R.S. MH.

THAMRIN PURWAKARTA
Mutasi Obat + Net Price
Depo / Gudang : ICU/ICCU/IW
Periode : 18 Jun 2019 - 18 Jun 2019

Stok Stok Stok

Nama Farmasi Kode Net Price Awal Masuk Keluar Opname Akhir

ABBOTIC SYR 04581 157,000 0.00

ABOCATH NO 14 00633 21,000 0.00
ABOCATH NO 16 00559 21,000 0.00
ABOCATH NO 18 00223 10,500 5.0 0.00 5.0
ABOCATH NO 20 00282 10,500 11.0 0.00 11.0
ABOCATH NO 22 00283 10,500 8.0 0.00 8.0
ABOCATH NO 24 00255 10,500 9.0 0.00 9.0
ABOCATH NO 26 00285 37,620 3.0 0.00 3.0
ACCU CHECK ADVANTAGE II STRIP 02174 385,000 0.00
ACRAN INJ 01323 19,820 0.00
ALBOTHYL 10 ML 01222 28,000 0.00
ALINAMIN F INJ 01452 13,611 0.00
ALKOHOL 100 ML 70% 01025 5,500 0.00
ALKOHOL 1000 ML 96% 04530 65 -100.0 0.00 -100.0
ALKOHOL SWAB 01943 300 285.0 0.00 285.0
ALPRAZOLAM 1 MG TAB 03859 940 0.00
AMINOFLUID L 500 ML 02774 173,250 0.00
AMINOPHYLLINE INJ 24 MG / ML 00080 5,906 5.0 0.00 5.0
ANIOS DDI 01039 370 -5,150.0 0.00 -5,150.0
ANIOS GEL 85 500 ML 03578 157,000 4.0 0.00 4.0
ANIOS SPECIAL DJP SF 03524 318,600 0.00
ANITID INJ 03286 14,000 0.00
ARCAPEC SYR 60 ML 00016 11,000 0.00
ASAM TRANEKSAMAT 500 MG INJ 01908 5,250 0.00
ASAM TRANEXAMAT 250 MG INJ 00334 3,500 0.00
ASERING 5 INFUS 500 ML 00083 24,200 0.00
ASERING INFUS 500 ML 01702 10,000 5.0 0.00 5.0
ASERING INFUS INHEALTH 03643 10,182 0.00
ASERING INFUS OTSUKA 03354 24,000 0.00
ASSUCRYL 0 HRG 38 00929 118,372 0.00
ASSUCRYL 1 HRG 50 00478 118,373 0.00
ATP DANKOS INJ 00377 335,000 0.00
ATROPIN INJ ( yg dipake sulfas atrofin) 00137 2,100 0.00
ATS INJ 1500 IU 00499 150,000 0.00
BAJU DISPOSIBLE ( JAS ) 06133 8,000 0.00
BAKTERI FILTER SV300 01530 125,237 0.00
BECLOV INJ 01440 33,320 0.00
BEDAK SALICYL 2% 60 GR 01922 5,460 0.00
BELLAPHEN TAB 01189 2,200 0.00
BENOCETAM 3GR INJ 03367 33,000 0.00
BETADINE 30 ML 04455 15,000 0.00
BETADINE GARGLE 100 ML 02190 11,030 0.00
BETADINE SOLUTION 01809 24,500 0.00
BICNAT 02132 40 0.00
BIG HASS ( KASA LAPARATOMI 35 X 35 ) 01107 16,500 0.00
BIG HASS // KASA LAPARATOMI 18x18 01108 20,952 0.00
BIOFOS SUSP 60 ML 00077 57,500 0.00
BIOLINCOM 500 MG 02648 4,000 0.00
BIOLINCOM SYR 01408 50,000 0.00
BION 3 TAB 01620 2,904 0.00
BIONECT CREAM 03037 82,500 0.00
BIONECTOR 2 03038 27,500 0.00
BIONEURON TAB 02605 893 0.00
BIONORONE INJ 02604 3,947 0.00
BIOPLACENTON 15 GR 00371 10,900 0.00
BIOPLACENTON TULLE 01207 14,175 0.00
BIORAZON 1 GR INJ 03142 105,000 0.00
BIOSANBE CAPS 01649 975 0.00
BIOSTATIK 150 MG TAB 02496 4,833 0.00
BIOSTATIK 300 MG TAB 02497 8,667 0.00
BIOSYN 3-0 C14 02159 148,000 0.00
BIOTHICOL 500 MG TAB 01655 3,470 0.00
BIOTHICOL FORTE SYR 03868 56,400 0.00
BIOTHICOL SYR 60 ML 02692 19,400 0.00
BIOXON 1 GR INJ 03095 200,000 0.00
BIOZIM 1 GR INJ 03072 160,000 0.00
BIPRO TAB ASKES 04907 977 0.00
BIPRO TABLET 04161 5,300 0.00
BIROPIRON 03784 275 0.00
BISCOR TAB 03759 3,200 0.00
BISOLVON DROPS 02733 50,050 0.00
BISOLVON ELIXIR 60 ML 01457 34,000 0.00
BISOLVON SOLUTION 01527 73,600 0.00
BISTURI 00234 60,000 0.00
BISTURI NO 10 00550 3,900 0.00
BISTURI NO 11 00554 4,000 0.00
BISTURI NO 15 01248 3,600 0.00
BISTURI NO 23 00556 3,125 0.00
BLOOD LINE 03173 85,500 0.00
BLOOD SET 00636 10,000 5.0 0.00 5.0
BLOOD SET ONE MED 04039 7,500 0.00
BLUE LINE TRACHEOSTOMY 7 KIT 03324 1,250,000 0.00
BRAINACT 500 INJ 00894 54,000 0.00
CA GLUCONAS 00096 16,333 5.0 0.00 5.0
CANNOFIX 00648 7,000 0.00
CAT GUT CHROMIC NO. 2 per meter 00142 8,900 0.00
CATAPRES INJ 01508 64,082 0.00
CATHETER TIP 00097 40,000 4.0 0.00 4.0
CAVAFIX CERTO 358 B-BRAUN 02825 341,000 0.00
CEFTRIAXONE 1 G INJ 00345 10,000 0.00
CEPEZET INJ 02365 5,550 0.00
CERPLAST AEROFILM 45 X 150 MM 02228 80,000 0.00
CERPLAST AEROFILM 45 X 200 MM 03113 85,000 0.00
CERPLAST CAVITY 100 X 100 MM 03115 70,000 0.00
CERTOFIX DUO V 720 03833 775,000 0.00
CERTOFIX MONO V215 02898 360,000 0.00
CERTOFIX MONO V220 02899 525,000 0.00
CERTOFIX MONO V420 NO 14 02978 360,000 0.00
CETIRIZINE DROP 03329 30,000 0.00
CHEST ELECTRODA ANAK 01500 15,000 0.00
CHEST ELECTRODA DEWASA 00259 4,600 -10.0 0.00 -10.0
CHEST ELECTRODA KHUSUS TREADMIL 009546 7,400 50.0 0.00 50.0
CHROMIC 0 HRG 00764 70,862 0.00
CHROMIC 0 HRG 38 02900 78,126 0.00
CHROMIC 1 HR 38 00763 78,126 0.00
CHROMIC 1-0 BBRAUN ROLL 02217 20,000 0.00
CHROMIC 2 BBROUN ROLL 02291 26,820 0.00
CHROMIC 2-0 HR 27 00477 68,360 0.00
CHROMIC 2-0 HRG 38 02555 74,405 0.00
CHROMIC 2-0 HRG 40 00476 67,641 0.00
CHROMIC 3-0 BBRAUN PER METER 02461 26,500 0.00
CHROMIC 3-0 HR 27 00488 62,005 0.00
CHROMIC 3-0 TS 24 00489 74,405 0.00
CHROMIC 4-0 HR 17 02354 62,005 0.00
CHROMIC PETERGUT 1 PER PCS 01891 65,000 0.00
CHROMIC PETERGUT 4/0 PER PCS 02046 66,000 0.00
CIDEX 14 00908 69 0.00
CIDEX OPA 03279 242 0.00
CIPROFLOXACIN INF 00916 26,000 0.00
CITAZ 50MG 01198 5,500 0.00
CITICHOLINE 125 MG/ML INJ 00730 22,500 2.0 0.00 2.0
CITICHOLINE 125 MG/ML INJ ASKES 03675 10,000 0.00
CITICHOLINE 500 MG TABLET 04020 6,800 0.00
CITICHOLINE 500 MG/ML INJ 04189 28,000 0.00
CODITAM TAB 01402 4,100 0.00
COLOSTOMY BAG 01771 5,000 0.00
COMBIVENT RESP 02040 5,445 0.00
COMBIVENT RESP BPJS 05122 5,445 -1.0 0.00 -1.0
CONDOM BIASA ( SUTRA ) 00901 4,500 0.00
CONDOM CATHETER M 05728 4,000 3.0 0.00 3.0
CONDOM CHATETER S 05729 4,000 2.0 0.00 2.0
CONDOM CHTHETER L 00862 4,000 3.0 0.00 3.0
CONNECTING CABLE SP O2 02682 1,500,000 0.00
CORDARON INJ 01251 36,433 1.0 0.00 1.0
CORTIDEX INJ 01328 6,090 0.00
CTCLN 125 MG/ ML 00348 16,500 0.00
CYGEST 200 MG SUPP 01400 13,200 0.00
D 10 500 ML WIDA 00170 9,350 0.00
D 10 100 ML 00535 9,359 0.00
D 10 500 ML ASKES 03680 3,727 0.00
D 10 500 ML WIDA GENERIK 00657 5,206 0.00
D 10 OTSU 500 ML 01730 9,359 0.00
D 2.5 1/2 NS OTSU 02272 14,500 0.00
D 2.5 1/2 NS WIDA 03740 9,387 0.00
D 40 25 ML 00098 9,100 4.0 0.00 4.0
D 5 1/4 NS OTSU 01511 9,387 0.00
D 5 1/4 NS WIDA 00117 8,700 0.00
D 5 100 ML OTSU 00522 7,615 0.00
D 5 500 ML GENERIK 01847 6,600 0.00
D 5 500 ML OTSU 00100 9,455 0.00
D 5 500 ML WIDA 01495 7,300 0.00
D 5 500 SANBE DP 04559 17,700 0.00
D10 1/5 NS INFUS 500 00842 16,100 0.00
D10 500 ML INFUS 04573 18,500 0.00
D5 1/4 NS INFUS 500 ML 03678 17,750 0.00
D5 100 ML INFUS 01843 16,200 0.00
D5 500 ML INFUS 01707 19,571 1.0 0.00 1.0
DECAMIDONE INJ 02480 8,000 0.00
DERMANIOS SCRUB CHLORHEXIDINE 01644 266 0.00
DEXAMETHASON 5 MG INJ 01734 2,403 5.0 0.00 5.0
DEXPAIN INJ 05771 35,000 0.00
DEXTAMIN TAB 01330 1,650 0.00
DEXTAMINE INJ 02230 4,424 0.00
DIALIZER HPF6 03170 262,125 0.00
DIAZEPAM 5 MG INJ 01737 793 0.00
DICYNON INJ 01928 15,833 0.00
DIGOXIN 0.25 MG TAB 01738 145 0.00
DIGOXIN SANDOZ TAB 03123 968 0.00
DIPENHYDRAMINE 10 MG INJ 02282 1,135 0.00
DOBUJECT 250 MG INJ 01522 138,424 0.00
DOBUTAMIN INJ 10 ML 02459 41,855 3.0 0.00 3.0
DOBUTAMIN INJ 5 ML 04318 70,000 0.00
DOBUTAMIN INJ 50 ML 01032 235,100 0.00
DOPAC INJ 00366 61,270 0.00
DOPAMIN GIULINI 200 MG INJ 02408 88,304 4.0 0.00 4.0
DRYPERS WWD LCP S 01192 5,736 0.00
DRYPERS WWD LCP L 00775 7,945 0.00
DRYPERS WWD LCP M 00774 6,240 0.00
DRYPERS WWD LCP XL 00776 9,806 0.00
EPHEDRIN HCL INJ 00828 25,000 0.00
EPINEPHRINE INJ 0.1 % 00079 8,636 9.0 0.00 9.0
ETT NO 2.5 00406 60,000 0.00
ETT NO 3.5 00407 42,000 0.00
ETT NO 4.5 01713 60,000 0.00
ETT NO.2 BALON 03262 60,000 0.00
ETT NO.3 TANPA BALON 00147 19,000 0.00
ETT NO.4 BALON 01662 35,000 0.00
ETT NO.5 BALON 01610 35,000 0.00
ETT NO.6 BALON 00225 35,000 2.0 0.00 2.0
ETT NO.6.5 BALON 00148 35,000 0.00
ETT NO.6.5 TANPA BALON 05272 19,000 0.00
ETT NO.7 BALON 00149 35,000 2.0 0.00 2.0
ETT NO.7 TANPA BALON 05273 19,000 0.00
ETT NO.7.5 BALON 00150 35,000 2.0 0.00 2.0
ETT NO.7.5 TANPA BALON 05274 35,000 0.00
ETT NO.8 BALON 00229 35,000 3.0 0.00 3.0
ETT NO.8 TANPA BALON 00151 87,500 0.00
ETT NON KING-KING 3.5 03862 164,200 0.00
ETT NON KING-KING 4 03863 164,200 0.00
ETT NON KING-KING 6 01166 164,200 0.00
ETT NON KING-KING 6.5 02559 164,200 0.00
ETT NON KING-KING 7 03471 164,200 0.00
ETT NON KING-KING 7.5 02560 164,200 0.00
ETT NON KING-KING 8 02563 164,200 0.00
EXTENTION TUBE 150 CM 00342 22,380 8.0 0.00 8.0
EXTENTION TUBE 150 CM 1.5 M 01169 40,000 0.00
EXTENTION TUBE 75 CM 2.5 M 01170 42,500 0.00
EXTRACE INJ 5 ML 01878 30,000 0.00
FARELAX INJ 03748 70,000 0.00
FARGOXIN INJ 02281 35,000 10.0 0.00 10.0
FARGOXIN TAB 00355 290 0.00
FARSIX INJ 00361 6,500 0.00
FARSORBID INJ 01535 63,000 0.00
FEEDING BOTLE 04086 200,000 0.00
FENTANIL 0.05 MG INJ 02056 44,000 2.0 0.00 2.0
FINGER SENSOR ADULT SPO2 REUSE 05964 1,125,000 0.00
FINGER SENSOR NEONATAL SPO2 DISP 01595 182,200 0.00
FISTULA 1 1/4" 03178 13,500 0.00
FISTULA 1" 03177 13,500 0.00
FLIXOTIDE NEBU 0.5 MG 02085 19,140 0.00
FOLEY CATHETER NO 10 01185 25,000 3.0 0.00 3.0
FOLEY CATHETER NO 12 01257 14,960 1.0 0.00 1.0
FOLEY CATHETER NO 14 00144 13,750 0.00
FOLEY CATHETER NO 16 00145 22,000 0.00
FOLEY CATHETER NO 18 00146 22,000 1.0 0.00 1.0
FOLEY CATHETER NO 20 02347 27,500 0.00
FOLEY CATHETER NO 22 03529 21,875 0.00
FOLEY CATHETER NO 24 03536 29,000 0.00
FOLEY CATHETER NO 6 01370 35,000 0.00
FOLEY CATHETER NO 8 01369 58,000 2.0 0.00 2.0
FORGESIC INJ 06146 12,000 0.00
FORMUNO TABLET 03695 6,000 0.00
FORTANEST 15 MG INJ 00491 41,000 0.00
FORTANEST 5 MG INJ 04582 25,685 -1.0 0.00 -1.0
FUROSEMIDE 10 MG INJ 01743 3,220 3.0 0.00 3.0
FUROSEMIDE 40 MG 00457 121 0.00
FUTROLIT INF 03832 40,182 1.0 0.00 1.0
GARAM INGGRIS (MGSO4)/GR 03240 100 0.00
GARAMYCIN INJ 80 MG 01941 55,200 0.00
GASTRUL TABLET 00533 10,400 0.00
GELANG BAYI 00231 750 0.00
GELOFUHSIN INF 00868 131,832 2.0 0.00 2.0
GENTAMICIN 0.3% OTM 01747 3,750 0.00
GENTAMICIN INJ 01746 4,900 5.0 0.00 5.0
GUDEL 04851 37,500 -1.0 0.00 -1.0
GUDEL 0 03261 26,000 0.00
GUDEL 00 00317 26,000 0.00
GUDEL 2 04057 26,000 0.00
GUDEL 4 04059 26,000 1.0 0.00 1.0
GUDELL 04852 37,500 0.00
H2O2 3% 00318 35 0.00
HAES 6 % WIDA 00421 149,000 0.00
HANDSCON STERIL JIRUKO NO 8 03164 6,300 0.00
HANDSCONE NON STERIL UKURAN L 01359 1,200 0.00
HANDSCONE NON STERIL UKURAN M 00102 1,200 -10.0 0.00 -10.0
HANDSCONE NON STERIL UKURAN S 00104 1,200 910.0 0.00 910.0
HANDSCONE PANJANG 04109 20,000 0.00
HANDSCONE SESIKU 01869 16,800 0.00
HANDSCONE STERIL NO 6,5 00826 18,170 1.0 0.00 1.0
HANDSCONE STERIL NO 7 00105 18,170 3.0 0.00 3.0
HANDSCONE STERIL NO 7,5 00106 18,170 0.00
HANDSCONE STERIL NO 8 00825 18,170 1.0 0.00 1.0
HANDSCONE UK M AMER CARE 01046 700 0.00
HANDSCONE UK M SAFE MED 01081 800 0.00
HANSAPLAS PLESTER 02737 400 0.00
HEPARIN SODIUM B BRAUN 02108 45,000 0.00
HERBESSER 50 MG INJ 04321 270,000 0.00
HIBICET 5 LITER 00403 140 -200.0 0.00 -200.0
HYPAFIX 10X10 ( ASGUARD ) 05380 14,500 0.0 0.00 0.0
HYPAFIX 15X10 ( ASGUARD ) 05381 20,300 0.0 0.00 0.0
HYPAFIX 5X10 ( ASGUARD ) 05379 7,700 0.00
INDEXON 5 MG INJ 01952 6,200 0.00
INDOP INJ 01506 33,000 0.00
INFUMAL 10% SP 02695 80,850 0.00
INFUSAN RING AS 01420 13,600 0.00
INFUSET ANAK MIKRO ONE MED 04837 8,750 0.00
INFUSET BURET 00108 89,000 0.00
INFUSET DEWASA MAKRO ONE MED 04829 7,500 0.00
INFUSET FOR INFUS PUMP 01149 21,780 0.00
INFUSET MACRO 00157 13,400 4.0 0.00 4.0
INFUSET MACRO BBRAUN (INTRAFIX SAFESE 04221 27,300 0.00
INFUSET MACRO OTSUKA 02205 9,900 0.00
INFUSET MICRO 00199 19,000 6.0 0.00 6.0
INFUSET MICRO BBRAUN (INTRAFIX PRIMELI 04220 20,000 0.00
INFUSET MIKRO BBRAUN 00820 14,400 0.00
INFUSET MIKRO SPM RUBBER 04267 40,000 0.00
INOTROP INJ 00363 99,000 2.0 0.00 2.0
INTHESA INJ 01924 7,500 0.00
INTRASITE GELL 03391 85,000 0.00
INVICLOT INJ 00358 63,000 0.00
ISOSORBID DINITRAT 5 MG 02829 150 0.00
JARUM HECTING 00321 12,500 0.00
JARUM NOVOLET 00869 2,500 0.00
KA EN 1 B 00416 12,915 0.00
KA EN 3A 00110 13,560 0.00
KA EN 3B 00111 13,560 0.00
KA EN MG 3 01976 14,792 0.00
KACAMATA BLUE LIGHT 04316 85,000 0.00
KALMECO 250 MG CAPS 01079 1,180 0.00
KALMETASONE INJ 4 MG 00389 5,000 0.00
KALNEX 250MG TAB 01204 1,365 0.00
KALNEX 500MG TAB 00161 2,340 0.00
KALNEX INJ 250 MG 00162 7,500 0.00
KALNEX INJ 500 MG 00272 10,080 0.00
KALTROFEN EC 100 MG 01205 4,025 0.00
KALTROFEN GEL 2.5% 30 GRAM 00374 55,000 0.00
KALTROFEN INJ 100 MG 00508 19,950 0.00
KALTROFEN SUPP 100 MG 00659 9,765 0.00
KAPAS 25 GR 05131 4,500 0.00
KAPAS 250 GR 05864 15 0.00
KAPAS 50 GR 01097 16,670 0.0 0.00 0.0
KAPAS 500 GR 00198 29,000 0.00
KAPAS LIDI 04350 1,200 0.00
KAPSET CAPS 02490 8,010 0.00
KASA 16 X 16 STERILLE 01096 7,700 0.00
KASA 4 X 15 CM 01804 2,100 0.00
KASA 4 X 5 CM 01805 500 0.00
KASA 40 X 80 CM ( BINDA ) 05203 2,100 -4.0 0.00 -4.0
KASA 40 X 80 CM ( X RAY ) 02119 14,000 0.00
KCL 25 ML 00322 8,300 2.0 0.00 2.0
KETALAR KETAMINE 00693 30,000 0.00
KETOROLAC 30 MG INJ 00433 4,545 4.0 0.00 4.0
KETOROLAC INJ 10MG 03903 8,100 0.00
LASIX 40 MG TAB 01942 3,399 0.00
LASIX INJ 02378 13,771 0.00
LIDOCAIN INJ 00094 1,600 3.0 0.00 3.0
LIPITROP 600 MG TAB 01245 3,000 0.00
LISTERIN 80ML GARGLE 03607 5,417 0.00
LOMATULLE 00132 10,000 -1.0 0.00 -1.0
LOVENOX 60 MG/0.6ML 01060 225,697 0.00
M20 (MANITOL) INFUS 250 ML 00715 25,705 0.00
M20 (MANITOL) INFUS 500 ML 03733 84,000 0.00
MADOPAR DISPERSIBLE 125 TAB 04730 3,950 0.00
MARTOS INF 00781 58,282 0.00
MASKER DISPOSIBLE 00158 440 304.0 0.00 304.0
MASKER NEBULIZER DEWASA 03412 25,000 0.00
MECOBALAMIN 0.5 MG INJ 02406 8,800 0.00
MEDIFLEX 30 GR 02841 80,000 2.0 0.00 2.0
MERSIBION 5000 INJ 05958 4,400 0.00
METHERGIN INJ 02167 7,746 0.00
METHYLPREDNISOLONE 125 MG INJ 01692 47,000 0.00
METOCLOPRAMIDE HCL INJ 00669 5,000 0.00
METOLON INJ 01913 5,000 0.00
MEYLON 25 ML 00239 13,800 2.0 0.00 2.0
MGSO4 20% 00241 9,100 5.0 0.00 5.0
MGSO4 40% 00880 5,500 0.00
MICRODRIP TERUMO ( BURET ) 04106 78,000 0.00
MICROPIPET 100-1000 UL 04876 1,500,000 0.00
MILOZ INJ 15 MG 03387 45,000 0.00
MILOZ INJ 5 MG 01773 20,000 0.00
MORPHIN HCL 10 MG INJ 00468 30,955 8.0 0.00 8.0
MST CONTINUS 10 MG TAB 01597 14,200 0.00
NACL 100 CC OTSTUKA 00418 7,615 0.00
NACL 100 ML INFUS 02021 13,800 0.00
NACL 1000 ML INFUS 03214 9,745 0.00
NACL 1000 SANBE 03978 22,100 0.00
NACL 25 ML OTSU 00242 1,900 0.00
NACL 500 ML ASKES 03668 3,636 0.00
NACL 500 ML B BRAUN 04421 15,000 0.00
NACL 500 ML INFUS 01848 6,500 8.0 0.00 8.0
NACL 500 ML MJB 05404 8,000 0.00
NACL 500 ML OTSUKA 00122 7,554 0.00
NACL 500 ML SANBE 02533 15,850 0.00
NACL 500 ML WIDA 00114 7,500 0.00
NACL SALIN 3% 500 ML 01063 27,577 0.00
NASAL CANNUL ANAK 01045 8,470 0.00
NASAL CANNUL BAYI 00410 8,470 0.00
NASAL CANNUL DEWASA 00652 8,470 7.0 0.00 7.0
NATRIUM DICLOFENAC 25 MG TAB 02082 183 0.00
NECK COLLAR HARD M 00596 413,875 0.00
NEDLE 18 05534 900 0.00
NEDLE 20 01499 850 9.0 0.00 9.0
NEDLE 21 00251 850 5.0 0.00 5.0
NEDLE 22 00247 780 3.0 0.00 3.0
NEDLE 23 00249 198 9.0 0.00 9.0
NEDLE 24 00335 198 3.0 0.00 3.0
NEDLE 25 03031 180 3.0 0.00 3.0
NEDLE 26 00336 198 0.00
NEDLE HOLDER 14 CM 01861 28,000 0.00
NEDLE NOVO TWIST 32G 5 MM ( BIRU ) 00815 2,485 0.00
NEO-K INJ 00953 12,400 6.0 0.00 6.0
NEUROBAT FORTE INJ 03032 5,500 0.00
NEUROBION 1000 INJ 01621 3,520 0.00
NEUROBION 5000 INJ 01029 9,005 1.0 0.00 1.0
NEUROLIN 250 MG INJ 01473 17,500 0.00
NEUROSANBE INJ 02264 4,970 0.00
NEUROTAM INJ 3GR 01110 43,500 0.00
NGT NO 10 00130 32,000 1.0 0.00 1.0
NGT NO 12 00795 30,000 1.0 0.00 1.0
NGT NO 14 00152 32,000 2.0 0.00 2.0
NGT NO 16 00153 7,744 4.0 0.00 4.0
NGT NO 18 00154 29,000 2.0 0.00 2.0
NGT NO 20 04042 26,000 0.00
NGT NO 3.5 00408 28,000 0.00
NGT NO 5 00409 35,000 0.00
NGT NO 6 01611 33,000 0.00
NGT NO 8 00958 33,000 0.00
NICARDIPIN INJ 05111 135,000 2.0 0.00 2.0
NITROCINE 10 ML 01626 65,000 0.00
NORAGES INJ 00070 7,300 0.00
NOTRIXIUM 50 MG INJ 01834 65,000 0.00
NOTRIXUM INJ 25 MG 00642 32,120 0.00
NOVALGIN INJ 00125 7,983 0.00
NOVERON INJ 04332 100,000 0.00
NURSE CAPS GREEN 02719 800 0.00
NYLON 1 CUTTING 02647 45,000 0.00
NYLON 0 REVERSE CUTTING 02531 100,000 0.00
NYLON 2-0 TS 27 00484 61,384 0.00
NYLON 3-0 TS 19 05317 53,147 0.00
NYLON 3-0 TS 27 00485 61,384 2.0 0.00 2.0
NYLON 4-0 TS 19 00744 61,384 0.00
O2 NON REBREATHING ANAK 01613 75,000 0.00
O2 NON REBREATHING DEWASA 01372 24,640 3.0 0.00 3.0
O2 NON REBREATING BAYI 02441 0 0.00
O2 REBREATHING ANAK 01612 75,000 0.00
O2 REBREATHING DEWASA 00126 60,000 4.0 0.00 4.0
OMEPRAZOLE INJ 05007 50,000 0.00
ONDANSENTRON 4 MG INJ 2 ML 01898 5,000 0.00
ONDANSENTRON 4 MG TAB 00245 1,300 0.00
ONDANSENTRON 8 MG INJ 00346 7,273 0.00
ONDANSENTRON 8 MG TAB 01814 2,300 0.00
ONDAVELL 4 MG INJ 01494 20,750 0.00
OTTOGENTA INJ 00772 8,000 0.00
PAKET ICU 03004 50,745 0.00
PAKET MANDI 00788 10,300 0.00
PAMPERS DEWASA L 00778 7,000 0.00
PAMPERS DEWASA M 00777 7,438 0.00
PAN-AMIN G INF 00656 45,000 0.00
PAPER BAG 00787 10,000 0.00
PART A 03472 80,000 0.00
PART B 03473 70,000 0.00
PEDIALYT 500 CC 01801 25,932 0.00
PEHACAIN INJ 01806 2,830 0.00
PEMBALUT IBU NIFAS 01006 17,000 0.00
PERDIFINE 10 MG INJ 02130 300,000 0.00
PERDIFINE 2 MG INJ 01625 51,362 0.00
PERIFIX 16 ( SET EPIDURAL ) 02856 325,000 0.00
PERIFIX 18 ( SET EPIDURAL ) 02857 325,000 0.00
PETHIDIN HCL 50 MG INJ 00467 12,210 0.00
PHENOBARBITAL INJ 02875 1,182 0.00
PHENYTOIN 100 MG CAPS 01114 550 0.00
PHENYTOIN 2 ML INJ 01509 50,914 4.0 0.00 4.0
PIRACETAM 1 GR INJ 00343 6,000 0.00
PIRACETAM 12 GR INF 01850 70,000 0.00
PIRACETAM 3 GR INJ 00092 10,000 4.0 0.00 4.0
PISAU CUKUR 01001 5,500 -1.0 0.00 -1.0
PLAIN 3-0 TAPER / SACH 00767 42,500 0.00
PLASMIN TAB 01038 6,402 0.00
PLASMINEX INJ 01659 12,120 0.00
PLASTRA U-CAST 7.5 X 270 00937 11,000 0.00
POSTOFIX-PU 10x15 CM 01069 16,500 0.00
POSTOFIX-PU 10x25 CM 01067 31,000 0.00
POSTOFIX-PU 10x8 CM 01068 13,000 0.00
POT URINE STERIL 00124 2,500 0.00
POUCHES FLAT 10 02133 1,118,750 0.00
POUNCH STERILL PLAT 20 CM 03218 1,375,000 0.00
POVIDON IODINE 30 ML 01465 7,000 0.00
POVIDON IODINE 60 ML 05139 6,500 0.00
PPD 2 TU 1.5 ML 02019 46,817 0.00
PROANES 20 ML 03673 76,900 0.00
PROCETAM 3 GR INJ 00068 42,500 0.00
PROFIKA SUPP 03779 9,500 0.00
PULMICORT RESP 0.25 MG 02821 15,452 3.0 0.00 3.0
PULMICORT RESP 0.5 MG 00397 15,908 0.00
Q 10 DS 01104 14,700 0.00
RAIVAS INJ 03272 88,000 0.00
RANIN INJ 25 ML 02181 17,640 0.00
RANITIDINE 150 MG TAB 00347 200 0.00
RANITIDINE INJ 00344 2,337 0.00
RANTIN 150 MG TAB 02035 3,980 0.00
RANTIN 50 MG INJ 00658 15,800 0.00
RATIVOL 30 MG INJ 04286 34,800 0.00
RECOFOL 50 ML 00865 95,000 0.00
RECTAL TUBE 12 03801 25,000 0.00
RECTAL TUBE 16 03802 25,000 0.00
RECTAL TUBE 22 03803 25,000 0.00
RECTAL TUBE 25 03804 25,000 0.00
RENATAC 150 MG 01505 3,400 0.00
RENATAC INJ 01534 14,000 0.00
RL 500 ML BBRAUN 04387 8,600 0.00
RL 500 ML MJB 05403 10,000 0.00
RL INFUS 500 ML 01701 6,500 11.0 0.00 11.0
RL OTSUKA 00128 8,240 0.00
RL WIDA GENERIK 01220 6,500 0.00
RL WIDA PATEN 00103 8,200 0.00
SAFOL INJ 00641 80,000 0.00
SAGESTAM 80 MG INJ 00711 9,260 0.00
SAGESTAM CREAM 01009 12,000 0.00
SALISILK TALK IKA 01795 5,500 0.00
SANBE HES 130 03904 194,800 3.0 0.00 3.0
SANMOL INFUS 03970 59,600 0.00
SANORINE BIRU 80 ML 02678 8,500 0.00
SANORINE HIJAU 80 ML 02679 11,900 0.00
SANTOCYN INJ 03821 11,210 0.00
SARUNG TANGAN SENSI X5 00319 40,000 0.00
SIBITAL 200 INJ 00824 9,000 0.00
SILET CUKUR 01373 750 0.00
SILK 0 TS-30 00765 55,804 0.00
SILK 1 HRG 38 00471 67,641 0.00
SILK 1 TS-30 04073 67,641 0.00
SILK 2-0 HR 27 01845 55,804 0.00
SILK 2-0 TS-27 00472 55,804 0.00
SILK 3-0 HR 17 03020 55,804 0.00
SILK 3-0 HR 27 00474 55,804 0.00
SILK 3-0 ROLL 00238 7,750 0.00
SILK 3-0 TS-27 00473 55,804 0.00
SILK NO 2-0 ROLL 00155 9,222 0.00
SILK NO 3.0 ROLL 00156 7,995 0.00
SILK NO.1 ROLL 03987 9,222 0.00
SIMPLE MASK ANAK (SUNGKUP) 03579 13,552 0.00
SIMPLE MASK DEWASA (SUNGKUP) 03505 25,000 3.0 0.00 3.0
SMECTA SACH 01212 2,425 0.00
SOFSILK 2-0 V20 / GS-833 00306 60,000 0.00
SOTATIC INJ 01344 7,000 0.00
SPALK ANAK 01596 10,000 0.00
SPALK DEWASA 02981 20,000 0.00
SPALK INFUS 4 X 12 03351 7,500 0.00
SPALK INFUS 4 X 15 03352 8,500 0.00
SPALK INFUS 4 X 8 03353 5,000 0.00
SPALK TRIPLE L 85 03432 76,725 0.00
SPALK TRIPLE R 85 03631 76,725 0.00
SPINAL NEEDLE NO 18 04534 45,000 0.00
SPINAL NEEDLE NO 20 00892 28,125 0.00
SPINAL NEEDLE NO 22 04721 28,750 0.00
SPINAL NEEDLE NO 23 04698 45,000 0.00
SPINAL NEEDLE NO 25 01066 40,000 2.0 0.00 2.0
SPINAL NEEDLE NO 26 00838 44,000 0.00
SPINAL NEEDLE NO 27 02273 47,000 0.00
SPUIT 1 CC 00133 3,648 10.0 0.00 10.0
SPUIT 10 CC 00134 1,155 26.0 0.00 26.0
SPUIT 10 CC BBROUN 04496 2,125 0.00
SPUIT 10 CC WIN 05378 1,300 0.00
SPUIT 10 CC YORK 00861 1,300 0.00
SPUIT 10CC ONE MED 04836 1,437 0.00
SPUIT 2.5 CC 00135 653 0.00
SPUIT 20 CC 00303 1,738 10.0 0.00 10.0
SPUIT 3 CC 00415 1,530 11.0 0.00 11.0
SPUIT 3 CC ONE MED 04034 750 0.00
SPUIT 5 CC 00136 825 7.0 0.00 7.0
SPUIT 5 CC ONE MED 04828 875 0.00
SPUIT 50 CC 00212 4,950 4.0 0.00 4.0
SPUIT 60 CC BD 00304 17,000 0.00
SPUIT INSULIN TERUMO 00305 2,100 0.00
STELAZINE 1 MG 01223 369 0.00
STERANIOS 2% 01778 119 0.00
STESOLID 2 MG INJ 00337 10,400 0.00
STROCAIN TAB 01374 1,103 0.00
SUCTION CATHETER NO 10 01093 7,000 3.0 0.00 3.0
SUCTION CATHETER NO 12 01413 7,500 -1.0 0.00 -1.0
SUCTION CATHETER NO 14 01094 7,000 1.0 0.00 1.0
SUCTION CATHETER NO 16 01409 7,000 1.0 0.00 1.0
SUCTION CATHETER NO 5 01080 22,000 0.00
SUCTION CATHETER NO 6 01791 10,000 0.00
SUCTION CATHETER NO 8 00237 7,500 2.0 0.00 2.0
SULFAS ATROPIN INJ 01119 2,000 8.0 0.00 8.0
SUPRAFENID SUPP 100 MG 00012 9,500 0.00
SURFANIOS (FRESH LEMON ) 01041 235 0.00
SURGICAL CAP GREEN 03012 1,300 0.00
SYNTOCINON INJ 02237 10,951 0.00
SYRINGE ABG PRESET ( HEPARIN ) 00962 17,500 0.00
T-CONNECTOR 02731 25,000 0.00
TEGADERM SEDANG 00514 7,500 0.00
TENSILO INJ 04597 160,000 0.00
TENSOCREPE 10 CM ( SEDANG ) 00101 63,287 1.0 0.00 1.0
TENSOCREPE 15 CM ( BESAR ) 00996 83,119 0.00
TENSOCREPE 7.5 CM ( KECIL ) 00943 52,575 0.00
THERMOVENT T PORTEX 02720 150,000 3.0 0.00 3.0
THERMOVENT T SELANG O2 02721 260,000 3.0 0.00 3.0
THERMOVENT T SWIVEL CONNECTOR PORTE 02722 235,000 0.00
THREE WAY 00875 12,750 1.0 0.00 1.0
THREE WAY CATHETER NO. 18 02982 90,000 0.00
THREE WAY CATHETER NO. 22 01498 90,000 0.00
THREE WAY CATHETER NO. 24 01497 90,000 0.00
THREE WAY EKOR 03029 15,400 7.0 0.00 7.0
TIARYT INJ 04074 25,000 -1.0 0.00 -1.0
TIMACT-80 INJ 01503 8,000 0.00
TOPI OPERASI 02195 1,008 0.00
TOPI OPERASI NURSE 01483 1,500 0.00
TRACRIUM INJ 2.5 ML 05364 40,400 0.00
TRADOSIK 1GR INJ GEN 03983 6,760 0.00
TRADOSIX INJ 01326 1,729 0.00
TRAMADOL 50 MG CAP 00422 367 0.00
TRAMADOL INJ 00091 6,984 5.0 0.00 5.0
TRAMUS INJ 2.5 ML 00867 48,000 0.00
TRASIK INJ 01615 15,000 0.00
TRAZEP 10 MG SUPP 00518 32,400 0.00
TRICOFIX 10 M X 6 CM 01346 76,168 0.00
TRIDEX 27 A 01606 19,500 0.00
TRIDEX 27 B 01607 20,500 0.00
TRIMATE-E CAPS 02603 1,140 0.00
TRIPLE SPALK 70 03350 67,500 0.00
TRIPLE SPALK 85 03348 69,750 0.00
TROCAR NO 28 05370 250,000 0.00
TRY WAY 00927 13,000 0.00
TUBEX TF 04048 3,985,250 0.00
UMBILICAL CLAMPS 00411 1,600 0.00
UNDER PAD 01336 7,626 0.00
UNDER PAD ONE MED 04992 6,250 0.00
URESIX INJ 04097 7,740 -8.0 0.00 -8.0
URINE BAG 00138 7,500 3.0 0.00 3.0
URINE BAG ROYAL 04830 6,250 0.00
URINTER KAPS 02383 4,700 0.00
VAKSIN TT ( JERAP TETANUS ) 01810 70,816 0.00
VALDIMEX INJ 10 MG 00494 10,000 0.00
VALISANBE INJ 01352 17,130 3.0 0.00 3.0
VALIUM INJ 02587 24,800 0.00
VASCON INJ 00359 95,000 4.0 0.00 4.0
VENOCATH NO 18 00643 20,000 0.00
VENOCATH NO 20 00644 20,000 0.00
VENOCATH NO 22 00645 20,000 0.00
VENOCATH NO 24 00646 20,000 0.00
VENOCATH PLUS NO 20 00647 20,000 0.00
VENOCATH PLUS NO 24 00677 20,000 0.00
VENOCATH PLUS NO. 22 01642 20,000 0.00
VENOCATH PLUS NO.18 01238 20,000 0.00
VENOPIC CATH NO 22 01092 24,000 0.00
VENTOLIN EXPECTORAN 100 CC 03414 41,000 0.00
VENTOLIN INHALER 01361 99,093 0.00
VENTOLIN NEBULES 00357 9,438 2.0 0.00 2.0
VITAMIN K INJ 04310 2,800 0.00
VITAMIN K INJ ASKES 02977 909 0.00
VITAMIN K3 10 MG INJ 00139 1,553 0.00
WI 10 ML 04663 3,000 0.00
WI 1000 ML 00532 17,050 2.0 0.00 2.0
WI 20 ML 04383 6,150 10.0 0.00 10.0
WI 25 ML 00292 6,322 -2.0 0.00 -2.0
WI 25 ML ASKES 02707 1,432 0.00
WI 50 ML 03375 8,700 0.00
WI 500 ML 02231 50 3,000.0 0.00 3,000.0
WIDA RD 500 ML 00718 23,050 0.00
WIDAHES 00579 149,000 0.00
WIDAHES 130 03331 150,000 0.00
WING NEEDLE NO 23 00140 8,240 0.00
XYLOCAIN GELL 05219 54,246 0.00
XYLOCAIN GELLY 00202 517 0.00
XYLOCAIN SPRAY 03843 27,937 0.00

Grand Total 8,774,765

Print By LOGFAR on 06/18/2019 Page 12 of 12

Nilai (Rp.)

0
0
0
52,500
115,500
84,000
94,500
112,860
0
0
0
0
0
-6,500
85,500
0
0
29,530
-1,905,500
628,000
0
0
0
0
0
0
50,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50,000
0
0
0
81,665
0
0
0
160,000
0
0
0
0
0
0
0
0
0
0
0
0
-46,000
370,000
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
45,000
0
0
0
0
0
0
-5,445
0
12,000
8,000
12,000
0
36,433
0
0
0
0
0
0
0
0
0
0
36,400
0
0
0
0
0
0
0
0
0
0
0
19,571
0
0
12,015
0
0
 0
0
0
0
0
0
0
0
125,565
0
0
0
353,216
0
0
0
0
0
77,724
0
0
0
0
0
0
0
70,000
0
0
70,000
0
70,000
0
105,000
0
0
0
0
0
0
0
0
179,040
0
0
0
0
350,000
0
0
0
0
88,000
0
0
0
 0
0
75,000
14,960
0
0
22,000
0
0
0
0
116,000
0
0
0
-25,685
9,660
0
40,182
0
0
0
0
263,664
0
24,500
-37,500
0
0
0
26,000
0
0
0
0
0
-12,000
1,092,000
0
0
18,170
54,510
0
18,170
0
0
0
0
0
-28,000
0
0
0
0
0
0
0
 0
0
0
0
53,600
0
0
114,000
0
0
0
198,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-8,400
0
16,600
0
18,180
0
0
0
4,800
0
0
-10,000
0
0
 0
0
0
133,760
0
0
160,000
0
0
0
0
0
27,600
45,500
0
0
0
0
0
247,640
0
0
0
0
0
0
0
0
52,000
0
0
0
0
0
0
0
59,290
0
0
0
7,650
4,250
2,340
1,782
594
540
0
0
0
74,400
0
0
9,005
0
0
0
32,000
 30,000
64,000
30,976
58,000
0
0
0
0
0
270,000
0
0
0
0
0
0
0
0
0
0
0
122,768
0
0
73,920
0
0
240,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
203,655
0
0
 40,000
-5,500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46,356
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
71,500
0
0
0
0
0
0
0
584,400
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
75,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80,000
0
0
36,480
30,030
0
0
0
0
0
17,380
16,830
0
5,775
0
19,800
0
0
0
0
0
0
21,000
-7,500
7,000
7,000
0
0
15,000
16,000
0
0
 0
0
0
0
0
0
63,287
0
0
450,000
780,000
0
12,750
0
0
0
107,800
-25,000
0
0
0
0
0
0
0
34,920
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-61,920
22,500
0
0
0
0
51,390
0
380,000
0
0
0
0
0
0
0
 0
0
0
0
18,876
0
0
0
0
34,100
61,500
-12,644
0
0
150,000
0
0
0
0
0
0
0

8,774,765

Page 12 of 12