PBAL GUDANG BULAN JANUARI 2020

NO NAMA OBAT SATUANJUMLAH HARGA SATUAN TOTAL HARGA

1 FENTANYL INJ AMP 28 52,285.80 1,464,002.40
2 INFARIX HEXA BOX 5 646,866.00 3,234,330.00
3 KANDISTATIN DROP BTL 1 43,000.00 43,000.00
4 PROTERINE INJ AMP 6 28,000.00 168,000.00
5 POVIDONE 1 L BTL 1 75,000.00 75,000.00
6 FUROSEMIDE INJ AMP 25 5,000.00 125,000.00
7 DOBUTAMIN INJ VIAL 15 53,053.00 795,795.00
8 PAMOL SUPP 250 MG PC 6 19,750.00 118,500.00
9 FORTANEST INJ AMP 8 75,000.00 600,000.00
10 LEUKOMED T PLUS PC 3 38,500.00 115,500.00
11 LASIX INJ AMP 10 23,664.50 236,645.00
12 PAMOL SUPP 125 MG PC 12 17,099.25 205,191.00
13 FENTANYL INJ AMP 30 50,000.00 1,500,000.00
14 FUROSEMIDE INJ AMP 25 5,293.00 132,325.00
15 CAT GUT PLAIN 2/0 HR 37 BOX 1 411,600.00 411,600.00
16 STESOLID SUPP PC 3 33,976.66 101,929.98
17 PARASETAMOL INF FLSH 24 28,125.00 675,000.00
18 PARASETAMOL INF FLSH 48 15,587.00 748,176.00
19 KETAMIN INJ VIAL 3 147,766.66 443,299.98
20 GUEDEL NO 4 PC 5 18,880.00 94,400.00
21 ARIXTRA INJ PC 2 339,690.00 679,380.00
22 CENDO XITROL TUBE 3 25,666.67 77,000.01
23 POVIDONE 1 L BTL 1 68,000.00 68,000.00
24 URESIX INJ BOX 10 55,260.00 552,600.00
25 DIPENHIDRAMIN INJ BOX 1 53,396.00 53,396.00
26 ONDANSETRON INJ 8 MG BOX 4 105,000.00 420,000.00
27 ONDANSETRON INJ 8 MG VIAL 1 20,000.00 20,000.00
28 EFEDRIN INJ AMP 10 68,825.00 688,250.00
29 LEUKOMED T PLUS PC 6 38,500.00 231,000.00
30 FUROSEMIDE INJ AMP 50 1,653.20 82,660.00
31 ENTRASOL GOLD BOX 1 63,500.00 63,500.00
32 ENTRASOL GOLD BOX 1 63,500.00 63,500.00
33 DIABETASOL BOX 2 135,000.00 270,000.00
34 DIABETASOL 180 GR BOX 1 63,500.00 63,500.00
35 ARIXTRA INJ PC 3 328,181.00 984,543.00
36 PARASETAMOL INF FLSH 10 15,819.00 158,190.00
37 MESS 15 BOX 1 561,500.00 561,500.00
38 GUEDEL NO 4 PC 3 18,861.00 56,583.00
39 MESS 15 PC 30 4,185.00 125,550.00
40 IODINE 1 L BTL 1 69,000.00 69,000.00
41 GAMMEX NO 7 BOX 1 880,000.00 880,000.00
42 STESOLID SUPP 5 MG PC 5 33,976.00 169,880.00
43 STESOLID SUPP 10 MG PC 5 50,965.00 254,825.00
44 PARASETAMOL INF FLSH 24 15,587.00 374,088.00
45 ONDANSETRON INJ 4 MG AMP 1 32,000.00 32,000.00
46 ONDANSETRON INJ 8 MG BOX 7 70,000.00 490,000.00
47 LERZIN SYR BTL 15 6,000.00 90,000.00
48 PAMOL SUPP 125 MG BOX 1 173,000.00 173,000.00
49 PAMOL SUPP 250 MG PC 1 229,000.00 229,000.00
50 NACL 3 % BTL 2 36,550.00 73,100.00
51 ARIXTRA INJ PC 2 468,682.00 937,364.00
52 DIALOG BLOODLINE PC 25 174,460.00 4,361,500.00
53 DIVITI INJ PC 2 410,000.00 820,000.00
54 FENTANYL INJ AMP 30 63,233.00 1,896,990.00
55 NACL 3 % BTL 3 37,000.00 111,000.00
56 FORMALIN BTL 3 280,000.00 840,000.00
57 RANITIDIN INJ AMP 100 2,285.00 228,500.00
58 PARASETAMOL INF BTL 24 15,819.00 379,656.00
59 SENSI GLOVE S BOX 3 48,000.00 144,000.00
60 IODINE 30 ML BTL 10 6,000.00 60,000.00
61 SILK BLACK 3/0 HR 26 BOX 1 250,000.00 250,000.00
62 DACLON 4/0 DS 19 BOX 1 280,000.00 280,000.00
63 DISMENO TAB PC 30 5,500.00 165,000.00
64 NOVA T PC 1 345,000.00 345,000.00
65 NORELUT PC 15 5,000.00 75,000.00
66 AMLODIPIN 10 MG PC 500 600.00 300,000.00
67 IODINE 1 L BTL 2 59,967.00 119,934.00
68 PERFUSOR PC 10 70,000.00 700,000.00
69 INFARIX HEXA BOX 5 652,000.00 3,260,000.00
70 RANITIDIN INJ AMP 15 2,480.00 37,200.00
71 SARUNG TANGAN S BOX 1 48,000.00 48,000.00
72 SARUNG TANGAN M BOX 1 48,000.00 48,000.00
73 RANITIDIN INJ AMP 40 2,900.00 116,000.00
74 PARASETAMOL INF BTL 10 15,000.00 150,000.00
75 ONDANSETRON INJ BOX 5 47,000.00 235,000.00
76 KERTAS PUYER PAK 1 7,500.00 7,500.00
77 EFEDRIN INJ AMP 10 68,750.00 687,500.00
78 SOL CAR B PC 5 194,700.00 973,500.00
79 RANITIDIN INJ BOX 13 29,000.00 377,000.00
80 FRAMYCETIN BOX 2 112,000.00 224,000.00
81 ANTASIDA SYR BTL 10 3,600.00 36,000.00
82 PARASETAMOL INF BTL 20 25,000.00 500,000.00
83 CEFTRIAXON INJ BOX 32 21,000.00 672,000.00
84 RANITIDIN INJ BOX 10 29,000.00 290,000.00
85 PARASETAMOL INF BTL 30 16,666.66 500,000.00
86 GAMMEX NO 7,5 BOX 1 880,000.00 880,000.00
87 GAMMEX NO 6,5 BOX 1 880,000.00 880,000.00
88 SURGICRIL 1 HR 40 BOX 1 1,017,000.00 1,017,000.00
89 OXYTOCIN INJ AMP 50 4,000.00 200,000.00
90 CEFTRIAXON INJ VIAL 26 9,000.00 234,000.00
91 RANITIDIN INJ BOX 10 30,000.00 300,000.00
92 ONDANSETRON INJ AMP 3 15,000.00 45,000.00
93 BISOLVON SOLUTION BTL 1 90,000.00 90,000.00
94 DIVITI INJ BOX 1 820,000.00 234,000.00
95 NGT NO 10 PC 5 35,000.00 300,000.00
96 FRAMYCETIN BOX 2 112,000.00 45,000.00
97 INFARIX HEXA PC 5 652,000.00 90,000.00
98 NACL 3 % BTL 10 39,435.50 394,355.00
99 AMIODARONE INJ AMP 12 11,310.10 135,721.20
TOTAL 44,362,459.57
DAFTAR PO CASH JANUARI 2020

NO DISTRIBUTOR NILAI
1 PT ENSEVAL 5,490,000.00
2 PT ENSEVAL 8,461,530.00
3 PT ENDO MEDICA 4,700,000.00
4 PT AMS 2,541,185.00
21,192,715.00
 PBAL GUDANG BULAN FEBRUARI 2020

NO NAMA OBAT SATUANJUMLAH HARGA SATUAN TOTAL HARGA

1 DISMENO TAB PC 30 5,500.00 165,000.00
2 INLANCIN 100 PC 30 6,050.00 181,500.00
3 FOLAMIL GENIO CAPS 60 4,667.00 280,020.00
4 ONDANCENTRON INJK 4 MG AMP 50 5,000.00 250,000.00
5 GENTAMYCIN SALEP TB 20 3,800.00 76,000.00
6 FRAMYCETINE PC 20 11,200.00 224,000.00
7 CEFTRIAXONE INJK VIAL 100 5,000.00 500,000.00
8 PARACETAMOL INF BOTOL 15 10,000.00 150,000.00
9 WATER STERIL 25 ML BOTOL 20 4,135.00 82,700.00
10 PREKUSOR PC 5 70,000.00 350,000.00
11 ENTRASOL MOCHACCINO 360 GR KTK 2 56,500.00 113,000.00
12 ENTRASOL GOLD PLAIN 370 GR KTK 3 65,000.00 195,000.00
13 DIABETASOL VITA DIGESTT COKLAT KTK 2 40,000.00 80,000.00
14 DIABETASOL VANILLA KTK 4 40,000.00 160,000.00
15 DARYANTULLE PC 10 21,600.00 216,000.00
16 FRAMYCETINE PC 10 11,200.00 112,000.00
17 SENSI GLOVE 'M' PC 100 480.00 48,000.00
18 MASKER KTK 40 25,000.00 1,000,000.00
19 MASKER KTK 10 45,000.00 450,000.00
20 PARACETAMOL INF BOTOL 24 15,819.00 379,656.00
21 LOVENOX 0,6 VIAL 1 325,998.00 325,998.00
22 RANITIDIN INJK AMP 110 3,090.00 339,900.00
23 CEDOCARD INK AMP 5 92,000.00 460,000.00
24 FORASMA BOTOL 1 35,680.00 35,680.00
25 RANITIDIN INJK AMP 40 2,280.00 91,200.00
26 TIP LC PC 1 185,000.00 185,000.00
27 DENTAL FLOSS GLOW PC 20 18,500.00 370,000.00
28 DORMIKUM INJK AMP 15 39,100.00 586,500.00
29 SARUNG TANGAN 'S' PC 100 480.00 48,000.00
30 SARUNG TANGAN 'S' PC 500 480.00 240,000.00
31 SARUNG TANGAN 'M' PC 500 480.00 240,000.00
32 WATER STERIL 25 ML AMP 9 8,433.00 75,897.00
33 FENTANYL INJ AMP 10 52,800.00 528,000.00
34 MASKER BOX 6 34,000.00 204,000.00
35 SENSI GLOVE 'M' PC 400 470.00 188,000.00
36 SENSI GLOVE 'S' PC 200 470.00 94,000.00
37 MIKROPORE PC 6 38,000.00 228,000.00
38 SENSI GLOVE 'M' BX 2 49,000.00 98,000.00
39 SENSI GLOVE 'S' BX 5 48,000.00 240,000.00
40 LEVOFLOXACIN INF BTL 4 125,000.00 500,000.00
41 SPUIT 3 CC PC 200 830.00 166,000.00
42 CEFOTAXIME INJK AMP 30 5,335.00 160,050.00
43 COMBIVENT NEB 20 20 12,500.00 250,000.00
44 RANITIDIN INJK AMP 200 900.00 180,000.00
45 WATER STERIL 25 ML AMP 36 9,040.00 325,440.00
46 SENSI GLOVES 'S' BX 5 48,000.00 240,000.00
47 VAKSIN INFARIX VIAL 10 652,000.00 6,520,000.00
48 RANITIDIN INJK AMP 170 2,900.00 493,000.00
49 DOBUTAMIN INJK AMP 10 76,000.00 760,000.00
50 VAKSIN INFARIX VIAL 10 679,200.00 6,792,000.00
51 DOBUTAMIN INJK AMP 5 41,390.00 206,950.00
52 FORTANES 15 MG AMP 5 70,000.00 350,000.00
53 FORTANES 5 MG AMP 10 30,000.00 300,000.00
54 ROCULAX INJK AMP 5 230,000.00 1,150,000.00
DAFTAR PO CASH FEBRUARI 2020

NO DISTRIBUTOR NILAI
1 PT. AMS 6,439,840.00
2 PT. ENSEVAL 5,490,000.00
3 PT. IGM 4,531,670.00
4 PT.ENSEVAL 5,490,000.00
5 PT.TEMPO 2,450,720.00
6 PT.ENSEVAL 8,461,530.00
32,863,760.00
 PBAL GUDANG BULAN MARET 2020

NO NAMA OBAT SATUANJUMLAH HARGA SATUAN TOTAL HARGA

1 MGS04 40% BOTOL 10 12,300.00 123,000.00
2 FENTANYL INJK AMP 10 63,000.00 630,000.00
3 SPUIT 20 CC PC 5 13,784.00 68,920.00
4 PISAU BLADE 511 BX 1 86,550.00 86,550.00
5 ASAM TRANEXAMAT INJK AMP 50 7,500.00 375,000.00
6 DOBUTAMIN INJK VIAL 10 76,000.00 760,000.00
7 KERTAS PUYER PAK 5 90,000.00 450,000.00
8 BLOOD TRANSFUSION PC 50 5,000.00 250,000.00
9 DARYANTULLE BX 1 206,000.00 206,000.00
10 SSIBITAL INJK AMP 10 12,870.00 128,700.00
11 LIDOCAIN COMP AMP 30 3,500.00 105,000.00
12 DEXA METHASONE INJK AMP 100 3,250.00 325,000.00
13 SPUIT 3 CC BX 5 99,500.00 497,500.00
14 CITICOLINE INJK AMP 10 9,400.00 94,000.00
15 RANITIDIN INJK AMP 50 2,900.00 145,000.00
16 SCABIMITE CREAM TUBE 4 29,000.00 116,000.00
17 GLIMEPIRIDE 2 MG BX 2 39,000.00 78,000.00
18 GLIMEPIRIDE 3 MG BX 2 73,000.00 146,000.00
19 GLIMEPIRIDE 4 MG BX 2 72,000.00 144,000.00
20 CITICOLINE INJK BX 10 47,000.00 470,000.00
21 RANITIDIN INJK BX 15 29,000.00 435,000.00
22 VIGEL 30 GR TUBE 2 16,000.00 32,000.00
23 BISOLVON SOLUTION BTL 1 86,000.00 86,000.00
24 OXYTOCIN INJK AMP 100 1,605.00 160,500.00
25 NURSE CAPS BX 1 198,000.00 198,000.00
26 NOVA T BX 1 360,000.00 360,000.00
27 FLADYSTIN OVULA BX 3 161,000.00 483,000.00
28 FLAGYSTATIN SUPP BX 1 194,000.00 194,000.00
29 BLOOD TRANSFUSION PC 50 5,040.00 252,000.00
30 POVIDONE IODINE BTL 2 68,000.00 136,000.00
31 HARNAL D PC 10 18,900.00 189,000.00
32 HARNAL D BX 3 456,000.00 1,368,000.00
33 MGS04 40% BTL 10 4,976.00 49,760.00
34 MASKER N95 PC 10 14,980.00 149,800.00
35 FLIXOTIDE BX 1 211,000.00 211,000.00
36 VENTOLIN NEB AMP 10 10,650.00 106,500.00
37 SIDIADRYL INK VIAL 10 6,500.00 65,000.00
38 FACE MASK BX 15 102,000.00 1,530,000.00
39 MGS04 40% BTL 10 12,300.00 123,000.00
40 FLIXOTIDE BX 5 211,000.00 1,055,000.00
41 VENTOLIN NEB BX 5 132,000.00 660,000.00
42 HARNAL D BX 3 456,000.00 1,368,000.00
43 NOVA T BX 1 347,000.00 347,000.00
44 MASKER BX 20 333,000.00 6,660,000.00
45 VITAMIN B6 BX 1 17,800.00 17,800.00
46 STESOLID RECTAL 10 MG TUBE 5 47,200.00 236,000.00
47 PROTERIN INJK AMP 10 31,800.00 318,000.00
48 MES NO.10 BX 1 100,000.00 100,000.00
49 NOVA T BX 1 360,000.00 360,000.00
50 PARACETAMOL INF BOTOL 24 30,000.00 720,000.00
51 FEROSFAT TAB BOTOL 6 76,000.00 456,000.00
52 SPUIT 3 CC BD BX 1 99,500.00 99,500.00
53 SPUIT 3 CC ONE MED BX 1 65,000.00 65,000.00
54 ETT NO.7 PC 2 39,797.00 79,594.00
55 FACE MASK BX 10 333,000.00 3,330,000.00
56 FACE MASK BX 10 333,000.00 3,330,000.00
57 FEROSFAT TAB BTL 7 76,000.00 532,000.00
58 ANTI HEMOROID SUPP 40 4,325.00 173,000.00
59 FENTANYL INJK AMP 10 63,000.00 630,000.00
60 DUROGESIC 25 PC 1 280,000.00 280,000.00
61 MASKER BX 5 100,000.00 500,000.00
62 RANITIDIN INJK AMP 70 2,900.00 203,000.00
63 DARYANTULLE BX 2 205,000.00 410,000.00
64 BLOOD TRANSFUSION PC 50 8,500.00 425,000.00
65 SPUIT 3 CC BX 1 65,300.00 65,300.00
66 SPUIT 5 CC BX 1 77,600.00 77,600.00
67 SPUIT 10 CC BX 1 93,200.00 93,200.00
68 IV CATHETER 20 BX 1 378,350.00 378,350.00
69 IV CATHETER 22 BX 1 378,450.00 378,450.00
70 OXYGEN MASK ADUL PC 10 33,029.00 330,290.00
71 RISPERIDONE TAB PC 90 1,801.00 162,090.00
72 XYLOCAIN GEL PC 2 136,207.00 272,414.00
73 INFARIX VIAL 10 652,000.00 6,520,000.00
74 HAVRIX VIAL 1 275,000.00 275,000.00
75 INFARIX VIAL 10 800,000.00 8,000,000.00
76 MAGNESIUM SULFATE 40% BTL 5 13,013.00 65,065.00
77 MATERAI 6000 PC 2 7,000.00 14,000.00
78 FENTANYL INJK AMP 15 62,934.00 944,010.00
79 PISAU BLADE 511 BX 1 85,800.00 85,800.00
80 PARACETAMOL INF BTL 20 40,000.00 800,000.00
81 PARACETAMOL INF BTL 14 40,000.00 560,000.00
82 INFUS SALIN 3% BTL 3 39,000.00 117,000.00
83 ETT NO.7 PC 3 39,797.00 119,391.00
84 MIKROFORE PC 6 42,000.00 252,000.00
85 ARKINE TAB PC 30 900.00 27,000.00
86 MIKROFORE PC 6 38,500.00 231,000.00
87 POVIDONE IODINE LTR 3 68,000.00 204,000.00
88 BLOOD TRANSFUSION PC 21 9,200.00 193,200.00
89 MASKER N95 BX 5 800,000.00 4,000,000.00
90 FACE MASK BX 50 120,000.00 6,000,000.00
91 ALKOHOL 100 ML BTL 100 4,200.00 420,000.00
92 NEUROSANBE INJK BX 10 70,000.00 700,000.00
 93 SPUIT 20 CC PC 15 13,686.00 205,290.00
94 DARYANTULLE BX 2 216,000.00 432,000.00
95 ZINKID SYR BTL 2 31,000.00 62,000.00
96 INTERZINC SYR BTL 2 48,000.00 96,000.00
97 NOVOTWIST BX 1 280,000.00 280,000.00
98 ALKOHOL SWABS BX 3 20,000.00 60,000.00
99 MATERAI 6000 PC 1 7,000.00 7,000.00
100 INFARIX PC 10 652,000.00 6,520,000.00
101 FLUQUADRI BX 1 927,000.00 927,000.00
102 HAVRIX BX 1 302,500.00 302,500.00
103 ALKOHOL 100 ML BTL 47 4,200.00 197,400.00
104 MATERAI 6000 LBR 2 7,000.00 14,000.00
105 MASKER N95 BX 3 1,000,000.00 3,000,000.00
106 BLOOD TRANSFUSION PC 50 8,000.00 400,000.00
107 TOMIT INJK AMP 5 64,800.00 324,000.00
108 MASKER N95 PC 10 40,000.00 400,000.00
109 SPUIT 20 CC PC 10 4,000.00 40,000.00
110 ALKOHOL SWABS BX 5 28,000.00 140,000.00
111 LANCET BX 5 16,000.00 80,000.00
112 IODINE POVIDONE 1 LITER BTL 1 68,000.00 68,000.00
113 SENSI GLOVE S BX 1 104,000.00 104,000.00
114 SPUIT 3 CC BX 3 65,000.00 195,000.00
115 PARACETAMOL INF BTL 24 60,000.00 1,440,000.00
116 DEXA METHASONE INJK BX 1 325,000.00 325,000.00
117 ALKOHOL 300 ML FLS 5 18,000.00 90,000.00
118 ALKOHOL 100 ML BTL 5 10,000.00 50,000.00
119 NIPRO 20 PC 50 10000 500,000.00
120 KETAMIN INJK VIAL 1 300000 300,000.00
121 SARUNG TANGAN 'S' BX 20 70000 1,400,000.00
122 SARUNG TANGAN 'M' BX 20 70000 1,400,000.00
123 ALKOHOL 100 ML BTL 50 10000 500,000.00
124 ALKOHOL SWABS BX 5 33000 165,000.00
125 MASKER SINAR OGAN BX 20 393700 7,874,000.00
126 SPINOCANT NO.20 PC 10 83050 830,500.00
127 PROTERIN INJK AMP 5 32000 160,000.00
93,855,974.00
DAFTAR PO CASH MARET 2020

NO DISTRIBUTOR NILAI
1 PT.AMS 5,106,860.00
2
3
4
5
6
 PBAL GUDANG BULAN APRIL 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 BECOM ZET TAB STREP 85 23,000.00 1,955,000.00
2 KASSA GULUNG ROLL 3 120,000.00 360,000.00
3 ALKOHOL SWABS BX 10 33,000.00 330,000.00
4 DEXA METHASONE INJK AMP 100 3,250.00 325,000.00
5 DARYANTULLE BX 2 204,000.00 408,000.00
6 MICROPORE PC 2 38,000.00 76,000.00
7 KASSA GULUNG ROLL 2 151,000.00 302,000.00
8 MATERAI LBR 4 7,000.00 28,000.00
9 INFARIX HEXA VIAL 10 652,000.00 6,520,000.00
10 FENTANYL INJK AMP 10 62,934.00 629,340.00
11 OTSU SALIN 3% BTL 3 39,886.00 119,658.00
12 SENSI GLOVE 'M' BOX 20 70,000.00 1,400,000.00
13 SENSI GLOVE 'S' BOX 18 70,000.00 1,260,000.00
14 GELANG TANGAN DEWASA BOX 3 115,000.00 345,000.00
15 ALTAMED 'S' B0X 5 68,000.00 340,000.00
16 ALTAMED 'M' BOX 5 68,000.00 340,000.00
17 DEXA METHASONE INJK AMP 7 2,857.00 19,999.00
18 SENSI GLOVE 'S' BOX 5 45,000.00 225,000.00
19 ALFAMED 'M' KTK 10 68,000.00 680,000.00
20 INFARIX HEXA PC 20 570,299.00 11,405,980.00
21 HANDSCON 'S' BOX 2 75,000.00 150,000.00
22 CUC PC 1 1,150,000.00 1,150,000.00
23 SURGICRYL 1 HR 48 1 1 1,224,800.00 1,224,800.00
24 CAT GUT PLAIN BOX 1 412,600.00 412,600.00
25 MISOTAB TAB BOX 2 390,000.00 780,000.00
26 SPUIT 10 CC PC 70 2,000.00 140,000.00
27 SPUIT 5 CC BOX 2 190,000.00 380,000.00
28 MICROPORE ROLL 6 46,200.00 277,200.00
29 BT PC 150 8,580.00 1,287,000.00
30 FEEDING TUBE NO.5 PC 5 29,840.00 149,200.00
31 NRM PC 10 26,950.00 269,500.00
32 ET NO.7 PC 10 29,260.00 292,600.00
33 OXIGEN MASK PC 10 11,550.00 115,500.00
34 KASSA GULUNG ROLL 2 148,900.00 297,800.00
35 SPUIT 10 CC PC 50 2,850.00 142,500.00
36 SPUIT 5 CC BX 1 225,000.00 225,000.00
37 SARUNG TANGAN NON STERIL BX 20 115,000.00 2,300,000.00
38 NOREPHINEFRIN INJK AMP 20 28,823.00 576,460.00
39 PARACETAMOL INFUS BTL 24 60,000.00 1,440,000.00
40 SALIN 3% BTL 3 39,666.00 118,998.00
41 DARYANTULLE BX 3 216,000.00 648,000.00
42 ASSEPTIK GEL BTL 3 551,666.00 1,654,998.00
43 BT PC 150 7,800.00 1,170,000.00
44 FEEDING TUBE NO.5 PC 5 26,800.00 134,000.00
45 NRM PC 10 24,500.00 245,000.00
46 ET NO.7 PC 10 26,600.00 266,000.00
47 OXIGEN MASK PC 10 10,500.00 105,000.00
48 SPUIT 5 CC BX 3 98,000.00 294,000.00
49 SPUIT 1 CC BX 3 85,000.00 255,000.00
50 XYLOCAIN GEL PC 5 71,000.00 355,000.00
51 MICROPORE ROLL 6 42,000.00 252,000.00
52 SURGICRYL 1 HR 40 BX 1 1,244,800.00 1,244,800.00
53 CAT GUT CHROMIC 2/0 BX 2 433,000.00 866,000.00
54 SPINOCANT 25 PC 10 67,500.00 675,000.00
55 SPINOCANT 26 PC 5 66,000.00 330,000.00
56 TOPI OPERASI BX 4 150,000.00 600,000.00
57 ALKOHOL SWABS BX 50 45,000.00 2,250,000.00
58 SPUIT 10 CC BX 1 150,000.00 150,000.00
59 MISOTAB TAB BX 1 390,000.00 390,000.00
60 T-VIO 1 ROUNDIED 48 PC 12 127,342.00 1,528,104.00
61 SPUIT 5 CC BX 1 225,000.00 225,000.00
62 BAJU DISPOSIBLE HOGY PC 3 431,000.00 1,293,000.00
63 BENG SURGICRYL BX 2 1,492,000.00 2,984,000.00
64 KASSA GULUNG ROLL 2 155,925.00 311,850.00
65 SILK 3/0 PC 10 10,000.00 100,000.00
66 SPUIT 10 CC BX 2 126,500.00 253,000.00
67 SPUIT 5 CC BX 2 83,950.00 167,900.00
68 HARNAL PC 15 17,786.67 266,800.05
69 HARNAL PC 15 17,786.67 266,800.05
70 HARNAL PC 10 17,810.00 178,100.00
71 SANSULIN LOG -G AMP 15 116,447.76 1,746,716.40
72 KASSA GULUNG ROLL 3 148,500.00 445,500.00
73 MICROPORE PC 3 15,833.00 47,499.00
74 NEUROSANBE INJK BX 1 64,000.00 64,000.00
75 SURGICRYL 1 HR 40 BX 1 1,224,000.00 1,224,000.00
76 DEXA METHASONE INJK BX 2 260,000.00 520,000.00
77 CALCIUM GLUCONAS INJK AMP 10 23,450.00 234,500.00
78 SARUNG TANGAN 'S' BX 7 135,000.00 945,000.00
79 ALKOHOL 70% BTL 10 70,000.00 700,000.00
80 SURGICRIL 1 HR 40 PC 1 1,224,000.00 1,224,000.00
81 KIT CASERIA PC 1 408,000.00 408,000.00
82 MASKER N95 PC 40 150,000.00 6,000,000.00
83 SPUIT 50 cc PC 5 33,980.00 169,900.00
84 FARGOXIN INJK AMP 5 57,200.00 286,000.00
85 SELANG O2 DEWAS PC 7 18,700.00 130,900.00
86 MICROPORE PC 6 42,000.00 252,000.00
87 BLESIFEN TAB BX 3 298,000.00 894,000.00
88 LANCET ISI 100 BX 2 16,250.00 32,500.00
89 URINE BAG PC 15 5,500.00 82,500.00
90 INVICLOT INJK VIAL 5 104,000.00 520,000.00
91 SPUIT 5 CC BX 3 98,000.00 294,000.00
92 SPUIT 1 CC BX 3 83,000.00 249,000.00
 93 VENTOLIN NEB BX 1 213,000.00 213,000.00
94 DARYANTULLE BX 1 204,000.00 204,000.00
95 INVICLOT INJK VIAL 10 94,380.00 943,800.00
96 VAKSIN INFARIX VIAL 10 652,000.00 6,520,000.00
97 CETADOF VIAL 30 16,000.00 480,000.00
98 SPUIT 50 cc PC 7 18,085.00 126,595.00
122 PARACETAMOL INFUS BTL 10 30000 300,000.00
123 KCL BTL 3 12000 36,000.00
124 OTSU SALIN 3% BTL 5 40000 200,000.00
125 KASSA GULUNG ROLL 1 148500 148,500.00
126 NOREPHINEFRIN INJK AMP 10 18018 180,180.00
127 ENDROLIN 375 MG VIAL 1 1985000 1,985,000.00
128 ENDROLIN 375 MG VIAL 1 1985000 1,985,000.00
129 MASKER N95 BX 2 1700000 3,400,000.00
130 PARACETAMOL INFUS BOTOL 10 30000 300,000.00
131 KCL VIAL 3 12000 36,000.00
132 SALIN 3% BTL 5 40000 200,000.00
133 KASSA GULUNG ROLL 1 148500 148,500.00
134 SPUIT 50 cc PC 7 176900 1,238,300.00
93,372,377.50
DAFTAR PO CASH APRIL 2020

NO DISTRIBUTOR NILAI
1 PT.APL 20,000,000.00
2 PT, KF 24,390,328.00
3 PT.AMS 2,749,560.00
4 PT.TEMPO 3,541,700.00
5 PT.ENSSEVAL 5,435,094.00
6 PT.ENSSEVAL 2,910,600.00
7 PT.AMS 6,600,000.00
8 PT.INTI SUMBER HASIL SEMPURNA 8,000,000.00
9 PT.AMS 4,756,125.00
10 PT.TEMPO 3,066,600.00
11 PT.APL 37,372,326.00
12 PT.MULTI MITRA BIOTECH 1,180,080.00
13 PT.MBS 2,748,702.00
 PBAL GUDANG BULAN MEI 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 ENDROLIN 3,75MG VIAL 15 631,350.00 9,470,250.00
2 WATER STERIL 25ML BOTOL 48 9,065.00 435,120.00
3 PROTERIN INJK AMP 15 32,000.00 480,000.00
4 MISOTAB TAB PC 100 7,800.00 780,000.00
5 INVICLOT INJK VIAL 10 94,380.00 943,800.00
6 INVICLOT INJK VIAL 5 104,000.00 520,000.00
7 KTM VIAL 1 280,000.00 280,000.00
8 AZITROMICIN INJK VIAL 3 190,000.00 570,000.00
9 MGSO4 40% BOTOL 10 13,500.00 135,000.00
10 DEXA INJK AMP 200 3,500.00 700,000.00
11 KAEN 1B BOTOL 4 30,437.00 121,748.00
12 WATER STERIL 25ML BOTOL 12 8,412.00 100,944.00
13 D40% BOTOL 10 13,650.00 136,500.00
14 KTM INJK VIAL 1 280,000.00 280,000.00
15 WATER STERIL 25ML VIAL 50 9,000.00 450,000.00
16 D40% BOTOL 24 13,000.00 312,000.00
17 FORTANEST INJK AMP 5 24,400.00 122,000.00
18 MICROPORE 2 INCE ROLL 6 46,200.00 277,200.00
19 MICROPORE 0,5 INCE ROLL 24 13,550.00 325,200.00
20 SPUIT 20CC PC 5 4,350.00 21,750.00
21 TOPI LAB NURSE CAP PC 200 1,984.00 396,800.00
22 KAEN 1B BOTOL 7 14,142.00 98,994.00
23 D40% BOTOL 18 13,000.00 234,000.00
24 BD MICROFINE PC 100 2,850.00 285,000.00
25 MICAEDIS 40 PC 10 19,400.00 194,000.00
26 KIT CASERIA PC 3 408,000.00 1,224,000.00
27 SPUIT 20CC PC 13 4,350.00 56,550.00
28 KASSA ROLL BESAR ROLL 2 100,000.00 200,000.00
29 AZITROMICIN INJK VIAL 6 190,000.00 1,140,000.00
30 KTM VIAL 1 297,400.00 297,400.00
31 KASSA ROLL BESAR ROLL 3 120,000.00 360,000.00
32 FERFUSOR PC 10 65,000.00 650,000.00
33 SANSULIN PC 30 109,135.00 3,274,050.00
34 ATEVIR BX 1 1,249,500.00 1,249,500.00
35 SARUNG TANGAN 'S' BX 10 135,000.00 1,350,000.00
36 SARUNG TANGAN 'M' BX 10 135,000.00 1,350,000.00
37 MICROPURE PC 6 42,000.00 252,000.00
38 VAKSIN INFANRIX PC 10 652,000.00 6,520,000.00
39 URINE BAG PC 60 7,000.00 420,000.00
40 VASSELIN SWABS PC 10 11,000.00 110,000.00
41 MESS NO.510 PC 74 1,000.00 74,000.00
42 OXYTOCIN INJK AMP 30 3616 108,480.00
43 PHENYTOIN CAPS PC 200 670 134,000.00
44 THYROZOL 10 MG PC 100 2430 243,000.00
45 VASELIN SWABS PC 30 11000 330,000.00
46 TRIACINON AMP 30 6500 195,000.00
47 KASSA ROLL BESAR ROLL 1 151000 151,000.00
48 LOMATULLE BX 1 128000 128,000.00
49 FOLLEY CATHETER 18 PC 10 9000 90,000.00
50 SPUIT 20CC PC 10 13709 137,090.00
51 DARYANTULLE PC 10 24785 247,850.00
52 SUCTION CATHETER NO.8 PC 4 10000 40,000.00
53 KASSA ROLL BESAR PC 1 151000 151,000.00
54 SPUIT 20CC PC 41 50000 2,050,000.00
55 BORAGINOL N SUPP BX 1 136000 136,000.00
56 TRIACINON AMP 10 6500 65,000.00
57 KASSA ROLL BESAR ROLL 2 120000 240,000.00
58 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
59 CATETHER 16 PC 2 19500 39,000.00
60 O2 DEWASA PC 5 11000 55,000.00
61 KASSA ROLL BESAR ROLL 10 90000 900,000.00
62 OXYTOCIN INJK AMP 250 4000 1,000,000.00
63 OXYTOCIN INJK AMP 250 4000 1,000,000.00
64 KCL BTL 6 11666 69,996.00
65 STESOLID RECTAL 10 MG PC 4 32857 131,428.00
66 STESOLID RECTAL 5 MG PC 4 47323 189,292.00
67 PLASBUMIN 25 % BOTOL 1 849500 849,500.00
68 KASSA ROLL BESAR ROLL 2 148900 297,800.00
46,526,242.00
 PBAL GUDANG BULAN JUNI 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 METHYL ERGOMETRIN INJK AMP 30 4,531.00 135,930.00
2 SARUNG TANGAN 'S' BX 5 135,000.00 675,000.00
3 SARUNG TANGAN 'M' BX 5 135,000.00 675,000.00
4 MICROPORE 1 INCI BX 1 252,000.00 252,000.00
5 SARUNG TANGAN 'M' BX 10 135,000.00 1,350,000.00
6 CATHETER NO.18 PC 10 9,000.00 90,000.00
7 SENSI GLOVE 'M' BX 4 135,000.00 540,000.00
8 SENSI GLOVE 'M' BX 4 135,000.00 540,000.00
9 SENSI GLOVE 'S' BX 3 135,000.00 405,000.00
10 MICROPORE 2 INCI ROLL 2 46,200.00 92,400.00
11 MICROPORE AXIMED ROLL 4 46,200.00 184,800.00
12 SELANG O2 DEWASA PC 10 10,500.00 105,000.00
13 CATHETER NO.18 PC 4 21,000.00 84,000.00
14 SPUIT 20 CC PC 50 4,500.00 225,000.00
15 SUCTION CATHETER NO.8 PC 2 10,000.00 20,000.00
16 VAKSIN INFANRIX VIAL 10 652,000.00 6,520,000.00
17 SUCTION CATHETER NO.8 PC 50 10,000.00 500,000.00
18 KAEN 3A BTL 9 29,366.00 264,294.00
19 HUMAN ALBUMIN BTL 1 640,000.00 640,000.00
20 DUROGESIC 25 PC 1 303,000.00 303,000.00
21 FORTANEST INJK AMP 10 25,000.00 250,000.00
22 FUROSEMIDE INJK AMP 40 3,000.00 120,000.00
23 FOLLEY CATHETER NO.18 PC 20 9,000.00 180,000.00
24 CENDO SILOXAN BTL 1 71,000.00 71,000.00
25 ATROPIN INJK AMP 138 3,500.00 483,000.00
26 METHYL ERGOMETRIN INJK AMP 100 5,010.00 501,000.00
27 HUMAN ALBUMIN BTL 1 591,000.00 591,000.00
28 KCL BTL 9 11,500.00 103,500.00
29 CALCII GLUCONAS INJK AMP 9 34,000.00 306,000.00
30 SYMBICORT 80/4,5 BTL 1 240,000.00 240,000.00
31 XILOCAIN JELLY PC 3 71,000.00 213,000.00
32 LOMATULLE BX 3 134,000.00 402,000.00
33 WATER INJK BTL 49 7,960.00 390,040.00
34 OXYTOCIN INJK AMP 200 4,000.00 800,000.00
35 SPUIT 20 CC PC 15 25,206.00 378,090.00
36 DACLON 10/0 BX 1 3,158,000.00 3,158,000.00
37 SURGICRIL 1 HR 40 BX 1 1,224,800.00 1,224,800.00
38 KAPAS 1 KG PC 1 67,300.00 67,300.00
39 FUROSEMIDE INJK AMP 10 3,000.00 30,000.00
40 MIKROPORE 2 INCI ROLL 12 46,200.00 554,400.00
41 SPUIT 3 CC ONE MED BX 5 68,500.00 342,500.00
42 SPUIT 3 CC BD BX 5 116500 582,500.00
43 SERETIDE DISCUS BH 12 154426 1,853,112.00
44 SYMBICORT 80/4,5 BH 12 154426 1,853,112.00
45 VENTOLIN INHALLER BH 2 172752 345,504.00
46 SANKORBIN INJK AMP 10 32820 328,200.00
47 XILOCAIN JELLY PC 5 71000 355,000.00
48 SPUIT 20 CC PC 100 4500 450,000.00
49 PAD ELEKTRODA PC 60 5500 330,000.00
50 PREKUSOR PC 10 64350 643,500.00
51 PRONALGES SUPP SUPP 4 16500 66,000.00
52 KETRICIN SALEP TB 2 53000 106,000.00
53 KASSA ROLL GULUNG ROLL 2 100000 200,000.00
54 MESS NO.10 PC 100 1000 100,000.00
55 LANCET ISI 100 BX 3 16000 48,000.00
56 KIT UNIVERSAL SET 2 431035 862,070.00
57 FORTANEST 25MG/ML AMP 14 62920 880,880.00
58 FORTANEST 5MG/ML AMP 12 24310 291,720.00
59 ENDROLIN INJK VIAL 15 631350 9,470,250.00
60 KASSA ROLL GULUNG ROLL 3 120000 360,000.00
61 MIKROPORE 2 INCI PC 6 38000 228,000.00
62 HYPAPIX KTK 5 67000 335,000.00
63 EFEDRIN INJK AMP 6 72083 432,498.00
64 FUROSEMIDE INJK AMP 11 5300 58,300.00
65 FOLLEY CATHETER NO.18 PC 6 9000 54,000.00
66 HYPAPIX KTK 3 67000 201,000.00
67 BORAGINOL N SUPP BOX 2 136000 272,000.00
68 THYROZOL 10 MG BOX 2 243000 486,000.00
69 KCL BTL 12 11869 142,428.00
70 MICROPORE ROLL 6 46200 277,200.00
71 ONE MED TWST BOX 1 60000 60,000.00
72 SPUIT 20 CC PC 200 1650 330,000.00
73 SELANG O2 DEWASA PC 30 7590 227,700.00
74 LMA 3 PC 10 180895 1,808,950.00
75 LMA 2,5 PC 5 180895 904,475.00
76 LMA 2 PC 10 180895 1,808,950.00
77 AMBU LMA AURA PC 4 395900 1,583,600.00
78 OFERLOD TAB PC 100 21450 2,145,000.00
79 CAIRAN FORMALIN BTL 5 280000 1,400,000.00
80 SARUNG TANGAN 'M' BX 5 135000 675,000.00
81 SARUNG TANGAN 'S' BX 1 135000 135,000.00
82 HYSTOLAN TAB PC 50 5200 260,000.00
83 DULCOLAX SUPP 5 MG SUPP 12 24000 288,000.00
84 OMEPRAZOLE CAPS CAPS 600 360 216,000.00
85 GALVUSMET CAPS 60 8433 505,980.00
86 APIALYS DROP BOTOL 3 46000 138,000.00
87 HCT PC 500 210 105,000.00
88 SUCRALFATE SYR BTL 5 16000 80,000.00
89 ATEVIR BX 1 1242500 1,242,500.00
90 LOMATULLE BX 1 172500 172,500.00
91 FOLLEY CATHETER NO.18 PC 2 21000 42,000.00
92 OSELTAMIVIR CAPS CAPS 30 18590 557,700.00
93 ABBOCAT NO.20 PC 8 16000 128,000.00
94 SIDIADRYL INJK VIAL 5 6500 32,500.00
95 SURFLO 20 PC 20 8000 160,000.00
96 CERTOFIX TRIO 720 PC 1 1500000 1,500,000.00
97 ATEVIR BOX 3 1242500 3,727,500.00
98 LOMATULLE BOX 1 172500 172,500.00
99 KASSA ROLL GULUNG ROLL 3 100000 300,000.00
100 KASSA ROLL GULUNG ROLL 3 100000 300,000.00
101 OMEPRAZOLE CAPS BX 10 15000 150,000.00
102 METRONIDAZOLE INFS BTL 1 10000 10,000.00
103 XEPAGEL TUBE 1 155000 155,000.00
104 SURFLO 22 PC 16 7500 120,000.00
105 THREE WAY PC 5 10000 50,000.00
106 METRONIDAZOLE INFS BOTOL 5 20000 100,000.00
107 METRONIDAZOLE INFS BOTOL 10 28700 287,000.00
108 METRONIDAZOLE INFS BOTOL 6 26000 156,000.00
109 ALBUMINAR 20% 50 ML BOTOL 1 476125 476,125.00
110 STESOLID 10 MG PC 5 47800 239,000.00
111 STESOLID 5 MG PC 5 32220 161,100.00
112 EPHEDRINE INJK AMP 10 70800 708,000.00
113 KASSA ROLL GULUNG ROLL 2 120000 240,000.00
114 DARYANTULLE BX 2 216000 432,000.00
115 FEROSFAT BTL 9 75000 675,000.00
116 FORMOM BX 2 250000 500,000.00
117 SPUID 3 CC BD BX 2 116500 233,000.00
118 SPUID 3 CC FEMITA BX 1 64900 64,900.00
119 KASSA ROLL GULUNG ROLL 3 100000 300,000.00
120 FEROSFAT TUBE 50 76825 3,841,250.00
75,524,558.00
 PBAL GUDANG BULAN JULI 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 METRONIDAZOLE INF BOTOL 10 50,000.00 500,000.00
2 PISAU BLADE NO.510 BX 1 86,600.00 86,600.00
3 KASSA ROLL BESAR ROLL 3 100,000.00 300,000.00
4 MES NO.510 BX 1 100,000.00 100,000.00
5 LOMATULLE BX 2 134,000.00 268,000.00
6 KASSA ROLL BESAR ROLL 3 120,000.00 360,000.00
7 SILK 2/0 PC 10 10,000.00 100,000.00
8 STESOLID 5 MG PC 5 32,820.00 164,100.00
9 STESOLID 10 MG TB 10 49,000.00 490,000.00
10 KETEROLAC INJK BX 7 20,000.00 140,000.00
11 PRONALGES SUPP SUPP 18 16,500.00 297,000.00
12 METRONIDAZOLE INF BOTOL 14 32,000.00 448,000.00
13 KETEROLAC INJK AMPUL 15 6,106.00 91,590.00
14 HYPAFIX PC 1 122,750.00 122,750.00
15 STIK EASY TOUC ASAM URAT BX 1 95,500.00 95,500.00
16 STIK CHOLESTEROL BX 2 168,000.00 336,000.00
17 GARDASIL BX 9 814,777.00 7,332,993.00
18 ABBOCATH NO.22 BX 1 250,000.00 250,000.00
19 METRONIDAZOLE INF PC 8 8,000.00 64,000.00
20 DESOXIMETASON CREAM TUBE 5 16,940.00 84,700.00
21 FUROSEMIDE INJK BOX 2 86,500.00 173,000.00
22 INFARIX HEXA VIAL 10 652,000.00 6,520,000.00
23 KASSA ROLL BESAR ROLL 3 120,000.00 360,000.00
24 STRIP CHOLESTEROL BTL 3 180,000.00 540,000.00
25 STRIP ASAM URAT BTL 1 95,000.00 95,000.00
26 MANITOL INF BX 3 121,407.00 364,221.00
27 HEMAPO BX 2 110,000.00 220,000.00
28 BORAGINOL S SUPP BX 2 158,000.00 316,000.00
29 EASY TOUCH CHOLESTEROL BX 2 175,000.00 350,000.00
30 KASSA ROLL BESAR ROLL 4 148,687.00 594,748.00
31 SPUIT 3 ML PC 41 4,088.00 167,608.00
32 TAPROS VIAL 1 770,000.00 770,000.00
33 CHOLESTEROL STICK BX 3 175,000.00 525,000.00
34 ASAM URAT BX 2 87,500.00 175,000.00
35 MATERAI PC 2 7,000.00 14,000.00
36 MANITOL INF BOTOL 2 85,000.00 170,000.00
37 KASSA ROLL BESAR ROLL 3 100,000.00 300,000.00
38 SPUIT 3 ML BX 3 116,500.00 349,500.00
39 SILK 2/0 PC 10 10,000.00 100,000.00
40 CHOLESTEROL STICK BX 3 168,000.00 504,000.00
41 ASAM URAT BX 1 95,500.00 95,500.00
42 SPUIT 3 ML BX 3 116500 349,500.00
43 TRIACINON INJK AMPUL 50 6750 337,500.00
44 ABBOCATH NO.20 PC 10 16000 160,000.00
45 ABBOCATH NO.20 PC 30 5000 150,000.00
46 PROTERIN INJK AMPUL 10 21750 217,500.00
47 SARUNG TANGAN BOX 10 135000 1,350,000.00
48 SPUIT 3 ML BX 2 85000 170,000.00
49 GLIMEPIRID 4 MG BX 7 126000 882,000.00
50 LASAL EXPECTORAN BTL 3 43000 129,000.00
51 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
52 KASSA ROLL BESAR PC 2 100000 200,000.00
53 SIDIADRYL INJK VIAL 10 6500 65,000.00
54 HYPAFIX PC 1 132300 132,300.00
55 CAT GUT PLAIN 20 PC 10 9000 90,000.00
56 CAT GUT PLAIN 20 HR 37 BX 3 433000 1,299,000.00
57 CETADOP INK VIAL 5 13500 67,500.00
58 MASKER N95 PC 60 176000 10,560,000.00
59 INFUS WIDA D1/2 NS1/2 BOTOL 1 19292 19,292.00
60 ABBOCATH 26 PC 5 31620 158,100.00
61 MISOTAB TAB BX 2 385000 770,000.00
62 FRAMYCETINE BX 1 108500 108,500.00
63 ULTRAFIX BX 2 23700 47,400.00
64 KETEROLAC INJK AMPUL 100 2800 280,000.00
65 SIBITAL INJK AMPUL 10 15850 158,500.00
66 AUTOCHECK KOLESTEROL BTL 1 193600 193,600.00
67 CLONIDINE TAB BX 1 22600 22,600.00
68 IODINE POVIDONE LTR 2 80000 160,000.00
69 SARUNG TANGAN 'M' BX 10 135000 1,350,000.00
70 STRIP EASY TOUCH KOLESTEROL BTL 2 180000 360,000.00
71 ASAM URAT BTL 1 95000 95,000.00
72 SPUIT 3 ML BX 3 85000 255,000.00
73 ASAM URAT BTL 1 95000 95,000.00
74 KOLESTEROL BTL 2 180000 360,000.00
75 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
76 KOLESTEROL POT 2 168000 336,000.00
77 ASAM URAT POT 1 95500 95,500.00
78 KASSA ROLL BESAR PC 3 100000 300,000.00
79 DISPOSIBLE APRON BX 50 6000 300,000.00
80 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
81 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
82 KASSA ROLL BESAR ROLL 3 120000 360,000.00
83 ALTAMED 'M' BX 10 81000 810,000.00
84 ULTRAFIX KTK 5 23700 118,500.00
85 ABBOCATH 22 PC 20 5000 100,000.00
86 ABBOCATH 20 PC 20 5000 100,000.00
87 ALBUMIN 20% PC 1 636000 636,000.00
88 ALTAMED 'M' BX 10 81000 810,000.00
89 ALTAMED 'S' BX 20 90000 1,800,000.00
90 SILK 3/0 PC 5 10000 50,000.00
91 3WAY PC 5 10000 50,000.00
92 SPUIT 3 ML PC 500 770 385,000.00
93 NGT 16 PC 5 12000 60,000.00
94 SPUIT 3 ML PC 500 770 385,000.00
95 KASSA ROLL BESAR PC 3 100000 300,000.00
96 GAMMEX 6,5 PC 50 18000 900,000.00
97 GELANG TANGAN ANAK BX 1 100000 100,000.00
98 NGT 16 PC 5 12000 60,000.00
99 ABBOCATH 22 PC 10 5000 50,000.00
100 FUROSEMIDE INJK AMPUL 2 86500 173,000.00
101 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
102 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
103 FRAMYCETINE BX 1 112000 112,000.00
104 FASORBID INJK VIAL 8 90125 721,000.00
105 KASSA ROLL BESAR ROLL 3 120000 360,000.00
106 SARUNG TANGAN 'M' BX 4 100000 400,000.00
107 SURFLO 20 PC 8 8000 64,000.00
108 IODINE POVIDONE BTL 10 6350 63,500.00
109 ULTRAFIX PC 5 13600 68,000.00
110 DERMAFIX PC 5 22000 110,000.00
111 SENSI GLOVE 'M' KTK 1 100000 100,000.00
112 SENSI GLOVE 'S' KTK 6 100000 600,000.00
113 ATTAMED GLOVE 'L' BOX 1 81000 81,000.00
114 ATTAMED GLOVE 'M' BOX 7 81000 567,000.00
115 MEDICARE GLOVE 'M' BX 3 96000 288,000.00
116 GUEDEL NO.3 PC 5 94396 471,980.00
117 CEDOCARD INJK AMPUL 9 112777 1,014,993.00
118 MEDICARE GLOVE 'M' BX 10 96000 960,000.00
119 3 WAY PC 50 7000 350,000.00
120 FRAMYCETINE BX 1 112000 112,000.00
121 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
122 IODINE POVIDONE BTL 10 6350 63,500.00
123 FUROSEMIDE INJK AMPUL 75 3460 259,500.00
124 ABBOCATH NO.20 PC 5 5000 25,000.00
125 ABBOCATH NO.22 PC 2 5000 10,000.00
126 ABBOCATH NO.20 PC 12 16000 192,000.00
127 ABBOCATH NO.22 PC 7 16000 112,000.00
128 ABBOCATH NO.26 PC 5 20000 100,000.00
129 SURFLO 20 PC 12 8000 96,000.00
130 SURFLO 22 PC 10 8000 80,000.00
131 KASSA ROLL BESAR ROLL 3 100000 300,000.00
132 LANCET ISI 100 KTK 5 16000 80,000.00
133 FRAMYCETINE BX 2 112000 224,000.00
134 BURNAZIM SALEP TB 3 65000 195,000.00
135 SARUNG TANGAN 'S' BX 10 135000 1,350,000.00
136 SPUIT 3 ML BX 5 85000 425,000.00
137 SPUIT 3 ML BX 5 85000 425,000.00
138 SARUNG TANGAN 'S' BX 17 135000 2,295,000.00
139 SENSI GLOVE 'M' BX 10 66000 660,000.00
75,991,575.00
DAFTAR PO CASH JULI 2020

NO DISTRIBUTOR NILAI
1 IGM 9,692,672.00 OBAT
2 RESINDO 6,960,000.00 RAPID TEST
3 AMS 19,050,759.00 OBAT
4 TEMPO 7,794,225.00 OBAT
5 SABA 8,322,600.00 RAPID TEST
6 APL 17,329,136.00 OBAT
7 ENSEVAL 10,527,000.00 ENDROLIN
8 IGM 19,907,100.00 MASKER
99,583,492.00
OBAT 53,866,792.00

MASKER N95 10,560,000.00

VAKSIN GARDASIL 7,290,000.00
VAKSIN INFARIX HEXA 6,520,000.00
MCU 3,500,000.00
MCU 4,000,000.00
DAFTAR UMD BLN JULI
NO TANGGAL JUMLAH
1 1 JULI 2020 3,000,000.00
2 DILUAR JAM DINAS DEPO 1,000,000.00
3 2 JULI 2020 3,000,000.00
4 3 JULI 2020 3,000,000.00
5 DILUAR JAM DINAS DEPO 300,000.00
6 6 JULI 2020 3,000,000.00
7 7 JULI 2020 7,000,000.00
8 8 JULI 2020 3,000,000.00
9 9 JULI 2020 1,500,000.00
10 10 JULI 2020 3,000,000.00
11 13 JULI 2020 3,000,000.00
12 DILUAR JAM DINAS KAMAR OBAT 1,500,000.00
13 14 JULI DILUAR JAM DINAS DEPO 900,000.00
14 15 juli 2020 2,000,000.00
15 16 juli 2020 2,000,000.00
16 DILUAR JAM DINAS DEPO 300,000.00
17 21 JULI 20 DILUAR JAM DINAS DEPO 1,600,000.00
18 DILUAR JAM DINAS DEPO 2,000,000.00
19 DILUAR JAM DINAS KAMAR OBAT 1,500,000.00
20 22 JULI DILUAR JAM DINAS DEPO 700,000.00
21 23 juli 2020 3,000,000.00
22 DILUAR JAM DINAS DEPO 1,500,000.00
23 DILUAR JAM DINAS DEPO 500,000.00
24 DILUAR JAM DINAS KAMAR OBAT 1,000,000.00
25 24 JULI 2020 3,000,000.00
26 BON SEMENTARA DEPO 3,000,000.00
27 27 juli 2020 5,000,000.00
28 28 juli 2020 5,000,000.00
29 BON SEMENTARA DEPO 2,500,000.00
30 BON SEMENTARA KAMAR OBAT 2,000,000.00
DAFTAR PO CASH AGUSTUS 2020

NO DISTRIBUTOR NILAI
1 PT. SETIA ANUGRAH MEDIKA 18,000,000.00
2 PT. SETIA ANUGRAH MEDIKA 22,500,000.00
3 PT.BAKTI TIMAH SOLUSI MEDIKA 18,750,000.00
4 PT.TEMPO 8,570,500.00
5 PT.IGM 2,565,684.00
6 PT.KIMIA FARMA 8,934,299.00
7 PT.BAKTI TIMAH SOLUSI MEDIKA 37,500,000.00
8 PT.SETIA ANUGRAH MEDIKA 37,500,000.00
9 PT.BAKTI TIMAH SOLUSI MEDIKA 37,500,000.00
10 PT.APL 39,175,958.00
11 PT.AMS 9,496,771.00
12 PT.AMS 14,725,133.00
13 PT.IGM 2,600,000.00
14 PT.IGM 2,295,000.00
15 PT.BAKTI TIMAH SOLUSI MEDIKA 1,650,000.00
261,763,345.00
 PBAL GUDANG BULAN AGUSTUS 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 ETT PC 1 268,000.00 268,000.00
2 FRAMYCETINE BX 3 112,000.00 336,000.00
3 SURFLO NO.20 PC 50 7,000.00 350,000.00
4 SURFLO NO.22 PC 50 7,000.00 350,000.00
5 TOPI LAB PC 231 1,983.55 458,200.05
6 IODINE 60 ML BTL 10 7,000.00 70,000.00
7 ULTRAFIX PC 2 13,600.00 27,200.00
8 3 WAY PC 10 9,000.00 90,000.00
9 BLOOD TRANSFUSION PC 15 8,000.00 120,000.00
10 MESS 510 PC 183 1,500.00 274,500.00
11 FUROSEMIDE INJK BX 2 86,500.00 173,000.00
12 NICARDIPIN INJK BX 1 108,000.00 108,000.00
13 PIRACETAM INJK AMP 3 13,466.00 40,398.00
14 KIT CASERIA PACTH 1 490,000.00 490,000.00
15 POLYPROPYLENE BX 1 1,374,120.00 1,374,120.00
16 3 WAY PC 2 37,650.00 75,300.00
17 BLOOD TRANSFUSION PC 30 6,000.00 180,000.00
18 ABBOCATH 20 PC 5 16,000.00 80,000.00
19 KETOROLAC INJK AMP 20 16,000.00 320,000.00
20 IODINE 60 ML BTL 5 7,000.00 35,000.00
21 FRAMYCETINE BX 1 112,000.00 112,000.00
22 OMEPRAZOLE CAPSUL BX 4 12,000.00 48,000.00
23 LANSOPRAZOLE CAPS BX 6 67,000.00 402,000.00
24 FRAMYCETINE PC 20 11,200.00 224,000.00
25 HYPAFIX 10 CM X 5 M PC 1 132,300.00 132,300.00
26 POVIDONE IODINE BTL 10 9,250.00 92,500.00
27 HYPAFIX 10 CM X 5 M PC 1 132,300.00 132,300.00
28 PIRACETAM 3 GR AMP 3 225,000.00 675,000.00
29 IODINE 300 MG BTL 10 24,000.00 240,000.00
30 ULTRAFIX PC 3 23,100.00 69,300.00
31 3 WAY PC 80 9,000.00 720,000.00
32 CANDESARTAN 16 PC 450 1,227.00 552,150.00
33 CLOPIDOGREL PC 450 1,826.12 821,754.00
34 BISOPROLOL 5 MG PC 450 340.12 153,054.00
35 AMIODARINE INJK AMP 1 38,000.00 38,000.00
36 AMIODARINE INJK AMP 30 11,310.11 339,303.30
37 CANDESARTAN 16 BX 10 129,000.00 1,290,000.00
38 CLOPIDOGREL BX 10 84,000.00 840,000.00
39 SURFLO NO.20 GEA PC 50 7,000.00 350,000.00
40 SURFLO NO.22 GEA PC 50 7,000.00 350,000.00
41 FORMOM BX 9 232,000.00 2,088,000.00
42 BLESIPEN TAB BX 1 304,000.00 304,000.00
43 PIRACETAM INJK AMP 9 13,400.00 120,600.00
44 3WAY PC 4 37,475.00 149,900.00
45 FRAMYCETINE BX 1 108,500.00 108,500.00
46 FOLAVIT TAB BX 3 109,000.00 327,000.00
137 ULTRAFIX BX 3 23,100.00 69,300.00
138 SURFLO NO.20 PC 50 7,000.00 350,000.00
139 BLOOD TRANSFUSION PC 50 7,000.00 350,000.00
140 MICROPORE 2 IN BX 1 288,000.00 288,000.00
141 ALKOHOL 300 ML BTL 2 17,000.00 34,000.00
142 NGT NO.16 PC 5 12,000.00 60,000.00
143 FRAMYCETINE BX 1 112,000.00 112,000.00
144 TEST HEPATITIS BX 3 280,000.00 840,000.00
145 GUEDEL NO.3 PC 5 25,000.00 125,000.00
146 FORMALIN 10 LITER 1 1 2,250,000.00 2,250,000.00
147 SURFLO NO.22 PC 20 7,000.00 140,000.00
148 SURFLO NO.26 GEA PC 50 7,000.00 350,000.00
149 MICROPORE 2 IN PC 6 46,200.00 277,200.00
150 STRIP EASY TOUCH POT 6 95,500.00 573,000.00
151 STRIP EASY KOLESTEROL POT 5 168,000.00 840,000.00
152 PIRACETAM 3 GR AMP 4 13,400.00 53,600.00
153 SPUIT 3CC PC 100 1,160.00 116,000.00
154 SPUIT 3CC PC 300 770.00 231,000.00
155 LANCET ISI 100 KTK 6 16,000.00 96,000.00
156 EASY TOUCH KOLESTEROL BTL 5 180,000.00 900,000.00
157 FOLLEY CATHETER NO.16 PC 5 15,000.00 75,000.00
158 ABBOCATH 20 PC 30 5,000.00 150,000.00
158 3WAY PC 100 9,000.00 900,000.00
159 PIRACETAM 3 GR AMP 6 27,500.00 165,000.00
160 NURSE CAP PC 100 1,988.00 198,800.00
161 POVIDONE IODINE BTL 2 68,000.00 136,000.00
162 MESS NO.11 PC 100 1,500.00 150,000.00
163 ABBOCATH NO.22 BX 1 250,000.00 250,000.00
164 ABBOCATH NO.20 BX 1 250,000.00 250,000.00
165 MICROPORE BESAR PC 6 38,000.00 228,000.00
166 ALTAMED GLOVE M BX 5 104,200.00 521,000.00
167 ALTAMED GLOVE S BX 5 104,200.00 521,000.00
168 CENDO XITROL TB 3 38,500.00 115,500.00
169 SPUIT 3CC PC 200 770.00 154,000.00
170 SENSI GLOVE S BX 10 110,000.00 1,100,000.00
171 SENSI GLOVE S KTK 10 110,000.00 1,100,000.00
172 SPUIT 3CC PC 200 770.00 154,000.00
173 CENDO XITROL TB 3 38,500.00 115,500.00
174 SENSI GLOVE S KTK 10 110,000.00 1,100,000.00
175 FRAMYCETINE BX 2 108,500.00 217,000.00
176 ULTRAFIX PC 3 23,100.00 69,300.00
177 ABBOCATH NO.22 BX 1 250,000.00 250,000.00
178 ABBOCATH NO.20 PC 20 5,000.00 100,000.00
179 POVIDONE IODINE BTL 10 9,250.00 92,500.00
180 FORTANEST 5 MG/ML AMP 10 63,000.00 630,000.00
181 APRON PLASTIK BX 1 300,000.00 300,000.00
182 SARUNG TANGAN NON STERIL BX 40 115,500.00 4,620,000.00
183 BAJU GYNOCOLOGY PC 4 741.13 2,964.50
184 IODINE 300 ML BTL 15 24,000.00 360,000.00
185 SARUNG TANGAN 'S' BX 10 110,000.00 1,100,000.00
186 SARUNG TANGAN 'M' BX 10 115,000.00 1,150,000.00
187 SPUIT 3CC PC 500 770.00 385,000.00
188 BLOOD TRANSFUSION PC 50 9,000.00 450,000.00
189 ABBOCATH NO.24 PC 10 16,000.00 160,000.00
190 SARUNG TANGN 'M' BX 5 115,000.00 575,000.00
191 KIT CASERIA PC 3 490,000.00 1,470,000.00
192 FRAMYCETINE BX 3 112,000.00 336,000.00
193 ULTRAFIX BX 3 16,500.00 49,500.00
194 3WAY PC 50 9,000.00 450,000.00
195 EASY TOUCH GLUCOSE BX 10 86,500.00 865,000.00
196 ALTAMED 'S' BX 3 104,000.00 312,000.00
197 MICROPORE 3M BX 1 228,000.00 228,000.00
198 SARUNG TANGAN 'M' BX 10 115,000.00 1,150,000.00
199 EASY TOUCH KOLESTEROL BTL 7 180,000.00 1,260,000.00
200 SARUNG TANGAN 'M' BX 5 115,000.00 575,000.00
201 BLOOD TRANSFUSION PC 50 9,000.00 450,000.00
202 SURFLO NO.22 PC 50 7,000.00 350,000.00
203 SURFLO NO.20 PC 50 7,000.00 350,000.00
204 SURFLO NO.24 PC 50 8,000.00 400,000.00
205 SUCTION CATHETER PC 10 9,000.00 90,000.00
206 CATETER NO.16 PC 10 22,000.00 220,000.00
207 FREESTYLE OPTIUM NEO H BX 5 565,015.00 2,825,075.00
208 KETOROLAC INJK BX 7 32,500.00 227,500.00
209 FETIK SUPP PC 20 20,000.00 400,000.00
210 CETRIAXONE INJK BX 56 21,000.00 1,176,000.00
211 ASAM TRANEXAMAT INJK BX 5 50,000.00 250,000.00
212 SARUNG TANGAN 'M' KTK 10 135,000.00 1,350,000.00
213 SARUNG TANGAN 'S' KTK 9 110,000.00 990,000.00
214 CETRIAXONE INJK VIAL 200 4,950.00 990,000.00
215 FORTANEST 5 MG/ML AMP 10 64,000.00 640,000.00
216 ASAM URAT STICK POT 2 95,500.00 191,000.00
217 3 WAY PC 50 9,000.00 450,000.00
218 NGT NO.16 PC 4 12,000.00 48,000.00
219 SPUIT 3CC PC 500 770.00 385,000.00
220 STICK CHOLESTEROL POT 3 168,000.00 504,000.00
221 TERMOMETER DIGITAL PC 1 66,900.00 66,900.00
60,849,018.85
 PBAL GUDANG BULAN SEPTEMBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 GAMMEX 6,5 BX 1 900,000.00 900,000.00
2 URINALISIS VERIFY POT 3 150,000.00 450,000.00
3 MES NO.10 PC 100 1,500.00 150,000.00
4 KASSA ROLL BESAR PC 5 100,000.00 500,000.00
5 MICROGEST 100 MG CAPS 10 16,050.00 160,500.00
6 CLONIDIN TAB BX 5 25,000.00 125,000.00
7 KETOCONAZOLE TAB BX 1 23,000.00 23,000.00
8 KASSA ROLL BESAR ROLL 2 120,000.00 240,000.00
9 CITICOLINE 250MG BX 4 54,000.00 216,000.00
10 ASAM TRANEXAMAT INJK BX 7 55,000.00 385,000.00
11 SARUNG TANGAN 'S' BX 10 110,000.00 1,100,000.00
12 LESICHOL 600 MG PC 15 21,610.00 324,150.00
13 SARUNG TANGAN 'S' BX 10 110,000.00 1,100,000.00
14 SARUNG TANGAN 'M' BX 10 115,000.00 1,150,000.00
15 FREESTYLE OPTIUM NEO H BX 5 565,014.00 2,825,070.00
16 KIT CASERIA PACK 3 490,000.00 1,470,000.00
17 SILK BLACK 5/0 BX 1 600,000.00 600,000.00
18 SARUNG TANGAN PANJANG PC 2 50,000.00 100,000.00
19 RESFAR INJK BTL 2 285,000.00 570,000.00
20 CEDOCARD INJK AMP 5 114,000.00 570,000.00
21 RESFAR INJK AMP 2 285,000.00 570,000.00
22 WATER STERIL INJK 25ML AMP 44 8,977.00 394,988.00
23 ZISTIC INJK 500 MG VIAL 1 220,000.00 220,000.00
24 AZITROMYCIN INJK AMP 3 190,000.00 570,000.00
25 HANDSCOON 6,5 PC 4 8,000.00 32,000.00
26 HANDSCOON 7 PC 10 8,000.00 80,000.00
27 SPUID 50CC PC 5 18,000.00 90,000.00
28 MICROPORE 2 INC PC 6 46,200.00 277,200.00
29 KASSA ROLL BESAR PC 3 100,000.00 300,000.00
30 URINE BAG PC 20 7,000.00 140,000.00
31 CATETER NO.18 PC 10 22,000.00 220,000.00
32 SENSI GLOVE 'S' KTK 2 98,000.00 196,000.00
33 SUCTION CATETER NO.8 PC 20 9,000.00 180,000.00
34 KASSA ROLL BESAR ROLL 3 100,000.00 300,000.00
35 SENSI GLOVE 'M' KTK 2 100,000.00 200,000.00
36 SUCTION CATETER NO.8 PC 8 9,000.00 72,000.00
37 3 WAY PC 50 9,000.00 450,000.00
38 SARUNG TANGAN 'M' BX 10 115,000.00 1,150,000.00
39 ALKOHOL 1 LITER BTL 5 40,000.00 200,000.00
40 KASSA ROLL BESAR PC 3 120,000.00 360,000.00
41 SARUNG TANGAN 'S' BX 8 110,000.00 880,000.00
42 SELANG O2 DEWASA PC 5 12,000.00 60,000.00
43 MATERAI 6000 LBR 2 7,000.00 14,000.00
44 POT SALEP 50 ML BTL 66 750.00 49,500.00
45 POT SALEP 50 ML PC 100 1,000.00 100,000.00
46 LIDODEX AMP BX 10 302,500.00 3,025,000.00
47 KIT CASERIA PC 1 490,000.00 490,000.00
48 POLIPROPILINE 4/0 HR 15 PC 1 1,044,120.00 1,044,120.00
49 GAMMEX 8 PC 1 900,000.00 900,000.00
50 USG PAPER 110 MM X 18 M UPP 110 MG PC 1 412,500.00 412,500.00
51 SARUNG TANGAN 'S' BX 10 115,000.00 1,150,000.00
52 SARUNG TANGAN 'S' BX 10 115,000.00 1,150,000.00
53 CITICOLINE 250MG AMP 7 17,800.00 124,600.00
54 SENSI GLOVE 'S' KTK 10 115,000.00 1,150,000.00
55 SENSI GLOVE 'S' KTK 10 115,000.00 1,150,000.00
56 3WAY PC 50 9,000.00 450,000.00
57 LANCET ISI 100 KTK 5 16,000.00 80,000.00
58 CATETER NO.16 PC 8 22,000.00 176,000.00
59 KASSA ROLL BESAR PC 3 100,000.00 300,000.00
60 CATETER RUSH PC 10 22,000.00 220,000.00
61 BLOOD TRANSFUSION PC 50 9,000.00 450,000.00
62 SURFLO N0.20 PC 50 7,000.00 350,000.00
63 KASSA ROLL BESAR PC 3 100,000.00 300,000.00
64 SUCTION CATETER NO.8 PC 10 9,000.00 90,000.00
65 KETOROLAC INJK AMP 29 5,416.00 157,064.00
66 SURGICA BLACK BX 1 86,600.00 86,600.00
67 ALTAMED 'S' BX 10 104,000.00 1,040,000.00
68 ALTAMED 'M' BX 5 104,000.00 520,000.00
69 KETOROLAC INJK AMP 50 5,416.00 270,800.00
70 SARUNG TANGAN 'M' BX 10 115,000.00 1,150,000.00
71 BLOOD TRANSFUSION PC 50 9,000.00 450,000.00
72 POT SALEP 30 ML PC 99 800.00 79,200.00
73 CATETER RUSH 18 PC 10 22,000.00 220,000.00
74 APRON CELEMEK BIDAN PC 50 4,000.00 200,000.00
75 SARUNG TANGAN STERIL 7,5 PC 50 18,400.00 920,000.00
76 SARUNG TANGAN PANJANG PC 5 50,000.00 250,000.00
77 NOVORAVID PC 30 108,750.00 3,262,500.00
78 SENSI GLOVE 'S' BX 10 70,000.00 700,000.00
79 DIVITY BX 2 840,000.00 1,680,000.00
80 GLOVES 'M BX 10 110,000.00 1,100,000.00
81 NRM DEWASA PC 9 45,000.00 405,000.00
82 CANDESARTAN 16 MG BX 50 36,780.00 1,839,000.00
83 ARIXTRA AMP 2 469,000.00 938,000.00
84 POT SALEP PC 50 750.00 37,500.00
85 ALTAMED 'S' BX 2 104,000.00 208,000.00
86 SAFE GUARD 'S' BX 5 100,000.00 500,000.00
87 SARUNG TANAGN 'S' BX 8 120,000.00 960,000.00
88 SARUNG TANGAN'M' BX 10 120,000.00 1,200,000.00
89 ASAM TRANEXAMAT INJK BX 5 55,000.00 275,000.00
90 SARUNG TANGAN 'M' BX 5 115,000.00 575,000.00
91 ASAM TRANEXAMAT INJK BX 5 55,000.00 275,000.00
92 ENTRASOL ACTIVE VANILA 360GR KTK 2 57,000.00 114,000.00
92 DIABETASOL VANILA 600 GR KTK 1 135,000.00 135,000.00
93 DIABETASOL VANILA 180 GR KTK 1 41,500.00 41,500.00
 94 HANDSCOEN STERIL 7 PC 50 8,000.00 400,000.00
95 POT SALEP 50 ML PC 40 2,500.00 100,000.00
96 VAKSIN HEXAXIM AMP 6 663,000.00 3,978,000.00
97 GARDASIL BX 11 814,772.00 8,962,492.00
98 POT SALEP 50 GR PC 20 2,500.00 50,000.00
99 TERMOMETER DIGITAL PC 1 35,000.00 35,000.00
100 CAT GUT CHROMIC 3/0 PC 24 9,000.00 216,000.00
101 CATGUT PLAIN 2/0 PC 24 10,000.00 240,000.00
102 SILK BLACK 5/0 PC 36 10,000.00 360,000.00
103 MIKROPORE PC 6 46,200.00 277,200.00
104 MES NO.10 PC 100 1,500.00 150,000.00
105 CATETER RUSCH 16 PC 10 22,000.00 220,000.00
106 3WAY PC 50 9,000.00 450,000.00
107 KETOROLAC INJK BX 10 20,000.00 200,000.00
108 POT SALEP 50 ML PC 100 750.00 75,000.00
109 GAMMEX 7,5 BX 1 900,000.00 900,000.00
110 KIT CASERIA PC 2 490,000.00 980,000.00
111 SURGICRIL 1 HR 48 BX 1 1,821,600.00 1,821,600.00
112 AMITRIPHYLLIN TAB PC 20 700.00 14,000.00
113 ALTAMED M BX 7 105,000.00 735,000.00
114 SAFE GLOVE 'M' BX 25 110,000.00 2,750,000.00
115 NRM DEWASA PC 20 45,000.00 900,000.00
116 CATETER 16 PC 10 12,000.00 120,000.00
117 CATETER 18 PC 10 12,000.00 120,000.00
118 FREESTYLE OPTIUM NEO H BTL 2 565,014.00 1,130,028.00
119 ZISTIC INJK 500 MG VIAL 5 193,050.00 965,250.00
120 GAMMEX 7,5 BX 1 900,000.00 900,000.00
121 SURGICRIL 1 HR 48 BX 1 1,821,600.00 1,821,600.00
122 KETOROLAC INJK BX 20 20,000.00 400,000.00
123 ASAM TRANEXAMAT INJK BX 5 55,000.00 275,000.00
124 SARUNG TANGAN 'M' BX 10 120,000.00 1,200,000.00
125 SARUNG TANGAN 'M' BX 5 120,000.00 600,000.00
126 SARUNG TANGAN 'M' BX 10 120,000.00 1,200,000.00
127 POT SALEP 30 ML PC 100 800.00 80,000.00
128 BLOOD TRANSFUSION PC 100 9,000.00 900,000.00
129 SENSI GLOVE 'M' KTK 5 120,000.00 600,000.00
130 UNIVERSAL KIT PC 10 614,218.00 6,142,180.00
92,934,142.00
DAFTAR PO CASH SEPTEMBER 2020

NO DISTRIBUTOR NILAI
1 PT.BRATACO 3,580,000.00
2 PT.TEMPO 10,635,279.00
3 PT.KIMIA FARMA 33,000,000.00
4 PT.BHAKTI TIMAH SOLUSI MEDIKA 7,650,000.00
5 PT.KIMIA FARMA 13,214,498.00
6 PT.ENSSEVAL 10,979,999.80
7 PT.KIMIA FARMA 17,185,526.00
8 PT.AMS 9,900,000.00
9 PT.KIMIA FARMA 669,951.00
10 PT.TRIMEGA JAYA MEDIKA 7,425,000.00
11 PT.BHAKTI TIMAH SOLUSI MEDIKA 52,650,000.00
12 PT.TEMPO 1,339,000.00
13 PT.BHAKTI TIMAH SOLUSI MEDIKA 37,500,000.00
14 PT.APL 18,894,680.00
224,623,933.80
DAFTAR PO CASH OKTOBER 2020

NO DISTRIBUTOR NILAI
1 PT. TEMPO 1,181,550.00
2 PT. KIMIA FARMA (NARKOTIKA) 23,882,244.00
3 PT.AMS (SEVOFLURAN DAN GENERIK) 19,681,028.00
4 PT.MEGA MUSI (NRM) 2,708,477.00
5 PT.MEGA MUSI (SARUNG TANGAN) 19,360,000.00
6 PT.SAPTA SARI (MISOTAB) 3,695,000.00
7 PT.IGM (MASKER) 7,050,000.00
8 PT.IGM (OBAT GENERIK) 2,994,255.00
9 PT. KIMIA FARMA (RAPID TEST) 60,000,000.00
10 PT. BRATAKO (BAHAN KIMIA) 5,690,000.00
11 PT.BHAKTI TIMAH SOLUSI MEDIKA (RAPID TEST) 15,075,000.00
12 PT. ENSEVAL (COVIFOR) 9,000,000.00
13 PT. IGM (REMDESIVIR INJK) 7,800,000.00
14
178,117,554.00
 PBAL GUDANG BULAN OKTOBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 3WAY PC 50 9,000.00 450,000.00
2 CATETER NO.18 PC 10 22,000.00 220,000.00
3 SURFLO 20 PC 50 7,000.00 350,000.00
4 HANDSCOON STERIL 7,5 PC 50 9,000.00 450,000.00
5 HANDSCOON STERIL 7 PC 50 9,000.00 450,000.00
6 TOPI LAB NURSE CAP PC 193 1,980.00 382,140.00
7 CEFTAZIDIME INJK VIA 10 23,288.00 232,880.00
8 RUBBER STERIL 7,5 PC 50 9,000.00 450,000.00
9 SELANG OKSIGEN PC 10 12,000.00 120,000.00
10 CATETER NO.18 PC 10 22,000.00 220,000.00
11 SURFLO 20 PC 50 7,000.00 350,000.00
12 CATETER NO.18 PC 10 22,000.00 220,000.00
13 SPUIT 50 CC PC 10 18,000.00 180,000.00
14 BLOOD TRANSFUSI PC 50 5,000.00 250,000.00
15 ALLOPURINOL 300 BX 2 51,000.00 102,000.00
16 GABAPENTIN 300 BX 1 144,000.00 144,000.00
17 ALLOPURINOL 300 BX 2 51,000.00 102,000.00
18 BISOPROLOL 5 MG BX 5 28,000.00 140,000.00
19 DOMPERIDONE TAB BX 1 86,000.00 86,000.00
20 DEXA INJK AMP 173 1,500.00 259,500.00
21 SURFLO NO.22 PC 50 7,000.00 350,000.00
22 CATGUT CHROMIC 2/0 PC 10 9,000.00 90,000.00
23 LESICHOL 600 MG PC 15 18,066.00 270,990.00
24 KITCASERIA BX 2 490,000.00 980,000.00
25 MESS 515 BX 1 90,000.00 90,000.00
26 ETT NON KINGKING 5,5 PC 1 323,000.00 323,000.00
27 ETT NON KINGKING 6 PC 1 323,000.00 323,000.00
28 ETT NON KINGKING 6,5 PC 1 323,000.00 323,000.00
29 ALLOPURINOL 300 BX 2 51,000.00 102,000.00
30 BISOLVON INJK BX 2 620,000.00 1,240,000.00
31 SELANG OKSIGEN PC 20 12,000.00 240,000.00
32 INFUSET DEWASA PC 50 6,000.00 300,000.00
33 FOLEY CATETER 16 PC 20 12,000.00 240,000.00
34 FOLEY CATETER 18 PC 20 12,000.00 240,000.00
35 NRM DEWASA PC 17 45,000.00 765,000.00
36 BLOOD TRANSFUSI PC 50 9,000.00 450,000.00
37 SOLVINEX INJK AMP 10 57,200.00 572,000.00
38 DEPAKOTE ER 500 PC 50 7,716.00 385,800.00
39 SPUIT 50 CC PC 5 18,000.00 90,000.00
40 TERMOMETER DIGITAL PC 1 35,000.00 35,000.00
41 VASELINE SWAB PC 10 11,000.00 110,000.00
42 LIDODEX INJK BX 5 600,000.00 3,000,000.00
15,678,310.00
 PBAL OBAT dr.Nazif, Spog

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 FLORAGYN BX 2 477,000.00 954,000.00
2 FLORAGYN PC 30 16,000.00 480,000.00
3 FLORAGYN PC 30 16,500.00 495,000.00
4 FLORAGYN PC 19 18,000.00 342,000.00
5 FLORAGYN PC 82 15,981.00 1,310,442.00
6 FLORAGYN PC 81 15,981.00 1,294,461.00
7 MICROGEST 100 BX 1 400,500.00 400,500.00
8 FLORAGYN PC 28 13,303.00 372,484.00
9 FLORAGYN PC 20 13,300.00 266,000.00
10 MICROGEST 100 PC 111 13,350.00 1,481,850.00
7,396,737.00

PBAL MCU BULAN OKTOBER

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
2 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
3 LATEX GLOVE 'M' BX 5 130,000.00 650,000.00
4 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
5 SARUNG TANGAN 'S' BX 5 120,000.00 600,000.00
6 SENSI GLOVE 'M' BX 4 130,000.00 520,000.00
7 SENSI GLOVE 'L' BX 1 130,000.00 130,000.00
8 STIK AS.URAT POT 2 95,500.00 191,000.00
9 POT SALEP 50 ML BTL 100 750.00 75,000.00
10 STIK AS.URAT BX 1 87,500.00 87,500.00
11 STIK CHOLESTEROL BX 10 152,000.00 1,520,000.00
12 STIK GLUKOSE BX 5 86,500.00 432,500.00
13 MICROPORE PC 6 38,850.00 233,100.00
14 STIK GLUKOSE POT 2 95,000.00 190,000.00
15 STIK AS.URAT POT 2 95,500.00 191,000.00
16 STIK KOLESTERO POT 2 168,000.00 336,000.00
17 POT SALEP 50 ML POT 200 2,000.00 400,000.00
18 POT SALEP 50 ML BTL 100 750.00 75,000.00
19 POT SALEP 50 ML BTL 100 750.00 75,000.00
20 MICROPORE BX 1 258,000.00 258,000.00
21 STRIP ET.KOLESTEROL BTL 2 180,000.00 360,000.00
22 STIK KOLESTEROL POT 4 168,000.00 672,000.00
23 STIK AS.URAT POT 2 95,500.00 191,000.00
24 POT SALEP 50 ML BTL 100 750.00 75,000.00
25 POT SALEP 50 ML POT 200 2,000.00 400,000.00
26 EASY TOUCH GLUKOSA POT 1 95,000.00 95,000.00
27 TES HEPATITIS BX 4 240,000.00 960,000.00
12,317,100.00

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
2 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
3 LATEX GLOVE 'M' BX 5 130,000.00 650,000.00
4 SARUNG TANGAN 'S' BX 10 120,000.00 1,200,000.00
5 SARUNG TANGAN 'S' BX 5 120,000.00 600,000.00
6 SENSI GLOVE 'M' BX 4 130,000.00 520,000.00
7 SENSI GLOVE 'L' BX 1 130,000.00 130,000.00
8 TOPI LAB NURSE CAP PC 193 1,980.00 382,140.00
5,882,140.00
 APOTEK
APOTEK SEHAT
APOTEK SEHAT
APOTEK ORIN
APOTEK SEHAT
APOTEK SEHAT
APOTEK ORIN
APOTEK ORIN
APOTEK K24
 PBAL GUDANG BULAN NOVEMBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 INFUSET MAKRO PC 13 6,000.00 78,000.00
2 BLOOD TRANSFUSI PC 50 9,000.00 450,000.00
3 INFUSET MAKRO PC 100 6,000.00 600,000.00
4 MES NO.10 PC 100 1,000.00 100,000.00
5 FRAMYCETINE BX 2 112,000.00 224,000.00
6 ASAM MEFENAMAT BX 1 30,700.00 30,700.00
7 ALLOPURINOL 300 BX 1 49,000.00 49,000.00
8 ALLOPURINOL 300 BX 2 51,000.00 102,000.00
9 LIDODEX INJK BX 5 610,000.00 3,050,000.00
10 SOJOURN BTL 1 1,500,000.00 1,500,000.00
11 KIT CASERIA PC 1 480,000.00 480,000.00
12 FRAMYCETINE BX 2 109,500.00 219,000.00
13 MANSET TENSI PC 2 50,000.00 100,000.00
14 ORASIC PC 10 5,000.00 50,000.00
15 SALOFALK 500 PC 10 16,491.00 164,910.00
16 TERMOMETER DIGITAL PC 1 44,000.00 44,000.00
17 NGT NO.16 PC 5 37,000.00 185,000.00
18 FRAMYCETINE BX 3 108,500.00 325,500.00
19 TERMOMETER DIGITAL TB 1 59,500.00 59,500.00
20 FRAMYCETINE BX 2 109,500.00 219,000.00
21 BAMGETOL PC 60 2,150.00 129,000.00
22 STESOLID 5 MG TB 7 32,777.00 229,439.00
23 STESOLID 10 MG TB 3 47,304.00 141,912.00
24 RISPERIDONE DEXA PC 76 3,028.00 230,128.00
25 LIDODEX INJK BX 19 317,625.00 6,034,875.00
26 ZISTIC INJK BX 30 155,925.00 4,677,750.00
27 MATERAI 6000 LBR 2 7,000.00 14,000.00
28 THROMBOPHOP GEL TB 1 56,600.00 56,600.00
29 CATGUT PLAIN 2/0 HR 37 BX 2 432,258.00 864,516.00
30 PROMAVIT TAB BX 1 219,500.00 219,500.00
31 JARUM CITOJECT NEEDLE CITOJECT 30G BX 1 83,950.00 83,950.00
32 FRAMYCETINE BX 2 108,500.00 217,000.00
33 AZITROMYCIN INJK VIAL 6 220,000.00 1,320,000.00
34 ZISTIC INJK VIAL 2 190,000.00 380,000.00
35 SIBITAL INJK AMP 10 12,900.00 129,000.00
22,758,280.00
 PBAL OBAT dr.Nazif, Spog

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 MICROGEST 100 PC 45 13,350.00 600,750.00
2 FLORAGYN PC 30 13,300.00 399,000.00
3 MICROGEST 100 PC 60 13,350.00 801,000.00
4 FLORAGYN PC 30 16,500.00 495,000.00
5 MICROGEST 100 PC 30 13,350.00 400,500.00
6 FLORAGYN PC 30 13,300.00 399,000.00
7 FLORAGYN PC 60 15,984.00 959,040.00
4,054,290.00

PBAL MCU BULAN NOVEMBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 EASY ASAM URAT POT 1 95,500.00 95,500.00
2 EASY KOLESTEROL POT 2 168,000.00 336,000.00
3 EASY TOUCH ASAM URAT POT 2 95,500.00 191,000.00
4 EASY TOUCH KOLESTEROL POT 3 180,000.00 540,000.00
5 EASY TOUCH KOLESTEROL BTL 3 180,000.00 540,000.00
6 EASY TOUCH ASAM URAT BTL 2 95,000.00 190,000.00
7 EASY TOUCH KOLESTEROL BTL 3 180,000.00 540,000.00
8 EASY TOUCH ASAM URAT BTL 1 95,000.00 95,000.00
9 SENSI GLOVE 'M' BX 15 100,000.00 1,500,000.00
10 SENSI GLOVE 'M' BX 15 100,000.00 1,500,000.00
11 SARUNG TANGAN 'S' BX 6 130,000.00 780,000.00
12 STIK URIN POT 1 150,000.00 150,000.00
13 STIK URIN POT 2 150,000.00 300,000.00
14 HCG TEST GEA KEHAMILAN BX 1 46,000.00 46,000.00
6,803,500.00
DAFTAR PO CASH NOVEMBER 2020

NO DISTRIBUTOR NILAI
Pembayaran Obat NARKOTIKA
1
Di. PT. KIMIA FARMA 16,184,878.00
Pembayaran ENDROLIN
2 Di. PT. ENSSEVAL 8,235,000.00
Pembayaran ENDROLIN
3 Di. PT. ENSSEVAL 8,235,000.00
Pembayaran Obat RAPID TEST COVID
4 DI.PT.KIMIA FARMA 30,600,000.00
Pembayaran Obat NOVEL PATENT BPJS
5 DI.PT.AMS 2,193,675.00
Pembayaran Obat NOVEL PATENT
6 DI.PT.AMS 10,144,961.00
Pembayaran Obat NOVEL GENERIK
7 DI.PT.AMS 10,039,708.80
Pembayaran MASKER
8 DI. PT. INTI MEDIKA ALKESINDO 17,272,500.00
Pembayaran GARDASIL
9 DI. PT. APL 21,759,138.00
Pembayaran OBAT LAPI
10 DI. PT. MPI 35,283,620.00
Pembayaran Obat Sevofluran
11 di. PT. AMS 10,210,200.00
Pembayaran Obat PRORENAL
12 di. PT. AMS 3,300,000.00
Pembayaran RAPID TEST
13 di. PT. BHAKTI TIMAH SOLUSI MEDIKA 18,000,000.00
Pembayaran Masker Sinar Ogan
14 di. PT. INTI MEDIKA ALKESINDO 17,272,500.00
Pembayaran Sensi Glove
15 di. PT. INTI MEDIKA ALKESINDO 32,825,000.00
Pembayaran Obat PULMICORT
16 di. PT. APL 1,739,616.00
Pembayaran Obat SYMBICORT
17 di. PT. APL 18,705,795.00
Pembayaran Obat LANTUS
18 di. PT. APL 417,651.00
Pembayaran Obat APIDRA
19 di. PT. APL 432,824.00
Pembayaran Obat PLAVIX
20 di. PT. APL 163,110.00
Pembayaran Obat SERETIDE
21
21 di. PT. APL 27,798,428.00
Pembayaran Vaksin INFANRIX HEXA
22 di. PT. APL 18,343,502.00
Pembayaran Obat Reguler
23 di. PT. APL 10,875,850.00
Pembayaran bahan kimia
24 di PT.ESPANA DETIRA NUSANTARA 4,266,403.00
Pembayaran BMHP CDL
25 di PT.KIMIA FARMA 2,970,000.00
26 Pembayaran Obat Endrolin di PT.Enseval
8,547,000.00
Pembayaran Rapid test
27 di PT Rama Dwi Andika 13,750,000.00
Pembayaran Obat
30 di PT. TEMPO 793,160.00
350,359,519.80
 PBAL GUDANG BULAN DESEMBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 HANDSCHOEN 6,5 PC 11 8,000.00 88,000.00
2 TERMOMETER KULKAS BULAT PC 2 90,000.00 180,000.00
3 POVIDONE IODINE 300 ML BTL 5 19,000.00 95,000.00
4 DOLONES CREAM TB 1 57,700.00 57,700.00
5 HANDSCHOEN 6,5 PC 50 7,500.00 375,000.00
6 SILK 2/0 + JARUM PC 9 10,000.00 90,000.00
7 SENSI GLOVE 'S' BX 8 81,000.00 648,000.00
8 ALTAMED GLOVE 'M' BX 2 134,000.00 268,000.00
9 PRIMAQUIN TAB PC 10 4,400.00 44,000.00
10 SENSI GLOVE 'S' BX 2 80,000.00 160,000.00
11 SENSI GLOVE 'S' BX 10 80,000.00 800,000.00
12 SILK 2/0 DS 19 BX 1 600,000.00 600,000.00
13 SENSI GLOVE 'S' BX 20 80,000.00 1,600,000.00
14 SENSI GLOVE 'M' BX 10 81,200.00 812,000.00
15 EFEDHRIN INJ AMP 10 21,000.00 210,000.00
16 SENSI GLOVE 'M' BX 15 80,000.00 1,200,000.00
17 CANDESARTAN 16 MG BX 50 40,440.00 2,022,000.00
18 CANDESARTAN 8 MG BX 30 21,240.00 637,200.00
19 RUBERHANDSCOEN 6,5 PC 49 7,500.00 367,500.00
20 SENSI GLOVE M BX 3 81,000.00 243,000.00
21 LAMINARIA PC 2 150,000.00 300,000.00
22 SENSI GLOVE 'M' BX 5 80,000.00 400,000.00
23 SENSI NITRIL 'S' BX 9 90,000.00 810,000.00
24 SENSI NITRIL 'M' BX 3 90,000.00 270,000.00
25 PRO TB 4 BX 1 161,000.00 161,000.00
26 GLOVE 'L' BX 6 130,000.00 780,000.00
27 SARUNG TANGAN 'M' BX 6 166,561.00 999,366.00
28 SARUNG TANGAN 'S' BX 6 166,555.00 999,330.00
29 FREE STYLE OPTIUM NEO H BX 1 590,256.00 590,256.00
30 EFEDHRIN INJ BX 3 12,000.00 36,000.00
31 CANDESARTAN 16 MG PC 1500 1,207.00 1,810,500.00
32 CANDESARTAN 8 MG PC 600 698.00 418,800.00
33 BISOPROLOL TAB PC 1500 305.00 457,500.00
34 NGT 16 PC 5 13,000.00 65,000.00
35 HANDSCHOEN 7,5 PC 50 9,000.00 450,000.00
36 PERFUSOR TUBE PC 10 64,350.00 643,500.00
37 FRAMYCETINE BX 2 112,000.00 224,000.00
38 CANDESARTAN 16 MG BX 48 36,210.00 1,738,080.00
39 CANDESARTAN 8 MG BX 20 20,940.00 418,800.00
40 BISOPROLOL TAB BX 49 9,150.00 448,350.00
41 PRO TB 4 PC 30 5,750.00 172,500.00
TOTAL 22,690,382.00
 PBAL OBAT dr.Nazif, Spog

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 FEROSFAT TAB BX 7 73,330.00 N
2 GASTRUL PC 50 16,000.00 800,000.00
3 GASTRUL PC 50 14,536.00 726,800.00
4 GASTRUL PC 30 15,746.00 472,380.00
5 FEROSFAT BTL 5 96,954.00 484,770.00
6 FEROSFAT TB 10 76,000.00 760,000.00
7 FEROSFAT TB 7 73,330.00 513,310.00
-
-
-
3,757,260.00

PBAL MCU BULAN DESEMBER 2020

NO NAMA OBAT SATUAN JUMLAH HARGA SATUAN TOTAL HARGA

1 STRIP EASY TOUCH KOLESTEROL POT 5 168,000.00 840,000.00
2 STRIP EASY TOUCH KOLESTEROL POT 3 168,000.00 504,000.00
3 STRIP EASY TOUCH ASAM URAT POT 2 96,000.00 192,000.00
4 STRIP EASY TOUCH ASAM URAT POT 1 96,000.00 96,000.00
5 EASY TOUCH CHOLESTEROL BX 3 152,000.00 456,000.00
6 EASY TOUCH URID ACID BX 1 87,500.00 87,500.00
7 STRIP EASY TOUCH ASAM URAT POT 1 96,000.00 96,000.00
8 STRIP EASY TOUCH KOLESTEROL POT 2 168,000.00 336,000.00
9 STICK ASAM URAT POT 2 95,000.00 190,000.00
10 STICK KOLESTEROL POT 3 168,000.00 504,000.00
11 STICK ASAM URAT BTL 2 87,500.00 175,000.00
12 STICK KOLESTEROL BTL 4 152,000.00 608,000.00
13 -
14 -
4,084,500.00