TRW 2

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS : PROPINSI : MALUKU UTARA

KECAMATAN : TAHUN : 2019
KABUPATEN : HAL-SEL BULAN :
HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

KODE NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK STOK PKM
SATUAN AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK
1 Abbocath No. 18 Set 8,700 0 0 0 0 0 0 0 0 25
2 Abbocath No. 20 Set 8,700 20 174,000 50 435000 70 609,000 18 156600 52 452,400 46
3 Abbocath No. 22 Set 8,700 19 165,300 50 435000 69 600,300 34 295800 35 304,500 26
4 Abbocath No. 24 Set 8,700 23 200,100 0 23 200,100 0 23 200,100 15
5 Abbocath No. 26 pcs 5,125 16 82,000 0 16 82,000 0 16 82,000 16
6 Actifed/Attapulgit Tablet 162 100 16,200 0 100 16,200 0 100 16,200 100
7 Acyclovir 200 mg Tablet 640 0 0 0 0 0 0 0 0 0
8 Acyclovir 400 mg Tablet 930 300 279,000 100 93000 400 372,000 100 93000 300 279,000 0
9 Acyclovir cream Tube 165 18 2,966 10 1647.5 28 4,613 0 28 4,613 19
10 Alat Check 3P (CGU) Buah 495,000 0 0 0 0 0 0 0 0 0
11 Alat Suntik 0,05 ml Set 3,100 0 0 0 0 0 0 0 0 0
12 Alat suntik 0,5 ml Set 8,437 75 632,775 0 75 632,775 0 75 632,775 50
13 Alat suntik 1 ml Set 897 204 182,988 0 204 182,988 32 28704 172 154,284 153
14 Alat suntik 2.5 ml Set 845 52 43,940 100 84500 152 128,440 12 10140 140 118,300 125
15 Alat suntik 3 ml Set 900 151 135,900 200 180000 351 315,900 113 101700 238 214,200 193
16 Alat suntik 5 ml Set 1,071 71 76,065 100 107134 171 183,199 26 27854.84 145 155,344 125
17 Alat suntik 10 ml Set 1,380 43 59,340 0 43 59,340 0 43 59,340 43
18 Alat suntik 20 ml Set 4,147 0 0 12 49764 12 49,764 0 12 49,764 12
19 Alat Suntik 50 ml Chateter Tip Pcs 9,745 0 0 10 97450 10 97,450 0 10 97,450 10
20 Alat Suntik 50 ml Pcs 4,899 0 0 0 0 0 0 0 0 0
21 Alat test Hb pcs 608,113 0 0 0 0 0 0 0 0 0
22 Albendazole 400 mg Tablet 842 0 0 0 0 0 0 0 0 0
23 Alkohol 70% 1 L Botol 22,950 0 0 0 0 0 0 0 0 0
24 Alkohol 70% 300 ml Botol 13,400 97 1,299,800 24 321600 121 1,621,400 6 80400 115 1,541,000 85
25 Alkohol Gel Botol 28,600 0 0 0 0 0 0 0 0 0
26 Alkohol swab (Aseptic Gel) lembar 125 61 7,625 800 100000 861 107,625 325 40625 536 67,000 425
27 Allopurinol tablet 100 mg Tablet 108 0 0 2000 216000 2,000 216,000 1200 129600 800 86,400 320
28 Ambroxol 30 mg Tablet 232 0 0 3000 695460 3,000 695,460 1326 307393.32 1,674 388,067 920
29 Ambroxol 15 mg/ml Botol 6,955 0 0 0 0 0 0 0 0 0
30 Aminophilin 24 mg/ml Ampul 3,349 48 160,752 24 80376 72 241,128 0 72 241,128 72
31 Aminophilin tablet 200 mg Tablet 130 140 18,200 0 140 18,200 0 140 18,200 140
32 Amlodipin 5 mg Tablet 83 140 11,620 1150 95450 1,290 107,070 0 1,290 107,070 1120
33 Amlodipin 10 mg Tablet 99 430 42,570 750 74250 1,180 116,820 120 11880 1,060 104,940 920
34 Amoxicilin 250 mg Tablet 226 400 90,400 0 400 90,400 0 400 90,400 400
35 Amoxicilin 500 mg Tablet 288 4,030 1,160,640 5500 1584000 9,530 2,744,640 1320 380160 8,210 2,364,480 7560
36 Amoxicilin Sirup kering 125 mg/5 ml Botol 1,974 0 0 0 0 0 0 0 0 0
38 Ampicillin injeksi Vial 10,296 8 82,368 0 8 82,368 0 8 82,368 8
39 Anisol Tablet 0 0 0 0 0 0 0 0 0 0
40 Antalgin (Metampiron) tablet 500 mg Tablet 172 0 0 0 0 0 0 0 0 0
41 Antalgin inj Ampul 4,375 0 0 0 0 0 0 0 0 0
42 Antrain Inj Ampul 9,240 0 0 0 0 0 0 0 0 0
43 Antasida DOEN Suspensi Botol 2,408 260 626,080 0 260 626,080 13 31304 247 594,776 210
44 Antasida DOEN tablet kombinasi Tablet 58 820 47,560 3200 185600 4,020 233,160 935 54230 3,085 178,930 2963
45 Anti Haemoroid suppo Suppo 3,806 30 114,180 0 30 114,180 0 30 114,180 0
46 Antifungi DOEN kombinasi pot 5,198 78 405,444 0 78 405,444 0 78 405,444 61
47 Anvomer B6 Tablet 2,508 0 0 0 0 0 0 0 0 0
48 Aqua Pro injeksi steril Vial 2,860 63 180,180 0 63 180,180 0 63 180,180 63
49 Arm sling S pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
50 Arm sling M pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
51 Arm Sling L pcs 19,800 1 19,800 0 1 19,800 0 1 19,800 1
52 Asam asetil salisilat 80 mg (Miniaspi) Tablet 104 0 0 0 0 0 0 0 0 0
53 Asam asetil salisilat 100 mg (Asetosal) Tablet 169 0 0 0 0 0 0 0 0 0
54 Asam asetil salisilat 500 mg Tablet 194 0 0 0 0 0 0 0 0 0
55 Asam askorbat (Vit. C) 50 mg Tablet 131 1,860 243,660 2300 301300 4,160 544,960 860 112660 3,300 432,300 2893
56 Asam askorbat (Vit. C) 250 mg Tablet 279 2,380 664,591 0 2,380 664,591 380 106111.2 2,000 558,480 1950
57 Asam Folat 1 mg Tablet 88 300 26,400 1000 88000 1,300 114,400 830 73040 470 41,360 0
58 Asam Mefenamat Tablet 500 mg Tablet 103 0 0 0 0 0 0 0 0 0
59 Asam tranexamat inj Ampul 2,498 0 0 0 0 0 0 0 0 0
60 Asam tranexamat tab Tablet 1,800 0 0 1000 1800000 1,000 1,800,000 0 1,000 1,800,000 1000
61 Aspar K Tablet 2,321 0 0 0 0 0 0 0 0 0
62 Atropina sulfat injeksi 0.25 mg/ml Ampul 1,476 0 0 0 0 0 0 0 0 0
63 Atropine 0,5 mg Tablet 100 0 0 0 0 0 0 0 0 0
64 Bacitrasin polymixin Tube 3,000 0 0 0 0 0 0 0 0 0
65 Barotec inhaler Botol 170,700 0 0 0 0 0 0 0 0 0
66 Batugin elixir Botol 34,499 0 0 0 0 0 0 0 0 0
67 Becefort Botol 18,590 0 0 0 0 0 0 0 0 0
68 Benzatin bensil penisillin inj Vial 11,760 10 117,600 0 10 117,600 0 0 0 0
69 Besi (II) sulfat tablet salut kombinasi Tablet 354 760 269,040 8640 3058560 9,400 3,327,600 1230 435420 8,170 2,892,180 7560
70 Betahistin 6 mg Tablet 126 0 0 0 0 0 0 0 0 0
71 Betametason cream tube 1,520 38 57,760 125 190000 163 247,760 12 18240 151 229,520 136
72 Biolisin syr Botol 11,655 0 0 0 0 0 0 0 0 0
73 Bioplacenton Tube 13,515 0 0 0 0 0 0 0 0 0
74 Bioron ampul 4,630 0 0 0 0 0 0 0 0 0
75 Bisoprolol Tablet 909 0 0 0 0 0 0 0 0 0
76 Bisturi pcs 1,050 340 357,000 0 340 357,000 15 15750 325 341,250 230
77 Blood lancet pcs 189 184 34,842 400 75744 584 110,586 112 21208.32 472 89,378 369
78 Box Slide Pcs 98,066 0 0 0 0 0 0 0 0 0
79 Bromhexin Tablet 105 0 0 0 0 0 0 0 0 0
80 Buscopan Injeksi Ampul 23,600 0 0 0 0 0 0 0 0 0
81 Buscopan tablet Tablet 3,494 0 0 0 0 0 0 0 0 0
82 Calcii Gluconas 100 mg/mL Ampul 7,800 0 0 0 0 0 0 0 0 0
83 Captopril Tablet 12.5 mg Tablet 77 2,815 216,755 1100 84700 3,915 301,455 1210 93170 2,705 208,285 2110
84 Captopril Tablet 25 mg Tablet 150 0 0 2000 300560 2,000 300,560 650 97682 1,350 202,878 986
85 Captopril Tablet 50 mg Tablet 153 0 0 0 0 0 0 0 0 0
86 Catgut Plan 2/0 Set 7,258 20 145,167 0 20 145,167 5 36291.65 15 108,875 15
87 Catgut plan 2/0 HR 26MM Set 35,725 0 0 0 0 0 0 0 0 0
88 Catgut Plan 3/0 Set 7,258 0 0 0 0 0 0 0 0 0
89 Catgut plan 3/0 HR 26MM Set 35,725 0 0 24 857400 24 857,400 0 24 857,400 16
90 Catgut Chromic 2/0 Set 6,979 0 0 0 0 0 0 0 0 0
91 Catgut Chromic 2/0 HR 26MM Set 34,225 0 0 24 821400 24 821,400 9 308025 15 513,375 10
93 Catgut Chromic 3/0 HR 26MM Set 34,225 0 0 0 0 0 0 0 0 0
94 Caviplex Tablet 557 0 0 0 0 0 0 0 0 0
95 Caviplex drop Botol 4,199 0 0 0 0 0 0 0 0 0
96 Caviplex syrup Botol 8,880 0 0 0 0 0 0 0 0 0
97 Cefadroxil 500 mg Tablet Kapsul 1,126 0 0 500 562800 500 562,800 300 337680 200 225,120 200
98 Cefadroxyl syr botol 19,318 18 347,724 21 405678 39 753,402 6 115908 33 637,494 22
99 Cefazolin inj 1 gr Vial 19,800 0 0 0 0 0 0 0 0 0
100 Cefixim 100 mg Tablet 3,185 0 0 0 0 0 0 0 0 0
101 Cefixim syr Botol 26,334 7 184,338 7 184338 14 368,676 9 237006 5 131,670 5
102 Cefotaximin Injeksi Vial 4,704 70 329,280 0 70 329,280 0 70 329,280 10
103 Ceftriaxon Injeksi Vial 5,143 20 102,860 0 20 102,860 0 20 102,860 20
104 Cetrizin syr 5mg/5 ml Botol 3,192 54 172,368 0 54 172,368 14 44688 40 127,680 24
105 Cetrizin tab 10 mg Tablet 111 0 0 1500 166500 1,500 166,500 620 68820 880 97,680 620
106 Chloramfenicol tetes telinga Botol 7,680 0 0 35 268800 35 268,800 6 46080 29 222,720 25
107 Chlorampenicol Capsul 250 mg Kapsul 357 90 32,130 0 90 32,130 0 90 32,130 90
108 Chlorampenicol Salap mata 1 % Tube 1,375 44 60,500 0 44 60,500 5 6875 39 53,625 35
109 Chlorampenicol Syrup 60 ml Botol 4,900 14 68,600 0 14 68,600 0 14 68,600 0
110 Chlorampenicol Tetes Mata Botol 3,000 0 0 0 0 0 0 0 0 0
111 Cimetidin Tablet 200 mg Tablet 115 0 0 0 0 0 0 0 0 0
112 Ciprofloxasin infus Botol 24,487 0 0 0 0 0 0 0 0 0
113 Ciprofoxacin Tablet 500 mg Tablet 927 485 449,721 0 485 449,721 0 485 449,721 320
114 Citocetin syr Botol 3,300 0 0 0 0 0 0 0 0 0
115 Clindamycin 150 mg Tablet 451 0 0 0 0 0 0 0 0 0
116 Clindamycin 300 mg Tablet 1,415 800 1,131,840 0 800 1,131,840 210 297108 590 834,732 550
117 Clonidin Tablet 156 0 0 0 0 0 0 0 0 0
118 Clopidogrel bisulfate Tablet 1,659 0 0 0 0 0 0 0 0 0
119 Colcitin Tablet 2,874 40 114,960 0 40 114,960 0 40 114,960 29
120 Combivent 2.5ml Flesh 4,550 20 91,000 0 20 91,000 0 20 91,000 20
121 Curcuma +DHA syr Botol 10,590 0 0 0 0 0 0 0 0 0
122 Curcuma Tab Tablet 953 300 285,900 0 300 285,900 300 285900 0 0 0
123 Dasabion Tablet 864 0 0 0 0 0 0 0 0 0
124 Decamidon Vial 16,852 0 0 0 0 0 0 0 0 0
125 Dekstrometorfan hbr syrup 10 mg/ml Botol 8,590 0 0 0 0 0 0 0 0 0
126 Dermafix-t lembar 14,683 3 44,049 0 3 44,049 0 3 44,049 0
127 Dexametason Injeksi 5 mg / 1 mL Ampul 1,910 95 181,450 0 95 181,450 0 95 181,450 45
128 Dexametason Tablet 0.5 mg Tablet 37 8,165 302,105 5000 185000 13,165 487,105 540 19980 12,625 467,125 11250
130 Dextran 70 lar.infs 6% Tablet 38,755 0 0 0 0 0 0 0 0 0
131 Difenhidramin Ampul 1,474 91 134,134 0 91 134,134 0 91 134,134 74
132 Digoksin Kapsul 0.25 mg Kapsul 119 0 0 0 0 0 0 0 0 0
133 Diltiazem Tablet 153 500 76,500 0 500 76,500 0 500 76,500 500
134 Dimenhidrinat Tablet 131 480 62,880 0 480 62,880 0 480 62,880 390
135 Doksisiklin Kapsul 100 mg Kapsul 252 300 75,600 0 300 75,600 0 300 75,600 300
136 Domperidon 10 mg Tablet 144 280 40,320 300 43200 580 83,520 15 2160 565 81,360 460
137 Domperidon Syrup Botol 3,105 42 130,410 0 42 130,410 7 21735 35 108,675 22
138 Dulcolac Tablet Tablet 1,149 106 121,794 0 106 121,794 4 4596 102 117,198 95
139 Dulcolactol Botol 55,745 0 0 0 0 0 0 0 0 0
140 Ephynefrin Injeksi Ampul 5,290 25 132,250 0 25 132,250 0 25 132,250 25
141 Erytromisin 250 mg Tablet 833 0 0 0 0 0 0 0 0 0
142 Erytomisin 500 mg Tablet 1,399 400 559,680 0 400 559,680 0 400 559,680 400
143 Erytromisin Syrup Botol 10,594 16 169,504 0 16 169,504 3 31782 13 137,722 13
144 Etakridina (Rivanol) Larutan 0.1 % Botol 3,443 81 278,883 0 81 278,883 3 10329 78 268,554 74
145 Ethyl Khlorida Spray Botol 220,000 2 440,000 0 2 440,000 0 2 440,000 2
146 Famotidin 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
147 Farbion 5000 Ampul 6,471 12 77,647 0 12 77,647 7 45294.2 5 32,353 5
148 Feeding Tube FR 5/100 Pcs 9,570 2 19,140 0 2 19,140 0 2 19,140 0
149 Feeding Tube FR 5/40 pcs 9,570 2 19,140 0 2 19,140 0 2 19,140 0
152 FG throches Tablet 1,066 0 0 0 0 0 0 0 0 0
153 Fitomenadion (Vit-K) 10 mg/ml injeksi Ampul 2,088 0 0 0 0 0 0 0 0 0
154 Fitomenadion (Vit-K) 2 mg/ml injeksi Ampul 2,874 30 86,220 0 30 86,220 0 30 86,220 25
155 Fitomenadion (Vit-K) Tablet Salut 10 mg Tablet 761 300 228,300 0 300 228,300 0 300 228,300 300
156 Fixer Botol 268,728 0 0 0 0 0 0 0 0 0
157 Folley Cateter 2 way no 8 Pcs 39,000 4 156,000 0 4 156,000 0 4 156,000 4
162 Folley Cateter 3 way no 20 Pcs 40,625 0 0 0 0 0 0 0 0 0
164 Furosemid Tablet 40 mg Tablet 89 600 53,400 0 600 53,400 0 600 53,400 600
165 Fucilex cream 5 mg Tube 5,112 5 25,560 10 51120 15 76,680 10 51120 5 25,560 0
166 Gemfibrosil 300 mg Tablet 347 0 0 0 0 0 0 0 0 0
167 Gentamisin Salep Mata/Genoit Tube 3,300 20 66,000 0 20 66,000 0 20 66,000 19
168 Gentamysin injeksi Ampul 3,854 0 0 0 0 0 0 0 0 0
169 Gentamysin Salep Kulit Tube 6,955 0 0 0 0 0 0 0 0 0
170 Gentamysin Tetes mata 5 ml Botol 5,315 61 324,215 200 1063000 261 1,387,215 4 21260 257 1,365,955 250
171 Gentian Violet Larutan 1 % Botol 3,000 6 18,000 0 6 18,000 6 18000 0 0 0
172 Gitas inj Ampul 13,200 0 0 0 0 0 0 0 0 0
173 Glibenclamida Tablet Tablet 92 1,000 92,000 300 27600 1,300 119,600 0 1,300 119,600 1000
174 Glimepirid 2 mg Tablet 216 0 0 0 0 0 0 0 0 0
175 Gliseryl guaycolate 100 mg Tablet 126 0 0 2000 252000 2,000 252,000 812 102312 1,188 149,688 890
176 Glucoprotein test strip 2,038 7 14,265 30 61134 37 75,399 0 37 75,399 37
177 Glukosa Larutan 5 % steril Botol 6,240 39 243,360 0 39 243,360 0 39 243,360 32
179 Griseovulvin/Gricin Tablet 125 mg Tablet 239 200 47,800 600 143400 800 191,200 200 47800 600 143,400 600
180 Handscoon non steril pcs 500 300 150,000 300 150000 600 300,000 215 107500 385 192,500 35
181 Handscoon Steril Obgin pcs 24,200 15 363,000 0 15 363,000 3 72600 12 290,400 12
182 Hanscoon Steril No.6,5 pcs 4,020 0 0 0 0 0 0 0 0 0
183 Hanscoon Steril No.7 Pcs 4,020 50 201,000 200 804000 250 1,005,000 164 659280 86 345,720 12
184 Hanscoon Steril No.7,5 Pcs 4,020 0 0 0 0 0 0 0 0 0
185 Hanscoon Steril No.8 Pcs 5,434 0 0 0 0 0 0 0 0 0
186 Harnal Osce Tablet 0 0 0 0 0 0 0 0 0 0
187 Hemafort Tablet 843 0 0 0 0 0 0 0 0 0
188 Hidrocortisone Cream 2.5 % Tube 3,000 12 36,000 120 360000 132 396,000 12 36000 120 360,000 110
189 Hidroklortisida (HCT) Tablet 25 mg Tablet 128 500 64,000 0 500 64,000 0 500 64,000 500
190 Hufagrib syr Botol 10,750 0 0 0 0 0 0 0 0 0
191 Humulin N 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0
192 Humulin R 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0
193 Hyoscine N butilbrimoda 10 mg Tablet 0 0 0 0 0 0 0 0 0 0
194 Hypafix roll 42,800 1 42,800 0 1 42,800 0 1 42,800 1
195 Ibuprofen 200 mg Tablet 121 0 0 0 0 0 0 0 0 0
197 Ibuprofen syr Botol 2,795 125 349,375 0 125 349,375 9 25155 116 324,220 98
198 Ictyol Salap kulit Pot 0 0 0 0 0 0 0 0 0 0
199 Infusion set Anak Set 4,830 304 1,468,320 0 304 1,468,320 6 28980 298 1,439,340 289
200 Infusion Set Dewasa Set 4,160 5 20,800 25 104000 30 124,800 16 66560 14 58,240 3
201 Insto TM Botol 15,475 0 0 0 0 0 0 0 0 0
202 Isosorbit Dinihidrat (ISDN) Tablet 5 mg Tablet 107 1,000 107,000 0 1,000 107,000 0 1,000 107,000 1000
203 Kalnex 500 mg Tablet 2,695 0 0 0 0 0 0 0 0 0
204 Kalsium Laktat Tablet 500 mg Tablet 75 880 66,000 0 880 66,000 445 33375 435 32,625 230
205 Kantong Darah Bks 11,000 0 0 0 0 0 0 0 0 0
206 Kapas Pembalut / Atsorben 250 g Bks 16,250 0 0 3 48750 3 48,750 0 3 48,750 3
207 Kapas Pembalut / Atsorben 500 g Bks 35,464 1 35,464 0 1 35,464 0 1 35,464 1
208 Kapas Pembalut / Atsorben 1000 g Bks 70,928 0 0 0 0 0 0 0 0 0
209 Kasa pembalut 40 x 80 cm Bks 136,500 0 0 0 0 0 0 0 0 0
210 Kasa Pembalut 2 x 80 cm bks 10,010 0 0 0 0 0 0 0 0 0
211 Kasa Kompres 40 x 40 cm Bks 2,080 0 0 4 8320 4 8,320 0 4 8,320 4
212 Kasa Pembalut Hidrofil 3,8 x 15 cm roll 2,730 6 16,380 6 16380 12 32,760 0 12 32,760 9
213 Kasa Pembalut Hydrofil 16 x 16 cm Kotak 10,000 15 150,000 60 600000 75 750,000 15 150000 60 600,000 46
214 Kasa Pembalut Hydrofil 18 x 22 cm Kotak 8,142 0 0 0 0 0 0 0 0 0
215 Kasa Pembalut Hydrofil 4 x15 cm Rol 0 0 0 0 0 0 0 0 0
216 Kertas puyer lembar 100 0 0 0 0 0 0 0 0 0
217 Ketokonazole 200 mg Tablet 311 0 0 100 31100 100 31,100 0 100 31,100 0
218 Ketokonazole Kream 2 % Tube 2,930 0 0 50 146500 50 146,500 12 35160 38 111,340 32
219 Ketoprofen suppo suppo 2,591 20 51,820 0 20 51,820 0 20 51,820 20
220 Ketorolac 30 mg/ml Ampul 1,444 0 0 0 0 0 0 0 0 0
221 Khlorampeniramin Maleat (CTM) Tablet 4 mg Tablet 25 1,340 33,500 2500 62500 3,840 96,000 326 8150 3,514 87,850 2651
222 Kotrimoxasole Suspensi Botol 2,439 35 85,365 0 35 85,365 12 29268 23 56,097 16
223 Kotrimoxasole Tablet Komb 480 mg Tablet 132 0 0 0 0 0 0 0 0 520
224 Kotrimoxasole Tablet Pediatrik komb 120 mg Tablet 828 0 0 0 0 0 0 0 0 0
225 Lacbon Tablet 1,430 0 0 0 0 0 0 0 0 0
226 Lactulosa Botol 14,500 15 217,500 0 15 217,500 2 29000 13 188,500 9
227 Lansoprazol Tablet 596 0 0 0 0 0 0 0 0 0
228 Levodopa Tablet 1,455 300 436,500 0 300 436,500 0 300 436,500 300
229 Levoploksasin 500 mg Tablet 690 0 0 0 0 0 0 0 0 0
230 Licalvit Tablet 0 0 0 0 0 0 0 0 0
231 Licalvit syr Botol 25,210 0 0 0 0 0 0 0 0 0
232 Lidocain inj Ampul 1,433 0 0 0 0 0 0 0 0 0
233 Lidocain 2%+epinefrin 2ml (compositium) Ampul 1,440 38 54,720 150 216000 188 270,720 23 33120 165 237,600 132
234 Lisinopril Tablet 126 0 0 0 0 0 0 0 0 0
235 Lisol. Mengandung kresol tersabun 50 % Botol 53,300 3 159,900 0 3 159,900 0 3 159,900 3
236 Livron B-Plex Tablet 259 1,000 259,000 0 1,000 259,000 0 1,000 259,000 0
237 Loperamid Botol 100 85 8,500 0 85 8,500 0 85 8,500 75
238 Loratadin Tablet 180 1,000 180,000 5600 1008000 6,600 1,188,000 0 6,600 1,188,000 6450
239 Lumpang dan alu Set 89,562 4 358,248 0 4 358,248 0 4 358,248 0
240 Masker pcs 429 0 0 250 107250 250 107,250 226 96954 24 10,296 5
241 Mebendasole Tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0
242 Mebendazol syr 100 mg botol 4,241 0 0 0 0 0 0 0 0 0
243 Meloxicam 7,5 mg Tablet 872 0 0 0 0 0 0 0 0 0
244 Meloxicam 15 mg Tablet 1,380 0 0 0 0 0 0 0 0 0
245 Metformin Botol 120 0 0 0 0 0 0 0 0 0
246 Methyl Prednisolon 4 mg Tablet 143 450 64,350 1000 143000 1,450 207,350 32 4576 1,418 202,774 1120
247 Methyl Prednisolon 8 mg Tablet 440 0 0 0 0 0 0 0 0 0
248 Methyl Prednisolon inj 125 mg Vial 12,899 32 412,768 0 32 412,768 0 32 412,768 32
249 Methyl Prednisolon inj 500 mg Vial 84,455 0 0 0 0 0 0 0 0 0
250 Metildopa 250 mg tab Tablet 1,920 500 960,000 0 500 960,000 0 500 960,000 500
251 Metilen Blue Botol 151,400 0 0 0 0 0 0 0 0 0
252 Metilergometrina Maleat Injeksi 0.0002mg/ml Ampul 3,564 0 0 100 356400 100 356,400 0 100 356,400 100
253 Metilergometrina Maleat Tablet 0.125 mg Tablet 271 100 27,100 200 54200 300 81,300 0 300 81,300 300
254 Metoclopramid 5 mg Tablet 689 0 0 0 0 0 0 0 0 0
255 Metoclopramid 10 mg Tablet 109 810 88,290 0 810 88,290 0 810 88,290 750
256 Metoclopramid drop Botol 5,818 8 46,544 0 8 46,544 0 8 46,544 5
257 Metoclopramid inj 5 mg/ml Ampul 4,950 0 0 20 99000 20 99,000 0 20 99,000 20
258 Metoclopramid syr 5 mg/ml Botol 3,300 0 0 0 0 0 0 0 0 0
259 Metronidasole infus Botol 8,250 19 156,750 0 19 156,750 0 19 156,750 19
260 Metronidasole syr Botol 3,455 6 20,730 0 6 20,730 0 6 20,730 0
261 Metronidasole tablet 250 mg Tablet 106 0 0 0 0 0 0 0 0 0
262 Metronidasole tablet 500 mg Tablet 151 0 0 1000 151000 1,000 151,000 300 45300 700 105,700 700
263 MgSO4 20% Botol 1,539 0 0 0 0 0 0 0 0 0
264 MgSO4 40% vial 2,500 4 10,000 0 4 10,000 0 4 10,000 5
265 Miconazole Cream Tube 4,060 19 77,140 96 389760 115 466,900 12 48720 103 418,180 98
266 Miomergin injeksi Ampul 0 0 0 0 0 0 0 0 0
267 Molagit Tablet 502 0 0 0 0 0 0 0 0 0
268 Na. cklorida larutan infus 0.9% steril (NACL) Botol 6,410 11 70,510 0 11 70,510 0 11 70,510 9
269 Na. Diklofenak 25 mg Tablet 0 0 0 0 0 0 0 0 0
270 Na. Diklofenak 50 mg Tablet 77 485 37,345 1500 115500 1,985 152,845 1375 105875 610 46,970 390
271 Nefrolit Tablet 662 0 0 0 0 0 0 0 0 0
272 Neo Kaominal Botol 5,200 0 0 0 0 0 0 0 0 0
273 Nerobion inj vial 10,000 0 0 0 0 0 0 0 0 0
274 Neurodial Tablet 4,290 0 0 0 0 0 0 0 0 0
275 Neurosanbe 3ml Ampul 1,840 0 0 0 0 0 0 0 0 0
276 Nifedipine Tablet 10mg Tablet 139 400 55,600 0 400 55,600 0 400 55,600 400
277 Nistatin 100.000 IU tab vaginal Tablet 655 100 65,500 0 100 65,500 0 100 65,500 100
278 Nistatin 500.000 IU tab vaginal Tablet 932 0 0 0 0 0 0 0 0 100
279 Nodiar Tablet 0 0 0 0 0 0 0 0 0
280 Norelut Tablet 4,410 0 0 0 0 0 0 0 0 0
281 Novadryl inj vial 0 0 0 0 0 0 0 0 0
282 Novamidon vial 0 0 0 0 0 0 0 0 0
283 NOZA Tablet 798 270 215,460 500 399000 770 614,460 470 375060 300 239,400 200
284 OBH Syr Botol 0 0 0 0 0 0 0 0 0
285 Ofloxasin 400 mg Tablet 785 0 0 0 0 0 0 0 0 0
286 Oksitetrasiklin Salep Kulit 3% Ampul 2,012 0 0 0 0 0 0 0 0 0
287 Oksitetrasiklin Salep Mata 1% Tube 1,375 40 55,000 75 103125 115 158,125 15 20625 100 137,500 86
288 Omeprazol Tablet 150 0 0 1320 198000 1,320 198,000 870 130500 450 67,500 320
289 Ondansetron 4mg Tablet 440 215 94,600 0 215 94,600 0 215 94,600 0
290 Ondansetron inj Ampul 1,300 160 208,000 100 130000 260 338,000 0 260 338,000 100
291 Oralit Sachet 278 0 0 500 139000 500 139,000 24 6672 476 132,328 356
292 Papaverin Tablet 166 200 33,200 400 66400 600 99,600 0 600 99,600 300
293 Papaverin injeksi Ampul 0 0 0 0 0 0 0 0 0
294 Paracetamol 100 mg Tablet 38 0 0 0 0 0 0 0 0 0
295 Paracetamol 500mg Tablet 62 2,420 150,040 4300 266600 6,720 416,640 1240 76880 5,480 339,760 4232
296 Paracetamol infus Botol 29,426 10 294,260 0 10 294,260 1 29426 9 264,834 9
297 Parasetamol drops Botol 22,384 0 0 30 671520 30 671,520 19 425296 11 246,224 11
298 Parasetamol Syrup Botol 6,635 82 544,070 0 82 544,070 82 544070 0 0 0
299 Pehacain inj Ampul 3,113 0 0 0 0 0 0 0 0 0
300 Phenol Gliserol Botol 2,500 57 142,500 0 57 142,500 0 57 142,500 57
301 Phenyl Butason Tablet 0 0 0 0 0 0 0 0 0 0
302 Phenytoin Ampul 4,543 10 45,430 0 10 45,430 0 10 45,430 10
303 Phenytoin sodium Tablet 158 300 47,400 0 300 47,400 0 300 47,400 300
304 Pilocarpin TM 2% Botol 0 0 0 0 0 0 0 0 0 0
305 Pipet plastik pcs 2,500 0 0 0 0 0 0 0 0 0
306 Piracetam 800 mg Tablet 876 0 0 0 0 0 0 0 0 0
307 Piridoksina HcL (Vit. B6) inj Ampul 1,280 0 0 0 0 0 0 0 0 0
308 Piridoksina HcL (Vit. B6) Tablet 10 mg Tablet 154 410 63,140 2400 369600 2,810 432,740 210 32340 2,600 400,400 1960
309 Piroksicam Kapsul 10 mg Kapsul 232 0 0 2500 579550 2,500 579,550 1250 289775 1,250 289,775 560
310 Pita ukur lila lembar 0 0 0 0 0 0 0 0 0 0
311 Pitogen Injeksi/ Oxytosin Ampul 92,400 103 9,517,200 10 924000 113 10,441,200 10 924000 0 0 0
312 Plester 10 cm x 5 inci Rol 18,311 0 0 0 0 0 0 0 0 0
313 Plester 2,5 yards x 4,5 inci Rol 11,964 0 0 15 179460 15 179,460 5 59820 10 119,640 5
314 Plester 5 yards x 2 inci Rol 31,600 0 0 0 0 0 0 0 0 0
315 Plester 7,5 cm x 4,5 cm roll 51,700 0 0 0 0 0 0 0 0 0
316 Policrepe 7,5 x 4,55 Roll 28,980 4 115,920 0 4 115,920 0 4 115,920 4
317 Policrepe 10 x 4,55 Roll 29,980 5 149,900 0 5 149,900 0 5 149,900 5
318 Policrepe 15 x 4,55 Roll 44,470 5 222,350 0 5 222,350 0 5 222,350 5
319 Poligyp 10 x 2,7 Roll 24,080 10 240,800 0 10 240,800 0 10 240,800 10
320 Poligyp 15x2,7 Roll 32,009 7 224,063 0 7 224,063 0 7 224,063 7
321 Poligyp 7,5x2,7 Roll 17,113 10 171,130 0 10 171,130 0 10 171,130 10
322 PP Tes Kehamilan pcs 2,521 20 50,420 30 75630 50 126,050 18 45378 32 80,672 0
323 Pralax Botol 52,800 0 0 0 0 0 0 0 0 0
324 Prednisone Tablet 5 mg Tablet 91 100 9,100 0 100 9,100 100 9100 0 0 0
325 Pritacort Tablet 616 0 0 0 0 0 0 0 0 0
326 Prodiluent Botol 2,695,000 0 0 0 0 0 0 0 0 0
327 Prokaina Bensil Penisillin Vial 0 0 0 0 0 0 0 0 0 0
328 Propanolol HcL Tablet 10 mg Tablet 80 500 40,000 0 500 40,000 0 500 40,000 500
329 Propiltiourasil Tablet 100 mg Tablet 471 500 235,430 0 500 235,430 0 500 235,430 500
330 Pyrantel Pamoat (Pyrantel) syr 125mg Botol 10,420 0 0 0 0 0 0 0 0 0
331 Pyrantel Pamoat (Pyrantel) tab 125mg Tablet 361 1,000 361,000 0 1,000 361,000 100 36100 900 324,900 900
332 Ranitidin 150 mg Tablet 240 280 67,200 0 280 67,200 280 67200 0 0 0
333 Ranitidin Injeksi Ampul 1,653 0 0 20 33060 20 33,060 6 9918 14 23,142 9
334 Relivan Inj 0.5mg Ampul 3,400 0 0 0 0 0 0 0 0 0
335 Reserpina Tablet 0.25 mg Tablet 0 0 0 0 0 0 0 0 0 0
336 Retinol (Vit.A) Kapsul lunak 100.000 mg Kapsul 355 100 35,500 0 100 35,500 0 100 35,500 100
338 Rhinofed Tablet 850 0 0 0 0 0 0 0 0 0
339 Ringer Laktat Larutan Infus Steril Botol 7,150 67 479,050 0 67 479,050 9 64350 58 414,700 52
340 Salbutamol 2 mg Tablet 164 240 39,470 500 82230 740 121,700 340 55916.4 400 65,784 320
341 Salbutamol 4 mg Tablet 81 335 27,135 200 16200 535 43,335 25 2025 510 41,310 410
342 Salep 2-4 cream Pot 3,040 35 106,400 19 57760 54 164,160 35 106400 19 57,760 9
343 Salisil Bedak 2.5 % Botol 6,552 5 32,760 10 65520 15 98,280 15 98280 0 0 0
344 Scabicid Cream Tube 48,000 5 240,000 10 480000 15 720,000 5 240000 10 480,000 5
345 Scabicore Tube 74,074 0 0 0 0 0 0 0 0 0
346 Scopamin 20 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0
347 Sianocobalamin (Vit. B 12) 10 mg Tablet 53 1,190 63,070 2000 106000 3,190 169,070 1490 78970 1,700 90,100 1120
348 Sianocobalamin (Vit. B 12) 500 mg/ml injeksi Ampul 1,423 78 110,994 100 142300 178 253,294 12 17076 166 236,218 135
349 Silk (Benang Bedah Sutra) N0. 2/0 set 3,972 5 19,860 0 5 19,860 5 19860 0 0 0
350 Silk (Benang Bedah Sutra) N0. 3/0 Set 3,819 6 22,914 36 137484 42 160,398 0 42 160,398 35
351 Silk black 24 MM pcs 25,325 0 0 0 0 0 0 0 0 0
352 Silk black 37 MM pcs 22,125 0 0 0 0 0 0 0 0 0
353 Silk black 2/0 HR 26 pcs 21,125 34 718,250 0 34 718,250 12 253500 22 464,750 18
354 Silk black 3/0 HR 26 pcs 21,125 13 274,625 0 13 274,625 5 105625 8 169,000 5
355 Simvastatin 10 Tablet 117 170 19,890 0 170 19,890 170 19890 0 0 0
356 Simvastatin 20 Tablet 240 0 0 0 0 0 0 0 0 0
357 Slide set 542 97 52,574 0 97 52,574 0 97 52,574 82
358 Softratule Lambar 5,520 10 55,200 0 10 55,200 1 5520 9 49,680 9
359 Stik Asam Urat Strip 4,400 0 0 75 330000 75 330,000 25 110000 50 220,000 50
360 Stik Glucosa Strip 3,575 0 0 75 268125 75 268,125 25 89375 50 178,750 50
361 Stik Cholesterol Strip 8,195 0 0 30 245850 30 245,850 30 245850 0 0 0
362 Stik Nesco Hb Strip 15,840 10 158,400 50 792000 60 950,400 25 396000 35 554,400 35
363 Streptomisin inj vial 0 0 0 0 0 0 0 0 0 0
364 Tabung EDTA Botol 4,840 750 3,630,000 0 750 3,630,000 0 750 3,630,000 412
365 Teofillin Tablet 1,260 0 0 0 0 0 0 0 0 0
366 Tetrasiklin Kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0
367 Tetrasiklin Kapsul 500 mg Kapsul 348 300 104,400 0 300 104,400 0 300 104,400 300
368 Thrombopop Gel Tube 52,910 0 0 0 0 0 0 0 0 0
369 Tiamin HcL (Vit. B1) Tablet 50 mg Tablet 41 710 29,110 1500 61500 2,210 90,610 320 13120 1,890 77,490 1560
370 Tiamin inj 100 mg/ml Ampul 1,368 125 171,000 90 123120 215 294,120 5 6840 210 287,280 120
371 Transfusion set Set 4,680 0 0 0 0 0 0 0 0 0
372 Trifed Tablet 1,265 0 0 0 0 0 0 0 0 0
373 Trifluoperazin 5 mg Tablet 49 0 0 0 0 0 0 0 0 0
374 Urin Bag Steril pcs 10,000 75 750,000 0 75 750,000 0 75 750,000 75
375 USG Gel pcs 16,360 0 0 2 32720 2 32,720 1 16360 1 16,360 0
376 Valsartan Tablet 10,294 0 0 0 0 0 0 0 0 0
377 Vicanatal/Pehavral Tablet 831 0 0 0 0 0 0 0 0 0
378 Visine TM Botol 0 0 0 0 0 0 0 0 0 0
379 Vitamin B Compleks inj Ampul 10,800 7 75,600 0 7 75,600 0 7 75,600 0
380 Vitamin B Compleks Tablet Tablet 147 0 0 0 0 0 0 0 0 0
381 Vitamin K3/menadion Ampul 1,450 0 0 0 0 0 0 0 0 0
382 Vitamin K3/Menadion Tablet 60 0 0 0 0 0 0 0 0 0
383 Wing Nedlle No. 21 Set 1,820 0 0 0 0 0 0 0 0 0
386 Yodium Pavidon 10 % 60 ml Botol 7,532 7 52,724 0 7 52,724 1 7532 6 45,192 5
388 Yodium Pavidon 10 % 1000 ml Botol 0 0 0 0 0 0 0 0 0 0
389 Zinc Prima Eye drop Botol 16,125 0 0 0 0 0 0 0 0 0
390 Zink Dispersible Tablet 658 0 0 1000 658000 1,000 658,000 200 131600 800 526,400 350
391 Zink Syr Botol 49,120 0 0 0 0 0 0 0 0 0
392 Kapas Pembalut 100 mg Pcs 15,000 0 0 0 0 0 0 0 0 0
393 Mixagrib Tablet 624 0 0 0 0 0 0 0 0 0
394 Nebacetin SK Tube 27,330 0 0 0 0 0 0 0 0 0
395 Sangobion Tablet 1,647 0 0 0 0 0 0 0 0 0
396 Piroksicam Kapsul 20 mg Tablet 100 0 0 0 0 0 0 0 0 0
397 Alkohol 70% 100 ml Botol 3,800 0 0 0 0 0 0 0 0 0
398 Amoxicilin drops Botol 31,246 44 1,374,824 0 44 1,374,824 3 93738 41 1,281,086 41
399 Kasa Pembalut Hydrofil 36 x 80 cm Roll 156,975 0 0 0 0 0 0 0 0 0
400 Cefotaximin Injeksi 0,5mg vial 7,539 0 0 0 0 0 0 0 0 0
401 Sukrafat Syr Botol 8,178 0 0 30 245340 30 245,340 20 163560 10 81,780 6
402 Intunal F Tablet 1,050 0 0 0 0 0 0 0 0 0
403 OBH PLus Botol 33,000 0 0 0 0 0 0 0 0 0
404 OBH Anak Botol 19,000 0 0 0 0 0 0 0 0 0
405 Otopain Tetes Telinga Botol 100,000 0 0 0 0 0 0 0 0 0
406 San B Plex Drops Botol 18,590 0 0 0 0 0 0 0 0 0
407 Sanbe Kids Emulsion Botol 37,895 0 0 0 0 0 0 0 0 0
408 Baby Cough Botol 8,000 0 0 0 0 0 0 0 0 0
409 Viks Formula 44 Botol 12,000 0 0 0 0 0 0 0 0 0
410 Bcom-C Tablet 1,800 0 0 0 0 0 0 0 0 0
411 Feeding tube 125 cm FG12 pcs 16,000 0 0 0 0 0 0 0 0 0
412 Stimuno syr Botol 46,000 0 0 0 0 0 0 0 0 0
413 Onaiwa Tablet 6,934 0 0 0 0 0 0 0 0 0
414 Peinlos 800 mg inj Ampul 80,500 0 0 0 0 0 0 0 0 0
415 Focyn 1 gr vial 101,250 0 0 0 0 0 0 0 0 0
416 Gabaxa Botol 230,000 0 0 0 0 0 0 0 0 0
417 Venodenol Ampul 172,425 0 0 0 0 0 0 0 0 0
418 Moxyfloxacin 400 mg Botol 230,000 0 0 0 0 0 0 0 0 0
419 Ambu bag dewasa pcs 800,000 0 0 0 0 0 0 0 0 0
420 Ultrafix Roll 42,000 0 0 0 0 0 0 0 0 0
421 Baju Ok L pcs 200,000 0 0 0 0 0 0 0 0 0
422 Baju Ok M Set 200,000 0 0 0 0 0 0 0 0 0
423 Nurse Cup kotak 70,000 0 0 0 0 0 0 0 0 0
424 Celemek/Apron pcs 70,000 0 0 0 0 0 0 0 0 0
425 Tensoplas kotak 270,000 0 0 0 0 0 0 0 0 0
426 JMI 5 cc Pcs 155,000 0 0 0 0 0 0 0 0 0
427 Gudel uk 03 Pcs 30,000 0 0 0 0 0 0 0 0 0
428 LMA uk 3 Pcs 380,000 0 0 0 0 0 0 0 0 0
429 Aseptan Botol 34,320 0 0 0 0 0 0 0 0 0
430 Nasal Canul Bayi Pcs 15,000 2 30,000 0 2 30,000 0 2 30,000 2
431 Nasal Canul Dewasa Pcs 15,000 3 45,000 0 3 45,000 0 3 45,000 0
432 Mess 5x10 cm Pcs 500,000 0 0 0 0 0 0 0 0 0
433 Cefixime 200 mg Tablet 3,675 0 0 0 0 0 0 0 0 0
434 Sianocobalamin inj vial 17,500 0 0 0 0 0 0 0 0 0
435 Catgut Chromic 2/0 HR 30 mm pcs 34,362 0 0 0 0 0 0 0 0 0
437 Gliquidone 30 mg Tablet 1,377 100 137,700 0 100 137,700 0 100 137,700 100
438 Handwash Botol 137,450 1 137,450 0 1 137,450 0 1 137,450 1
439 Lysorin Botol 131,250 0 0 0 0 0 0 0 0 0
440 Sulfadiazine Silver 1% 35 g Tube 20,700 4 82,800 0 4 82,800 0 4 82,800 4
441 Furosemid Injeksi Ampul 1,850 0 0 0 0 0 0 0 0 0
442 Apron One Plastik Pcs 36,875 0 0 0 0 0 0 0 0 0
443 Auto Lancing Device Pcs 21,770 0 0 0 0 0 0 0 0 0
444 Plester Elastis Pcs 240 0 0 0 0 0 0 0 0 0
445 Natur-E Tablet 0 0 0 0 0 0 0 0 0 0
446 USG Gel 5 L Gelon 201,500 1 201,500 0 1 201,500 0 1 201,500 1
447 Dulcolax Suppo suppo 24,399 6 146,394 0 6 146,394 0 6 146,394 6
448 Meviton Tablet 2,475 0 0 0 0 0 0 0 0 0
449 Oseltamifir Tablet 0 0 0 0 0 0 0 0 0 0
450 Nasal canul Anak pcs 8,349 3 25,047 0 3 25,047 0 3 25,047 3
451 Kasa Pembalut Hydrofil 3,6 x 15 cm Roll 4,244 0 0 0 0 0 0 0 0 0
452 Zink Drps Botol 6,369 5 31,845 35 222915 40 254,760 0 40 254,760 40
453 Etanol Botol 7,500 0 0 0 0 0 0 0 0 0
454 Trifedrin Tablet 2,585 0 0 150 387750 150 387,750 0 150 387,750 150
455 Omeprazol inj vial 11,868 10 118,680 0 10 118,680 0 10 118,680 10
456 Genoit Salep kulit Tablet 1,377 0 0 50 68850 50 68,850 32 44064 18 24,786 12
457 Sodium Valproat Botol 21,054 0 0 10 210540 10 210,540 0 10 210,540 10
458 Gitas Plus Tablet 9,288 0 0 0 0 0 0 0 0 0
459 Kotrimoxazole Komb 960 mg Tablet 338 300 101,400 0 300 101,400 0 300 101,400 230
460 Microlax Tube 28,490 0 0 10 284900 10 284,900 1 28490 9 256,410 9
461 Etanol 1000 ml Botol 1,674,750 0 0 0 0 0 0 0 0 0
NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

1001 Alprazolam 0,5 mg Tablet 97 538 52,186 0 538 52,186 65 6305 473 45,881 473
1002 Alprazolam 1 mg Tablet 141 0 0 0 0 0 0 0 0 0
1003 Amitriptilin 25 mg Tablet 168 770 129,360 0 770 129,360 10 1680 760 127,680 760
1004 Carbamazepin Tablet 333 1,000 333,000 0 1,000 333,000 0 1,000 333,000 1000
1005 Codein 5 mg Tablet 0 0 0 0 0 0 0 0 0 0
1006 Diazepam injeksi 5 mg/ 2ml Ampul 2,150 10 21,500 0 10 21,500 0 0 0 0
1007 Diazepam Tablet 2 mg Tablet 50 969 48,450 0 969 48,450 0 969 48,450 969
1008 Fenobarbital Injeksi 50 mg/ ml- 2ml Ampul 2,192 0 0 0 0 0 0 0 0 0
1009 Fenobarbital Tablet 30 mg Tablet 13,200 0 0 0 0 0 0 0 0 0
1010 Halloperidol Tablet 0.5 mg Tablet 55 675 37,125 0 675 37,125 45 2475 630 34,650 630
1011 Halloperidol Tablet 1.5 mg Tablet 59 0 0 0 0 0 0 0 0 0
1012 Halloperidol Tablet 5 mg Tablet 115 0 0 0 0 0 0 0 0 0
1013 Klorpromazine inj Ampul 2,640 0 0 0 0 0 0 0 0 0
1014 Klorpromazine Tablet salut 100 mg Tablet 179 0 0 0 0 0 0 0 0 0
1016 Metaneuron Ampul 1,166 0 0 0 0 0 0 0 0 0
1017 Stesolid inj Ampul 0 0 0 0 0 0 0 0 0 0
1018 Stesolid Rectal 5mg/2.5ML Tube 15,717 9 141,453 0 9 141,453 0 9 141,453 9
1019 Stesolid Rectal 10mg/2.5ML Tube 28,849 0 0 0 0 0 0 0 0 0
1020 Tramadol 50 mg Tablet Tablet 618 370 228,482 0 370 228,482 0 370 228,482 370
1021 Tramadol inj 50 mg/ml Ampul 1,652 0 0 0 0 0 0 0 0 0
1022 Trihexilpenidil 2 mg (THP) Tablet 48 0 0 0 0 0 0 0 0 0
PROGRAM HIV 0 0
2001 Test HIV Multi strip 22,475 225 5,056,875 0 225 5,056,875 0 225 5,056,875 225
2002 Test HIV strip 15,657 0 0 0 0 0 0 0 0 0
2003 Test HIV Card strip 13,100 0 0 0 0 0 0 0 0 0
2004 Test HIV Card (Rapid HIV) 1&2 strip 14,975 0 0 0 0 0 0 0 0 0
2005 Test Syphilis HIV strip 11,300 66 745,800 0 66 745,800 0 66 745,800 153
2006 Kondom Sutra pcs 0 0 0 0 0 0 0 0 0 0
2007 Lubrikan Sutra pcs 0 0 0 0 0 0 0 0 0 0
2008 Virochek HBSAG pcs 9,054 0 0 200 1810800 200 1,810,800 0 200 1,810,800 200
2009 Virochek HIV 1/2 pcs 12,754 0 0 0 0 0 0 0 0 0
2010 Kombipak azithromicyn-Cefixime Tablet 0 7 0 0 7 0 0 7 0 7
2011 BD Vacutainer pcs 1,384 0 0 0 0 0 0 0 0 0
2012 BD Vacutainer Pronto pcs 12,919 0 0 0 0 0 0 0 0 0
2013 Test HIV 1/2 (Vikia) strip 0 0 0 0 0 0 0 0 0 0
2014 Test HIV 1/2 DS strip 0 25 0 0 25 0 0 25 0 0
2015 Test HIV Kit (Coloidal Gold) strip 0 50 0 0 50 0 0 50 0 0
2016 Test Syphilis AB strip 14,000 0 0 0 0 0 0 0 0 0
2017 Handscoen HIV Super Life Pcs 0 0 0 0 0 0 0 0 0 0
PROGRAM GIGI 0 0
3001 Alvogyl tube 498,500 0 0 0 0 0 0 0 0 0
3002 Arsen caustinerf rapide pot 596,750 0 0 0 0 0 0 0 0 0
3003 Articulating paper lembar 1,212 7 8,484 0 7 8,484 0 7 8,484 7
3004 Calc Hydoxyd/Hydcal kotak 143,000 2 286,000 0 2 286,000 0 2 286,000 2
3005 Calolus/Calci Gel kotak 116,795 1 116,795 0 1 116,795 0 1 116,795 1
3006 Catgut Chromic 4/0 HR 17 75 cm pcs 46,244 0 0 0 0 0 0 0 0 0
3007 Catgut Plain 5/0 TS-15 75 cm pcs 58,133 1 58,133 0 1 58,133 0 1 58,133 1
3008 Caviton Pot 257,847 3 773,541 0 3 773,541 0 3 773,541 3
3009 CHKM Botol 85,000 1 85,000 0 1 85,000 0 1 85,000 1
3010 Dental Cutten Roll Kotak 37,860 3 113,580 0 3 113,580 0 3 113,580 3
3011 Dentin Conditioner kotak 203,014 0 0 0 0 0 0 0 0 0
3012 EDTA 15 ml Botol 163,350 1 163,350 0 1 163,350 0 1 163,350 1
3013 Elite cement 100 kotak 319,534 0 0 s 0 0 0 0 0 0
3014 Eugenol Botol 20,000 4 80,000 0 4 80,000 0 4 80,000 4
3015 FG Diamond Set 437,426 0 0 0 0 0 0 0 0 0
3016 FG Diamond High Speed Set 332,412 1 332,412 0 1 332,412 0 1 332,412 1
3017 Fuji Amalgam/Miracle Mix kotak 1,976,535 2 3,953,070 0 2 3,953,070 0 2 3,953,070 2
3018 Fuji 9/tambal permanen Botol 1,308,106 7 9,156,742 0 7 9,156,742 0 7 9,156,742 7
3019 FUJI II kotak 1,151,781 2 2,303,562 0 2 2,303,562 0 2 2,303,562 2
3020 Guttap kotak 79,061 1 79,061 0 1 79,061 0 1 79,061 1
3021 Hyposol 500 ml Botol 89,842 1 89,842 0 1 89,842 0 1 89,842 1
3022 Jarum K-File Pieces 278,512 1 278,512 0 1 278,512 0 1 278,512 1
3023 Occo 15 Pieces 278,512 0 0 0 0 0 0 0 0 0
3024 Paper Point no 15-40 Unit 56,463 0 0 0 0 0 0 0 0 0
3025 RA Diamond Set 584,100 1 584,100 0 1 584,100 0 1 584,100 1
3026 Saliva Ejector Botol 2,030 0 0 0 0 0 0 0 0 0
3027 Scapel Blades Dental(Bisturi) 10 Pcs 4,432 20 88,640 0 20 88,640 0 20 88,640 20
3029 Trimix kotak 416,542 0 0 0 0 0 0 0 0 0
3030 Ziacaine vial 0 0 0 0 0 0 0 0 0 0
3031 Zinc Pospot Cement kotak 319,539 5 1,597,695 0 5 1,597,695 0 5 1,597,695 5
3032 Pulp X kotak 237,000 1 237,000 0 1 237,000 0 1 237,000 1
3033 Mouth Mirror Pcs 41,000 2 82,000 0 2 82,000 0 2 82,000 2
3034 Mouth Mirror Handle 4900 Pcs 84,000 1 84,000 0 1 84,000 0 1 84,000 1
3035 Endoseal kotak 187,000 1 187,000 0 1 187,000 0 1 187,000 1
3036 Orafil Plus kotak 72,000 1 72,000 0 1 72,000 0 1 72,000 1
PROGRAM TB 0 0
4001 Etambutol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0
4002 FDC Kategori Anak Paket 268,733 3 806,199 0 3 806,199 0 3 806,199 3
4003 FDC Kategori I Paket 486,683 6 2,920,098 5 2433415 11 5,353,513 0 11 5,353,513 11
4004 FDC Kategori I dan III Paket 0 0 0 0 0 0 0 0 0 0
4005 FDC Kategori II Paket 1,499,983 0 0 1 1499983 1 1,499,983 0 1 1,499,983 1
4006 Isoniasida (INH) Tablet300 mg Tablet 0 0 0 0 0 0 0 0 0 0
4007 Isoniazida (INH) Tablet 100 mg Tablet 53 0 0 0 0 0 0 0 0 0
4008 Pyrasinamid Tablet Tablet 0 0 0 0 0 0 0 0 0 0
4009 Pot Dahak pot 3,410 109 371,690 0 109 371,690 0 109 371,690 109
4010 Reagent Ziehl Neelsen Botol 297,440 2 594,880 0 2 594,880 0 2 594,880 2
4011 Rifampisin 450 mg Tablet 0 0 0 0 0 0 0 0 0 0
4012 Xpert MTB/RIF Assay Kit Tablet 11,338,906 0 0 0 0 0 0 0 0 0
PROGRAM MALARIA & LAB 0 0

5001 Arterakin Tablet 0 0 0 0 0 0 0 0 0 0
5002 Artemeter Ampul 26,600 0 0 0 0 0 0 0 0 0
5003 Artem inj Vial 4,433 0 0 0 0 0 0 0 0 0
5004 Artesunat inj Vial 2,138 0 0 0 0 0 0 0 0 0
5005 Asam Sulfosalisilat Botol 234,300 0 0 0 0 0 0 0 0 0
5006 Cleanac 5 L Gln 7,810,000 0 0 0 0 0 0 0 0 0
5007 Cleanac 3 5 L Gln 5,445,000 0 0 0 0 0 0 0 0 0
5008 Control Normal 3 Diff 2 ml Vial 1,331,000 0 0 0 0 0 0 0 0 0
5009 Control High 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0
5010 Control Low 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0
5011 Darplex Tablet 4,216 45 189,720 0 45 189,720 0 45 189,720 0
5012 Developer Galon 1,977,000 0 0 0 0 0 0 0 0 0
5013 Emersil oil 100 ml Botol 0 0 0 0 0 0 0 0 0 0
5015 Golongan Darah Paket 564,630 0 0 0 0 0 0 0 0 0
5016 Giamsa 100 ml Botol 0 0 0 0 0 0 0 0 0 0
5017 Giamsa 500 ml Botol 0 0 0 0 0 0 0 0 0 0
5018 Hemolinac 3 N 500 ml botol 3,847,800 0 0 0 0 0 0 0 0 0
5019 Isotonic 3 18 L Gln 5,082,000 0 0 0 0 0 0 0 0 0
5020 Laboratorium Kit Paket 450,000 0 0 0 0 0 0 0 0 0
5021 Metanol Botol 542,850 0 0 0 0 0 0 0 0 0
5022 Primakuin Tablet 123 164 20,172 0 164 20,172 0 164 20,172 500
5023 Quinina 25 %- 2ml Injeksi Ampul 7,440 0 0 0 0 0 0 0 0 0
5024 QuininaTablet 222 mg Tablet 648 0 0 0 0 0 0 0 0 0
5025 Reagen Hayem Botol 382,500 0 0 0 0 0 0 0 0 0
5026 RDT Malaria pcs 19,854 0 0 0 0 0 0 0 0 0
5027 RDT DBD pcs 19,854 0 0 0 0 0 0 0 0 0
5028 Tissue Lensa lembar 25,000 0 0 0 0 0 0 0 0 0
5029 Centin N starterkit (Amalgam) Paket 2,117,716 0 0 0 0 0 0 0 0 0
5030 Test Golongan Darah Anti A 10 ml 71,375 2 142,750 0 2 142,750 0 2 142,750 2
5031 Test Golongan Darah Anti B 10 ml 71,375 2 142,750 0 2 142,750 0 2 142,750 2
5032 Test Golongan Darah Anti AB 10 ml 93,375 2 186,750 0 2 186,750 0 2 186,750 2
5033 Test Golongan Darah Anti D 10 ml 113,375 2 226,750 0 2 226,750 0 2 226,750 2
5034 Safety Box Set 20,430 0 0 0 0 0 0 0 0 0
5035 Ditergent 500 ml Bf-6500 Botol 12,540,000 0 0 0 0 0 0 0 0 0
5036 Diluent 20 ml Bf-6500 Botol 9,075,000 0 0 0 0 0 0 0 0 0
5037 Lyse 500 ml Bf-6500 Botol 5,806,000 0 0 0 0 0 0 0 0 0
5038 Lyse 5 L Bf-6500 Botol 18,900,000 0 0 0 0 0 0 0 0 0
5039 I Lyse (SLS-I) 500 ml Bf-6500 Botol 11,880,000 0 0 0 0 0 0 0 0 0
PROGRAM GIZI 0
6001 Iodium Test Botol 5,830 0 0 0 0 0 0 0 0 0
6002 Mineral mix Sachet 2,970 0 0 0 0 0 0 0 0 0
6003 MP ASIH bks 0 0 0 0 0 0 0 0 0 0
6004 PMT Bumil Cake Sachet 0 0 0 0 0 0 0 0 0 0
FRAMBUSIA 0 0
7001 Azitromicin 500mg Tablet 4,500 0 0 0 0 0 0 0 0 0
7002 BD Microtainer Pieces 2,915 100 291,500 0 100 291,500 0 100 291,500 100
7003 Dietilcarbamazin 100 mg Tablet 138 0 0 0 0 0 0 0 0 0
7004 RDT Frambusia Syphilis Pieces 27,720 50 1,386,000 0 50 1,386,000 0 50 1,386,000 50
VAKSIN 0
8001 Hepatitis B Botol 0 0 0 0 0 0 0 0 0 0
8002 Human Albumin 20% Botol 425,568 0 0 0 0 0 0 0 0 0
8003 Serum Anti bisa Ular Vial 479,996 0 0 0 0 0 0 0 0 0
8004 Serum Anti Tetanus (ATS 15000 IU) Ampul 130,999 0 0 10 1309990 10 1,309,990 0 10 1,309,990 10
8005 Vaksin Rabies Vero Vial 214,470 0 0 5 1072350 5 1,072,350 0 5 1,072,350 5
8006 Vaksin BCG Vial 0 0 0 0 0 0 0 0 0 0
8007 Vaksin DPT/DPT-HB/DPT-HB-Hib vial 0 0 0 0 0 0 0 0 0 0
8008 Vaksin Td Vial 0 0 0 0 0 0 0 0 0 0
8009 Vaksin POLIO Vial 0 0 0 0 0 0 0 0 0 0
8010 Vaksin Pentabio Vial 0 0 0 0 0 0 0 0 0 0
8011 Vaksin IPV vial 0 0 0 0 0 0 0 0 0 0
8012 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0
PROGRAM COVID-19 0
9001 APD Paket 1,980,000 0 0 0 0 0 0 0 0 0
9002 Baju Tyfex Set 385,000 15 5,775,000 0 15 5,775,000 0 15 5,775,000 25
9003 Face Shield Pcs 110,000 0 0 0 0 0 0 0 0 0
9004 Kaca Mata Googles Pcs 121,000 0 0 0 0 0 0 0 0 0
9005 Masker KN95 Pcs 77,000 0 0 0 0 0 0 0 0 0
9006 Mesin Fogging (Alat Semprot) Pcs 4,229,250 0 0 0 0 0 0 0 0 0
9007 Rapid Test Covid (Hightop) Pcs 135,000 0 0 0 0 0 0 0 0 0
9008 Rapid Test Covid-19 (SD Biosensor) Pcs 273,900 0 0 0 0 0 0 0 0 0
9009 Thermogun 1 Pcs 2,000,000 0 0 0 0 0 0 0 0 0
9010 Thermogun 2 Pcs 2,200,000 0 0 0 0 0 0 0 0 0
9011 Alkohol Gel 500ml Botol 450,000 0 0 0 0 0 0 0 0 0
9012 Handscoon Non Steril 1 Set 120,000 0 0 0 0 0 0 0 0 0
9014 Sarung Tangan Industri Pcs 55,000 0 0 0 0 0 0 0 0 0
9015 Sepatu Boot Pasang 365,000 0 0 0 0 0 0 0 0 0
9016 Masker N95 Pcs 0 0 0 0 0 0 0 0 0 0
9017 Tissue Alkohol Pcs 0 0 0 0 0 0 0 0 0 0
9018 Rapid Test Covid (Wondfo) Pcs 0 0 0 0 0 0 0 0 0 0
9019 Rapid Test Covid (IgM/IgG) Pcs 220,000 75 16,500,000 0 75 16,500,000 0 75 16,500,000 0
9020 VTM Set 230,385 0 0 0 0 0 0 0 0 0
9021 Nurse Cup Pcs 0 0 0 0 0 0 0 0 0 0
9022 APD Lengkap Paket 935,000 0 0 0 0 0 0 0 0 0
9023 APD Mini Set Paket 0 0 0 0 0 0 0 0 0 0
9024 Baju Tyfex Set 380,000 0 0 0 0 0 0 0 0 0
9025 Baju Tyfex Set 0 0 0 0 0 0 0 0 0 0
9026 Disinfektan Botol 444,000 0 0 0 0 0 0 0 0 0
9027 Face Shield Pcs 0 0 0 0 0 0 0 0 0 0
9028 Handsanitiser Botol 437,000 0 0 0 0 0 0 0 0 0
9029 Handscoen Non Steril Botol 2,008 0 0 0 0 0 0 0 0 0
9030 Kaca Mata Googles Pcs 0 0 0 0 0 0 0 0 0 0
9031 Masker N95 Pcs 70,000 0 0 0 0 0 0 0 0 0
9032 Masker KN95 Pcs 0 0 0 0 0 0 0 0 0 0
9033 Masker Kain Pcs 5,500 0 0 0 0 0 0 0 0 0
9034 Masker Pcs 7,200 0 0 0 0 0 0 0 0 0
9035 Rapid Test Covid-19 (Egens) Pcs 250,000 75 18,750,000 0 75 18,750,000 0 75 18,750,000 0
9036 Thermogun Pcs 0 0 0 0 0 0 0 0 0 0
9037 VTM Paket 0 0 0 0 0 0 0 0 0 0
9039 Safety Box pcs 20,430 0 0 0 0 0 0 0 0 0
9040 Alkohol Swab Sachet 0 0 0 0 0 0 0 0 0 0
9041 Alat suntik 0,5 ml Pcs 0 0 0 0 0 0 0 0 0 0
9042 Set APD Imun Set 0 0 0 0 0 0 0 0 0 0
9043 Vaksin Sinovak Dosis 0 0 0 0 0 0 0 0 0 0
TOTAL HARGA 124,670,443 38080712.5 134,824 162,751,155 12099156.93 134824 140,995,698
JUMLAH KUNJUNGAN RESEP TOTAL

JKN UMUM
162 861 1023
Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Men

Kepala Dinas Kesehatan Kepala Instalasi Farmasi Kepala Puskesmas Pengelolah Oba
Kabupaten Halmahera Selatan Kabupaten Halmahera Selatan
Hj. Hasna Muhammad, SKM, M.Kes Melati Sarfan., S.Farm,. Apt H U S I N, Amk
NIP. 19760204 200012 2 002 NIP. 19870127 201101 2 007 Nip. 19790114 200604 1 013
MALUKU UTARA
HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

STOK OPTIMUM PERMINTAAN
PKM JUMLAH WAKTU RATA2 KECUKUPAN
OBAT/BMHP
217500 0 0 0 0 0
400200 25.2 -26.8 0 0.75 25.7142857143
226200 47.6 12.6 0 1.416666666667 49.2753623188
130500 0 -23 0 0 0
82000 0 -16 0 0 0
16200 0 -100 0 0 0
0 0 0 0 0 0
0 140 -160 0 4.166666666667 25
3130.25 0 -28 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
421850 0 -75 0 0 0
137241 44.8 -127.2 0 1.333333333333 15.6862745098
105625 16.8 -123.2 0 0.5 7.89473684211
173700 158.2 -79.8 0 4.708333333333 32.1937321937
133917.5 36.4 -108.6 0 1.083333333333 15.2046783626
59340 0 -43 0 0 0
49764 0 -12 0 0 0
97450 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1139000 8.4 -106.6 0 0.25 4.95867768595
0 0 0 0 0 0
53125 455 -81 0 13.54166666667 37.7468060395
34560 1680 880 0 50 60
213274.4 1856.4 182.4 0 55.25 44.2
0 0 0 0 0 0
241128 0 -72 0 0 0
18200 0 -140 0 0 0
92960 0 -1290 0 0 0
91080 168 -892 0 5 10.1694915254
90400 0 -400 0 0 0
2177280 1848 -6362 0 55 13.850996852
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
82368 0 -8 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
505680 18.2 -228.8 0 0.541666666667 5
171854 1309 -1776 0 38.95833333333 23.2587064677
0 0 -30 0 0 0
317078 0 -78 0 0 0
0 0 0 0 0 0
180180 0 -63 0 0 0
39600 0 -2 0 0 0
39600 0 -2 0 0 0
19800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
378983 1204 -2096 0 35.83333333333 20.6730769231
544518 532 -1468 0 15.83333333333 15.9663865546
0 1162 692 0 34.58333333333 63.8461538462
0 0 0 0 0 0
0 0 0 0 0 0
1800000 0 -1000 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 10 117600 0 0
2676240 1722 -6448 0 51.25 13.085106383
0 0 0 0 0 0
206720 16.8 -134.2 0 0.5 7.36196319018
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
241500 21 -304 0 0.625 4.41176470588
69873.84 156.8 -315.2 0 4.666666666667 19.1780821918
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
162470 1694 -1011 0 50.41666666667 30.9067688378
OBAT/BMHP
148176.08 910 -440 0 27.08333333333 32.5
0 0 0 0 0 0
108874.95 7 -8 0 0.208333333333 25
0 0 0 0 0 0
0 0 0 0 0 0
571600 0 -24 0 0 0
0 0 0 0 0 0
342250 12.6 -2.4 0 0.375 37.5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
225120 420 220 0 12.5 60
424996 8.4 -24.6 0 0.25 15.3846153846
0 0 0 0 0 0
0 0 0 0 0 0
131670 12.6 7.6 0 0.375 64.2857142857
47040 0 -70 0 0 0
102860 0 -20 0 0 0
76608 19.6 -20.4 0 0.583333333333 25.9259259259
68820 868 -12 0 25.83333333333 41.3333333333
192000 8.4 -20.6 0 0.25 17.1428571429
32130 0 -90 0 0 0
48125 7 -32 0 0.208333333333 11.3636363636
0 0 -14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
296723.2 0 -485 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
778140 294 -296 0 8.75 26.25
0 0 0 0 0 0
0 0 0 0 0 0
83346 0 -40 0 0 0
91000 0 -20 0 0 0
0 0 0 0 0 0
0 420 420 0 12.5 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -3 0 0 0
85950 0 -95 0 0 0
416250 756 -11869 0 22.5 4.10178503608
0 0 0 0 0 0
OBAT/BMHP
109076 0 -91 0 0 0
0 0 0 0 0 0
76500 0 -500 0 0 0
51090 0 -480 0 0 0
75600 0 -300 0 0 0
66240 21 -544 0 0.625 2.58620689655
68310 9.8 -25.2 0 0.291666666667 16.6666666667
109155 5.6 -96.4 0 0.166666666667 3.77358490566
0 0 0 0 0 0
132250 0 -25 0 0 0
0 0 0 0 0 0
559680 0 -400 0 0 0
137722 4.2 -8.8 0 0.125 18.75
254782 4.2 -73.8 0 0.125 3.7037037037
440000 0 -2 0 0 0
0 0 0 0 0 0
32353 9.8 4.8 0 0.291666666667 58.3333333333
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
71850 0 -30 0 0 0
228300 0 -300 0 0 0
0 0 0 0 0 0
156000 0 -4 0 0 0
156000 0 -15 0 0 0
738000 0 -40 0 0 0
145600 0 -14 0 0 0
221400 0 -12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
53400 0 -600 0 0 0
0 14 9 0 0.416666666667 66.6666666667
0 0 0 0 0 0
62700 0 -20 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1328750 5.6 -251.4 0 0.166666666667 1.53256704981
0 8.4 8.4 0 0.25 100
0 0 0 0 0 0
92000 0 -1300 0 0 0
0 0 0 0 0 0
112140 1136.8 -51.2 0 33.83333333333 40.6
75398.6 0 -37 0 0 0
OBAT/BMHP
199680 0 -39 0 0 0
547500 0 -73 0 0 0
143400 280 -320 0 8.333333333333 25
17500 301 -84 0 8.958333333333 35.8333333333
290400 4.2 -7.8 0 0.125 20
0 0 0 0 0 0
48240 229.6 143.6 0 6.833333333333 65.6
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
330000 16.8 -103.2 0 0.5 9.09090909091
64000 0 -500 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
273910 12.6 -103.4 0 0.375 7.2
0 0 0 0 0 0
1395870 8.4 -289.6 0 0.25 1.97368421053
12480 22.4 8.4 0 0.666666666667 53.3333333333
0 0 0 0 0 0
107000 0 -1000 0 0 0
0 0 0 0 0 0
17250 623 188 0 18.54166666667 50.5681818182
0 0 0 0 0 0
48750 0 -3 0 0 0
35464 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8320 0 -4 0 0 0
24570 0 -12 0 0 0
460000 21 -39 0 0.625 20
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -100 0 0 0
93760 16.8 -21.2 0 0.5 24
51820 0 -20 0 0 0
0 0 0 0 0 0
66275 456.4 -3057.6 0 13.58333333333 8.48958333333
39024 16.8 -6.2 0 0.5 34.2857142857
OBAT/BMHP
68640 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
130500 2.8 -10.2 0 0.083333333333 13.3333333333
0 0 0 0 0 0
436500 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
190080 32.2 -132.8 0 0.958333333333 12.2340425532
0 0 0 0 0 0
159900 0 -3 0 0 0
0 0 -1000 0 0 0
7500 0 -85 0 0 0
1161000 0 -6600 0 0 0
0 0 -4 0 0 0
2145 316.4 292.4 0 9.416666666667 90.4
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
160160 44.8 -1373.2 0 1.333333333333 2.20689655172
0 0 0 0 0 0
412768 0 -32 0 0 0
0 0 0 0 0 0
960000 0 -500 0 0 0
0 0 0 0 0 0
356400 0 -100 0 0 0
81300 0 -300 0 0 0
0 0 0 0 0 0
81750 0 -810 0 0 0
29090 0 -8 0 0 0
99000 0 -20 0 0 0
0 0 0 0 0 0
156750 0 -19 0 0 0
0 0 -6 0 0 0
0 0 0 0 0 0
105700 420 -280 0 12.5 30
0 0 0 0 0 0
12500 0 -4 0 0 0
397880 16.8 -86.2 0 0.5 10.4347826087
0 0 0 0 0 0
0 0 0 0 0 0
57690 0 -11 0 0 0
OBAT/BMHP
0 0 0 0 0 0
30030 1925 1315 0 57.29166666667 69.2695214106
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
55600 0 -400 0 0 0
65500 0 -100 0 0 0
93200 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
159600 658 358 0 19.58333333333 61.038961039
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
118250 21 -79 0 0.625 13.0434782609
48000 1218 768 0 36.25 65.9090909091
0 0 -215 0 0 0
130000 0 -260 0 0 0
98968 33.6 -442.4 0 1 4.8
49800 0 -600 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
262384 1736 -3744 0 51.66666666667 18.4523809524
264834 1.4 -7.6 0 0.041666666667 10
246224 26.6 15.6 0 0.791666666667 63.3333333333
0 114.8 114.8 0 3.416666666667 100
0 0 0 0 0 0
142500 0 -57 0 0 0
0 0 0 0 0 0
45430 0 -10 0 0 0
47400 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
301840 294 -2306 0 8.75 7.47330960854
129819.2 1750 500 0 52.08333333333 50
0 0 0 0 0 0
0 14 14 103 9517200 0.416666666667 8.84955752212
0 0 0 0 0 0
59820 7 -3 0 0.208333333333 33.3333333333
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
115920 0 -4 0 0 0
149900 0 -5 0 0 0
222350 0 -5 0 0 0
240800 0 -10 0 0 0
224063 0 -7 0 0 0
171130 0 -10 0 0 0
0 25.2 -6.8 0 0.75 36
0 0 0 0 0 0
0 140 140 0 4.166666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40000 0 -500 0 0 0
235430 0 -500 0 0 0
0 0 0 0 0 0
324900 140 -760 0 4.166666666667 10
0 392 392 0 11.66666666667 100
14877 8.4 -5.6 0 0.25 30
0 0 0 0 0 0
0 0 0 0 0 0
35500 0 -100 0 0 0
366300 0 -500 0 0 0
0 0 0 0 0 0
371800 12.6 -45.4 0 0.375 13.4328358209
52627.2 476 76 0 14.16666666667 45.9459459459
33210 35 -475 0 1.041666666667 4.67289719626
27360 49 30 0 1.458333333333 64.8148148148
0 21 21 0 0.625 100
240000 7 -3 0 0.208333333333 33.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
59360 2086 386 0 62.08333333333 46.7084639498
192105 16.8 -149.2 0 0.5 6.74157303371
0 7 7 0 0.208333333333 100
133665 0 -42 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
380250 16.8 -5.2 0 0.5 35.2941176471
105625 7 -1 0 0.208333333333 38.4615384615
0 238 238 0 7.083333333333 100
0 0 0 0 0 0
44444 0 -97 0 0 0
49680 1.4 -7.6 0 0.041666666667 10
220000 35 -15 0 1.041666666667 33.3333333333
178750 35 -15 0 1.041666666667 33.3333333333
OBAT/BMHP
0 42 42 0 1.25 100
554400 35 0 0 1.041666666667 41.6666666667
0 0 0 0 0 0
1994080 0 -750 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
104400 0 -300 0 0 0
0 0 0 0 0 0
63960 448 -1442 0 13.33333333333 14.479638009
164160 7 -203 0 0.208333333333 2.32558139535
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
750000 0 -75 0 0 0
0 1.4 0.4 0 0.041666666667 50
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
37660 1.4 -4.6 0 0.041666666667 14.2857142857
351000 5.6 -13.4 0 0.166666666667 17.3913043478
0 0 0 0 0 0
0 0 0 0 0 0
230300 280 -520 0 8.333333333333 20
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1281086 4.2 -36.8 0 0.125 6.81818181818
0 0 0 0 0 0
0 0 0 0 0 0
49068 28 18 0 0.833333333333 66.6666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
30000 0 -2 0 0 0
0 0 -3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
137700 0 -100 0 0 0
137450 0 -1 0 0 0
0 0 0 0 0 0
82800 0 -4 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201500 0 -1 0 0 0
146394 0 -6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
25047 0 -3 0 0 0
0 0 0 0 0 0
254760 0 -40 0 0 0
OBAT/BMHP
0 0 0 0 0 0
387750 0 -150 0 0 0
118680 0 -10 0 0 0
16524 44.8 26.8 0 1.333333333333 64
210540 0 -10 0 0 0
0 0 0 0 0 0
77740 0 -300 0 0 0
256410 1.4 -7.6 0 0.041666666667 10
0 0 0 0 0 0
45881 91 -382 0 2.708333333333 12.0817843866

0 0 0 0 0 0
127680 14 -746 0 0.416666666667 1.2987012987
333000 0 -1000 0 0 0
0 0 0 0 0 0
0 0 0 10 Mar-20 21500 0 0
48450 0 -969 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
34650 63 -567 0 1.875 6.66666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
141453 0 -9 0 0 0
0 0 0 0 0 0
228482.4 0 -370 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5056875 0 -225 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1728900 0 -66 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1810800 0 -200 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 -25 0 0 0
0 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8484 0 -7 0 0 0
286000 0 -2 0 0 0
116795 0 -1 0 0 0
0 0 0 0 0 0
58133.25 0 -1 0 0 0
773541 0 -3 0 0 0
85000 0 -1 0 0 0
113580 0 -3 0 0 0
0 0 0 0 0 0
163350 0 -1 0 0 0
0 0 0 0 0 0
80000 0 -4 0 0 0
0 0 0 0 0 0
332412 0 -1 0 0 0
3953070 0 -2 0 0 0
9156742 0 -7 0 0 0
2303562 0 -2 0 0 0
79061 0 -1 0 0 0
89842 0 -1 0 0 0
278512 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
584100 0 -1 0 0 0
0 0 0 0 0 0
88640 0 -20 0 0 0
44320 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1597695 0 -5 0 0 0
237000 0 -1 0 0 0
82000 0 -2 0 0 0
84000 0 -1 0 0 0
187000 0 -1 0 0 0
72000 0 -1 0 0 0
0 0 0 0 0 0
806199 0 -3 0 0 0
OBAT/BMHP
5353513 0 -11 0 0 0
0 0 0 0 0 0
1499983 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
371690 0 -109 0 0 0
594880 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -45 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
61500 0 -164 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
142750 0 -2 0 0 0
142750 0 -2 0 0 0
186750 0 -2 0 0 0
226750 0 -2 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
291500 0 -100 0 0 0
0 0 0 0 0 0
1386000 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1309990 0 -10 0 0 0
1072350 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9625000 0 -15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -75 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -75 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
100778601.87 9656300
Yang Menerima
Pengelolah Obat Puskesmas
OBAT/BMHP
Apt, Sitra Anna. S.Farm

Nip. 19880824 201903 2 004
PUSKESMAS : BABANG PROPINSI : MALUKU UTARA

KECAMATAN : BACAN TIMUR TAHUN : 2021
KABUPATEN : HAL-SEL BULAN : MEI

1 Abbocath No. 18 Set 8,700 0 0 0 0 0 0 0 0 25
2 Abbocath No. 20 Set 8,700 52 452,400 0 52 452,400 3 26100 49 426,300 46
3 Abbocath No. 22 Set 8,700 35 304,500 0 35 304,500 2 17400 33 287,100 26
4 Abbocath No. 24 Set 8,700 23 200,100 0 23 200,100 0 23 200,100 15
5 Abbocath No. 26 pcs 5,125 16 82,000 0 16 82,000 0 16 82,000 16
8 Acyclovir 400 mg Tablet 930 300 279,000 0 300 279,000 0 300 279,000 0
9 Acyclovir cream Tube 165 28 4,613 0 28 4,613 8 1318 20 3,295 19
12 Alat suntik 0,5 ml Set 8,437 75 632,775 0 75 632,775 0 75 632,775 50
14 Alat suntik 2.5 ml Set 845 140 118,300 0 140 118,300 20 16900 120 101,400 112
16 Alat suntik 5 ml Set 1,071 145 155,344 0 145 155,344 32 34282.88 113 121,061 96
17 Alat suntik 10 ml Set 1,380 43 59,340 0 43 59,340 11 15180 32 44,160 32
19 Alat Suntik 50 ml Chateter Tip Pcs 9,745 10 97,450 0 10 97,450 0 10 97,450 10
21 Alat test Hb pcs 608,113 0 0 0 0 0 0 0 0 0
23 Alkohol 70% 1 L Botol 22,950 0 0 0 0 0 0 0 0 0
24 Alkohol 70% 300 ml Botol 13,400 115 1,541,000 0 115 1,541,000 11 147400 104 1,393,600 85
26 Alkohol swab (Aseptic Gel) lembar 125 536 67,000 0 536 67,000 320 40000 216 27,000 150
27 Allopurinol tablet 100 mg Tablet 108 800 86,400 0 800 86,400 800 86400 0 0 0
28 Ambroxol 30 mg Tablet 232 1,674 388,067 1000 231820 2,674 619,887 1960 454367.2 714 165,519 630
29 Ambroxol 15 mg/ml Botol 6,955 0 0 50 347750 50 347,750 25 173875 25 173,875 20
30 Aminophilin 24 mg/ml Ampul 3,349 72 241,128 0 72 241,128 0 0 0 0
31 Aminophilin tablet 200 mg Tablet 130 140 18,200 0 140 18,200 0 0 0 0
32 Amlodipin 5 mg Tablet 83 1,290 107,070 0 1,290 107,070 36 2988 1,254 104,082 1120
33 Amlodipin 10 mg Tablet 99 1,060 104,940 0 1,060 104,940 29 2871 1,031 102,069 920
35 Amoxicilin 500 mg Tablet 288 8,210 2,364,480 0 8,210 2,364,480 3210 924480 5,000 1,440,000 4220
38 Ampicillin injeksi Vial 10,296 8 82,368 0 8 82,368 0 8 82,368 8
39 Anisol Tablet 0 0 0 0 0 0 0 0 0 0
44 Antasida DOEN tablet kombinasi Tablet 58 3,085 178,930 0 3,085 178,930 1100 63800 1,985 115,130 1890
47 Anvomer B6 Tablet 2,508 0 0 0 0 0 0 0 0 0
48 Aqua Pro injeksi steril Vial 2,860 63 180,180 0 63 180,180 12 34320 51 145,860 51
49 Arm sling S pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
50 Arm sling M pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
51 Arm Sling L pcs 19,800 1 19,800 0 1 19,800 0 1 19,800 1
55 Asam askorbat (Vit. C) 50 mg Tablet 131 3,300 432,300 0 3,300 432,300 612 80172 2,688 352,128 2540
56 Asam askorbat (Vit. C) 250 mg Tablet 279 2,000 558,480 0 2,000 558,480 1412 394286.88 588 164,193 500
60 Asam tranexamat tab Tablet 1,800 1,000 1,800,000 0 1,000 1,800,000 0 1,000 1,800,000 1000
61 Aspar K Tablet 2,321 0 0 0 0 0 0 0 0 0
67 Becefort Botol 18,590 0 0 0 0 0 0 0 0 0
68 Benzatin bensil penisillin inj Vial 11,760 0 0 0 0 0 0 0 0 0
69 Besi (II) sulfat tablet salut kombinasi Tablet 354 8,170 2,892,180 0 8,170 2,892,180 0 0 0 0
71 Betametason cream tube 1,520 151 229,520 0 151 229,520 43 65360 108 164,160 96
74 Bioron ampul 4,630 0 0 0 0 0 0 0 0 0
76 Bisturi pcs 1,050 325 341,250 0 325 341,250 12 12600 313 328,650 230
77 Blood lancet pcs 189 472 89,378 0 472 89,378 56 10604.16 416 78,774 369
78 Box Slide Pcs 98,066 0 0 0 0 0 0 0 0 0
83 Captopril Tablet 12.5 mg Tablet 77 2,705 208,285 0 2,705 208,285 1105 85085 1,600 123,200 1420
84 Captopril Tablet 25 mg Tablet 150 1,350 202,878 0 1,350 202,878 850 127738 500 75,140 500
86 Catgut Plan 2/0 Set 7,258 15 108,875 0 15 108,875 3 21774.99 12 87,100 12
88 Catgut Plan 3/0 Set 7,258 0 0 0 0 0 0 0 0 0
89 Catgut plan 3/0 HR 26MM Set 35,725 24 857,400 0 24 857,400 3 107175 21 750,225 16
91 Catgut Chromic 2/0 HR 26MM Set 34,225 15 513,375 0 15 513,375 5 171125 10 342,250 10
94 Caviplex Tablet 557 0 0 0 0 0 0 0 0 0
96 Caviplex syrup Botol 8,880 0 0 10 88800 10 88,800 10 88800 0 0 0
97 Cefadroxil 500 mg Tablet Kapsul 1,126 200 225,120 0 200 225,120 200 225120 0 0 0
98 Cefadroxyl syr botol 19,318 33 637,494 0 33 637,494 13 251134 20 386,360 18
101 Cefixim syr Botol 26,334 5 131,670 0 5 131,670 5 131670 0 0 0
102 Cefotaximin Injeksi Vial 4,704 70 329,280 0 70 329,280 0 60 282,240 0
104 Cetrizin syr 5mg/5 ml Botol 3,192 40 127,680 5 15960 45 143,640 45 143640 0 0 0
105 Cetrizin tab 10 mg Tablet 111 880 97,680 400 44400 1,280 142,080 780 86580 500 55,500 420
106 Chloramfenicol tetes telinga Botol 7,680 29 222,720 0 29 222,720 5 38400 24 184,320 24
108 Chlorampenicol Salap mata 1 % Tube 1,375 39 53,625 0 39 53,625 0 39 53,625 35
113 Ciprofoxacin Tablet 500 mg Tablet 927 485 449,721 0 485 449,721 0 485 449,721 320
116 Clindamycin 300 mg Tablet 1,415 590 834,732 0 590 834,732 0 590 834,732 550
117 Clonidin Tablet 156 0 0 0 0 0 0 0 0 0
119 Colcitin Tablet 2,874 40 114,960 0 40 114,960 0 40 114,960 29
122 Curcuma Tab Tablet 953 0 0 0 0 0 0 0 0 0
123 Dasabion Tablet 864 0 0 0 0 0 0 0 0 0
124 Decamidon Vial 16,852 0 0 0 0 0 0 0 0 0
127 Dexametason Injeksi 5 mg / 1 mL Ampul 1,910 95 181,450 0 95 181,450 0 95 181,450 45
128 Dexametason Tablet 0.5 mg Tablet 37 12,625 467,125 0 12,625 467,125 3221 119177 9,404 347,948 8520
136 Domperidon 10 mg Tablet 144 565 81,360 0 565 81,360 565 81360 0 0 0
137 Domperidon Syrup Botol 3,105 35 108,675 0 35 108,675 6 18630 29 90,045 22
142 Erytomisin 500 mg Tablet 1,399 400 559,680 0 400 559,680 10 13992 390 545,688 390
143 Erytromisin Syrup Botol 10,594 13 137,722 0 13 137,722 0 13 137,722 13
147 Farbion 5000 Ampul 6,471 5 32,353 0 5 32,353 5 32353 0 0 0
154 Fitomenadion (Vit-K) 2 mg/ml injeksi Ampul 2,874 30 86,220 0 30 86,220 30 86220 0 0 0
155 Fitomenadion (Vit-K) Tablet Salut 10 mg Tablet 761 300 228,300 0 300 228,300 10 7610 290 220,690 250
156 Fixer Botol 268,728 0 0 0 0 0 0 0 0 0
167 Gentamisin Salep Mata/Genoit Tube 3,300 20 66,000 0 20 66,000 2 6600 18 59,400 18
170 Gentamysin Tetes mata 5 ml Botol 5,315 257 1,365,955 0 257 1,365,955 0 0 0 0
171 Gentian Violet Larutan 1 % Botol 3,000 0 0 0 0 0 0 0 0 0
172 Gitas inj Ampul 13,200 0 0 0 0 0 0 0 0 0
173 Glibenclamida Tablet Tablet 92 1,300 119,600 0 1,300 119,600 0 1,300 119,600 1000
175 Gliseryl guaycolate 100 mg Tablet 126 1,188 149,688 500 63000 1,688 212,688 965 121590 723 91,098 650
176 Glucoprotein test strip 2,038 37 75,399 0 37 75,399 0 37 75,399 37
177 Glukosa Larutan 5 % steril Botol 6,240 39 243,360 0 39 243,360 4 24960 35 218,400 32
179 Griseovulvin/Gricin Tablet 125 mg Tablet 239 600 143,400 0 600 143,400 0 0 0 0
183 Hanscoon Steril No.7 Pcs 4,020 86 345,720 50 201000 136 546,720 45 180900 91 365,820 21
187 Hemafort Tablet 843 0 0 0 0 0 0 0 0 0
188 Hidrocortisone Cream 2.5 % Tube 3,000 120 360,000 0 120 360,000 0 120 360,000 110
194 Hypafix roll 42,800 1 42,800 0 1 42,800 0 1 42,800 1
199 Infusion set Anak Set 4,830 298 1,439,340 0 298 1,439,340 0 298 1,439,340 289
201 Insto TM Botol 15,475 0 0 0 0 0 0 0 0 0
203 Kalnex 500 mg Tablet 2,695 0 0 0 0 0 0 0 0 0
204 Kalsium Laktat Tablet 500 mg Tablet 75 435 32,625 0 435 32,625 435 32625 0 0 0
211 Kasa Kompres 40 x 40 cm Bks 2,080 4 8,320 0 4 8,320 3 6240 1 2,080 1
212 Kasa Pembalut Hidrofil 3,8 x 15 cm roll 2,730 12 32,760 0 12 32,760 0 12 32,760 9
213 Kasa Pembalut Hydrofil 16 x 16 cm Kotak 10,000 60 600,000 0 60 600,000 21 210000 39 390,000 26
217 Ketokonazole 200 mg Tablet 311 100 31,100 0 100 31,100 0 100 31,100 100
218 Ketokonazole Kream 2 % Tube 2,930 38 111,340 0 38 111,340 3 8790 35 102,550 32
221 Khlorampeniramin Maleat (CTM) Tablet 4 mg Tablet 25 3,514 87,850 0 3,514 87,850 1214 30350 2,300 57,500 1980
225 Lacbon Tablet 1,430 0 0 0 0 0 0 0 0 0
226 Lactulosa Botol 14,500 13 188,500 0 13 188,500 2 29000 11 159,500 9
228 Levodopa Tablet 1,455 300 436,500 0 300 436,500 0 300 436,500 300
230 Licalvit Tablet 0 0 0 0 0 0 0 0 0
232 Lidocain inj Ampul 1,433 0 0 0 0 0 0 0 0 0
233 Lidocain 2%+epinefrin 2ml (compositium) Ampul 1,440 165 237,600 0 165 237,600 21 30240 144 207,360 132
235 Lisol. Mengandung kresol tersabun 50 % Botol 53,300 3 159,900 0 3 159,900 1 53300 2 106,600 2
236 Livron B-Plex Tablet 259 1,000 259,000 300 77700 1,300 336,700 300 77700 1,000 259,000 0
237 Loperamid Botol 100 85 8,500 0 85 8,500 0 85 8,500 75
238 Loratadin Tablet 180 6,600 1,188,000 0 6,600 1,188,000 120 21600 6,480 1,166,400 6450
239 Lumpang dan alu Set 89,562 4 358,248 0 4 358,248 0 4 358,248 0
240 Masker pcs 429 24 10,296 300 128700 324 138,996 324 138996 0 0 0
243 Meloxicam 7,5 mg Tablet 872 0 0 250 218000 250 218,000 110 95920 140 122,080 0
244 Meloxicam 15 mg Tablet 1,380 0 0 250 345000 250 345,000 65 89700 185 255,300 0
245 Metformin Botol 120 0 0 500 60000 500 60,000 400 48000 100 12,000 0
246 Methyl Prednisolon 4 mg Tablet 143 1,418 202,774 0 1,418 202,774 860 122980 558 79,794 320
252 Metilergometrina Maleat Injeksi 0.0002mg/ml Ampul 3,564 100 356,400 0 100 356,400 0 100 356,400 100
253 Metilergometrina Maleat Tablet 0.125 mg Tablet 271 300 81,300 0 300 81,300 0 300 81,300 300
257 Metoclopramid inj 5 mg/ml Ampul 4,950 20 99,000 0 20 99,000 0 20 99,000 20
259 Metronidasole infus Botol 8,250 19 156,750 0 19 156,750 0 0 0 0
262 Metronidasole tablet 500 mg Tablet 151 700 105,700 0 700 105,700 0 700 105,700 700
263 MgSO4 20% Botol 1,539 0 0 0 0 0 0 0 0 0
264 MgSO4 40% vial 2,500 4 10,000 0 4 10,000 0 0 0 0
265 Miconazole Cream Tube 4,060 103 418,180 0 103 418,180 12 48720 91 369,460 81
267 Molagit Tablet 502 0 0 0 0 0 0 0 0 0
268 Na. cklorida larutan infus 0.9% steril (NACL) Botol 6,410 11 70,510 0 11 70,510 3 19230 8 51,280 8
270 Na. Diklofenak 50 mg Tablet 77 610 46,970 1800 138600 2,410 185,570 1112 85624 1,298 99,946 960
271 Nefrolit Tablet 662 0 0 0 0 0 0 0 0 0
279 Nodiar Tablet 0 0 0 0 0 0 0 0 0
280 Norelut Tablet 4,410 0 0 0 0 0 0 0 0 0
282 Novamidon vial 0 0 0 0 0 0 0 0 0
283 NOZA Tablet 798 300 239,400 0 300 239,400 200 159600 100 79,800 100
284 OBH Syr Botol 0 0 0 0 0 0 0 0 0
287 Oksitetrasiklin Salep Mata 1% Tube 1,375 100 137,500 0 100 137,500 21 28875 79 108,625 69
288 Omeprazol Tablet 150 450 67,500 0 450 67,500 20 3000 430 64,500 320
290 Ondansetron inj Ampul 1,300 260 338,000 0 260 338,000 0 260 338,000 100
291 Oralit Sachet 278 476 132,328 0 476 132,328 59 16402 417 115,926 356
292 Papaverin Tablet 166 600 99,600 0 600 99,600 200 33200 400 66,400 300
295 Paracetamol 500mg Tablet 62 5,480 339,760 0 5,480 339,760 5480 339760 0 0 0
296 Paracetamol infus Botol 29,426 9 264,834 0 9 264,834 4 117704 5 147,130 5
297 Parasetamol drops Botol 22,384 11 246,224 0 11 246,224 11 246224 0 0 0
298 Parasetamol Syrup Botol 6,635 0 0 0 0 0 0 0 0 0
300 Phenol Gliserol Botol 2,500 57 142,500 0 57 142,500 0 0 0 0
302 Phenytoin Ampul 4,543 10 45,430 0 10 45,430 0 10 45,430 10
308 Piridoksina HcL (Vit. B6) Tablet 10 mg Tablet 154 2,600 400,400 0 2,600 400,400 320 49280 2,280 351,120 1960
309 Piroksicam Kapsul 10 mg Kapsul 232 1,250 289,775 0 1,250 289,775 210 48682.2 1,040 241,093 960
311 Pitogen Injeksi/ Oxytosin Ampul 92,400 0 0 20 1848000 20 1,848,000 17 1570800 3 277,200 3
313 Plester 2,5 yards x 4,5 inci Rol 11,964 10 119,640 5 59820 15 179,460 6 71784 9 107,676 5
316 Policrepe 7,5 x 4,55 Roll 28,980 4 115,920 0 4 115,920 0 4 115,920 4
317 Policrepe 10 x 4,55 Roll 29,980 5 149,900 0 5 149,900 1 29980 4 119,920 4
318 Policrepe 15 x 4,55 Roll 44,470 5 222,350 0 5 222,350 0 5 222,350 5
319 Poligyp 10 x 2,7 Roll 24,080 10 240,800 0 10 240,800 0 10 240,800 10
320 Poligyp 15x2,7 Roll 32,009 7 224,063 0 7 224,063 0 7 224,063 7
321 Poligyp 7,5x2,7 Roll 17,113 10 171,130 0 10 171,130 0 10 171,130 10
323 Pralax Botol 52,800 0 0 0 0 0 0 0 0 0
324 Prednisone Tablet 5 mg Tablet 91 0 0 0 0 0 0 0 0 0
331 Pyrantel Pamoat (Pyrantel) tab 125mg Tablet 361 900 324,900 0 900 324,900 4 1444 896 323,456 896
332 Ranitidin 150 mg Tablet 240 0 0 0 0 0 0 0 0 0
333 Ranitidin Injeksi Ampul 1,653 14 23,142 10 16530 24 39,672 0 24 39,672 20
338 Rhinofed Tablet 850 0 0 0 0 0 0 0 0 0
339 Ringer Laktat Larutan Infus Steril Botol 7,150 58 414,700 40 286000 98 700,700 15 107250 83 593,450 52
340 Salbutamol 2 mg Tablet 164 400 65,784 0 400 65,784 0 400 65,784 320
341 Salbutamol 4 mg Tablet 81 510 41,310 0 510 41,310 12 972 498 40,338 410
342 Salep 2-4 cream Pot 3,040 19 57,760 0 19 57,760 19 57760 0 0 0
343 Salisil Bedak 2.5 % Botol 6,552 0 0 0 0 0 0 0 0 0
344 Scabicid Cream Tube 48,000 10 480,000 0 10 480,000 4 192000 6 288,000 1
345 Scabicore Tube 74,074 0 0 0 0 0 0 0 0 0
347 Sianocobalamin (Vit. B 12) 10 mg Tablet 53 1,700 90,100 0 1,700 90,100 1100 58300 600 31,800 600
348 Sianocobalamin (Vit. B 12) 500 mg/ml injeksi Ampul 1,423 166 236,218 0 166 236,218 32 45536 134 190,682 134
349 Silk (Benang Bedah Sutra) N0. 2/0 set 3,972 0 0 0 0 0 0 0 0 0
350 Silk (Benang Bedah Sutra) N0. 3/0 Set 3,819 42 160,398 0 42 160,398 5 19095 37 141,303 35
351 Silk black 24 MM pcs 25,325 0 0 0 0 0 0 0 0 0
352 Silk black 37 MM pcs 22,125 0 0 0 0 0 0 0 0 0
353 Silk black 2/0 HR 26 pcs 21,125 22 464,750 0 22 464,750 0 22 464,750 18
354 Silk black 3/0 HR 26 pcs 21,125 8 169,000 0 8 169,000 0 8 169,000 5
357 Slide set 542 97 52,574 0 97 52,574 0 97 52,574 82
358 Softratule Lambar 5,520 9 49,680 0 9 49,680 0 9 49,680 9
359 Stik Asam Urat Strip 4,400 50 220,000 0 50 220,000 39 171600 11 48,400 11
360 Stik Glucosa Strip 3,575 50 178,750 0 50 178,750 45 160875 5 17,875 5
361 Stik Cholesterol Strip 8,195 0 0 0 0 0 0 0 0 0
362 Stik Nesco Hb Strip 15,840 35 554,400 0 35 554,400 35 554400 0 0 0
364 Tabung EDTA Botol 4,840 750 3,630,000 0 750 3,630,000 100 484000 650 3,146,000 650
369 Tiamin HcL (Vit. B1) Tablet 50 mg Tablet 41 1,890 77,490 0 1,890 77,490 54 2214 1,836 75,276 1560
370 Tiamin inj 100 mg/ml Ampul 1,368 210 287,280 0 210 287,280 5 6840 205 280,440 205
372 Trifed Tablet 1,265 0 0 0 0 0 0 0 0 0
375 USG Gel pcs 16,360 1 16,360 0 1 16,360 1 16360 0 0 0
378 Visine TM Botol 0 0 0 0 0 0 0 0 0 0
379 Vitamin B Compleks inj Ampul 10,800 7 75,600 0 7 75,600 0 7 75,600 0
387 Yodium Pavidon 10 % 300 ml Botol 23,400 19 444,600 0 19 444,600 0 19 444,600 15
390 Zink Dispersible Tablet 658 800 526,400 0 800 526,400 200 131600 600 394,800 600
391 Zink Syr Botol 49,120 0 0 0 0 0 0 0 0 0
393 Mixagrib Tablet 624 0 0 0 0 0 0 0 0 0
397 Alkohol 70% 100 ml Botol 3,800 0 0 0 0 0 0 0 0 0
398 Amoxicilin drops Botol 31,246 41 1,281,086 0 41 1,281,086 0 41 1,281,086 41
401 Sukrafat Syr Botol 8,178 10 81,780 26 212628 36 294,408 21 171738 15 122,670 10
402 Intunal F Tablet 1,050 0 0 0 0 0 0 0 0 0
403 OBH PLus Botol 33,000 0 0 0 0 0 0 0 0 0
404 OBH Anak Botol 19,000 0 0 0 0 0 0 0 0 0
408 Baby Cough Botol 8,000 0 0 0 0 0 0 0 0 0
410 Bcom-C Tablet 1,800 0 0 0 0 0 0 0 0 0
413 Onaiwa Tablet 6,934 0 0 0 0 0 0 0 0 0
415 Focyn 1 gr vial 101,250 0 0 0 0 0 0 0 0 0
416 Gabaxa Botol 230,000 0 0 0 0 0 0 0 0 0
417 Venodenol Ampul 172,425 0 0 0 0 0 0 0 0 0
420 Ultrafix Roll 42,000 0 0 0 0 0 0 0 0 0
421 Baju Ok L pcs 200,000 0 0 0 0 0 0 0 0 0
422 Baju Ok M Set 200,000 0 0 0 0 0 0 0 0 0
423 Nurse Cup kotak 70,000 0 0 0 0 0 0 0 0 0
425 Tensoplas kotak 270,000 0 0 0 0 0 0 0 0 0
426 JMI 5 cc Pcs 155,000 0 0 0 0 0 0 0 0 0
427 Gudel uk 03 Pcs 30,000 0 0 0 0 0 0 0 0 0
428 LMA uk 3 Pcs 380,000 0 0 0 0 0 0 0 0 0
429 Aseptan Botol 34,320 0 0 0 0 0 0 0 0 0
432 Mess 5x10 cm Pcs 500,000 0 0 0 0 0 0 0 0 0
438 Handwash Botol 137,450 1 137,450 0 1 137,450 0 1 137,450 1
439 Lysorin Botol 131,250 0 0 0 0 0 0 0 0 0
445 Natur-E Tablet 0 0 0 0 0 0 0 0 0 0
446 USG Gel 5 L Gelon 201,500 1 201,500 0 1 201,500 0 1 201,500 1
447 Dulcolax Suppo suppo 24,399 6 146,394 0 6 146,394 0 6 146,394 6
448 Meviton Tablet 2,475 0 0 0 0 0 0 0 0 0
452 Zink Drps Botol 6,369 40 254,760 0 40 254,760 0 40 254,760 40
453 Etanol Botol 7,500 0 0 0 0 0 0 0 0 0
454 Trifedrin Tablet 2,585 150 387,750 0 150 387,750 0 150 387,750 150
456 Genoit Salep kulit Tablet 1,377 18 24,786 20 27540 38 52,326 35 48195 3 4,131 3
457 Sodium Valproat Botol 21,054 10 210,540 0 10 210,540 0 10 210,540 10
460 Microlax Tube 28,490 9 256,410 0 9 256,410 2 56980 7 199,430 7
461 Etanol 1000 ml Botol 1,674,750 0 0 0 0 0 0 0 0 0

1001 Alprazolam 0,5 mg Tablet 97 473 45,881 0 473 45,881 0 473 45,881 473
1003 Amitriptilin 25 mg Tablet 168 760 127,680 0 760 127,680 0 760 127,680 760
1004 Carbamazepin Tablet 333 1,000 333,000 0 1,000 333,000 0 1,000 333,000 1000
1005 Codein 5 mg Tablet 0 0 0 0 0 0 0 0 0 0
1006 Diazepam injeksi 5 mg/ 2ml Ampul 2,150 0 0 0 0 0 0 0 0 0
1007 Diazepam Tablet 2 mg Tablet 50 969 48,450 0 969 48,450 0 969 48,450 969
1010 Halloperidol Tablet 0.5 mg Tablet 55 630 34,650 0 630 34,650 0 630 34,650 630
PROGRAM HIV 0 0
2002 Test HIV strip 15,657 0 0 0 0 0 0 0 0 0
2005 Test Syphilis HIV strip 11,300 66 745,800 0 66 745,800 0 66 745,800 153
2006 Kondom Sutra pcs 0 0 0 0 0 0 0 0 0 0
2008 Virochek HBSAG pcs 9,054 200 1,810,800 0 200 1,810,800 0 200 1,810,800 200
2009 Virochek HIV 1/2 pcs 12,754 0 0 0 0 0 0 0 0 0
2014 Test HIV 1/2 DS strip 0 25 0 0 25 0 0 25 0 0
PROGRAM GIGI 0 0
3001 Alvogyl tube 498,500 0 0 0 0 0 0 0 0 0
3008 Caviton Pot 257,847 3 773,541 0 3 773,541 0 3 773,541 3
3009 CHKM Botol 85,000 1 85,000 0 1 85,000 0 1 85,000 1
3012 EDTA 15 ml Botol 163,350 1 163,350 0 1 163,350 0 1 163,350 1
3014 Eugenol Botol 20,000 4 80,000 0 4 80,000 0 4 80,000 4
3015 FG Diamond Set 437,426 0 0 0 0 0 0 0 0 0
3019 FUJI II kotak 1,151,781 2 2,303,562 0 2 2,303,562 0 2 2,303,562 2
3020 Guttap kotak 79,061 1 79,061 0 1 79,061 0 1 79,061 1
3021 Hyposol 500 ml Botol 89,842 1 89,842 0 1 89,842 0 1 89,842 1
3023 Occo 15 Pieces 278,512 0 0 0 0 0 0 0 0 0
3025 RA Diamond Set 584,100 1 584,100 0 1 584,100 0 1 584,100 1
3029 Trimix kotak 416,542 0 0 0 0 0 0 0 0 0
3030 Ziacaine vial 0 0 0 0 0 0 0 0 0 0
3032 Pulp X kotak 237,000 1 237,000 0 1 237,000 0 1 237,000 1
3033 Mouth Mirror Pcs 41,000 2 82,000 0 2 82,000 0 2 82,000 2
3035 Endoseal kotak 187,000 1 187,000 0 1 187,000 0 1 187,000 1
PROGRAM TB 0 0
4003 FDC Kategori I Paket 486,683 11 5,353,513 0 11 5,353,513 0 11 5,353,513 11
4005 FDC Kategori II Paket 1,499,983 1 1,499,983 0 1 1,499,983 0 1 1,499,983 1
4009 Pot Dahak pot 3,410 109 371,690 0 109 371,690 0 109 371,690 109

5002 Artemeter Ampul 26,600 0 0 0 0 0 0 0 0 0
5003 Artem inj Vial 4,433 0 0 0 0 0 0 0 0 0
5006 Cleanac 5 L Gln 7,810,000 0 0 0 0 0 0 0 0 0
5007 Cleanac 3 5 L Gln 5,445,000 0 0 0 0 0 0 0 0 0
5011 Darplex Tablet 4,216 45 189,720 0 45 189,720 0 45 189,720 0
5012 Developer Galon 1,977,000 0 0 0 0 0 0 0 0 0
5016 Giamsa 100 ml Botol 0 0 0 0 0 0 0 0 0 0
5017 Giamsa 500 ml Botol 0 0 0 0 0 0 0 0 0 0
5019 Isotonic 3 18 L Gln 5,082,000 0 0 0 0 0 0 0 0 0
5021 Metanol Botol 542,850 0 0 0 0 0 0 0 0 0
5022 Primakuin Tablet 123 164 20,172 100 12300 264 32,472 0 264 32,472 500
5026 RDT Malaria pcs 19,854 0 0 100 1985400 100 1,985,400 0 100 1,985,400 0
5027 RDT DBD pcs 19,854 0 0 0 0 0 0 0 0 0
5034 Safety Box Set 20,430 0 0 0 0 0 0 0 0 0
5037 Lyse 500 ml Bf-6500 Botol 5,806,000 0 0 0 0 0 0 0 0 0
5038 Lyse 5 L Bf-6500 Botol 18,900,000 0 0 0 0 0 0 0 0 0
PROGRAM GIZI 0
6003 MP ASIH bks 0 0 0 0 0 0 0 0 0 0
FRAMBUSIA 0 0
VAKSIN 0
8004 Serum Anti Tetanus (ATS 15000 IU) Ampul 130,999 10 1,309,990 0 10 1,309,990 0 10 1,309,990 10
8005 Vaksin Rabies Vero Vial 214,470 5 1,072,350 0 5 1,072,350 0 5 1,072,350 5
8006 Vaksin BCG Vial 0 0 0 0 0 0 0 0 0 0
8008 Vaksin Td Vial 0 0 0 0 0 0 0 0 0 0
8011 Vaksin IPV vial 0 0 0 0 0 0 0 0 0 0
8012 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0
PROGRAM COVID-19 0
9001 APD Paket 1,980,000 0 0 0 0 0 0 0 0 0
9002 Baju Tyfex Set 385,000 15 5,775,000 0 15 5,775,000 0 15 5,775,000 25
9003 Face Shield Pcs 110,000 0 0 0 0 0 0 0 0 0
9005 Masker KN95 Pcs 77,000 0 0 0 0 0 0 0 0 0
9009 Thermogun 1 Pcs 2,000,000 0 0 0 0 0 0 0 0 0
9010 Thermogun 2 Pcs 2,200,000 0 0 0 0 0 0 0 0 0
9016 Masker N95 Pcs 0 0 0 0 0 0 0 0 0 0
9019 Rapid Test Covid (IgM/IgG) Pcs 220,000 75 16,500,000 0 75 16,500,000 0 75 16,500,000 0
9020 VTM Set 230,385 0 0 0 0 0 0 0 0 0
9021 Nurse Cup Pcs 0 0 0 0 0 0 0 0 0 0
9024 Baju Tyfex Set 380,000 0 0 0 0 0 0 0 0 0
9025 Baju Tyfex Set 0 0 0 0 0 0 0 0 0 0
9027 Face Shield Pcs 0 0 0 0 0 0 0 0 0 0
9029 Handscoen Non Steril Botol 2,008 0 0 0 0 0 0 0 0 0
9031 Masker N95 Pcs 70,000 0 0 0 0 0 0 0 0 0
9032 Masker KN95 Pcs 0 0 0 0 0 0 0 0 0 0
9033 Masker Kain Pcs 5,500 0 0 0 0 0 0 0 0 0
9034 Masker Pcs 7,200 0 0 0 0 0 0 0 0 0
9035 Rapid Test Covid-19 (Egens) Pcs 250,000 75 18,750,000 0 75 18,750,000 0 75 18,750,000 0
9036 Thermogun Pcs 0 0 0 0 0 0 0 0 0 0
9037 VTM Paket 0 0 0 0 0 0 0 0 0 0
9039 Safety Box pcs 20,430 0 0 0 0 0 0 0 0 0
9040 Alkohol Swab Sachet 0 0 0 0 0 0 0 0 0 0
9041 Alat suntik 0,5 ml Pcs 0 0 0 0 0 0 0 0 0 0
9042 Set APD Imun Set 0 0 0 0 0 0 0 0 0 0
9043 Vaksin Sinovak Dosis 0 0 0 0 0 0 0 0 0 0
TOTAL HARGA 140,995,698 7033368 117,217 148,029,066 11557630.31 117217 131,454,283

JKN UMUM
144 758 902

NIP. 19760204 200012 2 002 NIP. 19870127 201101 2 007 Nip. 19790114 200604 1 013
MALUKU UTARA

OBAT/BMHP
217500 0 0 0 0 0
400200 4.2 -44.8 0 0.125 5.76923076923
226200 2.8 -30.2 0 0.083333333333 5.71428571429
130500 0 -23 0 0 0
82000 0 -16 0 0 0
16200 0 -100 0 0 0
0 0 0 0 0 0
0 0 -300 0 0 0
3130.25 11.2 -8.8 0 0.333333333333 28.5714285714
0 0 0 0 0 0
0 0 0 0 0 0
421850 0 -75 0 0 0
125580 32.2 -116.8 0 0.958333333333 13.3720930233
94640 28 -92 0 0.833333333333 14.2857142857
108000 78.4 -103.6 0 2.333333333333 23.5294117647
102848.64 44.8 -68.2 0 1.333333333333 22.0689655172
44160 15.4 -16.6 0 0.458333333333 25.5813953488
49764 0 -12 0 0 0
97450 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1139000 15.4 -88.6 0 0.458333333333 9.5652173913
0 0 0 0 0 0
18750 448 232 0 13.33333333333 59.7014925373
0 1120 1120 0 33.33333333333 100
146046.6 2744 2030 0 81.66666666667 73.2984293194
139100 35 10 0 1.041666666667 50
0 0 0 72 MEI 2021 241128 0 0
0 0 0 140 MEI 2021 18200 0 0
92960 50.4 -1203.6 0 1.5 2.79069767442
91080 40.6 -990.4 0 1.208333333333 2.7358490566
90400 0 -400 0 0 0
1215360 4494 -506 0 133.75 39.0986601705
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
82368 0 -8 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
505680 44.8 -170.2 0 1.333333333333 12.955465587
109620 1540 -445 0 45.83333333333 35.6564019449
0 0 -30 0 0 0
317078 0 -78 0 0 0
0 0 0 0 0 0
145860 16.8 -34.2 0 0.5 19.0476190476
39600 0 -2 0 0 0
39600 0 -2 0 0 0
19800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
332740 856.8 -1831.2 0 25.5 18.5454545455
139620 1976.8 1388.8 0 58.83333333333 70.6
36960 1344 534 0 40 54.2372881356
0 0 0 0 0 0
0 0 0 0 0 0
1800000 0 -1000 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 8170 MEI 2021 2892180 0 0
0 0 0 0 0 0
145920 60.2 -47.8 0 1.791666666667 28.4768211921
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
241500 16.8 -296.2 0 0.5 3.69230769231
69873.84 78.4 -337.6 0 2.333333333333 11.8644067797
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
109340 1547 -53 0 46.04166666667 40.8502772643
OBAT/BMHP
75140 1190 690 0 35.41666666667 62.962962963
0 0 0 0 0 0
87099.96 4.2 -7.8 0 0.125 20
0 0 0 0 0 0
0 0 0 0 0 0
571600 4.2 -16.8 0 0.125 12.5
0 0 0 0 0 0
342250 7 -3 0 0.208333333333 33.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 14 14 0 0.416666666667 100
0 280 280 0 8.333333333333 100
347724 18.2 -1.8 0 0.541666666667 39.3939393939
0 0 0 0 0 0
0 0 0 0 0 0
0 7 7 0 0.208333333333 100
0 0 -60 10 MEI 2021 47040 0 0
102860 0 -20 0 0 0
0 63 63 0 1.875 100
46620 1092 592 0 32.5 60.9375
184320 7 -17 0 0.208333333333 17.2413793103
32130 0 -90 0 0 0
48125 0 -39 0 0 0
0 0 -14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
296723.2 0 -485 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
778140 0 -590 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
83346 0 -40 0 0 0
91000 0 -20 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -3 0 0 0
85950 0 -95 0 0 0
315240 4509.4 -4894.6 0 134.2083333333 25.5128712871
0 0 0 0 0 0
OBAT/BMHP
109076 0 -91 0 0 0
0 0 0 0 0 0
76500 0 -500 0 0 0
51090 0 -480 0 0 0
75600 0 -300 0 0 0
0 791 791 0 23.54166666667 100
68310 8.4 -20.6 0 0.25 17.1428571429
109155 8.4 -87.6 0 0.25 5.88235294118
0 0 0 0 0 0
132250 0 -25 0 0 0
0 0 0 0 0 0
545688 14 -376 0 0.416666666667 2.5
137722 0 -13 0 0 0
241010 8.4 -63.6 0 0.25 7.69230769231
440000 0 -2 0 0 0
0 0 0 0 0 0
0 7 7 0 0.208333333333 100
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 42 42 0 1.25 100
190250 14 -276 0 0.416666666667 3.33333333333
0 0 0 0 0 0
156000 0 -4 0 0 0
156000 0 -15 0 0 0
738000 0 -40 0 0 0
145600 0 -14 0 0 0
221400 0 -12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
53400 0 -600 0 0 0
0 8.4 -40.6 0 0.25 10.9090909091
0 0 0 0 0 0
59400 2.8 -15.2 0 0.083333333333 10
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 257 MEI 2021 1365955 0 0
0 0 0 0 0 0
0 0 0 0 0 0
92000 0 -1300 0 0 0
0 0 0 0 0 0
81900 1351 628 0 40.20833333333 57.1682464455
75398.6 0 -37 0 0 0
OBAT/BMHP
199680 5.6 -29.4 0 0.166666666667 10.2564102564
547500 0 -73 0 0 0
0 0 0 600 MEI 2021 143400 0 0
10500 352.8 19.8 0 10.5 43.0769230769
242000 2.8 -7.2 0 0.083333333333 16.6666666667
0 0 0 0 0 0
84420 63 -28 0 1.875 33.0882352941
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
330000 0 -120 0 0 0
64000 0 -500 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
273910 21 -80 0 0.625 12.9310344828
0 0 0 0 0 0
1395870 0 -298 0 0 0
91520 16.8 -10.2 0 0.5 30.7692307692
0 0 0 0 0 0
107000 0 -1000 0 0 0
0 0 0 0 0 0
0 609 609 0 18.125 100
0 0 0 0 0 0
48750 0 -3 0 0 0
35464 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2080 4.2 3.2 0 0.125 75
24570 0 -12 0 0 0
260000 29.4 -9.6 0 0.875 35
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
31100 0 -100 0 0 0
93760 4.2 -30.8 0 0.125 7.89473684211
51820 0 -20 0 0 0
0 0 0 0 0 0
49500 1699.6 -600.4 0 50.58333333333 34.547524189
39024 2.8 -18.2 0 0.083333333333 8.69565217391
OBAT/BMHP
39600 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
130500 2.8 -8.2 0 0.083333333333 15.3846153846
0 0 0 0 0 0
436500 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
190080 29.4 -114.6 0 0.875 12.7272727273
0 0 0 0 0 0
106600 1.4 -0.6 0 0.041666666667 33.3333333333
0 420 -580 0 12.5 23.0769230769
7500 0 -85 0 0 0
1161000 168 -6312 0 5 1.81818181818
0 0 -4 0 0 0
0 453.6 453.6 0 13.5 100
0 0 0 0 0 0
0 0 0 0 0 0
0 154 14 0 4.583333333333 44
0 91 -94 0 2.708333333333 26
0 560 460 0 16.66666666667 80
45760 1204 646 0 35.83333333333 60.6488011283
0 0 0 0 0 0
412768 0 -32 0 0 0
0 0 0 0 0 0
960000 0 -500 0 0 0
0 0 0 0 0 0
356400 0 -100 0 0 0
81300 0 -300 0 0 0
0 0 0 0 0 0
81750 0 -810 0 0 0
29090 0 -8 0 0 0
99000 0 -20 0 0 0
0 0 0 0 0 0
0 0 0 19 MEI 2021 156750 0 0
0 0 -6 0 0 0
0 0 0 0 0 0
105700 0 -700 0 0 0
0 0 0 0 0 0
0 0 0 4 Apr-21 10000 0 0
328860 16.8 -74.2 0 0.5 11.6504854369
0 0 0 0 0 0
0 0 0 0 0 0
51280 4.2 -3.8 0 0.125 27.2727272727
OBAT/BMHP
0 0 0 0 0 0
73920 1556.8 258.8 0 46.33333333333 46.1410788382
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
55600 0 -400 0 0 0
65500 0 -100 0 0 0
93200 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
79800 280 180 0 8.333333333333 66.6666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
94875 29.4 -49.6 0 0.875 21
48000 28 -402 0 0.833333333333 4.44444444444
0 0 -215 0 0 0
130000 0 -260 0 0 0
98968 82.6 -334.4 0 2.458333333333 12.3949579832
49800 280 -120 0 8.333333333333 33.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
0 7672 7672 0 228.3333333333 100
147130 5.6 0.6 0 0.166666666667 44.4444444444
0 15.4 15.4 0 0.458333333333 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 57 142500 0 0
0 0 0 0 0 0
45430 0 -10 0 0 0
47400 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
301840 448 -1832 0 13.33333333333 12.3076923077
222547.2 294 -746 0 8.75 16.8
0 0 0 0 0 0
277200 23.8 20.8 0 0.708333333333 85
0 0 0 0 0 0
59820 8.4 -0.6 0 0.25 40
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
115920 0 -4 0 0 0
119920 1.4 -2.6 0 0.041666666667 20
222350 0 -5 0 0 0
240800 0 -10 0 0 0
224063 0 -7 0 0 0
171130 0 -10 0 0 0
37815 16.8 -23.2 0 0.5 23.0769230769
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40000 0 -500 0 0 0
235430 0 -500 0 0 0
0 0 0 0 0 0
323456 5.6 -890.4 0 0.166666666667 0.44444444444
0 0 0 0 0 0
33060 0 -24 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
35500 0 -100 0 0 0
366300 0 -500 0 0 0
0 0 0 0 0 0
371800 21 -62 0 0.625 15.306122449
52627.2 0 -400 0 0 0
33210 16.8 -481.2 0 0.5 2.35294117647
0 26.6 26.6 0 0.791666666667 100
0 0 0 0 0 0
48000 5.6 -0.4 0 0.166666666667 40
0 0 0 0 0 0
0 0 0 0 0 0
31800 1540 940 0 45.83333333333 64.7058823529
190682 44.8 -89.2 0 1.333333333333 19.2771084337
0 0 0 0 0 0
133665 7 -30 0 0.208333333333 11.9047619048
0 0 0 0 0 0
0 0 0 0 0 0
380250 0 -22 0 0 0
105625 0 -8 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
44444 0 -97 0 0 0
49680 0 -9 0 0 0
48400 54.6 43.6 0 1.625 78
17875 63 58 0 1.875 90
OBAT/BMHP
0 0 0 0 0 0
0 49 49 0 1.458333333333 100
0 0 0 0 0 0
3146000 140 -510 0 4.166666666667 13.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
104400 0 -300 0 0 0
0 0 0 0 0 0
63960 75.6 -1760.4 0 2.25 2.85714285714
280440 7 -198 0 0.208333333333 2.38095238095
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
750000 0 -75 0 0 0
0 1.4 1.4 0 0.041666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
7532 7 6 0 0.208333333333 83.3333333333
351000 0 -19 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
394800 280 -320 0 8.333333333333 25
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1281086 0 -41 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
81780 29.4 14.4 0 0.875 58.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
30000 0 -2 0 0 0
0 0 -3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
137700 0 -100 0 0 0
137450 0 -1 0 0 0
0 0 0 0 0 0
82800 0 -4 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201500 0 -1 0 0 0
146394 0 -6 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
25047 0 -3 0 0 0
0 0 0 0 0 0
254760 0 -40 0 0 0
OBAT/BMHP
0 0 0 0 0 0
387750 0 -150 0 0 0
118680 0 -10 0 0 0
4131 49 46 0 1.458333333333 92.1052631579
210540 0 -10 0 0 0
0 0 0 0 0 0
101400 0 -300 0 0 0
199430 2.8 -4.2 0 0.083333333333 22.2222222222
0 0 0 0 0 0
45881 0 -473 0 0 0
0 0 0 0 0 0
127680 0 -760 0 0 0
333000 0 -1000 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
48450 0 -969 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
34650 0 -630 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
141453 0 -9 0 0 0
0 0 0 0 0 0
228482.4 0 -370 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5056875 0 -225 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1728900 0 -66 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1810800 0 -200 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 -25 0 0 0
0 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8484 0 -7 0 0 0
286000 0 -2 0 0 0
116795 0 -1 0 0 0
0 0 0 0 0 0
58133.25 0 -1 0 0 0
773541 0 -3 0 0 0
85000 0 -1 0 0 0
113580 0 -3 0 0 0
0 0 0 0 0 0
163350 0 -1 0 0 0
0 0 0 0 0 0
80000 0 -4 0 0 0
0 0 0 0 0 0
332412 0 -1 0 0 0
3953070 0 -2 0 0 0
9156742 0 -7 0 0 0
2303562 0 -2 0 0 0
79061 0 -1 0 0 0
89842 0 -1 0 0 0
278512 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
584100 0 -1 0 0 0
0 0 0 0 0 0
88640 0 -20 0 0 0
44320 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1597695 0 -5 0 0 0
237000 0 -1 0 0 0
82000 0 -2 0 0 0
84000 0 -1 0 0 0
187000 0 -1 0 0 0
72000 0 -1 0 0 0
0 0 0 0 0 0
806199 0 -3 0 0 0
OBAT/BMHP
5353513 0 -11 0 0 0
0 0 0 0 0 0
1499983 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
371690 0 -109 0 0 0
594880 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -45 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
61500 0 -264 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
142750 0 -2 0 0 0
142750 0 -2 0 0 0
186750 0 -2 0 0 0
226750 0 -2 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
291500 0 -100 0 0 0
0 0 0 0 0 0
1386000 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1309990 0 -10 0 0 0
1072350 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9625000 0 -15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -75 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -75 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
92827281.14 5017153
Yang Menerima
OBAT/BMHP

Nip. 19880824 201903 2 004


1 Abbocath No. 18 Set 8,700 0 0 0 0 0 0 0 0 0
2 Abbocath No. 20 Set 8,700 49 426,300 0 49 426,300 21 182700 28 243,600 15
3 Abbocath No. 22 Set 8,700 33 287,100 0 33 287,100 5 43500 28 243,600 12
4 Abbocath No. 24 Set 8,700 23 200,100 0 23 200,100 11 95700 12 104,400 9
5 Abbocath No. 26 pcs 5,125 16 82,000 0 16 82,000 0 16 82,000 16
8 Acyclovir 400 mg Tablet 930 300 279,000 250 232500 550 511,500 550 511500 0 0 0
9 Acyclovir cream Tube 165 20 3,295 0 20 3,295 12 1977 8 1,318 0
12 Alat suntik 0,5 ml Set 8,437 75 632,775 0 75 632,775 15 126555 60 506,220 50
14 Alat suntik 2.5 ml Set 845 120 101,400 0 120 101,400 29 24505 91 76,895 65
16 Alat suntik 5 ml Set 1,071 113 121,061 0 113 121,061 53 56781.02 60 64,280 25
17 Alat suntik 10 ml Set 1,380 32 44,160 0 32 44,160 12 16560 20 27,600 15
19 Alat Suntik 50 ml Chateter Tip Pcs 9,745 10 97,450 0 10 97,450 0 10 97,450 10
21 Alat test Hb pcs 608,113 0 0 0 0 0 0 0 0 0
23 Alkohol 70% 1 L Botol 22,950 0 0 0 0 0 0 0 0 0
24 Alkohol 70% 300 ml Botol 13,400 104 1,393,600 0 104 1,393,600 11 147400 93 1,246,200 85
26 Alkohol swab (Aseptic Gel) lembar 125 216 27,000 0 216 27,000 195 24375 21 2,625 0
27 Allopurinol tablet 100 mg Tablet 108 0 0 0 0 0 0 0 0 0
28 Ambroxol 30 mg Tablet 232 714 165,519 1000 231820 1,714 397,339 920 213274.4 794 184,065 210
29 Ambroxol 15 mg/ml Botol 6,955 25 173,875 0 25 173,875 25 173875 0 0 0
30 Aminophilin 24 mg/ml Ampul 3,349 0 0 0 0 0 0 0 0 0
31 Aminophilin tablet 200 mg Tablet 130 0 0 0 0 0 0 0 0 0
32 Amlodipin 5 mg Tablet 83 1,254 104,082 0 1,254 104,082 520 43160 734 60,922 610
33 Amlodipin 10 mg Tablet 99 1,031 102,069 0 1,031 102,069 630 62370 401 39,699 250
35 Amoxicilin 500 mg Tablet 288 5,000 1,440,000 0 5,000 1,440,000 1930 555840 3,070 884,160 2110
38 Ampicillin injeksi Vial 10,296 8 82,368 0 8 82,368 1 10296 7 72,072 7
39 Anisol Tablet 0 0 0 0 0 0 0 0 0 0
44 Antasida DOEN tablet kombinasi Tablet 58 1,985 115,130 0 1,985 115,130 1100 63800 885 51,330 621
47 Anvomer B6 Tablet 2,508 0 0 0 0 0 0 0 0 0
48 Aqua Pro injeksi steril Vial 2,860 51 145,860 0 51 145,860 9 25740 42 120,120 42
49 Arm sling S pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
50 Arm sling M pcs 19,800 2 39,600 0 2 39,600 0 2 39,600 2
51 Arm Sling L pcs 19,800 1 19,800 0 1 19,800 0 1 19,800 1
55 Asam askorbat (Vit. C) 50 mg Tablet 131 2,688 352,128 0 2,688 352,128 983 128773 1,705 223,355 742
56 Asam askorbat (Vit. C) 250 mg Tablet 279 588 164,193 0 588 164,193 588 164193.12 0 0 0
60 Asam tranexamat tab Tablet 1,800 1,000 1,800,000 0 1,000 1,800,000 10 18000 990 1,782,000 990
61 Aspar K Tablet 2,321 0 0 0 0 0 0 0 0 0
67 Becefort Botol 18,590 0 0 0 0 0 0 0 0 0
68 Benzatin bensil penisillin inj Vial 11,760 0 0 0 0 0 0 0 0 0
69 Besi (II) sulfat tablet salut kombinasi Tablet 354 0 0 0 0 0 0 0 0 0
71 Betametason cream tube 1,520 108 164,160 0 108 164,160 52 79040 56 85,120 39
74 Bioron ampul 4,630 0 0 0 0 0 0 0 0 0
76 Bisturi pcs 1,050 313 328,650 0 313 328,650 9 9450 304 319,200 230
77 Blood lancet pcs 189 416 78,774 0 416 78,774 56 10604.16 360 68,170 296
78 Box Slide Pcs 98,066 0 0 0 0 0 0 0 0 0
83 Captopril Tablet 12.5 mg Tablet 77 1,600 123,200 0 1,600 123,200 810 62370 790 60,830 563
84 Captopril Tablet 25 mg Tablet 150 500 75,140 0 500 75,140 500 75140 0 0 0
86 Catgut Plan 2/0 Set 7,258 12 87,100 0 12 87,100 3 21774.99 9 65,325 5
88 Catgut Plan 3/0 Set 7,258 0 0 0 0 0 0 0 0 0
89 Catgut plan 3/0 HR 26MM Set 35,725 21 750,225 0 21 750,225 5 178625 16 571,600 16
91 Catgut Chromic 2/0 HR 26MM Set 34,225 10 342,250 0 10 342,250 4 136900 6 205,350 0
94 Caviplex Tablet 557 0 0 0 0 0 0 0 0 0
96 Caviplex syrup Botol 8,880 0 0 0 0 0 0 0 0 0
97 Cefadroxil 500 mg Tablet Kapsul 1,126 0 0 0 0 0 0 0 0 0
98 Cefadroxyl syr botol 19,318 20 386,360 0 20 386,360 2 38636 18 347,724 18
101 Cefixim syr Botol 26,334 0 0 0 0 0 0 0 0 0
102 Cefotaximin Injeksi Vial 4,704 60 282,240 0 60 282,240 0 0 0 0
104 Cetrizin syr 5mg/5 ml Botol 3,192 0 0 0 0 0 0 0 0 0
105 Cetrizin tab 10 mg Tablet 111 500 55,500 200 22200 700 77,700 320 35520 380 42,180 220
106 Chloramfenicol tetes telinga Botol 7,680 24 184,320 0 24 184,320 3 23040 21 161,280 19
108 Chlorampenicol Salap mata 1 % Tube 1,375 39 53,625 0 39 53,625 0 39 53,625 35
113 Ciprofoxacin Tablet 500 mg Tablet 927 485 449,721 0 485 449,721 15 13908.9 470 435,812 320
116 Clindamycin 300 mg Tablet 1,415 590 834,732 0 590 834,732 0 590 834,732 550
117 Clonidin Tablet 156 0 0 0 0 0 0 0 0 0
119 Colcitin Tablet 2,874 40 114,960 0 40 114,960 0 40 114,960 29
122 Curcuma Tab Tablet 953 0 0 300 285900 300 285,900 300 285900 0 0 0
123 Dasabion Tablet 864 0 0 0 0 0 0 0 0 0
124 Decamidon Vial 16,852 0 0 0 0 0 0 0 0 0
127 Dexametason Injeksi 5 mg / 1 mL Ampul 1,910 95 181,450 0 95 181,450 35 66850 60 114,600 45
128 Dexametason Tablet 0.5 mg Tablet 37 9,404 347,948 0 9,404 347,948 3804 140748 5,600 207,200 3650
136 Domperidon 10 mg Tablet 144 0 0 800 115200 800 115,200 300 43200 500 72,000 0
137 Domperidon Syrup Botol 3,105 29 90,045 0 29 90,045 0 29 90,045 22
142 Erytomisin 500 mg Tablet 1,399 390 545,688 0 390 545,688 0 390 545,688 390
143 Erytromisin Syrup Botol 10,594 13 137,722 0 13 137,722 0 13 137,722 13
147 Farbion 5000 Ampul 6,471 0 0 0 0 0 0 0 0 0
155 Fitomenadion (Vit-K) Tablet Salut 10 mg Tablet 761 290 220,690 0 290 220,690 90 68490 200 152,200 200
156 Fixer Botol 268,728 0 0 0 0 0 0 0 0 0
165 Fucilex cream 5 mg Tube 5,112 49 250,488 0 49 250,488 7 35784 42 214,704 36
167 Gentamisin Salep Mata/Genoit Tube 3,300 18 59,400 0 18 59,400 0 18 59,400 18
170 Gentamysin Tetes mata 5 ml Botol 5,315 0 0 0 0 0 0 0 0 0
171 Gentian Violet Larutan 1 % Botol 3,000 0 0 0 0 0 0 0 0 0
172 Gitas inj Ampul 13,200 0 0 0 0 0 0 0 0 0
173 Glibenclamida Tablet Tablet 92 1,300 119,600 0 1,300 119,600 0 1,300 119,600 1000
175 Gliseryl guaycolate 100 mg Tablet 126 723 91,098 800 100800 1,523 191,898 523 65898 1,000 126,000 230
176 Glucoprotein test strip 2,038 37 75,399 0 37 75,399 7 14264.6 30 61,134 15
178 Glukosa Larutan 10 % steril Botol 7,500 73 547,500 0 73 547,500 12 90000 61 457,500 45
179 Griseovulvin/Gricin Tablet 125 mg Tablet 239 0 0 0 0 0 0 0 0 0
183 Hanscoon Steril No.7 Pcs 4,020 91 365,820 100 402000 191 767,820 185 743700 6 24,120 0
187 Hemafort Tablet 843 0 0 0 0 0 0 0 0 0
188 Hidrocortisone Cream 2.5 % Tube 3,000 120 360,000 0 120 360,000 18 54000 102 306,000 67
194 Hypafix roll 42,800 1 42,800 0 1 42,800 0 1 42,800 1
196 Ibuprofen 400 mg Tablet 465 0 0 300 139635 300 139,635 300 139635 0 0 0
199 Infusion set Anak Set 4,830 298 1,439,340 0 298 1,439,340 0 298 1,439,340 289
201 Insto TM Botol 15,475 0 0 0 0 0 0 0 0 0
203 Kalnex 500 mg Tablet 2,695 0 0 0 0 0 0 0 0 0
204 Kalsium Laktat Tablet 500 mg Tablet 75 0 0 0 0 0 0 0 0 0
206 Kapas Pembalut / Atsorben 250 g Bks 16,250 3 48,750 0 3 48,750 2 32500 1 16,250 0
207 Kapas Pembalut / Atsorben 500 g Bks 35,464 1 35,464 0 1 35,464 1 35464 0 0 0
211 Kasa Kompres 40 x 40 cm Bks 2,080 1 2,080 0 1 2,080 0 1 2,080 0
212 Kasa Pembalut Hidrofil 3,8 x 15 cm roll 2,730 12 32,760 0 12 32,760 6 16380 6 16,380 0
213 Kasa Pembalut Hydrofil 16 x 16 cm Kotak 10,000 39 390,000 0 39 390,000 27 270000 12 120,000 0
217 Ketokonazole 200 mg Tablet 311 100 31,100 0 100 31,100 0 100 31,100 100
218 Ketokonazole Kream 2 % Tube 2,930 35 102,550 0 35 102,550 11 32230 24 70,320 20
221 Khlorampeniramin Maleat (CTM) Tablet 4 mg Tablet 25 2,300 57,500 0 2,300 57,500 900 22500 1,400 35,000 820
225 Lacbon Tablet 1,430 0 0 0 0 0 0 0 0 0
226 Lactulosa Botol 14,500 11 159,500 0 11 159,500 0 11 159,500 9
228 Levodopa Tablet 1,455 300 436,500 0 300 436,500 0 300 436,500 300
230 Licalvit Tablet 0 0 0 0 0 0 0 0 0
232 Lidocain inj Ampul 1,433 0 0 100 143300 100 143,300 35 50155 65 93,145 55
233 Lidocain 2%+epinefrin 2ml (compositium) Ampul 1,440 144 207,360 0 144 207,360 144 207360 0 0 0
235 Lisol. Mengandung kresol tersabun 50 % Botol 53,300 2 106,600 0 2 106,600 1 53300 1 53,300 1
236 Livron B-Plex Tablet 259 1,000 259,000 500 129500 1,500 388,500 1300 336700 200 51,800 0
237 Loperamid Botol 100 85 8,500 0 85 8,500 0 85 8,500 0
238 Loratadin Tablet 180 6,480 1,166,400 0 6,480 1,166,400 0 6,480 1,166,400 6450
239 Lumpang dan alu Set 89,562 0 0 0 0 0 0 0 0 0
240 Masker pcs 429 0 0 200 85800 200 85,800 156 66924 44 18,876 0
243 Meloxicam 7,5 mg Tablet 872 140 122,080 250 218000 390 340,080 120 104640 270 235,440 0
244 Meloxicam 15 mg Tablet 1,380 185 255,300 0 185 255,300 0 185 255,300 0
245 Metformin Botol 120 100 12,000 500 60000 600 72,000 300 36000 300 36,000 0
246 Methyl Prednisolon 4 mg Tablet 143 558 79,794 0 558 79,794 512 73216 46 6,578 0
252 Metilergometrina Maleat Injeksi 0.0002mg/ml Ampul 3,564 100 356,400 0 100 356,400 0 100 356,400 100
253 Metilergometrina Maleat Tablet 0.125 mg Tablet 271 300 81,300 0 300 81,300 0 300 81,300 300
257 Metoclopramid inj 5 mg/ml Ampul 4,950 20 99,000 0 20 99,000 0 20 99,000 20
259 Metronidasole infus Botol 8,250 0 0 0 0 0 0 0 0 0
262 Metronidasole tablet 500 mg Tablet 151 700 105,700 0 700 105,700 100 15100 600 90,600 300
263 MgSO4 20% Botol 1,539 0 0 0 0 0 0 0 0 0
264 MgSO4 40% vial 2,500 0 0 0 0 0 0 0 0 0
265 Miconazole Cream Tube 4,060 91 369,460 0 91 369,460 21 85260 70 284,200 65
267 Molagit Tablet 502 0 0 0 0 0 0 0 0 0
268 Na. cklorida larutan infus 0.9% steril (NACL) Botol 6,410 8 51,280 0 8 51,280 0 8 51,280 8
270 Na. Diklofenak 50 mg Tablet 77 1,298 99,946 0 1,298 99,946 950 73150 348 26,796 0
271 Nefrolit Tablet 662 0 0 0 0 0 0 0 0 0
279 Nodiar Tablet 0 0 0 0 0 0 0 0 0
280 Norelut Tablet 4,410 0 0 0 0 0 0 0 0 0
282 Novamidon vial 0 0 0 0 0 0 0 0 0
283 NOZA Tablet 798 100 79,800 0 100 79,800 0 100 79,800 100
284 OBH Syr Botol 0 0 0 0 0 0 0 0 0
287 Oksitetrasiklin Salep Mata 1% Tube 1,375 79 108,625 0 79 108,625 0 79 108,625 69
288 Omeprazol Tablet 150 430 64,500 0 430 64,500 430 64500 0 0 0
290 Ondansetron inj Ampul 1,300 260 338,000 0 260 338,000 0 260 338,000 100
291 Oralit Sachet 278 417 115,926 0 417 115,926 312 86736 105 29,190 55
292 Papaverin Tablet 166 400 66,400 0 400 66,400 0 400 66,400 300
295 Paracetamol 500mg Tablet 62 0 0 500 31000 500 31,000 500 31000 0 0 0
296 Paracetamol infus Botol 29,426 5 147,130 0 5 147,130 0 5 147,130 5
297 Parasetamol drops Botol 22,384 0 0 0 0 0 0 0 0 0
298 Parasetamol Syrup Botol 6,635 0 0 0 0 0 0 0 0 0
300 Phenol Gliserol Botol 2,500 0 0 0 0 0 0 0 0 0
302 Phenytoin Ampul 4,543 10 45,430 0 10 45,430 0 10 45,430 10
308 Piridoksina HcL (Vit. B6) Tablet 10 mg Tablet 154 2,280 351,120 0 2,280 351,120 980 150920 1,300 200,200 950
309 Piroksicam Kapsul 10 mg Kapsul 232 1,040 241,093 0 1,040 241,093 0 1,040 241,093 820
311 Pitogen Injeksi/ Oxytosin Ampul 92,400 3 277,200 0 3 277,200 3 277200 0 0 0
313 Plester 2,5 yards x 4,5 inci Rol 11,964 9 107,676 0 9 107,676 3 35892 6 71,784 0
316 Policrepe 7,5 x 4,55 Roll 28,980 4 115,920 0 4 115,920 0 4 115,920 4
317 Policrepe 10 x 4,55 Roll 29,980 4 119,920 0 4 119,920 0 4 119,920 4
318 Policrepe 15 x 4,55 Roll 44,470 5 222,350 0 5 222,350 0 5 222,350 5
319 Poligyp 10 x 2,7 Roll 24,080 10 240,800 0 10 240,800 0 10 240,800 10
320 Poligyp 15x2,7 Roll 32,009 7 224,063 0 7 224,063 0 7 224,063 7
321 Poligyp 7,5x2,7 Roll 17,113 10 171,130 0 10 171,130 0 10 171,130 10
323 Pralax Botol 52,800 0 0 0 0 0 0 0 0 0
324 Prednisone Tablet 5 mg Tablet 91 0 0 0 0 0 0 0 0 0
331 Pyrantel Pamoat (Pyrantel) tab 125mg Tablet 361 896 323,456 0 896 323,456 0 896 323,456 896
332 Ranitidin 150 mg Tablet 240 0 0 0 0 0 0 0 0 0
333 Ranitidin Injeksi Ampul 1,653 24 39,672 0 24 39,672 3 4959 21 34,713 20
338 Rhinofed Tablet 850 0 0 0 0 0 0 0 0 0
339 Ringer Laktat Larutan Infus Steril Botol 7,150 83 593,450 0 83 593,450 21 150150 62 443,300 52
340 Salbutamol 2 mg Tablet 164 400 65,784 0 400 65,784 100 16446 300 49,338 230
341 Salbutamol 4 mg Tablet 81 498 40,338 0 498 40,338 0 498 40,338 410
342 Salep 2-4 cream Pot 3,040 0 0 0 0 0 0 0 0 0
343 Salisil Bedak 2.5 % Botol 6,552 0 0 0 0 0 0 0 0 0
344 Scabicid Cream Tube 48,000 6 288,000 0 6 288,000 6 288000 0 0 0
345 Scabicore Tube 74,074 0 0 0 0 0 0 0 0 0
347 Sianocobalamin (Vit. B 12) 10 mg Tablet 53 600 31,800 0 600 31,800 0 600 31,800 600
348 Sianocobalamin (Vit. B 12) 500 mg/ml injeksi Ampul 1,423 134 190,682 0 134 190,682 0 134 190,682 134
349 Silk (Benang Bedah Sutra) N0. 2/0 set 3,972 0 0 0 0 0 0 0 0 0
350 Silk (Benang Bedah Sutra) N0. 3/0 Set 3,819 37 141,303 0 37 141,303 0 37 141,303 35
351 Silk black 24 MM pcs 25,325 0 0 0 0 0 0 0 0 0
352 Silk black 37 MM pcs 22,125 0 0 0 0 0 0 0 0 0
353 Silk black 2/0 HR 26 pcs 21,125 22 464,750 0 22 464,750 0 22 464,750 18
354 Silk black 3/0 HR 26 pcs 21,125 8 169,000 0 8 169,000 0 8 169,000 5
357 Slide set 542 97 52,574 0 97 52,574 0 97 52,574 82
358 Softratule Lambar 5,520 9 49,680 0 9 49,680 0 9 49,680 9
359 Stik Asam Urat Strip 4,400 11 48,400 0 11 48,400 11 48400 0 0 0
360 Stik Glucosa Strip 3,575 5 17,875 0 5 17,875 5 17875 0 0 0
361 Stik Cholesterol Strip 8,195 0 0 0 0 0 0 0 0 0
362 Stik Nesco Hb Strip 15,840 0 0 0 0 0 0 0 0 0
364 Tabung EDTA Botol 4,840 650 3,146,000 0 650 3,146,000 0 650 3,146,000 650
369 Tiamin HcL (Vit. B1) Tablet 50 mg Tablet 41 1,836 75,276 0 1,836 75,276 136 5576 1,700 69,700 1560
370 Tiamin inj 100 mg/ml Ampul 1,368 205 280,440 0 205 280,440 0 205 280,440 205
372 Trifed Tablet 1,265 0 0 0 0 0 0 0 0 0
375 USG Gel pcs 16,360 0 0 0 0 0 0 0 0 0
378 Visine TM Botol 0 0 0 0 0 0 0 0 0 0
379 Vitamin B Compleks inj Ampul 10,800 7 75,600 0 7 75,600 7 75600 0 0 0
386 Yodium Pavidon 10 % 60 ml Botol 7,532 1 7,532 0 1 7,532 0 1 7,532 0
390 Zink Dispersible Tablet 658 600 394,800 0 600 394,800 0 600 394,800 600
391 Zink Syr Botol 49,120 0 0 0 0 0 0 0 0 0
393 Mixagrib Tablet 624 0 0 0 0 0 0 0 0 0
397 Alkohol 70% 100 ml Botol 3,800 0 0 0 0 0 0 0 0 0
398 Amoxicilin drops Botol 31,246 41 1,281,086 0 41 1,281,086 0 41 1,281,086 41
401 Sukrafat Syr Botol 8,178 15 122,670 0 15 122,670 15 122670 0 0 0
402 Intunal F Tablet 1,050 0 0 0 0 0 0 0 0 0
403 OBH PLus Botol 33,000 0 0 0 0 0 0 0 0 0
404 OBH Anak Botol 19,000 0 0 0 0 0 0 0 0 0
408 Baby Cough Botol 8,000 0 0 0 0 0 0 0 0 0
410 Bcom-C Tablet 1,800 0 0 0 0 0 0 0 0 0
413 Onaiwa Tablet 6,934 0 0 0 0 0 0 0 0 0
415 Focyn 1 gr vial 101,250 0 0 0 0 0 0 0 0 0
416 Gabaxa Botol 230,000 0 0 0 0 0 0 0 0 0
417 Venodenol Ampul 172,425 0 0 0 0 0 0 0 0 0
420 Ultrafix Roll 42,000 0 0 0 0 0 0 0 0 0
421 Baju Ok L pcs 200,000 0 0 0 0 0 0 0 0 0
422 Baju Ok M Set 200,000 0 0 0 0 0 0 0 0 0
423 Nurse Cup kotak 70,000 0 0 0 0 0 0 0 0 0
425 Tensoplas kotak 270,000 0 0 0 0 0 0 0 0 0
426 JMI 5 cc Pcs 155,000 0 0 0 0 0 0 0 0 0
427 Gudel uk 03 Pcs 30,000 0 0 0 0 0 0 0 0 0
428 LMA uk 3 Pcs 380,000 0 0 0 0 0 0 0 0 0
429 Aseptan Botol 34,320 0 0 0 0 0 0 0 0 0
432 Mess 5x10 cm Pcs 500,000 0 0 0 0 0 0 0 0 0
438 Handwash Botol 137,450 1 137,450 0 1 137,450 0 1 137,450 1
439 Lysorin Botol 131,250 0 0 0 0 0 0 0 0 0
445 Natur-E Tablet 0 0 0 0 0 0 0 0 0 0
446 USG Gel 5 L Gelon 201,500 1 201,500 0 1 201,500 0 1 201,500 1
447 Dulcolax Suppo suppo 24,399 6 146,394 0 6 146,394 1 24399 5 121,995 5
448 Meviton Tablet 2,475 0 0 0 0 0 0 0 0 0
452 Zink Drps Botol 6,369 40 254,760 0 40 254,760 0 40 254,760 40
453 Etanol Botol 7,500 0 0 0 0 0 0 0 0 0
454 Trifedrin Tablet 2,585 150 387,750 0 150 387,750 0 150 387,750 150
456 Genoit Salep kulit Tablet 1,377 3 4,131 0 3 4,131 3 4131 0 0 0
457 Sodium Valproat Botol 21,054 10 210,540 0 10 210,540 0 10 210,540 10
460 Microlax Tube 28,490 7 199,430 0 7 199,430 2 56980 5 142,450 5
461 Etanol 1000 ml Botol 1,674,750 0 0 0 0 0 0 0 0 0

1001 Alprazolam 0,5 mg Tablet 97 473 45,881 0 473 45,881 12 1164 461 44,717 461
1003 Amitriptilin 25 mg Tablet 168 760 127,680 0 760 127,680 10 1680 750 126,000 750
1004 Carbamazepin Tablet 333 1,000 333,000 0 1,000 333,000 20 6660 980 326,340 980
1005 Codein 5 mg Tablet 0 0 0 0 0 0 0 0 0 0
1006 Diazepam injeksi 5 mg/ 2ml Ampul 2,150 0 0 0 0 0 0 0 0 0
1007 Diazepam Tablet 2 mg Tablet 50 969 48,450 0 969 48,450 19 950 950 47,500 950
1010 Halloperidol Tablet 0.5 mg Tablet 55 630 34,650 0 630 34,650 20 1100 610 33,550 610
PROGRAM HIV 0 0
2002 Test HIV strip 15,657 0 0 0 0 0 0 0 0 0
2005 Test Syphilis HIV strip 11,300 66 745,800 100 1130000 166 1,875,800 0 166 1,875,800 153
2006 Kondom Sutra pcs 0 0 0 0 0 0 0 0 0 0
2008 Virochek HBSAG pcs 9,054 200 1,810,800 0 200 1,810,800 0 200 1,810,800 200
2009 Virochek HIV 1/2 pcs 12,754 0 0 0 0 0 0 0 0 0
2014 Test HIV 1/2 DS strip 0 25 0 0 25 0 0 25 0 0
PROGRAM GIGI 0 0
3001 Alvogyl tube 498,500 0 0 0 0 0 0 0 0 0
3008 Caviton Pot 257,847 3 773,541 0 3 773,541 0 3 773,541 3
3009 CHKM Botol 85,000 1 85,000 0 1 85,000 0 1 85,000 1
3012 EDTA 15 ml Botol 163,350 1 163,350 0 1 163,350 0 1 163,350 1
3014 Eugenol Botol 20,000 4 80,000 0 4 80,000 0 4 80,000 4
3015 FG Diamond Set 437,426 0 0 0 0 0 0 0 0 0
3019 FUJI II kotak 1,151,781 2 2,303,562 0 2 2,303,562 0 2 2,303,562 2
3020 Guttap kotak 79,061 1 79,061 0 1 79,061 0 1 79,061 1
3021 Hyposol 500 ml Botol 89,842 1 89,842 0 1 89,842 0 1 89,842 1
3023 Occo 15 Pieces 278,512 0 0 0 0 0 0 0 0 0
3025 RA Diamond Set 584,100 1 584,100 0 1 584,100 0 1 584,100 1
3029 Trimix kotak 416,542 0 0 0 0 0 0 0 0 0
3030 Ziacaine vial 0 0 0 0 0 0 0 0 0 0
3032 Pulp X kotak 237,000 1 237,000 0 1 237,000 0 1 237,000 1
3033 Mouth Mirror Pcs 41,000 2 82,000 0 2 82,000 0 2 82,000 2
3035 Endoseal kotak 187,000 1 187,000 0 1 187,000 0 1 187,000 1
PROGRAM TB 0 0
4003 FDC Kategori I Paket 486,683 11 5,353,513 4 1946732 15 7,300,245 2 973366 13 6,326,879 11
4005 FDC Kategori II Paket 1,499,983 1 1,499,983 0 1 1,499,983 0 1 1,499,983 1
4009 Pot Dahak pot 3,410 109 371,690 0 109 371,690 0 109 371,690 109

5002 Artemeter Ampul 26,600 0 0 0 0 0 0 0 0 0
5003 Artem inj Vial 4,433 0 0 0 0 0 0 0 0 0
5006 Cleanac 5 L Gln 7,810,000 0 0 0 0 0 0 0 0 0
5007 Cleanac 3 5 L Gln 5,445,000 0 0 0 0 0 0 0 0 0
5011 Darplex Tablet 4,216 45 189,720 0 45 189,720 0 45 189,720 0
5012 Developer Galon 1,977,000 0 0 0 0 0 0 0 0 0
5016 Giamsa 100 ml Botol 0 0 0 0 0 0 0 0 0 0
5017 Giamsa 500 ml Botol 0 0 0 0 0 0 0 0 0 0
5019 Isotonic 3 18 L Gln 5,082,000 0 0 0 0 0 0 0 0 0
5021 Metanol Botol 542,850 0 0 0 0 0 0 0 0 0
5022 Primakuin Tablet 123 264 32,472 0 264 32,472 0 264 32,472 264
5026 RDT Malaria pcs 19,854 100 1,985,400 0 100 1,985,400 0 100 1,985,400 42
5027 RDT DBD pcs 19,854 0 0 0 0 0 0 0 0 0
5034 Safety Box Set 20,430 0 0 0 0 0 0 0 0 0
5037 Lyse 500 ml Bf-6500 Botol 5,806,000 0 0 0 0 0 0 0 0 0
5038 Lyse 5 L Bf-6500 Botol 18,900,000 0 0 0 0 0 0 0 0 0
PROGRAM GIZI 0
6003 MP ASIH bks 0 0 0 0 0 0 0 0 0 0
FRAMBUSIA 0 0
VAKSIN 0
8004 Serum Anti Tetanus (ATS 15000 IU) Ampul 130,999 10 1,309,990 0 10 1,309,990 0 10 1,309,990 10
8005 Vaksin Rabies Vero Vial 214,470 5 1,072,350 0 5 1,072,350 0 5 1,072,350 5
8006 Vaksin BCG Vial 0 0 0 0 0 0 0 0 0 0
8008 Vaksin Td Vial 0 0 0 0 0 0 0 0 0 0
8011 Vaksin IPV vial 0 0 0 0 0 0 0 0 0 0
8012 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0
PROGRAM COVID-19 0
9001 APD Paket 1,980,000 0 0 0 0 0 0 0 0 0
9002 Baju Tyfex Set 385,000 15 5,775,000 0 15 5,775,000 0 15 5,775,000 15
9003 Face Shield Pcs 110,000 0 0 0 0 0 0 0 0 0
9005 Masker KN95 Pcs 77,000 0 0 0 0 0 0 0 0 0
9009 Thermogun 1 Pcs 2,000,000 0 0 0 0 0 0 0 0 0
9010 Thermogun 2 Pcs 2,200,000 0 0 0 0 0 0 0 0 0
9016 Masker N95 Pcs 0 0 0 0 0 0 0 0 0 0
9019 Rapid Test Covid (IgM/IgG) Pcs 220,000 75 16,500,000 0 75 16,500,000 5 1100000 70 15,400,000 70
9020 VTM Set 230,385 0 0 0 0 0 0 0 0 0
9021 Nurse Cup Pcs 0 0 0 0 0 0 0 0 0 0
9024 Baju Tyfex Set 380,000 0 0 0 0 0 0 0 0 0
9025 Baju Tyfex Set 0 0 0 0 0 0 0 0 0 0
9027 Face Shield Pcs 0 0 0 0 0 0 0 0 0 0
9029 Handscoen Non Steril Botol 2,008 0 0 100 200776 100 200,776 100 200776 0 0 0
9031 Masker N95 Pcs 70,000 0 0 0 0 0 0 0 0 0
9032 Masker KN95 Pcs 0 0 0 0 0 0 0 0 0 0
9033 Masker Kain Pcs 5,500 0 0 0 0 0 0 0 0 0
9034 Masker Pcs 7,200 0 0 0 0 0 0 0 0 0
9035 Rapid Test Covid-19 (Egens) Pcs 250,000 75 18,750,000 0 75 18,750,000 5 1250000 70 17,500,000 70
9036 Thermogun Pcs 0 0 0 0 0 0 0 0 0 0
9037 VTM Paket 0 0 0 0 0 0 0 0 0 0
9039 Safety Box pcs 20,430 0 0 3 61290 3 61,290 3 61290 0 0 0
9040 Alkohol Swab Sachet 0 0 0 250 0 250 0 250 0 0 0 0
9041 Alat suntik 0,5 ml Pcs 0 0 0 250 0 250 0 250 0 0 0 0
9042 Set APD Imun Set 0 0 0 10 0 10 0 10 0 0 0 0
9043 Vaksin Sinovak Dosis 0 0 0 10 0 10 0 10 0 0 0 0
TOTAL HARGA 131,096,035 5864773 82,750 136,960,808 12734196.19 82750 123,944,372

JKN UMUM

NIP. 19760204 200012 2 002 NIP. 19870127 201101 2 007 Nip. 19790114 200604 1 013
MALUKU UTARA

OBAT/BMHP
0 0 0 0 0 0
130500 29.4 1.4 0 0.875 42.8571428571
104400 7 -21 0 0.208333333333 15.1515151515
78300 15.4 3.4 0 0.458333333333 47.8260869565
82000 0 -16 0 0 0
16200 0 -100 0 0 0
0 0 0 0 0 0
0 770 770 0 22.91666666667 100
0 16.8 8.8 0 0.5 60
0 0 0 0 0 0
0 0 0 0 0 0
421850 21 -39 0 0.625 20
64584 72.8 -24.2 0 2.166666666667 34.8993288591
54925 40.6 -50.4 0 1.208333333333 24.1666666667
38700 131.6 -56.4 0 3.916666666667 33.3333333333
26783.5 74.2 14.2 0 2.208333333333 46.9026548673
20700 16.8 -3.2 0 0.5 37.5
49764 0 -12 0 0 0
97450 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1139000 15.4 -77.6 0 0.458333333333 10.5769230769
0 0 0 0 0 0
0 273 252 0 8.125 90.2777777778
0 0 0 0 0 0
48682.2 1288 494 0 38.33333333333 53.6756126021
0 35 35 0 1.041666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
50630 728 -6 0 21.66666666667 41.4673046252
24750 882 481 0 26.25 61.1057225994
90400 0 -400 0 0 0
607680 2702 -368 0 80.41666666667 38.6
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
72072 1.4 -5.6 0 0.041666666667 12.5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
269696 60.2 -111.8 0 1.791666666667 20
36018 1540 655 0 45.83333333333 55.4156171285
0 0 -30 0 0 0
317078 0 -78 0 0 0
0 0 0 0 0 0
120120 12.6 -29.4 0 0.375 17.6470588235
39600 0 -2 0 0 0
39600 0 -2 0 0 0
19800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
97202 1376.2 -328.8 0 40.95833333333 36.5699404762
0 823.2 823.2 0 24.5 100
36960 1134 334 0 33.75 50.3105590062
0 0 0 0 0 0
0 0 0 0 0 0
1782000 14 -976 0 0.416666666667 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
59280 72.8 16.8 0 2.166666666667 48.1481481481
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
241500 12.6 -291.4 0 0.375 2.87539936102
56050.56 78.4 -281.6 0 2.333333333333 13.4615384615
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
43351 1134 344 0 33.75 50.625
OBAT/BMHP
0 700 700 0 20.83333333333 100
0 0 0 0 0 0
36291.65 4.2 -4.8 0 0.125 25
0 0 0 0 0 0
0 0 0 0 0 0
571600 7 -9 0 0.208333333333 23.8095238095
0 0 0 0 0 0
0 5.6 -0.4 0 0.166666666667 40
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
347724 2.8 -15.2 0 0.083333333333 10
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 60 mei21 282240 0 0
102860 0 -20 0 0 0
0 0 0 0 0 0
24420 448 68 0 13.33333333333 45.7142857143
145920 4.2 -16.8 0 0.125 12.5
32130 0 -90 0 0 0
48125 0 -39 0 0 0
0 0 -14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
296723.2 21 -449 0 0.625 3.09278350515
0 0 0 0 0 0
0 0 0 0 0 0
778140 0 -590 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
83346 0 -40 0 0 0
91000 0 -20 0 0 0
0 0 0 0 0 0
0 420 420 0 12.5 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -3 0 0 0
85950 49 -11 0 1.458333333333 36.8421052632
135050 5325.6 -274.4 0 158.5 40.4508719694
0 0 0 0 0 0
OBAT/BMHP
109076 0 -91 0 0 0
0 0 0 0 0 0
76500 0 -500 0 0 0
51090 0 -480 0 0 0
75600 0 -300 0 0 0
0 420 -80 0 12.5 37.5
68310 0 -29 0 0 0
64344 49 -12 0 1.458333333333 36.4583333333
0 0 0 0 0 0
132250 0 -25 0 0 0
0 0 0 0 0 0
545688 0 -390 0 0 0
137722 0 -13 0 0 0
179036 7 -60 0 0.208333333333 6.94444444444
440000 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
152200 126 -74 0 3.75 31.0344827586
0 0 0 0 0 0
156000 0 -4 0 0 0
156000 0 -15 0 0 0
738000 0 -40 0 0 0
145600 0 -14 0 0 0
221400 0 -12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
53400 0 -600 0 0 0
184032 9.8 -32.2 0 0.291666666667 14.2857142857
0 0 0 0 0 0
59400 0 -18 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
92000 0 -1300 0 0 0
0 0 0 0 0 0
28980 732.2 -267.8 0 21.79166666667 34.3401181878
30567 9.8 -20.2 0 0.291666666667 18.9189189189
OBAT/BMHP
131040 0 -35 0 0 0
337500 16.8 -44.2 0 0.5 16.4383561644
0 0 0 0 0 0
0 694.4 657.4 0 20.66666666667 93.0581613508
0 11.2 9.2 0 0.333333333333 80
0 0 0 0 0 0
0 259 253 0 7.708333333333 96.8586387435
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201000 25.2 -76.8 0 0.75 15
64000 0 -500 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42800 0 -1 0 0 0
0 0 0 0 0 0
0 420 420 0 12.5 100
206830 16.8 -72.2 0 0.5 11.8811881188
0 0 0 0 0 0
1395870 0 -298 0 0 0
91520 29.4 -1.6 0 0.875 40.3846153846
0 0 0 0 0 0
107000 0 -1000 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2.8 1.8 0 0.083333333333 66.6666666667
0 1.4 1.4 0 0.041666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -1 0 0 0
0 8.4 2.4 0 0.25 50
0 37.8 25.8 0 1.125 69.2307692308
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
31100 0 -100 0 0 0
58600 15.4 -8.6 0 0.458333333333 31.4285714286
51820 0 -20 0 0 0
0 0 0 0 0 0
20500 1260 -140 0 37.5 39.1304347826
39024 4.2 -13.8 0 0.125 14.2857142857
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
130500 0 -11 0 0 0
0 0 0 0 0 0
436500 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
78815 49 -16 0 1.458333333333 35
0 201.6 201.6 0 6 100
0 0 0 0 0 0
53300 1.4 0.4 0 0.041666666667 50
0 1820 1620 0 54.16666666667 86.6666666667
0 0 -85 0 0 0
1161000 0 -6480 0 0 0
0 0 0 0 0 0
0 218.4 174.4 0 6.5 78
0 0 0 0 0 0
0 0 0 0 0 0
0 168 -102 0 5 30.7692307692
0 0 -185 0 0 0
0 420 120 0 12.5 50
0 716.8 670.8 0 21.33333333333 91.7562724014
0 0 0 0 0 0
412768 0 -32 0 0 0
0 0 0 0 0 0
960000 0 -500 0 0 0
0 0 0 0 0 0
356400 0 -100 0 0 0
81300 0 -300 0 0 0
0 0 0 0 0 0
81750 0 -810 0 0 0
29090 0 -8 0 0 0
99000 0 -20 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -6 0 0 0
0 0 0 0 0 0
45300 140 -460 0 4.166666666667 14.2857142857
0 0 0 0 0 0
0 0 0 0 0 0
263900 29.4 -40.6 0 0.875 23.0769230769
0 0 0 0 0 0
0 0 0 0 0 0
51280 0 -8 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 1330 982 0 39.58333333333 73.1895223421
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
55600 0 -400 0 0 0
65500 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
79800 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
94875 0 -79 0 0 0
0 602 602 0 17.91666666667 100
0 0 -215 0 0 0
130000 0 -260 0 0 0
15290 436.8 331.8 0 13 74.8201438849
49800 0 -400 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 700 700 0 20.83333333333 100
147130 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
45430 0 -10 0 0 0
47400 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
146300 1372 72 0 40.83333333333 42.9824561404
190092.4 0 -1040 0 0 0
0 0 0 0 0 0
0 4.2 4.2 0 0.125 100
0 0 0 0 0 0
0 4.2 -1.8 0 0.125 33.3333333333
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
115920 0 -4 0 0 0
119920 0 -4 0 0 0
222350 0 -5 0 0 0
240800 0 -10 0 0 0
224063 0 -7 0 0 0
171130 0 -10 0 0 0
0 54.6 43.6 0 1.625 78
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40000 0 -500 0 0 0
235430 0 -500 0 0 0
0 0 0 0 0 0
323456 0 -896 0 0 0
0 0 0 0 0 0
33060 4.2 -16.8 0 0.125 12.5
0 0 0 0 0 0
0 0 0 0 0 0
35500 0 -100 0 0 0
203500 0 -500 0 0 0
0 0 0 0 0 0
371800 29.4 -32.6 0 0.875 25.3012048193
37825.8 140 -160 0 4.166666666667 25
33210 0 -498 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 8.4 8.4 0 0.25 100
0 0 0 0 0 0
0 0 0 0 0 0
31800 0 -600 0 0 0
190682 0 -134 0 0 0
0 0 0 0 0 0
133665 0 -37 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
380250 0 -22 0 0 0
105625 0 -8 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
44444 0 -97 0 0 0
49680 0 -9 0 0 0
0 15.4 15.4 0 0.458333333333 100
0 7 7 0 0.208333333333 100
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3146000 0 -650 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
104400 0 -300 0 0 0
0 0 0 0 0 0
63960 190.4 -1509.6 0 5.666666666667 7.40740740741
280440 0 -205 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
750000 0 -75 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 9.8 9.8 0 0.291666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -1 0 0 0
351000 4.2 -11.8 0 0.125 15.7894736842
0 0 0 0 0 0
0 0 0 0 0 0
394800 0 -600 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1281086 0 -41 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 21 21 0 0.625 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
30000 0 -2 0 0 0
45000 0 -3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
137700 0 -100 0 0 0
137450 0 -1 0 0 0
0 0 0 0 0 0
82800 0 -4 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201500 0 -1 0 0 0
121995 1.4 -3.6 0 0.041666666667 16.6666666667
0 0 0 0 0 0
0 0 0 0 0 0
25047 0 -3 0 0 0
0 0 0 0 0 0
254760 0 -40 0 0 0
OBAT/BMHP
0 0 0 0 0 0
387750 0 -150 0 0 0
118680 0 -10 0 0 0
0 4.2 4.2 0 0.125 100
210540 0 -10 0 0 0
0 0 0 0 0 0
101400 0 -300 0 0 0
142450 2.8 -2.2 0 0.083333333333 28.5714285714
0 0 0 0 0 0
44717 16.8 -444.2 0 0.5 2.53699788584

0 0 0 0 0 0
126000 14 -736 0 0.416666666667 1.31578947368
326340 28 -952 0 0.833333333333 2
0 0 0 0 0 0
0 0 0 0 0 0
47500 26.6 -923.4 0 0.791666666667 1.96078431373
0 0 0 0 0 0
0 0 0 0 0 0
33550 28 -582 0 0.833333333333 3.1746031746
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
141453 0 -9 0 0 0
0 0 0 0 0 0
228482.4 0 -370 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5056875 0 -225 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1728900 0 -166 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1810800 0 -200 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 -25 0 0 0
0 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8484 0 -7 0 0 0
286000 0 -2 0 0 0
116795 0 -1 0 0 0
0 0 0 0 0 0
58133.25 0 -1 0 0 0
773541 0 -3 0 0 0
85000 0 -1 0 0 0
113580 0 -3 0 0 0
0 0 0 0 0 0
163350 0 -1 0 0 0
0 0 0 0 0 0
80000 0 -4 0 0 0
0 0 0 0 0 0
332412 0 -1 0 0 0
3953070 0 -2 0 0 0
9156742 0 -7 0 0 0
2303562 0 -2 0 0 0
79061 0 -1 0 0 0
89842 0 -1 0 0 0
278512 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
584100 0 -1 0 0 0
0 0 0 0 0 0
88640 0 -20 0 0 0
44320 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1597695 0 -5 0 0 0
237000 0 -1 0 0 0
82000 0 -2 0 0 0
84000 0 -1 0 0 0
187000 0 -1 0 0 0
72000 0 -1 0 0 0
0 0 0 0 0 0
806199 0 -3 0 0 0
OBAT/BMHP
5353513 2.8 -10.2 0 0.083333333333 13.3333333333
0 0 0 0 0 0
1499983 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
371690 0 -109 0 0 0
594880 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -45 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
32472 0 -264 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
833868 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
142750 0 -2 0 0 0
142750 0 -2 0 0 0
186750 0 -2 0 0 0
226750 0 -2 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
291500 0 -100 0 0 0
0 0 0 0 0 0
1386000 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1309990 0 -10 0 0 0
1072350 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5775000 0 -15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
15400000 7 -63 0 0.208333333333 6.66666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 140 140 0 4.166666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
17500000 7 -63 0 0.208333333333 6.66666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4.2 4.2 0 0.125 100
0 350 350 0 10.41666666667 0
0 350 350 0 10.41666666667 0
0 14 14 0 0.416666666667 0
0 14 14 0 0.416666666667 0
116179595.96 282240
Yang Menerima
OBAT/BMHP

Nip. 19880824 201903 2 004


1 Abbocath No. 18 Set 8,700 0 0 0 0 0 0 0 0 0 0 0
2 Abbocath No. 20 Set 8,700 20 174,000 50 435000 70 609,000 42 365400 28 243,600 15
3 Abbocath No. 22 Set 8,700 19 165,300 50 435000 69 600,300 41 356700 28 243,600 12
4 Abbocath No. 24 Set 8,700 23 200,100 0 0 23 200,100 11 95700 12 104,400 9
5 Abbocath No. 26 pcs 5,125 16 82,000 0 0 16 82,000 0 0 16 82,000 16
6 Actifed/Attapulgit Tablet 162 100 16,200 0 0 100 16,200 0 0 100 16,200 100
7 Acyclovir 200 mg Tablet 640 0 0 0 0 0 0 0 0 0 0 0
8 Acyclovir 400 mg Tablet 930 300 279,000 350 325500 650 604,500 650 604500 0 0 0
9 Acyclovir cream Tube 165 18 2,966 10 1647.5 28 4,613 20 3295 8 1,318 0
10 Alat Check 3P (CGU) Buah 495,000 0 0 0 0 0 0 0 0 0 0 0
11 Alat Suntik 0,05 ml Set 3,100 0 0 0 0 0 0 0 0 0 0 0
12 Alat suntik 0,5 ml Set 8,437 75 632,775 0 0 75 632,775 15 126555 60 506,220 50
14 Alat suntik 2.5 ml Set 845 52 43,940 100 84500 152 128,440 61 51545 91 76,895 65
16 Alat suntik 5 ml Set 1,071 71 76,065 100 107134 171 183,199 111 118918.74 60 64,280 25
17 Alat suntik 10 ml Set 1,380 43 59,340 0 0 43 59,340 23 31740 20 27,600 15
18 Alat suntik 20 ml Set 4,147 0 0 12 49764 12 49,764 0 0 12 49,764 12
19 Alat Suntik 50 ml Chateter Tip Pcs 9,745 0 0 10 97450 10 97,450 0 0 10 97,450 10
20 Alat Suntik 50 ml Pcs 4,899 0 0 0 0 0 0 0 0 0 0 0
21 Alat test Hb pcs 608,113 0 0 0 0 0 0 0 0 0 0 0
22 Albendazole 400 mg Tablet 842 0 0 0 0 0 0 0 0 0 0 0
23 Alkohol 70% 1 L Botol 22,950 0 0 0 0 0 0 0 0 0 0 0
24 Alkohol 70% 300 ml Botol 13,400 97 1,299,800 24 321600 121 1,621,400 28 375200 93 1,246,200 85
25 Alkohol Gel Botol 28,600 0 0 0 0 0 0 0 0 0 0 0
26 Alkohol swab (Aseptic Gel) lembar 125 61 7,625 800 100000 861 107,625 840 105000 21 2,625 0
27 Allopurinol tablet 100 mg Tablet 108 0 0 2000 216000 2,000 216,000 2000 216000 0 0 0
28 Ambroxol 30 mg Tablet 232 0 0 5000 1159100 5,000 1,159,100 4206 975034.92 794 184,065 210
29 Ambroxol 15 mg/ml Botol 6,955 0 0 50 347750 50 347,750 50 347750 0 0 0
30 Aminophilin 24 mg/ml Ampul 3,349 48 160,752 24 80376 72 241,128 0 0 72 241,128 0
31 Aminophilin tablet 200 mg Tablet 130 140 18,200 0 0 140 18,200 0 0 140 18,200 0
32 Amlodipin 5 mg Tablet 83 140 11,620 1150 95450 1,290 107,070 556 46148 734 60,922 610
33 Amlodipin 10 mg Tablet 99 430 42,570 750 74250 1,180 116,820 779 77121 401 39,699 250
34 Amoxicilin 250 mg Tablet 226 400 90,400 0 0 400 90,400 0 0 400 90,400 400
35 Amoxicilin 500 mg Tablet 288 4,030 1,160,640 5500 1584000 9,530 2,744,640 6460 1860480 3,070 884,160 2110
36 Amoxicilin Sirup kering 125 mg/5 ml Botol 1,974 0 0 0 0 0 0 0 0 0 0 0
37 Amoxicilin Sirup kering 250 mg/5 ml Botol 7,315 0 0 0 0 0 0 0 0 0 0 0
38 Ampicillin injeksi Vial 10,296 8 82,368 0 0 8 82,368 1 10296 7 72,072 7
39 Anisol Tablet 0 0 0 0 0 0 0 0 0 0 0 0
40 Antalgin (Metampiron) tablet 500 mg Tablet 172 0 0 0 0 0 0 0 0 0 0 0
41 Antalgin inj Ampul 4,375 0 0 0 0 0 0 0 0 0 0 0
42 Antrain Inj Ampul 9,240 0 0 0 0 0 0 0 0 0 0 0
43 Antasida DOEN Suspensi Botol 2,408 260 626,080 0 0 260 626,080 88 211904 172 414,176 112
44 Antasida DOEN tablet kombinasi Tablet 58 820 47,560 3200 185600 4,020 233,160 3135 181830 885 51,330 621
45 Anti Haemoroid suppo Suppo 3,806 30 114,180 0 0 30 114,180 0 0 30 114,180 0
46 Antifungi DOEN kombinasi pot 5,198 78 405,444 0 0 78 405,444 0 0 78 405,444 61
47 Anvomer B6 Tablet 2,508 0 0 0 0 0 0 0 0 0 0 0
48 Aqua Pro injeksi steril Vial 2,860 63 180,180 0 0 63 180,180 21 60060 42 120,120 42
49 Arm sling S pcs 19,800 2 39,600 0 0 2 39,600 0 0 2 39,600 2
50 Arm sling M pcs 19,800 2 39,600 0 0 2 39,600 0 0 2 39,600 2
51 Arm Sling L pcs 19,800 1 19,800 0 0 1 19,800 0 0 1 19,800 1
52 Asam asetil salisilat 80 mg (Miniaspi) Tablet 104 0 0 0 0 0 0 0 0 0 0 0
53 Asam asetil salisilat 100 mg (Asetosal) Tablet 169 0 0 0 0 0 0 0 0 0 0 0
54 Asam asetil salisilat 500 mg Tablet 194 0 0 0 0 0 0 0 0 0 0 0
55 Asam askorbat (Vit. C) 50 mg Tablet 131 1,860 243,660 2300 301300 4,160 544,960 2455 321605 1,705 223,355 742
56 Asam askorbat (Vit. C) 250 mg Tablet 279 2,380 664,591 0 0 2,380 664,591 2380 664591.2 0 0 0
58 Asam Mefenamat Tablet 500 mg Tablet 103 0 0 0 0 0 0 0 0 0 0 0
59 Asam tranexamat inj Ampul 2,498 0 0 0 0 0 0 0 0 0 0 0
60 Asam tranexamat tab Tablet 1,800 0 0 1000 1800000 1,000 1,800,000 10 18000 990 1,782,000 990
61 Aspar K Tablet 2,321 0 0 0 0 0 0 0 0 0 0 0
62 Atropina sulfat injeksi 0.25 mg/ml Ampul 1,476 0 0 0 0 0 0 0 0 0 0 0
63 Atropine 0,5 mg Tablet 100 0 0 0 0 0 0 0 0 0 0 0
64 Bacitrasin polymixin Tube 3,000 0 0 0 0 0 0 0 0 0 0 0
65 Barotec inhaler Botol 170,700 0 0 0 0 0 0 0 0 0 0 0
66 Batugin elixir Botol 34,499 0 0 0 0 0 0 0 0 0 0 0
67 Becefort Botol 18,590 0 0 0 0 0 0 0 0 0 0 0
68 Benzatin bensil penisillin inj Vial 11,760 10 117,600 0 0 10 117,600 0 0 10 117,600 0
69 Besi (II) sulfat tablet salut kombinasi Tablet 354 760 269,040 8640 3058560 9,400 3,327,600 1230 435420 8,170 2,892,180 0
70 Betahistin 6 mg Tablet 126 0 0 0 0 0 0 0 0 0 0 0
71 Betametason cream tube 1,520 38 57,760 125 190000 163 247,760 107 162640 56 85,120 39
72 Biolisin syr Botol 11,655 0 0 0 0 0 0 0 0 0 0 0
73 Bioplacenton Tube 13,515 0 0 0 0 0 0 0 0 0 0 0
74 Bioron ampul 4,630 0 0 0 0 0 0 0 0 0 0 0
75 Bisoprolol Tablet 909 0 0 0 0 0 0 0 0 0 0 0
76 Bisturi pcs 1,050 340 357,000 0 0 340 357,000 36 37800 304 319,200 230
77 Blood lancet pcs 189 184 34,842 400 75744 584 110,586 224 42416.64 360 68,170 296
78 Box Slide Pcs 98,066 0 0 0 0 0 0 0 0 0 0 0
79 Bromhexin Tablet 105 0 0 0 0 0 0 0 0 0 0 0
80 Buscopan Injeksi Ampul 23,600 0 0 0 0 0 0 0 0 0 0 0
81 Buscopan tablet Tablet 3,494 0 0 0 0 0 0 0 0 0 0 0
82 Calcii Gluconas 100 mg/mL Ampul 7,800 0 0 0 0 0 0 0 0 0 0 0
83 Captopril Tablet 12.5 mg Tablet 77 2,815 216,755 1100 84700 3,915 301,455 3125 240625 790 60,830 563
84 Captopril Tablet 25 mg Tablet 150 0 0 2000 300560 2,000 300,560 2000 300560 0 0 0
85 Captopril Tablet 50 mg Tablet 153 0 0 0 0 0 0 0 0 0 0 0
86 Catgut Plan 2/0 Set 7,258 20 145,167 0 0 20 145,167 11 79841.63 9 65,325 5
87 Catgut plan 2/0 HR 26MM Set 35,725 0 0 0 0 0 0 0 0 0 0 0
88 Catgut Plan 3/0 Set 7,258 0 0 0 0 0 0 0 0 0 0 0
89 Catgut plan 3/0 HR 26MM Set 35,725 0 0 24 857400 24 857,400 8 285800 16 571,600 16
90 Catgut Chromic 2/0 Set 6,979 0 0 0 0 0 0 0 0 0 0 0
91 Catgut Chromic 2/0 HR 26MM Set 34,225 0 0 24 821400 24 821,400 18 616050 6 205,350 0
92 Catgut Chromic 3/0 Set 7,258 0 0 0 0 0 0 0 0 0 0 0
93 Catgut Chromic 3/0 HR 26MM Set 34,225 0 0 0 0 0 0 0 0 0 0 0
94 Caviplex Tablet 557 0 0 0 0 0 0 0 0 0 0 0
95 Caviplex drop Botol 4,199 0 0 0 0 0 0 0 0 0 0 0
96 Caviplex syrup Botol 8,880 0 0 10 88800 10 88,800 10 88800 0 0 0
97 Cefadroxil 500 mg Tablet Kapsul 1,126 0 0 500 562800 500 562,800 500 562800 0 0 0
98 Cefadroxyl syr botol 19,318 18 347,724 21 405678 39 753,402 21 405678 18 347,724 18
99 Cefazolin inj 1 gr Vial 19,800 0 0 0 0 0 0 0 0 0 0 0
100 Cefixim 100 mg Tablet 3,185 0 0 0 0 0 0 0 0 0 0 0
101 Cefixim syr Botol 26,334 7 184,338 7 184338 14 368,676 14 368676 0 0 0
102 Cefotaximin Injeksi Vial 4,704 70 329,280 0 0 70 329,280 0 0 70 329,280 0
103 Ceftriaxon Injeksi Vial 5,143 20 102,860 0 0 20 102,860 0 0 20 102,860 20
104 Cetrizin syr 5mg/5 ml Botol 3,192 54 172,368 5 15960 59 188,328 59 188328 0 0 0
105 Cetrizin tab 10 mg Tablet 111 0 0 2100 233100 2,100 233,100 1720 190920 380 42,180 220
106 Chloramfenicol tetes telinga Botol 7,680 0 0 35 268800 35 268,800 14 107520 21 161,280 19
107 Chlorampenicol Capsul 250 mg Kapsul 357 90 32,130 0 0 90 32,130 0 0 90 32,130 90
108 Chlorampenicol Salap mata 1 % Tube 1,375 44 60,500 0 0 44 60,500 5 6875 39 53,625 35
109 Chlorampenicol Syrup 60 ml Botol 4,900 14 68,600 0 0 14 68,600 0 0 14 68,600 0
110 Chlorampenicol Tetes Mata Botol 3,000 0 0 0 0 0 0 0 0 0 0 0
111 Cimetidin Tablet 200 mg Tablet 115 0 0 0 0 0 0 0 0 0 0 0
112 Ciprofloxasin infus Botol 24,487 0 0 0 0 0 0 0 0 0 0 0
113 Ciprofoxacin Tablet 500 mg Tablet 927 485 449,721 0 0 485 449,721 15 13908.9 470 435,812 320
114 Citocetin syr Botol 3,300 0 0 0 0 0 0 0 0 0 0 0
115 Clindamycin 150 mg Tablet 451 0 0 0 0 0 0 0 0 0 0 0
116 Clindamycin 300 mg Tablet 1,415 800 1,131,840 0 0 800 1,131,840 210 297108 590 834,732 550
117 Clonidin Tablet 156 0 0 0 0 0 0 0 0 0 0 0
118 Clopidogrel bisulfate Tablet 1,659 0 0 0 0 0 0 0 0 0 0 0
119 Colcitin Tablet 2,874 40 114,960 0 0 40 114,960 0 0 40 114,960 29
120 Combivent 2.5ml Flesh 4,550 20 91,000 0 0 20 91,000 0 0 20 91,000 20
121 Curcuma +DHA syr Botol 10,590 0 0 0 0 0 0 0 0 0 0 0
122 Curcuma Tab Tablet 953 300 285,900 300 285900 600 571,800 600 571800 0 0 0
123 Dasabion Tablet 864 0 0 0 0 0 0 0 0 0 0 0
124 Decamidon Vial 16,852 0 0 0 0 0 0 0 0 0 0 0
125 Dekstrometorfan hbr syrup 10 mg/ml Botol 8,590 0 0 0 0 0 0 0 0 0 0 0
126 Dermafix-t lembar 14,683 3 44,049 0 0 3 44,049 0 0 3 44,049 0
127 Dexametason Injeksi 5 mg / 1 mL Ampul 1,910 95 181,450 0 0 95 181,450 35 66850 60 114,600 45
128 Dexametason Tablet 0.5 mg Tablet 37 8,165 302,105 5000 185000 13,165 487,105 7565 279905 5,600 207,200 3650
130 Dextran 70 lar.infs 6% Tablet 38,755 0 0 0 0 0 0 0 0 0 0 0
131 Difenhidramin Ampul 1,474 91 134,134 0 0 91 134,134 0 0 91 134,134 74
132 Digoksin Kapsul 0.25 mg Kapsul 119 0 0 0 0 0 0 0 0 0 0 0
133 Diltiazem Tablet 153 500 76,500 0 0 500 76,500 0 0 500 76,500 500
134 Dimenhidrinat Tablet 131 480 62,880 0 0 480 62,880 0 0 480 62,880 390
135 Doksisiklin Kapsul 100 mg Kapsul 252 300 75,600 0 0 300 75,600 0 0 300 75,600 300
136 Domperidon 10 mg Tablet 144 280 40,320 1100 158400 1,380 198,720 880 126720 500 72,000 0
137 Domperidon Syrup Botol 3,105 42 130,410 0 0 42 130,410 13 40365 29 90,045 22
138 Dulcolac Tablet Tablet 1,149 106 121,794 0 0 106 121,794 45 51705 61 70,089 56
139 Dulcolactol Botol 55,745 0 0 0 0 0 0 0 0 0 0 0
140 Ephynefrin Injeksi Ampul 5,290 25 132,250 0 0 25 132,250 0 0 25 132,250 25
141 Erytromisin 250 mg Tablet 833 0 0 0 0 0 0 0 0 0 0 0
142 Erytomisin 500 mg Tablet 1,399 400 559,680 0 0 400 559,680 10 13992 390 545,688 390
143 Erytromisin Syrup Botol 10,594 16 169,504 0 0 16 169,504 3 31782 13 137,722 13
144 Etakridina (Rivanol) Larutan 0.1 % Botol 3,443 81 278,883 0 0 81 278,883 14 48202 67 230,681 52
145 Ethyl Khlorida Spray Botol 220,000 2 440,000 0 0 2 440,000 0 0 2 440,000 2
146 Famotidin 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
147 Farbion 5000 Ampul 6,471 12 77,647 0 0 12 77,647 12 77647.2 0 0 0
148 Feeding Tube FR 5/100 Pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 0
149 Feeding Tube FR 5/40 pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 0
150 Feeding Tube FR 8/100 pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 0
151 Feeding Tube FR 8/40 Pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 0
152 FG throches Tablet 1,066 0 0 0 0 0 0 0 0 0 0 0
153 Fitomenadion (Vit-K) 10 mg/ml injeksi Ampul 2,088 0 0 0 0 0 0 0 0 0 0 0
154 Fitomenadion (Vit-K) 2 mg/ml injeksi Ampul 2,874 30 86,220 0 0 30 86,220 30 86220 0 0 0
155 Fitomenadion (Vit-K) Tablet Salut 10 mg Tablet 761 300 228,300 0 0 300 228,300 100 76100 200 152,200 200
156 Fixer Botol 268,728 0 0 0 0 0 0 0 0 0 0 0
157 Folley Cateter 2 way no 8 Pcs 39,000 4 156,000 0 0 4 156,000 0 0 4 156,000 4
162 Folley Cateter 3 way no 20 Pcs 40,625 0 0 0 0 0 0 0 0 0 0 0
163 Folley Cateter 3 way no 22 Pcs 40,625 0 0 0 0 0 0 0 0 0 0 0
164 Furosemid Tablet 40 mg Tablet 89 600 53,400 0 0 600 53,400 0 0 600 53,400 600
166 Gemfibrosil 300 mg Tablet 347 0 0 0 0 0 0 0 0 0 0 0
167 Gentamisin Salep Mata/Genoit Tube 3,300 20 66,000 0 0 20 66,000 2 6600 18 59,400 18
168 Gentamysin injeksi Ampul 3,854 0 0 0 0 0 0 0 0 0 0 0
169 Gentamysin Salep Kulit Tube 6,955 0 0 0 0 0 0 0 0 0 0 0
170 Gentamysin Tetes mata 5 ml Botol 5,315 61 324,215 200 1063000 261 1,387,215 4 21260 257 1,365,955 0
171 Gentian Violet Larutan 1 % Botol 3,000 6 18,000 0 0 6 18,000 6 18000 0 0 0
172 Gitas inj Ampul 13,200 0 0 0 0 0 0 0 0 0 0 0
173 Glibenclamida Tablet Tablet 92 1,000 92,000 300 27600 1,300 119,600 0 0 1,300 119,600 1000
174 Glimepirid 2 mg Tablet 216 0 0 0 0 0 0 0 0 0 0 0
175 Gliseryl guaycolate 100 mg Tablet 126 0 0 3300 415800 3,300 415,800 2300 289800 1,000 126,000 230
176 Glucoprotein test strip 2,038 7 14,265 30 61134 37 75,399 7 14264.6 30 61,134 15
177 Glukosa Larutan 5 % steril Botol 6,240 39 243,360 0 0 39 243,360 4 24960 35 218,400 21
178 Glukosa Larutan 10 % steril Botol 7,500 73 547,500 0 0 73 547,500 12 90000 61 457,500 45
179 Griseovulvin/Gricin Tablet 125 mg Tablet 239 200 47,800 600 143400 800 191,200 200 47800 600 143,400 0
180 Handscoon non steril pcs 500 300 150,000 700 350000 1,000 500,000 963 481500 37 18,500 0
181 Handscoon Steril Obgin pcs 24,200 15 363,000 0 0 15 363,000 13 314600 2 48,400 0
182 Hanscoon Steril No.6,5 pcs 4,020 0 0 0 0 0 0 0 0 0 0 0
183 Hanscoon Steril No.7 Pcs 4,020 50 201,000 350 1407000 400 1,608,000 394 1583880 6 24,120 0
184 Hanscoon Steril No.7,5 Pcs 4,020 0 0 0 0 0 0 0 0 0 0 0
185 Hanscoon Steril No.8 Pcs 5,434 0 0 0 0 0 0 0 0 0 0 0
186 Harnal Osce Tablet 0 0 0 0 0 0 0 0 0 0 0 0
187 Hemafort Tablet 843 0 0 0 0 0 0 0 0 0 0 0
188 Hidrocortisone Cream 2.5 % Tube 3,000 12 36,000 120 360000 132 396,000 30 90000 102 306,000 67
189 Hidroklortisida (HCT) Tablet 25 mg Tablet 128 500 64,000 0 0 500 64,000 0 0 500 64,000 500
190 Hufagrib syr Botol 10,750 0 0 0 0 0 0 0 0 0 0 0
191 Humulin N 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0 0 0
192 Humulin R 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0 0 0
193 Hyoscine N butilbrimoda 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
194 Hypafix roll 42,800 1 42,800 0 0 1 42,800 0 0 1 42,800 1
195 Ibuprofen 200 mg Tablet 121 0 0 0 0 0 0 0 0 0 0 0
196 Ibuprofen 400 mg Tablet 465 0 0 300 139635 300 139,635 300 139635 0 0 0
197 Ibuprofen syr Botol 2,795 125 349,375 0 0 125 349,375 36 100620 89 248,755 74
198 Ictyol Salap kulit Pot 0 0 0 0 0 0 0 0 0 0 0 0
199 Infusion set Anak Set 4,830 304 1,468,320 0 0 304 1,468,320 6 28980 298 1,439,340 289
201 Insto TM Botol 15,475 0 0 0 0 0 0 0 0 0 0 0
202 Isosorbit Dinihidrat (ISDN) Tablet 5 mg Tablet 107 1,000 107,000 0 0 1,000 107,000 0 0 1,000 107,000 1000
203 Kalnex 500 mg Tablet 2,695 0 0 0 0 0 0 0 0 0 0 0
204 Kalsium Laktat Tablet 500 mg Tablet 75 880 66,000 0 0 880 66,000 880 66000 0 0 0
205 Kantong Darah Bks 11,000 0 0 0 0 0 0 0 0 0 0 0
206 Kapas Pembalut / Atsorben 250 g Bks 16,250 0 0 3 48750 3 48,750 2 32500 1 16,250 0
207 Kapas Pembalut / Atsorben 500 g Bks 35,464 1 35,464 0 0 1 35,464 1 35464 0 0 0
208 Kapas Pembalut / Atsorben 1000 g Bks 70,928 0 0 0 0 0 0 0 0 0 0 0
209 Kasa pembalut 40 x 80 cm Bks 136,500 0 0 0 0 0 0 0 0 0 0 0
210 Kasa Pembalut 2 x 80 cm bks 10,010 0 0 0 0 0 0 0 0 0 0 0
211 Kasa Kompres 40 x 40 cm Bks 2,080 0 0 4 8320 4 8,320 3 6240 1 2,080 0
212 Kasa Pembalut Hidrofil 3,8 x 15 cm roll 2,730 6 16,380 6 16380 12 32,760 6 16380 6 16,380 0
213 Kasa Pembalut Hydrofil 16 x 16 cm Kotak 10,000 15 150,000 60 600000 75 750,000 63 630000 12 120,000 0
214 Kasa Pembalut Hydrofil 18 x 22 cm Kotak 8,142 0 0 0 0 0 0 0 0 0 0 0
215 Kasa Pembalut Hydrofil 4 x15 cm Rol 0 0 0 0 0 0 0 0 0 0 0
216 Kertas puyer lembar 100 0 0 0 0 0 0 0 0 0 0 0
217 Ketokonazole 200 mg Tablet 311 0 0 100 31100 100 31,100 0 0 100 31,100 100
218 Ketokonazole Kream 2 % Tube 2,930 0 0 50 146500 50 146,500 26 76180 24 70,320 20
219 Ketoprofen suppo suppo 2,591 20 51,820 0 0 20 51,820 0 0 20 51,820 20
220 Ketorolac 30 mg/ml Ampul 1,444 0 0 0 0 0 0 0 0 0 0 0
221 Khlorampeniramin Maleat (CTM) Tablet 4 mg Tablet 25 1,340 33,500 2500 62500 3,840 96,000 2440 61000 1,400 35,000 820
222 Kotrimoxasole Suspensi Botol 2,439 35 85,365 0 0 35 85,365 17 41463 18 43,902 16
223 Kotrimoxasole Tablet Komb 480 mg Tablet 132 0 0 0 0 0 0 0 0 0 0 0
224 Kotrimoxasole Tablet Pediatrik komb 120 mg Tablet 828 0 0 0 0 0 0 0 0 0 0 0
225 Lacbon Tablet 1,430 0 0 0 0 0 0 0 0 0 0 0
226 Lactulosa Botol 14,500 15 217,500 0 0 15 217,500 4 58000 11 159,500 9
227 Lansoprazol Tablet 596 0 0 0 0 0 0 0 0 0 0 0
228 Levodopa Tablet 1,455 300 436,500 0 0 300 436,500 0 0 300 436,500 300
229 Levoploksasin 500 mg Tablet 690 0 0 0 0 0 0 0 0 0 0 0
230 Licalvit Tablet 0 0 0 0 0 0 0 0 0 0 0
231 Licalvit syr Botol 25,210 0 0 0 0 0 0 0 0 0 0 0
232 Lidocain inj Ampul 1,433 0 0 100 143300 100 143,300 35 50155 65 93,145 55
233 Lidocain 2%+epinefrin 2ml (compositium) Ampul 1,440 38 54,720 150 216000 188 270,720 188 270720 0 0 0
234 Lisinopril Tablet 126 0 0 0 0 0 0 0 0 0 0 0
235 Lisol. Mengandung kresol tersabun 50 % Botol 53,300 3 159,900 0 0 3 159,900 2 106600 1 53,300 1
236 Livron B-Plex Tablet 259 1,000 259,000 800 207200 1,800 466,200 1600 414400 200 51,800 0
237 Loperamid Botol 100 85 8,500 0 0 85 8,500 0 0 85 8,500 0
238 Loratadin Tablet 180 1,000 180,000 5600 1008000 6,600 1,188,000 120 21600 6,480 1,166,400 6450
239 Lumpang dan alu Set 89,562 4 358,248 0 0 4 358,248 0 0 4 358,248 0
240 Masker pcs 429 0 0 750 321750 750 321,750 706 302874 44 18,876 0
241 Mebendasole Tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
242 Mebendazol syr 100 mg botol 4,241 0 0 0 0 0 0 0 0 0 0 0
243 Meloxicam 7,5 mg Tablet 872 0 0 500 436000 500 436,000 230 200560 270 235,440 0
244 Meloxicam 15 mg Tablet 1,380 0 0 250 345000 250 345,000 65 89700 185 255,300 0
245 Metformin Botol 120 0 0 1000 120000 1,000 120,000 700 84000 300 36,000 0
246 Methyl Prednisolon 4 mg Tablet 143 450 64,350 1000 143000 1,450 207,350 1404 200772 46 6,578 0
247 Methyl Prednisolon 8 mg Tablet 440 0 0 0 0 0 0 0 0 0 0 0
248 Methyl Prednisolon inj 125 mg Vial 12,899 32 412,768 0 0 32 412,768 0 0 32 412,768 32
249 Methyl Prednisolon inj 500 mg Vial 84,455 0 0 0 0 0 0 0 0 0 0 0
250 Metildopa 250 mg tab Tablet 1,920 500 960,000 0 0 500 960,000 0 0 500 960,000 500
251 Metilen Blue Botol 151,400 0 0 0 0 0 0 0 0 0 0 0
252 Metilergometrina Maleat Injeksi 0.0002mg/ml Ampul 3,564 0 0 100 356400 100 356,400 0 0 100 356,400 100
253 Metilergometrina Maleat Tablet 0.125 mg Tablet 271 100 27,100 200 54200 300 81,300 0 0 300 81,300 300
254 Metoclopramid 5 mg Tablet 689 0 0 0 0 0 0 0 0 0 0 0
255 Metoclopramid 10 mg Tablet 109 810 88,290 0 0 810 88,290 0 0 810 88,290 750
256 Metoclopramid drop Botol 5,818 8 46,544 0 0 8 46,544 0 0 8 46,544 5
257 Metoclopramid inj 5 mg/ml Ampul 4,950 0 0 20 99000 20 99,000 0 0 20 99,000 20
258 Metoclopramid syr 5 mg/ml Botol 3,300 0 0 0 0 0 0 0 0 0 0 0
259 Metronidasole infus Botol 8,250 19 156,750 0 0 19 156,750 0 0 19 156,750 0
260 Metronidasole syr Botol 3,455 6 20,730 0 0 6 20,730 0 0 6 20,730 0
261 Metronidasole tablet 250 mg Tablet 106 0 0 0 0 0 0 0 0 0 0 0
262 Metronidasole tablet 500 mg Tablet 151 0 0 1000 151000 1,000 151,000 400 60400 600 90,600 300
263 MgSO4 20% Botol 1,539 0 0 0 0 0 0 0 0 0 0 0
264 MgSO4 40% vial 2,500 4 10,000 0 0 4 10,000 0 0 4 10,000 0
265 Miconazole Cream Tube 4,060 19 77,140 96 389760 115 466,900 45 182700 70 284,200 65
266 Miomergin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
267 Molagit Tablet 502 0 0 0 0 0 0 0 0 0 0 0
268 Na. cklorida larutan infus 0.9% steril (NACL) Botol 6,410 11 70,510 0 0 11 70,510 3 19230 8 51,280 8
269 Na. Diklofenak 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
270 Na. Diklofenak 50 mg Tablet 77 485 37,345 3300 254100 3,785 291,445 3437 264649 348 26,796 0
271 Nefrolit Tablet 662 0 0 0 0 0 0 0 0 0 0 0
272 Neo Kaominal Botol 5,200 0 0 0 0 0 0 0 0 0 0 0
273 Nerobion inj vial 10,000 0 0 0 0 0 0 0 0 0 0 0
274 Neurodial Tablet 4,290 0 0 0 0 0 0 0 0 0 0 0
275 Neurosanbe 3ml Ampul 1,840 0 0 0 0 0 0 0 0 0 0 0
276 Nifedipine Tablet 10mg Tablet 139 400 55,600 0 0 400 55,600 0 0 400 55,600 400
277 Nistatin 100.000 IU tab vaginal Tablet 655 100 65,500 0 0 100 65,500 0 0 100 65,500 100
278 Nistatin 500.000 IU tab vaginal Tablet 932 0 0 0 0 0 0 0 0 0 0 0
279 Nodiar Tablet 0 0 0 0 0 0 0 0 0 0 0
280 Norelut Tablet 4,410 0 0 0 0 0 0 0 0 0 0 0
281 Novadryl inj vial 0 0 0 0 0 0 0 0 0 0 0
282 Novamidon vial 0 0 0 0 0 0 0 0 0 0 0
283 NOZA Tablet 798 270 215,460 500 399000 770 614,460 670 534660 100 79,800 100
284 OBH Syr Botol 0 0 0 0 0 0 0 0 0 0 0
285 Ofloxasin 400 mg Tablet 785 0 0 0 0 0 0 0 0 0 0 0
286 Oksitetrasiklin Salep Kulit 3% Ampul 2,012 0 0 0 0 0 0 0 0 0 0 0
287 Oksitetrasiklin Salep Mata 1% Tube 1,375 40 55,000 75 103125 115 158,125 36 49500 79 108,625 69
288 Omeprazol Tablet 150 0 0 1320 198000 1,320 198,000 1320 198000 0 0 0
289 Ondansetron 4mg Tablet 440 215 94,600 0 0 215 94,600 0 0 215 94,600 0
290 Ondansetron inj Ampul 1,300 160 208,000 100 130000 260 338,000 0 0 260 338,000 100
291 Oralit Sachet 278 0 0 500 139000 500 139,000 395 109810 105 29,190 55
292 Papaverin Tablet 166 200 33,200 400 66400 600 99,600 200 33200 400 66,400 300
293 Papaverin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
294 Paracetamol 100 mg Tablet 38 0 0 0 0 0 0 0 0 0 0 0
295 Paracetamol 500mg Tablet 62 2,420 150,040 4800 297600 7,220 447,640 7220 447640 0 0 0
296 Paracetamol infus Botol 29,426 10 294,260 0 0 10 294,260 5 147130 5 147,130 5
297 Parasetamol drops Botol 22,384 0 0 30 671520 30 671,520 30 671520 0 0 0
298 Parasetamol Syrup Botol 6,635 82 544,070 0 0 82 544,070 82 544070 0 0 0
299 Pehacain inj Ampul 3,113 0 0 0 0 0 0 0 0 0 0 0
300 Phenol Gliserol Botol 2,500 57 142,500 0 0 57 142,500 0 0 57 142,500 0
301 Phenyl Butason Tablet 0 0 0 0 0 0 0 0 0 0 0 0
302 Phenytoin Ampul 4,543 10 45,430 0 0 10 45,430 0 0 10 45,430 10
303 Phenytoin sodium Tablet 158 300 47,400 0 0 300 47,400 0 0 300 47,400 300
304 Pilocarpin TM 2% Botol 0 0 0 0 0 0 0 0 0 0 0 0
305 Pipet plastik pcs 2,500 0 0 0 0 0 0 0 0 0 0 0
306 Piracetam 800 mg Tablet 876 0 0 0 0 0 0 0 0 0 0 0
307 Piridoksina HcL (Vit. B6) inj Ampul 1,280 0 0 0 0 0 0 0 0 0 0 0
308 Piridoksina HcL (Vit. B6) Tablet 10 mg Tablet 154 410 63,140 2400 369600 2,810 432,740 1510 232540 1,300 200,200 950
309 Piroksicam Kapsul 10 mg Kapsul 232 0 0 2500 579550 2,500 579,550 1460 338457.2 1,040 241,093 820
310 Pita ukur lila lembar 0 0 0 0 0 0 0 0 0 0 0 0
311 Pitogen Injeksi/ Oxytosin Ampul 92,400 103 9,517,200 30 2772000 133 12,289,200 30 2772000 103 9,517,200 0
312 Plester 10 cm x 5 inci Rol 18,311 0 0 0 0 0 0 0 0 0 0 0
313 Plester 2,5 yards x 4,5 inci Rol 11,964 0 0 20 239280 20 239,280 14 167496 6 71,784 0
314 Plester 5 yards x 2 inci Rol 31,600 0 0 0 0 0 0 0 0 0 0 0
315 Plester 7,5 cm x 4,5 cm roll 51,700 0 0 0 0 0 0 0 0 0 0 0
316 Policrepe 7,5 x 4,55 Roll 28,980 4 115,920 0 0 4 115,920 0 0 4 115,920 4
317 Policrepe 10 x 4,55 Roll 29,980 5 149,900 0 0 5 149,900 1 29980 4 119,920 4
318 Policrepe 15 x 4,55 Roll 44,470 5 222,350 0 0 5 222,350 0 0 5 222,350 5
319 Poligyp 10 x 2,7 Roll 24,080 10 240,800 0 0 10 240,800 0 0 10 240,800 10
320 Poligyp 15x2,7 Roll 32,009 7 224,063 0 0 7 224,063 0 0 7 224,063 7
321 Poligyp 7,5x2,7 Roll 17,113 10 171,130 0 0 10 171,130 0 0 10 171,130 10
323 Pralax Botol 52,800 0 0 0 0 0 0 0 0 0 0 0
324 Prednisone Tablet 5 mg Tablet 91 100 9,100 0 0 100 9,100 100 9100 0 0 0
325 Pritacort Tablet 616 0 0 0 0 0 0 0 0 0 0 0
326 Prodiluent Botol 2,695,000 0 0 0 0 0 0 0 0 0 0 0
327 Prokaina Bensil Penisillin Vial 0 0 0 0 0 0 0 0 0 0 0 0
328 Propanolol HcL Tablet 10 mg Tablet 80 500 40,000 0 0 500 40,000 0 0 500 40,000 500
329 Propiltiourasil Tablet 100 mg Tablet 471 500 235,430 0 0 500 235,430 0 0 500 235,430 500
330 Pyrantel Pamoat (Pyrantel) syr 125mg Botol 10,420 0 0 0 0 0 0 0 0 0 0 0
331 Pyrantel Pamoat (Pyrantel) tab 125mg Tablet 361 1,000 361,000 0 0 1,000 361,000 104 37544 896 323,456 896
332 Ranitidin 150 mg Tablet 240 280 67,200 0 0 280 67,200 280 67200 0 0 0
333 Ranitidin Injeksi Ampul 1,653 0 0 30 49590 30 49,590 9 14877 21 34,713 20
334 Relivan Inj 0.5mg Ampul 3,400 0 0 0 0 0 0 0 0 0 0 0
335 Reserpina Tablet 0.25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
336 Retinol (Vit.A) Kapsul lunak 100.000 mg Kapsul 355 100 35,500 0 0 100 35,500 0 0 100 35,500 100
337 Retinol (Vit.A) Kapsul lunak 200.000 mg Kapsul 407 500 203,500 0 0 500 203,500 0 0 500 203,500 500
338 Rhinofed Tablet 850 0 0 0 0 0 0 0 0 0 0 0
339 Ringer Laktat Larutan Infus Steril Botol 7,150 67 479,050 40 286000 107 765,050 45 321750 62 443,300 52
340 Salbutamol 2 mg Tablet 164 240 39,470 500 82230 740 121,700 440 72362.4 300 49,338 230
341 Salbutamol 4 mg Tablet 81 335 27,135 200 16200 535 43,335 37 2997 498 40,338 410
342 Salep 2-4 cream Pot 3,040 35 106,400 19 57760 54 164,160 54 164160 0 0 0
343 Salisil Bedak 2.5 % Botol 6,552 5 32,760 10 65520 15 98,280 15 98280 0 0 0
344 Scabicid Cream Tube 48,000 5 240,000 10 480000 15 720,000 15 720000 0 0 0
345 Scabicore Tube 74,074 0 0 0 0 0 0 0 0 0 0 0
346 Scopamin 20 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0
347 Sianocobalamin (Vit. B 12) 10 mg Tablet 53 1,190 63,070 2000 106000 3,190 169,070 2590 137270 600 31,800 600
348 Sianocobalamin (Vit. B 12) 500 mg/ml injeksi Ampul 1,423 78 110,994 100 142300 178 253,294 44 62612 134 190,682 134
349 Silk (Benang Bedah Sutra) N0. 2/0 set 3,972 5 19,860 0 0 5 19,860 5 19860 0 0 0
350 Silk (Benang Bedah Sutra) N0. 3/0 Set 3,819 6 22,914 36 137484 42 160,398 5 19095 37 141,303 35
351 Silk black 24 MM pcs 25,325 0 0 0 0 0 0 0 0 0 0 0
352 Silk black 37 MM pcs 22,125 0 0 0 0 0 0 0 0 0 0 0
353 Silk black 2/0 HR 26 pcs 21,125 34 718,250 0 0 34 718,250 12 253500 22 464,750 18
354 Silk black 3/0 HR 26 pcs 21,125 13 274,625 0 0 13 274,625 5 105625 8 169,000 5
355 Simvastatin 10 Tablet 117 170 19,890 0 0 170 19,890 170 19890 0 0 0
356 Simvastatin 20 Tablet 240 0 0 0 0 0 0 0 0 0 0 0
357 Slide set 542 97 52,574 0 0 97 52,574 0 0 97 52,574 82
358 Softratule Lambar 5,520 10 55,200 0 0 10 55,200 1 5520 9 49,680 9
359 Stik Asam Urat Strip 4,400 0 0 75 330000 75 330,000 75 330000 0 0 0
360 Stik Glucosa Strip 3,575 0 0 75 268125 75 268,125 75 268125 0 0 0
361 Stik Cholesterol Strip 8,195 0 0 30 245850 30 245,850 30 245850 0 0 0
362 Stik Nesco Hb Strip 15,840 10 158,400 50 792000 60 950,400 60 950400 0 0 0
363 Streptomisin inj vial 0 0 0 0 0 0 0 0 0 0 0 0
364 Tabung EDTA Botol 4,840 750 3,630,000 0 0 750 3,630,000 100 484000 650 3,146,000 650
365 Teofillin Tablet 1,260 0 0 0 0 0 0 0 0 0 0 0
366 Tetrasiklin Kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0
367 Tetrasiklin Kapsul 500 mg Kapsul 348 300 104,400 0 0 300 104,400 0 0 300 104,400 300
368 Thrombopop Gel Tube 52,910 0 0 0 0 0 0 0 0 0 0 0
369 Tiamin HcL (Vit. B1) Tablet 50 mg Tablet 41 710 29,110 1500 61500 2,210 90,610 510 20910 1,700 69,700 1560
370 Tiamin inj 100 mg/ml Ampul 1,368 125 171,000 90 123120 215 294,120 10 13680 205 280,440 205
371 Transfusion set Set 4,680 0 0 0 0 0 0 0 0 0 0 0
372 Trifed Tablet 1,265 0 0 0 0 0 0 0 0 0 0 0
373 Trifluoperazin 5 mg Tablet 49 0 0 0 0 0 0 0 0 0 0 0
374 Urin Bag Steril pcs 10,000 75 750,000 0 0 75 750,000 0 0 75 750,000 75
375 USG Gel pcs 16,360 0 0 2 32720 2 32,720 2 32720 0 0 0
376 Valsartan Tablet 10,294 0 0 0 0 0 0 0 0 0 0 0
377 Vicanatal/Pehavral Tablet 831 0 0 0 0 0 0 0 0 0 0 0
378 Visine TM Botol 0 0 0 0 0 0 0 0 0 0 0 0
379 Vitamin B Compleks inj Ampul 10,800 7 75,600 0 0 7 75,600 7 75600 0 0 0
380 Vitamin B Compleks Tablet Tablet 147 0 0 0 0 0 0 0 0 0 0 0
381 Vitamin K3/menadion Ampul 1,450 0 0 0 0 0 0 0 0 0 0 0
382 Vitamin K3/Menadion Tablet 60 0 0 0 0 0 0 0 0 0 0 0
383 Wing Nedlle No. 21 Set 1,820 0 0 0 0 0 0 0 0 0 0 0
386 Yodium Pavidon 10 % 60 ml Botol 7,532 7 52,724 0 0 7 52,724 6 45192 1 7,532 0
387 Yodium Pavidon 10 % 300 ml Botol 23,400 23 538,200 0 0 23 538,200 7 163800 16 374,400 15
388 Yodium Pavidon 10 % 1000 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
389 Zinc Prima Eye drop Botol 16,125 0 0 0 0 0 0 0 0 0 0 0
390 Zink Dispersible Tablet 658 0 0 1000 658000 1,000 658,000 400 263200 600 394,800 600
391 Zink Syr Botol 49,120 0 0 0 0 0 0 0 0 0 0 0
392 Kapas Pembalut 100 mg Pcs 15,000 0 0 0 0 0 0 0 0 0 0 0
393 Mixagrib Tablet 624 0 0 0 0 0 0 0 0 0 0 0
394 Nebacetin SK Tube 27,330 0 0 0 0 0 0 0 0 0 0 0
395 Sangobion Tablet 1,647 0 0 0 0 0 0 0 0 0 0 0
396 Piroksicam Kapsul 20 mg Tablet 100 0 0 0 0 0 0 0 0 0 0 0
397 Alkohol 70% 100 ml Botol 3,800 0 0 0 0 0 0 0 0 0 0 0
398 Amoxicilin drops Botol 31,246 44 1,374,824 0 0 44 1,374,824 3 93738 41 1,281,086 41
399 Kasa Pembalut Hydrofil 36 x 80 cm Roll 156,975 0 0 0 0 0 0 0 0 0 0 0
400 Cefotaximin Injeksi 0,5mg vial 7,539 0 0 0 0 0 0 0 0 0 0 0
401 Sukrafat Syr Botol 8,178 0 0 56 457968 56 457,968 56 457968 0 0 0
402 Intunal F Tablet 1,050 0 0 0 0 0 0 0 0 0 0 0
403 OBH PLus Botol 33,000 0 0 0 0 0 0 0 0 0 0 0
404 OBH Anak Botol 19,000 0 0 0 0 0 0 0 0 0 0 0
405 Otopain Tetes Telinga Botol 100,000 0 0 0 0 0 0 0 0 0 0 0
406 San B Plex Drops Botol 18,590 0 0 0 0 0 0 0 0 0 0 0
407 Sanbe Kids Emulsion Botol 37,895 0 0 0 0 0 0 0 0 0 0 0
408 Baby Cough Botol 8,000 0 0 0 0 0 0 0 0 0 0 0
409 Viks Formula 44 Botol 12,000 0 0 0 0 0 0 0 0 0 0 0
410 Bcom-C Tablet 1,800 0 0 0 0 0 0 0 0 0 0 0
411 Feeding tube 125 cm FG12 pcs 16,000 0 0 0 0 0 0 0 0 0 0 0
412 Stimuno syr Botol 46,000 0 0 0 0 0 0 0 0 0 0 0
413 Onaiwa Tablet 6,934 0 0 0 0 0 0 0 0 0 0 0
414 Peinlos 800 mg inj Ampul 80,500 0 0 0 0 0 0 0 0 0 0 0
415 Focyn 1 gr vial 101,250 0 0 0 0 0 0 0 0 0 0 0
416 Gabaxa Botol 230,000 0 0 0 0 0 0 0 0 0 0 0
417 Venodenol Ampul 172,425 0 0 0 0 0 0 0 0 0 0 0
418 Moxyfloxacin 400 mg Botol 230,000 0 0 0 0 0 0 0 0 0 0 0
419 Ambu bag dewasa pcs 800,000 0 0 0 0 0 0 0 0 0 0 0
420 Ultrafix Roll 42,000 0 0 0 0 0 0 0 0 0 0 0
421 Baju Ok L pcs 200,000 0 0 0 0 0 0 0 0 0 0 0
422 Baju Ok M Set 200,000 0 0 0 0 0 0 0 0 0 0 0
423 Nurse Cup kotak 70,000 0 0 0 0 0 0 0 0 0 0 0
424 Celemek/Apron pcs 70,000 0 0 0 0 0 0 0 0 0 0 0
425 Tensoplas kotak 270,000 0 0 0 0 0 0 0 0 0 0 0
426 JMI 5 cc Pcs 155,000 0 0 0 0 0 0 0 0 0 0 0
427 Gudel uk 03 Pcs 30,000 0 0 0 0 0 0 0 0 0 0 0
428 LMA uk 3 Pcs 380,000 0 0 0 0 0 0 0 0 0 0 0
429 Aseptan Botol 34,320 0 0 0 0 0 0 0 0 0 0 0
430 Nasal Canul Bayi Pcs 15,000 2 30,000 0 0 2 30,000 0 0 2 30,000 2
431 Nasal Canul Dewasa Pcs 15,000 3 45,000 0 0 3 45,000 0 0 3 45,000 3
432 Mess 5x10 cm Pcs 500,000 0 0 0 0 0 0 0 0 0 0 0
433 Cefixime 200 mg Tablet 3,675 0 0 0 0 0 0 0 0 0 0 0
434 Sianocobalamin inj vial 17,500 0 0 0 0 0 0 0 0 0 0 0
435 Catgut Chromic 2/0 HR 30 mm pcs 34,362 0 0 0 0 0 0 0 0 0 0 0
436 Glimepirid 1 mg Tablet 190 0 0 0 0 0 0 0 0 0 0 0
437 Gliquidone 30 mg Tablet 1,377 100 137,700 0 0 100 137,700 0 0 100 137,700 100
438 Handwash Botol 137,450 1 137,450 0 0 1 137,450 0 0 1 137,450 1
439 Lysorin Botol 131,250 0 0 0 0 0 0 0 0 0 0 0
440 Sulfadiazine Silver 1% 35 g Tube 20,700 4 82,800 0 0 4 82,800 0 0 4 82,800 4
441 Furosemid Injeksi Ampul 1,850 0 0 0 0 0 0 0 0 0 0 0
442 Apron One Plastik Pcs 36,875 0 0 0 0 0 0 0 0 0 0 0
443 Auto Lancing Device Pcs 21,770 0 0 0 0 0 0 0 0 0 0 0
444 Plester Elastis Pcs 240 0 0 0 0 0 0 0 0 0 0 0
445 Natur-E Tablet 0 0 0 0 0 0 0 0 0 0 0 0
446 USG Gel 5 L Gelon 201,500 1 201,500 0 0 1 201,500 0 0 1 201,500 1
447 Dulcolax Suppo suppo 24,399 6 146,394 0 0 6 146,394 1 24399 5 121,995 5
448 Meviton Tablet 2,475 0 0 0 0 0 0 0 0 0 0 0
449 Oseltamifir Tablet 0 0 0 0 0 0 0 0 0 0 0 0
450 Nasal canul Anak pcs 8,349 3 25,047 0 0 3 25,047 0 0 3 25,047 3
451 Kasa Pembalut Hydrofil 3,6 x 15 cm Roll 4,244 0 0 0 0 0 0 0 0 0 0 0
452 Zink Drps Botol 6,369 5 31,845 35 222915 40 254,760 0 0 40 254,760 40
453 Etanol Botol 7,500 0 0 0 0 0 0 0 0 0 0 0
454 Trifedrin Tablet 2,585 0 0 150 387750 150 387,750 0 0 150 387,750 150
455 Omeprazol inj vial 11,868 10 118,680 0 0 10 118,680 0 0 10 118,680 10
456 Genoit Salep kulit Tablet 1,377 0 0 70 96390 70 96,390 70 96390 0 0 0
457 Sodium Valproat Botol 21,054 0 0 10 210540 10 210,540 0 0 10 210,540 10
458 Gitas Plus Tablet 9,288 0 0 0 0 0 0 0 0 0 0 0
459 Kotrimoxazole Komb 960 mg Tablet 338 300 101,400 0 0 300 101,400 0 0 300 101,400 300
460 Microlax Tube 28,490 0 0 10 284900 10 284,900 5 142450 5 142,450 5
461 Etanol 1000 ml Botol 1,674,750 0 0 0 0 0 0 0 0 0 0 0
NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0 0 0

1001 Alprazolam 0,5 mg Tablet 97 538 52,186 0 0 538 52,186 77 7469 461 44,717 461
1002 Alprazolam 1 mg Tablet 141 0 0 0 0 0 0 0 0 0 0 0
1003 Amitriptilin 25 mg Tablet 168 770 129,360 0 0 770 129,360 20 3360 750 126,000 750
1004 Carbamazepin Tablet 333 1,000 333,000 0 0 1,000 333,000 20 6660 980 326,340 980
1005 Codein 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
1006 Diazepam injeksi 5 mg/ 2ml Ampul 2,150 10 21,500 0 0 10 21,500 0 0 10 21,500 0
1007 Diazepam Tablet 2 mg Tablet 50 969 48,450 0 0 969 48,450 19 950 950 47,500 950
1008 Fenobarbital Injeksi 50 mg/ ml- 2ml Ampul 2,192 0 0 0 0 0 0 0 0 0 0 0
1009 Fenobarbital Tablet 30 mg Tablet 13,200 0 0 0 0 0 0 0 0 0 0 0
1010 Halloperidol Tablet 0.5 mg Tablet 55 675 37,125 0 0 675 37,125 65 3575 610 33,550 610
1011 Halloperidol Tablet 1.5 mg Tablet 59 0 0 0 0 0 0 0 0 0 0 0
1012 Halloperidol Tablet 5 mg Tablet 115 0 0 0 0 0 0 0 0 0 0 0
1013 Klorpromazine inj Ampul 2,640 0 0 0 0 0 0 0 0 0 0 0
1014 Klorpromazine Tablet salut 100 mg Tablet 179 0 0 0 0 0 0 0 0 0 0 0
1015 Klorpromazine Tablet salut 25 mg Tablet 82 0 0 0 0 0 0 0 0 0 0 0
1016 Metaneuron Ampul 1,166 0 0 0 0 0 0 0 0 0 0 0
1017 Stesolid inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0
1018 Stesolid Rectal 5mg/2.5ML Tube 15,717 9 141,453 0 0 9 141,453 0 0 9 141,453 9
1019 Stesolid Rectal 10mg/2.5ML Tube 28,849 0 0 0 0 0 0 0 0 0 0 0
1020 Tramadol 50 mg Tablet Tablet 618 370 228,482 0 0 370 228,482 0 0 370 228,482 370
1021 Tramadol inj 50 mg/ml Ampul 1,652 0 0 0 0 0 0 0 0 0 0 0
1022 Trihexilpenidil 2 mg (THP) Tablet 48 0 0 0 0 0 0 0 0 0 0 0
PROGRAM HIV 0 0 0 0
2001 Test HIV Multi strip 22,475 225 5,056,875 0 0 225 5,056,875 0 0 225 5,056,875 225
2002 Test HIV strip 15,657 0 0 0 0 0 0 0 0 0 0 0
2003 Test HIV Card strip 13,100 0 0 0 0 0 0 0 0 0 0 0
2004 Test HIV Card (Rapid HIV) 1&2 strip 14,975 0 0 0 0 0 0 0 0 0 0 0
2005 Test Syphilis HIV strip 11,300 66 745,800 100 1130000 166 1,875,800 0 0 166 1,875,800 153
2006 Kondom Sutra pcs 0 0 0 0 0 0 0 0 0 0 0 0
2007 Lubrikan Sutra pcs 0 0 0 0 0 0 0 0 0 0 0 0
2008 Virochek HBSAG pcs 9,054 0 0 200 1810800 200 1,810,800 0 0 200 1,810,800 200
2009 Virochek HIV 1/2 pcs 12,754 0 0 0 0 0 0 0 0 0 0 0
2010 Kombipak azithromicyn-Cefixime Tablet 0 7 0 0 0 7 0 0 0 7 0 7
2011 BD Vacutainer pcs 1,384 0 0 0 0 0 0 0 0 0 0 0
2012 BD Vacutainer Pronto pcs 12,919 0 0 0 0 0 0 0 0 0 0 0
2013 Test HIV 1/2 (Vikia) strip 0 0 0 0 0 0 0 0 0 0 0 0
2014 Test HIV 1/2 DS strip 0 25 0 0 0 25 0 0 0 25 0 0
2015 Test HIV Kit (Coloidal Gold) strip 0 50 0 0 0 50 0 0 0 50 0 0
2016 Test Syphilis AB strip 14,000 0 0 0 0 0 0 0 0 0 0 0
2017 Handscoen HIV Super Life Pcs 0 0 0 0 0 0 0 0 0 0 0 0
PROGRAM GIGI 0 0 0 0
3001 Alvogyl tube 498,500 0 0 0 0 0 0 0 0 0 0 0
3002 Arsen caustinerf rapide pot 596,750 0 0 0 0 0 0 0 0 0 0 0
3003 Articulating paper lembar 1,212 7 8,484 0 0 7 8,484 0 0 7 8,484 7
3004 Calc Hydoxyd/Hydcal kotak 143,000 2 286,000 0 0 2 286,000 0 0 2 286,000 2
3005 Calolus/Calci Gel kotak 116,795 1 116,795 0 0 1 116,795 0 0 1 116,795 1
3006 Catgut Chromic 4/0 HR 17 75 cm pcs 46,244 0 0 0 0 0 0 0 0 0 0 0
3007 Catgut Plain 5/0 TS-15 75 cm pcs 58,133 1 58,133 0 0 1 58,133 0 0 1 58,133 1
3008 Caviton Pot 257,847 3 773,541 0 0 3 773,541 0 0 3 773,541 3
3009 CHKM Botol 85,000 1 85,000 0 0 1 85,000 0 0 1 85,000 1
3010 Dental Cutten Roll Kotak 37,860 3 113,580 0 0 3 113,580 0 0 3 113,580 3
3011 Dentin Conditioner kotak 203,014 0 0 0 0 0 0 0 0 0 0 0
3012 EDTA 15 ml Botol 163,350 1 163,350 0 0 1 163,350 0 0 1 163,350 1
3013 Elite cement 100 kotak 319,534 0 0 0 s 0 0 0 0 0 0 0
3014 Eugenol Botol 20,000 4 80,000 0 0 4 80,000 0 0 4 80,000 4
3015 FG Diamond Set 437,426 0 0 0 0 0 0 0 0 0 0 0
3016 FG Diamond High Speed Set 332,412 1 332,412 0 0 1 332,412 0 0 1 332,412 1
3017 Fuji Amalgam/Miracle Mix kotak 1,976,535 2 3,953,070 0 0 2 3,953,070 0 0 2 3,953,070 2
3018 Fuji 9/tambal permanen Botol 1,308,106 7 9,156,742 0 0 7 9,156,742 0 0 7 9,156,742 7
3019 FUJI II kotak 1,151,781 2 2,303,562 0 0 2 2,303,562 0 0 2 2,303,562 2
3020 Guttap kotak 79,061 1 79,061 0 0 1 79,061 0 0 1 79,061 1
3021 Hyposol 500 ml Botol 89,842 1 89,842 0 0 1 89,842 0 0 1 89,842 1
3022 Jarum K-File Pieces 278,512 1 278,512 0 0 1 278,512 0 0 1 278,512 1
3023 Occo 15 Pieces 278,512 0 0 0 0 0 0 0 0 0 0 0
3024 Paper Point no 15-40 Unit 56,463 0 0 0 0 0 0 0 0 0 0 0
3025 RA Diamond Set 584,100 1 584,100 0 0 1 584,100 0 0 1 584,100 1
3026 Saliva Ejector Botol 2,030 0 0 0 0 0 0 0 0 0 0 0
3027 Scapel Blades Dental(Bisturi) 10 Pcs 4,432 20 88,640 0 0 20 88,640 0 0 20 88,640 20
3028 Scapel Blades Dental(Bisturi) 11 Pcs 4,432 10 44,320 0 0 10 44,320 0 0 10 44,320 10
3029 Trimix kotak 416,542 0 0 0 0 0 0 0 0 0 0 0
3030 Ziacaine vial 0 0 0 0 0 0 0 0 0 0 0 0
3031 Zinc Pospot Cement kotak 319,539 5 1,597,695 0 0 5 1,597,695 0 0 5 1,597,695 5
3032 Pulp X kotak 237,000 1 237,000 0 0 1 237,000 0 0 1 237,000 1
3033 Mouth Mirror Pcs 41,000 2 82,000 0 0 2 82,000 0 0 2 82,000 2
3034 Mouth Mirror Handle 4900 Pcs 84,000 1 84,000 0 0 1 84,000 0 0 1 84,000 1
3035 Endoseal kotak 187,000 1 187,000 0 0 1 187,000 0 0 1 187,000 1
3036 Orafil Plus kotak 72,000 1 72,000 0 0 1 72,000 0 0 1 72,000 1
PROGRAM TB 0 0 0 0
4001 Etambutol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4002 FDC Kategori Anak Paket 268,733 3 806,199 0 0 3 806,199 0 0 3 806,199 3
4003 FDC Kategori I Paket 486,683 6 2,920,098 9 4380147 15 7,300,245 2 973366 13 6,326,879 11
4004 FDC Kategori I dan III Paket 0 0 0 0 0 0 0 0 0 0 0 0
4005 FDC Kategori II Paket 1,499,983 0 0 1 1499983 1 1,499,983 0 0 1 1,499,983 1
4006 Isoniasida (INH) Tablet300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4007 Isoniazida (INH) Tablet 100 mg Tablet 53 0 0 0 0 0 0 0 0 0 0 0
4008 Pyrasinamid Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4009 Pot Dahak pot 3,410 109 371,690 0 0 109 371,690 0 0 109 371,690 109
4010 Reagent Ziehl Neelsen Botol 297,440 2 594,880 0 0 2 594,880 0 0 2 594,880 2
4011 Rifampisin 450 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4012 Xpert MTB/RIF Assay Kit Tablet 11,338,906 0 0 0 0 0 0 0 0 0 0 0
PROGRAM MALARIA & LAB 0 0 0 0

5001 Arterakin Tablet 0 0 0 0 0 0 0 0 0 0 0 0
5002 Artemeter Ampul 26,600 0 0 0 0 0 0 0 0 0 0 0
5003 Artem inj Vial 4,433 0 0 0 0 0 0 0 0 0 0 0
5004 Artesunat inj Vial 2,138 0 0 0 0 0 0 0 0 0 0 0
5005 Asam Sulfosalisilat Botol 234,300 0 0 0 0 0 0 0 0 0 0 0
5006 Cleanac 5 L Gln 7,810,000 0 0 0 0 0 0 0 0 0 0 0
5007 Cleanac 3 5 L Gln 5,445,000 0 0 0 0 0 0 0 0 0 0 0
5008 Control Normal 3 Diff 2 ml Vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5009 Control High 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5010 Control Low 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5011 Darplex Tablet 4,216 45 189,720 0 0 45 189,720 0 0 45 189,720 0
5012 Developer Galon 1,977,000 0 0 0 0 0 0 0 0 0 0 0
5013 Emersil oil 100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5014 Emersil oil 500 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5015 Golongan Darah Paket 564,630 0 0 0 0 0 0 0 0 0 0 0
5016 Giamsa 100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5017 Giamsa 500 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5018 Hemolinac 3 N 500 ml botol 3,847,800 0 0 0 0 0 0 0 0 0 0 0
5019 Isotonic 3 18 L Gln 5,082,000 0 0 0 0 0 0 0 0 0 0 0
5020 Laboratorium Kit Paket 450,000 0 0 0 0 0 0 0 0 0 0 0
5021 Metanol Botol 542,850 0 0 0 0 0 0 0 0 0 0 0
5022 Primakuin Tablet 123 164 20,172 100 12300 264 32,472 0 0 264 32,472 264
5023 Quinina 25 %- 2ml Injeksi Ampul 7,440 0 0 0 0 0 0 0 0 0 0 0
5024 QuininaTablet 222 mg Tablet 648 0 0 0 0 0 0 0 0 0 0 0
5025 Reagen Hayem Botol 382,500 0 0 0 0 0 0 0 0 0 0 0
5026 RDT Malaria pcs 19,854 0 0 100 1985400 100 1,985,400 0 0 100 1,985,400 42
5027 RDT DBD pcs 19,854 0 0 0 0 0 0 0 0 0 0 0
5028 Tissue Lensa lembar 25,000 0 0 0 0 0 0 0 0 0 0 0
5029 Centin N starterkit (Amalgam) Paket 2,117,716 0 0 0 0 0 0 0 0 0 0 0
5030 Test Golongan Darah Anti A 10 ml 71,375 2 142,750 0 0 2 142,750 0 0 2 142,750 2
5031 Test Golongan Darah Anti B 10 ml 71,375 2 142,750 0 0 2 142,750 0 0 2 142,750 2
5032 Test Golongan Darah Anti AB 10 ml 93,375 2 186,750 0 0 2 186,750 0 0 2 186,750 2
5033 Test Golongan Darah Anti D 10 ml 113,375 2 226,750 0 0 2 226,750 0 0 2 226,750 2
5034 Safety Box Set 20,430 0 0 0 0 0 0 0 0 0 0 0
5035 Ditergent 500 ml Bf-6500 Botol 12,540,000 0 0 0 0 0 0 0 0 0 0 0
5036 Diluent 20 ml Bf-6500 Botol 9,075,000 0 0 0 0 0 0 0 0 0 0 0
5037 Lyse 500 ml Bf-6500 Botol 5,806,000 0 0 0 0 0 0 0 0 0 0 0
5038 Lyse 5 L Bf-6500 Botol 18,900,000 0 0 0 0 0 0 0 0 0 0 0
5039 I Lyse (SLS-I) 500 ml Bf-6500 Botol 11,880,000 0 0 0 0 0 0 0 0 0 0 0
PROGRAM GIZI 0 0 0
6001 Iodium Test Botol 5,830 0 0 0 0 0 0 0 0 0 0 0
6002 Mineral mix Sachet 2,970 0 0 0 0 0 0 0 0 0 0 0
6003 MP ASIH bks 0 0 0 0 0 0 0 0 0 0 0 0
6004 PMT Bumil Cake Sachet 0 0 0 0 0 0 0 0 0 0 0 0
FRAMBUSIA 0 0 0 0
7001 Azitromicin 500mg Tablet 4,500 0 0 0 0 0 0 0 0 0 0 0
7002 BD Microtainer Pieces 2,915 100 291,500 0 0 100 291,500 0 0 100 291,500 100
7003 Dietilcarbamazin 100 mg Tablet 138 0 0 0 0 0 0 0 0 0 0 0
7004 RDT Frambusia Syphilis Pieces 27,720 50 1,386,000 0 0 50 1,386,000 0 0 50 1,386,000 50
VAKSIN 0 0 0
8001 Hepatitis B Botol 0 0 0 0 0 0 0 0 0 0 0 0
8002 Human Albumin 20% Botol 425,568 0 0 0 0 0 0 0 0 0 0 0
8003 Serum Anti bisa Ular Vial 479,996 0 0 0 0 0 0 0 0 0 0 0
8004 Serum Anti Tetanus (ATS 15000 IU) Ampul 130,999 0 0 10 1309990 10 1,309,990 0 0 10 1,309,990 10
8005 Vaksin Rabies Vero Vial 214,470 0 0 5 1072350 5 1,072,350 0 0 5 1,072,350 5
8006 Vaksin BCG Vial 0 0 0 0 0 0 0 0 0 0 0 0
8007 Vaksin DPT/DPT-HB/DPT-HB-Hib vial 0 0 0 0 0 0 0 0 0 0 0 0
8008 Vaksin Td Vial 0 0 0 0 0 0 0 0 0 0 0 0
8009 Vaksin POLIO Vial 0 0 0 0 0 0 0 0 0 0 0 0
8010 Vaksin Pentabio Vial 0 0 0 0 0 0 0 0 0 0 0 0
8011 Vaksin IPV vial 0 0 0 0 0 0 0 0 0 0 0 0
8012 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0 0 0
PROGRAM COVID-19 0 0 0
9001 APD Paket 1,980,000 0 0 0 0 0 0 0 0 0 0 0
9002 Baju Tyfex Set 385,000 15 5,775,000 0 0 15 5,775,000 0 0 15 5,775,000 15
9003 Face Shield Pcs 110,000 0 0 0 0 0 0 0 0 0 0 0
9004 Kaca Mata Googles Pcs 121,000 0 0 0 0 0 0 0 0 0 0 0
9005 Masker KN95 Pcs 77,000 0 0 0 0 0 0 0 0 0 0 0
9006 Mesin Fogging (Alat Semprot) Pcs 4,229,250 0 0 0 0 0 0 0 0 0 0 0
9007 Rapid Test Covid (Hightop) Pcs 135,000 0 0 0 0 0 0 0 0 0 0 0
9008 Rapid Test Covid-19 (SD Biosensor) Pcs 273,900 0 0 0 0 0 0 0 0 0 0 0
9009 Thermogun 1 Pcs 2,000,000 0 0 0 0 0 0 0 0 0 0 0
9010 Thermogun 2 Pcs 2,200,000 0 0 0 0 0 0 0 0 0 0 0
9011 Alkohol Gel 500ml Botol 450,000 0 0 0 0 0 0 0 0 0 0 0
9012 Handscoon Non Steril 1 Set 120,000 0 0 0 0 0 0 0 0 0 0 0
9013 Handscoon Non Steril 2 Set 250,000 0 0 0 0 0 0 0 0 0 0 0
9014 Sarung Tangan Industri Pcs 55,000 0 0 0 0 0 0 0 0 0 0 0
9015 Sepatu Boot Pasang 365,000 0 0 0 0 0 0 0 0 0 0 0
9016 Masker N95 Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9017 Tissue Alkohol Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9018 Rapid Test Covid (Wondfo) Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9019 Rapid Test Covid (IgM/IgG) Pcs 220,000 75 16,500,000 0 0 75 16,500,000 5 1100000 70 15,400,000 70
9020 VTM Set 230,385 0 0 0 0 0 0 0 0 0 0 0
9021 Nurse Cup Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9022 APD Lengkap Paket 935,000 0 0 0 0 0 0 0 0 0 0 0
9023 APD Mini Set Paket 0 0 0 0 0 0 0 0 0 0 0 0
9024 Baju Tyfex Set 380,000 0 0 0 0 0 0 0 0 0 0 0
9025 Baju Tyfex Set 0 0 0 0 0 0 0 0 0 0 0 0
9026 Disinfektan Botol 444,000 0 0 0 0 0 0 0 0 0 0 0
9027 Face Shield Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9028 Handsanitiser Botol 437,000 0 0 0 0 0 0 0 0 0 0 0
9029 Handscoen Non Steril Botol 2,008 0 0 100 200776 100 200,776 100 200776 0 0 0
9030 Kaca Mata Googles Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9031 Masker N95 Pcs 70,000 0 0 0 0 0 0 0 0 0 0 0
9032 Masker KN95 Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9033 Masker Kain Pcs 5,500 0 0 0 0 0 0 0 0 0 0 0
9034 Masker Pcs 7,200 0 0 0 0 0 0 0 0 0 0 0
9035 Rapid Test Covid-19 (Egens) Pcs 250,000 75 18,750,000 0 0 75 18,750,000 5 1250000 70 17,500,000 70
9036 Thermogun Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9037 VTM Paket 0 0 0 0 0 0 0 0 0 0 0 0
9038 Sepatu Boot Pasang 350,000 0 0 0 0 0 0 0 0 0 0 0
9039 Safety Box pcs 20,430 0 0 3 61290 3 61,290 3 61290 0 0 0
9040 Alkohol Swab Sachet 0 0 0 250 0 250 0 250 0 0 0 0
9041 Alat suntik 0,5 ml Pcs 0 0 0 250 0 250 0 250 0 0 0 0
9042 Set APD Imun Set 0 0 0 10 0 10 0 10 0 0 0 0
9043 Vaksin Sinovak Dosis 0 0 0 10 0 10 0 10 0 0 0 0
TOTAL HARGA 124,670,443 50978853.5 149,294 175,649,296 36390983.43 149294 139,258,313

JKN UMUM

Hj. Hasna Muhammad, SKM, M.Kes Melati Sarfan., S.Farm,. Apt Rasmi Ode Djaerudin, SKM
NIP. 19760204 200012 2 002 NIP. 19870127 201101 2 007 Nip. 19831129 201101 2 005
MALUKU UTARA

OBAT/BMHP
0 0 0 0 0 0
130500 58.8 30.8 0 1.75 60
104400 57.4 29.4 0 1.708333333333 59.4202898551
78300 15.4 3.4 0 0.458333333333 47.8260869565
82000 0 -16 0 0 0
16200 0 -100 0 0 0
0 0 0 0 0 0
0 910 910 0 27.08333333333 100
0 28 20 0 0.833333333333 71.4285714286
0 0 0 0 0 0
0 0 0 0 0 0
421850 21 -39 0 0.625 20
64584 149.8 52.8 0 4.458333333333 52.4509803922
54925 85.4 -5.6 0 2.541666666667 40.1315789474
38700 368.2 180.2 0 10.95833333333 58.3148558758
26783.5 155.4 95.4 0 4.625 64.9122807018
20700 32.2 12.2 0 0.958333333333 53.488372093
49764 0 -12 0 0 0
97450 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1139000 39.2 -53.8 0 1.166666666667 23.1404958678
0 0 0 0 0 0
0 1176 1155 0 35 97.5609756098
0 2800 2800 0 83.33333333333 100
48682.2 5888.4 5094.4 0 175.25 84.12
0 70 70 0 2.083333333333 100
0 0 -72 0 0 0
0 0 -140 0 0 0
50630 778.4 44.4 0 23.16666666667 43.1007751938
24750 1090.6 689.6 0 32.45833333333 66.0169491525
90400 0 -400 0 0 0
607680 9044 5974 0 269.1666666667 67.7859391396
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
72072 1.4 -5.6 0 0.041666666667 12.5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
269696 123.2 -48.8 0 3.666666666667 33.8461538462
36018 4389 3504 0 130.625 77.9850746269
0 0 -30 0 0 0
317078 0 -78 0 0 0
0 0 0 0 0 0
120120 29.4 -12.6 0 0.875 33.3333333333
39600 0 -2 0 0 0
39600 0 -2 0 0 0
19800 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
97202 3437 1732 0 102.2916666667 59.0144230769
0 3332 3332 0 99.16666666667 100
36960 3640 2840 0 108.3333333333 76.4705882353
0 0 0 0 0 0
0 0 0 0 0 0
1782000 14 -976 0 0.416666666667 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -10 0 0 0
0 1722 -6448 0 51.25 13.085106383
0 0 0 0 0 0
59280 149.8 93.8 0 4.458333333333 65.6441717791
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
241500 50.4 -253.6 0 1.5 10.5882352941
56050.56 313.6 -46.4 0 9.333333333333 38.3561643836
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
43351 4375 3585 0 130.2083333333 79.8212005109
OBAT/BMHP
0 2800 2800 0 83.33333333333 100
0 0 0 0 0 0
36291.65 15.4 6.4 0 0.458333333333 55
0 0 0 0 0 0
0 0 0 0 0 0
571600 11.2 -4.8 0 0.333333333333 33.3333333333
0 0 0 0 0 0
0 25.2 19.2 0 0.75 75
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 14 14 0 0.416666666667 100
0 700 700 0 20.83333333333 100
347724 29.4 11.4 0 0.875 53.8461538462
0 0 0 0 0 0
0 0 0 0 0 0
0 19.6 19.6 0 0.583333333333 100
0 0 -70 0 0 0
102860 0 -20 0 0 0
0 82.6 82.6 0 2.458333333333 100
24420 2408 2028 0 71.66666666667 81.9047619048
145920 19.6 -1.4 0 0.583333333333 40
32130 0 -90 0 0 0
48125 7 -32 0 0.208333333333 11.3636363636
0 0 -14 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
296723.2 21 -449 0 0.625 3.09278350515
0 0 0 0 0 0
0 0 0 0 0 0
778140 294 -296 0 8.75 26.25
0 0 0 0 0 0
0 0 0 0 0 0
83346 0 -40 0 0 0
91000 0 -20 0 0 0
0 0 0 0 0 0
0 840 840 0 25 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -3 0 0 0
85950 49 -11 0 1.458333333333 36.8421052632
135050 10591 4991 0 315.2083333333 57.4629699962
0 0 0 0 0 0
OBAT/BMHP
109076 0 -91 0 0 0
0 0 0 0 0 0
76500 0 -500 0 0 0
51090 0 -480 0 0 0
75600 0 -300 0 0 0
0 1232 732 0 36.66666666667 63.768115942
68310 18.2 -10.8 0 0.541666666667 30.9523809524
64344 63 2 0 1.875 42.4528301887
0 0 0 0 0 0
132250 0 -25 0 0 0
0 0 0 0 0 0
545688 14 -376 0 0.416666666667 2.5
137722 4.2 -8.8 0 0.125 18.75
179036 19.6 -47.4 0 0.583333333333 17.2839506173
440000 0 -2 0 0 0
0 0 0 0 0 0
0 16.8 16.8 0 0.5 100
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 42 42 0 1.25 100
152200 140 -60 0 4.166666666667 33.3333333333
0 0 0 0 0 0
156000 0 -4 0 0 0
156000 0 -15 0 0 0
738000 0 -40 0 0 0
145600 0 -14 0 0 0
221400 0 -12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
53400 0 -600 0 0 0
184032 32.2 -9.8 0 0.958333333333 35.3846153846
0 0 0 0 0 0
59400 2.8 -15.2 0 0.083333333333 10
0 0 0 0 0 0
0 0 0 0 0 0
0 5.6 -251.4 0 0.166666666667 1.53256704981
0 8.4 8.4 0 0.25 100
0 0 0 0 0 0
92000 0 -1300 0 0 0
0 0 0 0 0 0
28980 3220 2220 0 95.83333333333 69.696969697
30567 9.8 -20.2 0 0.291666666667 18.9189189189
OBAT/BMHP
131040 5.6 -29.4 0 0.166666666667 10.2564102564
337500 16.8 -44.2 0 0.5 16.4383561644
0 280 -320 0 8.333333333333 25
0 1348.2 1311.2 0 40.125 96.3
0 18.2 16.2 0 0.541666666667 86.6666666667
0 0 0 0 0 0
0 551.6 545.6 0 16.41666666667 98.5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201000 42 -60 0 1.25 22.7272727273
64000 0 -500 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42800 0 -1 0 0 0
0 0 0 0 0 0
0 420 420 0 12.5 100
206830 50.4 -38.6 0 1.5 28.8
0 0 0 0 0 0
1395870 8.4 -289.6 0 0.25 1.97368421053
91520 68.6 37.6 0 2.041666666667 61.25
0 0 0 0 0 0
107000 0 -1000 0 0 0
0 0 0 0 0 0
0 1232 1232 0 36.66666666667 100
0 0 0 0 0 0
0 2.8 1.8 0 0.083333333333 66.6666666667
0 1.4 1.4 0 0.041666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4.2 3.2 0 0.125 75
0 8.4 2.4 0 0.25 50
0 88.2 76.2 0 2.625 84
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
31100 0 -100 0 0 0
58600 36.4 12.4 0 1.083333333333 52
51820 0 -20 0 0 0
0 0 0 0 0 0
20500 3416 2016 0 101.6666666667 63.5416666667
39024 23.8 5.8 0 0.708333333333 48.5714285714
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
130500 5.6 -5.4 0 0.166666666667 26.6666666667
0 0 0 0 0 0
436500 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
78815 49 -16 0 1.458333333333 35
0 263.2 263.2 0 7.833333333333 100
0 0 0 0 0 0
53300 2.8 1.8 0 0.083333333333 66.6666666667
0 2240 2040 0 66.66666666667 88.8888888889
0 0 -85 0 0 0
1161000 168 -6312 0 5 1.81818181818
0 0 -4 0 0 0
0 988.4 944.4 0 29.41666666667 94.1333333333
0 0 0 0 0 0
0 0 0 0 0 0
0 322 52 0 9.583333333333 46
0 91 -94 0 2.708333333333 26
0 980 680 0 29.16666666667 70
0 1965.6 1919.6 0 58.5 96.8275862069
0 0 0 0 0 0
412768 0 -32 0 0 0
0 0 0 0 0 0
960000 0 -500 0 0 0
0 0 0 0 0 0
356400 0 -100 0 0 0
81300 0 -300 0 0 0
0 0 0 0 0 0
81750 0 -810 0 0 0
29090 0 -8 0 0 0
99000 0 -20 0 0 0
0 0 0 0 0 0
0 0 -19 0 0 0
0 0 -6 0 0 0
0 0 0 0 0 0
45300 560 -40 0 16.66666666667 40
0 0 0 0 0 0
0 0 -4 0 0 0
263900 63 -7 0 1.875 39.1304347826
0 0 0 0 0 0
0 0 0 0 0 0
51280 4.2 -3.8 0 0.125 27.2727272727
OBAT/BMHP
0 0 0 0 0 0
0 4811.8 4463.8 0 143.2083333333 90.8058124174
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
55600 0 -400 0 0 0
65500 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
79800 938 838 0 27.91666666667 87.012987013
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
94875 50.4 -28.6 0 1.5 31.3043478261
0 1848 1848 0 55 100
0 0 -215 0 0 0
130000 0 -260 0 0 0
15290 553 448 0 16.45833333333 79
49800 280 -120 0 8.333333333333 33.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
0 10108 10108 0 300.8333333333 100
147130 7 2 0 0.208333333333 50
0 42 42 0 1.25 100
0 114.8 114.8 0 3.416666666667 100
0 0 0 0 0 0
0 0 -57 0 0 0
0 0 0 0 0 0
45430 0 -10 0 0 0
47400 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
146300 2114 814 0 62.91666666667 53.7366548043
190092.4 2044 1004 0 60.83333333333 58.4
0 0 0 0 0 0
0 42 -61 0 1.25 22.5563909774
0 0 0 0 0 0
0 19.6 13.6 0 0.583333333333 70
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
115920 0 -4 0 0 0
119920 1.4 -2.6 0 0.041666666667 20
222350 0 -5 0 0 0
240800 0 -10 0 0 0
224063 0 -7 0 0 0
171130 0 -10 0 0 0
0 96.6 85.6 0 2.875 86.25
0 0 0 0 0 0
0 140 140 0 4.166666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40000 0 -500 0 0 0
235430 0 -500 0 0 0
0 0 0 0 0 0
323456 145.6 -750.4 0 4.333333333333 10.4
0 392 392 0 11.66666666667 100
33060 12.6 -8.4 0 0.375 30
0 0 0 0 0 0
0 0 0 0 0 0
35500 0 -100 0 0 0
203500 0 -500 0 0 0
0 0 0 0 0 0
371800 63 1 0 1.875 42.0560747664
37825.8 616 316 0 18.33333333333 59.4594594595
33210 51.8 -446.2 0 1.541666666667 6.91588785047
0 75.6 75.6 0 2.25 100
0 21 21 0 0.625 100
0 21 21 0 0.625 100
0 0 0 0 0 0
0 0 0 0 0 0
31800 3626 3026 0 107.9166666667 81.1912225705
190682 61.6 -72.4 0 1.833333333333 24.7191011236
0 7 7 0 0.208333333333 100
133665 7 -30 0 0.208333333333 11.9047619048
0 0 0 0 0 0
0 0 0 0 0 0
380250 16.8 -5.2 0 0.5 35.2941176471
105625 7 -1 0 0.208333333333 38.4615384615
0 238 238 0 7.083333333333 100
0 0 0 0 0 0
44444 0 -97 0 0 0
49680 1.4 -7.6 0 0.041666666667 10
0 105 105 0 3.125 100
0 105 105 0 3.125 100
OBAT/BMHP
0 42 42 0 1.25 100
0 84 84 0 2.5 100
0 0 0 0 0 0
3146000 140 -510 0 4.166666666667 13.3333333333
0 0 0 0 0 0
0 0 0 0 0 0
104400 0 -300 0 0 0
0 0 0 0 0 0
63960 714 -986 0 21.25 23.0769230769
280440 14 -191 0 0.416666666667 4.6511627907
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
750000 0 -75 0 0 0
0 2.8 2.8 0 0.083333333333 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 9.8 9.8 0 0.291666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 8.4 7.4 0 0.25 85.7142857143
351000 9.8 -6.2 0 0.291666666667 30.4347826087
0 0 0 0 0 0
0 0 0 0 0 0
394800 560 -40 0 16.66666666667 40
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1281086 4.2 -36.8 0 0.125 6.81818181818
0 0 0 0 0 0
0 0 0 0 0 0
0 78.4 78.4 0 2.333333333333 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
30000 0 -2 0 0 0
45000 0 -3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
137700 0 -100 0 0 0
137450 0 -1 0 0 0
0 0 0 0 0 0
82800 0 -4 0 0 0
0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
201500 0 -1 0 0 0
121995 1.4 -3.6 0 0.041666666667 16.6666666667
0 0 0 0 0 0
0 0 0 0 0 0
25047 0 -3 0 0 0
0 0 0 0 0 0
254760 0 -40 0 0 0
OBAT/BMHP
0 0 0 0 0 0
387750 0 -150 0 0 0
118680 0 -10 0 0 0
0 98 98 0 2.916666666667 100
210540 0 -10 0 0 0
0 0 0 0 0 0
101400 0 -300 0 0 0
142450 7 2 0 0.208333333333 50
0 0 0 0 0 0
44717 107.8 -353.2 0 3.208333333333 14.312267658

0 0 0 0 0 0
126000 28 -722 0 0.833333333333 2.5974025974
326340 28 -952 0 0.833333333333 2
0 0 0 0 0 0
0 0 -10 0 0 0
47500 26.6 -923.4 0 0.791666666667 1.96078431373
0 0 0 0 0 0
0 0 0 0 0 0
33550 91 -519 0 2.708333333333 9.62962962963
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
141453 0 -9 0 0 0
0 0 0 0 0 0
228482.4 0 -370 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5056875 0 -225 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1728900 0 -166 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1810800 0 -200 0 0 0
0 0 0 0 0 0
0 0 -7 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 -25 0 0 0
0 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8484 0 -7 0 0 0
286000 0 -2 0 0 0
116795 0 -1 0 0 0
0 0 0 0 0 0
58133.25 0 -1 0 0 0
773541 0 -3 0 0 0
85000 0 -1 0 0 0
113580 0 -3 0 0 0
0 0 0 0 0 0
163350 0 -1 0 0 0
0 0 0 0 0 0
80000 0 -4 0 0 0
0 0 0 0 0 0
332412 0 -1 0 0 0
3953070 0 -2 0 0 0
9156742 0 -7 0 0 0
2303562 0 -2 0 0 0
79061 0 -1 0 0 0
89842 0 -1 0 0 0
278512 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
584100 0 -1 0 0 0
0 0 0 0 0 0
88640 0 -20 0 0 0
44320 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1597695 0 -5 0 0 0
237000 0 -1 0 0 0
82000 0 -2 0 0 0
84000 0 -1 0 0 0
187000 0 -1 0 0 0
72000 0 -1 0 0 0
0 0 0 0 0 0
806199 0 -3 0 0 0
OBAT/BMHP
5353513 2.8 -10.2 0 0.083333333333 13.3333333333
0 0 0 0 0 0
1499983 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
371690 0 -109 0 0 0
594880 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -45 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
32472 0 -264 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
833868 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
142750 0 -2 0 0 0
142750 0 -2 0 0 0
186750 0 -2 0 0 0
226750 0 -2 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
291500 0 -100 0 0 0
0 0 0 0 0 0
1386000 0 -50 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1309990 0 -10 0 0 0
1072350 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5775000 0 -15 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
15400000 7 -63 0 0.208333333333 6.66666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 140 140 0 4.166666666667 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
17500000 7 -63 0 0.208333333333 6.66666666667
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 4.2 4.2 0 0.125 100
0 350 350 0 10.41666666667 0
0 350 350 0 10.41666666667 0
0 14 14 0 0.416666666667 0
0 14 14 0 0.416666666667 0
116179595.96 0
Yang Menerima
OBAT/BMHP

Nip. 19880824 201903 2 004

TRW 2

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : PROPINSI : MALUKU UTARA

HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

PROGRAM MALARIA & LAB 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

162 861 1023

Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Men

HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

45881 91 -382 0 2.708333333333 12.0817843866

Apt, Sitra Anna. S.Farm

PUSKESMAS : BABANG PROPINSI : MALUKU UTARA

HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

PROGRAM MALARIA & LAB 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

144 758 902

Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Men

HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

Apt, Sitra Anna. S.Farm

PUSKESMAS : BABANG PROPINSI : MALUKU UTARA

HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

PROGRAM MALARIA & LAB 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Men

HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

44717 16.8 -444.2 0 0.5 2.53699788584

Apt, Sitra Anna. S.Farm

PUSKESMAS : BABANG PROPINSI : MALUKU UTARA

HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0 0 0

PROGRAM MALARIA & LAB 0 0 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Men

HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

44717 107.8 -353.2 0 3.208333333333 14.312267658

Apt, Sitra Anna. S.Farm

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