SO PEJATEN 26 DESEMBER 2018

NO. NAMA ITEM JUMLAH SATUAN HARGA SATUANTOTAL KETERANGAN

1 CYCLOFEM INJ/BOX@20VIAL 2 VIAL 13500 27000
2 LIDOCAIN MURNI INJEKSI 1 AMPUL 4200 4200
3 PARACETAMOL TAB GENERIK 286 TABLET 450 128700
4 PROGESIC TAB 6 tablet 1150 6900
5 RANITIDINE TAB@100'S 108 TABLET 850 91800
6 SIMVASTATIN 10MGTAB@30'S 14 TABLET 900 12600
7 SPASMINAL TAB'100 4 TABLET 1000 4000
8 TRILAC 4 MG (TRIAMCINOLONE) 3 3 TABLET 4500 13500
9 ZINC / ZINK 20 MG TAB DISPORSI 14 TABLET 1650 23100
10 SELANG OKSIGEN DEWASA 3 pcs 12000 36000
11 VENFLON / NEOFLON 22 3 BIJI 24200 72600
12 BUFANTACID SYR FORTE 9 BOTOL 14500 130500
13 LOSTACEF 250MG SYRUP 15 syrup 34500 517500
14 MUCERA (AMBROXOL) SYR 60ML- 1 BOTOL 30000 30000
15 OBH ITRASAL SYR 1 BOTOL 6000 6000
16 DEXTRAL TAB@150'S 50 tablet 1200 60000
17 DIONICOL TAB (THIAMPHENICOL) 5 TAB 2600 13000
18 DOBRIZOL / LAZOL (LANSOPRAZOL 50 CAPSUL 3000 150000
19 DOMPERIDONE TAB @50'S 2 TABLET 2000 4000
20 DOXYCYCLIN 100MG TAB 10 TABLET 800 8000
21 ESTALEX (EPERISONE HCL )@50'S 120 TABLET 2300 276000
22 FARIDEXON FORTE ( DEXA 0.75MG 21 TABLET 1150 24150
23 FASIDOL FORTE (PARACETAMOL 6 52 tab 1150 59800
24 FASIPRIM FORTE (TRIMETHOPRI 27 TAB 1700 45900
25 GLIBENCLAMID TAB@100'S 1 TABLET 500 500
26 GLIMEPIRIDE 2MG TAB@50'S 13 TABLET 3200 41600
27 ISOSORBID DINITRAT (ISDN) TAB 26 TABLET 400 10400
28 KADITIC 3 TABLET 1150 3450
29 KETOCONAZOL TAB@50'S 16 TABLET 1400 22400
30 LODECON FORTE TAB 3 TABLET 1400 4200
31 LOKEV 20 MG TAB (OMEPRAZOLE 39 KAPSUL 1400 54600
32 LORATADIN TAB@50'S-NVL- 33 TABLET 900 29700
33 METHYL PREDNISOLON 8MG @100 162 TABLET 1400 226800
34 NATRIUM DIKLOFENAK 50MG 4 TAB 600 2400
35 NEUROBION 5000 TAB (PINK)-MER 8 TABLET 4000 32000
36 NEURODEX TAB@200'S 102 TABLET 1400 142800
37 NEUROPYRONE-V 20 1500 30000
38 NIFEDIPIN 10MG TAB100'S -DEXA 19 TABLET 550 10450
39 STIMUNO SYR ANGGUR 100ML 1 BOTOL 42000 42000
40 VIT C IPI 2 BOTOL 5000 10000
41 CIFLON (ANTIHEMOROID) 20 TABLET 11000 220000
42 PROFOLAT TAB (ASAM FOLAC) 40 500 20000
43 NUCRAL SUSPENSI (SUSRALFATE) 1 boto; 62000 62000
44 APIALYS SYR -LAPI- 3 BOTOL 40000 120000
45 CURVIT SYR 60ML 2 BOTOL 31500 63000
46 FITKOM GUMMY CALCIUM (KUNIN 2 BOX 21000 42000
47 APOLAR 10G CREAM(DESONIDE)-A 1 TUBE 46000 46000
48 BIOPLACENTON GEL 1 TUBE 23000 23000
49 BUFACOMB IN ORAL BASE 1 TUBE 26500 26500
50 ERLAMYCETIN SALEP MATA 7 TUBE 9500 66500
51 ERLAMYCETIN TETES TELINGA 1 BOTOL 10300 10300
52 HYDROCORTISONE 1% 5 GR 7 TUBE 9000 63000
53 KETOCONAZOL CR 2% 2 TUBE 11500 23000
54 MICONAZOLE CREAM 1 TUBE 10120 10120
55 NISAGON N CREAM 2 TUBE 12600 25200
56 ACETYLCYSTEINE 2 TAB 1800 3600
57 AKITA TAB'100 TAB (ATTAPULGIT+ 97 TAB 1300 126100
58 ALLERON TAB @200'S 97 TABLET 300 29100
59 AMLODIPIN 10MG TAB@30'S 134 TAB 2900 388600
60 AMLODIPIN 5MG TAB@30'S 12 TABLET 1500 18000
61 ASAM MEFENAMAT 500MG 93 TABLET 550 51150
62 BETAHISTIN TAB@30'S 39 TABLET 1700 66300
63 BETASERC 24 MG TAB BETAHISTI 20 TABLET 13500 270000
64 BROCON TAB (PCT,DMP,CTM,PPA) 79 TAB 1150 90850
65 CAPTOPRIL 12,5MG TAB@100'S 24 TABLET 400 9600
66 CEBEX TAB@'100-OTTO- 89 TABLET 2300 204700
67 CEFADROXIL 500MG CAPS 10 CAPSUL 1600 16000
68 CEFIXIME 200MG 50 TABLET 11500 575000
69 CETIRIZIN 10MG TAB@50'S-INF/N 13 TABLET 1100 14300
70 CIPROFLOXACIN 500MG CAP 13 TABLET 1150 14950
71 CLINDAMYCIN 300MG CAP @50'S- 16 CAPSUL 3000 48000
72 CURVIT TAB 10 TABLET 2400 24000
73 OPIMOX DRY SYR AMOXICILLIN 1 1 30500 30500
74 PRAXION SYR PARACETAMOL -PHA 2 BOTOL 30000 60000
75 RANIVEL (RANITIDIN) 2 botol 80000 160000
76 SANADRYL DMP SYR 60ML 3 BOTOL 16500 49500
77 TRIANTA SYR 60 ML -IFAR- 2 BTL 8500 17000
78 VESPERUM SYR (DOMPERIDONE)K 2 BOTOL 9200 18400
79 BODREX FLU&BATUK BERDAHAK T 3 STRIP 3500 10500
80 CALADINE LOTION 95ML 1 BOTOL 22000 22000
81 SAFE CARE 10ML(BESAR) 1 PCS 19000 19000
82 ULTRAFLU TAB 4 2 STRIP 3500 7000
83 SALICYL TALK NELLCO MENTHOL (P 3 BOTOL 6000 18000
84 SALICYL TALK NELLCO NON MENTH 6 BOTOL 6500 39000
85 SALONPAS KOYO MERAH 2 SACHET 7500 15000
 86 SANMOL / 4 TABLET 6 TABLET 500 3000
87 GIOVAN ANTISEPTIK 100ML (BIRU) 1 BOTOL 11000 11000
88 DEGIROL TAB 13 TABLET 2000 26000
89 DR.KANG ADULT PAMPERS L 8 2 BAL 94000 188000
90 DR.KANG ADULT PAMPERS XL 8 15 PCS 118000 1770000
91 HAU FUNG SAN CSL (OBT SKT TE 2 BOTOL 5000 10000
92 MINYAK TELON KONICARE 125ML 1 BOTOL 46000 46000
93 MINYAK TELON KONICARE PLUS 1 2 51000 102000
94 MKP HUKI 30ML 1 BOTOL 13500 13500
95 OBH COMBI PLUS BTK FLU 100ML 1 BOTOL 17000 17000
96 OBH COMBI REGULER BTK BRDHAK 1 BTL 12500 12500
97 OBH COMBI REGULER BTK DAHAK 2 BOTOL 12500 25000
98 PHAROLIT SACH@60'S 33 SACHET 2000 66000
99 PRORIS SYR 60ML (HIJAU) 3 BOTOL 30000 90000
100 PYREX DROP 15ML 1 BOTOL 33000 33000
101 TEMPRA FORTE SYR 60ML 2 BOTOL 51000 102000
102 ALCO PLUS SYR 100ML 1 BOTOL 65000 65000
103 BABY COUGH UNI SYR 60ML 3 BOTOL 6000 18000
104 ENTROSTOP TAB 12 1 STRIP 7000 7000
105 OBH COMBI PLUS BATUK FLU ANAK 1 BOTOL 13500 13500
106 CHARMI COTTON BUDS SPIRAL 100 1 PLASTIK 15000 15000
107 BIOCOMBIN 5000 INJ -10 AMP 8000 -80000
108 DEPOPROGESTIN INJ 3CC AMP'20 -1 VIAL 12000 -12000
109 KETOROLAC 30MG INJ -4 AMPUL 24150 -96600
110 ONDANSETRON INJ 8MG/4ML@5' -3 AMPUL 22500 -67500
111 PEHACAIN INJEKSI -21 AMPUL 5400 -113400
112 PIRALEN INJ (METOCLORPRAMIDE -2 amp 12300 -24600
113 PRAGESOL INJ -2 AMP 15600 -31200
114 PRIMPERAN INJ-SOHO- -3 AMPUL 12500 -37500
115 STIMUNO CAP FORTE'30 -2 FLS 42000 -84000
116 SUTRA 12 (MERAH) -3 kotak 26000 -78000
117 TOLAK ANGIN DWS CAIR SACH -13 SACHET 3000 -39000
118 NEUROSANBE INJ 10'S SANBE -6 ampul 7550 -45300
119 LEXACROL TAB -4 tab 800 -3200
120 ONDANSETRON 4 MG TAB@12'S -7 TABLET 3100 -21700
121 ONDANSETRON 8MG TAB@10'S / 1 -1 TABLET 4600 -4600
122 OPIMOX 500 MG (AMOXYCILIN)-O -7 TABLET 3700 -25900
123 OXICOBAL TAB (METHYLCONALAM -7 TABLET 1400 -9800
124 ROVERTON TAB -102 TABLET 800 -81600
125 SALBUTAMOL 2MG@100'S -18 TABLET 350 -6300
126 SCOPMA PLUS TAB -11 TABLET 2200 -24200
127 SCOPMA TAB (BIASA) -37 tablet 1900 -70300
128 SIMVASTATIN 20MG@50'S -17 TABLET 1700 -28900
129 UROGETIX KAPLET@100'S -2 CAPSUL 8500 -17000
130 JELLY EKG / USG -2 BOTOL 15000 -30000
131 KERTAS EKG FUKUDA BIASA -2 ROLL 12000 -24000
132 MASKER KARET -31 pcs 1200 -37200
133 MASKER TALI -94 5pcs 1200 -112800
134 NEEDLE 25 -23 PCS 1200 -27600
135 PEHIDROL (H2O2) -1 BOTOL 15000 -15000
136 PISAU MESS NO.11( LANCIP) -6 PCS 800 -4800
137 PREMILENE 2/0 -3 PCS 79000 -237000
138 SELANG OKSIGEN NASAL ANAK -2 PCS 12000 -24000
139 SPATULA KAYU -20 PCS 300 -6000
140 TERMOMETER DIGOTAL HEALTH X -1 pcs 280375 -280375
141 STRIP GULA SINOCARE -75 strip 7480 -561000
142 URINE BAG -1 PCS 8000 -8000
143 VENFLON / NEOFLON 24 -2 BIJI 24200 -48400
144 WING NEEDLE 25 -1 14000 -14000
145 NEXITRA 500MG -2 TABLET 2300 -4600
146 ELSIRON TAB -96 TABLET 900 -86400
147 FARIDEXON TAB'100 (DEXAMETHA -25 tab 700 -17500
148 FG TROCHES TAB -7 TABLET 1800 -12600
149 FLASICOX 15MG -10 TABLET 2300 -23000
150 FLOXIFAR (CIPROFLOXACIN) -108 tablet 1300 -140400
151 FLUNARIZINE 5MG @ 3X10'S-BER -70 TABLET 3300 -231000
152 FONDAZEN TAB VIT(ANEMIA) -60 TABLET 600 -36000
153 GLIMEPIRIDE 1MG TAB -5 tab 1600 -8000
154 IBUPROFEN 400MG TAB -20 TABLET 750 -15000
155 XEPAZYM TAB -45 KAPLET 3700 -166500
156 LANSOPRAZOL 30MG CAP@20'S-NV -26 CAPSUL 2700 -70200
157 LAXANA TABLET 5 MG -2 TABLET 800 -1600
158 LISINOPRIL 10MG -3 TABLET 1500 -4500
159 LOPAMID TAB@100'S LOPERAMID -6 TABLET 1500 -9000
160 MELOXICAM 15 MG TAB @50'S-NV -48 CAPSUL 2000 -96000
161 MELOXICAM 7,5MG TAB@50'S-NV -8 TABLET 1700 -13600
162 METHYL PREDNISOLON 4MG TAB -60 TABLET 1000 -60000
163 NEPHROLIT CAP 25X4'S -25 strip 4000 -100000
164 NEURALGIN RX TAB 10 -2 STRIP 9000 -18000
165 ALKOHOL SWAB -314 pcs 400 -125600
166 CAIRAN INFUS NACL / NS OTSU R -13 KOLF 20000 -260000
167 GDS LANCET/JARUM -300 BIJI 300 -90000
168 HYPAFIX 5CMX1M -2 BOX 80000 -160000
169 HYPAFIX BSN 5CM -2 BIJI 80000 -160000
170 ETABION CAP @100'S -52 CAPSUL 750 -39000
171 SAKATONIK ABC JERUK TAB 30 -1 BOTOL 15000 -15000
172 SAKATONIK ABC STRAW TAB 30 -1 BOTOL 15000 -15000
173 BIOMEGA ( NEUROPYRON ) -8 TABLET 800 -6400
174 FARGETIX 500MG (ASAM MEFENA -199 TABLET 600 -119400
175 FITKOM GUMMY (BIRU) -1 KOTAK 21000 -21000
176 FITKOM GUMMY FRUIT&VEGIE (HI -2 BOX 24000 -48000
177 ACYCLOVIR CREAM -3 TUBE 5750 -17250
178 FULADIC CR 5GR -1 TUBE 65500 -65500
179 GENALTEN CR -2 TUBE 5200 -10400
180 HYDROCORTISON 2,5% 5G -6 TUBE 10350 -62100
181 TRIFAMYCETIN OINT -4 TUBE 15300 -61200
182 ACYCLOVIR 400MG TAB-NVL/KF- -88 TABLET 1400 -123200
183 ALLOPURINOL 100MG TAB -2 TABLET 500 -1000
184 AMBROXOL 30MG TAB@100'S -35 TABLET 1400 -49000
185 AMOXICILLIN 500MG TAB @100'S -27 TABLET 1150 -31050
186 AMOXSAN 500MG CAPSUL AMOXIC -60 CAPSUL 1150 -69000
187 ANTASIDA DOEN TAB STRIP -34 TABLET 300 -10200
188 BISOPROLOL FUMARAT 5MG TAB -4 TABLET 2700 -10800
189 CAPTOPRIL 25MG @100'STAB -57 TABLET 550 -31350
190 CEFIXIME 100MG CAP@50'S -46 CAPSUL 4500 -207000
191 CLINDAMYCIN 150MG CAP -45 CAPSUL 1500 -67500
192 DEXTEEM PLUS TAB@100'S -51 TABLET 1150 -58650
193 DEXTRAL FORTE TAB@100'S -29 TABLET 1400 -40600
194 PROGESIC SYR 250MG/5ML -1 BOTOL 30000 -30000
195 SANADRYL EXPECT SYR 60ML -6 BOTOL 14700 -88200
196 YUSIMOX SYR (AMOXICILLIN 125M -9 BTL 9240 -83160
197 AKURAT TESTPACK -2 PCS 13700 -27400
198 AMBEVEN CAP 10 -1 STRIP 18000 -18000
199 ANTANGIN PERMEN -2 SACHET 2000 -4000
200 BALSEM LANG 10G -1 BOTOL 5000 -5000
201 CTM CITO TAB 12 -4 STRIP 2500 -10000
202 TERMOMETER DIGITAL -1 BIJI 32500 -32500
203 ETERFIX INFUS (PARACETAMOL IN -1 botol 58500 -58500
204 NEOZEP F TAB 4 -1 STRIP 3000 -3000
205 ROHTO COOL 7ML -2 PCS 18000 -36000
206 SALONPAS HIJAU 10X2 -1 PCS 7500 -7500
207 CAIRAN INFUS KAEN 3B OTSU -7 KOLF 38500 -269500
208 CAIRAN INFUS NACL 500 ML-WIDA -16 KOLF 28000 -448000
209 CAIRAN INFUS NS OTSU 100ML P -4 BOTOL 28000 -112000
210 CAIRAN INFUS RL (RINGER LACTAT -3 KOLF 20000 -60000
211 RL INFUS 500 ML-SANBE- -2 SOFTBAG 25000 -50000
212 WATER FOR INJ 25 ML-OTSU- -10 AMPUL 10500 -105000
213 BETADINE KUMUR (HIJAU) 100ML -1 BOTOL 14000 -14000
214 CDR FORTOS EFF '10 -1 TUBE 44500 -44500
215 MINOSEP OBT KUMUR 0,2% 150M -1 BOTOL 47000 -47000
216 DIASPOT/ONEMED/HAM-L/ULTRAT -7 BIJI 8000 -56000
217 DR.KANG ADULT PAMPERS XL 2 -1 BAL 30000 -30000
218 GELIGA BALSEM 20G -1 BOTOL 9000 -9000
219 GOM (BORAX GLYCERIN) -5 BOTOL 5000 -25000
220 INSTO 15ML -1 BOTOL 19500 -19500
221 INSTO MOIST/DRY EYES 7,5ML -1 BOTOL 13500 -13500
222 PROMAVIT VIT.HAMIL@60'S-LAPI -58 CAPSUL 5300 -307400
223 ZINKID TAB@100'S -84 TABLET 1500 -126000
224 BETADINE ANTISEPTIC SOL 5ML -1 BOTOL 5000 -5000
225 MICROPORE 1 INCI -10 BIJI 30000 -300000
226 MICROPORE 1/2 INCI -7 BIJI 12500 -87500
227 MKP CAP LANG NO.3 30ML -1 BOTOL 11000 -11000
228 MKP KONICARE 125ML -2 BOTOL 42000 -84000
229 MKP KONICARE 60ML -1 BOTOL 22000 -22000
230 MKP KONICARE PLUS 60 ML -1 BOTOL 23000 -23000
231 PRORIS FORTE SYR 60ML (BIRU) -3 BOTOL 33000 -99000
232 TEMPRA SYR 60ML PARACETAMO -1 BOTOL 46000 -46000
233 DIAPET CAP 4 -1 STRIP 2500 -2500

SELISIH -62715
 SO PEJATEN 26 DESEMBER 2018

NO. NAMA ITEM JUMLAH SATUAN HARGA SA TOTAL KETERANGAN

1 VESPERUM TAB (DOMPERIDON)10 -349 TAB 1000 -349000 SALAH INPUT
2 KERTAS USG SONY UPP-110HG -1 ROLL 175000 -175000 DISTRIBUSI
3 LOMATULLE/ SOFRATULLE -17 LEMBAR 27500 -467500 DISTRIBUSI
4 POT VESES -13 4800 -62400 KETEMU
5 SENSI GLOVES M -1580 PCS 600 -948000 DISTRIBUSI
6 SENSI GLOVES S -900 PCS 600 -540000 DISTRIBUSI
7 SENSI GLOVES XS -700 pcs 600 -420000 DISTRIBUSI
8 STRIP ASAM URAT SINOCARE@25 -200 strip 6500 -1300000 DISTRIBUSI
9 TIMBANGAN BADAN CAMRY JAR -1 75000 -75000 DISTTRIBUSI