RSU. DR.

SUYUDI PACIRAN
Jl. Raya Paciran, Paciran,
Kabupaten Lamongan, Jawa Timur 62264

Laporan Rekap Pembelian Tanggal : 01-06-2022 s/d 30-06-2022 | Vendor : SEMUA | Obat : SEMUA
No. Tgl. Diterima Tgl. Faktur No. OPL Kode Beli Faktur Supplier ID Obat Kode Obat Nama Obat Satuan Beli Satuan Terkecil Harga (Rp) Jumlah Total (Rp) Potongan PPn Materai Total
1 02-06-2022 31-05-2022 433/06/2022 BBM-00002971 12204011006 TRI SAPTA JAYA ( TSJ) 1126 01PRC03 PIRACETAM 1200MG TAB BIJI BIJI 870.00 500 435,000.00
02-06-2022 31-05-2022 433/06/2022 BBM-00002971 12204011006 TRI SAPTA JAYA ( TSJ) 94 01ATR01 ASAM TRANEKSAMAT 500MG TAB BOX TABLET 153,000.00 15 2,295,000.00
SUBTOTAL 2,730,000.00 0.00 300,300.00 - 3,030,300.00
2 02-06-2022 02-06-2022 434/06/2022 BBM-00002972 ai01207/2022.05 AZKEN INDONESIA 269 05CRHT4 CHROMIC 1,TAPPERPOINT 40MM PCS PCS 85,000.00 48 4,080,000.00
02-06-2022 02-06-2022 434/06/2022 BBM-00002972 ai01207/2022.05 AZKEN INDONESIA 1107 05PGA2 PGA 2/0,TP37MM,90CM PCS PCS 82,500.00 24 1,980,000.00
02-06-2022 02-06-2022 434/06/2022 BBM-00002972 ai01207/2022.05 AZKEN INDONESIA 1113 05PGC PGC-25-1(SG-4008-90H) PCS PCS 110,000.00 36 3,960,000.00
SUBTOTAL 10,020,000.00 0.00 1,102,200.00 - 11,122,200.00
3 03-06-2022 31-05-2022 436/06/2022 BBM-00002973 35063 KALISTA PRIMA 1611 01FLG FLORAGYN BOX TABLET 376,200.00 3 1,128,600.00
SUBTOTAL 1,128,600.00 0.00 124,146.00 - 1,252,746.00
4 03-06-2022 03-06-2022 435/06/2022 BBM-00002974 1234 Apotek Suyudi 541 06GNT2 GENOINT SM TUBE TUBE 6,486.49 48 311,352.00
03-06-2022 03-06-2022 435/06/2022 BBM-00002974 1234 Apotek Suyudi 1550 01VX011 VOLTADEX 50 MG TAB BOX TABLET 11,711.71 20 234,234.00
03-06-2022 03-06-2022 435/06/2022 BBM-00002974 1234 Apotek Suyudi 261 03CTZD CETRIZINE DROPS BIJI FLS 11,261.26 20 225,225.00
SUBTOTAL 770,811.00 0.00 84,789.00 - 855,600.00
5 03-06-2022 30-05-2022 437/06/2022 BBM-00002975 133*132 MEGAH MEDIKA PHAR660 05alk3 INNOCATH N26 EURO PCS PCS 14,950.00 250 3,737,500.00
03-06-2022 30-05-2022 437/06/2022 BBM-00002975 133*132 MEGAH MEDIKA PHAR1906 04HSC HANDSCOON S / PSG KOTAK PSG 55,000.50 50 2,750,025.00
03-06-2022 30-05-2022 437/06/2022 BBM-00002975 133*132 MEGAH MEDIKA PHAR824 05msk MASKER TALI BOX PCS 24,999.75 40 999,990.00
SUBTOTAL 7,487,515.00 0.00 823,626.00 - 8,311,141.00
6 03-06-2022 31-05-2022 438/06/2022 BBM-00002976 cd220620292 MENSA BINASUKSES 779 01lsc LESICHOL 300 CAPS BOX KAPSUL 684,000.00 3 2,052,000.00
03-06-2022 31-05-2022 438/06/2022 BBM-00002976 cd220620292 MENSA BINASUKSES 1045 01ON011 ONDANCENTRON 4 MG TAB BOX TABLET 72,090.00 9 648,810.00
SUBTOTAL 2,700,810.00 0.00 297,089.00 - 2,997,899.00
7 03-06-2022 30-05-2022 439/06/2022 BBM-00002977 2805238053 KIMIA FARMA 613 02HMA1 HUMAN ALBUMIN 20% 100ML FLS FLS 822,727.00 3 2,468,181.00
SUBTOTAL 2,468,181.00 0.00 271,499.00 - 2,739,680.00
8 03-06-2022 31-05-2022 440/06/2022 BBM-00002978 866340/866426 MERAPI 2053 16EP30 EPODION 3000 IU SYRINGE SYRINGE 72,727.33 120 8,727,280.00
03-06-2022 31-05-2022 440/06/2022 BBM-00002978 866340/866426 MERAPI 331 02DG012 D10% FLS FLS 6,545.00 200 1,309,000.00
SUBTOTAL 10,036,280.00 0.00 1,103,990.00 - 11,140,270.00
9 03-06-2022 03-06-2022 443/06/2022 BBM-00002979 1602842686 TEMPO 1325 01SMV01 SIMVASTATIN 20MG ASK BOX TABLET 89,999.82 10 899,998.00
SUBTOTAL 899,998.00 0.00 98,999.00 - 998,997.00
10 04-06-2022 04-06-2022 444/06/2022 BBM-00002980 1602844211 TEMPO 2149 01KLPT KALIPAR TAB BOX TABLET 33,075.41 20 661,508.00
04-06-2022 04-06-2022 444/06/2022 BBM-00002980 1602844211 TEMPO 2025 05ZNC ZINC SYRUP FLS FLS 2,273.87 50 113,694.00
SUBTOTAL 775,202.00 0.00 85,272.00 - 860,474.00
11 04-06-2022 04-06-2022 445/06/2022 BBM-00002981 2217061026176 SAPTASARI 1991 1TLK LACTASIN KAPSUL BOX PCS 137,700.00 10 1,377,000.00
04-06-2022 04-06-2022 445/06/2022 BBM-00002981 2217061026176 SAPTASARI 2006 12OBD OBDHAMIN KAPSUL BOX KAPSUL 180,625.00 10 1,806,250.00
SUBTOTAL 3,183,250.00 0.00 350,157.00 - 3,533,407.00
12 04-06-2022 04-06-2022 446/06/2022 BBM-00002982 CD220631638 MENSA BINASUKSES 1045 01ON011 ONDANCENTRON 4 MG TAB BOX TABLET 72,090.00 1 72,090.00
SUBTOTAL 72,090.00 0.00 7,929.00 - 80,019.00
13 04-06-2022 04-06-2022 447/06/2022 BBM-00002983 2805251336 KIMIA FARMA 926 02NC012 NACL 1000 ML BIJI FLS 25,105.00 50 1,255,250.00
04-06-2022 04-06-2022 447/06/2022 BBM-00002983 2805251336 KIMIA FARMA 2030 06HPR INVICLOT INJ / ML ML ML 10,560.00 250 2,640,000.00
SUBTOTAL 3,895,250.00 0.00 428,477.00 - 4,323,727.00
14 04-06-2022 04-06-2022 448/06/2022 BBM-00002984 2217061026177 SAPTASARI 2150 01HYDUM HYDROXYUREA MEDAC 500 MG CAPS BOX KAPSUL 457,000.00 1 457,000.00
04-06-2022 04-06-2022 448/06/2022 BBM-00002984 2217061026177 SAPTASARI 2130 04CYST CYSTAT INJ VIAL VIAL 1,034,978.60 1 1,034,979.00
SUBTOTAL 1,491,979.00 0.00 164,117.00 - 1,656,096.00
15 06-06-2022 03-06-2022 449/06/2022 BBM-00002985 22060053 MEDIKA SBY ALKES 2012 04BLD BLOOD LANCET BOX BOX 18,018.02 20 360,360.00
06-06-2022 03-06-2022 449/06/2022 BBM-00002985 22060053 MEDIKA SBY ALKES 1390 05AU001 STIK ASAM URAT 25'S BOX BOX 94,594.59 10 945,946.00
SUBTOTAL 1,306,306.00 0.00 143,693.00 - 1,449,999.00
16 06-06-2022 02-06-2022 450/06/2022 BBM-00002986 0094 PT. SINAR RODA UTAM2027 04HDRE HD SET REUSE PACK PACK 305,000.00 250 76,250,000.00
06-06-2022 02-06-2022 450/06/2022 BBM-00002986 0094 PT. SINAR RODA UTAM1994 04PKTA Paket A Single Use HD PAKET PAKET 472,000.00 50 23,600,000.00
SUBTOTAL 99,850,000.00 0.00 10,983,500.00 - 110,833,500.00
17 06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 657 05PF012 INNOCATH 20 WLC PCS PCS 19,000.00 250 4,750,000.00
06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 591 05HADS HANDSCOON STRL 7,5 PSG PSG 16,500.00 250 4,125,000.00
06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 592 05HA HANDSCOON STRL 8,0 PSG PSG 16,500.00 150 2,475,000.00
06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 658 05PF011 INNOCATH 22 WLC BIJI PCS 19,000.00 250 4,750,000.00
06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 647 05INFS INFUSET DEWASA KLMED BOX PCS 28,000.00 200 5,600,000.00
06-06-2022 06-06-2022 453/06/2022 BBM-00002987 AI01258/2022.06 AZKEN INDONESIA 177 05BS011 BLOOD SET TRM PCS PCS 22,000.00 75 1,650,000.00
SUBTOTAL 23,350,000.00 0.00 2,568,500.00 - 25,918,500.00
18 06-06-2022 06-06-2022 454/06/2022 BBM-00002988 1401045268 APL 1198 06plc10 PULMICORT 0.5 NEBU BOX REPSULE 259,400.00 4 1,037,600.00
SUBTOTAL 1,037,600.00 0.00 114,136.00 - 1,151,736.00
19 06-06-2022 03-06-2022 455/06/2022 BBM-00002988 196 PT. ORIONTAMA JAYA 2017 04HDL HD 2 LUMEN 12F 20CM STRAIGHT COMP PCS PCS 772,360.00 15 11,585,400.00
SUBTOTAL 11,585,400.00 0.00 1,274,394.00 - 12,859,794.00
20 07-06-2022 06-06-2022 456/06/2022 BBM-00002990 ai01264/2022.06 AZKEN INDONESIA 655 01LJ010 INNOCATH 24 PCS PCS 19,000.00 150 2,850,000.00
SUBTOTAL 2,850,000.00 0.00 313,500.00 - 3,163,500.00
21 07-06-2022 31-05-2022 421/05/2022 BBM-00002991 14asb22014103 KEBAYORAN 2145 16LTRL LITROL TM FLS FLS 9,900.00 61 603,900.00
SUBTOTAL 603,900.00 0.00 66,429.00 - 670,329.00
22 07-06-2022 06-06-2022 441/06/2022 BBM-00002992 2220600972 AMS 2148 16ISN ISONEST 250ML/ML FLS ML 1,280,000.00 1 1,280,000.00
07-06-2022 06-06-2022 441/06/2022 BBM-00002992 2220600972 AMS 1515 06VLT1 VELUTINE 2,5MG/4ML BOX AMPUL 53,900.00 15 808,500.00
SUBTOTAL 2,088,500.00 0.00 229,735.00 - 2,318,235.00
23 07-06-2022 06-06-2022 457/06/2022 BBM-00002993 2805257977 KIMIA FARMA 756 01LP011 LANSOPRAZOLE 30 MG TAB NOVEL BOX KAPSUL 9,960.00 20 199,200.00
07-06-2022 06-06-2022 457/06/2022 BBM-00002993 2805257977 KIMIA FARMA 929 02NC011 NACL 500 ML BIJI FLS 6,182.00 0 0.00
SUBTOTAL 199,200.00 0.00 21,912.00 - 221,112.00
24 07-06-2022 07-06-2022 458/06/2022 BBM-00002994 mmm/mb/2022/06MULTI MEDIKA MAKM1646 04APR APRON PLASTIK PCS PCS 2,557.50 100 255,750.00
07-06-2022 07-06-2022 458/06/2022 BBM-00002994 mmm/mb/2022/06MULTI MEDIKA MAKM452 05FC017 F.CATHETER 16 RUSH PCS PCS 19,057.50 100 1,905,750.00
07-06-2022 07-06-2022 458/06/2022 BBM-00002994 mmm/mb/2022/06MULTI MEDIKA MAKM923 06MY011 MY-JELLY CREM BIJI PCS 24,800.00 10 248,000.00
07-06-2022 07-06-2022 458/06/2022 BBM-00002994 mmm/mb/2022/06MULTI MEDIKA MAKM451 05FC019 F.CATHETER 14 WRP PCS PCS 17,902.50 10 179,025.00
SUBTOTAL 2,588,525.00 0.00 284,737.00 - 2,873,262.00
25 08-06-2022 08-06-2022 459/06/2022 BBM-00002995 up Apotek Suyudi 435 01ES011 ESTALEX TAB BOX TABLET 39,819.82 20 796,396.00
SUBTOTAL 796,396.00 0.00 87,603.00 - 883,999.00
26 08-06-2022 07-06-2022 460/06/2022 BBM-00002996 03032/03031 PT. BINA SAN PRIMA 1754 01CRCS CURCUMA SANBE BOX TABLET 88,000.00 20 1,760,000.00
08-06-2022 07-06-2022 460/06/2022 BBM-00002996 03032/03031 PT. BINA SAN PRIMA 55 03AM011 AMOXSAN DRY SYR FLS FLS 23,100.00 10 231,000.00
08-06-2022 07-06-2022 460/06/2022 BBM-00002996 03032/03031 PT. BINA SAN PRIMA 53 03AM012 AMOXSAN PAED DROP FLS FLS 23,000.00 10 230,000.00
SUBTOTAL 2,221,000.00 0.00 244,310.00 - 2,465,310.00
27 08-06-2022 06-06-2022 457/06/2022 BBM-00002997 2805257976 KIMIA FARMA 756 01LP011 LANSOPRAZOLE 30 MG TAB NOVEL BOX KAPSUL 9,960.00 0 0.00
08-06-2022 06-06-2022 457/06/2022 BBM-00002997 2805257976 KIMIA FARMA 929 02NC011 NACL 500 ML BIJI FLS 6,182.00 600 3,709,200.00
SUBTOTAL 3,709,200.00 0.00 408,012.00 - 4,117,212.00
28 09-06-2022 06-06-2022 442/06/2022 BBM-00002998 22012123 DISTRIVERSA BUANAM1643 03LC6 LACTULOSA SYR 60 ML FLS FLS 22,000.00 50 1,100,000.00
SUBTOTAL 1,100,000.00 0.00 121,000.00 - 1,221,000.00
29 09-06-2022 07-06-2022 461/06/2022 BBM-00002999 26267/kalista Apotek Suyudi 209 01CG011 CAL-95 BOX TABLET 156,750.00 15 2,351,250.00
SUBTOTAL 2,351,250.00 0.00 258,637.00 - 2,609,887.00
30 09-06-2022 08-06-2022 462/06/2022 BBM-00003000 MMM/MB/2022/06MULTI MEDIKA MAKM1487 05UBC01 UMBILICAL CLAMP BIJI PCS 2,016.00 300 604,800.00
09-06-2022 08-06-2022 462/06/2022 BBM-00003000 MMM/MB/2022/06MULTI MEDIKA MAKM942 05ND014 NEEDLE 27 TRM BOX PCS 57,750.00 5 288,750.00
09-06-2022 08-06-2022 462/06/2022 BBM-00003000 MMM/MB/2022/06MULTI MEDIKA MAKM944 05NETT NEEDLE NO 18 TRM BOX PCS 57,750.00 5 288,750.00
SUBTOTAL 1,182,300.00 0.00 130,053.00 - 1,312,353.00
31 10-06-2022 09-06-2022 463/06/2022 BBM-00003001 04350/04352 PT. BINA SAN PRIMA 1371 03SPRS SPORETIK DRY SYRUP BOTOL BOTOL 85,500.00 15 1,282,500.00
10-06-2022 09-06-2022 463/06/2022 BBM-00003001 04350/04352 PT. BINA SAN PRIMA 970 04NS011 NEUROSANBE INJ BOX AMPUL 56,100.00 30 1,683,000.00
10-06-2022 09-06-2022 463/06/2022 BBM-00003001 04350/04352 PT. BINA SAN PRIMA 1604 1 MEGABAL TAB ASK BOX KAPSUL 70,992.00 50 3,549,600.00
SUBTOTAL 6,515,100.00 0.00 716,661.00 - 7,231,761.00
32 11-06-2022 11-06-2022 466/06/2022 BBM-00003002 2805272780 KIMIA FARMA 1674 12ALBC ALBUFORCE CAPS KAPSUL KAPSUL 5,890.00 500 2,945,000.00
11-06-2022 11-06-2022 466/06/2022 BBM-00003002 2805272780 KIMIA FARMA 1261 02RLB RL ASK FLS FLS 6,936.00 200 1,387,200.00
11-06-2022 11-06-2022 466/06/2022 BBM-00003002 2805272780 KIMIA FARMA 1038 04OMP OMEPRAZOLE 40MG INJ VIAL VIAL 4,588.30 100 458,830.00
SUBTOTAL 4,791,030.00 0.00 527,013.00 - 5,318,043.00
33 11-06-2022 11-06-2022 465/06/2022 BBM-00003003 0143/fp-id/vi/2022PT. MILITRUST 89 05ARMM ARM SLING M BIJI PCS 23,125.00 10 231,250.00
11-06-2022 11-06-2022 465/06/2022 BBM-00003003 0143/fp-id/vi/2022PT. MILITRUST 1352 05SL012 SPALK 5X15 PCS PCS 4,500.00 20 90,000.00
11-06-2022 11-06-2022 465/06/2022 BBM-00003003 0143/fp-id/vi/2022PT. MILITRUST 1105 05PE012 PERBAN 5CM PCS PCS 750.00 100 75,000.00
11-06-2022 11-06-2022 465/06/2022 BBM-00003003 0143/fp-id/vi/2022PT. MILITRUST 88 05ARML ARM SLING L BIJI PCS 23,125.00 15 346,875.00
11-06-2022 11-06-2022 465/06/2022 BBM-00003003 0143/fp-id/vi/2022PT. MILITRUST 1353 05SL011 SPALK 5X20 PCS PCS 4,500.00 20 90,000.00
SUBTOTAL 833,125.00 0.00 91,643.00 - 924,768.00
34 11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 218 01cnd16 CANDESARTAN 16 MG TAB BOX TABLET 217,000.00 25 5,425,000.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 859 01MF011 METFORMIN 500 MG TAB BOX TABLET 18,102.50 25 452,563.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 97 03ASV01 ASAM VALPROAT SYR BOTOL BOTOL 22,750.00 30 682,500.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 245 01cf2 CEFIXIME 200MG KAPS BOX KAPSUL 85,050.00 10 850,500.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 282 01CTN5 CITICOLINE 500MG TABLET BOX TABLET 130,000.00 15 1,950,000.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 1652 04CTN5 CITICOLIN 500MG INJ BOX AMPUL 240,000.00 20 4,800,000.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 725 04KT011 KETOROLAC INJ 30MG BOX INJEKSI 58,320.00 20 1,166,400.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 980 03NCD NICARDIPINE INJ BIJI BIJI 85,800.00 100 8,580,000.00
11-06-2022 11-06-2022 464/06/2022 BBM-00003004 010.005-22.16281 TRI SAPTA JAYA ( TSJ) 1043 04OND2 ONDANCENTRON 4 MG ASK INJ BOX AMPUL 25,000.00 50 1,250,000.00
SUBTOTAL 25,156,963.00 0.00 2,767,265.00 - 27,924,228.00
35 13-06-2022 23-05-2022 409/05/2022 BBM-00003005 mmm/mb/2022/05MULTI MEDIKA MAKM1363 05spi26 SPINOKEN 26 BOX PCS 2,082,500.00 1 2,082,500.00
13-06-2022 23-05-2022 409/05/2022 BBM-00003005 mmm/mb/2022/05MULTI MEDIKA MAKM824 05msk MASKER TALI BOX PCS 32,500.00 80 2,600,000.00
SUBTOTAL 4,682,500.00 0.00 515,075.00 - 5,197,575.00
36 14-06-2022 13-06-2022 470/06/2022 BBM-00003006 12204012174 TRI SAPTA JAYA ( TSJ) 96 04ASM01 ASAM TRANEXAMAT 500 MG INJ BOX AMPUL 35,000.00 30 1,050,000.00
14-06-2022 13-06-2022 470/06/2022 BBM-00003006 12204012174 TRI SAPTA JAYA ( TSJ) 1634 08LF7 LEVOFLOXACIN 750MG INF FLS FLS 150,000.00 15 2,250,000.00
SUBTOTAL 3,300,000.00 0.00 363,000.00 - 3,663,000.00
37 14-06-2022 14-06-2022 471/06/2022 BBM-00003007 UP- Apotek Suyudi 86 01ARD01 ARDIUM 500mg TAB BOX KAPSUL 7,702.70 300 2,310,810.00
SUBTOTAL 2,310,810.00 0.00 254,189.00 - 2,564,999.00
38 14-06-2022 13-06-2022 451/06/2022 BBM-00003008 4922086923 AAM 244 01CX011 CEFIXIME 100 MG TAB KF BOX KAPSUL 77,301.72 20 1,546,034.00
14-06-2022 13-06-2022 451/06/2022 BBM-00003008 4922086923 AAM 2032 01BS2.5 BISOPROLOL 2.5 MG TAB BOX TABLET 15,000.00 0 0.00
14-06-2022 13-06-2022 451/06/2022 BBM-00003008 4922086923 AAM 1195 01PS PSIDII CAP 500MG FLS KAPSUL 247,500.00 5 1,237,500.00
14-06-2022 13-06-2022 451/06/2022 BBM-00003008 4922086923 AAM 218 01cnd16 CANDESARTAN 16 MG TAB BOX TABLET 22,737.00 50 1,136,850.00
SUBTOTAL 3,920,384.00 0.00 431,242.00 - 4,351,626.00
39 14-06-2022 13-06-2022 472/06/2022 BBM-00003009 MMM/MB/2022/06MULTI MEDIKA MAKM1646 04APR APRON PLASTIK PCS PCS 2,557.50 1,000 2,557,500.00
14-06-2022 13-06-2022 472/06/2022 BBM-00003009 MMM/MB/2022/06MULTI MEDIKA MAKM1349 05SL014 SPALK 40X8X7 PCS PCS 13,300.00 10 133,000.00
14-06-2022 13-06-2022 472/06/2022 BBM-00003009 MMM/MB/2022/06MULTI MEDIKA MAKM140 05BT011 BETADIN 1L BIJI FLS 57,500.00 20 1,150,000.00
14-06-2022 13-06-2022 472/06/2022 BBM-00003009 MMM/MB/2022/06MULTI MEDIKA MAKM621 05HY012 HYPAFIX 10cmX5m ROL ROL 114,622.50 20 2,292,450.00
14-06-2022 13-06-2022 472/06/2022 BBM-00003009 MMM/MB/2022/06MULTI MEDIKA MAKM1384 05SPT05 SPUIT 3CC OM BOX PCS 587.45 2,400 1,409,880.00
SUBTOTAL 7,542,830.00 0.00 829,711.00 - 8,372,541.00
40 16-06-2022 15-06-2022 475/06/2022 BBM-00003010 2805285783/28052KIMIA FARMA 927 02NC02 NACL 1000 ML ASK BIJI FLS 25,105.00 100 2,510,500.00
16-06-2022 15-06-2022 475/06/2022 BBM-00003010 2805285783/28052KIMIA FARMA 653 01INH01 INH 300 MG TAB BOX TABLET 30,000.00 10 300,000.00
16-06-2022 15-06-2022 475/06/2022 BBM-00003010 2805285783/28052KIMIA FARMA 929 02NC011 NACL 500 ML BIJI FLS 6,182.00 600 3,709,200.00
SUBTOTAL 6,519,700.00 0.00 717,167.00 - 7,236,867.00
41 16-06-2022 14-06-2022 474/06/2022 BBM-00003011 2217061028278 SAPTASARI 1752 01CPZ100 CEPEZET 100 MG TAB BOX TABLET 47,250.00 5 236,250.00
SUBTOTAL 236,250.00 0.00 25,987.00 - 262,237.00
42 16-06-2022 15-06-2022 473/06/2022 BBM-00003012 12204012383 TRI SAPTA JAYA ( TSJ) 249 3CE02 CEFTRIAXONE INJ VIAL VIAL 12,729.50 600 7,637,700.00
16-06-2022 15-06-2022 473/06/2022 BBM-00003012 12204012383 TRI SAPTA JAYA ( TSJ) 797 04LI011 LIDOCAIN INJ BOX AMPUL 112,500.00 3 337,500.00
16-06-2022 15-06-2022 473/06/2022 BBM-00003012 12204012383 TRI SAPTA JAYA ( TSJ) 867 01MTP8 METHYLPREDNISOLON 8 MG TAB BOX TABLET 31,909.00 10 319,090.00
16-06-2022 15-06-2022 473/06/2022 BBM-00003012 12204012383 TRI SAPTA JAYA ( TSJ) 1047 04OND02 ONDANSENTRON 8MG INJ ASK BOX AMPUL 43,636.80 20 872,736.00
SUBTOTAL 9,167,026.00 0.00 1,008,372.00 - 10,175,398.00
43 16-06-2022 15-06-2022 476/06/2022 BBM-00003013 AI01329/2022.06 AZKEN INDONESIA 1014 04NYL2 NYLON 2-0 RC 24MM PCS PCS 55,000.00 24 1,320,000.00
16-06-2022 15-06-2022 476/06/2022 BBM-00003013 AI01329/2022.06 AZKEN INDONESIA 269 05CRHT4 CHROMIC 1,TAPPERPOINT 40MM PCS PCS 85,000.00 24 2,040,000.00
16-06-2022 15-06-2022 476/06/2022 BBM-00003013 AI01329/2022.06 AZKEN INDONESIA 272 05CR02 CHROMIC 2/0 (CE2412) PCS PCS 85,000.00 24 2,040,000.00
16-06-2022 15-06-2022 476/06/2022 BBM-00003013 AI01329/2022.06 AZKEN INDONESIA 274 05CHR CHROMIC 3/0 CE 2413-75 PCS PCS 67,500.00 36 2,430,000.00
16-06-2022 15-06-2022 476/06/2022 BBM-00003013 AI01329/2022.06 AZKEN INDONESIA 132 05SLKT2 SILK 2-0 TAPPERPOINT 26MM PCS PCS 47,500.00 24 1,140,000.00
SUBTOTAL 8,970,000.00 0.00 986,700.00 - 9,956,700.00
44 17-06-2022 11-06-2022 477/06/2022 BBM-00003014 2805275825 KIMIA FARMA 400 06DG002 DUROGESIC 25 MU BOX PCS 1,109,825.00 3 3,329,475.00
SUBTOTAL 3,329,475.00 0.00 366,242.00 - 3,695,717.00
45 17-06-2022 16-06-2022 469/06/2022 BBM-00003015 2220604167/22206AMS 1054 03ORZ OREZINC SYRUP FLS FLS 24,159.00 10 241,590.00
17-06-2022 16-06-2022 469/06/2022 BBM-00003015 2220604167/22206AMS 2048 16ISN ISOFLURANE / ML FLS ML 712,500.00 1 712,500.00
17-06-2022 16-06-2022 469/06/2022 BBM-00003015 2220604167/22206AMS 1119 04pty01 phenytoin inj BOX AMPUL 185,250.00 15 2,778,750.00
SUBTOTAL 3,732,840.00 0.00 410,612.00 - 4,143,452.00
46 17-06-2022 16-06-2022 468/06/2022 BBM-00003016 0807846 UNITED DICO CITAS ( U799 04LDD01 LIDODEX INJ 5% AMPUL AMPUL 60,000.00 50 3,000,000.00
SUBTOTAL 3,000,000.00 0.00 330,000.00 - 3,330,000.00
47 17-06-2022 16-06-2022 479/06/2022 BBM-00003017 0238/FP-ID/VI/202MULTI MEDIKA MAKM784 05LKM LEUKOMED T PLUS PCS PCS 30,300.00 80 2,424,000.00
17-06-2022 16-06-2022 479/06/2022 BBM-00003017 0238/FP-ID/VI/202MULTI MEDIKA MAKM1907 04HSM HANDSCOON M / PSG BOX PSG 55,000.00 5 275,000.00
17-06-2022 16-06-2022 479/06/2022 BBM-00003017 0238/FP-ID/VI/202MULTI MEDIKA MAKM1373 05SP10 SPUIT 10CC OM BOX PCS 86,140.00 12 1,033,680.00
17-06-2022 16-06-2022 479/06/2022 BBM-00003017 0238/FP-ID/VI/202MULTI MEDIKA MAKM1363 05spi26 SPINOKEN 26 BOX PCS 1,425,000.00 1 1,425,000.00
17-06-2022 16-06-2022 479/06/2022 BBM-00003017 0238/FP-ID/VI/202MULTI MEDIKA MAKM714 05KK011 KASA STERIL KOTAK BIJI PCS 4,500.00 100 450,000.00
SUBTOTAL 5,607,680.00 0.00 616,844.00 - 6,224,524.00
48 17-06-2022 15-06-2022 478/06/2022 BBM-00003018 2805287873 KIMIA FARMA 112 01ATR ATRACURIUM HAEMELIN 2,5 BOX AMPUL 81,000.00 2 162,000.00
17-06-2022 15-06-2022 478/06/2022 BBM-00003018 2805287873 KIMIA FARMA 280 02CPR02 CIPROFLOXACIN INF ASK FLS FLS 36,272.60 10 362,726.00
17-06-2022 15-06-2022 478/06/2022 BBM-00003018 2805287873 KIMIA FARMA 834 04MCB MECOBALAMIN INJ BOX AMPUL 68,000.00 10 680,000.00
SUBTOTAL 1,204,726.00 0.00 132,519.00 - 1,337,245.00
49 17-06-2022 17-06-2022 480/06/2022 BBM-00003019 UP Apotek Suyudi 905 01MLG1 MOLAGIT TABLET BOX TABLET 64,864.86 4 259,459.00
17-06-2022 17-06-2022 480/06/2022 BBM-00003019 UP Apotek Suyudi 435 01ES011 ESTALEX TAB BOX TABLET 39,819.82 20 796,396.00
SUBTOTAL 1,055,855.00 0.00 116,144.00 - 1,171,999.00
50 17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2151 04ARG41 ARGYLE TENCK OFF CHATETER 41CM UNIT UNIT 1,027,927.93 1 1,027,928.00
17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2152 04TTA TITANIUM ADAPTOR UNIT UNIT 1,133,333.33 1 1,133,333.00
17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2153 04TRSF TRANSFER SET UNIT UNIT 285,585.59 1 285,586.00
17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2154 04ULTR ULTRACLAMP UNIT UNIT 99,099.10 1 99,099.00
17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2155 08DIAN DIANEAL BAG BAG 64,864.86 1 64,865.00
17-06-2022 17-06-2022 481/06/2022 BBM-00003020 UP APOTEK BLESSING 2156 04MNP MINICAP PCS PCS 9,009.01 2 18,018.00
SUBTOTAL 2,628,829.00 0.00 289,171.00 - 2,918,000.00
51 17-06-2022 15-06-2022 482/06/2022 BBM-00003021 1401055630 APL 858 01MTN MESTINON 60MG TAB BOTOL TABLET 1,060,810.99 5 5,304,055.00
SUBTOTAL 5,304,055.00 0.00 583,446.00 - 5,887,501.00
52 17-06-2022 17-06-2022 484/06/2022 BBM-00003022 010.005-22.36311 ENSEVAL 246 03CX011 CEFIXIME SYR 100MG FLS FLS 12,600.00 20 252,000.00
17-06-2022 17-06-2022 484/06/2022 BBM-00003022 010.005-22.36311 ENSEVAL 262 01CTZ01 CETRIZINE TAB BOX TABLET 22,800.00 10 228,000.00
17-06-2022 17-06-2022 484/06/2022 BBM-00003022 010.005-22.36311 ENSEVAL 1686 01GLC GLUCOSAMIN 250MG TAB BOX TABLET 56,000.00 15 840,000.00
SUBTOTAL 1,320,000.00 0.00 145,200.00 - 1,465,200.00
53 18-06-2022 18-06-2022 488/06/2022 BBM-00003023 2217061028864 SAPTASARI 2130 04CYST CYSTAT INJ VIAL VIAL 1,034,978.60 10 10,349,786.00
18-06-2022 18-06-2022 488/06/2022 BBM-00003023 2217061028864 SAPTASARI 2129 01UBT UBITINE CAPS BOX KAPSUL 750,000.00 5 3,750,000.00
SUBTOTAL 14,099,786.00 0.00 1,550,976.00 - 15,650,762.00
54 18-06-2022 18-06-2022 485/06/2022 BBM-00003024 2805293588 KIMIA FARMA 1069 04OX011 OXYTOSIN INJ BIJI AMPUL 2,125.00 200 425,000.00
18-06-2022 18-06-2022 485/06/2022 BBM-00003024 2805293588 KIMIA FARMA 756 01LP011 LANSOPRAZOLE 30 MG TAB NOVEL BOX KAPSUL 9,960.00 30 298,800.00
18-06-2022 18-06-2022 485/06/2022 BBM-00003024 2805293588 KIMIA FARMA 221 01CP012 CAPTOPRIL 25 MG TAB IF BOX TABLET 20,900.00 10 209,000.00
18-06-2022 18-06-2022 485/06/2022 BBM-00003024 2805293588 KIMIA FARMA 237 01CF011 CEFADROXIL 500 MG TAB KF BOX KAPSUL 62,609.75 10 626,098.00
SUBTOTAL 1,558,898.00 0.00 171,478.00 - 1,730,376.00
55 18-06-2022 18-06-2022 486/06/2022 BBM-00003025 010.005-22.16284 TRI SAPTA JAYA ( TSJ) 1634 08LF7 LEVOFLOXACIN 750MG INF FLS FLS 150,000.00 15 2,250,000.00
18-06-2022 18-06-2022 486/06/2022 BBM-00003025 010.005-22.16284 TRI SAPTA JAYA ( TSJ) 96 04ASM01 ASAM TRANEXAMAT 500 MG INJ BOX AMPUL 35,000.00 30 1,050,000.00
SUBTOTAL 3,300,000.00 0.00 363,000.00 - 3,663,000.00
56 18-06-2022 18-06-2022 487/06/2022 BBM-00003026 CD220695681 MENSA BINASUKSES 173 01BP011 BISOPROLOL 5 MG TAB IF BOX TABLET 11,819.70 100 1,181,970.00
SUBTOTAL 1,181,970.00 0.00 130,016.00 - 1,311,986.00
57 18-06-2022 18-06-2022 452/06/2022 BBM-00003027 40-0116-22-00152 PENTAVALEN 2084 01DNZ5 DONEPEZIL 5MG TAB BOX TABLET 135,000.00 5 675,000.00
SUBTOTAL 675,000.00 0.00 74,250.00 - 749,250.00
58 21-06-2022 21-06-2022 490/06/2022 BBM-00003028 FKSBY/202206/091PT. BINA SAN PRIMA 1287 01SANF SANFULIQ TAB BOX TABLET 160,500.00 5 802,500.00
21-06-2022 21-06-2022 490/06/2022 BBM-00003028 FKSBY/202206/091PT. BINA SAN PRIMA 1368 01SC011 SPORETIC 100 MG KAPSUL BOX KAPSUL 607,500.00 10 6,075,000.00
21-06-2022 21-06-2022 490/06/2022 BBM-00003028 FKSBY/202206/091PT. BINA SAN PRIMA 1434 04TF011 TERFACEF INJ VIAL VIAL 216,250.00 28 6,055,000.00
21-06-2022 21-06-2022 490/06/2022 BBM-00003028 FKSBY/202206/091PT. BINA SAN PRIMA 257 01CRN01 CERINI TAB BOX TABLET 70,000.00 5 350,000.00
21-06-2022 21-06-2022 490/06/2022 BBM-00003028 FKSBY/202206/091PT. BINA SAN PRIMA 843 01MN011 MEFINAL 500 MG KAPLET BOX TABLET 137,500.00 10 1,375,000.00
SUBTOTAL 14,657,500.00 0.00 1,612,325.00 - 16,269,825.00
59 21-06-2022 21-06-2022 491/06/2022 BBM-00003029 FKSBY/202206/091PT. BINA SAN PRIMA 1761 12NS300 NEUROSANTIN 300 MG ASK BOX KAPSUL 122,512.00 20 2,450,240.00
SUBTOTAL 2,450,240.00 0.00 269,526.00 - 2,719,766.00
60 21-06-2022 21-06-2022 483/06/2022 BBM-00003030 INVSB2220604985 AMS 1226 04rgv REGIVEL 4MG INJ BOX AMPUL 297,500.00 2 595,000.00
21-06-2022 21-06-2022 483/06/2022 BBM-00003030 INVSB2220604985 AMS 1648 06TRA1 TRIAMCINOLON INJ IA/ID 10MG/ML VIAL VIAL 38,250.00 50 1,912,500.00
21-06-2022 21-06-2022 483/06/2022 BBM-00003030 INVSB2220604985 AMS 1189 06PS011 PRORIS SUPP 125MG SUPP SUPP 4,582.50 50 229,125.00
21-06-2022 21-06-2022 483/06/2022 BBM-00003030 INVSB2220604985 AMS 938 06NE011 NEBACETIN POWDER VIAL VIAL 19,400.00 20 388,000.00
SUBTOTAL 3,124,625.00 0.00 343,708.00 - 3,468,333.00
61 22-06-2022 21-06-2022 492/06/2022 BBM-00003031 ai01389/2022.06 AZKEN INDONESIA 1969 04PENS INTO ESU PENCIL PCS PCS 99,000.00 50 4,950,000.00
22-06-2022 21-06-2022 492/06/2022 BBM-00003031 ai01389/2022.06 AZKEN INDONESIA 269 05CRHT4 CHROMIC 1,TAPPERPOINT 40MM PCS PCS 85,000.00 24 2,040,000.00
22-06-2022 21-06-2022 492/06/2022 BBM-00003031 ai01389/2022.06 AZKEN INDONESIA 132 05SLKT2 SILK 2-0 TAPPERPOINT 26MM PCS PCS 47,500.00 24 1,140,000.00
SUBTOTAL 8,130,000.00 0.00 894,300.00 - 9,024,300.00
62 22-06-2022 20-06-2022 493/06/2022 BBM-00003032 MMM/MB/2022/06MULTI MEDIKA MAKM1488 05UP011 UNDERPAD PCK PCS 33,750.00 24 810,000.00
22-06-2022 20-06-2022 493/06/2022 BBM-00003032 MMM/MB/2022/06MULTI MEDIKA MAKM1381 05SP016 SPUIT 50CC TRM BOX PCS 223,250.00 5 1,116,250.00
22-06-2022 20-06-2022 493/06/2022 BBM-00003032 MMM/MB/2022/06MULTI MEDIKA MAKM1495 05UN011 URINE BAG GEA PCS PCS 5,720.00 50 286,000.00
22-06-2022 20-06-2022 493/06/2022 BBM-00003032 MMM/MB/2022/06MULTI MEDIKA MAKM1405 05SC011 SUCTION CATHETER 8 PCS PCS 6,300.00 10 63,000.00
22-06-2022 20-06-2022 493/06/2022 BBM-00003032 MMM/MB/2022/06MULTI MEDIKA MAKM1403 05SC013 SUCTION CATHETER 10 PCS PCS 6,300.00 10 63,000.00
SUBTOTAL 2,338,250.00 0.00 257,207.00 - 2,595,457.00
63 22-06-2022 20-06-2022 495/06/2022 BBM-00003033 cd220706392 MENSA BINASUKSES 93 01ASM01 ASAM MEFENAMAT 500 MG BOX TABLET 29,731.50 30 891,945.00
SUBTOTAL 891,945.00 0.00 98,113.00 - 990,058.00
64 22-06-2022 21-06-2022 494/06/2022 BBM-00003034 2805303017 KIMIA FARMA 357 01DX012 DEXA 0,5 TAB BOX TABLET 7,200.00 10 72,000.00
22-06-2022 21-06-2022 494/06/2022 BBM-00003034 2805303017 KIMIA FARMA 1757 01AN1M ANEMOLAT TAB 1 MG BOX TABLET 18,000.00 15 270,000.00
SUBTOTAL 342,000.00 0.00 37,620.00 - 379,620.00
65 22-06-2022 21-06-2022 496/06/2022 BBM-00003035 12204012977 TRI SAPTA JAYA ( TSJ) 385 01mbgh DOMPERIDON 10MG TAB BOX TABLET 30,821.70 10 308,217.00
22-06-2022 21-06-2022 496/06/2022 BBM-00003035 12204012977 TRI SAPTA JAYA ( TSJ) 1634 08LF7 LEVOFLOXACIN 750MG INF FLS FLS 150,000.00 20 3,000,000.00
22-06-2022 21-06-2022 496/06/2022 BBM-00003035 12204012977 TRI SAPTA JAYA ( TSJ) 847 01ML011 MELOXICAM 7,5 MG TAB TABLET TABLET 37,740.00 20 754,800.00
SUBTOTAL 4,063,017.00 0.00 446,931.00 - 4,509,948.00
66 21-06-2022 23-06-2022 498/06/2022 BBM-00003036 2805303016 KIMIA FARMA 334 02DG011 D5% FLS FLS 6,025.00 100 602,500.00
SUBTOTAL 602,500.00 0.00 66,275.00 - 668,775.00
67 23-06-2022 23-06-2022 497/06/2022 BBM-00003037 2217061029801 SAPTASARI 305 01CO011 COROVIT BOX TABLET 58,100.00 15 871,500.00
23-06-2022 23-06-2022 497/06/2022 BBM-00003037 2217061029801 SAPTASARI 2066 01TRFC5 TRIFACALC 500 MG TAB BOX TABLET 15,470.70 15 232,061.00
23-06-2022 23-06-2022 497/06/2022 BBM-00003037 2217061029801 SAPTASARI 2094 01TRF5 TRIFASTAN 500MG TAB BOX TABLET 30,027.20 3 90,082.00
SUBTOTAL 1,193,643.00 0.00 131,300.00 - 1,324,943.00
68 24-06-2022 18-06-2022 499/06/2022 BBM-00003038 2805296547 KIMIA FARMA 1733 01CKF10 CODIKAF 10 MG TAB BOX TABLET 78,750.00 30 2,362,500.00
SUBTOTAL 2,362,500.00 0.00 259,875.00 - 2,622,375.00
69 24-06-2022 22-06-2022 500/06/2022 BBM-00003039 psi-2206-2037 PT. SINAR RODA UTAM2027 04HDRE HD SET REUSE PACK PACK 305,000.00 275 83,875,000.00
24-06-2022 22-06-2022 500/06/2022 BBM-00003039 psi-2206-2037 PT. SINAR RODA UTAM1994 04PKTA Paket A Single Use HD PAKET PAKET 472,000.00 25 11,800,000.00
SUBTOTAL 95,675,000.00 0.00 10,524,250.00 - 106,199,250.00
70 24-06-2022 20-06-2022 501/06/2022 BBM-00003040 dad/05675 Apotek Suyudi 1611 01FLG FLORAGYN BOX TABLET 376,200.00 3 1,128,600.00
24-06-2022 20-06-2022 501/06/2022 BBM-00003040 dad/05675 Apotek Suyudi 1916 12MC100 MICROGEST CAPS 100MG BOX KAPSUL 342,000.00 3 1,026,000.00
SUBTOTAL 2,154,600.00 0.00 237,006.00 - 2,391,606.00
71 24-06-2022 23-06-2022 502/06/2022 BBM-00003041 8340643027/83406PARIT PADANG GLOBA1449 01TR011 TRAMADOL 50 MG KAPS BOX KAPSUL 16,320.00 100 1,632,000.00
SUBTOTAL 1,632,000.00 0.00 179,520.00 - 1,811,520.00
72 24-06-2022 22-06-2022 504/06/2022 BBM-00003042 kallista/28659 Apotek Suyudi 1916 12MC100 MICROGEST CAPS 100MG BOX KAPSUL 342,000.00 7 2,394,000.00
SUBTOTAL 2,394,000.00 0.00 263,340.00 - 2,657,340.00
73 25-06-2022 24-06-2022 505/06/2022 BBM-00003043 8340643477/83406PARIT PADANG GLOBA1935 01URF4 URIEF 4 MG ASK TAB BOX TABLET 222,972.97 5 1,114,865.00
25-06-2022 24-06-2022 505/06/2022 BBM-00003043 8340643477/83406PARIT PADANG GLOBA1966 02ISDN ISDN INJ BOX VIAL 55,000.00 15 825,000.00
25-06-2022 24-06-2022 505/06/2022 BBM-00003043 8340643477/83406PARIT PADANG GLOBA1816 2UMR UMARONE INJ BOX VIAL 148,750.00 15 2,231,250.00
25-06-2022 24-06-2022 505/06/2022 BBM-00003043 8340643477/83406PARIT PADANG GLOBA525 01FU011 FUROSEMIDE 40 MG TAB KF BOX TABLET 18,000.00 15 270,000.00
SUBTOTAL 4,441,115.00 0.00 488,522.00 - 4,929,637.00
74 25-06-2022 24-06-2022 506/06/2022 BBM-00003044 2805315860 KIMIA FARMA 1038 04OMP OMEPRAZOLE 40MG INJ VIAL VIAL 4,588.30 200 917,660.00
SUBTOTAL 917,660.00 0.00 100,942.00 - 1,018,602.00
75 25-06-2022 24-06-2022 507/06/2022 BBM-00003045 0358/0357/fp-id/v PT. MILITRUST 443 05EX011 EXTENSION TUBE 150CM PCS PCS 26,110.00 100 2,611,000.00
25-06-2022 24-06-2022 507/06/2022 BBM-00003045 0358/0357/fp-id/v PT. MILITRUST 1442 05TW012 THREE WAY + SE JMS BIJI PCS 29,250.00 100 2,925,000.00
25-06-2022 24-06-2022 507/06/2022 BBM-00003045 0358/0357/fp-id/v PT. MILITRUST 1351 05SL010 SPALK 5X10 PCS PCS 4,500.00 60 270,000.00
25-06-2022 24-06-2022 507/06/2022 BBM-00003045 0358/0357/fp-id/v PT. MILITRUST 1964 12KPS1 KAPSUL 1 SLOP KAPSUL 55,750.00 10 557,500.00
SUBTOTAL 6,363,500.00 0.00 699,985.00 - 7,063,485.00
76 27-06-2022 27-06-2022 508/06/2022 BBM-00003046 AI01421/2022.06 AZKEN INDONESIA 177 05BS011 BLOOD SET TRM PCS PCS 22,000.00 125 2,750,000.00
27-06-2022 27-06-2022 508/06/2022 BBM-00003046 AI01421/2022.06 AZKEN INDONESIA 647 05INFS INFUSET DEWASA KLMED BOX PCS 28,000.00 200 5,600,000.00
SUBTOTAL 8,350,000.00 0.00 918,500.00 - 9,268,500.00
77 27-06-2022 24-06-2022 509/06/2022 BBM-00003047 12204013438 TRI SAPTA JAYA ( TSJ) 248 04CFT01 CEFTAZIDIME INJ 1GRVIAL VIAL VIAL 24,000.00 10 240,000.00
27-06-2022 24-06-2022 509/06/2022 BBM-00003047 12204013438 TRI SAPTA JAYA ( TSJ) 507 01FLZ FLUNARIZIN 5MG TAB BOX TABLET 89,189.19 5 445,946.00
27-06-2022 24-06-2022 509/06/2022 BBM-00003047 12204013438 TRI SAPTA JAYA ( TSJ) 1038 04OMP OMEPRAZOLE 40MG INJ VIAL VIAL 13,640.00 48 654,720.00
SUBTOTAL 1,340,666.00 0.00 147,473.00 - 1,488,139.00
78 27-06-2022 25-06-2022 510/06/2022 BBM-00003048 12204013490 TRI SAPTA JAYA ( TSJ) 1038 04OMP OMEPRAZOLE 40MG INJ VIAL VIAL 13,640.00 192 2,618,880.00
SUBTOTAL 2,618,880.00 0.00 288,076.00 - 2,906,956.00
79 27-06-2022 24-06-2022 511/06/2022 BBM-00003049 8340643776 PARIT PADANG GLOBA45 01AY011 AMITRYPILIN 25 MG BOX TABLET 190.00 5,000 950,000.00
SUBTOTAL 950,000.00 0.00 104,500.00 - 1,054,500.00
80 27-06-2022 27-06-2022 512/06/2022 BBM-00003050 010007223123976 ENSEVAL 1037 01OM011 OMEPRAZOLE 20 MG TAB BOX KAPSUL 66,816.00 20 1,336,320.00
27-06-2022 27-06-2022 512/06/2022 BBM-00003050 010007223123976 ENSEVAL 1214 01RN011 RANITIDINE 150 MG TAB BF BOX TABLET 16,000.00 30 480,000.00
SUBTOTAL 1,816,320.00 0.00 199,795.00 - 2,016,115.00
81 28-06-2022 25-06-2022 514/06/2022 BBM-00003051 0713/dad/06/2022Apotek Suyudi 1182 01PM011 PROMAVIT KAPS BOX KAPSUL 199,500.00 10 1,995,000.00
SUBTOTAL 1,995,000.00 0.00 219,450.00 - 2,214,450.00
82 28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1283 03SBP02 SAN-B-PLEX DROPS FLS FLS 19,100.00 30 573,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1369 01spr2 SPORETIC 200MG CAPS BOX KAPSUL 292,500.00 10 2,925,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1561 01vsd VOSEDON TAB BOX TABLET 240,000.00 10 2,400,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1594 07 CERINI DROP FLS FLS 64,600.00 10 646,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 306 01CRT1 CORTIDEX TABLET BOX TABLET 30,000.00 10 300,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1371 03SPRS SPORETIK DRY SYRUP BOTOL BOTOL 85,500.00 15 1,282,500.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1716 C16001 Bufect Suspensi 60 ml Fles Fles 15,000.00 10 150,000.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 424 03EF012 EPISAN SYR ASK FLS FLS 19,078.08 120 2,289,370.00
28-06-2022 27-06-2022 513/06/2022 BBM-00003052 13050/13098 PT. BINA SAN PRIMA 1761 12NS300 NEUROSANTIN 300 MG ASK BOX KAPSUL 122,512.00 40 4,900,480.00
SUBTOTAL 15,466,350.00 0.00 1,701,298.00 - 17,167,648.00
83 28-06-2022 27-06-2022 515/06/2022 BBM-00003053 2217061030559 SAPTASARI 2129 01UBT UBITINE CAPS BOX KAPSUL 750,000.00 3 2,250,000.00
28-06-2022 27-06-2022 515/06/2022 BBM-00003053 2217061030559 SAPTASARI 2015 12OXC OXCAL KAPSUL BOX KAPSUL 318,750.00 15 4,781,250.00
SUBTOTAL 7,031,250.00 0.00 773,437.00 - 7,804,687.00
84 28-06-2022 28-06-2022 516/06/2022 BBM-00003054 LDA-SPJ-22013640DISTRIVERSA BUANAM1118 01pty01 PHENYTOIN 100MG KAPS BOTOL KAPSUL 41,250.00 50 2,062,500.00
28-06-2022 28-06-2022 516/06/2022 BBM-00003054 LDA-SPJ-22013640DISTRIVERSA BUANAM742 03LC011 LACTULAX SYR 60 ML FLS FLS 33,000.00 30 990,000.00
SUBTOTAL 3,052,500.00 0.00 335,775.00 - 3,388,275.00
85 29-06-2022 28-06-2022 517/06/2022 BBM-00003055 2805321850/28053KIMIA FARMA 1247 01RF013 RIFAMPICIN 600 MG TAB BOX TABLET 112,091.00 5 560,455.00
29-06-2022 28-06-2022 517/06/2022 BBM-00003055 2805321850/28053KIMIA FARMA 1249 01RF012 RIFAMPICIN 450 MG TAB IF BOX TABLET 196,974.00 5 984,870.00
29-06-2022 28-06-2022 517/06/2022 BBM-00003055 2805321850/28053KIMIA FARMA 846 01ML012 MELOXICAM 15 MG TAB BOX TABLET 7,975.00 50 398,750.00
29-06-2022 28-06-2022 517/06/2022 BBM-00003055 2805321850/28053KIMIA FARMA 2147 02ABNI ALBUNORM INF 25% FLS FLS 1,432,432.00 5 7,162,160.00
29-06-2022 28-06-2022 517/06/2022 BBM-00003055 2805321850/28053KIMIA FARMA 929 02NC011 NACL 500 ML BIJI FLS 6,182.00 1,000 6,182,000.00
SUBTOTAL 15,288,235.00 0.00 1,681,705.00 - 16,969,940.00
86 29-06-2022 27-06-2022 519/06/2022 BBM-00003056 2805324508 KIMIA FARMA 113 04AT011 ATS INJ BOX AMPUL 1,550,000.00 5 7,750,000.00
 SUBTOTAL 7,750,000.00 0.00 852,500.00 - 8,602,500.00
87 30-06-2022 30-06-2022 520/06/2022 BBM-00003057 up Apotek Suyudi 435 01ES011 ESTALEX TAB BOX TABLET 39,819.82 20 796,396.00
30-06-2022 30-06-2022 520/06/2022 BBM-00003057 up Apotek Suyudi 1214 01RN011 RANITIDINE 150 MG TAB BF BOX TABLET 15,315.32 10 153,153.00
SUBTOTAL 949,549.00 0.00 104,450.00 - 1,053,999.00
88 30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM936 05NC012 NASAL CANUL OXYFLOW DWS BIJI PCS 6,564.25 200 1,312,850.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM921 05 MSC MUCUS EXTRACTOR SERENITI PCS PCS 29,250.00 125 3,656,250.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM784 05LKM LEUKOMED T PLUS PCS PCS 30,566.25 150 4,584,938.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM1333 05SB013 SOFF BAN 4" PCS PCS 28,880.00 15 433,200.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM1384 05SPT05 SPUIT 3CC OM BOX PCS 587.45 1,200 704,940.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM824 05msk MASKER TALI BOX PCS 22,000.00 80 1,760,000.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM1906 04HSC HANDSCOON S / PSG KOTAK PSG 55,000.50 100 5,500,050.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM708 01KAP02 KAPSUL 00 SLOP KAPSUL 95,000.00 5 475,000.00
30-06-2022 27-06-2022 521/06/2022 BBM-00003058 MMM/MB/2022/06MULTI MEDIKA MAKM621 05HY012 HYPAFIX 10cmX5m ROL ROL 114,622.50 20 2,292,450.00
SUBTOTAL 20,719,678.00 0.00 2,279,164.00 - 22,998,842.00
89 30-06-2022 29-06-2022 489/06/2022 BBM-00003059 49220096372 AAM 2069 12FLX20 FLUOXETINE CAP 20MG BOX KAPSUL 12,069.00 0 0.00
30-06-2022 29-06-2022 489/06/2022 BBM-00003059 49220096372 AAM 3 01ACR10 ACARBOSE TAB 50MG BOX TABLET 54,546.80 15 818,202.00
30-06-2022 29-06-2022 489/06/2022 BBM-00003059 49220096372 AAM 1186 01PP011 PROPANOLOL 10 MG TAB DEXA BOX TABLET 7,647.50 0 0.00
30-06-2022 29-06-2022 489/06/2022 BBM-00003059 49220096372 AAM 868 04MTP METHYLPREDNISOLON INJ 125 MG BIJI BIJI 17,273.10 0 0.00
SUBTOTAL 818,202.00 0.00 90,002.00 - 908,204.00
90 30-06-2022 30-06-2022 522/06/2022 BBM-00003060 2805330302 KIMIA FARMA 879 02MTD02 METRONIDAZOLE INF ASK FLS FLS 25,340.00 30 760,200.00
SUBTOTAL 760,200.00 0.00 83,622.00 - 843,822.00