PT.

NUSANTARA SEBELAS MEDIKA

POLIKLINIK "PABRIK GULA KEDAWUNG"

PERMINTAAN OBAT-OBATAN POLIKLINIK

BULAN JUNI 2022

Saldo Awal Mutasi Bulan Lalu Est

Kodering Nama Barang Ukuran Sat Debet Kredit Saldo

32000 OBAT DAN VITAMIN

320001040 Amlodipin 10 mg tab 255 1,100 1,040 315

320001200 ATORVASTATIN 20MG 0 120 90 30
320000999 CANDESARTAN 8MG BPJS 0 60 60 0
Total 32000(OBAT DAN VITAMIN)

32001

320010193 Amlodipin 5 mg tab 270 300 410 160

320010123 Asam Mefenamat 500 mg Tab - 40 100 140 0
320010414 CETIRIZINE tab 90 120 200 10
320010292 CLOPIDOGREL BP 0 60 60 0
320010777 Glimepirid 2mg Tab 350 900 910 340
320011312 Mefinal 500 mg tab Tab 60 100 140 20
320011406 Neurosanbe plus tab Tab - 140 100 210 30
Total 32001()

32002

320021912 Sanadryl DMP 60 ml fls 6 0 6 0

Total 32002()

32003

320030203 Bioplacenton tub 2 0 2 0

320030311 Cendo Xitrol TM 7 10 15 2
Total 32003()

32004

320041327 Metamizol inj 10 0 6 4

320041815 PZ 500 OGB botol ml 0 5 4 1
Total 32004()

32026

320260892 Infuset onemed 4 0 3 1

320262204 VENFLON NO 22 1 3 3 1
Total 32026()

Grand Total:
 PASURUAN, 25 June 2022
PTP NUSANTARA XI (PERSERO) Peminta
RSU.WONOLANGAN

Drg. INDRA GUNAWAN, MARS HERMIN CAHYANINGSIH,AMD

Kepala RS Mantri Poliklinik
Estimasi Biaya
Rata2 Diminta Harga Total

577 300 556.00 166,800

66 60 425.00 25,500
18 30 193.00 5,790
198,090

268 300 335.00 100,500

86 200 166.00 33,200
120 200 741.00 148,200
24 30 516.00 15,480
546 300 600.00 180,000
116 100 1,861.00 186,100
154 100 1,613.00 161,300
824,780

3 10 11,685.00 116,850
116,850

1 3 22,000.00 66,000
4 10 33,323.00 333,230
399,230

1 10 3,350.00 33,500
1 3 18,522.00 55,566
89,066

1 3 2,526.00 7,578
2 3 14,638.00 43,914
51,492

1,679,508
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