Laporan Penerimaan Barang Bulan D

Tanggal No. Nama PBF Nama Barang Jumlah

1 Mepro K Injeksi 7 Kotak
2 PT Kallista Supramox 4 Box
3 Cefadroxil 6 Box
4 PT MPI Protocin Injeksi 5 Box
11/28/2019
5 PT Antarmitra Mupirocin Salep 10 Tube
6 Bimacyl 3 Box
7 PT Fertomulia Lostacef 7 Box
8 Mirasic 10 Box
9 PT MBS Parasetamol Sirup 100 Botol
10 Coparsetin 4 Box
11/29/2019 PT Fertomulia
11 Paratusin 5 Box
12 PT Triofarma Amlodipin 5 mg 11 Box
13 Stimuno Sirup 100 mL 6 Botol
PT AAM
14 Stimuno Sirup Grape 100 mL 6 Botol
11/30/2019 15 PT Sapta Sari Novamox 30 Box
16 PT Sapta Sari Suntik KB 3 Bulan Andalan 12 Box
17 PT APL Sangobion 4 Box
18 PT Triofarma Ifarsyl 3 Box
19 PT Triofarma Cefixim Kapsul 7 Box
20 PT Penta Valent Mucos Tablet 8 Box
21 Biocombin 10 Box
PT Penta Valent
22 Clovertyl 1 Box
23 PT Kallista Clovertyl 3 Box
24 PT Fertomulia Ifarsyl 8 Box
25 PT Fertomulia Scabimite Salep 10 Tube
26 Ambroxol 20 Box
27 Amlodipin 5 mg 10 + 20 Box
28 QOM 60 Botol
12/3/2019 29 Cefadroxil Sirup 125 mg 30 Botol
30 Cefixime Kapsul 4 Box
31 Cefixime Sirup 15 Botol
32 CTM 7 Box
33 PT Fertomulia Dexamethason 10 + 3 Box
34 Domperidon Sirup 400 Botol
35 Hydrocortison Krim 48 Tube
36 Asam Mefenamat 10 Box
37 Mexon 10 Box
38 Omeprazole 8 Box
39 Parasetamol Tablet 15 Box
40 Parasetamol Sirup 200 Botol
41 Numed Kapas 500 g 2 Pcs
42 Nasaco Kasa 40x80 2 Pcs
12/4/2019 PT Hidup Bahagia
43 Iodine povidone 30 mL 1 Karton
12/4/2019 PT Hidup Bahagia

44 Nasaco kasa 16x16 50 Pcs

12/5/2019 45 PT AAM Voltadex 10 Box
46 PT Fertomulia Yusimox Sirup 120 Botol
47 Amoxicillin Sirup 125 50 Botol
PT Mahakam Sejahtera Abadi
48 Metronidazole 2 Box
49 Metronidazole 5 Box
PT Triofarma
50 Amoxicillin Sirup 125 20 Botol
12/9/2019
51 PT Kallista Progeston 15 Box
52 PT Mensa Binasukses Voldiamer 15 Box
53 PT Sapta Sari Solpenox Sirup 300 Botol
54 Metronidazole 5 Box
PT Fertomulia
55 Ranitidin Injeksi 4 Box
56 PT Bintang Rezeki Kertas Puyer 5 Pcs
12/11/2019 57 PT Triofarma Loratadin 5 Box
58 PT Penta Valent Folaplus 20 Box
12/12/2019 59 PT Triofarma Cefixim Sirup 20 Botol
60 Bye Bye Fever 2 Box
12/13/2019 PT Hidup Bahagia
61 One Med Test Hamil 2 Box
62 PT Kallista Cefadroxil Kapsul 10 Box
63 PT Triofarma Helixime Sirup 17 Botol
64 Celana Kitan M 3 Pcs
12/16/2019
65 Celana Kitan L 3 Pcs
PT Hidup Bahagia
66 Celana Kitan XL 3 Pcs
67 Serenty Catgut Plain+Needle 1 Pcs
68 PT Sapta Sari Trifamag 15 Box
69 Fasidol Sirup 60 mL 48 Botol
PT Triofarma
70 Genelten Cream 30 Tube
71 Natrium Diklofenak 50 mg 5 Box
72 Dexamethason 8 Box
73 Salbutamol 2 mg 3 Box
74 Salbutamol 4 mg 4 Box
75 Metformin 500 mg 4 Box
76 PT Mahakam Sejahtera Abadi Methyl Prednisolon 4 Box
77 Allopurinol 300 mg 4 Box
78 Simvastatin 6 Box
79 Antasida Doen 7 Box
12/17/2019 80 Betamethason Cream 60 Tube
81 Gentamisin Cream 80 Tube
82 Ketomed Cream 3 Tube
83 PT Penta Valent Depigmen Cream 3 Tube
84 Pirotop Cream 5 Tube
85 PT Kallista Zinc Tablet 7 Box
86 Natrium Diklofenak 50 mg 3 Box
87 Methyl Prednisolon 2 Box
PT Anugrah Argon Medica
88 Simvastatin 5 Box
 PT Anugrah Argon Medica

89 Cetrizin 4 Box
90 Natrium Diklofenak 25 mg 6 Box
PT Fertomulia
91 Mirasic Tablet 10 Box
92 PT MPI Lapisiv-T 7 Box
93 Supramox 5 Box
12/18/2019 PT MPI
94 Periflux Suspensi 30 Botol
95 PT MPI Eflin 7 Box
96 PT AAM Dumin Rectal 125 mg 8 Box
12/19/2019 97 Captopril 12,5 mg 6 Box
PT Rajawali
98 Betamethason Cream 100 Tube
99 PT Rajawali Infus NaCl 0,9% 20 Botol
12/20/2019 100 PT Mahakam Sejahtera Abadi Parasetamol Sirup 146 Botol
101 PT DNR Methyl Prednisolon 4 mg 6 Box
12/23/2019
102 PT DNR Metridol 2 Box
103 Stimuno Forte Capsul 10 Box
104 Stimuno Orange Berry Sirup 20 Botol
PT AAM
12/24/2019 105 Stimuno Grape Sirup 20 Botol
106 Stimuno Original Sirup 20 Botol
107 PT Fertomulia Ramagesic Sirup 300 Botol
108 Andalan 4 Box
109 PT Sapta Sari Andalan Fe 3 Box
110 Kamolas Forte 200 Botol
111 Floxifar 3 Box
112 Genoint Tetes Mata 20 Botol
12/27/2019 PT Triofarma
113 Erlamicetin Tetes Telinga 20 Botol
114 Dianicol Tablet 3 Box
115 Mepro K Injeksi 3 Box
PT MPI
116 Sirplus Rasa Stroberi 5 Botol
117 PT Penta Valent Periflux Suspensi 30 Botol

TOTAL
maan Barang Bulan Desember 2019
Harga Satuan Harga Total Potongan PPN Total (UMUM) Total (BPJS)
Rp 40,000 Rp 280,000
Rp 240,000 Rp 960,000 Rp 91,637 Rp 160,654 Rp 1,767,201
Rp 76,364 Rp 458,184
Rp 79,200 Rp 396,000 Rp - Rp - Rp 396,000
Rp 30,000 Rp 300,000 Rp 15,000 Rp 28,500 Rp 313,500
Rp 38,500 Rp 115,500
Rp 46,000 Rp 322,000 Rp 59,100 Rp 64,740 Rp 712,140
Rp 26,900 Rp 269,000
Rp 2,872 Rp 287,200 Rp - Rp 28,720 Rp 315,920
Rp 39,500 Rp 158,000
Rp - Rp 121,450 Rp 1,335,950
Rp 211,300 Rp 1,056,500
Rp 9,582 Rp 105,402 Rp 10,540 Rp 9,486 Rp 104,346
Rp 32,300 Rp 189,924
Rp - Rp 37,984 Rp 417,832
Rp 32,300 Rp 189,924
Rp 45,254 Rp 1,357,620 Rp - Rp 135,762 Rp 1,493,382
Rp 143,000 Rp 1,716,000 Rp 171,600 Rp 154,440 Rp 1,698,840
Rp 45,002 Rp 180,008 Rp 135,006 Rp 4,500 Rp 49,502
Rp 33,958 Rp 101,874 Rp 10,187 Rp 9,169 Rp 100,855
Rp 58,200 Rp 407,400 Rp 40,740 Rp 36,666 Rp 403,326
Rp 80,000 Rp 640,000 Rp - Rp 64,000 Rp 704,000
Rp 145,000 Rp 1,450,000
Rp - Rp 184,000 Rp 1,705,000
Rp 390,000 Rp 390,000
Rp 390,000 Rp 1,170,000 Rp - Rp 117,000 Rp 1,287,000
Rp 31,500 Rp 252,000 Rp - Rp 25,200 Rp 277,200
Rp 42,500 Rp 425,000 Rp - Rp 42,500 Rp 467,500
Rp 15,000 Rp 300,000
Rp 26,155 Rp 261,550
Rp 3,000 Rp 180,000
Rp 7,060 Rp 211,800
Rp 52,000 Rp 208,000
Rp 18,000 Rp 270,000
Rp 10,600 Rp 74,200
Rp 13,618 Rp 136,180 Rp 228,000 Rp 704,131 Rp 7,745,441
Rp 9,500 Rp 3,800,000
Rp 4,160 Rp 199,680
Rp 30,000 Rp 300,000
Rp 23,600 Rp 236,000
Rp 11,300 Rp 90,400
Rp 16,100 Rp 241,500
Rp 3,800 Rp 760,000
Rp 36,000 Rp 72,000
Rp 156,000 Rp 312,000
Rp - Rp - Rp 824,000
Rp 165,000 Rp 165,000
 Rp - Rp - Rp 824,000

Rp 5,500 Rp 275,000
Rp 22,500 Rp 154,552 Rp - Rp 15,455 Rp 170,008
Rp 4,700 Rp 564,000 Rp 28,200 Rp 53,580 Rp 589,380
Rp 4,122 Rp 206,100
Rp - Rp 29,344 Rp 267,790
Rp 18,673 Rp 37,346
Rp 32,303 Rp 161,515
Rp 25,948 Rp 23,353 Rp 256,990
Rp 4,898 Rp 97,966
Rp 105,000 Rp 1,575,000 Rp - Rp 157,500 Rp 1,732,500
Rp 120,000 Rp 1,800,000 Rp 270,000 Rp 153,000 Rp 1,683,000
Rp 4,800 Rp 1,440,000 Rp - Rp 144,000 Rp 1,584,000
Rp 26,000 Rp 130,000
Rp - Rp 22,346 Rp 245,802
Rp 23,364 Rp 93,456
Rp 100,000 Rp 500,000 Rp - Rp - Rp 500,000
Rp 33,858 Rp 169,290 Rp 16,929 Rp 15,236 Rp 167,597
Rp 85,000 Rp 1,700,000 Rp - Rp 170,000 Rp 1,870,000
Rp 13,642 Rp 272,860 Rp 27,826 Rp 24,557 Rp 270,131
Rp 64,000 Rp 126,000
Rp - Rp - Rp 250,000
Rp 61,000 Rp 122,000
Rp 73,000 Rp 730,000 Rp - Rp 73,000 Rp 803,000
Rp 13,644 Rp 231,948 Rp 23,195 Rp 20,875 Rp 229,629
Rp 19,000 Rp 57,000
Rp 19,000 Rp 57,000
Rp - Rp - Rp 260,000
Rp 19,000 Rp 57,000
Rp 89,000 Rp 89,000
Rp 21,600 Rp 324,000 Rp - Rp 32,400 Rp 356,400
Rp 5,130 Rp 246,240
Rp 36,675 Rp 33,008 Rp 363,083
Rp 4,017 Rp 120,510
Rp 10,753 Rp 53,765
Rp 13,618 Rp 108,944
Rp 8,000 Rp 24,000
Rp 11,000 Rp 44,000
Rp 17,500 Rp 70,000
Rp 40,050 Rp 160,200 Rp 55,734 Rp 116,211 Rp 1,278,326
Rp 42,000 Rp 168,000
Rp 27,000 Rp 162,000
Rp 9,880 Rp 69,160
Rp 2,327 Rp 139,620
Rp 2,727 Rp 218,160
Rp 26,200 Rp 78,600
Rp 50,300 Rp 150,900 Rp - Rp 52,750 Rp 580,250
Rp 59,600 Rp 298,000
Rp 55,000 Rp 385,000 Rp - Rp 38,500 Rp 423,500
Rp 22,000 Rp 59,400
Rp 44,055 Rp 61,677
Rp - Rp 38,794 Rp 426,737
Rp 51,300 Rp 205,200
 Rp - Rp 38,794 Rp 426,737

Rp 18,137 Rp 61,665
Rp 12,000 Rp 72,000
Rp - Rp 34,100 Rp 375,100
Rp 26,900 Rp 269,000
Rp 143,000 Rp 1,001,000 Rp 50,050 Rp - Rp 950,950
Rp 264,000 Rp 1,320,000
Rp - Rp - Rp 2,557,500
Rp 41,250 Rp 1,237,500
Rp 137,500 Rp 962,500 Rp - Rp - Rp 962,500
Rp 70,500 Rp 564,000 Rp - Rp 56,400 Rp 620,400
Rp 8,866 Rp 53,130
Rp - Rp 46,263 Rp 487,783
Rp 3,994 Rp 399,400
Rp 6,218 Rp 124,360 Rp - Rp 12,436 Rp 136,786
Rp 2,605 Rp 380,330 Rp - Rp 38,033 Rp 418,363
Rp 48,060 Rp 288,360 Rp 173,016 Rp - Rp 126,878
Rp 133,900 Rp 267,800 Rp 133,900 Rp 147,290
Rp 22,500 Rp 213,750
Rp 21,500 Rp 399,900
Rp - Rp 141,345 Rp 1,413,450
Rp 21,500 Rp 399,900
Rp 21,500 Rp 399,900
Rp 4,100 Rp 1,230,000 Rp 61,500 Rp 116,850 Rp 1,285,350
Rp 154,050 Rp 603,876
Rp 154,050 Rp 452,907 Rp 21,567 Rp 393,679 Rp 4,330,462
Rp 24,000 Rp 2,880,000
Rp 60,794 Rp 182,382
Rp 9,650 Rp 193,000
Rp 50,712 Rp 79,141 Rp 870,546
Rp 7,100 Rp 142,000
Rp 108,245 Rp 324,735
Rp 44,000 Rp 132,000
Rp - Rp - Rp 203,500
Rp 14,300 Rp 71,500
Rp 37,500 Rp 1,125,000 Rp 112,500 Rp 1,237,500
TOTAL Rp 36,651,363 Rp 15,900,053
 Laporan Penerimaan Barang Bula
Tanggal No. Nama PBF Nama Barang Jumlah
1 Postinor 2 4 Box
2 Pregnabion 2 Box
3 Voldiamer 20 Box
12/27/2019 4 PT Mensa Binasukses Makro B 5 Box
5 Tiacinon Injeksi 10 Box
6 Femitia 45 Box
7 Travit K 5 Box
8 Celana Kitan M 4 Pcs
9 PT Bintang Rejeki Celana Kitan L 5 Pcs
10 Kertas Puyer 2 Pcs
11 Omeprazole 5 Box
12 Loratadin 5 Box
13 Ambroxol 10 Box
PT AMS
14 Ondansentron 7 Box
15 Cefixime Syr 40 Botol
16 Amlodipine 5 mg 10 Box
17 Egoji Stroberry 85 Bungkus
PT AMS
18 Egoji Jeruk 85 Bungkus
12/28/2019 19 Acylo cr 20 Tube
20 Amoxicillin Tablet 10 Box
21 CTM 5 Box
22 Histigo 3 Box
23 Lostacef Kapsul 7 Box
PT Fertomulia
24 Lostacef Syr 25 Botol
25 Parasetamol Tablet 10 Box
26 Salbutamol 2 mg 4 Box
27 Selvim 5 Box
28 Zevask 5 mg 5 Box
29 Alpara 7 Box
PT Fertomulia
30 Paratusin 7 Box
31 PT MSA Traspulmin BB 10 Tube
32 Fasidol Drop 35 Botol
PT MSA
33 Cefadroxil Syr 45 Botol
34 PT Hidup Bahagia medica Viamac 3/0 2 Pcs
35 Cloves Exam Ukuran S 1 Karton
36 PT Hidup Bahagia medica OneMed Alkohol 70% 1 Liter 2 Botol
12/30/2019 37 Nasaco Kasa 16x16cm 50 Pcs
38 Biocombin 5 Box
39 PT MPI Folaplus 10 Box
40 Gavistal 2 Box
41 PT BSP Sanmol Drop 10 Botol
42 Parasetamol Syr 300 Botol
PT MPI
43 Supramox 4 Box
12/31/2019 44 PT Penta Valent Periflux Suspensi 10 Botol
45 PT Penta Valent Rinocet Sirup 10 Botol
46 Cazetin Drop 10 Botol
1/4/2020
47 PT Triofarma Ginifar 500 mg 3 Box
48 Helixim Sirup 48 Botol
49 PT Mahakam Sejahtera Transpulmin BB 20 Tube
50 Cefadroxil Tab 7 Box
51 Loremid Tab 3 Box
52 PT MPI Gavistal 1 Box
53 Zircumkid Syr 40 Botol
54 Progeston Tab 15 Box
55 PT Fertomulia Coparcetin tab 5 Box
56 Ambroxol Syr 100 Botol
57 Ambroxol Tab 10 Box
58 Amlodipine 5 mg 10 + 20 Box
1/7/2020 59 Amoxicillin Tablet 10 Box
60 Berlosid 6 Box
61 Cetirizin Tab 5 Box
PT Fertomulia
62 CTM 7 Box
63 Ibuprofen Tab 5 Box
64 Lokev 5 Box
65 Lostacef 7 Box
66 Mirasic 7 Box
67 Omeprazole 4 Box
68 Ulcidex 4 Box
PT Anugrah Argon Medica
69 Folamil genio 10 Botol
70 Fermia 10 Box
71 Solpenox Sirup 300 Botol
PT Sapta Sari Tama
1/8/2020 72 Solvitron 7 Box
73 Truvit Sirup 60 Botol
74 PT Sapta Sari Tama Novamox 20 Box
1/9/2020 75 PT Penta Valent Provagin Ovula 5 Box
76 Kertas Puyer 5 Pcs
77 Test Kehamilan 2 Box
1/10/2020 PT Hidup Bahagia medica
78 Bye Bye Fever Bayi 2 Box
79 Bye Bye Fever Anak 2 Box
1/14/2020 80 PT MPI Prodexon Tablet 12 Box
81 Methylprednisolon 4 mg 4 Box
82 Clopidogrel 75 mg 1 Box
1/15/2020 PT AAM
83 Ondansentron 4 mg 6 Box
84 Cetirizin Tab 5 Box
1/18/2020 85 PT Hidup Bahagia medica One Med U Pad 1 Karton
86 Kapas 500 g 2 Pcs
87 Kasa 40x80 cm 2 Rol
PT Hidup Bahagia medica
88 Iodine 30 mL 1 Karton
1/20/2020
 PT Hidup Bahagia medica

1/20/2020 89 Gloves Uk S 10 + 1 Pcs

90 Suntik KB Harmoni 5 Box
PT Sapta Sari Tama
91 Contramo Tab 5 Box
92 PT AAM Ulcidex 500 mg 3 Box
93 Zink Tab 6 Box
94 Periflux Suspensi 30 Botol
95 Rinocet Sirup 15 Botol
1/21/2020 PT Kallista Prima
96 Tuditab 5 Box
97 Mucifat Suspensi 20 Botol
98 Prohistin 1 Box
99 PT Fertomulia Ifarsyl Tab 10 Box
100 Acifar 400 mg 7 Box
101 Acifar Cream 30 Tube
102 Acyclovier 400 mg 5 Box
103 Allupurinol 300 mg 6 Box
104 Antasida Tab 6 Box
105 Berlosid Syr 30 Botol
106 Erlamicetin Ear Drop 25 Botol
107 Glibenclamid 5 Box
108 PT Fertomulia Hidrocortison cr 72 Tube
109 Loratadin 5 Box
110 Metformin 6 Box
1/22/2020 111 Mirasic 7 Box
112 Omeprazole 4 Box
113 Ondancentron 6 Box
114 Oralit 7 Box
115 Parasetamol 8 Box
116 Zevask 5 mg 6 Box
117 Scabimite Cr 10 Tube
118 Vitacimin Orange 1 Box
PT UDC
119 Vitacimin Blueberry 1 Box
120 Vitacimin Fruit Punch 1 Box
121 PT Triofarma Erlamicetin Salep Mata 72 Tube
122 Parasetamol Tablet 7 Box
PT Mahakam Sejahtera
123 Scabimite Cr 3 Tube
1/27/2020 124 PT Kallista Prima Parasetamol Sirup 60 mL 300 Botol
TOTAL
Penerimaan Barang Bulan Januari 2020
Harga Satuan Harga Total Potongan PPN Total (UMUM)
Rp 20,000 Rp 80,000
Rp 140,000 Rp 280,000
Rp 120,000 Rp 2,400,000
Rp 60,000 Rp 300,000 Rp - Rp 753,500 Rp 8,288,500
Rp 50,000 Rp 500,000
Rp 80,000 Rp 3,600,000
Rp 75,000 Rp 375,000
Rp 21,000 Rp 84,000
Rp 21,000 Rp 105,000 Rp - Rp - Rp 389,000
Rp 100,000 Rp 200,000
Rp 11,136 Rp 55,680
Rp 15,140 Rp 75,700
Rp 19,200 Rp 192,000
Rp 175,775 Rp 144,021
Rp 16,800 Rp 117,600
Rp 27,500 Rp 1,100,000
Rp 7,500 Rp 75,000
Rp 6,000 Rp 510,000
Rp 88,800 Rp 93,120 Rp 1,024,320
Rp 6,000 Rp 510,000
Rp 3,410 Rp 68,200
Rp 36,999 Rp 369,990
Rp 4,935 Rp 24,675
Rp 30,000 Rp 90,000
Rp 46,000 Rp 322,000
Rp - Rp 147,147 Rp 869,000
Rp 9,000 Rp 225,000
Rp 16,100 Rp 161,000
Rp 14,400 Rp 57,600
Rp 19,000 Rp 95,000
Rp 11,600 Rp 58,000
Rp 102,000 Rp 714,000
Rp 71,400 Rp 219,566 Rp 2,415,221
Rp 212,865 Rp 1,553,055
Rp 41,000 Rp 410,000 Rp - Rp 41,000 Rp 451,000
Rp 10,300 Rp 360,500
Rp - Rp 69,597 Rp 396,550
Rp 7,455 Rp 335,475
Rp 93,750 Rp 187,000 Rp - Rp - Rp 187,500
Rp 405,000 Rp 405,000
Rp 43,000 Rp 86,000 Rp - Rp - Rp 766,000
Rp 5,500 Rp 275,000
Rp 159,500 Rp 797,500
Rp 93,500 Rp 935,000 Rp - Rp - Rp 1,831,500
Rp 49,500 Rp 99,000
Rp 15,700 Rp 157,000 Rp - Rp 15,700 Rp 172,700
Rp 3,850 Rp 1,155,000
Rp - Rp - Rp 1,056,000
Rp 264,000 Rp 1,056,000
Rp 37,500 Rp 375,000 Rp - Rp 37,500 Rp 412,500
Rp 52,500 Rp 525,000 Rp - Rp 52,500 Rp 577,500
Rp 23,023 Rp 230,330
Rp 28,386 Rp 85,164 Rp 97,031 Rp 87,328 Rp 960,603
Rp 13,644 Rp 654,912
Rp 43,000 Rp 860,000 Rp - Rp - Rp 946,000
Rp 80,300 Rp 562,100
Rp 121,000 Rp 363,000
Rp 49,500 Rp 49,500 Rp - Rp - Rp 4,027,100
Rp 33,000 Rp 1,320,000
Rp 115,500 Rp 1,732,500
Rp 39,500 Rp 197,500 Rp - Rp 19,750 Rp 217,250
Rp 4,400 Rp 440,000
Rp 15,000 Rp 150,000
Rp 26,155 Rp 261,550
Rp 37,000 Rp 370,000
Rp 27,450 Rp 164,700
Rp 22,000 Rp 110,000
Rp 18,830 Rp 236,297 Rp 863,502
Rp 4,935 Rp 34,545
Rp 34,500 Rp 172,500
Rp 24,600 Rp 123,000
Rp 46,000 Rp 322,000
Rp 26,900 Rp 188,300
Rp 11,300 Rp 45,200
Rp 112,200 Rp 448,800
Rp - Rp 158,880 Rp 1,747,680
Rp 114,000 Rp 1,140,000
Rp 22,200 Rp 222,000
Rp 4,800 Rp 1,440,000
Rp - Rp 275,060 Rp 1,197,460
Rp 57,800 Rp 404,600
Rp 11,400 Rp 684,000
Rp 45,254 Rp 905,080 Rp - Rp 90,508 Rp 995,588
Rp 130,000 Rp 650,000 Rp - Rp 65,000 Rp 715,000
Rp 85,000 Rp 425,000
Rp 61,000 Rp 122,000
Rp - Rp - Rp 766,000
Rp 64,000 Rp 128,000
Rp 45,500 Rp 91,000
Rp 38,500 Rp 462,000 Rp - Rp 11,580 Rp 450,950
Rp 44,055 Rp 123,354
Rp 297,000 Rp 297,000
Rp - Rp 68,240
Rp 46,200 Rp 194,040
Rp 18,137 Rp 68,240
Rp 420,000 Rp 420,000 Rp - Rp - Rp 420,000
Rp 36,000 Rp 72,000
Rp 156,000 Rp 312,000
Rp - Rp - Rp 969,000
Rp 165,000 Rp 165,000
 Rp - Rp - Rp 969,000

Rp 420,000 Rp 42,000
Rp 137,000 Rp 685,000
Rp 13,700 Rp 127,755 Rp 1,405,305
Rp 121,250 Rp 606,250
Rp 112,200 Rp 336,600 Rp 1,683 Rp 33,491 Rp 370,260
Rp 55,000 Rp 330,000
Rp 37,500 Rp 1,125,500
Rp 32,500 Rp 787,500
Rp - Rp 396,000 Rp 4,356,000
Rp 120,000 Rp 600,000
Rp 45,000 Rp 900,000
Rp 217,000 Rp 217,000
Rp 31,500 Rp 315,000 Rp 15,750 Rp 29,925 Rp 329,175
Rp 31,500 Rp 220,500
Rp 6,200 Rp 186,000
Rp 28,659 Rp 142,295
Rp 45,000 Rp 270,000
Rp 15,000 Rp 90,000
Rp 7,840 Rp 235,200
Rp 7,100 Rp 177,500
Rp 14,000 Rp 70,000
Rp 4,160 Rp 299,520 Rp 44,895 Rp 279,861 Rp 1,160,118
Rp 17,037 Rp 85,185
Rp 17,500 Rp 105,000
Rp 26,900 Rp 188,300
Rp 11,300 Rp 45,200
Rp 32,818 Rp 196,908
Rp 47,500 Rp 332,500
Rp 16,100 Rp 128,800
Rp 11,600 Rp 69,600
Rp 12,500 Rp 125,000
Rp 60,900 Rp 60,900
Rp 60,900 Rp 60,900 Rp - Rp 60,770 Rp 668,170
Rp 60,900 Rp 60,900
Rp 8,500 Rp 612,000
Rp 14,966 Rp 104,762
Rp 9,063 Rp 22,319
Rp 42,560 Rp 127,500
Rp 3,500 Rp 1,050,000 Rp - Rp 105,000
Rp 41,402,452
 Total (BPJS)

Rp 1,584,226

Rp 749,612

Rp 369,022

Rp 1,155,000
Rp 1,735,760

Rp 1,828,200

Rp 750,648
Rp 1,918,356

Rp 109,476

Rp 1,155,000
Rp 11,355,300
 Laporan Penerimaan Barang
Tanggal No. Nama PBF Nama Barang
1 Metolon Tab (Metoklopramid)
1/28/2020 PT Tri Sapta Jaya
2 Paramol Tab (Parasetamol)
3 PT Duta Silica Bedak Salisil
4 Clovertil Tab
1/29/2020
5 PT MPI Gavistal Tab (Metoklopramid)
6 Biocombin Tab
1/31/2020 7 PT AMS Viostin
8 PT Bintang Rejeki Kertas Puyer
9 Masker Jilbab
2/3/2020
10 PT Hidup Bahagia Medika Alkohol 70 %
11 Termometer FSCO
12 PT Kallista Prima Prodexon (Dexametason)
2/4/2020
13 PT AMS Mupirocin Oint
14 PT United Dico Citas Andalan Injeksi 3 Bulan
15 PT Anugrah Argon Medica Folamil Genio
16 Scabimite
17 PT United Dico Citas FG Troches
18 Amoxicillin Tablet
2/5/2020
19 Mucos Drop (Ambroxol)
PT Penta Valent
20 Mefix (Asam Mefenamat)
21 Spasmolit Tablet
22 PT MPI Zink Tablet
23 Zink Sirup
24 Lerzin (Cetirizin)
25 Lokev (Omeprazole)
26 Lostacef (Cefadroxil)
27 Scopma Plus
PT Fertomulia
28 Trovilon Syr (Eritromisin)
29 Wiros (Piroxicam)
30 Yusimox Syr
31 Zevask 5 mg (Amlodipine)
32 Ambroxol
33 Amlodipine 5 mg
34 Amoxicillin Syr
PT Fertomulia
35 Natrium Diclofenak 25 mg
36 Omeprazole
37 Ranitidin
2/6/2020
38 Cendo Xitrol
39 Betahistin
40 PT Fertomulia Erlamycetin Tetes Mata
41 Parasetamol Tablet
42 Meloxicam
43 PT DNR Metridol 4 mg (Methylprednisolon)
 44 Fasidol Syr (Parasetamol)
45 Zevask 10 mg (Amlodipine)
PT Triofarma
46 Selvim (Simvastatin)
47 Trovilon Syr (Eritromisin)
48 PT Anugrah Argon Medica Amlodipine 5 mg
49 BSN Leukoplast
50 PT Hidup Bahagia Medika Alkohol 70 % 1 Liter
51 Kertas Lakmus Merah
52 Contramo
2/8/2020 53 PT Sapta Sari Tama Calcimega
54 Solvitron
55 PT Penta Valent Meprolut
2/10/2020 56 Zantifar Tablet (Ranitidin)
PT Triofarma
57 Nexitra (Asam Tranexamat)
58 Zamel Drop (Vitamin)
2/14/2020 59 PT Kallista Prima Dehidralyte (Oralit)
60 Ranivel Sirup (Ranitidin)
61 Biocombin Tab
2/15/2020 PT Penta Valent
62 Progeston Tab
63 PT Anugrah Argon Medica Diane 35
2/17/2020
64 PT Duta Silica BB Rash Cream 50
65 Zircum Kid Tab
PT Kallista Prima
66 Sirplus Strowberry
67 PT Rajawali Lidokain Injeksi
68 Fasidol Drop (Parasetamol)
69 Helixim (Cefixim)
70 Zantifar Tablet (Ranitidin)
71 Vesperum (Domperidon)
PT Triofarma
72 Laxana (Bisacodyl)
73 Fasidol Tab (Parasetamol)
74 Farsifen Plus (PCT+Ibuprof+Caffein)
75 Acifar 400 (Acyclovir)
76 Cefadroxil Syr
77 Asam Mefenamat
2/20/2020
78 Ambroxol
PT Mahakam
79 Antasida
80 Salbutamol 2 mg
81 Transpulmin BB
82 Loremid (Loperamid)
PT Penta Valent
83 Periflux Suspensi (Domperidon)
84 PT Penta Valent Sirplus Jeruk
85 Ketokonazole Cream
86 PT Anugrah Argon Medica Clopidogrel
87 Natrium Diclofenak 50 mg
88 PT Anugrah Argon Medica Folamil Genio
 89 Dexteem Plus
PT Sapta Sari Tama
90 Solpenox syr (Amoxicillin)
2/21/2020 91 PT MPI Eflin Tab (Tremenza/Neo Protifed)
92 TOTAL
poran Penerimaan Barang Bulan Februari 2020
Jumlah Harga Satuan Harga Total Potongan PPN
10 Box Rp 70,000 Rp 700,000
Rp 495,033 Rp 30,996
3 Box Rp 35,000 Rp 105,000
30 Botol Rp 5,500 Rp 165,000 Rp - Rp 16,500
3 Box Rp 429,000 Rp 1,287,000
2 Box Rp 49,500 Rp 99,000 Rp - Rp -
3 Box Rp 159,000 Rp 478,500
1 Box Rp 272,000 Rp 272,000 Rp 8,160 Rp 26,384
5 Pak Rp 100,000 Rp 500,000 Rp - Rp -
5 Box Rp 20,000 Rp 100,000
2 Botol Rp 43,000 Rp 86,000 Rp - Rp -
10+1 Pcs Rp 21,000 Rp 210,000
20 Box Rp 35,000 Rp 700,000 Rp - Rp 70,000
10 Tube Rp 30,000 Rp 300,000 Rp 30,000 Rp 27,000
5 Box Rp 143,000 Rp 715,000 Rp 35,750 Rp 67,925
15 Botol Rp 114,000 Rp 1,710,000 Rp - Rp 171,000
20 Tube Rp 42,500 Rp 850,000
1 Box Rp 139,773 Rp 139,773 Rp 42,500 Rp 163,127
20 Box Rp 31,200 Rp 624,000
8 Botol Rp 34,500 Rp 276,000
Rp - Rp -
8 Box Rp 120,000 Rp 960,000
2 Box Rp 247,500 Rp 495,000
10 Box Rp 60,500 Rp 605,000 Rp - Rp -
100 Botol Rp 8,800 Rp 880,000
3 Box Rp 23,300 Rp 69,900
4 Box Rp 24,600 Rp 98,400
5 Box Rp 46,000 Rp 230,000
1 Box Rp 124,000 Rp 124,000
Rp 183,110 Rp 134,529
1 Botol Rp 10,900 Rp 10,900
3 Box Rp 30,400 Rp 91,200
180 Botol Rp 4,700 Rp 84,600
5 Box Rp 11,600 Rp 58,000
10 Box Rp 15,000 Rp 150,000
10+20 Box Rp 26,155 Rp 261,550
200 Botol Rp 3,800 Rp 760,000
Rp 14,280 Rp 149,579
8 Box Rp 12,000 Rp 96,000
6 Box Rp 11,300 Rp 67,800
6 Box Rp 29,120 Rp 174,720
15 Botol Rp 27,250 Rp 408,750
2 Box Rp 92,308 Rp 184,616
30 Botol Rp 14,000 Rp 420,000 Rp 11,224 Rp 133,263
15 Box Rp 14,966 Rp 224,490
4 Box Rp 26,500 Rp 106,000
5 Box Rp 133,900 Rp 669,500

Rp 334,750 Rp 33,475
96 Botol Rp 5,130 Rp 492,480
5 Box Rp 34,510 Rp 172,550 Rp 334,750 Rp 33,475
5 Box Rp 20,515 Rp 102,575
26 Botol Rp 11,796 Rp 330,344
5 Box Rp 47,000 Rp 119,999 Rp - Rp 11,999
2 Pcs Rp 45,500 Rp 91,000
2 Botol Rp 43,000 Rp 86,000 Rp - Rp -
1 Box Rp 37,000 Rp 37,000
2 Box Rp 121,250 Rp 242,500
20 Box Rp 65,000 Rp 1,300,000 Rp - Rp 240,950
15 Box Rp 57,800 Rp 867,000
20 Box Rp 96,000 Rp 1,920,000 Rp - Rp 192,000
5 Box Rp 15,791 Rp 78,955
Rp 49,855 Rp 44,869
5 Box Rp 83,918 Rp 419,590
4 Botol Rp 39,500 Rp 158,000
4 Botol Rp 15,000 Rp 60,000 Rp 17,520 Rp 42,048
4 Botol Rp 55,000 Rp 220,000
12 Box Rp 145,000 Rp 1,740,000
Rp - Rp 384,000
20 Box Rp 105,000 Rp 2,100,000
20 Box Rp 112,816 Rp 2,211,193 Rp - Rp 221,119
12 Pcs Rp 30,000 Rp 360,000 Rp 18,000 Rp 34,200
15 Box Rp 150,000 Rp 2,250,000
Rp - Rp 232,800
6 Botol Rp 13,000 Rp 78,000
2 Box (200 Ampul) Rp 102,508 Rp 266,136 Rp - Rp 25,513
20 Botol Rp 11,529 Rp 230,580
5 Box Rp 43,439 Rp 217,195
3 Box Rp 15,791 Rp 47,373
3 Box Rp 26,003 Rp 78,099
Rp 96,863 Rp 87,195
2 Box Rp 31,701 Rp 63,402
6 Box Rp 21,693 Rp 130,158
2 Box Rp 33,061 Rp 66,122
4 Box Rp 33,975 Rp 135,904
30 Botol Rp 7,455 Rp 223,650
10 Box Rp 37,485 Rp 374,850
10 Box Rp 16,500 Rp 165,000
Rp - Rp 154,730
10 Box Rp 9,880 Rp 98,800
5 Box Rp 8,000 Rp 40,000
15 Tube Rp 43,000 Rp 645,000
7 Box Rp 110,000 Rp 770,000
Rp - Rp 170,750
25 Botol Rp 37,500 Rp 937,500
6 Botol Rp 13,000 Rp 78,000 Rp - Rp 7,800
3 Box Rp 84,000 Rp 226,800
1 Box Rp 297,000 Rp 297,000 Rp - Rp 54,580
1 Box Rp 22,000 Rp 22,000
20 Botol Rp 114,000 Rp 2,280,000 Rp - Rp 228,000
 12 Box Rp 29,400 Rp 352,800
Rp - Rp 202,200
360 Botol Rp 4,800 Rp 1,728,000
15 Box Rp 137,500 Rp 2,062,500 Rp - Rp -
TOTAL
 Total (UMUM) Total (BPJS)

Rp 340,963

Rp 181,500

Rp 1,864,500

Rp 290,224
Rp 500,000

Rp 396,000

Rp 385,000 Rp 385,000
Rp 297,000
Rp 747,175
Rp 1,881,000

Rp 1,131,375 Rp 663,025

Rp 1,236,000

Rp 495,000 Rp 1,485,000

Rp 1,479,819

Rp 1,645,369

Rp 911,625 Rp 554,269

Rp 3,682,225
Rp 3,682,225

Rp 131,998

Rp 214,000

Rp 2,650,450

Rp 2,112,000
Rp 493,560

Rp 462,528

Rp 4,840,000

Rp 2,432,313
Rp 376,200
Rp 2,560,800

Rp 281,048

Rp 959,145

Rp 1,702,030

Rp 1,878,250

Rp 85,800

Rp 600,380

Rp 2,508,000
Rp 388,080 Rp 1,900,800

Rp 2,062,500
Rp 40,124,080 Rp 9,067,871
 Laporan Penerimaan Barang Bulan M
Tanggal No. Nama PBF Nama Barang Jumlah
aan Barang Bulan Maret 2020
Harga Satuan Harga Total Potongan PPN Total (UMUM) Total (BPJS)