HERMINA DEPOK Sep-19 GRAND TOTAL

BALANCIUM 2 850,000 1,700,000

GUIDING ORIEN 5 800,000 4,000,000
INFLATION DEVICE 18 450,000 8,100,000
BRILLIANT 40 300,000 12,000,000
INTRODUCER SOCHIN 3 180,000 540,000
RAY BAND 5 180,000 900,000
YNP 25 CM 13 115,000 1,495,000
HP TUBING 120 CM 49 100,000 4,900,000
HP TUBING 60 CM 6 65,000 390,000

TOTAL 141 34,025,000

NO TGL PEMAKAIAN NAMA PASIEN STATUS PASIEN

31-Aug-2019 VINITA BPJS
VINITA BPJS
VINITA BPJS
3-Sep-2019 ELIZABETH MULYATI BPJS
ELIZABETH MULYATI BPJS
3-Sep-2019 SRI AGUNG M BPJS
SRI AGUNG M BPJS
3-Sep-2019 ABDUL LATIEF BPJS
ABDUL LATIEF BPJS
3-Sep-2019 SUHARTO BPJS
SUHARTO BPJS
4-Sep-2019 HUSEIN BPJS
6-Sep-2019 RUDI JAYA BPJS
RUDI JAYA BPJS
6-Sep-2019 AGUS SALIM BPJS
AGUS SALIM BPJS
AGUS SALIM BPJS
7-Sep-2019 JOHANES BPJS
7-Sep-2019 RAHMAWATI BPJS
7-Sep-2019 AGUS WEDI BPJS
9-Sep-2019 BUDI N BPJS
10-Sep-2019 SUWARTO BPJS
10-Sep-2019 ANISON BPJS
10-Sep-2019 PIPIH BPJS
10-Sep-2019 ANNA BPJS
11-Sep-2019 FETY FATHIA BPJS
 FETY FATHIA BPJS
12-Sep-2019 EMMY BPJS
EMMY BPJS
12-Sep-2019 SUPARMAN BPJS
SUPARMAN BPJS
SUPARMAN BPJS
12-Sep-2019 BERA BPJS
BERA BPJS
BERA BPJS
BERA BPJS
12-Sep-2019 ASIAH BPJS
ASIAH BPJS
ASIAH BPJS
ASIAH BPJS
12-Sep-2019 BOEDIONO BPJS
BOEDIONO BPJS
BOEDIONO BPJS
12-Sep-2019 BUKE BPJS
BUKE BPJS
BUKE BPJS
13-Sep-2019 SUBADRIS BPJS
SUBADRIS BPJS
SUBADRIS BPJS
13-Sep-2019 HARIJADI BPJS
HARIJADI BPJS
13-Sep-2019 M.M SUMARI BPJS
M.M SUMARI BPJS
13-Sep-2019 MUCHTAR K BPJS
MUCHTAR K BPJS
MUCHTAR K BPJS
14-Sep-2019 ADIH BPJS
ADIH BPJS
ADIH BPJS
14-Sep-2019 TUNI BPJS
TUNI BPJS
TUNI BPJS
14-Sep-2019 HARIYADI BPJS
HARIYADI BPJS
14-Sep-2019 SLAMET IRIANTO BPJS
SLAMET IRIANTO BPJS
SLAMET IRIANTO BPJS
14-Sep-2019 IMROH BPJS
IMROH BPJS
 IMROH BPJS
14-Sep-2019 KOMARSAH BPJS
KOMARSAH BPJS
KOMARSAH BPJS
KOMARSAH BPJS
14-Sep-2019 MASKHUN L BPJS
MASKHUN L BPJS
16-Sep-2019 MULYADI BPJS
MULYADI BPJS
MULYADI BPJS
MULYADI BPJS
17-Sep-2019 AGUS SUSENANTO BPJS
AGUS SUSENANTO BPJS
AGUS SUSENANTO BPJS
17-Sep-2019 DIDI AFFANDI BPJS
17-Sep-2019 SUPARDI BPJS
17-Sep-2019 DADAN BPJS
DADAN BPJS
DADAN BPJS
17-Sep-2019 IKIN SODIKIN BPJS
IKIN SODIKIN BPJS
17-Sep-2019 NURDI BPJS
17-Sep-2019 MUSENI BPJS
MUSENI BPJS
18-Sep-2019 AGUS TANI BPJS
AGUS TANI BPJS
19-Sep-2019 SUPANDI BPJS
SUPANDI BPJS
SUPANDI BPJS
SUPANDI BPJS
19-Sep-2019 DATUK BPJS
DATUK BPJS
DATUK BPJS
DATUK BPJS
19-Sep-2019 MOCH SAIDH BPJS
MOCH SAIDH BPJS
21-Sep-2019 FAJAR R BPJS
FAJAR R BPJS
FAJAR R BPJS
21-Sep-2019 TJEN PAP BPJS
TJEN PAP BPJS
TJEN PAP BPJS
TJEN PAP BPJS
21-Sep-2019 DJAYA BPJS
DJAYA BPJS
DJAYA BPJS
21-Sep-2019 JANIMBANG BPJS
JANIMBANG BPJS
21-Sep-2019 SADAR HARAPAN BPJS
SADAR HARAPAN BPJS
SADAR HARAPAN BPJS
SADAR HARAPAN BPJS
21-Sep-2019 DEDI BPJS
DEDI BPJS
DEDI BPJS
DEDI BPJS
24-Sep-2019 MURYATI BPJS
MURYATI BPJS
24-Sep-2019 AGOES I BPJS
24-Sep-2019 NANIJACHRIAH BPJS
24-Sep-2019 DIDIT SYAHBANA BPJS
24-Sep-2019 ABDUL HAMIT BPJS
24-Sep-2019 WAHYUDIN K BPJS
WAHYUDIN K BPJS
25-Sep-2019 ARMAH BPJS
26-Sep-2019 ROHMAT BPJS
26-Sep-2019 SAPRUDIN BPJS
27-Sep-2019 YUNIAR BPJS
28-Sep-2019 BUDI SETIAWAN BPJS
BUDI SETIAWAN BPJS
28-Sep-2019 IDA FARIDA BPJS
28-Sep-2019 SURYATINI BPJS
KODE BARANG NAMA PRODUK
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm
RSC051121-SS BRILLIANT INTRODUCER KIT RADIAL 5F, LENGTH 11CM, TIP STRAIGHT, ST
YPR15L Radial Artery Compression Tourniquet 15L
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
YPR15L Radial Artery Compression Tourniquet 15L
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, length 11 cm, 0,021")HS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
YPR15L Radial Artery Compression Tourniquet 15L
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
FS061135-SJ SHEAT INTRODUCER (FEMORAL 6F,LENGTH 11CM, 0,035")-SJ
 LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC071125-SS BRILLIANT INTRODUCER KITs (RADIAL 7F, LENGTH 11CM, 0.025")-SS
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
FS061135-SJ SHEAT INTRODUCER (FEMORAL 6F,LENGTH 11CM, 0,035")-SJ
LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
GWB185-S2J [GWB185-S2J] BALANCIUM PTCA GUIDEWIRE 0.014" 185 SOFT ( 2 G ) J
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
GWB185-S2 [GWB185-S2] BALANCIUM PTCA GUIDEWIRE 0.014" 185 SOFT ( 2 G ) STRA
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
 LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
CL6XB35 ORIEN Guiding Catheter XB 3.5 6F
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
CL6XB35 ORIEN Guiding Catheter XB 3.5 6F
FS061135-SJ SHEAT INTRODUCER (FEMORAL 6F,LENGTH 11CM, 0,035")-SJ
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-SS BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, TIP STRAIGHT, ST
CL6JR35 ORIEN Guiding Catheter JR3.5 6F
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
RSC061121-SS BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, TIP STRAIGHT, ST
CL6JR35 ORIEN Guiding Catheter JR3.5 6F
RSC061121-SS BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, TIP STRAIGHT, ST
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121-SS BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, TIP STRAIGHT, ST
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
 YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
CL6JR35 ORIEN Guiding Catheter JR3.5 6F
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC061121-SS BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, TIP STRAIGHT, ST
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LPJG120H ANGIOWAY High Pressure Extension Tubing 120 cm/1200 PSI
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") HS
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") HS
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") HS
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
RSC071125-SS BRILLIANT Introducer KITs (Radial 7F, Length 11 cm, 0,025")-SS
RSC061121 BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 11CM, GW 0.021"
RSC061121-HS BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") HS
RSC071125-SS BRILLIANT Introducer KITs (Radial 7F, Length 11 cm, 0,025")-SS
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
LP-P-30S ANGIOPOWER INFLATION DEVICE VOL 20 ML, PRESSURE 30 ATM, EXT TU
YPR15L Radial Artery Compression Tourniquet 15L
YNP25 Y-Hemostasis Valve Set with extensio tubing 25 cm
 BARCODE NO LOT TGL ED TOTAL NAMA DOKTER HARGA NETTO
lmt000079594 201906002 44719 1 100,000
lmt000044196 201706612 43997 1 300,000
lmt000045724 201806020 44366 1 180,000
lmt000036918 201808610 16/08/2021 1 300,000
lmt000079571 201906002 7/6/2022 1 100,000
lmt000036868 201808610 16/08/2021 1 300,000
lmt000079568 201906002 7/6/2022 1 100,000
lmt000036869 201808610 16/08/2021 1 300,000
lmt000079610 201906002 7/6/2022 1 100,000
lmt000036960 201808610 16/08/2021 1 300,000
lmt000079583 201906002 7/6/2022 1 100,000
lmt000036893 201808610 16/08/2021 1 300,000
lmt000079573 201906002 7/6/2022 1 100,000
lmt000045726 201806020 19/06/2021 1 180,000
lmt000036899 201808610 16/08/2021 1 300,000
lmt000078097 201906002 7/6/2022 1 100,000
lmt000045725 201806020 19/06/2021 1 180,000
lmt000078098 201906002 7/6/2022 1 100,000
lmt000079592 201906002 7/6/2022 1 100,000
LMT000078099 201906002 7/6/2022 1 100,000
LMT000078096 201906002 7/6/2022 1 100,000
lmt000078102 201906002 7/6/2022 1 100,000
lmt000079569 201906002 7/6/2022 1 100,000
lmt000078110 201906002 7/6/2022 1 100,000
lmt000079603 201906002 7/6/2022 1 100,000
lmt000045892 201807045 30/7/2021 1 180,000
lmt000076836 201904005 10/4/2022 1 65,000
LMT000080559 201905604 9/5/2022 1 300,000
lmt000079597 201906002 7/6/2022 1 100,000
LMT000055660 201704635 25/4/2020 1 300,000
lmt000079609 201906002 7/6/2022 1 100,000
LMT000079913 201905001 8/5/2022 1 450,000
lmt000076830 201904005 10/4/2022 1 65,000
lmt000079579 201906002 7/6/2022 1 100,000
LMT000079912 201905001 8/5/2022 1 450,000
LMT000080563 201905604 9/5/2022 1 300,000
LMT000045887 201807045 30/7/2021 1 180,000
lmt000076842 201904005 10/4/2022 1 65,000
lmt000079608 201906002 7/6/2022 1 100,000
LMT000079909 201905001 8/5/2022 1 450,000
LMT000080561 201905604 9/5/2022 1 300,000
lmt000076834 201904005 10/4/2022 1 65,000
lmt000079587 201906002 7/6/2022 1 100,000
LMT000080562 201905604 9/5/2022 1 300,000
lmt000076833 201904005 10/4/2022 1 65,000
lmt000079588 201906002 7/6/2022 1 100,000
LMT000080567 201905604 9/5/2022 1 300,000
lmt000079606 201906002 7/6/2022 1 100,000
LMT000079910 201905001 8/5/2022 1 450,000
LMT000080566 201905604 9/5/2022 1 300,000
lmt000079604 201906002 7/6/2022 1 100,000
LMT000080573 201905604 9/5/2022 1 300,000
lmt000079605 201906002 7/6/2022 1 100,000
LMT000080568 201905604 9/5/2022 1 300,000
lmt000079577 201906002 7/6/2022 1 100,000
LMT000079911 201905001 8/5/2022 1 450,000
lmt000079608 201906002 7/6/2022 1 100,000
LMT000079902 201905001 8/5/2022 1 450,000
LMT000080560 201905604 9/5/2022 1 300,000
LMT000080578 201905604 9/5/2022 1 300,000
lmt000079578 201906002 7/6/2022 1 100,000
LMT000079899 201905001 8/5/2022 1 450,000
LMT000080574 201905604 9/5/2022 1 300,000
lmt000079586 201906002 7/6/2022 1 100,000
LMT000057531 201708007 12/10/2019 1 850,000
LMT000080575 201905604 9/5/2022 1 300,000
LMT000079900 201905001 8/5/2022 1 450,000
LMT000052193 201708007 12/10/2019 1 850,000
LMT000080576 201905604 9/5/2022 1 300,000
LMT000079901 201905001 8/5/2022 1 450,000
LMT000079903 201905001 8/5/2022 1 450,000
lmt000076815 201904005 10/4/2022 1 65,000
lmt000079589 201906002 7/6/2022 1 100,000
LMT000080577 201905604 9/5/2022 1 300,000
LMT000080565 201905604 9/5/2022 1 300,000
lmt000079697 201906002 7/6/2022 1 100,000
LMT000079581 201906002 7/6/2022 1 100,000
LMT000078121 201906002 7/6/2022 1 100,000
LMT000079595 201906002 7/6/2022 1 100,000
LMT000080572 201905604 9/5/2022 1 300,000
LMT000080564 201905604 9/5/2022 1 300,000
LMT000079590 201906002 7/6/2022 1 100,000
lmt000078376 201905023 1 800,000
LMT000080570 201905604 9/5/2022 1 300,000
LMT000079585 201906002 7/6/2022 1 100,000
LMT000064481 1 115,000
LMT000079593 201906002 7/6/2022 1 100,000
lmt000078377 201905023 1 800,000
lmt000045894 201807045 30/7/2021 1 180,000
LMT000079563 201906002 7/6/2022 1 100,000
LMT000079582 201906002 7/6/2022 1 100,000
LMT000080569 201905604 9/5/2022 1 300,000
LMT000079566 201906002 7/6/2022 1 100,000
LMT000080571 201905604 9/5/2022 1 300,000
LMT000079584 201906002 7/6/2022 1 100,000
lmt000064499 1 115,000
LMT000079572 201906002 7/6/2022 1 100,000
LMT000081583 201905604 9/5/2022 1 300,000
LMT000078348 201905021 1 800,000
lmt000064513 1 115,000
LMT000079580 201906002 7/6/2022 1 100,000
LMT000081584 201905604 9/5/2022 1 300,000
LMT000078349 201905021 1 800,000
LMT000081585 201905604 9/5/2022 1 300,000
LMT000078112 201906002 7/6/2022 1 100,000
lmt000064495 1 115,000
LMT000079567 201906002 7/6/2022 1 100,000
lmt000079908 201905001 8/5/2022 1 450,000
LMT000081581 201905604 9/5/2022 1 300,000
lmt000064506 1 115,000
LMT000079576 201906002 7/6/2022 1 100,000
lmt000079907 201905001 8/5/2022 1 450,000
lmt000064520 1 115,000
LMT000079596 201906002 7/6/2022 1 100,000
lmt000079905 201905001 8/5/2022 1 450,000
lmt000064505 1 115,000
LMT000079599 201906002 7/6/2022 1 100,000
LMT000078353 201905021 1 800,000
lmt000064504 1 115,000
LMT000079570 201906002 7/6/2022 1 100,000
lmt000079906 201905001 8/5/2022 1 450,000
LMT000081582 201905604 9/5/2022 1 300,000
lmt000064486 1 115,000
LMT000079598 201906002 7/6/2022 1 100,000
LMT000079904 201905001 8/5/2022 1 450,000
lmt000079918 201905001 8/5/2022 1 450,000
lmt000064518 1 115,000
LMT000036882 201905604 9/5/2022 1 300,000
LMT000036911 201905604 9/5/2022 1 300,000
lmt000064484 1 115,000
LMT000036920 201905604 9/5/2022 1 300,000
lmt000064509 1 115,000
lmt000079916 201905001 8/5/2022 1 450,000
LMT000055662 1 300,000
LMT000036866 201905604 9/5/2022 1 300,000
LMT000036934 201905604 9/5/2022 1 300,000
LMT000055586 1 300,000
lmt000064516 1 115,000
lmt000079915 201905001 8/5/2022 1 450,000
lmt000045717 1 180,000
lmt000064482 1 180,000

141 34,025,000
 BINA WALUYA Sep-19
Inflation Device 15 450,000
ORIEN Guiding 13 800,000
Introducer Sochin 1 180,000
HP-TUBING 120 50 100,000
MANIFOLD 90 60,000

TOTAL 169

NO TGL PEMAKAIAN NAMA PASIEN

1 2-Aug-2019 FERRY EDDY PRAMONO
2 31-Aug-2019 MULYATI
MULYATI
3 7-Sep-2019 ADE MARWAN
4 8-Sep-2019 PINTARIA PINEM
5 10-Sep-2019 HARSONO
6 17-Sep-2019 PURNADI
7 18-Sep-2019 NUR ANI
8 20-Sep-2019 ENGKUS SAPUTRA
9 20-Sep-2019 RUDIYATI
10 24-Sep-2019 BELI PUTUS (SJ19-7055)
11 24-Sep-2019 BELI PUTUS (SJ19-7055)
12 24-Sep-2019 DARSONO HASIBUAN
13 26-Sep-2019 PURWADI ASMARIYANTO
14 28-Sep-2019 IRFAN MEDIAWAN
IRFAN MEDIAWAN
15 30-Sep-2019 BELI PUTUS
 GRAND TOTAL
6,750,000
10,400,000
180,000
5,000,000
5400000

27,730,000

STATUS PASIEN KODE BARANG NAMA PRODUK

REGULER CL6XB30 ORIEN Guiding Catheter XB 3.0 6F
REGULER CL7JR35 ORIEN Guiding Catheter JR3.5 7F
REGULER FS071138 Sheath Introducer (Femoral 6F, Length 11 cm, 0,038")-SJ
REGULER CL6JR35 ORIEN Guiding Catheter JR3.5 6F
REGULER CL7XB35 ORIEN Guiding Catheter XB 3.5 7F
REGULER CL6XB30 ORIEN Guiding Catheter XB 3.0 6F
REGULER CL6XB35 ORIEN Guiding Catheter XB 3.5 6F
REGULER CL7JR35 ORIEN Guiding Catheter JR3.5 7F
REGULER CL7AL10 ORIEN Guiding Catheter AL1.0 7F
REGULER CL6XB35 ORIEN Guiding Catheter XB 3.5 6F
REGULER LPJD503F ANGIOWAY MANIFOLD
REGULER LPJG120H ANGIOWAY HIGH PRESSURE EXT TUBING 120 CM
REGULER CL7XB35 ORIEN Guiding Catheter XB 3.5 7F
REGULER CL6JR35 ORIEN Guiding Catheter JR3.5 6F
REGULER CL7AL10 ORIEN Guiding Catheter AL1.0 7F
REGULER CL7AL75 ORIEN Guiding Catheter AL1.0 7F
REGULER LP-P-30S Inflation Device
 BARCODE NO LOT TGL ED TOTAL NAMA DOKTER ASP
lmt000075162 1 DR. M MUNAWAR 800,000
LMT000012722 1 DR. M MUNAWAR 800,000
LMT000055425 1 DR. M MUNAWAR 180,000
LMT000063552 1 DR. M MUNAWAR 800,000
LMT000053906 1 DR. M MUNAWAR 800,000
LMT000075169 1 DR. M MUNAWAR 800,000
LMT000072444 1 DR. M MUNAWAR 800,000
LMT000034953 1 DR. M MUNAWAR 800,000
LMT000054269 1 DR. M MUNAWAR 800,000
1 DR. M MUNAWAR 800,000
201905001 10/5/2022 90 BELI PUTUS 5,400,000
201906002 7/6/2022 50 BELI PUTUS 5,000,000
LMT000053909 1 DR. M MUNAWAR 800,000
LMT000063549 1 DR. M MUNAWAR 800,000
LMT000054268 1 DR. M MUNAWAR 800,000
LMT000051879 1 DR. M MUNAWAR 800,000
15 BELI PUTUS 6,750,000

169 27,730,000
60.000 X 90
100.000 X 50

450.000 X 15
 DIAGRAM CINERE Sep-19
Orien 17 800,000
HP-Tubing 120 Cm 23 100,000
HP-Tubing 60 Cm 67 65,000
MANIFOLD 44 60,000
151 TOTAL

NO TGL PEMAKAIAN NAMA PASIEN

1 1-Sep-19 Wasirah
Wasirah
Wasirah
2 2-Sep-19 Wardja
Wardja
3 2-Sep-19 M Riza
M Riza
4 3-Sep-19 IR Pranata Harianto
IR Pranata Harianto
5 4-Sep-19 Sri Muclisyah Lilies
6 4-Sep-19 Kusmayadi Moeing
7 4-Sep-19 Sumarningsih
Sumarningsih
8 5-Sep-19 Nurdeli
Nurdeli
Nurdeli
9 5-Sep-19 Krishna
11 5-Sep-19 Lisah
Lisah
12 6-Sep-19 Elibahtra Sitepu
Elibahtra Sitepu
13 6-Sep-19 Wasral Fikri
14 6-Sep-19 Aryo daru driyo
Aryo daru driyo
Aryo daru driyo
15 6-Sep-19 Christian Agus
16 6-Sep-19 Anung Diptoarutolo
17 7-Sep-19 Djubaharyati
18 8-Sep-19 Supriyono
Supriyono
Supriyono
Supriyono
19 8-Sep-19 Solihin
20 9-Sep-19 N Dharma Sulaksana
21 9-Sep-19 Sairan
22 9-Sep-19 Robert William
 Robert William
23 10-Sep-19 Abdul Hasan Lubis
Abdul Hasan Lubis
24 10-Sep-19 Sadino
25 10-Sep-19 Yayan jajang
26 12-Sep-19 Wahyu Istanto
27 13-Sep-19 Mieke Widjayanto
Mieke Widjayanto
28 15-Sep-19 Abdul Qohir
Abdul Qohir
29 16-Sep-19 Mustriyono

30 16-Sep-19 H. Zarlis .M

31 17-Sep-19 Saimah
32 17-Sep-19 Erlina Wati Hadiman
33 17-Sep-19 Tatang Rustania

34 18-Sep-19 Siti Fatimah Noor

35 18-Sep-19 Maryati
Maryati
36 19-Sep-19 Wahyu Adhitama
37 19-Sep-19 Solekhan
Solekhan
20-Sep-19 Dr.Thomas K Kartomo

20-Sep-19 Ignatius Warsito

20-Sep-19 Drs. Marsahat Aritonang

22-Sep-19 Aida
Aida
22-Sep-19 Rama Prima Syahti Fauzi
23-Sep-19 Andry Agus Adrian

23-Sep-19 Lim Ferry Sutandi

23-Sep-19 Ny Sumarti Karto

23-Sep-19 Ir . Chandra Adisusanto

23-Sep-19 Adang Waspan Hidayat

24-Sep-19 Ir.Tini Martini

24-Sep-19 Thamrin

24-Sep-19 Asep Saepudin

24-Sep-19 Farozi Sadeli

25-Sep-19 Cosmas A I

25-Sep-19 Untoro Tanuwidjaja

25-Sep-19 Wong Sen Men

25-Sep-19 Sukirno
25-Sep-19 Harry Mulyono
25-Sep-19 Djuwitaningsih
Djuwitaningsih
26-Sep-19 Johny Jahja Kusuma
Johny Jahja Kusuma
Johny Jahja Kusuma
26-Sep-19 Benny Wirawansa
Benny Wirawansa
Benny Wirawansa
26-Sep-19 Susi Ariyani

26-Sep-19 Zainal Alam D

26-Sep-19 Dedi Haryadi

Dedi Haryadi
26-Sep-19 Daeng Surya indra
26-Sep-19 Daniel
Daniel
Daniel
27-Sep-19 Amanah
Amanah
27-Sep-19 Yanuar Faisal
27-Sep-19 Halim
Halim
Halim
27-Sep-19 Hendra Martana
Hendra Martana
27-Sep-19 Agnan Tanjung
Agnan Tanjung
28-Sep-19 Johnson M E
Johnson M E
30-Sep-19 Sugeng A
Sugeng A
30-Sep-19 Enneria Panjaitan
Enneria Panjaitan
30-Sep-19 Teddy Cahyadi T
Teddy Cahyadi T
Teddy Cahyadi T
30-Sep-19 M Syarifuddin, DR, SH, MH
M Syarifuddin, DR, SH, MH
M Syarifuddin, DR, SH, MH
30-Sep-19 Eddy Kurniawan
Eddy Kurniawan
GRAND TOTAL
13,600,000
2,300,000
4,355,000
2,640,000 FIX SESUAI PO SEPTEMBER 2019
22,895,000

STATUS PASIEN KODE BARANG NAMA PRODUK

BPJS CL6XB30 ORIEN Guiding Catheter XB 3.0 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS CL6JL35 ORIEN Guiding Catheter JL 3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6JL35 ORIEN Guiding Catheter JL 3.5 6F
BPJS LPJD503F Manifold
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB35 ORIEN Guiding Catheter XB3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB30 ORIEN Guiding Catheter XB 3.0 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
 BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB35 ORIEN Guiding Catheter XB3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
bpjs LPJD503F Manifold
bpjs LPJG60H High Pressure Extension Tubing 60 cm
bpjs LPJG120H ANGIOWAY High Pressure Extension Tubing 120
bpjs CL6JL35 ORIEN Guiding Catheter JL3.5 6F
bpjs LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB35 ORIEN Guiding Catheter XB3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler CL6XB35 ORIEN Guiding Catheter XB3.5 6F
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
BPJS CL6JL35 ORIEN Guiding Catheter JL3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS CL6XB35 ORIEN Guiding Catheter XB3.5 6F
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
 BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
BPJS LPJD503F Manifold
BPJS LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG60H High Pressure Extension Tubing 60 cm
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
Reguler LPJD503F Manifold
Reguler LPJG120H ANGIOWAY High Pressure Extension Tubing 120
 BARCODE NO LOT TGL ED TOTAL NAMA DOKTER HARGA ASP
LMT000075899 1 800,000
LMT000074295 1 65,000
LMT000079002 1 60,000
LMT000079003 1 60,000
LMT000075953 1 65,000
LMT000079022 1 60,000
LMT000069856 1 100,000
LMT000066265 1 60,000
LMT000075945 1 65,000
LMT000074299 1 65,000
LMT000079017 1 60,000
LMT000074297 1 65,000
LMT000079027 1 60,000
LMT000072702 1 800,000
LMT000075979 1 65,000
LMT000079018 1 60,000
LMT000075952 1 65,000
LMT000072703 1 800,000
LMT000079016 1 60,000
LMT000079894 1 60,000
LMT000075939 1 65,000
lmt000074290 1 65,000
LMT000077037 1 800,000
LMT000074311 1 65,000
LMT000066260 1 60,000
LMT000074304 1 65,000
LMT000074303 1 65,000
LMT000075980 1 65,000
LMT000075902 1 800,000
LMT000074309 1 65,000
LMT000079021 1 60,000
LMT000079024 1 60,000
LMT000074312 1 65,000
LMT000074306 1 65,000
lmt000075981 1 65,000
LMT000074298 1 65,000
LMT000079001 1 60,000
LMT000075947 1 65,000
LMT000075904 1 800,000
lmt000075956 1 65,000
LMT000074302 1 65,000
LMT000075961 1 65,000
LMT000075891 1 800,000
LMT000075944 1 65,000
LMT000075887 1 800,000
LMT000069868 1 100,000
LMT000079019 1 60,000
LMT000080973 1 65,000
LMT000079015 1 60,000
LMT000080981 1 65,000
LMT000080974 1 65,000
LMT000080954 1 65,000
LMT000077029 1 800,000
LMT000080946 1 65,000
LMT000078993 1 60,000
LMT000075948 1 65,000
LMT000078989 1 60,000
LMT000080956 1 65,000
lmt000080982 1 65,000
LMT000080934 1 65,000
LMT000078976 1 60,000
LMT000077038 1 800,000
LMT000080952 1 65,000
LMT000069895 1 100,000
LMT000078974 1 60,000
LMT000080950 1 65,000
LMT000069893 1 100,000
LMT000066211 1 60,000
LMT000080949 1 65,000
LMT000069892 1 100,000
LMT000075888 1 800,000
LMT000080979 1 65,000
LMT000080970 1 65,000
LMT000080958 1 65,000
LMT000069890 1 100,000
LMT000079010 1 60,000
LMT000080961 1 65,000
LMT000069876 1 100,000
LMT000079004 1 60,000
LMT000080955 1 65,000
LMT000069881 1 100,000
LMT000066214 1 60,000
LMT000080948 1 65,000
LMT000069859 1 100,000
LMT000077032 1 800,000
lmt000080962 1 65,000
LMT000077031 1 800,000
LMT000080980 1 65,000
LMT000079013 1 60,000
LMT000078991 1 60,000
LMT000080944 1 65,000
LMT000069852 1 100,000
LMT000072654 1 800,000
LMT000080978 1 65,000
LMT000078998 1 60,000
LMT000080935 1 65,000
lmt000069891 1 100,000
LMT000079030 1 60,000
LMT000080953 1 65,000
LMT000078982 1 60,000
LMT000080983 1 65,000
lmt000069899 1 100,000
LMT000078979 1 60,000
LMT000080936 1 65,000
lmt000069888 1 100,000
LMT000080945 1 65,000
LMT000080942 1 65,000
LMT000077030 1 800,000
lmt000080940 1 65,000
LMT000078978 1 60,000
lmt000080966 1 65,000
LMT000069866 1 100,000
LMT000078985 1 60,000
lmt000080965 1 65,000
LMT000069874 1 100,000
LMT000079026 1 60,000
lmt000080941 1 65,000
LMT000069897 1 100,000
LMT000075889 1 800,000
LMT000079029 1 60,000
lmt000080975 1 65,000
LMT000069855 1 100,000
LMT000072653 1 800,000
lmt000080964 1 65,000
lmt000080938 1 65,000
LMT000075890 1 800,000
LMT000080963 1 65,000
LMT000079006 1 60,000
LMT000079008 1 60,000
LMT000080951 1 65,000
LMT000079033 1 60,000
LMT000078997 1 60,000
LMT000080969 1 65,000
LMT000069858 1 100,000
LMT000080937 1 65,000
LMT000069870 1 100,000
LMT000078990 1 60,000
LMT000069864 1 100,000
LMT000078981 1 60,000
LMT000080943 1 65,000
LMT000079028 1 60,000
LMT000080916 1 65,000
LMT000078995 1 60,000
LMT000080915 1 65,000
LMT000079031 1 60,000
LMT000080947 1 65,000
LMT000069886 1 100,000
LMT000079009 1 60,000
LMT000080928 1 65,000
LMT000080879 1 100,000
LMT000078975 1 60,000
LMT000069867 1 100,000

152 23,695,000
 PASAR REBO Sep-19
Inflation Device with Y-He 10 750,000
HP TUBING 60 CM 34 65,000
HP TUBING 120 CM 21 100,000
BRILLIANT 29 300,000
Orien 18 800,000
Introducer Sochin 11 180,000
MANIFOLD 17 60,000
TOTAL 140

NO TGL PEMAKAIAN NAMA PASIEN

1-Aug-2019 Magdasontha Br
Magdasontha Br
1-Aug-2019 Urip Watinah
1-Aug-2019 Tati Sunarti
Tati Sunarti
2-Aug-2019 Tianur Saragih
2-Aug-2019 Kasum Bin Arsita
6-Aug-2019 Hj.Suyani
6-Aug-2019 Latifah Muhammad B
Latifah Muhammad B
Latifah Muhammad B
7-Aug-2019 Titin Suhartini
Titin Suhartini
Titin Suhartini
Titin Suhartini
Titin Suhartini
7-Aug-2019 Rytha M Panguhalan
7-Aug-2019 Jubaedi Asyikin
Jubaedi Asyikin
8-Aug-2019 Suwandi
Suwandi
8-Aug-2019 Neng Devita Amhar
8-Aug-2019 Lely Herlinawati
Lely Herlinawati
9-Aug-2019 Apong Kurnia
9-Aug-2019 Bambang Sutopo
Bambang Sutopo
Bambang Sutopo
9-Aug-2019 Agus
Agus
9-Aug-2019 Sumarno Sidik
Sumarno Sidik
9-Aug-2019 Halimatul Zuchriah
10-Aug-2019 Leksmadi
Leksmadi
10-Aug-2019 Achmad Alamsyah
10-Aug-2019 Tito Santika
12-Aug-2019 Rukanah
Rukanah
Rukanah
12-Aug-2019 Sujadi
Sujadi
Sujadi
12-Aug-2019 Hasiolan Sinaga
Hasiolan Sinaga
Hasiolan Sinaga
12-Aug-2019 Dwidjo Setyono
13-Aug-2019 Dariaman Simanjuntak
13-Aug-2019 Antonius Supriyo
Antonius Supriyo
Antonius Supriyo
13-Aug-2019 Brata Manggala SE
15-Aug-2019 Selamat Wijaya
Selamat Wijaya
Selamat Wijaya
Selamat Wijaya
15-Aug-2019 Mungtoha Bin Sanip
Mungtoha Bin Sanip
Mungtoha Bin Sanip
Mungtoha Bin Sanip
15-Aug-2019 Mirkamto
16-Aug-2019 Entit
16-Aug-2019 Syafwan
16-Aug-2019 Maryati
Maryati
16-Aug-2019 Singgun
Singgun
20-Aug-2019 Sari Bulan Siregar
Sari Bulan Siregar
20-Aug-2019 Minar Siburian
Minar Siburian
20-Aug-2019 O.M Gultom
O.M Gultom
20-Aug-2019 Poniyem
21-Aug-2019 Ferry Agusta
Ferry Agusta
21-Aug-2019 Maria Tampubolon
Maria Tampubolon
Maria Tampubolon
 Maria Tampubolon
21-Aug-2019 Bambang widi Untoro
Bambang widi Untoro
Bambang widi Untoro
Bambang widi Untoro
21-Aug-2019 Milah
21-Aug-2019 Ahmad
22-Aug-2019 Rakimin
Rakimin
Rakimin
Rakimin
22-Aug-2019 Rohman Rohandi
22-Aug-2019 Moh. Ridwan
Moh. Ridwan
Moh. Ridwan
Moh. Ridwan
Moh. Ridwan
22-Aug-2019 Lilis Haryati
Lilis Haryati
Lilis Haryati
23-Aug-2019 Roemiyati
Roemiyati
23-Aug-2019 Hasiolan Sinaga
Hasiolan Sinaga
24-Aug-2019 Agus Surono
Agus Surono
Agus Surono
Agus Surono
24-Aug-2019 Musa
Musa
Musa
Musa
24-Aug-2019 Yarfan
Yarfan
26-Aug-2019 Billy Stanley Smiith
Billy Stanley Smiith
Billy Stanley Smiith
Billy Stanley Smiith
Billy Stanley Smiith
26-Aug-2019 Nihaya
Nihaya
26-Aug-2019 Imam Fauzie
27-Aug-2019 Rasmi simanullang
27-Aug-2019 Nurdin
28-Aug-2019 Muaja Frederik Hendrik
Muaja Frederik Hendrik
 Muaja Frederik Hendrik
28-Aug-2019 Haris Gunawan
Haris Gunawan
Haris Gunawan
Haris Gunawan
28-Aug-2019 Endang Susiati
Endang Susiati
Endang Susiati
Endang Susiati
29-Aug-2019 Adi Wahyu Nasution
30-Aug-2019 Tapsir Bin Suwaryo
Tapsir Bin Suwaryo
30-Aug-2019 Mursiti ZR
30-Aug-2019 Wiyanto
30-Aug-2019 Dedi Supriadi
GRAND TOTAL
7,500,000
2,210,000
2,100,000
8,700,000
14,400,000
1,980,000
1,020,000
37,910,000

STATUS PASIEN KODE BARANG

BPJS FS061138-SJ
BPJS LPJG60H
BPJS FS061138-SJ
BPJS FS061138-SJ
BPJS RSC061121-SS
BPJS LPJG60H
BPJS LPJG60H
BPJS LPJG60H
BPJS FS061135-SJ45
BPJS LPJD503F
BPJS RSC061121-SS
BPJS CL6JR35
BPJS LPJG60H
BPJS LPJG120H
BPJS LPJD503F
BPJS RSC061121-SS
BPJS RSC061121-SS
BPJS LPJD503F
BPJS RSC061121-SS
BPJS LPJG60H
BPJS RSC061121-SS
BPJS RSC061121-SS
BPJS RSC061121-SS
BPJS LPJG120H
BPJS LPJG60H
BPJS LPJD503F
BPJS LPJG120H
BPJS CL6XB35
BPJS LPJD503F
BPJS LPJG120H
BPJS LPJD503F
BPJS LPJG60H
BPJS LPJG120H
BPJS RSC061121-SS
BPJS LPJG120H
BPJS LPJG120H
BPJS CL6JR35
BPJS LP-P-30S-YNP25
BPJS LPJD503F
BPJS RSC061121-SS
BPJS LPJD503F
BPJS LPJG60H
BPJS LPJG120H
BPJS LPJD503F
BPJS LPJG60H
BPJS LPJG120H
BPJS RSC061121-SS
BPJS LPJD503F
BPJS LPJG60H
BPJS LPJG120H
BPJS CL6JR35
BPJS CL6JR35
BPJS LP-P-30S-YNP25
BPJS LPJD503F
BPJS RSC061121-SS
BPJS LPJG60H
BPJS RSC061121-SS
BPJS FS061135-SJ45
BPJS CL6JL35
BPJS LPJG60H
BPJS RSC061121-SS
BPJS LPJG60H
BPJS LPJG60H
BPJS LPJG60H
BPJS LPJG120H
BPJS LPJG60H
BPJS LPJG120H
BPJS LP-P-30S-YNP25
BPJS CL6JL35
BPJS RSC061121-SS
BPJS CL6JR35
BPJS LPJG60H
BPJS CL6JL40
BPJS LPJG60H
BPJS LP-P-30S-YNP25
BPJS RSC061121-SS
BPJS RSC061121-SS
BPJS FS061135-SJ45
BPJS LPJG60H
BPJS LPJG120H
BPJS RSC061121-SS
BPJS LPJG60H
BPJS CL6JR35
BPJS LPJG120H
BPJS FS061135-SJ45
BPJS LPJG60H
BPJS LP-P-30S-YNP25
BPJS CL6JR35
BPJS RSC061121-SS
BPJS FS061135-SJ45
BPJS RSC061121-SS
BPJS RSC061121-SS
BPJS CL6AR10
BPJS CL6JR35
BPJS CL6JL40
BPJS LPJG120H
BPJS LPJG60H
BPJS LPJG120H
BPJS RSC061121-SS
BPJS LPJG120H
BPJS CL6JL35
BPJS LPJG60H
BPJS CL6JL35
BPJS LP-P-30S-YNP25
BPJS LPJD503F
BPJS LPJG60H
BPJS RSC061121-SS
BPJS LP-P-30S-YNP25
BPJS LPJG60H
BPJS LPJD503F
BPJS RSC061121-SS
BPJS LPJD503F
BPJS FS061135-SJ45
BPJS LP-P-30S-YNP25
BPJS LPJD503F
BPJS LPJG60H
BPJS FS061135-SJ45
BPJS LPJG120H
BPJS LPJD503F
BPJS FS061135-SJ45
BPJS RSC061121-SS
BPJS LPJG60H
BPJS LPJG60H
BPJS RSC061121-SS
BPJS LPJG60H
BPJS LPJG120H
BPJS RSC061121-SS
BPJS LPJG60H
BPJS LPJG120H
BPJS CL6JR35
BPJS RSC061121-SS
BPJS LP-P-30S-YNP25
BPJS LPJG120H
BPJS LPJD503F
BPJS RSC061121-SS
BPJS LP-P-30S-YNP25
BPJS CL6JR35
BPJS LPJG60H
BPJS LPJG60H
BPJS LPJG60H
 NAMA PRODUK BARCODE
Sheath Introducer (Femoral 6F, Length 11 cm, 0,038")-SJ lmt000047520
High Pressure Extension Tubing 60 cm lmt000075015
Sheath Introducer (Femoral 6F, Length 11 cm, 0,038")-SJ lmt000047519
Sheath Introducer (Femoral 6F, Length 11 cm, 0,038")-SJ lmt000047551
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074960
High Pressure Extension Tubing 60 cm lmt000075000
High Pressure Extension Tubing 60 cm lmt000075001
High Pressure Extension Tubing 60 cm lmt000075002
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ LMT000045822
Manifold lmt000065147
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000071346
ORIEN Guiding Catheter JR3.5 6F lmt000076981
High Pressure Extension Tubing 60 cm lmt000075003
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070215
Manifold lmt000065222
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000071347
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000071349
Manifold lmt000065208
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000071350
High Pressure Extension Tubing 60 cm lmt000074994
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000071348
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074974
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074973
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070204
High Pressure Extension Tubing 60 cm lmt000075008
Manifold lmt000065212
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070213
ORIEN Guiding Catheter XB3.5 6F LMT000035556
Manifold lmt000065214
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070210
Manifold lmt000065887
High Pressure Extension Tubing 60 cm lmt000075019
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070234
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074972
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070222
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070235
ORIEN Guiding Catheter JR3.5 6F lmt000076982
Inflation Device with Y-Hemostasis Valve lmt000077449
Manifold lmt000065225
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074971
Manifold lmt000065221
High Pressure Extension Tubing 60 cm lmt000074993
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069506
Manifold lmt000065217
High Pressure Extension Tubing 60 cm lmt000074991
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069550
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074970
Manifold lmt000065230
High Pressure Extension Tubing 60 cm lmt000074983
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069536
ORIEN Guiding Catheter JR3.5 6F lmt000076983
ORIEN Guiding Catheter JR3.5 6F lmt000076984
Inflation Device with Y-Hemostasis Valve lmt000077445
Manifold lmt000065215
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074969
High Pressure Extension Tubing 60 cm lmt000074992
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074968
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ
ORIEN Guiding Catheter Jl3.5 6F lmt000077425
High Pressure Extension Tubing 60 cm lmt000074999
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074967
High Pressure Extension Tubing 60 cm lmt000074998
High Pressure Extension Tubing 60 cm lmt000074997
High Pressure Extension Tubing 60 cm lmt000074996
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069549
High Pressure Extension Tubing 60 cm lmt000074995
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069501
Inflation Device with Y-Hemostasis Valve lmt000077454
ORIEN Guiding Catheter JL3.5 6F lmt000077428
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074966
ORIEN Guiding Catheter JR3.5 6F lmt000076980
High Pressure Extension Tubing 60 cm lmt000075004
ORIEN Guiding Catheter JL4.0 6F lmt000054423
High Pressure Extension Tubing 60 cm lmt000075005
Inflation Device with Y-Hemostasis Valve lmt000077451
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077295
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000074965
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ LMT000045823
High Pressure Extension Tubing 60 cm lmt000075007
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069524
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077294
High Pressure Extension Tubing 60 cm lmt000075009
ORIEN Guiding Catheter JR3.5 6F lmt000063520
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069507
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ LMT000045821
High Pressure Extension Tubing 60 cm lmt000075006
Inflation Device with Y-Hemostasis Valve lmt000077448
ORIEN Guiding Catheter JR3.5 6F lmt000074956
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077297
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ LMT000045825
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077296
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077298
ORIEN Guiding Catheter AR1.0 6F lmt000072598
ORIEN Guiding Catheter JR3.5 6F lmt000074957
ORIEN Guiding Catheter JL4.0 6F lmt000073142
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069509
High Pressure Extension Tubing 60 cm lmt000075016
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069540
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077303
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070205
ORIEN Guiding Catheter JL3.5 6F lmt000077426
High Pressure Extension Tubing 60 cm lmt000075018
ORIEN Guiding Catheter JL3.5 6F lmt000077430
Inflation Device with Y-Hemostasis Valve lmt000077447
Manifold lmt000065218
High Pressure Extension Tubing 60 cm lmt000074989
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077302
Inflation Device with Y-Hemostasis Valve lmt000077453
High Pressure Extension Tubing 60 cm lmt000074988
Manifold lmt000065146
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077301
Manifold lmt000065227
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ LMT000045813
Inflation Device with Y-Hemostasis Valve lmt000075034
Manifold lmt000065209
High Pressure Extension Tubing 60 cm lmt000074987
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ lmt000045814
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069533
Manifold lmt000065220
Sheath Introducer (Femoral 6F, Length 11 cm, 0,035")-SJ lmt000045815
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS LMT000077300
High Pressure Extension Tubing 60 cm lmt000074986
High Pressure Extension Tubing 60 cm lmt000074984
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077284
High Pressure Extension Tubing 60 cm lmt000074982
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069542
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077285
High Pressure Extension Tubing 60 cm lmt000074985
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000069530
ORIEN Guiding Catheter JR3.5 6F lmt000074958
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS LMT000077299
Inflation Device with Y-Hemostasis Valve lmt000077452
ANGIOWAY High Pressure Extension Tubing 120 cm lmt000070233
Manifold lmt000065150
BRILLIANT Introducer KITs (Radial 6F, Length 11 cm, 0,021") SS lmt000077286
Inflation Device with Y-Hemostasis Valve LMT000077446
ORIEN Guiding Catheter JR3.5 6F LMT000074959
High Pressure Extension Tubing 60 cm LMT000074981
High Pressure Extension Tubing 60 cm LMT000074980
High Pressure Extension Tubing 60 cm LMT000075023
 NO LOT TGL ED TOTAL NAMA DOKTER ASP
201702005 1 Dr. Sidhi 180,000
201904005 10-Apr-2022 1 Dr. Sidhi 65,000
201702005 1 Dr. Sidhi 180,000
201702005 1 Dr. Sidhi 180,000
201905604 1 Dr. Sidhi 300,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201904005 10-Apr-2022 1 Dr.Hera 65,000
201807045 30-Jul-2021 1 Dr. Sidhi 180,000
201903001 2-Mar-2022 1 Dr. Sidhi 60,000
201903615 15-Mar-2022 1 Dr. Sidhi 300,000
201901011 16-Jan-2022 1 Dr. Sidhi 800,000
201904005 10-Apr-2022 1 Dr. Sidhi 65,000
201903008 21-Mar-2022 1 Dr. Sidhi 100,000
201903001 2-Mar-2022 1 Dr. Sidhi 60,000
201903615 15-Mar-2022 1 Dr. Sidhi 300,000
201903615 15-Mar-2022 1 Dr. Sidhi 300,000
201903001 2-Mar-2022 1 Dr. Sidhi 60,000
201903615 15-Mar-2022 1 Dr. Sidhi 300,000
201904005 10-Apr-2022 1 Dr. Sidhi 65,000
201903615 15-Mar-2022 1 Dr. Sidhi 300,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201903008 21-Mar-2022 1 Dr. Sidhi 100,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201705009 1 Dr.Yahya 800,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201903008 21-Mar-2022 1 Dr. Sidhi 100,000
201903008 21-Mar-2022 1 100,000
201901011 16-Jan-2022 1 800,000
201905005 8-May-2022 1 Dr. Sidhi 750,000
201903001 2-Mar-2022 1 Dr. Sidhi 60,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201903001 2-Mar-2022 1 Dr.Yahya 60,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201901011 16-Jan-2022 1 Dr.Yahya 800,000
201901011 16-Jan-2022 1 Dr.Yahya 800,000
201905005 8-May-2022 1 Dr. Sidhi 750,000
201903001 2-Mar-2022 1 Dr. Sidhi 60,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201904005 10-Apr-2022 1 Dr. Sidhi 65,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201807045 30-Jul-2021 1 Dr. Sidhi 180,000
201905020 1 Dr. Sidhi 800,000
201904005 10-Apr-2022 1 Dr. Sidhi 65,000
201905604 9-May-2022 1 Dr. Sidhi 300,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201904005 10-Apr-2022 1 Dr.Yahya 65,000
201903008 21-Mar-2022 1 Dr.Yahya 100,000
201905005 8-May-2022 1 750,000
201905020 1 800,000
201905604 9-May-2022 1 300,000
201901011 16-Jan-2022 1 800,000
201904005 10-Apr-2022 1 65,000
20180007 1 800,000
201904005 10-Apr-2022 1 65,000
201905005 8-May-2022 1 750,000
201905604 9-May-2022 1 300,000
201905604 9-May-2022 1 300,000
201807045 30-Jul-2021 1 180,000
201904005 10-Apr-2022 1 65,000
201903008 21-Mar-2022 1 100,000
201905604 9-May-2022 1 300,000
201904005 10-Apr-2022 1 65,000
201903046 1 800,000
201903008 21-Mar-2022 1 100,000
201807045 30-Jul-2021 1 180,000
201904005 10-Apr-2022 1 65,000
201905005 8-May-2022 1 750,000
201905021 1 800,000
201905604 9-May-2022 1 300,000
201807045 30-Jul-2021 1 180,000
201905604 9-May-2022 1 300,000
201905604 9-May-2022 1 300,000
201904002 16-Jan-2022 1 800,000
201905021 1 800,000
201904005 1 800,000
201903008 21-Mar-2022 1 100,000
201904005 10-Apr-2022 1 65,000
201903008 21-Mar-2022 1 100,000
201905604 9-May-2022 1 300,000
201903008 21-Mar-2022 1 100,000
201905020 1 800,000
201904005 10-Apr-2022 1 65,000
201905020 1 800,000
201905005 8-May-2022 1 750,000
201903001 2-Mar-2022 1 60,000
201904005 10-Apr-2022 1 65,000
201905604 9-May-2022 1 300,000
201905005 8-May-2022 1 750,000
201904005 10-Apr-2022 1 65,000
201903001 2-Mar-2022 1 60,000
201905604 9-May-2022 1 300,000
201903001 2-Mar-2022 1 60,000
201807045 30-Jul-2021 1 180,000
201905005 8-May-2022 1 750,000
201903001 2-Mar-2022 1 60,000
201904005 10-Apr-2022 1 65,000
201807045 30-Jul-2021 1 180,000
201903008 21-Mar-2022 1 100,000
201903001 2-Mar-2022 1 60,000
201807045 30-Jul-2021 1 180,000
201905604 9-May-2022 1 300,000
201904005 10-Apr-2022 1 65,000
201904005 10-Apr-2022 1 65,000
201905604 9-May-2022 1 300,000
201904005 10-Apr-2022 1 65,000
201903008 21-Mar-2022 1 100,000
201905604 9-May-2022 1 300,000
201904005 10-Apr-2022 1 65,000
201903008 21-Mar-2022 1 100,000
201905021 17-May-2022 1 800,000
201905604 9-May-2022 1 300,000
201905005 8-May-2022 1 750,000
201903008 21-Mar-2022 1 100,000
201903001 2-Mar-2022 1 60,000
201905604 9-May-2022 1 300,000
201905005 8-May-2022 1 750,000
201905021 17-May-2022 1 800,000
201904005 10-Apr-2022 1 65,000
201904005 10-Apr-2022 1 65,000
201904005 10-Apr-2022 1 65,000

140 37,910,000
 BUDI ASIH Sep-19
Orien 9 800,000
Inflation Device with Y-He 4 750,000
HP-TUBING 60 6 65,000
HP-TUBING 120 6 100,000
Inflation Device 2 450,000
Ynp20 4 115,000
Manifold 2 60,000
TOTAL 33

NO TGL PEMAKAIAN NAMA PASIEN

1 4-Sep-19 Siti Wuryaningsih
Siti Wuryaningsih
Siti Wuryaningsih
Siti Wuryaningsih
Siti Wuryaningsih
Siti Wuryaningsih
2 4-Sep-19 Tasiman
Tasiman
3 5-Sep-19 TATAY HERMAWAN
TATAY HERMAWAN
TATAY HERMAWAN
TATAY HERMAWAN
TATAY HERMAWAN
4 8-Sep-19 Vincentius Stef Karel
5 12-Sep-19 H Abdurahim
H Abdurahim
H Abdurahim
H Abdurahim
H Abdurahim
6 18-Sep-19 Wasiem
Wasiem
Wasiem
Wasiem
Wasiem
7 18-Sep-19 Aris Wibowo
Aris Wibowo
Aris Wibowo
Aris Wibowo
 Aris Wibowo
8 19-Sep-19 HERNI MANIK
HERNI MANIK
HERNI MANIK
HERNI MANIK
HERNI MANIK
GRAND TOTAL
7,200,000
3,000,000
390,000
600,000
900,000
460,000
120,000
12,670,000

STATUS PASIEN KODE BARANG

BPJS CL6JR35
BPJS CL6XB35
BPJS LP-P-30S-YNP25
BPJS LPJD503F
BPJS LPJG60H
BPJS LPJG120H
BPJS CL6XB35
BPJS LP-P-30S-YNP25
BPJS CL6XB35
BPJS LP-P-30S-YNP25
BPJS LPJG60H
BPJS LPJG120H
BPJS LPJD503F
BPJS CL6XB30
BPJS CL6XB35
BPJS LP-P-30S
BPJS LPJG60H
BPJS LPJG120H
BPJS ynp20
BPJS CL6XB35
BPJS LP-P-30S
BPJS LPJG60H
BPJS LPJG120H
BPJS ynp20
BPJS CL6JR35
BPJS LP-P-30S-YNP20H
BPJS LPJG60H
BPJS LPJG120H
BPJS ynp20
BPJS CL6XB35
BPJS LP-P-30S-YNP20H
BPJS LPJG60H
BPJS LPJG120H
BPJS ynp20
 NAMA PRODUK BARCODE NO LOT
ORIEN Guiding Catheter JR 3.5 6F LMT000079036 201905021
ORIEN Guiding Catheter XB 3.5 6F LMT000079560 201905023
Inflation Device kit Ynp25 lmt000078853 201905005
Manifold LMT000080088 201905001
High Pressure Extension Tubing 60 cm LMT000080067 201904005
ANGIOWAY High Pressure Extension Tubing 120 cm LMT000080077 201906002
ORIEN Guiding Catheter XB 3.5 6F lmt000079559 201905023
Inflation Device kit Ynp25 lmt000078852 201905005
ORIEN Guiding Catheter XB 3.5 6F LMT000079558 201905023
Inflation Device Kits LMT000078854 201905005
High Pressure Extension Tubing 60 cm LMT000080074 201904005
High Pressure Extension Tubing 120 cm LMT000080084 201906002
Manifolds LMT000077600 201905001
ORIEN Guiding Catheter XB 3.0 6F lmt000077607 201905022
ORIEN Guiding Catheter XB 3.5 6F lmt000079554 201905023
Inflation Device lmt000077585 201905001
High Pressure Extension Tubing 60 cm LMT000077593 201904005
ANGIOWAY High Pressure Extension Tubing 120 cm LMT000077596 201906002
Y- Hemostasis Valve Set 20cm lmt000052092 201808003
ORIEN Guiding Catheter XB 3.5 6F LMT000079557 201905023
Inflation Device LMT000077587 201905001
High Pressure Extension Tubing 60 cm LMT000080069 201904005
ANGIOWAY High Pressure Extension Tubing 120 cm LMT000080075 201906002
Y- Hemostasis Valve Set 20cm LMT000052094 201808003
ORIEN Guiding Catheter JR 3.5 6F LMT000079037 201905021
Inflation Device Kits LMT000050303 201703010
High Pressure Extension Tubing 60 cm LMT000080070 201904005
ANGIOWAY High Pressure Extension Tubing 120 cm LMT000080076 201906002
Y- Hemostasis Valve Set 20cm LMT000052095 201808003
ORIEN Guiding Catheter XB 3.5 6F LMT000079553 201905023
Inflation Device Kits LMT000050305 201703010
High Pressure Extension Tubing 60 cm LMT000080073 201904005
ANGIOWAY High Pressure Extension Tubing 120 cm LMT000080082 201906002
Y- Hemostasis Valve Set 20cm LMT000052091 201808003
 TGL ED TOTAL NAMA DOKTER ASP
17/5/2022 1 Dr.noel- Dr.rizky 800,000
17/05/2022 1 Dr.noel- Dr.rizky 800,000
5-Aug-2022 1 Dr.noel- Dr.rizky 750,000
5-Oct-2021 1 Dr.noel- Dr.rizky 60,000
4-Oct-2022 1 Dr.noel- Dr.rizky 65,000
6-Jul-2022 1 Dr.noel- Dr.rizky 100,000
17/05/2022 1 Dr.noel- Dr.rizky 800,000
5-Aug-2022 1 Dr.noel- Dr.rizky 750,000
17/05/2022 1 Dr.Noel 800,000
8-May-2022 1 Dr.Noel 750,000
10-Apr-2022 1 Dr.Noel 65,000
7-Jun-2022 1 Dr.Noel 100,000
10-May-2022 1 Dr.Noel 60,000
17/5/2022 1 Dr.Noel 800,000
17/05/2022 1 Dr.Noel-Dr.Bachtiar 800,000
5-Aug-2022 1 Dr.Noel-Dr.Bachtiar 450,000
4-Oct-2022 1 Dr.Noel-Dr.Bachtiar 65,000
6-Jul-2022 1 Dr.Noel-Dr.Bachtiar 100,000
8-Feb-2021 1 Dr.Noel-Dr.Bachtiar 115,000
17/05/2022 1 Dr.Noel 800,000
5-Aug-2022 1 Dr.Noel 450,000
4-Oct-2022 1 Dr.Noel 65,000
6-Jul-2022 1 Dr.Noel 100,000
8-Feb-2021 1 Dr.Noel 115,000
17/5/2022 1 Dr.Noel 800,000
27-Mar-2020 1 Dr.Noel 750,000
4-Oct-2022 1 Dr.Noel 65,000
6-Jul-2022 1 Dr.Noel 100,000
 8-Feb-2021 1 Dr.Noel 115,000
17-May-2022 1 Dr.Noel 800,000
27-Mar-2020 1 Dr.Noel 750,000
4-Oct-2022 1 Dr.Noel 65,000
6-Jul-2022 1 Dr.Noel 100,000
8-Feb-2021 1 Dr.Noel 115,000

34 13,420,000
 PONDOK INDAH Sep-19 GRAND TOTAL
Orien 16 800,000 12,800,000
Introducer Shocin 3 180,000 540,000
19 TOTAL 13,340,000

NO TGL PEMAKAIAN NAMA PASIEN STATUS PASIEN

1 14-Aug-19 Requeena abigal REGULER
Requeena abigal REGULER
2 14-Aug-19 Budi wiyono REGULER
3 15-Aug-19 Paul Benny Kumara REGULER
Paul Benny Kumara REGULER
4 16-Aug-19 Jimmy Berendhuysen REGULER
5 17-Aug-19 Didit Wahyu REGULER
6 23-Aug-19 Husnedi REGULER
7 23-Aug-19 Denny Triyanto REGULER
8 28-Aug-19 M. Yusuf Arifin REGULER
9 2-Sep-19 Claudien catherine REGULER
10 3-Sep-19 AL AMIEN ANGWAS SAPUTRA REGULER
AL AMIEN ANGWAS SAPUTRA REGULER
AL AMIEN ANGWAS SAPUTRA REGULER
11 4-Sep-19 YUTAKA KUROI REGULER
REGULER
KODE BARANG NAMA PRODUK BARCODE NO LOT
CL5JR35 ORIEN Guiding Catheter JR 3.5 5F LMT000054463 201711003
CL6JR35 ORIEN Guiding Catheter JR 3.5 6F LMT000063517 201903046
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000045865
CL6JR35 ORIEN Guiding Catheter JR 3.5 6F lmt000073012 201904004
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000045864
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000049539
CL6JR35 ORIEN Guiding Catheter JR 3.5 6F LMT000073011 201904004
CL6JR35 ORIEN Guiding Catheter JR 3.5 6F lmt000073013 201904004
CL6XB35 ORIEN Guiding Catheter XB 3.5 6F LMT000072412 201904007
CL5JR35 ORIEN Guiding Catheter JR 3.5 5F lmt000056456 201810002
CL6JR35 ORIEN Guiding Catheter JR3.5 6F LMT000078442 201901011
CL6XB35 ORIEN Guiding Catheter XB 3.5 6F LMT000078436 201905023
CL6JR35 ORIEN Guiding Catheter JR 3.5 6F LMT000078443 201901011
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000045862 201807045
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000045863
FS061135-SJ Sheath Introducer (Femoral 6F, Length 11 cm, 0,035" LMT000045861

SALES SEPTEMBER 2019 RPIN-10

TGL ED TOTAL NAMA DOKTER ASP
1 Dr. Taufik.P 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 180,000 STOCK DI PINANG RANTI
1 Dr. Yahya 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 180,000 STOCK DI PINANG RANTI
1 Dr. Taufik.P 180,000 SUDAH DI USAGE SISTEM
1 Dr. Wishnu 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 800,000 SUDAH DI USAGE SISTEM
1 Dr. Taufik.P 800,000 SUDAH DI USAGE SISTEM
1 Dr. Wishnu 800,000 ADA
1 Dr. Wishnu 800,000 ADA
1 Dr. Wishnu 800,000 ADA
44407 1 Dr. Wishnu 180,000 STOCK DI PINANG RANTI
1 DR.FAISAL 180,000 STOCK DI PINANG RANTI
1 DR.FAISAL 180,000

16 9,080,000
MITRA DEPOK Sep-19

Orien 6 800,000

6 TOTAL

NO TGL PEMAKAIAN NAMA PASIEN

1 16-Jul-19 KOSIM
2 2-Aug-19 DJUNAEDI
DJUNAEDI
3 6-Sep-19 FENNY ZULBAKTI
FENNY ZULBAKTI
4 7-Sep-19 BAMBANG PRAMUDI
GRAND TOTAL

4,800,000

4,800,000 FIX SESUAI PO SEPTEMBER 2019

STATUS PASIEN KODE BARANG NAMA PRODUK BARCODE

BPJS CL6JR35 ORIEN Guiding Catheter JR 3.5 6F lmt000063487
BPJS CL6XB35 ORIEN Guiding Catheter XB 3.5 6F lmt000072426
BPJS CL6JR35 ORIEN Guiding Catheter JR 3.5 6F lmt000063489
BPJS CL6XB35 ORIEN Guiding Catheter XB 3.5 6F LMT000072425
BPJS CL6XB40 ORIEN Guiding Catheter XB 4.0 6F lmt000013407
BPJS CL6XB30 ORIEN Guiding Catheter XB 3.0 6F lmt000073191
 NO LOT TGL ED TOTAL NAMA DOKTER ASP
201903046 20-Mar-2022 1 YAHYA 800,000
201904007 12-Apr-2022 1 YAHYA 800,000
201903046 20-Mar-2022 1 YAHYA 800,000
201904007 12-Apr-2022 1 WISHNU 800,000
201710018 18-Oct-2020 1 WISHNU 800,000
201904006 12-Apr-2022 1 WISHNU 800,000

6 4,800,000
USAGE 30/9- 22.00
USAGE 30/9- 22.00
USAGE 30/9- 22.00
USAGE 30/9- 22.00
USAGE 30/9- 22.00
USAGE 30/9- 22.00
 HARAPAN BUNDA Sep-19
HP-TUBING 60 2 65,000
HP-TUBING 120 1 100,000
Manifold 2 60,000
Introducer Shocin 1 180,000
RAY BAND 3 180,000
9 TOTAL

NO TGL PEMAKAIAN NAMA PASIEN

1 10-Sep-19 IMAM BAIHAQI
IMAM BAIHAQI
2 23-Sep-19 HIDAYAT WAHYUDI
HIDAYAT WAHYUDI
HIDAYAT WAHYUDI
24-Sep-19 HJ ICIH
HJ ICIH
HJ ICIH
HJ ICIH
GRAND TOTAL
130,000
100,000
120,000
180,000
540,000
1,070,000

STATUS PASIEN KODE BARANG NAMA PRODUK

REGULER YPR20XL Radial Artery Compression Tourniquet 20XL
REGULER LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
REGULER LPJD503F Manifold
REGULER YPR20XL Radial Artery Compression Tourniquet 20XL
REGULER LPJG60H High Pressure Extension Tubing 60 cm/1200 PSI
REGULER LPJD503F Manifold
REGULER YPR20XL Radial Artery Compression Tourniquet 20XL
REGULER LPJG120H High Pressure Extension Tubing 120 cm/1200 PSI
REGULER FS061138-SJ45 Introducer Kit Femoral
 BARCODE NO LOT TGL ED TOTAL NAMA DOKTER ASP
lmt000042631 201806022 19/06/2021 1 Dr.Sidhi Laksono 180,000
lmt000016598 201705003 9/5/2020 1 Dr.Sidhi Laksono 65,000
LMT000018480 201905001 10/5/2021 1 60,000
LMT000042654 201806022 19/06/2021 1 Dr.Sidhi Laksono 180,000
LMT000016590 201705003 9/5/2020 1 Dr.Sidhi Laksono 65,000
LMT000018476 201905001 10/5/2021 1 60,000
LMT000042653 201806022 19/06/2021 1 Dr.Sidhi Laksono 180,000
LMT000070131 201705003 9/5/2020 1 Dr.Sidhi Laksono 100,000
lmt000041788 1 180,000

9 1,070,000
 FATMAWATI Sep-19
BRILLIANT 51 300,000
Introducer Shocin 10 180,000
Ynp20 30 115,000
TOTAL 91

NO TGL PEMAKAIAN NAMA PASIEN

16-Apr-2019 Jumar
18-Apr-2019 Warsih Hungawai
23-Apr-2019 Eko Supriyanto

23-Apr-2019 H.M Aulia Wasal

3-May-2019 Udin Setiadi

6-May-2019 RR Siti Laila
10-May-2019 Dedi Mulyadi
14-May-2019 Saeroji
17-May-2019 Timmy Tulusan
17-May-2019 Mariam
24-May-2019 Chairul Iskandar
24-May-2019 Wisnu Wardono
28-May-2019 Oyoh Rokayah

31-May-2019 Ahmad Mulyani

31-May-2019 Antonius Soegeng
12-Jun-2019 Emma Salamah
20-Jun-2019 Irwan Sumarno

20-Jun-2019 Salfitriwati Aruan

25-Jun-2019 Suwarsi Supriyono
25-Jun-2019 Robert Silalahi
2-Jul-2019 Syamsuddin Noor
3-Jul-2019 Endeh Badri

3-Jul-2019 Saruah
8-Jul-2019 Maisaroh Mugeni

8-Jul-2019 Panti D Pangabean

9-Jul-2019 Marali
 15-Jul-2019 Saeroji
16-Jul-2019 Jubaidah Mardjuki
22-Jul-2019 Riagung Saputra

22-Jul-2019 Dedi Mulyadi

22-Jul-2019 Iskandar
23-Jul-2019 Suwarsih
24-Jul-2019 Sugiatmo
26-Jul-2019 Asnali S
26-Jul-2019 Ell Daniel
29-Jul-2019 Ulun Legiwirmada
30-Jul-2019 Nufus Lagovinda
Nufus Lagovinda
2-Aug-2019 Oke Rustanto
2-Aug-2019 Ajat Sudrajat
5-Aug-2019 Rachmawaty
5-Aug-2019 Siti Naimah
6-Aug-2019 Sri Cahyaningsih
9-Aug-2019 Sahid
9-Aug-2019 Wisnu Wardono
USAGE/2019/001058 30-Aug-2019 Bambang Rahardjono
5-Sep-2019 Agus Budi Yadi
6-Sep-2019 Siti Patimah
9-Sep-2019 Abdul Hadi
9-Sep-2019 Hidayat Djalil
Hidayat Djalil
9-Sep-2019 Paino Martopawiro
9-Sep-2019 Achmad Muslim

USAGE/2019/001054 9-Sep-2019 Sartun Djait

USAGE/2019/001053 12-Sep-2019 Nurus Sobah
USAGE/2019/001052 13-Sep-2019 Athina Angelita
USAGE/2019/001057 13-Sep-2019 Upit Udin
USAGE/2019/001056 16-Sep-2019 Suyatno
USAGE/2019/001055 17-Sep-2019 Muhammad Ivan F
18-Sep-2019 Munasir

28-Aug-2019 beli putus

USAGE/2019/001052 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001053 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001054 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001057 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001055 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001056 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001058 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001062 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001063 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
USAGE/2019/001064 [RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RSC060721-HS45-IN20-K-S] BRILLRFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
USAGE/2019/001065 [RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RS060721 - SS45 - IN20 - K - S] RFAT-10/Stock
[RSC060721-SS45-IN22-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
 [RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock
[RSC070725-SS45-IN20-K-S] BRILL RFAT-10/Stock

USAGE/2019/001067 [LPJD503F] ANGIOWAY MANIFOLDRFAT-10/Stock

50
USAGE/2019/001067 [LPJD503F] ANGIOWAY MANIFOLDRFAT-10/Stock
50
USAGE/2019/001067 [LPJD503N] ANGIOWAY MANIFOLDRFAT-10/Stock
5
USAGE/2019/001067 [LPJD503N] ANGIOWAY MANIFOLDRFAT-10/Stock
5
USAGE/2019/001067 [YNP20] ANGIOWAY Y-HEMOSTASIS
RFAT-10/Stock
USAGE/2019/001067 [YNP20] ANGIOWAY Y-HEMOSTASIS
RFAT-10/Stock
USAGE/2019/001067 [YNP25] ANGIOWAY Y-HEMOSTASIS
RFAT-10/Stock
USAGE/2019/001067 [YNP25] ANGIOWAY Y-HEMOSTASIS
RFAT-10/Stock

[LPJG60H] ANGIOWAY HIGH PRESSU

RFAT-10/Stock
GRAND TOTAL
15,300,000
1,800,000
3,450,000
20,550,000

STATUS PASIEN KODE BARANG

BPJS RS060721 - SS45
BPJS RS060721 - SS45
BPJS RS060721 - SS45

BPJS RS060721 - SS45

BPJS RS060721 - SS45

BPJS RS060721 - SS45
BPJS RS060721 - SS45
BPJS RS060721 - SS45
BPJS RS060721 - SS45
BPJS RS060721 - SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45

BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45

BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45

BPJS RSC060721-SS45
BPJS RSC060721-SS45

BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC071121-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC071121-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC071121-SS45

BPJS RSC060721-HS45-IN20-K-S
BPJS RSC060721-HS45-IN20-K-S
BPJS RSC060721-HS45-IN20-K-S
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC060721-SS45
BPJS RSC071121-SS45

BPJS YNP20CM
[201905602] LMT000077168 9/30/2019 22:00
[201905602] LMT000077169 9/30/2019 22:00
[201905602] LMT000077173 9/30/2019 22:00
[201905602] LMT000077174 9/30/2019 22:00
[201905602] LMT000077175 9/30/2019 22:00
[201905602] LMT000077176 9/30/2019 22:00
[201905602] LMT000077177 9/30/2019 22:00
[201905602] LMT000077178 9/30/2019 22:00
[201905602] LMT000077180 9/30/2019 22:00
[201905602] LMT000077182 9/30/2019 22:00
[201905602] LMT000080654 9/30/2019 22:00
[201905602] LMT000080655 9/30/2019 22:00
[201905602] LMT000080656 9/30/2019 22:00
[201905602] LMT000080657 9/30/2019 22:00
[201905602] LMT000080658 9/30/2019 22:00
[201905602] LMT000080659 9/30/2019 22:00
[201905602] LMT000080660 9/30/2019 22:00
[201905602] LMT000080661 9/30/2019 22:00
[201905602] LMT000080662 9/30/2019 22:00
[201905602] LMT000080663 9/30/2019 22:00
[201905602] LMT000080664 9/30/2019 22:00
[201905602] LMT000080665 9/30/2019 22:00
[201905602] LMT000080666 9/30/2019 22:00
[201905602] LMT000080667 9/30/2019 22:00
[201905602] LMT000080668 9/30/2019 22:00
[201905602] LMT000080669 9/30/2019 22:00
[201905602] LMT000080670 9/30/2019 22:00
[201905602] LMT000080671 9/30/2019 22:00
[201905602] LMT000080672 9/30/2019 22:00
[201905602] LMT000080673 9/30/2019 22:00
[201807053] LMT000041600 11/26/2019 19:36
[201807053] LMT000045991 12/11/2019 16:07
[201807053] LMT000045992 12/11/2019 16:07
[201807053] LMT000045993 12/11/2019 16:07
[201807053] LMT000055285 12/11/2019 16:07
[201905603] LMT000087534 12/11/2019 16:07
[201905603] LMT000087535 12/11/2019 16:07
[201905602] LMT000077165 11/29/2019 14:54
[201704634] LMT000006149 9/30/2019 22:00
[201704634] LMT000006154 9/30/2019 22:00
[201704634] LMT000006187 9/30/2019 22:00
[201704634] LMT000006199 9/30/2019 22:00
[201704634] LMT000006116 9/30/2019 22:00
[201706619] LMT000049391 9/30/2019 22:00
[201706619] LMT000049394 9/30/2019 22:00

[201903001] LMT000065931 9/30/2019 22:00

[201903001] LMT000065940 9/30/2019 22:00
[201705006] LMT000015927 9/30/2019 22:00
[201705006] LMT000015931 9/30/2019 22:00
[201808003] LMT000051921 9/30/2019 22:00
[201808003] LMT000051922 9/30/2019 22:00
[201903008] LMT000064879 9/30/2019 22:00
[201707002] LMT000048575 9/30/2019 22:00

[201808004] LMT000029030 9/30/2019 22:00

 NAMA PRODUK BARCODE
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041474
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041473
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041485

SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041484

SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041481
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041482
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041483
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041475
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041472
SHOOCIN INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS STE LMT000041471
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063226
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063227
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063229

BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063228
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063230
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063402
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063381

BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063404
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063386
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063405
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063403
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063383

BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063384
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063394

BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063382
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000063392
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063395
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000063391
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063380
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063379
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063377
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063378
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063393
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000036854
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063396
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063398
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063385
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063401
BRILLIANT INTRODUCER KIT RADIAL 7F, LENGTH 11CM LMT000049393
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063387
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063390
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063399
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063400
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063397
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063388
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063389
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077179
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077181
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077171
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077172
BRILLIANT INTRODUCER KIT RADIAL 7F, LENGTH 11CM LMT000049392
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077170
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000063376
BRILLIANT INTRODUCER KIT RADIAL 7F, LENGTH 11CM

BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000077173
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077169
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S LMT000077168
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000077175
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000077177
BRILLIANT INTRODUCER KIT RADIAL 6F, LENGTH 7CM, TIP STRAIGHT, STAINLESS S lmt000077176
BRILLIANT INTRODUCER KIT RADIAL 7F, LENGTH 11CM lmt000049393

Y- Hemostasis Valve Set 20cm

achmad guzali 4/11/19
Diyono 1/11/19
surani 7/11/19

0
heri putra cahyono 13/11/19
0
0
0
0
0

0
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
SAMPLE DR.DIAH 5/82019
NO LOT TGL ED TOTAL NAMA DOKTER ASP
1 Dr. Diah 235,000
1 Dr. Diah 235,000
1 Dr. Diah 235,000

1 Dr. Diah 235,000

1 Dr. Diah 235,000

1 Dr. Diah 235,000
1 Dr. Diah 235,000
1 Dr. Diah 235,000
1 Dr. Diah 235,000
1 Dr. Diah 235,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000

1 Dr. Diah 300,000

1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000
1 Dr. Diah 300,000

30 Beli putus 3,450,000

91 21,100,000
 Keterangan
KN.01.03/VIII.6/2523/2019
KN.01.03/VIII.6/2523/2019
KN.01.03/VIII.6/2523/2019

KN.01.03/VIII.6/2682/2019

KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM

KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM
KN.01.03/VIII.6/2891/2019 - REVISI DO ADENDUM

KN.01.03./VIII.6/2981/2019
KN.01.03./VIII.6/2981/2019
KN.01.03./VIII.6/2981/2019
KN.01.03./VIII.6/2981/2019

KN.01.03/VIII.6/3552/2019 - BELUM ADA DO

KN.01.03/VIII.6/3552/2019 - BELUM ADA DO
KN.01.03/VIII.6/3552/2019 - BELUM ADA DO
KN.01.03/VIII.6/3552/2019 - BELUM ADA DO
KN.01.03/VIII.6/3552/2019 - BELUM ADA DO

KN.01.03/VIII.6/3375/2019 - BELUM ADA DO

KN.01.03/VIII.6/3375/2019 - BELUM ADA DO

KN.01.03/VIII.6/3664/2019 - BELUM ADA DO

KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO
KN.01.03/VIII.6/3664/2019 - BELUM ADA DO

30 x 115.000
 Area Accesories Jakarta II SEPTEMBER 2019
BALANCIUM 2 850,000
GUIDING ORIEN 80 800,000
Inflation Device with Y-Hemotasis valve 25 12 750,000
INFLATION DEVICE 37 450,000
BRILLIANT 120 300,000
INTRODUCER SOCHIN 29 180,000
RAY BAND 8 180,000
YNP 25 CM 47 115,000
HP TUBING 120 CM 146 100,000
HP TUBING 60 CM 110 65,000
MANIFOLD 149 60,000
TOTAL 740
TARGET
PTEMBER 2019
1,700,000
64,000,000
9,000,000
16,650,000
36,000,000
5,220,000
1,440,000
5,405,000
14,600,000
7,150,000
8,940,000
170,105,000
178,696,472
95.2%