LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

UNIT PELAYANAN : IFRS RUMKITBAN 05.08.04 LAWANG

PELAPORAN BULAN : JANUARI 2020
PERMINTAAN BULAN : FEBRUARI 2020

NO NAMA OBAT SATUAN STOK AWAL PERMINTAAN

1. GASTRINAL HD FLAS
2. NEUROHAX TABLET
3. ACARBOSE 100 MG TABLET
4. ACARBOSE 50MG TABLET
5. ACETILCYSTEIN TABLET
6. ACYCLOVIR 200 TABLET
7. ACYCLOVIR 400 TABLET
8. ACYCLOVIR CR TUBE
9 ALLOP 100 TABLET
10 ALPARA TB TABLET
11 ALPRA 1 TABLET
12 AMBROX TB TABLET
13 AMINO INJ AMPUL
14 AMINO TB TABLET
15 AMITRIPTYLINE TABLET
16 AMLO 10 TABLET
17 AMLO 5 TABLET
18 AMOX SYR FLAS
19 AMOX TB TABLET
20 AMPI 500 MG TABLET
21 AMPICILIN 1 GR INJ AMPUL
22 ANALSIK TABLET
23 ANTASIDA SYR FLAS
24 ANTASIDA TAB TABLET
25 ARCAPEC TABLET TABLET
26 ARMSLING L SACHET
27 ARMSLING S SACHET
28 AS TRANEX INJ AMPUL
29 AS TRANEX TB TABLET
30 ASERING SANBE FLAS
31 ASMEF TB TABLET
32 ASPILET TABLET
33 ASTIKA 100MG TABLET
34 ATORVASTATIN 10 TABLET
35 ATORVASTATIN 20 TABLET
36 ATROPIN AMPUL
37 ATS AMPUL
38 AZITHROMYCIN TABLET
39 BABY COUGH FLAS
40 BENOSON N 5 TUBE
41 BETAHISTIN TABLET
42 BETAMETHASON TUBE
43 BETASON N TUBE
44 BEVALEX TUBE
45 BIOPLACENTON TUBE
58 Bisoprolol 5 mg TABLET
46 BLEDSTOP INJ AMPUL
47 BLEDSTOP TB TABLET
48 BLOODSET PCS
49 BLOODSET TERUMO PCS
50 BRALIFEX EYE DROP FLAS
51 BRALIFEX PLUS FLAS
52 BRAXIDIN TABLET
53 BUNASCAN SPINAL AMPUL
54 BUPIVAKAIN AMPUL
55 BUSCOPAN INJ AMPUL
56 BUSCOPAN PLUS TABLET
57 BUSCOPAN TB TABLET
59 C. AUGENTONIK MDS TUBE
60 C. LYTEERS BOTOL FLAS
61 C. STATROL TM FLAS
62 C. Xitrol SM FLAS
63 C.CATARLANT MDS TUBE
64 C.NONCORT EYE DROP FLAS
65 C.TOBRO MDS TUBE
66 C.XITROL MDS TUBE
96 Ca gluconas AMPUL
67 CALK TABLET
68 CAPTOPRIL 12.5 TABLET
69 CAPTOPRIL 25 TABLET
70 CAPTOPRIL 50 TABLET
71 CARBAZOCHROME AMPUL
72 CATGUT CHROMIC -2- PCS
73 CATHETER 16 PCS
74 CATHETER 18 PCS
75 CAVIPLEX DROP FLAS
76 CAVIPLEX SYR FLAS
77 CAVIPLEX TAB TABLET
97 Cefadroxil KAPSUL
78 CEFADROXIL SYR FLAS
79 CEFIXIM 100 KAPSUL
80 CEFIXIM 200 KAPSUL
81 CEFIXIM SYR FLAS
82 CEFOPERAZONE AMPUL
83 CEFOTAXIM AMPUL
84 CEFTRIAXONE AMPUL
85 CETIRIZINE SYR FLAS
86 CETIRIZINE TB TABLET
87 CHLORAMFECORT CREAM TUBE
88 CHROMIC 2 PCS
89 CIPRO INF FLAS
90 CIPRO TB TABLET
98 Citicolin TABLET
99 Clindamycin 150 KAPSUL
100 Clindamycin 300 KAPSUL
101 Clopidogrel TABLET
102 Co- amoxyclav TABLET
103 Codein 10 mg TABLET
104 Codein 20 mg TABLET
91 COMBIVENT TUBE
92 CONVER FLAS
105 Cotrimoxazole 480 TABLET
106 Cotrimoxazole syr FLAS
93 CRAVOX INF FLAS
ctm TABLET
94 CURCUMA PLUS LYSINE FLAS
95 CURCUMA TAB TABLET
107 D40 FLAS
108 D5 1/2 NS WIDA FLAS
109 D5 1/4 NS FLAS
110 D5 1/4 NS WIDA FLAS
111 D5 OTSU FLAS
112 D5 SATORIA FLAS
119 Demacolin sirup FLAS
113 DEXA 0.5 TABLET
114 DEXA INJ AMPUL
120 Dexteem Plus TABLET
121 Digoxin TABLET
115 DILTIAZEM TABLET
116 DIOVAN 160 MG TABLET
117 DOBUTAMIN AMPUL
122 Domperidom TABLET
123 Domperidon Syr FLAS
124 Dopamet TABLET
125 Doxyciclin TABLET
118 DULCOLAC DEWASA SUPPO
126 ECOSOL BRAUN PIGGY PACK FLAS
127 ELKANA TABLET
128 EPERISONE TABLET
ephedrin inj AMPUL
129 EPINEPHRIN AMPUL
130 ERLA SM TUBE
136 Erythromycin 500 KAPSUL
137 Erytromycin sirup FLAS
131 ESILGAN TABLET
132 ETABION TAB TABLET
133 ETAFEN FLAS
134 ETANYL INJ AMPUL
135 ETT 2.5 PCS
FARGOXIN AMPUL
138 FARSIX AMPUL
147 Fenaren 50mg TABLET
139 FILASIK 3/0 MERIL PCS
140 FLAMAR EYE DROP FLAS
141 FLAMIGRA TABLET
142 FLUCADEX TABLET
143 FLUNARIZINE TABLET
144 FLUTAMOL TABLET
145 FURAMIN INJ AMPUL
148 Furosemide TABLET
146 FUROSEMIDE INJ AMPUL
149 GABAPENTIN 300 MG KAPSUL
150 GAVISTAL TABLET TABLET
151 GEMFIBROZIL KAPSUL
152 GENTA INJ AMPUL
153 GENTA SK TUBE
154 GENTA SM TUBE
155 GG TABLET
156 GLAUSETA TABLET TABLET
164 Glibenclamide TABLET
157 GLIMEPIRIDE 1 TABLET
158 GLIMEPIRIDE 2 TABLET
159 GLIMEPIRIDE 3 TABLET
160 GLIMEPIRIDE 4 TABLET
161 GLUCOSAMINE TABLET
162 GORALGIN TABLET
163 GRAFADON DROPS FLAS
165 Grantusif TABLET
166 Guanistrep Syr FLAS
167 HANDSCOON 7 PCS
168 HANDSCOON 7.5 PCS
169 HANSA JUMBO PCS
171 Hct TABLET
hepachol KAPSUL
172 Heptasan TABLET
170 HUSTADIN SYR FLAS
173 Hydro 1% TUBE
174 Hydro 2,5% TUBE
175 IBUPROFEN 200 TABLET
176 IBUPROFEN 400 TABLET
177 IBUPROFEN SYR FLAS
178 ICOBAL 500 MG KAPSUL
179 INFUSET ANAK PCS
180 INFUSET DEWASA INOCHI PCS
181 INFUSET DWS PCS
181 INTERHISTIN TABLET
182 IRBESARTAN 150 TABLET
183 ISDN TABLET
184 ISOTIC ADRETOR 0.25 TM FLAS
185 ISOTIC ADRETOR 0.5 TM FLAS
186 IV CATH 20 PCS
187 IV CATH 26 PCS
188 JMS PCS
189 KA DICLO TABLET
190 KA EN TRIDEX SANBE FLAS
200 Kandistattin drop FLAS
191 KAPSUL 0 BIJI
192 KAPSUL 00 BIJI
193 KAPSUL 1 BIJI
194 KAPSUL 2 BIJI
195 KASSA BOX PCS
196 KERTAS PUYER SACHET
201 Ketoconasole TABLET
197 KETOROLAC TABLET
198 KOMPOLAX FLAS
199 KTM AMPUL
Lacto B SACHET
Lansoprazole KAPSUL
202 LAXANA TABLET
203 LEVEMIR PEN
LEVO INF FLAS
LEVO TB TABLET
Lidocain Inj AMPUL
LIDODEX AMPUL
LISINOPRIL 10 MG TABLET
LISINOPRIL 10MG TABLET
LISINOPRIL 5 TABLET
LOMATUELL PCS
LOPAMID TABLET
Loperamide TABLET
Loratadin TABLET
LOSTACEF 500MG KAPSUL
LUBIRE KAPSUL
MASKER KARET PCS
MAYO 3 PCS
MAYO 4 PCS
MEGASORB 3/0 MS300442 MERIL PCS
MEGASORG 1 NS2347 MERIL PCS
MELOXICAM 15 TABLET
MELOXICAM 7.5 TABLET
MERISOFT CHROMIC 1ME4227 MERIL PCS
MERSIBION AMPUL
MESS 11 PCS
Metformin 500 MG TABLET
METFORMIN 850 TABLET
METHERINAL TABLET
METHYLPRED 125 INJ AMPUL
METHYLPRED 16 TABLET
METHYLPRED 4 TABLET
METHYLPRED 8 TABLET
metocloperamid tab TABLET
METOCLOPRAMID INJ AMPUL
METRONIDAZOL INFUS FLAS
METRONIDAZOLE TABLET
MGSO4 20 % FLAS
MGSO4 40 % FLAS
MICARDIS 40 TABLET
MICARDIS 80 TABLET
Miconazole TUBE
Microburet PCS
MICROLAX TUBE
MIDANEST AMPUL
MIDRIC TM FLAS
MIPROS TABLET
MOLAVIR CR TUBE
MUCIFAT 100 ML FLAS
MUCYLIN 200 MG KAP KAPSUL
NA DICLO 50 MG TABLET
NA DIKLO 25 MG TABLET
NEBACETIN POW FLAS
NEBULIZER MASK ANK PCS
NEBULIZER MASK DWS PCS
Needle 23 PCS
Needle 26 PCS
needle 27 PCS
NEO - K AMPUL
NEOSMA TABLET
NEURODEX TABLET
NGT 16 PCS
NGT 18 PCS
NGT 3,5 PCS
NGT 5 PCS
NGT 8 PCS
NICOLAM TABLET
Nifedipin TABLET
NOFEBRIL FLAS
NORAGES AMPUL
NOREPHINEPRINE AMPUL
NOVALDO AMPUL
NOVORAPID PEN
NRBM ANAK PCS
NRBM DWS PCS
NS LABIOMED FLAS
NS OTSU FLAS
NS OTSU PIGGYPACK FLAS
NS WIDA FLAS
NURSECAP PCS
Obh Itrasal FLAS
OBH TDR FLAS
OBP FLAS
OCUFLAM ED 5ML FLAS
Omeprazole KAPSUL
OMEPRAZOLE INJ VIAL
ONDAN 4 INJ AMPUL
ONDAN 4 TAB TABLET
ONDAN 8 INJ AMPUL
OPSITE 25X10 PCS
OTOPAIN TT FLAS
otsu kcl 7.46 FLAS
OTSU NS 100 ML FLAS
otsuka D10 1/5 NS FLAS
OXYFLOW ANK PCS
OXYFLOW BY PCS
OXYFLOW DWS PCS
PANTOCAIN 1 FLAS
PANTOPRAZOLE INJ FLAS
Paracetamol TABLET
Paracetamol Infus FLAS
Paracetamol sirup FLAS
Pehacain AMPUL
Perban 10 cm PCS
Perban 5 cm PCS
PETHIDIN AMPUL
PHAROLIT SACHET
PHENOMED KAPSUL
PIRACETAM 1200 KAPSUL
PIRACETAM 3 gr TABLET
PIRACETAM 400 KAPSUL
Piroxicam 10 MG KAPSUL
PISPOT LK PCS
PLAIN 0 SACHET
PROANES AMPUL
Propanolol TABLET
PROSTER TABLET
Protagenta FLAS
PROTERIN INJ AMPUL
PTU TABLET
RAMIPRIL 10 MG TABLET
RAMIPRIL 5 MG TABLET
Ranitidin TABLET
RD5 WIDA FLAS
RECODRYL INJ VIAL
RINDOVECT KAPS KAPSUL
RING AS SANBE FLAS
RL SANBE FLAS
RL SATORIA FLAS
RL UNICARE FLAS
RL WIDA FLAS
ROTAVER TABLET
SAGESTAM INJ AMPUL
Salbutamol 2 TABLET
Salbutamol 4 TABLET
San Bplex drop FLAS
SANBE TEARS 8 ML FLAS
SANMAG SYR FLAS
SANMAG TAB TABLET
Scopma tab TABLET
SIDIADRYL INJ AMPUL
SIKZONOAT AMPUL
SIMVASTATIN 10 TABLET
SIMVASTATIN 20 TABLET
SMECTA SACH SACHET
SP 1 TERUMO PCS
SP 10 CC BK PCS
SP 10 CC GIDCARE PCS
SP 10 CC YORK PCS
SP 20 TERUMO PCS
SP 3 CC BU KWANG PCS
SP 3 TERUMO PCS
SP 3CC GIDCARE PCS
SP 3CC TP PCS
SP 5 CC BU KWANG PCS
SP 5 CC GIDCARE PCS
SP 50 LP TERUMO PCS
SP 50 LT TERUMO PCS
SP 5CC TP PCS
SPALK PCS
SPALK 10X5 PCS
SPALK 15X5 PCS
SPASMINAL TABLET
Spinocan 25 PCS
SPINOCAN 27 PCS
SPIRONOLACTON 100 MG TABLET
SPIRONOLACTON 25 MG TABLET
STESOLID 5 TABLET
STESOLID RECT 10 TUBE
STESOLID RECT 5 TUBE
STIKPAN PLASTIK PCS
STROMAG TABLET
SUCRALFAT SYR FLAS
SUPRAFENID SUPPO
Surflo 18 PCS
Surflo 20 PCS
Surflo 22 PCS
Surflo 24 PCS
SURFLO 26 PCS
TAGYT TAB PCS
TEGADERM 1623 PCS
Teosal TABLET
THERMO SAFETY PCS
THIAMFILEX FLAS
TIM OPHTAL 0.5 % FLAS
TIMOL 0.5 FLAS
TREMENZA TAB TABLET
TRIFAMOL TABLET
U CLAIM PCS
UNDERPAD PCS
URDAFALK TABLET
URIN BAG PCS
UROTRACTIN TABLET
VAGISTIN SUPPO
VALISANBE 2 MG TABLET
VALISANBE 5 MG TABLET
VALISANBE INJEKSI AMPUL
VALSARTAN 160 TABLET
VASACON FLAS
VENTOLIN NEBULES TUBE
VICRIL 4-0 SACHET
VICRYL 1 SACHET
VIP ALBUMIN KAPSUL
Vit b1 TABLET
vit B6 TABLET
Vit BC TABLET
Vit C TABLET
VIT K TABLET
VITROLENTA FLAS
VITROLENTA MDS TUBE
WASLAP PCS
WFI FLAS
WIACID TAB TABLET
Wida D10 FLAS
Widahes FLAS
ZETRIX INJ AMPUL
ZICAFEN KAPSUL
ZINC TABLET
ZIRCUM KID SYR FLAS
PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN PENERIMAAN
KET
EMEN KESEHATAN WILAYAH MALANG

AH SAKIT BANTUAN 05.08.04 LAWANG IFRS

PENGAJUAN DAN PENERIMAAN OBAT DAN ALKES IFRS BULAN MARET 2024
RUMKIT TNI AD 05.08.04 LAWANG
RENCANA KEBUTUHAN MARET 2024

PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

1 2 3 4 5 6 7 8 9 10 11 12 13 Rp 14.00 Rp 15.00 Rp 16.00

1 3 way stop cock tab 3 Rp 34,965.00 Rp - Rp 104,895.00
2 ACARBOSE 100 MG tab 350 Rp 1,929.00 Rp - Rp 675,150.00
3 ACARBOSE 50 MG tab 153 619 Rp 1,197.00 Rp - Rp 740,943.00
4 ACETILCYSTEIN tab 196 584 300 Rp 1,110.00 Rp 333,000.00 Rp 648,240.00
5 ACYCLOVIR 200 MG tab Rp 611.00 Rp - Rp -
6 ACYCLOVIR 400 tab 36 74 Rp 1,066.00 Rp - Rp 78,884.00
7 ACYCLOVIR CR tab 5 15 Rp 3,401.00 Rp - Rp 51,015.00
8 AKILEN TETES MATA pcs 3 21 Rp 45,510.00 Rp - Rp 955,710.00
9 AKILEN TETES TELINGA pcs 1 15 Rp 72,483.00 Rp - Rp 1,087,245.00
10 ALERVED tablet 46 85 50 Rp 2,275.00 Rp 113,750.00 Rp 193,375.00
11 ALKOHOL SWAB pcs 15 100 Rp 10,866.00 Rp - Rp 1,086,600.00
12 ALLOPURINOL 100 MG pcs 696 1500 1000 Rp 300.00 Rp 300,000.00 Rp 450,000.00
13 ALLOPURINOL 300 MG tab 30 390 Rp 600.00 Rp - Rp 234,000.00
14 ALOCLAIR PLUS MOUTHWASH tab 5 20 Rp 131,639.00 Rp - Rp 2,632,780.00
15 ALPARA TAB 89 81 Rp 1,100.00 Rp - Rp 89,100.00
16 ALPRAZOLAM 0,5 MG pcs 100 Rp 575.00 Rp 57,500.00 Rp -
17 ALPRAZOLAM 1 MG tablet 41 100 Rp 972.00 Rp 97,200.00 Rp -
18 AMBROXOL 30 MG pcs 156 480 Rp 266.00 Rp - Rp 127,680.00
19 AMBROXOL SIRUP FLS 5 26 Rp 23,000.00 Rp - Rp 598,000.00
20 AMBROXOL SIRUP PCS Rp 9,668.00 Rp - Rp -
21 AMINOPILLYN INJEKSI pcs 17 Rp 4,554.00 Rp - Rp 77,418.00
22 AMINOPILLYN TAB pcs 23 200 Rp 104.00 Rp - Rp 20,800.00
23 AMITRIPTYLINE TAB TAB 100 Rp 960.00 Rp 96,000.00 Rp -
24 AMLODIPIN 10 MG pcs 1230 70 1500 Rp 944.00 Rp 1,416,000.00 Rp 66,080.00
25 AMLODIPIN 5 MG pcs 356 590 Rp 222.00 Rp - Rp 130,980.00
26 AMOXILLIN 500 MG TAB pcs 2360 460 2500 Rp 438.00 Rp 1,095,000.00 Rp 201,480.00
27 AMOXILLIN SIRUP pcs 13 Rp 19,980.00 Rp - Rp 259,740.00
28 AMPICILIN 1 GR INJ vial 102 246 Rp 13,320.00 Rp - Rp 3,276,720.00
29 ANALSIK pcs 50 Rp 1,832.00 Rp - Rp -
30 ANTASIDA SYR pcs 26 9 50 Rp 4,607.00 Rp 230,350.00 Rp 41,463.00
31 ANTASIDA TAB pcs 126 296 Rp 125.00 Rp - Rp 37,000.00
32 ANTIMO TAB 393 Rp 500.00 Rp - Rp 196,500.00
33 APPENDECTOMY SET V16 V4 S22 PCS Rp 200,000.00 Rp - Rp -
34 ARKAVIT TAB Rp 1,650.00 Rp - Rp -
35 ASAM MEFENAMAT TAB pcs 2693 63 3000 Rp 322.00 Rp 966,000.00 Rp 20,286.00
36 ASAM TRANEXAMAT INJ ampul 41 55 100 Rp 25,320.00 Rp 2,532,000.00 Rp 1,392,600.00
37 ASAM TRANEXAMAT TAB pcs 456 400 600 Rp 2,331.00 Rp 1,398,600.00 Rp 932,400.00
38 ASPILET pcs 269 728 Rp 633.00 Rp - Rp 460,824.00
39 ASSUCRYL 1 HRG-50 100 CM pcs 36 Rp 75,082.00 Rp - Rp 2,702,952.00
40 ASSUCRYL 2/0 HR-27 75 CM pcs 9 18 Rp 57,979.00 Rp - Rp 1,043,622.00
41 ASSUCRYL 3/0 HR-27 pcs 3 22 Rp 64,356.00 Rp - Rp 1,415,832.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

42 ASSUCRYL 3-0 TS 27 pcs 6 Rp 69,754.00 Rp - Rp 418,524.00

43 ATORVASTATIN 10 tablet 210 132 200 Rp 2,220.00 Rp 444,000.00 Rp 293,040.00
44 ATORVASTATIN 20 tablet 360 550 600 Rp 2,442.00 Rp 1,465,200.00 Rp 1,343,100.00
45 ATRACURIUM BESYLATE 2.5 pcs 54 34 Rp 19,980.00 Rp - Rp 679,320.00
46 ATRACURIUM BESYLATE 5 pcs Rp 37,463.00 Rp - Rp -
47 ATROPIN pcs 71 49 Rp 3,025.00 Rp - Rp 148,225.00
48 ATS pcs 5 1 10 Rp 155,000.00 Rp 1,550,000.00 Rp 155,000.00
49 ATTAPULGITE PCS 100 Rp 790.00 Rp 79,000.00 Rp -
50 AZITHROMYCIN pcs 76 78 200 Rp 4,995.00 Rp 999,000.00 Rp 389,610.00
51 BERRY VISION pcs 685 500 600 Rp 3,960.00 Rp 2,376,000.00 Rp 1,980,000.00
52 BETAHISTIN pcs 612 481 Rp 931.00 Rp - Rp 447,811.00
53 BETAMETHASON pcs 4 4 Rp 11,100.00 Rp - Rp 44,400.00
54 BEVALEX pcs 1 1 Rp 16,650.00 Rp - Rp 16,650.00
55 BIOPLACENTON pcs 5 Rp 24,200.00 Rp - Rp 121,000.00
56 BIOSANBE tablet 15 105 Rp 1,711.00 Rp - Rp 179,655.00
57 BISOPROLOL 5 MG pcs 527 647 300 Rp 270.00 Rp 81,000.00 Rp 174,690.00
58 BLEDSTOP INJ pcs 2 8 Rp 8,305.00 Rp - Rp 66,440.00
59 BLEDSTOP TB pcs 10 135 Rp 722.00 Rp - Rp 97,470.00
60 BLOODSET pack 1 8 Rp 5,580.00 Rp - Rp 44,640.00
61 BORRAGINOL S SUPPO SUPP 7 Rp 16,000.00 Rp - Rp 112,000.00
62 BRALIFEX EYE DROP pcs 10 25 Rp 39,128.00 Rp - Rp 978,200.00
63 BRALIFEX PLUS pcs 76 161 Rp 54,168.00 Rp - Rp 8,721,048.00
64 BRAXIDIN pcs 292 Rp 1,332.00 Rp - Rp -
65 BREATHY NASAL DROP FLS 1 Rp 98,000.00 Rp - Rp 98,000.00
66 BUCAIN AMP 5 Rp 26,000.00 Rp - Rp 130,000.00
67 BUPIVAKAIN pcs 5 19 Rp 26,085.00 Rp - Rp 495,615.00
68 BURNAZIN pcs 1 4 Rp 68,746.00 Rp - Rp 274,984.00
69 BUSCOPAN INJ pcs 3 12 Rp 35,910.00 Rp - Rp 430,920.00
70 BUSCOPAN TAB PCS 102 Rp 2,000.00 Rp - Rp 204,000.00
71 C. LYTEERS BOTOL pcs 10 25 Rp 27,722.00 Rp - Rp 693,050.00
72 C. MYDRIATYL 0.5 fls 9 25 Rp 42,458.00 Rp - Rp 1,061,450.00
73 C. Xitrol TM pcs 28 Rp 27,223.00 Rp - Rp 762,244.00
74 C.CATARLENT BOTOL pcs 15 59 Rp 27,877.00 Rp - Rp 1,644,743.00
75 C.CONVER 2 % TUBE Rp 9,500.00 Rp - Rp -
76 C.EFRISEL pcs 7 3 10 Rp 22,000.00 Rp 220,000.00 Rp 66,000.00
77 C.GENTAMICIN SM TUBE 12 Rp 95,460.00 Rp - Rp 1,145,520.00
78 C.PANTOCAIN 0,5 pcs 13 10 Rp 14,318.00 Rp 143,180.00 Rp 186,134.00
79 C.TOBRO 5 ML pcs 5 9 Rp 25,108.00 Rp - Rp 225,972.00
80 C.TOBROSON 5 ML pcs 9 Rp 55,964.00 Rp - Rp 503,676.00
81 C.TOBROSON MDS BTL 28 Rp 55,964.00 Rp - Rp 1,566,992.00
82 CA GLUCONAS ampul 24 Rp 29,700.00 Rp - Rp 712,800.00
83 CANDESARTAN 16 MG pcs 150 249 Rp 7,215.00 Rp - Rp 1,796,535.00
84 CANDESARTAN 8 MG tablet 210 300 300 Rp 2,775.00 Rp 832,500.00 Rp 832,500.00
85 CAPTOPRIL 12.5 tablet 70 Rp 175.00 Rp - Rp 12,250.00
86 CAPTOPRIL 50 pcs 120 53 Rp 224.00 Rp - Rp 11,872.00
87 CARBAZOCHROME pcs 3 Rp 13,231.00 Rp - Rp -
88 CARTYLO 80 MG tablet Rp 382.00 Rp - Rp -
89 CATGUT CHROMIC 1 HRG 38 pcs 18 Rp 50,000.00 Rp - Rp 900,000.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

90 CATGUT CHROMIC 2-0 HR 27 pcs 2 24 Rp 77,000.00 Rp - Rp 1,848,000.00

91 CATGUT CHROMIC 3-0 TS 24 PCS 12 Rp 174,603.00 Rp - Rp 2,095,236.00
92 CATGUT PLAIN 3-0 HR 27 PCS 28 Rp 34,878.00 Rp - Rp 976,584.00
93 CATHETER 16 pcs 2 8 10 Rp 22,145.00 Rp 221,450.00 Rp 177,160.00
94 CATHETER 18 pcs 1 12 Rp 22,145.00 Rp - Rp 265,740.00
95 CATHETER 8 PCS 3 Rp 23,000.00 Rp - Rp 69,000.00
96 CAVIPLEX CDEZ tablet 200 Rp 1,581.00 Rp 316,200.00 Rp -
97 CAVIPLEX SYR pcs 3 21 Rp 10,356.00 Rp - Rp 217,476.00
98 CAVIPLEX TAB pcs 320 0 300 Rp 777.00 Rp 233,100.00 Rp -
99 CEFADROXIL 500 MG pcs 423 420 700 Rp 1,110.00 Rp 777,000.00 Rp 466,200.00
100 CEFADROXIL SYR pcs 11 3 15 Rp 6,629.00 Rp 99,435.00 Rp 19,887.00
101 CEFIXIM 100 kapsul 302 146 200 Rp 1,554.00 Rp 310,800.00 Rp 226,884.00
102 CEFIXIM 200 kapsul 345 127 300 Rp 2,664.00 Rp 799,200.00 Rp 338,328.00
103 CEFIXIM SYR flash 12 26 Rp 27,750.00 Rp - Rp 721,500.00
104 CEFOTAXIM vial 34 47 60 Rp 19,980.00 Rp 1,198,800.00 Rp 939,060.00
105 CEFTIZOXIME SODIUM vial 3 Rp 111,000.00 Rp - Rp 333,000.00
106 CEFTRIAXONE vial 96 448 Rp 18,870.00 Rp - Rp 8,453,760.00
107 CEFUROXIME 750 INJ vial Rp 30,247.00 Rp - Rp -
108 CENDO LFX pcs Rp 16,850.00 Rp - Rp -
109 CENDO TROPIN pcs 4 13 Rp 11,239.00 Rp - Rp 146,107.00
110 CETIRIZINE SYR pcs 1 3 Rp 16,500.00 Rp - Rp 49,500.00
111 CETIRIZINE TB pcs 200 400 Rp 266.00 Rp 106,400.00 Rp 53,200.00
112 CHLORAMPENICOL pcs 0 Rp 729.00 Rp - Rp -
113 CHROMIC 1 HRG 50 pcs Rp 62,988.00 Rp - Rp -
114 CHROMIC 2/0 HR-27 75 CM pcs 24 Rp 37,203.00 Rp 892,872.00 Rp -
115 CINAM vial 10 35 20 Rp 154,064.00 Rp 3,081,280.00 Rp 5,392,240.00
116 CIPROFLOXACIN 500 MG tab 100 600 Rp 777.00 Rp 466,200.00 Rp 77,700.00
117 CIPROFLOXACIN INFUS flash 1 4 Rp 57,518.00 Rp - Rp 230,072.00
118 CITICOLIN INJ pcs 30 Rp 14,300.00 Rp - Rp 429,000.00
119 CITICOLIN TAB tablet 510 Rp 5,661.00 Rp - Rp 2,887,110.00
120 CLINDAMICIN 300 MG tablet 10 0 Rp 1,554.00 Rp - Rp -
121 CLOPIDOGREL tablet 334 113 200 Rp 9,990.00 Rp 1,998,000.00 Rp 1,128,870.00
122 CO AMOXYCLAV pcs 150 Rp 3,116.00 Rp - Rp 467,400.00
123 CODICAF 20 MG pcs 18 442 Rp 1,624.00 Rp - Rp 717,808.00
124 COMBIVENT NEBUL vial 0 100 Rp 24,602.00 Rp 2,460,200.00 Rp -
125 COTRIMOXAZOL 480 MG tablet 141 461 Rp 389.00 Rp - Rp 179,329.00
126 COTRIMOXAZOLE SIRUP PCS 5 9 Rp 4,358.00 Rp - Rp 39,222.00
127 COUNTERPAIN 120 GR pcs 2 Rp 130,951.00 Rp - Rp 261,902.00
128 CTM tablet 130 200 Rp 103.00 Rp 20,600.00 Rp 13,390.00
129 CURCUMA PLUS LYSINE pcs 5 35 Rp 11,655.00 Rp - Rp 407,925.00
130 CURCUMA TAB pcs 12 36 Rp 1,031.00 Rp - Rp 37,116.00
131 D 10 SANBE fls 91 Rp 23,310.00 Rp - Rp 2,121,210.00
132 D 5 % SANBE pcs 7 48 24 Rp 17,858.00 Rp 428,592.00 Rp 857,184.00
133 D 5 1/2 NS SANBE pcs 69 74 24 Rp 10,268.00 Rp 246,432.00 Rp 759,832.00
134 D 5 1/4 NS SANBE pcs 14 76 Rp 10,653.00 Rp - Rp 809,628.00
135 D10 SATORIA TAB 91 Rp 9,604.00 Rp - Rp 873,964.00
136 D40 pcs 7 Rp 12,121.00 Rp - Rp 84,847.00
137 CENDO SILOXAN pcs 1 Rp 45,000.00 Rp - Rp -
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

138 D5 SATORIA botol 48 Rp 6,900.00 Rp - Rp 331,200.00

139 D51/2NS SANBE pcs Rp 9,611.00 Rp - Rp -
140 DEMACOLIN tablet 20 Rp 855.00 Rp - Rp -
141 DESOLEX CREAM 10 GR TUBE 4 Rp 35,966.00 Rp - Rp 143,864.00
142 DEXA 0,5 MG PCS 690 19 800 Rp 222.00 Rp 177,600.00 Rp 4,218.00
143 DEXA INJ AMPUL 189 40 300 Rp 2,430.00 Rp 729,000.00 Rp 97,200.00
144 DEXKETOPROFEN TROMETAMOL INJ AMPUL 15 150 Rp 25,530.00 Rp - Rp 3,829,500.00
145 DEXTEEMPLUS pcs 30 Rp 323.00 Rp - Rp -
146 DIGOXIN TAB tablet 235 Rp 143.00 Rp - Rp 33,605.00
146 DIONICOL 500 MG pcs Rp 1,300.00 Rp - Rp -
146 DIONICOL SYR fls 5 Rp 14,065.00 Rp - Rp 70,325.00
147 DOBUTAMIN VIAL 1 5 Rp 52,000.00 Rp 260,000.00 Rp 52,000.00
148 DOPAMIN VIAL 5
149 DOMPERIDONE SIRUP pcs 9 7 10 Rp 18,870.00 Rp 188,700.00 Rp 132,090.00
151 DOMPERIDONE TAB tablet 296 350 Rp 488.00 Rp - Rp 170,800.00
152 DOPAMET TAB tablet Rp 2,475.00 Rp - Rp -
153 DRAMAMIN 50 MG TAB Rp 2,613.00 Rp - Rp -
154 DTRIVIT pcs Rp 3,330.00 Rp - Rp -
155 DULCOLAC ANAK pcs 17 Rp 17,893.00 Rp - Rp 304,181.00
156 DULCOLAC DEWASA pcs 1 12 Rp 36,737.00 Rp - Rp 440,844.00
157 DULCOLACTUL SYR pcs 1 6 Rp 69,488.00 Rp - Rp 416,928.00
158 DULCOLAX TAB TAB 12 50 Rp 3,643.00 Rp 182,150.00 Rp -
159 ELKANA SYR flash 11 7 10 Rp 26,500.00 Rp 265,000.00 Rp 185,500.00
160 EMIBION tablet Rp 1,748.00 Rp - Rp -
161 EPERISONE tablet 33 276 Rp 1,554.00 Rp - Rp 428,904.00
162 EPHEDRIN pcs 17 31 Rp 55,000.00 Rp - Rp 1,705,000.00
163 EPINEPHRIN pcs 1 8 Rp 2,640.00 Rp - Rp 21,120.00
164 ERDOSTEIN 300 MG kapsul 86 370 Rp 2,165.00 Rp - Rp 801,050.00
165 ERLAMICETIN SALEP MATA pcs 1 9 Rp 10,545.00 Rp - Rp 94,905.00
166 FASIDOL SIRUP BTL 3 5 Rp 5,975.00 Rp - Rp 29,875.00
167 ERYTROMYCIN 500 KAP 237 Rp 939.00 Rp - Rp 222,543.00
168 ERYTROMYCIN SIRUP BOTOL 5 Rp 15,295.00 Rp - Rp 76,475.00
169 ETABION TAB pcs 36 209 Rp 239.00 Rp - Rp 49,951.00
170 ETAGESIC SIRUP FLASH Rp 6,410.00 Rp - Rp -
171 ETT 2,5 pcs 3 Rp 88,000.00 Rp - Rp 264,000.00
172 ETT 2.5 CUFF PCS Rp 158,175.00 Rp - Rp -
173 ETT 3 TAB 3 Rp 231,000.00 Rp - Rp 693,000.00
174 ETT 6.5 pcs Rp 83,600.00 Rp - Rp -
175 ETT 7 pcs Rp 83,600.00 Rp - Rp -
176 ETT CLEAR WITH CUFF NO 3.5 PCS Rp 88,000.00 Rp - Rp -
177 ETT NON KINK-KINK 6.5 PCS Rp 88,000.00 Rp - Rp -
178 ETT NON KINK-KINK NO 7 PCS Rp 440,000.00 Rp - Rp -
179 EXAFLAM PCS 20 120 Rp 3,108.00 Rp - Rp 372,960.00
180 EXTENSION TUBE 1,5 pcs Rp 40,000.00 Rp - Rp -
181 FARSIFEN PLUS KAP TAB 90 Rp 399.00 Rp - Rp 35,910.00
182 FARTISON INJ pcs 26 Rp 99,401.00 Rp - Rp 2,584,426.00
183 FAVOLAR 100 MG TAB 15 Rp 377.00 Rp - Rp 5,655.00
184 FEEDING TUBE FG-10(3.30MM) PCS 3 Rp 50,000.00 Rp - Rp 150,000.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

185 FEEDING TUBE FR 8 PCS Rp 36,325.00 Rp - Rp -

186 FEEDING TUBEFG-06 PCS 3 Rp 50,000.00 Rp - Rp 150,000.00
187 FENTANYL pcs 98 157 Rp 26,927.00 Rp - Rp 4,227,539.00
188 FLAMAR EYE DROP pcs 45 52 24 Rp 43,901.00 Rp 1,053,624.00 Rp 2,282,852.00
189 FLUCADEX tablet 64 100 Rp 897.00 Rp 89,700.00 Rp 57,408.00
190 FLUNARIZINE tablet 156 400 Rp 3,532.00 Rp - Rp 1,412,800.00
191 FLUOXETIN tab Rp - Rp - Rp -
192 FLUTAMOL tablet 43 5 Rp 456.00 Rp - Rp 2,280.00
193 Rp 900.00 Rp - Rp -
194 FOLAVIT (SANBE) TAB 54 6 100 Rp 653.00 Rp 65,300.00 Rp 3,918.00
195 FOLIC ACID TAB 226 Rp 100.00 Rp - Rp 22,600.00
196 FUKRICIN 5% TUBE Rp 70,900.00 Rp - Rp -
197 FUROSEMIDE 40MG TAB tablet 321 300 Rp 161.00 Rp 48,300.00 Rp 51,681.00
198 FUROSEMIDE INJ AMPUL 1 29 Rp 3,542.00 Rp - Rp 102,718.00
199 FUTROLIT pcs 24 Rp 66,000.00 Rp - Rp 1,584,000.00
200 GABAPENTIN 300 kapsul 260 700 Rp 5,550.00 Rp - Rp 3,885,000.00
201 GASTRINAL HD BTL 6 4 Rp 27,750.00 Rp - Rp 111,000.00
202 GASTRUCID TABLET tablet Rp 1,238.00 Rp - Rp -
203 GEMFIBROZIL kapsul 153 4 600 Rp 440.00 Rp 264,000.00 Rp 1,760.00
204 GENERAL SET C27(2)/0 pcs Rp 118,000.00 Rp - Rp -
205 GENOINT SM PCS 7 25 Rp 11,705.00 Rp - Rp 292,625.00
206 GENTAMICIN INJ ampul 0 100 Rp 5,106.00 Rp 510,600.00 Rp -
207 GENTAMICIN SALEP KULIT pcs 10 25 Rp 6,660.00 Rp - Rp 166,500.00
208 GENTAMICIN SALEP MATA tabung Rp 95,460.00 Rp - Rp -
209 GETIDIN ampul 3 4 Rp 24,309.00 Rp - Rp 97,236.00
210 GG tablet 330 Rp 94.00 Rp - Rp 31,020.00
211 GLAUSETA TABLET tablet 59 93 100 Rp 5,273.00 Rp 527,300.00 Rp 490,389.00
212 GLIBENCLAMIDE tab 90 0 Rp 154.00 Rp - Rp -
213 GLIMEPIRIDE 1 pcs 196 195 Rp 767.00 Rp - Rp 149,565.00
214 GLIMEPIRIDE 2 pcs 755 0 800 Rp 1,446.00 Rp 1,156,800.00 Rp -
215 GLIMEPIRIDE 3 pcs 159 0 100 Rp 1,954.00 Rp 195,400.00 Rp -
216 GLIMEPIRIDE 4 pcs 295 635 Rp 2,630.00 Rp - Rp 1,670,050.00
217 GLUCOSAMINE tab 150 482 200 Rp 1,842.00 Rp 368,400.00 Rp 887,844.00
218 GOFORAN vial 4 16 Rp 176,490.00 Rp - Rp 2,823,840.00
219 GORALGIN tablet 118 100 Rp 1,320.00 Rp - Rp 132,000.00
220 GRANISETRON INJ 3 MG AMPUL 5 Rp 27,500.00 Rp 137,500.00 Rp -
221 GRANTUSIF pcs 244 Rp 505.00 Rp - Rp 123,220.00
222 GRISEOFULVIN pcs 22 88 Rp 1,859.00 Rp - Rp 163,592.00
223 GUANISTREP SIRUP pcs 3 10 Rp 5,500.00 Rp - Rp 55,000.00
224 HANSCOON NON STERIL UK. L pcs 26 Rp 560.00 Rp - Rp -
225 HCT pcs Rp 183.00 Rp - Rp -
226 HEAVY MESH SQUARE 6X10 pcs Rp 156,510.00 Rp - Rp -
227 HEPTASAN pcs 83 114 Rp 444.00 Rp - Rp 50,616.00
228 HERNIA SET (V10.L19.HM29) PCS 4 Rp 333,000.00 Rp - Rp 1,332,000.00
229 HYDRO 1 % TUBE 1 5 Rp 4,551.00 Rp - Rp 22,755.00
230 HYDRO 2,5% TUBE 1 3 Rp 9,830.00 Rp - Rp 29,490.00
231 HYDROCLOROQUINE tab Rp 144.00 Rp - Rp -
232 IBUPROFEN 200 tab 153 111 Rp 233.00 Rp - Rp 25,863.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

233 IBUPROFEN 400 tab 91 165 Rp 533.00 Rp - Rp 87,945.00

234 IBUPROFEN SYR pcs 4 1 5 Rp 7,200.00 Rp 36,000.00 Rp 7,200.00
235 ILIADIN SPRAY flash 14 Rp 97,318.00 Rp - Rp 1,362,452.00
236 INFUSET ANAK pcs 25 Rp 4,400.00 Rp - Rp 110,000.00
237 INFUSET DEWASA TERUMO PCS 284 Rp 19,500.00 Rp - Rp 5,538,000.00
238 INTERHISTIN tab 157 Rp 913.00 Rp - Rp 143,341.00
239 IRBESARTAN 150 tab 163 Rp 1,887.00 Rp - Rp 307,581.00
240 IREMAX TAB 50 150 Rp 1,221.00 Rp - Rp 183,150.00
241 ISDN tab 150 456 Rp 133.00 Rp - Rp 60,648.00
242 IV CANNULA FB SNAP FIT 18 pcs 1 75 Rp 15,984.00 Rp - Rp 1,198,800.00
243 IV CANULA FB SNAP FIT 20 pcs 95 310 200 Rp 15,984.00 Rp 3,196,800.00 Rp 4,955,040.00
244 IV CANULA FB SNAP FIT 22 pcs 41 107 200 Rp 15,984.00 Rp 3,196,800.00 Rp 1,710,288.00
245 IV CANULA FB SNAP FIT 24 pcs 5 20 Rp 15,984.00 Rp - Rp 319,680.00
246 IV CANULA FB SNAP FIT 26 pcs 8 83 Rp 21,312.00 Rp - Rp 1,768,896.00
247 JMS pcs 19 5 Rp 44,955.00 Rp 224,775.00 Rp 854,145.00
248 KA DICLO tab 362 200 Rp 554.00 Rp 110,800.00 Rp 200,548.00
249 KA EN TRIDEX SANBE pcs 28 72 Rp 12,598.00 Rp - Rp 907,056.00
250 KANDISTATIN DROP FLS 1 Rp 35,000.00 Rp - Rp 35,000.00
251 KAPSUL 0 pcs 391 500 Rp 70.00 Rp - Rp 35,000.00
252 KAPSUL 00 pcs 624 500 Rp 124.00 Rp - Rp 62,000.00
253 KAPSUL 1 pcs 78 500 Rp 71.00 Rp - Rp 35,500.00
254 KASSA BOX pcs 11 25 10 Rp 4,534.00 Rp 45,340.00 Rp 113,350.00
255 KERTAS PUYER pcs 120 5OO Rp 95.00 Rp - #VALUE!
256 KETANAEST 100MG/ML vial 3 Rp 132,118.00 Rp - Rp 396,354.00
257 KETOCONAZOL CR pcs 3 6 Rp 4,840.00 Rp - Rp 29,040.00
258 KETOCONAZOLE tablet 163 Rp 1,332.00 Rp - Rp 217,116.00
259 KETOROLAC 30 MG pcs 132 344 Rp 13,487.00 Rp - Rp 4,639,528.00
260 KOMPOLAX botol 10 Rp 14,000.00 Rp - Rp 140,000.00
261 KTM / KETAMIN PCS 3 Rp 145,000.00 Rp - Rp 435,000.00
262 LANZOPRAZOLE kapsul 1980 96 3000 Rp 1,998.00 Rp 5,994,000.00 Rp 191,808.00
263 LEOMOXYL caps 43 60 Rp 3,663.00 Rp - Rp 219,780.00
264 LEVEMIR pcs 2 31 Rp 232,973.00 Rp - Rp 7,222,163.00
265 LEVOFLOXACIN INFUS pcs 5 Rp 88,000.00 Rp - Rp 440,000.00
266 LEVOFLOXACIN TAB tablet 39 330 100 Rp 1,443.00 Rp 144,300.00 Rp 476,190.00
267 LEXAPRAM TAB Rp 500.00 Rp - Rp -
268 LIDIASTOP TAB tab Rp 358.00 Rp - Rp -
269 LIDOCAIN pcs 64 85 Rp 1,665.00 Rp - Rp 141,525.00
270 LISINOPRIL 10 MG pcs 410 498 Rp 755.00 Rp - Rp 375,990.00
271 LOPERAMIDE tablet 20 306 Rp 109.00 Rp - Rp 33,354.00
272 LORATADIN tablet 50 144 Rp 352.00 Rp - Rp 50,688.00
273 MANITOL 500 ML OTSU flash Rp 88,200.00 Rp - Rp -
274 MAYO 3 pcs 2 Rp 121,000.00 Rp - Rp 242,000.00
275 MECOBALAMIN 500 MG kapsul 464 413 Rp 777.00 Rp - Rp 320,901.00
276 MEDICREPE 4 pcs 6 Rp 33,300.00 Rp - Rp 199,800.00
277 MEDIRESIX TAB 15 336 Rp 243.00 Rp - Rp 81,648.00
278 MELOXICAM 15 tablet 236 490 200 Rp 710.00 Rp 142,000.00 Rp 347,900.00
279 MELOXICAM 7.5 tablet 124 Rp 799.00 Rp - Rp -
280 MEPRO K pcs 7 43 50 Rp 9,857.00 Rp 492,850.00 Rp 423,851.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

281 MEPROVENT INHALASI ampul 14 33 50 Rp 8,880.00 Rp 444,000.00 Rp 293,040.00

282 MERISOFT CHROMIC 1ME4227 MERIL PCS 8 Rp 83,250.00 Rp - Rp 666,000.00
283 MERISOFT PLAIN O pcs 15 Rp 82,500.00 Rp - Rp 1,237,500.00
284 MERSIBION ampul 11 40 10 Rp 4,884.00 Rp 48,840.00 Rp 195,360.00
285 METAMIZOLE PCS Rp 250.00 Rp - Rp -
286 METFORMIN 500 MG tablet 1980 1175 2000 Rp 396.00 Rp 792,000.00 Rp 465,300.00
287 METHYLPRED 125 INJ vial 5 34 Rp 35,798.00 Rp - Rp 1,217,132.00
288 METHYLPRED 16 tablet 693 0 600 Rp 1,044.00 Rp 626,400.00 Rp -
289 METHYLPRED 4 tablet 450 1180 Rp 311.00 Rp - Rp 366,980.00
290 METHYLPRED 8 MG TAB 407 3 900 Rp 697.00 Rp 627,300.00 Rp 2,091.00
291 METOCLOPRAMID INJ ampul 23 160 Rp 4,950.00 Rp - Rp 792,000.00
292 METOCLOPRAMID TAB tab 100 Rp 120.00 Rp 12,000.00 Rp -
293 METRONIDAZOL INFUS flash 27 Rp 40,182.00 Rp - Rp 1,084,914.00
294 METRONIDAZOLE 500 MG tab 109 540 Rp 281.00 Rp - Rp 151,740.00
295 MGSO4 20 % pcs 5 Rp 12,121.00 Rp - Rp 60,605.00
296 MGSO4 40 % pcs 1 5 Rp 11,011.00 Rp - Rp 55,055.00
297 MICONAZOLE pcs 9 Rp 4,125.00 Rp - Rp 37,125.00
298 MICROBURET pcs 5 Rp 83,972.00 Rp - Rp 419,860.00
299 MICROLAX pcs 1 2 Rp 23,102.00 Rp - Rp 46,204.00
300 MIDANEST pcs 86 Rp 24,975.00 Rp - Rp -
301 MOLOCO B 12 pcs Rp 3,520.00 Rp - Rp -
302 NATRIUM DICLOFENAC 50 mg tablet 241 343 400 Rp 333.00 Rp 133,200.00 Rp 114,219.00
303 NEBULIZER MASK ANK pcs 4 26 10 Rp 16,539.00 Rp 165,390.00 Rp 430,014.00
304 NEBULIZER MASK DWS pcs 4 17 10 Rp 16,539.00 Rp 165,390.00 Rp 281,163.00
305 NEEDLE 20 pcs 5 201 Rp 1,543.00 Rp - Rp 310,143.00
306 NEEDLE 22 pcs Rp 1,543.00 Rp - Rp -
307 NEEDLE 23 BD pcs 44 325 Rp 977.00 Rp - Rp 317,525.00
308 NEEDLE 26 pcs 40 160 Rp 977.00 Rp - Rp 156,320.00
309 NEOSMA TAB TAB Rp 560.00 Rp - Rp -
310 NEOSTIGMINE METILSULFATE INJ ampul 15 60 Rp 11,100.00 Rp - Rp 666,000.00
311 NEROFA TAB Rp 539.00 Rp - Rp -
312 NEURALGIN TAB 20 190 Rp 1,110.00 Rp - Rp 210,900.00
313 NEURODEX tablet 298 513 Rp 605.00 Rp - Rp 310,365.00
314 NEUROHAX tablet 20 100 Rp 1,609.00 Rp - Rp 160,900.00
315 NEUROSANBE INJ ampul Rp 11,700.00 Rp - Rp -
316 NGT 12 pcs 6 Rp 21,000.00 Rp - Rp 126,000.00
317 NGT 14 pcs 5 Rp 21,000.00 Rp - Rp 105,000.00
318 NGT 16 biji 2 18 Rp 27,972.00 Rp - Rp 503,496.00
319 NGT 18 pcs 1 2 Rp 32,000.00 Rp - Rp 64,000.00
320 NGT 3,5 PCS Rp 27,292.00 Rp - Rp -
321 NGT 5 pcs 3 Rp 36,325.00 Rp - Rp 108,975.00
322 NGT 8 PCS 1 Rp 38,115.00 Rp - Rp 38,115.00
323 NICARDIPINE HCL ampul Rp 80,000.00 Rp - Rp -
324 NIFEDIPIN tablet 96 434 Rp 157.00 Rp - Rp 68,138.00
325 NITROKAF RETARD tablet 10 100 Rp 1,654.00 Rp 165,400.00 Rp 16,540.00
326 NORAGES ampul 135 170 200 Rp 9,269.00 Rp 1,853,800.00 Rp 1,575,730.00
327 NOREPHINEPRINE pcs Rp 13,986.00 Rp - Rp -
328 NOVOMIX pcs 11 11 10 Rp 178,096.00 Rp 1,780,960.00 Rp 1,959,056.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

329 NOVORAPID pcs 2 38 Rp 178,096.00 Rp - Rp 6,767,648.00

330 NOZEPAV SUPPO TUBE 5 Rp 25,200.00 Rp - Rp 126,000.00
331 NRBM ANAK pcs 37 Rp 17,540.00 Rp - Rp 648,980.00
332 NRBM DWS pcs 10 Rp 22,000.00 Rp - Rp 220,000.00
333 NS 100 ML SANBE pcs 118 42 180 Rp 19,869.00 Rp 3,576,420.00 Rp 834,498.00
334 NS 100 ML SATORIA pcs 12 30 Rp 7,125.00 Rp - Rp 213,750.00
335 NS 3% (SALIN 3) OTSU pcs 4 Rp 30,335.00 Rp - Rp 121,340.00
336 NS SANBE pcs 196 120 150 Rp 7,991.00 Rp 1,198,650.00 Rp 958,920.00
337 NUBREX 100 kapsul 35 Rp 5,827.00 Rp - Rp 203,945.00
338 NULACTA kapsul 16 Rp 4,884.00 Rp - Rp 78,144.00
339 NUVISION pcs 10 Rp 6,438.00 Rp - Rp 64,380.00
340 OBH ITRASAL pcs Rp 5,618.00 Rp - Rp -
341 OCUFLAM ED 5ML pcs 14 52 Rp 79,476.00 Rp - Rp 4,132,752.00
342 OCUFRESH pcs 186 0 192 Rp 19,250.00 Rp 3,696,000.00 Rp -
343 OMEPRAZOLE INJ pcs 45 82 Rp 55,500.00 Rp - Rp 4,551,000.00
344 OMEPRAZOLE KAP kapsul 1236 800 2000 Rp 309.00 Rp 618,000.00 Rp 247,200.00
345 ONDAN 4 INJ pcs 320 0 500 Rp 7,770.00 Rp 3,885,000.00 Rp -
346 ONDAN 4 TAB tablet 80 43 100 Rp 1,443.00 Rp 144,300.00 Rp 62,049.00
347 ONDAN 8 INJ ampul Rp 18,648.00 Rp - Rp -
348 ONDAN 8 TAB tablet 23 30 Rp 1,870.00 Rp - Rp 56,100.00
349 ONDANE ampul 5 Rp 37,185.00 Rp - Rp 185,925.00
350 ONOGATE PCS Rp 8,250.00 Rp - Rp -
351 ONOIWA PCS Rp 8,250.00 Rp - Rp -
352 ORALIT pcs 40 20 100 Rp 932.00 Rp 93,200.00 Rp 18,640.00
353 OTILON 8 ML TT pcs 2 5 Rp 46,065.00 Rp - Rp 230,325.00
354 OTSU KCL pcs 4 6 Rp 10,595.00 Rp - Rp 63,570.00
355 OXYFLOW ANK pcs 9 Rp 4,500.00 Rp - Rp 40,500.00
356 OXYFLOW BY pcs 13 Rp 7,000.00 Rp - Rp 91,000.00
357 OXYFLOW DWS pcs 20 Rp 8,700.00 Rp - Rp 174,000.00
358 OXYTOCIN pcs 69 Rp 2,775.00 Rp - Rp 191,475.00
359 PAKET APENDIC PCS 2 Rp 120,000.00 Rp - Rp 240,000.00
360 PAKET HEMOROID pcs 2 Rp 104,748.00 Rp - Rp 209,496.00
361 PANTOCAIN 0.5 % pcs Rp 45,600.00 Rp - Rp -
362 PARACETAMOL 500 MG tablet 803 1390 Rp 244.00 Rp - Rp 339,160.00
363 PARACETAMOL INFUS pcs 39 60 20 Rp 47,175.00 Rp 943,500.00 Rp 2,830,500.00
364 PARACETAMOL SIRUP pcs 16 7 20 Rp 3,885.00 Rp 77,700.00 Rp 27,195.00
365 PD ETT NON KK 6.5MM PCS 2 Rp 79,920.00 Rp - Rp 159,840.00
366 PD ETT NON KK 7.0 MM PCS 2 Rp 79,920.00 Rp - Rp 159,840.00
367 PD GLOVES PREMIUM 7 pcs 281 52 150 Rp 12,787.00 Rp 1,918,050.00 Rp 664,924.00
368 PD GLOVES PREMIUM 7.5 pcs 121 151 150 Rp 12,787.00 Rp 1,918,050.00 Rp 1,930,837.00
369 PD GLOVES PREMIUM 8 pcs 117 Rp 10,443.00 Rp - Rp 1,221,831.00
370 PD INFUSION SET Y CONNECTOR pcs 198 284 Rp 13,400.00 Rp - Rp 3,805,600.00
371 PD IV FILM pcs 198 387 Rp 4,049.00 Rp - Rp 1,566,963.00
372 PD TULLE pcs 5 50 Rp 14,865.00 Rp - Rp 743,250.00
373 PD UNDERPAD PREMIUM 60X90CM pcs 123 31 120 Rp 6,607.00 Rp 792,840.00 Rp 204,817.00
374 PEHACAIN pcs 166 100 100 Rp 3,707.00 Rp 370,700.00 Rp 370,700.00
375 PEN NEEDLE 32 G NOVO pcs 13 130 Rp 3,102.00 Rp - Rp 403,260.00
376 PERBAN 10 CM pcs 28 Rp 1,244.00 Rp - Rp 34,832.00
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

377 PERBAN 5 CM pcs 35 Rp 617.00 Rp - Rp 21,595.00

378 PERFUSOR TUBING WHITE PCS Rp 49,825.00 Rp - Rp -
379 PETHIDINA HCL 50 MG ampul Rp 19,658.00 Rp - Rp -
380 PHENYTOIN INJ ampul 6 Rp 13,398.00 Rp - Rp 80,388.00
381 PHENYTOIN SODIUM caps Rp 605.00 Rp - Rp -
382 PHYTOMENADION TAB TAB Rp 1,332.00 Rp - Rp -
383 PLAIN 3/0 HR-27 75CM PCS Rp 37,203.00 Rp - Rp -
384 PLAIN 4-0 PCS 26 Rp 65,000.00 Rp - Rp 1,690,000.00
385 PLAIN-0 PCS 30 Rp 70,000.00 Rp - Rp 2,100,000.00
386 PLESTER PLASTIK BULAT(OKEPLAST pcs 20 Rp 211.00 Rp - Rp -
387 PLETAAL PCS 30 30 90 Rp 7,150.00 Rp 643,500.00 Rp 214,500.00
388 POLIDEMICIN pcs 5 Rp 41,403.00 Rp - Rp 207,015.00
389 POLYPROPYLENE 1 HRG-38 pcs Rp 48,315.00 Rp - Rp -
390 POLYPROPYLENE 2/0 TS 27 75CM pcs 2 40 Rp 57,979.00 Rp - Rp 2,319,160.00
391 POLYPROPYLENE 4/0 TS 19 75 CM pcs 8 Rp 48,315.00 Rp - Rp 386,520.00
392 POLYPROPYLENE 6/0 TS-15 75 CM pcs 22 Rp 48,315.00 Rp - Rp 1,062,930.00
393 POLYPROPYLENE3-0 TS 27 PCS Rp 61,551.00 Rp - Rp -
394 PONSAMIC TAB 40 100 Rp 1,610.00 Rp - Rp 161,000.00
395 PREDNISON PCS 560 Rp 300.00 Rp - Rp 168,000.00
396 PROANES pcs 75 42 80 Rp 94,328.00 Rp 7,546,240.00 Rp 3,961,776.00
397 PROBIOLAC pcs 86 30 80 Rp 9,883.00 Rp 790,640.00 Rp 296,490.00
398 PROBIOLAC SACC 40 Rp 13,000.00 Rp 520,000.00 Rp -
399 PROPANOLOL 10 MG tab 454 200 Rp 181.00 Rp 36,200.00 Rp 82,174.00
400 PROPANOLOL 40 MG tablet 0 Rp 930.00 Rp - Rp -
401 PTU 100MG tablet 200 100 Rp 551.00 Rp 55,100.00 Rp 110,200.00
402 PULAREX TAB Rp 2,303.00 Rp - Rp -
403 PULMICORT NEBUL pcs 40 Rp 21,918.00 Rp 876,720.00 Rp -
404 PYREXIN 160 SUPPO pcs 3 6 10 Rp 12,210.00 Rp 122,100.00 Rp 73,260.00
405 QCEF kapsul 16 Rp 11,000.00 Rp - Rp 176,000.00
406 RANITIDIN INJ ampul 210 170 300 Rp 3,497.00 Rp 1,049,100.00 Rp 594,490.00
407 RANITIDIN TAB TAB 365 320 800 Rp 650.00 Rp 520,000.00 Rp 208,000.00
408 RD 5 SANBE pcs 27 Rp 24,000.00 Rp - Rp 648,000.00
409 RECODRYL INJ pcs 15 5 20 Rp 5,750.00 Rp 115,000.00 Rp 28,750.00
410 RECTAL TUBE NO.20 PCS Rp 61,050.00 Rp - Rp -
411 RECTAL TUBE NO.20 pcs Rp 14,630.00 Rp - Rp -
412 REMIKAF vial 50 Rp 18,043.00 Rp 902,150.00 Rp -
413 RING AS SANBE pcs 85 123 120 Rp 8,769.00 Rp 1,052,280.00 Rp 1,078,587.00
414 RL SANBE pcs 189 242 240 Rp 8,324.00 Rp 1,997,760.00 Rp 2,014,408.00
415 RYDIAN TABLET tablet 32 60 Rp 4,884.00 Rp - Rp 293,040.00
416 RYZODEG FLEX TOUCH pcs Rp 349,472.00 Rp - Rp -
417 SACCHARUM LACTIS (SL) BOTOL 1 Rp 50.00 Rp 50.00 Rp -
418 SAGESTAM INJ ampul 10 50 Rp 10,175.00 Rp 508,750.00 Rp 101,750.00
419 SALBUTAMOL 2 MG pcs 56 0 100 Rp 144.00 Rp 14,400.00 Rp -
420 SALBUTAMOL 4 MG pcs 42 14 100 Rp 111.00 Rp 11,100.00 Rp 1,554.00
421 SAN B PLEX pcs 4 Rp 28,772.00 Rp - Rp -
422 SANBE TEARS BTL 156 152 144 Rp 26,363.00 Rp 3,796,272.00 Rp 4,007,176.00
423 SANMAG SYR pcs Rp 26,952.00 Rp - Rp -
424 SANORINE BIRU BTL Rp 13,989.00 Rp - Rp -
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

425 SANORINE HIJAU pcs 145 60 168 Rp 13,986.00 Rp 2,349,648.00 Rp 839,160.00

426 SANTAGESIC INJEKSI ampul Rp 10,062.00 Rp - Rp -
427 SCOPMA pcs 100 Rp 1,248.00 Rp 124,800.00 Rp -
428 SCPMA PLUS TAB 100 Rp 1,230.00 Rp 123,000.00 Rp -
429 SELEDIAR tablet 200 Rp 301.00 Rp 60,200.00 Rp -
430 SELEXON 0.5 MG tablet Rp 88.00 Rp - Rp -
431 SILK 1 HRG-38 PCS Rp 60,000.00 Rp - Rp -
432 SILK 2/0 TS 27 pcs 54 Rp 38,935.00 Rp - Rp 2,102,490.00
433 SILK 3/0 HS-21 75 CM pcs 52 96 Rp 47,242.00 Rp 4,535,232.00 Rp 2,456,584.00
434 SIMVASTATIN 10 tablet 0 300 Rp 355.00 Rp 106,500.00 Rp -
435 SIMVASTATIN 20 tablet 456 617 800 Rp 205.00 Rp 164,000.00 Rp 126,485.00
436 SP 1 TERUMO pack 145 104 300 Rp 4,729.00 Rp 1,418,700.00 Rp 491,816.00
437 SP 10 PD pcs 158 211 200 Rp 1,243.00 Rp 248,600.00 Rp 262,273.00
438 SP 20 TERUMO pcs 23 114 Rp 13,231.00 Rp - Rp 1,508,334.00
439 SP 3 PD pcs 725 566 1200 Rp 833.00 Rp 999,600.00 Rp 471,478.00
440 SP 3 TERUMO pcs 56 100 Rp 2,886.00 Rp - Rp 288,600.00
441 SP 5 ML PD pcs 203 273 300 Rp 833.00 Rp 249,900.00 Rp 227,409.00
442 SP 5 TERUMO pcs 30 100 Rp 3,497.00 Rp - Rp 349,700.00
443 SP 50 LT TERUMO pcs 10 Rp 30,436.00 Rp - Rp 304,360.00
444 SPALK 10X5 pcs 25 31 Rp 4,180.00 Rp - Rp 129,580.00
445 SPALK 15X5 pcs 21 22 20 Rp 6,327.00 Rp 126,540.00 Rp 139,194.00
446 SPASMINAL pcs 100 200 Rp 932.00 Rp 186,400.00 Rp 93,200.00
447 SPINOCAN 25 pcs 3 53 Rp 48,856.00 Rp - Rp 2,589,368.00
448 SPINOCAN 27 pcs 2 39 25 Rp 48,856.00 Rp 1,221,400.00 Rp 1,905,384.00
449 SPIRONOLACTON 100 MG tablet 0 Rp 1,065.00 Rp - Rp -
450 SPIRONOLACTON 25 MG tablet 400 519 500 Rp 372.00 Rp 186,000.00 Rp 193,068.00
451 SPORETIK 200 MG kapsul 100 Rp 30,803.00 Rp 3,080,300.00 Rp -
452 SQUEST SAC 100 Rp 9,000.00 Rp 900,000.00 Rp -
453 STENIROL 8MG pcs 50 Rp 5,661.00 Rp 283,050.00 Rp -
454 STIKPAN PLASTIK pcs Rp 31,350.00 Rp - Rp -
455 STOMACH TUBE 12 TERUMO pcs Rp 33,600.00 Rp - Rp -
456 SUCRALFAT SYR flash 12 80 Rp 22,200.00 Rp 1,776,000.00 Rp 266,400.00
457 SUCTION CATHETER 10 pcs 10 Rp 9,713.00 Rp - Rp 97,130.00
458 SUCTION CATHETER 12 pcs Rp 9,713.00 Rp - Rp -
459 SUMAGESIC TAB TAB Rp 722.00 Rp - Rp -
460 SUPERHOID pcs 15 6 Rp 5,550.00 Rp 33,300.00 Rp 83,250.00
461 SUPRAFENID pcs 18 Rp 14,430.00 Rp - Rp 259,740.00
462 SURFLO 18 pcs 28 Rp 16,335.00 Rp - Rp 457,380.00
463 SURFLO 20 PCS 21 Rp 16,500.00 Rp - Rp 346,500.00
464 SURFLO 22 PCS 112 Rp 16,500.00 Rp - Rp 1,848,000.00
465 SURFLO 24 pcs 118 Rp 16,335.00 Rp - Rp 1,927,530.00
466 TAZIMUT 0,75 MG pcs 545 Rp 195.00 Rp - Rp 106,275.00
467 T-C 3.0 C67X pcs Rp 66,000.00 Rp - Rp -
468 T-C 3.0 C67X pcs Rp 66,000.00 Rp - Rp -
469 T-CHROMIC 0 C58 pcs 23 Rp 66,000.00 Rp - Rp 1,518,000.00
470 TENSOCRAP 15 CM pcs 7 Rp 129,315.00 Rp - Rp 905,205.00
471 TENSOCRAPE 7,5 CM pcs Rp 67,760.00 Rp - Rp -
472 TEOSAL pcs Rp 209.00 Rp - Rp -
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

473 TERANOL AMPL 6 Rp 36,000.00 Rp 216,000.00 Rp -

474 THIAMPHENICOL 500 MG caps 89 Rp 1,064.00 Rp - Rp 94,696.00
475 THROMBOPHOB pcs Rp 54,450.00 Rp - Rp -
476 TIM OPHTAL FLS 40 120 Rp 53,000.00 Rp 6,360,000.00 Rp 2,120,000.00
477 TIMOL 0.5 pcs Rp 57,778.00 Rp - Rp -
478 T-LENE 0 L60 PCS 10 Rp 97,680.00 Rp - Rp 976,800.00
479 T-LENE 1 L 59 PCS 16 Rp 89,050.00 Rp - Rp 1,424,800.00
480 T-LENE 2.0 L36 PCS 19 Rp 95,460.00 Rp - Rp 1,813,740.00
481 T-LENE 3.0 L19 PCS 0 Rp 93,240.00 Rp - Rp -
482 T-LENE 4.0 L18 PCS 0 Rp 88,800.00 Rp - Rp -
483 T-LENE 6.0 L42 pcs 13 Rp 80,000.00 Rp - Rp 1,040,000.00
484 TOPICARE CERAMIDE CREAM PCS Rp 137,500.00 Rp - Rp -
485 T-PLAIN 0 P88 pcs 30 Rp 61,050.00 Rp - Rp 1,831,500.00
486 T-PLAIN 0 P88 PCS Rp 89,000.00 Rp - Rp -
487 T-PLAIN 4.0 P119 pcs Rp 60,500.00 Rp - Rp -
488 T-PLAIN 4-0 PCS 26 Rp 89,050.00 Rp - Rp 2,315,300.00
489 TRAMADOL 100 INJ pcs 42 Rp 6,460.00 Rp - Rp 271,320.00
490 TRAMADOL 100 INJ PCS Rp 35,000.00 Rp - Rp -
491 TREMENZA TAB pcs 154 1500 Rp 1,591.00 Rp 2,386,500.00 Rp 245,014.00
492 TRIAMCINOLONE INJEKSI vial Rp 49,950.00 Rp - Rp -
493 TRIDEXON 0.75 MG tablet Rp 114.00 Rp - Rp -
494 TRIFACALC tablet Rp 270.00 Rp - Rp -
495 TRIFALGIN 500 MG TAB Rp 600.00 Rp - Rp -
496 TRIFLUOPERAZINE pcs Rp 220.00 Rp - Rp -
497 TRIFLUOPERAZINE (TFP TABLET) tablet Rp - Rp -
498 TROLAC INJ Ampul Rp 43,000.00 Rp - Rp -
499 T-SILK 3.0 S22 PCS 0 Rp 54,390.00 Rp - Rp -
500 T-VIO 1 V15 PCS 0 Rp 99,900.00 Rp - Rp -
501 T-VIO 2/0 V10 pcs 3 Rp 82,000.00 Rp - Rp 246,000.00
502 T-VIO 3/0 V4 pcs 0 Rp 88,800.00 Rp - Rp -
503 T-VIO 4.0 V1 PCS 27 Rp 96,015.00 Rp - Rp 2,592,405.00
504 U CLAIM pcs 2 10 Rp 1,854.00 Rp - Rp 18,540.00
505 UDCA 250 pcs 196 300 400 Rp 4,196.00 Rp 1,678,400.00 Rp 1,258,800.00
506 UMARONE INJ pcs Rp 182,817.00 Rp - Rp -
507 UNALIUM-5 tab Rp 6,715.00 Rp - Rp -
508 URIN BAG pcs 5 28 Rp 9,058.00 Rp - Rp 253,624.00
509 UROTRACTIN TAB 45 60 60 Rp 5,467.00 Rp 328,020.00 Rp 328,020.00
510 VALISANBE 5 MG TAB 98 303 Rp 455.00 Rp - Rp 137,865.00
511 VALSARTAN 160 TAB 0 Rp 6,105.00 Rp - Rp -
512 VALSARTAN 80 MG TAB 160 500 Rp 4,440.00 Rp 2,220,000.00 Rp 710,400.00
513 VASACON 0.5 ML MDS pcs Rp 2,900.00 Rp - Rp -
514 VENTOLIN NEBULES pcs Rp 14,835.00 Rp - Rp -
515 VIP ALBUMIN tablet 7 30 Rp 6,605.00 Rp 198,150.00 Rp 46,235.00
516 VIT B 1 pcs 282 Rp 470.00 Rp - Rp 132,540.00
517 VIT B12 tablet 399 600 Rp 81.75 Rp 49,050.00 Rp 32,618.25
518 VIT B6 pcs 1233 Rp 100.00 Rp - Rp 123,300.00
519 VIT BC TAB 496 300 Rp 200.00 Rp 60,000.00 Rp 99,200.00
520 VIT C 100MG tablet Rp 232.00 Rp - Rp -
 PENGAJUAN HARGA SATUAN TOTAL PENGGUNAAN TOTAL SO

PENGGUNAA
STOK

TOTAL
AKHIR PERMINT KET
NO NAMA OBAT SATUAN PENERI PENERI PENERIM

N
29/02/ AAN I II III ED
24 MAAN MAAN AAN

521 VIT C 250MG tablet Rp 687.00 Rp - Rp -

522 VIT C 500 TAB Rp 500.00 Rp - Rp -
523 VIT D tab Rp 777.00 Rp - Rp -
524 VIT D3 tab 164 Rp 194.00 Rp - Rp 31,816.00
525 VITROLENTA pcs 78 0 100 Rp 39,988.00 Rp 3,998,800.00 Rp -
526 VOLTADEX GEL pcs 8 Rp 30,475.00 Rp 550.00 Rp 243,800.00
527 VOSEA PCS 236 320 Rp 600.00 Rp 550.00 Rp 192,000.00
528 WFI pcs 76 30 120 Rp 3,399.00 Rp 407,880.00 Rp 101,970.00
529 WIDAHES pcs 24 1 Rp 191,008.00 Rp 191,008.00 Rp 4,584,192.00
530 ZINC SIRUP pcs 8 8 15 Rp 4,489.00 Rp 67,335.00 Rp 35,912.00
531 ZINC TABLET pcs 1436 Rp 230.00 Rp - Rp 330,280.00
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
TOTAL Rp 133,224,760.00 #VALUE!

Mengetahui
Kajangmed Kagudang Apoteker IFRS

Windi Rahmadani Amd,Keb Widiati ,AMd.Keb Apt. Iid FitrianingtIas S.Farm

PNS III/a NIP 197907282014102001 PNS II/d NIP 197711092006042003

KARUMKITBAN 05.08.04 Lawang KABINA

dr. Richard Sibolon , Sp.THT-KL , M.Biomed Ika Puji Utami
Mayor Ckm NRP 118080086710779 Pelda (K) NRP 21990197281179