Au 31 Februari 2017

DATAR OBAT YANG STOKNYA HABIS
Halaman : 1
NO NAMA OBAT SAT KETERANGAN
1 Adalat Oros Box

2 Alinamin F Tab Box
3 Alinamin injeksi Box
4 Alpamol Drops Fls
5 Alphamol Syr Fls
6 Alprazolam Tab 0.5 mg Box
7 Amitripilin Tab 25 mg 100's Box
8 Amoxan Drops Fls
9 Anti Hemaroid Supp Supp
10 Asabium Tab Box
11 Avodart Tab Box
12 Bersol Cream Tube
13 Bevalex Cream Tube
14 Cefadroxil 500 mg Cap 100's Box
15 Cefixim Syr Fls
16 Cendo Fenicol 0.25% 0,6 ml@ 5's minidose Strip
17 Cendo Genta SM Tube
18 Cendo LFX 0,6 ml @ 5's minidose Strip
19 Cendo Lubricent 0,6 ml@ 5's minidose Strip
20 Cendo Pantocain 2% 0,6 ml@ 5's minidose Strip
21 Cendo Ulcori 0,6 ml @ 5's minidose Strip
22 Citicolin Tab 500 mg 30's Box
23 Citicolon Inj 250 mg 10's Box
24 Co Amoxiclav Box
25 Dexamethason Inj Tin
26 Dextrose 10% Infus Fls
27 Dextrose 5% Infus Fls
28 Diamicron MR Box
29 Digoxin 0,25 mg Tab 100's Box
30 Diovan 160 mg 27's Box
31 Diovan 80 mg 27's Box
32 Domperidon Syr Fls
33 Domperidon Tab 100's Box
34 Dopamin Inj Amp
35 Easy Touch Cholesterol 10's Box
36 Easy Touch Glucose 25's Box
37 Ethambutol Tab 500 mg Box
38 Flutias Inhaler 125 mcg Fls
39 Furosemid 10 mg injeksi 25's Box
40 Harnal ocas 30's Box
41 Illiadin 0,025 % Fls
Dipindahkan
Halaman : 2
Pemindahan
42 Illiadin 0,5 % Fls
43 Infantrim Syr Fls
44 INH 100 mg Tab 1000's Tin
45 INH 300 mg Tin
46 Interhistin Tab Box
47 ISDN 5 mg Tab 100's Box
48 Kalium Diklofenak Box
49 Kandistatin Drops Fls
50 Kapas 100 gr Roll
51 Kapas 250 gr Roll
52 Ketorolac Inj 30 mg Amp
53 Ketricin Orabase Tube
54 klorferson Cream Tube
55 Laminaria Box
56 Laxadine Syr Fls
57 Lexacrol Syr Fls
58 Lexicam 10 mg Tab 100's Box
59 Lexicam 20 mg Tab 100's Box
60 Mebo krim 20 gr Tube
61 Meloxicam 15 mg Box
62 Methylprednisolon Inj Vial
63 Methylprednisolon Tab 4 mg Box
64 Metronidazol Infus Fls
65 Miloz 5 mg/ 5 ml injeksi 10's Box
66 Moladerm Cream Tube
67 Molafate Susp Fls
68 Mucosta Tab 100's Box
69 Myotonic Inj Box
70 Norages Inj Box
71 Omeprazol Cap 30's Box
72 Omeprazol Inj Vial
73 Omeyus Cap 20 mg 30's Box
74 Opineuron Tab 100's Box
75 Pantoprazol Inj Vial
76 Paracetamol Syrup Fls
77 Pehacain Inj 10's Box
78 Piracetam 400 mg Tab Box
79 Piralen Inj Box
80 Pitogin injeksi 10's Box
81 Procain penicillin injeksi Vial
82 Promuba Syr Fls
83 Proten Susu Coklat Box
84 Proxime Tab Box
85 Psidii Syr Fls
Dipindahkan
Halaman : 3
Pemindahan
86 Pyderma Cream Tube
87 Ranitidin Inj Amp
88 Rifampicin 450 Tab 100's Box
89 Ringer Lactat Fls
90 Stesolid Rectal Box
91 Stesolid Syr Fls
92 Stesolid Tab 2 mg Box
93 Sulfas ferosus Tin
94 Suprafenid supp 10's Box
95 Tramadol 50 mg Cap 100's Box
96 Tranfusi Set Box
97 Trifedrin Tab Box
98 Trileptal 600 mg Box
99 Trizedon MR Box
100 Trolip Cap 300 mg Box
101 Valeptic Syr Fls
102 Valsartan 160 mg Tab Box
103 Valsartan 80 mg Tab Box
104 Vectrim Syr Fls
105 Ventolin nebule Box
box
PT Kimia Farma Trade Megatrading
1 Box 20 spironolacton 25 mg tablet
2 Box 5 Aciclovir 400 mg tab
3 Fls 10 Aminofluid infus
4 Box 2 Aminopilin Tab
5 Fls 10 Aminovel Infus
6 Box 2 Amitriptilin tablet 25 mg
7 Box 20 Amlodipin 5 mg
8 Fls 200 Amoxilin Syr 125 mg / 5 ml
9 Fls 600 Antasida Doen Syr 200
10 Fls 400 Aqua Pro injeksi 25 ml 100
11 Box 10 Arixtra Inj
12 Box 10 Asam Traneksamat 500 mg Tab
13 Fls 400 Ashering Infus 200
14 Box 1 Aspar K tab
15 Box 60 Betahistin Tab 6 mg 20
16 Box 20 Bisoprolol Tab 5 mg 50
17 Pot 2 Burnazim Cream 500 gr
18 Vial 5,000 Cefotaxim Inj
19 Box 30 Ceterizin tablet
20 Box 2 Cilostazol Tab
21 Box 100 Clopidogrel 75 mg Tab 30's
22 Box 50 Co Amoxiclav 625 mg 30's 3
23 Box 5 Co Diovan 80 / 12.5 mg
24 Fls 20 Dextrose 40%
25 Fls 100 Dextrose 5% Infus 100
26 Box 5 Digoxin Tab
27 Vial 20 Dobutamin injeksi 250 mg
28 Box 5 Fenofibrate 300 mg
29 Box 5 Flixotide Nebule
30 Box 40 Furosemid Tab 20
31 Box 3 Galvusmet 80 / 850
32 Box 45 Glimepirid 2 mg
33 Box 5 Haloperidol 0.5 mg Tab
34 Box 3 Inhitril Tab 10 mg
35 Fls 30 Kandistatin Drops 5
36 Fls 10 KCL
37 Vial 15 KTM Inj
38 Box 20 Levofloxacin tablet 500 mg
39 Box 1 Manitol infus
40 Box 30 Metformin 500 mg 20
41 Box 20 Metoclopramid Inj 10 mg / 2 ml
42 Fls 200 metronidazol infus 50
43 Box 20 Metronidazol Tab 500 mg 9
44 Box 10 Mucosta Tab 100's 10
45 Fls 60 Nacl 1000 ml
46 Fls 200 NaCL 500 ml
47 Box 3 Neulin PS Tab
48 Box 30 Ofloxacin 200 mg 50's
49 Box 40 Paracetamol 500 mg Tab 50
50 Box 30 Pedab Tab 10
51 Tin 1 Phenobarbital Tab 30 mg
52 Box 5 Pyrazinamid Tab 500 mg 5
53 Box 20 Ramipril 2.5 mg
54 Box 30 Ramipril 5 mg
55 Box 2 Rifampicin 600 mg
56 Fls 3,000 Ringer Lactate 3,000
57 Fls 10 Seretide Discus Inhaler 250 mcg
58 Box 50 Simvastatin 20 mg Tab 100's 18
59 Box 10 Spironolacton 100 mg
60 Box 1 Sulfa Atropin
61 Box 5 Sulfasalazin Tab 500 mg
62 Box 5 Ventolin nebule 5
63 Pot 10 Vitamin B Complex 100's
PT Antar Mitra Sembada
1 Fls 3 Ataroc syrup
2 Box 2 Casodex tablet 50 mg
3 Tube 50 Cloderma Cream 5 gr
4 Box 30 Cotrimoxazol Tab 480 mg
5 Tube 10 Desolex Cream
6 Box 1 Kutoin injeksi 100 mg
7 Box 10 Meloxicam Supp 5's
8 Box 1 Microlax supp
9 Box 2 recofol injeksi
10 Vial 5 Sabu injeksi
11 Box 5 Takelin 1000 mg tablet
12 Box 5 Truvas tablet 20 mg
13 Tube 10 Zelface Cream
PT Buetna Hareukat
1 Fls 10 Albhotyl 5
2 Box 5 Aspilet Tab
3 Box 10 Avodart Tab
4 Set 1 Bahan Tambal Gigi
5 Tube 100 Betamethason Cream 0.1% 5 gr
6 Pcs 50 Botol Tetes Plastik 12 ml
7 Box 30 Candesartan 16 mg Tab 30's
9 Vial 30 Chloramex Inj
10 Fls 6 Chloro Ethyl
11 Box 30 Clindamicin 150 mg 50's
13 Box 2 Clobazam Tab
14 Fls 30 Colme tetes telinga
15 Vial 10 Cortison Inj
16 Ktk 4 Cotton Roll
17 Box 2 Depokate Tab
18 Box 10 Diamicron MR
19 Box 10 Dulcolax Supp Dewasa
20 Fls 30 Flutias Inhaler 125 mcg 10
21 Tin 1 Formalin Tab
22 Box 20 Gabapentin 300 mg capsul
23 Box 2 Glucophage 850
24 Box 50 Glucosamin Tab 60's
25 Box 15 Harnal ocas 30's
26 Tin 1 HCT Tab 25 mg
27 Vial 30 Hemapo Inj 3000 IU 20
28 Box 1 Hystolan Tab 50's
29 Box 20 Ibuprofen Tab 400 mg 6
30 Pot 50 Ichtiyol salep
31 Fls 20 Illiadin 0,025 %
33 Tin 1 INH 100 mg Tab 1000's
34 Tin 2 INH 300 mg
35 Box 3 Itraconazol tablet
36 Box 2 KA EN 3B
37 Box 10 Kalxetin 10 mg
38 Pack 3 Kertas Perkamen
39 Tube 50 Ketoconazole cream 10 gr
40 Tube 50 Ketricin Orabase
41 Box 2 KSR Tab 600 mg
42 Box 5 Levemir Flexpen
43 Box 10 Lipitor 10 mg
45 Box 3 Ludiomil 25 mg
46 Box 5 Lyrica 75 mg
47 Tube 3 Mebo krim 20 gr
48 Box 4 Nald novotwist 100's
49 Ktk 1 Nald u/ Cabut Gigi
50 Tube 10 Nebacetin Zalf
51 Box 10 Neo K 2 mg/ml injeksi
52 Box 3 Norvask 10 mg
53 Box 15 Novorapid flexpen
54 Box 30 Otopain TT
55 Box 2 Pampers Dewasa uk/ L
56 Box 2 Pampers Dewasa uk/ M
57 Box 2 Pampers Dewasa uk/ XL
58 Box 5 Plavix Tab 75 mg
59 Box 3 Pletaal tablet 100 mg
60 pot 50 Pot obat 20 mg
61 Pot 50 Pot obat 40 mg
62 Vial 50 Procain Penicillin Inj 50
63 Box 5 Prostigimin Inj
64 Box 5 Regumen Tab 30's 5
65 Box 5 Risperidon Tab
66 Pot 30 Salicyl Talk
67 Ktk 1 Septocain
68 Box 10 Sistenol Tab
69 Bks 1 Solare X A3
70 Ktk 1 Spongostan
71 Fls 1 Stac 5 ml (Bonding)
72 Box 60 Tramadol Inj 100 mg / 2 ml 5's
73 Box 2 Tramuz Inj
74 Box 5 Trileptal tablet 600 mg
75 Box 20 Trizedon MR
76 Box 2 Urdahex Tab 250 mg
77 Tin 2 Vit K Tab
78 Vial 30 Xylamidon Inj
79 Pcs 2 Xylocain Jell
80 Pcs 2 Xylonor Spray
81 Box 3 Ziloric 300 mg
PT Mensa Bina Sukses

1 Box 30 Alpentin 100 mg 30
2 Fls 10 Alphamol drop 20
3 Fls 200 Alphamol syrup
4 tube 50 Bevalex cream
5 Box 50 Dicloflam 25 mg Tab 100's
6 Box 30 Infantrim Tab 480 mg
7 Box 40 Lexadium Tab 20
8 Box 130 Molaneuron Tab 100's 10
9 Box 50 Piralen Inj
10 Box 50 Pritamox Tab 50
11 Box 50 Pritavit Tab 100's
12 Box 30 Stesolid injeksi 5 mg
13 Box 3 stesolid rectal 5mg
14 Fls 5 Stesolid syrup
15 Box 20 Trifedrin Tab 100
16 Fls 10 Valeptic Syr
17 Fls 300 Vical Syr
PT Mesarinda Abadi
1 Lsn 1 Nald 6030 G/T 7
2 Pcs 12 Assucryl 0 Ref 4346 N
3 Lsn 1 Assucryl 1 Ref 43427 H
5 Pcs 1 Assucryl 1 Ref 43977 H
6 Lsn 1 Assucryl 2/0 Ref 4575
9 Roll 1 Cat Gut Chromic 1
10 Lsn 1 Cat Gut Chromic 1 Ref 2447 H
11 Roll 1 Cat Gut Plain 0
12 Pcs 1 Corset Lumbal uk/ L Pria
13 Pcs 1 Corset Lumbal uk/ M Wanita
14 Box 30 Easy Touch Glucose 20
15 Pak 1 Electroda
16 Pcs 5 Extention Tubing 5
17 Pcs 2 Folley Cateter No 12
18 Pcs 2 Folley cateter No10 2
19 Pcs 2 Folley Catheter No 6 4
20 Pcs 50 Folley Catheter No.18
22 Box 10 Hand Scun No.7
23 Box 20 Hand Scun No.7.5
25 Ltr 5 Hybiscrub
26 Roll 20 Hypafix 15 x 5 10
27 Roll 30 Hypafix 5 x 5 20
28 Box 10 Infuset Dewasa 4
29 Box 2 Infuset Ped 1
30 Box 5 Iv cateter 20 4
31 Box 15 IV Catheter 22 1
32 Ktk 50 Kasa Hydrofil Kotak 80
33 Roll 3 Kassa Lucky
34 Tube 10 K-Y Jelly
35 Jrg 1 KY Jelly Jerigen
36 Roll 12 Leucocrep 3 inci BSN 12
37 Roll 12 Leucocrep 4 inci BSN
38 Roll 24 Leucocrep 6 inci BSN 12
39 Roll 12 Leucodur 4"
40 Roll 6 Leucodur 6" 6
41 Roll 40 Leucoplast 1623 BSN 20
42 Roll 30 Leucoplast 1624 BSN 5 X 4.5 20
43 Roll 30 Leucoplast 7.5 x 4.5
44 Lsn 1 Nald 6030 G/T 10
45 Lsn 1 Nald 6030 G/T 12
46 Lsn 1 Nald 6030 G/T 14
47 Lsn 1 Nald 6120 E000
48 Pcs 50 Nasal Canula Dewasa 20
49 Pcs 2 NGT 14
50 pcs 5 NGT 16
51 Pcs 15 NGT 18
52 Lsn 1 Polypropylene 3/0 Ref 9574
55 Box 1 Postofix 10x10
58 Roll 1 SiLk Black 0
59 Roll 1 Silk Black 2/0
60 Roll 12 Sofband 6"
61 Box 3 Spinocain 2
62 Box 3 Spuit 1 cc
63 Box 1 Spuit 100 cc Lubang Tengah
64 Box 2 Spuit 10cc
65 Box 1 Spuit 50cc Lubang Tengah
66 Box 1 Spuit 50cc Lubang Tepi
67 Pcs 1 Stamper dan mortir
68 Pcs 2 Suction Catheter No.16
69 Box 2 Threway
70 Box 1 Tranfusi Set
71 Box 1 Umbilical cord clamp
72 Pcs 100 Urine Bag
73 Roll 50 Verban 15cm 110
PT Parit Padang
1 Box 5 Anesfar injeksi 5mg
2 Box 30 Calcit (Calcatriol)
3 Tube 5 Decubal Cream
4 Box 1 Efedrin Inj
5 Box 2 Etirox 100 mg
6 Box 3 Farmasal 100 mg Tab 100's
7 Box 30 Farsix 40 mg Tab 100's
8 Vial 10 Farsorbid Inj
9 Box 30 Fasorbid 5 mg tablet
10 Fls 20 Interhistin Syr
11 Box 20 Interhistin Tab
12 Box 2 Ketese Tab 25 mg
13 Vial 2,000 Liaxon Inj
14 Vial 4,000 Litaxim Inj
15 Box 2 Nuzyp Tab 10 mg
16 Box 3 Remital 10 mg tablet
17 Fls 30 Tarivid tetes telinga
18 Tube 20 Trombopop gel 20 gr
PT Sawah Besar
1 Box 100 Clidorel tablet 50
2 Box 10 Ketocid tablet 3
3 Box 5 Levazide tablet
4 Fls 30 Otozambon Tetes Telinga
5 Box 5 Raos tablet 50 mg
6 Box 2 Sandepril Tab 50 mg
PT PENTA VALENT
1 Box 5 Cal -95
2 Strip 20 Cendo Catarlen 0,6 ml @ 5's minidose
3 Strip 20 Cendo Genta 0,6 ml@ 5's minidose
4 Strip 10 Cendo Glaopent 0,6 ml@ 5's minidose
5 Strip 20 Cendo LFX 0,6 ml @ 5's minidose
6 Strip 10 Cendo Lubricent 0,6 ml@ 5's minidose 3
7 Strip 20 Cendo Lyteers 0,6 ml@ 5's minidose 50
8 Strip 20 Cendo polidex 0,6ml@5's minidose
9 Strip 5 Cendo Tonor 0,6ml@5'S minidose
10 Strip 60 Cendo Ulcori 0,6 ml @ 5's minidose
11 Strip 25 Cendo Xitrol 0,6 ml@ 5's minidose
12 Box 20 Diuvar Inj 40
13 Fls 20 Forasma Syr
14 Jrg 3 Handscrub
15 Box 5 L - Bio Sachet 5
16 Fls 50 Lagesil Syrup
17 Box 3 Lapibal Inj
18 Fls 50 L-Zink Syr 20
19 Box 5 Myotonic Tab 1
20 Box 50 Suprafenid Supp
PT United Dico Citas

1 Box 3 Alinamin f injeksi
2 Box 5 Alinamin f Tablet 3
PT PROTEUSSABA NUSANTARA
1 Btl 2 Albumin
2 Gal 1 Alfa Diluent
3 Gal 1 Alfa Lyse
4 Jrg 3 Aquabidest
5 Btl 2 Billirubin Direct
6 Btl 2 Billirubin Total
7 Box 5 Blood Call Red
8 Box 10 Blood Call Ungu
9 Box 3 Blood Lancet
10 Btl 2 Creatinine
11 Btl 2 GGT
12 Btl 2 Glucose
13 Vial 2 Gol Darah A
14 Vial 2 Gol Darah B
15 Kit 2 Hbs Ag
16 Kit 1 HCV
17 Kit 2 HDL Cholesterol
18 Btl 2 Protein Total
19 Kit 1 RF Test
20 Btl 1 SGPT
21 KIt 1 Tubex TF
22 Btl 2 Verify
Kit 1 Widal Test
Inventaris
1 Set 1 Abortus Tang
2 Pcs 1 Alat Potong Gips
3 Pcs 1 Baskom Stenless + Standar
4 Pcs 1 Gunting Benang
5 Pcs 1 Gunting Jaringan
6 Pcs 1 Gunting Kain
7 Pcs 1 Gunting Verban Bengkok
8 Set 1 Irigator
9 Pcs 2 Nierbeken Besar
10 Pcs 2 Pispot Pria
11 Pcs 1 Pispot Wanita
12 Unit 1 Regulator Oksigen
13 Pcs 1 Senter
14 Unit 6 Standar Infus
15 Set 1 Tena Kulum
16 Unit 1 Tensi Kompas
17 Pcs 2 Tensimeter Air Raksa
18 Unit 2 Tensimeter Digital
19 Unit 2 Timbangan Badan
20 Pcs 2 Tongue Spatel Anak Stenless
21 Unit 1 Troly
22 Unit 1 Troly Emergency
23 Pcs 3 Washkom (Washen)
Untuk Kamar Bedah

Surgeri Set Mayor :
1 Pcs 2 - Canula Section (Steinless Stell)
2 Pcs 2 - Gunting Benang Lurus
3 Pcs 3 - Gunting Resesi Ujung Runcing 7"
4 Pcs 3 - Gunting Resesi Ujung Tumpul 7"
5 Pcs 12 - Hemostatic Forcef 6"-7"
6 Pcs 6 - Hemostatic Forcef Kocher 6"
7 Pcs 6 - Intestinal Tissue Forcef Bengkok
8 Pcs 6 - Intestinal Tissue Forcef Lurus
9 Pcs 4 - Kom Steinless Stell
10 Pcs 4 - Nearbeken (Bengkok)
11 Pcs 6 - Needle Holder (Nald Furder) 7"
12 Pcs 6 - Pinset Anatomis 7"
13 Pcs 6 - Pinset Cirugis 7"
14 Pcs 2 - Retractor Mekanic (Hak Otomatis)
15 Pcs 3 - Scalpel
16 Pcs 2 - Selang Suction Silikon
17 Pcs 6 - Sponge Holding Forcef
18 Pcs 1 - Suction Mesin
Surgeri Set Minor :

19 Pcs 2 - Gunting Benang Lurus 5"
20 Pcs 2 - Gunting Verban 5"
21 Pcs 12 - Hemostatic Forcef 5"-6"
22 Pcs 12 - Hernia Klem 5"
23 Pcs 4 - Needle Holder (Nald Furder) 5"
24 Pcs 6 - Pinset Anatomis 5"
25 Pcs 6 - Pinset Cirugis 5"
26 Pcs 3 - Scalpel
box
1 Tube 100 Acyclovir Cream
2 Box 30 Allupurinol 300 mg Tab
3 Fls 400 Ambroxol Syr
4 Fls 10 Aminofluid
5 Box 2 Amitriptilin 25 mg
6 Box 20 Amlodipin 5 mg
7 Fls 600 Amoxilin Syr 125 mg / 5 ml
8 Box 60 Amoxilin Tab 500 mg
9 Box 6 Angioten Tab
10 Fls 600 Antasida Doen Syr
11 Fls 600 Aqua Pro injeksi 25 ml
12 Box 80 Asam Mefenamat Tab
13 Fls 400 Ashering Infus
14 Box 1 Aspar K tab
15 Box 10 ATS 1500 IU
16 Fls 50 Azitromycin Syr
17 Box 50 Bisoprolol Tab 5 mg
19 Box 20 Captopril 12.5mg
20 Box 2 Carbamazepin Tab
21 Box 50 Cefadroxil 500 mg Cap 100's
22 Fls 300 Cefadroxil Syr
23 Box 30 Cefixim Cap 100's
24 Vial 3,000 Cefotaxim Inj
25 Vial 10 Ceftazidim Inj
26 Box 1,000 Ceftriaxon Inj 10's
27 Box 50 Ceterizin Tab 10 mg 30's
28 Box 60 Ciprofloxacin 500 mg Tab
29 Fls 10 Ciprofloxacin Infus
30 Box 30 Citicolon Inj 250 mg 10's
32 Box 20 Co Amoxiclav 625 mg 30's
33 Fls 200 Curcuma Syr
34 Box 5 Dextrose 10% Infus
36 Fls 100 Dextrose 5% Infus
37 Vial 5 Dobutamin Inj
38 Fls 20 Domperidon Drops
39 Fls 200 Domperidon Syr
40 Box 2 Efedrin Inj
41 Box 15 Ethambutol Tab 500 mg
42 Box 2 Exjade 500 mg Tab
45 Box 35 Furosemid 10 mg injeksi 25's
46 Box 30 Gabapentin 300mg
47 Tube 200 Gentamycin SK
48 Box 40 Glimepirid 1 mg Tab 100
53 Fls 50 Ibuprofen Syr
54 Box 80 ISDN Tab
55 Fls 30 Kandistatin Drops
56 Box 30 Ketorolac 10 mg Tab
57 Vial 3 KTM Inj
58 Box 400 Lansoprazol 30 mg Cap
59 Box 4 Lidocain HCl 2 % injeksi 100's
60 Box 150 Meloxicam 15 mg 100's
61 Vial 100 Meropenem Inj 1 gr
62 Box 80 Metformin 500 mg
63 Box 10 Metformin 850 mg
64 Vial 60 Methylprednisolon Inj 125 mg
66 Fls 400 Metronidazol Infus
67 Box 10 Mucosta Tab 100's
68 Fls 60 Nacl 1000 ml
69 Fls 400 NaCL 500 ml
70 Box 30 Natrium Diklofenac 50 mg Tab
72 Box 30 Ofloxacin 200 mg 50's
73 Box 30 Ofloxacin 400 mg
74 Box 300 Omeprazol Cap
75 Box 30 Ondancentron 4mg Tab
76 Box 100 Paracetamol 500mg Tab
77 Fls 200 Paracetamol Infus
78 Fls 400 Paracetamol Syr
79 Box 20 Pedab Tab
81 Box 10 Piracetam 400 mg Tab
82 Box 20 Prednison Tab
83 Box 5 Pyracetam 800 mg
84 Box 5 Pyrazinamid Tab 500 mg
87 Box 100 Ranitidin Tab
88 Box 5 Recofol Inj
89 Box 10 Rifampicin 450 Tab 100's
91 Fls 4,000 Ringer Lactate
92 Box 20 Salbutamol 2 mg Tab
94 Box 50 Simvastatain 10 mg Tab
95 Box 50 Simvastatin 20 mg Tab 100's
97 Box 4 Stesolid Rectal
98 Box 7 Stesolid Tab 2 mg
100 Box 5 Sulfasalazin Tab 500 mg
101 Box 65 Tramadol 50 mg Cap 100's
102 Box 2 Tramus Inj
103 Fls 20 Ventolin Inhaler
104 Box 15 Ventolin nebule
105 Box 15 Widahest Infus

1 Box 30 Atorvastatin 20 mg
2 Tube 50 Cloderma Cream 5 gr
3 Box 30 Cotrimoxazol Tab 480 mg
5 Box 5 Miloz 5 mg/ 5 ml injeksi 10's
6 Box 15 Natrium Diklofenak 50 mg Tab 100's
PT Buetna Hareukat
1 Set 1 Acchatit (Tambalan Gigi Anterior)
2 Box 5 Adalat Oros
3 Fls 10 Albhotyl
4 Bks 2 Alginate
5 Jrg 4 Alkohol 96 %
6 Box 3 Amaryl M
7 Box 2 Amoxan 500 mg Tab
8 Box 5 Aspilet Tab
11 Pot 50 Bedak Salicyl
12 Tube 5 Bepanten Cream
13 Fls 10 Berotec Inhaler
14 Tube 100 Betamethason Cream 0.1% 5 gr
15 Tube 30 Bioplacenton Cream
16 Box 2 Biosanbe Tab
20 Box 2 Celebrex 100 mg
21 Bks 1 Cement Powder + Cemen Liquid
28 Bks 2 Cotton Roll
29 Box 35 Curcuma Tab
31 Tin 5 Dexamethason Inj
32 Box 20 Dexamethason Tab
34 Box 25 Diovan 160 mg 27's
35 Box 25 Diovan 80 mg 27's
36 Box 3 Dulcolax Supp Anak
37 Box 10 Dulcolax Supp Dewasa
38 Box 1 Epolite
39 Box 5 Erytromicin Cap 250 mg
40 Box 10 Farmasal Tab
41 Fls 10 Flutias Inhaler 125 mcg
42 Box Formalin Tab
43 Bks 2 Gips Putih
44 Bks 2 Gips Stone
45 Box 10 Glibenclamide 5mg
47 Box 3 Glucophage XR
51 Vial 40 Hemapo Inj 3000 IU
57 Tin 2 INH 300 mg
58 Box 1 KA EN 3B
60 Bks 1 Kapsul Kosong No.1
63 Box 10 Ketoconazol Tab 50's
67 Box 30 Loratadin Tab
73 Tin 3 Natrium Bicarbonat Tab
78 Tin 1 Occo
79 Box 1 Oralit
84 Pot 1 Parafin 500
85 Box 20 Pehacain inj
87 Vial 100 Procain Penicillin Inj
89 Box 3 Proten Susu
90 Fls 5 Psidii Syr
91 Box 5 Recolfar Tab
92 Box 10 Regumen Tab 30's
93 Box 3 Renalof Cap
94 Box 2 Renax Cap
95 Box 2 Rinofer Inj
96 Box 2 Rinofr Tab
97 Vial 3 Serum Anti Bisa Ular (SABU) Inj
98 Box 5 Simarc 2mg Tab
100 Box 5 Spiriva Refile
101 Strip 1 Spongostam
102 Tin 3 Sulfas ferosus
103 Tin 1 Tetraciclin Cap
104 Box 5 THF Tab 100's
105 Box 30 Tramadol Inj 100 mg / 2 ml 5's
106 Box 3 Trileptal 600 mg
108 Box 5 Trolip Cap 300 mg
109 Box 2 Urdahex Tab 250 mg
110 Tin 2 Vit K Tab
1 Fls 100 Alpara Syr
2 Box 50 Alpentin 100 mg
3 Fls 400 Alphamol Syr
4 Box 1 Asabium Tab
5 Tube 150 Bevalex Cream
6 Fls 400 Dextral Syr
7 Box 20 Dextral Tab 100's
10 Box 10 Folac Tab
11 Tube 100 Gentalex Cream
12 Fls 200 Infantrim Syr
14 Box 20 Irbesartan 150 mg
15 Box 80 Lexacort Tab
16 Fls 600 Lexacrol Syr
17 Box 30 Lexacrol Tab
18 Box 40 Lexadium Tab
19 Box 10 Lexagin Tab 500 mg 100's
20 Box 60 Lexapram Tab
21 Box 50 Lexavit Tab 100's
22 Fls 300 Lexavon Syr
23 Box 20 Lexavon Tab
24 Box 40 Lexicam 10 mg Tab 100's
25 Box 40 Lexicam 20 mg Tab 100's
26 Box 30 Molacort Tab
27 Tube 50 Moladerm Cream
28 Fls 400 Molafate Susp
29 Box 30 Molagit Tab
30 Box 130 Molaneuron Tab 100's
31 Fls 300 Molapect Syr
32 Box 30 Molapect Tab
33 Box 70 Molasic 500 mg Tab
34 Fls 400 Molexdryl Syr
35 Box 50 Molexflu Tab
36 Fls 10 Mucera Drop
38 Fls 300 Pritamox Syr
39 Box 50 Pritamox Tab
40 Box 30 Pritasma Tab
41 Box 50 Pritavit Tab 100's
42 Tube 100 Renvol Cream
43 Box 30 Thiamfilex Cap 500 mg
44 Fls 15 Valeptic Syr
45 Fls 400 Vical Syr
PT Mesarinda Abadi
1 Pcs 3 Balon Tensi
2 Pcs 5 Circuit anaestesi
5 Box 20 Easy Touch Cholesterol 10's
6 Box 20 Easy Touch Glucose 25's
7 Pcs 1 ETT No.6.5 Non King2
8 Pcs 2 ETT No.7 Non King2
9 Pcs 2 ETT No.7.5 Non King2
10 Pcs 10 Extention Tubing
13 Pcs 5 Guidel Hijau
15 Box 10 Hand Scun No.7.5
16 Box 30 Hand Scun Non Steril
17 Roll 20 Hypafix 15 x 5
18 Roll 30 Hypafix 5 x 5
19 Box 5 Infuset Dewasa
20 Box 2 Infuset Ped
21 Pcs 50 Iodine Povidon 60 ml
22 Box 15 IV Catheter 22
23 Roll 40 Kapas 100 gr
24 Ktk 100 Kasa Hydrofil Kotak
25 Roll 7 Kassa Lucky
26 Pack 2 Kertas Print USG
29 Box 2 Laminaria
35 Roll 60 Leucoplast 1623 BSN
36 Roll 30 Leucoplast 1624 BSN 5 X 4.5
37 Roll 30 Leucoplast 7.5 x 4.5
38 Box 20 Lomatul
39 Pcs 3 Manset Omron Latex Free
40 Pcs 3 Manset Tensi
41 Box 30 Masker Tali
42 Box 5 Nald 23
43 Lsn 1 Nald G/T 6030 - 12
44 Lsn 1 Nald G/T 6036 - 12
45 Lsn 1 Nald G/T 6036 - 8
46 Pcs 50 Nasal Canula Dewasa
47 Pcs 10 NGT 18
48 Box 1 Pisau Bisturi No.24
52 Pcs 50 Pot Obat 20 gr
55 Box 1 Spinocain
56 Box 1 Spuit 1 cc
57 Box 1 Spuit 100 cc
58 Box 2 Spuit 10cc
61 Box 3 Three Way
62 Box 2 Topi Operasi
63 Pcs 2 Torax Dray No.20
65 Pcs 1 Truelene Mesh 6 x 11 cm
66 Pcs 100 Urine Bag
67 Roll 300 Verban 15cm
PT Sapta Sari Tama
1 Fls 10 Belamox Syr
2 Box 10 Calcimega Tab
5 Fls 50 Laxadin Syr
6 Vial 2,000 Liaxon Inj
7 Vial 4,000 Litaxim Inj
8 Box 2 Renalof Cap
9 Box 20 Sohobion Tab
10 Fls 30 Vectrim Syr
PT Sawah Besar
1 Box 10 Epsonal Tab
3 Box 10 Ketocid Tab
4 Box 2 Kutoin Cap
5 Box 2 Levazide Tab
7 Box 2 Sandepril Tab 50 mg
8 Box 1 Suldox Tab
9 Fls 20 Tarivid Otic TT
PT PENTA VALENT
1 Strip 10 Cendo Asthenof 0,6 ml@ 5's minidose
2 Strip 20 Cendo Augentonic 0,6 ml@ 5's minidose
4 Strip 10 Cendo Cenfresh 0,6 ml@ 5's minidose
5 Strip 10 Cendo Eyefresh 0,6ml@5's minidose
6 Strip 5 Cendo Fenicol 0.25% 0,6 ml@ 5's minidose
7 Strip 5 Cendo Floxa 0,6 ml@ 5's minidose
8 Tube 30 Cendo Genta SM
9 Strip 10 Cendo Glaopent 0,6 ml@ 5's minidose
10 Strip 10 Cendo LFX 0,6 ml @ 5's minidose
11 Strip 10 Cendo Lubricent 0,6 ml@ 5's minidose
12 Strip 50 Cendo Lyteers 0,6 ml@ 5's minidose
13 Strip 5 Cendo Pantocain 2% 0,6 ml@ 5's minidose
14 Strip 20 Cendo Polydex 0,6 ml@ 5's minidose
15 Strip 5 Cendo Tonor 0,6 ml @ 5's minidose
17 Strip 10 Cendo Vitrolenta 0,6 ml@ 5's minidose
19 Box 400 Diufar Inj 5's
21 Jrg 3 Handscrub
22 Box 5 L - Bio Sachet
23 Box 7 L - Cisien Tab 30's
25 Fls 50 Lasal Syr
26 Fls 30 L-Zink Syr
27 Box 10 Mecola Tab
28 Box 30 Norages Inj

1 Box 7 Alinamin injeksi
2 Tube 50 Bersol Cream
3 Box 10 Ciflon Tab
4 Box 2 Esilgan Tab 2 mg
5 Box 2 Imboost Tab
6 Tube 100 Motaderm Cream
1 Gal 1 Alfa Diluent
2 Gal 1 Alfa Lyse
3 Jrg 1 Aquadest
5 Pcs 2 Bola Lampu Halogen A-25
6 Pcs 1 Bola Lampu Halogen Microscope
7 Vial 1 Calibrator
8 Btl 2 Cholesterol
9 Vial 1 Control Serum Level I (CSL I)
10 Vial 1 Control Serum Level II (CSL II)
11 Set 2 Createnine
12 Btl 2 Glucose
14 Pcs 2 Sensi Gloves
15 Btl 2 SGOT
16 Btl 2 SGPT
17 Btl 2 Trigliceride
18 Btl 2 Urea
19 Btl 2 Uric Acid
Inventaris
1 Unit 1 Alat Cek KGD
2 Pcs 1 Alat Potong Gips
3 Pcs 1 Baskom Stenless + Standar
4 Pcs 1 Gunting Benang
5 Pcs 1 Gunting Jaringan
6 Pcs 1 Gunting Kain
7 Pcs 1 Gunting Verban Bengkok
8 Pcs 2 Nierbeken Besar
9 Unit 2 Rustur
10 Pcs 2 Sendok Curretage Doble
11 Pcs 2 Sendok Curretage No.2
12 Pcs 1 Senter
13 Unit 6 Standar Infus
14 Unit 1 Tensi Kompas
15 Unit 1 Tensimeter Digital
16 Pcs 1 Tensimeter Manua
17 Unit 2 Thermometer Air Raksa
18 Pcs 3 Thermometer Manual
19 Unit 1 Timbangan Badan
20 Pcs 2 Tongue Spatel Anak Stenless
21 Pcs 2 Tourniquet
22 Unit 1 Troly
23 Unit 1 Troly Emergency
PT CUT MEUTIA MEDIKA NUSANTARA
RUMAH SAKIT CUT MEUTIA
REKAP AU-31
PERIODE BULAN MEI 2014
NO DISTRIBUTOR NO. AU-31 JUMLAH KETERANGAN
1 PT ANUGRAH ARGON MEDICA RSCM/AU-31/067/2014 279,969,668
2 PT ANTAR MITRA SEMBADA RSCM/AU-31/068/2014 48,152,340
3 PT BUETNA HAREUKAT RSCM/AU-31/069/2014 130,486,795
4 PT ENCEVALL PUTRA MEGATRADING RSCM/AU-31/070/2014 29,632,510
5 PT RAJAWALI NUSINDO RSCM/AU-31/071/2014 118,514,076
6 PT UNITED DICO CITAS RSCM/AU-31/072/2014 75,876,466
7 PT PENTA VALENT RSCM/AU-31/073/2014 164,142,043
8 PT MESARINDA ABADI RSCM/AU-31/074/2014 87,818,730
9 PT TIRTA MEDICAL INDONESIA RSCM/AU-31/075/2014 12,320,802
10 PT HEXALAB SUMATERA RSCM/AU-31/076/2013 10,322,548
11 PT HEXALAB SUMATERA RSCM/AU-31/011/2014 10,242,151
12 PT. SAPTA SARI TAMA RSCM/AU-31/012/2014 27,146,565
13 PT DOS NI ROHA RSCM/AU-31/013/2014 31,942,219
14 PT SAWAH BESAR FARMA RSCM/AU-31/014/2014 33,557,777
15 KOPKAR MON MADU RSCM/AU-31/015/2014 11,434,500
JUMLAH SELURUHNYA 1,071,559,189
Diminta oleh : RSCM

Plh. Kepala
dr. Cut Diah AK

Assur. Operasional & Pelayanan
DAFTAR PESANAN OBAT - OBATAN
Periode Mei 2014

Kepada : PT Anugrah Argon Medica 1
No. U R A I A N Banyaknya Keterangan
Prod. Actavis
1 Alpentin 300 mg Cap 50's 15 Box
2 Cloramex Inj 10's 5 Box
3 Stesolid Inj 5's SP OKT 2 Box
4 Stesolid 2mg Tab 100's SP OKT 2 Box
5 Stesolid Syr SP OKT 6 Fls
Prod. BSN
6 Leukoplast 4.5 X 2.5 BSN 22 Roll
7 Leukoplast 4.5 X 5 BSN 20 Roll
8 Leukoplast 4.5 X 7.5 BSN 20 Roll
9 Hypafix 5 x 15 20 Roll
10 Leucocrep 3 Inc 6 Roll
11 Leucocrep 4 Inc 12 Roll
12 Masker Tali 50's 15 Box
Prod. Dexa Medica

13 Anvomer B6 Tab 60's 2 Box
14 Azomax 500 mg Tab 10's 15 Box
15 Canderin 8 mg Tab 30's 5 Box
16 Recofol Inj 5's 4 Box
17 Rhinos SR 50's 5 Box
18 Sistenol Tab 60's 5 Box
19 Trolip 300 mg Kaps 30's 2 Box
20 Vectrin Syr 17 Fls
21 Tramus Injeksi 10 Amp
Prod. Ferron
22 Ketricin Orabase 15 Tube
Prod. Merck
23 Concor 2,5 mg Tab 100's 5 Box
24 Concor 5 mg Tab 100's 5 Box
25 Glucopage 500 mg Tab 100's 10 Box
Prod. Novo Nordisk

25 Levemir Flexpen 5's 5 Box
26 Novomix Flexpen 5 's 5 Box
27 Novorapid Flexpen 5's 15 Box
Prod. OGB Dexa Medica

28 Acyclovir 400 mg Tab 50's 5 Box
29 Alprazolam 0.5 mg Tab 100SP OKT 60 Box
30 Amlodipin 5 mg Tab 50's 40 Box
31 Amoxicillin 500 mg Tab 100's 10 Box
32 Asam Mefenamat 500 mg Tab 100's 50 Box
33 Bisoprolol 5 mg Tab100's 25 Box
34 Cefadroxil 500 mg Kaps 50's 25 Box
35 Ceftriaxon Inj 10's 15 Box
36 Clindamicin 300 mg Kaps 50's 10 Box
37 Clopidogrel 75 mg Tab 30's 50 Box
38 Cefotaxim Inj 500 Vial
Dipindahkan
Kepada : PT Anugrah Argon Medica 2
Pemindahan
39 Dexametason Inj 100's 2 Box
40 Domperidon 10 mg Tab 100's 40 Box
41 Domperidon Syr 50 Fls
42 Gliquidon 30 mg Tab 100's 1 Box
43 Glucodex Tab 25 Box
44 Ketokonazole Cream 2% 10 gr 24's 4 Box
45 Levofloxacin 500 mg Tab 30's 15 Box
46 Levofloxacin Infus 100 ml 10 Fls
47 Meloxicam 15 mg Tab 30's 70 Box
48 Meropenem Inj 1's 100 Box
49 Mertigo Tab 100's 10 Box
50 Methylprednisolon 125 mg Inj 30 Vial
51 Methylprednisolon 4 mg Tab 100's 40 Box
52 Omeprazol Inj 1's 100 Box
53 Propanolol 10mg Tab 100's 5 Box
54 PTU tab 100's 5 Box
55 Ranitidin Inj 25's 84 Box
56 Rifampicin 450 mg Tab 100's 5 Box
57 Risperidon 2 mg 30's Tab 2 Box
58 Simvastatin 10 mg Tab 30's 100 Box
59 Valsartan 80 mg Tab 28's 10 Box
Prod. Pfizer
60 Caduet 10/20 mg Tab 30's 7 Box
61 Caduet 5/20 mg Tab 30's 7 Box
62 Celebrex Tab 100 mg 30's 110 Box
63 Lipitor 10 mg Tab / 30's 80 Box
64 Lipitor 20 mg Tab/ 30's 120 Box
65 Lyrica 75mg Tab 14's 30 Box
Prod. GSK
66 Avodart Tab 30's 7 Box
Periode Mei 2014

Kepada : PT Antar Mitra Sembada
Prod. Novell OGB.

1 Cefadroxil Syr 70 Fls
2 Cefixim 100 mg 50's 10 Box
3 Cefixim 200 mg 50's 10 Box
4 Cefixim Syr 30 ml 100 Fls
5 Lansoprazol Cap 20's 150 Box
6 Omeprazol Cap 30's 150 Box
7 Ondancentron 4 mg 12's 30 Box
Prod. Pharos
8 Albothyl Conc 5 Btl
Prod. Pyridam
9 Epsonal 50 mg 100's 3 Box
10 Fuson Cream 5 gr 20 Tube
11 Neotibi 500 mg Tab 100's 10 Box
12 Osteor Cream 30 gr 30 Tube
13 Osteor Tab 30's 70 Box
14 Pantoz Inj 1's 35 Vial
15 Pyderma Cream 10 gr 15 Tube
16 Siberid 5 mg Tab 30's 5 Box
17 Takana Sirup 60 ml 200 Fls
18 Taxfor Inj 40 Vial
Prod. Galenium
19 Laxadin Syr 60 ml 15 Fls
Prod. Novell
20 Ceterizine Tab 50's 30 Box
21 Miloz Injeksi 10's 2 Box
22 Ranivell Syr 60 ml 5 Fls
Periode Mei 2014

Kepada : PT Buetna Hareukat 1
Alkes
1 Alkohol 96 % 4 Jrg
2 Thrombopob Gel 20 gr 20 Tube
Prod. Bio Farma

3 ATS 1500 IU Inj 5 Box
Prod. Combi
4 OBH Combi Syr 330 Btl
Generik
5 Allupurinol 300 mg Tab 100's 45 Box
6 Alupurinol 100 mg Tab 100's 10 Box
7 Amytriptilin 25 mg Tab 100's 1 Box
8 Asam Traneksamat 500 mg Inj 10's 5 Box
9 Atropin Hcl Inj 100's 1 Box
10 Batugin Elixir 300ml 20 Fls
11 Buscopan Inj 10's 1 Box
12 Calcium Lactat 1 Tin
13 Captropil 12.5mg Tab 100's 40 Box
14 Captropil 25mg Tab 100's 10 Box
15 Chloramfenicol 250 mg Kaps 1000's 3 Tin
16 Chloroquin Tab 1000's 1 Tin
17 Cortison Inj 10's 2 Box
18 Dexametason Inj 100's 3 Box
19 Digoxin 0,25 mg Tab 100's 2 Box
20 Enkapirin Tab 250's 1 Btl
21 Epinefrin Inj 100's 1 Box
22 Erythromycin 250 mg Kaps 100's 10 Box
23 Erythromycin 500 mg Kaps 100's 15 Box
24 Erytromycin Syrup 80 Fls
25 Ethyl Chlorid Spray 2 Fls
26 Furosemide 10 mg Inj 25's 10 Box
27 Furosemide 40 mg Tab 100's 30 Box
28 GG Tab 1 Tin
29 Glibenklamide 5mg Tab 2 Box
30 Glimepiride 4mg Tab 5 Box
31 Haemocain Ointment 8 Tube
32 Ichtiol Salep 15 Pot
33 INH 100 mg Tab 1 Tin
34 INH 300 mg Tab 100's 1 Box
35 Insto TM 22 Fls
36 Itraconazol Tab 20's 2 Box
37 Kejibling Cap 6 Box
38 Mebo Cream 20 gr 3 Tube
39 Moloco B 12 100's 2 Box
40 Natrium Bicarbonat 3 Tin
41 Obimin AF Tab 30's 2 Box
42 Oralit 1 Box
43 Pempers Ukuran L 3 Pak
44 Pempers Ukuran M 3 Pak
45 Pempers Ukuran XL 3 Pak
Dipindahkan
Pemindahan
46 Piroxicam 20mg Tab 100's 10 Box
47 PK 30 Pot
48 Pyrantel 125 mg Tab 100's 2 Box
50 Sulfas Ferosus Tab 1000's 1 Tin
51 Tramadol Injeksi 10 Box
52 Trihexyphenidil 2 mg Tab 100's 2 Box
53 Vitamin B Complex Tab 1000's 2 Tin
54 Vitamin B1 Tab 3 Tin
55 Vitamin C Tab 1000's 4 Tin
56 Vitamin K Inj 100's 1 Box
Prod. Kimia Farma

57 Bedak Salicil 74 Sach
58 Enkasari Syr 120 ml 10 Btl
59 Scabicid Cream 5 gr 46 Tube
Prod. Mahakam
60 Betadin Ointment 5 gr 5 Tube
Prod. Meiji
61 FG Troches Tab 300's 3 Box
62 Meiact Tab 20's 5 Box
63 Fosmicin 1gr Inj 10's 10 Box
64 Fosmicin 2gr Inj 10's 10 Box
65 Procain Penicillin Inj 100 Vial
Prod. Merck
66 Neurobion 5000 mg Inj 10's 9 Box
67 Sangobion Kaps 250's 2 Box
Prod. Pharos
68 Nebacetin Oint 10 gr 10 Tube
69 Nebacetin powder 5 Btl
Prod. Darya Varya

70 Burnazin Cream 30 gr 5 Tube
71 Burnazin Cream 500 gr 2 Pot
Prod. Sanbe
72 Amoxan 500 mg kapsul 100's 1 Box
73 Biosanbe Cap 100's 5 Box
74 Proxime Tab 30's 10 Box
75 Sanmol 500 mg Tab 100's 2 Box
76 Tricodazol 500 mg Tab 100's 1 Box
78 Sanmol Infus 10 Fls
Prod. Prafa
79 Paradryl Inj 10's 4 Box
80 Paramidon Inj 10's 3 Box
Prod. Merck
81 Illiadin 0.025% 10 Fls
82 Illiadin 0.05% 5 Fls
Dipindahkan
Pemindahan
Prod. Boehringer
83 Dulcolax Supp 10's 1 Box
Prod. Widatra OGB

84 Glucose 10% Infus 500 ml 40 Fls
85 Glucose 5% Infus 500 ml 100 Fls
86 Kaen 3B 100 Fls
87 Kidmin Infus 3 Fls
88 NaCl 0.9% Infus 500 ml 400 Fls
89 RL Infus 500 ml 2,900 Fls
90 Wida Hest Infus 50 Fls
Prod. GSK
91 Ventolin Inhaler 20 Fls
92 Ventolin Nebule 20's 23 Box
Prod. Transfarma
93 Prostigmin Inj 5's 10 Box
Prod. Otsuka
94 Aqua 1 Ltr 100 Fls
95 Ashering 500 ml Infus 400 Box
96 Mucosta 100 mg 100's 15 Box
97 Otsu NaCl 0,9%100 ml 100 Fls
94 Otsu water injeksi 25ml 400 Fls
95 Pletaal 100 mg 100's 5 Box
96 Proten Susu 10's 3 Box
Periode Mei 2014

Kepada : PT Encevall Putra Megatrading
Prod. Kalbe Farma
1 Angioten 50 mg 30's 7 Box
2 Bioplacenton Jelly 60 Tube
3 Car - Q 30'S 7 Box
4 Irvask 150 mg Tab 30's 15 Box
5 Lancid 30 mg Cap 20's 20 Box
6 Serlof Tab 30's 5 Box
7 Truvaz 20 mg Tab 30's 10 Box
8 Urdahex Kaps 30's 7 Box
9 Vitazym Tab 100's 22 Box
10 Zofredal 2 mg Tab 30's 4 Box
11 Pranza Injeksi 20 Vial
12 Kalxetin 10mg Tab 30's 3 Box
13 Vomitas Tab 30's 5 Box
14 Zypraz 0.5mg Tab 2 Box
Prod. Hexapram Jaya

15 Glucosamin Tab 30's 10 Box
16 Meloxicam Supp 10's 5 Box
Periode Mei 2014

Kepada : PT Mensa Bina Sukses 1
Prod. Actavis
1 Alpentin 100 mg 50's 7 Box
2 Golmun Syr 60 ml 30 Fls
Prod. Interbat
3 Colme TT 50 Fls
4 Interhistin 50 mg Tab 100's 20 Box
5 Pamol Drops 5 Btl
6 Urinter Tab 100's 2 Box
Prod. Landson
7 Irbesartan 150 mg Tab 30's 50 Box
8 Isosorbid Dinitrat 100's 10 Box
Prod. Molex Ayus

9 Alpara Syr 100 Fls
10 Alphamol 600 mg 150's 20 Box
11 Alphamol Syr 60 ml 600 Fls
12 Bevalex Cream 5 gr 212 Tube
13 Dextral Syr 60 ml 220 Fls
14 Dextral Tab 150's 12 Box
15 Dicloflam 25mg Tab 60 Box
16 Dicloflam 50/ 50's 50 Box
17 Gentalex Cream 5 gr 150 Tube
18 Infantrim Forte Tab 10 Box
19 Infatrim 480 mg Tab 35 Box
20 Infatrim Syr 60 ml 200 Btl
21 Klorfeson Cream 5 gr 30 Tube
22 Lexacorton Cream 5 gr 50 Tube
23 Lexacrol Syr 190 ml 410 Fls
24 Lexacrol Tab 150's 15 Box
25 Lexadium Tab 60's 25 Box
26 Lexagin 500 mg Tab 100's 5 Box
27 Lexapram Syrup 20 Fls
28 Lexapram Tab 10 mg 100's 10 Box
29 Lexavit Tab 100's 15 box
30 Lexavon Syrup 230 Fls
31 Lexavon Tab 100's 12 Box
32 Mofulex Cream 5 gr 60 Tube
33 Molacort 0.5mg Tab 100's 30 Box
34 Moladerm Cream 10 gr 236 Tube
35 Molagit Tab 100's 20 Box
36 Molakrim 30 gr 600 Tube
37 Molaneuron Tab 50's 45 Box
38 Molapect Syrup 60 ml 15 mg / 5 ml 520 Fls
39 Molapect Tab 100's 15 Box
40 Molasic Tab 100's 40 Box
41 Molazol Tab 100's 20 Box
42 Molexdryl Syr 60 ml 450 Fls
43 Molexflu Syrup 50 Fls
44 Molexflu Tab 150's 34 Box
45 Neokaominal Syr 60 ml 70 Fls
Dipindahkan
Kepada : PT Mensa Bina Sukses 2
Pemindahan
46 Pritacort Tab 150's 25 Box
47 Pritamox 500 mg 100's 25 Box
48 Pritamox Syr 60 ml 150 Btl
49 Pritanol 100 mg 100's 20 Box
50 Pritasma 4mg Tab 100's 20 Box
51 Pritavit Tab 100's 20 Box
52 Thiamfilex Syr 60 ml 80 Fls
53 Thiamfilex Tab 100's 30 Box
54 Vical Syr 60 ml 200 Fls
55 Vitalex Tab 100's 10 Box
Prod. Otto
56 Asabium 10 mg Tab 100's 1 Box
57 Calcidin Tab 100's 5 Box
58 Cebex Tab 100's 30 Box
59 Folac Tab 100's 5 Box
60 Gerdilium Syr 60 ml 150 Fls
61 Hexadol mint Gargle 30 Btl
62 Letonal 100mg Tab 100's 5 Box
63 Letonal 25 mg Tab 100's 7 Box
64 Lexacort Tab 100's 20 Box
65 Opineuron 500 mg Tab 100SP OKT 10 Box
66 Opizolam 0.5 mg 50's SP OKT 4 Box
67 Ostarin 400 mg Tab 100's 30 Box
68 Ostarin Syr 60 ml 150 Fls
69 Piralen Inj 5's 15 Box
70 Renvoll Emulgel 20 gr 200 Tube
71 Rihest Syr 60 ml 15 Fls
72 Rihest Tab 100's 15 Box
73 Trifedrin Syr 60 ml 70 Fls
74 Trifedrin Tab 30's 85 Box
75 Vical Syrup 200 Fls
Periode Mei 2014

Kepada : PT Rajawali Nusindo 1
Prod. Combiphar
1 Neo K Inj 5's 10 Box
Prod. Ethica
1 Efedrin HCL Inj 10's 1 Box
2 Neuropil 5000 Inj 10's 10 Box
2 Pitogin Inj 10's 10 Box
3 Vulamox Syr 50 Btl
Prod. Futamed
4 Afamed 30's 10 Box
5 Fudanton 4 mg Tab 30's 10 Box
6 Fudo 10 mg Tab 30's 10 Box
7 Fulopin 10 mg Tab 30's 10 Box
9 Fumethyl 4 mg Tab 30's 10 Box
10 Futalin Tab 20's 15 Box
11 Futamel 15 mg Tab 30's 10 Box
12 Rybest 10 mg Tab 20's 15 Box
Prod Fresenius Kabi

13 Ketosteril Tab 100's 5 Box
Prod. GSK
14 Zyloric 300 mg Kaps 30's 20 Box
Prod. GMP
15 Reco Eye Drops 20 Fls
Prod. Jansen
16 Ultracet 30's 7 Box
Prod. Soho
17 Atsma Soho 1000's 1 Tin
18 Belamox 500 mg 15's 40 Box
19 Curcuma Blister 100's 40 Box
Prod. Phapros
20 Antasida Doen Syr 220 Fls
21 Antasida Doen Tab 2 Tin
22 Betametason Cream 24 Tube
23 Paracetamol Syr 60 ml 400 Btl
24 Thiamfenicol 500 mg 100's 3 Box
25 Paracetamol Tab 100's 65 Box
Prod. UAP
26 Aspilet 80 mg 100's 8 Box
Dipindahkan
Pemindahan
Prod. Sanofi
27 Amaryl 2 mg Tab 30's 10 Box
28 Amaryl 3 mg Tab 30's 8 Box
29 Amaryl M2 Tab 30's 12 Box
30 Aprovel Tab 150 mg 30's 7 Box
31 Aprovel Tab 300 mg 30's 7 Box
32 Cardace 2.5 mg Tab 60's 5 Box
33 Nasacort Spray 10 Fls
34 Plavix 75 mg Tab 28's 15 Box
35 Triatec 10 mg Tab 30's 15 Box
Prod. MSD
35 Arcoxia Tab 60 mg 30's 10 Box
Prod. Novartis
36 Co Diovan 160/12.5 Tab 30's 7 Box
37 Tegretol Syrup 120ml 5 Fls
Prod. Servier
38 Diamicron MR Tab 60 mg 30's 50 Box
39 Trizedon MR Tab 60's 20 Box
Prod. Fahrenheit
40 Farmasal Tab 100's 2 Box
41 Recolfar Tab 30's 5 Box
42 Renagas Tab 50's 5 Box
Prod. Astelass
42 Harnal Ocas Tab 30's 10 Box
Prod. Sandoz
43 Olandoz 10 mg Tab 30's 4 Box
Prod. MLM
44 Diamelon Tab 60's 3 Btl
Prod. Merk
45 KSR 600mg Tab 1 Box
46 Xylocain Gell 2 Pcs
Prod. Darya Varia

47 Ozid Injeksi 70 Box
48 Salofalk 500mg Tab 100's 2 Box
Prod. Yarindo
49 Atorvastatin 20mg Tab 30 Box
50 Yariflam 50mg Tab 10 Box

Periode Mei 2014

Kepada : PT United Dico Citas
Prod. Bernofarm
1 Anafen Syrup 200 Fls
2 Bersol 15 gr Cream 50 Tube
3 Berthyco 500 mg Kaps 100's 20 Box
4 Bralin 500 mg Tab 30's 20 Box
5 Bucain Inj 5's 5 Box
6 Glucoryl 2 mg Tab 30's 15 Box
9 Kliran 4 mg Inj 5's 100 Box
10 Lovask 10 mg Tab 30's 30 Box
11 Lovask 5 mg Tab 30's 50 Box
12 Macef Inj 30 Fls
13 Motaderm Cream 20 Tube
14 Paramol Infus 100 Fls
15 Tocef Tab 10's 15 Box
16 Trolac 30 mg Inj 5's 100 Box
17 Trolac Tab 10's 20 Box
Prod. Takeda
18 Alinamin F injeksi 5's 8 Box
19 Alinamin F Tab 100's 3 Box
20 Boraginol N Salep 10 Tube
21 Boraginol N Supp 10's 6 Box
22 Nonflamin Tab 60's 15 Box
Periode Mei 2014

Kepada : PT Penta Valent
Prod. Cendo
1 Cendo Asthenof 0,6 ml @5's minidose 5 Strip
2 Cendo Berry Tab 30's 5 Box
3 Cendo Cenfresh 0,6 ml @ 5's minidose 10 Strip
4 Cendo Conver 0,6 ml @ 5's minidose 10 Strip
5 Cendo Eyefreesh mild 0,6 ml @ 5's minidose 15 Strip
6 Cendo Fenicol 0,25 % 6 ml @ 5's minidose 15 Strip
7 Cendo Fenicol eye ointment 3,5 gr 50 Tube
8 Cendo Genta 0,3 % 6 ml @ 5's minidose 65 Strip
9 Cendo Genta0,3 % 3,5 gr ointment 30 Tube
10 Cendo Glaopen 0,6 ml @5's minidose 10 Strip
11 Cendo Lentikular 0,6 ml @ 5's minidose 5 Strip
12 Cendo LFX 0,6 ml @ 5's minidose 10 Strip
13 Cendo Lubricent 0,6 ml @ 5's minidose 5 Strip
14 Cendo Lyteers 0,6 ml @ 5's minidose 65 Strip
15 Cendo Pantocain 0,6 ml @ 5's minidose 15 Strip
16 Cendo Polydex 0,6 ml @ 5's minidose 20 Strip
17 Cendo Possop 0,6 ml @ 5's minidose 30 Strip
18 Cendo Protogenta 0,6 ml @ 5's minidose 10 Strip
19 Cendo Tonor 0,25 % 0,6 ml @ 5's minidose 10 Strip
20 Cendo Ulcori 0,6 ml @ 5'S minidose 5 Strip
21 Cendo Vital Tab 30's 5 Box
22 Cendo Xitrol 0,6 ml @ 5's minidose 35 Strip
Prod. Gracia
23 Bevita Syr 120 ml 164 Fls
24 Diuvar Inj 5's 35 Box
25 Estin Drops 10 ml 5 Btl
26 Granem Injeksi 100 Vial
27 Propepsa Syr 190 ml 400 Btl
28 Tranec 250 mg Inj 10's 10 Box
29 Tranec 500 mg Tab 50's 7 Box
30 Voxin 500 mg 20's 10 Box
Prod. Guardian
31 Evothyl 300mg Cap 10 Box
32 Forasma Syrup 10 Fls
Prod. Lapi
33 Cal 95 Tab 100's 5 Box
34 Ciflon Tabb 30's 25 Box
35 Cravox Tab 10's 10 Box
36 Hepatin Tab 30's 50 Box
37 Lapixim 1gr Injeksi 15 Vial
38 Lasal Exp Syr 100 Btl
39 Lasal Syr 50 Btl
40 L-Bio Sachet 30's 50 Box
41 L-Zink 100 ml Syr 30 Fls
42 Topazol Injeksi 10 Fls
Dipindahkan
Kepada : PT Penta Valent
Pemindahan
Prod. Mepro
43 Myotonic Inj 10's 10 Box
44 Myotonic Tab 100's 3 Box
45 Norages Inj 5's 62 Box
46 Proceles Syr 60 ml 50 Fls
47 Biocombion 5000mg Injeksi 10 Box
48 Suprafenid Supp 10's 6 Box
49 Proneuron Kaplet 200's SP OKT 5 Box
Prod. Promed Raharjo

50 Minosil Handrub 5 Ltr 2 Gal
DAFTAR PESANAN ALAT KESEHATAN
Periode Mei 2014
Kepada : PT Mesarinda Abadi
Alkes
1 Folly Chateter No. 16 Cab 2 5 Pcs
5 Gunting Operasi 1 Bh
6 I.V. Catheter 18 TRM 5 Box
10 Infuset Dewasa 10 Box
11 Infuset Paed 3 Box
12 Kapas 250 gr 2 Roll
13 Kasa Steril 16 x 16 Swallow 100 Pcs
14 Kassa Lucky 3 Roll
15 Manset Tensi 1 Bh
16 Nald 23 100's 500 Pcs
17 Nald Hecting 6036 G/R 10 12 Pcs
20 Nasal Canula Anak 10 Pcs
21 Nasal Canula Dewasa 15 Pcs
22 Postofix 10 X 25 1 Box
23 Regulator Oxygen 5 Pcs
24 Spuit 1 cc TRM 2 Box
25 Spuit 100 cc Onemed 10 Pcs
26 Spuit 10cc 10 Box
29 Transfusi Set Terumo 2 Box
30 Verban Gulung 15 cm 165 Roll
Prod. Easy Touch

31 Easy Touch Cholesterol 60 Btl
32 Easy Touch Glucose 64 Btl
33 Easy Touch Uric Acid 44 Btl

Periode Mei 2014
Kepada : PT Tirta Medical Indonesia
Alkes
1 Elektroda Cream 1 Tube
2 Iodin Povidon 60ml 50 Btl
3 K Y Jelly 10 Tube
4 Kapas 100gr 10 Roll
5 Lomatule Lbr 10's 5 Box
6 NGT 12 2 Pcs
7 NGT 14 5 Pcs
8 NGT 16 5 Pcs
9 NGT 18 20 Pcs
10 NGT 5 5 Pcs
11 Pensil Couter 1 Bh
12 Postofix 10 x 25 2 Box
13 Surgipro Steril Gloves No.6 2 Box
14 Surgipro Steril Gloves No.6.5 7 Box
15 Surgipro Steril Gloves No.7 15 Box
16 Surgipro Steril Gloves No.7,5 10 Box
17 Tegaderm PM 1623 1 Box
18 Tegaderm PM 1624 1 Box
19 Termometer Ruangan 2 Bh
20 Umbilical Cord Calm 1 Box
21 Urine Bag 50 Pcs

Periode Mei 2014

Kepada : PT Hexalab Sumatera
Alkes
1 Assucryl 1 REF 43437 12 Pcs
4 Assucryl 3/0 REF 4564 12 Pcs
5 Assucryl 4/0 REF 4233 12 Pcs
6 Cut Gut Plain 2/0 1 Roll
7 Cut Gut Plain 3/0 1 Roll
8 Polypropelene 3/0 REF 9244 1 Lsn
Periode Mei 2014

Prod. Futamed
1 Afamed 30's 10 Box
2 Fudanton 4 mg Tab 30's 10 Box
3 Fudo 10 mg Tab 30's 10 Box
6 Fumethyl 4 mg Tab 30's 10 Box
7 Futalin Tab 20's 15 Box
8 Futamel 15 mg Tab 30's 10 Box
9 Rybest 10 mg Tab 20's 15 Box
Periode Mei 2014

Kepada : PT Dos Ni Roha 1
Prod. Bernofarm
1 Amoxicillin 125 mg Syr 60ml 300 Fls
2 Amoxicillin 500 mg Tab 100's 10 Box
3 Ciprofloxacin 500mg Tab .100's 50 Box
4 Imipenem Inj 100 Vial
5 Metformin 500mg Tab 100's 30 Box
6 Metronidazol Infus 150 Box
7 Ranitidin 150mg Tab 100's 40 Box
Periode Mei 2014

Kepada : PT Sapta Sari Tama SP Tambahan
Prod. Galenium
1 Haemocain ointment 15 gr 8 Tube
Prod. Mahakam
2 Betadine Gargle 100 cc 45 Btl
Prod. Novartis
3 Voltaren Gel 20 gr 70 Tube
Prod. PT Holi Pharma
4 Allopurinol 100 mg Tab 100's 23 Box
5 Chloramphenicol 250 mg Kaps 1000's 3 Tin
6 Cotrimoksazole 480 kaplet 100's 35 Box
7 Cotrimoksazole suspensi 60 ml 50 Fls
8 Ibuprofen 400 mg Tablet 100's 30 Box
Prod. PT Aditama Raya

9 Adidryl injeksi 40 Vial
10 Adimidon injeksi 30 Vial
11 Antalgin Tablet 100's 5 Box
12 Vitamin B komplex 1000's 1 Tin
Prod. Tropica
13 OBH Tropica menthol (Btl Gelas) 100 ml 150 Fls

Periode Mei 2014
Kepada : PT Sawah Besar Farma SP Tambahan

Prod. Actavis
1 Chloramex Injeksi 10's 3 Box
Prod. Indofarma OGB

2 Hydrocortison Krim 60 Tube
3 Amytriptilin 25mg Tab 100's 1 Box
Prod. Pyridam
4 Siberid 5mg Tab 30's 5 Box
5 Zarom 250mg 30's 25 Box
Prod. Zambon
6 Flumucyl Syr 5 Fls
Langsa, Mei 2014

Disetujui Oleh, Diminta Oleh,
PT Cut Meutia Medika Nusantara Apoteker,
Hj. Lidya Bidasari S, SE. Sri Wahyuningsih, S.Farm, Apt.

Ka. Bag. Administrasi 19820915/SIPA_11.74/2013/2003
Kepada : PT Anugrah Argon Medica -
Box 5 Acyclovir 400 mg / ktk 100 62,784 313,918
Box 5 Albapure 20% 100 ml 1's 1,540,000 7,700,000
Box 5 Albuminar 25% 100 ml 1's 2,035,000 10,175,000
Box 5 Alpentin 300 mg Cap 50's 346,500 1,732,500
Box 60 Alprazolam 0.5 mg Tab 100's 73,810 4,428,600
Box 40 Amlodipin 5 mg Tab 50's 52,800 2,111,982
Box 10 Amoxycillin 500 mg 44,400 444,004
Box 50 Asam Mefenamat 500mg Tab 100's 23,958 1,197,900
Box 10 Avodart Tab 30's 270,001 2,700,005
Box 15 Azomax 500 mg Tab 10's 313,500 4,702,500
Box 35 Bisoprolol Fumarate 5 mg 100's 76,615 2,681,525
Box 7 Caduet 5/20 mg Tab 30's 481,261 3,368,827
Box 7 Canderin 8 mg Tab 30's 165,000 1,155,000
Box 30 Cefadroxil 500 mg 100's 92,400 2,772,013
Box 70 Cefotaxime Injeksi 10's 83,160 5,821,200
Box 15 Ceftriaxone Injeksi 10's 103,131 1,546,958
Box 110 Celebrex Tab 100 mg 30's 227,391 25,012,999
Box 60 Clopidogrel Tab 75 mg 30's 326,700 19,602,000
Box 5 Concor 2,5 mg Tab 100's 540,100 2,700,500
Box 5 Concor 5 mg Tab 100's 782,100 3,910,500
Box 2 Dexamethason 5 mg / ml Inj 100's 240,240 480,480
Box 50 Domperidon 10 mg Tab 100's 44,398 2,219,910
Btl 50 Domperidone 5 mg / 5 ml Susp 15,180 759,000
Box 5 Glucobay 100 mg 50's 220,000 1,100,000
Box 5 Glucopage 500 mg Tab 100's 112,035 560,175
Box 4 Ketokonazole Cream 2% 10 gr 12's 92,400 369,600
Tube 15 Ketricin Orabase 0,1 % @5 gr 40,700 610,500
Roll 6 Leukokrepe 3" 61,470 368,821
Roll 12 Leukokrepe 4" 72,842 874,104
Roll 6 Leukokrepe 6" 93,654 561,924
Roll 22 Leukoplast 4.5 X 2.5 BSN 14,781 325,175
Roll 20 Leukoplast 4.5 X 5 BSN 28,380 567,600
Roll 20 Leukoplast 4.5 X 7.5 BSN 41,388 827,750
Box 5 Levemir Flexpen 5's 859,528 4,297,640
Box 15 Levofloxacin FC 500 mg 20's 25,381 380,721
Fls Levofloxacin Infus 100 ml 96,800 -
Box 60 Lipitor 10 mg Tab / 30's 505,353 30,321,192
Box 100 Lipitor 20 mg Tab/ 30's 505,353 50,535,320
Box 30 Lyrica 75 mg Cap 14's 167,603 5,028,078
Box 70 Meloxicam 15 mg Tab 30's 65,945 4,616,150
Box 10 Mertigo Tab 6 mg 100's 304,700 3,047,000
Box 50 Methylprednisolon 125 mg Inj 1's 39,023 1,951,125
Box 40 Methylprednisolon 4 mg Tab 100's 52,866 2,114,640
Box 5 Neulin PS Tab 30's 346,500 1,732,500
Box 5 Novomix Flexpen 5 's 800,415 4,002,075
Box 15 Novorapid Flexpen 5's 800,415 12,006,225
Box 150 Omeprazol 40 mg Inj 1's 82,280 12,342,000
Box 5 Propanolol 10mg Tab 100's 8,470 42,350
Box 5 PTU tab 100's 32,953 164,764
Box 40 Ranitidin 50 mg/2 ml Inj 25's 70,675 2,827,000
Box 2 Resperidone 2 mg 130,625 261,250
Box 5 Rhnos SR 50's 211,750 1,058,750
Box 50 Simvastatin 10 mg Tab 30's 16,929 846,450
Box 15 Stardec 3 Ply Surgical Mask Tie On 44,000 660,000
Box 5 Tramus 1% 5 ml 5's 390,500 1,952,500
Box 30 Vaclo Tab 30's 412,500 12,375,000
Box 10 Valsartan 80 mg Tab 28's 122,984 1,229,840
Btl 20 Vectrine Dry Syr 37,400 748,000
-
Kepada : PT Antar Mitra Sembada -
Btl 5 Albothyl 10ml 30,800 154,000
Btl 70 Cefadroxil DS 250 mg/5 ml 60 ml 16,500 1,155,000
Box 10 Cefixim 100 mg 50's 119,730 1,197,295
Box 30 Ceterizine Tab 50's 15,675 470,250
Tube 10 Ecolon 10 gr 31,000 310,000
Box 150 Lansoprazol 30 mg 20's 27,027 4,054,050
Fls 15 Laxadin Syr 60ml 31,900 478,500
Box 20 Loratadine 10 mg 16,654 333,080
Box 10 Neotibi 500 mg Tab 100's 132,000 1,320,000
Box 20 Neuraxon 5000 mg Tab 100's 209,000 4,180,000
Tube 10 Niacef 15% 25,000 250,000
Box 30 Ondancentron 4 mg 12's 18,480 554,400
Tube 30 Osteor Cream 30 gr 107,800 3,234,000
Box 15 Osteor Tab 30's 181,500 2,722,500
Vial 35 Pantoz Inj 1's 121,000 4,235,000
Tube 15 Pyderma Cream 10 gr 22,000 330,000
Btl 5 Ranivel Syr 60 ml 46,750 233,750
Box 10 Taxfor 1g inj 126,500 1,265,000
Tube 10 Vitacid 0.5% 27,000 270,000
-
Kepada : PT Buetna Hareukat -
Box 45 Allupurinol 300 mg Tab 100's 28,175 1,267,875
Box 1 Amoxan 500 mg kapsul 100's 373,736 373,736
Box 5 Asam Traneksamat 500 mg Inj 10's 86,620 433,100
Box 1 Atropin Hcl Inj 100's 28,800 28,800
Fls 20 Batugin Elixir 300ml 27,500 550,000
Sach 100 Bedak Salicil 4,859 485,900
Tube 5 Betadin Ointment 5 gr 13,310 66,550
Box 2 Biosanbe Cap 100's 109,581 219,162
Pcs 50 Botol Tetes 12 ml 318 15,900
Box 1 Buscopan Inj 10's 287,530 287,530
Btl 70 Caladine Powder 60 gr 9,306 651,420
Tin 1 Calcium Lactat 65,000 65,000
Box 40 Captropil 12.5mg Tab 100's 11,600 464,000
Box 10 Captropil 25mg Tab 100's 22,000 220,000
Tin 3 Chloramfenicol 250 mg Kaps 1000's 198,000 594,000
Box 10 Citicolin Amp 165,000 1,650,000
Box 2 Cortison Inj 10's 238,820 477,640
Box 2 Digoxin 0,25 mg Tab 100's 15,715 31,430
Box 5 Dulcolax 10 mg 593,560 2,967,800
Box 1 Dulcolax Supp 10's 141,170 141,170
Box 2 Efedrin HCL Inj 10's 302,500 605,000
Btl 1 Enkapirin Tab 250's 25,000 25,000
Btl 10 Enkasari Syr 120 ml 14,578 145,780
Fls 80 Erytromycin Syrup 10,886 870,880
Box 10 Ethambutol 500 mg 100's 68,833 688,325
Box 10 Fosmicin 1gr Inj 10's 1,108,976 11,089,760
Box 5 Fosmicin 2gr Inj 10's 1,844,730 9,223,650
Box 10 Furosemide 10 mg Inj 25's 57,882 578,820
Box 30 Furosemide 40 mg Tab 100's 10,709 321,270
Tin 1 GG Tab 32,000 32,000
Box 2 Glibenklamide 5mg Tab 9,800 19,600
Box 5 Glimepiride 4mg Tab 117,270 586,350
Fls 100 Glucose 5% Infus 500 ml 6,948 694,760
Pot 15 Ichtiol Salep 5,933 88,995
Fls 10 Illiadin 0.025% 33,880 338,800
Fls 5 Illiadin 0.05% 39,926 199,630
Box 1 INH 300 mg Tab 100's 132,000 132,000
Fls 22 Insto TM 8,858 194,876
Fls 40 Kaen 3B 15,000 600,000
Box 6 Kejibling Cap 62,600 375,600
Fls 3 Kidmin Infus 78,000 234,000
Vial 2 KTM Inj 10 ml 193,600 387,200
Box 2 Lidocain 2% Inj 100's 121,199 242,398
Tube 3 Mebo Cream 20 gr 87,450 262,350
Box 15 Mucosta 100 mg 100's 547,200 8,208,000
Fls 200 NaCl 0.9% Infus 500 ml 7,900 1,580,000
Btl 200 OBH Combi Syr 12,936 2,587,200
Box 2 Obimin AF Tab 30's 38,400 76,800
Box 1 Oralit 47,400 47,400
Fls 100 Otsu NaCl 0,9%100 ml 13,487 1,348,700
Fls 400 Otsu water injeksi 25ml 2,640 1,056,000
Box 12 Piroxicam 10 mg / ktk 120 13,846 166,148
Box 10 Piroxicam 20mg Tab 100's 144,000 1,440,000
Pot 30 PK 5,390 161,700
Box 10 Pletaal 100 mg 100's 480,060 4,800,600
Vial 100 Procain Penicillin Inj 13,478 1,347,800
Box 3 Proten Susu 10's 43,000 129,000
Box 10 Proxime Tab 30's 39,180 391,800
Box 2 Pyrantel 125 mg Tab 100's 36,400 72,800
Box 2 Regumen tab 30's 114,265 228,529
Box 2 Rifampicin 300 mg Tab 100's 60,000 120,000
Fls 2,000 RL Infus 500 ml 6,006 12,012,000
Box 2 Sanmol 500 mg Tab 100's 30,200 60,400
Tube 46 Scabicid Cream 5 gr 8,417 387,182
Tin 1 Sulfas Ferosus Tab 1000's 23,000 23,000
Tube 20 Thrombopob Gel 20 gr 51,413 1,028,260
Box 10 Tramadol 50 mg 50's 17,710 177,100
Box 10 Tramadol Injeksi 96,000 960,000
Box 1 Tricodazol 500 mg Tab 100's 192,100 192,100
Box 2 Trihexyphenidil 2 mg Tab 100's 9,700 19,400
Fls 20 Ventolin Inhaler 158,813 3,176,250
Tin 4 Vitamin C Tab 1000's 22,000 88,000
Box 1 Vitamin K Inj 100's 195,400 195,400
Fls 50 Wida Hest Infus 157,500 7,875,000
-
Kepada : PT Encevall Putra Megatrading -
Box 7 Angioten 50mg Tab 30's 319,000 2,233,000
Tube 60 Bioplacenton Jelly 13,915 834,900
Box 3 Blopress 16 mg Tab. 14's 219,736 659,208
Box 3 Cedocard 5 mg Tab 60's 89,034 267,102
Box 15 Irvask 150mg Tab 30's 280,500 4,207,500
Box 3 Kalxetin 10mg Tab 30's 108,900 326,700
Box 5 Meloxicam Supp 10's 72,600 363,000
Box 7 Urdahex Kaps 30's 269,500 1,886,500
Box 2 Zofredal 2 mg Tab 30's 225,500 451,000
-
Kepada : PT Mensa Bina Sukses -
Fls 150 Alpara Syr 60 ml 9,350 1,402,500
Box 7 Alpentin 100 mg 187,000 1,309,000
Box 20 Alphamol 600 mg 150's 41,800 836,000
Btl 600 Alphamol Liquid 60 ml 7,040 4,224,000
Box 2 Asabium Tab 100's 154,000 308,000
Tube 212 Bevalex Cream 5 gr 8,525 1,807,300
Btl 50 Colme Ear Drops 20,900 1,045,000
Fls 150 Dextral Syr 60 ml 7,150 1,072,500
Box 12 Dextral tab 150's 50,600 607,200
Box 50 Diclofam 50 mg 24,200 1,210,000
Box 60 Dicloflam 25 mg 13,200 792,000
Box 5 Folac Tab 66,000 330,000
Tube 150 Gentalex Cream 5 gr 2,475 371,250
Btl 30 Hexadol Solution 120 ml 17,600 528,000
Box 5 Interhistin 50 mg Tab 100's 62,040 310,200
Box 20 Isosorbide Dinitrat 5 mg 100's 11,184 223,674
tube 30 Klorfeson cream 10 gr 7,150 214,500
Box 10 Letonal 25 mg 132,000 1,320,000
Box 20 Lexacort Tab 21,560 431,200
Btl 410 Lexacrol Forte Susp 190 ml 26,950 11,049,500
Box 15 Lexacrol Tab 150's 61,600 924,000
Box 25 Lexadium Tab 60's 33,000 825,000
Box 10 Lexagin 500 mg Tab 100's 19,800 198,000
btl 20 Lexapram syr 7,260 145,200
Box 10 Lexapram Tab 40,150 401,500
Box 15 Lexavit Tab 100's 52,800 792,000
Fls 60 Lexavon Syr 60 ml 6,050 363,000
Box 12 Lexavon Tab 100's 12,100 145,200
Tube 30 Mofulex Cream 5 gr 22,000 660,000
Box 30 Molacort 0,5 mg tab 100's 14,850 445,500
Tube 236 Moladerm Cream 10 mg 6,050 1,427,800
Box 20 Molagit 55,000 1,100,000
Tube 400 Molakrim 30 gr 10,450 4,180,000
Fls 520 Molapect Syrup 60 ml 15 mg / 5 ml 7,700 4,004,000
Box 15 Molapect Tab 100's 52,800 792,000
Box 50 Molasic Tab 100's 39,600 1,980,000
Box 20 Molazol 500mg Tab. Box 100's 34,100 682,000
Fls 450 Molexdryl Syr 60 ml 4,840 2,178,000
Box 34 Molexflu tab 150's 43,450 1,477,300
Btl 5 Pamol Oral Drops 15 ml 21,945 109,725
Box 15 Piralen inj 30,250 453,750
Box 25 Pritacort tab 150's 62,700 1,567,500
Box 25 Pritamox 500 mg 100's 121,000 3,025,000
Btl 150 Pritamox DS 125 mg / 5 ml 8,470 1,270,500
Box 20 Pritanol 100 mg 14,300 286,000
Box 20 Pritasma 4 mg 13,200 264,000
Box 20 Pritavit Tab 100's 110,000 2,200,000
Tube 200 Renvol Emulgel 20 gr 19,800 3,960,000
Box 15 Rihest kaplet 10 mg 385,000 5,775,000
Box 30 Thiamfilex 500 mg 121,000 3,630,000
Btl 80 Thiamfilex Syr 60 ml 7,150 572,000
Btl 200 Vical Susp 60 ml 6,380 1,276,000
Box 10 Vitalex Cap 100's 44,000 440,000
-
Kepada : PT Rajawali Nusindo -
Box 12 Amaryl 2 mg 50's 254,576 3,054,916
Box 5 Amaryl 3 mg 50's 335,910 1,679,552
Box 12 Amaryl M 2/500 mg 30's 335,910 4,030,924
Fls 220 Antasida Doen Syr 4,235 931,700
Box 2 Antasida Doen Tab 17,820 35,640
Box 7 Aprovel 150 mg Tab 339,826 2,378,784
Box 10 Arcoxia Tab 60 mg 30's 249,730 2,497,297
Box 2 Aspilet Tab 58,721 117,443
Fls 15 Berotec Inhaler 123,860 1,857,900
Box 24 Betametason Krim 0.1% / 25 51,315 1,231,560
Box 5 Cardace Tab 2.5 mg 60's 300,156 1,500,780
Box 10 Co Aprovel 600 mg 660,000 6,600,000
Box 7 Co Diovan 160 / 12.5 449,479 3,146,354
Box 20 Curcuma Blister 100's 72,600 1,452,000
Box 1 Ephedrin HCL Inj 302,500 302,500
Box 5 Farmasal Tab 100's 72,600 363,000
Box 15 Harnal Ocas Tab 30's 398,518 5,977,769
Box 5 Ketosteril Tab 100's 726,000 3,630,000
Btl 10 Nasaqort AQ 214,802 2,148,023
Box 10 Neo K 2 mg / ml 71,148 711,480
Box 4 Olandoz 964,310 3,857,238
Box 5 Pantozol 20mg cap 114,400 572,000
Box 65 Paracetamol 500mg Tab 100's 16,500 1,072,500
Box 400 Paracetamol Syr 60 ml 2,530 1,012,000
Box 10 Pitogin S Inj 72,188 721,875
Box 10 Plavix Tab 28's 761,606 7,616,059
Btl 20 Reco Ear Drop 6,050 121,000
Box 5 Recolfar Tab 145,200 726,000
Box 5 Renagas Tab 50's 38,000 190,000
Box 40 Sohobion Tab 110,000 4,400,000
Box 3 Thiamfenicol 500 mg 100's 69,900 209,700
Btl 50 Tribost Syr 41,580 2,079,000
Box 2 Trileptal Ect 600 mg 50's 839,344 1,678,688
Box 20 Zyloric Tab 300 mg 30's 152,714 3,054,282
-
Kepada : PT United Dico Citas -
Box 8 Alinamin injeksi 5's 74,863 598,902
Box 200 Anafen Syr 100 mg/5 ml 60 ml 16,500 3,300,000
Box 40 Benovit C Tab Salut Gula 100's 165,000 6,600,000
Tube 50 Bersol Cream 15g 44,000 2,200,000
Box 20 Berthyco Cap 500 mg 100's 198,000 3,960,000
Tube 10 Boraginol N Oint 15 gr 46,666 466,664
Box 10 Boraginol N Supp 10's 84,502 845,020
Box 20 Bralin 500 mg Tab 30's 346,500 6,930,000
Box 5 Bucain Injeksi 5's 302,500 1,512,500
Box 15 Glucoryl Tab 2 mg 30's 99,000 1,485,000
Box 20 Klinset Tab 30's 132,000 2,640,000
Box 100 Kliran 4mg Inj 5's 145,750 14,575,000
Box 15 Lovask 10mg Tab 30's 280,500 4,207,500
Fls 15 Macef Inj 275,000 4,125,000
Box 20 Motaderm Krim 10 gr 63,250 1,265,000
Btl 100 Nomesis Susp 5 mg/5 ml 60 ml 34,100 3,410,000
Btl 50 Paramol Infus 1 gr 100 ml 1's 57,750 2,887,500
Box 15 Tocef Tab 10's 264,000 3,960,000
Box 15 Trolac 30mg Inj 5's 165,000 2,475,000
Box 165,000 -
Kepada : PT Penta Valent -

Fls 164 Bevita Syrup 120ml 33,000 5,412,000
Box 10 Biocombin 5000 Inj 10's 55,000 550,000
Box 5 Cal-95 Kapl Salut Selaput 30's 105,600 528,000
Box 5 Cendo Berry Tab 30's 103,950 519,750
Fls 20 Cendo Catharlen 0,6 ml @ 5's minidose 22,000 440,000
Strip 10 Cendo Conver 2% 0.6ml minidose 17,738 177,375
Strip 15 Cendo Eyefresh 0.6ml mds 33,688 505,313
Strip 15 Cendo Fenicol 0,25 % 6 ml @ 5's minidos 18,425 276,375
tube 50 Cendo Fenicol Eye Oinment 3,5 gr 24,063 1,203,125
Strip 65 Cendo Genta 0,3 % 6 ml @ 5's minidose 17,463 1,135,063
Tube 30 Cendo Genta Eye Oinment 3.5g 40,013 1,200,375
Strip 5 Cendo Lentikular 0,6 ml @ 5's minidose 33,138 165,688
Strip 10 Cendo LFX 0,6 ml @ 5's minidose 63,250 632,500
Strip 5 Cendo Lubricent 0,6 ml @ 5's minidose 44,550 222,750
Strip 45 Cendo Lyteers 0,6 ml @ 5's minidose 21,175 952,875
Strip 5 Cendo Polydex 0,6 ml @ 5's minidose 29,150 145,750
Box 5 Cendo Vital Tab 30's 99,000 495,000
Box 10 Ciflon Kapl 30's 165,000 1,650,000
Btl 5 Estin Drops 10 ml 44,000 220,000
Box 5 Estin Tab 20's 66,000 330,000
Fls 50 Ezygard Syrup 48,500 2,425,000
Box 50 Ezygard Tab 30's 156,000 7,800,000
Fls 150 Fenatic Syrup 15,000 2,250,000
Box 10 Fenatic Tab 100's 250,000 2,500,000
Btl 300 Gastrinal Susp 120 ml 24,200 7,260,000
Box 10 Gratamin Tab 30's 60,500 605,000
Box 30 Lagas Cap 30's 225,000 6,750,000
Btl 100 Lagesil Susp 170 ml 30,250 3,025,000
Box 2 Lapibal Injeksi 250mg 99,000 198,000
Box 35 L-Bio Sachet 30's 128,700 4,504,500
Box 20 Loremide 2mg 100's 99,000 1,980,000
Tube 20 Lusanoc Cream 10 gr 16,500 330,000
Btl 30 L-Zink Syr 100 ml 30,250 907,500
Box 5 Myotonic Inj 10's 82,500 412,500
Box 62 Norages Injeksi 5's 42,350 2,625,700
Fls 150 Profat Syrup 48,500 7,275,000
Box 5 Proneuron CapTab 20's 209,000 1,045,000
Btl 70 Propepsa Susp 100 ml 50,050 3,503,500
Box 2 Renapar Tab 100's 187,000 374,000
Box 6 Suprafenid Supp 10's 104,500 627,000
Kepada : PT Mesarinda Abadi -
Btl 50 Easy Touch Cholesterol 10's 198,550 9,927,500
Btl 20 Easy Touch Glucose 25's 107,250 2,145,000
Btl 30 Easy Touch Uric Acid 25's 107,250 3,217,500
Pcs 10 Extentiontube Terumo 150 cm 152 52,877 528,770
pcs 2 Folley Catheter 20 Fr WRP Cab 3 83,600 167,200
Pcs 2 Folley Catheter No. 16 Cab 2 22,550 45,100
Pcs 70 Folley Catheter No. 18 Cab 2 22,550 1,578,500
Box 10 Infuset Dewasa 522,500 5,225,000
Box 5 IV.Catheter No.18 1,086,250 5,431,250
Roll 5 Kassa 80 x 100 yds lucky 302,500 1,512,500
Roll 2 Kapas 250 gr 23,100 46,200
Ktk 300 Kasa Swallow 4,400 1,320,000
Box 5 Nald 23 100's 44,000 220,000
Box 3 Nald Novotwist 100's 231,000 693,000
Lsn 1 Nald Uterus 6120 E 000 223,300 223,300
Pcs 10 Spuit 10 cc 412,500 4,125,000
Box 15 Spuit 3 cc TRM 276,650 4,149,750
Box 15 Spuit 5 cc TRM 330,000 4,950,000
Roll 165 Verban Gulung 15cm 2,365 390,225
Roll 14 Leucodur 4" 41,437 580,118
Roll 14 Leucodur 6" 41,437 580,118
Kepada : PT Tirta Medical Indonesia -
Roll 10 Kapas 100gr 8,250 82,500
Pcs 2 NGT 12 Terumo 22,110 44,220
Pcs 5 NGT 14 Terumo 22,110 110,550
Pcs 5 NGT 16 Terumo 22,110 110,550
Pcs 20 NGT 18 Terumo 22,110 442,200
Box 15 Surgipro Steril Gloves No.7 357,500 5,362,500
Box 10 Surgipro Steril Gloves No.7,5 357,500 3,575,000
Pcs 50 Urine Bag Steril Onemed 5,500 275,000
-
Kepada : PT Hexalab Sumatera -
Roll 1 Cat Gut B Broun Chromic 1 1,789,700 1,789,700
Roll 1 Cat Gut B Broun Chromic 2 1,789,700 1,789,700
Roll 1 Cut Gut Plain 1 1,787,500 1,787,500
-
Kepada : PT Dos Ni Roha -
Fls 300 Amoxicillin 125 mg Syr 60ml 5,886 1,765,800
Box 30 Amoxicillin 500 mg Tab 100's 33,600 1,008,000
Box 50 Ciprofloxacin 500mg Tab .100's 32,500 1,625,000
Box 25 Metformin 500mg Tab 100's 27,200 680,000
Box 170 Metronidazol Infus 35,400 6,018,000
Box 60 Ranitidin 150mg Tab 100's 27,500 1,650,000
Kepada : PT Sapta Sari Tama -

Vial 40 Adidryl injeksi 3,630 145,200
Vial 30 Adimidon injeksi 4,506 135,168
Box 40 Afamed Cap 30's 198,000 7,920,000
Box 23 Allopurinol 100 mg Tab 100's 13,200 303,600
Box 5 Antalgin Tablet 100's 21,405 107,025
Btl 45 Betadine Gargle 100 cc 8,140 366,300
Tin 3 Chloramphenicol 250 mg Kaps 1000's 231,000 693,000
Box 35 Cotrimoksazole 480 kaplet 100's 15,895 556,325
Fls 50 Cotrimoksazole suspensi 60 ml 2,839 141,955
Tube 70 Counterpain Cream 30gr 35,000 2,450,000
Box 30 Flamoxi Tab 100's 393,000 11,790,000
Box 30 Ibuprofen 400 mg Tablet 100's 18,000 540,012
Box 40 Qinox 500mg Tab 100's 300,300 12,012,000
Fls 13 Reco Eye Drops TM 8,422 109,486
Box 15 Rybest 10mg 20's 61,600 924,000
Box 20 Solaneuron Tab 100's 114,600 2,292,000
-
Kepada : PT Sawah Besar Farma -
Box 1 Amytriptilin 25mg Tab 100's 15,800 15,800
Box 3 Chloramex Injeksi 10's 112,500 337,500
Fls 5 Flumucyl Syr 75,000 375,000
Tube 60 Hydrocortison Krim 3,890 233,400
Tube 5 Medicasol Cream 105,217 526,085
Btl 10 Otozambon Ear Drops 8 ml 1's 47,300 473,000
Box 3 Siberid 5mg Tab 30's 123,000 369,000
837,756,991
- 2
- 2
- 2
5 3
- 20
10 17
- 3
- 17
1 4
- 5
- 12
- 2
- 2
2 11
- 23
20 12
30 47
- 20
- 2
1 2
1 1
- 17
- 17
2
20 8
2 2
5 7
- 2
- 4
- 2
- 7
- 7
- 7
1 2
9 8
- -
40 33
20 40
14 15
8 26
- 3
- 17
5 15
- 2
5 3
- 5
- 50
- 2
- 2
50 30
- 1
1 2
50 33
2 6
- 2
- 10
- 3
10 10
- -
- -
- 2
- 23
- 3
5 12
- 3
- 50
- 5
- 7
- 3
- 7
- 3
- 10
- 10
5 4
- 12
- 5
- 2
30 13
- 3
- -
- -
- 15
1 1
1 2
- 1
- 7
- 33
- 2
1 2
- 17
3 1
- 23
1 1
- 22
5 3
1 1
- 3
- 1
- 1
- 2
- 1
- 1
- 1
- 3
20 27
- 3
- 3
1 2
- 3
10 10
- 1
5 1
3 2
20 33
- 5
1 3
2 2
10 1
1 7
- 13
- 2
- 1
1 1
- 1
1 1
- 5
200 67
100 67
- 1
- 1
25 33
45 133
50 4
1 3
1 10
- 3
5 33
- 1
2 3
50 1
1 1
5 1
1,000 1,000
1 1
5 15
1 1
5 7
1 3
- 3
2 1
- 1
5 7
- 1
1 1
- 17
- -
- -
- 2
- 20
- 1
- 1
- 5
- 1
- 2
- 2
- 1
- -
- -
- 50
- 2
10 10
- 200
- 1
100 104
- 17
- 50
30 14
- 17
- 20
- 2
100 83
- 10
14 6
30 17
- 10
5 5
20 13
- 137
- 5
- 8
- 3
- 7
- 3
20 12
167 76
10 7
40 23
20 17
- 79
30 17
200 200
- 173
- 5
- 17
- 7
210 220
15 16
2 2
- 5
20 15
10 12
- 50
14 11
- 7
15 12
- 67
- 5
20 17
- 27
132 111
25 12
- -
- -
- 4
- 2
- 4
- 73
- 1
- 2
- 3
2 1
5 6
10 8
- 2
- 3
1 2
2 7
- 1
- 2
- 5
5 2
- 3
- 3
- 1
- 2
- 22
- 133
- 3
- 3
- 7
- 2
- 2
- 13
- 1
- 17
- 1
- 7
- -
- -
1 3
100 100
- 13
- 17
5 8
- 3
- 3
10 10
- 2
- 5
10 13
10 13
- 7
- 33
- 5
30 15
- 7
100 67
- 17
- 5
30 15
- -
- -
- -
- 55
- 3
- 2
- 2
- 7
- 3
15 10
- 5
- 17
- 22
- 10
- 2
- 3
- 2
30 25
15 7
- 2
25 12
- 2
- 2
- 17
- 17
- 50
- 3
- 100
- 3
- 10
- 33
- 1
15 17
- 7
- 7
- 10
3 3
- 21
- 50
3 3
- 23
- 1
4 3
- -
- -
15 22
40 20
25 18
- 3
- 1
2 1
- 23
- 3
- 2
- 3
- 5
- 1
- 1
- 1
- 100
- 2
- 1
- 1
4 5
15 10
15 10
- 55
- 2
- 2
- -
- 3
- 1
- 2
- 2
- 7
- 5
- 3
50 33
- -
- -
- 1
- 1
- 1
- -
- -
- 100
- 10
10 20
25 17
- 57
- 20
- -
- -
- 13
- 10
30 23
- 8
- 2
- 15
- 1
- 12
- 17
- 23
5 12
- 10
- 13
- 4
- 5
10 10
- -
- -
- 1
- 1
- 2
- 20
- 2
- 3
- 1
PT. CUT MEUTIA MEDIKA NUSANTARA Diterima di Bahg. . . . . . . . . . Tgl. . . .
DAFTAR PERMINTAAN Tanggal : Nomor :
Diterima di Bahg. . . . . . . . . . Tgl. . . .
06 RSCM/AU-31/
BARANG2 DAN BAHAN Februari 2017 008/2017
Permintaan Persediaan Taksasi Harga Permintaan
No. Kode Ket. Bon Permintaan
No. Permintaan No. Order
Persediaan URAIAN Di Harga Jumlah Sisa setelah Tentang Pembelian dan Pengeluaran
Urut Sat Jumlah Minimum Jumlah s/d Yl
Barang kebun Satuan Setahun Permintaan Persediaan Barang No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Albumin 20% 100ml Fls 30 - - - -

2 300.19 Albumin 25 % 100ml Fls 30 - - 300,000 9,000,000
3 300.19 Alupurinol tablet 100 mg Box 50 - - 128,000 6,400,000
4 300.19 Ambroxol syrup Fls 500 - - 14,000 7,000,000
5 300.19 Aminopilin Tab Box 2 - - 7,000 14,000
6 300.19 Amitriptilin tablet 25 mg Box 5 - - 820,000 4,100,000
7 300.19 Antasida syrup Fls 500 200 - 140,000 70,000,000
8 300.19 Aqua 1000 ml Fls 20 - - 10,500 210,000
9 300.19 Aqua Injeksi 25ml Fls 700 300 - 427,000 298,900,000
10 300.19 Arixtra Inj Box 20 3 - 17,000 340,000
11 300.19 Asam Traneksamat Injeksi 250mg Box 80 - - 198,500 15,880,000
12 300.19 Aspilet tablet Box 10 4 - 228,000 2,280,000
13 300.19 ATS injeksi 1500 ui Box 5 - - 650,000 3,250,000
14 300.19 Azytromicin Tab 500mg Box 50 - - 7,200 360,000
15 300.19 Bamgetol 200mg Tab Box 10 - - 8,500 85,000
16 300.19 Berotec Inheler Fls 20 - - 16,000 320,000
17 300.19 Betahistin Tab 6mg Box 60 - - 250,500 15,030,000
18 300.19 Bisoprolol tablet 5 mg Box 50 5 - 202,500 10,125,000
19 300.19 Burnazim Cream 500 gr Pot 3 - - 220,000 660,000
20 300.19 Candesartan 16mg Tab Box 50 10 - 550,000 27,500,000
21 300.19 Captropil 12.5mg Tab Box 40 - - 10,000 400,000
22 300.19 Cefadroxil Capsul 500 mg Box 120 10 - 206,500 24,780,000
23 300.19 Cefadroxil syrup 125mg/5 ml Fls 150 182 - 40,000 6,000,000
24 300.19 Cefixim 200mg Tab Box 50 - -
25 300.19 Ceterizin tablet Box 120 - -
26 300.19 Chloramfenicol Syrup Fls 15 - - 20,000 300,000
Dipindahkan 502,934,000
AU - 31
PT. CUT MEUTIA MEDIKA NUSANTARA Diterima di Bahg. . . . . . . . . . Tgl. . . . Tanggal : Nomor :
DAFTAR PERMINTAAN Diterima di Bahg. . . . . . . . . . Tgl. . . . 06 RSCM/AU-31/
BARANG2 DAN BAHAN Diterima di Bahg. . . . . . . . . . Tgl. . . . Februari 2017 008/2017
No. Kode Permintaan Persediaan Taksasi Harga Permintaan Ket. Bon Permintaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan 502,934,000
27 300.19 Ciprofloxacin Infus Fls 20 - - 227,500 4,550,000
28 300.19 Ciprofloxacin tablet 500 mg Box 60 40 - 65,000 3,900,000
29 300.19 Citicolin tablet 500 mg Box 80 - - 31,500 2,520,000
30 300.19 Co Diovan 80 / 12.5 mg Box 5 - - 22,000 110,000
31 300.19 CTM tablet Tin 3 - - 7,000 21,000
32 300.19 Curcuma tablet Box 20 - - 270,000 5,400,000
33 300.19 Depacen Syr Fls 5 - - 225,000 1,125,000
34 300.19 Dex 40% Fls 100 - - 75,000 7,500,000
35 300.19 Dexametason injeksi Tin 10 - - 44,000 440,000
36 300.19 Dextrose 5% Infus Fls 200 - - 73,000 14,600,000
37 300.19 Digoxin Tab Box 10 - - 130,000 1,300,000
38 300.19 Domperidon Syrup Fls 300 150 - 203,000 60,900,000
39 300.19 Domperidon Tab Box 50 - - 50,000 2,500,000
40 300.19 Eritromicin cap 500 mg Box 10 - - 40,500 405,000
41 300.19 Ethambutol 500mg Tab Box 5 - - 483,000 2,415,000
42 300.19 Flixotide Nebule Box 10 - - 119,000 1,190,000
43 300.19 Furosemid tablet 40mg Box 100 - - 119,001 11,900,100
44 300.19 Galvusmet 80 / 850 Box 3 - - 119,002 357,006
45 300.19 Glimepirid 1mg Tab Box 20 - - 119,003 2,380,060
46 300.19 Glimepirid 2mg Tab Box 30 - - 119,004 3,570,120
47 300.19 Ibuprofen syrup Fls 100 - - 119,005 11,900,500
48 300.19 Ibuprofen tab 400 mg Box 50 18 - 119,006 5,950,300
49 300.19 Ketoconazol cream 10 gr Tube 100 30 - 119,007 11,900,700
50 300.19 Levofloxacin 500mg Tab Box 10 17 - 119,008 1,190,080
51 300.19 Levosol injeksi Box 2 - -
52 300.19 Lidocain HCL injeksi Box 5 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
53 300.19 Lisinopril 10mg Tab Box 10 - - 227,500 2,275,000
54 300.19 Lisinopril 5mg Tab Box 5 - - 227,501 1,137,505
55 300.19 Manitol Infus Box 3 - - 227,502 682,506
56 300.19 Mecobalamin 500 mg capsul Box 50 - - 227,503 11,375,150
57 300.19 Meloxicam 15 mg Box 100 80 - 227,504 22,750,400
58 300.19 Methyl Ergometrin Injeksi Box 50 - - 227,505 11,375,250
59 300.19 Methyl Ergometrin Tab Box 30 - - 227,506 6,825,180
60 300.19 Metronidazol tablet 500 mg Box 60 8 - 227,507 13,650,420
61 300.19 Metyl prednisolon tablet 4 mg Box 70 30 - 227,508
62 300.19 Na Diclofenac 50 mg Box 100 - - 227,509
63 300.19 NaCL 500 ml Fls 2000 - - 227,510
64 300.19 Neulin PS Tab Box 5 - - 227,511
65 300.19 Nicardipin injeksi 1mg/ml Vial 50 - - 227,512
66 300.19 Ofloxacin tablet 200mg Box 40 - - 227,513
67 300.19 Ofloxacin tablet 400 mg Box 40 - - 227,514
68 300.19 Oralit Sachet Box 3 - - 227,515
69 300.19 Paracetamol Syrup Fls 400 275 - 227,516
70 300.19 Paracetamol Tablet 500 mg Box 100 75 - 227,517
71 300.19 Phenobarbital Tab 30 mg Tin 3 - - 227,518
72 300.19 Pyrazinamid tablet 500 mg Box 10 - - 227,519
73 300.19 Ranitidin Tablet Box 100 70 - 227,520
74 300.19 Salbutamol Syrup Fls 100 - -
75 300.19 Salbutamol tablet 2mg Box 20 - -
76 300.19 Scabicid Cream Tube 10 - -
77 300.19 Sedakter Syrup Fls 50 - -
227,521
AU - 31
Persediaan URAIAN Di Harga Jumlah Sisa setelah Tentang dan Pengeluaran
Urut Sat Jumlah Minimum Jumlah s/d Yl Pembelian
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan #REF!
78 300.19 Sulfa Atropin Box 1 - - 227,502 227,502
79 300.19 Thrombopop Gel Tube 10 - - 227,503 2,275,030
80 300.19 Tramadol capsul Box 50 - - 227,504 11,375,200
81 300.19 Ventolin inhaler Fls 30 30 - 227,505 6,825,150
82 300.19 Ventolin Nebule Box 20 - - 227,506 4,550,120
83 300.19 Widahes 130 infus Box 10 - - 227,508
227,511
227,512
227,516
Jumlah 25,253,002
Untuk diselesaikan Gudang Pusat Kebutuhan & Pengeluaran Disetujui oleh : Pembelian disetujui oleh : Dilaksanakan oleh :
Diminta oleh : RSCM Bagian Administrasi & Operasional PT Cut Meutia Medika Nusantara Bagian Pengadaan
dr. Hj. Cut Diah AK Ikhwanul Hidayat Edi Purnomo Sri Wahyuningsih, S.Farm, Apt.
Kepala Kaur. Administrasi & Operasional Direktur Asst. Pengadaan Barang & Jasa
AU - 31
DAFTAR PERMINTAAN 06 RSCM/AU-31/
No. Kode Permintaan Persediaan Taksasi Harga Permintaan Ket. Bon Permintaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Atarox Syrup Fls 3 - - 45,000 135,000
2 300.19 Dipsamol Inheler Fls 30 - - 45,001 1,350,030
3 300.19 Esilgan 2mg Tab Box 3 - - 45,002 135,006
4 300.19 Gabapentin 300 mg capsul Box 100 - - 45,003 4,500,300
5 300.19 Glicuidon Tablet 30 mg Box 3 - - 45,004 135,012
6 300.19 Glufor tablet 500 mg Box 80 - - 45,005 3,600,400
7 300.19 Hytrin 2mg Box 1 - - 45,006 45,006
8 300.19 Irvask tablet 150 mg Box 5 - - 45,007 225,035
9 300.19 Lansoprazol capsul Box 1,000 - - 45,008 45,008,000
10 300.19 Meloxicam Supp 5's Box 10 - - 45,009 450,090
11 300.19 Miloz Injeksi 5mg/5ml Box 10 - - 45,010 450,100
12 300.19 Notrixum Injeksi Box 20 - - 45,011 900,220
13 300.19 PTU tab 100 mg Box 3 - - 45,012 135,036
14 300.19 Pyderma cream Tube 50 - -
15 300.19 Ramipril 2,5 mg tablet Box 30 - -
16 300.19 Ranivel syrup Fls 5 - -
17 300.19 Rebamipid Tablet Box 50 - -
18 300.19 Recofol Injeksi Box 10 - -
19 300.19 Regivel spinal injeksi Box 50 7 -
20 300.19 Zelface Cream Tube 10 - -
Jumlah 57,069,235
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Acyclovir Cream 5gr Tube 100 - - 42,500 4,250,000
2 300.19 Alkohol 96 % Jrg 5 2 - 42,501 212,505
3 300.19 Amlodipin 10md Tab Box 100 - - 42,502 4,250,200
4 300.19 Amlodipin 5mg Tab Box 100 - - 42,503 4,250,300
5 300.19 Arcalion tablet Box 2 - - 42,504 85,008
6 300.19 Avodart Tab Box 5 4 - 42,505 212,525
7 300.19 Bahan Tambalan Gigi (Liquid Spowder Set 1 - - 42,506 42,506
8 300.19 Betadin gargle Fls 20 - - 42,507 850,140
9 300.19 Bicnat tablet Tin 5 - - 42,508 212,540
10 300.19 Bioplacenton cream tube 30 - - 42,509 1,275,270
11 300.19 Biosanbe tablet Box 3 - - 42,510 127,530
12 300.19 Calsium lactat tablet Tin 5 - - 42,511 212,555
13 300.19 Cavit Bh 1 - - 42,512 42,512
14 300.19 Ceftadzidim injeksi Vial 50 - - 42,513 2,125,650
15 300.19 Celebrex 100mg Cap Box 5 - - 42,514 212,570
16 300.19 Chloramex Inj Vial 100 - - 42,515 4,251,500
17 300.19 Chloro Ethyl Fls 3 - - 42,516 127,548
18 300.19 Clinimix infus Fls 15 - - 42,517 637,755
19 300.19 Clobazam Tab Box 5 - - 42,518 212,590
20 300.19 Cloramfenicol tablet 250 mg Tin 1 - - 42,519 42,519
21 300.19 Colme tetes telinga Fls 30 - - 42,520 1,275,600
22 300.19 Counterpan Cream Tube 30 - - 42,521 1,275,630
23 300.19 Depokate ER 250mg Tab Box 5 - - 42,522 212,610
24 300.19 Depokate ER 500mg Tab Box 5 - - 42,523 212,615
25 300.19 Dulcolac Tab Box 5 - -
26 300.19 Epineprin Injeksi Box 5 - -
27 300.19 Eritromicyn syrup 250mg/ml Fls 20 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 300.19 FG Troces Tab Box 1 - - 3,750 3,750
29 300.19 Flutias Inhaler 125 mcg Fls 60 - - 3,751 225,060
30 300.19 Furosemid Injeksi Box 100 - - 3,752 375,200
31 300.19 Gentamicin Cream 5gr SK Tube 50 - - 3,753 187,650
32 300.19 Gentamicyn injeksi 80mg Box 100 - - 3,754 375,400
33 300.19 Gentian Violet Fls 20 - - 3,755 75,100
34 300.19 Glimeperid 4mg Tab Box 30 - - 3,756 112,680
35 300.19 Glucophage 850 Box 2 - - 3,757 7,514
36 300.19 Glucosamin Tab 60's Box 50 - - 3,758 187,900
37 300.19 Harnal ocas 30's Box 15 - - 3,759 56,385
38 300.19 HCT Tab 25 mg Tin 2 - - 3,760 7,520
39 300.19 Hydrocortison Cream Tube 100 - - 3,761 376,100
40 300.19 Hystolan Tab 50's Box 1 - - 3,762 3,762
41 300.19 Ichtiyol salep Pot 50 - - 3,763 188,150
42 300.19 Illiadin 0,025 % Fls 10 10 - 3,764 37,640
43 300.19 Illiadin 0,5 % Fls 10 20 - 3,765 37,650
44 300.19 INH 100 mg Tab 1000's Tin 10 - - 3,766 37,660
45 300.19 INH 300 mg Tin 10 - - 3,767 37,670
46 300.19 Insto tetes mata Fls 50 - - 3,768 188,400
47 300.19 Irvask 150mg Tab Box 5 - - 3,769 18,845
48 300.19 ISDN 5 mg tablet Box 100 - - 3,770 377,000
49 300.19 KA EN 3B Box 2 - - 3,771 7,542
50 300.19 Kalxetin 10 mg Box 15 5 - 3,772 56,580
51 300.19 Kalxetin 20 mg Tab 30's Box 15 5 - 3,773 56,595
52 300.19 Kapsul kosong no 0 Bgks 1 - -
53 300.19 Kapsul kosong no 1 Bgks 2 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
54 300.19 Kapsul kosong no 2 Bgks 3 - - 3,750 11,250
55 300.19 Kapsul kosong no 3 Bgks 3 - - 3,751 11,253
56 300.19 Ketricin Orabase Tube 50 - - 3,752 187,600
57 300.19 KSR Tab 600 mg Box 10 - - 3,753 37,530
58 300.19 Levemir Flexpen Box 10 - - 3,754 37,540
59 300.19 Lipitor 10 mg Tab Box 10 - - 3,755 37,550
60 300.19 Lipitor 20 mg Tab Box 10 - - 3,756 37,560
61 300.19 Lipitor 40mg Tab Box 10 - - 3,757 37,570
62 300.19 Ludiomil 25 mg Tab Box 5 - - 3,758 18,790
63 300.19 Lyrica 75 mg Tab Box 5 - - 3,759 18,795
64 300.19 Mebo krim 20 gr Tube 3 - - 3,760 11,280
65 300.19 Nald novotwist 100's Box 4 - - 3,761 15,044
66 300.19 Nebacetin Powder Pot 20 - - 3,762 75,240
67 300.19 Nebacetin Zalf Tube 10 - - 3,763 37,630
68 300.19 Neo K 2 mg/ml injeksi Box 10 - - 3,764 37,640
69 300.19 Norvask 10 mg Box 3 - - 3,765 11,295
70 300.19 Novomix flexpen Box 20 - - 3,766 75,320
71 300.19 Novorapid flexpen Box 30 - - 3,767 113,010
72 300.19 Otopain TT Box 30 - - 3,768 113,040
73 300.19 Piracetam 800mg Tab Box 5 - - 3,769 18,845
74 300.19 Plavix Tab 75 mg Box 5 - - 3,770 18,850
75 300.19 Pot obat 20 mg pot 50 - - 3,771 188,550
76 300.19 Pot obat 40 mg Pot 50 - - 3,772 188,600
77 300.19 Ringer lactat infus Fls 5,000 2,000 -
78 300.19 Risperidon Tab Box 15 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
79 300.19 Sabu injeksi Vial 3 - - 81,250 243,750
80 300.19 Septocain Ktk 1 - - 81,251 81,251
81 300.19 Sojorn (cefofluran ) Fls 3 - - 81,252 243,756
82 300.19 Spongostan Ktk 1 - - 81,253 81,253
83 300.19 Tensivask 10 mg Box 5 - - 81,254 406,270
84 300.19 Tensivask 5mg Box 5 - - 81,255 406,275
85 300.19 Tetagam injeksi 250 iu Pcs 2 - - 81,256 162,512
86 300.19 Thetracyclin capsul 250 mg Tin 1 - - 81,257 81,257
87 300.19 Tramuz Inj Box 30 - - 81,258 2,437,740
88 300.19 Vit B. Complek Tab Tin 10 - - 81,259 812,590
89 300.19 Vit C Tab Tin 10 - - 81,260 812,600
90 300.19 Vit K injeksi Box 3 - - 81,261 243,783
91 300.19 Vit K Tab Tin 2 - - 81,262 162,524
92 300.19 Xylamidon Inj Vial 30 - - 81,263 2,437,890
93 300.19 Xylocain Jell Pcs 2 - - 81,264 162,528
94 300.19 Xylonor Spray Pcs 2 - - 81,265 162,530
95 300.19 Ziloric 300 mg Box 3 - -
96 300.19 Avamys Nasal Spray Fls 10 - - 81,266 812,660
Jumlah 325,001
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Alpara Syrup Fls 100 - -
2 300.19 Alpentin 100 mg Cap Box 100 68 -
3 300.19 Alpentin 300 mg Cap Box 100 68 -
4 300.19 Alphamol 600 mg tablet Box 100 100 -
5 300.19 Alphamol drop Fls 10 - -
6 300.19 Alphamol syrup Fls 400 - -
7 300.19 Alprazolam 0,5 mg Box 90 - -
8 300.19 Alprazolam 1 mg Box 20 - -
9 300.19 Asabium tablet Box 10 - -
10 300.19 Bevalex cream Tube 100 - -
11 300.19 Dextral capsul Box 50 - -
12 300.19 Dextral Syrup Fls 300 - -
13 300.19 Diclofalm 25 mg Box 100 - -
14 300.19 Dicloflam 50 mg Box 100 - -
15 300.19 Folac Tab Box 50 - -
16 300.19 Gentalex Cream Tube 200 - -
17 300.19 Interhistin tablet Box 80 - -
18 300.19 Lexacrol Syr Pcs 400 15 -
19 300.19 Lexavit Tab Box 80 - -
20 300.19 Lexavon capsul Box 30 - - 81,269 2,438,070
21 300.19 Lexavon Syrup Fls 300 - -
22 300.19 Lexicam tablet 10 mg Box 30 - -
23 300.19 Lexicam tablet 20 mg Box 30 - -
24 300.19 Molacort tablet Box 30 - -
25 300.19 Molacream Tube 250 - -
26 300.19 Moladerm cream Tube 100 - -
27 300.19 Molafate syrup Fls 400 400 -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 300.19 Molaneuron tablet 1000 mg Box 100 - - 3,750 375,000
29 300.19 Molapec syrup Box 300 - - 3,751 1,125,300
30 300.19 Molapec tablet Box 50 - - 3,752 187,600
31 300.19 Molasic 500mg Tab Box 80 - - 3,753 300,240
32 300.19 Molazol Tab 500mg Box 60 - - 3,754 225,240
33 300.19 Molexdryl Syrup Fls 300 - - 3,755 1,126,500
34 300.19 Molexflu syrup Fls 150 - - 3,756 563,400
35 300.19 Molexflu tablet Box 80 - - 3,757 300,560
36 300.19 OBH Molex Syrup Fls 200 - - 3,758 751,600
37 300.19 Opilax Syrup Fls 50 - - 3,759 187,950
38 300.19 Pedab tablet Box 100 - - 3,760 376,000
39 300.19 Pritacort tablet Box 60 - - 3,761 225,660
40 300.19 Pritamox 125 mg syrup Fls 150 - - 3,762 564,300
41 300.19 Pritamox 500 mg capsul Box 50 - - 3,763 188,150
42 300.19 Pritanol tablet 100 mg Box 20 - - 3,764 75,280
43 300.19 Pritasma tablet 4 mg Box 20 - - 3,765 75,300
44 300.19 Pritavit Tab Box 80 - - 3,766 301,280
45 300.19 Scopamin Tablet Box 10 4 - 3,767 37,670
46 300.19 Spironolacton 25 mg Box 20 - - 3,768 75,360
47 300.19 Stesolid rectal 5mg Box 5 - - 3,769 18,845
48 300.19 Stesolid syrup Fls 5 - - 3,770 18,850
49 300.19 Stesolid tablet 2mg Box 10 - - 3,771 37,710
50 300.19 Thiamfilex 500mg Cap Box 20 5 - 3,772 75,440
51 300.19 Thiamfilex syrup Fls 50 - - 3,773 188,650
52 300.19 Trifedrin Syrup Fls 30 - -
53 300.19 Trifedrin Tab Box 20 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan #REF!
54 300.19 Valeptic Syrup Fls 20 - - 145,600 2,912,000
55 300.19 Varten 80mg Tab Box 60 - - 145,601 8,736,060
56 300.19 Vical syrup Fls 350 - - 145,602 50,960,700
57 300.19 Vitelex Cap Box 80 - - 145,603 11,648,240
145,604 -
145,605 -
145,606 -
145,607 -
145,608 -
145,609 -
145,610 -
145,611 -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Alat Cek HB Pcs 1 - - 110,254 110,254
2 300.19 Alat GCU Pcs 1 - - 110,255 110,255
3 300.19 Assucryl 0 Ref 4346 N Pcs 12 - - 110,256 1,323,072
4 300.19 Assucryl 1 Ref 43427 H Lsn 1 - - 110,257 110,257
7 300.19 Assucryl 2/0 Ref 4575 Lsn 1 - - 110,260 110,260
8 300.19 Assucryl 3/0 Ref 4254 Lsn 1 - - 110,261 110,261
9 300.19 Assucryl 3/0 Ref 4564 Lsn 1 - - 110,262 110,262
10 300.19 Blood lancet Box 3 - - 110,263 330,789
11 300.19 Bola Lampu Halogen kecil 500/250 wa Pcs 2 - - 110,264 220,528
12 300.19 Caesar Kit Pcs 24 - - 110,265 2,646,360
13 300.19 Cat Gut Chromic 1 Roll 2 - - 110,266 220,532
14 300.19 Cat Gut Cromic 0 Roll 2 - - 110,267 220,534
15 300.19 Cat Gut Plain 0 B'braun Roll 1 - - 110,268 110,268
16 300.19 Cat Gut Plan 2/0 Roll 1 - - 110,269 110,269
17 300.19 Corset Lumbal uk/ L Pria Pcs 1 - - 110,270 110,270
18 300.19 Corset Lumbal uk/ M Wanita Pcs 2 - - 110,271 220,542
19 300.19 Cut Gut Cromic 2 Roll 2 - - 110,272 220,544
20 300.19 Cut Gut Cromic 2/0 Roll 1 - - 110,273 110,273
21 300.19 Cut Gut Plain 3/0 Roll 1 - -
22 300.19 Desmanol Ltr 5 - -
23 300.19 Easy Toch Uric Acid Box 20 - -
24 300.19 Easy Touch Colesterol Box 20 - -
25 300.19 Easy Touch Glucose Box 40 20 -
26 300.19 Electroda Pak 3 - -
27 300.19 Extention Tubing Pcs 30 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 300.19 Folley Cateter No 12 Pcs 2 - - 262,500 525,000
29 300.19 Folley cateter No10 Pcs 2 - - 262,501 525,002
30 300.19 Folley Catheter No 6 Pcs 2 - - 262,502 525,004
31 300.19 Folley Catheter No.18 Pcs 150 160 - 262,503 39,375,450
32 300.19 Handscun no 7 Box 15 - - 262,504 3,937,560
33 300.19 Handscun no 7,5 Box 15 - - 262,505 3,937,575
34 300.19 Handscun No.8 Box 10 - - 262,506 2,625,060
35 300.19 Handsun Non Steril Box 30 - - 262,507 7,875,210
36 300.19 Hukmah / Irigator Set 2 - - 262,508 525,016
37 300.19 Hyfapix 15x5 Roll 40 - - 262,509 10,500,360
38 300.19 Hyfapix 5 x5 Roll 40 - - 262,510 10,500,400
39 300.19 Infused Ped Box 5 - - 262,511 1,312,555
40 300.19 IV Catheter No.18 Box 10 - - 262,512 2,625,120
41 300.19 IV Catheter No.20 Box 10 12 - 262,513 2,625,130
42 300.19 IV Catheter No.22 Box 10 30 - 262,514 2,625,140
43 300.19 Kapas 1000gr Roll 10 - - 262,515 2,625,150
44 300.19 Kapas 100gr Roll 60 - - 262,516 15,750,960
45 300.19 Kapas 25gr Roll 30 - - 262,517 7,875,510
46 300.19 Kapas 500gr Roll 30 - - 262,518 7,875,540
47 300.19 Kassa Kotak steril Box 200 45 - 262,519 52,503,800
48 300.19 Kertas Ekg rool Roll 30 - - 262,520 7,875,600
49 300.19 Kertas Usg Roll 10 - - 262,521 2,625,210
50 300.19 K-Y Jelly Tube 50 - - 262,522 13,126,100
51 300.19 KY Jelly Jerigen Jrg 1 - -
52 300.19 Leucocrep 3 Inci Roll 12 - -
53 300.19 Leucocrep 4 inci BSN Roll 24 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan
54 300.19 Leucocrep 6" Roll 24 - -
55 300.19 Leucodur 3' Roll 24 - -
56 300.19 Leucodur 4" Roll 24 - -
57 300.19 Leucodur 6" Roll 24 - -
58 300.19 Leucolast 1624 BSN Roll 100 - -
59 300.19 Leucoplast 1622 BSN Roll 100 - -
60 300.19 Leucoplast 1623 BSN Roll 100 - -
61 300.19 Masker Box 40 - -
62 300.19 Masker M95 Lsn 1 - -
63 300.19 Nald 23 Box 5 - -
64 300.19 Nald 6030 G/T 10 Lsn 1 - -
65 300.19 Nald 6030 G/T 12 Lsn 1 - -
66 300.19 Nasal Canila Anak Pcs 30 - -
67 300.19 Nasal Canula Bayi Pcs 5 - -
68 300.19 Nasal Canula Dewasa Pcs 100 50 -
69 300.19 NGT 10 Pcs 10 - -
70 300.19 NGT 12 Pcs 10 - -
71 300.19 NGT 14 Pcs 10 - -
72 300.19 NGT 16 pcs 10 - -
73 300.19 NGT 18 Pcs 50 - -
74 300.19 Pencil cauter Pcs 3 - -
75 300.19 Perban gulung 15 cm Roll 300 - -
76 300.19 Pisau Bisturi no 15 Box 1 - -
77 300.19 Pisau Bisturi no 24 Box 5 - -
78 300.19 Poly Propylenen 3/0 4564 Box 1 - -
79 300.19 Polypropylene 3/0 Ref 9574 Lsn 1 - -
Dipindahkan -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan -
80 300.19 Polypropylene 4/0 Ref 9553 Lsn 1 - - 145,600 145,600
81 300.19 Polypropylene 5/0 Ref 9532 Lsn 1 - - 145,601 145,601
82 300.19 Postofix 10x10 Box 1 - - 145,602 145,602
83 300.19 Postofix 10x15 Box 1 - - 145,603 145,603
84 300.19 Postofix 10x25 Box 1 - - 145,604 145,604
85 300.19 Primacef Jrgn 2 - - -
86 300.19 Spinocain Box 2 - - -
87 300.19 Spuit 100 cc lubang tengah Box 3 - - -
88 300.19 Spuit 3cc Box 50 25 - -
89 300.19 Spuit 50 cc lubang tengah Box 1 - - -
90 300.19 Spuit 50 cc Lubang Tepi Box 3 - - -
91 300.19 Spuit 5cc Box 40 20 - -
92 300.19 Stamper dan mortir Pcs 1 - - -
93 300.19 Tensi Meter Air Raksa Pcs 3 - - -
94 300.19 Tensi Meter anak unit 2 - - -
95 300.19 Threway Box 3 - -
96 300.19 Timbangan dewasa Unit 2 - -
97 300.19 Topi operasi pria Box 3 - -
98 300.19 Topi operasi wanita Box 3 - -
99 300.19 Torniquet Pcs 2 - -
100 300.19 Tranfusi Set Box 3 - -
101 300.19 Umbilical cord clamp Box 2 - -
102 300.19 Urine Bag Pcs 100 75 -
103 300.19 Verban 15cm Roll 300 - -
104 300.19 Wascom mandi Pcs 2 - -
Dipindahkan 436,809
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan #REF!
105 300.19 Washen Pcs 4 - - 145,600 582,400
106 300.19 Waslap Pcs 3 - - 145,601 436,803
145,602 -
145,603 -
145,604 -
-
-
-
-
-
-
-
Jumlah
AU - 31
Persediaan URAIAN Tentang dan Pengeluaran
Urut s/d Yl Pembelian
Barang Persediaan Barang No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Decubal Cream Tube 5 - -

2 300.19 Etirox 100 mg Box 2 - -
3 300.19 Fartolyn Syrup Fls 100 - -
4 300.19 Fasodrin Injeksi Box 10 2 -
5 300.19 Ketese Tab 25 mg Box 2 - -
6 300.19 Lupred Tab Box 3 - -
7 300.19 Nuzyp Tab 10 mg Box 2 - -
8 300.19 Recolfar Tab Box 20 - -
9 300.19 Remital 10 mg tablet Box 3 - -
10 300.19 Renapar Tab Box 30 - -
11 300.19 Simarck 2 mg Box 10 - -
Jumlah -
AU - 31
06 RSCM/AU-31/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Arkine tablet Box 30 - - 27,500 825,000

2 300.19 Asetyl sistein syrup Fls 100 - - 27,501 2,750,100
3 300.19 Bamgetol tablet 200 mg Box 20 - - 27,502 550,040
4 300.19 Calcimega tablet Box 20 5 - 27,503 550,060
5 300.19 Diuvar injeksi Box 250 54 - 27,504 6,876,000
6 300.19 Endostein syrup Fls 100 - - 27,505 2,750,500
7 300.19 Epsonal tablet Box 50 3 - 27,506 1,375,300
8 300.19 Flumucyl syrup Fls 70 - - 27,507 1,925,490
9 300.19 Flumucyl tablet Box 30 - - 27,508 825,240
10 300.19 Hexymer Tablet 2 mg Box 15 - - 27,509 412,635
11 300.19 Ketocid tablet Box 10 3 - 27,510 275,100
12 300.19 Kutoin capsul Box 10 - - 27,511 275,110
13 300.19 Kutoin injeksi Box 1 - - 27,512 27,512
14 300.19 Laxadin syrup Fls 100 - - 27,513 2,751,300
15 300.19 Neuraxon Cap Box 80 - - 27,514 2,201,120
16 300.19 Novaldo injeksi Box 300 - - 27,516
17 300.19 Osteor cream Tube 100 - -
18 300.19 Osteor Tablet Box 50 - -
19 300.19 Otozambon Tetes Telinga Fls 30 - -
20 300.19 Pyderma Cream Tube 100 - -
21 300.19 Pytramic Tab Box 10 - -
22 300.19 Sandepril 50 mg Box 5 3 - 27,517
27,518
AU - 31
DAFTAR PERMINTAAN 06 RSCM/AU-31/
Diterima di Bahg. . . . . . . . . . Tgl. . . . 06 RSCM/AU-31/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan #REF!
23 300.19 Siberid tablet Box 30 - - 145,600 4,368,000
24 300.19 Takelin 1000 mg Box 15 - - 145,601 2,184,015
145,602 -
145,603 -
145,604 -
-
-
-
-
-
-
-
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Biocombin tablet Box 100 - - 390,000 39,000,000

2 300.19 Cal 95 tablet Box 10 - - 390,001 3,900,010
3 300.19 Cendo Astenof 0,6ml@5' minidose Strip 20 - - 390,002 7,800,040
4 300.19 Cendo Berry tablet Box 5 - - 390,003 1,950,015
5 300.19 Cendo Catarlen 0,6 ml @ 5's minidose Strip 50 - - 390,004 19,500,200
6 300.19 Cendo Cenfres 0,6 ml@5's minidose Strip 50 - - 390,005 19,500,250
7 300.19 Cendo Eyefres 0,6 ml@ 5's minidose Strip 30 - - 390,006 11,700,180
8 300.19 Cendo Fenicol 0,25% 0,6ml@5;s minid Strip 10 - - -
9 300.19 Cendo Fenicol Sm Tube 30 - -
10 300.19 Cendo Floxa 0,6ml@5' minidose Strip 10 - -
11 300.19 Cendo Genta SM Tube 50 - -
12 300.19 Cendo Genta tetes mata 0,6ml@5's min Strip 30 3 -
13 300.19 Cendo Glaucor Tab Box 2 - -
14 300.19 Cendo LFX tetes mata 0,6ml@5's mini Strip 40 - -
15 300.19 Cendo Lyters 0,6 ml@ 5's minidose Strip 50 - -
16 300.19 Cendo Pantocain 0,6ml@5' minidose Strip 5 - -
17 300.19 Cendo polidex 0,6ml@5's minidose Strip 50 - -
18 300.19 Cendo posop 0,6ml@5' minidose Strip 20 - -
19 300.19 Cendo timol 0,6ml@5'minidose Strip 5 - -
20 300.19 Cendo Tonor 0,6ml@5'S minidose Strip 5 - -
21 300.19 Cendo Ulcori 0,6 ml @ 5's minidose Strip 60 - -
22 300.19 Cendo Xitrol 0,6 ml@ 5's minidose Strip 50 - -
23 300.19 Ciflon Tab Box 10 - -
24 300.19 Forasma Syr Fls 50 - -
25 300.19 Gatrinal Syrup Fls 200 - -
26 300.19 Handscrub Jrg 3 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan -
27 300.19 L Bio Sacset Box 5 - - 145,603 728,015
28 300.19 L zink syrup Fls 200 - - 145,604 29,120,800
29 300.19 Lagesyl syrup Fls 100 - - 145,605 14,560,500
30 300.19 Lasal syrup Fls 50 - - 145,606 7,280,300
31 300.19 L-cisin tablet 30's Box 30 - - 145,607 4,368,210
32 300.19 Mecola tab Box 10 - - 145,608
33 300.19 Myotonic injeksi Box 10 - -
34 300.19 Myotonic Tab Box 20 - -
35 300.19 Norages injeksi Box 350 - - -
36 300.19 Proceles syrup Fls 200 - - -
37 300.19 Promuba syrup Fls 50 - -
38 300.19 Suprafenid suup Box 50 - - -
7,100,015 -
7,100,016
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
145,602 -
1 300.19 Alinamin f tablet Box 20 - - 145,603 2,912,060
2 300.19 Bersol cream Tube 200 - - 145,604 29,120,800
3 300.19 Nonflamin capsul Box 10 - - 145,605 1,456,050
-
-
-
-
-
-
-
-
-
Jumlah #REF!
AU - 31
PT. CUT MEUTIA MEDIKA NUSANTARA Diterima di Bahg. . . . . . . . . . Tgl. . . .
Diterima di Bahg. . . . . . . . . . Tgl. . . . 06 RSCM/AU-31/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Albumin Btl 1 - - 145,602 145,602

2 300.19 Alfa Diluent Swelab Gal 2 - - 145,603
3 300.19 Alfa Lyse Swelab Gal 2 - - 145,604
4 300.19 ALP Kit 1 - - 145,605
5 300.19 Asto Kit 1 - - 145,606
6 300.19 Billirubin Direk Btl 2 - - 145,607
7 300.19 Billirubin Total Btl 2 - - 145,608
8 300.19 Blood Call Ungu Box 8 - - 145,609
9 300.19 Blood Lancet Box 3 - - 145,610
10 300.19 Cholesterol Btl 2 - - 145,611
11 300.19 Creatinine Btl 2 - - 145,612
12 300.19 Glucose Btl 3 - - 145,613
13 300.19 Hamil Test Kit 1 - - 145,614
14 300.19 HBS AB Kit 1 - - 145,615
15 300.19 HBS AG Kit 2 - - 145,616
16 300.19 HDL Cholesterol Kit 1 - -
17 300.19 Pot Urine Box 1 - -
18 300.19 Protein Total Btl 1 - -
19 300.19 Simple Cup A25 Plasti 2 - -
20 300.19 Simple Cup Plastik Tutup Plasti 2 - -
21 300.19 Urea Btl 2 - -
22 300.19 Verify Btl 2 - -
Dipindahkan 145,602
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan -
23 300.19 Widal Test Kit 1 - - 145,603 145,603
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Abortus Tang Unit 2 - - 145,603 291,206
2 300.19 Ateri Clem Pcs 3 - -
3 300.19 Busi Pcs 2 - -
4 300.19 Gunting Episiotomi Pcs 1 - -
5 300.19 Gunting Tali Pusat Pcs 2 - -
6 300.19 I/2 Khoctier Pcs 1 - -
7 300.19 Incubator Unit 3 - -
8 300.19 Nald Pouder Pcs 1 - -
9 300.19 Oval Clem Pcs 2 - -
10 300.19 Pingset Pcs 2 - -
11 300.19 Sendok Curretage Doble Pcs 2 - -
12 300.19 Spekulum ( Cocor Bebek ) Unit 3 - -
13 300.19 Spekulum ( Stan ) Pcs 2 - -
14 300.19 Stetoscop Unit 1 - -
15 300.19 Stetoscop Bayi Pcs 1 - -
16 300.19 Suction Pcs 1 - -
17 300.19 Tenaculum Unit 2 - -
18 300.19 Tensi Unit 1 - -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.20 Kertas Cont. Form 9 1/2 x 11 3 Ply Box 45 - - 145,603 6,552,135
2 300.20 Pita Print Epson LQ-2170 Box 4 - -
3 300.20 Mouse Komputer Unit 2 - -
4 300.20 Kyboad Komputer Unit 2 - -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.20 Kertas Cont. Form 9 1/2 x 11 3 Ply Box 30 - - 145,603 4,368,090
Jumlah #REF!
dr. Redha Dian Akbar Ikhwanul Hidayat Edi Purnomo Sri Wahyuningsih, S.Farm, Apt.
AU - 31
BARANG2 DAN BAHAN Diterima di Bahg. . . . . . . . . . Tgl. . . . Maret 2017 031/2017
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.20 Tinta Print Epson Black L.120 Btl 3 - -
2 300.20 Plastik Obat Putih Ukuran Kecil Kg 15 - -
3 300.20 Plastik Obat Putih Ukuran 1/4 Kg 35 - -
4 300.20 Plastik Kresek Putih Sedang Kg 30 - -
5 300.20 Plastik Kresek Hitam Besar Kg 20 - -
6 300.20 Plastik Putih Ukuran 5 Kg Bks 6 - -
7 300.20 Kertas F4 Rim 3 - -
8 300.20 Anak Staples No.10 Ktk 40 - -
9 300.20 Rinso Anti Noda Kg 25 - -
10 300.20 Bayclin @ 500ml Bks 10 - -
11 300.20 Molto @900ml Bks 20 - -
12 300.20 Sunligh Cait @ 800ml Bks 52 - -
13 300.20 Sabun Batang Cap Sampan Btg 40 - -
14 300.20 Wipol @ 900ml Bks 20 - -
15 300.20 Rafika @ 500ml Bks 10 - -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Tensi Meter Air Raksa Merk Riester Set 1 - -
2 300.19 Tensi Meter Manset C Merk Gea Se 1 - -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Nald Holder Ukuran 6 Inc Bh 4 - -
2 300.19 Klem Pean Ukuran 6 Inc Bh 6 - -
3 300.19 Gunting Jaringan Bh 2 - -
4 300.19 Retraktor Mekanik Bh 2 - -
5 300.19 Selang Suction 3 Meter Mtr 3 - -
6 300.19 Canul Suction Bh 2 - -
7 300.19 Mesin Suction Unit 1 - -
Jumlah #REF!
dr. Milda Ulfa Ikhwanul Hidayat Edi Purnomo Sri Wahyuningsih, S.Farm, Apt.
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Afamed Tab 30's Box 40 - - 390,000 15,600,000

2 300.19 Anadex Dragee 100's Box 2 - - 390,001 780,002
3 300.19 Bactiprox Cap 20's Box 5 - - 390,002 1,950,010
4 300.19 Bartolium 10mg Tab 50's Box 3 - - 390,003 1,170,009
5 300.19 Candepres 16mg Tab Box 5 - - 390,004 1,950,020
6 300.19 Cinogenta Cream Tube 20 - - 390,005 7,800,100
7 300.19 Cobazym 1000mg 100's Box 1 - - 390,006 390,006
8 300.19 Dorbigot Tab 100's Box 5 - - -
9 300.19 Enzimten Cap 30's Box 10 - -
10 300.19 Erphaflam Emulgel Tube 40 - -
11 300.19 Ertensi 5mg 30's Box 20 - -
12 300.19 Finpro Tab 30's Box 1 - -
13 300.19 Hialid TM Fls 20 - -
14 300.19 Inbion Cap 100's Box 1 - -
15 300.19 Inmatrol TM Fls 10 - -
16 300.19 Interco 500mg 100's Box 1 - -
17 300.19 Interpec 30mg 100's Box 1 - -
18 300.19 Lycaivit Tab 100's Box 1 - -
19 300.19 Matsunaflam 50mg Tab Box 10 - -
20 300.19 Naturema Cap 50's Box 10 - -
21 300.19 Natursif Syr 60ml Fls 10 - -
22 300.19 Neurobat A Dragre 100's Box 1 - -
23 300.19 Nufagrabion Cap 100's Box 5 - -
24 300.19 Nufalev Tab 10's Box 10 - -
25 300.19 Nufaprazole Cap 20's Box 20 - -
26 300.19 Osamin 500mg Box 30 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan -
27 300.19 Ovurila E 50 Tab 50's Box 2 - - 145,603 291,206
28 300.19 Prome Exp 100ml Fls 10 - - 145,604 1,456,040
29 300.19 Renapid 5mg Tab Box 10 - - 145,605 1,456,050
30 300.19 Respirex Syr Fls 2 - - 145,606 291,212
31 300.19 Termisil 10g Cream Tube 10 - - 145,607 1,456,070
32 300.19 Tisolan 4mg Tab 30's Box 10 - - 145,608
33 300.19 Trifed Tab 50's Box 5 - -
34 300.19 Urinter Tab 100's Box 2 - -
35 300.19 Vitala Cap 30's Box 10 - - -
-
7,100,015 -
7,100,016
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Asto Kit 1 - - 145,603 145,603

2 300.19 Blue Tip Bks 1 - - 145,604 145,604
3 300.19 Edta Biru 3ml Pcs 500 - - 145,605 72,802,500
4 300.19 HBS AG Kit 1 - - 145,606 145,606
5 300.19 HCV Kit 1 - - 145,607 145,607
6 300.19 Micro Pipet 20,50,500 ( 1 s/d 25ml ) Unit 1 - - 145,608
7 300.19 Micro Pipet 50 ( 100 s/d 1000 ) Unit 1 - -
8 300.19 Objek Glass Pcs 10 - -
9 300.19 RF Kit 1 - - -
10 300.19 Verify Btl 1 - - -
11 300.19 Widal Test Kit 1 - -
12 300.19 Yellow Tip Bks 1 - - -
7,100,015 -
7,100,016
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Alfa Diluent Kit 1 - - 145,603 145,603

2 300.19 Alfa Lyse Kit 1 - - 145,604 145,604
-
-
-
-
-
7,100,015 -
7,100,016
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Fluid Pack AV-BP 5186 D Box 2 - - 145,603 291,206

2 300.19 Termal Piper 5cm Rol 1 - - 145,604 145,604
3 300.19 Electrode Conditioning Sol Btl 1 - - 145,605 145,605
4 300.19 Ise Cleaning Sol Btl 1 - - 145,606 145,606
5 300.19 Control Level 1 Btl 1 - - 145,607 145,607
6 300.19 Control Level 2 Btl 1 - - 145,608
7 300.19 Control Level 3 Btl 1 - -
-
-
7,100,015 -
7,100,016
Jumlah
AU - 31
box
1 Fls 30 Albumin 20% 100ml
2 Fls 30 Albumin 25 % 100ml
3 Box 50 Alupurinol tablet 100 mg
4 Fls 500 Ambroxol syrup
7 Fls 500 Antasida syrup 200
8 Fls 20 Aqua 1000 ml
9 Fls 700 Aqua Injeksi 25ml 300
10 Box 20 Arixtra Inj 3
11 Box 80 Asam Traneksamat Injeksi 250mg
12 Box 10 Aspilet tablet 4
13 Box 5 ATS injeksi 1500 ui
14 Box 50 Azytromicin Tab 500mg
15 Box 10 Bamgetol 200mg Tab
16 Fls 20 Berotec Inheler
17 Box 60 Betahistin Tab 6mg
18 Box 50 Bisoprolol tablet 5 mg 5
20 Box 50 Candesartan 16mg Tab 10
21 Box 40 Captropil 12.5mg Tab
22 Box 120 Cefadroxil Capsul 500 mg 10
23 Fls 150 Cefadroxil syrup 125mg/5 ml 182
24 Box 50 Cefixim 200mg Tab
26 Fls 15 Chloramfenicol Syrup
28 Box 60 Ciprofloxacin tablet 500 mg 40
29 Box 80 Citicolin tablet 500 mg
31 Tin 3 CTM tablet
32 Box 20 Curcuma tablet
33 Fls 5 Depacen Syr
34 Fls 100 Dex 40%
35 Tin 10 Dexametason injeksi
38 Fls 300 Domperidon Syrup 150
39 Box 50 Domperidon Tab
40 Box 10 Eritromicin cap 500 mg
41 Box 5 Ethambutol 500mg Tab
43 Box 100 Furosemid tablet 40mg
45 Box 20 Glimepirid 1mg Tab
47 Fls 100 Ibuprofen syrup
48 Box 50 Ibuprofen tab 400 mg 18
49 Tube 100 Ketoconazol cream 10 gr 30
50 Box 10 Levofloxacin 500mg Tab 17
51 Box 2 Levosol injeksi
52 Box 5 Lidocain HCL injeksi
53 Box 10 Lisinopril 10mg Tab
55 Box 3 Manitol Infus
56 Box 50 Mecobalamin 500 mg capsul
57 Box 100 Meloxicam 15 mg 80
58 Box 50 Methyl Ergometrin Injeksi
59 Box 30 Methyl Ergometrin Tab
60 Box 60 Metronidazol tablet 500 mg 8
61 Box 70 Metyl prednisolon tablet 4 mg 30
62 Box 100 Na Diclofenac 50 mg
63 Fls 2,000 NaCL 500 ml
65 Vial 50 Nicardipin injeksi 1mg/ml
66 Box 40 Ofloxacin tablet 200mg
67 Box 40 Ofloxacin tablet 400 mg
68 Box 3 Oralit Sachet
70 Fls 400 Paracetamol Syrup 275
71 Box 100 Paracetamol Tablet 500 mg 75
73 Box 10 Pyrazinamid tablet 500 mg
74 Box 100 Ranitidin Tablet 70
75 Fls 100 Salbutamol Syrup
76 Box 20 Salbutamol tablet 2mg
77 Tube 10 Scabicid Cream
78 Fls 50 Sedakter Syrup
80 Tube 10 Thrombopop Gel
81 Box 50 Tramadol capsul
82 Fls 30 Ventolin inhaler 30
83 Box 20 Ventolin Nebule
84 Box 10 Widahes 130 infus
85
86
87
88
89

1 Fls 3 Atarox Syrup
2 Fls 30 Dipsamol Inheler
3 Box 3 Esilgan 2mg Tab
5 Box 3 Glicuidon Tablet 30 mg
6 Box 80 Glufor tablet 500 mg
7 Box 1 Hytrin 2mg
8 Box 5 Irvask tablet 150 mg
9 Box 1,000 Lansoprazol capsul
11 Box 10 Miloz Injeksi 5mg/5ml
12 Box 20 Notrixum Injeksi
13 Box 3 PTU tab 100 mg
14 Tube 50 Pyderma cream
15 Box 30 Ramipril 2,5 mg tablet
16 Fls 5 Ranivel syrup
17 Box 50 Rebamipid Tablet
18 Box 10 Recofol Injeksi
19 Box 50 Regivel spinal injeksi 7
21
PT Buetna Hareukat
1 Tube 100 Acyclovir Cream 5gr
2 Jrg 5 Alkohol 96 % 2
3 Box 100 Amlodipin 10md Tab
4 Box 100 Amlodipin 5mg Tab
5 Box 2 Arcalion tablet
6 Box 5 Avodart Tab 4
7 Set 1 Bahan Tambalan Gigi (Liquid Spowder)
8 Fls 20 Betadin gargle
9 Tin 5 Bicnat tablet
10 tube 30 Bioplacenton cream
11 Box 3 Biosanbe tablet
12 Tin 5 Calsium lactat tablet
13 Bh 1 Cavit
14 Vial 50 Ceftadzidim injeksi
15 Box 5 Celebrex 100mg Cap
18 Fls 15 Clinimix infus
20 Tin 1 Cloramfenicol tablet 250 mg
22 Tube 30 Counterpan Cream
23 Box 5 Depokate ER 250mg Tab
25 Box 5 Dulcolac Tab
26 Box 5 Epineprin Injeksi
27 Fls 20 Eritromicyn syrup 250mg/ml
28 Box 1 FG Troces Tab
30 Box 100 Furosemid Injeksi
31 Tube 50 Gentamicin Cream 5gr SK
32 Box 100 Gentamicyn injeksi 80mg
33 Fls 20 Gentian Violet
34 Box 30 Glimeperid 4mg Tab
39 Tube 100 Hydrocortison Cream
42 Fls 10 Illiadin 0,025 % 10
43 Fls 10 Illiadin 0,5 % 20
44 Tin 10 INH 100 mg Tab 1000's
45 Tin 10 INH 300 mg
46 Fls 50 Insto tetes mata
47 Box 5 Irvask 150mg Tab
48 Box 100 ISDN 5 mg tablet
49 Box 2 KA EN 3B
50 Box 15 Kalxetin 10 mg 5
51 Box 15 Kalxetin 20 mg Tab 30's 5
52 Bgks 1 Kapsul kosong no 0
59 Box 10 Lipitor 10 mg Tab
61 Box 10 Lipitor 40mg Tab
62 Box 5 Ludiomil 25 mg Tab
63 Box 5 Lyrica 75 mg Tab
66 Pot 20 Nebacetin Powder
70 Box 20 Novomix flexpen
73 Box 5 Piracetam 800mg Tab
78 Fls 5,000 Ringer lactat infus 2,000
81 Ktk 1 Septocain
82 Fls 3 Sojorn (cefofluran )
83 Ktk 1 Spongostan
84 Box 5 Tensivask 10 mg
85 Box 5 Tensivask 5mg
86 Pcs 2 Tetagam injeksi 250 iu
87 Tin 1 Thetracyclin capsul 250 mg
88 Box 30 Tramuz Inj
89 Tin 10 Vit B. Complek Tab
90 Tin 10 Vit C Tab
91 Box 3 Vit K injeksi
92 Tin 2 Vit K Tab
97 Fls 10 Avamys Nasal Spray
98
99
100

1 Fls 100 Alpara Syrup
2 Box 100 Alpentin 100 mg Cap 68
4 Box 100 Alphamol 600 mg tablet 100
5 Fls 10 Alphamol drop
7 Box 90 Alprazolam 0,5 mg
8 Box 20 Alprazolam 1 mg
9 Box 10 Asabium tablet
10 Tube 100 Bevalex cream
11 Box 50 Dextral capsul
12 Fls 300 Dextral Syrup
13 Box 100 Diclofalm 25 mg
14 Box 100 Dicloflam 50 mg
15 Box 50 Folac Tab
17 Box 80 Interhistin tablet
18 Pcs 400 Lexacrol Syr 15
19 Box 80 Lexavit Tab
20 Box 30 Lexavon capsul
21 Fls 300 Lexavon Syrup
22 Box 30 Lexicam tablet 10 mg
24 Box 30 Molacort tablet
25 Tube 250 Molacream
26 Tube 100 Moladerm cream
27 Fls 400 Molafate syrup 400
28 Box 100 Molaneuron tablet 1000 mg
29 Box 300 Molapec syrup
30 Box 50 Molapec tablet
31 Box 80 Molasic 500mg Tab
32 Box 60 Molazol Tab 500mg
33 Fls 300 Molexdryl Syrup
34 Fls 150 Molexflu syrup
35 Box 80 Molexflu tablet
36 Fls 200 OBH Molex Syrup
37 Fls 50 Opilax Syrup
38 Box 100 Pedab tablet
39 Box 60 Pritacort tablet
40 Fls 150 Pritamox 125 mg syrup
41 Box 50 Pritamox 500 mg capsul
42 Box 20 Pritanol tablet 100 mg
43 Box 20 Pritasma tablet 4 mg
44 Box 80 Pritavit Tab
45 Box 10 Scopamin Tablet 4
47 Box 5 Stesolid rectal 5mg
49 Box 10 Stesolid tablet 2mg
50 Box 20 Thiamfilex 500mg Cap 5
51 Fls 50 Thiamfilex syrup
52 Fls 30 Trifedrin Syrup
53 Box 20 Trifedrin Tab
54 Fls 20 Valeptic Syrup
55 Box 60 Varten 80mg Tab
56 Fls 350 Vical syrup
57 Box 80 Vitelex Cap
PT Mesarinda Abadi
1 Pcs 1 Alat Cek HB
2 Pcs 1 Alat GCU
10 Box 3 Blood lancet
11 Pcs 2 Bola Lampu Halogen kecil 500/250 wat
12 Pcs 24 Caesar Kit
14 Roll 2 Cat Gut Cromic 0
15 Roll 1 Cat Gut Plain 0 B'braun
16 Roll 1 Cat Gut Plan 2/0
19 Roll 2 Cut Gut Cromic 2
20 Roll 1 Cut Gut Cromic 2/0
21 Roll 1 Cut Gut Plain 3/0
22 Ltr 5 Desmanol
23 Box 20 Easy Toch Uric Acid
24 Box 20 Easy Touch Colesterol
26 Pak 3 Electroda
29 Pcs 2 Folley cateter No10
30 Pcs 2 Folley Catheter No 6
31 Pcs 150 Folley Catheter No.18 160
32 Box 15 Handscun no 7
33 Box 15 Handscun no 7,5
34 Box 10 Handscun No.8
35 Box 30 Handsun Non Steril
36 Set 2 Hukmah / Irigator
37 Roll 40 Hyfapix 15x5
38 Roll 40 Hyfapix 5 x5
39 Box 5 Infused Ped
40 Box 10 IV Catheter No.18
41 Box 10 IV Catheter No.20 12
43 Roll 10 Kapas 1000gr
47 Box 200 Kassa Kotak steril 45
48 Roll 30 Kertas Ekg rool
49 Roll 10 Kertas Usg
52 Roll 12 Leucocrep 3 Inci
54 Roll 24 Leucocrep 6"
55 Roll 24 Leucodur 3'
58 Roll 100 Leucolast 1624 BSN
61 Box 40 Masker
62 Lsn 1 Masker M95
63 Box 5 Nald 23
64 Lsn 1 Nald 6030 G/T 10
65 Lsn 1 Nald 6030 G/T 12
66 Pcs 30 Nasal Canila Anak
67 Pcs 5 Nasal Canula Bayi
69 Pcs 10 NGT 10
70 Pcs 10 NGT 12
71 Pcs 10 NGT 14
72 pcs 10 NGT 16
73 Pcs 50 NGT 18
74 Pcs 3 Pencil cauter
75 Roll 300 Perban gulung 15 cm
76 Box 1 Pisau Bisturi no 15
78 Box 1 Poly Propylenen 3/0 4564
85 Jrgn 2 Primacef
86 Box 2 Spinocain
87 Box 3 Spuit 100 cc lubang tengah
88 Box 50 Spuit 3cc 25
90 Box 3 Spuit 50 cc Lubang Tepi
93 Pcs 3 Tensi Meter Air Raksa
94 unit 2 Tensi Meter anak
95 Box 3 Threway
96 Unit 2 Timbangan dewasa
97 Box 3 Topi operasi pria
98 Box 3 Topi operasi wanita
99 Pcs 2 Torniquet
102 Pcs 100 Urine Bag 75
104 Pcs 2 Wascom mandi
105 Pcs 4 Washen
106 Pcs 3 Waslap
PT Parit Padang

3 Fls 100 Fartolyn Syrup
4 Box 10 Fasodrin Injeksi 2
6 Box 3 Lupred Tab
10 Box 30 Renapar Tab
11 Box 10 Simarck 2 mg
12
PT Sawah Besar
1 Box 30 Arkine tablet
2 Fls 100 Asetyl sistein syrup
3 Box 20 Bamgetol tablet 200 mg
4 Box 20 Calcimega tablet 5
5 Box 250 Diuvar injeksi 54
6 Fls 100 Endostein syrup
7 Box 50 Epsonal tablet 3
8 Fls 70 Flumucyl syrup
9 Box 30 Flumucyl tablet
10 Box 15 Hexymer Tablet 2 mg
12 Box 10 Kutoin capsul
13 Box 1 Kutoin injeksi
14 Fls 100 Laxadin syrup
15 Box 80 Neuraxon Cap
16 Box 300 Novaldo injeksi
17 Tube 100 Osteor cream
18 Box 50 Osteor Tablet
20 Tube 100 Pyderma Cream
21 Box 10 Pytramic Tab
22 Box 5 Sandepril 50 mg 3
23 Box 30 Siberid tablet
24 Box 15 Takelin 1000 mg
PT.UDC
1 Box 20 Alinamin f tablet
2 Tube 200 Bersol cream
3 Box 10 Nonflamin capsul
PT PENTA VALENT
1 Box 100 Biocombin tablet
2 Box 10 Cal 95 tablet
3 Strip 20 Cendo Astenof 0,6ml@5' minidose
4 Box 5 Cendo Berry tablet
6 Strip 50 Cendo Cenfres 0,6 ml@5's minidose
7 Strip 30 Cendo Eyefres 0,6 ml@ 5's minidose
8 Strip 10 Cendo Fenicol 0,25% 0,6ml@5;s minidose
9 Tube 30 Cendo Fenicol Sm
10 Strip 10 Cendo Floxa 0,6ml@5' minidose
12 Strip 30 Cendo Genta tetes mata 0,6ml@5's minidose 3
13 Box 2 Cendo Glaucor Tab
14 Strip 40 Cendo LFX tetes mata 0,6ml@5's minidose
15 Strip 50 Cendo Lyters 0,6 ml@ 5's minidose
16 Strip 5 Cendo Pantocain 0,6ml@5' minidose
18 Strip 20 Cendo posop 0,6ml@5' minidose
19 Strip 5 Cendo timol 0,6ml@5'minidose
23 Box 10 Ciflon Tab
25 Fls 200 Gatrinal Syrup
26 Jrg 3 Handscrub
27 Box 5 L Bio Sacset
28 Fls 200 L zink syrup
29 Fls 100 Lagesyl syrup
30 Fls 50 Lasal syrup
31 Box 30 L-cisin tablet 30's
32 Box 10 Mecola tab
33 Box 10 Myotonic injeksi
34 Box 20 Myotonic Tab
35 Box 350 Norages injeksi
36 Fls 200 Proceles syrup
37 Fls 50 Promuba syrup
38 Box 50 Suprafenid suup
1 Btl 1 Albumin
2 Gal 2 Alfa Diluent Swelab
3 Gal 2 Alfa Lyse Swelab
4 Kit 1 ALP
5 Kit 1 Asto
6 Btl 2 Billirubin Direk
10 Btl 2 Cholesterol
11 Btl 2 Creatinine
12 Btl 3 Glucose
13 Kit 1 Hamil Test
14 Kit 1 HBS AB
15 Kit 2 HBS AG
17 Box 1 Pot Urine
19 Plastik 2 Simple Cup A25
20 Plastik 2 Simple Cup Plastik Tutup
21 Btl 2 Urea
22 Btl 2 Verify
23 Kit 1 Widal Test
Inventaris
1 Unit 2 Abortus Tang
2 Pcs 3 Ateri Clem
3 Pcs 2 Busi
4 Pcs 1 Gunting Episiotomi
5 Pcs 2 Gunting Tali Pusat
6 Pcs 1 I/2 Khoctier
7 Unit 3 Incubator
8 Pcs 1 Nald Pouder
9 Pcs 2 Oval Clem
10 Pcs 2 Pingset
12 Unit 3 Spekulum ( Cocor Bebek )
13 Pcs 2 Spekulum ( Stan )
14 Unit 1 Stetoscop
15 Pcs 1 Stetoscop Bayi
16 Pcs 1 Suction
17 Unit 2 Tenaculum
18 Unit 1 Tensi
1 Box 40 Afamed Tab 30's

2 Box 2 Anadex Dragee 100's
3 Box 5 Bactiprox Cap 20's
4 Box 3 Bartolium 10mg Tab 50's
5 Box 5 Candepres 16mg Tab
6 Tube 20 Cinogenta Cream
1 PT ANUGRAH ARGON MEDICA
2 PT ANTAR MITRA SEMBADA
3 PT BUETNA HAREUKAT
4 PT ENCEVALL PUTRA MEGATRADING
5 PT PROTEUSSABA NUSANTARA
6 PT RAJAWALI NUSINDO
7 PT UNITED DICO CITAS
8 PT PENTA VALENT
9 PT TIRTA MEDICAL INDONESIA
10 PT MESARINDA ABADI
11 PT HEXALAB SUMATERA
12 PT. SAPTA SARI TAMA
13 PT DOS NI ROHA
14 PT SAWAH BESAR FARMA
15 KOPKAR MON MADU
Oxygen
RSCM/AU-31/001/2014 280,616,031
RSCM/AU-31/002/2014 61,911,562
RSCM/AU-31/003/2014 104,681,704
RSCM/AU-31/004/2014 29,735,640
RSCM/AU-31/005/2014 172,321,380
RSCM/AU-31/006/2014 155,071,632
RSCM/AU-31/007/2014 85,079,106
RSCM/AU-31/008/2014 124,551,693
RSCM/AU-31/009/2014 55,010,831
RSCM/AU-31/010/2014 143,137,050
RSCM/AU-31/011/2014 10,242,151
RSCM/AU-31/012/2014 27,146,565
RSCM/AU-31/013/2014 31,942,219
RSCM/AU-31/014/2014 33,557,777
RSCM/AU-31/015/2014 11,434,500
1,326,439,840
box
1 Fls 30 Albumin 20% 100ml
2 Fls 30 Albumin 25 % 100ml
3 Box 50 Alupurinol tablet 100 mg
7 Fls 500 Antasida syrup 200
9 Fls 700 Aqua Injeksi 25ml 300
10 Box 20 Arixtra Inj 3
11 Box 80 Asam Traneksamat Injeksi 250mg
13 Box 5 ATS injeksi 1500 ui
14 Box 50 Azytromicin Tab 500mg
16 Fls 20 Berotec Inheler
17 Box 60 Betahistin Tab 6mg
20 Box 50 Candesartan 16mg Tab 10
21 Box 40 Captropil 12.5mg Tab
22 Box 120 Cefadroxil Capsul 500 mg 10
23 Fls 150 Cefadroxil syrup 125mg/5 ml 182
24 Box 50 Cefixim 200mg Tab
26 Fls 15 Chloramfenicol Syrup
31 Tin 3 CTM tablet
32 Box 20 Curcuma tablet
33 Fls 5 Depacen Syr
34 Fls 100 Dex 40%
35 Tin 10 Dexametason injeksi
38 Fls 300 Domperidon Syrup 150
39 Box 50 Domperidon Tab
49 Tube 100 Ketoconazol cream 10 gr 30
50 Box 10 Levofloxacin 500mg Tab 17
51 Box 2 Levosol injeksi
52 Box 5 Lidocain HCL injeksi
55 Box 3 Manitol Infus
56 Box 50 Mecobalamin 500 mg capsul
58 Box 50 Methyl Ergometrin Injeksi
59 Box 30 Methyl Ergometrin Tab
62 Box 100 Na Diclofenac 50 mg
63 Fls 2,000 NaCL 500 ml
65 Vial 50 Nicardipin injeksi 1mg/ml
66 Box 40 Ofloxacin tablet 200mg
67 Box 40 Ofloxacin tablet 400 mg
68 Box 3 Oralit Sachet
73 Box 10 Pyrazinamid tablet 500 mg
75 Fls 100 Salbutamol Syrup
76 Box 20 Salbutamol tablet 2mg
77 Tube 10 Scabicid Cream
78 Fls 50 Sedakter Syrup
80 Tube 10 Thrombopop Gel
81 Box 50 Tramadol capsul
82 Fls 30 Ventolin inhaler 30
83 Box 20 Ventolin Nebule
84 Box 10 Widahes 130 infus

1 Fls 3 Atarox Syrup
2 Fls 30 Dipsamol Inheler
3 Box 3 Esilgan 2mg Tab
7 Box 1 Hytrin 2mg
8 Box 5 Irvask tablet 150 mg
9 Box 1,000 Lansoprazol capsul
11 Box 10 Miloz Injeksi 5mg/5ml
12 Box 20 Notrixum Injeksi
14 Tube 50 Pyderma cream
16 Fls 5 Ranivel syrup
17 Box 50 Rebamipid Tablet
19 Box 50 Regivel spinal injeksi 7
21
PT Buetna Hareukat
1 Tube 100 Acyclovir Cream 5gr
3 Box 100 Amlodipin 10md Tab
4 Box 100 Amlodipin 5mg Tab
6 Box 5 Avodart Tab 4
7 Set 1 Bahan Tambalan Gigi (Liquid Spowder)
8 Fls 20 Betadin gargle
10 tube 30 Bioplacenton cream
11 Box 3 Biosanbe tablet
12 Tin 5 Calsium lactat tablet
13 Bh 1 Cavit
15 Box 5 Celebrex 100mg Cap
20 Tin 1 Cloramfenicol tablet 250 mg
22 Tube 30 Counterpan Cream
25 Box 5 Dulcolac Tab
26 Box 5 Epineprin Injeksi
27 Fls 20 Eritromicyn syrup 250mg/ml
28 Box 1 FG Troces Tab
30 Box 100 Furosemid Injeksi
31 Tube 50 Gentamicin Cream 5gr SK
33 Fls 20 Gentian Violet
34 Box 30 Glimeperid 4mg Tab
39 Tube 100 Hydrocortison Cream
42 Fls 10 Illiadin 0,025 % 10
43 Fls 10 Illiadin 0,5 % 20
44 Tin 10 INH 100 mg Tab 1000's
45 Tin 10 INH 300 mg
46 Fls 50 Insto tetes mata
47 Box 5 Irvask 150mg Tab
48 Box 100 ISDN 5 mg tablet
49 Box 2 KA EN 3B
50 Box 15 Kalxetin 10 mg 5
51 Box 15 Kalxetin 20 mg Tab 30's 5
61 Box 10 Lipitor 40mg Tab
62 Box 5 Ludiomil 25 mg Tab
63 Box 5 Lyrica 75 mg Tab
66 Pot 20 Nebacetin Powder
70 Box 20 Novomix flexpen
73 Box 5 Piracetam 800mg Tab
78 Fls 5,000 Ringer lactat infus 2,000
81 Ktk 1 Septocain
83 Ktk 1 Spongostan
87 Tin 1 Thetracyclin capsul 250 mg
88 Box 30 Tramuz Inj
89 Tin 10 Vit B. Complek Tab
90 Tin 10 Vit C Tab
91 Box 3 Vit K injeksi
92 Tin 2 Vit K Tab
97 Fls 10 Avamys Nasal Spray
98
99
100

1 Fls 100 Alpara Syrup
10 Tube 100 Bevalex cream
11 Box 50 Dextral capsul
12 Fls 300 Dextral Syrup
13 Box 100 Diclofalm 25 mg
15 Box 50 Folac Tab
17 Box 80 Interhistin tablet
19 Box 80 Lexavit Tab
20 Box 30 Lexavon capsul
21 Fls 300 Lexavon Syrup
24 Box 30 Molacort tablet
28 Box 100 Molaneuron tablet 1000 mg
29 Box 300 Molapec syrup
30 Box 50 Molapec tablet
31 Box 80 Molasic 500mg Tab
32 Box 60 Molazol Tab 500mg
33 Fls 300 Molexdryl Syrup
34 Fls 150 Molexflu syrup
36 Fls 200 OBH Molex Syrup
37 Fls 50 Opilax Syrup
38 Box 100 Pedab tablet
39 Box 60 Pritacort tablet
40 Fls 150 Pritamox 125 mg syrup
41 Box 50 Pritamox 500 mg capsul
42 Box 20 Pritanol tablet 100 mg
43 Box 20 Pritasma tablet 4 mg
44 Box 80 Pritavit Tab
45 Box 10 Scopamin Tablet 4
50 Box 20 Thiamfilex 500mg Cap 5
51 Fls 50 Thiamfilex syrup
52 Fls 30 Trifedrin Syrup
54 Fls 20 Valeptic Syrup
55 Box 60 Varten 80mg Tab
56 Fls 350 Vical syrup
57 Box 80 Vitelex Cap
PT Mesarinda Abadi
1 Pcs 1 Alat Cek HB
2 Pcs 1 Alat GCU
11 Pcs 2 Bola Lampu Halogen kecil 500/250 wat
22 Ltr 5 Desmanol
23 Box 20 Easy Toch Uric Acid
24 Box 20 Easy Touch Colesterol
26 Pak 3 Electroda
32 Box 15 Handscun no 7
33 Box 15 Handscun no 7,5
34 Box 10 Handscun No.8
37 Roll 40 Hyfapix 15x5
39 Box 5 Infused Ped
40 Box 10 IV Catheter No.18
47 Box 200 Kassa Kotak steril 45
48 Roll 30 Kertas Ekg rool
52 Roll 12 Leucocrep 3 Inci
55 Roll 24 Leucodur 3'
61 Box 40 Masker
62 Lsn 1 Masker M95
63 Box 5 Nald 23
64 Lsn 1 Nald 6030 G/T 10
65 Lsn 1 Nald 6030 G/T 12
66 Pcs 30 Nasal Canila Anak
67 Pcs 5 Nasal Canula Bayi
69 Pcs 10 NGT 10
70 Pcs 10 NGT 12
71 Pcs 10 NGT 14
72 pcs 10 NGT 16
73 Pcs 50 NGT 18
74 Pcs 3 Pencil cauter
75 Roll 300 Perban gulung 15 cm
85 Jrgn 2 Primacef
86 Box 2 Spinocain
90 Box 3 Spuit 50 cc Lubang Tepi
93 Pcs 3 Tensi Meter Air Raksa
94 unit 2 Tensi Meter anak
95 Box 3 Threway
96 Unit 2 Timbangan dewasa
99 Pcs 2 Torniquet
102 Pcs 100 Urine Bag 75
104 Pcs 2 Wascom mandi
105 Pcs 4 Washen
106 Pcs 3 Waslap
PT Parit Padang

3 Fls 100 Fartolyn Syrup
4 Box 10 Fasodrin Injeksi 2
6 Box 3 Lupred Tab
10 Box 30 Renapar Tab
11 Box 10 Simarck 2 mg
12
PT Sawah Besar
1 Box 30 Arkine tablet
2 Fls 100 Asetyl sistein syrup
4 Box 20 Calcimega tablet 5
5 Box 250 Diuvar injeksi 54
6 Fls 100 Endostein syrup
7 Box 50 Epsonal tablet 3
8 Fls 70 Flumucyl syrup
9 Box 30 Flumucyl tablet
10 Box 15 Hexymer Tablet 2 mg
13 Box 1 Kutoin injeksi
14 Fls 100 Laxadin syrup
15 Box 80 Neuraxon Cap
16 Box 300 Novaldo injeksi
17 Tube 100 Osteor cream
18 Box 50 Osteor Tablet
20 Tube 100 Pyderma Cream
21 Box 10 Pytramic Tab
22 Box 5 Sandepril 50 mg 3
23 Box 30 Siberid tablet
24 Box 15 Takelin 1000 mg
PT.UDC
1 Box 20 Alinamin f tablet
3 Box 10 Nonflamin capsul
PT PENTA VALENT
1 Box 100 Biocombin tablet
3 Strip 20 Cendo Astenof 0,6ml@5' minidose
4 Box 5 Cendo Berry tablet
6 Strip 50 Cendo Cenfres 0,6 ml@5's minidose
7 Strip 30 Cendo Eyefres 0,6 ml@ 5's minidose
8 Strip 10 Cendo Fenicol 0,25% 0,6ml@5;s minidose
9 Tube 30 Cendo Fenicol Sm
10 Strip 10 Cendo Floxa 0,6ml@5' minidose
12 Strip 30 Cendo Genta tetes mata 0,6ml@5's minidose 3
13 Box 2 Cendo Glaucor Tab
14 Strip 40 Cendo LFX tetes mata 0,6ml@5's minidose
16 Strip 5 Cendo Pantocain 0,6ml@5' minidose
18 Strip 20 Cendo posop 0,6ml@5' minidose
25 Fls 200 Gatrinal Syrup
26 Jrg 3 Handscrub
27 Box 5 L Bio Sacset
30 Fls 50 Lasal syrup
31 Box 30 L-cisin tablet 30's
35 Box 350 Norages injeksi
36 Fls 200 Proceles syrup
38 Box 50 Suprafenid supp
1 Btl 1 Albumin
4 Kit 1 ALP
5 Kit 1 Asto
6 Btl 2 Billirubin Direk
11 Btl 2 Creatinine
12 Btl 3 Glucose
13 Kit 1 Hamil Test
14 Kit 1 HBS AB
15 Kit 2 HBS AG
17 Box 1 Pot Urine
19 Plastik 2 Simple Cup A25
20 Plastik 2 Simple Cup Plastik Tutup
21 Btl 2 Urea
22 Btl 2 Verify
23 Kit 1 Widal Test
Inventaris
1 Unit 2 Abortus Tang
2 Pcs 3 Ateri Clem
3 Pcs 2 Busi
4 Pcs 1 Gunting Episiotomi
5 Pcs 2 Gunting Tali Pusat
6 Pcs 1 I/2 Khoctier
7 Unit 3 Incubator
8 Pcs 1 Nald Pouder
9 Pcs 2 Oval Clem
10 Pcs 2 Pingset
12 Unit 3 Spekulum ( Cocor Bebek )
13 Pcs 2 Spekulum ( Stan )
14 Unit 1 Stetoscop
15 Pcs 1 Stetoscop Bayi
16 Pcs 1 Suction
17 Unit 2 Tenaculum
18 Unit 1 Tensi
1 Box 2 Anadex Dragee 100's

2 Box 1 Cobazym 1000mg 100's
3 Box 1 Finpro Tab 30's
4 Box 1 Inbion Cap 100's
5 Fls 10 Inmatrol TM
6 Box 1 Interco 500mg 100's
7 Box 1 Interpec 30mg 100's
8 Box 1 Lycaivit Tab 100's
9 Box 1 Neurobat A Dragre 100's
10 Fls 10 Prome Exp 100ml
11 Box 5 Trifed Tab 50's
12 Box 2 Urinter Tab 100's
13 Box 5 Bactiprox Cap 20's
14 Box 20 Ertensi 5mg 30's
15 Tube 40 Erphaflam Emulgel
16 Box 30 Osamin 500mg
17 Tube 10 Termisil 10g Cream
18 Tube 20 Cinogenta Cream
19 Fls 20 Hialid TM
20 Box 10 Naturema Cap 50's
21 Fls 10 Natursif Syr 60ml
22 Box 10 Enzimten Cap 30's
23 Box 10 Vitala Cap 30's
24 Box 10 Renapid 5mg Tab
25 Box 5 Candepres 16mg Tab
26 Fls 2 Respirex Syr
27 Box 40 Afamed Tab 30's
28 Box 10 Matsunaflam 50mg Tab
29 Box 5 Dorbigot Tab 100's
30 Box 2 Ovurila E 50 Tab 50's
31 Box 10 Tisolan 4mg Tab 30's
32 Box 5 Nufagrabion Cap 100's
33 Box 20 Nufaprazole Cap 20's
34 Box 10 Nufalev Tab 10's
35 Box 3 Bartolium 10mg Tab 50's
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
box
1 Fls 5 Albumin 20% 100 ml
3 Fls 20 Aminofluid infus 5
6 Box 40 Amlodipin 10 mg tablet
7 Box 80 Amlodipin tablet 5 mg 20
8 Fls 300 Amoxilin syrup
9 Box 40 Amoxilin tablet 500 mg
10 Fls 400 Antasida syrup
12 Box 10 Asam Traneksamat 500 mg Tab 1
13 Fls 800 Ashering Infus
15 Box 30 Atorvastatin tablet 20 mg
17 Box 100 Betahistin tablet 6mg
18 Tube 100 Betametason cream 12
19 Box 50 Bisoprolol tablet 5 mg
21 Box 40 Captopril 12,5 mg
22 Box 30 Captopril 25 mg tablet 8
23 Box 80 Cefadroxil capsul 500 mg 10
25 Box 2 Cilostazol Tab 1
27 Box 60 Citicolin 1000 mg tablet
28 Box 100 Citicolin injeksi 5
31 Box 30 Co amoxiclav 625 mg tablet 15
36 Vial 20 Dobutamin injeksi 250 mg 5
37 Box 10 Doxixiclin 100 mg tablet
41 Box 60 Furosemid tablet 40mg 10
45 Box 20 Ibuprofen tab 400 mg
46 Box 5 Inhitril Tab 10 mg
47 Box 20 Irbesartan tablet 150 mg
49 Box 10 kalium diclofenac 50 mg
50 Fls 50 Kandistatin Drops 5
51 Fls 20 KCL 5
52 Box 200 Keterolac injeksi 30 mg/1ml @12's
53 Tube 100 Ketoconazol cream 10 gr
54 Box 20 Ketoconazol tablet200 mg
55 Vial 25 KTM Inj
56 Box 1,000 Lansoprazole Cap 30mg. Box 20's
57 Box 40 Levofloxacin tablet 500 mg 15
58 Box 3 Lidocain injeksi
60 Box 80 Metformin 500 mg tablet
62 Fls 300 Metronidazol infus
65 Fls 10 Mgso4 20%
66 Box 15 Mucosta Tablet 3
67 Box 50 Na diclofenac 50 mg 4
68 Fls 2,000 NaCL 500 ml
70 Box 30 Ofloxacin tablet 200 mg 10
72 Box 200 Ondancentron injeksi 4mg/2ml
73 Fls 400 Paracetamol Syrup
76 Box 300 Ranitidin Inj. Box 25s
82 Box 2 Simarc 2mg
83 Box 50 Simvastatin 10 mg
86 Box 20 Spironolacton 25 mg Tablet
88 Box 20 Ventolin Nebule 5

1 Fls 3 Ataroc Syrup
2 Tube 10 Betadin Oint 10 gr
3 Box 20 Biocombin injeksi
4 Box 50 Buscopan injeksi
5 Box 2 Casodex Tablet 50 mg
6 Box 50 Cotrimoxzasol tab 480 mg
7 Tube 10 Desolex Cream
9 Box 15 Heximer tablet 2 mg
10 Box 1 Hytrin 2mg
11 Box 1 Kutoin Injeksi 100 mg
13 Box 1 Microlax Supp
14 Box 10 Miloz injeksi 5mg/5ml
15 Box 5 Nonflamin Cap
18 Box 5 Sandepril Tablet 50 mg
19 Box 15 Takelin 1000mg Tablet 30s
20 Box 5 Truvas Tablet 20 mg
PT Buetna Hareukat
1 Box 5 Acilovir tablet 400 mg
2 Bgks 2 Alginate
3 Jrg 5 Alkohol 96 %
7 Fls 20 Berotec inhaler
9 Btl 100 Caladin lotion
12 Vial 100 Ceftadzidim injeksi 10
13 Vial 30 Chloramex Inj 10
26 Box 100 Furosemid injeksi 25's 20
27 Box 60 Gabapentin 300 mg
39 Tin 5 INH 300 mg
40 Box 100 ISDN 5 mg tablet 20
41 Box 2 KA EN 3B
43 Box 5 Kalxetin 20 mg Tab 30's
44 bgks 1 Kapsul kosong no 0
45 Pack 3 Kertas Perkamen
51 Box 40 Loratadin tablet
66 Box 3 Pletaal tablet 100 mg
71 Box 10 Pyrazinamid tablet 500 mg 2
72 Fls 50 Reco tetes telinga
73 Box 10 Regumen tablet
74 Box 10 Rifampicin 450 tablet
75 Fls 8,000 Ringer lactat infus
77 Btl 50 Rodeca lotion
79 Ktk 1 Septocain
81 Pot 150 Slicyl talk 50
83 Ktk 1 Spongostan
84 Fls 1 Stac 5 ml (Bonding)
88 Box 100 Tramadol injeksi 50 mg
89 Box 2 Tramuz Inj
92 Tin 2 Vit K Tab
1 Box 50 Alpentin 100 mg cap
5 Fls 400 Alphamol syrup 20
8 Fls 10 Amobiotic drop
10 Tube 100 Bevalex cream 50
11 Box 40 Diclofalm 25 mg 20
15 Box 30 Lexapram tablet 20
20 Box 40 Pedab tablet 20
22 Box 30 Stesolid injeksi 5 mg
27 Fls 15 Valeptic Syr 15
PT Mesarinda Abadi
1 Pcs 1 Alat GCU
17 Box 10 Easy toch uric acid 1
18 Box 20 Easy touch Colesterol 12
20 Pak 3 Electroda
26 Box 10 Handscun no 7 7
27 Box 15 Handscun no 7,5 5
28 Box 10 Handsun no. 8
32 Box 2 Infused Ped 1
33 Box 10 IV cateter no 24 1
35 Roll 50 Kapas 100 gr
36 Box 50 Kasa kotak 150
37 Roll 6 Kassa lucky 3
39 Tube 15 K-Y Jelly 5
41 Roll 12 Leucocrep 3 Inci 6
47 Roll 10 Leucoplast 1624
48 Set 2 Minor Set Stainles
49 Box 5 Nald 23
50 Lsn 1 Nald 6030 G/T 10
51 Lsn 1 Nald 6030 G/T 12
52 Lsn 1 Nald 6030 G/T 14
53 Lsn 1 Nald 6030 G/T 7
54 Lsn 1 Nald 6036 G/R 11
55 Lsn 1 Nald 6036 G/R 12
56 Lsn 1 Nald 6036 G/R 8
57 Lsn 1 Nald 6120 E000
58 Pcs 100 Nasal Canula Oksigen 50
59 Pcs 5 NGT 12
60 Pcs 2 NGT 14
61 pcs 5 NGT 16 2
71 jrgn 1 Primacef
72 Pcs 2 Skin Truction Anak
73 Pcs 2 Skin Truction Dewasa
76 Box 1 Spuit 100 cc Lubang Tengah
79 Box 30 Spuit 5cc
81 Set 2 Tensimeter Air Raksa
84 Box 1 Tranfusi Set 2
85 Box 2 Umbilical cord clamp 1
87 Pcs 4 Washen
PT Parit Padang

3 Box 10 Efedrin Inj
6 Fls 20 Interhistin Syr
7 Box 20 Interhistin Tab
9 Box 5 Kutoin Capsul
11 Box 50 Regivel injeksi
PT Sawah Besar
1 Box 100 Clidorel Tablet
2 Box 20 Ketocid tablet
3 Box 15 Levazide Tablet
4 Vial 150 Metyl prednisolon injeksi 10
6 Box 5 Raos tablet 50 mg
PT PENTA VALENT
1 Tube 50 Bersol Cream
3 Strip 50 Cendo Catarlen 0,6 ml @ 5's minidose 5
4 Strip 100 Cendo Cenfresh 0,6ml@5's minidose
5 Strip 50 Cendo eye fresh 0,6ml@5's minidose
6 Strip 30 Cendo floxa 0,6 @ml5' minidose
7 Strip 50 Cendo Genta 0,6 ml@ 5's minidose 10
8 Strip 30 Cendo Glaopent 0,6 ml@ 5's minidose 10
9 Strip 30 Cendo LFX 0,6 ml@ 5's minidose 15
10 Strip 20 Cendo Lubricen 0,6 ml@ 5's minidose 13
12 Strip 10 Cendo Pantocain 2% 0,6ml@5's minidose 5
14 Strip 20 cendo posop 0,6ml@5' minidose
17 Strip 60 Cendo Ulcori 0,6 ml @ 5's minidose 40
18 Strip 50 Cendo vitrolenta 0,6ml@5' minidose
19 Strip 50 Cendo Xitrol 0,6 ml@ 5's minidose 28
22 Jrg 3 Handscrub
27 Box 10 Myotonic injeksi 10
29 Box 250 Norages injeksi 50
31 Box 30 Suprafenid supp 7
1 Btl 2 Albumin
2 Set 2 Bilirubin Total
5 Btl 1 Extran
6 Jrg 3 Aquabidest
10 Plastik 1 Blue Tip
11 Plastik 1 Yellow Tip
13 Btl 2 Creatinine
14 Plastik 2 Sample Cup
15 Box 10 Slides Frosted
16 Btl 2 SGOT
17 Btl 2 SGPT
18 Btl 2 Triglyceride
19 Btl 2 Urea
20 Btl 2 Uric Acid
21 Btl 1 Verify
22 Kit 2 HBS AG
23 Kit 1 HCV
24 Kit 1 DHF
25 Btl 2 Glucose

1 Box 3 Alinamin F Injeksi
2 Box 5 Alinamin F Tab
3 Box 30 Tramadol Injeksi
box
1
2 Fls 400 Ambroxol syrup 19
3 Fls 20 Aminofluid infus 3
6 Box 40 Amlodipin 10 mg tablet 14
7 Box 80 Amlodipin tablet 5 mg 40
8 Fls 300 Amoxilin syrup
9 Box 60 Amoxilin tablet 500 mg
10 Fls 400 Antasida syrup
12 Box 2 widahes 130 infus 1
13
15
17 Box 40 Betahistin tablet 6mg 40
18 Tube 100 Betametason cream
21 Box 20 Captopril 12,5 mg 20
22
23 Box 80 Cefadroxil capsul 500 mg 1
24 Box 50 Ceterizin tablet 40
25
26 Box 40 Ciprofloxacin tablet 500 mg
27 Box 60 Citicolin 1000 mg tablet
28 Box 100 Citicolin injeksi 10
29 Box 80 Citicolin tablet 500 mg 5
30
31
33
36
37 Box 5 Doxixiclin 100 mg tablet 7
46
47
49 Box 10 kalium diclofenac 50 mg
50 5
51 5
52 Box 200 Keterolac injeksi 30 mg/1ml @12's
53 Tube 100 Ketoconazol cream 10 gr
54
55 Vial 25 KTM Inj
56
57 Box 40 Levofloxacin tablet 500 mg 4
58 Box 3 Lidocain injeksi
60 Box 80 Metformin 500 mg tablet
62 Fls 300 Metronidazol infus 50
65
66 Box 15 Mucosta Tablet 3
67 Box 80 Na diclofenac 50 mg 2
68 Fls 2,000 NaCL 500 ml
70 Fls 50 Batugin elixir
72 Box 200 Ondancentron injeksi 4mg/2ml 80
76 Box 300 Ranitidin Inj. Box 25s
77 Vial 50 Recodryl injeksi
78 Box 20 Tramadol capsul 10
82 10 Cefixim capsul 200 mg
86 Box 30 Cefixim capsul 100 mg 7
88 Box 20 Ventolin Nebule 5

1
2 Tube 10 Betadin Oint 10 gr
3
4
5 Box 2 Casodex Tablet 50 mg
6 Box 30 Cotrimoxzasol tab 480 mg 24
7
10 Box 1 Hytrin 2mg
11
14 Box 30 Ramipril 5 mg tablet
15 Box 40 Gabapentin 300 mg capsul 20
18
19
20 Box 5 Truvas Tablet 20 mg
Box 30 Atorvastatin 20 mg
PT Buetna Hareukat
1
2
7
9
10
11
15
16
23
26
27
39 Tin 5 INH 300 mg
40 Box 100 ISDN 5 mg tablet 20
41 Box 1 KA EN 3B 1
43 Box 5 Kalxetin 20 mg Tab 30's
44 bgks
45
51
66
71 2
72 Fls 50 Reco tetes telinga
73
74 Box 10 Rifampicin 450 tablet
75 Fls 8,000 Ringer lactat infus
77
79 Ktk 1 Septocain
81 Pot 150 Slicyl talk 30
83 Ktk 1 Spongostan
84
88
89 Box 2 Tramuz Inj
92 Tin 2 Vit K Tab
Box 3 Vit K injeksi
1 Box 50 Alpentin 100 mg cap
6 Box 90 Alprazolam 0,5 mg 20
8 Fls 10 Amobiotic drop
10 Tube 100 Bevalex cream 10
11 Box 40 Diclofalm 25 mg 20
15 Box 20 Lexapram tablet 10
20 Box 40 Pedab tablet 15
22
23 Box 2 Stesolid rectal 5mg 1
27 Fls 350 Vical syrup 15
Fls 50 interhistin syrup
Box 30 Interhistin tablet
Box 20 Spironolacton 25 mg
Box 10 Spironolacton 100 mg
PT Mesarinda Abadi
1 Pcs 1 Alat GCU
17 Box 20 Easy toch uric acid
18 Box 20 Easy touch Colesterol
20 Pak 3 Electroda
26 Box 10 Handscun no 7 1
27 Box 15 Handscun no 7,5 8
31 Roll 40 Hyfapix 5 x5 2
32 Box 2 Infused Ped 1
33 Box 10 IV cateter no 24 1
37 Roll 20 Hyfapix 15x5 3
39 Tube 15 K-Y Jelly 5
41 Roll 12 Leucocrep 3 Inci 6
43 Roll 12 Leucocrep 6" 12
44 Roll 12 Leucodur 4" 6
48 Set 2 Minor Set Stainles
49 Box 5 Nald 23
50 Lsn 1 Nald 6030 G/T 10
51 Lsn 1 Nald 6030 G/T 12
52 Lsn 1 Nald 6030 G/T 14
53 Lsn 1 Nald 6030 G/T 7
54 Lsn 1 Nald 6036 G/R 11
55 Lsn 1 Nald 6036 G/R 12
56 Lsn 1 Nald 6036 G/R 8
57 Lsn 1 Nald 6120 E000
58 Pcs 50 Nasal Canula Oksigen 50
59 Pcs 5 NGT 12
60 Pcs 2 NGT 14
61 pcs 5 NGT 16
71 jrgn 1 Primacef
72 Pcs 2 Skin Truction Anak
73 Pcs 2 Skin Truction Dewasa
76 Pcs 5 NGT 10
77
1 Box 3 Topi operasi pria 1

3 Box 1 Tranfusi Set 1
4 Box 2 Umbilical cord clamp 1
6 Pcs 4 Washen
Roll 2 Zide Silk rool
Roll 200 Perban gulung 15 cm

Box 20 Masker
PT Parit Padang

3
6
7
9
11
Box 1 Atropin Sulfat injeksi
Box 2 Simarck 2 mg
unit 4 Tensi meter Nova

Unit 2 Timbangan dewasa
Pcs 2 Bola Lampu Halogen kecil 500/250 wat
unit 1 Tensi meter anak
Pcs 2 Regulator oksigen
Pcs 3 Waslap
Pcs 2 Wascom mandi
Pcs 2 Minor set stenlies
PT Sawah Besar
3 15 Hexymer Tablet 2 mg
4 Vial 150 Metyl prednisolon injeksi 10
6 Box 5 Sandepril 50 mg
Box 15 Takelin 1000 mg
Box 10 Calcimega tablet
Tube 50 Osteor cream
Box 30 Osteor Tablet
Box 1 Kutoin injeksi
PT PENTA VALENT
1
3 Strip 50 Cendo Catarlen 0,6 ml @ 5's minidose 5
4
12 5
14 Strip 20 cendo posop 0,6ml@5' minidose
17 Strip 60 Cendo Ulcori 0,6 ml @ 5's minidose 40
18
19 Strip 50 Cendo Xitrol 0,6 ml@ 5's minidose 28
22 Jrg 3 Handscrub
26 Box 10 Mecola tab 5
29 Box 50
1 Kit 1 ALP
2 Vial 1 Gol Darah A
3 Btl 2 Bilirubin Total
6 Vial 1 Gol Darah B
7 Jrg 2 Aquabidest
11 Box 3 Nald Bilgod
12 Kit 1 Asto Test
14 Btl 2 Creatinine
15 Box 4 Sensiglove ( M )
16 Btl 2 SGOT
17 Btl 2 SGPT
18 Btl 2 Triglyceride
19 Btl 2 Urea
20 Btl 1 Verify
21 Kit 1 HBS AG
22 Kit 1 HCV
23 Kit 1 DHF
24 Btl 2 Glucose
26 Btl 2 Bilirubin Direk
28 Kit 1 RF Test

1 Box 3 Alinamin F Injeksi
2 Box 5 Alinamin F Tab
Box 10 Nonflamin capsul
Box 10 Inhitril 10 mg tablet

Au 31 Februari 2017

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DATAR OBAT YANG STOKNYA HABIS

NO NAMA OBAT SAT KETERANGAN

1 Adalat Oros Box

NO NAMA OBAT SAT KETERANGAN

NO NAMA OBAT SAT KETERANGAN

PT Mensa Bina Sukses

PT United Dico Citas

Untuk Kamar Bedah

Surgeri Set Minor :

PT Antar Mitra Sembada

PT United Dico Citas

NO DISTRIBUTOR NO. AU-31 JUMLAH KETERANGAN

1 PT ANUGRAH ARGON MEDICA RSCM/AU-31/067/2014 279,969,668

2 PT ANTAR MITRA SEMBADA RSCM/AU-31/068/2014 48,152,340

3 PT BUETNA HAREUKAT RSCM/AU-31/069/2014 130,486,795

4 PT ENCEVALL PUTRA MEGATRADING RSCM/AU-31/070/2014 29,632,510

5 PT RAJAWALI NUSINDO RSCM/AU-31/071/2014 118,514,076

6 PT UNITED DICO CITAS RSCM/AU-31/072/2014 75,876,466

7 PT PENTA VALENT RSCM/AU-31/073/2014 164,142,043

8 PT MESARINDA ABADI RSCM/AU-31/074/2014 87,818,730

9 PT TIRTA MEDICAL INDONESIA RSCM/AU-31/075/2014 12,320,802

10 PT HEXALAB SUMATERA RSCM/AU-31/076/2013 10,322,548

11 PT HEXALAB SUMATERA RSCM/AU-31/011/2014 10,242,151

12 PT. SAPTA SARI TAMA RSCM/AU-31/012/2014 27,146,565

13 PT DOS NI ROHA RSCM/AU-31/013/2014 31,942,219

14 PT SAWAH BESAR FARMA RSCM/AU-31/014/2014 33,557,777

15 KOPKAR MON MADU RSCM/AU-31/015/2014 11,434,500

JUMLAH SELURUHNYA 1,071,559,189

Diminta oleh : RSCM

dr. Cut Diah AK

Periode Mei 2014

Prod. Dexa Medica

Prod. Novo Nordisk

Prod. OGB Dexa Medica

Periode Mei 2014

Prod. Novell OGB.

Periode Mei 2014

Prod. Bio Farma

Prod. Kimia Farma

Prod. Darya Varya

Prod. Widatra OGB

Periode Mei 2014

Prod. Hexapram Jaya

Periode Mei 2014

Prod. Molex Ayus

Periode Mei 2014

Prod Fresenius Kabi

Prod. Darya Varia

DAFTAR PESANAN OBAT - OBATAN

Periode Mei 2014

Periode Mei 2014

Prod. Promed Raharjo

Prod. Easy Touch

DAFTAR PESANAN ALAT KESEHATAN

DAFTAR PESANAN ALAT KESEHATAN

Periode Mei 2014

Periode Mei 2014

Periode Mei 2014

Periode Mei 2014

Prod. PT Aditama Raya

DAFTAR PESANAN ALAT KESEHATAN

Periode Mei 2014

Kepada : PT Sawah Besar Farma SP Tambahan