NO KODEBARANG NAMA BARANG SATUAN PAKAI STOCK AWAL MASUK KELUAR STOCK AKHIR HARGA NILAI BARANG KETERANGAN

1 1860.14.001 1860N95 MEDICAL RESP 20EA/BX120/CS 15 - PIECES - 300 169 131 22,069 2,891,027
2 1870.14.001 1870+ N95 3M AURA HEALTH CARE 20EA/BX 120/CS 47 - PASANG 20 663 501 182 21,361 3,887,740
3 2LUM.14.003 2 LUMEN UMBILICAL CATHETER 5FR, 40CM 15 - PIECES 2 - - 2 608,469 1,216,938
4 ABB .32.001 ABBOCATH 14G 15 - PIECES 4 - - 4 33,525 134,098
5 ACEM.14.003 TIP CLEANER SPONGE 48 X 48 MM 15 - PIECES 10 10 6 14 23,501 329,015
6 ACEM.14.006 ACEMED SURGICAL GLOVES POWDER FREE SZ 7 15 - PIECES 2 - 1 1 3,850 3,850
7 ACTI.14.005 ACTIMOVE MITELLA -ECO ARM SLING-M 15 - PIECES - 2 1 1 103,282 103,282
8 ACTI.14.006 ACTIMOVE MITELLA -ECO ARM SLING-L 15 - PIECES - 2 1 1 101,861 101,861
9 AFUC.12.001 AFUCID CR 2% 5 GR 23 - TUBE 1 29 20 10 36,080 360,800
10 AGAN.14.001 AGANI TERUMO NEEDLE 25GX1 AN2525R 15 - PIECES 66 400 402 64 1,069 68,445
11 AGAN.14.004 AGANI TERUMO NEEDLE NO 18GX1 1/2 IN NN1838R 15 - PIECES 42 12 52 2 1,097 2,194
12 ALAT.14.002 ACTIM PROM (RAPID DIAGNOSTIC TEST) 73 - TEST 6 32 26 12 189,416 2,272,988
13 ALK .24.001 ALKOHOL 96 % 1 LITER 53 - BOTOL 1 1 1 1 94,050 84,645
14 ALK .24.002 ALKOHOL 70% 1 L 53 - BOTOL 4 2 3 3 55,000 165,000
15 ALO .25.001 ALOCLAIR PLUS SPRAY 15 ML 07 - FLASH 4 - 1 3 95,987 287,962
16 AMBU.14.002 AMBUBAG DISPO PAED + HME LARGE 36 - SET 4 - 1 3 1,056,000 3,168,000
17 AMBU.14.003 AMBUBAG DISPO INFANT + HME SMALL + PEEP 36 - SET 2 - 1 1 1,474,000 1,474,000
18 AMBU.14.004 AMBUBAG DISPO ADULT + HME LARGE 36 - SET 3 - 2 1 1,056,000 1,056,000
19 ANVOF0001 ANVOMER B6 TAB 21 - TABLET 54 60 32 82 2,222 182,204
20 APRO.14.003 APRON LENGAN PANJANG @25 PCS 15 - PIECES 10 75 75 10 11,890 118,899
21 AQUA.19.001 AQUAPACK 25 - BOTOL-2 3 91 59 35 68,955 2,413,425
22 BABY.14.017 BABY FLOW DISPOSABLE 15 - PIECES 1 - - 1 431,200 431,200
23 BABY.14.019 BABY FLOW PRONG S 15 - PIECES 4 1 2 3 259,182 777,546
24 BABY.14.020 BABY FLOW PRONG XS 15 - PIECES 1 - - 1 277,200 277,200
25 BD .-.001 BD VACUTAINER WINGSET 25X75 LUER 367294 03 - BOX - 1 - 1 427,350 427,350
26 BD .32.001 BD VACUTAINER WINGSET SLBCS 23X75 7LUER 367292 15 - PIECES - 200 100 100 8,618 861,778
27 BIAY.19.001 BIAYA DEKONTAMINASI 69 - LOT 1 - - 1 500,000 500,000
28 BIOC.12.001 BIOCREAM 20GR 23 - TUBE - 2 - 2 29,575 59,150
29 BIOP.14.003 BIOPSY NEEDLE 14G X 15CM 701114150 15 - PIECES - 3 2 1 643,500 643,500
30 BKA00001    ABBOCATH 16G 15 - PIECES 8 - - 8 30,426 243,406
31 BKO00263 NEOSTIGMIN 0,5MG/ML ETCHA 01 - AMPUL 4 27 21 10 10,156 101,556
32 BREA.14.001 BREATHING SYSTEM UNIFLOW 2900 15 - PIECES - 2 - 2 214,830 429,660
33 CEFX.04.001 CEFXON INJ 24 - VIAL 4 187 131 60 176,458 10,587,500
34 CERT.14.004 CERTOFIX DUO PAED S413 15 - PIECES 1 - - 1 771,375 771,375
35 CERT.14.005 CERTOFIX DUO S 513 15 - PIECES 1 - - 1 771,375 771,375
36 CHOL.19.001 CHOLESTEROL LIQ CHOD PAP MONO 53 - BOTOL 1 - - 1 5,514,885 5,514,885 LAB
37 COMB.01.001 COMBINA 13 53 - BOTOL - 4 3 1 3,496,900 3,496,900 LAB
38 COMBF0001 COMBIVENT UDV 2.5ML 06 - FLACON - 23 18 5 17,820 89,100 LAB
39 CONT.19.001 CONT. FAECES 30ML 15 - PIECES - 75 50 25 1,684 42,096 LAB
40 COSM.14.003 COSMOMED NEBULIZER MASK ADULT 15 - PIECES 2 - 1 1 16,699 16,699
41 CPG .30.001 CPG TAB 21 - TABLET - 90 - 90 13,160 1,184,412
42 CUT .31.001 CUTIMED GEL APPLICATOR 22 - TIN 1 - - 1 1 1
43 CUT .32.010 CUTIMED SORBACT SWAB 7X9 CM 15 - PIECES 1 - - 1 60,708 60,708
44 CUT .32.019 CUTIMED ALGINATE 10X10CM 15 - PIECES 1 - - 1 28,367 28,367
45 CUT .32.021 CUTIMED GEL 15 GRAM 23 - TUBE 5 - - 5 76,732 383,658
46 CUTI.14.001 CUTICELL CLASSIC 10 X 10CM 15 - PIECES 1 - - 1 10,800 10,800
47 DIPHF0001 DIPHENHYDRAMINE INJ 10MG/ML 01 - AMPUL 111 3 11 103 1,721 177,284
48 DIS .32.004 DISPOSABLE SPO2 NEONATE 15 - PIECES 15 - 2 13 135,575 1,762,475
49 DRAG.06.001 DRAGERSORB 800 PLUS 5L 44 - LITER 5 - - 5 280,333 1,401,667 LAB
50 E C .17.001 E CARE HAND RUB 100 ML 25 - BOTOL-2 - 62 47 15 20,554 308,303
51 E C .32.001 E CARE HANDSCRUB 5 LITER 55 - GALON - 3 2 1 697,675 697,675
52 ESOM.11.001 ESOMPERAZOL 20 MG TAB 21 - TABLET 20 - 3 17 7,040 119,680
53 ESPOF0001 ESPOCAN DOCKING SYSTEM 4556763 15 - PIECES 1 - - 1 585,750 585,750
54 ETHI.14.002 ETHICON PLAIN 4-0 U207H 15 - PIECES 33 2 11 24 80,911 1,941,867
55 FEED.14.001 FEEDING DRIP 15 - PIECES 1 - - 1 196,109 196,109
56 FIS .32.025 FISHER & PAYKEL NEONATAL MASK 50MM (M) RD805 15 - PIECES 2 - 1 1 239,800 239,800
57 FIS .32.043 FISHER & PAYKEL RESUSCITATION KIT 900RD014-10 15 - PIECES 4 - - 4 382,800 1,531,200
58 FIS .32.045 FISHER & PAYKEL RESUSCITATION KIT 900RD016-10 15 - PIECES 5 - - 5 382,800 1,914,000
59 FORE.04.001 FOREMIC INJ 01 - AMPUL 13 - - 13 80,000 1,040,000
60 GLA .30.002 GLAUSETA TAB 250 MG 21 - TABLET 94 - - 94 4,105 385,860
61 GLOV.01.002 GLOVE LATEX NON STERILE FREE POWDER SZ S 47 - PASANG 52 750 572 230 2,784 640,313
62 GLOV.14.001 GLOVE LATEX NON STERILE FREE POWDER SZ M 47 - PASANG - 1,201 953 248 2,778 689,001
63 GLUK.19.001 GLUKOSA POWDER 52 - Kg 3 5 7 1 46,288 46,288 LAB
64 GOOG.04.001 GOGGLE 15 - PIECES 13 1 1 13 - -
65 GP .32.004 GP MICRO TUBE EDTA K3 0,5ML 15 - PIECES 300 600 400 500 1,700 850,000 LAB
66 GPHE.14.001 GP HEPARIN 3ML 15 - PIECES 100 - - 100 1,312 131,200 LAB
67 GPTA.01.001 GPT (ALAT) IFCC MOD.LIQUD UV 53 - BOTOL 2 - 1 1 6,081,238 6,081,238 LAB
68 GRE .32.001 1322-18MM - STEAM INDICATOR TAPE 45 - ROLL - 1 - 1 148,500 148,500 LAB
69 HANS.14.002 HANSAPLAST DISNEY FROZEN 15 - PIECES - 300 - 300 792 237,705
70 HANS.14.003 HANSAPLAST TRANSFORMER 15 - PIECES 46 1 5 42 271 11,379
71 HCSD.01.004 HCSD DIFF LYSE 53 - BOTOL - 2 1 1 5,696,680 5,696,680 LAB
72 HIPN.12.001 HIPNOZ INJ 5MG/5ML 01 - AMPUL - 38 10 28 23,100 646,800
73 HOGY.14.001 HOGY LAPAROSCOPY SET USP-2129 15 - PIECES - 6 5 1 822,218 822,218
74 HOGY.14.002 HOGY UNIVERSAL SET USP-2114 (BERKANTUNG) 15 - PIECES 15 - 2 13 899,341 11,691,427
75 HOGY.14.004 HOGY MAYO STAND COVER MS-01P 60*140CM 15 - PIECES 1 - - 1 68,310 68,310
76 HOGY.14.005 HOGY FENESTRATED DRAPE SP-844H09T 120*120CM 15 - PIECES 1 - - 1 89,540 89,540
77 HUDS.14.001 HUDSON NASAL PRONG CPAP NO: 1 15 - PIECES 4 - - 4 482,273 1,929,092
78 HUDS.14.002 HUDSON NASAL PRONG CPAP NO: 2 15 - PIECES - 5 2 3 482,273 1,446,819
79 HYDR.19.002 HYDROGEN PEROXIDE (H2O2) 3% SOL 50 ML 53 - BOTOL 2 3 3 2 39,215 78,431
80 INHELT035 FUROSEMIDE INJ INDO 10MG/ML 01 - AMPUL 1 - - 1 5,047 5,047
81 INT .32.023 INTERSURGICAL BASIC BREATHING SYSTEM ADULT 2025310 15 - PIECES - 2 - 2 609,840 1,219,680
82 INT .32.036 INTUBATION STYLET SIZE L (3) 100/120/300 15 - PIECES 1 - - 1 133,650 133,650
83 INT .32.037 INTUBATION STYLET SIZE M (2) 100/120/200 15 - PIECES - 2 - 2 133,650 267,300
84 INTE.14.003 INTERNAL INDICATOR FOR STEAM CLASS 4 40 - STRIP 250 - - 250 1,355 338,800 LAB
85 IV .32.001 ABBOCATH-T 20G X 32MM (G717A01) 15 - PIECES 6 - - 6 26,775 160,648
 86 IV .32.002 ABBOCATH-T 18G X 51MM (G715A01) 15 - PIECES 8 - - 8 26,242 209,937
87 IV .32.005 INFLO IV CATHETER NO. 24G (ABBOCATH) 15 - PIECES 1 - - 1 9,040 9,040
88 KALIF0001 KALITAKE 5GR 18 - SACHET - 20 - 20 8,929 178,582
89 KAPSF0002 KAPSUL KOSONG 00 14 - PACK - 1 - 1 87,120 87,120
90 KAPSF0003 KAPSUL KOSONG 1 14 - PACK - 1 - 1 52,030 52,030
91 KAPSF0004 KAPSUL KOSONG 2 14 - PACK - 1 - 1 52,030 52,030
92 KAPSF0005 KAPSUL KOSONG 3 14 - PACK - 1 - 1 50,270 50,270
93 KASA.19.002 KASA LIPAT NON X-RAY UK. 10 X 10 CM 15 - PIECES - 2,500 1,900 600 1,696 1,017,444 CSSD
94 KETO.12.001 KETOMED 2% GEL 15GR 23 - TUBE 2 - - 2 24,497 48,994
95 KTM .15.001 KTM INJEKSI 24 - VIAL 3 2 2 3 155,925 467,775
96 LAM .32.001 LAMINARIA SIZE L 15 - PIECES - 3 - 3 113,200 339,600
97 LEUK.14.001 LEUKOMED T PLUS 7,2X5CM 15 - PIECES 2 112 102 12 7,416 88,991
98 LIP .23.001 LIPROLAC SACH 18 - SACHET 50 - 42 8 7,333 58,667
99 LVIT.11.001 L-VIT D3 1000 TAB 21 - TABLET 1 4,867 4,867 1 2,252 2,252
100 MAM .32.014 MAMY POKO PREEMIE (1000-1500GR) 15 - PIECES 26 26 1 51 2,315 118,067
101 MEDI.19.001 MEDITOUCH LONG CUFF SIZE 6-1/2 47 - PASANG 4 - - 4 62,073 248,292
102 MEDI.22.001 MEDISHIELD WET WASH GLOVE 14 - PACK 1 - - 1 20,000 20,000
103 MEDIF0002 MEDIFIX LINE 90CM W/INTRAFIX 427662/0 15 - PIECES 1 - - 1 129,030 129,030
104 MELI.19.001 MELISEPTOL FOAM 750ML 25 - BOTOL-2 2 3 3 2 181,046 362,093 ok
105 MICR.14.004 MICROSCOPE COVER GLASS 20X20 MM 15 - PIECES - 800 200 600 470 282,000 LAB
106 MOF .04.001 MOFACORT CREAM 10GR 23 - TUBE - 16 7 9 63,215 568,934
107 MYCA.04.001 MYCAMINE 50 MG 24 - VIAL 4 - - 4 739,381 2,957,523
108 NACE.03.001 N-ACETYLCYSTEIN 200 MG CAPS 05 - CAPSUL 15 109 27 97 990 96,030
109 NAP .21.001 NAPREX DROP 60MG/15ML 25 - BOTOL-2 8 31 22 17 38,632 656,744
110 NASA.14.007 NASAL PRONG SEAL N421 15 - PIECES 38 - - 38 13,269 504,231
111 NEUR.01.001 NEUROSANBE F-C TABLET 21 - TABLET 44 - - 44 986 43,379
112 NEXI.11.001 NEXIUM 20 MG TAB 30S 21 - TABLET - 90 - 90 21,074 1,896,668
113 NIFEF0002 NIFEDIPINE TAB 10MG 21 - TABLET 5 55 48 12 226 2,717
114 NITR.11.001 NITROKAF RETARD CAPS 2.5MG 21 - TABLET 35 100 10 125 2,706 338,250
115 NUTR.14.005 NUTRILINE TWINFLO 2FR 30CM W/ STYLET+MICROF 15 - PIECES 2 - - 2 1,884,960 3,769,920
116 OM .32.001 DIAPRO NURSE CAP 100' 15 - PIECES 325 600 635 290 725 210,131
117 ONE .32.013 ONEMED INFUSET ADULT 15 - PIECES 8 - - 8 7,790 62,320
118 ONEC.14.001 ONE CARE DISPOSABLE ELECTROSURGICAL PENCIL 15 - PIECES 1 - - 1 40,000 40,000
119 OSFI.03.001 OSFIT PLATINUM 05 - CAPSUL 256 1,417 1,410 263 3,601 947,129
120 PANB.14.001 ROCHE SARS-COV-2 RAPID ANTIGEN TEST 73 - TEST - 1,145 870 275 74,851 20,584,135 LAB
121 PDCA.14.001 PD CABLE FOR GROUNDING PLATE 15 - PIECES 2 - - 2 203,354 406,708
122 PDGE.14.001 PD GEL STERILE URETHRAL 15 - PIECES - 1 - 1 63,800 63,800
123 PDGL.14.001 PD GLOVE PREMIUM PF 6,5 47 - PASANG 5 - - 5 10,400 52,000
124 PDGL.14.003 PD GLOVE PREMIUM PF 7,5 15 - PIECES 2 - - 2 10,400 20,800
125 PDWA.14.001 PD WASH CARE 15 - PIECES 1 - - 1 19,250 19,250
126 PEDI.19.001 PEDIATRIK BLANKET 31 - UNIT 1 - - 1 173,333 173,333
127 PERIF0001 PERIFIX 400 G18 X 3 1/4" 451400/9 15 - PIECES - 2 1 1 356,400 356,400
128 PIP .-.001 PIPET TETES PLASTIK 15 - PIECES 57 4 18 43 2,464 105,972
129 PLAS.19.011 PLASBUMIN 25% 50ML 53 - BOTOL 1 - - 1 1,007,040 1,007,040
130 POT F0002 POT PLASTIK 100 R 15 - PIECES 8 21 24 5 1,291 6,454
131 POT F0004 POT PLASTIK 20 R 15 - PIECES 28 58 44 42 602 25,299
132 POT F0005 POT PLASTIK 30 R 15 - PIECES 13 60 27 46 652 30,011
133 POT F0006 POT PLASTIK 50R 15 - PIECES - 80 47 33 795 26,231
134 PRO .03.007 PROMAVIT KAPSUL 05 - CAPSUL 51 890 481 460 2,720 1,251,108
135 PROL.14.002 PROLENE 2/0 W295 15 - PIECES - 12 - 12 123,137 1,477,640
136 PRON.19.001 PRONTODERM FOAM 200ML 53 - BOTOL - 27 22 5 247,500 1,237,500
137 PRONF0004 PRONICY CAPL 4MG 04 - CAPLET 67 - 14 53 327 17,305
138 PROPF0001 PROPANOLOL TAB 10MG 21 - TABLET 5 - - 5 100 500
139 PROV.19.001 PROVE D3 DROP 12.5ML 53 - BOTOL 12 138 134 16 148,703 2,379,247
140 PURU.14.004 PUR UMBILICAL CATHETER 8FR, 40CM 15 - PIECES 1 - - 1 222,750 222,750
141 RAMI.11.001 RAMIPRIL TAB 10 MG 21 - TABLET 1 11 11 1 1,476 1,476
142 RUSCF00034 RUSCH GOLD FOLEY CATH 2WAY NO 24CH 180630CH 15 - PIECES 2 - - 2 20,570 41,140
143 SIN .32.001 SINGLE USE BLADE 3M 9680 15 - PIECES 60 50 66 44 75,900 3,339,600
144 SOFFF0003 SOFFBAN 6" 2.7M X 15CM 72011.13 15 - PIECES 2 - - 2 53,292 106,583
145 SPAL.14.008 SPALK TULANG 7CM*50CM 15 - PIECES 1 - - 1 74,250 74,250
146 SPIN.14.002 SPINOCAN 22G X 3 1/2" (0.7X88 MM) 15 - PIECES 5 - - 5 36,993 184,963
147 SPO2.14.011 SPO2 SENSOR NEONATUS FOR NONIN DISPO 15 - PIECES 21 - 10 11 157,753 1,735,285
148 STIM.14.001 STIMUPLEX ULTRA 360 30" 20GX100MM-AP 15 - PIECES - 102 55 47 223,064 10,484,014
149 STRA.14.002 STRATAFIX PDS PLUS 2/0 SXPP1B410 15 - PIECES 9 - - 9 476,667 4,290,000
150 STRI.19.005 STRIP AUTOCHECK URIC ACRID 50S 73 - TEST - 200 - 200 3,513 702,544 LAB
151 SUR .15.001 SURVANTA INJEK 24 - VIAL 1 - - 1 4,317,555 4,317,555
152 SUR .32.009 SKIN MARKER REGULAR TIP 15 - PIECES 3 5 5 3 42,555 127,665
153 TAZ .15.001 TAZAM INJ 24 - VIAL 4 - - 4 229,340 917,360
154 TEM .21.001 TEMPRA DROP 07 - FLASH 2 27 21 8 44,052 352,418
155 TEMPF0001 TEMPRA FORTE SYR 250MG/5ML 60ML 07 - FLASH - 15 10 5 43,097 215,485
156 TERU.14.001 TERUFUSION PLATELET SET 15 - PIECES 3 - - 3 30,675 92,026
157 THOR.14.001 THORACIC CATHETER 28 15 - PIECES 2 - - 2 348,250 696,500
158 TREI-239 TREMENZA TAB 21 - TABLET 95 10 20 85 1,200 102,032
159 TUBE.19.003 TUBEX 26 - KIT - 2 - 2 3,762,000 7,524,000
160 ULTR.14.001 ULTRASOUND GELL 5 LITER 48 - LITER-2 5 25 10 20 42,650 852,992
161 VAK .28.002 VAKSIN PENTABIO 2,5 ML (5 DS) 24 - VIAL 6 20 5 21 487,988 10,223,338
162 VICR.14.001 VICRYL 2/0 J323H 15 - PIECES 41 - 23 18 96,726 1,741,069
163 VIDA.09.001 VIDAS VITAMIN D25 OH-TOTAL 30463 73 - TEST 60 - - 60 221,650 13,298,987 LAB
164 VIDA.19.001 VIDAS FERRITIN 30411 73 - TEST 120 120 120 120 91,229 10,947,475 LAB
165 VIS .30.001 VISANNE TAB 2MG 21 - TABLET 56 30 30 56 19,833 1,110,648
166 WATE.14.001 WATERTRAP WATERLOCK 6872130 15 - PIECES 23 - - 23 433,333 9,966,667 OK
167 WIPA.19.001 WIPAK INDICATOR STEAM TAPE 3/4 (GREEN) ITS19 45 - ROLL - 2 - 2 72,380 144,760 OK
168 XYLOF0002 XYLOCAINE 2% PDF INJ 20ML 01 - AMPUL - 6 4 2 58,191 116,383
169 XYLOF0003 XYLOCAINE SPRAY 50ML 25 - BOTOL-2 - 1 - 1 291,942 291,942
170 YHLO.19.001 YHLO GLINE-2019-NCOV AG 73 - TEST - 520 340 180 27,404 4,932,693 LAB
171 ZYLOF0002 ZYLORIC TAB 300MG 21 - TABLET 1 - - 1 6,937 6,937