OBAT- OBAT DEPO IGD

SIRUP TABLET GENERIK

AMBROXOL SYR CLOPIDOGREL

NYSTATIN DROP IBUPROFEN 400MG

SANMOL FORTE SYRUP DOMPERIDON 10MG TAB
60ML

SUCRALFAT 500MG/5ML ISOSORBID DINITRAT 5 MG

SIRUP
AMOXICILLIN 125 DRY SYR MECOBALAMIN 500MG KAPSUL

ANTASIDA SIRUP LAPISTAN 500 TAB

FARSIFEN SIRUP NATRIUM DIKLOFENAK 50 MG
HELIXIM SIRUP OMEPRAZOL 20 MG KAPSUL
SUPRAMOX 250 SYR 60ML RANITIDIN TAB 150MG

SANMOL SYR 60 ML VIT B12 50MCG

Paracetamol Sirup 60 ml ZINK SULFAT 20 MG TABLET

Periflux Sirup ACETYLCYSTEIN 200MG
AMBROXOL 30 MG TAB
AMOXICILLIN 500 MG TAB
ASAM FOLAT 1MG
ASAM TRANEXAMAT 500MG

ATORVASTATIN 20MG TAB

CANDESARTAN 8MG TAB
CEFADROXIL KAPSUL 500 MG
CEFIXIM 100 MG KAPSUL

CTM 100"S TAB 4MG

DIMENHYDRINATE 50MG TAB
DOMPERIDON 10MG TAB
EPERISONE HCL TAB

FUROSEMID
ISOSORBID DINITRAT 10 MG
SPIRONOLAKTON 25 MG
SIRPLUS SERBUK
Paracetamol Tablet 500 mg
 TABLET PATEN SALEP DAN TETES MATA KULKAS
DOM BENOSON N CR 5GR KALTROFEN SUPPO

DOHIXAT 100MG TAB (DOXYCICLIN ) CENDO XITROL TETES MATA 5 BIOSAT 1.5
INZANA TAB ( ACETYLSALICILIC ACID GENTAMICIN SK 5 GR
80MG )

KONIBAL 500MG KAPSUL SUPERHOID SUPP

LAPISTAN 500 TAB SANSULIN RAPUD

LOREMID SANSULIN LOG

MELIDOX DIAZEPAM SUPP 5MG
N- ACE DIAZEPAM SUPP 10MG
AMBEVEN CAPS KALTROFEN SUPP

ANELAT TABLET Pamol Supp 125 mg

BECOM-C TAB
BECOM-ZET CAPLET
BRAXIDIN TAB
CEFILA 200 KAPSUL
DEXTEEM PLUS TAB @100
FARSIRETIC TABLET
GABAPENTIN 100MG

IMUNOS PLUS

IMUNOS TAB
KADITIC TABLET ( DICLOFENAC

SCOPMA PLUS TAB

SALBUTAMOL 2 MG
SANMOL 500 MG @ 100
SANMOL 650 MG @100
PSIDII CAPS 500 MG
 ALKES INJEKSI INFUSAN
ABOCATH NO 18, 20, 22, 24, 26 BIOCOMBIN INJ NS OTSU 500 ML
INFUS
ALKOHOL SWAB HYOSCINE N-BUTYLBROMIDE RL SANBE 500 ML
SENSI GLOVES KETOROLAC INJ ASERING 500 ML

FOLLAY CATH 2 WAY 16 METOCLOPRAMID INJEKSI FUTROLIT INFUS

INFUSET DEWASA COSMOMED OMEPRAZOL INJEKSI SANMOL INFUS

LEUKOPLAST ROL 7.5X4.5 RANITIDIN INJ 50MG/2ML CIPROFLOXACIN INFUS

MASKER NEBULIZER ANAK VELLUTIN 2,5MG INJEKSI METRONIDAZOL INFUS
MEDICREPE/ELASTIC VENTASAL INJ NS OTSU 100 ML INFUS

PLESTERIN ONEMED ASAM TRANEXAMAT 500MG/5ML

INJEKSI
SARUNG TANGAN MAXTER NO.7 BIOCOMBIN 5000 INJ

SARUNG TANGAN NO 8 BUDESMA 0.5 INJ

SPUIT 5 CC CEFTRIAXON 1GR INJEKSI
SPUIT 10CC FUROSEMID INJ
SPUIT 3 CC KETOROLAC INJ

URIN BAG PHYTOMENADION 2 MG/1 ML

WATER 20 ML INJEKSI ONDANSETRON INJEKSI 4 MG

WING NEEDLE 23 OXYTOSIN INJ

WING NEEDLE 25
ARM SLING M
ATRAMAT CHROMIC 2-0 37MM TAPER

BLOOD LANCETS ONEMED

BUNDA KASSA STERIL
FOLLAY CATH 2 WAY 16
HYPAFIK 10CMX5CM
Kantong Puyer
KAPSUL KOSONG NO 2
KASSA GULUNG 10 CM
KASSA GULUNG 5 CM

KASSA BUNDA
TRANSFUSION SET STERA
STRIP TEST GLUKOSA NIPRO
SPUIT 1 CC
SELANG O2 DEWASA
SELANG O2 DEWASA + POMPA NRM
SPALK DEWASA
Onemed Testpack
NEEDLE 26
NEEDLE 25
NEEDLE 18
NEEDLE 27
 REKAP PENGGUNAAN OBAT DOKTER PER POLI
RSU ALLAM MEDICA
Jl. P. DIponegoro 609 Jatisawit - Bumiayu, Brebes, Jawa Tengah NPWP:21.131.593.2-501.000 Telp. 0289-430822
E-mail : allam.medica@yahoo.co.id

No. Poliklinik Jml Nama Obat Biaya

1 IGD
5. dr. Solikha
1 B000003126 ABOCATH NO 20 4,900
4 B000003931 ALKOHOL SWAB 2 PLY 496
1 B000003949 AMBROXOL SYR 6 ML 4,662
1 B000003850 BIOCOMBIN 5000 INJ 6,605
13 B000009273 CLOPIDOGREL 75 ML TABLET 47,138
2 B000001000 FOLLAY CATH 2 WAY 16 30,800
1 B000006551 HYOSCINE N-BUTYLBROMIDE 12,587
10 010077 IBUPROFEN 400MG 3,320
1 340037 INFUSET DEWASA COSMOMED 10,878
13 B002120100 INZANA TAB ( ACETYLSALICILIC ACID 4,849
11 80MG ) 2,926
B000007758 ISOSORBID DINITRAT 5 MG
2 010554 KALTROFEN SUPPO 54,342
1 B00001151546 KETOROLAC INJ 1,958
10 B00001546466 KONIBAL 500MG KAPSUL 5,720
10 B000007868 LAPISTAN 500 TAB 22,460
0.04 020010 LEUKOPLAST ROL 7.5X4.5 2,800
4 010235 LOREMID 5,812
1 B000007914 MASKER NEBULIZER ANAK 29,138
1 B000009716 MEDICREPE/ELASTIC 42,000
10 MELIDOX 10,260
3 B000007951 METOCLOPRAMID INJEKSI 19,581
10 B000009702 NATRIUM DIKLOFENAK 50 MG 2,400
4 B000009651 NS OTSU 500 ML INFUS 42,972
1 B000012632 NYSTATIN DROP 26,325
20 B000009636 OMEPRAZOL 20 MG KAPSUL 7,840
2 B00001625874 OMEPRAZOL INJEKSI 15,400
3 B000009581 PLESTERIN ONEMED 642
1 B000008135 RANITIDIN INJ 50MG/2ML 2,660
10 340256 RANITIDIN TAB 150MG 3,120
1 B000009143 SANMOL FORTE SYRUP 60ML 42,075
1 200601004 SARUNG TANGAN MAXTER NO.7 7,823
1 B000009557 SARUNG TANGAN NO 8 7,818
6 B000009778 SENSI GLOVES S 2,604
5 B000009787 SPUIT 10CC 6,795
6 B000009516 SPUIT 3 CC 4,998
1 B000009500 SUCRALFAT 500MG/5ML SIRUP 13,364
2 340296 URIN BAG 18,620
1 B000003608 VELLUTIN 2,5MG INJEKSI 8,376
10 B000003172 VIT B12 50MCG 1,200
3 B000003148 WATER 20 ML INJEKSI 12,411
1 B000003151 WING NEEDLE 23 15,242
1 B000003149 WING NEEDLE 25 2,117
1 B000003133 ZINK SULFAT 20 MG TABLET 333
Subtotal : 568,367
6. dr. Ligar hervian
1 B000009856 ABOCATH NO 18 4,900
7 B000003126 ABOCATH NO 20 35,000
8 B000009858 ABOCATH NO 24 31,360
5 B000003124 ABOCATH NO. 22 24,500
3 B000003188 ACETYLCYSTEIN 200MG 3,171
32 B000003931 ALKOHOL SWAB 2 PLY 4,040
10 B000003947 AMBEVEN CAPS 22,750
33 B000003948 AMBROXOL 30 MG TAB 5,181
1 B000003949 AMBROXOL SYR 6 ML 4,662
4 B000003963 AMOXICILLIN 125 DRY SYR 20,552
10 B000003965 AMOXICILLIN 500 MG TAB 7,310
2 B000009403 ANTASIDA SIRUP 11,912
1 020499 ARM SLING M 35,000
1 B00001256 ASAM FOLAT 1MG (ANELAT) TABLET 187
R POLI

00 Telp. 0289-430822

Embalase Tuslah Total

250 250 5,400

750 750 1,996
250 250 5,162
250 250 7,105
250 250 47,638
500 500 31,800
250 250 13,087
250 250 3,820
250 250 11,378
250 250 5,349
250 250 3,426

250 250 54,842

250 250 2,458
250 250 6,220
250 250 22,960
250 250 3,300
250 250 6,312
250 250 29,638
250 250 42,500
250 250 10,760
250 250 20,081
250 250 2,900
250 250 43,472
250 250 26,825
500 500 8,840
250 250 15,900
750 750 2,142
250 250 3,160
250 250 3,620
250 250 42,575
250 250 8,323
250 250 8,318
750 750 4,104
750 750 8,295
750 750 6,498
250 250 13,864
500 500 19,620
250 250 8,876
250 250 1,700
500 500 13,411
250 250 15,742
250 250 2,617
250 250 833
14,250 14,250 596,867

250 250 5,400

1,750 1,750 38,500
1,750 1,750 34,860
1,250 1,250 27,000
250 250 3,671
4,750 4,750 13,540
250 250 23,250
1,500 1,500 8,181
250 250 5,162
1,000 1,000 22,552
250 250 7,810
500 500 12,912
250 250 35,500
250 250 687
63 B000009414 ASAM MEFENAMAT TABLET 500 17,760
MG
10 22,080
B00000856445 ASAM TRANEXAMAT 500MG
6 B000009415 ASAM TRANEXAMAT 34,686
500MG/5ML INJEKSI
1 1,008
B000009862 ATORVASTATIN 20MG TAB
1 B0000190421 ATRAMAT CHROMIC 2-0 37MM 78,909
TAPER
30 73,080
010142 BECOM-C TAB
1 012326 BECOM-ZET CAPLET 3,712
1 B000003819 BENOSON N CR 5GR 29,680
2 B000003850 BIOCOMBIN 5000 INJ 13,210
1 B000002456 BIOSAT 1.5 251,709
1 B000003894 BLOOD LANCETS ONEMED 142
10 010469 BRAXIDIN TAB 19,430
3 B00001066215 BUDESMA 0.5 INJ 65,979
4 B000010090 BUNDA KASSA STERIL 26,100
2 B000009902 CANDESARTAN 8MG TAB 1,244
3 B000009372 CEFADROXIL 125 SIRUP 60 ML 33,567
42 B000009373 CEFADROXIL KAPSUL 500 MG 61,990
10 B000009376 CEFILA 200 KAPSUL 435,900
20 B000009379 CEFIXIM 100 MG KAPSUL 24,080
10 B000009380 CEFIXIM 200 MG KAPSUL 32,450
3 B000009792 CEFTRIAXON 1GR INJEKSI 20,674
2 B000009221 CENDO XITROL TETES MATA 5 75,376
7 B000009273 CLOPIDOGREL 75 ML TABLET 19,788
28 B00001201119 CTM 100"S TAB 4MG ( 2,540
CHLORPHENIRAMINI MALEAT ) B000009882
50 10,100
DEXAMETHASONE TAB 0.5MG
10 B000009887 DEXTEEM PLUS TAB @100 8,220
10 B0000100006 DIMENHYDRINATE 50MG TAB 2,310
20 B0000654898452 DOHIXAT 100MG TAB ( 11,920
DOXYCICLIN )
10 59,440
B000009734 DOM 10MG TABLET @30
50 B000009770 DOMPERIDON 10MG TAB 44,000
2 B000009750 DOMPERIDON 5MG/5ML SYR 11,818
30 B000009812 EPERISONE HCL TAB 41,070
2 B00011452563 FARSIFEN SIRUP 16,336
20 B00001260421 FARSIRETIC TABLET ( 12,360
FUROSEMIDE )
3 52,800
B000001000 FOLLAY CATH 2 WAY 16
4 B0000112121 FUROSEMID INJ 38,605
1 011397 FUTROLIT INFUS 56,642
40 B000009128 GABAPENTIN 100MG 23,200
1 B000009193 GENTAMICIN SK 5 GR 4,429
1 B00001000876 HELIXIM SIRUP 14,889
5 B000006551 HYOSCINE N-BUTYLBROMIDE 62,935
0.08 B000006553 HYPAFIK 10CMX5CM 19,032
0.04 020129 HYPAFIK 5X1 1,129
10 010077 IBUPROFEN 400MG 3,320
12 B011749 IMUNOS PLUS 190,212
17 340037 INFUSET DEWASA COSMOMED 184,926
7 B002120100 INZANA TAB ( ACETYLSALICILIC 2,611
ACID 80MG )
3 798
B000007758 ISOSORBID DINITRAT 5 MG
30 B000215485 KADITIC TABLET ( DICLOFENAC 10,710
POTASIUM )
2 54,342
010554 KALTROFEN SUPPO
70 B000007799 Kantong Puyer 17,640
20 B00001013256 KAPSUL KOSONG NO 2 1,660
6 B000007805 KASSA GULUNG 10 CM 10,080
7 B0000148792 KASSA GULUNG 5 CM 5,880
9 B00001151546 KETOROLAC INJ 17,622
10 010238 L-BIO 1GR SACHET 118,880
6 B000009796 L-BIO CAPSUL 71,328
30 012244 LACOLDIN TAB 99,060
30 010229 LAMESON 4 168,420
10 B000007856 Lapibal 500 mcg Kapsul 39,630
10 B000007868 LAPISTAN 500 TAB 22,460
1 B000007871 Lasal Sirup Ekspektoran 100 ml 59,441
0.7600 020010 LEUKOPLAST ROL 7.5X4.5 53,200
000000
000002
1 B000010000KL LIDOCAIN INJ 3,730
10 010235 LOREMID 14,530
7 B000007914 MASKER NEBULIZER ANAK 195,828
2 020396 MASKER NEBULIZER DEWASA 58,276
20 B000007923 MECOBALAMIN 500 MCG 13,060
10 B000007928 MEFINAL 500 @100 21,410
2 B0000100549 MELIDOX 2,052
9 B89798989999 MEPROVENT NABUL 95,103
20 B000007941 METFORMIN 500 MG TABLET 4,760
1 B000009712 METHYLERGOMETRINE 5,284
20 B000007948 METHYLPREDNISOLON 4 MG 5,660
10 B000007953 METRONIDAZOL TABLET 500 6,490
3 B000007964 MISOPROSTOL 200 MCG 18,648
1 B000007977 MUCOS SIRUP 60 ML 21,795
10 010274 MYONEP 69,350
60 B000009702 NATRIUM DIKLOFENAK 50 MG 14,400
3 B000009694 NEEDLE 26 761
1 B000009652 NS OTSU 100 ML INFUS 9,975
2 B000009651 NS OTSU 500 ML INFUS 21,486
100 B000009636 OMEPRAZOL 20 MG KAPSUL 39,200
16 B00001625874 OMEPRAZOL INJEKSI 123,200
12 B000009634 ONDANSETRON INJEKSI 4 MG 25,164
1 B000009629 Onemed Testpack 1,720
2 B0000111111 OXYTOSIN INJ 7,370
1 B000009616 Pamol Supp 125 mg 19,998
8 B000009611 Paracetamol Sirup 60 ml 34,312
10 B000009612 Paracetamol Tablet 500 mg 2,320
2 B000009602 Periflux Sirup 99,068
1 B000009595 PHYTOMENADION 2 MG/1 ML 6,109
INJEKSI
13 2,782
B000009581 PLESTERIN ONEMED
6 B000008110 PSIDII CAPS 500 MG 47,832
6 B000008135 RANITIDIN INJ 50MG/2ML 15,960
1 B000008167 RHELAFEN FORTE SYR 35,004
54 B000009009 RL SANBE 644,084
21 B000009064 SALBUTAMOL 2 MG 2,940
40 B000009140 SANMOL 500 MG @ 100 24,800
10 B000009141 SANMOL 650 MG @100 7,750
4 B000009143 SANMOL FORTE SYRUP 60ML 168,300
3 B000009162 SANMOL SYR 60 ML 70,863
2 200601004 SARUNG TANGAN MAXTER NO.7 16,764
1 B000009559 SARUNG TANGAN NO 6.5 6,465
50 B000009999 SCOPMA PLUS TAB 68,000
4 B000009550 SELANG O2 DEWASA 44,800
1 B000009549 SELANG O2 DEWASA + POMPA 35,549
NRM
8 3,472
B000017868979 SENSI GLOVES M
52 B000009778 SENSI GLOVES S 23,560
1 B000009530 SIRPLUS SERBUK 555
6 B000009936 SPALK DEWASA 42,000
1 B000009519 SPIRONOLAKTON 25 MG 294
2 B000009517 SPUIT 1 CC 2,773
18 B000009787 SPUIT 10CC 24,462
41 B000009516 SPUIT 3 CC 34,391
8 B000009515 SPUIT 5 CC 7,002
1 B00001245789 STRIP TEST GLUKOSA NIPRO 4,238
9 B000009500 SUCRALFAT 500MG/5ML SIRUP 120,276
6 B0000115963 SUPERHOID SUPP 44,796
1 B000003767 SUPRAMOX 250 SYR 60ML 39,627
3 B00001260920 TRANSFUSION SET STERA 35,200
 3 B0000102516 TREEWAY EKOR 17,433
1 B000003192 UMBILICAL COSA/KLEM TALI 2,611
PUSAR
2 18,620
340296 URIN BAG
12 B000003608 VELLUTIN 2,5MG INJEKSI 100,512
2 B000013688856 VENTASAL 13,974
17 B000003148 WATER 20 ML INJEKSI 70,920
4 B000003134 ZINK 20MG/5ML SIRUP 52,836
10 B000003133 ZINK SULFAT 20 MG TABLET 3,330
Subtotal : 5,974,908

4 B000009856 ABOCATH NO 18 19,600

7 B000003126 ABOCATH NO 20 34,300

9 B000009858 ABOCATH NO 24 36,400
7. dr. Nanda Dwi Mahara
1,750 1,750 21,260
250 250 22,580

500 500 35,686

250 250 1,508

250 250 79,409

750 750 74,580

250 250 4,212

250 250 30,180
500 500 14,210
250 250 252,209
250 250 642
250 250 19,930
250 250 66,479
1,000 1,000 28,100
250 250 1,744
750 3,013 37,330
1,250 1,250 64,490
250 250 436,400
500 500 25,080
250 250 32,950
500 500 21,674
500 500 76,376
1,000 1,000 21,788
1,750 1,750 6,040
2,500 2,500 15,100

250 250 8,720

250 250 2,810
500 500 12,920

250 250 59,940

1,250 1,250 46,500

500 500 12,818
750 750 42,570
500 500 17,336
500 500 13,360
750 750 54,300

500 500 39,605

250 250 57,142
1,000 1,000 25,200
250 250 4,929
250 250 15,389
750 750 64,435
500 500 20,032
250 250 1,629
250 1,430 5,000
750 750 191,712
4,250 4,250 193,426
1,000 1,000 4,611
750 750 2,298

500 500 11,710

250 250 54,842

1,750 1,750 21,140

500 1,750 3,910
1,500 1,500 13,080
1,500 1,500 8,880
1,000 1,000 19,622
750 750 120,380
250 250 71,828
750 750 100,560
750 750 169,920
 250 250 40,130
250 250 22,960
250 250 59,941
3,500 3,500 60,200

250 250 4,230

250 250 15,030
1,750 3,438 201,016
500 500 59,276
500 500 14,060
250 250 21,910
250 250 2,552
250 250 95,603
250 250 5,260
250 250 5,784
500 500 6,660
250 250 6,990
250 250 19,148
250 250 22,295
250 250 69,850
1,000 1,000 16,400
750 1,005 2,516
250 250 10,475
500 500 22,486
2,500 2,500 44,200
2,000 2,000 127,200
1,500 1,500 28,164
250 250 2,220
250 250 7,870
250 1,141 21,389
2,000 2,000 38,312
250 250 2,820
500 500 100,068
250 250 6,609
3,250 3,250 9,282

250 250 48,332

750 750 17,460
250 250 35,504
5,000 5,000 654,084
1,250 1,250 5,440
1,000 1,000 26,800
250 250 8,250
1,000 1,000 170,300
750 750 72,363
500 500 17,764
250 250 6,965
1,250 1,250 70,500
1,000 1,000 46,800
250 250 36,049

1,000 1,000 5,472

4,000 4,000 31,560

250 250 1,055
1,500 1,500 45,000
250 250 794
500 500 3,773
2,250 2,250 28,962
3,000 3,000 40,391
750 750 8,502
250 250 4,738
2,250 2,250 124,776
250 250 45,296
250 250 40,127
750 750 36,700
 500 500 18,433
250 250 3,111
500 500 19,620

1,500 1,500 103,512

500 500 14,974
2,500 2,500 75,920
1,000 3,463 57,299
250 250 3,830
120,000 129,990 6,224,898

1,000 1,000 21,600

1,750 1,750 37,800

1,500 1,500 39,400
6 B000003124 ABOCATH NO. 22 29,400
3 B000003121 ABOCATH NO. 26 21,600
3 B000003188 ACETYLCYSTEIN 200MG 3,171
35 B000003931 ALKOHOL SWAB 2 PLY 4,340
66 B000003939 ALPARA TAB ( 59,136
DMP,PCT,PHENYL,CTM ) B000003948 AMBROXOL
28 4,396
30 MG TAB
1 B000003949 AMBROXOL SYR 6 ML 4,662
1 B000003963 AMOXICILLIN 125 DRY SYR 5,138
1 B000003964 AMOXICILLIN 250 DRY SYR 7,273
90 B000003965 AMOXICILLIN 500 MG TAB 65,790
10 010478 ANALSIK TAB 26,420
2 B000009403 ANTASIDA SIRUP 11,912
1 B00001256 ASAM FOLAT 1MG (ANELAT) 187
TABLET
30 8,400
B000009414 ASAM MEFENAMAT TABLET 500
MG
1 4,040
B000003730 AZITROMYCIN 500 TAB
18 010142 BECOM-C TAB 43,848
1 B000003819 BENOSON N CR 5GR 29,680
30 B000003837 BETAHISTINE 6 MG TAB 15,540
2 010312 BIOPLACENTON CR 15GR 71,932
1 B00001066215 BUDESMA 0.5 INJ 21,993
5 B000010090 BUNDA KASSA STERIL 31,500
1 B000009357 CANDESARTAN 16 MG 870
60 B000009373 CEFADROXIL KAPSUL 500 MG 87,960
4 B00001625492 CEFAZOLIN INJ 70,012
20 B000009379 CEFIXIM 100 MG KAPSUL 24,080
10 B000009380 CEFIXIM 200 MG KAPSUL 32,450
5 B000009792 CEFTRIAXON 1GR INJEKSI 32,890
3 B000009221 CENDO XITROL TETES MATA 5 113,064
1 B000009317 Chromic 2-0 69,045
20 B000009245 CIPROFLOXACIN 500MG 14,460
2 B0000101256 CITICHOLINE 250 MG/2 ML 16,162
MERSI
1 3,626
B000009273 CLOPIDOGREL 75 ML TABLET
40 B000009309 CORTIDEX 0.5MG TABLET 19,200
29 B00001201119 CTM 100"S TAB 4MG ( 2,581
CHLORPHENIRAMINI MALEAT ) B000009791
2 4,476
DEXAMETHASON 5MG/ML
89 B000009882 DEXAMETHASONE TAB 0.5MG 17,978
1 B000009842 DEXKETOPROFEN INJ 21,445
3 B0000112345 DIAZEPAM 5MG TABLET 1,167
1 B00008246971 DIGOXIN INJ 47,792
20 B0000100006 DIMENHYDRINATE 50MG TAB 4,620
1 B000009962 DIPENHIDRAMIN 10MG/ML 3,108
INJEKSI
10 5,960
B0000654898452 DOHIXAT 100MG TAB (
DOXYCICLIN )
13 11,440
B000009770 DOMPERIDON 10MG TAB
5 B000012805202 DTRIVIT TAB 1000MG 13,600
10 B0000198765 ERICAF TAB ( ERGOTAMIN ) 83,250
10 B000012011 ETABION CAPS 4,030
1 020619 EXELTUL/VASELIN SWAB 18,648
5 B00001260421 FARSIRETIC TABLET ( 3,090
FUROSEMIDE )
73 33,142
B000010456 FASIDOL 650MG TAB (
PARACETAMOL 650MG)
1 21,000
FC8 Follay Catether No 8
2 B000001000 FOLLAY CATH 2 WAY 16 33,600
6 B0000112121 FUROSEMID INJ 34,440
10 340250 FUROSEMID TAB 40MG 3,680
2 B00001000876 HELIXIM SIRUP 29,778
2 B000006551 HYOSCINE N-BUTYLBROMIDE 25,174
0.04 B000006553 HYPAFIK 10CMX5CM 8,827
20 010077 IBUPROFEN 400MG 6,640
23 B011749 IMUNOS PLUS 364,573
3 B000006036 IMUNOS TAB 39,627
13 340037 INFUSET DEWASA COSMOMED 142,968
3 020421 INFUSET MIKRO TERUMO 58,782
10 B000007758 ISOSORBID DINITRAT 5 MG 2,660
20 B000007788 Kalk 500 mg Tablet 2,500
128 B000007799 Kantong Puyer 32,256
10 B000007802 KAPSUL KOSONG NO 00 2,250
3 B000007805 KASSA GULUNG 10 CM 5,040
7 B0000148792 KASSA GULUNG 5 CM 5,880
8 B00001151546 KETOROLAC INJ 15,664
3 B0000254624 KURKUMEX SYR 107,808
10 B000009796 L-BIO CAPSUL 118,880
40 012244 LACOLDIN TAB 132,080
10 010229 LAMESON 4 56,140
5 010078 LANSOPRAZOLE CAPS 30MG 4,775
6 B000045451 LAPIFED TAB 27,738
1 B00001000069 LECOZINC TAB(ZINK TAB) 342
0.8400 020010 LEUKOPLAST ROL 7.5X4.5 59,200
000000
000002
3 B000010000KL LIDOCAIN INJ 9,789
20 B000007901 LORATADIN 10MG 5,640
25 010235 LOREMID 36,325
3 B000007914 MASKER NEBULIZER ANAK 87,414
1 020396 MASKER NEBULIZER DEWASA 29,138
5 B000007924 MECOBALAMIN 500 MCG 37,295
10 B000007923 MECOBALAMIN 500 MCG 6,530
2 B0000100MTM METAMIZOL INJ 14,128
6 B000007941 METFORMIN 500 MG TABLET 1,428
45 B000007943 METHISOPRINOL 500 MG 163,620
1 B000007946 METHYLPREDNISOLON 125 MG 21,134
INJEKSI
126 35,658
B000007948 METHYLPREDNISOLON 4 MG
1 B0000125163654 MICROFINE BD 5MM 3,500
65 B000009702 NATRIUM DIKLOFENAK 50 MG 15,600
5 B000009694 NEEDLE 26 1,210
1 0012520642 NEO KAOLANA SIRUP 20,225
2 B000009669 NIFEDIPIN 10 MG 1,200
2 B000009656 NOVOTWIST 9,520
4 B000009652 NS OTSU 100 ML INFUS 39,900
6 B000009651 NS OTSU 500 ML INFUS 64,458
1 B0000100546 NS SANBE 100ML 10,599
3 B000009650 NS SANBE 500 ML 81,081
100 B000009636 OMEPRAZOL 20 MG KAPSUL 39,200
17 B00001625874 OMEPRAZOL INJEKSI 130,900
3 B0000111890 ONDANCENTRON SYRUP 75,057
10 B000009634 ONDANSETRON INJEKSI 4 MG 21,270
40 B000009632 Ondansetron Tablet 4 mg 22,800
9 B000002847 ORALIT 5,679
1 B000009616 Pamol Supp 125 mg 19,998
5 B000009611 Paracetamol Sirup 60 ml 21,445
48 B000009612 Paracetamol Tablet 500 mg 11,136
21 B000009581 PLESTERIN ONEMED 4,494
1 020736 PRINT CTG 28,000
5 B000008119 PYREXIN 160 SUPP 72,650
1 B000008121 PYREXIN 80 SUPP 10,567
2 B000008135 RANITIDIN INJ 50MG/2ML 5,320
55 340256 RANITIDIN TAB 150MG 17,160
1 B000009853 RANIVEL SYRUP 70,707
6 B000008142 REBAMIPID 100MG TAB 12,402
6 B000009807 RING AS SANBE INFUS 73,668
41 B000009009 RL SANBE 492,836
19 B000009064 SALBUTAMOL 2 MG 2,660
24 B000009140 SANMOL 500 MG @ 100 14,880
20 B000009141 SANMOL 650 MG @100 15,500
3 011168 SANMOL DROP 15ML 77,286
5 B000009143 SANMOL FORTE SYRUP 60ML 210,375
1 200601004 SARUNG TANGAN MAXTER NO.7 7,823
1 B000009559 SARUNG TANGAN NO 6.5 6,465
40 B000009999 SCOPMA PLUS TAB 54,400
1 B00001015874 SELANG 02 ANAK 14,400
1 B000009548 SELANG O2 ANAK + POMPA 35,548
2 B000009550 SELANG O2 DEWASA 22,400
1 B000009549 SELANG O2 DEWASA + POMPA 35,549
NRM
6 2,604
B000017868979 SENSI GLOVES M
62 B000009778 SENSI GLOVES S 26,908
4 B0000125653 SENSI GLOVES XS 1,736
1 B000003612 SILK NO 1 60,893
3 B0015415213 SILK NO 2-0 153,951
16 B000009530 SIRPLUS SERBUK 8,880
5 B000009936 SPALK DEWASA 35,000
1 B000009517 SPUIT 1 CC 1,479
27 B000009787 SPUIT 10CC 36,888
41 B000009516 SPUIT 3 CC 34,153
4 B000009515 SPUIT 5 CC 3,440
5 B000009500 SUCRALFAT 500MG/5ML SIRUP 66,820
10 B000004059 TEOSAL TAB 2,520
2 B000009487 TONOTAN 20MG 9,246
1 B000009732 TRAMADOL CAPSUL 50MG 718
5 B00001260920 TRANSFUSION SET STERA 56,000
1 B0000102516 TREEWAY EKOR 5,811
3 340296 URIN BAG 27,930
1 B000003210 VACULAB EDTA UNGU 3ML 1,244
3 B000003608 VELLUTIN 2,5MG INJEKSI 25,128
1 B000013688856 VENTASAL 6,889
30 B000003170 VIT B KOMPLEK 3,780
3 B000003173 Vit B6 10MG TAB 420
21 B000003148 WATER 20 ML INJEKSI 87,468
4 B000003149 WING NEEDLE 25 8,468
1 B000003134 ZINK 20MG/5ML SIRUP 13,209
15 B000003133 ZINK SULFAT 20 MG TABLET 4,995
Subtotal : 5,677,651

4 B000009856 ABOCATH NO 18 19,600

2 B000003126 ABOCATH NO 20 9,800

5 B000009858 ABOCATH NO 24 19,600
6 B000003124 ABOCATH NO. 22 30,100
10 B000010111 ACIFAR 400MG TABLET 14,060
23 B000003931 ALKOHOL SWAB 2 PLY 2,870
7 B000003935 ALLOPURINOL TAB 300MG 4,571
43 B000003948 AMBROXOL 30 MG TAB 6,751
1 B000003949 AMBROXOL SYR 6 ML 4,662
37 B000003960 AMLODIPIN 10 MG 13,209
1 B000003963 AMOXICILLIN 125 DRY SYR 5,138
18 B000003965 AMOXICILLIN 500 MG TAB 13,158
10 010478 ANALSIK TAB 26,420
20 B000009402 ANTASIDA DOEN TABLET 3,420
(ALUMUNIUM HYDROXIDE,MAGNESIUM
HYDROXIDE)
4 B000009403 ANTASIDA SIRUP 23,824
4 B000009407 APIALYS SYR 100 ML 200,776
1 B00001256 ASAM FOLAT 1MG (ANELAT) 187
TABLET
76 21,280
B000009414 ASAM MEFENAMAT TABLET 500
MG
13 28,704
B00000856445 ASAM TRANEXAMAT 500MG
2 B000009415 ASAM TRANEXAMAT 11,562
500MG/5ML INJEKSI
35 113,680
012326 BECOM-ZET CAPLET
20 B000003837 BETAHISTINE 6 MG TAB 10,360
2 B000003850 BIOCOMBIN 5000 INJ 13,210
 1 010312 BIOPLACENTON CR 15GR 35,966
14 B000003878 BISOPROLOL 5MG TAB 7,070
2 B000010090 BUNDA KASSA STERIL 12,600
7 B000009902 CANDESARTAN 8MG TAB 4,354
20 B000009373 CEFADROXIL KAPSUL 500 MG 29,320
3 B00001625492 CEFAZOLIN INJ 52,509
10 B000009376 CEFILA 200 KAPSUL 435,900
2 B000009792 CEFTRIAXON 1GR INJEKSI 13,156
5 B00001021456 CEPEZET 100MG 4,040
10 B000009228 CETIRIZIN TABLET 10 MG 1,250
2 B0000101256 CITICHOLINE 250 MG/2 ML 16,162
MERSI
4 1,920
B000009309 CORTIDEX 0.5MG TABLET
14 B00001201119 CTM 100"S TAB 4MG ( 1,246
CHLORPHENIRAMINI MALEAT ) B00001415646
10 13,660
CURCUMA KAPLET
3 B000002683 D5 1/4 NS 500ML 49,344
3 B000009791 DEXAMETHASON 5MG/ML 6,714
4 B000009882 DEXAMETHASONE TAB 0.5MG 808
14 B0000112345 DIAZEPAM 5MG TABLET 5,501
40 B0000100006 DIMENHYDRINATE 50MG TAB 9,240
7 B000009962 DIPENHIDRAMIN 10MG/ML INJEKSI 21,756

8. dr. Wildan Baiti Al Anwari

1,000 1,000 31,400
250 250 22,100
250 250 3,671
5,250 5,250 14,840
2,000 2,000 63,136
1,500 1,920 7,816

250 250 5,162

250 250 5,638
250 250 7,773
2,250 5,972 74,012
250 250 26,920
500 500 12,912
250 250 687
750 750 9,900

250 250 4,540

1,000 1,000 45,848

250 250 30,180
500 500 16,540
500 500 72,932
250 250 22,493
1,000 1,000 33,500
250 250 1,370
1,500 1,500 90,960
500 500 71,012
500 3,212 27,792
250 250 32,950
750 750 34,390
750 2,222 116,036
250 250 69,545
500 840 15,800
250 250 16,662
250 250 4,126

1,000 2,430 22,630

2,250 2,250 7,081
250 250 4,976

3,500 4,972 26,450

250 250 21,945
500 500 2,167
250 250 48,292
500 2,150 7,270
250 250 3,608
250 1,206 7,416

500 500 12,440

250 250 14,100

250 250 83,750
250 250 4,530
250 250 19,148
250 250 3,590
2,500 2,500 38,142

250 250 21,500

500 500 34,600

500 500 35,440
250 250 4,180
500 500 30,778
500 500 26,174
500 500 9,827
500 500 7,640
1,500 1,500 367,573
 250 250 40,127
3,250 3,250 149,468
750 750 60,282
250 250 3,160
1,000 3,210 6,710
3,000 4,940 40,196
250 250 2,750
750 750 6,540
1,250 1,250 8,380
1,000 1,000 17,664
750 3,398 111,956
500 500 119,880
1,000 1,000 134,080
250 250 56,640
250 250 5,275
250 250 28,238
250 250 842
5,000 5,000 69,200

500 500 10,789

1,000 1,000 7,640
750 750 37,825
750 750 88,914
250 250 29,638
750 750 38,795
250 250 7,030
500 500 15,128
500 500 2,428
1,250 1,250 166,120
250 250 21,634
3,250 3,250 42,158

250 250 4,000

1,500 3,260 20,360
1,250 1,250 3,710
250 1,208 21,683
500 500 2,200
250 250 10,020
500 500 40,900
1,000 3,677 69,135
250 250 11,099
250 250 81,581
2,500 2,500 44,200
2,500 2,500 135,900
750 750 76,557
1,000 1,000 23,270
1,000 2,110 25,910
500 500 6,679
250 250 20,498
1,250 1,250 23,945
1,250 1,250 13,636
5,250 5,250 14,994
250 250 28,500
750 750 74,150
250 250 11,067
250 250 5,820
1,500 1,500 20,160
250 250 71,207
250 250 12,902
500 500 74,668
4,000 4,000 500,836
1,250 1,250 5,160
750 750 16,380
500 1,468 17,468
750 750 78,786
1,250 1,250 212,875
250 250 8,323
250 250 6,965
1,000 1,000 56,400
250 250 14,900
250 250 36,048
500 500 23,400
250 250 36,049
750 750 4,104

6,250 6,250 39,408

250 250 2,236
250 250 61,393
500 500 154,951
1,250 1,250 11,380
1,250 1,250 37,500
250 250 1,979
4,250 4,250 45,388
4,250 4,250 42,653
500 500 4,440
1,250 1,250 69,320
250 250 3,020
500 500 10,246
250 250 1,218
1,250 1,250 58,500
250 250 6,311
750 750 29,430
250 250 1,744
750 750 26,628
250 250 7,389
750 750 5,280
250 250 920
3,750 3,750 94,968
1,000 1,000 10,468
250 250 13,709
750 750 6,495
146,750 175,195 5,999,596

1,000 1,000 21,600

500 500 10,800

500 500 20,600
1,250 1,250 32,600
250 250 14,560
3,500 3,500 9,870
250 250 5,071
1,250 2,239 10,240
250 250 5,162
1,000 1,000 15,209
250 250 5,638
500 500 14,158
250 1,226 27,896
250 250 3,920

1,000 1,000 25,824

1,000 1,000 202,776
250 250 687
2,000 2,000 25,280

500 500 29,704

250 250 12,062

1,250 1,250 116,180

500 500 11,360

500 500 14,210
 250 1,350 37,566
500 500 8,070
500 500 13,600
250 250 4,854
500 500 30,320
500 500 53,509
250 250 436,400
500 500 14,156
250 250 4,540
250 250 1,750
250 250 16,662

500 500 2,920

750 750 2,746

250 250 14,160

250 250 49,844

250 250 7,214
500 500 1,808
1,000 1,000 7,501
1,000 1,000 11,240
1,500 1,500 24,756
10 B000009734 DOM 10MG TABLET @30 59,440
51 B000009770 DOMPERIDON 10MG TAB 44,880
2 B000009750 DOMPERIDON 5MG/5ML SYR 11,818
10 B000012011 ETABION CAPS 4,030
7 B00001260421 FARSIRETIC TABLET ( 4,326
FUROSEMIDE )
33 14,982
B000010456 FASIDOL 650MG TAB (
PARACETAMOL 650MG)
3 50,400
B000001000 FOLLAY CATH 2 WAY 16
26 B000009128 GABAPENTIN 100MG 15,244
1 B000009193 GENTAMICIN SK 5 GR 4,429
10 010013 GG TAB 1,290
1 B000006148 HAEMOCAIN 114,020
5 B000006551 HYOSCINE N-BUTYLBROMIDE 62,935
20 010077 IBUPROFEN 400MG 6,640
18 B011749 IMUNOS PLUS 285,318
5 B000006036 IMUNOS TAB 66,045
8 340037 INFUSET DEWASA COSMOMED 88,578
20 B000215485 KADITIC TABLET ( DICLOFENAC 7,140
POTASIUM )
58 14,616
B000007799 Kantong Puyer
27 B000007802 KAPSUL KOSONG NO 00 6,075
20 B000007803 KAPSUL KOSONG NO 1 3,000
24 B00001013256 KAPSUL KOSONG NO 2 1,992
1 B0000148792 KASSA GULUNG 5 CM 840
12 B00001151546 KETOROLAC INJ 24,336
21 010238 L-BIO 1GR SACHET 249,648
1 B000007906 L-ZINC SIRUP 52,836
30 012244 LACOLDIN TAB 99,060
1 B000007848 LAKTULOSA SIRUP 35,307
17 010078 LANSOPRAZOLE CAPS 30MG 16,235
1 B000007861 Lapifed Sirup 60 ml 38,306
10 B000045451 LAPIFED TAB 46,230
6 B000007871 Lasal Sirup Ekspektoran 100 ml 356,646
10 B00001000069 LECOZINC TAB(ZINK TAB) 3,420
0.4799 020010 LEUKOPLAST ROL 7.5X4.5 34,000
999999
999999
3 B000010000KL LIDOCAIN INJ 9,789
10 010235 LOREMID 14,530
2 B000007914 MASKER NEBULIZER ANAK 58,276
1 020396 MASKER NEBULIZER DEWASA 29,138
2 B000007924 MECOBALAMIN 500 MCG 14,918
17 B000007923 MECOBALAMIN 500 MCG 11,101
1 B000007927 MEDICREPE/ELASTIC 13,753
20 B000007928 MEFINAL 500 @100 42,820
40 B0000100549 MELIDOX 41,040
40 B000007932 MELOXICAM 15 MG TABLET 18,720
10 B000007933 MELOXICAM 7.50 MG TABLET 2,700
1 B89798989999 MEPROVENT NABUL 10,567
42 B00001154656 METAMIZOL TAB 15,688
3 B000007941 METFORMIN 500 MG TABLET 714
1 B000007944 METHISOPRINOL SIRUP 58,275
10 B000007948 METHYLPREDNISOLON 4 MG 2,830
7 B000007949 METHYLPREDNISOLON 8 MG 3,213
2 B000007961 MINOSEP GARGLE 0.1% 60 ML 83,916
2 B000007964 MISOPROSTOL 200 MCG 10,878
2 B000007977 MUCOS SIRUP 60 ML 43,590
10 B000009707 MUCOS TABLET 30 MG 10,570
2 B000009705 MUPIROCIN SALEP 65,268
2 B000009448 NECIBLOK SYR 146,386
1 B000009696 NEEDLE 23 910
5 B000009694 NEEDLE 26 1,210
20 B00001052156 NEURALGIN RX TAB 23,180
1 B000009651 NS OTSU 500 ML INFUS 10,743
2 B000009733 ODR SYRUP 290,598
147 B000009636 OMEPRAZOL 20 MG KAPSUL 57,624
13 B00001625874 OMEPRAZOL INJEKSI 100,100
32 B000009634 ONDANSETRON INJEKSI 4 MG 68,604
30 B000009632 Ondansetron Tablet 4 mg 17,100
1 B000009616 Pamol Supp 125 mg 22,855
4 B000009611 Paracetamol Sirup 60 ml 17,769
18 B000009612 Paracetamol Tablet 500 mg 4,176
2 B0000125646 PEDIALYTE BBG 110,644
12 B000009581 PLESTERIN ONEMED 2,599
1 B0000080583 PROCELLES SYR 46,232
35 B000012561165 PULAREX TAB 11,760
1 B000008121 PYREXIN 80 SUPP 10,567
1 B0000101126 QUANTIDEX SYR 9,683
15 B000008135 RANITIDIN INJ 50MG/2ML 40,660
70 340256 RANITIDIN TAB 150MG 21,840
3 B000009853 RANIVEL SYRUP 212,121
10 B000009807 RING AS SANBE INFUS 128,042
17 B000009009 RL SANBE 202,232
15 010847 ROTAVER 6MG 48,540
83 B000009140 SANMOL 500 MG @ 100 51,460
18 B000009141 SANMOL 650 MG @100 13,950
1 011168 SANMOL DROP 15ML 25,762
2 B000009143 SANMOL FORTE SYRUP 60ML 84,150
7 B000009162 SANMOL SYR 60 ML 165,347
3 B000009559 SARUNG TANGAN NO 6.5 19,395
10 B000009999 SCOPMA PLUS TAB 13,600
1 B00001015874 SELANG 02 ANAK 14,400
6 B000017868979 SENSI GLOVES M 2,604
23 B000009778 SENSI GLOVES S 10,106
4 B0000125653 SENSI GLOVES XS 1,736
1 B0015415213 SILK NO 2-0 51,317
1 B000003720 SILK NO 3-0 42,000
7 B000009532 SIMVASTATIN 20 MG TABLET 3,045
1 B000009530 SIRPLUS SERBUK 555
5 B000009519 SPIRONOLAKTON 25 MG 1,470
2 B000009517 SPUIT 1 CC 2,588
18 B000009787 SPUIT 10CC 24,462
75 B000009516 SPUIT 3 CC 63,784
3 B000009515 SPUIT 5 CC 2,580
12 B000009500 SUCRALFAT 500MG/5ML SIRUP 160,368
4 B000003766 SUPRAMOX 125 SYR 60ML 105,672
7 B000009732 TRAMADOL CAPSUL 50MG 5,026
4 B00001260920 TRANSFUSION SET STERA 44,800
2 B000003653 TREMENZA TABLET 4,724
3 340296 URIN BAG 27,930
2 B000003608 VELLUTIN 2,5MG INJEKSI 16,752
21 B000003170 VIT B KOMPLEK 2,646
10 B000003172 VIT B12 50MCG 1,200
4 B000003178 VITACUR SYRUP 237,764
16 B000003148 WATER 20 ML INJEKSI 66,192
9 B000003151 WING NEEDLE 23 137,178
4 B000003149 WING NEEDLE 25 8,468
3 B000003134 ZINK 20MG/5ML SIRUP 39,627
30 B000003133 ZINK SULFAT 20 MG TABLET 9,990
1 B000003136 ZIRCUM KID SIRUP 20MG 39,627
Subtotal : 6,814,264

4 B000003126 ABOCATH NO 20 20,300

1 B000009858 ABOCATH NO 24 3,920

5 B000003188 ACETYLCYSTEIN 200MG 5,587
12 B000003931 ALKOHOL SWAB 2 PLY 1,524
10 B000003939 ALPARA TAB ( 8,960
DMP,PCT,PHENYL,CTM ) B000003948 AMBROXOL
7 1,099
30 MG TAB
32 B000003965 AMOXICILLIN 500 MG TAB 23,392
 2 B000009403 ANTASIDA SIRUP 11,912
13 B000009414 ASAM MEFENAMAT TABLET 500 3,640
MG
10 22,080
B00000856445 ASAM TRANEXAMAT 500MG
3 B000009415 ASAM TRANEXAMAT 17,343
500MG/5ML INJEKSI
1 54,390
B02235453231 ATRAMAT CROMIC NO 3-0
10 B000003837 BETAHISTINE 6 MG TAB 5,180
1 B000003850 BIOCOMBIN 5000 INJ 6,605
1 B00001066215 BUDESMA 0.5 INJ 21,993
2 B000010090 BUNDA KASSA STERIL 12,600
10 B000009373 CEFADROXIL KAPSUL 500 MG 14,660
1 B000009792 CEFTRIAXON 1GR INJEKSI 6,578
1 B000009221 CENDO XITROL TETES MATA 5 37,688
9. dr. Crisanty Azzahra Y
 250 250 59,940
1,250 1,250 47,380
500 500 12,818
250 250 4,530
250 250 4,826
1,000 1,000 16,982

750 750 51,900

1,000 1,000 17,244

250 250 4,929
250 250 1,790
250 250 114,520
1,250 1,250 65,435
500 500 7,640
1,000 1,575 287,893
250 250 66,545
2,000 2,000 92,578
500 500 8,140

1,500 2,671 18,787

750 750 7,575

500 500 4,000
750 750 3,492
250 250 1,340
1,500 1,500 27,336
1,000 1,162 251,810
250 250 53,336
750 750 100,560
250 250 35,807
500 500 17,235
250 1,804 40,360
250 250 46,730
1,500 1,500 359,646
250 250 3,920
2,500 2,500 39,000

500 500 10,789

250 250 15,030
500 500 59,276
250 250 29,638
250 250 15,418
500 500 12,101
250 250 14,253
500 500 43,820
1,000 3,544 45,584
1,000 1,000 20,720
250 250 3,200
250 250 11,067
1,250 1,250 18,188
250 250 1,214
250 250 58,775
250 250 3,330
250 250 3,713
500 500 84,916
250 250 11,378
500 500 44,590
250 250 11,070
500 500 66,268
500 500 147,386
250 250 1,410
1,000 1,000 3,210
500 500 24,180
250 250 11,243
500 500 291,598
 3,750 3,750 65,124
2,500 2,500 105,100
4,750 4,750 78,104
750 750 18,600
250 250 23,355
1,000 1,230 19,999
500 500 5,176
500 500 111,644
3,000 3,000 8,599
250 250 46,732
750 750 13,260
250 250 11,067
250 250 10,183
2,500 2,500 45,660
1,750 2,602 26,192
750 750 213,621
750 750 129,542
2,250 2,250 206,732
250 250 49,040
2,250 2,250 55,960
500 500 14,950
250 250 26,262
500 4,240 88,890
1,750 1,750 168,847
750 750 20,895
250 250 14,100
250 250 14,900
500 500 3,604
2,250 2,250 14,606
500 500 2,736
250 250 51,817
250 250 42,500
250 250 3,545
250 250 1,055
250 250 1,970
500 500 3,588
3,750 3,750 31,962
6,750 6,750 77,284
750 750 4,080
3,000 3,000 166,368
1,000 1,000 107,672
250 432 5,708
1,000 1,000 46,800
250 250 5,224
750 750 29,430
500 500 17,752
1,250 1,250 5,146
250 250 1,700
1,000 1,000 239,764
3,500 3,500 73,192
2,250 2,250 141,678
1,000 1,000 10,468
750 1,041 41,418
750 750 11,490
250 250 40,127
132,500 146,866 7,093,630

1,000 1,000 22,300

250 250 4,420

500 500 6,587
1,500 1,500 4,524
250 250 9,460
500 500 2,099

1,000 1,000 25,392

500 500 12,912
500 500 4,640
250 250 22,580

250 250 17,843

250 250 54,890

250 250 5,680

250 250 7,105
250 250 22,493
500 500 13,600
250 250 15,160
250 250 7,078
250 250 38,188
5 B000009228 CETIRIZIN TABLET 10 MG 625
8 B000009309 CORTIDEX 0.5MG TABLET 3,840
14 B00001201119 CTM 100"S TAB 4MG ( 1,246
CHLORPHENIRAMINI MALEAT ) B00001415646
10 13,660
CURCUMA KAPLET
6 B000009882 DEXAMETHASONE TAB 0.5MG 1,212
10 B0000100006 DIMENHYDRINATE 50MG TAB 2,310
1 B000009750 DOMPERIDON 5MG/5ML SYR 5,909
10 B000009688 FG TROCES TAB 21,740
1 B000001000 FOLLAY CATH 2 WAY 16 16,800
1 B0000112121 FUROSEMID INJ 13,712
10 011246 GITAS PLUS 62,660
4 B011749 IMUNOS PLUS 63,404
1 B00001415465 INFUSET ANAK/PEDIATRIK 11,889
3 340037 INFUSET DEWASA COSMOMED 34,188
100 B000007799 Kantong Puyer 25,200
1 B000007805 KASSA GULUNG 10 CM 1,680
2 B0000148792 KASSA GULUNG 5 CM 1,680
5 B00001151546 KETOROLAC INJ 9,790
9 010238 L-BIO 1GR SACHET 106,992
3 B000009796 L-BIO CAPSUL 35,664
10 010229 LAMESON 4 56,140
10 B000007856 Lapibal 500 mcg Kapsul 39,630
10 B000045451 LAPIFED TAB 46,230
1 B00001345456 LASAL SYR 46,232
0.22 020010 LEUKOPLAST ROL 7.5X4.5 15,800
2 B000010000KL LIDOCAIN INJ 6,526
5 B0000145369 LIPROLAC SACHET 42,930
10 010235 LOREMID 14,530
2 B000007914 MASKER NEBULIZER ANAK 58,276
2 020396 MASKER NEBULIZER DEWASA 62,438
10 B000007923 MECOBALAMIN 500 MCG 6,530
1 B000011241521 MEDICREPE/ELASTIC 17,483
BANDAGE 4
1 12,077
B89798989999 MEPROVENT NABUL
16 B000007948 METHYLPREDNISOLON 4 MG 4,528
2 B000031082020 MICROGEST 200MG@15 58,120
1 B000007977 MUCOS SIRUP 60 ML 21,795
2 B000009707 MUCOS TABLET 30 MG 2,114
10 B0000100098776 N-ACE TAB 44,290
1 B000009448 NECIBLOK SYR 73,193
1 B000009694 NEEDLE 26 242
3 B000009651 NS OTSU 500 ML INFUS 32,229
1 B000009754 OB HERBAL SYR 20,690
81 B000009636 OMEPRAZOL 20 MG KAPSUL 31,752
4 B00001625874 OMEPRAZOL INJEKSI 33,000
5 B000009634 ONDANSETRON INJEKSI 4 MG 10,485
51 B000009632 Ondansetron Tablet 4 mg 29,070
1 B000009614 Pamol Sirup 60 ml 39,628
34 B000009612 Paracetamol Tablet 500 mg 7,990
2 B000009602 Periflux Sirup 99,068
5 B000009581 PLESTERIN ONEMED 1,101
5 B000009579 PRONEURON KAPLET 9,245
10 B000012561165 PULAREX TAB 3,360
3 B000008135 RANITIDIN INJ 50MG/2ML 7,980
20 340256 RANITIDIN TAB 150MG 6,240
1 B000009853 RANIVEL SYRUP 70,707
11 B000009009 RL SANBE 135,956
70 B000009140 SANMOL 500 MG @ 100 43,400
10 B000009141 SANMOL 650 MG @100 7,750
1 B000009143 SANMOL FORTE SYRUP 60ML 42,075
3 B000009162 SANMOL SYR 60 ML 70,863
1 B000009559 SARUNG TANGAN NO 6.5 6,465
1 B000009550 SELANG O2 DEWASA 12,800
2 B000017868979 SENSI GLOVES M 868
14 B000009778 SENSI GLOVES S 6,200
4 B000009530 SIRPLUS SERBUK 2,220
1 B000009936 SPALK DEWASA 7,000
7 B000009787 SPUIT 10CC 9,903
15 B000009516 SPUIT 3 CC 12,614
3 B000009515 SPUIT 5 CC 2,580
1 B000009500 SUCRALFAT 500MG/5ML SIRUP 13,364
3 B000003766 SUPRAMOX 125 SYR 60ML 79,254
25 B000003768 SUPRAMOX CAPS 500MG 79,250
10 B000009732 TRAMADOL CAPSUL 50MG 7,180
2 B00001260920 TRANSFUSION SET STERA 24,000
1 B0000102516 TREEWAY EKOR 6,641
1 340296 URIN BAG 9,310
2 B000003608 VELLUTIN 2,5MG INJEKSI 16,752
1 B000013688856 VENTASAL 6,987
8 B000003170 VIT B KOMPLEK 1,008
4 B00001324654 vit c tablet 50mg 784
7 B000003148 WATER 20 ML INJEKSI 30,141
2 B000003149 WING NEEDLE 25 4,234
2 B000003134 ZINK 20MG/5ML SIRUP 26,418
Subtotal : 2,411,318

1 B000003126 ABOCATH NO 20 4,900

1 B000009858 ABOCATH NO 24 3,920

3 B000003124 ABOCATH NO. 22 15,400
20 B000003670 ACYCLOVIR 400MG TAB 26,100
10 B000003931 ALKOHOL SWAB 2 PLY 1,258
10 B000003947 AMBEVEN CAPS 22,750
1 B000003964 AMOXICILLIN 250 DRY SYR 7,273
10 B000003965 AMOXICILLIN 500 MG TAB 7,310
10 010478 ANALSIK TAB 26,420
1 B000009403 ANTASIDA SIRUP 5,956
1 020499 ARM SLING M 35,000
30 B000009414 ASAM MEFENAMAT TABLET 500 8,400
MG
4 2,072
B000003837 BETAHISTINE 6 MG TAB
10 B000003853 BIOGAIA RILLUS 30 TAB 130,540
10 010469 BRAXIDIN TAB 19,430
10 B000009373 CEFADROXIL KAPSUL 500 MG 14,660
20 B000009379 CEFIXIM 100 MG KAPSUL 24,080
3 B000009221 CENDO XITROL TETES MATA 5 113,064
10 B000009228 CETIRIZIN TABLET 10 MG 1,250
10 B000009245 CIPROFLOXACIN 500MG 7,230
10 B000009309 CORTIDEX 0.5MG TABLET 4,800
10 B000009882 DEXAMETHASONE TAB 0.5MG 2,020
1 B000009842 DEXKETOPROFEN INJ 21,445
20 B0000112345 DIAZEPAM 5MG TABLET 7,640
1 B0000100006 DIMENHYDRINATE 50MG TAB 231
3 B000009962 DIPENHIDRAMIN 10MG/ML 9,324
INJEKSI
50 44,000
B000009770 DOMPERIDON 10MG TAB
10 B000012805202 DTRIVIT TAB 1000MG 27,200
10 B000009812 EPERISONE HCL TAB 13,690
30 B00001260421 FARSIRETIC TABLET ( 18,540
FUROSEMIDE )
16 7,459
B000010456 FASIDOL 650MG TAB (
PARACETAMOL 650MG)
2 25,174
B000006551 HYOSCINE N-BUTYLBROMIDE
24 010077 IBUPROFEN 400MG 7,728
5 B011749 IMUNOS PLUS 79,255
15 B000006036 IMUNOS TAB 198,135
5 340037 INFUSET DEWASA COSMOMED 55,944
20 010222 KALNEX 157,980
10 B000007799 Kantong Puyer 2,520
20 B000007802 KAPSUL KOSONG NO 00 4,500
4 B00001151546 KETOROLAC INJ 8,112
 10 010229 LAMESON 4 56,140
10 B000045451 LAPIFED TAB 46,230
1 B000007866 Lapisiv SYR 100 ml 32,634
16 011015 LAPISIV-T 42,272
0.2 020010 LEUKOPLAST ROL 7.5X4.5 14,400
5 B0000145369 LIPROLAC SACHET 42,930
25 B000007901 LORATADIN 10MG 7,050
10 010235 LOREMID 14,530
2 B000007924 MECOBALAMIN 500 MCG 14,918
3 B0000100MTM METAMIZOL INJ 21,192
1 B00001154656 METAMIZOL TAB 371
3 B000007951 METOCLOPRAMID INJEKSI 19,581
10 B000007950 METOCLOPRAMIDE 5 MG 1,570
10 B000007953 METRONIDAZOL TABLET 500 6,490
10. dr. Laelatul Faizah
 250 250 1,125
1,000 1,000 5,840
1,750 1,750 4,746

250 250 14,160

500 500 2,212

500 500 3,310
250 250 6,409
250 250 22,240
250 250 17,300
250 250 14,212
250 250 63,160
250 250 63,904
250 250 12,389
750 750 35,688
2,000 2,000 29,200
250 250 2,180
250 250 2,180
500 500 10,790
500 500 107,992
250 250 36,164
250 250 56,640
250 250 40,130
250 250 46,730
250 250 46,732
1,000 1,000 17,800
500 500 7,526
250 250 43,430
250 250 15,030
500 500 59,276
500 500 63,438
250 250 7,030
250 250 17,983

250 250 12,577

500 500 5,528

250 250 58,620
250 250 22,295
250 250 2,614
250 250 44,790
250 250 73,693
250 250 742
250 250 32,729
250 250 21,190
2,250 2,250 36,252
500 500 34,000
750 750 11,985
1,750 2,970 33,790
250 250 40,128
1,250 1,250 10,490
500 500 100,068
1,250 1,250 3,601
250 250 9,745
250 250 3,860
500 500 8,980
500 500 7,240
250 250 71,207
1,000 1,000 137,956
2,000 2,000 47,400
250 250 8,250
250 250 42,575
750 750 72,363
250 250 6,965
250 250 13,300
250 250 1,368
 1,000 1,000 8,200
500 500 3,220
250 250 7,500
1,000 1,000 11,903
2,000 2,000 16,614
250 250 3,080
250 250 13,864
750 750 80,754
750 750 80,750
250 1,196 8,626
500 500 25,000
250 250 7,141
250 250 9,810
500 500 17,752
250 250 7,487
500 500 2,008
250 250 1,284
1,000 1,000 32,141
500 500 5,234
500 500 27,418
53,250 55,416 2,519,984

250 250 5,400

250 250 4,420

750 750 16,900
250 250 26,600
2,000 2,000 5,258
250 250 23,250
250 250 7,773
250 250 7,810
250 250 26,920
250 250 6,456
250 250 35,500
750 750 9,900
250 250 2,572

250 250 131,040

250 250 19,930
250 250 15,160
500 500 25,080
750 750 114,564
250 1,080 2,580
250 250 7,730
250 250 5,300
250 250 2,520
250 250 21,945
750 750 9,140
250 250 731
250 250 9,824
1,250 2,886 48,136

250 250 27,700

250 250 14,190
250 250 19,040
750 750 8,959

500 500 26,174

750 1,742 10,220

250 425 79,930
750 1,665 200,550
1,250 1,250 58,444
500 500 158,980
250 250 3,020
250 250 5,000
1,000 1,000 10,112
 250 250 56,640
250 250 46,730
250 250 33,134
500 2,343 45,115
1,250 1,250 16,900
250 250 43,430
500 500 8,050
250 250 15,030
250 250 15,418
250 250 21,692
250 250 871
250 250 20,081
250 250 2,070
250 250 6,990
 1 B000007956 MICONAZOL CREAM 10 G 5,484
1 B000009829 MOMETASON CREAM 0,1 % 27,195
5 011061 MST CONTINUS 10 MG 110,335
10 010274 MYONEP 69,350
10 B000009702 NATRIUM DIKLOFENAK 50 MG 2,400
50 B000009636 OMEPRAZOL 20 MG KAPSUL 19,600
8 B00001625874 OMEPRAZOL INJEKSI 63,800
8 B000009634 ONDANSETRON INJEKSI 4 MG 16,776
43 B000009612 Paracetamol Tablet 500 mg 9,976
1 B000009602 Periflux Sirup 49,534
2 B000011265487 PERMETHRIN CR 18,648
7 B000009581 PLESTERIN ONEMED 1,529
10 B000009579 PRONEURON KAPLET 18,490
10 B000008110 PSIDII CAPS 500 MG 79,720
10 B000012561165 PULAREX TAB 3,360
5 B000008135 RANITIDIN INJ 50MG/2ML 13,300
20 340256 RANITIDIN TAB 150MG 6,240
10 B000008142 REBAMIPID 100MG TAB 20,670
3 B000009807 RING AS SANBE INFUS 36,834
9 B000009009 RL SANBE 107,064
20 B000009140 SANMOL 500 MG @ 100 12,400
10 B000009141 SANMOL 650 MG @100 7,750
1 011168 SANMOL DROP 15ML 25,762
1 B000009143 SANMOL FORTE SYRUP 60ML 42,075
1 B000009161 SANMOL INFUS 34,740
20 B000009999 SCOPMA PLUS TAB 27,200
10 B000017868979 SENSI GLOVES M 4,340
9 B000009778 SENSI GLOVES S 4,154
30 B000009519 SPIRONOLAKTON 25 MG 8,820
8 B000009787 SPUIT 10CC 11,262
35 B000009516 SPUIT 3 CC 29,274
1 B000009515 SPUIT 5 CC 860
4 B000009500 SUCRALFAT 500MG/5ML SIRUP 53,456
10 B000003768 SUPRAMOX CAPS 500MG 31,700
10 B000004059 TEOSAL TAB 2,520
4 B000003653 TREMENZA TABLET 9,448
10 B000003660 TRICHODAZOL 500 TABLET 23,700
6 B000003148 WATER 20 ML INJEKSI 26,004
5 B000003151 WING NEEDLE 23 76,210
2 B000003149 WING NEEDLE 25 4,234
20 B000003133 ZINK SULFAT 20 MG TABLET 6,660
1 B000003136 ZIRCUM KID SIRUP 20MG 39,627
Subtotal : 2,655,519

1 B000009856 ABOCATH NO 18 4,900

1 B000009858 ABOCATH NO 24 3,920

1 B000003124 ABOCATH NO. 22 4,900
4 B000003931 ALKOHOL SWAB 2 PLY 496
6 B000003939 ALPARA TAB ( 5,376
DMP,PCT,PHENYL,CTM )
1 142
B000003894 BLOOD LANCETS ONEMED
2 B00001625492 CEFAZOLIN INJ 35,006
20 B000009379 CEFIXIM 100 MG KAPSUL 24,080
20 B000009380 CEFIXIM 200 MG KAPSUL 64,900
2 B000009792 CEFTRIAXON 1GR INJEKSI 13,156
10 B000009245 CIPROFLOXACIN 500MG 7,230
1 B0000101256 CITICHOLINE 250 MG/2 ML 8,081
MERSI
30 14,400
B000009309 CORTIDEX 0.5MG TABLET
4 B00001201119 CTM 100"S TAB 4MG ( 356
CHLORPHENIRAMINI MALEAT ) 340305 D10%
1 13,972
WIDA 500ML
2 B00001454546 D40% 21,756
10 B000009882 DEXAMETHASONE TAB 0.5MG 2,020
3 B0000112345 DIAZEPAM 5MG TABLET 1,167
10 B0000100006 DIMENHYDRINATE 50MG TAB 2,310
 4 B000009962 DIPENHIDRAMIN 10MG/ML 12,432
INJEKSI
10 5,960
B0000654898452 DOHIXAT 100MG TAB (
DOXYCICLIN )
10 13,690
B000009812 EPERISONE HCL TAB
1 B000009817 EXTENTION TUBE 44,800
1 spm200506003 feeding tube no.8 terumo 45,500
11. dr. Nurkholis Majid
 250 250 5,984
250 441 27,886
250 1,055 111,640
250 250 69,850
250 250 2,900
1,250 1,250 22,100
1,250 1,250 66,300
1,000 1,000 18,776
1,250 2,210 13,436
250 250 50,034
250 250 19,148
1,750 1,750 5,029
250 250 18,990
250 564 80,534
250 250 3,860
1,000 1,000 15,300
500 5,170 11,910
250 250 21,170
250 250 37,334
750 750 108,564
500 1,780 14,680
250 250 8,250
250 250 26,262
250 250 42,575
250 250 35,240
500 500 28,200
1,000 1,000 6,340
1,000 1,000 6,154
250 250 9,320
1,250 1,250 13,762
3,000 3,000 35,274
250 250 1,360
1,000 1,000 55,456
250 250 32,200
250 250 3,020
250 1,286 10,984
250 250 24,200
750 750 27,504
1,250 1,250 78,710
500 500 5,234
500 500 7,660
250 250 40,127
49,500 65,147 2,770,166

250 250 5,400

250 250 4,420

250 250 5,400
750 750 1,996
250 250 5,876
250 250 642

250 250 35,506

500 500 25,080
500 500 65,900
500 500 14,156
250 250 7,730
250 250 8,581
750 750 15,900

250 250 856

250 250 14,472

250 250 22,256

250 250 2,520
250 250 1,667
250 250 2,810
1,000 1,000 14,432
250 250 6,460

250 250 14,190

250 250 45,300

250 250 46,000
 1 FC8 Follay Catether No 8 21,000
3 B000001000 FOLLAY CATH 2 WAY 16 50,400
1 B000009119 FURAMIN INJ 17,172
20 011246 GITAS PLUS 125,320
2 B000006551 HYOSCINE N-BUTYLBROMIDE 25,174
1 B00001415465 INFUSET ANAK/PEDIATRIK 11,889
1 340037 INFUSET DEWASA COSMOMED 10,878
6 010554 KALTROFEN SUPPO 163,026
10 B000007799 Kantong Puyer 2,520
1 B0000148792 KASSA GULUNG 5 CM 840
3 B00001151546 KETOROLAC INJ 5,874
10 012244 LACOLDIN TAB 33,020
5 010078 LANSOPRAZOLE CAPS 30MG 4,775
0.1 020010 LEUKOPLAST ROL 7.5X4.5 7,000
16 010235 LOREMID 23,248
1 B000007914 MASKER NEBULIZER ANAK 29,138
1 B000007924 MECOBALAMIN 500 MCG 7,459
15 B000007928 MEFINAL 500 @100 32,115
30 B0000100549 MELIDOX 30,780
6 B000007933 MELOXICAM 7.50 MG TABLET 1,620
1 340287 METRONIDAZOL INFUS 17,405
1 B000011522331 MGSO 20% 25 ML 6,962
2 B000009694 NEEDLE 26 484
2 B000009669 NIFEDIPIN 10 MG 1,200
1 B000009634 ONDANSETRON INJEKSI 4 MG 2,097
1 B000009581 PLESTERIN ONEMED 214
5 B000008090 PRONOVIR 500MG TABLET 52,835
5 B000008135 RANITIDIN INJ 50MG/2ML 13,300
10 340256 RANITIDIN TAB 150MG 3,120
3 B000009009 RL SANBE 35,688
6 B000009064 SALBUTAMOL 2 MG 840
20 B000009140 SANMOL 500 MG @ 100 12,400
3 B000009559 SARUNG TANGAN NO 6.5 19,395
50 B000009999 SCOPMA PLUS TAB 68,000
1 B00001015874 SELANG 02 ANAK 12,600
1 B000009548 SELANG O2 ANAK + POMPA 35,548
1 B000009550 SELANG O2 DEWASA 11,200
6 B000017868979 SENSI GLOVES M 2,604
4 B000009778 SENSI GLOVES S 1,736
1 B000009936 SPALK DEWASA 7,000
6 B000009787 SPUIT 10CC 8,154
15 B000009516 SPUIT 3 CC 12,495
2 B000009515 SPUIT 5 CC 1,720
1 B000009514 SPUIT 50 CC 18,900
1 B000009504 Stomach tube 16 Mas Hospital 42,000
1 B00001245789 STRIP TEST GLUKOSA NIPRO 4,238
40 B000009499 SUCRALFAT 500MG TABLET 44,120
4 B000009500 SUCRALFAT 500MG/5ML SIRUP 53,456
1 B000003767 SUPRAMOX 250 SYR 60ML 39,627
10 B000003768 SUPRAMOX CAPS 500MG 31,700
2 B000009487 TONOTAN 20MG 9,246
1 B00001260920 TRANSFUSION SET STERA 11,200
1 B0000102516 TREEWAY EKOR 5,811
4 340296 URIN BAG 37,240
1 B000003608 VELLUTIN 2,5MG INJEKSI 8,376
3 B000003148 WATER 20 ML INJEKSI 12,411
2 B000003151 WING NEEDLE 23 30,484
2 B000003149 WING NEEDLE 25 4,234
Subtotal : 1,633,838
13. dr. Almira Meida Resi Fauzia
3 B000009856 ABOCATH NO 18 14,700
9 B000003126 ABOCATH NO 20 44,800
5 B000009858 ABOCATH NO 24 19,600
1 B000003124 ABOCATH NO. 22 4,900
1 B000003188 ACETYLCYSTEIN 200MG 1,057
24 B000003931 ALKOHOL SWAB 2 PLY 3,012
21 B000003960 AMLODIPIN 10 MG 7,616
1 B000003964 AMOXICILLIN 250 DRY SYR 7,273
30 B000003965 AMOXICILLIN 500 MG TAB 21,930
2 B000003971 AMPICILLIN 1GR INJ @10 34,344
30 B000009414 ASAM MEFENAMAT TABLET 500 8,400
MG
 250 250 21,500
750 750 51,900
250 250 17,672
500 500 126,320
500 500 26,174
250 250 12,389
250 250 11,378
750 750 164,526
250 250 3,020
250 250 1,340
750 750 7,374
250 250 33,520
250 250 5,275
500 500 8,000
500 500 24,248
250 250 29,638
250 250 7,959
250 250 32,615
750 750 32,280
250 250 2,120
250 250 17,905
250 250 7,462
500 500 1,484
250 250 1,700
250 250 2,597
250 250 714
250 250 53,335
1,250 1,250 15,800
250 250 3,620
750 750 37,188
250 250 1,340
500 500 13,400
750 750 20,895
1,250 1,250 70,500
250 250 13,100
250 250 36,048
250 250 11,700
500 500 3,604
500 500 2,736
250 250 7,500
1,000 1,000 10,154
1,750 1,750 15,995
500 500 2,720
250 250 19,400
250 250 42,500
250 250 4,738
1,000 1,000 46,120
1,000 1,000 55,456
250 250 40,127
250 250 32,200
250 250 9,746
250 250 11,700
250 250 6,311
1,000 1,000 39,240
250 250 8,876
750 750 13,911
500 500 31,484
500 500 5,234
35,750 35,750 1,705,338

750 750 16,200

1,750 1,750 48,300
750 750 21,100
250 250 5,400
250 250 1,557
3,250 3,250 9,512
750 750 9,116
250 250 7,773
750 750 23,430
250 250 34,844
1,000 1,000 10,400
 3 B000009415 ASAM TRANEXAMAT 17,343
500MG/5ML INJEKSI
20 10,360
B000003837 BETAHISTINE 6 MG TAB
10 010469 BRAXIDIN TAB 19,430
1 B00001066215 BUDESMA 0.5 INJ 21,993
1 B000009902 CANDESARTAN 8MG TAB 622
15 B000009373 CEFADROXIL KAPSUL 500 MG 21,990
10 B000009379 CEFIXIM 100 MG KAPSUL 12,040
2 B000009228 CETIRIZIN TABLET 10 MG 250
21 B000009309 CORTIDEX 0.5MG TABLET 10,080
1 B0000112345 DIAZEPAM 5MG TABLET 389
2 B000009962 DIPENHIDRAMIN 10MG/ML 6,216
INJEKSI
10 8,800
B000009770 DOMPERIDON 10MG TAB
1 B000009885 DOPAMET 250MG TAB@100 1,243
30 B000009812 EPERISONE HCL TAB 41,070
10 B000012011 ETABION CAPS 4,030
1 B000009817 EXTENTION TUBE 44,800
1 B0030122021 FARIZOL SYR/METRONIDAZOL 9,510
19 B000010456 FASIDOL 650MG TAB ( 8,626
PARACETAMOL 650MG)
1 16,800
B000001000 FOLLAY CATH 2 WAY 16
2 B0000112121 FUROSEMID INJ 27,424
20 B000009128 GABAPENTIN 100MG 11,600
2 010013 GG TAB 258
10 011246 GITAS PLUS 62,660
2 B000006551 HYOSCINE N-BUTYLBROMIDE 25,174
2 120582 IMUNOS SYR 60ML MADU 184,926
1 B00001415465 INFUSET ANAK/PEDIATRIK 11,889
7 340037 INFUSET DEWASA COSMOMED 77,700
2 020421 INFUSET MIKRO TERUMO 39,188
4 B000007758 ISOSORBID DINITRAT 5 MG 1,064
5 B000007788 Kalk 500 mg Tablet 625
54 B000007799 Kantong Puyer 13,608
10 B00001013256 KAPSUL KOSONG NO 2 830
3 B000007805 KASSA GULUNG 10 CM 5,040
3 B0000148792 KASSA GULUNG 5 CM 2,520
12 B00001151546 KETOROLAC INJ 23,496
30 B0000101573 KETOROLAC TAB 10 MG 75,750
3 010238 L-BIO 1GR SACHET 35,664
3 B000007838 LACOLDIN SIRUP 103,029
25 012244 LACOLDIN TAB 82,550
1 B000007848 LAKTULOSA SIRUP 35,307
40 010078 LANSOPRAZOLE CAPS 30MG 38,200
20 B000007856 Lapibal 500 mcg Kapsul 79,260
1 B000007866 Lapisiv SYR 100 ml 32,634
4 011015 LAPISIV-T 10,568
0.4799 020010 LEUKOPLAST ROL 7.5X4.5 34,000
999999
999999
6 010079 LEVOFLOXACIN 500 TAB 6,354
1 020396 MASKER NEBULIZER DEWASA 29,138
4 B000007924 MECOBALAMIN 500 MCG 29,836
40 B000007923 MECOBALAMIN 500 MCG 26,120
1 B0000100MTM METAMIZOL INJ 7,064
20 B000007948 METHYLPREDNISOLON 4 MG 5,660
10 B000007953 METRONIDAZOL TABLET 500 6,490
1 B000011522331 MGSO 20% 25 ML 6,962
30 B000009702 NATRIUM DIKLOFENAK 50 MG 7,200
1 B000009694 NEEDLE 26 242
3 B000009508 NEXURIN TAB 18,648
2 B000009669 NIFEDIPIN 10 MG 1,200
1 B00001686645 NOZEPAV 5MG RECTAL 21,212
4 B000009651 NS OTSU 500 ML INFUS 42,972
24 B000009636 OMEPRAZOL 20 MG KAPSUL 9,408
9 B00001625874 OMEPRAZOL INJEKSI 71,500
24 B000009634 ONDANSETRON INJEKSI 4 MG 51,228
65 B000009632 Ondansetron Tablet 4 mg 37,050
1 B00001056974511 OTILON EAR DROP 62,817
4 B000009616 Pamol Supp 125 mg 79,992
2 B000009611 Paracetamol Sirup 60 ml 8,578
1 B000009612 Paracetamol Tablet 500 mg 232
11 B000009581 PLESTERIN ONEMED 2,385
250 250 17,843
500 500 11,360

250 250 19,930

250 250 22,493
250 250 1,122
500 500 22,990
250 250 12,540
250 250 750
1,000 1,000 12,080
250 250 889
500 500 7,216
250 250 9,300

250 250 1,743

750 750 42,570
250 250 4,530
250 250 45,300
250 250 10,010
1,000 1,000 10,626
250 250 17,300

250 250 27,924

500 500 12,600
250 250 758
250 250 63,160
500 500 26,174
500 500 185,926
250 250 12,389
1,750 1,750 81,200
500 500 40,188
500 500 2,064
250 1,575 2,450
1,500 1,500 16,608
250 250 1,330
750 750 6,540
750 750 4,020
1,750 1,750 26,996
750 750 77,250
250 250 36,164
750 2,590 106,369
750 1,417 84,717
250 250 35,807
1,000 2,236 41,436
500 500 80,260
250 250 33,134
250 250 11,068
3,000 3,000 40,000

500 500 7,354

250 250 29,638
750 750 31,336
1,000 1,000 28,120
250 250 7,564
500 500 6,660
250 250 6,990
250 250 7,462
1,000 1,000 9,200
250 250 742
250 250 19,148
250 250 1,700
250 250 21,712
500 500 43,972
1,000 1,000 11,408
1,500 1,500 74,500
3,000 3,000 57,228
1,750 3,636 42,436
250 250 63,317
1,000 1,000 81,992
500 500 9,578
250 250 732
2,750 2,750 7,885
 1 B0000080583 PROCELLES SYR 46,232
22 B000009579 PRONEURON KAPLET 40,678
3 B000012561165 PULAREX TAB 1,008
1 B00001645878 PULMICORT RESEP 0.5MG 16,240
1 B000008119 PYREXIN 160 SUPP 14,530
1 B000008121 PYREXIN 80 SUPP 10,567
4 B000008135 RANITIDIN INJ 50MG/2ML 10,640
50 340256 RANITIDIN TAB 150MG 15,600
3 B000009807 RING AS SANBE INFUS 36,834
22 B000009009 RL SANBE 266,812
10 B000009064 SALBUTAMOL 2 MG 1,400
10 B000009140 SANMOL 500 MG @ 100 6,200
20 B000009141 SANMOL 650 MG @100 15,500
1 011168 SANMOL DROP 15ML 25,762
3 B000009162 SANMOL SYR 60 ML 70,863
1 B000009559 SARUNG TANGAN NO 6.5 6,465
60 B000009999 SCOPMA PLUS TAB 81,600
2 B00001015874 SELANG 02 ANAK 25,200
4 B000009550 SELANG O2 DEWASA 46,400
8 B000017868979 SENSI GLOVES M 3,472
30 B000009778 SENSI GLOVES S 13,268
6 B0100211102 SILUM 10MG TAB(FLUNARIZIN) 13,986
2 B000009530 SIRPLUS SERBUK 1,110
2 B000009936 SPALK DEWASA 14,000
15 B000009787 SPUIT 10CC 20,775
54 B000009516 SPUIT 3 CC 45,577
4 B000009515 SPUIT 5 CC 3,440
7 B000009500 SUCRALFAT 500MG/5ML SIRUP 93,548
3 B00001260920 TRANSFUSION SET STERA 33,600
2 B0000102516 TREEWAY EKOR 12,452
2 B000009473 UNDERBED 17,500
1 340296 URIN BAG 9,310
20 B000003200 URINTER 400MG CAPSULE 101,400
2 B000003610 VENTOLIN NEBULE 2.5MG 29,750
5 B000003170 VIT B KOMPLEK 630
14 B000003148 WATER 20 ML INJEKSI 59,100
2 B000003151 WING NEEDLE 23 30,484
3 B000003149 WING NEEDLE 25 6,351
1 B000003134 ZINK 20MG/5ML SIRUP 13,209
Subtotal : 3,231,969
14. dr. MUHAMAD DANIAL HENDRIK KAPUTRA
2 B000003126 ABOCATH NO 20 9,800
9 B000009858 ABOCATH NO 24 35,280
6 B000003931 ALKOHOL SWAB 2 PLY 744
10 B000003948 AMBROXOL 30 MG TAB 1,570
1 B000009403 ANTASIDA SIRUP 5,956
10 B000003837 BETAHISTINE 6 MG TAB 5,180
10 B000009373 CEFADROXIL KAPSUL 500 MG 14,660
10 B000009245 CIPROFLOXACIN 500MG 7,230
4 B0000101256 CITICHOLINE 250 MG/2 ML MERSI 32,324
30 B000009770 DOMPERIDON 10MG TAB 19,070

10 B000009812 EPERISONE HCL TAB 13,690

1 B000001000 FOLLAY CATH 2 WAY 16 16,800
5 B00001045896 GLIMEPIRID 2MG 2,025
20 010077 IBUPROFEN 400MG 6,640
2 340037 INFUSET DEWASA COSMOMED 21,756
1 020421 INFUSET MIKRO TERUMO 19,594
2 B000007805 KASSA GULUNG 10 CM 3,360
2 B0000148792 KASSA GULUNG 5 CM 1,680
3 B00001151546 KETOROLAC INJ 5,874
0.08 020010 LEUKOPLAST ROL 7.5X4.5 5,600
1 B000007914 MASKER NEBULIZER ANAK 29,138
1 020396 MASKER NEBULIZER DEWASA 29,138
1 B89798989999 MEPROVENT NABUL 10,567
10 B000007941 METFORMIN 500 MG TABLET 2,380
17 B000007948 METHYLPREDNISOLON 4 MG 4,811
9 B000009634 ONDANSETRON INJEKSI 4 MG 18,873
10 B000009632 Ondansetron Tablet 4 mg 5,700
2 B000009611 Paracetamol Sirup 60 ml 8,578
3 B000009581 PLESTERIN ONEMED 642
8 B000008135 RANITIDIN INJ 50MG/2ML 21,280
 250 250 46,732
750 750 42,178
250 839 2,097
250 250 16,740
250 250 15,030
250 250 11,067
750 750 12,140
1,250 1,250 18,100
250 250 37,334
2,000 2,000 270,812
250 250 1,900
250 250 6,700
500 500 16,500
250 250 26,262
750 750 72,363
250 250 6,965
1,500 1,500 84,600
500 500 26,200
1,000 1,000 48,400
750 750 4,972
3,000 3,000 19,268
250 250 14,486
250 250 1,610
500 500 15,000
2,000 2,000 24,775
4,000 4,000 53,577
500 500 4,440
1,750 2,656 97,954
750 750 35,100
500 500 13,452
250 250 18,000
250 250 9,810
500 500 102,400
500 500 30,750
250 250 1,130
2,000 2,000 63,100
500 500 31,484
750 750 7,851
250 250 13,709
85,000 93,449 3,410,418

250 250 10,300

1,000 1,000 37,280
750 750 2,244
250 250 2,070
250 250 6,456
250 250 5,680
250 250 15,160
250 250 7,730
250 250 32,824
750 750 20,570

250 250 14,190

250 250 17,300
250 250 2,525
500 500 7,640
500 500 22,756
250 250 20,094
500 500 4,360
500 500 2,680
750 750 7,374
500 500 6,600
250 250 29,638
250 250 29,638
250 250 11,067
250 250 2,880
500 500 5,811
1,250 1,250 21,373
250 250 6,200
500 500 9,578
750 750 2,142
1,750 1,750 24,780
 58 340256 RANITIDIN TAB 150MG 18,096
1 010839 RENALIT 30,458
10 B000009009 RL SANBE 118,960
10 B000009064 SALBUTAMOL 2 MG 1,400
1 B000009161 SANMOL INFUS 34,740
1 200601004 SARUNG TANGAN MAXTER NO.7 7,823
40 B000009999 SCOPMA PLUS TAB 54,400
1 B000009550 SELANG O2 DEWASA 11,200
4 B000009778 SENSI GLOVES S 1,736
2 B0000125653 SENSI GLOVES XS 868
2 B000009936 SPALK DEWASA 14,000
1 B000009787 SPUIT 10CC 1,359
20 B000009516 SPUIT 3 CC 16,660
2 B000009515 SPUIT 5 CC 1,720
2 B000009500 SUCRALFAT 500MG/5ML SIRUP 26,728
1 340296 URIN BAG 9,310
3 B000003608 VELLUTIN 2,5MG INJEKSI 25,128
1 B000003610 VENTOLIN NEBULE 2.5MG 14,875
10 B000003170 VIT B KOMPLEK 1,260
1 B000003148 WATER 20 ML INJEKSI 4,137
1 B000003134 ZINK 20MG/5ML SIRUP 13,209
Subtotal : 768,007
15. dr. Evina Loviani
1 B000003124 ABOCATH NO. 22 4,900
2 B000003931 ALKOHOL SWAB 2 PLY 248
4 B000003939 ALPARA TAB 3,584
4 ( DMP,PCT,PHENYL,CTM ) 2,924
B000003965 AMOXICILLIN 500 MG TAB
2 B00001201119 CTM 100"S TAB 4MG 210
3 ( CHLORPHENIRAMINI MALEAT ) B000009882 606
DEXAMETHASONE TAB 0.5MG
3 B000009770 DOMPERIDON 10MG TAB 441
1 B000001000 FOLLAY CATH 2 WAY 16 14,000
1 340037 INFUSET DEWASA COSMOMED 10,878
10 B000007799 Kantong Puyer 2,520
3 010238 L-BIO 1GR SACHET 35,664
0.04 020010 LEUKOPLAST ROL 7.5X4.5 2,800
1 B0000100MTM METAMIZOL INJ 7,064
3 B000009650 NS SANBE 500 ML 81,081
3 B000009634 ONDANSETRON INJEKSI 4 MG 6,291
1 B000009581 PLESTERIN ONEMED 214
2 B000008135 RANITIDIN INJ 50MG/2ML 5,320
1 B000009559 SARUNG TANGAN NO 6.5 6,465
2 B000017868979 SENSI GLOVES M 868
2 B000009530 SIRPLUS SERBUK 1,110
2 B000009787 SPUIT 10CC 2,718
6 B000009516 SPUIT 3 CC 4,998
1 340296 URIN BAG 9,310
1 B000003148 WATER 20 ML INJEKSI 4,137
10 B000003133 ZINK SULFAT 20 MG TABLET 3,330
Subtotal : 211,681
>> Total : 29,947,522
 1,750 1,750 21,596
250 250 30,958
1,000 1,000 120,960
250 250 1,900
250 250 35,240
250 250 8,323
1,000 1,000 56,400
250 250 11,700
500 500 2,736
250 250 1,368
500 500 15,000
250 250 1,859
1,750 1,750 20,160
250 250 2,220
500 1,946 29,174
250 250 9,810
250 250 25,628
250 250 15,375
250 250 1,760
250 250 4,637
250 250 13,709
25,000 26,446 819,453

250 250 5,400

250 250 748
250 361 4,195
250 250 3,424

250 250 710

250 250 1,106

250 250 941

250 250 14,500
250 250 11,378
250 250 3,020
250 250 36,164
250 250 3,300
250 250 7,564
250 250 81,581
250 250 6,791
250 250 714
250 250 5,820
250 250 6,965
250 250 1,368
250 250 1,610
250 250 3,218
250 250 5,498
250 250 9,810
250 250 4,637
250 250 3,830
6,250 6,361 224,292
668,250 748,870 31,364,642