OBAT

NO NAMA PERBEKALAN FARMASI SATUAN

1 ABU INJ VIAL

2 A T S 1500 IU KTK 10 AMP @ 1 ML DOS
3 ALLOPURINOL 100 MG STRIP 10 X 10 TAB DOS
4 ALLOPURINOL TAB 300MG@100 DOS
5 ALPRAZOLAM TAB 0.5 MG @100 TAB DOS
6 ALPRAZOLAM TAB 1 MG DOS
7 AMINOPHYLLINE 24MG/ML - 10ML @30AMP DOS
8 AMITRIPTYLINE TAB 25MG @ 100TAB DOS
9 AMLODIPINE 5 MG TAB @ 300 DOS
10 ANTASIDA DOEN KOMBINASI BOTOL 60 ML BTL
11 ANTASIDA TAB@100 DOS
12 ANTIHERMOROID SUP. KOMBINASI KOTAK 100 SUPOSI SUPPO
13 AQUA PRO INJ @ 25ML(J) AMP
14 ASAM MEFENAMAT 500MG @ 100 DOS
15 ASERING SOFBAG 500 ML BAG
16 ATROPIN SULFAS INJ 0.25MG/ML @100 DOS
17 AZITROMYCIN 500MG TAB @20 DOS
18 BETAHISTINE TAB 6 MG @ 100 TAB DOS
19 BISOPROLOL 2,5 MG @ 100 TAB DOS
20 BISOPROLOL TAB 5MG @ 30 TAB DOS
21 CALCITRIOL KAPSUL 0.5 MG @ 30 DOS
22 CAPTOPRIL 12.5MG @100 DOS
23 CAPTOPRIL 25 MG TABLET @ 100 DOS
24 CEFADROXIL SYRUP 60ML BTL
25 CEFIXIME TAB 200MG @ 100TAB DOS
26 CEFOTAXIME INJ 1GR @2VIAL DOS
27 CEFTRIAXONE INJ 1 GRAM @ 2 VIAL DOS
28 CIPROFLOXACIN 500MG @100 KAPL DOS
29 COTRIMOXAZOLE FORTE 960 MG @ 100 DOS
30 CURCUMA FORCE TAB/ DOS@120 TAB DOS
31 D10% 500ML(WIDA-OG)WI BTL
32 D5% 500ML(WIDA-OG)WI BTL
33 D5-1/2NS PLB
34 DC2 DOS
35 DEKSAMETASON 5 MG/ML INJEKSI @ 100 DOS
36 DEXTROSE 40 % BTL 25 ML AMP
37 DIPHENHYDRAMIN INJ@30AMP DOS
38 DOMPERIDONE SYRUP 60ML BTL
39 EPHEDRINE HCL INJ @ 10 AMP DOS
40 FENOFIBRATE CAP 100MG @ 30 CAP DOS
41 FITOMENADIONE (VIT K) 2 MG/1ML @ 30AMP DOS
42 GEMFIBROZIL KAPS 300MG @ 100 KAPS DOS
43 GLIMEPIRIDE TAB 2MG @ 100 DOS
44 IBUPROFEN SYR BOTOL
45 ISOSORBID DINITRAT 5MG @100TAB DOS
46 KETOROLAC INJ 30 MG @10 AMP DOS
47 METAMIZOLE INJEKSI @100 AMP DOS
48 Na-CL 100 ML FLB
49 Na-CL 500 ML BTL
50 ONOIWA KAPSUL 500 MG @ 30 DOS
51 PARACETAMOL 120 MG/5ML BTL 60 ML BTL
52 PARACETAMOL 1GR/100ML INFUS-100ML FLS
53 PARACETAMOL DROP BTL
54 PHYTOMENADIONE 10MG/ML @ 30 AMP DOS
55 RANITIDIN 150MG @100TAB DOS
56 RANITIDIN INJ @ 10 AMP DOS
57 SIMVASTATIN 10MG
58 SIMVASTATIN 20MG@50TAB DOS
59 STIMUNO CAPSUL FORTE @ 30 DOS
60 STIMUNO SYRUP @ 100ML BOTOL
61 SUCRALFAT 500MG TAB @100 DOS
62 SUCRALFATE SUSPENSI 100ML BTL
63 VALSARTAN 80 MG@ 30 TAB DOS
64 VITAMIN C TAB 50MG @ 100TAB DOS
65 VITAMIN-B COMPLEX @ 100TAB BTL
66 ZINK TAB @ 100TAB DOS

BMHP
NO NAMA PERBEKALAN FARMASI SATUAN

1 3-WAY STOPCOCKS PCS

2 ALKOHOL 70% @ 1000ML BOTOL
3 ALKOHOL 70% 100ML BTL
4 APRON PCS
5 BLOOD TRANFUSION SET TERUMO @50 DOS
6 CERVICAL COLAR UNIVERSAL PCS
7 CHLORHEXIDINE 4% @ 5 LITER JRG
8 COLOSTOMY BAG NO.3 PCS
9 CONDOM CATHETER L PCS
10 CONDOM CATHETER M PCS
11 DR CAP @ 100 PCS DOS
12 ELECTROSURGERY PENCIL PCS
13 GUEDEL 100MM PCS
14 GUEDEL 70MM PCS
15 GUEDEL 90MM BIJI
16 HANDSCOON GYNAECOLOG PCS
17 HANDSCOON NO 8 PASANG
18 HANDSCOON NON STERIL " M " DOS
19 HANDSCOON STERIL 6,5 PCS
20 HANDSCOON STERIL 7 PCS
21 HANDSCOON STERIL 7,5 PCS
22 INFUSION MICRODRIP OI-34 @ 100 DOS
23 INFUSION SET OI-24 DOS
24 IODIN POVIDON 10% @ 1000ML BTL
25 IODIN POVIDON 10% 30ML BOTOL
26 KAPAS 250GRAM ROLL
27 MANUAL RESUSITATOR BAYI PCS
28 MANUAL RESUSITATOR DEWASA PCS
29 MASKER KARET @ 50 DOS
30 MASKER KARET PLUS @ 50 DOS
31 MASKER N95 PCS
32 MASKER NON REBREATHING (NRM) DEWASA PCS
33 MASKER NON REBREATHING ANAK PCS
34 MY JELLY 82 GR TUBE
35 SAFETY BOX 12,5 LTR PCS
36 SAFETY BOX 5 LTR PCS
37 SELANG NEBULIZER ANAK PCS
38 SELANG NEBULIZER DEWASA (E) BIJI
39 SELANG O2 ANAK (E) PCS
40 SELANG O2 BAYI (E) PCS
41 SELANG O2 DEWASA (E) BIJI
42 SHOE COVER NON WOVEN PASANG
43 SPUID 01 ML (E) DOS
44 SPUID 03 ML (E) DOS
45 SPUID 05 ML (E) DOS
46 SPUID 10 ML (E) DOS
47 URINE BAG PCS
48 VASOFIX NO.18 (E) PCS
49 VASOFIX NO.20 (E) PCS
50 VASOFIX NO.22 (E) PCS
51 VASOFIX NO.24 (E) PCS

TOTAL BMHP + OBAT YANG 307,652,651.00

DIPESAN
 HARGA
2 BULAN 6 BULAN JUMLAH HARGA KETERANGAN KETERANGAN
SATUAN
517,132.00 15 50 25,856,600.00
1,389,245.00 3 50 69,462,250.00
8,700.00 10 30 261,000.00
34,650.00 3 10 346,500.00
7,800.00 5 30 234,000.00
9,900.00 2 12 118,800.00
74,850.00 3 18 1,347,300.00
17,500.00 10 20 350,000.00
15,900.00 25 150 2,385,000.00
1,995.00 20 120 239,400.00
5,400.00 3 15 81,000.00
3,250.00 100 250 812,500.00
2,625.00 480 2880 7,560,000.00
11,100.00 10 80 888,000.00
8,800.00 24 100 880,000.00
171,800.00 1 6 1,030,800.00
25,000.00 5 30 750,000.00
8,800.00 5 50 440,000.00
12,300.00 10 60 738,000.00
4,110.00 10 60 246,600.00
77,999.00 5 30 2,339,970.00
16,643.00 5 25 416,075.00
17,206.00 5 25 430,150.00
5,330.00 10 30 159,900.00
74,900.00 1 6 449,400.00
5,700.00 30 250 1,425,000.00 S
U
5,491.00 40 250 1,372,750.00 D
35,475.00 5 30 1,064,250.00 A
24,000.00 1 6 144,000.00 H
81,800.00 4 48 3,926,400.00 D
7,200.00 20 160 1,152,000.00 I
P
6,628.00 20 160 1,060,480.00 E
10,460.00 20 160 1,673,600.00 S
1 6 USULAN dr.ARFIK A
N
204,204.00 3 18 3,675,672.00 (
7,000.00 50 480 3,360,000.00 K
23,430.00 1 5 117,150.00 O
N
2,701.00 4 20 54,020.00 T
64,860.00 1 10 648,600.00 R
35,732.00 2 12 428,784.00 A
K
41,580.00 1 10 415,800.00 )
30,000.00 2 12 360,000.00
12,300.00 10 60 738,000.00
 A
K
)

2 12 USULAN dr. ARIS

8,600.00 5 30 258,000.00
16,500.00 20 200 3,300,000.00
278,900.00 1 6 1,673,400.00
6,149.00 20 240 1,475,760.00
6,800.00 120 800 5,440,000.00
178,200.00 2 20 3,564,000.00
1,161.00 20 120 139,320.00
8,880.00 20 200 1,776,000.00
5,000.00 5 30 150,000.00
103,500.00 2 12 1,242,000.00
8,500.00 15 90 765,000.00
19,275.00 40 240 4,626,000.00
1 6 USULAN dr.ARFIK
7,500.00 3 30 225,000.00
52,890.00 5 30 1,586,700.00
25,548.00 2 12 306,576.00
22,500.00 1 6 135,000.00
4,989.00 20 200 997,800.00
11,910.00 1 10 119,100.00
4,200.00 2 20 84,000.00
12,077.00 2 20 241,540.00
20,800.00 1 20 416,000.00

TOTAL 167,960,947.00

BMHP
HARGA
2 bulan 12 bulan JUMLAH HARGA KETERANGAN
SATUAN
3,600.00 50 150 540,000.00 SUDAH DIPESAN(KONTRAK)
30,000.00 10 50 1,500,000.00 SUDAH DIPESAN(KONTRAK)
3,498.00 24 100 349,800.00 SUDAH DIPESAN(KONTRAK)
2,670.00 400 2000 5,340,000.00 SUDAH DIPESAN(KONTRAK)
674,850.00 1 3 2,024,550.00 SUDAH DIPESAN(KONTRAK)
116,160.00 5 40 4,646,400.00 SUDAH DIPESAN(KONTRAK)
344,320.00 1 2 688,640.00 SUDAH DIPESAN(KONTRAK)
7,150.00 30 200 1,430,000.00 SUDAH DIPESAN(KONTRAK)
4,950.00 10 20 99,000.00 SUDAH DIPESAN(KONTRAK)
4,950.00 10 20 99,000.00 SUDAH DIPESAN(KONTRAK)
70,180.00 5 20 1,403,600.00 SUDAH DIPESAN(KONTRAK)
37,029.00 15 50 1,851,450.00 SUDAH DIPESAN(KONTRAK)
12,574.00 2 6 75,444.00 SUDAH DIPESAN(KONTRAK)
7,800.00 5 20 156,000.00 SUDAH DIPESAN(KONTRAK)
24,200.00 10 40 968,000.00 SUDAH DIPESAN(KONTRAK)
19,000.00 50 150 2,850,000.00 SUDAH DIPESAN(KONTRAK)
4,400.00 200 1000 4,400,000.00 SUDAH DIPESAN(KONTRAK)
66,000.00 50 200 13,200,000.00 SUDAH DIPESAN(KONTRAK)
 6,159.00 100 500 3,079,500.00 SUDAH DIPESAN(KONTRAK)
7,260.00 100 500 3,630,000.00 SUDAH DIPESAN(KONTRAK)
6,800.00 500 3000 20,400,000.00 SUDAH DIPESAN(KONTRAK)
918,060.00 1 2 1,836,120.00 SUDAH DIPESAN(KONTRAK)
698,280.00 3 10 6,982,800.00 SUDAH DIPESAN(KONTRAK)
55,000.00 2 10 550,000.00 SUDAH DIPESAN(KONTRAK)
3,200.00 30 100 320,000.00 SUDAH DIPESAN(KONTRAK)
12,500.00 6 30 375,000.00 SUDAH DIPESAN(KONTRAK)
3,575,000.00 1 1 3,575,000.00 SUDAH DIPESAN(KONTRAK)
3,575,000.00 1 1 3,575,000.00 SUDAH DIPESAN(KONTRAK)
20,000.00 80 400 8,000,000.00 SUDAH DIPESAN(KONTRAK)
25,000.00 80 400 10,000,000.00 SUDAH DIPESAN(KONTRAK)
9,240.00 125 500 4,620,000.00 SUDAH DIPESAN(KONTRAK)
17,600.00 10 40 704,000.00 SUDAH DIPESAN(KONTRAK)
23,000.00 5 20 460,000.00 SUDAH DIPESAN(KONTRAK)
29,550.00 10 40 1,182,000.00 SUDAH DIPESAN(KONTRAK)
28,600.00 20 75 2,145,000.00 SUDAH DIPESAN(KONTRAK)
15,950.00 10 50 797,500.00 SUDAH DIPESAN(KONTRAK)
16,700.00 5 30 501,000.00 SUDAH DIPESAN(KONTRAK)
20,000.00 30 100 2,000,000.00 SUDAH DIPESAN(KONTRAK)
6,900.00 20 60 414,000.00 SUDAH DIPESAN(KONTRAK)
6,900.00 30 100 690,000.00 SUDAH DIPESAN(KONTRAK)
7,000.00 100 300 2,100,000.00 SUDAH DIPESAN(KONTRAK)
1,839.00 100 300 551,700.00 SUDAH DIPESAN(KONTRAK)
95,700.00 2 6 574,200.00 SUDAH DIPESAN(KONTRAK)
88,000.00 8 45 3,960,000.00 SUDAH DIPESAN(KONTRAK)
96,800.00 8 40 3,872,000.00 SUDAH DIPESAN(KONTRAK)
128,700.00 4 20 2,574,000.00 SUDAH DIPESAN(KONTRAK)
5,720.00 100 300 1,716,000.00 SUDAH DIPESAN(KONTRAK)
6,500.00 50 100 650,000.00 SUDAH DIPESAN(KONTRAK)
7,150.00 150 400 2,860,000.00 SUDAH DIPESAN(KONTRAK)
6,650.00 150 400 2,660,000.00 SUDAH DIPESAN(KONTRAK)
7,150.00 50 100 715,000.00 SUDAH DIPESAN(KONTRAK)

TOTAL 139,691,704.00
 B
NO NAMA PERBEKALAN FARMASI
2 ABBOCAT-T NO.14
3 ALKACIDE 1 LTR
4 ALKAZYME 25MG
8 BLOOD LANCET 26G
10 BLOODSTOP BS-10 5X5CM
11 BOWIE DICK TEST PACK
12 BUFFER FORMALIN 10%
13 CANOFIX-PU 6X8CM
14 CAPSUL KOSONG NO 1
15 CAPSUL KOSONG NO. 0
16 CAPSUL KOSONG NO. 3
17 CAPSUL KOSONG NO.2
18 CAPSUL KOSONG NO.OO
19 CATHEJELL 12.5G
20 CERPLAST AFL 50 X 100 @ 5UNIT
26 CUTICELL 10CM X 10CM (E)
27 DECONEX 34 GR
28 DECONEX FOAM ACTIVE
29 DECONEX LUBE SPRAY
30 DERMAFIX-T 10 X 25
31 DOUBLE SPIKE @ 50
33 E-CARE HANDSCRUB @ 5 LTR
35 EMP CONNECTION SUCT 300CM
36 ET NO. 4
37 ET NO. 4,5
38 ETHYL CHLORIDE 100ML
39 ETT CLEAR PROF SEAL 2,5
40 ETT CLEAR PROF SEAL 3.5
41 ETT CLEAR PROF SEAL 5,5
42 ETT CLEAR PROF SEAL 7
43 ETT CLEAR PROF SEAL 7,5
44 ETT CLEAR PROF SOFT SEAL 5
45 ETT CLEAR PROF SOFT SEAL 6,5
46 ETT HIDUNG NO.20
47 ETT HIDUNG NO.22
48 ETT HIDUNG NO.24
49 ETT HIDUNG NO.26
50 ETT HIDUNG NO.30
51 ETT NO. 3
52 ETT REINFORCED CUFF 7
53 ETT REINFORCED CUFF 7,5
54 EXTENSION LINE WITH 3-WAY
 55 EXTENTION TUBE 150CM
56 FEDDING TUBE NO.3,5
57 FEDDING TUBE NO.5 (100)
58 FEDDING TUBE NO.8 (100)
59 FM CREPE 10CM 4"
60 FM CREPE 15CM 6"
61 FOLLY CATH 2-WAY NO.10
62 FOLLY CATH 2-WAY NO.12
63 FOLLY CATH 2-WAY NO.14
64 FOLLY CATH 2-WAY NO.16
65 FOLLY CATH 2-WAY NO.18
66 FOLLY CATH 2-WAY NO.20
67 FOLLY CATH 2-WAY NO.8
68 FOLLY CATH 3-WAY NO.20
69 FOLLY CATH 3-WAY NO.22
70 FOLLY CATH 3-WAY NO.24
71 FOLLY CATH SILICONE NO.14
72 FOLLY CATH SILICONE NO.16
73 G. CAVITON PINK
74 G. CAVITON WHITE
75 G. CHKM/PARAMONOCHLOROFENOL 20ML
76 G. DEVITAL TEHNODENT 5 GR
77 G. ELITE CEMENT MINIPACK 1-1 35/30GR
78 G. FUJI IX ART 1-1
79 G. POLIREN POLISHING PASTA 45GR
80 GELANG ID BAYI BIRU
81 GELANG ID BAYI PINK
82 GELANG ID DEWASA BIRU
83 GELANG ID DEWASA PINK
84 GELANG ID PUTIH DEWASA
85 GOWN ALL SIZE
90 HANDSCOON NITRIL NON STERIL @ 100
96 HARUM PLATE NON CABLE MONO ADULT
97 HASMAT 3XL
98 HASMAT XL
99 INDICATOR EXPIRED
100 INDICATOR STRIP STEAM 169 X 20MM
103 INTRASITE GEL 15G/1X10
106 JARUM HETTING 28 1/2 C CUTTING
107 JARUM HETTING 28 1/2C TAPPER
108 JARUM HETTING 32 1/2C CUTTING
109 JARUM HETTING 32 1/2C TAPPER
110 JARUM HETTING 32 3/8 CUTTING
111 JARUM HETTING 32 3/8C TAPPER
112 JARUM HETTING 36 1/2C CUTTING
113 JARUM HETTING 36 1/2C TAPPER
114 JARUM HETTING 40 1/2C CUTTING
115 JARUM HETTING 40 3/8C TAPPER
116 JARUM HETTING 41 1/2C CUTTING
117 JARUM HETTING 41 1/2C TAPPER
118 JARUM HETTING 41 3/8C CUTING
119 JARUM HETTING 45 1/2C CUTTING
120 JARUM HETTING 45 1/2C TAPPER
121 JARUM HETTING 50 1/2C TAPPER
122 JARUM HETTING 501/2C CUTTING
123 JARUM HETTING 55 1/2C CUTTING
124 JARUM HETTING 55 1/2C TAPPER
125 JELLY USG 250ML
127 KASA LIPAT 5X12 @ 50
128 KASA STERIL
129 KERTAS PUYER
130 LEUKOMED 7,2CMX5CM
131 LEUKOPLAST 1625H (E)
132 LMA SUPREME SU SIZE 2
133 LMA SUPREME SU SIZE 2.5
134 LMA SUPREME SU SIZE 3
135 LMA SUPREME SU SIZE 4
136 LMA SUPREME SU SIZE 5
137 LMA UNIQUE SIZE 1
138 LMA UNIQUE SIZE 1,5
139 LMA UNIQUE SIZE 2
140 LMA UNIQUE SIZE 2,5
148 MEDICINE PACKET SI-20-S
149 MESS NO.10
150 MESS NO.11
151 MESS NO.12
152 MESS NO.15
153 MESS NO.20
154 MINI BIO PLUS STEAROTHERMOPHILUS 10^6
156 NURSE CAP GREEN
157 OPTIME 2/0 (18S30G)
158 OPTIME 3/0 (18S20F)
159 OPTIME 4/0 ( S15F )
160 OPTIME 4/0 (S15L)
161 OPTIME NO.0 (18S35G)
162 OPTIME NO.1 (18S40F)
163 PEN NEEDLE 31GX5MM
164 PHARMAFIX 10X500CM
165 POLIBAN 10 CM ( 4' )
166 POLIBAN 15CM (6")
167 POLIGYP 10CM X 2,7M (4") E
168 POLIGYP 15CM 6"
169 POT SPUTUM ONEMED 90GR
170 POT URIN EKOMED 65 GR
171 POUCHES FLAT 20CM/200M
172 POUCHES FLAT 25CM/200M
173 POUCHES FLAT 5CM/200M
174 POUCHES GUSETE 100M X 25CM X 3CM
175 POUCHES GUSSETTE 10X5CM
176 POUCHES GUSSETTE 25 X 6,5 CM
177 PRECISION SOL.ADM (TERUMO)
178 PULVIRIZER-S
179 RECTAL TUBE 40CM NO.22
180 RED DOT ELECTRODE
183 SAFIL 0 HR 40S 90CM (E)
184 SAFIL 1 HR 40S, 90CM VIOLET
185 SAFIL 3/0 TAPER (C1048030)
186 SAFIL 3-0 HR 22 70CM
187 SAFIL 8/0 2XDLM6S
194 SPALK FRAKTUR 30 CM
195 SPALK FRAKTUR 40 CM
196 SPALK FRAKTUR 50CM
197 SPALK FRAKTUR 60 CM
198 SPALK FRAKTUR 90 CM
199 SPALK TALI M
200 SPALK TALI S
201 SPALK TANPA TALI L
202 SPINOCAN 25 G
207 SPUID 20 CC LP
208 SPUID 50 CC TERUMO LP
209 SPUID 50 ML LP PENDEK
210 SPUID 60ML TERUMO LT
211 STEAM ADHESIVE TAPE 500 CM X 1.9 CM
212 STEAM INDICATOR STRIP TYPE 4 10 CM X 1.6 CM @
213 STOMACH TUBE NO.12
214 STOMACH TUBE NO.14
215 STOMACH TUBE NO.16
216 STOMACH TUBE NO.18
217 SUCTION CATHETER NO.10
218 SUCTION CATHETER NO.12
219 SUCTION CATHETER NO.8
220 SURFLO W NO.26
221 SWAB ALKOHOL @ 100PCS (E)
222 T-CHROMIC 1 (C55) 90CM
223 T-CHROMIC 2 ( C99X ) 150CM
224 T-CHROMIC 2 (C29) 90CM
225 T-CHROMIC 2-0 (C27) 90CM
226 T-CHROMIC 3-0 (C43) 90CM
227 T-CHROMIC 3-0 (C44X)
228 T-CHROMIC 3-0(C43X) 75CM
229 T-CHROMIC 4-0 (C56) E
230 T-CHROMIC O (C58)
231 TENSOPLAST STK ADULT
232 TOURNIQUETH PINK
233 TOURNIQUETH PURPLE
234 T-SILK 2-0 (S24) E
235 T-SILK 2-0 (S25) E
236 T-SILK 3-0 (S21) E CUTTING
237 T-SILK 3-0 (S22) E TAPPER
238 TYPE 5 INDICATOR SREAM
239 UMBILICAL CORD NYLON
240 UNDERPAD @ 10PCS
246 VERBAN 10CM (E)
Alkohol Swab
Baygel Ultrasound Transmission Gel 250 ml
Chlorhexidin 0,5% 5 L
Detergen Alkali Enzimatik 1 L
Disposable Medical Cap
High Level Desinfectant 1 L
Medika Povidine 10% ukuran 300 ml
Kasa Hidrofil 3 yard x 10 cm
Sample Container
Solida Coverall Microporous with Seam Tape (3C)
Solida Surgical Gown
Suction Connecting Tube
326 Anastesi dengan spuit (ex:Lidocaine)
327 Needle carpule citoject
328 14 Wax (malam merah) untuk catatan gigit
329 Bahan tambalan sementara
330 Bahan devitalisasi pulpa saluran akar
331 Eugenol
332 CHKM
333 Cresophen
334 OCO (bahan penghilang stain pada gigi)
335 Pumis
336 Aquabides 25ml
337 GIC
338 Articulating paper
339 Celuloid strip
340 Finishing strip
 341 Gutta Percha no.15-40
342 Gutta Percha no.45-80
343 Jarum ekstirpasi
344 K-Files NiTi p = 25mm no.15-40
345 K-Files NiTi p = 25mm no.45-80
346 Chlor-ethyl
347 Microbrush
348 Spuit 3 cc untuk PSA
349 Calcipex / Vitapex (Bahan untuk PSA)
350 Saliva ejector / suction
351 Betadine 100 ml
352 Alkohol 100 ml
353 Chlorhexidine
mata bor gigi dental burs endo z zekrya bone cutter highspeed
- 25mm
354
355 Spuit 2,5 cc
356 Bayclin
357 Safety box
358 Gelas karton (untuk kumur pasien)

1 URESIX TAB
2 ALLETROL TM
3 ANALSIK KAPLET
4 APIYALYS 100 ML
5 ASCORBIC ACID 500 MG @ 10 INJ
6 CLIAD
7 COLCHICINE TABLET 0,5MG @ 30
8 DEXKETOPROFEN INJ @ 5
9 DEXKETOPROFEN TAB 25 MG @ 30
10 INVICOLT INJ
11 KALIUM DIKLOFENAK 50MG TAB @ 100
12 KALNEX TAB 500MG @ 100
13 KOMPOLAX SUSP
14 L-BIO @ 30 SACH
15 MEGABAL CAP 500MG @ 100
16 MELOXICAM 7,5MG TAB@50
17 ACARBOSE TAB 100MG @100
18 AMBROXOL 125MG/5ML
19 AMBROXOL 30MG
20 AMINOPHYLLINE 200MG TAB @100
21 AMLODIPINE 10MG TAB @50
22 AMOKSISILIN 125 MG/5ML BTL 60 ML
23 AMOXICILLIN KAPLET 500MG @ 200
24 APIDRA SOLOSTAR/ 5 PEN
25 ASAM FOLAT ( FOLIC ACID ) 1MG @100TAB
26 ASAM VALPROAT SYR
27 ATORVASTATIN 20MG TAB @ 30TAB
28 BENEURON TAB @ 100 TAB
29 CANDESARTAN 16 @30 TAB
30 CANDESARTAN 8 @30 TAB
31 CEFIXIME 100 MG @ 50 CAPLET
32 CETIRIZINE CAP@100
33 CETIRIZINE SYR 5MG/5ML
34 CHLORPHENIRAMIN MALEAT 4MG @ 100TAB
35 CITICOLINE 500MG TAB @ 30TAB
36 CITICOLINE INJ 500MG/4ML @ 5AMP
37 CLINDAMYCIN KAPS 300MG @ 50 KAPS
38 CLOBAZAM 10MG @100 TAB
39 CLONIDIN 0.15MG @100 TAB
40 CLOPIDOGREL TAB 75MG@30
41 CODEIN 10 MG TAB @ 100TAB
42 COTRIMOXAZOL 480MG @100TAB
43 DEXAMETHASONE 0,5MG TAB @ 200
44 DIAZEPAM 2MG TAB @ 100TAB
45 DIAZEPAM INJ 5MG/ML@ 10AMP
46 DIAZEPAM SUPPOSITORIA
47 DIAZEPAM TAB 5MG @ 100 TAB
48 DIGOXIN 0.25MG @100TAB
49 DIVALPROEX SODIUM TABLET 250 MG @ 100
50 DOBUTAMINE 50MG/ML-5ML@5AMP
51 DOMPERIDON TAB @ 100 TAB
52 DOPAMINE HCL INJ 200MG / 5ML @ 10
53 EPINEPHRINE 0.1%INJ@100AMP
54 FARBION 5000 INJ
55 FENOFIBRATE CAP 300MG @30
56 FLEET ENEMA
57 FLIXOTIDE NEBULES @10
58 FLUNARIZINE HCL 5MG TAB @40
59 FURAMIN INJ @ 5 AMP
60 FUROSEMID 40MG @100
61 FUROSEMIDE INJ 10MG/ML -2ML @25AMP
62 GABAPENTIN 100MG @ 50
63 GENOINT TM 0,3% @ 5ML
64 GENTAMICIN SALEP KULIT
 65 GLUCOSAMINE 250MG TAB@60
66 GUAIFENESIN TAB 100MG @ 100 TAB
67 HALOPERIDOL TAB 0.5MG @ 100TAB
68 HYDROCORTISON 2,5% TUBE 5 G
69 IBUPROFEN 400MG TAB @100
70 ISOSORBID DINITRAT INJ 1MG/ML @ 10AMP
71 KCL 7.46
72 KETOKONAZOLE 2% CREAM @ 10GR
73 KETOPROFEN TAB 50 MG @ 100
74 KSR 600 MG TABLET 600 MG
75 LAKTULOSA SYRUP @ 60 ML
76 LANSOPRAZOL 30MG KAPSUL @50 KAPS
77 LANTUS SOLOSTAR FLEXPEN @5 FLP
78 LEVOFLOKSASIN TAB 500MG @ 50 TAB
79 LEVOFLOXACIN INFUS
80 LIDOCAIN 2%INJ 20MG/ML -2ML @100AMP
81 LISINOPRIL TAB 5MG @ 100
82 LOPERAMIDE 2MG TAB@100
83 MANITOL 20% 250ML
84 MECOBALAMIN CAP 500MG @ 100 CAP
85 MECOBALAMIN INJ 500
86 METAMIZOLE SODIUM TAB 500 MG @ 100 TAB
87 METFORMIN 500 MG @200
88 METHYL PREDNISOLONE 4MG @100TAB
89 METHYLPREDNISOLON INJ 125MG@1VIAL
90 METILERGOMETRIN 0,125 MG STRIP 10 X 10 TABLET
91 METRONIDAZOL 5 MG/ML BTL 100 ML
92 METRONIDAZOL 500 MG KTK 100TAB
93 MgSO4 40% INJ
94 MICROGEST 100 MG@30
95 MINIASPI 80 MG @ 100TAB
96 NACL 1000 ML 0,9%
97 NATRIUM DICLOFENAC TAB 50MG @ 100TAB
98 NICARDIPINE INJ 10MG @ 5 AMP
99 NIFEDIPIN 5MG TAB
100 NOREPINEPHRINE BITARTRATE INJ 4MG/4ML @ 5
101 NOVORAPID FLEXPEN@5FLEXPEN
102 NYSTATIN 100.000IU/ML DROP
103 OBH 100ML ( IKA-K )
104 OMEPRAZOLE CAPS 20MG @ 200
105 OMEPRAZOLE INJ @ 10VIAL
106 ONDANCETRON 4MG INJ @10 AMP
107 ONDANSENTRON 4 MG TAB @30
108 OXYTOCIN"S" 10IU/ML INJ@100AMP
109 PARACETAMOL TAB 500MG @ 100 TAB
110 PHENOBARBITAL 30MG TAB @ 100 TAB
111 PHENOBARBITAL INJ 50MG/ML @ 30 AMPL
112 PHENYTOIN 100MG @100CAP
113 PHENYTOIN INJ
114 PIOGLITAZONE TAB 15MG @ 30 TAB
115 PIRACETAM CAPL 800MG @ 100 KAPL
116 PIRACETAM INJ 1 GRAM @ 10 AMP
117 PIRANTEL PAMOAT 125 MG
118 PROTOFEN SUPP 100MG
119 PROVE D3-1000 IU TAB @30 TAB
120 RAMIPRIL 5 MG @ 100 TAB
121 REBAMIPIDE 100MG TAB @ 30
122 RIFASTAR CAP @ 30 CAP
123 RL 500ML
124 RYZODEG FLEX TOUCH @ 5
125 SALBUTAMOL 2MG@100TAB
126 SANTAGESIX INJ @5 AMP
127 SERETIDE 250
128 SODIUM BICARBONAT 500MG (BIC NAT)
129 SPASMINAL TABLET @100
130 SPIRONOLACTON TAB 25MG @ 100TAB
131 STESOLID RECTAL 5MG/2.5ML
132 SULFADIAZINE SILVER
133 SYMBICORT TURB 160
134 TABLET TAMBAH DARAH @ 100
135 TAMSULOSIN 0.4MG TABLET @30 TAB/DOS
136 TETAGAM P 250IU X 1 ML @ 1 AMP
137 THIAMFILEX SYR 125MG
138 TIZANIDINE 2 MG TAB @ 30TAB
139 TRAMADOL 50 MG/ML 2 ML@5 AMP
140 TRAMADOL KAPS 50MG @ 50 KAPS
141 TRANEXAMIC ACID INJ 10% 500MG/5ML @10
142 TREMENZA TAB
143 TRIHEXYPHENIDIL 2MG @100TAB
144 URINTER 400 MG KAPSUL 400 MG
145 URSODEOXYCHOLIC ACID 250MG TAB
146 VASOLA INJ 2,5 MG/0,5 ML @ 5 VIAL
147 VENTOLIN INHALER
148 VENTOLIN NEBULES 2,5MG @20
149 VITAMIN C 250MG TAB @ 100
150 WARFARIN SODIUM 2MG TAB @100 TAB
151 ZINC SULPATE SYRUP 60ML
 BMHP
SATUAN HARGA SATUAN 2 bulan 12 bulan
PCS 16,000.00 5 10
BTL 2,759,972.00 1 3
SAK 839,953.00 1 3
BIJI 124.00 300 2000
DOS 100,001.00 1 2
ROLL 70,400.00 1 2
BTL 544,500.00 1 1
PCS 6,820.00 200 1000
SAK 47,500.00 1 1
ZAK 50,000.00 1 1
ZAK 46,000.00 1 1
ZAK 49,000.00 1 1
ZAK 80,000.00 1 1
PCS 44,000.00 2 12
BOX 346,775.00 1 1
SAC 7,000.00 50 200
BOTOL 625,328.00 1 1
BOTOL 289,432.00 1 1
TUBE 491,744.00 1 1
PCS 13,770.00 30 200
DOS 110,000.00 1 2
BTL 688,793.00 1 2
PCS 21,000.00 2 6
PCS 68,750.00 1 6
PCS 68,750.00 1 6
BTL 175,010.00 1 3
PCS 51,011.00 1 6
PCS 51,011.00 1 6
PCS 83,600.00 1 6
PCS 83,600.00 3 15
PCS 15,500.00 3 15
PCS 83,600.00 1 6
PCS 83,600.00 1 6
PCS 859,275.00 1 1
PCS 859,275.00 1 1
PCS 859,275.00 1 1
PCS 859,275.00 1 1
PCS 859,275.00 1 1
PCS 68,750.00 1 1
PCS 311,143.00 1 6
PCS 317,683.00 1 6
PCS 18,150.00 10 50
PCS 9,400.00 20 100
PCS 5,201.00 3 10
PCS 14,081.00 3 10
PCS 14,081.00 3 10
ROL 46,100.00 6 24
ROL 56,800.00 6 24
PCS 24,475.00 5 20
PCS 12,000.00 5 20
PCS 8,635.00 5 20
PCS 8,635.00 20 120
PCS 12,500.00 10 60
PCS 12,500.00 5 30
PCS 24,475.00 3 10
PCS 36,300.00 5 10
PCS 44,000.00 5 10
PCS 44,000.00 5 10
PCS 137,500.00 3 3
PCS 143,000.00 3 3
DOS 165,000.00 1 2
DOS 165,000.00 1 2
DOS 66,000.00 1 2
DOS 260,000.00 1 2
DOS 176,000.00 1 2
DOS 534,600.00 1 2
DOS 169,999.00 1 2
PCS 825.00 100 300
PCS 825.00 100 300
PCS 825.00 200 500
PCS 825.00 200 500
PCS 935.00 100 300
PCS 43,000.00 300 1000
DOS 143,000.00 1 5
PCS 27,500.00 5 15
PCS 110,016.00 50 100
PCS 125,000.00 100 300
BOX 6,780,901.00 1 1
BOX 437,184.00 1 2
TUBE 61,838.00 5 20
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,625.00 12 12
PCS 9,625.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
PCS 9,075.00 12 12
TUBE 16,000.00 10 60
PAK 24,750.00 50 300
BOX 5,950.00 50 300
PAK 11,000.00 10 10
DOS 153,217.00 1 2
ROL 43,300.00 10 50
PCS 477,972.00 2 4
PCS 380,001.00 2 4
PCS 380,000.00 2 4
PCS 380,000.00 2 4
PCS 477,972.00 2 4
PCS 274,227.00 1 5
PCS 275,876.00 1 5
PCS 275,876.00 1 5
PCS 275,876.00 1 5
BOX 3,025,000.00 1 1
PCS 2,501.00 100 100
PCS 2,501.00 100 100
PCS 2,501.00 100 100
PCS 2,501.00 100 100
PCS 2,501.00 100 200
BOX 2,283,160.00 1 1
PCS 335.00 200 1200
PCS 75,019.00 6 6
PCS 75,020.00 6 6
PCS 80,080.00 6 6
PCS 50,000.00 6 6
PCS 74,144.00 6 6
PCS 84,038.00 6 6
DOS 169,500.00 6 6
DOS 61,047.00 10 50
ROLL 15,107.00 6 24
ROLL 20,304.00 6 24
ROLL 22,101.00 6 24
ROL 28,899.00 6 24
PCS 2,400.00 150 700
PCS 2,193.00 200 1100
ROL 1,602,700.00 1 1
ROL 1,898,600.00 1 1
ROLL 480,508.00 1 1
ROLL 2,371,600.00 1 1
ROL 902,575.00 1 1
ROL 1,401,840.00 1 1
PCS 49,048.00 50 50
SET 1,540,000.00 1 1
PCS 6,600.00 2 2
BAG 112,191.00 5 15
PCS 90,657.00 6 6
PCS 87,750.00 6 6
PCS 79,228.00 6 6
PCS 79,228.00 6 6
PCS 250,000.00 6 6
PCS 28,050.00 5 10
PCS 30,250.00 5 10
PCS 35,200.00 5 10
PCS 41,250.00 5 10
PCS 68,750.00 5 10
PCS 19,250.00 5 10
PCS 12,100.00 5 10
PCS 17,050.00 5 10
PCS 31,100.00 5 20
PCS 2,073.00 10 30
PCS 6,930.00 10 40
PCS 4,037.00 10 40
PCS 11,707.00 5 30
ROLL 134,200.00 1 1
DOS 177,100.00 1 1
PCS 11,055.00 10 20
PCS 12,430.00 10 20
PCS 11,021.00 20 60
PCS 11,025.00 20 50
PCS 2,607.00 10 20
PCS 5,500.00 10 20
PCS 5,500.00 30 100
PCS 12,208.00 50 50
DOS 11,000.00 50 200
PCS 71,610.00 6 6
PCS 66,000.00 6 6
PCS 55,355.00 6 6
PCS 63,030.00 6 6
PCS 57,750.00 6 6
PCS 66,880.00 6 6
PCS 47,171.00 6 6
PCS 51,022.00 6 6
PCS 63,030.00 6 6
ROLL 213,431.00 4 8
PCS 22,000.00 10 20
PCS 22,000.00 10 20
PCS 44,407.00 6 6
PCS 46,200.00 6 6
PCS 45,100.00 6 6
PCS 46,750.00 6 6
BOX 1,485,000.00 1 1
PCS 1,800.00 100 100
PAK 40,425.00 10 50
ROLL 1,627.00 100 400
Box 200
Bottle 60
Bottle 2
Bottle 3
Box (isi 100 pcs) 12
Bottle 3
Bottle 100
pack 8
pcs 1,100
pcs 400
pcs 1,000
piece 6
boks = 20 ampul 75,000.00 1
boks = 100 pcs 200,000.00 1
boks = 11 lembar 50,000.00 1
pot 100,000.00 1
buah 400,000.00 1
botol = ± 5-15 ml 400,000.00 1
botol = ± 5-15 ml 400,000.00 1
botol = ± 5-15 ml 400,000.00 1
botol = ± 5-15 ml 150,000.00 1
pack 100,000.00 1
botol 5,000.00 1
pack = 1 powder, 1liquid 750,000.00 1
boks = 6x12 sheets 150,000.00 1
boks = 100 pcs 135,000.00 1
boks = 100 pcs 200,000.00 1
boks 50,000.00 1
boks 50,000.00 1
boks 250,000.00 1
boks 400,000.00 1
boks 400,000.00 1
botol 75,000.00 1
boks = 100 pcs 100,000.00 1
pcs 1,500.00 4
spuit 600,000.00 1
pack = 100 pcs 75,000.00 1
botol 100,000.00 1
botol 100,000.00 1
botol 40,000.00 1

piece 50,000.00 8
boks 200,000.00 1
botol 1ltr 1
buah 1
paket = 50 pcs 1

TOTAL

OBAT
DOS 2 12
BTL 18,000.00 10 60
DOS 167,750.00 5 50
BTL 2 12
DOS 127,600.00 2 6
DOS 343,406.00 1 10
DOS 19,470.00 3 18
DOS 92,400.00 10 60
DOS 71,610.00 6 36
VIAL 46,630.98 5 20
DOS 42,900.00 10 80
DOS 165,825.00 2 25
BTL 5,190.00 10 150
DOS 219,450.00 1 6
DOS 54,990.00 1 10
DOS 13,001.00 20 120
DOS 80,000.00 3 20
BTL 3,410.00 10 60
DOS 11,000.00 5 30
DOS 9,400.00 2 6
DOS 7,000.00 25 100
BTL 5,225.00 15 50
DOS 40,200.00 10 60
DOS 447,500.00 10 30
DOS 5,600.00 15 90
BTL 11,532.00 6 20
DOS 14,010.00 5 30
DOS 44,550.00 10 60
DOS 9,570.00 10 60
DOS 6,360.00 10 60
DOS 19,350.00 20 120
DOS 4,900.00 1 20
BTL 2,090.00 3 10
DOS 2,500.00 1 10
DOS 128,700.00 4 24
DOS 60,000.00 5 50
DOS 26,100.00 3 18
DOS 38,400.00 2 15
DOS 14,600.00 2 10
DOS 17,250.00 10 60
DOS 60,000.00 2 20
BTL 12,601.00 2 12
DOS 13,750.00 3 20
DOS 7,000.00 1 5
DOS 15,450.00 1 10
SUPPO 10
DOS 10,800.00 1 5
DOS 10,400.00 3 15
DOS 99,000.00 3 10
DOS 40,495.00 1 20
DOS 7,101.00 4 20
BOX 33,970.00 1 20
DOS 151,500.00 1 10
DOS 24,321.00 15 90
DOS 43,380.00 4 20
BTL 35,750.00 3 20
DOS 147,380.00 2 12
DOS 38,500.00 2 12
DOS 54,450.00 3 18
DOS 19,800.00 5 50
DOS 23,075.00 5 50
DOS 49,500.00 3 18
BOTOL 8,387.00 5 30
TUBE 2,849.00 20 100
DOS 29,040.00 2 12
DOS 10,000.00 10 60
DOS 4,700.00 1 6
TUBE 2,325.00 25 150
DOS 19,500.00 2 12
DOS 175,000.00 1 6
AMP 3,223.00 6 36
TUBE 2,349.00 5 40
DOS 63,360.00 5 50
DOS 184,201.00 1 10
BTL 15,060.00 5 30
BOX 13,900.00 10 60
DOS 445,000.00 5 30
DOS 18,651.00 5 30
BTL 7,497.00 10 60
DOS 84,700.00 1 10
DOS 14,500.00 2 12
DOS 7,700.00 2 15
FLB 24,350.00 3 30
DOS 53,900.00 8 48
DOS 79,200.00 2 15
DOS 29,150.00 10 60
DOS 15,400.00 10 60
DOS 10,200.00 5 50
DOS 10,395.00 20 150
DOS 21,401.00 1 10
BTL 5,885.00 20 200
DOS 30,085.00 2 20
AMP 4,090.00 30 180
DOS 10,560.00 5
DOS 8,900.00 5 50
DOS 148,500.00 1 10
DOS 9,900.00 5 30
DOS 37,490.00 1 20
DOS 1 6
DOS 65,835.00 1 20
BOX 447,500.00 5 30
BTL 11,500.00 10 60
BTL 4,175.00 30 200
DOS 25,801.00 10 60
DOS 50,930.00 10 100
DOS 12,100.00 20 200
DOS 8,500.00 2 15
DOS 112,600.00 1 10
DOS 18,150.00 15 100
DOS 18,200.00 3 18
DOS 59,461.00 1 6
BTL 15,800.00 5 30
AMP 14,300.00 10 100
DOS 12,690.00 5 30
DOS 46,475.00 2 12
DOS 29,700.00 3 18
2 10
DOS 39,960.00 1 10
TAB 1,925.00 90
DOS 14,600.00 2 12
DOS 69,300.00 3 20
TAB 4,731.38 60
BTL 7,630.00 400 2400
DOS 560,000.00 1 5
DOS 4,800.00 2 12
AMP 3,552.23 200
DOS 1 3
BTL 7,150.00 3 25
DOS 120,000.00 1 5
DOS 19,000.00 5 30
TUBE 14,533.00 5 30
TUBE 20,700.00 5 30
BTL 150,697.33 2 15
DOS 22,600.00 5 50
BOX 130,680.00 2 12
AMPUL 184,800.00 5 100
BTL 6,000.00 3 18
DOS 65,340.00 3 18
DOS 21,446.70 2 15
DOS 35,200.00 1 10
DOS 27,500.00 5 60
DOS 165,000.00 3 20
DOS 6,300.00 3 18
DOS 272,250.00 1 10
DOS 50,370.00 3 20
VIAL 213,675.00 20
DOS 66,000.00 3 18
DOS 80,000.00 10 60
DOS 20,020.00 2 20
BOX 66,900.00 2 15
FLS 2,489.00 5 30

TOTAL
 TOTAL YANG BELUM DIPESAN

TOTAL
ANGGARAN 1,100,000,000
BMHP + OBAT

TOTAL BMHP + OBAT

YANG SUDAH
DIPESAN Rp 307,652,651

TOTAL YANG
BELUM DIPESAN Rp 681,719,244
SELISIH Rp 110,628,105
KET : SELISIH UNTUK MENGCOVER BEBERAPA OBAT USULAN YANG TIDAK ADA HARGANYA
JUMLAH HARGA KETERANGAN
160,000.00 BELUM DIPESAN
8,279,916.00 BELUM DIPESAN
2,519,859.00 BELUM DIPESAN
248,000.00 BELUM DIPESAN
200,002.00 BELUM DIPESAN
140,800.00 BELUM DIPESAN
544,500.00 BELUM DIPESAN
6,820,000.00 BELUM DIPESAN
47,500.00 BELUM DIPESAN
50,000.00 BELUM DIPESAN
46,000.00 BELUM DIPESAN
49,000.00 BELUM DIPESAN
80,000.00 BELUM DIPESAN
528,000.00 BELUM DIPESAN
346,775.00 BELUM DIPESAN
1,400,000.00 BELUM DIPESAN
625,328.00 BELUM DIPESAN
289,432.00 BELUM DIPESAN
491,744.00 BELUM DIPESAN
2,754,000.00 BELUM DIPESAN
220,000.00 BELUM DIPESAN
1,377,586.00 BELUM DIPESAN
126,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
525,030.00 BELUM DIPESAN
306,066.00 BELUM DIPESAN
306,066.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
1,254,000.00 BELUM DIPESAN
232,500.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
68,750.00 BELUM DIPESAN
1,866,858.00 BELUM DIPESAN
1,906,098.00 BELUM DIPESAN
907,500.00 BELUM DIPESAN
 940,000.00 BELUM DIPESAN
52,010.00 BELUM DIPESAN
140,810.00 BELUM DIPESAN
140,810.00 BELUM DIPESAN
1,106,400.00 BELUM DIPESAN
1,363,200.00 BELUM DIPESAN
489,500.00 BELUM DIPESAN
240,000.00 BELUM DIPESAN
172,700.00 BELUM DIPESAN
1,036,200.00 BELUM DIPESAN
750,000.00 BELUM DIPESAN
375,000.00 BELUM DIPESAN
244,750.00 BELUM DIPESAN
363,000.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
429,000.00 BELUM DIPESAN
330,000.00 BELUM DIPESAN
330,000.00 BELUM DIPESAN
132,000.00 BELUM DIPESAN
520,000.00 BELUM DIPESAN
352,000.00 BELUM DIPESAN
1,069,200.00 BELUM DIPESAN
339,998.00 BELUM DIPESAN
247,500.00 BELUM DIPESAN
247,500.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
43,000,000.00 BELUM DIPESAN
715,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
11,001,600.00 BELUM DIPESAN
37,500,000.00 BELUM DIPESAN
6,780,901.00 BELUM DIPESAN
874,368.00 BELUM DIPESAN
1,236,760.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
 108,900.00 BELUM DIPESAN
115,500.00 BELUM DIPESAN
115,500.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
960,000.00 BELUM DIPESAN
7,425,000.00 BELUM DIPESAN
1,785,000.00 BELUM DIPESAN
110,000.00 BELUM DIPESAN
306,434.00 BELUM DIPESAN
2,165,000.00 BELUM DIPESAN
1,911,888.00 BELUM DIPESAN
1,520,004.00 BELUM DIPESAN
1,520,000.00 BELUM DIPESAN
1,520,000.00 BELUM DIPESAN
1,911,888.00 BELUM DIPESAN
1,371,135.00 BELUM DIPESAN
1,379,380.00 BELUM DIPESAN
1,379,380.00 BELUM DIPESAN
1,379,380.00 BELUM DIPESAN
3,025,000.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
500,200.00 BELUM DIPESAN
2,283,160.00 BELUM DIPESAN
402,000.00 BELUM DIPESAN
450,114.00 BELUM DIPESAN
450,120.00 BELUM DIPESAN
480,480.00 BELUM DIPESAN
300,000.00 BELUM DIPESAN
444,864.00 BELUM DIPESAN
504,228.00 BELUM DIPESAN
1,017,000.00 BELUM DIPESAN
3,052,350.00 BELUM DIPESAN
362,568.00 BELUM DIPESAN
487,296.00 BELUM DIPESAN
 530,424.00 BELUM DIPESAN
693,576.00 BELUM DIPESAN
1,680,000.00 BELUM DIPESAN
2,412,300.00 BELUM DIPESAN
1,602,700.00 BELUM DIPESAN
1,898,600.00 BELUM DIPESAN
480,508.00 BELUM DIPESAN
2,371,600.00 BELUM DIPESAN
902,575.00 BELUM DIPESAN
1,401,840.00 BELUM DIPESAN
2,452,400.00 BELUM DIPESAN
1,540,000.00 BELUM DIPESAN
13,200.00 BELUM DIPESAN
1,682,865.00 BELUM DIPESAN
543,942.00 BELUM DIPESAN
526,500.00 BELUM DIPESAN
475,368.00 BELUM DIPESAN
475,368.00 BELUM DIPESAN
1,500,000.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
302,500.00 BELUM DIPESAN
352,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
687,500.00 BELUM DIPESAN
192,500.00 BELUM DIPESAN
121,000.00 BELUM DIPESAN
170,500.00 BELUM DIPESAN
622,000.00 BELUM DIPESAN
62,190.00 BELUM DIPESAN
277,200.00 BELUM DIPESAN
161,480.00 BELUM DIPESAN
351,210.00 BELUM DIPESAN
134,200.00 BELUM DIPESAN
177,100.00 BELUM DIPESAN
221,100.00 BELUM DIPESAN
248,600.00 BELUM DIPESAN
661,260.00 BELUM DIPESAN
551,250.00 BELUM DIPESAN
52,140.00 BELUM DIPESAN
110,000.00 BELUM DIPESAN
550,000.00 BELUM DIPESAN
610,400.00 BELUM DIPESAN
2,200,000.00 BELUM DIPESAN
429,660.00 BELUM DIPESAN
396,000.00 BELUM DIPESAN
 332,130.00 BELUM DIPESAN
378,180.00 BELUM DIPESAN
346,500.00 BELUM DIPESAN
401,280.00 BELUM DIPESAN
283,026.00 BELUM DIPESAN
306,132.00 BELUM DIPESAN
378,180.00 BELUM DIPESAN
1,707,448.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
266,442.00 BELUM DIPESAN
277,200.00 BELUM DIPESAN
270,600.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
1,485,000.00 BELUM DIPESAN
180,000.00 BELUM DIPESAN
2,021,250.00 BELUM DIPESAN
650,800.00 BELUM DIPESAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
DIPESAN TAPI TIDAK ADA DI USULAN
75,000.00
200,000.00
50,000.00
100,000.00
400,000.00
400,000.00
400,000.00
400,000.00
150,000.00
100,000.00
5,000.00
750,000.00
150,000.00
135,000.00
200,000.00
 50,000.00
50,000.00
250,000.00
400,000.00
400,000.00
75,000.00
100,000.00
6,000.00
600,000.00
75,000.00
100,000.00
100,000.00
40,000.00

400,000.00
200,000.00
-
-
-

250,484,985.00

USULAN dr.ARFIK
1,080,000.00
8,387,500.00
USULAN dr.ARIS
765,600.00
3,434,060.00
350,460.00
5,544,000.00
2,577,960.00
932,619.60 USULAN dr.ARFIK
3,432,000.00
4,145,625.00
778,500.00
1,316,700.00
549,900.00 USULAN dr.ARFIK
1,560,120.00
1,600,000.00
204,600.00
330,000.00
 56,400.00
700,000.00
261,250.00
2,412,000.00
13,425,000.00
504,000.00
230,640.00
420,300.00
2,673,000.00
574,200.00
381,600.00
2,322,000.00
98,000.00
20,900.00
25,000.00
3,088,800.00
3,000,000.00
469,800.00
576,000.00
146,000.00
1,035,000.00
1,200,000.00
151,212.00
275,000.00
35,000.00
154,500.00

54,000.00
156,000.00
990,000.00
809,900.00
142,020.00
679,400.00
1,515,000.00
2,188,890.00
867,600.00
715,000.00
1,768,560.00
462,000.00
980,100.00
990,000.00
1,153,750.00
891,000.00
251,610.00
284,900.00
 348,480.00
600,000.00
28,200.00
348,750.00
234,000.00
1,050,000.00
116,028.00
93,960.00
3,168,000.00
1,842,010.00
451,800.00
834,000.00
13,350,000.00
559,530.00
449,820.00
847,000.00
174,000.00
115,500.00
730,500.00
2,587,200.00
1,188,000.00
1,749,000.00
924,000.00
510,000.00
1,559,250.00
214,010.00
1,177,000.00
601,700.00
736,200.00
52,800.00
445,000.00
1,485,000.00
297,000.00
749,800.00
USULAN dr.ARFIK
1,316,700.00
13,425,000.00
690,000.00
835,000.00
1,548,060.00
5,093,000.00
2,420,000.00
127,500.00
1,126,000.00
1,815,000.00
 327,600.00
356,766.00
474,000.00
1,430,000.00
380,700.00
557,700.00
534,600.00
USULAN dr.ARFIK
399,600.00
173,250.00
175,200.00 USULAN dr.ARFIK
1,386,000.00
283,882.80
18,312,000.00
2,800,000.00 USULAN dr.ARFIK
57,600.00
710,446.00
USULAN dr.ARFIK
178,750.00
600,000.00
570,000.00
435,990.00
621,000.00
2,260,459.95 USULAN dr.ARFIK
1,130,000.00
1,568,160.00
18,480,000.00
108,000.00
1,176,120.00
321,700.50 USULAN dr.ARFIK
352,000.00
1,650,000.00
3,300,000.00
113,400.00
2,722,500.00
1,007,400.00
4,273,500.00
1,188,000.00
4,800,000.00
400,400.00
1,003,500.00
74,670.00

230,833,669.85
481,318,654.85
 OBAT
HARGA
NO NAMA PERBEKALAN FARMASI SATUAN 12 bulan
SATUAN
1 PSIDII CAP 500MG@50 DOS 272,250.00 18
2 RECOLFAR 0,5 MG (COLCHICINE 0,5 MG) DOS 3
3 THROMBOPHOB GEL @ 20 GR TUBE 43,450.00 6
4 V-BLOC TAB 6,25 MG@30 DOS 30,799.80 20
5 VENARON 300MG CAP@100 DOS 280,500.00 10
6 ALLETROL TM BTL 18,000.00 60
7 AMINORAL CAP DOS 297,000.00 20
8 ANALSIK KAPLET DOS 167,750.00 50
9 APIYALYS 100 ML BTL 12
10 ASCORBIC ACID 500 MG @ 10 INJ DOS 127,600.00 6
11 ATAROC MINI BTL 6
12 ATAROC SYR BTL 6
13 ATRACURIUM BESYLATE 10MG/ML @ 5AMP DOS 44,890.00 20
14 ATROVENT INHAL DOS 3
15 BIOLYSIN SYRUP BOTOL 15,000.00 25
16 BISOLVON 4 MG/2 ML INJ @ 10 AMP DOS 580,880.00 2
17 CENDO GENTAMICIN TM 5 ML BTL 28,091.00 10
18 CENDO LYTERS 15ML BTL 22,275.00 50
19 CENDO XITROL TM BTL 26,977.50 10
20 CLIAD DOS 343,406.00 10
21 CODIPRONT DOS 3
22 COLCHICINE TABLET 0,5MG @ 30 DOS 19,470.00 18
23 DEXKETOPROFEN INJ @ 5 DOS 92,400.00 60
24 DEXKETOPROFEN TAB 25 MG @ 30 DOS 71,610.00 36
25 DOPAMET 250 MG @100 TAB BOX 98,500.10 25
26 DULCOLAX 10MG SUPPO SUPPO 4,325.00 100
27 FARBIVENT/COMBIVENT DOS 69,999.60 3
28 FORASMA/MOLASMA 2,5 MG TAB @ 50 TAB DOS 4,450.00 3
29 FRIDEP 25 MG DOS 3
30 GASTRUL 200 UG TAB @ 30 TAB/MISOPROSTOL TAB DOS 341,550.00 20
31 HARNAL D @ 28 TAB DOS 218,064.00 20
32 HEPTASAN 4MG TAB DOS 25,400.00 6
33 INVICOLT INJ VIAL 46,630.98 20
34 KALIUM DIKLOFENAK 50MG TAB @ 100 DOS 42,900.00 80
35 KALNEX TAB 500MG @ 100 DOS 165,825.00 25
36 KENALOG IN ORABASE 5 GR TUBE 63,250.00 10
37 KETAMIN INJ 100MG/ML VIAL 13,778.00 30
38 KOMPOLAX SUSP BTL 5,190.00 150
39 L-BIO @ 30 SACH DOS 219,450.00 6
40 MALTOVER CHEW TAB @ 30 TAB DOS 83,078.00 6
41 MEDIAMER B6 DOS 6
42 MEGABAL CAP 500MG @ 100 DOS 54,990.00 10
43 MELOXICAM 7,5MG TAB@50 DOS 13,001.00 120
44 MELOXICAM TAB 15MG @ 50 TAB DOS 20,900.00 120
45 MICROLAX ENEMA TUBE 25,000.00 18
46 NEPHROLIT CAP @100CAP DOS 49,500.00 6
47 ACARBOSE TAB 50MG @100 DOS 58,500.00 20
48 ACETYLCYSTEIN CAPS 200MG @ 60 DOS 18,060.00 100
49 ACYCLOVIR 400MG @50 TAB DOS 31,210.00 12
50 ACYCLOVIR CREAM@5GRAM TUBE 3,850.00 50
51 AMBROXOL 125MG/5ML BTL 3,410.00 60
52 AMBROXOL 30MG DOS 11,000.00 30
53 AMINOPHYLLINE 200MG TAB @100 DOS 9,400.00 6
54 AMLODIPINE 10MG TAB @50 DOS 7,000.00 100
55 AMOKSISILIN 125 MG/5ML BTL 60 ML BTL 5,225.00 50
56 AMOXICILLIN KAPLET 500MG @ 200 DOS 40,200.00 60
57 APIDRA SOLOSTAR/ 5 PEN DOS 447,500.00 30
58 ASAM FOLAT ( FOLIC ACID ) 1MG @100TAB DOS 5,600.00 90
59 ASAM VALPROAT SYR BTL 11,532.00 20
60 ATORVASTATIN 20MG TAB @ 30TAB DOS 14,010.00 30
61 AVAMYS NASAL SPRAY BTL 115,400.00 3
62 BENEURON TAB @ 100 TAB DOS 44,550.00 60
63 BETAMETHASONE DIPROP CR 10 GRAM TUBE 1,540.00 30
64 B-FLUID FLB 76,300.40 50
65 BIOPLACENTON 15GR TUBE 24,200.00 36
66 BISAKODIL TAB 5 MG @ 30 TAB DOS 11,220.00 20
67 CALCII GLUCONAS 10% INJ DOS 137,352.00 3
68 CALCIUM CARBONATE 500MG @ 30 DOS 15,000.00 30
69 CALSIUM LACTAT 500MG @100 TAB DOS 6,001.00 30
70 CANDESARTAN 16 @30 TAB DOS 9,570.00 60
71 CANDESARTAN 8 @30 TAB DOS 6,360.00 60
72 CEFADROXIL KAPS 500MG @ 100 KAPS DOS 63,000.00 40
73 CEFIXIME 100 MG @ 50 CAPLET DOS 19,350.00 120
74 CEFIXIME DS 100MG/5ML-30ML BOTOL 4,723.00 60
75 CEFTAZIDIME INJ 1 GRAM @10 VIAL DOS 65,970.40 20
76 CEPEZET TAB 100MG @ 100 DOS 24,750.00 3
77 CETIRIZINE CAP@100 DOS 4,900.00 20
78 CETIRIZINE SYR 5MG/5ML BTL 2,090.00 10
79 CHLORPHENIRAMIN MALEAT 4MG @ 100TAB DOS 2,500.00 10
80 CITICOLINE 500MG TAB @ 30TAB DOS 128,700.00 24
81 CITICOLINE INJ 500MG/4ML @ 5AMP DOS 60,000.00 50
82 CLINDAMYCIN 150MG @50 DOS 35,838.00 18
83 CLINDAMYCIN KAPS 300MG @ 50 KAPS DOS 26,100.00 18
84 CLOBAZAM 10MG @100 TAB DOS 38,400.00 15
85 CLONIDIN 0.15MG @100 TAB DOS 14,600.00 10
86 CLOPIDOGREL TAB 75MG@30 DOS 17,250.00 60
 87 CO AMOXICLAV 625MG TAB @30 DOS 132,500.00 36
88 CODEIN 10 MG TAB @ 100TAB DOS 60,000.00 20
89 CODEIN 20 MG TAB @ 100TAB DOS 136,000.00 20
90 COTRIMOXAZOL 480MG @100TAB BTL 12,601.00 12
91 DESOXIMETASONE CREAM 10 GRAM TUBE 8,998.00 30
92 DEXAMETHASONE 0,5MG TAB @ 200 DOS 13,750.00 20
93 DEXTROSE 5%+0.225NK (UNICAP) @ 20 DOS 194,480.00 2
94 DIAZEPAM 2MG TAB @ 100TAB DOS 7,000.00 5
95 DIAZEPAM INJ 5MG/ML@ 10AMP DOS 15,450.00 10
96 DIAZEPAM SUPPOSITORIA SUPPO 10
97 DIAZEPAM TAB 5MG @ 100 TAB DOS 10,800.00 5
98 DIVALPROEX SODIUM ER TABLET 500 MG @ 100 DOS 142,100.00 10
99 DIVALPROEX SODIUM TABLET 250 MG @ 100 DOS 99,000.00 10
100 DOBUTAMINE 50MG/ML-5ML@5AMP DOS 40,495.00 20
101 DOMPERIDON TAB @ 100 TAB DOS 7,101.00 20
102 DOPAMINE HCL INJ 200MG / 5ML @ 10 BOX 33,970.00 20
103 EPERISONE TAB 50MG @ 100TAB DOS 106,535.00 24
104 EPINEPHRINE 0.1%INJ@100AMP DOS 151,500.00 10
105 FARBION 5000 INJ DOS 24,321.00 90
106 FARGOXIN INJ 0.25MG/ML @ 5 AMP DOS 261,250.00 10
107 FENOFIBRATE CAP 300MG @30 DOS 43,380.00 20
108 FENTANYL INJ 0.05 MG/ML AMPUL AMPUL 26,928.00 30
109 FIBRION 1.500.000IU INJ VIAL 3,400,000.00 3
110 FINASTERIDE 5MG TABLET BOX 61,600.00 4
111 FLEET ENEMA BTL 35,750.00 20
112 FLIXOTIDE NEBULES @10 DOS 147,380.00 12
113 FLUCONAZOLE 150MG @10 TAB DOS 187,200.00 6
114 FLUNARIZINE HCL 5MG TAB @40 DOS 38,500.00 12
115 FURAMIN INJ @ 5 AMP DOS 54,450.00 18
116 FUROSEMID 40MG @100 DOS 19,800.00 50
117 FUROSEMIDE INJ 10MG/ML -2ML @25AMP DOS 23,075.00 50
118 GABAPENTIN 100MG @ 50 DOS 49,500.00 18
119 GENOINT TM 0,3% @ 5ML BOTOL 8,387.00 30
120 GENTAMICIN 80MG/2ML INJ @5 AMP DOS 17,000.00 12
121 GENTAMICIN SALEP KULIT TUBE 2,849.00 100
122 GENTAMICIN SALEP MATA TUBE 2,665.00 60
123 GLIKUIDON TABLET DOS 80,000.00 60
124 GLIMEPIRIDE 4MG TAB @ 50 TAB DOS 33,000.00 12
125 GLIMEPIRIDE TAB 1MG @100 DOS 9,300.00 12
126 GLIMEPIRIDE TAB 3MG @100 DOS 14,300.00 18
127 GLUCOSAMINE 250MG TAB@60 DOS 29,040.00 12
128 GUAIFENESIN TAB 100MG @ 100 TAB DOS 10,000.00 60
129 HALOPERIDOL TAB 0.5MG @ 100TAB DOS 4,700.00 6
130 HYDROCLORTIAZIDE (HCT 25MG) @100 DOS 14,801.00 10
131 HYDROCORTISON 2,5% TUBE 5 G TUBE 2,325.00 150
132 IBUPROFEN 400MG TAB @100 DOS 19,500.00 12
133 ISOSORBID DINITRAT INJ 1MG/ML @ 10AMP DOS 175,000.00 6
134 KCL 7.46 AMP 3,223.00 36
135 KETOCONAZOLE TABLET 200MG @ 100 DOS 25,200.00 10
136 KETOKONAZOLE 2% CREAM @ 10GR TUBE 2,349.00 40
137 KETOPROFEN TAB 50 MG @ 100 DOS 63,360.00 50
138 KSR 600 MG TABLET 600 MG DOS 184,201.00 10
139 LAKTULOSA SYRUP @ 60 ML BTL 15,060.00 30
140 LANSOPRAZOL 30MG KAPSUL @50 KAPS BOX 13,900.00 60
141 LANTUS SOLOSTAR FLEXPEN @5 FLP DOS 445,000.00 30
142 LEVOFLOKSASIN TAB 500MG @ 50 TAB DOS 18,651.00 30
143 LEVOFLOXACIN INFUS BTL 7,497.00 60
144 LEVOTHYROXINE 100 MCG @ 30 TAB DOS 26,700.00 18
145 LIDOCAIN 2%INJ 20MG/ML -2ML @100AMP DOS 84,700.00 10
146 LIPARIN CAPSUL @ 60 KAPSUL 6,897.00 180
147 LISINOPRIL TAB 5MG @ 100 DOS 14,500.00 12
148 LOPERAMIDE 2MG TAB@100 DOS 7,700.00 15
149 LORATADIN TAB 10MG @ 100 DOS 10,900.00 10
150 MANITOL 20% 250ML FLB 24,350.00 30
151 MECOBALAMIN CAP 500MG @ 100 CAP DOS 53,900.00 48
152 MECOBALAMIN INJ 500 DOS 79,200.00 15
153 METAMIZOLE SODIUM TAB 500 MG @ 100 TAB DOS 29,150.00 60
154 METFORMIN 500 MG @200 DOS 15,400.00 60
155 METHYL PREDNISOLONE 4MG @100TAB DOS 10,200.00 50
156 METHYLERGOMETRINE MALEAT 0,2MG/ML @ 25 DOS 25,575.00 10
157 METHYLPREDNISOLON INJ 125MG@1VIAL DOS 10,395.00 150
158 METILERGOMETRIN 0,125 MG STRIP 10 X 10 TABLET DOS 21,401.00 10
159 METOCLOPRAMIDE 10MG @100TAB DOS 11,700.00 6
160 METOCLOPRAMIDE 5MG/ML -2ML @10AMP DOS 39,601.00 18
161 METRONIDAZOL 5 MG/ML BTL 100 ML BTL 5,885.00 200
162 METRONIDAZOL 500 MG KTK 100TAB DOS 30,085.00 20
163 MgSO4 40% INJ AMP 4,090.00 180
164 MICONAZOL 2% TUBE 10 GR TUBE 1,900.00 30
165 MICROGEST 100 MG@30 DOS 10,560.00 5
166 MIDAZOLAM HCL 1MG/ML @ 10 DOS 44,440.00 10
167 MINIASPI 80 MG @ 100TAB DOS 8,900.00 50
168 NACL 1000 ML 0,9% DOS 148,500.00 10
169 NACL 3% ( OTSU SALID ) PLB 29,576.00 20
170 NATRIUM DICLOFENAC TAB 50MG @ 100TAB DOS 9,900.00 30
171 NATRIUM PHENYTOIN 50MG/ML-2ML@10AMP DOS 33,000.00 15
172 NEW DIATABS TAB DOS 55,715.00 25
173 NICARDIPINE INJ 10MG @ 5 AMP DOS 37,490.00 20
174 NIFEDIPIN 10MG TAB DOS 22,018.00 12
175 NOREPINEPHRINE BITARTRATE INJ 4MG/4ML @ 5 DOS 65,835.00 20
176 NOVORAPID FLEXPEN@5FLEXPEN BOX 447,500.00 30
177 NYSTATIN 100.000IU/ML DROP BTL 11,500.00 60
178 OBH 100ML ( IKA-K ) BTL 4,175.00 200
179 OMEPRAZOLE CAPS 20MG @ 200 DOS 25,801.00 60
180 OMEPRAZOLE INJ @ 10VIAL DOS 50,930.00 100
181 ONDANCETRON 4MG INJ @10 AMP DOS 12,100.00 200
182 ONDANCETRON 8MG/4ML INJ @10AMP DOS 35,200.00 50
183 ONDANCETRON TAB 8MG @ 30 TAB DOS 9,000.00 12
184 ONDANSENTRON 4 MG TAB @30 DOS 8,500.00 15
185 OXYTOCIN"S" 10IU/ML INJ@100AMP DOS 112,600.00 10
186 PARACETAMOL TAB 500MG @ 100 TAB DOS 18,150.00 100
187 PHENOBARBITAL 30MG TAB @ 100 TAB DOS 18,200.00 18
188 PHENOBARBITAL INJ 50MG/ML @ 30 AMPL DOS 59,461.00 6
189 PHENYTOIN 100MG @100CAP BTL 15,800.00 30
190 PHENYTOIN INJ AMP 14,300.00 100
191 PIOGLITAZONE 30 MG TAB @ 30 DOS 22,410.00 30
192 PIOGLITAZONE TAB 15MG @ 30 TAB DOS 12,690.00 30
193 PIRACETAM 3GR/15ML INJ@10AMP DOS 63,631.00 18
194 PIRACETAM CAPL 800MG @ 100 KAPL DOS 46,475.00 12
195 PIRACETAM INJ 1 GRAM @ 10 AMP DOS 29,700.00 18
196 PIRACETAM KAPS 1200MG @ 100 KAPS DOS 116,424.00 6
197 PIRANTEL PAMOAT 125 MG 10
198 PROPANOLOL 10MG @ 100 DOS 5,600.00 18
199 PROPOFOL INJ 20 ML @ 5 AMPUL DOS 55,275.00 10
200 PROPYLTHIOURACIL 100MG @100TAB BTL 38,500.00 12
201 PROTOFEN SUPP 100MG DOS 39,960.00 10
202 PROVE D3-1000 IU TAB @30 TAB TAB 1,925.00 90
203 RAMIPRIL 10 MG DOS 71,000.00 6
204 RAMIPRIL 5 MG @ 100 TAB DOS 14,600.00 12
205 REBAMIPIDE 100MG TAB @ 30 DOS 69,300.00 20
206 RIFASTAR CAP @ 30 CAP TAB 4,731.38 60
207 RL 500ML BTL 7,630.00 2400
208 RYZODEG FLEX TOUCH @ 5 DOS 560,000.00 5
209 SALBUTAMOL 2MG@100TAB DOS 4,800.00 12
210 SALBUTAMOL 4 MG STRIP 10 X 10 DOS 13,180.00 12
211 SANSULIN LOG-G DISPOPEN@5PEN DOS 445,000.00 6
212 SANTAGESIX INJ @5 AMP AMP 3,552.23 200
213 SCOPMA TABLET DOS 130,000.00 5
214 SIBITAL INJ 200MG/2ML@10AMP DOS 116,600.00 10
215 SISTENOL KAPL@60 DOS 130,680.00 18
216 SODIUM BICARBONAT 500MG (BIC NAT) BTL 7,150.00 25
217 SPASMINAL TABLET @100 DOS 120,000.00 5
218 SPIRONOLACTON TAB 25MG @ 100TAB DOS 19,000.00 30
219 SPIRONOLACTONE TAB 100MG @ 100 TAB DOS 53,000.00 12
220 STESOLID RECTAL 5MG/2.5ML TUBE 14,533.00 30
221 SULFADIAZINE SILVER TUBE 20,700.00 30
222 SULFITIS 500MG @30TAB DOS 78,650.00 6
223 SYMBICORT TURB 160 BTL 150,697.33 15
224 TABLET TAMBAH DARAH @ 100 DOS 22,600.00 50
225 TAMSULOSIN 0.4MG TABLET @30 TAB/DOS BOX 130,680.00 12
226 THROMBOGEL @ 10 GRAM TUBE 37,950.00 25
227 TIZANIDINE 2 MG TAB @ 30TAB DOS 65,340.00 18
228 TRAMADOL 50 MG/ML 2 ML@5 AMP DOS 21,446.70 15
229 TRAMADOL KAPS 50MG @ 50 KAPS DOS 35,200.00 10
230 TRANEXAMIC ACID INJ 10% 500MG/5ML @10 DOS 27,500.00 60
231 TREMENZA TAB DOS 165,000.00 20
232 TRIAMCINOLON 4 MG TAB DOS 94,000.00 6
233 TRIHEXYPHENIDIL 2MG @100TAB DOS 6,300.00 18
234 URINTER 400 MG KAPSUL 400 MG DOS 272,250.00 10
235 URISPAS 200 MG DOS 159,362.40 10
236 URSODEOXYCHOLIC ACID 250MG TAB DOS 50,370.00 20
237 VASOLA INJ 2,5 MG/0,5 ML @ 5 VIAL VIAL 213,675.00 20
238 VENTOLIN INHALER DOS 66,000.00 18
239 VENTOLIN NEBULES 2,5MG @20 DOS 80,000.00 60
240 VITAMIN A 200.000 IU BTL 551.00 100
241 VITAMIN B1 50MG @ 100TAB DOS 9,100.00 20
242 VITAMIN B12 50 MCG @ 100TAB DOS 4,300.00 20
243 VITAMIN B6 10MG TAB @200 TABLET DOS 13,400.00 20
244 VITAMIN C 250MG TAB @ 100 DOS 20,020.00 20
245 WARFARIN SODIUM 2MG TAB @100 TAB BOX 66,900.00 15
246 ZINC SULPATE SYRUP 60ML FLS 2,489.00 30

TOTAL

BMHP
HARGA
NO NAMA PERBEKALAN FARMASI SATUAN 12 bulan
SATUAN
1 ABBOCAT-T NO.14 PCS 16,000.00 10
2 ALKACIDE 1 LTR BTL 2,759,972.00 3
3 ALKAZYME 25MG SAK 839,953.00 3
4 BLOOD LANCET 26G BIJI 124.00 2000
5 BLOODSTOP BS-10 5X5CM DOS 100,001.00 2
6 CANOFIX-PU 6X8CM PCS 6,820.00 1000
7 CAPSUL KOSONG NO 1 SAK 47,500.00 1
8 CAPSUL KOSONG NO. 0 ZAK 50,000.00 1
9 CAPSUL KOSONG NO. 3 ZAK 46,000.00 1
10 CAPSUL KOSONG NO.2 ZAK 49,000.00 1
11 CAPSUL KOSONG NO.OO ZAK 80,000.00 1
12 CATHEJELL 12.5G PCS 44,000.00 12
13 CERPLAST AFL 50 X 100 @ 5UNIT BOX 346,775.00 1
14 CUTICELL 10CM X 10CM (E) SAC 7,000.00 200
15 DERMAFIX-T 10 X 25 PCS 13,770.00 200
16 E-CARE HANDSCRUB @ 5 LTR BTL 688,793.00 2
17 ETHYL CHLORIDE 100ML BTL 175,010.00 3
18 ETT CLEAR PROF SEAL 2,5 PCS 51,011.00 6
19 ETT CLEAR PROF SEAL 3.5 PCS 51,011.00 6
20 ETT CLEAR PROF SEAL 5,5 PCS 83,600.00 6
21 ETT CLEAR PROF SEAL 7 PCS 83,600.00 15
22 ETT CLEAR PROF SEAL 7,5 PCS 15,500.00 15
23 ETT CLEAR PROF SOFT SEAL 5 PCS 83,600.00 6
24 ETT CLEAR PROF SOFT SEAL 6,5 PCS 83,600.00 6
25 ETT HIDUNG NO.20 PCS 859,275.00 1
26 ETT HIDUNG NO.22 PCS 859,275.00 1
27 ETT HIDUNG NO.24 PCS 859,275.00 1
28 ETT HIDUNG NO.26 PCS 859,275.00 1
29 ETT HIDUNG NO.30 PCS 859,275.00 1
30 ETT NO. 3 PCS 68,750.00 1
31 ETT REINFORCED CUFF 7 PCS 311,143.00 6
32 ETT REINFORCED CUFF 7,5 PCS 317,683.00 6
33 EXTENSION LINE WITH 3-WAY PCS 18,150.00 50
34 EXTENTION TUBE 150CM PCS 9,400.00 100
35 FEDDING TUBE NO.3,5 PCS 5,201.00 10
36 FEDDING TUBE NO.5 (100) PCS 14,081.00 10
37 FEDDING TUBE NO.8 (100) PCS 14,081.00 10
38 FM CREPE 10CM 4" ROL 46,100.00 24
39 FM CREPE 15CM 6" ROL 56,800.00 24
40 FOLLY CATH 2-WAY NO.10 PCS 24,475.00 20
41 FOLLY CATH 2-WAY NO.12 PCS 12,000.00 20
42 FOLLY CATH 2-WAY NO.14 PCS 8,635.00 20
43 FOLLY CATH 2-WAY NO.16 PCS 8,635.00 120
44 FOLLY CATH 2-WAY NO.18 PCS 12,500.00 60
45 FOLLY CATH 2-WAY NO.20 PCS 12,500.00 30
46 FOLLY CATH 2-WAY NO.8 PCS 24,475.00 10
47 FOLLY CATH 3-WAY NO.20 PCS 36,300.00 10
48 FOLLY CATH 3-WAY NO.22 PCS 44,000.00 10
49 FOLLY CATH 3-WAY NO.24 PCS 44,000.00 10
50 FOLLY CATH SILICONE NO.14 PCS 137,500.00 3
51 FOLLY CATH SILICONE NO.16 PCS 143,000.00 3
52 GELANG ID BAYI BIRU PCS 825.00 300
53 GELANG ID BAYI PINK PCS 825.00 300
54 GELANG ID DEWASA BIRU PCS 825.00 500
55 GELANG ID DEWASA PINK PCS 825.00 500
56 GELANG ID PUTIH DEWASA PCS 935.00 300
57 HANDSCOON NITRIL NON STERIL @ 100 DOS 143,000.00 5
 58 INTRASITE GEL 15G/1X10 TUBE 61,838.00 20
59 JARUM HETTING 28 1/2 C CUTTING PCS 9,075.00 12
60 JARUM HETTING 28 1/2C TAPPER PCS 9,075.00 12
61 JARUM HETTING 32 1/2C CUTTING PCS 9,075.00 12
62 JARUM HETTING 32 1/2C TAPPER PCS 9,075.00 12
63 JARUM HETTING 32 3/8 CUTTING PCS 9,075.00 12
64 JARUM HETTING 32 3/8C TAPPER PCS 9,075.00 12
65 JARUM HETTING 36 1/2C CUTTING PCS 9,075.00 12
66 JARUM HETTING 36 1/2C TAPPER PCS 9,075.00 12
67 JARUM HETTING 40 1/2C CUTTING PCS 9,625.00 12
68 JARUM HETTING 40 3/8C TAPPER PCS 9,625.00 12
69 JARUM HETTING 41 1/2C CUTTING PCS 9,075.00 12
70 JARUM HETTING 41 1/2C TAPPER PCS 9,075.00 12
71 JARUM HETTING 41 3/8C CUTING PCS 9,075.00 12
72 JARUM HETTING 45 1/2C CUTTING PCS 9,075.00 12
73 JARUM HETTING 45 1/2C TAPPER PCS 9,075.00 12
74 JARUM HETTING 50 1/2C TAPPER PCS 9,075.00 12
75 JARUM HETTING 501/2C CUTTING PCS 9,075.00 12
76 JARUM HETTING 55 1/2C CUTTING PCS 9,075.00 12
77 JARUM HETTING 55 1/2C TAPPER PCS 9,075.00 12
78 JELLY USG 250ML TUBE 16,000.00 60
79 KASA LIPAT 5X12 @ 50 PAK 24,750.00 300
80 KASA STERIL BOX 5,950.00 300
81 KERTAS PUYER PAK 11,000.00 10
82 LEUKOMED 7,2CMX5CM DOS 153,217.00 2
83 LEUKOPLAST 1625H (E) ROL 43,300.00 50
84 MESS NO.10 PCS 2,501.00 100
85 MESS NO.11 PCS 2,501.00 100
86 MESS NO.12 PCS 2,501.00 100
87 MESS NO.15 PCS 2,501.00 100
88 MESS NO.20 PCS 2,501.00 200
89 PEN NEEDLE 31GX5MM DOS 169,500.00 6
90 PHARMAFIX 10X500CM DOS 61,047.00 50
91 POLIBAN 10 CM ( 4' ) ROLL 15,107.00 24
92 POLIBAN 15CM (6") ROLL 20,304.00 24
93 POLIGYP 10CM X 2,7M (4") E ROLL 22,101.00 24
94 POLIGYP 15CM 6" ROL 28,899.00 24
95 POT SPUTUM ONEMED 90GR PCS 2,400.00 700
96 POT URIN EKOMED 65 GR PCS 2,193.00 1100
97 PRECISION SOL.ADM (TERUMO) PCS 49,048.00 50
98 PULVIRIZER-S SET 1,540,000.00 1
99 RECTAL TUBE 40CM NO.22 PCS 6,600.00 2
100 RED DOT ELECTRODE BAG 112,191.00 15
101 SPALK FRAKTUR 30 CM PCS 28,050.00 10
102 SPALK FRAKTUR 40 CM PCS 30,250.00 10
103 SPALK FRAKTUR 50CM PCS 35,200.00 10
104 SPALK FRAKTUR 60 CM PCS 41,250.00 10
105 SPALK FRAKTUR 90 CM PCS 68,750.00 10
106 SPALK TALI M PCS 19,250.00 10
107 SPALK TALI S PCS 12,100.00 10
108 SPALK TANPA TALI L PCS 17,050.00 10
109 SPINOCAN 25 G PCS 31,100.00 20
110 SPUID 20 CC LP PCS 2,073.00 30
111 SPUID 50 CC TERUMO LP PCS 6,930.00 40
112 SPUID 60ML TERUMO LT PCS 11,707.00 30
113 STOMACH TUBE NO.12 PCS 11,055.00 20
114 STOMACH TUBE NO.14 PCS 12,430.00 20
115 STOMACH TUBE NO.16 PCS 11,021.00 60
116 STOMACH TUBE NO.18 PCS 11,025.00 50
117 SUCTION CATHETER NO.10 PCS 2,607.00 20
118 SUCTION CATHETER NO.12 PCS 5,500.00 20
119 SUCTION CATHETER NO.8 PCS 5,500.00 100
120 SURFLO W NO.26 PCS 12,208.00 50
121 T-CHROMIC 1 (C55) 90CM PCS 71,610.00 6
122 T-CHROMIC 2 ( C99X ) 150CM PCS 66,000.00 6
123 T-CHROMIC 2 (C29) 90CM PCS 55,355.00 6
124 T-CHROMIC 2-0 (C27) 90CM PCS 63,030.00 6
125 T-CHROMIC 3-0 (C43) 90CM PCS 57,750.00 6
126 T-CHROMIC 3-0 (C44X) PCS 66,880.00 6
127 T-CHROMIC 3-0(C43X) 75CM PCS 47,171.00 6
128 T-CHROMIC 4-0 (C56) E PCS 51,022.00 6
129 T-CHROMIC O (C58) PCS 63,030.00 6
130 T-SILK 2-0 (S24) E PCS 44,407.00 6
131 T-SILK 2-0 (S25) E PCS 46,200.00 6
132 T-SILK 3-0 (S21) E CUTTING PCS 45,100.00 6
133 T-SILK 3-0 (S22) E TAPPER PCS 46,750.00 6
134 UMBILICAL CORD NYLON PCS 1,800.00 100
135 UNDERPAD @ 10PCS PAK 40,425.00 50
136 VERBAN 10CM (E) ROLL 1,627.00 400

TOTAL
AT
JUMLAH HARGA KETERANGAN

4,900,500.00
USULAN dr.ARFIK
260,700.00 USULAN dr.ARFIK
615,996.00 USULAN dr.ARFIK
2,805,000.00
1,080,000.00
5,940,000.00
8,387,500.00
USULAN dr.ARIS
765,600.00
USULAN dr.ARIS
USULAN dr.ARIS
897,800.00
USULAN dr. ARFIK
375,000.00
1,161,760.00
280,910.00
1,113,750.00
269,775.00
3,434,060.00
0.00 USULAN dr.ARFIK >>> E-KAT CODEIN
350,460.00
5,544,000.00
2,577,960.00
2,462,502.50 USULAN dr.ARFIK
432,500.00
209,998.80 USULAN dr.ARFIK
13,350.00 USULAN dr.ARFIK
USULAN dr.ARFIK
6,831,000.00
4,361,280.00 USULAN dr.ARFIK
152,400.00
932,619.60 USULAN dr.ARFIK
3,432,000.00
4,145,625.00
632,500.00 USULAN dr.ARFIK
413,340.00
778,500.00
1,316,700.00
498,468.00
0.00 USULAN dr.ARFIK
 549,900.00 USULAN dr.ARFIK
1,560,120.00
2,508,000.00
450,000.00
297,000.00
1,170,000.00
1,806,000.00
374,520.00
192,500.00
204,600.00
330,000.00
56,400.00
700,000.00
261,250.00
2,412,000.00
13,425,000.00
504,000.00
230,640.00
420,300.00
346,200.00
2,673,000.00
46,200.00
3,815,020.00 USULAN dr.ARFIK
871,200.00
224,400.00
412,056.00
450,000.00
180,030.00
574,200.00
381,600.00
2,520,000.00
2,322,000.00
283,380.00
1,319,408.00
74,250.00
98,000.00
20,900.00
25,000.00
3,088,800.00
3,000,000.00
645,084.00
469,800.00
576,000.00
146,000.00
1,035,000.00
 4,770,000.00
1,200,000.00
2,720,000.00
151,212.00
269,940.00
275,000.00
388,960.00 D1/4 NS
35,000.00
154,500.00

54,000.00
1,421,000.00
990,000.00
809,900.00
142,020.00
679,400.00
2,556,840.00
1,515,000.00
2,188,890.00
2,612,500.00
867,600.00
807,840.00
10,200,000.00
246,400.00
715,000.00
1,768,560.00
1,123,200.00
462,000.00
980,100.00
990,000.00
1,153,750.00
891,000.00
251,610.00
204,000.00
284,900.00
159,900.00
4,800,000.00
396,000.00
111,600.00
257,400.00
348,480.00
600,000.00
28,200.00
148,010.00
348,750.00
 234,000.00
1,050,000.00
116,028.00
252,000.00
93,960.00
3,168,000.00
1,842,010.00
451,800.00
834,000.00
13,350,000.00
559,530.00
449,820.00
480,600.00
847,000.00
1,241,460.00
174,000.00
115,500.00
109,000.00
730,500.00
2,587,200.00
1,188,000.00
1,749,000.00
924,000.00
510,000.00
255,750.00
1,559,250.00
214,010.00
70,200.00
712,818.00
1,177,000.00
601,700.00
736,200.00
57,000.00
52,800.00
444,400.00
445,000.00
1,485,000.00
591,520.00
297,000.00
495,000.00
1,392,875.00
749,800.00
264,216.00
1,316,700.00
13,425,000.00
 690,000.00
835,000.00
1,548,060.00
5,093,000.00
2,420,000.00
1,760,000.00
108,000.00
127,500.00
1,126,000.00
1,815,000.00
327,600.00
356,766.00
474,000.00
1,430,000.00
672,300.00
380,700.00
1,145,358.00
557,700.00
534,600.00
698,544.00
USULAN dr.ARFIK
100,800.00
552,750.00
462,000.00
399,600.00
173,250.00
426,000.00 USULAN dr.ARFIK
175,200.00 USULAN dr.ARFIK
1,386,000.00
283,882.80
18,312,000.00
2,800,000.00 USULAN dr.ARFIK
57,600.00
158,160.00
2,670,000.00 USULAN dr.ARFIK
710,446.00
650,000.00
1,166,000.00
2,352,240.00
178,750.00
600,000.00
570,000.00
636,000.00
435,990.00
621,000.00
 471,900.00
2,260,459.95 USULAN dr.ARFIK
1,130,000.00
1,568,160.00
948,750.00
1,176,120.00
321,700.50 USULAN dr.ARFIK
352,000.00
1,650,000.00
3,300,000.00
564,000.00
113,400.00
2,722,500.00
1,593,624.00 USULAN dr.ARFIK
1,007,400.00
4,273,500.00
1,188,000.00
4,800,000.00
55,100.00
182,000.00
86,000.00
268,000.00
400,400.00
1,003,500.00
74,670.00

320,391,403.15

HP
JUMLAH HARGA KETERANGAN

160,000.00 BELUM DIPESAN

8,279,916.00 BELUM DIPESAN
2,519,859.00 BELUM DIPESAN
248,000.00 BELUM DIPESAN
200,002.00 BELUM DIPESAN
6,820,000.00 BELUM DIPESAN
47,500.00 BELUM DIPESAN
50,000.00 BELUM DIPESAN
46,000.00 BELUM DIPESAN
49,000.00 BELUM DIPESAN
80,000.00 BELUM DIPESAN
528,000.00 BELUM DIPESAN
 346,775.00 BELUM DIPESAN
1,400,000.00 BELUM DIPESAN
2,754,000.00 BELUM DIPESAN
1,377,586.00 BELUM DIPESAN
525,030.00 BELUM DIPESAN
306,066.00 BELUM DIPESAN
306,066.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
1,254,000.00 BELUM DIPESAN
232,500.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
501,600.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
859,275.00 BELUM DIPESAN
68,750.00 BELUM DIPESAN
1,866,858.00 BELUM DIPESAN
1,906,098.00 BELUM DIPESAN
907,500.00 BELUM DIPESAN
940,000.00 BELUM DIPESAN
52,010.00 BELUM DIPESAN
140,810.00 BELUM DIPESAN
140,810.00 BELUM DIPESAN
1,106,400.00 BELUM DIPESAN
1,363,200.00 BELUM DIPESAN
489,500.00 BELUM DIPESAN
240,000.00 BELUM DIPESAN
172,700.00 BELUM DIPESAN
1,036,200.00 BELUM DIPESAN
750,000.00 BELUM DIPESAN
375,000.00 BELUM DIPESAN
244,750.00 BELUM DIPESAN
363,000.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
440,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
429,000.00 BELUM DIPESAN
247,500.00 BELUM DIPESAN
247,500.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
715,000.00 BELUM DIPESAN
1,236,760.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
115,500.00 BELUM DIPESAN
115,500.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
108,900.00 BELUM DIPESAN
960,000.00 BELUM DIPESAN
7,425,000.00 BELUM DIPESAN
1,785,000.00 BELUM DIPESAN
110,000.00 BELUM DIPESAN
306,434.00 BELUM DIPESAN
2,165,000.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
250,100.00 BELUM DIPESAN
500,200.00 BELUM DIPESAN
1,017,000.00 BELUM DIPESAN
3,052,350.00 BELUM DIPESAN
362,568.00 BELUM DIPESAN
487,296.00 BELUM DIPESAN
530,424.00 BELUM DIPESAN
693,576.00 BELUM DIPESAN
1,680,000.00 BELUM DIPESAN
2,412,300.00 BELUM DIPESAN
2,452,400.00 BELUM DIPESAN
1,540,000.00 BELUM DIPESAN
13,200.00 BELUM DIPESAN
1,682,865.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
302,500.00 BELUM DIPESAN
 352,000.00 BELUM DIPESAN
412,500.00 BELUM DIPESAN
687,500.00 BELUM DIPESAN
192,500.00 BELUM DIPESAN
121,000.00 BELUM DIPESAN
170,500.00 BELUM DIPESAN
622,000.00 BELUM DIPESAN
62,190.00 BELUM DIPESAN
277,200.00 BELUM DIPESAN
351,210.00 BELUM DIPESAN
221,100.00 BELUM DIPESAN
248,600.00 BELUM DIPESAN
661,260.00 BELUM DIPESAN
551,250.00 BELUM DIPESAN
52,140.00 BELUM DIPESAN
110,000.00 BELUM DIPESAN
550,000.00 BELUM DIPESAN
610,400.00 BELUM DIPESAN
429,660.00 BELUM DIPESAN
396,000.00 BELUM DIPESAN
332,130.00 BELUM DIPESAN
378,180.00 BELUM DIPESAN
346,500.00 BELUM DIPESAN
401,280.00 BELUM DIPESAN
283,026.00 BELUM DIPESAN
306,132.00 BELUM DIPESAN
378,180.00 BELUM DIPESAN
266,442.00 BELUM DIPESAN
277,200.00 BELUM DIPESAN
270,600.00 BELUM DIPESAN
280,500.00 BELUM DIPESAN
180,000.00 BELUM DIPESAN
2,021,250.00 BELUM DIPESAN
650,800.00 BELUM DIPESAN

97,061,364.00