PURCHASI

KLINIK DR NURD

NO TANGGAL NAMA OBAT/ALKES QTY SATUAN HARGA SATUAN TOTAL

26-Jul-22
1 PT. SATYA JAYA PHARMASINDO CEFADROXIL 500MG 25 BOX Rp 73,815 Rp 1,845,375
COTRIMOXAZOLE 480MG 4 BOX Rp 27,000 Rp 108,000
PIROXICAM 20MG 5 BOX Rp 18,000 Rp 90,000
CAPTOPRIL 25MG 2 BOX Rp 15,055 Rp 30,110
ONDANCENTRON 4MG 20 BOX Rp 16,390 Rp 327,800
PREDNISON TABLET 7 POT Rp 12,019 Rp 84,133
VITAMIN B COMPLEX 10 POT Rp 9,000 Rp 90,000
AMBROXOL SYRUP 100 BOTOL Rp 3,600 Rp 360,000
CEFADROXIL SYRUP 125MG 50 BOTOL Rp 7,282 Rp 364,100
COTRIMOXAZOLE SYRUP 10 BOTOL Rp 4,371 Rp 43,710
CETIRIZINE SYRUP 7 BOTOL Rp 4,000 Rp 28,000
OBH SYRUP 7 BOTOL Rp 4,940 Rp 34,580
BETAMETHASONE SALEP 100 TUBE Rp 3,885 Rp 388,500
HYDROCORTISON SALEP 25 TUBE Rp 5,000 Rp 125,000
FUROSEMIDE 40MG 2 BOTOL Rp 27,601 Rp 55,202

2 PT. BERKAH HEXA FARMASIA AZITHROMYCIN 500MG 1 BOX Rp 90,000 Rp 90,000

GENCOBAL 500MG 7 BOX Rp 37,740 Rp 264,180
LANSOPRAZOLE 20MG 5 BOX Rp 44,097 Rp 220,485
AMOXICILLIN 500MG 30 BOX Rp 71,750 Rp 2,152,500
AMLODIPINE 5MG 3 BOX Rp 13,329 Rp 39,987
AMLODIPINE 10MG 10 BOX Rp 29,970 Rp 299,700
CIPROFLOXACIN 500MG 5 BOX Rp 47,348 Rp 236,740
DOMPERIDONE TABLET 35 BOX Rp 18,315 Rp 641,025
 GG TABLET 25 BOX Rp 10,000 Rp 250,000
IBUPROFEN 400MG 15 BOX Rp 33,000 Rp 495,000
KETOCONAZOLE 200MG 3 BOX Rp 51,992 Rp 155,976
PAPAVERIN HCL 20 BOX Rp 27,000 Rp 540,000
VITAMIN C 25MG 15 POT Rp 7,500 Rp 112,500
VITAMIN B6 1 POT Rp 15,313 Rp 15,313
AMOXICILLIN SYRUP 125MG 350 BOTOL Rp 5,429 Rp 1,900,150
ANTASIDA SYRUP 200 BOTOL Rp 4,440 Rp 888,000
DOMPERIDONE SYRUP 80 BOTOL Rp 4,273 Rp 341,840
ACYCLOVIR SALEP 35 TUBE Rp 4,020 Rp 140,700
KETOCONAZOLE SALEP 10 TUBE Rp 4,541 Rp 45,410
MICONAZOLE SALEP 10 TUBE Rp 5,342 Rp 53,420
SALEP 2-4 30 TUBE Rp 5,478 Rp 164,340

3 PT. USAHA SARANA MEDIKA PARACETAMOL SYRUP 350 BOX Rp 3,756 Rp 1,314,600
GLIBENCLAMIDE 5MG 1 BOX Rp 29,970 Rp 29,970
BETAHISTINE 6MG 10 BOX Rp 18,955 Rp 189,550
DEXAMETHASONE 0.5MG 100 BOX Rp 7,762 Rp 776,200
RANITIDINE 150MG 10 BOX Rp 12,807 Rp 128,070
METRONIDAZOLE 500MG 2 BOX Rp 25,615 Rp 51,230
PARACETAMOL 500MG 120 BOX Rp 17,000 Rp 2,040,000
SUCRALFAT SYRUP 35 BOTOL Rp 13,195 Rp 461,825

4 PT. ANTARMITRA SEMBADA OMEPRAZOLE 20MG 100 BOX Rp 11,136 Rp 1,113,600

ACYCLOVIR 400MG 10 BOX Rp 34,678 Rp 346,780
NATRIUM DICLOFENAC 50MG 30 BOX Rp 17,050 Rp 511,500
LORATADINE 10MG 15 BOX Rp 16,654 Rp 249,810
MELOXICAM 7.5MG 20 BOX Rp 34,595 Rp 691,900
MELOXICAM 15MG 10 BOX Rp 59,950 Rp 599,500
5 PT. PENTA VALENT ANTASIDA DOEN TABLET 35 BOX Rp 16,940 Rp 592,900
ASAM MEFENAMAT 500MG 30 BOX Rp 23,088 Rp 692,640
AMBROXOL 30MG TABLET 50 BOX Rp 16,940 Rp 847,000
CEFIXIME 100MG 20 BOX Rp 113,000 Rp 2,260,000
CETIRIZINE 10MG 40 BOX Rp 18,480 Rp 739,200
METHYL PREDNISOLON 4MG 25 BOX Rp 21,560 Rp 539,000
VITAMIN C 500MG 2 BOX Rp 44,000 Rp 88,000
CEFIXIME SYRUP 100MG 20 BOTOL Rp 11,092 Rp 221,840

6 PT. SAPTASARI TAMA CTM POT 20 POT Rp 7,063 Rp 141,260

PIROXICAM 10MG 5 BOX Rp 20,458 Rp 102,290

NOTE : 1. CEFADROXIL 250MG SYR TIDAK DI PO KARENA TIDAK ADA YG GENERIK ADANYA YANG PATEN
2. FASIDOL DROP TIDAK DI PO KARENA TIDAK ADA YG GENERIK ADANYA YANG PATEN

Cibinong, 26 JULI 2022

Diajukan Oleh Diketahui Oleh : Disetujui Oleh

Gudang Farmasi Manager Medis Keuangan Penanggung Jawab

(Maya Rosalina A ) (Drg.Marissa Primasari, MM) (Nandar Muharam,S.M) (dr. Sri Wahyuningsih)
 PURCHASING ORDER
KLINIK DR NURDIN WAHID

KETERANGAN
Cibinong, 26 JULI 2022

Disetujui Oleh
Penanggung Jawab

(dr. Sri Wahyuningsih)

 PEMBELIAN
NO NAMA OBAT MEI 2022 HARGA TOTAL HARGA

1 CEFADROXIL 500MG 25 Rp 73,815 Rp 1,845,375

2 COTRIMOXAZOLE 480MG 4 Rp 27,000 Rp 108,000
3 PIROXICAM 20MG 5 Rp 18,000 Rp 90,000
4 CAPTOPRIL 25MG 2 Rp 15,055 Rp 30,110
5 ONDANCENTRON 4MG 20 Rp 16,390 Rp 327,800
6 PREDNISON TABLET 7 Rp 12,019 Rp 84,133
7 VITAMIN B COMPLEX 10 Rp 9,000 Rp 90,000
8 AMBROXOL SYRUP 100 Rp 3,600 Rp 360,000
9 CEFADROXIL SYRUP 125MG 50 Rp 7,282 Rp 364,100
10 COTRIMOXAZOLE SYRUP 10 Rp 4,371 Rp 43,710
11 CETIRIZINE SYRUP 7 Rp 4,000 Rp 28,000
12 OBH SYRUP 7 Rp 4,940 Rp 34,580
13 BETAMETHASONE SALEP 100 Rp 3,885 Rp 388,500
14 HYDROCORTISON SALEP 25 Rp 5,000 Rp 125,000
15 FUROSEMIDE 40MG 2 Rp 27,601 Rp 55,202

TOTAL PEMBAYARAN Rp 3,974,510

KETERANGAN
 PEMBELIAN MEI
NO NAMA OBAT 2022 HARGA TOTAL HARGA
1 AZITHROMYCIN 500MG 1 Rp 90,000 Rp 90,000
2 GENCOBAL 500MG 7 Rp 37,740 Rp 264,180
3 LANSOPRAZOLE 20MG 5 Rp 44,097 Rp 220,485
4 AMOXICILLIN 500MG 30 Rp 71,750 Rp 2,152,500
5 AMLODIPINE 5MG 3 Rp 13,329 Rp 39,987
6 AMLODIPINE 10MG 10 Rp 29,970 Rp 299,700
7 CIPROFLOXACIN 500MG 5 Rp 47,348 Rp 236,740
8 DOMPERIDONE TABLET 35 Rp 18,315 Rp 641,025
9 GG TABLET 25 Rp 10,000 Rp 250,000
10 IBUPROFEN 400MG 15 Rp 33,000 Rp 495,000
11 KETOCONAZOLE 200MG 3 Rp 51,992 Rp 155,976
12 PAPAVERIN HCL 20 Rp 27,000 Rp 540,000
13 VITAMIN C 25MG 15 Rp 7,500 Rp 112,500
14 VITAMIN B6 1 Rp 15,313 Rp 15,313
15 AMOXICILLIN SYRUP 125MG 350 Rp 5,429 Rp 1,900,150
16 ANTASIDA SYRUP 200 Rp 4,440 Rp 888,000
17 DOMPERIDONE SYRUP 80 Rp 4,273 Rp 341,840
18 ACYCLOVIR SALEP 35 Rp 4,020 Rp 140,700
19 KETOCONAZOLE SALEP 10 Rp 4,541 Rp 45,410
20 MICONAZOLE SALEP 10 Rp 5,342 Rp 53,420
21 SALEP 2-4 30 Rp 5,478 Rp 164,340

TOTAL PEMBAYARAN Rp 9,047,266

KETERANGAN
 PEMBELIAN MEI
NO NAMA OBAT 2022 HARGA TOTAL HARGA

1 PARACETAMOL SYRUP 350 Rp 3,756 Rp 1,314,600

2 GLIBENCLAMIDE 5MG 1 Rp 29,970 Rp 29,970
3 BETAHISTINE 6MG 10 Rp 18,955 Rp 189,550
4 DEXAMETHASONE 0.5MG 100 Rp 7,762 Rp 776,200
5 RANITIDINE 150MG 10 Rp 12,807 Rp 128,070
6 METRONIDAZOLE 500MG 2 Rp 25,615 Rp 51,230
7 PARACETAMOL 500MG 120 Rp 17,000 Rp 2,040,000
8 SUCRALFAT SYRUP 35 Rp 13,195 Rp 461,825

TOTAL PEMBAYARAN Rp 4,991,445

KETERANGAN
 PEMBELIAN
NO NAMA OBAT MEI 2022 HARGA TOTAL HARGA

1 OMEPRAZOLE 20MG 100 Rp 11,136 Rp 1,113,600

2 ACYCLOVIR 400MG 10 Rp 34,678 Rp 346,780
3 NATRIUM DICLOFENAC 50MG 30 Rp 17,050 Rp 511,500
4 LORATADINE 10MG 15 Rp 16,654 Rp 249,810
5 MELOXICAM 7.5MG 20 Rp 34,595 Rp 691,900
6 MELOXICAM 15MG 10 Rp 59,950 Rp 599,500

TOTAL PEMBAYARAN Rp 3,513,090

KETERANGAN
 PEMBELIAN MEI
NO NAMA OBAT 2022 HARGA TOTAL HARGA

1 ANTASIDA DOEN TABLET 35 Rp 16,940 Rp 592,900

2 ASAM MEFENAMAT 500MG 30 Rp 23,088 Rp 692,640
3 AMBROXOL 30MG TABLET 50 Rp 16,940 Rp 847,000
4 CEFIXIME 100MG 20 Rp 113,000 Rp 2,260,000
5 CETIRIZINE 10MG 40 Rp 18,480 Rp 739,200
6 METHYL PREDNISOLON 4MG 25 Rp 21,560 Rp 539,000
7 VITAMIN C 500MG 2 Rp 44,000 Rp 88,000
8 CEFIXIME SYRUP 100MG 20 Rp 11,092 Rp 221,840

TOTAL PEMBAYARAN Rp 5,980,580

KETERANGAN
 PEMBELIAN MEI
NO NAMA OBAT 2022 HARGA TOTAL HARGA
1 CTM POT 20 Rp 7,063 Rp 141,260
2 PIROXICAM 10MG 5 Rp 20,458 Rp 102,290

TOTAL PEMBAYARAN Rp 243,550

KETERANGAN