Rko BMHP 2022

RENCANA KEBUTUHAN BMHP 2022
INSTALASI FARMASI SULTAN MUHAMMAD JAM
PEMAKAIAN SISA STOK
NO NAMA OBAT HARGA SATUAN

12 BULAN BANYAKNYA
ALAT RADIOLOGI
1 Rp 1,520,557.50 4
1 FILM RONTGEN CARESTREAM 20 X 25 CM ( 8x10 in )
2 FILM RONTGEN CARESTREAM 28 X 35 CM ( 11 x 14 in ) 5 Rp 2,750,000.00 -
3 FILM RONTGEN CARESTREAM 35 X 43 CM ( 14 x 17 in ) 4 Rp 5,130,000.00 1
4 FILM CONICA UKURAN 10X12 2 Rp 5,504,400.00 3
5 FILM CONICA UKURAN 14x17 2 Rp 6,160,000.00 -
BAHAN MEDIS HABIS PAKAI (BMHP)

2 ALAT SUNTIK SEKALI PAKAI 1 ML STERA 8,700 Rp 812.50 4,900
3 ALAT SUNTIK SEKALI PAKAI 10 ML STERA 11,300 Rp 1,156.25 4,400
4 ALAT SUNTIK SEKALI PAKAI 20 ML STERA 650 Rp 2,403.42 900
5 ALAT SUNTIK SEKALI PAKAI 3 ML STERA 8,300 Rp 812.50 700
6 ALAT SUNTIK SEKALI PAKAI 5 ML STERA 7,700 Rp 1,277.60 1,600
7 ALAT SUNTIK SEKALI PAKAI 50 ML FOR NEEDLE ( LUBANG TEPI ) 740 Rp 4,250.00 960
8 ALKOHOL 70 % 1 L 130 Rp 49,500.00 -
9 ALKOHOL SWABS 25,600 Rp 150.00 72,000
10 APRON PLASTIK 50'S 570 Rp 3,281.25 930
12 CATETER INFUS NO. 18 TRO-VENOCATH - Rp 14,984.64 600
13 CATETER INFUS NO. 20 WITH PORT ( GLOBAL MEDICA ) 500 Rp 9,158.49 1,000
14 CATETER INFUS NO. 26 TROGE PLUS 50 Rp 12,870.00 150
15 CATETER INFUS THREE WAY STOP COCK 100 Rp 13,089.95 400
CATETER INFUS THREE WAY STOP COCK WITH EXTENTION TUBE 1O CM 155 Rp 31,525.83 245
16 ( TRO VENOFLOW )
17 CATGUT CHROMIC 1 TAPER 36 Rp 50,511.00 84
18 DISPOSIBLE NEEDLE No. 21 OM - Rp 330.00 500
19 DISPOSIBLE NEEDLE No. 23 OM - Rp 330.00 500
20 ELECTRODE ONEDOT DEWASA 1,000 Rp 2,500.01 -
21 ELECTRODE ONEDOT ANAK 100 Rp 2,500.01 100
22 ELECTRODE ONEDOT BAYI 250 Rp 2,500.00 -
23 ETT 4.5 NON CUP MERK RUSCH 10 Rp 49,947.27 -
24 ETT 4.0 NON CUP MERK RUSCH 10 Rp 49,947.27 -
25 ETT 3,5 NON CUP MERK RUSCH 10 Rp 49,947.27 -
26 ETT 3,0 NON CUP MERK RUSCH - Rp 49,947.27 10
29 EXTENSION TUBE 100 CM OM 200 Rp 6,875.00 300
ETIL CHLORIDE SPRAY

30 EYE PROTECTOR 68 Rp 46,249.99 326
31 FEEDING TUBE NO. 16 ( TERUMO ) 78 Rp 13,000.00 -
33 FEEDING TUBE NO.10 ( 100 CM ) 30 Rp 9,471.00 -
34 FEEDING TUBE NO.12 ( 100 CM ) 20 Rp 9,065.10 10
35 FEEDING TUBE NO.14 26 Rp 9,065.10 21
38 FEEDING TUBE NO.8 ( 40 CM ) 198 Rp 9,952.80 -
39 FEEDING TUBE NO.8 ( 100 CM ) - Rp 26,250.00 30
43 FILAPEAU 2/0
47 FOLLEY CHATETER 2 WAY NO.10 240 Rp 14,224.95 -
51 FOLLEY CHATETER 2 WAY NO. 16 940 Rp 14,224.95 -
52 FOLLEY CHATETER 2 WAY NO.18 30 Rp 18,287.50 -
53 FOLLEY CHATETER 2 WAY NO.20 20 Rp 10,000.00 180
60 HANDSCOON NON STERIL UKURAN L 10,000 Rp 850.00 -
62 HANDSCOON NON STERIL UKURAN M 5,000 Rp 850.00 -
66 HANDSCOON NON STERIL UKURAN S 8,000 Rp 1,593.90 -
70 HANDSCOON PANJANG OBGYN TROGYNOSURGE SMALL 100 Rp 40,733.00 -
73 HANDSCOON STERIL UKURAN 6 450 Rp 8,449.35 900
76 HANDSCOON STERIL UKURAN 6,5 ( Tro-sensosurge ) 2,650 Rp 14,624.06 2,700
79 HANDSCOON STERIL UKURAN 7 ( Tro-sensosurge ) 1,200 Rp 14,624.06 1,000
86 INFUSION SET ANAK ( MIKRO ) STERA 650 Rp 4,159.99 400
87 INFUSION SET DEWASA ( MACRO ) STERA 1,150 Rp 4,160.00 1,350
90 INJECTION PLUG 100'S 100 Rp 1,415.70 800
94 JARUM SPINAL NO.27 76 Rp 60,000.00 -
98 KASA HIDROFIL NON STERIL UK. 2 M x 80 cm 660 Rp 9,625.00 -
99 KASA HIDROFIL NON STERIL UK. 4 M x 15 cm 400 Rp 2,625.00 -

100 KASA HIDROFIL NON STERIL UK. 4 Y x 10 cm 700 Rp 1,875.00 -
101 KASA HIDROFIL STERIL UK. 10 CM x 10 CM 450 Rp 6,472.50 -
102 KASA HIDROFIL STERIL UK. 7,5 CM x 7,5CM 400 Rp 14,125.00 -
106 KERTAS ECG-300 GT TFT ( ELITECH ) 75 Rp 138,956.40 37
114 KONDOM SUTRA 445 Rp 2,312.50 347
115 LARINGEAL MASK SIZE 1 2 Rp 129,090.90 8
116 LARINGEAL MASK SIZE 1,5 2 Rp 129,090.90 8
118 LARINGEAL MASK SIZE 2,5 2 Rp 129,090.90 8
LEUKOMED T PLUS 7,2x5 cm

125 LYOSTYPT 5x 8 cm ( 6 unit ) 15 Rp 86,940.00 -
127 MASKER 3M N95 200 Rp 50,600.00 -
132 MASKER DISPOSIBLE 5,000 Rp 825.00 -
134 MASKER KN95 SHUMU 1,100 Rp 6,050.00 3,400
MASKER NEBULIZER AEROSOL WITH MASK AND TUBING SET DEWASA - Rp 10,351.37 200
136 (REMEDI)
138 MASKER OKSIGEN DEWASA ( MAXIFLOW ) 250 Rp 16,940.00 300
140 MASKER OXYGEN ANAK 200 Rp 18,000.00 -
MAYO BAHAN KARET UKURAN 2

MAYO BAHAN KARET UKURAN 3
160 MONOSYN 1 BBRAUN HR 40 CM 1 Rp 101,250.00 35
161 MUCUS EXTRACTOR NO.8 20 Rp 10,800.00 220
162 NASAL CANULE OXYGEN ANAK ( M ) 18 Rp 8,118.00 80
163 NASAL CANULE OXYGEN ANAK ( M ) / OXYFLOW SOFT ANAK OM - Rp 6,875.00 100
164 NASAL CANULE OXYGEN BAYI ( S ) 140 Rp 8,118.00 -
850 Rp 6,875.00 -
165 NASAL CANULE OXYGEN DEWASA ( L ) / OXYFLOW SOFT DEWASA OM
166 NASAL CANULE OXYGEN NEONATUS ( XS ) 50 Rp 8,760.00 -
169 NOVOSYN 3/0 - Rp 101,129.27 228
170 NOVOTWIST 2,000 Rp 2,083.00 600
171 OPTILEN 2XDRC 10 60 CM 3 Rp 123,952.50 31
172 OPTIME 1 108 Rp 62,700.00 72
173 OPTIME 2/0 81 Rp 60,500.00 99
174 OPTIME 3/0 - Rp 60,500.00 180
175 NURSE CUP 7,000 Rp 990.00 -
176 NURSE CUP ( BOUFANT CAP EVO GREEN ) 718 Rp 1,000.00 -
177 NURSE CUP GREEN OM 5,520 Rp 418.75 8,480
178 PARALEL CIRCUIT 1,6M 22MM WITH Y-PIECE TANPA BALON - Rp 113,250.00 18
179 PARALEL CIRCUIT 1,6M 22MM WITH Y-PIECE DENGAN BALON 5 Rp 146,994.55 13
- Rp 276,917.27 18
180 PEDIATRIK FLEXI LOCK PARALEL CIRCUIT DENGAN BALON 0,5 TO 1,6
20 Rp 186,076.36 -
181 PEDIATRIK FLEXI LOCK PARALEL CIRCUIT TANPA BALON 0,5 TO 1,6
182 PENYANGGA LEHER CERVICAL COLLAR OM 5 Rp 145,200.00 15
- Rp 131,729.95 3
183 PENYANGGA LEHER ANTIMOVE CERVICAL COLLAR MEDIUM DENSITY - L
- Rp 131,729.95 3
184 PENYANGGA LEHER ANTIMOVE CERVICAL COLLAR MEDIUM DENSITY - M
- Rp 131,729.95 3
185 PENYANGGA LEHER ANTIMOVE CERVICAL COLLAR MEDIUM DENSITY - S
186 PERBAN ELASTIC UK 15X 4,5 CM 20 Rp 27,900.00 -
187 PERKAMEN PAPER PRINT / KERTAS PUYER 1 Rp 2,200,000.00 -
188 PERICAN 18G X 3 1/4 " ( 1,3 X 80 MM ) 4 Rp 154,000.00 16
189 PERIFIX 400 8 Rp 333,542.00 7
190 PHARMAFIX 15 CM X 500 CM 5 Rp 46,999.70 -
191 PHARMAFIX 15 CM X 500 CM 11 Rp 82,500.00 39
196 PHARMAFIX 5 CM X 500 CM 151 Rp 31,899.85 349
197 PISAU BEDAH BISTURI 11 UJUNG TAJAM 395 Rp 4,200.00 -
198 PISAU BEDAH BISTURI 11 OM - Rp 942.00 500
199 PISAU BEDAH BISTURI 12 UJUNG TAJAM - Rp 4,200.00 400
200 PISAU BEDAH BISTURI 21 UJUNG TUMPUL 200 Rp 4,200.00 -
201 PISAU BEDAH BISTURI 22 OM 300 Rp 990.00 400
204 PLESTER HYPAFIX 48 Rp 61,043.84 -
205 PLESTERIN BULAT NON WOVWN E-CAT 36,000 Rp 192.50 10,000
206 POSTOFIX-PU FRM 10X25CM - Rp 41,007.24 330
207 POUCHESS 15CM / 200M - Rp 1,490,500.00 2

208 POUCHESS 15CM X 5 CM / 100 M - Rp 811,927.60 2
209 POUCHESS 7,5CM / 200M 2 Rp 830,500.00 -
210 POUCHESS 7,5CM X 2,5 CM 2 Rp 781,001.63 -
211 POUCHESS FLAT 25CM / 200M - Rp 1,911,931.00 2
212 POUCHESS FLAT 25x6,5 CM / 100M - Rp 1,185,558.00 2
213 POUCHESS FLAT 5CM / 200M - Rp 469,842.00 2
214 PREMILENE 3/0 37 Rp 52,000.30 35
215 PREMILENE 3/0 CUTTING - Rp 116,886.00 108
216 PREMILENE 5/0 - Rp 70,027.10 16
217 PREMILENE 5/0 DS16 - Rp 35,203.31 72
218 PREMILENE MESH - Rp 218,562.30 25
219 QUICKY SUCTION 500 CC 3 Rp 125,000.00 1
220 SAFIL 1 HR 40 S 90 CM 274 Rp 87,750.30 -
221 SAFIL 1 HR 40 S 90 CM -NRS 68 Rp 74,355.60 612
222 SAFIL 2/0 HR 37 S 90 CM 324 Rp 124,300.00 -
223 SAFIL 2/0 HR 37 S 90 CM - Rp 90,388.10 252
224 SAFIL 2 HR 48 90 CM 24 Rp 85,000.30 -
225 SAFIL 3/0 HR 26 90 CM 54 Rp 104,099.60 144
226 SAFIL 3/0 DS 24 78 Rp 83,575.80 252
227 SAFIL 4/0 DS 19 45 CM CUTTING - Rp 85,785.00 27
228 SAFIL 4/0 HR 22 70 CM TAPER - Rp 89,222.22 29
229 SHOE COVER ONEMED 600 Rp 2,090.00 1,900
230 SILK 0 30 MM 3/8 CUTTING 36 Rp 27,500.00 -
231 SLIK 2/0 CUTTING 108 Rp 35,750.00 288
232 SLIK 2/0 TAPER - Rp 35,750.00 252
233 SLIK 3/0 CUTING 72 Rp 37,400.00 288
234 SLIK 3/0 TAPER 36 Rp 37,400.00 252
235 SILKAM BLACK 3/0 DS 24 - Rp 42,745.68 11
236 SILKAM 3/0 DS 24 75 CM - Rp 25,600.30 313
237 SOFFBAN 10 CM X 2,7 M - Rp 28,522.20 16
238 SOFFBAN 15 CM X 2,7 M - Rp 39,889.00 21
239 SOFFBAN 7,5 CM X 2,7 M 8 Rp 22,838.80 -
240 SPLAK FIRST AID - Rp 77,000.00 80
241 SPLAK FIRST AID 19 Rp 65,000.00 20
242 SPUIT AGD 3 CC - Rp 31,350.00 100
243 STERA SHARP KONTAINER 1 LT OM 15 Rp 19,800.00 -
244 STERIL POUNCH WITH INDIKATOR ROLL - Rp 1,021,521.37 2
245 STIMUPLEX 4 Rp 193,200.70 11
246 STYLETS BESAR 3 Rp 120,000.00 9
247 STYLETS KECIL 3 Rp 120,000.00 -
248 STYLETS SEDANG 3 Rp 120,000.00 9
249 STYLETS UK 2.2 BAYI (KECIL) 10 Rp 71,500.00 -
250 STYLETS UK 3.3 ANAK (SEDANG) 6 Rp 71,500.00 4
251 STYLETS INTUBATION 2,5 - 4,5 MM (KECIL) - Rp 60,425.00 50
252 STYLETS INTUBATION 5,0 - 8,0 MM (SEDANG) - Rp 60,425.00 50
253 STYLETS INTUBATION 8,5 - 10,0 MM (BESAR) - Rp 60,425.00 50
254 SUCTION CATETER + FINGER UK.12 OM 21 Rp 5,214.00 78

256 SUCTION CATETER + FINGER UK.14 OM - Rp 5,431.25 200
259 SUCTION CATETER + FINGER UK.16 OM - Rp 5,431.25 200
260 SUCTION CATHETER + FINGER UK.10 OM 180 Rp 5,431.25 160
263 SUCTION TUBE 3,6 + YANKEUR TIP STERIL OM 15 Rp 32,025.00 225
264 SURGICAL GOWN UK REKAT 1,514 Rp 62,700.00 77
265 SURGICAL GOWN STERIL UK. L 30 Rp 48,750.01 270
266 TERMAL PAPER / KERTAS TERMAL 57 MM X 30 M 60 Rp 36,850.00 140
267 TEST TUBE 12X755 - Rp 770.00 1,300
268 THERMOSHIELD HME FILTER 100 Rp 122,451.00 90
269 TONG SPATEL KAYU STERIL OM 75 Rp 1,000.00 2,425
- Rp 98,000.00 48
270 T-MONO 3-0 CUTTING 76 CM 3/8 CIRCLE 24 MM
12 Rp 90,300.00 -
271 T-MONO 3-0 CUTTING 90 CM ROUND BODIED 1/2 CIRCLE 40 MM
272 TRACHEAL TUBE UNCUFFED 3.0 MM 10 Rp 16,925.00 40
276 TRANSFUSI SET 50 Rp 25,200.00 -
277 TRANSFUSI SET / BLOOD TRANSFUSI SET 300 Rp 15,950.00 200
278 TRANSFUSI SET / TRO DONORSET 200 Rp 20,130.04 -
11 Rp 56,900.00 48
279 T-SILK 0 76 CM REVERSE CUTTING 3/8 CIRCLE 29 MM
- Rp 123,600.00 11
280 T-LENE POLYVINYLIDENE 5-0 90 CM ROUND BODIED ,1/2 CIRCLE 26 MM
13 Rp 60,500.00 35
281 T-CATGUT CHROMIC 4-0 76 CM ROUND BODIED,1/2 CIRCLE 22 MM
282 T- CATGUT CHROMIC 3-0 76 CM CUTTING 3/8 CIRCLE,24 MM 24 Rp 53,000.00 24
283 T- CATGUT CHROMIC 1 100 CM BLUNT,1/2 CIRCLE , 64,6 MM 59 Rp 78,900.00 -
12 Rp 58,700.00 48
284 T- CATGUT CHROMIC 3-0 90 CM ROUND BODIED, 1/2 CIRCLE,26 MM
59 Rp 57,900.00 -
285 T- CATGUT CHROMIC 2-0 90 CM ROUND BODIED, 1/2 CIRCLE,40 MM
286 T-NYLON 5-0 90 CM RESERVE CUTTING,3/8 CIRCLE 12 MM - Rp 61,200.00 47
287 T-LENE ( DOUBLE NEEDLE )7-0 75 CM, 3/8 CIRCLE,10 MM - Rp 175,000.00 11
288 T-NYLON 4-0 76 CM RESERVE CUTTING,3/8 CIRCLE 18 MM 12 Rp 44,000.00 36
289 T-NYLON 3-0 76 CM RESERVE CUTTING,3/8 CIRCLE 26 MM 12 Rp 44,000.00 35
58 Rp 65,600.00 -
290 T-VIO POLYGLYCOLIDE 3-0 76 CM REVERSE CUTTING 3/8 CIRCLE,26 MM
291 T-SILK 3-0,76 CM ROUND BODIED, 1/2 CIRCLE,25 MM 24 Rp 42,900.00 12
292 T-SILK 3-0,76 CM RESERVE CUTTING , 3/8 CIRCLE,26 MM 70 Rp 41,400.00 23
293 T-SILK 2-0,76 CM ROUND BODIED, 1/2 CIRCLE,25 MM 35 Rp 42,400.00 -
294 T-SILK 4-0,76 CM RESERVE CUTTING , 3/8 CIRCLE, 19 MM - Rp 41,700.00 47
12 Rp 72,900.00 35
295 T-VIO POLYGLYCOLIDE 2-0 90 CM ROUND BODIED, 1/2 CIRCLE,35 MM
12 Rp 64,300.00 36
296 T-VIO POLYGLYCOLIDE 4-0 76 CM REVERSE CUTTING 3/8 CIRCLE,18 MM
35 Rp 70,400.00 -
297 T-VIO POLYGLYCOLIDE 3-0 76 CM ROUND BODIED, 1/2 CIRCLE,25 MM
59 Rp 78,800.00 -
298 T-VIO POLYGLYCOLIDE 1 90 CM HEAVY ROUND BODIED 1/2 CIRCLE 40 MM
299 UMBILICAL CATETER NO.3,5 5 Rp 171,000.00 20
300 UMBILICAL CATETER NO.3,5 15 Rp 84,700.00 10
301 UMBILICAL CATETER NO.5 10 Rp 171,000.00 -
302 UMBILICAL CATETER NO.5 50 Rp 84,700.00 -
303 UMBILICAL CORD CLAIM 400 Rp 1,800.00 -
304 UMBILICAL CORD CLAIM 250 Rp 2,250.00 50
305 UNDER PAD 2,640 Rp 5,203.00 1,300
306 UNDER PAD - Rp 4,125.00 1,000
307 UNIFLEX 3" 12 Rp 20,300.01 19
308 UNIFLEX 4" 26 Rp 26,800.00 24
309 UNIFLEX 6" 1 Rp 33,700.00 49
310 URINE BAG ONEMED 620 Rp 3,750.00 -
311 URINE BAG ONEMED - Rp 6,375.00 1,000
312 USG PAPER BIOCARE 112 X 100 3 Rp 154,000.00 7
313 VACUTAINER CITRATE TUBE BLUE 18 Rp 206,250.00 -
314 VALAMIN 500 ML INFUS 12 Rp 48,452.34 -
315 VENTI FLOW ANAK 10 Rp 82,000.00 80
316 VENTI FLOW DEWASA 30 Rp 90,200.00 60
317 WING NEEDLE 25 G OM 100 Rp 1,750.01 300
TOTAL 170,679 141,026

JUMLAH BARANG MASUK JUMLAH BARANG KELUAR
Sukadana, 31 Desember 2021

Mengetahui Kepala Instalasi Farmas
Kepala RSUD Sultan Muhammad Jamaludin I RSUD Sultann Muhammad Jam
dr. Maria Fransisca ASCH, MARS Francisca Maria Widyastuty, S.F

NIP. 19840402 201001 2 013 NIP. 19820613 201101 2 0
UHAN BMHP 2022
N MUHAMMAD JAMALUDIN I
SISA STOK PEMAKAIAN PEMAKAIAN RKO
EXPIRED DATE
SATUAN 1 BULAN 18 BULAN 2022
BOX 0 2 5
BOX 4/24/2022 0 8 5
BOX 4/26/2022 0 6 10
BOX 0 3 3
BOX 0 3 5
PCS 2/1/2025 725 13,050 10,000

PCS 10/1/2024 942 16,950 15,000
PCS 9/1/2022 54 975 200
PCS 4/1/2026 1,500 27,000 30,000
PCS 1/1/2023 642 11,550 12,000
PCS 3/1/2025 110 1,980 1,100
BOTOL 3/1/2025 30 540 650
PCS 5/1/2022 2,133 38,400 20,000
PCS 500 9,000 10,000
PCS 8/1/2023 50 900 600
PCS 3/1/2023 80 1,440 900
PCS 7/1/2024 50 900 SUDAH DATANG
PCS 6/1/2025 50 900 800

PCS 3 54 200
PCS 4/1/2023 150 2,700 1,000
PCS 3/1/2026 275 4,950 2,500
PCS 3/18/2023 83 1,500 1,250
PCS 2/15/2022 8 150 150
PCS 6/16/2021 21 375 150
PCS 8/1/2023 1 15 10
PCS 10/1/2023 1 15 10
pcs 3/1/2023 1 15 30
pcs 4/1/2023 - - 30
pcs 9/1/2023 - - 10
pcs 9/1/2023 - - 10
PCS 50 900 600
5
PCS 6 102 200
PCS 7 117 50
PCS 3/1/2023 3 45 100
PCS 6/1/2023 2 30 30
PCS 10/1/2024 2 39 20
PCS 5/1/2022 - - 100
108
PCS 3/1/2023 20 360 20
PCS 10/6/2024 78 1,410 1,000
PCS 10/19/2024 3 45 20
PCS 12/1/2021 2 30 20
PCS 833 15,000 24,000
PCS 417 7,500 121,500
PCS 667 12,000 86,000
PCS 8/1/2024 38 675 800
PCS 9/1/2025 221 3,975 1,700
PCS 2/1/2025 100 1,800 500

PCS 9/1/2025 54 975 350
PCS 6/1/2025 96 1,725 1,000
PCS 3/1/2023 8 150 500
PCS 8/1/2024 6 114 400
PCS 55 990 800

ROLL 33 600 600
ROLL 58 1,050 1,050
PCS 8/1/2025 38 675 675
PCS 1/1/2025 33 600 600
ROLL 10/1/2021 6 113 70
PCS 37 668 300
PCS 1/1/2022 0 3 5
PCS 2/1/2022 0 3 5
PCS 3/1/2022 0 3 5
PCS 2/1/2022 0 3 5
PCS 9/1/2022 0 3 5
PCS 2/1/2022 0 3 5
PCS 3/1/2022 0 3 5
200
PCS 7/31/2023 1 23 4 box
PCS 12/1/2024 17 300 300
PCS 417 7,500 117,000
PCS 92 1,650 7,000
PCS
5/1/2025 - - 300
PCS 2/1/2025 21 375 100
PCS 17 300 200
15
15
PCS 6/1/2023 0 2 (34)
PCS 9/5/2022 2 30 (190)
PCS 5/1/2023 2 27 (53)
PCS 3/1/2025 - - (100)
PCS 5/1/2023 12 210 210
PCS
2/1/2024 71 1,275 1,275
PCS 6/1/2024 4 75 75
PCS 2/13/2025 - - (228)
PCS 5/1/2025 167 3,000 2,400
PCS 5/17/2022 0 5 (27)
PCS 1/1/2025 9 162 90
PCS 11/1/2023 7 122 23
PCS 3/1/2025 - - (180)
PCS 583 10,500 10,500
PCS 9/23/2025 60 1,077 1,077
PCS 460 8,280 (200)
PCS 10/1/2023 - - (18)
PCS 10/1/2023 0 8 (6)
PCS 10/1/2023
- - (18)
PCS 12/1/2022
2 30 30
PCS 0 8 (8)
PCS 12/1/2022
- - (3)
PCS 12/1/2022
- - (3)
PCS 9/1/2022
- - (3)
PCS 2 30 30
DUS 0 2 2
PCS 0 6 (10)
PCS 6/1/2025 1 12 5
ROLL 9/1/2024 0 8 8
ROLL 3/1/2026 1 17 (23)
ROLL 9/1/2024 0 8 8
ROLL 5/1/2025 1 24 24
ROLL 7/1/2024 5 83 83
ROLL 7/1/2024 4 68 68
ROLL 3/1/2025 13 227 (123)
PCS 3/31/2022 33 593 593
PCS 8/1/2025 - - (500)
PCS 3/31/2022 - - (400)
PCS 2/28/2022 17 300 300
PCS 8/1/2025 25 450 50
PCS 10/1/2025 8 150 (250)
PCS 1/1/2025 8 150 (250)
PCS 7/1/2024 4 72 72
PCS 5/1/2024 3,000 54,000 44,000
PCS 8/1/2024 - - (330)
ROLL - - (2)
ROLL 10/1/2024 - - (2)
ROLL 7/1/2022 0 3 3
ROLL 4/1/2021 0 3 3
ROLL 5/1/2023 - - (2)
ROLL 5/1/2024 - - (2)
ROLL 5/1/2024 - - (2)
PCS 11/4/2025 3 56 21
PCS 12/7/2025 - - (108)
PCS 9/23/2023 - - (16)
PCS 9/17/2025 - - (72)
PCS 7/8/2024 - - (25)
PCS 7/9/2024 0 5 4
PCS 10/14/2023 23 411 411
PCS 6 102 (510)
PCS 10/30/2023 27 486 486
PCS 5/15/2023 - - (252)
PCS 5/22/2023 2 36 36
PCS 1/8/2024 5 81 (63)
PCS 8/19/2025 7 117 (135)
PCS 1/2/2023 - - (27)
PCS 6/29/2023 - - (29)
PCS 50 900 (1,000)
PCS 2/28/2024 3 54 54
PCS 8/1/2024 9 162 (126)
PCS 3/1/2025 - - (252)
PCS 12/1/2024 6 108 (180)
PCS 3/1/2022 3 54 (198)
PCS 1/4/2024 - - (11)
PCS 1/4/2024 - - (313)
ROLL 8/1/2024 - - (16)
ROLL 10/1/2024 - - (21)
ROLL 11/1/2024 1 12 12
PCS - - (80)
PCS 2 29 9
PCS - - (100)
PCS 9/1/2021 1 23 23
PCS - - (2)
PCS 3/1/2024 0 6 (5)
PCS 5/1/2023 0 5 (5)
PCS 0 5 5
PCS 8/1/2021 0 5 (5)
PCS 1/1/2025 1 15 15
PCS 1/1/2025 1 9 5
PCS - - (50)
PCS - - (50)
PCS - - (50)
PCS 6/1/2024 2 32 (47)
PCS 7/1/2024 0 6 (50)
PCS 12/1/2025 - - (200)
PCS 5 93 35
PCS 9/1/2024 3 53 (48)
PCS 12/1/2024 - - (200)
PCS 1/1/2025 15 270 110
PCS 8/1/2024 7 120 (100)
PCS 8/1/2025 37 660 420
PCS 3/1/2024 1 23 (203)
PCS 126 2,271 2,194
PCS 12/1/2025 3 45 (225)
ROLL 5 90 (50)
PCS - - (1,300)
PCS 7/1/2024 8 150 60
PCS 6 113 (2,313)
PCS 8/1/2022 - - (48)
PCS 10/1/2022 1 18 18
PCS 1 15 (25)
PCS 1 15 (25)
PCS 1 15 (25)
PCS 1 15 (25)
PCS 4/29/2025 4 75 75
PCS 4/1/2025 25 450 250
PCS 4/1/2025 17 300 300
PCS 10/1/2024 1 17 (32)
PCS 10/1/2022 - - (11)
PCS 9/1/2022 1 20 (16)

PCS 9/1/2024 2 36 12
PCS 2/1/2024 5 89 89
PCS 8/1/2024 1 18 (30)
PCS 7/1/2024 5 89 89
PCS 9/1/2024 - - (47)
PCS 3/1/2024 - - (11)
PCS 9/1/2024 1 18 (18)
PCS 10/1/2024 1 18 (17)
PCS 8/1/2022 5 87 87
PCS 9/1/2024 2 36 24
PCS 10/1/2024 6 105 82
PCS 9/1/2024 3 53 53
PCS 7/1/2023 - - (47)
PCS 10/1/2022 1 18 (17)
PCS 4/1/2022 1 18 (18)
PCS 9/1/2022 3 53 53
PCS 8/1/2022 5 89 89
PCS 7/18/2023 0 8 (13)
PCS 1 23 13
PCS 4/5/2023 1 15 15
PCS 4 75 75
PCS 8/1/2025 33 600 600
PCS 5/1/2026 21 375 325
PCS 220 3,960 2,660
PCS - - (1,000)
ROLL 12/1/2024 1 18 (1)
ROLL 12/1/2024 2 39 15
ROLL 11/1/2022 0 2 (48)
PCS 2/1/2025 52 930 930
PCS - - (1,000)
PCS 0 5 (3)
PCS 2 27 27
BOTOL 1/1/2023 1 18 18
PCS 4/1/2023 1 15 (65)
PCS 3/1/2023 3 45 (15)
PCS 12/1/2025 8 150 (150)
ukadana, 31 Desember 2021

Kepala Instalasi Farmasi
UD Sultann Muhammad Jamaludin I
ncisca Maria Widyastuty, S.Farm.Apt

NIP. 19820613 201101 2 006
REKAPITULASI PERSED
INSTALASI FARMASI SULT
BULAN D
SUMBER : OBAT PENGADAAN RSUD

BARANG MASUK
NO NAMA OBAT SAMPAI HARGA SATUAN

STOK AWAL BULAN INI DENGAN
BULAN INI
1 2 3 4 5 6
1 ACETYLCYSTEINE 200 MG 8,000 8,000 Rp 1,100.00
2 AKARBOSE 100 MG 9,600 9,600 Rp 960.00
3 AKARBOSE 100 MG 5,400 5,400 Rp 920.00
4 AKARBOSE 50 MG 13,300 13,300 Rp 690.00
5 ALKACIDE 1 L 13 13 Rp 2,702,700.00
6 ALKACIDE 1 L 5 5 Rp 2,725,222.00
7 ALKACIDE 1 L 5 5 Rp 2,650,254.75
8 ALKACIDE 1 L 2 2 Rp 2,267,372.25
9 ALKAZYME SACH 10 10 Rp 800,997.00
13 ALLOPURINOL 100 MG 3,200 7,900 11,100 Rp 247.50
14 ALLOPURINOL 300 MG 2,000 2,000 Rp 200.00
15 ALPRAZOLAM TAB 0,5 MG 1,337 1,337 Rp 94.00
16 ALPRAZOLAM TAB 0,5 MG 103 103 Rp 738.00
17 ALPRAZOLAM TAB 1 MG 275 275 Rp 128.00
18 AMBROXOL 30 MG 3,200 3,200 Rp 214.50
19 AMBROXOL 30 MG 8,500 8,500 Rp 247.50
20 AMBROXOL 30 MG / 5 ML ELIXIR 448 448 Rp 3,500.00
23 AMINOFLUID INF 140 140 Rp 70,189.00
24 AMINOFLUSIN HEPAR 36 36 Rp 85,514.00
25 AMINOLEBAN INJ 50 50 Rp 70,300.20
26 AMINONESTERIL INFANT 6% 50 50 Rp 51,216.00
27 AMINOPHYLLIN 24 MG / ML INJEKSI 180 180 Rp 3,071.00
28 AMIODARONE HCL INJ 50 MG/ML( 150MG/3ML) 96 96 Rp 8,700.00
29 AMIODARONE HCL INJ 48 48 Rp 6,446.00
30 AMIODARONE HCL 200 MG ( KENDARON ) 1,110 1,110 Rp 1,027.00
31 AMLODIPINE 5 MG 6,400 6,400 Rp 639.78
32 AMLODIPINE 5 MG 3,700 3,700 Rp 691.20
33 AMLODIPINE 5 MG 17,500 17,500 Rp 55.00
34 AMLODIPINE 10 MG 7,200 7,200 Rp 1,128.49
35 AMLODIPINE 10 MG 31,600 31,600 Rp 74.00
36 AMOKSISILLIN 500 MG 2,500 2,500 Rp 265.00
39 AMOKSISILLIN SYR 125MG/5ML 499 499 Rp 3,500.00
40 AMOKSISILLIN DROP 190 190 Rp 13,500.00
41 AMOKSISILLIN DROP 200 200 Rp 15,400.00
42 AMPISILIN SERBUK 1000 MG/VIAL INJ 120 120 Rp 9,473.64
43 AMPISILIN SERBUK 1000 MG/VIAL INJ 1,200 1,200 Rp 9,900.00
44 AMPISILIN SERBUK 1000 MG/VIAL INJ 300 300 Rp 13,200.00
45 147
AMPISILLIN 500 MG + SULBACTAM 250 MG(PYCIN) 147 Rp 51,703.00
46 ANTASIDA SUSPENSI 416 416 Rp 2,098.00
47 ANTASIDA SUSPENSI 50 50 Rp 3,950.00
48 ANTASIDA DOEN KOMBINASI + SIMETOCONE SYR 100

( LAMBUCID SYR ) 100 Rp 7,250.00
49 ANTASIDA DOEN KOMBINASI + SIMETOCONE SYR 700

( LAMBUCID SYR ) 700 Rp 8,800.00
50 ANTASIDA DOEN KOMBINASI + SIMETOCONE TAB 6,800

( LAMBUCID TAB ) 6,800 Rp 246.50
51 ANTI HEMOROID SUPP 242 242 Rp 3,642.00
52 AQUA FOR INJECTION 25 ML 11,280 11,280 Rp 2,860.00
53 AQUADES 20 L 5 5 Rp 165,000.00
54 ASAM ASKORBAT 50 MG 2,900 2,900 Rp 141.48
55 ASAM ASKORBAT 50 MG 3,000 3,000 Rp 46.00
56 225
ASAM ASKORBAT INJ ( FIFORC2 FOR-C 200 MG / ML ) 225 Rp 28,050.00
57 ASAM MEFENAMAT 500 MG 8,100 8,100 Rp 275.00
58 ASAM MEFENAMAT 500 MG 17,100 17,100 Rp 117.00
59 2,150
ASAM TRANEXAMAT TAB 500 MG (NEXITRA) 2,150 Rp 2,065.80
60 ASAM TRANEXAMAT INJ 500 1,460 1,460 Rp 2,374.00
61 ASAM TRANEXAMAT 100MG/ML INJ 1,000 1,000 Rp 5,890.50
62 ASAM VALPROAD 250MG / 5ML 396 396 Rp 17,787.00
63 ASEPTAN LIQUID 5 L 30 30 Rp 450,000.00
64 ASERING INF 840 840 Rp 9,646.00
65 ASIKLOVIR 200 MG 1,900 1,900 Rp 586.86
66 ASIKLOVIR 400MG 7,650 7,650 Rp 425.00
67 ASIKLOVIR CREAM 250 250 Rp 3,461.00
68 ATORVASTATIN 20 MG 8,280 8,280 Rp 993.00
69 ATORVASTATIN 20 MG 64,980 64,980 Rp 467.00
70 ATORVASTATIN 40 MG 4,140 4,140 Rp 4,620.00
71 ATRACURIUM 52 52 Rp 25,800.00
72 52
ATRACURIUM BESILATE ( TRAMUS ) 1 % 5 ML 52 Rp 25,800.00
73 ATROPIN SULFAT INJEKSI 0,25 MG 300 300 Rp 1,859.00
74 ATROPIN SULFAT INJEKSI 0,25 MG 300 300 Rp 1,718.00
75 ATTAPULGITE ( NEW DIATAB ) 2,000 2,000 Rp 557.15
76 AZITROMICIN TABLET 500 MG 1,400 1,400 Rp 1,778.00
77 AZITROMICIN TABLET 500 MG 180 180 Rp 9,900.00
78 AZITROMICIN TABLET 500 MG 62 62 Rp 9,000.00
79 AZITROMICIN INJEKSI 14 14 Rp 143,000.00
80 AZITROMICIN SYR 200 MG / 5 ML 49 49 Rp 56,320.00
81 AVAMYS (FLUCASONE FUROATE) 50 50 Rp 107,120.00
82 425
BACITRASIN 500 IU/G - POLYMIXIN 10.000IU/GKRIM 425 Rp 3,490.00
83 BACTESYN INJEKSI 0,75 G ( AMPISILIN 500 MG + 600
SULBACTAM 250 MG) 600 Rp 14,891.00
84 BACTESYN INJEKSI 1,5 G ( AMPISILIN 1000 MG + 400
SULBACTAM 500 MG) 400 Rp 20,009.11
85 BENUTRION VE 60 60 Rp 52,397.00
86 BENZATIN METIL PENICILLIN 2,4 JT IU 30 30 Rp 15,475.35
87 BENZATIN METIL PENICILLIN 2,4 JT IU 100 100 Rp 16,599.99
88 BETAMETHASON 0,1 % KRIM 4,900 4,900 Rp 1,373.00
89 BETAHISTIN TAB 6 MG 5,500 5,500 Rp 119.00
90 BETAHISTIN TAB 6 MG 8,500 8,500 Rp 92.00
91 BFLUID 500 ML 790 790 Rp 76,300.00
92 BISACODIL 5 MG 990 990 Rp 337.00
93 BISOPROLOL TAB 2,5 MG ( CONCOR ) 13,300 13,300 Rp 626.00
94 BISOPROLOL FUMARAT TAB 2,5 MG 35,000 35,000 Rp 135.00
95 BISOPROLOL TAB 10 MG ( CONCOR ) 3,060 3,060 Rp 2,950.00
96 BRICASMA INJ (TERBUTALIN SULFAT) 0,5MG/ML 25 25 Rp 23,022.12
97 BRILINTA 1,624 1,624 Rp 8,323.01
98 BUCAIN SPINAL 0,5 % 239 239 Rp 60,500.00
99 BUCAIN SPINAL 0,5 % 250 250 Rp 51,425.00
100 BUPIVACAIN SPINAL INJ ( BUNASCAN ) 8 8 Rp 61,710.00
101 CARVEDILOL 6,25 MG 18,000 18,000 Rp 1,309.00
102 CARVEDILOL 25 MG ( V - BLOCK ) 3,780 3,780 Rp 1,210.00
103 CEFADROXIL 500 MG CAPS 10,000 10,000 Rp 726.00
104 CEFADROXIL SYR 125MG/5ML 250 250 Rp 4,360.40
105 CEFAZOLIN INJ 136 136 Rp 45,429.45
106 CEFAZOLIN INJ 400 400 Rp 12,650.00
107 CEFAZOLIN INJ 300 300 Rp 6,323.00
108 CEFIXIME TAB 100 MG 4,000 4,000 Rp 398.00
109 CEFIXIME TAB 200 MG 4,500 4,500 Rp 3,025.00
110 CEFIXIME TAB 200 MG 900 900 Rp 2,722.01
111 CEFIXIME TAB 200 MG 14,000 14,000 Rp 749.00
112 CEFIXIME SYR 100 MG/5 ML (HELIXIME) 288 288 Rp 14,190.00
113 CEFIXIME DRY SYR 200 200 Rp 5,195.00
114 CEFOPERAZONE / SEFOPERAZON INJ 1 G 114 114 Rp 37,537.50
115 CEFOTAXIME INJ 1000 MG 500 500 Rp 9,136.00
116 CEFTAZIDINE INJ 70 70 Rp 14,313.00
117 CEFTAZIDIME DRY INJ 800 800 Rp 6,923.00
118 CEFTRIAXONE INJ 1,150 1,150 Rp 5,505.50
119 CEFTRIAXONE INJ 200 200 Rp 7,500.24
122 CETRIZIN TAB 10 MG 3,200 3,200 Rp 313.50
123 CETRIZIN TAB 10 MG 2,600 2,600 Rp 52.00
124 CETRIZIN DROP 41 41 Rp 22,000.00
125 CETRIZIN SIR 5MG/5ML 90 90 Rp 10,345.50
126 CETRIZIN SIR 5MG/5ML 100 100 Rp 2,215.00
127 CILOSTAZOLE TAB 100 MG 3,400 3,400 Rp 6,792.50
128 CILOSTAZOLE TAB 100 MG 1,300 1,300 Rp 5,803.55
129 CIPROFLOXACIN 500 MG 2,900 2,900 Rp 375.00
130 CIPROFLOXACIN 500 MG 5,000 5,000 10,000 Rp 260.00
131 CIPROFLOXACIN 500 MG 1,000 1,000 Rp 462.00
132 CIPROFLOXACIN INF 200 MG 768 768 Rp 10,708.00
133 CIPROFLOXACIN INF 200 MG 500 500 Rp 8,100.00
134 CITICOLIN 500 MG 2,000 2,000 Rp 5,280.00
135 CITICOLIN INJ 125 MG/ML 20 20 Rp 17,325.00
136 CITICOLIN INJ 125 MG/ML 100 100 Rp 24,200.00
137 CITICOLIN 250 MG/2 ML 50 50 Rp 7,700.00
138 CLINDAMYCIN 150 MG 7,900 7,900 Rp 803.00
139 CLINDAMYCIN 300 MG 900 900 Rp 1,426.59
140 CLINDAMYCIN 300 MG 2,500 2,500 Rp 1,100.00
141 CO AMOXICLAV 125 MG SIRUP 84 84 Rp 40,535.00
142 COLCHICINE ( RECOLFAR ) 0,5 MG 3,000 3,000 Rp 4,400.00
143 COMBIVENT 2,5 ML 100 100 Rp 4,550.00
144 D5 - NS OTSU 500 500 Rp 8,992.00
145 D5 - 1/2 NS WIDATRA 260 500 760 Rp 10,680.00
146 D5 - 1/4 NS WIDATRA 720 720 Rp 10,624.00
147 DECATONA 30 MG 1,600 1,600 Rp 183.00
148 DERMACOLIN 800 800 Rp 498.40
149 DEXAMETHASONE 0,5 MG 800 800 Rp 115.50
150 DEXAMETHASONE INJ 5MG/ML 1,600 1,600 Rp 1,921.92
151 DHP FRIMAL 135 135 Rp 2,000.00
152 DIAZEPAM RECTAL 5 MG/2,5ML 127 127 Rp 14,459.00
153 DIAZEPAM 5 MG 200 200 Rp 217.00
154 DIENOGEST 2 MG ( VISANNE ) 476 476 Rp 15,259.20
155 DIGOXIN ( FARGOXIN ) 2,000 2,000 Rp 262.76
156 DIGOXIN ( FARGOXIN ) INJ 20 20 Rp 52,250.00
157 DILTIAZEM 30 MG 400 400 Rp 182.23
158 DILTIAZEM 30 MG 1,000 1,000 Rp 140.00
159 DIPHENHIDRAMIN HCL10 MG/ML INJEKSI 657 657 Rp 1,262.00
160 DOBUTAMIN INJEKSI 130 130 Rp 14,643.02
161 DOBUTAMINE INJ ( INOTROP ) 32 32 Rp 119,877.00
162 DOMPERIDONE TAB 19,300 19,300 Rp 290.00
163 DOMPERIDONE TAB 13,000 13,000 Rp 75.00
164 DOMPERIDONE SIR 5 MG/5ML 90 90 Rp 11,385.00
165 DONEPEZIL HCL (ARICEPT) 252 252 Rp 13,732.70
166 DOPAMINE INJ 200 MG/5ML 300 300 Rp 3,945.00
167 DORIUM 30'S 300 300 600 Rp 4,125.00
168 DOTRAMOL 2,000 2,000 Rp 4,620.00
169 DOKSISIKLIN / DOXYCYCLINE 400 400 Rp 646.36
170 DOKSISIKLIN / DOXYCYCLINE 2,000 2,000 Rp 289.00
171 EFEDRIN SULFATE INJ 107 107 Rp 8,569.00
172 EFEDRIN SULFATE INJ / EPHEDRIN HCL INJ 50 MG 200 200 Rp 6,486.04
173 EFINEFRIN / ADRENALIN INJEKSI 0,1%(I.V) 373 373 Rp 1,518.00
174 EFINEFRIN / ADRENALIN INJEKSI 0,1%(I.V) 200 200 Rp 1,740.00
175 EPERISON HCL / MYONEP 200 200 Rp 5,280.00
176 EPERISON HCL 400 400 Rp 2,887.50
177 1,200
ERGOTAMIN 1 MG + CAFEIN 50 MG TABLET 1,200 Rp 199.00
178 ERYTROMISIN SYR 275 275 Rp 10,500.00
179 ETHAMBUTOL TS 500 MG (HCl) 2,600 2,600 Rp 688.00
180 ETHYL CHORIDE 2 2 Rp 192,500.00
181 FARBIVENT 2,5 MG ( IPRATROPIUM BROMIDE 0,52 MG 1,000

SALBUTAMOL SULPHATE 3,01 MG ) 1,000 Rp 4,307.60
182 FAVIPIRAVIR 200 MG 100 100 Rp 19,800.00
183 FAVIPIRAVIR 200 MG 500 500 Rp 16,500.00
184 FAVIPIRAVIR 200 MG ( AVIGAN ) 2,000 2,000 Rp 21,825.10
185 FAVIPIRAVIR 200 MG ( OL FAVICOVID ) 4,000 4,000 Rp 15,400.00
186 FAVIPIRAVIR 200 MG ( FAVICAL ) 5,000 5,000 Rp 21,000.00
187 FENOBARBITAL 30 MG 4,086 24.5 4,111 Rp 197.00
188 FENOBARBITAL INJEKSI 50 MG 161 161 Rp 2,278.00
189 FENOFIBRAT 100 MG ( FENOLIP ) 10,660 10,660 Rp 5,500.00
190 FENOFIBRAT 100 MG 500 500 Rp 473.00
191 FENOFIBRAT 300 MG 370 370 Rp 1,355.00
192 FENOFIBRAT 300 MG 2,400 2,400 Rp 1,446.00
193 FENTANYL INJ 100 MCG/2ML 172 172 Rp 44,390.94
194 FENTANYL INJ 100 MCG/2ML 535 535 Rp 48,400.00
195 FERRO K 120 ML 100 100 Rp 38,500.00
196 FINASTERID 5 MG ( REPROSID ) 2,790 2,790 Rp 1,841.00
197 FITOMENADION / VIT K TSG 10 MG 800 800 Rp 818.00
198 FITOMENADION / VIT K TSG 10 MG 500 500 Rp 873.00
199 FITOMENADION / VIT K INJ 2 MG/ML 1,000 1,000 Rp 5,775.00
200 FITOMENADION / VIT K INJ 2 MG/ML 600 600 Rp 1,452.00
203 FLUKONAZOLE 1,900 1,900 Rp 21,528.00
204 FLUKONAZOLE INF 2MG / ML 100 100 Rp 20,262.00
205 FLUNARIZINE TABLET 5 MG 300 300 Rp 2,200.00
206 FLUNARIZINE TABLET 5 MG 5,000 5,000 Rp 1,760.00
207 FUCILEX CREAM 264 264 Rp 4,889.50
208 FLUOXETIN HCL 10 MG (ZAC) 1,200 1,200 Rp 542.00
209 FURAMIN ( FURSULTIAMINE ) INJ 65 65 Rp 12,100.00
210 FUROSEMIDE TABLET 40 MG 13,200 13,200 Rp 84.00
211 FUROSEMIDE TABLET 40 MG 100'S 5,000 5,000 Rp 223.85
212 FUROSEMIDE INJ 10 ML/ML 1,050 1,050 Rp 1,555.00
213 FUROSEMIDE INJ 10 ML/ML 700 700 Rp 969.00
214 FUTROLIT 144 144 Rp 39,602.61
215 FOLAPLUS TAB 13,300 13,300 Rp 935.00
216 FONDAFARINUX ( ARIXTRA ) 90 90 Rp 273,800.00
217 FORMALIN 10% 3,8L 2 2 Rp 938,000.00
218 GABAPENTIN 300 MG 14,460 14,460 Rp 1,121.67
219 GABAPENTIN 300 MG 30'S AAM 45,000 19,980 64,980 Rp 673.00
220 GARAM ORALIT 2,900 2,900 Rp 375.00
221 GEMFIBROZIL 300 MG 840 840 Rp 428.00
222 GENTAMICIN TETES MATA 672 672 Rp 4,885.00
223 GENTAMICIN ZALF KULIT 100 100 Rp 2,385.72
224 GENTAMICIN ZALF KULIT KF 300 300 Rp 2,848.89
225 GENTAMICIN ZALF MATA 0,3 % 144 144 Rp 3,075.00
226 GENTAMICIN INJEKSI ( SAGESTAM ) 1,200 1,200 Rp 10,714.00
227 GLIBENKLAMIDE TABLET 5 MG 7,200 7,200 Rp 137.00
228 GLICAZID 80 MG 1,100 1,100 Rp 359.37
229 GLIMEPIRID TAB 1 MG 2,000 2,000 Rp 228.38
230 GLIMEPIRID TAB 2 MG 200 200 Rp 207.00
232 GLIMEPIRID TAB 2 MG 4,400 2,000 6,400 Rp 1,870.00
233 GLIMEPIRID TAB 3 MG 4,000 4,000 Rp 2,052.00
236 GLIQUIDONE TAB 30 MG 3,000 3,000 Rp 1,203.99
237 GLIQUIDONE TAB 30 MG 5,000 5,000 Rp 1,000.00
238 GLOBAVIT D3 1000 IU ( VITAMIN D ) 1,200 1,200 Rp 2,000.00
239 GLUKOSA 5 % INFUS 500 ML 2,320 2,320 Rp 7,500.00
240 GLUKOSA 10 % INFUS 500 ML 420 420 Rp 8,003.0
241 GLUKOSA 10 % INFUS 500 ML 40 40 Rp 10,010.0
242 GLUKOSA 40 % INFUS (DEXTROS) 240 240 Rp 10,010.0
243 GLUKOSA 40 % INFUS (DEXTROS) 82 82 Rp 7,000.4
244 GUAIFENESIN 100 MG 7,300 7,300 Rp 178.00
245 HALOPERIDOL 5 MG 800 800 Rp 60.00
246 HEXIOL 350 MG INJ 2 2 Rp 117,650.00
247 HEXIOL 350 MG INJ 1 1 Rp 177,650.00
248 HIDROGEN PEROXIDE 3% 5 5 Rp 39,500.01
249 HIDROKLOROTHIAZID (HCT) TAB 25MG 4,000 4,000 Rp 2,533.00
250 HIDROKORTISON 2,5 % KRIM 720 720 Rp 3,093.75
251 HIOSIN BUTILBROMIDA TABLET 10 MG + METAMIZOLE 500 Rp 1,030.00

( PROCOLIC ) 500
252 HIOSIN BUTILBROMIDA TABLET 10 MG + METAMIZOLE 6,700 Rp 2,475.00

( PROCOLIC ) 6,700
253 HIOSIN BUTILBROMIDA INJ 20 MG/ML 230 230 Rp 7,425.00
254 HIOSIN BUTILBROMIDA INJ 20 MG/ML 130 130 Rp 6,188.05
255 IBUPROFEN TABLET 400 MG 2,000 2,000 Rp 366.30
256 IBUPROFEN SYR 100 MG / 5 MG 100 100 Rp 6,109.00
257 IMIDAPRIL 5 MG ( TANAPRESS ) 4,000 4,000 Rp 2,530.00
258 IMIDAPRIL 10 MG ( TANAPRESS ) 3,100 3,100 Rp 4,735.00
259 ISOFLURANE 250 MG 7 7 Rp 752,850.00
260 ISOFLURANE 250 ML ( TERREL ) 57 57 Rp 663,784.00
261 ISONIAZID 100 MG 2,000 2,000 Rp 170.75
262 ISOXSUPRINE HCL 20 MG ( TONOTAN ) 1,300 1,300 Rp 4,812.50
263 ISOSORBID DINITRATE INJ 93 93 Rp 22,500.00
264 KA-EN 3A 800 800 Rp 11,314.0
265 KA-EN 3B 784 784 Rp 11,314.0
266 KA-EN MG3 54 54 Rp 10,750.3
267 KALSIUM GLUKONAT INJ 10% 216 216 Rp 10,351.00
268 KALSIUM GLUKONAT INJ 10% 96 96 Rp 6,199.00
269 KALSIUM LAKTAT ( LICOKALK ) 500 MG 3,700 3,700 Rp 261.80
270 KALSIUM LAKTAT 500 MG 10,000 10,000 Rp 60.00
271 KANDESARTAN 8 MG 20,490 20,490 Rp 661.00
272 KANDESARTAN 16 MG 10,290 10,290 Rp 1,048.00
273 KANDESARTAN 16 MG 3,990 3,990 Rp 319.00
274 KAPTOPRIL TABLET 50 MG 1,700 1,700 Rp 246.82
275 KAPTOPRIL TABLET 25 MG 2,000 2,000 Rp 121.00
276 KAPTOPRIL TABLET 25 MG KF 5,000 5,000 Rp 145.00
277 KAPTOPRIL TABLET 12,5 MG 2,200 2,200 Rp 99.00
278 KAPTOPRIL TABLET 12,5 MG KF 2,000 2,000 Rp 68.00
279 KARBAMAZEPIN 1,300 1,300 Rp 227.27
280 KCL OTSU 360 360 Rp 3,223.00
281 KDN WIDA 920 920 Rp 11,250.00
282 KETAMIN HCL INJ 50 MG/ML 24 24 Rp 62,800.00
283 KETAMIN HCL INJ 50 MG/ML 5 5 Rp 59,950.00
284 KETOCONAZOLE 2 % KRIM 15 G 350 350 Rp 2,577.00
285 KETOCONAZOLE 200 MG 1,000 1,000 Rp 260.00
286 KETOPROFEN SUPP ( SUPRAFENID ) 798 798 Rp 23,799.60
287 KETOROLAC INJ 30 MG/ML 400 400 Rp 14,434.20
290 KETOROLAC 3 % INJ 3,000 3,000 Rp 923.00
291 KETOROLAC TROMETHAMINE 1,040 1,040 Rp 4,499.99
292 KLOPIDOGREL TAB 75 MG 4,000 4,000 Rp 5,533.00
293 KLOPIDOGREL TAB 75 MG 12,000 12,000 Rp 660.00
294 KLOPIDOGREL TAB 75 MG 3,990 3,990 Rp 1,469.00
295 KLORAMFENIKOL 3% TETES TELINGA 225 225 Rp 7,700.00
296 3,400
KLORAMFENIKOL KAPSUL 500 MG ( CHLORAMEX ) 3,400 Rp 1,254.00
297 476
KLORAMFENIKOL SALEP 2 %ZALF KULIT ( BUFACETIN ) 476 Rp 3,360.00
298 KLORFENIRAMINI MALEAT ( CTM ) 7,200 7,200 Rp 24.00
299 1,000
KLORPROMAZINE 25 MG / CHLORPROMAZINE 25 MG 1,000 Rp 208.00
300 KODEIN TABLET 10 MG 2,166 2,166 Rp 657.00
301 KOTRIMOKSAZOLE 480 MG 700 700 Rp 125.00
305 KOTRIMOKSAZOLE SYR 100 100 Rp 2,298.00
306 KSR ( KALIUM KLORIDA TABLET LEPAS LAMBAT 600 2,900

MG ) 2,900 Rp 1,842.01
307 L - BIO 1,200 1,200 Rp 7,315.00
308 LACTO - B 1,040 1,040 Rp 4,867.50
309 LACTULOSA SIRUP 23 23 Rp 15,060.10
310 LACTULOSA ( LACTULAX SIRUP ) 389 389 Rp 48,400.00
311 LANSOPRAZOLE KAPSUL 34,200 5,800 40,000 Rp 990.00
312 LANSOPRAZOLE INJEKSI 60 60 Rp 89,100.00
313 LEVEMIR ( INSULIN ) 305 305 Rp 83,950.00
316 LEVOFLOKSASIN 500 MG 5,000 5,000 Rp 929.60
317 LEVOFLOKSASIN INF 5 MG/ML 124 124 Rp 18,988.00
318 LEVOFLOXCACIN INF 5,0MG/ML 50 50 Rp 20,262.00
319 LEVOFLOXCACIN INF 5,0MG/ML 405 405 Rp 30,000.30
320 400 400

LEVOTHYROXINE TAB 50 MG ( EUTHYROX ) Rp 735.00
321 1,750 1,750

LEVOTHYROXINE TAB 50 MG ( EUTHYROX ) Rp 771.00
322 700 700

LEVOTHYROXINE TAB 100 MG (EUTHYROX ) Rp 1,021.00
323 1,750 1,750

LEVOTHYROXINE TAB 100 MG (EUTHYROX ) Rp 1,072.00
324 50 50
LEVOBUPIVACAINE ( LEVICA ) 50 MG / 10 ML INJEKSI Rp 57,475.00
325 LIDOCAIN INJ 2 % 200 200 Rp 1,315.00
326 LIDOCAIN INJ 2 % 1,300 1,300 Rp 916.35
327 LIDOKAIN INJ 2%+ Epinefrin 1:80000 2ML 9,440 9,440 Rp 1,317.00
328 LISINOPRIL TAB 5 MG 2,000 2,000 Rp 250.00
331 LISOL 46 46 Rp 52,910.00
332 LORATADIN TAB 10 MG 800 800 Rp 333.08
333 LORATADIN TAB 10 MG 2,000 2,000 Rp 117.00
334 MANITOL INF 20% 250 ML 330 330 Rp 28,275.00
335 MANITOL INF 20% 250 ML 100 100 Rp 43,499.50
336 MECOBALAMIN 500 MG 5,700 5,700 Rp 924.00
337 MECOBALAMIN 500 MCG ( RINCOBAL ) 5,000 5,000 Rp 1,155.00
338 MEDIKACARE 0,5% ANTISEPTIC 500 ML 252 252 Rp 35,000.00
339 MEDIKACARE 0,5% ANTISEPTIC 500 ML 300 300 Rp 55,000.00
340 MEDIKACARE 0,5% ANTISEPTIC 5 L 55 55 Rp236,722.20
341 MELOXICAM 15 MG TABLET 5,900 5,900 Rp 1,007.02
342 MEPROLUTE 2,880 2,880 Rp 3,520.00
343 MERSIBION INJ 300 300 Rp 3,025.00
344 MEROPENEM INJ 0,5 G 1,400 1,400 Rp 37,001.80
345 MEROPENEM INJ 1 G 300 300 Rp 49,993.35
346 MEROPENEM INJ 1 G 1,100 1,100 Rp 55,000.00
347 MEROPENEM INJ 1 G 6 394 400 Rp 27,435.00
348 MESALAZINE 250 MG ( SALOFALK ) 2,000 2,000 Rp 4,675.00
349 METHANOL 100 ML E MERCK 4 4 Rp 30,250.00
350 METHOTREXATE 2,5 MG ( RHEU - TREX ) 300 300 Rp 1,098.00
351 METFORMIN HCl TABLET 500 MG 44,200 44,200 Rp 110.00
352 METFORMIN HCl TABLET 500 MG 50,000 50,000 Rp 77.00
353 METFORMIN HCl TABLET 500 MG 800 800 Rp 109.00
354 METILDOPA 250 mg ( DOPAMED ) 6,200 6,200 Rp 1,088.00
355 METILERGOMETRIN MALEAT TS 0,125 MG 2,300 2,300 Rp 243.00
356 5,000
METILERGOMETRIN MALEAT TS 0,125 MG KF 5,000 Rp 220.00
357 METILERGOMETRIN MALEAT INJ 0,2MG/ML 615 615 Rp 3,399.00
358 500
METILERGOMETRIN MALEAT INJ 0,2MG/ML 500 Rp 1,069.00
359 METILPREDNISOLON TAB 4 MG 14,800 14,800 Rp 300.00
360 METILPREDNISOLON TAB 4 MG 5,000 5,000 10,000 Rp 102.00
361 METILPREDNISOLON TAB 16 MG 6,400 6,400 Rp 548.00
362 METILPREDNISOLON INJ 125 MG 501 501 Rp 11,449.00
363 METILPREDNISOLON INJ 125 MG 400 400 Rp 12,216.60
364 METOCLOPRAMIDE INJ 190 190 Rp 1,598.80
365 METOCLOPRAMIDE INJ 300 300 Rp 4,553.78
366 METOCHLORPHAMIDE TAB 10 MG 1,300 1,300 Rp 83.00
367 METRACLIN 5 L 2 2 Rp 780,818.50
368 METRONIDAZOLE TAB 500 MG 1,400 1,400 Rp 264.00
369 METRONIDAZOLE TAB 500 MG 7,000 7,000 Rp 171.60
370 METRONIDAZOLE INFUS 1,576 1,576 Rp 9,000.20
371 METRONIDAZOLE INFUS 100 ML 2,000 2,000 Rp 5,885.00
372 METRONIDAZOLE SUSP 125 MG/ML 85 85 Rp 3,950.00
373 MEYLON 8,4 % 25 ML 96 96 Rp 6,448.20
374 MEYLON 8,4 % 25 ML 120 120 Rp 6,749.60
375 MGSO4 40% 600 600 Rp 3,796.10
376 MGSO4 40% 90 90 Rp 4,700.00
377 MGSO4 20% 240 240 Rp 3,328.01
378 MGSO4 20% 120 120 Rp 4,120.00
379 MICONAZOLE 2 % 48 48 Rp 3,925.90
380 MICONAZOLE 2 % 100 100 Rp 1,900.00
381 MICROGEST 100 MG 930 930 Rp 13,200.00
382 MICROGEST 200 MG 585 585 Rp 24,200.00
383 90
MIDAZOLAM INJ 5 MG/5 ML ( SEDACUM ) 90 Rp 27,500.00
384 500
MIDAZOLAM INJ 5 MG/5 ML ( MILOZ ) 500 Rp 4,642.00
385 86 86
MIDAZOLAM INJ 5 MG/5 ML ( FORTANEST ) Rp 12,375.00
386 MISOPROSTOL 3,600 3,600 Rp 5,500.00
387 MISOPROSTOL 200 MCG 5,000 5,000 Rp 1,402.50
388 MOMETASON SALEP 175 175 Rp 8,437.00
389 MORFIN TAB 38 38 Rp 22,990.00
390 MORFIN INJ 56 56 Rp 44,100.00
391 MORFIN 10 MG / ML INJ 50 50 Rp 34,049.95
392 MULTIVITAMIN ( LIVRON B-PLEX ) 2,300 2,300 Rp 352.00
393 MULTIVITAMIN ( MEVITON FILCO ) 5,000 5,000 Rp 1,650.00
394 MULTIVITAMIN ( BENOVIT C ) 3,400 3,400 Rp 1,402.50
395 NATRIUM KLORIDA 0,9% INFUS 500 ML 5,520 5,520 Rp 6,840.00
398 NATRIUM DIKLOFENAK 50 MG 24,200 24,200 Rp 136.00
399 NICARDIPIN 220 220 Rp 157,300.00
400 NICARDIPINE 10 MG 100 100 Rp 8,266.01
401 NICARDIPIN HCL INJ 1 MG 100 100 Rp 24,000.02
402 NIFEDIPINE 10 MG 3,300 3,300 Rp 107.00
403 NIFEDIPINE 10 MG 1,000 1,000 Rp 156.20
404 NIFEDIPINE 10 MG 10,000 10,000 Rp 114.00
405 NIFEDIPINE GITS ( ADALAT OROS ) 1,410 1,410 Rp 4,342.80
406 NIMODIPINE 10 MG/50 ML 20 20 Rp 75,000.00
407 NISTATIN TS 500.000 IU/GRAM 2,900 2,900 Rp 910.00
408 NISTATIN VAGINAL TS 100.000 IU/GRAM 1,300 1,300 Rp 645.00
409 NISTATIN DROP 100.000 IU/ML 80 80 Rp 19,360.00
410 NITROKAF 8,000 8,000 Rp 2,706.00
411 NITROKAF 21,500 21,500 Rp 1,650.00
412 30
NITROGLISERIN ( GLYCERYLTRINITRAT ) INJEKSI 30 Rp 71,500.00
413 NOREFINEFRIN INJ 100 100 Rp 29,700.00
416 NOVORAPID ( INSULIN ) 343 343 Rp 87,000.00
417 NOVORAPID ( INSULIN ) 1,475 1,475 Rp 89,500.00
418 NOVOMIX 313 313 Rp 110,968.00
419 OKSITETRASIKLIN HCL 1% SALEP MATA 425 425 Rp 2,774.00
420 Oksitosin injeksi 10 UI/ml-1 ml 1,347 1,347 Rp 1,232.00
421 Oksitosin injeksi 10 UI/ml-1 ml 3,000 3,000 Rp 1,248.01
422 Oksitosin injeksi ( PROTOCIN INJ ) 500 500 Rp 7,920.00
423 OMEPRAZOLE INJ. 3,620 3,620 Rp 11,868.00
424 OMEPRAZOLE INJ. 781 781 Rp 15,840.00
425 OMEPRAZOLE CAPS 10,000 10,000 Rp 525.01
426 OMEPRAZOLE CAPS 9,990 9,990 Rp 475.20
427 ONDANSENTRON INJ 4 MG / 2 ML 4,200 4,200 Rp 963.00
428 ONDANSENTRON INJ 2 MG/ML 195 195 Rp 1,257.96
429 ONDANSENTRON INJ 4 MG/ 2ML 1,000 1,000 Rp 5,500.00
430 ONDANSENTRON INJ 4 MG/ 2ML 400 400 Rp 7,000.07
431 ONDANSENTRON INJ 8 MG/ 2ML 500 500 Rp 6,000.06
432 ONDANSENTRON TABLET 4 MG 300 300 Rp 429.00
433 ONDANSENTRON TABLET 8 MG 1,650 1,650 Rp 2,475.00
434 ONE SCRUB 5L 2 2 Rp 507,100.00
435 50 50
OTSULIP ( SOYBEAN OIL ) FAT EMULSION INJECTION Rp 132,360.00
436 300 300

OTSULIP ( SOYBEAN OIL ) FAT EMULSION INJECTION Rp 162,000.00
437 PARACETAMOL DROP 100 100 Rp 8,250.00
438 PARACETAMOL SYRUP 120 MG/ 5 ML 862 862 Rp 1,160.00
439 PARACETAMOL INF 704 704 Rp 15,000.21
440 PARACETAMOL TABLET 500 MG 32,100 32,100 Rp 165.00
441 PARACETAMOL SUPP 80 MG ( PYREXIN ) 100 100 Rp 8,800.00
442 PARACETAMOL SUPP 160 MG ( PYREXIN ) 70 70 Rp 8,800.00
443 PEHACAIN INJEKSI 140 140 Rp 2,801.75
444 PETHIDINE INJ 100 MG/2ML 467 467 Rp 19,481.00
445 PETHIDINE INJ 50 MG/ML 400 400 Rp 13,399.98
446 PHENYTOIN INJ / FENITOIN 100 100 Rp 4,121.04
447 PHENYTOIN 100 MG / FENITOIN 4,000 4,000 Rp 605.00
448 PIOGLITAZONE 15 MG 2,100 2,100 Rp 523.00
449 PIOGLITAZONE 30 MG 2,100 2,100 Rp 838.00
450 PIOGLITAZONE 30 MG 2,850 2,850 Rp 3,575.00
451 PIRACETAM 800 MG 650 650 Rp 803.00
452 PIRACETAM 800 MG 5,000 5,000 Rp 730.00
453 PIRACETAM INJ 1 GR 50 50 Rp 3,960.00
454 PIRAZINAMIDE 500 MG 2,000 2,000 Rp 393.18
455 PIRIDOKSIN HCL ( VIT.B6 ) TAB 10 MG 6,600 6,600 Rp 141.00
456 PIROXICAM 20 MG 1,700 1,700 Rp 130.41
457 POLICLEAN HANDRUB 500 ML 20 20 Rp 129,360.00
458 POVIDON IODIN 300 ML 184 184 Rp 27,300.00
459 POVIDON IODIN 300 ML MEDIKA 189 189 Rp 23,368.00
460 PREDNISONE TABLET 5 MG 8,000 8,000 Rp 79.00
461 PREGABALIN 75 MG 120 120 Rp 3,987.50
462 PROVE D3 1000 IU ( VITAMIN D ) 1,200 1,200 Rp 2,475.00
463 PROVE D3 5000 IU ( VITAMIN D ) 990 990 Rp 3,025.00
464 PRONTOSAN 350 ML 3 3 Rp 151,600.00
465 PROPYLTHIOURACYL ( PTU ) 2,000 2,000 Rp 586.30
466 PROPOFOL INJ 200 MG/2 ML ( FRESOFOL ) 143 143 Rp 11,308.00
467 PROSTIGMIN 15 15 Rp 8,200.00
468 PROVOMER TAB 3,400 3,400 Rp 2,640.00
469 PROPANOLOL TABLET 10 MG (HCl) 2,000 2,000 Rp 63.00
470 PROPANOLOL TABLET 40 MG (HCl) 3,300 3,300 Rp 88.00
471 PSIDII SYR 62 62 Rp 36,300.00
472 PULMICORT RESP 1,240 1,240 Rp 10,377.95
473 PULMICORT RESP 200 200 Rp 10,478.00
474 PULMICORT TURB 40 40 Rp 112,087.80
475 RAMIPRIL 2,5 MG 5,300 5,300 Rp 300.00
476 RAMIPRIL 5 MG 13,500 13,500 Rp 263.00
477 RAMIPRIL 5 MG 15,000 15,000 Rp 158.00
478 RAMIPRIL 10 MG 12,000 12,000 Rp 737.00
479 RANITIDINE 150 MG 3,700 3,700 Rp 200.00
480 RANITIDINE 150 MG 5,000 5,000 Rp 85.00
481 RANITIDINE INJEKSI 25 MG / ML 900 900 Rp 2,570.07
482 RANITIDINE INJEKSI 25 MG / ML 3,300 3,300 Rp 1,155.26
483 REMDASIVIR 100 MG / 20 ML 35 35 Rp 319,000.00
484 REMDASIVIR ( DESREM SRBK INJ ) 100 100 Rp 506,000.00
485 RETINOL (VITAMIN A)TABLET 100.000 IU 800 800 Rp 331.00
489 RIFAMPISIN TS 450 MG 4,700 4,700 Rp 985.00
490 RINGER LAKTAT INFUS 500 ML 9,500 9,500 Rp 7,630.00
491 ROCURONIUM ( ROCUM ) INJ 1 % 5 ML 20 20 Rp 108,000.00
492 ROCURONIUM ( ROCUM ) INJ 1 % 5 ML 50 50 Rp 118,800.00
493 RYZODEG FLEX TOUCH 650 650 Rp 112,000.00
494 SALBUTAMOL TABLET 4 MG (SULFAT) 9,300 9,300 Rp 77.00
495 SALBUTAMOL CAIRAN IH 1 MG/ML ( VENTOLIN ) 700 700 Rp 15,418.43
496 SALEP 2 - 4 KOMBINASI 576 576 Rp 3,017.00
497 SALEP WHITEFIELD 528 528 Rp 3,017.00
498 SALISIL BEDAK 2% 52 52 Rp 6,006.00
499 SEPTALKAN 100 WIPES 7 7 Rp 142,000.00
500 SEPTALKAN 100 WIPES 12 12 Rp 156,200.00
501 SEPTALKAN SPRAY 750 36 36 166,016.00
502 SERETIDE DISKUS 250 97 97 122,521.30
503 SERETIDE DISKUS 100 36 36 109,007.80
504 SEVOFLURANE 250 ML 5 5 Rp 1,546,875.00
505 SEVOFLURANE 250 ML ( SOJOURN ) 31 31 Rp 1,215,958.70
506 SIANOKOBALAMIN ( VIT. B12 ) TABLET 50 MCG 12,300 12,300 Rp 49.00
507 200
SIANOKOBALAMIN ( VIT. B12 ) INJEKSI 500 MCG/ML 200 Rp 1,160.00
508 SIMVASTATIN TABLET 20 MG 500 500 Rp 1,108.00
509 SIMVASTATIN TABLET 20 MG 2,000 4,000 6,000 Rp 1,320.00
510 SIMVASTATIN TABLET 20 MG 3,000 3,000 Rp 150.00
511 SPIRAMYCIN 500 MG 1,000 1,000 Rp 1,876.00
512 SPIRONOLAKTON TAB 25 MG 7,500 7,500 Rp 226.00
516 SULFADIAZINE SILVER CREAM 99 99 Rp 20,700.00
517 SYMBICORT TURB 60 DOSS 110 110 Rp 125,840.00
520 SYMBICORT TURB 120 DOSS 400 100 500 Rp 150,704.00
521 SUCRALFATE 500 MG / 5 ML 992 992 Rp 13,911.76
522 1,400
SUPLEMEN VITAMIN C ( SELKOM C )( DANA BTT ) 1,400 Rp 1,650.00
523 2,300
SUPLEMEN VITAMIN C ( ARKAVIT C )( DANA BTT ) 2,300 Rp 1,650.00
524 TABLET TAMBAH DARAH 25,000 25,000 Rp 255.00
525 TAMSULOSIN HCL ( HARNAL OCAS ) 1,680 1,680 Rp 6,281.00
526 TELMISARTAN 40 MG ( MICARDIS ) 1,960 880 2,840 Rp 3,045.00
527 TELMISARTAN 40 MG 4,500 4,500 Rp 2,450.00
528 TELMISARTAN 80 MG ( MICARDIS ) 1,360 1,360 Rp 5,409.00
529 TELMISARTAN 80 MG 6,000 6,000 Rp 4,350.00
530 TEMULA PLUS 900 900 Rp 4,400.00
531 THIAMIN HCL MONONITRAT 50 MG 3,000 3,000 Rp 88.00
532 THYROZOL 10 MG (THIAMIZOLE 10 MG ) 2,900 2,900 Rp 1,286.00
533 THYROZOL 5 MG (THIAMIZOLE 5 MG ) 2,300 2,300 Rp 630.00
534 THYROZOL 5 MG (THIAMIZOLE 5 MG ) 3,000 3,000 Rp 661.00
535 TRAMADOL INJ 50 MG/ML MERSI 500 500 Rp 2,640.00
536 TRAMADOL INJ 50 MG/ML 160 160 Rp 6,914.00
537 TRIAMCINOLONE INJEKSI ( TRILAC ) 50 50 Rp 39,400.90
538 -
ULTRASONIC GEL / USG GEL 250 ML BLUE TUTUP ULIR - Rp 20,800.01
539 URSODEOXYCHOLIC ACID 250 MG 510 510 Rp 2,360.00
540 URSODEOXYCHOLIC ACID 250 MG 3,000 3,000 Rp 2,358.99
541 URSODEOXYCHOLIC ACID 250 MG / ASAM 20,100

URSODEOCHOLIC 250 MG 20,100 Rp 1,847.00
542 UTROGESTAN 100 MG 180 180 Rp 11,261.00
543 UTROGESTAN 200 MG 105 105 Rp 20,100.00
544 VALSARTAN 80 MG 1,500 1,500 Rp 4,000.00
545 VALSARTAN 80 MG 1,500 1,500 Rp 415.00
546 VALSARTAN 160 MG 2,370 2,370 Rp 1,122.00
547 VENTISORB CARBON DIOXIDE ABSORBENT 20 20 Rp 962,549.00
548 VITAMIN B KOMPLEKS 2,100 2,100 Rp 135.00
549 VOLUVEN 500 ML 200 200 Rp 21,780.00
550 WALFARIN 100 MG 3,000 3,000 Rp 767.80
551 WIDAHES 60 60 Rp 90,200.00
552 YAVIT E ( VITAMIN E ) 400 IU 300 300 Rp 3,932.50
553 ZEBRA Z BAND PINK 300'S ( Anak ) 5 5 Rp 3,332,500.00
554 ZEBRA Z BAND PINK 300'S ( Anak ) 2 2 Rp 3,449,999.85
555 ZEBRA Z BAND PINK 350'S ( Dewasa ) 8 8 Rp 2,472,500.00
556 ZEBRA Z BAND BLUE 300'S ( Anak ) 1 1 Rp 3,225,000.00
559 ZEBRA Z BAND BLUE 350'S ( Dewasa ) 9 9 Rp 2,472,500.00
560 ZINC DISPERSIBLE 20 MG 3,100 3,100 Rp 604.00
561 ZINC ( OL ZINKID 20 MG ) 1,200 1,200 Rp 2,750.00
562 ZINC SYR 20 MG/ 5 ML 178 178 Rp 3,284.60
563 ZYFORT INJ 3 ML 300 300 Rp 6,325.00
OBAT GIGI :
1 ABSORBENT PAPER POINT 45-80 5 5 Rp 1,020,000.00

2 APEX LOCATOR WOODPECKER 1 1 Rp 77,000.00
3 ARTICULATING PAPER PART DC 1 1 Rp 187,000.00
4 BONDING AGENT (SCOTHBOAND) 3 3 Rp 1,742,500.00
5 BUR DIAMOND MEISINGER C 1 1 Rp 37,400.00
6 BURNISHER SE / MEDESY 1 1 Rp 3,600,000.00
7 CAVIT W 2 2 Rp 109,714.00
8 CAVITON WHITE 1 1 Rp 176,000.00
CELLULOSE MATRIX STRIP / CELLULOID STRIP SVENSKA 2

9 2 Rp 151,000.00
10 CEMENT STOPPER / MEDESY 1 1 Rp 203,500.00
11 CLOREXORAL SOLUTION 200 ML BIODINAMICA 1 1 Rp 120,228.00
12 COMPOSITE FINISHING KIT 1 1 Rp 799,000.00
13 COTTON ROLL 9 9 Rp 61,000.00
D- PERFECT DENTAL ROOT CANAL INSTRUMENT, K FILE
1
14 25 MM 1 Rp 55,000.00
15 D- PERFECT DENTAL ROOT CANAL INSTRUMENT, TH-6 1 1 Rp 330,000.00
16 DISPOSIBLE DENTAL NEEDLE 30 G X 16 MM 1 1 Rp 31,900.00
17 DOUBLE CHECK ARTICULATING 4 4 Rp 267,300.00
18 EDTA SOLUTION 15 ML DENPRO 1 1 Rp 66,000.00
19 ENDO BOX DOCHEM 1 1 Rp 121,000.00
20 ENDOSEAL 1 1 Rp 177,000.00
EPOXIDIN ROOT CANAL SEALER 1

21 1 Rp 427,000.00
22 ETCHANT GEL VIAL 9 ML 2 2 Rp 178,000.00
23 ETCHING CAIRAN 9 ML 3 3 Rp 1,095,000.00
24 EUGENOL 10 ML 4 4 Rp 23,101.00
25 EXCAVATOR 670/0,2 2 2 Rp 224,000.00
26 FILLING INSTRUMENT / PLASTIS INSTRUMENT 1 1 Rp 203,000.00
27 FINGER SPREADER SENDOLINE 1 1 Rp 253,000.00
28 GIC FUJI IX 2 2 Rp 1,367,000.00
29 GUTTA PERCHA POINTS 04 TAPER 20 1 1 Rp 66,000.00
33 GUTTA PERCHA POINTS 06 TAPER 25 1 1 Rp 9,174,000.00
34 GUTTA PERCHA POINTS NO. 15-40 6 6 Rp 90,000.00
35 GUTTA PERCHA POINTS NO. 45-80 1 1 Rp 48,400.00
36 HYDCAL ( KALSIUM HIDROKSI PASTA ) 5 5 Rp 288,000.00
37 HYDCAL ( PASTE DAN CATALYST ) 2 2 Rp 143,000.00
38 HYPOSOL 3 % DENPRO 1 1 Rp 208,000.00
39 IODOFORM PASTE 2 2 Rp 407,000.00
40 K FILE SVENSKA 15-40 L21 1 1 Rp 200,000.00
41 K FILE SVENSKA 45-80 L21 1 1 Rp 200,000.00
42 KETAC UNIVERSAL 2 2 Rp 437,547.00

43 LENTULO / PASTE FILLER SVENSKA 1 1 Rp 247,500.00
44 MICRO BRUSH SVENSKA 3 3 Rp 109,750.00
45 PAPER POINT DENTPLUS #15-40 1 1 Rp 48,400.00
46 PAPER POINT DENTPLUS #45-80 1 1 Rp 48,400.00
47 PARAMONOCHLOROFENOL 2 2 Rp 75,000.00
48 PEESO REAMERS SVENSKA 1 1 Rp 396,000.00
49 PGO POSTERIOR SYR 4G 2 2 Rp 210,644.00
50 POLIBIB DIAPRO ISI 50 1 1 Rp 41,800.00
51 POSTERIOR SYR 4 G 1 1 Rp 215,500.00
52 PULP-X 1 1 Rp 227,000.00
53 SALIVA EJECTOR 16 16 Rp 185,000.00
54 SINGLE BOND 2 RF LA / APAC 4 4 Rp 120,228.00
55 SLABER /POLYBIBS TOWELS 33 X 43,5 CM 8 8 Rp 230,000.00
56 SOF-LEX EXTRA THIN FINE DISC 30/BG 1 1 Rp 109,750.00
57 SOF-LEX XTHIN MEDIUM DISC 30/BAG 1 1 Rp 133,000.00
58 SOFT-LEX FINISHING STRIPS 1 1 Rp 499,400.00
59 SPRAY PELUMAS HANDPIECE 6 6 Rp 1,020,000.00
60 UNIV REST SYR 4G LA / APAC 3 3 Rp 398,200.00
61 W & H LOW SPEED ALEGRA RM 4 HOLE 1 1 Rp 9,174,000.00
62 XYLESTESIN 1 1 Rp 835,000.00
REAGENSIA UJI
1 AIM ALBUMINE 400 ML 1 1 Rp 640,000.00
2 AIM ALT (SGPT) 480 ML 2 2 Rp 3,102,000.00
3 AIM AST (SGOT) 480 ML 2 2 Rp 3,102,000.00
4 AIM BILLIRUBIN DIRECT 200 ML 2 2 Rp 490,909.09
5 AIM CHOLESTEROL 400 ML 1 1 Rp 2,427,700.00
6 AIM CREATININ 200 ML 6 6 Rp 809,600.00
7 AIM GLUCOSE OXIDASE 400 ML 2 2 Rp 876,700.00
8 AIM TRIGLYSERIDA 400 ML 2 2 Rp 1,227,000.00
9 AIM URIC ACID 480 ML 3 3 Rp 3,102,000.00
10 ALBUMIN 400 ML 1 1 Rp 935,000.00
11 BCC 3600 DILUENT 18 18 Rp 2,145,000.00
12 BCC 3600 SERIES LYSE 500 ML 13 13 Rp 3,355,550.00
13 BCC 3600 PROBE CLEANER 500 ML 7 7 Rp 2,750,000.00
14 BCC 3600 SERIES 4 4 Rp 3,355,550.00
15 BILLIRUBIN TOTAL 200 ML 1 1 Rp 1,177,000.00
16 BLOOD GAS CAL PACK 3 3 Rp 4,083,750.00
17 BUFFER SOLUTION PH 7,2 2 2 Rp 62,700.00
18 CBC ST PLUS NORMAL DIATONE 2,5 ML 12 12 Rp 1,138,500.00
19 CHOLESTEROL 100 ML 2 2 Rp 1,089,000.00
20 COMBISCREEN 11 PLUS 16 16 Rp 259,850.00
21 CREATINIE FS 4 X 20 ML 1 X 20 ML 1 X 3 ML 11 11 Rp 1,265,000.00
22 CS ALKALINE DETERGENT 2 L 3 3 Rp 1,904,000.00
23 CS ALKALINE DETERGENT 2 L 6 6 Rp 2,094,400.00
24 DE-PROTEINIZER 1 1 Rp 831,875.00
25 DE-PROTEINIZER WITH DILUENT 6 6 Rp 770,000.00
11
26 DIRUI CLINICAL CHEMICAL QC SERUM LVL 1 11 Rp 1,966,250.00
10
27 DIRUI CLINICAL CHEMICAL CALIBRATION SERUM LV 1 10 Rp 1,375,000.00
28 DIRUI ALBUMIN 7 7 Rp 609,840.00
29 DIRUI GOT ( AST ) 10 10 Rp 1,067,000.00
30 DIRUI GPT ( ALT ) 9 9 Rp 1,067,000.00
31 DIRUI BILLIRUBIN DIRECT 2 X 80 ML 5 5 Rp 1,084,160.00
DIRUI CS ANTIBACTERIAL PHOS FREE DETERGEN 500 8
32 ML 8 Rp 2,094,400.00
33 DIRUI TOTAL BILLIRUBIN 2 X 80 ML 5 5 Rp 1,084,160.00
34 DIRUI UREA NITROGEN 2 X 60 ML 12 12 Rp 1,663,750.00
35 DIRUI CREATINE 4 X 20 ML 7 7 Rp 4,620,000.00
36 DIRUI GAMMA GT 2 X 60 ML 1 1 Rp 1,320,000.00
37 DIRUI GLUKOSA HEXOKINASE 14 14 Rp 948,640.00
38 DIRUI HDL CHOLESTEROL 2 X 60 ML 3 3 Rp 2,090,000.00
39 DIRUI LDL CHOLESTEROL 2 X 60 ML 3 3 Rp 10,010,000.00
40 DIRUI QUALITY CONTROL LIPID SERUM 2 2 Rp 2,497,000.00
41 DIRUI TOTAL CHOLESTEROL 13 13 Rp 1,897,280.00
42 DIRUI TOTAL PROTEIN 6 6 Rp 616,000.00
43 DIRUI TRIGLYCERIDES 13 13 Rp 2,168,320.00
44 DIRUI URID ACID 2 X 60 ML 12 12 Rp 1,355,200.00
45 EASY TOUCH HB STRIP 15 15 Rp 192,500.00
46 ELECTRODE CONDETIONER 7 7 Rp 550,000.00
47 ELECTRODE CONDETIONER 1 1 Rp 680,625.00
48 FORTRESS GOLONGAN DARAH A 1 1 Rp 115,500.00
49 FORTRESS GOLONGAN DARAH B 1 1 Rp 115,500.00
50 FORTRESS GOLONGAN DARAH AB 1 1 Rp 121,000.00
51 FORTRESS GOLONGAN DARAH D 1 1 Rp 137,500.00
52 FORTRESS WIDAL AH 3 3 Rp 113,437.50
53 FORTRESS WIDAL AO 3 3 Rp 113,437.50
54 FORTRESS WIDAL BH 3 3 Rp 113,437.50
55 FORTRESS WIDAL BO 3 3 Rp 113,437.50
56 FORTRESS WIDAL CH 3 3 Rp 113,437.50
57 FORTRESS WIDAL CD 3 3 Rp 113,437.50
58 FORTRESS WIDAL H 3 3 Rp 113,437.50
59 FORTRESS WIDAL O 3 3 Rp 113,437.50
60 GIEMSA STAIN 3 X 250 ML 2 2 Rp 1,320,000.00
61 GLUCOSE OXIDASE 400 ML 2 2 Rp 1,177,000.00
62 Hbsag RAPID TEST 75 75 Rp 8,750.00
63 Hbsag RAPID TEST 125 125 Rp 8,750.00
64 Hbsag RAPID TEST STAR D PLUS 575 575 Rp 11,880.00
65 HCG URINE (TEST KEHAMILAN) RAPID TEST 1,446 1,446 Rp 2,375.00
66 HIV 1/2 ANTIBODY STRIP STAR D PLUS 125 125 Rp 24,640.00
67 HIV CARD 40'S INTEC 160 160 Rp 44,000.00
68 HIV CARD 40'S INTEC 160 160 Rp 48,400.00
69 ICE PACK RENDAM UK. KECIL 1,000 1,000 Rp 4,950.00
70 LINEARITY CONTROL MATERIAL 9 9 Rp 690,000.00
71 LINEARITY CONTROL MATERIAL HIGH LEVEL 3 3 Rp 798,600.00
72 LINEARITY CONTROL MATERIAL MIDDLE L2 1 1 Rp 756,250.00
73 LINEARITY CONTROL MATERIAL LOW LEVEL 1 1 Rp 759,000.00
74 MULTI DRUG 5 PANEL 200 200 Rp 61,600.00
75 MULTI DRUG 5 PANEL ANSWER 400 400 Rp 75,625.00
76 MULTI ENZYME DE-PROTEINIZER 4 4 Rp 700,000.00
77 NA CITRAT 3,8 % 100 ML 5 5 Rp 44,000.00
78 PCO2 BUFFER ( 2 ML X 3 ) 3 6 9 Rp 4,125,000.00
79 PCO2 ELECTRODE FOR B6 800 1 1 Rp 19,860,500.00
80 PO2 BUFFER ( 1,8 ML X 3 ) 3 3 Rp 4,125,000.00
81 PIPET WESTERGEN / LED 5 5 Rp 66,000.00
82 PROTEIN TOTAL 400 ML 1 1 Rp 935,000.00
83 RAPID TEST MALARIA DEVICE 80 80 Rp 30,250.00
340 340 Rp 60,000.00

84 RAPID TEST SARS COVID-19 IGg/Igm ANTIBODY YHLO
800 800 Rp 99,000.00

85 RAPID TEST SARS COVID-19 IGg/Igm ANTIGEN YHLO
440 440 Rp 38,500.00

86 RAPID TEST SARS COVID-19 IGg/Igm ANTIGEN YHLO
120 120 Rp 45,650.00

87 RAPID TEST G-LINE COVID-19 IGg/Igm ANTIGEN YHLO
RAPID TEST COVID-19 IGg/Igm ANTIGEN TEST DEVICE 840 840 Rp 60,500.00
88 ANSWER
89 REAGEN PACK ELECTROLIT 4 4 Rp 3,050,000.00
90 REAGEN PACK ELECTROLIT 13 13 Rp 3,355,000.00
91 REFIL SOLUTION FOR ELECTRODE 6 6 Rp 1,290,000.00
92 REFIL SOLUTION FOR ELECTRODE 3 3 Rp 1,414,270.00
93 REFIL SOLUTION FOR ISE ELECTRODE 10 3 13 Rp 759,000.00
94 REFIL SOLUTION FOR ISE ELECTRODE 3 3 Rp 690,000.00
95 SAMPEL CUP 2 ML 12 12 Rp 795,000.00

96 SYPHILIS TEST 125 125 Rp 12,100.00
97 SYPHILIS MULTI DEVICE 100'S 500 500 Rp 35,200.00
98 TRYGLICERIDE 100 ML 1 1 Rp 1,804,000.00
99 URID ACID 120 ML 2 2 Rp 1,529,000.00
VIRUS RNA COLLECTION KIT (VIRUS TRANSPORT 200
100 MEDIA)( Dana BTT ) 200 Rp 99,000.00
101 WATER ONE 1L 32 32 Rp 18,876.00
VAKSIN DAN SERUM
1 BioSave Serum Anti Bisa Ular A.B.U. Inj 9 9 Rp 825,000.00
2 BioSave Serum Anti Bisa Ular A.B.U. Inj 10 10 Rp 948,750.00
58
3 Biosat 1,5 Serum Anti tetanus (ATS) inj 1500 IU/Ml 58 Rp 130,999.00
30
4 Biosat 1,5 Serum Anti tetanus (ATS) inj 1500 IU/Ml 30 Rp 170,500.00
5 HBV 1.0 ML (HB DEWASA) 332 332 Rp 78,408.00
6 HBV 1.0 ML (HB DEWASA) 50 50 Rp 39,204.00
7 HYPERHEP 0,5 ML ( HBIG ) 10 10 Rp 1,375,000.00
8 TETAGAM P.HUMAN TETANUS 42 42 Rp 176,800.00
ALAT LABORATORIUM
1 ACCU CHECK PERFORMA 100'S 46 46 Rp 400,000.00
2 ACCU CHECK PERFORMA 50'S 7 7 Rp 220,000.00
3 BENECHECK 1 1 Rp 370,000.00
4 BLOOD LANCET 500 500 Rp 175.00
5 BLOOD LANCET 3,000 3,000 Rp 115.00
6 KARTU GOLONGAN DARAH 2,000 2,000 Rp 1,000.00
7 OBJECT GLASS/MIKROSCOPE SLIDE 1,080 1,080 Rp 333.33
8 POT URIN/DAHAK (SPUTUM POT) 4,500 4,500 Rp 3,410.00
9 POT URINE CONTAINER 60 ML STERIL 2,500 2,500 Rp 2,393.74
10 POT SPUTUM / SPUTUM POT OM 2,500 2,500 Rp 2,750.00
11 TABUNG EDTA 0,5 ML MERAH 100 100 Rp 1,501.50
12 TABUNG EDTA 0,5 ML MERAH 5,000 5,000 Rp 1,925.00
13 TABUNG EDTA 0,5 ML UNGU 4,500 4,500 Rp 1,925.00
14 TIP FOR MICROPIPET ( TIP PUTIH )1000 µl 37 37 Rp 241,100.00
15 TIP FOR MICROPIPET ( TIP PUTIH )200 µL 34 34 Rp 189,700.00
LINEN & BINATU

1 M SOFT PINK 3 3 Rp 764,500.00
2 MC BLEACH L 2 2 Rp 1,375,000.00
3 LAUDET L 3 3 Rp 1,098,350.00
4 JAS OPERASI STANDARD 30 30 Rp 715,000.00
5 DUK 150 CM X 250 CM 20 20 Rp 550,000.00
ALAT RADIOLOGI
4
1 FILM RONTGEN CARESTREAM 20 X 25 CM ( 8x10 in ) 4 Rp 1,419,000.00
5
2 FILM RONTGEN CARESTREAM 20 X 25 CM ( 8x10 in ) 5 Rp 1,520,557.50
5
3 FILM RONTGEN CARESTREAM 28 X 35 CM ( 11 x 14 in ) 5 Rp 2,750,000.00
5
5
5
2
8 FILM CONICA UKURAN 10X12 1 1 Rp 5,500,000.00

1 ADHESIVE TAPES (STEAM) 192 192 Rp 64,647.55
2 ALAT SUNTIK SEKALI PAKAI 1 ML STERA 13,600 13,600 Rp 812.50
3 ALAT SUNTIK SEKALI PAKAI 10 ML STERA 15,700 15,700 Rp 1,156.25
4 ALAT SUNTIK SEKALI PAKAI 20 ML 1,050 1,050 Rp 2,403.42
5 ALAT SUNTIK SEKALI PAKAI 20 ML STERA 500 500 Rp 1,875.50
6 ALAT SUNTIK SEKALI PAKAI 3 ML NIPRO 9,400 9,400 Rp 1,033.56

8 ALAT SUNTIK SEKALI PAKAI 5 ML NIPRO 8,300 8,300 Rp 1,277.60
10 ALAT SUNTIK SEKALI PAKAI 50 ML 510 510 Rp 7,398.45
ALAT SUNTIK SEKALI PAKAI 50 ML FOR NEEDLE 1,700
11 ( LUBANG TEPI ) 1,700 Rp 4,250.00
ALAT SUNTIK SEKALI PAKAI 50 ML CATETER TIP 150
12 ( LUBANG TENGAH ) 150 Rp 9,487.50
13 ALBAPURE 20% 30 30 Rp 880,000.00
14 ALBAPURE 20% 35 35 Rp 905,000.00
15 ALKOHOL 70 % 1 L 5 5 Rp 44,000.00
16 ALKOHOL 70 % 1 L 130 130 Rp 49,500.00
17 ALKOHOL 70 % 1 L 200 200 Rp 49,500.00
18 ALKOHOL 70 % 20 L 20 20 Rp 825,000.00
19 ALKOHOL 96% SOLVEN 20 L 1 1 Rp 990,000.00
20 ALKOHOL SWABS 97,600 97,600 Rp 150.00

21 AHLSTROM RELIANCE 100 X 100 CM 3 3 Rp 1,502,500.00
22 AHLSTROM RELIANCE 50 X 50 CM 1 1 Rp 800,000.00
23 APRON PLASTIK 17 17 Rp 4,700.00
24 APRON PLASTIK (plastik penutup baju operasi) 2,460 2,460 Rp 4,000.01
25 APRON PLASTIK 50'S 500 1,000 1,500 Rp 3,281.25
26 ARM SLING L 13 13 Rp 19,800.00

27 ARM SLING L 10 10 Rp 23,125.00
28 ARM SLING M 15 15 Rp 19,800.00
29 ARM SLING M 10 10 Rp 23,125.00
30 ARM SLING UK S 13 13 Rp 19,800.00
31 ARM SLING UK S 10 10 Rp 23,125.00
32 BAJU APD 40 40 Rp 250,000.00
33 BONEWAX NRC ( KNOCHENWACHS ) 32 32 Rp 55,335.00
34 BREATING SYSTEM INFANT T 18 18 Rp 61,289.18
35 CATETER INFUS NO 16 600 600 Rp 10,000.00

36 CATETER INFUS NO. 16 TROGE SINE 100 100 Rp 14,630.00
37 CATETER INFUS NO. 16 TROGE PLUS 200 200 Rp 16,940.00
38 CATETER INFUS NO. 18 NIPRO 200 200 Rp 9,158.49
39 CATETER INFUS NO. 18 STERA 100 100 Rp 4,750.00
40 CATETER INFUS NO. 18 TRO-VENOCATH 200 200 Rp 14,624.06
41 CATETER INFUS NO. 18 TRO-VENOCATH 600 600 Rp 14,984.64
42 CATETER INFUS NO. 20 NIPRO 500 500 Rp 9,158.49

43 CATETER INFUS NO. 22 NIPRO 1,000 1,000 Rp 9,158.49
44 CATETER INFUS NO. 22 STERA 100 100 Rp 4,750.00
45 CATETER INFUS NO. 24 NIPRO 2,200 2,200 Rp 9,158.49
46 CATETER INFUS NO. 26 TROVENSITE 400 400 Rp 21,483.75
47 CATETER INFUS NO. 26 TROGE PLUS 200 200 Rp 12,870.00
CATETER INFUS THREE WAY DENGAN EXTENSION 17

48 TUBE 17 Rp 12,853.50
49 CATETER INFUS THREE WAY STOP COCK 450 450 Rp 2,681.25
CATETER INFUS THREE WAY STOP COCK ( TRO 500

50 VENOFLOW ) 500 Rp 13,089.95
CATETER INFUS THREE WAY STOP COCK WITH TUBE 350
51 1O CM 350 Rp 4,062.50
CATETER INFUS THREE WAY STOP COCK WITH 400
52 EXTENTION TUBE 1O CM ( TRO VENOFLOW ) 400 Rp 31,525.83
1,450
53 CATETER INFUS with wing and injection port NO. 20 1,450 Rp 14,355.00
5,950
1,400
120
56 CATGUT CHROMIC 1 ( 2447H ) 120 Rp 50,511.00
57 CATGUT CHROMIC 2-0 180 180 Rp 52,848.95

58 CATGUT PLAIN 2/0 HR 26 75 CM 36 36 Rp 28,033.94
70
59 COVERALL MICROPOROUS NON SEAL UKURAN XL 70 Rp 121,000.00
60 COVERALL SPUNBOUND 100 100 Rp 55,000.00
61 CUTICELL CLASSIC 10 CM X 10 CM 200 200 Rp 5,520.00
64 DAFILON 4/0 BBRAUN DS 19 75 CM CUTTING 28 28 Rp 20,136.88
65 DAFILON 4/0 BBRAUN DS 19 90 CM CUTTING 33 33 Rp 29,501.83
66 DISPOSIBLE NEEDLE No. 21 3,800 3,800 Rp 780.00
67 DISPOSIBLE NEEDLE No. 21 OM 500 500 Rp 330.00
68 DISPOSIBLE NEEDLE No. 23 OM 500 500 Rp 330.00
69 DISPOSIBLE SAFETY BOX 200 200 Rp 19,644.08
70 DISPOSIBLE SAFETY BOX 5L KUNING 500 500 Rp 18,124.70
71 DISPOSIBLE SAFETY BOX 5L BAYMED 570 570 Rp 27,500.00
72 ELECTRODE ONEDOT DEWASA 1,000 1,000 Rp 2,500.01
73 ELECTRODE ONEDOT DEWASA 650 650 Rp 1,375.00
74 ELECTRODE ONEDOT ANAK 200 200 Rp 2,500.01
75 ELECTRODE ONEDOT BAYI 250 250 Rp 2,500.00
76 ELLASTOMUL HAFT 10 CM X 4 CM 9 9 Rp 46,134.00
77 ETT 5.5 TANPA CUP / BALON 10 10 Rp 49,947.27

86 ETT NO. 2,5 TANPA CUP/BALON 4 4 Rp 49,947.27
87 ETT NO. 3 with cuff 45 45 Rp 29,766.00
88 ETT NO. 3,5with cuff 46 46 Rp 29,766.00

90 ETT NO. 4with cuff 50 50 Rp 29,766.00

97 EXTENSION TUBE 100 CM 0,79 ML 300 300 Rp 7,914.50

98 EXTENSION TUBE 100 CM OM 200 500 700 Rp 6,875.00
99 EYE PROTECTOR 394 394 Rp 46,249.99
100 FACE SHILED 100 100 Rp 9,570.00
101 FEEDING TUBE NO. 16 78 78 Rp 13,000.00
102 FEEDING TUBE NO.18 (NGT) 111 111 Rp 32,400.00
103 FEEDING TUBE NO.18 (STARDEC) 100 100 Rp 13,000.00
100 100 Rp 23,325.01

104 FEEDING TUBE NO.18 ( STOMACH TUBE ) TERUMO
105 FEEDING TUBE NO.10 ( 100 CM ) 30 30 Rp 9,471.00
107 FEEDING TUBE NO.12 ( STOMACH TUBE ) 30 30 Rp 9,065.10

FEEDING TUBE NO.14 ( STOMACH TUBE ) STERIL 30
108 MEDICAL 30 Rp 9,680.00
109 FEEDING TUBE NO.14 47 47 Rp 9,065.10
110 FEEDING TUBE NO.3,5 191 191 Rp 32,400.00
111 FEEDING TUBE NO.5 106 106 Rp 32,400.00

113 FEEDING TUBE NO.8 ( 40 CM ) TERUMO 30 30 Rp 26,250.00
114 FEMALE CHATETER NO. 12 60 60 Rp 7,035.60
115 FEMALE CHATETER NO. 14 60 60 Rp 7,035.60
116 FILAPEAU 3/0 144 144 Rp 39,600.00
117 FILAPEAU 4/0 180 180 Rp 38,500.00
40
118 FOLLEY CHATETER 2 WAY LATEX FOLEY CATH NO. 12 40 Rp 9,065.10
100
30
100
122 FOLLEY CHATETER 2 WAY NO.10 240 240 Rp 14,224.95
40
124 FOLLEY CHATETER 3 WAY CH 24 ( NORTA ) 40 Rp 44,300.00
40
125 FOLLEY CHATETER 3 WAY CH 22 ( NORTA ) 40 Rp 44,300.00
126 FOLLEY CHATETER 2 WAY NO. 16 940 940 Rp 14,224.95
127 FOLLEY CHATETER 2 WAY NO. 16 OM 200 200 Rp 10,199.20
128 FOLLEY CHATETER NO 10 90 90 Rp 10,000.00
129 FOLLEY CHATETER NO. 18 2 WAY AXIMED 100 100 Rp 14,224.95
133 GELANG BAYI BIRU 700 700 Rp 1,440.00
134 GELANG BAYI MERAH 600 600 Rp 1,440.00
135 GYPSONA 3 " ( 3,5 M X 7,5 CM ) 36 36 Rp 27,103.40
136 GYPSONA 4 " ( 3,5 M X 10 CM ) 28 28 Rp 41,245.60
137 GYPSONA 4 " ( 3,5 M X 10 CM ) 32 32 Rp 28,000.00
138 GYPSONA 6 " ( 3,5 M X 15 CM ) 54 54 Rp 54,085.90
139 HANDSCOON NON STERIL UKURAN L SAFEGLOVE 10,000 10,000 Rp 850.00
HANDSCOON NON STERIL UKURAN L SAERENITY L 20,000 Rp 1,750.00

140 TENDER 20,000
5,000 Rp 850.00
141 HANDSCOON NON STERIL UKURAN M SAFEGLOVE 5,000
HANDSCOON NON STERIL UKURAN M SAFEGLOVE 63,000 Rp 1,800.00
142 EXAM 63,000
HANDSCOON NON STERIL UKURAN M SHAMROCK 10,000 Rp 2,277.00
143 LATEX GLOVE M 10,000
144 HANDSCOON NON STERIL UKURAN M EXAM 12,000 12,000 Rp 1,848.00
145 HANDSCOON NON STERIL UKURAN S 8,000 8,000 Rp 1,593.90
146 HANDSCOON NON STERIL UKURAN S 51,000 51,000 Rp 1,760.00
5,000 Rp 1,060.00
147 HANDSCOON NON STERIL UKURAN S ELVA 5,000
9,000 Rp 1,060.00
148 HANDSCOON NON STERIL UKURAN XS ELVA 9,000
HANDSCOON PANJANG OBGYN TROGYNOSURGE 100 Rp 40,733.00
149 SMALL 100
150 MEDIUM 300
151 LARGE 525
152 HANDSCOON STERIL UKURAN 6 1,350 1,350 Rp 8,449.35
200 200 Rp 13,500.44

153 HANDSCOON STERIL UKURAN 6 ( Tro-sensosurge )
1,000 1,000 Rp 13,500.44

154 HANDSCOON STERIL UKURAN 6 ( Tro-sensosurge )
5,350 5,350 Rp 14,624.06

155 HANDSCOON STERIL UKURAN 6,5 ( Tro-sensosurge )
250 Rp 9,075.00
156 HANDSCOON STERIL UKURAN 7 (SHAMROCK) 250
157 HANDSCOON STERIL UKURAN 7 1,000 1,000 Rp 7,831.87
2,200 Rp 14,624.06
158 HANDSCOON STERIL UKURAN 7 ( Tro-sensosurge ) 2,200
300 Rp 9,075.00
159 HANDSCOON STERIL UKURAN 7,5 (SHAMROCK) 300
160 HANDSCOON STERIL UKURAN 7,5 700 700 Rp 7,831.87
2,500 Rp 13,500.44
161 HANDSCOON STERIL UKURAN 7,5 ( Tro-sensosurge ) 2,500
600 Rp 6,595.00
162 HANDSCOON STERIL UKURAN 8 ( Tro-sensosurge ) 600
300 Rp 6,595.00
163 HANDSCOON STERIL UKURAN 8 ( Tro-sensosurge ) 300
164 INDICATOR STRIPS (STEAM) 1 1 Rp 469,999.75
165 INFUSION SET ANAK ( MIKRO ) STERA 1,050 1,050 Rp 4,159.99
166 INFUSION SET DEWASA ( MACRO ) STERA 2,500 2,500 Rp 4,160.00
167 INFUSION SET Y DEWASA ( MACRO ) 350 350 Rp 20,250.00

168 INFUSION SET Y ANAK ( MICRO ) OM 500 500 Rp 7,748.00
169 INJECTION PLUG 100'S ONEMAD 900 900 Rp 1,415.70
170 JARUM KULIT NO.14 40 40 Rp 18,000.00
171 JARUM SPINAL NO.25 ( 25 G X 90 MM ) 200 200 Rp 36,187.50
JARUM SPINAL NO.25 ( SPINOCAN G 25 X 31 / 2 " ) 47 Rp 48,025.00

172 120MM 47
173 JARUM SPINAL NO.27 76 76 Rp 60,000.00
174 JARUM SPINAL NO.27 ( SPINOCAN G27 ) BBRAUN 150 150 Rp 57,450.01
175 KANTONG JENAZAH 20 20 Rp 352,000.00
176 KAPAS 500 GR ONEMED 130 130 Rp 34,100.00
660
177 KASA HIDROFIL NON STERIL UK. 2 M x 80 cm 660 Rp 9,625.00
400
178 KASA HIDROFIL NON STERIL UK. 4 M x 15 cm 400 Rp 2,625.00
700
179 KASA HIDROFIL NON STERIL UK. 4 Y x 10 cm 700 Rp 1,875.00
180 KASA HIDROFIL STERIL UK. 10 CM x 10 CM 450 450 Rp 6,472.50
181 KASA HIDROFIL STERIL UK. 7,5 CM x 7,5CM 400 400 Rp 14,125.00
182 KASA 40YX80CM XRAY PRO-KASA 75 75 Rp 232,545.45
183 KASA 40YX80CM XRAY PRO-KASA 185 185 Rp 423,500.00
184 KERTAS CTG 150 MM / CTG PAPER 20 20 Rp 181,951.00
185 KERTAS ECG-300 GT TFT ( ELITECH ) 112 112 Rp 138,956.40

186 KERTAS LAKMUS MERAH 15 15 Rp 132,000.00
187 KERTAS USG SONY UPP110-HG 3 3 Rp 275,000.00
188 KERTAS USG SONY UPP110-HG 70 70 Rp 276,265.00
189 KERTAS USG ENDO 112 X 160 BIOCARE 40 40 Rp 154,000.00
190 KONDOM KATETER UK. S 10 10 Rp 7,250.00
191 KONDOM KATETER UK. M 10 10 Rp 7,250.00
192 KONDOM KATETER UK. L 10 10 Rp 7,250.00
193 KONDOM SUTRA 792 792 Rp 2,312.50
194 LARINGEAL MASK SIZE 1 10 10 Rp 129,090.90
195 LARINGEAL MASK SIZE 1,5 10 10 Rp 129,090.90
197 LARINGEAL MASK SIZE 2,5 10 10 Rp 129,090.90
201 LEUKOMED - IV FILM 6 X 8 CM 950 950 Rp 2,760.00
202 LEUKOMED T PLUS 450 450 Rp 32,032.00
203 LEUKOPLAST 50 50 Rp 37,371.00
204 LYOSTYPT 15 15 Rp 86,940.00
205 LEUKOPOR 9 9 Rp 14,850.00

206 MASKER 3M N95 200 200 Rp 50,600.00
207 MASKER 3M N95 1,500 1,500 Rp 27,500.00
208 MASKER HIJAB SINAR OGAN 20,000 20,000 Rp 1,386.00
209 MASKER HIJAB MULTI ONE PLUS 3,450 3,450 Rp 2,090.00
50,000 Rp 1,254.00
210 MASKER DISPOSIBLE KARET (EARLOOP) SINAR OGAN 50,000
211 MASKER DISPOSIBLE KARET GOLDEN CARE 5,000 5,000 Rp 825.00
212 MASKER KN95 ALKINDO 2,800 2,800 Rp 5,500.00

213 MASKER KN95 SHUMU 4,500 4,500 Rp 6,050.00
MASKER NEBULIZER AEROSOL WITH MASK & TUBING 500

214 PEDIATRIC 500 Rp 12,405.00
MASKER NEBULIZER AEROSOL WITH MASK AND 200 Rp 10,351.37
215 TUBING SET DEWASA (REMEDI) 200
216 MASKER NEBULIZER SET DEWASA 225 225 Rp 58,438.63
217 MASKER OKSIGEN DEWASA ( MAXIFLOW ) 550 550 Rp 16,940.00

218 MASKER OKSIGEN BAYI ( MAXIFLOW ) 300 300 Rp 16,875.01
219 MASKER OXYGEN ANAK 200 200 Rp 18,000.00
220 MASKER OXYGEN ANAK (OM)HI-OXY MASK 500 500 Rp 30,800.00
221 MASKER OXYGEN DEWASA HI OXY MASK 375 375 Rp 18,000.00
222 MASKER VISOR 38 38 Rp 9,700.00
223 MAYO BAHAN KARET UKURAN 0 21 21 Rp 28,000.00
224 MAYO / GUEDEL AIRWAY 0 7 7 Rp 15,717.63
226 MAYO / GUEDEL AIRWAY 00 6 6 Rp 15,717.63

231 MAYO / GUEDEL AIRWAY 110 MM 30 30 Rp 15,717.63
239 MONOSYN 1 BBRAUN HR 40 CM 36 36 Rp 101,250.00
240 MUCUS EXTRACTOR NO.8 240 240 Rp 10,800.00
241 NASAL CANULE OXYGEN ANAK ( M ) 98 98 Rp 8,118.00
NASAL CANULE OXYGEN ANAK ( M ) / OXYFLOW SOFT 100
242 ANAK OM 100 Rp 6,875.00
243 NASAL CANULE OXYGEN BAYI ( S ) 140 140 Rp 8,118.00
NASAL CANULE OXYGEN DEWASA ( L ) / OXYFLOW 850
244 SOFT DEWASA OM 850 Rp 6,875.00
50
245 NASAL CANULE OXYGEN NEONATUS ( XS ) 50 Rp 8,760.00
NON REBREATING O2 MASK ADULT REMEDI ( DEWASA 90
246 ) 90 Rp 18,840.00
NON REBREATING O2 MASK PEDIATRIC REMEDI 90
247 ( ANAK ) 90 Rp 18,840.00
248 NOVOSYN 3/0 228 228 Rp 101,129.27
249 NOVOTWIST 2,600 2,600 Rp 2,083.00
250 OPTILEN 2XDRC 10 60 CM 34 34 Rp 123,952.50
251 OPTIME 1 180 180 Rp 62,700.00
252 OPTIME 2/0 180 180 Rp 60,500.00
253 OPTIME 3/0 180 180 Rp 60,500.00
254 NURSE CUP 7,000 7,000 Rp 990.00
255 NURSE CUP ( BOUFANT CAP EVO GREEN ) 718 718 Rp 1,000.00
256 NURSE CUP GREEN OM 14,000 14,000 Rp 418.75
PARALEL CIRCUIT 1,6M 22MM WITH Y-PIECE TANPA 18
257 BALON 18 Rp 113,250.00
PARALEL CIRCUIT 1,6M 22MM WITH Y-PIECE DENGAN 18 18 Rp 146,994.55
258 BALON
PEDIATRIK FLEXI LOCK PARALEL CIRCUIT DENGAN 18 18 Rp 276,917.27
259 BALON 0,5 TO 1,6
PEDIATRIK FLEXI LOCK PARALEL CIRCUIT TANPA BALON 20 20 Rp 186,076.36
260 0,5 TO 1,6
261 PENYANGGA LEHER CERVICAL COLLAR OM 20 20 Rp 145,200.00
PENYANGGA LEHER ANTIMOVE CERVICAL COLLAR 3 3 Rp 131,729.95

262 MEDIUM DENSITY - L
263 MEDIUM DENSITY - M
264 MEDIUM DENSITY - S
265 PERBAN ELASTIC UK 15X 4,5 CM 20 20 Rp 27,900.00
266 PERKAMEN PAPER PRINT / KERTAS PUYER 1 1 Rp 2,200,000.00
267 PERICAN 18G X 3 1/4 " ( 1,3 X 80 MM ) 20 20 Rp 154,000.00
268 PERIFIX 400 15 15 Rp 333,542.00
269 PHARMAFIX 15 CM X 500 CM 5 5 Rp 46,999.70
276 PISAU BEDAH BISTURI 11 UJUNG TAJAM 395 395 Rp 4,200.00
277 PISAU BEDAH BISTURI 11 OM 500 500 Rp 942.00
278 PISAU BEDAH BISTURI 12 UJUNG TAJAM 400 400 Rp 4,200.00
279 PISAU BEDAH BISTURI 21 UJUNG TUMPUL 200 200 Rp 4,200.00
283 PLESTER HYPAFIX 48 48 Rp 61,043.84
284 PLESTERIN BULAT NON WOVWN E-CAT 46,000 46,000 Rp 192.50
285 POSTOFIX-PU FRM 10X25CM 330 330 Rp 41,007.24
286 POUCHESS 15CM / 200M 2 2 Rp 1,490,500.00

287 POUCHESS 15CM X 5 CM / 100 M 2 2 Rp 811,927.60
288 POUCHESS 7,5CM / 200M 2 2 Rp 830,500.00
289 POUCHESS 7,5CM X 2,5 CM 2 2 Rp 781,001.63
290 POUCHESS FLAT 25CM / 200M 2 2 Rp 1,911,931.00
291 POUCHESS FLAT 25x6,5 CM / 100M 2 2 Rp 1,185,558.00
292 POUCHESS FLAT 5CM / 200M 2 2 Rp 469,842.00
293 PREMILENE 3/0 72 72 Rp 52,000.30
294 PREMILENE 3/0 CUTTING 108 108 Rp 116,886.00
295 PREMILENE 5/0 16 16 Rp 70,027.10
296 PREMILENE 5/0 DS16 72 72 Rp 35,203.31
297 PREMILENE MESH 25 25 Rp 218,562.30
298 QUICKY SUCTION 500 CC 4 4 Rp 125,000.00
299 SAFIL 1 HR 40 S 90 CM 274 274 Rp 87,750.30
300 SAFIL 1 HR 40 S 90 CM -NRS 680 680 Rp 74,355.60
301 SAFIL 2/0 HR 37 S 90 CM 324 324 Rp 124,300.00
302 SAFIL 2/0 HR 37 S 90 CM 252 252 Rp 90,388.10
303 SAFIL 2 HR 48 90 CM 24 24 Rp 85,000.30
304 SAFIL 3/0 HR 26 90 CM 198 198 Rp 104,099.60
305 SAFIL 3/0 DS 24 330 330 Rp 83,575.80
306 SAFIL 4/0 DS 19 45 CM CUTTING 27 27 Rp 85,785.00
307 SAFIL 4/0 HR 22 70 CM TAPER 29 29 Rp 89,222.22
308 SHOE COVER ONEMED 2,500 2,500 Rp 2,090.00
309 SILK 0 30 MM 3/8 CUTTING 36 36 Rp 27,500.00
310 SLIK 2/0 CUTTING 396 396 Rp 35,750.00
311 SLIK 2/0 TAPER 252 252 Rp 35,750.00
312 SLIK 3/0 CUTING 360 360 Rp 37,400.00
313 SLIK 3/0 TAPER 288 288 Rp 37,400.00
314 SILKAM BLACK 3/0 DS 24 11 11 Rp 42,745.68
315 SILKAM 3/0 DS 24 75 CM 313 313 Rp 25,600.30
316 SOFFBAN 10 CM X 2,7 M 16 16 Rp 28,522.20
317 SOFFBAN 15 CM X 2,7 M 21 21 Rp 39,889.00
318 SOFFBAN 7,5 CM X 2,7 M 8 8 Rp 22,838.80
319 SPLAK FIRST AID 80 80 Rp 77,000.00
320 SPLAK FIRST AID 39 39 Rp 65,000.00
321 SPUIT AGD 3 CC 100 100 Rp 31,350.00
322 STERA SHARP KONTAINER 1 LT OM 15 15 Rp 19,800.00

323 STERIL POUNCH WITH INDIKATOR ROLL 2 2 Rp 1,021,521.37
324 STIMUPLEX 15 15 Rp 193,200.70
325 STYLETS BESAR 12 12 Rp 120,000.00

326 STYLETS KECIL 3 3 Rp 120,000.00
327 STYLETS SEDANG 12 12 Rp 120,000.00
328 STYLETS UK 2.2 BAYI (KECIL) 10 10 Rp 71,500.00
329 STYLETS UK 3.3 ANAK (SEDANG) 10 10 Rp 71,500.00
330 STYLETS INTUBATION 2,5 - 4,5 MM (KECIL) 50 50 Rp 60,425.00
331 STYLETS INTUBATION 5,0 - 8,0 MM (SEDANG) 50 50 Rp 60,425.00
332 STYLETS INTUBATION 8,5 - 10,0 MM (BESAR) 50 50 Rp 60,425.00
333 SUCTION CATETER + FINGER UK.12 OM 99 99 Rp 5,214.00
336 SUCTION CATETER + FINGER UK.18 OM 100 20 120 Rp 5,431.25
339 SUCTION CATHETER + FINGER UK.10 OM 340 340 Rp 5,431.25

342 SUCTION TUBE 3,6 + YANKEUR TIP STERIL OM 240 240 Rp 32,025.00
343 SURGICAL GOWN UK REKAT 1,591 1,591 Rp 62,700.00
344 SURGICAL GOWN STERIL UK. L 300 300 Rp 48,750.01
345 TERMAL PAPER / KERTAS TERMAL 57 MM X 30 M 200 200 Rp 36,850.00
346 TEST TUBE 12X755 1,300 1,300 Rp 770.00
347 THERMOSHIELD HME FILTER 190 190 Rp 122,451.00
348 TONG SPATEL KAYU STERIL OM 2,500 2,500 Rp 1,000.00
48 Rp 98,000.00
349 T-MONO 3-0 CUTTING 76 CM 3/8 CIRCLE 24 MM 48
T-MONO 3-0 CUTTING 90 CM ROUND BODIED 1/2 12 Rp 90,300.00
350 CIRCLE 40 MM 12
351 TRACHEAL TUBE UNCUFFED 3.0 MM 50 50 Rp 16,925.00
355 TRANSFUSI SET 50 50 Rp 25,200.00

356 TRANSFUSI SET / BLOOD TRANSFUSI SET 500 500 Rp 15,950.00
357 TRANSFUSI SET / TRO DONORSET 200 200 Rp 20,130.04
59
358 T-SILK 0 76 CM REVERSE CUTTING 3/8 CIRCLE 29 MM 59 Rp 56,900.00
T-LENE POLYVINYLIDENE 5-0 90 CM ROUND 11
359 BODIED ,1/2 CIRCLE 26 MM 11 Rp 123,600.00
T-CATGUT CHROMIC 4-0 76 CM ROUND BODIED,1/2 48
360 CIRCLE 22 MM 48 Rp 60,500.00
T- CATGUT CHROMIC 3-0 76 CM CUTTING 3/8 48
361 CIRCLE,24 MM 48 Rp 53,000.00
T- CATGUT CHROMIC 1 100 CM BLUNT,1/2 CIRCLE , 59
362 64,6 MM 59 Rp 78,900.00
T- CATGUT CHROMIC 3-0 90 CM ROUND BODIED, 1/2 60
363 CIRCLE,26 MM 60 Rp 58,700.00
T- CATGUT CHROMIC 2-0 90 CM ROUND BODIED, 1/2 59
364 CIRCLE,40 MM 59 Rp 57,900.00
T-NYLON 5-0 90 CM RESERVE CUTTING,3/8 CIRCLE 12 47
365 MM 47 Rp 61,200.00
T-LENE ( DOUBLE NEEDLE )7-0 75 CM, 3/8 CIRCLE,10 11
366 MM 11 Rp 175,000.00
367 MM 48 Rp 44,000.00
368 MM 47 Rp 44,000.00
T-VIO POLYGLYCOLIDE 3-0 76 CM REVERSE CUTTING 58
369 3/8 CIRCLE,26 MM 58 Rp 65,600.00
36
370 T-SILK 3-0,76 CM ROUND BODIED, 1/2 CIRCLE,25 MM 36 Rp 42,900.00
T-SILK 3-0,76 CM RESERVE CUTTING , 3/8 CIRCLE,26 93
371 MM 93 Rp 41,400.00
35
372 T-SILK 2-0,76 CM ROUND BODIED, 1/2 CIRCLE,25 MM 35 Rp 42,400.00
T-SILK 4-0,76 CM RESERVE CUTTING , 3/8 CIRCLE, 19 47
373 MM 47 Rp 41,700.00
T-VIO POLYGLYCOLIDE 2-0 90 CM ROUND BODIED, 1/2 47
374 CIRCLE,35 MM 47 Rp 72,900.00
T-VIO POLYGLYCOLIDE 4-0 76 CM REVERSE CUTTING 48
375 3/8 CIRCLE,18 MM 48 Rp 64,300.00
T-VIO POLYGLYCOLIDE 3-0 76 CM ROUND BODIED, 1/2 35
376 CIRCLE,25 MM 35 Rp 70,400.00
T-VIO POLYGLYCOLIDE 1 90 CM HEAVY ROUND 59
377 BODIED 1/2 CIRCLE 40 MM 59 Rp 78,800.00
378 UMBILICAL CATETER NO.3,5 25 25 Rp 171,000.00
379 UMBILICAL CATETER NO.3,5 25 25 Rp 84,700.00
380 UMBILICAL CATETER NO.5 10 10 Rp 171,000.00
381 UMBILICAL CATETER NO.5 50 50 Rp 84,700.00
382 UMBILICAL CORD CLAIM 400 400 Rp 1,800.00
383 UMBILICAL CORD CLAIM 300 300 Rp 2,250.00
384 UNDER PAD 3,940 3,940 Rp 5,203.00

385 UNDER PAD 1,000 1,000 Rp 4,125.00
386 UNIFLEX 3" 31 31 Rp 20,300.01
387 UNIFLEX 4" 50 50 Rp 26,800.00
388 UNIFLEX 6" 50 50 Rp 33,700.00
389 URINE BAG ONEMED 620 620 Rp 3,750.00
390 URINE BAG ONEMED 1,000 1,000 Rp 6,375.00
391 USG PAPER BIOCARE 112 X 100 10 10 Rp 154,000.00
392 VACUTAINER CITRATE TUBE BLUE 18 18 Rp 206,250.00
393 VALAMIN 500 ML INFUS 12 12 Rp 48,452.34
394 VENTI FLOW ANAK 90 90 Rp 82,000.00
395 VENTI FLOW DEWASA 90 90 Rp 90,200.00
396 WING NEEDLE 25 G OM 400 400 Rp 1,750.01
TOTAL 2,200,980 65,497 2,266,477

JUMLAH BARANG MASUK
Mengetahui Kasi Penunjang Med

Kepala RSUD Sultan Muhammad Jamaludin I RSUD Sultann Muhammad Ja
dr. Maria Fransisca ASCH, MARS

NIP. 19840402 201001 2 013 Fransisca Wardiani, SK
NIP. 19840416 201101 2
REKAPITULASI PERSEDIAAN BARANG HABIS PAKAI
STALASI FARMASI SULTAN MUHAMMAD JAMALUDIN I
BULAN DESEMBER 2021
BARANG KELUAR
TOTAL BARANG MASUK (Rp) SAMPAI DENGAN HARGA SATUAN TOTAL BARANG KELUAR (Rp)
BULAN LALU BULAN INI BULAN INI
7 8 9 10 11 12
Rp 8,800,000.00 3,700 3,700 Rp 1,100.00 Rp 4,070,000.00
Rp 9,216,000.00 2,100 2,100 Rp 960.00 Rp 2,016,000.00
Rp 4,968,000.00 700 700 Rp 920.00 Rp 644,000.00
Rp 9,177,000.00 4,300 500 4,800 Rp 690.00 Rp 3,312,000.00
Rp 35,135,100.00 5 2 7 Rp 2,702,700.00 Rp 18,918,900.00
Rp 13,626,110.00 - - Rp 2,725,222.00 Rp -
Rp 13,251,273.75 - - Rp 2,650,254.75 Rp -
Rp 4,534,744.50 2 2 Rp 2,267,372.25 Rp 4,534,744.50
Rp 8,009,970.00 - - Rp 800,997.00 Rp -
Rp 801,262.00 1 1 Rp 801,262.00 Rp 801,262.00
Rp 3,896,101.00 5 5 Rp 779,220.20 Rp 3,896,101.00
Rp 5,999,815.80 6 2 8 Rp 666,646.20 Rp 5,333,169.60
Rp 2,747,250.00 3,200 100 3,300 Rp 247.50 Rp 816,750.00
Rp 400,000.00 800 600 1,400 Rp 200.00 Rp 280,000.00
Rp 125,678.00 960 38.5 998 Rp 94.00 Rp 93,812.00
Rp 76,014.00 103 103 Rp 738.00 Rp 76,014.00
Rp 35,200.00 13 13 Rp 128.00 Rp 1,664.00
Rp 686,400.00 3,200 3,200 Rp 214.50 Rp 686,400.00
Rp 2,103,750.00 2,000 600 2,600 Rp 247.50 Rp 643,500.00
Rp 1,568,000.00 198 250 448 Rp 3,500.00 Rp 1,568,000.00
Rp 1,809,651.96 342 342 Rp 5,291.38 Rp 1,809,651.96
Rp 363,000.00 41 10 51 Rp 3,630.00 Rp 185,130.00
Rp 9,826,460.00 - - Rp 70,189.00 Rp -
Rp 3,078,504.00 - - Rp 85,514.00 Rp -
Rp 3,515,010.00 1 1 Rp 70,300.20 Rp 70,300.20
Rp 2,560,800.00 50 50 Rp 51,216.00 Rp 2,560,800.00
Rp 552,780.00 180 180 Rp 3,071.00 Rp 552,780.00
Rp 835,200.00 96 96 Rp 8,700.00 Rp 835,200.00
Rp 309,408.00 30 30 Rp 6,446.00 Rp 193,380.00

Rp 1,139,970.00 450 450 Rp 1,027.00 Rp 462,150.00
Rp 4,094,574.36 6,400 6,400 Rp 639.78 Rp 4,094,574.36
Rp 2,557,433.34 3,700 3,700 Rp 691.20 Rp 2,557,433.34
Rp 962,500.00 7,500 1,500 9,000 Rp 55.00 Rp 495,000.00
Rp 8,125,128.00 7,200 7,200 Rp 1,128.49 Rp 8,125,128.00
Rp 2,338,400.00 7,100 2,900 10,000 Rp 74.00 Rp 740,000.00
Rp 662,500.00 2,500 2,500 Rp 265.00 Rp 662,500.00
Rp 4,125,000.00 5,000 5,000 Rp 825.00 Rp 4,125,000.00
Rp 2,772,000.00 7,600 1,300 8,900 Rp 231.00 Rp 2,055,900.00
Rp 1,746,500.00 269 269 Rp 3,500.00 Rp 941,500.00
Rp 2,565,000.00 190 190 Rp 13,500.00 Rp 2,565,000.00
Rp 3,080,000.00 40 40 Rp 15,400.00 Rp 616,000.00
Rp 1,136,836.80 120 120 Rp 9,473.64 Rp 1,136,836.80
Rp 11,880,000.00 490 120 610 Rp 9,900.00 Rp 6,039,000.00
Rp 3,960,000.00 300 300 Rp 13,200.00 Rp 3,960,000.00
Rp 7,600,341.00 147 147 Rp 51,703.00 Rp 7,600,341.00
Rp 872,768.00 416 416 Rp 2,098.00 Rp 872,768.00

Rp 197,500.00 50 50 Rp 3,950.00 Rp 197,500.00
Rp 725,000.00 100 100 Rp 7,250.00 Rp 725,000.00
Rp 6,160,000.00 50 50 100 Rp 8,800.00 Rp 880,000.00
Rp 1,676,200.00 6,800 6,800 Rp 246.50 Rp 1,676,200.00
Rp 881,364.00 242 242 Rp 3,642.00 Rp 881,364.00

Rp 32,260,800.00 3,600 120 3,720 Rp 2,860.00 Rp 10,639,200.00
Rp 825,000.00 5 5 Rp 165,000.00 Rp 825,000.00
Rp 410,294.61 2,900 2,900 Rp 141.48 Rp 410,294.61
Rp 138,000.00 600 300 900 Rp 46.00 Rp 41,400.00
Rp 6,311,250.00 225 225 Rp 28,050.00 Rp 6,311,250.00
Rp 2,227,500.00 8,100 8,100 Rp 275.00 Rp 2,227,500.00

Rp 2,000,700.00 800 400 1,200 Rp 117.00 Rp 140,400.00
Rp 4,441,470.00 1,350 100 1,450 Rp 2,065.80 Rp 2,995,410.00
Rp 3,466,040.00 1,430 30 1,460 Rp 2,374.00 Rp 3,466,040.00

Rp 5,890,500.00 - 230 230 Rp 5,890.50 Rp 1,354,815.00
Rp 7,043,652.00 116 40 156 Rp 17,787.00 Rp 2,774,772.00
Rp 13,500,000.00 23 5 28 Rp 450,000.00 Rp 12,600,000.00
Rp 8,102,640.00 660 180 840 Rp 9,646.00 Rp 8,102,640.00
Rp 1,115,034.00 1,900 1,900 Rp 586.86 Rp 1,115,034.00
Rp 3,251,250.00 6,050 6,050 Rp 425.00 Rp 2,571,250.00
Rp 865,250.00 25 25 Rp 3,461.00 Rp 86,525.00
Rp 8,222,040.00 8,280 8,280 Rp 993.00 Rp 8,222,040.00
Rp 30,345,660.00 7,680 2,850 10,530 Rp 467.00 Rp 4,917,510.00
Rp 19,126,800.00 4,140 4,140 Rp 4,620.00 Rp 19,126,800.00
Rp 1,341,600.00 52 52 Rp 25,800.00 Rp 1,341,600.00
Rp 1,341,600.00 52 52 Rp 25,800.00 Rp 1,341,600.00
Rp 557,700.00 300 300 Rp 1,859.00 Rp 557,700.00

Rp 515,400.60 100 100 Rp 1,718.00 Rp 171,800.20
Rp 1,114,300.00 1,100 100 1,200 Rp 557.15 Rp 668,580.00
Rp 2,489,200.00 1,060 80 1,140 Rp 1,778.00 Rp 2,026,920.00
Rp 1,782,000.00 180 180 Rp 9,900.00 Rp 1,782,000.00
Rp 558,000.00 62 62 Rp 9,000.00 Rp 558,000.00
Rp 2,002,000.00 14 14 Rp 143,000.00 Rp 2,002,000.00
Rp 2,759,680.00 19 16 35 Rp 56,320.00 Rp 1,971,200.00
Rp 5,356,000.00 4 4 Rp 107,120.00 Rp 428,480.00
Rp 1,483,250.00 75 150 225 Rp 3,490.00 Rp 785,250.00
Rp 8,934,600.00 218 218 Rp 14,891.00 Rp 3,246,238.00
Rp 8,003,644.00 161 10 171 Rp 20,009.11 Rp 3,421,557.81
Rp 3,143,820.00 24 24 Rp 52,397.00 Rp 1,257,528.00

Rp 464,260.50 30 30 Rp 15,475.35 Rp 464,260.50
Rp 1,659,999.00 - 10 10 Rp 16,599.99 Rp 165,999.90
Rp 6,727,700.00 4,900 4,900 Rp 1,373.00 Rp 6,727,700.00
Rp 654,500.00 5,500 5,500 Rp 119.00 Rp 654,500.00
Rp 782,000.00 500 300 800 Rp 92.00 Rp 73,600.00
Rp 60,277,000.00 260 260 Rp 76,300.00 Rp 19,838,000.00
Rp 333,630.00 60 60 Rp 337.00 Rp 20,220.00
Rp 8,325,800.00 13,300 13,300 Rp 626.00 Rp 8,325,800.00
Rp 4,725,000.00 5,900 2,900 8,800 Rp 135.00 Rp 1,188,000.00
Rp 9,027,000.00 800 800 Rp 2,950.00 Rp 2,360,000.00
Rp 575,553.00 25 25 Rp 23,022.12 Rp 575,553.00
Rp 13,516,568.24 224 224 Rp 8,323.01 Rp 1,864,354.24
Rp 14,459,500.00 239 239 Rp 60,500.00 Rp 14,459,500.00
Rp 12,856,250.00 5 45 50 Rp 51,425.00 Rp 2,571,250.00
Rp 493,680.00 8 8 Rp 61,710.00 Rp 493,680.00
Rp 23,562,000.00 1,600 1,600 Rp 1,309.00 Rp 2,094,400.00
Rp 4,573,800.00 840 150 990 Rp 1,210.00 Rp 1,197,900.00
Rp 7,260,000.00 6,000 800 6,800 Rp 726.00 Rp 4,936,800.00
Rp 1,090,100.00 100 100 Rp 4,360.40 Rp 436,040.00
Rp 6,178,405.20 136 136 Rp 45,429.45 Rp 6,178,405.20
Rp 5,060,000.00 40 40 80 Rp 12,650.00 Rp 1,012,000.00
Rp 1,896,898.98 - - Rp 6,323.00 Rp -
Rp 1,592,000.00 900 800 1,700 Rp 398.00 Rp 676,600.00
Rp 13,612,500.00 3,500 1,000 4,500 Rp 3,025.00 Rp 13,612,500.00
Rp 2,449,804.50 900 900 Rp 2,722.01 Rp 2,449,804.50
Rp 10,486,000.00 - 1,150 1,150 Rp 749.00 Rp 861,350.00
Rp 4,086,720.00 288 288 Rp 14,190.00 Rp 4,086,720.00
Rp 1,039,000.00 75 6 81 Rp 5,195.00 Rp 420,795.00
Rp 4,279,275.00 38 38 Rp 37,537.50 Rp 1,426,425.00
Rp 4,568,000.00 400 30 430 Rp 9,136.00 Rp 3,928,480.00
Rp 1,001,910.14 70 70 Rp 14,313.00 Rp 1,001,910.14
Rp 5,538,400.00 440 40 480 Rp 6,923.00 Rp 3,323,040.00
Rp 6,331,325.00 1,150 1,150 Rp 5,505.50 Rp 6,331,325.00
Rp 1,500,048.00 200 200 Rp 7,500.24 Rp 1,500,048.00
Rp 9,240,000.00 1,000 1,000 Rp 9,240.00 Rp 9,240,000.00
Rp 20,293,000.00 540 210 750 Rp 2,899.00 Rp 2,174,250.00
Rp 1,003,200.00 3,200 3,200 Rp 313.50 Rp 1,003,200.00
Rp 135,200.00 1,000 300 1,300 Rp 52.00 Rp 67,600.00
Rp 902,000.00 41 41 Rp 22,000.00 Rp 902,000.00
Rp 931,095.00 90 90 Rp 10,345.50 Rp 931,095.00
Rp 221,500.00 50 10 60 Rp 2,215.00 Rp 132,900.00
Rp 23,094,500.00 400 400 Rp 6,792.50 Rp 2,717,000.00
Rp 7,544,615.00 800 800 Rp 5,803.55 Rp 4,642,840.00
Rp 1,087,500.00 2,900 2,900 Rp 375.00 Rp 1,087,500.00
Rp 2,600,000.00 1,200 500 1,700 Rp 260.00 Rp 442,000.00
Rp 462,000.00 1,000 1,000 Rp 462.00 Rp 462,000.00
Rp 8,223,744.00 768 768 Rp 10,708.00 Rp 8,223,744.00
Rp 4,050,000.00 4 112 116 Rp 8,100.00 Rp 939,600.00
Rp 10,560,000.00 1,400 1,400 Rp 5,280.00 Rp 7,392,000.00
Rp 346,500.00 20 20 Rp 17,325.00 Rp 346,500.00
Rp 2,420,000.00 30 30 60 Rp 24,200.00 Rp 1,452,000.00
Rp 385,000.00 50 50 Rp 7,700.00 Rp 385,000.00
Rp 6,343,700.00 4,900 850 5,750 Rp 803.00 Rp 4,617,250.00
Rp 1,283,931.00 900 900 Rp 1,426.59 Rp 1,283,931.00
Rp 2,749,997.25 900 350 1,250 Rp 1,100.00 Rp 1,374,998.63
Rp 3,404,940.00 49 49 Rp 40,535.00 Rp 1,986,215.00
Rp 13,200,000.00 3,000 3,000 Rp 4,400.00 Rp 13,200,000.00
Rp 455,000.00 100 100 Rp 4,550.00 Rp 455,000.00
Rp 4,496,000.03 20 20 Rp 8,992.00 Rp 179,840.00
Rp 8,116,800.00 260 60 320 Rp 10,680.00 Rp 3,417,600.00
Rp 7,649,280.00 220 60 280 Rp 10,624.00 Rp 2,974,720.00
Rp 292,800.00 1,600 1,600 Rp 183.00 Rp 292,800.00
Rp 398,720.00 800 800 Rp 498.40 Rp 398,720.00
Rp 92,400.00 800 800 Rp 115.50 Rp 92,400.00
Rp 3,075,072.00 1,100 100 1,200 Rp 1,921.92 Rp 2,306,304.00
Rp 270,000.00 135 135 Rp 2,000.00 Rp 270,000.00
Rp 1,836,293.00 115 12 127 Rp 14,459.00 Rp 1,836,293.00
Rp 43,400.00 200 200 Rp 217.00 Rp 43,400.00
Rp 7,263,379.20 - - Rp 15,259.20 Rp -
Rp 525,525.00 600 600 Rp 262.76 Rp 157,657.50
Rp 1,045,000.00 - - Rp 52,250.00 Rp -
Rp 72,890.00 - - Rp 182.23 Rp -
Rp 140,000.00 - - Rp 140.00 Rp -
Rp 829,134.00 657 657 Rp 1,262.00 Rp 829,134.00
Rp 1,903,592.60 65 20 85 Rp 14,643.02 Rp 1,244,656.70
Rp 3,836,064.00 32 32 Rp 119,877.00 Rp 3,836,064.00
Rp 5,597,013.51 19,300 19,300 Rp 290.00 Rp 5,597,013.51
Rp 975,000.00 600 200 800 Rp 75.00 Rp 60,000.00
Rp 1,024,650.00 90 90 Rp 11,385.00 Rp 1,024,650.00
Rp 3,460,640.40 252 252 Rp 13,732.70 Rp 3,460,640.40
Rp 1,183,500.45 80 80 Rp 3,945.00 Rp 315,600.12
Rp 2,475,000.00 150 90 240 Rp 4,125.00 Rp 990,000.00
Rp 9,240,000.00 1,940 60 2,000 Rp 4,620.00 Rp 9,240,000.00
Rp 258,544.00 300 300 Rp 646.36 Rp 193,908.00
Rp 578,000.00 - - Rp 289.00 Rp -
Rp 916,883.00 107 107 Rp 8,569.00 Rp 916,883.00
Rp 1,297,208.00 - 24 24 Rp 6,486.04 Rp 155,664.96
Rp 566,214.00 373 373 Rp 1,518.00 Rp 566,214.00
Rp 348,000.40 20 180 200 Rp 1,740.00 Rp 348,000.40
Rp 1,056,000.00 200 200 Rp 5,280.00 Rp 1,056,000.00
Rp 1,155,000.00 400 400 Rp 2,887.50 Rp 1,155,000.00
Rp 238,800.00 1,200 1,200 Rp 199.00 Rp 238,800.00
Rp 2,887,500.00 275 275 Rp 10,500.00 Rp 2,887,500.00

Rp 1,788,800.00 - - Rp 688.00 Rp -
Rp 385,000.00 2 2 Rp 192,500.00 Rp 385,000.00
Rp 4,307,600.00 - 240 240 Rp 4,307.60 Rp 1,033,824.00
Rp 1,980,000.00 100 100 Rp 19,800.00 Rp 1,980,000.00

Rp 8,250,000.00 500 500 Rp 16,500.00 Rp 8,250,000.00
Rp 43,650,200.00 - - Rp 21,825.10 Rp -
Rp 61,600,000.00 - - Rp 15,400.00 Rp -
Rp 105,000,000.00 - - Rp 21,000.00 Rp -
Rp 809,768.50 1,922 1,922 Rp 197.00 Rp 378,634.00
Rp 366,758.00 45 2 47 Rp 2,278.00 Rp 107,066.00
Rp 58,630,000.00 8,360 8,360 Rp 5,500.00 Rp 45,980,000.00
Rp 236,500.00 - 200 200 Rp 473.00 Rp 94,600.00
Rp 501,350.00 370 370 Rp 1,355.00 Rp 501,350.00
Rp 3,470,400.00 2,400 2,400 Rp 1,446.00 Rp 3,470,400.00
Rp 7,635,241.68 172 172 Rp 44,390.94 Rp 7,635,241.68
Rp 25,894,000.00 369 55 424 Rp 48,400.00 Rp 20,521,600.00
Rp 3,850,000.00 50 10 60 Rp 38,500.00 Rp 2,310,000.00
Rp 5,136,390.00 1,590 1,590 Rp 1,841.00 Rp 2,927,190.00
Rp 654,400.00 800 800 Rp 818.00 Rp 654,400.00
Rp 436,502.00 500 500 Rp 873.00 Rp 436,502.00
Rp 5,775,000.00 400 400 Rp 5,775.00 Rp 2,310,000.00
Rp 871,200.00 200 100 300 Rp 1,452.00 Rp 435,600.00
Rp 226,265.40 60 60 Rp 3,771.09 Rp 226,265.40
Rp 351,000.00 30 30 Rp 3,900.00 Rp 117,000.00
Rp 40,903,200.00 60 80 140 Rp 21,528.00 Rp 3,013,920.00
Rp 2,026,200.00 16 16 Rp 20,262.00 Rp 324,192.00
Rp 660,000.00 300 300 Rp 2,200.00 Rp 660,000.00
Rp 8,800,000.00 2,400 500 2,900 Rp 1,760.00 Rp 5,104,000.00
Rp 1,290,828.00 156 156 Rp 4,889.50 Rp 762,762.00
Rp 650,400.00 120 120 Rp 542.00 Rp 65,040.00
Rp 786,500.00 5 5 Rp 12,100.00 Rp 60,500.00
Rp 1,108,800.00 13,200 13,200 Rp 84.00 Rp 1,108,800.00
Rp 1,119,250.00 - - Rp 223.85 Rp -
Rp 1,632,750.00 750 50 800 Rp 1,555.00 Rp 1,244,000.00
Rp 678,300.00 - - Rp 969.00 Rp -
Rp 5,702,776.20 24 24 Rp 39,602.61 Rp 950,462.70
Rp 12,435,500.00 4,900 500 5,400 Rp 935.00 Rp 5,049,000.00
Rp 24,642,000.00 70 70 Rp 273,800.00 Rp 19,166,000.00
Rp 1,876,000.00 1 1 Rp 938,000.00 Rp 938,000.00
Rp 16,219,348.20 14,040 420 14,460 Rp 1,121.67 Rp 16,219,348.20
Rp 43,731,540.00 1,440 1,440 Rp 673.00 Rp 969,120.00
Rp 1,087,500.00 400 100 500 Rp 375.00 Rp 187,500.00
Rp 359,520.00 840 840 Rp 428.00 Rp 359,520.00
Rp 3,282,720.00 672 672 Rp 4,885.00 Rp 3,282,720.00
Rp 238,572.40 100 100 Rp 2,385.72 Rp 238,572.40
Rp 854,667.00 180 40 220 Rp 2,848.89 Rp 626,755.80
Rp 442,800.00 144 144 Rp 3,075.00 Rp 442,800.00
Rp 12,856,800.00 690 690 Rp 10,714.00 Rp 7,392,660.00
Rp 986,400.00 800 300 1,100 Rp 137.00 Rp 150,700.00
Rp 395,307.00 500 100 600 Rp 359.37 Rp 215,622.00
Rp 456,764.00 2,000 2,000 Rp 228.38 Rp 456,764.00
Rp 41,400.00 200 200 Rp 207.00 Rp 41,400.00
Rp 3,034,680.00 3,200 3,200 Rp 399.30 Rp 1,277,760.00
Rp 11,968,000.00 4,400 1,600 6,000 Rp 1,870.00 Rp 11,220,000.00
Rp 8,208,000.00 4,000 4,000 Rp 2,052.00 Rp 8,208,000.00
Rp 143,000.00 1,000 1,000 Rp 143.00 Rp 143,000.00
Rp 683,850.00 1,350 1,350 Rp 291.00 Rp 392,850.00
Rp 3,611,970.00 3,000 3,000 Rp 1,203.99 Rp 3,611,970.00
Rp 5,000,000.00 400 400 Rp 1,000.00 Rp 400,000.00
Rp 2,400,000.00 - - Rp 2,000.00 Rp -
Rp 17,400,000.00 1,840 60 1,900 Rp 7,500.00 Rp 14,250,000.00
Rp 3,361,260.00 140 140 Rp 8,003.00 Rp 1,120,420.00
Rp 400,400.00 40 40 Rp 10,010.00 Rp 400,400.00
Rp 2,402,400.00 240 240 Rp 10,010.00 Rp 2,402,400.00
Rp 574,032.80 34 34 Rp 7,000.40 Rp 238,013.60
Rp 1,299,400.00 200 200 Rp 178.00 Rp 35,600.00
Rp 48,000.00 100 100 200 Rp 60.00 Rp 12,000.00
Rp 235,300.00 2 2 Rp 117,650.00 Rp 235,300.00
Rp 177,650.00 - - Rp 177,650.00 Rp -
Rp 197,500.05 5 5 Rp 39,500.01 Rp 197,500.05
Rp 10,132,000.00 1,500 1,500 Rp 2,533.00 Rp 3,799,500.00
Rp 2,227,500.00 168 168 Rp 3,093.75 Rp 519,750.00
Rp 515,000.00 500 500 Rp 1,030.00 Rp 515,000.00
Rp 16,582,500.00 4,200 400 4,600 Rp 2,475.00 Rp 11,385,000.00
Rp 1,707,750.00 210 210 Rp 7,425.00 Rp 1,559,250.00

Rp 804,446.50 - - Rp 6,188.05 Rp -
Rp 732,600.00 2,000 2,000 Rp 366.30 Rp 732,600.00
Rp 610,900.00 40 40 Rp 6,109.00 Rp 244,360.00
Rp 10,120,000.00 - - Rp 2,530.00 Rp -
Rp 14,678,500.00 600 600 Rp 4,735.00 Rp 2,841,000.00
Rp 5,269,950.00 - 1 1 Rp 752,850.00 Rp 752,850.00
Rp 37,835,688.00 - - Rp 663,784.00 Rp -
Rp 341,506.00 500 500 Rp 170.75 Rp 85,376.50
Rp 6,256,250.00 750 750 Rp 4,812.50 Rp 3,609,375.00
Rp 2,092,500.00 93 93 Rp 22,500.00 Rp 2,092,500.00
Rp 9,051,200.00 - - Rp 11,314.00 Rp -
Rp 8,870,176.00 444 60 504 Rp 11,314.00 Rp 5,702,256.00
Rp 580,516.20 14 14 Rp 10,750.30 Rp 150,504.20
Rp 2,235,816.00 216 216 Rp 10,351.00 Rp 2,235,816.00
Rp 595,104.00 96 96 Rp 6,199.00 Rp 595,104.00
Rp 968,660.00 3,700 3,700 Rp 261.80 Rp 968,660.00
Rp 600,000.00 700 1,000 1,700 Rp 60.00 Rp 102,000.00
Rp 13,543,890.00 8,970 9,360 18,330 Rp 661.00 Rp 12,116,130.00
Rp 10,783,920.00 5,550 1,860 7,410 Rp 1,048.00 Rp 7,765,680.00
Rp 1,272,810.00 3,990 3,990 Rp 319.00 Rp 1,272,810.00
Rp 419,594.00 200 200 Rp 246.82 Rp 49,364.00
Rp 242,000.00 2,000 2,000 Rp 121.00 Rp 242,000.00
Rp 725,000.00 1,200 300 1,500 Rp 145.00 Rp 217,500.00
Rp 217,800.00 2,200 2,200 Rp 99.00 Rp 217,800.00
Rp 136,004.00 - - Rp 68.00 Rp -
Rp 295,451.00 700 700 Rp 227.27 Rp 159,089.00
Rp 1,160,280.00 120 120 Rp 3,223.00 Rp 386,760.00
Rp 10,350,000.00 920 920 Rp 11,250.00 Rp 10,350,000.00
Rp 1,507,200.00 24 24 Rp 62,800.00 Rp 1,507,200.00
Rp 299,750.00 - Rp 59,950.00 Rp -
Rp 901,950.00 100 100 Rp 2,577.00 Rp 257,700.00
Rp 260,000.07 - Rp 260.00 Rp -
Rp 18,992,080.80 158 158 Rp 23,799.60 Rp 3,760,336.80
Rp 5,773,680.00 400 400 Rp 14,434.20 Rp 5,773,680.00
Rp 1,320,000.00 400 400 Rp 3,300.00 Rp 1,320,000.00
Rp 4,453,461.00 500 500 Rp 8,906.92 Rp 4,453,461.00
Rp 2,769,000.00 400 210 610 Rp 923.00 Rp 563,030.00
Rp 4,679,989.60 1,040 1,040 Rp 4,499.99 Rp 4,679,989.60
Rp 22,132,000.00 4,000 4,000 Rp 5,533.00 Rp 22,132,000.00
Rp 7,920,000.00 5,730 1,080 6,810 Rp 660.00 Rp 4,494,600.00
Rp 5,861,310.00 3,990 3,990 Rp 1,469.00 Rp 5,861,310.00
Rp 1,732,500.00 225 225 Rp 7,700.00 Rp 1,732,500.00
Rp 4,263,600.00 3,400 3,400 Rp 1,254.00 Rp 4,263,600.00
Rp 1,599,360.00 476 476 Rp 3,360.00 Rp 1,599,360.00
Rp 172,800.00 200 600 800 Rp 24.00 Rp 19,200.00
Rp 208,000.00 - 100 100 Rp 208.00 Rp 20,800.00
Rp 1,423,062.00 374 33 407 Rp 657.00 Rp 267,399.00

Rp 87,500.00 - - Rp 125.00 Rp -
Rp 66,500.00 - - Rp 133.00 Rp -
Rp 613,600.00 800 800 Rp 767.00 Rp 613,600.00
Rp 159,500.00 200 200 400 Rp 319.00 Rp 127,600.00
Rp 229,800.00 10 10 Rp 2,298.00 Rp 22,980.00
Rp 5,341,814.50 900 200 1,100 Rp 1,842.01 Rp 2,026,205.50
Rp 8,778,000.00 690 240 930 Rp 7,315.00 Rp 6,802,950.00

Rp 5,062,200.00 1,040 1,040 Rp 4,867.50 Rp 5,062,200.00
Rp 346,382.30 23 23 Rp 15,060.10 Rp 346,382.30
Rp 18,827,600.00 55 46 101 Rp 48,400.00 Rp 4,888,400.00
Rp 39,600,000.00 17,000 1,850 18,850 Rp 990.00 Rp 18,661,500.00
Rp 5,346,000.00 60 60 Rp 89,100.00 Rp 5,346,000.00
Rp 25,604,750.00 305 305 Rp 83,950.00 Rp 25,604,750.00
Rp 17,800,000.00 - - Rp 89,000.00 Rp -
Rp 80,999,999.10 475 30 505 Rp 90,000.00 Rp 45,449,999.50
Rp 4,647,978.50 1,700 1,700 Rp 929.60 Rp 1,580,312.69
Rp 2,354,512.00 76 24 100 Rp 18,988.00 Rp 1,898,800.00
Rp 1,013,100.00 50 50 Rp 20,262.00 Rp 1,013,100.00
Rp 12,150,121.50 405 405 Rp 30,000.30 Rp 12,150,121.50
Rp 294,000.00 400 400 Rp 735.00 Rp 294,000.00
Rp 1,349,250.00 1,550 1,550 Rp 771.00 Rp 1,195,050.00
Rp 714,700.00 700 700 Rp 1,021.00 Rp 714,700.00
Rp 1,876,000.00 850 850 Rp 1,072.00 Rp 911,200.00
Rp 2,873,750.00 26 26 Rp 57,475.00 Rp 1,494,350.00
Rp 263,000.00 200 200 Rp 1,315.00 Rp 263,000.00

Rp 1,191,255.00 500 200 700 Rp 916.35 Rp 641,445.00
Rp 12,432,480.00 9,440 9,440 Rp 1,317.00 Rp 12,432,480.00
Rp 500,000.00 500 300 800 Rp 250.00 Rp 200,000.00
Rp 646,000.00 2,000 2,000 Rp 323.00 Rp 646,000.00
Rp 784,400.00 200 300 500 Rp 148.00 Rp 74,000.00
Rp 2,433,860.00 46 46 Rp 52,910.00 Rp 2,433,860.00
Rp 266,464.00 800 800 Rp 333.08 Rp 266,464.00
Rp 234,000.00 - - Rp 117.00 Rp -
Rp 9,330,750.00 240 240 Rp 28,275.00 Rp 6,786,000.00
Rp 4,349,950.00 100 100 Rp 43,499.50 Rp 4,349,950.00
Rp 5,266,800.00 5,300 200 5,500 Rp 924.00 Rp 5,082,000.00
Rp 5,775,000.00 - Rp 1,155.00 Rp -
Rp 8,820,000.00 96 24 120 Rp 35,000.00 Rp 4,200,000.00
Rp 16,500,000.00 - - Rp 55,000.00 Rp -
Rp 13,019,721.00 55 55 Rp 236,722.20 Rp 13,019,721.00
Rp 5,941,418.00 3,300 500 3,800 Rp 1,007.02 Rp 3,826,676.00
Rp 10,137,600.00 780 60 840 Rp 3,520.00 Rp 2,956,800.00
Rp 907,500.00 - - Rp 3,025.00 Rp -
Rp 51,802,520.00 780 780 Rp 37,001.80 Rp 28,861,404.00
Rp 14,998,005.00 300 300 Rp 49,993.35 Rp 14,998,005.00
Rp 60,500,000.00 250 250 Rp 55,000.00 Rp 13,750,000.00
Rp 10,974,000.00 6 20 26 Rp 27,435.00 Rp 713,310.00
Rp 9,350,000.00 200 200 Rp 4,675.00 Rp 935,000.00
Rp 121,000.00 4 4 Rp 30,250.00 Rp 121,000.00
Rp 329,399.54 50 50 Rp 1,098.00 Rp 54,899.92
Rp 4,862,000.00 44,200 44,200 Rp 110.00 Rp 4,862,000.00
Rp 3,850,000.00 300 5,100 5,400 Rp 77.00 Rp 415,800.00
Rp 87,199.72 800 800 Rp 109.00 Rp 87,199.72
Rp 6,745,600.00 1,600 600 2,200 Rp 1,088.00 Rp 2,393,600.00
Rp 558,900.00 2,300 2,300 Rp 243.00 Rp 558,900.00
Rp 1,100,000.00 2,500 900 3,400 Rp 220.00 Rp 748,000.00
Rp 2,090,385.00 615 615 Rp 3,399.00 Rp 2,090,385.00
Rp 534,500.00 75 25 100 Rp 1,069.00 Rp 106,900.00
Rp 4,440,044.40 13,400 700 14,100 Rp 300.00 Rp 4,230,042.30

Rp 1,020,000.00 - - Rp 102.00 Rp -
Rp 3,507,200.00 200 600 800 Rp 548.00 Rp 438,400.00
Rp 5,735,949.00 411 90 501 Rp 11,449.00 Rp 5,735,949.00
Rp 4,886,640.00 - 35 35 Rp 12,216.60 Rp 427,581.00
Rp 303,772.00 190 190 Rp 1,598.80 Rp 303,772.00
Rp 1,366,134.00 270 270 Rp 4,553.78 Rp 1,229,520.60
Rp 107,900.00 700 700 Rp 83.00 Rp 58,100.00
Rp 1,561,637.00 1 1 Rp 780,818.50 Rp 780,818.50
Rp 369,600.00 1,400 1,400 Rp 264.00 Rp 369,600.00
Rp 1,201,200.00 5,700 1,000 6,700 Rp 171.60 Rp 1,149,720.00
Rp 14,184,315.20 1,280 146 1,426 Rp 9,000.20 Rp 12,834,285.20
Rp 11,770,000.00 - - Rp 5,885.00 Rp -
Rp 335,750.00 10 5 15 Rp 3,950.00 Rp 59,250.00
Rp 619,027.20 96 96 Rp 6,448.20 Rp 619,027.20
Rp 809,952.00 48 48 Rp 6,749.60 Rp 323,980.80
Rp 2,277,660.00 120 120 Rp 3,796.10 Rp 455,532.00
Rp 423,000.27 - - Rp 4,700.00 Rp -
Rp 798,721.44 - - Rp 3,328.01 Rp -
Rp 494,399.40 - - Rp 4,120.00 Rp -
Rp 188,443.20 48 48 Rp 3,925.90 Rp 188,443.20
Rp 190,000.00 4 4 Rp 1,900.00 Rp 7,600.00
Rp 12,276,000.00 930 930 Rp 13,200.00 Rp 12,276,000.00
Rp 14,157,000.00 585 585 Rp 24,200.00 Rp 14,157,000.00
Rp 2,475,000.00 90 90 Rp 27,500.00 Rp 2,475,000.00
Rp 2,321,000.00 165 10 175 Rp 4,642.00 Rp 812,350.00
Rp 1,064,250.00 86 86 Rp 12,375.00 Rp 1,064,250.00
Rp 19,800,000.00 3,600 3,600 Rp 5,500.00 Rp 19,800,000.00

Rp 7,012,500.00 3,620 540 4,160 Rp 1,402.50 Rp 5,834,400.00
Rp 1,476,475.00 25 25 Rp 8,437.00 Rp 210,925.00
Rp 873,620.00 8 8 Rp 22,990.00 Rp 183,920.00
Rp 2,469,600.00 56 56 Rp 44,100.00 Rp 2,469,600.00
Rp 1,702,497.50 - 16 16 Rp 34,049.95 Rp 544,799.20
Rp 809,600.00 2,300 2,300 Rp 352.00 Rp 809,600.00
Rp 8,250,000.00 2,100 900 3,000 Rp 1,650.00 Rp 4,950,000.00
Rp 4,768,500.00 3,400 3,400 Rp 1,402.50 Rp 4,768,500.00
Rp 37,756,800.00 3,680 200 3,880 Rp 6,840.00 Rp 26,539,200.00
Rp 9,724,000.00 1,040 1,040 Rp 9,350.00 Rp 9,724,000.00
Rp 13,404,006.00 960 120 1,080 Rp 6,702.00 Rp 7,238,163.24
Rp 3,291,200.00 19,500 200 19,700 Rp 136.00 Rp 2,679,200.00
Rp 34,606,000.00 120 120 Rp 157,300.00 Rp 18,876,000.00
Rp 826,600.50 100 100 Rp 8,266.01 Rp 826,600.50
Rp 2,400,002.00 100 100 Rp 24,000.02 Rp 2,400,002.00
Rp 353,100.00 3,300 3,300 Rp 107.00 Rp 353,100.00
Rp 156,200.00 1,000 1,000 Rp 156.20 Rp 156,200.00
Rp 1,140,000.00 400 700 1,100 Rp 114.00 Rp 125,400.00
Rp 6,123,348.00 150 150 Rp 4,342.80 Rp 651,420.00
Rp 1,500,000.00 20 20 Rp 75,000.00 Rp 1,500,000.00
Rp 2,639,000.00 1,900 1,900 Rp 910.00 Rp 1,729,000.00
Rp 838,500.00 800 800 Rp 645.00 Rp 516,000.00
Rp 1,548,800.00 80 80 Rp 19,360.00 Rp 1,548,800.00
Rp 21,648,000.00 8,000 8,000 Rp 2,706.00 Rp 21,648,000.00
Rp 35,475,000.00 20,400 1,100 21,500 Rp 1,650.00 Rp 35,475,000.00
Rp 2,145,000.00 30 30 Rp 71,500.00 Rp 2,145,000.00
Rp 2,970,000.00 100 100 Rp 29,700.00 Rp 2,970,000.00

Rp 1,602,018.00 62 62 Rp 25,839.00 Rp 1,602,018.00
Rp 1,188,000.00 75 10 85 Rp 11,880.00 Rp 1,009,800.00
Rp 29,841,000.00 343 343 Rp 87,000.00 Rp 29,841,000.00
Rp 132,012,497.79 735 60 795 Rp 89,500.00 Rp 71,152,498.81
Rp 34,732,984.00 313 313 Rp 110,968.00 Rp 34,732,984.00
Rp 1,178,950.00 425 425 Rp 2,774.00 Rp 1,178,950.00
Rp 1,659,504.00 1,347 1,347 Rp 1,232.00 Rp 1,659,504.00
Rp 3,744,015.00 450 650 1,100 Rp 1,248.01 Rp 1,372,805.50
Rp 3,960,000.00 250 250 Rp 7,920.00 Rp 1,980,000.00
Rp 42,962,160.00 2,110 100 2,210 Rp 11,868.00 Rp 26,228,280.00
Rp 12,371,040.00 781 781 Rp 15,840.00 Rp 12,371,040.00
Rp 5,250,069.00 10,000 10,000 Rp 525.01 Rp 5,250,069.00
Rp 4,747,248.00 750 630 1,380 Rp 475.20 Rp 655,776.00
Rp 4,044,600.00 - 90 90 Rp 963.00 Rp 86,670.00
Rp 245,302.20 195 195 Rp 1,257.96 Rp 245,302.20
Rp 5,500,000.00 1,000 1,000 Rp 5,500.00 Rp 5,500,000.00
Rp 2,800,028.00 400 400 Rp 7,000.07 Rp 2,800,028.00
Rp 3,000,030.00 240 240 Rp 6,000.06 Rp 1,440,014.40
Rp 128,700.00 300 300 Rp 429.00 Rp 128,700.00
Rp 4,083,750.00 240 210 450 Rp 2,475.00 Rp 1,113,750.00
Rp 1,014,200.00 2 2 Rp 507,100.00 Rp 1,014,200.00
Rp 6,618,000.00 50 50 Rp 132,360.00 Rp 6,618,000.00
Rp 48,600,000.00 20 20 Rp 162,000.00 Rp 3,240,000.00
Rp 825,000.00 100 100 Rp 8,250.00 Rp 825,000.00

Rp 999,920.00 472 25 497 Rp 1,160.00 Rp 576,520.00
Rp 10,560,144.32 704 704 Rp 15,000.21 Rp 10,560,144.32
Rp 5,296,500.00 18,200 2,000 20,200 Rp 165.00 Rp 3,333,000.00
Rp 880,000.00 30 30 Rp 8,800.00 Rp 264,000.00
Rp 616,000.00 40 40 Rp 8,800.00 Rp 352,000.00
Rp 392,245.00 140 140 Rp 2,801.75 Rp 392,245.00
Rp 9,097,627.00 402 6 408 Rp 19,481.00 Rp 7,948,248.00
Rp 5,359,992.00 - - Rp 13,399.98 Rp -
Rp 412,104.00 13 7 20 Rp 4,121.04 Rp 82,420.80
Rp 2,420,000.00 400 200 600 Rp 605.00 Rp 363,000.00
Rp 1,098,300.00 90 450 540 Rp 523.00 Rp 282,420.00
Rp 1,759,800.00 - - Rp 838.00 Rp -
Rp 10,188,750.00 450 60 510 Rp 3,575.00 Rp 1,823,250.00
Rp 521,950.00 650 650 Rp 803.00 Rp 521,950.00
Rp 3,650,000.00 150 50 200 Rp 730.00 Rp 146,000.00
Rp 198,000.00 30 20 50 Rp 3,960.00 Rp 198,000.00
Rp 786,362.50 - - Rp 393.18 Rp -
Rp 930,600.00 6,600 6,600 Rp 141.00 Rp 930,600.00
Rp 221,697.00 300 200 500 Rp 130.41 Rp 65,205.00
Rp 2,587,200.00 20 20 Rp 129,360.00 Rp 2,587,200.00
Rp 5,023,200.00 184 184 Rp 27,300.00 Rp 5,023,200.00
Rp 4,416,552.76 - - Rp 23,368.00 Rp -
Rp 632,016.00 2,900 300 3,200 Rp 79.00 Rp 252,806.40
Rp 478,500.00 120 120 Rp 3,987.50 Rp 478,500.00
Rp 2,970,000.00 1,200 1,200 Rp 2,475.00 Rp 2,970,000.00
Rp 2,994,750.00 300 300 Rp 3,025.00 Rp 907,500.00
Rp 454,800.00 3 3 Rp 151,600.00 Rp 454,800.00
Rp 1,172,600.00 800 800 Rp 586.30 Rp 469,040.00
Rp 1,617,044.00 98 5 103 Rp 11,308.00 Rp 1,164,724.00
Rp 123,000.00 15 15 Rp 8,200.00 Rp 123,000.00
Rp 8,976,000.00 600 600 Rp 2,640.00 Rp 1,584,000.00
Rp 126,000.00 2,000 2,000 Rp 63.00 Rp 126,000.00
Rp 290,400.00 2,700 300 3,000 Rp 88.00 Rp 264,000.00
Rp 2,250,600.00 62 62 Rp 36,300.00 Rp 2,250,600.00
Rp 12,868,658.00 1,200 40 1,240 Rp 10,377.95 Rp 12,868,658.00
Rp 2,095,599.00 20 20 Rp 10,478.00 Rp 209,559.90
Rp 4,483,512.00 40 40 Rp 112,087.80 Rp 4,483,512.00
Rp 1,590,000.00 5,300 5,300 Rp 300.00 Rp 1,590,000.00
Rp 3,550,500.00 10,100 3,400 13,500 Rp 263.00 Rp 3,550,500.00
Rp 2,370,000.00 - - Rp 158.00 Rp -
Rp 8,844,000.00 12,000 12,000 Rp 737.00 Rp 8,844,000.00
Rp 740,000.00 3,700 3,700 Rp 200.00 Rp 740,000.00
Rp 425,000.00 - 900 900 Rp 85.00 Rp 76,500.00
Rp 2,313,063.00 750 150 900 Rp 2,570.07 Rp 2,313,063.00
Rp 3,812,371.20 - 500 500 Rp 1,155.26 Rp 577,632.00
Rp 11,165,000.00 - - Rp 319,000.00 Rp -
Rp 50,600,000.00 - - Rp 506,000.00 Rp -
Rp 264,800.00 800 800 Rp 331.00 Rp 264,800.00
Rp 105,900.00 300 300 Rp 353.00 Rp 105,900.00
Rp 476,800.00 550 550 Rp 596.00 Rp 327,800.00
Rp 159,000.00 250 250 Rp 636.00 Rp 159,000.00
Rp 4,629,500.00 - - Rp 985.00 Rp -
Rp 72,485,000.00 5,180 260 5,440 Rp 7,630.00 Rp 41,507,200.00
Rp 2,160,000.00 20 20 Rp 108,000.00 Rp 2,160,000.00
Rp 5,940,000.00 10 10 Rp 118,800.00 Rp 1,188,000.00
Rp 72,799,998.70 440 60 500 Rp 112,000.00 Rp 55,999,999.00
Rp 716,100.00 1,600 300 1,900 Rp 77.00 Rp 146,300.00
Rp 10,792,897.50 460 200 660 Rp 15,418.43 Rp 10,176,160.50
Rp 1,737,792.00 52 52 Rp 3,017.00 Rp 156,884.00
Rp 1,592,976.00 - - Rp 3,017.00 Rp -
Rp 312,312.00 28 28 Rp 6,006.00 Rp 168,168.00
Rp 994,000.00 7 7 Rp 142,000.00 Rp 994,000.00
Rp 1,874,400.00 12 12 Rp 156,200.00 Rp 1,874,400.00
Rp 5,976,576.00 12 2 14 Rp 166,016.00 Rp 2,324,224.00
Rp 11,884,566.10 97 97 Rp 122,521.30 Rp 11,884,566.10
Rp 3,924,280.80 36 36 Rp 109,007.80 Rp 3,924,280.80
Rp 7,734,375.00 4 4 Rp 1,546,875.00 Rp 6,187,500.00
Rp 37,694,719.70 3 3 Rp 1,215,958.70 Rp 3,647,876.10
Rp 602,700.00 - - Rp 49.00 Rp -
Rp 232,000.00 200 200 Rp 1,160.00 Rp 232,000.00
Rp 554,000.00 500 500 Rp 1,108.00 Rp 554,000.00

Rp 7,920,000.00 2,000 1,400 3,400 Rp 1,320.00 Rp 4,488,000.00
Rp 449,988.00 3,000 3,000 Rp 150.00 Rp 449,988.00
Rp 1,876,000.00 1,000 1,000 Rp 1,876.00 Rp 1,876,000.00
Rp 1,695,000.00 7,500 7,500 Rp 226.00 Rp 1,695,000.00
Rp 880,000.00 4,000 4,000 Rp 220.00 Rp 880,000.00
Rp 1,850,800.00 2,600 200 2,800 Rp 661.00 Rp 1,850,800.00
Rp 2,318,400.00 100 200 300 Rp 552.00 Rp 165,600.00
Rp 2,049,300.00 43 43 Rp 20,700.00 Rp 890,100.00
Rp 13,842,400.00 110 110 Rp 125,840.00 Rp 13,842,400.00
Rp 27,115,400.00 20 20 40 Rp 135,577.00 Rp 5,423,080.00
Rp 13,700,400.00 100 100 Rp 137,004.00 Rp 13,700,400.00
Rp 75,352,000.00 186 34 220 Rp 150,704.00 Rp 33,154,880.00
Rp 13,800,470.59 956 36 992 Rp 13,911.76 Rp 13,800,470.59
Rp 2,310,000.00 1,400 1,400 Rp 1,650.00 Rp 2,310,000.00
Rp 3,795,000.00 2,300 2,300 Rp 1,650.00 Rp 3,795,000.00
Rp 6,375,000.00 1,100 800 1,900 Rp 255.00 Rp 484,500.00

Rp 10,552,080.00 1,680 1,680 Rp 6,281.00 Rp 10,552,080.00
Rp 8,647,800.00 1,260 1,260 Rp 3,045.00 Rp 3,836,700.00
Rp 11,025,000.00 - - Rp 2,450.00 Rp -
Rp 7,356,240.00 1,360 1,360 Rp 5,409.00 Rp 7,356,240.00
Rp 26,100,000.00 - - Rp 4,350.00 Rp -
Rp 3,960,000.00 270 270 540 Rp 4,400.00 Rp 2,376,000.00
Rp 264,000.00 100 100 Rp 88.00 Rp 8,800.00
Rp 3,729,400.00 2,900 2,900 Rp 1,286.00 Rp 3,729,400.00
Rp 1,449,000.00 2,300 2,300 Rp 630.00 Rp 1,449,000.00
Rp 1,983,000.00 3,000 3,000 Rp 661.00 Rp 1,983,000.00
Rp 1,320,000.00 - - Rp 2,640.00 Rp -
Rp 1,106,240.00 140 140 Rp 6,914.00 Rp 967,960.00
Rp 1,970,045.00 20 20 Rp 39,400.90 Rp 788,018.00
Rp - 100 100 Rp 20,800.01 Rp 2,080,001.00
Rp 1,203,600.00 510 510 Rp 2,360.00 Rp 1,203,600.00

Rp 7,076,970.00 3,000 3,000 Rp 2,358.99 Rp 7,076,970.00
Rp 37,124,700.00 4,710 840 5,550 Rp 1,847.00 Rp 10,250,850.00
Rp 2,026,980.00 180 180 Rp 11,261.00 Rp 2,026,980.00

Rp 2,110,500.00 105 105 Rp 20,100.00 Rp 2,110,500.00
Rp 6,000,000.00 1,500 1,500 Rp 4,000.00 Rp 6,000,000.00
Rp 622,500.00 570 240 810 Rp 415.00 Rp 336,150.00
Rp 2,659,140.00 1,800 180 1,980 Rp 1,122.00 Rp 2,221,560.00
Rp 19,250,980.00 2 2 Rp 962,549.00 Rp 1,925,098.00
Rp 283,500.00 2,100 2,100 Rp 135.00 Rp 283,500.00
Rp 4,356,000.00 90 95 185 Rp 21,780.00 Rp 4,029,300.00
Rp 2,303,400.00 - - Rp 767.80 Rp -
Rp 5,412,000.00 10 10 Rp 90,200.00 Rp 902,000.00
Rp 1,179,750.00 150 150 300 Rp 3,932.50 Rp 1,179,750.00
Rp 16,662,500.00 1 1 Rp 3,332,500.00 Rp 3,332,500.00
Rp 6,899,999.70 - - Rp 3,449,999.85 Rp -
Rp 19,780,000.00 2 2 Rp 2,472,500.00 Rp 4,945,000.00
Rp 3,225,000.00 1 1 Rp 3,225,000.00 Rp 3,225,000.00
Rp 16,662,500.00 1 1 Rp 3,332,500.00 Rp 3,332,500.00
Rp 6,899,999.70 1 1 Rp 3,449,999.85 Rp 3,449,999.85
Rp 22,252,500.00 3 3 Rp 2,472,500.00 Rp 7,417,500.00
Rp 1,872,400.00 3,100 3,100 Rp 604.00 Rp 1,872,400.00
Rp 3,300,000.00 100 100 Rp 2,750.00 Rp 275,000.00
Rp 584,658.80 178 178 Rp 3,284.60 Rp 584,658.80
Rp 1,897,500.00 20 20 Rp 6,325.00 Rp 126,500.00
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 5,100,000.00 5 5 Rp 1,020,000.00 Rp 5,100,000.00
Rp 77,000.00 1 1 Rp 77,000.00 Rp 77,000.00
Rp 187,000.00 1 1 Rp 187,000.00 Rp 187,000.00
Rp 5,227,500.00 3 3 Rp 1,742,500.00 Rp 5,227,500.00
Rp 37,400.00 1 1 Rp 37,400.00 Rp 37,400.00
Rp 3,600,000.00 1 1 Rp 3,600,000.00 Rp 3,600,000.00
Rp 219,428.00 2 2 Rp 109,714.00 Rp 219,428.00
Rp 176,000.00 1 1 Rp 176,000.00 Rp 176,000.00
Rp 302,000.00 2 Rp 151,000.00 Rp 302,000.00

2
Rp 203,500.00 1 1 Rp 203,500.00 Rp 203,500.00
Rp 120,228.00 1 1 Rp 120,228.00 Rp 120,228.00
Rp 799,000.00 1 1 Rp 799,000.00 Rp 799,000.00
Rp 549,000.00 9 9 Rp 61,000.00 Rp 549,000.00
Rp 55,000.00 1 Rp 55,000.00 Rp 55,000.00

1
Rp 330,000.00 1 1 Rp 330,000.00 Rp 330,000.00
Rp 31,900.00 1 1 Rp 31,900.00 Rp 31,900.00
Rp 1,069,200.00 - - Rp 267,300.00 Rp -
Rp 66,000.00 1 1 Rp 66,000.00 Rp 66,000.00
Rp 121,000.00 1 1 Rp 121,000.00 Rp 121,000.00
Rp 177,000.00 - - Rp 177,000.00 Rp -
Rp 427,000.00 - Rp 427,000.00 Rp -
-
Rp 356,000.00 2 2 Rp 178,000.00 Rp 356,000.00
Rp 3,285,000.00 3 3 Rp 1,095,000.00 Rp 3,285,000.00
Rp 92,404.00 1 3 4 Rp 23,101.00 Rp 92,404.00
Rp 448,000.00 2 2 Rp 224,000.00 Rp 448,000.00
Rp 203,000.00 1 1 Rp 203,000.00 Rp 203,000.00
Rp 253,000.00 1 1 Rp 253,000.00 Rp 253,000.00
Rp 2,734,000.00 2 2 Rp 1,367,000.00 Rp 2,734,000.00
Rp 66,000.00 1 1 Rp 66,000.00 Rp 66,000.00
Rp 66,000.00 1 1 Rp 66,000.00 Rp 66,000.00
Rp 66,000.00 1 1 Rp 66,000.00 Rp 66,000.00
Rp 66,000.00 1 1 Rp 66,000.00 Rp 66,000.00
Rp 9,174,000.00 1 1 Rp 9,174,000.00 Rp 9,174,000.00
Rp 540,000.00 6 6 Rp 90,000.00 Rp 540,000.00
Rp 48,400.00 1 1 Rp 48,400.00 Rp 48,400.00
Rp 1,440,000.00 2 2 Rp 288,000.00 Rp 576,000.00
Rp 286,000.00 2 2 Rp 143,000.00 Rp 286,000.00
Rp 208,000.00 1 1 Rp 208,000.00 Rp 208,000.00
Rp 814,000.00 2 2 Rp 407,000.00 Rp 814,000.00
Rp 200,000.00 1 1 Rp 200,000.00 Rp 200,000.00
Rp 200,000.00 1 1 Rp 200,000.00 Rp 200,000.00
Rp 875,094.00 1 1 Rp 437,547.00 Rp 437,547.00
Rp 247,500.00 1 1 Rp 247,500.00 Rp 247,500.00
Rp 329,250.00 3 3 Rp 109,750.00 Rp 329,250.00
Rp 48,400.00 1 1 Rp 48,400.00 Rp 48,400.00
Rp 48,400.00 1 1 Rp 48,400.00 Rp 48,400.00
Rp 150,000.00 1 1 Rp 75,000.00 Rp 75,000.00
Rp 396,000.00 1 1 Rp 396,000.00 Rp 396,000.00
Rp 421,288.00 1 1 Rp 210,644.00 Rp 210,644.00
Rp 41,800.00 1 1 Rp 41,800.00 Rp 41,800.00
Rp 215,500.00 1 1 Rp 215,500.00 Rp 215,500.00
Rp 227,000.00 - - Rp 227,000.00 Rp -
Rp 2,960,000.00 2 2 Rp 185,000.00 Rp 370,000.00
Rp 480,912.00 4 4 Rp 120,228.00 Rp 480,912.00
Rp 1,840,000.00 2 1 3 Rp 230,000.00 Rp 690,000.00
Rp 109,750.00 1 1 Rp 109,750.00 Rp 109,750.00
Rp 133,000.00 1 1 Rp 133,000.00 Rp 133,000.00
Rp 499,400.00 1 1 Rp 499,400.00 Rp 499,400.00
Rp 6,120,000.00 3 3 Rp 1,020,000.00 Rp 3,060,000.00
Rp 1,194,600.00 3 3 Rp 398,200.00 Rp 1,194,600.00
Rp 9,174,000.00 1 1 Rp 9,174,000.00 Rp 9,174,000.00
Rp 835,000.00 1 1 Rp 835,000.00 Rp 835,000.00
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 640,000.00 1 1 Rp 640,000.00 Rp 640,000.00
Rp 6,204,000.00 2 2 Rp 3,102,000.00 Rp 6,204,000.00
Rp 6,204,000.00 2 2 Rp 3,102,000.00 Rp 6,204,000.00
Rp 981,818.18 2 2 Rp 490,909.09 Rp 981,818.18
Rp 2,427,700.00 1 1 Rp 2,427,700.00 Rp 2,427,700.00
Rp 4,857,600.00 6 6 Rp 809,600.00 Rp 4,857,600.00
Rp 1,753,400.00 2 2 Rp 876,700.00 Rp 1,753,400.00
Rp 2,454,000.00 2 2 Rp 1,227,000.00 Rp 2,454,000.00
Rp 9,306,000.00 3 3 Rp 3,102,000.00 Rp 9,306,000.00
Rp 935,000.00 1 1 Rp 935,000.00 Rp 935,000.00
Rp 38,610,000.00 18 18 Rp 2,145,000.00 Rp 38,610,000.00
Rp 43,622,150.00 13 13 Rp 3,355,550.00 Rp 43,622,150.00
Rp 19,250,000.00 7 7 Rp 2,750,000.00 Rp 19,250,000.00
Rp 13,422,200.00 4 4 Rp 3,355,550.00 Rp 13,422,200.00
Rp 1,177,000.00 1 1 Rp 1,177,000.00 Rp 1,177,000.00
Rp 12,251,250.00 3 3 Rp 4,083,750.00 Rp 12,251,250.00
Rp 125,400.00 2 2 Rp 62,700.00 Rp 125,400.00
Rp 13,662,000.00 12 12 Rp 1,138,500.00 Rp 13,662,000.00
Rp 2,178,000.00 2 2 Rp 1,089,000.00 Rp 2,178,000.00
Rp 4,157,600.00 16 16 Rp 259,850.00 Rp 4,157,600.00
Rp 13,915,000.00 11 11 Rp 1,265,000.00 Rp 13,915,000.00
Rp 5,712,000.00 3 3 Rp 1,904,000.00 Rp 5,712,000.00
Rp 12,566,400.00 6 6 Rp 2,094,400.00 Rp 12,566,400.00
Rp 831,875.00 1 1 Rp 831,875.00 Rp 831,875.00
Rp 4,620,000.00 6 6 Rp 770,000.00 Rp 4,620,000.00
Rp 21,628,750.00 11 Rp 1,966,250.00 Rp 21,628,750.00

11
Rp 13,750,000.00 10 Rp 1,375,000.00 Rp 13,750,000.00

10
Rp 4,268,880.00 7 7 Rp 609,840.00 Rp 4,268,880.00
Rp 10,670,000.00 10 10 Rp 1,067,000.00 Rp 10,670,000.00
Rp 9,603,000.00 9 9 Rp 1,067,000.00 Rp 9,603,000.00
Rp 5,420,800.00 5 5 Rp 1,084,160.00 Rp 5,420,800.00
Rp 16,755,200.00 8 Rp 2,094,400.00 Rp 16,755,200.00

8
Rp 5,420,800.00 5 5 Rp 1,084,160.00 Rp 5,420,800.00
Rp 19,965,000.00 12 12 Rp 1,663,750.00 Rp 19,965,000.00
Rp 32,340,000.00 7 7 Rp 4,620,000.00 Rp 32,340,000.00
Rp 1,320,000.00 1 1 Rp 1,320,000.00 Rp 1,320,000.00
Rp 13,280,960.00 14 14 Rp 948,640.00 Rp 13,280,960.00
Rp 6,270,000.00 3 3 Rp 2,090,000.00 Rp 6,270,000.00
Rp 30,030,000.00 3 3 Rp 10,010,000.00 Rp 30,030,000.00
Rp 4,994,000.00 2 2 Rp 2,497,000.00 Rp 4,994,000.00
Rp 24,664,640.00 13 13 Rp 1,897,280.00 Rp 24,664,640.00
Rp 3,696,000.00 6 6 Rp 616,000.00 Rp 3,696,000.00
Rp 28,188,160.00 13 13 Rp 2,168,320.00 Rp 28,188,160.00
Rp 16,262,400.00 12 12 Rp 1,355,200.00 Rp 16,262,400.00
Rp 2,887,500.00 - - Rp 192,500.00 Rp -
Rp 3,850,000.00 7 7 Rp 550,000.00 Rp 3,850,000.00
Rp 680,625.00 1 1 Rp 680,625.00 Rp 680,625.00
Rp 115,500.00 1 1 Rp 115,500.00 Rp 115,500.00
Rp 115,500.00 1 1 Rp 115,500.00 Rp 115,500.00
Rp 121,000.00 1 1 Rp 121,000.00 Rp 121,000.00
Rp 137,500.00 1 1 Rp 137,500.00 Rp 137,500.00
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 340,312.50 3 3 Rp 113,437.50 Rp 340,312.50
Rp 2,640,000.00 2 2 Rp 1,320,000.00 Rp 2,640,000.00
Rp 2,354,000.00 2 2 Rp 1,177,000.00 Rp 2,354,000.00
Rp 656,250.00 75 75 Rp 8,750.00 Rp 656,250.00
Rp 1,093,750.00 125 125 Rp 8,750.00 Rp 1,093,750.00
Rp 6,831,000.00 475 75 550 Rp 11,880.00 Rp 6,534,000.00
Rp 3,434,250.00 696 696 Rp 2,375.00 Rp 1,653,000.00
Rp 3,080,000.00 125 125 Rp 24,640.00 Rp 3,080,000.00
Rp 7,040,000.00 160 160 Rp 44,000.00 Rp 7,040,000.00
Rp 7,744,000.00 60 60 Rp 48,400.00 Rp 2,904,000.00
Rp 4,950,000.00 - - Rp 4,950.00 Rp -
Rp 6,210,000.00 9 9 Rp 690,000.00 Rp 6,210,000.00
Rp 2,395,800.00 3 3 Rp 798,600.00 Rp 2,395,800.00
Rp 756,250.00 1 1 Rp 756,250.00 Rp 756,250.00
Rp 759,000.00 1 1 Rp 759,000.00 Rp 759,000.00
Rp 12,320,000.00 200 200 Rp 61,600.00 Rp 12,320,000.00
Rp 30,250,000.00 250 25 275 Rp 75,625.00 Rp 20,796,875.00
Rp 2,800,000.00 4 4 Rp 700,000.00 Rp 2,800,000.00
Rp 220,000.00 5 5 Rp 44,000.00 Rp 220,000.00
Rp 37,125,000.00 3 6 9 Rp 4,125,000.00 Rp 37,125,000.00
Rp 19,860,500.00 1 1 Rp 19,860,500.00 Rp 19,860,500.00
Rp 12,375,000.00 3 3 Rp 4,125,000.00 Rp 12,375,000.00
Rp 330,000.00 5 5 Rp 66,000.00 Rp 330,000.00
Rp 935,000.00 1 1 Rp 935,000.00 Rp 935,000.00
Rp 2,420,000.00 40 40 Rp 30,250.00 Rp 1,210,000.00
Rp 20,399,998.30 340 340 Rp 60,000.00 Rp 20,399,998.30
Rp 79,200,000.00 740 740 Rp 99,000.00 Rp 73,260,000.00
Rp 16,940,000.00 20 60 80 Rp 38,500.00 Rp 3,080,000.00
Rp 5,478,000.00 120 120 Rp 45,650.00 Rp 5,478,000.00
Rp 50,820,000.00 760 760 Rp 60,500.00 Rp 45,980,000.00
Rp 12,200,000.00 4 4 Rp 3,050,000.00 Rp 12,200,000.00

Rp 43,615,000.00 8 8 Rp 3,355,000.00 Rp 26,840,000.00
Rp 7,740,000.00 6 6 Rp 1,290,000.00 Rp 7,740,000.00
Rp 4,242,810.00 3 3 Rp 1,414,270.00 Rp 4,242,810.00
Rp 9,867,000.00 10 3 13 Rp 759,000.00 Rp 9,867,000.00
Rp 2,070,000.00 3 3 Rp 690,000.00 Rp 2,070,000.00
Rp 9,540,000.00 10 2 12 Rp 795,000.00 Rp 9,540,000.00
Rp 1,512,500.00 125 125 Rp 12,100.00 Rp 1,512,500.00
Rp 17,600,000.00 300 100 400 Rp 35,200.00 Rp 14,080,000.00
Rp 1,804,000.00 1 1 Rp 1,804,000.00 Rp 1,804,000.00
Rp 3,058,000.00 2 2 Rp 1,529,000.00 Rp 3,058,000.00
Rp 19,800,000.00 200 Rp 99,000.00 Rp 19,800,000.00

200
Rp 604,032.00 14 14 Rp 18,876.00 Rp 264,264.00
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 7,425,000.00 9 9 Rp 825,000.00 Rp 7,425,000.00
Rp 9,487,500.00 - - Rp 948,750.00 Rp -
Rp 7,597,942.00 28 28 Rp 130,999.00 Rp 3,667,972.00
Rp 5,115,000.00 30 30 Rp 170,500.00 Rp 5,115,000.00
Rp 26,031,456.00 332 332 Rp 78,408.00 Rp 26,031,456.00

Rp 1,960,200.00 20 26 46 Rp 39,204.00 Rp 1,803,384.00
Rp 13,750,000.00 9 1 10 Rp 1,375,000.00 Rp 13,750,000.00
Rp 7,425,600.00 26 2 28 Rp 176,800.00 Rp 4,950,400.00
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 18,400,000.00 25 25 Rp 400,000.00 Rp 10,000,000.00
Rp 1,540,000.00 - 5 5 Rp 220,000.00 Rp 1,100,000.00
Rp 370,000.00 - - Rp 370,000.00 Rp -
Rp 87,501.70 500 500 Rp 175.00 Rp 87,501.70
Rp 345,000.15 800 800 Rp 115.00 Rp 92,000.04
Rp 2,000,000.00 - - Rp 1,000.00 Rp -
Rp 359,996.40 360 360 Rp 333.33 Rp 119,998.80
Rp 15,345,000.00 500 500 Rp 3,410.00 Rp 1,705,000.00
Rp 5,984,357.50 40 180 220 Rp 2,393.74 Rp 526,623.46
Rp 6,875,000.00 300 300 Rp 2,750.00 Rp 825,000.00
Rp 150,150.00 100 100 Rp 1,501.50 Rp 150,150.00
Rp 9,625,000.00 2,900 200 3,100 Rp 1,925.00 Rp 5,967,500.00
Rp 8,662,500.00 4,200 300 4,500 Rp 1,925.00 Rp 8,662,500.00
Rp 8,920,700.00 37 37 Rp 241,100.00 Rp 8,920,700.00
Rp 6,449,800.00 34 34 Rp 189,700.00 Rp 6,449,800.00
Rp - Rp - Rp -
Rp - - - Rp - Rp -
Rp 2,293,500.00 3 3 Rp 764,500.00 Rp 2,293,500.00
Rp 2,750,000.00 2 2 Rp 1,375,000.00 Rp 2,750,000.00
Rp 3,295,050.00 3 3 Rp 1,098,350.00 Rp 3,295,050.00
Rp 21,450,000.00 30 30 Rp 715,000.00 Rp 21,450,000.00
Rp 11,000,000.00 20 20 Rp 550,000.00 Rp 11,000,000.00
Rp - Rp - Rp -
Rp - - - Rp - Rp -
Rp 5,676,000.00 4 Rp 1,419,000.00 Rp 5,676,000.00

4
Rp 7,602,787.50 1 1 Rp 1,520,557.50 Rp 1,520,557.50

-
Rp 13,750,000.00 5 Rp 2,750,000.00 Rp 13,750,000.00

5
Rp 14,683,630.50 - Rp 2,936,726.10 Rp -
-
Rp 25,650,000.00 4 Rp 5,130,000.00 Rp 20,520,000.00

4
Rp 21,230,000.00 5 Rp 4,246,000.00 Rp 21,230,000.00

5
Rp 9,079,056.80 - Rp 4,539,528.40 Rp -
-
Rp 5,500,000.00 1 1 Rp 5,500,000.00 Rp 5,500,000.00
Rp 27,522,000.00 2 2 Rp 5,504,400.00 Rp 11,008,800.00
Rp 12,320,000.00 2 2 Rp 6,160,000.00 Rp 12,320,000.00
Rp 25,740,000.00 1 1 Rp 8,580,000.00 Rp 8,580,000.00
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 12,412,329.60 - - Rp 64,647.55 Rp -
Rp 11,049,998.30 8,300 400 8,700 Rp 812.50 Rp 7,068,748.91
Rp 18,153,125.00 10,300 1,000 11,300 Rp 1,156.25 Rp 13,065,625.00
Rp 2,523,591.00 200 450 650 Rp 2,403.42 Rp 1,562,223.00
Rp 937,750.00 - Rp 1,875.50 Rp -
Rp 9,715,464.00 9,400 9,400 Rp 1,033.56 Rp 9,715,464.00
Rp 7,312,500.36 6,600 1,700 8,300 Rp 812.50 Rp 6,743,750.33
Rp 10,604,080.00 6,800 900 7,700 Rp 1,277.60 Rp 9,837,520.00
Rp 937,499.97 - Rp 937.50 Rp -
Rp 3,773,209.50 510 510 Rp 7,398.45 Rp 3,773,209.50
Rp 7,225,006.80 120 740 Rp 4,250.00 Rp 3,145,002.96

620
Rp 1,423,125.00 60 Rp 9,487.50 Rp 569,250.00

60
Rp 26,400,000.00 30 30 Rp 880,000.00 Rp 26,400,000.00
Rp 31,675,000.00 21 7 28 Rp 905,000.00 Rp 25,340,000.00
Rp 220,000.00 5 5 Rp 44,000.00 Rp 220,000.00
Rp 6,435,000.00 130 130 Rp 49,500.00 Rp 6,435,000.00
Rp 9,900,000.00 200 200 Rp 49,500.00 Rp 9,900,000.00
Rp 16,500,000.00 20 20 Rp 825,000.00 Rp 16,500,000.00
Rp 990,000.00 1 1 Rp 990,000.00 Rp 990,000.00
Rp 14,640,000.00 20,800 4,800 25,600 Rp 150.00 Rp 3,840,000.00
Rp 4,507,500.00 - - Rp 1,502,500.00 Rp -
Rp 800,000.00 - - Rp 800,000.00 Rp -
Rp 79,900.00 - - Rp 4,700.00 Rp -
Rp 9,840,017.22 2,460 2,460 Rp 4,000.01 Rp 9,840,017.22
Rp 4,921,867.50 320 250 570 Rp 3,281.25 Rp 1,870,309.65
Rp 257,400.00 5 5 Rp 19,800.00 Rp 99,000.00
Rp 231,250.03 - - Rp 23,125.00 Rp -
Rp 297,000.00 2 2 Rp 19,800.00 Rp 39,600.00
Rp 231,250.03 - - Rp 23,125.00 Rp -
Rp 257,400.00 3 3 Rp 19,800.00 Rp 59,400.00
Rp 231,250.03 - - Rp 23,125.00 Rp -
Rp 10,000,000.00 40 40 Rp 250,000.00 Rp 10,000,000.00
Rp 1,770,720.00 - - Rp 55,335.00 Rp -
Rp 1,103,205.24 - - Rp 61,289.18 Rp -
Rp 6,000,000.00 - - Rp 10,000.00 Rp -
Rp 1,463,000.00 50 50 Rp 14,630.00 Rp 731,500.00
Rp 3,388,000.00 - - Rp 16,940.00 Rp -
Rp 1,831,698.00 200 200 Rp 9,158.49 Rp 1,831,698.00
Rp 475,000.00 100 100 Rp 4,750.00 Rp 475,000.00
Rp 2,924,812.00 100 100 200 Rp 14,624.06 Rp 2,924,812.00
Rp 8,990,784.00 - - Rp 14,984.64 Rp -
Rp 4,579,245.00 500 500 Rp 9,158.49 Rp 4,579,245.00
Rp 9,158,490.00 850 850 Rp 9,158.49 Rp 7,784,716.50
Rp 475,000.00 100 100 Rp 4,750.00 Rp 475,000.00
Rp 20,148,678.00 200 200 Rp 9,158.49 Rp 1,831,698.00
Rp 8,593,500.00 400 400 Rp 21,483.75 Rp 8,593,500.00
Rp 2,574,000.00 - 50 50 Rp 12,870.00 Rp 643,500.00
Rp 218,509.50 17 Rp 12,853.50 Rp 218,509.50

17
Rp 1,206,562.50 450 450 Rp 2,681.25 Rp 1,206,562.50
Rp 6,544,972.50 100 Rp 13,089.95 Rp 1,308,994.50

100
Rp 1,421,875.00 350 Rp 4,062.50 Rp 1,421,875.00

350
Rp 12,610,330.00 155 Rp 31,525.83 Rp 4,886,502.88

155
Rp 20,814,750.00 100 450 Rp 14,355.00 Rp 6,459,750.00

350
Rp 85,412,250.00 150 Rp 14,355.00 Rp 2,153,250.00

150
Rp 20,097,000.00 100 Rp 14,355.00 Rp 1,435,500.00

100
Rp 6,061,320.00 12 36 Rp 50,511.00 Rp 1,818,396.00

24
Rp 9,512,811.00 144 36 180 Rp 52,848.95 Rp 9,512,811.00
Rp 1,009,221.84 36 36 Rp 28,033.94 Rp 1,009,221.84
Rp 8,470,000.00 70 Rp 121,000.00 Rp 8,470,000.00

70
Rp 5,500,000.00 10 10 Rp 55,000.00 Rp 550,000.00
Rp 1,104,000.00 200 200 Rp 5,520.00 Rp 1,104,000.00
Rp 4,900,000.00 - - Rp 7,000.00 Rp -
Rp 4,799,850.00 200 200 Rp 15,999.50 Rp 3,199,900.00
Rp 563,832.64 - - Rp 20,136.88 Rp -
Rp 973,560.39 5 5 Rp 29,501.83 Rp 147,509.15
Rp 2,964,000.00 3,800 3,800 Rp 780.00 Rp 2,964,000.00
Rp 165,000.00 - Rp 330.00 Rp -
Rp 165,000.00 - Rp 330.00 Rp -
Rp 3,928,816.00 200 200 Rp 19,644.08 Rp 3,928,816.00
Rp 9,062,350.00 110 110 Rp 18,124.70 Rp 1,993,717.00
Rp 15,675,000.00 70 70 Rp 27,500.00 Rp 1,925,000.00
Rp 2,500,014.00 1,000 1,000 Rp 2,500.01 Rp 2,500,014.00
Rp 893,750.00 150 150 300 Rp 1,375.00 Rp 412,500.00
Rp 500,002.80 100 100 Rp 2,500.01 Rp 250,001.40
Rp 625,000.00 250 250 Rp 2,500.00 Rp 625,000.00
Rp 415,206.00 9 9 Rp 46,134.00 Rp 415,206.00
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 499,472.70 10 10 Rp 49,947.27 Rp 499,472.70
Rp 499,472.70 10 10 Rp 49,947.27 Rp 499,472.70
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 499,472.70 10 10 Rp 49,947.27 Rp 499,472.70
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 499,472.70 - - Rp 49,947.27 Rp -
Rp 199,789.08 4 4 Rp 49,947.27 Rp 199,789.08
Rp 1,339,470.00 15 15 Rp 29,766.00 Rp 446,490.00
Rp 1,369,236.00 16 16 Rp 29,766.00 Rp 476,256.00
Rp 1,488,300.00 - - Rp 29,766.00 Rp -
Rp 1,488,300.00 - - Rp 29,766.00 Rp -
Rp 1,488,300.00 - - Rp 29,766.00 Rp -
Rp 1,190,640.00 - - Rp 29,766.00 Rp -
Rp 892,980.00 10 10 Rp 29,766.00 Rp 297,660.00
Rp 595,320.00 - - Rp 29,766.00 Rp -
Rp 892,980.00 - - Rp 29,766.00 Rp -
Rp 1,488,300.00 - - Rp 29,766.00 Rp -
Rp 2,374,350.00 300 300 Rp 7,914.50 Rp 2,374,350.00
Rp 4,812,500.00 200 200 Rp 6,875.00 Rp 1,375,000.00
Rp 18,222,496.06 44 24 68 Rp 46,249.99 Rp 3,144,999.32
Rp 957,000.00 100 100 Rp 9,570.00 Rp 957,000.00
Rp 1,014,000.00 78 78 Rp 13,000.00 Rp 1,014,000.00
Rp 3,596,400.00 55 55 Rp 32,400.00 Rp 1,782,000.00
Rp 1,300,000.00 100 100 Rp 13,000.00 Rp 1,300,000.00
Rp 2,332,500.50 - Rp 23,325.01 Rp -
Rp 284,130.00 30 30 Rp 9,471.00 Rp 284,130.00

Rp 317,278.50 12 9 21 Rp 9,065.10 Rp 190,367.10
Rp 271,953.00 20 20 Rp 9,065.10 Rp 181,302.00
Rp 290,400.00 - Rp 9,680.00 Rp -
Rp 426,059.70 21 5 26 Rp 9,065.10 Rp 235,692.60

Rp 6,188,400.00 41 41 Rp 32,400.00 Rp 1,328,400.00
Rp 3,434,400.00 36 36 Rp 32,400.00 Rp 1,166,400.00
Rp 1,970,654.40 161 37 198 Rp 9,952.80 Rp 1,970,654.40
Rp 787,499.90 - Rp 26,250.00 Rp -
Rp 422,136.00 - - Rp 7,035.60 Rp -
Rp 422,136.00 - - Rp 7,035.60 Rp -
Rp 5,702,400.00 - - Rp 39,600.00 Rp -
Rp 6,930,000.00 1 1 Rp 38,500.00 Rp 38,500.00
Rp 362,604.00 40 Rp 9,065.10 Rp 362,604.00

40
Rp 1,732,500.00 30 Rp 17,325.00 Rp 519,750.00

30
Rp 271,953.00 30 Rp 9,065.10 Rp 271,953.00

30
Rp 1,732,500.00 - Rp 17,325.00 Rp -
-
Rp 3,413,988.00 240 240 Rp 14,224.95 Rp 3,413,988.00
Rp 4,836,483.00 10 10 20 Rp 14,224.95 Rp 284,499.00
Rp 1,772,000.00 10 Rp 44,300.00 Rp 443,000.00

10
Rp 1,772,000.00 5 Rp 44,300.00 Rp 221,500.00

5
Rp 13,371,453.00 930 10 940 Rp 14,224.95 Rp 13,371,453.00
Rp 2,039,840.00 - 60 60 Rp 10,199.20 Rp 611,952.00
Rp 900,000.00 20 70 90 Rp 10,000.00 Rp 900,000.00
Rp 1,422,495.00 60 60 Rp 14,224.95 Rp 853,497.00
Rp 476,784.00 40 40 Rp 11,919.60 Rp 476,784.00
Rp 548,625.00 30 30 Rp 18,287.50 Rp 548,625.00
Rp 2,000,000.20 20 20 Rp 10,000.00 Rp 200,000.02
Rp 1,008,000.00 100 100 Rp 1,440.00 Rp 144,000.00
Rp 864,000.00 100 100 Rp 1,440.00 Rp 144,000.00
Rp 975,722.40 6 6 Rp 27,103.40 Rp 162,620.40
Rp 1,154,876.80 9 9 Rp 41,245.60 Rp 371,210.40
Rp 896,000.00 - - Rp 28,000.00 Rp -
Rp 2,920,638.60 - 3 3 Rp 54,085.90 Rp 162,257.70
Rp 8,500,000.00 10,000 10,000 Rp 850.00 Rp 8,500,000.00
Rp 35,000,002.00 5,000 1,000 6,000 Rp 1,750.00 Rp 10,500,000.60
Rp 4,250,000.00 5,000 5,000 Rp 850.00 Rp 4,250,000.00
Rp 113,400,000.00 49,000 5,000 54,000 Rp 1,800.00 Rp 97,200,000.00
Rp 22,770,000.00 10,000 10,000 Rp 2,277.00 Rp 22,770,000.00
Rp 22,176,000.00 12,000 12,000 Rp 1,848.00 Rp 22,176,000.00

Rp 12,751,200.00 8,000 8,000 Rp 1,593.90 Rp 12,751,200.00
Rp 89,760,000.00 38,000 6,000 44,000 Rp 1,760.00 Rp 77,440,000.00
Rp 5,300,000.00 5,000 5,000 Rp 1,060.00 Rp 5,300,000.00
Rp 9,540,000.00 9,000 9,000 Rp 1,060.00 Rp 9,540,000.00
Rp 4,073,300.00 100 100 Rp 40,733.00 Rp 4,073,300.00
Rp 12,219,900.00 100 200 300 Rp 40,733.00 Rp 12,219,900.00
Rp 21,384,825.00 125 125 Rp 40,733.00 Rp 5,091,625.00
Rp 11,406,622.50 450 450 Rp 8,449.35 Rp 3,802,207.50
Rp 2,700,088.00 200 200 Rp 13,500.44 Rp 2,700,088.00
Rp 13,500,440.00 - - Rp 13,500.44 Rp -
Rp 78,238,721.00 2,150 500 2,650 Rp 14,624.06 Rp 38,753,759.00
Rp 2,268,750.00 250 250 Rp 9,075.00 Rp 2,268,750.00
Rp 7,831,870.00 - - Rp 7,831.87 Rp -
Rp 32,172,932.00 1,000 200 1,200 Rp 14,624.06 Rp 17,548,872.00
Rp 2,722,500.00 300 300 Rp 9,075.00 Rp 2,722,500.00
Rp 5,482,309.00 300 300 Rp 7,831.87 Rp 2,349,561.00
Rp 33,751,100.00 200 200 Rp 13,500.44 Rp 2,700,088.00
Rp 3,957,000.00 250 250 Rp 6,595.00 Rp 1,648,750.00
Rp 1,978,500.00 300 300 Rp 6,595.00 Rp 1,978,500.00
Rp 469,999.75 - - Rp 469,999.75 Rp -
Rp 4,367,990.55 650 650 Rp 4,159.99 Rp 2,703,994.15
Rp 10,400,005.00 1,000 150 1,150 Rp 4,160.00 Rp 4,784,002.30
Rp 7,087,500.00 350 350 Rp 20,250.00 Rp 7,087,500.00
Rp 3,874,000.00 100 100 Rp 7,748.00 Rp 774,800.00
Rp 1,274,130.00 100 100 Rp 1,415.70 Rp 141,570.00
Rp 720,000.00 - - Rp 18,000.00 Rp -
Rp 7,237,500.60 70 70 Rp 36,187.50 Rp 2,533,125.21
Rp 2,257,175.00 47 47 Rp 48,025.00 Rp 2,257,175.00
Rp 4,560,000.00 76 76 Rp 60,000.00 Rp 4,560,000.00

Rp 8,617,501.20 125 25 150 Rp 57,450.01 Rp 8,617,501.20
Rp 7,040,000.00 20 20 Rp 352,000.00 Rp 7,040,000.00
Rp 4,433,000.00 3 3 Rp 34,100.00 Rp 102,300.00
Rp 6,352,500.00 660 Rp 9,625.00 Rp 6,352,500.00

660
Rp 1,050,000.00 400 Rp 2,625.00 Rp 1,050,000.00

400
Rp 1,312,500.00 700 Rp 1,875.00 Rp 1,312,500.00

700
Rp 2,912,625.00 350 100 450 Rp 6,472.50 Rp 2,912,625.00
Rp 5,650,000.00 400 400 Rp 14,125.00 Rp 5,650,000.00
Rp 17,440,908.75 75 75 Rp 232,545.45 Rp 17,440,908.75
Rp 78,347,500.00 - - Rp 423,500.00 Rp -
Rp 3,639,020.00 - - Rp 181,951.00 Rp -
Rp 15,563,116.80 71 4 75 Rp 138,956.40 Rp 10,421,730.00
Rp 1,980,000.00 4 4 Rp 132,000.00 Rp 528,000.00
Rp 825,000.00 3 3 Rp 275,000.00 Rp 825,000.00
Rp 19,338,550.00 20 20 Rp 276,265.00 Rp 5,525,300.00
Rp 6,160,000.00 - - Rp 154,000.00 Rp -
Rp 72,500.01 - - Rp 7,250.00 Rp -
Rp 72,500.01 2 2 Rp 7,250.00 Rp 14,500.00
Rp 72,500.01 1 1 Rp 7,250.00 Rp 7,250.00
Rp 1,831,500.00 445 445 Rp 2,312.50 Rp 1,029,062.50
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 1,290,909.00 2 2 Rp 129,090.90 Rp 258,181.80
Rp 2,622,000.00 50 50 Rp 2,760.00 Rp 138,000.00
Rp 14,414,400.00 200 200 Rp 32,032.00 Rp 6,406,400.00
Rp 1,868,550.20 19 3 22 Rp 37,371.00 Rp 822,162.09
Rp 1,304,100.00 15 15 Rp 86,940.00 Rp 1,304,100.00
Rp 133,650.00 1 1 Rp 14,850.00 Rp 14,850.00
Rp 10,120,000.00 200 200 Rp 50,600.00 Rp 10,120,000.00
Rp 41,250,000.00 1,189 1,189 Rp 27,500.00 Rp 32,697,500.00
Rp 27,720,000.00 20,000 20,000 Rp 1,386.00 Rp 27,720,000.00
Rp 7,210,500.00 3,450 3,450 Rp 2,090.00 Rp 7,210,500.00
Rp 62,700,000.00 45,000 2,800 47,800 Rp 1,254.00 Rp 59,941,200.00
Rp 4,125,000.00 5,000 5,000 Rp 825.00 Rp 4,125,000.00

Rp 15,400,000.00 2,800 2,800 Rp 5,500.00 Rp 15,400,000.00
Rp 27,225,000.00 1,100 1,100 Rp 6,050.00 Rp 6,655,000.00
Rp 6,202,500.00 19 Rp 12,405.00 Rp 235,695.00

19
Rp 2,070,274.80 - - Rp 10,351.37 Rp -
Rp 13,148,691.75 225 225 Rp 58,438.63 Rp 13,148,691.75

Rp 9,317,000.00 250 250 Rp 16,940.00 Rp 4,235,000.00
Rp 5,062,503.60 25 25 Rp 16,875.01 Rp 421,875.30
Rp 3,600,000.00 200 200 Rp 18,000.00 Rp 3,600,000.00
Rp 15,400,000.00 25 25 Rp 30,800.00 Rp 770,000.00
Rp 6,750,000.00 - - Rp 18,000.00 Rp -
Rp 368,600.00 38 38 Rp 9,700.00 Rp 368,600.00
Rp 588,000.00 - - Rp 28,000.00 Rp -
Rp 110,023.38 7 7 Rp 15,717.63 Rp 110,023.38
Rp 504,000.00 - 1 1 Rp 28,000.00 Rp 28,000.00
Rp 94,305.75 2 4 6 Rp 15,717.63 Rp 94,305.75
Rp 616,000.00 - - Rp 28,000.00 Rp -
Rp 252,000.00 - - Rp 28,000.00 Rp -
Rp 1,316,000.00 1 1 Rp 28,000.00 Rp 28,000.00
Rp 560,000.00 - 20 20 Rp 28,000.00 Rp 560,000.00
Rp 471,528.75 1 1 Rp 15,717.63 Rp 15,717.63
Rp 471,528.75 2 2 Rp 15,717.63 Rp 31,435.25
Rp 471,528.75 - 9 9 Rp 15,717.63 Rp 141,458.63
Rp 471,528.75 7 7 Rp 15,717.63 Rp 110,023.38
Rp 471,528.75 3 3 Rp 15,717.63 Rp 47,152.88
Rp 361,505.38 2 2 Rp 15,717.63 Rp 31,435.25
Rp 675,857.88 18 18 Rp 15,717.63 Rp 282,917.25
Rp 471,528.75 - - Rp 15,717.63 Rp -
Rp 3,645,000.00 1 1 Rp 101,250.00 Rp 101,250.00
Rp 2,592,000.00 20 20 Rp 10,800.00 Rp 216,000.00
Rp 795,564.00 18 18 Rp 8,118.00 Rp 146,124.00
Rp 687,500.00 - Rp 6,875.00 Rp -
-
Rp 1,136,520.00 140 140 Rp 8,118.00 Rp 1,136,520.00
Rp 5,843,750.00 850 Rp 6,875.00 Rp 5,843,750.00

850
Rp 438,000.00 50 Rp 8,760.00 Rp 438,000.00

50
Rp 1,695,600.00 90 Rp 18,840.00 Rp 1,695,600.00

90
Rp 1,695,600.00 10 Rp 18,840.00 Rp 188,400.00

10
Rp 23,057,473.00 - Rp 101,129.27 Rp -
Rp 5,415,800.00 1,900 100 2,000 Rp 2,083.00 Rp 4,166,000.00
Rp 4,214,385.00 3 3 Rp 123,952.50 Rp 371,857.50
Rp 11,286,000.00 72 36 108 Rp 62,700.00 Rp 6,771,600.00
Rp 10,890,000.00 81 81 Rp 60,500.00 Rp 4,900,500.00
Rp 10,890,000.00 - - Rp 60,500.00 Rp -
Rp 6,930,000.00 7,000 7,000 Rp 990.00 Rp 6,930,000.00
Rp 718,000.00 718 718 Rp 1,000.00 Rp 718,000.00
Rp 5,862,502.80 5,000 520 5,520 Rp 418.75 Rp 2,311,501.10
Rp 2,038,500.00 - Rp 113,250.00 Rp -
-
Rp 2,645,901.90 5 5 Rp 146,994.55 Rp 734,972.75
Rp 4,984,510.86 - - Rp 276,917.27 Rp -
Rp 3,721,527.20 20 20 Rp 186,076.36 Rp 3,721,527.20
Rp 2,904,000.00 5 5 Rp 145,200.00 Rp 726,000.00
Rp 395,189.85 - - Rp 131,729.95 Rp -
Rp 395,189.85 - - Rp 131,729.95 Rp -
Rp 395,189.85 - - Rp 131,729.95 Rp -
Rp 558,000.00 20 20 Rp 27,900.00 Rp 558,000.00

Rp 2,200,000.00 1 1 Rp 2,200,000.00 Rp 2,200,000.00
Rp 3,080,000.00 3 1 4 Rp 154,000.00 Rp 616,000.00
Rp 5,003,130.00 7 1 8 Rp 333,542.00 Rp 2,668,336.00
Rp 234,998.50 5 5 Rp 46,999.70 Rp 234,998.50
Rp 4,125,000.00 6 5 11 Rp 82,500.00 Rp 907,500.00
Rp 148,761.25 5 5 Rp 29,752.25 Rp 148,761.25
Rp 455,996.16 16 16 Rp 28,499.76 Rp 455,996.16
Rp 639,515.25 55 55 Rp 11,627.55 Rp 639,515.25
Rp 628,897.50 45 45 Rp 13,975.50 Rp 628,897.50
Rp 15,949,923.00 123 28 151 Rp 31,899.85 Rp 4,816,876.75
Rp 1,659,000.00 395 395 Rp 4,200.00 Rp 1,659,000.00
Rp 471,000.20 - Rp 942.00 Rp -
Rp 1,680,000.00 - - Rp 4,200.00 Rp -
Rp 840,000.00 200 200 Rp 4,200.00 Rp 840,000.00
Rp 693,000.00 300 300 Rp 990.00 Rp 297,000.00
Rp 495,000.00 100 100 Rp 990.00 Rp 99,000.00
Rp 495,000.00 100 100 Rp 990.00 Rp 99,000.00
Rp 2,930,104.32 48 48 Rp 61,043.84 Rp 2,930,104.32
Rp 8,855,000.00 36,000 36,000 Rp 192.50 Rp 6,930,000.00
Rp 13,532,389.20 - - Rp 41,007.24 Rp -
Rp 2,981,000.00 - - Rp 1,490,500.00 Rp -
Rp 1,623,855.20 - - Rp 811,927.60 Rp -
Rp 1,661,000.00 2 2 Rp 830,500.00 Rp 1,661,000.00
Rp 1,562,003.26 2 2 Rp 781,001.63 Rp 1,562,003.26
Rp 3,823,862.00 - - Rp 1,911,931.00 Rp -
Rp 2,371,116.00 - - Rp 1,185,558.00 Rp -
Rp 939,684.00 - - Rp 469,842.00 Rp -
Rp 3,744,021.60 37 37 Rp 52,000.30 Rp 1,924,011.10
Rp 12,623,688.00 - - Rp 116,886.00 Rp -
Rp 1,120,433.60 - - Rp 70,027.10 Rp -
Rp 2,534,637.96 - - Rp 35,203.31 Rp -
Rp 5,464,057.50 - - Rp 218,562.30 Rp -
Rp 500,000.00 3 3 Rp 125,000.00 Rp 375,000.00
Rp 24,043,582.20 274 274 Rp 87,750.30 Rp 24,043,582.20
Rp 50,561,808.00 32 36 68 Rp 74,355.60 Rp 5,056,180.80
Rp 40,273,200.00 324 324 Rp 124,300.00 Rp 40,273,200.00
Rp 22,777,801.20 - - Rp 90,388.10 Rp -
Rp 2,040,007.20 24 24 Rp 85,000.30 Rp 2,040,007.20
Rp 20,611,720.80 54 54 Rp 104,099.60 Rp 5,621,378.40
Rp 27,580,014.00 42 36 78 Rp 83,575.80 Rp 6,518,912.40
Rp 2,316,195.00 - - Rp 85,785.00 Rp -
Rp 2,587,444.38 - - Rp 89,222.22 Rp -
Rp 5,225,000.00 600 600 Rp 2,090.00 Rp 1,254,000.00
Rp 990,000.00 36 36 Rp 27,500.00 Rp 990,000.00
Rp 14,157,000.00 108 108 Rp 35,750.00 Rp 3,861,000.00
Rp 9,009,000.00 - - Rp 35,750.00 Rp -
Rp 13,464,000.00 72 72 Rp 37,400.00 Rp 2,692,800.00
Rp 10,771,200.00 36 36 Rp 37,400.00 Rp 1,346,400.00
Rp 470,202.48 - - Rp 42,745.68 Rp -
Rp 8,012,893.90 - - Rp 25,600.30 Rp -
Rp 456,355.20 - - Rp 28,522.20 Rp -
Rp 837,669.00 - - Rp 39,889.00 Rp -
Rp 182,710.40 8 8 Rp 22,838.80 Rp 182,710.40
Rp 6,160,000.00 - - Rp 77,000.00 Rp -
Rp 2,535,000.00 19 19 Rp 65,000.00 Rp 1,235,000.00
Rp 3,135,000.00 - - Rp 31,350.00 Rp -
Rp 297,000.00 15 15 Rp 19,800.00 Rp 297,000.00
Rp 2,043,042.74 - - Rp 1,021,521.37 Rp -
Rp 2,898,010.50 4 4 Rp 193,200.70 Rp 772,802.80
Rp 1,440,000.00 3 3 Rp 120,000.00 Rp 360,000.00
Rp 360,000.00 3 3 Rp 120,000.00 Rp 360,000.00
Rp 1,440,000.00 2 1 3 Rp 120,000.00 Rp 360,000.00
Rp 715,000.00 10 10 Rp 71,500.00 Rp 715,000.00
Rp 715,000.00 - 6 6 Rp 71,500.00 Rp 429,000.00
Rp 3,021,249.90 - - Rp 60,425.00 Rp -
Rp 3,021,249.90 - - Rp 60,425.00 Rp -
Rp 3,021,249.90 - - Rp 60,425.00 Rp -
Rp 516,186.00 21 21 Rp 5,214.00 Rp 109,494.00
Rp 312,840.00 4 4 Rp 5,214.00 Rp 20,856.00
Rp 1,086,250.00 - - Rp 5,431.25 Rp -
Rp 651,750.00 62 62 Rp 5,431.25 Rp 336,737.50
Rp 703,890.00 35 35 Rp 5,214.00 Rp 182,490.00
Rp 1,086,250.00 - - Rp 5,431.25 Rp -
Rp 1,846,625.00 120 60 180 Rp 5,431.25 Rp 977,625.00
Rp 1,629,600.00 80 80 Rp 5,432.00 Rp 434,560.00
Rp 3,693,250.00 440 440 Rp 5,431.25 Rp 2,389,750.00
Rp 7,686,000.00 15 15 Rp 32,025.00 Rp 480,375.00
Rp 99,755,700.00 1,494 20 1,514 Rp 62,700.00 Rp 94,927,800.00
Rp 14,625,002.70 30 30 Rp 48,750.01 Rp 1,462,500.27
Rp 7,370,000.00 60 60 Rp 36,850.00 Rp 2,211,000.00
Rp 1,001,000.00 - - Rp 770.00 Rp -
Rp 23,265,690.00 100 100 Rp 122,451.00 Rp 12,245,100.00
Rp 2,499,999.70 75 75 Rp 1,000.00 Rp 74,999.99
Rp 4,704,000.00 - - Rp 98,000.00 Rp -
Rp 1,083,600.00 12 12 Rp 90,300.00 Rp 1,083,600.00
Rp 846,250.15 10 10 Rp 16,925.00 Rp 169,250.03

Rp 846,250.15 10 10 Rp 16,925.00 Rp 169,250.03
Rp 846,250.15 10 10 Rp 16,925.00 Rp 169,250.03
Rp 846,250.15 10 10 Rp 16,925.00 Rp 169,250.03
Rp 1,260,000.00 50 50 Rp 25,200.00 Rp 1,260,000.00
Rp 7,975,000.00 300 300 Rp 15,950.00 Rp 4,785,000.00
Rp 4,026,008.00 200 200 Rp 20,130.04 Rp 4,026,008.00
Rp 3,357,100.00 11 Rp 56,900.00 Rp 625,900.00

11
Rp 1,359,600.00 - Rp 123,600.00 Rp -
-
Rp 2,904,000.00 13 Rp 60,500.00 Rp 786,500.00

13
Rp 2,544,000.00 24 Rp 53,000.00 Rp 1,272,000.00

24
Rp 4,655,100.00 59 Rp 78,900.00 Rp 4,655,100.00

59
Rp 3,522,000.00 12 Rp 58,700.00 Rp 704,400.00

12
Rp 3,416,100.00 59 Rp 57,900.00 Rp 3,416,100.00

59
Rp 2,876,400.00 - Rp 61,200.00 Rp -
-
Rp 1,925,000.00 - Rp 175,000.00 Rp -
-
Rp 2,112,000.00 12 12 Rp 44,000.00 Rp 528,000.00

-
Rp 2,068,000.00 12 Rp 44,000.00 Rp 528,000.00

12
Rp 3,804,800.00 58 Rp 65,600.00 Rp 3,804,800.00

58
Rp 1,544,400.00 24 Rp 42,900.00 Rp 1,029,600.00

24
Rp 3,850,200.00 70 Rp 41,400.00 Rp 2,898,000.00

70
Rp 1,484,000.00 35 Rp 42,400.00 Rp 1,484,000.00

35
Rp 1,959,900.00 - Rp 41,700.00 Rp -
-
Rp 3,426,300.00 12 Rp 72,900.00 Rp 874,800.00

12
Rp 3,086,400.00 12 Rp 64,300.00 Rp 771,600.00

12
Rp 2,464,000.00 35 Rp 70,400.00 Rp 2,464,000.00

35
Rp 4,649,200.00 59 Rp 78,800.00 Rp 4,649,200.00

59
Rp 4,275,000.00 5 5 Rp 171,000.00 Rp 855,000.00
Rp 2,117,500.00 12 3 15 Rp 84,700.00 Rp 1,270,500.00
Rp 1,710,000.00 10 10 Rp 171,000.00 Rp 1,710,000.00
Rp 4,235,000.00 43 7 50 Rp 84,700.00 Rp 4,235,000.00
Rp 720,000.00 400 400 Rp 1,800.00 Rp 720,000.00
Rp 674,998.50 200 50 250 Rp 2,250.00 Rp 562,498.75
Rp 20,499,820.00 2,540 100 2,640 Rp 5,203.00 Rp 13,735,920.00
Rp 4,125,000.00 - Rp 4,125.00 Rp -
Rp 629,300.16 12 12 Rp 20,300.01 Rp 243,600.06
Rp 1,340,000.00 20 6 26 Rp 26,800.00 Rp 696,800.00
Rp 1,684,999.80 1 1 Rp 33,700.00 Rp 33,700.00
Rp 2,325,000.00 620 620 Rp 3,750.00 Rp 2,325,000.00
Rp 6,374,995.00 - Rp 6,375.00 Rp -
Rp 1,540,000.00 3 3 Rp 154,000.00 Rp 462,000.00
Rp 3,712,500.00 18 18 Rp 206,250.00 Rp 3,712,500.00
Rp 581,428.06 12 12 Rp 48,452.34 Rp 581,428.06
Rp 7,380,000.00 10 10 Rp 82,000.00 Rp 820,000.00
Rp 8,118,000.00 30 30 Rp 90,200.00 Rp 2,706,000.00
Rp 700,004.80 100 100 Rp 1,750.01 Rp 175,001.20
1,147,406 105,260 1,252,665

Rp 7,717,569,284.58 JUMLAH BARANG KELUAR Rp 4,463,498,490.98
Kasi Penunjang Medik

RSUD Sultann Muhammad Jamaludin I RSUD Sultann M
Francisca Maria
Fransisca Wardiani, SKM
NIP. 19840416 201101 2 006
SISA BARANG
EXPIRED DATE
BANYAKNYA SATUAN SISA (Rp)
13 14 15 16
4,300 TABLET Rp 4,730,000.00 12/1/2022
7,500 TABLET Rp 7,200,000.00 11/1/2021
4,700 TABLET Rp 4,324,000.00
8,500 TABLET Rp 5,865,000.00 1/1/2022
6 BOTOL Rp 16,216,200.00 12/1/2022
5 BOTOL Rp 13,626,110.00 12/1/2022
5 BOTOL Rp 13,251,273.75 12/1/2022
- BOTOL Rp - 12/1/2022
10 BOTOL Rp 8,009,970.00 5/1/2022
- BOTOL Rp - 5/1/2022
- BOTOL Rp - 9/1/2022
1 BOTOL Rp 666,646.20 5/1/2022
7,800 TABLET Rp 1,930,500.00 2/1/2023
600 TABLET Rp 120,000.00
339 TABLET Rp 31,866.00 1/1/2023
- TABLET Rp - 5/1/2023
262 TABLET Rp 33,536.00 1/1/2023
- TABLET Rp - 1/1/2022
5,900 TABLET Rp 1,460,250.00 1/1/2022
- BOTOL Rp - 1/1/2022
- BOTOL Rp - 1/1/2022
49 BOTOL Rp 177,870.00
140 KOLF Rp 9,826,460.00 12/1/2021
36 KOLF Rp 3,078,504.00 2/1/2022
49 BAG Rp 3,444,709.80 6/1/2023
- BOTOL Rp - 4/17/2021
- AMPUL Rp - 11/1/2021
- AMPUL Rp - 2/1/2021
18 AMPUL Rp 116,028.00 4/30/2023
660 TABLET Rp 677,820.00 12/1/2021
- TABLET Rp - 3/1/2025
- TABLET Rp - 3/1/2026
8,500 TABLET Rp 467,500.00 3/8/2025
- TABLET Rp - 7/1/2025
21,600 TABLET Rp 1,598,400.00 12/31/2023
- KAPSUL Rp - 2/1/2022
- TABLET Rp - 5/31/2024
3,100 TABLET Rp 716,100.00
230 BOTOL Rp 805,000.00 4/1/2023
- BTL Rp - 8/1/2021
160 BTL Rp 2,464,000.00 4/1/2024
- VIAL Rp - 6/1/2021
590 VIAL Rp 5,841,000.00 3/17/2025
- VIAL Rp - 4/1/2021
- Rp -
AMPUL 3/1/2022
- BOTOL Rp - 8/1/2021
- BOTOL Rp - 7/1/2022
- Rp -
BOTOL 8/1/2021
600 Rp 5,280,000.00
BOTOL 8/31/2023
- Rp -
Box 100 2/1/2021
- SUPP Rp - 3/13/2021
7,560 BOTOL Rp 21,621,600.00 1/1/2023
- KEN Rp -
- TABLET Rp - 5/2/2021
2,100 TABLET Rp 96,600.00 2/15/2024
- Rp -
AMPUL 7/31/2022
- TABLET Rp - 12/1/2021
15,900 TABLET Rp 1,860,300.00
700 Rp 1,446,060.00
TABLET 8/1/2022
- AMPUL Rp - 6/1/2023
770 AMPUL Rp 4,535,685.00 9/1/2025
240 BOTOL Rp 4,268,880.00 6/1/2022
2 KEN Rp 900,000.00
- KOLF Rp - 1/1/2023
- TABLET Rp - 5/1/2021
1,600 TABLET Rp 680,000.00 11/1/2022
225 TUBE Rp 778,725.00 8/1/2022
- TABLET Rp - 7/1/2022
54,450 TABLET Rp 25,428,150.00 5/1/2023
- TABLET Rp - 5/31/2022
- TABLET Rp -
- Rp -
AMPUL 8/1/2021
- AMPUL Rp - 7/1/2021
200 AMPUL Rp 343,600.40 7/31/2023
800 TABLET Rp 445,720.00 4/10/2023
260 TABLET Rp 462,280.00 3/1/2022
- TABLET Rp - 12/31/2021
- TABLET Rp - 5/1/2025
- VIAL Rp - 2/1/2021
14 BOTOL Rp 788,480.00 8/1/2022
46 TABLET Rp 4,927,520.00 4/1/2022
200 Rp 698,000.00
TUBE 8/1/2022
382 Rp 5,688,362.00
TUBE 2/28/2023
229 Rp 4,582,086.19
VIAL 5/31/2022
36 BOTOL Rp 1,886,292.00 12/19/2022
- VIAL Rp -
90 VIAL Rp 1,493,999.10 8/10/2023
- TUBE Rp - 7/1/2021
- TABLET Rp - 7/1/2021
7,700 TABLET Rp 708,400.00
530 PCS Rp 40,439,000.00 6/1/2022
930 TABLET Rp 313,410.00 11/1/2022
- TABLET Rp - 3/1/2023
26,200 TABLET Rp 3,537,000.00 5/1/2023
2,260 TABLET Rp 6,667,000.00 3/1/2022
- AMPUL Rp - 2/1/2021
1,400 TABLET Rp 11,652,214.00 10/31/2022
- AMPUL Rp - 12/1/2023
200 AMPUL Rp 10,285,000.00 7/1/2026
- AMPUL Rp - 7/1/2021
16,400 AMPUL Rp 21,467,600.00 4/30/2021
2,790 AMPUL Rp 3,375,900.00 8/31/2023
3,200 TABLET Rp 2,323,200.00 11/1/2024
150 BOTOL Rp 654,060.00 6/1/2023
- ampul Rp - 7/1/2021
320 VIAL Rp 4,048,000.00 2/1/2022
300 VIAL Rp 1,896,898.98 1/1/2023
2,300 TABLET Rp 915,400.00
- TABLET Rp - 7/31/2022
- TABLET Rp - 8/30/2022
12,850 TABLET Rp 9,624,650.00 3/1/2023
- BOTOL Rp - 8/1/2021
119 BOTOL Rp 618,205.00 12/1/2022
76 VIAL Rp 2,852,850.00 7/1/2024
70 AMPUL Rp 639,520.00 12/31/2021
- VIAL Rp - 10/1/2022
320 VIAL Rp 2,215,360.00 4/1/2024
- AMPUL Rp - 2/1/2025
- VIAL Rp - 1/1/2026
- VIAL Rp - 2/1/2023
6,250 VIAL Rp 18,118,750.00 4/1/2023
- TABLET Rp - 7/1/2022
1,300 TABLET Rp 67,600.00 8/31/2023
- BOTOL Rp - 1/1/2021
- BOTOL Rp - 11/1/2021
40 BOTOL Rp 88,600.00 7/31/2023
3,000 TABLET Rp 20,377,500.00 6/1/2023
500 TABLET Rp 2,901,775.00 6/1/2022
- TABLET Rp - 5/1/2024
8,300 TABLET Rp 2,158,000.00
- TABLET Rp - 1/21/2026
- BOTOL Rp - 6/1/2021
384 BOTOL Rp 3,110,400.00 12/1/2023
600 TABLET Rp 3,168,000.00 9/30/2022
- AMPUL Rp - 8/1/2022
40 AMPUL Rp 968,000.00
- AMPUL Rp - 8/1/2022
2,150 KAPSUL Rp 1,726,450.00 7/1/2022
- KAPSUL Rp - 5/1/2023
1,250 KAPSUL Rp 1,374,998.63 8/30/2025
35 BOTOL Rp 1,418,725.00 2/1/2022
- TABLET Rp - 10/1/2022
- VIAL Rp - 6/30/2021
480 KOLF Rp 4,316,160.02 1/13/2023
440 KOLF Rp 4,699,200.00 3/1/2021
440 KOLF Rp 4,674,560.00 1/1/2025
- TABLET Rp - 6/25/2022
- TABLET Rp - 7/1/2022
- TABLET Rp - 7/1/2022
400 AMPUL Rp 768,768.00 9/1/2022
- TABLET Rp - 4/1/2021
- AMPUL Rp - 9/1/2021
- TABLET Rp - 8/1/2022
476 TABLET Rp 7,263,379.20 7/1/2022
1,400 TABLET Rp 367,867.50 10/1/2024
20 TABLET Rp 1,045,000.00 1/1/2023
400 TABLET Rp 72,890.00 5/1/2024
1,000 TABLET Rp 140,000.00 10/1/2024
- AMPUL Rp - 5/1/2021
45 AMPUL Rp 658,935.90 4/1/2023
- AMPUL Rp - 11/1/2021
- TABLET Rp - 4/1/2021
12,200 TABLET Rp 915,000.00 7/31/2024
- BOTOL Rp - 5/1/2022
- TABLET Rp - 5/1/2021
220 TABLET Rp 867,900.33 5/1/2023
360 TABLET Rp 1,485,000.00 7/1/2023
- TABLET Rp - 11/1/2022
100 TABLET Rp 64,636.00 10/24/2023
2,000 TABLET Rp 578,000.00 2/1/2023
- AMPUL Rp - 5/1/2022
176 AMPUL Rp 1,141,543.04 3/30/2023
- AMPUL Rp - 7/1/2022
- AMPUL Rp -
- TABLET Rp - 3/1/2021
- TABLET Rp - 10/30/2022
- Rp -
BOTOL 8/1/2021
- BOTOL Rp - 12/1/2020
2,600 TABLET Rp 1,788,800.00 11/1/2023
- BOTOL Rp - 12/1/2022
760 Rp 3,273,776.00
AMPUL 10/1/2023
- TABLET Rp - 3/22/2023
- TABLET Rp - 7/6/2022
2,000 TABLET Rp 43,650,200.00 1/1/2031
4,000 TABLET Rp 61,600,000.00 5/31/2023
5,000 TABLET Rp 105,000,000.00 7/1/2022
2,188.5 TABLET Rp 431,134.50 3/1/2024
114 AMPUL Rp 259,692.00 5/1/2023
2,300 TABLET Rp 12,650,000.00 2/1/2021
300 TABLET Rp 141,900.00 11/1/2022
- TABLET Rp - 1/1/2021
- TABLET Rp - 2/1/2022
- AMPUL Rp - 4/1/2022
111 AMPUL Rp 5,372,400.00 10/1/2022
40 BOTOL Rp 1,540,000.00
1,200 TABLET Rp 2,209,200.00 10/6/2021
- TABLET Rp - 4/1/2021
- TABLET Rp - 10/1/2021
600 AMP Rp 3,465,000.00 12/1/2021
300 AMP Rp 435,600.00 4/7/2021
- AMP Rp - 4/1/2021
60 AMP Rp 234,000.00 7/31/2025
1,760 KAPSUL Rp 37,889,280.00 4/1/2024
84 BOTOL Rp 1,702,008.00 1/1/2023
- TABLET Rp - 3/1/2021
2,100 TABLET Rp 3,696,000.00 5/1/2022
108 TUBE Rp 528,066.00 6/30/2023
1,080 TABLET Rp 585,360.00 5/6/2022
60 AMPUL Rp 726,000.00 1/1/2022
- TABLET Rp - 6/1/2023
5,000 TABLET Rp 1,119,250.00 10/31/2025
250 AMPUL Rp 388,750.00 1/1/2022
700 AMPUL Rp 678,300.00 3/1/2023
120 PCS Rp 4,752,313.50 12/1/2023
7,900 TABLET Rp 7,386,500.00 3/1/2023
20 PSF Rp 5,476,000.00 11/1/2022
1 BOTOL Rp 938,000.00
- TABLET Rp - 12/1/2021
63,540 KAPSUL Rp 42,762,420.00 8/1/2023
2,400 SACHET Rp 900,000.00 11/1/2023
- TABLET Rp - 5/1/2021
- BOTOL Rp - 5/1/2021
- TUBE Rp - 12/1/2022
80 TUBE Rp 227,911.20 2/23/2025
- TUBE Rp - 4/1/2022
510 AMPUL Rp 5,464,140.00 11/20/2023
6,100 TABLET Rp 835,700.00 5/1/2023
500 TABLET Rp 179,685.00 7/1/2022
- TABLET Rp - 7/31/2023
- TABLET Rp - 4/1/2023
4,400 TABLET Rp 1,756,920.00
400 TABLET Rp 748,000.00 4/1/2023
- TABLET Rp - 3/1/2021
- TABLET Rp - 1/1/2023
1,000 TABLET Rp 291,000.00 9/1/2022
- TABLET Rp - 9/1/2021
4,600 TABLET Rp 4,600,000.00 11/1/2022
1,200 TABLET Rp 2,400,000.00 7/1/2023
420 KOLF Rp 3,150,000.00 7/1/2021
280 KOLF Rp 2,240,840.00 12/1/2022
- KOLF Rp - 1/8/2022
- FLAKON Rp - 10/9/2021
48 FLAKON Rp 336,019.20 6/11/2023
7,100 TABLET Rp 1,263,800.00 5/1/2022
600 TABLET Rp 36,000.00 3/1/2022
- BOX Rp - 6/30/2022
1 BOX Rp 177,650.00 8/1/2023
- BOTOL Rp - 1/1/2023
2,500 TABLET Rp 6,332,500.00 10/1/2022
552 TUBE Rp 1,707,750.00 6/1/2022
- TABLET Rp -
1/1/2022
2,100 TABLET Rp 5,197,500.00
1/1/2022
20 Box 10 Rp 148,500.00 5/1/2021
130 AMP Rp 804,446.50 7/31/2022
- TABLET Rp - 6/1/2022
60 BOTOL Rp 366,540.00 8/1/2023
4,000 TABLET Rp 10,120,000.00 3/4/2023
2,500 TABLET Rp 11,837,500.00 2/13/2023
6 BOTOL Rp 4,517,100.00 4/1/2023
57 BOTOL Rp 37,835,688.00 6/1/2023
1,500 TABLET Rp 256,129.50 1/12/2025
550 TABLET Rp 2,646,875.00 5/1/2022
- AMPUL Rp - 2/1/2021
800 KOLF Rp 9,051,200.00 5/1/2022
280 KOLF Rp 3,167,920.00 9/28/2022
40 KOLF Rp 430,012.00 6/18/2023
- AMPUL Rp - 7/1/2021
- AMPUL Rp - 7/1/2024
- TABLET Rp - 11/1/2024
8,300 TABLET Rp 498,000.00 6/30/2024
2,160 TABLET Rp 1,427,760.00 3/1/2022
2,880 TABLET Rp 3,018,240.00 12/1/2021
- TABLET Rp - 2/1/2023
1,500 TABLET Rp 370,230.00 7/1/2023
- TABLET Rp - 6/1/2024
3,500 TABLET Rp 507,500.00
- TABLET Rp - 7/1/2022
2,000 TABLET Rp 136,004.00
600 TABLET Rp 136,362.00 6/1/2023
240 KOLF Rp 773,520.00 10/7/2022
- KOLF Rp -
- AMPUL Rp - 4/1/2021
5 AMPUL Rp 299,750.00 11/30/2022
250 TUBE Rp 644,250.00 4/1/2022
1,000 TUBE Rp 260,000.07 10/31/2023
640 SUPP Rp 15,231,744.00 5/1/2023
- AMPUL Rp - 3/1/2021
- AMPUL Rp - 10/1/2021
- AMPUL Rp - 6/1/2022
2,390 AMPUL Rp 2,205,970.00 2/1/2023
- AMPUL Rp - 1/31/2022
- TABLET Rp - 9/1/2022
5,190 TABLET Rp 3,425,400.00 5/27/2024
- TABLET Rp - 9/1/2022
- BOTOL Rp -
- Rp -
KAPSUL 8/1/2021
- Rp -
TUBE 8/1/2021
6,400 TABLET Rp 153,600.00 7/1/2022
900 Rp 187,200.00
TABLET 8/4/2024
1,759 TABLET Rp 1,155,663.00 5/1/2023
700 TABLET Rp 87,500.00 6/1/2022
500 TABLET Rp 66,500.00 5/1/2023
- TABLET Rp - 1/1/2023
100 TABLET Rp 31,900.00 1/31/2023
90 BOTOL Rp 206,820.00 11/1/2022
1,800 Rp 3,315,609.00
TABLET 2/16/2023
270 SACHET Rp 1,975,050.00 2/1/2022
- SACHET Rp - 9/1/2021
- BOTOL Rp -
288 BOTOL Rp 13,939,200.00 7/8/2023
21,150 KAPSUL Rp 20,938,500.00 11/30/2022
- VIAL Rp - 1/1/2023
- PEN Rp - 10/1/2022
200 PEN Rp 17,800,000.00 11/1/2023
395 PEN Rp 35,549,999.61 3/1/2023
3,300 TABLET Rp 3,067,665.81 2/28/2025
24 BOTOL Rp 455,712.00 4/30/2024
- BOTOL Rp - 10/1/2022
- BOTOL Rp - 2/1/2023
- Rp -
TABLET 6/30/2022
200 Rp 154,200.00
TABLET 6/30/2022
- Rp -
TABLET 8/31/2022
900 Rp 964,800.00
TABLET 8/31/2022
24 Rp 1,379,400.00
AMPUL 4/1/2022
- AMPUL Rp - 3/1/2022
600 AMPUL Rp 549,810.00 4/1/2023
- VIAL Rp - 5/1/2021
1,200 TABLET Rp 300,000.00 3/1/2022
- TABLET Rp - 8/1/2022
4,800 TABLET Rp 710,400.00 2/1/2024
- BOTOL Rp - 7/1/2023
- TABLET Rp - 9/1/2024
2,000 TABLET Rp 234,000.00 9/2/2024
90 KOLF Rp 2,544,750.00 7/28/2023
- KOLF Rp - 7/28/2023
200 TABLET Rp 184,800.00 11/1/2021
5,000 TABLET Rp 5,775,000.00 9/1/2023
132 BOTOL Rp 4,620,000.00 3/4/2025
300 BOTOL Rp 16,500,000.00 3/4/2025
- KEN Rp - 3/5/2025
2,100 TABLET Rp 2,114,742.00 3/1/2022
2,040 TABLET Rp 7,180,800.00 2/1/2024
300 AMPUL Rp 907,500.00 9/1/2023
620 vial Rp 22,941,116.00 2/1/2022
- vial Rp -
850 vial Rp 46,750,000.00 4/1/2023
374 vial Rp 10,260,690.00
1,800 TABLET Rp 8,415,000.00 4/30/2022
- BOTOL Rp -
250 TABLET Rp 274,499.62 9/1/2023
- TABLET Rp - 9/1/2022
44,600 TABLET Rp 3,434,200.00
- TABLET Rp - 9/1/2022
4,000 TABLET Rp 4,352,000.00
- TABLET Rp - 4/1/2021
1,600 Rp 352,000.00
TABLET
- AMPUL Rp - 3/1/2023
400 Rp 427,600.00 2/1/2023
AMPUL
700 TABLET Rp 210,002.10 5/1/2021
10,000 TABLET Rp 1,020,000.00
5,600 TABLET Rp 3,068,800.00 8/1/2022
- VIAL Rp - 8/1/2021
365 VIAL Rp 4,459,059.00 2/1/2023
- AMPUL Rp - 11/1/2021
30 AMPUL Rp 136,613.40 6/30/2024
600 TABLET Rp 49,800.00 1/1/2023
1 GALON Rp 780,818.50 11/1/2023
- TABLET Rp - 1/1/2025
300 TABLET Rp 51,480.00 1/1/2025
150 BOTOL Rp 1,350,030.00 4/1/2022
2,000 BOTOL Rp 11,770,000.00 5/31/2021
70 BOTOL Rp 276,500.00 6/1/2023
- KOLF Rp - 6/12/2021
72 KOLF Rp 485,971.20 4/2/2022
480 KOLF Rp 1,822,128.00 10/9/2021
90 KOLF Rp 423,000.27 12/1/2022
240 KOLF Rp 798,721.44 2/26/2022
120 KOLF Rp 494,399.40 1/1/2023
- TUBE Rp - 21-1-2024
96 TUBE Rp 182,400.00 5/27/2025
- KAPSUL Rp - 7/1/2021
- KAPSUL Rp - 12/1/2021
- Rp -
AMPUL 4/1/2022
325 Rp 1,508,650.00
AMPUL 7/31/2023
- Rp -
AMPUL 3/1/2021
- TABLET Rp - 2/1/2022
840 TABLET Rp 1,178,100.00 3/1/2023
150 TUBE Rp 1,265,550.00 6/1/2022
30 TABLET Rp 689,700.00 4/1/2021
- AMPUL Rp - 5/1/2023
34 AMPUL Rp 1,157,698.30 3/31/2024
- TABLET Rp - 4/1/2021
2,000 TABLET Rp 3,300,000.00 7/1/2025
- TABLET Rp - 11/30/2023
1,640 KOLF Rp 11,217,600.00 3/1/2025
- KOLF Rp - 3/1/2023
920 KOLF Rp 6,165,842.76 2/1/2024
4,500 TABLET Rp 612,000.00 5/1/2021
100 INJEKSI Rp 15,730,000.00 2/1/2021
- INJEKSI Rp - 11/1/2022
- INJEKSI Rp - 2/1/2021
- TABLET Rp - 3/1/2022
- TABLET Rp - 3/1/2022
8,900 TABLET Rp 1,014,600.00 3/1/2022
1,260 TABLET Rp 5,471,928.00 1/1/2022
- VIAL Rp -
1,000 TABLET Rp 910,000.00 4/1/2021
500 SUPP Rp 322,500.00 11/1/2021
- BOTOL Rp - 5/1/2022
- TABLET Rp - 1/11/2023
- KAPSUL Rp - 3/20/2023
- Rp -
AMPUL 10/1/2021
- AMPUL Rp - 7/1/2022
- AMPUL Rp - 7/1/2022
15 AMPUL Rp 178,200.00 10/31/2022
- PEN Rp - 11/1/2022
680 PEN Rp 60,859,998.98 5/1/2023
- PEN Rp - 5/1/2022
- TUBE Rp - 8/1/2021
- AMPUL Rp - 8/1/2021
1,900 AMPUL Rp 2,371,209.50 1/31/2024
250 AMPUL Rp 1,980,000.00
1,410 VIAL Rp 16,733,880.00 3/1/2022
- VIAL Rp - 4/1/2024
- TABLET Rp - 7/1/2022
8,610 KAPSUL Rp 4,091,472.00 8/31/2024
4,110 AMPUL Rp 3,957,930.00
- AMPUL Rp - 5/1/2022
- AMPUL Rp - 5/1/2022
- AMPUL Rp -
260 AMPUL Rp 1,560,015.60
- TABLET Rp - 9/1/2022
1,200 TABLET Rp 2,970,000.00 5/31/2025
- BOTOL Rp -
- Rp -
BAG 3/5/2021
280 Rp 45,360,000.00
BAG 11/14/2022
- BOTOL Rp - 11/30/2022
365 BOTOL Rp 423,400.00 5/1/2021
- BOTOL Rp - 11/1/2021
11,900 TABLET Rp 1,963,500.00 12/1/2021
70 SUPP Rp 616,000.00 4/1/2022
30 SUPP Rp 264,000.00 4/1/2022
- AMPUL Rp - 2/1/2025
59 AMPUL Rp 1,149,379.00 4/1/2023
400 AMPUL Rp 5,359,992.00 6/30/2023
80 AMPUL Rp 329,683.20 6/30/2022
3,400 KAPSUL Rp 2,057,000.00 6/24/2023
1,560 TABLET Rp 815,880.00
2,100 TABLET Rp 1,759,800.00
2,340 TABLET Rp 8,365,500.00 5/1/2022
- TABLET Rp - 1/1/2022
4,800 TABLET Rp 3,504,000.00 1/1/2022
- AMPUL Rp - 12/1/2021
2,000 TABLET Rp 786,362.50 7/13/2024
- TABLET Rp -
1,200 TABLET Rp 156,492.00 5/1/2022
- BOTOL Rp - 3/1/2023
- BOTOL Rp - 7/1/2022
189 BOTOL Rp 4,416,552.76 9/1/2026
4,800 TABLET Rp 379,209.60 6/1/2021
- TABLET Rp - 9/1/2021
- TABLET Rp - 2/28/2023
690 TABLET Rp 2,087,250.00 1/31/2023
- BOTOL Rp -
1,200 TABLET Rp 703,560.00 11/1/2022
40 AMPUL Rp 452,320.00 4/29/2023
- INJEKSI Rp - 5/1/2023
2,800 TABLET Rp 7,392,000.00 3/1/2022
- TABLET Rp -
300 TABLET Rp 26,400.00 7/1/2021
- BOTOL Rp -
- RESPOL Rp - 7/1/2021
180 RESPOL Rp 1,886,039.10
- BOTOL Rp - 10/1/2021
- TABLET Rp -
- TABLET Rp - 2/1/2022
15,000 TABLET Rp 2,370,000.00 5/1/2023
- TABLET Rp - 7/1/2022
- TABLET Rp - 11/1/2021
4,100 TABLET Rp 348,500.00 2/1/2023
- AMPUL Rp - 6/30/2023
2,800 AMPUL Rp 3,234,739.20 3/31/2024
35 VIAL Rp 11,165,000.00 12/31/2022
100 VIAL Rp 50,600,000.00 6/1/2022
- KAPSUL Rp - 9/1/2021
- KAPSUL Rp - 9/1/2021
250 KAPSUL Rp 149,000.00 6/1/2021
- KAPSUL Rp - 1/1/2023
4,700 TABLET Rp 4,629,500.00 3/1/2024
4,060 KOLF Rp 30,977,800.00 7/1/2024
- AMPUL Rp - 11/1/2021
40 AMPUL Rp 4,752,000.00 5/1/2023
150 PEN Rp 16,799,999.70 3/1/2022
7,400 TABLET Rp 569,800.00 4/1/2022
40 VIAL Rp 616,737.00 9/1/2022
524 POT Rp 1,580,908.00 7/1/2022
528 TUBE Rp 1,592,976.00 7/1/2022
24 KOTAK Rp 144,144.00 4/1/2022
- KOTAK Rp - 3/1/2022
- KOTAK Rp - 5/1/2023
22 BOTOL Rp 3,652,352.00 8/1/2023
- BOX Rp - 10/1/2021
- BOX Rp - 7/26/2021
1 BOTOL Rp 1,546,875.00 7/1/2021
28 BOTOL Rp 34,046,843.60 7/1/2023
12,300 TABLET Rp 602,700.00 3/1/2023
- Rp -
TABLET 6/1/2022
- TABLET Rp -
2,600 TABLET Rp 3,432,000.00 3/1/2023
- TABLET Rp - 3/15/2023
- TABLET Rp -
- TABLET Rp - 4/1/2022
- TABLET Rp - 12/1/2022
- TABLET Rp - 4/1/2022
3,900 TABLET Rp 2,152,800.00 2/1/2023
56 TUBE Rp 1,159,200.00 6/1/2022
- BOTOL Rp - 5/31/2022
160 BOTOL Rp 21,692,320.00 10/31/2022
- BOTOL Rp - 7/31/2022
280 BOTOL Rp 42,197,120.00 9/30/2022
- BOTOL Rp - 10/1/2022
- Rp -
TABLET
- Rp -
TABLET 4/1/2023
23,100 TABLET Rp 5,890,500.00 6/2/2024
- TABLET Rp - 1/1/2023
1,580 TABLET Rp 4,811,100.00 11/1/2022
4,500 TABLET Rp 11,025,000.00
- TABLET Rp - 11/1/2022
6,000 TABLET Rp 26,100,000.00 4/1/2023
360 TABLET Rp 1,584,000.00 4/1/2022
2,900 TABLET Rp 255,200.00 6/1/2023
- TABLET Rp - 9/30/2022
- TABLET Rp - 9/30/2021
- TABLET Rp - 11/1/2022
500 AMPUL Rp 1,320,000.00 3/1/2024
20 AMPUL Rp 138,280.00 11/1/2023
30 VIAL Rp 1,182,027.00 3/31/2023
- 100 Rp (2,080,001.00)
BOTOL 4/1/2021
- TABLET Rp -
- TABLET Rp - 5/1/2022
14,550 Rp 26,873,850.00
TABLET 2/1/2024
- TABLET Rp - 11/1/2021
- TABLET Rp - 4/1/2022
- TABLET Rp - 8/1/2021
690 TABLET Rp 286,350.00 3/1/2023
390 TABLET Rp 437,580.00 4/1/2022
18 VIAL Rp 17,325,882.00
- TABLET Rp - 7/1/2022
15 KOLF Rp 326,700.00 6/1/2021
3,000 TABLET Rp 2,303,400.00 4/1/2024
50 BOTOL Rp 4,510,000.00 5/31/2023
- KAPSUL Rp - 8/1/2022
4 UNIT Rp 13,330,000.00
2 UNIT Rp 6,899,999.70
6 UNIT Rp 14,835,000.00
- UNIT Rp -
4 UNIT Rp 13,330,000.00
1 UNIT Rp 3,449,999.85
6 UNIT Rp 14,835,000.00
- TABLET Rp - 5/1/2021
1,100 TABLET Rp 3,025,000.00 8/31/2024
- BOTOL Rp - 6/1/2023
280 AMPUL Rp 1,771,000.00 8/1/2023
Rp -
Rp -
- KOTAK Rp -
- BOX Rp -
- PACK Rp -
- KOTAK Rp -
- PACK Rp -
- PCS Rp -
- KOTAK Rp - 6/30/2022
- PACK Rp -
- Rp -
PACK
- PACK Rp -
- BOTOL Rp -
- SET Rp -
- KOTAK Rp -
- Rp -
PACK
- PACK Rp -
- PACK Rp -
4 KOTAK Rp 1,069,200.00
- PACK Rp -
- PACK Rp -
1 KOTAK Rp 177,000.00 4/1/2022
1 Rp 427,000.00
KOTAK 2/1/2022
- BOTOL Rp -
- KOTAK Rp -
- BOTOL Rp - 12/1/2021
- PCS Rp -
- PCS Rp -
- PACK Rp -
- KOTAK Rp -
- PACK Rp -
- PACK Rp -
- PACK Rp -
- PACK Rp -
- PACK Rp -
- KOTAK Rp -
- KOTAK
3 KOTAK Rp 864,000.00 8/20/2022
- KOTAK Rp -
- BOTOL Rp -
- KOTAK Rp - 2/1/2021
- PACK Rp -
- PACK Rp -
1 PACK Rp 437,547.00 7/19/2022
- PACK Rp -
- PACK Rp -
- PACK Rp -
- PACK Rp -
1 KOTAK Rp 75,000.00 4/1/2022
- PACK Rp -
1 PACK Rp 210,644.00 4/30/2022
- PACK Rp -
- SYR Rp -
1 KOTAK Rp 227,000.00 7/1/2022
14 PCS Rp 2,590,000.00 12/10/2022
- BOTOL Rp -
5 KOTAK Rp 1,150,000.00
- PACK Rp -
- PACK Rp -
- PACK Rp -
3 KOTAK Rp 3,060,000.00
- BOTOL Rp -
- SET Rp -
- SET Rp - 5/1/2022
- Rp -
- Rp -
- BTL 100 ML Rp - 4/1/2021
- kit Rp - 4/1/2021
- kit Rp - 7/1/2021
- BTL 100 ML Rp - 2/1/2021
- BTL Rp - 4/1/2021
- BTL 100 ML Rp - 5/30/2021
- kit Rp -
- kit Rp - 4/1/2021
- kit Rp -
- kit Rp -
- BOX Rp -
- BOX Rp -
- BTL Rp -
- BTL Rp -
- BTL Rp -
- PACK Rp -
- BOTOL Rp -
- BOTOL Rp -
- BOTOL Rp -
- BOTOL/100 PCS Rp -
- KIT Rp -
- BTL Rp - 3/9/2022
- BTL Rp -
- BTL Rp -
- KIT Rp - 4/20/2021
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp - 5/8/2022
- KIT Rp - 6/6/2022
- KIT Rp -
- BOTOL Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp - 3/24/2022
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
- KIT Rp -
15 BOX Rp 2,887,500.00
- BOX Rp - 8/4/2021
- BOX Rp -
- VIAL Rp - 12/1/2021
- VIAL Rp - 4/1/2022
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- VIAL Rp -
- BOX Rp -
- BOX Rp -
- pcs Rp -
- pcs Rp -
25 pcs Rp 297,000.00
750 pcs Rp 1,781,250.00
- pcs Rp -
- pcs Rp -
100 pcs Rp 4,840,000.00
1,000 PCS Rp 4,950,000.00
- BOTOL Rp - 8/9/2021
- pcs Rp -
-
-
- pcs Rp -
125 pcs Rp 9,453,125.00
- pcs Rp - 9/9/2021
- BTL Rp -
- pcs Rp -
- pcs Rp -
- pcs Rp -
- pcs Rp -
- pcs Rp -
40 pcs Rp 1,210,000.00
- PCS Rp -
60 PCS Rp 5,940,000.00
360 PCS Rp 13,860,000.00

1/1/2023
- PCS Rp -
80 PCS Rp 4,840,000.00
- BOX Rp -
5 BOX Rp 16,775,000.00
- BOX Rp - 9/14/2021
- BOX Rp -
- BOX Rp - 8/31/2021
- BOX Rp -
- PAK Rp -
- PCS Rp -
100 PCS Rp 3,520,000.00
- PCS Rp -
- PCS Rp -
- PCS Rp -
18 BTL Rp 339,768.00
Rp -
Rp -
- Vial Rp - 11/1/2021
10 Vial Rp 9,487,500.00
30 Vial Rp 3,929,970.00
2/1/2022
- Vial Rp -
7/1/2022
- PCS Rp - 7/1/2021
4 PCS Rp 156,816.00 1/31/2022
- VIAL Rp - 8/1/2023
14 PCS Rp 2,475,200.00 10/1/2022
Rp -
Rp -
21 pcs Rp 8,400,000.00
2 pcs Rp 440,000.00
1 pcs Rp 370,000.00
- pcs Rp - 6/1/2021
2,200 pcs Rp 253,000.11 7/1/2024
2,000 PCS Rp 2,000,000.00
720 PCS Rp 239,997.60
4,000 PCS Rp 13,640,000.00 9/1/2029
2,280 PCS Rp 5,457,734.04
2,200 PCS Rp 6,050,000.00
- PCS Rp - 10/1/2023
1,900 PCS Rp 3,657,500.00 10/1/2023
- PCS Rp - 4/1/2022
- PAK Rp -
- PAK Rp -
Rp -
- Rp -
- Rp -
- Rp -
- Rp -
- PCS Rp -
- PCS Rp -
- Rp -
- Rp -
- Rp -
BOX 4/22/2022
4 Rp 6,082,230.00
BOX
- Rp -
BOX 4/24/2022
5 Rp 14,683,630.50
BOX
1 Rp 5,130,000.00
BOX 4/26/2022
- Rp -
BOX 4/26/2022
2 Rp 9,079,056.80
BOX
- BOX Rp -
3 BOX Rp 16,513,200.00
- BOX Rp -
2 BOX Rp 17,160,000.00
Rp -
Rp -
192 PCS Rp 12,412,329.60
4,900 PCS Rp 3,981,249.39 2/1/2025
4,400 PCS Rp 5,087,500.00 10/1/2024
400 PCS Rp 961,368.00 9/1/2022
500 PCS Rp 937,750.00
- PCS Rp - 4/1/2023
700 PCS Rp 568,750.03 4/1/2026
600 PCS Rp 766,560.00 1/1/2023
1,000 PCS Rp 937,499.97
- PCS Rp - 3/1/2021
960 Rp 4,080,003.84
PCS 3/1/2025
90 Rp 853,875.00
PCS 2/1/2024
- BOTOL Rp - 5/1/2022
7 BOTOL Rp 6,335,000.00 5/1/2023
- BOTOL Rp - 3/1/2025
- BOTOL Rp - 3/1/2025
- BOTOL Rp - 3/1/2025
- BOTOL Rp -
- KEN Rp -
72,000 PCS Rp 10,800,000.00 5/1/2022
3 PCS Rp 4,507,500.00 6/1/2023
1 PCS Rp 800,000.00 6/1/2024
17 PCS Rp 79,900.00
- PCS Rp -
930 PCS Rp 3,051,557.85
8 PCS Rp 158,400.00
10 PCS Rp 231,250.03
13 PCS Rp 257,400.00
10 PCS Rp 231,250.03
10 PCS Rp 198,000.00
10 PCS Rp 231,250.03
- PCS Rp -
32 PCS Rp 1,770,720.00 7/31/2023
18 PCS Rp 1,103,205.24 3/1/2021
600 PCS Rp 6,000,000.00 6/1/2023
50 PCS Rp 731,500.00 6/1/2023
200 PCS Rp 3,388,000.00 6/1/2023
- PCS Rp - 11/1/2024
- PCS Rp - 11/1/2024
- PCS Rp - 8/1/2023
600 PCS Rp 8,990,784.00 8/1/2023
- PCS Rp - 3/1/2023
150 PCS Rp 1,373,773.50 10/1/2022
- PCS Rp - 10/1/2022
2,000 PCS Rp 18,316,980.00 4/1/2023
- PCS Rp - 2/1/2023
150 PCS Rp 1,930,500.00 7/1/2024
- Rp -
PCS
- PCS Rp - 12/1/2023
400 Rp 5,235,978.00
PCS 1/1/2026
- Rp -
PCS 3/1/2025
245 Rp 7,723,827.13
PCS 6/1/2025
1,000 Rp 14,355,000.00
PCS
5,800 Rp 83,259,000.00
PCS 4/1/2023
1,300 Rp 18,661,500.00
PCS 8/1/2022
84 Rp 4,242,924.00
PCS
- PCS Rp -
- PCS Rp - 8/1/2023
- Rp -
PCS
90 PCS Rp 4,950,000.00
- PCS Rp - 8/1/2022
700 PCS Rp 4,900,000.00 12/1/2023
100 PCS Rp 1,599,950.00
28 PCS Rp 563,832.64 12/12/2022
28 PCS Rp 826,051.24 11/1/2021
- PCS Rp -
500 PCS Rp 165,000.00 4/1/2023
500 PCS Rp 165,000.00 3/1/2026
- PCS Rp -
390 PCS Rp 7,068,633.00
500 PCS Rp 13,750,000.00
- PCS Rp - 3/18/2023
350 PCS Rp 481,250.00 12/27/2023
100 PCS Rp 250,001.40 2/15/2022
- PCS Rp - 6/16/2021
- PCS Rp -
10 PCS Rp 499,472.70 4/1/2023
- PCS Rp - 8/1/2023
- PCS Rp - 10/1/2023
10 PCS Rp 499,472.70 3/1/2023
10 pcs Rp 499,472.70 6/1/2021
- pcs Rp - 3/1/2023
10 pcs Rp 499,472.70 4/1/2023
10 pcs Rp 499,472.70 9/1/2023
10 pcs Rp 499,472.70 9/1/2023
- pcs Rp - 10/1/2023
30 PCS Rp 892,980.00 4/1/2022
30 PCS Rp 892,980.00 5/1/2023
50 PCS Rp 1,488,300.00 4/1/2022
50 PCS Rp 1,488,300.00 6/1/2023
50 PCS Rp 1,488,300.00 5/1/2023
40 PCS Rp 1,190,640.00 9/1/2022
20 PCS Rp 595,320.00 3/1/2023
20 PCS Rp 595,320.00 9/1/2022
30 PCS Rp 892,980.00 10/1/2023
50 PCS Rp 1,488,300.00 10/2/2023
- PCS Rp - 11/1/2024
500 PCS Rp 3,437,500.00
326 PCS Rp 15,077,496.74
- PCS Rp -
- PCS Rp -
56 PCS Rp 1,814,400.00 3/1/2023
- PCS Rp -
100 Rp 2,332,500.50
PCS 4/1/2024
- PCS Rp - 3/1/2023
14 PCS Rp 126,911.40 3/1/2023
10 PCS Rp 90,651.00 6/1/2023
30 Rp 290,400.00
PCS 5/1/2022
21 PCS Rp 190,367.10 10/1/2024
150 PCS Rp 4,860,000.00 7/18/2023
70 PCS Rp 2,268,000.00 9/1/2022
- PCS Rp - 5/1/2024
30 PCS Rp 787,499.90 5/1/2022
60 PCS Rp 422,136.00 7/1/2022
60 PCS Rp 422,136.00 9/1/2022
144 PCS Rp 5,702,400.00 3/1/2024
179 PCS Rp 6,891,500.00 12/1/2023
- Rp -
PCS
70 Rp 1,212,750.00
PCS 10/1/2021
- Rp -
PCS 8/1/2022
100 Rp 1,732,500.00
PCS 8/1/2022
- PCS Rp - 3/1/2023
320 PCS Rp 4,551,984.00
30 Rp 1,329,000.00
PCS
35 Rp 1,550,500.00
PCS
- PCS Rp - 10/6/2024
140 PCS Rp 1,427,888.00
- PCS Rp -
40 PCS Rp 568,998.00 10/19/2024
- PCS Rp - 10/19/2024
- PCS Rp - 10/19/2024
180 PCS Rp 1,800,000.18 12/1/2021
600 PCS Rp 864,000.00
500 PCS Rp 720,000.00
30 PCS Rp 813,102.00 8/1/2022
19 PCS Rp 783,666.40
32 PCS Rp 896,000.00 3/1/2024
51 PCS Rp 2,758,380.90 8/1/2022
- PCS Rp -
14,000 Rp 24,500,001.40
PCS 6/1/2026
- Rp -
PCS
9,000 Rp 16,200,000.00
PCS
- Rp -
PCS
- PCS Rp -
- PCS Rp -
7,000 PCS Rp 12,320,000.00
- Rp -
PCS
- Rp -
PCS
- Rp -
PCS 5/1/2025
- Rp -
PCS 5/1/2025
400 Rp 16,293,200.00
PCS 6/1/2025
900 PCS Rp 7,604,415.00 8/1/2024
- Rp -
PCS
1,000 Rp 13,500,440.00
PCS 11/1/2024
2,700 Rp 39,484,962.00
PCS 9/1/2025
- Rp -
PCS
1,000 PCS Rp 7,831,870.00 9/1/2025
1,000 Rp 14,624,060.00
PCS 2/1/2025
- Rp -
PCS
400 PCS Rp 3,132,748.00 9/1/2025
2,300 Rp 31,051,012.00
PCS 5/1/2025
350 Rp 2,308,250.00
PCS 8/1/2025
- Rp -
PCS
1 PCS Rp 469,999.75
400 PCS Rp 1,663,996.40 9/1/2025
1,350 PCS Rp 5,616,002.70 6/1/2025
- PCS Rp - 1/1/2024
400 PCS Rp 3,099,200.00 5/1/2024
800 PCS Rp 1,132,560.00 3/1/2023
40 PCS Rp 720,000.00
130 PCS Rp 4,704,375.39 8/1/2024
- Rp -
PCS 9/1/2022
- PCS Rp - 8/1/2024
- PCS Rp -
- PCS Rp -
127 PCS Rp 4,330,700.00 10/1/2021
- Rp -
PCS
- Rp -
ROLL
- Rp -
ROLL
- PCS Rp - 8/1/2025
- PCS Rp - 1/1/2025
- ROLL Rp - 7/1/2027
185 ROLL Rp 78,347,500.00 11/1/2026
20 ROLL Rp 3,639,020.00
37 ROLL Rp 5,141,386.80 10/1/2021
11 BOX Rp 1,452,000.00
- ROLL Rp -
50 ROLL Rp 13,813,250.00
40 PACK Rp 6,160,000.00
10 PCS Rp 72,500.01
8 PCS Rp 58,000.01
9 PCS Rp 65,250.01
347 PCS Rp 802,437.50
8 PCS Rp 1,032,727.20 1/1/2022
8 PCS Rp 1,032,727.20 2/1/2022
8 PCS Rp 1,032,727.20 3/1/2022
8 PCS Rp 1,032,727.20 2/1/2022
8 PCS Rp 1,032,727.20 9/1/2022
8 PCS Rp 1,032,727.20 2/1/2022
8 PCS Rp 1,032,727.20 3/1/2022
900 PCS Rp 2,484,000.00 9/1/2024
250 PCS Rp 8,008,000.00 7/1/2024
28 PCS Rp 1,046,388.11 12/1/2024
- PCS Rp - 7/31/2023
8 PCS Rp 118,800.00
- PCS Rp - 12/1/2024
311 PCS Rp 8,552,500.00
- PCS Rp - 2/1/2025
- PCS Rp -
2,200 PCS Rp 2,758,800.00
- PCS Rp -
- PCS Rp -
3,400 PCS Rp 20,570,000.00
481 PCS Rp 5,966,805.00

5/1/2024
200 PCS Rp 2,070,274.80
5/1/2025
- PCS Rp -
300 PCS Rp 5,082,000.00 2/1/2025
275 PCS Rp 4,640,628.30
- PCS Rp -
475 PCS Rp 14,630,000.00
375 PCS Rp 6,750,000.00 6/1/2023
- PCS Rp -
21 PCS Rp 588,000.00 3/1/2023
- PCS Rp - 3/1/2023
17 PCS Rp 476,000.00 3/1/2023
- PCS Rp - 3/1/2023
22 PCS Rp 616,000.00 3/1/2023
9 PCS Rp 252,000.00 3/1/2023
46 PCS Rp 1,288,000.00 3/1/2023
- PCS Rp - 3/1/2023
29 PCS Rp 455,811.13 3/1/2023
28 PCS Rp 440,093.50 3/1/2023
21 PCS Rp 330,070.13 8/1/2025
23 PCS Rp 361,505.38 6/1/2023
27 PCS Rp 424,375.88 3/1/2023
21 PCS Rp 330,070.13 3/1/2023
25 PCS Rp 392,940.63 3/1/2023
30 PCS Rp 471,528.75 3/1/2023
35 PCS Rp 3,543,750.00 6/1/2023
220 PCS Rp 2,376,000.00 9/5/2022
80 PCS Rp 649,440.00 5/1/2023
100 PCS Rp 687,500.00
3/1/2025
- PCS Rp - 5/1/2023
- PCS Rp -
2/1/2024
- PCS Rp -
6/1/2024
- PCS Rp -
7/1/2024
80 PCS Rp 1,507,200.00
5/1/2024
228 PCS Rp 23,057,473.00 2/13/2025
600 PCS Rp 1,249,800.00 5/1/2025
31 PCS Rp 3,842,527.50 5/17/2022
72 PCS Rp 4,514,400.00 1/1/2025
99 PCS Rp 5,989,500.00 11/1/2023
180 PCS Rp 10,890,000.00 3/1/2025
- PCS Rp -
- PCS Rp - 9/23/2025
8,480 PCS Rp 3,551,001.70
18 PCS Rp 2,038,500.00 10/1/2023
13 PCS Rp 1,910,929.15 10/1/2023
18 PCS Rp 4,984,510.86 10/1/2023
- PCS Rp - 12/1/2022
15 PCS Rp 2,178,000.00
3 PCS Rp 395,189.85 12/1/2022
3 PCS Rp 395,189.85 12/1/2022
3 PCS Rp 395,189.85 9/1/2022
- PCS Rp -
- DUS Rp -
16 PCS Rp 2,464,000.00
7 PCS Rp 2,334,794.00 6/1/2025
- ROLL Rp - 9/1/2024
39 ROLL Rp 3,217,500.00 3/1/2026
- ROLL Rp - 9/1/2024
- ROLL Rp - 5/1/2025
- ROLL Rp - 7/1/2024
- ROLL Rp - 7/1/2024
349 ROLL Rp 11,133,046.25 3/1/2025
- PCS Rp - 3/31/2022
500 PCS Rp 471,000.20 8/1/2025
400 PCS Rp 1,680,000.00 3/31/2022
- PCS Rp - 2/28/2022
400 PCS Rp 396,000.00 8/1/2025
400 PCS Rp 396,000.00 10/1/2025
400 PCS Rp 396,000.00 1/1/2025
- PCS Rp - 7/1/2024
10,000 PCS Rp 1,925,000.00 5/1/2024
330 PCS Rp 13,532,389.20 8/1/2024
2 ROLL Rp 2,981,000.00
2 ROLL Rp 1,623,855.20 10/1/2024
- ROLL Rp - 7/1/2022
- ROLL Rp - 4/1/2021
2 ROLL Rp 3,823,862.00 5/1/2023
2 ROLL Rp 2,371,116.00 5/1/2024
2 ROLL Rp 939,684.00 5/1/2024
35 PCS Rp 1,820,010.50 11/4/2025
108 PCS Rp 12,623,688.00 12/7/2025
16 PCS Rp 1,120,433.60 9/23/2023
72 PCS Rp 2,534,637.96 9/17/2025
25 PCS Rp 5,464,057.50 7/8/2024
1 PCS Rp 125,000.00 7/9/2024
- PCS Rp - 10/14/2023
612 PCS Rp 45,505,627.20
- PCS Rp - 10/30/2023
252 PCS Rp 22,777,801.20 5/15/2023
- PCS Rp - 5/22/2023
144 PCS Rp 14,990,342.40 1/8/2024
252 PCS Rp 21,061,101.60 8/19/2025
27 PCS Rp 2,316,195.00 1/2/2023
29 PCS Rp 2,587,444.38 6/29/2023
1,900 PCS Rp 3,971,000.00
- PCS Rp - 2/28/2024
288 PCS Rp 10,296,000.00 8/1/2024
252 PCS Rp 9,009,000.00 3/1/2025
288 PCS Rp 10,771,200.00 12/1/2024
252 PCS Rp 9,424,800.00 3/1/2022
11 PCS Rp 470,202.48 1/4/2024
313 PCS Rp 8,012,893.90 1/4/2024
16 ROLL Rp 456,355.20 8/1/2024
21 ROLL Rp 837,669.00 10/1/2024
- ROLL Rp - 11/1/2024
80 PCS Rp 6,160,000.00
20 PCS Rp 1,300,000.00
100 PCS Rp 3,135,000.00
- PCS Rp - 9/1/2021
2 PCS Rp 2,043,042.74
11 PCS Rp 2,125,207.70 3/1/2024
9 PCS Rp 1,080,000.00 5/1/2023
- PCS Rp -
9 PCS Rp 1,080,000.00 8/1/2021
- PCS Rp - 1/1/2025
4 PCS Rp 286,000.00 1/1/2025
50 PCS Rp 3,021,249.90
50 PCS Rp 3,021,249.90
50 PCS Rp 3,021,249.90
78 PCS Rp 406,692.00 6/1/2024
56 PCS Rp 291,984.00 7/1/2024
200 PCS Rp 1,086,250.00 12/1/2025
58 PCS Rp 315,012.50
100 PCS Rp 521,400.00 9/1/2024
200 PCS Rp 1,086,250.00 12/1/2024
160 PCS Rp 869,000.00 1/1/2025
220 PCS Rp 1,195,040.00 8/1/2024
240 PCS Rp 1,303,500.00 8/1/2025
225 PCS Rp 7,205,625.00 3/1/2024
77 PCS Rp 4,827,900.00
270 PCS Rp 13,162,502.43 12/1/2025
140 ROLL Rp 5,159,000.00
1,300 PCS Rp 1,001,000.00
90 PCS Rp 11,020,590.00 7/1/2024
2,425 PCS Rp 2,424,999.71
48 Rp 4,704,000.00
PCS 8/1/2022
- Rp -
PCS 10/1/2022
40 PCS Rp 677,000.12
40 PCS Rp 677,000.12
40 PCS Rp 677,000.12
40 PCS Rp 677,000.12
- PCS Rp - 4/29/2025
200 PCS Rp 3,190,000.00 4/1/2025
- PCS Rp - 4/1/2025
48 Rp 2,731,200.00
PCS 10/1/2024
11 Rp 1,359,600.00
PCS 10/1/2022
35 Rp 2,117,500.00
PCS 9/1/2022
24 Rp 1,272,000.00
PCS 9/1/2024
- Rp -
PCS 2/1/2024
48 Rp 2,817,600.00
PCS 8/1/2024
- Rp -
PCS 7/1/2024
47 Rp 2,876,400.00
PCS 9/1/2024
11 Rp 1,925,000.00
PCS 3/1/2024
36 Rp 1,584,000.00
PCS 9/1/2024
35 Rp 1,540,000.00
PCS 10/1/2024
- Rp -
PCS 8/1/2022
12 Rp 514,800.00
PCS 9/1/2024
23 Rp 952,200.00
PCS 10/1/2024
- Rp -
PCS 9/1/2024
47 Rp 1,959,900.00
PCS 7/1/2023
35 Rp 2,551,500.00
PCS 10/1/2022
36 Rp 2,314,800.00
PCS 4/1/2022
- Rp -
PCS 9/1/2022
- Rp -
PCS 8/1/2022
20 PCS Rp 3,420,000.00 7/18/2023
10 PCS Rp 847,000.00
- PCS Rp - 4/5/2023
- PCS Rp -
- PCS Rp - 8/1/2025
50 PCS Rp 112,499.75 5/1/2026
1,300 PCS Rp 6,763,900.00
1,000 PCS Rp 4,125,000.00
19 ROLL Rp 385,700.10 12/1/2024
24 ROLL Rp 643,200.00 12/1/2024
49 ROLL Rp 1,651,299.80 11/1/2022
- PCS Rp - 2/1/2025
1,000 PCS Rp 6,374,995.00
7 PCS Rp 1,078,000.00
- PCS Rp -
- BOTOL Rp - 1/1/2023
80 PCS Rp 6,560,000.00 4/1/2023
60 PCS Rp 5,412,000.00 3/1/2023
300 PCS Rp 525,003.60 12/1/2025
1,013,412
Rp 3,254,070,793.59

Kepala Instalasi Farmasi
RSUD Sultann Muhammad Jamaludin I
Francisca Maria Widyastuty, S.Farm.Apt

NIP. 19820613 201101 2 006
REKAPITULASI PERSEDIAAN BARANG COVID 19
INSTALASI FARMASI SULTAN MUHAMMAD JAMALUDIN I
BULAN DESEMBER 2021
SUMBER : HIBAH
BARANG MASUK BARANG KELUAR SISA BARANG
SAMPAI TOTAL BARANG SAMPAI TOTAL BARANG

NO NAMA OBAT HARGA SATUAN HARGA SATUAN
STOK AWAL BULAN INI DENGAN MASUK (Rp) BULAN LALU BULAN INI DENGAN KELUAR (Rp) BANYAKNYA SATUAN SISA (Rp)
BULAN INI BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 APRON 1,000 1,000 Rp 3,687.51 Rp 3,687,510.00 1,000 1,000 Rp 3,687.51 Rp 3,687,510.00 - PCS Rp -
2 ASEPTIC GEL 5 LITER 3 3 Rp 270,000.00 Rp 810,000.00 3 3 Rp 270,000.00 Rp 810,000.00 - KEN Rp -
3 BAJU HAZMAT (SPUNDBOND)( DONATUR ) 18 18 Rp 250,000.00 Rp 4,500,000.00 18 18 Rp 250,000.00 Rp 4,500,000.00 - PCS Rp -
4 BAJU HAZMAT ( BANTUAN BPBD ) 100 100 Rp 213,000.00 Rp 21,300,000.00 100 100 Rp 213,000.00 Rp 21,300,000.00 - PCS Rp -
5 BAJU HAZMAT BAHAN KAIN+BOHO (DONATUR) 161 161 Rp 400,000.00 Rp 64,400,000.00 161 161 Rp 400,000.00 Rp 64,400,000.00 - PCS Rp -
6 GOOGLES ( DONATUR ) 85 85 Rp 65,000.00 Rp 5,525,000.00 37 37 Rp 65,000.00 Rp 2,405,000.00 48 PCS Rp 3,120,000.00
7 HELM + FACE PROTECTOR ( DONATUR ) 7 7 Rp 175,000.00 Rp 1,225,000.00 7 7 Rp 175,000.00 Rp 1,225,000.00 - PCS Rp -
8 SARUNG TANGAN KARET PANJANG HIJAU ( DONATUR ) 10 10 Rp 240,000.00 Rp 2,400,000.00 0 - Rp 240,000.00 Rp - 10 PCS Rp 2,400,000.00
9 SEPATU BOOTS( DONATUR ) 14 14 Rp 90,000.00 Rp 1,260,000.00 14 14 Rp 90,000.00 Rp 1,260,000.00 - PASANG Rp -
10 THERMOMETER DIGITAL 5 5 Rp 150,000.00 Rp 750,000.00 0 - Rp 150,000.00 Rp - 5 UNIT Rp 750,000.00
11 VISOR ( DIONATUR ) 100 100 Rp 20,000.00 Rp 2,000,000.00 100 100 Rp 20,000.00 Rp 2,000,000.00 - PCS Rp -
TOTAL 1,503 - 1,503 Rp 1,876,687.51 1,440 - 1,440 63

JUMLAH BARANG MASUK Rp 107,857,510.00 JUMLAH BARANG KELUAR Rp 101,587,510.00 Rp 6,270,000.00

Mengetahui Kasi Penunjang Medik Kepala Instalasi Farmasi
Kepala RSUD Sultan Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I
dr. Maria Fransisca ASCH, MARS Francisca Maria Widyastuty, S.Farm.Apt

NIP. 19840402 201001 2 013 Fransisca Wardiani, SKM NIP. 19820613 201101 2 006
NIP. 19840416 201101 2 006
BULAN DESEMBER 2021
SUMBER : OBAT PROGRAM

SAMPAI TOTAL BARANG SAMPAI TOTAL BARANG

NO NAMA OBAT HARGA SATUAN HARGA SATUAN
BULAN INI BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 AMITRIPTILIN 25 MG 700 700 Rp 105.00 Rp 73,500.00 700 700 Rp 105.00 Rp 73,500.00 - TABLET Rp -
2 BENZATHINE BENZYLPENISILLIN 10 Rp 14,500.00 Rp 145,000.00 10 10 Rp 14,500.00 Rp 145,000.00 - VIAL Rp -

10
3 DIAZEPAM 5 MG 300 500 800 Rp 114.00 Rp 91,200.00 149 24.5 173 Rp 114.00 Rp 19,722.00 627 TABLET Rp 71,478.00
4 DIAZEPAM INJEKSI 255 255 Rp 10,948.00 Rp 2,791,740.00 155 19 174 Rp 10,948.00 Rp 1,904,952.00 81 AMPUL Rp 886,788.00
5 EFAVIRENZ TAB 600 MG 3 3 Rp 183,480.00 Rp 550,440.00 - - Rp 183,480.00 Rp - 3 TABLET Rp 550,440.00
6 HBIG ( HYPERHEP B ) 14 3 17 Rp 975,000.00 Rp 16,575,000.00 14 14 Rp 975,000.00 Rp 13,650,000.00 3 VIAL Rp 2,925,000.00
7 HEPATITIS B 0,5ML ( HB0 ) 476 100 576 Rp 23,270.00 Rp 13,403,520.00 466 30 496 Rp 23,270.00 Rp 11,541,920.00 80 PCS Rp 1,861,600.00
8 HIV TEST / BIOLINE 400 400 Rp 11,975.00 Rp 4,790,000.00 400 400 Rp 11,975.00 Rp 4,790,000.00 - VIAL Rp -
9 HIVIRAL TAB 150 MG 3 3 Rp 121,980.00 Rp 365,940.00 3 3 Rp 121,980.00 Rp 365,940.00 - BTL Rp -
10 IUD 175 175 Rp 12,500.00 Rp 2,187,500.00 100 100 Rp 12,500.00 Rp 1,250,000.00 75 PCS Rp 937,500.00
11 KHB DIAGNOSTIC KIT 25 25 Rp 11,975.00 Rp 299,375.00 - - Rp 11,975.00 Rp - 25 PCS Rp 299,375.00
12 METIL ERGOMETRIN INJ 200 200 Rp 3,399.00 Rp 679,800.00 200 200 Rp 3,399.00 Rp 679,800.00 - AMPUL Rp -
13 NEVIRAPIRE CAPTABS 3 3 Rp 12,500.00 Rp 37,500.00 1 1 Rp 12,500.00 Rp 12,500.00 2 BTL Rp 25,000.00
14 OAT KATEGORI 1 15 15 Rp 447,747.00 Rp 6,716,205.00 14 14 Rp 447,747.00 Rp 6,268,458.00 1 PCS Rp 447,747.00
15 OAT KATEGORI ANAK 3 3 Rp 248,120.00 Rp 744,360.00 1 1 2 Rp 248,120.00 Rp 496,240.00 1 PCS Rp 248,120.00
16 Pil KB Kombinasi 100 100 Rp - 1 1 Rp - Rp - 99 STRIP Rp -
17 RAPID TEST HIV 225 225 Rp 11,975.00 Rp 2,694,375.00 225 225 Rp 11,975.00 Rp 2,694,375.00 - PCS Rp -
18 SMART HCV STRIP 100 100 Rp 22,050.00 Rp 2,205,000.00 50 50 Rp 22,050.00 Rp 1,102,500.00 50 PCS Rp 1,102,500.00
19 TABLET TAMBAH DARAH 14,670 14,670 Rp 409.00 Rp 6,000,030.00 14,670 14,670 Rp 409.00 Rp 6,000,030.00 - TABLET Rp -
20 TENOVIR TAB 300 MG 3 3 Rp 228,750.00 Rp 686,250.00 1 1 Rp 228,750.00 Rp 228,750.00 2 BTL Rp 457,500.00
21 TRIFLE FDC 3 3 Rp 204,000.00 Rp 612,000.00 1 1 Rp 204,000.00 Rp 204,000.00 2 BTL Rp 408,000.00
22 TUBAL RING 100 100 Rp 13,717.00 Rp 1,371,700.00 - - Rp 13,717.00 Rp - 100 TABLET Rp 1,371,700.00
23 VAKSIN RABIES ( VERORAB ) 11 11 Rp 165,000.00 Rp 1,815,000.00 11 11 Rp 165,000.00 Rp 1,815,000.00 - VIAL Rp -
24 VAKSIN RABIVAX-S 4 4 Rp 153,000.00 Rp 612,000.00 1 1 Rp 153,000.00 Rp 153,000.00 3 VIAL Rp 459,000.00
25 ZIDOVUDIN 100 MG 3 3 Rp 290,640.00 Rp 871,920.00 - - Rp 290,640.00 Rp - 3 BTL Rp 871,920.00
26 ZINC 20 MG 500 500 Rp 604.00 Rp 302,000.00 500 500 Rp 604.00 Rp 302,000.00 - TABLET Rp -
TOTAL 18,301 603 18,904 17,673 75 17,747 1,157

JUMLAH BARANG MASUK Rp 66,621,355.00 JUMLAH BARANG KELUAR Rp 53,697,687.00 JUMLAH SISA BARANG Rp 12,923,668.00
Mengetahui Kasi Penunjang Medik Sukadana, 30 November 2021
Kepala RSUD Sultan Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I Kepala Instalasi Farmasi
RSUD Sultann Muhammad Jamaludin I
dr. Maria Fransisca ASCH, MARS Fransisca Wardiani, SKM Francisca Maria Widyastuty, S.Farm.Apt
NIP. 19840402 201001 2 013 NIP. 19840416 201101 2 006 NIP. 19820613 201101 2 006
BULAN DESEMBER 2021
SUMBER : OBAT PELAYANAN KESEHATAN DASAR (PKD)

TOTAL BARANG MASUK TOTAL BARANG KELUAR
NO NAMA OBAT SAMPAI DENGAN HARGA SATUAN (Rp) SAMPAI DENGAN HARGA SATUAN (Rp)
STOK AWAL BULAN INI BULAN LALU BULAN INI BANYAKNYA SATUAN SISA (Rp)
BULAN INI BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 ALLOPORINOL100 MG 9600 9,600 Rp 105.00 Rp 1,008,000.00 1300 1,300 Rp 105.00 Rp 136,500.00 8,300 TABLET Rp 871,500.00
2 AMOXICILLIN DROP 31 31 Rp 22,000.00 Rp 682,000.00 31 31 Rp 22,000.00 Rp 682,000.00 - BOTOL Rp -
3 ASIKLOVIR 200 MG 400 400 Rp 259.00 Rp 103,600.00 400 400 Rp 259.00 Rp 103,600.00 - TABLET Rp -
4 ATTALPUGITE 600 MG (PULAREX) 150 Rp 1,222.00 Rp 183,300.00 150 150 Rp 1,222.00 Rp 183,300.00 - TABLET Rp -
150
5 CACII GLUKONAS 72 48 120 Rp 6,199.00 Rp 743,880.00 72 48 120 Rp 6,199.00 Rp 743,880.00 - AMPUL Rp -
6 CEFOTAXIME INJ 0,5 G 59 59 Rp 7,404.00 Rp 436,836.00 59 59 Rp 7,404.00 Rp 436,836.00 - VIAL Rp -
CHLORFENIRAMINE MALEAT (CTM)
7 4 MG 8,100 Rp 50.00 Rp 405,000.00 600 7,500 8,100 Rp 50.00 Rp 405,000.00 - TABLET Rp -
8,100
8 COMBIVENT 200 200 Rp 4,550.00 Rp 910,000.00 200 200 Rp 4,550.00 Rp 910,000.00 - VIAL Rp -
9 DEXAMETASON INJ 240 240 Rp 1,210.00 Rp 290,400.00 240 240 Rp 1,210.00 Rp 290,400.00 - AMPUL Rp -
10 DIGOXIN 0,25 MG (FARGOXIN) 1,200 1,200 Rp 356.40 Rp 427,680.00 1,200 1,200 Rp 356.40 Rp 427,680.00 - TABLET Rp -
DIPHENHIDRAMIN HCL INJEKSI 10
11 120 Rp 1,262.00 Rp 151,440.00 120 120 Rp 1,262.00 Rp 151,440.00 - AMPUL Rp -
MG / ML 120
12 ERITROMISIN 250 MG 1,800 1,800 Rp 679.00 Rp 1,222,200.00 1,500 1,500 Rp 679.00 Rp 1,018,500.00 300 TABLET Rp 203,700.00
13 ERITROMISIN SYR 200 MG / 5 ML 50 Rp 15,400.00 Rp 770,000.00 5 9 14 Rp 15,400.00 Rp 215,600.00 36 BOTOL Rp 554,400.00

50
14 FENOBARBITAL INJEKSI 50 mg/ml 38 Rp 2,265.00 Rp 86,070.00 38 38 Rp 2,265.00 Rp 86,070.00 - AMPUL Rp -

38
15 FITOMENADION / 1,100 Rp 873.00 Rp 960,300.00 1,100 1,100 Rp 873.00 Rp 960,300.00 - TABLET Rp -

PHYTOMENADION 10 MG 1,100
16 FUROSEMIDE 40 MG 4,000 4,000 Rp 84.00 Rp 336,000.00 1,600 1,400 3,000 Rp 84.00 Rp 252,000.00 1,000 TABLET Rp 84,000.00
17 HALOPERIDOL 5 MG 400 400 Rp 60.00 Rp 24,000.00 400 400 Rp 60.00 Rp 24,000.00 - TABLET Rp -
18 LIDOCAIN COMPOSITUM INJ 90 90 180 Rp 1,405.00 Rp 252,900.00 60 30 90 Rp 1,405.00 Rp 126,450.00 90 AMPUL Rp 126,450.00
19 METRONIDAZOLE TABLET 250 MG 2,900 Rp 94.00 Rp 272,600.00 2,900 2,900 Rp 94.00 Rp 272,600.00 - TABLET Rp -
2,900
20 METRONIDAZOLE OVULA 50 50 Rp 3,820.00 Rp 191,000.00 10 10 20 Rp 3,820.00 Rp 76,400.00 30 OVULA Rp 114,600.00
21 OKSITERTASIKLIN SALEP MATA 150 150 Rp 2,600.00 Rp 390,000.00 150 150 Rp 2,600.00 Rp 390,000.00 - TUBE Rp -
22 OSELTAMIVIR PHOSPAT 75 MG 50 50 Rp - 50 50 Rp - Rp - - TABLET Rp -
23 PARACETAMOL DROP 96 96 Rp 7,646.00 Rp 734,016.00 - 16 16 Rp 7,646.00 Rp 122,336.00 80 BOTOL Rp 611,680.00
24 PREDNISON 5 MG 5,600 5,600 Rp 79.00 Rp 442,400.00 5,600 5,600 Rp 79.00 Rp 442,400.00 - TABLET Rp -
25 RANITIDIN INJEKSI 100 100 Rp 1,188.00 Rp 118,800.00 100 100 Rp 1,188.00 Rp 118,800.00 - AMPUL Rp -
26 SIMVASTATIN TABLET 10 MG 1,920 1,920 Rp 113.00 Rp 216,960.00 1,920 1,920 Rp 113.00 Rp 216,960.00 - TABLET Rp -
27 TRIHEXIPHENIDIL HCL 2 MG 200 200 Rp 101.00 Rp 20,200.00 100 100 Rp 101.00 Rp 10,100.00 100 TABLET Rp 10,100.00
28 TRAMADOL 50 MG 4,100 4,100 Rp 783.75 Rp 3,213,375.00 4,100 4,100 Rp 783.75 Rp 3,213,375.00 - TABLET Rp -
29 TRAMADOL 50 MG 4,500 4,500 Rp 825.00 Rp 3,712,500.00 200 500 700 Rp 825.00 Rp 577,500.00 3,800 TABLET Rp 3,135,000.00
30 ULTRASONIC GEL 24 24 Rp 16,359.00 Rp 392,616.00 24 24 Rp 16,359.00 Rp 392,616.00 - BOTOL Rp -
31 VENTOLIN NEBU 80 80 Rp 10,901.00 Rp 872,080.00 - Rp 10,901.00 Rp - 80 AMPUL Rp 872,080.00
PAKET TB :
1 OAT KATEGORI 2 2 2 Rp 1,492,579.00 Rp 2,985,158.00 2 2 Rp 1,492,579.00 Rp 2,985,158.00 - PAKET Rp -
REAGENSIA UJI
1 GIEMSA 1 1 Rp 220,000.00 Rp 220,000.00 1 1 Rp 220,000.00 Rp 220,000.00 - BOTOL Rp -
2 RAPID TEST COVID 19 - - Rp 250,000.00 Rp - - - Rp 250,000.00 Rp - - PCS Rp -
3 RAPID TEST HBSAG 200 200 Rp 8,333.00 Rp 1,666,600.00 200 200 Rp 8,333.00 Rp 1,666,600.00 - PCS Rp -
4 RDT HIV / AIDS TEST 1 200 200 Rp 14,340.00 Rp 2,868,000.00 200 200 Rp 14,340.00 Rp 2,868,000.00 - PCS Rp -
5 RDT HIV / AIDS TEST 2 - - Rp 14,340.00 Rp - - - Rp 14,340.00 Rp - - PCS Rp -
6 RDT HIV / AIDS TEST 3 - - Rp 14,340.00 Rp - - - Rp 14,340.00 Rp - - PCS Rp -
7 RDT HIV / 1/2.3.0 - - Rp 11,975.00 Rp - - - Rp 11,975.00 Rp - - PCS Rp -
- - Rp - - - Rp - Rp - -
ALAT LABORATORIUM - - Rp - - - Rp - Rp - -
1 BUNSEN SPIRITUS 7 7 Rp 60,675.00 Rp 424,725.00 - - Rp 60,675.00 Rp - 7 pcs Rp 424,725.00
2 TIP PIPET MIKRO (PUTIH) 2,000 2,000 Rp 190.00 Rp 380,000.00 2,000 2,000 Rp 190.00 Rp 380,000.00 - bungkus Rp -
3 STICK GLUKOSA - - Rp 85,950.00 Rp - - - Rp 85,950.00 Rp - - BOX Rp -
Rp 2,783,550.00 15 15 Rp 185,570.00 Rp 2,783,550.00 - Rp -

4 STICK HEMOGLOBIN EASY TOUCH 15 15 Rp 185,570.00 BOX
BAHAN MEDIS HABIS PAKAI

(BMHP)
1 ALAT SUNTIK 1 ML 300 300 Rp 1,335.01 Rp 400,503.00 300 300 Rp 1,335.01 Rp 400,503.00 - pcs Rp -
2 BLOOD LANCET 3,400 3,400 Rp 160.23 Rp 544,782.00 3,400 3,400 Rp 160.23 Rp 544,782.00 - pcs Rp -
CATGUT CROMIC 2/0 SERENTY 120 Rp 780,000.00 60 60 Rp 6,500.00 Rp 390,000.00 60 pcs Rp 390,000.00
CUTTING 120 Rp 6,500.00
3 COVER GLASS OM 18x18 mm 15,000 15,000 Rp 157.18 Rp 2,357,700.00 15,000 15,000 Rp 157.18 Rp 2,357,700.00 - pcs Rp -
DISPOSIBLE NEEDLE No. 23 G x 1½" 1,000 2,000 Rp 330.00 Rp 660,000.00 1,000 1,000 Rp 330.00 Rp 330,000.00 1,000 pcs Rp 330,000.00
4 1,000
5 FEEDING TUBE FR 5 75 75 Rp 9,570.00 Rp 717,750.00 75 75 Rp 9,570.00 Rp 717,750.00 - pcs Rp -
FOLLEY CATHETER NO. 24 190 Rp 1,900,000.00 190 190 Rp 10,000.00 Rp 1,900,000.00 - pcs Rp -
6 UROCARE 190 Rp 10,000.00
7 ID HAND BLUE PEDIATRIC 1,000 1,000 Rp 1,200.00 Rp 1,200,000.00 - - Rp 1,200.00 Rp - 1,000 pcs Rp 1,200,000.00
8 ID HAND PINK PEDIATRIC 1,100 1,100 Rp 1,200.00 Rp 1,320,000.00 - - Rp 1,200.00 Rp - 1,100 pcs Rp 1,320,000.00
9 IRIGATION SYRING 100 CC 30 30 Rp 21,997.50 Rp 659,925.00 30 30 Rp 21,997.50 Rp 659,925.00 - pcs Rp -
IV.CATHETER JELCO 16 100 Rp 1,600,000.00 100 100 Rp 16,000.00 Rp 1,600,000.00 - Rp -

10 VENISYSTEM 100 Rp 16,000.00 pcs
11 JARUM KULIT No. 9 40 40 Rp 2,750.00 Rp 110,000.00 - - Rp 2,750.00 Rp - 40 pcs Rp 110,000.00
15 JARUM KULIT No. 15 40 40 Rp 2,750.00 Rp 110,000.00 10 10 Rp 2,750.00 Rp 27,500.00 30 pcs Rp 82,500.00
16 JARUM HEACTING No. 12 40 40 Rp 2,750.00 Rp 110,000.00 - - Rp 2,750.00 Rp - 40 pcs Rp 110,000.00

17 JARUM HEACTING OTOT NO.12 40 40 Rp 33,000.00 Rp 1,320,000.00 - - Rp 33,000.00 Rp - 40 pcs Rp 1,320,000.00
22 KAIN SEGITIGA MITELLA 1 1 Rp 9,000.00 Rp 9,000.00 - - Rp 9,000.00 Rp - 1 BUAH Rp 9,000.00
23 KANTUNG JENAZAH 5 5 Rp - 5 5 Rp - Rp - - BUAH Rp -
24 KAPAS 500 GRAM 113 113 Rp 32,736.00 Rp 3,699,168.00 3 2 5 Rp 32,736.00 Rp 163,680.00 108 roll Rp 3,535,488.00
25 KARTU GOLONGAN DARAH 2,600 2,600 Rp 550.00 Rp 1,430,000.00 - - Rp 550.00 Rp - 2,600 pcs Rp 1,430,000.00
KASA PEMBALUT ELASTIC 3,6 m x 5 2,100 Rp 3,150,000.00 2,100 2,100 Rp 1,500.00 Rp 3,150,000.00 - Rp -
26 cm 2,100 Rp 1,500.00 roll
27 KERTAS SARING 6 6 Rp 46,860.00 Rp 281,160.00 - - Rp 46,860.00 Rp - 6 PACK Rp 281,160.00
28 KOTAK SLIDE (ABU-ABU) 12 12 Rp 39,625.00 Rp 475,500.00 6 6 Rp 39,625.00 Rp 237,750.00 6 pcs Rp 237,750.00
29 MICROSCOPE SLIDE 720 720 Rp 972.22 Rp 699,998.40 720 720 Rp 972.22 Rp 699,998.40 - pak @ 72 pcs Rp -
30 MUCUS EXTRACTOR 19 19 Rp 8,625.00 Rp 163,875.00 19 19 Rp 8,625.00 Rp 163,875.00 - BUAH Rp -
31 NURSE CAP 100 100 Rp 550.00 Rp 55,000.00 100 100 Rp 550.00 Rp 55,000.00 - BUAH Rp -
32 POLI AID 34 34 Rp 142,920.50 Rp 4,859,297.00 34 34 Rp 142,920.50 Rp 4,859,297.00 - BOTOL Rp -
48 Rp 290,400.00 48 48 Rp 6,050.00 Rp 290,400.00 - Rp -

SELANG OKSIGEN BAYI (OXYFLOW
33 NASAL OXYGEN BAYI) 48 Rp 6,050.00 pcs
SIKAT OPERASI STERIL (SIKAT 10 Rp 64,900.00 - - Rp 6,490.00 Rp - 10 Rp 64,900.00
34 TANGAN ONEMED) 10 Rp 6,490.00 pcs
SILK NO. 2/0 + JARUM 1/2GT 35 216 Rp 861,300.00 216 216 Rp 3,987.50 Rp 861,300.00 - Rp -
35 mm 216 Rp 3,987.50 pcs
36 TABUNG EDTA UNGU 3 ML 500 500 Rp 1,455.00 Rp 727,500.00 - Rp 1,455.00 Rp - 500 pcs Rp 727,500.00
37 URIN BAG STANDAR STERIL 2 L 80 80 Rp 6,375.00 Rp 510,000.00 - Rp 6,375.00 Rp - 80 pcs Rp 510,000.00
38 URIN BAG UROBAG STERIL 2 L 20 20 Rp 7,260.00 Rp 145,200.00 - Rp 7,260.00 Rp - 20 pcs Rp 145,200.00
TOTAL 68,719 1,338 70,057 48,703 9,575 58,278 11,779

JUMLAH BARANG MASUK Rp 62,106,894.40 JUMLAH BARANG KELUAR Rp 43,162,911.40 JUMLAH SISA BARANG Rp 18,943,983.00
Mengetahui Sukadana, 31 Desember 2021

Kepala RSUD Sultan Muhammad Jamaludin I Kasi Penunjang Medik Kepala Instalasi Farmasi
RSUD Sultann Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I

NIP. 19840416 201101 2 006
REKAPITULASI PERSEDIAAN BARANG COVID 19
BULAN DESEMBER 2021
NO NAMA OBAT SAMPAI HARGA SATUAN TOTAL BARANG SAMPAI HARGA SATUAN TOTAL BARANG
BULAN INI BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 BAJU HAZMAT + APD LENGKAP ( DINKES PROV ) 20 20 Rp - - - Rp - Rp - 20 SET Rp -
2 BAJU HAZMAT COVER ALL ( DINKES PROV ) 1,018 1,018 Rp 275,000.00 Rp 279,950,000.00 384 384 Rp 275,000.00 Rp 105,600,000.00 634 PCS Rp 174,350,000.00
FAPIVIRAVIR 200 MG ( DINKES PROV ) - - Rp - - - Rp - Rp - - TABLET Rp -

3 KANTONG MAYAT / JENAZAH (DINKES KAB) 4 4 Rp - Rp - 0 - Rp - Rp - 4 PCS Rp -
4 KLOROQUIN PHOSFAT 150 MG ( PROPINSI ) 300 300 Rp 1,506.00 Rp 451,800.00 100 100 Rp 1,506.00 Rp 150,600.00 200 TABLET Rp 301,200.00
5 LEVOFLOXACIN INFUS ( DINKES PROV ) 500 500 Rp - 236 48 284 Rp - Rp - 216 BOTOL Rp -
6 MASKER KN 95 ( DINKES PROV ) 39 39 Rp 77,000.00 Rp 3,003,000.00 39 39 Rp 77,000.00 Rp 3,003,000.00 - PCS Rp -
7 OSELTAMIVIR CAPSULE 1150 1,150 Rp 12,969.00 Rp 14,914,350.00 1150 1,150 Rp 12,969.00 Rp 14,914,350.00 - PCS Rp -
8 REMDASIVIR INJ ( DINKES PROV ) 336 336 Rp - 122 122 Rp - Rp - 214 VIAL Rp -
9 VITAMIN C INJEKSI 240 240 Rp - 120 120 Rp - Rp - 120 AMPUL Rp -
TOTAL 3,607 - 3,607 Rp 366,475.00 2,151 48 2,199 1,408


Mengetahui Kasi Penunjang Kepala Instalasi Farmasi
Direktur RSUD Sultan Muhammad Jamaludin I RSUD Sultan Muhammad Jamaludin I RSUD Sultan Muhammad Jamaludin I
dr. Maria Fransisca A.S, MARS Francisca Maria Widyastuty, S.Farm.Apt

NIP. 19840402 201001 2 013 Fransiska Wardiani, SKM NIP. 19820613 201101 2 006
NIP. 19840416 201101 2 006
BULAN DESEMBER 2021
SUMBER : OBAT BUFFER PROVINSI

NO NAMA OBAT SAMPAI HARGA SATUAN TOTAL BARANG MASUK SAMPAI HARGA SATUAN TOTAL BARANG
STOK AWAL BULAN INI DENGAN (Rp) BULAN LALU BULAN INI DENGAN KELUAR (Rp) BANYAKNYA SATUAN SISA (Rp)
BULAN INI BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 ASIKLOVIR 200 MG 300 300 Rp 3,295.00 Rp 988,500.00 300 300 Rp 3,295.00 Rp 988,500.00 - TABLET Rp -
2 PHENOBARBITAL INJEKSI 90 Rp 205,020.00 90 90 Rp 2,278.00 Rp 205,020.00 - TABLET Rp -

90 Rp 2,278.00
TOTAL 390 - 390 390 - 390 0

JUMLAH BARANG MASUK Rp 1,193,520.00 JUMLAH BARANG KELUAR Rp 1,193,520.00 JUMLAH SISA BARANG Rp -

Mengetahui Kasi Penunjang Kepala Instalasi Farmasi
Direktur RSUD Sultan Muhammad Jamaludin I RSUD Sultan Muhammad Jamaludin I RSUD Sultan Muhammad Jamaludin I
dr. Maria Fransisca A.S, MARS Francisca Maria Widyastuty, S.Farm.Apt

NIP. 19840402 201001 2 013 Fransiska Wardiani, SKM NIP. 19820613 201101 2 006
NIP. 19840416 201101 2 006
BULAN DESEMBER 2021
SUMBER : OBAT BTT

NO NAMA OBAT SAMPAI HARGA SATUAN TOTAL BARANG MASUK (Rp) SAMPAI DENGAN HARGA SATUAN TOTAL BARANG KELUAR (Rp) EXPIRED DATE
STOK AWAL BULAN INI DENGAN BULAN LALU BULAN INI BANYAKNYA SATUAN SISA (Rp)
BULAN INI
BULAN INI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALKOHOL 70% 1L 4 4 Rp 60,000.00 Rp 240,000.00 4 4 Rp 60,000.00 Rp 240,000.00 - BOTOL Rp -
2 HIDROGEN PEROXIDE 3 % 5 5 Rp 39,500.01 Rp 197,500.05 3 3 Rp 39,500.01 Rp 118,500.03 2 PCS Rp 79,000.02
3 LISOL 46 46 Rp 52,910.00 Rp 2,433,860.00 12 12 Rp 52,910.00 Rp 634,920.00 34 BOTOL Rp 1,798,940.00
4 MULTI DRUG 5 PANEL 200 200 Rp 61,600.00 Rp 12,320,000.00 200 200 Rp 61,600.00 Rp 12,320,000.00 - pcs Rp -
5 POLICLEAN HANDRUB 500 ML 20 20 Rp 129,360.00 Rp 2,587,200.00 - - Rp 129,360.00 Rp - 20 BOTOL Rp 2,587,200.00
6 460 Rp 132,000.00 Rp 60,720,000.00 460 460 Rp 132,000.00 Rp 60,720,000.00 - PCS Rp -

RAPID TEST SARS COVID-19 IGg/Igm ANTIGEN YHLO 460
7 800 800 Rp 60,000.00 Rp 47,999,996.00 800 800 Rp 60,000.00 Rp 47,999,996.00 - PCS Rp -

RAPID TEST SARS COVID-19 IGg/Igm ANTIBODY YHLO
8 2,300 Rp 3,795,000.00 2,300 2,300 Rp 1,650.00 Rp 3,795,000.00 - Rp -

SUPLEMEN VITAMIN C ( ARKAVIT C )( DANA BTT ) 2,300 Rp 1,650.00 TABLET
9 1,400 Rp 2,310,000.00 1,400 1,400 Rp 1,650.00 Rp 2,310,000.00 - Rp -

SUPLEMEN VITAMIN C ( SELKOM C )( DANA BTT ) 1,400 Rp 1,650.00 TABLET
10 TIP FOR MICROPIPET ( TIP PUTIH )1000 µl 37 37 Rp 241,100.00 Rp 8,920,700.00 - - Rp 241,100.00 Rp - 37 PAK Rp 8,920,700.00
11 TIP FOR MICROPIPET ( TIP PUTIH )200 µL 34 34 Rp 189,700.00 Rp 6,449,800.00 34 34 Rp 189,700.00 Rp 6,449,800.00 - PAK Rp -
12 VIRUS RNA COLLECTION KIT (VIRUS TRANSPORT 800 Rp 79,200,000.00 750 Rp 99,000.00 Rp 74,250,000.00 50 PCS Rp 4,950,000.00
MEDIA)( Dana BTT ) 800 Rp 99,000.00 750

1 ALKOHOL 70 % 1 L 200 200 Rp 49,500.00 Rp 9,900,000.00 116 116 Rp 49,500.00 Rp 5,742,000.00 84 BOTOL Rp 4,158,000.00
2 ALKOHOL 70 % 20 L 60 60 Rp 825,000.00 Rp 49,500,000.00 27 27 Rp 825,000.00 Rp 22,275,000.00 33 BOTOL Rp 27,225,000.00
3 BAJU APD 40 40 Rp 250,000.00 Rp 10,000,000.00 40 40 Rp 250,000.00 Rp 10,000,000.00 - PCS Rp -
4 HANDSCOON NON STERIL UKURAN L SAFEGLOVE 11,000 11,000 Rp 850.00 Rp 9,350,000.00 11,000 11,000 Rp 850.00 Rp 9,350,000.00 - PCS Rp -
5,000 Rp 850.00 Rp 4,250,000.00 5,000 5,000 Rp 850.00 Rp 4,250,000.00 - Rp -

5 HANDSCOON NON STERIL UKURAN M SAFEGLOVE 5,000 PCS
12,000 Rp 1,593.90 Rp 19,126,800.00 12,000 12,000 Rp 1,593.90 Rp 19,126,800.00 - Rp -

6 HANDSCOON NON STERIL UKURAN S 12,000 PCS
5,000 Rp 1,060.00 Rp 5,300,000.00 5,000 5,000 Rp 1,060.00 Rp 5,300,000.00 - Rp -

7 HANDSCOON NON STERIL UKURAN S ELVA 5,000 PCS
9,000 Rp 1,060.00 Rp 9,540,000.00 9,000 9,000 Rp 1,060.00 Rp 9,540,000.00 - Rp -

8 HANDSCOON NON STERIL UKURAN XS ELVA 9,000 PCS
200 200 Rp 13,500.44 Rp 2,700,088.00 200 200 Rp 13,500.44 Rp 2,700,088.00 - Rp -

9 HANDSCOON STERIL UKURAN 6 ( Tro-sensosurge ) PCS
250 Rp 9,075.00 Rp 2,268,750.00 250 250 Rp 9,075.00 Rp 2,268,750.00 - Rp -

10 HANDSCOON STERIL UKURAN 7 (SHAMROCK) 250 PCS
300 Rp 9,075.00 Rp 2,722,500.00 300 300 Rp 9,075.00 Rp 2,722,500.00 - Rp -

11 HANDSCOON STERIL UKURAN 7,5 (SHAMROCK) 300 PCS
300 Rp 6,595.00 Rp 1,978,500.00 300 300 Rp 6,595.00 Rp 1,978,500.00 - Rp -

12 HANDSCOON STERIL UKURAN 8 ( Tro-sensosurge ) 300 PCS
13 KANTONG JENAZAH 20 20 Rp 352,000.00 Rp 7,040,000.00 - - Rp 352,000.00 Rp - 20 PCS Rp 7,040,000.00
14 KASA 40YX80CM XRAY PRO-KASA 75 75 Rp 232,545.45 Rp 17,440,908.75 32 16 48 Rp 232,545.45 Rp 11,162,181.60 27 ROLL Rp 6,278,727.15 JULI 25
20,000 Rp 1,254.00 Rp 25,080,000.00 20,000 20,000 Rp 1,254.00 Rp 25,080,000.00 - PCS Rp -
15 MASKER DISPOSIBLE KARET (EARLOOP) SINAR OGAN 20,000
3,450 Rp 2,090.00 Rp 7,210,500.00 3,450 3,450 Rp 2,090.00 Rp 7,210,500.00 - PCS Rp -
16 MASKER HIJAB MULTI ONE PLUS 3,450
17 MASKER HIJAB SINAR OGAN 24,000 24,000 Rp 1,386.00 Rp 33,264,000.00 24,000 24,000 Rp 1,386.00 Rp 33,264,000.00 - PCS Rp -
18 MASKER KN95 ALKINDO 1,500 1,500 Rp 5,500.00 Rp 8,250,000.00 1,500 1,500 Rp 5,500.00 Rp 8,250,000.00 - PCS Rp -
19 MASKER VISOR 85 85 Rp 9,700.00 Rp 824,500.00 39 39 Rp 9,700.00 Rp 378,300.00 46 PCS Rp 446,200.00
20 NURSE CUP 7,000 7,000 Rp 990.00 Rp 6,930,000.00 7,000 7,000 Rp 990.00 Rp 6,930,000.00 - PCS Rp -
21 NURSE CUP ( BOUFANT CAP EVO GREEN ) 718 718 Rp 1,000.00 Rp 718,000.00 718 718 Rp 1,000.00 Rp 718,000.00 - PCS Rp -
22 SURGICAL GOWN UK REKAT 300 300 Rp 62,700.00 Rp 18,810,000.00 300 300 Rp 62,700.00 Rp 18,810,000.00 - PCS Rp -
23 VACUTAINER CITRATE TUBE BLUE 9 9 Rp 206,250.00 Rp 1,856,250.00 9 9 Rp 206,250.00 Rp 1,856,250.00 - PCS Rp - 10-21
TOTAL 106,613 - 106,613 106,244 16 106,260 353


Mengetahui Kasi Penunjang Medik Kepala Instalasi Farmasi
Kepala RSUD Sultan Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I RSUD Sultann Muhammad Jamaludin I

NIP. 19840416 201101 2 006
PEMERINTAH KABUPATEN KAYONG UTARA
DINAS KESEHATAN DAN KELUARGA BERENCANA
RSUD SULTAN MUHAMMAD JAMALUDIN I
Jalan Provinsi, Sukadana - Kayong Utara. Kode Pos 78852
Email : rsudsmjpkku@gmail.com, Telp : (0534) 3031475 (IGD)
BERITA ACARA STOK OPNAME

INSTALASI FARMASI RSUD SULTAN MUHAMMAD JAMALUDIN I
KABUPATEN KAYONG UTARA
Nomor:
Pada hari ini Jumat tanggal Tiga Puluh Satu bulan Desember tahun Dua Ribu Dua Puluh Satu, kami yang bertanda
tangan dibawah ini Tim Stok Opname Pada Instalasi Farmasi RSUD Sultan Muhammad Jamaludin I Kabupaten
Kayong Utara telah memeriksa dan mencatat nilai persediaan Obat dan perbekalan kesehatan sejumlah Rp
3.530.343.411,76 (Tiga Milyar Lima Ratus Tiga Puluh Juta Tiga Ratus Empat Puluh Tiga Ribu Empat Ratus
Sebelas Koma Tujuh Puluh Enam Rupiah) dengan rincian sebagai berikut :
Nilai Persediaan Obat PKD sebesar Rp 18,943,983.00

Nilai Persediaan Obat Buffer Provinsi sebesar Rp -
Nilai Persediaan Obat Program sebesar Rp 12,923,668.00
Nilai Persediaan Obat Covid DINKES sebesar Rp 174,651,200.00
Nilai Persediaan Obat Hibah sebesar Rp 6,270,000.00
Nilai Persediaan Obat Pengadaan Rp 3,254,070,793.59
Nilai Persediaan Obat BTT sebesar Rp 63,483,767.17
Demikian Berita Acara ini dibuat menurut keadaan yang sebenarnya dibuat sebanyak 2 (Dua) rangkap untuk
dipergunakan sebagaimana mestinya.
Stok Opname Instalasi Farmasi Kabupaten Kayong Utara :

Dilaksanakan oleh 1. Fransisca Maria Widyastuti, S. Farm, Apt
2. Apt. Ahmad Saiful, S.Farm
3. Anggreini Ilmafi Zain, A.Md, Far
4. Novi Setiawati, A.Md, Far
5. Danang Sarutomo, A.Md, Far
6. Ariani Eko Lisgianti, A.Md, Farm
7. Tengku Aulia Utami, A.Md. Far
8. Arian Saputra, A.Md, Far
9. Fera Opelia, S.Farm
10. Yulianus Chistian Dicky, A.Md, Farm
11. Ria Dwi Utami, A.Md, Far
Direktur RSUD Sultan Muhammad Jamalin I
dr. Maria Fransisca A.S, MARS

NIP. 19840402 201001 2 013

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RENCANA KEBUTUHAN BMHP 2022

INSTALASI FARMASI SULTAN MUHAMMAD JAM

PEMAKAIAN SISA STOK

NO NAMA OBAT HARGA SATUAN

2 FILM RONTGEN CARESTREAM 28 X 35 CM ( 11 x 14 in ) 5 Rp 2,750,000.00 -

3 FILM RONTGEN CARESTREAM 35 X 43 CM ( 14 x 17 in ) 4 Rp 5,130,000.00 1

4 FILM CONICA UKURAN 10X12 2 Rp 5,504,400.00 3

5 FILM CONICA UKURAN 14x17 2 Rp 6,160,000.00 -

BAHAN MEDIS HABIS PAKAI (BMHP)

3 ALAT SUNTIK SEKALI PAKAI 10 ML STERA 11,300 Rp 1,156.25 4,400

4 ALAT SUNTIK SEKALI PAKAI 20 ML STERA 650 Rp 2,403.42 900

5 ALAT SUNTIK SEKALI PAKAI 3 ML STERA 8,300 Rp 812.50 700

6 ALAT SUNTIK SEKALI PAKAI 5 ML STERA 7,700 Rp 1,277.60 1,600

8 ALKOHOL 70 % 1 L 130 Rp 49,500.00 -

9 ALKOHOL SWABS 25,600 Rp 150.00 72,000

10 APRON PLASTIK 50'S 570 Rp 3,281.25 930

12 CATETER INFUS NO. 18 TRO-VENOCATH - Rp 14,984.64 600

14 CATETER INFUS NO. 26 TROGE PLUS 50 Rp 12,870.00 150

15 CATETER INFUS THREE WAY STOP COCK 100 Rp 13,089.95 400

18 DISPOSIBLE NEEDLE No. 21 OM - Rp 330.00 500

19 DISPOSIBLE NEEDLE No. 23 OM - Rp 330.00 500

20 ELECTRODE ONEDOT DEWASA 1,000 Rp 2,500.01 -

21 ELECTRODE ONEDOT ANAK 100 Rp 2,500.01 100

22 ELECTRODE ONEDOT BAYI 250 Rp 2,500.00 -

23 ETT 4.5 NON CUP MERK RUSCH 10 Rp 49,947.27 -

24 ETT 4.0 NON CUP MERK RUSCH 10 Rp 49,947.27 -

25 ETT 3,5 NON CUP MERK RUSCH 10 Rp 49,947.27 -

26 ETT 3,0 NON CUP MERK RUSCH - Rp 49,947.27 10

27 ETT 2,5 NON CUP MERK RUSCH - Rp 49,947.27 10

28 ETT 2,0 NON CUP MERK RUSCH - Rp 49,947.27 10

29 EXTENSION TUBE 100 CM OM 200 Rp 6,875.00 300

ETIL CHLORIDE SPRAY

31 FEEDING TUBE NO. 16 ( TERUMO ) 78 Rp 13,000.00 -

33 FEEDING TUBE NO.10 ( 100 CM ) 30 Rp 9,471.00 -

34 FEEDING TUBE NO.12 ( 100 CM ) 20 Rp 9,065.10 10

35 FEEDING TUBE NO.14 26 Rp 9,065.10 21

38 FEEDING TUBE NO.8 ( 40 CM ) 198 Rp 9,952.80 -

39 FEEDING TUBE NO.8 ( 100 CM ) - Rp 26,250.00 30

51 FOLLEY CHATETER 2 WAY NO. 16 940 Rp 14,224.95 -

52 FOLLEY CHATETER 2 WAY NO.18 30 Rp 18,287.50 -

53 FOLLEY CHATETER 2 WAY NO.20 20 Rp 10,000.00 180

60 HANDSCOON NON STERIL UKURAN L 10,000 Rp 850.00 -

62 HANDSCOON NON STERIL UKURAN M 5,000 Rp 850.00 -

66 HANDSCOON NON STERIL UKURAN S 8,000 Rp 1,593.90 -

70 HANDSCOON PANJANG OBGYN TROGYNOSURGE SMALL 100 Rp 40,733.00 -

73 HANDSCOON STERIL UKURAN 6 450 Rp 8,449.35 900

76 HANDSCOON STERIL UKURAN 6,5 ( Tro-sensosurge ) 2,650 Rp 14,624.06 2,700

79 HANDSCOON STERIL UKURAN 7 ( Tro-sensosurge ) 1,200 Rp 14,624.06 1,000

86 INFUSION SET ANAK ( MIKRO ) STERA 650 Rp 4,159.99 400

87 INFUSION SET DEWASA ( MACRO ) STERA 1,150 Rp 4,160.00 1,350

90 INJECTION PLUG 100'S 100 Rp 1,415.70 800

94 JARUM SPINAL NO.27 76 Rp 60,000.00 -

98 KASA HIDROFIL NON STERIL UK. 2 M x 80 cm 660 Rp 9,625.00 -

99 KASA HIDROFIL NON STERIL UK. 4 M x 15 cm 400 Rp 2,625.00 -

101 KASA HIDROFIL STERIL UK. 10 CM x 10 CM 450 Rp 6,472.50 -

102 KASA HIDROFIL STERIL UK. 7,5 CM x 7,5CM 400 Rp 14,125.00 -

106 KERTAS ECG-300 GT TFT ( ELITECH ) 75 Rp 138,956.40 37