DAFTAR PENERIMAAN (Version 1)

NO NAMA JUMLAH HARGA
1 SANBE TEARS EYE DROPS 1 MG/ML 40.00 22,050.00

DISKON SUBTOTAL DISKON SUBTOTAL-DISKON TOTAL*+PPN
0.37 882,000.00 326,340.00 555,660.00 611,226.00
882,000.00 326,340.00 555,660.00 611,226.00
HARGA/JUMLAH HARGA+PPN DISKON 3 HARGA+PPN-DISKON AKHIR
15,280.65 24,255.00 8,974.35 15,280.65 611,226
15,280.65 24,255.00 8,974.35 15,280.65 611,226
1 RINGER LACETATE INF 500 ML EMJEBE 500.00 6,335.00
2 BETASON N CR 0,1 % 24.00 7,950.00
3 NITROKAF RETARD FORTE TAB 5 MG 400.00 3,938.00
4 NITROKAF RETARD TAB 2,5 MG 400.00 2,706.00
5 RETAPHYL SR TAB 300 MG 500.00 1,948.00
6 HUMAN ALBUMIN 20 % 50 ML 10.00 770,000.00
7 CARTYLO TAB 80 MG 300.00 560.00
8 DUVADILAN INJ 10 MG/2 ML 36.00 29,833.33
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
0.0000 3,167,500.00 0.00 3,167,500.00 3,484,250.00
0.1500 190,800.00 28,620.00 162,180.00 178,398.00
0.3575 1,575,200.00 563,134.00 1,012,066.00 1,113,272.60
0.3939 1,082,400.00 426,357.36 656,042.64 721,646.90
0.4587 974,000.00 446,773.80 527,226.20 579,948.82
0.4806 7,700,000.00 3,700,620.00 3,999,380.00 4,399,318.00
0.5536 168,000.00 93,004.80 74,995.20 82,494.72
0.8900 1,073,999.88 955,859.89 118,139.99 129,953.99
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
15,931,899.88 6,214,369.85 9,717,530.03 10,689,283.03
10,689,283.00
-0.03
6,968.50 6,968.50 0.00 6,968.50 3,484,250.00
7,433.25 8,745.00 1,311.75 7,433.25 178,398.00
2,783.18 4,331.80 1,548.62 2,783.18 1,113,272.60
1,804.12 2,976.60 1,172.48 1,804.12 721,646.90
1,159.90 2,142.80 982.90 1,159.90 579,948.82
439,931.80 847,000.00 407,068.20 439,931.80 4,399,318.00
274.98 616.00 341.02 274.98 82,494.72
3,609.83 32,816.66 29,206.83 3,609.83 129,953.99
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 905,597.36 441,631.80 463,965.56 10,689,283.03
1 NACL INF 0,9 % 500 ML 500.00 6,182.00
2 RINGER LACTATE INF 500 ML (KF) 500.00 6,936.00
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
0.0000 3,091,000.00 0.00 3,091,000.00 3,400,100.00
0.0000 3,468,000.00 0.00 3,468,000.00 3,814,800.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
6,559,000.00 0.00 6,559,000.00 7,214,900.00
7,214,900.00
0.00
6,800.20 6,800.20 0.00 6,800.20 3,400,100.00
7,629.60 7,629.60 0.00 7,629.60 3,814,800.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 14,429.80 0.00 14,429.80 7,214,900.00
1 CLINDAMYCIN KAPS 150 MG (NP) 50 724.00
2 CELECOXIB KAPS 200 MG (NP) 60 5,000.00
3 LACTULOSE SYR 3,335 G /5ML (NP) 20 27,500.00
4 ERDOSTEINE DRY SYR 175 MG/5 ML (NP) 30 28,000.00
5 ERDOSTEINE TAB 300 MG (NP) 100 2,700.00
6 PROPOFOL 10 MG/ML INJ (NOVELL) N 40 15,000.00
7 CARBAZOCHROME INJ 50 MG/ 10 ML (NP) 20 11,920.00
8 KETOPROFEN INJ 100 MG/2 ML (NP) 50 5,136.40
9 BUPIVACAIN HCL HEAVY INJ 5 MG/ML 30 23,500.00
10 MECOBALAMINE INJ 500 MGC/ML (NP) 20 8,000.00
11 MUPIROCIN OINTMENT 2 % 7 30,000.00
12 PERMETHRINE CREAM 5% 15 G (NP) 10 25,000.00
13 NYSTATIN DROPS (NOVELL) 10 20,000.00
14 OMEPRAZOLE 20 MG CAPS (NP) 390 371.20
15
16
17
18
19
20
21
22
23
24
25
26
27
28
0.1500 36,200.00 5,430.00 30,770.00 33,847.00
0.2000 300,000.00 60,000.00 240,000.00 264,000.00
0.2000 550,000.00 110,000.00 440,000.00 484,000.00
0.2500 840,000.00 210,000.00 630,000.00 693,000.00
0.2500 270,000.00 67,500.00 202,500.00 222,750.00
0.2500 600,000.00 150,000.00 450,000.00 495,000.00
0.3000 238,400.00 71,520.00 166,880.00 183,568.00
0.3000 256,820.00 77,046.00 179,774.00 197,751.40
0.3500 705,000.00 246,750.00 458,250.00 504,075.00
0.4500 160,000.00 72,000.00 88,000.00 96,800.00
0.2200 210,000.00 46,200.00 163,800.00 180,180.00
0.2200 250,000.00 55,000.00 195,000.00 214,500.00
0.2750 200,000.00 55,000.00 145,000.00 159,500.00
0.3500 144,768.00 50,668.80 94,099.20 103,509.12
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00
4,761,188.00 1,277,114.80 3,484,073.20 3,832,480.52
3,832,480.00
-0.52
676.94 796.40 119.46 676.94 33,847.00
4,400.00 5,500.00 1,100.00 4,400.00 264,000.00
24,200.00 30,250.00 6,050.00 24,200.00 484,000.00
23,100.00 30,800.00 7,700.00 23,100.00 693,000.00
2,227.50 2,970.00 742.50 2,227.50 222,750.00
12,375.00 16,500.00 4,125.00 12,375.00 495,000.00
9,178.40 13,112.00 3,933.60 9,178.40 183,568.00
3,955.03 5,650.04 1,695.01 3,955.03 197,751.40
16,802.50 25,850.00 9,047.50 16,802.50 504,075.00
4,840.00 8,800.00 3,960.00 4,840.00 96,800.00
25,740.00 33,000.00 7,260.00 25,740.00 180,180.00
21,450.00 27,500.00 6,050.00 21,450.00 214,500.00
15,950.00 22,000.00 6,050.00 15,950.00 159,500.00
265.41 408.32 142.91 265.41 103,509.12
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 0.00 0.00 0.00 0.00
#DIV/0! 223,136.76 57,975.98 165,160.78 3,832,480.52
1 ASAM MEFENAMAT TAB 500 MG (BERNO) 3,500 270.00
2 AMOXICILLIN CAPS 500 MG (BERNO) 500 700.00
3 NYSTATIN DROPS (BERNO) 30 22,000.00
4 CEFADROXIL DRY SYR 125 MG/5 ML (BE) 50 8,945.00
5 COTRIMOXAZOLE SYR 240 MG/5 ML (BE) 30 6,000.00
6 LIDOCAIN HCL INJ 2% (BE) 700 1,500.00
7 AMPICILLIN INJ 1 G (BERNO) 30 12,000.00
8 CEFADROXIL DRY SYR 250 MG/5 ML (BE) 25 15,000.00
9 COTRIMOXAZOLE TAB 480 MG (BE) 6,000 400.00
10 CEFADROXIL CAPS 500 MG (BERNO) 1,500 1,100.00
11 AMBROXOL ELIXIR 15 MG / 5 ML 25 6,000.00
12 AZITHROMYCIN INJ 500 MG (BE) 10 130,000.00
13 METOCLOPRAMIDE INJ 10 MG / 2 ML (BE) 80 7,000.00
14 AMBROXOL ELIXIR 30 MG/5 ML (BE) 50 9,000.00
15 DEXAMETHASONE INJ 5 MG/ML (BE) 1,500 2,184.00
16 KETOPROFEN TAB 100 MG (BERNO) 1,000 1,200.00
17 AZITHROMYCIN DRY SYR 200 MG/5 ML (BE) 10 64,000.00
18 CEFTIZOXIME INJ 1 G (BE) 30 120,000.00
19 MELOXICAM TAB 7,5 MG (BE) 1,000 754.80
20 GLIMEPIRIDE TAB 4 MG (BERNO) 3,000 2,842.94
21 CITICOLIN INJ 250 MG/2 ML (BE) 100 22,500.00
22 CEFTAZIDIME INJ 1 G (BE) 30 60,000.00
23 CEFOPERAZONE + SULBACTAM INJ 1 G (BE) 15 130,000.00
24 RIFAMPICIN 450 MG CAPS 200 1,700.00
25 AS. TRANEXAMAT TAB 500 MG (BE) 1,500 1,800.00
26 RIFAMPICIN 600 MG CAPS 600 2,700.00
27 NOREPHINEPHRINE BITARTATE INJ 4 MG/4 M 100 60,000.00
28 OMEPRAZOLE INJ 40 MG (BE) 600 80,000.00
DISKON HARGA+PPN-DISKON AKHIR
0.34 196.02 686,070.00
0.35 500.50 250,250.00
0.35 15,730.00 471,900.00
0.38 6,100.49 305,024.50
0.40 3,960.00 118,800.00
0.40 990.00 693,000.00
0.45 7,260.00 217,800.00
0.45 9,075.00 226,875.00
0.45 242.00 1,452,000.00
0.47 641.30 961,950.00
0.50 3,300.00 82,500.00
0.50 71,500.00 715,000.00
0.50 3,850.00 308,000.00
0.55 4,455.00 222,750.00
0.55 1,081.08 1,621,620.00
0.55 594.00 594,000.00
0.60 28,160.00 281,600.00
0.60 52,800.00 1,584,000.00
0.70 249.08 249,084.00
0.80 625.45 1,876,340.40
0.83 4,207.50 420,750.00
0.84 10,560.00 316,800.00
0.88 17,160.00 257,400.00
0.33 1,252.90 250,580.00
0.40 1,188.00 1,782,000.00
0.40 1,782.00 1,069,200.00
0.80 13,200.00 1,320,000.00
0.90 8,800.00 5,280,000.00
269,460.32 23,615,293.90
NO JUMLAH HARGA DISKON SUBTOTAL DISKON
1 50 82,000.00 0.2630 4,100,000.00 1,078,300.00
2 0.00 0.00
3 0.00 0.00
4 0.00 0.00
5 0.00 0.00
6 0.00 0.00
7 0.00 0.00
8 0.00 0.00
9 0.00 0.00
10 0.00 0.00
11 0.00 0.00
12 0.00 0.00
13 0.00 0.00
14 0.00 0.00
15 0.00 0.00
16 0.00 0.00
17 0.00 0.00
18 0.00 0.00
19 0.00 0.00
20 0.00 0.00
21 0.00 0.00
22 0.00 0.00
23 0.00 0.00
24 0.00 0.00
25 0.00 0.00
26 0.00 0.00
27 0.00 0.00
28 0.00 0.00
4,100,000.00 1,078,300.00
SUBTOTAL-DISKON TOTAL*+PPN HARGA/JUMLAH HARGA+PPN DISKON 3
3,021,700.00 3,323,870.00 66,477.40 90,200.00 23,722.60
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
3,021,700.00 3,323,870.00 #DIV/0! 90,200.00 23,722.60
3,323,870.00
0.00
HARGA+PPN-DISKON AKHIR
66,477.40 3,323,870.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
66,477.40 3,323,870.00
1 120 82,000.00 0.2630 9,840,000.00 2,587,920.00
2 0.00 0.00
3 0.00 0.00
4 0.00 0.00
5 0.00 0.00
6 0.00 0.00
7 0.00 0.00
8 0.00 0.00
9 0.00 0.00
10 0.00 0.00
11 0.00 0.00
12 0.00 0.00
13 0.00 0.00
14 0.00 0.00
15 0.00 0.00
16 0.00 0.00
17 0.00 0.00
18 0.00 0.00
19 0.00 0.00
20 0.00 0.00
21 0.00 0.00
22 0.00 0.00
23 0.00 0.00
24 0.00 0.00
25 0.00 0.00
26 0.00 0.00
27 0.00 0.00
28 0.00 0.00
9,840,000.00 2,587,920.00
7,252,080.00 7,977,288.00 66,477.40 90,200.00 23,722.60
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
7,252,080.00 7,977,288.00 #DIV/0! 90,200.00 23,722.60
7,977,288.00
0.00
66,477.40 7,977,288.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
66,477.40 7,977,288.00
1 600 2,386.00 0.0000 1,431,600.00 0.00
2 0.00 0.00
3 0.00 0.00
4 0.00 0.00
5 0.00 0.00
6 0.00 0.00
7 0.00 0.00
8 0.00 0.00
9 0.00 0.00
10 0.00 0.00
11 0.00 0.00
12 0.00 0.00
13 0.00 0.00
14 0.00 0.00
15 0.00 0.00
16 0.00 0.00
17 0.00 0.00
18 0.00 0.00
19 0.00 0.00
20 0.00 0.00
21 0.00 0.00
22 0.00 0.00
23 0.00 0.00
24 0.00 0.00
25 0.00 0.00
26 0.00 0.00
27 0.00 0.00
28 0.00 0.00
1,431,600.00 0.00
1,431,600.00 1,574,760.00 2,624.60 2,624.60 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
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0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
0.00 0.00 #DIV/0! 0.00 0.00
1,404,585.00 1,545,043.50 #DIV/0! 26,400.00 9,499.71
1,545,043.00
-0.50
7,000.29 1,050,043.50
9,900.00 495,000.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
16,900.29 1,545,043.50
1 ERDOSTEINE KAPS 300 MG (MB) 2,000 2,750.00
2 METHYLPREDNISOLONE TAB 16 MG (MB) 200 750.00
3 MISOPROSTOL TAB 200 MCG (MB 180 5,000.00
DISKON TOTAL*+PPN HARGA+PPN-DISKON AKHIR
0.3700 3,811,500.00 1,905.75 3,811,500.00
0.3700 103,950.00 519.75 103,950.00
0.3700 623,700.00 3,465.00 623,700.00
4,539,150.00 5,890.50 4,539,150.00

4,992,900.00
453,750.00
NO NAMA JUMLAH HARGA DISKON
1 IOL POSTERIOR CHAMBER 19,5 10 250,375.00 0.0000
TOTAL*+PPN AKHIR
2,754,125.00 2,754,125.00
0.00 0.00
2,754,125.00 2,754,125.00
2,754,125.00
0.00
1 IOL POSTERIOR CHAMBER 20,00 10 250,375.00 0.0000
SUBTOTAL TOTAL*+PPN HARGA+PPN-DISKON AKHIR
2,503,750.00 2,754,125.00 275,412.50 2,754,125.00
2,503,750.00 2,754,125.00 275,412.50 2,754,125.00
2,754,125.00
0.00
1 DENGUE NS 1 4 3,875,625.00
NILAI DP SIM RS
NILAI FAKTUR
0.1500 14,494,837.50 3,623,709.38 14,494,837.50
14,494,837.50 3,623,709.38 14,494,837.50
14,494,837.00
14,494,836.00
1.50
1 KALNEX INJ 500 MG/5 ML 40 10,500.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
SUBTOTAL DISKON SUBTOTAL-DISKON TOTAL*+PPN HARGA/JUMLAH
420,000.00 0.00 420,000.00 462,000.00 11,550.00
420,000.00 0.00 420,000.00 462,000.00 11,550.00
462,000.00
462,000.00
0.00
HARGA+PPN DISKON 3 HARGA+PPN-DISKON AKHIR
11,550.00 0.00 11,550.00 462,000.00
11,550.00 0.00 11,550.00 462,000.00
1 ASAM TRANEKSAMAT INJ 500 MG (HJ) 200 10,500.00
NILAI DP SIM RS
NILAI FAKTUR
0.5600 2,100,000.00 1,176,000.00 924,000.00 1,016,400.00
2,100,000.00 1,176,000.00 924,000.00 1,016,400.00
LAI DP SIM RS 1,016,400.00
NILAI FAKTUR 1,016,400.00
0.00
5,082.00 11,550.00 6,468.00 5,082.00 1,016,400.00
5,082.00 11,550.00 6,468.00 5,082.00 1,016,400.00
1 ALLOPURINOL 100 MG TAB (HJ) 200 200.00
2 ALLOPURINOL 300 MG 200 420.00
3 METFORMIN TAB 500 MG (HJ) 14,000 175.00
4 CEFADROXIL KAPS 500 MG (HJ) 1,000 763.64
5 PIRACETAM KAPL 1200 MG (HJ) 500 1,000.00
6 DICLOFENAC POTASSIUM TAB 50 MG (HJ) 800 600.00
7 CEFIXIME KAPS 100 MG (HJ) 500 1,300.00
8 PREGABALIN KASP 75 MG (HJ) 742 4,285.71
9 LORATADINE TAB 10 MG (HJ) 300 300.00
10 METHYLPREDNISOLONE TAB 4 MG (HJ) 1,000 400.50
11 CETIRIZINE TAB 10 MG (HJ) 600 285.00
12 METRONIDAZOLE INFUS 500 MG/100 ML (HJ) 48 20,000.00
13 PANTOPRAZOLE SODIUM INJ 40 MG (HJ) 20 55,000.00
14 SIMVASTATIN 20 MG TAB 6,000 933.33
NILAI DP SIM RS
NILAI FAKTUR
0.3000 40,000.00 12,000.00 28,000.00 30,800.00
0.3000 84,000.00 25,200.00 58,800.00 64,680.00
0.3200 2,450,000.00 784,000.00 1,666,000.00 1,832,600.00
0.3700 763,640.00 282,546.80 481,093.20 529,202.52
0.3700 500,000.00 185,000.00 315,000.00 346,500.00
0.3800 480,000.00 182,400.00 297,600.00 327,360.00
0.5500 650,000.00 357,500.00 292,500.00 321,750.00
0.5700 3,179,996.82 1,812,598.19 1,367,398.63 1,504,138.50
0.5800 90,000.00 52,200.00 37,800.00 41,580.00
0.6255 400,500.00 250,512.75 149,987.25 164,985.98
0.6500 171,000.00 111,150.00 59,850.00 65,835.00
0.6500 960,000.00 624,000.00 336,000.00 369,600.00
0.7500 1,100,000.00 825,000.00 275,000.00 302,500.00
0.8100 5,599,980.00 4,535,983.80 1,063,996.20 1,170,395.82
16,469,116.82 10,040,091.54 6,429,025.28 7,071,927.81
I DP SIM RS 7,071,927.00
AI FAKTUR 7,071,928.65
-0.84
154.00 220.00 66.00 154.0000 30,800.00
323.40 462.00 138.60 323.4000 64,680.00
130.90 192.50 61.60 130.9000 1,832,600.00
529.20 840.00 310.80 529.2025 529,202.52
693.00 1,100.00 407.00 693.0000 346,500.00
409.20 660.00 250.80 409.2000 327,360.00
643.50 1,430.00 786.50 643.5000 321,750.00
2,027.14 4,714.28 2,687.14 2,027.1408 1,504,138.50
138.60 330.00 191.40 138.6000 41,580.00
164.99 440.55 275.56 164.9860 164,985.98
109.73 313.50 203.78 109.7250 65,835.00
7,700.00 22,000.00 14,300.00 7,700.0000 369,600.00
15,125.00 60,500.00 45,375.00 15,125.0000 302,500.00
195.07 1,026.66 831.60 195.0660 1,170,395.82
28,343.72 94,229.50 65,885.78 28,343.7203 7,071,927.81
1 HEMAPO INJ 3000 IU 20 85,050.00
2 THROMBOPOP GEL 20 GR 5 49,500.00
3 TEMPRA FORTE SYR 250 MG/5 ML 60 ML 72 40,600.00
NILAI DP SIM RS
NILAI FAKTUR
0.0000 1,701,000.00 0.00 1,701,000.00 1,871,100.00
0.0400 247,500.00 9,900.00 237,600.00 261,360.00
0.0000 2,923,200.00 0.00 2,923,200.00 3,215,520.00
4,871,700.00 9,900.00 4,861,800.00 5,347,980.00
LAI DP SIM RS 5,347,980.00
ILAI FAKTUR 5,347,980.00
0.00
93,555.00 93,555.00 0.00 93,555.00 1,871,100.00
52,272.00 54,450.00 2,178.00 52,272.00 261,360.00
44,660.00 44,660.00 0.00 44,660.00 3,215,520.00
190,487.00 192,665.00 2,178.00 190,487.00 5,347,980.00
1 LACTAFAR CAPS 480 4,000.00 0.1000
2 GABAXA INF 20 G/100 ML 6 250,000.00 0.1100
3 NELANDOZ TAB 28 14,000.00 0.1250
4 PEINLOS INJ 400 MG/4 ML 30 55,000.00 0.1500
5 FARMAVON INJ 4 MG/2 ML 50 39,000.00 0.2800
NILAI DP SIM RS
NILAI FAKTUR
1,920,000.00 192,000.00 1,728,000.00 1,900,800.00 3,960.00
1,500,000.00 165,000.00 1,335,000.00 1,468,500.00 244,750.00
392,000.00 49,000.00 343,000.00 377,300.00 13,475.00
1,650,000.00 247,500.00 1,402,500.00 1,542,750.00 51,425.00
1,950,000.00 546,000.00 1,404,000.00 1,544,400.00 30,888.00
7,412,000.00 1,199,500.00 6,212,500.00 6,833,750.00 344,498.00
6,833,750.00
6,833,750.00
0.00
4,400.00 440.00 3,960.00 1,900,800.00
275,000.00 30,250.00 244,750.00 1,468,500.00
15,400.00 1,925.00 13,475.00 377,300.00
60,500.00 9,075.00 51,425.00 1,542,750.00
42,900.00 12,012.00 30,888.00 1,544,400.00
398,200.00 53,702.00 344,498.00 6,833,750.00
1 INFARIX HEXA INJ 25 588,060.00 0.0747
NILAI DP SIM RS
NILAI FAKTUR
14,701,500.00 1,098,202.05 13,603,297.95 14,963,627.75 598,545.11
14,701,500.00 1,098,202.05 13,603,297.95 14,963,627.75 598,545.11
14,964,436.00
14,964,436.00
-808.25
646,866.00 48,320.89 598,545.11 14,963,627.75
646,866.00 48,320.89 598,545.11 14,963,627.75
NO NSMS JUMLAH HARGA DISKON
1 ENDROLIN INJ 3 820,750.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
2,462,250.00 0.00 2,462,250.00 2,708,475.00 902,825.00
2,462,250.00 0.00 2,462,250.00 2,708,475.00 902,825.00
2,708,475.00
2,708,475.00
0.00
902,825.00 0.00 902,825.00 2,708,475.00
902,825.00 0.00 902,825.00 2,708,475.00
1 NYNDIA DROP 20 37,500.00 0.5300
2 FLORAGYN CAPS 150 12,000.00 0.2000
3 MICROGEST CAPS 100 MG 210 12,000.00 0.2000
4 CLOMIFENE CITRATE TAB 50 MG (MM) 100 1,460.00 0.2000
5 FURAMIN INJ 2,5 MG/ML 10 11,000.00 0.3500
6 MECOBALAMINE INJ 500 MCG/ML (NB) 10 8,000.00 0.3500
7 MECOBALAMINE CAPS 500 MCG (NB) 1,000 700.00 0.4000
8 FLUNARIZINE TAB 10 MG (NB) 80 2,000.00 0.4156
9 MINOSEP GARGLE 0,1 % 60 ML 9 23,000.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
750,000.00 397,500.00 352,500.00 387,750.00 19,387.50
1,800,000.00 360,000.00 1,440,000.00 1,584,000.00 10,560.00
2,520,000.00 504,000.00 2,016,000.00 2,217,600.00 10,560.00
146,000.00 29,200.00 116,800.00 128,480.00 1,284.80
110,000.00 38,500.00 71,500.00 78,650.00 7,865.00
80,000.00 28,000.00 52,000.00 57,200.00 5,720.00
700,000.00 280,000.00 420,000.00 462,000.00 462.00
160,000.00 66,496.00 93,504.00 102,854.40 1,285.68
207,000.00 0.00 207,000.00 227,700.00 25,300.00
6,473,000.00 1,703,696.00 4,769,304.00 5,246,234.40 82,424.98
5,246,234.00
5,246,234.40
0.00
41,250.00 21,862.50 19,387.50 387,750.00
13,200.00 2,640.00 10,560.00 1,584,000.00
13,200.00 2,640.00 10,560.00 2,217,600.00
1,606.00 321.20 1,284.80 128,480.00
12,100.00 4,235.00 7,865.00 78,650.00
8,800.00 3,080.00 5,720.00 57,200.00
770.00 308.00 462.00 462,000.00
2,200.00 914.32 1,285.68 102,854.40
25,300.00 0.00 25,300.00 227,700.00
118,426.00 36,001.02 82,424.98 5,246,234.40
1 LABUMIN CAPS 300 6,500.00 0.2000
NILAI DP SIM RS
NILAI FAKTUR
1,950,000.00 390,000.00 1,560,000.00 1,716,000.00 5,720.00
1,950,000.00 390,000.00 1,560,000.00 1,716,000.00 5,720.00
1,716,000.00
1,716,000.00
0.00
7,150.00 1,430.00 5,720.00 1,716,000.00
7,150.00 1,430.00 5,720.00 1,716,000.00
1 APIALYS DROPS 10 40,000.00 0.2000
2 APIALYS SYR 100 ML 10 33,000.00 0.2000
3 IMUNOS PLUS KAPLET 100 9,500.00 0.2000
4 IMUNOS PLUS SYR 5 92,000.00 0.2000
5 IMUNOS SYR 60 ML 10 63,000.00 0.2000
6 LASAL EXP SYR 2 MG 10 37,500.00 0.2000
7 LASAL SYR 100 ML 5 26,000.00 0.2000
8 LATROPIL SYR 100 ML 10 48,000.00 0.2000
NILAI DP SIM RS
NILAI FAKTUR
400,000.00 80,000.00 320,000.00 352,000.00 35,200.00
330,000.00 66,000.00 264,000.00 290,400.00 29,040.00
950,000.00 190,000.00 760,000.00 836,000.00 8,360.00
460,000.00 92,000.00 368,000.00 404,800.00 80,960.00
630,000.00 126,000.00 504,000.00 554,400.00 55,440.00
375,000.00 75,000.00 300,000.00 330,000.00 33,000.00
130,000.00 26,000.00 104,000.00 114,400.00 22,880.00
480,000.00 96,000.00 384,000.00 422,400.00 42,240.00
3,755,000.00 751,000.00 3,004,000.00 3,304,400.00 307,120.00
3,304,400.00
3,304,400.00
0.00
44,000.00 8,800.00 35,200.00 352,000.00
36,300.00 7,260.00 29,040.00 290,400.00
10,450.00 2,090.00 8,360.00 836,000.00
101,200.00 20,240.00 80,960.00 404,800.00
69,300.00 13,860.00 55,440.00 554,400.00
41,250.00 8,250.00 33,000.00 330,000.00
28,600.00 5,720.00 22,880.00 114,400.00
52,800.00 10,560.00 42,240.00 422,400.00
383,900.00 76,780.00 307,120.00 3,304,400.00
1 FENTANYL CITRATE INJ 10 ML 24 102,060.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
2,449,440.00 0.00 2,449,440.00 2,694,384.00 112,266.00
2,449,440.00 0.00 2,449,440.00 2,694,384.00 112,266.00
2,694,384.00
2,694,384.00
0.00
112,266.00 0.00 112,266.00 2,694,384.00
112,266.00 0.00 112,266.00 2,694,384.00
1 GABAXA INF 20 G/100 ML 40 250,000.00 0.1090
2 FARTISON INJ 100 MG 4 95,000.00 0.1500
3 RESFAR INJ 5 G/25 ML 72 199,000.00 0.1750
4 INCIVLOT INJ 5000 IU/ML 150 66,000.00 0.2700
5 FARMAVON INJ 4 MG/2 ML 100 39,000.00 0.2800
6 FARMABES INJ 20 MG/5 ML 10 110,000.00 0.3000
7 FARTOLIN SYR 20 MG 20 40,000.00 0.3000
8 FIXACEF ORAL DROP 10 65,000.00 0.3000
9 NOKOBA INJ 0,4 MG.ML 20 100,000.00 0.3000
10 TIARYT INJ 10 26,000.00 0.3000
11 ATOFAR TAB 10 MG 90 11,500.00 0.3496
12 ATOFAR TAB 20 MG 180 11,500.00 0.3496
13 FARMDOL INF 1 G/100 ML 48 60,000.00 0.3600
14 ESTAZOR CAP 300 9,000.00 0.4000
15 FARGOXIN INJ 0,5 MG/2 ML 10 50,000.00 0.4400
NILAI DP SIM RS
NILAI FAKTUR
10,000,000.00 1,090,000.00 8,910,000.00 9,801,000.00 245,025.00
380,000.00 57,000.00 323,000.00 355,300.00 88,825.00
14,328,000.00 2,507,400.00 11,820,600.00 13,002,660.00 180,592.50
9,900,000.00 2,673,000.00 7,227,000.00 7,949,700.00 52,998.00
3,900,000.00 1,092,000.00 2,808,000.00 3,088,800.00 30,888.00
1,100,000.00 330,000.00 770,000.00 847,000.00 84,700.00
800,000.00 240,000.00 560,000.00 616,000.00 30,800.00
650,000.00 195,000.00 455,000.00 500,500.00 50,050.00
2,000,000.00 600,000.00 1,400,000.00 1,540,000.00 77,000.00
260,000.00 78,000.00 182,000.00 200,200.00 20,020.00
1,035,000.00 361,836.00 673,164.00 740,480.40 8,227.56
2,070,000.00 723,672.00 1,346,328.00 1,480,960.80 8,227.56
2,880,000.00 1,036,800.00 1,843,200.00 2,027,520.00 42,240.00
2,700,000.00 1,080,000.00 1,620,000.00 1,782,000.00 5,940.00
500,000.00 220,000.00 280,000.00 308,000.00 30,800.00
52,503,000.00 12,284,708.00 40,218,292.00 44,240,121.20 956,333.62
S 44,240,121.00
44,240,121.00
0.20
275,000.00 29,975.00 245,025.00 9,801,000.00
104,500.00 15,675.00 88,825.00 355,300.00
218,900.00 38,307.50 180,592.50 13,002,660.00
72,600.00 19,602.00 52,998.00 7,949,700.00
42,900.00 12,012.00 30,888.00 3,088,800.00
121,000.00 36,300.00 84,700.00 847,000.00
44,000.00 13,200.00 30,800.00 616,000.00
71,500.00 21,450.00 50,050.00 500,500.00
110,000.00 33,000.00 77,000.00 1,540,000.00
28,600.00 8,580.00 20,020.00 200,200.00
12,650.00 4,422.44 8,227.56 740,480.40
12,650.00 4,422.44 8,227.56 1,480,960.80
66,000.00 23,760.00 42,240.00 2,027,520.00
9,900.00 3,960.00 5,940.00 1,782,000.00
55,000.00 24,200.00 30,800.00 308,000.00
1,245,200.00 288,866.38 956,333.62 44,240,121.20
1 FUROSEMIDE INJ (YR) 1,250 2,800.00 0.7500
NILAI DP SIM RS
NILAI FAKTUR
3,500,000.00 2,625,000.00 875,000.00 962,500.00 770.00
3,500,000.00 2,625,000.00 875,000.00 962,500.00 770.00
962,500.00
962,500.00
0.00
3,080.00 2,310.00 770.00 962,500.00
3,080.00 2,310.00 770.00 962,500.00
1 FARBIVENT 8 110,000.00 0.0500
2 SIKSTOP TABLET 90 7,000.00 0.0500
NILAI DP SIM RS
NILAI FAKTUR
880,000.00 44,000.00 836,000.00 919,600.00 114,950.00
630,000.00 31,500.00 598,500.00 658,350.00 7,315.00
1,510,000.00 75,500.00 1,434,500.00 1,577,950.00 122,265.00
1,577,950.00
1,577,950.00
0.00
121,000.00 6,050.00 114,950.00 919,600.00
7,700.00 385.00 7,315.00 658,350.00
128,700.00 6,435.00 122,265.00 1,577,950.00
1 RONEM 1 GR INJ 5 860,000.00 0.0500
NILAI DP SIM RS
NILAI FAKTUR
4,300,000.00 215,000.00 4,085,000.00 4,493,500.00 898,700.00
4,300,000.00 215,000.00 4,085,000.00 4,493,500.00 898,700.00
4,493,500.00
4,493,500.00
0.00
946,000.00 47,300.00 898,700.00 4,493,500.00
946,000.00 47,300.00 898,700.00 4,493,500.00
1 DEXKETOPROFEN 25 MG TAB (FAH) 510 3,100.00
2 PREGABALIN CAPS 75 MG 2,100 4,833.33
3 DIVALPROEX SODIUM KAPL 250 MG (YN) 300 2,800.00
NILAI DP SIM RS
NILAI FAKTUR
0.0500 1,581,000.00 79,050.00 1,501,950.00 1,652,145.00
0.1000 10,149,993.00 1,014,999.30 9,134,993.70 10,048,493.07
0.1000 840,000.00 84,000.00 756,000.00 831,600.00
12,570,993.00 1,178,049.30 11,392,943.70 12,532,238.07
LAI DP SIM RS 12,532,237.00
-6.93
3,239.50 3,410.00 170.50 3,239.50 1,652,145.00
4,785.00 5,316.66 531.67 4,785.00 10,048,493.07
2,772.00 3,080.00 308.00 2,772.00 831,600.00
10,796.50 11,806.66 1,010.17 10,796.50 12,532,238.07
1 ESOMAX INJ 40 MG 10 165,000.00 0.2750
2 GERDILIUM DROPS 12 ML 5 40,000.00 0.2750
3 HI BONE E 600 (OTTO) N 450 5,000.00 0.2750
4 MUCERA 15 MG/5 ML SYR 24 28,000.00 0.2750
5 TORAMINE 10 MG TAB 100 5,500.00 0.2750
6 TROGYSTATIN OVULA 50 16,500.00 0.3500
7 VITAMULTI DHA TAB 2,100 3,800.00 0.4000
8 HI BONE 3 300 (OTTO) N 300 4,000.00 0.4200
9 OPILAX SYR 60 ML 48 55,000.00 0.4800
10 ROFIDEN SUPPOSITORIA 20 13,500.00 0.5500
NILAI DP SIM RS
NILAI FAKTUR
1,650,000.00 453,750.00 1,196,250.00 1,315,875.00 131,587.50
200,000.00 55,000.00 145,000.00 159,500.00 31,900.00
2,250,000.00 618,750.00 1,631,250.00 1,794,375.00 3,987.50
672,000.00 184,800.00 487,200.00 535,920.00 22,330.00
550,000.00 151,250.00 398,750.00 438,625.00 4,386.25
825,000.00 288,750.00 536,250.00 589,875.00 11,797.50
7,980,000.00 3,192,000.00 4,788,000.00 5,266,800.00 2,508.00
1,200,000.00 504,000.00 696,000.00 765,600.00 2,552.00
2,640,000.00 1,267,200.00 1,372,800.00 1,510,080.00 31,460.00
270,000.00 148,500.00 121,500.00 133,650.00 6,682.50
18,237,000.00 6,864,000.00 11,373,000.00 12,510,300.00 249,191.25
12,510,300.00
12,510,300.00
0.00
181,500.00 49,912.50 131,587.50 1,315,875.00
44,000.00 12,100.00 31,900.00 159,500.00
5,500.00 1,512.50 3,987.50 1,794,375.00
30,800.00 8,470.00 22,330.00 535,920.00
6,050.00 1,663.75 4,386.25 438,625.00
18,150.00 6,352.50 11,797.50 589,875.00
4,180.00 1,672.00 2,508.00 5,266,800.00
4,400.00 1,848.00 2,552.00 765,600.00
60,500.00 29,040.00 31,460.00 1,510,080.00
14,850.00 8,167.50 6,682.50 133,650.00
369,930.00 120,738.75 249,191.25 12,510,300.00
1 URID ACID FS TOOS 2 277,100.00
NILAI DP SIM RS
NILAI FAKTUR
0.0000 554,200.00 0.00 554,200.00 609,620.00
554,200.00 0.00 554,200.00 609,620.00
AI DP SIM RS 609,620.00
LAI FAKTUR 609,620.00
0.00
304,810.00 304,810.00 0.00 304,810.00 609,620.00
304,810.00 304,810.00 0.00 304,810.00 609,620.00
1 SAR-COV-2 ANTIGEN (CL) 3,000 16,818.18 0.0000
2 SERUM GOL. DARAH ANTI A 2 87,272.72 0.0000
3 SERUM GOL. DARAH ANTI AB 2 87,272.72 0.0000
4 SERUM GOL. DARAH ANTI B 2 87,272.72 0.0000
5 SERUM GOL. DARAH ANTI D 2 87,272.72 0.0000
6 HIV TEST 5 510,000.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
50,454,540.00 0.00 50,454,540.00 55,499,994.00 18,500.00
174,545.44 0.00 174,545.44 191,999.98 95,999.99
174,545.44 0.00 174,545.44 191,999.98 95,999.99
174,545.44 0.00 174,545.44 191,999.98 95,999.99
174,545.44 0.00 174,545.44 191,999.98 95,999.99
2,550,000.00 0.00 2,550,000.00 2,805,000.00 561,000.00
53,702,721.76 0.00 53,702,721.76 59,072,993.94 963,499.97
59,073,000.00
59,073,000.00
-6.06
18,500.00 0.00 18,500.00 55,499,994.00
95,999.99 0.00 95,999.99 191,999.98
95,999.99 0.00 95,999.99 191,999.98
95,999.99 0.00 95,999.99 191,999.98
95,999.99 0.00 95,999.99 191,999.98
561,000.00 0.00 561,000.00 2,805,000.00
963,499.97 0.00 963,499.97 59,072,993.94
1 KARTU GOL DARAH 500 530.00 0.0000
2 SERUM GOL. DARAH ANTI A 2 96,000.00 0.0000
3 SERUM GOL. DARAH ANTI AB 2 96,000.00 0.0000
4 SERUM GOL. DARAH ANTI B 2 96,000.00 0.0000
5 SERUM GOL. DARAH ANTI D 2 96,000.00 0.0000
6 CHOLESTEROL 10028 1 2,392,000.00 0.0000
7 HBS AG 25 308,000.00 0.0000
8 HCG STRIP 1 103,000.00 0.0000
9 HCV TEST 2 768,000.00 0.0000
10 HIV (ONSITE) 25 561,000.00 0.0000
11 K3 EDTA 3 ML (VCB) 1,500 2,250.00 0.0000
12 SERUM CLOT ACTIVATOR 1,000 2,250.00 0.0000
13 K3 EDTA 0,5 ML 250 4,560.00 0.0000
NILAI DP SIM RS
NILAI FAKTUR
265,000.00 0.00 265,000.00 291,500.00 583.00
192,000.00 0.00 192,000.00 211,200.00 105,600.00
192,000.00 0.00 192,000.00 211,200.00 105,600.00
192,000.00 0.00 192,000.00 211,200.00 105,600.00
192,000.00 0.00 192,000.00 211,200.00 105,600.00
2,392,000.00 0.00 2,392,000.00 2,631,200.00 2,631,200.00
7,700,000.00 0.00 7,700,000.00 8,470,000.00 338,800.00
103,000.00 0.00 103,000.00 113,300.00 113,300.00
1,536,000.00 0.00 1,536,000.00 1,689,600.00 844,800.00
14,025,000.00 0.00 14,025,000.00 15,427,500.00 617,100.00
3,375,000.00 0.00 3,375,000.00 3,712,500.00 2,475.00
2,250,000.00 0.00 2,250,000.00 2,475,000.00 2,475.00
1,140,000.00 0.00 1,140,000.00 1,254,000.00 5,016.00
33,554,000.00 0.00 33,554,000.00 36,909,400.00 4,978,149.00
36,909,400.00
36,909,400.00
0.00
583.00 0.00 583.00 291,500.00
105,600.00 0.00 105,600.00 211,200.00
105,600.00 0.00 105,600.00 211,200.00
105,600.00 0.00 105,600.00 211,200.00
105,600.00 0.00 105,600.00 211,200.00
2,631,200.00 0.00 2,631,200.00 2,631,200.00
338,800.00 0.00 338,800.00 8,470,000.00
113,300.00 0.00 113,300.00 113,300.00
844,800.00 0.00 844,800.00 1,689,600.00
617,100.00 0.00 617,100.00 15,427,500.00
2,475.00 0.00 2,475.00 3,712,500.00
2,475.00 0.00 2,475.00 2,475,000.00
5,016.00 0.00 5,016.00 1,254,000.00
4,978,149.00 0.00 4,978,149.00 36,909,400.00
1 RENOSAN INFUS 500 ML 4 251,900.00 0.3500
NILAI DP SIM RS
NILAI FAKTUR
1,007,600.00 352,660.00 654,940.00 720,434.00 180,108.50
1,007,600.00 352,660.00 654,940.00 720,434.00 180,108.50
720,434.00
720,434.00
0.00
277,090.00 96,981.50 180,108.50 720,434.00
277,090.00 96,981.50 180,108.50 720,434.00
1 COMBOSTIK 5 405,600.00
2 DAILY CLEANSER 1 1,400,000.00
3 QC ELEKTROLIT 1 1,833,000.00
4 REAGENT SOLUTION PACK 1 10,000,000.00
NILAI DP SIM RS
NILAI FAKTUR
0.0000 2,028,000.00 0.00 2,028,000.00 2,230,800.00
0.0000 1,400,000.00 0.00 1,400,000.00 1,540,000.00
0.0000 1,833,000.00 0.00 1,833,000.00 2,016,300.00
0.0000 10,000,000.00 0.00 10,000,000.00 11,000,000.00
15,261,000.00 0.00 15,261,000.00 16,787,100.00
LAI DP SIM RS 16,787,100.00
0.00
446,160.00 446,160.00 0.00 446,160.00 2,230,800.00
1,540,000.00 1,540,000.00 0.00 1,540,000.00 1,540,000.00
2,016,300.00 2,016,300.00 0.00 2,016,300.00 2,016,300.00
11,000,000.00 11,000,000.00 0.00 11,000,000.00 11,000,000.00
15,002,460.00 15,002,460.00 0.00 15,002,460.00 16,787,100.00
1 XITROL EYE DROPS 0,6 ML MD 50 4,875.00
2 SCABIMITE CR 5 % 10 G 5 45,000.00
3 CETIRIZINR SYR 60 ML 50 5,000.00
4 APIALYS DROPS 10 40,000.00
5 FG TROCHES LOZENGES 120 1,164.76
6 AMBROXOL SYR 15 MG/5 ML 50 3,000.00
NILAI DP SIM RS
NILAI FAKTUR
1.00% 243,750.00 2,437.50 241,312.50 265,443.75
2.00% 225,000.00 4,500.00 220,500.00 242,550.00
0.00% 250,000.00 0.00 250,000.00 275,000.00
0.00% 400,000.00 0.00 400,000.00 440,000.00
0.00% 139,771.20 0.00 139,771.20 153,748.32
0.00% 150,000.00 0.00 150,000.00 165,000.00
1,408,521.20 6,937.50 1,401,583.70 1,541,742.07
LAI DP SIM RS 1,541,741.00
ILAI FAKTUR 1,541,743.00
-0.93
5,308.88 5,362.50 53.63 5,308.88 265,443.75
48,510.00 49,500.00 990.00 48,510.00 242,550.00
5,500.00 5,500.00 0.00 5,500.00 275,000.00
44,000.00 44,000.00 0.00 44,000.00 440,000.00
1,281.24 1,281.24 0.00 1,281.24 153,748.32
3,300.00 3,300.00 0.00 3,300.00 165,000.00
107,900.11 108,943.74 1,043.63 107,900.11 1,541,742.07
NO NAMA JUMLAH
1 GUESSETTED REELS 100 MM X 50 MM X 100 M 2
NILAI DP SIM RS
NILAI FAKTUR
HARGA DISKON SUBTOTAL DISKON SUBTOTAL-DISKON
614,680.00 0.00% 1,229,360.00 0.00 1,229,360.00
711,480.00 0.00% 1,422,960.00 0.00 1,422,960.00
937,750.00 0.00% 1,875,500.00 0.00 1,875,500.00
4,527,820.00 0.00 4,527,820.00
NILAI DP SIM RS
NILAI FAKTUR
TOTAL*+PPN HARGA/JUMLAH HARGA+PPN DISKON 3 HARGA+PPN-DISKON
1,352,296.00 676,148.00 676,148.00 0.00 676,148.00
1,565,256.00 782,628.00 782,628.00 0.00 782,628.00
2,063,050.00 1,031,525.00 1,031,525.00 0.00 1,031,525.00
4,980,602.00 2,490,301.00 2,490,301.00 0.00 2,490,301.00
4,980,602.00
4,980,602.00
0.00
AKHIR
1,352,296.00
1,565,256.00
2,063,050.00
4,980,602.00
1 OFERLOD 1,500 15,000.00 0.00%
NILAI DP SIM RS
NILAI FAKTUR
22,500,000.00 0.00 22,500,000.00 24,750,000.00 16,500.00
22,500,000.00 0.00 22,500,000.00 24,750,000.00 16,500.00
24,750,000.00
24,750,000.00
0.00
16,500.00 0.00 16,500.00 24,750,000.00
16,500.00 0.00 16,500.00 24,750,000.00
1 CATARLENT EYE DROPS 15 ML 50 30,625.00
2 PROTOGENTA EYEDROPS 0,6 ML MD 20 7,175.00
3 TIMOL EYE DROPS 0,5% 0,6 ML MD 50 5,150.00
4 DARYANT-TULLE 50 19,656.00
5 OMEPRAZOLE 20 MG 90 366.67
6 HEXAVASK 10 MG 50 1,340.00
7 DIONICOL SYR 5 7,000.00
8 SCOPMA PLUS TAB 100 928.50
9 PERMETHERINE CR 5% 10 GR 5 18,000.00
10 AMBROXOL SYR 15 MG/5 ML 50 3,000.00
NILAI DP SIM RS
NILAI FAKTUR
1.00% 1,531,250.00 15,312.50 1,515,937.50 1,667,531.25
1.00% 143,500.00 1,435.00 142,065.00 156,271.50
1.00% 257,500.00 2,575.00 254,925.00 280,417.50
0.00% 982,800.00 0.00 982,800.00 1,081,080.00
0.00% 33,000.30 0.00 33,000.30 36,300.33
0.00% 67,000.00 0.00 67,000.00 73,700.00
0.00% 35,000.00 0.00 35,000.00 38,500.00
0.00% 92,850.00 0.00 92,850.00 102,135.00
0.00% 90,000.00 0.00 90,000.00 99,000.00
0.00% 150,000.00 0.00 150,000.00 165,000.00
3,382,900.30 19,322.50 3,363,577.80 3,699,935.58
AI DP SIM RS 3,699,934.00
LAI FAKTUR 3,699,935.25
0.33
33,350.63 33,687.50 336.88 33,350.63 1,667,531.25
7,813.58 7,892.50 78.93 7,813.58 156,271.50
5,608.35 5,665.00 56.65 5,608.35 280,417.50
21,621.60 21,621.60 0.00 21,621.60 1,081,080.00
403.34 403.34 0.00 403.34 36,300.33
1,474.00 1,474.00 0.00 1,474.00 73,700.00
7,700.00 7,700.00 0.00 7,700.00 38,500.00
1,021.35 1,021.35 0.00 1,021.35 102,135.00
19,800.00 19,800.00 0.00 19,800.00 99,000.00
3,300.00 3,300.00 0.00 3,300.00 165,000.00
102,092.84 102,565.29 472.45 102,092.84 3,699,935.58
1 DULCOLAX SUPP INFANT 5 MG 30 16,266.33
2 CEFADROXIL CAPS 500 MG (BERNO) 1,000 800.00
3 CENDO CITROL EYE DROPS 10 27,250.00
4 OMEPRAZOLE 20 MG 1,500 366.67
5 ISOTIC ADRETOR 0,5% 5 ML 10 24,900.00
6 LERZIN DROPS 3 9,450.00
7 LOSTACEF 125 SYR 7 7,280.00
8 LOSTACEF 250 SYR 7 9,600.00
9 CLONIDINE TAB 0,15 MG (IF) 2,000 195.68
10 GENTAMICIN SALEP KULIT 0,1 % 5 G (IF) 50 3,319.00
11 ISOSORBIDE DINITRATE TAB 5 MG (IF) 2,000 150.00
12 AMBROXOL TAB 500 180.00
13 FUROSEMIDE TAB 40 MG (KF) 2,000 146.25
14 L-BIO 60 7,000.00
15 ONDANSETRON TAB 4 MG 180 766.66
16 NEW DIATABS 200 506.50
17 FG TROCHES LOZENGES 120 1,164.76
18 EPERISONE TAB 50 MG (NP) 1,500 800.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 487,989.90 0.00 487,989.90 536,788.89
0.00% 800,000.00 0.00 800,000.00 880,000.00
1.00% 272,500.00 2,725.00 269,775.00 296,752.50
0.00% 550,005.00 0.00 550,005.00 605,005.50
25.00% 249,000.00 62,250.00 186,750.00 205,425.00
0.00% 28,350.00 0.00 28,350.00 31,185.00
0.00% 50,960.00 0.00 50,960.00 56,056.00
0.00% 67,200.00 0.00 67,200.00 73,920.00
0.00% 391,360.00 0.00 391,360.00 430,496.00
0.00% 165,950.00 0.00 165,950.00 182,545.00
0.00% 300,000.00 0.00 300,000.00 330,000.00
10.00% 90,000.00 9,000.00 81,000.00 89,100.00
0.00% 292,500.00 0.00 292,500.00 321,750.00
0.00% 420,000.00 0.00 420,000.00 462,000.00
0.00% 137,998.80 0.00 137,998.80 151,798.68
0.00% 101,300.00 0.00 101,300.00 111,430.00
0.00% 139,771.20 0.00 139,771.20 153,748.32
0.00% 1,200,000.00 0.00 1,200,000.00 1,320,000.00
5,744,884.90 73,975.00 5,670,909.90 6,238,000.89
AI DP SIM RS 6,237,999.00
LAI FAKTUR 6,237,998.00
2.89
17,892.96 17,892.96 0.00 17,892.96 536,788.89
880.00 880.00 0.00 880.00 880,000.00
29,675.25 29,975.00 299.75 29,675.25 296,752.50
403.34 403.34 0.00 403.34 605,005.50
20,542.50 27,390.00 6,847.50 20,542.50 205,425.00
10,395.00 10,395.00 0.00 10,395.00 31,185.00
8,008.00 8,008.00 0.00 8,008.00 56,056.00
10,560.00 10,560.00 0.00 10,560.00 73,920.00
215.25 215.25 0.00 215.25 430,496.00
3,650.90 3,650.90 0.00 3,650.90 182,545.00
165.00 165.00 0.00 165.00 330,000.00
178.20 198.00 19.80 178.20 89,100.00
160.88 160.88 0.00 160.88 321,750.00
7,700.00 7,700.00 0.00 7,700.00 462,000.00
843.33 843.33 0.00 843.33 151,798.68
557.15 557.15 0.00 557.15 111,430.00
1,281.24 1,281.24 0.00 1,281.24 153,748.32
880.00 880.00 0.00 880.00 1,320,000.00
113,988.99 121,156.04 7,167.05 113,988.99 6,238,000.89
1 ASEDAS SYR 36 43,000.00
2 CALTRON TAB 1,000 2,900.00
3 FEROSFAT TAB 3,000 7,200.00
4 IMUDATOR TABLET 540 8,000.00
5 OSTEOR PLUS TAB 300 8,533.33
6 KETOCID TAB 2,000 8,200.00
NILAI DP SIM RS
NILAI FAKTUR
15.00% 1,548,000.00 232,200.00 1,315,800.00 1,447,380.00
15.00% 2,900,000.00 435,000.00 2,465,000.00 2,711,500.00
15.00% 21,600,000.00 3,240,000.00 18,360,000.00 20,196,000.00
15.00% 4,320,000.00 648,000.00 3,672,000.00 4,039,200.00
15.00% 2,559,999.00 383,999.85 2,175,999.15 2,393,599.07
58.50% 16,400,000.00 9,594,000.00 6,806,000.00 7,486,600.00
49,327,999.00 14,533,199.85 34,794,799.15 38,274,279.07
AI DP SIM RS 38,274,278.00
LAI FAKTUR 38,274,280.00
-0.93
40,205.00 47,300.00 7,095.00 40,205.00 1,447,380.00
2,711.50 3,190.00 478.50 2,711.50 2,711,500.00
6,732.00 7,920.00 1,188.00 6,732.00 20,196,000.00
7,480.00 8,800.00 1,320.00 7,480.00 4,039,200.00
7,978.66 9,386.66 1,408.00 7,978.66 2,393,599.07
3,743.30 9,020.00 5,276.70 3,743.30 7,486,600.00
68,850.46 85,616.66 16,766.20 68,850.46 38,274,279.07
1 RENOSAN INFUS 500 ML 24 176,330.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 4,231,920.00 0.00 4,231,920.00 4,655,112.00
4,231,920.00 0.00 4,231,920.00 4,655,112.00
AI DP SIM RS 4,655,112.00
LAI FAKTUR 4,655,112.00
0.00
193,963.00 193,963.00 0.00 193,963.00 4,655,112.00
193,963.00 193,963.00 0.00 193,963.00 4,655,112.00
1 CEFAT CAPS 500 MG 100 10,145.00
2 CEFAT SYR 125 MG/ML 5 42,900.00
3 CLANEKSI KAPL 625 MG 30 12,100.00
4 CLANEKSI SYR 250 MG/5 ML 5 70,400.00
5 EPISAN SYR 100 ML 30 48,900.00
6 MEFINAL CAPS 500 MG 800 1,335.00
7 NEUROSANBE PLUS TAB 100 1,130.00
8 NEUROSANBE TAB 500 MG 600 2,555.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 1,014,500.00 253,625.00 760,875.00 836,962.50
25.00% 214,500.00 53,625.00 160,875.00 176,962.50
25.00% 363,000.00 90,750.00 272,250.00 299,475.00
25.00% 352,000.00 88,000.00 264,000.00 290,400.00
25.00% 1,467,000.00 366,750.00 1,100,250.00 1,210,275.00
25.00% 1,068,000.00 267,000.00 801,000.00 881,100.00
25.00% 113,000.00 28,250.00 84,750.00 93,225.00
25.00% 1,533,000.00 383,250.00 1,149,750.00 1,264,725.00
6,125,000.00 1,531,250.00 4,593,750.00 5,053,125.00

AI DP SIM RS 5,053,125.00
LAI FAKTUR 5,053,125.00
0.00
8,369.63 11,159.50 2,789.88 8,369.63 836,962.50
35,392.50 47,190.00 11,797.50 35,392.50 176,962.50
9,982.50 13,310.00 3,327.50 9,982.50 299,475.00
58,080.00 77,440.00 19,360.00 58,080.00 290,400.00
40,342.50 53,790.00 13,447.50 40,342.50 1,210,275.00
1,101.38 1,468.50 367.13 1,101.38 881,100.00
932.25 1,243.00 310.75 932.25 93,225.00
2,107.88 2,810.50 702.63 2,107.88 1,264,725.00
156,308.63 208,411.50 52,102.88 156,308.63 5,053,125.00

1 OSTELOX TAB 15 MG 40 9,170.00
2 PUMPITOR TAB 400 13,530.00
3 SANADRYL EKSPECTORAN SYR 120 ML 24 14,300.00
4 SANADRYL SYR 60 ML 24 9,900.00
5 SANPRIMA SYR 20 25,600.00
6 UROTRACTIN CAPS 400 MG 60 3,260.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 366,800.00 91,700.00 275,100.00 302,610.00
25.00% 5,412,000.00 1,353,000.00 4,059,000.00 4,464,900.00
25.00% 343,200.00 85,800.00 257,400.00 283,140.00
25.00% 237,600.00 59,400.00 178,200.00 196,020.00
25.00% 512,000.00 128,000.00 384,000.00 422,400.00
25.00% 195,600.00 48,900.00 146,700.00 161,370.00
7,067,200.00 1,766,800.00 5,300,400.00 5,830,440.00
AI DP SIM RS 5,830,440.00
LAI FAKTUR 5,830,440.00
0.00
7,565.25 10,087.00 2,521.75 7,565.25 302,610.00
11,162.25 14,883.00 3,720.75 11,162.25 4,464,900.00
11,797.50 15,730.00 3,932.50 11,797.50 283,140.00
8,167.50 10,890.00 2,722.50 8,167.50 196,020.00
21,120.00 28,160.00 7,040.00 21,120.00 422,400.00
2,689.50 3,586.00 896.50 2,689.50 161,370.00
62,502.00 83,336.00 20,834.00 62,502.00 5,830,440.00
1 OTILON EARDROPS 5 MG/ML 10 38,550.00
2 SAGESTAM EARDROPS 3 MG/ML 3 28,800.00
3 BAQUINOR EYE DROPS 3 MG/ML 12 33,850.00
4 POLIDEMISIN EYEDROPS 3,5 MG/ML 15 27,700.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 385,500.00 115,650.00 269,850.00 296,835.00
30.00% 86,400.00 25,920.00 60,480.00 66,528.00
38.00% 406,200.00 154,356.00 251,844.00 277,028.40
38.24% 415,500.00 158,887.20 256,612.80 282,274.08
1,293,600.00 454,813.20 838,786.80 922,665.48
AI DP SIM RS 922,664.00
-0.52
29,683.50 42,405.00 12,721.50 29,683.50 296,835.00
22,176.00 31,680.00 9,504.00 22,176.00 66,528.00
23,085.70 37,235.00 14,149.30 23,085.70 277,028.40
18,818.27 30,470.00 11,651.73 18,818.27 282,274.08
93,763.47 141,790.00 48,026.53 93,763.47 922,665.48
1 SANADRYL EKSPECTORAN SYR 120 ML 48 14,300.00
2 SANADRYL SYR 48 9,900.00
3 SANPRIMA SYR 24 25,600.00
4 STOLAX SUPPOSITORIA 120 6,600.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 686,400.00 171,600.00 514,800.00 566,280.00
25.00% 475,200.00 118,800.00 356,400.00 392,040.00
25.00% 614,400.00 153,600.00 460,800.00 506,880.00
25.00% 792,000.00 198,000.00 594,000.00 653,400.00
2,568,000.00 642,000.00 1,926,000.00 2,118,600.00
AI DP SIM RS 2,118,600.00
LAI FAKTUR 2,118,600.00
0.00
11,797.50 15,730.00 3,932.50 11,797.50 566,280.00
8,167.50 10,890.00 2,722.50 8,167.50 392,040.00
21,120.00 28,160.00 7,040.00 21,120.00 506,880.00
5,445.00 7,260.00 1,815.00 5,445.00 653,400.00
46,530.00 62,040.00 15,510.00 46,530.00 2,118,600.00
1 TERFACEF 1 GR INJ 40 210,950.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 8,438,000.00 2,531,400.00 5,906,600.00 6,497,260.00
8,438,000.00 2,531,400.00 5,906,600.00 6,497,260.00
AI DP SIM RS 6,497,260.00
LAI FAKTUR 6,497,260.00
0.00
162,431.50 232,045.00 69,613.50 162,431.50 6,497,260.00
162,431.50 232,045.00 69,613.50 162,431.50 6,497,260.00
1 SAGESTAM INJ 30 10,000.00
2 SANPICILLIN INJ 50 16,025.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 300,000.00 90,000.00 210,000.00 231,000.00
30.00% 801,250.00 240,375.00 560,875.00 616,962.50
1,101,250.00 330,375.00 770,875.00 847,962.50
AI DP SIM RS 847,962.00
-0.50
7,700.00 11,000.00 3,300.00 7,700.00 231,000.00
12,339.25 17,627.50 5,288.25 12,339.25 616,962.50
20,039.25 28,627.50 8,588.25 20,039.25 847,962.50
1 COLSANCETINE INJ (SANBE) N 20 14,000.00
2 CORTIDEX INJ 5 MG/ML 600 6,245.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 280,000.00 84,000.00 196,000.00 215,600.00
30.00% 3,747,000.00 1,124,100.00 2,622,900.00 2,885,190.00
4,027,000.00 1,208,100.00 2,818,900.00 3,100,790.00
AI DP SIM RS 3,100,790.00
LAI FAKTUR 3,100,790.00
0.00
10,780.00 15,400.00 4,620.00 10,780.00 215,600.00
4,808.65 6,869.50 2,060.85 4,808.65 2,885,190.00
15,588.65 22,269.50 6,680.85 15,588.65 3,100,790.00
1 ACRAN INJEKSI 25 20,830.00
2 NEUROSANBE INJ 3 ML 60 5,470.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 520,750.00 156,225.00 364,525.00 400,977.50
30.00% 328,200.00 98,460.00 229,740.00 252,714.00
848,950.00 254,685.00 594,265.00 653,691.50
AI DP SIM RS 653,691.00
-0.50
16,039.10 22,913.00 6,873.90 16,039.10 400,977.50
4,211.90 6,017.00 1,805.10 4,211.90 252,714.00
20,251.00 28,930.00 8,679.00 20,251.00 653,691.50
1 SANADRYL DMP SYR 120 ML 24 19,600.00
2 SANADRYL DMP SYR 60 ML 24 12,000.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 470,400.00 117,600.00 352,800.00 388,080.00
25.00% 288,000.00 72,000.00 216,000.00 237,600.00
758,400.00 189,600.00 568,800.00 625,680.00
AI DP SIM RS 625,680.00
0.00
16,170.00 21,560.00 5,390.00 16,170.00 388,080.00
9,900.00 13,200.00 3,300.00 9,900.00 237,600.00
26,070.00 34,760.00 8,690.00 26,070.00 625,680.00
1 SANSULIN LOG G DISPOPEN 30 180,000.00
NILAI DP SIM RS
NILAI FAKTUR
55.05% 5,400,000.00 2,972,700.00 2,427,300.00 2,670,030.00
5,400,000.00 2,972,700.00 2,427,300.00 2,670,030.00
AI DP SIM RS 2,670,030.00
LAI FAKTUR 2,670,030.00
0.00
89,001.00 198,000.00 108,999.00 89,001.00 2,670,030.00
89,001.00 198,000.00 108,999.00 89,001.00 2,670,030.00
1 SANBE TEARS EYE DROPS 1 MG /ML 30 22,050.00
NILAI DP SIM RS
NILAI FAKTUR
37.00% 661,500.00 244,755.00 416,745.00 458,419.50
661,500.00 244,755.00 416,745.00 458,419.50
AI DP SIM RS 458,419.00
-0.50
15,280.65 24,255.00 8,974.35 15,280.65 458,419.50
15,280.65 24,255.00 8,974.35 15,280.65 458,419.50
1 TROVENSIS 2 ML INJ 15 33,830.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 507,450.00 152,235.00 355,215.00 390,736.50
507,450.00 152,235.00 355,215.00 390,736.50
AI DP SIM RS 390,736.00
-0.50
26,049.10 37,213.00 11,163.90 26,049.10 390,736.50
26,049.10 37,213.00 11,163.90 26,049.10 390,736.50
1 TRADOSIK INJ 60 20,060.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 1,203,600.00 361,080.00 842,520.00 926,772.00
1,203,600.00 361,080.00 842,520.00 926,772.00
AI DP SIM RS 926,772.00
0.00
15,446.20 22,066.00 6,619.80 15,446.20 926,772.00
15,446.20 22,066.00 6,619.80 15,446.20 926,772.00
1 AMOXAN CAPS 500 MG 200 3,200.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 640,000.00 160,000.00 480,000.00 528,000.00
640,000.00 160,000.00 480,000.00 528,000.00
AI DP SIM RS 528,000.00
0.00
2,640.00 3,520.00 880.00 2,640.00 528,000.00
2,640.00 3,520.00 880.00 2,640.00 528,000.00
1 FORMUNO KAPLET 600 4,386.20
NILAI DP SIM RS
NILAI FAKTUR
0.00% 2,631,720.00 0.00 2,631,720.00 2,894,892.00
2,631,720.00 0.00 2,631,720.00 2,894,892.00
AI DP SIM RS 2,894,892.00
LAI FAKTUR 2,894,892.00
0.00
4,824.82 4,824.82 0.00 4,824.82 2,894,892.00
4,824.82 4,824.82 0.00 4,824.82 2,894,892.00
1 DOFACEF INJ 200 30,999.92
NILAI DP SIM RS
NILAI FAKTUR
0.00% 6,199,984.00 0.00 6,199,984.00 6,819,982.40
6,199,984.00 0.00 6,199,984.00 6,819,982.40
AI DP SIM RS 6,819,982.00
LAI FAKTUR 6,819,982.00
0.40
34,099.91 34,099.91 0.00 34,099.91 6,819,982.40
34,099.91 34,099.91 0.00 34,099.91 6,819,982.40
1 ANBACIN INJ (SB) 100 35,000.58
NILAI DP SIM RS
NILAI FAKTUR
0.00% 3,500,058.00 0.00 3,500,058.00 3,850,063.80
3,500,058.00 0.00 3,500,058.00 3,850,063.80
AI DP SIM RS 3,850,063.00
LAI FAKTUR 3,850,064.00
-0.20
38,500.64 38,500.64 0.00 38,500.64 3,850,063.80
38,500.64 38,500.64 0.00 38,500.64 3,850,063.80
1 ANBAJIN INJ (SB) 50 35,000.58
NILAI DP SIM RS
NILAI FAKTUR
0.00% 1,750,029.00 0.00 1,750,029.00 1,925,031.90
1,750,029.00 0.00 1,750,029.00 1,925,031.90
AI DP SIM RS 1,925,031.00
LAI FAKTUR 1,925,032.00
-0.10
38,500.64 38,500.64 0.00 38,500.64 1,925,031.90
38,500.64 38,500.64 0.00 38,500.64 1,925,031.90
1 EDORISAN Drops 7,5 mg 24 49,600.00
2 TREMENZA SYR 30MG/5ML 60ML 24 20,500.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 1,190,400.00 297,600.00 892,800.00 982,080.00
25.00% 492,000.00 123,000.00 369,000.00 405,900.00
1,682,400.00 420,600.00 1,261,800.00 1,387,980.00
AI DP SIM RS 1,387,980.00
LAI FAKTUR 1,387,980.00
0.00
40,920.00 54,560.00 13,640.00 40,920.00 982,080.00
16,912.50 22,550.00 5,637.50 16,912.50 405,900.00
57,832.50 77,110.00 19,277.50 57,832.50 1,387,980.00
1 BRAXIDIN Tab 5 mg/2,5 mg 1,000 1,110.00
2 VALISANBE Tab 2 mg 200 235.00
3 VALISANBE Tab 5 mg 200 390.00
NILAI DP SIM RS
NILAI FAKTUR
24.95% 1,110,000.00 276,945.00 833,055.00 916,360.50
28.09% 47,000.00 13,202.30 33,797.70 37,177.47
24.87% 78,000.00 19,398.60 58,601.40 64,461.54
1,235,000.00 309,545.90 925,454.10 1,017,999.51
AI DP SIM RS 1,017,999.00
LAI FAKTUR 1,017,999.00
0.51
916.36 1,221.00 304.64 916.36 916,360.50
185.89 258.50 72.61 185.89 37,177.47
322.31 429.00 106.69 322.31 64,461.54
1,424.56 1,908.50 483.94 1,424.56 1,017,999.51
1 DOPAMIN HCL INJ 40 MG/ML (DM) 10 10,500.00
2 PSIDII SYR 60 ML 20 42,000.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 105,000.00 0.00 105,000.00 115,500.00
10.00% 840,000.00 84,000.00 756,000.00 831,600.00
945,000.00 84,000.00 861,000.00 947,100.00
AI DP SIM RS 947,100.00
0.00
11,550.00 11,550.00 0.00 11,550.00 115,500.00
41,580.00 46,200.00 4,620.00 41,580.00 831,600.00
53,130.00 57,750.00 4,620.00 53,130.00 947,100.00
1 TETAGAM P.PFS INJ 250 IU/ML 5 210,000.00
NILAI DP SIM RS
NILAI FAKTUR
11.43% 1,050,000.00 120,015.00 929,985.00 1,022,983.50
1,050,000.00 120,015.00 929,985.00 1,022,983.50
AI DP SIM RS 1,022,983.00
LAI FAKTUR 1,023,000.00
-16.50
204,596.70 231,000.00 26,403.30 204,596.70 1,022,983.50
204,596.70 231,000.00 26,403.30 204,596.70 1,022,983.50
1 NOVORAPID FLEXPEN 1000 IU/ML 30 81,363.64
NILAI DP SIM RS
NILAI FAKTUR
0.00% 2,440,909.20 0.00 2,440,909.20 2,685,000.12
2,440,909.20 0.00 2,440,909.20 2,685,000.12
AI DP SIM RS 2,684,999.00
LAI FAKTUR 2,685,000.00
0.12
89,500.00 89,500.00 0.00 89,500.00 2,685,000.12
89,500.00 89,500.00 0.00 89,500.00 2,685,000.12
NO NAMA JUMLAH
1 ASTHAROL SYR (SANBE) N 10
2 BUFECT FORTE SYR 10
3 BUFECT SYR. 60 ML 15
4 CERINI CAPS. (SF) N 3 60
5 EPEXOL TABLET 30 MG (SANBE) N 2 200
6 FLAMAR ZALF 20 GR (SANBE) N 20
7 FOLAVIT TAB. 400 MG (SANBE) N 10 1,000
8 NYMIKO DROPS. 20
9 SANFULIQ TABLET (SANBE) N 5 150
10 SANMOL DROPS (SANBE) N 20
11 SANMOL SYR (SANBE) N 48
12 TRICHODAZOLE 500 TABLET (SANBE) N 2 200
13 TROVENSIS TABLET 8 MG (SANBE) N 6 60
NILAI DP SIM RS
NILAI FAKTUR
HARGA DISKON TOTAL*+PPN HARGA+PPN-DISKON PER PCS
14,999.60 25.00% 123,746.70 12,374.67
20,500.00 25.00% 169,125.00 16,912.50
14,600.00 25.00% 180,675.00 12,045.00
68,600.00 25.00% 169,785.00 56,595.00 943.25
83,000.00 25.00% 136,950.00 68,475.00 342.38
16,400.00 25.00% 270,600.00 13,530.00
89,500.00 25.00% 738,375.00 73,837.50 73.84
32,900.00 25.00% 542,850.00 27,142.50
156,750.00 25.00% 646,593.75 129,318.75 862.13
15,700.72 25.00% 259,061.88 12,953.09
11,700.00 25.00% 463,320.00 9,652.50
166,000.00 25.00% 273,900.00 136,950.00 684.75
172,200.00 25.00% 852,390.00 142,065.00 2,367.75
4,827,372.33 711,851.51
4,827,372.00
4,827,372.00
0.33
AKHIR
123,746.70
169,125.00
180,675.00
56,595.00
68,475.00
270,600.00
73,837.50
542,850.00
129,318.75
259,061.88
463,320.00
136,950.00
142,065.00
2,616,619.83
NO NAMA JUMLAH
1 ELKANA Syr 60 mg/5 mL 48
2 EPEXOL DROP 15 MG (SANBE) N 40
3 EPEXOL SYR 30 MG/5 ML 48
4 FLAMAR ZALF 20 GR (SANBE) N 40
5 LODIA TABLET 2 MG (SANBE) N 4 240
6 NEO KAOLANA SYR. 120 ML 10
7 PIBAKSIN SALEP 10 GR (SANBE) N 10
8 PLASMINEX TABLET (SANBE) N 1 100
9 SANFULIQ TABLET (SANBE) N 5 150
10 SANMOL FORTE SYR. (SANBE) N 96
NILAI DP SIM RS
NILAI FAKTUR
HARGA DISKON HARGA+PPN-DISKON PER PCS AKHIR
23,100.00 29.55% 17,901.35 859,264.56
37,600.00 25.00% 31,020.00 1,240,800.00
17,300.00 25.00% 14,272.50 685,080.00
16,400.00 25.00% 13,530.00 541,200.00
59,999.40 25.00% 49,499.51 206.25 49,499.51
12,700.00 25.00% 10,477.50 104,775.00
41,000.00 25.00% 33,825.00 338,250.00
271,000.00 25.00% 223,575.00 2,235.75 223,575.00
156,750.00 25.00% 129,318.75 862.13 129,318.75
25,700.00 25.00% 21,202.50 2,035,440.00
544,622.10 6,207,202.82
NO NAMA JUMLAH
1 SAGESTAM EYE DROPS 10
2 SAGESTAM Eye Oint 3 mg/g 5
3 RETIVIT PLUS 5 500
4 BAQUINOR Eye Drops 3 mg/mL 30
NILAI DP SIM RS
NILAI FAKTUR
HARGA DISKON HARGA+PPN-DISKON PER PCS AKHIR
28,800.00 30.00% 22,176.00 221,760.00
36,500.00 30.00% 28,105.00 140,525.00
696,500.00 30.25% 534,389.63 1,068.78 2,671,948.13
33,850.00 38.00% 23,085.70 692,571.00
607,756.33 3,726,804.13
NO NAMA JUMLAH
1 BECOM ZET CAPL (SANBE) N 8 800
2 BIOSANBE CAP. (SANBE) N 20 2,000
NILAI DP SIM RS
NILAI FAKTUR
210,000.00 25.00% 1,386,000.00 173,250.00 216.56
107,500.00 25.00% 1,773,750.00 88,687.50 44.34
3,159,750.00 261,937.50
3,159,750.00
3,159,750.00
0.00
AKHIR
1,386,000.00
1,773,750.00
3,159,750.00
NO NAMA JUMLAH
1 CURCUMA TAB 10 100
NILAI DP SIM RS
NILAI FAKTUR
88,000.00 25.00% 726,000.00 72,600.00 726.00
726,000.00 72,600.00
726,000.00
726,000.00
0.00
AKHIR
726,000.00
726,000.00
NO NAMA JUMLAH
1 EPISAN SUSP 96
NILAI DP SIM RS
NILAI FAKTUR
48,900.00 25.00% 3,872,880.00 40,342.50 #DIV/0!
3,872,880.00 40,342.50
3,872,880.00
3,872,880.00
0.00
AKHIR
3,872,880.00
3,872,880.00
NO NAMA JUMLAH
1 OTILON EAR DROPS 5 MG/ML 30
NILAI DP SIM RS
NILAI FAKTUR
38,550.00 30.00% 890,505.00 29,683.50 #DIV/0!
890,505.00 29,683.50
890,505.00
890,505.00
0.00
AKHIR
890,505.00
890,505.00
1 SANBE TEARS Eye Drops 1 mg/mL 82 22,050.00
NILAI DP SIM RS
NILAI FAKTUR
37.00% 1,253,013.30 15,280.65 1,253,013.30
1,253,013.30 15,280.65 1,253,013.30
1,253,013.00
1,253,013.00
0.30
NO NAMA JUMLAH
1 EPRINOC TABLET (SANBE) N 13 1,300
NILAI DP SIM RS
NILAI FAKTUR
140,000.00 0.00% 2,002,000.00 154,000.00 118.46
2,002,000.00 154,000.00
2,002,000.00
2,002,000.00
0.00
AKHIR
2,002,000.00
2,002,000.00
1 SAGESTAM CREAM 25 12,300.00
2 SPORETIK SYR (SANBE) N 15 83,450.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 253,687.50 10,147.50 253,687.50
25.00% 1,032,693.75 68,846.25 1,032,693.75
1,286,381.25 78,993.75 1,286,381.25
1,286,380.00
1,286,381.00
0.25
1 HYALOPH EYE DROP (SANBE) N 20 64,500.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 1,064,250.00 53,212.50 1,064,250.00
1,064,250.00 53,212.50 1,064,250.00
1,064,250.00
1,064,250.00
0.00
1 SANORIN HIJAU 80 ML (SANBE) N 10 12,257.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 134,827.00 13,482.70 134,827.00
134,827.00 13,482.70 134,827.00
134,827.00
134,827.00
0.00
NO NAMA JUMLAH
1 CEFAT Kaps 500 mg 2 200
2 CEFAT Syr 125 mg/ml 20
3 CLANEKSI Syr 250 mg/5 mL 5
4 CLANEKSI TAB. 1 30
5 ERYSANBE Syr 15
6 BECOM C Kapl 500 mg 10 1,000
7 ELKANA Syr 60 mg/5 mL 48
NILAI DP SIM RS
NILAI FAKTUR
1,014,500.00 25.00% 1,673,925.00 836,962.50 4,184.81
42,900.00 25.00% 707,850.00 35,392.50
53,000.00 25.00% 218,625.00 43,725.00
363,000.00 25.00% 299,475.00 299,475.00 9,982.50
22,200.00 25.00% 274,725.00 18,315.00
157,500.00 25.02% 1,299,028.50 129,902.85 129.90
23,100.00 29.55% 859,264.56 17,901.35
5,332,893.06 1,381,674.20
5,332,892.00
5,332,893.00
0.06
AKHIR
1,673,925.00
707,850.00
218,625.00
299,475.00
274,725.00
1,299,028.50
859,264.56
5,332,893.06
1 SANMAG SYR 120 ML 36 10,900.88
NILAI DP SIM RS
NILAI FAKTUR
0.00% 431,674.85 11,990.97 431,674.85
431,674.85 11,990.97 431,674.85
431,674.00
431,675.00
-0.15
NO NAMA JUMLAH
1 CENDO ASTHENOF 10
2 CENDO TIMOL 0.25 % 20
3 CENDO TIMOL 0.5 % 10
4 CENDO VITROLENTA EYE DROP 3
5 PSIDII CAPS (DM) N 2 100
6 SCABIMITE CR 5% 10G 10
7 LANSOPRAZOLE Kaps 30 mg (HJ) 50 2,500
8 ACYCLOVIR TAB 400 MG 2 200
9 SANGOBION KIDS SYR 10
10 PERMETHRINE CREAM 5% 15 G (NP) 15
11 FUSON CREAM 5 GR 10
NILAI DP SIM RS
NILAI FAKTUR
21,000.00 2.00% 226,380.00 22,638.00 #DIV/0!
30,500.00 2.00% 657,580.00 32,879.00 #DIV/0!
47,750.00 2.00% 514,745.00 51,474.50 #DIV/0!
32,750.00 2.00% 105,913.50 35,304.50 #DIV/0!
305,000.00 0.00% 671,000.00 335,500.00 3,355.00
45,000.00 2.00% 485,100.00 48,510.00 #DIV/0!
45,000.00 5.00% 2,351,250.00 47,025.00 18.81
93,595.00 0.00% 205,909.00 102,954.50 514.77
29,727.00 0.00% 326,997.00 32,699.70 #DIV/0!
18,000.00 0.00% 297,000.00 19,800.00 #DIV/0!
48,000.00 0.00% 528,000.00 52,800.00 #DIV/0!
6,369,874.50 781,585.20
6,369,874.00
6,369,875.00
-0.50
AKHIR
226,380.00
657,580.00
514,745.00
105,913.50
671,000.00
485,100.00
2,351,250.00
205,909.00
326,997.00
297,000.00
528,000.00
6,369,874.50
NO NAMA JUMLAH
1 LIDODEX INJ (BERNO) N 1 5.0
NILAI DP SIM RS
NILAI FAKTUR
300,000.00 0.00% 330,000.00 330,000.00 66,000.00
330,000.00 330,000.00
330,000.00
330,000.00
0.00
AKHIR
330,000.00
330,000.00
NO NAMA JUMLAH
1 TRAMADOL INJ. 2 10.0
NILAI DP SIM RS
NILAI FAKTUR
29,100.00 0.00% 64,020.00 32,010.00 3,201.00
64,020.00 32,010.00
64,020.00
64,020.00
0.00
AKHIR
64,020.00
64,020.00
NO NAMA JUMLAH
1 FLUNARIZIN Tab 5 mg (BE) 7 700.0
2 NEWDIATABS Tab 2 200
3 FRAMYCETIN SULFATE 7 70
4 CETIRIZINE SYR 5 MG/5ML (DM) 34
5 RECO EYE DROP 10
6 LANSOPRAZOLE Kaps 30 mg (HJ) 6 300
7 PHENITOIN CAPS 2,000
8 CHLORPHENIRAMINE TAB 2,160
9 ACYCLOVIR Cream 5 % (IF) 13
10 METRONIDAZOL Tab 500 mg (IF) 2 200
11 FUROSEMIDE TBL. 40 MG (old) 11 1,100
12 PARACETAMOL DROP 30
13 BIC.NATRIUM 50 MG TAB 50 5,000
14 CLONIDIN TAB 18 1,800
15 L - BIO (LAPI) N 2 60
16 PARACETAMOL Syr 120 mg/5 ml (MM) 100
17 ZINC SULFATE SYR 20 MG/5 ML 50
18 THROMBOPHOB GEL. 20 GR 3
19 EPERISONE Tab 50 mg (NP) 28 1,400
20 MECOBALAMIN Kaps 500 mcg (NB) 6 600
21 ERYTHROMYCIN 500 MG CAPS 3 300
22 ISOSORBIDE DINITRATE 30 3,000
NILAI DP SIM RS
NILAI FAKTUR
200,000.00 10.00% 1,386,000.00 198,000.00 282.86
50,650.00 0.00% 111,430.00 55,715.00 278.58
97,200.00 0.00% 748,440.00 106,920.00 1,527.43
5,000.00 0.00% 187,000.00 5,500.00 #DIV/0!
7,500.00 0.00% 82,500.00 8,250.00 #DIV/0!
45,000.00 5.00% 282,150.00 47,025.00 156.75
550.00 0.00% 1,210,000.00 605.00 #DIV/0!
102.27 0.00% 242,993.52 112.50 #DIV/0!
3,375.00 0.00% 48,262.50 3,712.50 #DIV/0!
20,000.00 0.00% 44,000.00 22,000.00 110.00
23,100.00 0.00% 279,510.00 25,410.00 23.10
8,000.00 0.00% 264,000.00 8,800.00
7,000.00 0.00% 385,000.00 7,700.00
19,568.00 0.00% 387,446.40 21,524.80
210,000.00 0.00% 462,000.00 231,000.00
3,500.00 0.00% 385,000.00 3,850.00
8,500.00 0.00% 467,500.00 9,350.00
49,500.00 0.00% 163,350.00 54,450.00
40,000.00 0.00% 1,232,000.00 44,000.00
64,000.00 0.00% 422,400.00 70,400.00
105,000.00 0.00% 346,500.00 115,500.00
15,000.00 0.00% 495,000.00 16,500.00
9,632,482.42 1,056,324.80
9,632,482.42
9,632,490.00
-7.58
AKHIR
1,386,000.00
111,430.00
748,440.00
187,000.00
82,500.00
282,150.00
1,210,000.00
242,993.52
48,262.50
44,000.00
279,510.00
264,000.00
385,000.00
387,446.40
462,000.00
385,000.00
467,500.00
163,350.00
1,232,000.00
422,400.00
346,500.00
495,000.00
9,632,482.42
NO NAMA JUMLAH
1 DIACAP LOPS 15 PS DIALYSATC 40 0.0
2 DIALOG BLOODLINE ARTERIAL 40 0
3 SOL CART B 20 0
NILAI DP SIM RS
NILAI FAKTUR
245,000.00 25.00% 8,085,000.00 202,125.00 #DIV/0!
122,000.00 25.00% 4,026,000.00 100,650.00 #DIV/0!
118,000.00 25.00% 1,947,000.00 97,350.00 #DIV/0!
14,058,000.00 400,125.00
14,058,000.00
14,058,000.00
0.00
AKHIR
8,085,000.00
4,026,000.00
1,947,000.00
14,058,000.00
NO NAMA JUMLAH
1 LANZOX INJ 1 0.0
NILAI DP SIM RS
NILAI FAKTUR
2,880,000.00 0.00% 3,168,000.00 3,168,000.00 #DIV/0!
3,168,000.00 3,168,000.00
3,168,000.00
3,168,000.00
0.00
AKHIR
3,168,000.00
3,168,000.00
NO NAMA JUMLAH
1 AMINOFUSIN PAED 250 ML 15
NILAI DP SIM RS
NILAI FAKTUR
92,000.00 0.00% 1,518,000.00 101,200.00 #DIV/0!
1,518,000.00 101,200.00
1,518,000.00
1,518,000.00
0.00
AKHIR
1,518,000.00
1,518,000.00
NO NAMA JUMLAH
1 CATHEJELL 12,5 GR (KALBE) N 50
NILAI DP SIM RS
NILAI FAKTUR
59,000.00 32.00% 2,206,600.00 44,132.00 #DIV/0!
2,206,600.00 44,132.00
2,206,600.00
2,206,600.00
0.00
AKHIR
2,206,600.00
2,206,600.00
1 FOROTIC 3 MG/5ML 10 51,000.00
2 KALXETIN 10 MG CAPS 60 4,000.00
3 KALXETIN 20MG CAPS 60 6,666.67
4 TROLIT SACHET 30 10,833.34
NILAI DP SIM RS
NILAI FAKTUR
DISKON TOTAL*+PPN HARGA+PPN-DISKON PER PCS AKHIR
0.00% 561,000.00 56,100.00 #DIV/0! 561,000.00
15.00% 224,400.00 3,740.00 #DIV/0! 224,400.00
15.00% 374,000.19 6,233.34 #DIV/0! 374,000.19
15.00% 303,875.19 10,129.17 #DIV/0! 303,875.19
1,463,275.37 76,202.51 1,463,275.37
1,463,275.00
1,463,275.00
0.37
NO NAMA JUMLAH
1 CORTAMINE TABLET N 6 300.0
2 ERDOBAT DRY SYR 48
NILAI DP SIM RS
NILAI FAKTUR
157,500.00 20.00% 831,600.00 138,600.00 462.00
47,250.00 25.00% 1,871,100.00 38,981.25 #DIV/0!
2,702,700.00 177,581.25
2,702,700.00
2,702,700.00
0.00
AKHIR
831,600.00
1,871,100.00
2,702,700.00
1 CORTAMINE SYR 60 ML 12 51,500.00
2 ERDOBAT CAPSUL 400 6,950.00
NILAI DP SIM RS
NILAI FAKTUR
20.00% 543,840.00 45,320.00 #DIV/0! 543,840.00
30.00% 2,140,600.00 5,351.50 #DIV/0! 2,140,600.00
2,684,440.00 50,671.50 2,684,440.00
2,684,440.00
2,684,440.00
0.00
1 ERICAF TAB 100 5,075.30
`
NILAI DP SIM RS
NILAI FAKTUR
5,075.30
0.00% 558,283.00 5,582.83 #DIV/0! 558,283.00
558,283.00 5,582.83 558,283.00
2,684,440.00
2,684,440.00
-2,126,157.00
NO NAMA JUMLAH
1 FEROSPAT TABLET (PYRIDAM) N 120 1,200.0
2 FORMOM TAB (PYIRIDAM) N 30 3,000
3 OSTEOR C CREAM (PYRIDAM) N 10
4 RZ 20 SYRUP 96
5 HEPA - Q CAPS (PYRIDAM) N 20 600
NILAI DP SIM RS
NILAI FAKTUR
72,000.00 15.00% 8,078,400.00 67,320.00 56.10
241,000.00 15.00% 6,760,050.00 225,335.00 75.11
149,000.00 15.00% 1,393,150.00 139,315.00 #DIV/0!
31,000.00 15.00% 2,782,560.00 28,985.00 #DIV/0!
159,000.00 20.00% 2,798,400.00 139,920.00 233.20
21,812,560.00 600,875.00
21,812,560.00
21,812,560.00
0.00
AKHIR
8,078,400.00
6,760,050.00
1,393,150.00
2,782,560.00
2,798,400.00
21,812,560.00
NO NAMA JUMLAH
1 FENTANYL INJ 0,1 MG/2 ML (MB) 50 0.0
NILAI DP SIM RS
NILAI FAKTUR
34,000.00 0.00% 1,870,000.00 37,400.00 #DIV/0!
1,870,000.00 37,400.00
1,870,000.00
1,870,000.00
0.00
AKHIR
1,870,000.00
1,870,000.00
NO NAMA JUMLAH
1 HEXADOL GARGLE 0,1% 60 ML 50 0.0
NILAI DP SIM RS
NILAI FAKTUR
15,000.00 47.50% 433,125.00 8,662.50 #DIV/0!
433,125.00 8,662.50
433,125.00
433,125.00
0.00
AKHIR
433,125.00
433,125.00
1 LANTUROL CAPS 400 IU 700 5,700.00
2 CORMEGA BLISTE KAPS 1 G 810 12,500.00
NILAI DP SIM RS
NILAI FAKTUR
37.28% 2,752,780.80 3,932.54 2,752,780.80
41.36% 6,531,030.00 8,063.00 6,531,030.00
9,283,810.80 11,995.54 9,283,810.80
9,283,810.00
9,283,810.80
0.00
NO NAMA JUMLAH
1 LANAKELOID-E CREAM 10 GR (LANDSON) N 35 0.0
2 LESICHOL CAPS 600 MG (LANDSON) N 20 600
3 VALKENE SYR 83
NILAI DP SIM RS
NILAI FAKTUR
128,000.00 20.00% 3,942,400.00 112,640.00 #DIV/0!
585,000.00 20.00% 10,296,000.00 514,800.00 858.00
108,000.00 20.00% 7,888,320.00 95,040.00 #DIV/0!
22,126,720.00 722,480.00
22,126,720.00
22,126,720.00
0.00
AKHIR
3,942,400.00
10,296,000.00
7,888,320.00
22,126,720.00
NO NAMA JUMLAH
1 ONDANSETRON 4 MG INJ 5 50.0
2 DARYANTULE 2 20
3 DOMPERIDONE Syr 5 mg/5 ml 60 ml (HJ) 25
4 DIONICOL SYR 5
5 VESPERUM DROPS 5
6 DEXTAMIN TAB/300 PC (PHAPROS) N 1 300
NILAI DP SIM RS
NILAI FAKTUR
50,000.00 40.00% 165,000.00 33,000.00 660.00
196,560.00 0.00% 432,432.00 216,216.00 10,810.80
11,500.00 20.00% 253,000.00 10,120.00 #DIV/0!
7,000.00 0.00% 38,500.00 7,700.00 #DIV/0!
9,000.00 0.00% 49,500.00 9,900.00 #DIV/0!
486,610.00 0.00% 535,271.00 535,271.00 1,784.24
1,473,703.00 812,207.00
1,473,703.00
1,473,703.00
0.00
AKHIR
165,000.00
432,432.00
253,000.00
38,500.00
49,500.00
535,271.00
1,473,703.00
NO NAMA JUMLAH
1 SELANG O2 DEWASA 38
NILAI DP SIM RS
NILAI FAKTUR
6,500.00 0.00% 271,700.00 7,150.00 #DIV/0!
271,700.00 7,150.00
271,700.00
271,700.00
0.00
AKHIR
271,700.00
271,700.00
NO NAMA JUMLAH
1 FUROSEMIDE INJ 19 475.0
NILAI DP SIM RS
NILAI FAKTUR
46,000.00 0.00% 961,400.00 50,600.00 106.53
961,400.00 50,600.00
961,400.00
961,400.00
0.00
AKHIR
961,400.00
961,400.00
NO NAMA JUMLAH
1 ONDANSETRON 4 MG INJ 50 500.0
2 CETIRIZINE 10 MG TAB (HJ) 30 3,000
NILAI DP SIM RS
NILAI FAKTUR
50,000.00 40.00% 1,650,000.00 33,000.00 66.00
28,500.00 15.00% 799,425.00 26,647.50 8.88
2,449,425.00 59,647.50
2,449,425.00
2,449,425.00
0.00
AKHIR
1,650,000.00
799,425.00
2,449,425.00
NO NAMA JUMLAH
1 AMINEFRON TAB 1,000 0.0
NILAI DP SIM RS
NILAI FAKTUR
6,500.00 46.00% 3,861,000.00 3,861.00 #DIV/0!
3,861,000.00 3,861.00
3,861,000.00
3,861,000.00
0.00
AKHIR
3,861,000.00
3,861,000.00
1 NASALIN 100 ML 5 100,000.00
NILAI DP SIM RS
NILAI FAKTUR
27.00% 401,500.00 80,300.00 401,500.00
401,500.00 80,300.00 401,500.00
401,500.00
401,500.00
0.00
1 ROCUM INJ 1 % 30 125,000.00
NILAI DP SIM RS
NILAI FAKTUR
20.00% 3,300,000.00 110,000.00 3,300,000.00
3,300,000.00 110,000.00 3,300,000.00
3,300,000.00
3,300,000.00
0.00
1 LEPSIO SYR 30 75,000.00
NILAI DP SIM RS
NILAI FAKTUR
10.00% 2,227,500.00 74,250.00 2,227,500.00
2,227,500.00 74,250.00 2,227,500.00
2,227,500.00
2,227,500.00
0.00
1 DOPAMIN HCL INJ 40 MG/ML (DM) 10 10,500.00
2 PSIDII SYR 60 ML 20 42,000.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 115,500.00 11,550.00 115,500.00
10.00% 831,600.00 41,580.00 831,600.00
947,100.00 53,130.00 947,100.00
947,100.00
947,100.00
0.00
NO NAMA JUMLAH
1 SEDACUM 15 MG/3 ML INJ 2 10.0
2 SEDACUM 5 MG/ML INJ 3 30
NILAI DP SIM RS
NILAI FAKTUR
265,000.00 15.00% 495,550.00 247,775.00 24,777.50
250,000.00 15.00% 701,250.00 233,750.00 7,791.67
1,196,800.00 481,525.00
1,196,800.00
1,196,800.00
0.00
AKHIR
495,550.00
701,250.00
1,196,800.00
NO NAMA JUMLAH
1 LIDODEX INJ (BERNO) N 20 200.0
NILAI DP SIM RS
NILAI FAKTUR
300,000.00 0.00% 6,600,000.00 330,000.00 1,650.00
6,600,000.00 330,000.00
6,600,000.00
6,600,000.00
0.00
AKHIR
6,600,000.00
6,600,000.00
NO NAMA JUMLAH
1 DIACAP LOPS 15 PS DIALYSATC 350
2 DIALOG BLOODLINE ARTERIAL 350
3 SOLCART B 350
4 DIACAN ARTERIAL G16. 30 MM 500
NILAI DP SIM RS
NILAI FAKTUR
245,000.00 25.00% 70,743,750.00 202,125.00 #DIV/0!
122,000.00 25.00% 35,227,500.00 100,650.00 #DIV/0!
118,000.00 25.00% 34,072,500.00 97,350.00 #DIV/0!
10,500.00 29.28% 4,084,080.00 8,168.16 #DIV/0!
144,127,830.00 408,293.16
144,127,830.00
144,127,830.00
0.00
AKHIR
70,743,750.00
35,227,500.00
34,072,500.00
4,084,080.00
144,127,830.00
NO NAMA JUMLAH
1 ACID CONCENTRATE (PART A) SA-50 10
NILAI DP SIM RS
NILAI FAKTUR
82,000.00 26.30% 664,774.00 66,477.40 #DIV/0!
664,774.00 66,477.40
664,774.00
664,774.00
0.00
AKHIR
664,774.00
664,774.00
1 HARUM PEN 35 120,000.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 4,620,000.00 132,000.00 4,620,000.00
4,620,000.00 132,000.00 4,620,000.00
4,620,000.00
4,620,000.00
0.00
1 BECOM ZET 9,000 2,100.00
NILAI DP SIM RS
NILAI FAKTUR
25.00% 15,592,500.00 1,732.50 15,592,500.00
15,592,500.00 1,732.50 15,592,500.00
15,592,500.00
15,592,500.00
0.00
NILAI DP SIM RS
NILAI FAKTUR
15.00% 120,000.00 18,000.00 102,000.00 112,200.00
15.00% 200,000.10 30,000.02 170,000.09 187,000.09
320,000.10 48,000.02 272,000.09 299,200.09

AI DP SIM RS 299,200.00
0.09
3,740.00 112,200.00
6,233.34 187,000.09
9,973.34 299,200.09
1 ARKINE KAPL 2 MG 700 750.00
NILAI DP SIM RS
NILAI FAKTUR
30.00% 525,000.00 157,500.00 367,500.00 404,250.00
525,000.00 157,500.00 367,500.00 404,250.00

AI DP SIM RS 404,250.00
0.00
577.50 404,250.00
577.50 404,250.00
1 DUROGESIC PATCH 25 MG 15 201,786.40
2 CODEIN TAB 10 MG (KF) 200 545.45
3 CODEIN TAB 20 MG (KF) 200 1,236.36
4 CODIKAF TAB 10 MG 200 787.50
5 CODIPRONT CUM EXP SYR 6 55,550.00
6 CODIPRONT KAPS 30 MG 100 7,216.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 3,026,796.00 0.00 3,026,796.00 3,329,475.60
0.00% 109,090.00 0.00 109,090.00 119,999.00
0.00% 247,272.00 0.00 247,272.00 271,999.20
0.00% 157,500.00 0.00 157,500.00 173,250.00
0.00% 333,300.00 0.00 333,300.00 366,630.00
0.00% 721,600.00 0.00 721,600.00 793,760.00
4,595,558.00 0.00 4,595,558.00 5,055,113.80

AI DP SIM RS 5,055,113.00
LAI FAKTUR 5,055,114.00
-0.20
221,965.04 3,329,475.60
600.00 119,999.00
1,360.00 271,999.20
866.25 173,250.00
61,105.00 366,630.00
7,937.60 793,760.00
293,833.88 5,055,113.80
1 CODIPRONT SYR 6 51,150.00
NILAI DP SIM RS
NILAI FAKTUR
0.00% 306,900.00 0.00 306,900.00 337,590.00
306,900.00 0.00 306,900.00 337,590.00

AI DP SIM RS 337,590.00
0.00
56,265.00 337,590.00
56,265.00 337,590.00

DAFTAR PENERIMAAN (Version 1)

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NO NAMA JUMLAH HARGA

1 SANBE TEARS EYE DROPS 1 MG/ML 40.00 22,050.00

4,539,150.00 5,890.50 4,539,150.00

6,125,000.00 1,531,250.00 4,593,750.00 5,053,125.00

156,308.63 208,411.50 52,102.88 156,308.63 5,053,125.00

320,000.10 48,000.02 272,000.09 299,200.09

525,000.00 157,500.00 367,500.00 404,250.00

4,595,558.00 0.00 4,595,558.00 5,055,113.80

306,900.00 0.00 306,900.00 337,590.00

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