USULAN OBAT TAHUN 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL. BANTAYA KEC. PARIGI
No. Telp/Fax :

No. Nama Obat, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan Total Harga Pemesanan Metode Pemesanan
1 Allopurinol 100 mg Dus, 10 blis @ 10 tab 20000 Rp 90.00 Rp 1,800,000.00
2 Ambroxol tab Dus, 10 strip @ 10 tab 20000 Rp 363.00 Rp 7,260,000.00
3 Amlodipin 10 mg Box, 3 strps @ 10 tab 20000 Rp 352.00 Rp 7,040,000.00
4 Amlodipin 5 mg Box, 3 strps @ 10 tab 20000 Rp 197.00 Rp 3,940,000.00
5 Amoxicillin 500 mg tab ktk @ 10 x 10 tab 20000 Rp 279.00 Rp 5,580,000.00
6 Amoxicillin sirup kering 125 mg botol 60 ml 500 Rp 2,560.00 Rp 1,280,000.00
7 Amoxicillin sirup kering forte 250 mg Dus, botol 60 ml 300 Rp 4,730.00 Rp 1,419,000.00
8 Antasida DOEN Syrup botol 60 ml 500 Rp 2,300.00 Rp 1,150,000.00
9 Antasida DOEN tablet kunyah Dus, 10 strip @ 10 tab 15000 Rp 78.00 Rp 1,170,000.00
10 Antimigren Ergotamin Tartrat Botol 100 tablet 2000 Rp 149.00 Rp 298,000.00
11 Asam Askorbat 50 mg Dus 10 strip x 10 tab 30000 Rp 105.00 Rp 3,150,000.00
12 Asam Folat tab 1 mg Botol @ 100 tab 1600 Rp 52.00 Rp 83,200.00
13 Asam Mefenamat tab 500 mg Dus, 10 strip @ 10 tab 50000 Rp 127.00 Rp 6,350,000.00
14 Bromhexin Hcl Dus, 10 strip @ 10 tab 5000 Rp 1,000.00 Rp 5,000,000.00
15 Bisoprolol 5 mg Strip 5000 Rp 800.00 Rp 4,000,000.00
16 Betametason Krim Tube 5 gr 500 Rp 1,596.00 Rp 798,000.00
17 Bisakodil suppositoria 10 mg supp 300 Rp 6,045.00 Rp 1,813,500.00
18 Bisakodil suppositoria 5 mg 1 Box @ 6's 300 Rp 4,990.00 Rp 1,497,000.00
19 Betahistin Mesylate 6 mg ktk 10 x 10 tablet 100 Rp 43,035 Rp 4,303,500.00
20 Cendo Lyteers - Cendo Lyteers 15 ml btl 15 ml 60 Rp 19,125 Rp 1,147,500.00
21 Dexametason tab 0,5 mg Dus, 10 strip @ 10 tab 10000 Rp 68.00 Rp 680,000.00
22 Diphenhidramin Inj Ampul @ 1 ml 500 Rp 1,160.00 Rp 580,000.00
23 Donperidon Tab 10 mg Dus 10 strip x 10 tab 5,000 Rp 174.00 Rp 870,000.00
24 Donperidon Syrup Botol 300 Rp 2,000.00 Rp 600,000.00
25 Gentamisin salep kulit 0,1 % tube 5 gram 501 Rp 2,873 Rp 1,439,373.00
26 Gentamycin tetes mata 0,3% Dus,botol plastik 5 ml 300 Rp 3,513.00 Rp 1,053,900.00
27 Glimepirid tab 1 mg Ktk 5 x 10 tab 5000 Rp 278.00 Rp 1,390,000.00
28 Glimepirid tab 2 mg Ktk 5 x 10 tab 10000 Rp 458.00 Rp 4,580,000.00
29 Glimepirid tab 3 mg Ktk 5 x 10 tab 10000 Rp 424.00 Rp 4,240,000.00
30 Gliserin btl 100 ml 50 Rp 7,343 Rp 367,150.00
31 Hidrokortison krim 2,5% Tube 5 gr 500 Rp 2,938.00 Rp 1,469,000.00
32 Ibuprofen sirup 100mg/5 ml dus,botol 60 ml 300 Rp 3,849.00 Rp 1,154,700.00
33 Ibuprofen tablet 400 mg dus, 10x10's 5000 Rp 157.00 Rp 785,000.00
34 ketokonazole krim 2% tube 10gr 500 Rp 2,697.00 Rp 1,348,500.00
35 Kalium Diklofenak tablet 25 mg ktk 5 x 10 tablet 100 Rp 30,339 Rp 3,033,900.00
36 Kalium Diklofenak tablet 50 mg ktk 5 x 10 tablet 100 Rp 54,960 Rp 5,496,000.00
37 Kloramfenikol tetes mata 0,5 % btl 5 ml 500 Rp 3,881 Rp 1,940,500.00
38 Kloramfenikol tetes telinga 3 % btl 5 ml 500 Rp 2,484 Rp 1,242,000.00
39 Kolkisin tablet 500 mcg ktk 10 x 10 tablet 100 Rp 42,194 Rp 4,219,400.00
40 Lisinopril tablet 10 mg Box, 3 strps @ 10 tab 1000 Rp 660.00 Rp 660,000.00
41 Lisinopril tablet 5 mg Box, 3 strps @ 10 tab 3000 Rp 385.00 Rp 1,155,000.00
42 Loratadin tab 10 mg Dus, 5 strip @ 10 tab 5000 Rp 170.00 Rp 850,000.00
43 Methyl Prednisolon 4 mg Dus, 10 strip @ 10 tab 5000 Rp 230.00 Rp 1,150,000.00
44 Natrium Diclovenac 25 mg DUS, 5 x 10's 5001 Rp 146.00 Rp 730,146.00
45 Omeprazole kapsul 20 mg Dus 10 x 3's 20000 Rp 221.00 Rp 4,420,000.00
46 Paracetamol 500 mg tab Dus, 10 strip @ 10 tab 40000 Rp 88.00 Rp 3,520,000.00
47 Piroksikam tablet 10 mg ktk 10 x 10 tablet 400 Rp 13,041 Rp 5,216,400.00
48 Pravastatin tablet 10 mg ktk 3 x 10 tablet 100 Rp 68,310 Rp 6,831,000.00
49 Prednison tab 5 mg Dus, 10 strip @ 10 tab 10000 Rp 125.00 Rp 1,250,000.00
50 Ranitidin tablet 150 mg dus,10 strip@10 tab 10000 Rp 132.00 Rp 1,320,000.00
51 Salbutamol tablet 2 mg strip @10 tablet 5000 Rp 65.00 Rp 325,000.00
52 Salep 2-4 pot @30 gram 99 Rp 2,200.00 Rp 217,800.00
53 Sefadroxil kapsul 500 mg dus, 10 strip @ 10 Kapsul 4000 Rp 548.00 Rp 2,192,000.00
54 Sefadroxil Sirup/kering 125 mg/ml dus,botol 60 ml 500 Rp 5,286.00 Rp 2,643,000.00
55 Sefiksim syrup Dus, botol 30 ml 100 Rp 9,400.00 Rp 940,000.00
56 Sefixim Kapsul 100 mg dus, 5 strip @ 10 kapsul 2000 Rp 1,000.00 Rp 2,000,000.00
57 setirizin kapsul 10 mg box 10 strip@10 caps 4000 Rp 190.00 Rp 760,000.00
58 Sianokobalamin tablet 50 mg dus,10stri@10 tablet 1000 Rp 63.00 Rp 63,000.00
59 Simvastatin 10 mg Ktk 5 strip @ 50 Tab 20000 Rp 177.00 Rp 3,540,000.00
60 Sulfas Ferosus (Fe) tab 11000 Rp 45.00 Rp 495,000.00
61 Siobion Kapsul ktk 10 strip @100 capsul 26 Rp 97,495.00 Rp 2,534,870.00
62 Sukralfat syrup Botol, 100 ml 100 Rp 14,450.00 Rp 1,445,000.00
63 Tetrasiklin kapsul 500 mg dus,10 strip@10 caps 4000 Rp 325.00 Rp 1,300,000.00
64 Vitamin B complex dus, 10 strip x 10 tab 30000 Rp 112.00 Rp 3,360,000.00
65 Vorumen Tetes telinga Btl, @ 15 ml 20 Rp 40,000.00 Rp 800,000.00
66 Neurodex (Vit B1, B6 B12) Box @ 10 strip 22 Rp 89,350.00 Rp 1,965,700.00
67 Paracetamol syrup Btl, @ 60 ml 500 Rp 1,535.00 Rp 767,500.00
68 Multivitamin Syrup Anak Btl, @ 60 ml 300 Rp 16,000.00 Rp 4,800,000.00
69 Meloxicam 7,5 mg tab Ktk, 50 tab 1000 Rp 7,609.00 Rp 7,609,000.00
70 Metformin 500 mg Tab 20,000 119.00 Rp 2,380,000.00
71 Hydrochlortiazid (HCT) Tab 20,000 171.00 Rp 3,420,000.00
72 Zinc syrup Dus, botol 60 ml 307 Rp 8,140.00 Rp 2,498,980.00
JUMLAH Rp 168,728,519.00

KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 USULAN BHP TAHUN 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL. BANTAYA KEC. PARIGI
No. Telp/Fax :

No Nama Alkes, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

1 Strip Nesco Cholesterol/Dus dus 40 Rp 209,091.00 Rp 8,363,640

2 Strip Nesco Glucosa/Dus dus 30 Rp 152,273.00 Rp 4,568,190
3 Strip Nesco Uric Acid/Dus dus 30 Rp 162,273.00 Rp 4,868,190
4 Alkohol swab Box/100 lbr 300 20,680.00 Rp 6,204,000
5 Terumo Dental @ 100 Needle box 20 Rp 134,091.00 Rp 2,681,820
6 Septocain @ 50 box 6 Rp 429,091.00 Rp 2,574,546
7 Blood Lancets box 5 Rp 50,000.00 Rp 300,000
8 Kasa Kompres steril 40 x 40 bh 204 Rp 2,088.00 Rp 425,952
9 Kasa Hydrophil steril uk 16 x 16 box / 16 104 Rp 7,569.00 Rp 787,176.00
10 Bisturi Gea No. 11 dos 10 Rp 87,500.00 Rp 875,000.00
11 ST. Handscund Steril No. 7 psg 400 Rp 10,500.00 Rp 4,200,000.00
12 Gloves surgical no. 7,5 Pasang 400 14,863.62 Rp 5,945,448.00
13 Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
14 Masker One Med Tali dos 15 Rp 55,200.00 Rp 828,000.00
15 Plester BSN 5 x 2 Cm roll 30 Rp 52,000.00 Rp 1,560,000.00
16 Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
17 Syringe disposable 3 cc X 23G X 1 1/4" box / 100 400 Rp 84,825.00 Rp 33,930,000.00
18 Alkohol 70 % 1 liter btl 47 Rp 28,058.00 Rp 1,318,726.00
19 Plastik Klip Sedang 200 Rp 6,000.00 Rp 1,200,000.00
20 Plastik Klip Kecil 150 Rp 5,000.00 Rp 750,000.00
21 Kantongan Kresek 400 Rp 30,000.00 Rp 12,000,000.00
22 Hunds Crub Btl 500 ml 72 90,986.00 Rp 6,550,992.00
23 Kertas Perkamen 40 Rp 40,000.00 Rp 1,600,000.00
24 Umbilical Cord Klem Steril Nylon Box 150 57,500.00 Rp 8,625,000.00
25 Lidocain Inj Dus, 100 Amp @ 2 ml 1000 Rp 929.00 Rp 929,000.00
JUMLAH Rp 112,485,680.00

KEPALA PUSKESMAS PARIGI

 YUNITA TAGUNU, SKM
NIP. 19830624 200312 2 005
 SURAT PESANAN OBAT / TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No NAMA OBAT, BENTUK, SEDIAAN, KEKUATAN KEMASAN JUMLAH HARGA SATUAN (Rp) TOTAL HARGA (Rp) PEMESANAN METODE PEMESANAN
1. Alloporinol 100 mg Dus, 10 blis @ 10 tab 5002 Rp 90.00 Rp 450,180.00
2. Ambroxol 30 mg Dus, 10 strip @ 10 tab 3000 Rp 300.00 Rp 900,000.00
3. Amlodipin 10 mg Box, 3 strip @ 10 tab 5000 Rp 352.00 Rp 1,760,000.00
4. Amlodipin 5 mg Box, 3 strip @ 10 tab 15000 Rp 197.00 Rp 2,955,000.00
5. Amoxicillin 500 mg tab Ktk @ 10 x 10 tab 5000 Rp 279.00 Rp 1,395,000.00
6. Amoxicillin syrup kering Forte 250 mg Dus, botol 60 ml 200 Rp 4,730.00 Rp 946,000.00
7. Amoxicillin Syrup kering 125 mg Botol 60 ml 300 Rp 2,560.00 Rp 768,000.00
8. Antasida DOEN tablet Kunyah Dus, 10 Strip @ 10 tab 15000 Rp 78.00 Rp 1,170,000.00
9. Asam Askorbat (Vit. C) 50 mg Dus, 10 strip x 10 tab 20000 Rp 105.00 Rp 2,100,000.00
10. Asam Folat tab 1 mg Botol @ 100 tab 1000 Rp 52.00 Rp 52,000.00
11. Asam Mefenamat 500 mg Dus, 10 Strip @ 10 tab 5000 Rp 127.00 Rp 635,000.00
12. Antasida DOEN Syrup BTL @ 60 ml 300 Rp 2,300.00 Rp 690,000.00
13. Aciklovir tablet/kapsul/kaplet 200 mg Ktk @ 10 x 10 tab 5000 Rp 251.00 Rp 1,255,000.00
14. Bisakodil Suppositoria 10 mg Supp 300 Rp 6,045.00 Rp 1,813,500.00
15. Bisakodil Suppositoria 5 mg 1 Box @ 6's 200 Rp 4,990.00 Rp 998,000.00
16 Multivitamin Syrup Anak BTL @ 60 ml 100 Rp 31,900.00 Rp 3,190,000.00
17 Bromhexin Tablet Ktk 10 strip @ 10 tab 3000 Rp 1,000.00 Rp 3,000,000.00
18 Betametasone zalf kulit Tube 5 gr 200 Rp 1,596.00 Rp 319,200.00
19 Dexametasone 0,5 mg Dus, 10 Strip @ 10 tab 3000 Rp 68.00 Rp 204,000.00
20 Donperidon tab 10 mg Dus 10 strip x 10 tab 2000 Rp 174.00 Rp 348,000.00
21 Donperidon Syrup Botol 60 ml 200 Rp 2,000.00 Rp 400,000.00
22 Diphenhidramin Inj Ampul @ 1 ml 300 Rp 1,160.00 Rp 348,000.00
23 Gentamycin Zalf Kulit tube 5 gram 100 Rp 2,873 Rp 287,300.00
24 Gentamycin Tetes mata Dus,botol plastik 5 ml 100 Rp 3,513.00 Rp 351,300.00
25 Glimepirid tab 1 mg Ktk 5 x 10 tab 3000 Rp 278.00 Rp 834,000.00
26 Glimepirid tab 2 mg Ktk 5 x 10 tab 2000 Rp 458.00 Rp 916,000.00
27 Glimepirid tab 3 mg Ktk 5 x 10 tab 2000 Rp 424.00 Rp 848,000.00
28 Lidocain Inj Dus, 100 amp @ 2 ml 500 Rp 929.00 Rp 464,500.00
29 Loratadine 10 mg Dus, 5 strip @ 10 tab 3000 Rp 170.00 Rp 510,000.00
30 Lisinopril 10 mg Box, 3 strip @ 10 tab 500 Rp 660.00 Rp 330,000.00
31 Lisinopril 5 mg Box, 3 strip @ 10 tab 500 Rp 385.00 Rp 192,500.00
32 Omeprazole kapsul 20 mg Dus, 10 x 3's 5000 Rp 221.00 Rp 1,105,000.00
33 Prednison tab 5 mg Dus, 10 Strip @ 10 tab 4000 Rp 125.00 Rp 500,000.00
34 Paracetamol 500 mg Dus, 10 Strip @ 10 tab 9997 Rp 88.00 Rp 879,736.00
35 paracetamol Syrup Btl @ 60 ml 407 Rp 1,875.00 Rp 763,125.00
36 Sefadroxil Kaps 500 mg Dus, 10 Strip @ 10 kap 2000 Rp 548.00 Rp 1,096,000.00
37 Sefixim Kaps 100 mg Dus, 5 Strip @ 10 kap 1000 Rp 1,000.00 Rp 1,000,000.00
38 Simvastatin 10 mg Dus, 3 strip @ 10 tab 5000 Rp 177.00 Rp 885,000.00
39 Sukralfat Syrup Botol 100 ml 50 Rp 14,450.00 Rp 722,500.00
40 Sefiksim syrup Dus, botol 30 ml 50 Rp 9,377.00 Rp 468,850.00
41 Vit B Complex Dus, 10 strip @ 10 tab 2000 Rp 1,000.00 Rp 2,000,000.00
42 Setirizine kapsul 10 mg Box 10 strip@10 caps 4000 Rp 190.00 Rp 760,000.00
43 Methyl Prednisolon 4 mg Dus, 10 strip @ 10 tab 2000 Rp 230.00 Rp 460,000.00
44 Novabion kapsul Dus, 10 strip @ 10 kap 30 Rp 27,300.00 Rp 819,000.00
45 Natrium Diclovenac 25 mg Dus, 5 x 10's 2003 Rp 146.00 Rp 292,438.00
JUMLAH Rp 42,182,129.00 Rp. 42. 182. 130

KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN OBAT / TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No NAMA OBAT, BENTUK, SEDIAAN, KEKUATAN KEMASAN JUMLAH HARGA SATUAN (Rp) TOTAL HARGA (Rp) PEMESANAN METODE PEMESANAN
1. Alloporinol 100 mg Dus, 10 blis @ 10 tab 5001 Rp 90.00 Rp 450,090.00
2. Ambroxol 30 mg Dus, 10 strip @ 10 tab 3000 Rp 300.00 Rp 900,000.00
3. Amlodipin 10 mg Box, 3 strip @ 10 tab 5000 Rp 352.00 Rp 1,760,000.00
4. Amlodipin 5 mg Box, 3 strip @ 10 tab 15000 Rp 197.00 Rp 2,955,000.00
5. Amoxicillin 500 mg tab Ktk @ 10 x 10 tab 5000 Rp 279.00 Rp 1,395,000.00
6. Amoxicillin syrup kering Forte 250 mg Dus, botol 60 ml 200 Rp 4,730.00 Rp 946,000.00
7. Amoxicillin Syrup kering 125 mg Botol 60 ml 300 Rp 2,560.00 Rp 768,000.00
8. Antasida DOEN tablet Kunyah Dus, 10 Strip @ 10 tab 14999 Rp 78.00 Rp 1,169,922.00
9. Asam Askorbat (Vit. C) 50 mg Dus, 10 strip x 10 tab 18000 Rp 105.00 Rp 1,890,000.00
10. Asam Folat tab 1 mg Botol @ 100 tab 1001 Rp 52.00 Rp 52,052.00
11. Asam Mefenamat 500 mg Dus, 10 Strip @ 10 tab 5001 Rp 127.00 Rp 635,127.00
12. Antasida DOEN Syrup BTL @ 60 ml 300 Rp 2,300.00 Rp 690,000.00
13. Aciklovir tablet/kapsul/kaplet 200 mg Ktk @ 10 x 10 tab 3000 Rp 251.00 Rp 753,000.00
14. Bisoprolol 5 mg Strip 1500 Rp 800.00 Rp 1,200,000.00
15. Betahistin Mesylate 6 mg ktk 10 x 10 tablet 100 Rp 43,035 Rp 998,000.00
16 Multivitamin Syrup Anak BTL @ 60 ml 31 Rp 31,900.00 Rp 988,900.00
17 Bromhexin Tablet Ktk 10 strip @ 10 tab 1000 Rp 1,000.00 Rp 1,000,000.00
18 Betametasone zalf kulit Tube 5 gr 200 Rp 1,596.00 Rp 319,200.00
19 Dexametasone 0,5 mg Dus, 10 Strip @ 10 tab 3000 Rp 68.00 Rp 204,000.00
20 Cendo Lyteers - Cendo Lyteers 15 ml btl 15 ml 50 Rp 19,125 Rp 956,250.00
21 Donperidon Syrup Botol 60 ml 200 Rp 2,000.00 Rp 400,000.00
22 Diphenhidramin Inj Ampul @ 1 ml 300 Rp 1,160.00 Rp 348,000.00
23 Gentamycin Zalf Kulit tube 5 gram 100 Rp 2,873 Rp 287,300.00
24 Gentamycin Tetes mata Dus,botol plastik 5 ml 100 Rp 3,513.00 Rp 351,300.00
25 Glimepirid tab 1 mg Ktk 5 x 10 tab 3000 Rp 278.00 Rp 834,000.00
26 Glimepirid tab 2 mg Ktk 5 x 10 tab 2000 Rp 458.00 Rp 916,000.00
27 Glimepirid tab 3 mg Ktk 5 x 10 tab 2000 Rp 424.00 Rp 848,000.00
28 Lidocain Inj Dus, 100 amp @ 2 ml 500 Rp 929.00 Rp 464,500.00
29 Loratadine 10 mg Dus, 5 strip @ 10 tab 3000 Rp 170.00 Rp 510,000.00
30 Kloramfenikol tetes mata 0,5 % btl 5 ml 200 Rp 3,881 Rp 776,200.00
31 Kloramfenikol tetes telinga 3 % btl 5 ml 300 Rp 2,484 Rp 745,200.00
32 Omeprazole kapsul 20 mg Dus, 10 x 3's 4000 Rp 221.00 Rp 884,000.00
33 Tetrasiklin kapsul 500 mg dus,10 strip@10 caps 3000 Rp 325.00 Rp 975,000.00
34 Paracetamol 500 mg Dus, 10 Strip @ 10 tab 9991 Rp 88.00 Rp 879,208.00
35 paracetamol Syrup Btl @ 60 ml 411 Rp 1,875.00 Rp 770,625.00
36 Sefadroxil Kaps 500 mg Dus, 10 Strip @ 10 kap 1000 Rp 548.00 Rp 548,000.00
37 Sulfas Ferosus (Fe) tab 10999 Rp 45.00 Rp 494,955.00
38 Simvastatin 10 mg Dus, 3 strip @ 10 tab 5000 Rp 177.00 Rp 885,000.00
39 Sukralfat Syrup Botol 100 ml 51 Rp 14,450.00 Rp 736,950.00
40 Metformin 500 mg Tab 13,000 119.00 Rp 1,547,000.00
41 Vit B Complex Dus, 10 strip @ 10 tab 1000 Rp 1,000.00 Rp 1,000,000.00
42 Neurodex (Vit B1, B6 B12) Box @ 10 strip 15 Rp 89,350.00 Rp 1,340,250.00
43 Setirizine kapsul 10 mg Box 10 strip@10 caps 3000 Rp 190.00 Rp 570,000.00
44 Meloxicam 7,5 mg ktk 50 @10 tablet 300 Rp 7,609 Rp 2,282,700.00
45 Hydrochlortiazid (HCT) Tab 5,000 171.00 Rp 855,000.00
46 Vorumen Tetes telinga Btl, @ 15 ml 15 Rp 40,000.00 Rp 600,000.00
47 Zinc syrup Dus, botol 60 ml 160 Rp 8,140.00 Rp 1,302,400.00
JUMLAH Rp 42,182,129.00 Rp. 42. 182. 130

KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN BHP/ TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No Nama Alkes, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode
Pemesanan
1 Strip Nesco Cholesterol/Dus dus 30 Rp 209,091.00 Rp 6,272,730.00
2 Strip Nesco Glucosa/Dus dus 15 Rp 152,273.00 Rp 2,284,095.00
3 Strip Nesco Uric Acid/Dus dus 15 Rp 162,273.00 Rp 2,434,095.00
4 Alkohol swab Box/100 lbr 40 20,680.00 Rp 827,200.00
5 Terumo Dental @ 100 Needle box 8 Rp 134,091.00 Rp 1,072,728.00
6 Septocain @ 50 box 3 Rp 429,091.00 Rp 1,287,273.00
7 Blood Lancets box 5 Rp 50,000.00 Rp 250,000.00
8 Kasa Kompres steril 40 x 40 bh 203 Rp 2,088.00 Rp 423,864.00
9 Kasa Hydrophil steril uk 16 x 16 box / 16 103 Rp 7,569.00 Rp 779,607.00
10 Bisturi Gea No. 11 dos 9 Rp 87,500.00 Rp 787,500.00
11 ST. Handscund Steril No. 7 psg 101 Rp 10,500.00 Rp 1,060,500.00
12 Gloves surgical no. 7,5 Pasang 100 14,863.62 Rp 1,486,362.00
13 Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
14 Masker One Med Tali dos 15 Rp 55,200.00 Rp 828,000.00
15 Plester BSN 5 x 2 Cm roll 10 Rp 52,000.00 Rp 520,000.00
16 Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
17 Syringe disposable 3 cc X 23G X 1 1/4" box / 100 4 Rp 84,825.00 Rp 339,300.00
18 Alkohol 70 % 1 liter btl 10 Rp 28,058.00 Rp 280,580.00
19 Plastik Klip Sedang 100 Rp 6,000.00 Rp 600,000.00
20 Plastik Klip Kecil 100 Rp 5,000.00 Rp 500,000.00
21 Kantongan Kresek 40 Rp 30,000.00 Rp 1,200,000.00
22 Hunds Crub Btl 500 ml 15 90,986.00 Rp 1,364,790.00
23 Kertas Perkamen 20 Rp 40,000.00 Rp 800,000.00
24 Lidocain Inj Dus, 100 Amp @ 2 ml 186 Rp 929.00 Rp 172,794.00
25 Umbilical Cord Klem Steril Nylon Box 20 57,500.00 Rp 1,150,000.00
Rp 28,121,418.00 Rp. 28. 121, 420
KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN BHP/ TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No Nama Alkes, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

1 Strip Nesco Cholesterol/Dus dus 36 Rp 209,091.00 Rp 7,527,276.00

2 Strip Nesco Glucosa/Dus dus 13 Rp 152,273.00 Rp 1,979,549.00
3 Strip Nesco Uric Acid/Dus dus 13 Rp 162,273.00 Rp 2,109,549.00
4 Alkohol swab Box/100 lbr 40 20,680.00 Rp 827,200.00
5 Terumo Dental @ 100 Needle box 10 Rp 134,091.00 Rp 1,340,910.00
6 Septocain @ 50 box 6 Rp 429,091.00 Rp 2,574,546.00
7 Blood Lancets box 5 Rp 50,000.00 Rp 250,000.00
8 Kasa Kompres steril 40 x 40 bh 200 Rp 2,088.00 Rp 417,600.00
9 Kasa Hydrophil steril uk 16 x 16 box / 16 200 Rp 7,569.00 Rp 1,513,800.00
10 Bisturi Gea No. 11 dos 8 Rp 87,500.00 Rp 700,000.00
11 ST. Handscund Non Steril size M box 5 Rp 40,000.00 Rp 200,000.00
12 Gloves surgical Non Steril Size S box 5 40,000.00 Rp 200,000.00
13 Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
14 Masker One Med Tali dos 16 Rp 55,200.00 Rp 883,200.00
15 Plester BSN 5 x 2 Cm roll 9 Rp 52,000.00 Rp 468,000.00
16 Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
17 Syringe disposable 3 cc X 23G X 1 1/4" box / 100 4 Rp 84,825.00 Rp 339,300.00
18 Alkohol 70 % 1 liter btl 6 Rp 28,058.00 Rp 168,348.00
19 Plastik Klip Sedang 102 Rp 6,000.00 Rp 612,000.00
20 Plastik Klip Kecil 102 Rp 5,000.00 Rp 510,000.00
21 Kantongan Kresek 42 Rp 30,000.00 Rp 1,260,000.00
22 Hunds Crub Btl 500 ml 15 90,986.00 Rp 1,364,790.00
23 Kertas Perkamen 20 Rp 40,000.00 Rp 800,000.00
24 Lidocain Inj Dus, 100 Amp @ 2 ml 108 Rp 929.00 Rp 100,332.00
25 Umbilical Cord Klem Steril Nylon Box 10 57,500.00 Rp 575,000.00
Rp 28,121,400.00 Rp. 28. 121, 420
KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN OBAT / TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No NAMA OBAT, BENTUK, SEDIAAN, KEKUATAN KEMASAN JUMLAH HARGA SATUAN (Rp) TOTAL HARGA (Rp) PEMESANAN METODE PEMESANAN
1. Alloporinol 100 mg Dus, 10 blis @ 10 tab 5001 Rp 90.00 Rp 450,090.00
2. Ambroxol 30 mg Dus, 10 strip @ 10 tab 3000 Rp 300.00 Rp 900,000.00
3. Amlodipin 10 mg Box, 3 strip @ 10 tab 5000 Rp 352.00 Rp 1,760,000.00
4. Amlodipin 5 mg Box, 3 strip @ 10 tab 15000 Rp 197.00 Rp 2,955,000.00
5. Amoxicillin 500 mg tab Ktk @ 10 x 10 tab 5000 Rp 279.00 Rp 1,395,000.00
6. Amoxicillin syrup kering Forte 250 mg Dus, botol 60 ml 200 Rp 4,730.00 Rp 946,000.00
7. Amoxicillin Syrup kering 125 mg Botol 60 ml 300 Rp 2,560.00 Rp 768,000.00
8. Antasida DOEN tablet Kunyah Dus, 10 Strip @ 10 tab 14999 Rp 78.00 Rp 1,169,922.00
9. Asam Askorbat (Vit. C) 50 mg Dus, 10 strip x 10 tab 18000 Rp 105.00 Rp 1,890,000.00
10. Asam Folat tab 1 mg Botol @ 100 tab 1001 Rp 52.00 Rp 52,052.00
11. Asam Mefenamat 500 mg Dus, 10 Strip @ 10 tab 5001 Rp 127.00 Rp 635,127.00
12. Antasida DOEN Syrup BTL @ 60 ml 300 Rp 2,300.00 Rp 690,000.00
13. Aciklovir tablet/kapsul/kaplet 200 mg Ktk @ 10 x 10 tab 3000 Rp 251.00 Rp 753,000.00
14. Bisoprolol 5 mg Strip 1500 Rp 800.00 Rp 1,200,000.00
15. Betahistin Mesylate 6 mg ktk 10 x 10 tablet 100 Rp 43,035 Rp 998,000.00
16 Multivitamin Syrup Anak BTL @ 60 ml 31 Rp 31,900.00 Rp 988,900.00
17 Bromhexin Tablet Ktk 10 strip @ 10 tab 1000 Rp 1,000.00 Rp 1,000,000.00
18 Betametasone zalf kulit Tube 5 gr 200 Rp 1,596.00 Rp 319,200.00
19 Dexametasone 0,5 mg Dus, 10 Strip @ 10 tab 3000 Rp 68.00 Rp 204,000.00
20 Cendo Lyteers - Cendo Lyteers 15 ml btl 15 ml 50 Rp 19,125 Rp 956,250.00
21 Donperidon Syrup Botol 60 ml 200 Rp 2,000.00 Rp 400,000.00
22 Diphenhidramin Inj Ampul @ 1 ml 300 Rp 1,160.00 Rp 348,000.00
23 Gentamycin Zalf Kulit tube 5 gram 100 Rp 2,873 Rp 287,300.00
24 Gentamycin Tetes mata Dus,botol plastik 5 ml 100 Rp 3,513.00 Rp 351,300.00
25 Glimepirid tab 1 mg Ktk 5 x 10 tab 3000 Rp 278.00 Rp 834,000.00
26 Glimepirid tab 2 mg Ktk 5 x 10 tab 2000 Rp 458.00 Rp 916,000.00
27 Glimepirid tab 3 mg Ktk 5 x 10 tab 2000 Rp 424.00 Rp 848,000.00
28 Lidocain Inj Dus, 100 amp @ 2 ml 500 Rp 929.00 Rp 464,500.00
29 Loratadine 10 mg Dus, 5 strip @ 10 tab 3000 Rp 170.00 Rp 510,000.00
30 Kloramfenikol tetes mata 0,5 % btl 5 ml 200 Rp 3,881 Rp 776,200.00
31 Kloramfenikol tetes telinga 3 % btl 5 ml 300 Rp 2,484 Rp 745,200.00
32 Omeprazole kapsul 20 mg Dus, 10 x 3's 4000 Rp 221.00 Rp 884,000.00
33 Tetrasiklin kapsul 500 mg dus,10 strip@10 caps 3000 Rp 325.00 Rp 975,000.00
34 Paracetamol 500 mg Dus, 10 Strip @ 10 tab 9991 Rp 88.00 Rp 879,208.00
35 paracetamol Syrup Btl @ 60 ml 411 Rp 1,875.00 Rp 770,625.00
36 Sefadroxil Kaps 500 mg Dus, 10 Strip @ 10 kap 1000 Rp 548.00 Rp 548,000.00
37 Sulfas Ferosus (Fe) tab 10999 Rp 45.00 Rp 494,955.00
38 Simvastatin 10 mg Dus, 3 strip @ 10 tab 5000 Rp 177.00 Rp 885,000.00
39 Sukralfat Syrup Botol 100 ml 51 Rp 14,450.00 Rp 736,950.00
40 Metformin 500 mg Tab 13,000 119.00 Rp 1,547,000.00
41 Vit B Complex Dus, 10 strip @ 10 tab 1000 Rp 1,000.00 Rp 1,000,000.00
42 Neurodex (Vit B1, B6 B12) Box @ 10 strip 15 Rp 89,350.00 Rp 1,340,250.00
43 Setirizine kapsul 10 mg Box 10 strip@10 caps 3000 Rp 190.00 Rp 570,000.00
44 Meloxicam 7,5 mg ktk 50 @10 tablet 300 Rp 7,609 Rp 2,282,700.00
45 Hydrochlortiazid (HCT) Tab 5,000 171.00 Rp 855,000.00
46 Vorumen Tetes telinga Btl, @ 15 ml 15 Rp 40,000.00 Rp 600,000.00
47 Zinc syrup Dus, botol 60 ml 160 Rp 8,140.00 Rp 1,302,400.00
JUMLAH Rp 42,182,129.00 Rp. 42. 182. 130

KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN OBAT / TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No NAMA OBAT, BENTUK, SEDIAAN, KEKUATAN KEMASAN JUMLAH HARGA SATUAN (Rp) TOTAL HARGA (Rp) PEMESANAN METODE PEMESANAN
1. Alloporinol 100 mg Dus, 10 blis @ 10 tab 5002 Rp 90.00 Rp 450,180.00
2. Ambroxol 30 mg Dus, 10 strip @ 10 tab 3000 Rp 300.00 Rp 900,000.00
3. Amlodipin 10 mg Box, 3 strip @ 10 tab 5000 Rp 352.00 Rp 1,760,000.00
4. Amlodipin 5 mg Box, 3 strip @ 10 tab 15000 Rp 197.00 Rp 2,955,000.00
5. Amoxicillin 500 mg tab Ktk @ 10 x 10 tab 5000 Rp 279.00 Rp 1,395,000.00
6. Amoxicillin syrup kering Forte 250 mg Dus, botol 60 ml 200 Rp 4,730.00 Rp 946,000.00
7. Amoxicillin Syrup kering 125 mg Botol 60 ml 300 Rp 2,560.00 Rp 768,000.00
8. Antasida DOEN tablet Kunyah Dus, 10 Strip @ 10 tab 15000 Rp 78.00 Rp 1,170,000.00
9. Asam Askorbat (Vit. C) 50 mg Dus, 10 strip x 10 tab 20000 Rp 105.00 Rp 2,100,000.00
10. Asam Folat tab 1 mg Botol @ 100 tab 1000 Rp 52.00 Rp 52,000.00
11. Asam Mefenamat 500 mg Dus, 10 Strip @ 10 tab 5000 Rp 127.00 Rp 635,000.00
12. Antasida DOEN Syrup BTL @ 60 ml 300 Rp 2,300.00 Rp 690,000.00
13. Aciklovir tablet/kapsul/kaplet 200 mg Ktk @ 10 x 10 tab 5000 Rp 251.00 Rp 1,255,000.00
14. Bisakodil Suppositoria 10 mg Supp 300 Rp 6,045.00 Rp 1,813,500.00
15. Bisakodil Suppositoria 5 mg 1 Box @ 6's 200 Rp 4,990.00 Rp 998,000.00
16 Multivitamin Syrup Anak BTL @ 60 ml 100 Rp 31,900.00 Rp 3,190,000.00
17 Bromhexin Tablet Ktk 10 strip @ 10 tab 3000 Rp 1,000.00 Rp 3,000,000.00
18 Betametasone zalf kulit Tube 5 gr 200 Rp 1,596.00 Rp 319,200.00
19 Dexametasone 0,5 mg Dus, 10 Strip @ 10 tab 3000 Rp 68.00 Rp 204,000.00
20 Donperidon tab 10 mg Dus 10 strip x 10 tab 2000 Rp 174.00 Rp 348,000.00
21 Donperidon Syrup Botol 60 ml 200 Rp 2,000.00 Rp 400,000.00
22 Diphenhidramin Inj Ampul @ 1 ml 300 Rp 1,160.00 Rp 348,000.00
23 Gentamycin Zalf Kulit tube 5 gram 100 Rp 2,873 Rp 287,300.00
24 Gentamycin Tetes mata Dus,botol plastik 5 ml 100 Rp 3,513.00 Rp 351,300.00
25 Glimepirid tab 1 mg Ktk 5 x 10 tab 3000 Rp 278.00 Rp 834,000.00
26 Glimepirid tab 2 mg Ktk 5 x 10 tab 2000 Rp 458.00 Rp 916,000.00
27 Glimepirid tab 3 mg Ktk 5 x 10 tab 2000 Rp 424.00 Rp 848,000.00
28 Lidocain Inj Dus, 100 amp @ 2 ml 500 Rp 929.00 Rp 464,500.00
29 Loratadine 10 mg Dus, 5 strip @ 10 tab 3000 Rp 170.00 Rp 510,000.00
30 Lisinopril 10 mg Box, 3 strip @ 10 tab 500 Rp 660.00 Rp 330,000.00
31 Lisinopril 5 mg Box, 3 strip @ 10 tab 500 Rp 385.00 Rp 192,500.00
32 Omeprazole kapsul 20 mg Dus, 10 x 3's 5000 Rp 221.00 Rp 1,105,000.00
33 Prednison tab 5 mg Dus, 10 Strip @ 10 tab 4000 Rp 125.00 Rp 500,000.00
34 Paracetamol 500 mg Dus, 10 Strip @ 10 tab 9997 Rp 88.00 Rp 879,736.00
35 paracetamol Syrup Btl @ 60 ml 407 Rp 1,875.00 Rp 763,125.00
36 Sefadroxil Kaps 500 mg Dus, 10 Strip @ 10 kap 2000 Rp 548.00 Rp 1,096,000.00
37 Sefixim Kaps 100 mg Dus, 5 Strip @ 10 kap 1000 Rp 1,000.00 Rp 1,000,000.00
38 Simvastatin 10 mg Dus, 3 strip @ 10 tab 5000 Rp 177.00 Rp 885,000.00
39 Sukralfat Syrup Botol 100 ml 50 Rp 14,450.00 Rp 722,500.00
40 Sefiksim syrup Dus, botol 30 ml 50 Rp 9,377.00 Rp 468,850.00
41 Vit B Complex Dus, 10 strip @ 10 tab 2000 Rp 1,000.00 Rp 2,000,000.00
42 Setirizine kapsul 10 mg Box 10 strip@10 caps 4000 Rp 190.00 Rp 760,000.00
43 Methyl Prednisolon 4 mg Dus, 10 strip @ 10 tab 2000 Rp 230.00 Rp 460,000.00
44 Novabion kapsul Dus, 10 strip @ 10 kap 30 Rp 27,300.00 Rp 819,000.00
45 Natrium Diclovenac 25 mg Dus, 5 x 10's 2003 Rp 146.00 Rp 292,438.00
JUMLAH Rp 42,182,129.00 Rp. 42. 182. 130

KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN BHP/ TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No Nama Alkes, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

1 Strip Nesco Cholesterol/Dus dus 36 Rp 209,091.00 Rp 7,527,276.00

2 Strip Nesco Glucosa/Dus dus 13 Rp 152,273.00 Rp 1,979,549.00
3 Strip Nesco Uric Acid/Dus dus 13 Rp 162,273.00 Rp 2,109,549.00
4 Alkohol swab Box/100 lbr 40 20,680.00 Rp 827,200.00
5 Terumo Dental @ 100 Needle box 10 Rp 134,091.00 Rp 1,340,910.00
6 Septocain @ 50 box 6 Rp 429,091.00 Rp 2,574,546.00
7 Blood Lancets box 5 Rp 50,000.00 Rp 250,000.00
8 Kasa Kompres steril 40 x 40 bh 200 Rp 2,088.00 Rp 417,600.00
9 Kasa Hydrophil steril uk 16 x 16 box / 16 200 Rp 7,569.00 Rp 1,513,800.00
10 Bisturi Gea No. 11 dos 8 Rp 87,500.00 Rp 700,000.00
11 ST. Handscund Non Steril size M box 5 Rp 40,000.00 Rp 200,000.00
12 Gloves surgical Non Steril Size S box 5 40,000.00 Rp 200,000.00
13 Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
14 Masker One Med Tali dos 16 Rp 55,200.00 Rp 883,200.00
15 Plester BSN 5 x 2 Cm roll 9 Rp 52,000.00 Rp 468,000.00
16 Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
17 Syringe disposable 3 cc X 23G X 1 1/4" box / 100 4 Rp 84,825.00 Rp 339,300.00
18 Alkohol 70 % 1 liter btl 6 Rp 28,058.00 Rp 168,348.00
19 Plastik Klip Sedang 102 Rp 6,000.00 Rp 612,000.00
20 Plastik Klip Kecil 102 Rp 5,000.00 Rp 510,000.00
21 Kantongan Kresek 42 Rp 30,000.00 Rp 1,260,000.00
22 Hunds Crub Btl 500 ml 15 90,986.00 Rp 1,364,790.00
23 Kertas Perkamen 20 Rp 40,000.00 Rp 800,000.00
24 Lidocain Inj Dus, 100 Amp @ 2 ml 108 Rp 929.00 Rp 100,332.00
25 Umbilical Cord Klem Steril Nylon Box 10 57,500.00 Rp 575,000.00
Rp 28,121,400.00 Rp. 28. 121, 420
KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005
 SURAT PESANAN BHP/ TW 2017

USULAN DARI
UNIT KERJA : PUSKESMAS PARIGI
ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
No. Telp/Fax :

No Nama Alkes, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

1 Strip Nesco Cholesterol/Dus dus 30 Rp 209,091.00 Rp 6,272,730.00

2 Strip Nesco Glucosa/Dus dus 15 Rp 152,273.00 Rp 2,284,095.00
3 Strip Nesco Uric Acid/Dus dus 15 Rp 162,273.00 Rp 2,434,095.00
4 Alkohol swab Box/100 lbr 40 20,680.00 Rp 827,200.00
5 Terumo Dental @ 100 Needle box 8 Rp 134,091.00 Rp 1,072,728.00
6 Septocain @ 50 box 3 Rp 429,091.00 Rp 1,287,273.00
7 Blood Lancets box 5 Rp 50,000.00 Rp 250,000.00
8 Kasa Kompres steril 40 x 40 bh 203 Rp 2,088.00 Rp 423,864.00
9 Kasa Hydrophil steril uk 16 x 16 box / 16 103 Rp 7,569.00 Rp 779,607.00
10 Bisturi Gea No. 11 dos 9 Rp 87,500.00 Rp 787,500.00
11 ST. Handscund Steril No. 7 psg 101 Rp 10,500.00 Rp 1,060,500.00
12 Gloves surgical no. 7,5 Pasang 100 14,863.62 Rp 1,486,362.00
13 Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
14 Masker One Med Tali dos 15 Rp 55,200.00 Rp 828,000.00
15 Plester BSN 5 x 2 Cm roll 10 Rp 52,000.00 Rp 520,000.00
16 Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
17 Syringe disposable 3 cc X 23G X 1 1/4" box / 100 4 Rp 84,825.00 Rp 339,300.00
18 Alkohol 70 % 1 liter btl 10 Rp 28,058.00 Rp 280,580.00
19 Plastik Klip Sedang 100 Rp 6,000.00 Rp 600,000.00
20 Plastik Klip Kecil 100 Rp 5,000.00 Rp 500,000.00
21 Kantongan Kresek 40 Rp 30,000.00 Rp 1,200,000.00
22 Hunds Crub Btl 500 ml 15 90,986.00 Rp 1,364,790.00
23 Kertas Perkamen 20 Rp 40,000.00 Rp 800,000.00
24 Lidocain Inj Dus, 100 Amp @ 2 ml 186 Rp 929.00 Rp 172,794.00
25 Umbilical Cord Klem Steril Nylon Box 20 57,500.00 Rp 1,150,000.00
Rp 28,121,418.00 Rp. 28. 121, 420
KEPALA PUSKESMAS PARIGI

YUNITA TAGUNU, SKM

NIP. 19830624 200312 2 005