No Nama Obat Nomor Batch Jumlah ED

1 ADVANTIME 0 26345 1 2021-01

2 Acran Inj WF3409 10 2021-07
3 ALCO PLUS S055H004 1 2021-03
4 AMLODIPINE 5MG HSALNE91064 16 2020-12
5 Amoxsan drops WG6465 1 2021-07
6 ANTALGIN 30 2020-04
7 Apialys drops A0109 1 2021-02
8 BIOXON 19A0042 1 2019-01
9 Blood Stop BPJS 606-10 1 2021-06
10 CAPTROPIL 25MG 47J0572 30 2020-09
11 CENDO EYEFRESH 7EH1120 3 2021-02
12 corolene 4/0 26317 1 2021-03
13 Coroline 4/0 26317 1 2021-03
14 DERMALON 2-0 D6A1858X 1 2021-01
15 DERMALON 4-0 D5K0291X 1 2020-10
16 DEXKETOPROPEN PJ0461 10 2020-10
17 DIATAB 17088401 12 2020-05
18 DOHIXAT TAB 80307 52 2021-07
19 endotracheal tube 3.5 319812R 1 2020-04
20 endotracheal tube 6.5 10280415 1 2020-04
21 endotracheal tube 7,5 14HT09 1 2019-07
22 ERYRA TAB T04057AJ 90 2021-04
23 Extimon Inj I017H002 10 2021-07
24 FARIZOL SYR 90205 3 2021-05
25 FASIDOL DROP SYR 90204 1 2021-04
26 feeding tube 3,5 171107B 2 2020-10
27 FLORAGYN T6059 30 2021-03
28 FLUNAX X1072 11 2020-11
29 Folley cath 12 16-G-17-G 2 2021-06
30 FORASI 19F0K01 3 2020-11
31 GASTRIDIN 10021001 10 2021-02
32 GENOCLOM A4028 25 2021-03
33 GLIMEPIRIDE 1MG HS6MPE76022 49 2020-09
34 HYDROCHLOTHIZIDE C160211B 146 2021-03
35 infusset anak (stera) 2021588 1 2020-01
36 INTERZINK TAB T1361002 10 2021-05
37 INVICLOT MA0663 4 2021-01
38 KETOKONAZOLE HTKC2A91044 149 2021-01
39 LORATADINE TLRTAB0062 25 2021-04
40 MANTINO FC1691 10 2021-03
41 MESS 15 M7348297 13 2020-11
42 MESS 20 S5993495 1 2019-05
43 METHYL 16MG 48E0352 35 2021-03
44 MEYLON 84 99J48B 4 2020-10
45 MISOPROSTOL BS19058 64 2021-02
46 MOCOTEIN SYR 90D105 1 2021-04
47 Nedle 26 G 160513C 7 2021-04
48 NEURALGIN KTNL6071839 10 2020-02
49 NEXITRA 91103 194 2021-03
50 NONEMI W6038 55 2020-10
51 NOVA T 380 (IUD) TU01T7T 1 2021-01
52 OPTIME 3/0 28152 11 2021-01
53 OTSU MGSO4 20% 70F48B 4 2020-06
54 OTSU MGSO4 40% 72H48A 5 2020-08
55 OTSU WFI 75I47A 2 2020-09
56 Polisorb 3/0 A6G0430X 1 2021-07
57 POLISORB 4/0 D6B1856X 1 2021-02
58 PRESTRENOL TAB T103G002 24 2020-12
59 PROINFARK INJEKSI 16077001 8 2021-04
60 PRORIS SYR C8M2201 1 2020-12
61 Sagestam Inj UG3441 20 2021-07
62 SANFURO SYR WC1619 2 2021-03
63 SANTAGESIK UD3427 8 2021-04
64 SCOPMA PLUS 92001 56 2021-01
65 SENDROFEN F SYR S091004 4 2021-05
66 SIMVASTATIN 20MG HTSVNC66240 47 2020-07
67 STOKINETTE - 1 -
68 suction cath no 14 15018126 3 2020-09
69 Suction cath no 16 6011688 1 2020-12
70 surflo iv cath 20 16042350 2 2021-03
71 TABLET TAMBAH DARAH F90208BB 199 2021-06
72 TERUMO IV CATH 18 141004SA 2 2019-07
73 Terumo Spuit 1 cc 150205D 1 2020-01
74 Terumo Spuit 20 cc 141104T 1 2019-10
75 Terumo Spuit 20 cc 160122B 2 2021-03
76 Terumo Spuit 3 cc 150620P 1 2020-05
77 Terumo Spuit 5 cc 150710R 1 2020-06
78 Terumo Spuit 50 cc 160320E 2 2021-02
79 Terumo Spuit 50 cc 141205E 1 2019-11
80 TOCO-E TAB 1805240 43 2021-05
81 transfusi blood pediatric 170901 k 1 2020-03
82 transfusi blood terumo 170205 1 2020-05
83 TRIANTA SYR 70506 4 2021-06
84 TROGE IV CATH 18 14001-01 1 2020-07
85 TROGE IV CATH 20 14219-02 6 2020-11
86 troge iv cath 22 14220-04 3 2020-11
87 troge iv cath 24 14220-06 24 2020-11
88 TROVILON SYR 80312 1 2020-12
89 ULCERID US7E01 30 2021-05
90 umbilical cord klem 1091588 2 2020-08
91 UROCARE (CATETER 22) 16G.11B 2 2021-01
92 VALSARTAN ECB181 30 2021-02
93 ZAMEL DROP SYR 211044 2 2021-03
94 ZAMEL SYR 22D164 3 2021-04
95 ZINK TAB F31226J 17 2021-06

JUMLAH
Harga Satuan Harga Total
101,277 101,277
22,913 229,130
66,000 66,000
478 7,648
22,781 22,781
-
32,670 32,670
209,000 209,000
132,193 132,193
138 4,140
29,975 89,925
93,240 93,240
93,240 93,240
63,800 63,800
-
2,600 26,000
557 6,684
319 16,588
-
-
71,500 71,500
1,100 99,000
240,295 2,402,950
9,918 29,754
8,465 8,465
42,350 84,700
10,890 326,700
314 3,454
9,240 18,480
1,965 5,895
28,875 288,750
12,870 321,750
715 35,035
Hibah
4,510 4,510
4,125 41,250
69,300 277,200
410 61,090
333 8,325
-
-
4,125 4,125
 776 27,160
16,896 67,584
5,500 352,000
33,880 33,880
1,155 8,085
715 7,150
1,700 329,800
1,485 81,675
259,703 259,703
108,589 1,194,479
10,010 40,040
10,010 50,050
6,061 12,122
-
-
3,833 91,992
13,200 105,600
22,809 22,809
10,450 209,000
42,040 84,080
11,000 88,000
1,400 78,400
11,550 46,200
1,250 58,750
-
7,381 22,143
5,940 5,940
32,670 65,340
354 70,446
4,389 8,778
7,040 7,040
1,733 1,733
1,733 3,466
900 900
1,118 1,118
15,158 30,316
15,158 15,158
8,415 361,845
24,685 24,685
24,684 24,684
4,274 17,096
-
-
 6,040 18,120
6,040 144,960
8,140 8,140
6,500 195,000
2,310 4,620
37,537 75,074
-
43,450 86,900
40,425 121,275
715 12,155

1,562,617 8,874,736