TOTAL BELANJA 24 AGUSTUS - SEPTEMBER 20

No Tanggal PBF Nama Obat Jumlah Harga @ Diskon

1 24/08/2017 KALLISTA Cefila DS 3 78,000
2 29/08/2017 PENTA VALENT Profolat 400 30 19,800 118,800
3 29/08/2017 KALLISTA Prohelic 5 153,000
4 Promavit 3 150,000
5 Cal-95 5 132,000
6 30/08/2017 AMS Microlax 2 17,500 5,250
7 Oxoferin Sol 5 65,000 65,000
8 Breathy TH 10 17,500
9 Regivell Inj 5 300,000 150,000
10 Iflacort Cr 2 36,800 14,720
11 Tentalux Cr 6 26,700 32,040
12 Paracetamol Infus 5 42,500 68,000
13 Velutin Resp 12 70,000
14 30/08/2017 AMS Ryvell Drop 10 50,000
15 Zamel Syr 8 30,000 9,600
16 Ryvell Syr 5 50,000
17 Praxion Syr 12 19,500 35,100
18 Praxion F Syr 22 24,000 79,200
19 Vistrum Syr 16 30,500 97,600
20 ranivel Syr 5 52,500 10,500
21 Vostrin DS 18 37,500
22 Narfoz Syr 30 ml 19 55,000 209,000
23 Orezinc Syr 62 30,212 74,926
24 30/08/2017 AMS Isprinol Tab 12 75,000
25 Trilac 6 105,000
26 Lacto B 4 190,000 30,400
27 Clindamycin 300 1 62,520
28 Cavea 18 37,500 135,000
29 Chromalux 5 187,000 187,000
30 Zemyc 1 174,000 34,800
31 Natrium diklofenak 1 12,169
32 Ferosfat Ef 12 60,000 18,000
33 Candesartan 8 mg 1 135,000
34 30/08/2017 AMS Monell drop 5 42,500 8,500
35 Isprinol Syr 75 75,000
36 Ataroc Syr 95 45,000
37 Aztrin DS 18 93,500 336,600
38 30/08/2017 TIGA RAKSA SGM Ananda 1 5 8,182
39 SGM Ananda 2 192 8,182
40 30/08/2017 TIGA RAKSA SGM Bunda Hamil Coklat 48 16,628
41 SGM Bunda Hamil Strawberry 96 16,628 365,272
42 Lactamil Pregnasis Coklat 21 30,989 116,214
43 30/08/2017 TIGA RAKSA SGM Bunda Hamil Coklat 192 16,629 487,029
44 30/08/2017 ABM Kassa Gulung 80 x 36 DRC 12 205,600
45 Strip test PP Test GEA 60 1,300
46 30/08/2017 MPI T-Chromic 0 90 36 66,000
47 T-Chromic 2 90 36 69,300
48 T-Plain I 90 12 62,700
49 T-Vio I 90 12 91,300
50 T-Vio 3 0 76 24 77,000
51 T-Vio Epyreo 2 0 84 69,300
52 Caesarian set (BPO,C99,V33) 40 198,000
53 30/08/2017 BSP Mefinal 7 123,000
54 Siclidon 4 97,400
55 Trichodasol 2 154,000
56 Folavit 1000 2 164,000
57 Folavit 400 10 77,000
58 Sanmol Tab 3 26,000
59 30/08/2017 BSP Acetin 600 6 84,100
60 Colsancetin 250 1 53,500
61 Erysanbe 500 1 246,000
62 Herclov cap 1 689,500
63 Pibaksin Oint 6 38,000
64 Sagestan CR 25 11,350
65 Topcort CR 1 20,700
66 Becom t 3 123,000
67 Elkana 11 72,000
68 30/08/2017 BSP Astharol Syr 12 13,950
69 Claneksi F DS 2 65,350
70 Flamar Gel 2 15,200
71 Sanprima Syr 2 23,600
72 Elkana Syr 2 19,850
73 Elkana CL Syr 3 44,100
74 San B Plex Drop 4 16,000
75 Sanmol Syr 20 10,750
76 Sanmol Drop 20 14,450
77 30/08/2017 BSP Centabio Gel 12 17,850
78 30/08/2017 BSP Amoxsan DS 5 20,710
79 Amoxsan Drop 3 20,710
80 30/08/2017 MBS Azithromycin 500 1 54,000
81 Cygest 400 1 363,000
82 Thrombopop gel 5 47,250
83 Cyclofem 5 163,800 40,950
84 Trichlofem 4 171,150 136,920
85 30/08/2017 MBS Otopain TT 2 49,600 4,960
86 30/08/2017 ABM Gypsona 6'' 1 57,764
 87 Kapas 1 Kg 1 55,556
88 Kassa 10 cm 10 4,750
89 Kassa Rol 80x36 DRC 3 205,600
90 Masker Tali AB Med 18 20,000
91 Needle 26 1 75,556
92 Spinocant 26 15 42,222
93 Transfusi Set 20 25,000
94 Urin Bag 80 4,500
95 Aqua Gel 5 Ltr 1 167,000
96 Aqua Gel 5 Ltr 1 167,000 167,000
97 30/08/2017 ANUGERAH ABADI Phormicide 5 Ltr 2 500,000
98 30/08/2017 IGM Ambroxol Syr 22 3,297
99 Ambroxol Tab 1 13,062
100 Co Amoxiclav 1 158,404
101 Urispas Tab 1 152,500
102 Zinc Tab 1 43,139
103 Cetirizine Drop 26 25,000
104 cetirizine Syr 32 9,491
105 Furosemid Inj 1 46,773
106 Gentamicin Inj 5 16,783
107 30/08/2017 KALLISTA Lasal syr 15 23,000
108 Lasal exp Syr 12 34,500
109 Lagesil Susp 2 38,000
110 Nystin Drop 15 35,000
111 Nystin Drop 11 35,000
112 Profat Susp 20 55,000
113 30/08/2017 MUTIARA MAS Underpad 20 30,000
114 Folley Cath 16 70 15,900
115 handscoend Gamex 6,5 80 10,600
116 Handscoend Maxter 7 250 3,500
117 Handscoend Maxter 7,5 250 3,500
118 Handscoend reuse Sensi M 25 48,400
119 Handscoend Gynecolog 2 13,400
120 Hypafix 15x5 BSN 10 171,400
121 nebul Mask Anak 3 15,600
122 Nebul Mask dws 3 15,600
123 spuit 1 cc 2 65,600
124 Spuit 3 cc Om 16 62,300
125 Spuit 50 cc 5 4,300
126 Spuit 10 cc OM 1 93,600
127 Spuit 5 cc OM 1 65,600
128 Urin Collector 5 4,800
129 povidon Iodine 1 Ltr 5 60,600
130 Kassa Roll 80x36 Dwipa 10 106,700
131 30/08/2017 KALLISTA Promuxol Syr 10 22,500 6,750
132 prmuxol Drop 8 35,000 8,400
133 prosinal Syr 2 22,500 1,350
134 Sirplus Straw 20 12,000
135 Prolysin Syr 6 26,000
136 Prolysin Syr 4 26,000
137 30/08/2017 KALLISTA Fordin Inj 2 110,000
138 Foricef Inj 2 178,000
139 procefa Inj 5 132,000
140 progina Care 9 31,000 41,850
141 30/08/2017 AAM Asam Valproat syr 2 42,000
142 Colergis Syr 15 38,000
143 Terramycin ZM 2 10,930
144 Similac HMF 1 579,048
145 Nova T 12 236,094 283,313
146 30/08/2017 AAM Anvomer B6 2 144,000
147 Cyclo Proginova 1 128,205 6,410
148 Dismeno 1 120,000
149 Folamil Genio 25 105,000
150 Hystolan 1 225,000
151 mertigo 1 295,000
152 Metformin 850 1 39,000
153 Nifedipin 2 11,727
154 Norelut 2 200,000
155 Progynova 1 169,202 16,920
156 Sistenol 1 90,000
157 30/08/2017 KALLISTA Promavit 2 150,000
158 Tofedex 5 165,000
159 Utrogestan 200 14 255,000
160 Apialys Syr 5 27,500
161 calnic Susp 3 45,000 4,050
162 30/08/2017 PARIT PADANG Combantrin Syr 2 14,000
163 Myco Z 8 66,000
164 Nutrinidrink vanilla 24 20,832
165 31/08/2017 AAM Rhinofed Syr 2 21,500
166 Rhinofed Syr 3 21,500
167 Rhinos JR Syr 5 30,000
168 31/08/2017 MPI Profolat 400 50 19,800 198,000
169 31/08/2017 KALLISTA Nonemi 7 130,000
170 31/08/2017 KALLISTA Lacoldin Syr 7 17,000
171 31/08/2017 ABM Kassa Box AB Med 9 3,500
172 Needle 24 1 75,556
173 31/08/2017 KALLISTA Moretic Drop 113 27,500 932,250
174 Moretic Drop 7 27,500 57,750
175 31/08/2017 KALLISTA Estin Tab 1 77,000 2,310
176 Prohrlic 65 153,000
177 Lasal Caps 2 mg 1 105,000
178 31/08/2017 KALLISTA Bionemi 14 75,000 31,500
179 Cal-95 45 132,000
180 Calnic Tab 18 82,500 44,550
181 Calnic Plus Kap 13 105,000 40,950
182 Calvit D 30 125,000
183 31/08/2017 KALLISTA Fordin Tab 1 127,500
184 Lasgan Caps 1 240,000
185 Medistein Caps 2 85,000
186 31/08/2017 DMA Ephedrin Inj 2 250,000
187 31/08/2017 DMA Misoprostol 200 3 150,000 45,000
188 31/08/2017 AMS Zaldiar 1 94,500
189 31/08/2017 MPI Caesarian set (BP2,C28,C99x) 40 181,500
190 31/08/2017 MPI Cerplast 2 508,570 50,857
191 31/08/2017 APL Fluquadri 0,25 1 795,000 23,850
192 Hexaxim 15 697,500 313,875
193 31/08/2017 APL Aspilets 2 53,000 10,600
194 Ferlin Drop 12 30,100 36,120
195 Thrombo aspilet 1 106,313 10,631
196 Depakene Syr 3 156,700
197 Nipe Drop 5 57,600
198 Silex syr 5 41,160 20,580
199 Transpulmin BB 5 53,200 13,300
200 Extracee Inj 1 100,000
201 Myonal 1 714,235
202 31/08/2017 APL Thypim 0,5 2 151,421
203 31/08/2017 APL Atopiclair CR 40 ml 5 137,700
204 Atopiclair Lot 120 ml 7 239,300
205 31/08/2017 APL Synflorix 4 415,000 83,000
206 31/08/2017 BMS Antasida Tab 2 9,075
207 Antasida Syr 5 3,500
208 Erlamycetin TM 3 6,680
209 Erlamycetin TT 3 5,850 1,053
210 Ikamicetin ZK 30 6,500 32,507
211 Guaifenesin Tab 2 7,999
212 31/08/2017 ENSEVAL Acyclovir 400 2 28,659 14,330
213 Amlodipin 5 3 13,000 15,600
214 Amoxicillin 500 20 33,636 100,908
215 Cefadroxyl Cap 16 76,364 244,365
216 Cefixime 100 3 65,000 58,500
217 Cetirizine Tab 7 14,250 34,913
218 Cyprofloxacin 500 1 43,000
219 Domperidon Tab 7 26,000 45,500
220 Emineton 42 140,000
221 ferofort 11 165,000
222 Glimepiride 1 40,000 10,000
223 31/08/2017 ENSEVAL Asam Tranexamat Inj 1 52,500 15,750
224 Hydrocortison Cr 2,5% 2 5,000
225 Kaltrofen Supp 3 125,000
226 ketoconazole Cr 3 4,242
227 Neo Gyneoxa 6 138,000
228 Ranitidin inj 2 23,364 9,346
229 31/08/2017 ENSEVAL Bactecyn Inj 5 171,500
230 31/08/2017 ENSEVAL Fimahes 200 1 600,000
231 Opsite 20 40 35,000 210,000
232 Opsite 25 20 38,000 114,000
233 31/08/2017 BMS Demacolin Tab 3 32,119
234 Bronchitin Syr 30 5,100 11,475
235 31/08/2017 KIMIA FARMA Aquadest 25 ml 200 4,600
236 RL MJB 800 6,335
237 31/08/2017 KIMIA FARMA Erythromycin 250 1 73,580
238 Cendo Mycos TM 1 19,875 994
239 Chloramphecort H cr 5 10,450 1,306
240 Miconazole CR 1 78,000
241 31/08/2017 KIMIA FARMA Aximed Feeding Tube 5 100 5 7,000
242 Aximed Feeding Tube 8 100 2 7,000
243 Aximed Infus set Makro 60 4,363
244 Selang O2 Bayi Aximed 5 6,000
245 Selang O2 Dws Aximed 13 6,000
246 31/08/2017 ENSEVAL Kaflam 1 100,000
247 Kalnex Tab 5 300,000
248 ketoprofen Tab 1 81,364 20,341
249 Lactamor 10 116,000
250 Liprolac Vanilla 8 180,000
251 Lansoprazole 4 18,182 14,546
252 Meloxicam 15 3 35,000 31,500
253 Methylpredisolon 4 mg 4 40,050 48,060
254 Metformin 500 6 16,500 24,750
255 Neuralgin RX 1 60,000
256 31/08/2017 ENSEVAL Amoxicillin DS 15 5,000
257 Cefadroxil DS 8 7,455
258 Cefixime DS 30 18,000 162,000
259 Clavamox DS 2 65,000
260 Domperidon Syr 20 11,500
261 Nephrolit 1 58,500
262 Omeprazole Caps 1 11,136 2,784
263 Osfit DHA 40 120,000
264 Premaston 15 115,000
265 Profertil 4 140,000
266 Ranitidin Tab 5 20,000
267 Simvastatin 2 13,500
268 Zithrax 500 1 180,000
269 22/08/2017 AAM Tube EDTA PLH 13x75 2 251,000 125,500
270 19/08/2017 AAM Leptica 1 225,000
271 Ranitidin Tab 3 20,000
272 30/08/2017 KALLISTA Cefila DS 8 78,000
273 Estin Drop 30 50,000 225,000
274 Estin Syr 15 50,000 112,500
275 Ezygard Syr 10 60,000
276 Graphalac Syr 13 42,500 16,575
277 04/09/2017 DMA Ondansentron 8 mg 2 76,800 15,360
278 Ondansentron Inj 12 29,000 34,800
279 Methylprednisolon 8 mg 1 42,000 4,200
280 04/09/2017 RAJAWALI Dexamethason Inj 100' 1 199,682
281 Lidocain Inj 100' 2 99,600
282 Phytomenadion 2 mg Inj 5 121,036
283 04/09/2017 KALIMAS INTI Kertas Kantong Puyer 1200 2400 104
284 04/09/2017 DNR Dexamethason Inj 1 218,400 21,840
285 05/09/2017 ENSEVAL Accu Check Performa 100 2 780,000 499,200
286 05/09/2017 DAP Klip 13 Putih 2000 180 27,000
287 Tas Logo 2 Muka 2000 450 67,500
288 05/09/2017 BSP Tremenza Tab 1 113,500
289 Edorisan Drop 9 38,750
290 Tuzaloz Tab 1 70,500
291 06/09/2017 KALLISTA Promavit 34 150,000
292 06/09/2017 MUP Manitol Infus 2 84,000
293 06/09/2017 APL Methylergometrin Inj 1 259,000
294 oxythocin Inj 2 172,727
295 06/09/2017 APL Duphaston Tab 7 320,300 224,210
296 07/09/2017 AMS Ketorolac Inj 6' 5 72,900 116,640
297 07/09/2017 AMS Hyperhep B 3 ### ###
298 07/09/2017 DAP Blangko Tindakan 1 745,000 55,875
299 02/09/2017 DAP Nurse Note 2 75,000 11,250
300 Blangko Inpartu 1 ### 106,125
301 08/09/2017 BINTANG TIMUR Oto Adult Diapers L8 5 522,000 261,000
302 08/09/2017 BSP Folavit 400 13 77,000
303 Folavit 400 7 77,000
304 08/09/2017 MUTIARA MAS USG Paper UPP 110 HG Sony 2 238,900
305 08/09/2017 MUP KAEN MG3 10 22,000
306 MgSO4 20% 15 7,900
307 08/09/2017 KALIMAS INTI Handscoen Maxter 6,5 100 3,750
308 Handscoen Maxter 8 50 3,750
309 11/09/2017 MUTIARA MAS Nurse Cap 3 45,600
310 Needle 24 7 67,800
311 11/09/2017 ENSEVAL Ranitidin inj 5 23,364 23,364
312 11/09/2017 AAM Norelut 1 200,000
313 Nifedipin 2 11,727
314 11/09/2017 AAM Similac HMF 2 579,048
315 11/09/2017 APL Rotarix 6 230,000 276,000
316 11/09/2017 ENSEVAL Asam Mefenamat 12 16,000 30,720
317 12/09/2017 ABM Spinocant 25 50 42,222
318 12/09/2017 KALIMAS INTI Mess 22 1 300,000
319 12/09/2017 BMS Metronidazol 500 10 17,900
320 12/09/2017 HUKI Minyak Telon HUKI 60 ml 12 16,500
321 12/09/2017 AMS Isprinol Tab 5 75,000
322 12/09/2017 AMS Sensi Baby Diapers S12 24 17,500 63,000
323 12/09/2017 KIMIA FARMA Aximed IV Cath 18 150 6,363
324 Infuset Makro Aximed 10 4,363
325 13/09/2017 AMS Ferosfat Ef 6 60,000 9,000
326 13/09/2017 KIMIA FARMA Medittol Hand Sanitizer 2 189,000
327 13/09/2017 MBS Azithromycin 500 3 54,000
328 13/09/2017 BSP Sanprima Syr 6 23,600
329 13/09/2017 MUP MgSO4 20% 30 7,900
330 13/09/2017 CTM 100' 3 2,800
331 Dexamethason 0,5 200' 5 36,855 36,855
332 13/09/2017 ENSEVAL Asam Traneksamat Inj 2 52,500
333 Kalnex Inj 500 2 120,000
334 14/09/2017 PENTA VALENT Paracetamol Syr 20 5,500 33,000
335 15/09/2017 BMS New Diatab 1 50,650
336 Salbutamol 2 mg 2 9,999
337 Ambroxol Syr 10 3,300
338 15/09/2017 MUTIARA MAS povidon Iodine 1 Ltr 5 60,600
339 15/09/2017 AMS Ketorolac Inj 6' 5 72,900 116,640
340 15/09/2017 DMA Ketorolac Inj 10' 10 60,000 60,000
341 15/09/2017 KALLISTA Apilays Drop 5 33,000
342 15/09/2017 APL Imovax Polio 20 90,956 45,478
343 16/09/2017 BSP Amoxicillin DS 10 3633
344 16/09/2017 BSP Amoxsan Drop 5 20710
345 16/09/2017 BSP Sanmol Drop 10 14450
346 16/09/2017 AAM Folamil Genio 5 105000
347 18/09/2017 KALLISTA Sirplus Strawberry 10 12000 6000
348 Isprinol Tab 5 75000 15000
349 18/09/2017 ENSEVAL Ketorolac Inj 20 27273 136365
350 19/09/2017 MUP MgSO4 20% 16 2909
351 MgSO4 20% 14 2909
352 19/09/2017 APL Lactacyd Baby 5 19,900
353 Silex syr 10 41,160 41,160
354 19/09/2017 ENSEVAL Cyprofloxacin 500 2 43,000
355 Domperidon Syr 10 11,500
356 19/09/2017 AMS Amsafe Gold 24' 1 92,736 2,782
357 19/09/2017 MUTIARA MAS USG Paper UPP 110 HG Sony 3 238,900
358 19/09/2017 ABM Vasofix 24 50 9,723
359 20/09/2017 AAM Nova T 4 236,094 94,438
360 Nifedipin 2 11,727
361 20/09/2017 HUKI Tiens Baby Wipes 50' 36 12,000
362 20/09/2017 MUTIARA MAS Suction Cath 8 10 4,500
363 Hypafix 15x5 BSN 1 171,400
364 20/09/2017 ENSEVAL Bactecyn Inj 4 171,500
365 20/09/2017 AMS Zamel Syr 3 30,000 3,600
366 20/09/2017 KALLISTA Trilac 3 105,000 12,600
367 Mexyllin DS 3 19,000
368 Ezygard Syr 3 60,000
369 05/09/2017 DAP Surat Kontrol 2 65,000 9,750
370 Surat Keterangan 2 65,000 9,750
371 Surat Rujukan NCR R3 2 90,000 13,500
372 12/09/2017 DAP resep 5 65,000 24,375
373 Lembar pemakaian ALHF 1 65,000 4,875
374 Nurse Note 1 75,000 5,625
375 12/09/2017 DAP Blangko penyerahan Bayi 1 845,000 63,375
376 Lembar Induksi/Stimulasi 2 70,000 10,500
377 Lembar Rujuk 2 75,000 11,250
378 Pemeriksaan Poliklinik 2 70,000 10,500
379 18/09/2017 APL Crestor 1 544,731
380 Nipe Drop 13 57,600
381 25/09/2017 KALIMAS INTI Gelang Dewasa Pink 500 2,750
382 Celang Bayi Biru 400 4,050
383 Gelang Bayi Pink 400 4,050
384 25/09/2017 BMS Paracetamol Syr 11 2,567 2,567
385 Domperidon Syr 5 11,500
386 26/09/2017 AAM Novo Twist 32 G 1 210,000
387 26/09/2017 MUTIARA MAS Infus Set Makro 5 7,300
388 26/09/2017 APL Methylergometrin Inj 4 259,000
389 26/09/2017 DAP Klip 10 1000 160 12,000
390 Klip 6 putih 2000 180 27,000
391 26/09/2017 MUTIARA MAS Spuit 10 cc 1 96,200
392 povidon Iodine 1 ltr 1 60,620
393 26/09/2017 AAM Folamil Genio 4 105,000
394 26/09/2017 KALLISTA Calnic Plus Kap 3 105,000 9,450
395 Sirplus Strawberry 3 12,000 1,800
396 25/09/2017 TIGA RAKSA SGM Ananda 1 5 8,182
397 SGM Bunda Hamil Coklat 144 16,628 365,272
398 25/09/2017 TIGA RAKSA Lactamil Lactasis Coklat 84 30,989 464,856
399 25/09/2017 KIMIA FARMA Aximed Infus set Makro 30 4,363
400 Aximed Feeding Tube 5 100 6 7,000
401 20/09/2017 PARIT PADANG Nutrinidrink vanilla 24 20,832 24,998
402 22/09/2017 SATRIA SAKTI Softex Maternity 45 cm 12' 2 380,909
403 22/09/2017 KIMIA FARMA RL MJB 100 6,335
404 22/09/2017 AMS Methylergometrin Inj 1 130,000 6,500
405 22/09/2017 MUTIARA MAS Folley Cath 16 10 15,900
406 Spuit 50 cc LP OM 20 4,000
407 23/09/2017 MUTIARA MAS Handscoen Reuse M Sensi 3 48,400
408 povidon Iodine 1 ltr 1 60,600
409 22/09/2017 BMS Bronchitin Syr 26 5,100 9,945
410 22/09/2017 BSP Bledstop Tab 5 51,000
411 22/09/2017 MUP RL Widatra 20 6,500
412 22/10/2017 ABM Transfusi Set 15 25,000
413 23/09/2017 BMS Vitamin C IPI 50' 27 3,384
414 23/09/2017 ENSEVAL Kaltrofen Supp 2 125,000
415 Asam Mefenamat 7 16,000 17,920
416 Asam Mefenamat 1 16,000 2,560
417 Ranitidin Tab 4 20,000
418 23/09/2017 TUGU ANDALAN Pure Fresh 45 cm 6 150,000
419 26/09/2017 RAJAWALI Tuberculin PPD RT 1 702,250 351,125
420 27/09/2017 MUP G5 10 6,818
421 D5 1/4 NS 8 8,500
422 27/09/2017 MUP Ondansentron 4 mg 3 48,200
423 D40 25 ml 4 7,900
424 27/09/2017 KALLISTA Regivell Inj 3 300,000 90,000
425 27/09/2017 KALLISTA Cal-95 5 132,000
426 27/09/2017 ENSEVAL Amoxicillin 500 5 33,636 25,227
427 Cefadroxyl DS 3 7,455
428 Neo Gynoxa 2 138,000
429 27/09/2017 APL Rotarix 3 230,000 34,500
430 Synflorix 3 415,000 62,250
431 28/09/2017 ABM Transfusi Set 15 25,000
432 Urin Bag 15 4,500
433 28/09/2017 MUTIARA MAS Folley Cath 16 20 15,900
434 28/09/2017 APL Duphaston Tab 1 320,300
435 28/09/2017 ENSEVAL Cefotaxime 20 17,000 17,000

1 30/08/2017 TIGA RAKSA SGM Ananda 1 5 8,182

2 SGM Ananda 2 192 8,182
3 30/08/2017 TIGA RAKSA SGM Bunda Hamil Coklat 48 16,628
4 SGM Bunda Hamil Strawberry 96 16,628 365,272
5 Lactamil Pregnasis Coklat 21 30,989 116,214
6 30/08/2017 TIGA RAKSA SGM Bunda Hamil Coklat 192 16,629 487,029
7 30/08/2017 ANUGERAH ABADI Phormicide 5 Ltr 2 500,000
8 Nutrinidrink vanilla 24 20,832
9 22/08/2017 AAM Tube EDTA PLH 13x75 2 251,000 125,500
10 19/08/2017 AAM Leptica 1 225,000
11 05/09/2017 DAP Klip 13 Putih 2000 180 27,000
12 Tas Logo 2 Muka 2000 450 67,500
13 07/09/2017 DAP Blangko Tindakan 1 745,000 55,875
14 02/09/2017 DAP Nurse Note 2 75,000 11,250
15 Blangko Inpartu 1 ### 106,125
16 13/09/2017 KIMIA FARMA Medittol Hand Sanitizer 2 189,000
17 05/09/2017 DAP Surat Kontrol 2 65,000 9,750
18 Surat Keterangan 2 65,000 9,750
19 Surat Rujukan NCR R3 2 90,000 13,500
20 12/09/2017 DAP resep 5 65,000 24,375
21 Lembar pemakaian ALHF 1 65,000 4,875
22 Nurse Note 1 75,000 5,625
23 12/09/2017 DAP Blangko penyerahan Bayi 1 845,000 63,375
24 Lembar Induksi/Stimulasi 2 70,000 10,500
25 Lembar Rujuk 2 75,000 11,250
26 Pemeriksaan Poliklinik 2 70,000 10,500
27 18/09/2017 APL Crestor 1 544,731
28 25/09/2017 KALIMAS INTI Gelang Dewasa Pink 500 2,750
29 Celang Bayi Biru 400 4,050
30 Gelang Bayi Pink 400 4,050
31 26/09/2017 DAP Klip 10 1000 160 12,000
32 Klip 6 putih 2000 180 27,000
33 25/09/2017 TIGA RAKSA SGM Ananda 1 5 8,182
34 SGM Bunda Hamil Coklat 144 16,628 365,272
35 25/09/2017 TIGA RAKSA Lactamil Lactasis Coklat 84 30,989 464,856
36 20/09/2017 PARIT PADANG Nutrinidrink vanilla 24 20,832 24,998
37 23/09/2017 TUGU ANDALAN Pure Fresh 45 cm 6 150,000

TOTAL BELANJA : 259,170,

PTEMBER 2017
PPN 10% Jumlah
23,400 257,400
475,200
76,500 841,500
45,000 495,000
66,000 726,000
2,975 32,725
26,000 286,000
17,500 192,500
135,000 1,485,000
5,888 64,768
12,816 140,976
14,450 158,950
84,000 924,000
50,000 550,000
23,040 253,440
25,000 275,000
19,890 218,790
44,880 493,680
39,040 429,440
25,200 277,200
67,500 742,500
83,600 919,600
179,822 1,978,040
90,000 990,000
63,000 693,000
72,960 802,560
6,252 68,772
54,000 594,000
74,800 822,800
13,920 153,120
1,217 13,386
70,200 772,200
13,500 148,500
20,400 224,400
562,500 6,187,500
427,500 4,702,500
134,640 1,481,040
4,091 45,000
157,091 1,727,998
79,812 877,933
123,097 1,354,067
 53,456 588,011
270,565 2,976,212
2,467,200
78,000
2,376,000
2,494,800
752,400
1,095,600
1,848,000
5,821,200
7,920,000
86,100 947,100
38,960 428,560
30,800 338,800
32,800 360,800
77,000 847,000
7,800 85,800
50,460 555,060
5,350 58,850
24,600 270,600
68,950 758,450
22,800 250,800
28,375 312,125
2,070 22,770
36,900 405,900
79,200 871,200
16,740 184,140
13,070 143,770
3,040 33,440
4,720 51,920
3,970 43,670
13,230 145,530
6,400 70,400
21,500 236,500
28,900 317,900
21,420 235,620
10,355 113,905
6,213 68,343
5,400 59,400
36,300 399,300
23,625 259,875
77,805 855,855
54,768 602,448
9,424 103,664
57,764
 55,556
47,500
616,800
360,000
75,556
633,330
500,000
360,000
167,000
-
1,000,000
7,253 79,787
1,306 14,368
15,840 174,244
15,250 167,750
4,314 47,453
65,000 715,000
30,371 334,083
4,677 51,450
8,392 92,307
34,500 379,500
41,400 455,400
7,600 83,600
52,500 577,500
38,500 423,500
110,000 1,210,000
600,000
1,113,000
848,000
875,000
875,000
1,210,000
26,800
1,714,000
46,800
46,800
131,200
996,800
21,500
93,600
65,600
24,000
303,000
1,067,000
21,825 240,075
 27,160 298,760
4,365 48,015
24,000 264,000
15,600 171,600
10,400 114,400
22,000 242,000
35,600 391,600
66,000 726,000
23,715 260,865
8,400 92,400
57,000 627,000
2,186 24,046
57,905 636,953
254,982 2,804,797
28,800 316,800
12,179 133,974
12,000 132,000
262,500 2,887,500
22,500 247,500
29,500 324,500
3,900 42,900
2,345 25,799
40,000 440,000
15,228 167,510
9,000 99,000
30,000 330,000
82,500 907,500
357,000 3,927,000
13,750 151,250
13,095 144,045
2,800 30,800
52,800 580,800
49,997 549,965
4,300 47,300
6,450 70,950
15,000 165,000
3,000 795,000
91,000 1,001,000
11,900 130,900
31,500
75,556
217,525 2,392,775
13,475 148,225
7,469 82,159
994,500 10,939,500
 10,500 115,500
101,850 1,120,350
594,000 6,534,000
144,045 1,584,495
132,405 1,456,455
375,000 4,125,000
12,750 140,250
24,000 264,000
17,000 187,000
50,000 550,000
40,500 445,500
9,450 103,950
7,260,000
3,000 969,283
77,115 848,265
### 11,163,488
9,540 104,940
32,508 357,588
9,568 105,250
47,010 517,110
28,800 316,800
18,522 203,742
25,270 277,970
10,000 110,000
71,424 785,659
30,284 333,126
68,850 757,350
167,510 1,842,610
157,700 1,734,700
1,815 19,965
1,750 19,250
2,004 22,044
1,650 18,147
16,249 178,743
1,600 17,598
4,299 47,287
2,340 25,740
57,181 628,993
97,746 1,075,205
13,650 150,150
6,484 71,321
4,300 47,300
13,650 150,150
588,000 6,468,000
181,500 1,996,500
 3,000 33,000
3,675 40,425
1,000 11,000
37,500 412,500
1,273 13,999
82,800 910,800
3,738 41,121
85,750 943,250
60,000 660,000
119,000 1,309,000
64,600 710,600
9,636 105,993
14,153 155,678
92,000 1,012,000
506,800 5,574,800
7,358 80,938
1,888 20,769
5,094 56,038
7,800 85,800
3,500 38,500
1,400 15,400
26,178 287,958
3,000 33,000
7,800 85,800
10,000 110,000
150,000 1,650,000
6,102 67,125
116,000 1,276,000
144,000 1,584,000
5,818 64,001
7,350 80,850
11,214 123,354
7,425 81,675
6,000 66,000
7,500 82,500
5,964 65,604
37,800 415,800
13,000 143,000
23,000 253,000
5,850 64,350
835 9,187
480,000 5,280,000
172,500 1,897,500
56,000 616,000
10,000 110,000
 2,700 29,700
18,000 198,000
37,650 414,150
22,500 247,500
6,000 66,000
62,400 686,400
127,500 1,402,500
63,750 701,250
60,000 660,000
53,593 589,518
13,824 152,064
31,320 344,520
3,780 41,580
19,968 219,650
19,920 219,120
60,518 665,698
249,600
19,656 216,216
106,080 1,166,880
333,000
832,500
11,350 124,850
34,875 383,625
7,050 77,550
510,000 5,610,000
16,800 184,800
25,900 284,900
34,545 379,999
201,789 2,219,679
24,786 272,646
354,529 3,899,818
689,125
138,750
1,308,875
234,900 2,583,900
100,100 1,101,100
53,900 592,900
477,800
22,000 242,000
11,850 130,350
375,000
187,500
136,800
474,600
9,346 102,802
 20,000 220,000
2,345 25,799
115,810 1,273,906
110,400 1,214,400
16,128 177,408
2,111,100
300,000
17,900 196,900
198,000
37,500 412,500
35,700 392,700
95,445 1,049,895
4,363 47,993
35,100 386,100
37,800 415,800
16,200 178,200
14,160 155,760
23,700 260,700
840 9,240
14,742 162,162
10,500 115,500
24,000 264,000
77,000
5,065 55,715
2,000 21,998
3,300 36,300
303,000
24,786 272,646
54,000 594,000
16,500 181,500
177,364 1,951,006
3633 39,963
10355 113,905
14450 158,950
52500 577,500
11400 125,400
36000 396,000
40909.5 450,005
4654.4 51,198
4072.6 44,799
9,950 109,450
37,044 407,484
8,600 94,600
11,500 126,500
8,995 98,949
 716,700
486,150
84,994 934,932
2,345 25,799
432,000
45,000
171,400
68,600 754,600
8,640 95,040
30,240 332,640
5,700 62,700
18,000 198,000
120,250
120,250
166,500
300,625
60,125
69,375
781,625
129,500
138,750
129,500
54,473 599,204
74,880 823,680
1,375,000
1,620,000
1,620,000
2,567 28,237
5,750 63,250
21,000 231,000
36,500
103,600 1,139,600
148,000
333,000
96,200
60,620
42,000 462,000
30,555 336,105
3,420 37,620
4,091 45,000
202,909 2,232,000
213,822 2,352,042
13,089 143,979
4,200 46,200
47,497 522,467
 76,182 838,000
63,350 696,850
12,350 135,850
15,900 174,900
8,000 88,000
145,200
60,600
12,266 134,921
25,500 280,500
13,000 143,000
375,000
9,137 100,505
25,000 275,000
9,408 103,488
1,344 14,784
8,000 88,000
90,000 990,000
35,113 386,238
6,818 74,998
6,800 74,800
14,460 159,060
3,160 34,760
81,000 891,000
66,000 726,000
14,295 157,248
2,237 24,602
27,600 303,600
65,550 721,050
118,275 1,301,025
375,000
67,500
318,000
32,030 352,330
32,300 355,300
286,522,676

4,091 45,000
157,091 1,727,998
79,812 877,933
123,097 1,354,067
53,456 588,011
270,565 2,976,212
1,000,000
 49,997 549,965
37,650 414,150
22,500 247,500
333,000
832,500
689,125
138,750
1,308,875
37,800 415,800
120,250
120,250
166,500
300,625
60,125
69,375
781,625
129,500
138,750
129,500
54,473 599,204
1,375,000
1,620,000
1,620,000
148,000
333,000
4,091 45,000
202,909 2,232,000
213,822 2,352,042
47,497 522,467
90,000 990,000
27,352,098

259,170,578
 TOTAL BELANJA 28 SEPTEMBER -
No Tanggal PBF No. Faktur Nama Obat
1 MUP Mamypoko P XS
2 Mamypoko P S
3 Mamypoko Preemie
4 TIGA RAKSA SGM Bunda Hamil Coklat
5 Regivell Inj
6 Trilac Tab
7 29/09/2017 TEMPO 1066512832 Nutribaby Pepti Junior
8 29/09/2017 MPI 15041700617 T-Chromic 0 90
9 T-Chromic 2 90
10 T-Silk 3-0 76
11 T-Vio 1 90
12 T-Vio 2-0 90
13 T-Vio 3-0 75
14 T-Vio Epyseo
15 Caesar Set (BP2, C28, C99x)
16 T-Plain 1 90
17 29/09/2017 PARIT PADANG 8220068458 Myco Z
18 Fargoxin Inj
19 Nutrinidrink Vanilla
20 29/09/2017 ENSEVAL 117121545 Aloclair Plus Gel
21 Amoxicillin DS
22 Cefadroxil DS
23 Cefixime DS
24 Clavamox DS
25 Digenta Cr
26 Domperidon Syr
27 Kaltrofen Supp
28 Ketoconazole Cr
29 Neo Gynoxa
30 Ranitidin Tab
31 Zegavit 50'
32 29/09/2017 KALLISTA Estin drop
33 Ezygard Syr
34 L-Zink Syr
35 Lapicef DS
36 Lasal Syr
37 29/09/2017 KALLISTA 139898/YYK Tofedex Tab
38 Utrogestan 200
39 Apialys Drop
40 Cefila DS
41 29/09/2017 BSP FKYOG/201709/12750 Centabio Gel
42 29/09/2017 KALLISTA 43885/YYK Vitacur Syr
43 Progina Care
44 Procefa Inj
45 29/09/2017 KALLISTA 43889/YYK Lapicef Caps
46 Lasal 2 mg
47 29/09/2017 KALLISTA 43888/YYK Estin Tab
48 Prohelic
49 Promavit
50 Nystin drop
51 Prolysin syr
52 29/10/2017 KALLISTA 42897/YYK Latropil Syr
53 Mexyllin DS
54 Moretic Drop
55 29/10/2017 KALLISTA 43887/YYK Prolysin Plus Syr
56 Promuxol Syr
57 Promuxol Drop
58 Proosinal syr
59 Sirplus Straw
60 29/09/2017 KALLISTA 43891/YYK Bionemi
61 Cal-95
62 Calnic Tab
63 Calnic plus Kapl
64 Calvit D
65 29/09/2017 MPI 130417033545 Viccillin SX
66 29/09/2017 MPI 150417001616 Cerplast
67 29/09/2017 PENTA VALENT 0139-AR-17-00002940 Paracetamol Tab
68 Paracetamol Tab
69 Paracetamol Syr
70 29/09/2017 MUTIARA MAS 2017/X/1327 Handscoen Sensi M Reuse
71 29/09/2017 ABM SI.2017.09.02218 Kapas 1 Kg
72 Masker Tali
73 Spinocant 25
74 Spinocant 26
75 Transfusi Set
76 urin Bag
77 Aqua Gell 5 Ltr
78 29/09/2017 KIMIA FARMA 2800625767 Cendo Genta
79 Chloramphenicol ZM
80 29/10/2017 KIMIA FARMA 28000625763 Aquadest 25 ml
81 RL MJB
82 29/09/2017 BMS 1703-72821 Antasida DOEN
83 CTM
84 Dexamethason 0,5
85 Guaifenesin
86 Antasida Syr
87 Caladine Lot
88 Erlamycetin ZM
89 Bufacort Cr
 90 Demacolin
91 Bronchitin Syr
92 29/09/2017 RAJAWALI FKT1721239 Ampicillin Inj
93 Phytomenadion 2 mg Inj
94 29/09/2017 AAM 44170057024 Novorapid FP
95 29/09/2017 IGM 31INV.09.2017.10687 Ambroxol tab
96 Co Amoxiclav
97 ISDN
98 Zink Tab
99 Cetirizin Drop
100 Cetirizin Syr
101 Cotrimoxazol Syr
102 Acyclovir Cr
103 Gentamicin Inj
104 29/09/2017 AMS G3DH833 Hyperhep B
105 Hyperhep B
106 29/09/2017 AMS G3DH881 Ryvell Drop
107 Zamel Syr
108 Monell drop
109 Ryvell syr
110 Monell Syr
111 Vistrum Syr
112 Ranivel syr
113 Vostrin DS
114 Narfoz Syr 30 ml
115 Orezinc Syr
116 29/09/2017 AMS G3DH802 Isprinol Tablet
117 Lacto B
118 Spiramycin 500
119 Clindamycin 300mg
120 Cavea
121 Zemyc Tab
122 Natrium Diklofenak
123 Aztrin DS
124 Ferosfat Ef
125 Lisinopril 10 mg
126 29/09/2017 ENSEVAL 117121544 Amlodipin 10 mg
127 Amlodipin 5 mg
128 Captopril 25 mg
129 Cefadroxil Caps
130 Cyprofloxacin Tab
131 Domperidon Tab
132 Domperidon Tab
133 Emineton
134 Ferofort
135 Glimepirid
136 Asam Mefenamat
137 29/10/2017 ENSEVAL 117121522 Opsite 20
138 opsite 25
139 piracetam Inj 3 gr
140 29/09/2017 ENSEVAL 117121547 Asam Traneksamat Inj
141 Bactecyn Inj
142 Cefotaxime
143 Ceftazidime
144 cefitriaxone
145 Citicolin Inj
146 induxin Inj
147 Kalnex Inj
148 Pranza Inj
149 29/09/2017 ENSEVAL 117121543 Kalnex Tab
150 Kaltrofen Tab
151 Lactamor Tab
152 Liprolac Vanilla
153 Lansoprazole Caps
154 Methylprednisolon 4 mg
155 Methylprednisolon 16 mg
156 Neuralgin RX
157 Osfit DHA
158 Premaston tab
159 Profertil
160 29/09/2017 AAM 44170056931 Sistenol
161 Asam Valproat Syr
162 Nova T
163 30/09/2017 AAM 44170057060 Rhinofed Syr
164 Rhinos Junior Syr
165 29/09/2017 AAM 44170056927 Anvomer B6
166 Candesartan 16
167 Cyclo Proginova
168 Dismeno
169 Dopamet
170 Folamil genio
171 Hystolan
172 Mertigo
173 Metformin 850
174 Nifedipin
175 Neurodex
176 29/09/2017 AMS G3DH821 Oxoferin Sol
177 Breathy TH
178 Lomatulle
179 Scelto Inj
180 Iflacort 5 gr
181 Tentalux
182 Albothyl 5 ml
183 Inhipum Inj
184 Amsafe Gold
185 30/09/2017 AMS G3DI070 Velutin
186 30/09/2017 MUP 07-635906 Otsu RL
187 30/09/2017 APL 1331763419 Hexaxim
188 30/09/2017 PENTA VALENT 0139-SO-17-00034737 Mexyllin Tab
189 30/09/2017 APL 1331763398 Duphaston
190 30/09/2017 APL 1331763418 Infarix Hexa
191 Rotarix
192 Synflorix
193 30/09/2017 APL 1331763452 Enerplus
194 Enzyplex
195 New Diatab
196 Ferlin Drop
197 Silex Syr
198 Burnazin Cr
199 Propyretic 80
200 Propyretic 160
201 Transpulmin BB
202 Transpulmin BB
203 Seretide Inhaler
204 30/09/2017 KALLISTA 44187/YYK Prolysin Syr
205 30/09/2017 DMA 18732 Misoprostol
206 Pantoprazole 40
207 Ondansentron 8 mg
208 Ondansentron inj
209 Ondansentron 4 mg
210 30/09/2017 DMA 18733 Ephedrin Inj
211 30/09/2017 KIMIA FARMA 2800629032 Medittol Hand Sanitaizer
212 Medittol Hand Soap Btl
213 30/09/2017 KIMIA FARMA 2800627901 Aximed IV Cath 20
214 Aximed IV Cath 26
215 Feeding Tube 5 100
216 Feeding Tube 8 100
217 Infuset Makro
218 Infuset Mikro
219 Folley Cath 16 Aximed
220 30/09/2017 KALLISTA 44310/YYK Ezygard Syr
221 30/09/2017 SATRIA SAKTI 38078-09-17 Softex Maternity 45 cm 20'
222 30/09/2017 MBS CD192689020 Azithromycin 500
223 Cygest 400 Pessary
224 Otopain TT
225 Cyclofem
226 Scopamin Inj
227 Trichlofem
228 Postinor
229 30/09/2017 KALLISTA 43987/YYK Lacoldin Tab
230 Lacoldin Syr
231 30/09/2017 PARIT PADANG 822006828 Lidocain Inj
232 Asam Traneksamat Tab
233 30/09/2017 MPI 130417033740 Nonemi
234 30/09/2017 MUP 07-635888 KAEN Mg3
235 MgSO4 40%
236 30/09/2017 MUP 07-635885 FG Troches 120'
237 Manitol 20
238 Otsu NS 25 ml
239 30/09/2017 MUP 07-635925 Mamypoko L10
240 30/09/2017 MUTIARA MAS 2017/IX/1382 Endrotracheal 3,5
241 Folley Cath 6 Rusch
242 30/09/2017 MUTIARA MAS 2017/IX/1374 Underpad DR J
243 Folley Cath 8
244 Folley Cath 16 Rusch
245 Handscoen gamex 6,5
246 Handscoen Maxter 7
247 Handscoen Maxter 7,5
248 Hypafix 15x5 BSN
249 laminaria L
250 Laminaria M
251 Needle 23
252 Spuit 1 cc
253 Spuit 3 cc BD
254 Spuit 3 cc Om
255 Spuit 10 cc OM
256 Spuit 5 cc OM
257 urin Collector
258 Povidon Iodin 1 Ltr
259 USG Paper Sony
260 30/09/2017 AMS G3DI089 Isprinol syr
261 Ataroc Syr
262 30/09/2017 MPI 15041700628 T- Vio Epyseo
263 Caesar Set (BP2, C28, C99x)
264 02/10/2017 BMS 1710-70061 Amoxicillin 500 mg
265 02/10/2017 BRATACO SOYGY1702653 Alkohol 96% 20 Ltr
266 02/10/2017 BMS 1710-70039 Domperidon Syr
267 02/10/2017 BINTANG TIMUR F0135796 Oto Adult Diapers L8
268 02/10/2017 BRATACO SOYGY1706023 Botol Plastik
269 Aquadest 20 ltr
270 Sendok obat Plastik
271 Kertas Puyer 7,5x10 cm
272 02/10/2017 OSADHA SLO-FJLT.2017.10.00016Grafadon Drop
273 03/10/2017 AAM 44170057681 Inbumin Tab
274 Recofol N Inj
275 03/10/2017 UDC 336363 Borraginol N oint
276 Borraginol S Oint
277 Borraginol N Cr
278 Borraginol S Cr
279 04/10/2017 DAP Tas Logo 2 Muka
280 04/10/2017 ENSEVAL 117123597 Amoxicillin 500 mg
281 Ranitidin Inj
282 05/10/2017 ABM SI.2017.10.00299 Povidon Iodin 1 Ltr
283 05/10/2017 MUP 07-637252 Glukosa 5%
284 06/10/2017 AMS G3DK107 Sensi Diapers S12
285 06/10/2017 AMS G3DK106 Chromalux
286 09/10/2017 PENTA VALENT 0139-SO-17-00035861 Paracetamol Syr
287 Paracetamol Syr
288 09/10/2017 MUTIARA MAS 2017/X/0377 Utrasinoc Gel 5 Ltr OM
289 Ultrasonic Gel 250 ml OM
290 10/10/2017 KALLISTA 45775/YYK Lasal Syr
291 10/10/2017 ENSEVAL 117135949 Clavamox DS
292 Metronidazole Infus
293 10/10/2017 AMS G3DL310 Regivell Inj
294 10/10/2017 DNR 826428160 Softex Maternity 45 cm 20'
295 10/10/2017 APL 133176196 Imovax Polio
296 11/10/2017 KALLISTA 46000/YYK Cefila 100 mg
297 11/10/2017 MBS CD192752381 Cygest 400 Pessary
298 11/10/2017 APL 1331767555 Atopiclair Lotion 120
299 11/10/2017 KALIMAS KIN.2017.10.066 Handscoen Maxter 6,5
300 11/10/2017 MUTIARA MAS 2017/X/0532 Needle 24
301 Selang O2 dewasa
302 12/10/2017 AAM 44170059768 Rhinos Junior Syr
303 Rhinos Neo Drop
304 Rhinofed Tab
305 12/10/2017 BMS 1710-71129 Ambroxol Syr
306 Doxycyclin Caps
307 Antalgin Tab
308 12/10/2017 APL 1331768098 Aspilets Chew
309 Silex Syr
310 13/10/2017 AMS G3DM319 Inhipump Inj
311 13/10/2017 SAPTA SARI 1002093 IUD Andalan 200
312 IUD Andalan 380
313 13/10/2017 BINTANG TIMUR Z0138409 Breast Pump Manual free honeyc
314 14/10/2017 MUTIARA MAS 2017/X/0673 Threeway Stopcock w/ ext
315 Urin Collector
316 15/10/2017 ENSEVAL 117126670 Omeprazole Caps
317 16/10/2017 KALLISTA 46761/YYK Procefa Inj
318 16/10/2017 KALLISTA 46802?YYK Prosinal Syr
319 16/10/2017 APL 1331769699 Propyretic Supp 160
320 Propyretic Supp 80
321 17/10/2017 ENSEVAL 117129655 Ketorolac Inj 6'
322 17/10/2017 AMS G3DN427 Isprinol Tablet
323 Clindamycin 300mg
324 17/10/2017 ENSEVAL 117129482 Zegavit 50'
325 18/10/2017 MUTIARA MAS 2017/X/0882 Dermafix T 5x7 cm
326 Threeway Stopcock w/ ext
327 Hypafix 15x5 BSN
328 19/10/2017 ABM SI.2017.10.01547 Kassa Roll 80x36 DRC
329 18/10/2017 DMA 19989 Ketorolac Inj ;10'
330 18/10/2017 MUP 07-633740 Otsu D10
331 18/10/2017 BSP FKYOG/201710/08102 Amoxsan F DS
332 Amoxsan Drop
333 18/10/2017 BSP FKYOG/201710/08101 Sagestam Cr
334 Sagestam Inj
335 Sanprima Syr
336 Topcort Cr
337 Sanmol Syr
338 Sanmol Drop
339 18/10/2017 BSP FKYOG/201710/08103 Acetin Ef
340 Cortidex Tab
341 Cortidex Inj
342 Astharol Syr
343 Astharol Syr
344 Siclidon Caps
345 Becom-C Caplet
346 Klkana Tab
347 Folavit 400 Mcg Tab
348 Prenamia Kapsul
349 18/10/2017 BSP FKYOG/201710/08238 Tremenza Tab
350 Edorisan Drop
351 Tremenza Syr
352 Tuzaloz caps
353 18/10/2017 BSP FKYOG/201710/08139 Enfamil HMF pwd
354 18/10/2017 ABM SI.2017.10.01456 Kassa box AB Med
355 18/10/2017 APL 1331770934 Imovax Polio
356 18/10/2017 AAM 44170061151 Folamil Genio
357 18/10/2017 AMS G3DN793 Cefixime 100
358 Cefixime 200
359 19/10/2017 DAP Klip 10 putih
360 Klip 13 Putih
361 19/10/2017 AMS G3DO170 Praxion F Syr
362 19/10/2017 BSP FKYOG/201710/08967 Colsancetin Inj
363 Trichodazole Tab
364 Pibaksin Cr
365 Neurosanbe Inj
366 Mefinal
367 Claneksi F DS
368 Trichodazole Tab
369 Elkana CL Syr
370 Elkana Syr
371 San B Plex
372 19/10/2017 ENSEVAL 117130639 Acyclovir 400 mg
373 Kaflam Tab
374 Kalium Diklofenak
375 Asama Mefenamat
376 Ranitidin Inj
377 19/10/2017 MUP 07-633807 MgSO4 20%
378 20/10/2017 DNR 826470228 Softex Maternity 45 cm 20'
379 20/10/2017 KALIMAS KIN.2017.10.132 Original Perfusor
380 Mess 22
381 20/10/2017 KALLISTA 47787/YYK Isprinol Tablet
382 20/10/2017 ABM SI.2017.10.01653 Plester Transparan IV Dressing
383 Plester Transparan Film Dressing
384 20/10/2017 AAM 44170061852 Novomix Flexpen
385 20/10/2017 MUP 07-633980 Glukosa 5%
386 21/10/2017 DMA 20230 Ondansentron Inj
387 21/10/2017 ABM SI.2017.10.01722 Original Perfusor
388 21/10/2017 AAM 44170061979 Norelut
389 21/10/2017 AAM 44170061938 Leptica Tab
390 21/10/2017 KALLISTA 47926/YYK Procefa Inj
391 21/10/2017 KALLISTA 47909/YYK Trilac Tab
392 Lsprinol Syr
393 Promavit
394 Breathy TH
395 21/10/2017 MPI 150417001789 T-Plain 1 90
396 T-Vio 1 90
397 21/10/2017 MPI 150417001791 T-Chromic 0 90
398 21/10/2017 ENSEVAL 117131941 Amoxicillin DS
399 Clavamox DS
400 Ferofort
401 Kaflam Tab
402 Ketoconazole
403 21/10/2017 APL 1331772775 Avaxim
404 21/10/2017 APL 1331772756 Ferlin drop
405 Ferlin syr
406 21/10/2017 MUTIARA MAS 2017/X/0989 Spuit 1 cc
407 Selang O2 dewasa
408 21/10/2017 APL 1331772589 Duphaston tab
409 23/10/2017 MPI 150417001797 T-Chromic 2 90
410 23/10/2017 ABM SI.2017.10.01900 Transfusi Set
411 23/10/2017 KALLISTA 48115/YYK Trilac Tab
412 Isprinol Tablet
413 23/10/2017 KALLISTA 48097/YYK Lapicef Caps
414 23/10/2017 KALIMAS KIN.2017.10.139 Kertas Puyer 1200'
415 24/10/2017 AMS G3DP842 Iflacort 5 gr
416 Ferosfat Ef
417 24/10/2017 DMA 20383 Ondansentron Tab 4 mg
418 25/10/2017 DAP Tas Logo 2 Muka
419 25/10/2017 KALLISTA 48537/YYK Isprinol Syr
420 25/10/2017 KALLISTA 48508/YYK Prohelic
421 25/10/2017 MUP 07-639525 Aquadest 25 ml
422 25/10/2017 APL 1331774502 Prevenar

4 TIGA RAKSA SGM Bunda Hamil Coklat

19 Nutrinidrink Vanilla
359 19/10/2017 DAP Klip 10 putih
360 Klip 13 Putih
389 21/10/2017 AAM 44170061938 Leptica Tab
418 25/10/2017 DAP Tas Logo 2 Muka

TOTAL BELANJA
EPTEMBER - OKTOBER 2017
Jumlah Harga @ Diskon PPN 10% Jumlah
1 48,820 4,882 53,702
1 58,346 5,835 64,181
1 69,063 6,906 75,969
240 16,628 608,787 338,182 3,720,000
10 300,000 300,000 270,000 2,970,000
8 105,000 33,600 80,640 887,040
1 250,272 250,272
24 66,000 1,584,000
24 69,300 1,663,200
12 51,700 620,400
24 91,300 2,191,200
12 93,500 1,122,000
24 77,000 1,848,000
36 69,300 2,494,800
30 181,500 5,445,000
20 62,700 1,254,000
5 66,000 33,000 363,000
1 176,000 17,600 193,600
72 20,832 149,990 1,649,894
4 77,000 30,800 338,800
20 5,000 30,000 7,000 77,000
10 7,455 7,455 82,005
14 16,000 11,200 21,280 234,080
2 65,000 13,000 143,000
1 70,000 7,000 77,000
30 1,500 4,500 49,500
3 125,000 37,500 412,500
5 4,242 2,121 23,331
11 138,000 151,800 1,669,800
8 20,000 16,000 176,000
5 75,000 37,500 412,500
25 50,000 187,500 106,250 1,168,750
2 60,000 12,000 132,000
6 30,000 18,000 198,000
2 42,000 8,400 92,400
2 23,000 4,600 50,600
3 165,000 49,500 544,500
16 255,000 408,000 4,488,000
17 33,000 56,100 617,100
13 78,000 101,400 1,115,400
12 17,850 21,420 235,620
1 33,000 3,300 36,300
8 31,000 37,200 21,080 231,880
 6 132,000 79,200 871,200
3 950,000 285,000 3,135,000
2 105,000 21,000 231,000
1 77,000 2,310 7,469 82,159
40 153,000 612,000 6,732,000
8 150,000 120,000 1,320,000
16 35,000 56,000 616,000
25 26,000 65,000 715,000
1 42,000 4,200 46,200
12 19,000 22,800 250,800
80 27,000 648,000 151,200 1,663,200
8 34,000 27,200 299,200
3 22,500 2,025 6,548 72,023
11 35,000 11,550 37,345 410,795
6 22,500 4,050 13,095 144,045
28 12,000 16,800 31,920 351,120
10 75,000 22,500 72,750 800,250
53 132,000 699,600 7,695,600
23 82,500 56,925 184,058 2,024,633
20 105,000 63,000 203,700 2,240,700
26 125,000 325,000 3,575,000
1 902,000 225,500 3,000 679,500
3 508,750 76,313 1,449,938
9 19,800 35,640 142,560
3 19,800 11,880 47,520
30 5,500 49,500 115,500
25 48,400 1,210,000
2 55,556 111,112
4 20,000 80,000
75 42,222 3,166,650
25 42,222 1,055,550
80 25,000 2,000,000
110 4,500 495,000
2 167,000 334,000
2 30,176 3,018 5,733 63,068
6 13,400 4,020 7,638 84,018
240 4,600 110,400 1,214,400
1200 6,335 760,200 8,362,200
2 9,075 1,815 19,965
1 13,200 1,320 14,520
10 36,855 271,658 9,689 106,581
1 7,999 800 8,799
10 3,500 3,500 38,500
5 10,850 5,425 59,675
6 5,775 3,465 38,115
2 4,782 956 10,520
 2 32,119 6,424 70,662
30 5,100 11,475 14,153 155,678
1 84,269 8,427 92,696
7 121,036 84,725 931,977
1 395,455 39,545 435,000
5 13,082 6,541 71,951
1 158,484 15,848 174,332
1 11,184 1,118 12,302
3 43,430 13,029 143,319
20 25,000 50,000 550,000
35 9,491 33,219 365,404
4 4,946 1,978 21,762
1 88,114 8,811 96,925
3 16,782 5,035 55,381
1 2,277,000 1,095,237 118,176 1,299,939
2 2,277,000 455,400 5,009,400
23 50,000 115,000 1,265,000
9 30,000 10,800 25,920 285,120
2 42,500 3,400 8,160 89,760
12 50,000 60,000 660,000
2 42,500 17,000 6,800 74,800
4 30,500 4,880 11,712 128,832
2 52,500 10,500 115,500
15 37,500 112,500 45,000 495,000
16 55,000 35,200 84,480 929,280
20 30,212 60,424 664,664
12 75,000 90,000 990,000
4 190,000 30,400 72,960 802,560
2 94,000 18,800 206,800
1 62,500 6,250 68,750
18 37,500 135,000 54,000 594,000
1 174,000 34,800 13,920 153,120
1 12,369 1,237 13,606
6 93,500 112,200 44,880 493,680
24 60,000 36,000 140,400 1,544,400
1 16,500 1,650 18,150
2 25,500 20,400 3,060 33,660
6 13,000 31,200 4,680 51,480
1 12,523 3,131 939 10,331
27 76,364 412,366 164,946 1,814,409
1 43,000 4,300 47,300
2 26,000 13,000 3,900 42,900
1 26,000 6,500 1,950 21,450
41 140,000 574,000 6,314,000
9 165,000 148,500 1,633,500
4 40,000 40,000 12,000 132,000
 29 16,000 74,240 38,976 428,736
20 35,000 105,000 59,500 654,500
30 38,000 171,000 96,900 1,065,900
1 40,000 10,000 3,000 33,000
5 52,500 78,750 18,375 202,125
5 171,500 85,750 943,250
120 17,000 102,000 193,800 2,131,800
5 45,000 56,250 16,875 185,625
100 20,000 100,000 190,000 2,090,000
2 109,091 54,546 16,364 180,000
3 72,727 21,818 239,999
1 120,000 12,000 132,000
1 125,000 12,500 137,500
2 300,000 60,000 660,000
2 75,000 15,000 165,000
10 116,000 116,000 1,276,000
4 180,000 72,000 792,000
2 18,182 9,091 2,727 30,000
3 40,050 36,045 8,411 92,516
1 31,909 7,977 2,393 26,325
2 65,000 13,000 143,000
43 120,000 516,000 5,676,000
20 115,000 230,000 2,530,000
4 140,000 56,000 616,000
3 90,000 27,000 297,000
4 42,000 16,800 184,800
18 236,094 424,969 4,674,661
10 21,500 21,500 236,500
12 30,000 36,000 396,000
7 144,000 100,800 1,108,800
1 195,000 50,447 14,455 159,009
1 128,205 12,821 141,026
1 120,000 12,000 132,000
2 187,000 37,400 411,400
33 105,000 346,500 3,811,500
1 225,000 22,500 247,500
1 295,000 29,500 324,500
1 39,000 3,900 42,900
5 11,727 5,864 64,499
3 110,000 109,758 22,024 242,266
4 65,000 52,000 20,800 228,800
5 17,500 8,750 96,250
6 130,000 39,000 74,100 815,100
3 158,000 94,800 37,920 417,120
3 36,800 22,080 8,832 97,152
9 26,700 48,060 19,224 211,464
 2 22,000 4,400 48,400
6 128,000 153,600 61,440 675,840
3 92,736 8,346 26,986 296,848
4 70,000 28,000 308,000
60 6,500 39,000 429,000
18 581,800 314,172 1,015,823 11,174,051
4 129,250 103,400 413,600
8 320,300 256,240 230,616 2,536,776
10 495,000 247,500 470,250 5,172,750
10 230,000 115,000 218,500 2,403,500
7 415,000 145,250 275,975 3,035,725
2 120,000 24,000 21,600 237,600
1 86,243 8,624 94,867
2 50,650 10,130 111,430
9 30,100 27,090 24,381 268,191
32 41,160 131,712 118,541 1,303,949
2 47,615 9,523 8,571 94,278
1 75,000 7,500 82,500
1 80,000 8,000 88,000
3 53,200 7,980 15,162 166,782
25 53,200 66,500 126,350 1,389,850
2 126,000 25,200 277,200
7 26,000 18,200 200,200
2 150,000 30,000 27,000 297,000
2 370,000 74,000 66,600 732,600
5 76,800 38,400 34,560 380,160
14 29,000 40,600 36,540 401,940
4 48,200 19,280 17,352 190,872
5 250,000 125,000 112,500 1,237,500
8 189,000 151,200 1,663,200
10 25,988 25,988 23,389 257,281
50 6,303 31,515 346,665
50 7,454 37,270 409,970
12 7,000 8,400 92,400
2 7,000 1,400 15,400
130 4,363 56,719 623,909
20 4,636 9,272 101,992
20 10,000 20,000 220,000
10 60,000 60,000 660,000
2 380,909 76,182 838,000
3 54,000 16,200 178,200
1 363,000 36,300 399,300
4 49,600 9,920 18,848 207,328
3 163,800 19,656 47,174 518,918
1 71,500 14,300 5,720 62,920
4 171,150 136,920 54,768 602,448
 1 18,900 1,890 20,790
2 130,000 26,000 286,000
6 17,000 10,200 112,200
2 150,000 30,000 330,000
3 180,000 54,000 594,000
6 143,000 3,000 861,000
10 8,727 8,727 95,997
4 3,318 1,327 14,599
1 121,000 12,100 133,100
3 84,000 25,200 277,200
2 5,000 1,000 11,000
5 27,545 16,527 12,120 133,318
1 37,800 37,800
1 136,700 136,700
30 30,000 900,000
9 40,000 360,000
110 15,900 1,749,000
40 10,700 428,000
250 3,400 850,000
150 3,400 510,000
11 171,400 1,885,400
1 79,500 79,500
2 79,500 159,000
2 67,808 135,616
3 65,900 197,700
1 100,000 100,000
19 63,200 1,200,800
3 96,200 288,600
2 65,900 131,800
20 4,800 96,000
22 58,900 1,295,800
4 238,900 955,600
50 75,000 375,000 4,125,000
82 45,000 369,000 4,059,000
60 69,300 4,158,000
20 181,500 3,630,000
4 33,636 38,170 9,637 106,011
1 1,045,455 104,545 1,150,000
10 11,500 11,500 126,500
10 522,000 522,000 469,800 5,167,800
100 864 8,636 95,000
2 31,818 6,364 70,000
100 195 1,955 21,500
1 14,545 1,455 16,000
20 11,985 103,071 13,663 150,292
1 135,000 13,500 148,500
 1 450,000 45,000 40,500 445,500
3 56,465 16,940 186,335
3 76,040 22,812 250,932
3 88,725 26,618 292,793
3 106,515 31,955 351,500
2000 450 67,500 83,250 915,750
20 33,638 100,914 57,185 629,031
10 23,364 46,728 18,691 205,603
5 70,000 35,000 385,000
20 6,273 12,546 138,006
22 17,500 57,750 32,725 359,975
2 187,000 74,800 29,920 329,120
90 5,500 148,500 34,650 381,150
8 5,500 13,200 3,080 33,880
3 200,000 60,000 660,000
2 16,700 3,340 36,740
20 23,000 46,000 506,000
4 65,000 26,000 286,000
6 20,000 36,000 8,400 92,400
4 300,000 120,000 108,000 1,188,000
51 21,409 54,593 103,727 1,140,993
20 90,956 45,478 177,364 1,951,006
1 525,000 52,500 577,500
2 363,000 72,600 798,600
4 239,300 95,720 1,052,920
100 3,750 37,500 412,500
7 67,800 47,460 522,060
8 7,800 6,240 68,640
10 30,000 30,000 330,000
5 39,000 19,500 214,500
2 77,000 15,400 169,400
15 3,300 4,950 54,450
2 28,000 5,600 61,600
1 13,900 1,390 15,290
2 53,000 10,600 9,540 104,940
3 41,160 12,348 11,113 122,245
5 128,000 64,000 57,600 633,600
4 136,364 148,637 39,682 436,501
4 181,818 198,182 52,909 581,999
2 380,000 76,000 836,000
15 5,800 8,700 95,700
15 4,800 7,200 79,200
2 11,136 5,568 1,670 18,374
6 132,000 79,200 871,200
3 22,500 2,025 6,548 72,023
2 80,000 16,000 176,000
 1 75,000 7,500 82,500
30 27,273 204,548 61,364 675,007
5 75,000 37,500 412,500
1 62,520 6,252 68,772
4 115,000 46,000 506,000
20 2,700 5,400 59,400
10 5,600 5,600 61,600
1 171,400 17,140 188,540
6 205,600 123,360 1,356,960
10 60,000 120,000 48,000 528,000
20 15,300 30,600 336,600
5 29,535 14,768 162,443
8 20,710 16,568 182,248
21 11,350 23,835 262,185
1 45,100 4,510 49,610
4 23,600 9,440 103,840
3 20,700 6,210 68,310
10 10,750 10,750 118,250
27 14,450 39,015 429,165
8 84,100 67,280 740,080
1 26,000 2,600 28,600
2 57,900 11,580 127,380
11 13,950 15,345 168,795
1 13,950 1,395 15,345
2 97,400 19,480 214,280
5 123,000 61,500 676,500
13 72,000 93,600 1,029,600
35 77,000 269,500 2,964,500
1 102,500 10,250 112,750
3 125,000 37,500 412,500
20 42,650 85,300 938,300
5 17,600 8,800 96,800
2 78,000 15,600 171,600
1 1,272,727 127,273 1,400,000
20 3,500 70,000
30 90,956 68,217 266,046 2,926,509
5 105,000 52,500 577,500
1 108,845 10,885 119,730
1 183,333 18,333 201,666
1000 160 12,000 148,000
2000 180 27,000 333,000
10 25,000 37,500 21,250 233,750
1 94,800 9,480 104,280
1 154,000 15,400 169,400
5 38,000 19,000 209,000
1 47,150 4,715 51,865
 4 123,000 49,200 541,200
3 65,350 19,605 215,655
1 154,000 15,400 169,400
2 44,100 8,820 97,020
3 19,850 5,955 65,505
8 16,000 12,800 140,800
2 28,659 14,330 4,299 47,287
1 100,000 10,000 110,000
1 32,183 9,655 2,253 24,781
5 16,000 12,800 6,720 73,920
5 23,364 23,364 9,346 102,802
30 2,909 8,727 95,997
150 12,697 95,228 180,932 1,990,255
10 46,500 46,500 511,500
1 300,000 300,000
5 75,000 37,500 412,500
20 2,200 44,000
10 3,300 33,000
1 500,000 50,000 550,000
20 6,273 12,546 138,006
5 29,000 7,250 13,775 151,525
25 55,000 1,375,000
2 200,000 40,000 440,000
1 225,000 22,500 247,500
3 132,000 39,600 435,600
2 105,000 21,000 231,000
10 75,000 75,000 825,000
3 150,000 45,000 495,000
3 20,000 6,000 66,000
12 62,700 752,400
12 91,300 1,095,600
12 66,000 792,000
10 5,000 5,000 55,000
3 65,000 19,500 214,500
2 165,000 33,000 363,000
1 100,000 10,000 110,000
1 18,636 1,864 1,677 18,450
3 266,805 80,042 880,457
5 30,100 15,050 13,545 148,995
3 30,500 9,150 8,235 90,585
1 65,900 65,900
11 7,800 85,800
2 320,300 64,060 704,660
6 69,300 3,000 418,800
20 25,000 500,000
2 105,000 21,000 231,000
 5 75,000 37,500 412,500
1 950,000 95,000 1,045,000
2400 114 273,600
5 36,800 36,800 14,720 161,920
3 60,000 4,500 17,550 193,050
2 48,200 9,640 106,040
2000 450 67,500 832,500
10 75,000 75,000 825,000
10 153,000 153,000 1,683,000
50 5,000 25,000 275,000
7 618,182 618,182 370,909 4,080,001
303,139,328

240 16,628 608,787 338,182 3,720,000

72 20,832 149,990 1,649,894
1000 160 12,000 148,000
2000 180 27,000 333,000
1 225,000 22,500 247,500
2000 450 67,500 832,500
6,930,894

ELANJA 296,208,434