No Keterangan COUNT Qty

1 ALCOHOL SWABS 8 324

2 ALKOHOL 70% 1 LTR 26 2037
3 AMLODIPIN 10 MG 1 10
4 AMLODIPIN 10 MG BP** 3 414
5 ANESFAR INJ 2 6
6 AQUA DM 39 157
7 ASAM TRANEKSAMAT INJ 500MG 1 1
8 ASAM TRANEXAMAT INJ 250MG 1 1
9 ASERING 500 2 2
10 ASSUCRYL 3/0 TAPPER 1 1
11 ATROPIN SULFAT INJ 4 13
12 BCG VAKSIN 18 60
13 BETADINE SOL 60 ML 1 1
14 BIOPLACENTON CREAM 3 3
15 BISOLVON DROP 12 12
16 BISTURI 510 2 8
17 BISTURI 511 1 2
18 BLOOD SET BP** 2 2
19 BUNASCAN INJ 5 8
20 CARMAN CANULA (CURRETE) NO 6 1 4
21 CATHEJELL 23 25
22 CEFOTAXIM INJ BERN 1 1
23 CEFOTAXIME 1G INJ.HEXP 1 10
24 CENDO FENICOL 1% EYE OINT 3,5 G 1 1
25 CENDO MYDDRIATIL 1% ED 8 9
26 CENDO PANTOCAIN 0,5% 5 CC 6 8
27 CENDO POLYDEX MD 1 20
28 CENDO TIMOL 0,5 ED 5 ML 1 1
29 CENDO XITROL 5 CC ED 5 5
30 CHLORAMFENICOL EYE OINT 1 1
31 CHLORETHYL SPRAY 1 1
32 CHLORO TULLE ( SOFRATULLE) 10 29
33 CHROMALUX TAB 3 30
34 CHROMIC CUT GUT 2/0 TUPPER HRG 38 2 3
35 CITICOLIN INJ NOVELL 1 1
36 CLANEKSI TAB 500 MG 1 60
37 COPIDREL 75 MG 1 150
38 CORMEGA 1 200
39 DEXAMETHASON 5MG/ML INJ 2 4
40 DEXT 10% 500 1 1
41 DEXT 5 , 1/4 NS (N4) 2 10
42 DIAZEPAM INJ 5 Mg/Ml 2 2
43 ECG ELEKTRODE "ADULT" CONMED 1 4
44 EPHINEPRIN INJ/ADRENALIN INJ 1 2
45 ERLAMYCETIN EYE OINT 1 1
46 ETT N0. 4,5 1 1
47 ETT NO. 3 1 2
48 ETT NO. 4 1 1
49 ETT NO. 5 2 2
50 ETT NO. 5 TANPA BALON 1 1
51 ETT NO. 5,5 3 3
52 ETT NO. 6 1 1
53 ETT NO. 7 2 2
54 ETT NO. 7,5 1 1
55 FEEDING TUBE 8 (100 CM) 1 1
56 FEMALE CATHETER NO.16 1 1
57 FENTANIL INJ 35 89
58 FOLLEY CATHETER 14 BALOON CHROMA 3 8
59 FORMALIN 1L 2 2
60 FRESOFOL INJ 1 1
61 FUROSEMID 10MG/ML INJ 1 1
62 GAMMEX STERIL 7 13 45
63 GAMMEX STERIL 7,5 8 26
64 GASTROFER INJ 1 2
65 GENTAMICIN 40 MG/ML INJ 2 5
66 H2O2 3% 50CC 7 8
67 HYPAFIX VERBAN 15 X 5 CM 1 1
68 HYPAFIX VERBAN 5 X 5 CM 1 1
69 IKAMICETIN SALEP KULIT 2 2
70 INDOP INJ 40 MG/ML 2 2
71 INFUS SET MICRO POLYMED 3 15
72 INH 300 1 100
73 INVICLOT 5000IU (HEPARIN) 1 1
74 KALMICETINE SALEP 1 2
75 KASSA STERIL 1 1
76 KCL 25 ML 1 1
77 KERTAS LAKMUS MERAH 1 2
78 KETAMIN 50 MG/ML 1 20
79 KETOROLAC INJ 3% DEXA & MBF 1 5
80 KETOROLAC TAB 10 MG 1 30
81 KONDOM SUTRA ISI 12 1 12
82 LANSOPRAZOLE NOVELL 1 20
83 LINCOPHAR 500 MG 1 20
84 MASKER N95 1 1
85 MASKER NEBULIZER ADULT 8904 / GEA 1172 1 1
86 MASKER NEBULIZER PED 8906 / GEA 1173 1 1
87 MEDIC DENT NO.7 (GAMMEX) 9 40
88 MEDIC DENT NO.7,5 (GAMMEX) 6 25
89 METHYL ERGOMETRINE INJECT 2 15
90 METVELL 0,125 MG TAB 2 60
91 MEYLON 84 25ML (BICNAT) 1 3
92 MICROPORE B (5CM) 2" 1 1
93 MICROPORE K (1,25CM) 1 1
94 MIDAZOLAM 5mg Inj 1 1
95 MISOPROSTOL TAB 12 115
96 MKP LANG 30 ML 1 1
97 MORPHIN HCL 10 MG/ML 1 2
98 MYCO Z OINT 10 GR 1 1
99 MYCO Z OLES 1 10
100 N-EPI INJECT 1 2
101 NACL 0,9% 500 1 1
102 NACL 0,9% 500 WIDA 1 2
103 NACL 100 SANBE 6 84
104 NACL 500 SANBE 1 3
105 NAIRET INJ (=BRICASMA INJ) 1 5
106 NASAL CANULA PED / CHILD HOSPITEC 1 1
107 NEEDLE 25 44 585
108 NEEDLE 26 2 20
109 NEO KAOLANA SYRUP 120CC 1 1
110 NIFEDIPINE 10MG TAB 4 40
111 NOC ANAK CANGSU (NASAL CANUL) 1 2
112 OBJECT GLASS DINKES 5 361
113 ONDANCENTRON 4 MG INJ MBF 2 11
114 OPIXIM 100 1 30
115 OXOFERIN SOL 30ML 1 2
116 OXYTOCIN INJ 5 34
117 PANTOPRAZOLE 40 MG TAB 1 20
118 PANVELL TABLET 1 30
119 PARACETAMOL INFUS 1 1
120 PARACETAMOL SYRUP 1 1
121 PARACETAMOL TAB 33 340
122 PARACETAMOL TAB 500 MG BP** 24 240
123 PENENK BIRU BAYI 1 1
124 PENENK KUNING DWS 2 8
125 PENENK MERAH DWS 6 40
126 PENTABIO VAKSIN 2,5 ML 7 70
127 PETHIDIN HCL 50 MG/ML INJ 23 58
128 PEWARNA ZEIHL NELSON 1 1
129 PEWARNA ZIEHL NELSON 2 2
130 phenobarbital inj 50 mg/ml 1 1
131 POLIO VAKSIN 27 58
132 POLYFLEX NO.20 (VASOFIX) 1 5
133 POLYFLEX NO.22 (VASOFIX) 1 5
134 POLYFLEX NO.24 (VASOFIX) 1 5
135 POLYPROPILENE 3/0 CUTTING 75 CM 2 3
136 POT 100 1 3
137 POT 200 2 3
138 POT 50 2 8
139 POT DAHAK DINKES 9 550
140 PPD 2 IU AMP 7 6.5
141 PROPYRETIC 160 MG SUPP 2 17
142 PROPYRETIC 80 MG SUPP 6 22
143 PRORIS SUPP 8 30
144 PULMICORT 0,5 RESP 1 2
145 PULMICORT 0.5 Resp BP** 1 3
146 RANITIDIN INJ NOVELL 7 96
147 RANITIDIN TAB 1 68
148 RANITIDINE 150 MG BP** 1 195
149 RANIVEL SYR 1 1
150 REGIVELL INJ 1 1
151 REPIMIDE TAB 1 160
152 RL 500 1 5
153 RL OGB 4 45
154 RL SANBE 6 38
155 SAGESTAM CREAM 1 1
156 SALBUVEN EXP SYR 4 13
157 SENSI GLOVE HANDSEAL L ( NO POWDER ) 1 1
158 SENSI GLOVE HANDSEAL M (NO POWDER) 2 99
159 SENSI GLOVE HANDSEAL S NO POWDER 2 2
160 SILK BLACK 2/0 ^ CUTTING 1 1
161 SIMVASTATIN 20 MG 1 10
162 SPINOCAN 25 1 3
163 SPINOCAN 27 4 11
164 SPUIT 1 CC TUBERLIN 2 10
165 SPUIT 10 CC 1 5
166 SPUIT 20 CC 2 2
167 SPUIT 3 CC 2 15
168 STERIL GLOVE 7 DELVICARE 3 58
169 STERIL GLOVE 7.5 DELVICARE 2 10
170 STESOLID 10 MG RECTAL 1 1
171 STESOLID 5 MG RECTAL 1 1
172 STESOLID RECTAL 10 MG Bp** 12 12
173 STESOLID RECTAL 5 MG Bp** 23 27
174 SUCTION CATHETER 10 1 1
175 SUCTION CATHETER 12 1 2
176 SUCTION CATHETER 8 4 10
177 SYRINGE 10 CC (SPUIT) 5 50
178 SYRINGE 3 CC (SPUIT) 31 540
179 SYRINGE 5 CC (SPUIT) 2 12
180 TEGADERM 1 1
181 THERMOMETER DIGITAL 1 1
182 THIAMYCIN SYR 1 3
183 THROMBOPOB GEL 3 3
184 TORAMINE 30MG INJ 1 2
185 TRAMADOL 100 INJ NOVELL 1 1
186 TT JERAP TETANUS 5 CC 10 17.2
187 UMBILICAL CLEM 4 33
188 urine bag steril mas 4 11
189 VAKSIN MR RUBELLA 15 42
190 VALISANBE INJ 10 13
191 VASELIN ALBUM 2 2
192 VASOFIX 18*** 2 7
193 VASOFIX 20*** 1 9
194 VENTOLIN NEBU BP** 1 3
195 VERBAN 5 CM 1 10
196 WATER FOR INJEKSI 25 ML BP** 5 20
197 WRAPPING PAPER 1 10
198 YAZ 1 2
199 --------------------------------------------- ------ ---------------
200 GRAND TOTAL 813 8774.7
201 --------------------------------------------- ------ ---------------
 Sub Total
Rp 93,150
Rp 1,451,119
Rp 8,500
Rp 289,800
Rp 102,000
Rp 623,303
Rp 6,300
Rp 4,600
Rp 17,538
Rp 72,600
Rp 23,636
Rp 7,150,000
Rp 34,000
Rp 48,000
Rp 908,400
Rp 24,750
Rp 15,000
Rp 14,800
Rp 1,018,000
Rp 300,000
Rp 956,088
Rp 63,000
Rp 52,275
Rp 24,063
Rp 378,675
Rp 106,704
Rp 116,600
Rp 52,525
Rp 149,875
Rp 3,150
Rp 242,000
Rp 275,152
Rp 280,500
Rp 193,260
Rp 13,000
Rp 670,500
Rp 2,099,501
Rp 1,950,000
Rp 7,987
Rp 7,275
Rp 157,500
Rp 3,155
Rp 6,600
Rp 17,273
Rp 6,500
Rp 59,000
Rp 130,000
Rp 65,000
Rp 130,000
Rp 65,000
Rp 195,000
Rp 85,000
Rp 170,000
Rp 85,000
Rp 35,000
Rp 25,000
Rp 3,368,000
Rp 95,200
Rp 12,800
Rp 10,280
Rp 1,871
Rp 689,625
Rp 416,000
Rp 230,000
Rp 25,300
Rp 1,219
Rp 155,500
Rp 75,000
Rp 14,300
Rp 66,000
Rp 112,500
Rp 22,000
Rp 60,000
Rp 22,000
Rp 275
Rp 2,930
Rp 13,000
Rp 109,000
Rp 30,000
Rp 86,100
Rp 14,960
Rp 24,570
Rp 91,000
Rp 17,500
Rp 59,000
Rp 70,000
Rp 240,000
Rp 150,000
Rp 50,909
Rp 148,500
Rp 16,908
Rp 44,583
Rp 11,146
Rp 7,170
Rp 575,000
Rp 10,000
Rp 61,909
Rp 67,500
Rp 67,500
Rp 180,000
Rp 5,827
Rp 12,436
Rp 625,538
Rp 25,650
Rp 110,000
Rp 35,000
Rp 437,450
Rp 15,000
Rp 12,100
Rp 4,691
Rp 15,400
Rp 98,914
Rp 58,000
Rp 540,000
Rp 130,000
Rp 85,000
Rp 200,000
Rp 405,000
Rp 42,500
Rp 3,000
Rp 46,042
Rp 11,563
Rp 215,000
Rp 17,200
Rp 86,000
Rp 12,070,800
Rp 928,308
Rp 276,500
Rp 553,000
Rp 1,688
Rp 2,616,900
Rp 55,000
Rp 55,000
Rp 55,000
Rp 199,650
Rp 4,500
Rp 6,000
Rp 6,400
Rp 2,697,750
Rp 4,213,500
Rp 113,333
Rp 137,500
Rp 141,000
Rp 43,526
Rp 65,289
Rp 287,141
Rp 12,822
Rp 20,032
Rp 55,000
Rp 70,000
Rp 320,000
Rp 34,680
Rp 303,400
Rp 254,838
Rp 12,000
Rp 520,000
Rp 55,000
Rp 56,900
Rp 58,075
Rp 48,315
Rp 9,327
Rp 94,200
Rp 502,000
Rp 29,250
Rp 18,750
Rp 16,000
Rp 33,575
Rp 504,000
Rp 70,000
Rp 35,640
Rp 23,760
Rp 427,680
Rp 518,220
Rp 150
Rp 15,000
Rp 67,000
Rp 69,300
Rp 440,592
Rp 11,550
Rp 28,750
Rp 24,200
Rp 96,000
Rp 148,500
Rp 70,000
Rp 29,100
Rp 583,696
Rp 62,700
Rp 60,440
Rp 6,292,440
Rp 217,905
Rp 20,000
Rp 55,685
Rp 71,595
Rp 10,909
Rp 7,260
Rp 52,000
Rp 30,000
Rp 405,300
---------------
Rp 69,348,340
---------------