,000 340,000 85,000 - 4 85,000 340,000 0
2 Kartu Golongan Darah Pak 7 40,000 280,000 40,000 - 7 40,000 280,000 0
3 Pot Sputum 120 ml Pcs 50 7,500 375,000 7,500 - 50 7,500 375,000 0

SUB TOTAL 995,000 - 995,000


SALDO AKHIR NOVEMBER 2020 995,000

Mengetahui, Kuala Kurun, 31 Desember 2020


Direktur RSUD Kuala Kurun Petugas Gudang

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
T DAN BMHP GUDANG FARMASI (BLUD)
N DESEMBER 2020

Persediaan Akhir
31 DESEMBER 2020
Harga Satuan Jumlah Harga
(Rp) (Rp)
14 15

720 -
720 360,000
3,438 -
3,217 321,700
655 458,500
898 673,500
231 231,000
327 163,500
900 2,430,000
6,160 308,000
308 308,000
4,320 388,800
8,700 261,000
220 220,000
216 540,000
280 -
70 175,000
5,808 2,613,600
5,000 240,000
11,550 2,333,100
300 1,350,000
11,124 1,112,400
36,900 1,107,000
178 801,000
2,992 897,600
2,970 297,000
41,800 -
34,485 1,379,400
2,860 2,402,400
493 -
616 3,080,000
188 188,000
293 -
263 1,183,500
6,248 312,400
825 -
2,721 1,360,500
79,365 1,984,125
1,958 783,200
1,958 195,800
1,778 -
31,156 311,560
6,006 -
28,380 -
119 476,000
1,465 73,250
256 76,800
7,602 -
72,600 1,815,000
61,792 1,483,008
3,435 -
224 1,792,000
10,351 496,848
1,153 -
661 -
84 252,000
137 616,500
252 378,000
831 1,246,500
7,759 969,875
12,650 632,500
1,053 1,579,500
3,105 3,105,000
21,628 1,622,100
27,060 36,531,000
40,260 6,441,600
12,500 6,875,000
29,975 4,496,250
29,975 599,500
6,160 616,000
27,500 275,000
10,440 417,600
383 -
2,057 148,104
58 116,000
495 346,500
70,403 7,040,300
42,996 6,449,400
500 500,000
14,438 721,900
11,000 550,000
5,984 897,600
58,300 4,664,000
1,426 1,426,000
916 641,200
266 186,200
3,344 -
1,121 -
685 2,055,000
6,496 974,400
10,010 1,201,200
10,175 1,119,250
2,636 -
162 2,592,000
19,789 395,780
259 207,200
429 514,800
1,316 -
104 260,000
135 -
212 424,000
14,643 -
451 90,200
12,320 -
363 181,500
1,135 567,500
22,693 567,325
1,401 840,600
17,061 1,962,015
8,569 1,285,350
7,300 2,628,000
23,760 2,376,000
963 963,000
543 543,000
44,391 665,865
1,738 260,700
5,059 1,517,700
10,267 1,006,166
1,870 1,496,000
1,058 423,200
984 1,476,000
985 -
17,765 444,125
153 1,377,000
3,850 -
11,797 1,769,550
656 1,312,000
2,350 169,200
10,714 2,678,500
2,657 212,560
238 -
404 1,010,000
311 -
434 1,085,000
416 208,000
2,723 340,375
939,048 -
9,350 561,000
229 343,500
380 950,000
74,655 1,791,720
11,000 3,080,000
11,000 4,840,000
11,880 1,092,960
44,162 7,419,216
7,364 736,400
207,702 20,770,200
181,913 10,914,780
66,000 1,980,000
6,840 2,872,800
7,700 385,000
10,290 2,716,560
7,630 6,714,400
11,549 3,326,112
69,300 1,386,000
1,480,000 19,240,000
262 235,800
23,980 719,400
121 121,000
460 920,000
3,223 64,460
71,929 8,631,480
2,577 128,850
4,455 1,782,000
675 877,500
38,005 -
3,960 1,980,000
1,475 3,835,000
369 369,000
250 250,000
1,100 -
281 140,500
528 -
374 -
189 -
3,553 1,421,200
11,449 457,960
1,273 636,500
242 242,000
483 1,449,000
6,930 346,500
135 405,000
8,250 412,500
3,590 269,250
6,270 627,000
282 282,000
6,448 322,400
3,415 245,880
18,975 759,000
34,050 2,383,500
187,000 -
164 41,000
156 -
6,017 -
1,315 657,500
557 222,800
23,092 346,380
163 65,200
600 300,000
59,921 -
110,968 -
904 271,200
12,155 729,300
21,736 -
496 496,000
1,312 -
1,016 2,265,680
1,478 -
281 -
73,769 1,475,380
3,692 276,900
1,287 514,800
14,638 204,932
31,790 -
11,990 -
4,890 938,880
253 1,138,500
13,191 395,730
2,380 357,000
187 411,400
4,950 742,500
15,675 1,410,750
460 230,000
361 541,500
178 534,000
198 297,000
88,935 889,350
93 232,500
145 580,000
518 1,036,000
82,001 4,100,050
14,131 9,891,700
72,600 1,524,600
512 921,600
14,266 1,711,920
4,002 2,401,200
903 903,000
1,751 1,751,000
2,565 -
1,543 -
64 96,000
102 306,000
17,270 863,500
30,251 -
12,870 2,265,120
319 638,000
7,168 -
1,683,000 5,049,000
79,860 3,194,400
564 564,000
205 -
204 306,000
661 2,644,000
226 226,000
15,088 603,520
15,088 -
21,935 1,096,750
7,789 194,725
149,266 2,985,320
880 352,000
52,275 1,568,250
825 1,402,500
1,600 -
745 372,500
6,343 3,234,930
4,000 1,600,000
131 131,000
158 395,000
195 585,000
3,025 635,250
128,690 6,434,500
708 -
8,360 -
4,289 857,800
300,900 -
4,620 231,000
2,574 3,088,800
1,153 2,594,250
661 1,983,000
1,568 1,881,600
1,710 598,500
2,750 4,950,000
6,840 10,260,000
7,630 11,445,000
4,867 1,168,080
675 675,000
83,950 -
1,142 228,400
41,250 -
187,000 5,610,000
87,000 4,350,000
21,780 871,200
1,443 1,082,250
77,000 -
3,448 2,068,800
226 1,130,000
546 491,400
708 2,832,000

424,908,606
6,306 315,300
24,200 6,050,000
15,397 3,849,250
30,110 270,990
5,879 1,975,344
102 -
3,150 -
75,000 900,000
1,039 51,950
3,300 2,145,000
4,950 2,227,500
60,500 -
22,000 -
13,680 136,800
13,908 139,080
13,908 556,320
137,500 1,375,000
77,000 1,540,000
34,155 1,707,750
34,155 341,550
12,144 121,440
12,144 242,880
140,008 6,300,360
324,500 1,622,500
18,775 225,300
26,433 370,062
54,085 1,135,785
24,750 618,750
24,750 -
13,200 66,000
24,750 123,750
24,750 -
24,750 371,250
49,500 -
24,750 445,500
43,605 959,310
635 -
7,320 3,294,000
12,334 2,466,800
2,083 416,600
31,372 564,696
120,750 -
159,500 1,435,500
270,000 2,160,000
103,125 309,375
220,000 440,000
66,000 462,000
330,000 1,320,000
4,400 11,880,000
8,250 -
53,680 -
32,670 1,796,850
26,464 2,117,120
33,000 990,000
19,154 478,850
15,585 -
15,180 759,000
16,698 -
15,180 2,125,200
15,180 531,300
12,797 127,970
33,000 330,000
49,500 1,732,500
33,000 330,000
5,215 104,300
5,215 182,525
36,960 1,108,800
36,960 1,478,400
44,000 1,760,000
275,000 550,000
37,000 -
11,000 792,000
59,967 119,934
45,000 3,600,000
8,760 131,400
8,906 133,590
5,000 -
7,680 2,304,000
27,500 330,000
24,636 -
31,200 780,000
770 3,773,000
1,159 5,331,400
994 3,180,800
1,282 4,743,400
1,916 2,586,600
4,704 5,292,000
15,000 -
5,258 1,577,400
4,224 211,200
4,224 211,200
4,224 211,200
8,407 504,420
13,976 -
3,400 510,000
5,500 -
10,450 783,750
6,270 2,194,500
242 1,234,200
16,500 396,000
17,600 211,200
12,144 242,880
12,144 485,760
113,256 -
7,877 -
1,320 -
31,300 1,565,000
6,325 -
13,761 2,752,200
3,905 1,952,500

125,578,041
42,605 2,556,300
46,900 1,125,600
51,100 613,200
23,135 439,565
117,137 2,811,288
132,498 1,589,976
52,350 628,200
93,980 5,638,800
61,392 4,420,224
4,706 1,016,496
4,706 1,185,912
2,790 558,000
2,790 1,395,000
2,790 1,395,000
52,700 2,529,600
504,000 504,000
168,919 3,547,299
168,919 3,378,380
89,018 4,450,900
89,018 3,916,792
82,500 2,475,000
33,000 33,000
308,000 308,000
23,067 484,407
193,050 193,050
193,050 1,544,400
193,050 1,544,400
193,050 1,544,400
825,825 825,825
707,850 1,415,700
542,685 1,085,370
707,850 1,415,700
318,533 637,066
318,533 318,533
854,139 854,139
854,139 1,708,278
112,613 1,013,517
218,562 1,092,810
160,875 1,608,750
160,875 1,608,750
160,875 1,608,750

438,867 877,734

684,255 1,368,510
684,255 684,255
880,000 1,760,000
8,855 425,040
8,855 425,040

72,560,956

80,320 -

85,000 -
40,000 -
7,500 -

-
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN JANUARI 2021

Persediaan Awal Masuk Pemakaian Persediaan Akhir


No Jenis Persediaan Satuan 01 JANUARI 2021 SELAMA JANUARI 2021 SELAMA JANUARI 2021 31 JANUARI 2021
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT
1 Acarbose tab 50 mg Tablet 500 720 360,000 720 - 500 720 360,000 - 720 -
2 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100 3,217 321,700
3 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700 655 458,500
4 Acyclovir tab 400 mg Tablet 750 898 673,500 898 - 250 898 224,500 500 898 449,000
5 Allopurinol tab 100 mg Tablet 1,000 231 231,000 231 - 231 - 1,000 231 231,000
6 Alprazolam tab 0,5 mg Tablet 500 327 163,500 327 - 327 - 500 327 163,500
7 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 900 - 2,700 900 2,430,000
8 Ambroxol syr 15 mg/5 ml Botol 50 6,160 308,000 6,160 - 50 6,160 308,000 - 6,160 -
9 Ambroxol tab 30 mg Tablet 1,000 308 308,000 308 - 308 - 1,000 308 308,000
10 Aminophylline inj 240 mg/10 ml Ampul 90 4,320 388,800 4,320 - 4,320 - 90 4,320 388,800
11 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30 8,700 261,000
12 Amitriptyline tab 25 mg Tablet 1,000 220 220,000 220 - 500 220 110,000 500 220 110,000
13 Amlodipine tab 10 mg Tablet 2,500 216 540,000 216 - 1,500 216 324,000 1,000 216 216,000
14 Amlodipine tab 5 mg Tablet 2,500 70 175,000 70 - 500 70 35,000 2,000 70 140,000
15 Amoxiclav tab Tablet 450 5,808 2,613,600 5,808 - 300 5,808 1,742,400 150 5,808 871,200
16 Amoxycillin syr 125 mg/5 ml Botol 48 5,000 240,000 5,000 - 48 5,000 240,000 - 5,000 -
17 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202 11,550 2,333,100
18 Amoxycillin tab 500 mg Tablet 4,500 300 1,350,000 300 - 500 300 150,000 4,000 300 1,200,000
19 Ampicillin inj 1g Vial 100 11,124 1,112,400 11,124 - 11,124 - 100 11,124 1,112,400
20 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30 36,900 1,107,000
21 Antasida DOEN tab Tablet 4,500 178 801,000 178 - 178 - 4,500 178 801,000
22 Antasida syrup Botol 300 2,992 897,600 2,992 - 2,992 - 300 2,992 897,600
23 Anti Hemoroid supp Supp 100 2,970 297,000 2,970 - 2,970 - 100 2,970 297,000
24 Apialys Syrup Boto 60 ml 40 34,485 1,379,400 34,485 - 20 34,485 689,700 20 34,485 689,700
25 Aqua pro inj Vial 840 2,860 2,402,400 2,860 - 360 2,860 1,029,600 480 2,860 1,372,800
26 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 5,000 616 3,080,000 616 - 2,500 616 1,540,000 2,500 616 1,540,000
27 Asam Folat tab 1 mg Tablet 1,000 188 188,000 188 - 500 188 94,000 500 188 94,000
28 Asam Mefenamat tab 500 mg Tablet 4,500 263 1,183,500 263 - 1,000 263 263,000 3,500 263 920,500
29 Asam Tranexamat inj 250 mg/5 ml Ampul 50 6,248 312,400 6,248 - 50 6,248 312,400 - 6,248 -
30 Asam Tranexamat inj 500 mg/5 ml Ampul 50 4,620 231,000 4,620 - 50 4,620 231,000 - 4,620 -
31 Asetilsistein tab 200 mg Tablet 1,200 2,574 3,088,800 2,574 - 1,200 2,574 3,088,800 - 2,574 -
32 Aspar K tab Tablet 500 2,721 1,360,500 2,721 - 2,721 - 500 2,721 1,360,500
33 Atracurium inj 50 mg/5 ml (Farelax) Ampul 25 79,365 1,984,125 79,365 - 79,365 - 25 79,365 1,984,125
34 Atropin inj 0,25 mg/ml Ampul 500 1,958 979,000 1,958 - 1,958 - 500 1,958 979,000
35 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml 10 31,156 311,560 31,156 - 10 31,156 311,560 - 31,156 -
36 Betahistin tab 6 mg Tablet 4,000 119 476,000 119 - 500 119 59,500 3,500 119 416,500
37 Betamethasone krim 0,1%  Tube 50 1,465 73,250 1,465 - 25 1,465 36,625 25 1,465 36,625
38 Bisoprolol tab 5 mg Tablet 300 256 76,800 256 - 256 - 300 256 76,800
39 Bunascan spinal inj Ampul 25 72,600 1,815,000 72,600 - 72,600 - 25 72,600 1,815,000
40 Burnazin krim Tube 24 61,792 1,483,008 61,792 - 10 61,792 617,920 14 61,792 865,088
41 Calcium Lactate tab 500 mg Tablet 8,000 224 1,792,000 224 - 500 224 112,000 7,500 224 1,680,000
42 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 10,351 - 48 10,351 496,848
43 Candesartan tab 16 mg Tablet 2,250 1,153 2,594,250 1,153 - 2,250 1,153 2,594,250 - 1,153 -
44 Candesartan tab 8 mg Tablet 3,000 661 1,983,000 661 - 1,500 661 991,500 1,500 661 991,500
45 Captopril tab 12,5 mg Tablet 3,000 84 252,000 84 - 3,000 84 252,000 - 84 -
46 Captopril tab 25 mg Tablet 4,500 137 616,500 137 - 500 137 68,500 4,000 137 548,000
47 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500 252 378,000
48 Cefadroxyl cap 500 mg Kapsul 1,500 831 1,246,500 831 - 500 831 415,500 1,000 831 831,000
49 Cefadroxyl syr 125 mg/5 ml Botol 125 7,759 969,875 7,759 - 25 7,759 193,975 100 7,759 775,900
50 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50 12,650 632,500
51 Cefixime kaps 100 mg kapsul 1,500 1,053 1,579,500 1,053 - 500 1,053 526,500 1,000 1,053 1,053,000
52 Cefixime kaps 200 mg kapsul 1,000 3,105 3,105,000 3,105 - 500 3,105 1,552,500 500 3,105 1,552,500
53 Cefixime syr 100 mg/5 ml Botol 75 21,628 1,622,100 21,628 - 25 21,628 540,700 50 21,628 1,081,400
54 Cefotaxime inj 1 gr Vial 1,350 27,060 36,531,000 27,060 - 27,060 - 1,350 27,060 36,531,000
55 Ceftazidime inj 1 g Vial 160 40,260 6,441,600 40,260 - 160 40,260 6,441,600 - 40,260 -
56 Ceftriaxone inj 1 g Vial 550 12,500 6,875,000 12,500 - 300 12,500 3,750,000 250 12,500 3,125,000
57 Cefuroxime inj 1 g Vial 150 29,975 4,496,250 29,975 - 29,975 - 150 29,975 4,496,250
58 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 29,975 - 20 29,975 599,500
59 Cetadop (Dopamin) inj 200 mg/5 ml Ampul 100 6,160 616,000 6,160 - 6,160 - 100 6,160 616,000
60 Cetirizine drop 10 mg/ml Botol 10 27,500 275,000 27,500 - 27,500 - 10 27,500 275,000
61 Cetirizine syr 5 mg/5 ml Botol 40 10,440 417,600 10,440 - 15 10,440 156,600 25 10,440 261,000
62 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72 2,057 148,104
63 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000 58 - 58 - 2,000 58 116,000
64 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700 495 346,500
65 Cinam inj Vial 100 70,403 7,040,300 70,403 - 70,403 - 100 70,403 7,040,300
66 Ciprofloxacin infus Botol 150 42,996 6,449,400 42,996 - 42,996 - 150 42,996 6,449,400
67 Ciprofloxacin tab 500 mg Tablet 1,000 500 500,000 500 - 500 500 250,000 500 500 250,000
68 Citicolin inj 250 mg/2 ml  Ampul 50 14,438 721,900 14,438 - 14,438 - 50 14,438 721,900
69 Citicolin inj 500 mg/5 ml  Ampul 50 11,000 550,000 11,000 - 25 11,000 275,000 25 11,000 275,000
70 Citicolin tab 500 mg Tablet 150 5,984 897,600 5,984 - 5,984 - 150 5,984 897,600
71 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80 58,300 4,664,000
72 Clindamycin cap 300 mg Kapsul 1,000 1,426 1,426,000 1,426 - 1,426 - 1,000 1,426 1,426,000
73 Clobazam tab 10 mg Tablet 700 916 641,200 916 - 200 916 183,200 500 916 458,000
74 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700 266 186,200
75 Clopidogrel tab 75 mg Tablet 1,200 1,568 1,881,600 1,568 - 900 1,568 1,411,200 300 1,568 470,400
76 Codein tab 10 mg Tablet 3,000 685 2,055,000 685 - 1,000 685 685,000 2,000 685 1,370,000
77 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 6,496 - 150 6,496 974,400
78 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120 10,010 1,201,200
79 Daryant Tulle (Framycetin) Pcs 110 10,175 1,119,250 10,175 - 60 10,175 610,500 50 10,175 508,750
80 Dexamethasone tab 0,5 mg Tablet 16,000 162 2,592,000 162 - 500 162 81,000 15,500 162 2,511,000
81 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 20 19,789 395,780 19,789 - 19,789 - 20 19,789 395,780
82 Diazepam tab 2 mg (Valisanbe) Tablet 800 259 207,200 259 - 300 259 77,700 500 259 129,500
83 Diazepam tab 5 mg (Valisanbe) Tablet 1,200 429 514,800 429 - 429 - 1,200 429 514,800
84 Digoxin tab 0,25 mg Tablet 2,500 104 260,000 104 - 104 - 2,500 104 260,000
85 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000 212 424,000
86 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200 451 90,200
87 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500 363 181,500
88 Dopamet tab 250 mg Kapsul 500 1,135 567,500 1,135 - 1,135 - 500 1,135 567,500
89 Dulcolax supp 10 mg Supp 25 22,693 567,325 22,693 - 22,693 - 25 22,693 567,325
90 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600 1,401 840,600
91 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 17,061 - 115 17,061 1,962,015
92 Ephedrin inj 50 mg/ml Ampul 150 8,569 1,285,350 8,569 - 8,569 - 150 8,569 1,285,350
93 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360 7,300 2,628,000
94 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 100 23,760 2,376,000 23,760 - 23,760 - 100 23,760 2,376,000
95 Erythromicyn tab 500 mg Tablet 1,000 963 963,000 963 - 1,000 963 963,000 - 963 -
96 Etambutol tab 500 mg Tablet 1,000 543 543,000 543 - 543 - 1,000 543 543,000
97 Fentanyl inj Ampul 15 44,391 665,865 44,391 - 15 44,391 665,865 - 44,391 -
98 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 1,738 - 150 1,738 260,700
99 Fitomenadion (vit k 1) inj 2 mg/ml (i.m.)  Ampul 300 5,059 1,517,700 5,059 - 120 5,059 607,080 180 5,059 910,620
100 Flucadex syr Botol 98 10,267 1,006,166 10,267 - 36 10,267 369,612 62 10,267 636,554
101 Flunarizine tab 10 mg Tablet 800 1,870 1,496,000 1,870 - 1,870 - 800 1,870 1,496,000
102 Flunarizine tab 5 mg Tablet 400 1,058 423,200 1,058 - 200 1,058 211,600 200 1,058 211,600
103 Folavit tab Tablet 1,500 984 1,476,000 984 - 1,000 984 984,000 500 984 492,000
104 Fortanest inj 5 mg/5 ml Ampul 25 17,765 444,125 17,765 - 15 17,765 266,475 10 17,765 177,650
105 Furosemide inj 20 mg/2 ml Ampul 350 1,710 598,500 1,710 - 300 1,710 513,000 50 1,710 85,500
106 Furosemide tab 40 mg Tablet 9,000 153 1,377,000 153 - 1,000 153 153,000 8,000 153 1,224,000
107 Gabapentin tab 300 mg Tablet 1,800 2,750 4,950,000 2,750 - 600 2,750 1,650,000 1,200 2,750 3,300,000
108 Gastrul tab Tablet 150 11,797 1,769,550 11,797 - 11,797 - 150 11,797 1,769,550
109 Gemfibrozil kap 300 mg Tablet 2,000 656 1,312,000 656 - 656 - 2,000 656 1,312,000
110 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 250 10,714 2,678,500 10,714 - 10,714 - 250 10,714 2,678,500
111 Gentamicyn krim (Gentalex) Tube 72 2,350 169,200 2,350 - 68 2,350 159,800 4 2,350 9,400
112 Gentamicyn krim (Gentalex) Tube 80 2,657 212,560 2,657 - 2,657 - 80 2,657 212,560
113 Glimepiride tab 2 mg Tablet 2,500 404 1,010,000 404 - 500 404 202,000 2,000 404 808,000
114 Glimepiride tab 4 mg Tablet 2,500 434 1,085,000 434 - 500 434 217,000 2,000 434 868,000
115 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500 416 208,000
116 Hidrocortisone cream 2,5% Tube 125 2,723 340,375 2,723 - 2,723 - 125 2,723 340,375
117 Ibuprofen syrup 100 mg/5 ml Botol 60 ml 60 9,350 561,000 9,350 - 40 9,350 374,000 20 9,350 187,000
118 Ibuprofen tab 200 mg Tablet 1,500 229 343,500 229 - 229 - 1,500 229 343,500
119 Ibuprofen tab 400 mg Tablet 2,500 380 950,000 380 - 380 - 2,500 380 950,000
120 Infus Aminoleban Btl 500 ml 24 74,655 1,791,720 74,655 - 24 74,655 1,791,720 - 74,655 -
121 Infus D5 + 1/2 NS Btl 500 ml 280 11,000 3,080,000 11,000 - 20 11,000 220,000 260 11,000 2,860,000
122 Infus D5 + 1/4 NS Btl 500 ml 440 11,000 4,840,000 11,000 - 120 11,000 1,320,000 320 11,000 3,520,000
123 Infus Dextrose 10% Btl 500 ml 92 11,880 1,092,960 11,880 - 68 11,880 807,840 24 11,880 285,120
124 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168 44,162 7,419,216
125 Infus Glukosa 5% Btl 500 ml 100 7,364 736,400 7,364 - 60 7,364 441,840 40 7,364 294,560
126 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100 207,702 20,770,200
127 Infus Hes Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60 181,913 10,914,780
128 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30 66,000 1,980,000
129 Infus Nacl 0,9 % Botol 500 ml 1,920 6,840 13,132,800 6,840 - 400 6,840 2,736,000 1,520 6,840 10,396,800
130 Infus Nacl 100 ml Botol 50 7,700 385,000 7,700 - 50 7,700 385,000 - 7,700 -
131 Infus Ring As Botol 264 10,290 2,716,560 10,290 - 240 10,290 2,469,600 24 10,290 246,960
132 Infus Ringer Lactat Botol 500 ml 2,380 7,630 18,159,400 7,630 - 500 7,630 3,815,000 1,880 7,630 14,344,400
133 Infus Tridex 27 B Btl 500 ml 288 11,549 3,326,112 11,549 - 48 11,549 554,352 240 11,549 2,771,760
134 Inviclot (Heparin) inj Vial 20 69,300 1,386,000 69,300 - 20 69,300 1,386,000 - 69,300 -
135 Isoflurane (Terrel) Botol 250 ml 13 1,480,000 19,240,000 1,480,000 - 3 1,480,000 4,440,000 10 1,480,000 14,800,000
136 Isoniazid tab 300 mg Tablet 900 262 235,800 262 - 900 262 235,800 - 262 -
137 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30 23,980 719,400
138 Isosorbit Dinitrat tab 5 mg Tablet 1,000 121 121,000 121 - 1,000 121 121,000 - 121 -
139 Kalium Diclofenak tab 50 mg Tablet 2,000 460 920,000 460 - 1,000 460 460,000 1,000 460 460,000
140 KCl 7,46 Btl 25 ml 20 3,223 64,460 3,223 - 3,223 - 20 3,223 64,460
141 Ketamin inj 50 mg/ml Ktk 1 vial 120 71,929 8,631,480 71,929 - 71,929 - 120 71,929 8,631,480
142 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50 2,577 128,850
143 Ketorolac inj 30 mg/ml Ampul 400 4,455 1,782,000 4,455 - 300 4,455 1,336,500 100 4,455 445,500
144 Lacto-B Sachet 240 4,867 1,168,080 4,867 - 240 4,867 1,168,080 - 4,867 -
145 Lansoprazole cap 30 mg Kapsul 2,300 675 1,552,500 675 - 1,300 675 877,500 1,000 675 675,000
146 Levofloxacin tab 500 mg Tablet 200 1,142 228,400 1,142 - 200 1,142 228,400 - 1,142 -
147 Levopar tab Tablet 500 3,960 1,980,000 3,960 - 500 3,960 1,980,000 - 3,960 -
148 Lidocain inj 2% Ampul 2,600 1,475 3,835,000 1,475 - 400 1,475 590,000 2,200 1,475 3,245,000
149 Lisinopril tab 10 mg Tablet 1,000 369 369,000 369 - 1,000 369 369,000 - 369 -
150 Lisinopril tab 5 mg Tablet 1,000 250 250,000 250 - 250 - 1,000 250 250,000
151 Loratadin tab 10 mg Tablet 500 281 140,500 281 - 281 - 500 281 140,500
152 Methylergometrine inj Ampul 400 3,553 1,421,200 3,553 - 3,553 - 400 3,553 1,421,200
153 Methylprednisolone inj 125 mg Vial 40 11,449 457,960 11,449 - 40 11,449 457,960 - 11,449 -
154 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500 1,273 - 1,273 - 500 1,273 636,500
155 Methylprednisolone tab 4 mg Tablet 1,000 242 242,000 242 - 1,000 242 242,000 - 242 -
156 Methylprednisolone tab 8 mg Tablet 3,000 483 1,449,000 483 - 483 - 3,000 483 1,449,000
157 Metoclopramide inj 10 mg/2 ml Ampul 50 6,930 346,500 6,930 - 50 6,930 346,500 - 6,930 -
158 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000 135 405,000
159 Metronidazol infus Botol 50 8,250 412,500 8,250 - 50 8,250 412,500 - 8,250 -
160 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75 3,590 269,250
161 Metronidazol syr 125 mg/5 ml Botol 100 6,270 627,000 6,270 - 6,270 - 100 6,270 627,000
162 Metronidazole tab 500 mg Tablet 1,000 282 282,000 282 - 1,000 282 282,000 - 282 -
163 Meylon inj 8,4% (i.v.)  Vial 25 ml 50 6,448 322,400 6,448 - 6,448 - 50 6,448 322,400
164 Miconazole krim 2% Tube 72 3,415 245,880 3,415 - 3,415 - 72 3,415 245,880
165 Microlax Tube 40 18,975 759,000 18,975 - 20 18,975 379,500 20 18,975 379,500
166 Morfin inj 10 mg/ml Ampul 70 34,050 2,383,500 34,050 - 34,050 - 70 34,050 2,383,500
167 Moxifloxacin infus Botol 30 187,000 5,610,000 187,000 - 30 187,000 5,610,000 - 187,000 -
168 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000 164 - 164 - 250 164 41,000
169 Neurosanbe tab Tablet 500 1,315 657,500 1,315 - 500 1,315 657,500 - 1,315 -
170 New Diatabs tab Tablet 400 557 222,800 557 - 400 557 222,800 - 557 -
171 Nicardipine inj 10 mg/10 ml Ampul 15 23,092 346,380 23,092 - 15 23,092 346,380 - 23,092 -
172 Nifedipin tab 10 mg Tablet 400 163 65,200 163 - 400 163 65,200 - 163 -
173 Nopril tab 10 mg Tablet 500 600 300,000 600 - 500 600 300,000 - 600 -
174 Novorapid insulin Pen 50 87,000 4,350,000 87,000 - 50 87,000 4,350,000 - 87,000 -
175 Nystatin drop Botol 40 21,780 871,200 21,780 - 10 21,780 217,800 30 21,780 653,400
176 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300 904 271,200
177 Olanzapin/ Sopavel tab 5 mg Tablet 60 12,155 729,300 12,155 - 12,155 - 60 12,155 729,300
178 Omeprazole kap 20 mg Kapsul 1,000 496 496,000 496 - 500 496 248,000 500 496 248,000
179 Ondancentron inj 4mg/2 ml Ampul 750 1,443 1,082,250 1,443 - 650 1,443 937,950 100 1,443 144,300
180 Ondancentron tab 4 mg Tablet 2,230 1,016 2,265,680 1,016 - 500 1,016 508,000 1,730 1,016 1,757,680
181 Otopain tetes telinga Botol 20 73,769 1,475,380 73,769 - 73,769 - 20 73,769 1,475,380
182 Oxytetracycline salep mata Tube 75 3,692 276,900 3,692 - 3,692 - 75 3,692 276,900
183 Oxytocin inj Ampul 400 1,287 514,800 1,287 - 200 1,287 257,400 200 1,287 257,400
184 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14 14,638 204,932
185 Paracetamol syr 120 mg/5 ml Botol 192 4,890 938,880 4,890 - 48 4,890 234,720 144 4,890 704,160
186 Paracetamol tab 500 mg Tablet 4,500 253 1,138,500 253 - 2,000 253 506,000 2,500 253 632,500
187 Pethidin inj 50 mg/ml Ampul 30 13,191 395,730 13,191 - 30 13,191 395,730 - 13,191 -
188 Phenobarbital inj 50 mg/1 ml Ampul 150 2,380 357,000 2,380 - 30 2,380 71,400 120 2,380 285,600
189 Phenobarbital tab 30 mg Tablet 2,200 187 411,400 187 - 187 - 2,200 187 411,400
190 Piracetam inj 1 gr/5 ml Ampul 150 4,950 742,500 4,950 - 50 4,950 247,500 100 4,950 495,000
191 Piracetam inj 3 g/15 ml Ampul 90 15,675 1,410,750 15,675 - 15,675 - 90 15,675 1,410,750
192 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500 460 230,000
193 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 361 - 1,500 361 541,500
194 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000 178 534,000
195 Prednison tab 5 mg Tablet 1,500 198 297,000 198 - 198 - 1,500 198 297,000
196 Profofol/Proanes inj Ampul 10 88,935 889,350 88,935 - 88,935 - 10 88,935 889,350
197 Promavit tab Tablet 600 3,448 2,068,800 3,448 - 300 3,448 1,034,400 300 3,448 1,034,400
198 Propanolol tab 10 mg Tablet 2,500 93 232,500 93 - 1,000 93 93,000 1,500 93 139,500
199 Propanolol tab 40 mg Tablet 4,000 145 580,000 145 - 145 - 4,000 145 580,000
200 Propilthyouracil tab 100 mg Tablet 2,000 518 1,036,000 518 - 1,000 518 518,000 1,000 518 518,000
201 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50 82,001 4,100,050
202 Pulmicort Respules 0,5 mg/ml Respule 700 14,131 9,891,700 14,131 - 100 14,131 1,413,100 600 14,131 8,478,600
203 Pumpisel inj 40 mg Vial 21 72,600 1,524,600 72,600 - 21 72,600 1,524,600 - 72,600 -
204 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800 512 921,600
205 Quentiapin / Quetvel tab 200 mg Tablet 120 14,266 1,711,920 14,266 - 14,266 - 120 14,266 1,711,920
206 Ranitidin inj 50 mg/2 ml Ampul 600 4,002 2,401,200 4,002 - 400 4,002 1,600,800 200 4,002 800,400
207 Ranitidine tab 150 mg Tablet 1,000 903 903,000 903 - 500 903 451,500 500 903 451,500
208 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000 1,751 1,751,000
209 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500 64 96,000
210 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000 102 306,000
211 Sanmol drop Botol 50 17,270 863,500 17,270 - 10 17,270 172,700 40 17,270 690,800
212 Sanmol syr 120 mg/5 ml Botol 176 12,870 2,265,120 12,870 - 12,870 - 176 12,870 2,265,120
213 Sanmol tab 500 mg Tablet 2,000 319 638,000 319 - 500 319 159,500 1,500 319 478,500
214 Sevoflurane Botol 3 1,683,000 5,049,000 1,683,000 - 2 1,683,000 3,366,000 1 1,683,000 1,683,000
215 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40 79,860 3,194,400
216 Simvastatin tab 10 mg Tablet 1,000 564 564,000 564 - 1,000 564 564,000 - 564 -
217 Simvastatin tab 20 mg Tablet 1,500 204 306,000 204 - 1,500 204 306,000 - 204 -
218 Spironolactone tab 100 mg Tablet 4,000 661 2,644,000 661 - 500 661 330,500 3,500 661 2,313,500
219 Spironolactone tab 25 mg Tablet 6,000 226 1,356,000 226 - 2,000 226 452,000 4,000 226 904,000
220 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40 15,088 603,520
221 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 50 21,935 1,096,750 21,935 - 21,935 - 50 21,935 1,096,750
222 Sukralfate syr Botol 25 7,789 194,725 7,789 - 25 7,789 194,725 - 7,789 -
223 Symbicort turbuhaler Pcs 20 149,266 2,985,320 149,266 - 149,266 - 20 149,266 2,985,320
224 Tablet Tambah Darah Tablet 900 546 491,400 546 - 600 546 327,600 300 546 163,800
225 Thiamfenicol caps 500 mg Kapsul 400 880 352,000 880 - 880 - 400 880 352,000
226 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 52,275 - 30 52,275 1,568,250
227 Tramadol cap 50 mg Kapsul 1,700 825 1,402,500 825 - 825 - 1,700 825 1,402,500
228 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500 745 372,500
229 Urdafalk kaps 250 mg kapsul 510 6,343 3,234,930 6,343 - 210 6,343 1,332,030 300 6,343 1,902,900
230 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400 4,000 1,600,000
231 Vitamin B Complex tab Tablet 1,000 131 131,000 131 - 131 - 1,000 131 131,000
232 Vitamin B6 tab 10 mg Tablet 2,500 158 395,000 158 - 158 - 2,500 158 395,000
233 Vitamin C tab 250 mg Tablet 3,000 195 585,000 195 - 1,500 195 292,500 1,500 195 292,500
234 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210 3,025 635,250
235 Zidifec inj 1 g Vial 50 128,690 6,434,500 128,690 - 50 128,690 6,434,500 - 128,690 -
236 Zinc Tab 20 mg Tablet 4,000 708 2,832,000 708 - 500 708 354,000 3,500 708 2,478,000
237 Zink syr 10 mg/5 ml Botol 200 4,289 857,800 4,289 - 50 4,289 214,450 150 4,289 643,350
1 Acarbose tab 100 mg Tablet - 3000 996 2,988,000 996 - 3,000 996 2,988,000
2 Acarbose tab 50 mg Tablet - 3000 720 2,160,000 720 - 3,000 720 2,160,000
3 Ambroxol syr 15 mg/5 ml Botol - 200 4,960 992,000 4,960 - 200 4,960 992,000
4 Amitriptilin tab 25 mg Tablet - 2000 220 440,000 220 - 2,000 220 440,000
5 Amoxiclavulanat tab 625 mg Tablet - 600 5,808 3,484,800 5,808 - 600 5,808 3,484,800
6 Apialis drop Botol - 60 42,460 2,547,600 10 42,460 424,600 50 42,460 2,123,000
7 Apialis syrup Botol - 60 34,485 2,069,100 34,485 - 60 34,485 2,069,100
8 Aqua Pro inj Vial - 1000 7,260 7,260,000 7,260 - 1,000 7,260 7,260,000
9 Asam tranexamat inj 500 mg/5 ml Ampul - 300 8,333 2,499,900 100 8,333 833,300 200 8,333 1,666,600
10 Asetilsistein inj 5 gr/25 ml Botol - 50 183,876 9,193,800 183,876 - 50 183,876 9,193,800
11 Asetilsistein tab 200 mg Tablet - 3000 460 1,380,000 460 - 3,000 460 1,380,000
12 Azythromicyn tab 500 mg Tablet - 600 6,435 3,861,000 200 6,435 1,287,000 400 6,435 2,574,000
13 Bioplacenton salep Tube - 60 18,700 1,122,000 12 18,700 224,400 48 18,700 897,600
14 Bisoprolol tab 5 mg Tablet - 90 256 23,040 90 256 23,040 - 256 -
15 Bisoprolol tab 5 mg Tablet - 1950 1,523 2,969,850 300 1,523 456,900 1,650 1,523 2,512,950
16 Bricasma Respules 2,5 mg/ml Respule - 200 7,602 1,520,400 40 7,602 304,080 160 7,602 1,216,320
17 Cefadoxyl cap 500 mg Kapsul - 3000 908 2,724,000 908 - 3,000 908 2,724,000
18 Cefixime kap 100 mg Kapsul - 1000 858 858,000 858 - 1,000 858 858,000
19 Cefixime kap 200 mg Kapsul - 2000 4,125 8,250,000 4,125 - 2,000 4,125 8,250,000
20 Ceftriaxon inj 1 gr Vial - 500 13,001 6,500,500 13,001 - 500 13,001 6,500,500
21 Cetirizine tab 10 mg Tablet - 300 403 120,900 300 403 120,900 - 403 -
22 Dexametason inj 5 mg/ml Ampul - 2000 2,416 4,832,000 200 2,416 483,200 1,800 2,416 4,348,800
23 Difenhidramin inj 10 mg/ml (i.v./i.m.)  Ampul - 90 1,865 167,850 1,865 - 90 1,865 167,850
24 Dimenhydrinat tab 50 mg Tablet - 2000 162 324,000 162 - 2,000 162 324,000
25 Domperidon susp 5 mg/5 ml Botol - 100 11,088 1,108,800 11,088 - 100 11,088 1,108,800
26 Fentanyl inj 0,05 mg/ml Ampul - 100 44,391 4,439,100 44,391 - 100 44,391 4,439,100
27 Framisetin sulfat Pcs - 200 10,175 2,035,000 10,175 - 200 10,175 2,035,000
28 Gastrul tab 200 mcg Tablet - 900 12,100 10,890,000 150 12,100 1,815,000 750 12,100 9,075,000
29 Haloperidol tab 0,5 mg Tablet - 2000 278 556,000 500 278 139,000 1,500 278 417,000
30 Human albumin 20% Botol 100 ml - 10 939,048 9,390,480 939,048 - 10 939,048 9,390,480
31 KCl inj 7,6 % Vial 25 ml - 120 3,223 386,760 3,223 - 120 3,223 386,760
32 Ketokenazol tab 200 mg Tablet - 500 755 377,500 755 - 500 755 377,500
33 Ketorolak inj 30 mg Ampul - 300 6,001 1,800,300 6,001 - 300 6,001 1,800,300
34 L Bio saset Sachet - 330 7,315 2,413,950 150 7,315 1,097,250 180 7,315 1,316,700
35 Lantus Analog Insulin Pen - 100 89,000 8,900,000 25 89,000 2,225,000 75 89,000 6,675,000
36 Levofloxacin infus 750 mg/150 ml Botol - 100 95,997 9,599,700 95,997 - 100 95,997 9,599,700
37 Levofloxacin tab 750 mg Tablet - 900 3,086 2,777,400 150 3,086 462,900 750 3,086 2,314,500
38 Lidokain inj 2% Ampul - 2000 1,475 2,950,000 1,475 - 2,000 1,475 2,950,000
39 Meloxicam tab 15 mg Tablet - 1000 500 500,000 500 - 1,000 500 500,000
40 Meloxicam tab 7,5 mg Tablet - 1300 440 572,000 440 - 1,300 440 572,000
41 Meropenem inj 1 gr Vial - 100 32,345 3,234,500 10 32,345 323,450 90 32,345 2,911,050
42 Metilprednisolon inj 125 mg  Vial - 200 12,217 2,443,400 12,217 - 200 12,217 2,443,400
43 Metilprednisolon tab 16 mg  Tablet - 1000 637 637,000 637 - 1,000 637 637,000
44 Metoclopramid inj 10 mg/2 ml Ampul - 300 6,930 2,079,000 50 6,930 346,500 250 6,930 1,732,500
45 Metronidazol infus 500 mg/100 ml Botol - 312 8,250 2,574,000 48 8,250 396,000 264 8,250 2,178,000
46 Metronidazol syr 125 mg/5 ml Botol - 100 6,270 627,000 6,270 - 100 6,270 627,000
47 Metronidazole tab 500 mg Tablet - 2000 282 564,000 282 - 2,000 282 564,000
48 MgSO4 inj 20% Vial 25 ml - 115 3,328 382,720 3,328 - 115 3,328 382,720
49 Microlax tube rektal Tube - 100 18,769 1,876,900 18,769 - 100 18,769 1,876,900
50 Moxifloxacin infus 400 mg/250 ml Botol - 90 187,000 16,830,000 90 187,000 16,830,000 - 187,000 -
51 Neurosanbe inj Ampul - 300 6,017 1,805,100 50 6,017 300,850 250 6,017 1,504,250
52 Neurosanbe tab Tablet - 1000 1,315 1,315,000 1,315 - 1,000 1,315 1,315,000
53 Norephineprin inj 4 mg/4 ml Ampul - 50 26,400 1,320,000 10 26,400 264,000 40 26,400 1,056,000
54 Olanzapin/Sopavel tab 5 mg Tablet - 90 12,155 1,093,950 12,155 - 90 12,155 1,093,950
55 Omeprazol inj 40 mg Vial - 300 11,868 3,560,400 50 11,868 593,400 250 11,868 2,967,000
56 Omeprazol kaps 20 mg Kapsul - 3000 610 1,830,000 610 - 3,000 610 1,830,000
57 Oralit saset Sachet - 2000 666 1,332,000 200 666 133,200 1,800 666 1,198,800
58 Pantoprazol inj 40 mg Vial - 500 33,006 16,503,000 200 33,006 6,601,200 300 33,006 9,901,800
59 Parasetamol infus 1 g/100 ml Botol - 408 11,990 4,891,920 96 11,990 1,151,040 312 11,990 3,740,880
60 Pethidin inj 100 mg/2 ml Ampul - 120 19,481 2,337,720 19,481 - 120 19,481 2,337,720
61 Pralax syr Botol - 30 77,000 2,310,000 6 77,000 462,000 24 77,000 1,848,000
62 Profofol /Proanes inj 1% Ampul - 50 88,935 4,446,750 10 88,935 889,350 40 88,935 3,557,400
63 Quanocain spinal 20 mg/4 ml Ampul - 50 54,450 2,722,500 25 54,450 1,361,250 25 54,450 1,361,250
64 Quentiapin/Quetvel tab 200 mg Tablet - 300 14,266 4,279,800 14,266 - 300 14,266 4,279,800
65 Ranitidin tab 50 mg Tablet - 3000 303 909,000 303 - 3,000 303 909,000
66 Sanmag syrup Botol - 50 27,500 1,375,000 27,500 - 50 27,500 1,375,000
67 Sanmol infus 1 gr/100 ml Botol - 300 30,251 9,075,300 30,251 - 300 30,251 9,075,300
68 Santagesik inj 1 gr/2 ml Ampul - 500 4,401 2,200,500 100 4,401 440,100 400 4,401 1,760,400
69 Simvastatin tab 10 mg Tablet - 1500 293 439,500 500 293 146,500 1,000 293 293,000
70 Simvastatin tab 20 mg Tablet - 2500 505 1,262,500 1,000 505 505,000 1,500 505 757,500
71 Sukralfat syrup 500 mg/5 ml Botol - 400 7,789 3,115,600 100 7,789 778,900 300 7,789 2,336,700
72 Symbicort 160/4.5 Turbu 120 d Botol - 50 149,266 7,463,300 149,266 - 50 149,266 7,463,300
73 Tablet Tambah Darah Tablet - 1470 546 802,620 546 - 1,470 546 802,620
74 Trihexyfenidil tab 2 mg Tablet - 2000 116 232,000 500 116 58,000 1,500 116 174,000
75 Trovensis inj 4 mg/2 m Ampul - 100 37,213 3,721,300 37,213 - 100 37,213 3,721,300

SUBTOTAL 424,908,606 238,579,010 147,917,349 515,570,267


SALDO AKHIR DESEMBER 2020 424,908,606
BMHP
1 Abbocath No. 20 Pcs 350 6,270 2,194,500 6,270 - 100 6,270 627,000 250 6,270 1,567,500
2 Abbocath No. 22 Pcs 50 6,306 315,300 6,306 - 50 6,306 315,300 0 6,306 -
3 Abbocath No. 24 Pcs 250 24,200 6,050,000 24,200 - 200 24,200 4,840,000 50 24,200 1,210,000
4 Abbocath No. 26 Pcs 250 15,397 3,849,250 15,397 - 50 15,397 769,850 200 15,397 3,079,400
5 Alkohol 70% 1 L Botol 1 L 9 30,110 270,990 30,110 - 9 30,110 270,990 0 30,110 -
6 Alkohol 95% 100 ml Btl 100 ml 336 5,879 1,975,344 5,879 - 72 5,879 423,288 264 5,879 1,552,056
7 Alkohol Swab Pcs 5,100 242 1,234,200 242 - 4,100 242 992,200 1000 242 242,000
8 Chlorhexidin 4% (onescrub) Btl 500 ml 12 75,000 900,000 75,000 - 2 75,000 150,000 10 75,000 750,000
9 Dermafix Pcs 50 1,039 51,950 1,039 - 1,039 - 50 1,039 51,950
10 EKG Elektroda Anak Pcs 650 3,300 2,145,000 3,300 - 3,300 - 650 3,300 2,145,000
11 EKG Elektroda Dewasa Pcs 450 4,950 2,227,500 4,950 - 100 4,950 495,000 350 4,950 1,732,500
12 Elastis Perband No. 3 inchi Roll 24 16,500 396,000 16,500 - 16,500 - 24 16,500 396,000
13 Elastis Perband No. 4 inchi Roll 12 17,600 211,200 17,600 - 12 17,600 211,200 0 17,600 -
14 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 13,680 - 10 13,680 136,800
15 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10 13,908 139,080
16 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs 40 13,908 556,320 13,908 - 13,908 - 40 13,908 556,320
17 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs 10 137,500 1,375,000 137,500 - 10 137,500 1,375,000 0 137,500 -
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 77,000 - 20 77,000 1,540,000
19 Folley Catheter 2-Way no. 08 Pcs 50 34,155 1,707,750 34,155 - 34,155 - 50 34,155 1,707,750
20 Folley Catheter 2-Way no. 10 Pcs 10 34,155 341,550 34,155 - 34,155 - 10 34,155 341,550
21 Folley catheter 2-Way no. 12 Pcs 30 12,144 364,320 12,144 - 30 12,144 364,320 0 12,144 -
22 Folley catheter 2-Way no. 14 Pcs 20 12144 242,880 12,144 - 10 12,144 121,440 10 12,144 121,440
23 Folley Catheter 2-Way No. 16 Pcs 40 12,144 485,760 12,144 - 40 12,144 485,760 0 12,144 -
24 Formalin cair Liter 45 140,008 6,300,360 140,008 - 10 140,008 1,400,080 35 140,008 4,900,280
25 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5 324,500 1,622,500
26 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12 18,775 225,300
27 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14 26,433 370,062
28 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21 54,085 1,135,785
29 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25 24,750 618,750
30 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5 13,200 66,000
31 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5 24,750 123,750
32 Guedel Airway no. 4 Pcs 15 24,750 371,250 24,750 - 24,750 - 15 24,750 371,250
33 Guedel Airway No. 5 Pcs 18 24,750 445,500 24,750 - 24,750 - 18 24,750 445,500
34 Hand sanitizer Btl 500 ml 22 43,605 959,310 43,605 - 10 43,605 436,050 12 43,605 523,260
35 Infuset Makro / Dewasa Pcs 450 7,320 3,294,000 7,320 - 200 7,320 1,464,000 250 7,320 1,830,000
36 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200 12,334 2,466,800
37 Jarum Insulin Pcs 200 2,083 416,600 2,083 - 100 2,083 208,300 100 2,083 208,300
38 Kapas 500 g Roll 18 31,372 564,696 31,372 - 31,372 - 18 31,372 564,696
39 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9 159,500 1,435,500
40 Kertas CTG 152 mm x 25 m Roll 8 270,000 2,160,000 270,000 - 2 270,000 540,000 6 270,000 1,620,000
41 Kertas EKG 110 mm Rol 3 103,125 309,375 103,125 - 2 103,125 206,250 1 103,125 103,125
42 Kertas EKG 207 mm Roll 2 220,000 440,000 220,000 - 2 220,000 440,000 0 220,000 -
43 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7 66,000 462,000
44 Laryng Mask Airways (LMA) no. 4 Pcs 4 330,000 1,320,000 330,000 - 4 330,000 1,320,000 0 330,000 -
45 Masker Bedah Biasa Pcs 2,700 4,400 11,880,000 4,400 - 2,700 4,400 11,880,000 0 4,400 -
46 Masker Nebulizer Anak Pcs 55 32,670 1,796,850 32,670 - 32,670 - 55 32,670 1,796,850
47 Masker Nebulizer Dewasa Pcs 80 26,464 2,117,120 26,464 - 26,464 - 80 26,464 2,117,120
48 Masker NRM Anak Pcs 30 33,000 990,000 33,000 - 33,000 - 30 33,000 990,000
49 Masker NRM Dewasa Pcs 25 19,154 478,850 19,154 - 10 19,154 191,540 15 19,154 287,310
50 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50 15,180 759,000
51 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140 15,180 2,125,200
52 Masker Oksigen Dewasa Pcs 35 15,180 531,300 15,180 - 20 15,180 303,600 15 15,180 227,700
53 Naso Gastrik Tube (NGT) no. 05 Pcs 10 12,797 127,970 12,797 - 12,797 - 10 12,797 127,970
54 Naso Gastrik Tube (NGT) no. 06 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
55 Naso Gastrik Tube (NGT) no. 08 Pcs 35 49,500 1,732,500 49,500 - 10 49,500 495,000 25 49,500 1,237,500
56 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
57 Naso Gastrik Tube (NGT) no. 12 Pcs 20 5,215 104,300 5,215 - 5,215 - 20 5,215 104,300
58 Naso Gastrik Tube (NGT) no. 14 Pcs 35 5,215 182,525 5,215 - 5 5,215 26,075 30 5,215 156,450
59 Naso Gastrik Tube (NGT) no. 16 Pcs 30 36,960 1,108,800 36,960 - 20 36,960 739,200 10 36,960 369,600
60 Naso Gastrik Tube (NGT) no. 18 Pcs 40 36,960 1,478,400 36,960 - 36,960 - 40 36,960 1,478,400
61 Naso Gastrik Tube (NGT) no. 3,5 Pcs 40 44,000 1,760,000 44,000 - 44,000 - 40 44,000 1,760,000
62 Paper printing UPP 110 HG Roll 2 275,000 550,000 275,000 - 2 275,000 550,000 0 275,000 -
63 Povidon Iodine 10 % 60 ml Botol 72 11,000 792,000 11,000 - 48 11,000 528,000 24 11,000 264,000
64 Povidon Iodine 10% 1 L Btl 1 L 2 59,967 119,934 59,967 - 2 59,967 119,934 0 59,967 -
65 Sarung tangan Gynecolog no. 6,5 pasang 80 45,000 3,600,000 45,000 - 45,000 - 80 45,000 3,600,000
66 Selang Oksigen Anak Pcs 15 8,760 131,400 8,760 - 15 8,760 131,400 0 8,760 -
67 Selang Oksigen Bayi Pcs 15 8,906 133,590 8,906 - 8,906 - 15 8,906 133,590
68 Selang Oksigen Dewasa Pcs 300 7,680 2,304,000 7,680 - 7,680 - 300 7,680 2,304,000
69 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 27,500 - 12 27,500 330,000
70 Spinocain No. 25 Pcs 25 31,200 780,000 31,200 - 31,200 - 25 31,200 780,000
71 Spinocain No. 26 Pcs 50 31,300 1,565,000 31,300 - 25 31,300 782,500 25 31,300 782,500
72 Spuit no. 01 cc Pcs 4,900 770 3,773,000 770 - 500 770 385,000 4400 770 3,388,000
73 Spuit no. 03 cc Pcs 4,600 1,159 5,331,400 1,159 - 1,500 1,159 1,738,500 3100 1,159 3,592,900
74 Spuit no. 05 cc Pcs 3,200 994 3,180,800 994 - 500 994 497,000 2700 994 2,683,800
75 Spuit no. 10 cc Pcs 3,700 1,282 4,743,400 1,282 - 1,000 1,282 1,282,000 2700 1,282 3,461,400
76 Spuit no. 20 cc Pcs 1,350 1,916 2,586,600 1,916 - 50 1,916 95,800 1300 1,916 2,490,800
77 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 4,704 - 1125 4,704 5,292,000
78 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300 5,258 1,577,400
79 Suction Catheter No. 08 Pcs 50 4,224 211,200 4,224 - 4,224 - 50 4,224 211,200
80 Suction Catheter No. 10 Pcs 50 4,224 211,200 4,224 - 50 4,224 211,200 0 4,224 -
81 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50 4,224 211,200
82 Suction Catheter No. 16 Pcs 60 8,407 504,420 8,407 - 20 8,407 168,140 40 8,407 336,280
83 Tranfusi Set Pcs 200 13,761 2,752,200 13,761 - 200 13,761 2,752,200 0 13,761 -
84 Transofix Pcs 150 3,400 510,000 3,400 - 100 3,400 340,000 50 3,400 170,000
85 Underpad Pcs 500 3,905 1,952,500 3,905 - 100 3,905 390,500 400 3,905 1,562,000
86 Urine bag Pcs 75 10,450 783,750 10,450 - 75 10,450 783,750 0 10,450 -
1 Abocath/Surflo iv cath no. 20 Pcs - 500 6,270 3,135,000 6,270 - 500 6,270 3,135,000
2 Abocath/Surflo iv cath no. 22 Pcs - 900 6,270 5,643,000 200 6,270 1,254,000 700 6,270 4,389,000
3 Alkohol 70 % 1 L Botol 1 L - 150 37,153 5,572,950 13 37,153 482,989 137 37,153 5,089,961
4 Alkohol Swab Pcs - 30,000 242 7,260,000 242 - 30000 242 7,260,000
5 Folley Catheter 2 ways no. 16 Pcs - 100 12,144 1,214,400 20 12,144 242,880 80 12,144 971,520
6 Folley Catheter 2 ways no. 18 Pcs - 100 12,144 1,214,400 10 12,144 121,440 90 12,144 1,092,960
7 Hand sanitizer Btl 500 ml - 200 54,506 10,901,200 54,506 - 200 54,506 10,901,200
8 Infus Set Makro / Dewasa Pcs - 500 8,107 4,053,500 8,107 - 500 8,107 4,053,500
9 Kasa Hidrofil 40 y x 80 cm Rol - 50 104,500 5,225,000 9 104,500 940,500 41 104,500 4,284,500
10 Kasa steril 16x16 Ktk - 400 3,500 1,400,000 50 3,500 175,000 350 3,500 1,225,000
11 Masker Bedah Pcs - 10,000 1,540 15,400,000 2,500 1,540 3,850,000 7500 1,540 11,550,000
12 Perfusor/extention tube 150 cm Pcs - 90 22,567 2,031,030 10 22,567 225,670 80 22,567 1,805,360
13 Povidon iodium 10% 1 L Botol 1 L - 50 51,820 2,591,000 51,820 - 50 51,820 2,591,000
14 Sarung tangan steril no. 7 Pasang - 800 12,100 9,680,000 12,100 - 800 12,100 9,680,000
15 Sarung tangan steril no. 7 Gamex Pasang - 200 26,400 5,280,000 50 26,400 1,320,000 150 26,400 3,960,000
16 Sarung tangan steril no. 7,5 Pasang - 800 12,100 9,680,000 12,100 - 800 12,100 9,680,000
17 Sarung tangan steril no. 7,5 Gamex Pasang - 200 26,400 5,280,000 50 26,400 1,320,000 150 26,400 3,960,000
18 Selang oksigen anak Pcs - 100 8,760 876,000 8,760 - 100 8,760 876,000
19 Selang oksigen bayi Pcs - 50 8,906 445,300 8,906 - 50 8,906 445,300
20 Threeway stop cock Pcs - 500 4,290 2,145,000 50 4,290 214,500 450 4,290 1,930,500

SUB TOTAL 125,578,041 99,027,780 51,994,346 172,611,475


SALDO AKHIR DESEMBER 2020 125,578,041
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 2/0 (Biasa) Set 48 8,855 425,040 8,855 - 8,855 - 48 8,855 425,040
2 Benang Catgut Chromic 3/0 (Biasa) Set 48 8,855 425,040 8,855 - 8,855 - 48 8,855 425,040
3 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60 42,605 2,556,300
4 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24 46,900 1,125,600
5 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12 51,100 613,200
6 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19 23,135 439,565
7 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 117,137 - 24 117,137 2,811,288
8 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12 132,498 1,589,976
9 Benang Premilene/Provein 5/0 Cutting Set 12 52,350 628,200 52,350 - 52,350 - 12 52,350 628,200
10 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60 93,980 5,638,800
11 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 72 61,392 4,420,224 61,392 - 61,392 - 72 61,392 4,420,224
12 Benang silk 2/0 + jarum Pcs 216 4,706 1,016,496 4,706 - 4,706 - 216 4,706 1,016,496
13 Benang silk 3/0 + jarum Pcs 252 4,706 1,185,912 4,706 - 4,706 - 252 4,706 1,185,912
14 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200 2,790 558,000
15 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
16 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
17 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48 52,700 2,529,600
18 Cairan Pencuci Alat Bedah Galon 5 L 1 504,000 504,000 504,000 - 1 504,000 504,000 0 504,000 -
19 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21 168,919 3,547,299
20 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20 168,919 3,378,380
21 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50 89,018 4,450,900
22 Cortical screw 4,5 - 40 mm Pcs 44 89,018 3,916,792 89,018 - 15 89,018 1,335,270 29 89,018 2,581,522
23 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000 82,500 - 82,500 - 30 82,500 2,475,000
24 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1 33,000 33,000
25 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1 308,000 308,000
26 Jas Operasi disp (surgical gown spulen) uk. L Pcs 21 23,067 484,407 23,067 - 23,067 - 21 23,067 484,407
27 K. Wire - 1,4 mm Pcs 1 193,050 193,050 193,050 - 1 193,050 193,050 0 193,050 -
28 K. Wire - 1,6 mm Pcs 8 193,050 1,544,400 193,050 - 6 193,050 1,158,300 2 193,050 386,100
29 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
30 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
31 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1 825,825 825,825
32 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
33 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2 542,685 1,085,370
34 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
35 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2 318,533 637,066
36 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1 318,533 318,533
37 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1 854,139 854,139
38 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2 854,139 1,708,278
39 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9 112,613 1,013,517
40 Mesh Hernia Pcs 5 218,562 1,092,810 218,562 - 5 218,562 1,092,810 0 218,562 -
41 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
42 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
43 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750

44 Small plate - DCP small narrow plate 3,5 mm, small bone Pcs 2 438,867 877,734 438,867 - 438,867 - 2 438,867 877,734
type A, 10 holes
45 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2 684,255 1,368,510
46 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1 684,255 684,255
47 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2 880,000 1,760,000
1 Benang Catgut Chromic 1 HR 26 mm -Taper Set - 24 63,100 1,514,400 12 63,100 757,200 12 63,100 757,200
2 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set - 24 58,700 1,408,800 58,700 - 24 58,700 1,408,800
3 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set - 108 90,300 9,752,400 36 90,300 3,250,800 72 90,300 6,501,600
4 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set - 108 101,250 10,935,000 101,250 - 108 101,250 10,935,000
5 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Set - 72 91,244 6,569,568 36 91,244 3,284,784 36 91,244 3,284,784
6 Benang Monosyn/T-Mono 3/0 DS 24 70 cm R. Cutting Pcs - 72 98,000 7,056,000 98,000 - 72 98,000 7,056,000
7 Benang PGA /Safil 3/0 26 mm 1/2 circle - Taper Set - 36 104,100 3,747,600 36 104,100 3,747,600 0 104,100 -
8 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set - 48 70,400 3,379,200 70,400 - 48 70,400 3,379,200
9 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs - 36 73,800 2,656,800 73,800 - 36 73,800 2,656,800
10 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs - 36 73,600 2,649,600 73,600 - 36 73,600 2,649,600
11 Mesh Hernia uk. 5 cmx 10 cm Pcs - 10 118,800 1,188,000 118,800 - 10 118,800 1,188,000
12 Mesh Hernia uk. 5 cmx 10 cm Pcs - 10 218,562 2,185,620 218,562 - 10 218,562 2,185,620
13 Sponge Gelatin Pcs - 20 75,000 1,500,000 75,000 - 20 75,000 1,500,000

SUB TOTAL 72,560,956 54,542,988 15,323,814 111,780,130


SALDO AKHIR DESEMBER 2020 72,560,956
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs - 10 4,600,000 46,000,000 4,600,000 - 10 4,600,000 46,000,000

SUB TOTAL - 46,000,000 - 46,000,000

Mengetahui, Kuala Kurun, 31 Januari 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Ambroxol syr 15 mg/5 ml Botol 200 4,960
2 Acarbose tab 100 mg Tablet 3,000 996
3 Acarbose tab 50 mg Tablet 3,000 720
4 Amitriptilin tab 25 mg Tablet 2,000 220
5 Amoxiclav tab 625 mg Tablet 600 5,808
6 Apialys drop Botol 60 42,460
7 Apialys syrup Botol 60 34,485
8 Aqua Pro inj Vial 1,000 7,260
9 Asam tranexamat inj 500 mg/5 ml Ampul 300 8,333
10 Asetilsistein inj 5 gr/25 ml Botol 50 183,876
11 Asetilsistein tab 200 mg Tablet 3,000 460
12 Azitromisin kaps 500 mg Kapsul 600 6,435
13 Bioplacenton salep Tube 60 18,700
14 Bisoprolol tab 5 mg Tablet 90 256
15 Bisoprolol tab 5 mg Tablet 1,950 1,523
16 Bricasma Respules 2,5 mg/ml Respule 200 7,602
17 Cefadroksil kaps 500 mg Kapsul 3,000 908
18 Cefixime kap 100 mg Kapsul 1,000 858
19 Cefixime kap 200 mg Kapsul 2,000 4,125
20 Ceftriaxon inj 1 gr Vial 500 13,001
21 Cetirizine tab 10 mg Tablet 300 403
22 Dexametason inj 5 mg/ml Ampul 2,000 2,416
23 Difenhidramin inj 10 mg/ml (i.v./i.m.)  Ampul 90 1,865
24 Dimenhydrinat tab 50 mg Tablet 2,000 162
25 Domperidon susp 5 mg/5 ml Botol 100 11,088
26 Fentanyl inj 0,05 mg/ml Ampul 100 44,391
27 Framisetin sulfat Pcs 200 10,175
28 Gastrul tab 200 mcg Tablet 900 12,100
29 Haloperidol tab 0,5 mg Tablet 2,000 278
30 Human albumin 20% Botol 100 ml 10 939,048
31 KCl inj 7,6 % Vial 25 ml 120 3,223
32 Ketokenazol tab 200 mg Tablet 500 755
33 Ketorolak inj 30 mg Ampul 300 6,001
34 L Bio saset Sachet 330 7,315
35 Lantus Analog Insulin Pen 100 89,000
36 Levofloxacin infus 750 mg/150 ml Botol 100 95,997
37 Levofloxacin tab 750 mg Tablet 900 3,086
38 Lidokain inj 2% Ampul 2,000 1,475
39 Meloxicam tab 15 mg Tablet 1,000 500
40 Meloxicam tab 7,5 mg Tablet 1,300 440
41 Meropenem inj 1 gr Vial 100 32,345
42 Metilprednisolon inj 125 mg  Vial 200 12,217
43 Metilprednisolon tab 16 mg  Tablet 1,000 637
44 Metoclopramid inj 10 mg/2 ml Ampul 300 6,930
45 Metronidazol infus 500 mg/100 ml Botol 312 8,250
46 Metronidazol syr 125 mg/5 ml Botol 100 6,270
47 Metronidazole tab 500 mg Tablet 2,000 282
48 MgSO4 inj 20% Vial 25 ml 115 3,328
49 Microlax tube rektal Tube 100 18,769
50 Moxifloxacin infus 400 mg/250 ml Botol 90 187,000
51 Neurosanbe inj Ampul 300 6,017
52 Neurosanbe tab Tablet 1,000 1,315
53 Norephineprin inj 4 mg/4 ml Ampul 50 26,400
54 Olanzapin/Sopavel tab 5 mg Tablet 90 12,155
55 Omeprazol inj 40 mg Vial 300 11,868
56 Omeprazol kaps 20 mg Kapsul 3,000 610
57 Oralit saset Sachet 2,000 666
58 Pantoprazol inj 40 mg Vial 500 33,006
59 Parasetamol infus 1 g/100 ml Botol 408 11,990
60 Pethidin inj 100 mg/2 ml Ampul 120 19,481
61 Pralax syr Botol 30 77,000
62 Profofol /Proanes inj 1% Ampul 50 88,935
63 Quanocain spinal 20 mg/4 ml Ampul 50 54,450
64 Quentiapin/Quetvel tab 200 mg Tablet 300 14,266
65 Ranitidin tab 50 mg Tablet 3,000 303
66 Sanmag syrup Botol 50 27,500
67 Sanmol infus 1 gr/100 ml Botol 300 30,251
68 Santagesik inj 1 gr/2 ml Ampul 500 4,401
69 Simvastatin tab 10 mg Tablet 1,500 293
70 Simvastatin tab 20 mg Tablet 2,500 505
71 Sukralfat syrup 500 mg/5 ml Botol 400 7,789
72 Symbicort 160/4.5 Turbu 120 d Botol 50 149,266
73 Tablet Tambah Darah Tablet 1,470 546
74 Trihexyfenidil tab 2 mg Tablet 2,000 116
75 Trovensis inj 4 mg/2 m Ampul 100 37,213

BMHP
1 Abocath/Surflo iv cath no. 20 Pcs 500 6,270
2 Abocath/Surflo iv cath no. 22 Pcs 900 6,270
3 Alkohol 70 % 1 L Botol 1 L 150 37,153
4 Alkohol swab Pcs 30,000 242
5 Folley Catheter 2 ways no. 16 Pcs 100 12,144
6 Folley Catheter 2 ways no. 18 Pcs 100 12,144
7 Hand sanitizer Btl 500 ml 200 54,506
8 Infusion set Dewasa Pcs 500 8,107
9 Kasa Hidrofil 40 y x 80 cm Rol 50 104,500
10 Kasa steril 16x16 Ktk 400 3,500
11 Masker Bedah ear loop Pcs 10,000 1,540
12 Perfusor/extention tube 150 cm Pcs 90 22,567
13 Povidon iodium 10% 1 L Botol 1 L 50 51,820
14 Sarung tangan steril no. 7 Pasang 800 12,100
15 Sarung tangan steril no. 7 Gamex Pasang 200 26,400
16 Sarung tangan steril no. 7,5 Pasang 800 12,100
17 Sarung tangan steril no. 7,5 Gamex Pasang 200 26,400
18 Selang oksigen anak Pcs 100 8,760
19 Selang oksigen bayi Pcs 50 8,906
20 Threeway stop cock Pcs 500 4,290

BMHP BEDAH
1 Benang Catgut Chromic 1 HR 26 mm -Taper Set 24 63,100
2 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700
3 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 108 90,300
4 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 108 101,250
5 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Set 72 91,244
6 Benang Monosyn/T-Mono 3/0 DS 24 70 cm R. Cutting Pcs 72 98,000
7 Benang PGA /Safil 3/0 26 mm 1/2 circle - Taper Set 36 104,100
8 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400
9 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 36 73,800
10 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 36 73,600
11 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800
12 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562
13 Sponge Gelatin Pcs 20 75,000

BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 10 4,600,000
JUMLAH HARGA
6

992,000
2,988,000
2,160,000
440,000
3,484,800
2,547,600
2,069,100
7,260,000
2,499,900
9,193,800
1,380,000
3,861,000
1,122,000
23,040
2,969,850
1,520,400
2,724,000
858,000
8,250,000
6,500,500
120,900
4,832,000
167,850
324,000
1,108,800
4,439,100
2,035,000
10,890,000
556,000
9,390,480
386,760
377,500
1,800,300
2,413,950
8,900,000
9,599,700
2,777,400
2,950,000
500,000
572,000
3,234,500
2,443,400
637,000
2,079,000
2,574,000
627,000
564,000
382,720
1,876,900
16,830,000
1,805,100
1,315,000
1,320,000
1,093,950
3,560,400
1,830,000
1,332,000
16,503,000
4,891,920
2,337,720
2,310,000
4,446,750
2,722,500
4,279,800
909,000
1,375,000
9,075,300
2,200,500
439,500
1,262,500
3,115,600
7,463,300
802,620
232,000
3,721,300
238,579,010

3,135,000
5,643,000
5,572,950
7,260,000
1,214,400
1,214,400
10,901,200
4,053,500
5,225,000
1,400,000
15,400,000
2,031,030
2,591,000
9,680,000
5,280,000
9,680,000
5,280,000
876,000
445,300
2,145,000
99,027,780

1,514,400
1,408,800
9,752,400
10,935,000
6,569,568
7,056,000
3,747,600
3,379,200
2,656,800
2,649,600
1,188,000
2,185,620
1,500,000
54,542,988

46,000,000
46,000,000

438,149,778.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN FEBRUARI 2021

Persediaan Awal Masuk Pemakaian Persedi


No Jenis Persediaan Satuan 01 FEBRUARI 2021 SELAMA FEBRUARI 2021 SELAMA FEBRUARI 2021 28 FEBR
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh
1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
1 Acarbose tab 100 mg Tablet 3,000 996 2,988,000 996 - 500 996 498,000 2,500
2 Acarbose tab 50 mg Tablet - 720 - 720 - 720 - -
3 Acarbose tab 50 mg Tablet 3,000 720 2,160,000 720 - 500 720 360,000 2,500
4 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100
5 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700
6 Acyclovir tab 400 mg Tablet 500 898 449,000 898 - 898 - 500
7 Allopurinol tab 100 mg Tablet 1,000 231 231,000 231 - 231 - 1,000
8 Alprazolam tab 0,5 mg Tablet 500 327 163,500 327 - 327 - 500
9 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 900 - 2,700
10 Ambroxol syr 15 mg/5 ml Botol - 6,160 - 6,160 - 6,160 - -
11 Ambroxol syr 15 mg/5 ml Botol 200 4,960 992,000 4,960 - 4,960 - 200
12 Ambroxol tab 30 mg Tablet 1,000 308 308,000 308 - 500 308 154,000 500
13 Aminophylline inj 240 mg/10 ml Ampul 90 4,320 388,800 4,320 - 30 4,320 129,600 60
14 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30
15 Amitriptyline tab 25 mg Tablet 2,500 220 550,000 220 - 500 220 110,000 2,000
16 Amlodipine tab 10 mg Tablet 1,000 216 216,000 216 - 1,000 216 216,000 -
17 Amlodipine tab 5 mg Tablet 2,000 70 140,000 70 - 2,000 70 140,000 -
18 Amoxiclav tab Tablet 750 5,808 4,356,000 5,808 - 5,808 - 750
19 Amoxycillin syr 125 mg/5 ml Botol - 5,000 - 5,000 - 5,000 - -
20 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202
21 Amoxycillin tab 500 mg Tablet 4,000 300 1,200,000 300 - 300 - 4,000
22 Ampicillin inj 1g Vial 100 11,124 1,112,400 11,124 - 50 11,124 556,200 50
23 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30
24 Antasida DOEN tab Tablet 4,500 178 801,000 178 - 500 178 89,000 4,000
25 Antasida syrup Botol 300 2,992 897,600 2,992 - 2,992 - 300
26 Anti Hemoroid supp Supp 100 2,970 297,000 2,970 - 2,970 - 100
27 Apialis drop Botol 50 42,460 2,123,000 42,460 - 15 42,460 636,900 35
28 Apialys Syrup Boto 60 ml 80 34,485 2,758,800 34,485 - 10 34,485 344,850 70
29 Aqua pro inj Vial 480 2,860 1,372,800 2,860 - 2,860 - 480
30 Aqua Pro inj Vial 1,000 7,260 7,260,000 7,260 - 7,260 - 1,000
31 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 2,500 616 1,540,000 616 - 1,500 616 924,000 1,000
32 Asam Folat tab 1 mg Tablet 500 188 94,000 188 - 500 188 94,000 -
33 Asam Mefenamat tab 500 mg Tablet 3,500 263 920,500 263 - 500 263 131,500 3,000
34 Asam Tranexamat inj 250 mg/5 ml Ampul - 6,248 - 6,248 - 6,248 - -
35 Asam Tranexamat inj 500 mg/5 ml Ampul - 4,620 - 4,620 - 4,620 - -
36 Asam tranexamat inj 500 mg/5 ml Ampul 200 8,333 1,666,600 8,333 - 8,333 - 200
37 Asetilsistein inj 5 gr/25 ml Botol 50 183,876 9,193,800 183,876 - 10 183,876 1,838,760 40
38 Asetilsistein tab 200 mg Tablet - 2,574 - 2,574 - 2,574 - -
39 Asetilsistein tab 200 mg Tablet 3,000 460 1,380,000 460 - 1,560 460 717,600 1,440
40 Aspar K tab Tablet 500 2,721 1,360,500 2,721 - 500 2,721 1,360,500 -
41 Atracurium inj 50 mg/5 ml (Farelax) Ampul 25 79,365 1,984,125 79,365 - 79,365 - 25
42 Atropin inj 0,25 mg/ml Ampul 500 1,958 979,000 1,958 - 100 1,958 195,800 400
43 Azythromicyn tab 500 mg Tablet 400 6,435 2,574,000 6,435 - 400 6,435 2,574,000 -
44 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml - 31,156 - 31,156 - 31,156 - -
45 Betahistin tab 6 mg Tablet 3,500 119 416,500 119 - 119 - 3,500
46 Betamethasone krim 0,1%  Tube 25 1,465 36,625 1,465 - 1,465 - 25
47 Bioplacenton salep Tube 48 18,700 897,600 18,700 - 18,700 - 48
48 Bisoprolol tab 5 mg Tablet 300 256 76,800 256 - 300 256 76,800 -
49 Bisoprolol tab 5 mg Tablet - 256 - 256 - 256 - -
50 Bisoprolol tab 5 mg Tablet 1,650 1,523 2,512,950 1,523 - 900 1,523 1,370,700 750
51 Bricasma Respules 2,5 mg/ml Respule 160 7,602 1,216,320 7,602 - 20 7,602 152,040 140
52 Bunascan spinal inj Ampul 25 72,600 1,815,000 72,600 - 72,600 - 25
53 Burnazin krim Tube 14 61,792 865,088 61,792 - 14 61,792 865,088 -
54 Calcium Lactate tab 500 mg Tablet 7,500 224 1,680,000 224 - 500 224 112,000 7,000
55 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 10,351 - 48
56 Candesartan tab 16 mg Tablet - 1,153 - 1,153 - 1,153 - -
57 Candesartan tab 8 mg Tablet 1,500 661 991,500 661 - 1,500 661 991,500 -
58 Captopril tab 12,5 mg Tablet - 84 - 84 - 84 - -
59 Captopril tab 25 mg Tablet 4,000 137 548,000 137 - 137 - 4,000
60 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500
61 Cefadroxyl cap 500 mg Kapsul 3,000 908 2,724,000 908 - 908 - 3,000
62 Cefadroxyl cap 500 mg Kapsul 1,000 831 831,000 831 - 500 831 415,500 500
63 Cefadroxyl syr 125 mg/5 ml Botol 100 7,759 775,900 7,759 - 7,759 - 100
64 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50
65 Cefixime kap 100 mg Kapsul 1,000 858 858,000 858 - 858 - 1,000
66 Cefixime kap 100 mg kapsul 1,000 1,053 1,053,000 1,053 - 500 1,053 526,500 500
67 Cefixime kap 200 mg Kapsul 2,000 4,125 8,250,000 4,125 - 500 4,125 2,062,500 1,500
68 Cefixime kap 200 mg kapsul 500 3,105 1,552,500 3,105 - 500 3,105 1,552,500 -
69 Cefixime syr 100 mg/5 ml Botol 50 21,628 1,081,400 21,628 - 25 21,628 540,700 25
70 Cefotaxime inj 1 gr Vial 1,350 27,060 36,531,000 27,060 - 27,060 - 1,350
71 Ceftazidime inj 1 g Vial - 40,260 - 40,260 - 40,260 - -
72 Ceftriaxone inj 1 g Vial 500 13,001 6,500,500 13,001 - 13,001 - 500
73 Ceftriaxone inj 1 g Vial 250 12,500 3,125,000 12,500 - 200 12,500 2,500,000 50
74 Cefuroxime inj 1 g Vial 150 29,975 4,496,250 29,975 - 150 29,975 4,496,250 -
75 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 29,975 - 20
76 Cetadop (Dopamin) inj 200 mg/5 ml Ampul 100 6,160 616,000 6,160 - 100 6,160 616,000 -
77 Cetirizine drop 10 mg/ml Botol 10 27,500 275,000 27,500 - 10 27,500 275,000 -
78 Cetirizine syr 5 mg/5 ml Botol 25 10,440 261,000 10,440 - 10 10,440 104,400 15
79 Cetirizine tab 10 mg Tablet - 403 - 403 - 403 - -
80 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72
81 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000 58 - 58 - 2,000
82 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700
83 Cinam inj Vial 100 70,403 7,040,300 70,403 - 100 70,403 7,040,300 -
84 Ciprofloxacin infus Botol 150 42,996 6,449,400 42,996 - 50 42,996 2,149,800 100
85 Ciprofloxacin tab 500 mg Tablet 500 500 250,000 500 - 500 - 500
86 Citicolin inj 250 mg/2 ml  Ampul 50 14,438 721,900 14,438 - 50 14,438 721,900 -
87 Citicolin inj 500 mg/5 ml  Ampul 25 11,000 275,000 11,000 - 11,000 - 25
88 Citicolin tab 500 mg Tablet 150 5,984 897,600 5,984 - 150 5,984 897,600 -
89 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80
90 Clindamycin cap 300 mg Kapsul 1,000 1,426 1,426,000 1,426 - 500 1,426 713,000 500
91 Clobazam tab 100 mg Tablet 500 916 458,000 916 - 200 916 183,200 300
92 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700
93 Clopidogrel tab 75 mg Tablet 300 1,568 470,400 1,568 - 300 1,568 470,400 -
94 Codein tab 10 mg Tablet 2,000 685 1,370,000 685 - 685 - 2,000
95 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 6,496 - 150
96 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120
97 Daryant Tulle (Framycetin) Pcs 250 10,175 2,543,750 10,175 - 10,175 - 250
98 Dexametason inj 5 mg/ml Ampul 1,800 2,416 4,348,800 2,416 - 200 2,416 483,200 1,600
99 Dexamethasone tab 0,5 mg Tablet 15,500 162 2,511,000 162 - 500 162 81,000 15,000
100 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 20 19,789 395,780 19,789 - 19,789 - 20
101 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500
102 Diazepam tab 5 mg (Valisanbe) Tablet 1,200 429 514,800 429 - 500 429 214,500 700
103 Difenhidramin inj 10 mg/ml (i.v./i.m.)  Ampul 90 1,865 167,850 1,865 - 90 1,865 167,850 -
104 Digoxin tab 0,25 mg Tablet 2,500 104 260,000 104 - 500 104 52,000 2,000
105 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000
106 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000
107 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200
108 Domperidon susp 5 mg/5 ml Botol 100 11,088 1,108,800 11,088 - 50 11,088 554,400 50
109 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500
110 Dopamet tab 250 mg Kapsul 500 1,135 567,500 1,135 - 300 1,135 340,500 200
111 Dulcolax supp 10 mg Supp 25 22,693 567,325 22,693 - 22,693 - 25
112 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600
113 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 17,061 - 115
114 Ephedrin inj 50 mg/ml Ampul 150 8,569 1,285,350 8,569 - 8,569 - 150
115 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360
116 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 100 23,760 2,376,000 23,760 - 25 23,760 594,000 75
117 Erythromicyn tab 500 mg Tablet - 963 - 963 - 963 - -
118 Etambutol tab 500 mg Tablet 1,000 543 543,000 543 - 543 - 1,000
119 Fentanyl inj Ampul - 44,391 - 44,391 - 44,391 - -
120 Fentanyl inj Ampul 100 44,391 4,439,100 44,391 - 25 44,391 1,109,775 75
121 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 1,738 - 150
122 Fitomenadion (vit k 1) inj 2 mg/ml (i.m.)  Ampul 180 5,059 910,620 5,059 - 180 5,059 910,620 -
123 Flucadex syr Botol 62 10,267 636,554 10,267 - 20 10,267 205,340 42
124 Flunarizine tab 10 mg Tablet 800 1,870 1,496,000 1,870 - 400 1,870 748,000 400
125 Flunarizine tab 5 mg Tablet 200 1,058 211,600 1,058 - 1,058 - 200
126 Folavit tab Tablet 500 984 492,000 984 - 984 - 500
127 Fortanest inj 5 mg/5 ml Ampul 10 17,765 177,650 17,765 - 17,765 - 10
128 Furosemide inj 20 mg/2 ml Ampul 50 1,710 85,500 1,710 - 50 1,710 85,500 -
129 Furosemide tab 40 mg Tablet 8,000 153 1,224,000 153 - 1,000 153 153,000 7,000
130 Gabapentin tab 300 mg Tablet 1,200 2,750 3,300,000 2,750 - 2,750 - 1,200
131 Gastrul tab Tablet 150 11,797 1,769,550 11,797 - 11,797 - 150
132 Gastrul tab Tablet 750 12,100 9,075,000 12,100 - 12,100 - 750
133 Gemfibrozil kap 300 mg Tablet 2,000 656 1,312,000 656 - 1,000 656 656,000 1,000
134 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 250 10,714 2,678,500 10,714 - 50 10,714 535,700 200
135 Gentamicyn krim (Gentalex) Tube 4 2,350 9,400 2,350 - 2,350 - 4
136 Gentamicyn krim (Gentalex) Tube 80 2,657 212,560 2,657 - 2,657 - 80
137 Glimepiride tab 2 mg Tablet 2,000 404 808,000 404 - 1,000 404 404,000 1,000
138 Glimepiride tab 4 mg Tablet 2,000 434 868,000 434 - 500 434 217,000 1,500
139 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500
140 Haloperidol tab 0,5 mg Tablet 1,500 278 417,000 278 - 278 - 1,500
141 Hidrocortisone cream 2,5% Tube 125 2,723 340,375 2,723 - 25 2,723 68,075 100
142 Human albumin 20% Botol 100 ml 10 939,048 9,390,480 939,048 - 939,048 - 10
143 Ibuprofen syrup 100 mg/5 ml Botol 60 ml 20 9,350 187,000 9,350 - 20 9,350 187,000 -
144 Ibuprofen tab 200 mg Tablet 1,500 229 343,500 229 - 229 - 1,500
145 Ibuprofen tab 400 mg Tablet 2,500 380 950,000 380 - 380 - 2,500
146 Infus Aminoleban Btl 500 ml - 74,655 - 74,655 - 74,655 - -
147 Infus D5 + 1/2 NS Btl 500 ml 260 11,000 2,860,000 11,000 - 80 11,000 880,000 180
148 Infus D5 + 1/4 NS Btl 500 ml 320 11,000 3,520,000 11,000 - 60 11,000 660,000 260
149 Infus Dextrose 10% Btl 500 ml 24 11,880 285,120 11,880 - 11,880 - 24
150 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168
151 Infus Glukosa 5% Btl 500 ml 40 7,364 294,560 7,364 - 7,364 - 40
152 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100
153 Infus Hes Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60
154 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30
155 Infus Nacl 0,9 % Btl 500 ml 1,520 6,840 10,396,800 6,840 - 220 6,840 1,504,800 1,300
156 Infus Nacl 100 ml Botol - 7,700 - 7,700 - 7,700 - -
157 Infus Ring As Btl 500 ml 24 10,290 246,960 10,290 - 24 10,290 246,960 -
158 Infus Ringer Lactat Btl 500 ml 1,880 7,630 14,344,400 7,630 - 600 7,630 4,578,000 1,280
159 Infus Tridex 27 B Btl 500 ml 240 11,549 2,771,760 11,549 - 11,549 - 240
160 Inviclot (Heparin) inj Vial - 69,300 - 69,300 - 69,300 - -
161 Isoflurane (Terrel) Botol 250 ml 10 1,480,000 14,800,000 1,480,000 - 3 1,480,000 4,440,000 7
162 Isoniazid tab 300 mg Tablet - 262 - 262 - 262 - -
163 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30
164 Isosorbit Dinitrat tab 5 mg Tablet - 121 - 121 - 121 - -
165 Kalium Diclofenak tab 50 mg Tablet 1,000 460 460,000 460 - 1,000 460 460,000 -
166 KCl inj 7,6 % Vial 25 ml 140 3,223 451,220 3,223 - 30 3,223 96,690 110
167 Ketamin inj 50 mg/ml Ktk 1 vial 120 71,929 8,631,480 71,929 - 71,929 - 120
168 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500
169 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50
170 Ketorolac inj 30 mg/ml Ampul 100 4,455 445,500 4,455 - 100 4,455 445,500 -
171 Ketorolac inj 30 mg/ml Ampul 300 6,001 1,800,300 6,001 - 200 6,001 1,200,200 100
172 L-Bio Sachet 180 7,315 1,316,700 7,315 - 180 7,315 1,316,700 -
173 Lacto-B Sachet - 4,867 - 4,867 - 4,867 - -
174 Lansoprazole cap 30 mg Kapsul 1,000 675 675,000 675 - 800 675 540,000 200
175 Lantus Insulin Pen 75 89,000 6,675,000 89,000 - 50 89,000 4,450,000 25
176 Levofloxacin infus 750 mg/150 ml Botol 100 95,997 9,599,700 95,997 - 100 95,997 9,599,700 -
177 Levofloxacin tab 500 mg Tablet - 1,142 - 1,142 - 1,142 - -
178 Levofloxacin tab 750 mg Tablet 750 3,086 2,314,500 3,086 - 600 3,086 1,851,600 150
179 Levopar tab Tablet - 3,960 - 3,960 - 3,960 - -
180 Lidocain inj 2% Ampul 4,200 1,475 6,195,000 1,475 - 200 1,475 295,000 4,000
181 Lisinopril tab 10 mg Tablet - 369 - 369 - 369 - -
182 Lisinopril tab 5 mg Tablet 1,000 250 250,000 250 - 500 250 125,000 500
183 Loratadin tab 10 mg Tablet 500 281 140,500 281 - 281 - 500
184 Meloxicam tab 15 mg Tablet 1,000 500 500,000 500 - 500 500 250,000 500
185 Meloxicam tab 7,5 mg Tablet 1,300 440 572,000 440 - 440 - 1,300
186 Meropenem inj 1 gr Vial 90 32,345 2,911,050 32,345 - 70 32,345 2,264,150 20
187 Methylergometrine inj Ampul 400 3,553 1,421,200 3,553 - 100 3,553 355,300 300
188 Methylprednisolone inj 125 mg Vial - 11,449 - 11,449 - 11,449 - -
189 Methylprednisolone inj 125 mg Vial 200 12,217 2,443,400 12,217 - 80 12,217 977,360 120
190 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500 1,273 - 1,273 - 500
191 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000
192 Methylprednisolone tab 4 mg Tablet - 242 - 242 - 242 - -
193 Methylprednisolone tab 8 mg Tablet 3,000 483 1,449,000 483 - 483 - 3,000
194 Metoclopramide inj 10 mg/2 ml Ampul 250 6,930 1,732,500 6,930 - 150 6,930 1,039,500 100
195 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000
196 Metronidazol infus 500 mg/100 ml Botol - 8,250 - 8,250 - 8,250 - -
197 Metronidazol infus 500 mg/100 ml Botol 264 8,250 2,178,000 8,250 - 96 8,250 792,000 168
198 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75
199 Metronidazol syr 125 mg/5 ml Botol 200 6,270 1,254,000 6,270 - 6,270 - 200
200 Metronidazole tab 500 mg Tablet 2,000 282 564,000 282 - 1,000 282 282,000 1,000
201 Meylon inj 8,4% (i.v.)  Vial 25 ml 50 6,448 322,400 6,448 - 50 6,448 322,400 -
202 MgSO4 inj 20% Vial 25 ml 115 3,328 382,720 3,328 - 30 3,328 99,840 85
203 Miconazole krim 2% Tube 72 3,415 245,880 3,415 - 24 3,415 81,960 48
204 Microlax Tube 20 18,975 379,500 18,975 - 18,975 - 20
205 Microlax Tube 100 18,769 1,876,900 18,769 - 18,769 - 100
206 Morfin inj 10 mg/ml Ampul 70 34,050 2,383,500 34,050 - 20 34,050 681,000 50
207 Moxifloxacin infus Botol - 187,000 - 187,000 - 187,000 - -
208 Moxifloxacin infus Botol - 187,000 - 187,000 - 187,000 - -
209 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000 164 - 164 - 250
210 Neurosanbe inj Ampul 250 6,017 1,504,250 6,017 - 150 6,017 902,550 100
211 Neurosanbe tab Tablet - 1,315 - 1,315 - 1,315 - -
212 Neurosanbe tab Tablet 1,000 1,315 1,315,000 1,315 - 1,000 1,315 1,315,000 -
213 New Diatabs tab Tablet - 557 - 557 - 557 - -
214 Nicardipine inj 10 mg/10 ml Ampul - 23,092 - 23,092 - 23,092 - -
215 Nifedipin tab 10 mg Tablet - 163 - 163 - 163 - -
216 Nopril tab 10 mg Tablet - 600 - 600 - 600 - -
217 Norephineprin inj 4 mg/4 ml Ampul 40 26,400 1,056,000 26,400 - 25 26,400 660,000 15
218 Novorapid insulin Pen - 87,000 - 87,000 - 87,000 - -
219 Nystatin drop Botol 30 21,780 653,400 21,780 - 21,780 - 30
220 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300
221 Olanzapin/ Sopavel tab 5 mg Tablet 150 12,155 1,823,250 12,155 - 60 12,155 729,300 90
222 Omeprazol inj 40 mg Vial 250 11,868 2,967,000 11,868 - 200 11,868 2,373,600 50
223 Omeprazol kaps 20 mg Kapsul 3,000 610 1,830,000 610 - 300 610 183,000 2,700
224 Omeprazol kaps 20 mg Kapsul 500 496 248,000 496 - 500 496 248,000 -
225 Ondancentron inj 4mg/2 ml Ampul 100 1,443 144,300 1,443 - 100 1,443 144,300 -
226 Ondancentron tab 4 mg Tablet 1,730 1,016 1,757,680 1,016 - 600 1,016 609,600 1,130
227 Oralit saset Sachet 1,800 666 1,198,800 666 - 666 - 1,800
228 Otopain tetes telinga Botol 20 73,769 1,475,380 73,769 - 20 73,769 1,475,380 -
229 Oxytetracycline salep mata Tube 75 3,692 276,900 3,692 - 3,692 - 75
230 Oxytocin inj Ampul 200 1,287 257,400 1,287 - 100 1,287 128,700 100
231 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14
232 Pantoprazol inj 40 mg Vial 300 33,006 9,901,800 33,006 - 250 33,006 8,251,500 50
233 Paracetamol infus 1 g/100 ml Botol 312 11,990 3,740,880 11,990 - 240 11,990 2,877,600 72
234 Paracetamol syr 120 mg/5 ml Botol 144 4,890 704,160 4,890 - 48 4,890 234,720 96
235 Paracetamol tab 500 mg Tablet 2,500 253 632,500 253 - 2,500 253 632,500 -
236 Pethidin inj 100 mg/2 ml Ampul 120 19,481 2,337,720 19,481 - 19,481 - 120
237 Pethidin inj 100 mg/2 ml Ampul - 13,191 - 13,191 - 13,191 - -
238 Phenobarbital inj 50 mg/1 ml Ampul 120 2,380 285,600 2,380 - 2,380 - 120
239 Phenobarbital tab 30 mg Tablet 2,200 187 411,400 187 - 500 187 93,500 1,700
240 Piracetam inj 1 gr/5 ml Ampul 100 4,950 495,000 4,950 - 4,950 - 100
241 Piracetam inj 3 g/15 ml Ampul 90 15,675 1,410,750 15,675 - 15,675 - 90
242 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500
243 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 361 - 1,500
244 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000
245 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24
246 Prednison tab 5 mg Tablet 1,500 198 297,000 198 - 500 198 99,000 1,000
247 Profofol /Proanes inj 1% Ampul 50 88,935 4,446,750 88,935 - 20 88,935 1,778,700 30
248 Promavit tab Tablet 300 3,448 1,034,400 3,448 - 300 3,448 1,034,400 -
249 Propanolol tab 10 mg Tablet 1,500 93 139,500 93 - 1,000 93 93,000 500
250 Propanolol tab 40 mg Tablet 4,000 145 580,000 145 - 145 - 4,000
251 Propilthyouracil tab 100 mg Tablet 1,000 518 518,000 518 - 1,000 518 518,000 -
252 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50
253 Pulmicort Respules 0,5 mg/ml Respule 600 14,131 8,478,600 14,131 - 14,131 - 600
254 Pumpisel inj 40 mg Vial - 72,600 - 72,600 - 72,600 - -
255 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800
256 Quanocain spinal 20 mg/4 ml Ampul 25 54,450 1,361,250 54,450 - 10 54,450 544,500 15
257 Quentiapin / Quetvel tab 200 mg Tablet 420 14,266 5,991,720 14,266 - 60 14,266 855,960 360
258 Ranitidin inj 50 mg/2 ml Ampul 200 4,002 800,400 4,002 - 100 4,002 400,200 100
259 Ranitidine tab 150 mg Tablet 3,000 303 909,000 303 - 303 - 3,000
260 Ranitidine tab 150 mg Tablet 500 903 451,500 903 - 500 903 451,500 -
261 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000
262 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500
263 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000
264 Sanmag syrup Botol 50 27,500 1,375,000 27,500 - 25 27,500 687,500 25
265 Sanmol drop Botol 40 17,270 690,800 17,270 - 20 17,270 345,400 20
266 Sanmol infus 1 gr/100 ml Botol 300 30,251 9,075,300 30,251 - 36 30,251 1,089,036 264
267 Sanmol syr 120 mg/5 ml Botol 176 12,870 2,265,120 12,870 - 24 12,870 308,880 152
268 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500
269 Santagesik inj 1 gr/2 ml Ampul 400 4,401 1,760,400 4,401 - 4,401 - 400
270 Sevoflurane Botol 1 1,683,000 1,683,000 1,683,000 - 1 1,683,000 1,683,000 -
271 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40
272 Simvastatin tab 10 mg Tablet - 564 - 564 - 564 - -
273 Simvastatin tab 10 mg Tablet 1,000 293 293,000 293 - 1,000 293 293,000 -
274 Simvastatin tab 20 mg Tablet - 204 - 204 - 204 - -
275 Simvastatin tab 20 mg Tablet 1,500 505 757,500 505 - 1,000 505 505,000 500
276 Spironolactone tab 100 mg Tablet 3,500 661 2,313,500 661 - 661 - 3,500
277 Spironolactone tab 25 mg Tablet 4,000 226 904,000 226 - 1,000 226 226,000 3,000
278 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40
279 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 50 21,935 1,096,750 21,935 - 5 21,935 109,675 45
280 Sukralfat syrup 500 mg/5 ml Botol 300 7,789 2,336,700 7,789 - 175 7,789 1,363,075 125
281 Sukralfat syrup 500 mg/5 ml Botol - 7,789 - 7,789 - 7,789 - -
282 Symbicort turbuhaler Pcs 70 149,266 10,448,620 149,266 - 10 149,266 1,492,660 60
283 Tablet Tambah Darah Tablet 1,770 546 966,420 546 - 600 546 327,600 1,170
284 Thiamfenicol caps 500 mg Kapsul 400 880 352,000 880 - 880 - 400
285 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 52,275 - 30
286 Tramadol cap 50 mg Kapsul 1,700 825 1,402,500 825 - 825 - 1,700
287 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500
288 Trihexyfenidil tab 2 mg Tablet 1,500 116 174,000 116 - 116 - 1,500
289 Trovensis inj 4 mg/2 m Ampul 100 37,213 3,721,300 37,213 - 25 37,213 930,325 75
290 Urdafalk kaps 250 mg kapsul 300 6,343 1,902,900 6,343 - 6,343 - 300
291 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400
292 Vitamin B Complex tab Tablet 1,000 131 131,000 131 - 131 - 1,000
293 Vitamin B6 tab 10 mg Tablet 2,500 158 395,000 158 - 158 - 2,500
294 Vitamin C tab 250 mg Tablet 1,500 195 292,500 195 - 500 195 97,500 1,000
295 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210
296 Zidifec inj 1 g Vial - 128,690 - 128,690 - 128,690 - -
297 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500
298 Zink syr 10 mg/5 ml Botol 150 4,289 643,350 4,289 - 50 4,289 214,450 100
1 Amlodipine tab 10 mg Tablet - 5000 216 1,080,000 500 216 108,000 4,500
2 Aripiprazol tab 10 mg (Zipren) Tablet - 100 22,440 2,244,000 30 22,440 673,200 70
3 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet - 4000 616 2,464,000 616 - 4,000
4 Asam Tanexamat tab 500 mg (Kalnex) Tablet - 2000 2,948 5,896,000 500 2,948 1,474,000 1,500
5 Asam Valproat syr Botol - 288 19,987 5,756,256 68 19,987 1,359,116 220
6 Bisoprolol tab 5 mg Tablet - 2910 256 744,960 256 - 2,910
7 Buscopan tab 10 mg Tablet - 600 3,436 2,061,600 3,436 - 600
8 Candesartan tab 16 mg Tablet - 3000 1,153 3,459,000 2,250 1,153 2,594,250 750
9 Candesartan tab 8 mg Tablet - 3000 661 1,983,000 1,500 661 991,500 1,500
10 Ceftazidime inj 1 g Vial - 100 14,313 1,431,300 20 14,313 286,260 80
11 Cetirizine tab 10 mg Tablet - 3000 383 1,149,000 600 383 229,800 2,400
12 Clozapine tab 100 mg Tablet - 500 11,176 5,588,000 400 11,176 4,470,400 100
13 Cotrimoxazole tab 480 mg Tablet - 2500 268 670,000 1,000 268 268,000 1,500
14 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul - 30 52,250 1,567,500 52,250 - 30
15 Dobutamin inj 250 mg/5 ml Ampul - 50 14,643 732,150 14,643 - 50
16 Eperisone tab 50 mg Tablet - 1000 1,309 1,309,000 250 1,309 327,250 750
17 Fluoxetin tab 20 mg (Noxetine) Tablet - 200 10,752 2,150,400 160 10,752 1,720,320 40
18 Furosemide inj 20 mg/2 ml Ampul - 500 1,555 777,500 150 1,555 233,250 350
19 Glimepiride tab 2 mg Tablet - 2000 880 1,760,000 880 - 2,000
20 Haloperidol tab 1,5 mg Tablet - 2000 110 220,000 500 110 55,000 1,500
21 Haloperidol tab 5 mg Tablet - 2000 143 286,000 143 - 2,000
22 Heparin inj 25000 IU/5 ml (Inviclot) Vial - 30 45,764 1,372,920 10 45,764 457,640 20
23 Infus D5+1/2 NS Botol - 200 19,770 3,954,000 19,770 - 200
24 Infus D5+1/4 NS Botol - 200 19,770 3,954,000 19,770 - 200
25 Infus Dextrose 10% Botol - 100 8,002 800,200 8,002 - 100
26 Infus Nacl 0,9 % 100 ml Botol - 120 18,700 2,244,000 65 18,700 1,215,500 55
27 Infus Nacl 0,9 % 500 ml Botol - 2000 6,840 13,680,000 6,840 - 2,000
28 Infus Ringer Lactat Botol - 2000 7,630 15,260,000 7,630 - 2,000
29 Isosorbit Dinitrat tab 5 mg Tablet - 3000 890 2,670,000 1,000 890 890,000 2,000
30 Lactulose syr Botol - 100 15,060 1,506,000 20 15,060 301,200 80
31 Levofloxacin tab 500 mg Tablet - 140 1,142 159,880 40 1,142 45,680 100
32 Levopar tab Tablet - 1000 3,960 3,960,000 3,960 - 1,000
33 Lisinopril tab 10 mg Tablet - 5000 370 1,850,000 1,000 370 370,000 4,000
34 Lithium tab 100 mg (Frimania) Tablet - 500 1,848 924,000 100 1,848 184,800 400
35 Lorazepam tab 2 mg (Merlopam) Tablet - 1000 3,685 3,685,000 200 3,685 737,000 800
36 Meropenem inj 1 g Vial - 90 41,250 3,712,500 41,250 - 90
37 Metformin tab 500 mg Tablet - 12400 192 2,380,800 3,500 192 672,000 8,900
38 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul - 30 98,300 2,949,000 98,300 - 30
39 Natrium Diclofenak tab 50 mg Tablet - 1500 156 234,000 750 156 117,000 750
40 Nicardipine inj 10 mg/10 ml Ampul - 50 23,293 1,164,650 10 23,293 232,930 40
41 Nifedipine tab 10 mg Tablet - 5000 155 775,000 500 155 77,500 4,500
42 Novomix insulin Pen - 100 110,968 11,096,800 50 110,968 5,548,400 50
43 Novorapid insulin Pen - 100 87,000 8,700,000 75 87,000 6,525,000 25
44 Ondancentron inj 4 mg/2 ml Ampul - 1000 1,312 1,312,000 500 1,312 656,000 500
45 Ondancentron tab 8 mg Tablet - 450 1,670 751,500 1,670 - 450
46 Risperidone tab 2 mg Tablet - 1000 2,565 2,565,000 750 2,565 1,923,750 250
47 Serum ATS (Tetagam) inj 1500 IU Vial - 50 146,800 7,340,000 20 146,800 2,936,000 30
48 Tremenza tab Tablet - 1000 1,600 1,600,000 700 1,600 1,120,000 300
49 Trifluoferazin tab 5 mg (Stelosi) Tablet - 1000 577 577,000 200 577 115,400 800
50 Trovensis inj 4mg/2 ml Ampul - 100 37,213 3,721,300 37,213 - 100
51 Vitamin C inj 1 g/5 ml Ampul - 100 55,000 5,500,000 25 55,000 1,375,000 75

SUBTOTAL 515,570,267 153,729,216 164,106,265


SALDO AKHIR JANUARI 2021 515,570,267
BMHP
1 Abbocath No. 20 Pcs 750 6,270 4,702,500 6,270 - 150 6,270 940,500 600
2 Abbocath No. 22 Pcs 700 6,270 4,389,000 6,270 - 100 6,270 627,000 600
3 Abbocath No. 24 Pcs 50 24,200 1,210,000 24,200 - 50 24,200 1,210,000 0
4 Abbocath No. 26 Pcs 200 15,397 3,079,400 15,397 - 50 15,397 769,850 150
5 Alkohol 70% 1 L Botol 1 L 137 37,153 5,089,961 37,153 - 44 37,153 1,634,732 93
6 Alkohol 70% 1 L Botol 1 L - 30,110 - 30,110 - 30,110 - 0
7 Alkohol 95% 100 ml Btl 100 ml 264 5,879 1,552,056 5,879 - 24 5,879 141,096 240
8 Alkohol Swab Pcs 31,000 242 7,502,000 242 - 5,200 242 1,258,400 25800
9 Chlorhexidin 4% (onescrub) Btl 500 ml 10 75,000 750,000 75,000 - 10 75,000 750,000 0
10 Dermafix Pcs 50 1,039 51,950 1,039 - 1,039 - 50
11 EKG Elektroda Anak Pcs 650 3,300 2,145,000 3,300 - 3,300 - 650
12 EKG Elektroda Dewasa Pcs 350 4,950 1,732,500 4,950 - 100 4,950 495,000 250
13 Elastis Perband No. 3 inchi Roll 24 16,500 396,000 16,500 - 12 16,500 198,000 12
14 Elastis Perband No. 4 inchi Roll - 17,600 - 17,600 - 17,600 - 0
15 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 13,680 - 10
16 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10
17 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs 40 13,908 556,320 13,908 - 40 13,908 556,320 0
18 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs - 137,500 - 137,500 - 137,500 - 0
19 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 77,000 - 20
20 Folley Catheter 2-Way no. 08 Pcs 50 34,155 1,707,750 34,155 - 10 34,155 341,550 40
21 Folley Catheter 2-Way no. 10 Pcs 10 34,155 341,550 34,155 - 34,155 - 10
22 Folley catheter 2-Way no. 12 Pcs - 12,144 - 12,144 - 12,144 - 0
23 Folley catheter 2-Way no. 14 Pcs 10 12144 121,440 12,144 - 10 12,144 121,440 0
24 Folley Catheter 2-Way No. 16 Pcs 80 12,144 971,520 12,144 - 40 12,144 485,760 40
25 Folley Catheter 2-Way no. 18 Pcs 90 12,144 1,092,960 12,144 - 12,144 - 90
26 Formalin cair Liter 35 140,008 4,900,280 140,008 - 10 140,008 1,400,080 25
27 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5
28 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12
29 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14
30 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21
31 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25
32 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5
33 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5
34 Guedel Airway no. 4 Pcs 15 24,750 371,250 24,750 - 5 24,750 123,750 10
35 Guedel Airway No. 5 Pcs 18 24,750 445,500 24,750 - 24,750 - 18
36 Hand sanitizer Btl 500 ml 12 43,605 523,260 43,605 - 12 43,605 523,260 0
37 Hand sanitizer Btl 500 ml 200 54,506 10,901,200 54,506 - 54 54,506 2,943,324 146
38 Infuset Makro / Dewasa Pcs 500 8,107 4,053,500 8,107 - 8,107 - 500
39 Infuset Makro / Dewasa Pcs 250 7,320 1,830,000 7,320 - 250 7,320 1,830,000 0
40 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200
41 Jarum Insulin Pcs 100 2,083 208,300 2,083 - 100 2,083 208,300 0
42 Kapas 500 g Roll 18 31,372 564,696 31,372 - 31,372 - 18
43 Kasa Hidrofil 40 y x 80 cm Rol 41 104,500 4,284,500 104,500 - 23 104,500 2,403,500 18
44 Kasa steril 16x16 Ktk 350 3,500 1,225,000 3,500 - 100 3,500 350,000 250
45 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9
46 Kertas CTG 152 mm x 25 m Roll 6 270,000 1,620,000 270,000 - 270,000 - 6
47 Kertas EKG 110 mm Rol 1 103,125 103,125 103,125 - 1 103,125 103,125 0
48 Kertas EKG 207 mm Roll - 220,000 - 220,000 - 220,000 - 0
49 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7
50 Laryng Mask Airways (LMA) no. 4 Pcs - 330,000 - 330,000 - 330,000 - 0
51 Masker Bedah Pcs 7,500 1,540 11,550,000 1,540 - 6,950 1,540 10,703,000 550
52 Masker Bedah Pcs - 4,400 - 4,400 - 4,400 - 0
53 Masker Nebulizer Anak Pcs 55 32,670 1,796,850 32,670 - 32,670 - 55
54 Masker Nebulizer Dewasa Pcs 80 26,464 2,117,120 26,464 - 26,464 - 80
55 Masker NRM Anak Pcs 30 33,000 990,000 33,000 - 33,000 - 30
56 Masker NRM Dewasa Pcs 15 19,154 287,310 19,154 - 10 19,154 191,540 5
57 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50
58 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140
59 Masker Oksigen Dewasa Pcs 15 15,180 227,700 15,180 - 15 15,180 227,700 0
60 Naso Gastrik Tube (NGT) no. 05 Pcs 10 12,797 127,970 12,797 - 12,797 - 10
61 Naso Gastrik Tube (NGT) no. 06 Pcs 10 33,000 330,000 33,000 - 33,000 - 10
62 Naso Gastrik Tube (NGT) no. 08 Pcs 25 49,500 1,237,500 49,500 - 49,500 - 25
63 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10
64 Naso Gastrik Tube (NGT) no. 12 Pcs 20 5,215 104,300 5,215 - 5,215 - 20
65 Naso Gastrik Tube (NGT) no. 14 Pcs 30 5,215 156,450 5,215 - 5,215 - 30
66 Naso Gastrik Tube (NGT) no. 16 Pcs 10 36,960 369,600 36,960 - 10 36,960 369,600 0
67 Naso Gastrik Tube (NGT) no. 18 Pcs 40 36,960 1,478,400 36,960 - 36,960 - 40
68 Naso Gastrik Tube (NGT) no. 3,5 Pcs 40 44,000 1,760,000 44,000 - 44,000 - 40
69 Paper printing UPP 110 HG Roll - 275,000 - 275,000 - 275,000 - 0
70 Perfusor/extention tube 150 cm Pcs 80 22,567 1,805,360 22,567 - 20 22,567 451,340 60
71 Povidon Iodine 10 % 60 ml Botol 24 11,000 264,000 11,000 - 24 11,000 264,000 0
72 Povidon Iodine 10% 1 L Btl 1 L - 59,967 - 59,967 - 59,967 - 0
73 Povidon Iodine 10% 1 L Botol 1 L 50 51,820 2,591,000 51,820 - 4 51,820 207,280 46
74 Sarung tangan Gynecolog no. 6,5 pasang 80 45,000 3,600,000 45,000 - 45,000 - 80
75 Sarung tangan steril no. 7 Pasang 800 12,100 9,680,000 12,100 - 50 12,100 605,000 750
76 Sarung tangan steril no. 7 Gamex Pasang 150 26,400 3,960,000 26,400 - 150 26,400 3,960,000 0
77 Sarung tangan steril no. 7,5 Pasang 800 12,100 9,680,000 12,100 - 50 12,100 605,000 750
78 Sarung tangan steril no. 7,5 Gamex Pasang 150 26,400 3,960,000 26,400 - 150 26,400 3,960,000 0
79 Selang Oksigen Anak Pcs 100 8,760 876,000 8,760 - 20 8,760 175,200 80
80 Selang Oksigen Bayi Pcs 65 8,906 578,890 8,906 - 40 8,906 356,240 25
81 Selang Oksigen Dewasa Pcs 300 7,680 2,304,000 7,680 - 100 7,680 768,000 200
82 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 27,500 - 12
83 Spinocain No. 25 Pcs 25 31,200 780,000 31,200 - 25 31,200 780,000 0
84 Spinocain No. 26 Pcs 25 31,300 782,500 31,300 - 25 31,300 782,500 0
85 Spuit no. 01 cc Pcs 4,400 770 3,388,000 770 - 100 770 77,000 4300
86 Spuit no. 03 cc Pcs 3,100 1,159 3,592,900 1,159 - 1,500 1,159 1,738,500 1600
87 Spuit no. 05 cc Pcs 2,700 994 2,683,800 994 - 1,000 994 994,000 1700
88 Spuit no. 10 cc Pcs 2,700 1,282 3,461,400 1,282 - 1,500 1,282 1,923,000 1200
89 Spuit no. 20 cc Pcs 1,300 1,916 2,490,800 1,916 - 100 1,916 191,600 1200
90 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 4,704 - 1125
91 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300
92 Suction Catheter No. 08 Pcs 50 4,224 211,200 4,224 - 50 4,224 211,200 0
93 Suction Catheter No. 10 Pcs - 4,224 - 4,224 - 4,224 - 0
94 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50
95 Suction Catheter No. 16 Pcs 40 8,407 336,280 8,407 - 8,407 - 40
96 Threeway stop cock Pcs 450 4,290 1,930,500 4,290 - 200 4,290 858,000 250
97 Tranfusi Set Pcs - 13,761 - 13,761 - 13,761 - 0
98 Transofix Pcs 50 3,400 170,000 3,400 - 3,400 - 50
99 Underpad Pcs 400 3,905 1,562,000 3,905 - 100 3,905 390,500 300
100 Urine bag Pcs - 10,450 - 10,450 - 10,450 - 0
1 Abbocath No. 24 Pcs - 1,000 6,270 6,270,000 100 6,270 627,000 900
2 Folley Catheter 2-Way No. 14 Pcs - 100 17,600 1,760,000 17,600 - 100
3 Folley Catheter 2-Way No. 16 Pcs - 100 17,600 1,760,000 17,600 - 100
4 Hypafix 10 cm x 5 m Roll - 60 117,810 7,068,600 31 117,810 3,652,110 29
5 Jarum Insulin Pcs - 2,000 2,083 4,166,000 200 2,083 416,600 1800
6 Povidon Iodine 10% 60 ml Botol - 200 5,500 1,100,000 5,500 - 200
7 Spinocain No. 26 Pcs - 100 31,300 3,130,000 31,300 - 100
8 Spinocain No. 27 Pcs - 25 38,300 957,500 38,300 - 25
9 Spuit no. 03 cc Pcs - 5,000 1,159 5,795,000 1,159 - 5000
10 Spuit no. 50 cc (L.Pinggir) Pcs - 200 6,996 1,399,200 20 6,996 139,920 180
11 Suction Catheter No. 10 Pcs - 20 6,600 132,000 6,600 - 20
12 Three Way Stop Cock Pcs - 200 4,290 858,000 4,290 - 200
13 Tranfusi Set Pcs - 125 12,680 1,585,000 50 12,680 634,000 75
14 Urine Bag Pcs - 200 5,500 1,100,000 5,500 - 200
15 Urine Bag Pcs - 300 8,088 2,426,400 110 8,088 889,680 190

SUB TOTAL 172,611,475 39,507,700 56,564,497


SALDO AKHIR JANUARI 2021 172,611,475
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 1 HR 26 mm -Taper Set 12 63,100 757,200 63,100 - 12 63,100 757,200 0
2 Benang Catgut Chromic 2/0 (Biasa) Set 48 8,855 425,040 8,855 - 24 8,855 212,520 24
3 Benang Catgut Chromic 3/0 (Biasa) Set 48 8,855 425,040 8,855 - 8,855 - 48
4 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60
5 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24
6 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24
7 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12
8 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19
9 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 72 90,300 6,501,600 90,300 - 24 90,300 2,167,200 48
10 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 108 101,250 10,935,000 101,250 - 101,250 - 108
11 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Set 36 91,244 3,284,784 91,244 - 91,244 - 36
12 Benang Monosyn/T-Mono 3/0 DS 24 70 cm R. Cutting Pcs 72 98,000 7,056,000 98,000 - 98,000 - 72
13 Benang PGA /Safil 3/0 26 mm 1/2 circle - Taper Set 0 104,100 - 104,100 - 104,100 - 0
14 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48
15 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 117,137 - 24
16 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12
17 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 36 73,800 2,656,800 73,800 - 12 73,800 885,600 24
18 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 36 73,600 2,649,600 73,600 - 12 73,600 883,200 24
19 Benang Premilene/Provein 5/0 Cutting Set 12 52,350 628,200 52,350 - 52,350 - 12
20 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60
21 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 72 61,392 4,420,224 61,392 - 61,392 - 72
22 Benang silk 2/0 + jarum Pcs 216 4,706 1,016,496 4,706 - 4,706 - 216
23 Benang silk 3/0 + jarum Pcs 252 4,706 1,185,912 4,706 - 4,706 - 252
24 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200
25 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
26 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
27 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48
28 Cairan Pencuci Alat Bedah Galon 5 L 0 504,000 - 504,000 - 504,000 - 0
29 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21
30 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20
31 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50
32 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29
33 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000 82,500 - 82,500 - 30
34 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1
35 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1
36 Jas Operasi disp (surgical gown spulen) uk. L Pcs 21 23,067 484,407 23,067 - 23,067 - 21
37 K. Wire - 1,4 mm Pcs 0 193,050 - 193,050 - 193,050 - 0
38 K. Wire - 1,6 mm Pcs 2 193,050 386,100 193,050 - 193,050 - 2
39 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
40 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
41 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1
42 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
43 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2
44 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
45 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2
46 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1
47 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1
48 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2
49 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9
50 Mesh Hernia Pcs 0 218,562 - 218,562 - 218,562 - 0
51 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10
52 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10
53 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
54 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
55 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10

56 Small plate - DCP small narrow plate 3,5 mm, small bone Pcs 2 438,867 877,734 438,867 - 438,867 - 2
type A, 10 holes
57 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2
58 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1
59 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2
60 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20
1 Benang Catgut Chromic 2/0 Taper Set - 48 58,700 2,817,600 12 58,700 704,400 36

SUB TOTAL 111,780,130 2,817,600 5,610,120


SALDO AKHIR JANUARI 2021 111,780,130
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 10 4600000 46,000,000 4,600,000 - 4,600,000 - 10

SUB TOTAL 46,000,000 - -

Mengetahui, Kuala Kurun, 28 Februari 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
T DAN BMHP GUDANG FARMASI (BLUD)
N FEBRUARI 2021

Persediaan Akhir
28 FEBRUARI 2021
Harga Satuan Jumlah Harga
(Rp) (Rp)
14 15

996 2,490,000
720 -
720 1,800,000
3,217 321,700
655 458,500
898 449,000
231 231,000
327 163,500
900 2,430,000
6,160 -
4,960 992,000
308 154,000
4,320 259,200
8,700 261,000
220 440,000
216 -
70 -
5,808 4,356,000
5,000 -
11,550 2,333,100
300 1,200,000
11,124 556,200
36,900 1,107,000
178 712,000
2,992 897,600
2,970 297,000
42,460 1,486,100
34,485 2,413,950
2,860 1,372,800
7,260 7,260,000
616 616,000
188 -
263 789,000
6,248 -
4,620 -
8,333 1,666,600
183,876 7,355,040
2,574 -
460 662,400
2,721 -
79,365 1,984,125
1,958 783,200
6,435 -
31,156 -
119 416,500
1,465 36,625
18,700 897,600
256 -
256 -
1,523 1,142,250
7,602 1,064,280
72,600 1,815,000
61,792 -
224 1,568,000
10,351 496,848
1,153 -
661 -
84 -
137 548,000
252 378,000
908 2,724,000
831 415,500
7,759 775,900
12,650 632,500
858 858,000
1,053 526,500
4,125 6,187,500
3,105 -
21,628 540,700
27,060 36,531,000
40,260 -
13,001 6,500,500
12,500 625,000
29,975 -
29,975 599,500
6,160 -
27,500 -
10,440 156,600
403 -
2,057 148,104
58 116,000
495 346,500
70,403 -
42,996 4,299,600
500 250,000
14,438 -
11,000 275,000
5,984 -
58,300 4,664,000
1,426 713,000
916 274,800
266 186,200
1,568 -
685 1,370,000
6,496 974,400
10,010 1,201,200
10,175 2,543,750
2,416 3,865,600
162 2,430,000
19,789 395,780
259 129,500
429 300,300
1,865 -
104 208,000
212 424,000
162 324,000
451 90,200
11,088 554,400
363 181,500
1,135 227,000
22,693 567,325
1,401 840,600
17,061 1,962,015
8,569 1,285,350
7,300 2,628,000
23,760 1,782,000
963 -
543 543,000
44,391 -
44,391 3,329,325
1,738 260,700
5,059 -
10,267 431,214
1,870 748,000
1,058 211,600
984 492,000
17,765 177,650
1,710 -
153 1,071,000
2,750 3,300,000
11,797 1,769,550
12,100 9,075,000
656 656,000
10,714 2,142,800
2,350 9,400
2,657 212,560
404 404,000
434 651,000
416 208,000
278 417,000
2,723 272,300
939,048 9,390,480
9,350 -
229 343,500
380 950,000
74,655 -
11,000 1,980,000
11,000 2,860,000
11,880 285,120
44,162 7,419,216
7,364 294,560
207,702 20,770,200
181,913 10,914,780
66,000 1,980,000
6,840 8,892,000
7,700 -
10,290 -
7,630 9,766,400
11,549 2,771,760
69,300 -
1,480,000 10,360,000
262 -
23,980 719,400
121 -
460 -
3,223 354,530
71,929 8,631,480
755 377,500
2,577 128,850
4,455 -
6,001 600,100
7,315 -
4,867 -
675 135,000
89,000 2,225,000
95,997 -
1,142 -
3,086 462,900
3,960 -
1,475 5,900,000
369 -
250 125,000
281 140,500
500 250,000
440 572,000
32,345 646,900
3,553 1,065,900
11,449 -
12,217 1,466,040
1,273 636,500
637 637,000
242 -
483 1,449,000
6,930 693,000
135 405,000
8,250 -
8,250 1,386,000
3,590 269,250
6,270 1,254,000
282 282,000
6,448 -
3,328 282,880
3,415 163,920
18,975 379,500
18,769 1,876,900
34,050 1,702,500
187,000 -
187,000 -
164 41,000
6,017 601,700
1,315 -
1,315 -
557 -
23,092 -
163 -
600 -
26,400 396,000
87,000 -
21,780 653,400
904 271,200
12,155 1,093,950
11,868 593,400
610 1,647,000
496 -
1,443 -
1,016 1,148,080
666 1,198,800
73,769 -
3,692 276,900
1,287 128,700
14,638 204,932
33,006 1,650,300
11,990 863,280
4,890 469,440
253 -
19,481 2,337,720
13,191 -
2,380 285,600
187 317,900
4,950 495,000
15,675 1,410,750
460 230,000
361 541,500
178 534,000
77,000 1,848,000
198 198,000
88,935 2,668,050
3,448 -
93 46,500
145 580,000
518 -
82,001 4,100,050
14,131 8,478,600
72,600 -
512 921,600
54,450 816,750
14,266 5,135,760
4,002 400,200
303 909,000
903 -
1,751 1,751,000
64 96,000
102 306,000
27,500 687,500
17,270 345,400
30,251 7,986,264
12,870 1,956,240
319 478,500
4,401 1,760,400
1,683,000 -
79,860 3,194,400
564 -
293 -
204 -
505 252,500
661 2,313,500
226 678,000
15,088 603,520
21,935 987,075
7,789 973,625
7,789 -
149,266 8,955,960
546 638,820
880 352,000
52,275 1,568,250
825 1,402,500
745 372,500
116 174,000
37,213 2,790,975
6,343 1,902,900
4,000 1,600,000
131 131,000
158 395,000
195 195,000
3,025 635,250
128,690 -
708 2,478,000
4,289 428,900
216 972,000
22,440 1,570,800
616 2,464,000
2,948 4,422,000
19,987 4,397,140
256 744,960
3,436 2,061,600
1,153 864,750
661 991,500
14,313 1,145,040
383 919,200
11,176 1,117,600
268 402,000
52,250 1,567,500
14,643 732,150
1,309 981,750
10,752 430,080
1,555 544,250
880 1,760,000
110 165,000
143 286,000
45,764 915,280
19,770 3,954,000
19,770 3,954,000
8,002 800,200
18,700 1,028,500
6,840 13,680,000
7,630 15,260,000
890 1,780,000
15,060 1,204,800
1,142 114,200
3,960 3,960,000
370 1,480,000
1,848 739,200
3,685 2,948,000
41,250 3,712,500
192 1,708,800
98,300 2,949,000
156 117,000
23,293 931,720
155 697,500
110,968 5,548,400
87,000 2,175,000
1,312 656,000
1,670 751,500
2,565 641,250
146,800 4,404,000
1,600 480,000
577 461,600
37,213 3,721,300
55,000 4,125,000

505,193,218
6,270 3,762,000
6,270 3,762,000
24,200 -
15,397 2,309,550
37,153 3,455,229
30,110 -
5,879 1,410,960
242 6,243,600
75,000 -
1,039 51,950
3,300 2,145,000
4,950 1,237,500
16,500 198,000
17,600 -
13,680 136,800
13,908 139,080
13,908 -
137,500 -
77,000 1,540,000
34,155 1,366,200
34,155 341,550
12,144 -
12,144 -
12,144 485,760
12,144 1,092,960
140,008 3,500,200
324,500 1,622,500
18,775 225,300
26,433 370,062
54,085 1,135,785
24,750 618,750
13,200 66,000
24,750 123,750
24,750 247,500
24,750 445,500
43,605 -
54,506 7,957,876
8,107 4,053,500
7,320 -
12,334 2,466,800
2,083 -
31,372 564,696
104,500 1,881,000
3,500 875,000
159,500 1,435,500
270,000 1,620,000
103,125 -
220,000 -
66,000 462,000
330,000 -
1,540 847,000
4,400 -
32,670 1,796,850
26,464 2,117,120
33,000 990,000
19,154 95,770
15,180 759,000
15,180 2,125,200
15,180 -
12,797 127,970
33,000 330,000
49,500 1,237,500
33,000 330,000
5,215 104,300
5,215 156,450
36,960 -
36,960 1,478,400
44,000 1,760,000
275,000 -
22,567 1,354,020
11,000 -
59,967 -
51,820 2,383,720
45,000 3,600,000
12,100 9,075,000
26,400 -
12,100 9,075,000
26,400 -
8,760 700,800
8,906 222,650
7,680 1,536,000
27,500 330,000
31,200 -
31,300 -
770 3,311,000
1,159 1,854,400
994 1,689,800
1,282 1,538,400
1,916 2,299,200
4,704 5,292,000
5,258 1,577,400
4,224 -
4,224 -
4,224 211,200
8,407 336,280
4,290 1,072,500
13,761 -
3,400 170,000
3,905 1,171,500
10,450 -
6,270 5,643,000
17,600 1,760,000
17,600 1,760,000
117,810 3,416,490
2,083 3,749,400
5,500 1,100,000
31,300 3,130,000
38,300 957,500
1,159 5,795,000
6,996 1,259,280
6,600 132,000
4,290 858,000
12,680 951,000
5,500 1,100,000
8,088 1,536,720

155,554,678
63,100 -
8,855 212,520
8,855 425,040
42,605 2,556,300
58,700 1,408,800
46,900 1,125,600
51,100 613,200
23,135 439,565
90,300 4,334,400
101,250 10,935,000
91,244 3,284,784
98,000 7,056,000
104,100 -
70,400 3,379,200
117,137 2,811,288
132,498 1,589,976
73,800 1,771,200
73,600 1,766,400
52,350 628,200
93,980 5,638,800
61,392 4,420,224
4,706 1,016,496
4,706 1,185,912
2,790 558,000
2,790 1,395,000
2,790 1,395,000
52,700 2,529,600
504,000 -
168,919 3,547,299
168,919 3,378,380
89,018 4,450,900
89,018 2,581,522
82,500 2,475,000
33,000 33,000
308,000 308,000
23,067 484,407
193,050 -
193,050 386,100
193,050 1,544,400
193,050 1,544,400
825,825 825,825
707,850 1,415,700
542,685 1,085,370
707,850 1,415,700
318,533 637,066
318,533 318,533
854,139 854,139
854,139 1,708,278
112,613 1,013,517
218,562 -
118,800 1,188,000
218,562 2,185,620
160,875 1,608,750
160,875 1,608,750
160,875 1,608,750

438,867 877,734

684,255 1,368,510
684,255 684,255
880,000 1,760,000
75,000 1,500,000
58,700 2,113,200

108,987,610

4,600,000 46,000,000

46,000,000
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Amlodipine tab 10 mg Tablet 5,000 216
2 Aripropazol tab 10 mg (Zipren) Tablet 100 22,440
3 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 4,000 616
4 Asam Tanexamat tab 500 mg (Kalnex) Tablet 2,000 2,948
5 Asam Valproat syr Botol 288 19,987
6 Bisoprolol tab 5 mg Tablet 2,910 256
7 Buscopan tab 10 mg Tablet 600 3,436
8 Candesartan tab 16 mg Tablet 3,000 1,153
9 Candesartan tab 8 mg Tablet 3,000 661
10 Ceftazidime inj 1 g Vial 100 14,313
11 Cetirizine tab 10 mg Tablet 3,000 383
12 Clozapine tab 100 mg Tablet 500 11,176
13 Cotrimoxazole tab 480 mg Tablet 2,500 268
14 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 30 52,250
15 Dobutamin inj 250 mg/5 ml Ampul 50 14,643
16 Eperisone tab 50 mg Tablet 1,000 1,309
17 Fluoxetin tab 20 mg (Noxetine) Tablet 200 10,752
18 Furosemide inj 20 mg/2 ml Ampul 500 1,555
19 Glimepiride tab 2 mg Tablet 2,000 880
20 Haloperidol tab 1,5 mg Tablet 2,000 110
21 Haloperidol tab 5 mg Tablet 2,000 143
22 Heparin inj 25000 IU/5 ml (Inviclot) Vial 30 45,764
23 Infus D5+1/2 NS Botol 200 19,770
24 Infus D5+1/4 NS Botol 200 19,770
25 Infus Dextrosa 10% Botol 100 8,002
26 Infus Nacl 0,9 % 100 ml Botol 120 18,700
27 Infus Nacl 0,9 % 500 ml Botol 2,000 6,886
28 Infus Ringer Lactat Botol 2,000 7,630
29 Isosorbit Dinitrat tab 5 mg Tablet 3,000 890
30 Lactulose syr Botol 100 15,060
31 Levofloxacin tab 500 mg Tablet 140 1,142
32 Levopar tab Tablet 1,000 3,960
33 Lisinopril tab 10 mg Tablet 5,000 370
34 Lithium tab 100 mg (Frimania) Tablet 500 1,848
35 Lorazepam tab 2 mg (Merlopam) Tablet 1,000 3,685
36 Meropenem inj 1 g Vial 90 41,250
37 Metformin tab 500 mg Tablet 12,400 192
38 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300
39 Natrium Diclofenak tab 50 mg Tablet 1,500 156
40 Nicardipine inj 10 mg/10 ml Ampul 50 23,293
41 Nifedipine tab 10 mg Tablet 5,000 155
42 Novomix insulin Pen 100 110,968
43 Novorapid insulin Pen 100 87,000
44 Ondancentron inj 4 mg/2 ml Ampul 1,000 1,312
45 Ondancentron tab 8 mg Tablet 450 1,670
46 Risperidone tab 2 mg Tablet 1,000 2,565
47 Serum ATS (Tetagam) inj 1500 IU Vial 50 146,800
48 Tremenza tab Tablet 1,000 1,600
49 Trifluoferazin tab 5 mg (Stelosi) Tablet 1,000 577
50 Trovensis inj 4mg/2 ml Ampul 100 37,213
51 Vitamin C inj 1 g/5 ml Ampul 100 55,000

BMHP
1 Abbocath No. 24 Pcs 1,000 6,270
2 Folley Catheter 2-Way No. 14 Pcs 100 17,600
3 Folley Catheter 2-Way No. 16 Pcs 100 17,600
4 Hypafix 10 cm x 5 m Roll 60 117,810
5 Jarum Insulin Pcs 2,000 2,083
6 Povidon Iodine 10% 30 ml Botol 200 5,500
7 Spinocain No. 26 Pcs 100 31,300
8 Spinocain No. 27 Pcs 25 38,300
9 Spuit No. 03 cc Pcs 5,000 1,159
10 Spuit No. 50 cc (L.Pinggir) Pcs 200 6,996
11 Suction Catheter No. 10 Pcs 20 6,600
12 Three Way Stop Cock Pcs 200 4,290
13 Tranfusi Set Pcs 125 12,680
14 Urine Bag Pcs 200 5,500
15 Urine Bag Pcs 300 8,088

BMHP BEDAH
1 Benang Catgut Chromic 2/0 Taper Set 48 58,700
JUMLAH HARGA
6

1,080,000
2,244,000
2,464,000
5,896,000
5,756,256
744,960
2,061,600
3,459,000
1,983,000
1,431,300
1,149,000
5,588,000
670,000
1,567,500
732,150
1,309,000
2,150,400
777,500
1,760,000
220,000
286,000
1,372,920
3,954,000
3,954,000
800,200
2,244,000
13,772,000
15,260,000
2,670,000
1,506,000
159,880
3,960,000
1,850,000
924,000
3,685,000
3,712,500
2,380,800
2,949,000
234,000
1,164,650
775,000
11,096,800
8,700,000
1,312,000
751,500
2,565,000
7,340,000
1,600,000
577,000
3,721,300
5,500,000
153,821,216

6,270,000
1,760,000
1,760,000
7,068,600
4,166,000
1,100,000
3,130,000
957,500
5,795,000
1,399,200
132,000
858,000
1,585,000
1,100,000
2,426,400
39,507,700

2,817,600
2,817,600

196,146,516.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN MARET 2021

Persediaan Awal Masuk Pemakaian Persediaan Akhir


No Jenis Persediaan Satuan 01 MARET 2021 SELAMA MARET 2021 SELAMA MARET 2021 31 MARET 2021
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT
1 Acarbose tab 100 mg Tablet 2,500 996 2,490,000 996 - 1,000 996 996,000 1,500 996 1,494,000
2 Acarbose tab 50 mg Tablet 2,500 720 1,800,000 720 - 1,000 720 720,000 1,500 720 1,080,000
3 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100 3,217 321,700
4 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700 655 458,500
5 Acyclovir tab 400 mg Tablet 500 898 449,000 898 - 250 898 224,500 250 898 224,500
6 Allopurinol tab 100 mg Tablet 1,000 231 231,000 231 - 500 231 115,500 500 231 115,500
7 Alprazolam tab 0,5 mg Tablet 500 327 163,500 327 - 500 327 163,500 - 327 -
8 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 900 - 2,700 900 2,430,000
9 Ambroxol syr 15 mg/5 ml Botol 200 4,960 992,000 4,960 - 4,960 - 200 4,960 992,000
10 Ambroxol tab 30 mg Tablet 500 308 154,000 308 - 308 - 500 308 154,000
11 Aminophylline inj 240 mg/10 ml Ampul 60 4,320 259,200 4,320 - 30 4,320 129,600 30 4,320 129,600
12 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30 8,700 261,000
13 Amitriptyline tab 25 mg Tablet 2,000 220 440,000 220 - 500 220 110,000 1,500 220 330,000
14 Amlodipine tab 10 mg Tablet 4,500 216 972,000 216 - 3,000 216 648,000 1,500 216 324,000
15 Amlodipine tab 5 mg Tablet - 70 - 70 - 70 - - 70 -
16 Amoxiclav tab Tablet 750 5,808 4,356,000 5,808 - 5,808 - 750 5,808 4,356,000
17 Amoxycillin syr 125 mg/5 ml Botol - 5,000 - 5,000 - 5,000 - - 5,000 -
18 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202 11,550 2,333,100
19 Amoxycillin tab 500 mg Tablet 4,000 300 1,200,000 300 - 300 - 4,000 300 1,200,000
20 Ampicillin inj 1g Vial 50 11,124 556,200 11,124 - 11,124 - 50 11,124 556,200
21 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30 36,900 1,107,000
22 Antasida DOEN tab Tablet 4,000 178 712,000 178 - 178 - 4,000 178 712,000
23 Antasida syrup Botol 300 2,992 897,600 2,992 - 2,992 - 300 2,992 897,600
24 Anti Hemoroid supp Supp 100 2,970 297,000 2,970 - 40 2,970 118,800 60 2,970 178,200
25 Apialis drop Botol 35 42,460 1,486,100 42,460 - 25 42,460 1,061,500 10 42,460 424,600
26 Apialys Syrup Boto 60 ml 70 34,485 2,413,950 34,485 - 20 34,485 689,700 50 34,485 1,724,250
27 Aqua pro inj Vial 480 2,860 1,372,800 2,860 - 480 2,860 1,372,800 - 2,860 -
28 Aqua Pro inj Vial 1,000 7,260 7,260,000 7,260 - 7,260 - 1,000 7,260 7,260,000
29 Aripiprazol tab 10 mg (Zipren) Tablet 70 22,440 1,570,800 22,440 - 22,440 - 70 22,440 1,570,800
30 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 5,000 616 3,080,000 616 - 1,500 616 924,000 3,500 616 2,156,000
31 Asam Folat tab 1 mg Tablet - 188 - 188 - 188 - - 188 -
32 Asam Mefenamat tab 500 mg Tablet 3,000 263 789,000 263 - 1,500 263 394,500 1,500 263 394,500
33 Asam Tanexamat tab 500 mg (Kalnex) Tablet 1,500 2,948 4,422,000 2,948 - 500 2,948 1,474,000 1,000 2,948 2,948,000
34 Asam Tranexamat inj 250 mg/5 ml Ampul - 6,248 - 6,248 - 6,248 - - 6,248 -
35 Asam tranexamat inj 500 mg/5 ml Ampul 200 8,333 1,666,600 8,333 - 50 8,333 416,650 150 8,333 1,249,950
36 Asam Valproat syr Botol 220 19,987 4,397,140 19,987 - 19,987 - 220 19,987 4,397,140
37 Asetilsistein inj 5 gr/25 ml Botol 40 183,876 7,355,040 183,876 - 16 183,876 2,942,016 24 183,876 4,413,024
38 Asetilsistein tab 200 mg Tablet 1,440 460 662,400 460 - 1,440 460 662,400 - 460 -
39 Aspar K tab Tablet - 2,721 - 2,721 - 2,721 - - 2,721 -
40 Atracurium inj 50 mg/5 ml (Farelax) Ampul 25 79,365 1,984,125 79,365 - 15 79,365 1,190,475 10 79,365 793,650
41 Atropin inj 0,25 mg/ml Ampul 400 1,958 783,200 1,958 - 1,958 - 400 1,958 783,200
42 Azythromicyn tab 500 mg Tablet - 6,435 - 6,435 - 6,435 - - 6,435 -
43 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml - 31,156 - 31,156 - 31,156 - - 31,156 -
44 Betahistin tab 6 mg Tablet 3,500 119 416,500 119 - 119 - 3,500 119 416,500
45 Betamethasone krim 0,1%  Tube 25 1,465 36,625 1,465 - 25 1,465 36,625 - 1,465 -
46 Bioplacenton salep Tube 48 18,700 897,600 18,700 - 24 18,700 448,800 24 18,700 448,800
47 Bisoprolol tab 5 mg Tablet 750 1,523 1,142,250 1,523 - 750 1,523 1,142,250 - 1,523 -
48 Bisoprolol tab 5 mg Tablet 2,910 256 744,960 256 - 660 256 168,960 2,250 256 576,000
49 Bricasma Respules 2,5 mg/ml Respule 140 7,602 1,064,280 7,602 - 7,602 - 140 7,602 1,064,280
50 Bunascan spinal inj Ampul 25 72,600 1,815,000 72,600 - 15 72,600 1,089,000 10 72,600 726,000
51 Burnazin krim Tube - 61,792 - 61,792 - 61,792 - - 61,792 -
52 Buscopan tab 10 mg Tablet 600 3,436 2,061,600 3,436 - 600 3,436 2,061,600 - 3,436 -
53 Calcium Lactate tab 500 mg Tablet 7,000 224 1,568,000 224 - 500 224 112,000 6,500 224 1,456,000
54 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 10,351 - 48 10,351 496,848
55 Candesartan tab 16 mg Tablet 750 1,153 864,750 1,153 - 750 1,153 864,750 - 1,153 -
56 Candesartan tab 8 mg Tablet 1,500 661 991,500 661 - 1,500 661 991,500 - 661 -
57 Captopril tab 12,5 mg Tablet - 84 - 84 - 84 - - 84 -
58 Captopril tab 25 mg Tablet 4,000 137 548,000 137 - 137 - 4,000 137 548,000
59 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500 252 378,000
60 Cefadroxyl cap 500 mg Kapsul 3,000 908 2,724,000 908 - 908 - 3,000 908 2,724,000
61 Cefadroxyl cap 500 mg Kapsul 500 831 415,500 831 - 500 831 415,500 - 831 -
62 Cefadroxyl syr 125 mg/5 ml Botol 100 7,759 775,900 7,759 - 7,759 - 100 7,759 775,900
63 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50 12,650 632,500
64 Cefixime kap 100 mg Kapsul 1,000 858 858,000 858 - 858 - 1,000 858 858,000
65 Cefixime kap 100 mg kapsul 500 1,053 526,500 1,053 - 1,053 - 500 1,053 526,500
66 Cefixime kap 200 mg Kapsul 1,500 4,125 6,187,500 4,125 - 500 4,125 2,062,500 1,000 4,125 4,125,000
67 Cefixime syr 100 mg/5 ml Botol 25 21,628 540,700 21,628 - 25 21,628 540,700 - 21,628 -
68 Cefotaxime inj 1 gr Vial 1,350 27,060 36,531,000 27,060 - 50 27,060 1,353,000 1,300 27,060 35,178,000
69 Ceftazidime inj 1 g Vial 80 14,313 1,145,040 14,313 - 80 14,313 1,145,040 - 14,313 -
70 Ceftriaxone inj 1 g Vial 500 13,001 6,500,500 13,001 - 250 13,001 3,250,250 250 13,001 3,250,250
71 Ceftriaxone inj 1 g Vial 50 12,500 625,000 12,500 - 50 12,500 625,000 - 12,500 -
72 Cefuroxime inj 1 g Vial - 29,975 - 29,975 - 29,975 - - 29,975 -
73 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 29,975 - 20 29,975 599,500
74 Cetadop (Dopamin) inj 200 mg/5 ml Ampul - 6,160 - 6,160 - 6,160 - - 6,160 -
75 Cetirizine drop 10 mg/ml Botol - 27,500 - 27,500 - 27,500 - - 27,500 -
76 Cetirizine syr 5 mg/5 ml Botol 15 10,440 156,600 10,440 - 10,440 - 15 10,440 156,600
77 Cetirizine tab 10 mg Tablet 2,400 383 919,200 383 - 600 383 229,800 1,800 383 689,400
78 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72 2,057 148,104
79 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000 58 - 58 - 2,000 58 116,000
80 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700 495 346,500
81 Cinam inj Vial - 70,403 - 70,403 - 70,403 - - 70,403 -
82 Ciprofloxacin infus Botol 100 42,996 4,299,600 42,996 - 100 42,996 4,299,600 - 42,996 -
83 Ciprofloxacin tab 500 mg Tablet 500 500 250,000 500 - 500 500 250,000 - 500 -
84 Citicolin inj 250 mg/2 ml  Ampul - 14,438 - 14,438 - 14,438 - - 14,438 -
85 Citicolin inj 500 mg/5 ml  Ampul 25 11,000 275,000 11,000 - 25 11,000 275,000 - 11,000 -
86 Citicolin tab 500 mg Tablet - 5,984 - 5,984 - 5,984 - - 5,984 -
87 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80 58,300 4,664,000
88 Clindamycin cap 300 mg Kapsul 500 1,426 713,000 1,426 - 1,426 - 500 1,426 713,000
89 Clobazam tab 100 mg Tablet 300 916 274,800 916 - 300 916 274,800 - 916 -
90 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700 266 186,200
91 Clozapine tab 100 mg Tablet 100 11,176 1,117,600 11,176 - 100 11,176 1,117,600 - 11,176 -
92 Codein tab 10 mg Tablet 2,000 685 1,370,000 685 - 685 - 2,000 685 1,370,000
93 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 6,496 - 150 6,496 974,400
94 Cotrimoxazole tab 480 mg Tablet 1,500 268 402,000 268 - 268 - 1,500 268 402,000
95 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120 10,010 1,201,200
96 Daryant Tulle (Framycetin) Pcs 250 10,175 2,543,750 10,175 - 60 10,175 610,500 190 10,175 1,933,250
97 Dexametason inj 5 mg/ml Ampul 1,600 2,416 3,865,600 2,416 - 2,416 - 1,600 2,416 3,865,600
98 Dexamethasone tab 0,5 mg Tablet 15,000 162 2,430,000 162 - 162 - 15,000 162 2,430,000
99 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 20 19,789 395,780 19,789 - 19,789 - 20 19,789 395,780
100 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500 259 129,500
101 Diazepam tab 5 mg (Valisanbe) Tablet 700 429 300,300 429 - 429 - 700 429 300,300
102 Difenhidramin inj 10 mg/ml (i.v./i.m.)  Ampul - 1,865 - 1,865 - 1,865 - - 1,865 -
103 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 30 52,250 1,567,500 52,250 - 52,250 - 30 52,250 1,567,500
104 Digoxin tab 0,25 mg Tablet 2,000 104 208,000 104 - 104 - 2,000 104 208,000
105 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000 212 424,000
106 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000 162 324,000
107 Dobutamin inj 250 mg/5 ml Ampul 50 14,643 732,150 14,643 - 14,643 - 50 14,643 732,150
108 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200 451 90,200
109 Domperidon susp 5 mg/5 ml Botol 50 11,088 554,400 11,088 - 11,088 - 50 11,088 554,400
110 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500 363 181,500
111 Dopamet tab 250 mg Kapsul 200 1,135 227,000 1,135 - 1,135 - 200 1,135 227,000
112 Dulcolax supp 10 mg Supp 25 22,693 567,325 22,693 - 10 22,693 226,930 15 22,693 340,395
113 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600 1,401 840,600
114 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 17,061 - 115 17,061 1,962,015
115 Eperisone tab 50 mg Tablet 750 1,309 981,750 1,309 - 250 1,309 327,250 500 1,309 654,500
116 Ephedrin inj 50 mg/ml Ampul 150 8,569 1,285,350 8,569 - 50 8,569 428,450 100 8,569 856,900
117 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360 7,300 2,628,000
118 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 75 23,760 1,782,000 23,760 - 23,760 - 75 23,760 1,782,000
119 Erythromicyn tab 500 mg Tablet - 963 - 963 - 963 - - 963 -
120 Etambutol tab 500 mg Tablet 1,000 543 543,000 543 - 543 - 1,000 543 543,000
121 Fentanyl inj Ampul 75 44,391 3,329,325 44,391 - 25 44,391 1,109,775 50 44,391 2,219,550
122 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 1,738 - 150 1,738 260,700
123 Fitomenadion (vit k 1) inj 2 mg/ml (i.m.)  Ampul - 5,059 - 5,059 - 5,059 - - 5,059 -
124 Flucadex syr Botol 42 10,267 431,214 10,267 - 24 10,267 246,408 18 10,267 184,806
125 Flunarizine tab 10 mg Tablet 400 1,870 748,000 1,870 - 1,870 - 400 1,870 748,000
126 Flunarizine tab 5 mg Tablet 200 1,058 211,600 1,058 - 200 1,058 211,600 - 1,058 -
127 Fluoxetin tab 20 mg (Noxetine) Tablet 40 10,752 430,080 10,752 - 40 10,752 430,080 - 10,752 -
128 Folavit tab Tablet 500 984 492,000 984 - 500 984 492,000 - 984 -
129 Fortanest inj 5 mg/5 ml Ampul 10 17,765 177,650 17,765 - 17,765 - 10 17,765 177,650
130 Furosemide inj 20 mg/2 ml Ampul 350 1,555 544,250 1,555 - 200 1,555 311,000 150 1,555 233,250
131 Furosemide tab 40 mg Tablet 7,000 153 1,071,000 153 - 1,000 153 153,000 6,000 153 918,000
132 Gabapentin tab 300 mg Tablet 1,200 2,750 3,300,000 2,750 - 750 2,750 2,062,500 450 2,750 1,237,500
133 Gastrul tab Tablet 150 11,797 1,769,550 11,797 - 150 11,797 1,769,550 - 11,797 -
134 Gastrul tab Tablet 750 12,100 9,075,000 12,100 - 12,100 - 750 12,100 9,075,000
135 Gemfibrozil kap 300 mg Tablet 1,000 656 656,000 656 - 500 656 328,000 500 656 328,000
136 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 200 10,714 2,142,800 10,714 - 10,714 - 200 10,714 2,142,800
137 Gentamicyn krim (Gentalex) Tube 4 2,350 9,400 2,350 - 4 2,350 9,400 - 2,350 -
138 Gentamicyn krim (Gentalex) Tube 80 2,657 212,560 2,657 - 20 2,657 53,140 60 2,657 159,420
139 Glimepiride tab 2 mg Tablet 1,000 404 404,000 404 - 500 404 202,000 500 404 202,000
140 Glimepiride tab 2 mg Tablet 2,000 880 1,760,000 880 - 880 - 2,000 880 1,760,000
141 Glimepiride tab 4 mg Tablet 1,500 434 651,000 434 - 500 434 217,000 1,000 434 434,000
142 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500 416 208,000
143 Haloperidol tab 0,5 mg Tablet 1,500 278 417,000 278 - 278 - 1,500 278 417,000
144 Haloperidol tab 1,5 mg Tablet 1,500 110 165,000 110 - 110 - 1,500 110 165,000
145 Haloperidol tab 5 mg Tablet 2,000 143 286,000 143 - 200 143 28,600 1,800 143 257,400
146 Heparin inj 25000 IU/5 ml (Inviclot) Vial 20 45,764 915,280 45,764 - 10 45,764 457,640 10 45,764 457,640
147 Hidrocortisone cream 2,5% Tube 100 2,723 272,300 2,723 - 2,723 - 100 2,723 272,300
148 Human albumin 20% Botol 100 ml 10 939,048 9,390,480 939,048 - 939,048 - 10 939,048 9,390,480
149 Ibuprofen syrup 100 mg/5 ml Botol 60 ml - 9,350 - 9,350 - 9,350 - - 9,350 -
150 Ibuprofen tab 200 mg Tablet 1,500 229 343,500 229 - 500 229 114,500 1,000 229 229,000
151 Ibuprofen tab 400 mg Tablet 2,500 380 950,000 380 - 1,000 380 380,000 1,500 380 570,000
152 Infus Aminoleban Btl 500 ml - 74,655 - 74,655 - 74,655 - - 74,655 -
153 Infus D5+1/2 NS Btl 500 ml 180 11,000 1,980,000 11,000 - 40 11,000 440,000 140 11,000 1,540,000
154 Infus D5+1/2 NS Btl 500 ml 200 19,770 3,954,000 19,770 - 19,770 - 200 19,770 3,954,000
155 Infus D5+1/4 NS Btl 500 ml 260 11,000 2,860,000 11,000 - 160 11,000 1,760,000 100 11,000 1,100,000
156 Infus D5+1/4 NS Btl 500 ml 200 19,770 3,954,000 19,770 - 19,770 - 200 19,770 3,954,000
157 Infus Dextrose 10% Btl 500 ml 24 11,880 285,120 11,880 - 24 11,880 285,120 - 11,880 -
158 Infus Dextrose 10% Btl 500 ml 100 8,002 800,200 8,002 - 8,002 - 100 8,002 800,200
159 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168 44,162 7,419,216
160 Infus Glukosa 5% Btl 500 ml 40 7,364 294,560 7,364 - 40 7,364 294,560 - 7,364 -
161 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100 207,702 20,770,200
162 Infus Hes Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60 181,913 10,914,780
163 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30 66,000 1,980,000
164 Infus Nacl 0,9 % 100 ml Botol 55 18,700 1,028,500 18,700 - 55 18,700 1,028,500 - 18,700 -
165 Infus Nacl 0,9 % 500 ml Btl 500 ml 3,300 6,840 22,572,000 6,840 - 600 6,840 4,104,000 2,700 6,840 18,468,000
166 Infus Ring As Btl 500 ml - 10,290 - 10,290 - 10,290 - - 10,290 -
167 Infus Ringer Lactat Btl 500 ml 3,280 7,630 25,026,400 7,630 - 700 7,630 5,341,000 2,580 7,630 19,685,400
168 Infus Tridex 27 B Btl 500 ml 240 11,549 2,771,760 11,549 - 240 11,549 2,771,760 - 11,549 -
169 Isoflurane (Terrel) Botol 250 ml 7 1,480,000 10,360,000 1,480,000 - 1,480,000 - 7 1,480,000 10,360,000
170 Isoniazid tab 300 mg Tablet - 262 - 262 - 262 - - 262 -
171 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30 23,980 719,400
172 Isosorbit Dinitrat tab 5 mg Tablet 2,000 890 1,780,000 890 - 1,000 890 890,000 1,000 890 890,000
173 Kalium Diclofenak tab 50 mg Tablet - 460 - 460 - 460 - - 460 -
174 KCl inj 7,6 % Vial 25 ml 110 3,223 354,530 3,223 - 30 3,223 96,690 80 3,223 257,840
175 Ketamin inj 50 mg/ml Ktk 1 vial 120 71,929 8,631,480 71,929 - 24 71,929 1,726,296 96 71,929 6,905,184
176 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500 755 377,500
177 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50 2,577 128,850
178 Ketorolac inj 30 mg/ml Ampul 100 6,001 600,100 6,001 - 100 6,001 600,100 - 6,001 -
179 Lacto-B Sachet - 4,867 - 4,867 - 4,867 - - 4,867 -
180 Lactulose syr Botol 80 15,060 1,204,800 15,060 - 15,060 - 80 15,060 1,204,800
181 Lansoprazole cap 30 mg Kapsul 200 675 135,000 675 - 200 675 135,000 - 675 -
182 Lantus Insulin Pen 25 89,000 2,225,000 89,000 - 25 89,000 2,225,000 - 89,000 -
183 L-Bio Sachet - 7,315 - 7,315 - 7,315 - - 7,315 -
184 Levofloxacin infus 750 mg/150 ml Botol - 95,997 - 95,997 - 95,997 - - 95,997 -
185 Levofloxacin tab 500 mg Tablet 100 1,142 114,200 1,142 - 100 1,142 114,200 - 1,142 -
186 Levofloxacin tab 750 mg Tablet 150 3,086 462,900 3,086 - 150 3,086 462,900 - 3,086 -
187 Levopar tab Tablet 1,000 3,960 3,960,000 3,960 - 3,960 - 1,000 3,960 3,960,000
188 Lidocain inj 2% Ampul 4,000 1,475 5,900,000 1,475 - 100 1,475 147,500 3,900 1,475 5,752,500
189 Lisinopril tab 10 mg Tablet 4,000 370 1,480,000 370 - 370 - 4,000 370 1,480,000
190 Lisinopril tab 5 mg Tablet 500 250 125,000 250 - 250 - 500 250 125,000
191 Lithium tab 100 mg (Frimania) Tablet 400 1,848 739,200 1,848 - 1,848 - 400 1,848 739,200
192 Loratadin tab 10 mg Tablet 500 281 140,500 281 - 500 281 140,500 - 281 -
193 Lorazepam tab 2 mg (Merlopam) Tablet 800 3,685 2,948,000 3,685 - 3,685 - 800 3,685 2,948,000
194 Meloxicam tab 15 mg Tablet 500 500 250,000 500 - 250 500 125,000 250 500 125,000
195 Meloxicam tab 7,5 mg Tablet 1,300 440 572,000 440 - 300 440 132,000 1,000 440 440,000
196 Meropenem inj 1 g Vial 90 41,250 3,712,500 41,250 - 90 41,250 3,712,500 - 41,250 -
197 Meropenem inj 1 g Vial 20 32,345 646,900 32,345 - 20 32,345 646,900 - 32,345 -
198 Metformin tab 500 mg Tablet 8,900 192 1,708,800 192 - 3,500 192 672,000 5,400 192 1,036,800
199 Methylergometrine inj Ampul 300 3,553 1,065,900 3,553 - 3,553 - 300 3,553 1,065,900
200 Methylprednisolone inj 125 mg Vial 120 12,217 1,466,040 12,217 - 20 12,217 244,340 100 12,217 1,221,700
201 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500 1,273 - 1,273 - 500 1,273 636,500
202 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000 637 637,000
203 Methylprednisolone tab 8 mg Tablet 3,000 483 1,449,000 483 - 1,000 483 483,000 2,000 483 966,000
204 Metoclopramide inj 10 mg/2 ml Ampul 100 6,930 693,000 6,930 - 6,930 - 100 6,930 693,000
205 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000 135 405,000
206 Metronidazol infus 500 mg/100 ml Botol 168 8,250 1,386,000 8,250 - 168 8,250 1,386,000 - 8,250 -
207 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75 3,590 269,250
208 Metronidazol syr 125 mg/5 ml Botol 200 6,270 1,254,000 6,270 - 50 6,270 313,500 150 6,270 940,500
209 Metronidazole tab 500 mg Tablet 1,000 282 282,000 282 - 282 - 1,000 282 282,000
210 Meylon inj 8,4% (i.v.)  Vial 25 ml - 6,448 - 6,448 - 6,448 - - 6,448 -
211 MgSO4 inj 20% Vial 25 ml 85 3,328 282,880 3,328 - 60 3,328 199,680 25 3,328 83,200
212 Miconazole krim 2% Tube 48 3,415 163,920 3,415 - 24 3,415 81,960 24 3,415 81,960
213 Microlax Tube 20 18,975 379,500 18,975 - 20 18,975 379,500 - 18,975 -
214 Microlax Tube 100 18,769 1,876,900 18,769 - 18,769 - 100 18,769 1,876,900
215 Morfin inj 10 mg/ml Ampul 50 34,050 1,702,500 34,050 - 34,050 - 50 34,050 1,702,500
216 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300 2,949,000 98,300 - 98,300 - 30 98,300 2,949,000
217 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000 164 - 164 - 250 164 41,000
218 Natrium Diclofenak tab 50 mg Tablet 750 156 117,000 156 - 250 156 39,000 500 156 78,000
219 Neurosanbe inj Ampul 100 6,017 601,700 6,017 - 100 6,017 601,700 - 6,017 -
220 New Diatabs tab Tablet - 557 - 557 - 557 - - 557 -
221 Nicardipine inj 10 mg/10 ml Ampul 40 23,293 931,720 23,293 - 23,293 - 40 23,293 931,720
222 Nifedipine tab 10 mg Tablet 4,500 155 697,500 155 - 500 155 77,500 4,000 155 620,000
223 Nopril tab 10 mg Tablet - 600 - 600 - 600 - - 600 -
224 Norephineprin inj 4 mg/4 ml Ampul 15 26,400 396,000 26,400 - 26,400 - 15 26,400 396,000
225 Novomix insulin Pen 50 110,968 5,548,400 110,968 - 25 110,968 2,774,200 25 110,968 2,774,200
226 Novorapid insulin Pen 25 87,000 2,175,000 87,000 - 25 87,000 2,175,000 - 87,000 -
227 Nystatin drop Botol 30 21,780 653,400 21,780 - 10 21,780 217,800 20 21,780 435,600
228 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300 904 271,200
229 Olanzapin/ Sopavel tab 5 mg Tablet 90 12,155 1,093,950 12,155 - 12,155 - 90 12,155 1,093,950
230 Omeprazol inj 40 mg Vial 50 11,868 593,400 11,868 - 50 11,868 593,400 - 11,868 -
231 Omeprazol kaps 20 mg Kapsul 2,700 610 1,647,000 610 - 900 610 549,000 1,800 610 1,098,000
232 Ondancentron inj 4 mg/2 ml Ampul 500 1,312 656,000 1,312 - 500 1,312 656,000 - 1,312 -
233 Ondancentron tab 4 mg Tablet 1,130 1,016 1,148,080 1,016 - 500 1,016 508,000 630 1,016 640,080
234 Ondancentron tab 8 mg Tablet 450 1,670 751,500 1,670 - 1,670 - 450 1,670 751,500
235 Oralit saset Sachet 1,800 666 1,198,800 666 - 200 666 133,200 1,600 666 1,065,600
236 Otopain tetes telinga Botol - 73,769 - 73,769 - 73,769 - - 73,769 -
237 Oxytetracycline salep mata Tube 75 3,692 276,900 3,692 - 25 3,692 92,300 50 3,692 184,600
238 Oxytocin inj Ampul 100 1,287 128,700 1,287 - 100 1,287 128,700 - 1,287 -
239 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14 14,638 204,932
240 Pantoprazol inj 40 mg Vial 50 33,006 1,650,300 33,006 - 50 33,006 1,650,300 - 33,006 -
241 Paracetamol infus 1 g/100 ml Botol 72 11,990 863,280 11,990 - 72 11,990 863,280 - 11,990 -
242 Paracetamol syr 120 mg/5 ml Botol 96 4,890 469,440 4,890 - 96 4,890 469,440 - 4,890 -
243 Paracetamol tab 500 mg Tablet - 253 - 253 - 253 - - 253 -
244 Pethidin inj 100 mg/2 ml Ampul 120 19,481 2,337,720 19,481 - 19,481 - 120 19,481 2,337,720
245 Phenobarbital inj 50 mg/1 ml Ampul 120 2,380 285,600 2,380 - 2,380 - 120 2,380 285,600
246 Phenobarbital tab 30 mg Tablet 1,700 187 317,900 187 - 187 - 1,700 187 317,900
247 Piracetam inj 1 gr/5 ml Ampul 100 4,950 495,000 4,950 - 4,950 - 100 4,950 495,000
248 Piracetam inj 3 g/15 ml Ampul 90 15,675 1,410,750 15,675 - 90 15,675 1,410,750 - 15,675 -
249 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500 460 230,000
250 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 361 - 1,500 361 541,500
251 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000 178 534,000
252 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24 77,000 1,848,000
253 Prednison tab 5 mg Tablet 1,000 198 198,000 198 - 198 - 1,000 198 198,000
254 Profofol /Proanes inj 1% Ampul 30 88,935 2,668,050 88,935 - 88,935 - 30 88,935 2,668,050
255 Promavit tab Tablet - 3,448 - 3,448 - 3,448 - - 3,448 -
256 Propanolol tab 10 mg Tablet 500 93 46,500 93 - 500 93 46,500 - 93 -
257 Propanolol tab 40 mg Tablet 4,000 145 580,000 145 - 500 145 72,500 3,500 145 507,500
258 Propilthyouracil tab 100 mg Tablet - 518 - 518 - 518 - - 518 -
259 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50 82,001 4,100,050
260 Pulmicort Respules 0,5 mg/ml Respule 600 14,131 8,478,600 14,131 - 14,131 - 600 14,131 8,478,600
261 Pumpisel inj 40 mg Vial - 72,600 - 72,600 - 72,600 - - 72,600 -
262 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800 512 921,600
263 Quanocain spinal 20 mg/4 ml Ampul 15 54,450 816,750 54,450 - 54,450 - 15 54,450 816,750
264 Quentiapin / Quetvel tab 200 mg Tablet 360 14,266 5,135,760 14,266 - 14,266 - 360 14,266 5,135,760
265 Ranitidin inj 50 mg/2 ml Ampul 100 4,002 400,200 4,002 - 100 4,002 400,200 - 4,002 -
266 Ranitidine tab 150 mg Tablet 3,000 303 909,000 303 - 303 - 3,000 303 909,000
267 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000 1,751 1,751,000
268 Risperidone tab 2 mg Tablet 250 2,565 641,250 2,565 - 250 2,565 641,250 - 2,565 -
269 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500 64 96,000
270 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000 102 306,000
271 Sanmag syrup Botol 25 27,500 687,500 27,500 - 27,500 - 25 27,500 687,500
272 Sanmol drop Botol 20 17,270 345,400 17,270 - 17,270 - 20 17,270 345,400
273 Sanmol infus 1 gr/100 ml Botol 264 30,251 7,986,264 30,251 - 30,251 - 264 30,251 7,986,264
274 Sanmol syr 120 mg/5 ml Botol 152 12,870 1,956,240 12,870 - 12,870 - 152 12,870 1,956,240
275 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500 319 478,500
276 Santagesik inj 1 gr/2 ml Ampul 400 4,401 1,760,400 4,401 - 400 4,401 1,760,400 - 4,401 -
277 Serum ATS (Tetagam) inj 1500 IU Vial 30 146,800 4,404,000 146,800 - 10 146,800 1,468,000 20 146,800 2,936,000
278 Sevoflurane Botol - 1,683,000 - 1,683,000 - 1,683,000 - - 1,683,000 -
279 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40 79,860 3,194,400
280 Simvastatin tab 20 mg Tablet 500 505 252,500 505 - 500 505 252,500 - 505 -
281 Spironolactone tab 100 mg Tablet 3,500 661 2,313,500 661 - 661 - 3,500 661 2,313,500
282 Spironolactone tab 25 mg Tablet 3,000 226 678,000 226 - 1,000 226 226,000 2,000 226 452,000
283 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40 15,088 603,520
284 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 45 21,935 987,075 21,935 - 21,935 - 45 21,935 987,075
285 Sukralfat syrup 500 mg/5 ml Botol 125 7,789 973,625 7,789 - 125 7,789 973,625 - 7,789 -
286 Symbicort turbuhaler Pcs 60 149,266 8,955,960 149,266 - 15 149,266 2,238,990 45 149,266 6,716,970
287 Tablet Tambah Darah Tablet 1,170 546 638,820 546 - 600 546 327,600 570 546 311,220
288 Thiamfenicol caps 500 mg Kapsul 400 880 352,000 880 - 400 880 352,000 - 880 -
289 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 52,275 - 30 52,275 1,568,250
290 Tramadol cap 50 mg Kapsul 1,700 825 1,402,500 825 - 500 825 412,500 1,200 825 990,000
291 Tremenza tab Tablet 300 1,600 480,000 1,600 - 300 1,600 480,000 - 1,600 -
292 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500 745 372,500
293 Trifluoferazin tab 5 mg (Stelosi) Tablet 800 577 461,600 577 - 200 577 115,400 600 577 346,200
294 Trihexyfenidil tab 2 mg Tablet 1,500 116 174,000 116 - 1,000 116 116,000 500 116 58,000
295 Trovensis inj 4mg/2 ml Ampul 175 37,213 6,512,275 37,213 - 50 37,213 1,860,650 125 37,213 4,651,625
296 Urdafalk kaps 250 mg kapsul 300 6,343 1,902,900 6,343 - 6,343 - 300 6,343 1,902,900
297 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400 4,000 1,600,000
298 Vitamin B Complex tab Tablet 1,000 131 131,000 131 - 1,000 131 131,000 - 131 -
299 Vitamin B6 tab 10 mg Tablet 2,500 158 395,000 158 - 500 158 79,000 2,000 158 316,000
300 Vitamin C inj 1 g/5 ml Ampul 75 55,000 4,125,000 55,000 - 50 55,000 2,750,000 25 55,000 1,375,000
301 Vitamin C tab 250 mg Tablet 1,000 195 195,000 195 - 500 195 97,500 500 195 97,500
302 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210 3,025 635,250
303 Zidifec inj 1 g Vial - 128,690 - 128,690 - 128,690 - - 128,690 -
304 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500 708 2,478,000
305 Zink syr 10 mg/5 ml Botol 100 4,289 428,900 4,289 - 4,289 - 100 4,289 428,900
1 Amboroxol tab 30 mg Tablet - 2000 225 450,000 225 - 2,000 225 450,000
2 Arixtra inj Pen - 25 247,500 6,187,500 10 247,500 2,475,000 15 247,500 3,712,500
3 Asam Mefenamat tab 500 mg Tablet - 5000 284 1,420,000 284 - 5,000 284 1,420,000
4 Azithromycin tab 500 mg Tablet - 1000 1,400 1,400,000 1,400 - 1,000 1,400 1,400,000
5 Betamethasone krim Tube - 100 1,740 174,000 1,740 - 100 1,740 174,000
6 Buscopan inj 20 mg/ml Ampul - 200 75,410 15,082,000 50 75,410 3,770,500 150 75,410 11,311,500
7 Candesartan tab 16 mg Tablet - 6000 1,153 6,918,000 750 1,153 864,750 5,250 1,153 6,053,250
8 Captopril tab 12,5 mg Tablet - 1000 166 166,000 166 - 1,000 166 166,000
9 Cefixime cap 200 mg Kapsul - 1000 4,400 4,400,000 4,400 - 1,000 4,400 4,400,000
10 Ciprofloxacin infus 200 mg/100 ml Botol - 100 42,996 4,299,600 42,996 - 100 42,996 4,299,600
11 Ciprofloxacin tab 500 mg Tablet - 800 617 493,600 617 - 800 617 493,600
12 Citicolin inj 250 mg/2 ml Ampul - 200 14,437 2,887,400 50 14,437 721,850 150 14,437 2,165,550
13 Citicolin tab 500 mg Tablet - 300 5,984 1,795,200 150 5,984 897,600 150 5,984 897,600
14 Clopidogrel tab 75 mg Tablet - 900 660 594,000 300 660 198,000 600 660 396,000
15 Difenhydramine inj 10 mg/ml Ampul - 90 1,815 163,350 60 1,815 108,900 30 1,815 54,450
16 Dopamin inj 40 mg/ml (Cetadop) Ampul - 100 6,160 616,000 6,160 - 100 6,160 616,000
17 Fitomenadion inj 2 mg/ml (Vit. K1) Ampul - 200 6,600 1,320,000 6,600 - 200 6,600 1,320,000
18 Fitomenadion tab 10 mg Tablet - 500 1,210 605,000 200 1,210 242,000 300 1,210 363,000
19 Folavit tab Tablet - 2000 984 1,968,000 984 - 2,000 984 1,968,000
20 Gabapentin tab 300 mg Tablet - 1980 1,122 2,221,560 1,122 - 1,980 1,122 2,221,560
21 Gemfibrozil tab 300 mg Tablet - 2300 484 1,113,200 484 - 2,300 484 1,113,200
22 Haloperidol inj 50 mg/ml (Lodomer) Ampul - 36 12,523 450,828 12 12,523 150,276 24 12,523 300,552
23 Infus Nacl 0,9 % 100 ml Botol - 60 13,090 785,400 60 13,090 785,400 - 13,090 -
24 Infus Tridex 27 B Botol 500 ml - 240 10,352 2,484,480 10,352 - 240 10,352 2,484,480
25 Ketorolac inj 30 mg/ml Ampul - 606 3,500 2,121,000 120 3,500 420,000 486 3,500 1,701,000
26 Lansoprazole kaps 20 mg Kapsul - 3000 548 1,644,000 1,100 548 602,800 1,900 548 1,041,200
27 Levemir insulin Pen - 100 89,000 8,900,000 25 89,000 2,225,000 75 89,000 6,675,000
28 Levofloxacin tab 500 mg Tablet - 1000 693 693,000 1,000 693 693,000 - 693 -
29 Lisinopril tab 5 mg Tablet - 2000 250 500,000 250 - 2,000 250 500,000
30 Loratadine tab 10 mg Tablet - 1000 286 286,000 286 - 1,000 286 286,000
31 Meloxicam tab 15 mg Tablet - 1000 474 474,000 474 - 1,000 474 474,000
32 Methylergometrine tab 0,125 mg Tablet - 1000 261 261,000 500 261 130,500 500 261 130,500
33 Methylprednisolone tab 4 mg Tablet - 2000 242 484,000 500 242 121,000 1,500 242 363,000
34 Metoclopramide inj 10 mg/2 ml Ampul - 200 5,280 1,056,000 5,280 - 200 5,280 1,056,000
35 Miconazole krim 2 % Tube - 240 2,090 501,600 2,090 - 240 2,090 501,600
36 Neurosanbe inj Ampul - 500 6,017 3,008,500 50 6,017 300,850 450 6,017 2,707,650
37 Neurosanbe tab Tablet - 2000 1,314 2,628,000 500 1,314 657,000 1,500 1,314 1,971,000
38 Novorapid insulin Pen - 150 89,500 13,425,000 25 89,500 2,237,500 125 89,500 11,187,500
39 Omeprazole inj 40 mg Vial - 100 12,912 1,291,200 100 12,912 1,291,200 - 12,912 -
40 Omeprazole inj 40 mg Vial - 200 13,005 2,601,000 50 13,005 650,250 150 13,005 1,950,750
41 Ondancentron inj 4 mg/2 ml Ampul - 1500 1,312 1,968,000 300 1,312 393,600 1,200 1,312 1,574,400
42 Oxytocin inj Ampul - 500 1,287 643,500 100 1,287 128,700 400 1,287 514,800
43 Pantoprazole inj 40 mg Vial - 500 33,024 16,512,000 450 33,024 14,860,800 50 33,024 1,651,200
44 Paracetamol infus 1 g/100 ml Botol - 240 11,990 2,877,600 240 11,990 2,877,600 - 11,990 -
45 Paracetamol tab 500 mg Tablet - 5000 247 1,235,000 2,500 247 617,500 2,500 247 617,500
46 Propilthyouracil tab 100 mg Tablet - 4000 518 2,072,000 500 518 259,000 3,500 518 1,813,000
47 Ranitidine inj 50 mg/2 ml Ampul - 300 4,000 1,200,000 4,000 - 300 4,000 1,200,000
48 Sanmol drop Botol - 100 17,270 1,727,000 17,270 - 100 17,270 1,727,000
49 Sevoflurane Botol - 5 1,122,000 5,610,000 1,122,000 - 5 1,122,000 5,610,000
50 Simvastatin tab 10 mg Tablet - 5000 231 1,155,000 1,000 231 231,000 4,000 231 924,000
51 Thiamfenicol tab 500 mg Tablet - 500 1,089 544,500 200 1,089 217,800 300 1,089 326,700
52 Vitamin B Complex tab Tablet - 500 138 69,000 500 138 69,000 - 138 -
53 Zidifec inj 1 g Vial - 100 128,589 12,858,900 25 128,589 3,214,725 75 128,589 9,644,175

SUBTOTAL 505,193,218 146,341,918 148,371,331 503,163,805


SALDO AKHIR FEBRUARI 2021 505,193,218
BMHP
1 Abbocath No. 20 Pcs 600 6,270 3,762,000 6,270 - 150 6,270 940,500 450 6,270 2,821,500
2 Abbocath No. 22 Pcs 600 6,270 3,762,000 6,270 - 200 6,270 1,254,000 400 6,270 2,508,000
3 Abbocath No. 24 Pcs 900 6,270 5,643,000 6,270 - 100 6,270 627,000 800 6,270 5,016,000
4 Abbocath No. 26 Pcs 150 15,397 2,309,550 15,397 - 100 15,397 1,539,700 50 15,397 769,850
5 Alkohol 70% 1 L Botol 1 L 93 37,153 3,455,229 37,153 - 42 37,153 1,560,426 51 37,153 1,894,803
6 Alkohol 95% 100 ml Btl 100 ml 240 5,879 1,410,960 5,879 - 48 5,879 282,192 192 5,879 1,128,768
7 Alkohol Swab Pcs 25,800 242 6,243,600 242 - 5,600 242 1,355,200 20,200 242 4,888,400
8 Chlorhexidin 4% (onescrub) Btl 500 ml - 75,000 - 75,000 - 75,000 - - 75,000 -
9 Dermafix Pcs 50 1,039 51,950 1,039 - 10 1,039 10,390 40 1,039 41,560
10 EKG Elektroda Anak Pcs 650 3,300 2,145,000 3,300 - 100 3,300 330,000 550 3,300 1,815,000
11 EKG Elektroda Dewasa Pcs 250 4,950 1,237,500 4,950 - 4,950 - 250 4,950 1,237,500
12 Elastis Perband No. 3 inchi Roll 12 16,500 198,000 16,500 - 16,500 - 12 16,500 198,000
13 Elastis Perband No. 4 inchi Roll - 17,600 - 17,600 - 17,600 - - 17,600 -
14 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 13,680 - 10 13,680 136,800
15 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10 13,908 139,080
16 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs - 13,908 - 13,908 - 13,908 - - 13,908 -
17 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs - 137,500 - 137,500 - 137,500 - - 137,500 -
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 77,000 - 20 77,000 1,540,000
19 Folley Catheter 2-Way no. 08 Pcs 40 34,155 1,366,200 34,155 - 10 34,155 341,550 30 34,155 1,024,650
20 Folley Catheter 2-Way no. 10 Pcs 10 34,155 341,550 34,155 - 10 34,155 341,550 - 34,155 -
21 Folley catheter 2-Way no. 12 Pcs - 12,144 - 12,144 - 12,144 - - 12,144 -
22 Folley Catheter 2-Way No. 14 Pcs 100 17,600 1,760,000 17,600 - 17,600 - 100 17,600 1,760,000
23 Folley Catheter 2-Way No. 16 Pcs 40 12,144 485,760 12,144 - 40 12,144 485,760 - 12,144 -
24 Folley Catheter 2-Way No. 16 Pcs 100 17,600 1,760,000 17,600 - 20 17,600 352,000 80 17,600 1,408,000
25 Folley Catheter 2-Way no. 18 Pcs 90 12,144 1,092,960 12,144 - 20 12,144 242,880 70 12,144 850,080
26 Formalin cair Liter 25 140,008 3,500,200 140,008 - 10 140,008 1,400,080 15 140,008 2,100,120
27 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5 324,500 1,622,500
28 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12 18,775 225,300
29 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14 26,433 370,062
30 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21 54,085 1,135,785
31 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25 24,750 618,750
32 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5 13,200 66,000
33 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5 24,750 123,750
34 Guedel Airway no. 4 Pcs 10 24,750 247,500 24,750 - 24,750 - 10 24,750 247,500
35 Guedel Airway No. 5 Pcs 18 24,750 445,500 24,750 - 5 24,750 123,750 13 24,750 321,750
36 Hand sanitizer Btl 500 ml 146 54,506 7,957,876 54,506 - 48 54,506 2,616,288 98 54,506 5,341,588
37 Hypafix 10 cm x 5 m Roll 29 117,810 3,416,490 117,810 - 29 117,810 3,416,490 - 117,810 -
38 Infuset Makro / Dewasa Pcs 500 8,107 4,053,500 8,107 - 200 8,107 1,621,400 300 8,107 2,432,100
39 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200 12,334 2,466,800
40 Jarum Insulin Pcs 1,800 2,083 3,749,400 2,083 - 200 2,083 416,600 1,600 2,083 3,332,800
41 Kapas 500 g Roll 18 31,372 564,696 31,372 - 1 31,372 31,372 17 31,372 533,324
42 Kasa Hidrofil 40 y x 80 cm Rol 18 104,500 1,881,000 104,500 - 12 104,500 1,254,000 6 104,500 627,000
43 Kasa steril 16x16 Ktk 250 3,500 875,000 3,500 - 170 3,500 595,000 80 3,500 280,000
44 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9 159,500 1,435,500
45 Kertas CTG 152 mm x 25 m Roll 6 270,000 1,620,000 270,000 - 3 270,000 810,000 3 270,000 810,000
46 Kertas EKG 110 mm Rol - 103,125 - 103,125 - 103,125 - - 103,125 -
47 Kertas EKG 207 mm Roll - 220,000 - 220,000 - 220,000 - - 220,000 -
48 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7 66,000 462,000
49 Laryng Mask Airways (LMA) no. 4 Pcs - 330,000 - 330,000 - 330,000 - - 330,000 -
50 Masker Bedah Pcs 550 1,540 847,000 1,540 - 550 1,540 847,000 - 1,540 -
51 Masker Nebulizer Anak Pcs 55 32,670 1,796,850 32,670 - 10 32,670 326,700 45 32,670 1,470,150
52 Masker Nebulizer Dewasa Pcs 80 26,464 2,117,120 26,464 - 26,464 - 80 26,464 2,117,120
53 Masker NRM Anak Pcs 30 33,000 990,000 33,000 - 10 33,000 330,000 20 33,000 660,000
54 Masker NRM Dewasa Pcs 5 19,154 95,770 19,154 - 5 19,154 95,770 - 19,154 -
55 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50 15,180 759,000
56 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140 15,180 2,125,200
57 Masker Oksigen Dewasa Pcs - 15,180 - 15,180 - 15,180 - - 15,180 -
58 Naso Gastrik Tube (NGT) no. 05 Pcs 10 12,797 127,970 12,797 - 10 12,797 127,970 - 12,797 -
59 Naso Gastrik Tube (NGT) no. 06 Pcs 10 33,000 330,000 33,000 - 10 33,000 330,000 - 33,000 -
60 Naso Gastrik Tube (NGT) no. 08 Pcs 25 49,500 1,237,500 49,500 - 10 49,500 495,000 15 49,500 742,500
61 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
62 Naso Gastrik Tube (NGT) no. 12 Pcs 20 5,215 104,300 5,215 - 10 5,215 52,150 10 5,215 52,150
63 Naso Gastrik Tube (NGT) no. 14 Pcs 30 5,215 156,450 5,215 - 10 5,215 52,150 20 5,215 104,300
64 Naso Gastrik Tube (NGT) no. 16 Pcs - 36,960 - 36,960 - 36,960 - - 36,960 -
65 Naso Gastrik Tube (NGT) no. 18 Pcs 40 36,960 1,478,400 36,960 - 10 36,960 369,600 30 36,960 1,108,800
66 Naso Gastrik Tube (NGT) no. 3,5 Pcs 40 44,000 1,760,000 44,000 - 10 44,000 440,000 30 44,000 1,320,000
67 Paper printing UPP 110 HG Roll - 275,000 - 275,000 - 275,000 - - 275,000 -
68 Perfusor/extention tube 150 cm Pcs 60 22,567 1,354,020 22,567 - 20 22,567 451,340 40 22,567 902,680
69 Povidon Iodine 10 % 60 ml Botol 200 5,500 1,100,000 5,500 - 100 5,500 550,000 100 5,500 550,000
70 Povidon Iodine 10% 1 L Botol 1 L 46 51,820 2,383,720 51,820 - 5 51,820 259,100 41 51,820 2,124,620
71 Sarung tangan Gynecolog no. 6,5 pasang 80 45,000 3,600,000 45,000 - 40 45,000 1,800,000 40 45,000 1,800,000
72 Sarung tangan steril no. 7 Pasang 750 12,100 9,075,000 12,100 - 600 12,100 7,260,000 150 12,100 1,815,000
73 Sarung tangan steril no. 7,5 Pasang 750 12,100 9,075,000 12,100 - 500 12,100 6,050,000 250 12,100 3,025,000
74 Selang Oksigen Anak Pcs 80 8,760 700,800 8,760 - 80 8,760 700,800 - 8,760 -
75 Selang Oksigen Bayi Pcs 25 8,906 222,650 8,906 - 8,906 - 25 8,906 222,650
76 Selang Oksigen Dewasa Pcs 200 7,680 1,536,000 7,680 - 100 7,680 768,000 100 7,680 768,000
77 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 27,500 - 12 27,500 330,000
78 Spinocain No. 25 Pcs - 31,200 - 31,200 - 31,200 - - 31,200 -
79 Spinocain No. 26 Pcs 100 31,300 3,130,000 31,300 - 25 31,300 782,500 75 31,300 2,347,500
80 Spinocain No. 27 Pcs 25 38,300 957,500 38,300 - 38,300 - 25 38,300 957,500
81 Spuit no. 01 cc Pcs 4,300 770 3,311,000 770 - 800 770 616,000 3,500 770 2,695,000
82 Spuit no. 03 cc Pcs 6,600 1,159 7,649,400 1,159 - 2,300 1,159 2,665,700 4,300 1,159 4,983,700
83 Spuit no. 05 cc Pcs 1,700 994 1,689,800 994 - 1,000 994 994,000 700 994 695,800
84 Spuit no. 10 cc Pcs 1,200 1,282 1,538,400 1,282 - 1,200 1,282 1,538,400 - 1,282 -
85 Spuit no. 20 cc Pcs 1,200 1,916 2,299,200 1,916 - 1,916 - 1,200 1,916 2,299,200
86 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 4,704 - 1,125 4,704 5,292,000
87 Spuit no. 50 cc (L.Pinggir) Pcs 180 6,996 1,259,280 6,996 - 40 6,996 279,840 140 6,996 979,440
88 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300 5,258 1,577,400
89 Suction Catheter No. 08 Pcs - 4,224 - 4,224 - 4,224 - - 4,224 -
90 Suction Catheter No. 10 Pcs 20 6,600 132,000 6,600 - 6,600 - 20 6,600 132,000
91 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50 4,224 211,200
92 Suction Catheter No. 16 Pcs 40 8,407 336,280 8,407 - 8,407 - 40 8,407 336,280
93 Three Way Stop Cock Pcs 450 4,290 1,930,500 4,290 - 250 4,290 1,072,500 200 4,290 858,000
94 Tranfusi Set Pcs 75 12,680 951,000 12,680 - 75 12,680 951,000 - 12,680 -
95 Transofix Pcs 50 3,400 170,000 3,400 - 50 3,400 170,000 - 3,400 -
96 Underpad Pcs 300 3,905 1,171,500 3,905 - 100 3,905 390,500 200 3,905 781,000
97 Urine Bag Pcs 200 5,500 1,100,000 5,500 - 5,500 - 200 5,500 1,100,000
98 Urine Bag Pcs 190 8,088 1,536,720 8,088 - 50 8,088 404,400 140 8,088 1,132,320
1 Folley Catheter 2-Way No. 06 Pcs - 20 36,740 734,800 36,740 - 20 36,740 734,800
2 Folley Catheter 2-Way No. 10 Pcs - 20 32,670 653,400 32,670 - 20 32,670 653,400
3 Folley Catheter 2-Way No. 12 Pcs - 40 11,374 454,960 11,374 - 40 11,374 454,960
4 Jeli USG Botol - 50 33,000 1,650,000 21 33,000 693,000 29 33,000 957,000
5 Kasa Steril 16 X 16 Kotak - 300 3,500 1,050,000 3,500 - 300 3,500 1,050,000
6 Kertas EKG 110 mm Roll - 30 198,000 5,940,000 198,000 - 30 198,000 5,940,000
7 Kertas EKG 207 mm Roll - 30 154,000 4,620,000 5 154,000 770,000 25 154,000 3,850,000
8 Paper Printing UPP 110 HG Roll - 20 302,500 6,050,000 4 302,500 1,210,000 16 302,500 4,840,000
9 Sarung Tangan Non Steril uk. L Ktk 100 pcs - 100 187,000 18,700,000 21 187,000 3,927,000 79 187,000 14,773,000
10 Sarung Tangan Non Steril uk. M Ktk 100 pcs - 200 187,000 37,400,000 61 187,000 11,407,000 139 187,000 25,993,000
11 Sarung Tangan Non Steril uk. S Ktk 100 pcs - 100 187,000 18,700,000 7 187,000 1,309,000 93 187,000 17,391,000
12 Selang Oksigen Anak Pcs - 100 6,050 605,000 10 6,050 60,500 90 6,050 544,500
13 Selang Oksigen Dewasa Pcs - 100 6,050 605,000 6,050 - 100 6,050 605,000
14 Spuit No. 10 cc Pcs - 5,000 1,328 6,640,000 700 1,328 929,600 4,300 1,328 5,710,400
15 Suction Catheter No. 08 Pcs - 200 2,998 599,600 50 2,998 149,900 150 2,998 449,700
16 Three Way Stop Cock Pcs - 300 6,457 1,937,100 6,457 - 300 6,457 1,937,100
17 Tranfusi Set Pcs - 300 12,507 3,752,100 25 12,507 312,675 275 12,507 3,439,425

SUB TOTAL 155,554,678 110,091,960 73,887,223 191,759,415


SALDO AKHIR FEBRUARI 2021 155,554,678
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 1 HR 26 mm -Taper Set 0 63,100 - 63,100 - 63,100 - 0 63,100 -
2 Benang Catgut Chromic 2/0 (Biasa) Set 24 8,855 212,520 8,855 - 8,855 - 24 8,855 212,520
3 Benang Catgut Chromic 2/0 Taper Set 36 58,700 2,113,200 58,700 - 12 58,700 704,400 24 58,700 1,408,800
4 Benang Catgut Chromic 3/0 (Biasa) Set 48 8,855 425,040 8,855 - 24 8,855 212,520 24 8,855 212,520
5 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60 42,605 2,556,300
6 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24 58,700 1,408,800
7 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24 46,900 1,125,600
8 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12 51,100 613,200
9 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19 23,135 439,565
10 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 48 90,300 4,334,400 90,300 - 48 90,300 4,334,400 0 90,300 -
11 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 108 101,250 10,935,000 101,250 - 101,250 - 108 101,250 10,935,000
12 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Set 36 91,244 3,284,784 91,244 - 36 91,244 3,284,784 0 91,244 -
13 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Pcs 72 98,000 7,056,000 98,000 - 98,000 - 72 98,000 7,056,000
14 Benang PGA /Safil 3/0 26 mm 1/2 circle - Taper Set 0 104,100 - 104,100 - 104,100 - 0 104,100 -
15 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48 70,400 3,379,200
16 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 117,137 - 24 117,137 2,811,288
17 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12 132,498 1,589,976
18 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 24 73,800 1,771,200 73,800 - 12 73,800 885,600 12 73,800 885,600
19 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 24 73,600 1,766,400 73,600 - 73,600 - 24 73,600 1,766,400
20 Benang Premilene/Provein 5/0 Cutting Set 12 52,350 628,200 52,350 - 12 52,350 628,200 0 52,350 -
21 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60 93,980 5,638,800
22 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 72 61,392 4,420,224 61,392 - 36 61,392 2,210,112 36 61,392 2,210,112
23 Benang silk 2/0 + jarum Pcs 216 4,706 1,016,496 4,706 - 36 4,706 169,416 180 4,706 847,080
24 Benang silk 3/0 + jarum Pcs 252 4,706 1,185,912 4,706 - 36 4,706 169,416 216 4,706 1,016,496
25 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200 2,790 558,000
26 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
27 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
28 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48 52,700 2,529,600
29 Cairan Pencuci Alat Bedah Galon 5 L 0 504,000 - 504,000 - 504,000 - 0 504,000 -
30 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21 168,919 3,547,299
31 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20 168,919 3,378,380
32 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50 89,018 4,450,900
33 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29 89,018 2,581,522
34 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000 82,500 - 82,500 - 30 82,500 2,475,000
35 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1 33,000 33,000
36 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1 308,000 308,000
37 Jas Operasi disp (surgical gown spulen) uk. L Pcs 21 23,067 484,407 23,067 - 3 23,067 69,201 18 23,067 415,206
38 K. Wire - 1,4 mm Pcs 0 193,050 - 193,050 - 193,050 - 0 193,050 -
39 K. Wire - 1,6 mm Pcs 2 193,050 386,100 193,050 - 193,050 - 2 193,050 386,100
40 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
41 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
42 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1 825,825 825,825
43 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
44 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2 542,685 1,085,370
45 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
46 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2 318,533 637,066
47 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1 318,533 318,533
48 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1 854,139 854,139
49 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2 854,139 1,708,278
50 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9 112,613 1,013,517
51 Mesh Hernia Pcs 0 218,562 - 218,562 - 218,562 - 0 218,562 -
52 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10 118,800 1,188,000
53 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10 218,562 2,185,620
54 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
55 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
56 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
Small plate - DCP small narrow plate 3,5 mm, small bone
57 Pcs 2 438,867 877,734 438,867 - 438,867 - 2 438,867 877,734
type A, 10 holes
58 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2 684,255 1,368,510
59 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1 684,255 684,255
60 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2 880,000 1,760,000
61 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20 75,000 1,500,000

SUB TOTAL 108,987,610 - 12,668,049 96,319,561


SALDO AKHIR FEBRUARI 2021 108,987,610
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 10 4,600,000 46,000,000 4,600,000 - 5 4,600,000 23,000,000 5 4,600,000 23,000,000

SUB TOTAL 46,000,000 - 23,000,000 23,000,000


SALDO AKHIR FEBRUARI 2021 46,000,000

Mengetahui, Kuala Kurun, 31 Maret 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Amboroxol tab 30 mg Tablet 2,000 225
2 Arixtra inj Pen 25 247,500
3 Asam Mefenamat tab 500 mg Tablet 5,000 284
4 Azithromycin tab 500 mg Tablet 1,000 1,400
5 Betamethasone krim Tube 100 1,740
6 Buscopan inj 20 mg/ml Ampul 200 75,410
7 Candesartan tab 16 mg Tablet 6,000 1,153
8 Captopril tab 12,5 mg Tablet 1,000 166
9 Cefixime cap 200 mg Kapsul 1,000 4,400
10 Ciprofloxacin infus 200 mg/100 ml Botol 100 42,996
11 Ciprofloxacin tab 500 mg Tablet 800 617
12 Citicolin inj 250 mg/2 ml Ampul 200 14,437
13 Citicolin tab 500 mg Tablet 300 5,984
14 Clopidogrel tab 75 mg Tablet 900 660
15 Difenhydramine inj 10 mg/ml Ampul 90 1,815
16 Dopamin inj 40 mg/ml (Cetadop) Ampul 100 6,160
17 Fitomenadion inj 2 mg/ml (Vit. K1) Ampul 200 6,600
18 Fitomenadion tab 10 mg Tablet 500 1,210
19 Folavit tab Tablet 2,000 984
20 Gabapentin tab 300 mg Tablet 1,980 1,122
21 Gemfibrozil tab 300 mg Tablet 2,300 484
22 Haloperidol inj 50 mg/ml (Lodomer) Ampul 36 12,523
23 Infus Nacl 0,9 % 100 ml Botol 60 13,090
24 Infus Tridex 27 B Botol 500 ml 240 10,352
25 Ketorolac inj 30 mg/ml Ampul 606 3,500
26 Lansoprazole kaps 20 mg Kapsul 3,000 548
27 Levemir insulin Pen 100 89,000
28 Levofloxacin tab 500 mg Tablet 1,000 693
29 Lisinopril tab 5 mg Tablet 2,000 250
30 Loratadine tab 10 mg Tablet 1,000 286
31 Meloxicam tab 15 mg Tablet 1,000 474
32 Methylergometrine tab 0,125 mg Tablet 1,000 261
33 Methylprednisolone tab 4 mg Tablet 2,000 242
34 Metoclopramide inj 10 mg/2 ml Ampul 200 5,280
35 Miconazole krim 2 % Tube 240 2,090
36 Neurosanbe inj Ampul 500 6,017
37 Neurosanbe tab Tablet 2,000 1,314
38 Novorapid insulin Pen 150 89,500
39 Omeprazole inj 40 mg Vial 100 12,912
40 Omeprazole inj 40 mg Vial 200 13,005
41 Ondancentron inj 4 mg/2 ml Ampul 1,500 1,312
42 Oxytocin inj Ampul 500 1,287
43 Pantoprazole inj 40 mg Vial 500 33,024
44 Paracetamin infus 1 g/100 ml Botol 240 11,990
45 Paracetamol tab 500 mg Tablet 5,000 247
46 Propilthyouracil tab 100 mg Tablet 4,000 518
47 Ranitidine inj 50 mg/2 ml Ampul 300 4,000
48 Sanmol drop Botol 100 17,270
49 Sevoflurane Botol 5 1,122,000
50 Simvastatin tab 10 mg Tablet 5,000 231
51 Thiamfenicol tab 500 mg Tablet 500 1,089
52 Vitamin B Complex tab Tablet 500 138
53 Zidifec inj 1 g Vial 100 128,589

BMHP
1 Folley Catheter 2-Way No. 06 Pcs 20 36,740
2 Folley Catheter 2-Way No. 10 Pcs 20 32,670
3 Folley Catheter 2-Way No. 12 Pcs 40 11,374
4 Jeli USG Botol 50 33,000
5 Kasa Steril 16 X 16 Kotak 300 3,500
6 Kertas EKG 110 mm Roll 30 198,000
7 Kertas EKG 207 mm Roll 30 154,000
8 Paper Printing UPP 110 HG Roll 20 302,500
9 Sarung Tangan Non Steril uk. L Ktk 100 pcs 100 187,000
10 Sarung Tangan Non Steril uk. M Ktk 100 pcs 200 187,000
11 Sarung Tangan Non Steril uk. S Ktk 100 pcs 100 187,000
12 Selang Oksigen Anak Pcs 100 6,050
13 Selang Oksigen Dewasa Pcs 100 6,050
14 Spuit No. 10 cc Pcs 5,000 1,328
15 Suction Catheter No. 08 Pcs 200 2,998
16 Three Way Stop Cock Pcs 300 6,457
17 Tranfusi Set Pcs 300 12,507
JUMLAH HARGA
6

450,000
6,187,500
1,420,000
1,400,000
174,000
15,082,000
6,918,000
166,000
4,400,000
4,299,600
493,600
2,887,400
1,795,200
594,000
163,350
616,000
1,320,000
605,000
1,968,000
2,221,560
1,113,200
450,828
785,400
2,484,480
2,121,000
1,644,000
8,900,000
693,000
500,000
286,000
474,000
261,000
484,000
1,056,000
501,600
3,008,500
2,628,000
13,425,000
1,291,200
2,601,000
1,968,000
643,500
16,512,000
2,877,600
1,235,000
2,072,000
1,200,000
1,727,000
5,610,000
1,155,000
544,500
69,000
12,858,900
146,341,918

734,800
653,400
454,960
1,650,000
1,050,000
5,940,000
4,620,000
6,050,000
18,700,000
37,400,000
18,700,000
605,000
605,000
6,640,000
599,600
1,937,100
3,752,100
110,091,960

256,433,878.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN APRIL 2021

Persediaan Awal Masuk Pemakaian Persediaan Akhir


No Jenis Persediaan Satuan 1-Apr-21 SELAMA APRIL 2021 SELAMA APRIL 2021 30-Apr-21
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT
1 Acarbose tab 100 mg Tablet 1,500 996 1,494,000 996 - 500 996 498,000 1,000 996 996,000
2 Acarbose tab 50 mg Tablet 1,500 720 1,080,000 720 - 500 720 360,000 1,000 720 720,000
3 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100 3,217 321,700
4 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700 655 458,500
5 Acyclovir tab 400 mg Tablet 250 898 224,500 898 - 250 898 224,500 - 898 -
6 Allopurinol tab 100 mg Tablet 500 231 115,500 231 - 231 - 500 231 115,500
7 Alprazolam tab 0,5 mg Tablet - 327 - 327 - 327 - - 327 -
8 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 900 - 2,700 900 2,430,000
9 Amboroxol tab 30 mg Tablet 2,000 225 450,000 225 - 500 225 112,500 1,500 225 337,500
10 Ambroxol syr 15 mg/5 ml Botol 200 4,960 992,000 4,960 - 50 4,960 248,000 150 4,960 744,000
11 Ambroxol tab 30 mg Tablet 500 308 154,000 308 - 308 - 500 308 154,000
12 Aminophylline inj 240 mg/10 ml Ampul 30 4,320 129,600 4,320 - 4,320 - 30 4,320 129,600
13 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30 8,700 261,000
14 Amitriptyline tab 25 mg Tablet 1,500 220 330,000 220 - 500 220 110,000 1,000 220 220,000
15 Amlodipine tab 10 mg Tablet 1,500 216 324,000 216 - 1,500 216 324,000 - 216 -
16 Amlodipine tab 5 mg Tablet - 70 - 70 - 70 - - 70 -
17 Amoxiclav tab Tablet 750 5,808 4,356,000 5,808 - 150 5,808 871,200 600 5,808 3,484,800
18 Amoxycillin syr 125 mg/5 ml Botol - 5,000 - 5,000 - 5,000 - - 5,000 -
19 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202 11,550 2,333,100
20 Amoxycillin tab 500 mg Tablet 4,000 300 1,200,000 300 - 500 300 150,000 3,500 300 1,050,000
21 Ampicillin inj 1g Vial 50 11,124 556,200 11,124 - 11,124 - 50 11,124 556,200
22 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30 36,900 1,107,000
23 Antasida DOEN tab Tablet 4,000 178 712,000 178 - 178 - 4,000 178 712,000
24 Antasida syrup Botol 300 2,992 897,600 2,992 - 100 2,992 299,200 200 2,992 598,400
25 Anti Hemoroid supp Supp 60 2,970 178,200 2,970 - 2,970 - 60 2,970 178,200
26 Apialis drop Botol 10 42,460 424,600 42,460 - 10 42,460 424,600 - 42,460 -
27 Apialys Syrup Boto 60 ml 50 34,485 1,724,250 34,485 - 20 34,485 689,700 30 34,485 1,034,550
28 Aqua Pro inj Vial 1,000 7,260 7,260,000 7,260 - 340 7,260 2,468,400 660 7,260 4,791,600
29 Aripiprazol tab 10 mg (Zipren) Tablet 70 22,440 1,570,800 22,440 - 22,440 - 70 22,440 1,570,800
30 Arixtra inj Pen 15 247,500 3,712,500 247,500 - 247,500 - 15 247,500 3,712,500
31 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 3,500 616 2,156,000 616 - 2,000 616 1,232,000 1,500 616 924,000
32 Asam Folat tab 1 mg Tablet - 188 - 188 - 188 - - 188 -
33 Asam Mefenamat tab 500 mg Tablet 1,500 263 394,500 263 - 1,500 263 394,500 - 263 -
34 Asam Mefenamat tab 500 mg Tablet 5,000 284 1,420,000 284 - 284 - 5,000 284 1,420,000
35 Asam Tanexamat tab 500 mg (Kalnex) Tablet 1,000 2,948 2,948,000 2,948 - 2,948 - 1,000 2,948 2,948,000
36 Asam Tranexamat inj 250 mg/5 ml Ampul - 6,248 - 6,248 - 6,248 - - 6,248 -
37 Asam Tranexamat inj 500 mg/5 ml Ampul 150 8,333 1,249,950 8,333 - 50 8,333 416,650 100 8,333 833,300
38 Asam Valproat syr Botol 220 19,987 4,397,140 19,987 - 15 19,987 299,805 205 19,987 4,097,335
39 Asetilsistein inj 5 gr/25 ml Botol 24 183,876 4,413,024 183,876 - 24 183,876 4,413,024 - 183,876 -
40 Asetilsistein tab 200 mg Tablet - 460 - 460 - 460 - - 460 -
41 Aspar K tab Tablet - 2,721 - 2,721 - 2,721 - - 2,721 -
42 Atracurium inj 50 mg/5 ml (Farelax) Ampul 10 79,365 793,650 79,365 - 79,365 - 10 79,365 793,650
43 Atropin inj 0,25 mg/ml Ampul 400 1,958 783,200 1,958 - 100 1,958 195,800 300 1,958 587,400
44 Azythromycin tab 500 mg Tablet 1,000 1,400 1,400,000 1,400 - 200 1,400 280,000 800 1,400 1,120,000
46 Azytrhomicyn syrup 200 mg/5 ml Botol 15 ml - 31,156 - 31,156 - 31,156 - - 31,156 -
47 Betahistin tab 6 mg Tablet 3,500 119 416,500 119 - 500 119 59,500 3,000 119 357,000
48 Betamethasone krim Tube 100 1,740 174,000 1,740 - 1,740 - 100 1,740 174,000
49 Betamethasone krim 0,1%  Tube - 1,465 - 1,465 - 1,465 - - 1,465 -
50 Bioplacenton salep Tube 24 18,700 448,800 18,700 - 12 18,700 224,400 12 18,700 224,400
51 Bisoprolol tab 5 mg Tablet 2,250 256 576,000 256 - 900 256 230,400 1,350 256 345,600
52 Bricasma Respules 2,5 mg/ml Respule 140 7,602 1,064,280 7,602 - 7,602 - 140 7,602 1,064,280
53 Bunascan spinal inj Ampul 10 72,600 726,000 72,600 - 10 72,600 726,000 - 72,600 -
54 Burnazin krim Tube - 61,792 - 61,792 - 61,792 - - 61,792 -
55 Buscopan inj 20 mg/ml Ampul 150 75,410 11,311,500 75,410 - 150 75,410 11,311,500 - 75,410 -
56 Buscopan tab 10 mg Tablet - 3,436 - 3,436 - 3,436 - - 3,436 -
57 Calcium Lactate tab 500 mg Tablet 6,500 224 1,456,000 224 - 500 224 112,000 6,000 224 1,344,000
58 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 10,351 - 48 10,351 496,848
59 Candesartan tab 16 mg Tablet 5,250 1,153 6,053,250 1,153 - 3,000 1,153 3,459,000 2,250 1,153 2,594,250
60 Candesartan tab 8 mg Tablet - 661 - 661 - 661 - - 661 -
61 Captopril tab 12,5 mg Tablet 1,000 166 166,000 166 - 166 - 1,000 166 166,000
62 Captopril tab 25 mg Tablet 4,000 137 548,000 137 - 137 - 4,000 137 548,000
63 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500 252 378,000
64 Cefadroxyl cap 500 mg Kapsul 3,000 908 2,724,000 908 - 908 - 3,000 908 2,724,000
65 Cefadroxyl syr 125 mg/5 ml Botol 100 7,759 775,900 7,759 - 25 7,759 193,975 75 7,759 581,925
66 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50 12,650 632,500
67 Cefixime cap 200 mg Kapsul 1,000 4,400 4,400,000 4,400 - 4,400 - 1,000 4,400 4,400,000
68 Cefixime kap 100 mg Kapsul 1,000 858 858,000 858 - 858 - 1,000 858 858,000
69 Cefixime kap 100 mg kapsul 500 1,053 526,500 1,053 - 500 1,053 526,500 - 1,053 -
70 Cefixime kap 200 mg Kapsul 1,000 4,125 4,125,000 4,125 - 1,000 4,125 4,125,000 - 4,125 -
71 Cefixime syr 100 mg/5 ml Botol - 21,628 - 21,628 - 21,628 - - 21,628 -
72 Cefotaxime inj 1 gr Vial 1,300 27,060 35,178,000 27,060 - 100 27,060 2,706,000 1,200 27,060 32,472,000
73 Ceftazidime inj 1 g Vial - 14,313 - 14,313 - 14,313 - - 14,313 -
74 Ceftriaxone inj 1 g Vial 250 13,001 3,250,250 13,001 - 200 13,001 2,600,200 50 13,001 650,050
75 Cefuroxime inj 1 g Vial - 29,975 - 29,975 - 29,975 - - 29,975 -
76 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 29,975 - 20 29,975 599,500
77 Cetadop (Dopamin) inj 200 mg/5 ml Ampul - 6,160 - 6,160 - 6,160 - - 6,160 -
78 Cetirizine drop 10 mg/ml Botol - 27,500 - 27,500 - 27,500 - - 27,500 -
79 Cetirizine syr 5 mg/5 ml Botol 15 10,440 156,600 10,440 - 10 10,440 104,400 5 10,440 52,200
80 Cetirizine tab 10 mg Tablet 1,800 383 689,400 383 - 900 383 344,700 900 383 344,700
81 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72 2,057 148,104
82 Chlorfeniramin tab 4 mg Tablet 2,000 58 116,000 58 - 500 58 29,000 1,500 58 87,000
83 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700 495 346,500
84 Cinam inj Vial - 70,403 - 70,403 - 70,403 - - 70,403 -
85 Ciprofloxacin infus 200 mg/100 ml Botol 100 42,996 4,299,600 42,996 - 100 42,996 4,299,600 - 42,996 -
86 Ciprofloxacin tab 500 mg Tablet 800 617 493,600 617 - 500 617 308,500 300 617 185,100
87 Citicolin inj 250 mg/2 ml Ampul 150 14,437 2,165,550 14,437 - 50 14,437 721,850 100 14,437 1,443,700
88 Citicolin inj 500 mg/5 ml  Ampul - 11,000 - 11,000 - 11,000 - - 11,000 -
89 Citicolin tab 500 mg Tablet 150 5,984 897,600 5,984 - 5,984 - 150 5,984 897,600
90 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80 58,300 4,664,000
91 Clindamycin cap 300 mg Kapsul 500 1,426 713,000 1,426 - 1,426 - 500 1,426 713,000
92 Clobazam tab 100 mg Tablet - 916 - 916 - 916 - - 916 -
93 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700 266 186,200
94 Clopidogrel tab 75 mg Tablet 600 660 396,000 660 - 600 660 396,000 - 660 -
95 Clozapine tab 100 mg Tablet - 11,176 - 11,176 - 11,176 - - 11,176 -
96 Codein tab 10 mg Tablet 2,000 685 1,370,000 685 - 1,000 685 685,000 1,000 685 685,000
97 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 6,496 - 150 6,496 974,400
98 Cotrimoxazole tab 480 mg Tablet 1,500 268 402,000 268 - 500 268 134,000 1,000 268 268,000
99 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120 10,010 1,201,200
100 Daryant Tulle (Framycetin) Pcs 190 10,175 1,933,250 10,175 - 10,175 - 190 10,175 1,933,250
101 Dexametason inj 5 mg/ml Ampul 1,600 2,416 3,865,600 2,416 - 400 2,416 966,400 1,200 2,416 2,899,200
102 Dexamethasone tab 0,5 mg Tablet 15,000 162 2,430,000 162 - 500 162 81,000 14,500 162 2,349,000
103 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 20 19,789 395,780 19,789 - 20 19,789 395,780 - 19,789 -
104 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500 259 129,500
105 Diazepam tab 5 mg (Valisanbe) Tablet 700 429 300,300 429 - 429 - 700 429 300,300
106 Difenhydramine inj 10 mg/ml Ampul 30 1,815 54,450 1,815 - 30 1,815 54,450 - 1,815 -
107 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 30 52,250 1,567,500 52,250 - 10 52,250 522,500 20 52,250 1,045,000
108 Digoxin tab 0,25 mg Tablet 2,000 104 208,000 104 - 104 - 2,000 104 208,000
109 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000 212 424,000
110 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000 162 324,000
111 Dobutamin inj 250 mg/5 ml Ampul 50 14,643 732,150 14,643 - 14,643 - 50 14,643 732,150
112 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200 451 90,200
113 Domperidon susp 5 mg/5 ml Botol 50 11,088 554,400 11,088 - 11,088 - 50 11,088 554,400
114 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500 363 181,500
115 Dopamet tab 250 mg Kapsul 200 1,135 227,000 1,135 - 1,135 - 200 1,135 227,000
116 Dopamin inj 40 mg/ml (Cetadop) Ampul 100 6,160 616,000 6,160 - 25 6,160 154,000 75 6,160 462,000
117 Dulcolax supp 10 mg Supp 15 22,693 340,395 22,693 - 15 22,693 340,395 - 22,693 -
118 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600 1,401 840,600
119 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 17,061 - 115 17,061 1,962,015
120 Eperisone tab 50 mg Tablet 500 1,309 654,500 1,309 - 500 1,309 654,500 - 1,309 -
121 Ephedrin inj 50 mg/ml Ampul 100 8,569 856,900 8,569 - 50 8,569 428,450 50 8,569 428,450
122 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360 7,300 2,628,000
123 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 75 23,760 1,782,000 23,760 - 23,760 - 75 23,760 1,782,000
124 Erythromicyn tab 500 mg Tablet - 963 - 963 - 963 - - 963 -
125 Etambutol tab 500 mg Tablet 1,000 543 543,000 543 - 1,000 543 543,000 - 543 -
126 Fentanyl inj Ampul 50 44,391 2,219,550 44,391 - 44,391 - 50 44,391 2,219,550
127 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 1,738 - 150 1,738 260,700
128 Fitomenadion inj 2 mg/ml (Vit. K1) Ampul 200 6,600 1,320,000 6,600 - 100 6,600 660,000 100 6,600 660,000
129 Fitomenadion tab 10 mg Tablet 300 1,210 363,000 1,210 - 1,210 - 300 1,210 363,000
130 Flucadex syr Botol 18 10,267 184,806 10,267 - 12 10,267 123,204 6 10,267 61,602
131 Flunarizine tab 10 mg Tablet 400 1,870 748,000 1,870 - 1,870 - 400 1,870 748,000
132 Flunarizine tab 5 mg Tablet - 1,058 - 1,058 - 1,058 - - 1,058 -
133 Fluoxetin tab 20 mg (Noxetine) Tablet - 10,752 - 10,752 - 10,752 - - 10,752 -
134 Folavit tab Tablet 2,000 984 1,968,000 984 - 984 - 2,000 984 1,968,000
135 Fortanest inj 5 mg/5 ml Ampul 10 17,765 177,650 17,765 - 10 17,765 177,650 - 17,765 -
136 Furosemide inj 20 mg/2 ml Ampul 150 1,555 233,250 1,555 - 100 1,555 155,500 50 1,555 77,750
137 Furosemide tab 40 mg Tablet 6,000 153 918,000 153 - 1,000 153 153,000 5,000 153 765,000
138 Gabapentin tab 300 mg Tablet 450 2,750 1,237,500 2,750 - 450 2,750 1,237,500 - 2,750 -
139 Gabapentin tab 300 mg Tablet 1,980 1,122 2,221,560 1,122 - 1,122 - 1,980 1,122 2,221,560
140 Gastrul tab Tablet 750 12,100 9,075,000 12,100 - 12,100 - 750 12,100 9,075,000
141 Gemfibrozil kap 300 mg Tablet 500 656 328,000 656 - 500 656 328,000 - 656 -
142 Gemfibrozil kap 300 mg Tablet 2,300 484 1,113,200 484 - 500 484 242,000 1,800 484 871,200
143 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 200 10,714 2,142,800 10,714 - 10,714 - 200 10,714 2,142,800
144 Gentamicyn krim (Gentalex) Tube 60 2,657 159,420 2,657 - 24 2,657 63,768 36 2,657 95,652
145 Glimepiride tab 2 mg Tablet 500 404 202,000 404 - 500 404 202,000 - 404 -
146 Glimepiride tab 2 mg Tablet 2,000 880 1,760,000 880 - 500 880 440,000 1,500 880 1,320,000
147 Glimepiride tab 4 mg Tablet 1,000 434 434,000 434 - 434 - 1,000 434 434,000
148 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500 416 208,000
149 Haloperidol inj 50 mg/ml (Lodomer) Ampul 24 12,523 300,552 12,523 - 12,523 - 24 12,523 300,552
150 Haloperidol tab 0,5 mg Tablet 1,500 278 417,000 278 - 278 - 1,500 278 417,000
151 Haloperidol tab 1,5 mg Tablet 1,500 110 165,000 110 - 300 110 33,000 1,200 110 132,000
152 Haloperidol tab 5 mg Tablet 1,800 143 257,400 143 - 500 143 71,500 1,300 143 185,900
153 Heparin inj 25000 IU/5 ml (Inviclot) Vial 10 45,764 457,640 45,764 - 10 45,764 457,640 - 45,764 -
154 Hidrocortisone cream 2,5% Tube 100 2,723 272,300 2,723 - 2,723 - 100 2,723 272,300
155 Human albumin 20% Botol 100 ml 10 939,048 9,390,480 939,048 - 10 939,048 9,390,480 - 939,048 -
156 Ibuprofen syrup 100 mg/5 ml Botol 60 ml - 9,350 - 9,350 - 9,350 - - 9,350 -
157 Ibuprofen tab 200 mg Tablet 1,000 229 229,000 229 - 229 - 1,000 229 229,000
158 Ibuprofen tab 400 mg Tablet 1,500 380 570,000 380 - 500 380 190,000 1,000 380 380,000
159 Infus Aminoleban Btl 500 ml - 74,655 - 74,655 - 74,655 - - 74,655 -
160 Infus D5+1/2 NS Btl 500 ml 140 11,000 1,540,000 11,000 - 140 11,000 1,540,000 - 11,000 -
161 Infus D5+1/2 NS Btl 500 ml 200 19,770 3,954,000 19,770 - 40 19,770 790,800 160 19,770 3,163,200
162 Infus D5+1/4 NS Btl 500 ml 100 11,000 1,100,000 11,000 - 100 11,000 1,100,000 - 11,000 -
163 Infus D5+1/4 NS Btl 500 ml 200 19,770 3,954,000 19,770 - 200 19,770 3,954,000 - 19,770 -
164 Infus Dextrose 10% Btl 500 ml 100 8,002 800,200 8,002 - 8,002 - 100 8,002 800,200
165 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168 44,162 7,419,216
166 Infus Glukosa 5% Btl 500 ml - 7,364 - 7,364 - 7,364 - - 7,364 -
167 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100 207,702 20,770,200
168 Infus HES Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60 181,913 10,914,780
169 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30 66,000 1,980,000
170 Infus Nacl 0,9 % 500 ml Btl 500 ml 2,700 6,840 18,468,000 6,840 - 500 6,840 3,420,000 2,200 6,840 15,048,000
171 Infus Ring As Btl 500 ml - 10,290 - 10,290 - 10,290 - - 10,290 -
172 Infus Ringer Lactat Btl 500 ml 2,580 7,630 19,685,400 7,630 - 800 7,630 6,104,000 1,780 7,630 13,581,400
173 Infus Tridex 27 B Botol 500 ml 240 10,352 2,484,480 10,352 - 96 10,352 993,792 144 10,352 1,490,688
174 Isoflurane (Terrel) Botol 250 ml 7 1,480,000 10,360,000 1,480,000 - 1,480,000 - 7 1,480,000 10,360,000
175 Isoniazid tab 300 mg Tablet - 262 - 262 - 262 - - 262 -
176 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30 23,980 719,400
177 Isosorbit Dinitrat tab 5 mg Tablet 1,000 890 890,000 890 - 1,000 890 890,000 - 890 -
178 Kalium Diclofenak tab 50 mg Tablet - 460 - 460 - 460 - - 460 -
179 KCl inj 7,6 % Vial 25 ml 80 3,223 257,840 3,223 - 3,223 - 80 3,223 257,840
180 Ketamin inj 50 mg/ml Ktk 1 vial 96 71,929 6,905,184 71,929 - 71,929 - 96 71,929 6,905,184
181 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500 755 377,500
182 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50 2,577 128,850
183 Ketorolac inj 30 mg/ml Ampul 486 3,500 1,701,000 3,500 - 396 3,500 1,386,000 90 3,500 315,000
184 Lactulose syr Botol 80 15,060 1,204,800 15,060 - 15,060 - 80 15,060 1,204,800
185 Lansoprazole kaps 20 mg Kapsul 1,900 548 1,041,200 548 - 1,100 548 602,800 800 548 438,400
186 Levemir insulin Pen 75 89,000 6,675,000 89,000 - 50 89,000 4,450,000 25 89,000 2,225,000
187 Levofloxacin infus 750 mg/150 ml Botol - 95,997 - 95,997 - 95,997 - - 95,997 -
188 Levofloxacin tab 500 mg Tablet - 1,142 - 1,142 - 1,142 - - 1,142 -
189 Levopar tab Tablet 1,000 3,960 3,960,000 3,960 - 1,000 3,960 3,960,000 - 3,960 -
190 Lidocain inj 2% Ampul 3,900 1,475 5,752,500 1,475 - 200 1,475 295,000 3,700 1,475 5,457,500
191 Lisinopril tab 10 mg Tablet 4,000 370 1,480,000 370 - 370 - 4,000 370 1,480,000
192 Lisinopril tab 5 mg Tablet 500 250 125,000 250 - 250 - 500 250 125,000
193 Lisinopril tab 5 mg Tablet 2,000 250 500,000 250 - 250 - 2,000 250 500,000
194 Lithium tab 100 mg (Frimania) Tablet 400 1,848 739,200 1,848 - 1,848 - 400 1,848 739,200
195 Loratadine tab 10 mg Tablet 1,000 286 286,000 286 - 250 286 71,500 750 286 214,500
196 Lorazepam tab 2 mg (Merlopam) Tablet 800 3,685 2,948,000 3,685 - 300 3,685 1,105,500 500 3,685 1,842,500
197 Meloxicam tab 15 mg Tablet 250 500 125,000 500 - 250 500 125,000 - 500 -
198 Meloxicam tab 15 mg Tablet 1,000 474 474,000 474 - 250 474 118,500 750 474 355,500
199 Meloxicam tab 7,5 mg Tablet 1,000 440 440,000 440 - 440 - 1,000 440 440,000
200 Metformin tab 500 mg Tablet 5,400 192 1,036,800 192 - 3,900 192 748,800 1,500 192 288,000
201 Methylergometrine inj Ampul 300 3,553 1,065,900 3,553 - 100 3,553 355,300 200 3,553 710,600
202 Methylergometrine tab 0,125 mg Tablet 500 261 130,500 261 - 261 - 500 261 130,500
203 Methylprednisolone inj 125 mg Vial 100 12,217 1,221,700 12,217 - 40 12,217 488,680 60 12,217 733,020
204 Methylprednisolone tab 16 mg Tablet 500 1,273 636,500 1,273 - 500 1,273 636,500 - 1,273 -
205 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000 637 637,000
206 Methylprednisolone tab 4 mg Tablet 1,500 242 363,000 242 - 500 242 121,000 1,000 242 242,000
207 Methylprednisolone tab 8 mg Tablet 2,000 483 966,000 483 - 500 483 241,500 1,500 483 724,500
208 Metoclopramide inj 10 mg/2 ml Ampul 100 6,930 693,000 6,930 - 100 6,930 693,000 - 6,930 -
209 Metoclopramide inj 10 mg/2 ml Ampul 200 5,280 1,056,000 5,280 - 5,280 - 200 5,280 1,056,000
210 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000 135 405,000
211 Metronidazol infus 500 mg/100 ml Botol - 8,250 - 8,250 - 8,250 - - 8,250 -
212 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75 3,590 269,250
213 Metronidazol syr 125 mg/5 ml Botol 150 6,270 940,500 6,270 - 6,270 - 150 6,270 940,500
214 Metronidazole tab 500 mg Tablet 1,000 282 282,000 282 - 1,000 282 282,000 - 282 -
215 Meylon inj 8,4% (i.v.)  Vial 25 ml - 6,448 - 6,448 - 6,448 - - 6,448 -
216 MgSO4 inj 20% Vial 25 ml 25 3,328 83,200 3,328 - 25 3,328 83,200 - 3,328 -
217 Miconazole krim 2 % Tube 240 2,090 501,600 2,090 - 2,090 - 240 2,090 501,600
218 Miconazole krim 2 % Tube 24 3,415 81,960 3,415 - 24 3,415 81,960 - 3,415 -
219 Microlax Tube 100 18,769 1,876,900 18,769 - 20 18,769 375,380 80 18,769 1,501,520
220 Morfin inj 10 mg/ml Ampul 50 34,050 1,702,500 34,050 - 34,050 - 50 34,050 1,702,500
221 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300 2,949,000 98,300 - 98,300 - 30 98,300 2,949,000
222 Natrium Diclofenak tab 25 mg Tablet 250 164 41,000 164 - 250 164 41,000 - 164 -
223 Natrium Diclofenak tab 50 mg Tablet 500 156 78,000 156 - 500 156 78,000 - 156 -
224 Neurosanbe inj Ampul 450 6,017 2,707,650 6,017 - 150 6,017 902,550 300 6,017 1,805,100
225 Neurosanbe tab Tablet 1,500 1,314 1,971,000 1,314 - 500 1,314 657,000 1,000 1,314 1,314,000
226 New Diatabs tab Tablet - 557 - 557 - 557 - - 557 -
227 Nicardipine inj 10 mg/10 ml Ampul 40 23,293 931,720 23,293 - 15 23,293 349,395 25 23,293 582,325
228 Nifedipine tab 10 mg Tablet 4,000 155 620,000 155 - 1,000 155 155,000 3,000 155 465,000
229 Nopril tab 10 mg Tablet - 600 - 600 - 600 - - 600 -
230 Norephineprin inj 4 mg/4 ml Ampul 15 26,400 396,000 26,400 - 26,400 - 15 26,400 396,000
231 Novomix insulin Pen 25 110,968 2,774,200 110,968 - 25 110,968 2,774,200 - 110,968 -
232 Novorapid insulin Pen 125 89,500 11,187,500 89,500 - 50 89,500 4,475,000 75 89,500 6,712,500
233 Nystatin drop Botol 20 21,780 435,600 21,780 - 10 21,780 217,800 10 21,780 217,800
234 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300 904 271,200
235 Olanzapin/ Sopavel tab 5 mg Tablet 90 12,155 1,093,950 12,155 - 12,155 - 90 12,155 1,093,950
236 Omeprazol kaps 20 mg Kapsul 1,800 610 1,098,000 610 - 900 610 549,000 900 610 549,000
237 Omeprazole inj 40 mg Vial 150 13,005 1,950,750 13,005 - 150 13,005 1,950,750 - 13,005 -
238 Ondancentron inj 4 mg/2 ml Ampul 1,200 1,312 1,574,400 1,312 - 800 1,312 1,049,600 400 1,312 524,800
239 Ondancentron tab 4 mg Tablet 630 1,016 640,080 1,016 - 630 1,016 640,080 - 1,016 -
240 Ondancentron tab 8 mg Tablet 450 1,670 751,500 1,670 - 1,670 - 450 1,670 751,500
241 Oralit saset Sachet 1,600 666 1,065,600 666 - 666 - 1,600 666 1,065,600
242 Otopain tetes telinga Botol - 73,769 - 73,769 - 73,769 - - 73,769 -
243 Oxytetracycline salep mata Tube 50 3,692 184,600 3,692 - 3,692 - 50 3,692 184,600
244 Oxytocin inj Ampul 400 1,287 514,800 1,287 - 100 1,287 128,700 300 1,287 386,100
245 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14 14,638 204,932
246 Pantoprazole inj 40 mg Vial 50 33,024 1,651,200 33,024 - 50 33,024 1,651,200 - 33,024 -
247 Paracetamol syr 120 mg/5 ml Botol - 4,890 - 4,890 - 4,890 - - 4,890 -
248 Paracetamol tab 500 mg Tablet 2,500 247 617,500 247 - 2,500 247 617,500 - 247 -
249 Pethidin inj 100 mg/2 ml Ampul 120 19,481 2,337,720 19,481 - 20 19,481 389,620 100 19,481 1,948,100
250 Phenobarbital inj 50 mg/1 ml Ampul 120 2,380 285,600 2,380 - 2,380 - 120 2,380 285,600
251 Phenobarbital tab 30 mg Tablet 1,700 187 317,900 187 - 500 187 93,500 1,200 187 224,400
252 Piracetam inj 1 gr/5 ml Ampul 100 4,950 495,000 4,950 - 50 4,950 247,500 50 4,950 247,500
253 Piracetam inj 3 g/15 ml Ampul - 15,675 - 15,675 - 15,675 - - 15,675 -
254 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500 460 230,000
255 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 361 - 1,500 361 541,500
256 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000 178 534,000
257 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24 77,000 1,848,000
258 Prednison tab 5 mg Tablet 1,000 198 198,000 198 - 500 198 99,000 500 198 99,000
259 Profofol /Proanes inj 1% Ampul 30 88,935 2,668,050 88,935 - 88,935 - 30 88,935 2,668,050
260 Promavit tab Tablet - 3,448 - 3,448 - 3,448 - - 3,448 -
261 Propanolol tab 10 mg Tablet - 93 - 93 - 93 - - 93 -
262 Propanolol tab 40 mg Tablet 3,500 145 507,500 145 - 145 - 3,500 145 507,500
263 Propilthyouracil tab 100 mg Tablet 3,500 518 1,813,000 518 - 1,000 518 518,000 2,500 518 1,295,000
264 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50 82,001 4,100,050
265 Pulmicort Respules 0,5 mg/ml Respule 600 14,131 8,478,600 14,131 - 14,131 - 600 14,131 8,478,600
266 Pumpisel inj 40 mg Vial - 72,600 - 72,600 - 72,600 - - 72,600 -
267 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800 512 921,600
268 Quanocain spinal 20 mg/4 ml Ampul 15 54,450 816,750 54,450 - 54,450 - 15 54,450 816,750
269 Quentiapin / Quetvel tab 200 mg Tablet 360 14,266 5,135,760 14,266 - 14,266 - 360 14,266 5,135,760
270 Ranitidine inj 50 mg/2 ml Ampul 300 4,000 1,200,000 4,000 - 200 4,000 800,000 100 4,000 400,000
271 Ranitidine tab 150 mg Tablet 3,000 303 909,000 303 - 500 303 151,500 2,500 303 757,500
272 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000 1,751 1,751,000
273 Risperidone tab 2 mg Tablet - 2,565 - 2,565 - 2,565 - - 2,565 -
274 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500 64 96,000
275 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000 102 306,000
276 Sanmag syrup Botol 25 27,500 687,500 27,500 - 27,500 - 25 27,500 687,500
277 Sanmol drop Botol 120 17,270 2,072,400 17,270 - 10 17,270 172,700 110 17,270 1,899,700
278 Sanmol infus 1 gr/100 ml Botol 264 30,251 7,986,264 30,251 - 109 30,251 3,297,359 155 30,251 4,688,905
279 Sanmol syr 120 mg/5 ml Botol 152 12,870 1,956,240 12,870 - 24 12,870 308,880 128 12,870 1,647,360
280 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500 319 478,500
281 Santagesik inj 1 gr/2 ml Ampul - 4,401 - 4,401 - 4,401 - - 4,401 -
282 Serum ATS (Tetagam) inj 1500 IU Vial 20 146,800 2,936,000 146,800 - 20 146,800 2,936,000 - 146,800 -
283 Sevoflurane Botol 5 1,122,000 5,610,000 1,122,000 - 1 1,122,000 1,122,000 4 1,122,000 4,488,000
284 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40 79,860 3,194,400
285 Simvastatin tab 10 mg Tablet 4,000 231 924,000 231 - 231 - 4,000 231 924,000
286 Simvastatin tab 20 mg Tablet - 505 - 505 - 505 - - 505 -
287 Spironolactone tab 100 mg Tablet 3,500 661 2,313,500 661 - 500 661 330,500 3,000 661 1,983,000
288 Spironolactone tab 25 mg Tablet 2,000 226 452,000 226 - 226 - 2,000 226 452,000
289 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40 15,088 603,520
290 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 45 21,935 987,075 21,935 - 21,935 - 45 21,935 987,075
291 Sukralfat syrup 500 mg/5 ml Botol - 7,789 - 7,789 - 7,789 - - 7,789 -
292 Symbicort turbuhaler Pcs 45 149,266 6,716,970 149,266 - 10 149,266 1,492,660 35 149,266 5,224,310
293 Tablet Tambah Darah Tablet 570 546 311,220 546 - 570 546 311,220 - 546 -
294 Thiamfenicol tab 500 mg Tablet 300 1,089 326,700 1,089 - 1,089 - 300 1,089 326,700
295 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 52,275 - 30 52,275 1,568,250
296 Tramadol cap 50 mg Kapsul 1,200 825 990,000 825 - 825 - 1,200 825 990,000
297 Tremenza tab Tablet - 1,600 - 1,600 - 1,600 - - 1,600 -
298 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500 745 372,500
299 Trifluoferazin tab 5 mg (Stelosi) Tablet 600 577 346,200 577 - 300 577 173,100 300 577 173,100
300 Trihexyfenidil tab 2 mg Tablet 500 116 58,000 116 - 500 116 58,000 - 116 -
301 Trovensis inj 4mg/2 ml Ampul 125 37,213 4,651,625 37,213 - 37,213 - 125 37,213 4,651,625
302 Urdafalk kaps 250 mg kapsul 300 6,343 1,902,900 6,343 - 150 6,343 951,450 150 6,343 951,450
303 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400 4,000 1,600,000
304 Vitamin B Complex tab Tablet - 138 - 138 - 138 - - 138 -
305 Vitamin B6 tab 10 mg Tablet 2,000 158 316,000 158 - 158 - 2,000 158 316,000
306 Vitamin C inj 1 g/5 ml Ampul 25 55,000 1,375,000 55,000 - 25 55,000 1,375,000 - 55,000 -
307 Vitamin C tab 250 mg Tablet 500 195 97,500 195 - 500 195 97,500 - 195 -
308 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210 3,025 635,250
309 Zidifec inj 1 g Vial 75 128,589 9,644,175 128,589 - 50 128,589 6,429,450 25 128,589 3,214,725
310 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500 708 2,478,000
311 Zink syr 10 mg/5 ml Botol 100 4,289 428,900 4,289 - 50 4,289 214,450 50 4,289 214,450
1 Acarbose tab 100 mg Tablet - 2000 950 1,900,000 950 - 2,000 950 1,900,000
2 Amlodipin tab 10 mg Tablet - 5000 275 1,375,000 1,000 275 275,000 4,000 275 1,100,000
3 Amlodipin tab 5mg Tablet - 5000 59 295,000 1,500 59 88,500 3,500 59 206,500
4 Amoxycillin syr 125 mg/5 ml Botol - 36 4,180 150,480 6 4,180 25,080 30 4,180 125,400
5 Asetilsistein tab 200 mg Tablet - 5000 550 2,750,000 1,500 550 825,000 3,500 550 1,925,000
6 Atrovastatin tab 20 mg Tablet - 2000 1,265 2,530,000 500 1,265 632,500 1,500 1,265 1,897,500
7 Azythromicyn tab 500 mg Tablet - 1000 1,400 1,400,000 1,400 - 1,000 1,400 1,400,000
8 Bisoprolol tab 5 mg Tablet - 900 143 128,700 143 - 900 143 128,700
9 Bunascan Spinal inj (Quanocain) Ampul - 125 52,250 6,531,250 35 52,250 1,828,750 90 52,250 4,702,500
10 Burnazin krim Tube - 101 64,882 6,553,082 11 64,882 713,702 90 64,882 5,839,380
11 Buscopan tab 10 mg Tablet - 1000 3,435 3,435,000 100 3,435 343,500 900 3,435 3,091,500
12 Candesartan tab 16 mg Tablet - 3000 319 957,000 319 - 3,000 319 957,000
13 Candesartan tab 8 mg Tablet - 3000 661 1,983,000 1,500 661 991,500 1,500 661 991,500
14 Cefixime syr 100 mg/5 ml Botol - 150 21,628 3,244,200 25 21,628 540,700 125 21,628 2,703,500
15 Ceftazidime inj 1 g Vial - 100 6,923 692,300 6,923 - 100 6,923 692,300
16 Ceftriaxone inj 1 g Vial - 1000 12,672 12,672,000 12,672 - 1,000 12,672 12,672,000
17 Citicoline inj 500 mg/4 ml Ampul - 25 29,480 737,000 25 29,480 737,000 - 29,480 -
18 Clozapine tab 100 mg Tablet - 500 11,176 5,588,000 350 11,176 3,911,600 150 11,176 1,676,400
19 Clozapine tab 25 mg (Lozap) Tablet - 1000 3,712 3,712,000 250 3,712 928,000 750 3,712 2,784,000
20 Dexketoprofen inj 50 mg/2 ml Ampul - 100 18,755 1,875,500 75 18,755 1,406,625 25 18,755 468,875
21 Fluoxetine tab 20 mg (Elizac) Tablet - 300 4,950 1,485,000 150 4,950 742,500 150 4,950 742,500
22 Fluoxetine tab 20 mg (Noxetine) Tablet - 20 5,376 107,520 20 5,376 107,520 - 5,376 -
23 Furosemide inj 20 mg/2 ml Ampul - 500 969 484,500 969 - 500 969 484,500
24 Ibuprofen syr 100 mg/5 ml Botol - 100 10,000 1,000,000 50 10,000 500,000 50 10,000 500,000
25 Infus Nacl 0,9 % 100 ml Botol - 240 13,090 3,141,600 240 13,090 3,141,600 - 13,090 -
26 Infus Ring As Botol - 264 9,592 2,532,288 72 9,592 690,624 192 9,592 1,841,664
27 Ketorolac inj 30 mg/ml Ampul - 500 4,455 2,227,500 4,455 - 500 4,455 2,227,500
28 L-Bio Sachet - 360 7,430 2,674,800 210 7,430 1,560,300 150 7,430 1,114,500
29 Levofloxacin infus 500 mg/100 ml Botol - 500 38,005 19,002,500 260 38,005 9,881,300 240 38,005 9,121,200
30 Levofloxacin tab 750 mg Tablet - 990 3,379 3,345,210 690 3,379 2,331,510 300 3,379 1,013,700
31 Meropenem inj 1 g Vial - 400 35,660 14,264,000 20 35,660 713,200 380 35,660 13,550,800
32 Metformin tab 500 mg Tablet - 5000 189 945,000 189 - 5,000 189 945,000
33 Metronidazole infus 500 mg/100 ml Botol - 200 15,004 3,000,800 50 15,004 750,200 150 15,004 2,250,600
34 Midazolam inj 5 mg/5 ml (Miloz) Ampul - 100 17,600 1,760,000 10 17,600 176,000 90 17,600 1,584,000
35 New Diatabs tab Tablet - 700 557 389,900 557 - 700 557 389,900
36 New Diatabs tab (Arcapec) Tablet - 700 1,149 804,300 200 1,149 229,800 500 1,149 574,500
37 Omeprazole inj 40 mg Vial - 400 11,638 4,655,200 50 11,638 581,900 350 11,638 4,073,300
38 Otopain tetes teligan Botol - 50 76,312 3,815,600 10 76,312 763,120 40 76,312 3,052,480
39 Pantoprazole inj 40 mg Vial - 400 32,912 13,164,800 282 32,912 9,281,184 118 32,912 3,883,616
40 Paracetamol infus 1 g/100 ml Botol - 300 11,990 3,597,000 300 11,990 3,597,000 - 11,990 -
41 Paracetamol tab 500 mg (Betamol) Tablet - 10000 176 1,760,000 176 - 10,000 176 1,760,000
42 Piracetam inj 1 g/5 ml Ampul - 100 4,950 495,000 4,950 - 100 4,950 495,000
43 Piracetam inj 3 g/15 ml Ampul - 100 20,526 2,052,600 10 20,526 205,260 90 20,526 1,847,340
44 Promavit tab Tablet - 600 3,379 2,027,400 300 3,379 1,013,700 300 3,379 1,013,700
45 Risperidone tab 2 mg Tablet - 1500 2,565 3,847,500 850 2,565 2,180,250 650 2,565 1,667,250
46 Ryzodec insulin mix Pen - 50 112,000 5,600,000 112,000 - 50 112,000 5,600,000
47 Santagesik inj Ampul - 500 4,399 2,199,500 150 4,399 659,850 350 4,399 1,539,650
48 Sertralin tab 50 mg (Fridep) Tablet - 60 10,266 615,960 30 10,266 307,980 30 10,266 307,980
49 Simvastatin tab 20 mg Tablet - 5000 165 825,000 1,500 165 247,500 3,500 165 577,500
50 Sucralfate syr Botol - 500 7,789 3,894,500 100 7,789 778,900 400 7,789 3,115,600
51 Tablet Tambah Darah Tablet - 1500 321 481,500 600 321 192,600 900 321 288,900
52 Tramadol inj 50 mg/2 ml Ampul - 125 4,481 560,125 10 4,481 44,810 115 4,481 515,315
53 Tremenza tab Tablet - 1000 1,600 1,600,000 500 1,600 800,000 500 1,600 800,000
54 Vitamin B Complex tab Tablet - 4600 113 519,800 113 - 4,600 113 519,800
55 Vitamin C inj 1 g/5 ml Ampul - 100 27,500 2,750,000 100 27,500 2,750,000 - 27,500 -
56 Vitamin C tab 250 mg Tablet - 5000 190 950,000 500 190 95,000 4,500 190 855,000

SUBTOTAL 503,163,805 171,085,915 195,766,562 478,483,158


SALDO AKHIR MARET 2021 503,163,805
BMHP
1 Abbocath No. 20 Pcs 450 6,270 2,821,500 6,270 - 200 6,270 1,254,000 250 6,270 1,567,500
2 Abbocath No. 22 Pcs 400 6,270 2,508,000 6,270 - 250 6,270 1,567,500 150 6,270 940,500
3 Abbocath No. 24 Pcs 800 6,270 5,016,000 6,270 - 6,270 - 800 6,270 5,016,000
4 Abbocath No. 26 Pcs 50 15,397 769,850 15,397 - 50 15,397 769,850 - 15,397 -
5 Alkohol 70% 1 L Botol 1 L 51 37,153 1,894,803 37,153 - 27 37,153 1,003,131 24 37,153 891,672
6 Alkohol 95% 100 ml Btl 100 ml 192 5,879 1,128,768 5,879 - 5,879 - 192 5,879 1,128,768
7 Alkohol Swab Pcs 20,200 242 4,888,400 242 - 4,900 242 1,185,800 15,300 242 3,702,600
8 Chlorhexidin 4% (onescrub) Btl 500 ml - 75,000 - 75,000 - 75,000 - - 75,000 -
9 Dermafix Pcs 40 1,039 41,560 1,039 - 1,039 - 40 1,039 41,560
10 EKG Elektroda Anak Pcs 550 3,300 1,815,000 3,300 - 3,300 - 550 3,300 1,815,000
11 EKG Elektroda Dewasa Pcs 250 4,950 1,237,500 4,950 - 4,950 - 250 4,950 1,237,500
12 Elastis Perband No. 3 inchi Roll 12 16,500 198,000 16,500 - 16,500 - 12 16,500 198,000
13 Elastis Perband No. 4 inchi Roll - 17,600 - 17,600 - 17,600 - - 17,600 -
14 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 13,680 - 10 13,680 136,800
15 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10 13,908 139,080
16 Endo Tracheal Tube (ETT) Cuffed no. 6,0 Pcs - 13,908 - 13,908 - 13,908 - - 13,908 -
17 Endo Tracheal Tube (ETT) Cuffed no. 6,5 Pcs - 137,500 - 137,500 - 137,500 - - 137,500 -
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 77,000 - 20 77,000 1,540,000
19 Folley Catheter 2-Way No. 06 Pcs 20 36,740 734,800 36,740 - 20 36,740 734,800 - 36,740 -
20 Folley Catheter 2-Way no. 08 Pcs 30 34,155 1,024,650 34,155 - 34,155 - 30 34,155 1,024,650
21 Folley Catheter 2-Way No. 10 Pcs 20 32,670 653,400 32,670 - 32,670 - 20 32,670 653,400
22 Folley Catheter 2-Way No. 12 Pcs 40 11,374 454,960 11,374 - 10 11,374 113,740 30 11,374 341,220
23 Folley Catheter 2-Way No. 14 Pcs 100 17,600 1,760,000 17,600 - 17,600 - 100 17,600 1,760,000
24 Folley Catheter 2-Way No. 16 Pcs 80 17,600 1,408,000 17,600 - 60 17,600 1,056,000 20 17,600 352,000
25 Folley Catheter 2-Way no. 18 Pcs 70 12,144 850,080 12,144 - 12,144 - 70 12,144 850,080
26 Formalin cair Liter 15 140,008 2,100,120 140,008 - 15 140,008 2,100,120 - 140,008 -
27 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5 324,500 1,622,500
28 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12 18,775 225,300
29 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14 26,433 370,062
30 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21 54,085 1,135,785
31 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25 24,750 618,750
32 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5 13,200 66,000
33 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5 24,750 123,750
34 Guedel Airway no. 4 Pcs 10 24,750 247,500 24,750 - 24,750 - 10 24,750 247,500
35 Guedel Airway No. 5 Pcs 13 24,750 321,750 24,750 - 24,750 - 13 24,750 321,750
36 Hand sanitizer Btl 500 ml 98 54,506 5,341,588 54,506 - 44 54,506 2,398,264 54 54,506 2,943,324
37 Hypafix 10 cm x 5 m Roll - 117,810 - 117,810 - 117,810 - - 117,810 -
38 Infuset Makro / Dewasa Pcs 300 8,107 2,432,100 8,107 - 200 8,107 1,621,400 100 8,107 810,700
39 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200 12,334 2,466,800
40 Jarum Insulin Pcs 1,600 2,083 3,332,800 2,083 - 200 2,083 416,600 1,400 2,083 2,916,200
41 Jeli USG Botol 29 33,000 957,000 33,000 - 19 33,000 627,000 10 33,000 330,000
42 Kapas 500 g Roll 17 31,372 533,324 31,372 - 31,372 - 17 31,372 533,324
43 Kasa Hidrofil 40 y x 80 cm Rol 6 104,500 627,000 104,500 - 6 104,500 627,000 - 104,500 -
44 Kasa Steril 16 X 16 Kotak 300 3,500 1,050,000 3,500 - 70 3,500 245,000 230 3,500 805,000
45 Kasa Steril 16 X 17 Kotak 80 3,500 280,000 3,500 - 80 3,500 280,000 - 3,500 -
46 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9 159,500 1,435,500
47 Kertas CTG 152 mm x 25 m Roll 3 270,000 810,000 270,000 - 270,000 - 3 270,000 810,000
48 Kertas EKG 110 mm Roll 30 198,000 5,940,000 198,000 - 6 198,000 1,188,000 24 198,000 4,752,000
49 Kertas EKG 207 mm Roll 25 154,000 3,850,000 154,000 - 2 154,000 308,000 23 154,000 3,542,000
50 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7 66,000 462,000
51 Laryng Mask Airways (LMA) no. 4 Pcs - 330,000 - 330,000 - 330,000 - - 330,000 -
52 Masker Bedah Pcs - 1,540 - 1,540 - 1,540 - - 1,540 -
53 Masker Nebulizer Anak Pcs 45 32,670 1,470,150 32,670 - 32,670 - 45 32,670 1,470,150
54 Masker Nebulizer Dewasa Pcs 80 26,464 2,117,120 26,464 - 10 26,464 264,640 70 26,464 1,852,480
55 Masker NRM Anak Pcs 20 33,000 660,000 33,000 - 33,000 - 20 33,000 660,000
56 Masker NRM Dewasa Pcs - 19,154 - 19,154 - 19,154 - - 19,154 -
57 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50 15,180 759,000
58 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140 15,180 2,125,200
59 Masker Oksigen Dewasa Pcs - 15,180 - 15,180 - 15,180 - - 15,180 -
60 Naso Gastrik Tube (NGT) no. 05 Pcs - 12,797 - 12,797 - 12,797 - - 12,797 -
61 Naso Gastrik Tube (NGT) no. 06 Pcs - 33,000 - 33,000 - 33,000 - - 33,000 -
62 Naso Gastrik Tube (NGT) no. 08 Pcs 15 49,500 742,500 49,500 - 49,500 - 15 49,500 742,500
63 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
64 Naso Gastrik Tube (NGT) no. 12 Pcs 10 5,215 52,150 5,215 - 5,215 - 10 5,215 52,150
65 Naso Gastrik Tube (NGT) no. 14 Pcs 20 5,215 104,300 5,215 - 5,215 - 20 5,215 104,300
66 Naso Gastrik Tube (NGT) no. 16 Pcs - 36,960 - 36,960 - 36,960 - - 36,960 -
67 Naso Gastrik Tube (NGT) no. 18 Pcs 30 36,960 1,108,800 36,960 - 36,960 - 30 36,960 1,108,800
68 Naso Gastrik Tube (NGT) no. 3,5 Pcs 30 44,000 1,320,000 44,000 - 44,000 - 30 44,000 1,320,000
69 Paper Printing UPP 110 HG Roll 16 302,500 4,840,000 302,500 - 3 302,500 907,500 13 302,500 3,932,500
70 Perfusor/extention tube 150 cm Pcs 40 22,567 902,680 22,567 - 22,567 - 40 22,567 902,680
71 Povidon Iodine 10 % 60 ml Botol 100 5,500 550,000 5,500 - 5,500 - 100 5,500 550,000
72 Povidon Iodine 10% 1 L Botol 1 L 41 51,820 2,124,620 51,820 - 6 51,820 310,920 35 51,820 1,813,700
73 Sarung tangan Gynecolog no. 6,5 pasang 40 45,000 1,800,000 45,000 - 40 45,000 1,800,000 - 45,000 -
74 Sarung Tangan Non Steril uk. L Ktk 100 pcs 79 187,000 14,773,000 187,000 - 28 187,000 5,236,000 51 187,000 9,537,000
75 Sarung Tangan Non Steril uk. M Ktk 100 pcs 139 187,000 25,993,000 187,000 - 70 187,000 13,090,000 69 187,000 12,903,000
76 Sarung Tangan Non Steril uk. S Ktk 100 pcs 93 187,000 17,391,000 187,000 - 45 187,000 8,415,000 48 187,000 8,976,000
77 Sarung tangan steril no. 7 Pasang 150 12,100 1,815,000 12,100 - 150 12,100 1,815,000 - 12,100 -
78 Sarung tangan steril no. 7,5 Pasang 250 12,100 3,025,000 12,100 - 250 12,100 3,025,000 - 12,100 -
79 Selang Oksigen Anak Pcs 90 6,050 544,500 6,050 - 10 6,050 60,500 80 6,050 484,000
80 Selang Oksigen Bayi Pcs 25 8,906 222,650 8,906 - 25 8,906 222,650 - 8,906 -
81 Selang Oksigen Dewasa Pcs 100 7,680 768,000 7,680 - 100 7,680 768,000 - 7,680 -
82 Selang Oksigen Dewasa Pcs 100 6,050 605,000 6,050 - 6,050 - 100 6,050 605,000
83 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 27,500 - 12 27,500 330,000
84 Spinocain No. 25 Pcs - 31,200 - 31,200 - 31,200 - - 31,200 -
85 Spinocain No. 26 Pcs 75 31,300 2,347,500 31,300 - 50 31,300 1,565,000 25 31,300 782,500
86 Spinocain No. 27 Pcs 25 38,300 957,500 38,300 - 38,300 - 25 38,300 957,500
87 Spuit no. 01 cc Pcs 3,500 770 2,695,000 770 - 500 770 385,000 3,000 770 2,310,000
88 Spuit no. 03 cc Pcs 4,300 1,159 4,983,700 1,159 - 2,500 1,159 2,897,500 1,800 1,159 2,086,200
89 Spuit no. 05 cc Pcs 700 994 695,800 994 - 700 994 695,800 - 994 -
90 Spuit no. 10 cc Pcs 4,300 1,328 5,710,400 1,328 - 1,000 1,328 1,328,000 3,300 1,328 4,382,400
91 Spuit no. 20 cc Pcs 1,200 1,916 2,299,200 1,916 - 1,916 - 1,200 1,916 2,299,200
92 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 4,704 - 1,125 4,704 5,292,000
93 Spuit no. 50 cc (L.Pinggir) Pcs 140 6,996 979,440 6,996 - 20 6,996 139,920 120 6,996 839,520
94 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300 5,258 1,577,400
95 Suction Catheter No. 08 Pcs - 4,224 - 4,224 - 4,224 - - 4,224 -
96 Suction Catheter No. 08 Pcs 150 2,998 449,700 2,998 - 50 2,998 149,900 100 2,998 299,800
97 Suction Catheter No. 10 Pcs 20 6,600 132,000 6,600 - 6,600 - 20 6,600 132,000
98 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50 4,224 211,200
99 Suction Catheter No. 16 Pcs 40 8,407 336,280 8,407 - 20 8,407 168,140 20 8,407 168,140
100 Three Way Stop Cock Pcs 200 4,290 858,000 4,290 - 150 4,290 643,500 50 4,290 214,500
101 Three Way Stop Cock Pcs 300 6,457 1,937,100 6,457 - 6,457 - 300 6,457 1,937,100
102 Tranfusi Set Pcs 275 12,507 3,439,425 12,507 - 150 12,507 1,876,050 125 12,507 1,563,375
103 Transofix Pcs - 3,400 - 3,400 - 3,400 - - 3,400 -
104 Underpad Pcs 200 3,905 781,000 3,905 - 150 3,905 585,750 50 3,905 195,250
105 Urine Bag Pcs 200 5,500 1,100,000 5,500 - 5,500 - 200 5,500 1,100,000
106 Urine Bag Pcs 140 8,088 1,132,320 8,088 - 90 8,088 727,920 50 8,088 404,400
1 Alkohol 70% 100 ml Botol - 192 5,534 1,062,528 48 5,534 265,632 144 5,534 796,896
2 EKG Elektroda Dewasa Pcs - 500 4,950 2,475,000 4,950 - 500 4,950 2,475,000
3 Elastis Perband No. 3 inchi Roll - 24 30,583 733,992 30,583 - 24 30,583 733,992
4 Elastis Perband No. 4 inchi Roll - 48 36,479 1,750,992 12 36,479 437,748 36 36,479 1,313,244
5 Elastis Perband No. 6 inchi Roll - 24 47,066 1,129,584 12 47,066 564,792 12 47,066 564,792
6 Endo Tracheal Tube (ETT) NON KINKING No. 7 Pcs - 10 190,850 1,908,500 190,850 - 10 190,850 1,908,500
7 Endo Tracheal Tube (ETT) NON KINKING No. 7,5 Pcs - 10 190,850 1,908,500 190,850 - 10 190,850 1,908,500
8 Guedel Airway No. 3 Pcs - 20 14,300 286,000 14,300 - 20 14,300 286,000
9 Guedel Airway No. 4 Pcs - 20 14,300 286,000 14,300 - 20 14,300 286,000
10 Hypafiix 10 cm X 5 m Roll - 60 117,810 7,068,600 22 117,810 2,591,820 38 117,810 4,476,780
11 Laringeal Mask Airways (LMA) No. 3 Pcs - 10 351,450 3,514,500 2 351,450 702,900 8 351,450 2,811,600
12 Laringeal Mask Airways (LMA) No. 4 Pcs - 10 351,450 3,514,500 2 351,450 702,900 8 351,450 2,811,600
13 Masker NRM Anak Pcs - 50 19,154 957,700 19,154 - 50 19,154 957,700
14 Masker NRM Dewasa Pcs - 100 23,800 2,380,000 5 23,800 119,000 95 23,800 2,261,000
15 Masker Oksigen Dewasa Pcs - 100 17,182 1,718,200 10 17,182 171,820 90 17,182 1,546,380
16 Naso Gastrik Tube (NGT) no. 05 Pcs - 20 14,077 281,540 14,077 - 20 14,077 281,540
17 Naso Gastrik Tube (NGT) no. 08 Pcs - 20 14,077 281,540 14,077 - 20 14,077 281,540
18 Naso Gastrik Tube (NGT) no. 16 Pcs - 100 12,430 1,243,000 20 12,430 248,600 80 12,430 994,400
19 Perfusor Pcs - 100 22,566 2,256,600 22,566 - 100 22,566 2,256,600
20 Sarung Tangan Gynecolog No. 6,5 Pasang - 100 39,424 3,942,400 39,424 - 100 39,424 3,942,400
21 Sarung Tangan Gynecolog No. 7,5 Pasang - 50 39,424 1,971,200 39,424 - 50 39,424 1,971,200
22 Sarung Tangan Gynecolog No. 8,5 Pasang - 50 39,424 1,971,200 39,424 - 50 39,424 1,971,200
23 Selang Oksigen Bayi Pcs - 50 22,000 1,100,000 22,000 - 50 22,000 1,100,000
24 Spuit no. 05 cc Pcs - 5,000 836 4,180,000 800 836 668,800 4,200 836 3,511,200

SUB TOTAL 191,759,415 47,922,076 71,047,907 168,633,584


SALDO AKHIR MARET 2021 191,759,415
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 1 HR 26 mm -Taper Set 0 63,100 - 63,100 - 63,100 - 0 63,100 -
2 Benang Catgut Chromic 2/0 (Biasa) Set 24 8,855 212,520 8,855 - 8,855 - 24 8,855 212,520
3 Benang Catgut Chromic 2/0 Taper Set 24 58,700 1,408,800 58,700 - 24 58,700 1,408,800 0 58,700 -
4 Benang Catgut Chromic 3/0 (Biasa) Set 24 8,855 212,520 8,855 - 8,855 - 24 8,855 212,520
5 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60 42,605 2,556,300
6 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24 58,700 1,408,800
7 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24 46,900 1,125,600
8 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12 51,100 613,200
9 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19 23,135 439,565
10 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 108 101,250 10,935,000 101,250 - 48 101,250 4,860,000 60 101,250 6,075,000
11 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Pcs 72 98,000 7,056,000 98,000 - 12 98,000 1,176,000 60 98,000 5,880,000
12 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48 70,400 3,379,200
13 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 117,137 - 24 117,137 2,811,288
14 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12 132,498 1,589,976
15 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 12 73,800 885,600 73,800 - 73,800 - 12 73,800 885,600
16 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 24 73,600 1,766,400 73,600 - 73,600 - 24 73,600 1,766,400
17 Benang Premilene/Provein 5/0 Cutting Set 0 52,350 - 52,350 - 52,350 - 0 52,350 -
18 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60 93,980 5,638,800
19 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 36 61,392 2,210,112 61,392 - 61,392 - 36 61,392 2,210,112
20 Benang silk 2/0 + jarum Pcs 180 4,706 847,080 4,706 - 4,706 - 180 4,706 847,080
21 Benang silk 3/0 + jarum Pcs 216 4,706 1,016,496 4,706 - 36 4,706 169,416 180 4,706 847,080
22 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200 2,790 558,000
23 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
24 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
25 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48 52,700 2,529,600
26 Cairan Pencuci Alat Bedah Galon 5 L 0 504,000 - 504,000 - 504,000 - 0 504,000 -
27 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21 168,919 3,547,299
28 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20 168,919 3,378,380
29 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50 89,018 4,450,900
30 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29 89,018 2,581,522
31 Electrosurgical Pensil (Pensil Cauter) Set 30 82,500 2,475,000 82,500 - 15 82,500 1,237,500 15 82,500 1,237,500
32 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1 33,000 33,000
33 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1 308,000 308,000
34 Jas Operasi disp (surgical gown spulen) uk. L Pcs 18 23,067 415,206 23,067 - 23,067 - 18 23,067 415,206
35 K. Wire - 1,4 mm Pcs 0 193,050 - 193,050 - 193,050 - 0 193,050 -
36 K. Wire - 1,6 mm Pcs 2 193,050 386,100 193,050 - 193,050 - 2 193,050 386,100
37 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
38 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
39 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1 825,825 825,825
40 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
41 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2 542,685 1,085,370
42 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
43 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2 318,533 637,066
44 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1 318,533 318,533
45 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1 854,139 854,139
46 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2 854,139 1,708,278
47 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9 112,613 1,013,517
48 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10 118,800 1,188,000
49 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10 218,562 2,185,620
50 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
51 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
52 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
Small plate - DCP small narrow plate 3,5 mm, small bone
53 Pcs 2 438,867 877,734 438,867 - 438,867 - 2 438,867 877,734
type A, 10 holes
54 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2 684,255 1,368,510
55 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1 684,255 684,255
56 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2 880,000 1,760,000
57 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20 75,000 1,500,000
1 Benang Catgut Chromic 1 Taper Set - 24 60,779 1,458,696 12 60,779 729,348 12 60,779 729,348
2 Benang Catgut Chromic 2/0 Taper Set - 36 52,873 1,903,428 12 52,873 634,476 24 52,873 1,268,952
3 Benang Silk 2/0 Taper Set - 24 37,371 896,904 37,371 - 24 37,371 896,904
4 Benang Silk 3/0 Cutting Set - 24 38,119 914,856 12 38,119 457,428 12 38,119 457,428

SUB TOTAL 96,319,561 5,173,884 10,672,968 90,820,477


SALDO AKHIR MARET 2021 96,319,561
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 5 4,600,000 23,000,000 4,600,000 - 4,600,000 - 5 4,600,000 23,000,000

SUB TOTAL 23,000,000 - - 23,000,000


SALDO AKHIR MARET 2021 23,000,000

Mengetahui, Kuala Kurun, 30 April 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Amlodipin tab 5mg Tablet 5,000 59
2 Acarbose tab 100 mg Tablet 2,000 950
3 Amlodipin tab 10 mg Tablet 5,000 275
4 Amoxycillin syr 125 mg/5 ml Botol 36 4,180
5 Asetilsistein tab200 mg Tablet 5,000 550
6 Atrovastatin tab 20 mg Tablet 2,000 1,265
7 Azythromicyn tab 500 mg Tablet 1,000 1,400
8 Bisoprolol tab 5 mg Tablet 900 143
9 Bunascan Spinal inj (Quanocain) Ampul 125 52,250
10 Burnazin krim Tube 101 64,882
11 Buscopan tab 10 mg Tablet 1,000 3,435
12 Candesartan tab 16 mg Tablet 3,000 319
13 Candesartan tab 8 mg Tablet 3,000 661
14 Cefixime syr 100 mg/5 ml Botol 150 21,628
15 Ceftazidime inj 1 g Vial 100 6,923
16 Ceftriaxone inj 1 g Vial 1,000 12,672
17 Citicoline inj 500 mg/4 ml Ampul 25 29,480
18 Clozapine tab 100 mg Tablet 500 11,176
19 Clozapine tab 25 mg (Lozap) Tablet 1,000 3,712
20 Dexketoprofen inj 50 mg/2 ml Ampul 100 18,755
21 Fluoxetine tab 20 mg (Elizac) Tablet 300 4,950
22 Fluoxetine tab 20 mg (Noxetine) Tablet 20 5,376
23 Furosemide inj 20 mg/2 ml Ampul 500 969
24 Ibuprofen syr 100 mg/5 ml Botol 100 10,000
25 Infus Nacl 0,9 % 100 ml Botol 240 13,090
26 Infus Ring As Botol 264 9,592
27 Ketorolac inj 30 mg/ml Ampul 500 4,455
28 L-Bio Sachet 360 7,430
29 Levofloxacin infus 500 mg/100 ml Botol 500 38,005
30 Levofloxacin tab 750 mg Tablet 990 3,379
31 Meropenem inj 1 g Vial 400 35,660
32 Metformin tab 500 mg Tablet 5,000 189
33 Metronidazole infus 500 mg/100 ml Botol 200 15,004
34 Midazolam inj 5 mg/5 ml (Miloz) Ampul 100 17,600
35 New Diatabs tab Tablet 700 557
36 New Diatabs tab (Arcapec) Tablet 700 1,149
37 Omeprazole inj 40 mg Vial 400 11,638
38 Otopain tetes teligan Botol 50 76,312
39 Pantoprazole inj 40 mg Vial 400 32,912
40 Paracetamol infus 1 g/100 ml Botol 300 11,990
41 Paracetamol tab 500 mg (Betamol) Tablet 10,000 176
42 Piracetam inj 1 g/5 ml Ampul 100 4,950
43 Piracetam inj 3 g/15 ml Ampul 100 20,526
44 Promavit tab Tablet 600 3,379
45 Risperidone tab 2 mg Tablet 1,500 2,565
46 Ryzodec insulin mix Pen 50 112,000
47 Santagesik inj Ampul 500 4,399
48 Sertralin tab 50 mg (Fridep) Tablet 60 10,266
49 Simvastatin tab 20 mg Tablet 5,000 165
50 Sucralfate syr Botol 500 7,789
51 Tablet Tambah Darah Tablet 1,500 321
52 Tramadol inj 50 mg/2 ml Ampul 125 4,481
53 Tremenza tab Tablet 1,000 1,600
54 Vitamin B Complex tab Tablet 4,600 113
55 Vitamin C inj 1 g/5 ml Ampul 100 27,500
56 Vitamin C tab 250 mg Tablet 5,000 190

BMHP
1 Alkohol 70% 100 ml Botol 192 5,534
2 EKG Elektroda Dewasa Pcs 500 4,950
3 Elastis Perband No. 3 inchi Roll 24 30,583
4 Elastis Perband No. 4 inchi Roll 48 36,479
5 Elastis Perband No. 6 inchi Roll 24 47,066
6 Endo Tracheal Tube (ETT) NON KINKING No. 7 Pcs 10 190,850
7 Endo Tracheal Tube (ETT) NON KINKING No. 7,5 Pcs 10 190,850
8 Guedel Airway No. 3 Pcs 20 14,300
9 Guedel Airway No. 4 Pcs 20 14,300
10 Hypafiix 10 cm X 5 m Roll 60 117,810
11 Laringeal Mask Airways (LMA) No. 3 Pcs 10 351,450
12 Laringeal Mask Airways (LMA) No. 4 Pcs 10 351,450
13 Maasker NRM Anak Pcs 50 19,154
14 Masker NRM Dewasa Pcs 100 23,800
15 Masker Oksigen Dewasa Pcs 100 17,182
16 Naso Gastrik Tube (NGT) no. 05 Pcs 20 14,077
17 Naso Gastrik Tube (NGT) no. 08 Pcs 20 14,077
18 Naso Gastrik Tube (NGT) no. 16 Pcs 100 12,430
19 Perfusor Pcs 100 22,566
20 Sarung Tangan Gynecolog No. 6,5 Pasang 100 39,424
21 Sarung Tangan Gynecolog No. 7,5 Pasang 50 39,424
22 Sarung Tangan Gynecolog No. 8,5 Pasang 50 39,424
23 Selang Oksigen Bayi Pcs 50 22,000
24 Spuit No. 05 cc Pcs 5,000 836

BMHP BEDAH
1 Benang Catgut Chromic 1 Taper Set 24 60,779
2 Benang Catgut Chromic 2/0 Taper Set 36 52,873
3 Benang Silk 2/0 Taper Set 24 37,371
4 Benang Silk 3/0 Cutting Set 24 38,119
JUMLAH HARGA
6

295,000
1,900,000
1,375,000
150,480
2,750,000
2,530,000
1,400,000
128,700
6,531,250
6,553,082
3,435,000
957,000
1,983,000
3,244,200
692,300
12,672,000
737,000
5,588,000
3,712,000
1,875,500
1,485,000
107,520
484,500
1,000,000
3,141,600
2,532,288
2,227,500
2,674,800
19,002,500
3,345,210
14,264,000
945,000
3,000,800
1,760,000
389,900
804,300
4,655,200
3,815,600
13,164,800
3,597,000
1,760,000
495,000
2,052,600
2,027,400
3,847,500
5,600,000
2,199,500
615,960
825,000
3,894,500
481,500
560,125
1,600,000
519,800
2,750,000
950,000
171,085,915

1,062,528
2,475,000
733,992
1,750,992
1,129,584
1,908,500
1,908,500
286,000
286,000
7,068,600
3,514,500
3,514,500
957,700
2,380,000
1,718,200
281,540
281,540
1,243,000
2,256,600
3,942,400
1,971,200
1,971,200
1,100,000
4,180,000
47,922,076

1,458,696
1,903,428
896,904
914,856
5,173,884

224,181,875.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN MEI 2021

Persediaan Awal Masuk Pemakaian Persediaan Akhir


No Jenis Persediaan Satuan 01 MEI 2021 SELAMA MEI 2021 SELAMA MEI 2021 31 MEI 2021
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh Jlh Jlh Jlh
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT
1 Acarbose tab 100 mg Tablet 1,000 996 996,000 996 - 500 996 498,000 500 996 498,000
2 Acarbose tab 100 mg Tablet 2,000 950 1,900,000 950 - 950 - 2,000 950 1,900,000
3 Acarbose tab 50 mg Tablet 1,000 720 720,000 720 - 500 720 360,000 500 720 360,000
4 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 3,217 - 100 3,217 321,700
5 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700 655 458,500
6 Allopurinol tab 100 mg Tablet 500 231 115,500 231 - 500 231 115,500 - 231 -
7 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 900 - 2,700 900 2,430,000
8 Amboroxol tab 30 mg Tablet 1,500 225 337,500 225 - 225 - 1,500 225 337,500
9 Ambroxol syr 15 mg/5 ml Botol 150 4,960 744,000 4,960 - 4,960 - 150 4,960 744,000
10 Ambroxol tab 30 mg Tablet 500 308 154,000 308 - 308 - 500 308 154,000
11 Aminophylline inj 240 mg/10 ml Ampul 30 4,320 129,600 4,320 - 4,320 - 30 4,320 129,600
12 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 8,700 - 30 8,700 261,000
13 Amitriptyline tab 25 mg Tablet 1,000 220 220,000 220 - 220 - 1,000 220 220,000
14 Amlodipin tab 10 mg Tablet 4,000 275 1,100,000 275 - 3,000 275 825,000 1,000 275 275,000
15 Amlodipin tab 5 mg Tablet 3,500 59 206,500 59 - 1,000 59 59,000 2,500 59 147,500
16 Amoxiclav tab Tablet 600 5,808 3,484,800 5,808 - 150 5,808 871,200 450 5,808 2,613,600
17 Amoxycillin syr 125 mg/5 ml Botol 30 4,180 125,400 4,180 - 10 4,180 41,800 20 4,180 83,600
18 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202 11,550 2,333,100
19 Amoxycillin tab 500 mg Tablet 3,500 300 1,050,000 300 - 300 - 3,500 300 1,050,000
20 Ampicillin inj 1g Vial 50 11,124 556,200 11,124 - 11,124 - 50 11,124 556,200
21 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 36,900 - 30 36,900 1,107,000
22 Antasida DOEN tab Tablet 4,000 178 712,000 178 - 178 - 4,000 178 712,000
23 Antasida syrup Botol 200 2,992 598,400 2,992 - 50 2,992 149,600 150 2,992 448,800
24 Anti Hemoroid supp Supp 60 2,970 178,200 2,970 - 2,970 - 60 2,970 178,200
25 Apialys Syrup Boto 60 ml 30 34,485 1,034,550 34,485 - 20 34,485 689,700 10 34,485 344,850
26 Aqua Pro inj Vial 660 7,260 4,791,600 7,260 - 440 7,260 3,194,400 220 7,260 1,597,200
27 Aripiprazol tab 10 mg (Zipren) Tablet 70 22,440 1,570,800 22,440 - 22,440 - 70 22,440 1,570,800
28 Arixtra inj Pen 15 247,500 3,712,500 247,500 - 15 247,500 3,712,500 - 247,500 -
29 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 1,500 616 924,000 616 - 1,500 616 924,000 - 616 -
30 Asam Mefenamat tab 500 mg Tablet 5,000 284 1,420,000 284 - 1,000 284 284,000 4,000 284 1,136,000
31 Asam Tanexamat tab 500 mg (Kalnex) Tablet 1,000 2,948 2,948,000 2,948 - 500 2,948 1,474,000 500 2,948 1,474,000
32 Asam Tranexamat inj 500 mg/5 ml Ampul 100 8,333 833,300 8,333 - 100 8,333 833,300 - 8,333 -
33 Asam Valproat syr Botol 205 19,987 4,097,335 19,987 - 10 19,987 199,870 195 19,987 3,897,465
34 Asetilsistein tab 200 mg Tablet 3,500 550 1,925,000 550 - 2,500 550 1,375,000 1,000 550 550,000
35 Atracurium inj 50 mg/5 ml (Farelax) Ampul 10 79,365 793,650 79,365 - 79,365 - 10 79,365 793,650
36 Atropin inj 0,25 mg/ml Ampul 300 1,958 587,400 1,958 - 100 1,958 195,800 200 1,958 391,600
37 Atrovastatin tab 20 mg Tablet 1,500 1,265 1,897,500 1,265 - 1,265 - 1,500 1,265 1,897,500
38 Azythromicyn tab 500 mg Tablet 1,800 1,400 2,520,000 1,400 - 1,400 - 1,800 1,400 2,520,000
39 Betahistin tab 6 mg Tablet 3,000 119 357,000 119 - 119 - 3,000 119 357,000
40 Betamethasone krim Tube 100 1,740 174,000 1,740 - 1,740 - 100 1,740 174,000
41 Bioplacenton salep Tube 12 18,700 224,400 18,700 - 12 18,700 224,400 - 18,700 -
42 Bisoprolol tab 5 mg Tablet 1,350 256 345,600 256 - 256 - 1,350 256 345,600
43 Bisoprolol tab 5 mg Tablet 900 143 128,700 143 - 900 143 128,700 - 143 -
44 Bricasma Respules 2,5 mg/ml Respule 140 7,602 1,064,280 7,602 - 80 7,602 608,160 60 7,602 456,120
45 Bunascan Spinal inj (Quanocain) Ampul 90 52,250 4,702,500 52,250 - 20 52,250 1,045,000 70 52,250 3,657,500
46 Burnazin krim Tube 90 64,882 5,839,380 64,882 - 64,882 - 90 64,882 5,839,380
47 Buscopan tab 10 mg Tablet 900 3,435 3,091,500 3,435 - 700 3,435 2,404,500 200 3,435 687,000
48 Calcium Lactate tab 500 mg Tablet 6,000 224 1,344,000 224 - 500 224 112,000 5,500 224 1,232,000
49 Calsium gluconate inj 10% Ampul 48 10,351 496,848 10,351 - 24 10,351 248,424 24 10,351 248,424
50 Candesartan tab 16 mg Tablet 2,250 1,153 2,594,250 1,153 - 2,250 1,153 2,594,250 - 1,153 -
51 Candesartan tab 16 mg Tablet 3,000 319 957,000 319 - 750 319 239,250 2,250 319 717,750
52 Candesartan tab 8 mg Tablet 1,500 661 991,500 661 - 1,500 661 991,500 - 661 -
53 Captopril tab 12,5 mg Tablet 1,000 166 166,000 166 - 166 - 1,000 166 166,000
54 Captopril tab 25 mg Tablet 4,000 137 548,000 137 - 137 - 4,000 137 548,000
55 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500 252 378,000
56 Cefadroxyl cap 500 mg Kapsul 3,000 908 2,724,000 908 - 500 908 454,000 2,500 908 2,270,000
57 Cefadroxyl syr 125 mg/5 ml Botol 75 7,759 581,925 7,759 - 7,759 - 75 7,759 581,925
58 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50 12,650 632,500
59 Cefixime kap 100 mg Kapsul 1,000 858 858,000 858 - 858 - 1,000 858 858,000
60 Cefixime kap 200 mg Kapsul 1,000 4,400 4,400,000 4,400 - 500 4,400 2,200,000 500 4,400 2,200,000
61 Cefixime syr 100 mg/5 ml Botol 125 21,628 2,703,500 21,628 - 25 21,628 540,700 100 21,628 2,162,800
62 Cefotaxime inj 1 gr Vial 1,200 27,060 32,472,000 27,060 - 50 27,060 1,353,000 1,150 27,060 31,119,000
63 Ceftazidime inj 1 g Vial 100 6,923 692,300 6,923 - 6,923 - 100 6,923 692,300
64 Ceftriaxone inj 1 g Vial 50 13,001 650,050 13,001 - 50 13,001 650,050 - 13,001 -
65 Ceftriaxone inj 1 g Vial 1,000 12,672 12,672,000 12,672 - 200 12,672 2,534,400 800 12,672 10,137,600
66 Cendo xytrol tetes mata Botol 20 29,975 599,500 29,975 - 20 29,975 599,500 - 29,975 -
67 Cetirizine syr 5 mg/5 ml Botol 5 10,440 52,200 10,440 - 5 10,440 52,200 - 10,440 -
68 Cetirizine tab 10 mg Tablet 900 383 344,700 383 - 900 383 344,700 - 383 -
69 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72 2,057 148,104
70 Chlorfeniramin tab 4 mg Tablet 1,500 58 87,000 58 - 58 - 1,500 58 87,000
71 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700 495 346,500
72 Ciprofloxacin tab 500 mg Tablet 300 617 185,100 617 - 300 617 185,100 - 617 -
73 Citicolin inj 250 mg/2 ml Ampul 100 14,437 1,443,700 14,437 - 14,437 - 100 14,437 1,443,700
74 Citicolin tab 500 mg Tablet 150 5,984 897,600 5,984 - 150 5,984 897,600 - 5,984 -
75 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 58,300 - 80 58,300 4,664,000
76 Clindamycin cap 300 mg Kapsul 500 1,426 713,000 1,426 - 1,426 - 500 1,426 713,000
77 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700 266 186,200
78 Clozapine tab 100 mg Tablet 150 11,176 1,676,400 11,176 - 150 11,176 1,676,400 - 11,176 -
79 Clozapine tab 25 mg (Lozap) Tablet 750 3,712 2,784,000 3,712 - 750 3,712 2,784,000 - 3,712 -
80 Codein tab 10 mg Tablet 1,000 685 685,000 685 - 500 685 342,500 500 685 342,500
81 Cotrimoxazole syr 120 mg/5 ml Botol 150 6,496 974,400 6,496 - 150 6,496 974,400 - 6,496 -
82 Cotrimoxazole tab 480 mg Tablet 1,000 268 268,000 268 - 500 268 134,000 500 268 134,000
83 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120 10,010 1,201,200
84 Daryant Tulle (Framycetin) Pcs 190 10,175 1,933,250 10,175 - 70 10,175 712,250 120 10,175 1,221,000
85 Dexametason inj 5 mg/ml Ampul 1,200 2,416 2,899,200 2,416 - 300 2,416 724,800 900 2,416 2,174,400
86 Dexamethasone tab 0,5 mg Tablet 14,500 162 2,349,000 162 - 500 162 81,000 14,000 162 2,268,000
87 Dexketoprofen inj 50 mg/2 ml Ampul 25 18,755 468,875 18,755 - 25 18,755 468,875 - 18,755 -
88 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500 259 129,500
89 Diazepam tab 5 mg (Valisanbe) Tablet 700 429 300,300 429 - 429 - 700 429 300,300
90 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 20 52,250 1,045,000 52,250 - 52,250 - 20 52,250 1,045,000
91 Digoxin tab 0,25 mg Tablet 2,000 104 208,000 104 - 104 - 2,000 104 208,000
92 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000 212 424,000
93 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000 162 324,000
94 Dobutamin inj 250 mg/5 ml Ampul 50 14,643 732,150 14,643 - 14,643 - 50 14,643 732,150
95 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200 451 90,200
96 Domperidon susp 5 mg/5 ml Botol 50 11,088 554,400 11,088 - 11,088 - 50 11,088 554,400
97 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500 363 181,500
98 Dopamet tab 250 mg Kapsul 200 1,135 227,000 1,135 - 200 1,135 227,000 - 1,135 -
99 Dopamin inj 40 mg/ml (Cetadop) Ampul 75 6,160 462,000 6,160 - 6,160 - 75 6,160 462,000
100 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600 1,401 840,600
101 Dumin tube rectal 125 ng Tube 115 17,061 1,962,015 17,061 - 25 17,061 426,525 90 17,061 1,535,490
102 Ephedrin inj 50 mg/ml Ampul 50 8,569 428,450 8,569 - 50 8,569 428,450 - 8,569 -
103 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360 7,300 2,628,000
104 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 75 23,760 1,782,000 23,760 - 23,760 - 75 23,760 1,782,000
105 Fentanyl inj Ampul 50 44,391 2,219,550 44,391 - 44,391 - 50 44,391 2,219,550
106 Finasteride tab 5 mg Tablet 150 1,738 260,700 1,738 - 150 1,738 260,700 - 1,738 -
107 Fitomenadion inj 2 mg/ml (Vit. K1) Ampul 100 6,600 660,000 6,600 - 6,600 - 100 6,600 660,000
108 Fitomenadion tab 10 mg Tablet 300 1,210 363,000 1,210 - 1,210 - 300 1,210 363,000
109 Flucadex syr Botol 6 10,267 61,602 10,267 - 6 10,267 61,602 - 10,267 -
110 Flunarizine tab 10 mg Tablet 400 1,870 748,000 1,870 - 1,870 - 400 1,870 748,000
111 Fluoxetine tab 20 mg (Elizac) Tablet 150 4,950 742,500 4,950 - 4,950 - 150 4,950 742,500
112 Folavit tab Tablet 2,000 984 1,968,000 984 - 1,000 984 984,000 1,000 984 984,000
113 Furosemide inj 20 mg/2 ml Ampul 50 1,555 77,750 1,555 - 50 1,555 77,750 - 1,555 -
114 Furosemide inj 20 mg/2 ml Ampul 500 969 484,500 969 - 350 969 339,150 150 969 145,350
115 Furosemide tab 40 mg Tablet 5,000 153 765,000 153 - 1,000 153 153,000 4,000 153 612,000
116 Gabapentin tab 300 mg Tablet 1,980 1,122 2,221,560 1,122 - 300 1,122 336,600 1,680 1,122 1,884,960
117 Gastrul tab Tablet 750 12,100 9,075,000 12,100 - 150 12,100 1,815,000 600 12,100 7,260,000
118 Gemfibrozil kap 300 mg Tablet 1,800 484 871,200 484 - 1,000 484 484,000 800 484 387,200
119 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 200 10,714 2,142,800 10,714 - 50 10,714 535,700 150 10,714 1,607,100
120 Gentamicyn krim (Gentalex) Tube 36 2,657 95,652 2,657 - 24 2,657 63,768 12 2,657 31,884
121 Glimepiride tab 2 mg Tablet 1,500 880 1,320,000 880 - 1,000 880 880,000 500 880 440,000
122 Glimepiride tab 4 mg Tablet 1,000 434 434,000 434 - 500 434 217,000 500 434 217,000
123 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500 416 208,000
124 Haloperidol inj 50 mg/ml (Lodomer) Ampul 24 12,523 300,552 12,523 - 12,523 - 24 12,523 300,552
125 Haloperidol tab 0,5 mg Tablet 1,500 278 417,000 278 - 278 - 1,500 278 417,000
126 Haloperidol tab 1,5 mg Tablet 1,200 110 132,000 110 - 110 - 1,200 110 132,000
127 Haloperidol tab 5 mg Tablet 1,300 143 185,900 143 - 143 - 1,300 143 185,900
128 Hidrocortisone cream 2,5% Tube 100 2,723 272,300 2,723 - 25 2,723 68,075 75 2,723 204,225
129 Ibuprofen syr 100 mg/5 ml Botol 50 10,000 500,000 10,000 - 30 10,000 300,000 20 10,000 200,000
130 Ibuprofen tab 200 mg Tablet 1,000 229 229,000 229 - 500 229 114,500 500 229 114,500
131 Ibuprofen tab 400 mg Tablet 1,000 380 380,000 380 - 500 380 190,000 500 380 190,000
132 Infus D5+1/2 NS Btl 500 ml 160 19,770 3,163,200 19,770 - 40 19,770 790,800 120 19,770 2,372,400
133 Infus Dextrose 10% Btl 500 ml 100 8,002 800,200 8,002 - 40 8,002 320,080 60 8,002 480,120
134 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168 44,162 7,419,216
135 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100 207,702 20,770,200
136 Infus HES Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60 181,913 10,914,780
137 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30 66,000 1,980,000
138 Infus Nacl 0,9 % 500 ml Btl 500 ml 2,200 6,840 15,048,000 6,840 - 620 6,840 4,240,800 1,580 6,840 10,807,200
139 Infus Ring As Botol 192 9,592 1,841,664 9,592 - 168 9,592 1,611,456 24 9,592 230,208
140 Infus Ringer Lactat Btl 500 ml 1,780 7,630 13,581,400 7,630 - 720 7,630 5,493,600 1,060 7,630 8,087,800
141 Infus Tridex 27 B Botol 500 ml 144 10,352 1,490,688 10,352 - 72 10,352 745,344 72 10,352 745,344
142 Isoflurane (Terrel) Botol 250 ml 7 1,480,000 10,360,000 1,480,000 - 1,480,000 - 7 1,480,000 10,360,000
143 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30 23,980 719,400
144 KCl inj 7,6 % Vial 25 ml 80 3,223 257,840 3,223 - 3,223 - 80 3,223 257,840
145 Ketamin inj 50 mg/ml Ktk 1 vial 96 71,929 6,905,184 71,929 - 71,929 - 96 71,929 6,905,184
146 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500 755 377,500
147 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 2,577 - 50 2,577 128,850
148 Ketorolac inj 30 mg/ml Ampul 90 3,500 315,000 3,500 - 90 3,500 315,000 - 3,500 -
149 Ketorolac inj 30 mg/ml Ampul 500 4,455 2,227,500 4,455 - 300 4,455 1,336,500 200 4,455 891,000
150 Lactulose syr Botol 80 15,060 1,204,800 15,060 - 56 15,060 843,360 24 15,060 361,440
151 Lansoprazole kaps 30 mg Kapsul 800 548 438,400 548 - 800 548 438,400 - 548 -
152 L-Bio Sachet 150 7,430 1,114,500 7,430 - 150 7,430 1,114,500 - 7,430 -
153 Levemir insulin Pen 25 89,000 2,225,000 89,000 - 25 89,000 2,225,000 - 89,000 -
154 Levofloxacin infus 500 mg/100 ml Botol 240 38,005 9,121,200 38,005 - 240 38,005 9,121,200 - 38,005 -
155 Levofloxacin tab 750 mg Tablet 300 3,379 1,013,700 3,379 - 300 3,379 1,013,700 - 3,379 -
156 Lidocain inj 2% Ampul 3,700 1,475 5,457,500 1,475 - 500 1,475 737,500 3,200 1,475 4,720,000
157 Lisinopril tab 10 mg Tablet 4,000 370 1,480,000 370 - 500 370 185,000 3,500 370 1,295,000
158 Lisinopril tab 5 mg Tablet 500 250 125,000 250 - 250 - 500 250 125,000
159 Lisinopril tab 5 mg Tablet 2,000 250 500,000 250 - 250 - 2,000 250 500,000
160 Lithium tab 100 mg (Frimania) Tablet 400 1,848 739,200 1,848 - 1,848 - 400 1,848 739,200
161 Loratadine tab 10 mg Tablet 750 286 214,500 286 - 286 - 750 286 214,500
162 Lorazepam tab 2 mg (Merlopam) Tablet 500 3,685 1,842,500 3,685 - 3,685 - 500 3,685 1,842,500
163 Meloxicam tab 15 mg Tablet 750 474 355,500 474 - 474 - 750 474 355,500
164 Meloxicam tab 7,5 mg Tablet 1,000 440 440,000 440 - 440 - 1,000 440 440,000
165 Meropenem inj 1 g Vial 380 35,660 13,550,800 35,660 - 100 35,660 3,566,000 280 35,660 9,984,800
166 Metformin tab 500 mg Tablet 1,500 192 288,000 192 - 1,500 192 288,000 - 192 -
167 Metformin tab 500 mg Tablet 5,000 189 945,000 189 - 3,000 189 567,000 2,000 189 378,000
168 Methylergometrine inj Ampul 200 3,553 710,600 3,553 - 3,553 - 200 3,553 710,600
169 Methylergometrine tab 0,125 mg Tablet 500 261 130,500 261 - 261 - 500 261 130,500
170 Methylprednisolone inj 125 mg Vial 60 12,217 733,020 12,217 - 60 12,217 733,020 - 12,217 -
171 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000 637 637,000
172 Methylprednisolone tab 4 mg Tablet 1,000 242 242,000 242 - 1,000 242 242,000 - 242 -
173 Methylprednisolone tab 8 mg Tablet 1,500 483 724,500 483 - 500 483 241,500 1,000 483 483,000
174 Metoclopramide inj 10 mg/2 ml Ampul 200 5,280 1,056,000 5,280 - 100 5,280 528,000 100 5,280 528,000
175 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000 135 405,000
176 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75 3,590 269,250
177 Metronidazol syr 125 mg/5 ml Botol 150 6,270 940,500 6,270 - 6,270 - 150 6,270 940,500
178 Metronidazole infus 500 mg/100 ml Botol 150 15,004 2,250,600 15,004 - 150 15,004 2,250,600 - 15,004 -
179 Miconazole krim 2 % Tube 240 2,090 501,600 2,090 - 48 2,090 100,320 192 2,090 401,280
180 Microlax Tube 80 18,769 1,501,520 18,769 - 18,769 - 80 18,769 1,501,520
181 Midazolam inj 5 mg/5 ml (Miloz) Ampul 90 17,600 1,584,000 17,600 - 20 17,600 352,000 70 17,600 1,232,000
182 Morfin inj 10 mg/ml Ampul 50 34,050 1,702,500 34,050 - 34,050 - 50 34,050 1,702,500
183 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300 2,949,000 98,300 - 98,300 - 30 98,300 2,949,000
184 Neurosanbe inj Ampul 300 6,017 1,805,100 6,017 - 200 6,017 1,203,400 100 6,017 601,700
185 Neurosanbe tab Tablet 1,000 1,314 1,314,000 1,314 - 500 1,314 657,000 500 1,314 657,000
186 New Diatabs tab Tablet 700 557 389,900 557 - 557 - 700 557 389,900
187 New Diatabs tab (Arcapec) Tablet 500 1,149 574,500 1,149 - 1,149 - 500 1,149 574,500
188 Nicardipine inj 10 mg/10 ml Ampul 25 23,293 582,325 23,293 - 23,293 - 25 23,293 582,325
189 Nifedipine tab 10 mg Tablet 3,000 155 465,000 155 - 500 155 77,500 2,500 155 387,500
190 Norephineprin inj 4 mg/4 ml Ampul 15 26,400 396,000 26,400 - 5 26,400 132,000 10 26,400 264,000
191 Novorapid insulin Pen 75 89,500 6,712,500 89,500 - 50 89,500 4,475,000 25 89,500 2,237,500
192 Nystatin drop Botol 10 21,780 217,800 21,780 - 10 21,780 217,800 - 21,780 -
193 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300 904 271,200
194 Olanzapin/ Sopavel tab 5 mg Tablet 90 12,155 1,093,950 12,155 - 30 12,155 364,650 60 12,155 729,300
195 Omeprazol kaps 20 mg Kapsul 900 610 549,000 610 - 900 610 549,000 - 610 -
196 Omeprazole inj 40 mg Vial 350 11,638 4,073,300 11,638 - 250 11,638 2,909,500 100 11,638 1,163,800
197 Ondancentron inj 4 mg/2 ml Ampul 400 1,312 524,800 1,312 - 400 1,312 524,800 - 1,312 -
198 Ondancentron tab 4 mg Tablet - 1,016 - 1,016 - 1,016 - - 1,016 -
199 Ondancentron tab 8 mg Tablet 450 1,670 751,500 1,670 - 1,670 - 450 1,670 751,500
200 Oralit saset Sachet 1,600 666 1,065,600 666 - 200 666 133,200 1,400 666 932,400
201 Otopain tetes teligan Botol 40 76,312 3,052,480 76,312 - 10 76,312 763,120 30 76,312 2,289,360
202 Oxytetracycline salep mata Tube 50 3,692 184,600 3,692 - 3,692 - 50 3,692 184,600
203 Oxytocin inj Ampul 300 1,287 386,100 1,287 - 100 1,287 128,700 200 1,287 257,400
204 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14 14,638 204,932
205 Pantoprazole inj 40 mg Vial 118 32,912 3,883,616 32,912 - 118 32,912 3,883,616 - 32,912 -
206 Paracetamol tab 500 mg (Betamol) Tablet 10,000 176 1,760,000 176 - 2,000 176 352,000 8,000 176 1,408,000
207 Pethidin inj 100 mg/2 ml Ampul 100 19,481 1,948,100 19,481 - 19,481 - 100 19,481 1,948,100
208 Phenobarbital inj 50 mg/1 ml Ampul 120 2,380 285,600 2,380 - 2,380 - 120 2,380 285,600
209 Phenobarbital tab 30 mg Tablet 1,200 187 224,400 187 - 187 - 1,200 187 224,400
210 Piracetam inj 1 g/5 ml Ampul 150 4,950 742,500 4,950 - 50 4,950 247,500 100 4,950 495,000
211 Piracetam inj 3 g/15 ml Ampul 90 20,526 1,847,340 20,526 - 30 20,526 615,780 60 20,526 1,231,560
212 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500 460 230,000
213 Piracetam tab 800 mg Tablet 1,500 361 541,500 361 - 500 361 180,500 1,000 361 361,000
214 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000 178 534,000
215 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24 77,000 1,848,000
216 Prednison tab 5 mg Tablet 500 198 99,000 198 - 198 - 500 198 99,000
217 Profofol /Proanes inj 1% Ampul 30 88,935 2,668,050 88,935 - 10 88,935 889,350 20 88,935 1,778,700
218 Promavit tab Tablet 300 3,379 1,013,700 3,379 - 300 3,379 1,013,700 - 3,379 -
219 Propanolol tab 40 mg Tablet 3,500 145 507,500 145 - 500 145 72,500 3,000 145 435,000
220 Propilthyouracil tab 100 mg Tablet 2,500 518 1,295,000 518 - 500 518 259,000 2,000 518 1,036,000
221 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50 82,001 4,100,050
222 Pulmicort Respules 0,5 mg/ml Respule 600 14,131 8,478,600 14,131 - 100 14,131 1,413,100 500 14,131 7,065,500
223 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800 512 921,600
224 Quanocain spinal 20 mg/4 ml Ampul 15 54,450 816,750 54,450 - 54,450 - 15 54,450 816,750
225 Quentiapin / Quetvel tab 200 mg Tablet 360 14,266 5,135,760 14,266 - 14,266 - 360 14,266 5,135,760
226 Ranitidine inj 50 mg/2 ml Ampul 100 4,000 400,000 4,000 - 100 4,000 400,000 - 4,000 -
227 Ranitidine tab 150 mg Tablet 2,500 303 757,500 303 - 500 303 151,500 2,000 303 606,000
228 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000 1,751 1,751,000
229 Risperidone tab 2 mg Tablet 650 2,565 1,667,250 2,565 - 650 2,565 1,667,250 - 2,565 -
230 Ryzodec insulin mix Pen 50 112,000 5,600,000 112,000 - 50 112,000 5,600,000 - 112,000 -
231 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500 64 96,000
232 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000 102 306,000
233 Sanmag syrup Botol 25 27,500 687,500 27,500 - 27,500 - 25 27,500 687,500
234 Sanmol drop Botol 110 17,270 1,899,700 17,270 - 17,270 - 110 17,270 1,899,700
235 Sanmol infus 1 gr/100 ml Botol 155 30,251 4,688,905 30,251 - 128 30,251 3,872,128 27 30,251 816,777
236 Sanmol syr 120 mg/5 ml Botol 128 12,870 1,647,360 12,870 - 12,870 - 128 12,870 1,647,360
237 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500 319 478,500
238 Santagesik inj Ampul 350 4,399 1,539,650 4,399 - 200 4,399 879,800 150 4,399 659,850
239 Sertralin tab 50 mg (Fridep) Tablet 30 10,266 307,980 10,266 - 30 10,266 307,980 - 10,266 -
240 Sevoflurane Botol 4 1,122,000 4,488,000 1,122,000 - 1 1,122,000 1,122,000 3 1,122,000 3,366,000
241 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 79,860 - 40 79,860 3,194,400
242 Simvastatin tab 10 mg Tablet 4,000 231 924,000 231 - 500 231 115,500 3,500 231 808,500
243 Simvastatin tab 20 mg Tablet 3,500 165 577,500 165 - 1,250 165 206,250 2,250 165 371,250
244 Spironolactone tab 100 mg Tablet 3,000 661 1,983,000 661 - 500 661 330,500 2,500 661 1,652,500
245 Spironolactone tab 25 mg Tablet 2,000 226 452,000 226 - 1,500 226 339,000 500 226 113,000
246 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40 15,088 603,520
247 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 45 21,935 987,075 21,935 - 21,935 - 45 21,935 987,075
248 Sucralfate syr Botol 400 7,789 3,115,600 7,789 - 150 7,789 1,168,350 250 7,789 1,947,250
249 Symbicort turbuhaler Pcs 35 149,266 5,224,310 149,266 - 20 149,266 2,985,320 15 149,266 2,238,990
250 Tablet Tambah Darah Tablet 900 321 288,900 321 - 900 321 288,900 - 321 -
251 Thiamfenicol tab 500 mg Tablet 300 1,089 326,700 1,089 - 1,089 - 300 1,089 326,700
252 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 52,275 - 30 52,275 1,568,250
253 Tramadol cap 50 mg Kapsul 1,200 825 990,000 825 - 825 - 1,200 825 990,000
254 Tramadol inj 50 mg/2 ml Ampul 115 4,481 515,315 4,481 - 4,481 - 115 4,481 515,315
255 Tremenza tab Tablet 500 1,600 800,000 1,600 - 500 1,600 800,000 - 1,600 -
256 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500 745 372,500
257 Trifluoferazin tab 5 mg (Stelosi) Tablet 300 577 173,100 577 - 577 - 300 577 173,100
258 Trovensis inj 4mg/2 ml Ampul 125 37,213 4,651,625 37,213 - 25 37,213 930,325 100 37,213 3,721,300
259 Urdafalk kaps 250 mg kapsul 150 6,343 951,450 6,343 - 6,343 - 150 6,343 951,450
260 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400 4,000 1,600,000
261 Vitamin B Complex tab Tablet 4,600 113 519,800 113 - 1,000 113 113,000 3,600 113 406,800
262 Vitamin B6 tab 10 mg Tablet 2,000 158 316,000 158 - 2,000 158 316,000 - 158 -
263 Vitamin C tab 250 mg Tablet 4,500 190 855,000 190 - 1,000 190 190,000 3,500 190 665,000
264 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210 3,025 635,250
265 Zidifec inj 1 g Vial 25 128,589 3,214,725 128,589 - 25 128,589 3,214,725 - 128,589 -
266 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500 708 2,478,000
267 Zink syr 10 mg/5 ml Botol 50 4,289 214,450 4,289 - 4,289 - 50 4,289 214,450
1 Asetilsistein inj 5 g/25 ml Botol - 50 180,592 9,029,600 50 180,592 9,029,600 - 180,592 -
2 Aspar K tab Tablet - 2000 2,721 5,442,000 500 2,721 1,360,500 1,500 2,721 4,081,500
3 Azythromicyn inj 0,5 g Vial - 50 136,895 6,844,750 10 136,895 1,368,950 40 136,895 5,475,800
4 Betadine gargle Botol - 12 29,700 356,400 5 29,700 148,500 7 29,700 207,900
5 Cetirizine syr 5 mg/5 ml Botol - 50 10,439 521,950 10,439 - 50 10,439 521,950
6 Cetirizine tab 10 mg Tablet - 1500 342 513,000 342 - 1,500 342 513,000
7 Chloramfenicol tetes telinga (Erlamycetin) Botol - 60 6,792 407,520 6,792 - 60 6,792 407,520
8 Citicolin inj 500 mg/4 ml Ampul - 50 28,743 1,437,150 50 28,743 1,437,150 - 28,743 -
9 Clopidogrel tab 75 mg Tablet - 1500 1,469 2,203,500 300 1,469 440,700 1,200 1,469 1,762,800
10 Clozapine tab 100 mg Tablet - 1000 9,499 9,499,000 250 9,499 2,374,750 750 9,499 7,124,250
11 Clozapine tab 25 mg Tablet - 2500 2,917 7,292,500 250 2,917 729,250 2,250 2,917 6,563,250
12 Dexketoprofen inj 50 mg/2 ml Ampul - 100 20,240 2,024,000 10 20,240 202,400 90 20,240 1,821,600
13 Diphenhydramine inj 10 mg/ml Ampul - 150 1,815 272,250 60 1,815 108,900 90 1,815 163,350
14 Eperisone Hcl tab 50 mg Tablet - 2000 1,355 2,710,000 500 1,355 677,500 1,500 1,355 2,032,500
15 Gabaxa infus Botol - 50 242,909 12,145,450 37 242,909 8,987,633 13 242,909 3,157,817
16 Infus Nacl 0,9 % 100 ml Botol - 300 13,090 3,927,000 240 13,090 3,141,600 60 13,090 785,400
17 Infus Ringer Lactat Botol - 3000 7,630 22,890,000 7,630 - 3,000 7,630 22,890,000
18 Isosorbit Dinitrat tab 5 mg Tablet - 5000 121 605,000 500 121 60,500 4,500 121 544,500
19 Levemir insulin Pen - 100 89,000 8,900,000 50 89,000 4,450,000 50 89,000 4,450,000
20 Meylon inj 8,4 % Vial - 120 6,749 809,880 20 6,749 134,980 100 6,749 674,900
21 MgSO4 inj 20 % Vial - 120 4,300 516,000 30 4,300 129,000 90 4,300 387,000
22 OBH syr Botol - 50 4,600 230,000 4,600 - 50 4,600 230,000
23 Ondancentron inj 4mg/2 ml Ampul - 650 963 625,950 150 963 144,450 500 963 481,500
24 Pantoprazole inj 40 mg Vial - 400 32,912 13,164,800 292 32,912 9,610,304 108 32,912 3,554,496
25 Paracetamol inf 1 g/100 ml Botol - 300 11,990 3,597,000 252 11,990 3,021,480 48 11,990 575,520
26 Propanolol tab 10 mg Tablet - 5000 92 460,000 500 92 46,000 4,500 92 414,000
27 Pumpisel inj 40 mg Vial - 100 72,600 7,260,000 16 72,600 1,161,600 84 72,600 6,098,400
28 Trihexyphenidil tab 2 mg (Hexymer) Tablet - 5000 359 1,795,000 1,000 359 359,000 4,000 359 1,436,000
29 Vitamin B Complex tab Tablet - 400 113 45,200 113 - 400 113 45,200
30 Zidifec inj 1 g Vial - 100 126,689 12,668,900 126,689 - 100 126,689 12,668,900

SUBTOTAL 478,483,158 138,193,800 184,657,820 432,019,138


SALDO AKHIR APRIL 2021 478,483,158
BMHP
1 Abbocath No. 20 Pcs 250 6,270 1,567,500 6,270 - 200 6,270 1,254,000 50 6,270 313,500
2 Abbocath No. 22 Pcs 150 6,270 940,500 6,270 - 150 6,270 940,500 - 6,270 -
3 Abbocath No. 24 Pcs 800 6,270 5,016,000 6,270 - 150 6,270 940,500 650 6,270 4,075,500
4 Alkohol 70% 1 L Botol 1 L 24 37,153 891,672 37,153 - 19 37,153 705,907 5 37,153 185,765
5 Alkohol 70% 100 ml Botol 144 5,534 796,896 5,534 - 48 5,534 265,632 96 5,534 531,264
6 Alkohol 95% 100 ml Btl 100 ml 192 5,879 1,128,768 5,879 - 24 5,879 141,096 168 5,879 987,672
7 Alkohol Swab Pcs 15,300 242 3,702,600 242 - 5,700 242 1,379,400 9,600 242 2,323,200
8 Dermafix Pcs 40 1,039 41,560 1,039 - 1,039 - 40 1,039 41,560
9 EKG Elektroda Anak Pcs 550 3,300 1,815,000 3,300 - 3,300 - 550 3,300 1,815,000
10 EKG Elektroda Dewasa Pcs 750 4,950 3,712,500 4,950 - 4,950 - 750 4,950 3,712,500
11 Elastis Perband No. 3 inchi Roll 12 16,500 198,000 16,500 - 16,500 - 12 16,500 198,000
12 Elastis Perband No. 3 inchi Roll 24 30,583 733,992 30,583 - 30,583 - 24 30,583 733,992
13 Elastis Perband No. 4 inchi Roll 36 36,479 1,313,244 36,479 - 36,479 - 36 36,479 1,313,244
14 Elastis Perband No. 6 inchi Roll 12 47,066 564,792 47,066 - 47,066 - 12 47,066 564,792
15 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs 10 13,680 136,800 13,680 - 10 13,680 136,800 - 13,680 -
16 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10 13,908 139,080
17 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 20 77,000 1,540,000 77,000 - 10 77,000 770,000 10 77,000 770,000
18 Endo Tracheal Tube (ETT) NON KINKING No. 7 Pcs 10 190,850 1,908,500 190,850 - 190,850 - 10 190,850 1,908,500
19 Endo Tracheal Tube (ETT) NON KINKING No. 7,5 Pcs 10 190,850 1,908,500 190,850 - 190,850 - 10 190,850 1,908,500
20 Folley Catheter 2-Way no. 08 Pcs 30 34,155 1,024,650 34,155 - 34,155 - 30 34,155 1,024,650
21 Folley Catheter 2-Way No. 10 Pcs 20 32,670 653,400 32,670 - 32,670 - 20 32,670 653,400
22 Folley Catheter 2-Way No. 12 Pcs 30 11,374 341,220 11,374 - 11,374 - 30 11,374 341,220
23 Folley Catheter 2-Way No. 14 Pcs 100 17,600 1,760,000 17,600 - 17,600 - 100 17,600 1,760,000
24 Folley Catheter 2-Way No. 16 Pcs 20 17,600 352,000 17,600 - 20 17,600 352,000 - 17,600 -
25 Folley Catheter 2-Way no. 18 Pcs 70 12,144 850,080 12,144 - 40 12,144 485,760 30 12,144 364,320
26 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5 324,500 1,622,500
27 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12 18,775 225,300
28 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14 26,433 370,062
29 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21 54,085 1,135,785
30 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25 24,750 618,750
31 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5 13,200 66,000
32 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5 24,750 123,750
33 Guedel Airway No. 3 Pcs 20 14,300 286,000 14,300 - 5 14,300 71,500 15 14,300 214,500
34 Guedel Airway no. 4 Pcs 10 24,750 247,500 24,750 - 5 24,750 123,750 5 24,750 123,750
35 Guedel Airway No. 4 Pcs 20 14,300 286,000 14,300 - 14,300 - 20 14,300 286,000
36 Guedel Airway No. 5 Pcs 13 24,750 321,750 24,750 - 5 24,750 123,750 8 24,750 198,000
37 Hand sanitizer Btl 500 ml 54 54,506 2,943,324 54,506 - 31 54,506 1,689,686 23 54,506 1,253,638
38 Hypafiix 10 cm X 5 m Roll 38 117,810 4,476,780 117,810 - 38 117,810 4,476,780 - 117,810 -
39 Infuset Makro / Dewasa Pcs 100 8,107 810,700 8,107 - 100 8,107 810,700 - 8,107 -
40 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200 12,334 2,466,800
41 Jarum Insulin Pcs 1,400 2,083 2,916,200 2,083 - 600 2,083 1,249,800 800 2,083 1,666,400
42 Jeli USG Botol 10 33,000 330,000 33,000 - 10 33,000 330,000 - 33,000 -
43 Kapas 500 g Roll 17 31,372 533,324 31,372 - 1 31,372 31,372 16 31,372 501,952
44 Kasa Steril 16 X 16 Kotak 230 3,500 805,000 3,500 - 120 3,500 420,000 110 3,500 385,000
45 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9 159,500 1,435,500
46 Kertas CTG 152 mm x 25 m Roll 3 270,000 810,000 270,000 - 270,000 - 3 270,000 810,000
47 Kertas EKG 110 mm Roll 24 198,000 4,752,000 198,000 - 3 198,000 594,000 21 198,000 4,158,000
48 Kertas EKG 207 mm Roll 23 154,000 3,542,000 154,000 - 7 154,000 1,078,000 16 154,000 2,464,000
49 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7 66,000 462,000
50 Laringeal Mask Airways (LMA) No. 3 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8 351,450 2,811,600
51 Laringeal Mask Airways (LMA) No. 4 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8 351,450 2,811,600
52 Masker Bedah Pcs - 1,540 - 1,540 - 1,540 - - 1,540 -
53 Masker Nebulizer Anak Pcs 45 32,670 1,470,150 32,670 - 32,670 - 45 32,670 1,470,150
54 Masker Nebulizer Dewasa Pcs 70 26,464 1,852,480 26,464 - 26,464 - 70 26,464 1,852,480
55 Masker NRM Anak Pcs 20 33,000 660,000 33,000 - 33,000 - 20 33,000 660,000
56 Masker NRM Anak Pcs 50 19,154 957,700 19,154 - 19,154 - 50 19,154 957,700
57 Masker NRM Dewasa Pcs 95 23,800 2,261,000 23,800 - 25 23,800 595,000 70 23,800 1,666,000
58 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50 15,180 759,000
59 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140 15,180 2,125,200
60 Masker Oksigen Dewasa Pcs 90 17,182 1,546,380 17,182 - 10 17,182 171,820 80 17,182 1,374,560
61 Naso Gastrik Tube (NGT) no. 05 Pcs 20 14,077 281,540 14,077 - 14,077 - 20 14,077 281,540
62 Naso Gastrik Tube (NGT) no. 08 Pcs 15 49,500 742,500 49,500 - 49,500 - 15 49,500 742,500
63 Naso Gastrik Tube (NGT) no. 08 Pcs 20 14,077 281,540 14,077 - 14,077 - 20 14,077 281,540
64 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
65 Naso Gastrik Tube (NGT) no. 12 Pcs 10 5,215 52,150 5,215 - 5,215 - 10 5,215 52,150
66 Naso Gastrik Tube (NGT) no. 14 Pcs 20 5,215 104,300 5,215 - 5,215 - 20 5,215 104,300
67 Naso Gastrik Tube (NGT) no. 16 Pcs 80 12,430 994,400 12,430 - 12,430 - 80 12,430 994,400
68 Naso Gastrik Tube (NGT) no. 18 Pcs 30 36,960 1,108,800 36,960 - 36,960 - 30 36,960 1,108,800
69 Naso Gastrik Tube (NGT) no. 3,5 Pcs 30 44,000 1,320,000 44,000 - 44,000 - 30 44,000 1,320,000
70 Paper Printing UPP 110 HG Roll 13 302,500 3,932,500 302,500 - 4 302,500 1,210,000 9 302,500 2,722,500
71 Perfusor Pcs 100 22,566 2,256,600 22,566 - 22,566 - 100 22,566 2,256,600
72 Perfusor / Extention tube 150 cm Pcs 40 22,567 902,680 22,567 - 40 22,567 902,680 - 22,567 -
73 Povidon Iodine 10 % 60 ml Botol 100 5,500 550,000 5,500 - 100 5,500 550,000 - 5,500 -
74 Povidon Iodine 10% 1 L Botol 1 L 35 51,820 1,813,700 51,820 - 9 51,820 466,380 26 51,820 1,347,320
75 Sarung Tangan Gynecolog No. 6,5 Pasang 100 39,424 3,942,400 39,424 - 39,424 - 100 39,424 3,942,400
76 Sarung Tangan Gynecolog No. 7,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50 39,424 1,971,200
77 Sarung Tangan Gynecolog No. 8,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50 39,424 1,971,200
78 Sarung Tangan Non Steril uk. L Ktk 100 pcs 51 187,000 9,537,000 187,000 - 26 187,000 4,862,000 25 187,000 4,675,000
79 Sarung Tangan Non Steril uk. M Ktk 100 pcs 69 187,000 12,903,000 187,000 - 69 187,000 12,903,000 - 187,000 -
80 Sarung Tangan Non Steril uk. S Ktk 100 pcs 48 187,000 8,976,000 187,000 - 43 187,000 8,041,000 5 187,000 935,000
81 Selang Oksigen Anak Pcs 80 6,050 484,000 6,050 - 30 6,050 181,500 50 6,050 302,500
82 Selang Oksigen Bayi Pcs 50 22,000 1,100,000 22,000 - 25 22,000 550,000 25 22,000 550,000
83 Selang Oksigen Dewasa Pcs 100 6,050 605,000 6,050 - 100 6,050 605,000 - 6,050 -
84 Softband 4 inchi Roll 12 27,500 330,000 27,500 - 12 27,500 330,000 - 27,500 -
85 Spinocain No. 26 Pcs 25 31,300 782,500 31,300 - 31,300 - 25 31,300 782,500
86 Spinocain No. 27 Pcs 25 38,300 957,500 38,300 - 38,300 - 25 38,300 957,500
87 Spuit no. 01 cc Pcs 3,000 770 2,310,000 770 - 600 770 462,000 2,400 770 1,848,000
88 Spuit no. 03 cc Pcs 1,800 1,159 2,086,200 1,159 - 1,800 1,159 2,086,200 - 1,159 -
89 Spuit no. 05 cc Pcs 4,200 836 3,511,200 836 - 1,500 836 1,254,000 2,700 836 2,257,200
90 Spuit no. 10 cc Pcs 3,300 1,328 4,382,400 1,328 - 1,600 1,328 2,124,800 1,700 1,328 2,257,600
91 Spuit no. 20 cc Pcs 1,200 1,916 2,299,200 1,916 - 100 1,916 191,600 1,100 1,916 2,107,600
92 Spuit no. 50 cc (L. Tengah) Pcs 1,125 4,704 5,292,000 4,704 - 50 4,704 235,200 1,075 4,704 5,056,800
93 Spuit no. 50 cc (L.Pinggir) Pcs 120 6,996 839,520 6,996 - 20 6,996 139,920 100 6,996 699,600
94 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300 5,258 1,577,400
95 Suction Catheter No. 08 Pcs 100 2,998 299,800 2,998 - 2,998 - 100 2,998 299,800
96 Suction Catheter No. 10 Pcs 20 6,600 132,000 6,600 - 6,600 - 20 6,600 132,000
97 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50 4,224 211,200
98 Suction Catheter No. 16 Pcs 20 8,407 168,140 8,407 - 8,407 - 20 8,407 168,140
99 Three Way Stop Cock Pcs 50 4,290 214,500 4,290 - 50 4,290 214,500 - 4,290 -
100 Three Way Stop Cock Pcs 300 6,457 1,937,100 6,457 - 200 6,457 1,291,400 100 6,457 645,700
101 Tranfusi Set Pcs 125 12,507 1,563,375 12,507 - 125 12,507 1,563,375 - 12,507 -
102 Underpad Pcs 50 3,905 195,250 3,905 - 50 3,905 195,250 - 3,905 -
103 Urine Bag Pcs 200 5,500 1,100,000 5,500 - 5,500 - 200 5,500 1,100,000
104 Urine Bag Pcs 50 8,088 404,400 8,088 - 50 8,088 404,400 - 8,088 -
1 Abbocath No. 20 Pcs - 300 6,269 1,880,700 6,269 - 300 6,269 1,880,700
2 Abbocath No. 22 Pcs - 1,000 6,269 6,269,000 100 6,269 626,900 900 6,269 5,642,100
3 Abbocath No. 24 Pcs - 500 6,270 3,135,000 6,270 - 500 6,270 3,135,000
4 Infuset Makro / Dewasa Pcs - 1,000 8,107 8,107,000 200 8,107 1,621,400 800 8,107 6,485,600
5 Kasa Hydrofil 40 X 80 Roll - 75 158,347 11,876,025 12 158,347 1,900,164 63 158,347 9,975,861
6 Masker Bedah Pcs - 15,000 800 12,000,000 3,200 800 2,560,000 11,800 800 9,440,000
7 Softband uk. 2 inchi Roll - 12 12,182 146,184 12,182 - 12 12,182 146,184
8 Softband uk. 3 inchi Roll - 12 16,084 193,008 16,084 - 12 16,084 193,008
9 Softband uk. 4 inchi Roll - 12 19,483 233,796 19,483 - 12 19,483 233,796
10 Softband uk. 6 inchi Roll - 12 24,682 296,184 24,682 - 12 24,682 296,184

SUB TOTAL 168,633,584 44,136,897 66,610,422 146,160,059


SALDO AKHIR APRIL 2021 168,633,584
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 1 Taper Set 12 60,779 729,348 60,779 - 12 60,779 729,348 0 60,779 -
2 Benang Catgut Chromic 2/0 (Biasa) Set 24 8,855 212,520 8,855 - 24 8,855 212,520 0 8,855 -
3 Benang Catgut Chromic 2/0 Taper Set 24 52,873 1,268,952 52,873 - 24 52,873 1,268,952 0 52,873 -
4 Benang Catgut Chromic 3/0 (Biasa) Set 24 8,855 212,520 8,855 - 24 8,855 212,520 0 8,855 -
5 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60 42,605 2,556,300
6 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24 58,700 1,408,800
7 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24 46,900 1,125,600
8 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12 51,100 613,200
9 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19 23,135 439,565
10 Benang Monosyn 1 HR 48 violet 90 cm- Taper Set 60 101,250 6,075,000 101,250 - 60 101,250 6,075,000 0 101,250 -
11 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Pcs 60 98,000 5,880,000 98,000 - 48 98,000 4,704,000 12 98,000 1,176,000
12 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48 70,400 3,379,200
13 Benang PGA/Safil/Viamac 1 Cutting Set 24 117,137 2,811,288 117,137 - 12 117,137 1,405,644 12 117,137 1,405,644
14 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12 132,498 1,589,976
15 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 12 73,800 885,600 73,800 - 73,800 - 12 73,800 885,600
16 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 24 73,600 1,766,400 73,600 - 73,600 - 24 73,600 1,766,400
17 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60 93,980 5,638,800
18 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 36 61,392 2,210,112 61,392 - 61,392 - 36 61,392 2,210,112
19 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 24 37,371 896,904 37,371 - 37,371 - 24 37,371 896,904
20 Benang silk 2/0 + jarum Pcs 180 4,706 847,080 4,706 - 4,706 - 180 4,706 847,080
21 Benang silk 3/0 + jarum Pcs 180 4,706 847,080 4,706 - 4,706 - 180 4,706 847,080
22 Benang Silk 3/0 Cutting Set 12 38,119 457,428 38,119 - 38,119 - 12 38,119 457,428
23 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200 2,790 558,000
24 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
25 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
26 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48 52,700 2,529,600
27 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21 168,919 3,547,299
28 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20 168,919 3,378,380
29 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50 89,018 4,450,900
30 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29 89,018 2,581,522
31 Electrosurgical Pensil (Pensil Cauter) Set 15 82,500 1,237,500 82,500 - 82,500 - 15 82,500 1,237,500
32 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1 33,000 33,000
33 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1 308,000 308,000
34 Jas Operasi disp (surgical gown spulen) uk. L Pcs 18 23,067 415,206 23,067 - 4 23,067 92,268 14 23,067 322,938
35 K. Wire - 1,6 mm Pcs 2 193,050 386,100 193,050 - 1 193,050 193,050 1 193,050 193,050
36 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
37 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
38 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1 825,825 825,825
39 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
40 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2 542,685 1,085,370
41 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
42 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2 318,533 637,066
43 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1 318,533 318,533
44 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1 854,139 854,139
45 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2 854,139 1,708,278
46 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9 112,613 1,013,517
47 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10 118,800 1,188,000
48 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10 218,562 2,185,620
49 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
50 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
51 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
Small plate - DCP small narrow plate 3,5 mm, small bone
52 type A, 10 holes Pcs 2 438,867 877,734 438,867 - 438,867 - 2 438,867 877,734

53 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2 684,255 1,368,510
54 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1 684,255 684,255
55 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2 880,000 1,760,000
56 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20 75,000 1,500,000

SUB TOTAL 90,820,477 - 14,893,302 75,927,175


SALDO AKHIR APRIL 2021 90,820,477
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 5 4,600,000 23,000,000 4,600,000 - 4,600,000 - 5 4,600,000 23,000,000

SUB TOTAL 23,000,000 - - 23,000,000


SALDO AKHIR APRIL 2021 23,000,000

Mengetahui, Kuala Kurun, 31 Mei 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Asetilsistein inj 5 g/25 ml Botol 50 180,592
2 Aspar K tab Tablet 2,000 2,721
3 Azythromicyn inj 0,5 g Vial 50 136,895
4 Betadine gargle Botol 12 29,700
5 Cetirizine syr 5 mg/5 ml Botol 50 10,439
6 Cetirizine tab 10 mg Tablet 1,500 342
7 Chloramfenicol tetes telinga (Erlamycetin) Botol 60 6,792
8 Citicolin inj 500 mg/4 ml Ampul 50 28,743
9 Clopidogrel tab 75 mg Tablet 1,500 1,469
10 Clozapine tab 100 mg Tablet 1,000 9,499
11 Clozapine tab 25 mg Tablet 2,500 2,917
12 Dexketoprofen inj 50 mg/2 ml Ampul 100 20,240
13 Diphenhydramine inj 10 mg/ml Ampul 150 1,815
14 eperisone Hcl tab 50 mg Tablet 2,000 1,355
15 Gabaxa infus Botol 50 242,909
16 Infus Nacl 0,9 % 100 ml Botol 300 13,090
17 Infus Ringer Lactat 500 ml Botol 3,000 7,630
18 Isosorbit Dinitrat tab 5 mg Tablet 5,000 121
19 Levemir insulin Pen 100 89,000
20 Meylon inj 8,4 % Vial 120 6,749
21 MgSO4 inj 20 % Vial 120 4,300
22 OBH syr Botol 50 4,600
23 Ondancentron inj 4mg/2 ml Ampul 650 963
24 Pantoprazole inj 40 mg Vial 400 32,912
25 Paracetamol inf 1 g/100 ml Botol 300 11,990
26 Propanolol tab 10 mg Tablet 5,000 92
27 Pumpisel inj 40 mg Vial 100 72,600
28 Trihexyphenidil tab 2 mg (Hexymer) Tablet 5000 359
29 Vitamin B Complex tab Tablet 400 113
30 Zidifec inj 1 g Vial 100 126,689

BMHP
1 Abbocath No. 20 Pcs 300 6,269
2 Abbocath No. 22 Pcs 1,000 6,269
3 Abbocath No. 24 Pcs 500 6,270
4 Infuset Makro / Dewasa Pcs 1,000 8,107
5 Kasa Hydrofil 40 X 80 Roll 75 158,347
6 Masker Bedah Pcs 15,000 800
7 Softband uk. 2 inchi Roll 12 12,182
8 Softband uk. 3 inchi Roll 12 16,084
9 Softband uk. 4 inchi Roll 12 19,483
10 Softband uk. 6 inchi Roll 12 24,682

BMHP BEDAH
JUMLAH HARGA
6

9,029,600
5,442,000
6,844,750
356,400
521,950
513,000
407,520
1,437,150
2,203,500
9,499,000
7,292,500
2,024,000
272,250
2,710,000
12,145,450
3,927,000
22,890,000
605,000
8,900,000
809,880
516,000
230,000
625,950
13,164,800
3,597,000
460,000
7,260,000
1,795,000
45,200
12,668,900
138,193,800

1,880,700
6,269,000
3,135,000
8,107,000
11,876,025
12,000,000
146,184
193,008
233,796
296,184
44,136,897

-
-

182,330,697.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN JUNI 2021

Persediaan Awal Masuk Pemakaian Persediaan Akhir


No Jenis Persediaan Satuan 01 JUNI 2021 SELAMA JUNI 2021 SELAMA JUNI 2021 30 JUNI 2021
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh Jlh Jlh Jlh
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
OBAT
1 Acarbose tab 100 mg Tablet 500 996 498,000 996 - 500 996 498,000 - 996 -
2 Acarbose tab 100 mg Tablet 2,000 950 1,900,000 950 - 500 950 475,000 1,500 950 1,425,000
3 Acarbose tab 50 mg Tablet 500 720 360,000 720 - 500 720 360,000 - 720 -
4 Acyclovir krim 5% Tube 100 3,217 321,700 3,217 - 25 3,217 80,425 75 3,217 241,275
5 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700 655 458,500
6 Allopurinol tab 100 mg Tablet - 231 - 231 - 231 - - 231 -
7 Alprazolam tab 1 mg Tablet 2,700 900 2,430,000 900 - 500 900 450,000 2,200 900 1,980,000
8 Amboroxol tab 30 mg Tablet 1,500 225 337,500 225 - 225 - 1,500 225 337,500
9 Ambroxol syr 15 mg/5 ml Botol 150 4,960 744,000 4,960 - 4,960 - 150 4,960 744,000
10 Ambroxol tab 30 mg Tablet 500 308 154,000 308 - 500 308 154,000 - 308 -
11 Aminophylline inj 240 mg/10 ml Ampul 30 4,320 129,600 4,320 - 4,320 - 30 4,320 129,600
12 Amiodarone inj 150 mg/30 ml Ampul 30 8,700 261,000 8,700 - 30 8,700 261,000 - 8,700 -
13 Amitriptyline tab 25 mg Tablet 1,000 220 220,000 220 - 500 220 110,000 500 220 110,000
14 Amlodipin tab 10 mg Tablet 1,000 275 275,000 275 - 1,000 275 275,000 - 275 -
15 Amlodipin tab 5 mg Tablet 2,500 59 147,500 59 - 500 59 29,500 2,000 59 118,000
16 Amoxiclav tab Tablet 450 5,808 2,613,600 5,808 - 5,808 - 450 5,808 2,613,600
17 Amoxycillin syr 125 mg/5 ml Botol 20 4,180 83,600 4,180 - 20 4,180 83,600 - 4,180 -
18 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202 11,550 2,333,100
19 Amoxycillin tab 500 mg Tablet 3,500 300 1,050,000 300 - 500 300 150,000 3,000 300 900,000
20 Ampicillin inj 1g Vial 50 11,124 556,200 11,124 - 50 11,124 556,200 - 11,124 -
21 Amykacin inj Vial 30 36,900 1,107,000 36,900 - 30 36,900 1,107,000 - 36,900 -
22 Antasida DOEN tab Tablet 4,000 178 712,000 178 - 178 - 4,000 178 712,000
23 Antasida syrup Botol 150 2,992 448,800 2,992 - 2,992 - 150 2,992 448,800
24 Anti Hemoroid supp Supp 60 2,970 178,200 2,970 - 2,970 - 60 2,970 178,200
25 Apialys Syrup Boto 60 ml 10 34,485 344,850 34,485 - 10 34,485 344,850 - 34,485 -
26 Aqua Pro inj Vial 220 7,260 1,597,200 7,260 - 220 7,260 1,597,200 - 7,260 -
27 Aripiprazol tab 10 mg (Zipren) Tablet 70 22,440 1,570,800 22,440 - 30 22,440 673,200 40 22,440 897,600
28 Asam Mefenamat tab 500 mg Tablet 4,000 284 1,136,000 284 - 1,000 284 284,000 3,000 284 852,000
29 Asam Tanexamat tab 500 mg (Kalnex) Tablet 500 2,948 1,474,000 2,948 - 2,948 - 500 2,948 1,474,000
30 Asam Valproat syr Botol 195 19,987 3,897,465 19,987 - 43 19,987 859,441 152 19,987 3,038,024
31 Asetilsistein tab 200 mg Tablet 1,000 550 550,000 550 - 1,000 550 550,000 - 550 -
32 Aspar K tab Tablet 1,500 2,721 4,081,500 2,721 - 500 2,721 1,360,500 1,000 2,721 2,721,000
33 Atracurium inj 50 mg/5 ml (Farelax) Ampul 10 79,365 793,650 79,365 - 79,365 - 10 79,365 793,650
34 Atropin inj 0,25 mg/ml Ampul 200 1,958 391,600 1,958 - 100 1,958 195,800 100 1,958 195,800
35 Atrovastatin tab 20 mg Tablet 1,500 1,265 1,897,500 1,265 - 1,265 - 1,500 1,265 1,897,500
36 Azythromicyn inj 0,5 g Vial 40 136,895 5,475,800 136,895 - 136,895 - 40 136,895 5,475,800
37 Azythromicyn tab 500 mg Tablet 1,800 1,400 2,520,000 1,400 - 200 1,400 280,000 1,600 1,400 2,240,000
38 Betadine gargle Botol 7 29,700 207,900 29,700 - 29,700 - 7 29,700 207,900
39 Betahistin tab 6 mg Tablet 3,000 119 357,000 119 - 500 119 59,500 2,500 119 297,500
40 Betamethasone krim Tube 100 1,740 174,000 1,740 - 1,740 - 100 1,740 174,000
41 Bisoprolol tab 5 mg Tablet 1,350 256 345,600 256 - 1,200 256 307,200 150 256 38,400
42 Bricasma Respules 2,5 mg/ml Respule 60 7,602 456,120 7,602 - 7,602 - 60 7,602 456,120
43 Bunascan Spinal inj (Quanocain) Ampul 70 52,250 3,657,500 52,250 - 25 52,250 1,306,250 45 52,250 2,351,250
44 Burnazin krim Tube 90 64,882 5,839,380 64,882 - 10 64,882 648,820 80 64,882 5,190,560
45 Buscopan tab 10 mg Tablet 200 3,435 687,000 3,435 - 3,435 - 200 3,435 687,000
46 Calcium Lactate tab 500 mg Tablet 5,500 224 1,232,000 224 - 500 224 112,000 5,000 224 1,120,000
47 Calsium gluconate inj 10% Ampul 24 10,351 248,424 10,351 - 24 10,351 248,424 - 10,351 -
48 Candesartan tab 16 mg Tablet 2,250 319 717,750 319 - 1,500 319 478,500 750 319 239,250
49 Captopril tab 12,5 mg Tablet 1,000 166 166,000 166 - 166 - 1,000 166 166,000
50 Captopril tab 25 mg Tablet 4,000 137 548,000 137 - 500 137 68,500 3,500 137 479,500
51 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500 252 378,000
52 Cefadroxyl cap 500 mg Kapsul 2,500 908 2,270,000 908 - 500 908 454,000 2,000 908 1,816,000
53 Cefadroxyl syr 125 mg/5 ml Botol 75 7,759 581,925 7,759 - 7,759 - 75 7,759 581,925
54 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50 12,650 632,500
55 Cefixime kap 100 mg Kapsul 1,000 858 858,000 858 - 500 858 429,000 500 858 429,000
56 Cefixime kap 200 mg Kapsul 500 4,400 2,200,000 4,400 - 500 4,400 2,200,000 - 4,400 -
57 Cefixime syr 100 mg/5 ml Botol 100 21,628 2,162,800 21,628 - 25 21,628 540,700 75 21,628 1,622,100
58 Cefotaxime inj 1 gr Vial 1,150 27,060 31,119,000 27,060 - 150 27,060 4,059,000 1,000 27,060 27,060,000
59 Ceftazidime inj 1 g Vial 100 6,923 692,300 6,923 - 6,923 - 100 6,923 692,300
60 Ceftriaxone inj 1 g Vial 800 12,672 10,137,600 12,672 - 400 12,672 5,068,800 400 12,672 5,068,800
61 Cendo xytrol tetes mata Botol - 29,975 - 29,975 - 29,975 - - 29,975 -
62 Cetirizine syr 5 mg/5 ml Botol 50 10,439 521,950 10,439 - 10 10,439 104,390 40 10,439 417,560
63 Cetirizine tab 10 mg Tablet 1,500 342 513,000 342 - 300 342 102,600 1,200 342 410,400
64 Chloramfenicol tetes telinga (Erlamycetin) Botol 60 6,792 407,520 6,792 - 10 6,792 67,920 50 6,792 339,600
65 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72 2,057 148,104
66 Chlorfeniramin tab 4 mg Tablet 1,500 58 87,000 58 - 58 - 1,500 58 87,000
67 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700 495 346,500
68 Citicolin inj 250 mg/2 ml Ampul 100 14,437 1,443,700 14,437 - 14,437 - 100 14,437 1,443,700
69 Citicolin tab 500 mg Tablet - 5,984 - 5,984 - 5,984 - - 5,984 -
70 Claneksi syr Botol 80 58,300 4,664,000 58,300 - 15 58,300 874,500 65 58,300 3,789,500
71 Clindamycin cap 300 mg Kapsul 500 1,426 713,000 1,426 - 1,426 - 500 1,426 713,000
72 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700 266 186,200
73 Clopidogrel tab 75 mg Tablet 1,200 1,469 1,762,800 1,469 - 900 1,469 1,322,100 300 1,469 440,700
74 Clozapine tab 100 mg Tablet 750 9,499 7,124,250 9,499 - 250 9,499 2,374,750 500 9,499 4,749,500
75 Clozapine tab 25 mg Tablet 2,250 2,917 6,563,250 2,917 - 250 2,917 729,250 2,000 2,917 5,834,000
76 Codein tab 10 mg Tablet 500 685 342,500 685 - 500 685 342,500 - 685 -
77 Cotrimoxazole syr 120 mg/5 ml Botol - 6,496 - 6,496 - 6,496 - - 6,496 -
78 Cotrimoxazole tab 480 mg Tablet 500 268 134,000 268 - 500 268 134,000 - 268 -
79 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120 10,010 1,201,200
80 Daryant Tulle (Framycetin) Pcs 120 10,175 1,221,000 10,175 - 10,175 - 120 10,175 1,221,000
81 Dexamethasone inj 5 mg/ml Ampul 900 2,416 2,174,400 2,416 - 300 2,416 724,800 600 2,416 1,449,600
82 Dexamethasone tab 0,5 mg Tablet 14,000 162 2,268,000 162 - 500 162 81,000 13,500 162 2,187,000
83 Dexketoprofen inj 50 mg/2 ml Ampul 90 20,240 1,821,600 20,240 - 20,240 - 90 20,240 1,821,600
84 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500 259 129,500
85 Diazepam tab 5 mg (Valisanbe) Tablet 700 429 300,300 429 - 500 429 214,500 200 429 85,800
86 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 20 52,250 1,045,000 52,250 - 52,250 - 20 52,250 1,045,000
87 Digoxin tab 0,25 mg Tablet 2,000 104 208,000 104 - 104 - 2,000 104 208,000
88 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000 212 424,000
89 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000 162 324,000
90 Diphenhydramine inj 10 mg/ml Ampul 90 1,815 163,350 1,815 - 60 1,815 108,900 30 1,815 54,450
91 Dobutamin inj 250 mg/5 ml Ampul 50 14,643 732,150 14,643 - 14,643 - 50 14,643 732,150
92 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200 451 90,200
93 Domperidon susp 5 mg/5 ml Botol 50 11,088 554,400 11,088 - 50 11,088 554,400 - 11,088 -
94 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500 363 181,500
95 Dopamin inj 40 mg/ml (Cetadop) Ampul 75 6,160 462,000 6,160 - 6,160 - 75 6,160 462,000
96 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600 1,401 840,600
97 Dumin tube rectal 125 ng Tube 90 17,061 1,535,490 17,061 - 17,061 - 90 17,061 1,535,490
98 Eperisone Hcl tab 50 mg Tablet 1,500 1,355 2,032,500 1,355 - 500 1,355 677,500 1,000 1,355 1,355,000
99 Ephedrin inj 50 mg/ml Ampul - 8,569 - 8,569 - 8,569 - - 8,569 -
100 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360 7,300 2,628,000
101 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 75 23,760 1,782,000 23,760 - 23,760 - 75 23,760 1,782,000
102 Fentanyl inj Ampul 50 44,391 2,219,550 44,391 - 25 44,391 1,109,775 25 44,391 1,109,775
103 Finasteride tab 5 mg Tablet - 1,738 - 1,738 - 1,738 - - 1,738 -
104 Fitomenadion inj 2 mg/ml (Vit. K1) Ampul 100 6,600 660,000 6,600 - 100 6,600 660,000 - 6,600 -
105 Fitomenadion tab 10 mg Tablet 300 1,210 363,000 1,210 - 1,210 - 300 1,210 363,000
106 Flucadex syr Botol - 10,267 - 10,267 - 10,267 - - 10,267 -
107 Flunarizine tab 10 mg Tablet 400 1,870 748,000 1,870 - 400 1,870 748,000 - 1,870 -
108 Fluoxetine tab 20 mg (Elizac) Tablet 150 4,950 742,500 4,950 - 150 4,950 742,500 - 4,950 -
109 Folavit tab Tablet 1,000 984 984,000 984 - 1,000 984 984,000 - 984 -
110 Furosemide inj 20 mg/2 ml Ampul 150 969 145,350 969 - 150 969 145,350 - 969 -
111 Furosemide tab 40 mg Tablet 4,000 153 612,000 153 - 1,000 153 153,000 3,000 153 459,000
112 Gabapentin tab 300 mg Tablet 1,680 1,122 1,884,960 1,122 - 600 1,122 673,200 1,080 1,122 1,211,760
113 Gabaxa infus Botol 13 242,909 3,157,817 242,909 - 13 242,909 3,157,817 - 242,909 -
114 Gastrul tab Tablet 600 12,100 7,260,000 12,100 - 12,100 - 600 12,100 7,260,000
115 Gemfibrozil kap 300 mg Tablet 800 484 387,200 484 - 500 484 242,000 300 484 145,200
116 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 150 10,714 1,607,100 10,714 - 50 10,714 535,700 100 10,714 1,071,400
117 Gentamicyn krim (Gentalex) Tube 12 2,657 31,884 2,657 - 12 2,657 31,884 - 2,657 -
118 Glimepiride tab 2 mg Tablet 500 880 440,000 880 - 500 880 440,000 - 880 -
119 Glimepiride tab 4 mg Tablet 500 434 217,000 434 - 500 434 217,000 - 434 -
120 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500 416 208,000
121 Haloperidol inj 50 mg/ml (Lodomer) Ampul 24 12,523 300,552 12,523 - 12,523 - 24 12,523 300,552
122 Haloperidol tab 0,5 mg Tablet 1,500 278 417,000 278 - 500 278 139,000 1,000 278 278,000
123 Haloperidol tab 1,5 mg Tablet 1,200 110 132,000 110 - 500 110 55,000 700 110 77,000
124 Haloperidol tab 5 mg Tablet 1,300 143 185,900 143 - 143 - 1,300 143 185,900
125 Hidrocortisone cream 2,5% Tube 75 2,723 204,225 2,723 - 50 2,723 136,150 25 2,723 68,075
126 Ibuprofen syr 100 mg/5 ml Botol 20 10,000 200,000 10,000 - 20 10,000 200,000 - 10,000 -
127 Ibuprofen tab 200 mg Tablet 500 229 114,500 229 - 229 - 500 229 114,500
128 Ibuprofen tab 400 mg Tablet 500 380 190,000 380 - 500 380 190,000 - 380 -
129 Infus D5+1/2 NS Btl 500 ml 120 19,770 2,372,400 19,770 - 19,770 - 120 19,770 2,372,400
130 Infus Dextrose 10% Btl 500 ml 60 8,002 480,120 8,002 - 40 8,002 320,080 20 8,002 160,040
131 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168 44,162 7,419,216
132 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100 207,702 20,770,200
133 Infus HES Btl 500 ml 60 181,913 10,914,780 181,913 - 181,913 - 60 181,913 10,914,780
134 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30 66,000 1,980,000
135 Infus Nacl 0,9 % 100 ml Botol 60 13,090 785,400 13,090 - 60 13,090 785,400 - 13,090 -
136 Infus Nacl 0,9 % 500 ml Btl 500 ml 1,580 6,840 10,807,200 6,840 - 300 6,840 2,052,000 1,280 6,840 8,755,200
137 Infus Ring As Botol 24 9,592 230,208 9,592 - 24 9,592 230,208 - 9,592 -
138 Infus Ringer Lactat Btl 500 ml 4,060 7,630 30,977,800 7,630 - 500 7,630 3,815,000 3,560 7,630 27,162,800
139 Infus Tridex 27 B Botol 500 ml 72 10,352 745,344 10,352 - 72 10,352 745,344 - 10,352 -
140 Isoflurane (Terrel) Botol 250 ml 7 1,480,000 10,360,000 1,480,000 - 1,480,000 - 7 1,480,000 10,360,000
141 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30 23,980 719,400
142 Isosorbit Dinitrat tab 5 mg Tablet 4,500 121 544,500 121 - 500 121 60,500 4,000 121 484,000
143 KCl inj 7,6 % Vial 25 ml 80 3,223 257,840 3,223 - 30 3,223 96,690 50 3,223 161,150
144 Ketamin inj 50 mg/ml Ktk 1 vial 96 71,929 6,905,184 71,929 - 71,929 - 96 71,929 6,905,184
145 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500 755 377,500
146 Ketokonazole krim 2%  Tube 50 2,577 128,850 2,577 - 25 2,577 64,425 25 2,577 64,425
147 Ketorolac inj 30 mg/ml Ampul 200 4,455 891,000 4,455 - 200 4,455 891,000 - 4,455 -
148 Lactulose syr Botol 24 15,060 361,440 15,060 - 24 15,060 361,440 - 15,060 -
149 Levemir insulin Pen 50 89,000 4,450,000 89,000 - 50 89,000 4,450,000 - 89,000 -
150 Levofloxacin infus 500 mg/100 ml Botol - 38,005 - 38,005 - 38,005 - - 38,005 -
151 Lidocain inj 2% Ampul 3,200 1,475 4,720,000 1,475 - 1,475 - 3,200 1,475 4,720,000
152 Lisinopril tab 10 mg Tablet 3,500 370 1,295,000 370 - 1,500 370 555,000 2,000 370 740,000
153 Lisinopril tab 5 mg Tablet 2,500 250 625,000 250 - 250 - 2,500 250 625,000
154 Lithium tab 100 mg (Frimania) Tablet 400 1,848 739,200 1,848 - 1,848 - 400 1,848 739,200
155 Loratadine tab 10 mg Tablet 750 286 214,500 286 - 286 - 750 286 214,500
156 Lorazepam tab 2 mg (Merlopam) Tablet 500 3,685 1,842,500 3,685 - 3,685 - 500 3,685 1,842,500
157 Meloxicam tab 15 mg Tablet 750 474 355,500 474 - 500 474 237,000 250 474 118,500
158 Meloxicam tab 7,5 mg Tablet 1,000 440 440,000 440 - 440 - 1,000 440 440,000
159 Meropenem inj 1 g Vial 280 35,660 9,984,800 35,660 - 100 35,660 3,566,000 180 35,660 6,418,800
160 Metformin tab 500 mg Tablet 2,000 189 378,000 189 - 2,000 189 378,000 - 189 -
161 Methylergometrine inj Ampul 200 3,553 710,600 3,553 - 100 3,553 355,300 100 3,553 355,300
162 Methylergometrine tab 0,125 mg Tablet 500 261 130,500 261 - 261 - 500 261 130,500
163 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000 637 637,000
164 Methylprednisolone tab 8 mg Tablet 1,000 483 483,000 483 - 483 - 1,000 483 483,000
165 Metoclopramide inj 10 mg/2 ml Ampul 100 5,280 528,000 5,280 - 5,280 - 100 5,280 528,000
166 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000 135 405,000
167 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75 3,590 269,250
168 Metronidazol syr 125 mg/5 ml Botol 150 6,270 940,500 6,270 - 6,270 - 150 6,270 940,500
169 Meylon inj 8,4 % Vial 100 6,749 674,900 6,749 - 6,749 - 100 6,749 674,900
170 MgSO4 inj 20 % Vial 90 4,300 387,000 4,300 - 60 4,300 258,000 30 4,300 129,000
171 Miconazole krim 2 % Tube 192 2,090 401,280 2,090 - 24 2,090 50,160 168 2,090 351,120
172 Microlax Tube 80 18,769 1,501,520 18,769 - 20 18,769 375,380 60 18,769 1,126,140
173 Midazolam inj 5 mg/5 ml (Miloz) Ampul 70 17,600 1,232,000 17,600 - 10 17,600 176,000 60 17,600 1,056,000
174 Morfin inj 10 mg/ml Ampul 50 34,050 1,702,500 34,050 - 34,050 - 50 34,050 1,702,500
175 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300 2,949,000 98,300 - 98,300 - 30 98,300 2,949,000
176 Neurosanbe inj Ampul 100 6,017 601,700 6,017 - 100 6,017 601,700 - 6,017 -
177 Neurosanbe tab Tablet 500 1,314 657,000 1,314 - 500 1,314 657,000 - 1,314 -
178 New Diatabs tab Tablet 700 557 389,900 557 - 500 557 278,500 200 557 111,400
179 New Diatabs tab (Arcapec) Tablet 500 1,149 574,500 1,149 - 1,149 - 500 1,149 574,500
180 Nicardipine inj 10 mg/10 ml Ampul 25 23,293 582,325 23,293 - 25 23,293 582,325 - 23,293 -
181 Nifedipine tab 10 mg Tablet 2,500 155 387,500 155 - 500 155 77,500 2,000 155 310,000
182 Norephineprin inj 4 mg/4 ml Ampul 10 26,400 264,000 26,400 - 10 26,400 264,000 - 26,400 -
183 Novorapid insulin Pen 25 89,500 2,237,500 89,500 - 25 89,500 2,237,500 - 89,500 -
184 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300 904 271,200
185 OBH syr Botol 50 4,600 230,000 4,600 - 4,600 - 50 4,600 230,000
186 Olanzapin/ Sopavel tab 5 mg Tablet 60 12,155 729,300 12,155 - 60 12,155 729,300 - 12,155 -
187 Omeprazole inj 40 mg Vial 100 11,638 1,163,800 11,638 - 100 11,638 1,163,800 - 11,638 -
188 Ondancentron inj 4mg/2 ml Ampul 500 963 481,500 963 - 500 963 481,500 - 963 -
189 Ondancentron tab 8 mg Tablet 450 1,670 751,500 1,670 - 1,670 - 450 1,670 751,500
190 Oralit sachet Sachet 1,400 666 932,400 666 - 100 666 66,600 1,300 666 865,800
191 Otopain tetes telinga Botol 30 76,312 2,289,360 76,312 - 76,312 - 30 76,312 2,289,360
192 Oxytetracycline salep mata Tube 50 3,692 184,600 3,692 - 50 3,692 184,600 - 3,692 -
193 Oxytocin inj Ampul 200 1,287 257,400 1,287 - 100 1,287 128,700 100 1,287 128,700
194 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14 14,638 204,932
195 Pantoprazole inj 40 mg Vial 108 32,912 3,554,496 32,912 - 108 32,912 3,554,496 - 32,912 -
196 Paracetamol inf 1 g/100 ml Botol 48 11,990 575,520 11,990 - 48 11,990 575,520 - 11,990 -
197 Paracetamol tab 500 mg (Betamol) Tablet 8,000 176 1,408,000 176 - 2,000 176 352,000 6,000 176 1,056,000
198 Pethidin inj 100 mg/2 ml Ampul 100 19,481 1,948,100 19,481 - 20 19,481 389,620 80 19,481 1,558,480
199 Phenobarbital inj 50 mg/1 ml Ampul 120 2,380 285,600 2,380 - 30 2,380 71,400 90 2,380 214,200
200 Phenobarbital tab 30 mg Tablet 1,200 187 224,400 187 - 187 - 1,200 187 224,400
201 Piracetam inj 1 g/5 ml Ampul 100 4,950 495,000 4,950 - 4,950 - 100 4,950 495,000
202 Piracetam inj 3 g/15 ml Ampul 60 20,526 1,231,560 20,526 - 40 20,526 821,040 20 20,526 410,520
203 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500 460 230,000
204 Piracetam tab 800 mg Tablet 1,000 361 361,000 361 - 361 - 1,000 361 361,000
205 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000 178 534,000
206 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24 77,000 1,848,000
207 Prednison tab 5 mg Tablet 500 198 99,000 198 - 198 - 500 198 99,000
208 Profofol /Proanes inj 1% Ampul 20 88,935 1,778,700 88,935 - 10 88,935 889,350 10 88,935 889,350
209 Promavit tab Tablet - 3,379 - 3,379 - 3,379 - - 3,379 -
210 Propanolol tab 10 mg Tablet 4,500 92 414,000 92 - 1,000 92 92,000 3,500 92 322,000
211 Propanolol tab 40 mg Tablet 3,000 145 435,000 145 - 500 145 72,500 2,500 145 362,500
212 Propilthyouracil tab 100 mg Tablet 2,000 518 1,036,000 518 - 1,000 518 518,000 1,000 518 518,000
213 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50 82,001 4,100,050
214 Pulmicort Respules 0,5 mg/ml Respule 500 14,131 7,065,500 14,131 - 14,131 - 500 14,131 7,065,500
215 Pumpisel inj 40 mg Vial 84 72,600 6,098,400 72,600 - 72,600 - 84 72,600 6,098,400
216 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800 512 921,600
217 Quanocain spinal 20 mg/4 ml Ampul 15 54,450 816,750 54,450 - 54,450 - 15 54,450 816,750
218 Quentiapin / Quetvel tab 200 mg Tablet 360 14,266 5,135,760 14,266 - 14,266 - 360 14,266 5,135,760
219 Ranitidine tab 150 mg Tablet 2,000 303 606,000 303 - 303 - 2,000 303 606,000
220 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000 1,751 1,751,000
221 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500 64 96,000
222 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000 102 306,000
223 Sanmag syrup Botol 25 27,500 687,500 27,500 - 27,500 - 25 27,500 687,500
224 Sanmol drop Botol 110 17,270 1,899,700 17,270 - 30 17,270 518,100 80 17,270 1,381,600
225 Sanmol infus 1 gr/100 ml Botol 27 30,251 816,777 30,251 - 27 30,251 816,777 - 30,251 -
226 Sanmol syr 120 mg/5 ml Botol 128 12,870 1,647,360 12,870 - 32 12,870 411,840 96 12,870 1,235,520
227 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500 319 478,500
228 Santagesik inj Ampul 150 4,399 659,850 4,399 - 150 4,399 659,850 - 4,399 -
229 Sevoflurane Botol 3 1,122,000 3,366,000 1,122,000 - 1 1,122,000 1,122,000 2 1,122,000 2,244,000
230 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 40 79,860 3,194,400 79,860 - 25 79,860 1,996,500 15 79,860 1,197,900
231 Simvastatin tab 10 mg Tablet 3,500 231 808,500 231 - 231 - 3,500 231 808,500
232 Simvastatin tab 20 mg Tablet 2,250 165 371,250 165 - 1,500 165 247,500 750 165 123,750
233 Spironolactone tab 100 mg Tablet 2,500 661 1,652,500 661 - 661 - 2,500 661 1,652,500
234 Spironolactone tab 25 mg Tablet 500 226 113,000 226 - 500 226 113,000 - 226 -
235 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40 15,088 603,520
236 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 45 21,935 987,075 21,935 - 21,935 - 45 21,935 987,075
237 Sucralfate syr Botol 250 7,789 1,947,250 7,789 - 200 7,789 1,557,800 50 7,789 389,450
238 Symbicort turbuhaler Pcs 15 149,266 2,238,990 149,266 - 15 149,266 2,238,990 - 149,266 -
239 Thiamfenicol tab 500 mg Tablet 300 1,089 326,700 1,089 - 1,089 - 300 1,089 326,700
240 Thrombophob gel Tube 30 52,275 1,568,250 52,275 - 15 52,275 784,125 15 52,275 784,125
241 Tramadol cap 50 mg Kapsul 1,200 825 990,000 825 - 825 - 1,200 825 990,000
242 Tramadol inj 50 mg/2 ml Ampul 115 4,481 515,315 4,481 - 4,481 - 115 4,481 515,315
243 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500 745 372,500
244 Trifluoferazin tab 5 mg (Stelosi) Tablet 300 577 173,100 577 - 300 577 173,100 - 577 -
245 Trihexyphenidil tab 2 mg (Hexymer) Tablet 4,000 359 1,436,000 359 - 500 359 179,500 3,500 359 1,256,500
246 Trovensis inj 4mg/2 ml Ampul 100 37,213 3,721,300 37,213 - 37,213 - 100 37,213 3,721,300
247 Urdafalk kaps 250 mg kapsul 150 6,343 951,450 6,343 - 6,343 - 150 6,343 951,450
248 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400 4,000 1,600,000
249 Vitamin B Complex tab Tablet 4,000 113 452,000 113 - 500 113 56,500 3,500 113 395,500
250 Vitamin C tab 250 mg Tablet 3,500 190 665,000 190 - 190 - 3,500 190 665,000
251 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210 3,025 635,250
252 Zidifec inj 1 g Vial 100 126,689 12,668,900 126,689 - 25 126,689 3,167,225 75 126,689 9,501,675
253 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500 708 2,478,000
254 Zink syr 10 mg/5 ml Botol 50 4,289 214,450 4,289 - 50 4,289 214,450 - 4,289 -
1 Acarbose tab 100 mg Tablet - 3000 950 2,850,000 950 - 3,000 950 2,850,000
2 Acarbose tab 50 mg Tablet - 2000 700 1,400,000 700 - 2,000 700 1,400,000
3 Amlodipine tab 10 mg Tablet - 5000 275 1,375,000 2,000 275 550,000 3,000 275 825,000
4 Antasida syr Botol - 200 4,487 897,400 4,487 - 200 4,487 897,400
5 Apialys Drop Botol - 60 44,000 2,640,000 50 44,000 2,200,000 10 44,000 440,000
6 Apialys Syrup Botol - 60 36,300 2,178,000 10 36,300 363,000 50 36,300 1,815,000
7 Aqua pro inj Vial - 960 2,624 2,519,040 2,624 - 960 2,624 2,519,040
8 Arixtra inj Pen - 40 257,475 10,299,000 20 257,475 5,149,500 20 257,475 5,149,500
9 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet - 7000 616 4,312,000 1,500 616 924,000 5,500 616 3,388,000
10 Asam Tranexamat ini 250 mg/5 ml Ampul - 200 5,857 1,171,400 5,857 - 200 5,857 1,171,400
11 Asam Tranexamat ini 500 mg/5 ml Ampul - 200 4,331 866,200 100 4,331 433,100 100 4,331 433,100
12 Asetilsistein infus Botol - 50 180,592 9,029,600 25 180,592 4,514,800 25 180,592 4,514,800
13 Asetilsistein tab 200 mg Tablet - 3000 550 1,650,000 500 550 275,000 2,500 550 1,375,000
14 Bioplacenton gel Tube - 45 22,000 990,000 9 22,000 198,000 36 22,000 792,000
15 Bisoprolol tab 5 mg Tablet - 3000 143 429,000 143 - 3,000 143 429,000
16 Candesartan tab 16 mg Tablet - 3000 319 957,000 319 - 3,000 319 957,000
17 Candesartan tab 8 mg Tablet - 3000 212 636,000 1,500 212 318,000 1,500 212 318,000
18 Chlorpromazine tab 25 mg Tablet - 1000 242 242,000 200 242 48,400 800 242 193,600
19 Ciprofloxacin infus 200 mg/100 ml Botol - 200 15,000 3,000,000 136 15,000 2,040,000 64 15,000 960,000
20 Ciprofloxacin tab 500 mg Tablet - 1500 617 925,500 1,000 617 617,000 500 617 308,500
21 Citicoline inj 500 mg/4 ml Ampul - 100 39,599 3,959,900 50 39,599 1,979,950 50 39,599 1,979,950
22 Codein tab 10 mg Tablet - 3000 684 2,052,000 684 - 3,000 684 2,052,000
23 Domperidone syr 5 mg/5 ml Botol - 100 10,753 1,075,300 10,753 - 100 10,753 1,075,300
24 Dopamet tab 250 mg Tablet - 1000 1,014 1,014,000 200 1,014 202,800 800 1,014 811,200
25 Furosemide inj 20 mg/2 ml Ampul - 500 969 484,500 50 969 48,450 450 969 436,050
26 Glimepiride tab 2 mg Tablet - 2500 462 1,155,000 1,000 462 462,000 1,500 462 693,000
27 Heparin / Inviclot inj Vial - 25 29,040 726,000 15 29,040 435,600 10 29,040 290,400
28 Ibuprofen tab 400 mg Tablet - 2300 365 839,500 300 365 109,500 2,000 365 730,000
29 Infus Dextrose 10 % 500 ml Botol - 140 7,200 1,008,000 7,200 - 140 7,200 1,008,000
30 Infus Nacl 0,9% 100 ml Botol - 300 13,090 3,927,000 120 13,090 1,570,800 180 13,090 2,356,200
31 Infus Nacl 0,9 % 500 ml Botol - 1000 6,840 6,840,000 6,840 - 1,000 6,840 6,840,000
32 Infus Ring As 500 ml Botol - 240 9,592 2,302,080 192 9,592 1,841,664 48 9,592 460,416
33 Infus Tridex 27B 500 ml Botol - 240 10,352 2,484,480 72 10,352 745,344 168 10,352 1,739,136
34 Ketorolac inj 30 mg/ml Ampul - 900 4,500 4,050,000 150 4,500 675,000 750 4,500 3,375,000
35 Lansoprazole cap 30 mg Tablet - 4000 547 2,188,000 1,200 547 656,400 2,800 547 1,531,600
36 L-Bio Sachet - 300 7,315 2,194,500 300 7,315 2,194,500 - 7,315 -
37 Levofloxacin tab 750 mg Tablet - 1590 3,272 5,202,480 900 3,272 2,944,800 690 3,272 2,257,680
38 Levofloxacin tab 500 mg Tablet - 1500 409 613,500 250 409 102,250 1,250 409 511,250
39 Mecobalamin tab 500 mcg Tablet - 3000 770 2,310,000 500 770 385,000 2,500 770 1,925,000
40 Methylprednisolone inj 125 mg Vial - 116 21,462 2,489,592 68 21,462 1,459,416 48 21,462 1,030,176
41 Methylprednisolone tab 4 mg Tablet - 2000 242 484,000 242 - 2,000 242 484,000
42 Metronidazole infus Botol - 300 5,885 1,765,500 150 5,885 882,750 150 5,885 882,750
43 Metronidazole tab 500 mg Tablet - 3000 360 1,080,000 360 - 3,000 360 1,080,000
44 Metronidazole tab 500 mg (Tricodazole) Tablet - 1000 1,826 1,826,000 500 1,826 913,000 500 1,826 913,000
45 Natrium Diclofenak tab 25 mg Tablet - 1500 205 307,500 750 205 153,750 750 205 153,750
46 Neurosanbe inj Ampul - 500 6,017 3,008,500 100 6,017 601,700 400 6,017 2,406,800
47 Novorapid insulin Pen - 100 89,500 8,950,000 30 89,500 2,685,000 70 89,500 6,265,000
48 Nystatin drop (Nymiko) Botol - 28 36,190 1,013,320 10 36,190 361,900 18 36,190 651,420
49 Omeprazole cap 20 mg Tablet - 3000 132 396,000 900 132 118,800 2,100 132 277,200
50 Omeprazole inj 40 mg Vial - 200 11,867 2,373,400 150 11,867 1,780,050 50 11,867 593,350
51 Ondancentron inj 4 mg/2 ml Ampul - 1250 962 1,202,500 100 962 96,200 1,150 962 1,106,300
52 Ondancentron tab 4 mg Tablet - 600 924 554,400 300 924 277,200 300 924 277,200
53 Pantoprazole inj 40 mg Vial - 700 32,912 23,038,400 430 32,912 14,152,160 270 32,912 8,886,240
54 Paracetamol infus Botol - 300 11,990 3,597,000 300 11,990 3,597,000 - 11,990 -
55 Paracetamol syr 120 mg/5 ml Botol - 200 4,950 990,000 50 4,950 247,500 150 4,950 742,500
56 Propofol inj 1 % (Proanes) Ampul - 25 88,395 2,209,875 88,395 - 25 88,395 2,209,875
57 Ranitidine inj 50 mg/2 ml Ampul - 400 1,600 640,000 200 1,600 320,000 200 1,600 320,000
58 Rhyzodec insulin Pen - 50 112,000 5,600,000 112,000 - 50 112,000 5,600,000
59 Risperidone tab 2 mg Tablet - 1500 2,180 3,270,000 750 2,180 1,635,000 750 2,180 1,635,000
60 Sertralin tab 50 mg (Fridep) Tablet - 900 5,852 5,266,800 150 5,852 877,800 750 5,852 4,389,000
61 Tablet Tambah Darah Tablet - 1440 321 462,240 990 321 317,790 450 321 144,450
62 Tetagam inj Vial - 50 146,800 7,340,000 10 146,800 1,468,000 40 146,800 5,872,000
63 Tremenza tab Tablet - 2000 1,600 3,200,000 500 1,600 800,000 1,500 1,600 2,400,000
64 Trifluoferazine tab 5 mg (Stelosi) Tablet - 1000 490 490,000 500 490 245,000 500 490 245,000
65 Vitamin B6 tab 10 mg Tablet - 5000 76 380,000 500 76 38,000 4,500 76 342,000
66 Vitamin C tab 250 mg Tablet - 3000 190 570,000 190 - 3,000 190 570,000
67 Vitamin C tab 50 mg Tablet - 5000 50 250,000 500 50 25,000 4,500 50 225,000

SUBTOTAL 432,019,138 175,548,407 159,595,905 447,971,640


SALDO AKHIR MEI 2021 432,019,138
BMHP
1 Abbocath No. 20 Pcs 50 6,270 313,500 6,270 - 50 6,270 313,500 - 6,270 -
2 Abbocath No. 20 Pcs 300 6,269 1,880,700 6,269 - 250 6,269 1,567,250 50 6,269 313,450
3 Abbocath No. 22 Pcs 900 6,269 5,642,100 6,269 - 150 6,269 940,350 750 6,269 4,701,750
4 Abbocath No. 24 Pcs 1,150 6,270 7,210,500 6,270 - 200 6,270 1,254,000 950 6,270 5,956,500
5 Alkohol 70% 1 L Botol 1 L 5 37,153 185,765 37,153 - 5 37,153 185,765 - 37,153 -
6 Alkohol 70% 100 ml Botol 96 5,534 531,264 5,534 - 48 5,534 265,632 48 5,534 265,632
7 Alkohol 95% 100 ml Btl 100 ml 168 5,879 987,672 5,879 - 24 5,879 141,096 144 5,879 846,576
8 Alkohol Swab Pcs 9,600 242 2,323,200 242 - 5,500 242 1,331,000 4,100 242 992,200
9 Dermafix Pcs 40 1,039 41,560 1,039 - 10 1,039 10,390 30 1,039 31,170
10 EKG Elektroda Anak Pcs 550 3,300 1,815,000 3,300 - 3,300 - 550 3,300 1,815,000
11 EKG Elektroda Dewasa Pcs 750 4,950 3,712,500 4,950 - 4,950 - 750 4,950 3,712,500
12 Elastis Perband No. 3 inchi Roll 12 16,500 198,000 16,500 - 16,500 - 12 16,500 198,000
13 Elastis Perband No. 3 inchi Roll 24 30,583 733,992 30,583 - 30,583 - 24 30,583 733,992
14 Elastis Perband No. 4 inchi Roll 36 36,479 1,313,244 36,479 - 12 36,479 437,748 24 36,479 875,496
15 Elastis Perband No. 6 inchi Roll 12 47,066 564,792 47,066 - 47,066 - 12 47,066 564,792
16 Endo Tracheal Tube (ETT) Cuffed no. 4 Pcs - 13,680 - 13,680 - 13,680 - - 13,680 -
17 Endo Tracheal Tube (ETT) Cuffed no. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10 13,908 139,080
18 Endo Tracheal Tube (ETT) Non Cuffed no. 4,5 Pcs 10 77,000 770,000 77,000 - 77,000 - 10 77,000 770,000
19 Endo Tracheal Tube (ETT) NON KINKING No. 7 Pcs 10 190,850 1,908,500 190,850 - 5 190,850 954,250 5 190,850 954,250
20 Endo Tracheal Tube (ETT) NON KINKING No. 7,5 Pcs 10 190,850 1,908,500 190,850 - 5 190,850 954,250 5 190,850 954,250
21 Folley Catheter 2-Way no. 08 Pcs 30 34,155 1,024,650 34,155 - 34,155 - 30 34,155 1,024,650
22 Folley Catheter 2-Way No. 10 Pcs 20 32,670 653,400 32,670 - 32,670 - 20 32,670 653,400
23 Folley Catheter 2-Way No. 12 Pcs 30 11,374 341,220 11,374 - 20 11,374 227,480 10 11,374 113,740
24 Folley Catheter 2-Way No. 14 Pcs 100 17,600 1,760,000 17,600 - 17,600 - 100 17,600 1,760,000
25 Folley Catheter 2-Way no. 18 Pcs 30 12,144 364,320 12,144 - 20 12,144 242,880 10 12,144 121,440
26 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5 324,500 1,622,500
27 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12 18,775 225,300
28 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14 26,433 370,062
29 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21 54,085 1,135,785
30 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25 24,750 618,750
31 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5 13,200 66,000
32 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5 24,750 123,750
33 Guedel Airway No. 3 Pcs 15 14,300 214,500 14,300 - 14,300 - 15 14,300 214,500
34 Guedel Airway no. 4 Pcs 5 24,750 123,750 24,750 - 5 24,750 123,750 - 24,750 -
35 Guedel Airway No. 4 Pcs 20 14,300 286,000 14,300 - 14,300 - 20 14,300 286,000
36 Guedel Airway No. 5 Pcs 8 24,750 198,000 24,750 - 8 24,750 198,000 - 24,750 -
37 Hand sanitizer Btl 500 ml 23 54,506 1,253,638 54,506 - 23 54,506 1,253,638 - 54,506 -
38 Infuset Makro / Dewasa Pcs 800 8,107 6,485,600 8,107 - 300 8,107 2,432,100 500 8,107 4,053,500
39 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200 12,334 2,466,800
40 Jarum Insulin Pcs 800 2,083 1,666,400 2,083 - 200 2,083 416,600 600 2,083 1,249,800
41 Kapas 500 g Roll 16 31,372 501,952 31,372 - 31,372 - 16 31,372 501,952
42 Kasa Hydrofil 40 X 80 Roll 63 158,347 9,975,861 158,347 - 23 158,347 3,641,981 40 158,347 6,333,880
43 Kasa Steril 16 X 16 Kotak 110 3,500 385,000 3,500 - 110 3,500 385,000 - 3,500 -
44 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9 159,500 1,435,500
45 Kertas CTG 152 mm x 25 m Roll 3 270,000 810,000 270,000 - 270,000 - 3 270,000 810,000
46 Kertas EKG 110 mm Roll 21 198,000 4,158,000 198,000 - 3 198,000 594,000 18 198,000 3,564,000
47 Kertas EKG 207 mm Roll 16 154,000 2,464,000 154,000 - 5 154,000 770,000 11 154,000 1,694,000
48 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7 66,000 462,000
49 Laringeal Mask Airways (LMA) No. 3 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8 351,450 2,811,600
50 Laringeal Mask Airways (LMA) No. 4 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8 351,450 2,811,600
51 Masker Bedah Pcs 11,800 800 9,440,000 800 - 8,550 800 6,840,000 3,250 800 2,600,000
52 Masker Nebulizer Anak Pcs 45 32,670 1,470,150 32,670 - 32,670 - 45 32,670 1,470,150
53 Masker Nebulizer Dewasa Pcs 70 26,464 1,852,480 26,464 - 26,464 - 70 26,464 1,852,480
54 Masker NRM Anak Pcs 20 33,000 660,000 33,000 - 33,000 - 20 33,000 660,000
55 Masker NRM Anak Pcs 50 19,154 957,700 19,154 - 19,154 - 50 19,154 957,700
56 Masker NRM Dewasa Pcs 70 23,800 1,666,000 23,800 - 15 23,800 357,000 55 23,800 1,309,000
57 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50 15,180 759,000
58 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140 15,180 2,125,200
59 Masker Oksigen Dewasa Pcs 80 17,182 1,374,560 17,182 - 30 17,182 515,460 50 17,182 859,100
60 Naso Gastrik Tube (NGT) no. 05 Pcs 20 14,077 281,540 14,077 - 10 14,077 140,770 10 14,077 140,770
61 Naso Gastrik Tube (NGT) no. 08 Pcs 15 49,500 742,500 49,500 - 10 49,500 495,000 5 49,500 247,500
62 Naso Gastrik Tube (NGT) no. 08 Pcs 20 14,077 281,540 14,077 - 14,077 - 20 14,077 281,540
63 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 33,000 - 10 33,000 330,000
64 Naso Gastrik Tube (NGT) no. 12 Pcs 10 5,215 52,150 5,215 - 5,215 - 10 5,215 52,150
65 Naso Gastrik Tube (NGT) no. 14 Pcs 20 5,215 104,300 5,215 - 5,215 - 20 5,215 104,300
66 Naso Gastrik Tube (NGT) no. 16 Pcs 80 12,430 994,400 12,430 - 10 12,430 124,300 70 12,430 870,100
67 Naso Gastrik Tube (NGT) no. 18 Pcs 30 36,960 1,108,800 36,960 - 10 36,960 369,600 20 36,960 739,200
68 Naso Gastrik Tube (NGT) no. 3,5 Pcs 30 44,000 1,320,000 44,000 - 44,000 - 30 44,000 1,320,000
69 Paper Printing UPP 110 HG Roll 9 302,500 2,722,500 302,500 - 302,500 - 9 302,500 2,722,500
70 Perfusor Pcs 100 22,566 2,256,600 22,566 - 22,566 - 100 22,566 2,256,600
71 Povidon Iodine 10% 1 L Botol 1 L 26 51,820 1,347,320 51,820 - 6 51,820 310,920 20 51,820 1,036,400
72 Sarung Tangan Gynecolog No. 6,5 Pasang 100 39,424 3,942,400 39,424 - 39,424 - 100 39,424 3,942,400
73 Sarung Tangan Gynecolog No. 7,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50 39,424 1,971,200
74 Sarung Tangan Gynecolog No. 8,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50 39,424 1,971,200
75 Sarung Tangan Non Steril uk. L Ktk 100 pcs 25 187,000 4,675,000 187,000 - 25 187,000 4,675,000 - 187,000 -
76 Sarung Tangan Non Steril uk. S Ktk 100 pcs 5 187,000 935,000 187,000 - 5 187,000 935,000 - 187,000 -
77 Selang Oksigen Anak Pcs 50 6,050 302,500 6,050 - 20 6,050 121,000 30 6,050 181,500
78 Selang Oksigen Bayi Pcs 25 22,000 550,000 22,000 - 25 22,000 550,000 - 22,000 -
79 Softband uk. 2 inchi Roll 12 12,182 146,184 12,182 - 12,182 - 12 12,182 146,184
80 Softband uk. 3 inchi Roll 12 16,084 193,008 16,084 - 16,084 - 12 16,084 193,008
81 Softband uk. 4 inchi Roll 12 19,483 233,796 19,483 - 19,483 - 12 19,483 233,796
82 Softband uk. 6 inchi Roll 12 24,682 296,184 24,682 - 6 24,682 148,092 6 24,682 148,092
83 Spinocain No. 26 Pcs 25 31,300 782,500 31,300 - 25 31,300 782,500 - 31,300 -
84 Spinocain No. 27 Pcs 25 38,300 957,500 38,300 - 38,300 - 25 38,300 957,500
85 Spuit no. 01 cc Pcs 2,400 770 1,848,000 770 - 700 770 539,000 1,700 770 1,309,000
86 Spuit no. 05 cc Pcs 2,700 836 2,257,200 836 - 1,000 836 836,000 1,700 836 1,421,200
87 Spuit no. 10 cc Pcs 1,700 1,328 2,257,600 1,328 - 1,500 1,328 1,992,000 200 1,328 265,600
88 Spuit no. 20 cc Pcs 1,100 1,916 2,107,600 1,916 - 1,916 - 1,100 1,916 2,107,600
89 Spuit no. 50 cc (L. Tengah) Pcs 1,075 4,704 5,056,800 4,704 - 4,704 - 1,075 4,704 5,056,800
90 Spuit no. 50 cc (L.Pinggir) Pcs 100 6,996 699,600 6,996 - 60 6,996 419,760 40 6,996 279,840
91 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 5,258 - 300 5,258 1,577,400
92 Suction Catheter No. 08 Pcs 100 2,998 299,800 2,998 - 50 2,998 149,900 50 2,998 149,900
93 Suction Catheter No. 10 Pcs 20 6,600 132,000 6,600 - 6,600 - 20 6,600 132,000
94 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 4,224 50 4,224 211,200
95 Suction Catheter No. 16 Pcs 20 8,407 168,140 8,407 - 8,407 - 20 8,407 168,140
96 Three Way Stop Cock Pcs 100 6,457 645,700 6,457 - 100 6,457 645,700 - 6,457 -
97 Urine Bag Pcs 200 5,500 1,100,000 5,500 - 75 5,500 412,500 125 5,500 687,500
1 Abbocath No. 26 Pcs - 300 15,397 4,619,100 50 15,397 769,850 250 15,397 3,849,250
2 Endo Tracheal Tube (ETT) Cuffed No. 3,5 Pcs - 10 121,000 1,210,000 121,000 - 10 121,000 1,210,000
3 Endo Tracheal Tube (ETT) Cuffed No. 6,5 Pcs - 10 121,000 1,210,000 121,000 - 10 121,000 1,210,000
4 Endo Tracheal Tube (ETT) Cuffed No. 7 Pcs - 10 121,000 1,210,000 121,000 - 10 121,000 1,210,000
5 Endo Tracheal Tube (ETT) Cuffed No. 7,5 Pcs - 10 121,000 1,210,000 121,000 - 10 121,000 1,210,000
6 Folley Catheter 2-Way No. 16 Pcs - 100 17,600 1,760,000 70 17,600 1,232,000 30 17,600 528,000
7 Hand Sanitazer 500 ml Botol - 200 10,901 2,180,200 10 10,901 109,010 190 10,901 2,071,190
8 Hypafix 10 cm X 5 m Roll - 60 117,810 7,068,600 18 117,810 2,120,580 42 117,810 4,948,020
9 Jeli USG Botol - 36 22,000 792,000 1 22,000 22,000 35 22,000 770,000
10 Kasa Steril 16 X 16 Kotak - 1,000 4,199 4,199,000 50 4,199 209,950 950 4,199 3,989,050
11 Masker KN95 Pcs - 1,000 13,750 13,750,000 380 13,750 5,225,000 620 13,750 8,525,000
12 Povidon Iodine 10 % 100 ml Botol - 120 9,170 1,100,400 9,170 - 120 9,170 1,100,400
13 Sarung Tangan Non Steril uk. M Ktk 100 pcs - 200 187,000 37,400,000 71 187,000 13,277,000 129 187,000 24,123,000
14 Sarung Tangan Non Steril uk. S Ktk 100 pcs - 100 187,000 18,700,000 37 187,000 6,919,000 63 187,000 11,781,000
15 Spinocain No. 25 Pcs - 25 31,100 777,500 31,100 - 25 31,100 777,500
16 Spinocain No. 26 Pcs - 100 31,300 3,130,000 25 31,300 782,500 75 31,300 2,347,500
17 Spuit no. 03 cc Pcs - 8,600 1,260 10,836,000 3,700 1,260 4,662,000 4,900 1,260 6,174,000
18 Spuit no. 05 cc Pcs - 2,400 1,467 3,520,800 1,467 - 2,400 1,467 3,520,800
19 Spuit no. 10 cc Pcs - 4,000 1,686 6,744,000 1,686 - 4,000 1,686 6,744,000
20 Three Way Stop Cock Pcs - 300 5,588 1,676,400 5,588 - 300 5,588 1,676,400
21 Tranfusi Set Pcs - 500 13,975 6,987,500 150 13,975 2,096,250 350 13,975 4,891,250
22 Transofix Pcs - 200 8,349 1,669,800 50 8,349 417,450 150 8,349 1,252,350
23 Underpad Pcs - 500 4,400 2,200,000 200 4,400 880,000 300 4,400 1,320,000

SUB TOTAL 146,160,059 133,951,300 78,722,752 201,388,607


SALDO AKHIR MEI 2021 146,160,059
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60 42,605 2,556,300
2 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24 58,700 1,408,800
3 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24 46,900 1,125,600
4 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12 51,100 613,200
5 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19 23,135 439,565
6 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Pcs 12 98,000 1,176,000 98,000 - 98,000 - 12 98,000 1,176,000
7 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48 70,400 3,379,200
8 Benang PGA/Safil/Viamac 1 Cutting Set 12 117,137 1,405,644 117,137 - 117,137 - 12 117,137 1,405,644
9 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12 132,498 1,589,976
10 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 12 73,800 885,600 73,800 - 73,800 - 12 73,800 885,600
11 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 24 73,600 1,766,400 73,600 - 73,600 - 24 73,600 1,766,400
12 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60 93,980 5,638,800
13 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 36 61,392 2,210,112 61,392 - 61,392 - 36 61,392 2,210,112
14 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 24 37,371 896,904 37,371 - 37,371 - 24 37,371 896,904
15 Benang silk 2/0 + jarum Pcs 180 4,706 847,080 4,706 - 36 4,706 169,416 144 4,706 677,664
16 Benang silk 3/0 + jarum Pcs 180 4,706 847,080 4,706 - 4,706 - 180 4,706 847,080
17 Benang Silk 3/0 Cutting Set 12 38,119 457,428 38,119 - 38,119 - 12 38,119 457,428
18 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200 2,790 558,000
19 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
20 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500 2,790 1,395,000
21 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48 52,700 2,529,600
22 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21 168,919 3,547,299
23 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20 168,919 3,378,380
24 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50 89,018 4,450,900
25 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29 89,018 2,581,522
26 Electrosurgical Pensil (Pensil Cauter) Set 15 82,500 1,237,500 82,500 - 82,500 - 15 82,500 1,237,500
27 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1 33,000 33,000
28 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1 308,000 308,000
29 Jas Operasi disp (surgical gown spulen) uk. L Pcs 14 23,067 322,938 23,067 - 23,067 - 14 23,067 322,938
30 K. Wire - 1,6 mm Pcs 1 193,050 193,050 193,050 - 193,050 - 1 193,050 193,050
31 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
32 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8 193,050 1,544,400
33 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1 825,825 825,825
34 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
35 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2 542,685 1,085,370
36 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2 707,850 1,415,700
37 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2 318,533 637,066
38 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1 318,533 318,533
39 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1 854,139 854,139
40 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2 854,139 1,708,278
41 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9 112,613 1,013,517
42 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10 118,800 1,188,000
43 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10 218,562 2,185,620
44 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
45 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
46 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10 160,875 1,608,750
47 Small plate - DCP small narrow plate 3,5 mm, small bone Pcs 2 438,867 877,734 438,867 - 438,867 - 2 438,867 877,734
type A, 10 holes
48 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2 684,255 1,368,510
49 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1 684,255 684,255
50 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2 880,000 1,760,000
51 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20 75,000 1,500,000
1 Benang Catgut Chromic 1 Taper Set - 24 66,857 1,604,568 66,857 - 24 66,857 1,604,568
2 Benang Catgut Chromic 2/0 Cutting Set - 24 64,257 1,542,168 64,257 - 24 64,257 1,542,168
3 Benang Catgut Chromic 2/0 Taper Set - 36 58,160 2,093,760 12 58,160 697,920 24 58,160 1,395,840
4 Benang Monosyn 1 Set - 72 112,100 8,071,200 112,100 - 72 112,100 8,071,200
5 Benang Monosyn 3/0 Set - 60 92,000 5,520,000 92,000 - 60 92,000 5,520,000
6 Benang Monosyn 3/0 Set - 36 98,000 3,528,000 98,000 - 36 98,000 3,528,000
7 Benang PGA/Safil/Viamac 1 Taper Set - 36 86,338 3,108,168 86,338 - 36 86,338 3,108,168

SUB TOTAL 75,927,175 25,467,864 867,336 100,527,703


SALDO AKHIR MEI 2021 75,927,175
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 5 4,600,000 23,000,000 4,600,000 - 5 4,600,000 23,000,000 0 4,600,000 -
1 Film DR ukuran 8X10" Ktk 100 pcs - 6 4,600,000 27,600,000 4,600,000 - 6 4,600,000 27,600,000

SUB TOTAL 23,000,000 27,600,000 23,000,000 27,600,000


SALDO AKHIR MEI 2021 23,000,000

Mengetahui, Kuala Kurun, 30 Juni 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Acarbose tab 100 mg Tablet 3,000 950
2 Acarbose tab 50 mg Tablet 2,000 700
3 Amlodipine tab 10 mg Tablet 5,000 275
4 Antasida syr Botol 200 4,487
5 Apialys Drop Botol 60 44,000
6 Apialys Syrup Botol 60 36,300
7 Aqua pro inj Vial 960 2,624
8 Arixtra inj Pen 40 257,475
9 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 7,000 616
10 Asam Tranexamat ini 250 mg/5 ml Ampul 200 5,857
11 Asam Tranexamat ini 500 mg/5 ml Ampul 200 4,331
12 Asetilsistein infus Botol 50 180,592
13 Asetilsistein tab 200 mg Tablet 3,000 550
14 Bioplacenton gel Tube 45 22,000
15 Bisoprolol tab 5 mg Tablet 3,000 143
16 Candesartan tab 16 mg Tablet 3,000 319
17 Candesartan tab 8 mg Tablet 3,000 212
18 Chlorpromazine tab 25 mg Tablet 1,000 242
19 Ciprofloxacin infus 200 mg/100 ml Botol 200 15,000
20 Ciprofloxacin tab 500 mg Tablet 1,500 617
21 Citicoline inj 500 mg/4 ml Ampul 100 39,599
22 Codein tab 19 mg Tablet 3,000 684
23 Domperidone syr 5 mg/5 ml Botol 100 10,753
24 Dopamet tab 250 mg Tablet 1,000 1,014
25 Furosemide inj 20 mg/2 ml Ampul 500 969
26 Glimepiride tab 2 mg Tablet 2,500 462
27 Heparin / Inviclot inj Vial 25 29,040
28 Ibuprofen tab 400 mg Tablet 2,300 365
29 Infus Dextrose 10 % 500 ml Botol 140 7,200
30 Infus Nacl 0,9% 100 ml Botol 300 13,090
31 Infus Nacl 0,9% 500 ml Botol 1,000 6,840
32 Infus Ring As 500 ml Botol 240 9,592
33 Infus Tridex 27B 500 ml Botol 240 10,352
34 Ketorolac inj 30 mg/ml Ampul 900 4,500
35 Lansoprazole cap 30 mg Tablet 4,000 547
36 L-Bio Sachet 300 7,315
37 Levofloxacin tab 750 mg Tablet 1,590 3,272
38 Levofloxacin tab 500 mg Tablet 1,500 409
39 Mecobalamin tab 500 mcg Tablet 3,000 770
40 Methylprednisolone inj 125 mg Vial 116 21,462
41 Methylprednisolone tab 4 mg Tablet 2,000 242
42 Metronidazole infus Botol 300 5,885
43 Metronidazole tab 500 mg Tablet 3,000 360
44 Metronidazole tab 500 mg (Tricodazole) Tablet 1,000 1,826
45 Natrium Diclofenak tab 25 mg Tablet 1,500 205
46 Neurosanbe inj Ampul 500 6,017
47 Novorapid insulin Pen 100 89,500
48 Nystatin drop (Nymiko) Botol 28 36,190
49 Omeprazole cap 20 mg Tablet 3,000 132
50 Omeprazole inj 40 mg Vial 200 11,867
51 Ondancentron inj 4 mg/2 ml Ampul 1,250 962
52 Ondancentron tab 4 mg Tablet 600 924
53 Pantoprazole inj 40 mg Vial 700 32,912
54 Paracetamol infus Botol 300 11,990
55 Paracetamol syr 120 mg/5 ml Botol 200 4,950
56 Propofol inj 1 % (Proanes) Ampul 25 88,395
57 Ranitidine inj 50 mg/2 ml Ampul 400 1,600
58 Rhyzodec insulin Pen 50 112,000
59 Risperidone tab 2 mg Tablet 1,500 2,180
60 Sertralin tab 50 mg (Fridep) Tablet 900 5,852
61 Tablet Tambah Darah Tablet 1,440 321
62 Tetagam inj Vial 50 146,800
63 Tremenza tab Tablet 2,000 1,600
64 Trifluoferazine tab 5 mg (Stelosi) Tablet 1,000 490
65 Vitamin B6 tab 10 mg Tablet 5,000 76
66 Vitamin C tab 250 mg Tablet 3,000 190
67 Vitamin C tab 50 mg Tablet 5,000 50

BMHP
1 Abbocath No. 26 Pcs 300 15,397
2 Endo Tracheal Tube (ETT) Cuffed No. 3,5 Pcs 10 121,000
3 Endo Tracheal Tube (ETT) Cuffed No. 6,5 Pcs 10 121,000
4 Endo Tracheal Tube (ETT) Cuffed No. 7 Pcs 10 121,000
5 Endo Tracheal Tube (ETT) Cuffed No. 7,5 Pcs 10 121,000
6 Folley Catheter 2-Way No. 16 Pcs 100 17,600
7 Hand Sanitazer 500 ml Botol 200 10,901
8 Hypafix 10 cm X 5 m Roll 60 117,810
9 Jeli USG Botol 36 22,000
10 Kasa Steril 16 X 16 Kotak 1,000 4,199
11 Masker KN95 Pcs 1,000 13,750
12 Povidon Iodine 10 % 100 ml Botol 120 9,170
13 Sarung Tangan Non Steril uk. M Ktk 100 pcs 200 187,000
14 Sarung Tangan Non Steril uk. S Ktk 100 pcs 100 187,000
15 Spinocain No. 25 Pcs 25 31,100
16 Spinocain No. 26 Pcs 100 31,300
17 Spuit No. 03 cc Pcs 8,600 1,260
18 Spuit No. 05 cc Pcs 2,400 1,467
19 Spuit No. 10 cc Pcs 4,000 1,686
20 Three Way Stop Cock Pcs 300 5,588
21 Tranfusi Set Pcs 500 13,975
22 Transofix Pcs 200 8,349
23 Underpad Pcs 500 4,400

BMHP BEDAH
1 Benang Catgut Chromic 1 Taper Set 24 66,857
2 Benang Catgut Chromic 2/0 Cutting Set 24 64,257
3 Benang Catgut Chromic 2/0 Taper Set 36 58,160
4 Benang Monosyn 1 Set 72 112,100
5 Benang Monosyn 3/0 Set 60 92,000
6 Benang Monosyn 3/0 Set 36 98,000
7 Benang PGA/Safil/Viamac 1 Taper Set 36 86,338

BAHAN RADIOLOGI
1 Film DR ukuran 8 X 10" Ktk 100 pcs 6 4,600,000
JUMLAH HARGA
6

2,850,000
1,400,000
1,375,000
897,400
2,640,000
2,178,000
2,519,040
10,299,000
4,312,000
1,171,400
866,200
9,029,600
1,650,000
990,000
429,000
957,000
636,000
242,000
3,000,000
925,500
3,959,900
2,052,000
1,075,300
1,014,000
484,500
1,155,000
726,000
839,500
1,008,000
3,927,000
6,840,000
2,302,080
2,484,480
4,050,000
2,188,000
2,194,500
5,202,480
613,500
2,310,000
2,489,592
484,000
1,765,500
1,080,000
1,826,000
307,500
3,008,500
8,950,000
1,013,320
396,000
2,373,400
1,202,500
554,400
23,038,400
3,597,000
990,000
2,209,875
640,000
5,600,000
3,270,000
5,266,800
462,240
7,340,000
3,200,000
490,000
380,000
570,000
250,000
175,548,407

4,619,100
1,210,000
1,210,000
1,210,000
1,210,000
1,760,000
2,180,200
7,068,600
792,000
4,199,000
13,750,000
1,100,400
37,400,000
18,700,000
777,500
3,130,000
10,836,000
3,520,800
6,744,000
1,676,400
6,987,500
1,669,800
2,200,000
133,951,300

1,604,568
1,542,168
2,093,760
8,071,200
5,520,000
3,528,000
3,108,168
25,467,864
27,600,000
27,600,000

362,567,571.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (SKPD)
BULAN JUNI 2021

Persediaan Awal Masuk Pemakaian Persedi


No Jenis Persediaan Satuan 01 JUNI 2021 SELAMA JUNI 2021 SELAMA JUNI 2021 30 JU
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh
1 2 3 4 5 6 7 8 9 10 11 12 13
BAHAN UTDRS
1 Kantong Darah SINGLE 250 ml Pcs - 300 63,800 19,140,000 63,800 - 300
2 Kantong Darah DOUBLE 250 ml Pcs - 160 93,500 14,960,000 93,500 - 160

SUBTOTAL - 34,100,000 -

Mengetahui, Kuala Kurun, 30 Juni 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
T DAN BMHP GUDANG FARMASI (SKPD)
ULAN JUNI 2021

Persediaan Akhir
30 JUNI 2021
Harga Satuan Jumlah Harga
(Rp) (Rp)
14 15

63,800 19,140,000
93,500 14,960,000

34,100,000
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (BLUD)
BULAN JULI 2021

Persediaan Awal Masuk Pemakaian Persedi


No Jenis Persediaan Satuan 01 JULI 2021 SELAMA JULI 2021 SELAMA JULI 2021 31 JU
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh
1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
2 Acarbose tab 100 mg Tablet 4,500 950 4,275,000 950 - 950 - 4,500
3 Acarbose tab 50 mg Tablet 2,000 700 1,400,000 700 - 700 - 2,000
4 Acyclovir krim 5% Tube 75 3,217 241,275 3,217 - 3,217 - 75
5 Acyclovir tab 200 mg Tablet 700 655 458,500 655 - 655 - 700
6 Alprazolam tab 1 mg Tablet 2,200 900 1,980,000 900 - 900 - 2,200
7 Amboroxol tab 30 mg Tablet 1,500 225 337,500 225 - 225 - 1,500
8 Ambroxol syr 15 mg/5 ml Botol 150 4,960 744,000 4,960 - 4,960 - 150
9 Aminophylline inj 240 mg/10 ml Ampul 30 4,320 129,600 4,320 - 4,320 - 30
10 Amitriptyline tab 25 mg Tablet 500 220 110,000 220 - 220 - 500
11 Amlodipine tab 5 mg Tablet 2,000 59 118,000 59 - 59 - 2,000
12 Amlodipine tab 10 mg Tablet 3,000 275 825,000 275 - 3,000 275 825,000 -
13 Amoxiclav tab Tablet 450 5,808 2,613,600 5,808 - 5,808 - 450
14 Amoxycillin syr 250 mg/5 ml Botol 202 11,550 2,333,100 11,550 - 11,550 - 202
15 Amoxycillin tab 500 mg Tablet 3,000 300 900,000 300 - 300 - 3,000
16 Antasida DOEN tab Tablet 4,000 178 712,000 178 - 178 - 4,000
17 Antasida syr Botol 200 4,487 897,400 4,487 - 4,487 - 200
18 Antasida syrup Botol 150 2,992 448,800 2,992 - 2,992 - 150
19 Anti Hemoroid supp Supp 60 2,970 178,200 2,970 - 2,970 - 60
20 Apialys Drop Botol 10 44,000 440,000 44,000 - 44,000 - 10
21 Apialys Syrup Botol 50 36,300 1,815,000 36,300 - 36,300 - 50
22 Aqua pro inj Vial 960 2,624 2,519,040 2,624 - 120 2,624 314,880 840
23 Aripiprazol tab 10 mg (Zipren) Tablet 40 22,440 897,600 22,440 - 22,440 - 40
24 Arixtra inj Pen 20 257,475 5,149,500 257,475 - 257,475 - 20
25 Asam Asetilsalisilat tab 80 mg (Cartylo) Tablet 5,500 616 3,388,000 616 - 616 - 5,500
26 Asam Mefenamat tab 500 mg Tablet 3,000 284 852,000 284 - 284 - 3,000
27 Asam Tanexamat tab 500 mg (Kalnex) Tablet 500 2,948 1,474,000 2,948 - 2,948 - 500
28 Asam Tranexamat ini 250 mg/5 ml Ampul 200 5,857 1,171,400 5,857 - 5,857 - 200
29 Asam Tranexamat ini 500 mg/5 ml Ampul 100 4,331 433,100 4,331 - 4,331 - 100
30 Asam Valproat syr Botol 152 19,987 3,038,024 19,987 - 19,987 - 152
31 Asetilsistein infus Botol 25 180,592 4,514,800 180,592 - 180,592 - 25
32 Asetilsistein tab 200 mg Tablet 2,500 550 1,375,000 550 - 500 550 275,000 2,000
33 Aspar K tab Tablet 1,000 2,721 2,721,000 2,721 - 2,721 - 1,000
34 Atracurium inj 50 mg/5 ml (Farelax) Ampul 10 79,365 793,650 79,365 - 79,365 - 10
35 Atropin inj 0,25 mg/ml Ampul 100 1,958 195,800 1,958 - 1,958 - 100
36 Atrovastatin tab 20 mg Tablet 1,500 1,265 1,897,500 1,265 - 1,265 - 1,500
37 Azythromicyn inj 0,5 g Vial 40 136,895 5,475,800 136,895 - 136,895 - 40
38 Azythromicyn tab 500 mg Tablet 1,600 1,400 2,240,000 1,400 - 1,400 - 1,600
39 Betadine gargle Botol 7 29,700 207,900 29,700 - 29,700 - 7
40 Betahistin tab 6 mg Tablet 2,500 119 297,500 119 - 119 - 2,500
41 Betamethasone krim Tube 100 1,740 174,000 1,740 - 1,740 - 100
42 Bioplacenton gel Tube 36 22,000 792,000 22,000 - 22,000 - 36
43 Bisoprolol tab 5 mg Tablet 150 256 38,400 256 - 256 - 150
44 Bisoprolol tab 5 mg Tablet 3,000 143 429,000 143 - 143 - 3,000
45 Bricasma Respules 2,5 mg/ml Respule 60 7,602 456,120 7,602 - 7,602 - 60
46 Bunascan Spinal inj (Quanocain) Ampul 45 52,250 2,351,250 52,250 - 52,250 - 45
47 Burnazin krim Tube 80 64,882 5,190,560 64,882 - 64,882 - 80
48 Buscopan tab 10 mg Tablet 200 3,435 687,000 3,435 - 3,435 - 200
49 Calcium Lactate tab 500 mg Tablet 5,000 224 1,120,000 224 - 224 - 5,000
50 Candesartan tab 16 mg Tablet 3,750 319 1,196,250 319 - 319 - 3,750
51 Candesartan tab 8 mg Tablet 1,500 212 318,000 212 - 212 - 1,500
52 Captopril tab 12,5 mg Tablet 1,000 166 166,000 166 - 166 - 1,000
53 Captopril tab 25 mg Tablet 3,500 137 479,500 137 - 137 - 3,500
54 Carbamazepin tab 200 mg Tablet 1,500 252 378,000 252 - 252 - 1,500
55 Cefadroxyl cap 500 mg Kapsul 2,000 908 1,816,000 908 - 908 - 2,000
56 Cefadroxyl syr 125 mg/5 ml Botol 75 7,759 581,925 7,759 - 7,759 - 75
57 Cefazoline inj 1 g Vial 50 12,650 632,500 12,650 - 12,650 - 50
58 Cefixime kap 100 mg Kapsul 500 858 429,000 858 - 858 - 500
59 Cefixime syr 100 mg/5 ml Botol 75 21,628 1,622,100 21,628 - 21,628 - 75
60 Cefotaxime inj 1 gr Vial 1,000 27,060 27,060,000 27,060 - 27,060 - 1,000
61 Ceftazidime inj 1 g Vial 100 6,923 692,300 6,923 - 6,923 - 100
62 Ceftriaxone inj 1 g Vial 400 12,672 5,068,800 12,672 - 12,672 - 400
63 Cetirizine syr 5 mg/5 ml Botol 40 10,439 417,560 10,439 - 10,439 - 40
64 Cetirizine tab 10 mg Tablet 1,200 342 410,400 342 - 342 - 1,200
65 Chloramfenicol tetes telinga (Erlamycetin) Botol 50 6,792 339,600 6,792 - 6,792 - 50
66 Chloramfenikol Salep Mata Tube 72 2,057 148,104 2,057 - 2,057 - 72
67 Chlorfeniramin tab 4 mg Tablet 1,500 58 87,000 58 - 58 - 1,500
68 Chlorpromazine tab 100 mg (Cepezet) Tablet 700 495 346,500 495 - 495 - 700
69 Chlorpromazine tab 25 mg Tablet 800 242 193,600 242 - 242 - 800
70 Ciprofloxacin infus 200 mg/100 ml Botol 64 15,000 960,000 15,000 - 15,000 - 64
71 Ciprofloxacin tab 500 mg Tablet 500 617 308,500 617 - 617 - 500
72 Citicoline inj 250 mg/2 ml Ampul 100 14,437 1,443,700 14,437 - 14,437 - 100
73 Citicoline inj 500 mg/4 ml Ampul 50 39,599 1,979,950 39,599 - 39,599 - 50
74 Claneksi syr Botol 65 58,300 3,789,500 58,300 - 58,300 - 65
75 Clindamycin cap 300 mg Kapsul 500 1,426 713,000 1,426 - 1,426 - 500
76 Clonidin tab 0,15 mg Tablet 700 266 186,200 266 - 266 - 700
77 Clopidogrel tab 75 mg Tablet 300 1,469 440,700 1,469 - 1,469 - 300
78 Clozapine tab 100 mg Tablet 500 9,499 4,749,500 9,499 - 9,499 - 500
79 Clozapine tab 25 mg Tablet 2,000 2,917 5,834,000 2,917 - 250 2,917 729,250 1,750
80 Codein tab 10 mg Tablet 3,000 684 2,052,000 684 - 500 684 342,000 2,500
81 D40% inj otsu Vial 25 ml 120 10,010 1,201,200 10,010 - 10,010 - 120
82 Daryant Tulle (Framycetin) Pcs 120 10,175 1,221,000 10,175 - 10,175 - 120
83 Dexamethasone inj 5 mg/ml Ampul 600 2,416 1,449,600 2,416 - 2,416 - 600
84 Dexamethasone tab 0,5 mg Tablet 13,500 162 2,187,000 162 - 500 162 81,000 13,000
85 Dexketoprofen inj 50 mg/2 ml Ampul 90 20,240 1,821,600 20,240 - 20,240 - 90
86 Diazepam tab 2 mg (Valisanbe) Tablet 500 259 129,500 259 - 259 - 500
87 Diazepam tab 5 mg (Valisanbe) Tablet 200 429 85,800 429 - 429 - 200
88 Digoxin inj 0,25 mg/2 ml (Fargoxin) Ampul 20 52,250 1,045,000 52,250 - 52,250 - 20
89 Digoxin tab 0,25 mg Tablet 2,000 104 208,000 104 - 104 - 2,000
90 Diltiazem tab 30 mg Tablet 2,000 212 424,000 212 - 212 - 2,000
91 Dimenhydrinat tab 50 mg Tablet 2,000 162 324,000 162 - 162 - 2,000
92 Diphenhydramine inj 10 mg/ml Ampul 30 1,815 54,450 1,815 - 1,815 - 30
93 Dobutamin inj 250 mg/5 ml Ampul 50 14,643 732,150 14,643 - 14,643 - 50
94 Doksisiklin kap 100 mg Kapsul 200 451 90,200 451 - 451 - 200
95 Domperidone syr 5 mg/5 ml Botol 100 10,753 1,075,300 10,753 - 10,753 - 100
96 Domperidone tab 10 mg Tablet 500 363 181,500 363 - 363 - 500
97 Dopamet tab 250 mg Tablet 800 1,014 811,200 1,014 - 1,014 - 800
98 Dopamin inj 40 mg/ml (Cetadop) Ampul 75 6,160 462,000 6,160 - 6,160 - 75
99 Dulcolax tab 5 mg Tablet 600 1,401 840,600 1,401 - 1,401 - 600
100 Dumin tube rectal 125 ng Tube 90 17,061 1,535,490 17,061 - 17,061 - 90
101 Eperisone Hcl tab 50 mg Tablet 1,000 1,355 1,355,000 1,355 - 1,355 - 1,000
102 Epinephrine inj 1 mg/ml(i.v./s.k./i.m.)  Ampul 360 7,300 2,628,000 7,300 - 7,300 - 360
103 Erythromicyn syrup 200 mg/5 ml (Erysanbe) Botol 75 23,760 1,782,000 23,760 - 23,760 - 75
104 Fentanyl inj Ampul 25 44,391 1,109,775 44,391 - 25 44,391 1,109,775 -
105 Fitomenadion tab 10 mg Tablet 300 1,210 363,000 1,210 - 1,210 - 300
106 Furosemide inj 20 mg/2 ml Ampul 450 969 436,050 969 - 100 969 96,900 350
107 Furosemide tab 40 mg Tablet 3,000 153 459,000 153 - 153 - 3,000
108 Gabapentin tab 300 mg Tablet 1,080 1,122 1,211,760 1,122 - 300 1,122 336,600 780
109 Gastrul tab Tablet 600 12,100 7,260,000 12,100 - 12,100 - 600
110 Gemfibrozil kap 300 mg Tablet 300 484 145,200 484 - 484 - 300
111 Gentamicyn inj 80 mg/2 ml (Sagestam) Ampul 100 10,714 1,071,400 10,714 - 10,714 - 100
112 Glimepiride tab 2 mg Tablet 1,500 462 693,000 462 - 750 462 346,500 750
113 Griseofulvin tab 125 mg Tablet 500 416 208,000 416 - 416 - 500
114 Haloperidol inj 50 mg/ml (Lodomer) Ampul 24 12,523 300,552 12,523 - 12,523 - 24
115 Haloperidol tab 0,5 mg Tablet 1,000 278 278,000 278 - 278 - 1,000
116 Haloperidol tab 1,5 mg Tablet 700 110 77,000 110 - 110 - 700
117 Haloperidol tab 5 mg Tablet 1,300 143 185,900 143 - 143 - 1,300
118 Heparin / Inviclot inj Vial 10 29,040 290,400 29,040 - 29,040 - 10
119 Hidrocortisone cream 2,5% Tube 25 2,723 68,075 2,723 - 2,723 - 25
120 Ibuprofen tab 200 mg Tablet 500 229 114,500 229 - 229 - 500
121 Ibuprofen tab 400 mg Tablet 2,000 365 730,000 365 - 365 - 2,000
122 Infus D5+1/2 NS Btl 500 ml 120 19,770 2,372,400 19,770 - 19,770 - 120
123 Infus Dextrose 10 % 500 ml Btl 500 ml 140 7,200 1,008,000 7,200 - 20 7,200 144,000 120
124 Infus Dextrose 10 % 500 ml Btl 500 ml 20 8,002 160,040 8,002 - 20 8,002 160,040 -
125 Infus Futrolit 500 ml Btl 500 ml 168 44,162 7,419,216 44,162 - 44,162 - 168
126 Infus HES Btl 500 ml 100 207,702 20,770,200 207,702 - 207,702 - 100
127 Infus HES Btl 500 ml 60 181,913 10,914,780 181,913 - 10 181,913 1,819,130 50
128 Infus Manitol 20% Btl 500 ml 30 66,000 1,980,000 66,000 - 66,000 - 30
129 Infus Nacl 0,9 % 500 ml Btl 500 ml 2,280 6,840 15,595,200 6,840 - 1,020 6,840 6,976,800 1,260
131 Infus Nacl 0,9% 100 ml Botol 180 13,090 2,356,200 13,090 - 180 13,090 2,356,200 -
132 Infus Ring As 500 ml Botol 48 9,592 460,416 9,592 - 48 9,592 460,416 -
133 Infus Ringer Lactat Btl 500 ml 3,560 7,630 27,162,800 7,630 - 1,000 7,630 7,630,000 2,560
135 Infus Tridex 27B 500 ml Botol 168 10,352 1,739,136 10,352 - 168 10,352 1,739,136 -
136 Isoflurane (Terrel) Botol 250 ml 7 1,480,000 10,360,000 1,480,000 - 1,480,000 - 7
137 Isosorbit Dinitrat inj 1 mg/ml Ampul 30 23,980 719,400 23,980 - 23,980 - 30
138 Isosorbit Dinitrat tab 5 mg Tablet 4,000 121 484,000 121 - 121 - 4,000
139 KCl inj 7,6 % Vial 25 ml 50 3,223 161,150 3,223 - 3,223 - 50
140 Ketamin inj 50 mg/ml Ktk 1 vial 96 71,929 6,905,184 71,929 - 71,929 - 96
141 Ketokenazol tab 200 mg Tablet 500 755 377,500 755 - 755 - 500
142 Ketokonazole krim 2%  Tube 25 2,577 64,425 2,577 - 2,577 - 25
143 Ketorolac inj 30 mg/ml Ampul 750 4,500 3,375,000 4,500 - 4,500 - 750
144 Lansoprazole cap 30 mg Tablet 2,800 547 1,531,600 547 - 547 - 2,800
145 Levofloxacin tab 750 mg Tablet 690 3,272 2,257,680 3,272 - 3,272 - 690
146 Levofloxacin tab 500 mg Tablet 1,250 409 511,250 409 - 409 - 1,250
147 Lidocain inj 2% Ampul 3,200 1,475 4,720,000 1,475 - 1,475 - 3,200
148 Lisinopril tab 10 mg Tablet 2,000 370 740,000 370 - 370 - 2,000
149 Lisinopril tab 5 mg Tablet 2,500 250 625,000 250 - 250 - 2,500
150 Lithium tab 100 mg (Frimania) Tablet 400 1,848 739,200 1,848 - 1,848 - 400
151 Loratadine tab 10 mg Tablet 750 286 214,500 286 - 286 - 750
152 Lorazepam tab 2 mg (Merlopam) Tablet 500 3,685 1,842,500 3,685 - 300 3,685 1,105,500 200
153 Mecobalamin tab 500 mcg Tablet 2,500 770 1,925,000 770 - 770 - 2,500
154 Meloxicam tab 15 mg Tablet 250 474 118,500 474 - 474 - 250
155 Meloxicam tab 7,5 mg Tablet 1,000 440 440,000 440 - 440 - 1,000
156 Meropenem inj 1 g Vial 180 35,660 6,418,800 35,660 - 35,660 - 180
157 Methylergometrine inj Ampul 100 3,553 355,300 3,553 - 3,553 - 100
158 Methylergometrine tab 0,125 mg Tablet 500 261 130,500 261 - 261 - 500
159 Methylprednisolone inj 125 mg Vial 48 21,462 1,030,176 21,462 - 21,462 - 48
160 Methylprednisolone tab 16 mg Tablet 1,000 637 637,000 637 - 637 - 1,000
161 Methylprednisolone tab 4 mg Tablet 2,000 242 484,000 242 - 242 - 2,000
162 Methylprednisolone tab 8 mg Tablet 1,000 483 483,000 483 - 483 - 1,000
163 Metoclopramide inj 10 mg/2 ml Ampul 100 5,280 528,000 5,280 - 5,280 - 100
164 Metoclopramide tab 10 mg Tablet 3,000 135 405,000 135 - 135 - 3,000
165 Metronidazol ovula (Vagizole) Ovula 75 3,590 269,250 3,590 - 3,590 - 75
166 Metronidazol syr 125 mg/5 ml Botol 150 6,270 940,500 6,270 - 6,270 - 150
167 Metronidazole infus Botol 150 5,885 882,750 5,885 - 5,885 - 150
168 Metronidazole tab 500 mg Tablet 3,000 360 1,080,000 360 - 360 - 3,000
169 Metronidazole tab 500 mg (Tricodazole) Tablet 500 1,826 913,000 1,826 - 1,826 - 500
170 Meylon inj 8,4 % Vial 100 6,749 674,900 6,749 - 6,749 - 100
171 MgSO4 inj 20 % Vial 30 4,300 129,000 4,300 - 4,300 - 30
172 Miconazole krim 2 % Tube 168 2,090 351,120 2,090 - 2,090 - 168
173 Microlax Tube 60 18,769 1,126,140 18,769 - 18,769 - 60
174 Midazolam inj 5 mg/5 ml (Miloz) Ampul 60 17,600 1,056,000 17,600 - 17,600 - 60
175 Morfin inj 10 mg/ml Ampul 50 34,050 1,702,500 34,050 - 34,050 - 50
176 Nalokson inj 0,8 mg/2 ml (Nokoba) Ampul 30 98,300 2,949,000 98,300 - 98,300 - 30
177 Natrium Diclofenak tab 25 mg Tablet 750 205 153,750 205 - 205 - 750
178 Neurosanbe inj Ampul 400 6,017 2,406,800 6,017 - 6,017 - 400
179 New Diatabs tab Tablet 200 557 111,400 557 - 557 - 200
180 New Diatabs tab (Arcapec) Tablet 500 1,149 574,500 1,149 - 1,149 - 500
181 Nifedipine tab 10 mg Tablet 2,000 155 310,000 155 - 155 - 2,000
182 Novorapid insulin Pen 70 89,500 6,265,000 89,500 - 89,500 - 70
183 Nystatin drop (Nymiko) Botol 18 36,190 651,420 36,190 - 36,190 - 18
184 Nystatin ovula 100.000 IU Ovula 300 904 271,200 904 - 904 - 300
185 OBH syr Botol 50 4,600 230,000 4,600 - 4,600 - 50
186 Omeprazole cap 20 mg Tablet 2,100 132 277,200 132 - 132 - 2,100
187 Omeprazole inj 40 mg Vial 50 11,867 593,350 11,867 - 11,867 - 50
188 Ondancentron inj 4 mg/2 ml Ampul 1,150 962 1,106,300 962 - 962 - 1,150
189 Ondancentron tab 4 mg Tablet 300 924 277,200 924 - 924 - 300
190 Ondancentron tab 8 mg Tablet 450 1,670 751,500 1,670 - 1,670 - 450
191 Oralit sachet Sachet 1,300 666 865,800 666 - 666 - 1,300
192 Otopain tetes telinga Botol 30 76,312 2,289,360 76,312 - 76,312 - 30
193 Oxytocin inj Ampul 100 1,287 128,700 1,287 - 1,287 - 100
194 Pantocain 2% tetes mata Botol 14 14,638 204,932 14,638 - 14,638 - 14
195 Pantoprazole inj 40 mg Vial 270 32,912 8,886,240 32,912 - 32,912 - 270
196 Paracetamol syr 120 mg/5 ml Botol 150 4,950 742,500 4,950 - 4,950 - 150
197 Paracetamol tab 500 mg (Betamol) Tablet 6,000 176 1,056,000 176 - 500 176 88,000 5,500
198 Pethidin inj 100 mg/2 ml Ampul 80 19,481 1,558,480 19,481 - 20 19,481 389,620 60
199 Phenobarbital inj 50 mg/1 ml Ampul 90 2,380 214,200 2,380 - 2,380 - 90
200 Phenobarbital tab 30 mg Tablet 1,200 187 224,400 187 - 187 - 1,200
201 Piracetam inj 1 g/5 ml Ampul 100 4,950 495,000 4,950 - 4,950 - 100
202 Piracetam inj 3 g/15 ml Ampul 20 20,526 410,520 20,526 - 20,526 - 20
203 Piracetam tab 400 mg Tablet 500 460 230,000 460 - 460 - 500
204 Piracetam tab 800 mg Tablet 1,000 361 361,000 361 - 361 - 1,000
205 Piroxicam kap 20 mg Kapsul 3,000 178 534,000 178 - 178 - 3,000
206 Pralax syr Botol 24 77,000 1,848,000 77,000 - 77,000 - 24
207 Prednison tab 5 mg Tablet 500 198 99,000 198 - 198 - 500
208 Profofol /Proanes inj 1% Ampul 10 88,935 889,350 88,935 - 88,935 - 10
209 Propanolol tab 10 mg Tablet 3,500 92 322,000 92 - 92 - 3,500
210 Propanolol tab 40 mg Tablet 2,500 145 362,500 145 - 145 - 2,500
211 Propilthyouracil tab 100 mg Tablet 1,000 518 518,000 518 - 518 - 1,000
212 Propofol inj 1 % (Proanes) Ampul 25 88,395 2,209,875 88,395 - 88,395 - 25
213 Prostigmin inj 0,5 mg /ml Ampul 50 82,001 4,100,050 82,001 - 82,001 - 50
214 Pulmicort Respules 0,5 mg/ml Respule 500 14,131 7,065,500 14,131 - 14,131 - 500
215 Pumpisel inj 40 mg Vial 84 72,600 6,098,400 72,600 - 72,600 - 84
216 Pyrantel Pamoat tab 125 mg Tablet 1,800 512 921,600 512 - 512 - 1,800
217 Quanocain spinal 20 mg/4 ml Ampul 15 54,450 816,750 54,450 - 54,450 - 15
218 Quentiapin / Quetvel tab 200 mg Tablet 360 14,266 5,135,760 14,266 - 14,266 - 360
219 Ranitidine inj 50 mg/2 ml Ampul 200 1,600 320,000 1,600 - 1,600 - 200
220 Ranitidine tab 150 mg Tablet 2,000 303 606,000 303 - 303 - 2,000
221 Rhyzodec insulin Pen 50 112,000 5,600,000 112,000 - 112,000 - 50
222 Rifampicin tab 450 mg Tablet 1,000 1,751 1,751,000 1,751 - 1,751 - 1,000
223 Risperidone tab 2 mg Tablet 750 2,180 1,635,000 2,180 - 2,180 - 750
224 Salbutamol tab 2 mg Tablet 1,500 64 96,000 64 - 64 - 1,500
225 Salbutamol tab 4 mg Tablet 3,000 102 306,000 102 - 102 - 3,000
226 Sanmag syrup Botol 25 27,500 687,500 27,500 - 27,500 - 25
227 Sanmol drop Botol 80 17,270 1,381,600 17,270 - 17,270 - 80
228 Sanmol syr 120 mg/5 ml Botol 96 12,870 1,235,520 12,870 - 12,870 - 96
229 Sanmol tab 500 mg Tablet 1,500 319 478,500 319 - 319 - 1,500
230 Sertralin tab 50 mg (Fridep) Tablet 750 5,852 4,389,000 5,852 - 5,852 - 750
231 Sevoflurane Botol 2 1,122,000 2,244,000 1,122,000 - 1,122,000 - 2
232 Sikzonoate /Flufenazin inj 25 mg/ml Ampul 15 79,860 1,197,900 79,860 - 79,860 - 15
233 Simvastatin tab 10 mg Tablet 3,500 231 808,500 231 - 231 - 3,500
234 Simvastatin tab 20 mg Tablet 750 165 123,750 165 - 500 165 82,500 250
235 Spironolactone tab 100 mg Tablet 2,500 661 1,652,500 661 - 661 - 2,500
236 Stesolid 10 mg/2,5 ml tube rectal Tube rectal 40 15,088 603,520 15,088 - 15,088 - 40
237 Stesolid 5 mg/2,5 ml tube rectal Tube rectal 45 21,935 987,075 21,935 - 5 21,935 109,675 40
238 Sucralfate syr Botol 50 7,789 389,450 7,789 - 7,789 - 50
239 Tablet Tambah Darah Tablet 450 321 144,450 321 - 321 - 450
240 Tetagam inj Vial 40 146,800 5,872,000 146,800 - 146,800 - 40
241 Thiamfenicol tab 500 mg Tablet 300 1,089 326,700 1,089 - 1,089 - 300
242 Thrombophob gel Tube 15 52,275 784,125 52,275 - 52,275 - 15
243 Tramadol cap 50 mg Kapsul 1,200 825 990,000 825 - 825 - 1,200
244 Tramadol inj 50 mg/2 ml Ampul 115 4,481 515,315 4,481 - 4,481 - 115
245 Tremenza tab Tablet 1,500 1,600 2,400,000 1,600 - 1,600 - 1,500
246 Triamcinolon tab 4 mg Tablet 500 745 372,500 745 - 745 - 500
247 Trifluoferazine tab 5 mg (Stelosi) Tablet 500 490 245,000 490 - 490 - 500
248 Trihexyphenidil tab 2 mg (Hexymer) Tablet 3,500 359 1,256,500 359 - 500 359 179,500 3,000
249 Trovensis inj 4mg/2 ml Ampul 100 37,213 3,721,300 37,213 - 37,213 - 100
250 Urdafalk kaps 250 mg kapsul 150 6,343 951,450 6,343 - 6,343 - 150
251 Ventolin Respule Respule 400 4,000 1,600,000 4,000 - 4,000 - 400
252 Vitamin B Complex tab Tablet 3,500 113 395,500 113 - 113 - 3,500
253 Vitamin B6 tab 10 mg Tablet 4,500 76 342,000 76 - 76 - 4,500
254 Vitamin C tab 250 mg Tablet 6,500 190 1,235,000 190 - 190 - 6,500
255 Vitamin C tab 50 mg Tablet 4,500 50 225,000 50 - 50 - 4,500
256 Xepazym tab Tablet 210 3,025 635,250 3,025 - 3,025 - 210
257 Zidifec inj 1 g Vial 75 126,689 9,501,675 126,689 - 126,689 - 75
258 Zinc Tab 20 mg Tablet 3,500 708 2,478,000 708 - 708 - 3,500
1 Allopurinol tab 100 mg Tablet - 3000 237 711,000 237 - 3,000
2 Aminophylline inj 24 mg/ml Ampul - 150 3,963 594,450 3,963 - 150
3 Amiodarone inj 150 mg/3 ml Ampul - 12 8,700 104,400 8,700 - 12
4 Amoxycillin syr 125 mg/5 ml Botol - 100 5,000 500,000 5,000 - 100
5 Ampicillin inj 1 g Vial - 200 10,890 2,178,000 10,890 - 200
6 Arixtra inj Pen - 30 257,475 7,724,250 257,475 - 30
7 Asam Tranexamat tab 500 mg (Lexatrans) Tablet - 1000 1,107 1,107,000 1,107 - 1,000
8 Asetilsistein tab 200 mg Tablet - 3000 1,833 5,499,000 1,833 - 3,000
9 Bedak Salicyl Kotak - 50 6,426 321,300 6,426 - 50
10 Bunascan Spinal inj (Quanocain) Ampul - 50 52,250 2,612,500 52,250 - 50
11 Buscopan tab 10 mg Tablet - 1000 343 343,000 343 - 1,000
12 Candesartan tab 16 mg Tablet - 4710 319 1,502,490 319 - 4,710
13 Candesartan tab 8 mg Tablet - 6000 212 1,272,000 212 - 6,000
14 Ceftazidime inj 1 g Vial - 400 6,923 2,769,200 6,923 - 400
15 Ceftriaxone inj 1 g Vial - 1500 10,000 15,000,000 10,000 - 1,500
16 Cendo Xytrol tetes mata Botol - 20 29,975 599,500 29,975 - 20
17 Cetirizine tab 10 mg Tablet - 3000 282 846,000 282 - 3,000
18 Cetirizine tab 10 mg Tablet - 1000 346 346,000 346 - 1,000
19 Citicolin tab 500 mg Tablet - 600 5,984 3,590,400 5,984 - 600
20 Clobazam tab 10 mg Tablet - 1000 916 916,000 300 916 274,800 700
21 Clopidogrel tab 75 mg Tablet - 1500 660 990,000 660 - 1,500
22 Cotrimoxazole syr 120 mg/5 ml Botol - 72 4,254 306,288 4,254 - 72
23 Cotrimoxazole tab 480 mg Tablet - 3000 366 1,098,000 366 - 3,000
24 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul - 100 19,789 1,978,900 19,789 - 100
25 Difenhydramin inj 10 mg/ml Ampul - 90 1,815 163,350 1,815 - 90
26 Eperisone tab 50 mg Tablet - 1500 1,232 1,848,000 1,232 - 1,500
27 Ephedrin inj 50 mg/ml (Vasodrin) Ampul - 100 44,000 4,400,000 44,000 - 100
28 Folavit tab Tablet - 2000 984 1,968,000 984 - 2,000
29 Gabaxa infus Botol - 36 244,997 8,819,892 244,997 - 36
30 Gentamicyn salep kulit (Gentalex) Tube - 200 2,350 470,000 2,350 - 200
31 Glimepiride tab 4 mg Tablet - 5000 1,179 5,895,000 1,179 - 5,000
32 Heparin inj 25000 iu Vial - 100 40,036 4,003,600 40,036 - 100
33 Human Albumin 20 % Botol - 10 905,000 9,050,000 905,000 - 10
34 Ibuprofen syr 100 mg/5 ml Botol - 330 9,900 3,267,000 9,900 - 330
35 Ibuprofen tab 400 mg Tablet - 1000 528 528,000 528 - 1,000
36 Infus Aminoleban Botol - 20 72,801 1,456,020 5 72,801 364,005 15
37 Infus Asering Botol - 400 9,592 3,836,800 120 9,592 1,151,040 280
38 Infus Bfluid Botol - 100 76,300 7,630,000 10 76,300 763,000 90
39 Infus Dextrose 5 % 500 ml Botol - 140 6,627 927,780 100 6,627 662,700 40
40 Infus Nacl 0,9 % 100 ml Botol - 500 6,702 3,351,000 500 6,702 3,351,000 -
41 Infus Nacl 0,9 % 500 ml Btl 500 ml - 3000 7,302 21,906,000 7,302 - 3,000
42 Infus Ringer Lactat Btl 500 ml - 3000 7,302 21,906,000 7,302 - 3,000
43 Infus Tridex 27 B Btl 500 ml - 85 10,352 879,920 13 10,352 134,576 72
44 Levemir insulin Pen - 150 89,000 13,350,000 89,000 - 150
45 Levofloxacin tab 750 mg Tablet - 1500 3,273 4,909,500 3,273 - 1,500
46 Levopar tab Tablet - 1200 3,960 4,752,000 3,960 - 1,200
47 Loperamide tab 2 mg (Lodia) Tablet - 1000 660 660,000 660 - 1,000
48 Meloxicam tab 15 mg Tablet - 2000 527 1,054,000 527 - 2,000
49 Meropenem inj 500 mg Vial - 100 55,000 5,500,000 55,000 - 100
50 Metformin tab 500 mg Tablet - 10000 189 1,890,000 189 - 10,000
51 Metoclopramide inj 10 mg/ 2 ml Ampul - 100 6,930 693,000 6,930 - 100
52 Natrium Diclofenak tab 50 mg Tablet - 1500 145 217,500 145 - 1,500
53 Neurosanbe tab Tablet - 2000 1,314 2,628,000 1,314 - 2,000
54 New Diatabs tab Tablet - 2000 557 1,114,000 557 - 2,000
55 Nicardipine inj 10 mg/10 ml Ampul - 100 118,800 11,880,000 118,800 - 100
56 Norephineprine inj 4 mg/4 ml Ampul - 100 13,167 1,316,700 13,167 - 100
57 Olanzapine tab 5 mg (Sopavel) Tablet - 210 12,155 2,552,550 12,155 - 210
58 Pantoprazole inj 40 mg Vial - 700 33,000 23,100,000 33,000 - 700
59 Paracetamol infus Botol - 1000 11,990 11,990,000 11,990 - 1,000
60 Prednisone tab 5 mg Tablet - 1000 169 169,000 169 - 1,000
61 Promavit tab Tablet - 600 3,448 2,068,800 3,448 - 600
62 Propilthyouracil tab 100 mg Tablet - 3000 462 1,386,000 462 - 3,000
63 Pumpisel inj 40 mg Vial - 100 72,600 7,260,000 72,600 - 100
64 Rhizodec insulin Pen - 50 112,000 5,600,000 112,000 - 50
65 Risperidone tab 2 mg Tablet - 1500 2,180 3,270,000 2,180 - 1,500
66 Sanmol infus Botol - 200 30,252 6,050,400 30,252 - 200
67 Santagesik inj Ampul - 400 4,400 1,760,000 50 4,400 220,000 350
68 Sevoflurane Botol - 5 1,193,632 5,968,160 1,193,632 - 5
69 Simvastatin tab 20 mg Tablet - 5000 849 4,245,000 849 - 5,000
70 Spironolactone tab 25 mg Tablet - 5000 230 1,150,000 230 - 5,000
71 Sucralfate syr Botol - 300 7,789 2,336,700 7,789 - 300
72 Vitamin C inj 1000 mg/5 ml Ampul - 200 22,000 4,400,000 22,000 - 200
73 Zidifec inj 1 g Vial - 100 128,689 12,868,900 128,689 - 100
74 Zinc syr Botol - 100 3,448 344,800 3,448 - 100

SUBTOTAL 447,971,640 301,701,050 34,618,543


SALDO AKHIR JUNI 2021 447,971,640
BMHP
1 Abbocath No. 20 Pcs 50 6,269 313,450 6,269 - 50 6,269 313,450 -
2 Abbocath No. 22 Pcs 750 6,269 4,701,750 6,269 - 500 6,269 3,134,500 250
3 Abbocath No. 24 Pcs 950 6,270 5,956,500 6,270 - 200 6,270 1,254,000 750
4 Abbocath No. 26 Pcs 250 15,397 3,849,250 15,397 - 50 15,397 769,850 200
5 Alkohol 70% 100 ml Botol 48 5,534 265,632 5,534 - 48 5,534 265,632 -
6 Alkohol 95% 100 ml Btl 100 ml 144 5,879 846,576 5,879 - 96 5,879 564,384 48
7 Alkohol Swab Pcs 4,100 242 992,200 242 - 4,100 242 992,200 -
8 Dermafix Pcs 30 1,039 31,170 1,039 - 1,039 - 30
9 EKG Elektroda Anak Pcs 550 3,300 1,815,000 3,300 - 3,300 - 550
10 EKG Elektroda Dewasa Pcs 750 4,950 3,712,500 4,950 - 4,950 - 750
11 Elastis Perband No. 3 inchi Roll 12 16,500 198,000 16,500 - 12 16,500 198,000 -
12 Elastis Perband No. 3 inchi Roll 24 30,583 733,992 30,583 - 30,583 - 24
13 Elastis Perband No. 4 inchi Roll 24 36,479 875,496 36,479 - 36,479 - 24
14 Elastis Perband No. 6 inchi Roll 12 47,066 564,792 47,066 - 47,066 - 12
15 Endo Tracheal Tube (ETT) Cuffed No. 3,5 Pcs 10 121,000 1,210,000 121,000 - 121,000 - 10
16 Endo Tracheal Tube (ETT) Cuffed No. 5,5 Pcs 10 13,908 139,080 13,908 - 13,908 - 10
17 Endo Tracheal Tube (ETT) Cuffed No. 6,5 Pcs 10 121,000 1,210,000 121,000 - 121,000 - 10
18 Endo Tracheal Tube (ETT) Cuffed No. 7 Pcs 10 121,000 1,210,000 121,000 - 121,000 - 10
19 Endo Tracheal Tube (ETT) Cuffed No. 7,5 Pcs 10 121,000 1,210,000 121,000 - 121,000 - 10
20 Endo Tracheal Tube (ETT) Non Cuffed No. 4,5 Pcs 10 77,000 770,000 77,000 - 77,000 - 10
21 Endo Tracheal Tube (ETT) NON KINKING No. 7 Pcs 5 190,850 954,250 190,850 - 190,850 - 5
22 Endo Tracheal Tube (ETT) NON KINKING No. 7,5 Pcs 5 190,850 954,250 190,850 - 190,850 - 5
23 Folley Catheter 2-Way no. 08 Pcs 30 34,155 1,024,650 34,155 - 34,155 - 30
24 Folley Catheter 2-Way No. 10 Pcs 20 32,670 653,400 32,670 - 32,670 - 20
25 Folley Catheter 2-Way No. 12 Pcs 10 11,374 113,740 11,374 - 11,374 - 10
26 Folley Catheter 2-Way No. 14 Pcs 100 17,600 1,760,000 17,600 - 17,600 - 100
27 Folley Catheter 2-Way No. 16 Pcs 30 17,600 528,000 17,600 - 30 17,600 528,000 -
28 Folley Catheter 2-Way no. 18 Pcs 10 12,144 121,440 12,144 - 10 12,144 121,440 -
29 Formalin tablet Botol 5 324,500 1,622,500 324,500 - 324,500 - 5
30 Gipsona no. 3 inch (Poligips) Rol 12 18,775 225,300 18,775 - 18,775 - 12
31 Gipsona no. 4 inch (Poligips) Roll 14 26,433 370,062 26,433 - 26,433 - 14
32 Gipsona no. 6 inch (Poligips) Rol 21 54085 1,135,785 54,085 - 54,085 - 21
33 Guedel Airway No. 0 Pcs 25 24,750 618,750 24,750 - 24,750 - 25
34 Guedel Airway No. 1 Pcs 5 13,200 66,000 13,200 - 13,200 - 5
35 Guedel Airway No. 2 Pcs 5 24,750 123,750 24,750 - 24,750 - 5
36 Guedel Airway No. 3 Pcs 15 14,300 214,500 14,300 - 14,300 - 15
37 Guedel Airway No. 4 Pcs 20 14,300 286,000 14,300 - 14,300 - 20
38 Hand Sanitazer 500 ml Botol 190 10,901 2,071,190 10,901 - 61 10,901 664,961 129
39 Hypafix 10 cm X 5 m Roll 42 117,810 4,948,020 117,810 - 36 117,810 4,241,160 6
40 Infuset Makro / Dewasa Pcs 500 8,107 4,053,500 8,107 - 300 8,107 2,432,100 200
41 Infuset Mikro / Anak Pcs 200 12,334 2,466,800 12,334 - 12,334 - 200
42 Jarum Insulin Pcs 600 2,083 1,249,800 2,083 - 400 2,083 833,200 200
43 Jeli USG Botol 35 22,000 770,000 22,000 - 26 22,000 572,000 9
44 Kapas 500 g Roll 16 31,372 501,952 31,372 - 2 31,372 62,744 14
45 Kasa Hydrofil 40 X 80 Roll 40 158,347 6,333,880 158,347 - 13 158,347 2,058,511 27
46 Kasa Steril 16 X 16 Kotak 950 4,199 3,989,050 4,199 - 150 4,199 629,850 800
47 Kertas CTG 130 mm x 120 mm Pak 9 159,500 1,435,500 159,500 - 159,500 - 9
48 Kertas CTG 152 mm x 25 m Roll 3 270,000 810,000 270,000 - 2 270,000 540,000 1
49 Kertas EKG 110 mm Roll 18 198,000 3,564,000 198,000 - 2 198,000 396,000 16
50 Kertas EKG 207 mm Roll 11 154,000 1,694,000 154,000 - 5 154,000 770,000 6
51 Kertas Lakmus Kotak 7 66000 462,000 66,000 - 66,000 - 7
52 Laringeal Mask Airways (LMA) No. 3 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8
53 Laringeal Mask Airways (LMA) No. 4 Pcs 8 351,450 2,811,600 351,450 - 351,450 - 8
54 Masker Bedah Pcs 3,250 800 2,600,000 800 - 800 - 3,250
55 Masker KN95 Pcs 620 13,750 8,525,000 13,750 - 620 13,750 8,525,000 -
56 Masker Nebulizer Anak Pcs 45 32,670 1,470,150 32,670 - 32,670 - 45
57 Masker Nebulizer Dewasa Pcs 70 26,464 1,852,480 26,464 - 10 26,464 264,640 60
58 Masker NRM Anak Pcs 20 33,000 660,000 33,000 - 33,000 - 20
59 Masker NRM Anak Pcs 50 19,154 957,700 19,154 - 19,154 - 50
60 Masker NRM Dewasa Pcs 55 23,800 1,309,000 23,800 - 35 23,800 833,000 20
61 Masker Oksigen Anak (Pediatric Elongated) Pcs 50 15,180 759,000 15,180 - 15,180 - 50
62 Masker Oksigen Bayi (Pediatric Standard) Pcs 140 15,180 2,125,200 15,180 - 15,180 - 140
63 Masker Oksigen Dewasa Pcs 50 17,182 859,100 17,182 - 30 17,182 515,460 20
64 Naso Gastrik Tube (NGT) no. 05 Pcs 10 14,077 140,770 14,077 - 10 14,077 140,770 -
65 Naso Gastrik Tube (NGT) no. 08 Pcs 5 49,500 247,500 49,500 - 5 49,500 247,500 -
66 Naso Gastrik Tube (NGT) no. 08 Pcs 20 14,077 281,540 14,077 - 5 14,077 70,385 15
67 Naso Gastrik Tube (NGT) no. 10 Pcs 10 33,000 330,000 33,000 - 10 33,000 330,000 -
68 Naso Gastrik Tube (NGT) no. 12 Pcs 10 5,215 52,150 5,215 - 5,215 - 10
69 Naso Gastrik Tube (NGT) no. 14 Pcs 20 5,215 104,300 5,215 - 5,215 - 20
70 Naso Gastrik Tube (NGT) no. 16 Pcs 70 12,430 870,100 12,430 - 20 12,430 248,600 50
71 Naso Gastrik Tube (NGT) no. 18 Pcs 20 36,960 739,200 36,960 - 36,960 - 20
72 Naso Gastrik Tube (NGT) no. 3,5 Pcs 30 44,000 1,320,000 44,000 - 10 44,000 440,000 20
73 Paper Printing UPP 110 HG Roll 9 302,500 2,722,500 302,500 - 5 302,500 1,512,500 4
74 Perfusor Pcs 100 22,566 2,256,600 22,566 - 22,566 - 100
75 Povidon Iodine 10 % 100 ml Botol 120 9,170 1,100,400 9,170 - 48 9,170 440,160 72
76 Povidon Iodine 10% 1 L Botol 1 L 20 51,820 1,036,400 51,820 - 2 51,820 103,640 18
77 Sarung Tangan Gynecolog No. 6,5 Pasang 100 39,424 3,942,400 39,424 - 50 39,424 1,971,200 50
78 Sarung Tangan Gynecolog No. 7,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50
79 Sarung Tangan Gynecolog No. 8,5 Pasang 50 39,424 1,971,200 39,424 - 39,424 - 50
80 Sarung Tangan Non Steril uk. M Ktk 100 pcs 129 187,000 24,123,000 187,000 - 187,000 - 129
81 Sarung Tangan Non Steril uk. S Ktk 100 pcs 63 187,000 11,781,000 187,000 - 187,000 - 63
82 Selang Oksigen Anak Pcs 30 6,050 181,500 6,050 - 20 6,050 121,000 10
83 Softband uk. 2 inchi Roll 12 12,182 146,184 12,182 - 12,182 - 12
84 Softband uk. 3 inchi Roll 12 16,084 193,008 16,084 - 16,084 - 12
85 Softband uk. 4 inchi Roll 12 19,483 233,796 19,483 - 19,483 - 12
86 Softband uk. 6 inchi Roll 6 24,682 148,092 24,682 - 24,682 - 6
87 Spinocain No. 25 Pcs 25 31,100 777,500 31,100 - 31,100 - 25
88 Spinocain No. 26 Pcs 75 31,300 2,347,500 31,300 - 50 31,300 1,565,000 25
89 Spinocain No. 27 Pcs 25 38,300 957,500 38,300 - 38,300 - 25
90 Spuit no. 01 cc Pcs 1,700 770 1,309,000 770 - 1,700 770 1,309,000 -
91 Spuit no. 03 cc Pcs 4,900 1,260 6,174,000 1,260 - 2,900 1,260 3,654,000 2,000
92 Spuit no. 05 cc Pcs 1,700 836 1,421,200 836 - 1,700 836 1,421,200 -
93 Spuit no. 05 cc Pcs 2,400 1,467 3,520,800 1,467 - 300 1,467 440,100 2,100
94 Spuit no. 10 cc Pcs 200 1,328 265,600 1,328 - 200 1,328 265,600 -
95 Spuit no. 10 cc Pcs 4,000 1,686 6,744,000 1,686 - 3,300 1,686 5,563,800 700
96 Spuit no. 20 cc Pcs 1,100 1,916 2,107,600 1,916 - 1,916 - 1,100
97 Spuit no. 50 cc (L. Tengah) Pcs 1,075 4,704 5,056,800 4,704 - 4,704 - 1,075
98 Spuit no. 50 cc (L.Pinggir) Pcs 40 6,996 279,840 6,996 - 6,996 - 40
99 Suction Catheter No. 06 Pcs 300 5,258 1,577,400 5,258 - 20 5,258 105,160 280
100 Suction Catheter No. 08 Pcs 50 2,998 149,900 2,998 - 50 2,998 149,900 -
101 Suction Catheter No. 10 Pcs 20 6,600 132,000 6,600 - 6,600 - 20
102 Suction Catheter No. 14 Pcs 50 4,224 211,200 4,224 - 50 4,224 -
103 Suction Catheter No. 16 Pcs 20 8,407 168,140 8,407 - 8,407 - 20
104 Three Way Stop Cock Pcs 300 5,588 1,676,400 5,588 - 300 5,588 1,676,400 -
105 Tranfusi Set Pcs 350 13,975 4,891,250 13,975 - 150 13,975 2,096,250 200
106 Transofix Pcs 150 8,349 1,252,350 8,349 - 100 8,349 834,900 50
107 Underpad Pcs 300 4,400 1,320,000 4,400 - 200 4,400 880,000 100
108 Urine Bag Pcs 125 5,500 687,500 5,500 - 100 5,500 550,000 25
1 Abbocath No. 20 Pcs - 500 6,270 3,135,000 300 6,270 1,881,000 200
2 Alkohol 70 % 1 L Botol - 58 41,250 2,392,500 40 41,250 1,650,000 18
3 Alkohol 70 % 100 ml Botol - 300 5,533 1,659,900 104 5,533 575,432 196
4 Alkohol Swab Pcs - 10,000 161 1,610,000 2,700 161 434,700 7,300
5 Folley Catheter 2-Way No. 16 Pcs - 200 11,629 2,325,800 80 11,629 930,320 120
6 Folley Catheter 2-Way No. 18 Pcs - 50 11,629 581,450 11,629 - 50
7 Masker KN95 Pcs - 2,000 7,150 14,300,000 300 7,150 2,145,000 1,700
8 Masker NRM Dewasa Pcs - 200 23,801 4,760,200 23,801 - 200
9 naso Gastrik Tube (NGT) no. 05 Pcs - 50 10,406 520,300 10,406 - 50
10 Naso Gastrik Tube (NGT) no. 06 Pcs - 50 25,000 1,250,000 25,000 - 50
11 Paper Printing UPP 110 HG Roll - 20 302,500 6,050,000 302,500 - 20
12 Sarung Tangan Steril uk. 7 Pasang - 250 12,100 3,025,000 100 12,100 1,210,000 150
13 Sarung Tangan Steril uk. 7,5 Pasang - 300 12,100 3,630,000 100 12,100 1,210,000 200
14 Selang Oksigen Bayi Pcs - 50 9,003 450,150 20 9,003 180,060 30
15 Selang Oksigen Dewasa Pcs - 500 7,920 3,960,000 200 7,920 1,584,000 300
16 Suction Catheter No. 08 Pcs - 200 4,642 928,400 4,642 - 200
17 Tranfusi Set Pcs - 200 17,594 3,518,800 17,594 - 200

SUB TOTAL 201,388,607 54,097,500 69,417,659


SALDO AKHIR JUNI 2021 201,388,607
PLATE,SCREW DAN WIRE (KHUSUS BEDAH)
1 Benang Catgut Chromic 1 Taper Set 24 66,857 1,604,568 66,857 - 66,857 - 24
2 Benang Catgut Chromic 2/0 Cutting Set 24 64,257 1,542,168 64,257 - 64,257 - 24
3 Benang Catgut Chromic 2/0 Taper Set 24 58,160 1,395,840 58,160 - 58,160 - 24
4 Benang CatGut Chromic 3/0 HR 26 75 cm-Taper Set 60 42,605 2,556,300 42,605 - 42,605 - 60
5 Benang Catgut Chromic 3/0 HR 26 75 cm-R. Cutting Set 24 58,700 1,408,800 58,700 - 58,700 - 24
6 Benang CatGut Plain 1 HR 48 75 cm- Taper Set 24 46,900 1,125,600 46,900 - 46,900 - 24
7 Benang Catgut Plain 2/0 37 mm Taper Pcs 12 51,100 613,200 51,100 - 51,100 - 12
8 Benang CatGut Plain 3/0 HR 17 75 cm- Taper Set 19 23,135 439,565 23,135 - 23,135 - 19
9 Benang Monosyn 1 Set 72 112,100 8,071,200 112,100 - 112,100 - 72
10 Benang Monosyn 3/0 Set 60 92,000 5,520,000 92,000 - 92,000 - 60
11 Benang Monosyn 3/0 Set 36 98,000 3,528,000 98,000 - 98,000 - 36
12 Benang Monosyn 3/0 DS 24 70 cm -Reverse cutting Pcs 12 98,000 1,176,000 98,000 - 98,000 - 12
13 Benang PGA /Safil 3/0 37 mm 1/2 circle - Taper Set 48 70,400 3,379,200 70,400 - 70,400 - 48
14 Benang PGA/Safil/Viamac 1 Cutting Set 12 117,137 1,405,644 117,137 - 117,137 - 12
15 Benang PGA/Safil/Viamac 1 Taper Set 36 86,338 3,108,168 86,338 - 86,338 - 36
16 Benang PGA/Safil/Viamac 2/0 Cutting Set 12 132,498 1,589,976 132,498 - 132,498 - 12
17 Benang Premilen/T Lene 2/0 26 mm R. Cutting Pcs 12 73,800 885,600 73,800 - 73,800 - 12
18 Benang Premilen/T Lene 3/0 24 mm R. Cutting Pcs 24 73,600 1,766,400 73,600 - 73,600 - 24
19 Benang Safil (PGA) 2/0 Taper Set 60 93,980 5,638,800 93,980 - 93,980 - 60
20 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 36 61,392 2,210,112 61,392 - 61,392 - 36
21 Benang Silk 2/0 HR 22 Black 70 cm, Taper Set 24 37,371 896,904 37,371 - 37,371 - 24
22 Benang silk 2/0 + jarum Pcs 144 4,706 677,664 4,706 - 4,706 - 144
23 Benang silk 3/0 + jarum Pcs 180 4,706 847,080 4,706 - 4,706 - 180
24 Benang Silk 3/0 Cutting Set 12 38,119 457,428 38,119 - 38,119 - 12
25 Bisturi no. 11 Pcs 200 2,790 558,000 2,790 - 2,790 - 200
26 Bisturi no. 22 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
27 Bisturi no. 24 Pcs 500 2,790 1,395,000 2,790 - 2,790 - 500
28 Bone wax 2,5 g Pcs 48 52,700 2,529,600 52,700 - 52,700 - 48
29 Cancellous screw 1/3 thread - 40 mm Pcs 21 168,919 3,547,299 168,919 - 168,919 - 21
30 Cancellous screw full thread - 40 mm Pcs 20 168,919 3,378,380 168,919 - 168,919 - 20
31 Cortical screw 3,5 - 40 mm Pcs 50 89,018 4,450,900 89,018 - 89,018 - 50
32 Cortical screw 4,5 - 40 mm Pcs 29 89,018 2,581,522 89,018 - 89,018 - 29
33 Electrosurgical Pensil (Pensil Cauter) Set 15 82,500 1,237,500 82,500 - 82,500 - 15
34 Hidrogen peroksida 3% Btl 800 ml 1 33,000 33,000 33,000 - 33,000 - 1
35 Jackson Rees circuit 2 L Set 1 308,000 308,000 308,000 - 308,000 - 1
36 Jas Operasi disp (surgical gown spulen) uk. L Pcs 14 23,067 322,938 23,067 - 23,067 - 14
37 K. Wire - 1,6 mm Pcs 1 193,050 193,050 193,050 - 193,050 - 1
38 K. Wire - 1,8 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
39 K. Wire - 2 mm Pcs 8 193,050 1,544,400 193,050 - 193,050 - 8
40 Large plate - Narrow plate ACP 10 holes Pcs 1 825,825 825,825 825,825 - 825,825 - 1
41 Large plate - Recontruction plate (4,5), 10 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
42 Large plate - Recontruction plate (4,5), 6 holes Pcs 2 542,685 1,085,370 542,685 - 542,685 - 2
43 Large plate - Recontruction plate (4,5), 8 holes Pcs 2 707,850 1,415,700 707,850 - 707,850 - 2
44 Large plate - Semi tubular 10, holes Pcs 2 318,533 637,066 318,533 - 318,533 - 2
45 Large plate - Semi tubular, 8 holes Pcs 1 318,533 318,533 318,533 - 318,533 - 1
46 Large plate - Wide plate ACP, 11 holes Pcs 1 854,139 854,139 854,139 - 854,139 - 1
47 Large plate - Wide plate ACP, 14 holes Pcs 2 854,139 1,708,278 854,139 - 854,139 - 2
48 Malleolar screw - 40 mm Pcs 9 112,613 1,013,517 112,613 - 112,613 - 9
49 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 118,800 1,188,000 118,800 - 118,800 - 10
50 Mesh Hernia uk. 5 cmx 10 cm Pcs 10 218,562 2,185,620 218,562 - 218,562 - 10
51 S. Wire - 1,2 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
52 S. Wire - 1,4 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
53 S. Wire - 1,6 mm Meter 10 160,875 1,608,750 160,875 - 160,875 - 10
Small plate - DCP small narrow plate 3,5 mm, small bone
54 Pcs 2 438,867 877,734 438,867 - 438,867 - 2
type A, 10 holes
55 Small plate - Recontruction plate (3,5), 10 holes Pcs 2 684,255 1,368,510 684,255 - 684,255 - 2
56 Small plate - Recontruction plate (3,5), 8 holes Pcs 1 684,255 684,255 684,255 - 684,255 - 1
57 Sodalime Galon 5 L 2 880,000 1,760,000 880,000 - 880,000 - 2
58 Sponge Gelatin Pcs 20 75,000 1,500,000 75,000 - 75,000 - 20
1 Benang Catgut Chromic 2/0 Biasa Set - 240 8,470 2,032,800 8,470 - 240
2 Benang Catgut Chromic 3/0 Biasa Set - 240 8,470 2,032,800 8,470 - 240

SUB TOTAL 100,527,703 4,065,600 -


SALDO AKHIR JUNI 2021 100,527,703
BAHAN RADIOLOGI
1 Film DR ukuran 8X10" Ktk 100 pcs 6 4,600,000 27,600,000 4,600,000 - 6 4,600,000 27,600,000 0

SUB TOTAL 27,600,000 - 27,600,000


SALDO AKHIR JUNI 2021 27,600,000

Mengetahui, Kuala Kurun, 31 Juli 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
T DAN BMHP GUDANG FARMASI (BLUD)
ULAN JULI 2021

Persediaan Akhir
31 JULI 2021
Harga Satuan Jumlah Harga
(Rp) (Rp)
14 15

950 4,275,000
700 1,400,000
3,217 241,275
655 458,500
900 1,980,000
225 337,500
4,960 744,000
4,320 129,600
220 110,000
59 118,000
275 -
5,808 2,613,600
11,550 2,333,100
300 900,000
178 712,000
4,487 897,400
2,992 448,800
2,970 178,200
44,000 440,000
36,300 1,815,000
2,624 2,204,160
22,440 897,600
257,475 5,149,500
616 3,388,000
284 852,000
2,948 1,474,000
5,857 1,171,400
4,331 433,100
19,987 3,038,024
180,592 4,514,800
550 1,100,000
2,721 2,721,000
79,365 793,650
1,958 195,800
1,265 1,897,500
136,895 5,475,800
1,400 2,240,000
29,700 207,900
119 297,500
1,740 174,000
22,000 792,000
256 38,400
143 429,000
7,602 456,120
52,250 2,351,250
64,882 5,190,560
3,435 687,000
224 1,120,000
319 1,196,250
212 318,000
166 166,000
137 479,500
252 378,000
908 1,816,000
7,759 581,925
12,650 632,500
858 429,000
21,628 1,622,100
27,060 27,060,000
6,923 692,300
12,672 5,068,800
10,439 417,560
342 410,400
6,792 339,600
2,057 148,104
58 87,000
495 346,500
242 193,600
15,000 960,000
617 308,500
14,437 1,443,700
39,599 1,979,950
58,300 3,789,500
1,426 713,000
266 186,200
1,469 440,700
9,499 4,749,500
2,917 5,104,750
684 1,710,000
10,010 1,201,200
10,175 1,221,000
2,416 1,449,600
162 2,106,000
20,240 1,821,600
259 129,500
429 85,800
52,250 1,045,000
104 208,000
212 424,000
162 324,000
1,815 54,450
14,643 732,150
451 90,200
10,753 1,075,300
363 181,500
1,014 811,200
6,160 462,000
1,401 840,600
17,061 1,535,490
1,355 1,355,000
7,300 2,628,000
23,760 1,782,000
44,391 -
1,210 363,000
969 339,150
153 459,000
1,122 875,160
12,100 7,260,000
484 145,200
10,714 1,071,400
462 346,500
416 208,000
12,523 300,552
278 278,000
110 77,000
143 185,900
29,040 290,400
2,723 68,075
229 114,500
365 730,000
19,770 2,372,400
7,200 864,000
8,002 -
44,162 7,419,216
207,702 20,770,200
181,913 9,095,650
66,000 1,980,000
6,840 8,618,400
13,090 -
9,592 -
7,630 19,532,800
10,352 -
1,480,000 10,360,000
23,980 719,400
121 484,000
3,223 161,150
71,929 6,905,184
755 377,500
2,577 64,425
4,500 3,375,000
547 1,531,600
3,272 2,257,680
409 511,250
1,475 4,720,000
370 740,000
250 625,000
1,848 739,200
286 214,500
3,685 737,000
770 1,925,000
474 118,500
440 440,000
35,660 6,418,800
3,553 355,300
261 130,500
21,462 1,030,176
637 637,000
242 484,000
483 483,000
5,280 528,000
135 405,000
3,590 269,250
6,270 940,500
5,885 882,750
360 1,080,000
1,826 913,000
6,749 674,900
4,300 129,000
2,090 351,120
18,769 1,126,140
17,600 1,056,000
34,050 1,702,500
98,300 2,949,000
205 153,750
6,017 2,406,800
557 111,400
1,149 574,500
155 310,000
89,500 6,265,000
36,190 651,420
904 271,200
4,600 230,000
132 277,200
11,867 593,350
962 1,106,300
924 277,200
1,670 751,500
666 865,800
76,312 2,289,360
1,287 128,700
14,638 204,932
32,912 8,886,240
4,950 742,500
176 968,000
19,481 1,168,860
2,380 214,200
187 224,400
4,950 495,000
20,526 410,520
460 230,000
361 361,000
178 534,000
77,000 1,848,000
198 99,000
88,935 889,350
92 322,000
145 362,500
518 518,000
88,395 2,209,875
82,001 4,100,050
14,131 7,065,500
72,600 6,098,400
512 921,600
54,450 816,750
14,266 5,135,760
1,600 320,000
303 606,000
112,000 5,600,000
1,751 1,751,000
2,180 1,635,000
64 96,000
102 306,000
27,500 687,500
17,270 1,381,600
12,870 1,235,520
319 478,500
5,852 4,389,000
1,122,000 2,244,000
79,860 1,197,900
231 808,500
165 41,250
661 1,652,500
15,088 603,520
21,935 877,400
7,789 389,450
321 144,450
146,800 5,872,000
1,089 326,700
52,275 784,125
825 990,000
4,481 515,315
1,600 2,400,000
745 372,500
490 245,000
359 1,077,000
37,213 3,721,300
6,343 951,450
4,000 1,600,000
113 395,500
76 342,000
190 1,235,000
50 225,000
3,025 635,250
126,689 9,501,675
708 2,478,000
237 711,000
3,963 594,450
8,700 104,400
5,000 500,000
10,890 2,178,000
257,475 7,724,250
1,107 1,107,000
1,833 5,499,000
6,426 321,300
52,250 2,612,500
343 343,000
319 1,502,490
212 1,272,000
6,923 2,769,200
10,000 15,000,000
29,975 599,500
282 846,000
346 346,000
5,984 3,590,400
916 641,200
660 990,000
4,254 306,288
366 1,098,000
19,789 1,978,900
1,815 163,350
1,232 1,848,000
44,000 4,400,000
984 1,968,000
244,997 8,819,892
2,350 470,000
1,179 5,895,000
40,036 4,003,600
905,000 9,050,000
9,900 3,267,000
528 528,000
72,801 1,092,015
9,592 2,685,760
76,300 6,867,000
6,627 265,080
6,702 -
7,302 21,906,000
7,302 21,906,000
10,352 745,344
89,000 13,350,000
3,273 4,909,500
3,960 4,752,000
660 660,000
527 1,054,000
55,000 5,500,000
189 1,890,000
6,930 693,000
145 217,500
1,314 2,628,000
557 1,114,000
118,800 11,880,000
13,167 1,316,700
12,155 2,552,550
33,000 23,100,000
11,990 11,990,000
169 169,000
3,448 2,068,800
462 1,386,000
72,600 7,260,000
112,000 5,600,000
2,180 3,270,000
30,252 6,050,400
4,400 1,540,000
1,193,632 5,968,160
849 4,245,000
230 1,150,000
7,789 2,336,700
22,000 4,400,000
128,689 12,868,900
3,448 344,800

715,054,147
6,269 -
6,269 1,567,250
6,270 4,702,500
15,397 3,079,400
5,534 -
5,879 282,192
242 -
1,039 31,170
3,300 1,815,000
4,950 3,712,500
16,500 -
30,583 733,992
36,479 875,496
47,066 564,792
121,000 1,210,000
13,908 139,080
121,000 1,210,000
121,000 1,210,000
121,000 1,210,000
77,000 770,000
190,850 954,250
190,850 954,250
34,155 1,024,650
32,670 653,400
11,374 113,740
17,600 1,760,000
17,600 -
12,144 -
324,500 1,622,500
18,775 225,300
26,433 370,062
54,085 1,135,785
24,750 618,750
13,200 66,000
24,750 123,750
14,300 214,500
14,300 286,000
10,901 1,406,229
117,810 706,860
8,107 1,621,400
12,334 2,466,800
2,083 416,600
22,000 198,000
31,372 439,208
158,347 4,275,369
4,199 3,359,200
159,500 1,435,500
270,000 270,000
198,000 3,168,000
154,000 924,000
66,000 462,000
351,450 2,811,600
351,450 2,811,600
800 2,600,000
13,750 -
32,670 1,470,150
26,464 1,587,840
33,000 660,000
19,154 957,700
23,800 476,000
15,180 759,000
15,180 2,125,200
17,182 343,640
14,077 -
49,500 -
14,077 211,155
33,000 -
5,215 52,150
5,215 104,300
12,430 621,500
36,960 739,200
44,000 880,000
302,500 1,210,000
22,566 2,256,600
9,170 660,240
51,820 932,760
39,424 1,971,200
39,424 1,971,200
39,424 1,971,200
187,000 24,123,000
187,000 11,781,000
6,050 60,500
12,182 146,184
16,084 193,008
19,483 233,796
24,682 148,092
31,100 777,500
31,300 782,500
38,300 957,500
770 -
1,260 2,520,000
836 -
1,467 3,080,700
1,328 -
1,686 1,180,200
1,916 2,107,600
4,704 5,056,800
6,996 279,840
5,258 1,472,240
2,998 -
6,600 132,000
4,224 -
8,407 168,140
5,588 -
13,975 2,795,000
8,349 417,450
4,400 440,000
5,500 137,500
6,270 1,254,000
41,250 742,500
5,533 1,084,468
161 1,175,300
11,629 1,395,480
11,629 581,450
7,150 12,155,000
23,801 4,760,200
10,406 520,300
25,000 1,250,000
302,500 6,050,000
12,100 1,815,000
12,100 2,420,000
9,003 270,090
7,920 2,376,000
4,642 928,400
17,594 3,518,800

185,857,248
66,857 1,604,568
64,257 1,542,168
58,160 1,395,840
42,605 2,556,300
58,700 1,408,800
46,900 1,125,600
51,100 613,200
23,135 439,565
112,100 8,071,200
92,000 5,520,000
98,000 3,528,000
98,000 1,176,000
70,400 3,379,200
117,137 1,405,644
86,338 3,108,168
132,498 1,589,976
73,800 885,600
73,600 1,766,400
93,980 5,638,800
61,392 2,210,112
37,371 896,904
4,706 677,664
4,706 847,080
38,119 457,428
2,790 558,000
2,790 1,395,000
2,790 1,395,000
52,700 2,529,600
168,919 3,547,299
168,919 3,378,380
89,018 4,450,900
89,018 2,581,522
82,500 1,237,500
33,000 33,000
308,000 308,000
23,067 322,938
193,050 193,050
193,050 1,544,400
193,050 1,544,400
825,825 825,825
707,850 1,415,700
542,685 1,085,370
707,850 1,415,700
318,533 637,066
318,533 318,533
854,139 854,139
854,139 1,708,278
112,613 1,013,517
118,800 1,188,000
218,562 2,185,620
160,875 1,608,750
160,875 1,608,750
160,875 1,608,750

438,867 877,734

684,255 1,368,510
684,255 684,255
880,000 1,760,000
75,000 1,500,000
8,470 2,032,800
8,470 2,032,800

104,593,303

4,600,000 -

-
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Allopurinol tab 100 mg Tablet 3,000 237
2 Aminophylline inj 24 mg/ml Ampul 150 3,963
3 Amiodarone inj 150 mg/3 ml Ampul 12 8,700
4 Amoxycillin syr 125 mg/5 ml Botol 100 5,000
5 Ampicillin inj 1 g Vial 200 10,890
6 Arixtra inj Pen 30 257,475
7 Asam Tranexamat tab 500 mg (Lexatrans) Tablet 1,000 1,107
8 Asetilsistein tab 200 mg Tablet 3,000 1,833
9 Bedak Salicyl Kotak 50 6,426
10 Bunascan Spinal inj (Quanocain) Ampul 50 52,250
11 Buscopan tab 10 mg Tablet 1,000 343
12 Candesartan tab 16 mg Tablet 4,710 319
13 Candesartan tab 8 mg Tablet 6,000 212
14 Ceftazidime inj 1 g Vial 400 6,923
15 Ceftriaxone inj 1 g Vial 1,500 10,000
16 Cendo Xytrol tetes mata Botol 20 29,975
17 Cetirizine tab 10 mg Tablet 3,000 282
18 Cetirizine tab 10 mg Tablet 1,000 346
19 Citicolin tab 500 mg Tablet 600 5,984
20 Clobazam tab 10 mg Tablet 1,000 916
21 Clopidogrel tab 75 mg Tablet 1,500 660
22 Cotrimoxazole syr 120 mg/5 ml Botol 72 4,254
23 Cotrimoxazole tab 480 mg Tablet 3,000 366
24 Diazepam inj 10 mg/2 ml (Valisanbe) Ampul 100 19,789
25 Difenhydramin inj 10 mg/ml Ampul 90 1,815
26 Eperisone tab 50 mg Tablet 1,500 1,232
27 Ephedrin inj 50 mg/ml (Vasodrin) Ampul 100 44,000
28 Folavit tab Tablet 2,000 984
29 Gabaxa infus Botol 36 244,997
30 Gentamicyn salep kulit (Gentalex) Tube 200 2,350
31 Glimepiride tab 4 mg Tablet 5,000 1,179
32 Heparin inj 25000 iu Vial 100 40,036
33 Human Albumin 20 % Botol 10 905,000
34 Ibuprofen syr 100 mg/5 ml Botol 330 9,900
35 Ibuprofen tab 400 mg Tablet 1,000 528
36 Infus Aminoleban Botol 20 72,801
37 Infus Asering Botol 400 9,592
38 Infus Bfluid Botol 100 76,300
39 Infus Dextrose 5 % 500 ml Botol 140 6,627
40 Infus Nacl 0,9 % 100 ml Botol 500 6,702
41 Infus Nacl 0,9 % 500 ml Btl 500 ml 3,000 7,302
42 Infus Ringer Lactat Btl 500 ml 3,000 7,302
43 Infus Tridex 27 B Btl 500 ml 85 10,352
44 Levemir insulin Pen 150 89,000
45 Levofloxacin tab 750 mg Tablet 1,500 3,273
46 Levopar tab Tablet 1,200 3,960
47 Loperamide tab 2 mg (Lodia) Tablet 1,000 660
48 Meloxicam tab 15 mg Tablet 2,000 527
49 Meropenem inj 500 mg Vial 100 55,000
50 Metformin tab 500 mg Tablet 10,000 189
51 Metoclopramide inj 10 mg/ 2 ml Ampul 100 6,930
52 Natrium Diclofenak tab 50 mg Tablet 1,500 145
53 Neurosanbe tab Tablet 2,000 1,314
54 New Diatabs tab Tablet 2,000 557
55 Nicardipine inj 10 mg/10 ml Ampul 100 118,800
56 Norephineprine inj 4 mg/4 ml Ampul 100 13,167
57 Olanzapine tab 5 mg (Sopavel) Tablet 210 12,155
58 Pantoprazole inj 40 mg Vial 700 33,000
59 Paracetamol infus Botol 1,000 11,990
60 Prednisone tab 5 mg Tablet 1,000 169
61 Promavit tab Tablet 600 3,448
62 Propilthyouracil tab 100 mg Tablet 3,000 462
63 Pumpisel inj 40 mg Vial 100 72,600
64 Rhizodec insulin Pen 50 112,000
65 Risperidone tab 2 mg Tablet 1,500 2,180
66 Sanmol infus Botol 200 30,252
67 Santagesik inj Ampul 400 4,400
68 Sevoflurane Botol 5 1,193,632
69 Simvastatin tab 20 mg Tablet 5,000 849
70 Spironolactone tab 25 mg Tablet 5,000 230
71 Sucralfate syr Botol 300 7,789
72 Vitamin C inj 1000 mg/5 ml Ampul 200 22,000
73 Zidifec inj 1 g Vial 100 128,689
74 Zinc syr Botol 100 3,448

BMHP
1 Abbocath No. 20 Pcs 500 6,270
2 Alkohol 70 % 1 L Botol 58 41,250
3 Alkohol 70 % 100 ml Botol 300 5,533
4 Alkohol Swab Pcs 10,000 161
5 Folley Catheter 2-Way No. 16 Pcs 200 11,629
6 Folley Catheter 2-Way No. 18 Pcs 50 11,629
7 Masker KN95 Pcs 2,000 7,150
8 Masker NRM Dewasa Pcs 200 23,801
9 naso Gastrik Tube (NGT) no. 05 Pcs 50 10,406
10 Naso Gastrik Tube (NGT) no. 06 Pcs 50 25,000
11 Paper Printing UPP 110 HG Roll 20 302,500
12 Sarung Tangan Steril uk. 7 Pasang 250 12,100
13 Sarung Tangan Steril uk. 7,5 Pasang 300 12,100
14 Selang Oksigen Bayi Pcs 50 9,003
15 Selang Oksigen Dewasa Pcs 500 7,920
16 Suction Catheter No. 08 Pcs 200 4,642
17 Tranfusi Set Pcs 200 17,594

BMHP BEDAH
1 Benang Catgut Chromic 2/0 Biasa Set 240 8,470
2 Benang Catgut Chromic 3/0 Biasa Set 240 8,470
JUMLAH HARGA
6

711,000
594,450
104,400
500,000
2,178,000
7,724,250
1,107,000
5,499,000
321,300
2,612,500
343,000
1,502,490
1,272,000
2,769,200
15,000,000
599,500
846,000
346,000
3,590,400
916,000
990,000
306,288
1,098,000
1,978,900
163,350
1,848,000
4,400,000
1,968,000
8,819,892
470,000
5,895,000
4,003,600
9,050,000
3,267,000
528,000
1,456,020
3,836,800
7,630,000
927,780
3,351,000
21,906,000
21,906,000
879,920
13,350,000
4,909,500
4,752,000
660,000
1,054,000
5,500,000
1,890,000
693,000
217,500
2,628,000
1,114,000
11,880,000
1,316,700
2,552,550
23,100,000
11,990,000
169,000
2,068,800
1,386,000
7,260,000
5,600,000
3,270,000
6,050,400
1,760,000
5,968,160
4,245,000
1,150,000
2,336,700
4,400,000
12,868,900
344,800
301,701,050

3,135,000
2,392,500
1,659,900
1,610,000
2,325,800
581,450
14,300,000
4,760,200
520,300
1,250,000
6,050,000
3,025,000
3,630,000
450,150
3,960,000
928,400
3,518,800
54,097,500

2,032,800
2,032,800
4,065,600

359,864,150.00
LAPORAN PEMAKAIAN OBAT DAN BMHP GUDANG FARMASI (SKPD)
BULAN JULI 2021

Persediaan Awal Masuk Pemakaian Persedi


No Jenis Persediaan Satuan 01 JULI 2021 SELAMA JULI 2021 SELAMA JULI 2021 31 JU
Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga Harga Satuan Jumlah Harga
Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh (Rp) (Rp) Jlh
1 2 3 4 5 6 7 8 9 10 11 12 13
BAHAN UTDRS
1 Kantong Darah SINGLE 250 ml Pcs 300 63,800 19,140,000 63,800 - 100 63,800 6,380,000 200
2 Kantong Darah DOUBLE 250 ml Pcs 160 93,500 14,960,000 93,500 - 80 93,500 7,480,000 80

SUBTOTAL 34,100,000 - 13,860,000


SALDO AKHIR JUNI 2021 34,100,000

Mengetahui, Kuala Kurun, 31 Juli 2021


Direktur RSUD Kuala Kurun Petugas Gudang Farmasi

dr. RUSNI D. MAHAR DEVIE YUNIRIA, A.Md.,Farm


NIP. 19780803 200604 2 023 NIP. 19890115 201001 2 004
T DAN BMHP GUDANG FARMASI (SKPD)
ULAN JULI 2021

Persediaan Akhir
31 JULI 2021
Harga Satuan Jumlah Harga
(Rp) (Rp)
14 15

63,800 12,760,000
93,500 7,480,000

20,240,000
NO. NAMA OBAT / BMHP SATUAN JUMLAH HARGA
1 2 3 4 5
OBAT
1 Acarbose tab 100 mg Tablet 2,000 950
2 Acarbose tab 50 mg Tablet 5,000 700
3 Cefixime tab 200 mg Tablet 3,000 749
4 Cefixime syr 100 mg/5 ml Botol 200 5,678
5 Novorapid insulin Pen 150 89,500
6 Clozapine tab 25 mg Tablet 1,000 2,917
7 Trifluoferazine tab 5 mg (Stelosi) Tablet 1,000 490
8 Fluoxetine tab 20 mg (Elizac) Tablet 300 4,950
9 Ephedrin inj 50 mg/ml (Vasodrin) Ampul 100 44,000
10 Meropenem inj 1 g Vial 300 35,670
11 Methylprednisolone tab 4 mg Tablet 5,000 242
12 Methylprednisolone tab 8 mg Tablet 3,000 450
13 Domperidone tab 10 mg Tablet 2,000 90
14 Fondaparinux inj (Diviti) Pen 40 257,328
15 Vivena-9 inj Vial 116 49,500
16 Atropin inj 025 mg/ml Ampul 400 1,718
17 Bricasma Respule Ampul 400 7,674
18 Oxytocin inj Ampul 500 1,447
19 Symbicort turbuhaler Botol 100 150,704
20 Heparin inj (Inviclot) Vial 200 72,600
21 Atracurium inj (Farelax) Ampul 50 40,755
22 Apialys Drop Botol 100 41,800
23 Apialys Syrup Botol 100 34,485
24 Ciprofloxacin tab 500 mg Tablet 600 660
25 Dexamethasone inj 5 mg/ml Ampul 1,000 3,335
26 Flunarizine tab 10 mg Tablet 400 1,980
27 L-Bio Sachet 600 7,315
28 Nystatin drop Botol 100 11,750
29 Paracetamol tab 500 mg (Betamol) Tablet 10,000 187
30 Fitomenadion (Vit K) inj 2 mg/ml Ampul 250 5,280
31 Bioplacenton gel Tube 100 20,570
32 Santagesik inj Ampul 250 4,399
33 Aqua pro inj Vial 1,340 2,624
34 Infus Kaen 3B Botol 500 11,500
35 Infus Nacl 0,9% 100 ml Botol 1,400 6,702
36 Pantoprazole inj 40 mg Vial 300 32,912
37 Amlodipine tab 10 mg Tablet 5,000 275
38 Anti Hemoriod Suppositoria Supp 200 3,265
39 Fitomenadion (Vit K) inj 2 mg/ml Ampul 300 1,595
40 Methylprednisolone inj 125 mg Vial 200 11,440
41 Oxytetracycline salep mata Tube 225 3,592
42 Pantoprazole inj 40 mg Vial 1,000 32,912
43 Meropenem inj 1 g Vial 400 33,275
44 Cefotaxime inj 1 g Vial 500 5,940
45 Ambroxol tab 30 mg Tablet 3,000 236
46 Methylprednisolone inj 125 mg Vial 200 18,149
47 Amikacyn inj Vial 100 15,367
48 Urdafalk kaps 250 mg kapsul 300 3,300
49 Methylergometrine inj Ampul 300 3,696
50 Santagesik inj Ampul 500 4,399
51 Trovensis inj 4 mg/2 ml Ampul 150 37,213
52 Asetisistein inj 5 g/25 ml Botol 55 180,592
53 Pro Hepar kaps kapsul 900 30,550
54 Ranitidine inj 25 mg/2 ml Ampul 500 4,000
55 Citicoline inj 500mg/4 ml Ampul 200 26,400
56 Flunarizine tab 5 mg Tablet 1,000 1,980
57 Ondancentron inj 4 mg/2 ml (Vondatum) Ampul 200 26,125
58 Azithromicyn ini 500 mg Vial 100 82,500
59 Asetisistein tab 200 mg Tablet 1,000 990
60 Cetirizine drop Botol 9 20,790
61 Dexketoprofen inj 50 mg/2 ml Ampul 100 18,975
62 Eperisone Hcl tab 30 mg Tablet 1,000 1,524
63 Omeprazole inj 40 mg Vial 1,000 53,970
64 Amikacyn inj Vial 100 22,210
65 Vitamin B1 inj 100 mg/ml Ampul 360 1,524
66 Tablet Tambah Darah Tablet 5,100 321
67 Infus Dextrose 5% Btl 500 ml 500 6,628
68
69
70
71
72

BMHP
1 Hypafix 10 cs X 5 m Roll 60 117,810
2 Spuit No. 01 cc Pcs 5,000 748
3 Spuit No. 03 cc Pcs 2,691 660
4 Spinocain No. 26 G Pcs 100 30,550
5 Sarung Tangan Steril uk. 7,5 Pasang 700 9,900
6 Hand Sanitazer 500 ml Botol 300 54,507
7 Naso gastrik Tube (NGT) No. 08 Pcs 100 49,500
8 Three Way Stop Cock Pcs 400 6,600
9 Spuit No. 03 cc Pcs 10,000 1,408
10 Spuit No. 05 cc Pcs 5,000 1,496
11 Spuit No. 10 cc Pcs 10,000 2,260
Underpad Pcs 600 4,400
Masker Oksigen Dewasa Pcs 100 17,182
Urine Bag Pcs 300 6,476
Sarung Tangan Gynecolog No. 7 Pasang 100 66,000
Alkohol 70% 1 L Botol 200 34,217
Alkohol 70% 1 L Botol 200 30,111
12
13
14
15
16
17

BMHP BEDAH
1 Cairan Pencuci Alat bedah (Odex) Btl 500 ml 10 181,500
Benang Catgut Chromic 2/0 Taper Set 36 85,250
Benang Catgut Chromic 3/0 Cutting Set 60 92,220
Benang Premilene/Provein 2/0 Cutting Set 60 112,750
2
JUMLAH HARGA
6

1,900,000
3,500,000
2,247,000
1,135,600
13,425,000
2,917,000
490,000
1,485,000
4,400,000
10,701,000
1,210,000
1,350,000
180,000
10,293,120
5,742,000
687,200
3,069,600
723,500
15,070,400
14,520,000
2,037,750
4,180,000
3,448,500
396,000
3,335,000
792,000
4,389,000
1,175,000
1,870,000
1,320,000
2,057,000
1,099,750
3,516,160
5,750,000
9,382,800
9,873,600
1,375,000
653,000
478,500
2,288,000
808,200
32,912,000
13,310,000
2,970,000
708,000
3,629,800
1,536,700
990,000
1,108,800
2,199,500
5,581,950
9,932,560
27,495,000
2,000,000
5,280,000
1,980,000
5,225,000
8,250,000
990,000
187,110
1,897,500
1,524,000
53,970,000
2,221,000
548,640
1,637,100
3,314,000
-
-
-
-
-
346,670,340

7,068,600
3,740,000
1,776,060
3,055,000
6,930,000
16,352,100
4,950,000
2,640,000
14,080,000
7,480,000
22,600,000
2,640,000
1,718,200
1,942,800
6,600,000
6,843,400
6,022,200
-
-
-
-
-
-
116,438,360

1,815,000
3,069,000
5,533,200
6,765,000
-
17,182,200

480,290,900.00

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