77 23 0 f

SELISIH STOCK TAKE FINAL INSTALASI FARMASI Tanggal : 30-Mar-2024

KODE SATU
BRG NAMA BARANG AN STOK FISIK SELISIH KETERANGAN
ALK00045 DISPOSIBLE SPUIT 3 CC ONE MED PCS 127 -443

OBT01060 PIOGLITAZONE 15 MG TAB TAB 279 -324

ALK00043 DISPOSIBLE SPUIT 10 CC ONE MED PCS 144 -293

OBT00243 CANDESARTAN 8 MG TAB TAB 678 -243

OBT00461 EPEXOL TABLET TAB 63 -219

OBT00793 LISINOPRIL 5 MG TAB TAB 678 -205

OBT00591 GLIMEPIRIDE 4 MG TABLET TAB 708 -199

OBT00269 CEFIXIME 100 MG KAPSUL CAP 110 -197

OBT00116 AMLODIPINE 5 MG TAB TAB 485 -185

OBT00656 INFUSION SET MAKRO GEA PCS 63 -164

OBT00171 ATORVASTATIN 20 MG TAB 183 -159

OBT00721 KALIUM DIKLOFENAK 50 MG TAB TAB 437 -152

ALK00131 MASKER BEDAH KARET PCS 118 -143

OBT00632 IBUPROFEN 400 MG TAB TAB 488 -133

OBT00851 METHYL PREDNISOLON 8 MG TABLET TAB 64 -106

OBT00586 GLIBENCLAMIDE 5 MG TABLET TAB 81 -100

BMH00032 HAND SCOON STERIL NO 7 PCS 59 -99

BMH00065 NOVOTWINS 32G 5 MM PCS 61 -97

OBT00156 ASAM FOLAT TAB TAB 379 -93

OBT00457 EPERISONE 50 MG TAB TAB 282 -89

OBT00973 NURSE CAPS PCS 118 -86

OBT00742 KETOROlAC 30 MG/ML INJEKSI AMP 308 -85

OBT00888 MISOPROSTOL TABLET TAB 312 -78

OBT00993 ONDANSENTRON 4 MG INJEKSI AMP 274 -74

OBT00690 INTUNAL FORTE TABLET TAB 87 -72

OBT00128 ANALSIK TAB TAB 100 -70

OBT01354 URSODEOXYCOLIC ACID CAP 360 -61

OBT01035 PARACETAMOL 500 MG TAB TAB 1182 -48

OBT00179 AZYTROMICIN TAB TAB 385 -44

OBT01178 SALBUTAMOL 4 MG TABLET TAB 770 -44

OBT01393 VENFLON NO 18 PCS 113 -33

OBT00069 ACARBOSE 50 MG TAB 520 -30

OBT00525 FG TROCHES TAB LOZ 31 -30

OBT00141 ANTASIDA TABLET TAB 266 -28

OBT01491 SEREMIG 10MG TAB 549 -27

OBT00994 ONDANSENTRON 4 MG TAB TAB 505 -26

OBT00743 KETOROLAK TAB TAB 135 -25

ALK00192 SPINOCAN 25 PCS 25 -25

OBT01067 PIROXICAM 10 TAB 190 -23

BMH00088 UNDERPAD PCS 14 -23

OBT00434 DOMPERIDONE TABLET TAB 456 -22

OBT00850 METHYL PREDNISOLON 16 MG TABLET TAB 427 -21

OBT00304 CENDO POLYDEX MINIDOSE PACK 5 -20

OBT00414 DIAZEPAM 5 MG TABLET TAB 1585 -19

OBT00097 ALLOPURINOL 300 MG TAB TAB 569 -18

OBT01137 REBAMIPIDE 100 MG TAB TAB 945 -17

ALK00108 IV CATHETER 22 GEA PCS 73 -17

OBT00626 HIDROCORTISONE CREAM PCS 7 -16

BMH00048 KASSA STERIL ONE MED BOX 5 -16

OBT00394 D5 500 ML WIDATRA FLS 16 -15

OBT00854 METHYLERGOMETHRINE INJEKSI AMP 213 -15

ALK00057 ELEKTRODA DEWASA PCS 61 -14

BMH00034 HAND SCOON STERIL NO 8 PCS 122 -14

ALK00187 SILK BLACK 3/0 TAPPER PCS 25 -14

OBT00561 FUROSEMID INJEKSI AMP 93 -13

OBT00660 INH 300 TAB 298 -13

OBT00022 (JKN) SANSULIN RAPID PEN PEN 26 -12

OBT01153 RIFAMPICIN 450 MG TAB 164 -12

BMH00033 HAND SCOON STERIL NO 7.5 PCS 104 -12

OBT01013 OTSU MANITOL FLB 21 -11

OBT00369 COMBIVENT PCS 118 -10

OBT00503 FARSIFEN PLUS TABLET TAB 191 -10

OBT00646 INBION CAPSUL TAB 26 -10

OBT01336 TRIFED TABLET TAB 232 -10

BMH00063 NASAL OXYGEN DEWASA PCS 23 -10

OBT00560 FUROSEMID 40 MG TABLET TAB 589 -9

OBT00847 METFORMIN 500 MG TAB TAB 522 -9

OBT01328 TRIAMCINOLONE TAB TAB 424 -9

OBT00196 BETAMETASONE CREAM TUBE 6 -9

ALK00028 CATGUT CHROMIC 1 HR 48 MM 2500148 TAPPER PCS 23 -9

ALK00055 ELEKTRODA ANAK PCS 141 -8

BMH00070 PAMPERS LANSIA L PCS 16 -8

ALK00202 SUCTION CATHETER NO 8 PCS 10 -8

OBT00391 D10 1/5 NS FLS 10 -7

OBT00859 METRONIDAZOLE INFUS BTL 22 -7

OBT00629 HYOSCIN N-BUTHYLBROMIDE INJEKSI AMP 188 -7

OBT00515 FENOFIBRATE 100 MG TAB 169 -7

ALK00016 BD NEOFLON PRO NO 26 PCS 42 -7

ALK00209 SURGICRYL NO 8/0 PCS 24 -7

OBT00280 CEFTAZIDIME INJEKSI VIAL 7 -6

OBT00424 DILTIAZEM TAB TAB 467 -6

OBT00310 CENDO TOBROSON MINIDOSE PACK 3 -6

ALK00138 MASKER NON-REBRITING DEWASA PCS 13 -6

BMH00076 POT PLASTIK 100 CC PCS 16 -6

OBT00392 D10 500 ML FLS 8 -5

OBT00173 ATROPINE INJEKSI AMP 31 -5

OBT00281 CEFTRIAXONE 1 GR INJEKSI VIAL 177 -5

OBT01050 PHENYTOIN KAPSUL CAP 275 -5

OBT01309 TIZANIDINE 2 MG TABLET TAB 330 -5

OBT01127 RAMIPRIL 5 MG TAB TAB 485 -5

OBT01409 VITAMIN C 500 MG TABLET TAB 153 -5

OBT00654 INFUSAN D5 + 1/2 NS FLS 16 -4

OBT01011 OTOPAIN TETES TELINGA PCS 2 -4

OBT00988 OMEPRAZOL INJEKSI VIAL 194 -4

OBT00801 LORATADINE 10 MG TAB TAB 472 -4

OBT01184 SANADRYL DMP 60 ML BTL 3 -4

OBT00471 ERLAMYCETIN SALEP MATA TUBE 9 -4

OBT01484 SPASMINAL TAB 131 -4

OBT01387 VASELINE SWAB PCS 2 -4

OBT01392 VENFLON NO 20 PCS 255 -4

OBT01333 TRIDEX 27 A FLS 10 -3

OBT00348 CITICOLINE 500 MG TAB AMP 153 -3

OBT00783 LEVOFLOXACIN TABLET TAB 212 -3

OBT01154 RIFAMPICIN 600 MG TAB TAB 313 -3

OBT00309 CENDO TIMOL 0,5% TETES MATA 5 ML BTL 2 -3

BMH00044 KASSA GULUNG 10 CM ONEMED PCS 4 -3

OBT00900 NACL 100 ML FLB 43 -2

OBT00753 LACTO B SACH 62 -2

OBT01025 PAMOL 125 MG SUPP SUPP 23 -2

OBT00274 CEFOPERAZONE SULBACTAM INJEKSI VIAL 12 -2

OBT00817 MECOBALAMIN INJEKSI AMP 93 -2

OBT00949 NOREPHINEPRIN INJ AMP 20 -2

OBT00593 GLIQUIDONE 30 MG TABLET TAB 938 -2

OBT00855 METHYLERGOMETRIN TAB TAB 149 -2

OBT01078 PREDNISON TAB TAB 510 -2

OBT01221 SIMVASTATIN 10 MG TAB TAB 811 -2

OBT00076 ACYCLOVIR CREAM TUBE 36 -2

OBT00314 CENDO XITROL SALEP MATA TUBE 2 -2

OBT00868 MICONAZOLE CREAM TUBE 7 -2

OBT00870 MICROGEST 200 MG TAB 50 -2

ALK00036 CATHETER TIP 50 ML PCS 3 -2

ALK00074 ETT NO 7 NON KING KING PCS 1 -2

ALK00002 FOLEY CATHETER 2 WAY 18 FR PCS 43 -2

BMH00072 PAMPERS LANSIA XL PCS 4 -2

BMH00074 PISAU CUKUR SAVY RIZOR PCS 13 -2

BMH00077 POT SALEP KECIL PCS 5 -2

OBT00960 NOZEPAV 10 MG ENEMA TUBE 16 -1

OBT01432 WIDAHEST FLB 7 -1

OBT01100 PRORIS SUPP SUPP 20 -1

OBT00149 APIDRA SOLOSTAR PEN 21 -1

OBT00670 INTERLAC + VIT D3 PCS 33 -1

OBT01250 STOLAX SUPP SUPP 31 -1

OBT00073 ACRAN INJEKSI AMP 35 -1

OBT00408 DEXKETOPROFEN INJEKSI AMP 50 -1

OBT00650 INDEXON INJ AMP 29 -1

OBT00693 INVOMIT 4 MG INJEKSI AMP 7 -1

OBT00841 MEROPENEM INJEKSI 1 GRAM VIAL 32 -1

OBT01032 PANTOPRAZOLE INJEKSI VIAL 11 -1

OBT01042 PEHACAIN AMP 23 -1

OBT01240 STARXON INJ VIAL 11 -1

OBT01289 TERFACEF INJEKSI VIAL 5 -1

OBT00207 BISACODYL TABLET 5MG TAB 158 -1

OBT00590 GLIMEPIRIDE 3 MG TABLET TAB 790 -1

OBT00765 LANSOPRAZOLE KAPSUL CAP 349 -1

OBT01001 ORALIT/RAMOLIT SACH 110 -1

OBT00105 AMBROXOL SYR BTL 14 -1

OBT00166 ATAROC SYRUP 60 ML BTL 5 -1

OBT00262 CEFADROXIL 250 MG DS BTL 1 -1

OBT00758 LACTULOSA SYRUP BTL 6 -1

OBT00136 ANFUHEX CREAM TUBE 5 -1

OBT00299 CENDO MYDRIATIL 1% MINIDOSE BTL 5 -1

OBT00580 GENTAMYCIN CREAM PCS 14 -1

OBT00472 ERLAMYCETIN TETES MATA ED 2 -1

OBT00890 MOMETASONE FUROATE 10 GR CREAM TUBE 2 -1

OBT01139 RECO TETES MATA ED 4 -1

OBT01138 RECO SALEP MATA TUBE 4 -1

OBT01033 PANTOPUMP 40 MG TAB 4 -1

OBT01151 RHINOS SR CAP 89 -1

OBT01194 SANMOL FORTE TAB TAB 288 -1

ALK00015 BD NEOFLON PRO NO 24 PCS 146 -1

ALK00018 BISTURI NO 11 PCS 36 -1

ALK00066 ETT 6 PCS 5 -1

ALK00218 TRANSPARENT FILM DRESSING 6 X 7 WITH NOTCH PCS 333 -1

ALK00006 FOLEY CATHETER 2 WAY 8 FR PCS 20 -1

ALK00081 FOLEY CATHETER 2 WAY 12 FR PCS 1 -1

ALK00090 GUDEL AIRWAY 110MM PCS 1 -1

BMH00045 KASSA GULUNG 5 CM ONEMED PCS 22 -1

ALK00139 MASKER O2 ANAK PCS 3 -1

ALK00135 MASKER NEBULIZER ANAK GEA PCS 18 -1

ALK00150 NEEDLE 27 T PCS 57 -1

ALK00168 POLYPROPYLENE 2/0 CUTTING PCS 2 -1

BMH00079 POT SEDANG 50 CC PCS 5 -1

ALK00195 ST PANJANG NO 7,5 PCS 2 -1

BMH00085 TRANSOVIX PCS 12 -1

ALK00223 VIGIMESH 6 cm x 11 cm PCS 6 -1

OBT00107 AMINOFLUID 500 ML BKS 1 1

OBT00782 LEVOFLOXACIN 750 MG INFUS BTL 3 1

OBT00867 MGSO4 40% FLB 11 1

OBT00903 NACL 500 ML FLB 61 1

OBT00018 (JKN) NOVORAPID PEN PEN 21 1

OBT00250 CARBAZOCHROME SODIUM SULFONATE AMP 16 1

OBT00144 ANTRAIN INJEKSI AMP 1 1

OBT01102 PROTERIN 10 MG/2 ML INJEKSI AMP 77 1

OBT01173 SAGESTAM INJEKSI AMP 52 1

OBT01326 TRIAMCINOLON 10MG/ML INJEKSI VIAL 11 1

OBT01347 TYZOX INJEKSI AMP 31 1

OBT00075 ACYCLOVIR 400 MG TAB TAB 307 1

OBT00122 AMOXSAN DRY SYRUP BTL 14 1

OBT00140 ANTASIDA SYRUP BTL 13 1

OBT01183 SANADRYL DMP 120 ML BTL 5 1

OBT01396 VESPERUM DROPS BTL 1 1

OBT00733 KENALOG IN ORAL BASE PCS 2 1

OBT01211 SERBUK PK PCS 4 1

OBT00532 FLAMAR GEL TUBE 2 1

OBT00293 CENDO FLOXA TETES MATA 5 ML BTL 14 1

OBT01479 CENDO CONVER 2% ED BTL 2 1

OBT00325 CERINI TABLET TAB 45 1

OBT00869 MICROGEST 100 MG TAB 27 1

OBT00921 NEPHROLIT KAPSUL CAP 39 1

ALK00019 BISTURI NO 15 PCS 63 1

ALK00056 ELEKTRODA BAYI PCS 59 1

ALK00072 ETT 8 PCS 6 1

ALK00001 FOLEY CATHETER 2 WAY 16 FR PCS 24 1

ALK00004 FOLEY CATHETER 2 WAY 22 FR PCS 9 1

ALK00093 GUDEL AIRWAY 60 MM PCS 2 1

ALK00096 GUDEL AIRWAY 90 MM PCS 1 1

ALK00106 IV CATHETER 18 GEA PCS 47 1

ALK00110 IV CATHETER 26 GEA PCS 144 1

OBT00658 INFUSION SET MICRO GEA PCS 75 1

ALK00140 MASKER O2 DEWASA PCS 21 1

ALK00134 MASKER NEBULIZER ADULT PCS 21 1

ALK00151 NGT NO 10 PCS 1 1

ALK00157 NGT NO 5 / 100 CM PCS 18 1

ALK00159 NGT NO 8 / 100 CM PCS 11 1

ALK00164 PETCRYL 910 1 TAPPER PCS 42 1

ALK00182 SILK 2/0 ONE MED CUTTING PCS 17 1

ALK00185 SILK BLACK 1 HR 37 MM TAPPER PCS 39 1

ALK00201 SUCTION CATHETER NO 6 PCS 9 1

ALK00199 SUCTION CATHETER NO 16 PCS 14 1

OBT01383 VALISANBE INJEKSI AMP 85 2

OBT00902 NACL 3% FLB 18 2

OBT01254 SUPERHEROID SUPP SUPP 10 2

OBT00427 DIPHENHYDRAMIN HCL 150 MG INJ AMP 123 2

OBT00856 METOCLOPRAMIDE INJEK AMP 89 2

OBT00297 CENDO LYTEERS TETES MATA 15 ML BTL 6 2

OBT01299 THROMBOPOP GEL 10 GR TUBE 3 2

OBT01495 OTILON TETES TELINGA BTL 2 2

ALK00020 BISTURI NO 21 PCS 109 2

ALK00025 BLOOD SET ONEMED PCS 12 2

ALK00239 CONDOM CATHETER L PACK 3 2

BMH00020 CONDOM CATETER M PCS 3 2

ALK00104 IV CATHETER 14 GEA PCS 15 2

ALK00142 NASAL OXIGEN ANAK PCS 38 2

ALK00149 NEEDLE 26 T PCS 76 2

ALK00155 NGT NO 18 PCS 34 2

ALK00196 SUCTION CATHETER NO 10 PCS 6 2

ALK00204 SURGICRYL 910 1 HR 40 MM 1540 0140 TAPPER PCS 2 2

OBT00876 MILOZ 5 MG INJ AMP 64 3

OBT00732 KCL 7,46 OTSU FLB 23 3

OBT01026 PAMOL 250 MG SUPP SUPP 48 3

OBT00160 ASAM TRANEKSAMAT INJEKSI 500 MG/ML AMP 60 3

OBT00843 MERSIBION INJEKSI AMP 91 3

OBT01129 RANITIDINE INJEKSI AMP 97 3

OBT01316 TRAMADOL INJEK VIAL 85 3

OBT00468 ERDOSTEIN 300 MG KAPSUL CAP 401 3

OBT01066 PIRACETAM 800 MG TAB TAB 246 3

OBT00676 INTERPEC SYR 15MG BTL 7 3

OBT00381 COUNTERPAIN CREAM 5 GR TUBE 3 3

OBT00417 DICLOFENAC DIETHYLAMINE 50 GR TUBE 6 3

ALK00010 APPRON WHITE DISPOSIBLE PCS 23 3

ALK00058 ELEKTRODA SMILE BAYI PCS 5 3

ALK00200 SUCTION CATHETER NO 18 PCS 8 3

OBT01160 RINVEL INJEKSI AMP 30 4

OBT00846 METAMIZOLE INJEKSI AMP 84 4

OBT01056 PHYTOMENIDIONE 2 MG/ML INJEKSI VIAL 120 4

OBT00343 CILOSTAZOL 100 MG TAB TAB 117 4

OBT00433 DOMPERIDONE SYRUP BTL 4 4

OBT00432 DOMPERIDONE DROP BTL 4 4

BMH00055 KONDOM SUTERA MERAH PCS 80 4

ALK00137 MASKER NON-REBRITING BAYI PCS 28 4

OBT00111 AMINOPHYLLINE INJEKSI AMP 27 5

OBT00275 CEFOTAXIME INJEKSI VIAL 76 5

OBT00344 CIPROFLOXACIN 500 MG TAB TAB 242 5

OBT00358 CLOPIDOGREL 75 MG TAB 298 5

OBT01028 PAMOL SYRUP BTL 5 5

ALK00219 UMBILICAL CLAIM PCS 66 5

OBT01286 TEOSAL TAB TAB 158 6

BMH00060 MICROPORE KECIL PCS 15 6

ALK00183 SILK 3/0 ONE MED CUTTING PCS 20 6

OBT01429 WATER PRO INJEKSI FLB 11 7

OBT01142 REGIVEL INJEKSI AMP 43 7

BMH00062 NASAL OXYGEN BAYI PCS 14 7

OBT00858 METRONIDAZOLE 500 MG TAB TAB 249 8

ALK00109 IV CATHETER 24 GEA PCS 76 8

ALK00021 BISTURI NO 22 PCS 50 9

OBT01447 ZINK TABLET TAB 279 10

OBT00544 FOLAVIT 400 MCG TAB TAB 182 10

OBT00767 LAPRAZ KAPSUL CAP 97 10

OBT00822 MEFINAL 500 TAB TAB 68 10

ALK00107 IV CATHETER 20 GEA PCS 176 10

BMH00059 MICROPORE BESAR PCS 11 10

OBT00409 DEXTEEM PLUS TAB TAB 128 11

ALK00193 SPINOCAN 26 PCS 41 11

ALK00030 CATGUT CHROMIC 2/0 CUTTING GEA/ ONEMED PCS 51 13

ALK00079 FILM TRANSPARANT DRESSING 10 x 25 CM LOZ 31 13

ALK00207 SURGICRYL 910 3/0 DS 24 MM 15201524 CUTTING PCS 37 13

OBT00655 INFUSAN D5 + 1/4 NS FLS 73 14

OBT01394 VENFLON NO 22 PCS 92 14

ALK00031 CATGUT CHROMIC 2/0 HR 37 MM 2350137 TAPPER PCS 29 16

OBT01012 OTSU D40 FLB 36 17

OBT00407 DEXKETOPROFEN 25 MG TABLET TAB 128 17

OBT00516 FENOFIBRATE 300 MG TAB 121 17

OBT00950 NORESTHISTERONE 5MG TAB TAB 174 17

OBT00017 (JKN) MINIASPI 80 MG TAB TAB 22 18

BMH00071 PAMPERS LANSIA M PCS 41 18

ALK00194 SPINOCAN 27 PCS 19 19

OBT01021 OXYTOCIN INJEKSI AMP 52 20

OBT01029 PAMOL TABLET TAB 137 20

ALK00136 MASKER NON-REBRITING ANAK PCS 24 20

OBT00996 ONDANSENTRON 8 MG TAB TAB 352 22

OBT01068 PIROXICAM 20 TAB 204 23

OBT00104 AMBROXOL 30 MG TAB TAB 462 24

OBT00937 NIFEDIPINE 10 MG TAB TAB 305 24

ALK00147 NEEDLE 23 T PCS 78 24

OBT01096 PRONEURON TABLET TAB 1029 25

OBT00995 ONDANSENTRON 8 MG INJEKSI AMP 154 25

OBT00830 MELOXICAM 15 MG TAB TAB 764 26

OBT00015 (JKN) KSR TAB TAB 96 26

OBT00797 LOPERAMIDE TABLET TAB 430 27

OBT00831 MELOXICAM 7,5 MG TABLET TAB 780 27

OBT01439 XYLOCAIN GELL PCS 32 27

OBT00021 (JKN) SANSULIN PEN PEN 36 29

OBT00584 GLAUCON TABLET TAB 50 29

OBT00702 ISDN 5 MG TABLET TAB 413 31

OBT00451 ELKANA TABLET TAB 67 32

OBT00925 NEURODEX TABLET TAB 40 32

OBT01065 PIRACETAM 400 MG TAB TAB 246 33

OBT00096 ALLOPURINOL 100 MG TAB TAB 786 34

OBT00933 NEW DIATAB TABLET TAB 353 34

ALK00042 DISPOSIBLE SPUIT 1 CC ONE MED PCS 392 34

OBT00242 CANDESARTAN 16 MG TAB TAB 359 36

OBT01177 SALBUTAMOL 2 MG TABLET TAB 415 36

OBT01222 SIMVASTATIN 20 MG TAB TAB 1024 37

OBT00387 CURCUMA SANBE TAB TAB 149 37

BMH00031 HAND SCOON STERIL NO 6.5 PCS 37 37

OBT00068 ACARBOSE 100 MG TAB 447 38

OBT00164 ASPILET 80 MG TABLET TAB 393 39

OBT00365 CODEIN 20 MG TABLET TAB 1272 43

OBT01126 RAMIPRIL 10 MG TAB 510 44

OBT01381 VALISANBE 2 MG TABLET TAB 637 45

ALK00216 THREE WAY STOPCOCK PCS 51 48

OBT01157 RINGER LACTATE 500 ML FLB 113 49

OBT00537 FLUNARIZIN 5 MG TABLET TAB 488 49

OBT00610 HCT 25 MG TABLET TAB 394 51

OBT01118 PYRAZINAMIDE TAB 255 51

BMH00030 HAND SCOON STERIL NO 6 PCS 268 54

OBT00347 CITICOLINE 500 MG INJEKSI AMP 115 61

ALK00046 DISPOSIBLE SPUIT 5 CC ONE MED PCS 1040 62

OBT00272 CEFIXIME 200 MG TAB (@100) CAP 120 68

OBT00685 INTIDROL 4 MG TAB 90 69

OBT00346 CITICOLINE 250 MG INJEKSI AMP 145 70

OBT00158 ASAM TRANEKSAMAT 500 MG TAB TAB 193 70

OBT01037 PARACETAMOL INFUS BTL 78 71

OBT00246 CAPTOPRIL 25 MG TABLET TAB 853 71

OBT01079 PREGABALIN 75 MG TABLET TAB 298 73

OBT00739 KETOCONAZOLE 200MG TAB TAB 288 81

OBT00913 NATRIUM DIKLOFENAK 50 MG TAB TAB 1323 81

OBT00169 ATORVASTATIN 10 MG TAB 410 84

OBT00405 DEXAMETASONE 0.5 TAB TAB 783 85

OBT00245 CAPTOPRIL 12,5 MG TABLET TAB 916 93

OBT00235 CALCIUM LAKTAT 500 MG TAB 309 93

OBT00564 GABAPENTIN 300 MG KAPS TAB 175 93

OBT01271 TAMSULOSIN SR 0,4 MG TABLET TAB 265 93

OBT00074 ACYCLOVIR 200 MG TAB TAB 100 100

ALK00024 BLOOD LANCET 28 G PCS 100 100

OBT01099 PROPANOLOL 10 MG TAB 277 116

OBT00329 CETIRIZINE 10 MG TABLET TAB 610 129

OBT00911 NATBIC TAB TAB 542 132

OBT00818 MECOBALAMINE 500 MG KAPSUL CAP 378 149

OBT00071 ACETYLSISTEINE 200 MG TAB TAB 446 152

OBT00594 GLUCOSAMINE 250 MG TABLET TAB 518 159

OBT00231 CACO3 500 MG KAPSUL TAB 250 162

OBT00355 CLOBAZAM 10 MG TAB TAB 170 170

OBT00852 METHYL PREDNISOLONE 4 MG TAB TAB 881 178

OBT01061 PIOGLITAZONE 30 MG TAB 271 181

OBT00115 AMLODIPINE 10 MG TAB TAB 334 184

OBT00419 DIFLAM 50 TAB 410 190

OBT00589 GLIMEPIRIDE 2 MG TABLET TAB 653 191

OBT01128 RANITIDINE 150 MG TAB TAB 553 192

OBT00989 OMEPRAZOLE KAPSUL CAP 895 198

OBT00385 CTM TABLET TAB 328 199

OBT01410 VITAMIN D 1000 UI TAB TAB 308 200

OBT00741 KETOPROFEN 100 MG TAB TAB 438 210

OBT00157 ASAM MEFENAMAT 500 MG TAB TAB 778 218

OBT01404 VITAMIN B COMPLEX TABLET TAB 612 231

OBT00845 METAMIZOL TABLET TAB 387 247

OBT01293 THIAMPHENICOL 500MG KAPSUL CAP 405 260

OBT01236 SPIRONOLACTONE 25 MG TABLET TAB 653 291

OBT00853 METHYL PREDNISOLONE INJEKSI AMP 27 0.9

OBT01382 VALISANBE 5 MG TABLET TAB 70 23.5

OBT00211 BISOPROLOL 5 MG TAB TAB 590 -27.5

OBT01253 SUCRALFAT SIRUP BTL 12 4.5

OBT00059 (REG) VAKSIN HEPATITIS 0,5 MlL VIAL 19 -6.5

Total
Petugas Penangggung Jawab Gudang/Ruangan Keuanga
Input n

( ........... ( .............................................................. ( ........

............. ) ..........
............. ..........
............. ..........
WAC NOMINAL
608 - 269,131

2,352 - 762,142

971 - 284,524

2,250 - 546,750

741 - 162,246

261 - 53,505

544 - 108,298

587 - 115,724

214 - 39,590

4,000 - 656,034

1,623 - 258,052

138 - 20,976

196 - 28,087

321 - 42,718

303 - 32,157

153 - 15,300

6,087 - 602,614

3,388 - 328,636

105 - 9,725

865 - 76,957

350 - 30,072

1,215 - 103,293

4,347 - 339,047

1,140 - 84,387

600 - 43,228

1,740 - 121,800
 1,602 - 97,697

125 - 6,013

4,950 - 217,800

155 - 6,837

4,926 - 162,569

656 - 19,685

1,430 - 42,887

104 - 2,924

621 - 16,762

457 - 11,882

3,080 - 77,000

39,270 - 981,750

148 - 3,404

4,053 - 93,227

183 - 4,033

521 - 10,946

27,692 - 553,840

244 - 4,634

550 - 9,900

1,463 - 24,871

4,399 - 74,779

4,687 - 74,992

7,687 - 122,984

13,860 - 207,900

2,959 - 44,385

1,117 - 15,640

6,385 - 89,387

55,000 - 770,000
 1,332 - 17,316

475 - 6,170

81,360 - 976,320

2,014 - 24,171

7,142 - 85,707

73,888 - 812,771

3,818 - 38,181

300 - 3,000

2,543 - 25,430

2,443 - 24,433

6,216 - 62,157

292 - 2,624

170 - 1,527

736 - 6,621

3,000 - 27,000

20,757 - 186,813

2,200 - 17,600

6,869 - 54,953

4,697 - 37,576

11,822 - 82,755

22,712 - 158,982

8,144 - 57,007

789 - 5,524

33,631 - 235,418

270,112 - 1,890,784

9,575 - 57,448

325 - 1,950

29,000 - 174,000
31,672 - 190,031

1,715 - 10,290

7,424 - 37,120

1,718 - 8,590

4,813 - 24,067

611 - 3,056

1,545 - 7,725

439 - 2,195

424 - 2,122

15,881 - 63,524

73,768 - 295,072

5,631 - 22,526

492 - 1,968

13,650 - 54,600

9,081 - 36,325

901 - 3,603

4,514 - 18,055

7,038 - 28,151

10,270 - 30,810

2,822 - 8,466

678 - 2,033

2,591 - 7,773

52,525 - 157,575

8,385 - 25,155

7,519 - 15,038

73,129 - 146,259

13,736 - 27,472

18,384 - 36,767
 6,035 - 12,070

25,850 - 51,700

935 - 1,870

1,554 - 3,108

100 - 200

270 - 540

4,500 - 9,000

37,500 - 75,000

4,288 - 8,575

27,106 - 54,212

25,000 - 50,000

525,000 - 1,050,000

10,309 - 20,618

9,148 - 18,296

2,178 - 4,356

590 - 1,181

28,500 - 28,500

191,008 - 191,008

6,000 - 6,000

81,766 - 81,766

8,304 - 8,304

4,747 - 4,747

17,614 - 17,614

23,000 - 23,000

12,820 - 12,820

33,916 - 33,916

35,802 - 35,802

17,760 - 17,760
 6,500 - 6,500

224,392 - 224,392

208,792 - 208,792

340 - 340

255 - 255

413 - 413

505 - 505

4,751 - 4,751

33,247 - 33,247

15,721 - 15,721

16,449 - 16,449

8,800 - 8,800

30,050 - 30,050

3,961 - 3,961

11,000 - 11,000

18,712 - 18,712

8,800 - 8,800

6,050 - 6,050

19,540 - 19,540

5,991 - 5,991

474 - 474

25,379 - 25,379

822 - 822

85,406 - 85,406

3,054 - 3,054

11,500 - 11,500

10,473 - 10,473

15,214 - 15,214
 2,000 - 2,000

14,630 - 14,630

19,354 - 19,354

1,800 - 1,800

24,447 - 24,447

1,699 - 1,699

70,015 - 70,015

2,745 - 2,745

198,000 - 198,000

71,755 71,755

73,199 73,199

6,218 6,218

6,670 6,670

86,066 86,066

10,896 10,896

- -

17,771 17,771

8,862 8,862

34,650 34,650

14,364 14,364

723 723

19,022 19,022

3,627 3,627

22,705 22,705

9,954 9,954

72,167 72,167

2,903 2,903

20,001 20,001
31,898 31,898

16,010 16,010

3,088 3,088

12,540 12,540

550 550

650 650

5,500 5,500

76,943 76,943

10,609 10,609

18,700 18,700

22,478 22,478

22,478 22,478

5,000 5,000

4,806 4,806

4,353 4,353

14,630 14,630

17,705 17,705

35,000 35,000

14,048 14,048

8,679 8,679

66,000 66,000

5,884 5,884

21,213 21,213

8,000 8,000

4,912 4,912

15,221 30,442

36,100 72,200

5,834 11,668
 5,775 11,550

4,195 8,390

23,017 46,034

39,950 79,900

1 2

884 1,768

4,716 9,432

6,294 12,587

7,500 15,000

4,162 8,324

5,864 11,727

550 1,100

18,790 37,579

7,014 14,028

57,768 115,536

16,250 48,750

3,867 11,601

20,350 61,050

2,371 7,113

3,089 9,266

1,356 4,068

3,036 9,108

2,020 6,061

464 1,393

51,383 154,149

- -

20,004 60,012

2,541 7,623
100,000 300,000

7,544 22,632

26,856 107,426

4,999 19,996

4,287 17,147

6,666 26,666

18,481 73,924

- -

1,444 5,776

16,667 66,669

6,667 33,335

9,010 45,049

556 2,780

745 3,724

27,750 138,750

1,448 7,239

209 1,254

12,500 75,000

4,615 27,688

2,814 19,697

45,160 316,120

5,755 40,286

233 1,865

4,480 35,843

3,000 27,000

605 6,050

863 8,633

11,582 115,824
 1,201 12,006

4,295 42,947

22,533 225,326

300 3,300

54,693 601,628

5,397 70,161

15,301 198,908

60,692 788,999

9,261 129,654

4,845 67,823

27,012 432,196

7,150 121,543

2,010 34,174

1,024 17,410

1,185 20,144

68 1,217

7,846 141,221

- -

1,845 36,902

686 13,729

59,104 1,182,076

453 9,968

120 2,760

331 7,932

135 3,232

242 5,804

1,050 26,250

4,453 111,316
 211 5,485

1,921 49,946

174 4,698

646 17,440

43,521 1,175,079

77,918 2,259,625

2,280 66,132

206 6,372

693 22,176

436 13,954

900 29,700

216 7,344

593 20,147

618 21,000

1,415 50,928

120 4,326

648 23,963

792 29,287

6,780 250,851

831 31,578

576 22,455

1,476 63,468

951 41,844

15,769 709,605

2,310 110,880

6,985 342,260

1,332 65,268

135 6,905
 331 16,861

5,105 275,644

8,944 545,561

619 38,371

268 18,236

3,394 234,152

6,660 466,200

1,461 102,282

12,075 857,291

113 8,015

6,822 498,002

280 22,680

126 10,239

3,700 310,800

145 12,288

109 10,174

83 7,739

990 92,061

3,462 321,923

- -

129 12,904

86 9,961

179 23,125

74 9,813

531 79,135

429 65,188

508 80,739

379 61,354
 - -

168 29,815

4,000 724,000

98 18,122

3,000 570,063

164 31,253

176 33,786

342 67,619

46 9,220

707 141,348

1,107 232,439

169 36,914

65 15,107

234 57,781

1,150 299,052

274 79,699

14,188 12,769

404 9,488

126 - 3,471

6,441 28,984

325 - 2,115

1,513,443
 77 f
0
23
E FINAL INSTALASI FARMASI Tanggal : 30-Mar-2024
Harga Nominal
No Nama Barang Satuan Tgl SO Selisih Keterangan
Beli Plus
INSTALASI
1 AMINOFLUID 500 ML 71,755 BKS 3/30/2024 1 71,755
FARMASI
LEVOFLOXACIN 750 INSTALASI
2 73,199 BTL 3/30/2024 1 73,199
MG INFUS FARMASI
INSTALASI
3 MGSO4 40% 6,218 FLB 3/30/2024 1 6,218
FARMASI
INSTALASI
4 NACL 500 ML 6,670 FLB 3/30/2024 1 6,670
FARMASI
(JKN) NOVORAPID INSTALASI
5 86,066 PEN 3/30/2024 1 86,066
PEN FARMASI

CARBAZOCHROME INSTALASI
6 10,896 AMP 3/30/2024 1 10,896
SODIUM SULFONATE FARMASI

INSTALASI
7 ANTRAIN INJEKSI 11,858 AMP 3/30/2024 1 11,858
FARMASI
PROTERIN 10 MG/2 INSTALASI
8 17,771 AMP 3/30/2024 1 17,771
ML INJEKSI FARMASI
INSTALASI
9 SAGESTAM INJEKSI 8,862 AMP 3/30/2024 1 8,862
FARMASI
TRIAMCINOLON INSTALASI
10 34,650 VIAL 3/30/2024 1 34,650
10MG/ML INJEKSI FARMASI
INSTALASI
11 TYZOX INJEKSI 14,364 AMP 3/30/2024 1 14,364
FARMASI
ACYCLOVIR 400 MG INSTALASI
12 723 TAB 3/30/2024 1 723
TAB FARMASI
AMOXSAN DRY INSTALASI
13 19,022 BTL 3/30/2024 1 19,022
SYRUP FARMASI
INSTALASI
14 ANTASIDA SYRUP 3,627 BTL 3/30/2024 1 3,627
FARMASI
SANADRYL DMP 120 INSTALASI
15 22,705 BTL 3/30/2024 1 22,705
ML FARMASI
INSTALASI
16 VESPERUM DROPS 9,954 BTL 3/30/2024 1 9,954
FARMASI
KENALOG IN ORAL INSTALASI
17 72,167 PCS 3/30/2024 1 72,167
BASE FARMASI
INSTALASI
18 SERBUK PK 2,903 PCS 3/30/2024 1 2,903
FARMASI
INSTALASI
19 FLAMAR GEL 20,001 TUBE 3/30/2024 1 20,001
FARMASI
CENDO FLOXA TETES INSTALASI
20 31,898 BTL 3/30/2024 1 31,898
MATA 5 ML FARMASI
CENDO CONVER 2% INSTALASI
21 16,010 BTL 3/30/2024 1 16,010
ED FARMASI
INSTALASI
22 CERINI TABLET 3,088 TAB 3/30/2024 1 3,088
FARMASI
INSTALASI
23 MICROGEST 100 MG 12,540 TAB 3/30/2024 1 12,540
FARMASI
 INSTALASI
24 NEPHROLIT KAPSUL 550 CAP 3/30/2024 1 550
FARMASI
INSTALASI
25 BISTURI NO 15 650 PCS 3/30/2024 1 650
FARMASI
INSTALASI
26 ELEKTRODA BAYI 5,500 PCS 3/30/2024 1 5,500
FARMASI
INSTALASI
27 ETT 8 76,943 PCS 3/30/2024 1 76,943
FARMASI
FOLEY CATHETER 2 INSTALASI
28 10,609 PCS 3/30/2024 1 10,609
WAY 16 FR FARMASI
FOLEY CATHETER 2 INSTALASI
29 18,700 PCS 3/30/2024 1 18,700
WAY 22 FR FARMASI
GUDEL AIRWAY 60 INSTALASI
30 22,478 PCS 3/30/2024 1 22,478
MM FARMASI
GUDEL AIRWAY 90 INSTALASI
31 22,478 PCS 3/30/2024 1 22,478
MM FARMASI
INSTALASI
32 IV CATHETER 18 GEA 5,000 PCS 3/30/2024 1 5,000
FARMASI
INSTALASI
33 IV CATHETER 26 GEA 4,806 PCS 3/30/2024 1 4,806
FARMASI
INFUSION SET MICRO INSTALASI
34 4,353 PCS 3/30/2024 1 4,353
GEA FARMASI
INSTALASI
35 MASKER O2 DEWASA 14,630 PCS 3/30/2024 1 14,630
FARMASI
MASKER NEBULIZER INSTALASI
36 17,705 PCS 3/30/2024 1 17,705
ADULT FARMASI
INSTALASI
37 NGT NO 10 35,000 PCS 3/30/2024 1 35,000
FARMASI
INSTALASI
38 NGT NO 5 / 100 CM 14,048 PCS 3/30/2024 1 14,048
FARMASI
INSTALASI
39 NGT NO 8 / 100 CM 8,679 PCS 3/30/2024 1 8,679
FARMASI
PETCRYL 910 1 INSTALASI
40 66,000 PCS 3/30/2024 1 66,000
TAPPER FARMASI
SILK 2/0 ONE MED INSTALASI
41 5,884 PCS 3/30/2024 1 5,884
CUTTING FARMASI
SILK BLACK 1 HR 37 INSTALASI
42 21,213 PCS 3/30/2024 1 21,213
MM TAPPER FARMASI
SUCTION CATHETER INSTALASI
43 8,000 PCS 3/30/2024 1 8,000
NO 6 FARMASI
SUCTION CATHETER INSTALASI
44 4,912 PCS 3/30/2024 1 4,912
NO 16 FARMASI
INSTALASI
45 VALISANBE INJEKSI 15,221 AMP 3/30/2024 2 30,442
FARMASI
INSTALASI
46 NACL 3% 36,100 FLB 3/30/2024 2 72,200
FARMASI
INSTALASI
47 SUPERHEROID SUPP 5,834 SUPP 3/30/2024 2 11,668
FARMASI
DIPHENHYDRAMIN INSTALASI
48 5,775 AMP 3/30/2024 2 11,550
HCL 150 MG INJ FARMASI
 METOCLOPRAMIDE INSTALASI
49 4,195 AMP 3/30/2024 2 8,390
INJEK FARMASI
CENDO LYTEERS INSTALASI
50 23,017 BTL 3/30/2024 2 46,034
TETES MATA 15 ML FARMASI
THROMBOPOP GEL 10 INSTALASI
51 39,950 TUBE 3/30/2024 2 79,900
GR FARMASI
OTILON TETES INSTALASI
52 1 BTL 3/30/2024 2 2
TELINGA FARMASI
INSTALASI
53 BISTURI NO 21 884 PCS 3/30/2024 2 1,768
FARMASI
INSTALASI
54 BLOOD SET ONEMED 4,716 PCS 3/30/2024 2 9,432
FARMASI
CONDOM CATHETER INSTALASI
55 6,294 PACK 3/30/2024 2 12,588
L FARMASI
INSTALASI
56 CONDOM CATETER M 7,500 PCS 3/30/2024 2 15,000
FARMASI
INSTALASI
57 IV CATHETER 14 GEA 4,162 PCS 3/30/2024 2 8,324
FARMASI
NASAL OXIGEN INSTALASI
58 5,864 PCS 3/30/2024 2 11,728
ANAK FARMASI
INSTALASI
59 NEEDLE 26 T 550 PCS 3/30/2024 2 1,100
FARMASI
INSTALASI
60 NGT NO 18 18,790 PCS 3/30/2024 2 37,580
FARMASI
SUCTION CATHETER INSTALASI
61 7,014 PCS 3/30/2024 2 14,028
NO 10 FARMASI
SURGICRYL 910 1 HR
INSTALASI
62 40 MM 1540 0140 57,768 PCS 3/30/2024 2 115,536
FARMASI
TAPPER
INSTALASI
63 MILOZ 5 MG INJ 16,250 AMP 3/30/2024 3 48,750
FARMASI
INSTALASI
64 KCL 7,46 OTSU 3,867 FLB 3/30/2024 3 11,601
FARMASI
INSTALASI
65 PAMOL 250 MG SUPP 20,350 SUPP 3/30/2024 3 61,050
FARMASI
ASAM
INSTALASI
66 TRANEKSAMAT 2,371 AMP 3/30/2024 3 7,113
FARMASI
INJEKSI 500 MG/ML
INSTALASI
67 MERSIBION INJEKSI 3,089 AMP 3/30/2024 3 9,267
FARMASI
INSTALASI
68 RANITIDINE INJEKSI 1,356 AMP 3/30/2024 3 4,068
FARMASI
INSTALASI
69 TRAMADOL INJEK 3,036 VIAL 3/30/2024 3 9,108
FARMASI
ERDOSTEIN 300 MG INSTALASI
70 2,020 CAP 3/30/2024 3 6,060
KAPSUL FARMASI
PIRACETAM 800 MG INSTALASI
71 464 TAB 3/30/2024 3 1,392
TAB FARMASI
INSTALASI
72 INTERPEC SYR 15MG 51,383 BTL 3/30/2024 3 154,149
FARMASI
 COUNTERPAIN INSTALASI
73 9,402 TUBE 3/30/2024 3 28,206
CREAM 5 GR FARMASI
DICLOFENAC
INSTALASI
74 DIETHYLAMINE 50 20,004 TUBE 3/30/2024 3 60,012
FARMASI
GR
APPRON WHITE INSTALASI
75 2,541 PCS 3/30/2024 3 7,623
DISPOSIBLE FARMASI
ELEKTRODA SMILE INSTALASI
76 100,000 PCS 3/30/2024 3 300,000
BAYI FARMASI
SUCTION CATHETER INSTALASI
77 7,544 PCS 3/30/2024 3 22,632
NO 18 FARMASI
INSTALASI
78 RINVEL INJEKSI 26,856 AMP 3/30/2024 4 107,424
FARMASI
METAMIZOLE INSTALASI
79 4,999 AMP 3/30/2024 4 19,996
INJEKSI FARMASI
PHYTOMENIDIONE 2 INSTALASI
80 4,287 VIAL 3/30/2024 4 17,148
MG/ML INJEKSI FARMASI
CILOSTAZOL 100 MG INSTALASI
81 6,666 TAB 3/30/2024 4 26,664
TAB FARMASI
DOMPERIDONE INSTALASI
82 18,481 BTL 3/30/2024 4 73,924
SYRUP FARMASI
INSTALASI
83 DOMPERIDONE DROP 10,539 BTL 3/30/2024 4 42,156
FARMASI
KONDOM SUTERA INSTALASI
84 1,444 PCS 3/30/2024 4 5,776
MERAH FARMASI
MASKER NON- INSTALASI
85 16,667 PCS 3/30/2024 4 66,668
REBRITING BAYI FARMASI
AMINOPHYLLINE INSTALASI
86 6,667 AMP 3/30/2024 5 33,335
INJEKSI FARMASI
CEFOTAXIME INSTALASI
87 9,010 VIAL 3/30/2024 5 45,050
INJEKSI FARMASI
CIPROFLOXACIN 500 INSTALASI
88 556 TAB 3/30/2024 5 2,780
MG TAB FARMASI
INSTALASI
89 CLOPIDOGREL 75 MG 745 TAB 3/30/2024 5 3,725
FARMASI
INSTALASI
90 PAMOL SYRUP 27,750 BTL 3/30/2024 5 138,750
FARMASI
INSTALASI
91 UMBILICAL CLAIM 1,448 PCS 3/30/2024 5 7,240
FARMASI
INSTALASI
92 TEOSAL TAB 209 TAB 3/30/2024 6 1,254
FARMASI
INSTALASI
93 MICROPORE KECIL 12,500 PCS 3/30/2024 6 75,000
FARMASI
SILK 3/0 ONE MED INSTALASI
94 4,615 PCS 3/30/2024 6 27,690
CUTTING FARMASI
INSTALASI
95 WATER PRO INJEKSI 2,814 FLB 3/30/2024 7 19,698
FARMASI
INSTALASI
96 REGIVEL INJEKSI 45,160 AMP 3/30/2024 7 316,120
FARMASI
 NASAL OXYGEN INSTALASI
97 5,755 PCS 3/30/2024 7 40,285
BAYI FARMASI
METRONIDAZOLE 500 INSTALASI
98 233 TAB 3/30/2024 8 1,864
MG TAB FARMASI
INSTALASI
99 IV CATHETER 24 GEA 4,480 PCS 3/30/2024 8 35,840
FARMASI
INSTALASI
100 BISTURI NO 22 3,000 PCS 3/30/2024 9 27,000
FARMASI
INSTALASI
101 ZINK TABLET 605 TAB 3/30/2024 10 6,050
FARMASI
FOLAVIT 400 MCG INSTALASI
102 863 TAB 3/30/2024 10 8,630
TAB FARMASI
INSTALASI
103 LAPRAZ KAPSUL 11,582 CAP 3/30/2024 10 115,820
FARMASI
INSTALASI
104 MEFINAL 500 TAB 1,201 TAB 3/30/2024 10 12,010
FARMASI
INSTALASI
105 IV CATHETER 20 GEA 4,295 PCS 3/30/2024 10 42,950
FARMASI
INSTALASI
106 MICROPORE BESAR 22,533 PCS 3/30/2024 10 225,330
FARMASI
INSTALASI
107 DEXTEEM PLUS TAB 300 TAB 3/30/2024 11 3,300
FARMASI
INSTALASI
108 SPINOCAN 26 54,693 PCS 3/30/2024 11 601,623
FARMASI
CATGUT CHROMIC
INSTALASI
109 2/0 CUTTING GEA/ 5,397 PCS 3/30/2024 13 70,161
FARMASI
ONEMED

FILM TRANSPARANT INSTALASI

110 15,301 LOZ 3/30/2024 13 198,913
DRESSING 10 x 25 CM FARMASI

SURGICRYL 910 3/0

INSTALASI
111 DS 24 MM 15201524 60,692 PCS 3/30/2024 13 788,996
FARMASI
CUTTING
INSTALASI
112 INFUSAN D5 + 1/4 NS 9,261 FLS 3/30/2024 14 129,654
FARMASI
INSTALASI
113 VENFLON NO 22 4,845 PCS 3/30/2024 14 67,830
FARMASI
CATGUT CHROMIC
INSTALASI
114 2/0 HR 37 MM 2350137 27,012 PCS 3/30/2024 16 432,192
FARMASI
TAPPER
INSTALASI
115 OTSU D40 7,150 FLB 3/30/2024 17 121,550
FARMASI
DEXKETOPROFEN 25 INSTALASI
116 2,010 TAB 3/30/2024 17 34,170
MG TABLET FARMASI
FENOFIBRATE 300 INSTALASI
117 1,024 TAB 3/30/2024 17 17,408
MG FARMASI
NORESTHISTERONE INSTALASI
118 1,185 TAB 3/30/2024 17 20,145
5MG TAB FARMASI
(JKN) MINIASPI 80 MG INSTALASI
119 68 TAB 3/30/2024 18 1,224
TAB FARMASI
 INSTALASI
120 PAMPERS LANSIA M 7,846 PCS 3/30/2024 18 141,228
FARMASI
INSTALASI
121 SPINOCAN 27 62,160 PCS 3/30/2024 19 1,181,040
FARMASI
INSTALASI
122 OXYTOCIN INJEKSI 1,845 AMP 3/30/2024 20 36,900
FARMASI
INSTALASI
123 PAMOL TABLET 686 TAB 3/30/2024 20 13,720
FARMASI
MASKER NON- INSTALASI
124 59,104 PCS 3/30/2024 20 1,182,080
REBRITING ANAK FARMASI
ONDANSENTRON 8 INSTALASI
125 453 TAB 3/30/2024 22 9,966
MG TAB FARMASI
INSTALASI
126 PIROXICAM 20 120 TAB 3/30/2024 23 2,760
FARMASI
AMBROXOL 30 MG INSTALASI
127 331 TAB 3/30/2024 24 7,944
TAB FARMASI
NIFEDIPINE 10 MG INSTALASI
128 135 TAB 3/30/2024 24 3,240
TAB FARMASI
INSTALASI
129 NEEDLE 23 T 242 PCS 3/30/2024 24 5,808
FARMASI
INSTALASI
130 PRONEURON TABLET 1,050 TAB 3/30/2024 25 26,250
FARMASI
ONDANSENTRON 8 INSTALASI
131 4,453 AMP 3/30/2024 25 111,325
MG INJEKSI FARMASI
MELOXICAM 15 MG INSTALASI
132 211 TAB 3/30/2024 26 5,486
TAB FARMASI
INSTALASI
133 (JKN) KSR TAB 1,921 TAB 3/30/2024 26 49,946
FARMASI
LOPERAMIDE INSTALASI
134 174 TAB 3/30/2024 27 4,698
TABLET FARMASI
MELOXICAM 7,5 MG INSTALASI
135 646 TAB 3/30/2024 27 17,442
TABLET FARMASI
INSTALASI
136 XYLOCAIN GELL 43,521 PCS 3/30/2024 27 1,175,067
FARMASI
INSTALASI
137 (JKN) SANSULIN PEN 77,918 PEN 3/30/2024 29 2,259,622
FARMASI
INSTALASI
138 GLAUCON TABLET 2,280 TAB 3/30/2024 29 66,120
FARMASI
INSTALASI
139 ISDN 5 MG TABLET 206 TAB 3/30/2024 31 6,386
FARMASI
INSTALASI
140 ELKANA TABLET 693 TAB 3/30/2024 32 22,176
FARMASI
INSTALASI
141 NEURODEX TABLET 436 TAB 3/30/2024 32 13,952
FARMASI
PIRACETAM 400 MG INSTALASI
142 900 TAB 3/30/2024 33 29,700
TAB FARMASI
ALLOPURINOL 100 INSTALASI
143 216 TAB 3/30/2024 34 7,344
MG TAB FARMASI
NEW DIATAB INSTALASI
144 593 TAB 3/30/2024 34 20,162
TABLET FARMASI
 DISPOSIBLE SPUIT 1 INSTALASI
145 618 PCS 3/30/2024 34 21,012
CC ONE MED FARMASI
CANDESARTAN 16 INSTALASI
146 1,415 TAB 3/30/2024 36 50,940
MG TAB FARMASI
SALBUTAMOL 2 MG INSTALASI
147 120 TAB 3/30/2024 36 4,320
TABLET FARMASI
SIMVASTATIN 20 MG INSTALASI
148 648 TAB 3/30/2024 37 23,976
TAB FARMASI
CURCUMA SANBE INSTALASI
149 792 TAB 3/30/2024 37 29,304
TAB FARMASI
HAND SCOON STERIL INSTALASI
150 6,780 PCS 3/30/2024 37 250,860
NO 6.5 FARMASI
INSTALASI
151 ACARBOSE 100 MG 831 TAB 3/30/2024 38 31,578
FARMASI
ASPILET 80 MG INSTALASI
152 576 TAB 3/30/2024 39 22,464
TABLET FARMASI
CODEIN 20 MG INSTALASI
153 1,476 TAB 3/30/2024 43 63,468
TABLET FARMASI
INSTALASI
154 RAMIPRIL 10 MG 951 TAB 3/30/2024 44 41,844
FARMASI
VALISANBE 2 MG INSTALASI
155 15,769 TAB 3/30/2024 45 709,605
TABLET FARMASI
THREE WAY INSTALASI
156 2,310 PCS 3/30/2024 48 110,880
STOPCOCK FARMASI
RINGER LACTATE 500 INSTALASI
157 6,985 FLB 3/30/2024 49 342,265
ML FARMASI
FLUNARIZIN 5 MG INSTALASI
158 1,332 TAB 3/30/2024 49 65,268
TABLET FARMASI
INSTALASI
159 HCT 25 MG TABLET 135 TAB 3/30/2024 51 6,885
FARMASI
INSTALASI
160 PYRAZINAMIDE 331 TAB 3/30/2024 51 16,881
FARMASI
HAND SCOON STERIL INSTALASI
161 5,105 PCS 3/30/2024 54 275,670
NO 6 FARMASI
CITICOLINE 500 MG INSTALASI
162 8,944 AMP 3/30/2024 61 545,584
INJEKSI FARMASI
DISPOSIBLE SPUIT 5 INSTALASI
163 619 PCS 3/30/2024 62 38,378
CC ONE MED FARMASI
CEFIXIME 200 MG INSTALASI
164 268 CAP 3/30/2024 68 18,224
TAB (@100) FARMASI
INSTALASI
165 INTIDROL 4 MG 3,394 TAB 3/30/2024 69 234,186
FARMASI
CITICOLINE 250 MG INSTALASI
166 6,660 AMP 3/30/2024 70 466,200
INJEKSI FARMASI
ASAM
INSTALASI
167 TRANEKSAMAT 500 1,461 TAB 3/30/2024 70 102,270
FARMASI
MG TAB
PARACETAMOL INSTALASI
168 12,075 BTL 3/30/2024 71 857,325
INFUS FARMASI
 CAPTOPRIL 25 MG INSTALASI
169 113 TAB 3/30/2024 71 8,023
TABLET FARMASI
PREGABALIN 75 MG INSTALASI
170 6,822 TAB 3/30/2024 73 498,006
TABLET FARMASI
KETOCONAZOLE INSTALASI
171 280 TAB 3/30/2024 81 22,680
200MG TAB FARMASI
NATRIUM
INSTALASI
172 DIKLOFENAK 50 MG 126 TAB 3/30/2024 81 10,206
FARMASI
TAB
ATORVASTATIN 10 INSTALASI
173 3,700 TAB 3/30/2024 84 310,800
MG FARMASI
DEXAMETASONE 0.5 INSTALASI
174 145 TAB 3/30/2024 85 12,325
TAB FARMASI
CAPTOPRIL 12,5 MG INSTALASI
175 109 TAB 3/30/2024 93 10,137
TABLET FARMASI
CALCIUM LAKTAT INSTALASI
176 83 TAB 3/30/2024 93 7,719
500 MG FARMASI
GABAPENTIN 300 MG INSTALASI
177 990 TAB 3/30/2024 93 92,070
KAPS FARMASI
TAMSULOSIN SR 0,4 INSTALASI
178 3,462 TAB 3/30/2024 93 321,966
MG TABLET FARMASI
ACYCLOVIR 200 MG INSTALASI
179 - TAB 3/30/2024 100 -
TAB FARMASI
INSTALASI
180 BLOOD LANCET 28 G 129 PCS 3/30/2024 100 12,900
FARMASI
INSTALASI
181 PROPANOLOL 10 MG 86 TAB 3/30/2024 116 9,976
FARMASI
CETIRIZINE 10 MG INSTALASI
182 179 TAB 3/30/2024 129 23,091
TABLET FARMASI
INSTALASI
183 NATBIC TAB 74 TAB 3/30/2024 132 9,768
FARMASI
MECOBALAMINE 500 INSTALASI
184 531 CAP 3/30/2024 149 79,119
MG KAPSUL FARMASI
ACETYLSISTEINE 200 INSTALASI
185 429 TAB 3/30/2024 152 65,208
MG TAB FARMASI
GLUCOSAMINE 250 INSTALASI
186 508 TAB 3/30/2024 159 80,772
MG TABLET FARMASI
CACO3 500 MG INSTALASI
187 379 TAB 3/30/2024 162 61,398
KAPSUL FARMASI
CLOBAZAM 10 MG INSTALASI
188 1,101 TAB 3/30/2024 170 187,170
TAB FARMASI
METHYL
INSTALASI
189 PREDNISOLONE 4 MG 168 TAB 3/30/2024 178 29,904
FARMASI
TAB
PIOGLITAZONE 30 INSTALASI
190 4,000 TAB 3/30/2024 181 724,000
MG FARMASI
AMLODIPINE 10 MG INSTALASI
191 98 TAB 3/30/2024 184 18,032
TAB FARMASI
INSTALASI
192 DIFLAM 50 3,000 TAB 3/30/2024 190 570,000
FARMASI
 GLIMEPIRIDE 2 MG INSTALASI
193 164 TAB 3/30/2024 191 31,324
TABLET FARMASI
RANITIDINE 150 MG INSTALASI
194 176 TAB 3/30/2024 192 33,792
TAB FARMASI
OMEPRAZOLE INSTALASI
195 342 CAP 3/30/2024 198 67,716
KAPSUL FARMASI
INSTALASI
196 CTM TABLET 46 TAB 3/30/2024 199 9,154
FARMASI
VITAMIN D 1000 UI INSTALASI
197 707 TAB 3/30/2024 200 141,400
TAB FARMASI
KETOPROFEN 100 MG INSTALASI
198 1,107 TAB 3/30/2024 210 232,470
TAB FARMASI
ASAM MEFENAMAT INSTALASI
199 169 TAB 3/30/2024 218 36,842
500 MG TAB FARMASI
VITAMIN B COMPLEX INSTALASI
200 65 TAB 3/30/2024 231 15,015
TABLET FARMASI
INSTALASI
201 METAMIZOL TABLET 234 TAB 3/30/2024 247 57,798
FARMASI
THIAMPHENICOL INSTALASI
202 1,150 CAP 3/30/2024 260 299,000
500MG KAPSUL FARMASI
SPIRONOLACTONE 25 INSTALASI
203 274 TAB 3/30/2024 291 79,734
MG TABLET FARMASI
METHYL
INSTALASI
204 PREDNISOLONE 14,188 AMP 3/30/2024 1 14,188
FARMASI
INJEKSI
VALISANBE 5 MG INSTALASI
205 404 TAB 3/30/2024 23 9,292
TABLET FARMASI
INSTALASI
206 SUCRALFAT SIRUP 6,441 BTL 3/30/2024 5 32,205
FARMASI
Total 21,131,678
Total -
Petuga Penangggung Jawab Keuangan
s Input Gudang/Ruangan

( ......... ( ....................................... ( .............

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........... ................
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........... .)
......... )
77 23 0 f
Harga Nominal
No Nama Barang Satuan Selisih Keterangan
Beli Minus
DISPOSIBLE SPUIT 3 CC INTALASI
1 608 PCS -443 - 269,344
ONE MED FARMASI
INTALASI
2 PIOGLITAZONE 15 MG TAB 2,352 TAB -324 - 762,048
FARMASI
DISPOSIBLE SPUIT 10 CC INTALASI
3 971 PCS -293 - 284,503
ONE MED FARMASI
INTALASI
4 CANDESARTAN 8 MG TAB 2,250 TAB -243 - 546,750
FARMASI
INTALASI
5 EPEXOL TABLET 741 TAB -219 - 162,279
FARMASI
INTALASI
6 LISINOPRIL 5 MG TAB 261 TAB -205 - 53,505
FARMASI
GLIMEPIRIDE 4 MG INTALASI
7 544 TAB -199 - 108,256
TABLET FARMASI
INTALASI
8 CEFIXIME 100 MG KAPSUL 587 CAP -197 - 115,639
FARMASI
INTALASI
9 AMLODIPINE 5 MG TAB 214 TAB -185 - 39,590
FARMASI
INFUSION SET MAKRO INTALASI
10 4,000 PCS -164 - 656,000
GEA FARMASI
INTALASI
11 ATORVASTATIN 20 MG 1,623 TAB -159 - 258,057
FARMASI
KALIUM DIKLOFENAK 50 INTALASI
12 138 TAB -152 - 20,976
MG TAB FARMASI
INTALASI
13 MASKER BEDAH KARET 196 PCS -143 - 28,028
FARMASI
INTALASI
14 IBUPROFEN 400 MG TAB 321 TAB -133 - 42,693
FARMASI
METHYL PREDNISOLON 8 INTALASI
15 303 TAB -106 - 32,118
MG TABLET FARMASI
GLIBENCLAMIDE 5 MG INTALASI
16 153 TAB -100 - 15,300
TABLET FARMASI
INTALASI
17 HAND SCOON STERIL NO 7 6,087 PCS -99 - 602,613
FARMASI
INTALASI
18 NOVOTWINS 32G 5 MM 3,388 PCS -97 - 328,636
FARMASI
INTALASI
19 ASAM FOLAT TAB 105 TAB -93 - 9,765
FARMASI
INTALASI
20 EPERISONE 50 MG TAB 865 TAB -89 - 76,985
FARMASI
INTALASI
21 NURSE CAPS 350 PCS -86 - 30,100
FARMASI
KETOROlAC 30 MG/ML INTALASI
22 1,215 AMP -85 - 103,275
INJEKSI FARMASI
INTALASI
23 MISOPROSTOL TABLET 4,347 TAB -78 - 339,066
FARMASI
 ONDANSENTRON 4 MG INTALASI
24 1,140 AMP -74 - 84,360
INJEKSI FARMASI
INTALASI
25 INTUNAL FORTE TABLET 600 TAB -72 - 43,200
FARMASI
INTALASI
26 ANALSIK TAB 1,740 TAB -70 - 121,800
FARMASI
INTALASI
27 URSODEOXYCOLIC ACID 1,602 CAP -61 - 97,722
FARMASI
PARACETAMOL 500 MG INTALASI
28 125 TAB -48 - 6,000
TAB FARMASI
INTALASI
29 AZYTROMICIN TAB 4,950 TAB -44 - 217,800
FARMASI
SALBUTAMOL 4 MG INTALASI
30 155 TAB -44 - 6,820
TABLET FARMASI
INTALASI
31 VENFLON NO 18 4,926 PCS -33 - 162,558
FARMASI
INTALASI
32 ACARBOSE 50 MG 656 TAB -30 - 19,680
FARMASI
INTALASI
33 FG TROCHES TAB 1,430 LOZ -30 - 42,900
FARMASI
INTALASI
34 ANTASIDA TABLET 104 TAB -28 - 2,912
FARMASI
INTALASI
35 SEREMIG 10MG 621 TAB -27 - 16,767
FARMASI
ONDANSENTRON 4 MG INTALASI
36 457 TAB -26 - 11,882
TAB FARMASI
INTALASI
37 KETOROLAK TAB 3,080 TAB -25 - 77,000
FARMASI
INTALASI
38 SPINOCAN 25 39,270 PCS -25 - 981,750
FARMASI
INTALASI
39 PIROXICAM 10 148 TAB -23 - 3,404
FARMASI
INTALASI
40 UNDERPAD 4,053 PCS -23 - 93,219
FARMASI
INTALASI
41 DOMPERIDONE TABLET 183 TAB -22 - 4,026
FARMASI
METHYL PREDNISOLON 16 INTALASI
42 521 TAB -21 - 10,941
MG TABLET FARMASI
CENDO POLYDEX INTALASI
43 27,692 PACK -20 - 553,840
MINIDOSE FARMASI
INTALASI
44 DIAZEPAM 5 MG TABLET 244 TAB -19 - 4,636
FARMASI
ALLOPURINOL 300 MG INTALASI
45 550 TAB -18 - 9,900
TAB FARMASI
INTALASI
46 REBAMIPIDE 100 MG TAB 1,463 TAB -17 - 24,871
FARMASI
INTALASI
47 IV CATHETER 22 GEA 4,399 PCS -17 - 74,783
FARMASI
INTALASI
48 HIDROCORTISONE CREAM 4,687 PCS -16 - 74,992
FARMASI
 INTALASI
49 KASSA STERIL ONE MED 7,687 BOX -16 - 122,992
FARMASI
INTALASI
50 D5 500 ML WIDATRA 13,860 FLS -15 - 207,900
FARMASI
METHYLERGOMETHRINE INTALASI
51 2,959 AMP -15 - 44,385
INJEKSI FARMASI
INTALASI
52 ELEKTRODA DEWASA 1,117 PCS -14 - 15,638
FARMASI
INTALASI
53 HAND SCOON STERIL NO 8 6,385 PCS -14 - 89,390
FARMASI
INTALASI
54 SILK BLACK 3/0 TAPPER 55,000 PCS -14 - 770,000
FARMASI
INTALASI
55 FUROSEMID INJEKSI 1,332 AMP -13 - 17,316
FARMASI
INTALASI
56 INH 300 475 TAB -13 - 6,175
FARMASI
(JKN) SANSULIN RAPID INTALASI
57 81,360 PEN -12 - 976,320
PEN FARMASI
INTALASI
58 RIFAMPICIN 450 MG 2,014 TAB -12 - 24,168
FARMASI
HAND SCOON STERIL NO INTALASI
59 7,142 PCS -12 - 85,704
7.5 FARMASI
INTALASI
60 OTSU MANITOL 73,888 FLB -11 - 812,768
FARMASI
INTALASI
61 COMBIVENT 3,818 PCS -10 - 38,180
FARMASI
INTALASI
62 FARSIFEN PLUS TABLET 300 TAB -10 - 3,000
FARMASI
INTALASI
63 INBION CAPSUL 2,543 TAB -10 - 25,430
FARMASI
INTALASI
64 TRIFED TABLET 2,443 TAB -10 - 24,430
FARMASI
INTALASI
65 NASAL OXYGEN DEWASA 6,216 PCS -10 - 62,160
FARMASI
FUROSEMID 40 MG INTALASI
66 292 TAB -9 - 2,628
TABLET FARMASI
INTALASI
67 METFORMIN 500 MG TAB 170 TAB -9 - 1,530
FARMASI
INTALASI
68 TRIAMCINOLONE TAB 736 TAB -9 - 6,624
FARMASI
INTALASI
69 BETAMETASONE CREAM 3,000 TUBE -9 - 27,000
FARMASI
CATGUT CHROMIC 1 HR 48 INTALASI
70 20,757 PCS -9 - 186,813
MM 2500148 TAPPER FARMASI
INTALASI
71 ELEKTRODA ANAK 2,200 PCS -8 - 17,600
FARMASI
INTALASI
72 PAMPERS LANSIA L 6,869 PCS -8 - 54,952
FARMASI
INTALASI
73 SUCTION CATHETER NO 8 4,697 PCS -8 - 37,576
FARMASI
 INTALASI
74 D10 1/5 NS 11,822 FLS -7 - 82,754
FARMASI
INTALASI
75 METRONIDAZOLE INFUS 22,712 BTL -7 - 158,984
FARMASI

HYOSCIN N- INTALASI
76 8,144 AMP -7 - 57,008
BUTHYLBROMIDE INJEKSI FARMASI

INTALASI
77 FENOFIBRATE 100 MG 789 TAB -7 - 5,523
FARMASI
INTALASI
78 BD NEOFLON PRO NO 26 33,631 PCS -7 - 235,417
FARMASI
INTALASI
79 SURGICRYL NO 8/0 270,112 PCS -7 - 1,890,784
FARMASI
INTALASI
80 CEFTAZIDIME INJEKSI 9,575 VIAL -6 - 57,450
FARMASI
INTALASI
81 DILTIAZEM TAB 325 TAB -6 - 1,950
FARMASI
CENDO TOBROSON INTALASI
82 29,000 PACK -6 - 174,000
MINIDOSE FARMASI
MASKER NON-REBRITING INTALASI
83 31,672 PCS -6 - 190,032
DEWASA FARMASI
INTALASI
84 POT PLASTIK 100 CC 1,715 PCS -6 - 10,290
FARMASI
INTALASI
85 D10 500 ML 7,424 FLS -5 - 37,120
FARMASI
INTALASI
86 ATROPINE INJEKSI 1,718 AMP -5 - 8,590
FARMASI
CEFTRIAXONE 1 GR INTALASI
87 4,813 VIAL -5 - 24,065
INJEKSI FARMASI
INTALASI
88 PHENYTOIN KAPSUL 611 CAP -5 - 3,055
FARMASI
INTALASI
89 TIZANIDINE 2 MG TABLET 1,545 TAB -5 - 7,725
FARMASI
INTALASI
90 RAMIPRIL 5 MG TAB 439 TAB -5 - 2,195
FARMASI
VITAMIN C 500 MG INTALASI
91 424 TAB -5 - 2,120
TABLET FARMASI
INTALASI
92 INFUSAN D5 + 1/2 NS 15,881 FLS -4 - 63,524
FARMASI
INTALASI
93 OTOPAIN TETES TELINGA 73,768 PCS -4 - 295,072
FARMASI
INTALASI
94 OMEPRAZOL INJEKSI 5,631 VIAL -4 - 22,524
FARMASI
INTALASI
95 LORATADINE 10 MG TAB 492 TAB -4 - 1,968
FARMASI
INTALASI
96 SANADRYL DMP 60 ML 13,650 BTL -4 - 54,600
FARMASI
ERLAMYCETIN SALEP INTALASI
97 9,081 TUBE -4 - 36,324
MATA FARMASI
 INTALASI
98 SPASMINAL 901 TAB -4 - 3,604
FARMASI
INTALASI
99 VASELINE SWAB 4,514 PCS -4 - 18,056
FARMASI
INTALASI
100 VENFLON NO 20 7,038 PCS -4 - 28,152
FARMASI
INTALASI
101 TRIDEX 27 A 10,270 FLS -3 - 30,810
FARMASI
INTALASI
102 CITICOLINE 500 MG TAB 2,822 AMP -3 - 8,466
FARMASI
INTALASI
103 LEVOFLOXACIN TABLET 678 TAB -3 - 2,034
FARMASI
INTALASI
104 RIFAMPICIN 600 MG TAB 2,591 TAB -3 - 7,773
FARMASI
CENDO TIMOL 0,5% TETES INTALASI
105 52,525 BTL -3 - 157,575
MATA 5 ML FARMASI
KASSA GULUNG 10 CM INTALASI
106 8,385 PCS -3 - 25,155
ONEMED FARMASI
INTALASI
107 NACL 100 ML 7,519 FLB -2 - 15,038
FARMASI
INTALASI
108 LACTO B 73,129 SACH -2 - 146,258
FARMASI
INTALASI
109 PAMOL 125 MG SUPP 13,736 SUPP -2 - 27,472
FARMASI
CEFOPERAZONE INTALASI
110 18,384 VIAL -2 - 36,768
SULBACTAM INJEKSI FARMASI
INTALASI
111 MECOBALAMIN INJEKSI 6,035 AMP -2 - 12,070
FARMASI
INTALASI
112 NOREPHINEPRIN INJ 25,850 AMP -2 - 51,700
FARMASI
GLIQUIDONE 30 MG INTALASI
113 935 TAB -2 - 1,870
TABLET FARMASI
METHYLERGOMETRIN INTALASI
114 1,554 TAB -2 - 3,108
TAB FARMASI
INTALASI
115 PREDNISON TAB 100 TAB -2 - 200
FARMASI
INTALASI
116 SIMVASTATIN 10 MG TAB 270 TAB -2 - 540
FARMASI
INTALASI
117 ACYCLOVIR CREAM 4,500 TUBE -2 - 9,000
FARMASI
CENDO XITROL SALEP INTALASI
118 37,500 TUBE -2 - 75,000
MATA FARMASI
INTALASI
119 MICONAZOLE CREAM 4,288 TUBE -2 - 8,576
FARMASI
INTALASI
120 MICROGEST 200 MG 27,106 TAB -2 - 54,212
FARMASI
INTALASI
121 CATHETER TIP 50 ML 25,000 PCS -2 - 50,000
FARMASI
INTALASI
122 ETT NO 7 NON KING KING 525,000 PCS -2 - 1,050,000
FARMASI
 FOLEY CATHETER 2 WAY INTALASI
123 10,309 PCS -2 - 20,618
18 FR FARMASI
INTALASI
124 PAMPERS LANSIA XL 9,148 PCS -2 - 18,296
FARMASI
PISAU CUKUR SAVY INTALASI
125 2,178 PCS -2 - 4,356
RIZOR FARMASI
INTALASI
126 POT SALEP KECIL 590 PCS -2 - 1,180
FARMASI
INTALASI
127 NOZEPAV 10 MG ENEMA 28,500 TUBE -1 - 28,500
FARMASI
INTALASI
128 WIDAHEST 191,008 FLB -1 - 191,008
FARMASI
INTALASI
129 PRORIS SUPP 6,000 SUPP -1 - 6,000
FARMASI
INTALASI
130 APIDRA SOLOSTAR 81,766 PEN -1 - 81,766
FARMASI
INTALASI
131 INTERLAC + VIT D3 8,304 PCS -1 - 8,304
FARMASI
INTALASI
132 STOLAX SUPP 4,747 SUPP -1 - 4,747
FARMASI
INTALASI
133 ACRAN INJEKSI 17,614 AMP -1 - 17,614
FARMASI
INTALASI
134 DEXKETOPROFEN INJEKSI 23,000 AMP -1 - 23,000
FARMASI
INTALASI
135 INDEXON INJ 12,820 AMP -1 - 12,820
FARMASI
INTALASI
136 INVOMIT 4 MG INJEKSI 33,916 AMP -1 - 33,916
FARMASI
MEROPENEM INJEKSI 1 INTALASI
137 35,802 VIAL -1 - 35,802
GRAM FARMASI
INTALASI
138 PANTOPRAZOLE INJEKSI 17,760 VIAL -1 - 17,760
FARMASI
INTALASI
139 PEHACAIN 6,500 AMP -1 - 6,500
FARMASI
INTALASI
140 STARXON INJ 224,392 VIAL -1 - 224,392
FARMASI
INTALASI
141 TERFACEF INJEKSI 208,792 VIAL -1 - 208,792
FARMASI
INTALASI
142 BISACODYL TABLET 5MG 340 TAB -1 - 340
FARMASI
GLIMEPIRIDE 3 MG INTALASI
143 255 TAB -1 - 255
TABLET FARMASI
INTALASI
144 LANSOPRAZOLE KAPSUL 413 CAP -1 - 413
FARMASI
INTALASI
145 ORALIT/RAMOLIT 505 SACH -1 - 505
FARMASI
INTALASI
146 AMBROXOL SYR 4,751 BTL -1 - 4,751
FARMASI
INTALASI
147 ATAROC SYRUP 60 ML 33,247 BTL -1 - 33,247
FARMASI
 INTALASI
148 CEFADROXIL 250 MG DS 15,721 BTL -1 - 15,721
FARMASI
INTALASI
149 LACTULOSA SYRUP 16,449 BTL -1 - 16,449
FARMASI
INTALASI
150 ANFUHEX CREAM 8,800 TUBE -1 - 8,800
FARMASI
CENDO MYDRIATIL 1% INTALASI
151 30,050 BTL -1 - 30,050
MINIDOSE FARMASI
INTALASI
152 GENTAMYCIN CREAM 3,961 PCS -1 - 3,961
FARMASI
ERLAMYCETIN TETES INTALASI
153 11,000 ED -1 - 11,000
MATA FARMASI
MOMETASONE FUROATE INTALASI
154 18,712 TUBE -1 - 18,712
10 GR CREAM FARMASI
INTALASI
155 RECO TETES MATA 8,800 ED -1 - 8,800
FARMASI
INTALASI
156 RECO SALEP MATA 6,050 TUBE -1 - 6,050
FARMASI
INTALASI
157 PANTOPUMP 40 MG 19,540 TAB -1 - 19,540
FARMASI
INTALASI
158 RHINOS SR 5,991 CAP -1 - 5,991
FARMASI
INTALASI
159 SANMOL FORTE TAB 474 TAB -1 - 474
FARMASI
INTALASI
160 BD NEOFLON PRO NO 24 25,379 PCS -1 - 25,379
FARMASI
INTALASI
161 BISTURI NO 11 822 PCS -1 - 822
FARMASI
INTALASI
162 ETT 6 85,406 PCS -1 - 85,406
FARMASI
TRANSPARENT FILM
INTALASI
163 DRESSING 6 X 7 WITH 3,054 PCS -1 - 3,054
FARMASI
NOTCH
FOLEY CATHETER 2 WAY INTALASI
164 11,500 PCS -1 - 11,500
8 FR FARMASI
FOLEY CATHETER 2 WAY INTALASI
165 10,473 PCS -1 - 10,473
12 FR FARMASI
INTALASI
166 GUDEL AIRWAY 110MM 15,214 PCS -1 - 15,214
FARMASI
KASSA GULUNG 5 CM INTALASI
167 2,000 PCS -1 - 2,000
ONEMED FARMASI
INTALASI
168 MASKER O2 ANAK 14,630 PCS -1 - 14,630
FARMASI
MASKER NEBULIZER INTALASI
169 19,354 PCS -1 - 19,354
ANAK GEA FARMASI
INTALASI
170 NEEDLE 27 T 1,800 PCS -1 - 1,800
FARMASI
POLYPROPYLENE 2/0 INTALASI
171 24,447 PCS -1 - 24,447
CUTTING FARMASI
 INTALASI
172 POT SEDANG 50 CC 1,699 PCS -1 - 1,699
FARMASI
INTALASI
173 ST PANJANG NO 7,5 70,015 PCS -1 - 70,015
FARMASI
INTALASI
174 TRANSOVIX 2,745 PCS -1 - 2,745
FARMASI
INTALASI
175 VIGIMESH 6 cm x 11 cm 198,000 PCS -1 - 198,000
FARMASI
INTALASI
176 BISOPROLOL 5 MG TAB 126 TAB -27 - 3,402
FARMASI
(REG) VAKSIN HEPATITIS INTALASI
177 325 VIAL -6 - 1,950
0,5 MlL FARMASI
Total - 18,162,799

Petug
Penangggung Jawab Keuanga
as
Gudang/Ruangan n
Input

( .......
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.......... ...............
( ................................................
.......... ...............
.............. )
.......... ...............
.......... ..... )
..... )