Au 31 Mei 2017

DATAR OBAT YANG STOKNYA HABIS
Halaman : 1
NO NAMA OBAT SAT KETERANGAN
1 Adalat Oros Box

2 Alinamin F Tab Box
3 Alinamin injeksi Box
4 Alpamol Drops Fls
5 Alphamol Syr Fls
6 Alprazolam Tab 0.5 mg Box
7 Amitripilin Tab 25 mg 100's Box
8 Amoxan Drops Fls
9 Anti Hemaroid Supp Supp
10 Asabium Tab Box
11 Avodart Tab Box
12 Bersol Cream Tube
13 Bevalex Cream Tube
14 Cefadroxil 500 mg Cap 100's Box
15 Cefixim Syr Fls
16 Cendo Fenicol 0.25% 0,6 ml@ 5's minidose Strip
17 Cendo Genta SM Tube
18 Cendo LFX 0,6 ml @ 5's minidose Strip
19 Cendo Lubricent 0,6 ml@ 5's minidose Strip
20 Cendo Pantocain 2% 0,6 ml@ 5's minidose Strip
21 Cendo Ulcori 0,6 ml @ 5's minidose Strip
22 Citicolin Tab 500 mg 30's Box
23 Citicolon Inj 250 mg 10's Box
24 Co Amoxiclav Box
25 Dexamethason Inj Tin
26 Dextrose 10% Infus Fls
27 Dextrose 5% Infus Fls
28 Diamicron MR Box
29 Digoxin 0,25 mg Tab 100's Box
30 Diovan 160 mg 27's Box
31 Diovan 80 mg 27's Box
32 Domperidon Syr Fls
33 Domperidon Tab 100's Box
34 Dopamin Inj Amp
35 Easy Touch Cholesterol 10's Box
36 Easy Touch Glucose 25's Box
37 Ethambutol Tab 500 mg Box
38 Flutias Inhaler 125 mcg Fls
39 Furosemid 10 mg injeksi 25's Box
40 Harnal ocas 30's Box
41 Illiadin 0,025 % Fls
Dipindahkan
Halaman : 2
Pemindahan
42 Illiadin 0,5 % Fls
43 Infantrim Syr Fls
44 INH 100 mg Tab 1000's Tin
45 INH 300 mg Tin
46 Interhistin Tab Box
47 ISDN 5 mg Tab 100's Box
48 Kalium Diklofenak Box
49 Kandistatin Drops Fls
50 Kapas 100 gr Roll
51 Kapas 250 gr Roll
52 Ketorolac Inj 30 mg Amp
53 Ketricin Orabase Tube
54 klorferson Cream Tube
55 Laminaria Box
56 Laxadine Syr Fls
57 Lexacrol Syr Fls
58 Lexicam 10 mg Tab 100's Box
59 Lexicam 20 mg Tab 100's Box
60 Mebo krim 20 gr Tube
61 Meloxicam 15 mg Box
62 Methylprednisolon Inj Vial
63 Methylprednisolon Tab 4 mg Box
64 Metronidazol Infus Fls
65 Miloz 5 mg/ 5 ml injeksi 10's Box
66 Moladerm Cream Tube
67 Molafate Susp Fls
68 Mucosta Tab 100's Box
69 Myotonic Inj Box
70 Norages Inj Box
71 Omeprazol Cap 30's Box
72 Omeprazol Inj Vial
73 Omeyus Cap 20 mg 30's Box
74 Opineuron Tab 100's Box
75 Pantoprazol Inj Vial
76 Paracetamol Syrup Fls
77 Pehacain Inj 10's Box
78 Piracetam 400 mg Tab Box
79 Piralen Inj Box
80 Pitogin injeksi 10's Box
81 Procain penicillin injeksi Vial
82 Promuba Syr Fls
83 Proten Susu Coklat Box
84 Proxime Tab Box
85 Psidii Syr Fls
Dipindahkan
Halaman : 3
Pemindahan
86 Pyderma Cream Tube
87 Ranitidin Inj Amp
88 Rifampicin 450 Tab 100's Box
89 Ringer Lactat Fls
90 Stesolid Rectal Box
91 Stesolid Syr Fls
92 Stesolid Tab 2 mg Box
93 Sulfas ferosus Tin
94 Suprafenid supp 10's Box
95 Tramadol 50 mg Cap 100's Box
96 Tranfusi Set Box
97 Trifedrin Tab Box
98 Trileptal 600 mg Box
99 Trizedon MR Box
100 Trolip Cap 300 mg Box
101 Valeptic Syr Fls
102 Valsartan 160 mg Tab Box
103 Valsartan 80 mg Tab Box
104 Vectrim Syr Fls
105 Ventolin nebule Box
box
PT Kimia Farma Trade Megatrading
1 Box 20 spironolacton 25 mg tablet
2 Box 5 Aciclovir 400 mg tab
3 Fls 10 Aminofluid infus
4 Box 2 Aminopilin Tab
5 Fls 10 Aminovel Infus
6 Box 2 Amitriptilin tablet 25 mg
7 Box 20 Amlodipin 5 mg
8 Fls 200 Amoxilin Syr 125 mg / 5 ml
9 Fls 600 Antasida Doen Syr 200
10 Fls 400 Aqua Pro injeksi 25 ml 100
11 Box 10 Arixtra Inj
12 Box 10 Asam Traneksamat 500 mg Tab
13 Fls 400 Ashering Infus 200
14 Box 1 Aspar K tab
15 Box 60 Betahistin Tab 6 mg 20
16 Box 20 Bisoprolol Tab 5 mg 50
17 Pot 2 Burnazim Cream 500 gr
18 Vial 5,000 Cefotaxim Inj
19 Box 30 Ceterizin tablet
20 Box 2 Cilostazol Tab
21 Box 100 Clopidogrel 75 mg Tab 30's
22 Box 50 Co Amoxiclav 625 mg 30's 3
23 Box 5 Co Diovan 80 / 12.5 mg
24 Fls 20 Dextrose 40%
25 Fls 100 Dextrose 5% Infus 100
26 Box 5 Digoxin Tab
27 Vial 20 Dobutamin injeksi 250 mg
28 Box 5 Fenofibrate 300 mg
29 Box 5 Flixotide Nebule
30 Box 40 Furosemid Tab 20
31 Box 3 Galvusmet 80 / 850
32 Box 45 Glimepirid 2 mg
33 Box 5 Haloperidol 0.5 mg Tab
34 Box 3 Inhitril Tab 10 mg
35 Fls 30 Kandistatin Drops 5
36 Fls 10 KCL
37 Vial 15 KTM Inj
38 Box 20 Levofloxacin tablet 500 mg
39 Box 1 Manitol infus
40 Box 30 Metformin 500 mg 20
41 Box 20 Metoclopramid Inj 10 mg / 2 ml
42 Fls 200 metronidazol infus 50
43 Box 20 Metronidazol Tab 500 mg 9
44 Box 10 Mucosta Tab 100's 10
45 Fls 60 Nacl 1000 ml
46 Fls 200 NaCL 500 ml
47 Box 3 Neulin PS Tab
48 Box 30 Ofloxacin 200 mg 50's
49 Box 40 Paracetamol 500 mg Tab 50
50 Box 30 Pedab Tab 10
51 Tin 1 Phenobarbital Tab 30 mg
52 Box 5 Pyrazinamid Tab 500 mg 5
53 Box 20 Ramipril 2.5 mg
54 Box 30 Ramipril 5 mg
55 Box 2 Rifampicin 600 mg
56 Fls 3,000 Ringer Lactate 3,000
57 Fls 10 Seretide Discus Inhaler 250 mcg
58 Box 50 Simvastatin 20 mg Tab 100's 18
59 Box 10 Spironolacton 100 mg
60 Box 1 Sulfa Atropin
61 Box 5 Sulfasalazin Tab 500 mg
62 Box 5 Ventolin nebule 5
63 Pot 10 Vitamin B Complex 100's
PT Antar Mitra Sembada
1 Fls 3 Ataroc syrup
2 Box 2 Casodex tablet 50 mg
3 Tube 50 Cloderma Cream 5 gr
4 Box 30 Cotrimoxazol Tab 480 mg
5 Tube 10 Desolex Cream
6 Box 1 Kutoin injeksi 100 mg
7 Box 10 Meloxicam Supp 5's
8 Box 1 Microlax supp
9 Box 2 recofol injeksi
10 Vial 5 Sabu injeksi
11 Box 5 Takelin 1000 mg tablet
12 Box 5 Truvas tablet 20 mg
13 Tube 10 Zelface Cream
PT Buetna Hareukat
1 Fls 10 Albhotyl 5
2 Box 5 Aspilet Tab
3 Box 10 Avodart Tab
4 Set 1 Bahan Tambal Gigi
5 Tube 100 Betamethason Cream 0.1% 5 gr
6 Pcs 50 Botol Tetes Plastik 12 ml
7 Box 30 Candesartan 16 mg Tab 30's
9 Vial 30 Chloramex Inj
10 Fls 6 Chloro Ethyl
11 Box 30 Clindamicin 150 mg 50's
13 Box 2 Clobazam Tab
14 Fls 30 Colme tetes telinga
15 Vial 10 Cortison Inj
16 Ktk 4 Cotton Roll
17 Box 2 Depokate Tab
18 Box 10 Diamicron MR
19 Box 10 Dulcolax Supp Dewasa
20 Fls 30 Flutias Inhaler 125 mcg 10
21 Tin 1 Formalin Tab
22 Box 20 Gabapentin 300 mg capsul
23 Box 2 Glucophage 850
24 Box 50 Glucosamin Tab 60's
25 Box 15 Harnal ocas 30's
26 Tin 1 HCT Tab 25 mg
27 Vial 30 Hemapo Inj 3000 IU 20
28 Box 1 Hystolan Tab 50's
29 Box 20 Ibuprofen Tab 400 mg 6
30 Pot 50 Ichtiyol salep
31 Fls 20 Illiadin 0,025 %
33 Tin 1 INH 100 mg Tab 1000's
34 Tin 2 INH 300 mg
35 Box 3 Itraconazol tablet
36 Box 2 KA EN 3B
37 Box 10 Kalxetin 10 mg
38 Pack 3 Kertas Perkamen
39 Tube 50 Ketoconazole cream 10 gr
40 Tube 50 Ketricin Orabase
41 Box 2 KSR Tab 600 mg
42 Box 5 Levemir Flexpen
43 Box 10 Lipitor 10 mg
45 Box 3 Ludiomil 25 mg
46 Box 5 Lyrica 75 mg
47 Tube 3 Mebo krim 20 gr
48 Box 4 Nald novotwist 100's
49 Ktk 1 Nald u/ Cabut Gigi
50 Tube 10 Nebacetin Zalf
51 Box 10 Neo K 2 mg/ml injeksi
52 Box 3 Norvask 10 mg
53 Box 15 Novorapid flexpen
54 Box 30 Otopain TT
55 Box 2 Pampers Dewasa uk/ L
56 Box 2 Pampers Dewasa uk/ M
57 Box 2 Pampers Dewasa uk/ XL
58 Box 5 Plavix Tab 75 mg
59 Box 3 Pletaal tablet 100 mg
60 pot 50 Pot obat 20 mg
61 Pot 50 Pot obat 40 mg
62 Vial 50 Procain Penicillin Inj 50
63 Box 5 Prostigimin Inj
64 Box 5 Regumen Tab 30's 5
65 Box 5 Risperidon Tab
66 Pot 30 Salicyl Talk
67 Ktk 1 Septocain
68 Box 10 Sistenol Tab
69 Bks 1 Solare X A3
70 Ktk 1 Spongostan
71 Fls 1 Stac 5 ml (Bonding)
72 Box 60 Tramadol Inj 100 mg / 2 ml 5's
73 Box 2 Tramuz Inj
74 Box 5 Trileptal tablet 600 mg
75 Box 20 Trizedon MR
76 Box 2 Urdahex Tab 250 mg
77 Tin 2 Vit K Tab
78 Vial 30 Xylamidon Inj
79 Pcs 2 Xylocain Jell
80 Pcs 2 Xylonor Spray
81 Box 3 Ziloric 300 mg
PT Mensa Bina Sukses

1 Box 30 Alpentin 100 mg 30
2 Fls 10 Alphamol drop 20
3 Fls 200 Alphamol syrup
4 tube 50 Bevalex cream
5 Box 50 Dicloflam 25 mg Tab 100's
6 Box 30 Infantrim Tab 480 mg
7 Box 40 Lexadium Tab 20
8 Box 130 Molaneuron Tab 100's 10
9 Box 50 Piralen Inj
10 Box 50 Pritamox Tab 50
11 Box 50 Pritavit Tab 100's
12 Box 30 Stesolid injeksi 5 mg
13 Box 3 stesolid rectal 5mg
14 Fls 5 Stesolid syrup
15 Box 20 Trifedrin Tab 100
16 Fls 10 Valeptic Syr
17 Fls 300 Vical Syr
PT Mesarinda Abadi
1 Lsn 1 Nald 6030 G/T 7
2 Pcs 12 Assucryl 0 Ref 4346 N
3 Lsn 1 Assucryl 1 Ref 43427 H
5 Pcs 1 Assucryl 1 Ref 43977 H
6 Lsn 1 Assucryl 2/0 Ref 4575
9 Roll 1 Cat Gut Chromic 1
10 Lsn 1 Cat Gut Chromic 1 Ref 2447 H
11 Roll 1 Cat Gut Plain 0
12 Pcs 1 Corset Lumbal uk/ L Pria
13 Pcs 1 Corset Lumbal uk/ M Wanita
14 Box 30 Easy Touch Glucose 20
15 Pak 1 Electroda
16 Pcs 5 Extention Tubing 5
17 Pcs 2 Folley Cateter No 12
18 Pcs 2 Folley cateter No10 2
19 Pcs 2 Folley Catheter No 6 4
20 Pcs 50 Folley Catheter No.18
22 Box 10 Hand Scun No.7
23 Box 20 Hand Scun No.7.5
25 Ltr 5 Hybiscrub
26 Roll 20 Hypafix 15 x 5 10
27 Roll 30 Hypafix 5 x 5 20
28 Box 10 Infuset Dewasa 4
29 Box 2 Infuset Ped 1
30 Box 5 Iv cateter 20 4
31 Box 15 IV Catheter 22 1
32 Ktk 50 Kasa Hydrofil Kotak 80
33 Roll 3 Kassa Lucky
34 Tube 10 K-Y Jelly
35 Jrg 1 KY Jelly Jerigen
36 Roll 12 Leucocrep 3 inci BSN 12
37 Roll 12 Leucocrep 4 inci BSN
39 Roll 12 Leucodur 4"
40 Roll 6 Leucodur 6" 6
41 Roll 40 Leucoplast 1623 BSN 20
42 Roll 30 Leucoplast 1624 BSN 5 X 4.5 20
43 Roll 30 Leucoplast 7.5 x 4.5
44 Lsn 1 Nald 6030 G/T 10
45 Lsn 1 Nald 6030 G/T 12
46 Lsn 1 Nald 6030 G/T 14
47 Lsn 1 Nald 6120 E000
48 Pcs 50 Nasal Canula Dewasa 20
49 Pcs 2 NGT 14
50 pcs 5 NGT 16
51 Pcs 15 NGT 18
52 Lsn 1 Polypropylene 3/0 Ref 9574
55 Box 1 Postofix 10x10
58 Roll 1 SiLk Black 0
59 Roll 1 Silk Black 2/0
60 Roll 12 Sofband 6"
61 Box 3 Spinocain 2
62 Box 3 Spuit 1 cc
63 Box 1 Spuit 100 cc Lubang Tengah
64 Box 2 Spuit 10cc
65 Box 1 Spuit 50cc Lubang Tengah
66 Box 1 Spuit 50cc Lubang Tepi
67 Pcs 1 Stamper dan mortir
68 Pcs 2 Suction Catheter No.16
69 Box 2 Threway
70 Box 1 Tranfusi Set
71 Box 1 Umbilical cord clamp
72 Pcs 100 Urine Bag
73 Roll 50 Verban 15cm 110
PT Parit Padang
1 Box 5 Anesfar injeksi 5mg
2 Box 30 Calcit (Calcatriol)
3 Tube 5 Decubal Cream
4 Box 1 Efedrin Inj
5 Box 2 Etirox 100 mg
6 Box 3 Farmasal 100 mg Tab 100's
7 Box 30 Farsix 40 mg Tab 100's
8 Vial 10 Farsorbid Inj
9 Box 30 Fasorbid 5 mg tablet
10 Fls 20 Interhistin Syr
11 Box 20 Interhistin Tab
12 Box 2 Ketese Tab 25 mg
13 Vial 2,000 Liaxon Inj
14 Vial 4,000 Litaxim Inj
15 Box 2 Nuzyp Tab 10 mg
16 Box 3 Remital 10 mg tablet
17 Fls 30 Tarivid tetes telinga
18 Tube 20 Trombopop gel 20 gr
PT Sawah Besar
1 Box 100 Clidorel tablet 50
2 Box 10 Ketocid tablet 3
3 Box 5 Levazide tablet
4 Fls 30 Otozambon Tetes Telinga
5 Box 5 Raos tablet 50 mg
6 Box 2 Sandepril Tab 50 mg
PT PENTA VALENT
1 Box 5 Cal -95
2 Strip 20 Cendo Catarlen 0,6 ml @ 5's minidose
3 Strip 20 Cendo Genta 0,6 ml@ 5's minidose
4 Strip 10 Cendo Glaopent 0,6 ml@ 5's minidose
5 Strip 20 Cendo LFX 0,6 ml @ 5's minidose
6 Strip 10 Cendo Lubricent 0,6 ml@ 5's minidose 3
7 Strip 20 Cendo Lyteers 0,6 ml@ 5's minidose 50
8 Strip 20 Cendo polidex 0,6ml@5's minidose
9 Strip 5 Cendo Tonor 0,6ml@5'S minidose
10 Strip 60 Cendo Ulcori 0,6 ml @ 5's minidose
11 Strip 25 Cendo Xitrol 0,6 ml@ 5's minidose
12 Box 20 Diuvar Inj 40
13 Fls 20 Forasma Syr
14 Jrg 3 Handscrub
15 Box 5 L - Bio Sachet 5
16 Fls 50 Lagesil Syrup
17 Box 3 Lapibal Inj
18 Fls 50 L-Zink Syr 20
19 Box 5 Myotonic Tab 1
20 Box 50 Suprafenid Supp
PT United Dico Citas

1 Box 3 Alinamin f injeksi
2 Box 5 Alinamin f Tablet 3
PT PROTEUSSABA NUSANTARA
1 Btl 2 Albumin
2 Gal 1 Alfa Diluent
3 Gal 1 Alfa Lyse
4 Jrg 3 Aquabidest
5 Btl 2 Billirubin Direct
6 Btl 2 Billirubin Total
7 Box 5 Blood Call Red
8 Box 10 Blood Call Ungu
9 Box 3 Blood Lancet
10 Btl 2 Creatinine
11 Btl 2 GGT
12 Btl 2 Glucose
13 Vial 2 Gol Darah A
14 Vial 2 Gol Darah B
15 Kit 2 Hbs Ag
16 Kit 1 HCV
17 Kit 2 HDL Cholesterol
18 Btl 2 Protein Total
19 Kit 1 RF Test
20 Btl 1 SGPT
21 KIt 1 Tubex TF
22 Btl 2 Verify
Kit 1 Widal Test
Inventaris
1 Set 1 Abortus Tang
2 Pcs 1 Alat Potong Gips
3 Pcs 1 Baskom Stenless + Standar
4 Pcs 1 Gunting Benang
5 Pcs 1 Gunting Jaringan
6 Pcs 1 Gunting Kain
7 Pcs 1 Gunting Verban Bengkok
8 Set 1 Irigator
9 Pcs 2 Nierbeken Besar
10 Pcs 2 Pispot Pria
11 Pcs 1 Pispot Wanita
12 Unit 1 Regulator Oksigen
13 Pcs 1 Senter
14 Unit 6 Standar Infus
15 Set 1 Tena Kulum
16 Unit 1 Tensi Kompas
17 Pcs 2 Tensimeter Air Raksa
18 Unit 2 Tensimeter Digital
19 Unit 2 Timbangan Badan
20 Pcs 2 Tongue Spatel Anak Stenless
21 Unit 1 Troly
22 Unit 1 Troly Emergency
23 Pcs 3 Washkom (Washen)
Untuk Kamar Bedah

Surgeri Set Mayor :
1 Pcs 2 - Canula Section (Steinless Stell)
2 Pcs 2 - Gunting Benang Lurus
3 Pcs 3 - Gunting Resesi Ujung Runcing 7"
4 Pcs 3 - Gunting Resesi Ujung Tumpul 7"
5 Pcs 12 - Hemostatic Forcef 6"-7"
6 Pcs 6 - Hemostatic Forcef Kocher 6"
7 Pcs 6 - Intestinal Tissue Forcef Bengkok
8 Pcs 6 - Intestinal Tissue Forcef Lurus
9 Pcs 4 - Kom Steinless Stell
10 Pcs 4 - Nearbeken (Bengkok)
11 Pcs 6 - Needle Holder (Nald Furder) 7"
12 Pcs 6 - Pinset Anatomis 7"
13 Pcs 6 - Pinset Cirugis 7"
14 Pcs 2 - Retractor Mekanic (Hak Otomatis)
15 Pcs 3 - Scalpel
16 Pcs 2 - Selang Suction Silikon
17 Pcs 6 - Sponge Holding Forcef
18 Pcs 1 - Suction Mesin
Surgeri Set Minor :

19 Pcs 2 - Gunting Benang Lurus 5"
20 Pcs 2 - Gunting Verban 5"
21 Pcs 12 - Hemostatic Forcef 5"-6"
22 Pcs 12 - Hernia Klem 5"
23 Pcs 4 - Needle Holder (Nald Furder) 5"
24 Pcs 6 - Pinset Anatomis 5"
25 Pcs 6 - Pinset Cirugis 5"
26 Pcs 3 - Scalpel
box
1 Tube 100 Acyclovir Cream
2 Box 30 Allupurinol 300 mg Tab
3 Fls 400 Ambroxol Syr
4 Fls 10 Aminofluid
5 Box 2 Amitriptilin 25 mg
6 Box 20 Amlodipin 5 mg
7 Fls 600 Amoxilin Syr 125 mg / 5 ml
8 Box 60 Amoxilin Tab 500 mg
9 Box 6 Angioten Tab
10 Fls 600 Antasida Doen Syr
11 Fls 600 Aqua Pro injeksi 25 ml
12 Box 80 Asam Mefenamat Tab
13 Fls 400 Ashering Infus
14 Box 1 Aspar K tab
15 Box 10 ATS 1500 IU
16 Fls 50 Azitromycin Syr
17 Box 50 Bisoprolol Tab 5 mg
19 Box 20 Captopril 12.5mg
20 Box 2 Carbamazepin Tab
21 Box 50 Cefadroxil 500 mg Cap 100's
22 Fls 300 Cefadroxil Syr
23 Box 30 Cefixim Cap 100's
24 Vial 3,000 Cefotaxim Inj
25 Vial 10 Ceftazidim Inj
26 Box 1,000 Ceftriaxon Inj 10's
27 Box 50 Ceterizin Tab 10 mg 30's
28 Box 60 Ciprofloxacin 500 mg Tab
29 Fls 10 Ciprofloxacin Infus
30 Box 30 Citicolon Inj 250 mg 10's
32 Box 20 Co Amoxiclav 625 mg 30's
33 Fls 200 Curcuma Syr
34 Box 5 Dextrose 10% Infus
36 Fls 100 Dextrose 5% Infus
37 Vial 5 Dobutamin Inj
38 Fls 20 Domperidon Drops
39 Fls 200 Domperidon Syr
40 Box 2 Efedrin Inj
41 Box 15 Ethambutol Tab 500 mg
42 Box 2 Exjade 500 mg Tab
45 Box 35 Furosemid 10 mg injeksi 25's
46 Box 30 Gabapentin 300mg
47 Tube 200 Gentamycin SK
48 Box 40 Glimepirid 1 mg Tab 100
53 Fls 50 Ibuprofen Syr
54 Box 80 ISDN Tab
55 Fls 30 Kandistatin Drops
56 Box 30 Ketorolac 10 mg Tab
57 Vial 3 KTM Inj
58 Box 400 Lansoprazol 30 mg Cap
59 Box 4 Lidocain HCl 2 % injeksi 100's
60 Box 150 Meloxicam 15 mg 100's
61 Vial 100 Meropenem Inj 1 gr
62 Box 80 Metformin 500 mg
63 Box 10 Metformin 850 mg
64 Vial 60 Methylprednisolon Inj 125 mg
66 Fls 400 Metronidazol Infus
67 Box 10 Mucosta Tab 100's
68 Fls 60 Nacl 1000 ml
69 Fls 400 NaCL 500 ml
70 Box 30 Natrium Diklofenac 50 mg Tab
72 Box 30 Ofloxacin 200 mg 50's
73 Box 30 Ofloxacin 400 mg
74 Box 300 Omeprazol Cap
75 Box 30 Ondancentron 4mg Tab
76 Box 100 Paracetamol 500mg Tab
77 Fls 200 Paracetamol Infus
78 Fls 400 Paracetamol Syr
79 Box 20 Pedab Tab
81 Box 10 Piracetam 400 mg Tab
82 Box 20 Prednison Tab
83 Box 5 Pyracetam 800 mg
84 Box 5 Pyrazinamid Tab 500 mg
87 Box 100 Ranitidin Tab
88 Box 5 Recofol Inj
89 Box 10 Rifampicin 450 Tab 100's
91 Fls 4,000 Ringer Lactate
92 Box 20 Salbutamol 2 mg Tab
94 Box 50 Simvastatain 10 mg Tab
95 Box 50 Simvastatin 20 mg Tab 100's
97 Box 4 Stesolid Rectal
98 Box 7 Stesolid Tab 2 mg
100 Box 5 Sulfasalazin Tab 500 mg
101 Box 65 Tramadol 50 mg Cap 100's
102 Box 2 Tramus Inj
103 Fls 20 Ventolin Inhaler
104 Box 15 Ventolin nebule
105 Box 15 Widahest Infus

1 Box 30 Atorvastatin 20 mg
2 Tube 50 Cloderma Cream 5 gr
3 Box 30 Cotrimoxazol Tab 480 mg
5 Box 5 Miloz 5 mg/ 5 ml injeksi 10's
6 Box 15 Natrium Diklofenak 50 mg Tab 100's
PT Buetna Hareukat
1 Set 1 Acchatit (Tambalan Gigi Anterior)
2 Box 5 Adalat Oros
3 Fls 10 Albhotyl
4 Bks 2 Alginate
5 Jrg 4 Alkohol 96 %
6 Box 3 Amaryl M
7 Box 2 Amoxan 500 mg Tab
8 Box 5 Aspilet Tab
11 Pot 50 Bedak Salicyl
12 Tube 5 Bepanten Cream
13 Fls 10 Berotec Inhaler
14 Tube 100 Betamethason Cream 0.1% 5 gr
15 Tube 30 Bioplacenton Cream
16 Box 2 Biosanbe Tab
20 Box 2 Celebrex 100 mg
21 Bks 1 Cement Powder + Cemen Liquid
28 Bks 2 Cotton Roll
29 Box 35 Curcuma Tab
31 Tin 5 Dexamethason Inj
32 Box 20 Dexamethason Tab
34 Box 25 Diovan 160 mg 27's
35 Box 25 Diovan 80 mg 27's
36 Box 3 Dulcolax Supp Anak
37 Box 10 Dulcolax Supp Dewasa
38 Box 1 Epolite
39 Box 5 Erytromicin Cap 250 mg
40 Box 10 Farmasal Tab
41 Fls 10 Flutias Inhaler 125 mcg
42 Box Formalin Tab
43 Bks 2 Gips Putih
44 Bks 2 Gips Stone
45 Box 10 Glibenclamide 5mg
47 Box 3 Glucophage XR
51 Vial 40 Hemapo Inj 3000 IU
57 Tin 2 INH 300 mg
58 Box 1 KA EN 3B
60 Bks 1 Kapsul Kosong No.1
63 Box 10 Ketoconazol Tab 50's
67 Box 30 Loratadin Tab
73 Tin 3 Natrium Bicarbonat Tab
78 Tin 1 Occo
79 Box 1 Oralit
84 Pot 1 Parafin 500
85 Box 20 Pehacain inj
87 Vial 100 Procain Penicillin Inj
89 Box 3 Proten Susu
90 Fls 5 Psidii Syr
91 Box 5 Recolfar Tab
92 Box 10 Regumen Tab 30's
93 Box 3 Renalof Cap
94 Box 2 Renax Cap
95 Box 2 Rinofer Inj
96 Box 2 Rinofr Tab
97 Vial 3 Serum Anti Bisa Ular (SABU) Inj
98 Box 5 Simarc 2mg Tab
100 Box 5 Spiriva Refile
101 Strip 1 Spongostam
102 Tin 3 Sulfas ferosus
103 Tin 1 Tetraciclin Cap
104 Box 5 THF Tab 100's
105 Box 30 Tramadol Inj 100 mg / 2 ml 5's
106 Box 3 Trileptal 600 mg
108 Box 5 Trolip Cap 300 mg
109 Box 2 Urdahex Tab 250 mg
110 Tin 2 Vit K Tab
1 Fls 100 Alpara Syr
2 Box 50 Alpentin 100 mg
3 Fls 400 Alphamol Syr
4 Box 1 Asabium Tab
5 Tube 150 Bevalex Cream
6 Fls 400 Dextral Syr
7 Box 20 Dextral Tab 100's
10 Box 10 Folac Tab
11 Tube 100 Gentalex Cream
12 Fls 200 Infantrim Syr
14 Box 20 Irbesartan 150 mg
15 Box 80 Lexacort Tab
16 Fls 600 Lexacrol Syr
17 Box 30 Lexacrol Tab
18 Box 40 Lexadium Tab
19 Box 10 Lexagin Tab 500 mg 100's
20 Box 60 Lexapram Tab
21 Box 50 Lexavit Tab 100's
22 Fls 300 Lexavon Syr
23 Box 20 Lexavon Tab
24 Box 40 Lexicam 10 mg Tab 100's
25 Box 40 Lexicam 20 mg Tab 100's
26 Box 30 Molacort Tab
27 Tube 50 Moladerm Cream
28 Fls 400 Molafate Susp
29 Box 30 Molagit Tab
30 Box 130 Molaneuron Tab 100's
31 Fls 300 Molapect Syr
32 Box 30 Molapect Tab
33 Box 70 Molasic 500 mg Tab
34 Fls 400 Molexdryl Syr
35 Box 50 Molexflu Tab
36 Fls 10 Mucera Drop
38 Fls 300 Pritamox Syr
39 Box 50 Pritamox Tab
40 Box 30 Pritasma Tab
41 Box 50 Pritavit Tab 100's
42 Tube 100 Renvol Cream
43 Box 30 Thiamfilex Cap 500 mg
44 Fls 15 Valeptic Syr
45 Fls 400 Vical Syr
PT Mesarinda Abadi
1 Pcs 3 Balon Tensi
2 Pcs 5 Circuit anaestesi
5 Box 20 Easy Touch Cholesterol 10's
6 Box 20 Easy Touch Glucose 25's
7 Pcs 1 ETT No.6.5 Non King2
8 Pcs 2 ETT No.7 Non King2
9 Pcs 2 ETT No.7.5 Non King2
10 Pcs 10 Extention Tubing
13 Pcs 5 Guidel Hijau
15 Box 10 Hand Scun No.7.5
16 Box 30 Hand Scun Non Steril
17 Roll 20 Hypafix 15 x 5
18 Roll 30 Hypafix 5 x 5
19 Box 5 Infuset Dewasa
20 Box 2 Infuset Ped
21 Pcs 50 Iodine Povidon 60 ml
22 Box 15 IV Catheter 22
23 Roll 40 Kapas 100 gr
24 Ktk 100 Kasa Hydrofil Kotak
26 Pack 2 Kertas Print USG
27 Tube 10 K-Y Jelly
29 Box 2 Laminaria
35 Roll 60 Leucoplast 1623 BSN
36 Roll 30 Leucoplast 1624 BSN 5 X 4.5
37 Roll 30 Leucoplast 7.5 x 4.5
38 Box 20 Lomatul
39 Pcs 3 Manset Omron Latex Free
40 Pcs 3 Manset Tensi
41 Box 30 Masker Tali
42 Box 5 Nald 23
43 Lsn 1 Nald G/T 6030 - 12
44 Lsn 1 Nald G/T 6036 - 12
45 Lsn 1 Nald G/T 6036 - 8
46 Pcs 50 Nasal Canula Dewasa
47 Pcs 10 NGT 18
48 Box 1 Pisau Bisturi No.24
52 Pcs 50 Pot Obat 20 gr
55 Box 1 Spinocain
56 Box 1 Spuit 1 cc
57 Box 1 Spuit 100 cc
58 Box 2 Spuit 10cc
61 Box 3 Three Way
62 Box 2 Topi Operasi
63 Pcs 2 Torax Dray No.20
64 Box 1 Tranfusi Set
65 Pcs 1 Truelene Mesh 6 x 11 cm
66 Pcs 100 Urine Bag
67 Roll 300 Verban 15cm
PT Sapta Sari Tama
1 Fls 10 Belamox Syr
2 Box 10 Calcimega Tab
5 Fls 50 Laxadin Syr
6 Vial 2,000 Liaxon Inj
7 Vial 4,000 Litaxim Inj
8 Box 2 Renalof Cap
9 Box 20 Sohobion Tab
10 Fls 30 Vectrim Syr
PT Sawah Besar
1 Box 10 Epsonal Tab
3 Box 10 Ketocid Tab
4 Box 2 Kutoin Cap
5 Box 2 Levazide Tab
7 Box 2 Sandepril Tab 50 mg
8 Box 1 Suldox Tab
9 Fls 20 Tarivid Otic TT
PT PENTA VALENT
1 Strip 10 Cendo Asthenof 0,6 ml@ 5's minidose
2 Strip 20 Cendo Augentonic 0,6 ml@ 5's minidose
4 Strip 10 Cendo Cenfresh 0,6 ml@ 5's minidose
5 Strip 10 Cendo Eyefresh 0,6ml@5's minidose
6 Strip 5 Cendo Fenicol 0.25% 0,6 ml@ 5's minidose
7 Strip 5 Cendo Floxa 0,6 ml@ 5's minidose
8 Tube 30 Cendo Genta SM
9 Strip 10 Cendo Glaopent 0,6 ml@ 5's minidose
10 Strip 10 Cendo LFX 0,6 ml @ 5's minidose
11 Strip 10 Cendo Lubricent 0,6 ml@ 5's minidose
12 Strip 50 Cendo Lyteers 0,6 ml@ 5's minidose
13 Strip 5 Cendo Pantocain 2% 0,6 ml@ 5's minidose
14 Strip 20 Cendo Polydex 0,6 ml@ 5's minidose
15 Strip 5 Cendo Tonor 0,6 ml @ 5's minidose
17 Strip 10 Cendo Vitrolenta 0,6 ml@ 5's minidose
19 Box 400 Diufar Inj 5's
21 Jrg 3 Handscrub
22 Box 5 L - Bio Sachet
23 Box 7 L - Cisien Tab 30's
25 Fls 50 Lasal Syr
26 Fls 30 L-Zink Syr
27 Box 10 Mecola Tab
28 Box 30 Norages Inj

1 Box 7 Alinamin injeksi
2 Tube 50 Bersol Cream
3 Box 10 Ciflon Tab
4 Box 2 Esilgan Tab 2 mg
5 Box 2 Imboost Tab
6 Tube 100 Motaderm Cream
1 Gal 1 Alfa Diluent
2 Gal 1 Alfa Lyse
3 Jrg 1 Aquadest
5 Pcs 2 Bola Lampu Halogen A-25
6 Pcs 1 Bola Lampu Halogen Microscope
7 Vial 1 Calibrator
8 Btl 2 Cholesterol
9 Vial 1 Control Serum Level I (CSL I)
10 Vial 1 Control Serum Level II (CSL II)
11 Set 2 Createnine
12 Btl 2 Glucose
14 Pcs 2 Sensi Gloves
15 Btl 2 SGOT
16 Btl 2 SGPT
17 Btl 2 Trigliceride
18 Btl 2 Urea
19 Btl 2 Uric Acid
Inventaris
1 Unit 1 Alat Cek KGD
2 Pcs 1 Alat Potong Gips
3 Pcs 1 Baskom Stenless + Standar
4 Pcs 1 Gunting Benang
5 Pcs 1 Gunting Jaringan
6 Pcs 1 Gunting Kain
7 Pcs 1 Gunting Verban Bengkok
8 Pcs 2 Nierbeken Besar
9 Unit 2 Rustur
10 Pcs 2 Sendok Curretage Doble
11 Pcs 2 Sendok Curretage No.2
12 Pcs 1 Senter
13 Unit 6 Standar Infus
14 Unit 1 Tensi Kompas
15 Unit 1 Tensimeter Digital
16 Pcs 1 Tensimeter Manua
17 Unit 2 Thermometer Air Raksa
18 Pcs 3 Thermometer Manual
19 Unit 1 Timbangan Badan
20 Pcs 2 Tongue Spatel Anak Stenless
21 Pcs 2 Tourniquet
22 Unit 1 Troly
23 Unit 1 Troly Emergency
PT CUT MEUTIA MEDIKA NUSANTARA
RUMAH SAKIT CUT MEUTIA
REKAP AU-31
PERIODE BULAN MEI 2014
NO DISTRIBUTOR NO. AU-31 JUMLAH KETERANGAN
1 PT ANUGRAH ARGON MEDICA RSCM/AU-31/067/2014 279,969,668
2 PT ANTAR MITRA SEMBADA RSCM/AU-31/068/2014 48,152,340
3 PT BUETNA HAREUKAT RSCM/AU-31/069/2014 130,486,795
4 PT ENCEVALL PUTRA MEGATRADING RSCM/AU-31/070/2014 29,632,510
5 PT RAJAWALI NUSINDO RSCM/AU-31/071/2014 118,514,076
6 PT UNITED DICO CITAS RSCM/AU-31/072/2014 75,876,466
7 PT PENTA VALENT RSCM/AU-31/073/2014 164,142,043
8 PT MESARINDA ABADI RSCM/AU-31/074/2014 87,818,730
9 PT TIRTA MEDICAL INDONESIA RSCM/AU-31/075/2014 12,320,802
10 PT HEXALAB SUMATERA RSCM/AU-31/076/2013 10,322,548
11 PT HEXALAB SUMATERA RSCM/AU-31/011/2014 10,242,151
12 PT. SAPTA SARI TAMA RSCM/AU-31/012/2014 27,146,565
13 PT DOS NI ROHA RSCM/AU-31/013/2014 31,942,219
14 PT SAWAH BESAR FARMA RSCM/AU-31/014/2014 33,557,777
15 KOPKAR MON MADU RSCM/AU-31/015/2014 11,434,500
JUMLAH SELURUHNYA 1,071,559,189
Diminta oleh : RSCM

Plh. Kepala
dr. Cut Diah AK

Assur. Operasional & Pelayanan
DAFTAR PESANAN OBAT - OBATAN
Periode Mei 2014

Kepada : PT Anugrah Argon Medica 1
No. U R A I A N Banyaknya Keterangan
Prod. Actavis
1 Alpentin 300 mg Cap 50's 15 Box
2 Cloramex Inj 10's 5 Box
3 Stesolid Inj 5's SP OKT 2 Box
4 Stesolid 2mg Tab 100's SP OKT 2 Box
5 Stesolid Syr SP OKT 6 Fls
Prod. BSN
6 Leukoplast 4.5 X 2.5 BSN 22 Roll
7 Leukoplast 4.5 X 5 BSN 20 Roll
8 Leukoplast 4.5 X 7.5 BSN 20 Roll
9 Hypafix 5 x 15 20 Roll
10 Leucocrep 3 Inc 6 Roll
11 Leucocrep 4 Inc 12 Roll
12 Masker Tali 50's 15 Box
Prod. Dexa Medica

13 Anvomer B6 Tab 60's 2 Box
14 Azomax 500 mg Tab 10's 15 Box
15 Canderin 8 mg Tab 30's 5 Box
16 Recofol Inj 5's 4 Box
17 Rhinos SR 50's 5 Box
18 Sistenol Tab 60's 5 Box
19 Trolip 300 mg Kaps 30's 2 Box
20 Vectrin Syr 17 Fls
21 Tramus Injeksi 10 Amp
Prod. Ferron
22 Ketricin Orabase 15 Tube
Prod. Merck
23 Concor 2,5 mg Tab 100's 5 Box
24 Concor 5 mg Tab 100's 5 Box
25 Glucopage 500 mg Tab 100's 10 Box
Prod. Novo Nordisk

25 Levemir Flexpen 5's 5 Box
26 Novomix Flexpen 5 's 5 Box
27 Novorapid Flexpen 5's 15 Box
Prod. OGB Dexa Medica

28 Acyclovir 400 mg Tab 50's 5 Box
29 Alprazolam 0.5 mg Tab 100SP OKT 60 Box
30 Amlodipin 5 mg Tab 50's 40 Box
31 Amoxicillin 500 mg Tab 100's 10 Box
32 Asam Mefenamat 500 mg Tab 100's 50 Box
33 Bisoprolol 5 mg Tab100's 25 Box
34 Cefadroxil 500 mg Kaps 50's 25 Box
35 Ceftriaxon Inj 10's 15 Box
36 Clindamicin 300 mg Kaps 50's 10 Box
37 Clopidogrel 75 mg Tab 30's 50 Box
38 Cefotaxim Inj 500 Vial
Dipindahkan
Kepada : PT Anugrah Argon Medica 2
Pemindahan
39 Dexametason Inj 100's 2 Box
40 Domperidon 10 mg Tab 100's 40 Box
41 Domperidon Syr 50 Fls
42 Gliquidon 30 mg Tab 100's 1 Box
43 Glucodex Tab 25 Box
44 Ketokonazole Cream 2% 10 gr 24's 4 Box
45 Levofloxacin 500 mg Tab 30's 15 Box
46 Levofloxacin Infus 100 ml 10 Fls
47 Meloxicam 15 mg Tab 30's 70 Box
48 Meropenem Inj 1's 100 Box
49 Mertigo Tab 100's 10 Box
50 Methylprednisolon 125 mg Inj 30 Vial
51 Methylprednisolon 4 mg Tab 100's 40 Box
52 Omeprazol Inj 1's 100 Box
53 Propanolol 10mg Tab 100's 5 Box
54 PTU tab 100's 5 Box
55 Ranitidin Inj 25's 84 Box
56 Rifampicin 450 mg Tab 100's 5 Box
57 Risperidon 2 mg 30's Tab 2 Box
58 Simvastatin 10 mg Tab 30's 100 Box
59 Valsartan 80 mg Tab 28's 10 Box
Prod. Pfizer
60 Caduet 10/20 mg Tab 30's 7 Box
61 Caduet 5/20 mg Tab 30's 7 Box
62 Celebrex Tab 100 mg 30's 110 Box
63 Lipitor 10 mg Tab / 30's 80 Box
64 Lipitor 20 mg Tab/ 30's 120 Box
65 Lyrica 75mg Tab 14's 30 Box
Prod. GSK
66 Avodart Tab 30's 7 Box
Periode Mei 2014

Kepada : PT Antar Mitra Sembada
Prod. Novell OGB.

1 Cefadroxil Syr 70 Fls
2 Cefixim 100 mg 50's 10 Box
3 Cefixim 200 mg 50's 10 Box
4 Cefixim Syr 30 ml 100 Fls
5 Lansoprazol Cap 20's 150 Box
6 Omeprazol Cap 30's 150 Box
7 Ondancentron 4 mg 12's 30 Box
Prod. Pharos
8 Albothyl Conc 5 Btl
Prod. Pyridam
9 Epsonal 50 mg 100's 3 Box
10 Fuson Cream 5 gr 20 Tube
11 Neotibi 500 mg Tab 100's 10 Box
12 Osteor Cream 30 gr 30 Tube
13 Osteor Tab 30's 70 Box
14 Pantoz Inj 1's 35 Vial
15 Pyderma Cream 10 gr 15 Tube
16 Siberid 5 mg Tab 30's 5 Box
17 Takana Sirup 60 ml 200 Fls
18 Taxfor Inj 40 Vial
Prod. Galenium
19 Laxadin Syr 60 ml 15 Fls
Prod. Novell
20 Ceterizine Tab 50's 30 Box
21 Miloz Injeksi 10's 2 Box
22 Ranivell Syr 60 ml 5 Fls
Periode Mei 2014

Kepada : PT Buetna Hareukat 1
Alkes
1 Alkohol 96 % 4 Jrg
2 Thrombopob Gel 20 gr 20 Tube
Prod. Bio Farma

3 ATS 1500 IU Inj 5 Box
Prod. Combi
4 OBH Combi Syr 330 Btl
Generik
5 Allupurinol 300 mg Tab 100's 45 Box
6 Alupurinol 100 mg Tab 100's 10 Box
7 Amytriptilin 25 mg Tab 100's 1 Box
8 Asam Traneksamat 500 mg Inj 10's 5 Box
9 Atropin Hcl Inj 100's 1 Box
10 Batugin Elixir 300ml 20 Fls
11 Buscopan Inj 10's 1 Box
12 Calcium Lactat 1 Tin
13 Captropil 12.5mg Tab 100's 40 Box
14 Captropil 25mg Tab 100's 10 Box
15 Chloramfenicol 250 mg Kaps 1000's 3 Tin
16 Chloroquin Tab 1000's 1 Tin
17 Cortison Inj 10's 2 Box
18 Dexametason Inj 100's 3 Box
19 Digoxin 0,25 mg Tab 100's 2 Box
20 Enkapirin Tab 250's 1 Btl
21 Epinefrin Inj 100's 1 Box
22 Erythromycin 250 mg Kaps 100's 10 Box
23 Erythromycin 500 mg Kaps 100's 15 Box
24 Erytromycin Syrup 80 Fls
25 Ethyl Chlorid Spray 2 Fls
26 Furosemide 10 mg Inj 25's 10 Box
27 Furosemide 40 mg Tab 100's 30 Box
28 GG Tab 1 Tin
29 Glibenklamide 5mg Tab 2 Box
30 Glimepiride 4mg Tab 5 Box
31 Haemocain Ointment 8 Tube
32 Ichtiol Salep 15 Pot
33 INH 100 mg Tab 1 Tin
34 INH 300 mg Tab 100's 1 Box
35 Insto TM 22 Fls
36 Itraconazol Tab 20's 2 Box
37 Kejibling Cap 6 Box
38 Mebo Cream 20 gr 3 Tube
39 Moloco B 12 100's 2 Box
40 Natrium Bicarbonat 3 Tin
41 Obimin AF Tab 30's 2 Box
42 Oralit 1 Box
43 Pempers Ukuran L 3 Pak
44 Pempers Ukuran M 3 Pak
45 Pempers Ukuran XL 3 Pak
Dipindahkan
Pemindahan
46 Piroxicam 20mg Tab 100's 10 Box
47 PK 30 Pot
48 Pyrantel 125 mg Tab 100's 2 Box
50 Sulfas Ferosus Tab 1000's 1 Tin
51 Tramadol Injeksi 10 Box
52 Trihexyphenidil 2 mg Tab 100's 2 Box
53 Vitamin B Complex Tab 1000's 2 Tin
54 Vitamin B1 Tab 3 Tin
55 Vitamin C Tab 1000's 4 Tin
56 Vitamin K Inj 100's 1 Box
Prod. Kimia Farma

57 Bedak Salicil 74 Sach
58 Enkasari Syr 120 ml 10 Btl
59 Scabicid Cream 5 gr 46 Tube
Prod. Mahakam
60 Betadin Ointment 5 gr 5 Tube
Prod. Meiji
61 FG Troches Tab 300's 3 Box
62 Meiact Tab 20's 5 Box
63 Fosmicin 1gr Inj 10's 10 Box
64 Fosmicin 2gr Inj 10's 10 Box
65 Procain Penicillin Inj 100 Vial
Prod. Merck
66 Neurobion 5000 mg Inj 10's 9 Box
67 Sangobion Kaps 250's 2 Box
Prod. Pharos
68 Nebacetin Oint 10 gr 10 Tube
69 Nebacetin powder 5 Btl
Prod. Darya Varya

70 Burnazin Cream 30 gr 5 Tube
71 Burnazin Cream 500 gr 2 Pot
Prod. Sanbe
72 Amoxan 500 mg kapsul 100's 1 Box
73 Biosanbe Cap 100's 5 Box
74 Proxime Tab 30's 10 Box
75 Sanmol 500 mg Tab 100's 2 Box
76 Tricodazol 500 mg Tab 100's 1 Box
78 Sanmol Infus 10 Fls
Prod. Prafa
79 Paradryl Inj 10's 4 Box
80 Paramidon Inj 10's 3 Box
Prod. Merck
81 Illiadin 0.025% 10 Fls
82 Illiadin 0.05% 5 Fls
Dipindahkan
Pemindahan
Prod. Boehringer
83 Dulcolax Supp 10's 1 Box
Prod. Widatra OGB

84 Glucose 10% Infus 500 ml 40 Fls
85 Glucose 5% Infus 500 ml 100 Fls
86 Kaen 3B 100 Fls
87 Kidmin Infus 3 Fls
88 NaCl 0.9% Infus 500 ml 400 Fls
89 RL Infus 500 ml 2,900 Fls
90 Wida Hest Infus 50 Fls
Prod. GSK
91 Ventolin Inhaler 20 Fls
92 Ventolin Nebule 20's 23 Box
Prod. Transfarma
93 Prostigmin Inj 5's 10 Box
Prod. Otsuka
94 Aqua 1 Ltr 100 Fls
95 Ashering 500 ml Infus 400 Box
96 Mucosta 100 mg 100's 15 Box
97 Otsu NaCl 0,9%100 ml 100 Fls
94 Otsu water injeksi 25ml 400 Fls
95 Pletaal 100 mg 100's 5 Box
96 Proten Susu 10's 3 Box
Periode Mei 2014

Kepada : PT Encevall Putra Megatrading
Prod. Kalbe Farma
1 Angioten 50 mg 30's 7 Box
2 Bioplacenton Jelly 60 Tube
3 Car - Q 30'S 7 Box
4 Irvask 150 mg Tab 30's 15 Box
5 Lancid 30 mg Cap 20's 20 Box
6 Serlof Tab 30's 5 Box
7 Truvaz 20 mg Tab 30's 10 Box
8 Urdahex Kaps 30's 7 Box
9 Vitazym Tab 100's 22 Box
10 Zofredal 2 mg Tab 30's 4 Box
11 Pranza Injeksi 20 Vial
12 Kalxetin 10mg Tab 30's 3 Box
13 Vomitas Tab 30's 5 Box
14 Zypraz 0.5mg Tab 2 Box
Prod. Hexapram Jaya

15 Glucosamin Tab 30's 10 Box
16 Meloxicam Supp 10's 5 Box
Periode Mei 2014

Kepada : PT Mensa Bina Sukses 1
Prod. Actavis
1 Alpentin 100 mg 50's 7 Box
2 Golmun Syr 60 ml 30 Fls
Prod. Interbat
3 Colme TT 50 Fls
4 Interhistin 50 mg Tab 100's 20 Box
5 Pamol Drops 5 Btl
6 Urinter Tab 100's 2 Box
Prod. Landson
7 Irbesartan 150 mg Tab 30's 50 Box
8 Isosorbid Dinitrat 100's 10 Box
Prod. Molex Ayus

9 Alpara Syr 100 Fls
10 Alphamol 600 mg 150's 20 Box
11 Alphamol Syr 60 ml 600 Fls
12 Bevalex Cream 5 gr 212 Tube
13 Dextral Syr 60 ml 220 Fls
14 Dextral Tab 150's 12 Box
15 Dicloflam 25mg Tab 60 Box
16 Dicloflam 50/ 50's 50 Box
17 Gentalex Cream 5 gr 150 Tube
18 Infantrim Forte Tab 10 Box
19 Infatrim 480 mg Tab 35 Box
20 Infatrim Syr 60 ml 200 Btl
21 Klorfeson Cream 5 gr 30 Tube
22 Lexacorton Cream 5 gr 50 Tube
23 Lexacrol Syr 190 ml 410 Fls
24 Lexacrol Tab 150's 15 Box
25 Lexadium Tab 60's 25 Box
26 Lexagin 500 mg Tab 100's 5 Box
27 Lexapram Syrup 20 Fls
28 Lexapram Tab 10 mg 100's 10 Box
29 Lexavit Tab 100's 15 box
30 Lexavon Syrup 230 Fls
31 Lexavon Tab 100's 12 Box
32 Mofulex Cream 5 gr 60 Tube
33 Molacort 0.5mg Tab 100's 30 Box
34 Moladerm Cream 10 gr 236 Tube
35 Molagit Tab 100's 20 Box
36 Molakrim 30 gr 600 Tube
37 Molaneuron Tab 50's 45 Box
38 Molapect Syrup 60 ml 15 mg / 5 ml 520 Fls
39 Molapect Tab 100's 15 Box
40 Molasic Tab 100's 40 Box
41 Molazol Tab 100's 20 Box
42 Molexdryl Syr 60 ml 450 Fls
43 Molexflu Syrup 50 Fls
44 Molexflu Tab 150's 34 Box
45 Neokaominal Syr 60 ml 70 Fls
Dipindahkan
Kepada : PT Mensa Bina Sukses 2
Pemindahan
46 Pritacort Tab 150's 25 Box
47 Pritamox 500 mg 100's 25 Box
48 Pritamox Syr 60 ml 150 Btl
49 Pritanol 100 mg 100's 20 Box
50 Pritasma 4mg Tab 100's 20 Box
51 Pritavit Tab 100's 20 Box
52 Thiamfilex Syr 60 ml 80 Fls
53 Thiamfilex Tab 100's 30 Box
54 Vical Syr 60 ml 200 Fls
55 Vitalex Tab 100's 10 Box
Prod. Otto
56 Asabium 10 mg Tab 100's 1 Box
57 Calcidin Tab 100's 5 Box
58 Cebex Tab 100's 30 Box
59 Folac Tab 100's 5 Box
60 Gerdilium Syr 60 ml 150 Fls
61 Hexadol mint Gargle 30 Btl
62 Letonal 100mg Tab 100's 5 Box
63 Letonal 25 mg Tab 100's 7 Box
64 Lexacort Tab 100's 20 Box
65 Opineuron 500 mg Tab 100SP OKT 10 Box
66 Opizolam 0.5 mg 50's SP OKT 4 Box
67 Ostarin 400 mg Tab 100's 30 Box
68 Ostarin Syr 60 ml 150 Fls
69 Piralen Inj 5's 15 Box
70 Renvoll Emulgel 20 gr 200 Tube
71 Rihest Syr 60 ml 15 Fls
72 Rihest Tab 100's 15 Box
73 Trifedrin Syr 60 ml 70 Fls
74 Trifedrin Tab 30's 85 Box
75 Vical Syrup 200 Fls
Periode Mei 2014

Kepada : PT Rajawali Nusindo 1
Prod. Combiphar
1 Neo K Inj 5's 10 Box
Prod. Ethica
1 Efedrin HCL Inj 10's 1 Box
2 Neuropil 5000 Inj 10's 10 Box
2 Pitogin Inj 10's 10 Box
3 Vulamox Syr 50 Btl
Prod. Futamed
4 Afamed 30's 10 Box
5 Fudanton 4 mg Tab 30's 10 Box
6 Fudo 10 mg Tab 30's 10 Box
7 Fulopin 10 mg Tab 30's 10 Box
9 Fumethyl 4 mg Tab 30's 10 Box
10 Futalin Tab 20's 15 Box
11 Futamel 15 mg Tab 30's 10 Box
12 Rybest 10 mg Tab 20's 15 Box
Prod Fresenius Kabi

13 Ketosteril Tab 100's 5 Box
Prod. GSK
14 Zyloric 300 mg Kaps 30's 20 Box
Prod. GMP
15 Reco Eye Drops 20 Fls
Prod. Jansen
16 Ultracet 30's 7 Box
Prod. Soho
17 Atsma Soho 1000's 1 Tin
18 Belamox 500 mg 15's 40 Box
19 Curcuma Blister 100's 40 Box
Prod. Phapros
20 Antasida Doen Syr 220 Fls
21 Antasida Doen Tab 2 Tin
22 Betametason Cream 24 Tube
23 Paracetamol Syr 60 ml 400 Btl
24 Thiamfenicol 500 mg 100's 3 Box
25 Paracetamol Tab 100's 65 Box
Prod. UAP
26 Aspilet 80 mg 100's 8 Box
Dipindahkan
Pemindahan
Prod. Sanofi
27 Amaryl 2 mg Tab 30's 10 Box
28 Amaryl 3 mg Tab 30's 8 Box
29 Amaryl M2 Tab 30's 12 Box
30 Aprovel Tab 150 mg 30's 7 Box
31 Aprovel Tab 300 mg 30's 7 Box
32 Cardace 2.5 mg Tab 60's 5 Box
33 Nasacort Spray 10 Fls
34 Plavix 75 mg Tab 28's 15 Box
35 Triatec 10 mg Tab 30's 15 Box
Prod. MSD
35 Arcoxia Tab 60 mg 30's 10 Box
Prod. Novartis
36 Co Diovan 160/12.5 Tab 30's 7 Box
37 Tegretol Syrup 120ml 5 Fls
Prod. Servier
38 Diamicron MR Tab 60 mg 30's 50 Box
39 Trizedon MR Tab 60's 20 Box
Prod. Fahrenheit
40 Farmasal Tab 100's 2 Box
41 Recolfar Tab 30's 5 Box
42 Renagas Tab 50's 5 Box
Prod. Astelass
42 Harnal Ocas Tab 30's 10 Box
Prod. Sandoz
43 Olandoz 10 mg Tab 30's 4 Box
Prod. MLM
44 Diamelon Tab 60's 3 Btl
Prod. Merk
45 KSR 600mg Tab 1 Box
46 Xylocain Gell 2 Pcs
Prod. Darya Varia

47 Ozid Injeksi 70 Box
48 Salofalk 500mg Tab 100's 2 Box
Prod. Yarindo
49 Atorvastatin 20mg Tab 30 Box
50 Yariflam 50mg Tab 10 Box

Periode Mei 2014

Kepada : PT United Dico Citas
Prod. Bernofarm
1 Anafen Syrup 200 Fls
2 Bersol 15 gr Cream 50 Tube
3 Berthyco 500 mg Kaps 100's 20 Box
4 Bralin 500 mg Tab 30's 20 Box
5 Bucain Inj 5's 5 Box
6 Glucoryl 2 mg Tab 30's 15 Box
9 Kliran 4 mg Inj 5's 100 Box
10 Lovask 10 mg Tab 30's 30 Box
11 Lovask 5 mg Tab 30's 50 Box
12 Macef Inj 30 Fls
13 Motaderm Cream 20 Tube
14 Paramol Infus 100 Fls
15 Tocef Tab 10's 15 Box
16 Trolac 30 mg Inj 5's 100 Box
17 Trolac Tab 10's 20 Box
Prod. Takeda
18 Alinamin F injeksi 5's 8 Box
19 Alinamin F Tab 100's 3 Box
20 Boraginol N Salep 10 Tube
21 Boraginol N Supp 10's 6 Box
22 Nonflamin Tab 60's 15 Box
Periode Mei 2014

Kepada : PT Penta Valent
Prod. Cendo
1 Cendo Asthenof 0,6 ml @5's minidose 5 Strip
2 Cendo Berry Tab 30's 5 Box
3 Cendo Cenfresh 0,6 ml @ 5's minidose 10 Strip
4 Cendo Conver 0,6 ml @ 5's minidose 10 Strip
5 Cendo Eyefreesh mild 0,6 ml @ 5's minidose 15 Strip
6 Cendo Fenicol 0,25 % 6 ml @ 5's minidose 15 Strip
7 Cendo Fenicol eye ointment 3,5 gr 50 Tube
8 Cendo Genta 0,3 % 6 ml @ 5's minidose 65 Strip
9 Cendo Genta0,3 % 3,5 gr ointment 30 Tube
10 Cendo Glaopen 0,6 ml @5's minidose 10 Strip
11 Cendo Lentikular 0,6 ml @ 5's minidose 5 Strip
12 Cendo LFX 0,6 ml @ 5's minidose 10 Strip
13 Cendo Lubricent 0,6 ml @ 5's minidose 5 Strip
14 Cendo Lyteers 0,6 ml @ 5's minidose 65 Strip
15 Cendo Pantocain 0,6 ml @ 5's minidose 15 Strip
16 Cendo Polydex 0,6 ml @ 5's minidose 20 Strip
17 Cendo Possop 0,6 ml @ 5's minidose 30 Strip
18 Cendo Protogenta 0,6 ml @ 5's minidose 10 Strip
19 Cendo Tonor 0,25 % 0,6 ml @ 5's minidose 10 Strip
20 Cendo Ulcori 0,6 ml @ 5'S minidose 5 Strip
21 Cendo Vital Tab 30's 5 Box
22 Cendo Xitrol 0,6 ml @ 5's minidose 35 Strip
Prod. Gracia
23 Bevita Syr 120 ml 164 Fls
24 Diuvar Inj 5's 35 Box
25 Estin Drops 10 ml 5 Btl
26 Granem Injeksi 100 Vial
27 Propepsa Syr 190 ml 400 Btl
28 Tranec 250 mg Inj 10's 10 Box
29 Tranec 500 mg Tab 50's 7 Box
30 Voxin 500 mg 20's 10 Box
Prod. Guardian
31 Evothyl 300mg Cap 10 Box
32 Forasma Syrup 10 Fls
Prod. Lapi
33 Cal 95 Tab 100's 5 Box
34 Ciflon Tabb 30's 25 Box
35 Cravox Tab 10's 10 Box
36 Hepatin Tab 30's 50 Box
37 Lapixim 1gr Injeksi 15 Vial
38 Lasal Exp Syr 100 Btl
39 Lasal Syr 50 Btl
40 L-Bio Sachet 30's 50 Box
41 L-Zink 100 ml Syr 30 Fls
42 Topazol Injeksi 10 Fls
Dipindahkan
Kepada : PT Penta Valent
Pemindahan
Prod. Mepro
43 Myotonic Inj 10's 10 Box
44 Myotonic Tab 100's 3 Box
45 Norages Inj 5's 62 Box
46 Proceles Syr 60 ml 50 Fls
47 Biocombion 5000mg Injeksi 10 Box
48 Suprafenid Supp 10's 6 Box
49 Proneuron Kaplet 200's SP OKT 5 Box
Prod. Promed Raharjo

50 Minosil Handrub 5 Ltr 2 Gal
DAFTAR PESANAN ALAT KESEHATAN
Periode Mei 2014
Kepada : PT Mesarinda Abadi
Alkes
1 Folly Chateter No. 16 Cab 2 5 Pcs
5 Gunting Operasi 1 Bh
6 I.V. Catheter 18 TRM 5 Box
10 Infuset Dewasa 10 Box
11 Infuset Paed 3 Box
12 Kapas 250 gr 2 Roll
13 Kasa Steril 16 x 16 Swallow 100 Pcs
14 Kassa Lucky 3 Roll
15 Manset Tensi 1 Bh
16 Nald 23 100's 500 Pcs
17 Nald Hecting 6036 G/R 10 12 Pcs
20 Nasal Canula Anak 10 Pcs
21 Nasal Canula Dewasa 15 Pcs
22 Postofix 10 X 25 1 Box
23 Regulator Oxygen 5 Pcs
24 Spuit 1 cc TRM 2 Box
25 Spuit 100 cc Onemed 10 Pcs
26 Spuit 10cc 10 Box
29 Transfusi Set Terumo 2 Box
30 Verban Gulung 15 cm 165 Roll
Prod. Easy Touch

31 Easy Touch Cholesterol 60 Btl
32 Easy Touch Glucose 64 Btl
33 Easy Touch Uric Acid 44 Btl

Periode Mei 2014
Kepada : PT Tirta Medical Indonesia
Alkes
1 Elektroda Cream 1 Tube
2 Iodin Povidon 60ml 50 Btl
3 K Y Jelly 10 Tube
4 Kapas 100gr 10 Roll
5 Lomatule Lbr 10's 5 Box
6 NGT 12 2 Pcs
7 NGT 14 5 Pcs
8 NGT 16 5 Pcs
9 NGT 18 20 Pcs
10 NGT 5 5 Pcs
11 Pensil Couter 1 Bh
12 Postofix 10 x 25 2 Box
13 Surgipro Steril Gloves No.6 2 Box
14 Surgipro Steril Gloves No.6.5 7 Box
15 Surgipro Steril Gloves No.7 15 Box
16 Surgipro Steril Gloves No.7,5 10 Box
17 Tegaderm PM 1623 1 Box
18 Tegaderm PM 1624 1 Box
19 Termometer Ruangan 2 Bh
20 Umbilical Cord Calm 1 Box
21 Urine Bag 50 Pcs

Periode Mei 2014

Kepada : PT Hexalab Sumatera
Alkes
1 Assucryl 1 REF 43437 12 Pcs
4 Assucryl 3/0 REF 4564 12 Pcs
5 Assucryl 4/0 REF 4233 12 Pcs
6 Cut Gut Plain 2/0 1 Roll
7 Cut Gut Plain 3/0 1 Roll
8 Polypropelene 3/0 REF 9244 1 Lsn
Periode Mei 2014

Prod. Futamed
1 Afamed 30's 10 Box
2 Fudanton 4 mg Tab 30's 10 Box
3 Fudo 10 mg Tab 30's 10 Box
6 Fumethyl 4 mg Tab 30's 10 Box
7 Futalin Tab 20's 15 Box
8 Futamel 15 mg Tab 30's 10 Box
9 Rybest 10 mg Tab 20's 15 Box
Periode Mei 2014

Kepada : PT Dos Ni Roha 1
Prod. Bernofarm
1 Amoxicillin 125 mg Syr 60ml 300 Fls
2 Amoxicillin 500 mg Tab 100's 10 Box
3 Ciprofloxacin 500mg Tab .100's 50 Box
4 Imipenem Inj 100 Vial
5 Metformin 500mg Tab 100's 30 Box
6 Metronidazol Infus 150 Box
7 Ranitidin 150mg Tab 100's 40 Box
Periode Mei 2014

Kepada : PT Sapta Sari Tama SP Tambahan
Prod. Galenium
1 Haemocain ointment 15 gr 8 Tube
Prod. Mahakam
2 Betadine Gargle 100 cc 45 Btl
Prod. Novartis
3 Voltaren Gel 20 gr 70 Tube
Prod. PT Holi Pharma
4 Allopurinol 100 mg Tab 100's 23 Box
5 Chloramphenicol 250 mg Kaps 1000's 3 Tin
6 Cotrimoksazole 480 kaplet 100's 35 Box
7 Cotrimoksazole suspensi 60 ml 50 Fls
8 Ibuprofen 400 mg Tablet 100's 30 Box
Prod. PT Aditama Raya

9 Adidryl injeksi 40 Vial
10 Adimidon injeksi 30 Vial
11 Antalgin Tablet 100's 5 Box
12 Vitamin B komplex 1000's 1 Tin
Prod. Tropica
13 OBH Tropica menthol (Btl Gelas) 100 ml 150 Fls

Periode Mei 2014
Kepada : PT Sawah Besar Farma SP Tambahan

Prod. Actavis
1 Chloramex Injeksi 10's 3 Box
Prod. Indofarma OGB

2 Hydrocortison Krim 60 Tube
3 Amytriptilin 25mg Tab 100's 1 Box
Prod. Pyridam
4 Siberid 5mg Tab 30's 5 Box
5 Zarom 250mg 30's 25 Box
Prod. Zambon
6 Flumucyl Syr 5 Fls
Langsa, Mei 2014

Disetujui Oleh, Diminta Oleh,
PT Cut Meutia Medika Nusantara Apoteker,
Hj. Lidya Bidasari S, SE. Sri Wahyuningsih, S.Farm, Apt.

Ka. Bag. Administrasi 19820915/SIPA_11.74/2013/2003
Kepada : PT Anugrah Argon Medica -
Box 5 Acyclovir 400 mg / ktk 100 62,784 313,918
Box 5 Albapure 20% 100 ml 1's 1,540,000 7,700,000
Box 5 Albuminar 25% 100 ml 1's 2,035,000 10,175,000
Box 5 Alpentin 300 mg Cap 50's 346,500 1,732,500
Box 60 Alprazolam 0.5 mg Tab 100's 73,810 4,428,600
Box 40 Amlodipin 5 mg Tab 50's 52,800 2,111,982
Box 10 Amoxycillin 500 mg 44,400 444,004
Box 50 Asam Mefenamat 500mg Tab 100's 23,958 1,197,900
Box 10 Avodart Tab 30's 270,001 2,700,005
Box 15 Azomax 500 mg Tab 10's 313,500 4,702,500
Box 35 Bisoprolol Fumarate 5 mg 100's 76,615 2,681,525
Box 7 Caduet 5/20 mg Tab 30's 481,261 3,368,827
Box 7 Canderin 8 mg Tab 30's 165,000 1,155,000
Box 30 Cefadroxil 500 mg 100's 92,400 2,772,013
Box 70 Cefotaxime Injeksi 10's 83,160 5,821,200
Box 15 Ceftriaxone Injeksi 10's 103,131 1,546,958
Box 110 Celebrex Tab 100 mg 30's 227,391 25,012,999
Box 60 Clopidogrel Tab 75 mg 30's 326,700 19,602,000
Box 5 Concor 2,5 mg Tab 100's 540,100 2,700,500
Box 5 Concor 5 mg Tab 100's 782,100 3,910,500
Box 2 Dexamethason 5 mg / ml Inj 100's 240,240 480,480
Box 50 Domperidon 10 mg Tab 100's 44,398 2,219,910
Btl 50 Domperidone 5 mg / 5 ml Susp 15,180 759,000
Box 5 Glucobay 100 mg 50's 220,000 1,100,000
Box 5 Glucopage 500 mg Tab 100's 112,035 560,175
Box 4 Ketokonazole Cream 2% 10 gr 12's 92,400 369,600
Tube 15 Ketricin Orabase 0,1 % @5 gr 40,700 610,500
Roll 6 Leukokrepe 3" 61,470 368,821
Roll 12 Leukokrepe 4" 72,842 874,104
Roll 6 Leukokrepe 6" 93,654 561,924
Roll 22 Leukoplast 4.5 X 2.5 BSN 14,781 325,175
Roll 20 Leukoplast 4.5 X 5 BSN 28,380 567,600
Roll 20 Leukoplast 4.5 X 7.5 BSN 41,388 827,750
Box 5 Levemir Flexpen 5's 859,528 4,297,640
Box 15 Levofloxacin FC 500 mg 20's 25,381 380,721
Fls Levofloxacin Infus 100 ml 96,800 -
Box 60 Lipitor 10 mg Tab / 30's 505,353 30,321,192
Box 100 Lipitor 20 mg Tab/ 30's 505,353 50,535,320
Box 30 Lyrica 75 mg Cap 14's 167,603 5,028,078
Box 70 Meloxicam 15 mg Tab 30's 65,945 4,616,150
Box 10 Mertigo Tab 6 mg 100's 304,700 3,047,000
Box 50 Methylprednisolon 125 mg Inj 1's 39,023 1,951,125
Box 40 Methylprednisolon 4 mg Tab 100's 52,866 2,114,640
Box 5 Neulin PS Tab 30's 346,500 1,732,500
Box 5 Novomix Flexpen 5 's 800,415 4,002,075
Box 15 Novorapid Flexpen 5's 800,415 12,006,225
Box 150 Omeprazol 40 mg Inj 1's 82,280 12,342,000
Box 5 Propanolol 10mg Tab 100's 8,470 42,350
Box 5 PTU tab 100's 32,953 164,764
Box 40 Ranitidin 50 mg/2 ml Inj 25's 70,675 2,827,000
Box 2 Resperidone 2 mg 130,625 261,250
Box 5 Rhnos SR 50's 211,750 1,058,750
Box 50 Simvastatin 10 mg Tab 30's 16,929 846,450
Box 15 Stardec 3 Ply Surgical Mask Tie On 44,000 660,000
Box 5 Tramus 1% 5 ml 5's 390,500 1,952,500
Box 30 Vaclo Tab 30's 412,500 12,375,000
Box 10 Valsartan 80 mg Tab 28's 122,984 1,229,840
Btl 20 Vectrine Dry Syr 37,400 748,000
-
Kepada : PT Antar Mitra Sembada -
Btl 5 Albothyl 10ml 30,800 154,000
Btl 70 Cefadroxil DS 250 mg/5 ml 60 ml 16,500 1,155,000
Box 10 Cefixim 100 mg 50's 119,730 1,197,295
Box 30 Ceterizine Tab 50's 15,675 470,250
Tube 10 Ecolon 10 gr 31,000 310,000
Box 150 Lansoprazol 30 mg 20's 27,027 4,054,050
Fls 15 Laxadin Syr 60ml 31,900 478,500
Box 20 Loratadine 10 mg 16,654 333,080
Box 10 Neotibi 500 mg Tab 100's 132,000 1,320,000
Box 20 Neuraxon 5000 mg Tab 100's 209,000 4,180,000
Tube 10 Niacef 15% 25,000 250,000
Box 30 Ondancentron 4 mg 12's 18,480 554,400
Tube 30 Osteor Cream 30 gr 107,800 3,234,000
Box 15 Osteor Tab 30's 181,500 2,722,500
Vial 35 Pantoz Inj 1's 121,000 4,235,000
Tube 15 Pyderma Cream 10 gr 22,000 330,000
Btl 5 Ranivel Syr 60 ml 46,750 233,750
Box 10 Taxfor 1g inj 126,500 1,265,000
Tube 10 Vitacid 0.5% 27,000 270,000
-
Kepada : PT Buetna Hareukat -
Box 45 Allupurinol 300 mg Tab 100's 28,175 1,267,875
Box 1 Amoxan 500 mg kapsul 100's 373,736 373,736
Box 5 Asam Traneksamat 500 mg Inj 10's 86,620 433,100
Box 1 Atropin Hcl Inj 100's 28,800 28,800
Fls 20 Batugin Elixir 300ml 27,500 550,000
Sach 100 Bedak Salicil 4,859 485,900
Tube 5 Betadin Ointment 5 gr 13,310 66,550
Box 2 Biosanbe Cap 100's 109,581 219,162
Pcs 50 Botol Tetes 12 ml 318 15,900
Box 1 Buscopan Inj 10's 287,530 287,530
Btl 70 Caladine Powder 60 gr 9,306 651,420
Tin 1 Calcium Lactat 65,000 65,000
Box 40 Captropil 12.5mg Tab 100's 11,600 464,000
Box 10 Captropil 25mg Tab 100's 22,000 220,000
Tin 3 Chloramfenicol 250 mg Kaps 1000's 198,000 594,000
Box 10 Citicolin Amp 165,000 1,650,000
Box 2 Cortison Inj 10's 238,820 477,640
Box 2 Digoxin 0,25 mg Tab 100's 15,715 31,430
Box 5 Dulcolax 10 mg 593,560 2,967,800
Box 1 Dulcolax Supp 10's 141,170 141,170
Box 2 Efedrin HCL Inj 10's 302,500 605,000
Btl 1 Enkapirin Tab 250's 25,000 25,000
Btl 10 Enkasari Syr 120 ml 14,578 145,780
Fls 80 Erytromycin Syrup 10,886 870,880
Box 10 Ethambutol 500 mg 100's 68,833 688,325
Box 10 Fosmicin 1gr Inj 10's 1,108,976 11,089,760
Box 5 Fosmicin 2gr Inj 10's 1,844,730 9,223,650
Box 10 Furosemide 10 mg Inj 25's 57,882 578,820
Box 30 Furosemide 40 mg Tab 100's 10,709 321,270
Tin 1 GG Tab 32,000 32,000
Box 2 Glibenklamide 5mg Tab 9,800 19,600
Box 5 Glimepiride 4mg Tab 117,270 586,350
Fls 100 Glucose 5% Infus 500 ml 6,948 694,760
Pot 15 Ichtiol Salep 5,933 88,995
Fls 10 Illiadin 0.025% 33,880 338,800
Fls 5 Illiadin 0.05% 39,926 199,630
Box 1 INH 300 mg Tab 100's 132,000 132,000
Fls 22 Insto TM 8,858 194,876
Fls 40 Kaen 3B 15,000 600,000
Box 6 Kejibling Cap 62,600 375,600
Fls 3 Kidmin Infus 78,000 234,000
Vial 2 KTM Inj 10 ml 193,600 387,200
Box 2 Lidocain 2% Inj 100's 121,199 242,398
Tube 3 Mebo Cream 20 gr 87,450 262,350
Box 15 Mucosta 100 mg 100's 547,200 8,208,000
Fls 200 NaCl 0.9% Infus 500 ml 7,900 1,580,000
Btl 200 OBH Combi Syr 12,936 2,587,200
Box 2 Obimin AF Tab 30's 38,400 76,800
Box 1 Oralit 47,400 47,400
Fls 100 Otsu NaCl 0,9%100 ml 13,487 1,348,700
Fls 400 Otsu water injeksi 25ml 2,640 1,056,000
Box 12 Piroxicam 10 mg / ktk 120 13,846 166,148
Box 10 Piroxicam 20mg Tab 100's 144,000 1,440,000
Pot 30 PK 5,390 161,700
Box 10 Pletaal 100 mg 100's 480,060 4,800,600
Vial 100 Procain Penicillin Inj 13,478 1,347,800
Box 3 Proten Susu 10's 43,000 129,000
Box 10 Proxime Tab 30's 39,180 391,800
Box 2 Pyrantel 125 mg Tab 100's 36,400 72,800
Box 2 Regumen tab 30's 114,265 228,529
Box 2 Rifampicin 300 mg Tab 100's 60,000 120,000
Fls 2,000 RL Infus 500 ml 6,006 12,012,000
Box 2 Sanmol 500 mg Tab 100's 30,200 60,400
Tube 46 Scabicid Cream 5 gr 8,417 387,182
Tin 1 Sulfas Ferosus Tab 1000's 23,000 23,000
Tube 20 Thrombopob Gel 20 gr 51,413 1,028,260
Box 10 Tramadol 50 mg 50's 17,710 177,100
Box 10 Tramadol Injeksi 96,000 960,000
Box 1 Tricodazol 500 mg Tab 100's 192,100 192,100
Box 2 Trihexyphenidil 2 mg Tab 100's 9,700 19,400
Fls 20 Ventolin Inhaler 158,813 3,176,250
Tin 4 Vitamin C Tab 1000's 22,000 88,000
Box 1 Vitamin K Inj 100's 195,400 195,400
Fls 50 Wida Hest Infus 157,500 7,875,000
-
Kepada : PT Encevall Putra Megatrading -
Box 7 Angioten 50mg Tab 30's 319,000 2,233,000
Tube 60 Bioplacenton Jelly 13,915 834,900
Box 3 Blopress 16 mg Tab. 14's 219,736 659,208
Box 3 Cedocard 5 mg Tab 60's 89,034 267,102
Box 15 Irvask 150mg Tab 30's 280,500 4,207,500
Box 3 Kalxetin 10mg Tab 30's 108,900 326,700
Box 5 Meloxicam Supp 10's 72,600 363,000
Box 7 Urdahex Kaps 30's 269,500 1,886,500
Box 2 Zofredal 2 mg Tab 30's 225,500 451,000
-
Kepada : PT Mensa Bina Sukses -
Fls 150 Alpara Syr 60 ml 9,350 1,402,500
Box 7 Alpentin 100 mg 187,000 1,309,000
Box 20 Alphamol 600 mg 150's 41,800 836,000
Btl 600 Alphamol Liquid 60 ml 7,040 4,224,000
Box 2 Asabium Tab 100's 154,000 308,000
Tube 212 Bevalex Cream 5 gr 8,525 1,807,300
Btl 50 Colme Ear Drops 20,900 1,045,000
Fls 150 Dextral Syr 60 ml 7,150 1,072,500
Box 12 Dextral tab 150's 50,600 607,200
Box 50 Diclofam 50 mg 24,200 1,210,000
Box 60 Dicloflam 25 mg 13,200 792,000
Box 5 Folac Tab 66,000 330,000
Tube 150 Gentalex Cream 5 gr 2,475 371,250
Btl 30 Hexadol Solution 120 ml 17,600 528,000
Box 5 Interhistin 50 mg Tab 100's 62,040 310,200
Box 20 Isosorbide Dinitrat 5 mg 100's 11,184 223,674
tube 30 Klorfeson cream 10 gr 7,150 214,500
Box 10 Letonal 25 mg 132,000 1,320,000
Box 20 Lexacort Tab 21,560 431,200
Btl 410 Lexacrol Forte Susp 190 ml 26,950 11,049,500
Box 15 Lexacrol Tab 150's 61,600 924,000
Box 25 Lexadium Tab 60's 33,000 825,000
Box 10 Lexagin 500 mg Tab 100's 19,800 198,000
btl 20 Lexapram syr 7,260 145,200
Box 10 Lexapram Tab 40,150 401,500
Box 15 Lexavit Tab 100's 52,800 792,000
Fls 60 Lexavon Syr 60 ml 6,050 363,000
Box 12 Lexavon Tab 100's 12,100 145,200
Tube 30 Mofulex Cream 5 gr 22,000 660,000
Box 30 Molacort 0,5 mg tab 100's 14,850 445,500
Tube 236 Moladerm Cream 10 mg 6,050 1,427,800
Box 20 Molagit 55,000 1,100,000
Tube 400 Molakrim 30 gr 10,450 4,180,000
Fls 520 Molapect Syrup 60 ml 15 mg / 5 ml 7,700 4,004,000
Box 15 Molapect Tab 100's 52,800 792,000
Box 50 Molasic Tab 100's 39,600 1,980,000
Box 20 Molazol 500mg Tab. Box 100's 34,100 682,000
Fls 450 Molexdryl Syr 60 ml 4,840 2,178,000
Box 34 Molexflu tab 150's 43,450 1,477,300
Btl 5 Pamol Oral Drops 15 ml 21,945 109,725
Box 15 Piralen inj 30,250 453,750
Box 25 Pritacort tab 150's 62,700 1,567,500
Box 25 Pritamox 500 mg 100's 121,000 3,025,000
Btl 150 Pritamox DS 125 mg / 5 ml 8,470 1,270,500
Box 20 Pritanol 100 mg 14,300 286,000
Box 20 Pritasma 4 mg 13,200 264,000
Box 20 Pritavit Tab 100's 110,000 2,200,000
Tube 200 Renvol Emulgel 20 gr 19,800 3,960,000
Box 15 Rihest kaplet 10 mg 385,000 5,775,000
Box 30 Thiamfilex 500 mg 121,000 3,630,000
Btl 80 Thiamfilex Syr 60 ml 7,150 572,000
Btl 200 Vical Susp 60 ml 6,380 1,276,000
Box 10 Vitalex Cap 100's 44,000 440,000
-
Kepada : PT Rajawali Nusindo -
Box 12 Amaryl 2 mg 50's 254,576 3,054,916
Box 5 Amaryl 3 mg 50's 335,910 1,679,552
Box 12 Amaryl M 2/500 mg 30's 335,910 4,030,924
Fls 220 Antasida Doen Syr 4,235 931,700
Box 2 Antasida Doen Tab 17,820 35,640
Box 7 Aprovel 150 mg Tab 339,826 2,378,784
Box 10 Arcoxia Tab 60 mg 30's 249,730 2,497,297
Box 2 Aspilet Tab 58,721 117,443
Fls 15 Berotec Inhaler 123,860 1,857,900
Box 24 Betametason Krim 0.1% / 25 51,315 1,231,560
Box 5 Cardace Tab 2.5 mg 60's 300,156 1,500,780
Box 10 Co Aprovel 600 mg 660,000 6,600,000
Box 7 Co Diovan 160 / 12.5 449,479 3,146,354
Box 20 Curcuma Blister 100's 72,600 1,452,000
Box 1 Ephedrin HCL Inj 302,500 302,500
Box 5 Farmasal Tab 100's 72,600 363,000
Box 15 Harnal Ocas Tab 30's 398,518 5,977,769
Box 5 Ketosteril Tab 100's 726,000 3,630,000
Btl 10 Nasaqort AQ 214,802 2,148,023
Box 10 Neo K 2 mg / ml 71,148 711,480
Box 4 Olandoz 964,310 3,857,238
Box 5 Pantozol 20mg cap 114,400 572,000
Box 65 Paracetamol 500mg Tab 100's 16,500 1,072,500
Box 400 Paracetamol Syr 60 ml 2,530 1,012,000
Box 10 Pitogin S Inj 72,188 721,875
Box 10 Plavix Tab 28's 761,606 7,616,059
Btl 20 Reco Ear Drop 6,050 121,000
Box 5 Recolfar Tab 145,200 726,000
Box 5 Renagas Tab 50's 38,000 190,000
Box 40 Sohobion Tab 110,000 4,400,000
Box 3 Thiamfenicol 500 mg 100's 69,900 209,700
Btl 50 Tribost Syr 41,580 2,079,000
Box 2 Trileptal Ect 600 mg 50's 839,344 1,678,688
Box 20 Zyloric Tab 300 mg 30's 152,714 3,054,282
-
Kepada : PT United Dico Citas -
Box 8 Alinamin injeksi 5's 74,863 598,902
Box 200 Anafen Syr 100 mg/5 ml 60 ml 16,500 3,300,000
Box 40 Benovit C Tab Salut Gula 100's 165,000 6,600,000
Tube 50 Bersol Cream 15g 44,000 2,200,000
Box 20 Berthyco Cap 500 mg 100's 198,000 3,960,000
Tube 10 Boraginol N Oint 15 gr 46,666 466,664
Box 10 Boraginol N Supp 10's 84,502 845,020
Box 20 Bralin 500 mg Tab 30's 346,500 6,930,000
Box 5 Bucain Injeksi 5's 302,500 1,512,500
Box 15 Glucoryl Tab 2 mg 30's 99,000 1,485,000
Box 20 Klinset Tab 30's 132,000 2,640,000
Box 100 Kliran 4mg Inj 5's 145,750 14,575,000
Box 15 Lovask 10mg Tab 30's 280,500 4,207,500
Fls 15 Macef Inj 275,000 4,125,000
Box 20 Motaderm Krim 10 gr 63,250 1,265,000
Btl 100 Nomesis Susp 5 mg/5 ml 60 ml 34,100 3,410,000
Btl 50 Paramol Infus 1 gr 100 ml 1's 57,750 2,887,500
Box 15 Tocef Tab 10's 264,000 3,960,000
Box 15 Trolac 30mg Inj 5's 165,000 2,475,000
Box 165,000 -
Kepada : PT Penta Valent -

Fls 164 Bevita Syrup 120ml 33,000 5,412,000
Box 10 Biocombin 5000 Inj 10's 55,000 550,000
Box 5 Cal-95 Kapl Salut Selaput 30's 105,600 528,000
Box 5 Cendo Berry Tab 30's 103,950 519,750
Fls 20 Cendo Catharlen 0,6 ml @ 5's minidose 22,000 440,000
Strip 10 Cendo Conver 2% 0.6ml minidose 17,738 177,375
Strip 15 Cendo Eyefresh 0.6ml mds 33,688 505,313
Strip 15 Cendo Fenicol 0,25 % 6 ml @ 5's minidos 18,425 276,375
tube 50 Cendo Fenicol Eye Oinment 3,5 gr 24,063 1,203,125
Strip 65 Cendo Genta 0,3 % 6 ml @ 5's minidose 17,463 1,135,063
Tube 30 Cendo Genta Eye Oinment 3.5g 40,013 1,200,375
Strip 5 Cendo Lentikular 0,6 ml @ 5's minidose 33,138 165,688
Strip 10 Cendo LFX 0,6 ml @ 5's minidose 63,250 632,500
Strip 5 Cendo Lubricent 0,6 ml @ 5's minidose 44,550 222,750
Strip 45 Cendo Lyteers 0,6 ml @ 5's minidose 21,175 952,875
Strip 5 Cendo Polydex 0,6 ml @ 5's minidose 29,150 145,750
Box 5 Cendo Vital Tab 30's 99,000 495,000
Box 10 Ciflon Kapl 30's 165,000 1,650,000
Btl 5 Estin Drops 10 ml 44,000 220,000
Box 5 Estin Tab 20's 66,000 330,000
Fls 50 Ezygard Syrup 48,500 2,425,000
Box 50 Ezygard Tab 30's 156,000 7,800,000
Fls 150 Fenatic Syrup 15,000 2,250,000
Box 10 Fenatic Tab 100's 250,000 2,500,000
Btl 300 Gastrinal Susp 120 ml 24,200 7,260,000
Box 10 Gratamin Tab 30's 60,500 605,000
Box 30 Lagas Cap 30's 225,000 6,750,000
Btl 100 Lagesil Susp 170 ml 30,250 3,025,000
Box 2 Lapibal Injeksi 250mg 99,000 198,000
Box 35 L-Bio Sachet 30's 128,700 4,504,500
Box 20 Loremide 2mg 100's 99,000 1,980,000
Tube 20 Lusanoc Cream 10 gr 16,500 330,000
Btl 30 L-Zink Syr 100 ml 30,250 907,500
Box 5 Myotonic Inj 10's 82,500 412,500
Box 62 Norages Injeksi 5's 42,350 2,625,700
Fls 150 Profat Syrup 48,500 7,275,000
Box 5 Proneuron CapTab 20's 209,000 1,045,000
Btl 70 Propepsa Susp 100 ml 50,050 3,503,500
Box 2 Renapar Tab 100's 187,000 374,000
Box 6 Suprafenid Supp 10's 104,500 627,000
Kepada : PT Mesarinda Abadi -
Btl 50 Easy Touch Cholesterol 10's 198,550 9,927,500
Btl 20 Easy Touch Glucose 25's 107,250 2,145,000
Btl 30 Easy Touch Uric Acid 25's 107,250 3,217,500
Pcs 10 Extentiontube Terumo 150 cm 152 52,877 528,770
pcs 2 Folley Catheter 20 Fr WRP Cab 3 83,600 167,200
Pcs 2 Folley Catheter No. 16 Cab 2 22,550 45,100
Pcs 70 Folley Catheter No. 18 Cab 2 22,550 1,578,500
Box 10 Infuset Dewasa 522,500 5,225,000
Box 5 IV.Catheter No.18 1,086,250 5,431,250
Roll 5 Kassa 80 x 100 yds lucky 302,500 1,512,500
Roll 2 Kapas 250 gr 23,100 46,200
Ktk 300 Kasa Swallow 4,400 1,320,000
Box 5 Nald 23 100's 44,000 220,000
Box 3 Nald Novotwist 100's 231,000 693,000
Lsn 1 Nald Uterus 6120 E 000 223,300 223,300
Pcs 10 Spuit 10 cc 412,500 4,125,000
Box 15 Spuit 3 cc TRM 276,650 4,149,750
Box 15 Spuit 5 cc TRM 330,000 4,950,000
Roll 165 Verban Gulung 15cm 2,365 390,225
Roll 14 Leucodur 4" 41,437 580,118
Roll 14 Leucodur 6" 41,437 580,118
Kepada : PT Tirta Medical Indonesia -
Roll 10 Kapas 100gr 8,250 82,500
Pcs 2 NGT 12 Terumo 22,110 44,220
Pcs 5 NGT 14 Terumo 22,110 110,550
Pcs 5 NGT 16 Terumo 22,110 110,550
Pcs 20 NGT 18 Terumo 22,110 442,200
Box 15 Surgipro Steril Gloves No.7 357,500 5,362,500
Box 10 Surgipro Steril Gloves No.7,5 357,500 3,575,000
Pcs 50 Urine Bag Steril Onemed 5,500 275,000
-
Kepada : PT Hexalab Sumatera -
Roll 1 Cat Gut B Broun Chromic 1 1,789,700 1,789,700
Roll 1 Cat Gut B Broun Chromic 2 1,789,700 1,789,700
Roll 1 Cut Gut Plain 1 1,787,500 1,787,500
-
Kepada : PT Dos Ni Roha -
Fls 300 Amoxicillin 125 mg Syr 60ml 5,886 1,765,800
Box 30 Amoxicillin 500 mg Tab 100's 33,600 1,008,000
Box 50 Ciprofloxacin 500mg Tab .100's 32,500 1,625,000
Box 25 Metformin 500mg Tab 100's 27,200 680,000
Box 170 Metronidazol Infus 35,400 6,018,000
Box 60 Ranitidin 150mg Tab 100's 27,500 1,650,000
Kepada : PT Sapta Sari Tama -

Vial 40 Adidryl injeksi 3,630 145,200
Vial 30 Adimidon injeksi 4,506 135,168
Box 40 Afamed Cap 30's 198,000 7,920,000
Box 23 Allopurinol 100 mg Tab 100's 13,200 303,600
Box 5 Antalgin Tablet 100's 21,405 107,025
Btl 45 Betadine Gargle 100 cc 8,140 366,300
Tin 3 Chloramphenicol 250 mg Kaps 1000's 231,000 693,000
Box 35 Cotrimoksazole 480 kaplet 100's 15,895 556,325
Fls 50 Cotrimoksazole suspensi 60 ml 2,839 141,955
Tube 70 Counterpain Cream 30gr 35,000 2,450,000
Box 30 Flamoxi Tab 100's 393,000 11,790,000
Box 30 Ibuprofen 400 mg Tablet 100's 18,000 540,012
Box 40 Qinox 500mg Tab 100's 300,300 12,012,000
Fls 13 Reco Eye Drops TM 8,422 109,486
Box 15 Rybest 10mg 20's 61,600 924,000
Box 20 Solaneuron Tab 100's 114,600 2,292,000
-
Kepada : PT Sawah Besar Farma -
Box 1 Amytriptilin 25mg Tab 100's 15,800 15,800
Box 3 Chloramex Injeksi 10's 112,500 337,500
Fls 5 Flumucyl Syr 75,000 375,000
Tube 60 Hydrocortison Krim 3,890 233,400
Tube 5 Medicasol Cream 105,217 526,085
Btl 10 Otozambon Ear Drops 8 ml 1's 47,300 473,000
Box 3 Siberid 5mg Tab 30's 123,000 369,000
837,756,991
- 2
- 2
- 2
5 3
- 20
10 17
- 3
- 17
1 4
- 5
- 12
- 2
- 2
2 11
- 23
20 12
30 47
- 20
- 2
1 2
1 1
- 17
- 17
2
20 8
2 2
5 7
- 2
- 4
- 2
- 7
- 7
- 7
1 2
9 8
- -
40 33
20 40
14 15
8 26
- 3
- 17
5 15
- 2
5 3
- 5
- 50
- 2
- 2
50 30
- 1
1 2
50 33
2 6
- 2
- 10
- 3
10 10
- -
- -
- 2
- 23
- 3
5 12
- 3
- 50
- 5
- 7
- 3
- 7
- 3
- 10
- 10
5 4
- 12
- 5
- 2
30 13
- 3
- -
- -
- 15
1 1
1 2
- 1
- 7
- 33
- 2
1 2
- 17
3 1
- 23
1 1
- 22
5 3
1 1
- 3
- 1
- 1
- 2
- 1
- 1
- 1
- 3
20 27
- 3
- 3
1 2
- 3
10 10
- 1
5 1
3 2
20 33
- 5
1 3
2 2
10 1
1 7
- 13
- 2
- 1
1 1
- 1
1 1
- 5
200 67
100 67
- 1
- 1
25 33
45 133
50 4
1 3
1 10
- 3
5 33
- 1
2 3
50 1
1 1
5 1
1,000 1,000
1 1
5 15
1 1
5 7
1 3
- 3
2 1
- 1
5 7
- 1
1 1
- 17
- -
- -
- 2
- 20
- 1
- 1
- 5
- 1
- 2
- 2
- 1
- -
- -
- 50
- 2
10 10
- 200
- 1
100 104
- 17
- 50
30 14
- 17
- 20
- 2
100 83
- 10
14 6
30 17
- 10
5 5
20 13
- 137
- 5
- 8
- 3
- 7
- 3
20 12
167 76
10 7
40 23
20 17
- 79
30 17
200 200
- 173
- 5
- 17
- 7
210 220
15 16
2 2
- 5
20 15
10 12
- 50
14 11
- 7
15 12
- 67
- 5
20 17
- 27
132 111
25 12
- -
- -
- 4
- 2
- 4
- 73
- 1
- 2
- 3
2 1
5 6
10 8
- 2
- 3
1 2
2 7
- 1
- 2
- 5
5 2
- 3
- 3
- 1
- 2
- 22
- 133
- 3
- 3
- 7
- 2
- 2
- 13
- 1
- 17
- 1
- 7
- -
- -
1 3
100 100
- 13
- 17
5 8
- 3
- 3
10 10
- 2
- 5
10 13
10 13
- 7
- 33
- 5
30 15
- 7
100 67
- 17
- 5
30 15
- -
- -
- -
- 55
- 3
- 2
- 2
- 7
- 3
15 10
- 5
- 17
- 22
- 10
- 2
- 3
- 2
30 25
15 7
- 2
25 12
- 2
- 2
- 17
- 17
- 50
- 3
- 100
- 3
- 10
- 33
- 1
15 17
- 7
- 7
- 10
3 3
- 21
- 50
3 3
- 23
- 1
4 3
- -
- -
15 22
40 20
25 18
- 3
- 1
2 1
- 23
- 3
- 2
- 3
- 5
- 1
- 1
- 1
- 100
- 2
- 1
- 1
4 5
15 10
15 10
- 55
- 2
- 2
- -
- 3
- 1
- 2
- 2
- 7
- 5
- 3
50 33
- -
- -
- 1
- 1
- 1
- -
- -
- 100
- 10
10 20
25 17
- 57
- 20
- -
- -
- 13
- 10
30 23
- 8
- 2
- 15
- 1
- 12
- 17
- 23
5 12
- 10
- 13
- 4
- 5
10 10
- -
- -
- 1
- 1
- 2
- 20
- 2
- 3
- 1
PT. CUT MEUTIA MEDIKA NUSANTARA Diterima di Bahg. . . . . . . . . . Tgl. . . .
DAFTAR PERMINTAAN Tanggal : Nomor :
Diterima di Bahg. . . . . . . . . . Tgl. . . .
16 Mei RSCM/AU-31/
BARANG2 DAN BAHAN 2017 048/2017
Diterima di Bahg. . . . . . . . . . Tgl. . . .
Permintaan Persediaan Taksasi Harga Permintaan
No. Kode Ket. Bon Permintaan
No. Permintaan No. Order
Persediaan URAIAN Di Harga Jumlah Sisa setelah Tentang Pembelian dan Pengeluaran
Urut Sat Jumlah Minimum Jumlah s/d Yl
Barang kebun Satuan Setahun Permintaan Persediaan Barang No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Alupurinol 300mg Tab Box 20 - - - -
2 300.19 Ambroxol syrup Fls 500 110 - 300,000 150,000,000
3 300.19 Aminopilin Tab Box 2 - - 128,000 256,000
4 300.19 Amitriptilin tablet 25 mg Box 5 - - 14,000 70,000
5 300.19 Antasida syrup Fls 500 - - 7,000 3,500,000
6 300.19 Arixtra Inj Box 20 - - 820,000 16,400,000
7 300.19 Aspilet tablet Box 10 - - 140,000 1,400,000
8 300.19 Atorvastatin 20mg Tab Box 10 - - 10,500 105,000
9 300.19 ATS injeksi 1500 ui Box 5 - - 427,000 2,135,000
10 300.19 Azytromicin Tab 500mg Box 50 - - 17,000 850,000
11 300.19 Bisoprolol tablet 5 mg Box 50 - - 198,500 9,925,000
12 300.19 Candesartan 16mg Tab Box 50 - - 228,000 11,400,000
13 300.19 Candesartan 8mg Tab Box 50 - - 650,000 32,500,000
14 300.19 Captropil 12.5mg Tab Box 40 8 - 7,200 288,000
15 300.19 Captropil 25mg Tab Box 20 2 - 8,500 170,000
16 300.19 Cefadroxil Capsul 500 mg Box 50 50 - 16,000 800,000
17 300.19 Ceftadzidin Injeksi Vial 50 - - 250,500 12,525,000
18 300.19 Ceterizine Tablet Box 80 - - 202,500 16,200,000
19 300.19 Ciprofloxacin Infus Fls 20 - - 220,000 4,400,000
20 300.19 Ciprofloxacin tablet 500 mg Box 60 - - 550,000 33,000,000
21 300.19 Clindamicin 150mg Cap Box 10 - - 10,000 100,000
22 300.19 Clindamicin 300mg Cap Box 20 - - 206,500 4,130,000
23 300.19 Curcuma tablet Box 20 - - 40,000 800,000
24 300.19 Dexametason injeksi Tin 10 - -
25 300.19 Dextrose 10 % Box 2 - -
26 300.19 Dobutamin Injeksi Vial 10 - -
27 300.19 Domperidone Syrup Fls 150 - - 20,000 3,000,000
Dipindahkan 303,954,000
AU - 31
PT. CUT MEUTIA MEDIKA NUSANTARA Diterima di Bahg. . . . . . . . . . Tgl. . . . Tanggal : Nomor :
DAFTAR PERMINTAAN Diterima di Bahg. . . . . . . . . . Tgl. . . . 16 Mei RSCM/AU-31/
BARANG2 DAN BAHAN Diterima di Bahg. . . . . . . . . . Tgl. . . . 2017 048/2017
No. Kode Permintaan Persediaan Taksasi Harga Permintaan Ket. Bon Permintaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan 303,954,000
28 300.19 Domperidone Tab Box 80 - - 227,500 18,200,000
29 300.19 Eritromicin cap 500 mg Box 10 - - 65,000 650,000
30 300.19 Ethambutol 500mg Tab Box 5 - - 31,500 157,500
31 300.19 Farmasal Tab Box 10 - - 22,000 220,000
32 300.19 Flixotide Nebule Box 10 - - 7,000 70,000
33 300.19 Glimepirid 1mg Tab Box 20 3 - 270,000 5,400,000
34 300.19 Glimepirid 2mg Tab Box 30 - - 225,000 6,750,000
35 300.19 Glimepirid 3mg Tab Box 20 6 - 75,000 1,500,000
36 300.19 Glucodex Tab Box 30 - - 44,000 1,320,000
37 300.19 Hydrocortison Salf Tube 100 - - 73,000 7,300,000
38 300.19 Kandistatin Drop Fls 30 - - 130,000 3,900,000
39 300.19 Kertas Perkamen Pak 5 - - 203,000 1,015,000
40 300.19 Levofloxacin 500mg Tab Box 50 26 - 50,000 2,500,000
41 300.19 Lidocain HCL injeksi Box 5 - - 40,500 202,500
42 300.19 Loratadin Tab Box 20 - - 483,000 9,660,000
43 300.19 Mecobalamin 500 mg capsul Box 50 - - 119,000 5,950,000
44 300.19 Meloxicam 15 mg Box 70 100 - 119,001 8,330,070
45 300.19 Metronidazol Infus Fls 300 - - 119,002 35,700,600
46 300.19 Metronidazol tablet 500 mg Box 60 - - 119,003 7,140,180
47 300.19 Metyl prednisolon tablet 4 mg Box 100 60 - 119,004 11,900,400
48 300.19 Na Diclofenac 50 mg Box 100 - - 119,005 11,900,500
49 300.19 Nifedipin 10mg Tab Box 1 - - 119,006 119,006
50 300.19 Norepinefrin Injeksi Vial 10 - - 119,007 1,190,070
51 300.19 Ofloxacin tablet 200mg Box 40 - - 119,008 4,760,320
52 300.19 Ofloxacin tablet 400 mg Box 40 - -
53 300.19 Omeprazole Injeksi 40mg Box 50 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
54 300.19 Oralit Sachet Box 3 - - 227,501 682,503
55 300.19 Otsu Water 25ml Injeksi Fls 600 100 - 227,502 136,501,200
56 300.19 Paracetamol Syrup Fls 400 200 - 227,503 91,001,200
57 300.19 Paracetamol Tablet 500 mg Box 100 40 - 227,504 22,750,400
58 300.19 Phenobarbital Tab 30 mg Tin 3 - - 227,505 682,515
59 300.19 Pyrazinamid tablet 500 mg Box 10 3 - 227,506 2,275,060
60 300.19 Ranitidin Injeksi Box 100's Tin 20 - - 227,507 4,550,140
61 300.19 Ranitidin Tablet Box 100 6 - 227,508
62 300.19 Salbutamol Syrup Fls 100 - - 227,509
63 300.19 Scabicid Cream Tube 10 - - 227,510
64 300.19 Sedakter Syrup Fls 50 - - 227,511
65 300.19 Thrombopop Gel Tube 10 - - 227,512
66 300.19 Tramadol capsul Box 50 - - 227,513
67 300.19 Ventolin inhaler Fls 30 - - 227,514
68 300.19 Ventolin Nebule Box 20 - - 227,515
69 300.19 Widahes 130 infus Box 10 - - 227,516
227,518
Jumlah 257,760,515
Untuk diselesaikan Gudang Pusat Kebutuhan & Pengeluaran Disetujui oleh : Pembelian disetujui oleh : Dilaksanakan oleh :
Diminta oleh : RSCM Bagian Administrasi & Operasional PT Cut Meutia Medika Nusantara Bagian Pengadaan
dr. Hj. Cut Diah AK Ihwanul Hidayat Eddy Purnomo Sri Wahyuningsih, S.Farm, Apt.
Kepala Kabag. Administrasi & Operasional Direktur Asst. Pengadaan Barang & Jasa
AU - 31
Persediaan URAIAN Di Harga Jumlah Sisa setelah Tentang dan Pengeluaran
Urut Sat Jumlah Minimum Jumlah s/d Yl Pembelian
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Atarox Syrup Fls 3 - - 45,000 135,000
2 300.19 Dipsamol Inheler Fls 30 - - 45,001 1,350,030
3 300.19 Eperison HCL Tab Box 30 - - 45,002 1,350,060
4 300.19 Esilgan 2mg Tab Box 3 - - 45,003 135,009
5 300.19 Glufor tablet 500 mg Box 80 - - 45,004 3,600,320
6 300.19 Irvask tablet 150 mg Box 5 - - 45,005 225,025
7 300.19 Meloxicam Supp 5's Box 10 - - 45,006 450,060
8 300.19 Miloz Injeksi 5mg/5ml Box 10 - - 45,007 450,070
9 300.19 Motaderm Cream Tube 30 20 - 45,008 1,350,240
10 300.19 Placta 75mg Tablet Box 50 50 - 45,009 2,250,450
11 300.19 PTU tab 100 mg Box 3 - - 45,010 135,030
12 300.19 Ramipril 2,5 mg tablet Box 30 - - 45,011 1,350,330
13 300.19 Ramipril 5mg Tab Box 30 - - 45,012 1,350,360
14 300.19 Ranivel syrup Fls 5 - -
15 300.19 Voltaren Gel 50gr Tube 30 - -
16 300.19 Zelface Cream Tube 10 - -
Jumlah 14,131,984
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Amoxillin 500mg Tab Box 50 - - 42,500 2,125,000
2 300.19 Arcalion tablet Box 2 - - 42,501 85,002
3 300.19 Avamys Nasal Spray Fls 10 - - 42,502 425,020
4 300.19 Avodart Tab Box 5 - - 42,503 212,515
5 300.19 Bahan Tambalan Gigi (Liquid Spowder Set 1 - - 42,504 42,504
6 300.19 Betadin Kumur Gargle Fls 50 - - 42,505 2,125,250
7 300.19 Bioplacenton cream Tube 30 - - 42,506 1,275,180
8 300.19 Biosanbe tablet Box 3 - - 42,507 127,521
9 300.19 Calsium lactat tablet Tin 5 - - 42,508 212,540
10 300.19 Cavit Bh 1 - - 42,509 42,509
11 300.19 Celebrex 100mg Cap Box 10 - - 42,510 425,100
12 300.19 Chloramex Inj Vial 100 - - 42,511 4,251,100
13 300.19 Clinimix infus Fls 15 - - 42,512 637,680
14 300.19 Clobazam Tab Box 5 - - 42,513 212,565
15 300.19 Cloramfenicol tablet 250 mg Tin 1 - - 42,514 42,514
16 300.19 Counterpan Cream 20gr Tube 30 - - 42,515 1,275,450
17 300.19 Depokate ER 250mg Tab Box 5 - - 42,516 212,580
18 300.19 Depokate ER 500mg Tab Box 8 - - 42,517 340,136
19 300.19 Diamicron MR Tab Box 5 - - 42,518 212,590
20 300.19 Epineprin Injeksi Box 5 - - 42,519 212,595
21 300.19 Fenofibrat 300mg Tab Box 10 - - 42,520 425,200
22 300.19 FG Troces Tab Box 1 - - 42,521 42,521
23 300.19 Flutias Inhaler 125 mcg Fls 60 - - 42,522 2,551,320
24 300.19 Gentamicin Cream 5gr SK Tube 50 - - 42,523 2,126,150
25 300.19 Gentamicyn injeksi 80mg Box 100 - -
26 300.19 Gentian Violet Fls 20 - -
27 300.19 Glimeperid 4mg Tab Box 30 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
28 300.19 Glucophage 850mg Tab Box 2 - - 3,750 7,500
29 300.19 Glucosamin Tab Box 10 12 - 3,751 37,510
30 300.19 Harnal ocas 30's Box 15 - - 3,752 56,280
31 300.19 Harnal OD Tablet Box 5 - - 3,753 18,765
32 300.19 Hystolan Tab 50's Box 1 - - 3,754 3,754
33 300.19 Ichtiyol salep Pot 50 - - 3,755 187,750
34 300.19 Irvask 150mg Tab Box 5 - - 3,756 18,780
35 300.19 ISDN 5 mg tablet Box 100 45 - 3,757 375,700
36 300.19 Kalxetin 10 mg Box 15 - - 3,758 56,370
37 300.19 Kalxetin 20 mg Tab 30's Box 15 - - 3,759 56,385
38 300.19 Ketokonazol Cream 10gr Tube 50 10 - 3,760 188,000
39 300.19 Ketricin Orabase Tube 50 - - 3,761 188,050
40 300.19 KSR 600mg Tablet Box 2 - - 3,762 7,524
41 300.19 Lipitor 10 mg Tab Box 10 - - 3,763 37,630
42 300.19 Lipitor 20 mg Tab Box 10 - - 3,764 37,640
43 300.19 Lipitor 40mg Tab Box 10 - - 3,765 37,650
44 300.19 Lyrica 75 mg Tab Box 10 - - 3,766 37,660
45 300.19 Mebo krim 20 gr Tube 3 - - 3,767 11,301
46 300.19 Metformin 500mg Tab Box 50 - - 3,768 188,400
47 300.19 Nebacetin Powder Pot 20 - - 3,769 75,380
48 300.19 Nebacetin Zalf Tube 10 - - 3,770 37,700
49 300.19 Neo K 2 mg/ml injeksi Box 10 - - 3,771 37,710
50 300.19 Norvask 10 mg Box 3 - - 3,772 11,316
51 300.19 Novorapid Flexpen Insulin Box 5 9 - 3,773 18,865
52 300.19 OBH Syrup Fls 100 - -
53 300.19 Ondancentron 4mg/2mg Injeksi Box 40 21 -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
54 300.19 Otopain TT Box 30 - - 3,750 112,500
55 300.19 Piracetam 800mg Tab Box 5 - - 3,751 18,755
56 300.19 Plavix Tab 75 mg Box 5 - - 3,752 18,760
57 300.19 Procain Penicillin Injeksi Vial 100 - - 3,753 375,300
58 300.19 Ringer lactat infus Fls 3,000 5,000 - 3,754 11,262,000
59 300.19 Sabu injeksi Vial 3 - - 3,755 11,265
60 300.19 Septocain Ktk 1 - - 3,756 3,756
61 300.19 Sifrol 0.375mg Tab Box 2 - - 3,757 7,514
62 300.19 Spongostan Ktk 1 - - 3,758 3,758
63 300.19 Tetagam injeksi 250 iu Pcs 2 - - 3,759 7,518
64 300.19 Vit B Complek Tin 20 - - 3,760 75,200
65 300.19 Vit K injeksi Box 3 - - 3,761 11,283
66 300.19 Vit K Tab Tin 2 - - 3,762 7,524
67 300.19 Xylamidon Inj Vial 30 - - 3,763 112,890
68 300.19 Xylocain Jell Pcs 2 - - 3,764 7,528
69 300.19 Xylocain Spray Fls 1 - - 3,765 3,765
70 300.19 Xylonor Spray Pcs 2 - - 3,766 7,532
71 300.19 Ziloric 300 mg Box 3 - -
3,767 -
Jumlah 131,255
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Alpentin 100mg Cap Box 50 30 -
2 300.20 Alpentin 300mg Cap Box 50 18 -
3 300.21 Alphamol drop Fls 20 - -
4 300.22 Alphamol syrup Fls 200 300 -
5 300.23 Alprazolam 0,5 mg Box 90 40 -
6 300.24 Alprazolam 1 mg Box 20 10 -
7 300.25 Asabium tablet Box 10 - -
8 300.26 Bevalex cream Tube 100 - -
9 300.27 Dextral Syrup Fls 300 - -
10 300.28 Diclofalm 25 mg Box 100 - -
11 300.29 Dicloflam 50 mg Box 100 - -
12 300.30 Gentalex Cream Tube 200 176 -
13 300.31 Irbersartan 150mg Tab Box 10 - -
14 300.32 Letonal 25mg Tab Box 30 - -
15 300.33 Lexacort Tablet Box 20 - -
16 300.34 Lexacrol Syr Pcs 400 180 -
17 300.35 Lexavit Tab Box 80 34 -
18 300.36 Lexavon capsul Box 30 - -
19 300.37 Molacream Tube 250 150 -
20 300.38 Moladerm cream Tube 100 - - 81,269 8,126,900
21 300.39 Molafate syrup Fls 400 280 -
22 300.40 Molaneuron tablet 1000 mg Box 100 - -
23 300.41 Molapec syrup Box 300 - -
24 300.42 Molasic 500mg Tab Box 80 - -
25 300.43 Molazol Tab 500mg Box 60 20 -
26 300.44 Molexflu tablet Box 30 - -
27 300.45 OBH Molex Syrup Fls 200 - -
28 300.46 Opilax Syrup Fls 50 - -
29 300.47 Pedab tablet Box 40 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
30 300.19 Pritacort tablet Box 60 - - 3,751 225,060
31 300.19 Pritavit Tab Box 80 20 - 3,752 300,160
32 300.19 Renvol Cream Tube 250 - - 3,753 938,250
33 300.19 Spironolacton 25 mg Tab Box 20 5 - 3,754 75,080
34 300.19 Stesolid rectal 5mg Box 5 - - 3,755 18,775
35 300.19 Stesolid syrup Fls 5 - - 3,756 18,780
36 300.19 Stesolid tablet 2mg Box 10 - - 3,757 37,570
37 300.19 Trifedrin Syrup Fls 30 - - 3,758 112,740
38 300.19 Trifedrin Tab Box 20 - - 3,759 75,180
39 300.19 Vical syrup Fls 350 - - 3,760 1,316,000
40 300.19 Vitalex Cap Box 80 13 - -
-
-
-
-
-
-
-
-
Jumlah 1,032,105
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Bola Lampu Halogen kecil 500/250 wa Pcs 2 - - 110,267 220,534

2 300.19 Caesar Kit Pcs 24 - - 110,268 2,646,432
3 300.19 Corset Lumbal uk/ M Wanita Pcs 2 - - 110,269 220,538
4 300.19 Easy Toch Uric Acid Box 10 10 - 110,270 1,102,700
5 300.19 Easy Touch Colesterol Box 20 - - 110,271 2,205,420
6 300.19 Easy Touch Glucose Box 40 30 - 110,272 4,410,880
7 300.19 Electroda Pak 3 - - 110,273 330,819
8 300.19 Folley cateter No10 Pcs 2 - -
9 300.19 Folley Catheter No 6 Pcs 2 - -
10 300.19 Folley Catheter No.16 Pcs 5 - -
11 300.19 Folley Catheter No.18 Pcs 60 50 -
12 300.19 Hanscund Steril No.8 Box 2 - -
13 300.19 Hernia Mesh Box 1 - -
14 300.19 Hyfapix 15x5 Roll 40 - -
15 300.19 Hyfapix 5 x5 Roll 40 - -
16 300.19 Infused Dewasa Box 30 30 -
17 300.19 Infused Ped Box 1 1 -
18 300.19 IV Chateter No.18 Box 2 4 -
19 300.19 IV Chateter No.20 Box 5 1 -
20 300.19 Kapas 1000gr Roll 10 - -
21 300.19 Kapas 100gr Roll 60 - -
22 300.19 Kapas 25gr Roll 30 - -
23 300.19 Kapas 500gr Roll 30 - -
24 300.19 Kassa Kotak steril Box 300 - -
25 300.19 Kassa Lucky Roll 8 - -
26 300.19 Leucocrep 3 Inci Roll 12 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
27 300.19 Leucocrep 4 inci BSN Roll 24 6 - 262,500 6,300,000
28 300.19 Leucocrep 6" Roll 24 6 - 262,501 6,300,024
29 300.19 Leucodur 3' Roll 24 - - 262,502 6,300,048
30 300.19 Leucodur 4" Roll 24 - - 262,503 6,300,072
31 300.19 Leucodur 6" Roll 24 - - 262,504 6,300,096
32 300.19 Leucolast 1624 BSN Roll 100 20 - 262,505 26,250,500
33 300.19 Leucoplast 1622 BSN Roll 100 - - 262,506 26,250,600
34 300.19 Leucoplast 1623 BSN Roll 100 - - 262,507 26,250,700
35 300.19 Masker M95 Lsn 1 - - 262,508 262,508
36 300.19 Nald 6030 G/T 10 Lsn 1 - - 262,509 262,509
37 300.19 Nald 6030 G/T 12 Lsn 1 - - 262,510 262,510
38 300.19 Nald Spuit 23 Box 2 1 - 262,511 525,022
39 300.19 NGT 12 Pcs 10 - - 262,512 2,625,120
40 300.19 NGT 14 Pcs 10 - - 262,513 2,625,130
41 300.19 NGT 16 pcs 10 - - 262,514 2,625,140
42 300.19 NGT 18 Pcs 80 - - 262,515 21,001,200
43 300.19 Pisau Bisturi No.11 Box 1 - - 262,516 262,516
44 300.19 Primacef Jrgn 2 - - 262,517 525,034
45 300.19 Spinocain Box 5 2 - 262,518 1,312,590
46 300.19 Spuit 1cc Box 5 - - 262,519 1,312,595
47 300.19 Spuit 3cc Box 20 40 - 262,520 5,250,400
48 300.19 Spuit 5cc Box 30 18 - 262,521 7,875,630
49 300.19 Stamper dan mortir Pcs 1 - - 262,522 262,522
50 300.19 Umbilical cord clamp Box 1 1 -
51 300.19 Urine Bag Pcs 50 - -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Pemindahan
52 300.19 Verban gulung 15 cm Roll 300 200 -
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Anesfar Injeksi 5mg/3ml Box 5 - - -
2 300.19 Decubal Cream Tube 5 - - -
3 300.19 Fargoxin Tablet Box 15 - -
4 300.19 Fasodrin Injeksi Box 10 - -
5 300.19 Lupred Tablet Box 10 - -
6 300.19 Remital 10 mg Tablet Box 3 - -
7 300.19 Renapar Tablet Box 10 13 -
8 300.19 Simarc Tablet Box 5 3 -
-
-
-
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Arkine Tablet Box 30 - -
2 300.19 Asetyl sistein Syrup Fls 100 - -
3 300.19 Bamgetol Tablet 200 mg Box 10 4 -
4 300.19 Calcimega Tablet Box 20 - -
5 300.19 Endostein Syrup Fls 100 - -
6 300.19 Epsonal Tablet Box 50 - -
7 300.19 Flumucyl Capsul Box 5 - -
8 300.19 Flumucyl Syrup Fls 70 - -
9 300.19 Hexymer Tablet 2 mg Box 15 - -
10 300.19 Kalium Diclofenac 50mg Tab Box 10 - -
11 300.19 Ketocid Tablet Box 10 - -
12 300.19 Kutoin Capsul Box 10 - -
13 300.19 Laxadin Syrup Fls 100 - -
14 300.19 Levazide Tablet Box 6 - -
15 300.19 Neuraxon Cap Box 80 - -
16 300.19 Novaldo Injeksi Box 50 121 -
17 300.19 Osteor Cream Tube 100 - -
18 300.19 Otozambon Tetes Telinga Fls 30 - -
19 300.19 Scopamin Injeksi Box 30 - -
20 300.19 Trifastan Tablet Box 30 8 -
21 300.19 Zarom 250mg Tablet Box 50 - -
Jumlah -
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Bersol cream Tube 200 29 - 27,500 5,500,000
2 300.19 Interhistin Tab Box 30 14 - 27,501 825,030
3 300.19 Nonflamin capsul Box 10 - -
Jumlah 825,030
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Biocombin tablet Box 80 60 - 390,000 31,200,000
2 300.19 Cal 95 tablet Box 5 5 - 390,001 1,950,005
3 300.19 Cendo Catarlen 0,6 ml @ 5's minidose Strip 50 - - 390,002 19,500,100
4 300.19 Cendo Cenfres 0,6 ml@5's minidose Strip 50 - - 390,003 19,500,150
5 300.19 Cendo Eyefres 0,6 ml@ 5's minidose Strip 30 - - 390,004 11,700,120
6 300.19 Cendo Fenicol 0,25% 0,6ml@5;s minid Strip 10 - - 390,005 3,900,050
7 300.19 Cendo Fenicol Sm Tube 30 - - 390,006 11,700,180
8 300.19 Cendo Floxa 0,6ml@5' minidose Strip 10 - - -
9 300.19 Cendo Genta SM Tube 50 - -
10 300.19 Cendo Genta tetes mata 0,6ml@5's min Strip 30 - -
11 300.19 Cendo LFX tetes mata 0,6ml@5's mini Strip 40 - -
12 300.19 Cendo Lyters 0,6 ml@ 5's minidose Strip 50 - -
13 300.19 Cendo Pantocain 0,6ml@5' minidose Strip 5 - -
14 300.19 Cendo polidex 0,6ml@5's minidose Strip 50 - -
15 300.19 Cendo posop 0,6ml@5' minidose Strip 20 - -
16 300.19 Cendo Tonor 0,6ml@5'S minidose Strip 5 - -
17 300.19 Cendo Ulcori 0,6 ml @ 5's minidose Strip 40 - -
18 300.19 Cendo Xitrol 0,6 ml@ 5's minidose Strip 50 - -
19 300.19 Ciflon Tab Box 10 - -
20 300.19 Forasma Syr Fls 50 - -
21 300.19 Lagesyl Syrup Fls 100 - -
Jumlah
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Aguadest Jrg 3 - - 145,603 436,809
2 300.19 Bilirubin Direk Btl 2 - - 145,604 291,208
3 300.19 Bilirubin Total Btl 2 - - 145,605 291,210
4 300.19 Blood Call Ungu Box 15 - - -
5 300.19 Blood Lancet Box 2 - - -
6 300.19 Calibrator Vial 1 - - -
7 300.19 Cholesterol Btl 2 - - -
8 300.19 Creatine Btl 2 - -
9 300.19 CS Level I Vial 1 - - -
10 300.19 CS Level II Vial 1 - - -
11 300.19 EDTA Crystal Kg 1 - - -
12 300.19 Fluid Pack Smart Lyte Box 1 - - -
13 300.19 Glucose Btl 2 - - -
14 300.19 Lampu Halogen A15 Bh 2 - -
15 300.19 Masker N95 Box 1 - -
16 300.19 Sample Cup A15 Pack 2 - -
17 300.19 Tip Blue Pack 1 - -
18 300.19 Triglyseride Btl 2 - -
19 300.19 Urea Btl 2 - -
20 300.19 Uric Acid Btl 2 - -
21 300.19 Washing Solution 50ml Btl 2 - -
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Cat Gut Cromic 1 Roll 2 - - 390,004 780,008

2 300.19 Cat Gut Plain 1 Roll 1 - - 390,005 390,005
3 300.19 Cat Gut Plain 2/0 Roll 1 - - 390,006 390,006
4 300.19 Cat Gut Plain 3/0 Roll 1 - - -
5 300.19 Nald 6030 G/T 12 Pcs 12 - -
6 300.19 Nald 6030 G/T 16 Pcs 12 - -
7 300.19 Nald 6030 G/T 7 Pcs 12 - -
8 300.19 Nald 6030 G/T 9 Pcs 12 - -
9 300.19 Nald 6036 G/R 11 Pcs 12 - -
10 300.19 Nald 6036 G/R 12 Pcs 12 - -
11 300.19 Nald 6036 G/R 18 Pcs 12 - -
12 300.19 Nald 6120 E 000 Pcs 12 - -
13 300.19 Silk Black 2/0 Ref 610 Lsn 1 - -
14 300.19 Silk Black Atramat 3/0 Ref 2633 Lsn 1 - -
15 300.19 Vicryl 5/0 Box 1 - -
16 300.19 Zide Atramat No.2/0 Box 1 - -
17 300.19 Zide Atramat No.3/0 Box 1 - -
Jumlah
AU - 31
Persediaan URAIAN Tentang dan Pengeluaran
Urut s/d Yl Pembelian
Barang Persediaan Barang No.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Bidai P 10cm x 6cm x 1/2cm Set 5 - - 145,603 728,015
2 300.19 Bidai P 120cm x 10cm x 1cm Set 10 - - 145,604 1,456,040
3 300.19 Bidai P 20cm x 6cm x 1cm Set 5 - - 145,605 728,025
4 300.19 Bidai P 25cm x 6cm x 1cm Set 5 - - -
8 300.19 Bidai P 75cm x 10cm x 1cm Set 10 - -
9 300.19 Gunting Jaringan / Tajam Pcs 2 - - -
10 300.19 Gunting Jaringan / Tumpul Pcs 2 - - -
11 300.19 Gunting Verban Pcs 2 - - -
12 300.19 Lampu Sorot Pcs 1 - - -
13 300.19 Nald Holder 15cm Pcs 2 - - -
14 300.19 Pincet Cirugis 10cm / Halus Pcs 2 - -
15 300.19 Pincet Cirugis 15cm / Sedang Pcs 2 - -
16 300.19 Pinset Anatomi 15cm Pcs 2 - -
17 300.19 Spalk Bayi tanpa perekat 4cm x 7cm Set 5 - -
18 300.19 Stetoscop Litman Pcs 2 - -
19 300.19 Tensi Meter Air Raksa Unit 2 - -
Jumlah #REF!
Diminta oleh : RSCM PT Cut Meutia Medika Nusantara Bagian Pengadaan
AU - 31
BARANG2 DAN BAHAN 2017 060/2017
DAFTAR PERMINTAAN Tanggal : Nomor :
16 Mei RSCM/AU-31/
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Lampu Sorot Pcs 2 - - 145,603 291,206
145,604 -
145,605 -
-
-
-
-
-
-
-
-
-
Jumlah #REF!
AU - 31
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 300.19 Cat Gut Cromic No.2 Braun Roll 2 - - 145,603 291,206
4 300.19 Cat Gut Cromic No.2/0 Braun Roll 1 - - -
5 300.19 Cat Gut Plain No.0 Roll 1 - - -
6 300.19 Cat Gut Plain No.1 Roll 1 - - -
7 300.19 Cat Gut Plain No.2/0 Roll 1 - - -
8 300.19 Silk Black No.1 Braun Roll 1 - -
9 300.19 Silk Black No.2 Braun Roll 1 - - -
10 300.19 Silk Black No.0 Braun Roll 1 - - -
11 300.19 Silk Black No.2/0 Braun Roll 1 - - -
12 300.19 Silk Black No.3/0 Braun Roll 1 - - -
-
Jumlah #REF!
AU - 31
box
1 Box 20 Alupurinol 300mg Tab
2 Fls 500 Ambroxol syrup 110
5 Fls 500 Antasida syrup
7 Box 10 Aspilet tablet
8 Box 10 Atorvastatin 20mg Tab
9 Box 5 ATS injeksi 1500 ui
10 Box 50 Azytromicin Tab 500mg
11 Box 50 Bisoprolol tablet 5 mg
12 Box 50 Candesartan 16mg Tab
14 Box 40 Captropil 12.5mg Tab 8
15 Box 20 Captropil 25mg Tab 2
16 Box 50 Cefadroxil Capsul 500 mg 50
17 Vial 50 Ceftadzidin Injeksi
18 Box 80 Ceterizine Tablet
20 Box 60 Ciprofloxacin tablet 500 mg
21 Box 10 Clindamicin 150mg Cap
23 Box 20 Curcuma tablet
24 Tin 10 Dexametason injeksi
25 Box 2 Dextrose 10 %
26 Vial 10 Dobutamin Injeksi
27 Fls 150 Domperidone Syrup
28 Box 80 Domperidone Tab
29 Box 10 Eritromicin cap 500 mg
30 Box 5 Ethambutol 500mg Tab
33 Box 20 Glimepirid 1mg Tab 3
34 Box 30 Glimepirid 2mg Tab
35 Box 20 Glimepirid 3mg Tab 6
36 Box 30 Glucodex Tab
37 Tube 100 Hydrocortison Salf
38 Fls 30 Kandistatin Drop
39 Pak 5 Kertas Perkamen
40 Box 50 Levofloxacin 500mg Tab 26
41 Box 5 Lidocain HCL injeksi
43 Box 50 Mecobalamin 500 mg capsul
44 Box 70 Meloxicam 15 mg 100
45 Fls 300 Metronidazol Infus
46 Box 60 Metronidazol tablet 500 mg
47 Box 100 Metyl prednisolon tablet 4 mg 60
48 Box 100 Na Diclofenac 50 mg
49 Box 1 Nifedipin 10mg Tab
50 Vial 10 Norepinefrin Injeksi
51 Box 40 Ofloxacin tablet 200mg
52 Box 40 Ofloxacin tablet 400 mg
53 Box 50 Omeprazole Injeksi 40mg
54 Box 3 Oralit Sachet
55 Fls 600 Otsu Water 25ml Injeksi 100
56 Fls 400 Paracetamol Syrup 200
57 Box 100 Paracetamol Tablet 500 mg 40
59 Box 10 Pyrazinamid tablet 500 mg 3
60 Tin 20 Ranitidin Injeksi Box 100's
61 Box 100 Ranitidin Tablet 6
62 Fls 100 Salbutamol Syrup
63 Tube 10 Scabicid Cream
64 Fls 50 Sedakter Syrup
65 Tube 10 Thrombopop Gel
66 Box 50 Tramadol capsul
67 Fls 30 Ventolin inhaler
68 Box 20 Ventolin Nebule
69 Box 10 Widahes 130 infus

1 Fls 3 Atarox Syrup
2 Fls 30 Dipsamol Inheler
3 Box 30 Eperison HCL Tab
4 Box 3 Esilgan 2mg Tab
5 Box 80 Glufor tablet 500 mg
6 Box 5 Irvask tablet 150 mg
8 Box 10 Miloz Injeksi 5mg/5ml
9 Tube 30 Motaderm Cream 20
10 Box 50 Placta 75mg Tablet 50
11 Box 3 PTU tab 100 mg
12 Box 30 Ramipril 2,5 mg tablet
13 Box 30 Ramipril 5mg Tab
14 Fls 5 Ranivel syrup
15 Tube 30 Voltaren Gel 50gr
PT Buetna Hareukat
1 Box 50 Amoxillin 500mg Tab
2 Box 2 Arcalion tablet
3 Fls 10 Avamys Nasal Spray
4 Box 5 Avodart Tab
5 Set 1 Bahan Tambalan Gigi (Liquid Spowder)
6 Fls 50 Betadin Kumur Gargle
7 Tube 30 Bioplacenton cream
8 Box 3 Biosanbe tablet
9 Tin 5 Calsium lactat tablet
10 Bh 1 Cavit
11 Box 10 Celebrex 100mg Cap
13 Fls 15 Clinimix infus
15 Tin 1 Cloramfenicol tablet 250 mg
16 Tube 30 Counterpan Cream 20gr
17 Box 5 Depokate ER 250mg Tab
19 Box 5 Diamicron MR Tab
20 Box 5 Epineprin Injeksi
21 Box 10 Fenofibrat 300mg Tab
22 Box 1 FG Troces Tab
24 Tube 50 Gentamicin Cream 5gr SK
25 Box 100 Gentamicyn injeksi 80mg
26 Fls 20 Gentian Violet
27 Box 30 Glimeperid 4mg Tab
28 Box 2 Glucophage 850mg Tab
29 Box 10 Glucosamin Tab 12
31 Box 5 Harnal OD Tablet
34 Box 5 Irvask 150mg Tab
35 Box 100 ISDN 5 mg tablet 45
37 Box 15 Kalxetin 20 mg Tab 30's
38 Tube 50 Ketokonazol Cream 10gr 10
40 Box 2 KSR 600mg Tablet
41 Box 10 Lipitor 10 mg Tab
43 Box 10 Lipitor 40mg Tab
44 Box 10 Lyrica 75 mg Tab
46 Box 50 Metformin 500mg Tab
47 Pot 20 Nebacetin Powder
51 Box 5 Novorapid Flexpen Insulin 9
52 Fls 100 OBH Syrup
53 Box 40 Ondancentron 4mg/2mg Injeksi 21
55 Box 5 Piracetam 800mg Tab
57 Vial 100 Procain Penicillin Injeksi
58 Fls 3,000 Ringer lactat infus 5,000
60 Ktk 1 Septocain
61 Box 2 Sifrol 0.375mg Tab
62 Ktk 1 Spongostan
63 Pcs 2 Tetagam injeksi 250 iu
64 Tin 20 Vit B Complek
65 Box 3 Vit K injeksi
66 Tin 2 Vit K Tab
69 Fls 1 Xylocain Spray

1 Box 50 Alpentin 100mg Cap 30
2 Box 50 Alpentin 300mg Cap 18
3 Fls 20 Alphamol drop
4 Fls 200 Alphamol syrup 300
5 Box 90 Alprazolam 0,5 mg 40
6 Box 20 Alprazolam 1 mg 10
7 Box 10 Asabium tablet
8 Tube 100 Bevalex cream
9 Fls 300 Dextral Syrup
10 Box 100 Diclofalm 25 mg
11 Box 100 Dicloflam 50 mg
12 Tube 200 Gentalex Cream 176
13 Box 10 Irbersartan 150mg Tab
14 Box 30 Letonal 25mg Tab
15 Box 20 Lexacort Tablet
16 Pcs 400 Lexacrol Syr 180
17 Box 80 Lexavit Tab 34
18 Box 30 Lexavon capsul
19 Tube 250 Molacream 150
20 Tube 100 Moladerm cream
21 Fls 400 Molafate syrup 280
22 Box 100 Molaneuron tablet 1000 mg
23 Box 300 Molapec syrup
24 Box 80 Molasic 500mg Tab
25 Box 60 Molazol Tab 500mg 20
26 Box 30 Molexflu tablet
27 Fls 200 OBH Molex Syrup
28 Fls 50 Opilax Syrup
29 Box 40 Pedab tablet
30 Box 60 Pritacort tablet
31 Box 80 Pritavit Tab 20
33 Box 20 Spironolacton 25 mg Tab 5
34 Box 5 Stesolid rectal 5mg
36 Box 10 Stesolid tablet 2mg
37 Fls 30 Trifedrin Syrup
38 Box 20 Trifedrin Tab
39 Fls 350 Vical syrup
40 Box 80 Vitalex Cap 13
41
PT Mesarinda Abadi
1 Pcs 2 Bola Lampu Halogen kecil 500/250 wat
2 Pcs 24 Caesar Kit
4 Box 10 Easy Toch Uric Acid 10
5 Box 20 Easy Touch Colesterol
7 Pak 3 Electroda
8 Pcs 2 Folley cateter No10
9 Pcs 2 Folley Catheter No 6
11 Pcs 60 Folley Catheter No.18 50
12 Box 2 Hanscund Steril No.8
13 Box 1 Hernia Mesh
14 Roll 40 Hyfapix 15x5
15 Roll 40 Hyfapix 5 x5
16 Box 30 Infused Dewasa 30
17 Box 1 Infused Ped 1
18 Box 2 IV Chateter No.18 4
19 Box 5 IV Chateter No.20 1
20 Roll 10 Kapas 1000gr
24 Box 300 Kassa Kotak steril
26 Roll 12 Leucocrep 3 Inci
28 Roll 24 Leucocrep 6" 6
29 Roll 24 Leucodur 3'
32 Roll 100 Leucolast 1624 BSN 20
35 Lsn 1 Masker M95
36 Lsn 1 Nald 6030 G/T 10
37 Lsn 1 Nald 6030 G/T 12
38 Box 2 Nald Spuit 23 1
39 Pcs 10 NGT 12
40 Pcs 10 NGT 14
41 pcs 10 NGT 16
42 Pcs 80 NGT 18
43 Box 1 Pisau Bisturi No.11
44 Jrgn 2 Primacef
46 Box 5 Spuit 1cc
47 Box 20 Spuit 3cc 40
50 Box 1 Umbilical cord clamp 1
51 Pcs 50 Urine Bag
52 Roll 300 Verban gulung 15 cm 200
53
PT Parit Padang
1 Box 5 Anesfar Injeksi 5mg/3ml
3 Box 15 Fargoxin Tablet
4 Box 10 Fasodrin Injeksi
5 Box 10 Lupred Tablet
6 Box 3 Remital 10 mg Tablet
7 Box 10 Renapar Tablet 13
8 Box 5 Simarc Tablet 3
9
PT Sawah Besar
1 Box 30 Arkine Tablet
2 Fls 100 Asetyl sistein Syrup
3 Box 10 Bamgetol Tablet 200 mg 4
4 Box 20 Calcimega Tablet
5 Fls 100 Endostein Syrup
6 Box 50 Epsonal Tablet
7 Box 5 Flumucyl Capsul
8 Fls 70 Flumucyl Syrup
9 Box 15 Hexymer Tablet 2 mg
10 Box 10 Kalium Diclofenac 50mg Tab
11 Box 10 Ketocid Tablet
12 Box 10 Kutoin Capsul
13 Fls 100 Laxadin Syrup
14 Box 6 Levazide Tablet
15 Box 80 Neuraxon Cap
16 Box 50 Novaldo Injeksi 121
17 Tube 100 Osteor Cream
19 Box 30 Scopamin Injeksi
20 Box 30 Trifastan Tablet 8
21 Box 50 Zarom 250mg Tablet
PT.UDC
1 Tube 200 Bersol cream 29
2 Box 30 Interhistin Tab 14
3 Box 10 Nonflamin capsul
PT PENTA VALENT
1 Box 80 Biocombin tablet 60
2 Box 5 Cal 95 tablet 5
4 Strip 50 Cendo Cenfres 0,6 ml@5's minidose
5 Strip 30 Cendo Eyefres 0,6 ml@ 5's minidose
6 Strip 10 Cendo Fenicol 0,25% 0,6ml@5;s minidose
7 Tube 30 Cendo Fenicol Sm
8 Strip 10 Cendo Floxa 0,6ml@5' minidose
10 Strip 30 Cendo Genta tetes mata 0,6ml@5's minidose
11 Strip 40 Cendo LFX tetes mata 0,6ml@5's minidose
12 Strip 50 Cendo Lyters 0,6 ml@ 5's minidose
13 Strip 5 Cendo Pantocain 0,6ml@5' minidose
15 Strip 20 Cendo posop 0,6ml@5' minidose
19 Box 10 Ciflon Tab
21 Fls 100 Lagesyl Syrup
1 Jrg 3 Aguadest
2 Btl 2 Bilirubin Direk
3 Btl 2 Bilirubin Total
6 Vial 1 Calibrator
7 Btl 2 Cholesterol
8 Btl 2 Creatine
9 Vial 1 CS Level I
10 Vial 1 CS Level II
11 Kg 1 EDTA Crystal
12 Box 1 Fluid Pack Smart Lyte
13 Btl 2 Glucose
14 Bh 2 Lampu Halogen A15
15 Box 1 Masker N95
16 Pack 2 Sample Cup A15
17 Pack 1 Tip Blue
18 Btl 2 Triglyseride
19 Btl 2 Urea
20 Btl 2 Uric Acid
21 Btl 2 Washing Solution 50ml
PT.HEXALAB SUMATERA
1 Roll 2 Cat Gut Cromic 1
2 Roll 1 Cat Gut Plain 1
3 Roll 1 Cat Gut Plain 2/0
4 Roll 1 Cat Gut Plain 3/0
5 Pcs 12 Nald 6030 G/T 12
6 Pcs 12 Nald 6030 G/T 16
7 Pcs 12 Nald 6030 G/T 7
8 Pcs 12 Nald 6030 G/T 9
9 Pcs 12 Nald 6036 G/R 11
10 Pcs 12 Nald 6036 G/R 12
11 Pcs 12 Nald 6036 G/R 18
12 Pcs 12 Nald 6120 E 000
13 Lsn 1 Silk Black 2/0 Ref 610
14 Lsn 1 Silk Black Atramat 3/0 Ref 2633
15 Box 1 Vicryl 5/0
16 Box 1 Zide Atramat No.2/0
17 Box 1 Zide Atramat No.3/0
INVENTARIS
1 Set 5 Bidai P 10cm x 6cm x 1/2cm
2 Set 10 Bidai P 120cm x 10cm x 1cm
9 Pcs 2 Gunting Jaringan / Tajam
10 Pcs 2 Gunting Jaringan / Tumpul
11 Pcs 2 Gunting Verban
12 Pcs 1 Lampu Sorot
13 Pcs 2 Nald Holder 15cm
14 Pcs 2 Pincet Cirugis 10cm / Halus
15 Pcs 2 Pincet Cirugis 15cm / Sedang
16 Pcs 2 Pinset Anatomi 15cm
17 Set 5 Spalk Bayi tanpa perekat 4cm x 7cm
18 Pcs 2 Stetoscop Litman
19 Unit 2 Tensi Meter Air Raksa
1 PT ANUGRAH ARGON MEDICA
2 PT ANTAR MITRA SEMBADA
3 PT BUETNA HAREUKAT
4 PT ENCEVALL PUTRA MEGATRADING
5 PT PROTEUSSABA NUSANTARA
6 PT RAJAWALI NUSINDO
7 PT UNITED DICO CITAS
8 PT PENTA VALENT
9 PT TIRTA MEDICAL INDONESIA
10 PT MESARINDA ABADI
11 PT HEXALAB SUMATERA
12 PT. SAPTA SARI TAMA
13 PT DOS NI ROHA
14 PT SAWAH BESAR FARMA
15 KOPKAR MON MADU
Oxygen
RSCM/AU-31/001/2014 280,616,031
RSCM/AU-31/002/2014 61,911,562
RSCM/AU-31/003/2014 104,681,704
RSCM/AU-31/004/2014 29,735,640
RSCM/AU-31/005/2014 172,321,380
RSCM/AU-31/006/2014 155,071,632
RSCM/AU-31/007/2014 85,079,106
RSCM/AU-31/008/2014 124,551,693
RSCM/AU-31/009/2014 55,010,831
RSCM/AU-31/010/2014 143,137,050
RSCM/AU-31/011/2014 10,242,151
RSCM/AU-31/012/2014 27,146,565
RSCM/AU-31/013/2014 31,942,219
RSCM/AU-31/014/2014 33,557,777
RSCM/AU-31/015/2014 11,434,500
1,326,439,840
box
1 Box 4 Alluperinol 300mg Tab
6 Fls 20 Aqua 1000 ml
8 Box 10 Asering Infus
9 Box 10 Aspilet tablet 4
10 Box 5 ATS injeksi 1500 ui
11 Box 50 Azytromicin Tab 500mg
12 Box 10 Bamgetol 200mg Tab
13 Box 100 Betahistin Tab 6mg
16 Box 40 Captropil 12.5mg Tab
17 Box 20 Captropil 25mg Tab 2
18 Box 80 Cefadroxil Capsul 500 mg 80
19 Box 50 Cefixim 100mg Tab 30
20 Box 80 Cefixim 200mg Tab
21 Fls 15 Chloramfenicol Syrup
25 Box 20 Curcuma tablet
26 Fls 5 Depacen Syr
27 Fls 100 Dex 40%
28 Tin 10 Dexametason injeksi
30 Vial 10 Dobutamin Injeksi
35 Box 100 Furosemid tablet 40mg
38 Box 30 Glucodex Tab
39 Box 3 Ketorolac Tab 3
40 Box 50 Levofloxacin 500mg Tab 2
41 Box 5 Lidocain HCL injeksi
43 Box 3 Manitol Infus
44 Box 50 Mecobalamin 500 mg capsul
46 Vial 30 Methyl Prednisolon Injeksi 125mg 50
47 Box 60 Metronidazol tablet 500 mg
48 Box 70 Metyl prednisolon tablet 4 mg
49 Box 100 Na Diclofenac 50 mg
50 Box 40 Ofloxacin tablet 200mg
51 Box 40 Ofloxacin tablet 400 mg
52 Box 400 Omeprazole Cap 400
53 Vial 50 Omeprazole Injeksi 40mg
54 Box 3 Oralit Sachet
56 Box 100 Paracetamol Tablet 500 mg
58 Box 10 Pyrazinamid tablet 500 mg
59 Tin 20 Ranitidin Injeksi Box 100's 6
60 Box 100 Ranitidin Tablet
61 Fls 100 Salbutamol Syrup
62 Tube 10 Scabicid Cream
63 Fls 50 Sedakter Syrup
64 Tube 10 Thrombopop Gel
65 Box 50 Tramadol capsul
66 Fls 30 Ventolin inhaler
67 Box 20 Ventolin Nebule 2
68 Box 10 Widahes 130 infus

1 Fls 3 Atarox Syrup
2 Box 10 Diaform Tab 3
3 Fls 30 Dipsamol Inheler
4 Box 30 Eperison HCL Tab
5 Box 3 Esilgan 2mg Tab
7 Box 5 Irvask tablet 150 mg
8 Box 1,000 Lansoprazol capsul
9 Box 10 Meloxicam Supp 5's 2
10 Box 10 Miloz Injeksi 5mg/5ml
13 Box 30 Ramipril 5mg Tab
14 Fls 5 Ranivel syrup
16
PT Buetna Hareukat
1 Box 100 Amlodipin 10md Tab 50
2 Box 100 Amlodipin 5mg Tab 50
4 Fls 10 Avamys Nasal Spray
5 Box 5 Avodart Tab 4
6 Set 1 Bahan Tambalan Gigi (Liquid Spowder)
7 Tube 30 Bioplacenton cream
8 Box 3 Biosanbe tablet
9 Tin 5 Calsium lactat tablet
10 Bh 1 Cavit
11 Box 5 Celebrex 100mg Cap
15 Tin 1 Cloramfenicol tablet 250 mg
17 Tube 30 Counterpan Cream
20 Box 5 Diamicron MR Tab
21 Box 5 Epineprin Injeksi
22 Fls 20 Eritromicyn syrup 250mg/ml
23 Box 10 Fenofibrat 300mg Tab
24 Box 1 FG Troces Tab
26 Box 120 Furosemid Injeksi
27 Tube 50 Gentamicin Cream 5gr SK
29 Fls 20 Gentian Violet
30 Box 30 Glimeperid 4mg Tab
35 Fls 50 Insto tetes mata
36 Box 5 Irvask 150mg Tab
38 Box 2 KA EN 3B
39 Box 15 Kalxetin 10 mg 2
40 Box 15 Kalxetin 20 mg Tab 30's 1
44 Box 10 Lipitor 40mg Tab
45 Box 5 Lyrica 75 mg Tab
47 Box 15 Metformin 500mg Tab
48 Pot 20 Nebacetin Powder
53 Box 5 Piracetam 800mg Tab
55 Fls 2,000 Ringer lactat infus 3,500
57 Ktk 1 Septocain
58 Box 1 Sifrol 0.375mg Tab
59 Ktk 1 Spongostan
61 Tin 20 Vit B Complek
62 Box 3 Vit K injeksi
63 Tin 2 Vit K Tab

1 Fls 100 Alpara Syrup
2 Box 50 Alpentin 100mg Cap
3 Box 50 Alpentin 300mg Cap
7 Box 20 Alprazolam 1 mg 10
9 Tube 100 Bevalex cream
10 Box 50 Dextral capsul
11 Fls 300 Dextral Syrup
12 Box 100 Diclofalm 25 mg
14 Tube 200 Gentalex Cream
15 Box 10 Irbersartan 150mg Tab
16 Box 30 Letonal 25mg Tab
17 Pcs 400 Lexacrol Syr
18 Box 80 Lexavit Tab
19 Box 30 Lexavon capsul
20 Fls 300 Lexavon Syrup
21 Box 30 Lexicam tablet 10 mg
22 Box 30 Lexicam tablet 20 mg
23 Box 30 Molacort tablet
24 Tube 250 Molacream
27 Box 100 Molaneuron tablet 1000 mg
28 Box 300 Molapec syrup
29 Box 50 Molapec tablet
30 Box 80 Molasic 500mg Tab
31 Box 60 Molazol Tab 500mg
32 Fls 300 Molexdryl Syrup
33 Fls 150 Molexflu syrup
35 Fls 200 OBH Molex Syrup
36 Box 200 Omeyus Cap
37 Fls 50 Opilax Syrup
38 Box 40 Pedab tablet
40 Box 60 Pritacort tablet
41 Fls 150 Pritamox 125 mg syrup 60
42 Box 80 Pritavit Tab
48 Fls 50 Thiamfilex syrup
49 Fls 30 Trifedrin Syrup
51 Fls 15 Valeptic Syrup 10
52 Fls 350 Vical syrup
53 Box 80 Vitalex Cap
54
55
PT Mesarinda Abadi
1 Pcs 1 Alat Cek HB
2 Pcs 1 Alat GCU
6 Box 1 Assucryl 8/0
7 Box 3 Blood lancet
8 Pcs 2 Bola Lampu Halogen kecil 500/250 wat
9 Pcs 24 Caesar Kit
10 Roll 1 Cat Gut Plain 1 B'braun
11 Roll 1 Cat Gut Plan 2/0
13 Roll 2 Cut Gut Cromic 2
14 Box 20 Easy Toch Uric Acid
15 Box 20 Easy Touch Colesterol
16 Box 40 Easy Touch Glucose
17 Pak 3 Electroda
23 Box 1 Hernia Mesh
24 Set 2 Hukmah / Irigator
25 Roll 40 Hyfapix 15x5
27 Box 30 Infused Dewasa
28 Box 5 Infused Ped
29 Box 5 IV Catheter No.22
34 Box 200 Kassa Kotak steril
36 Roll 30 Kertas Ekg Rool
38 Roll 12 Leucocrep 3 Inci
40 Roll 24 Leucocrep 6"
41 Roll 24 Leucodur 3'
44 Roll 100 Leucolast 1624 BSN
47 Lsn 1 Masker M95
48 Lsn 1 Nald 6030 G/T 10
49 Lsn 1 Nald 6030 G/T 12
50 Pcs 10 NGT 12
51 Pcs 10 NGT 14
52 pcs 10 NGT 16
53 Pcs 50 NGT 18
54 Pcs 3 Pencil Cauter
55 Roll 300 Perban gulung 15 cm
56 Box 1 Pisau Bisturi no 15
61 Jrgn 2 Primacef
62 Box 5 Spinocain
63 Box 5 Spuit 10cc
64 Box 5 Spuit 1cc
68 Pcs 3 Tensi Meter Air Raksa
69 unit 2 Tensi Meter anak
70 Box 3 Threway 2
71 Pcs 5 Torniquet
72 Box 1 Tranfusi Set 1
74 Pcs 100 Urine Bag 70
76 Pcs 2 Wascom mandi
77 Pcs 4 Washen
78 Pcs 3 Waslap
79
80
PT Parit Padang
2 Box 5 Fargoxin Tablet
3 Box 120 Farsix Injeksi 60
4 Box 10 Fasodrin Injeksi 2
6 Box 2 Lupred Tablet
7 Box 3 Remital 10 mg Tablet
PT Sawah Besar
1 Box 30 Arkine Tablet
2 Fls 100 Asetyl sistein Syrup
3 Box 20 Bamgetol Tablet 200 mg
4 Box 20 Calcimega Tablet 5
5 Fls 100 Endostein Syrup
6 Box 50 Epsonal Tablet
7 Fls 70 Flumucyl Syrup
8 Box 10 Flumucyl Tablet
9 Box 15 Hexymer Tablet 2 mg
11 Fls 100 Laxadin Syrup
13 Box 80 Neuraxon Cap
14 Box 100 Novaldo Injeksi 260
15 Tube 100 Osteor Cream
17 Box 30 Scopamin Injeksi
18 Box 50 Zarom 250mg Tablet
PT.UDC
1 Tube 200 Bersol cream 29
2 Box 10 Nonflamin capsul
PT PENTA VALENT
1 Box 80 Biocombin tablet 11
2 Box 10 Cal 95 tablet
4 Strip 50 Cendo Cenfres 0,6 ml@5's minidose
5 Strip 30 Cendo Eyefres 0,6 ml@ 5's minidose
6 Strip 10 Cendo Fenicol 0,25% 0,6ml@5;s minidose
7 Tube 30 Cendo Fenicol Sm
8 Strip 10 Cendo Floxa 0,6ml@5' minidose
10 Strip 30 Cendo Genta tetes mata 0,6ml@5's minidose 3
11 Strip 40 Cendo LFX tetes mata 0,6ml@5's minidose
13 Strip 5 Cendo Pantocain 0,6ml@5' minidose
15 Strip 20 Cendo posop 0,6ml@5' minidose
17 Strip 40 Cendo Ulcori 0,6 ml @ 5's minidose 40
21 Fls 300 Gatrinal Syrup
22 Box 5 L Bio Sacset
23 Fls 200 L zink syrup
24 Fls 100 Lagesyl syrup
25 Vial Lapibal Injeksi
26 Fls 50 Lasal syrup
27 Box 100 Norages injeksi
28 Fls 50 Promuba syrup
29
30
31
1 Gal 1 Alfa Diluent Swelab
2 Gal 1 Alfa Lyse Swelab
3 Box 10 Blood Coll Red
4 Box 5 Blood Coll Ungu
5 Vial 2 Blood Graub A
6 Vial 2 Blood Graub B
8 Btl 2 GGT
9 Btl 2 Glucose
10 Kit 2 HBS AG
12 Btl 1 Micropore
13 Unit 1 Rotator
14 Btl 2 SGOT
15 Btl 2 SGPT
16 Btl 2 Slide Widal
17 Kit 2 Triglyseride
18 Btl 2 Uric Acid
box
1 Fls 5 Albumin 20% 100 ml
2 Fls 200 Ambroxol syrup
3 Fls 20 Aminofluid infus 5
6 Box 40 Amlodipin 10 mg tablet
7 Box 80 Amlodipin tablet 5 mg 20
8 Fls 300 Amoxilin syrup
9 Box 40 Amoxilin tablet 500 mg
12 Box 10 Asam Traneksamat 500 mg Tab 1
13 Fls 800 Ashering Infus
15 Box 30 Atorvastatin tablet 20 mg
17 Box 100 Betahistin tablet 6mg
18 Tube 100 Betametason cream 12
21 Box 40 Captopril 12,5 mg
22 Box 30 Captopril 25 mg tablet 8
23 Box 80 Cefadroxil capsul 500 mg 10
24 Box 80 Ceterizin tablet
25 Box 2 Cilostazol Tab 1
26 Box 40 Ciprofloxacin tablet 500 mg 10
27 Box 60 Citicolin 1000 mg tablet
28 Box 100 Citicolin injeksi 5
29 Box 80 Citicolin tablet 500 mg
31 Box 30 Co amoxiclav 625 mg tablet 15
36 Vial 20 Dobutamin injeksi 250 mg 5
37 Box 10 Doxixiclin 100 mg tablet
41 Box 60 Furosemid tablet 40mg 10
44 Fls 100 Ibuprofen syrup
45 Box 20 Ibuprofen tab 400 mg
46 Box 5 Inhitril Tab 10 mg
47 Box 20 Irbesartan tablet 150 mg
49 Box 10 kalium diclofenac 50 mg
50 Fls 50 Kandistatin Drops 5
51 Fls 20 KCL 5
52 Box 200 Keterolac injeksi 30 mg/1ml @12's
53 Tube 100 Ketoconazol cream 10 gr
54 Box 20 Ketoconazol tablet200 mg
55 Vial 25 KTM Inj
56 Box 1,000 Lansoprazole Cap 30mg. Box 20's
57 Box 40 Levofloxacin tablet 500 mg 15
58 Box 3 Lidocain injeksi
60 Box 80 Metformin 500 mg tablet
62 Fls 300 Metronidazol infus
63 Box 30 Metronidazol tablet 500 mg 20
65 Fls 10 Mgso4 20%
66 Box 15 Mucosta Tablet 3
67 Box 50 Na diclofenac 50 mg 4
68 Fls 2,000 NaCL 500 ml
70 Box 30 Ofloxacin tablet 200 mg 10
72 Box 200 Ondancentron injeksi 4mg/2ml
73 Fls 400 Paracetamol Syrup
76 Box 300 Ranitidin Inj. Box 25s
82 Box 2 Simarc 2mg
83 Box 50 Simvastatin 10 mg
86 Box 20 Spironolacton 25 mg Tablet

1 Fls 3 Ataroc Syrup
2 Tube 10 Betadin Oint 10 gr
3 Box 20 Biocombin injeksi
4 Box 50 Buscopan injeksi
5 Box 2 Casodex Tablet 50 mg
6 Box 50 Cotrimoxzasol tab 480 mg
7 Tube 10 Desolex Cream
8 Box 3 Glicuidon Tablet 30 mg
9 Box 15 Heximer tablet 2 mg
10 Box 1 Hytrin 2mg
11 Box 1 Kutoin Injeksi 100 mg
13 Box 1 Microlax Supp
14 Box 10 Miloz injeksi 5mg/5ml
15 Box 5 Nonflamin Cap
17 Box 2 Recofol Injeksi
18 Box 5 Sandepril Tablet 50 mg
19 Box 15 Takelin 1000mg Tablet 30s
20 Box 5 Truvas Tablet 20 mg
PT Buetna Hareukat
1 Box 5 Acilovir tablet 400 mg
2 Bgks 2 Alginate
3 Jrg 5 Alkohol 96 %
7 Fls 20 Berotec inhaler
9 Btl 100 Caladin lotion
12 Vial 100 Ceftadzidim injeksi 10
13 Vial 30 Chloramex Inj 10
26 Box 100 Furosemid injeksi 25's 20
27 Box 60 Gabapentin 300 mg
39 Tin 5 INH 300 mg
41 Box 2 KA EN 3B
44 bgks 1 Kapsul kosong no 0
45 Pack 3 Kertas Perkamen
51 Box 40 Loratadin tablet
66 Box 3 Pletaal tablet 100 mg
71 Box 10 Pyrazinamid tablet 500 mg 2
72 Fls 50 Reco tetes telinga
73 Box 10 Regumen tablet
74 Box 10 Rifampicin 450 tablet
75 Fls 8,000 Ringer lactat infus
77 Btl 50 Rodeca lotion
79 Ktk 1 Septocain
81 Pot 150 Slicyl talk 50
82 Fls 1 Sojorn (cefofluran )
83 Ktk 1 Spongostan
84 Fls 1 Stac 5 ml (Bonding)
85 Box 5 Tensivask 10 mg
86 Box 5 Tensivask 5mg
88 Box 100 Tramadol injeksi 50 mg
89 Box 2 Tramuz Inj
92 Tin 2 Vit K Tab
1 Box 50 Alpentin 100 mg cap
3 Box 60 Alphamol 600 mg tablet 40
5 Fls 400 Alphamol syrup 20
6 Box 90 Alprazolam 0,5 mg
7 Box 20 Alprazolam 1 mg
8 Fls 10 Amobiotic drop
10 Tube 100 Bevalex cream 50
11 Box 40 Diclofalm 25 mg 20
15 Box 30 Lexapram tablet 20
20 Box 40 Pedab tablet 20
22 Box 30 Stesolid injeksi 5 mg
27 Fls 15 Valeptic Syr 15
PT Mesarinda Abadi
1 Pcs 1 Alat GCU
9 Box 5 Blood lancet
10 Pcs 24 Caesar Kit
17 Box 10 Easy toch uric acid 1
18 Box 20 Easy touch Colesterol 12
20 Pak 3 Electroda
26 Box 10 Handscun no 7 7
27 Box 15 Handscun no 7,5 5
28 Box 10 Handsun no. 8
29 Box 30 Handsun Non Steril
33 Box 10 IV cateter no 24 1
35 Roll 50 Kapas 100 gr
36 Box 50 Kasa kotak 150
37 Roll 6 Kassa lucky 3
38 Roll 5 Kertas Usg
39 Tube 15 K-Y Jelly 5
41 Roll 12 Leucocrep 3 Inci 6
43 Roll 12 Leucocrep 6"
47 Roll 10 Leucoplast 1624
48 Set 2 Minor Set Stainles
49 Box 5 Nald 23
50 Lsn 1 Nald 6030 G/T 10
51 Lsn 1 Nald 6030 G/T 12
52 Lsn 1 Nald 6030 G/T 14
53 Lsn 1 Nald 6030 G/T 7
54 Lsn 1 Nald 6036 G/R 11
55 Lsn 1 Nald 6036 G/R 12
56 Lsn 1 Nald 6036 G/R 8
57 Lsn 1 Nald 6120 E000
58 Pcs 100 Nasal Canula Oksigen 50
59 Pcs 5 NGT 12
60 Pcs 2 NGT 14
61 pcs 5 NGT 16 2
64 Box 1 Poly Propylenen 3/0 4564
71 jrgn 1 Primacef
72 Pcs 2 Skin Truction Anak
73 Pcs 2 Skin Truction Dewasa
76 Box 1 Spuit 100 cc Lubang Tengah
79 Box 30 Spuit 5cc
81 Set 2 Tensimeter Air Raksa
82 Box 3 Topi operasi pria
83 Box 3 Topi operasi wanita
87 Pcs 4 Washen
PT Parit Padang

3 Box 10 Efedrin Inj
6 Fls 20 Interhistin Syr
7 Box 20 Interhistin Tab
11 Box 50 Regivel injeksi
PT Sawah Besar
1 Box 100 Clidorel Tablet
2 Box 20 Ketocid tablet
4 Vial 150 Metyl prednisolon injeksi 10
6 Box 5 Raos tablet 50 mg
PT PENTA VALENT
1 Tube 50 Bersol Cream
3 Strip 50 Cendo Catarlen 0,6 ml @ 5's minidose 5
4 Strip 100 Cendo Cenfresh 0,6ml@5's minidose
5 Strip 50 Cendo eye fresh 0,6ml@5's minidose
6 Strip 30 Cendo floxa 0,6 @ml5' minidose
7 Strip 50 Cendo Genta 0,6 ml@ 5's minidose 10
8 Strip 30 Cendo Glaopent 0,6 ml@ 5's minidose 10
9 Strip 30 Cendo LFX 0,6 ml@ 5's minidose 15
10 Strip 20 Cendo Lubricen 0,6 ml@ 5's minidose 13
12 Strip 10 Cendo Pantocain 2% 0,6ml@5's minidose 5
14 Strip 20 cendo posop 0,6ml@5' minidose
15 Strip 5 Cendo timol 0,6ml@5'minidose
18 Strip 50 Cendo vitrolenta 0,6ml@5' minidose
19 Strip 50 Cendo Xitrol 0,6 ml@ 5's minidose 28
22 Jrg 3 Handscrub
26 Box 10 Mecola tab
27 Box 10 Myotonic injeksi 10
28 Box 5 Myotonic Tab
29 Box 250 Norages injeksi 50
30 Fls 50 Promuba syrup
31 Box 30 Suprafenid supp 7
1 Btl 2 Albumin
2 Set 2 Bilirubin Total
5 Btl 1 Extran
6 Jrg 3 Aquabidest
10 Plastik 1 Blue Tip
11 Plastik 1 Yellow Tip
12 Btl 2 Cholesterol
13 Btl 2 Creatinine
14 Plastik 2 Sample Cup
15 Box 10 Slides Frosted
16 Btl 2 SGOT
17 Btl 2 SGPT
18 Btl 2 Triglyceride
19 Btl 2 Urea
20 Btl 2 Uric Acid
21 Btl 1 Verify
22 Kit 2 HBS AG
23 Kit 1 HCV
24 Kit 1 DHF
25 Btl 2 Glucose

1 Box 3 Alinamin F Injeksi
2 Box 5 Alinamin F Tab
3 Box 30 Tramadol Injeksi
box
1
3 Fls 20 Aminofluid infus 3
6 Box 40 Amlodipin 10 mg tablet 14
7 Box 80 Amlodipin tablet 5 mg 40
8 Fls 300 Amoxilin syrup
9 Box 60 Amoxilin tablet 500 mg
12 Box 2 widahes 130 infus 1
13
15
17 Box 40 Betahistin tablet 6mg 40
18 Tube 100 Betametason cream
19 Box 50 Bisoprolol tablet 5 mg 5
21 Box 20 Captopril 12,5 mg 20
22
23 Box 80 Cefadroxil capsul 500 mg 1
24 Box 50 Ceterizin tablet 40
25
27 Box 60 Citicolin 1000 mg tablet
28 Box 100 Citicolin injeksi 10
29 Box 80 Citicolin tablet 500 mg 5
30
31
33
36
37 Box 5 Doxixiclin 100 mg tablet 7
41 Box 60 Furosemid tablet 40mg
44 Fls 100 Ibuprofen syrup
45 Box 10 Ibuprofen tab 400 mg 8
46
47
49 Box 10 kalium diclofenac 50 mg
50 5
51 5
52 Box 200 Keterolac injeksi 30 mg/1ml @12's
53 Tube 100 Ketoconazol cream 10 gr
54
55 Vial 25 KTM Inj
56
57 Box 40 Levofloxacin tablet 500 mg 4
58 Box 3 Lidocain injeksi
60 Box 80 Metformin 500 mg tablet
62 Fls 300 Metronidazol infus 50
63 Box 20 Metronidazol tablet 500 mg 10
65
66 Box 15 Mucosta Tablet 3
67 Box 80 Na diclofenac 50 mg 2
68 Fls 2,000 NaCL 500 ml
70 Fls 50 Batugin elixir
72 Box 200 Ondancentron injeksi 4mg/2ml 80
76 Box 300 Ranitidin Inj. Box 25s
77 Vial 50 Recodryl injeksi
78 Box 20 Tramadol capsul 10
82 10 Cefixim capsul 200 mg
85 Fls 20 Aqua 1000 ml
86 Box 30 Cefixim capsul 100 mg 7

1
2 Tube 10 Betadin Oint 10 gr
3
4
5 Box 2 Casodex Tablet 50 mg
6 Box 30 Cotrimoxzasol tab 480 mg 24
7
8 Box 3 Glicuidon Tablet 30 mg
10 Box 1 Hytrin 2mg
11
14 Box 30 Ramipril 5 mg tablet
15 Box 40 Gabapentin 300 mg capsul 20
17 Box 2 Recofol Injeksi
18
19
20 Box 5 Truvas Tablet 20 mg
Box 30 Atorvastatin 20 mg
PT Buetna Hareukat
1
2
3 Jrg 5 Alkohol 96 % 2
6 Tin 5 Bicnat tablet
7
9
10
11
12 Vial 100 Ceftadzidim injeksi
15
16
23
26
27
39 Tin 5 INH 300 mg
41 Box 1 KA EN 3B 1
44 bgks
45
51
66
71 2
72 Fls 50 Reco tetes telinga
73
74 Box 10 Rifampicin 450 tablet
75 Fls 8,000 Ringer lactat infus
77
79 Ktk 1 Septocain
81 Pot 150 Slicyl talk 30
82 Fls 1 Sojorn (cefofluran )
83 Ktk 1 Spongostan
84
85 Box 5 Tensivask 10 mg
86 Box 5 Tensivask 5mg
88
89 Box 2 Tramuz Inj
92 Tin 2 Vit K Tab
Box 3 Vit K injeksi
1 Box 50 Alpentin 100 mg cap
3 Box 60 Alphamol 600 mg tablet 30
7 Box 20 Alprazolam 1 mg
8 Fls 10 Amobiotic drop
10 Tube 100 Bevalex cream 10
11 Box 40 Diclofalm 25 mg 20
15 Box 20 Lexapram tablet 10
20 Box 40 Pedab tablet 15
22
23 Box 2 Stesolid rectal 5mg 1
27 Fls 350 Vical syrup 15
Fls 50 interhistin syrup
Box 30 Interhistin tablet
Box 20 Spironolacton 25 mg
Box 10 Spironolacton 100 mg
PT Mesarinda Abadi
1 Pcs 1 Alat GCU
9 Roll 1 Cut Gut Cromic 2
10 Pcs 24 Caesar Kit
17 Box 20 Easy toch uric acid
18 Box 20 Easy touch Colesterol
20 Pak 3 Electroda
26 Box 10 Handscun no 7 1
27 Box 15 Handscun no 7,5 8
28 Roll 1 Cut Gut Plain 3/0
29 Box 30 Handsun Non Steril
31 Roll 40 Hyfapix 5 x5 2
33 Box 10 IV cateter no 24 1
35 Roll 1 Cut Gut Cromic 2/0
37 Roll 20 Hyfapix 15x5 3
38 Roll 10 Kertas Usg
39 Tube 15 K-Y Jelly 5
41 Roll 12 Leucocrep 3 Inci 6
43 Roll 12 Leucocrep 6" 12
44 Roll 12 Leucodur 4" 6
47 Roll 10 Leucolast 1624 BSN
48 Set 2 Minor Set Stainles
49 Box 5 Nald 23
50 Lsn 1 Nald 6030 G/T 10
51 Lsn 1 Nald 6030 G/T 12
52 Lsn 1 Nald 6030 G/T 14
53 Lsn 1 Nald 6030 G/T 7
54 Lsn 1 Nald 6036 G/R 11
55 Lsn 1 Nald 6036 G/R 12
56 Lsn 1 Nald 6036 G/R 8
57 Lsn 1 Nald 6120 E000
58 Pcs 50 Nasal Canula Oksigen 50
59 Pcs 5 NGT 12
60 Pcs 2 NGT 14
61 pcs 5 NGT 16
64 Box 1 Poly Propylenen 3/0 4564
71 jrgn 1 Primacef
72 Pcs 2 Skin Truction Anak
73 Pcs 2 Skin Truction Dewasa
76 Pcs 5 NGT 10
77
1 Box 3 Topi operasi pria 1

2 Box 3 Topi operasi wanita
6 Pcs 4 Washen
Roll 2 Zide Silk rool
Roll 200 Perban gulung 15 cm

Box 20 Masker
PT Parit Padang

3
6
7
9
11
Box 1 Atropin Sulfat injeksi
Box 2 Simarck 2 mg
unit 4 Tensi meter Nova

Unit 2 Timbangan dewasa
Pcs 2 Bola Lampu Halogen kecil 500/250 wat
unit 1 Tensi meter anak
Pcs 2 Regulator oksigen
Pcs 3 Waslap
Pcs 2 Wascom mandi
Pcs 2 Minor set stenlies
PT Sawah Besar
1 Box 5 Kutoin capsul
2 Box 10 Bamgetol tablet 200 mg
3 15 Hexymer Tablet 2 mg
4 Vial 150 Metyl prednisolon injeksi 10
6 Box 5 Sandepril 50 mg
Box 15 Takelin 1000 mg
Box 10 Calcimega tablet
Tube 50 Osteor cream
Box 30 Osteor Tablet
Box 1 Kutoin injeksi
PT PENTA VALENT
1
3 Strip 50 Cendo Catarlen 0,6 ml @ 5's minidose 5
4
12 5
14 Strip 20 cendo posop 0,6ml@5' minidose
15 Strip 5 Cendo timol 0,6ml@5'minidose
18
19 Strip 50 Cendo Xitrol 0,6 ml@ 5's minidose 28
22 Jrg 3 Handscrub
26 Box 10 Mecola tab 5
27 Box 10 Myotonic injeksi
28 Box 10 Myotonic Tab
29 Box 50
1 Kit 1 ALP
2 Vial 1 Gol Darah A
3 Btl 2 Bilirubin Total
6 Vial 1 Gol Darah B
7 Jrg 2 Aquabidest
11 Box 3 Nald Bilgod
12 Kit 1 Asto Test
13 Btl 2 Cholesterol
14 Btl 2 Creatinine
15 Box 4 Sensiglove ( M )
16 Btl 2 SGOT
17 Btl 2 SGPT
18 Btl 2 Triglyceride
19 Btl 2 Urea
20 Btl 1 Verify
21 Kit 1 HBS AG
22 Kit 1 HCV
23 Kit 1 DHF
24 Btl 2 Glucose
26 Btl 2 Bilirubin Direk
27 Btl 2 Protein Total
28 Kit 1 RF Test

1 Box 3 Alinamin F Injeksi
2 Box 5 Alinamin F Tab
3 Tube 50 Bersol cream
Box 10 Nonflamin capsul
Box 10 Inhitril 10 mg tablet

Au 31 Mei 2017

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DATAR OBAT YANG STOKNYA HABIS

NO NAMA OBAT SAT KETERANGAN

1 Adalat Oros Box

NO NAMA OBAT SAT KETERANGAN

NO NAMA OBAT SAT KETERANGAN

PT Mensa Bina Sukses

PT United Dico Citas

Untuk Kamar Bedah

Surgeri Set Minor :

PT Antar Mitra Sembada

PT United Dico Citas

NO DISTRIBUTOR NO. AU-31 JUMLAH KETERANGAN

1 PT ANUGRAH ARGON MEDICA RSCM/AU-31/067/2014 279,969,668

2 PT ANTAR MITRA SEMBADA RSCM/AU-31/068/2014 48,152,340

3 PT BUETNA HAREUKAT RSCM/AU-31/069/2014 130,486,795

4 PT ENCEVALL PUTRA MEGATRADING RSCM/AU-31/070/2014 29,632,510

5 PT RAJAWALI NUSINDO RSCM/AU-31/071/2014 118,514,076

6 PT UNITED DICO CITAS RSCM/AU-31/072/2014 75,876,466

7 PT PENTA VALENT RSCM/AU-31/073/2014 164,142,043

8 PT MESARINDA ABADI RSCM/AU-31/074/2014 87,818,730

9 PT TIRTA MEDICAL INDONESIA RSCM/AU-31/075/2014 12,320,802

10 PT HEXALAB SUMATERA RSCM/AU-31/076/2013 10,322,548

11 PT HEXALAB SUMATERA RSCM/AU-31/011/2014 10,242,151

12 PT. SAPTA SARI TAMA RSCM/AU-31/012/2014 27,146,565

13 PT DOS NI ROHA RSCM/AU-31/013/2014 31,942,219

14 PT SAWAH BESAR FARMA RSCM/AU-31/014/2014 33,557,777

15 KOPKAR MON MADU RSCM/AU-31/015/2014 11,434,500

JUMLAH SELURUHNYA 1,071,559,189

Diminta oleh : RSCM

dr. Cut Diah AK

Periode Mei 2014

Prod. Dexa Medica

Prod. Novo Nordisk

Prod. OGB Dexa Medica

Periode Mei 2014

Prod. Novell OGB.

Periode Mei 2014

Prod. Bio Farma

Prod. Kimia Farma

Prod. Darya Varya

Prod. Widatra OGB

Periode Mei 2014

Prod. Hexapram Jaya

Periode Mei 2014

Prod. Molex Ayus

Periode Mei 2014

Prod Fresenius Kabi

Prod. Darya Varia

DAFTAR PESANAN OBAT - OBATAN

Periode Mei 2014

Periode Mei 2014

Prod. Promed Raharjo

Prod. Easy Touch

DAFTAR PESANAN ALAT KESEHATAN

DAFTAR PESANAN ALAT KESEHATAN

Periode Mei 2014

Periode Mei 2014

Periode Mei 2014

Periode Mei 2014