TAGIHAN PENGAMBILAN OBAT-OBATAN PEGAWAI/KELUARGA

TIRTA INVESTAMA R/SUBANG

KAMP.SALAM DS.DARMAGA KEC.CISALAK SUBANG
TANGGAL: 01/DESEMBER/2021 SAMPAI 31/DESEMBER/2021

No No. Transaksi No. Resep Waktu NO. NPP Karyawan Nama Pasien Nama Obat Qty Harga/Obat Harga Obat Total Harga Penyakit No. Kwitansi
SANMOL 500 MG TAB 12 861 861
1 T11YXY0159889021B 12748192/1/31122021/224909220 31-12-2021 13760 Tono Sumartono Tono Sumartono 21162 DEMAM
LEXACROL CHEW TAB@150 MOL 10 1083 1083
INTUNAL FORTE TABLET 25X4 S 12 1227 1227
2 T11YXY0159888864E 12748192/1/31122021/224704400 31-12-2021 12725 ADE S ADE S COUNTERPAIN CR 15GR 1 31872 31872 70466 BATUK,PILEK
BECOM C KPL@100 10 2387 2387
PYREXIN 500 MG TAB @ 200 10 990 990
3 T11YXY0159888745G 12748192/1/31122021/224535053 31-12-2021 9699 ZAENAL ARIFIN ZAENAL ARIFIN 26480 BATUK,DEMAM
OB HERBAL SYR 60ML 1 16580 16580
DOXEF 125 MG/ML SIRUP KERING 1 83160 83160
4 T11YXY0159837532A 12748192/1/31122021/184317454 31-12-2021 13736 deni herdiansyah deni herdiansyah 126108 BATUK,PILEK
PARATUSIN SYRUP 60 ML 1 42948 42948
5 T11YXY01598373481 12748192/1/31122021/183942225 31-12-2021 13740 Abdul GofuR Abdul GofuR SCABIMITE 5% CR 30GR 1 115500 115500 115500 SKABIES
6 T11YXY01598370958 12748192/1/31122021/183838681 31-12-2021 17172 Yonyon Sudaryono Yonyon Sudaryono FLUTAMOL SYR 60ML 1 27464 27464 27464 BATUK,PILEK
7 T11YXY0159836710D 12748192/1/31122021/183707224 31-12-2021 13404 Gusep Guntara Gusep Guntara FLUTAMOL SYR 60ML 1 27464 27464 27464 BATUK,PILEK
8 T11YXY0159835353C 12748192/1/31122021/183109059 31-12-2021 13456 Usep Saepulloh Usep Saepulloh BETASON CREAM (TUBE 5 GRAM) 1 13232 13232 13232 ALERGI
INSTO EYE DROP 7.5 ML 1 17644 17644
9 T11YXY01598335944 12748192/1/31122021/183023876 31-12-2021 7847 UDIN SAMSUDIN UDIN SAMSUDIN 88787 BATUK
ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143
ALLOPURINOL 300 MG (HEXA) 10 647 647
10 T11YXY0159834621E 12748192/1/31122021/182756974 31-12-2021 6289 Didik SupriyantO Didik SupriyantO 10630
SIMVASTATIN 10MG TAB@100 GHX 10 416 416
11 T11YXY0159828304E 12748192/1/31122021/182231346 31-12-2021 13438 Dika Ismaya Dika Ismaya INTERLAC PROBIOTIC DROP 5ML 1 400400 400400 400400 DIARE
12 T11YXY0159782111I 12748192/1/31122021/145207425 31-12-2021 13404 Gusep Guntara Gusep Guntara VOLTAREN EMULGEL 1% 50 GRAM 1 228615 228615 228615 NYERI
INTUNAL FORTE TABLET 25X4 S 12 1227 1227
13 T11YXY0159684924M 12719789/1/30122021/215402755 30-12-2021 12751 Dedeh Dedeh 97117 BATUK,PILEK
THROMBOPHOB GEL (NORDMARK) 1 82393 82393
PARATUSIN TAB @ 200 10 1870 1870
14 T11YXY0159684735N 12719789/1/30122021/215314712 30-12-2021 7917 KomaR KomaR 38215 BATUK,PILEK
ALPARA SYR 60ML MOL 1 19515 19515
15 T11YXY01596845325 12719789/1/30122021/215224949 30-12-2021 13373 AJAT SUDRAJAT AJAT SUDRAJAT FG TROCHES @ 300 TAB 10 2039 2039 20390 RADANG
BECEFORT STRIP ISI 4@100 12 1729 1729
16 T11YXY01596842933 12719789/1/30122021/215139149 30-12-2021 13414 Kusnadi Kusnadi 33980 ALERGI
BETASON CREAM (TUBE 5 GRAM) 1 13232 13232
17 T11YXY01596843717 12719789/1/30122021/215039598 30-12-2021 13760 Tono Sumartono Tono Sumartono POLYSILANE TAB@40 8 1910 1910 15280
POLYSILANE TAB@40 8 1910 1910
18 T11YXY01596840680 12719789/1/30122021/214947840 30-12-2021 13417 Nursiwan Nursiwan 37451 LAMBUNG
ROHTO COOL 1 22171 22171
YASMIN TAB@21 1 299036 299036
19 T11YXY01596835813 12719789/1/30122021/214846150 30-12-2021 13758 Yandi Suryandi Yandi Suryandi 305924 HORMON
SANMOL 500 MG TAB 8 861 861
20 T11YXY01596834740 12719789/1/30122021/214640283 30-12-2021 7815 Yeyep YuliawaN Yeyep YuliawaN OB HERBAL SYR 60ML 1 16580 16580 16580 BATUK
21 T11YXY01596833271 12719789/1/30122021/214538040 30-12-2021 13680 Tatok Budi Tatok Budi HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
22 T11YXY01596831845 12719789/1/30122021/214453562 30-12-2021 7823 Andris FaisAL Andris FaisAL POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
23 T11YXY0159683022H 12719789/1/30122021/214410191 30-12-2021 7937 Dadi SuryaDI Dadi SuryaDI AMLODIPINE 5 MG (DUS 50 TAB) 10 999 999 9990 HIPERTENSI
PARATUSIN TAB @ 200 10 1870 1870
24 T11YXY0159682855L 12719789/1/30122021/214322872 30-12-2021 7542 Iding Iding 43680 BATUK,PILEK
MEFINAL 500MG KPL@100 10 2498 2498
25 T11YXY01596827034 12719789/1/30122021/214233407 30-12-2021 8916 Dede Rosyadin Dede Rosyadin POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
26 T11YXY0159682499H 12719789/1/30122021/214135511 30-12-2021 2080 NaszirwaN NaszirwaN COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
VICKS FORMULA 44 ADULT 54 ML 1 19489 19489
27 T11YXY01596823339 12719789/1/30122021/214053687 30-12-2021 14951 Heri IsmaiL Heri IsmaiL 39463 BATUK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
PARATUSIN TAB @ 200 10 1870 1870
28 T11YXY0159682060I 12719789/1/30122021/214002622 30-12-2021 7796 Maryati Sulastri Maryati Sulastri 50572 BATUK,PILEK
COUNTERPAIN CR 15GR 1 31872 31872
COUNTERPAIN CR 15GR 1 31872 31872
29 T11YXY01596816334 12719789/1/30122021/213929701 30-12-2021 17389 Ridwan Saepul Hidayat Ridwan Saepul Hidayat 50572 BATUK,PILEK
PARATUSIN TAB @ 200 10 1870 1870
COUNTERPAIN CR 15GR 1 31872 31872
30 T11YXY0159681420F 12719789/1/30122021/213632956 30-12-2021 17381 KurniawAN KurniawAN 50572 BATUK,PILEK
PARATUSIN TAB @ 200 10 1870 1870
31 T11YXY01596812770 12719789/1/30122021/213537861 30-12-2021 13736 deni herdiansyah deni herdiansyah ALPARA SYR 60ML MOL 1 19515 19515 19515 BATUK,PILEK
32 T11YXY0159681143D 12719789/1/30122021/213455544 30-12-2021 6289 Didik SupriyantO Didik SupriyantO HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
VOLTADEX 50MG TAB@50 10 2071 2071
33 T11YXY0159680919H 12719789/1/30122021/213412749 30-12-2021 7798 edi kusnaedi edi kusnaedi 50212 NYERI
SURBEX-Z @ 30 TABLET 6 4917 4917
CEFADROXIL 500MG CAP@100 GDX 10 1177 1177
34 T11YXY01596806707 12719789/1/30122021/213313327 30-12-2021 6252 Dian H Dian H 18658 NYERI
SANMOL 500 MG TAB 8 861 861
35 T11YXY0159680498L 12719789/1/30122021/213155419 30-12-2021 7933 Engkus SupriatnA Engkus SupriatnA ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
36 T11YXY01596803290 12719789/1/30122021/213108093 30-12-2021 7898 Anang JunaedI Anang JunaedI ALPARA SYR 60ML MOL 1 19515 19515 19515 BATUK,PILEK
37 T11YXY0159679358K 12719789/1/30122021/213023505 30-12-2021 7834 Gugum GunawaN Gugum GunawaN DIANE 35 TAB@21 1 199185 199185 199185 HORMON
THROMBOPHOB GEL (NORDMARK) 1 82393 82393
38 T11YXY0159679197M 12719789/1/30122021/212953359 30-12-2021 14983 R M PatoNI R M PatoNI 89281 NYERI
SANMOL 500 MG TAB 8 861 861
39 T11YXY01596790629 12719789/1/30122021/212519129 30-12-2021 9994 Harun Munawar Harun Munawar COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
FG TROCHES @ 300 TAB 10 2039 2039
40 T11YXY01596788400 12719789/1/30122021/212437719 30-12-2021 7819 Aa Nuryadi Aa Nuryadi 27278 RADANG
SANMOL 500 MG TAB 8 861 861
41 T11YXY0159678649E 12719789/1/30122021/212341937 30-12-2021 12753 HamunG HamunG AMLODIPINE 5 MG (DUS 50 TAB) 10 999 999 9990 HIPERTENSI
SANMOL 500 MG TAB 16 861 861
42 T11YXY0159678427O 12719789/1/30122021/212251219 30-12-2021 16987 YoPI YoPI TREMENZA TAB@100 10 2315 2315 92796 FLU
LAMESON 4MG TAB@100 10 5587 5587
43 T11YXY01596782270 12719789/1/30122021/212151020 30-12-2021 11912 Jaenal Aripin Jaenal Aripin FG TROCHES @ 300 TAB 10 2039 2039 20390 RADANG
FG TROCHES @ 300 TAB 10 2039 2039
44 T11YXY01596780456 12719789/1/30122021/212107925 30-12-2021 10252 Edeng Rahmat Edeng Rahmat 42561 RADANG
ROHTO COOL 1 22171 22171
45 T11YXY0159677856G 12719789/1/30122021/212013983 30-12-2021 7846 Sopian Muharam Sopian Muharam PRORIS 200MG TAB@50 10 1361 1361 13610 DEMAM
MEFINAL 500MG KPL@100 10 2498 2498
46 T11YXY0159677688D 12719789/1/30122021/211931974 30-12-2021 7732 Nana Suyana Nana Suyana 34970 HIPERTENSI
AMLODIPINE 5 MG (DUS 50 TAB) 10 999 999
47 T11YXY01596775150 12719789/1/30122021/211840892 30-12-2021 13444 Erin Tito N Erin Tito N INTUNAL FORTE TABLET 25X4 S 12 1227 1227 14724 BATUK,PILEK
48 T11YXY01596772164 12719789/1/30122021/211742689 30-12-2021 17383 Andri Hendrayana Andri Hendrayana AMLODIPINE 5 MG (DUS 50 TAB) 20 999 999 19980 HIPERTENSI
ROHTO COOL 1 22171 22171
49 T11YXY01596766331 12719789/1/30122021/211726615 30-12-2021 7781 HASANUDIN HASANUDIN POLYSILANE TAB@40 8 1910 1910 57841 IRITASI MATA
FG TROCHES @ 300 TAB 10 2039 2039
COUNTERPAIN CR 15GR 1 31872 31872
TUZALOS 15MG KPL@100 8 1455 1455
50 T11YXY01596768212 12719789/1/30122021/211625234 30-12-2021 7817 AEP SAEPUDIN AEP SAEPUDIN 75732 BATUK,PILEK
LEXACROL CHEW TAB@150 MOL 10 1083 1083
CEFADROXIL 500 MG (DUS 50 KAPS) 10 2139 2139
51 T11YXY01596761258 12719789/1/30122021/211439721 30-12-2021 13739 Jajat Sudrajat Jajat Sudrajat VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370 20370 BATUK
52 T11YXY0159676337R 12719789/1/30122021/211337920 30-12-2021 13740 Abdul GofuR Abdul GofuR SANADRYL DMP SYR 120ML 1 29278 29278 29278 BATUK
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
53 T11YXY0159675966F 12719789/1/30122021/211208420 30-12-2021 13443 Yustinus A Yustinus A 32869 BATUK
OB HERBAL SYR 60ML 1 16580 16580
VOLTADEX 50MG TAB@50 10 2071 2071
54 T11YXY0159675715Q 12719789/1/30122021/211118676 30-12-2021 13404 Gusep Guntara Gusep Guntara OMEPRAZOLE 20 MG (DUS 30 KAPS) 10 1075 1075 42290 LAMBUNG
LEXACROL CHEW TAB@150 MOL 10 1083 1083
PLANTACID SUSP FORTE 100ML 1 44942 44942
55 T11YXY0159675484R 12719789/1/30122021/211018386 30-12-2021 11042 Rudi Agustianto Rudi Agustianto 54842 LAMBUNG
PYREXIN 500 MG TAB @ 200 10 990 990
56 T11YXY01596752249 12719789/1/30122021/210922242 30-12-2021 13204 AGUS ADAM NUR AGUS ADAM NUR PLANTACID SUSP FORTE 100ML 1 44942 44942 44942 LAMBUNG
57 T11YXY01596750459 12719789/1/30122021/210847599 30-12-2021 10253 Nursaedah Nursaedah INTUNAL FORTE TABLET 25X4 S 12 1227 1227 14724 BATUK,PILEK
58 T11YXY0159674892N 12719789/1/30122021/210739843 30-12-2021 7804 Dudi Suherli Dudi Suherli VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370 20370 BATUK
59 T11YXY0159674610B 12719789/1/30122021/210643409 30-12-2021 7834 Gugum GunawaN Gugum GunawaN MEFINAL 500MG KPL@100 10 2498 2498 24980 NYERI
COUNTERPAIN CR 15GR 1 31872 31872
60 T11YXY0159674460A 12719789/1/30122021/210554570 30-12-2021 7815 Yeyep YuliawaN Yeyep YuliawaN 41772 NYERI
PYREXIN 500 MG TAB @ 200 10 990 990
61 T11YXY0159674290B 12719789/1/30122021/210505434 30-12-2021 10258 SudarmaN SudarmaN COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
62 T11YXY0159674111J 12719789/1/30122021/210419453 30-12-2021 13415 M RizaL M RizaL ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
ALPARA SYR 60ML MOL 1 19515 19515
63 T11YXY01596738009 12719789/1/30122021/210319129 30-12-2021 7846 Sopian Muharam Sopian Muharam SANADRYL DMP SYR 120ML 1 29278 29278 57783 BATUK,PILEK
KALMETHASONE 0.5MG TAB@200 10 899 899
64 T11YXY01596735427 12719789/1/30122021/210221471 30-12-2021 7849 Yeyep Saepuloh Yeyep Saepuloh SANMOL 500 MG TAB 8 861 861 6888 DEMAM
65 T11YXY0159673351C 12719789/1/30122021/210115541 30-12-2021 8120 Muhtar A Muhtar A PLANTACID SUSP FORTE 100ML 1 44942 44942 44942 LAMBUNG
66 T11YXY01596732093 12719789/1/30122021/210032435 30-12-2021 13441 Yayat Ruhiyat Yayat Ruhiyat OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289 16289 BATUK
67 T11YXY0159673004H 12719789/1/30122021/205940348 30-12-2021 16834 Dedi HeryantO Dedi HeryantO OB HERBAL SYR 60ML 1 16580 16580 16580 BATUK
68 T11YXY01596728109 12719789/1/30122021/205858879 30-12-2021 14983 R M PatoNI R M PatoNI ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
69 T11YXY0159672640A 12719789/1/30122021/205813743 30-12-2021 7823 Andris FaisAL Andris FaisAL INTUNAL FORTE TABLET 25X4 S 12 1227 1227 14724 BATUK,PILEK
70 T11YXY01596724462 12719789/1/30122021/205730650 30-12-2021 10258 SudarmaN SudarmaN SANADRYL DMP SYR 120ML 1 29278 29278 29278 BATUK
71 T11YXY01596722557 12719789/1/30122021/205643116 30-12-2021 7815 Yeyep YuliawaN Yeyep YuliawaN PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
FITUNO KAPLET-BLISTER 3X10 KAPLET 10 6785 6785
72 T11YXY01596720288 12719789/1/30122021/205557238 30-12-2021 7761 NENI URIANI NENI URIANI 89190 HIPERTENSI
AMLODIPINE 10 MG (DUS 50 TAB) 10 2134 2134
POLYSILANE TAB@40 8 1910 1910
73 T11YXY0159671758K 12719789/1/30122021/205504310 30-12-2021 6252 Dian H Dian H 25180 LAMBUNG
PYREXIN 500 MG TAB @ 200 10 990 990
74 T11YXY01596713449 12719789/1/30122021/205400948 30-12-2021 8609 Andri Rosiawan Andri Rosiawan MEFINAL 500MG KPL@100 10 2498 2498 24980 NYERI
PYREXIN 500 MG TAB @ 200 10 990 990
75 T11YXY0159671461B 12719789/1/30122021/205321483 30-12-2021 6231 Asep Rahmat Asep Rahmat 20650 LAMBUNG
OMEPRAZOLE 20 MG (DUS 30 KAPS) 10 1075 1075
PARATUSIN TAB @ 200 10 1870 1870
76 T11YXY0159671075A 12719789/1/30122021/205209698 30-12-2021 13736 deni herdiansyah deni herdiansyah 52924 BATUK,PILEK
NEUROVIT- E TSG DUS 25 x 4 Tab 8 4278 4278
77 T11YXY0159670894N 12719789/1/30122021/205145286 30-12-2021 13738 Arip Komarudin Arip Komarudin INTUNAL FORTE TABLET 25X4 S 8 1227 1227 9816 BATUK,PILEK
INTUNAL FORTE TABLET 25X4 S 8 1227 1227
78 T11YXY0159670688K 12719789/1/30122021/205050090 30-12-2021 8674 SUPARDAN SUPARDAN 23648 BATUK,PILEK
BECEFORT STRIP ISI 4@100 8 1729 1729
79 T11YXY01596704646 12719789/1/30122021/204952951 30-12-2021 6244 Asep SahudiN Asep SahudiN MEFINAL 500MG KPL@100 10 2498 2498 24980 NYERI
80 T11YXY0159670074D 12719789/1/30122021/204909163 30-12-2021 14960 Dadan JuandA Dadan JuandA PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
81 T11YXY01596697700 12719789/1/30122021/204718082 30-12-2021 6487 Agus Cucu Supriadi Tn Agus Cucu Supriadi Tn COUNTERPAIN COOL 15 GRAM 1 34342 34342 34342 NYERI
82 T11YXY0159669573Q 12719789/1/30122021/204636072 30-12-2021 7405 Aang Aang PARATUSIN TAB @ 200 10 1870 1870 18700 BATUK,PILEK
83 T11YXY01596694061 12719789/1/30122021/204547465 30-12-2021 6210 Sumarno Sumarno POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
84 T11YXY0159669212C 12719789/1/30122021/204507453 30-12-2021 14965 D SuyoNO D SuyoNO ALPARA SYR 60ML MOL 1 19515 19515 19515 BATUK,PILEK
85 T11YXY01596690572 12719789/1/30122021/204421789 30-12-2021 12739 Asep TaufiK Asep TaufiK BECOM-ZET KAPL @ 100 10 3137 3137 31370 VITAMIN
86 T11YXY0159668758F 12719789/1/30122021/204340806 30-12-2021 13736 deni herdiansyah deni herdiansyah OMEPRAZOLE 20 MG (DUS 30 KAPS) 10 1075 1075 10750 LAMBUNG
PLANTACID SUSP FORTE 100ML 1 44942 44942
87 T11YXY01596681860 12719789/1/30122021/204313313 30-12-2021 7921 Iwan GunawaN Iwan GunawaN 55692 LAMBUNG
OMEPRAZOLE 20 MG (DUS 30 KAPS) 10 1075 1075
88 T11YXY0159667996C 12719789/1/30122021/204025486 30-12-2021 7898 Anang JunaedI Anang JunaedI INTUNAL FORTE TABLET 25X4 S 8 1227 1227 9816 BATUK,PILEK
89 T11YXY0159667772Q 12719789/1/30122021/203942815 30-12-2021 10847 Suryadi Suryadi COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
90 T11YXY01596675821 12719789/1/30122021/203852941 30-12-2021 6297 Jajang Sahidin Jajang Sahidin TREMENZA TAB@100 10 2315 2315 23150 PILEK
91 T11YXY0159667411C 12719789/1/30122021/203811492 30-12-2021 10244 Aming h Aming h PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
92 T11YXY01596670962 12719789/1/30122021/203726906 30-12-2021 13414 Kusnadi Kusnadi BECOM-ZET KAPL @ 100 10 3137 3137 31370 VITAMIN
93 T11YXY01596671960 12719789/1/30122021/203656656 30-12-2021 13445 Agus RuhiyAT Agus RuhiyAT PARATUSIN TAB @ 200 10 1870 1870 18700 BATUK,PILEK
94 T11YXY0159666859D 12719789/1/30122021/203602181 30-12-2021 14970 Taryana Taryana SCABIMITE 5% CR 30GR 1 115500 115500 115500 SKABIES
AMLODIPINE 5 MG (DUS 50 TAB) 10 999 999
95 T11YXY0159666558L 12719789/1/30122021/203459664 30-12-2021 7825 Asep Juju Asep Juju 41862 HIPERTENSI
COUNTERPAIN CR 15GR 1 31872 31872
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
96 T11YXY0159666030L 12719789/1/30122021/203429473 30-12-2021 10845 Tjutju s Tjutju s VOLTADEX 50MG TAB@50 10 2071 2071 61054 BATUK
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
POLYSILANE TAB@40 8 1910 1910
97 T11YXY0159665737M 12719789/1/30122021/203150176 30-12-2021 13441 Yayat Ruhiyat Yayat Ruhiyat 46650 LAMBUNG
BECOM-ZET KAPL @ 100 10 3137 3137
SANGOBION KAPSUL @ 250 10 1882 1882
98 T11YXY01596654651 12719789/1/30122021/203118938 30-12-2021 8202 Ani Mardiani Ani Mardiani 37520 BATUK,PILEK
PARATUSIN TAB @ 200 10 1870 1870
VICKS FORMULA 44 ADULT 54 ML 1 19489 19489
99 T11YXY0159665279O 12719789/1/30122021/202956515 30-12-2021 14958 Aep Koswara Aep Koswara 41660 BATUK
ROHTO COOL 1 22171 22171
COUNTERPAIN CR 15GR 1 31872 31872
100 T11YXY0159665070I 12719789/1/30122021/202911218 30-12-2021 6231 Asep Rahmat Asep Rahmat 61150 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
SANMOL 500 MG TAB 8 861 861
101 T11YXY01596648141 12719789/1/30122021/202819654 30-12-2021 17392 Iman SunawAN Iman SunawAN 27278 RADANG,DEMAM
FG TROCHES @ 300 TAB 10 2039 2039
102 T11YXY0159663826P 12719789/1/30122021/202427766 30-12-2021 9389 Pupu Saepudin Pupu Saepudin SANADRYL DMP SYR 120ML 1 29278 29278 29278 BATUK
103 T11YXY01596636352 12719789/1/30122021/202340406 30-12-2021 14965 D SuyoNO D SuyoNO SUMAGESIC 600 MG TAB @ 100 (UN 8 916 916 7328 DEMAM
VOLTADEX 50MG TAB@50 10 2071 2071
104 T11YXY01596634447 12719789/1/30122021/202252198 30-12-2021 7846 Sopian Muharam Sopian Muharam 40684 NYERI
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
105 T11YXY0159663174A 12719789/1/30122021/202206386 30-12-2021 7849 Yeyep Saepuloh Yeyep Saepuloh 40344 BATUK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
ALPARA KPL@150 MOL 10 1030 1030
106 T11YXY0159662928K 12719789/1/30122021/202109075 30-12-2021 17355 REZAPURNAMA PAHLAWAN REZAPURNAMA PAHLAWAN 29815 BATUK,PILEK
ALPARA SYR 60ML MOL 1 19515 19515
POLYSILANE TAB@40 8 1910 1910
PYREXIN 500 MG TAB @ 200 10 990 990
107 T11YXY01596626147 12719789/1/30122021/202015699 30-12-2021 14053 Sutisna Sutisna 67300 LAMBUNG
OMEPRAZOLE 20 MG (DUS 30 KAPS) 10 1075 1075
BECOM-ZET KAPL @ 100 10 3137 3137
108 T11YXY01596620595 12719789/1/30122021/201908014 30-12-2021 9389 Pupu Saepudin Pupu Saepudin PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
109 T11YXY01596527816 12719789/1/30122021/201701095 30-12-2021 14968 Agus Ramdani Agus Ramdani ALPARA KPL@150 MOL 10 1030 1030 10300 BATUK,PILEK
110 T11YXY01596611958 12719789/1/30122021/201631230 30-12-2021 11914 Ujang Hermawan Ujang Hermawan AMLODIPINE 10 MG (DUS 50 TAB) 10 2134 2134 21340 HIPERTENSI
SANGOBION KAPSUL @ 250 10 1882 1882
111 T11YXY01596529060 12719789/1/30122021/194445697 30-12-2021 6487 Agus Cucu Supriadi Tn Agus Cucu Supriadi Tn ROHTO COOL 1 22171 22171 72863 NYERI
COUNTERPAIN CR 15GR 1 31872 31872
VICKS FORMULA 44 ADULT 54 ML 1 19489 19489
112 T11YXY0159652212L 12719789/1/30122021/194339309 30-12-2021 14951 Heri IsmaiL Heri IsmaiL 39879 BATUK
FG TROCHES @ 300 TAB 10 2039 2039
FG TROCHES @ 300 TAB 10 2039 2039
SANMOL 500 MG TAB 8 861 861
113 T11YXY01596518625 12719789/1/30122021/194238145 30-12-2021 7758 Laela SaRI Laela SaRI SANMOL 125MG/5ML SYR 60 ML 1 19974 19974 84703 LAMBUNG
ROHTO COOL 1 22171 22171
POLYSILANE TAB@40 8 1910 1910
114 T11YXY0159651964R 12719789/1/30122021/194115459 30-12-2021 13774 Kamaludin Kamaludin PARATUSIN TAB @ 200 10 1870 1870 18700 BATUK,PILEK
115 T11YXY01596516538 12719789/1/30122021/194013771 30-12-2021 16489 Didin RohidiN Didin RohidiN PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
116 T11YXY01596514269 12719789/1/30122021/193937937 30-12-2021 7814 RahmAT RahmAT BETASON CREAM (TUBE 5 GRAM) 1 13232 13232 13232 ALERGI
SCABIMITE 5% CR 10GR 2 89620 89620
117 T11YXY0159651221N 12719789/1/30122021/193854959 30-12-2021 8916 Dede Rosyadin Dede Rosyadin 186568 SKABIES
SUMAGESIC 600 MG TAB @ 100 (UN 8 916 916
SANMOL 125MG/5ML SYR 60 ML 2 19974 19974
118 T11YXY01596509640 12719789/1/30122021/193801936 30-12-2021 17251 ARGA TRESADYA GINANJAR ARGA TRESADYA GINANJAR 80688 DEMAM
VICKS FORMULA 44 ANAK 54 ML ST 2 20370 20370
PLANTACID SUSP FORTE 100ML 1 44942 44942
119 T11YXY0159650722C 12719789/1/30122021/193702798 30-12-2021 10258 SudarmaN SudarmaN 61052 LAMBUNG
BIORON TAB@100 10 1611 1611
120 T11YXY01596505292 12719789/1/30122021/193610088 30-12-2021 1996 Dedi Kurnaedi Dedi Kurnaedi PLANTACID SUSP FORTE 100ML 1 44942 44942 44942 LAMBUNG
121 T11YXY0159650344E 12719789/1/30122021/193527204 30-12-2021 17371 WandA WandA YASMIN TAB@21 2 299036 299036 598072 HORMON
POLYSILANE TAB@40 8 1910 1910
122 T11YXY01596498900 12719789/1/30122021/193445170 30-12-2021 13399 Dian Herdiana Dian Herdiana 37451 LAMBUNG
ROHTO COOL 1 22171 22171
ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143
123 T11YXY0159650029C 12719789/1/30122021/193403098 30-12-2021 7832 Eko Wawan Eko Wawan 91533 BATUK
FG TROCHES @ 300 TAB 10 2039 2039
124 T11YXY0159649677K 12719789/1/30122021/193301121 30-12-2021 8847 Dukatno Dukatno PRORIS 200MG TAB@50 10 1361 1361 13610 DEMAM
SANADRYL DMP SYR 120ML 1 29278 29278
125 T11YXY0159649441B 12719789/1/30122021/193219308 30-12-2021 7791 Wawan SetiawaN Wawan SetiawaN 44558 BATUK
POLYSILANE TAB@40 8 1910 1910
FG TROCHES @ 300 TAB 10 2039 2039
126 T11YXY01596492390 12719789/1/30122021/193127805 30-12-2021 6252 Dian H Dian H 38034 RADANG
INSTO EYE DROP 7.5 ML 1 17644 17644
127 T11YXY0159648975J 12719789/1/30122021/193036896 30-12-2021 13395 Deden YudI Deden YudI OB HERBAL SYR 60ML 1 16580 16580 16580 BATUK
HYDROCORTISONE 1% CR 5GR KB 1 6573 6573
128 T11YXY01596487044 12719789/1/30122021/192947759 30-12-2021 7735 SuranTO SuranTO 21853 ALERGI
POLYSILANE TAB@40 8 1910 1910
INTUNAL FORTE TABLET 25X4 S 8 1227 1227
129 T11YXY0159648560A 12719789/1/30122021/192904423 30-12-2021 13456 Usep Saepulloh Usep Saepulloh 33686 BATUK,PILEK
BECOM C KPL@100 10 2387 2387
SANGOBION KAPSUL @ 250 10 1882 1882
130 T11YXY01596483381 12719789/1/30122021/192805004 30-12-2021 6238 Sopyan Iskandar Sopyan Iskandar 89963 BATUK
ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143
POLYSILANE TAB@40 16 1910 1910
131 T11YXY01596480593 12719789/1/30122021/192714380 30-12-2021 10260 Ujang Sukarso Ujang Sukarso 89564 LAMBUNG
SURBEX-Z @ 30 TABLET 12 4917 4917
POLYSILANE TAB@40 8 1910 1910
132 T11YXY0159647848J 12719789/1/30122021/192626223 30-12-2021 17389 Ridwan Saepul Hidayat Ridwan Saepul Hidayat COUNTERPAIN CR 15GR 1 31872 31872 65852 BATUK,PILEK
PARATUSIN TAB @ 200 10 1870 1870
133 T11YXY01596475627 12719789/1/30122021/192505209 30-12-2021 7898 Anang JunaedI Anang JunaedI OB HERBAL SYR 60ML 1 16580 16580 16580 BATUK
PARATUSIN TAB @ 200 10 1870 1870
134 T11YXY0159647349R 12719789/1/30122021/192443268 30-12-2021 16517 Yanto Sofyan Yanto Sofyan 31932 BATUK,PILEK
BETASON CREAM (TUBE 5 GRAM) 1 13232 13232
135 T11YXY0159644948K 12719789/1/30122021/192343977 30-12-2021 13450 Ivan juniadi Ivan juniadi DOLOFEN F 400MG CAP@100 10 1708 1708 17080 NYERI
PARATUSIN TAB @ 200 10 1870 1870
136 T11YXY01596467335 12719789/1/30122021/192314724 30-12-2021 13428 WILDAN MUTAQIN WILDAN MUTAQIN 66203 BATUK,PILEK
CURVIT SYR 120 ML 1 47503 47503
CURVIT SYR 120 ML 1 47503 47503
137 T11YXY0159646211L 12719789/1/30122021/192104815 30-12-2021 11411 Asep Deni Asep Deni 67873 BATUK
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
ANADEX DRAGE@100 10 3735 3735
138 T11YXY0159645909L 12719789/1/30122021/191858933 30-12-2021 7938 Oleh N Oleh N FG TROCHES @ 300 TAB 10 2039 2039 113610 BATUK,PILEK
LAMESON 4MG TAB@100 10 5587 5587
ANADEX DRAGE@100 10 3735 3735
139 T11YXY01596447717 12719789/1/30122021/191713459 30-12-2021 17392 Iman SunawAN Iman SunawAN LAMESON 4MG TAB@100 10 5587 5587 104990 BATUK,PILEK
CEFADROXIL 500MG CAP@100 GDX 10 1177 1177
SANGOBION KAPSUL @ 250 10 1882 1882
140 T11YXY0159644086A 12719789/1/30122021/191400592 30-12-2021 12740 Erick Susanto Erick Susanto 66323 ANEMIA
CURVIT SYR 120 ML 1 47503 47503
POLYSILANE TAB@40 8 1910 1910
141 T11YXY0159643344D 12719789/1/30122021/191321377 30-12-2021 13755 Tatang Hidayat Tatang Hidayat 34769 LAMBUNG
VICKS FORMULA 44 ADULT 54 ML 1 19489 19489
SANADRYL DMP SYR 120ML 1 29278 29278
142 T11YXY01596428361 12719789/1/30122021/190804211 30-12-2021 13456 Usep Saepulloh Usep Saepulloh 38368 BATUK
AMBROXOL 30 MG (DUS 100 TAB) 10 909 909
143 T11YXY0159642929M 12719789/1/30122021/190725836 30-12-2021 13680 Tatok Budi Tatok Budi FORMYCO CR 10GR 1 30004 30004 30004 ANTIJAMUR
SANADRYL DMP SYR 120ML 1 29278 29278
144 T11YXY01596423957 12719789/1/30122021/190628595 30-12-2021 13738 Arip Komarudin Arip Komarudin 52428 BATUK PILEK
TREMENZA TAB@100 10 2315 2315
VOLTADEX 50MG TAB@50 10 2071 2071
145 T11YXY0159642182I 12719789/1/30122021/190513493 30-12-2021 13738 Arip Komarudin Arip Komarudin 88560 NYERI
FITUNO KAPLET-BLISTER 3X10 KAPLET 10 6785 6785
146 T11YXY0159636623A 12719789/1/30122021/190415763 30-12-2021 10253 Nursaedah Nursaedah AMBROXOL 30 MG (DUS 100 TAB) 10 909 909 9090 BATUK
FG TROCHES @ 300 TAB 10 2039 2039
147 T11YXY01596419518 12719789/1/30122021/190330916 30-12-2021 12740 Erick Susanto Erick Susanto 36970 BATUK
OB HERBAL SYR 60ML 1 16580 16580
POLYCROL FORTE TAB@240 10 1797 1797
148 T11YXY0159636362E 12719789/1/30122021/184011604 30-12-2021 6289 Didik SupriyantO Didik SupriyantO 36790 LAMBUNG
SANGOBION KAPSUL @ 250 10 1882 1882
TREMENZA TAB@100 10 2315 2315
149 T11YXY0159636154F 12719789/1/30122021/183943715 30-12-2021 16987 YoPI YoPI LAMESON 4MG TAB@100 10 5587 5587 85908 FLU
SANMOL 500 MG TAB 8 861 861
150 T11YXY0159635968J 12719789/1/30122021/183843984 30-12-2021 17383 Andri Hendrayana Andri Hendrayana FORMYCO CR 10GR 1 30004 30004 30004 ANTIJAMUR
CURVIT SYR 120 ML 1 47503 47503
151 T11YXY0159635747R 12719789/1/30122021/183742351 30-12-2021 17248 Rina Asri m Rina Asri m 76781 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
PARATUSIN TAB @ 200 10 1870 1870
152 T11YXY01596355077 12719789/1/30122021/183643691 30-12-2021 17248 Rina Asri m Rina Asri m 42570 BATUK,PILEK
BECOM C KPL@100 10 2387 2387
153 T11YXY0159635434C 12719789/1/30122021/183607471 30-12-2021 13680 Tatok Budi Tatok Budi FG TROCHES @ 300 TAB 10 2039 2039 20390 DEMAM
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
154 T11YXY0159634898J 12719789/1/30122021/183435514 30-12-2021 17377 Dede Koswara Dede Koswara VICKS FORMULA 44 ADULT 54 ML 1 19489 19489 54743 BATUK,DEMAM
POLYSILANE TAB@40 8 1910 1910
155 T11YXY01596348519 12719789/1/30122021/183312183 30-12-2021 9389 Pupu Saepudin Pupu Saepudin OB HERBAL SYR 60ML 1 16580 16580 16580 BATUK
156 T11YXY0159634563A 12719789/1/30122021/183209006 30-12-2021 14970 Taryana Taryana INSTO EYE DROP 7.5 ML 1 17644 17644 17644 IRITASI MATA
DOLOFEN F 400MG CAP@100 10 1708 1708
157 T11YXY0159634115J 12719789/1/30122021/183120209 30-12-2021 10847 Suryadi Suryadi 72950 RADANG
LAMESON 4MG TAB@100 10 5587 5587
PYREXIN 500 MG TAB @ 200 10 990 990
158 T11YXY0159632493B 12719789/1/30122021/183039101 30-12-2021 7814 RahmAT RahmAT 26480 BATUK
OB HERBAL SYR 60ML 1 16580 16580
TREMENZA TAB@100 10 2315 2315
LAMESON 4MG TAB@100 10 5587 5587
159 T11YXY01596319833 12719789/1/30122021/182154338 30-12-2021 16987 YoPI YoPI 98729 FLU
SANMOL 500 MG TAB 4 861 861
OBH COMBI BATUK BERDAHAK JAHE 100 ML 1 16265 16265
PARATUSIN TAB @ 200 10 1870 1870
160 T11YXY01596318835 12719789/1/30122021/182047752 30-12-2021 7791 Wawan SetiawaN Wawan SetiawaN ALPARA SYR 60ML MOL 1 19515 19515 83157 BATUK PILEK
PLANTACID SUSP FORTE 100ML 1 44942 44942
161 T11YXY01596313885 12719789/1/30122021/181823480 30-12-2021 6258 Atis Sutina Atis Sutina YASMIN TAB@21 2 299036 299036 598072 HORMON
162 T11YXY0159631273I 12719789/1/30122021/181751531 30-12-2021 9389 Pupu Saepudin Pupu Saepudin VOLTADEX 50MG TAB@50 10 2071 2071 20710 NYERI
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
163 T11YXY0159630970B 12719789/1/30122021/181648258 30-12-2021 16695 Rahmat HidayaT Rahmat HidayaT 27258 BATUK
SANMOL 500 MG TAB 8 861 861
PLANTACID SUSP FORTE 100ML 1 44942 44942
164 T11YXY01596307648 12719789/1/30122021/181606961 30-12-2021 10845 Tjutju s Tjutju s 134562 SKABIES
SCABIMITE 5% CR 10GR 1 89620 89620
SANMOL 500 MG TAB 8 861 861
165 T11YXY0159630250R 12719789/1/30122021/181400787 30-12-2021 13389 Budi Nugraha Budi Nugraha 89281 NYERI
THROMBOPHOB GEL (NORDMARK) 1 82393 82393
PRORIS 200MG TAB@50 10 1361 1361
166 T11YXY01596303688 12719789/1/30122021/181446465 30-12-2021 17378 Taufik HidayaT Taufik HidayaT POLYSILANE TAB@40 8 1910 1910 58392 LAMBUNG
SURBEX-Z @ 30 TABLET 6 4917 4917
CEFADROXIL 500MG CAP@100 GDX 10 1177 1177
167 T11YXY0159629955O 12719789/1/30122021/181255447 30-12-2021 7817 AEP SAEPUDIN AEP SAEPUDIN TREMENZA TAB@100 10 2315 2315 55310 FLU
FG TROCHES @ 300 TAB 10 2039 2039
168 T11YXY0159629698K 12719789/1/30122021/181137753 30-12-2021 16987 YoPI YoPI SANMOL 500 MG TAB 12 861 861 10332 DEMAM
169 T11YXY0159629433C 12719789/1/30122021/181047040 30-12-2021 7855 ENDANG SOLEH ENDANG SOLEH SCABIMITE 5% CR 10GR 2 89620 89620 179240 SKABIES
PRORIS 200MG TAB@50 10 1361 1361
170 T11YXY0159629142J 12719789/1/30122021/181002157 30-12-2021 7855 ENDANG SOLEH ENDANG SOLEH 32310 BATUK,PILEK
PARATUSIN TAB @ 200 10 1870 1870
INTUNAL FORTE TABLET 25X4 S 8 1227 1227
171 T11YXY0159629221L 12719789/1/30122021/180922730 30-12-2021 7796 Maryati Sulastri Maryati Sulastri 408186 HORMON
DIANE 35 TAB@21 2 199185 199185
172 T11YXY0159628856P 12719789/1/30122021/180805675 30-12-2021 10805 Adi Ahmad Adi Ahmad ALPARA SYR 60ML MOL 1 19515 19515 19515 BATUK,PILEK
173 T11YXY01596289119 12719789/1/30122021/180753034 30-12-2021 6289 Didik SupriyantO Didik SupriyantO POLYCROL FORTE TAB@240 10 1797 1797 17970 LAMBUNG
174 T11YXY0159627302L 12719789/1/30122021/180644270 30-12-2021 16524 Ade Gojali Ade Gojali CURVIT SYR 120 ML 1 47503 47503 47503 VITAMIN
175 T11YXY0159586417Q 12719789/1/30122021/150704229 30-12-2021 10806 Iyan SopiaN Iyan SopiaN PSIDII SYR 60ML 1 50820 50820 50820 DBD
176 T11YXY01590557257 12632995/1/27122021/151142214 27-12-2021 13456 Usep Saepulloh Usep Saepulloh BETASON CREAM (TUBE 5 GRAM) 1 13232 13232 13232 ALERGI
177 T11YXY0159055335E 12632995/1/27122021/150929755 27-12-2021 13456 Usep Saepulloh Usep Saepulloh SCOTTS EMULSION ORIGINAL 400 M 2 93891 93891 187782 VITAMIN
LAMODEX CREAM 10 GR (GDN) 3 61600 61600
KLODERMA LOT 30ML 1 107030 107030
178 T11YXY0158722165J 12588377/1/25122021/130502065 25-12-2021 11913 MULYANTO MULYANTO 418390 ALERGI
LAMESON 4MG TAB@100 10 5587 5587
ALLORIS TAB @ 100 (SANBE) 10 7069 7069
DUODERM HYDROACTIVE GEL 15GR 1 83999 83999
179 T11YXY01587217195 12588377/1/25122021/130226461 25-12-2021 7846 Sopian Muharam Sopian Muharam 545999 SCAR
KELO-COTE SCAR GEL 6ML 1 462000 462000
180 T11YXY0158721514J 12588377/1/25122021/130036103 25-12-2021 7924 Juju Junaedi Juju Junaedi YASMIN TAB@21 2 299036 299036 598072 HORMON
SPEDIFEN 400MG TAB@30 30 9240 9240
181 T11YXY0158721190R 12588377/1/25122021/125826130 25-12-2021 8889 UnanG UnanG 476385 HORMON
DIANE 35 TAB@21 1 199185 199185
182 T11YXY01585912276 12555459/1/24122021/165441742 24-12-2021 8202 Ani Mardiani Ani Mardiani N.PLUS IRON 40MG@90 1 266000 266000 266000 ANEMIA
PRO TB2 KID TAB@28 60 4620 4620
183 T11YXY0158571404E 12555459/1/24122021/145429781 24-12-2021 13758 Yandi Suryandi Yandi Suryandi 354200 PLEK
BEVITA SYRUP 1 77000 77000
AMOXSAN SYRUP 60 ML 1 46778 46778
184 T11YXY0158071507B 12471980/1/21122021/154754860 21-12-2021 7760 AlikA AlikA FLUTAMOL SYR 60ML 1 27464 27464 97342 BATUK,PILEK
BIOLYSIN SYR 100ML 1 23100 23100
185 OPICEF 125MG DRY SYR 60ML (OTTO) 1 69300 69300
T11YXY0158035476C 12471980/1/21122021/120703516 21-12-2021 9385 Simon Bagus SalaM Simon Bagus SalaM PARATUSIN SYRUP 60 ML 1 42948 42948 189248 BATUK PILEK
186
BEVITA SYRUP 1 77000 77000
DOXEF 125 MG/ML SIRUP KERING 1 83160 83160
187 T11YXY0158035134Q 12471980/1/21122021/120555769 21-12-2021 13449 Ganjar NugraHA Ganjar NugraHA 126108 BATUK PILEK
PARATUSIN SYRUP 60 ML 1 42948 42948
PRO TB2 KID TAB@28 60 4620 4620
188 T11YXY0158034681I 12471980/1/21122021/120336889 21-12-2021 13455 Ujang Munawar Ujang Munawar BEVITA SYRUP 1 77000 77000 413599 PLEK
ANADEX SYR 60ML 1 59399 59399
PRO TB2 KID TAB@28 30 4620 4620
189 T11YXY0158034451P 12471980/1/21122021/120027070 21-12-2021 13455 Ujang Munawar Ujang Munawar BEVITA SYRUP 1 77000 77000 243064 PLEK
 FLUTAMOL SYR 60ML 1 27464 27464
SANPRIMA SYR 60ML 1 39424 39424
190 T11YXY0158034265K 12471980/1/21122021/115918768 21-12-2021 16834 Dedi HeryantO Dedi HeryantO LACOLDIN SYR 60ML 1 30800 30800 139524 BATUK PILEK
VOMETA 1MG/ML SYR 1 69300 69300
191 T11YXY0157861985N 12442943/1/20122021/113353317 20-12-2021 7804 Dudi Suherli Dudi Suherli DIANE 35 TAB@21 1 199185 199185 199185 HORMON
LOPREZOL 30 MG KAPSUL 7 17818 17818
PROPEPSA SUSP 200ML 1 135520 135520
192 T11YXY01577462792 12416827/1/19122021/155101430 19-12-2021 13758 Yandi Suryandi Yandi Suryandi 338936 LAMBUNG
BRAXIDIN TAB 10 1709 1709
VOMETA FLASH TAB@50 10 6160 6160
193 T11YXY0157746134I 12416827/1/19122021/154907431 19-12-2021 13736 deni herdiansyah deni herdiansyah RECOLFAR 0.5MG TAB@30 (FAH) 10 7700 7700 77000 GOUT
194 T11YXY0156887120J 12280964/1/14122021/084327209 14-12-2021 7898 Anang JunaedI Anang JunaedI YASMIN TAB@21 2 299036 299036 598072 HORMON
195 T11YXY01568020907 12253622/1/13122021/170138045 13-12-2021 7846 Sopian Muharam Sopian Muharam KELO-COTE SCAR GEL 6ML 1 462000 462000 462000 SCAR
196 T11YXY0156697169P 12242484/1/12122021/213117798 12/12/2021 7919 Arif Kurnia Lukmana Arif Kurnia Lukmana COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
POLYSILANE TAB@40 8 1910 1910
197 T11YXY0156697006B 12242484/1/12122021/213036688 12/12/2021 13417 Nursiwan Nursiwan SANMOL 500 MG TAB 4 861 861 23632 BATUK PILEK
INTUNAL FORTE TABLET 25X4 S 4 1227 1227
198 T11YXY01566969006 12242484/1/12122021/212924145 12/12/2021 7855 ENDANG SOLEH ENDANG SOLEH PARATUSIN TAB @ 200 10 1870 1870 18700 BATUK,PILEK
OB HERBAL SYR 60ML 1 16580 16580
199 T11YXY01566966812 12242484/1/12122021/212806243 12/12/2021 8848 Tatang HidayAT Tatang HidayAT 61522 BATUK
PLANTACID SUSP FORTE 100ML 1 44942 44942
ANADEX DRAGE@100 10 3735 3735
200 T11YXY01566965244 12242484/1/12122021/212711556 12/12/2021 7849 Yeyep Saepuloh Yeyep Saepuloh 57324 BATUK,PILEK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
BIOPLACENTON JELLY 1 25758 25758
PYREXIN 500 MG TAB @ 200 10 990 990
201 T11YXY0156696387O 12242484/1/12122021/212622380 12/12/2021 13438 Dika Ismaya Dika Ismaya 71921 BATUK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
PYREXIN 500 MG TAB @ 200 10 990 990
202 T11YXY01566962646 12242484/1/12122021/212522463 12/12/2021 14977 Bunyamin Bunyamin 26189 BATUK
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
203 T11YXY01566961565 12242484/1/12122021/212433246 12/12/2021 7817 AEP SAEPUDIN AEP SAEPUDIN ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
204 T11YXY01566960286 12242484/1/12122021/212350624 12/12/2021 7898 Anang JunaedI Anang JunaedI 27302 DEMAM
SUMAGESIC 600 MG TAB @ 100 (UN 8 916 916
BIOPLACENTON JELLY 1 25758 25758
205 T11YXY0156695908J 12242484/1/12122021/212259637 12/12/2021 19275 Rany j Rany j 70700 LAMBUNG
PLANTACID SUSP FORTE 100ML 1 44942 44942
206 T11YXY0156695796I 12242484/1/12122021/212210025 12/12/2021 7938 Oleh N Oleh N BIOPLACENTON JELLY 1 25758 25758 25758 LUKA BAKAR
SANMOL 500 MG TAB 8 861 861
207 T11YXY0156695655Q 12242484/1/12122021/212127529 12/12/2021 11051 FerI FerI OB HERBAL SYR 60ML 1 16580 16580 38748 BATUK
POLYSILANE TAB@40 8 1910 1910
NEUROVIT- E TSG DUS 25 x 4 Tab 8 4278 4278
208 T11YXY0156695518Q 12242484/1/12122021/212029624 12/12/2021 13399 Dian Herdiana Dian Herdiana 49504 LAMBUNG
POLYSILANE TAB@40 8 1910 1910
PARATUSIN TAB @ 200 10 1870 1870
209 T11YXY01566953918 12242484/1/12122021/211934675 12/12/2021 13736 deni herdiansyah deni herdiansyah 52924 BATUK PILEK
NEUROVIT- E TSG DUS 25 x 4 Tab 8 4278 4278
210 T11YXY0156694856L 12242484/1/12122021/211603910 12/12/2021 7832 Eko Wawan Eko Wawan ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
211 T11YXY0156694684Q 12242484/1/12122021/211515026 12/12/2021 13370 Ade Suanda Ade Suanda ALPARA SYR 60ML MOL 1 19515 19515 19515 BATUK,PILEK
MEFINAL 500MG KPL@100 10 2498 2498
212 T11YXY01566944909 12242484/1/12122021/211355206 12/12/2021 17401 Gilang Renata Al FallaH Gilang Renata Al FallaH 45370 NYERI
FG TROCHES @ 300 TAB 10 2039 2039
213 T11YXY01566941369 12242484/1/12122021/211219549 12/12/2021 14949 Arip s Arip s SURBEX-Z @ 30 TABLET 6 4917 4917 29502 VITAMIN
214 T11YXY0156694004I 12242484/1/12122021/211052130 12/12/2021 13428 WILDAN MUTAQIN WILDAN MUTAQIN SANMOL 125MG/5ML SYR 60 ML 1 19974 19974 19974 DEMAM
FG TROCHES @ 300 TAB 10 2039 2039
215 T11YXY0156693461B 12242484/1/12122021/210749130 12/12/2021 17383 Andri Hendrayana Andri Hendrayana PARATUSIN TAB @ 200 10 1870 1870 40550 BATUK,PILEK
AMLODIPIN 5MG TAB GTE 10 146 146
216 T11YXY0156693263B 12242484/1/12122021/210640982 12/12/2021 7736 Jajang Miharja Jajang Miharja HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
217 T11YXY0156692702A 12242484/1/12122021/210314951 12/12/2021 7804 Dudi Suherli Dudi Suherli OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289 16289 BATUK
218 T11YXY01566925553 12242484/1/12122021/210212426 12/12/2021 7737 Aceng SobanDI Aceng SobanDI SANADRYL DMP SYR 120ML 1 29278 29278 29278 BATUK
219 T11YXY0156692421G 12242484/1/12122021/210134200 12/12/2021 17172 Yonyon Sudaryono Yonyon Sudaryono FG TROCHES @ 300 TAB 10 2039 2039 20390 RADANG
220 T11YXY0156692299P 12242484/1/12122021/210050378 12/12/2021 12751 Dedeh Dedeh COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
VOLTADEX 50MG TAB@50 10 2071 2071
221 T11YXY0156692150L 12242484/1/12122021/210001405 12/12/2021 7542 Iding Iding 39410 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
MEFINAL 500MG KPL@100 10 2498 2498
222 T11YXY0156692026E 12242484/1/12122021/205912303 12/12/2021 11912 Jaenal Aripin Jaenal Aripin 33970 NYERI
KALMETHASONE 0.5MG TAB@200 10 899 899
PARATUSIN TAB @ 200 10 1870 1870
223 T11YXY0156691883R 12242484/1/12122021/205820279 12/12/2021 16520 KOSWARA TUPAN KOSWARA TUPAN 48202 BATUK PILEK
SURBEX-Z @ 30 TABLET 6 4917 4917
ALPARA KPL@150 MOL 10 1030 1030
224 T11YXY0156691718Q 12242484/1/12122021/205725443 12/12/2021 13370 Ade Suanda Ade Suanda 34170 BATUK PILEK
BECOM C KPL@100 10 2387 2387
225 T11YXY0156691590A 12242484/1/12122021/205636125 12/12/2021 13738 Arip Komarudin Arip Komarudin FITUNO KAPLET-BLISTER 3X10 KAPLET 10 6785 6785 67850 VITAMIN
POLYSILANE TAB@40 8 1910 1910
226 T11YXY0156691300N 12242484/1/12122021/205552698 12/12/2021 11411 Asep Deni Asep Deni MEFINAL 500MG KPL@100 10 2498 2498 60234 NYERI
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
227 T11YXY0156691121N 12242484/1/12122021/205415122 12/12/2021 13409 Heri Heryanto Heri Heryanto SCABIMITE 5% CR 10GR 2 89620 89620 179240 SKABIES
BECOM C KPL@100 10 2387 2387
228 T11YXY01566909515 12242484/1/12122021/205329747 12/12/2021 8674 SUPARDAN SUPARDAN 44260 RADANG
FG TROCHES @ 300 TAB 10 2039 2039
229 T11YXY0156690818P 12242484/1/12122021/205233988 12/12/2021 8863 Karmudin Karmudin POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
SANMOL 500 MG TAB 12 861 861
230 T11YXY0156690490D 12242484/1/12122021/205154093 12/12/2021 13760 Tono Sumartono Tono Sumartono 21162 DEMAM
LEXACROL CHEW TAB@150 MOL 10 1083 1083
231 T11YXY01566903385 12242484/1/12122021/204943851 12/12/2021 7938 Oleh N Oleh N FG TROCHES @ 300 TAB 10 2039 2039 20390 RADANG
232 T11YXY0156690012P 12242484/1/12122021/204832447 12/12/2021 19275 Rany j Rany j FG TROCHES @ 300 TAB 10 2039 2039 20390 RADANG
BECEFORT STRIP ISI 4@100 8 1729 1729
233 T11YXY0156689772Q 12242484/1/12122021/204702807 12/12/2021 8084 Ade SubratA Ade SubratA PARATUSIN TAB @ 200 10 1870 1870 53242 BATUK,PILEK
VOLTADEX 50MG TAB@50 10 2071 2071
234 T11YXY0156689627N 12242484/1/12122021/204559104 12/12/2021 13453 MulyanA MulyanA INTUNAL FORTE TABLET 25X4 S 8 1227 1227 9816 BATUK PILEK
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
235 T11YXY01566894732 12242484/1/12122021/204512605 12/12/2021 10253 Nursaedah Nursaedah 34989 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
POLYSILANE TAB@40 8 1910 1910
236 T11YXY0156689310G 12242484/1/12122021/204421513 12/12/2021 14053 Sutisna Sutisna 22608 LAMBUNG
236 T11YXY0156689310G 12242484/1/12122021/204421513 12/12/2021 14053 Sutisna Sutisna 22608 LAMBUNG
SUMAGESIC 600 MG TAB @ 100 (UN 8 916 916
237 T11YXY0156689115A 12242484/1/12122021/204315128 12/12/2021 19275 Rany j Rany j OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289 16289 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
238 T11YXY0156688951R 12242484/1/12122021/204234216 12/12/2021 13428 WILDAN MUTAQIN WILDAN MUTAQIN 56742 BATUK
FLUTAMOL SYR 60ML 1 27464 27464
NEUROVIT- E TSG DUS 25 x 4 Tab 8 4278 4278
239 T11YXY0156688687I 12242484/1/12122021/204120274 12/12/2021 4798 Edy KusnaeDI Edy KusnaeDI 50804 BATUK
OB HERBAL SYR 60ML 1 16580 16580
240 T11YXY0156688559J 12242484/1/12122021/204028177 12/12/2021 7849 Yeyep Saepuloh Yeyep Saepuloh BECOM C KPL@100 10 2387 2387 23870 VITAMIN
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
241 T11YXY01566882951 12242484/1/12122021/203943114 12/12/2021 11914 Ujang Hermawan Ujang Hermawan 36950 BATUK
OB HERBAL SYR 60ML 1 16580 16580
242 T11YXY0156688172B 12242484/1/12122021/203817783 12/12/2021 7800 Siti RodiaH Siti RodiaH BIOPLACENTON JELLY 1 25758 25758 25758 LUKA BAKAR
243 T11YXY0156688030L 12242484/1/12122021/203736159 12/12/2021 14953 WOWONSETIAWAN WOWONSETIAWAN TREMENZA TAB@100 10 2315 2315 23150 FLU
POLYSILANE TAB@40 8 1910 1910
244 T11YXY0156687828J 12242484/1/12122021/203654286 12/12/2021 13758 Yandi Suryandi Yandi Suryandi 22168 LAMBUNG
SANMOL 500 MG TAB 8 861 861
PYREXIN 500 MG TAB @ 200 10 990 990
245 T11YXY01566875906 12242484/1/12122021/203543037 12/12/2021 13395 Deden YudI Deden YudI 39178 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
PYREXIN 500 MG TAB @ 200 10 990 990
246 T11YXY01566874255 12242484/1/12122021/203421140 12/12/2021 9699 ZaenaL ZaenaL 26480 BATUK
OB HERBAL SYR 60ML 1 16580 16580
247 T11YXY01566871384 12242484/1/12122021/203242065 12/12/2021 7937 Dadi SuryaDI Dadi SuryaDI AMLODIPIN 5MG TAB GTE 10 146 146 1460 HIPERTENSI
248 T11YXY0156686944O 12242484/1/12122021/203140678 12/12/2021 16470 Yanti SrI Yanti SrI PYREXIN 500 MG TAB @ 200 10 990 990 9900 DEMAM
249 T11YXY0156686783Q 12242484/1/12122021/203045694 12/12/2021 17346 A SUHANDI A SUHANDI INTUNAL FORTE TABLET 25X4 S 8 1227 1227 9816 BATUK PILEK
250 T11YXY0156686423A 12242484/1/12122021/202940197 12/12/2021 12753 HamunG HamunG AMLODIPIN 5MG TAB GTE 10 146 146 1460 HIPERTENSI
251 T11YXY0156686250H 12242484/1/12122021/202757922 12/12/2021 9422 Shonie Permana Shonie Permana COUNTERPAIN CR 15GR 1 31872 31872 31872 NYERI
PYREXIN 500 MG TAB @ 200 10 990 990
252 T11YXY0156685998C 12242484/1/12122021/202644428 12/12/2021 11913 MULYANTO MULYANTO 33050 FLU
TREMENZA TAB@100 10 2315 2315
ALPARA SYR 60ML MOL 1 19515 19515
253 T11YXY01566853936 12242484/1/12122021/202354022 12/12/2021 10845 Tjutju s Tjutju s NEUROVIT- E TSG DUS 25 x 4 Tab 8 4278 4278 64039 BATUK PILEK
ALPARA KPL@150 MOL 10 1030 1030
254 T11YXY01566852368 12242484/1/12122021/202237417 12/12/2021 13204 AGUS ADAM NUR AGUS ADAM NUR FITUNO KAPLET-BLISTER 3X10 KAPLET 20 6785 6785 135700 VITAMIN
PYREXIN 500 MG TAB @ 200 10 990 990
255 T11YXY0156685016E 12242484/1/12122021/202145780 12/12/2021 13437 Dedi h Dedi h 26480 DEMAM
OB HERBAL SYR 60ML 1 16580 16580
256 T11YXY0156655075G 12238323/1/12122021/174855309 12/12/2021 6253 Agus NuryamaN Agus NuryamaN BECEFORT STRIP ISI 4@100 12 1729 1729 20748 VITAMIN
257 T11YXY0156654868O 12238323/1/12122021/174807201 12/12/2021 9640 Raden Herie Ismet Raden Herie Ismet POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
MEFINAL 500MG KPL@100 10 2498 2498
258 T11YXY01566547290 12238323/1/12122021/174707130 12/12/2021 10253 Nursaedah Nursaedah 35810 NYERI
LEXACROL CHEW TAB@150 MOL 10 1083 1083
PARATUSIN TAB @ 200 10 1870 1870
259 T11YXY0156653174I 12238323/1/12122021/174616261 12/12/2021 10253 Nursaedah Nursaedah 74570 BATUK PILEK
LAMESON 4MG TAB@100 10 5587 5587
260 T11YXY0156653079A 12238323/1/12122021/173716564 12/12/2021 13414 Kusnadi Kusnadi MUCOS 15MG/5ML SYR 60ML 1 27951 27951 27951 BATUK
261 T11YXY01566529537 12238323/1/12122021/173628709 12/12/2021 17784 Dian H Dian H HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
262 T11YXY0156652782A 12238323/1/12122021/173526675 12/12/2021 6206 Yayat SaepuL Yayat SaepuL PLANTACID SUSP FORTE 100ML 1 44942 44942 44942 LAMBUNG
MEFINAL 500MG KPL@100 10 2498 2498
263 T11YXY01566526286 12238323/1/12122021/173442015 12/12/2021 13755 Tatang Hidayat Tatang Hidayat 40260 NYERI
POLYSILANE TAB@40 8 1910 1910
264 T11YXY0156652515F 12238323/1/12122021/173348748 12/12/2021 6252 Dian H Dian H SANMOL 125MG/5ML SYR 60 ML 1 19974 19974 19974 DEMAM
LEXACROL CHEW TAB@150 MOL 10 1083 1083
265 T11YXY0156652372J 12238323/1/12122021/173305146 12/12/2021 10244 Aming h Aming h 17718 LAMBUNG
SANMOL 500 MG TAB 8 861 861
POLYSILANE TAB@40 8 1910 1910
266 T11YXY0156652132R 12238323/1/12122021/173137703 12/12/2021 7852 Sutendi WahdaNA Sutendi WahdaNA 24640 LAMBUNG
NEW DIATAB TAB 8 1170 1170
267 T11YXY01566519942 12238323/1/12122021/173043128 12/12/2021 13761 SaepudiN SaepudiN POLYSILANE TAB@40 8 1910 1910 15280 LAMBUNG
PYREXIN 500 MG TAB @ 200 10 990 990
268 T11YXY01566518259 12238323/1/12122021/172950608 12/12/2021 13402 Eka Budiana Eka Budiana 20730 LAMBUNG
LEXACROL CHEW TAB@150 MOL 10 1083 1083
PLANTACID SUSP FORTE 100ML 1 44942 44942
269 T11YXY0156651624F 12238323/1/12122021/172841474 12/12/2021 7822 Agus SunartA Agus SunartA 50652 LAMBUNG
OMEPRAZOLE 20MG CAP@30 GNOV 10 571 571
270 T11YXY0156651465D 12238323/1/12122021/172747008 12/12/2021 6289 Didik SupriyantO Didik SupriyantO BECOM C KPL@100 10 2387 2387 23870 VITAMIN
271 T11YXY0156651333M 12238323/1/12122021/172629688 12/12/2021 13414 Kusnadi Kusnadi BECOM C KPL@100 10 2387 2387 23870 VITAMIN
OB HERBAL SYR 60ML 1 16580 16580
272 T11YXY0156651124P 12238323/1/12122021/172521315 12/12/2021 6487 Agus Cucu Supriadi Tn Agus Cucu Supriadi Tn 48452 BATUK
COUNTERPAIN CR 15GR 1 31872 31872
273 T11YXY01566509844 12238323/1/12122021/172410071 12/12/2021 13409 Heri Heryanto Heri Heryanto SCABIMITE 5% CR 10GR 1 89620 89620 89620 NYERI
SANMOL 500 MG TAB 8 861 861
274 T11YXY0156650800M 12238323/1/12122021/172307666 12/12/2021 7542 Iding Iding 36166 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
SANMOL 500 MG TAB 8 861 861
275 T11YXY0156650443K 12238323/1/12122021/172110251 12/12/2021 10253 Nursaedah Nursaedah PARATUSIN TAB @ 200 10 1870 1870 45077 BATUK PILEK
VICKS FORMULA 44 ADULT 54 ML 1 19489 19489
276 T11YXY0156650097F 12238323/1/12122021/171833987 12/12/2021 10252 Edeng Rahmat Edeng Rahmat RECO TETES MATA 10 ML 1 11550 11550 11550 IRITASI MATA
RECO TETES MATA 10 ML 1 11550 11550
277 T11YXY01566499037 12238323/1/12122021/171747785 12/12/2021 7830 Dani KurnaedI Dani KurnaedI 27839 IRITASI MATA
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
PYREXIN 500 MG TAB @ 200 10 990 990
278 T11YXY01566495366 12238323/1/12122021/171615255 12/12/2021 10845 Tjutju s Tjutju s SANMOL 125MG/5ML SYR 60 ML 1 19974 19974 46163 BATUK
OBH COMBI BATUK BERDAHAK MENTHOL 100 ML 1 16289 16289
OB HERBAL SYR 60ML 1 16580 16580
279 T11YXY0156649354C 12238323/1/12122021/171437217 12/12/2021 13369 Abdul Azis Abdul Azis 35280 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
FG TROCHES @ 300 TAB 10 2039 2039
280 T11YXY0156649133K 12238323/1/12122021/171308496 12/12/2021 11059 Toni KurnIA Toni KurnIA 44260 RADANG
BECOM C KPL@100 10 2387 2387
281 T11YXY0156649032O 12238323/1/12122021/171218225 12/12/2021 11914 Ujang Hermawan Ujang Hermawan BIOPLACENTON JELLY 1 25758 25758 25758 LUKA BAKAR
282 T11YXY0156648866Q 12238323/1/12122021/171106855 12/12/2021 7779 AndiyaNA AndiyaNA ACTIFED PLUS EXPECTORANT 60 ML 1 71143 71143 71143 BATUK
FG TROCHES @ 300 TAB 10 2039 2039
283 T11YXY01566487264 12238323/1/12122021/171024369 12/12/2021 17401 Gilang Renata Al FallaH Gilang Renata Al FallaH 44260 RADANG
BECOM C KPL@100 10 2387 2387
284 T11YXY0156648603E 12238323/1/12122021/170931709 12/12/2021 6246 Iid RukmaNA Iid RukmaNA HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
VICKS FORMULA 44 ANAK 54 ML ST 1 20370 20370
285 T11YXY0156648450J 12238323/1/12122021/170848022 12/12/2021 13445 Agus RuhiyAT Agus RuhiyAT 40344 BATUK
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
286 T11YXY0156648313J 12238323/1/12122021/170755431 12/12/2021 6289 Didik SupriyantO Didik SupriyantO BETASON CREAM (TUBE 5 GRAM) 1 13232 13232 13232 ALERGI
287 T11YXY01566449058 12238323/1/12122021/170707773 12/12/2021 13414 Kusnadi Kusnadi SANMOL 125MG/5ML SYR 60 ML 1 19974 19974 19974 DEMAM
SANMOL 125MG/5ML SYR 60 ML 1 19974 19974
288 T11YXY0156644790D 12238323/1/12122021/164637804 12/12/2021 7791 Wawan SetiawaN Wawan SetiawaN 26547 ALERGI
288 T11YXY0156644790D 12238323/1/12122021/164637804 12/12/2021 7791 Wawan SetiawaN Wawan SetiawaN 26547 ALERGI
HYDROCORTISONE 1% CR 5GR KB 1 6573 6573
289 T11YXY01566445949 12238323/1/12122021/164516990 12/12/2021 10255 Yayan Susworo Yayan Susworo HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
SANMOL 500 MG TAB 8 861 861
290 T11YXY0156644079B 12238323/1/12122021/164218750 12/12/2021 13451 Iran IryanA Iran IryanA 36166 BATUK
SANADRYL DMP SYR 120ML 1 29278 29278
POLYSILANE TAB@40 8 1910 1910
291 T11YXY0156643813E 12238323/1/12122021/164041563 12/12/2021 16517 Yanto Sofyan Yanto Sofyan 33980 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
POLYSILANE TAB@40 8 1910 1910
292 T11YXY01565487728 12216163/1/11122021/211111681 11/12/2021 16517 Yanto Sofyan Yanto Sofyan 33980 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
293 T11YXY0156548411M 12216163/1/11122021/210906851 11/12/2021 7823 Andris FaisAL Andris FaisAL HYDROCORTISONE 1% CR 5GR KB 1 6573 6573 6573 ALERGI
VOLTADEX 50MG TAB@50 10 2071 2071
294 T11YXY0156547960A 12216163/1/11122021/210625628 11/12/2021 8202 Ani Mardiani Ani Mardiani 26420 LAMBUNG
OMEPRAZOLE 20MG CAP@30 GNOV 10 571 571
295 T11YXY01565476391 12216163/1/11122021/210443499 11/12/2021 13773 Dayat Ruhiat Dayat Ruhiat HYDROCORTISONE 1% CR 5GR KB 2 6573 6573 13146 ALERGI
296 T11YXY01565473298 12216163/1/11122021/210334996 11/12/2021 10847 Suryadi Suryadi SANMOL 500 MG TAB 4 861 861 3444 DEMAM
DOLOFEN F 400MG CAP@100 10 1708 1708
297 T11YXY01565469536 12216163/1/11122021/210043616 11/12/2021 8202 Ani Mardiani Ani Mardiani 26070 NYERI
KALMETHASONE 0.5MG TAB@200 10 899 899
COUNTERPAIN CR 15GR 1 31872 31872
298 T11YXY0156546690E 12216163/1/11122021/205933792 11/12/2021 7846 Sopian Muharam Sopian Muharam DOLOFEN F 400MG CAP@100 10 1708 1708 71123 NYERI
ROHTO COOL 1 22171 22171
MAGASIDA TABLET 10 1374 1374
299 T11YXY0156537516D 12216163/1/11122021/205550135 11/12/2021 13760 Tono Sumartono Tono Sumartono 32440 BATUK PILEK
PARATUSIN TAB @ 200 10 1870 1870
300 T11YXY0156333414P 12171650/1/10122021/160409519 10/12/2021 7760 Muslim Nurdin Muslim Nurdin IMUNOS SYR 60ML 1 97020 97020 97020 VITAMIN
CAL-95 KPL@30 12 8008 8008
301 T11YXY0156330545L 12171172/1/10122021/154615991 10/12/2021 6289 Didik SupriyantO Didik SupriyantO 237776 VITAMIN
FARMACROL FORTE SUSP 200ML (FAH) 2 70840 70840
PRO TB2 KID TAB@28 60 4620 4620
302 T11YXY0156218335N 12142513/1/09122021/195428349 9/12/2021 16832 Jejen JaelanI Jejen JaelanI 313159 PLEK
CURVIT SYR 60ML 1 35959 35959
LAPICEF FORTE SYR 60ML 1 111650 111650
303 T11YXY01556653099 12058515/1/06122021/131108231 6/12/2021 13417 Nursiwan Nursiwan LACOLDIN SYR 60ML 1 30800 30800 178409 BATUK PILEK
CURVIT SYR 60ML 1 35959 35959
304 T11YXY0154997969A 11929626/1/02122021/074232674 2/12/2021 6238 Sopyan Iskandar Sopyan Iskandar YASMIN TAB@21 2 299036 299036 598072 HIPERTENSI
THROMBOPHOB GEL (NORDMARK) 2 82393 82393
305 T11YXY0154901582Q 11896383/1/01122021/152732833 1/12/2021 7938 Oleh N Oleh N 177932 ALERGI
HYDROCORTISONE 1% CR 5GR KB 2 6573 6573
TOTAL 20,898,443
 KWITANSI

No. Kwitansi : CI4020220114654391-A/XII/2021

Sudah terima dari : PT. TIRTA INVESTAMA

Terbilang : Dua puluh juta delapan ratus sembilan puluh delapan ribu empat ratus empat puluh tiga rupiah

Untuk pembayaran : pembelian obat - obatan

Bandung, 14 Januari 2022

PT. Kimia Farma Apotek

Jumlah Kwitansi : Rp. 20,898,443

Unit : KF 405
Obat : - apt.Oliv Fabia,S.Farm
Dokter : - Manager
No. : CI4020220114654391-A/XII/2021 Bandung, 14 Januari 2022
Lamp. : 1 Set kuitansi
Hal. : Permohonan Transfer

Kepada Yth,
PT. TIRTA INVESTAMA

Di Tempat

Dengan hormat,

Bersama ini kami sampaikan klaim tagihan pembelian obat - obatan

dengan perincian sebagai berikut :

Kwitansi No. CI4020220114654391-A/XII/2021 Rp. 20,898,443

Mohon proses pembayarannya di transfer melalui bank Mandiri: .

Bank Kacab mandiri alun - alun, Jl. Asia Afrika No. 51, Bandung
Rekening No. : 1300092032120
Atas Nama : PT. Kimia Farma Apotek
Alamat : Bandung
Dengan Keterangan : CI4020220114654391-A/XII/2021
Mohon lampirkan No. kwitansi saat pembayaran.
Bukti transfer harap di email Ke : ub.bandung@kimiafarmaapotek.co.id

Demikian kami sampaikan, atas perhatian dan kerjasama yang baik -

kami ucapkan terima kasih.

Hormat Kami
PT.Kimia Farma Apotek

apt.Oliv Fabia,S.Farm
Manager