c2 Baru KK

No 1/3/2020
sisa penerimaan persediaan
1
2
3
4
5
6
7
bln lalu
1 Alat Suntik 3 cc 290.00 290.00

2 Alat Suntik 5 ml 21.00 21.00
3 Bisturi 120 120.00
-
1 Acyclovir tab 400 mg 36.00 36.00
2 Albendazol -
3 Allopurinol tab 100 mg 13.00 13.00
4 Ambroksol 30 mg 174 174.00
5 Aminofilin injeksi 24 mg/ml 30.00 30.00
6 Aminofilin tablet 150 mg 142.00 142.00
7 Amitriptilin 25 mg 22.00 22.00
8 Amlodipin tablet 5 mg 260.00 260.00
9 Amoksisillin 500 mg 511.00 511.00
10 Amoxicillin Forte Dry Syr -
11 Ampisilin Inj 1000 mg 38.00 38.00
12 Antacid doen supensi 11.00 11.00
13 Antasida doen 135.00 135.00
14 Antifungi Doen -
15 Antihemoroid supp 7.00 7.00
16 Aqua pro injeksi 24.00 24.00
17 Asam asetil salisilat tbl 80 mg(Miniaspi) 205.00 205.00
18 Asam Mefenamat 500 mg -
19 Asam tranexamat 500 mg 194.00 194.00
20 Asam Tranexamat inj 4.00 4.00
21 Asiklovir krim 5% 14.00 14.00
22 Atapulgit tablet 600 mg 78.00 78.00
23 Atropin sulfat inj. 0,25 mg/ml -
24 Betahistin tablet 6 mg 56.00 56.00
25 Betametason krim 0,1 7.00 7.00
26 Bisacodil 5 mg -
27 cefadroxil kap 500mg 56 56.00
28 Cefotaksim inj 15.00 15.00
29 ciprofaxin tab 500mg 64 64.00
30 Clindamycin 150 mg 18.00 18.00
31 CTM 4 mg 430.00 430.00
32 Deksametason Inj 96.00 96.00
33 Deksametason tab 0,5 mg 206.00 206.00
34 Dextrosa 40% -
35 Diazepam injeksi -
36 Diazepam tbl 2 mg -
37 Difenhidramin injeksi 10 mg/ml -
38 Digoksin 190.00 190.00
39 Dihidro Artemisin+Piperakuin (DHP) -
40 Dimenhidrinat tbl 50 mg 48.00 48.00
41 Domperidone suspensi 5mg -
42 Domperidone tablet 10 mg 189.00 189.00
43 Dopamet tbl 250 mg -
44 Epinefrin injeksi 0.1% 2.00 2.00
45 Eritromisin kpl 500 mg 170.00 170.00
46 FDC Anak (P2M) -
47 FDC II (P2M) -
48 Fenobarbiltal inj 50 mg/ml -
49 Fenobarbital 30 mg 20.00 20.00
50 Furosemide tablet 40 mg 80.00 80.00
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 298.00 298.00
53 gentamicin inj 40mg -
54 Gentamicin SM -
55 Gentamicin TM 5.00 5.00
56 Gentian Violet 1% 11.00 11.00
57 Glibenklamide tablet 5 mg 260.00 260.00
58 Glimepiride 2 mg 236.00 236.00
59 Gliseril Guaiakolat 100 mg 346 346.00
60 Halloperidol 5 mg 110.00 110.00
61 Halloperidol inj 6.00 6.00
62 HCT 25 mg 75.00 75.00
63 Hepagard -
64 Hidrokortison cr 2,5 % 15.00 15.00
65 ibuprofen 400 mg 351 351.00
66 Ibuprofen susp 100mg / 5 ml 20.00 20.00
67 ISDN 55.00 55.00
68 Isoniazid 300 mg 52.00 52.00
69 Isoniazid tbl 100 mg(P2M) -
70 Kalsium laktat 500 mg 302.00 302.00
71 kaptopril tab 12,5 mg 167.00 167.00
72 Karbamazepin 239.00 239.00
73 Ketokonazol cr 2 % -
74 Ketokonazole tbl 200 mg 36.00 36.00
75 Ketoprofen supp -
76 Ketorolac injeksi 30 mg 9.00 9.00
77 Kloramfenicol susp 125 mg/5 ml 4.00 4.00
78 Kloramfenicol TM -
79 Kloramfenikol SK 6.00 6.00
80 Kloramfenikol SM 1% 14.00 14.00
81 Kotrimoksazol supsensi 4.00 4.00
82 Kotrimoksazol tablet 480 mg 122.00 122.00
83 loperamid 2mg 158 158.00
84 lidokain injeksi 129 29.00 29.00
85 Metformin 500 mg 15.00 15.00
86 Metilergometrin injeksi -
87 Metilergometrin tablet 0.125 mg 2.00 2.00
88 Metoklopramide 73.00 73.00
89 Metoklopramide inj 2.00 2.00
90 Metronidazol 500 mg 205 205.00
91 Metronidazol infus 5mg/ml - -
92 N asetil sistein 225.00 225.00
93 Na diklofenak tablet 50 mg 286.00 286.00
94 Neocenta gel 7 7.00
95 Nifedipin 10 mg -
96 Novadiar syr -
97 OBH -
98 Oksitosin injeksi 10 IU/ml -
99 Omeprazole 245 245.00
100 Multivitamin syr -
101 Pacdin cough sy -
102 paracetamol 500mg 606 606.00
103 Paracetamol syr 120mg/5ml 21.00 21.00
104 Piracetam inj -
105 piracetam tab 400mg 58 58.00
106 pirexin supositoria 160 mg -
107 pirexin supositoria 80 mg 8 8.00
108 Prednison tablet 5 mg 950.00 950.00
109 Propanolol tablet 40 mg -
110 PTU 100 mg -
111 Ranitidin inj 16.00 16.00
112 Ranitidin tab 150mg 300 300.00
113 Salbutamol 4 mg 180.00 180.00
114 Salep 24 8.00 8.00
115 Salisil bedak 2% -
116 scopma plus 111 111.00
117 Sefadroksil syr 125 mg 3.00 3.00
118 Serum Abu 1 -
119 Serum ATS 1500 IU -
120 Setirizin kapsul 10 mg -
121 Simvastatin 10 mg 177.00 177.00
122 Stesolid Rectal Sup -
123 Tablet tambah darah 524.00 524.00
124 Thiamphenicol kap 500 mg 236 236.00
125 Thiamphenicol syr 2 2.00
126 Triheksifenidil tbl 2 mg(Mersi) 20.00 20.00
127 Vitamin A 100.000 IU -
128 Vitamin A 200.000 IU -
129 Vitamin B Kompleks 621.00 621.00
130 Vitamin B1 tablet 50 mg 356.00 356.00
132 Vitamin C Tablet 50 mg 778.00 778.00
133 Vitamin K injeksi 2 mg/ml -
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22 …….
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
T
O
T
A
L
P S
A I
K S
A A
I
56
57
58
59
60
61
62
63
64
65
66
67
68
69
0 290
0 21
0 120
0 -
0 36
0 -
0 13
0 174
0 30
0 142
0 22
0 260
0 511
0 -
0 38
0 11
0 135
0 -
0 7
0 24
0 205
0 -
0 194
0 4
0 14
0 78
0 -
0 56
0 7
0 -
0 56
0 15
0 64
0 18
0 430
0 96
0 206
0 -
0 -
0 -
0 -
0 190
0 -
0 48
0 -
0 189
0 -
0 2
0 170
0 -
0 -
0 -
0 20
0 80
0 138
0 298
0 -
0 -
0 5
0 11
0 260
0 236
0 346
0 110
0 6
0 75
0 -
0 15
0 351
0 20
0 55
0 52
0 -
0 302
0 167
0 239
0 -
0 36
0 -
0 9
0 4
0 -
0 6
0 14
0 4
0 122
0 158
0 29
0 15
0 -
0 2
0 73
0 2
0 205
0 -
0 225
0 286
0 7
0 -
0 -
0 -
0 -
0 245
0 -
0 -
0 606
0 21
0 -
0 58
0 -
0 8
0 950
0 -
0 -
0 16
0 300
0 180
0 8
0 -
0 111
0 3
0 -
0 -
0 -
0 177
0 -
0 524
0 236
0 2
0 20
0 -
0 -
0 621
0 356
0 306
0 778
0 -
ny binti maratus
Budi setiawan
an khosivia
an arsyad
an dafit
m hafiz
murni
No 2/3/2020
1
2
3
4
5
6
7
bln lalu
1 Alat Suntik 3 cc 290.00 290.00
3 Bisturi 120.00 120.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 174.00 174.00
10 Amoxicillin Forte Dry Syr - 5 5.00 1 1
11 Ampisilin Inj 1000 mg 38.00 38.00
12 Antacid doen supensi 11.00 11.00 1
13 Antasida doen 135.00 500 635.00
14 Antifungi Doen - -
17 Asam asetil salisilat tbl 80 mg(Minia 205.00 205.00
18 Asam mefenamat kaplet 500 mg - 500 500.00
23 Atropin sulfat inj. 0,25 mg/ml - -
25 Betametason krim 0,1 7.00 7.00 1
26 Bisacodil 5 mg - -
27 cefadroxil kap 500mg 56.00 56.00
29 ciprofaxin tab 500mg 64.00 64.00 8
30 Clindamycin 150 mg 18.00 18.00
31 CTM 4 mg 430.00 430.00 2 5 3 2
33 Deksametason tab 0,5 mg 206.00 206.00 10 10
34 Dextrosa 40% - -
35 Diazepam injeksi - -
36 Diazepam tbl 2 mg - -
37 Difenhidramin injeksi 10 mg/ml - -
38 Digoksin 190.00 190.00
39 Dihidro Artemisin+Piperakuin ( - -
41 Domperidone suspensi 5mg - -
42 Domperidone tablet 10 mg 189.00 189.00 5
43 Dopamet tbl 250 mg - -
46 FDC Anak (P2M) - -
47 FDC II (P2M) - -
48 Fenobarbiltal inj 50 mg/ml - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 298.00 298.00
53 gentamicin inj 40mg - -
54 Gentamicin SM - -
58 Glimepiride 2 mg 236.00 236.00
59 Gliseril Guaiakolat 100 mg 346.00 346.00 2
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
65 ibuprofen 400 mg 351.00 351.00
67 ISDN 55.00 55.00
68 Isoniazid 300 mg 52.00 52.00
69 Isoniazid tbl 100 mg(P2M) - -
70 Kalsium laktat 500 mg 302.00 1000 1,302.00 30
71 kaptopril tab 12,5 mg 167.00 167.00
73 Ketokonazol cr 2 % - -
75 Ketoprofen supp - -
78 Kloramfenicol TM - -
83 loperamid 2mg 158.00 158.00
84 Magnesium Sulfat Inj 40 % 29.00 29.00
85 Metformin 500 mg 15.00 500 515.00
86 Metilergometrin injeksi - -
90 Metronidazol 500 mg 205.00 205.00
92 N asetil sistein 225.00 300 525.00 10 2
93 Na diklofenak tablet 50 mg 286.00 286.00 8
94 Neocenta gel 7.00 7.00
95 Nifedipin 10 mg - -
96 Novadiar syr - -
97 OBH - -
98 Oksitosin injeksi 10 IU/ml - -
99 Omeprazole 245.00 245.00
100 Multivitamin syr - -
101 Pacdin cough sy - -
102 paracetamol 500mg 606.00 606.00
103 Paracetamol syr 120mg/5ml 21.00 5 26.00 1 1 1
104 Piracetam inj - -
105 piracetam tab 400mg 58.00 58.00
106 pirexin supositoria 160 mg - -
107 pirexin supositoria 80 mg 8.00 8.00
108 Prednison tablet 5 mg 950.00 950.00 2 3 2
109 Propanolol tablet 40 mg - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 300.00 300.00
113 Salbutamol 4 mg 180.00 180.00 2
114 Salep 24 8.00 8.00
115 Salisil bedak 2% - -
116 scopma plus 111.00 111.00
118 Serum Abu 1 - -
119 Serum ATS 1500 IU - -
120 Setirizin kapsul 10 mg - -
121 Simvastatin 10 mg 177.00 177.00
122 Stesolid Rectal Sup - -
123 Tablet tambah darah 524.00 524.00 30
124 Thiamphenicol kap 500 mg 236.00 236.00
125 Thiamphenicol syr 2.00 2.00 1
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 621.00 621.00 8 5 2
132 Vitamin C Tablet 50 mg 778.00 778.00 3
133 Vitamin K injeksi 2 mg/ml - -
8 ny siti rahayu
2
9 ny puji lestari
10
10
10 ny zumrotun
11 ny siti aminah
10
10
12 ny siti
10
13 haya rudin
14 ny tutik
15 an m affan
3 10
16 ny djuwati
17 tn japar
3
18 an nayatul
19 an raisa
10 20 ny darwati
5
21 tn marko
10
22 an siti c
10
23 ny rahminah
3
24 an achma
3
25 an alza
26 an rania
10
20
5 27 n sanem
28 ny naimatul
10
29 ny marmi
30 ny siti mus
10
31 tn mohlisin
6
6
10 10 3 3 3 3 10 10
10 10 10 3 10 10
20
10 3 3 3 3
1
10 10 10
10 30
1
3 10
10 10
10
10 10 10 3 3 10 3 10 10
30
6
10 30
8 8 10 10 8 10
10 10
30
10 10
32 an bayu
33 ny hartatik
34 ny karniyem
35 ny prihatin
10
36 tn roko
37 ny alisia
38 ny indri
10
20
39 ny jumrotul
40 my rukini
41 ny ngasiyem
42 tn nur s
43 ny patri
44 ny endnag
45 an aura
10 10 10
46 an ilqoh
5
47 ahmad
48 ny ssri wahyu
10
49 an roko
10 10
50 ny siti mut
51 ny priyati
52 ny parti
10
53 tn djarmei
54 ny sumini
3
55 an a ardana
6 6
10 10 10 10 10 10 10 3
10 10 10 10 10 10 3
10
10 10
30 30 30 30 10
10
2
10 10 10
8 6 6 6 6
6 6 6
10 10 5 3
6
6 6
10
10 10
30 30 10 30 30 10
10 10 8 8 6
10
5 10 10
56 ny endang
57 ny anik
58 ny fuinah
10
59 ny titik
60 ny suwarti
10
61 an arista
62 ny siti rukajah
10
1
63 tn aunari
10
64 ny sutarni
10
65 ny sami
66 tn muh rustan
10
67 tn sulipah
10
68 tn pardi
69 ny yahyu sety
20
70 ny karsiyem
10
71 ny minarni
72 ny sarni
73 ny kasmiah
74 tn suparyadi
3
75 an rina i
10
76 ny rezi
77 tn sudirman
10 10
78 tn surateman
79 ny suci mekar
6 6 6
10 10 10 10 3 10
10 10 10 10 10 10 10
10 10
10
10 3
10 10 10
30 30 20 30 10 30
10
10
8 6 10 6
6 6
10 10 10 10 3
10
10 10 10
10
10
30 30 20 30 30
10
8 8 6 6 10 6 6
10 10
10
80 ny nyamen
81 ny yasmini
10
82 ny wagiyem
10
83 ny endang
10 10
84 an aura
85 ny sri wahyu
86 tn roko
87 ny siti zah
10
88 sdr arindia
89 tn muh abdan
10
90 tn sukarno
10
91 ny endang
6
92 an citra
10
93 ny sundari
94 tn radiyo
3
95 an ananda
96 posyandu
97
98
99
100
101
102
103
6 3
6 6
10 10 10 10
10
10 10
30
1
10 10 3
6 6
10 10 10 10 10 6 80
1
10 10 10 10 10 10 10
10 10
10
30
6 10 10 10
30
6 10
2
T
O
T
A
L
P
A
K S
A I
I S
A
30 260.00
10 11.00
- 120.00
- -
- 36.00
- -
- 13.00
- 174.00
- 30.00
- 142.00
7 15.00
90 170.00
59 452.00
2 3.00
- 38.00
1 10.00
203 432.00
- -
- 7.00
5 19.00
- 205.00
80 420.00
- 194.00
- 4.00
1 13.00
- 78.00
- -
20 36.00
1 6.00
- -
- 56.00
15 -
56 8.00
- 18.00
230 200.00
10 86.00
206 -
- -
- -
- -
- -
- 190.00
- -
6 42.00
- -
5 184.00
- -
- 2.00
- 170.00
- -
- -
- -
- 20.00
- 80.00
- 138.00
20 278.00
- -
- -
2 3.00
- 11.00
- 260.00
30 206.00
47 299.00
- 110.00
- 6.00
- 75.00
- -
1 14.00
100 251.00
- 20.00
- 55.00
- 52.00
- -
380 922.00
- 167.00
- 239.00
- -
- 36.00
- -
1 8.00
- 4.00
- -
1 5.00
- 14.00
- 4.00
- 122.00
3 155.00
- 29.00
10 505.00
- -
- 2.00
10 63.00
2 -
13 192.00
- -
95 430.00
92 194.00
- 7.00
- -
- -
- -
- -
30 215.00
- -
- -
276 330.00
4 22.00
- -
- 58.00
- -
- 8.00
117 833.00
- -
- -
12 4.00
18 282.00
62 118.00
- 8.00
- -
40 71.00
- 3.00
- -
- -
- -
10 167.00
- -
380 144.00
10 226.00
2 -
- 20.00
- -
- -
197 424.00
50 306.00
60 246.00
74 704.00
- -
5 nybsiti naimatu
6 ny mudjani
2 ny suparti
7 tn swuito
1 ny rayem
4 tn parjo
3 an adila
No 2/3/2020
bln lalu
1 Alat Suntik 3 cc 260.00 260.00
3 Bisturi 120.00 120.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 174.00 174.00
8 Amlodipin tablet 5 mg 170.00 170.00 10
10 Amoxicillin Forte Dry Syr 3.00 3.00
11 Ampisilin Inj 1000 mg 38.00 38.00
13 Antasida doen 432.00 432.00 10
17 Asam asetil salisilat tbl 80 205.00 205.00
18 Asam mefenamat kaplet 500 420.00 420.00 10 10
23 Atropin sulfat inj. 0,25 mg/m - -
24 Betahistin tablet 6 mg 36.00 300.00 336.00
28 Cefotaksim inj - -
29 ciprofaxin tab 500mg 8.00 400 408.00 6 6 6
30 Clindamycin 150 mg 18.00 18.00
31 CTM 4 mg 200.00 1,000.00 1,200.00 3
33 Deksametason tab 0,5 mg - -
34 Dextrosa 40% - -
37 Difenhidramin injeksi 10 mg - -
38 Digoksin 190.00 190.00
39 Dihidro Artemisin+Pipera - -
47 FDC II (P2M) - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 278.00 278.00
55 Gentamicin TM 3.00 26.00 29.00
58 Glimepiride 2 mg 206.00 206.00
59 Gliseril Guaiakolat 100 mg 299.00 299.00
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
65 ibuprofen 400 mg 251.00 251.00 10
67 ISDN 55.00 55.00
68 Isoniazid 300 mg 52.00 52.00
69 Isoniazid tbl 100 mg(P2M - -
70 Kalsium laktat 500 mg 922.00 922.00 15
71 kaptopril tab 12,5 mg 167.00 167.00
77 Kloramfenicol susp 125 mg/ 4.00 4.00
83 loperamid 2mg 155.00 155.00
85 Metformin 500 mg 505.00 505.00
87 Metilergometrin tablet 0.125 2.00 2.00
89 Metoklopramide inj - -
90 Metronidazol 500 mg 192.00 192.00 10
91 Metronidazol infus 5mg/m - -
92 N asetil sistein 430.00 430.00 10 10 3 10
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 215.00 215.00
102 paracetamol 500mg 330.00 330.00 10
103 Paracetamol syr 120mg/5ml 22.00 22.00 1
108 Prednison tablet 5 mg 833.00 833.00 3
110 PTU 100 mg - -
112 Ranitidin tab 150mg 282.00 282.00
113 Salbutamol 4 mg 118.00 118.00
114 Salep 24 8.00 8.00
115 Salisil bedak 2% - 10.00 10.00
116 scopma plus 71.00 71.00 10
118 Serum Abu 1 - -
121 Simvastatin 10 mg 167.00 167.00
124 Thiamphenicol kap 500 mg 226.00 226.00 10
125 Thiamphenicol syr - -
126 Triheksifenidil tbl 2 mg(Mers 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
132 Vitamin C Tablet 50 mg 704.00 704.00 10 3
8 tn hendardi
9 ny eny masy
10 tn rusdi
11 an dinara
12 ny kariyati
13 ny puji
2
14 an tristan
15 tn kusminda
16 an m kharis
17 sdr ahmad
18 an liviana
2
10
19 sdr fariz
20 sdr faiza
21 juroh
10
5
22 ny ruki
10
23 tn radi
24 tn nurdin
25 ny siti zaroh
10 10
10
26 tn kasdi
10
10 27 ny tayem
28 tn gito
10
29 ny sutiyem
10
30 ny darmi
31 ny rochani
6
2 10 10 10 2 10 10 10 10 10 10
10
20 20 20
1 1
20 10
10
1
10 10 10
15 5
6
1 1
20 10
10 10 10
6
10 10 10 10 10
1 1 1
10 2
10 10
15 10 5
8 6
2
10
32 ny ngatini
2
1
33 an m wildan
10
34 y ana
35 a septiaa
10
36 ny fitri faridah
20
37 y muzay
38 an safira
39 ny dewi
40 ny nurhayati
41 ny wahyu
1
42 tn suwadi
43 an raisha
10
44 an arsyad
10
3
6
45 an arsyad
10
46 ny sumiyatun
3
1
47 an shaskia
3
1
48 an mwahyu
49 sdr ahmad
50 sdr m eko
10 51 an monica
52 ny sutarti
20
20
53 tn zamuri
54 an sisha
55 an zalfia
6
2 2 10 10 10 2 10 3 3 10 10 3 3
10
10
10
4 10 3
1
10
15
1
10
2 10 3
6 10 2 10
1 1 1 1 1
10
2 2 3
1 1
15 10 10
10 20
10
10 6 10 2 2 10 3
T
O
T
A
L
57 tn muh nur ali
64 nydjuariah
60 ny markini
A S
66 posyandu
61 ny siti sof
59 an dimas
65 an amad
58 ny ayu r
K I
56 an devi
63 tn radi
62 sulaih
A S
I A
67
68
69
10 250.00
10 1.00
1 1 2 118.00
0 -
0 36.00
0 -
10 3.00
0 174.00
0 30.00
0 142.00
5 10.00
90 80.00
10 10 10 3 63 389.00
0 3.00
16 22.00
4 6.00
40 392.00
0 -
0 7.00
5 14.00
20 185.00
10 10 60 360.00
0 194.00
0 4.00
0 13.00
10 68.00
0 -
10 326.00
0 6.00
0 -
0 56.00
0 -
6 36 372.00
0 18.00
10 10 10 10 10 10 3 238 962.00
10 76.00
0 -
0 -
0 -
0 -
0 -
0 190.00
0 -
10 32.00
0 -
0 184.00
0 -
0 2.00
0 170.00
0 -
0 -
0 -
0 20.00
0 80.00
0 138.00
70 208.00
0 -
0 -
3 26.00
0 11.00
0 260.00
40 166.00
10 3 40 259.00
0 110.00
0 6.00
0 75.00
0 -
1 3 11.00
10 10 70 181.00
0 20.00
0 55.00
0 52.00
0 -
10 60 862.00
0 167.00
0 239.00
0 -
6 30.00
0 -
0 8.00
0 4.00
0 -
3 2.00
0 14.00
2 2.00
0 122.00
0 155.00
0 29.00
40 465.00
0 -
0 2.00
6 57.00
0 -
10 182.00
0 -
10 88 342.00
6 188.00
0 7.00
0 -
0 -
0 -
0 -
12 203.00
0 -
0 -
8 6 4 20 126 204.00
1 10 12.00
0 -
10 48.00
0 -
0 8.00
10 3 35 798.00
0 -
0 -
0 4.00
0 282.00
0 118.00
0 8.00
2 8.00
10 40 31.00
0 3.00
0 -
0 -
0 -
0 167.00
0 -
80 64.00
10 216.00
0 -
0 20.00
0 -
0 -
44 380.00
10 20 286.00
0 246.00
6 4 3 71 633.00
0 -
1 ny ngatiningsih
5 ny suyatmini
6 ny ristiani
3 ny suyatti
4 ny nur c
2 an adul
No 2/3/2020
bln lalu
1 Alat Suntik 3 cc 250.00 250.00
3 bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 174.00 174.00
9 Amoksisillin 500 mg 389.00 389.00 10
11 Ampisilin Inj 1000 mg 22.00 22.00 10
13 Antasida doen 392.00 392.00 10 10
17 Asam asetil salisilat tbl 80 mg(M 185.00 185.00
18 Asam mefenamat kaplet 500 mg 360.00 360.00
22 Atapulgit tablet 600 mg 68.00 68.00 6
29 ciprofaxin tab 500mg 372.00 372.00
30 Clindamycin 150 mg 18.00 18.00 8
31 CTM 4 mg 962.00 962.00 1 10 10
34 Dextrosa 40% - -
38 Digoksin 190.00 190.00
39 Dihidro Artemisin+Piperaku - -
40 Dimenhidrinat tbl 50 mg 32.00 200.00 232.00 10
47 FDC II (P2M) - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 208.00 208.00
58 Glimepiride 2 mg 166.00 166.00
59 Gliseril Guaiakolat 100 mg 259.00 259.00 1 10 10
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
65 ibuprofen 400 mg 181.00 181.00
67 ISDN 55.00 55.00
68 Isoniazid 300 mg 52.00 52.00
71 kaptopril tab 12,5 mg 167.00 167.00
77 Kloramfenicol susp 125 mg/5 ml 4.00 15.00 19.00
83 loperamid 2mg 155.00 155.00
85 Metformin 500 mg 465.00 465.00
90 Metronidazol 500 mg 182.00 182.00
93 Na diklofenak tablet 50 mg 188.00 188.00 6 6
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 203.00 203.00 6
102 paracetamol 500mg 204.00 1,000 1,204.00 10 10
110 PTU 100 mg - -
112 Ranitidin tab 150mg 282.00 282.00
113 Salbutamol 4 mg 118.00 118.00
114 Salep 24 8.00 8.00
115 Salisil bedak 2% 8.00 8.00 1
116 scopma plus 31.00 300.00 331.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 167.00 167.00
123 Tablet tambah darah 64.00 300.00 364.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 380.00 380.00 6 6
7 tn priyono
10
8 sdr melati
10
10
9 ny suati
20
10 ny lamiyem
11 an akzka
12 ny suwarti
13 ny umi
14 tn supardjo
15 nyhimita
1
16 ny suwati
1
17 tn sukur
18 sdr faizal
19 ny jumrotul
10
5
20 ny rukini
21 sawiit
22 ny suwarti
10
23 ny khariyatul
10
24 ny sulipah
25 ny anis
26 ny siti sho
27 ny martiyem
1
28 ny umi k
29 ny lim r
10
30 suoarti
0
6
4 10 10 10
10
1
1 1
6
4 10 10
10 10
10
30 30 30
10
1
10 10 10
6 6 6 6 6 6
10 10 4 10 10 10 10 10
10 10 10 10 10
10
10
13
30 10 30 30
6 6 6 6 5 10 6 10
10
10
31 ny karni
10
1
32 ny muntarin
33 tn margono
10
34 ny siti nur
35 ny sriyati
36 ny lasmi
10
10
37 ny siti umayah
10
1
38 ny mudawamah
10
39 ny siti juwariah
40 ny purwanti
41 ny siti musarofah
42 tn warsidi
20
43 tn yatin
44 ny sutilah
10
45 ny iin istiqomah
46 tn zulkarnain
5
47 an thoriq
3
5 48 ny layem
10
49 ny sri ayumi
50 tn parji
10
51 ny sutiyem
52 an iqbal faiz
10
10
53 sdr qilyatul nuriyah

6
10 10 10
10 5
10
10
1 1
10
10 10 10
10 20
10
10
6 6 8 10 8 8
10 10 10 10 10 10
10 10 10 10 10
10
20
20 10
10
10 6 6 6 6 8 8 8 8 3
10
10 10 10 3 10
54 an dali putra
55 tn trisno
56 an icha putri
10
57 sdr malika putra
58 an ganjar maulana
59 an zelda
60 ny rami
61 tn sukandar
62 an ali al musalam
1
63 ny saliyem
3
64 an m arva bima
65 an nyko anggara
66 tn sukir
10
67 an wahid
10
8
68 an reyfa dwi
10
69 an indiani
3
70 an fiko valeri
10
71 ny siti lailatul
2 72 an inayah
73 an anisa
6
74 an in amloh
75 ny sumiyatun
76
8
2 3 10 2 10 3 2 10 10 2
10 5
20
1
1
2 3 10 10
10 10
30
1 1 1 1
10 2 10 10
8 8 8
10 10 10 10 6
1 1 1 1 1 1 1
10 2 2 10
10
30
3 8 8 2 8
6 8 3 2 3 2 8 2 6
S
I
S
A
T
O
T
A
L
P
A
K
A
I
77
78
79
80
10 240.00
0 1.00
0 118.00
0 -
0 36.00
0 -
3 -
10 164.00
0 30.00
0 142.00
10 -
70 10.00
101 288.00
0 3.00
10 12.00
5 1.00
55 337.00
0 -
0 7.00
0 14.00
0 185.00
40 320.00
0 194.00
0 4.00
0 13.00
9 59.00
0 -
30 296.00
1 5.00
0 -
8 48.00
0 -
20 352.00
8 10.00
139 823.00
0 76.00
0 -
0 -
0 -
0 -
0 -
0 190.00
0 -
40 192.00
0 -
0 184.00
0 -
0 2.00
30 140.00
0 -
0 -
0 -
0 20.00
0 80.00
0 138.00
20 188.00
0 -
0 -
4 22.00
3 8.00
0 260.00
16 150.00
70 189.00
0 110.00
0 6.00
0 75.00
0 -
0 11.00
70 111.00
0 20.00
10 45.00
0 52.00
0 -
150 712.00
10 157.00
0 239.00
0 -
0 30.00
0 -
0 8.00
5 14.00
0 -
0 2.00
0 14.00
0 2.00
0 122.00
0 155.00
0 29.00
10 455.00
0 -
0 2.00
0 57.00
0 -
0 182.00
0 -
72 270.00
118 70.00
0 7.00
0 -
0 -
0 -
0 -
20 183.00
0 -
0 -
200 1,004.00
8 4.00
0 -
0 48.00
0 -
0 8.00
134 664.00
0 -
0 -
4 -
0 282.00
20 98.00
0 8.00
1 7.00
20 311.00
0 3.00
0 -
0 -
0 -
33 134.00
0 -
160 204.00
10 206.00
0 -
0 20.00
0 -
0 -
165 215.00
10 276.00
10 236.00
93 540.00
0 -
2 ny siti zulaika
1 tn suprapto
6 an rosinta
4 ny suwati
3 tn supari
5 tn faisal
No 2/3/2020
sok awal penerimaan persediaan

1 Alat Suntik 3 cc 240.00 240.00
2 Alat Suntik 5 ml 1.00 100.00 101.00
3 bisturi 118.00 118.00
- -
2 Albendazol - -
3 Allopurinol tab 100 mg - -
4 Ambroksol 30 mg 164.00 164.00
7 Amitriptilin 25 mg - 100.00 100.00
8 Amlodipin tablet 5 mg 10.00 200.00 210.00
9 Amoksisillin 500 mg 288.00 288.00 10
11 Ampisilin Inj 1000 mg 12.00 50.00 62.00
13 Antasida doen 337.00 337.00 10 10
17 Asam asetil salisilat tbl 80 mg(Mini 185.00 185.00 10
28 Cefotaksim inj - 30 30.00
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 823.00 823.00
34 Dextrosa 40% - -
38 Digoksin 190.00 190.00 5
39 Dihidro Artemisin+Piperakuin - -
47 FDC II (P2M) - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 188.00 188.00
58 Glimepiride 2 mg 150.00 150.00
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
65 ibuprofen 400 mg 111.00 111.00
67 ISDN 45.00 45.00 10
68 Isoniazid 300 mg 52.00 52.00
71 kaptopril tab 12,5 mg 157.00 157.00
74 Ketokonazole tbl 200 mg 30.00 30.00 6
81 Kotrimoksazol supsensi 2.00 10.00 12.00
83 loperamid 2mg 155.00 155.00
85 Metformin 500 mg 455.00 455.00
89 Metoklopramide inj - 50.00 50.00
90 Metronidazol 500 mg 182.00 182.00
92 N asetil sistein 270.00 270.00 10
93 Na diklofenak tablet 50 mg 70.00 500 570.00
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 183.00 183.00
102 paracetamol 500mg 1,004.00 1,004.00 10 10 10
103 Paracetamol syr 120mg/5ml 4.00 20.00 24.00
110 PTU 100 mg - -
111 Ranitidin inj - -
112 Ranitidin tab 150mg 282.00 282.00
113 Salbutamol 4 mg 98.00 98.00
114 Salep 24 8.00 8.00
115 Salisil bedak 2% 7.00 7.00
116 scopma plus 311.00 311.00 10
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
124 Thiamphenicol kap 500 mg 206.00 206.00 10
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 215.00 215.00 6
7 an sidik
20
8 ny sutinah
9 ny ngadiyem
10 an akila
11 an faila
12 ny yasmini
6
13 an ahmad muazzam
14 ny siti liya
15 o
10
20
16 tn suwarno
17 tn wasidi
18 an azib
19 ny siswati
5
20 ny munah
21 ny liya anggreini
22 ny bekti nurwati
23 ny dewi astuti
10
6
24 ny monah
10
2
5
25 an azib
10
10
26 ny sugiyarti
10
3 10 10
27 ny siswati
28 tn suwarno
29 an ali mustofa
30 ny murni
6
4 10 3
10 3
10 10
10 10 3 4
10
15 10 10
30
8 6 8
10 10 6 10 10 10 10 10
1 1 1 1
10 10
15 10 10
6 6 8 8 6
10
4 3 6 5
10
31 ny ristini
10
32 ny suwarti
10
33 tn suwadi
34 ny siti komariyah
35 an ali sodikin
36 ny wiwik retnowati
37 ny siti hidayati
38 tn hariyono
39 tn masyanto
40 tn djamin
3
4
41 an zul husna
42 ny viviyani
43 an sherina
10
10
44 ny siti maryani
45 ny umi aminah
10
46 tn roko
47 ny dwi mega
48 tn yahmin
49 tn agus susanto
50 ny anik masfuah
51 an karyanik
52 diyan okta
53 an zakiyatul
1
54 an chisbi
8
10 10 4 10 10 10 7 3
4 10
10
10 10
10
10 3 7
10 10 10
15 20 10 15 15 20
1
10 3
8 8
6 6
10 10 10 10 10
1 1 1
10 4 3
3 10 3
15 20 10 15 15 10 20
10
6 6 8 6 6
10 10 3
55 ny yeni ika
56 ny setyowati
1
57 an arsyad
3
58 an amel
59 ny marni
60 an rina azizah
3
61 an khilfa
62 ny kusmilah
20
63 ny sukarti
6
64 an siti choirotun
65 an putri marga
66 an zakiyul
67 tn darso
10
10
68 ny siti umiyati
69 ny desti
70 ny safitri
10
4 71 ny fiati
72 an roissatul
10
73 ny ayut ratna
10
3
74 an siti lestari
75 tn suprijanto
76 ny siti munafiah
77 ny mutia angraini
78 ny siti juwariyah
6 6
4 3 3 10 2 10 10 10 10 4 10
8 3 2
1
8 10
10 30 15 15
1
3 10 10 10 10
8 8 8
8 8
3 10 6 10 10 10 10 10 10
1 1 1 1
3 10 4 10
4 6
1
10 10 6 8 15
10
2 8 8 8 4 8 8
10
6 10
S
I
S
A
T
O
T
A
L
81 an noval nabil
P
80 an m kawaqi
A
79 ny siyem
82 tn djupri
K
83 ny umi
A
84 posy
I
85
86
87
88
16 224.00
10 91.00
0 118.00
0 -
0 36.00
0 -
0 -
3 24 140.00
0 30.00
0 142.00
15 85.00
20 20 120 90.00
55 233.00
2 1.00
5 57.00
0 1.00
76 261.00
0 -
0 7.00
5 9.00
10 175.00
10 310.00
10 184.00
0 4.00
1 1 12.00
10 49.00
0 -
20 276.00
0 5.00
0 -
6 42.00
12 18.00
14 338.00
0 10.00
10 3 4 174 649.00
13 63.00
0 -
0 -
0 -
0 -
0 -
5 185.00
0 -
19 173.00
0 -
0 184.00
0 -
0 2.00
0 140.00
0 -
0 -
0 -
0 20.00
10 70.00
0 138.00
20 168.00
0 -
0 -
1 21.00
0 8.00
10 10 20 240.00
30 120.00
60 129.00
0 110.00
0 6.00
0 75.00
0 -
1 10.00
10 68 43.00
0 20.00
10 35.00
8 44.00
0 -
10 225 487.00
0 157.00
30 209.00
0 -
6 24.00
0 -
0 8.00
2 12.00
0 -
0 2.00
0 14.00
0 12.00
0 122.00
2 153.00
0 29.00
0 455.00
0 -
0 2.00
0 57.00
1 49.00
0 182.00
0 -
66 204.00
62 508.00
0 7.00
0 -
0 -
0 -
0 -
34 149.00
0 -
0 -
50 285 719.00
1 12 12.00
0 -
10 10 20 28.00
0 -
0 8.00
3 67 597.00
0 -
0 -
0 -
0 282.00
26 72.00
0 8.00
1 6.00
10 301.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
204 -
30 176.00
0 -
0 20.00
0 -
0 -
118 97.00
10 266.00
10 226.00
4 66 474.00
0 -
3 tn budiyanto
5 tn siswanto
1 ny sanem
2 an salma
4 tn harno
No 2/3/2020
sok awal penerimaanpersediaan

1 1 Alat Suntik 3 cc 224.00 224.00
2 2 Alat Suntik 5 ml 91.00 91.00
3 Bisturi 118.00 118.00
- -
1 1 Acyclovir tab 400 mg 36.00 36.00
2 2 Albendazol - -
3 3 Allopurinol tab 100 mg - -
4 4 Ambroksol 30 mg 140.00 140.00
5 5 Aminofilin injeksi 24 mg/ml 30.00 30.00
6 6 Aminofilin tablet 150 mg 142.00 142.00
7 7 Amitriptilin 25 mg 85.00 85.00 10
8 8 Amlodipin tablet 5 mg 90.00 90.00 10
9 9 Amoksisillin 500 mg 233.00 233.00 10
10 10 Amoxicillin Forte Dry Syr 1.00 10.00 11.00
11 11 Ampisilin Inj 1000 mg 57.00 57.00
12 12 Antacid doen supensi 1.00 1.00
13 13 Antasida doen 261.00 261.00
14 14 Antifungi Doen - -
15 15 Antihemoroid supp 7.00 7.00
16 16 Aqua pro injeksi 9.00 9.00
17 17 Asam asetil salisilat tbl 80 mg(Miniaspi) 175.00 175.00
18 18 Asam mefenamat kaplet 500 mg 310.00 310.00 10
19 19 Asam tranexamat 500 mg 184.00 184.00
20 20 Asam Tranexamat inj 4.00 4.00
21 21 Asiklovir krim 5% 12.00 12.00
22 22 Atapulgit tablet 600 mg 49.00 49.00
23 23 Atropin sulfat inj. 0,25 mg/ml - -
24 24 Betahistin tablet 6 mg 276.00 276.00
25 25 Betametason krim 0,1 5.00 5.00
26 26 Bisacodil 5 mg - -
27 27 cefadroxil kap 500mg 42.00 42.00
28 28 Cefotaksim inj 18.00 18.00
29 29 ciprofaxin tab 500mg 338.00 338.00
30 30 Clindamycin 150 mg 10.00 10.00
31 31 CTM 4 mg 649.00 649.00 5 10
32 32 Deksametason Inj 63.00 63.00
33 33 Deksametason tab 0,5 mg - 1,000.00 1,000.00 10
34 34 Dextrosa 40% - -
35 35 Diazepam injeksi - -
36 36 Diazepam tbl 2 mg - -
37 37 Difenhidramin injeksi 10 mg/ml - -
38 38 Digoksin 185.00 185.00
39 39 Dihidro Artemisin+Piperakuin (DHP - -
40 40 Dimenhidrinat tbl 50 mg 173.00 173.00
41 41 Domperidone suspensi 5mg - -
42 42 Domperidone tablet 10 mg 184.00 184.00 10
43 43 Dopamet tbl 250 mg - -
44 44 Epinefrin injeksi 0.1% 2.00 2.00
45 45 Eritromisin kpl 500 mg 140.00 140.00
46 46 FDC Anak (P2M) - 1.00 1.00
47 47 FDC II (P2M) - -
48 48 Fenobarbiltal inj 50 mg/ml - -
49 49 Fenobarbital 30 mg 20.00 20.00
50 50 Furosemide tablet 40 mg 70.00 70.00
51 51 Garam oralit 138.00 138.00
52 52 Gemfibrozil 300 mg 168.00 168.00
53 53 gentamicin inj 40mg - -
54 54 Gentamicin SM - -
55 55 Gentamicin TM 21.00 21.00
56 56 Gentian Violet 1% 8.00 8.00
57 57 Glibenklamide tablet 5 mg 240.00 240.00
58 58 Glimepiride 2 mg 120.00 120.00
59 59 Gliseril Guaiakolat 100 mg 129.00 129.00 5
60 60 Halloperidol 5 mg 110.00 110.00
61 61 Halloperidol inj 6.00 6.00
62 62 HCT 25 mg 75.00 75.00
63 63 Hepagard - -
64 64 Hidrokortison cr 2,5 % 10.00 10.00
65 65 ibuprofen 400 mg 43.00 500.00 543.00
66 66 Ibuprofen susp 100mg / 5 ml 20.00 20.00
67 67 ISDN 35.00 35.00
68 68 Isoniazid 300 mg 44.00 44.00
69 69 Isoniazid tbl 100 mg(P2M) - -
70 70 Kalsium laktat 500 mg 487.00 487.00
71 71 kaptopril tab 12,5 mg 157.00 157.00 10
72 72 Karbamazepin 209.00 209.00
73 73 Ketokonazol cr 2 % - -
74 74 Ketokonazole tbl 200 mg 24.00 24.00
75 75 Ketoprofen supp - -
76 76 Ketorolac injeksi 30 mg 8.00 8.00
77 77 Kloramfenicol susp 125 mg/5 ml 12.00 12.00
78 78 Kloramfenicol TM - -
79 79 Kloramfenikol SK 2.00 2.00
80 80 Kloramfenikol SM 1% 14.00 14.00
81 81 Kotrimoksazol supsensi 12.00 12.00
82 82 Kotrimoksazol tablet 480 mg 122.00 122.00
83 83 loperamid 2mg 153.00 153.00
84 84 Magnesium Sulfat Inj 40 % 29.00 29.00
85 85 Metformin 500 mg 455.00 455.00
86 86 Metilergometrin injeksi - -
87 87 Metilergometrin tablet 0.125 mg 2.00 2.00
88 88 Metoklopramide 57.00 57.00
89 89 Metoklopramide inj 49.00 49.00
90 90 Metronidazol 500 mg 182.00 182.00
91 91 Metronidazol infus 5mg/ml - -
92 92 N asetil sistein 204.00 204.00
93 93 Na diklofenak tablet 50 mg 508.00 508.00
94 94 Neocenta gel 7.00 7.00
95 95 Nifedipin 10 mg - -
96 96 Novadiar syr - -
97 97 OBH - -
98 98 Oksitosin injeksi 10 IU/ml - -
99 99 Omeprazole 149.00 149.00
100 100 Multivitamin syr - -
101 101 Pacdin cough sy - -
102 102 paracetamol 500mg 719.00 719.00 10 10
103 103 Paracetamol syr 120mg/5ml 12.00 12.00 1
104 104 Piracetam inj - -
105 105 piracetam tab 400mg 28.00 28.00
106 106 pirexin supositoria 160 mg - -
107 107 pirexin supositoria 80 mg 8.00 8.00
108 108 Prednison tablet 5 mg 597.00 597.00 5 10
109 109 Propanolol tablet 40 mg - -
110 110 PTU 100 mg - -
111 111 Ranitidin inj - -
112 112 Ranitidin tab 150mg 282.00 282.00
113 113 Salbutamol 4 mg 72.00 72.00
114 114 Salep 24 8.00 8.00
115 115 Salisil bedak 2% 6.00 6.00
116 116 scopma plus 301.00 301.00
117 117 Sefadroksil syr 125 mg 3.00 3.00
118 118 Serum Abu 1 - -
119 119 Serum ATS 1500 IU - -
120 120 Setirizin kapsul 10 mg - -
121 121 Simvastatin 10 mg 134.00 134.00
122 122 Stesolid Rectal Sup - -
123 123 Tablet tambah darah - -
124 124 Thiamphenicol kap 500 mg 176.00 176.00
125 125 Thiamphenicol syr - -
126 126 Triheksifenidil tbl 2 mg(Mersi) 20.00 20.00
127 127 Vitamin A 100.000 IU - -
128 128 Vitamin A 200.000 IU - -
129 129 Vitamin B Kompleks 97.00 97.00 10
130 130 Vitamin B1 tablet 50 mg 266.00 266.00
132 132 Vitamin C Tablet 50 mg 474.00 474.00
133 133 Vitamin K injeksi 2 mg/ml - -
2
5
2
10
6 an zakar
7 an anugerah
10
8 m lapin
10
20
10
9 tn pandi
10 ny dwi
11 ny giyem
12 ny ismini
10
13 tn mustofa
14 sdr eka p
15 ny surati
1
16 an n nazirul
17 an sherlita
3
18 an faiz
19 tn eko s
20 ny sri w
21 an fatma
10
10
22 ny siswati
23 ny payem
6
24 an m riko
2
25 an abdul f
10
26 ny sulasih
27 ny darmini
28 ny sulis
29 tn suwarno
6 6 6
2 10 10 10 10 3 4 10 2
10 10 10 10 10 2 10
1
1
10
1
10 10 10 10
10 30 30 15
6
20
1 10
4
2 3 10
6
10 10 6
1
10 10 4
10
10
10 10 2
4
2 3 10 6 10
30 ny sugiarti
6
31 ny monah
32 an dwi a
33 ny sulasmi
2
10
34 ny malikatun
35 ny ida l
10
10 10
36 ny isti
37 ny agus
38 sdr m andr
39 an endyta
3
40 an rizky
41 an kaisia
42 ny gudel
6
43 an maryanti
44 ny tasmi
45 an dina
1
46 ny ngatini
1
47 an adiba
48 tn riyanto
10 10
10
5 49 sdr siti s
50 an reni
2
51 ny yanti
52 sdr zainal
4
53 an farel
3
3 6
10 4 3 5 10 3 4
6 3
10 10 10
3 5 3 4 4
30
10 10 5
30 15 20
20
1
5
6
4
6
5 10 10 4 4
1 1 1
10 4 10 10
6
10 10
10 10 10
10
10
10 4 5 10 10
10
54 ny siti f
10 10
55 sdr ilham
10
56 ny legi
2
57 an zakiya
58 an putri
10
59 ny kasiyem
10
60 ny yatmi
61 an a dafa
62 ny lily
10
63 ny diana
6
64 ny sulis
65 an inara
10
66 ny dwi
67 tn nyamin
10 10
10
10
68 ny suminem
69 an a irfan
10
70 ny rena
71 an m eza
72 ny harni
73 risa
74 posyan
I
L
T
T
K
A
A
A
O
100
0
1
40
0
3
0
0
0
80
0
3
4
0
72
0
8
1
35
16
0
0
2
0
0
0
0
0
10
24
0
3 6
6 6 39
0
10 2 4 2 10 143
3 12
10 10 10 10 10 152
0
0
0
0
0
0
0
0
10
0
0
0
1
0
0
0
0
0
6 20 26
0
0
1
1
0
0
10 2 10 10 10 76
30
0
0
0
1
10 75
0
0
0
0
30 30 210
20 50
0
0
6
0
0
1
0
0
0
1
0
20
0
0
0
0
5
1 18
4
0
10 29
6 18
0
0
0
0
0
6
0
0
10 10 4 10 10 6 50 179
1 6
0
0
0
0
10 83
0
0
0
6
0
0
0
10 20
0
0
0
0
0
0
0
10 4 10 54
0
0
0
0
10 72
10
10 30 54
10 10 10 6 106
0
S
I
S
A
200.00
81.00
118.00
-
36.00
-
-
138.00
30.00
142.00
69.00
55.00
133.00
10.00
49.00
1.00
189.00
-
3.00
6.00
175.00
230.00
184.00
4.00
12.00
46.00
-
236.00
4.00
-
42.00
12.00
299.00
10.00
506.00
51.00
848.00
-
-
-
-
185.00
-
173.00
-
174.00
-
2.00
140.00
-
-
-
20.00
70.00
138.00
142.00
-
-
20.00
7.00
240.00
120.00
53.00
80.00
6.00
75.00
-
9.00
468.00
20.00
35.00
44.00
-
277.00
107.00
209.00
-
18.00
-
8.00
11.00
-
2.00
14.00
11.00
122.00
133.00
29.00
455.00
-
2.00
52.00
31.00
178.00
-
175.00
490.00
7.00
-
-
-
-
143.00
-
-
540.00
6.00
-
28.00
-
8.00
514.00
-
-
-
276.00
72.00
8.00
6.00
281.00
3.00
-
-
-
134.00
-
-
122.00
-
20.00
-
-
25.00
256.00
172.00
368.00
-
ny siti aripah
an istianatul
ny pariyem
ny sriwanti
an kayla
an arga
No 2/3/2020
1
2
3
4
5
6
1 Alat Suntik 3 cc 200.00 200.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 138.00 138.00
9 Amoksisillin 500 mg 133.00 700.00 833.00 3 10
11 Ampisilin Inj 1000 mg 49.00 49.00
13 Antasida doen 189.00 300.00 489.00 10 10
16 Aqua pro injeksi 6.00 18.00 24.00
17 Asam asetil salisilat tbl 80 mg(Mini 175.00 175.00
18 Asam mefenamat kaplet 500 mg 230.00 300.00 530.00
25 Betametason krim 0,1 4.00 4.00 1
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 506.00 506.00 2 10
34 Dextrosa 40% - -
38 Digoksin 185.00 185.00
40 Dimenhidrinat tbl 50 mg 173.00 173.00 6
47 FDC II (P2M) - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 142.00 142.00
56 Gentian Violet 1% 7.00 7.00 1
58 Glimepiride 2 mg 120.00 120.00
59 Gliseril Guaiakolat 100 mg 53.00 400 453.00 3
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
64 Hidrokortison cr 2,5 % 9.00 9.00 1
65 ibuprofen 400 mg 468.00 468.00
67 ISDN 35.00 35.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 mg 277.00 500.00 777.00 2
71 kaptopril tab 12,5 mg 107.00 107.00
79 Kloramfenikol SK 2.00 23.00 25.00 1
83 loperamid 2mg 133.00 133.00
85 Metformin 500 mg 455.00 455.00
88 Metoklopramide 52.00 200.00 252.00
90 Metronidazol 500 mg 178.00 178.00
92 N asetil sistein 175.00 300.00 475.00
93 Na diklofenak tablet 50 mg 490.00 490.00 6 8
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 143.00 143.00 8
102 paracetamol 500mg 540.00 540.00 10
103 Paracetamol syr 120mg/5ml 6.00 10.00 16.00 1
108 Prednison tablet 5 mg 514.00 514.00 3 10 2
110 PTU 100 mg - -
111 Ranitidin inj - 30.00 30.00
112 Ranitidin tab 150mg 276.00 276.00
113 Salbutamol 4 mg 72.00 300.00 372.00
114 Salep 24 8.00 8.00
116 scopma plus 281.00 281.00 8
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
123 Tablet tambah darah - 600.00 600.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 25.00 1,000.00 1,025.00 8
131 Vitamin B6 tablet 10 mg 172.00 500.00 672.00
7 ny imronah
1
8 an ovi leya
9 ny dini sutantri
10 an m fadil
11 ny siti zumrotun
12 ny barick risty
4
13 ny nukita
10
14 ny sugiharti
10
15 an delma
16 ny miftakul janah
17 ny amalia
10
18 ny istinasekah
10
10
20
19 ny pudji lestari
20 an m ilham
10
21 tn warsidi
22 an adiba
10
10
10
23 tn pardi
6
24 an regina
25 tn paimin
26 an zakira
1
27 an ahmad riski
28 an sayidah
29 ny puji lestari
10 10
30 tn suwarno
6
8 6
10 2 4 4 3 10 3 4
10 4 4 4 5 3 10 3 4 10 10
8 10 6 8
2 4 3 3 3 4
10 10
20 15 15
1 1
10 10
8 8
10 2 8 8 4 8 6 10 8
1 1 1
2 10
6
6
10
10 10 10
20 15 15 8
4 5
3 3 6 10
31 an karina
10
32 tn ngadimin
33 ny suli
10
34 tn nyamin
10 10
10
35 an anis
2
36 an khalisa
37 posyandu
38 ny sawiyem
39 an alexandra
40 an eka nuryani
10
41 an silvina
42 ny dwi set
43 sdr pravamastya
2
44 an azrina
45 ny asiyatin
46 sdr adi suf
47 an nayla
10
5 10
48 ny sumiyati
8
49 an faiz
3
50 an m rizky
10 51 tn pardjo
10
52 ny partini
53 an m ali
5
54 an alya
10 2 2 10 10 2 10 6 5
10 10 2 10 2 10 6 10 5
10 3 10 5
30
10
20 20
1
2 10 2 10 6
8 6 6
6 10 80 10 10 6 5 10 5 5
1
10 3
6
6 5
20 20
10 5
5 8 6 8
10
6 2
55 ny nur aini
10
56 ny kasminah
57 an jiyan
58 tn musbikin
2
59 ny purwati
60 ny sriyanyi
10
61 ny rafika
62 ny kasmiyatul
10
10
63 ny sutiyem
64 an jonatan
10
65 ny sugiarti
66 an dwi
10
67 tn suwanto
68 ny siti
10 10
69 ny siti um
70 an m haikal
10
10
71 ny khoirotun
3
72 an azib
73 an m kenzo
8
74 an amira
2
75 ny rina
10
76 ny siti koms
10
77 ny nanik
20
78 tn lapi
2
10 10 10 4 3 5 4
10 10 10 3 10
5 5
10 10 4 3 5
10 10 10 10
20 20 20
20
1
1 1
10
10
10 3 10 4
10 10 10 10 10 8
1
10
4 5 4
10
20 20 20 10
10 4
10 10 5 6 6
10 3 5 10 10 5 4 10 5
10
79 ny ngasmi
10
80 sdr heri sus
81 ny monah
10
10 10
82 tn suwarjo
83 tn rasmini
5
84 an anas
85 tn atkur
86 tn boto
87 tn karyono
88 an sugiyarto
89 ny sunarti
10
90 tn partono
91 ny siti ami
92 an a aldi
93 ny rukini
94 an bambang
10
95 ny siti sh
10
96 ny isnani
97 ny darmi
98 an ahya
99
100
101
102
6
8 6 6
10 10 10 10 4 10 10 4
10 10 10 10 10 10
10
20
10
10 10 4
30
10 10
10
8
25
10 10 10 4
6 6 6 6
8 8
10 10 10 10
1 1
10 4 10 10 4
10 10
1
10
6 6
10
8 5 10 4 10
S
I
S
A
T
O
T
A
L
P
A
K
A
I
103
104
105
106
107
108
109
110
111
30 170.00
0 81.00
0 118.00
0 -
0 36.00
0 -
0 -
0 138.00
0 30.00
0 142.00
4 65.00
50 5.00
139 694.00
1 9.00
0 49.00
0 1.00
156 333.00
0 -
0 3.00
5 19.00
0 175.00
100 430.00
0 184.00
0 4.00
0 12.00
0 46.00
0 -
60 176.00
2 2.00
0 -
2 40.00
12 -
40 259.00
0 10.00
223 283.00
0 51.00
255 593.00
0 -
0 -
0 -
0 -
10 175.00
0 -
56 117.00
0 -
0 174.00
0 -
0 2.00
20 120.00
0 -
0 -
0 -
0 20.00
3 67.00
0 138.00
0 142.00
0 -
0 -
0 20.00
1 6.00
0 240.00
10 110.00
106 347.00
60 20.00
0 6.00
0 75.00
0 -
1 8.00
90 378.00
0 20.00
5 30.00
0 44.00
0 -
162 615.00
20 87.00
0 209.00
0 -
8 10.00
0 -
0 8.00
2 9.00
0 -
3 22.00
3 11.00
0 11.00
0 122.00
0 133.00
0 29.00
25 430.00
0 -
0 2.00
10 242.00
10 21.00
8 170.00
0 -
111 364.00
58 432.00
0 7.00
0 -
0 -
0 -
0 -
40 103.00
0 -
0 -
319 221.00
8 8.00
0 -
10 18.00
0 -
0 8.00
91 423.00
0 -
0 -
18 12.00
17 259.00
40 332.00
0 8.00
1 5.00
48 233.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
168 432.00
38 84.00
0 -
0 20.00
0 -
0 -
92 933.00
20 236.00
0 672.00
129 239.00
0 -
1 Budi setiawan
No 2/3/2020
4
1 Alat Suntik 3 cc 240.00 240.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 164.00 164.00
5 Aminofilin injeksi 24 mg 30.00 30.00
7 Amitriptilin 25 mg - -
10 Amoxicillin Forte Dry Sy 3.00 3.00
11 Ampisilin Inj 1000 mg 12.00 12.00
17 Asam asetil salisilat tbl 185.00 185.00
18 Asam mefenamat kaplet 320.00 320.00
23 Atropin sulfat inj. 0,25 m - -
30 Clindamycin 150 mg 10.00 10.00 8
31 CTM 4 mg 823.00 823.00
34 Dextrosa 40% - - 10
37 Difenhidramin injeksi 10 - -
38 Digoksin 190.00 190.00
39 Dihidro Artemisin+Pip - -
41 Domperidone suspensi 5 - -
42 Domperidone tablet 10 m 184.00 184.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj 50 mg/m - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 188.00 188.00
57 Glibenklamide tablet 5 m 260.00 260.00
58 Glimepiride 2 mg 150.00 150.00
59 Gliseril Guaiakolat 100 m 189.00 189.00
62 HCT 25 mg 75.00 75.00
63 Hepagard - -
65 ibuprofen 400 mg 111.00 111.00
66 Ibuprofen susp 100mg / 5 20.00 20.00
67 ISDN 45.00 45.00
68 Isoniazid 300 mg 52.00 52.00
69 Isoniazid tbl 100 mg(P - -
71 kaptopril tab 12,5 mg 157.00 157.00
77 Kloramfenicol susp 125 14.00 14.00
82 Kotrimoksazol tablet 480 122.00 122.00
83 loperamid 2mg 155.00 155.00
84 Magnesium Sulfat Inj 40 29.00 29.00
85 Metformin 500 mg 455.00 455.00
87 Metilergometrin tablet 0. 2.00 2.00
90 Metronidazol 500 mg 182.00 182.00
91 Metronidazol infus 5m - -
93 Na diklofenak tablet 50 m 70.00 70.00
95 Nifedipin 10 mg - - 10
96 Novadiar syr - -
97 OBH - -
98 Oksitosin injeksi 10 IU/m - -
99 Omeprazole 183.00 183.00
102 paracetamol 500mg 1,004.00 1,004.00
103 Paracetamol syr 120mg/5 4.00 4.00
106 pirexin supositoria 160 m - -
109 Propanolol tablet 40 m - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 282.00 282.00
113 Salbutamol 4 mg 98.00 98.00
114 Salep 24 8.00 8.00
116 scopma plus 311.00 311.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
124 Thiamphenicol kap 500 m 206.00 206.00
126 Triheksifenidil tbl 2 mg(M 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
133 Vitamin K injeksi 2 mg/m - -
5
10
11
12
13
14
15
16
17
18
19
20
21
22 Asam mefenamat kaplet 500 mg
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
S
I
S
A
T
O
T
A
L
P
A
K
A
I
0 240.00
0 1.00
0 118.00
0 -
0 36.00
0 -
0 -
0 164.00
0 30.00
0 142.00
0 -
0 10.00
0 288.00
0 3.00
0 12.00
0 1.00
0 337.00
0 -
0 7.00
0 14.00
0 185.00
0 320.00
0 194.00
0 4.00
0 13.00
0 59.00
0 -
0 296.00
0 5.00
0 -
0 48.00
0 -
0 352.00
8 2.00
0 823.00
0 76.00
0 -
10 (10.00)
0 -
0 -
0 -
0 190.00
0 -
0 192.00
0 -
0 184.00
0 -
0 2.00
0 140.00
0 -
0 -
0 -
0 20.00
0 80.00
0 138.00
0 188.00
0 -
0 -
0 22.00
0 8.00
0 260.00
0 150.00
0 189.00
0 110.00
0 6.00
0 75.00
0 -
0 11.00
0 111.00
0 20.00
0 45.00
0 52.00
0 -
0 712.00
0 157.00
0 239.00
0 -
0 30.00
0 -
0 8.00
0 14.00
0 -
0 2.00
0 14.00
0 2.00
0 122.00
0 155.00
0 29.00
0 455.00
0 -
0 2.00
0 57.00
0 -
0 182.00
0 -
0 270.00
0 70.00
0 7.00
10 (10.00)
0 -
0 -
0 -
0 183.00
0 -
0 -
0 1,004.00
0 4.00
0 -
0 48.00
0 -
0 8.00
0 664.00
0 -
0 -
0 -
0 282.00
0 98.00
0 8.00
0 7.00
0 311.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
0 204.00
0 206.00
0 -
0 20.00
0 -
0 -
0 215.00
0 276.00
0 236.00
0 540.00
0 -
sdr m nur cholis
tn purwanto
ny karsiyem
sdr astrimo
ny suparti
tn suradi
ny ruti
No 2/3/2020
1
2
3
4
6
7
1 Alat Suntik 3 cc 170.00 170.00
3 bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 138.00 138.00
7 Amitriptilin 25 mg 65.00 65.00 5
11 Ampisilin Inj 1000 mg 49.00 49.00
13 Antasida doen 333.00 333.00 10
17 Asam asetil salisilat tbl 80 mg(Min 175.00 175.00 10
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 283.00 283.00 10 10 10
33 Deksametason tab 0,5 mg 593.00 593.00 10
34 Dextrosa 40% - -
38 Digoksin 175.00 175.00 5
47 FDC II (P2M) - -
51 Garam oralit 138.00 138.00
52 Gemfibrozil 300 mg 142.00 142.00 6
58 Glimepiride 2 mg 110.00 110.00
62 HCT 25 mg 75.00 75.00 10
63 Hepagard - -
65 ibuprofen 400 mg 378.00 378.00 10
67 ISDN 30.00 300.00 330.00 10
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 87.00 87.00
72 Karbamazepin 209.00 209.00 30 30
83 loperamid 2mg 133.00 133.00
85 Metformin 500 mg 430.00 430.00
90 Metronidazol 500 mg 170.00 170.00
92 N asetil sistein 364.00 364.00 10
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 103.00 103.00
102 paracetamol 500mg 221.00 1,500 1,721.00 10 10 10
110 PTU 100 mg - -
112 Ranitidin tab 150mg 259.00 259.00
113 Salbutamol 4 mg 332.00 332.00
114 Salep 24 8.00 8.00
116 scopma plus 233.00 233.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
130 Vitamin B1 tablet 50 mg 236.00 236.00 10
6
8 an azahra
2
10
10
9 farida
10 tn supar
10
11 sdr dani
10
12 an adila
10
13 siti aminatus
10
10 10
14 ny rani
10
15 ny intan dewi
10
16 ny suparti
17 ny ngisatun
18 ny siti zaroah
10 10
19 tn roko
20 ny suparti
21 tn yahmin
10
22 ny karyatun
10
23 tn kuswadi
24 an askia
5
25 an choirul amin
10
6
26 tn suprihanto
10
27 tn suwignyo
10
28 tn pariyo
12
29 ny nur rohmah
10
30 ny sutiyem
31 sdr m sholeh
6 3
10 10
2 10 10 10
10 10 6 5 6 10 10
10
10
1
10 10 10 10 10 5 10
20
1
10 2 20 10
10
6 10 10 10 10
1
6 6 6 6 6
10
20 10
10
6 10 10 8
10
6 5 10 10
32 an vhelin
33 an m hasan
10
34 an ahmad farel
6
35 ny warsini
36 an talita
37 ny nur hasanah
10
38 tn ahmad nur habib
1
39 an m hasyim
40 an iqbal
41 tn suyatmo
42 ny tukinem
10
43 sdr arfani
1
3
44 an maulana
45 ny giyanti
46 ny bibit
10
47 tn jamin
48 farida
10 10
49 ny siti
10
50 sdr dami
51 an adila
52 tn wawan
10
53 tn lapin
54 tn rasimin
55 ny kasinem
10 10 10 10 3 10 2 10
10 10 6 3 6 6 3 6
20 10 20
3 10 10
1
10 10
20 20
10 20
3
3 4
10 10 10 10 2 10
6 6
10 6 3 10
1
10
6
10
20 20
3 10 8 10
3 3 6 3 5
10
56 ny sumiyati
1
57 an zainab
58 ny iin istiqomah
59 an setyowati
10
60 tn supardi
10
61 tn pratno
4
62 an ali mustofa
63 ny sunarti
64 tn kumaidi
65 ny suliyati
10
66 sdr arista
1
67 arif setiawan
10
10
68 ny khoirotun
69 an alaika
10
70 nn setyani
10
71 ny siti nurhayati
72 an m yahya
73 ny sumiyati
74 wahyu setyaningsih
75 an farhatul
76 an jihan
77 an ayu jati
3
10
5 10 10 4 4 10 10
10 3 10 6 3 10 3
3 4 4 10 10 3 3
10
6 20
1 1
5 10
6 6 6 6
5 10 10 10 10 6
1 1 1 1 1
6
20 20 10
5
10 10 10
10 3 10 4 3 6 3 5
78 ny lia
4
79 an m danang
2
10
10
80 ny warsini
10
81 tn wawan
2
10
82 tn suwarno
83 an sisilia
84 tn dedi
10
5
85 ny legi
10
86 ny ngadinem
87 ny pujiyatiningsih
10
88 ny tentrem
89 ny susilowati
10
10
90 sdr mergi
91 an safiya
92 an delivia
93 ny paryanti
94 an putri
95 ny nurul
10
10
96 an ahmad
97 an alvina
98 tn sutomo
4 10 4 3 3
4 10 10 2 3 3
10
1
1
10 4 2 3
1
10 6
1
20 20
30
10 10 4 10 3
6 6
10 10 8 10 10 10
1 1 1
10 10
6
10
20 20
5
8 10 8
10 2
99 an maulana
100 an nur
101 ny rumtini
102 m dani
103 an meydifa
3
104 an anggara
105 ny siti m
106 ny sulastri
107 ny parni
108 tn karjo
109 ny sri w
10
110 tn ngatnarjo
111 an naila
112 an zaki
113 tn kusno
114 an sisilia
10
115 ny lasmi
116 an anastasya
10
117 tn warsidi
118 an inara
10
10
119 ny lasmi
120 tn lasdi
1
121 an auliya
10
122 ny sri
6 6
10 3 10 4 10 2 2
10 4 3 10 10 10
10 3 10 10 10
10
10
20 10 20
20
10
4
3 10
8
10 4 2 2
6 6
6 10 10 6 10
1 1 1 1 1
8 8
20 20
10 5 5
10 10
10
6 3 6 6 6 2
S
I
S
T A
O
T
A
L
P
A
126 posyandu
124 ny siti m
125 bejo sus
K
123 ny ayuk
A
I
127
128
129
130
131
50 120.00
40 41.00
0 118.00
0 -
0 36.00
0 -
0 -
3 135.00
0 30.00
22 120.00
15 50.00
0 5.00
10 173 521.00
4 5.00
20 29.00
0 1.00
176 157.00
0 -
0 3.00
6 13.00
10 165.00
10 60 370.00
0 184.00
0 4.00
0 12.00
0 46.00
0 -
40 136.00
1 1.00
0 -
12 28.00
0 -
6 48 211.00
0 10.00
245 38.00
0 51.00
10 10 261 332.00
0 -
0 -
0 -
0 -
10 165.00
0 -
18 99.00
0 -
0 174.00
0 -
0 2.00
60 60.00
0 -
0 -
0 -
0 20.00
0 67.00
4 134.00
12 130.00
0 -
0 -
1 19.00
2 4.00
0 240.00
0 110.00
142 205.00
0 20.00
0 6.00
18 57.00
0 -
3 5.00
10 131 247.00
1 19.00
30 300.00
0 44.00
0 -
20 196 419.00
50 37.00
90 119.00
0 -
3 7.00
0 -
0 8.00
0 9.00
0 -
3 19.00
0 11.00
0 11.00
0 122.00
10 123.00
0 29.00
0 430.00
0 -
0 2.00
4 238.00
21 -
8 162.00
0 -
174 190.00
70 362.00
0 7.00
0 -
0 -
0 -
0 -
22 81.00
0 -
0 -
50 306 1,415.00
15 48.00
0 -
18 -
0 -
0 8.00
22 401.00
0 -
0 -
0 12.00
48 211.00
30 302.00
0 8.00
0 5.00
16 217.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
20 220 212.00
40 44.00
0 -
0 20.00
0 -
0 -
147 786.00
30 206.00
0 672.00
136 103.00
0 -
1 tn kristianto
4 sdr robbidin
7 tn hariyono
6 ny nyamen
2 ny suwarni
3 an m indra
5 ny tuimi
No 2/3/2020

1 Alat Suntik 3 cc 120.00 120.00
2 Alat Suntik 5 ml 41.00 100.00 141.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 135.00 135.00
8 Amlodipin tablet 5 mg 5.00 300.00 305.00
9 Amoksisillin 500 mg 521.00 521.00 10 10 10
11 Ampisilin Inj 1000 mg 29.00 29.00
13 Antasida doen 157.00 400.00 557.00 10
17 Asam asetil salisilat tbl 80 mg 165.00 165.00
18 Asam mefenamat kaplet 500 m 370.00 200.00 570.00 10
25 Betametason krim 0,1 1.00 25.00 26.00
26 Bisacodil 5 mg - 100.00 100.00
28 Cefotaksim inj - 50.00 50.00 6
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 38.00 1,000.00 1,038.00 10 10 10
34 Dextrosa 40% - -
37 Difenhidramin injeksi 10 mg/m - -
38 Digoksin 165.00 165.00
39 Dihidro Artemisin+Piperak - -
47 FDC II (P2M) - -
51 Garam oralit 134.00 134.00
52 Gemfibrozil 300 mg 130.00 130.00
56 Gentian Violet 1% 4.00 19.00 23.00
58 Glimepiride 2 mg 110.00 110.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
64 Hidrokortison cr 2,5 % 5.00 24.00 29.00
65 ibuprofen 400 mg 247.00 247.00 10 10
67 ISDN 300.00 300.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 37.00 37.00
74 Ketokonazole tbl 200 mg 7.00 250.00 257.00
77 Kloramfenicol susp 125 mg/5 9.00 9.00
82 Kotrimoksazol tablet 480 mg 122.00 122.00 14
83 loperamid 2mg 123.00 123.00
85 Metformin 500 mg 430.00 430.00
90 Metronidazol 500 mg 162.00 162.00
92 N asetil sistein 190.00 190.00 10 10
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 81.00 81.00
102 paracetamol 500mg 1,415.00 1,415.00 10 10
105 piracetam tab 400mg - 200 200.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 211.00 211.00 6 6
113 Salbutamol 4 mg 302.00 302.00
114 Salep 24 8.00 8.00
116 scopma plus 217.00 217.00 8
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
124 Thiamphenicol kap 500 mg 44.00 300 344.00
126 Triheksifenidil tbl 2 mg(Mersi 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
132 Vitamin C Tablet 50 mg 103.00 500.00 603.00
8 tn salijo
0
10
9 tn sugiarto
10 tn sunari
10
11 ny mukhotimah
12 ny anik
13 ny sri hartatik
14 nn farida
15 ny suryati
16 nysiti nur
17 ny mari
18 ny ratna
19 an m rizky
4 10
20 ny lasiyem
6
21 an m riko
22 ny indah
10
10
23 ny suwati
24 an adlesta
25 ny artiyem
5
26 an zakiya
27 ny rokimatul
10
28 ny sri lamnni
6
10 10 10 5 5 10 10
10 10 6 10 10 4 10 3 6 6 10
10 6 10
1
10 10
6 20 20 20 20
6 3
10
10 10 10 6 6
10 10 5 10
1
20 20 20 20
8 10 10 6 10
10
6
29 tn samidi
10
30 tn djuri
10
31 ny siti mask
32 ny siti ami
33 tn haryono
34 tn suwarno
10
35 ny rani
36 sdr alim
10
10
37 ny yatminah
10
38 tn gudiyono
39 ny suparmi
10
10
10
1
40 tn kusno
2
41 an avino
42 an intan
10
43 sdrputri
10
10
44 tn zamzuri
45 an jelita
2
46 an adam
47 an aulia
48 ny mariya
6
10 10 10 3 3
7
6 10 10 5 10 6 10 2
10 10 3 5
1
10 10
20
3
4
10 10
10 10 10 8 10
1 10 1 1
2
10
1
5 5 20
10 5
10 10 2 10
5 2
49 ny kalisatun
50 ny jami
5
51 an m bagus
52 ny ayu
53 an m akmal
10
54 ny yuliatin
10
55 ny kristiyanti
56 an bayu r
5
57 ny suwindari
58 ny zumrotun
1
59 an zawa
60 ny siti sho
10
10
2
61 an aulia
10
10
62 ny saliyem
63 tn marno
64 ny hanifah
65 an mahawira
66 ny ngatiyem
67 ny sri les
68 nykarni
10
5 5 4 10
6 3 2 10 6 4 10 10 10 10 6
10 5 10 10
1
5
20 20 20 20 20
1 1
10
10 10 10
5 5 10 10 10
8
20 20 20 5 20 20
5 10
5 10 10 10 10
2 5
10
10
69 ny idatul
4
70 an safii
71 posyandu
72 ny nanik t
10
73 tn sutrisno
74 tn moh z
1
75 ny khusnul k
76
77
78
79
80
81
82
83
84
85
86
I
L
T
T
K
A
A
A
O
50
20
50
10
190
10
20
0
0
0
0
2
2
0
0
2
0
0
0
0
0
0
0
2
0
0
0
0
0
0
6
12
10
0
10 160
7
4 6 251
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
26
0
0
1 2
0
0
0
30
0
0
0
0
2
95
1
5
0
0
20 236
0
3
0
3 12
0
0
0
0
2
0
0
14
7
0
0
0
0
8
0
0
0
44
10 112
0
0
0
0
0
8
0
0
50 183
14
0
2
0
2
10
0
0
0
18
0
0
1
16
0
0
0
0
0
0
10 20 245
30
0
0
0
0
10 146
20
0
20
0
S
I
S
A
100.00
141.00
118.00
-
36.00
-
-
133.00
30.00
120.00
50.00
295.00
331.00
5.00
19.00
1.00
507.00
-
3.00
11.00
145.00
520.00
184.00
4.00
10.00
44.00
-
136.00
26.00
100.00
22.00
38.00
201.00
10.00
878.00
44.00
81.00
-
-
-
-
165.00
-
99.00
-
174.00
-
2.00
60.00
-
-
-
20.00
64.00
134.00
104.00
-
-
17.00
23.00
240.00
110.00
175.00
20.00
6.00
57.00
-
27.00
152.00
18.00
295.00
44.00
-
183.00
37.00
116.00
-
245.00
-
8.00
9.00
-
17.00
11.00
11.00
108.00
116.00
29.00
430.00
-
2.00
230.00
-
162.00
-
146.00
250.00
7.00
-
-
-
-
73.00
-
-
1,232.00
34.00
-
198.00
-
6.00
391.00
-
-
12.00
193.00
302.00
8.00
4.00
201.00
3.00
-
-
-
134.00
-
267.00
314.00
-
20.00
-
-
640.00
186.00
672.00
583.00
-
3 ny siti marilah
6 ny sulasmi
2 tn tri mar
1 tn salmet
4 ny yanti
5 tn parjo
No 2/3/2020

1 Alat Suntik 3 cc 100.00 100.00
2 Alat Suntik 5 ml 141.00 141.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 133.00 133.00
9 Amoksisillin 500 mg 331.00 331.00 10 10
11 Ampisilin Inj 1000 mg 19.00 19.00
18 Asam mefenamat kaplet 500 m 520.00 520.00
26 Bisacodil 5 mg 100.00 100.00
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 878.00 878.00 10 10 10 10 10
34 Dextrosa 40% - -
38 Digoksin 165.00 165.00
47 FDC II (P2M) - -
51 Garam oralit 134.00 134.00
52 Gemfibrozil 300 mg 104.00 104.00
58 Glimepiride 2 mg 110.00 110.00
59 Gliseril Guaiakolat 100 mg 175.00 175.00 10 10 10
60 Halloperidol 5 mg 20.00 100.00 120.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 152.00 152.00 10 10 10
67 ISDN 295.00 295.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 37.00 37.00
83 loperamid 2mg 116.00 116.00
85 Metformin 500 mg 430.00 430.00
90 Metronidazol 500 mg 162.00 162.00
96 Novadiar syr - -
97 OBH - -
102 paracetamol 500mg 1,232.00 1,232.00 10 10
105 piracetam tab 400mg 198.00 198.00
107 pirexin supositoria 80 mg 6.00 1 7.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 193.00 193.00 6
113 Salbutamol 4 mg 302.00 302.00
114 Salep 24 8.00 8.00
116 scopma plus 201.00 201.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
131 Vitamin B6 tablet 10 mg 672.00 672.00 10 10 12
10
10
7 tn sutrisno
8 an saskia
9 ny ngatinah
1
10 an rahma
11 an bilqis
10
12 sdr arfani
20
10
13 ny ngasmi
4
14 ny jainem
10
15 ny umi
10
16 ny darmi
17 an adam
18 ny ngami
10 10
5
19 tn priyono
10
20 tn sardi
21 ny anjar
22 an dina
23 ny nur hid
24 tn haryono
10
6
25 tn lasdi
1
26 ny siti amin
27 ny rani
6 6
10
10 5 3 2 10 10 10 10 10
3 2 10
10 10 10 10
1
10 10 10 10
10
15 15 15
10 20
1
10 10
10
10 3 2 10 10 10
1
5 10
1
10
15 15 15
3 2 8 8 8
30
2
10
28 an iqba
29 an davin
3
30 an tri ris
31 bp sutrisno
32 an alfaro
33 nywiwik
10
10
34 ny arimbi
35 ny sinah
10
36 ny sri han
37 sdr kusninda
10
38 tn suwarno
39 ny yani
10
40 an ahmad
10
41 tn ngadianto
10
10
42 ny rati
10
10
43 ny siti ami
1
3
44 an maulana
45 tn sukamto
10
46 tn pamin
47 an azkiya
10
10 3 3 10 10 10 10 10 10 3
2 3 10 10 10 10 6
10
10 2 3 10 10 10 10
30
2 15 25
30
10
3 10 10 10 10 10
1
10 10 3
1
15 25
3 3
2 3
10
48 sdr meinar
10
49 tn suwarjo
50 an thio
10
51 ny rukanah
10
52 ny siti fa
1
3
53 an aisya
10
10
10
54 tn sugiyo
55 an nazzira
10
56 an aulia
2
57 an adi imam
10
10
58 ny afi
10
59 ny ida
60 andaffa
61 ny sukarti
62 tn wirasulan
10
63 ny rasti
10
64 an sofia
65 ny juliharti
10
66 ny tini
6
67 an charly
6 6 6
10
10 10 10 3 2 2 4
6 6
10 10 10 3 3 4
1 1
30
1
2 2 10 6
10 10
10 10 10 10 8
1 1 1 1 1 1
10 2 10 10 10
6 6
30
2 8 8 8 8
10
6 2 2 10
68 tn ariyanto
3
69 an wahyu
70 ny nur rob
10
71 ny purmini
72 ny sri rah
73 posyandu
74
75
76
77
78
79
80
81
82
83
84
85
86
10
10
10
10 10
5 10 20
10 10 10 10
6
10 3 10
3
S
I
S
A
T
O
T
A
L
P
A
K
A
I
20 80.00
25 116.00
0 118.00
0 -
0 36.00
0 -
0 -
6 127.00
1 29.00
0 120.00
0 50.00
20 275.00
194 137.00
2 3.00
0 19.00
1 -
90 417.00
0 -
0 3.00
4 7.00
0 145.00
60 460.00
0 184.00
0 4.00
0 10.00
0 44.00
0 -
10 126.00
0 26.00
6 94.00
0 22.00
30 8.00
40 161.00
0 10.00
240 638.00
0 44.00
81 -
0 -
0 -
0 -
0 -
5 160.00
0 -
18 81.00
0 -
0 174.00
0 -
0 2.00
0 60.00 60
0 -
0 -
0 -
0 20.00
0 64.00
0 134.00
8 96.00
0 -
0 -
3 14.00
0 23.00
0 240.00
0 110.00
165 10.00
30 90.00 85 (ada yg ed)
0 6.00
0 57.00
0 -
4 23.00
90 62.00
0 18.00
18 277.00
0 44.00
0 -
117 66.00
30 7.00
30 86.00
0 -
4 241.00
0 -
1 7.00
1 8.00
0 -
1 16.00
0 11.00
1 10.00
0 108.00
0 116.00
0 29.00
0 430.00
0 -
0 2.00
0 230.00
0 -
8 154.00
0 -
50 96.00
30 220.00
0 7.00
0 -
0 -
0 -
0 -
16 57.00
0 -
0 -
191 1,041.00
7 127.00
0 -
0 198.00
0 -
1 6.00
130 261.00
0 -
0 -
0 12.00
18 175.00 75
12 290.00
0 8.00
2 2.00
10 191.00 175
0 3.00
0 -
0 -
0 -
0 134.00 134
0 -
115 152.00
0 314.00 314
0 -
0 20.00
0 -
0 -
104 536.00
0 186.00
72 600.00 600
30 553.00
0 -
5 ny juminem
2 an a wafi
6 ny suyati
7 tn salam
1 an hana
3 tn sardi
4 ny neni
No 2/3/2020

1 Alat Suntik 3 cc 80.00 80.00
2 Alat Suntik 5 ml 116.00 116.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 127.00 127.00 3
9 Amoksisillin 500 mg 137.00 500.00 637.00 3 10
11 Ampisilin Inj 1000 mg 19.00 19.00
12 Antacid doen supensi - -
13 Antasida doen 417.00 417.00 10 10 10
17 Asam asetil salisilat tbl 80 mg 145.00 145.00 5
26 Bisacodil 5 mg 94.00 94.00
30 Clindamycin 150 mg 10.00 10.00
31 CTM 4 mg 638.00 638.00 3 10
33 Deksametason tab 0,5 mg - 1,000.00 1,000.00 10
34 Dextrosa 40% - -
38 Digoksin 160.00 160.00 5
47 FDC II (P2M) - -
51 Garam oralit 134.00 134.00
52 Gemfibrozil 300 mg 96.00 96.00
58 Glimepiride 2 mg 110.00 110.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 62.00 500 562.00
67 ISDN 277.00 277.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 mg 66.00 1,000.00 1,066.00
71 kaptopril tab 12,5 mg 7.00 7.00
83 loperamid 2mg 116.00 116.00
85 Metformin 500 mg 430.00 430.00
90 Metronidazol 500 mg 154.00 154.00 8
92 N asetil sistein 96.00 500.00 596.00 10
96 Novadiar syr - -
97 OBH - -
102 paracetamol 500mg 1,041.00 1,041.00 3 3
105 piracetam tab 400mg 198.00 198.00 10 10
110 PTU 100 mg - -
112 Ranitidin tab 150mg 175.00 175.00 10
113 Salbutamol 4 mg 290.00 290.00
114 Salep 24 8.00 8.00
116 scopma plus 191.00 191.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
10
8 sdr shilda
2
9 an siti al
10
10
10 tn teguh
10
11 tn pardi
1
12 tn salam
10
10
13 tn aryono
14 ny eni utami
15 an alya chant
16 tn parjo
17 ny harni
18 tn yitno
10
19 tn muh rustam
5
20 an azahra
21 ny musyarofatul
10
22 ny ribut
10
10
23 ny nukhotimah
24 ny jainem
25 rani nur
10
26 ny karsiyem
4
27 an malika
28 tn mulyono
6 6 6 6
10 2 5 10 10 10 5 10
10 10 10 10 10 10 10 4
10 20 20
1
10
10
10 2 5 10 5 10
6 6
10 10 10 5 10 10 10 5 10 8
1
2 10 10 10
10
6 6 10
12
20 20
5
32
2 10 10 4
29 sdr p a aditya
30 ny sumiarti
10
31 ny kasrini
10
32 ny gami
33 ny liya
34 ny siti pur
35 ny ismiati
10
36 ny ika
10
37 ny suwarti
10
38 tn soleman
39 ny agus n
10
40 ny siti rof
41 ny darwati
42 ny saudah
10
43 ny azip
44 ny idha f
1
45 an orlin
46 ny priyati
10
47 ny warsini
3
48 an assyfa
6 6 6 6
10 10 10
10 10 10 10 10
1
10
15 15 15 20 30
30
10 10
10 10
6 6 6 6
10 10
10 6 10 10 10
6 6
15 15 15 20 30
8 6
10 10 10 6 10 10
6
49 an m abidin
10
50 ny ayuk r
51 tn muh rodli
52 ny nyamen
53 ny nur zub
3
3
54 an m ridho
55 ny sofiati
2
56 an ahmad
10
2
57 an muh riski
10
58 ny sukarni
59 ny munasyaroh
60 ny syafa'ah
3
3
61 an m daffa al
3
3
62 an kanza
10
63 an m taufik
6
64 ny nurwati
65 tn waginam
66 an anggi
10
67 ny yulaikah
68 an putri
10
69 ny payem
2
6 6
3
10 2 3 6 4 10
10 10 10 10 10 4 10
10
10 10
10
3
10 10
10 20 15
10
10
10
6 6
6 3 10 3 3 10 10
1 1
10
20 20 15
2 10 4
6 2 10 10 4
3
70 an alika
71 tn bustanul
10
10
72 ny surati
10
73 ny rahmawati
10
74 ny siti r
4
75 an m isaqif
3
76 an anggun aniq
77 ny wiwik wid
78 ny zumrotul
79 ny lina
80 ny eri kurnia
81 tn riman
10
82 tn sigit s
83 posyandu
84
85
86
I
L
T
T
K
A
A
A
O
116
134
0
1
0
0
6
0
0
0
5
2
0
0
73
0
0
0
30
0
0
0
20
0
0
0
0
0
0
11
0
2
6 66
3
10 10 3 160
0
10 10 10 4 10 10 252
0
0
0
0
5
0
10
0
3
0
0
0
0
0
0
0
0
0
0
0
0
1 2
0
20
10
3
0
0
0
0
1 2
10 40
0
0
0
0
15 20 10 30 265
0
30
0
0
0
0
1 1 3
0
0
0
0
0
20
0
10
0
0
0
0
46
0
10 92
54
0
0
0
0
0
0
0
0
10 60 226
1 1 1 6
0
20
0
0
10 88
0
0
0
20
44
0
0
12
0
0
0
0
0
0
15 20 10 30 265
5
0
0
0
0
8 8 6 54
10
42
10 124
0
S
I
S
A
69.00
116.00
118.00
-
36.00
-
-
107.00
29.00
120.00
50.00
245.00
503.00
3.00
19.00
-
344.00
-
3.00
5.00
140.00
344.00
184.00
4.00
10.00
38.00
-
126.00
25.00
94.00
22.00
6.00
95.00
7.00
478.00
44.00
748.00
-
-
-
-
155.00
-
71.00
-
171.00
-
2.00
60.00
-
-
-
20.00
64.00
134.00
96.00
-
-
12.00
23.00
220.00
100.00
7.00
90.00
6.00
57.00
-
21.00
522.00
18.00
277.00
44.00
-
801.00
7.00
56.00
-
241.00
-
7.00
5.00
-
16.00
11.00
10.00
108.00
96.00
29.00
420.00
-
2.00
230.00
-
108.00
-
504.00
166.00
7.00
-
-
-
-
57.00
-
-
815.00
121.00
-
178.00
-
6.00
173.00
-
-
12.00
155.00
246.00
8.00
2.00
179.00
3.00
-
-
-
134.00
-
637.00
309.00
-
20.00
-
-
482.00
176.00
558.00
429.00
-
ny tri wahyuni
irfan maulana
an rizki alma
ny suparti
an alexan
an aditya
No 2/3/2020
6
1 Alat Suntik 3 cc 69.00 69.00 10
2 Alat Suntik 5 ml 116.00 116.00
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 107.00 107.00 5
9 Amoksisillin 500 mg 503.00 503.00 6 5
11 Ampisilin Inj 1000 mg 19.00 19.00
13 Antasida doen 344.00 344.00 2
16 Aqua pro injeksi 5.00 5.00 2
26 Bisacodil 5 mg 94.00 94.00
28 Cefotaksim inj 6.00 50.00 56.00
30 Clindamycin 150 mg 7.00 7.00
31 CTM 4 mg 478.00 478.00 10 5 6
34 Dextrosa 40% - -
38 Digoksin 155.00 155.00
42 Domperidone tablet 10 mg 171.00 171.00 3
47 FDC II (P2M) - -
51 Garam oralit 134.00 134.00
52 Gemfibrozil 300 mg 96.00 96.00
57 Glibenklamide tablet 5 mg 220.00 200.00 420.00
58 Glimepiride 2 mg 100.00 300.00 400.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 522.00 522.00
67 ISDN 277.00 277.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 7.00 7.00
83 loperamid 2mg 96.00 96.00
85 Metformin 500 mg 420.00 200.00 620.00
90 Metronidazol 500 mg 108.00 108.00
92 N asetil sistein 504.00 504.00 10
96 Novadiar syr - -
97 OBH - -
102 paracetamol 500mg 815.00 815.00 6 10 5 10
105 piracetam tab 400mg 178.00 178.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 155.00 155.00 6
113 Salbutamol 4 mg 246.00 246.00
114 Salep 24 8.00 8.00
116 scopma plus 179.00 179.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
10
7 ny qunawati
2
6
10
8 ny zimatul
1
4
10
9 an alviana
3
3
10 an siti nur
3
3
11 an fadhil nor
12 ny pariyem
4
4
13 an m kharfun
14 ny siti f
15 ny siti mas
16 ny widayati
5
17 an ibnu
5
5
18 anchotimatus
19 ny siti es
20 an rendi
3 10
21 nysiti choti
3
3
22 an naufal
1
3
23 an abidan
24 aura
25 aura putri
26 an sofia
27 darjoni
6 8
3 10 6 10 5 3 10 3 3 2
3 3 3
10
15
6
1 1 1
10
10 2 3 10
6 8
10 3 10 4 5 3 10 3
1 1 1 1 1
3 6 10
10
15
10 8 3 6 8
3 3
10
10
28 tn sukarno
29 tn widi sek
30 ny rnawati
8
31 alviano
3
3
32 an eryana
10
33 ny siti ron
10
34 sd m sifa'un
35 tn yadi
10
36 tn suparman
37 ny dayem
10
38 ny suwarti
39 an bayu
40 ny suwarti
10
41 ny catur
10
10
42 ny yuliati
10
43 ny jumrotul
10
44 tn suprihanto
10
45 ny sugiyanto
46 ny kasiyem
47 ny mari
6 6
6
10 3 10 6 6 10 10 10
10 10 10 10
10
10 6
10
10
30 30
10 10 10
8 6 6 6 6
10 10 10 10 10 10 10 10 10
10 6 10
10 10
20
10 10
8 6 6 10
10
10
5
48 an fitri
10
49 bp suwadi
50 juwi
51 ny snarti
10
52 ny surip
10
53 bp roko
54 ny siti li
55 ny muslimah
10
56 ny endang d
57 bp kusnadi
58 bp saliyo
59 ny siti ruk
60 ny zumrotun
10
61 ngasmi
62 sardi
10
63 sulasi
2
64 ny haroh
65 marganta
10
66 ny nur kha
67 ny eni kris
3
3
68 an eryana
6 4
6 6 6
10 10 10 10 10 2 3
5 10
10
10 10 15 10 15 30 15
7
10 10 10 10
6
10 10 10 10 10 10 10 10 10 10 6
1
10
6
10 6
10
20 10 10 15 30 15
6 6
10
10 6 10 10
30
69 suparti
70 warti
71 siti fatimah
72 moh yidin
73 sumiyati
74 ny sri wahyuni
75 suparmi
76 ny yatmi
77
78
79
80
81
82
83
84
85
86
87
88
30 30 30 30
30 30 30
30 30 30 30 30 30
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
S
I
S
A
T
O
T
A
L
P
A
K
A
I
109
110
111
112
113
114
115
116
117
118
119
10 59.00
20 96.00
0 118.00
0 -
0 36.00
0 -
0 -
43 64.00
0 29.00
0 120.00
0 50.00
50 195.00
97 406.00
0 3.00
10 9.00
0 -
83 261.00
0 -
0 3.00
5 -
10 130.00
40 304.00
0 184.00
0 4.00
0 10.00
3 35.00
0 -
0 126.00
1 24.00
0 94.00
0 22.00
22 34.00
38 57.00
0 7.00
196 282.00
0 44.00
64 684.00
0 -
0 -
0 -
0 -
16 139.00
0 -
0 71.00
0 -
3 168.00
0 -
0 2.00
0 60.00
0 -
0 -
0 -
0 20.00
16 48.00
0 134.00
6 90.00
0 -
0 -
0 12.00
1 22.00
120 300.00
120 280.00
0 7.00
0 90.00
0 6.00
0 57.00
0 -
0 21.00
6 516.00
0 18.00
10 267.00
0 44.00
0 -
180 621.00
7 -
0 56.00
0 -
6 235.00
0 -
0 7.00
3 2.00
0 -
0 16.00
0 11.00
0 10.00
0 108.00
0 96.00
0 29.00
190 430.00
0 -
0 2.00
0 230.00
0 -
0 108.00
0 -
105 399.00
58 108.00
0 7.00
0 -
0 -
0 -
0 -
0 57.00
0 -
0 -
269 546.00
7 114.00
0 -
0 178.00
0 -
0 6.00
55 118.00
0 -
0 -
0 12.00
38 117.00
16 230.00
0 8.00
0 2.00
20 159.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
135 502.00
20 289.00
0 -
0 20.00
0 -
0 -
83 399.00
10 166.00
10 548.00
52 377.00
0 -
ny lamiyem
ny rasiyem
ny idawati
an siti kho
an adkiya
ny nanik
tn lasidi
No 2/3/2020
7
Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 64.00 64.00 3
8 Amlodipin tablet 5 mg 195.00 195.00 10
9 Amoksisillin 500 mg 406.00 406.00 10 10 3 10
11 Ampisilin Inj 1000 mg 9.00 9.00
13 Antasida doen 261.00 261.00 10 2
16 Aqua pro injeksi - -
26 Bisacodil 5 mg 94.00 94.00
31 CTM 4 mg 282.00 282.00 3
33 Deksametason tab 0,5 mg 684.00 684.00 10 6 10
34 Dextrosa 40% - -
38 Digoksin 139.00 139.00
47 FDC II (P2M) - -
51 Garam oralit 134.00 134.00 3
52 Gemfibrozil 300 mg 90.00 90.00
55 Gentamicin TM 12.00 12.00 1
58 Glimepiride 2 mg 280.00 280.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
64 Hidrokortison cr 2,5 % 21.00 21.00 1
65 ibuprofen 400 mg 516.00 516.00 10 10
67 ISDN 267.00 267.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg - -
83 loperamid 2mg 96.00 96.00
85 Metformin 500 mg 430.00 430.00
90 Metronidazol 500 mg 108.00 108.00 2
96 Novadiar syr - -
97 OBH - -
102 paracetamol 500mg 546.00 546.00
103 Paracetamol syr 120mg/5ml 114.00 114.00 1 1
105 piracetam tab 400mg 178.00 178.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 117.00 117.00
113 Salbutamol 4 mg 230.00 230.00
114 Salep 24 8.00 8.00
116 scopma plus 159.00 159.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
10
10
10
8 ny sami
4
9 an rizka
3
3
10 an anggita
10
11 tn doni aripin
3
3
3
12 an annisyah
10
13 lasno
14 an jayanti
15 ny suparmi
5
16 an fajar
3
17 an keyla
18 sdr siti maesaroh
10
20
19 ny kuwatni
10
20 ny kasinem
10
21 ny sulasi
22 tn salam
23 ny djarwati
10
24 ny parjiyem
3
3
25 an utari
10
26 jihan
10
27 tn jamin
10
10
28 ny sucihati
6
6
10 3 10 3 3 10
4 3 6 3 6
10 10 10
10
1
12
10 5
10 10 10 10 10
6
10 10 10 5 3 10
1 1 1
10
10 10
10
4 8 8 10 10
4 3 5
10
29 ny sulastri
30 an gita
3
3
31 ny wilis
10
32 ny jumiati
33 ny jumiati
10
34 tn paryadi
10
10
35 ny kasiyem
36 an bima
37 ny nurul
10
38 ny umi k
3
39 an jelita
4
4
40 an novita
3
41 an salma
42 ny siti les
43 ny silvia
2
44 an arka
45 an azka
46 ny safitriyani
3
47 an falisha
5
48 bp parwoko
3
49 an anantasya
6
10 10 10 3 4 3 4 3
3 10 4 2 3 10
1
10 10
20 15 10
3
10
10 10 4 10 3 4
6 6 6 6
4 3 3
1 1 1 1 1
4
20 15 10
3
3 10 10 4 5 3
6 10 4 3 4 3
4
50 an beril
8
8
51 an alviano
52 nn tri wah
53 ny zainatul
54 an aulia
55 tn ngamin
10
56 sdr sri les
10
5
57 an bachtiar
3
58 an ahmad faj
59 an azza
1
1
4
60 an alika
1
1
4
61 an aureliya
10
62 ny nur widaya
3
63 an m sabililah
64 an m iksan
65 an acha kumala
10
66 ny tri yuliandris
10
2
67 ny kalimatus
68
69
70
3
2 10 3 4 4 10 5
10 3 3 3 4 5
10
10
4
10 10
3
10
2 10 5 3 3 10
6
8 10 3 5 10
1 1 1 1
10
10
3 5
8 8 5
4 3 3
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
S
I
S
A
T
O
T
A
L
P
A
K
A
I
10 49.00
0 96.00
0 118.00
0 -
0 36.00
0 -
0 -
47 17.00
0 29.00
10 110.00
5 45.00
40 155.00
151 255.00
2 1.00
5 4.00
0 -
65 196.00
0 -
2 1.00
0 -
0 130.00
40 264.00
0 184.00
0 4.00
2 8.00
0 35.00
0 -
30 96.00
0 24.00
0 94.00
3 19.00
6 28.00
12 45.00
0 7.00
127 155.00
0 44.00
98 586.00
0 -
0 -
0 -
0 -
0 139.00
0 -
0 71.00
0 -
0 168.00
0 -
0 2.00
0 60.00
0 -
0 -
0 -
0 20.00
0 48.00
3 131.00
22 68.00
0 -
0 -
1 11.00
1 21.00
0 300.00
10 270.00
4 3.00
0 90.00
0 6.00
0 57.00
0 -
2 19.00
90 426.00
0 18.00
10 257.00
0 44.00
0 -
65 556.00
0 -
3 53.00
0 -
3 232.00
0 -
0 7.00
1 1.00
0 -
1 15.00
0 11.00
0 10.00
12 96.00
13 83.00
0 29.00
10 420.00
0 -
0 2.00
17 213.00
0 -
2 106.00
0 -
124 275.00
36 72.00
0 7.00
0 -
0 -
0 -
0 -
0 57.00
0 -
0 -
94 452.00
14 100.00
0 -
0 178.00
0 -
0 6.00
14 104.00
0 -
0 -
0 12.00
30 87.00
10 220.00
0 8.00
0 2.00
0 159.00
0 3.00
0 -
0 -
0 -
0 134.00
0 -
75 427.00
11 278.00
0 -
0 20.00
0 -
0 -
96 303.00
0 166.00
0 548.00
57 320.00
0 -
No 2/3/2020

Bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 17.00 17.00
11 Ampisilin Inj 1000 mg 4.00 4.00
16 Aqua pro injeksi - -
26 Bisacodil 5 mg 94.00 94.00
31 CTM 4 mg 155.00 155.00
34 Dextrosa 40% - -
38 Digoksin 139.00 139.00
47 FDC II (P2M) - -
51 Garam oralit 131.00 131.00
52 Gemfibrozil 300 mg 68.00 68.00
58 Glimepiride 2 mg 270.00 270.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 426.00 426.00
67 ISDN 257.00 257.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg - -
83 loperamid 2mg 83.00 83.00
85 Metformin 500 mg 420.00 420.00
90 Metronidazol 500 mg 106.00 106.00
96 Novadiar syr - -
97 OBH - -
102 paracetamol 500mg 452.00 452.00
105 piracetam tab 400mg 178.00 178.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 87.00 87.00
113 Salbutamol 4 mg 220.00 220.00
114 Salep 24 8.00 8.00
116 scopma plus 159.00 159.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 134.00 134.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
T
O
T
A
L
P
A
K
A
I
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
S
I
S
A
49.00
96.00
118.00
-
36.00
-
-
17.00
29.00
110.00
45.00
155.00
255.00
1.00
4.00
-
196.00
-
1.00
-
130.00
264.00
184.00
4.00
8.00
35.00
-
96.00
24.00
94.00
19.00
28.00
45.00
7.00
155.00
44.00
586.00
-
-
-
-
139.00
-
71.00
-
168.00
-
2.00
60.00
-
-
-
20.00
48.00
131.00
68.00
-
-
11.00
21.00
300.00
270.00
3.00
90.00
6.00
57.00
-
19.00
426.00
18.00
257.00
44.00
-
556.00
-
53.00
-
232.00
-
7.00
1.00
-
15.00
11.00
10.00
96.00
83.00
29.00
420.00
-
2.00
213.00
-
106.00
-
275.00
72.00
7.00
-
-
-
-
57.00
-
-
452.00
100.00
-
178.00
-
6.00
104.00
-
-
12.00
87.00
220.00
8.00
2.00
159.00
3.00
-
-
-
134.00
-
427.00
278.00
-
20.00
-
-
303.00
166.00
548.00
320.00
-
tn partono
ny sunarti
ny marni
ny yatmi
tn yitno
ny titik
No 16/3/2020
6
1 1 Alat Suntik 3 cc 49.00 49.00
2 2 Alat Suntik 5 ml 96.00 96.00
3 Bisturi 118.00 118.00
- -
1 1 Acyclovir tab 400 mg 36.00 36.00
2 2 Albendazol - -
3 3 Allopurinol tab 100 mg - -
4 4 Ambroksol 30 mg 17.00 500 517.00
5 5 Aminofilin injeksi 24 mg/ml 29.00 29.00
6 6 Aminofilin tablet 150 mg 110.00 110.00
7 7 Amitriptilin 25 mg 45.00 45.00
8 8 Amlodipin tablet 5 mg 155.00 155.00
9 9 Amoksisillin 500 mg 255.00 500.00 755.00 10 10 10
10 10 Amoxicillin Forte Dry Syr 1.00 1.00
11 11 Ampisilin Inj 1000 mg 4.00 50.00 54.00
12 12 Antacid doen supensi - -
13 13 Antasida doen 196.00 500.00 696.00 10
14 14 Antifungi Doen - -
15 15 Antihemoroid supp 1.00 1.00
16 16 Aqua pro injeksi - 18.00 18.00
17 17 Asam asetil salisilat tbl 80 mg 130.00 130.00
18 18 Asam mefenamat kaplet 500 m 264.00 264.00
19 19 Asam tranexamat 500 mg 184.00 184.00
20 20 Asam Tranexamat inj 4.00 4.00
21 21 Asiklovir krim 5% 8.00 8.00
22 22 Atapulgit tablet 600 mg 35.00 35.00
23 23 Atropin sulfat inj. 0,25 mg/ml - -
24 24 Betahistin tablet 6 mg 96.00 96.00
25 25 Betametason krim 0,1 24.00 24.00
26 26 Bisacodil 5 mg 94.00 94.00
27 27 cefadroxil kap 500mg 19.00 100 119.00
28 28 Cefotaksim inj 28.00 28.00
29 29 ciprofaxin tab 500mg 45.00 300 345.00
30 30 Clindamycin 150 mg 7.00 7.00
31 31 CTM 4 mg 155.00 1,000.00 1,155.00 10 10 10 10
32 32 Deksametason Inj 44.00 44.00
33 33 Deksametason tab 0,5 mg 586.00 586.00 10
34 34 Dextrosa 40% - -
35 35 Diazepam injeksi - -
36 36 Diazepam tbl 2 mg - -
37 37 Difenhidramin injeksi 10 mg/m - -
38 38 Digoksin 139.00 139.00
39 39 Dihidro Artemisin+Piperak - -
40 40 Dimenhidrinat tbl 50 mg 71.00 71.00
41 41 Domperidone suspensi 5mg - -
42 42 Domperidone tablet 10 mg 168.00 168.00
43 43 Dopamet tbl 250 mg - -
44 44 Epinefrin injeksi 0.1% 2.00 2.00
45 45 Eritromisin kpl 500 mg 60.00 60.00
46 46 FDC Anak (P2M) - -
47 47 FDC II (P2M) - -
48 48 Fenobarbiltal inj 50 mg/ml - -
49 49 Fenobarbital 30 mg 20.00 20.00
50 50 Furosemide tablet 40 mg 48.00 48.00
51 51 Garam oralit 131.00 131.00
52 52 Gemfibrozil 300 mg 68.00 68.00
53 53 gentamicin inj 40mg - -
54 54 Gentamicin SM - -
55 55 Gentamicin TM 11.00 11.00 1
56 56 Gentian Violet 1% 21.00 21.00
57 57 Glibenklamide tablet 5 mg 300.00 300.00
58 58 Glimepiride 2 mg 270.00 270.00
59 59 Gliseril Guaiakolat 100 mg 3.00 3.00
60 60 Halloperidol 5 mg 90.00 90.00
61 61 Halloperidol inj 6.00 6.00
62 62 HCT 25 mg 57.00 57.00
63 63 Hepagard - -
64 64 Hidrokortison cr 2,5 % 19.00 19.00
65 65 ibuprofen 400 mg 426.00 426.00
66 66 Ibuprofen susp 100mg / 5 ml 18.00 18.00
67 67 ISDN 257.00 257.00
68 68 Isoniazid 300 mg 44.00 44.00
69 69 Isoniazid tbl 100 mg(P2M) - -
70 70 Kalsium laktat 500 mg 556.00 556.00
71 71 kaptopril tab 12,5 mg - 100.00 100.00
72 72 Karbamazepin 53.00 53.00
73 73 Ketokonazol cr 2 % - -
74 74 Ketokonazole tbl 200 mg 232.00 232.00
75 75 Ketoprofen supp - -
76 76 Ketorolac injeksi 30 mg 7.00 7.00
77 77 Kloramfenicol susp 125 mg/5 1.00 1.00
78 78 Kloramfenicol TM - -
79 79 Kloramfenikol SK 15.00 15.00
80 80 Kloramfenikol SM 1% 11.00 11.00
81 81 Kotrimoksazol supsensi 10.00 10.00
82 82 Kotrimoksazol tablet 480 mg 96.00 96.00
83 83 loperamid 2mg 83.00 83.00
84 84 Magnesium Sulfat Inj 40 % 29.00 29.00
85 85 Metformin 500 mg 420.00 420.00
86 86 Metilergometrin injeksi - -
87 87 Metilergometrin tablet 0.125 2.00 2.00
88 88 Metoklopramide 213.00 213.00
89 89 Metoklopramide inj - -
90 90 Metronidazol 500 mg 106.00 106.00
91 91 Metronidazol infus 5mg/ml - -
92 92 N asetil sistein 275.00 275.00 10 10
93 93 Na diklofenak tablet 50 mg 72.00 500.00 572.00 6
94 94 Neocenta gel 7.00 7.00
95 95 Nifedipin 10 mg - -
96 96 Novadiar syr - -
97 97 OBH - -
98 98 Oksitosin injeksi 10 IU/ml - -
99 99 Omeprazole 57.00 57.00
100 100 Multivitamin syr - 10.00 10.00
101 101 Pacdin cough sy - -
102 102 paracetamol 500mg 452.00 452.00 10 10 10
103 103 Paracetamol syr 120mg/5ml 100.00 100.00
104 104 Piracetam inj - -
105 105 piracetam tab 400mg 178.00 178.00
106 106 pirexin supositoria 160 mg - -
107 107 pirexin supositoria 80 mg 6.00 6.00
108 108 Prednison tablet 5 mg 104.00 1,000.00 1,104.00 10 10
109 109 Propanolol tablet 40 mg - -
110 110 PTU 100 mg - -
111 111 Ranitidin inj 12.00 12.00
112 112 Ranitidin tab 150mg 87.00 300 387.00
113 113 Salbutamol 4 mg 220.00 220.00
114 114 Salep 24 8.00 8.00
115 115 Salisil bedak 2% 2.00 2.00
116 116 scopma plus 159.00 159.00
117 117 Sefadroksil syr 125 mg 3.00 3.00
118 118 Serum Abu 1 - -
119 119 Serum ATS 1500 IU - -
120 120 Setirizin kapsul 10 mg - -
121 121 Simvastatin 10 mg 134.00 134.00
122 122 Stesolid Rectal Sup - -
123 123 Tablet tambah darah 427.00 427.00
124 124 Thiamphenicol kap 500 mg 278.00 278.00
125 125 Thiamphenicol syr - -
126 126 Triheksifenidil tbl 2 mg(Mersi 20.00 20.00
127 127 Vitamin A 100.000 IU - -
128 128 Vitamin A 200.000 IU - -
129 129 Vitamin B Kompleks 303.00 1,000.00 1,303.00 10
131 131 Vitamin B6 tablet 10 mg 548.00 548.00 30
132 132 Vitamin C Tablet 50 mg 320.00 320.00
133 133 Vitamin K injeksi 2 mg/ml - -
6
7 tn sadimin
10
8 ny intan dewi
9 tn edy set
20
10 n sutrisni
10
10
11 ny sumi
5
10
12 ny satiyem
10
13 febi
10
14 ny juminem
4
15 an aida
16 an akila
10
10
17 ny yuliati
18 ny suci m
10
19 ny djumiati
20 sdr riska
21 ny badriyah
22 an juladhi
23 ny siswati
10 24 ny darwati
2
7
10
25 an eby
26 ny diyah n
27 ny sumi
6 6 6 6 6
10 4 10 4 6 10
10 4 10 4
20 30
1
10 10
6 6 6
10 10 10 10
1 1 1
10 10 10 10 10 10
10
2
10 6 10 8
20 30
8 6
10
4
10
28 sutrisni
29 ny kuwami
10
30 ny satinem
2
31 an margareta
32 ny hindarti
10
10
33 ny siti yul
34 ny fadilla
35 ny sumiyati
10
36 ny sriyatun
37 ny sutilah
38 ny siti mus
10
39 tn rusno
40 tn purwato
41 ny jainem
10
42 ny karniyem
10
10
43 an adi
44 ny umi lat
45 ny istiqomh
46 ny saamah
5
47 ny suli
6
2 10 10 10 10
10 10 10
10 8
10 10
10 10
30 15
10
20
10 10
6 6 6
10 10 10 10 10 10
1
10 10 10 10 10
10
8
10
30 15
10 10 8 8 8 10
10
48 ny sukinem
3
3
49 an prabu
50 an fasca
51 ny nyami
52 sdr m robin
10
53 tn Sali
10
54 sdr sindy
10
55 ny siti b
10
56 ny kusrini
57 an toha
10
58 ny umi kul
59 an bachtiar
2
2
60 an farhan
61 an abid
62 ny yayauk
3
3
63 an aldin
10
64 ny ernawati
6
65 an alvian
5
2
66 ny supatmi
3
3
67 an bagus
8
10 3 3 10 10 2 2
3 10
10
10 10 10
8
3 10 2
8
1
10 3 10 10 3 10 6 3
1 1 1
10 10
10 10
10
10 10
10
10
10
10
3 8 10
68 ny supatmi
4
69 an priska
70 ny subekti
10
71 ny siti m
72 ny siti a
73 ny hestiani
74 an reyhan
10
75 an arsyad
76 ny siti zum
77 ny putikatin
3
3
78 an nayuna
3
3
79 an afan
80 ny hindarti
81 ny siti y
82 ny fadilla
83 ny untari
10
84 ny siti kus
85 ny istikomah
3
86 an malika
87 tn muh fatah
88 ny eka z
8
8 6
4 10 10 5 3 3 10 10 10 3 10
4 8 10 10
8 5
1 1
10
30 15 30
1
10 10 7 10 10
8 6 6
3 3 10
1 1
10 10 10 10 10
10
10
30 15 30
8 8 8 8
4 8 8 3
3
89 an agata
2
90 an fadil
10
91 ny suharti
5
6
92 bp suyanto
10
93 ny warsijem
94 tn muh rodli
95 ny ngatini
3
3
96 an elisa
3
97 an siregar
10
10
98 tn santoso
10
99 tn muslikin
100 an hanum
101 ny nuur k
10
10
102 ny siti nur
4
103 ny s kumaidah
104 ny qusnul k
105 tn sudarso
106 tn moh budi
107 ny giyanti
108 POSYANDU
6 6 6
6
3 2 10 10 10 3 3 4
10 10 3 10 4 10
10 10 15
20
10 10
6 6 6
10 3 10 10 80
1 1 1 1
8 10 10 10
10
10
8
10 30
8 8 8
3 4 10
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
S
I
S
A
T
O
T
A
L
P
A
K
A
I
129
130
131
132
133
134
135
136
137
138
139
140
22 27.00
10 86.00
0 118.00
0 -
0 36.00
0 -
0 -
38 479.00
0 29.00
6 104.00
0 45.00
40 115.00
137 618.00
0 1.00
7 47.00
0 -
206 490.00
0 -
0 1.00
2 16.00
0 130.00
56 208.00
0 184.00
0 4.00
0 8.00
0 35.00
0 -
0 96.00
0 24.00
0 94.00
8 111.00
18 10.00
64 281.00
0 7.00
279 876.00
0 44.00
150 436.00
0 -
0 -
0 -
0 -
0 139.00
0 -
31 40.00
0 -
0 168.00
0 -
0 2.00
0 60.00
0 -
0 -
0 -
0 20.00
3 45.00
0 131.00
18 50.00
0 -
0 -
4 7.00
1 20.00
0 300.00
20 250.00
0 3.00
0 90.00
0 6.00
0 57.00
0 -
2 17.00
60 366.00
0 18.00
8 249.00
0 44.00
0 -
205 351.00
20 80.00
0 53.00
0 -
8 224.00
0 -
1 6.00
0 1.00
0 -
1 14.00
0 11.00
0 10.00
0 96.00
10 73.00
0 29.00
20 400.00
0 -
0 2.00
0 213.00
0 -
8 98.00
0 -
142 133.00
80 492.00
0 7.00
0 -
0 -
0 -
0 -
22 35.00
1 9.00
0 -
304 148.00
13 87.00
0 -
0 178.00
0 -
0 6.00
238 866.00
0 -
0 -
0 12.00
60 327.00
22 198.00
0 8.00
0 2.00
80 79.00
0 3.00
0 -
0 -
0 -
10 124.00
0 -
220 207.00
10 268.00
0 -
0 20.00
0 -
0 -
144 1,159.00
0 166.00
50 498.00
65 255.00
0 -
ny indri patmawati
ny dina alifatun
sdr ali surojo
ny suyati
an yani
No 16/3/2020
5
3 bisturi 118.00 118.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 479.00 479.00 4
9 Amoksisillin 500 mg 618.00 618.00 10
10 Amoxicillin Forte Dry Syr 1.00 1.00 1
11 Ampisilin Inj 1000 mg 47.00 47.00
13 Antasida doen 490.00 490.00 10
15 Antihemoroid supp 1.00 1.00 2.00
18 Asam mefenamat kaplet 500 mg 208.00 208.00 10
26 Bisacodil 5 mg 94.00 94.00
31 CTM 4 mg 876.00 876.00 10 4
33 Deksametason tab 0,5 mg 436.00 436.00 6
34 Dextrosa 40% - -
38 Digoksin 139.00 139.00
39 Dihidro Artemisin+Piperakuin (DHP) - -
47 FDC II (P2M) - -
51 Garam oralit 131.00 131.00
52 Gemfibrozil 300 mg 50.00 50.00
58 Glimepiride 2 mg 250.00 250.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 366.00 366.00
67 ISDN 249.00 249.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 80.00 80.00
72 Karbamazepin 53.00 53.00 30
77 Kloramfenicol susp 125 mg/5 ml 1.00 10.00 11.00
83 loperamid 2mg 73.00 73.00
85 Metformin 500 mg 400.00 400.00
90 Metronidazol 500 mg 98.00 98.00
92 N asetil sistein 133.00 500.00 633.00
96 Novadiar syr - -
97 OBH - -
100 Multivitamin syr 9.00 9.00
102 paracetamol 500mg 148.00 1,000 1,148.00 10
105 piracetam tab 400mg 178.00 178.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 327.00 327.00
113 Salbutamol 4 mg 198.00 198.00
114 Salep 24 8.00 8.00
116 scopma plus 79.00 79.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 124.00 124.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 1,159.00 1,159.00 10
6 sdr lulus
7 ny narti
8 tn wardi
6
9 sdr vera dian
10
10 tn warsidi
11 ny poni
10
12 ny supi
13 ny hanifatul
5
14 ny suwati
10
10
10
15 ny marmi
16 tn rebo
10
17 ny masripah
18 ny rayem
19 ny tutik
20 tn suparman
6
21 ny siti umaiyah
10
22 ny mami
23 ny koniyah
10
24 ny lilis
10
25 tn margono
2
10
26 tn abdul rohman
5
6 6 6 6
10 10 10 10 10 10 10 10
10 10 10 10 20 10 10
20
10 10 10
10 30 15
20
6
10 10 10 10 10 10
10
10 10 10 10
10
5 20
1
10 30 15
10 6 10
10
30
10 10
5
27 an siti fatimah
6
28 tn jumeno
8
29 an febi
10
30 ny partinah
10
10
1
31 ny suti
3
3
32 an icha
33 ny rahayuningsih
1
3
34 an allita
10
35 tn doto
36 ny ramiyem
5
37 an m febri
10
38 ny siti asrifah
10
39 an veronica
4
40 an aulia
41 an wildan
42 ny pariyem
10
43 tn purnomo
10
10
44 an mafirotun
10
10
3
45 ny sriyatun
46 an m eza bactiar
6 10
10 10 3 10 3 10 5 10 10 2 10
10 10 5 10 10 10
1 1
10 10
6
2 10
4 10 3 10 10 10 6
1
10 3 10 2
10
10 3 10 10
10 6
10
47 anita
48 tn samat
1
3
49 an adam
8
50 ny suparmi
51 tn abdul rohman
6
52 ny suharti
53 an yasmin
54 fadhil
10
55 ny jasmi
6
56 ny siti aminah
57 an roichatul
58 ny umi nur
10
10
59 tn edy mulyono
4
60 an aprilia
2
61 an slamet
62 sdr kasfan
10
63 an umayah
64 an naya
65
66
5
10 3 10 10 4 2 10
6 4
3 2
10
10
30 30
1
10 3 10 4
10 10 6 10
1 1 1 1
6 5
30 30
10 5 50 5
10 6 4 5
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
0 27.00
0 86.00
1 117.00
0 -
5 31.00
0 -
0 -
33 446.00
0 29.00
0 104.00
3 42.00
20 95.00
135 483.00
1 -
0 47.00
0 -
46 444.00
0 -
2 -
0 16.00
0 130.00
98 110.00
10 174.00
0 4.00
0 8.00
6 29.00
0 -
10 86.00
2 22.00
14 80.00
0 111.00
10 -
40 241.00
0 7.00
226 650.00
0 44.00
151 285.00
0 -
0 -
0 -
0 -
0 139.00
0 -
0 40.00
0 -
5 163.00
0 -
0 2.00
10 50.00
0 -
0 -
0 -
0 20.00
0 45.00
3 128.00
0 50.00
0 -
0 -
1 6.00
0 20.00
0 300.00
30 220.00
0 3.00
0 90.00
0 6.00
0 57.00
0 -
2 15.00
50 316.00
0 18.00
0 249.00
0 44.00
0 -
135 216.00
20 60.00
0 53.00
0 -
12 212.00
0 -
0 6.00
1 10.00
0 -
1 13.00
1 10.00
0 10.00
0 96.00
0 73.00
0 29.00
0 400.00
0 -
0 2.00
5 208.00
0 -
0 98.00
0 -
99 534.00
16 476.00
0 7.00
0 -
0 -
0 -
0 -
6 29.00
0 9.00
0 -
139 1,009.00
6 81.00
0 -
6 172.00
0 -
0 6.00
46 820.00
0 -
0 -
0 12.00
6 321.00
25 173.00
0 8.00
1 1.00
10 69.00
0 3.00
0 -
0 -
0 -
0 124.00
0 -
135 72.00
0 268.00
0 -
0 20.00
0 -
0 -
139 1,020.00
10 156.00
30 468.00
61 194.00
0 -
ny sumarni
ny dewi as
ny tutik
ny supi
tn heri
No 16/3/2020
5
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 446.00 446.00
9 Amoksisillin 500 mg 483.00 300.00 783.00 10
10 Amoxicillin Forte Dry Syr - 10.00 10.00
11 Ampisilin Inj 1000 mg 47.00 47.00
15 Antihemoroid supp - -
18 Asam mefenamat kaplet 500 mg 110.00 300.00 410.00 10
26 Bisacodil 5 mg 80.00 80.00
31 CTM 4 mg 650.00 650.00
33 Deksametason tab 0,5 mg 285.00 1,000.00 1,285.00 10 10
34 Dextrosa 40% - -
38 Digoksin 139.00 139.00
47 FDC II (P2M) - -
51 Garam oralit 128.00 128.00
52 Gemfibrozil 300 mg 50.00 50.00
58 Glimepiride 2 mg 220.00 500.00 720.00
62 HCT 25 mg 57.00 57.00
63 Hepagard - -
65 ibuprofen 400 mg 316.00 400 716.00
67 ISDN 249.00 200.00 449.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 mg 216.00 1,000.00 1,216.00 10 10
71 kaptopril tab 12,5 mg 60.00 60.00
83 loperamid 2mg 73.00 73.00
85 Metformin 500 mg 400.00 400.00
90 Metronidazol 500 mg 98.00 300 398.00
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 29.00 150 179.00
102 paracetamol 500mg 1,009.00 1,009.00 10
105 piracetam tab 400mg 172.00 172.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 321.00 321.00
113 Salbutamol 4 mg 173.00 173.00
114 Salep 24 8.00 8.00
116 scopma plus 69.00 200 269.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 124.00 124.00 10
123 Tablet tambah darah 72.00 600.00 672.00 10 10
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
129 Vitamin B Kompleks 1,020.00 1,020.00 10
132 Vitamin C Tablet 50 mg 194.00 1,000.00 1,194.00
6 an ridna
7 ny kasni
30
8 ny ruminah
5
9 ny jainem
10
10 tn sunari
1
10
11 ny rusmini
10
12 sdr m ali i
13 ny ianatul
14 ny sarinem
6
15 an nur rasa
16 ny rusmeidian
17 ny fuinah
18 ny mahmudayh
19 ny anjar
1
4 10 20 an m imam b
21 ny yantini
6
22 ny ngatmi
5
10
23 ny sugiarti
6
24 ny kasmowati
10
10
25 tn karyono
26 ny wiwik
6
10 10 10 10 10 4 10 10
10 10 10
10
30
1
10
60
30 15 15 30 10 10
10 10 10 10
6 6 6
6 10 10 6 10
1
6 6
30 15 15 30 10 10
30
6 6 10
10
27 ny siti mursi
5
28 ny mursiti
3
29 an bagus il
2
30 an asifa
10
31 ny sarinem
10
32 tn suwartono
33 an m habibi
2
34 an m bilqis
35 tn parjo
10
10
36 tn nurcholis
10
37 an silvia
38 ny narti
39 ny uswatun
10
10
40 ny priyati
10
41 ny siti mas
42 ny eni
5
43 ny sumi
44 ny asrifah
45 ny dian
46 ny hartatik
47 ny gita ninik
10 3 2 10 3 10 10 10 10
3 10 10 10 10
10
10 10
15 15 30
20
10
10 2 3 10 10 10
6 6
10 10 10 10
1 1 1 1
10
2 6 3 2 6 10 10
6 6 6
15 15 30
10 5 6
3 2 8
5
48 an azkiya
10
49 ny siti ain
3
50 an malik
51 an feri
52 an alifa
53 ny mei astu
3
54 an ahmad nabil
4
55 an m rizqi
2
2
56 an rodhiyatul
10
6
57 ny sri suya
58 an anisya
1
59 an a arya
60 ny krsitiana
61 an aqilah
6
62 ny sumiyati
63 ny setyawati
64 sdr andriyan
2
65 an fadhil
3
66 an adata
67 istiqomah
6
5 3 3 4 2 10 10 3 2 2 3
3 3 4 3 2 10
10
10
20 30 20 10
30
10 10 10 3 2 10
5 10 10
1 1 1 1
5 10 10 2
1
20 30 20 10
8 8 2
5 3 3 2 10
10
68 ny supatmi
69 tn abdul
10
70 ny suharti
71 tn ariyanto
10
10
3
72 an nofal
2
73 an alvaro
74 ratri
75 ny supatmi
6
76 ny jevi
77 an naisila
6
78 an zidan
3
79 an aldi
80 sdr novitasari
10
10
81 ny samiyem
1
2
82 an saihan
83 ny sukiyem
4
84 an kaendra
85 ny ngatmi
86 an alika
3
87 an rafanial
88 an ariffa
2
6 6
10 2 3 10 2 4 3
2
10 10 3 3 6 2
3
10 12
10
2
1
10 3
10 3
3 10 3
6
10 10 2 6 10 6
1 1 1 1 1 1
6 6 10 3
10 10
10
10
10 4
8 8 2
2 10 3 6 6
89 ny evi
90 ny lasiyem
3
3
91 an a irsyadul
92 ny sukiwati
93 ny siti ro
94 ny muslimah
95 an aluna
96 ny setyowati
10
97 tn siswoto
3
98 an m alfin
99
100
101
102
103
104
105
106
107
108
8
3 10 3
10
30
20
10
8 8 6
6 8
1
10 3 10 10 10 3
10
30
8 8 8 8
6 8 3
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
S
I
S
A
T
O
T
A
L
P
A
K
A
I
149
150
151
10 17.00
10 76.00
0 117.00
0 -
3 28.00
0 -
0 -
90 356.00
0 29.00
21 83.00
5 37.00
30 65.00
122 661.00
2 8.00
3 44.00
0 -
30 414.00
0 -
0 -
0 16.00
30 100.00
54 356.00
0 174.00
0 4.00
1 7.00
15 14.00
0 -
0 86.00
1 21.00
0 80.00
2 109.00
0 -
42 199.00
0 7.00
239 411.00
2 42.00
162 1,123.00
0 -
0 -
0 -
0 -
0 139.00
0 -
0 40.00
0 -
3 160.00
0 -
0 2.00
30 20.00
0 -
0 -
0 -
0 20.00
0 45.00
3 125.00
28 22.00
0 -
0 -
1 5.00
0 20.00
0 300.00
10 710.00
0 3.00
0 90.00
0 6.00
30 27.00
0 -
1 14.00
40 676.00
0 18.00
65 384.00
0 44.00
0 -
292 924.00
40 20.00
30 23.00
0 -
0 212.00
0 -
0 6.00
2 8.00
0 -
0 13.00
0 10.00
0 10.00
0 96.00
13 60.00
0 29.00
0 400.00
0 -
0 2.00
0 208.00
0 -
23 375.00
0 -
156 378.00
58 418.00
0 7.00
0 -
0 -
0 -
0 -
0 179.00
1 8.00
0 -
175 834.00
16 65.00
0 -
10 162.00
0 -
0 6.00
137 683.00
0 -
0 -
0 12.00
30 291.00
23 150.00
0 8.00
1 -
10 259.00
0 3.00
0 -
0 -
0 -
20 104.00
0 -
300 372.00
14 254.00
0 -
0 20.00
0 -
0 -
99 921.00
0 156.00
30 438.00
102 1,092.00
0 -
tn moh basir
an m ardana
an m alfin
ny sumini
an aska
No 16/3/2020
5
1 Alat Suntik 3 cc 17.00 200.00 217.00
2 Alat Suntik 5 ml 76.00 200.00 276.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 356.00 356.00 3
9 Amoksisillin 500 mg 661.00 661.00 3 10 10
11 Ampisilin Inj 1000 mg 44.00 44.00
21 Asiklovir krim 5% 7.00 7.00 1
26 Bisacodil 5 mg 80.00 80.00
28 Cefotaksim inj - 60.00 60.00
31 CTM 4 mg 411.00 411.00 2 3 10 3 10
33 Deksametason tab 0,5 mg 1,123.00 1,123.00
34 Dextrosa 40% - 1.00 1.00
38 Digoksin 139.00 139.00
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 mg 22.00 22.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 676.00 676.00
67 ISDN 384.00 384.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 20.00 20.00
76 Ketorolac injeksi 30 mg 6.00 24.00 30.00
83 loperamid 2mg 60.00 60.00
85 Metformin 500 mg 400.00 400.00
87 2.00 2.00
90 Metronidazol 500 mg 375.00 375.00
92 N asetil sistein 378.00 378.00 2 10 10
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 834.00 834.00 3 10 10
103 Paracetamol syr 120mg/5ml 65.00 65.00 1 1
105 piracetam tab 400mg 162.00 162.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 291.00 291.00
113 Salbutamol 4 mg 150.00 150.00
114 Salep 24 8.00 8.00
115 Salisil bedak 2% - 10.00 10.00
116 scopma plus 259.00 259.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 104.00 104.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
132 Vitamin C Tablet 50 mg 1,092.00 1,092.00
- -
Alat suntik 1cc - 75 75.00
kassa 10x40 - 5 5.00
handscond M - 100 100.00
- -
- -
-
6 tn purwadi
7 tn abdul aziz
8 ny payem
9 ny mastini
10 tn puji win
11 tn kardi
10
10
12 ny yuliati
10
13 ny uswatun
2
2
14 an haris
10
5
15 zulaikah
3
3
16 an safia
2
17 an ika
4
4
18 an ahmad ba
6
10
19 ny supi
10
10
20 ny sawauniah
21 ny umi k
10
22 an bella
23 ny surip
10
24 ny rini sri l
25 an sofia
26 ny siti istiqomah
3
6
10 10 10 10 6 10 4 10 10 10 3
3
10 10 10 10 3
1
10 10
10 10 30
10 10 10 3 10
6 6
10 10 10 10 4 10 10
1 1
6 10 10 10
6 10
1
10
30
10 6 10 6 6
5
10 2
27 ny sutiyem
10
10
28 ny nurawati
29 tn suprianto
30 ny siti k
2
31 ny ita pus
10
10
32 ny ngadinah
10
33 ny sri les
34 ny sehati
35 tn miftahul
10
36 tn roko
37 tn hery kr
10
38 ny alisia
3
3
39 an keysa z
40 ny siti liy
6
41 an a zaenal
42 an selvya
5 43 tn m badjuri
2
44 an kenzo
10
45 ny ita p
46 ny susri
6 6
10 10 10 10 3 3 10 2
10 10 10 3 10
10 10
15 30 15 15 30
2
10 3
6 6 6
10 10 6 10
5 1 1
10 10 10 3 2
6 6
10
1 2
15 10 15 15 30
0
6 8 8
10 10
6 6 10
5
47 ny sukarti
2
5
6
48 tn samat
49 tn ngadiyanto
10
50 tn satrimin
3
3
51 an akbar
52 sdr andriyan
53 an yasum
10
2
54 ny silah
1
55 tn samat
10 56 ny ratmi
57 an abidan
10
10
58 ny pariyem
59 an siti mus
60 an wulandari
61 ny nunung
6
62 ny sri wahyuti
10
63 tn suyanto
10
64 ny rebi
2
10
65 an elarva
66 ny ratmi
67 an rafika
6 6
6
10 3 3 3 10 10 10 3
10 3 3 10 10 10 10 3
10 5 5 10
10
1
10
10 3 10 10
6
3 10 10 3
1
10 10
6
6 6
1 1
10
`
10 8 6
3 3
10
10
68 tn santoso
69 ny siswati
70 sdr a majibulloh
71 an reni y
10
72 ny satiyem
10
73 tn a badlowi
74 bp
75 an andra k
76 an afiqan
77 ny sri mul
78 ny nabila
6
79 an nikita
80 an najwa
81 ny nur a
10
10
82 ny sulastri
83 tn trisno
84
85
86
87
6
8 8 6 6
10 5 3 10 10
10 5 3 10 10
10
10 10
30
10 10 10 3 10 10
6
10 10 6 10
1
10 10 10 10 10
10
30 10
10 5 6
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
S
I
S
A
T
O
T
A
L
P
A
K
A
I
108
109
110
111
112
113
114
115
116
117
118
119
120
13 204.00
16 260.00
0 117.00
0 -
0 28.00
0 -
0 -
20 336.00
0 29.00
0 83.00
0 37.00
70 (5.00)
115 546.00
0 8.00
3 41.00
0 -
100 314.00
0 -
0 -
8 8.00
0 100.00
70 286.00
0 174.00
0 4.00
1 6.00
9 5.00
0 -
0 86.00
0 21.00
8 72.00
0 109.00
21 39.00
52 147.00
0 7.00
267 144.00
3 39.00
183 940.00
0 1.00
0 -
0 -
0 -
0 139.00
0 -
0 40.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
12 10.00
0 -
0 -
0 5.00
0 20.00
0 300.00
0 710.00
0 3.00
0 90.00
0 6.00
0 27.00
0 -
1 13.00
90 586.00
0 18.00
6 378.00
0 44.00
0 -
195 729.00
0 20.00
0 23.00
0 -
0 212.00
0 -
1 29.00
0 8.00
0 -
1 12.00
0 10.00
0 10.00
0 96.00
2 58.00
0 29.00
0 400.00
0 -
0 2.00
0 208.00
0 -
10 365.00
0 -
162 216.00
42 376.00
0 7.00
0 -
0 -
0 -
0 -
0 179.00
0 8.00
0 -
185 649.00
12 53.00
0 -
0 162.00
0 -
0 6.00
141 542.00
0 -
0 -
6 6.00
40 251.00
10 140.00
0 8.00
6 4.00
20 239.00
0 3.00
0 -
0 -
0 -
10 94.00
0 -
155 217.00
0 254.00
0 -
0 20.00
0 -
0 -
98 823.00
20 136.00
5 433.00
61 1,031.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0 -
0 -
ny tukinem
ny sulastri
ny sulasih
an sarah
ny titik
No 16/3/2020

1 Alat Suntik 3 cc 204.00 204.00
2 Alat Suntik 5 ml 260.00 260.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 336.00 336.00
8 Amlodipin tablet 5 mg (5.00) (5.00) 5 10 5
9 Amoksisillin 500 mg 546.00 546.00 10 10
11 Ampisilin Inj 1000 mg 41.00 41.00
13 Antasida doen 314.00 314.00 10 10
24 Betahistin tablet 6 mg 86.00 86.00 10
26 Bisacodil 5 mg 72.00 72.00
31 CTM 4 mg 144.00 144.00
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg - - 5
38 Digoksin 139.00 139.00
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 mg 10.00 10.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 586.00 586.00
67 ISDN 378.00 378.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 20.00 20.00
72 Karbamazepin 23.00 23.00 30
83 loperamid 2mg 58.00 58.00
85 Metformin 500 mg 400.00 400.00
90 Metronidazol 500 mg 365.00 365.00
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 649.00 649.00 10 10 10 10
105 piracetam tab 400mg 162.00 162.00 10
110 PTU 100 mg - -
112 Ranitidin tab 150mg 251.00 251.00 6 6
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 239.00 239.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 94.00 94.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
132 Vitamin C Tablet 50 mg 1,031.00 1,031.00
vit k tab - -
Alat suntik 1cc 75.00 75.00
kassa 10x40 5.00 5.00
handscond M 100.00 100.00
tn maryadi
an aditya
sdr wanda
ny nyami
ny dwi sety
ny ngatinah
10
tn parjo
10
10
tn jaman
10
10
10
ny supatmini
10
3
ny intan
10
tn radi
ny ngainum
10
10
ny pariyem
1
an alfiyana
10
ny umi c
3 an akila
ny nafitasari
ny ita les
10
ny purwati
ny intan
10
ny hani indah
6
6 6 8
10 10
10 10 10 10
10
15 10 30 30
10
20 10 10
10 10 10 10 10 10 10
6 6 10
6
6 6 6 6
10
15 30 30
10
30 10
6
10
ny marni
ahmad arda
10
nn vindi
10
ny sampi
ny ginem
6
ny harmini
ny gudel
ny mastini
tn parjo
ny wiwik
tn pagi
tn suharto
ny dwi mega
10
ny siti sho
ny sayem
10
tn djono
3
an desi ana
4
an tera n
2
an tika
10
10
ny muslimah
6
10 10 10 10 10 4 2 10
10 3 4
5 2 10
1
1
10 30 15 10
10
10 10 10
6 6 6
10 10 10 10 10 4 10
1 1
6 2
6
30 30 30 15 10
10
5 10 5 5
10 10
30
4 2
10
5
ny sri watini
tn m amin
ny djumiati
10
ny siti lis
6
30
6
10 10 10
6 10
6 6
30
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
16 188.00
0 260.00
0 117.00
0 -
0 28.00
0 -
0 -
6 330.00
0 29.00
9 74.00
8 29.00
45 (50.00)
43 503.00
0 8.00
0 41.00
0 -
150 164.00
0 -
1 (1.00)
0 8.00
0 100.00
20 266.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
10 76.00
0 21.00
0 72.00
12 97.00
0 39.00
26 121.00
0 7.00
86 58.00
0 39.00
57 883.00
0 1.00
0 -
22 (22.00)
0 -
0 139.00
0 -
10 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
6 4.00
0 -
0 -
1 4.00
1 19.00
0 300.00
0 710.00
0 3.00
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 586.00
0 18.00
6 372.00
0 44.00
0 -
180 549.00
0 20.00
30 (7.00)
0 -
0 212.00
0 -
0 29.00
0 8.00
0 -
0 12.00
0 10.00
0 10.00
0 96.00
0 58.00
0 29.00
0 400.00
0 -
0 2.00
0 208.00
10 (10.00)
10 355.00
0 -
70 146.00
30 346.00
0 7.00
0 -
0 -
0 -
0 -
0 179.00
0 8.00
0 -
194 455.00
2 51.00
0 -
10 152.00
0 -
0 6.00
46 496.00
0 -
0 -
6 -
48 203.00
0 140.00
0 8.00
0 4.00
16 223.00
0 3.00
0 -
0 -
0 -
0 94.00
0 -
220 (3.00)
10 244.00
0 -
0 20.00
0 -
0 -
35 788.00
30 106.00
70 363.00
12 1,019.00
0 -
0 -
0 75.00
0 5.00
0 100.00
ny sutiyem
ny uswatul
an mniam
an trania
tnkusdi
No 16/3/2020

1 Alat Suntik 3 cc 188.00 188.00 10
2 Alat Suntik 5 ml 260.00 260.00 6
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 330.00 330.00 3
8 Amlodipin tablet 5 mg (50.00) (50.00)
9 Amoksisillin 500 mg 503.00 503.00 6
11 Ampisilin Inj 1000 mg 41.00 41.00
13 Antasida doen 164.00 164.00 10 10
15 Antihemoroid supp (1.00) (1.00)
17 Asam asetil salisilat tbl 80 mg(Mi 100.00 100.00
26 Bisacodil 5 mg 72.00 72.00
31 CTM 4 mg 58.00 58.00 3
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
38 Digoksin 139.00 139.00
39 Dihidro Artemisin+Piperakui - -
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 mg 4.00 4.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 586.00 586.00
67 ISDN 372.00 372.00
68 Isoniazid 300 mg 44.00 44.00
71 kaptopril tab 12,5 mg 20.00 20.00
72 Karbamazepin (7.00) (7.00)
83 loperamid 2mg 58.00 58.00
85 Metformin 500 mg 400.00 400.00
89 Metoklopramide inj (10.00) (10.00) 9
90 Metronidazol 500 mg 355.00 355.00
96 Novadiar syr - -
97 OBH - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 455.00 455.00 3 10 10 6
105 piracetam tab 400mg 152.00 152.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 203.00 203.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 94.00 94.00
123 Tablet tambah darah (3.00) (3.00) 30
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
132 Vitamin C Tablet 50 mg 1,019.00 1,019.00 6
- -
kassa 10x40 5.00 5.00
sucraf
an slamet
6
an nayla
4
an najwa
ny rufiah
ny erna
10
tn suprman
ny diana
10
tn aji
ny sutrismi
10
ny rohmiyati
10
sdr sudadi
an rizky
6
an a fadhli
10
tn mistun
10
ny sumini
10
2
ny sunarti
10
10
10
ny sutarmi
ny siti lis
3 10 10 10 10
1 1
3 10 10
10 10
15 15 10 15
6 6
1
10
3
10
10 10
10
6 10 6 10
1
6 10 10 6
15 15 10 30
6 5
6 6 6
8
ny suwati
ny nurul
ny nur khas
ny fitri
ny welas asih
an asyifa
10
10
an fadila
10
10
ny suwati
4
4
an mukti
10
tn purwadi
ny siti mus
10 10
10 4 10
10
15 15 10 10
6
5 10
1
10
15 15 10
5 10
65
66
67
68
69
70
71
72
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
41
41
41
41
41
41
41
10 178.00
6 254.00
0 117.00
0 -
0 28.00
0 -
0 -
3 327.00
0 29.00
20 54.00
0 29.00
10 (60.00)
72 431.00
0 8.00
0 41.00
0 -
28 136.00
0 -
0 (1.00)
0 8.00
8 92.00
60 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
2 70.00
0 97.00
0 39.00
0 121.00
0 7.00
66 (8.00)
0 39.00
24 859.00
0 1.00
0 -
0 (22.00)
0 -
5 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
2 2.00
0 19.00
0 300.00
0 710.00
26 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
30 556.00
0 18.00
8 364.00
0 44.00
0 -
105 444.00
0 20.00
0 (7.00)
0 -
12 200.00
0 -
0 29.00
0 8.00
0 -
1 11.00
0 10.00
0 10.00
10 86.00
3 55.00
0 29.00
10 390.00
0 -
0 2.00
0 208.00
9 (19.00)
20 335.00
0 -
10 136.00
6 340.00
0 7.00
0 -
0 -
3 (3.00)
0 -
0 179.00
0 8.00
0 -
76 379.00
2 49.00
0 -
0 152.00
0 -
0 6.00
32 464.00
0 -
0 -
0 -
6 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
10 84.00
0 -
110 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
17 771.00
0 106.00
0 363.00
39 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
3 Allopurinol tab 100 m - -
4 Ambroksol 30 mg 327.00 327.00
5 Aminofilin injeksi 24 29.00 29.00
6 Aminofilin tablet 150 54.00 54.00
10 Amoxicillin Forte Dry 8.00 8.00
11 Ampisilin Inj 1000 mg 41.00 41.00
17 Asam asetil salisilat 92.00 92.00
18 Asam mefenamat kapl 206.00 206.00
19 Asam tranexamat 500 174.00 174.00
22 Atapulgit tablet 600 5.00 5.00
23 Atropin sulfat inj. 0, - -
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
33 Deksametason tab 0,5 859.00 859.00
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin injeksi - -
38 Digoksin 134.00 134.00
39 Dihidro Artemisin+ - -
40 Dimenhidrinat tbl 50 30.00 30.00
41 Domperidone suspens - -
42 Domperidone tablet 1 160.00 160.00
45 Eritromisin kpl 500 m 20.00 20.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj 50 m - -
50 Furosemide tablet 40 45.00 45.00
51 Garam oralit 125.00 125.00
57 Glibenklamide tablet 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakolat 10 (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
64 Hidrokortison cr 2,5 13.00 13.00
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 100mg 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
69 Isoniazid tbl 100 m - -
71 kaptopril tab 12,5 mg 20.00 20.00
74 Ketokonazole tbl 200 200.00 200.00
76 Ketorolac injeksi 30 29.00 29.00
81 Kotrimoksazol supsens 10.00 10.00
82 Kotrimoksazol tablet 86.00 86.00
83 loperamid 2mg 55.00 55.00
84 Magnesium Sulfat Inj 29.00 29.00
85 Metformin 500 mg 390.00 390.00
86 Metilergometrin injeks - -
87 Metilergometrin table 2.00 2.00
89 Metoklopramide inj (19.00) (19.00)
90 Metronidazol 500 mg 335.00 335.00
91 Metronidazol infus - -
93 Na diklofenak tablet 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
98 Oksitosin injeksi 10 I - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
103 Paracetamol syr 120m 49.00 49.00
105 piracetam tab 400mg 152.00 152.00
106 pirexin supositoria 1 - -
107 pirexin supositoria 80 6.00 6.00
109 Propanolol tablet 4 - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
117 Sefadroksil syr 125 m 3.00 3.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
123 Tablet tambah darah (113.00) (113.00)
124 Thiamphenicol kap 50 244.00 244.00
126 Triheksifenidil tbl 2 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
130 Vitamin B1 tablet 50 106.00 106.00
131 Vitamin B6 tablet 10 363.00 363.00
132 Vitamin C Tablet 50 980.00 980.00
133 Vitamin K injeksi 2 m - -
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
3 Allopurinol tab 100 - -
4 Ambroksol 30 mg 327.00 327.00
8 Amlodipin tablet 5 m (60.00) (60.00)
10 Amoxicillin Forte Dr 8.00 8.00
11 Ampisilin Inj 1000 m 41.00 41.00
12 Antacid doen supens - -
18 Asam mefenamat kap 206.00 206.00
19 Asam tranexamat 50 174.00 174.00
23 Atropin sulfat inj. 0 - -
24 Betahistin tablet 6 m 76.00 76.00
25 Betametason krim 0, 21.00 21.00
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
33 Deksametason tab 0, 859.00 859.00
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin injeks - -
38 Digoksin 134.00 134.00
39 Dihidro Artemisin - -
41 Domperidone suspen - -
42 Domperidone tablet 160.00 160.00
44 Epinefrin injeksi 0.1 2.00 2.00
45 Eritromisin kpl 500 20.00 20.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj 50 - -
51 Garam oralit 125.00 125.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
69 Isoniazid tbl 100 - -
70 Kalsium laktat 500 m 444.00 444.00
71 kaptopril tab 12,5 mg 20.00 20.00
77 Kloramfenicol susp 8.00 8.00
80 Kloramfenikol SM 1 10.00 10.00
81 Kotrimoksazol supsen 10.00 10.00
83 loperamid 2mg 55.00 55.00
84 Magnesium Sulfat In 29.00 29.00
85 Metformin 500 mg 390.00 390.00
86 Metilergometrin injek - -
87 Metilergometrin tabl 2.00 2.00
90 Metronidazol 500 mg 335.00 335.00
91 Metronidazol infu - -
96 Novadiar syr - -
97 OBH (3.00) (3.00)
98 Oksitosin injeksi 10 - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
103 Paracetamol syr 120 49.00 49.00
105 piracetam tab 400mg 152.00 152.00
106 pirexin supositoria - -
109 Propanolol tablet - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
117 Sefadroksil syr 125 3.00 3.00
118 Serum Abu 1 - -
120 Setirizin kapsul 10 m - -
121 Simvastatin 10 mg 84.00 84.00
127 Vitamin A 100.000 I - -
128 Vitamin A 200.000 I - -
130 Vitamin B1 tablet 50 106.00 106.00
131 Vitamin B6 tablet 10 363.00 363.00
132 Vitamin C Tablet 50 980.00 980.00
133 Vitamin K injeksi 2 - -
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
5 Aminofilin injeksi 24 mg 29.00 29.00
10 Amoxicillin Forte Dry Sy 8.00 8.00
11 Ampisilin Inj 1000 mg 41.00 41.00
17 Asam asetil salisilat tbl 92.00 92.00
18 Asam mefenamat kaplet 206.00 206.00
23 Atropin sulfat inj. 0,25 m - -
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin injeksi 10 - -
38 Digoksin 134.00 134.00
39 Dihidro Artemisin+Pip - -
41 Domperidone suspensi 5 - -
42 Domperidone tablet 10 m 160.00 160.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj 50 mg/m - -
51 Garam oralit 125.00 125.00
57 Glibenklamide tablet 5 m 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakolat 100 m (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 100mg / 5 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
69 Isoniazid tbl 100 mg( - -
71 kaptopril tab 12,5 mg 20.00 20.00
82 Kotrimoksazol tablet 480 86.00 86.00
83 loperamid 2mg 55.00 55.00
84 Magnesium Sulfat Inj 40 29.00 29.00
85 Metformin 500 mg 390.00 390.00
87 Metilergometrin tablet 0 2.00 2.00
90 Metronidazol 500 mg 335.00 335.00
91 Metronidazol infus 5m - -
93 Na diklofenak tablet 50 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
98 Oksitosin injeksi 10 IU/m - -
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
103 Paracetamol syr 120mg/5 49.00 49.00
105 piracetam tab 400mg 152.00 152.00
106 pirexin supositoria 160 m - -
109 Propanolol tablet 40 m - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
124 Thiamphenicol kap 500 m 244.00 244.00
126 Triheksifenidil tbl 2 mg( 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
133 Vitamin K injeksi 2 mg/m - -
- -
kassa 10x40 5.00 5.00
-
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
11 Ampisilin Inj 1000 m 41.00 41.00
18 Asam mefenamat kapl 206.00 206.00
19 Asam tranexamat 500 174.00 174.00
23 Atropin sulfat inj. 0, - -
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
38 Digoksin 134.00 134.00
41 Domperidone suspens - -
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 m 444.00 444.00
71 kaptopril tab 12,5 mg 20.00 20.00
83 loperamid 2mg 55.00 55.00
84 Magnesium Sulfat Inj 29.00 29.00
85 Metformin 500 mg 390.00 390.00
90 Metronidazol 500 mg 335.00 335.00
91 Metronidazol infus - -
96 Novadiar syr - -
97 OBH (3.00) (3.00)
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
105 piracetam tab 400mg 152.00 152.00
106 pirexin supositoria 1 - -
109 Propanolol tablet 4 - -
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
117 Sefadroksil syr 125 m 3.00 3.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
127 Vitamin A 100.000 I - -
128 Vitamin A 200.000 I - -
130 Vitamin B1 tablet 50 106.00 106.00
131 Vitamin B6 tablet 10 363.00 363.00
132 Vitamin C Tablet 50 980.00 980.00
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0 -
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
11 Ampisilin Inj 1000 mg 41.00 41.00
17 Asam asetil salisilat tbl 80 92.00 92.00
18 Asam mefenamat kaplet 500 206.00 206.00
23 Atropin sulfat inj. 0,25 mg/m - -
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin injeksi 10 mg - -
38 Digoksin 134.00 134.00
39 Dihidro Artemisin+Pipera - -
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakolat 100 mg (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
69 Isoniazid tbl 100 mg(P2M - -
71 kaptopril tab 12,5 mg 20.00 20.00
77 Kloramfenicol susp 125 mg/ 8.00 8.00
83 loperamid 2mg 55.00 55.00
85 Metformin 500 mg 390.00 390.00
90 Metronidazol 500 mg 335.00 335.00
91 Metronidazol infus 5mg/m - -
96 Novadiar syr - -
97 OBH (3.00) (3.00)
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
105 piracetam tab 400mg 152.00 152.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
126 Triheksifenidil tbl 2 mg(Mers 20.00 20.00
127 Vitamin A 100.000 IU - -
128 Vitamin A 200.000 IU - -
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
1 Acyclovir tab 400 28.00 28.00
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
5 Aminofilin injeksi 29.00 29.00
6 Aminofilin tablet 54.00 54.00
8 Amlodipin tablet 5 (60.00) (60.00)
9 Amoksisillin 500 431.00 431.00
10 Amoxicillin Forte 8.00 8.00
11 Ampisilin Inj 1000 41.00 41.00
12 Antacid doen supe - -
17 Asam asetil salisil 92.00 92.00
18 Asam mefenamat ka 206.00 206.00
20 Asam Tranexamat i 4.00 4.00
23 Atropin sulfat inj. - -
24 Betahistin tablet 6 76.00 76.00
25 Betametason krim 0 21.00 21.00
26 Bisacodil 5 mg 70.00 70.00
27 cefadroxil kap 500 97.00 97.00
29 ciprofaxin tab 500 121.00 121.00
30 Clindamycin 150 m 7.00 7.00
31 CTM 4 mg (8.00) (8.00)
33 Deksametason tab 859.00 859.00
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin inje - -
38 Digoksin 134.00 134.00
39 Dihidro Artemis - -
40 Dimenhidrinat tbl 30.00 30.00
41 Domperidone suspe - -
42 Domperidone table 160.00 160.00
43 Dopamet tbl 250 m - -
44 Epinefrin injeksi 0 2.00 2.00
47 FDC II (P2M) - -
49 Fenobarbital 30 20.00 20.00
50 Furosemide tablet 45.00 45.00
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 m 4.00 4.00
53 gentamicin inj 40m - -
57 Glibenklamide tabl 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakolat (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
64 Hidrokortison cr 2 13.00 13.00
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 100 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 444.00 444.00
71 kaptopril tab 12,5 20.00 20.00
76 Ketorolac injeksi 29.00 29.00
80 Kloramfenikol SM 10.00 10.00
81 Kotrimoksazol sups 10.00 10.00
82 Kotrimoksazol tabl 86.00 86.00
83 loperamid 2mg 55.00 55.00
84 Magnesium Sulfat 29.00 29.00
85 Metformin 500 mg 390.00 390.00
86 Metilergometrin inj - -
87 Metilergometrin ta 2.00 2.00
90 Metronidazol 500 335.00 335.00
91 Metronidazol inf - -
93 Na diklofenak tabl 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
99 Omeprazole 179.00 179.00
102 paracetamol 500m 379.00 379.00
105 piracetam tab 400 152.00 152.00
107 pirexin supositoria 6.00 6.00
108 Prednison tablet 5 464.00 464.00
109 Propanolol table - -
110 PTU 100 mg - -
112 Ranitidin tab 150m 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
119 Serum ATS 1500 I - -
120 Setirizin kapsul 10 - -
121 Simvastatin 10 mg 84.00 84.00
123 Tablet tambah dara (113.00) (113.00)
124 Thiamphenicol kap 244.00 244.00
126 Triheksifenidil tbl 20.00 20.00
127 Vitamin A 100.000 - -
128 Vitamin A 200.000 - -
129 Vitamin B Komple 771.00 771.00
130 Vitamin B1 tablet 106.00 106.00
132 Vitamin C Tablet 980.00 980.00
133 Vitamin K injeksi - -
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0 -
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
1 Acyclovir tab 400 28.00 28.00
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
8 Amlodipin tablet (60.00) (60.00)
9 Amoksisillin 500 431.00 431.00
11 Ampisilin Inj 100 41.00 41.00
12 Antacid doen supe - -
17 Asam asetil salisil 92.00 92.00
18 Asam mefenamat k 206.00 206.00
19 Asam tranexamat 174.00 174.00
20 Asam Tranexamat i 4.00 4.00
22 Atapulgit tablet 5.00 5.00
25 Betametason krim 21.00 21.00
26 Bisacodil 5 mg 70.00 70.00
27 cefadroxil kap 50 97.00 97.00
29 ciprofaxin tab 500 121.00 121.00
30 Clindamycin 150 7.00 7.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin inj - -
38 Digoksin 134.00 134.00
39 Dihidro Artemis - -
41 Domperidone susp - -
42 Domperidone table 160.00 160.00
43 Dopamet tbl 250 m - -
44 Epinefrin injeksi 2.00 2.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj - -
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 m 4.00 4.00
53 gentamicin inj 40 - -
57 Glibenklamide tabl 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakola (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
64 Hidrokortison cr 2 13.00 13.00
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 10 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 50 444.00 444.00
71 kaptopril tab 12,5 20.00 20.00
73 Ketokonazol cr 2 - -
74 Ketokonazole tbl 200.00 200.00
77 Kloramfenicol sus 8.00 8.00
81 Kotrimoksazol sup 10.00 10.00
82 Kotrimoksazol tab 86.00 86.00
83 loperamid 2mg 55.00 55.00
85 Metformin 500 mg 390.00 390.00
86 Metilergometrin in - -
87 Metilergometrin ta 2.00 2.00
89 Metoklopramide in (19.00) (19.00)
90 Metronidazol 500 335.00 335.00
91 Metronidazol in - -
93 Na diklofenak tabl 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
98 Oksitosin injeksi - -
99 Omeprazole 179.00 179.00
102 paracetamol 500m 379.00 379.00
105 piracetam tab 400 152.00 152.00
106 pirexin supositori - -
107 pirexin supositori 6.00 6.00
108 Prednison tablet 5 464.00 464.00
109 Propanolol table - -
110 PTU 100 mg - -
112 Ranitidin tab 150m 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
119 Serum ATS 1500 I - -
121 Simvastatin 10 mg 84.00 84.00
122 Stesolid Rectal Su - -
123 Tablet tambah dara (113.00) (113.00)
127 Vitamin A 100.000 - -
128 Vitamin A 200.000 - -
129 Vitamin B Komple 771.00 771.00
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0 -
0
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
11 Ampisilin Inj 1000 m 41.00 41.00
23 Atropin sulfat inj. 0 - -
24 Betahistin tablet 6 m 76.00 76.00
26 Bisacodil 5 mg 70.00 70.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
38 Digoksin 134.00 134.00
47 FDC II (P2M) - -
51 Garam oralit 125.00 125.00
58 Glimepiride 2 mg 710.00 710.00
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 m 444.00 444.00
71 kaptopril tab 12,5 mg 20.00 20.00
83 loperamid 2mg 55.00 55.00
85 Metformin 500 mg 390.00 390.00
90 Metronidazol 500 mg 335.00 335.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
105 piracetam tab 400mg 152.00 152.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
127 Vitamin A 100.000 I - -
128 Vitamin A 200.000 I - -
130 Vitamin B1 tablet 50 106.00 106.00
131 Vitamin B6 tablet 10 363.00 363.00
132 Vitamin C Tablet 50 980.00 980.00
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
1 Acyclovir tab 400 28.00 28.00
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
5 Aminofilin injeks 29.00 29.00
7 Amitriptilin 25 m 29.00 29.00
8 Amlodipin tablet (60.00) (60.00)
9 Amoksisillin 500 431.00 431.00
11 Ampisilin Inj 100 41.00 41.00
12 Antacid doen sup - -
15 Antihemoroid sup (1.00) (1.00)
17 Asam asetil salisi 92.00 92.00
18 Asam mefenamat 206.00 206.00
19 Asam tranexamat 174.00 174.00
20 Asam Tranexamat 4.00 4.00
22 Atapulgit tablet 5.00 5.00
23 Atropin sulfat inj - -
24 Betahistin tablet 76.00 76.00
25 Betametason krim 21.00 21.00
26 Bisacodil 5 mg 70.00 70.00
27 cefadroxil kap 50 97.00 97.00
29 ciprofaxin tab 50 121.00 121.00
30 Clindamycin 150 7.00 7.00
31 CTM 4 mg (8.00) (8.00)
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 m (22.00) (22.00)
37 Difenhidramin inj - -
38 Digoksin 134.00 134.00
39 Dihidro Artemi - -
41 Domperidone susp - -
42 Domperidone tabl 160.00 160.00
43 Dopamet tbl 250 - -
44 Epinefrin injeksi 2.00 2.00
47 FDC II (P2M) - -
48 Fenobarbiltal inj - -
51 Garam oralit 125.00 125.00
52 Gemfibrozil 300 4.00 4.00
53 gentamicin inj 40 - -
57 Glibenklamide tab 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakola (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
64 Hidrokortison cr 13.00 13.00
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 10 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 50 444.00 444.00
71 kaptopril tab 12,5 20.00 20.00
73 Ketokonazol cr 2 - -
74 Ketokonazole tbl 200.00 200.00
77 Kloramfenicol sus 8.00 8.00
80 Kloramfenikol S 10.00 10.00
81 Kotrimoksazol sup 10.00 10.00
82 Kotrimoksazol tab 86.00 86.00
83 loperamid 2mg 55.00 55.00
85 Metformin 500 m 390.00 390.00
86 Metilergometrin i - -
87 Metilergometrin t 2.00 2.00
89 Metoklopramide i (19.00) (19.00)
90 Metronidazol 500 335.00 335.00
91 Metronidazol in - -
93 Na diklofenak tab 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
98 Oksitosin injeksi - -
99 Omeprazole 179.00 179.00
102 paracetamol 500 379.00 379.00
103 Paracetamol syr 49.00 49.00
105 piracetam tab 40 152.00 152.00
106 pirexin supositor - -
107 pirexin supositori 6.00 6.00
108 Prednison tablet 464.00 464.00
109 Propanolol tabl - -
110 PTU 100 mg - -
112 Ranitidin tab 150 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
119 Serum ATS 1500 - -
121 Simvastatin 10 mg 84.00 84.00
122 Stesolid Rectal Su - -
123 Tablet tambah dar (113.00) (113.00)
124 Thiamphenicol ka 244.00 244.00
126 Triheksifenidil tb 20.00 20.00
127 Vitamin A 100.00 - -
128 Vitamin A 200.00 - -
129 Vitamin B Kompl 771.00 771.00
- -
kassa 10x40 5.00 5.00
-
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
No 16/3/2020

1 Alat Suntik 3 cc 178.00 178.00
2 Alat Suntik 5 ml 254.00 254.00
3 bisturi 117.00 117.00
- -
1 Acyclovir tab 400 m 28.00 28.00
2 Albendazol - -
4 Ambroksol 30 mg 327.00 327.00
8 Amlodipin tablet 5 (60.00) (60.00)
10 Amoxicillin Forte D 8.00 8.00
11 Ampisilin Inj 1000 41.00 41.00
17 Asam asetil salisila 92.00 92.00
20 Asam Tranexamat in 4.00 4.00
26 Bisacodil 5 mg 70.00 70.00
27 cefadroxil kap 500m 97.00 97.00
29 ciprofaxin tab 500m 121.00 121.00
31 CTM 4 mg (8.00) (8.00)
33 Deksametason tab 0 859.00 859.00
34 Dextrosa 40% 1.00 1.00
36 Diazepam tbl 2 mg (22.00) (22.00)
37 Difenhidramin injek - -
38 Digoksin 134.00 134.00
39 Dihidro Artemisi - -
44 Epinefrin injeksi 0. 2.00 2.00
47 FDC II (P2M) - -
49 Fenobarbital 30 m 20.00 20.00
51 Garam oralit 125.00 125.00
57 Glibenklamide table 300.00 300.00
58 Glimepiride 2 mg 710.00 710.00
59 Gliseril Guaiakolat (23.00) (23.00)
62 HCT 25 mg 27.00 27.00
63 Hepagard - -
65 ibuprofen 400 mg 556.00 556.00
66 Ibuprofen susp 100m 18.00 18.00
67 ISDN 364.00 364.00
68 Isoniazid 300 mg 44.00 44.00
70 Kalsium laktat 500 444.00 444.00
71 kaptopril tab 12,5 m 20.00 20.00
81 Kotrimoksazol supse 10.00 10.00
82 Kotrimoksazol table 86.00 86.00
83 loperamid 2mg 55.00 55.00
85 Metformin 500 mg 390.00 390.00
86 Metilergometrin inje - -
87 Metilergometrin tab 2.00 2.00
90 Metronidazol 500 m 335.00 335.00
93 Na diklofenak table 340.00 340.00
96 Novadiar syr - -
97 OBH (3.00) (3.00)
99 Omeprazole 179.00 179.00
102 paracetamol 500mg 379.00 379.00
105 piracetam tab 400m 152.00 152.00
107 pirexin supositoria 6.00 6.00
108 Prednison tablet 5 m 464.00 464.00
110 PTU 100 mg - -
112 Ranitidin tab 150mg 197.00 197.00
113 Salbutamol 4 mg 140.00 140.00
114 Salep 24 8.00 8.00
116 scopma plus 223.00 223.00
118 Serum Abu 1 - -
121 Simvastatin 10 mg 84.00 84.00
127 Vitamin A 100.000 - -
128 Vitamin A 200.000 - -
129 Vitamin B Komplek 771.00 771.00
130 Vitamin B1 tablet 5 106.00 106.00
131 Vitamin B6 tablet 1 363.00 363.00
132 Vitamin C Tablet 5 980.00 980.00
- -
kassa 10x40 5.00 5.00
65
66
67
68
69
70
71
72
41
41
41
41
41
41
41
41
41
41
41
41
S
I
S
A
T
O
T
A
L
P
A
K
A
I
41
41
0 178.00
0 254.00
0 117.00
0 -
0 28.00
0 -
0 -
0 327.00
0 29.00
0 54.00
0 29.00
0 (60.00)
0 431.00
0 8.00
0 41.00
0 -
0 136.00
0 -
0 (1.00)
0 8.00
0 92.00
0 206.00
0 174.00
0 4.00
0 6.00
0 5.00
0 -
0 76.00
0 21.00
0 70.00
0 97.00
0 39.00
0 121.00
0 7.00
0 (8.00)
0 39.00
0 859.00
0 1.00
0 -
0 (22.00)
0 -
0 134.00
0 -
0 30.00
0 -
0 160.00
0 -
0 2.00
0 20.00
0 -
0 -
0 -
0 20.00
0 45.00
0 125.00
0 4.00
0 -
0 -
0 2.00
0 19.00
0 300.00
0 710.00
0 (23.00)
0 90.00
0 6.00
0 27.00
0 -
0 13.00
0 556.00
0 18.00
0 364.00
0 44.00
0 -
0 444.00
0 20.00
0 (7.00)
0 -
0 200.00
0 -
0 29.00
0 8.00
0 -
0 11.00
0 10.00
0 10.00
0 86.00
0 55.00
0 29.00
0 390.00
0 -
0 2.00
0 208.00
0 (19.00)
0 335.00
0 -
0 136.00
0 340.00
0 7.00
0 -
0 -
0 (3.00)
0 -
0 179.00
0 8.00
0 -
0 379.00
0 49.00
0 -
0 152.00
0 -
0 6.00
0 464.00
0 -
0 -
0 -
0 197.00
0 140.00
0 8.00
0 4.00
0 223.00
0 3.00
0 -
0 -
0 -
0 84.00
0 -
0 (113.00)
0 244.00
0 -
0 20.00
0 -
0 -
0 771.00
0 106.00
0 363.00
0 980.00
0 -
0 -
0 75.00
0 5.00
0 100.00
0
NAMA BARANG Stok awal 1 2 3 4
1 Alat Suntik 3 cc 290.00 - - - -
2 Alat Suntik 5 ml 21.00 - - - -
Bisturi 120.00 - - - -
- - - - -
1 Acyclovir tab 400 mg 36.00 - - - -
2 Albendazol - - - - -
3 Allopurinol tab 100 mg 13.00 - - - -
4 Ambroksol 30 mg 174.00 - - - -
5 Aminofilin injeksi 24 mg/ml 30.00 - - - -
6 Aminofilin tablet 150 mg 142.00 - - - -
7 Amitriptilin 25 mg 22.00 - - - -
8 Amlodipin tablet 5 mg 260.00 - - - -
9 Amoksisillin 500 mg 511.00 - - - -
10 Amoxicillin Forte Dry Syr - - 5 - -
11 Ampisilin Inj 1000 mg 38.00 - - - -
12 Antacid doen supensi 11.00 - - - -
13 Antasida doen 135.00 - 500 - -
14 Antifungi Doen - - - - -
15 Antihemoroid supp 7.00 - - - -
16 Aqua pro injeksi 24.00 - - - -
17 Asam asetil salisilat tbl 80 mg(Miniaspi) 205.00 - - - -
18 Asam mefenamat kaplet 500 mg - - 500 - -
19 Asam tranexamat 500 mg 194.00 - - - -
20 Asam Tranexamat inj 4.00 - - - -
21 Asiklovir krim 5% 14.00 - - - -
22 Atapulgit tablet 600 mg 78.00 - - - -
23 Atropin sulfat inj. 0,25 mg/ml - - - - -
24 Betahistin tablet 6 mg 56.00 - - 300 -
25 Betametason krim 0,1 7.00 - - - -
26 Bisacodil 5 mg - - - - -
27 cefadroxil kap 500mg 56.00 - - - -
28 Cefotaksim inj 15.00 - - - -
29 ciprofaxin tab 500mg 64.00 - - 400 -
30 Clindamycin 150 mg 18.00 - - - -
31 CTM 4 mg 430.00 - - 1,000 -
32 Deksametason Inj 96.00 - - - -
33 Deksametason tab 0,5 mg 206.00 - - - -
34 Dextrosa 40% - - - - -
35 Diazepam injeksi - - - - -
36 Diazepam tbl 2 mg - - - - -
37 Difenhidramin injeksi 10 mg/ml - - - - -
38 Digoksin 190.00 - - - -
39 Dihidro Artemisin+Piperakuin (DHP) - - - - -
40 Dimenhidrinat tbl 50 mg 48.00 - - - 200
41 Domperidone suspensi 5mg - - - - -
42 Domperidone tablet 10 mg 189.00 - - - -
43 Dopamet tbl 250 mg - - - - -
44 Epinefrin injeksi 0.1% 2.00 - - - -
45 Eritromisin kpl 500 mg 170.00 - - - -
46 FDC Anak (P2M) - - - - -
47 FDC II (P2M) - - - - -
48 Fenobarbiltal inj 50 mg/ml - - - - -
49 Fenobarbital 30 mg 20.00 - - - -
50 Furosemide tablet 40 mg 80.00 - - - -
51 Garam oralit 138.00 - - - -
52 Gemfibrozil 300 mg 298.00 - - - -
53 gentamicin inj 40mg - - - - -
54 Gentamicin SM - - - - -
55 Gentamicin TM 5.00 - - 26 -
56 Gentian Violet 1% 11.00 - - - -
57 Glibenklamide tablet 5 mg 260.00 - - - -
58 Glimepiride 2 mg 236.00 - - - -
59 Gliseril Guaiakolat 100 mg 346.00 - - - -
60 Halloperidol 5 mg 110.00 - - - -
61 Halloperidol inj 6.00 - - - -
62 HCT 25 mg 75.00 - - - -
63 Hepagard - - - - -
64 Hidrokortison cr 2,5 % 15.00 - - - -
65 ibuprofen 400 mg 351.00 - - - -
66 Ibuprofen susp 100mg / 5 ml 20.00 - - - -
67 ISDN 55.00 - - - -
68 Isoniazid 300 mg 52.00 - - - -
69 Isoniazid tbl 100 mg(P2M) - - - - -
70 Kalsium laktat 500 mg 302.00 - 1,000 - -
71 kaptopril tab 12,5 mg 167.00 - - - -
72 Karbamazepin 239.00 - - - -
73 Ketokonazol cr 2 % - - - - -
74 Ketokonazole tbl 200 mg 36.00 - - - -
75 Ketoprofen supp - - - - -
76 Ketorolac injeksi 30 mg 9.00 - - - -
77 Kloramfenicol susp 125 mg/5 ml 4.00 - - - 15
78 Kloramfenicol TM - - - - -
79 Kloramfenikol SK 6.00 - - - -
80 Kloramfenikol SM 1% 14.00 - - - -
81 Kotrimoksazol supsensi 4.00 - - - -
82 Kotrimoksazol tablet 480 mg 122.00 - - - -
83 loperamid 2mg 158.00 - - - -
84 Magnesium Sulfat Inj 40 % 29.00 - - - -
85 Metformin 500 mg 15.00 - 500 - -
86 Metilergometrin injeksi - - - - -
87 Metilergometrin tablet 0.125 mg 2.00 - - - -
88 Metoklopramide 73.00 - - - -
89 Metoklopramide inj 2.00 - - - -
90 Metronidazol 500 mg 205.00 - - - -
91 Metronidazol infus 5mg/ml - - - - -
92 N asetil sistein 225.00 - 300 - -
93 Na diklofenak tablet 50 mg 286.00 - - - -
94 Neocenta gel 7.00 - - - -
95 Nifedipin 10 mg - - - - -
96 Novadiar syr - - - - -
97 OBH - - - - -
98 Oksitosin injeksi 10 IU/ml - - - - -
99 Omeprazole 245.00 - - - -
100 Multivitamin syr - - - - -
101 Pacdin cough sy - - - - -
102 paracetamol 500mg 606.00 - - - 1,000
103 Paracetamol syr 120mg/5ml 21.00 - 5 - -
104 Piracetam inj - - - - -
105 piracetam tab 400mg 58.00 - - - -
106 pirexin supositoria 160 mg - - - - -
107 pirexin supositoria 80 mg 8.00 - - - -
108 Prednison tablet 5 mg 950.00 - - - -
109 Propanolol tablet 40 mg - - - - -
110 PTU 100 mg - - - - -
111 Ranitidin inj 16.00 - - - -
112 Ranitidin tab 150mg 300.00 - - - -
113 Salbutamol 4 mg 180.00 - - - -
114 Salep 24 8.00 - - - -
115 Salisil bedak 2% - - - 10 -
116 scopma plus 111.00 - - - 300
117 Sefadroksil syr 125 mg 3.00 - - - -
118 Serum Abu 1 - - - - -
119 Serum ATS 1500 IU - - - - -
120 Setirizin kapsul 10 mg - - - - -
121 Simvastatin 10 mg 177.00 - - - -
122 Stesolid Rectal Sup - - - - -
123 Tablet tambah darah 524.00 - - - 300
124 Thiamphenicol kap 500 mg 236.00 - - - -
125 Thiamphenicol syr 2.00 - - - -
126 Triheksifenidil tbl 2 mg(Mersi) 20.00 - - - -
127 Vitamin A 100.000 IU - - - - -
128 Vitamin A 200.000 IU - - - - -
129 Vitamin B Kompleks 621.00 - - - -
130 Vitamin B1 tablet 50 mg 356.00 - - - -
131 Vitamin B6 tablet 10 mg 306.00 - - - -
132 Vitamin C Tablet 50 mg 778.00 - - - -
133 Vitamin K injeksi 2 mg/ml - - - - -
- - - - -
Alat suntik 1cc - - - - -
kassa 10x40 - - - - -
handscond M - - - - -
TANGGAL PEN
5 6 7 8 9 10 11 12 13 14
- - - - - - - - - -
100 - - - - 100 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
100 - - - - - - - - -
200 - - - - 300 - - - -
- - 700 - - - - 500 - -
- 10 - - - - - - - -
50 - - - - - - - - -
- - - - - - - - - -
- - 300 - - 400 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 18 - - - - - - -
- - - - - - - - - -
- - 300 - - 200 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - 25 - - - -
- - - - - 100 - - - -
- - - - - - - - - -
30 - - - - 50 - - 50 -
- - - - - - - - - -
- - - - - - - - - -
- - - - - 1,000 - - - -
- - - - - - - - - -
- 1,000 - - - - - 1,000 - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 1 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - 19 - - - -
- - - - - - - - 200 -
- - - - - - - - 300 -
- - 400 - - - - - - -
- - - - - - 100 - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - 24 - - - -
- 500 - - - - - 500 - -
- - - - - - - - - -
- - - - 300 - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 500 - - - - 1,000 - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - 250 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 23 - - - - - - -
- - - - - - - - - -
10 - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - 200 -
- - - - - - - - - -
- - - - - - - - - -
- - 200 - - - - - - -
50 - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 300 - - - - 500 - -
500 - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - 1,500 - - - - -
20 - 10 - 55 - 100 - - -
- - - - - - - - - -
- - - - - 200 - - - -
- - - - - - - - - -
- - - - - - 1 - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 30 - - - - - - -
- - - - - - - - - -
- - 300 - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 600 - - 300 - 750 - -
- - - - - 300 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - 1,000 - - - - - - -
- - - - - - - - - -
- - 500 - - - - - - -
- - - - - 500 - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
TANGGAL PENERIMAAN
15 16 17 18 19 20 21 22 23 24
- - - - 200 - - - - -
- - - - 200 - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 500 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 500 - 300 - - - - - -
- - - 10 - - - - - -
- 50 - - - - - - - -
- - - - - - - - - -
- 500 - - - - - - - -
- - - - - - - - - -
- - 1 - - - - - - -
- 18 - - - - - - - -
- - - - - - - - - -
- - - 300 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 100 - - - - - - - -
- - - - 60 - - - - -
- 300 - - - - - - - -
- - - - - - - - - -
- 1,000 - - - - - - - -
- - - - - - - - - -
- - - 1,000 - - - - - -
- - - - 1 - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 500 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 400 - - - - - -
- - - - - - - - - -
- - - 200 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 1,000 - - - - - -
- 100 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - 24 - - - - -
- - 10 - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 300 - - - - - -
- - - - - - - - - -
- - 500 - - - - - - -
- 500 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 150 - - - - - -
- 10 - - - - - - - -
- - - - - - - - - -
- - 1,000 - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 1,000 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 300 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - 10 - - - - -
- - - 200 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 600 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- 1,000 - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - 1,000 - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - 75 - - - - -
- - - - 5 - - - - -
- - - - 100 - - - - -
TOTAL
25 26 27 28 29 30 31 TERIMA PERSEDIAAN
- - - - - - - 200 490.00
- - - - - - - 400 421.00
- - - - - - - - 120.00
- - - - - - - - -
- - - - - - - - 36.00
- - - - - - - - -
- - - - - - - - 13.00
- - - - - - - 500 674.00
- - - - - - - - 30.00
- - - - - - - - 142.00
- - - - - - - 100 122.00
- - - - - - - 500 760.00
- - - - - - - 2,000 2,511.00
- - - - - - - 25 25.00
- - - - - - - 100 138.00
- - - - - - - - 11.00
- - - - - - - 1,700 1,835.00
- - - - - - - - -
- - - - - - - 1 8.00
- - - - - - - 36 60.00
- - - - - - - - 205.00
- - - - - - - 1,300 1,300.00
- - - - - - - - 194.00
- - - - - - - - 4.00
- - - - - - - - 14.00
- - - - - - - - 78.00
- - - - - - - - -
- - - - - - - 300 356.00
- - - - - - - 25 32.00
- - - - - - - 100 100.00
- - - - - - - 100 156.00
- - - - - - - 190 205.00
- - - - - - - 700 764.00
- - - - - - - - 18.00
- - - - - - - 3,000 3,430.00
- - - - - - - - 96.00
- - - - - - - 3,000 3,206.00
- - - - - - - 1 1.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - 190.00
- - - - - - - - -
- - - - - - - 200 248.00
- - - - - - - - -
- - - - - - - - 189.00
- - - - - - - - -
- - - - - - - - 2.00
- - - - - - - - 170.00
- - - - - - - 1 1.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - - 20.00
- - - - - - - - 80.00
- - - - - - - - 138.00
- - - - - - - - 298.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - 26 31.00
- - - - - - - 19 30.00
- - - - - - - 200 460.00
- - - - - - - 800 1,036.00
- - - - - - - 400 746.00
- - - - - - - 100 210.00
- - - - - - - - 6.00
- - - - - - - - 75.00
- - - - - - - - -
- - - - - - - 24 39.00
- - - - - - - 1,400 1,751.00
- - - - - - - - 20.00
- - - - - - - 500 555.00
- - - - - - - - 52.00
- - - - - - - - -
- - - - - - - 3,500 3,802.00
- - - - - - - 100 267.00
- - - - - - - - 239.00
- - - - - - - - -
- - - - - - - 250 286.00
- - - - - - - - -
- - - - - - - 24 33.00
- - - - - - - 25 29.00
- - - - - - - - -
- - - - - - - 23 29.00
- - - - - - - - 14.00
- - - - - - - 10 14.00
- - - - - - - - 122.00
- - - - - - - - 158.00
- - - - - - - - 29.00
- - - - - - - 700 715.00
- - - - - - - - -
- - - - - - - - 2.00
- - - - - - - 200 273.00
- - - - - - - 50 52.00
- - - - - - - 300 505.00
- - - - - - - - -
- - - - - - - 1,600 1,825.00
- - - - - - - 1,000 1,286.00
- - - - - - - - 7.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - 150 395.00
- - - - - - - 10 10.00
- - - - - - - - -
- - - - - - - 3,500 4,106.00
- - - - - - - 190 211.00
- - - - - - - - -
- - - - - - - 200 258.00
- - - - - - - - -
- - - - - - - 1 9.00
- - - - - - - 1,000 1,950.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - 30 46.00
- - - - - - - 300 600.00
- - - - - - - 300 480.00
- - - - - - - - 8.00
- - - - - - - 20 20.00
- - - - - - - 500 611.00
- - - - - - - - 3.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - - -
- - - - - - - - 177.00
- - - - - - - - -
- - - - - - - 2,550 3,074.00
- - - - - - - 300 536.00
- - - - - - - - 2.00
- - - - - - - - 20.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - 2,000 2,621.00
- - - - - - - - 356.00
- - - - - - - 500 806.00
- - - - - - - 1,500 2,278.00
- - - - - - - - -
- - - - - - - - -
- - - - - - - 75 75.00
- - - - - - - 5 5.00
- - - - - - - 100 100.00
- - - - - - - -
SISA
TOTAL PAKAI AKHIR
312.00 178.00
167.00 254.00
3.00 117.00
- -
8.00 28.00
- -
13.00 -
347.00 327.00
1.00 29.00
88.00 54.00
93.00 29.00
820.00 (60.00)
2,080.00 431.00
17.00 8.00
97.00 41.00
11.00 -
1,699.00 136.00
- -
9.00 (1.00)
52.00 8.00
113.00 92.00
1,094.00 206.00
20.00 174.00
- 4.00
8.00 6.00
73.00 5.00
- -
280.00 76.00
11.00 21.00
30.00 70.00
59.00 97.00
166.00 39.00
643.00 121.00
11.00 7.00
3,438.00 (8.00)
57.00 39.00
2,347.00 859.00
- 1.00
- -
22.00 (22.00)
- -
56.00 134.00
- -
218.00 30.00
- -
29.00 160.00
- -
- 2.00
150.00 20.00
1.00 -
- -
- -
- 20.00
35.00 45.00
13.00 125.00
294.00 4.00
- -
- -
29.00 2.00
11.00 19.00
160.00 300.00
326.00 710.00
769.00 (23.00)
120.00 90.00
- 6.00
48.00 27.00
- -
26.00 13.00
1,195.00 556.00
2.00 18.00
191.00 364.00
8.00 44.00
- -
3,358.00 444.00
247.00 20.00
246.00 (7.00)
- -
86.00 200.00
- -
4.00 29.00
21.00 8.00
- -
18.00 11.00
4.00 10.00
4.00 10.00
36.00 86.00
103.00 55.00
- 29.00
325.00 390.00
- -
- 2.00
65.00 208.00
71.00 (19.00)
170.00 335.00
- -
1,689.00 136.00
946.00 340.00
- 7.00
- -
- -
3.00 (3.00)
- -
216.00 179.00
2.00 8.00
- -
3,727.00 379.00
162.00 49.00
- -
106.00 152.00
- -
3.00 6.00
1,486.00 464.00
- -
- -
46.00 -
403.00 197.00
340.00 140.00
- 8.00
16.00 4.00
388.00 223.00
- 3.00
- -
- -
- -
93.00 84.00
- -
3,187.00 (113.00)
292.00 244.00
2.00 -
- 20.00
- -
- -
1,850.00 771.00
250.00 106.00
443.00 363.00
1,298.00 980.00
- -
- -
- 75.00
- 5.00
- 100.00
- -

c2 Baru KK

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

c2 Baru KK

Uploaded by

Copyright:

Available Formats

No 1/3/2020

sisa penerimaan persediaan

1 Alat Suntik 3 cc 290.00 290.00

sisa penerimaan persediaan

53 sdr qilyatul nuriyah

sok awal penerimaan persediaan

sok awal penerimaanpersediaan

22 Asam mefenamat kaplet 500 mg

sok awal penerimaan persediaan

sok awal penerimaan persediaan

sok awal penerimaan persediaan

sok awal penerimaan persediaan

106 tn moh budi

sok awal penerimaan persediaan

sok awal penerimaan persediaan

sok awal penerimaan persediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

sok awal penerimaanpersediaan

You might also like