OK

RS.
Permata Jonggol
Jl. Raya Jonggol No. 1A,
Sukamanah
(021) 899-31333
Fax: (021) 899-31836
Nilai Inventory Stock

Gudang : OK
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
(DORMICUM) MIDAZOLAM INJ

1MG/ML BPJS
DOR002
10
AMPUL
6,119.00
61,190.00
ABBOCATH 16 G
ABB0000005
PIECES
8,000.00
0.00
ABBOCATH 18 G
ABB0000006
42
PIECES
12,500.00
525,000.00
ABBOCATH 22 G
ABB0000008
PIECES
8,000.00
0.00
ABBOCATH 24 G
ABB0000009
PIECES
14,000.00
0.00
ADHESIVE TAPE ROLL 10X10
ADH002
5161
CM
92.98
479,869.78
ADH001
3064
CM
47.90
146,765.60
ADONA (AC-17) INJ 50 MG/10 ML (F)
ADO0000002
AMPUL
19,771.99
0.00
ALBOTHYL CONCENTRATE SOL. 10

ML
ALB0000004
10
MILILITER /
CC
3,398.71
33,987.10
10
ALINAMIN F INJ. 25 MG (F)
ALI0000001
AMPUL
11,848.13
0.00
11
ALKOHOL 70% 1 L BPJS
ALK012
300
MILILITER/C
C
60.00
18,000.00
12
ALKOHOL 70% 1 LITER
ALK0000002
13236
MILILITER /
CC
42.65
564,515.40
13
ALLEVYN ADHESIVE 12,5X12,5
ALL008
10
PIS
110,000.00
1,100,000.00
14
ALLEVYN NON ADH.10X10/1X10 (F)
ALL007
19
LEMBAR
67,000.00
1,273,000.00
15
AMINOPHYLLIN INJ. 2.4%
AMI0000011
11
AMPUL
3,240.43
35,644.73
16
ANAESTHESIA CIRCUIT 72''
ANA004
PEMAKAIN
175,000.00
875,000.00
17
ANIOSYME DLT PLUS 5L
ANI001
39965
ML/CC
128.53
5,136,701.45
18
APRON FILM WHITE
APR0000001
172
PIECES
3,720.78
639,974.16
19
AQUA DM 20 LITER
AQU0000001
MILILITER /
CC
3.41
0.00
20
AQUABIDEST 1 LTR OTSUKA
AQU0000004
KOLF
8,206.00
0.00
21
AQUABIDESTILATA IKA 500 ML
AQU0000006
MILILITER /
CC
26.72
0.00
22
ARM SLING L
ARM0000001
BUAH
25,000.00
0.00
23
ARM SLING M
ARM0000002
BUAH
25,000.00
25,000.00
24
ASAM MEFENAMAT TAB. 500 MG

BPJS
ASA012
TABLET
161.20
0.00
25
ASAM TRANEKSAMAT 500 ML INJ

BPJS
ASA015
AMPUL
4,070.56
0.00
26
ASAM TRANEKSAMAT250 MG/ML INJ ASA024

BPJS
35
AMPUL
4,433.26
155,164.10
27
ASERING INFUS 500 ML (F)
ASE0000001
KOLF
9,631.71
67,421.97
28
ASSUCRYL 1 HSRG 38 42857H

109527
ASS001
PIECES
55,055.00
0.00
29
ASSUCRYL 1 HSRG 40 100 CM

UMUM
ASS011
PCS
55,244.84
276,224.20
30
ASSUCRYL 1 HSRG-40 100 CM BPJS

PAKET LAPARATOMI OBGYN
Tipe
ALL
Issuer
diki
ASS016
Tanggal Print
PIECES
45,943.00
0.00
5/27/16 8:45 PM
31
ASSUCRYL 2/0 HR 17
ASS014
PCS
47,190.00
0.00
32
ASSUCRYL 2/0 HRG-38 90 CM BPJS

PAKET APP
ASS017
PIECES
49,310.00
98,620.00
33
ASSUCRYL 3/0 HR 27 4254 312160
ASS003
14
PIECES
52,708.00
737,912.00
34
ASSUCRYL 3/0 HR-27 75 CM (4254)
ASS009
PIECES
52,708.00
0.00
35
ASSUCRYL 3/0 HS-21 45CM
ASS013
PCS
47,190.00
0.00
36
ASS012
16
PCS
37,906.72
606,507.52
37
ASSUCRYL CATGUT PLAIN 3/0 TS-24 ASS006
PIECES
27,527.50
82,582.50
38
ASUCRYL 1 HRG-40 BPJS PAKET

LAPARATOMY DENGAN PEPORASY
ASU011
PIECES
61,266.81
183,800.43
39
ASUCRYL 1 HSRG-40 100 CM BPJS

PAKET DEBRIDEMENT
ASU009
PIECES
59,290.00
177,870.00
40

PAKET HYSTEREKTOMY
ASU007
PIECES
55,033.00
0.00
41

PAKET SC
ASU005
PIECES
35,666.00
0.00
42
ASUCRYL 2/0 HRG 38 PAKET HERNIA ASU012

BPJS
PCS
53,268.00
426,144.00
43
ASUCRYL 2/0 HRG-38 90 CM BPJS

PAKET HEMOROID
ASU008
PIECES
89,976.00
0.00
44
ASUCRYL 2/0 HRG-38 90 CM BPJS

PAKET RUPTUR TENDON
ASU010
PIECES
129,772.00
259,544.00
45
ASUCRYL 5/0 HR-17 75CM UMUM
ASU002
PCS
47,190.00
0.00
46
ASUCRYL 5/0 TS-17 75CM UMUM
ASU001
PCS
47,190.00
377,520.00
47
ASUCRYL 6/0 HR-13 75 CM UMUM
ASU004
PCS
0.00
0.00
48
ATROPINE 0.25 INJ.
ATR0000003
AMPUL
1,245.93
7,475.58
49
ATROPINE 0.25MG/ML INJ BPJS
ATR014
AMPUL
1,769.65
0.00
50
AUTOCLAVE TAPE INDIKATOR 3/4
AUT0000003
ROL
113,791.33
1,024,121.97
51
BACTESYN INJ. 1.5 G (F)
BAC0000001
VIAL
171,500.00
0.00
52
BACTIGRAS 10X10CM
BAC014
40
LEMBAR
10,780.00
431,200.00
53
BATERAI AA (ABC)
BAT004
PIECES
1,500.00
0.00
54
BATERAI SEDANG
BAT009
PIECES
0.00
0.00
55
BD HOLDER PRONTO QUICK X 5 CE- BDH001

3688
PCS
30,000.00
0.00
56
BETADINE SOL 1 LITER
BET030
LITER
175,000.00
525,000.00
57
BIOPLACENTON JELLY 15 G (F)
BIO0000009
TUBE
12,000.00
0.00
58
BIOSYN 3-0 SM 822
BIO0000016
SACHET
12,000.00
0.00
59
BISTURI NO. 10
BIS0000015
16
PIECES
3,240.00
51,840.00
60
BISTURI NO. 11
BIS0000016
19
PIECES
3,240.00
61,560.00
61
BISTURI NO. 15
BIS0000018
61
PIECES
3,240.00
197,640.00
62
BISTURI NO. 20
BIS0000019
64
PIECES
3,240.00
207,360.00
63
BISTURI NO. 23
BIS0000022
PIECES
1,500.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
64
BISTURI NO.10 BPJS
BIS027
PIECES
550.00
0.00
65
BISTURI NO.11 BPJS
BIS028
PIECES
550.00
0.00
66
BISTURI NO.20 BPJS
BIS026
PIECES
550.00
0.00
67
BLOOD ADM. SET TERUMO
BLO0000003
31
BUAH
19,947.13
618,361.03
68
BLOOD SET STERA BPJS
BLO016
392
PCS
3,272.00
1,282,624.00
69
BLUE SENSOR R-OO-S
BLU0000001
346
PIECES
5,100.00
1,764,600.00
70
BONE WAX W 810 RSPJ
BON011
PIECES
83,133.00
332,532.00
71
BRICASMA INJ 0.5 MG/ML (F)
BRI0000003
AMPUL
18,472.40
0.00
72
BROADCED INJ 1 G (F)
BRO0000002
VIAL
188,000.00
0.00
73
BUKU EKSPEDISI (BO)
BUK001
BUKU
7,000.00
0.00
74
BUKU RESEP 2 PLY 1/3 FOLIO
BUK013
BUKU
0.00
0.00
75
BUNASCAN EPIDURAL
BUN007
VIAL
64,000.00
0.00
76
BUNASCAN SPINAL INJ RSPJ
BUN006
AMPUL
84,600.00
84,600.00
77
BUPIVACAINE HCL 0.5% INJ BPJS

@10
BUP001
AMPUL
32,000.00
192,000.00
78
BUSCOPAN INJ. 20 MG/ML (F)
BUS0000001
AMPUL
18,309.50
0.00
79
CADD EXTENTION SET

30INCH/1.1ML
CAD004
PIECES
54,000.00
108,000.00
80
CALCII GLUCONAS INJ.
CAL0000012
AMPUL
12,580.24
75,481.44
81
CARBACHOL FECO
CAR059
37
PCS
10,000.00
370,000.00
82
CARBACHOL ZABBY,S 1ML
CAR056
PIECES
55,000.00
0.00
83
CARBAZOCHROME 50MG/10ML INJ
CAR057
AMPUL
11,525.95
46,103.80
84
CARBHACOL/MYOSTATE 1ML
CAR054
35
PEMAKAIAN
7,865.00
275,275.00
85
CARMEN CANNULA 5
CAR0000008
PIECES
59,142.52
0.00
86
CARMEN CANNULA 6
CAR0000009
PIECES
58,041.67
0.00
87
CARMEN CANNULA 8
CAR0000010
PIECES
54,998.50
0.00
88
CASSETE CADD 100 ML
CAS006
PIECES
190,000.00
190,000.00
89
CAT GUT CHROMIC 1/0
CAT0000002
ROL
153,983.92
0.00
90
CAT GUT CHROMIC 2/0 100 M ROL
CAT0000003
CENTIMETE
R
95.00
0.00
91
CAT GUT CHROMIC 2/0 837 TS 24
CAT0000020
18
SACHET
65,000.00
1,170,000.00
92
CAT GUT CHROMIC 3/0
CAT0000004
ROL
39,846.85
0.00
93
CAT GUT CHROMIC NO. 1 HR 38
CAT0000006
ROL
171,032.17
171,032.17
94
CAT GUT PLAIN 2/0
CAT0000010
ROL
696,539.16
0.00
95
CAT GUT PLAIN 4/0
CAT0000012
SACHET
299,062.50
0.00
96
CAT GUT PLAIN 4/0 TS19
PLA0000017
10
SACHET
55,365.74
553,657.40
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
97
CAT GUT PLAIN NO. 3/0
CAT0000013
ROL
11,337.06
0.00
98
CATAPRES INJ
CAT0000016
AMPUL
48,145.90
337,021.30
99
CAT111
RIM
60,000.00
360,000.00
100 CATGUT CHROMIC 2/0 HRG-38 90

CM (334N)
ASS005
29
PIECES
42,517.00
1,232,993.00
101 CATGUT CHROMIC 2/0HR 37 B

BRAUN PAKET SC
CAT114
PIECES
42,900.00
0.00
102 CATGUT PLAIN 3-0 TS 24 REF 1804

404527
CAT110
17
PIECES
27,527.00
467,959.00
103 CATHETER TIP TERUMO 50 CC
CAT0000019
348
PIECES
18,000.00
6,264,000.00
104 CAUTER BOVIE
CAU001
49
PEMAKAIAN
31,460.00
1,541,540.00
105 CEFADROXIL TAB. 500 MG@100
CEF0000007
TABLET
604.44
0.00
106 CEFTRIAXON IGR @2 VIAL BPJS
CEF055
15
VIAL
7,226.47
108,397.05
107 CEFTRIAXON INJ 1 G @10 VIAL
CEF0000036
VIAL
8,915.92
0.00
108 CEFTRIAXON INJ @1 VIAL RSPJ
CEF0000033
VIAL
12,600.00
0.00
109 CENDO GENTAMYCIN EYE OINT 3.5

G
CEN0000080
TUBE
39,525.11
39,525.11
110 CENDO LFX MINIDOSE (F)
CEN0000083
10
DOSE
14,152.33
141,523.30
111 CENDO MYDRIATYL 0.5% 5 ML (F)
CEN0000030
BOTOL
30,280.25
90,840.75
112 CENDO MYDRIATYL EYE DROP 1% 5 CEN0000032

ML (F)
11
MILILITER
7,037.11
77,408.21
113 CENDO PANTOCAIN 2% 5 ML
CEN0000034
MILILITER
11,734.99
23,469.98
114 CENDO XITROL 5 ML (F)
CEN0000052
MILILITER
5,576.82
44,614.56
115 CERTOFIX DUO PEDIATRIC S-413
CER0000017
PIECES
742,500.00
0.00
116 CERTOFIX DUO V 720
CER0000019
PIECES
697,500.00
0.00
117 CERTOFIX TRIO 720 BBRAUN
CER030
PASANG
810,000.00
810,000.00
118 CHLORAMPHENICOL 250 MG BPJS
CHL011
TABLET
291.67
0.00
119 CHROMALUX TAB 200 MCG (F)
CHR0000042
59
TABLET
9,331.90
550,582.10
120 CHROMIC 0 HR 37S
CHR032
PIS
41,525.00
41,525.00
121 CHROMIC 0 HRG 38 90CM
CHR0000001
PIECES
43,923.00
131,769.00
122 CHROMIC 0 HRG 50
CHR038
PCS
43,925.00
0.00
123 CHROMIC 1 925T
CHR0000009
PIECES
56,355.75
0.00
124 CHROMIC 1 HR 48 BBRAUN
CHR037
12
PIS
49,995.00
599,940.00
125 CHROMIC 1 HRG-38 BPJS PAKET

HEMOROID
CHR024
PIECES
89,976.00
0.00
126 CHROMIC 1 HRG-50 100CM
CHR012
19
PCS
43,923.00
834,537.00
CHR029
17
PIECES
43,923.00
746,691.00
128 CHROMIC 2-0 983H
CHR0000043
PIECES
132,200.00
0.00
11
PIECES
28,901.71
317,918.81
130 CHROMIC 2/0 HR 37S PAKET HERNIA CHR035

B BRAUN
PIECES
43,890.00
307,230.00
131 CHROMIC 2/0 HRG -38 90 CM BPJS

PAKET APP
CHR014
PIECES
4,482.73
8,965.46

PAKET LAPARATOMI OBGYN
CHR020
PIECES
45,943.00
91,886.00
133
CHR028
PIECES
161,895.56
323,791.12

PAKET MULTILIPOMA
CHR026
10
PIECES
164,378.00
1,643,780.00

PAKET RUPTUR TENDON
CHR027
PIECES
129,772.00
0.00
136 CHROMIC 2/0 HRG -38 90 CM PAKET

SC
CHR023
34
PIECES
42,517.00
1,445,578.00
137 CHROMIC 2/0 HRG -38 90 CM UMUM
CHR019
PCS
42,517.00
340,136.00
138 CHROMIC 2/0 HRG 38 BPJS PAKET

HYSTEREKTOMY
CHR017
PIECES
55,033.00
0.00
139 CHROMIC 2/0 ROLL B'BRAUN
CHR0000016
METER
10,500.00
0.00
140 CHROMIC 3/0 TS 24 UMUM
CHR018
PCS
27,527.00
137,635.00
141 CHROMIC C57 90CM
CHR0000041
SACHET
49,000.00
0.00
142 CHROMIC GUT 1 90CM; HRS-40
CHR011
PIECES
40,950.00
0.00
143 CHROMIC I CG 925/GS 21
CHR0000038
SACHET
30,000.00
0.00
144 CLACEF INJ 0.5 MG
CLA0000002
VIAL
57,115.38
0.00
145 CLEAR SLIP (MAP BENING )
CLE007
LEMBAR
15,000.00
0.00
146 CLOSE WOUND SUCTION UNIT 400

ML; 3.2 MM
CLO0000008
PIECES
220,000.00
0.00
147 CLOSE WOUND SUCTION UNIT NO.

14 [POLYVAC SET]
CLO0000011
PIECES
128,000.00
0.00
148 COBRA WIRE
COB0000006
PIECES
780,000.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
129 CHROMIC 2/0 HR 37S B BRAUN
CHR031
5/27/16 8:45 PM
149 COLOSTOMY BAG
COL0000013
PIECES
8,666.67
17,333.34
150 CORDARONE INJ 3 ML
COR018
AMPUL
29,564.34
59,128.68
151 CRECENT KNIFE 2.6MM (KUNING)
CRE006
14
PIECES
72,500.00
1,015,000.00
152 CROMIC 2/0 HRG 28 PAKET HERNIA

BPJS
CRO001
PCS
44,217.90
176,871.60
153 CUT GUT CHROMIC 2/0 HR 375
CHR0000035
PIECES
51,565.00
0.00
154 CUT GUT CHROMIC 2 HR 48
CAT0000021
SACHET
55,896.53
0.00
155 CUT GUT CHROMIC 3/0 HS 26
CUT0000005
PIECES
51,750.00
0.00
156 CUT GUT PLAIN 4/0 DS 16
CUT0000003
PIECES
51,975.00
0.00
157 CUT GUT PLAIN 4/0 HR 17
CUT0000004
PIECES
52,327.42
418,619.36
158 CVC SET 2 LUMEN 7FRX20CM AGB
CVC001
PIECES
522,000.00
1,044,000.00
159 CYSTOFIX 8
CYS003
PIECES
530,000.00
0.00
160 DARYANT-TULLE
DAR0000002
PIECES
9,250.00
0.00
44,773.96
2,999,855.32
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
161 DECAIN SPINAL 0.5 % HEAVY (F)
DEC0000018
67
AMPUL
162 DERMANIOS SCRUB 5 LTR 4%
DER018
32048
MILILITER
148.88
4,771,306.24
163 DERMANIOS SCRUB 500ML
DER017
MILILITER
190.00
0.00
164 DEXA-M INJ. 4 MG/ML
DEX0000013
AMPUL
1,314.69
0.00
165 DEXAMETHASON INJ 5 MG/ML INF

BPJS
DEX038
36
AMPUL
1,820.00
65,520.00
166 DEXTROSE 10 % 500 ML (F)
DEX0000032
BOTOL
13,523.40
54,093.60
167 DEXTROSE 40 % 25 ML (F)
DEX0000033
AMPUL
6,243.30
12,486.60
168 DEXTROSE 5% 100 ML (F)
DEX0000034
BOTOL
10,580.15
0.00
DEX0000036
10
BOTOL
9,405.89
94,058.90
170 DIAVIRO 40 ML
DIA023
BOTOL
240,598.81
2,165,389.29
171 DIPHENHYDRAMINE INJ BPJS
DIP009
AMPUL
872.70
4,363.50
172 DISP. SYRINGE 1 CC TB (TERUMO)
DIS0000019
213
PIECES
2,048.00
436,224.00
173 DISP. SYRINGE 10 CC (TERUMO)
DIS0000020
132
PIECES
1,627.00
214,764.00
DIS0000022
PIECES
4,999.89
9,999.78
DIS0000023
220
PIECES
1,604.19
352,921.80
DIS0000024
48
PIECES
1,415.19
67,929.12
DIS0000025
PIECES
11,461.37
0.00
178 DISP.HAND SWITCH

ELECTROSURGICAL PENCILS
(F4798)
DIS050
17
PEMAKAIAN
12,239.54
208,072.18
179 DOBURAN INJ BPJS
DOB006
AMPUL
25,486.40
50,972.80
180 DOBUTAMIN GIULINI INJ. 250 MG
DOB0000002
AMPUL
234,873.90
0.00
181 DOBUTEL INJ 50MG/ 5ML (F)
DOB0000004
VIAL
143,750.00
0.00
182 DOPAMIN GUILINI INJ 200 MG/10 ML

(F)
DOP0000005
VIAL
57,195.25
0.00
183 DOUBLE 'J' STENT CLOSED END NO. DOU0000008

4.5 FR
SET
253,000.00
0.00
184 DOUBLE 'J' STENT CLOSED END NO. DOU0000003

4.7 FR
SET
240,000.00
0.00
185 DOUBLE 'J' STENT OPEN END NO.

4.7 FR
DOU0000009
SET
253,000.00
0.00
186 DUVADILAN INJ 10 MG (F)
DUV0000001
AMPUL
24,544.54
0.00
187 EFRISEL CENDO 10% 5 ML
EFR001
BOTOL
16,041.09
32,082.18
188 ELECTROSURGICAL HAND CO.

PEND DISP. (COATER PEN)
ELE003
PIECES
62,400.00
0.00
189 ELEKTRODA BPJS 3M
ELE004
42
PIECES
5,525.00
232,050.00
190 EMLA KRIM 5 G (F)
EML0000001
GRAM
10,043.20
0.00
191 EPHEDRIN HCL INJ. 1 ML@10 BPJS
EPH0000001
67
AMPUL
25,000.00
1,675,000.00
192 EPIDURAL SET 18 PERIFIX-BBRAUN
EPI0000004
SET
306,000.00
612,000.00
193 EPINEPHRINE INJ 0.1 MG BPJS
EPI007
74
AMPUL
7,363.51
544,899.74
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
194 EQUISPON 8XD3 (TAMPON) 5X5/5
EQU007
PIECES
290,400.00
2,032,800.00
195 EQUISPON STANDAR
EQU008
15
PIECES
51,857.14
777,857.10
196 ERLAMYCETIN 3.5GR SM BPJS
ERL004
TUBE
4,500.00
0.00
197 ERLAMYCETIN RSPJ
ERL001
TUBE
8,580.00
0.00
198 ETHYL CHLORIDE 100 ML-WALTER
ETH0000023
BOTOL
50,000.00
0.00
199 ETT CLEAR W/ CUFF NO. 3 RUSCH
ETT0000038
PIECES
45,000.00
0.00
ETT041
PIECES
55,000.00
0.00
201 ETT CLEAR W/ CUFF NO. 4.5 RUSCH ETT0000040
PIECES
57,657.35
345,944.10
202 ETT CLEAR W/CUFF NO. 3;5 RUSCH
ETT0000039
PIECES
45,000.00
0.00
203 ETT NLO / PEDIATRIC TANPA CUFF

(PORTEX) 2.0
ETT0000023
PIECES
74,402.97
0.00

(PORTEX) 2.5
ETT0000024
PIECES
75,783.70
0.00

(PORTEX) 3.0
ETT0000025
PIECES
73,387.50
0.00

(PORTEX) 3.5
ETT0000026
PIECES
73,387.50
0.00

(PORTEX) 4.0
ETT0000027
PIECES
72,924.85
0.00

(PORTEX) 4.5
ETT0000028
PIECES
80,773.41
80,773.41

(PORTEX) 5.0
ETT0000029
PIECES
77,679.36
233,038.08

(PORTEX) 5.5
ETT0000030
PIECES
95,000.00
95,000.00
211 ETT NO 2.5 RUSCH
ETT0000021
PIECES
79,000.00
0.00
ETT048
PIECES
25,000.00
0.00
213 ETT NO 6 REMEDI BPJS
ETT047
PIECES
25,000.00
0.00
214 ETT NO 6.5 RUSCH BPJS
ETT052
PIECES
75,000.00
0.00
215 ETT NO 7 RUSCH BPJS
ETT054
PIECES
75,000.00
0.00
216 ETT NO. 18 NON KINGKING
ETT0000015
PIECES
0.00
0.00
217 ETT NO. 3 RUSCH
ETT0000002
PIECES
55,000.00
0.00
218 ETT NO. 3.5 RUSCH
ETT0000003
PIECES
45,000.00
0.00
ETT0000014
PIECES
265,000.00
0.00
ETT0000022
PIECES
265,000.00
0.00
221 ETT NO. 4 KENDALL
ETT042
PIECES
55,000.00
0.00
222 ETT NO. 4 TROGE
ETT0000004
PIECES
55,000.00
0.00
223 ETT NO. 4.5 IDEAL CARE
ETT0000005
PIECES
36,666.75
0.00
224 ETT NO. 5 RUSH
ETT0000006
PIECES
40,000.00
0.00
225 ETT NO. 5,5 RUSCH
ETT046
PIECES
0.00
0.00
226 ETT NO. 5.5 TROGE
ETT0000007
PIECES
48,333.33
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
227 ETT NO. 6 RUSH
ETT0000008
PIECES
55,904.97
0.00
228 ETT NO. 6.5 RUSH
ETT0000009
PIECES
58,516.25
0.00
229 ETT NO. 7 RUSCH
ETT045
PIECES
59,916.67
0.00
230 ETT NO. 7 TROGE
ETT0000010
PIECES
49,722.39
0.00
ETT044
PIECES
63,701.30
0.00
ETT0000011
PIECES
48,250.73
0.00
233 ETT NO. 8 TROGE
ETT0000012
PIECES
45,000.00
0.00
ETT0000013
PIECES
55,000.00
0.00
235 ETT NO.4.5 RUSCH
ETT0000037
PIECES
55,000.00
0.00
236 ETT NO.5 (PORTEX)
ETT0000036
PIECES
81,457.75
0.00
237 ETT PORTEX NO. 5;5
ETT0000035
PIECES
87,355.09
0.00
238 ETT PORTEX NO. 6
ETT0000031
PIECES
81,457.75
81,457.75
239 ETT PORTEX NO. 6.5
ETT066
95,000.00
285,000.00
ETT0000033
PIECES
95,000.00
0.00
241 ETT PORTEX NO. 7,5
ETT0000032
PIECES
95,000.00
0.00
ETT0000034
PIECES
93,686.61
0.00
243 ETT RUSCH UNCUFFED NO.5
ETT058
PIECES
67,000.00
0.00
244 ETT WIHT CUFF NO 5.0 AXIMED
ETT073
PIS
22,000.00
88,000.00
245 ETT WITH CUFF AXIMED NO 4.0
ETT068
PASANG
24,200.00
72,600.00
246 ETT WITH CUFF NO 6.0 AXIMED
ETT072
22,000.00
66,000.00
ETT079
PSG
21,511.11
64,533.33
248 ETT WITH CUFF NO 7 AXIMED
ETT076
PIS
24,200.00
0.00
249 ETT WITH CUFF NO 7,5 AXIMED
ETT080
16
PIS
24,200.00
387,200.00
ETT071
11
PIS
22,000.00
242,000.00
251 EXTENSION TUBE ET-1 1500MM
EXT0000001
BUAH
11,213.29
0.00
252 EXTENTION CABLE NEUTRAL PLATE EXT012

BIPOLAR JACK REM
PIECES
600,000.00
0.00
253 EXTRACE INJ 100 MG/ML (F)
EXT0000007
AMPUL
5,833.33
11,666.66
254 EYE DOP FECO
EYE007
PCS
50,000.00
0.00
255 EYE DRAFE FECO
EYE006
PCS
60,000.00
60,000.00
256 FACE MASK GLASS
FAC017
25
PIECES
11,200.00
280,000.00
257 FACE MASKER @ 50 PCS
FAC0000008
1166
PIECES
330.00
384,780.00
258 FACE MASKER AMBU NO. 3/4
FAC0000014
PIECES
650,000.00
0.00
259 FACE MASKER TALI @50 STARDEC
FAC0000013
PIECES
330.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
260 FARMADOL INFUS (F)
FAR0000006
BOTOL
56,899.36
0.00
261 FEEDING 5 FR (NGT)40CM
FEE014
PIECES
18,900.00
37,800.00
262 FEEDING TUBE 8FR(NGT) 40CM
FEE015
PIECES
18,900.00
0.00
263 FEEDING TUBE FR. 10 JMS
FEE0000002
PIECES
15,000.00
45,000.00
264 FEEDING TUBE FR. 3.5 TERUMO
FEE0000004
PIECES
18,900.00
56,700.00
265 FEEDING TUBE FR. 5 TERUMO

(100CM)
FEE0000006
PIECES
15,000.00
0.00
FEE0000008
BUAH
15,000.00
75,000.00
267 FENTANYL 0.05 MG/ML 2ML AMPUL
FEN008
35
VIAL
44,000.00
1,540,000.00
268 FIMA HES 200 INFUS 500 ML (F)
FIM0000004
FLACON
120,000.00
960,000.00
269 FIXOMULL 15X5
FIX009
PIS
115,989.93
347,969.79
270 FLAGYL SUPP 1 G (F)
FLA0000011
SUPPOS
20,348.00
0.00
271 FOLLEY CATH. 3 WAY NO. 20 RUSCH FOL0000052
PIECES
54,656.25
54,656.25
272 FOLLEY CATH. 3 WAY NO. 22 RUSCH FOL0000031
PIECES
35,782.49
214,694.94
273 FOLLEY CATH. 3 WAY NO.18 RUSCH
FOL0000053
PIECES
28,500.00
28,500.00
FOL0000032
PIECES
28,306.45
56,612.90
275 FOLLEY CATH. FR. 14 RUSCH
FOL0000010
16
PIECES
15,127.63
242,042.08
FOL0000012
12
PIECES
14,448.40
173,380.80
FOL0000016
PIECES
13,463.80
94,246.60
FOL0000020
PIECES
12,552.80
0.00
FOL0000022
PIECES
45,000.00
135,000.00
280 FOLLEY CATHETER NO. 10 (RUSCH)
FOL0000036
PIECES
43,844.14
175,376.56
FOL0000038
PIECES
13,113.16
39,339.48
282 FOLLEY CATHETER NO. 14 BPJS
FOL0000039
PIECES
8,000.00
0.00
FOL0000041
PIECES
8,000.00
0.00
284 FOLLEY CATHETER NO. 20 (RUSH)
FOL0000042
PIECES
12,672.41
76,034.46
285 FOLLEY CATHETER RUSH NO.22
FOL0000048
PIECES
12,554.05
62,770.25
286 FOLLEY CATHETER SILICON NO. 12
FOL034
PIECES
110,000.00
0.00
287 FREMILEN 1 B BRAUN
FRE011
10
PIECES
52,000.00
520,000.00
288 FREMILEN 3/0 DS 24 PAKET HERNIA

B BRAUN
FRE012
PIECES
53,661.00
429,288.00
289 FUROSEMID INJ BPJS
FUR004
10
AMPUL
1,868.71
18,687.10
290 FUROSEMID INJ.
FUR0000001
AMPUL
1,840.00
1,840.00
291 GARAMYCIN KRIM 15 G
GAR0000008
TUBE
50,034.41
0.00
292 GARAMYCIN KRIM 5 G (F)
GAR0000009
TUBE
23,467.99
0.00
49.87
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
293 GEL USG ULTRASOUND 5 L
GEL0000009
MILILITER /
CC
294 GELAS LATTE COFFEE
GEL010
PIECES
0.00
0.00
295 GELOFUSIN 500CCBTL
GEL031
BOTOL
159,375.00
0.00
296 GELOFUSIN BPJS
GEL032
13
BOTOL
80,273.00
1,043,549.00
297 GELOFUSINE LAR. INFUS 3% 500 M
GEL0000003
BOTOL
133,321.50
0.00
298 GENTAMICIN 0.1 % SALEP BPJS
GEN012
TUBE
2,500.00
0.00
299 GENTAMYCIN 0.1 % SALEP KULIT 5

GRAM BPJS
GEN013
PCS
2,600.00
5,200.00
300 GENTAMYCIN INJ 40MG/ML
GEN011
AMPUL
4,236.79
38,131.11
301 GENTAMYCIN INJ RSPJ
GEN017
AMPUL
4,840.00
24,200.00
302 GNS-2109 GYNAECOLOGY SET
GNS001
SET
575,300.00
575,300.00
303 GUEDEL AIRWAYS 4
GUE0000002
BUAH
23,538.46
0.00
304 GUEDEL 100 MM
GUE0000027
PIECES
15,000.00
0.00
305 GUEDEL 60 MM
GUE0000026
PIECES
15,000.00
0.00
306 GUEDEL AIRWAY NO 5 (100MM)
GUE0000012
PIECES
75,000.00
0.00
307 GUEDEL AIRWAY NO. 000
GUE0000013
PIECES
27,000.00
0.00
GUE0000008
PIECES
15,100.00
0.00
GUE0000009
PIECES
14,450.00
0.00
GUE0000010
PIECES
14,450.00
0.00
311 GUEDEL RUSCH NO. 0
GUE0000015
PIECES
88,560.29
0.00
GUE0000014
PIECES
88,560.29
0.00
GUE0000016
PIECES
89,791.50
0.00
GUE0000017
PIECES
89,791.50
0.00
GUE0000018
PIECES
96,527.67
0.00
GUE0000019
PIECES
101,527.67
0.00
GUE0000020
PIECES
100,895.75
0.00
GUE0000021
PIECES
102,518.45
0.00
319 GUEDEL RUSCH NO.10 (MERAH)
GUE037
PIECES
0.00
0.00
320 GUEDEL RUSCH NO.11 (ORANGE)
GUE036
PCS
0.00
0.00
321 GUEDEL RUSCH NO.7 (70MM)
GUE038
PCS
0.00
0.00
322 GUEDEL RUSCH NO.7 (PUTIH)
GUE035
PIECES
0.00
0.00
323 GUEDEL RUSCH NO.8 (HIJAU)
GUE034
PCS
147,505.00
0.00
324 GUIDE WIRE TEFFLON TIPE 0.025 ;

150 CM
GUI0000004
PIECES
198,000.00
0.00

150 CM
GUI0000005
PIECES
180,000.00
0.00
180,000.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM

150 CM
GUI0000006
PIECES
327 GYNAECOLOGY SET GNS-2105
GYN005
SET
0.00
0.00
GYN006
SET
557,103.08
1,671,309.24
329 GYPSONA 10CMX3.5M
GYP0000004
PIECES
31,893.64
0.00
330 GYPSONA 15 CM
GYP0000003
PIECES
43,691.56
0.00
331 GYPSONA 4 INC RSPJ
GYP006
PCS
50,000.00
0.00
332 GYPSONA 7.5CMX2.7M
GYP0000005
PIECES
22,559.32
0.00
333 H2O2 1% 60 ML
H2O003
10
MILILITER
0.00
0.00
334 H2O2 3% 30 ML
H2O0000003
BOTOL
3,166.71
0.00
335 H2O2 3% 50 ML RSPJ
H2O004
MILILITER/C
C
12,268.00
0.00
336 H2O2 50% 800 ML
H2O0000004
MILILITER /
CC
55.57
0.00
337 HALOTHANE LIQUID 250 ML
HAL0000005
MILILITER /
CC
4,140.00
0.00
338 HANDS GLOVE STERIL NO.7.5
HAN045
PIECES
4,552.00
0.00
339 HANDSCHOEN FESCO L BPJS
HAN042
PIECES
350.00
0.00
340 HANDSCHOEN FESCO M BPJS
HAN041
PIECES
350.00
0.00
341 HANDSCHOEN FESCO S BPJS
HAN040
PCS
350.00
0.00
342 HANDSCHOEN STERIL NO. 6

GAMMEX
HAN0000004
111
PASANG
8,141.53
903,709.83
343 HANDSCHOEN STERIL NO. 6.5

GAMMEX
HAN0000005
227
PASANG
9,494.98
2,155,360.46

GAMMEX
HAN0000006
59
PASANG
9,494.72
560,188.48
345 HANDSCHOEN STERIL NO. 7.5

GAMMEX
HAN0000007
220
PASANG
8,179.40
1,799,468.00

GAMMEX
HAN0000008
445
PASANG
9,496.17
4,225,795.65
347 HANDSCHOEN STERIL NO.6

GAMMEX NON POWDER
HAN0000019
PASANG
13,562.50
0.00
348 HANDSCHOEN STERIL PANJANG NO. HAN0000015

7 REMEDI
PASANG
15,277.78
0.00
349 HANDSCHOEN STERIL PANJANG NO. HAN0000016

7;5 REMEDI
PASANG
15,000.00
0.00
350 HANSAPLAS PLESTER 10'S
HAN0000009
PAK
19,362.75
0.00
351 HANSAPLAST STANDARD STRIP

(2637)
HAN0000014
23
PIECES
280.00
6,440.00
352 HEMOLOK SOL 100 ML (F)
HEM0000008
BOTOL
48,214.29
0.00
353 HEMOLOK CLIP L - 544240
HEM004
PIECES
82,500.00
0.00
354 HEMOLOK CLIP ML - 544230
HEM005
PIECES
77,000.00
0.00
355 HEMOLOK CLIP XL - 544250
HEM006
PIECES
96,250.00
0.00
356 HERMESH 4; 5X7.5 CM @24 H40575 HER0000008
PIECES
125,000.00
0.00
357 HIBICET 5 LITER
HIB0000001
279
MILILITER /
CC
153.00
42,687.00
358 HIBICET 500ML
HIB0000003
MILILITER /
CC
200.20
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
359 HIDRODISECTION CANULA
HID002
PIECES
95,000.00
0.00
360 HYPAFIX 10 CM X 5 M
HYP0000001
CENTIMETE
R
171.08
0.00
HYP0000002
955
CENTIMETE
R
239.44
228,665.20
HYP0000003
CENTIMETE
R
90.59
0.00
363 HYPAFIX SOFT CLOTH NO 10 X 10

BPJS
HYP013
395
CENTIMETE
R
117.27
46,321.65

BPJS
HYP014
1717
110.49
189,711.33

BPJS
HYP012
61.48
36,273.20
366 ILIADIN SPRAY 0.05% 10 ML
ILI0000003
BOTOL
33,718.50
33,718.50
367 INDUXIN INJ (F)
IND0000006
AMPUL
7,800.00
0.00
368 INFUS SET ADULT FESCO BPJS
INF034
PIECES
4,000.00
0.00
369 INFUS SET DEWASA STERA
INF037
PASANG
5,775.00
5,775.00
370 INFUS SET MAKRO TERUMO
INF0000008
PIECES
9,664.58
86,981.22
371 INFUS SET MICRO TERUMO
INF0000012
PIECES
17,500.00
0.00
372 INFUS SET VOLUMETRIC TERUMO
INF0000022
PIECES
65,000.00
0.00
373 INTERNAL CHEMICAL INDICATOR

STEAM @240 [TM1250]
INT0000023
STRIP
1,063.33
0.00
374 INTRAOCULERLENS (IOL)18,5
INT024
10
PIECES
67,925.00
679,250.00
375 INTRAOCULERLENS PMMA (IOL) NO

12.5
INT042
PIECES
100,000.00
300,000.00

13
INT044
PIECES
100,000.00
400,000.00

14
INT043
PIECES
100,000.00
0.00

20.5
INT020
PCS
100,000.00
200,000.00
379 INTRAOCULERLENS PMMA (IOL)

NO.22.5
INT031
PIECES
100,000.00
0.00
380 INTRAOCULERLENS PMMA (IOL)18
INT025
PIECES
77,000.00
77,000.00
381 INTRAOCULERLENS PMMA (IOL)21.5 INT022
PIECES
97,871.43
391,485.72
382 INTRAOCULERLENS PMMA

(IOL)NO.21
INT029
10
PIECES
100,000.00
1,000,000.00
383 INTRAOCULERLENS PMMA IOL NO

25.00
INT045
PCS
100,000.00
100,000.00
384 INTRAOCULERLENS PMMA(IOL)

NO.22
INT030
PIECES
100,000.00
400,000.00
385 INTRAOCULERLENS PMMA(IOL)19
INT028
11
PIECES
78,650.00
865,150.00
386 INTRAOCULERLENS PMMA(IOL)19,5
INT023
16
PIECES
100,000.00
1,600,000.00
INT027
PIECES
100,000.00
0.00
388 INTRAOCULERLENS(IOL)20,5
INT026
14
PIECES
69,457.14
972,399.96
389 INTUBATION STYLET PORTEX NO 2

(DEWASA)
INT037
PASANG
135,000.00
270,000.00
390 INVOMIT INJ 4 MG (F)
INV0000002
AMPUL
30,550.00
0.00
391 IOBANINCISE 35X35 CM
IOB001
PIECES
132,616.00
0.00
590
CENTIMETE
R
CENTIMETE
R
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
392 IOL FOLD SPHERIC 23.5 FECO
IOL016
PCS
185,000.00
0.00
IOL017
PCS
370,000.00
370,000.00
IOL018
PCS
370,000.00
0.00
IOL019
PCS
370,000.00
0.00
IOL020
PCS
370,000.00
0.00
397 IOL FOLD SPHERIC POWER 13.00
IOL026
PCS
370,000.00
370,000.00

FECO
IOL007
PCS
370,000.00
0.00

FECO
IOL008
PCS
370,000.00
0.00

FECO
IOL009
PCS
370,000.00
370,000.00
IOL021
PCS
370,000.00
1,480,000.00

FECO
IOL010
PCS
370,000.00
2,220,000.00

FECO
IOL011
PCS
370,000.00
0.00

FECO
IOL012
PCS
370,000.00
0.00

FECO
IOL014
PCS
370,000.00
370,000.00

FECO
IOL015
PCS
370,000.00
1,480,000.00
IOL022
PCS
370,000.00
0.00
IOL023
PCS
370,000.00
1,480,000.00
409 IOL NEO EYE P 15.5
IOL006
PCS
125,000.00
125,000.00
410 IOL NEO EYE P13.0
IOL005
PCS
125,000.00
0.00
411 IOL PC PMMA P:24.00
IOL024
PCS
100,000.00
0.00
412 ISOFLURANE 250ML
ISO0000027
325
MILILITER /
CC
6,174.98
2,006,868.50
413 IV CATHETER WITH WINGS NO 18

AXIMED
IVC001
26
PIS
7,000.00
182,000.00
414 IVANES INJ
IVA001
BOX
140,000.00
140,000.00
415 IVFLON NO 18
IVF001
19
PIECES
6,000.00
114,000.00
416 IVFLON NO 20
IVF002
PIECES
6,000.00
42,000.00
417 IVFLON NO 22
IVF003
PIECES
6,000.00
24,000.00
418 IVFLON NO 24
IVF004
PIECES
6,000.00
12,000.00
419 JACKSON -RESS APL. VAL
JAC0000002
SET
425,000.00
0.00
420 KAEN 1B 500 ML
KAE0000001
KOLF
18,500.00
0.00
421 KAEN 3A 500 ML (F)
KAE0000002
KOLF
16,989.68
0.00
422 KAEN 3B 500 ML (F)
KAE0000003
KOLF
13,823.60
0.00
423 KALFOXIM INJ. 1 G
KAL0000009
VIAL
140,000.00
0.00
424 KALMETHASON INJ 5MG (F)
KAL0000023
AMPUL
6,500.00
32,500.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
425 KALMICETIN OINT 15 G
KAL0000048
TUBE
7,012.50
0.00
426 KALNEX INJ. 250 MG ('10)
KAL0000030
AMPUL
9,000.00
0.00
427 KALNEX INJ. 500 MG (F)
KAL0000031
AMPUL
12,000.00
0.00
428 KALTROFEN SUPP. 100 MG (10') (F)
KAL0000043
26
SUPPOS
12,490.64
324,756.64
429 KANTONG PLASTIK HITAM 30 X 50
KAN006
PAK
4,009.33
0.00
430 KAPAS 1 KG (1)
KAP0000004
1000
GRAM
54.94
54,940.00
431 KARTU STOCK BARANG FARMASI

(BIRU)
KAR007
LEMBAR
0.00
0.00
432 KASA GULUNG X RAY DRC
KAS020
3887
LEMBAR
956.70
3,718,692.90
433 KASA LIPAT X-RAY
KAS018
PIECES
3,366,000.00
0.00
434 KASSA GULUNG (HYDROPHILE)

80CMX36M
KAS0000006
260
LEMBAR
550.00
143,000.00
435 KASSA GULUNG 10 CM BPJS
KAS0000007
ROLL
1,400.00
0.00
436 KASSA GULUNG 5 CM
KAS0000008
ROLL
403.46
0.00
437 KASSA GULUNG DRC 80CM X 36M

BPJS
KAS015
LEMBAR
550.00
0.00
438 KASSA HYDROFIL BINDA MERAH 40

X 36
KAS021
LEMBAR
468.44
0.00
439 KASSA HYDROPHILE 40X80 CM
KAS0000012
GULUNG
4,581.81
0.00
440 KASSA ROLL X-RAY 36MX80CM
KAS011
ROLL
272,000.00
0.00
441 KCL 7.46% 25 ML (F)
KCL0000002
FLACON
4,948.40
14,845.20
442 KEMICETINE SALEP KULIT 2%15 G
KEM0000004
TUBE
6,000.00
0.00
443 KENDIL
KEN009
BUAH
7,000.00
0.00
444 KERTAS A4 80 GSM
KER020
RIM
31,000.00
0.00
445 KERTAS EKG KENZ CARDIO 302
KER0000042
PAK
255,000.00
0.00
446 KERTAS PERKAMEN GULUNG
KER0000025
LEMBAR
2,000.00
0.00
447 KETESSE INJ (F)
KET0000012
AMPUL
46,707.25
186,829.00
448 KETOROLAC INJ 30MG BPJS
KET017
43
AMPUL
4,216.47
181,308.21
449 KONDOM SUTRA (BOX ISI 12)
KON0000009
PIECES
847.70
0.00
450 KTM 100 INJEKSI 10ML
KTM001
10
MILILITER
18,053.69
180,536.90
451 KY JELLY GEL 82 G (F)
KYJ0000001
TUBE
36,000.00
0.00
452 LAMINARIA STIK (M)
LAM0000003
BUAH
75,704.23
0.00
453 LANCET CONT ACT BLUE 2.0 MM
LAN0000018
PIECES
5,057.78
0.00
454 LANTIPAIN INJ 30 MG
LAN020
VIAL
35,000.00
175,000.00
455 LARYNGEAL MASK AIRWAY SILICON

NO 3 BPJS
LAR013
PIECES
456 LARYNGEAL MASK AIRWAY SILICON

NO 5 BPJS
LAR014
PEMAKAIAN
457 LARYNGEAL MASK NO.1 'AMBU'
LAR0000012
Tipe
ALL
Issuer
diki
Tanggal Print
275,000.00
0.00
0.00
0.00
PIECES
325,000.00
0.00
316,964.29
633,928.58
64,000.00
64,000.00
5/27/16 8:45 PM
LAR0000013
PIECES
459 LARYNGEAL MASK NO.3 AMBU
LAR0000006
PEMAKAIAN
LAR012
PIECES
275,000.00
0.00
LAR015
PIECES
355,000.00
710,000.00
462 LASIX INJ 2 ML (F)
LAS0000006
12
AMPUL
12,996.70
155,960.40
463 LEUKOPLAST 7.5 CM ( 1625 )
LEU0000011
ROL
27,028.73
0.00
464 LEUKOPOR 1,25CMX9,2 (1/2")
LEU009
ROL
9,748.38
77,987.04
465 LEUKOPOR 2,50CMX9,2 (1")
LEU010
11
ROLL
20,830.94
229,140.34
466 LIDOCAIN 2 % INJ BPJS
LID007
998
AMPUL
996.00
994,008.00
467 LIMBO BREATHING CIRCUIT FOR

VENTILATOR
LIM002
PCS
140,307.69
0.00
468 LOCOPLEX 21G 100MM
LOC005
PIECES
170,000.00
170,000.00
469 LOCOPLEX BEVEL 30 G 21 ,LENGTH

100MM
LEC002
PCS
170,000.00
0.00
470 LOCOPLEX BEVEL 30(G21,LENGTH

50MM)
LEC001
PIECES
170,000.00
0.00
471 LOMATUELL H @10
LOM0000001
PIECES
12,000.00
0.00
472 LOMATUL BPJS
LOM005
PCS
15,000.00
75,000.00
473 LUX SABUN MANDI CAIR REFILL 250 LUX001

ML
PIECES
0.00
0.00
474 MAMA LIME REFILL 800 ML
MAM003
PIECES
8,986.76
0.00
475 MARCAIN 0.5% SPINAL HEAVY (F)
MAR0000001
AMPUL
71,936.40
0.00
476 MASKER OKSIGEN ADULT
MAS0000005
PIECES
17,000.00
51,000.00
477 MASKER OKSIGEN NON

REBREATHING ADULLT SALTER
MAS0000006
PIECES
45,000.00
45,000.00
478 MASKER OKSIGEN REBREATHING

ADULT SALTER
MAS0000009
PIECES
45,000.00
0.00
479 MASKER OKSIGEN REBREATHING

PAED
MAS0000010
PIECES
55,000.00
0.00
480 MEDIFIX LINE
MED0000022
PIECES
115,266.67
0.00
481 MEDIFIX SCALE
MED0000009
PIECES
206,400.00
0.00
482 MERSILK 3/0 W587 H
MER029
PIECES
203,346.00
1,626,768.00
483 METHERGIN INJ
MET0000034
AMPUL
7,358.23
0.00
484 METHYLEN BLUE SOL 1%
MET0000019
MILILITER /
CC
662.40
0.00
485 METHYLERGOMETRINE MAL 100

AMP/1CC
68
AMPUL
2,086.53
141,884.04
486 METHYLPREDNISOLONE 125 MG INJ MET030

BPJS
AMPUL
26,590.62
26,590.62
487 METRICIDE 3.8 L
MET0000033
GALON
440,000.00
0.00
488 METVELL INJ 0.2 MG/ML
MET0000028
AMPUL
7,465.83
52,260.81
489 METVELL TAB 0.125 MG
MET0000029
TABLET
2,250.00
0.00
490 MEYLON 8.4% INJ. 25 ML
MEY0000001
AMPUL
9,062.80
0.00
5,934.00
11,868.00
23,090.66
207,815.94
-44.40
0.00
Tipe
ALL
Issuer
diki
MET040
Tanggal Print
5/27/16 8:45 PM
491 MGSO4 40% 25 ML (F)
MGS0000002
AMPUL
492 MICROPORE 1
MIC0000010
ROLL
493 MICROPORE 1,25 X 910 CM BPJS
MIC020
CENTIMETE
R
494 MICROPORE 1/2
MIC0000011
ROL
11,550.00
34,650.00
495 MICROPORE 2
MIC0000012
ROL
41,987.98
377,891.82
496 MICROSIELD 4 5 LITER
MIC0000019
MILILITER /
CC
127.05
0.00
497 MICROSIELD 4 500ML
MIC0000018
MILILITER /
CC
172.43
0.00
498 MILOZ INJ. 15 MG
MIL0000002
AMPUL
45,000.00
0.00
499 MILOZ INJ. 5 MG (F)
MIL0000003
AMPUL
20,012.37
0.00
500 MONOCRYL 3/0 Y 936H
MON0000022
PIECES
80,727.89
0.00
501 MONOCRYL 5/0 Y493G
MON0000025
PIECES
108,906.87
0.00
502 MONOSYN 3/0 DS 24 ( VIOLET )
MON0000020
PIECES
78,622.50
0.00
503 MONOSYN 3/0 DS 24 (UNDEYED)
MON0000026
PIECES
78,000.00
0.00
504 MORPHIN HCL INJ 10 MG (F)
MOR0000003
18
AMPUL
8,460.00
152,280.00
505 NACL 0.9% 100 ML (F)
NAC0000003
KOLF
10,788.05
97,092.45
506 NACL 0.9% 1000ML
NAC0000011
22998
ML
17.40
400,165.20
507 NACL 0.9% 25 ML (F)
NAC0000004
FLAKON
2,936.69
5,873.38
508 NACL 0.9% 500 ML (F)
NAC0000005
KOLF
11,687.30
0.00
509 NACL 0.9% 500ML OGB WIDATRA
NAC0000010
BOTOL
5,827.00
0.00
510 NACL 3 % 500 ML
NAC0000006
KOLF
19,200.00
134,400.00
511 NARFOZ INJ. 4 MG/ 2 ML (F)
NAR0000001
AMPUL
22,729.16
0.00
512 NARFOZ INJ. 8 MG/4 ML (F)
NAR0000002
AMPUL
50,269.62
100,539.24
513 NAROPIN INJ 7.5 MG/ML 10ML (F)
NAR0000005
AMPUL
52,811.74
0.00
514 NASAL CANNULA ADULT BPJS
NAS025
PEMAKAIAN
2,698.21
21,585.68
515 NASAL CANNULA FOR NEONATAL

[1164]
NAS0000008
PIECES
63,000.00
0.00
516 NASAL CANNULA NEONATAL

[BC2435]
NAS0000011
PIECES
140,250.00
0.00
517 NASAL CANNULA PEDIATRIC
NAS024
PIECES
3,706.52
0.00
518 NASAL CANULA ADULT
NAS0000005
PIECES
14,343.48
57,373.92
519 NASAL CANULA PAED 1826
NAS0000003
PIECES
14,419.77
0.00
520 NASOPHARRYNGEAL AIR WAY 8
NAS034
PIECES
166,250.00
166,250.00
521 NEBACETIN POWDER 5 G
NEB0000002
TUBE
18,500.00
0.00
522 NEBULIZER + MASK ADULT SALTER
SEL0000015
PIECES
44,132.63
0.00
523 NEBULIZER + MASK PEDIATRIC
SEL0000016
PIECES
52,833.23
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
524 NEEDLE 23 G
NEE0000002
PIECES
300.00
0.00
525 NEEDLE 25 G
NEE0000003
PIECES
300.00
0.00
526 NEEDLE 26 G
NEE0000004
PIECES
300.00
0.00
527 NEO-K INJ (F)
NEO0000011
18
AMPUL
11,154.26
200,776.68
528 NEOFLON 24 G
NEO0000007
PIECES
31,002.03
31,002.03
529 NEOFLON 26 G @50
NEO0000016
PIECES
37,316.54
0.00
530 NEOSTIGMIN HALMEN INJ BPJS
NEO023
20
AMPUL
7,565.93
151,318.60
531 NEOSTIGMIN HAMELN INJ 0.5 MG/ML NEO0000019

(F)
AMPUL
13,860.00
0.00
532 NEUROBION 5000 MG INJ (F)
AMPUL
5,457.34
0.00
533 NEUTRAL PLATE BIPOLAR WITHOUT NEU033

CABLE
21
PCS
37,995.52
797,905.92
534 NICHOLIN INJ 250 MG (F)
NIC0000002
AMPUL
39,169.57
0.00
535 NIFEDIPIN TAB 10 MG - DEXA
NIF0000001
TABLET
107.86
0.00
536 NIFEDIPIN TAB. 10 MG - KF (F) BPJS
NIF0000002
TABLET
116.91
0.00
537 NOKOBA INJ. 0.4 MG/ML 2 ML
NOK0000001
AMPUL
82,681.25
248,043.75
538 NORCURON INJ 4 MG
NOR0000002
AMPUL
68,382.77
0.00
539 NOTRIXUM INJ 50MG
NOT004
AMPUL
69,000.00
0.00
540 NOTRIXUM INJ. 25
NOT0000002
22
AMPUL
39,017.61
858,387.42
541 NOVA-T 2000 (F)
NOV0000012
PIECES
176,236.06
0.00
542 NOVALGIN INJ 2 ML (F)
NOV0000006
AMPUL
9,442.82
0.00
543 NTG INJEKSI @ 10 AMPUL
NTG001
AMPUL
57,294.12
114,588.24
544 NUPOVEL INJ
NUP003
VIAL
85,000.00
0.00
NEU0000004
545 ONDANCENTRON 4 MG INJ BPJS
OND010
19
AMPUL
2,470.81
46,945.39
546 ONDANCENTRON 4 MG INJ RSPJ
OND006
AMPUL
11,800.00
0.00
OND007
AMPUL
9,603.13
76,825.04
548 ONDAVELL INJ. 4 MG 2 ML (F)
OND0000001
AMPUL
29,000.00
0.00
549 ONE SWAB BPJS
ONE004
35
PIECES
93.73
3,280.55
550 OPSITE IV 3000 7X9 DEWASA
OPS005
10
PCS
5,720.00
57,200.00
551 OPSITE POST OP 25 X 10 CM
OPS0000010
PIECES
25,665.15
0.00
552 OTSUTRANS 70% 500 ML
OTS002
KOLF
71,171.35
0.00
553 OXYLA
OXY006
AMPUL
10,000.00
0.00
554 OXYTOCIN INJ 1 ML BPJS
OXY004
25
AMPUL
3,492.61
87,315.25
555 PAMOL SUPP 125 MG (F)
PAM0000010
15
SUPPOS
9,500.00
142,500.00
556 PANTOPRAZOLE INJ 40 MG
PAN024
VIAL
43,136.46
0.00
140,628.23
0.00
87.00
0.00
265.46
5,574.66
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
557 PANTOZOL INJ. 40 MG (F)
PAN0000016
VIAL
558 PARAFIN LIQ
PAR0000009
MILILITER /
CC
559 PASTIK ( ALKOHOL SWAB ) (100')
PAS0000001
21
PCS
560 PDS II 5-0 Z1013H TAPER
PDS0000009
PIECES
181,250.00
0.00
561 PDS II 6-0 W9096 TAPER
PDS0000008
PIECES
181,250.00
0.00
562 PEDIATRIC BREATHING SYSTEM

[CAT 2142]
PED0000007
PIECES
102,080.00
0.00
563 PEHACAIN INJ
PEH0000004
22
AMPUL
54,070.60
1,189,553.20
564 PEMBALUT POST PARTUM

(MONALISA)
PEM003
13
PAK
10,072.81
130,946.53
565 PENCAN PENCIL POINT G 27 +

INTRODUCER 3;5'
PEN0000011
PIECES
62,480.00
0.00
566 PENENG BAYI BIRU 'FOCAL'
PEN0000003
PIECES
749.81
749.81
567 PENENG BAYI BIRU REMIDI
PEN0000012
98
PIECES
755.76
74,064.48
568 PENENG BAYI PINK 'FOCAL'
PEN0000004
PIECES
749.44
0.00
569 PENENG BAYI PINK REMIDI
PEN0000013
PIECES
756.47
0.00
570 PENENG DEWASA BIRU (1)
PEN0000005
PIECES
750.00
0.00
571 PENENG DEWASA PINK (1)
PEN0000006
95
PIECES
750.00
71,250.00
572 PERIOPERATIF HAL 3-4
ASS022
32
RIM
60,000.00
1,920,000.00
573 PETHIDIN HCL INJ 50MG/ML;2 ML (F)
PET0000001
AMPUL
11,992.20
107,929.80
574 PETHIDINE INJ RSPJ
PET002
AMPUL
17,000.00
68,000.00
575 PGA 8.0
PGA002
PGA
145,000.00
290,000.00
576 PINSET COUTER 18.5 CM
PIN021
PIECES
0.00
0.00
577 PISAU CUKUR GILLETTE
PIS002
PIECES
5,820.00
23,280.00
578 PITOGIN INJ
PIT007
AMPUL
12,650.00
0.00
579 PLAIN 2-0 W 733 (1872 T)
PLA0000004
PIECES
55,000.00
0.00
580 PLAIN 3-0 W 438 ( RB )
PLA0000014
SACHET
36,996.51
0.00
581 PLAIN 3/0 TS-24 75 CM BPJS PAKET

LAPARATOMI OBGYN
PLA072
PIECES
45,943.00
91,886.00
582 PLAIN 3/0 TS-24 75 CM BPJS PAKET

SC
PLA074
PIECES
35,666.00
35,666.00
583 PLAIN 3/0 TS-24 BPJS PAKET

HYSTEREKTOMY
PLA075
PIECES
55,033.00
0.00
584 PLAIN 4/0 HR 17 BPJS
PLA0000054
PIECES
44,166.25
0.00
585 PLAIN 4/0 HR-17 75 CM BPJS PAKET

SIRKUMSISI
PLA073
PIECES
30,300.00
30,300.00
586 POLYPRO (POLYPROPLENE) 2/0

8685P
POL0000033
PIECES
55,903.76
167,711.28
587 POLYPRO (POLYPROPLENE) 2/0 TS

27 BPJS PAKET DEBRIDEMENT
POL030
PIECES
44,510.00
133,530.00

8665P
POL0000034
PIECES
74,145.34
74,145.34

8683P / 8629P
POL0000030
22
PIECES
74,950.68
1,648,914.96
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
590 POLYPRO (POLYPROPLENE) 4/0 TS

19 BPJS PAKET MULTILIPOMA
POL031
PIECES
125,014.05
250,028.10
POL0000031
13
PIECES
77,915.97
1,012,907.61

8697P
POL0000032
17
PIECES
73,264.83
1,245,502.11
593 POLYPROPLENE 3/0 TS-24 75 CM

BPJS PAKET APP
POL025
PIECES
49,310.66
98,621.32

BPJS PAKET HERNIA
POL029
PIECES
63,257.00
126,514.00
595
POL034
PIECES
141,085.68
1,128,685.44

BPJS PAKET MULTILIPOMA
POL032
16
PIECES
63,257.00
1,012,112.00

BPJS PAKET RUPTUR TENDON
POL033
PIECES
129,772.00
0.00
598 PORTEX ETT CLEAR CUFFED NO 5

BPJS
POR001
PIECES
40,000.00
0.00
599 POSPARGIN INJ (F)
POS0000001
18
AMPUL
5,250.00
94,500.00
600 POUCHES GUSSETTE 15 CM X 5 CM POU0000003

X 100 M
10
ROLL
560,000.00
5,600,000.00
601 POUCHES GUSSETTE 25 CM X 6.5

CM X 100 M
1000
CM
8,750.00
8,750,000.00
602 POUCHES GUSSETTE 40 CM X 6 CM POU0000005

X 100 M
10
CM
1,505,000.00
15,050,000.00
603 POUCHES STERILIZATION FLAT 20

CM X 200 M
POU0000002
10
LEMBAR
962,500.00
9,625,000.00
604 POUCHES STERILIZATION FLAT 7.5

CM X 200 M
POU0000001
10
LEMBAR
465,850.00
4,658,500.00
POU0000004
605 POVIDON IODINE 1 L BPJS
POV005
27020
MILILITER
62.75
1,695,505.00
606 PREMILEN NO 0 B BRAUN HRT 37

REF 2090453
PRE030
PIS
52,580.00
157,740.00
607 PREMILENE MESH 15X15CM
PRE0000038
PIECES
664,125.00
0.00
608 PRESEPT TAB. 5 GR
PRE0000027
TABLET
4,743.75
0.00
609 PRIMPERAN INJ. 3 MG/ML (RSPJ)
PRI028
AMPUL
0.00
0.00
610 PRIMPERAN INJ. 5 MG/ML (F)
PRI0000019
20
AMPUL
9,710.68
194,213.60
611 PROHEM INJ 2MG/ML (F)
PRO109
12
AMPUL
9,673.38
116,080.56
612 PROLEN 2/0 8833H RB/TAPERPOINT
PRO0000022
PIECES
75,000.00
0.00
613 PROLEN 3/0 W 8021 T P-CUTTING
PRO0000023
SACHET
76,003.13
0.00
614 PROLENE 3/0 W8936 TAPPERCUT
PRO0000121
SACHET
137,000.00
0.00
615 PROLENE 4/0 W8935 TAPP
PRO0000049
PIECES
87,641.81
0.00
616 PROLENE 6-0 8697G
PRO110
PIECES
90,131.25
0.00
617 PROLENE 6/0 W 8597
PRO0000134
PIECES
121,935.00
0.00
618 PROLENE MESH PMH (15 CM X 15

CM)
PRO0000132
SACHET
664,125.00
0.00
619 PROLENE MESH PMII 7;6 X 15CM
PRO111
SACHET
735,050.00
0.00
620 PRONALGES INJ. 50 MG/ML
PRO0000073
AMPUL
18,750.00
0.00
621 PRONALGES SUPP (F)
PRO0000074
14
SUPPOS
11,367.79
159,149.06
82,800.00
82,800.00
4,700.00
89,300.00
16,540.00
66,160.00
129,240.91
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
622 PROPOFOL LIPURO (F)
PRO0000084
AMPUL
623 PRORIS SUPP 125 MG (F)
PRO0000089
19
SUPPOS
624 PROSTIGMIN INJ. 0.5 MG/ML
PRO0000096
AMPUL
625 QUELICIN 200 MG/ 10 ML
QUE0000001
FLACON
626 RADIN INJ. 50 MG/ 2 ML (5')
RAD0000001
AMPUL
12,941.19
0.00
627 RAIVAS INJ
RAI0000001
AMPUL
114,900.00
0.00
628 RANITIDIN AMP 25 MG/ML 2 ML RSPJ RAN013
AMPUL
0.00
0.00
629 RANITIDINE INJ 25 MG(F)
RAN019
AMPUL
1,967.08
5,901.24
630 RANTIN INJ. 50 MG (F)
RAN0000004
AMPUL
18,000.00
0.00
631 RECOFOL INJ 20 ML (F)
REC0000009
10
AMPUL
70,860.74
708,607.40
632 RECOFOL INJ. 200 MG 20 ML
REC0000004
AMPUL
66,200.00
0.00
633 RECTAL TUBE AXIMED NO 18
REC017
PASANG
6,600.00
0.00
REC018
PASANG
6,600.00
6,600.00
REC019
PASANG
6,600.00
6,600.00
636 RECTAL TUBE NO 22
REC016
PIECES
8,450.00
0.00
637 REGIVELL INJ 0.5% (F)
REG0000004
AMPUL
55,000.00
385,000.00
638 REMOPAIN 3% (F)
REM0000003
AMPUL
23,625.00
118,125.00
639 RINGER DEXTROSE 5 % 500 ML (F)
RIN0000002
KOLF
12,627.45
12,627.45
640 RINGER LACTAT 500 ML BPJS
RIN0000004
KOLF
7,472.53
0.00
641 SAFIL 1 HR48
SAF0000011
SACHET
75,982.00
0.00
642 SAFIL 2/0 HR 26 B BRAUN
SAF013
16
PIS
54,285.00
868,560.00
643 SAFIL 2/0 HR 37S PAKET HERNIA B

BRAUN
SAF015
PIECES
58,905.00
471,240.00
644 SAFIL 3-0 DS 19 VIOLET
SAF0000008
SACHET
60,808.00
0.00
645 SARUNG TANGAN KARET PANJANG

OBGYN
SAR024
10
PASANG
10,500.00
105,000.00
646 SARUNG TANGAN KARET STERIL 7.5 SAR033
PIECES
18,550.00
0.00
647 SEDACUM INJ 5MG
SED005
AMPUL
17,468.88
69,875.52
648 SENSI GLOVE L (1)
SEN0000005
336
PIECES
370.70
124,555.20
649 SENSI GLOVE M (1)
SEN0000006
909
PIECES
361.76
328,839.84
650 SENSI GLOVE S (1)
SEN0000007
1822
PIECES
360.73
657,250.06
651 SEPTADINE 5 L (F)
SEP013
3200
MILILITER/C
C
0.00
0.00
652 SEVODEX
SEV003
500
ML
8,330.00
4,165,000.00
653 SEVOFLURANE BAXTER 250 ML (F)
SEV0000002
150
MILILITER /
CC
10,800.00
1,620,000.00
654 SEVOFLURANE LIQD 250 ML
SEV0000001
MILILITER /
CC
8,035.03
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
655 SIGMA STERILIZATION SELF SEAL

135 MM X 283
SIG004
PIECES
0.00
0.00
656 SILK 1
SIL0000003
1000
METER
0.00
0.00
657 SILK 1 HRG-38 90CM
SIL027
PCS
35,160.00
281,280.00
658 SILK 1 HRG-38 BPJS PAKET

HYSTEREKTOMY
SIL028
PIECES
55,033.00
0.00
659 SILK 2-0 ROLL
SIL0000005
METER
4,500.00
0.00
660 SILK 2/0 HR 27 610 402413
SIL023
16
PIECES
31,888.00
510,208.00
661 SILK 2/0 T5 (685S)
SIL0000004
SACHET
50,000.00
0.00
662 SILK 3-0 684S (ST) HR 22
SIL0000006
SACHET
32,942.00
0.00
663 SILK 4/0 HR 13 75
SIL030
10
PIECES
2,595.00
25,950.00
664 SILK NO. 3/0
SIL0000010
SACHET
27,500.00
0.00
665 SILKAM 1 HR 37S B BRAUN
SIL036
29
PIS
34,375.00
996,875.00
666 SILKAM 2-0 DS 30 CUTTING
SIL0000019
SACHET
43,650.75
0.00
667 SILKAM 2/0 HR 22
SIL035
20
PIS
32,175.00
643,500.00
SIL0000011
PIECES
38,362.50
0.00
SIL0000017
PIECES
39,531.70
0.00
SIL0000018
PIECES
42,811.76
0.00
SIL0000020
SACHET
35,887.50
0.00
672 SIMPLE MASKER ADULT
SIM0000015
PIECES
45,000.00
0.00
673 SIMPLE MASKER ADULT BPJS
SIM014
PIECES
0.00
0.00
674 SKIN MARKER (FINE TIP) STERIL

DISPOSIBLE
SKI005
PIECES
38,500.00
0.00
675 SLIP TINDAKAN JASA DOKTER (1/4F; SLI003

3PLY)
BUKU
7,500.00
0.00
676 SLIT KNIFE FECO
SLI006
120
PCS
36,000.00
4,320,000.00
677 SLITE KNIFE 2.75(BIRU)
SLI005
32
PEMAKAIAN
72,500.00
2,320,000.00
678 SODA LIME (SOFNOLIME CO2

ABSORBENT) 5 KG
SOD0000006
5250
GRAM
90.00
472,500.00
679 SODIUM HYALURONATE 1.4% FECO
SOD011
PCS
186,000.00
0.00
680 SOFRA-TULLE 1% (10CMX10CM)
SOF021
LEMBAR
19,051.32
152,410.56
681 SOFTBAND 4 INC
SOF0000002
PCS
17,359.12
17,359.12
682 SOFTBAND 10 CM
SOF0000008
ROL
18,888.89
56,666.67
683 SOFTBAND 3 INC
SOF0000001
PCS
13,679.48
13,679.48
684 SOFTBAND 6 INC
SOF0000003
PCS
27,265.98
0.00
685 SOJOURN LAR 250 ML (F)
SOU0000001
BOTOL
2,600,000.00
5,200,000.00
686 SOTATIC 5 MG/ML INJ RSPJ
SOT002
AMPUL
9,580.00
0.00
687 SOTATIC INJ
SOT0000001
AMPUL
4,240.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
688 SPALK 5X12 CM
SPA031
PIECES
0.00
0.00
689 SPALK 5X15 CM
SPA032
PIECES
0.00
0.00
690 SPALK 5X20 CM
SPA033
PIECES
0.00
0.00
691 SPINAL NEEDLE NO. 27
SPI0000009
PIECES
23,500.00
0.00
692 SPINOCAN NO.27
SPI0000013
PIECES
36,717.65
110,152.95
693 SPINOCAN 27 B BRAUN
SPI0000015
PIECES
15,000.00
0.00
694 SPINOCAN NO. 25G
SPI0000016
13
PIECES
32,000.00
416,000.00
SPI0000017
74
PIECES
32,000.00
2,368,000.00
SPI0000026
PIECES
40,425.00
0.00
697 SPINOCAN NO.27 BPJS
SPI039
PCS
12,941.18
0.00
698 SPONG MQA
SPO010
PIECES
34,320.00
0.00
699 SPONGOSTAN (GELITASPON)
GEL0000008
PIECES
42,000.00
0.00
700 STAB KNIFE
STA044
PIECES
145,000.00
725,000.00
701 STAB KNIFE FECO
STA046
PCS
180,000.00
0.00
702 STARDINE SOL. 10% 60 ML
STA0000012
MILILITER /
CC
126.67
0.00
703 STERANIOS
STE051
GALON
414,750.00
414,750.00
704 STERI DUAL ECO REEL GUSSE

15CMX100M [TM8754]
STE0000022
ROL
627,000.00
0.00

15CMX200M [TM8607]
STE0000025
ROL
781,000.00
0.00

20CMX100M [TM8756]
STE0000023
ROL
803,000.00
0.00

40CMX100M [TM8764]
STE0000024
ROL
1,540,000.00
0.00
708 STERI DUAL ECO ROLL FLAT 20 CM

X 200 M [TM8609]
STE0000027
ROLL
1,034,000.00
0.00
709 STERI DUAL ECO ROLL FLAT 25 CM

X 200 M [TM8613]
STE0000028
ROLL
1,342,000.00
0.00
710 STESOLID INJ 2 ML @ 5' 10MG
STE0000008
AMPUL
10,400.00
31,200.00
711 STOMACH TUBE 14 TERUMO
STO030
PIECES
0.00
0.00
STO031
PIECES
14,247.76
71,238.80
713 STOMACH TUBE FR. 20 JMS
STO0000009
PIECES
15,000.00
0.00
714 STOMACH TUBE FR. 12 TERUMO
STO0000010
PIECES
22,200.00
133,200.00
STO0000011
PIECES
22,200.00
111,000.00
STO0000013
PIECES
15,274.01
76,370.05
717 STOMACH TUBE N0 20 TERUMO
STO0000014
PCS
15,508.87
77,544.35
718 STOMACH TUBE NO 5 TERUMO (40

CM)
STO0000018
BUAH
15,000.00
0.00
719 SUCCINYL (SUXAMETHONIUM) INJ

100MG/2ML
SUC0000026
AMPUL
49,850.00
0.00
720 SUCTION CATH NO 8 BPJS
FOL038
19
PIECES
9,352.81
177,703.39
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
721 SUCTION CATHETER 14 BPJS
SUT0000006
PIECES
6,928.63
0.00
722 SUCTION CATHETER FR. 16

PHARMAPLAST
SUC0000025
PIECES
7,500.00
0.00
723 SUCTION CATHETER NO 10
SUC0000011
PIECES
4,500.00
0.00
724 SUCTION CATHETER NO 10 BPJS
FOL037
16
PIECES
7,500.00
120,000.00
SUC0000012
12
PIECES
6,887.70
82,652.40
726 SUCTION CATHETER NO. 8
SUC0000014
PIECES
5,642.60
0.00
727 SUCTION CONECTING TUBE (SCT)
SUC0000032
PIECES
24,500.00
0.00
728 SUPRANE LIQUID 100% 240 ML
SUP0000008
BOTOL
500,000.00
0.00
729 SURAT KETERANGAN DIRAWAT UK.

1PLY, 1/2F, ISI 100
SUR038
RIM
7,000.00
0.00
730 SURFLO 14 G X 2
SUR0000005
PIECES
12,500.00
50,000.00
731 SURFLO 16 G X 2
SUR0000006
PIECES
12,494.05
62,470.25
732 SURFLO 18 G X 1 1/4
SUR0000007
PIECES
7,922.38
71,301.42
733 SURFLO 20 BPJS
SUR057
PIECES
8,330.74
33,322.96
734 SURFLO 22 G X 1
SUR0000009
PIECES
7,490.23
0.00
735 SURFLO 24 BPJS
SUR060
PCS
8,403.65
42,018.25
736 SURGSCRUB 500ML [D20054] 4%
SUR0000035
10
MILILITER /
CC
152.00
1,520.00
737 SYNTOCINON INJ RSPJ
SYN004
AMPUL
18,000.00
0.00
738 SYRINGE 1 CC ONEMED BPJS
SYR003
PIECES
515.87
0.00
739 SYRINGE 10 CC STERA BPJS
SYR011
PIECES
925.00
0.00
SYR006
PIECES
742.36
0.00
741 SYRINGE 20CC STERA BPJS
SYR012
PIECES
1,500.00
4,500.00
DIS053
PIECES
500.00
0.00
SYR009
PIECES
579.93
2,319.72
SYR004
PIECES
600.00
0.00
745 SYRINGE 5 CC STERA
SYR010
PIECES
750.00
2,250.00
746 SYRINGE STERA 1 CC BPJS
SYR008
74
PIECES
597.29
44,199.46
747 T-VIO 1,90,1/2,48 HVRB(V16) PAKET

SC
TVI001
PCS
36,050.00
324,450.00
748 TEGADERM + PAD 3582 (5X7CM)
TEG006
PIECES
7,812.00
0.00
749 TEGADERM 1623 (6CM X 7CM)
TEG0000001
LEMBAR
4,782.99
14,348.97
750 TEGADERM 1624
TEG0000002
LEMBAR
4,409.12
0.00
TEG0000004
LEMBAR
25,390.02
25,390.02
752 TENSOCREPE 3
TEN0000010
ROL
52,575.00
0.00
753 TENSOCREPE 4
TEN0000011
ROL
63,287.00
0.00
ROL
50,876.00
152,628.00
Tipe
ALL
Issuer
diki
754 TENSOCREPE 10X4,5 CM
Tanggal Print
TEN0000013
5/27/16 8:45 PM
TEN0000014
ROL
94,734.15
189,468.30
756 TENSOCREPE 7.5CMX4.5M
TEN0000015
ROL
42,282.11
42,282.11
757 TERFACEF INJ. 1 G (F)
TER0000002
VIAL
180,228.27
180,228.27
758 TERRALIN 500ML
TER0000017
BOTOL
76,000.00
0.00
759 TETAGAM- P INJ 250 IU (F)
TET0000001
AMPUL
155,250.00
0.00
760 THREE WAY CATHETER N0. 22

RUSCH
THR0000006
PIECES
60,000.00
60,000.00
761 THREE WAY CATHETER NO. 24

RUSCH
THR0000005
PIECES
56,287.50
0.00
762 THREE WAY STOPCOCK ONEMED

BPJS
TRE010
10
PIECES
1,765.06
17,650.60
763 THREEWAY STOPCOCK JMS

(BUNTUT)
THR0000007
PIECES
27,187.50
0.00
764 THROMBOPHOB GEL 20 G (F)
THR0000004
TUBE
45,067.33
45,067.33
765 TISSUE LIVI SS MULTIFOLD
TIS008
PACK
7,406.94
0.00
766 TMONO 3-0,76,3/8,24,RC PAKET SC
TMO001
19
PCS
44,075.00
837,425.00
767 TOMIT INJ RSPJ
TOM006
AMPUL
42,500.00
170,000.00
768 TOPI OPERASI KARET
TOP0000002
653
PIECES
496.22
324,031.66
769 TOPI OPERASI TALI
TOP0000003
322
PIECES
871.59
280,651.98
770 TOUNGE SPATEL KAYU
TOU0000002
PIECES
205.22
0.00
771 TRACRIUM (ATRAKURIUM INJ

25MG/ML)
TRA043
AMPUL
40,400.00
161,600.00
772 TRAMADOL INJ 100 MG/ 2ML BPJS
TRA041
AMPUL
5,035.90
0.00
773 TRAMADOL INJ 50 MG/ML BPJS
TRA0000006
46
AMPUL
5,007.21
230,331.66
774 TRAMADOL TAB RSPJ
TRA045
TAB
430.00
430.00
775 TRAMAL INJ 100 MG (F)
TRA0000009
AMPUL
31,602.25
0.00
776 TRAMAL INJ. 50 MG/ML
TRA0000010
AMPUL
21,800.00
152,600.00
777 TRAMAL SUPP 100 MG (F)
TRA0000012
29
SUPPOS
15,000.00
435,000.00
778 TRANEXID 10% INJ
TRA042
AMPUL
11,524.39
80,670.73
779 TRANSOFIX
TRA039
42
PIECES
6,478.52
272,097.84
780 TREE WAY NO 20 BPJS
TRE007
PIECES
0.00
0.00
781 TRIJECT INJ. 1 G
TRI0000027
VIAL
185,000.00
0.00
782 TRILAC INJ. IA/ID 10 MG/ML (F)
TRI0000016
MILILITER/C
C
9,021.19
0.00
783 TRIPAN BLUE 1ML
TRI039
18
PEMAKAIAN
27,500.00
495,000.00
784 TRIPAN BLUE FECO
TRY001
11
PCS
10,000.00
110,000.00
785 TRULENE MESH 30X30 BPJS
TRU008
10
PEMAKAIAN
78,650.00
786,500.00
786 TUTOFUSIN OPS 500 ML (F)
TUT0000004
BOTOL
52,853.92
0.00
Tipe
ALL
Tanggal Print
5/27/16 8:45 PM
Issuer
diki
787 UDOPA INJ 5 ML BPJS
UDO001
VIAL
8,945.50
8,945.50
788 UMBILICAL CLAMP COSA
UMB0000001
PIECES
1,200.00
8,400.00
789 UMBILICAL COED COSA BPJS
UMB006
PIECES
0.00
0.00
790 UMBILICAL CORD CLAMP ONE MED
UMB0000005
PIECES
1,000.00
0.00
791 UMBILICAL CORD CLAMPS
UMB0000002
PIECES
1,400.00
0.00
792 UNDERPAD TEBAL (PUTIH)
UND0000004
16
PCS
3,516.27
56,260.32
793 UNDERPAD TIPIS (BIRU)
UND0000005
22
PCS
4,000.00
88,000.00
794 UNICAP WIDAHES BPJS
UNI006
KOLF
51,818.00
155,454.00
795 URETERAL CATHETER NO. 4 FR
URE0000010
PIECES
121,000.00
0.00
URE0000011
PIECES
121,000.00
0.00
URE0000012
PIECES
121,000.00
0.00
798 URINE BAG FESCO
URI025
PCS
7,240.47
50,683.29
799 URINE BAG FESCO BPJS
URI026
PIECES
9,000.00
0.00
800 URINE BAG STERILE 'UNO MEDICAL' URI0000023
PIECES
6,000.00
0.00
801 UROLOGY SET URS-2101
URO005
SET
0.00
0.00
802 USP-2127 UNIVERSAL SET
USP001
30
SET
607,990.82
18,239,724.60
803 VAKSIN TT (JERAP TETANUS) INJ. (F) VAK0000021
MILILITER/C
C
53,112.00
0.00
804 VALISANBE INJ 2ML
VAL0000010
AMPUL
10,765.00
32,295.00
805 VASCON INJ 4MG/4ML (F)
VAS0000021
AMPUL
85,000.00
255,000.00
806 VASELIN KUNING
VAS0000003
GRAM
22.00
0.00
807 VASOFIX G 20 (SAFETY)
VAS0000007
BUAH
25,600.00
0.00
VAS0000008
BUAH
26,644.44
0.00
VAS0000022
PIECES
26,133.33
78,399.99
810 VENFLON NO. 18 (1.2X32MM) PRO

SAFETY
VEN0000020
41
PIECES
34,345.15
1,408,151.15
811 VENFLON NO. 20
VEN0000002
20
PIECES
15,369.23
307,384.60
812 VENFLON NO. 22
VEN0000003
44
PIECES
15,561.52
684,706.88
813 VENFLON NO. 24
VEN0000004
PIECES
27,945.00
0.00
814 VENTOLIN NEBULIZER 2.5 MG (F)
VEN0000013
AMPUL
8,477.38
0.00
815 VICRYL 1 TAPERCUT J519H
VIC0000074
SACHET
50,000.00
0.00
816 VICRYL 1 W 9421 REV. CUTTING
VIC0000023
SACHET
75,000.00
300,000.00
817 VICRYL 2 W9452 ROUND BODIED
VIC031
PIECES
78,271.88
0.00
818 VICRYL 2-0 J 375 H RB
VIC0000038
SACHET
100,000.00
0.00
819 VICRYL 2-0 J 602 H TAPERPOINT
VIC0000039
SACHET
75,000.00
0.00
Tipe
ALL
Issuer
diki
Tanggal Print
5/27/16 8:45 PM
820 VICRYL 3/0 W9114
VIC036
PIECES
109,193.70
873,549.60
821 VICRYL 3/0 W9890 REV CUTTING
VIC0000044
PIECES
55,493.63
0.00
822 VICRYL 4-0 VCP656G
VIC032
PIECES
82,259.38
246,778.14
823 VICRYL 4-0 W 9106 RB/TAPER
VIC0000053
PIECES
61,386.88
0.00
824 VICRYL 4-0 W 9386 REV. CUTTING
VIC0000054
PIECES
53,124.13
0.00
825 VICRYL 4-0 W9437
VIC033
PIECES
78,058.75
0.00
826 VICRYL 4/0 J392H CUTTING
VIC0000048
PIECES
44,451.05
0.00
827 VICRYL 5-0 W9105 RB/TAPER POINT
VIC0000076
PIECES
66,687.50
0.00
828 VICRYL 6-0 J212H RB/TAPER POINT
VIC0000077
PIECES
92,000.00
0.00
829 VICRYL 6-0 W9500T
VIC034
PIECES
93,051.41
0.00
830 VICRYL PLUS 1( VIOLET ) VCP 371H
VIC0000075
PIECES
79,138.54
0.00
831 VICRYL PLUS 4-0 VCP392H
VIC0000079
SACHET
67,918.81
0.00
832 VIONEX LIQUID 3;8 L
VIO0000003
GALON
675,000.00
0.00
833 VIONEX LIQUID SOAP
VIO0000009
GALON
675,000.00
0.00
834 VIOREX LIQUID 4 LT
VIO0000010
MILILITER /
CC
138.13
0.00
835 VISCO APPAVISC
VIS005
PIECES
90,000.00
360,000.00
836 VISCOELASTIC HPMC FECO
VIS006
PCS
150,000.00
0.00
837 VITAMIN C INJ. 100 MG
VIT0000043
AMPUL
5,830.00
29,150.00
838 VITKA INFANT INJ RSPJ
VIT051
AMPUL
0.00
0.00
839 VOLTAREN SUPP 100 MG
VOL0000020
SUPPOS
13,121.97
0.00
840 VOMIDEX INJ.@5
VOM0000007
AMPUL
3,323.04
0.00
841 WATER FOR INJ 1000 ML (F)
WAT0000003
KOLF
18,000.00
18,000.00
WAT0000001
43
FLACON
4,165.60
179,120.80
843 WING NEEDLE 23G + LUER

ADAPTER+ HOLDER
WIN0000005
PIECES
8,471.20
0.00
844 WING NEEDLE NO. 23
WIN0000003
PIECES
7,470.86
0.00
WIN0000004
PIECES
7,500.00
0.00
846 WUNDRES F 5X20X0.2 CM
WUN0000003
PIECES
119,000.00
119,000.00
WUN0000001
PIECES
82,500.00
0.00
848 WUNDRES N 10X20X0.5 CM
WUN0000002
PIECES
115,000.00
115,000.00
849 X-TRAGENE 4% 5L
X-T0000001
MILILITER /
CC
99.75
0.00
850 XYLOCAIN 10% SPRAY
XYL007
BOTOL
851 XYLOCAIN JELLY 2% 10 G
XYL0000005
TUBE
852 XYLOCAINE 2% INJ
XYL0000007
Tipe
ALL
Issuer
diki
Tanggal Print
853 YANKUAR SUCTION
279,370.00
279,370.00
54,033.24
486,299.16
AMPUL
7,021.92
14,043.84
PIECES
35,000.00
0.00
5/27/16 8:45 PM
YAN0000001
Grand Total :
Inventory Stock Issued

by,
Inventory Stock Approved

by,
(
)
234,795,276.72
OK
No
Nama
Kode
JML
SO
SAT
Harga
(DORMICUM) MIDAZOLAM INJ 1MG/ML BPJS
DOR002
10
AMPUL
6,119.00
ABBOCATH 16 G
ABB0000005
PIECES
8,000.00
ABBOCATH 18 G
ABB0000006
42
PIECES
12,500.00
ABBOCATH 22 G
ABB0000008
PIECES
8,000.00
ABBOCATH 24 G
ABB0000009
PIECES
14,000.00
ADH002
5161
CM
92.98
ADH001
3064
CM
47.90
ADONA (AC-17) INJ 50 MG/10 ML (F)
ADO0000002
AMPUL
19,771.99
ALBOTHYL CONCENTRATE SOL. 10 ML
ALB0000004
10
MILILITER / CC 3,398.71
10
ALINAMIN F INJ. 25 MG (F)
ALI0000001
AMPUL
11
ALKOHOL 70% 1 L BPJS
ALK012
12
ALKOHOL 70% 1 LITER
ALK0000002
13
ALLEVYN ADHESIVE 12,5X12,5
ALL008
10
PIS
110,000.00
14
ALLEVYN NON ADH.10X10/1X10 (F)
ALL007
19
LEMBAR
67,000.00
15
AMINOPHYLLIN INJ. 2.4%
AMI0000011
11
AMPUL
3,240.43
16
ANAESTHESIA CIRCUIT 72''
ANA004
PEMAKAIN
175,000.00
17
ANIOSYME DLT PLUS 5L
ANI001
39965
ML/CC
128.53
18
APRON FILM WHITE
APR0000001
172
PIECES
3,720.78
19
AQUA DM 20 LITER
AQU0000001
MILILITER / CC 3.41
20
AQUABIDEST 1 LTR OTSUKA
AQU0000004
KOLF
21
AQUABIDESTILATA IKA 500 ML
AQU0000006
MILILITER / CC 26.72
22
ARM SLING L
ARM0000001
BUAH
25,000.00
23
ARM SLING M
ARM0000002
BUAH
25,000.00
24
ASAM MEFENAMAT TAB. 500 MG BPJS
ASA012
TABLET
161.20
25
ASAM TRANEKSAMAT 500 ML INJ BPJS
ASA015
AMPUL
4,070.56
26
ASAM TRANEKSAMAT250 MG/ML INJ BPJS
ASA024
35
AMPUL
4,433.26
27
ASERING INFUS 500 ML (F)
ASE0000001
KOLF
9,631.71
28
ASSUCRYL 1 HSRG 38 42857H 109527
ASS001
PIECES
55,055.00
29
ASSUCRYL 1 HSRG 40 100 CM UMUM
ASS011
PCS
55,244.84
30
ASSUCRYL 1 HSRG-40 100 CM BPJS PAKET LAPARATOMI OBGYN
ASS016
PIECES
45,943.00
31
ASSUCRYL 2/0 HR 17
ASS014
PCS
47,190.00
32
ASSUCRYL 2/0 HRG-38 90 CM BPJS PAKET APP
ASS017
PIECES
49,310.00
33
ASSUCRYL 3/0 HR 27 4254 312160
ASS003
14
PIECES
52,708.00
34
ASSUCRYL 3/0 HR-27 75 CM (4254)
ASS009
PIECES
52,708.00
35
ASS013
PCS
47,190.00
36
ASS012
16
PCS
37,906.72
37
ASSUCRYL CATGUT PLAIN 3/0 TS-24
ASS006
PIECES
27,527.50
38
ASUCRYL 1 HRG-40 BPJS PAKET LAPARATOMY DENGAN PEPORASY
ASU011
PIECES
61,266.81
39
ASUCRYL 1 HSRG-40 100 CM BPJS PAKET DEBRIDEMENT
ASU009
PIECES
59,290.00
40
ASUCRYL 1 HSRG-40 100 CM BPJS PAKET HYSTEREKTOMY
ASU007
PIECES
55,033.00
41
ASUCRYL 1 HSRG-40 100 CM BPJS PAKET SC
ASU005
PIECES
35,666.00
42
ASUCRYL 2/0 HRG 38 PAKET HERNIA BPJS
ASU012
PCS
53,268.00
43
ASUCRYL 2/0 HRG-38 90 CM BPJS PAKET HEMOROID
ASU008
PIECES
89,976.00
44
ASUCRYL 2/0 HRG-38 90 CM BPJS PAKET RUPTUR TENDON
ASU010
PIECES
129,772.00
45
ASUCRYL 5/0 HR-17 75CM UMUM
ASU002
PCS
47,190.00
46
ASUCRYL 5/0 TS-17 75CM UMUM
ASU001
PCS
47,190.00
47
ASUCRYL 6/0 HR-13 75 CM UMUM
ASU004
PCS
0.00
48
ATROPINE 0.25 INJ.
ATR0000003
AMPUL
1,245.93
49
ATROPINE 0.25MG/ML INJ BPJS
ATR014
AMPUL
1,769.65
50
AUTOCLAVE TAPE INDIKATOR 3/4
AUT0000003
ROL
113,791.33
51
BACTESYN INJ. 1.5 G (F)
BAC0000001
VIAL
171,500.00
52
BACTIGRAS 10X10CM
BAC014
40
LEMBAR
10,780.00
53
BATERAI AA (ABC)
BAT004
PIECES
1,500.00
54
BATERAI SEDANG
BAT009
PIECES
0.00
55
BD HOLDER PRONTO QUICK X 5 CE-3688
BDH001
PCS
30,000.00
11,848.13
300
MILILITER/CC 60.00
13236
8,206.00
56
BETADINE SOL 1 LITER
BET030
LITER
175,000.00
57
BIOPLACENTON JELLY 15 G (F)
BIO0000009
TUBE
12,000.00
58
BIOSYN 3-0 SM 822
BIO0000016
SACHET
12,000.00
59
BISTURI NO. 10
BIS0000015
16
PIECES
3,240.00
60
BISTURI NO. 11
BIS0000016
19
PIECES
3,240.00
61
BISTURI NO. 15
BIS0000018
61
PIECES
3,240.00
62
BISTURI NO. 20
BIS0000019
64
PIECES
3,240.00
63
BISTURI NO. 23
BIS0000022
PIECES
1,500.00
64
BISTURI NO.10 BPJS
BIS027
PIECES
550.00
65
BISTURI NO.11 BPJS
BIS028
PIECES
550.00
66
BISTURI NO.20 BPJS
BIS026
PIECES
550.00
67
BLOOD ADM. SET TERUMO
BLO0000003
31
BUAH
19,947.13
68
BLOOD SET STERA BPJS
BLO016
392
PCS
3,272.00
69
BLUE SENSOR R-OO-S
BLU0000001
346
PIECES
5,100.00
70
BONE WAX W 810 RSPJ
BON011
PIECES
83,133.00
71
BRICASMA INJ 0.5 MG/ML (F)
BRI0000003
AMPUL
18,472.40
72
BROADCED INJ 1 G (F)
BRO0000002
VIAL
188,000.00
73
BUKU EKSPEDISI (BO)
BUK001
BUKU
7,000.00
74
BUKU RESEP 2 PLY 1/3 FOLIO
BUK013
BUKU
0.00
75
BUNASCAN EPIDURAL
BUN007
VIAL
64,000.00
76
BUNASCAN SPINAL INJ RSPJ
BUN006
AMPUL
84,600.00
77
BUPIVACAINE HCL 0.5% INJ BPJS @10
BUP001
AMPUL
32,000.00
78
BUSCOPAN INJ. 20 MG/ML (F)
BUS0000001
AMPUL
18,309.50
79
CADD EXTENTION SET 30INCH/1.1ML
CAD004
PIECES
54,000.00
80
CALCII GLUCONAS INJ.
CAL0000012
AMPUL
12,580.24
81
CARBACHOL FECO
CAR059
37
PCS
10,000.00
82
CARBACHOL ZABBY,S 1ML
CAR056
PIECES
55,000.00
83
CARBAZOCHROME 50MG/10ML INJ
CAR057
AMPUL
11,525.95
84
CARBHACOL/MYOSTATE 1ML
CAR054
35
PEMAKAIAN
7,865.00
85
CARMEN CANNULA 5
CAR0000008
PIECES
59,142.52
86
CARMEN CANNULA 6
CAR0000009
PIECES
58,041.67
87
CARMEN CANNULA 8
CAR0000010
PIECES
54,998.50
88
CASSETE CADD 100 ML
CAS006
PIECES
190,000.00
89
CAT GUT CHROMIC 1/0
CAT0000002
ROL
153,983.92
90
CAT GUT CHROMIC 2/0 100 M ROL
CAT0000003
CENTIMETER 95.00
91
CAT GUT CHROMIC 2/0 837 TS 24
CAT0000020
18
SACHET
65,000.00
92
CAT GUT CHROMIC 3/0
CAT0000004
ROL
39,846.85
93
CAT GUT CHROMIC NO. 1 HR 38
CAT0000006
ROL
171,032.17
94
CAT GUT PLAIN 2/0
CAT0000010
ROL
696,539.16
95
CAT GUT PLAIN 4/0
CAT0000012
SACHET
299,062.50
96
CAT GUT PLAIN 4/0 TS19
PLA0000017
10
SACHET
55,365.74
97
CAT GUT PLAIN NO. 3/0
CAT0000013
ROL
11,337.06
98
CATAPRES INJ
CAT0000016
AMPUL
48,145.90
100 CATGUT CHROMIC 2/0 HRG-38 90 CM (334N)
ASS005
29
PIECES
42,517.00
101 CATGUT CHROMIC 2/0HR 37 B BRAUN PAKET SC
CAT114
PIECES
42,900.00
102 CATGUT PLAIN 3-0 TS 24 REF 1804 404527
CAT110
17
PIECES
27,527.00
103 CATHETER TIP TERUMO 50 CC
CAT0000019
348
PIECES
18,000.00
104 CAUTER BOVIE
CAU001
49
PEMAKAIAN
31,460.00
105 CEFADROXIL TAB. 500 MG@100
CEF0000007
TABLET
604.44
106 CEFTRIAXON IGR @2 VIAL BPJS
CEF055
15
VIAL
7,226.47
108 CEFTRIAXON INJ @1 VIAL RSPJ
CEF0000033
VIAL
12,600.00
107 CEFTRIAXON INJ 1 G @10 VIAL
CEF0000036
VIAL
8,915.92
109 CENDO GENTAMYCIN EYE OINT 3.5 G
CEN0000080
TUBE
39,525.11
110 CENDO LFX MINIDOSE (F)
CEN0000083
10
DOSE
14,152.33
111 CENDO MYDRIATYL 0.5% 5 ML (F)
CEN0000030
BOTOL
30,280.25
112 CENDO MYDRIATYL EYE DROP 1% 5 ML (F)
CEN0000032
11
MILILITER
7,037.11
113 CENDO PANTOCAIN 2% 5 ML
CEN0000034
MILILITER
11,734.99
114 CENDO XITROL 5 ML (F)
CEN0000052
MILILITER
5,576.82
115 CERTOFIX DUO PEDIATRIC S-413
CER0000017
PIECES
742,500.00
116 CERTOFIX DUO V 720
CER0000019
PIECES
697,500.00
117 CERTOFIX TRIO 720 BBRAUN
CER030
PASANG
810,000.00
118 CHLORAMPHENICOL 250 MG BPJS
CHL011
TABLET
291.67
119 CHROMALUX TAB 200 MCG (F)
CHR0000042
59
TABLET
9,331.90
120 CHROMIC 0 HR 37S
CHR032
PIS
41,525.00
CHR0000001
PIECES
43,923.00
122 CHROMIC 0 HRG 50
CHR038
PCS
43,925.00
123 CHROMIC 1 925T
CHR0000009
PIECES
56,355.75
124 CHROMIC 1 HR 48 BBRAUN
CHR037
12
PIS
49,995.00
125 CHROMIC 1 HRG-38 BPJS PAKET HEMOROID
CHR024
PIECES
89,976.00
126 CHROMIC 1 HRG-50 100CM
CHR012
19
PCS
43,923.00
CHR029
17
PIECES
43,923.00
129 CHROMIC 2/0 HR 37S B BRAUN
CHR031
11
PIECES
28,901.71
130 CHROMIC 2/0 HR 37S PAKET HERNIA B BRAUN
CHR035
PIECES
43,890.00
131 CHROMIC 2/0 HRG -38 90 CM BPJS PAKET APP
CHR014
PIECES
4,482.73
132 CHROMIC 2/0 HRG -38 90 CM BPJS PAKET LAPARATOMI OBGYN
CHR020
PIECES
45,943.00
134 CHROMIC 2/0 HRG -38 90 CM BPJS PAKET MULTILIPOMA
CHR026
10
PIECES
164,378.00
135 CHROMIC 2/0 HRG -38 90 CM BPJS PAKET RUPTUR TENDON
CHR027
PIECES
129,772.00
136 CHROMIC 2/0 HRG -38 90 CM PAKET SC
CHR023
34
PIECES
42,517.00
137 CHROMIC 2/0 HRG -38 90 CM UMUM
CHR019
PCS
42,517.00
138 CHROMIC 2/0 HRG 38 BPJS PAKET HYSTEREKTOMY
CHR017
PIECES
55,033.00
139 CHROMIC 2/0 ROLL B'BRAUN
CHR0000016
METER
10,500.00
128 CHROMIC 2-0 983H
CHR0000043
PIECES
132,200.00
140 CHROMIC 3/0 TS 24 UMUM
CHR018
PCS
27,527.00
141 CHROMIC C57 90CM
CHR0000041
SACHET
49,000.00
142 CHROMIC GUT 1 90CM; HRS-40
CHR011
PIECES
40,950.00
143 CHROMIC I CG 925/GS 21
CHR0000038
SACHET
30,000.00
144 CLACEF INJ 0.5 MG
CLA0000002
VIAL
57,115.38
145 CLEAR SLIP (MAP BENING )
CLE007
LEMBAR
15,000.00
146 CLOSE WOUND SUCTION UNIT 400 ML; 3.2 MM
CLO0000008
PIECES
220,000.00
147 CLOSE WOUND SUCTION UNIT NO. 14 [POLYVAC SET]
CLO0000011
PIECES
128,000.00
148 COBRA WIRE
COB0000006
PIECES
780,000.00
149 COLOSTOMY BAG
COL0000013
PIECES
8,666.67
150 CORDARONE INJ 3 ML
COR018
AMPUL
29,564.34
151 CRECENT KNIFE 2.6MM (KUNING)
CRE006
14
PIECES
72,500.00
152 CROMIC 2/0 HRG 28 PAKET HERNIA BPJS
CRO001
PCS
44,217.90
153 CUT GUT CHROMIC 2/0 HR 375
CHR0000035
PIECES
51,565.00
154 CUT GUT CHROMIC 2 HR 48
CAT0000021
SACHET
55,896.53
155 CUT GUT CHROMIC 3/0 HS 26
CUT0000005
PIECES
51,750.00
156 CUT GUT PLAIN 4/0 DS 16
CUT0000003
PIECES
51,975.00
157 CUT GUT PLAIN 4/0 HR 17
CUT0000004
PIECES
52,327.42
158 CVC SET 2 LUMEN 7FRX20CM AGB
CVC001
PIECES
522,000.00
159 CYSTOFIX 8
CYS003
PIECES
530,000.00
160 DARYANT-TULLE
DAR0000002
PIECES
9,250.00
161 DECAIN SPINAL 0.5 % HEAVY (F)
DEC0000018
67
AMPUL
44,773.96
162 DERMANIOS SCRUB 5 LTR 4%
DER018
32048
MILILITER
148.88
163 DERMANIOS SCRUB 500ML
DER017
MILILITER
190.00
164 DEXA-M INJ. 4 MG/ML
DEX0000013
AMPUL
1,314.69
165 DEXAMETHASON INJ 5 MG/ML INF BPJS
DEX038
36
AMPUL
1,820.00
166 DEXTROSE 10 % 500 ML (F)
DEX0000032
BOTOL
13,523.40
167 DEXTROSE 40 % 25 ML (F)
DEX0000033
AMPUL
6,243.30
DEX0000034
BOTOL
10,580.15
DEX0000036
10
BOTOL
9,405.89
170 DIAVIRO 40 ML
DIA023
BOTOL
240,598.81
171 DIPHENHYDRAMINE INJ BPJS
DIP009
AMPUL
872.70
172 DISP. SYRINGE 1 CC TB (TERUMO)
DIS0000019
213
PIECES
2,048.00
DIS0000020
132
PIECES
1,627.00
DIS0000022
PIECES
4,999.89
DIS0000023
220
PIECES
1,604.19
DIS0000024
48
PIECES
1,415.19
DIS0000025
PIECES
11,461.37
178 DISP.HAND SWITCH ELECTROSURGICAL PENCILS (F4798)
DIS050
17
PEMAKAIAN
12,239.54
179 DOBURAN INJ BPJS
DOB006
AMPUL
25,486.40
180 DOBUTAMIN GIULINI INJ. 250 MG
DOB0000002
AMPUL
234,873.90
181 DOBUTEL INJ 50MG/ 5ML (F)
DOB0000004
VIAL
143,750.00
182 DOPAMIN GUILINI INJ 200 MG/10 ML (F)
DOP0000005
VIAL
57,195.25
183 DOUBLE 'J' STENT CLOSED END NO. 4.5 FR
DOU0000008
SET
253,000.00
184 DOUBLE 'J' STENT CLOSED END NO. 4.7 FR
DOU0000003
SET
240,000.00
185 DOUBLE 'J' STENT OPEN END NO. 4.7 FR
DOU0000009
SET
253,000.00
186 DUVADILAN INJ 10 MG (F)
DUV0000001
AMPUL
24,544.54
187 EFRISEL CENDO 10% 5 ML
EFR001
BOTOL
16,041.09
188 ELECTROSURGICAL HAND CO. PEND DISP. (COATER PEN)
ELE003
PIECES
62,400.00
189 ELEKTRODA BPJS 3M
ELE004
42
PIECES
5,525.00
190 EMLA KRIM 5 G (F)
EML0000001
GRAM
10,043.20
191 EPHEDRIN HCL INJ. 1 ML@10 BPJS
EPH0000001
67
AMPUL
25,000.00
192 EPIDURAL SET 18 PERIFIX-BBRAUN
EPI0000004
SET
306,000.00
193 EPINEPHRINE INJ 0.1 MG BPJS
EPI007
74
AMPUL
7,363.51
194 EQUISPON 8XD3 (TAMPON) 5X5/5
EQU007
PIECES
290,400.00
195 EQUISPON STANDAR
EQU008
15
PIECES
51,857.14
196 ERLAMYCETIN 3.5GR SM BPJS
ERL004
TUBE
4,500.00
197 ERLAMYCETIN RSPJ
ERL001
TUBE
8,580.00
198 ETHYL CHLORIDE 100 ML-WALTER
ETH0000023
BOTOL
50,000.00
ETT0000038
PIECES
45,000.00
ETT041
PIECES
55,000.00
201 ETT CLEAR W/ CUFF NO. 4.5 RUSCH
ETT0000040
PIECES
57,657.35
202 ETT CLEAR W/CUFF NO. 3;5 RUSCH
ETT0000039
PIECES
45,000.00
203 ETT NLO / PEDIATRIC TANPA CUFF (PORTEX) 2.0
ETT0000023
PIECES
74,402.97
ETT0000024
PIECES
75,783.70
ETT0000025
PIECES
73,387.50
ETT0000026
PIECES
73,387.50
ETT0000027
PIECES
72,924.85
ETT0000028
PIECES
80,773.41
ETT0000029
PIECES
77,679.36
ETT0000030
PIECES
95,000.00
ETT0000021
PIECES
79,000.00
ETT048
PIECES
25,000.00
213 ETT NO 6 REMEDI BPJS
ETT047
PIECES
25,000.00
214 ETT NO 6.5 RUSCH BPJS
ETT052
PIECES
75,000.00
215 ETT NO 7 RUSCH BPJS
ETT054
PIECES
75,000.00
ETT0000015
PIECES
0.00
217 ETT NO. 3 RUSCH
ETT0000002
PIECES
55,000.00
ETT0000003
PIECES
45,000.00
ETT0000014
PIECES
265,000.00
ETT0000022
PIECES
265,000.00
221 ETT NO. 4 KENDALL
ETT042
PIECES
55,000.00
222 ETT NO. 4 TROGE
ETT0000004
PIECES
55,000.00
223 ETT NO. 4.5 IDEAL CARE
ETT0000005
PIECES
36,666.75
224 ETT NO. 5 RUSH
ETT0000006
PIECES
40,000.00
225 ETT NO. 5,5 RUSCH
ETT046
PIECES
0.00
ETT0000007
PIECES
48,333.33
227 ETT NO. 6 RUSH
ETT0000008
PIECES
55,904.97
228 ETT NO. 6.5 RUSH
ETT0000009
PIECES
58,516.25
229 ETT NO. 7 RUSCH
ETT045
PIECES
59,916.67
230 ETT NO. 7 TROGE
ETT0000010
PIECES
49,722.39
ETT044
PIECES
63,701.30
ETT0000011
PIECES
48,250.73
233 ETT NO. 8 TROGE
ETT0000012
PIECES
45,000.00
ETT0000013
PIECES
55,000.00
235 ETT NO.4.5 RUSCH
ETT0000037
PIECES
55,000.00
236 ETT NO.5 (PORTEX)
ETT0000036
PIECES
81,457.75
237 ETT PORTEX NO. 5;5
ETT0000035
PIECES
87,355.09
ETT0000031
PIECES
81,457.75
239 ETT PORTEX NO. 6.5
ETT066
ETT0000033
PIECES
95,000.00
241 ETT PORTEX NO. 7,5
ETT0000032
PIECES
95,000.00
ETT0000034
PIECES
93,686.61
243 ETT RUSCH UNCUFFED NO.5
ETT058
PIECES
67,000.00
244 ETT WIHT CUFF NO 5.0 AXIMED
ETT073
PIS
22,000.00
245 ETT WITH CUFF AXIMED NO 4.0
ETT068
PASANG
24,200.00
ETT072
ETT079
PSG
21,511.11
248 ETT WITH CUFF NO 7 AXIMED
ETT076
PIS
24,200.00
249 ETT WITH CUFF NO 7,5 AXIMED
ETT080
16
PIS
24,200.00
ETT071
11
PIS
22,000.00
251 EXTENSION TUBE ET-1 1500MM
EXT0000001
BUAH
11,213.29
252 EXTENTION CABLE NEUTRAL PLATE BIPOLAR JACK REM
EXT012
PIECES
600,000.00
253 EXTRACE INJ 100 MG/ML (F)
EXT0000007
AMPUL
5,833.33
254 EYE DOP FECO
EYE007
PCS
50,000.00
255 EYE DRAFE FECO
EYE006
PCS
60,000.00
256 FACE MASK GLASS
FAC017
25
PIECES
11,200.00
257 FACE MASKER @ 50 PCS
FAC0000008
1166
PIECES
330.00
258 FACE MASKER AMBU NO. 3/4
FAC0000014
PIECES
650,000.00
259 FACE MASKER TALI @50 STARDEC
FAC0000013
PIECES
330.00
260 FARMADOL INFUS (F)
FAR0000006
BOTOL
56,899.36
261 FEEDING 5 FR (NGT)40CM
FEE014
PIECES
18,900.00
262 FEEDING TUBE 8FR(NGT) 40CM
FEE015
PIECES
18,900.00
263 FEEDING TUBE FR. 10 JMS
FEE0000002
PIECES
15,000.00
264 FEEDING TUBE FR. 3.5 TERUMO
FEE0000004
PIECES
18,900.00
265 FEEDING TUBE FR. 5 TERUMO (100CM)
FEE0000006
PIECES
15,000.00
FEE0000008
BUAH
15,000.00
267 FENTANYL 0.05 MG/ML 2ML AMPUL
FEN008
35
VIAL
44,000.00
268 FIMA HES 200 INFUS 500 ML (F)
FIM0000004
FLACON
120,000.00
269 FIXOMULL 15X5
FIX009
PIS
115,989.93
270 FLAGYL SUPP 1 G (F)
FLA0000011
SUPPOS
20,348.00
271 FOLLEY CATH. 3 WAY NO. 20 RUSCH
FOL0000052
PIECES
54,656.25
272 FOLLEY CATH. 3 WAY NO. 22 RUSCH
FOL0000031
PIECES
35,782.49
FOL0000053
PIECES
28,500.00
FOL0000032
PIECES
28,306.45
FOL0000010
16
PIECES
15,127.63
FOL0000012
12
PIECES
14,448.40
FOL0000016
PIECES
13,463.80
FOL0000020
PIECES
12,552.80
FOL0000022
PIECES
45,000.00
FOL0000036
PIECES
43,844.14
FOL0000038
PIECES
13,113.16
FOL0000039
PIECES
8,000.00
FOL0000041
PIECES
8,000.00
284 FOLLEY CATHETER NO. 20 (RUSH)
FOL0000042
PIECES
12,672.41
285 FOLLEY CATHETER RUSH NO.22
FOL0000048
PIECES
12,554.05
95,000.00
22,000.00
286 FOLLEY CATHETER SILICON NO. 12
FOL034
PIECES
110,000.00
287 FREMILEN 1 B BRAUN
FRE011
10
PIECES
52,000.00
288 FREMILEN 3/0 DS 24 PAKET HERNIA B BRAUN
FRE012
PIECES
53,661.00
289 FUROSEMID INJ BPJS
FUR004
10
AMPUL
1,868.71
290 FUROSEMID INJ.
FUR0000001
AMPUL
1,840.00
291 GARAMYCIN KRIM 15 G
GAR0000008
TUBE
50,034.41
292 GARAMYCIN KRIM 5 G (F)
GAR0000009
TUBE
23,467.99
293 GEL USG ULTRASOUND 5 L
GEL0000009
294 GELAS LATTE COFFEE
GEL010
PIECES
0.00
295 GELOFUSIN 500CCBTL
GEL031
BOTOL
159,375.00
296 GELOFUSIN BPJS
GEL032
13
BOTOL
80,273.00
297 GELOFUSINE LAR. INFUS 3% 500 M
GEL0000003
BOTOL
133,321.50
298 GENTAMICIN 0.1 % SALEP BPJS
GEN012
TUBE
2,500.00
299 GENTAMYCIN 0.1 % SALEP KULIT 5 GRAM BPJS
GEN013
PCS
2,600.00
300 GENTAMYCIN INJ 40MG/ML
GEN011
AMPUL
4,236.79
301 GENTAMYCIN INJ RSPJ
GEN017
AMPUL
4,840.00
302 GNS-2109 GYNAECOLOGY SET
GNS001
SET
575,300.00
303 GUEDEL AIRWAYS 4
GUE0000002
BUAH
23,538.46
304 GUEDEL 100 MM
GUE0000027
PIECES
15,000.00
305 GUEDEL 60 MM
GUE0000026
PIECES
15,000.00
306 GUEDEL AIRWAY NO 5 (100MM)
GUE0000012
PIECES
75,000.00
GUE0000013
PIECES
27,000.00
GUE0000008
PIECES
15,100.00
GUE0000009
PIECES
14,450.00
GUE0000010
PIECES
14,450.00
GUE0000015
PIECES
88,560.29
GUE0000014
PIECES
88,560.29
GUE0000016
PIECES
89,791.50
GUE0000017
PIECES
89,791.50
GUE0000018
PIECES
96,527.67
GUE0000019
PIECES
101,527.67
GUE0000020
PIECES
100,895.75
GUE0000021
PIECES
102,518.45
319 GUEDEL RUSCH NO.10 (MERAH)
GUE037
PIECES
0.00
320 GUEDEL RUSCH NO.11 (ORANGE)
GUE036
PCS
0.00
321 GUEDEL RUSCH NO.7 (70MM)
GUE038
PCS
0.00
322 GUEDEL RUSCH NO.7 (PUTIH)
GUE035
PIECES
0.00
323 GUEDEL RUSCH NO.8 (HIJAU)
GUE034
PCS
147,505.00
324 GUIDE WIRE TEFFLON TIPE 0.025 ; 150 CM
GUI0000004
PIECES
198,000.00
GUI0000005
PIECES
180,000.00
GUI0000006
PIECES
180,000.00
GYN005
SET
0.00
GYN006
SET
557,103.08
329 GYPSONA 10CMX3.5M
GYP0000004
PIECES
31,893.64
330 GYPSONA 15 CM
GYP0000003
PIECES
43,691.56
331 GYPSONA 4 INC RSPJ
GYP006
PCS
50,000.00
332 GYPSONA 7.5CMX2.7M
GYP0000005
PIECES
22,559.32
333 H2O2 1% 60 ML
H2O003
10
MILILITER
0.00
334 H2O2 3% 30 ML
H2O0000003
BOTOL
3,166.71
335 H2O2 3% 50 ML RSPJ
H2O004
MILILITER/CC 12,268.00
336 H2O2 50% 800 ML
H2O0000004
337 HALOTHANE LIQUID 250 ML
HAL0000005
338 HANDS GLOVE STERIL NO.7.5
HAN045
PIECES
4,552.00
339 HANDSCHOEN FESCO L BPJS
HAN042
PIECES
350.00
340 HANDSCHOEN FESCO M BPJS
HAN041
PIECES
350.00
341 HANDSCHOEN FESCO S BPJS
HAN040
PCS
350.00
342 HANDSCHOEN STERIL NO. 6 GAMMEX
HAN0000004
PASANG
8,141.53
111
343 HANDSCHOEN STERIL NO. 6.5 GAMMEX
HAN0000005
227
PASANG
9,494.98
HAN0000006
59
PASANG
9,494.72
345 HANDSCHOEN STERIL NO. 7.5 GAMMEX
HAN0000007
220
PASANG
8,179.40
HAN0000008
445
PASANG
9,496.17
347 HANDSCHOEN STERIL NO.6 GAMMEX NON POWDER
HAN0000019
PASANG
13,562.50
348 HANDSCHOEN STERIL PANJANG NO. 7 REMEDI
HAN0000015
PASANG
15,277.78
349 HANDSCHOEN STERIL PANJANG NO. 7;5 REMEDI
HAN0000016
PASANG
15,000.00
350 HANSAPLAS PLESTER 10'S
HAN0000009
PAK
19,362.75
351 HANSAPLAST STANDARD STRIP (2637)
HAN0000014
23
PIECES
280.00
352 HEMOLOK SOL 100 ML (F)
HEM0000008
BOTOL
48,214.29
353 HEMOLOK CLIP L - 544240
HEM004
PIECES
82,500.00
354 HEMOLOK CLIP ML - 544230
HEM005
PIECES
77,000.00
355 HEMOLOK CLIP XL - 544250
HEM006
PIECES
96,250.00
356 HERMESH 4; 5X7.5 CM @24 H40575
HER0000008
PIECES
125,000.00
357 HIBICET 5 LITER
HIB0000001
279
358 HIBICET 500ML
HIB0000003
359 HIDRODISECTION CANULA
HID002
PIECES
HYP0000001
CENTIMETER 171.08
HYP0000002
955
CENTIMETER 239.44
HYP0000003
CENTIMETER 90.59
363 HYPAFIX SOFT CLOTH NO 10 X 10 BPJS
HYP013
395
CENTIMETER 117.27
HYP014
1717
CENTIMETER 110.49
HYP012
590
CENTIMETER 61.48
366 ILIADIN SPRAY 0.05% 10 ML
ILI0000003
BOTOL
33,718.50
367 INDUXIN INJ (F)
IND0000006
AMPUL
7,800.00
368 INFUS SET ADULT FESCO BPJS
INF034
PIECES
4,000.00
369 INFUS SET DEWASA STERA
INF037
PASANG
5,775.00
370 INFUS SET MAKRO TERUMO
INF0000008
PIECES
9,664.58
371 INFUS SET MICRO TERUMO
INF0000012
PIECES
17,500.00
372 INFUS SET VOLUMETRIC TERUMO
INF0000022
PIECES
65,000.00
373 INTERNAL CHEMICAL INDICATOR STEAM @240 [TM1250]
INT0000023
STRIP
1,063.33
374 INTRAOCULERLENS (IOL)18,5
INT024
10
PIECES
67,925.00
375 INTRAOCULERLENS PMMA (IOL) NO 12.5
INT042
PIECES
100,000.00
376 INTRAOCULERLENS PMMA (IOL) NO 13
INT044
PIECES
100,000.00
377 INTRAOCULERLENS PMMA (IOL) NO 14
INT043
PIECES
100,000.00
378 INTRAOCULERLENS PMMA (IOL) NO 20.5
INT020
PCS
100,000.00
379 INTRAOCULERLENS PMMA (IOL) NO.22.5
INT031
PIECES
100,000.00
380 INTRAOCULERLENS PMMA (IOL)18
INT025
PIECES
77,000.00
381 INTRAOCULERLENS PMMA (IOL)21.5
INT022
PIECES
97,871.43
382 INTRAOCULERLENS PMMA (IOL)NO.21
INT029
10
PIECES
100,000.00
383 INTRAOCULERLENS PMMA IOL NO 25.00
INT045
PCS
100,000.00
384 INTRAOCULERLENS PMMA(IOL) NO.22
INT030
PIECES
100,000.00
INT028
11
PIECES
78,650.00
386 INTRAOCULERLENS PMMA(IOL)19,5
INT023
16
PIECES
100,000.00
INT027
PIECES
100,000.00
388 INTRAOCULERLENS(IOL)20,5
INT026
14
PIECES
69,457.14
389 INTUBATION STYLET PORTEX NO 2 (DEWASA)
INT037
PASANG
135,000.00
390 INVOMIT INJ 4 MG (F)
INV0000002
AMPUL
30,550.00
391 IOBANINCISE 35X35 CM
IOB001
PIECES
132,616.00
IOL016
PCS
185,000.00
IOL017
PCS
370,000.00
IOL018
PCS
370,000.00
IOL019
PCS
370,000.00
IOL020
PCS
370,000.00
IOL026
PCS
370,000.00
398 IOL FOLD SPHERIC POWER 15.0 FECO
IOL007
PCS
370,000.00
IOL008
PCS
370,000.00
95,000.00
IOL009
PCS
370,000.00
IOL021
PCS
370,000.00
IOL010
PCS
370,000.00
IOL011
PCS
370,000.00
IOL012
PCS
370,000.00
IOL014
PCS
370,000.00
IOL015
PCS
370,000.00
IOL022
PCS
370,000.00
IOL023
PCS
370,000.00
409 IOL NEO EYE P 15.5
IOL006
PCS
125,000.00
410 IOL NEO EYE P13.0
IOL005
PCS
125,000.00
411 IOL PC PMMA P:24.00
IOL024
PCS
100,000.00
412 ISOFLURANE 250ML
ISO0000027
325
413 IV CATHETER WITH WINGS NO 18 AXIMED
IVC001
26
PIS
7,000.00
414 IVANES INJ
IVA001
BOX
140,000.00
415 IVFLON NO 18
IVF001
19
PIECES
6,000.00
416 IVFLON NO 20
IVF002
PIECES
6,000.00
417 IVFLON NO 22
IVF003
PIECES
6,000.00
418 IVFLON NO 24
IVF004
PIECES
6,000.00
419 JACKSON -RESS APL. VAL
JAC0000002
SET
425,000.00
420 KAEN 1B 500 ML
KAE0000001
KOLF
18,500.00
421 KAEN 3A 500 ML (F)
KAE0000002
KOLF
16,989.68
422 KAEN 3B 500 ML (F)
KAE0000003
KOLF
13,823.60
423 KALFOXIM INJ. 1 G
KAL0000009
VIAL
140,000.00
424 KALMETHASON INJ 5MG (F)
KAL0000023
AMPUL
6,500.00
425 KALMICETIN OINT 15 G
KAL0000048
TUBE
7,012.50
426 KALNEX INJ. 250 MG ('10)
KAL0000030
AMPUL
9,000.00
427 KALNEX INJ. 500 MG (F)
KAL0000031
AMPUL
12,000.00
428 KALTROFEN SUPP. 100 MG (10') (F)
KAL0000043
26
SUPPOS
12,490.64
429 KANTONG PLASTIK HITAM 30 X 50
KAN006
PAK
4,009.33
430 KAPAS 1 KG (1)
KAP0000004
GRAM
54.94
431 KARTU STOCK BARANG FARMASI (BIRU)
KAR007
LEMBAR
0.00
432 KASA GULUNG X RAY DRC
KAS020
3887
LEMBAR
956.70
433 KASA LIPAT X-RAY
KAS018
PIECES
3,366,000.00
434 KASSA GULUNG (HYDROPHILE) 80CMX36M
KAS0000006
260
LEMBAR
550.00
435 KASSA GULUNG 10 CM BPJS
KAS0000007
ROLL
1,400.00
436 KASSA GULUNG 5 CM
KAS0000008
ROLL
403.46
437 KASSA GULUNG DRC 80CM X 36M BPJS
KAS015
LEMBAR
550.00
438 KASSA HYDROFIL BINDA MERAH 40 X 36
KAS021
LEMBAR
468.44
439 KASSA HYDROPHILE 40X80 CM
KAS0000012
GULUNG
4,581.81
440 KASSA ROLL X-RAY 36MX80CM
KAS011
ROLL
272,000.00
441 KCL 7.46% 25 ML (F)
KCL0000002
FLACON
4,948.40
442 KEMICETINE SALEP KULIT 2%15 G
KEM0000004
TUBE
6,000.00
443 KENDIL
KEN009
BUAH
7,000.00
444 KERTAS A4 80 GSM
KER020
RIM
31,000.00
445 KERTAS EKG KENZ CARDIO 302
KER0000042
PAK
255,000.00
446 KERTAS PERKAMEN GULUNG
KER0000025
LEMBAR
2,000.00
447 KETESSE INJ (F)
KET0000012
AMPUL
46,707.25
448 KETOROLAC INJ 30MG BPJS
KET017
43
AMPUL
4,216.47
449 KONDOM SUTRA (BOX ISI 12)
KON0000009
PIECES
847.70
450 KTM 100 INJEKSI 10ML
KTM001
10
MILILITER
18,053.69
451 KY JELLY GEL 82 G (F)
KYJ0000001
TUBE
36,000.00
452 LAMINARIA STIK (M)
LAM0000003
BUAH
75,704.23
453 LANCET CONT ACT BLUE 2.0 MM
LAN0000018
PIECES
5,057.78
454 LANTIPAIN INJ 30 MG
LAN020
VIAL
35,000.00
455 LARYNGEAL MASK AIRWAY SILICON NO 3 BPJS
LAR013
PIECES
275,000.00
456 LARYNGEAL MASK AIRWAY SILICON NO 5 BPJS
LAR014
PEMAKAIAN
0.00
1000
LAR0000012
PIECES
325,000.00
LAR0000013
PIECES
316,964.29
LAR0000006
PEMAKAIAN
64,000.00
LAR012
PIECES
275,000.00
LAR015
PIECES
355,000.00
462 LASIX INJ 2 ML (F)
LAS0000006
12
AMPUL
12,996.70
463 LEUKOPLAST 7.5 CM ( 1625 )
LEU0000011
ROL
27,028.73
464 LEUKOPOR 1,25CMX9,2 (1/2")
LEU009
ROL
9,748.38
465 LEUKOPOR 2,50CMX9,2 (1")
LEU010
11
ROLL
20,830.94
466 LIDOCAIN 2 % INJ BPJS
LID007
998
AMPUL
996.00
467 LIMBO BREATHING CIRCUIT FOR VENTILATOR
LIM002
PCS
140,307.69
468 LOCOPLEX 21G 100MM
LOC005
PIECES
170,000.00
469 LOCOPLEX BEVEL 30 G 21 ,LENGTH 100MM
LEC002
PCS
170,000.00
470 LOCOPLEX BEVEL 30(G21,LENGTH 50MM)
LEC001
PIECES
170,000.00
471 LOMATUELL H @10
LOM0000001
PIECES
12,000.00
472 LOMATUL BPJS
LOM005
PCS
15,000.00
473 LUX SABUN MANDI CAIR REFILL 250 ML
LUX001
PIECES
0.00
474 MAMA LIME REFILL 800 ML
MAM003
PIECES
8,986.76
475 MARCAIN 0.5% SPINAL HEAVY (F)
MAR0000001
AMPUL
71,936.40
476 MASKER OKSIGEN ADULT
MAS0000005
PIECES
17,000.00
477 MASKER OKSIGEN NON REBREATHING ADULLT SALTER
MAS0000006
PIECES
45,000.00
478 MASKER OKSIGEN REBREATHING ADULT SALTER
MAS0000009
PIECES
45,000.00
479 MASKER OKSIGEN REBREATHING PAED
MAS0000010
PIECES
55,000.00
480 MEDIFIX LINE
MED0000022
PIECES
115,266.67
481 MEDIFIX SCALE
MED0000009
PIECES
206,400.00
482 MERSILK 3/0 W587 H
MER029
PIECES
203,346.00
483 METHERGIN INJ
MET0000034
AMPUL
7,358.23
484 METHYLEN BLUE SOL 1%
MET0000019
485 METHYLERGOMETRINE MAL 100 AMP/1CC
MET040
68
AMPUL
2,086.53
486 METHYLPREDNISOLONE 125 MG INJ BPJS
MET030
AMPUL
26,590.62
487 METRICIDE 3.8 L
MET0000033
GALON
440,000.00
488 METVELL INJ 0.2 MG/ML
MET0000028
AMPUL
7,465.83
489 METVELL TAB 0.125 MG
MET0000029
TABLET
2,250.00
490 MEYLON 8.4% INJ. 25 ML
MEY0000001
AMPUL
9,062.80
491 MGSO4 40% 25 ML (F)
MGS0000002
AMPUL
5,934.00
492 MICROPORE 1
MIC0000010
ROLL
23,090.66
493 MICROPORE 1,25 X 910 CM BPJS
MIC020
CENTIMETER -44.40
494 MICROPORE 1/2
MIC0000011
ROL
11,550.00
495 MICROPORE 2
MIC0000012
ROL
41,987.98
496 MICROSIELD 4 5 LITER
MIC0000019
497 MICROSIELD 4 500ML
MIC0000018
498 MILOZ INJ. 15 MG
MIL0000002
AMPUL
45,000.00
499 MILOZ INJ. 5 MG (F)
MIL0000003
AMPUL
20,012.37
500 MONOCRYL 3/0 Y 936H
MON0000022
PIECES
80,727.89
501 MONOCRYL 5/0 Y493G
MON0000025
PIECES
108,906.87
502 MONOSYN 3/0 DS 24 ( VIOLET )
MON0000020
PIECES
78,622.50
503 MONOSYN 3/0 DS 24 (UNDEYED)
MON0000026
PIECES
78,000.00
504 MORPHIN HCL INJ 10 MG (F)
MOR0000003
18
AMPUL
8,460.00
505 NACL 0.9% 100 ML (F)
NAC0000003
KOLF
10,788.05
506 NACL 0.9% 1000ML
NAC0000011
22998
ML
17.40
507 NACL 0.9% 25 ML (F)
NAC0000004
FLAKON
2,936.69
508 NACL 0.9% 500 ML (F)
NAC0000005
KOLF
11,687.30
509 NACL 0.9% 500ML OGB WIDATRA
NAC0000010
BOTOL
5,827.00
510 NACL 3 % 500 ML
NAC0000006
KOLF
19,200.00
511 NARFOZ INJ. 4 MG/ 2 ML (F)
NAR0000001
AMPUL
22,729.16
512 NARFOZ INJ. 8 MG/4 ML (F)
NAR0000002
AMPUL
50,269.62
513 NAROPIN INJ 7.5 MG/ML 10ML (F)
NAR0000005
AMPUL
52,811.74
514 NASAL CANNULA ADULT BPJS
NAS025
PEMAKAIAN
2,698.21
515 NASAL CANNULA FOR NEONATAL [1164]
NAS0000008
PIECES
63,000.00
516 NASAL CANNULA NEONATAL [BC2435]
NAS0000011
PIECES
140,250.00
517 NASAL CANNULA PEDIATRIC
NAS024
PIECES
3,706.52
518 NASAL CANULA ADULT
NAS0000005
PIECES
14,343.48
519 NASAL CANULA PAED 1826
NAS0000003
PIECES
14,419.77
520 NASOPHARRYNGEAL AIR WAY 8
NAS034
PIECES
166,250.00
521 NEBACETIN POWDER 5 G
NEB0000002
TUBE
18,500.00
522 NEBULIZER + MASK ADULT SALTER
SEL0000015
PIECES
44,132.63
523 NEBULIZER + MASK PEDIATRIC
SEL0000016
PIECES
52,833.23
524 NEEDLE 23 G
NEE0000002
PIECES
300.00
525 NEEDLE 25 G
NEE0000003
PIECES
300.00
526 NEEDLE 26 G
NEE0000004
PIECES
300.00
528 NEOFLON 24 G
NEO0000007
PIECES
31,002.03
529 NEOFLON 26 G @50
NEO0000016
PIECES
37,316.54
527 NEO-K INJ (F)
NEO0000011
18
AMPUL
11,154.26
530 NEOSTIGMIN HALMEN INJ BPJS
NEO023
20
AMPUL
7,565.93
531 NEOSTIGMIN HAMELN INJ 0.5 MG/ML (F)
NEO0000019
AMPUL
13,860.00
532 NEUROBION 5000 MG INJ (F)
NEU0000004
AMPUL
5,457.34
533 NEUTRAL PLATE BIPOLAR WITHOUT CABLE
NEU033
21
PCS
37,995.52
534 NICHOLIN INJ 250 MG (F)
NIC0000002
AMPUL
39,169.57
535 NIFEDIPIN TAB 10 MG - DEXA
NIF0000001
TABLET
107.86
536 NIFEDIPIN TAB. 10 MG - KF (F) BPJS
NIF0000002
TABLET
116.91
537 NOKOBA INJ. 0.4 MG/ML 2 ML
NOK0000001
AMPUL
82,681.25
538 NORCURON INJ 4 MG
NOR0000002
AMPUL
68,382.77
539 NOTRIXUM INJ 50MG
NOT004
AMPUL
69,000.00
540 NOTRIXUM INJ. 25
NOT0000002
22
AMPUL
39,017.61
542 NOVALGIN INJ 2 ML (F)
NOV0000006
AMPUL
9,442.82
541 NOVA-T 2000 (F)
NOV0000012
PIECES
176,236.06
543 NTG INJEKSI @ 10 AMPUL
NTG001
AMPUL
57,294.12
544 NUPOVEL INJ
NUP003
VIAL
85,000.00
OND010
19
AMPUL
2,470.81
546 ONDANCENTRON 4 MG INJ RSPJ
OND006
AMPUL
11,800.00
OND007
AMPUL
9,603.13
548 ONDAVELL INJ. 4 MG 2 ML (F)
OND0000001
AMPUL
29,000.00
549 ONE SWAB BPJS
ONE004
35
PIECES
93.73
550 OPSITE IV 3000 7X9 DEWASA
OPS005
10
PCS
5,720.00
551 OPSITE POST OP 25 X 10 CM
OPS0000010
PIECES
25,665.15
552 OTSUTRANS 70% 500 ML
OTS002
KOLF
71,171.35
553 OXYLA
OXY006
AMPUL
10,000.00
554 OXYTOCIN INJ 1 ML BPJS
OXY004
25
AMPUL
3,492.61
555 PAMOL SUPP 125 MG (F)
PAM0000010
15
SUPPOS
9,500.00
556 PANTOPRAZOLE INJ 40 MG
PAN024
VIAL
43,136.46
557 PANTOZOL INJ. 40 MG (F)
PAN0000016
VIAL
140,628.23
558 PARAFIN LIQ
PAR0000009
559 PASTIK ( ALKOHOL SWAB ) (100')
PAS0000001
21
PCS
265.46
560 PDS II 5-0 Z1013H TAPER
PDS0000009
PIECES
181,250.00
561 PDS II 6-0 W9096 TAPER
PDS0000008
PIECES
181,250.00
562 PEDIATRIC BREATHING SYSTEM [CAT 2142]
PED0000007
PIECES
102,080.00
563 PEHACAIN INJ
PEH0000004
22
AMPUL
54,070.60
564 PEMBALUT POST PARTUM (MONALISA)
PEM003
13
PAK
10,072.81
565 PENCAN PENCIL POINT G 27 + INTRODUCER 3;5'
PEN0000011
PIECES
62,480.00
566 PENENG BAYI BIRU 'FOCAL'
PEN0000003
PIECES
749.81
567 PENENG BAYI BIRU REMIDI
PEN0000012
98
PIECES
755.76
568 PENENG BAYI PINK 'FOCAL'
PEN0000004
PIECES
749.44
569 PENENG BAYI PINK REMIDI
PEN0000013
PIECES
756.47
570 PENENG DEWASA BIRU (1)
PEN0000005
PIECES
750.00
571 PENENG DEWASA PINK (1)
PEN0000006
95
PIECES
750.00
572 PERIOPERATIF HAL 3-4
ASS022
32
RIM
60,000.00
573 PETHIDIN HCL INJ 50MG/ML;2 ML (F)
PET0000001
AMPUL
11,992.20
574 PETHIDINE INJ RSPJ
PET002
AMPUL
17,000.00
575 PGA 8.0
PGA002
PGA
145,000.00
576 PINSET COUTER 18.5 CM
PIN021
PIECES
0.00
577 PISAU CUKUR GILLETTE
PIS002
PIECES
5,820.00
578 PITOGIN INJ
PIT007
AMPUL
12,650.00
579 PLAIN 2-0 W 733 (1872 T)
PLA0000004
PIECES
55,000.00
581 PLAIN 3/0 TS-24 75 CM BPJS PAKET LAPARATOMI OBGYN
PLA072
PIECES
45,943.00
582 PLAIN 3/0 TS-24 75 CM BPJS PAKET SC
PLA074
PIECES
35,666.00
583 PLAIN 3/0 TS-24 BPJS PAKET HYSTEREKTOMY
PLA075
PIECES
55,033.00
580 PLAIN 3-0 W 438 ( RB )
PLA0000014
SACHET
36,996.51
584 PLAIN 4/0 HR 17 BPJS
PLA0000054
PIECES
44,166.25
585 PLAIN 4/0 HR-17 75 CM BPJS PAKET SIRKUMSISI
PLA073
PIECES
30,300.00
586 POLYPRO (POLYPROPLENE) 2/0 8685P
POL0000033
PIECES
55,903.76
587 POLYPRO (POLYPROPLENE) 2/0 TS 27 BPJS PAKET DEBRIDEMENT
POL030
PIECES
44,510.00
POL0000034
PIECES
74,145.34
589 POLYPRO (POLYPROPLENE) 4/0 8683P / 8629P
POL0000030
22
PIECES
74,950.68
590 POLYPRO (POLYPROPLENE) 4/0 TS 19 BPJS PAKET MULTILIPOMA
POL031
PIECES
125,014.05
POL0000031
13
PIECES
77,915.97
POL0000032
17
PIECES
73,264.83
593 POLYPROPLENE 3/0 TS-24 75 CM BPJS PAKET APP
POL025
PIECES
49,310.66
594 POLYPROPLENE 3/0 TS-24 75 CM BPJS PAKET HERNIA
POL029
PIECES
63,257.00
596 POLYPROPLENE 3/0 TS-24 75 CM BPJS PAKET MULTILIPOMA
POL032
16
PIECES
63,257.00
597 POLYPROPLENE 3/0 TS-24 75 CM BPJS PAKET RUPTUR TENDON
POL033
PIECES
129,772.00
598 PORTEX ETT CLEAR CUFFED NO 5 BPJS
POR001
PIECES
40,000.00
599 POSPARGIN INJ (F)
POS0000001
18
AMPUL
5,250.00
600 POUCHES GUSSETTE 15 CM X 5 CM X 100 M
POU0000003
10
ROLL
560,000.00
601 POUCHES GUSSETTE 25 CM X 6.5 CM X 100 M
POU0000004
1000
CM
8,750.00
602 POUCHES GUSSETTE 40 CM X 6 CM X 100 M
POU0000005
10
CM
1,505,000.00
603 POUCHES STERILIZATION FLAT 20 CM X 200 M
POU0000002
10
LEMBAR
962,500.00
604 POUCHES STERILIZATION FLAT 7.5 CM X 200 M
POU0000001
10
LEMBAR
465,850.00
605 POVIDON IODINE 1 L BPJS
POV005
27020
MILILITER
62.75
606 PREMILEN NO 0 B BRAUN HRT 37 REF 2090453
PRE030
PIS
52,580.00
607 PREMILENE MESH 15X15CM
PRE0000038
PIECES
664,125.00
608 PRESEPT TAB. 5 GR
PRE0000027
TABLET
4,743.75
609 PRIMPERAN INJ. 3 MG/ML (RSPJ)
PRI028
AMPUL
0.00
610 PRIMPERAN INJ. 5 MG/ML (F)
PRI0000019
20
AMPUL
9,710.68
611 PROHEM INJ 2MG/ML (F)
PRO109
12
AMPUL
9,673.38
612 PROLEN 2/0 8833H RB/TAPERPOINT
PRO0000022
PIECES
75,000.00
613 PROLEN 3/0 W 8021 T P-CUTTING
PRO0000023
SACHET
76,003.13
614 PROLENE 3/0 W8936 TAPPERCUT
PRO0000121
SACHET
137,000.00
615 PROLENE 4/0 W8935 TAPP
PRO0000049
PIECES
87,641.81
617 PROLENE 6/0 W 8597
PRO0000134
PIECES
121,935.00
616 PROLENE 6-0 8697G
PRO110
PIECES
90,131.25
618 PROLENE MESH PMH (15 CM X 15 CM)
PRO0000132
SACHET
664,125.00
619 PROLENE MESH PMII 7;6 X 15CM
PRO111
SACHET
735,050.00
620 PRONALGES INJ. 50 MG/ML
PRO0000073
AMPUL
18,750.00
621 PRONALGES SUPP (F)
PRO0000074
14
SUPPOS
11,367.79
622 PROPOFOL LIPURO (F)
PRO0000084
AMPUL
82,800.00
623 PRORIS SUPP 125 MG (F)
PRO0000089
19
SUPPOS
4,700.00
624 PROSTIGMIN INJ. 0.5 MG/ML
PRO0000096
AMPUL
16,540.00
625 QUELICIN 200 MG/ 10 ML
QUE0000001
FLACON
129,240.91
626 RADIN INJ. 50 MG/ 2 ML (5')
RAD0000001
AMPUL
12,941.19
627 RAIVAS INJ
RAI0000001
AMPUL
114,900.00
628 RANITIDIN AMP 25 MG/ML 2 ML RSPJ
RAN013
AMPUL
0.00
629 RANITIDINE INJ 25 MG(F)
RAN019
AMPUL
1,967.08
630 RANTIN INJ. 50 MG (F)
RAN0000004
AMPUL
18,000.00
631 RECOFOL INJ 20 ML (F)
REC0000009
10
AMPUL
70,860.74
632 RECOFOL INJ. 200 MG 20 ML
REC0000004
AMPUL
66,200.00
REC017
PASANG
6,600.00
REC018
PASANG
6,600.00
REC019
PASANG
6,600.00
636 RECTAL TUBE NO 22
REC016
PIECES
8,450.00
637 REGIVELL INJ 0.5% (F)
REG0000004
AMPUL
55,000.00
638 REMOPAIN 3% (F)
REM0000003
AMPUL
23,625.00
639 RINGER DEXTROSE 5 % 500 ML (F)
RIN0000002
KOLF
12,627.45
640 RINGER LACTAT 500 ML BPJS
RIN0000004
KOLF
7,472.53
641 SAFIL 1 HR48
SAF0000011
SACHET
75,982.00
642 SAFIL 2/0 HR 26 B BRAUN
SAF013
16
PIS
54,285.00
643 SAFIL 2/0 HR 37S PAKET HERNIA B BRAUN
SAF015
PIECES
58,905.00
644 SAFIL 3-0 DS 19 VIOLET
SAF0000008
SACHET
60,808.00
645 SARUNG TANGAN KARET PANJANG OBGYN
SAR024
10
PASANG
10,500.00
646 SARUNG TANGAN KARET STERIL 7.5
SAR033
PIECES
18,550.00
647 SEDACUM INJ 5MG
SED005
AMPUL
17,468.88
648 SENSI GLOVE L (1)
SEN0000005
336
PIECES
370.70
649 SENSI GLOVE M (1)
SEN0000006
909
PIECES
361.76
650 SENSI GLOVE S (1)
SEN0000007
1822
PIECES
360.73
651 SEPTADINE 5 L (F)
SEP013
3200
MILILITER/CC 0.00
652 SEVODEX
SEV003
500
ML
653 SEVOFLURANE BAXTER 250 ML (F)
SEV0000002
150
654 SEVOFLURANE LIQD 250 ML
SEV0000001
655 SIGMA STERILIZATION SELF SEAL 135 MM X 283
SIG004
PIECES
0.00
656 SILK 1
SIL0000003
1000
METER
0.00
657 SILK 1 HRG-38 90CM
SIL027
PCS
35,160.00
658 SILK 1 HRG-38 BPJS PAKET HYSTEREKTOMY
SIL028
PIECES
55,033.00
660 SILK 2/0 HR 27 610 402413
SIL023
16
PIECES
31,888.00
661 SILK 2/0 T5 (685S)
SIL0000004
SACHET
50,000.00
659 SILK 2-0 ROLL
SIL0000005
METER
4,500.00
662 SILK 3-0 684S (ST) HR 22
SIL0000006
SACHET
32,942.00
663 SILK 4/0 HR 13 75
SIL030
10
PIECES
2,595.00
664 SILK NO. 3/0
SIL0000010
SACHET
27,500.00
665 SILKAM 1 HR 37S B BRAUN
SIL036
29
PIS
34,375.00
SIL035
20
PIS
32,175.00
SIL0000011
PIECES
38,362.50
SIL0000017
PIECES
39,531.70
SIL0000019
SACHET
43,650.75
SIL0000018
PIECES
42,811.76
SIL0000020
SACHET
35,887.50
672 SIMPLE MASKER ADULT
SIM0000015
PIECES
45,000.00
673 SIMPLE MASKER ADULT BPJS
SIM014
PIECES
0.00
674 SKIN MARKER (FINE TIP) STERIL DISPOSIBLE
SKI005
PIECES
38,500.00
675 SLIP TINDAKAN JASA DOKTER (1/4F; 3PLY)
SLI003
BUKU
7,500.00
676 SLIT KNIFE FECO
SLI006
120
PCS
36,000.00
677 SLITE KNIFE 2.75(BIRU)
SLI005
32
PEMAKAIAN
72,500.00
678 SODA LIME (SOFNOLIME CO2 ABSORBENT) 5 KG
SOD0000006
GRAM
90.00
679 SODIUM HYALURONATE 1.4% FECO
SOD011
PCS
186,000.00
680 SOFRA-TULLE 1% (10CMX10CM)
SOF021
LEMBAR
19,051.32
681 SOFTBAND 4 INC
SOF0000002
PCS
17,359.12
682 SOFTBAND 10 CM
SOF0000008
ROL
18,888.89
683 SOFTBAND 3 INC
SOF0000001
PCS
13,679.48
684 SOFTBAND 6 INC
SOF0000003
PCS
27,265.98
685 SOJOURN LAR 250 ML (F)
SOU0000001
BOTOL
2,600,000.00
5250
8,330.00
686 SOTATIC 5 MG/ML INJ RSPJ
SOT002
AMPUL
9,580.00
687 SOTATIC INJ
SOT0000001
AMPUL
4,240.00
688 SPALK 5X12 CM
SPA031
PIECES
0.00
689 SPALK 5X15 CM
SPA032
PIECES
0.00
690 SPALK 5X20 CM
SPA033
PIECES
0.00
691 SPINAL NEEDLE NO. 27
SPI0000009
PIECES
23,500.00
692 SPINOCAN NO.27
SPI0000013
PIECES
36,717.65
693 SPINOCAN 27 B BRAUN
SPI0000015
PIECES
15,000.00
SPI0000016
13
PIECES
32,000.00
SPI0000017
74
PIECES
32,000.00
SPI0000026
PIECES
40,425.00
697 SPINOCAN NO.27 BPJS
SPI039
PCS
12,941.18
698 SPONG MQA
SPO010
PIECES
34,320.00
699 SPONGOSTAN (GELITASPON)
GEL0000008
PIECES
42,000.00
700 STAB KNIFE
STA044
PIECES
145,000.00
701 STAB KNIFE FECO
STA046
PCS
180,000.00
702 STARDINE SOL. 10% 60 ML
STA0000012
703 STERANIOS
STE051
GALON
414,750.00
704 STERI DUAL ECO REEL GUSSE 15CMX100M [TM8754]
STE0000022
ROL
627,000.00
STE0000025
ROL
781,000.00
STE0000023
ROL
803,000.00
STE0000024
ROL
1,540,000.00
708 STERI DUAL ECO ROLL FLAT 20 CM X 200 M [TM8609]
STE0000027
ROLL
1,034,000.00
709 STERI DUAL ECO ROLL FLAT 25 CM X 200 M [TM8613]
STE0000028
ROLL
1,342,000.00
710 STESOLID INJ 2 ML @ 5' 10MG
STE0000008
AMPUL
10,400.00
STO030
PIECES
0.00
STO031
PIECES
14,247.76
713 STOMACH TUBE FR. 20 JMS
STO0000009
PIECES
15,000.00
STO0000010
PIECES
22,200.00
STO0000011
PIECES
22,200.00
STO0000013
PIECES
15,274.01
717 STOMACH TUBE N0 20 TERUMO
STO0000014
PCS
15,508.87
718 STOMACH TUBE NO 5 TERUMO (40 CM)
STO0000018
BUAH
15,000.00
719 SUCCINYL (SUXAMETHONIUM) INJ 100MG/2ML
SUC0000026
AMPUL
49,850.00
720 SUCTION CATH NO 8 BPJS
FOL038
19
PIECES
9,352.81
721 SUCTION CATHETER 14 BPJS
SUT0000006
PIECES
6,928.63
722 SUCTION CATHETER FR. 16 PHARMAPLAST
SUC0000025
PIECES
7,500.00
723 SUCTION CATHETER NO 10
SUC0000011
PIECES
4,500.00
FOL037
16
PIECES
7,500.00
SUC0000012
12
PIECES
6,887.70
726 SUCTION CATHETER NO. 8
SUC0000014
PIECES
5,642.60
727 SUCTION CONECTING TUBE (SCT)
SUC0000032
PIECES
24,500.00
728 SUPRANE LIQUID 100% 240 ML
SUP0000008
BOTOL
500,000.00
729 SURAT KETERANGAN DIRAWAT UK. 1PLY, 1/2F, ISI 100
SUR038
RIM
7,000.00
730 SURFLO 14 G X 2
SUR0000005
PIECES
12,500.00
731 SURFLO 16 G X 2
SUR0000006
PIECES
12,494.05
732 SURFLO 18 G X 1 1/4
SUR0000007
PIECES
7,922.38
733 SURFLO 20 BPJS
SUR057
PIECES
8,330.74
734 SURFLO 22 G X 1
SUR0000009
PIECES
7,490.23
735 SURFLO 24 BPJS
SUR060
PCS
8,403.65
736 SURGSCRUB 500ML [D20054] 4%
SUR0000035
10
737 SYNTOCINON INJ RSPJ
SYN004
AMPUL
18,000.00
SYR003
PIECES
515.87
SYR011
PIECES
925.00
SYR006
PIECES
742.36
741 SYRINGE 20CC STERA BPJS
SYR012
PIECES
1,500.00
DIS053
PIECES
500.00
SYR009
PIECES
579.93
SYR004
PIECES
600.00
745 SYRINGE 5 CC STERA
SYR010
PIECES
750.00
746 SYRINGE STERA 1 CC BPJS
SYR008
74
PIECES
597.29
748 TEGADERM + PAD 3582 (5X7CM)
TEG006
PIECES
7,812.00
TEG0000001
LEMBAR
4,782.99
750 TEGADERM 1624
TEG0000002
LEMBAR
4,409.12
TEG0000004
LEMBAR
25,390.02
752 TENSOCREPE 3
TEN0000010
ROL
52,575.00
753 TENSOCREPE 4
TEN0000011
ROL
63,287.00
TEN0000013
ROL
50,876.00
TEN0000014
ROL
94,734.15
756 TENSOCREPE 7.5CMX4.5M
TEN0000015
ROL
42,282.11
757 TERFACEF INJ. 1 G (F)
TER0000002
VIAL
180,228.27
758 TERRALIN 500ML
TER0000017
BOTOL
76,000.00
759 TETAGAM- P INJ 250 IU (F)
TET0000001
AMPUL
155,250.00
760 THREE WAY CATHETER N0. 22 RUSCH
THR0000006
PIECES
60,000.00
761 THREE WAY CATHETER NO. 24 RUSCH
THR0000005
PIECES
56,287.50
762 THREE WAY STOPCOCK ONEMED BPJS
TRE010
10
PIECES
1,765.06
763 THREEWAY STOPCOCK JMS (BUNTUT)
THR0000007
PIECES
27,187.50
764 THROMBOPHOB GEL 20 G (F)
THR0000004
TUBE
45,067.33
765 TISSUE LIVI SS MULTIFOLD
TIS008
PACK
7,406.94
766 TMONO 3-0,76,3/8,24,RC PAKET SC
TMO001
19
PCS
44,075.00
767 TOMIT INJ RSPJ
TOM006
AMPUL
42,500.00
768 TOPI OPERASI KARET
TOP0000002
653
PIECES
496.22
769 TOPI OPERASI TALI
TOP0000003
322
PIECES
871.59
770 TOUNGE SPATEL KAYU
TOU0000002
PIECES
205.22
771 TRACRIUM (ATRAKURIUM INJ 25MG/ML)
TRA043
AMPUL
40,400.00
772 TRAMADOL INJ 100 MG/ 2ML BPJS
TRA041
AMPUL
5,035.90
773 TRAMADOL INJ 50 MG/ML BPJS
TRA0000006
46
AMPUL
5,007.21
774 TRAMADOL TAB RSPJ
TRA045
TAB
430.00
775 TRAMAL INJ 100 MG (F)
TRA0000009
AMPUL
31,602.25
776 TRAMAL INJ. 50 MG/ML
TRA0000010
AMPUL
21,800.00
777 TRAMAL SUPP 100 MG (F)
TRA0000012
29
SUPPOS
15,000.00
778 TRANEXID 10% INJ
TRA042
AMPUL
11,524.39
779 TRANSOFIX
TRA039
42
PIECES
6,478.52
780 TREE WAY NO 20 BPJS
TRE007
PIECES
0.00
781 TRIJECT INJ. 1 G
TRI0000027
VIAL
185,000.00
782 TRILAC INJ. IA/ID 10 MG/ML (F)
TRI0000016
783 TRIPAN BLUE 1ML
TRI039
18
PEMAKAIAN
27,500.00
784 TRIPAN BLUE FECO
TRY001
11
PCS
10,000.00
785 TRULENE MESH 30X30 BPJS
TRU008
10
PEMAKAIAN
78,650.00
786 TUTOFUSIN OPS 500 ML (F)
TUT0000004
BOTOL
52,853.92
747 T-VIO 1,90,1/2,48 HVRB(V16) PAKET SC
TVI001
PCS
36,050.00
787 UDOPA INJ 5 ML BPJS
UDO001
VIAL
8,945.50
788 UMBILICAL CLAMP COSA
UMB0000001
PIECES
1,200.00
789 UMBILICAL COED COSA BPJS
UMB006
PIECES
0.00
790 UMBILICAL CORD CLAMP ONE MED
UMB0000005
PIECES
1,000.00
791 UMBILICAL CORD CLAMPS
UMB0000002
PIECES
1,400.00
792 UNDERPAD TEBAL (PUTIH)
UND0000004
16
PCS
3,516.27
793 UNDERPAD TIPIS (BIRU)
UND0000005
22
PCS
4,000.00
794 UNICAP WIDAHES BPJS
UNI006
KOLF
51,818.00
URE0000010
PIECES
121,000.00
URE0000011
PIECES
121,000.00
URE0000012
PIECES
121,000.00
798 URINE BAG FESCO
URI025
PCS
7,240.47
799 URINE BAG FESCO BPJS
URI026
PIECES
9,000.00
800 URINE BAG STERILE 'UNO MEDICAL'
URI0000023
PIECES
6,000.00
801 UROLOGY SET URS-2101
URO005
SET
0.00
802 USP-2127 UNIVERSAL SET
USP001
30
SET
607,990.82
803 VAKSIN TT (JERAP TETANUS) INJ. (F)
VAK0000021
804 VALISANBE INJ 2ML
VAL0000010
AMPUL
10,765.00
805 VASCON INJ 4MG/4ML (F)
VAS0000021
AMPUL
85,000.00
806 VASELIN KUNING
VAS0000003
GRAM
22.00
VAS0000007
BUAH
25,600.00
VAS0000008
BUAH
26,644.44
VAS0000022
PIECES
26,133.33
810 VENFLON NO. 18 (1.2X32MM) PRO SAFETY
VEN0000020
41
PIECES
34,345.15
811 VENFLON NO. 20
VEN0000002
20
PIECES
15,369.23
812 VENFLON NO. 22
VEN0000003
44
PIECES
15,561.52
813 VENFLON NO. 24
VEN0000004
PIECES
27,945.00
814 VENTOLIN NEBULIZER 2.5 MG (F)
VEN0000013
AMPUL
8,477.38
815 VICRYL 1 TAPERCUT J519H
VIC0000074
SACHET
50,000.00
816 VICRYL 1 W 9421 REV. CUTTING
VIC0000023
SACHET
75,000.00
817 VICRYL 2 W9452 ROUND BODIED
VIC031
PIECES
78,271.88
818 VICRYL 2-0 J 375 H RB
VIC0000038
SACHET
100,000.00
819 VICRYL 2-0 J 602 H TAPERPOINT
VIC0000039
SACHET
75,000.00
820 VICRYL 3/0 W9114
VIC036
PIECES
109,193.70
821 VICRYL 3/0 W9890 REV CUTTING
VIC0000044
PIECES
55,493.63
826 VICRYL 4/0 J392H CUTTING
VIC0000048
PIECES
44,451.05
822 VICRYL 4-0 VCP656G
VIC032
PIECES
82,259.38
823 VICRYL 4-0 W 9106 RB/TAPER
VIC0000053
PIECES
61,386.88
824 VICRYL 4-0 W 9386 REV. CUTTING
VIC0000054
PIECES
53,124.13
825 VICRYL 4-0 W9437
VIC033
PIECES
78,058.75
827 VICRYL 5-0 W9105 RB/TAPER POINT
VIC0000076
PIECES
66,687.50
828 VICRYL 6-0 J212H RB/TAPER POINT
VIC0000077
PIECES
92,000.00
829 VICRYL 6-0 W9500T
VIC034
PIECES
93,051.41
830 VICRYL PLUS 1( VIOLET ) VCP 371H
VIC0000075
PIECES
79,138.54
831 VICRYL PLUS 4-0 VCP392H
VIC0000079
SACHET
67,918.81
832 VIONEX LIQUID 3;8 L
VIO0000003
GALON
675,000.00
833 VIONEX LIQUID SOAP
VIO0000009
GALON
675,000.00
834 VIOREX LIQUID 4 LT
VIO0000010
835 VISCO APPAVISC
VIS005
PIECES
90,000.00
836 VISCOELASTIC HPMC FECO
VIS006
PCS
150,000.00
837 VITAMIN C INJ. 100 MG
VIT0000043
AMPUL
5,830.00
838 VITKA INFANT INJ RSPJ
VIT051
AMPUL
0.00
839 VOLTAREN SUPP 100 MG
VOL0000020
SUPPOS
13,121.97
840 VOMIDEX INJ.@5
VOM0000007
AMPUL
3,323.04
WAT0000003
KOLF
18,000.00
WAT0000001
43
FLACON
4,165.60
843 WING NEEDLE 23G + LUER ADAPTER+ HOLDER
WIN0000005
PIECES
8,471.20
WIN0000003
PIECES
7,470.86
WIN0000004
PIECES
7,500.00
WUN0000003
PIECES
119,000.00
WUN0000001
PIECES
82,500.00
848 WUNDRES N 10X20X0.5 CM
WUN0000002
PIECES
115,000.00
849 X-TRAGENE 4% 5L
X-T0000001
850 XYLOCAIN 10% SPRAY
XYL007
BOTOL
279,370.00
851 XYLOCAIN JELLY 2% 10 G
XYL0000005
TUBE
54,033.24
852 XYLOCAINE 2% INJ
XYL0000007
AMPUL
7,021.92
853 YANKUAR SUCTION
YAN0000001
PIECES
35,000.00
99
CAT111
RIM
60,000.00
133
CHR028
PIECES
161,895.56
595
POL034
PIECES
141,085.68

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Nilai Inventory Stock

(DORMICUM) MIDAZOLAM INJ

ADHESIVE TAPE ROLL 10X10

ADHESIVE TAPE ROLL 5X10

ADONA (AC-17) INJ 50 MG/10 ML (F)

ALBOTHYL CONCENTRATE SOL. 10

ALINAMIN F INJ. 25 MG (F)

ALKOHOL 70% 1 L BPJS

ALKOHOL 70% 1 LITER

ALLEVYN ADHESIVE 12,5X12,5

ALLEVYN NON ADH.10X10/1X10 (F)

AMINOPHYLLIN INJ. 2.4%

ANAESTHESIA CIRCUIT 72''

ANIOSYME DLT PLUS 5L

APRON FILM WHITE

AQUABIDEST 1 LTR OTSUKA

AQUABIDESTILATA IKA 500 ML

ASAM MEFENAMAT TAB. 500 MG

ASAM TRANEKSAMAT 500 ML INJ

ASAM TRANEKSAMAT250 MG/ML INJ ASA024

ASERING INFUS 500 ML (F)

ASSUCRYL 1 HSRG 38 42857H

ASSUCRYL 1 HSRG 40 100 CM

ASSUCRYL 1 HSRG-40 100 CM BPJS

ASSUCRYL 2/0 HRG-38 90 CM BPJS

ASSUCRYL 3/0 HR 27 4254 312160

ASSUCRYL 3/0 HR-27 75 CM (4254)

ASSUCRYL 3/0 HS-21 45CM

ASSUCRYL 4/0 HS-21 45CM

ASSUCRYL CATGUT PLAIN 3/0 TS-24 ASS006

ASUCRYL 1 HRG-40 BPJS PAKET

ASUCRYL 1 HSRG-40 100 CM BPJS

ASUCRYL 1 HSRG-40 100 CM BPJS

ASUCRYL 1 HSRG-40 100 CM BPJS

ASUCRYL 2/0 HRG 38 PAKET HERNIA ASU012

ASUCRYL 2/0 HRG-38 90 CM BPJS

ASUCRYL 2/0 HRG-38 90 CM BPJS

ASUCRYL 5/0 HR-17 75CM UMUM

ASUCRYL 5/0 TS-17 75CM UMUM

ASUCRYL 6/0 HR-13 75 CM UMUM

ATROPINE 0.25 INJ.

ATROPINE 0.25MG/ML INJ BPJS

AUTOCLAVE TAPE INDIKATOR 3/4

BACTESYN INJ. 1.5 G (F)

BD HOLDER PRONTO QUICK X 5 CE- BDH001

BETADINE SOL 1 LITER

BIOPLACENTON JELLY 15 G (F)

BIOSYN 3-0 SM 822

BISTURI NO.10 BPJS

BISTURI NO.11 BPJS

BISTURI NO.20 BPJS

BLOOD ADM. SET TERUMO

BLOOD SET STERA BPJS

BLUE SENSOR R-OO-S

BONE WAX W 810 RSPJ

BRICASMA INJ 0.5 MG/ML (F)

BROADCED INJ 1 G (F)

BUKU EKSPEDISI (BO)

BUKU RESEP 2 PLY 1/3 FOLIO

BUNASCAN SPINAL INJ RSPJ

BUPIVACAINE HCL 0.5% INJ BPJS

BUSCOPAN INJ. 20 MG/ML (F)