Daftar Harga.

NO NAMA BARANG SATUAN HARGA SATUAN
1.1 BAHAN MEDIS PAKAI HABIS

4 Alkohol 70% botol 71500 92,950.00
5 Alkohol Swab box 31250 40,625.00
6 APD (Gawn) pcs 241000 313,300.00
7 APD Cover All pcs 95000 123,500.00
8 APD Cover all (Microporous) pcs 175000 227,500.00
9 APD Coverall (Lokal) pcs 95000 123,500.00
10 APD Laboratory pcs 175000 227,500.00
11 APD Penunjang I pcs 275000 357,500.00
12 Apron pcs 3850 5,005.00
14 Bahan Desinfektan botol 99000 128,700.00
15 Blue Tip pack 110000 143,000.00
16 Cover Shoes psg 3300 4,290.00
18 Film CR Radiologi pcs 2772000 3,603,600.00
19 Film CR Radiologi pcs 5148000 6,692,400.00
20 Folly Catheher pcs 22000 28,600.00
21 Gel EKG pcs 27500 35,750.00
22 Gelang Identitas Pasien Ktk 99000 128,700.00
23 Gloves Non Steril pcs 1100 1,430.00
24 Gloves Steril pcs 8250 10,725.00
25 Gloves Steril pcs 13200 17,160.00
27 Gloves Washable psg 25000 32,500.00
28 GlovesNon Steril pcs 90000 117,000.00
30 Google Glass (Lokal) pcs 30000 39,000.00
31 Handrup 5 L botol 693000 900,900.00
32 Handrup 500 ml botol 148500 193,050.00
33 Handwash Refill botol 57200 74,360.00
Infus Anak set 8800 11,440.00
Infus Set Dewasa pcs 7150 9,295.00
IV Chatheter pcs 5500 7,150.00
Jarum Hecting pcs 200000 260,000.00
Kantong Jenazah set 275000 357,500.00
Kantong Sampah Infeksius Jumbo pcs 5500 7,150.00
Kantong Sampah Infeksius Sedang pcs 3850 5,005.00
Kantong Sampah Non Infeksius Jumbopcs 5500 7,150.00
Kantong Sampah Non Infeksius Sedanset 3850 5,005.00
Kantung Sampah Medis 60x80 pcs 3850 5,005.00
Kantung Sampah Medis 80x100 pcs 5500 7,150.00
Kertas EKG 60 mm lembar 33000 42,900.00
Kertas EKG 80 mm lembar 65500 85,150.00
Lancet box 31250 40,625.00
Lysol 1 L botol 49500 64,350.00
Masker Bedah pcs 4620 6,006.00
Masker Bedah 3 ply pcs 3600 4,680.00
Masker Bedah Sensi pcs 8000 10,400.00
Masker KN 95 pcs 38500 50,050.00
Masker KN95 (Hastuti) pcs 75000 97,500.00
Masker N95 pcs 220000 286,000.00
Masker N95 01VT pcs 99000 128,700.00
Mob Caps pcs 1100 1,430.00
Nasogratic Tube pcs 27500 35,750.00
NPM Dewasa pcs 35200 45,760.00
NRM Anak pcs 18700 24,310.00
Oksigen Cannula pcs 5500 7,150.00
Pavidone Lodine 300 ml botol 33000 42,900.00
Peralatan Pemulasaran Jenazah set 200000 260,000.00
Peti Jenazah unit 2750000 3,575,000.00
Plaster Coklat roll 55000 71,500.00
Plaster Non Woven lembar 2750 3,575.00
Povidone Lodine 30 ml botol 4400 5,720.00
Safety Box pcs 33000 42,900.00
Safety Box pcs 33000 42,900.00
Spuit 10 ml pcs 1870 2,431.00
Spuit 3 ml pcs 1155 1,501.50
Spuit 5 ml pcs 1650 2,145.00
Tabung EDTA pax 165000 214,500.00
Torniquet pcs 33000 42,900.00
Urine Bag pcs 4950 6,435.00
Yellow Tip pack 110000 143,000.00
1,2 OBAT - OBATAN

1 Allopurinol 100mg tab 189.98 246.97
3 Ambroxol 30mg tab tab 172.73 224.55
4 Amlodipin 10mg tab 200.00 260.00
5 Amoxillin tab 500mg tab 462.00 600.60
6 Ampicilin inj vial 9,900.00 12,870.00
7 Anagen Multivitamin Syrup botol 12,658.00 16,455.40
8 Aqua PI botol 6,000.00 7,800.00
9 As. Traneksamat inj 500mg ampul 4,400.00 5,720.00
10 Asam Mefenamat 500mg tab 263.14 342.08
11 Azythromocin 500 mg tab 3,200.00 4,160.00
13 Bio ATP Tab 2,141.80 2,784.34
15 Bioron Injeksi ampul 4,933.60 6,413.68
16 Bundavin Multivitamin Mineral tab 488.00 634.40
17 Cefadroxil 500 tab 726.00 943.80
18 Cefixime tab tab 3,217.50 4,182.75
19 Cefotaxime inj vial 15,400.00 20,020.00
20 Ceftriaxine 1 g inj vial 5,500.00 7,150.00
21 Cetrizine Tab Tab 195.00 253.50
22 Ciprofloxacin 500 Berno tab 455.00 591.50
23 Clopidogrel tab 1,700.00 2,210.00
24 CTM PIM tab 45.00 58.50
25 CTM Strip tab 76.41 99.33
26 Diazepam Rectal 5mg/5ml tube 26,136.00 33,976.80
27 Domperidon 10mg tab 143.13 186.07
28 Ethyl Chloride Spay fls 159,100.00 206,830.00
29 Farneltik tab 15,000.00 19,500.00
30 Gemfibrozil 300 mg tab 496.50 645.45
31 Glimepiride tab 2mg tab 207.00 269.10
32 Glukosa 10% botol 7,275.00 9,457.50
33 Glukosa 5% botol 6,694.00 8,702.20
34 Glutavit kapsul 8,000.00 10,400.00
35 Goldtrion kapsul 8,000.00 10,400.00
36 Histigo tab 689.00 895.70
37 Insulin pcs 207,998.00 270,397.40
38 Ketoprofen inj ampul 4,407.00 5,729.10
39 Ketoprofen tab tab 920.40 1,196.52
40 Ketorolac inj ampul 5,613.30 7,297.29
41 Ketorolac tab tab 1,771.00 2,302.30
42 Kloramfenikol TM botol 10,500.00 13,650.00
43 Kloramfenikol TT botol 10,500.00 13,650.00
44 Kloroquin Tablet tablet 1,506.00 1,957.80
45 Kodein 10mg tab 689.47 896.31
46 Levofloxacin 500 mg kapsul 397.00 516.10
47 Masneuro tab 770.00 1,001.00
48 Metformin 500 mg tab 225.00 292.50
50 Metil Prednisolon 4mg tab 435.74 566.46
51 Metil Prednisolon Inj vial 10,477.00 13,620.10
52 Multivitamin / Horvita Tab 915.00 1,189.50
53 N-Acetysistein tab tab 1,100.00 1,430.00
54 Nacl 0,9% botol 6,218.18 8,083.63
55 Natrium Diklofenak 50mg tab 111.82 145.37
56 Neocenta Gel tube 15,500.00 20,150.00
Obat Flu Batuk/ Intunal Tab 715.00 929.50
OBH surya fls 6,600.00 8,580.00
Omeprazole 20 mg kapsul 981.00 1,275.30
Ondansentron 4mg/2ml inj vial 6,050.00 7,865.00
Oseltamivir cap 75 mg tab 14,301.00 18,591.30
Paracetamol 500 mg tab 109.09 141.82
Paracetamol Infus vial 12,389.00 16,105.70
Paracetamol Rectal 125mg suppo 85,305.00 110,896.50
Pehacain inj ampul 2,930.00 3,809.00
Ranitidin inj vial 1,188.00 1,544.40
Ranitidin tab 150mg tab 195.00 253.50
Ringer Laktat botol 6,936.36 9,017.27
Scopma tab 1,255.00 1,631.50
Simvastatin 500 mg tab 185.00 240.50
Spirolacton 100mg tab 1,782.00 2,316.60
Sucralfat Suspensi fls 18,850.00 24,505.00
Thrombopop Gel tube 49,500.00 64,350.00
Vitamin C 250 mg tab 910.00 1,183.00
Vitamin C tablet tab 910.00 1,183.00
Vitamin E tab 2,250.00 2,925.00
Vitamin E 200 IU tab 2,250.00 2,925.00
SISA BULAN INI
JML
x
x
165 x
18 x
56 x
1000 x
105 x
500 x
4 x
2 x
1475 x
192 x
3 x
1200 x
1 x
2 x
175 x
98 x
4 x
6100 x
3500 x
200 x
10 x
120 x
227 x
20 x
14 x
114 x
475 x
2370 x
1285 x
19 x
3 x
1250 x
2350 x
1050 x
2150 x
2100 x
2000 x
50 x
50 x
10 x
124 x
300 x
1800 x
800 x
100 x
50 x
40 x
50 x
150 x
75 x
523 x
125 x
1128 x
94 x
14 x
9 x
6 x
100 x
97 x
100 x
240 x
890 x
3440 x
1650 x
7 x
5 x
125 x
3 x
x
x
4870 x
4825 x
2045 x
1850 x
200 x
200 x
2 x
43 x
4220 x
3000 x
2500 x
371 x
3750 x
1770 x
500 x
100 x
600 x
1680 x
3980 x
940 x
4200 x
1481 x
145 x
4430 x
14 x
450 x
2000 x
3920 x
500 x
300 x
2000 x
1740 x
1750 x
15 x
100 x
2400 x
100 x
700 x
60 x
60 x
700 x
4920 x
6000 x
10510 x
3000 x
3600 x
162 x
7720 x
4700 x
1000 x
4800 x
49 x
3604 x
495 x
3000 x
495 x
1040 x
18839 x
289 x
50 x
490 x
5000 x
4725 x
2000 x
975 x
3000 x
243 x
99 x
26 x
10000 x
5000 x
9650 x
4000 x
NO NAMA BARANG SATUAN HARGA PEROLEHAN
132 KERTAS PUYER lembar
HARGA JUAL Keterangan
145
SATUAN HARGA HARGA JUAL HARGA JUAL
NO NAMA OBAT VOLUME
UKURAN SATUAN (Rp)
2 ASPILETS TAB Rp 696.00

3 Clindamicyn tab 2100 Rp 2,100.00 HABIS
4 FUROSEMIDE (beli luar) tab Rp 283.00
7 Lansoprazole tab (Nulab) BELI LUAR tablet 754 Rp 754.00
10 metronidazole BERNO tab Rp 300.00 HABIS
13 ondansetron tab 4 mg (beli luar) Rp 1,400.00
14 Prove D3 1000 (beli luar) Rp 3,800.00
ALBUMIN FIT KAPSUL KAP 750.00 Rp 900.00

ALLOGON TABLET TAB 825 Rp 990.00
ANALTRAM TAB Rp 11,880.00
ATORVASTATIN 10 MG TAB 2772 Rp 3,604.00
ATORVASTATIN 20 MG TAB Rp 5,406.00
AXION TAB Rp 5,280.00
BETADIN KUMUR BTL 30500 36600 Rp 36,600.00
BIOSAN STRIP TAB Rp 18,150.00
CAL-95 TAB 5720 Rp 6,864.00
CAVICUR TAB Rp 825.00
CEFILA 100 TAB Rp 25,740.00
CEFILA 200 TAB 33000 Rp 39,600.00
CEFIXIME 200 MG TAB 1945 Rp 2,334.00 HABIS
CEFIXIME 200 MG TAB 2225 Rp 2,892.50 READY (BARU)
CEFIXIME SYR BTL 18375 Rp 22,050.00
CEFTRIAXON INJ VIAL Rp 8,784.00 HOLI (HABISKAN DULU)
CEFTRIAXON INJ VIAL 13170 Rp 17,121.00 PHAPROS
CEFXON INJ ampul Rp 277,200.00
CEPRAZ INJEKSI VIAL Rp 198,000.00
CETIRIZIN TAB (NULAB) tab Rp 321.00
CITICOLIN INJ ampul Rp 13,514.00
CITICOLIN TAB 500 MG TAB Rp 6,559.00
CLIDAMYCIN 300 MG TAB 1735 Rp 2,082.00
CLOPIDOGREL 75mg (DEXA) TAB Rp 1,228.50
CO AMOXICLAV 625 TAB Rp 4,560.00
DEXAMETHASON 0,5MG (HARSEN) TAB Rp 194.00
DICLOFENAC POTASIUM 50MG TAB 404.5 Rp 526.00
DICLOFENAC SODIUM TAB Rp 334.00
DIONICOL SYR BOTOL 8500 Rp 10,200.00
ESCORDIA TAB Rp 6,600.00
ESCORTE TAB Rp 4,620.00
ESOLA INJ VIAL Rp 217,800.00
FERROMEX TAB Rp 858.00
FLUNARIZINE TAB TAB 3696 Rp 4,804.80
FOLAVIT 1000 TAB Rp 2,641.00
FOREMES TAB Rp 2,640.00
FURAMIN INJ AMPUL 15806 Rp 17,386.60
FURAMIN INJ TAB Rp 3,276.00
GABAPENTIN 300 Rp 3,276.00
GENOCLOM TAB Rp 18,480.00
GENTAMICIN SALEP TUBE 3084 Rp 3,700.00
GRAFAZOLE TAB Rp 456.00
GRANTUSIF TAB 500 600 Rp 600.00
INAMID TAB Rp 264.00
JARUM INSULIN PCS 4500 Rp 5,400.00 HABIS
JARUM INSULIN 3500 Rp 4,200.00 READY
KENALOG TUBE 75950 83545 Rp 83,545 HABIS
KENALOG 70000 84000 Rp 84,000
KONI E 400 TAB 4400 Rp 5,280.00
KONIDERM SK TUBE Rp 99,000.00
KURKUMEX TAB Rp 1,032.00 HABIS
KURKUMEX TAB Rp 990.00 HABIS
KURKUMEX TAB Rp 1,056.00 READY
LACONS SYR FLS 51975 Rp 62,370.00
LAGESIL TAB TAB 1210 Rp 1,452.00
LANAKELOID CREAM TUBE Rp 159,720.00
LANTIDEX INJEKSI AMPUL Rp 55,440.00 HABIS
LANTIDEX INJEKSI AMPUL 43659 Rp 52,391.00 READY
LAPIBAL INJEKSI AMPUL Rp 33,000.00
LAPISTAN TAB TAB 1430 Rp 1,716.00
LASGAN TAB Rp 18,480.00
LAVIT-C INJ VIAL Rp 39,600.00
LISINOPRIL 10MG TAB 524 Rp 681.00 READY
LISINOPRIL 5MG TAB 500 Rp 650.00 HABIS
L-VIT D3 1000 TAB 2860 Rp 3,432.00
L-VIT D3 5000 TAB Rp 4,356.00
MADU ANGKAK BTL Rp 69,000.00
MEDITHIN KAP Rp 6,600.00
MEGAZING TAB Rp 3,630.00
MELOXICAM 7,5 MG TAB 202.5 Rp 263.00
MEROTIK VIAL Rp 627,000.00
MERSIBION INJ 5000 AMPUL Rp 5,581.00
METHYLPREDNISOLON 4 MG TAB TAB Rp 324.00
METRONIZALOE (NOVAPHARIN) tab Rp 340.00 HABISKAN DULU
METRONIDAZOLE (TRIMAN) TAB 220 Rp 286.00 READY
MICROGEST 100MG TAB Rp 15,840.00
NACL 3% FLABOT 37539 Rp 45,046.80
NAIRET INJ AMPL 30026 Rp 36,031.00
NAUSIMEX TAB Rp 15,840.00
NEPHROLIT CAPS 900 1080 Rp 1,080 HABIS
NEPHROLIT CPS 495 Rp 594 READY
NOCID TAB TAB Rp 10,260.00
NOVORAPID PEN 190000 Rp 228,000.00
ODR SYR FLS Rp 121,440.00
OMEPRAZOL INJEKSI VIAL 8316 Rp 10,810.80
OMEPRAZOL TAB CAPS Rp 632.00
ONDANSENTRON INJ (BERNO) AMPUL Rp 3,686.00 READY
NO NAMA OBAT KOMPOSISI
74 Cefila 100 Cefiksim 100 mg

Cefila 100 Cefiksim 100 mg
75 CEFILA 200 Cefixime 200 mg
CEFILA 200 Cefixime 200 mg
76 Cefilia tab 100mg
77 Cefixime 400mg+Azitromicin 100
78 Cefixime tab
79 Cefixime tab 200 mg (Bernofarm)
Cefixime dry syr
HARGA
SATUAN SUMBER HARGA HARGA JUAL HARGA JUAL
VOLUME SATUAN
UKURAN DANA KARYAWAN
(Rp)
tablet BLUD 120 20,378 22415.8 24,454 Rp 24,454

tablet APBD II 480 20,378 22415.25 24,453 Rp 24,453
tablet BLUD 31,350 34485 37,620 Rp 37,620
tablet APBD II 31,350 34485 37,620 Rp 37,620
tab 21450 23595 25,740 Rp 25,740
paket 30,030 33033 39,039 Rp 39,039
tab 3,218 3539.25 4,183 Rp 4,183
tab 2370 2607 3,081 Rp 3,081
botol APBD II 4723 6,140 Rp 6,140
HABIS
READY
HABIS
READY
TANGGAL NO POLI NAMA PASIEN NAMA OBAT
12/1/2021 1 POLI UMUM AN. HEROZA CEFADROXIL

CTM
LAPISTAN
APIALYS SYR
DEXA 0,5
2 poli dalam TN GANGSAR OAT KAT 1

NAC
BCOMP
KURKUMEX
DOMPERIDON
LANSOPRAZOLE
4 POLI DALAM ZAINAL ARIFIN RANITIDIN

DOMPERIDON
INTUNAL
VITAMIN C 500MG
5 POLI DALAM NY DASMINI SANADRYL SYR

NAC
6 IGD DASRI DIAZEPAM TAB 2MG

OMEPRAZOL CAPS
MEGAZING
7 POLY OBGYN PUJI R PROMAVIT

CAL 95
AZYTRO
8 POLY OBGYN NY ANA SETIYANI FONT ACTIVE

PROMAVIT
MICROGEST 100
9 POLY OBGYN NY SITI RUPIAH MICROGEST 100

FOREMES
MEGAZING
10 POLY OBGYN NY SITI NUR KAMAH CAL 95

PROMAVIT
11 POLY OBGYN NY MILA MUTIARA PROMAVIT

CAL 95
12 POLY OBGYN NY SITI NURIYATUS FOLAVIT 1000 MG
13 POLY OBGYN TN SAIFUDIN MEGAZING

MEDHITIN
FOLAVIT 1000 MG
14 POLY OBGYN DALU ENGGARWATI PROMAVIT

CAL 95
15 POLY OBGYN NY MUSYAFIAH FONT ACTIVE

KURKUMEX
PROMAVIT
CAL 95
12/2/2021 1 POLI UMUM TN PANGAT LAGESIL

CEFADROXIL
PCT
OMEPRAZOL
2 IGD IMAM SYAFRUDIN LAPISTAN

CEFILA 200
DEXA
4 POLI OBGYN NY KHOIRUL OKTAVIA PROMAVIT

CAL-95
5 POLI OBGYN NOVIA PURNAMAWATI NAUSIMEX

PROMAVIT
KURKUMEX
6 POLI OBGYN ANISA ROHMAH PROMAVIT

CAL-95
7 POLI OBGYN BENI NOFITA SARI PROMAVIT

KURKUMEX
8 POLI OBGYN LENI H PROMAVIT
9 POLI OBGYN INDRIANA MICROGEST 100 MG

KURKUMEX
FOREMES
12/3/2021 1 IGD TYAS ALFATURAHMA dexamethason tab

9 AMOX
CTM
B COMPLEX
PARASETAMOL SYR
2 POLI DALAM SRI LESTARI NY PIOGLITAZON 30

ALLOPURINOL 100
KALIUM DIKLOFENAK
GABAPENTIN 300
MINIASPI
3 IGD BALQIS AN ANTASIDA SYR

FARTOLIN
CTM
CEFADROXIL
PCT
RANITIDIN
ONDAN TAB
DEXA
VIT B COMP
VIT C
STIMUNOS SYR
4 IGD RANU TN ABU
RL
DEXA TAB
CETIRIZIN
CIPROFLOXACIN
PCT
5 IGD PAGI NY SURIPAH Nifedipine tab (Dexa)

Cefadroxil 500
Allopurinol 100mg
Vitamin B complek tablet(DEF)
Ketoprofen tab
Kaptopril tbl 12.5 mg(KF)
6 igd zhafran stimuno

dumin supp
domperidon syr
12/4/2021 1 POLI DALAM YANTO LANSOPRAZOL

METIL 4 MG
2 POLI DALAM SULAMI FARSIRETIC

SPIRONOLAKTON 25
ISDN
DIGOXIN
LANSOPRAZOLE
3 POLI UMUM UWAIS SULTHAN CEFADROXIL

DEXA
CTM
ETAFLUSIN SYR
4 POLI DALAM SULASMIYATI GOLDTRION

SANADRYL EXP
METFORMIN
PCT TAB
5 POLI DALAM SITI SOLIKHAH METIL 4
SALBUTAMOL 2
N ASETIL
6 POLI DALAM SITI MUAYANAH SANSULIN

N ASETIL
LANSOPRAZOL
KALIUM DIKLO
AMLODIPIN 5
DOMPERIDON
JARUM INSULIN
7 IGD PARSI NY RL
OMEPRAZOL
ASPILET
LANTIDEX
MERSIBION
LEVO INFUS 750
8 IGD AN. QONI NURUL Cefadroxil 500

DEXAMETHASON 0,5MG (HARSEN)
Parasetamol 500 mg(Mersi)
Ranitidine tbl 150 mg(Mersi)
Domperidon syrup
L-Zinc Sirup
L-BIO SACHET
12/5/2021 1 IGD PAGI AN RINJANI OKTAVIA SRI U Parasetamol syr 120mg/5ml (Mersi
Stimuno sirup
Apialys Syr
Amoksisilin 250mg/5ml (Ifars)
2 IGD PAGI SATRIA ENGGAR DUMIN RECTAL

3 IGD PAGI SDR ABDULLAH AKBAR BOWSerum ABU I/Biosave(Biofarma)
Ringer Laktat(Widatra)
Ciprofloxacin 500 Berno
Asam Mefenamat 500mg (hexphar
CETIRIZIN TAB (NULAB)

12/6/2021 1 IGD DINI HARI MUHAMMAD RAZKA STIMONO

ZINK ZYR
OMEGDIAR
AMOXICILLIN
VIT BCOMP
VITAMIN C 50MG
DOMPERIDON
RANITIDIN
CTM PIM
INTUNAL
2 POLI UMUM TRI SETYORINI CEFADROXIL

INTUNAL F
MELOXICAM 7.5
MASNEURO
3 POLI UMUM RASIYEM CEFADROXIL

MP 4 MG
LAPISTAN
MASNEURO
4 POLI UMUM SILFA QARIN APIALYS SYR
5 POLI UMUM OKTAVIA Cefadroxil 500

Masneuro
LAPISTAN TAB
6 POLI GIGI SITI SOLEKAH Asam Mefenamat 500mg (hexphar

Amoksisilin tab 500mg
7 POLI DALAM NY SUWILAH Ondansentron 4 mg PROMED
Lansoprazole kapsul 30 mg (BERNO
Bisoprolol tab 5 mg (Novel)
Farsix tablet
Miniaspi
Isosorbidinitrat tbl 5 mg (Yarindo)
Spirolacton 25mg
8 POLI UMUM RIZAL WAHYU WIRANTO Cefadroxil 500

CTM PIM
Sivit zinc (mersi)
9 POLI DALAM NY MUNARI Folavit 400 mcg

Farsix tablet
Lansoprazole kapsul 30 mg (BERNO
Miniaspi
Spirolacton 25mg
Tablet tambah darah(Ferro sulfat
ATORVASTATIN 20 MG
LISINOPRIL 5MG
10 POLI OBGYN NY CICIK SUGIHARTI SUSU FONT ACTIVE ONE

PROMAVIT
KURKUMEX
11 POLI OBGYN NY SANIA PERMATASARI PROMAVIT

CAL-95
12 POLI OBGYN NY DIYAH AYU SUSU FONT ACTIVE ONE

PROMAVIT
13 POLI OBGYN NY RIKA WIDIASTUTI ANALTRAM

KURKUMEX
14 POLI OBGYN NY RULI INDRIYANI MICROGEST 100MG
FOREMES
KURKUMEX
15 POLI OBGYN NY NIKEN PURDASARI PROMAVIT

CAL-95
16 POLI OBGYN NY IDHATUL INAYAH SUSU FONT ACTIVE ONE

KURKUMEX
17 POLI OBGYN UMI MUZAZAROH PROMAVIT

CAL-95
18 IGD MALAM NN SAFITRI CEFADROXYL CAPS

INTUNAL F
DEXA TAB
MEGAZING
OMEPRAZOLE CAPS
DOMPERIDON
ANTASIDA TAB
12/7/2021 1 POLI UMUM FIA NURUL H CEFADROXIL CAPS

DEKSAMETHASONE TAB
METRONIDAZOL TAB
LAPISTAN
2 POLI DALAM NY LASINEM Levofloxacin 750 mg

N-asetil sistein kapsul 200 mg (Eter
Salbutamol tbl 2 mg(KF)
SANADRYL EXP
3 POLI DALAM TN WARJI RAMIPRIL 5MG

MINIASPI
BISOPROLOL 5MG
SPIROLACTON 25
ANALSIK
4 POLI DALAM SUPARMI METFORMIN 500

GLIMEPIRID 2MG
LANSOPRAZOL
MASNEURO
5 POLI DALAM RIRIN PURWASIH BRAXIDIN

LANSOPRAZOL
6 POLI OBGYN NY SUHARTATIK MICROGEST 100MG

PROMAVIT
KURKUMEX
7 POLI OBGYN NY IKA DEWI P PROMAVIT
8 POLI OBGYN NY WAHYU SETYANINGSIH PROMAVIT

CAL-95
9 POLI OBGYN NY SLAMET WARYANTI PROMAVIT

CAL-95
10 POLI OBGYN NY VERA AYU AFIKA PROMAVIT

CAL-95
11 POLI OBGYN NY LIANA HEROWATI PROMAVIT

CAL-95
12 POLI OBGYN NY YUNINGSIH Dermafix t 10x25

FERROMEX
CEFILA 100
13 POLI OBGYN NY SRI SUNARTI PROMAVIT

CAL-95
14 POLI OBGYN DENIELSA PROMAVIT

CAL-95
15 POLI OBGYN NY EFI DWI PROMAVIT

CAL-95
16 IGD SIANG AN. ASHALINA Obat Flu Batuk/ Intunal

Vitamin C tablet 50 mg(KF)
Stimuno sirup

KURKUMEX
12/8/2021 1 IGD ZIDAN AFAREDO PARACETAMOL SYR

APIALYS SYR
CEFIXIME
CTM
KERTAS PUYER
2 POLI DALAM AHMAD ABDUL K METHYLPREDNISOLON 4MG

BISOPROLOL 5 MG
3 POLI DALAM NY SUJIYEM FARSIRETIC (FUROSEMID)

Spirolacton 100mg
DICLOFENAC POTASIUM 50MG
4 POLI OBGYN ULFATUN NIKMAH FONTACTIVE
5 POLI OBGYN SITI PRIHATIN PROMAVIT

CAL-95
6 POLI OBGYN ARI LESTARI KURKUMEX
7 POLI OBGYN SETYA TUTUT PROMAVIT

CAL-95
8 POLI OBGYN YUNI PUSPITASARI KURKUMEX
9 POLI OBGYN DEVI WIJAYANTI PROMAVIT

CAL-95
COMVID D31000
10 IGD SIANG SDR IBNU INJ ATS

PARACETAMOL TAB
VIT B COMPLEX
LIDOCAIN INJ
CEFIXIME CAPS
11 IGD SIANG AN. GIBRAN AMOX TAB

VIT C 50 MG
DOMPERIDON
AMBROXOL
PARACETAMOL SYR
DEXA TAB
12/9/2021 1 IGD PAGI AN. KLENAURA AIS NAWA Farbivent inhalasi
Lasal Exp
CTM PIM
2 DALAM EKA MARYANI DOMPERIDONE (TRIMAN)

Lansoprazole kapsul 30 mg (Nulab)
ANALTRAM
3 UMUM RANU Cefadroxil 500

LAPISTAN TAB
OMEPRAZOL TAB
4 DALAM SRI LESTARI CETIRIZIN TAB (NULAB)

GABAPENTIN 300
MELOXICAM 7,5 MG
PIOGLITAZONE 30MG
Miniaspi
Metformin HCl tablet 500 mg (Hex
Glimepiride tab 2mg
5 POLI GIGI RIRIN MUJIHANI MINOSEP 0.1% 150ML
6 POLI DALAM SULASIH DOMPERIDON

LANSOPRAZOLE
PARASETAMOL TAB
7 POLI OBGYN PINDAN JATI K CAL-95
8 POLI UMUM NARWATI DEXAMETASON

AMOKSICILIIN
9 POLI OBGYN MUGIYATI MICROGEST 100MG

PROMAVIT
KURKUMEX
10 POLI OBGYN RIA DWI PROMAVIT

CAL-95
11 POLI OBGYN NOVITASARI PROMAVIT

CAL-95
12 POLI OBGYN NABILA AYU PROMAVIT

CAL-95
13 POLI OBGYN BETHARI TIARA PROMAVIT

CAL-95
14 IGD PAGI MEGA PUTRI AMOXICILLIN

ASMEF
DEXAMETHASON
LIDOCAIN INJ
15 POLI OBGYN MAYA SAPUTRI PROMAVIT

CAL-95
16 POLI OBGYN SITI PATMIYATUN PROMAVIT

CAL-95
17 POLI OBGYN HANIFAH S L VIT D3 5000
18 POLY OBGYN HENI PURWANTI GENOCLOM

folavit 1000 mg
L VIT D3 5000
19 POLY OBGYN FITRI UTAMI MICROGEST 100

FOREMES
20 IGD SIANG NURUL AINI GELAFUSAL
21 IGD SIANG SUJATMINAH SUCRALFAT SYR

PARACETAMOL TAB
VIT B COMPLEX
OMEPRAZOLE CAP
12/10/2021 1 IGD DINI HARI KARENA CANDRA RL

RANITIDIN INJ
kurkumex
ranitidin tab
2 IGD PAGI JULAITA NURUL CIPROFLOXACIN
ASAM MEFENAMAT
DEXAMETHASON
MASNEURO
3 IGD PAGI M,ABDUL ROCHIM CIPROFLOXACIN

PCT TAB
CTM
MEGAZING
KURKUMEX
RANITIDIN
4 POLI OBGYN GOVINDA PITA PROMAVIT

CAL-95
5 POLI OBGYN SEPTIYA HANDAYANI PROMAVIT

CAL-95
6 POLI OBGYN KASTA AYU PROMAVIT

CAL-95
7 POLI OBGYN YUYUN WAHYUNINGSIH MICROGEST 100MG

FOREMES
8 POLI OBGYN SUGIYARTI PROMAVIT

NEO GYNOXA OVULA
9 POLI OBGYN SRI WAHYUNI Sucralfat Suspensi DEXA

FOREMES
NAUSIMEX
10 POLI OBGYN WAHYU TRI UTAMI PROMAVIT

CAL-95
11 POLI OBGYN KARTIKA HANDAYANI NAUSIMEX

KURKUMEX
SUSU FONT ACTIVE ONE
12 POLI OBGYN DIKA RETNO PUTRI CEFILA 100 MG

MEGAZING
PARASETAMOL
12/11/2021 1 POLI UMUM FIA NURUL H CLINDAMICYN 300

DEXAMETHASON
METRONIDAZOLE
LAPISTAN
2 POLI DALAM RASIDI CLINDAMISIN 300

LISINOPRIL 5 MG
AMLODIPIN 10
GLIMEPIRID 2 MG
METFORMIN
ANALSIK
3 POLI UMUM RAISA AZILA LAPICEF

DEXA
CTM
PCT TAB
APIALYS SYR
4 IGD SIANG NN. MIFTAHUR ROHMAH Parasetamol 500 mg(Mersi)

CTM PIM
MEGAZING
12/12/2021 2 IGD PAGI AN ALOVARA UANIA L-BIO SACHET

Parasetamol syr 120mg/5ml (Mersi
Amoksisilin 250mg/5ml (Ifars)
DOMPERIDONE (TRIMAN)
Kalsium laktat tbl 500 mg (Mersi)
Pacdin vitcur
ZINC SYR 20MG/5ML (TEMPO)
3 IGD PAGI TN SIGIT PURNOMO AMBROXOL

DEXAMTHASON
KURKUMEX
PARASETAMOL TAB
SALBUTAMOL 2MG
4 IGD PAGI TN PADIMAN AMBROXOL

OMEPRAZOLE TAB
KURKUMEX
SUCRALFAT SYR
12/13/2021 1 IGD SITI NURJANAH ASAM MEFENAMAT

DEXAHARSEN
2 POLI UMUM beryl ha cefdroxil

dexamtehason
ctm pim
etaflusin syr
3 POLI UMUM RIFAINI PUSPO MEGAZING
4 POLI DALAM SUMARNI SALBUTAMOL 2MG

SANADRYL SYR
AMBROXOL
METIL 4MG
CEFIXIME 200MG
5 POLI DALAM SETYO NUR CAHYO NEPROLIT

HCT
SCOPMA PLUS
LANSOPRAZOL
6 poli umum idris amar lapicef

dexamethason
etaflusin
7 POLI BEDAH RASIDI METRONIDAZOLE TAB

NACL
HANDSCOON STERIL NO.7
KASSA STERIL
SPUID 5 CC
8 POLI DALAM NGATONO LANTUS

METFORMIN
ANALSIK
MASNEURO
9 POLI OBGYN SITI MUNAFIAH PROMAVIT
10 POLI OBGYN HETI DWI PROMAVIT

CAL 95
11 POLI OBGYN SITI KALIMATUS CAL-95

PROMAVIT
L-VIT D3 1000
12 POLI OBGYN SRI WINARTI FONT ACTIVE
10 POLI OBGYN IIS DAHLIA PROMAVIT

CAL 95
11 POLI OBGYN RIYA NILASARI CEFIXIME 200

LAPISTAN
MEGAZINC
AXION
12 POLI OBGYN NY NANIK NOVITASARI NEOCENTA SALEP

ANALTRAM
MELOXICAM 7.5
CEFIXIM 200
FONT ACTIVE ONE
13 POLI OBGYN UMI SETYOWATI FEROMEX

CAL-95
14 POLI OBGYN YULIANTI FEROMEX
CAL-95
15 POLI OBGYN ERY MERCHANDANI FONT ACTIVE ONE

PROMAVIT
KURKUMEX
16 POLI OBGYN RIYA NILASARI DERMAFIX T
17 IGD MURSITI CEFIXIM 200

OMEPRAZOL TAB
KURKUMEX
12/14/2021 1 IGD PAGI NY MARIA MAGDALENA SUM

Ondansentron 4 mg
Sucralfat Suspensi DEXA
2 POLI DALAM NY. GUDEL LANSOPRAZOLE

DOMPERIDON
SUCRALFAT
3 POLI DALAM NY. SULAMI SPIRONOLACTON 25 MG

ISDN
DIGOXIN
LANSOPRAZOLE
4 POLI GIGI NY. SITI RODIYAH AMOXICILLIN TAB

ASAM MEFENAMAT
DEXA TAB
5 POLI DALAM NY. WAKINI FARSIX
SPIRONOLACTON 25 MG
BISOPROLOL 5 MG
KALIUM DIKLOFENAK
6 POLI DALAM NY. SUTINI LAPNSOPRAZOLE

DOMPERIDONE
SUCRALFAT
BRAXIDIN
7 POLI DALAM NY. ENDANG NIALIANI CODEIN 10 MG

NAC
SANADRYL EXP
8 POLI DALAM SITI MUAYANAH RAMIPRIL 5MG

PIOGLITAZONE 30
AMLODIPIN 5 MG
METFORMIN
GLIMEPIRIDE
KALIUM DIKLOFENAC
9 POLI DALAM YUWARTI ANALTRAM

SUCRALFAT SYR
DOMPERIDON TAB
LANSOPRAZOLE
NEURODEX
10 POLI OBGYN NY TITIK INDANG MICROGEST 100

NAUSIMEX
FONYACTIVE
KURKUMEX
11 POLI OBGYN AMBARWATI KONI E

FOLAVIT 1000
L VIT D3 5000
12 POLI OBGYN UPIK TIARA SARI PROMAVIT

L-VITD3 1000
KURKUMEX
13 POLI OBGYN NADHILA SUGIYARTI PROMAVIT

CAL-95
14 POLI UMUM TN SADI KURKUMEX

DEXAMETHASON
OMEPRAZOLE
PARASETAMOL TAB
15 POLI OBGYN NY AYU SULISTYOWATI PROMAVIT

16 POLI OBGYN PUTRI LINA PROMAVIT

CAL-95
17 POLI OBGYN ISMATUL PROMAVIT

CAL-95
18 IGD SIANG NN JAMIATI LANSOPRAZOLE

SUCRALFAT
PARASETAMOL TAB
12/15/2021 1 IGD DINI HARI RAHMAD DAVID A PARACETAMOL SYR

PACDIN VITCUR
CTM
AMBROXOL
ODR SYR
2 IGD PAGI RAFASYA W PARACETAMOL SYR
3 POLI DALAM SEMI SPIRONOLACTON 25

CANDESARTAN 16
BISOPROLOL 5MG
AMLODIPIN 10 MG
MINIASPI
KALIUM DIKLOFENAK 50
4 POLI UMUM AN. SHERLI ANDININGTYAS PARASETAMOL SYR

CEFIXIM SYR
AMBROXOL
DEXAMETHASON
VIT C500
SALBUTAMOL 2MG
5 POLI OBGYN ZULFA FAUZIAH DERMAFIX 10 X 25

AXION
CEFILA 100MG
6 POLI OBGYN RIMBA JUNIATI DERMAFIX 10 X 25

CEFILA 100MG
MEGAZING
LAPISTAN
7 POLI OBGYN CICIK SUGIYARTI ODR SYR

FONTACTIVE
8 POLI OBGYN SITI NUR NAFIATUL FONTACTIVE ONE SUSU
9 POLI OBGYN FEBRIA EKA NEOGENTA SK

KONIDERM
CO AMOXICLAV
MEGAZING
10 IGD SIANG SARIYEM INTUNAL

DEXAMETHASON
SALBUTAMOL 2MG
AZITROMISIN
12/16/2021 1 IGD M. ABDUL AZIS PARACETAMOL TAB

SUCRALFAT SYR
ODR SYR
KURKUMEX
CEFIXIME 200 MG
2 IGD TN SUHAR KETOPROFEN AMP

OMEPRAZOL INJ
CEFTRIAXON INJ
AQUABIDEST
Alat Suntik 20 ml (Stera)
NaCl 0,9%(Widatra)
Dobutamin HCl injeksi 250mg/5ml
RL
PCT TAB
EXTENTION TUBE
3 POLI DALAM TN LINAWANG Novorapid

FARSIRETIC (FUROSEMID)
4 POLI DALAM SUMIYATI CODEIN 10 MG

SALBUTAMOL 4 MG
SANADRYL EXP
NAC
LEVOFLOXACIN 750
METHYLPREDNISOLON 4MG
ANALSIK
FARBIVENT
SPUIT 1CC
MASKER NEBULIZER DWS
5 POLI DALAM NY SUPARMI Metformin HCl tablet 500 mg (Hex

Glimepiride tab 2mg
Masneuro
6 POLI UMUM AN HESNA KANZIA PARASETAMOL SYR

DEXAMETHASON
SALBUTAMOL 2MG
CTM
AMBROXOL
VIT C 500
7 IGD DARSONO LIDOCAIN INJ
AMOXICILLIN
OMEPRAZOLE TAB
KETOPROFEN TAB
ATS
8 POLI OBGYN NUNUNG RAHMAWATI KONI E

MEDITHIN
FOLAVIT 1000
L-VIT D3 5000
9 POLI OBGYN PUTRI ULYA FONTACTIVE SUSU
10 POLI OBGYN WIWIK WIKARTI FONTACTIVE SUSU
11 POLI OBGYN RISKA NOVIANI PROMAVIT

CAL-95
12 POLI OBGYN SITI ROFIAH KURKUMEX

FONTACTIVEONE SUSU
13 POLI OBGYN RIA YULIANTI PROMAVIT

CAL-95
L-VIT D3 1000
FEROMEX
FONTACTIVE SUSU
14 POLI OBGYN TIA RAHMATIN PROMAVIT

CAL-95
15 POLI OBGYN SITI RUKAYAH PROMAVIT

Neo Gynoxa ovula
16 POLI OBGYN AFIFATUS SHOLIKAH PROMAVIT

CAL-95
17 POLI OBGYN NGADIYANTI FONTACTIVE SUSU
KURKUMEX
18 IGD SIANG TN SUWARTO KETOPROFEN TAB
19 IGD SIANG NAIRA SYABILA CIPROFLOXACIN TAB

VIT BCOM
VITAMIN C 50MG
DEXAMETHASON TAB
PARASETAMOL SYR
ANTASIDA TAB
ONDANSENTRON TAB
RANITIDIN TAB
12/17/2021 1 POLI UMUM AN ARI RADITYA Lapicef 500

Masneuro
MELOXICAM 7,5 MG
2 POLI UMUM SDR AYU NOVITASARI Masneuro

LAPISTAN TAB
MELOXICAM 7,5 MG
OMEPRAZOL TAB
3 POLI DALAM PARMI SANADRYL EXP

SALBUTAMOL 2
NAC
DOMPERIDON
LANSOPRAZ
SUCRALFAT SYR
CEFIXIME 200
METIL 4
4 POLI DALAM SDR SURUH ANGGER HERM Salbutamol tbl 4 mg(KF)

METHYLPREDNISOLON 4 MG TAB
SANADRYL EXP
N-asetil sistein kapsul 200 mg (INF)
5 POLI DALAM SUPIYAH LANSOPRAZOL
SUCRALFAT SYR
DOMPERIDON
SPIRONOLAKTON 25
BISOPROLOL 5
ISDN
6 POLI BEDAH RASIDI METRONIDAZOL
7 POLI DALAM RASIDI CLINDAMYCIN 300

LISINOPRIL 10
AMLODIPIN 10
GLIMEPIRID 2
METFORMIN
ANALTRAM
8 POLI OBGYN NY. INDRIANA FOREMES

KURKUMEX
7 POLI OBGYN NY. SITI MAHMUDAH CEFILA 100

MEGAZING
LAPISTAN TAB
FERROMEX
8 POLI OBGYN IHYATUL PROMAVIT

KURKUMEX
9 POLI OBGYN DIKA RETNO P KONIDERM SALEP
10 POLI OBGYN GIYARTI PUJI LESTARI SUSU FONT ACTIVE ONE
11 POLI OBGYN ANTI NUR A PROMAVIT

NAUSIMEX
12 POLI OBGYN FITRI LIYAWATI KURKUMEX
PROMAVIT
13 POLI OBGYN PUTRI RAHAYUNINGSIH PROMAVIT

CAL-95
14 POLI OBGYN INDRI WAHYUNI KETOCONAZOLE

CEFILA 100
LAPISTAN
MEGAZING
FERROMEX
15 POLI OBGYN WAHYU KURNIAWATI CEFILA 100

LAPISTAN
MEGAZING
FERROMEX
16 POLI OBGYN SITI FATIMATUZ Z SUSU FONT ACTIVE ONE
17 POLI OBGYN NURI MARIYANA PROMAVIT

CAL-95
18 POLI OBGYN SITI NURJANAH MICROGEST 100

FOREMES
19 POLI OBGYN ANANDITA NOVIA PROMAVIT

CAL-95
KURKUMEX
SUCRALFAT SYR
20 POLI OBGYN NURUL AINI CEFILA 100

MEGAZING
ANALTRAM
FERROMEX
21 POLI OBGYN SRI FAHMA FITRIANTI HCT
CEFILA 100
MEGAZING
ANALTRAM
22 POLI OBGYN IKA APRILIANTI CEFILA 100

FERROMEX
ANALTRAM
MEGAZING
23 POLI OBGYN INDRAWATI Neocenta Gel
24 POLI OBGYN NY TUTIK ANDAYANI PROMAVIT

CAL-95
25 IGD SIANG CAIRO NEVHAN FARTOLIN

L-ZINC SYR
L-BIO SACH
26 POLI OBGYN DWIYANA NOVITA PROMAVIT

CAL-95
28 IGD SIANG HERI ISWANTO Ciprofloxacin 500 Berno

Asam Mefenamat 500mg
12/18/2021 2 POLI DALAM SUTARMI PIOGLITAZON 30

GLIMEPIRID 2MG
3 POLI UMUM PARTI AMLODIPIN 10

FARSIRETIC
MASNEURO
MELOXICAM 7.5
MINIASPI
4 POLI DALAM MARSI SCOPMA PLUS

ANALSIK
KURKUMEX
5 POLI DALAM PARMAN GABAPENTIN

KALIUM DIKLOFENAK
MASNEURO
LANSOPRAZOL
6 POLI GIGI DEWI ASTUTI AMOX

ALLOGON
DEXA 0,5
7 POLI DALAM DJUMI LANTUS

AMLODIPIN 10
LISINOPRIL 10
MINIASPI
BISOPROLOL 5
FARSIRETIC
SPIRONOLAKTON 25
8 POLI DALAM SRI MURYANTI LANSOPRAZOLE

DOMPERIDON
SUCRALFAT SYR
BRAXIDIN
9 POLI GIGI SISWANTO AMOX

ASAM MEFENAMAT
DEXA 0.5
RANITIDIN
10 POLI UMUM SUGITO MASNEURO

MELOXICAM 7.5
LAPISTAN
11 POLI DALAM TUMARNI BRAXIDIN
DOMPERIDON
LANSOPRAZOL
12 DEWI LULIK SUSU FONTACTIVE
12/19/2021 1 IGD SDR OSKAR ARYANTO ONDANSENTRON INJ (BERNO)

KURKUMEX
OMEPRAZOL TAB
Ranitidin inj. 25mg/ml (SOHO)
Ketorolac inj. 30mg/ml(Ethica)
Ketorolac tab
Ondansentron 4 mg PROMED
CEFIXIME 200 MG
2 IGD PAGI TN JADI INTUNAL

CEFADROXIL
NAC
SALBUTAMOL 2 MG
MEGAZING
3 IGD PAGI AN. M. REYHAN PARACETAMOL

STIMUNO
4 IGD SIANG WAHYUTI KETOPROFEN TAB

RANITIDIN TAB
VITAMIN B COMPLEX
5 IGD SIANG SUNAR Lidocaine 2% injeksi (Phapros)
12/20/2021 1 IGD dini hari SITI AISATUN Lidocaine 2% injeksi (Phapros)
2 POLI DALAM KASMI HISTIGO

BISOPROLOL 5MG
SPIRONOLACTON 35
LANSOPRAZOLE
FLUNARIZINE
LISINOPRIL 10 MG
3 POLI DALAM SRI SULIYATI PARACETAMOL TAB

METHTYL 4 MG
MASNEURO
OMEPRAZOLE CAPSUL
4 POLI UMUM GANGSAR METHYL 4 MG

DIAZEPAM 5 MG
GOLDTRION
NAC
5 POLI UMUM KANZA ILMI LAGESIL TAB

RANITIDINE TAB
GOLTRION
6 POLI DALAM NGATONO LANTUS

METFORMIN 500
MASNEURO
MELOX 7,5 MG
7 POLI DALAM SALIM ASAM TRANEX

NAC
8 POLI UMUM FAIZAH NAFIATUR ANTASIDA SYR

LAPICEF TAB
DEKSA TAB
ETAFLUSIN SYR
VITCUR SYR
KERTAS PUYER
9 POLI UMUM IMAM ALVARO LAPICEF

DEXAMETHASON TAB
ETAFLUSIN SYR
10 POLI DALAM SUTINAH FUROSEMID TAB
DIGOXIN
NAC
LISINOPRIL 10MG
SPIRONOLACTON 35MG
11 POLI DALAM TUMINAH RAMIPRIL 5MG

KURKUMEX
MASNEURO
BISOPROLOL 5MG
MINIASPI
FARSIRETIC
SPIRONOLACTON 25MG
12 POLI OBGYN NUR LISTIYOWATI PROMAVIT

CAL-95
13 POLI OBGYN SHASHA M PROMAVIT

CAL-95
14 POLI OBGYN SITI LESTARI PROMAVIT

CAL-95
15 POLI OBGYN WAHYU PUJI SUCRALFATE SYR

PROMAVIT
16 POLI OBGYN SRI PUJIATI PROMAVIT

CAL-95
17 POLI OBGYN RIYA M KONIDERM SALEP
18 POLI OBGYN SITI NURJANAH KONI E

FOLAVIT 1000
19 POLI OBGYN TRI PUJI Microgest 100

20 POLI OBGYN WIWIN A PROMAVIT
L -D3 1000
21 POLI OBGYN MUTIARA R FONT ACTIVE

PROMAVIT
22 POLI OBGYN WARTINI PROMAVIT

CAL 95
23 IGD IVANIA KARUMA RANITIDINE

DEXA TAB
AMOX TAB
CETIRIZINE
PARACETAMOL TAB
DOMPERIDON SYR
L ZINC SYR
KERTAS PUYER
24 IGD fanya khoirunisa Domperidon syrup

L-Zinc Sirup
L-BIO SACHET
Cefadroxil 500
SETIRIZINE 10MG (SAMPHARINDO)
METRONIDAZOLE (TRIMAN)
12/21/2021 1 POLI UMUM SUTARMI ANALTRAM

OMEPRAZOLE CAPS
MASNEURO
2 DALAM TN MULYOTO N-asetil sistein kapsul 200 mg (INF)

Ambroxol 30mg tab
Masneuro
3 POLI DALAM ALFI MULTAZAM CEFADROXIL 500
PARACETAMOL TAB
4 BEDAH LASMIJAN Tablet tambah darah(Ferro sulfat
6 POLI OBGYN NY SITI LAELATUL K CEFILA 100

FERROMEX
MEGAZING
7 POLI OBGYN SUKMAWATI SUSU FONT ACTIVE ONE

AXION
8 POLI OBGYN NY HINDUN UMI MAGFIROHL-VIT D3 5000

PROMAVIT
Amlodipin 10mg (Sampharindo)
9 POLI OBGYN RIZKI AMALIA PROMAVIT

CAL-95
10 POLI OBGYN SOFII ARDIKA SARI PROMAVIT

CAL-95
KURKUMEX
DEXAMETHASON TAB
CAL-95
OBH SYR
11 POLI OBGYN LILIS ZUMAROH DEXAMETHASON TAB

FOREMES
NAUSIMEX
OBH SYR
12 POLI OBGYN NY AYU WANDIRA PROMAVIT

Cal-95
13 POLI OBGYN BETHARI MAULIDA KONI E

14 POLI OBGYN LARASIAN PROMAVIT
MEDITHIN
Cal-95
15 POLI OBGYN ERNI NUR KHAYATI PROMAVIT

KURKUMEX
FONTACTIVE
Cal-95
12/22/2021 1 POLI UMUM AZZAM ILYAS LAPICEF

DEKSAMETHASONE TAB
CTM
PARACETAMOL SYR
DOMPERIDON SYR
KERTAS PUYER
2 POLI GIGI NY FIRMA MARTANITA METRONIZALOE (NOVAPHARIN)

LAPISTAN TAB
3 POLI DALAM MAHMUD FAUZI METILPREDNISOLON 4MG

SALBUTAMOL 4MG
AMLODIPIN 5MG
SANADRYL EXP
4 POLI DALAM NY SRI WARTINI Metformin HCl tablet 500 mg (Hex

Glimepiride tab 2mg
N-asetil sistein kapsul 200 mg (INF)
Masneuro
5 POLI OBGYN NY IDATUL INAYAH SUSU FONT ACTIVE ONE
6 POLI OBGYN NY RIMBA JUNIATI KONIDERM SK

GENTAMICIN SALEP
7 POLI OBGYN NY ZULFA FAUZIAH Neocenta Gel

8 POLI OBGYN QUSWATUN QASANAH SUSU FONT ACTIVE ONE
9 POLI OBGYN NY KATI PROMAVIT

CAL-95
10 POLI OBGYN NY IRMANDA DWI LESTARI SUSU FONT ACTIVE ONE

FERROMEX
11 POLI OBGYN NY LINA SEPTIANINGSIH KURKUMEX

FERROMEX
12 IGD TN LEGITO Obat Flu Batuk/ Intunal

Cefixime tab
OMEPRAZOL TAB
KURKUMEX
HARGA PENDAPATAN JAM TERIMA
QTY JUMLAH TOTAL BAYAR
SATUAN HARIAN RESEP
944 5 4720 68,156

59 4 236
1716 4 6864
43560 1 43560
12000
194 4 776
0 30 0 80,200
392 20 7840
261 30 7830
1056 20 21120
1226 15 18390
634 30 19020
6000
325 10 3250 40,690 10:00

1226 15 18390
858 10 8580
894 5 4470
6000
13722 1 13722 23,642 12:03

392 10 3920
6000
112 10 1120 28,430

632 5 3160 21310
3630 5 18150
6000
4356 15 65340 202,380

6864 10 68640
4160 15 62400
6000
158400 1 158400 388,140

4356 15 65340
15840 10 158400
6000
15840 5 79200 139,980

2640 7 18480
3630 10 36300
6000
6864 20 137280 186,840

4356 10 43560
6000
4356 20 87120 196,080

6864 15 102960
6000
2641 30 79230 85,230

6000
3630 30 108900 392,130 465360

6600 30 198000
2641 30 79230
6000
4356 30 130680 239,640

6864 15 102960
6000
158400 2 316800 533,076

1056 15 15840
4356 21 91476
6864 15 102960
6000
1452 15 21780 45,760

944 10 9440 28,100
222 10 2220
632 10 6320
6000
1716 10 17160 421,100

39600 10 396000
6000
194 10 1940
4356 15 65340 174,300 20.49

6864 15 102960
6000
15840 15 237600 324,780 21:27

4356 15 65340 318,780
1056 15 15840
6000
4356 15 65340 174,300 21:48

6864 15 102960
6000
4356 15 65340 87,180 21:57

1056 15 15840
6000
4356 30 130680 136,680 22:10

6000
15840 10 158400 219,840

1056 15 15840
2640 15 39600
6000
194 2 388 16,468

601 3 1803
91 3 273
156 3 468
1536 1 1536
12000
6422 8 51376 92,140
247 24 5928
536 10 5360
3276 5 16380
137 8 1096
12000
4160 1 4160 64,669

22440 1 22440
59 2 118
944 2 1888
222 2 444
325 2 650
1971 2 3942
194 2 388
156 3 468
137 3 411
29760 1 29760
12000
672272 2 1344544 1,372,148
9919 1 9919
194 10 1940
321 5 1605
592 10 5920
222 10 2220
6000
243 10 2430 33,956

944 10 9440
247 10 2470
156 10 1560
1197 10 11970
86 1 86
6000
29760 1 29760 61,381

19621 1 19621
6000 1 6000
6000
634 8 5072 14,960

324 12 3888
6000
129 6 774 23,384

476 10 4760
116 30 3480
203 10 2030
634 10 6340
6000
944 4 3776 24,828

194 4 776
59 4 236
8040 1 8040
12000
9600 10 96000 123,802

13722 1 13722
293 20 5860
222 10 2220
6000
324 20 6480 21,075
88 15 1320
485 15 7275
6000
117360 1 117360 180,940

485 20 9700
634 20 12680
536 20 10720
69 10 690
1226 15 18390 133480
6000
5400 1 5400
180940
9919 2 19838 223,411

632 3 1896
137 2 274
55440 2 110880
5581 1 5581 118,357
84942 1 84942
944 4 3776 87,404

194 4 776
222 4 888
325 4 1300
156 4 624
6000 1 6000
43560 1 43560
9240 2 18480
12000
1536 1 1536 85,404

29760 1 29760
43560 1 43560
4548 1 4548
6000
19621 1 19621 25,621

6000
672272 2 1344544 1,381,297
9919 2 19838
592 10 5920
145 10 1450
6000
321 5 1605
194 10 1940
29760 1 29760 66,022

3236 1 3236
10880 1 10880
601 2 1202
156 3 468
894 3 2682
1226 2 2452
325 2 650
59 2 118
858 3 2574
12000
944 10 9440 35,890

858 10 8580
263 10 2630
924 10 9240
6000
944 10 9440 45,080

324 10 3240
1716 10 17160
924 10 9240
6000
43560 1 43560 49,560

6000
944 10 9440 41,840

924 10 9240
1716 10 17160
6000
145 10 1450 13,460

601 10 6010
6000
1674 10 16740 44,957
634 12 7608
328 3 984
1320 5 6600
137 5 685
116 15 1740
476 5 2380
222 10 2220
6000
944 10 9440 22,998

59 10 590
222 10 2220
702 4 2808
194 10 1940
6000
1182 3 3546 38,544

1320 3 3960
634 3 1902
137 3 411
328 3 984
476 3 1428
65 3 195
5406 3 16218
650 6 3900
6000
158400 1 158400 310,920

4356 30 130680
1056 15 15840
6000
4356 20 87120 161,760

6864 10 68640
6000
158400 1 158400 295,080

4356 30 130680
6000
11880 20 237600 259,440

1056 15 15840
6000
15840 15 237600 299,040
2640 15 39600
1056 15 15840
6000
4356 15 65340 139,980 SIANG

6864 10 68640
6000
158400 1 158400 180,240

1056 15 15840
6000
4356 20 87120 230,400

6864 20 137280
6000
944 10 9440 63,450

858 10 8580
194 10 1940
3630 5 18150
632 10 6320
1226 10 12260 26,410
76 10 760
6000
944 10 9440 37,940 8:55

194 10 1940
340 10 3400
1716 10 17160
6000
3487 5 17435 47,972 9.23

485 15 7275
88 15 1320
222 10 2220
13722 1 13722
6000
1200 10 12000 45,900 9:52

137 10 1370
328 5 1640
476 10 4760
2013 10 20130
6000
133 20 2660 26,940 11:50

270 10 2700
634 10 6340
924 10 9240
6000
1466 15 21990 34,330 11:50

634 10 6340
6000
15840 10 158400 310,920

4356 30 130680
1056 15 15840
6000
4356 30 130680 136,680 13.06

6000
4356 10 43560 118,200 13.16

6864 10 68640
6000
4356 5 21780 62,100

6864 5 34320
6000
4356 15 65340 139,980

6864 10 68640 133,980
6000
4356 30 130680 342,600 13.58

6864 30 205920 336,600
6000
19800 1 19800 296,220

222 20 4440
858 10 8580 265,980
25740 10 257400
6000
4356 15 65340 143,310 133980 14.14

6864 10 68640 133,980
222 15 3330
6000
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 139,980

6864 10 68640
6000
858 4 3432 55,032

325 4 1300
592 4 2368
137 4 548
156 4 624
29760 1 29760
12000
194 4 776 5,000
1056 4 4224
1536 1 1536 67,111 7:32

43560 1 43560
2892.5 3 8677.5
59 3 177
145 8 1160
12000
324 10 3240 19,080 9:43

328 30 9840
6000
129 8 1032 29,923

2317 7 16219
328 4 1312
536 10 5360
6000
158400 1 158400 164,400 12:40

6000
4356 10 43560 118,200 12:48

6864 10 68640
6000 112,200
1056 20 21120 27,120
6000
4356 15 65340 139,980 13:19

6864 10 68640 133,980
6000
1056 30 31680 37,680 13:35

6000 0
4356 30 130680 396,600

6864 30 205920
1800 30 54000 336,600
6000
170299 1 170299 210,592

222 10 2220
156 10 1560
1588 1 1588
2892.5 10 28925
6000
601 2 1202 18,302

137 2 274
1226 2 2452
225 2 450
1536 1 1536
194 2 388
12000
13200 1 13200 76,477

12000
49500 1 49500
222 3 666
194 3 582
59 2 118
137 3 411
1226 15 18390 152,158

1121 8 8968
11880 10 118800
6000
944 10 9440 40,860

1716 10 17160
632 10 6320
194 10 1940 25,420
6000
321 10 3210 115,550

3276 10 32760
263 10 2630
6422 10 64220
137 10 1370 102,820
133 20 2660
270 10 2700
6000
58800 1 58800 64,800

6000
1226 15 18390 36,120

634 15 9510
222 10 2220
6000
6864 30 205920 211,920

6000
194 10 1940 7,950

601 10 6010
15840 15 237600 324,780

4356 15 65340
1056 15 15840 318,780
6000
4356 15 65340 139,980

6864 10 68640 133,980
6000
4356 20 87120 161,760 13:01 13:07

6864 10 68640 155,760
6000
4356 15 65340 139,980 13:10 13:16

6864 10 68640 133,980
6000
4356 15 65340 139,980 13:30 13:35

6864 10 68640
6000
601 10 6010 16,988

145 10 1450
194 10 1940
1588 1 1588
6000
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 71,340

6000
18480 10 184800 400,710

2641 30 79230
4356 30 130680
6000
15840 15 237600 283,200

2640 15 39600
6000
196350 1 196350 202,350

6000
5987 1 5987 22,087

222 10 2220
156 10 1560
632 10 6320
6000
9919 1 9919 32,819

1545 2 3090
6000
1056 10 10560
325 10 3250
592 10 5920 20,854 10:24 10:29
145 10 1450
194 10 1940
924 6 5544
6000
592 10 5920 45,800

222 10 2220
100 10 1000
3630 5 18150 28,710
1056 10 10560
325 6 1950
6000
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 139,980 14:10

6864 10 68640
6000
4356 15 65340 139,980

6864 10 68640
6000
15840 10 158400 204,000

2640 15 39600
6000
4356 15 65340 170,340

19800 5 99000
6000
5987 1 5987 368,387

2640 15 39600
15840 20 316800 356,400
6000
4356 15 65340 112,524

6864 6 41184
6000
15840 15 237600 417,840

1056 15 15840
158400 1 158400
6000
25740 15 386100 450,990

3630 15 54450 440,550
222 20 4440
6000
2082 10 20820 49,320

194 10 1940
340 10 3400
1716 10 17160
6000
2082 10 20820 71,663

650 14 9100 29,920
91 8 728
270 8 2160
133 20 2660
2013 15 30195
6000
13860 6 83160 141,289
194 6 1164
59 5 295
222 5 1110
43560 1 43560
12000
222 10 2220 26,960

59 10 590
3630 5 18150
6000
9240 5 46200 85,162

1536 1 1536
4548 2 9096
1226 2 2452
82 1 82
10560 1 10560
3236 1 3236
12000
225 10 2250 23,850

194 10 1940
1056 10 10560
222 10 2220 12,500
88 10 880
6000
225 10 2250 31,616

632 10 6320
1056 10 10560
6486 1 6486 16,880
6000
145 10 1450 9,390

194 10 1940
6000
944 4 3776 24,828

194 4 776
59 4 236
8040 1 8040
12000
3630 10 36300 42,300

6000
88 20 1760 174,065
13068 10 130680
225 1 225
324 20 6480 35,400
2892 10 28920
6000
1080 7 7560 44,857

194 8 1552
1349 15 20235
634 15 9510
6000
13860 5 69300 90,310

194 5 970
8040 1 8040
12000
340 15 5100 88,361

8892 1 8892
9900 5 49500
8844 2 17688
6000
1181.064 1 1181.064
106800 1 106800 153,313

133 22 2926
2013 15 30195
924 8 7392
6000
4356 15 65340 71,340

6000
4356 15 65340 139,980

6864 10 68640
6000 133,980
4356 15 65340 225,780 13:23 13:27

6864 15 102960
3432 15 51480 219,780
6000
158400 1 158400 164,400 13:45 13:48

6000
4356 15 65340 139,980 13.55 13:58

6864 10 68640
6000 133,980
4183 8 33464 217,400

1716 21 36036
3630 10 36300
5280 20 105600
6000
18600 1 18600 327,309 14:20

11880 10 118800
263 42 11046
2892.5 5 14462.5
158400 1 158400
6000
858 15 12870 87,510 14:24

6864 10 68640
6000
858 15 12870 87,510 14:40
6864 10 68640
6000
158400 1 158400 326,760 14:55

4356 30 130680
1056 30 31680
6000 320,760
19800 1 19800 25,800 15:05

6000
2892.5 10 28925 57,525

194 10 1940
632 10 6320
1056 10 10560 47,745
222 10 2220
156 10 1560
6000
325 10 3250 41,538

1971 10 19710
592 10 5920
6486 1 6486
86 2 172
6000
634 10 6340 31,086

1226 10 12260
6486 1 6486
6000
476 15 7140 29,175

116 30 3480
203 15 3045
634 15 9510
6000
601 10 6010 15,400

145 10 1450
194 10 1940
6000
1320 10 13200 33,640
476 10 4760
328 5 1640
536 15 8040
6000
634 15 9510 62,376

1226 15 18390
6486 1 6486
1466 15 21990
6000
897 30 26910 53,818

392 20 7840
13068 1 13068
6000
1200 15 18000 116,155

4504 15 67560
69 15 1035 96280
293 30 8790
270 15 4050 19875
536 20 10720
6000 116155
11880 15 178200 224,656

6486 1 6486
1226 15 18390
634 10 6340
924 10 9240
6000
15840 6 95040 428,400

15840 10 158400
158400 1 158400
1056 10 10560
6000
5280 30 158400 374,310

2641 30 79230
4356 30 130680 368,310
6000
4356 15 65340 138,660 13:56 14:00

3432 15 51480
1056 15 15840 132,660
6000
4356 15 65340 139,980

6864 10 68640 133,980
6000
1056 10 10560 27,040

194 10 1940
632 10 6320 18,820
222 10 2220
6000
4356 15 65340 231,680

158400 1 158400
194 10 1940 225,680
6000
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 139,980

6864 10 68640
6000
634 10 6340 21,044

6484 1 6484
222 10 2220
6000
1536 1 1536 146,388 0:59

10560 1 10560
59 3 177
225 3 675
121440 1 121440
12000
1536 1 1536 7,536

6000
476 30 14280 84,460

1226 30 36780 11,000
328 30 9840
91 30 2730
137 30 4110
536 20 10720
6000
1536 1 1536 38,300

22050 1 22050 22,500
225 2 450
194 2 388 22438
894 2 1788
88 1 88
12000
19800 1 19800 362,400

5280 15 79200
25740 10 257400
6000
19800 1 19800 345,240

25740 10 257400
3630 10 36300
1716 15 25740 319,440
6000
121440 2 242880 407,280

158400 1 158400 401,280
6000
158400 1 158400 164,400

6000
18600 1 18600 246,450

99000 1 99000
4560 15 68400 221,850
3630 15 54450
6000
858 4 3432 33,052

194 10 1940
88 10 880
4160 5 20800
6000
222 10 2220 175,631

6486 1 6486
121440 1 121440
1056 10 10560
2892.5 10 28925 160,925
6000
5730 1 5730 103,005

3686 1 3686 21,254
8784 2 17568
3718 1 3718
1795.2 1 1795.2
8892 1 8892
15396 1 15396
9919 2 19838
222 1 222
20160 1 20160
6000
107400 1 107400 114,432

129 8 1032
6000
897 30 26910 147,118

104 20 2080 20,202
13722 1 13722
392 20 7840
3487 5 17435
324 20 6480
2013 15 30195
13200 1 13200
1056.432 1 1056.432
22200 1 22200
6000
133 30 3990 21,930

270 10 2700
924 10 9240
6000
1536 1 1536 16,939

194 3 582
88 2 176
91 2 182
225 3 675
894 2 1788
12000
1588 2 3176 203,775 14:35
601 10 6010
632 10 6320
1197 10 11970
170299 1 170299
6000
5280 30 158400 770,310 15:04

6600 60 396000
2641 30 79230 764,310
4356 30 130680
6000
158400 1 158400 164,400 15:10

6000
158400 1 158400 164,400 15:33

6000
4356 10 43560 118,200 15:40

6864 10 68640 112,200
6000
1056 15 15840 180,240 15:50

158400 1 158400 174,240
6000
4356 30 130680 629,700 16:20

6864 30 205920
3432 30 102960
858 30 25740 623,700
158400 1 158400
6000
4356 15 65340 139,980 16:29

6864 10 68640
6000 133,980
4356 10 43560 108,960 16:40

19800 3 59400
6000
4356 15 65340 172,800 16:56

6764 15 101460 166,800
6000
158400 1 158400 180,240 17:20
1056 15 15840 174,240
6000
1197 10 11970 MASIH DI IGD
592 4 2368 33,058 20:10

156 6 936
137 6 822
194 6 1164
1536 1 1536
76 6 456
1971 6 11826
325 6 1950
12000
13860 5 69300 87,942 9.09

194 5 970
924 5 4620
263 4 1052
12000
924 10 9240 41,350

1716 10 17160
263 10 2630
632 10 6320
6000
13722 1 13722 93,543
88 15 1320
392 15 5880
1226 15 18390
634 10 6340 13,722
6486 1 6486 28,925
2892.5 10 28925 6,480
324 20 6480 49,127
6000
104 20 2080 36,122

324 20 6480
13722 1 13722 20,202
392 20 7840
6000
634 15 9510 56,876
6486 1 6486
1226 20 24520
476 10 4760
328 10 3280
116 20 2320
6000
340 10 3400 9,400 276,621

6000
2082 6 12492 267,221

681 8 5448
91 8 728 255540
270 8 2160 3,400
133 21 2793 12,492
11880 20 237600 5,448
6000 237,600
258,940
2640 30 79200 101,040

1056 15 15840
6000
25740 5 128700 174,300

3630 5 18150
1716 10 17160
858 5 4290
6000
4356 10 43560 60,120

1056 10 10560
6000
99000 1 99000 105,000

6000
158400 1 158400 164,400

6000
4356 30 130680 295,080

15840 10 158400 289,080
6000
1056 15 15840 65,400
4356 10 43560
6000
4356 30 130680 501,000

6864 30 205920
158400 1 158400
6000
8802 1 8802 334,242

25740 10 257400
1716 10 17160 328,242
3630 10 36300 319,440 8,802
858 10 8580
6000
25740 10 257400 362,466

1716 21 36036
3630 15 54450
858 10 8580
6000
158400 1 158400 164,400

6000
4356 15 65340 139,980

6864 10 68640
6000
15840 15 237600 441,600

2640 15 39600
158400 1 158400
6000
4356 30 130680 380,766

6864 30 205920
1056 30 31680
6486 1 6486
6000
25740 10 257400 427,080

3630 10 36300
11880 10 118800
858 10 8580
6000
194 7 1358 213,608
25740 5 128700
3630 5 18150
11880 5 59400
6000
25740 5 128700 216,540

858 5 4290
11880 5 59400
3630 5 18150
6000
18600 1 18600 24,600

6000
4356 30 130680 342,600

6864 30 205920
6000
22440 1 22440 99,720

43560 1 43560
9240 3 27720
6000
4356 20 87120 196,080

6864 15 102960
6000
592 10 5920 15,310

145 10 1450
194 10 1940
6000
4504.5 8 36036 44,196 9:11

270 8 2160
6000
91 10 910 21,440
129 10 1290
924 10 9240
263 10 2630
137 10 1370
6000
1349 10 13490 50,180

2013 10 20130
1056 10 10560
6000
3276 6 19656 57,956

536 20 10720
924 10 9240
634 10 6340
12000
601 10 6010 23,850

990 10 9900
194 10 1940
6000
106800 1 106800 163,140

91 30 2730
681 30 20430
137 30 4110
328 15 4920
129 30 3870
476 30 14280
6000
634 20 12680 78,162

1226 20 24520
6486 2 12972
1466 15 21990
6000
601 10 6010 18,650

145 10 1450
194 10 1940
325 10 3250
6000
924 10 9240 35,030

263 10 2630
1716 10 17160
6000
1466 20 29320 63,220
1226 15 18390
634 15 9510
6000
158400 1 158400 164,400

6000
3686 1 3686 96,354

Rp 1,056 12 Rp 12,672
Rp 632 10 Rp 6,320
1545 1 1545
Rp 1,416 1 Rp 1,416
Rp 222 18 Rp 3,996
Rp 6,486 1 Rp 6,486
2303 10 23030
1674 10 16740
2892.5 5 14462.5
6000
858 15 12870 53,220 9:55

944 10 9440
392 15 5880
88 10 880
3630 5 18150
6000
1536 1 1536 37,296

29760 1 29760
6000
1197 10 11970 23,560

325 10 3250
156 15 2340
6000
1588 1 1588 7,588

6000
1588 1 1588 7,588

6000
827 15 12405 65,882

328 4 1312
476 7 3332
634 7 4438
4804 7 33628
681 7 4767
6000
222 20 4440 27,860

324 20 6480
924 5 4620
632 10 6320
6000
324 10 3240 52,305

149 5 745
9600 4 38400
392 10 3920
6000
1452 5 7260 34,085

325 5 1625
9600 2 19200
6000
106800 2 213600 274,820

293 40 11720
924 30 27720
263 60 15780
6000
2060 10 20600 30,520

392 10 3920
6000
4160 1 4160 78,372

13860 3 41580
194 3 582
8040 1 8040
10560 1 10560
145 10 1450
12000
13860 5 69300 90,310

194 5 970
8040 1 8040
12000
129 15 1935 26,041
203 10 2030
392 20 7840
681 4 2724
689 8 5512
6000
1200 20 24000 71,550

1056 20 21120
924 10 9240 45,120 45120
328 5 1640
137 10 1370
129 10 1290
689 10 6890
6000
4356 15 65340 139,980

6864 10 68640
6000 133980
4356 15 65340 139,980

6864 10 68640
6000
4356 15 65340 139,980

6864 10 68640
6000
6486 1 6486 77,826

4356 15 65340
6000
4356 15 65340 139,980

6864 10 68640
6000
99000 1 99000 105,000

6000
5280 30 158400 243,630

2641 30 79230
6000
15840 5 79200 85,200

6000
4356 15 65340 122,820

3432 15 51480
6000
158400 1 158400 229,740

4356 15 65340
6000
4356 15 65340 139,980

6864 10 68640
6000
325 3 975 64,293

194 2 388
601 4 2404
254 3 762
222 5 1110
6000 1 6000
39204 1 39204
145 10 1450
12000
6000 1 6000 88,606

39204 1 39204
9240 3 27720
944 2 1888
325 2 650
222 2 444
64 2 128
286 2 572
12000
11880 10 118800 140,360 10:03

632 10 6320
924 10 9240
6000 125,120
392 15 5880 22,044 10:25

308 15 4620
924 6 5544
6000
944 6 5664 13,440 10:56
222 8 1776
6000
65 10 650 6,650
6000
25740 10 257400 308,280

858 10 8580
3630 10 36300 302,280
6000
158400 1 158400 322,800

5280 30 158400
6000
4356 10 43560 115,810

4356 15 65340
91 10 910
6000
4356 15 65340 139,980 14:26

6864 10 68640 133,980
6000
4356 20 87120 238,076 14:38

6864 8 54912
1056 15 15840 159,812
194 10 1940
6522 12 78264
7920 1 7920
194 6 1164 305,484 14:45

2640 20 52800 53,964
15840 15 237600
7920 1 7920 53,964
6000
4356 15 65340 169,170 14.54

6522 15 97830
6000
5280 30 158400 164,400

6000
4356 20 87120 224,340 15:35
6600 10 66000 153,120
6522 10 65220 71,220
6000
4356 15 65340 239,580 15:42

1056 15 15840 81,180
158400 1 158400 239,580
6522 10 65220
6000
13860 5 69300 97,384 9:20

194 5 970
59 5 295
7079 1 7079
6000 1 6000
145 12 1740
12000
340 15 5100 37,275 10:12

1716 10 17160 22,260
601 15 9015
6000
567 10 5670 26,569 10:48

104 8 832
69 5 345 19,392
13722 1 13722
6000
133 30 3990 29,770 11.03

270 10 2700
392 20 7840
924 10 9240
6000
158400 2 316800 322,800

6000
99000 1 99000 108,700

3700 1 3700 102,700
6000
18600 1 18600 24,600

6000
158400 1 158400 164,400
6000
4356 15 65340 139,980

6864 10 68640 133,980
6000
158400 1 158400 190,140

Rp 858.00 30 25740 184,140
6000
Rp 1,056.00 15 15,840.00 47,580

Rp 858.00 30 25,740.00 41,580
6000
858 10 8580 75,230

4183 10 41830
632 10 6320
194 10 1940
1056 10 10560 60,650
6000
JAM
PENYERAHAN
OBAT
10:36
12:07
20.53
21:35
21:53
22:03
22:14
9:00
9:27
9.59
12:02
12:04
13.1
13.23
14.02
14:18
7:45
9:51
12:43
12:53
13:25
14:39
14:39
14:43
1:18
14:40
15:09
15:14
15:36
15:45
15:54
16:27
16:33
16:47
17:00
17:26
20:26
9.28
10:02
10:08
10:30
14:30
14:43
14:50
15
15:40
15:48
9:40
10:19
10.54
11.06
12/1/2021 1 KARYAWAN SITI CHOTIMAH CODEIN 10MG

ZIVIT ZINK
2 KARYAWAN LIANA METHYL 4 MG

ANALTRAM
MINIASPI
12/2/2021 3 KARYAWAN SOFI SCOPMA PLUS

ONDACSETRON 4MG TAB
INAMID
12/3/2021 1 KARYAWAN NISA VK PROMAVIT
12/4/2021 1 KARYAWAN DONA DEXA
2 KARYAWAN MAULIDIA RANITIDIN INJ

MERSIBION
PCT INF
RL
INFUS SET
3 KARYAWAN ALFIAN LIDOCAIN
4 KARYAWAN SEPTIAN ASMEF

AMOX
DEXA
12/6/2021 1 karyawan aprilia intunal
2 KARYAWAN AN SINTA AY Apialys drop

CEFIXIME SYR
dr budi Clobazam tab 100 mg
3 KARYAWAN ANIS VK SUSU FONT ACTIVE ONE

CAL-95
4 KARYAWAN ELISA FARMACROL TAB
5 KARYAWAN denik Metilergometrin inj 0,2mg/ml

1/7/2021 1 KARYAWAN REGINA Microgest 100 mg
PROMAVIT
12/8/2021 1 KARYAWAN MAS SIS OMEPRAZOLE INJ

CEFIXIME
MERSIBION
KURKUMEX
RL
INTUNAL
2 KARYAWAN APRILIA INTUNAL

METILPREDNISOLON
3 KARYAWAN isminar INTUNAL
4 KARYAWAN LULUT FARMACROL TAB
5 KARYAWAN LIANA AMOX

PARACETAMOL
DEXA
6 KARYAWAN DR ROSI STESOLID
12/10/2021 1 KARYAWAN REGARINA VK PROTOFEN SUPP
2 KARYAWAN DR ROSI DWI MICROGEST 100MG

PREMASTON
12/11/2021 1 KARYAWAN YATMINI LAGESIL

METHYLPREDNISILON 4 MG
INTUNAL
CEFADROXIL
2 KARYAWAN MBA ISMI INTUNAL
3 KARYAWAN BUNDA UMI SUSU FONT ACTIVE ONE
4 karyawan Sdr Ogna CETIRIZIN TAB (NULAB)
12/12/2021 1 KARYAWAN NY ZEVI NAUSIMEX
2 KARYAWAN suciati cefdroxil

dexamethason
intunal
3 KARYAWAN rika pct tab
4 KARYAWAN DR ROSI MICROGEST 100MG

MEGAZING
5 DR AGUNG PURBO CEFADROXYL

METHYL 4 MG
INTUNAL
MELOX 7,5
12/14/2021 SITI BADRIAH Lansoprazole kapsul 30 mg (

Atapulgit tablet 600mg Tropi
DR IKA Sivit zinc (mersi)

Diazepam tbl 2 mg(Yarindo)
FENI DEXAMETHASON
INTUNAL
DR ROSI PREMASTON
12/15/2021 CICUK OMEPRAZOLE INJ

AQUA INJ
12/16/2021 BU HANI Atorvastatin 20 mg

Lansoprazole kapsul 30 mg (
12/17/2021 BU DENIK VIT K INJ

METILERGOMETRIN INJ
DR ROSI PREMASTON
NADIA Obat Flu Batuk/ Intunal

METHYLPREDNISOLON 4 MG
12/18/2021 1 KARYAWAN EKA HERMAWATI SUCRALFAT SYR
2 KARYAWAN BU HANI DOMPERIDON TAB
3 KARYAWAN BU GINA Neocenta Gel

PROMAVIT
4 KARYAWAN M. NUR KHOLIK PCT

SIVIT ZINC
COMVIT
NAC
AZYTHRO
AMLODIPIN 10MG
RANITIDIN TAB
ONDAN TAB 4 MG
5 KARYAWAN EKA HERMAWATI SUCRALFAT SYR

LANSOPRAZOLE
DOMPERIDON TAB
6 KARYAWAN DR ROSI PREMASTON

MICROGEST 100
12/22/2021 1 KARYAWAN NY OKI Amoksisilin tab 500mg

2 KARYAWAN AYU SCOPMA PLUS

INAMID
JAM
HARGA JAM TERIMA
QTY JUMLAH TOTAL BAYAR PENDAPATA PENYERAHA
SATUAN RESEP
N HARIAN N OBAT
758 10 7580 9509
643 3 1929
324 10 3240 123290

11880 10 118800
125 10 1250
1349 2 2698 6574

1674 2 3348
264 2 528
4356 10 43560
194 10 1940
1306.8 5 6534 81273

5581 3 16743
21089 1 21089
9919 3 29757
7150 1 7150
81273
1343 6 8058
122.1 10 1221 8243

508.2 10 5082
Rp 194.00 10 1940
786 6 4716
48400 1 48400 70450

22050 1 22050
1009 30 30270
158400 1 158400 227040

6864 10 68640
1122 10 11220
3847 10 38470
15048 10 150480 194040
4356 10 43560
10810 1 10810 73696 BELUM BAYAR

2892 10 28920
5581 1 5581 55871
1056 10 10560
8393 1 8393
786 12 9432
786 16 12576 15816 BLM BAYAR

324 10 3240
786 4 3144
1122 10 11220
508 10 5080 8900

188 10 1880
194 10 1940
13840 1 13840
2600 1 2600
15840 6 95040 126720

5280 6 31680
1452 10 14520 35780

324 10 3240 17760
858 10 8580
944 10 9440
858 4 3432 3400
158400 1 158400
64 10 640
15840 10 158400
726 10 7260 16350

194 10 1940
715 10 7150
222 10 2220
15840 6 95040 102300

3630 2 7260
10 944 9440 23890

10 324 3240
10 858 8580
10 263 2630
634 10 6340 10710

437 10 4370
702 40 28080 29200

112 10 1120
194 10 1940 7660

715 8 5720
4400 2 8800
10810 2 21620 25338

3718 1 3718
608 40 24320 37000

634 20 12680
1802 10 18020 33408

3847 4 15388
4400 10 44000 44000
858 20 17160 20400

324 10 3240
6486 1 6486 6486
1226 20 24520
18600 1 18600 105720

4356 20 87120
188.1 15 2821.5 44899.965

643.5 5 3217.5
1499.993 5 7499.965
331.1 15 4966.5
3520 5 17600
77 5 385
274.67 10 2746.7
1415.7 4 5662.8
5487.9 1 5487.9 26404.4

535.7 10 5357
1037.3 15 15559.5
4840 6 29040 124080

15840 6 95040
508.2 10 5082 6963

188.1 10 1881
1349 10 13490 14546

264 4 1056
11/1/2021 1 IGD DINI HARI LADIMAN INTUNAL

DEXAMETHASONE TAB
CEFEXIME TAB
AMLODIPIN 5MG
MEGAZING
2 IGD PAGI AN BARA STIMUNO SYR

PARACETAMOL
AMOXICILLIN
CAVICUR
DEKSAMETHASONE TAB
CETERIZINE
VIT C
VIT B COMP
KERTAS PUYER
3 POLI DALAM NY SUTIPAH LACONS SYR

LANSOPRAZOLE
CAVICUR
DOMPERIDON
LISINOPRIL 10
MASNEURO
4 POLI DALAM TN SUKADI LISINOPRIL 10

ATORVASTATIN 20
MINIASPI
CPG
ISDN
BISOPROLOL 5
SPIRONOLAKTON 25
METFORMIN 500
GLIMEPIRID
5 DALAM SUPARMI Pioglitazone tab 30 mg (Mahaka

METFORMIN 500
GLIMEPIRID
6 DALAM SUWADI BRAXIDIN
Lansoprazole kapsul 30 mg (BER
ANALTRAM
7 DALAM SULATIN Cefixime tab
ANALTRAM
SUCRALFAT SYR
8 UMUM MILA KHOIRUN Vitamin B complek tablet(DEF)

Deksametason tbl 0.5 mg (Novap
Asam tranexamat tbl 500 mg (Be
9 DALAM AMNA AMINURUDIN Masneuro

N-asetil sistein tab (PT.GUARDIA
10 IGD SIANG BIANKA RIZA EPHINEPRIN INJ
11 IGD SIANG AJI PRASETYO NEOCENTA SALEP

NACL
12 IGD SIANG HENDRIK SETYAWAN AMOXICILIN

ASAM MEFENAMAT
DEXAMETHASON TAB
VIT C 250MG
11/2/2021 1 IGD PAGI AN FAUZAN RAMADHANI PARASETAMOL

ONDANSETRON
L BIO
2 POLI OBGYN NY MIA FOLAVIT 1000

ESCORTE
3 POLI OBGYN TN TEGUH KQ 100
FOLAVIT 1000
MEGAZING
MEDHITIN
4 POLI DALAM SUWARTI KALIUM DIKLOFENAK

GABAPENTIN 300
LANSOPRAZOLE
5 POLI DALAM PURWANTI Bisoprolol tab 5 mg (Novel)

Spirolacton 25mg
N-asetil sistein tab (PT.GUARDIA
SUCRALFAT SYR
6 POLI DALAM TN HARTONO CPG

MINIASPI
CANDESARTAN 8 MG
AMLODIPIN 5 MG
ISDN
BISOPROLOL 5 MG
CODEIN 20 MG
CETIRIZINE
11/3/2021 1 POLI DALAM NY SUMARNI BISOPROLOL 5

AMLODIPIN 10
LANSOPRAZOL
2 POLI UMUM IMAM AKBAR LAPISTAN

DEXA
CEFADROXIL
3 POLI DALAM NY WARSI Glimepiride tab 2mg

AMLODIPIN 5MG
Cefixime tab 200 mg (Bernofarm)
SUCRALFAT SYR
4 POLI DALAM SUTOPO SCOPMA PLUS

HCT
LISINOPRIL 10
BICNAT TAB
11/4/2021 1 POLI DALAM TN BADJANG BISOPROLOL 5

SANADRY EXP
NAC
DIGOXIN
CIPROFLOXACIN 500
2 POLI DALAM SUPARMO MELOXICAM 7.5MG

PIOGLITAZON 30MG
METFORMIN
GLIMEPIRID 2MG
MINIASPI
B,COMP
11/5/2021 1 IGD TN SAMIN ASAM MEFENAMAT

AMOXICILLIN
GLIMEPIRID 2 MG
2 IGD NY SUTINI ASAM MEFENAMAT

AMOXICILLIN
AMLODIPIN 5MG
3 POLI DALAM NY SUESTRI METHYLPRED 4 MG

SUCRALFAT SYR
DOMPERIDON TAB
MASNEURO
LANSOPRAZOLE
4 IGD SUKADI NAC

OXYVIT
NASAL KANUL DWS
5 IGD NAYLA NAJWA PARASETAMOL SYR

STIMUNO SYR
6 IGD FRANSISKA Parasetamol 500 mg(Mersi)
OMEPRAZOL
MEGAZING
7 IGD ALAN FEBRIYANTO PARACETAMOL TAB

RANITIDIN TAB
MEGAZING
8 IGD NUR ROIKHIN Ketoprofen tab

AMLODIPIN 5MG
Serum ABU I/Biosave(Biofarma)
9 IGD AGUNG Ciprofloxacin 500 Berno

Ketoprofen tab
11/6/2021 1 IGD DINI HARI Tn Nur Hamid Protofen Supp

Scopma Tablet
OMEPRAZOL
Sucralfat syr
Domperidon tab
2 IGD DINI HARI TITIK S CIPROFLOXACIN

PARACETAMOL
VIT BC
METRONIDAZOL
3 POLI UMUM NY SUMINEM MELOXICAM 7.5MG
MASNEURO
AMLODIPIN 10MG
METFORMIN
GLIMEPIRID 2MG
4 POLI UMUM LINDA SUPRIYANTI CEFDROXIL

MASNEURO
LAPISTAN
LAGESIL
5 POLI UMUM NY RANI DEXAMETHASON TAB

CETIRIZIN
CTM
CEFADROXIL
LAPISTAN
6 POLI UMUM TN HARTONO GLIMEPIRID 2MG
7 POLI UMUM AN KHUMAIRA CEFIXIM

DEKSAMETHASONE
CTM
KERTAS PUYER
PARASETAMOL SYR
8 POLI UMUM TN MINTO GLIMIPIRID 2MG

METFORMIN
9 IGD PAGI MASHURI ATORVASTATIN 20MG

CPG
MINIASPI
10 IGD SIANG NY PUJI LESTARI KALIUM DIKLOFENAK

CEFIXIME 200 MG
MASNEURO
11 IGD SIANG NY RAHAYU ASAM MEFENAMAT

CEFIXIME 200 MG
VIT B PLEX
LIDOCAIN INJ
NACL
11/7/2021 1 igd malam marsya Domperidon syrup

Antasida DOEN tbl(Mersi)
Vitamin B6 tablet 10 mg (KF)
CTM PIM
2 IGD PAGI AFRINDA INTUNAL

CEFIXIME 200 MG
RANITIDINE
CAVICUR
3 IGD PAGI TN MUHADI SUKRALFATE SYR

CAVICUR TAB
RANITIDINE TAB
DOMPERIDON TAB
VIT B6 TAB
HISTIGO
11/8/2021 1 POLI DALAM NY SITI NURHIDAYAH SUCRALFAT SYR

00.81.77 LANSOPRAZOLE
DOMPERIDON
MASNEURO
2 POLI DALAM SUKISNO FUROSEMID

ALBUMIN FIT
SPIRONOLACTON 100
CEFIXIM 200
LISINOPRIL
3 POLI DALAM AHMAD ABDUL METIL PRED 4

LISINOPRIL 10
BISOPROLOL 5
4 POLI DALAM NY SUTIPAH DOMPERIDON
RANITIDIN
5 POLI DALAM TN YANTO PARACETAMOL

NAC
SIVIT ZINC
DEMPERIDON
OMEPRAZOL
CAVICUR
6 POLI DALAM NJAMPEN CAVICUR

MASNEURO
SPIRONOLACTON 25MG
BISOPROLOL
GLIMEPIRID 2MG
7 POLI DALAM NY ANIK SUNARNI DOMPERIDON

BARXIDIN
8 POLI GIGI ELLA WAHYU CLINDAMICIN

PARSETAMOL TAB
9 IGD SIANG SETU LIDOCAIN INJ

KETOPROFEN TAB
CEFIXIM TAB
RANITIDIN TAB
METFORMIN 500MG
NACL 500ML
10 IGD SIANG SAMIN KETOPROFEN TAB

RANITIDIN TAB
CEFIXIM TAB
CETRIZIN TAB
METRONIDAZOLE TAB
11 POLI OBGYN IKA TRISNA MEGAZING

CO AMOXICLAV
METRONIDAZOLE TAB
LEVOFLOXACIN 500 MG
NEOCENTA
GENTAMYCIN SALEP
NACL 100 CC
12 POLI OBGYN NY UMMU KURKUMEX

DOMEPRIDON TAB
13 POLI OBGYN NY TUTIK PARACETAMOL TAB

KURKUMEX
14 POLI OBGYN NY NAILIYA JULI KURKUMEX
15 POLI OBGYN NY NITA LESTARI KURKUMEX
16 POLI OBGYN NY ANISA ROHMAH PROMAVIT

CAL 95
L VIT D3 1000
17 POLI OBGYN NY SAPTORINI NAUSIMEX

KURKUMEX
FOREMES
18 POLI OBGYN NY SRI F KURKUMEX
19 POLI OBGYN NY MUNAWAROH KONI E
20 POLI OBGYN NY SRI LESTARI PROMAVIT

KURKUMEX
11/9/2021 1 IGD PAGI NIKEN JUMIATI KURKUMEX

DEXAMETHASON
AMOXICILIN
PARASETAMOL TAB
2 POLI DALAM TN GIMIN Lansoprazole kapsul 30 mg (BER

Lisinopril 10mg
SUCRALFAT SYR
MELOXICAM 7,5 MG
3 POLI DALAM NY SUWARTI DICLOFENAC POTASIUM 50MG
4 poli dalam juwari metilprednisolon

omeprazole tab
cefixime
lagesil
5 IGD SIANG ARYO STEEVEN LAPICEF SYR

PARASETAMOL SYR
OBH SYR
6 POLI OBGYN NY ANANDITA NOVIAH ketoconazole cr
7 POLI OBGYN NY SUHARTATIK SUSU FONTACTIVE

FOREMES
8 POLI OBGYN NY TRIMAH KONIDERM SALEP
9 POLI OBGYN TN SEPDYANTORO MEDITHIN

MEGAZING
10 POLI OBGYN NY WIJI PUJI ASTUTI KONI E

L VIT D3
11 POLI OBGYN NY SILA EMI KURKUMEX

12 POLI OBGYN NY ANIS ROHMATIN MEGAZING
CEFILA 100
KONI E
KETOPROFEN 100 MG
ASAM TRANEX TAB
13 POLI OBGYN NY WAHYU FOREMES

SUCRALFAT
SUSU FONTACTIVE
14 POLI OBGYN NY NUR KHAYATI FOREMES
11/10/2021 1 IGD DINI HARI ANIS RAHMATIN PROTOFEN SUPP
2 POLI DALAM NY SUKINEM SCOPMA PLUS

LANSOPRAZOL
3 POLI DALAM NY PARIYEM ANALTRAM

MASNEURO
LANSOPRAZOLE
SUCRALFAT
4 POLI DALAM NURUL FAUZIAH DOMPERIDON

LANSOPRAZOL
SUCRALFAT
ANALTRAM
5 POLI DALAM TN SUMARNO METFORMIN 500

BISOPROLOL 5
MASNEURO
GLIMEPIRID 2
6 POLI DALAM TN SURATMIN NOCID

DIGOXIN
FUROSEMID
SPIRONOLAKTON 25
N AC
LISINOPRIL 10
MINIASPI
7 POLI DALAM SUPIYAH NY CEFIXIM 200

MINIASPI
ISDN
LISINOPRIL 10
BISOPROLOL 5
SPIRONOLAKTON 25
FARSIRETIC
LANSOPRAZOL
8 POLI DALAM LINTA WIHDATI NAC

AMBROXOL
9 IGD PAGI TN SULISTYONO ASAM MEFENAMAT

CTM
CEFILA 200MG
LANAKELOID
DEXAMETHASON
10 IGD SIANG RELINDA M GENTAMISIN SK
11 POLI OBGYN SRI UNTARI KONIDERM SALEP

FERROMEX
12 POLI OBGYN NY DEVIANA KONIDERM SALEP

KURKUMEX
13 POLI OBGYN NY. WIWIK WINARTI FONT ACTIV SUSU

KURKUMEX
14 POLI OBGYN NY REVITA KONIDERM SALEP

15 POLI OBGYN NY. MERRI RENIYA PROMAVIT
L-VIT D3 1000
KURKUMEX
16 POLI OBGYN NY LENI PROMAVIT
17 POLI OBGYN NY WAHYU KURNIAWATI PROMAVIT
18 POLI OBGYN NY IDA WULANDARI PROMAVIT

KURKUMEX
19 POLI OBGYN NY HENI PUTRI APRILIANI KURKUMEX

FERROMEX
20 POLI OBGYN IIS ANITASARI SUCRALFAT SYR

KURKUMEX
FERROMEX
21 POLI OBGYN ISMAH NURMITA PROMAVIT

KURKUMEX
22 POLI OBGYN NY SITI KHAEROTUN PROMAVIT

KURKUMEX
23 POLI OBGYN NY YULI SARAS KURKUMEX

NAUSIMEX
FONTACTIVE ONE
11/11/2021 1 ANALSIK
Sivit zinc (mersi)
2 poli dalam TN MAD SHOLEH GLIMEPIRID 2

METFORMIN
PIOGLITAZON 30
MASNEURO
MINIASPI
3 POLI DALAM TN PARJUMAN KALIUM D 50

AMLODIPIN 10
LISINOPRIL 10
MP 4MG
HCT
BISOPROLOL 5
4 POLI DALAM TN WAKIMIN AMLODIPIN 10

LISINOPRIL 10
NAC
MP 4
SANADRYL EXP
SALBUTAMOL 2
GABAPENTIN 300
5 POLI DALAM TN AGUS SUPRIYANTO SUCRALFAT SYR

Lisinopril 10mg
6 POLI OBGYN IKA DEWI MICROGEST 100MG

PROMAVIT
7 IGD SIANG ARI SUSMIYANTO AMOKSISILIN TAB

NA DIKLOFENAK
OMEPRAZOL
8 IGD SIANG DISKA ALENA PCT SYR
9 POLI OBGYN NY SRI HARIYANTI SUCRALFAT SYR

FEROMEX
KURKUMEX
10 POLI OBGYN NY YULIASTI LEVOFLOXACIN 500 TAB

CO AMOXICLAV
METRONIDAZOL TAB
MEGAZING
11 POLI OBGYN NY TUTIK ANDAYANI PROMAVIT

FONTACTIVE
12 POLI OBGYN AJENG PUSPITA MEGAZING
13 POLI OBGYN NY GALIH PURBAWATI MEGAZING
14 POLI OBGYN NY AYU SULISTYOWATI PROMAVIT

L-VIT D3 1000
PARACETAMOL TAB
15 POLI OBGYN NY UMI MUKAROMAH FEROMEX
16 POLI OBGYN NY SEFTIANI CAHYA MEDITHIN

PROMAVIT
17 POLI OBGYN NY MEI DWI S FEROMEX
11/12/2021 1 poli dalam ny darmini Lisinopril 10mg
2 poli dalam NY SUESTRI Lansoprazole kapsul 30 mg (BER
METHYL 4 MG TAB
3 poli dalam ny Mujiati Cefixime tab

Scopma
METHYL 4 MG TAB
GABAPENTIN 300 MG
11/13/2021 1 POLI DALAM TN IMAN TEGUH SUCRALFATE SYR

DOMPERIDON TAB
LANSOPRAZOLE
BRAXIDINE
2 IGD SIANG NY PARSITI OMEPRAZOLE

SCOPMA PLUS
MEGAZING
KETOPROFEN
AB VASK 10
LEVOFLOXACIN
3 IGD NN YENIA CINDY DEXAMETHASON

MEGAZING
AMOX TAB
KETOPROFEN
4 IGD AN. CHAYRA PARACETAMOL

AMOXICILLIN
VIT B COMPLEX
DEXA TAB
11/14/2021 1 IGD TN. SUPRAT NACL

RANITIDIN INJ
AMLODIPIN 5 MG
PEMPERS XL
ONDANSENTRON INJ
MERSIBION INJ
SUCRALFAT SYR
2 IGD NY DARMINI LISINOPRIL 10

AMLODIPIN 10 MG
ASAM TRANEXAMAT
3 IGD SIANG AN GIBRAN PARASETAMOL TAB
APYALIS SYR
4 POLI OBGYN NY RITA M PROMAVIT
5 POLY OBGYN NY RELINDA CO AMOXICLAV

METRONIDAZOLE
FONT ACTIVE
LEVOFLOXACIN 500 MG
6 POLY OBGYN NY RISTIATI FONT ACTIVE
7 POLY OBGYN NY SITI NURHIDAYAH PROMAVIT

KURKUMEX
L VIT D3 1000
8 POLY OBGYN NY SITI WAHYUNI PROMAVIT

L VIT D3 1000
11/15/2021 1 POLI DALAM RAKINEM GLIMEPIRID 2MG

AMLODIPIN 10MG
PIOGLITAZONE 15MG
2 POLI DALAM NY SEMI CETIRIZIN

CANDESARTAN 16MG
BISOPROLOL 5MG
AMLODIPIN 10MG
ISDN
MINIASPI
SPIRONOLACTON 25
3 POLI DALAM TN AGUS SUPRIYANTO SALBUTAMOL 2MG

AMBROXOL
METIL 4MG
CEFIXIME
4 POLI DALAM TN NGATMAN FLUNARIZIN
Betahistin tbl 6 mg(Dexa)
Masneuro
5 POLI UMUM AN NAYLA NAJWA Apialys Syr
6 POLI UMUM ALVIN YAHYA CEFIXIME 200

LANSOPRAZOL
ANALTRAM
MASNEURO
7 IGD PAGI TN MARMO Asam tranexamat tbl 500 mg (Be

NaCl 0,9%(Widatra)
Lidocaine 2% injeksi (Phapros)
DICLOFENAC SODIUM
8 POLI OBGYN NY SITI SARIFAH KONIDERM SK

MEDITHIN
9 POLI OBGYN NY NIKMATUL M PROMAVIT
10 POLI OBGYN NY SITI SOFIATUN FERROMEX

KURKUMEX
11 POLI OBGYN NY DELYANA MICROGEST 100

FEROMES
12 POLI OBGYN NY RIYA PROMAVIT
13 POLI OBGYN NY RULI MICROGEST 100

FEROMES
14 POLI OBGYN NY GOVINDA PROMAVIT
15 POLI OBGYN NY SUMIYATI FERROMEX

CAL 95
16 POLI OBGYN NY BETHARI ODR SYR

FONT ACTIVE
NAUSIMEX
KURKUMEX
SUCRALFATE SYR
17 POLI OBGYN PUTRI MAYANG PROMAVIT

KURKUMEX
18 POLI OBGYN EKO VENYANTI DOMPERIDON SYR

FERROMEX
KURKUMEX
19 POLI OBGYN CHUSNUL FERROMEX
20 POLI OBGYN KASMINI MISOPROSTOL

PARACETAMOL TAB
RANITIDINE
CIPROFLOXACIN
11/16/2021 1 IGD SUTIYONO CIPRO

PARACETAMOL TAB
OXYVIT
2 IGD SYAMSUDIN RANITIDINE INJ

ONDAN INJ
ANTASIDA TAB
RANITIDIN TAB
3 POLI DALAM DAMIN SUCRALFAT SYR

LANSOPRAZOL CAPS
BISOPROLOL 5MG
SPIRONOLACTON 25
LISINOPRIL 10MG
2 POLI DALAM HARTONO CETIRIZIN 10MG

MINIASPI
CANDESARTAN 8MG
AMLODIPIN 5MG
ISDN
BISOPROLOL 5MG
CODEIN 10MG
CLOPIDOGREL 75
3 POLI OBGYN NY SITI NURUL F KURKUMEX

PROMAVIT
4 POLI OBGYN NY MASRIKA SARI FERROMEX

KURKUMEX
5 POLI OBGYN NY ELY ERLINA FOREMES
6 POLI OBGYN NY MUJIDAH Asam mefenamat tbl 500 mg (Mer

AXION
7 IGD MALAM NY PARTI OMEPRAZOLE

MEGAZING
CEFIXIME 200
PARASETAMOL
11/17/2021 1 POLI UMUM NABILA ALYA CETRIZIN

DEXA
VIT C 500MG
PCT
LAPICEF
2 POLI DALAM SULISTYOWATI SALBUTAMOL 4

N AC
AMBROXOL
3 POLI DALAM NY PARSITI CEFIXIM 200

AZITROMISIN
NAC
AMBROXOL
SIVIT ZINC
SCOPMA PLUS
4 POLI UMUM NY SUWARTI METFORMIN

GLIMEPIRID 2
MASNEURO
5 POLI UMUM SUPI AMLODIPIN

PARASETAMOL
MASNEURO
6 POLI OBGYN NY SITI JAMILAH PROMAVIT
7 POLI OBGYN NY SITI ROFIAH PROMAVIT
8 POLI OBGYN NY DEWI AMBARSARI FOLAVIT 1000

KONI E 400
L-VIT D3 1000
9 POLI OBGYN TN ALI MEGAZING

MEDITHIN
FOLAVIT 1000
11/18/2021 1 IGD SIANG VELLYSIA SHALSABILA AMOXICILIN

DEXAMETHASON
VITAMIN C 50MG
RANITIDIN
CTM
PARASETAMOL SYR
APIALYS
2 IGD SIANG KARIONO METRONODAZOLE

ANALTRAM
CEFADROXIL
MASNEURO
ASAM MEFENAMAT
LIDOCAIN INJ
3 IGD SIANG TN WAIDI METRONIDAZOLE

ANALTRAM
CEFADROXIL
ASAM MEFENAMAT
MASNEURO
LIDOCAIN INJ
RANITIDIN INJ
KETOPROFEN INJ
4 IGD SIANG TN SARMIN ANALTRAM
5 POLI OBGYN NY VIRA IRVANI Dermafix t 10x25

CEFIXIM 200MG
KURKUMEX
6 POLI OBGYN NY. ERNAWATI MICROGEST 100

FOREMES
7 POLI OBGYN NY. SULASMI Dermafix t 10x25

CEFILA 100
MEGAZING
FEROMEX
8 POLI OBGYN NY. RIANA FLUCONAZOLE

CETIRIZINE
PROMAVIT
9 POLI OBGYN NY. SUKMAWATI Dermafix t 10x25
OPTIMUNO
10 POLI OBGYN NY KATI FEROMEX
11 POLI OBGYN NY MIFTAKHUL M PROMAVIT
12 POLI OBGYN NY. AMBARWATI GENOCLOM

FOLAVIT
KONI E
L-VIT D3
13 POLI OBGYN NY LILIS ERNAWATI KURKUMEX

FEROMEX
14 POLI OBGYN NY. NURWAHYUNI PROMAVIT

KURKUMEX
15 POLI OBGYN NY. TIKA PUJI L-VIT D3 1000

KURKUMEX
16 POLI OBGYN NY. NOVIA P KALNEX TAB

MICROGEST 100
FOREMES
17 POLI OBGYN NY. NISA'UL FEROMEX
11/19/2021 1 IGD DINI HARI HARYONO HISTIGO

DIMENHIDRINAT
RANITIDIN TAB
KURKUMEX
2 POLI DALAM SURATMIN Digoxin tablet
Spirolacton 25mg
Lisinopril 10mg
Miniaspi
SANADRYL EXP
3 POLI UMUM M ABDUL ROZY Cefadroxil 500

CTM Strip
SETIRIZINE 10MG (SAMPHARIND
Hidrokortison cr 2,5%(KF)
DEXAMETHASON 0,5MG (HARSEN
4 POLI UMUM DARMINI CEFADROXIL

MP 4 MG
PCT
5 POLI DALAM MUJIATI DICLOFENAC SODIUM

SCOPMA PLUS
6 POLI DALAM AGUS SCOPMA PLUS
7 IGD SIANG SDR MAULANA ADITYA LAPISTAN TAB

Gentamisin SK (molex)
METHYL 4 MG TAB
8 IGD SIANG SUKARNI METHYLPREDNISOLON 4MG

CEFADROXIL
LIDOCAIN INJ
CTM
9 IGD SIANG NY SUMARNI METHYL 4 MG TAB

ANALTRAM
Masneuro
11/20/2021 1 IGD TN. YATMO KETOPROFEN TAB

CIPROFLOXACIN
OMEPRAZOLE
2 POLI UMUM MEZA NUR AFIZA KURKUMEX

OMEPRAZOLE
ONDANSETRON TAB
PARASETAMOL
3 POLI DALAM KASMINAH Levofloxacin 750 mg

Glimepiride tab 2mg
Ambroxol 30mg tab
N-asetil sistein kapsul 200 mg (Et
Sivit zinc (mersi)
KONI D 400
METHYL 4 MG TAB
4 POLI DALAM SUKANDAR Pioglitazone tab 15 mg (Mahaka

Tablet tambah darah
5 POLI DALAM MUJIATI Ciprofloxacin 500 Berno

Hidroklorotiazid tbl 25 mg(KF) ED
6 POLI DALAM SRI WAHYUNI CEFIXIME 200MG

CSOPMA PLUS
HCT
7 POLI DALAM NY DJUMI SANSULIN

JARUM INSULIN
GABAPENTIN 300 MG
AMLODIPIN 10 MG
LISINOPRIL 10
MINIASPI
BISOPROLOL
8 IGD MUHAMMAD ULIN NUHA CEPSFAN

AMBROXOL
PARASETAMOL
DEXAMETHASON
CTM
SALBUTAMOL 2 MG
9 igd siang SDR RIKO ARDIANSYAH Parasetamol 500 mg(Mersi)

Lavit C 1000 mg Tablet
11/22/2021 1 IGD ALMIRA AMOX

PARACETAMOL TAB
ZINC TAB
RANITIDINE
ANTASIDA
NEW ANTIDES
KURKUMEX
VIT B PLEX
VIT C 50 MG
STIMUNO SYR
2 IGD NN ALVISA NURCAHYATI NACL 500

LIDOCAIN INJ
RENATOR
ASAM MEFENAMAT
DEXAMETHASONE TAB
3 POLI UMUM SUPADMI CEFIXIM TAB

INTUNAL F
SALBUTAMOL 2MG
4 POLI DALAM SUKINEM METHYLPREDNISOLON 4MG

MASNEURO
SUCRALFAT SYR
LANSOPRAZOL
5 POLI UMUM SUNARTI CEFADROXIL

MELOXICAM 7.5 MG
PARACETAMOL TAB
6 POLI UMUM ALI MASTURI GLIMEPIRID 2MG

METFORMIN
7 POLI DALAM ALVIN YAHYA Tablet tambah darah

Masneuro
8 POLI UMUM SUPARTONO MASNEURO

OMEPRAZOL
ANALTRAM
9 POLI OBGYN NY SUPARTINI PROMAVIT

CAL-95
10 POLI OBGYN NY KURNIA W PROMAVIT

CAL-95
MICROGEST 100
ASAM TRANEXAMAT
11 POLI OBGYN NY DWI FATONAH PROMAVIT

CAL-95
12 POLI OBGYN NY KASMINI FERROMEX

CO AMOXICLAV 625
METRONIZALOE (NOVAPHARIN)
Levofloxacin 500 mg
13 POLI OBGYN NY SITI NUR C PROMAVIT

CAL-95
14 POLI OBGYN NY JUWANTI PROMAVIT

CAL-95
15 POLI OBGYN NY SRI G PROMAVIT
CAL-95
16 POLI OBGYN NY BETHARI SUSU FONT ACTIVE ONE
17 POLI OBGYN NY ENDANG LISTYOWATI PROMAVIT

CAL-95
18 POLI OBGYN NY UMI MUZAYAROH PROMAVIT

CAL-95
19 POLI OBGYN NY CICIK SUGIHARTI ODR SYR

KURKUMEX
11/23/2021 1 POLI UMUM JINGGA WAHYU CEFADROXIL

OMEPRAZOLE
2 IGD PAGI UMI MAYSYAROH RL

OMEPRAZOLE INJ
MERSIBION
SCOPMA PLUS
SUCRALFAT SYR
MASNEURO
PARACETAMOL
3 IGD PAGI NY. SLAMET ASTUTIK RL

OMEPRAZOLE INJ
SUCRALFAT SYR
MASNEURO
ONDANSENTRON INJ
MERSIBION
OMEPRAZOLE CAPS
SCOPMA PLUS
5 IGD SIANG REFANKA DWI PARASETAMOL SYR
CTM
DOMPERIDON
ANTASIDA
APIALYS SYR
L-BIO
6 IGD MALAM AN FITRI FATIMATUL Parasetamol syr 120mg/5ml (Mer

CTM PIM
CEFILA 200
7 POLI OBGYN TRI SUSANTI CO AMOXICLAV

KALNEX 500
8 POLI OBGYN NY ERNA S PROMAVIT

CAL-95
9 POLI OBGYN NY NURKHAYATI NAUSIMEX

PROMAVIT
CAL-95
MICROGEST 100MG
10 POLI OBGYN NY LILIS P PROMAVIT

CAL-95
11 POLI OBGYN NY RAGIL SULIYAWATI PROMAVIT
12 POLI OBGYN NY ANTI NUR MICROGEST 100MG

PROMAVIT
13 POLI OBGYN NY INA APRILIANTI PROMAVIT

CAL-95
14 POLI OBGYN NY WAHYU S MICROGEST 100MG

PROMAVIT
NAUSIMEX
11/24/2021 1 DALAM SRI WAHYUNI Hidroklorotiazid tbl 25 mg(KF) ED

Lisinopril 10mg
SCOPMA PLUS
2 POLI GIGI SUMIYATI METRONIDAZOL

PCT
3 IGD RUSTAM ALLOGON

CEFADROXIL
4 POLI OBGYN ELI SUMARIYA DERMAFIX

CEFIXIM 200
ALLOGON
CANGKANG KAPSUL
5 POLI OBGYN NY. RIZKI PUTRI SUSU FONTACTIV

KURKUMEX
6 POLI OBGYN NY LIA WASIATUN KURKUMEX

NAUSIMEX
11/25/2021 1 POLI UMUM NY RANI METHYLPREDNISOLON 4 MG

GABAPENTIN
CETIRIZIN
CTM
RENATOR
RANITIDIN
2 IGD DJAMI FARMACROL SYR

MASNEURO
NAC
FARSIRETIC TAB
OMEPRAZOLE
3 POLI DALAM SUKISNO ALBUMIN CAP

FARSIRETIC
SPIRONOLACTON 25
4 POLI UMUM ALIP BASORI MASNEURO

SUCRALFAT SYR
OMEPRAZOL
SCOPMA PLUS
RENATOR
5 POLI DALAM ABDUL ROHMAN CLINDAMICYN 300

PIOGLITAZON 30
ANALTRAM
MINIASPI 80
GLIMEPIRID 2 MG
METFORMIN 500
6 IGD KHRESNA GUMELAR EPINEPHRIN INJ

AS TRANEX INJ
VIT K INJ
7 POLI OBGYN NY. FIRA KONIDERM
8 POLI OBGYN NY. SUKMAWATI KONIDERM
9 POLI OBGYN NY. LISTIARINI KURKUMEX
10 POLI OBGYN NY. TRI SUSILOWATI DERMAFIX

HCT
CEFIXIME 200
MEGAZING
CANGKANG
11 POLI OBGYN NY. KISMAWATI CEFIXIME 200

OPTIMUNO
FEROMEX
DERMAFIX
CANGKANG
12 POLI OBGYN NY. DEWI LULIK FONTACTIV
11/26/2021 1 POLI DALAM DAMIN LANSOPRAZOLE

BISOPROLOL
SPIRONOLACTON 25MG
2 POLI DALAM KAMIDAH ANALTRAM
3 IGD MALAM AN DANIYAL RL

DUMIN RECTAL
11/27/2021 1 IGD PAGI NY SRI NURHAYATI N-asetil sistein tab (PT.GUARDIA

Ambroxol 30mg tab
Cefadroxil 500
2 POLI DALAM SITI NURALISAH ANALSIK

BETAHISTIN 6MG
FLUNARIZIN
3 IGD SUWADI INTUNAL F

CEFADROXIL
KURKUMEX
RANITIDIN
NAC
4 IGD AN ABYAN BARIQ AMOX TAB

CTM
AMBROXOL TAB
PARASETAMOL
B COMPLEX
CURMUNOS SYR
STESOLID SUPP
PARASETAMOL SYR
11/28/2021 1 IGD SIANG SAPUNAN ASMEF

VIT B COMPEX
DEXA TAB
2 IGD SIANG TN. PANGAT OMEPRAZOLE CAP

ANALTRAM
DOMPERIDONE
VITAMIN B COMPLEX
umi koirotun NAUSIMEX

PROMAVIT
irfana laili PROMAVIT

CAL-95
defi rahmawati PROMAVIT

CAL-95
risa putriana PROMAVIT

CAL-95
istiani GENOCLOM
KONI E 400
FOLAVIT 1000
11/29/2021 1 YATINI Amlodipin 10mg (Sampharindo)

OMEPRAZOL TAB
LAPISTAN TAB
2 SRI YANG WIJI Masneuro

MELOXICAM 7,5 MG
3 YASMI FARSIRETIC (FUROSEMID)

Miniaspi
CEFIXIME 200 MG
4 SULASTRI Amoksisilin tab 500mg

5 SUJIYANTO KALIUM DIKOFENAK

LAMESON 16
GABAPENTIN 300
6 SUPARMI AMOX
AS MEF
7 IGD SIANG WISNU LIDOCAIN INJ

PARACETAMOL TAB
AMOX TAB
DEXA TAB
8 POLI OBGYN NY IIN MUNTAN KUMALASARIPROMAVIT
9 POLI OBGYN NY WAHYU KURNIAWATI PROMAVIT
10 POLI OBGYN NY NURUL QOYYIMAS PROMAVIT
11 POLI OBGYN NY ENDANG SAGITA FOREMES

12 POLI OBGYN NY SRI INDAH PUJI ASTUTI PROMAVIT
CAL-95
13 POLI OBGYN NY PUJI NINGSIH PROMAVIT
14 POLI OBGYN NY ELLI ERLINA SUSU FONT ACTIVE ONE

KURKUMEX
PROMAVIT
15 POLI OBGYN NY DWI AFITA SARI KURKUMEX

PROMAVIT
11/30/2021 1 POLI DALAM NY WAGINEM LANSOPRAZOLE

MASNEURO
METIL PRED 4
MELOXICAM 7.5
AMLODIPIN 10
BISOPROLOL 5
2 IGD SULASTRI AS MEFENAMAT TAB

MEGAZING
OMEPRAZOL CAPS
CEFADROXIL CAPS
LIDOCAIN INJ
3 IGD PAGI MUTROFIN KETOPROFEN TAB

RANITIDINE TAB
CEFADOXYL CAPS
4 POLI OBGYN NY VINA RATNA SARI PROMAVIT

KURKUMEX
JAM
PENDAPATAN
HARGA SATUAN QTY JUMLAH TOTAL BAYAR TERIMA
HARIAN
RESEP
858 10 8,580 87,790.00 1.11
165 10 1,650
4183 10 41,830
69 10 690
3630 8 29,040
6,000
29760 1 29760 53,099.00 6.58

222 4 888
601 4 2404
825 4 3300
165 4 660
254 4 1016
137 5 685
156 6 936
145 10 1450
12000
59400 1 59400 117,267.00 9.4
1121 6 6726
825 20 16500
1226 15 18390
337 3 1011
924 10 9240
6000
117267
337 10 3370 105,950.00

5406 10 54060
137 10 1370
2210 10 22100
116 10 1160
328 5 1640
476 10 4760
293 30 8790
270 10 2700
6000
105950
4648 10 46480 61,040.00

293 20 5860
270 10 2700
6000
1466 15 21990 212,530.00
634 10 6340
6000
11880 15 178200
4183 10 41830 191,472.00

6000
11880 10 118800
24842 1 24842 143,642.00
156 10 1560 32,030.00

222 10 2220
165 10 1650
2060 10 20600
6000
924 30 27720
1274 30 38220
6000
28600 2 57200 63,200.00

6000
18600 1 18600 42,384.00

8892 2 17784
6000
601 10 6010 24,005.00

443 10 4430
165 10 1650
1183 5 5915
6000
222 10 2220 52,680.00

1674 10 16740
9240 3 27720
6000
2641 5 13205 296,405.00 290405 8.2

4620 60 277200
6000
296405
9240 25 231000 502,655.00 8.2
2641 5 13205 265655
3630 15 54450
6600 30 198000
6000
502655
536 16 8576 39,924.00 24956

3276 5 16380
1121 8 8968 14968
6000
328 5 1640 90,952.00

476 10 4760
129 10 1290
1274 20 25480
634 10 6340
2060 10 20600
6000
24842 1 24842
2210 15 33150 86,181.00

137 15 2055
709 15 10635
69 15 1035
116 15 1740
328 8 2624
897 30 26910
254 8 2032
6000
328 10 3280 16,500.00

91 10 910
634 10 6340
6000
16530
1716 10 17160 34,250.00

165 10 1650
944 10 9440
6000
270 8 2160 53,397.00

69 8 552
3081 5 15405
634 7 4438
24842 1 24842
6000
1349 15 20235 32,015.00

194 10 1940
337 10 3370
94 5 470
6000
328 4 1312 37,624.00 10.45

13068 1 13068
485 20 9700
203 8 1624
592 10 5920
6000
37624
263 30 7890 101,086.00

4648 15 69720
293 17 4981
270 30 8100
137 15 2055
156 15 2340
6000
443 10 4430 16,420.00

329 10 3290
270 10 2700
6000
443 10 4430 14,410.00

329 10 3290
69 10 690
6000
324 20 6480 72,614.00

24842 1 24842
1226 15 18390 31,322.00
924 8 7392
634 15 9510
6000
485 10 4850 33,450.00

1600 10 16000
6600 1 6600
6000
1536 1 1536 37,296.00

29760 1 29760
6000
222 15 3330 33,810.00

6000
633 10 6330
3630 5 18150 24,480.00
222 15 3330 30,730.00

325 10 3250
3630 5 18150
6000
1197 10 11970 689,436.00

325 10 3250
601 10 6010
165 10 1650
69 10 690
665866 1 665866
592 10 5920 28,140.00

1197 10 11970
156 10 1560
165 8 1320
137 10 1370
6000
2598 1 2598 60,616.00

1349 10 13490
633 10 6330
24842 1 24842
1226 6 7356
6000
592 10 5920 18,476.00

222 10 2220
156 6 936
340 10 3400
6000
263 10 2630 27,225.00
924 10 9240
91 10 910
293 15 4395
270 15 4050
6000
944 10 9440 56,360.00

924 10 9240
1716 10 17160
1452 10 14520
6000
194 10 1940 38,340.00

321 10 3210
59 10 590 5,150.00
944 10 9440
1716 10 17160
6000
270 15 4050 10,050.00

6000
3081 2 6162 22,288.00

165 5 825
59 5 295
147 10 1470
1536 1 1536
12000
270 15 4050 14,445.00

293 15 4395
6000
Rp 5,406.00 2 10812 21,506.00

2210 2 4420
137 2 274
6000
536 10 5360 46,790.00

3081 10 30810
924 5 4620
6000
443 10 4430 53,280.00

3081 10 30810
156 10 1560
1588 1 1588
8892 1 8892
6000
6000 1 6000 19,056.00

76 2 152
222 2 444
171 2 342
59 2 118
12000
858 10 8580 41,485.00

3081 5 15405
325 10 3250 33,235.00
825 10 8250
6000
24842 1 24842 64,582.00

825 10 8250
325 10 3250
1226 10 12260
171 10 1710
827 10 8270
6000
24842 1 24842 66,134.00 9:24

634 15 9510
1226 15 18390
924 8 7392
6000
129 15 1935 77,977.00 10.07

900 20 18000
2317 8 18536
3081 10 30810
337 8 2696
6000
324 10 3240 29,190.00 10.09

337 30 10110
328 30 9840
6000
1226 15 18390 29,265.00 10.22
325 15 4875
6000
222 10 2220 40,186.00 10.30

485 10 4850
702 4 2808
1226 10 12260
633 6 3798
825 10 8250
6000
825 20 16500 38,204.00 10.45

924 8 7392
129 8 1032
476 8 3808
328 4 1312
270 8 2160
6000
1226 15 18390 46,080.00 10.46

1446 15 21690
6000
930 10 9300 17,520.00 11.55

222 10 2220
6000
1588 3 4764 56,456.00 15.53

1197 10 11970
4183 5 20915
325 10 3250
133 5 665
8892 1 8892
6000
1197 10 11970 48,075.00 18.55

325 10 3250
4183 5 20915
254 10 2540
340 10 3400
6000
3630 15 54450 173,302.00 22.26

4560 15 68400
340 15 5100
517 15 7755
18600 1 18600
3120 1 3120
9877 1 9877
6000
990 10 9900 28,160.00 22.46

1226 10 12260
6000
222 15 3330 39,030.00 22.56

990 30 29700
6000
990 20 19800 25,800.00 23.07

6000
990 15 14850 20,850.00 23.32

6000
4356 15 65340 225,780.00 22.54

6864 15 102960
3432 15 51480
6000
15840 20 316800 421,800.00 00.01

990 20 19800
2640 30 79200
6000
990 20 19800 25,800.00 00.07

6000
5280 30 158400 164,400.00 00.15

6000
4356 15 65340 91,140.00 00.21

990 20 19800
6000
990 10 9900 26,070.00 8

194 10 1940
601 10 6010 11,840.00
222 10 2220
6000
634 10 6340 46,722.00 9.5

91 10 910
337 10 3370
24842 1 24842 30,102.00
263 20 5260
6000
536 15 8040 14,040.00 10.15

6000
324 10 3240 68,160.00 10.3

633 10 6330
3081 10 30810 9,570.00
1452 15 21780
6000
60720 1 60720 76,176.00

1536 1 1536
7920 1 7920
6000
8802 1 8802 14,802.00 22.23

6000
158400 1 158400 243,600.00 22.29

Rp 2,640.00 30 79200
6000
99000 2 198000 204,000.00 22.45

6000
6600 30 198000 312,900.00

3630 30 108900
6000
5280 30 158400 267,360.00

3432 30 102960
6000
990 20 19800 25,800.00

6000
3630 15 54450 590,705.00
25740 15 386100 546,150.00
5280 20 105600
1197 15 17955
2060 10 20600
6000
Rp 2,640.00 15 39600 228,842.00

24842 1 24842
158400 1 158400
6000
Rp 2,640.00 15 39600 45,600.00

6000
Rp 2,598 1 2598 8,598.00

6000
1349 10 13490 22,660.00 9.15

634 5 3170
6000
11880 15 178200 225,402.00

924 8 7392
1121 8 8968
24842 1 24842
6000
225402
1226 15 18390 236,400.00
1121 8 8968
24842 1 24842
11880 15 178200
6000
236400
293 30 8790 51,480.00

328 15 4920
924 30 27720
270 15 4050
6000
51480
10260 20 205200 250,790.00
203 10 2030
129 20 2580
476 10 4760
1274 20 25480
337 10 3370
137 10 1370
6000
250790
4183 10 41830 73,906.00

137 10 1370
116 21 2436
337 10 3370
328 5 1640
476 10 4760
129 10 1290
1121 10 11210
6000
73906
1274 10 12740 20,990.00

225 10 2250
6000
20990
443 10 4430 568,680.00

59 10 590
39600 10 396000
159720 1 159720 557,660.00
194 10 1940
6000
3120 1 3120 9,120.00

6000
99000 1 99000 130,740.00

858 30 25740
6000
99000 1 99000 124,800.00

990 20 19800
6000
158400 1 158400 179,250.00

990 15 14850
6000
99000 1 99000 105,000.00 21.11

6000
4356 30 130680 259,440.00 21.33

3432 30 102960 253,440.00
990 20 19800
6000
4356 15 65340 71,340.00 21.47

6000
4356 15 65340 71,340.00 21.51

6000
4356 15 65340 91,140.00

990 20 19800 85,140.00
6000
990 20 19800 38,670.00

858 15 12870 32,670.00
6000
24842 1 24842 63,512.00

990 20 19800 57,512.00
858 15 12870
6000
4356 15 65340 86,190.00

990 15 14850 80,190.00
6000
4356 30 130680 166,380.00

990 30 29700
6000
990 20 19800 501,000.00

15840 20 316800
158400 1 158400
6000
2013 10 20130 29,640.00 9.05

702 5 3510
6000
270 20 5400 58,688.00 9.17

293 30 8790
4648 6 27888
924 10 9240
137 10 1370
6000
58688
536 20 10720 34,300.00 9.35

91 10 910
337 10 3370
324 30 9720
194 10 1940
328 5 1640
6000
34300
91 10 910 89,828.00 9.43

337 10 3370
1274 20 25480
324 20 6480
13068 1 13068
88 20 1760
3276 10 32760
6000
89828
24842 1 24842 57,257.00

1226 15 18390
634 10 6340
337 5 1685
6000
15840 15 237600 308,940.00

4356 15 65340
6000 302,940.00
601 10 6010 21,680.00 18.41

334 10 3340
633 10 6330
6000 9,670.00
1536 1 1536 7,536.00 21:00

6000
24842 1 24842 58,562.00 22.39

858 15 12870
990 15 14850
6000
517 15 7755 141,705.00 22.59

4560 15 68400
340 15 5100
3630 15 54450
6000
4356 30 130680 295,080.00 23.23

158400 1 158400
6000
3630 20 72600 78,600.00 23.31

6000
3630 20 72600 78,600.00 23.37

6000
4356 15 65340 107,880.00 00.12

3432 10 34320
222 10 2220
6000
858 30 25740 31,740.00 00.18

6000
6600 30 198000 264,984.00 00.29

4356 14 60984
6000
858 20 17160 23,160.00 00.35

6000
337 10 3370 9,370.00

6000
634 10 6340 18,820.00

6000
324 20 6480
4183 10 41830 83,470.00

1506 0 0
12000
324 6 1944
536 15 8040
3276 6 19656 29,640.00
24842 1 24842 65,827.00 9.25

119 15 1785
1121 10 11210
1466 15 21990
6000
633 10 6330 176,995.00

1349 10 13490
3630 10 36300 56,120.00
1197 10 11970
12540 8 100320
517 5 2585
6000
194 10 1940 44,070.00

3630 5 18150 20,090.00
601 10 6010
1197 10 11970
6000
222 2 444 14,346.00

601 2 1202
156 2 312
194 2 388
12000
8892 2 17784 127,907.00

1545 1 1545
69 1 69
11400 6 68400
3686 1 3686
5581 1 5581
24842 1 24842 34,109.00
6000
337 5 1685 28,740.00

91 5 455
2060 10 20600
6000
222 5 1110 56,670.00
43560 1 43560
12000
4356 15 65340 71,340.00 23.10 23.14

6000
4560 21 95760 280,770.00 23.21 23.26

340 15 5100
158400 1 158400
517 30 15510
6000
158400 1 158400 164,400.00 00.01 00.06

6000
4356 15 65340 137,670.00

990 15 14850
3432 15 51480
6000
4356 15 65340 105,660.00

3432 10 34320
6000
270 10 2700 71,570.00 10

91 10 910
3098 20 61960
6000
321 10 3210 87,390.00 10:04

1226 30 36780
328 30 9840
91 30 2730
116 90 10440
137 30 4110
476 30 14280
6000
88 20 1760 49,550.00 10:40

225 20 4500
324 20 6480
3081 10 30810
6000
1382 20 27640 45,025.00 10.5
143 15 2145
924 10 9240
6000
43560 1 43560 49,560.00 10.5

6000
4183 10 41830 242,390.00 11:00

1121 8 8968
11880 15 178200
924 8 7392
6000
242390
2060 6 12360 39,778.00

601 10 6010
8892 1 8892
1588 2 3176
334 10 3340
6000
99000 2 198000 402,000.00

6600 30 198000
6000
4356 15 65340 71,340.00

6000
858 15 12870 33,720.00

990 15 14850
6000
15840 10 158400 204,000.00

2640 15 39600
6000
4356 15 65340 71,340.00

6000
15840 15 237600 283,200.00

2640 15 39600
6000
4356 15 65340 71,340.00
6000
858 15 12870 121,830.00

6864 15 102960
6000
121440 1 121440 688,862.00

158400 1 158400
15840 22 348480
990 30 29700
24842 1 24842
6000
4356 15 65340 91,140.00

990 20 19800
6000
6000 1 6000 48,960.00

858 20 17160
990 20 19800
6000
858 15 12870 18,870.00

6000
5363 5 26815 44,205.00

222 10 2220
325 10 3250
592 10 5920
6000
592 10 5920 30,140.00

222 10 2220
1600 10 16000
6000
1545 1 1545 15,241.00

3686 1 3686 11,555.00
76 10 760
325 10 3250
6000
24842 1 24842 45,267.00 9.24

634 10 6340
328 5 1640
476 10 4760
337 5 1685
6000
321 10 3210 112,350.00

137 30 4110
709 30 21270
69 30 2070
116 15 1740
328 15 4920
897 40 35880
2210 15 33150
6000
990 20 19800 91,140.00

4356 15 65340
6000
858 15 12870 32,730.00 20.55

990 14 13860
6000
2640 30 79200 85,200.00 21.04

6000
443 10 4430 83,830.00

2060 10 20600
5280 10 52800
6000
633 10 6330 67,365.00

3630 10 36300
3081 5 15405
222 15 3330
6000
321 2 642 70,426.00 9.05

194 2 388
894 2 1788 1,030.00
222 4 888
60720 1 60720
6000
104 10 1040 14,140.00 10.5

485 10 4850
225 10 2250
6000
14140
4183 10 41830 111,437.00 11.12

4160 6 24960
485 20 9700
225 20 4500
702 6 4212
1349 15 20235
6000
111437
293 10 2930 20,870.00 11.15

270 10 2700
924 10 9240
6000
20870
91 10 910 11,830.00 11.25

222 10 2220
270 10 2700
6000
4356 15 65340 71,340.00 22.42

6000
4356 15 65340 71,340.00 22.14

6000
2641 20 52820 285,860.00 23.38

5280 30 158400
3432 20 68640
6000
3630 15 54450 311,270.00 23.38

6600 30 198000
2641 20 52820
6000
601 4 2404 61,586.00

194 3 582
137 3 411
325 3 975
59 2 118
1536 1 1536
43560 1 43560
12000
340 10 3400 103,270.00 20:01

11880 6 71280
944 10 9440
924 6 5544
443 10 4430 74,680.00
1588 2 3176
6000
340 10 3400 108,957.00 20:10

11880 6 71280
944 10 9440
443 10 4430 74,680.00
924 6 5544
1588 1 1588
1545 1 1545
5730 1 5730
6000
11880 10 118800 124,800.00 20:40

6000
19800 1 19800 57,045.00 21:31

3081 5 15405
1056 15 15840
6000
15840 5 79200 124,800.00 21:43

2640 15 39600
6000
19800 1 19800 332,370.00 306570 21:51

25740 10 257400
3630 10 36300
858 15 12870
6000
23234 3 69702 141,682.00 65340 22:04

64 10 640
4356 15 65340
6000
19800 1 19800 184,200.00 22:10

10560 15 158400
6000
858 15 12870 18,870.00 22.33

6000
4356 15 65340 71,340.00 22:40

6000
18480 10 184800 531,390.00 22:52

2641 30 79230
5280 30 158400
3432 30 102960
6000
1056 15 15840 34,710.00 23.26

858 15 12870
6000
4356 15 65340 81,900.00 23:34

1056 10 10560
6000
3432 5 17160 33,720.00 23:43

1056 10 10560
6000
4422 10 44220 200,700.00 150480 23:53

15840 7 110880
2640 15 39600 150,480.00
6000
858 15 12870 18,870.00 23:59

6000
827 10 8270 29,540.00 0:45

146 10 1460
325 10 3250
1056 10 10560
6000
203 10 2030 31,252.00 9.11
476 10 4760
337 10 3370
137 10 1370
6000
13722 1 13722
944 10 9440 51,200.00 9.12

100 10 1000
64 10 640
3218 10 32180
6000
194 10 1940
944 10 9440 20,900.00 9.55

324 10 3240
222 10 2220
6000
20900
334 10 3340 22,830.00 10.11

1349 10 13490
6000
1349 10 13490 19,490.00

6000
1716 10 17160 35,530.00

601 10 6010
3120 1 3120
324 10 3240
6000
324 10 3240 21,268.00

944 10 9440
1588 1 1588
100 10 1000
6000
324 10 3240 137,280.00

11880 10 118800
924 10 9240
6000
1197 10 11970 29,730.00 5:40

592 10 5920
584 10 5840
6000
1056 10 10560 41,360.00

584 10 5840
1674 10 16740 16,400.00
222 10 2220
6000
3487 7 24409 91,609.00

270 15 4050
225 30 6750
485 30 14550
88 30 2640
702 15 10530
Rp 1,188.00 15 Rp 17,820.00
6000
Rp 324.00 15 Rp 4,860.00
3098 16 49568 56,218.00

65 10 650
6000
592 10 5920 16,254.00

194 6 1164
634 5 3170
6000
2334 10 23340 43,800.00 10:50

1349 10 13490
194 5 970 36,830.00
6000
117360 1 117360 199,770.00 11:20

5400 1 5400
3276 15 49140 171,900.00
91 30 2730
337 30 10110
137 30 4110
328 15 4920
6000
132000 1 132000 146,175.00

225 3 675 500.00
222 3 666
194 2 388
91 2 182
88 3 264
12000
222 10 2220 51,080.00

4092 10 40920
194 10 1940
6000
601 2 1202 48,640.00

222 2 444
682 2 1364
325 2 650
76 2 152
185 2 370
1056 2 2112
156 2 312
137 2 274
29760 1 29760
12000
8892 1 8892 172,814.00

1588 4 6352
14520 10 145200
443 10 4430
194 10 1940
6000
2334 10 23340 42,040.00 9:00

324 10 3240
858 10 8580
88 10 880
6000 26,580.00
324 30 9720 45,077.00 9:12

924 15 13860
5987 1 5987
634 15 9510
6000
944 10 9440 23,530.00 9:52

263 10 2630
324 10 3240
222 10 2220
6000
270 10 2700 11,630.00 9:58

293 10 2930
6000
65 15 975 22,695.00
924 10 9240
6000
324 20 6480
924 10 9240 140,360.00

632 10 6320
11880 10 118800
6000
4356 15 65340 139,980.00 21.12

6864 10 68640
6000
4356 15 65340 353,300.00 21:27

6864 15 102960
15840 10 158400 326,700.00
2060 10 20600
6000
4356 15 65340 139,980.00 21:31

6864 10 68640
6000
858 5 4290 222,860.00

4560 10 45600
340 10 3400
158400 1 158400
517 10 5170
6000
4356 15 65340 139,980.00

6864 10 68640
6000
4356 15 65340 139,980.00 22:15

6864 10 68640
6000
4356 15 65340 139,980.00
6864 10 68640
6000
158400 2 316800 322,800.00 22.28

6000
4356 15 65340 139,980.00 22.36

6864 10 68640
6000
4356 15 65340 139,980.00

6864 10 68640
6000
121440 2 242880 434,387.00 23.25

1056 20 21120
158400 1 158400
5987 1 5987
6000
944 10 9440 21,760.00

632 10 6320
6000
9919 1 9919 53,228.00

11583 1 11583
5581 1 5581
1349 2 2698
5987 1 5987
924 10 9240
222 10 2220
6000
9919 2 19838 77,105.00

11583 1 11583
5987 1 5987
924 5 4620
3686 1 3686 29,077.00
5581 1 5581
632 10 6320
1349 10 13490 29,077.00
6000
1536 1 1536 124,422.00
59 2 118
1226 2 2452
76 1 76
43560 1 43560
9240 7 64680
12000
1536 1 1536 179,295.00

59 3 177
194 3 582
33000 5 165000
12000
4560 21 95760 168,090.00 21.25

4422 15 66330
6000
4356 15 65340 139,980.00 21.32

6864 10 68640
6000
15840 15 237600 535,980.00 21:40

4356 15 65340
6864 10 68640
15840 10 158400
6000
4356 15 65340 139,980.00 21.47

6864 10 68640
6000 133,980.00
4356 10 43560 49,560.00 22.03

6000
15840 10 158400 229,740.00 22.07

4356 15 65340
6000
4356 15 65340 153,708.00 22.14

6864 12 82368
6000 147,708.00
15840 8 126720 334,680.00 22.23

4356 10 43560
15840 10 158400
6000
194 5 970 28,553.00

337 4 1348
6000
1349 15 20235
340 15 5100 13,320.00 11.45

222 10 2220
6000
13320
990 10 9900 25,340.00 12.01

944 10 9440
6000
25340
19800 1 19800 52,060.00 21.44

2334 5 11670
990 14 13860
146 5 730
6000
158400 1 158400 180,240.00 174240 21:05

1056 15 15840
6000
1056 8 8448 141,168.00 135168 22.06

15840 8 126720
6000
324 10 3240 178,280.00

3276 5 16380
321 10 3210 22,830.00
100 10 1000
14520 10 145200
325 10 3250
6000
66000 1 66000 85,920.00

924 5 4620
485 10 4850
129 10 1290
632 5 3160
6000
900 25 22500 33,340.00

129 8 1032
476 8 3808
6000
924 5 4620 188,057.00

5987 1 5987
1276 10 12760 26,250.00
1349 10 13490
14520 10 145200
6000
2082 15 31230 274,457.00

6422 8 51376
11880 15 178200 178,200.00
137 8 1096
270 8 2160
293 15 4395
6000
1831 1 1831 18,338.00

5720 1 5720
4787 1 4787
6000
99000 2 198000 204,000.00 22:00

6000
99000 2 198000 204,000.00 22:04

6000
1056 15 15840 21,840.00 22:30

6000
19800 1 19800 77,170.00

194 10 1940
2334 5 11670
3630 10 36300
146 10 1460
6000
2334 5 11670 203,336.00

10560 15 158400
858 7 6006
19800 1 19800
146 10 1460
6000
158400 1 158400 164,400.00

6000
634 10 6340 18,740.00

328 5 1640
476 10 4760
6000
11880 15 178200 184,200.00 9:38

6000
9919 1 9919 35,540.00

19621 1 19621
6000
1274 10 12740 29,126.00

225 10 2250
88 6 528
944 6 5664
324 6 1944
6000
2013 15 30195 46,632.00

143 15 2145
1382 6 8292
6000
858 10 8580 45,494.00

944 6 5664
1056 10 10560
325 6 1950
1274 10 12740
6000
45494
601 3 1803 112,309.00

91 3 273
225 3 675
222 3 666
156 3 468
85800 1 85800
15088 1 15088
Rp 1,536 1 Rp 1,536
6000
443 10 4430 13,930.00

156 10 1560
194 10 1940
6000
632 10 6320 144,940.00 125120

11880 10 118800
1226 10 12260
156 10 1560
6000
15840 6 95040 166,380.00

4356 15 65340
6000
4356 15 65340 174,300.00

6864 15 102960
6000
4356 15 65340 174,300.00

6864 15 102960
6000
4356 15 65340 174,300.00

6864 15 102960
6000
18480 10 184800 460,110.00

5280 36 190080
2641 30 79230
6000
91 10 910 30,390.00
632 10 6320
1716 10 17160
6000
924 10 9240 21,000.00

222 10 2220
91 10 910
263 10 2630
6000
129 8 1032 55,148.00

137 8 1096
324 40 12960
2334 10 23340
536 20 10720
6000
601 10 6010 16,440.00

443 10 4430
6000
47020
536 20 10720 163,048.00
12012 10 120120
3276 8 26208
6000
163048
601 10 6010 16,440.00

443 10 4430
6000
16440
1588 2 3176 19,346.00

222 10 2220 17,406.00
601 10 6010
194 10 1940
6000
4356 15 65340 71,340.00 22.20

6000
4356 15 65340 71,340.00 22.32

6000
4356 10 43560 49,560.00 22.48

6000
2640 10 26400 32,400.00

6000
4356 10 43560 118,200.00
6864 10 68640
6000
4356 15 65340 71,340.00

6000
158400 1 158400 245,580.00

1056 15 15840
4356 15 65340
6000
1056 15 15840 87,180.00

4356 15 65340
6000
1121 10 11210 40,740.00

924 10 9240
324 20 6480
263 20 5260
91 10 910
328 5 1640 11740
6000
40740
443 10 4430 64,078.00

3630 10 36300
632 10 6320 42,620.00
944 10 9440
1588 1 1588
6000
1197 10 11970 30,660.00

325 10 3250
944 10 9440
6000
4356 15 65340 87,180.00 81180

1056 15 15840
6000
JAM
PENYERAHAN
OBAT
1.17
7.25
10
8.35
8.35
10.55
9.37
10.13
10.18
10.29
10.4
10.5
10.51
12.10
16
19.1
22.33
22.51
23
23.11
23.37
22.58
00.05
00.12
00.20
00.26
8.15
10
10.2
10.4
22.29
22.35
22.51
9.23
11.05
21.15
21.37
21.51
21.52
9.12
9.3
9.45
9.53
18:47
21.05
22.45
23.08
23.3
23.37
23.41
00.18
00.23
00.37
00.40
9.35
10.5
10:10
10:45
11
11
11:10
20.59
21.11
9.15
11.11
11.17
11.18
11.34
22.48
22.16
22.48
22.48
20:06
20:15
20:46
21:41
21:50
21:55
22:14
22:16
22.37
22:45
22.58
23:32
23:39
23:48
23:58
0:06
0:00
9.2
9.22
10.01
10.16
10:57
11:27
9:10
9:22
21.14
21:35
21.38
22:15
22.18
22.32
22.39
23.3
21.3
21:36
21.46
21.51
22.06
22.13
22.19
22.31
11.5
12.06
21.5
21.55
22:12
22:05
22:08
22:36
9:42
1940
125120
160380
168300
168300
168300
454110
43200
1,289,650.00
22.24
22.34
22.51
11/1/2021 1 11/1/2021 DR. PURBO STESOLID SUPP

DUMIN RECTAL
11/2/2021 1 11/2/2021 BU FITRI AMLODIPIN 10 MG

PARACETAMOL TAB
Cefspan syr
11/3/2021 1 11/3/2021 AURIA DPP LACONS SYR

ANALTRAM
1 11/4/2021 DYAH UMI PARACETAMOL
1 11/5/2021 ANIS KHOIRUN N PROMAVIT

FRONTACTIVE
2 AURIA MERSIBION
RANITIDIN
11/6/2021 PINASIH ANTASIDA
11/8/2021 dr alba kalium diklofenak
MB UMI Lactamor
ISNA CLINDAMYCIN 300

DEKSAMETHASONE TAB
DICKY ALLOGON
MASNEURO
11/10/2021 DR BUDI DIAZEPAM 5MG
11/11/2021 kiki medithin

11/13/2021 SUCIATI CLINDAMICIN 300 MG

DEXA 0.5 TAB
ASMET
INTUNAL
11/14/2021 UMUL DIMEN
11/15/2021 mb umi Lactamor
NY SUMIYATI Clindamicyn
DICLOFENAC SODIUM
Lagesil
11/17/2021 dr INDO Candesartan 8mg (Dexa)

11/18/2021 EKO WAHYU CEFADROXIL

PCT
MB SUCI INTUNAL
11/19/2021 LIANA BEVALEX
LIANA ACYLOVIR CREAM

AMOX
CTM
DEXA 0.5 MG
MAS THONY PARASETAMOL TAB

MASNEURO
11/20/2021 NADIA YUNI RAHMAWATIMETHYLPRED 4 MG

INTUNAL
CEFADROXIL
APRILIA MANEURO
ALLOPURINOL
SIMVASTATIN
11/21/2021 MB DANIK ONDAN TAB 4 MG
MB ANIS PROMAVIT
KIKI ANDRIANI MEDITIN
11/22/2021 sofi thrombopop

Leukoplast 7.5 cm X 4.5 m
Kasa Pembalut 2m X 80cm
DR ARIO L-BIO SACHET
11/23/2021 ANIS KHOIRUN NISA SUS FONTACTIVE
REGINA ONDANSETRON
OKNA DEKSAMETHASONE TAB

NA DIKLOFENAK
11/24/2021 DR. QONITA L-VIT D3 5000

KONI E 400
ANIK FISIO Parasetamol 500 mg(Mersi)

CEFADROXIL
DEXA 0,5
PCT
MELOXICAM 7,5
BU HANI VITADION INJ

NA DIKLO
ALLOPURINOL
11/25/2021 MB FITRI METFORMIN

DOMPERIDON
SITI CHOTIMAH NACL

MBA IIS IGD MERSIBION
GLIMEPIRID 2MG
TN SETIO DIAZEPAM 2MG
11/26/2021 NADIA METIL 4MG

AMBROXOL
11/27/2021 SDR NUR HADI N-asetil sistein tab (PT.GUARDIAN
11/28/2021 MAS ALVIAN RANAP L-BIO

DOMPERIDON SYR
DIMENHIDRINAT
VIT B6
11/29/2021 DYAH UMI STIMUNO SYR
PARACETAMOL TAB
DR LADY Cefspan syr

Masker Nebul Anak (ABN)
11/30/2021 DANA LAGESIL TAB
DR HANS AZITHROMISIN TAB

PENDAPATAN
HARGA SATUAN QTY JUMLAH TOTAL BAYAR
HARIAN
19621 2 39242 69418

15088 2 30176
77 10 770 2660
189 10 1890
121000 1 121000
54450 1 54450 176999.9

11880 10 118800
535.7 7 3749.9
188.1 10 1881 1881
4356 10 43560 201960

158400 1 158400
5581 1 5581 8671 BELUM DIBAYAR

1545 2 3090
76 10 760
536 10 5360
2722 10 27220 27220
2100 10 21000 22940

194 10 1940
907 10 9070 17540

847 10 8470
149 10 1490
6600 10 66000
86 10 860 1770
91 10 910
2100 10 21000 29834

194 10 1940
375 10 3750
786 4 3144
123 10 1230
2722 10 27220
2100 8 16800 28735 22080

194 10 1940
334 10 3340
1331 5 6655
600 60 36000 44310

277 30 8310
798.6 10 7986 9867

188.1 10 1881
9867
786.5 4 3146
12463 1 12463
3630 1 3630 11140

508 10 5080
49 10 490
194 10 1940
222 10 2220 11460

924 10 9240
324 10 3240 20402

858 9 7722
944 10 9440
847 20 16940 28740

209 20 4180
762 10 7620
1667 20 33340
4356 10 43560
6600 15 99000
59400 1 59400 113762.4

44845.2 1 44845.2
9517.2 1 9517.2
8500 4 34000
Rp 158,400.00 1 Rp 158,400.00
1971 15 29565
194 10 1940 5280

334 10 3340
4356 6 26136 78936

5280 10 52800
222 20 4440 7680

324 10 3240
798.6 10 7986
194 10 1940 4570
222 10 2220
263 10 2630
14776
15840 5 79200 121070

3340 10 33400
247 10 2470
6000
112.2 100 11220 42330

1037 30 31110
8892 1 8892 14743

5581 1 5581
270 1 270
112 20 2240
324 3 972 1542

190 3 570
1078 10 10780 12661
188.1 10 1881
8470 5 42350 50523

5500 1 5500
123.2 10 1232
144.1 10 1441
27280 1 27280
188 10 1880
121000 1 121000 143200

22200 1 22200
1452 5 7260
4160 18 74880
JAM
JAM TERIMA
PENYERAHAN
RESEP
OBAT
TANGGAL NO POLI NAMA PASIEN
10/1/2021 1 IGD TN SAMSUL
2 poli dalam NY KATI
3 copy resep ny Resta
4 IGD LINDA FEBRI
10/2/2021 1 POLI UMUM NY NGASINEM
2 POLI DALAM NY SEMI

9/3/2021 1 IGD 00.77.38
10/4/2021 1 POLI DALAM NY PUJIWATI
2 POLI DALAM NY MINARTI
3 copy resep desi kurniawati
4 POLY OBGYN APRILIA PRATIWI
5 POLY OBGYN MUTMAINAH
6 POLY OBGYN MUFRIDAH
7 POLI OBGYN NY MUKITA
8 POLI OBGYN NY IKA DEWI

9 POLI OBGYN NY ANISAUN S
10 POLI OBGYN NY KHOLIFAH JUMROH
11 POLI OBGYN SITI MASKUR
12 POLI OBGYN NY ANANDITA
13 POLI OBGYN NINA YULIANA
14 POLI OBGYN YASMIN S
15 POLI OBGYN NY DINA ASTARI
16 POLI OBGYN NY SEKAR N
17 POLI OBGYN FIRA ERVANI
18 POLI OBGYN SITI KALIMATUS

19 POLI OBGYN NY RIANA INAYATI
20 POLI OBGYN NY LAELATUL BADRIYAH
21 POLI OBGYN NY SITI NUR KHAMIDAH
10/5/2021 1 IGD PAGI TN AHMAD ARIFIN
2 POLI DALAM NY SAINI
3 POLI DALAM TN HARSONO
4 IGD SIANG SURYADI
10/6/2021 1 poli umum AN ACHMAD ABYAN
2 POLI UMUM NN KALIMATUS

3 POLI UMUM SRI LESTARI
4 IGD SIANG SUPARMIN
5 POLI OBGYN NY MIA ERLINA
6 POLI OBGYN JESY KRISTIANTI
7 POLI OBGYN FERA SELFIA
8 POLI OBGYN NY YULI SRI
9 POLI OBGYN NY FITTA
10 POLI OBGYN NY SULATI

11 POLI OBGYN NY ZULSA
12 POLI OBGYN NY UMI DWI
13 POLI OBGYN NY DIAN LESTARI
14 IGD MALAM NY NGADIYEM
15 POLI OBGYN NY OVIYANA DWI
16 POLI OBGYN NY LINDA IKA W
17 POLI OBGYN NY YULIASTI SELA RISKA
18 POLI OBGYN NY ENDANG
19 POLI OBGYN NY SUMIYATI

20 POLI OBGYN NY LILIS NURHAYATI
21 POLI OBGYN NY MUJIDAH
10/7/2021 1 POLI DALAM DJUMINI
2 POLI DALAM Ahmad abdul
3 poli umum sukarmi
4 POLI DALAM sartini
5 poli dalam ny tri setyorini

6 poli dalam ny djumi
7 IGD SIANG TN DARJI
08/010/2021 1 poli dalam rahma wulan
10/9/2021 1 POLI UMUM NY NGASINEM
2 IGD SIANG AN HIRYA ZAIBATUS
10/10/2021 1 IGD ARI ISNA
2 IGD SRI SULASIH
3 POLY OBGYN SINTA BELLA

4 POLY OBGYN BELLA PUTRI
5 POLY OBGYN WIWIK
6 POLI OBGYN NY YENI
7 POLY OBGYN NY RINA K
8 POLI OBGYN NY DWI UTAMI
9 POLI OBGYN NY UMI KULSUM
10 POLI OBGYN KASTA AYU
10/11/2021 1 poli umum tn. Ngatimin
2 poli dalam tn suparno

3 POLI DALAM NN LINDA FEBRI
4 POLI DALAM SOEWARTONO
5 POLI DALAM SUGI HARTINI
6 IGD PAGI NN SINTA BELA
7 POLI UMUM GIYATI
8 IGD MUHAMMAD YAENURI
9 POLY OBGYN NY MARGI
10 POLY OBGYN NY RESTA ACHA

11 POLY OBGYN NY SITI JAMILAH
12 POLY OBGYN NY PUTRI RAHAYUNINGSIH
13 POLY OBGYN GALIH PURBOWATI
14 POLY OBGYN NY TINARSI
15 POLY OBGYN NY SUHARTATIK
16 POLY OBGYN NY DEVIANA
17 POLY OBGYN NY SUHARTATI

007830
10/12/2021 1 POLI DALAM NY. SARTINI
2 POLI UMUM SHERLI ANDININGTYAS

3 IGD SETA RIA SOFIKA
4 POLI OBGYN NY IKA DEWI PURDASARI
5 POLI OBGYN NY SANIA PERMATA SARI
6 POLI OBGYN NY LARASIAN
7 POLI OBGYN NY YUNITA WULANSARI
8 POLI OBGYN NY DEWIE SONYA
9 POLI OBGYN NY TUTIK ANDAYANI
9/13/2021 1 POLI DALAM NY OKTAMA LILIANTI

2 POLI DALAM SITI SHOLIKAH
3 POLI UMUM AN DANIYAL
4 IGD SIANG TN SARBI
5 POLI OBGYN NY SITI ROFIAH
6 POLI OBGYN NY ZULSA M
7 POLI OBGYN NY LILIS ERNAWATI
8 POLI OBGYN NY AMBARWATI
9 POLI OBGYN NY SITI ALINI

10 POLI OBGYN NY DEWI LULIK
10/14/2021 1 IGD PAGI TN DJAMIN
2 POLI DALAM TN SUMARNO
3 POLI GIGI BELLA DEA
4 POLI DALAM TN MAD SOLEH
5 POLI DALAM ZAINAL ARIFIN
6 COPY RESEP MUFRIDAH

7 IGD AN M ALANDRA
8 Obgyn Ny. Meisaroh
9 POLI OBGYN Ny. Dwi Ernasari
10 POLI OBGYN NY TRI SUSILOWATI
12 POLI OBGYN NY ANA SETYANI
13 POLI OBGYN NY LAILI NURHASANAH
10/15/2021 1 POLI OBGYN NY TUTIK

RESEP TGL 11/10
2 POLI UMUM ALANDRA
CUCU BU FITRI
3 IGD SIANG DEDI PRASETYO
10/16/2021 1 IGD Ny Sri Wartiningsih
3 POLI GIGI VIOLA
4 LILIS ERNAWATI
5 IGD PAGI TN SUPARMIN

RUJUK
6 RESEP LUAR NY RUSWATI

7 IGD SUPARMIN
10/18/2021 1 IGD DIDIK IMAM R
2 POLI UMUM NY NGASINEM
3 POLI DALAM NY PARIYEM
4 POLI GIGI OKTAVIA LILIANTI
5 POLI DALAM NY WASIAH
6 POLI DALAM NY MUNARI
7 POLI DALAM TN MARYONO

8 IGD PAGI PAISAL S
9 IGD PAGI NY RIKA LESTARI
12 POLI OBGYN NY YULI SRI RAHAYU
13 POLI OBGYN NY WIWIK RADAR
14 POLI OBGYN NY ZULFA FAUZIAH
15 POLI OBGYN NY SITI EWITA

16 POLI OBGYN NY SENDANG MULYANI
17 POLI OBGYN NY GILANG DWI
18 POLI OBGYN NY MIRA YUNITA
19 POLI OBGYN NY SUSANA
10/19/2021 1 POLI DALAM TN OKSAN BAYU
2 POLI DALAM TN SUPARMO
3 POLI UMUM NY DARTI
4 POLI UMUM TN BEJO

TUMPUK 2/6 TAMBAKSELO
WIROSARI
00.77.98
74 TH
10/20/2021 1 IGD PAGI IKA TRISNA

2 IGD SIANG SUPARDI
3 POLI OBGYN FITRI M
4 POLY OBGYN ARNETA
5 POLY OBGYN BETARI
6 POLY OBGYN NY DWI
7 POLI OBGYN TESA
8 POLI OBGYN FIRA ERVANI
9 POLI OBGYN NY TIA ROHMATIN

10 POLI OBGYN NY ERIANA
11 POLI OBGYN NY SITI NURKAMAH
12 POLI OBGYN NY KURNIA
13 POLI OBGYN NY NAWANG D
14 POLI OBGYN NY SITI KHOEROTUN
15 POLI OBGYN NY SUMIYATI
7/21/2021 1 POLI DALAM nur qosim
2 POLI DALAM NINIK SUSILO
3 POLI DALAM MAT SHOLEH
4 POLI DALAM SUPARMO

5 POLI DALAM NY DJUMI
6 POLI OBGYN NY MUFRIDAH
7 POLI OBGYN NY. LISTARINI
8 POLI OBGYN NY IKA AMALIA
9 POLI OBGYN NY IKA TRISNA
10 POLI OBGYN NY DEWI H
11 POLI OBGYN NUR SAADAH
12 POLI OBGYN NGATINI
13 POLI OBGYN KHUSNUL

14 POLI OBGYN DEFI M
10/22/2021 1 IGD DWI S
2 POLI DALAM AHMAD SHOBIRIN
3 POLI DALAM NY WASIAH
4 POLI DALAM WARNI
5 IGD AN VANIA
6 POLI DALAM TN SUGIMAN
7 IGD AN HISYAM
10/23/2021 1 IGD TN HERI
2 POLI UMUM SDR ZIDANEL ALFASA
3 IGD NY SURATMINAH
4 IGD DEKA WAHYU
5 IGD AN FELICIA
10/24/2021 1 IGD NY NINIEK SRI SUNARTI

2 IGD NY SUPARTI
10/25/2021 1 POLI DALAM SUMARMI
3 POLI DALAM SUBADI
4 POLI DALAM NY MUNARI
5 POLI DALAM PARIYEM

6 POLI DALAM RAHENI
7 poli obgyn ny suhartatik
8 POLI OBGYN NY SITI SARIFAH
9 POLI OBGYN NY ANIS NOVITA SARI
10 POLI OBGYN NY SUMIATI
11 POLI OBGYN TN ENDRO
12 POLI OBGYN NY NOVITASARI
13 POLI OBGYN NY HUNIA WULANDARI
14 POLI OBGYN NY TRISNAWATI

15 POLI OBGYN NY FERA SELVIA
16 POLI OBGYN NY DWIYANA
17 POLI OBGYN NY SUSIWATI
18 POLI OBGYN NY NUR HASANATI
19 POLI OBGYN NY DESTARI AYU
20 POLI OBGYN NY EKA YULIANA
21 POLI OBGYN NY DHIYAH S
10/26/2021 1 poli dalam ny rani
2 POLI DALAM tn suparmo

3 IGD PAGI MARTA EKO
4 IGD SIANG A. BAGAS AJI
5 IGD PAGI AN. WAHYU SYIFA
7 POLI OBGYN SITI NUR KAMIDAH
8 POLI OBGYN NOVITA TRIAS A
9 POLI OBGYN NY YANTI
10 POLI OBGYN DHAIMATUS SHOIMAH
11 POLI OBGYN TUTIK AINIL

12 POLI OBGYN NIKEN A
10/27/2021 1 POLI UMUM TN SUPARDI
2 POLI OBGYN NY MIRA
3 POLI OBGYN TN TEGUH
4 POLI OBGYN NY TESSA
5 POLI OBGYN NY JERRIKO
6 POLI OBGYN NY FITRI M
7 POLI OBGYN NY TRIMAH
8 POLI OBGYN NY EKA D
9 POLI OBGYN NY MILAYANTI

10 POLI OBGYN NY RISSA
11 POLI OBGYN NY IKA DEWI
12 POLI OBGYN NY KRISTINA
10/28/2021 1 POLI UMUM NY SUTARMI
2 POLI DALAM NY JIYARTI
3 POLI DALAM NY SRI NARTUTIK
4 IGD PAGI TN YADI
5 POLI GIGI TN JOHANES
6 RESEP TGL 13/10/2021 NY DEWI LILIK
7 IGD PAGI TN DWI FILUNA

8 POLI OBGYN NY NURUL
9 POLI OBGYN NY DWI WAHYU
10 POLI OBGYN NY FITTA F
11 POLI OBGYN NY RENITA
12 POLI OBGYN NY DEWI SINTA
13 POLI OBGYN NY HESTI
14 POLI OBGYN NY TRI SUSANTI
10/29/2021 1 IGD TN MARDI
2 dalam ny sukarsih
3 dalam ny sulastri
10/30/2021 1 IGD NY. NINING S
2 POLI DALAM NY. SUKINEM
3 POLI DALAM TN. BADJANG T
3 POLI DALAM TN. AMNA AMIRUDIN
4 POLI DALAM NY. SUCI PURWANI
5 POLI UMUM NY SITI NURUL

6 IGD SIANG NY ISNA S
10/31/2021 1 IGD PAGI AN. DEVANO
2 IGD SIANG TN. WAKIMIN
NY. MASEMI
3 IGD SIANG SLAMET P
4 IGD SIANG AN MAISA
5 POLI OBGYN NY RELINDA
6 POLI OBGYN NY SITI S

7 POLI OBGYN NY GALIH P
8 POLI OBGYN NY AJENG P
9 POLI OBGYN NY NIA W
10 POLI OBGYN NY RIA Y
11 POLI OBGYN NY YULIASTI
12 POLI OBGYN NY IBTAHIYATUL
13 POLI OBGYN NY NANING ISTIANAH
14 POLI OBGYN NY ANIS
15 POLI OBGYN NY EMI
16 POLI OBGYN TN NIAM

17 POLI OBGYN NY SRI PUJIATIK
HARGA
NAMA OBAT QTY JUMLAH TOTAL BAYAR
SATUAN
KETOROLAC TAB 2303 6 13,818 33,372.00

PARASETAMOL TAB 222 6 1,332
CIPROFLOXACIN TAB 592 6 3,552
DEXAMETHASONE TAB 165 6 990
RANITIDIN TAB 325 6 1,950
KETOPROFEN INJ 5730 1 5,730
6,000
MINIASPI 137 20 2,740 84,660.00

CPG 75MG 2210 20 44,200
LISINOPRIL 10MG 337 20 6,740
BISOPROLOL 5MG 328 20 6,560
SPIRONOLACTON 25MG 476 30 14,280
ISDN 116 20 2,320
AMLODIPIN 10MG 91 20 1,820
6,000
SUSU FONT ACTIVE ONE 158400 2 316,800 322,800.00

6,000
CPG 2210 4 8,840 41,674.00

MINIASPI 137 2 274
ISDN 116 1 116
NACL 8892 1 8,892
OMEPRAZOL INJ 12834 1 12,834
AQUABIDEST 3718 1 3,718
7,000
CEFIXIME 3081 10 30,810 52,980.00

METILPREDNISOLON 4MG 576 10 5,760
MASNEURO 924 10 9,240
CETIRIZIN 117 10 1,170
6,000
CETIRIZIN 117 10 1,170 70,102.00

FUROSEMID TAB 238 15 3,570
ISDN 116 42 4,872
MINIASPI 137 15 2,055
LANSOPRAZOL 634 10 6,340
6,000
NACL 8892 3 26,676 33,101.00

RANITIDIN INJ 1545 1 1,545
ONDANSENTRON INJ 4880 1 4,880
Azithromocin 500 mg 4160 6 24,960 103,440.00

Cefixime tab 200 mg (Bernofarm) 3081 10 30,810
N-asetil sistein tab (PT.GUARDIAN) 1274 21 26,754
Salbutamol tbl 2 mg(KF) 88 21 1,848
SANADRYL SYR 60ML 13068 1 13,068
6,000
Metil Prednisolon 4mg 567 30 17,010 43,903.00

SANADRYL SYR 60ML 13068 1 13,068
Ambroxol 30mg tab 225 25 5,625
6,000
cefila 200 mg 39600 6 237,600 243,600.00

6,000
KURKUMEX 1032 30 30,960 62,700.00

FERROMEX 858 30 25,740
6,000
KURKUMEX 1032 15 15,480 86,820.00

PROMAVIT 4356 15 65,340
6,000
DOPAMET 2222 10 22,220 347,588.00

PARACETAMOL TAB 222 5 1,110
NIFEDIPIN 243 6 1,458
AXION 5280 30 158,400
FONT ACTIVE 158400 1 158,400
6,000
KURKUMEX 1032 30 30,960 186,720.00

PROMAVIT 4356 20 87,120
L-VIT D3 1000 3432 20 68,640
DEKSAMETHASONE TAB 165 10 1,650 7,650.00
6,000
FONT ACTIVE 158400 1 158,400 320,040.00

KURKUMEX 1032 30 30,960
PROMAVIT 4356 30 130,680
MICROGEST 200 29040 8 232,320 238,320.00
6,000
L-VIT D3 1000 3432 10 34,320 40,320.00

6,000
L-VIT D3 1000 3432 30 102,960 108,960.00

6,000
KONI E 400 5280 30 158,400

KALNEX 400 4422 10 44,220 50,220.00
6,000
FONT ACTIVE 158400 2 316,800 484,440.00

KURKUMEX 1032 30 30,960
PROMAVIT 4356 30 130,680
6,000
FERROMEX 858 30 25,740 83,220.00

L-VIT D3 1000 3432 15 51,480
6,000
FONT ACTIVE 158400 1 158,400 221,100.00

FERROMEX 858 30 25,740
KURKUMEX 1032 30 30,960
6,000
CAL-95 6864 10 68,640 108,960.00

L-VIT D3 1000 3432 10 34,320
6,000
PROMAVIT 4356 15 65,340 174,300.00

CAL-95 6864 15 102,960
6,000
PROMAVIT 4356 15 65,340 122,820.00

L-VIT D3 1000 3432 15 51,480
6,000
KURKUMEX 1032 30 30,960 96,300.00

PROMAVIT 4356 15 65,340
MICROGEST 200 29040 7 203,280 209,280.00
6,000
FERROMEX 858 30 25,740 62,700.00
KURKUMEX 1032 30 30,960
6,000
PROMAVIT 4356 30 130,680 603,960.00

CAL-95 6864 30 205,920
L-VIT D3 1000 3432 30 102,960
AXION 5280 30 158,400
6,000
L-VIT D3 1000 3432 15 51,480 70,350.00

FERROMEX 858 15 12,870
6,000
Asam mefenamat tbl 500 mg (Mersi) 443 10 4,430 16,440.00

Amoxillin tab 500mg 601 10 6,010
6,000
Miniaspi 137 8 1,096 24,616.00

Lansoprazole kapsul 30 mg (BERNO) 634 10 6,340
Amlodipin 10mg (Sampharindo) 91 10 910
Lisinopril 10mg 337 10 3,370
Bisoprolol tab 5 mg (Novel) 328 5 1,640
MELOXICAM 7,5 MG 263 20 5,260
6,000
Sodium Bicarbonate 94 20 1,880 62,638.00

Hidroklorotiazid tbl 25 mg(KF) 194 7 1,358
Scopma 1506 15 22,590
6,000
ASAM MEFENAMAT 443 10 4,430 21,520.00

DEXA TAB 165 10 1,650
CEFADROXIL 944 10 9,440
6,000
CEFADOXIL 944 2 1,888 17,708.00

DEXA TAB 165 2 330
ETAFLUSIN SYR 8040 1 8,040
KERTAS PUYER 145 10 1,450
6,000
CEFIXIME 200 TAB 3081 10 30,810 53,940.00

METIL PRED TAB 567 10 5,670
MASNEURO 924 10 9,240
6,000
GENOCLOM 17556 10 175,560 181,560.00

6,000
KETOPROFEN INJ 5730 1 5,730 29,042.00

KAPTOPRIL 12,5MG 86 2 172
KETOPROFEN TAB 1197 10 11,970
VIT BCOM 156 10 1,560
METFORMIN 133 10 1,330
ALLOPURINOL 137 10 1,370
AMLODIPIN 91 10 910
6,000
GENOCLOM 17556 8 140,448 378,768.00

MICROGEST 200MG 29040 8 232,320
6,000
PROMAVIT 4356 15 65,340 122,820.00

L-VIT D3 1000 3432 15 51,480
6,000
AXION 5280 30 158,400 520,800.00

MEDITIN 6600 30 198,000
FONTACTIV 158400 1 158,400
6,000
AXION 5280 30 158,400 520,800.00

MEDITIN 6600 30 198,000
FONTACTIV 158400 1 158,400
6,000
OPTIMUNO 10560 30 316,800 631,200.00

CEFILA 100MG 25740 10 257,400
KURKUMEX 1032 20 20,640
FERREMEX 858 20 17,160
DERMAFIX 10X25 13200 1 13,200
6,000
CEFILA 100 25740 10 257,400 992,400.00

PSARIUM 7,5 729000 1 729,000
6,000
CEFILA 100 25740 10 257,400 663,360.00

MEDITIN 6600 10 66,000
OPTIMUNO 10560 30 316,800
FERROMEX 858 20 17,160
6,000
DERMAFIX 10X25 13200 1 13,200
CEFILA 100 25740 10 257,400 378,900.00

MEGAZING 3630 10 36,300
MEDITHIN 6600 10 66,000
DERMAFIX 10X25 13200 1 13,200
6,000
FERROMEX 858 15 12,870 187,590.00

KURKUMEX 1032 10 10,320
OPTIMUNO 10560 15 158,400
6,000
Amlodipin 10mg (Sampharindo) 91 3 273 29,976.00

Parasetamol 500 mg(Mersi) 222 9 1,998
CTM PIM 59 9 531
Lapibal tab 2970 5 14,850
OMEPRAZOL 632.4 10 6,324
6,000
KURKUMEX 1032 20 20,640 91,980.00

PROMAVIT 4356 15 65,340
6,000
Microgest 100 mg 15048 10 150,480 235,680.00

FOREMES 2640 30 79,200
6,000
L-VIT D3 1000 3432 15 51,480 122,820.00

PROMAVIT 4356 15 65,340
6,000
FERROMEX 858 30 25,740 134,700.00

CAL-95 6864 15 102,960
6,000

FERROMEX 858 30 25,740
6,000
L-VIT D3 1000 3432 15 51,480 126,648.00

PROMAVIT 4356 8 34,848
CAL-95 6864 5 34,320
6,000

Ciprofloxacin 500 Berno 592 10 5,920
AXION 5280 10 52,800
6,000
bisoprolol 5mg 328 10 3,280 21,105.00

lisinopril 10mg 337 10 3,370
amlodipin 10mg 91 10 910
furosemid 40mg 283 5 1,415
spironolacton 25mg 476 10 4,760
miniaspi 137 10 1,370
6,000
ANALSIK 2013 20 40,260 71,160.00

Amlodipin 10mg (Sampharindo) 91 15 1,365
Metil Prednisolon 4mg 567 15 8,505
6,000
Cefixime tab 200 mg (Bernofarm) 3081 10 30,810 170,520.00

Masneuro 924 10 9,240
6,000
ANALTRAM 11880 10 118,800
Klindamisin kps 150 mg (Novell) 930 12 11,160 72,042.00

6,000
MEGAZING 3630 10 36,300
gabapentin 300mg 3500 1 3,500 86,808.00

masneuro 924 10 9,240
pioglitazon 30mg 4648 10 46,480
glimepirid 2mg 270 10 2,700
amlodipin 91 10 910
lisinopril 337 10 3,370
miniaspi 137 10 1,370
gabapentin 100mg 1799 2 3,598
Nistatin Vaginal tbl 728 5 3,640
12,000

miniaspi 137 15 2,055
Kalium Diklofenak Tab 50 Mg (Guardian) 712 15 10,680
Jarum Insulin 6600 4 26,400
6,000
MERSIBION 5581 1 5,581 42,539.00

RL 9919 1 9,919
OMEPRAZOLE INJ 9653 2 19,306
FUROSEMID INJ 1733 1 1,733
6,000
omeprazole tab 632 10 6,320 23,780.00

masneuro 924 10 9,240
parasetamol tab 222 10 2,220
6,000
CEFIXIM 200 3081 10 30,810 52,890.00

METHYLPREDNOSOLON 567 10 5,670
MASNEURO 924 10 9,240
CETIRIZIN 117 10 1,170
6000
Ranitidine tbl 150 mg(Mersi) 325 3 975 Rp 14,262

Parasetamol 500 mg(Mersi) 222 5 1110
CTM PIM 59 3 177
12,000
LIDOCAIN INJ 1588 1 1,588 7,588.00

6,000
OTSU D40% 12612 3 37,836 53,755.00

RL 9919 1 9,919
6,000
PROMAVIT 4356 15 65,340 572,940.00

MEDHITIN 6600 10 66,000
MICROGEST 200 MG 29040 15 435,600
6,000
LAVIT D3 1000 MG 3432 10 34,320 48,900.00

FERROMEX 858 10 8,580
6,000
AXION 5280 30 158,400 679,200.00

MEDHITIN 6600 30 198,000
FONT ACTIVE 158400 2 316,800
6,000
AXION 5280 30 158,400 614,850.00

MEDHITIN 6600 30 198,000
MEGAZINC 3630 15 54,450
KONIDERM SK 99000 2 198,000
6,000
AXION 5280 30 158,400 679,200.00

MEDHITIN 6600 30 198,000
FONT ACTIVE 158400 2 316,800
6,000
AXION 5280 30 158,400 210,780.00

FERROMEX 858 30 25,740
KURKUMEX 1032 20 20,640
6,000
CAL-95 6864 10 68,640 108,960.00

L-VIT D3 1000 3432 10 34,320
6,000
PROMAVIT 4356 30 130,680 445,560.00

CAL-95 6864 30 205,920
L-VIT D3 1000 3432 30 102,960
6,000
Masneuro 924 10 9,240 31,320.00

Kalium Diklofenak Tab 50 Mg (Guardian) 712 10 7,120
6,000
MELOXICAM 7,5 MG 263 10 2,630 8,960.00
OMEPRAZOL 633 10 6,330
Kalium Diklofenak Tab 50 Mg (Guardian) 712 20 14,240 31,580.00

6,000
FARSIRETIC (FUROSEMID) 129 10 1,290 12,464.00

Miniaspi 137 10 1,370
6,000
Lansoprazole kapsul 30 mg (BERNO) 634 10 6,340 41,790.00

Vitamin B complek tablet(DEF) 156 10 1,560
DOMPERIDONE (TRIMAN) 1226 20 24,520
6,000
Lisinopril 10mg 337 1 337 34,317.00

Masneuro 924 10 9,240
12,000
Ringer Laktat(Widatra) 9919 3 29,757 83,181.40

As. Traneksamat inj 500mg 5720 4 22,880
ONDANSETRON INJ 4880 1 4,880
PARACETAMOL INFUS 19664.4 1 19,664
6,000
SUCRALFAT SYR 24842 1 24,842 59,222.00

OMEPRAZOLE 633 10 6,330
CAVICUR 836 10 8,360
DOMPERIDON TAB 1226 10 12,260 39,532.00
BETAHISTIN 143 10 1,430
6,000
KALIUM DIKLOFENAK 712 10 7,120 21,060.00

METHYL 4 MG 567 10 5,670
DIAZEPAM TAB 5MG 149 10 1,490
VITAMIN B PLEX 156 5 780
6,000
L-VIT D3 1000 3432 15 51,480 101,040.00

PROMAVIT 4356 10 43,560
6,000
AXION 5280 10 52,800 295,080.00

FONT ACTIVE 158400 1 158,400
L-VIT D3 1000 3432 10 34,320
PROMAVIT 4356 10 43,560
6,000
L-VIT D3 1000 3432 30 102,960 211,920.00

CAL-95 6864 15 102,960
6,000
FONT ACTIVE 158400 1 158,400 185,040.00

KURKUMEX 1032 20 20,640
6,000
AXION 5280 30 158,400 164,400.00

6,000
KURKUMEX 1032 30 30,960 270,600.00

L-VIT D3 1000 3432 30 102,960
PROMAVIT 4356 30 130,680
6,000
FOREMES 2640 30 79,200 235,680.00

Microgest 100 mg 15048 10 150,480
6,000
PROMAVIT 4356 30 130,680 445,560.00

L-VIT D3 1000 3432 30 102,960
CAL-95 6864 30 205,920
6,000
PROMAVIT 4356 20 87,120 272,160.00

FONT ACTIVE 158400 1 158,400
KURKUMEX 1032 20 20,640
6,000

Scopma 1506 15 22,590
6,000
SUCRALFAT SYR 24842 1 24,842

Deksametason tbl 0.5 mg (Novapharin) 165 3 495
Etaflusin sirup 8040 1 8,040
Apialys Syr 43560 1 43,560
12,000
KETOROLAC INJ 1416 1 1,416 99,997.00
ONDAN INJ 4880 1 4,880
OMEPRAZOLE CAPS 633 10 6,330
SUCRALFATE SYR 24842 1 24,842
ANALSIK 2013 10 20,130
ONDAN TAB 1917 10 19,170
AQUA INJ 3718 1 3,718
6,000
Microgest 100 mg 15048 15 225,720 410,760.00

SUSU FONT ACTIVE ONE 158400 1 158,400
KURKUMEX 1032 20 20,640
6,000
Miniaspi 137 15 2,055 171,735.00

L-VIT D3 1000 3432 15 51,480
PROMAVIT 4356 10 43,560
CAL-95 6864 10 68,640
6,000

6,000
Microgest 100 mg 15048 7 105,336 493,476.00

PROMAVIT 4356 15 65,340
NAUSIMEX 15840 20 316,800
6,000
Nifedipine tab (Dexa) 243 10 2,430 128,580.00

L-VIT D3 1000 3432 15 51,480
PROMAVIT 4356 15 65,340
6,000
L-VIT D3 1000 3432 20 68,640 299,040.00

CAL-95 6864 20 137,280
PROMAVIT 4356 20 87,120
6,000
GRAFAZOL 456 10 4,560 33,730.00

AMOXICICILLIN 601 10 6,010
LAPISTAN 1716 10 17,160
6,000
LANSOPRAZOL 634 15 9,510 64,872.00
DOMPERIDON 1226 20 24,520
6,000
DOMPERIDON TAB 1226 3 3,678 113,435.00

AMOX TAB 601 3 1,803
AMBROXOL TAB 225 3 675
DEKSA TAB 165 3 495
SALBUTAMOL 2 MG 88 2 176
CTM TAB 91 2 182
PARACETAMOL SYR 1536 1 1,536
SUNGKUP NEBUL ANAK 22200 1 22,200
FARTOLIN 22440 1 22,440
APIALYS DROP 52800 1 52,800
6,000

Histigo 827 10 8,270
Amoksisilin tab 500mg 601 10 6,010
6,000
FERROMEX 858 10 8,580 24,900.00

KURKUMEX 1032 10 10,320
6,000
KONIDERM SK 99000 2 198,000 204,000.00

6,000
KURKUMEX 1032 15 15,480 47,220.00

FERROMEX 858 30 25,740
6,000
FOLAVIT 1000 2641 30 79,230 1,205,910.00

KONI E 400 5280 60 316,800
L-VIT D3 5000 4356 30 130,680
OPTIMUNO 10560 30 316,800
AXION 5280 30 158,400
MEDITHIN 6600 30 198,000
6,000
MEGAZING 3630 15 54,450 154,140.00

L-VIT D3 5000 4356 15 65,340
FERROMEX 858 15 12,870
KURKUMEX 1032 15 15,480
6,000
FERROMEX 858 30 25,740 134,700.00

L-VIT D3 1000 3432 30 102,960
6,000
GRAFAZOLE 456 15 6,840 407,282.00

OPTIMUNO 10560 20 211,200
AXION 5280 30 158,400
6,000

Cetrizine Tab 254 5 1,270
Fartolin inhalasi 22440 1 22,440
CAVICUR TAB 787 10 7,870
MEGAZING 3630 5 18,150
6,000
METFORMIN 293 30 8,790 35,460.00

GLIMEPIRID 2MG 270 30 8,100
6,000
PRASETAMOL TAB 222 10 2,220 8,220.00

6,000
PIOGLITAZON 30MG 4648 8 37,184 70,200.00

MINIASPI 137 8 1,096
LAPIBAL TAB 2970 8 23,760
6,000
RANITIDINE TAB 325 10 3,250 42,674.00

DOMPERIDON TAB 119 10 1,190
MASNEURO 924 8 7,392
6,000
AXION 5280 30 158,400 164,400.00

6,000
PARASETAMOL TAB 222 2 444 56,336.00

AMOXICILLIN 329 2 658
LECOZINC 682 2 1,364
VIT B COMPLEX 156 2 312
RANITIDIN TAB 325 2 650
ANTASIDA DOEN 76 2 152
CTM 91 2 182
STIMUNO SYR 29760 1 29,760
L BIO 9240 1 9,240
12,000
CURVIT TAB 787 2 1,574
AB-VASK 10MG 12540 10 125,400 334,680.00

Microgest 100 mg 15048 10 150,480
6,000 275,880.00
FOREMES 2640 20 52,800
PROMAVIT 4356 30 130,680 342,600.00

CAL-95 6864 15 102,960
L-VIT D3 1000 3432 30 102,960
6,000
FERROMEX 858 30 25,740 31,740.00

6,000
NEOCENTA GEL 18600 1 18,600 341,400.00

FONTACTIVE 158400 2 316,800
6,000
KONIDERM SALEP 99000 2 198,000 600,030.00

KONI E 400 5280 30 158,400
FOLAVIT 1000 2641 30 79,230
FONTACTIVE ONE 158400 1 158,400
6,000
KURKUMEX 1032 30 30,960 379,500.00

FERROMEX 858 30 25,740
OPTIMUNO 10560 30 316,800
6,000
PROMAVIT 4356 15 65,340 228,000.00

CAL-95 6864 15 102,960
L-VIT D3 1000 3432 15 51,480
PARASETAMOL TAB 222 10 2,220 219,780.00
6,000
CEFADROXIL 799 3 2,397 34,779.00

CTM 49 3 147
RANITIDIN 275 3 825
LBIO 8470 3 25,410
6,000
ASAM MEFENAMAT 443 10 4,430 16,440.00

AMOXICILLIN TAB Rp 601 10 6,010
6,000
Ketorolac inj. 30mg/ml(Ethica) 1416 1 1,416 68,743.00

Ranitidin inj. 25mg/ml (SOHO) 1545 1 1,545
Ketoprofen tab 1197 10 11,970
Atapulgit tablet 600mg Tropica (New Anti 437 10 4,370
6,000
LISINOPRIL 10 337 30 10,110 69,865.00

BISOPROLOL 5 MG 328 30 9,840
SPIRONOLACTON 100 2317 15 34,755
AMLODIPIN 10 MG 91 30 2,730
MINIASPI 137 30 4,110
ISDN 116 20 2,320
6,000
PARASETAMOL SYR 1536 1 1,536 7,536.00

6,000
FRONT ACTIVE 158400 1 158,400 164,400.00

6,000
RL 9919 1 9,919 56,364.00

DOBUTAMIN INJ 15396 2 30,792
6,000
CODEIN 10 MG 897 20 17,940 23,940.00

6,000
D40% 12612 2 25,224 51,062.00
RL 9919 2 19,838
6,000
RL 9919 2 19,838 51,239.00

RANITIDIN INJ 1545 1 1,545
KETORALAC INJ 1416 1 1,416
FARTOLIN INH 22440 1 22,440
6,000

Masneuro 924 10 9,240
6,000

Bisoprolol tab 5 mg (Novel) 328 3 984
Masneuro 924 10 9,240
6,000
Amoksisilin tab 500mg 601 10 6,010 16,440.00

Asam mefenamat tbl 500 mg (Mersi) 443 10 4,430
6,000

Miniaspi 137 15 2,055
Spirolacton 25mg 476 7 3,332
6,000
Digoxin tablet 203 8 1,624 41,040.00

Miniaspi 137 8 1,096
Folavit 400 mcg 1182 8 9,456
Farsix tablet 1320 8 10,560
6,000
Metil Prednisolon 4mg 567 20 11,340 48,420.00

6,000
Parasetamol 500 mg(Mersi) 222 10 2,220 27,282.00

ANTASIDA DOEN SUSPENSI 4160 1 4,160
NaCl 0,9%(Widatra) 8892 1 8,892
6,000
Kalium Diklofenak Tab 50 Mg (Guardian) 712 10 7,120 52,850.00

Ranitidine tbl 150 mg(Mersi) 325 10 3,250
6,000
Lameson injeksi 125400 2 250,800 438,228.00

Trolit 14292 10 142,920
KA-EN 3B Infus 12836 3 38,508
6,000
LAPIXIME INJ 198000 3 594,000 600,000.00

6,000
KONIDERM 99000 1 99,000 135,960.00

KURKUMEX 1032 30 30,960
6,000
DERMAFIX 25 X 10 19800 1 19,800 446,880.00

CEFILA 100 Rp 25,740.00 10 257,400
MEGAZING Rp 3,630.00 10 36,300 421,080.00
FERROMEX 858 10 8,580 25,800.00
ANALTRAM Rp 11,880.00 10 118,800
6,000
KURKUMEX 1032 30 30,960 62,700.00

FERROMEX 858 30 25,740
6,000
L VIT D3 1000 3432 30 102,960 134,700.00

FERROMEX 858 30 25,740
6,000
L VIT D3 1000 3432 30 102,960 270,600.00
KURKUMEX 1032 30 30,960
PROMAVIT 4356 30 130,680
6,000
KURKUMEX 1032 30 30,960 62,700.00

FERROMEX 858 30 25,740
6,000
KURKUMEX 1032 30 30,960 167,640.00

PROMAVIT 4356 30 130,680
6,000
KURKUMEX 1032 30 30,960 62,700.00

FERROMEX 858 30 25,740
6,000
CETERIZIN 254 0 - 73,030.00

CODEIN 10MG 897 40 35,880
NAC 1274 20 25,480
METHYLPREDNISOLON 4MG 567 10 5,670
6,000
PIOGLITAZON 30 4647.5 8 37,180 53,828.00

6,000
MASNEURO 924 10 9,240 35,030.00

LAPISTAN 1716 10 17,160
6,000
MELOXICAM 7.5 263 10 2,630
CEFIXIM 4183 10 41,830 78,400.00

AMBROXOL 225 10 2,250
NAC 1274 10 12,740
MASNEURO 924 10 9,240
6,000
NEOCENTA GEL 18600 1 18,600 27,720.00

GENTAMISIN 3120 1 3,120
6,000
omeprazole tab 633 10 6,330 24,300.00
ketoprofen tab 1197 10 11,970
6,000
AXION 5280 30 158,400 265,590.00

METRO TAB 340 21 7,140
MEGAZING 3630 15 54,450
KURKUMEX 990 20 19,800
DERMAFIX 19800 1 19,800
6,000
MEGAZING 3630 5 18,150 291,450.00

AXION 5280 15 79,200
ALLOGON 990 10 9,900
FONT ACTIVE 158400 1 158,400
DERMAFIX 19800 1 19,800
6,000
ANALTRAM 11880 10 118,800 639,600.00

FONT ACTIVE 158400 2 316,800
MEDHITIN 6600 30 198,000
6,000
L VIT D3 1000 3432 30 102,960 269,340.00

PROMAVIT 4356 30 130,680
KURKUMEX 990 30 29,700
6,000
KURKUMEX 990 10 9,900 278,700.00

OPTIMUNO 10560 10 105,600
ANALTRAM 11880 10 118,800
NEOCENTA GEL 18600 1 18,600
DERMAFIX 10X25 19800 1 19,800
6,000
FERROMEX 858 30 25,740 61,440.00

KURKUMEX 990 30 29,700
6,000
L VIT D3 1000 3432 30 102,960 269,340.00

PROMAVIT 4356 30 130,680
KURKUMEX 990 30 29,700
6,000
FERROMEX 858 15 12,870 33,720.00
KURKUMEX 990 15 14,850
6,000
L VIT D3 1000 3432 30 102,960 132,870.00

KURKUMEX 990 20 19,800
MINIASPI 137 30 4,110
6,000
FERROMEX 858 30 25,740 219,840.00

KURKUMEX 990 30 29,700
6,000
PROMAVIT 4356 15 65,340 91,140.00

KURKUMEX 990 20 19,800
6,000
KURKUMEX 990 20 19,800 42,960.00

FERROMEX 858 20 17,160
6,000
AB VASK 10MG 12540 6 75,240 318,870.00

KONI E 400 5280 30 158,400
FOLAVIT 1000 2641 30 79,230
6,000
CPG 75MG 1228 30 36,840 66,900.00

MINIASPI 137 30 4,110
6,000
PROPANOLOL 40MG 239 90 21,510 82,950.00

PTU 462 60 27,720
MASNEURO 924 30 27,720
6,000
Pioglitazone tab 30 mg (Mahakam) 4647.5 10 46,475 61,200.00

Metformin HCl tablet 500 mg (Hexpharm) 133 25 3,325
Glimepiride bl 2 mg(Dexa) 270 20 5,400
6,000
DOMPERIDONE (TRIMAN) 1226 15 18,390 95,000.00

Lansoprazole kapsul 30 mg (Nulab) 1121 10 11,210
LACONS SYR 59400 1 59,400
6,000
SANSULIN 117360 1 117,360 158,040.00

MELOXICAM 263 30 7,890
AMLODIPIN 91 30 2,730
LISINOPRIL 337 30 10,110 125,250.00
MINIASPI 137 30 4,110
BISOPROLOL 328 30 9,840
6,000
KONIDERM SK 99000 2 198,000 204,000.00

6,000
KURKUMEX 990 15 14,850 45,692.00

6,000
KURKUMEX 990 15 14,850 29,430.00

FERROMEX 858 10 8,580
6,000
HANDSCOON STERIL 13200 2 26,400 66,735.00

NACL 0.9 % 500 CC 8892 1 8,892
KASA STERIL 8844 2 17,688
LEVOFLOXACIN 517 15 7,755
6,000
MICROGEST 100 15048 5 75,240 108,960.00

KURKUMEX 990 15 14,850
FERROMEX 858 15 12,870
6,000
PROMAVIT 4356 15 65,340 84,210.00

KURKUMEX 858 15 12,870
6,000
MINIASPI 137 15 2,055 30,825.00

FERROMEX 858 15 12,870
KURKUMEX 990 10 9,900
6,000
L VIT D3 1000 3432 15 51,480 122,820.00

PROMAVIT 4356 15 65,340
6,000
PCT 222 20 4,440 38,160.00
FEROOMEX 858 15 12,870
KURKUMEX 990 15 14,850
6,000
KETOROLAC TAB 2303 4 9,212 21,176.00

RANITIDINE 325 4 1,300
CEFADROXYL 944 4 3,776
PARACETAMOL 222 4 888
6,000
ANALSIK 2013 12 24,156 33,960.00

LANSOPRAZOLE 634 6 3,804
6,000
HISTIGO 827 15 12,405 37,525.00

MINIASPI 137 10 1,370
BISOPROLOL 5 328 10 3,280
LISINOPRIL 337 10 3,370
6,000
AMLODIPIN 10 MG 91 10 910 52,782.00

BISOPROLOL 5 328 10 3,280
6,000
SUCRALFAT 24842 1 24,842 32,882.00
KALIUM DIKLOFENAK 50 536 15 8,040
ALLOGON 990 10 9,900 25,160.00

AMOXICILLIN 601 10 6,010
RANITIDIN 325 10 3,250
6,000
SALBUTAMOL 2 MG 88 20 1,760 39,938.00

NAC 1274 15 19,110
SANADRYL EXP 13068 1 13,068
6,000
Cefspan syr 132000 1 132,000 249,702.00

AMBROXOL 225 3 675
DEXA 165 3 495
SALBU 2 MG 88 2 176
PARACETAMOL 222 3 666
CURMONUS SYR 85800 1 85,800
FARTOLIN 22440 1 22,440
6,000
KETOPRFEN INJ 5730 1 5,730 30,030.00

OMEPRAZOL 633 10 6,330
6,000

Lagesil 1452 10 14,520
6,000
FARMACROL SYR 66000 1 66,000 173,150.00

OMEPRAZOLE KAP 9653 10 96,530
6,000
CAVICUR 825 10 8,250 30,070.00

CIPROFLOXACIN TAB 592 10 5,920
PARASETAMOL 222 10 2,220
ASAM MEFENAMAT 443 10 4,430
6,000
Thrombopop Gel 59400 1 59,400 79,051.50

VITAMIN C 500 MG 687.5 3 2,063
Gentamisin SK (molex) 3120 1 3,120
12,000
Ciprofloxacin 500 Berno 592 10 5,920 22,420.00

CTM PIM 59 10 590
Kaptopril tbl 12.5 mg(KF) 86 10 860
Masneuro 924 5 4,620
6,000
SUCRALFAT SYR 24842 1 24,842 47,552.00
OMEPRAZOLE CAPS 633 10 6,330
PARACETAMOL 222 10 2,220
VIT B COMPLEX 156 10 1,560
FARSIX 1320 5 6,600
6,000
SUCRALFAT SYR 24842 1 24,842 44,542.00

AMLODIPIN 91 10 910
6,000
kalium diklofenak 536 20 10,720 28,710.00

miniaspi 137 10 1,370
amlodipin 91 10 910
lansoprazol 634 10 6,340
6,000

FARSIRETIC (FUROSEMID) 129 12 1,548
SPIRONOLAKTON 35MG 476 6 2,856
AMLODIPIN 91 5 455
6,000
ATORVASTATON 20MG 5406 15 81,090 353,415.00

NOVORAPID INJ 228000 1 228,000
ASAM FOLAT 400MG 1182 15 17,730
DIGOXIN 203 15 3,045
MINIASPI 137 15 2,055
FARSIRETIC (FUROSEMID) 129 15 1,935
AMLODIPIN 91 15 1,365
6,000
OMEPRAZOLE 633 6 3,798 294,215.00

SUCRALFAT 24842 1 24,842
ANALTRAM 11880 20 237,600
BRAXIDIN 1465 15 21,975
6,000
AMLODIPIN 91 4 364
ANALSIK 2013 10 20,130
6,000
Microgest 100 mg 15048 15 225,720 786,120.00

FOREMES 2640 30 79,200
NAUSIMEX 15840 20 316,800
6,000

PROMAVIT 4356 21 91,476
CAL-95 6864 21 144,144
6,000
PROMAVIT 4356 15 65,340 81,240.00

KURKUMEX 990 10 9,900
6,000
L-VIT D3 1000 3432 30 102,960 449,530.00

FOLAVIT 1000 2641 10 26,410
ESCORTE 4620 30 138,600
GENOCLOM 17556 10 175,560
6,000
ESCORDIA 6600 60 396,000 1,095,000.00

MEGAZING 3630 60 217,800
MEDITHIN 6600 30 198,000
KQ 100 9240 30 277,200
6,000
FERROMEX 858 15 12,870 33,720.00

KURKUMEX 990 15 14,850
6,000
FERROMEX 858 20 17,160 42,960.00

KURKUMEX 990 20 19,800
6,000
FOREMES 2640 30 79,200 105,000.00

KURKUMEX 990 20 19,800
6,000
KONIDERM SK 99000 1 99,000 105,000.00
6,000
FERROMEX 858 30 25,740 61,440.00

KURKUMEX 990 30 29,700
6,000
FERROMEX 858 20 17,160 38,010.00

KURKUMEX 990 15 14,850
6,000
FERROMEX 858 30 25,740 51,540.00

KURKUMEX 990 20 19,800
6,000

Gentamisin SK (molex) 3120 1 3,120
Neocenta Gel 18600 1 18,600
CO AMOXICLAV 625 4340 10 43,400
AXION 5280 30 158,400
6,000
Dopamet 2222 40 88,880 200,216.00

Microgest 100 mg 15048 7 105,336
6,000
FERROMEX 858 30 25,740 51,540.00

KURKUMEX 990 20 19,800
6,000
BRAXIDIN 1465 20 29,300 75,488.00

6,000
Pioglitazone tab 30 mg (Mahakam) 4647.5 10 46,475 77,105.00

Metformin HCl tablet 500 mg (Hexpharm) 133 30 3,990
Glimepiride tab 2mg 270 20 5,400
Miniaspi 137 10 1,370
Masneuro 924 10 9,240
Meloxicam 15mg (Medikon) 926 5 4,630
6,000
SUCRALFAT SYR 24842 1 24,842 33,772.00

ANTASIDA SYR 71 10 710
6,000
AMOXICILLIN 601 10 6,010 25,068.00

CTM 59 10 590
VIT BCOMP 156 5 780
LIDOCAIN INJ 1588 1 1,588
6,000
STESOLID SUPP 15088 1 15,088 66,734.00

DUMIN SUPP 19621 1 19,621
PARASETAMOL INF 16106 1 16,106
RL 9919 1 9,919
6,000
DERMAFIX 10X25 19800 1 19,800 248,850.00

NEOCENTA GEL 18600 1 18,600
CO AMOXICLAV 4340 30 130,200
MEGAZING 3630 15 54,450
KURKUMEX 990 20 19,800
6,000
FEROMEX 858 15 12,870 33,720.00

KURKUMEX 990 15 14,850
6,000
KURKUMEX 990 15 14,850 218,850.00

NAUSIMEX 15840 10 158,400
FOREMES 2640 15 39,600
6,000
L-VIT D3 1000 3432 15 51,480 72,330.00

KURKUMEX 990 15 14,850
6,000
DERMAFIX 10X25 19800 1 19,800 95,100.00

MEGAZING 3630 15 54,450
KURKUMEX 990 15 14,850
6,000
GENOCLOM 50MG TAB 17556 10 175,560 181,560.00
6,000
meloxicam 7.5mg 263 10 2,630 35,030.00

masneuro 924 10 9,240
lapistan 1716 10 17,160
6,000
KONI E 5280 15 79,200 453,495.00

FOLAVIT 1000 2641 15 39,615
L VIT D3 1000 3432 15 51,480
ESCORTE 4620 60 277,200
6,000
KQ 100 9240 30 277,200 575,265.00

FOLAVIT 1000 2641 15 39,615
MEGAZING 3630 15 54,450
MEDHITIN 6600 30 198,000
6,000
KONIDERM 99000 2 198,000 204,000.00

6,000
KURKUMEX 990 30 29,700 166,380.00

PROMAVIT 4356 30 130,680
6,000
KONIDERM 99000 2 198,000 204,000.00

6,000
DERMAFIX 19800 1 19,800 98,650.00

KURKUMEX 990 15 14,850
MEGAZING 3630 10 36,300
CO AMOXCLAVE 4340 5 21,700
6,000
KURKUMEX 990 30 29,700 372,300.00

PROMAVIT 4356 30 130,680
CAL 95 6864 30 205,920
6,000
KURKUMEX 990 30 29,700 87,180.00

L VIT D3 1000 3432 15 51,480
6,000
FERROMEX 858 30 25,740 61,440.00
KURKUMEX 990 30 29,700
6,000
PROMAVIT 4356 30 130,680 572,280.00

MICROGEST 200 29040 15 435,600
6,000
AB VASK 10 MG 12540 15 188,100 226,770.00

KURKUMEX 990 20 19,800
FERROMEX 858 15 12,870
6,000
Masneuro 924 10 9,240 39,190.00

LAPISTAN TAB 1716 10 17,160
6,000
MELOXICAM 7,5 MG 263 10 2,630
ANALSIK 2013 15 30,195 36,195.00

6,000
CEFIXIME 3081 6 18,486 78,153.00

NAC 1274 15 19,110
AMBROXOL 225 15 3,375
6,000
PARASETAMOL 222 10 2,220 20,935.00

AMLODIPIN 10MG 91 5 455
6,000
METRONIDAZOLE 340 10 3,400 11,620.00

6,000
FONTACTIVE 158400 1 158,400 164,400.00

6,000
LIDOCAIN INJ 1588 4 6,352 45,382.00

CEFIXIME 3081 10 30,810
6,000
FERROMEX 858 15 12,870 33,720.00

KURKUMEX 990 15 14,850
6,000
L VIT D3 1000 3432 15 51,480 122,820.00

PROMAVIT 4356 15 65,340
6,000
DERMAFIX 19800 1 19,800 25,800.00

6,000
DERMAFIX 19800 1 19,800 262,580.00

THROMBOPOP 59400 1 59,400
KURKUMEX 990 20 19,800
CO AMOXICLAV 4340 10 43,400
OPTIMUNO 10560 10 105,600
FERROMEX 858 10 8,580
6,000
L VIT D3 1000 3432 10 34,320 68,040.00

KURKUMEX 990 15 14,850
FERROMEX 858 15 12,870
6,000
DERMAFIX 19800 1 19,800 133,550.00

CO AMOXICLAVE 4340 10 43,400
MEGAZING 3630 15 54,450
KURKUMEX 990 10 9,900
6,000
DERMAFIX 19800 1 19,800 25,800.00

6,000
KETOROLAC 2303 10 23,030 37,170.00

CIPRO 592 10 5,920
PARACETAMOL 222 10 2,220
6,000

ANALSIK 2013 15 30,195
6,000

LACONS SYR 59400 1 59,400
6,000
INJ KETOROLAC 7298 1 7,298 44,493.00

INJ RANITIDIN 1545 1 1,545
ANALSIK 2013 10 20,130
DEXA TAB 165 10 1,650
6,000
SUCRALFAT SYR 24842 1 24,842 56,148.00

FLUNARIZIN 5 MG 1382 12 16,584
6,000
BISOPROLOL 5 MG 328 6 1,968 56,829.00

NAC 485 15 7,275
FARSIX 1320 6 7,920
SPIRONOLACTON 25 MG 476 6 2,856
CEFIXIM 200 MG 3081 10 30,810
6,000
NAC 485 10 4,850 13,100.00

AMBROXOL 225 10 2,250
6,000

ANALTRAM 11880 15 178,200
COMVIT D3 1800 8 14,400
6,000
Lagesil 1452 10 14,520 49,422.00

Cefadroxil 500 944 10 9,440
Allopurinol 100mg 247 10 2,470
Masneuro 924 10 9,240
Gemfibrozil 300 mg 646 12 7,752
6,000
AMOXICILLIN TAB 601 10 6,010 14,230.00

6,000
PARACETAMOL SYR 1536 1 1,536 139,536.00

CEFSPAN 132000 1 132,000
6,000
PARACETAMOL 222 10 2,220 48,274.00

NAC 485 10 4,850
AMBROXOL 225 10 2,250
AMLODIPIN 10 MG 91 1 91
LISINOPRIL 337 1 337
6,000
INTUNAL 858 10 8,580

CEFADROXIL 944 10 9,440
CETIRIZIN 64 10 640
NAC 485 10 4,850
SIVIT ZINC 702 3 2,106
6,000
RECO TT 12740 1 12,740 18,740.00

6,000
ASAM MEFENAMAT 443 3 1,329 43,419.00

DEXA TAB 165 2 330
STIMUNO SYR 29760 1 29,760
12,000
CO AMOXICLAV 625 TAB 4340 30 130,200 331,540.00

AXION 5280 30 158,400
METRONIDAZOL TAB 340 20 6,800
LEVOFLOXACIN 500 TAB 517 20 10,340
DERMAFIX 19800 1 19,800
6,000
MEGAZING 3630 15 54,450 515,850.00

CEFILA 100 25740 10 257,400
MEDITHIN 6600 30 198,000
6,000
FONT ACTIVE 158400 1 158,400 445,400.00

ANALTRAM 11880 20 237,600
6000
FEROMEX 858 15 12,870 398,870.00

OPTIMUNO 10560 15 158,400
ANALTRAM 11880 15 178,200
6,000
ANALTRAM 11880 10 118,800 296,070.00

FONT ACTIVE 158400 1 158,400
FEROMEX 858 15 12,870
6,000
FEROMEX 858 9 7,722 568,122.00

NAUSIMEX 15840 30 475,200
FOREMES 2640 30 79,200
6,000
DERMAFIX 19800 1 19,800 184,200.00

OPTIMUNO 10560 15 158,400
6,000
FOREMES 2640 30 79,200 85,200.00

6,000
FOREMES 2640 30 79,200 85,200.00

6,000
PARACETAMOL TAB 222 20 4,440 89,640.00

FOREMES 2640 30 79,200
6,000
FOLAVIT 1000 2641 30 79,230 680,550.00

KONI E 400 5280 60 316,800
L-VIT D3 1000 3432 30 102,960
GENOCLOM 17556 10 175,560
6,000
FOLAVIT 1000 2641 30 79,230 194,130.00

MEGAZING 3630 30 108,900
6,000
LEVOFLOXACIN 500 TAB 517 20 10,340 182,540.00

METRONIDAZOL TAB 340 20 6,800
MEGAZING 3630 20 72,600
6,000 16,340.00
JAM
PENDAPATAN JAM TERIMA
PENYERAHAN
HARIAN RESEP
OBAT
20:22 20:28
20:42 20:47
20:53 21:00
20:54 21:00
21:05 21:10
158,400.00
36,052
179,040
163,680
382,140
116,820
293,040
11.49 11.59
9:57 10:00
10:02 10:07
336,600
594,030
373,500 22.09 22.16

PASIEN TITIP BU BADRIYAH
25,838
RUJUK 7.55 7.57

09.30 9.37
21.37 21.44
21.48 21.54
21.58 22.03
22.09 22.15
22.22 22.28
22.51 22.55
23.29 23.32
39,692
23,430
27,720
78,210
8,055
22,770
116,820
10,440
27,720
31,172
22.39 22.49
22.49 22.54
22.55 23.03
23.04 23.09
23.14 23.19
23.38 23.43
447,495.00
292,065.00
198,000.00
160,380.00
198,000.00
72,850.00
366,300.00
81,180.00
55,440.00
130,680
32,670
BLM BAYAR
IBU MB DONA
27,720
116,820
85,200
177,380
62,040
107,750
186,240
19.18 19.25
20:10 20:27
20.57 21.09
20.59 21.2
21.22 21.39
21.22 21.39
21.35 21.45
21.45 21.59
21.48 21.55
22.21 22.25
22.27 22.31
22.37 22.43
HARGA
SATUAN
10/4/2021 1 KARYAWAN SDR SETYO Diazepam tbl 5 mg (Mersi) 125.4

10/5/2021 1 KARYAWAN dr Rosi microgest 100 mg 13794
premaston 4840
10/5/2021 1 KARYAWAN ANIS KHOIRUN NISA PROMAVIT 4356

FONT ACTIVE 158400
10/7/2021 1 KARYAWAN TUTUT Hidrokortison cr 2,5%(KF) 2722.5
2 KARYAWAN DIAH AYU ONEMED (TESPACK) 2500
3 KARYAWAN BU ENI INTUNAL 786

MASNEURO 847
4 KARYAWAN BU SARI INTUNAL 786

MASNEURO 847
5 KARYAWAN LILIK MASNEURO 847

ASAM MEFENAMAT 375
10/8/2021 1 KARYAWAN FENI PARASETAMOL TAB 188

NEW ANTIDES 369
2 KARYAWAN BU HANI Mucus Extractor 7200

Plester Coklat 66000
KARYAWAN DR QONIT microgest 100 mg 13794

premaston 4840
MINIASPI 137
10/10/201 1 KARYAWAN DR IKA PARACETAMOL TAB 222

SIVIT ZINC 702
NEW ANTIDES 437
INTUNAL 858
DEXAMETHASONE 0.5 165
SIMVASTATIN 10MG 901
DOMPERIDON TAB 1226
AMBROXOL TAB 225
2 KARYAWAN REGINA INTUNAL 786.5

10/11/2021 1 KARYAWAN AURIA ANTASIDA DOEN SUSPENSI 3519.824
9/13/2021 1 KARYAWAN NAFI KONI E 400 MG 5280
2 KARYAWAN AYU Amoksisilin tab 500mg 508.2

Asam Mefenamat 500mg 289.454
3 KARYAWAN RIKA F ONDAN INJ 4880
4 KARYAWAN BU HANI ONDAN TAB 1415

ONDAN INJ 4880
4 KARYAWAN DR INDO CANDESARTAN 8MF 709
762
5 KARYAWAN SOFI SANADRYL SYR 13068
10/17/2021 1 karyawan sovia romadhona Parasetamol 500 mg(Mersi) 188.1
10/18/2021 1 POLI DALAM IMAM METHYLPREDNISOLON 4MG 567

KELUARGA ISMI LAB K DIKLOFENAK 712
FARSIRETIC TAB 129
SALBUTAMOL 2MG 88
NAC 1274
ALLOPURINOL 247
LISINOPRIL 10MG 337
2 KARYAWAN BU WIDI Loratadine Tab 10 mg (Nulab 434

Metil Prednisolon 4mg 479.314
N-asetil sistein tab (PT.GUA 1078
10/21/2021 1 KARYAWAN WARIS Ranitidin inj. 25mg/ml (SOH 1545

Ketorolac inj. 30mg/ml(Ethic 1416
2 KARYAWAN WARIS ANALTRAM 11880

CEFIXIME 2607
10/22/2021 1 KARYAWAN SUPRAPTI PARACETAMOL 188

HISTIGO 758
2 KARYAWAN SOVIA ROMADHONA VK CEFIXIME 200 3081
3 KARYAWAN DR IKA SIVIT ZINC 702

4 KARYAWAN BU HANI ANTIHEMOROID 3483.7
10/28/2021 ` KARYAWAN DR ROSI PREMASTON 4840

KONI E 5280
KARYAWAN MBAK SRI WAHYUNI IV CATH 20 8098

IV CATH 22 4800
THROMBOPHOP GEL 59400
INFUSION SET 8580
NACL 8892
RL 9919
10/29/2010 1 KARYAWAN SOVIA ROMADHONA MEDITIN 6050

2
KARYAWAN KIKI MEDITIN 6050
10/31/2021 1 KARYAWAN DR. ROSI MICROGEST 200 26620

PREMASTON 4840
KONI E 5280
JAM
JAM
PENDAPATAN PENYER
QTY JUMLAH TOTAL BAYAR TERIMA
HARIAN AHAN
RESEP
OBAT
20 2508
10 137940 Rp 186,340
10 48400
10 43560 Rp 201,960
1 158400
1 2722.5
1 2500
10 7860 Rp 16,330
10 8470
10 7860 Rp 16,330
10 8470
10 8470 Rp 12,220
10 3750
10 1880 Rp 5,570
10 3690
5 36000 Rp 102,000
1 66000
10 137940 Rp 187,710
10 48400
10 1370
30 6660 Rp 94,120
20 14040
20 8740
10 8580
20 3300
40 36040
10 12260
20 4500
8 6292 Rp 6,292
1 3519.824 Rp 3,520
10 52800 Rp 52,800
10 5082 Rp 7,977
10 2894.54
1 4880 Rp 4,880
30 42450 Rp 57,090
3 14640
60 42540 Rp 42,540
10 7620 Rp 7,620
1 13068 Rp 13,068
10 1881 Rp 1,881
7 3,969 47,518.00
15 10,680
7 903
15 1,320
20 25,480
10 2,470
8 2,696
10 4340 Rp 19,913
10 4793.14
10 10780
1 1545 Rp 2,961
1 1416
10 118800 Rp 144,870
10 26070
10 1880 Rp 9,460
10 7580
10 30810 Rp 31,000
40 28080 Rp 28,000
2 6967.4
5 24200 Rp 50,600
5 26400
1 8098 Rp 99,689
1 4800
1 59400
1 8580
1 8892
1 9919
4 24200 Rp 24,200
10 60500 Rp 60,500
10 266200 Rp 391,600 338800

15 72600
10 52800
9/1/2021 1 POLI UMUM THN. HARNO
2 POLI UMUM NY. RUSMIYATI
3 POLI UMUM NY. SUWARNI
9/1/2021 1 poli obgyn NY FITROTUN
2 POLI OBGYN NY LISA P
3 POLI OBGYN SRI RISTI ANINGSIH
4 POLI OBGYN NY SITI NUR KAMIDAH
5 POLI OBGYN NY ELIA KIRANA ASTUTI

9/2/2021 1 IGD NY SUDARTI
MD
2 POLI OBGYN NY INDAH NURUL

00.73.46
3 POLI OBGYN NY DINTA ANDI

00.50.60
4 POLI OBGYN NY FITRIA KRISTIYANA

00.70.92
5 POLI OBGYN NY RIRIN SETYO

00.73.47
6 POLI OBGYN NY RISSA

00.41.11
7 POLI OBGYN NY YULIA VALENTINA
8 POLI OBGYN NY. NIKEN DWI
9 POLI OBGYN NY. WAHYU
9/3/2021 1 IGD NY FITRIANI

2 IGD NUR KHAYATI
3 IGD AN SATRIA
9/4/2021 1 IGD NY SAMIAH
2 POLI UMUM SUWARNI

00.73.50
9/5/2021 1 IGD ISMAIL
9/6/2021 1 POLI DALAM TN NUR QOSIM

2 POLI DALAM TN DJASMI
3 POLI OBGYN NY. ELVINA
4 POLI OBGYN NY. ARI BAWANI
5 POLI OBGYN NY. TUTIK E
6 POLI OBGYN TN GENOT
7 POLI OBGYN NY AWALIKAH
8 IGD ANISA
9 POLI OBGYN NY MARYANTI
10 POLI OBGYN NY UMI HANIK

9/7/2021 1 POLI OBGYN NY GALIH P
2 POLI OBGYN NY TIA ROHMATIN
3 POLY OBGYN NY MIA ERLINA
4 POLY OBGYN NY GOVINDA
9/8/2021 1 IGD TN SADI
2 POLY OBGYN NY POPPY DIANA
3 POLY OBGYN NY SRI UNTARI
4 POLY OBGYN NY UMI MUKAROMAH
5 RSI PWD RIZKY
9/9/2021 1 poli umum ny. Tini

00.73.68
2 poli umum ny rini wahyu
3 IGD AN MUHAMMAD REYHAN
4 POLI DALAM TN SUROTO
5 IGD TN KASTAM
6 POLI OBGYN TESSA KUMALA
7 POLI OBGYN NY MUFRIDAH
8 POLI OBGYN NY SULASMI
9 POLI OBGYN NY AMELIA VINDI ASTUSI
10 POLI OBGYN DESI CANDRA P

11 POLY OBGYN NY TUTIK ANDAYANI
12 POLY OBGYN TUTIK AINIL
13 POLY OBGYN NY ISTIANA
14 POLY OBGYN ZUVITA RINDHA
15 IGD YUSUF EDI
9/10/2021 1 IGD APRISKA
2 IGD AN HASIFA ANASTASYA

3 POLI OBGYN NY. SITI LATIPATUN
(R/ TANGGAL 8/9/2021)
4 POLI OBGYN NY. SRI RISTANINGSIH

(R/ TANGGAL 8/9/2021)
5 IGD GHIFARI AZMI
9/12/2021 1 IGD WARSITO
2 POLY OBGYN NY PUTRI AYU
3 POLY OBGYN NY LEHA NOVA P
4 POLY OBGYN NY SITI RAHAYU
5 POLY OBGYN NY SITI MUNASAROH
6 POLY OBGYN NY FITRIANA
7 POLY OBGYN NY YULI SRI R

8 POLY OBGYN NY. MURYANI
9 POLY OBGYN NY. SITI MUJIDAH
9/13/2021 1 IGD FENDI SASDIANTO
2 COPY RESEP NY LAILATUL
3 POLI DALAM RAMIN
4 POLI DALAM NY JUMINI
5 POLI DALAM SUBADRI

6 POLI DALAM SUMARNO
7 IGD NY SUWATI
8 IGD NY KASMINEM
9 IGD TN HERI SOFIYANTO
10 POLI OBGYN NY SEPTA HESTYNINGTYAS
11 POLI OBGYN NY AYU VIVI
12 POLI OBGYN NY DEVIANA REGITASARI
13 POLI OBGYN NY ERTIN S

14 POLI OBGYN NY AYU R
15 POLI OBGYN NY YENI DESTIA
16 POLI OBGYN NY DEWI LULUK S
9/14/2021 1 IGD SUSILO

(PAGI)
2 poli obgyn NY KISMAWATI

00.73.94
3 POLI OBGYN NY ROSIDYA

00.73.95
4 POLI OBGYN NY NYASRI

00.73.96
5 POLI OBGYN NY ERVINA RAMADHANI
6 POLI OBGYN NY AYU
7 POLI OBGYN NY TIKA WIDYASARI
9/15/2021 1 POLI UMUM TN AGUS SUGIARTO

2 POLI DALAM LINAWANG
3 POLI OBGYN NY LISTARI

00.75.03
4 POLI OBGYN NY WIDYA APRILIA
5 POLI OBGYN NY LILIS ERNAWATI
6 POLI OBGYN NY DWI ERNASARI
7 POLI OBGYN NY AMBARWATI
8 POLI OBGYN NY SITI SHOLEHAH
9 POLI OBGYN NY SITI ALIMI

9/16/2021 1 IGD NY SRI HARNI
2 poli dalam Ny. Sulastri
3 POLI DALAM NY. FITRIANI
3 POLI GIGI ARUM SEKAR
4 POLI OBGYN NY ISTI PURKOWATI
5 POLI OBGYN NY NASIKATUL
6 POLI OBGYN NY DARMI
7 POLI OBGYN NY MARATUL
8 IGD OSCAN BAYU

9 IGD NY EVI
10 POLI OBGYN NY SITI ROHMIATUN

00.72.13
KRAJAN, NGARINGAN
11 POLI OBGYN NY DIAN FITRI L

00.57.06
KARANGASEM 8/1
12 POLI OBGYN NY HESTI AYU

00.32.21
BANYU URIP 1/2 BANJARSARI
13 POLI OBGYN NY INDAH NURUL

00.73.46
PLOSOREJO 2/3 KUNDURAN
14 POLI OBGYN NY METASARI

00.60.49
NGARAP-ARAP 1/5 NGARINGAN
15 POLI OBGYN NY SITI SOLIKHAH

00.75.07
BANDANGSARI 4/5 NGARINGAN
16 POLI OBGYN NY LAILI NUR H

00.75.08
17 IGD NY INDAH
18 POLI OBGYN NY TIKA PUJI
19 POLI OBGYN NY ZULIANA
20 POLI OBGYN NY ANITA INTAN
9/17/2021 1 POLI UMUM maiasih agung rahayu

00.75.17
2 POLI DALAM MARSITI
3 POLI DALAM SARTINI
4 POLI DALAM SOLEMAN

5 IGD NARNO
9/18/2021 1 IGD ( PAGI ) PRAPTO
2 POLI UMUM RUMINI
3 POLI UMUM WIWIK LANJAR
4 POLI UMUM FITRIA
5 IGD TN FATHUR R
9/19/2021 1 IGD (pagi) TN SUKARMAN

2 IGD (siang) TN ICHAN ALI
3 NY ARI BAWANI
4 IGD ( MALAM) SUPAMI
9/20/2021 1 POLI DALAM SUPARTI
2 POLI DALAM NY SUKI
3 POLI DALAM TN EDHI SUHARTONO
4 POLI UMUM NN MIKA MAYANGSARI
5 POLI DALAM NY ISTIK SOLIKAH

6 POLI DALAM TN NUR QOSIM
7 IGD PAGI TN SUGIYONO
8 POLI DALAM SUWATI
9 POLI OBGYN NY. TESSA
10 POLI OBGYN NY. MUFRIDAH
11 POLI OBGYN NY. SITI MUSRIFATUN
12 POLI OBGYN NY. ENDAH
13 POLI OBGYN NY BENI N

14 POLI OBGYN NY IRA NOVITA
15 POLI OBGYN NY RINA W
16 POLI OBGYN EKA SEPTIANA
17 POLI OBGYN EKA NURI WAHYUNI
18 POLI OBGYN NY MUALIFAH
19 POLI OBGYN NUR AZIZAH
20 POLI OBGYN CHUSNUL W
21 POLI OBGYN DWI PUTRIANA
22 POLI OBGYN MURMIATI
23 POLI OBGYN NY PUNINGSIH
24 POLI OBGYN NY BETARI

9/21/2021 1 poli dalam ny ninik susilowati
00.60.99
2 POLI DALAM djumi
3 IGD HABIBI AHMAD
4 POLI OBGYN NY. AFIT M
5 POLI OBGYN FRENY APRILLIANI
9/22/2021 1 POLI DALAM NY DJUMINI
2 POLI DALAM NY SUMARNI

3 RAJAL NY DEWI LULIK SETYOWATI
4 IGD PAGI AN SINTIA RAHMA A
5 IGD SIANG SURATMIN
6 COPY RESEP RICKY HANDAYANI
7 POLY OBGYN NURUL F
9/23/2021 1 POLI DALAM JUWARNI
2 POLI DALAM TN YOSO
3 POLI DALAM MARSITI

4 POLY OBGYN FITTA PRATIWI
5 POLI OBGYN NY SITI ALINI
9/24/2021 1 COPY RESEP NY LAILATUL
2 IGD NY NGATINI
3 POLI DALAM TN EDHI SUHARTONO
4 IGD NY SITI MUAYANAH
9/25/2021 1 POLI UMUM NY RUMINI

DAWUNG 3/3 PENDEM NGARINGA
DAWUNG 3/3 PENDEM NGARINGA
3 POLI UMUM AN HASNA
9/26/2021 1 POLI OBGYN NY LILIS
2 POLI OBGYN NY OKTIKA M
3 POLI OBGYN NY FITA
4 poli obgyn ny sulistyani
5 POLI OBGYN NY SITI SYARIFAH

6 POLI OBGYN NY MARATUS
7 POLI OBGYN NY WISNASARI
8 POLI OBGYN NY ZULSA
9 POLI OBGYN NY YULI
10 POLI OBGYN NY SITI NUR AISYAH
11 POLI OBGYN NY ANA
12 POLI OBGYN NY RIA YULIANTI
13 POLI OBGYN NY NIKEN
9/27/2021 1 IGD TN BASUKI

2 IGD NN SISKA SAPUTRI
3 poli dalam NY SAYUN
4 POLI UMUM NY NGASINEM
5 POLI DALAM TN RUSDI
6 COPY RESEP NY SITI NUR AISYAH
7 POLI OBGYN NY INDAH SURYA A
8 POLI OBGYN NY LAILATUL BADRIYAH
7 POLI OBGYN NY NOFATUL
8 POLI OBGYN NY INDAH FEBRI ANITA

9 POLI OBGYN NY RESTA ECHA
10 POLI OBGYN NY ANIS NOVITASARI
11 POLI OBGYN NY AYU RISTIANTO
12 POLI OBGYN NY FERA SILVIA
9/28/2021 1 POLI DALAM NY DJUMI
2 POLI OBGYN NY NIHAYATUL
4 POLI OBGYN NY SITI N
5 POLI OBGYN ARIESTA RATNA
6 POLI OBGYN NY RELINDA MELISA
7 POLI OBGYN NY NURUL BADIAH

8 POLI OBGYN NY ZULFA
9/29/2021 1 POLI OBGYN NY UMI DWI H
2 POLI OBGYN NY TESSA KUMALA
3 POLI OBGYN NY AYU S
4 IGD SIANG AHMAD SOBIRIN
5 POLI OBGYN NY FITTA PRATIWI
6 POLI OBGYN NY TATIK RIANA
9/30/2021 1 POLI DALAM TN SUPARMO

2 IGD NY GIYANTI
3 POLI OBGYN NY YENI R
4 POLI OBGYN NY LISA P
5 POLI OBGYN NY YENI SARIBUT
6 POLI OBGYN NY SULATI

NAMA OBAT HARGA SATUAN QTY JUMLAH TOTAL BAYAR
Masneuro 924 10 9,240 42,700

6,000
LAGESIL 1452 10 14,520 70,240

CEFIXIM 4183 10 41,830
METIL PREDNISOLON 4 MG 567 10 5,670
6,000
Masneuro 924 10 9,240 40,280

6,000
KURKUMEX 1031 30 30,930 179,490

FOREMES 2640 15 39,600
CAL-95 6864 15 102,960
6,000
L-VIT D3 5000 4356 10 43,560 467,390

PROMAVIT 4356 20 87,120
CAL 95 6864 20 137,280
AB VASK 10MG 12540 10 125,400
MINIASPI 137 10 1,370
DOPAMET 250MG 2222 30 66,660
6,000
AXION Rp 5,280.00 15 79,200 421,800

OPTIMUNO Rp 10,560.00 15 158,400
ANALTRAM Rp 11,880.00 15 178,200
6,000
PROMAVIT 4356 30 130,680 291,120

L-VIT D3 1000 3432 15 51,480
CAL 95 6864 15 102,960
6,000
PROMAVIT 4356 15 65,340 174,300

L-VIT D3 1000 3432 30 102,960
6,000
NACL Rp 8,892.00 3 26,676 149,274

OMEPRAZOLE INJ Rp 13,511.00 1 13,511
CLOPIDOGREL Rp 2,210.00 1 2,210
MINIASPI Rp 137.00 1 137
EZELIN Rp 100,740.00 1 100,740
6,000
FOREMES 2640 10 26,400 101,040

CAL-95 6864 10 68,640
6,000
KONIDERM 99000 1 99,000 210,600

AXION 5280 20 105,600
6,000
OPTIMUNO 10560 20 211,200 217,200

6,000
L-VIT D3 1000 3432 10 34,320 108,960

CAL-95 6864 10 68,640
6,000
LVIT D3 1000 3432 10 34,320 119,270

CAL-95 6864 10 68,640
KURKUMEX 1031 10 10,310
6,000
PROMAVIT 3456 10 34,560 191,040

MICROGES 100MG 15048 10 150,480
6,000
TRILAC INJ 44814 1 44,814 51,870

SPUIT 1CC 1056.432 1 1,056
6,000
KONIDERM 99000 1 99,000 105,000

6,000
LANSOPRAZOLE 1121 10 11,210 61,462

CAVICUR 715 10 7,150
6,000
METIL PREDNISOLON 567 10 5,670 43,155

CAVICUR 715 10 7,150
NOVAHEXIN 144 10 1,440
FARTOLIN 22440 1 22,440
6,000
Ketoprofen tab 1197 10 11,970 46,078

Deksametason tbl 0.5 mg (Novapharin 165 10 1,650
Vitamin C 250 mg (Kuning) 1183 10 11,830
Vitamin B complek tablet(DEF) 156 10 1,560
CAVICUR TAB 714.78 10 7,148
6,000
CPG 2210 4 8,840 51,929

MINIASPI 137 2 274
FUROSEMID INJ 1733 2 3,466
RL 9919 2 19,838
6,000
CEFADROXIL 944 10 9,440 48,210

LAPISTAN 1716 10 17,160
MASNEURO 924 10 9,240
GENTAMISIN SK 3120 1 3,120
6,000
FARTOLIN 22440 2 44,880 81,520

STIMUNO 29,760 1 29,760
SALBUTAMOL 2MG 88 10 880
6,000
BISOPROLOL 5MG 328 15 4,920 68,473

CPG 2210 15 33,150
MINIASPI 137 15 2,055
MASNEURO 924 15 13,860
6,000
FUROSEMID 283 15 4,245 100,069
SPIRONOLAKTON 25MG 476 15 7,140
ATORVOSTATIN 1430 30 42,900
ALLOPURINOL 100MG 247 45 11,115
NAC 1274 15 19,110
Sodium Bicarbonate 94 20 1,880
6,000
PROMAVIT 4356 10 43,560 49,560

6,000
KONIDERM SALEP 99000 1 99,000 125,625

KURKUMEX 1031.25 20 20,625
6,000
AXION 5280 20 105,600 145,920

L-VIT D3 1000 3432 10 34,320
6,000
FOLAVIT 1000 2641 16 42,256 148,186

MEGAZING 3630 15 54,450
LVIT D31000 3432 15 51,480
BIOSAN 15428 10 154,280 160,280
6,000
FOLAVIT 1000 2641 16 42,256 172,936

KONI E 5280 15 79,200
LVIT D3 1000 3432 15 51,480
GENOCLOM 17556 5 87,780
6,000
MEGAZING 3630 10 36,300

FARTOLIN 22440 1 22,440 43,030
AMOXICILLIN 601 10 6,010
INTUNAL 858 10 8,580
6,000
AXION Rp 5,280.00 6 31,680 37,680

6,000
NAUSIMEX 15840 15 237,600 376,487

CAL-95 6864 15 102,960
CETIRIZINE TAB 117 15 1,755
6,000
FONT ACTIVE 158400 1 158,400 164,400

6,000
NAUSIMEX 15840 10 158,400 249,144

MICROGEST 100 MG 15048 3 45,144
FOREMES 2640 15 39,600
6,000
GENOCLOM 17556 5 87,780 553,140

KONI E 5280 30 158,400
LAVIT D3 1000 3432 30 102,960
ESCORDIA 6600 30 198,000
6,000
KURKUMEX 1031 20 20,620 66,220

FOREMES 2640 15 39,600
6,000
FUROSEMID TAB 104 10 1,040 14,690

AMOX TAB 601 10 6,010
BISOPROLOL TAB 328 5 1,640
6,000
PROMAVIT 4356 10 43,560 49,560

6,000
FOREMES 2640 10 26,400 66,720

L VIT D3 1000 MG 3432 10 34,320
6,000
AXION 5280 30 158,400 584,160

L VIT D3 1000 MG 3432 30 102,960
OPTIMUNO 10560 30 316,800
6,000
KURKUMEX 1031.25 30 30,938 195,338

6,000
LAPISTAN TAB 1716 10 17,160 48,200

Simvastatin 10mg (Mersi) 901 10 9,010
Masneuro 924 10 9,240
MELOXICAM 7,5 MG 263 10 2,630
6,000
meloxicam 7.5mg 263 10 2,630 38,480

lapistan 1716 10 17,160
cefadroxil 944 10 9,440
ranitidin 325 10 3,250
6,000
RL 9919 1 9,919 34,679

AQUABIDES 3718 1 3,718
CEFOTAXIM INJ 9347 1 9,347
DIAZEPAM INJ 5695 1 5,695
6,000
megazing 3630 15 54,450 96,330

codein 10mg 897 40 35,880
6,000
RL 9919 1 9,919 75,215

AQUABIDES 3718 1 3,718
NACL 8892 1 8,892
PARASETAMOL INF 19664 1 19,664
6,000
FONTACTIVE Rp 158,400.00 1 158,400 164,400

6,000
FOREMES 2640 15 39,600 85,215

L-VIT 2641 15 39,615
6,000
FONTACTIVE Rp 158,400.00 2 316,800 322,800

6,000
KONIDERM 99000 1 99,000 105,000

6,000
CAL-95 6864 10 68,640 108,960

L VIT 1000 Rp 3,432.00 10 34,320
6,000
KURKUMEX 1031 30 30,930 440,850

PROMAVIT 4356 20 87,120
FONT ACTIVE 158400 2 316,800
6,000
CAL 95 6864 15 102,960 148,560

FOREMES 2640 15 39,600
6,000
KURKUMEX 1031 20 20,620 79,420

FOREMES 2640 20 52,800
6,000
AXION 5280 30 158,400 267,360

L VIT D3 1000 MG 3432 30 102,960
6,000
ALLUPURINOL 100 MG 247 30 7,410 22,484

RANITIDNE 325 10 3,250
SIMVASTATIN 901 4 3,604
6,000
CEFADOXYL 944 6 5,664 29,772

KETOROLAC TAB 2303 6 13,818
6,000
ONDAN INJ 4880 1 4,880 4,880

CEFOTAXIM INJ 9347 1 9,347 75,411
6,000
Curcuma FCT 1145 3 3,435
Ranitidine tbl 150 mg(Mersi) 325 2 650
Amoxillin tab 500mg 601 2 1,202
Vitamin C tablet 50 mg(KF) 137 3 411
Vitamin B complek tablet(DEF) 156 3 468
Zinc tbl 20 mg(KF) 682 2 1,364
Stimuno sirup 29760 1 29,760
12,000
KONIDERM 99000 2 198,000 204,000
6,000
KONIDERM 99000 1 99,000 105,000

6,000
PARACETAMOL SYR 1536 1 1,536 68,256

LAPICEF SYR 60720 1 60,720
6,000
ONDAN INJ 4880 1 4,880 67,276

D40 12362 2 24,724
D10 INFUS 9458 1 9,458
D5 INFUS 8703 1 8,703
6,000
AXION 5280 15 79,200 150,540

PROMAVIT 4356 15 65,340
6,000
PARASETAMOL 222 15 3,330 110,760

NIFEDIPIN TAB 243 10 2,430
MEDITHIN 6600 15 99,000
6,000
NAUSIMEX TAB 15840 8 126,720 177,864

MICROGEST 100 MG 15048 3 45,144
6,000
L VIT D3 1000 MG 3432 15 51,480 122,820

PROMAVIT 4356 15 65,340
6,000
AB VASK 10 MG 12540 10 125,400 152,766

DIAZEPAM 5 MG 149 4 596
HCT 194 5 970
DERMAFIX 19800 1 19,800
6,000
L VIT D3 1000 MG 3432 8 27,456 88,368

CAL 95 6864 8 54,912
6,000
NIFEDIPIN 10 MG 243 10 2,430 120,000
CAL-95 6864 10 68,640
FOREMES 2640 15 39,600
6,000
AXION 5280 10 52,800 83,820

ASAM TRANEX 2060 10 20,600
6,000
FARBIVENT 13200 1 13,200 45,361

DEXAMETASON INJ 1427 1 1,427
METIL PREDNISOLON 4 MG 567 10 5,670
NAC 1274 10 12,740
OMEPRAZOLE CAPS 632.4 10 6,324
6,000
FOLAVIT 1000 2641 15 39,615 485,175

PROMAVIT 4356 30 130,680
L-VIT D3 1000 3432 30 102,960
CAL-95 6864 30 205,920
6,000
NAC 1274 10 12,740 34,790

AMBROXOL 225 10 2,250
MEGAZING 3450 4 13,800
6,000
BISOPROLOL 5MG 328 10 3,280 60,690

FUROSEMID 1733 20 34,660
SPIROLACTON 25MG 476 10 4,760
MINIASPI 137 10 1,370
6,000
LANSOPRAZOL 634 15 9,510 80,844

INTUNAL F 858 10 8,580
6,000
METFORMIN 293 60 17,580 82,470
NAC 1274 30 38,220
6,000
CAVICUR TAB 714.78 10 7,148 59,390

Scopma 1506 10 15,060
6,000
Salbutamol tbl 2 mg(KF) 88 10 880 51,435

Fartolin inhalasi 22440 1 22,440
6,000
Ketorolac inj. 30mg/ml(Ethica) 1416 1 1,416 40,366

Scopma 1506 10 15,060
6,000
Microgest 200 mg 29040 5 145,200 243,600

FOREMES 2640 15 39,600
AXION 5280 10 52,800
6,000
PROMAVIT 4356 30 130,680 342,600

CAL-95 6864 30 205,920
6,000
PROMAVIT 4356 15 65,340 122,820

L-VIT D3 1000 3432 15 51,480
6,000
Microgest 200 mg 29040 10 290,400 454,820

FOLAVIT 1000 2641 20 52,820
KONI E 400 5280 20 105,600
6,000
AXION 5280 30 158,400 463,380
PROMAVIT 4356 30 130,680
L-VIT D3 5000 4356 15 65,340
CAL-95 6864 15 102,960
6,000
FOREMES 2640 15 39,600 148,560

CAL-95 6864 15 102,960
6,000
SUSU FONT ACTIVE ONE 158400 1 158,400 164,400

6,000
AMOXICILLIN 601 10 6,010 16,440

AS MEFENAMAT 443 10 4,430
6,000
PROMAVIT 4356 15 65,340 139,980

CAL-95 6864 10 68,640
6,000 133,980
PROMAVIT 4356 15 65,340 114,900

LAVIT D3 5000 4356 10 43,560
6,000 108,900
FOREMES 2640 8 21,120 44,280

L-VIT D3 1000 3432 5 17,160
6,000 38,280
PROMAVIT 4356 10 43,560 83,880

CAL-95 6864 5 34,320
6,000
PROMAVIT 4356 15 65,340 81,650

KURKUMEX 1031 10 10,310
6,000
PROMAVIT 4356 5 21,780 44,940

L VIT D3 1000 MG 3432 5 17,160
6,000
Cefadroxil 500 944 10 9,440 41,840

Masneuro 924 10 9,240
6,000
CAVICUR TAB 714.78 15 10,722 258,358
Furosemide tablet 40 mg (Sampharind 104 10 1,040
6,000
NOVORAPID 228000 1 228,000
AXION 5280 30 158,400 362,400

MEDITHIN 6600 30 198,000
6,000 356,400
SUCRALFAT 24842 1 24,842 286,742

LASGAN 18480 10 184,800
PROMAVIT 4356 15 65,340
NIFEDIPIN 243 10 2,430
6,000
PROMAVIT 4356 30 130,680 398,040

FONTACTIVE 158400 1 158,400
LVIT D3 1000 3432 30 102,960 392,040
6,000
PROMAVIT 4356 15 65,340 384,180

CAL-95 6864 15 102,960
L-VIT D3 3432 15 51,480
FONTACTIVE 158400 1 158,400
6,000
AXION 5280 30 158,400 1,012,500

MEDITHIN 6600 30 198,000
KONI E 5280 30 158,400
L-VIT D3 5000 4356 30 130,680
OPTIMUNO 10560 30 316,800
KALNEX 500MG TAB 4422 10 44,220
6,000
KONI E 5280 30 158,400 493,080

L-VIT D3 5000 4356 30 130,680
MEDITHIN 6600 30 198,000
6,000
HCT 194 7 1,358 1,219,778

AB VASK 10MG 12540 7 87,780
AXION 5280 21 110,880
CEFILA 200 39600 20 792,000
OPTIMUNO 10560 21 221,760
6,000
AMOXICILLIN 601 15 9,015 21,943

AS MEFENAMAT 443 10 4,430
6,000
Bisoprolol tab 5 mg (Novel) 328 4 1,312 16,765

N-asetil sistein tab 20 0
Metformin 500 mg 133 21 2,793
6,000
LANSOPRAZOLE 634 10 6,340 24,887,302

CAVICUR 714.78 15 10,722
SUCRALFAT 24842 1 24,842
6,000
KALIUM DIKLOFENAK 712 10 7,120 13,120

6,000
MEDITIN 6600 30 198,000 204,000

6,000
MEDITIN 6600 30 198,000 204,000

6,000
MEDITIN 6600 30 198,000 204,000

6,000
MEDITIN 6600 30 198,000 204,000

6,000
AZITROMISIN TAB 4160 5 20,800 923,610

SIVIT ZINK 702 10 7,020
COMVIT D3 1800 10 18,000
NAC 1274 10 12,740
OBH 7920 10 79,200
DEXAMETHASON TAB 165 10 1,650
FAVIPIRAVIR 19305 40 772,200
12,000
RL 9919 1 9,919 23,194

RANITIDINI INJ 1545 1 1,545
KETOPROFEN INJ 5730 1 5,730
6,000
CEFILA 200MG 39600 10 396,000 614,030

AXION 5280 10 52,800
OPTIMUNO 10560 10 105,600
MISOPROSTOL 5363 10 53,630
6,000
KURKUMEX 1031 15 15,465 86,805

PROMAVIT 4356 15 65,340
6,000
L-VIT D3 1000 3432 40 137,280 182,880

FOREMES 2640 15 39,600
6,000
L-VIT D3 1000 3432 15 51,480 122,820

PROMAVIT 4356 15 65,340
6,000
KURKUMEX 1031 20 20,620 113,740

PROMAVIT 4356 20 87,120 107,740
6,000
KURKUMEX 1031 15 15,465 290,085

PROMAVIT 4356 15 65,340
MICROGEST 200MG 29040 7 203,280 80,805
6,000
KURKUMEX 1031 15 15,465 259,065

NAUSIMEX 15840 15 237,600
6,000
MEGAZING 3630 10 36,300 74,800

CIPROFLOXACIN 592 10 5,920 38,500
ONDAN TAB 1674 10 16,740
NEW ANTIDES 437 10 4,370
6,000
FOREMES Rp 2,640.00 15 15,465 274,530

KURKUMEX 1031 15 15,465
NAUSIMEX 15840 15 237,600
6,000
L-VIT D3 1000 3432 7 24,024 99,852

PROMAVIT 4356 5 21,780
CAL-95 6864 7 48,048
6,000
KURKUMEX 1031 20 20,620 394,900

NAUSIMEX 15840 20 316,800
L-VIT D3 1000 3432 15 51,480
6,000
MICROGEST 100 15048 10 150,480 207,960

L-VIT D3 1000 3432 15 51,480
6,000
omeprazole 632 10 6,320 27,230

metilprednisolon 4mg 567 10 5,670
masneuro 924 10 9,240
6,000
LANSOPRAZOLE TAB 1121 15 16,815 33,391

ANTASIDA SYR 4160 1 4,160
6,000
CEFIXIME 3081 10 30,810 70,360

METIL 4MG 567 20 11,340
ASAM TRANEXAMAT 2060 6 12,360
SIVIT ZINK 702 5 3,510
6,000
AMLODIPIN 10MG 91 10 910 22,430

MINIASPI 137 10 1,370
ISDN 116 10 1,160
6,000
ASAM MEFENAMAT 443 10 4,430 20,064

CETIRIZINE 254 4 1,016
DEXAMETASON 165 10 1,650
RANITIDINE 325 10 3,250
6,000
OMEPRAZOLE CAPS 632.4 10 6,324 53,744

VIT B COMPLEX 156 10 1,560
DULCOLAX SUPP 27600 1 27,600
6,000
MASNEURO 924 10 9,240 47,790

LAPISTAN 1716 10 17,160
MELOXICAM 7.5 MG 263 10 2,630
6,000
CEFIXIME 200 MG 3081 10 30,810 55,200

DEXA TAB 165 10 1,650
LAGESIL 1452 10 14,520
6,000
ASAM MEFENAMAT 443 10 4,430 10,430

6,000
CIPROFLOXACIN 592 10 5,920 25,030

DEKSAMETHASONE 165 10 1,650
ALLOGON 990 10 9,900
VIT BC 156 10 1,560
6,000
LIDOCAIN INJ 1588 1 1,588 34,188

CEFADROXIL CAPS 944 10 9,440
LAPISTAN 1716 10 17,160
6,000
DEXA TAB 165 10 1,650 18,190
CETIRIZIN TAB 117 10 1,170
CURCUMA TAB 715 10 7,150
PCT TAB 222 10 2,220
6,000
KONIDERM SK 99000 1 99,000 105,000

6,000
FARSIX 1320 5 6,600 75,150

SIVIT ZINC 702 10 7,020
KONI D 1188 10 11,880
CAVICUR 715 10 7,150
NAC 1430 10 14,300
CEFADROKSIL 944 10 9,440
6,000
N-asetil sistein tab (PT.GUARDIAN) 1274 20 25,480 84,637

BRAXIDIN 1465 15 21,975
6,000
Ciprofloxacin 500 Berno 592 10 5,920 12,890

Hidroklorotiazid tbl 25 mg(KF) 194 5 970
6,000
Metformin 500 mg 293 15 4,395 77,305

Cefixime tab 4183 10 41,830
6,000
Cefadroxil 500 944 10 9,440 44,584

Asam tranexamat tbl 500 mg (Bernofa 2060 10 20,600
OMEPRAZOL 632.4 10 6,324
6,000
Metil Prednisolon 4mg 567 20 11,340 57,320

OBH surya 7920 1 7,920
6,000

Miniaspi 137 30 4,110
Clopidogrel 2210 30 66,300
6,000
Ringer Laktat(Widatra) 9919 1 9,919 180,112

Piracetam inj 5mg/ml (Bernofarm) 8580 1 8,580
Brainact injeksi 92400 1 92,400
Furosemide injeksi (Dexa) 1733 1 1,733
Aqua pro inj(Otsuka) 3718 2 7,436
Kaptopril tbl 12.5 mg(KF) 86 4 344
Suction cateter No 14 3600 1 3,600
Gudel airway no. 90 (kuning) 33000 1 33,000
Omeprazol inj (Phapros) BELI LUAR 17100 1 17,100
6,000
METHYLPREDNISOLON 4 MG 567 22 12,474 58,794

CEFIXIM 200 3081 10 30,810
6,000
AXION 5280 30 158,400 164,400

6,000
AXION 5280 30 158,400 352,500

AB VASK 10 MG 12540 15 188,100
6,000
KURKUMEX 1031.25 30 30,938 102,278

PROMAVIT 4356 15 65,340
6,000
KONIDERM 99000 2 198,000 247,560

PROMAVIT 4356 10 43,560
6,000
PROMAVIT 4356 15 65,340 122,820

L-VIT D3 1000 3432 15 51,480
6,000
KONI E 400 5280 30 158,400 267,360
L-VIT D3 1000 3432 30 102,960
6,000
L-VIT D3 1000 3432 15 51,480 160,440

CAL-95 6864 15 102,960
6,000
L-VIT D3 1000 3432 15 51,480 160,440

CAL-95 6864 15 102,960
6,000
L-VIT D3 1000 3432 15 51,480 122,820

PROMAVIT 4356 15 65,340
6,000
L-VIT D3 1000 3432 8 27,456 68,304

PROMAVIT 4356 8 34,848
6,000
MICROGEST 100 15048 10 150,480 221,820

PROMAVIT 4356 15 65,340
6,000
L-VIT D3 1000 3432 15 51,480 225,780

PROMAVIT 4356 15 65,340
CAL-95 6864 15 102,960
6,000
L-VIT D3 1000 3432 8 27,456 88,368

CAL-95 6864 8 54,912
6,000
KONIDERM SALEP 99000 2 198,000 399,180

AXION 5280 30 158,400
6,000
FOREMES 2640 15 39,600 214,313

NAUSIMEX 15840 10 158,400
KURKUMEX 1031.25 10 10,313
6,000
L-VIT D3 5000 4356 30 130,680 453,480

6,000
masneuro 924 30 27,720 33,720

6,000
NOVORAPID 228000 1 228,000 250,856

FUROSEMID 104 8 832
AMLODIPIN 91 8 728
6,000
METRONIDAZOL 456 10 4,560 201,397

VITAMIN C 1183 10 11,830
ATS 170299 1 170,299
KALIUM DICLOFENAK 712 10 7,120
6,000
L-VIT D3 1000 3432 15 51,480 122,820

PROMAVIT 4356 15 65,340
6,000
L-VIT D3 1000 3432 15 51,480 122,820

PROMAVIT 4356 15 65,340
6,000

Furosemide injeksi (Dexa) 1733 15 25,995
Miniaspi 137 15 2,055
6,000

Miniaspi 137 30 4,110
6,000

6,000
Fartolin inhalasi 22440 1 22,440 32,158

Aqua pro inj(Otsuka) 3718 1 3,718
6,000
ASMET 343 10 3,430 247,085

DEXA TAB 165 10 1,650
CTM 91 10 910
CEFIXIME 200 MG 3081 20 61,620
ATS 170299 1 170,299
6,000
PROMAVIT 4356 10 43,560 118,200

CAL 95 6864 10 68,640
6,000
PROMAVIT 4356 15 65,340 122,820

L VIT D3 1000 3432 15 51,480
6,000
CEFIXIM 3081 10 30,810 68,314

SCOPMA 1506 15 22,590
HCT 194 6 1,164
SOD BICARBONAT 94 15 1,410
6,000
NAC 1274 25 31,850 101,303

LEVOFLOXACIN 517 9 4,653
AMBROXOL 225 20 4,500
MEGAZING 3630 10 36,300
COMVIT D 1799.9916 10 18,000
6,000
BISOPROLOL 5 328 15 4,920 100,680

LISINOPRIL 10 337 15 5,055
MINIASPI 137 15 2,055
FARMACROL F 66000 1 66,000
6,000
Nifedipine tab (Dexa) 243 10 2,430 151,470

L-VIT D3 1000 3432 15 51,480
PROMAVIT 4356 20 87,120
6,000
KONIDERM SK 99000 1 99,000 105,000

6,000
FOLAVIT 1000 2641 5 13,205 390,125

PROMAVIT 4356 30 130,680
LVIT D3 1000 3432 10 34,320
CAL-95 6864 30 205,920 384,125
6,000
NaCl 0,9%(Widatra) 8892 3 26,676 309,278

Ringer Laktat(Widatra) 9919 1 9,919
Omeprazol Injeksi (Mahakam) 12834 2 25,668
Sivit zinc (mersi) 702 2 1,404
Atapulgit tablet 600mg Tropica (New 437 10 4,370
NOVORAPID 228000 1 228,000
ONDANSETRON INJ 4880 1 4,880 232,880
6,000
ASAM TRANEXAMAT Rp 2,060 10 20,600 79,430

METFORMIN Rp 293 30 8,790
GLIMEPIRID 2MG Rp 270 10 2,700
SCOPMA Rp 1,506 15 22,590
MASNEURO Rp 924 10 9,240
LANSOPRAZOLE Rp 634 15 9,510
6,000
CEFIXIME 3081 10 30,810 36,810

6,000
MELOXICAM 7,5 263 10 2,630 8,950

OMEPRAZOLE TAB 632 10 6,320
MASNEURO 924 10 9,240 8,950
LAPISTAN 1716 10 17,160
6,000
FUROSEMID 283 8 2,264 41,452
LISINOPRIL 10 MG 337 8 2,696
ISDN 116 21 2,436
6,000
CEFDROXIL 944 4 3,776 25,468

DEXAMETHASON 165 4 660
CTM 59 4 236
LAGESIL 1452 5 7,260
PARASETAMOL SYR 1536 1 1,536
12,000
MELOXICAM 7,5 263 10 2,630 3,000

MINIASPI 137 10 1,370 61,200
FUROSEMID 283 10 2,830
LISINOPRIL 10 MG 337 10 3,370
CEFIXIM 200 3081 10 30,810
6,000
SUSU FONT ACTIVE ONE Rp 158,400.00 1 158,400 164,400

6,000
KURKUMEX 1031.25 30 30,938 153,758

PROMAVIT 4356 15 65,340
L-VIT D3 1000 3432 15 51,480 147,758
6,000

L-VIT D3 1000 3432 15 51,480
KURKUMEX 1031.25 30 30,938
6,000
L-VIT D3 1000 3432 15 51,480 57,480

6,000
L-VIT D3 1000 3432 20 68,640 264,720

PROMAVIT 4356 20 87,120
CAL-95 6864 15 102,960 258,720
6,000

AXION Rp 5,280.00 30 158,400
6,000 316,800
L-VIT D3 1000 3432 15 51,480 126,120

CAL-95 6864 10 68,640
6,000 120,120

AXION Rp 5,280.00 30 158,400
6,000 316,800

KURKUMEX 1032 20 20,640
Parasetamol 500 mg(Mersi) 222 20 4,440 179,040
Nifedipine tab (Dexa) 243 10 2,430
6,000
SUSU FONT ACTIVE ONE Rp 158,400.00 0 0 57,480

L-VIT D3 1000 3432 15 51,480
6,000 51,480

AXION Rp 5,280.00 30 158,400 316,800
6,000
Microgest 200 mg 29040 15 435,600 1,150,440

6,000
PROMAVIT 4356 30 130,680 708,840
NAUSIMEX 15840 30 475,200
L-VIT D3 1000 3432 30 102,960
GENOCLOM 17556 10 175,560 181,560

6,000

Furosemide tablet 40 mg (Sampharind 104 10 1,040
Levofloxacin 500 mg 517 5 2,585
COMVIT D3 1000 1800 10 18,000
Sivit zinc (mersi) 702 10 7,020
6,000
Aam Mefenamat 500mg (hexpharm) 343 10 3,430 20,520

Deksametason tbl 0.5 mg (Novapharin 165 10 1,650
Cefadroxil 500 944 10 9,440
6,000
NAC 1274 10 12,740 26,660

OBH SYR 7920 1 7,920
6,000
CEFIXIME 3081 10 30,810 52,890

CETIRIZINE 117 10 1,170
MASNEURO 924 10 9,240
6,000
lansoprazole 634 15 9,510 67,375

CEFIXIME 3081 10 30,810
6,000

6,000
L-VIT D3 1000 3432 15 51,480 138,300

KURKUMEX 1032 15 15,480
PROMAVIT 4356 15 65,340
6,000
AXION 5280 30 158,400 481,200

6,000
L-VIT D3 1000 3432 15 51,480 188,160

PROMAVIT 4356 30 130,680
6,000
L-VIT D3 1000 3432 15 51,480 72,960

KURKUMEX 1032 15 15,480
6,000
KURKUMEX 1032 30 30,960
6,000

KURKUMEX 1032 15 15,480
6,000
PROMAVIT 4356 30 130,680 445,560

CAL-95 6864 30 205,920
L-VIT D3 1000 3432 30 102,960
6,000
L-VIT D3 1000 3432 15 51,480 125,250

PROMAVIT 4356 15 65,340
Nifedipine tab (Dexa) 243 10 2,430
6,000
NOVORAPID INJ 228000 1 228,000 263,025

MINIASPI 137 10 1,370
GABAPENTIN 150MG 1799 5 8,995
6,000
PROMAVIT 4356 15 65,340 71,340

6,000
CAL-95 6864 30 205,920 649,575

Microgest 200 mg 29040 15 435,600
Miniaspi 137 15 2,055
6,000
NAUSIMEX 15840 20 316,800 343,440

KURKUMEX 1032 20 20,640
6,000
CAL-95 6864 30 205,920 211,920

6,000
KONIDERM SK 99000 1 99,000 421,800

CEFILA 200 39600 8 316,800
6,000
GRAFAZOL 456 15 6,840 606,840

CEFILA 200 39600 15 594,000
6,000
Dermafix t 10x25 19800 1 19,800
AXION 5280 30 158,400 520,800

ANALTRAM 11880 15 178,200
DERMAFIX 10X25 19800 1 19,800
6,000
PROMAVIT Rp 4,356.00 15 65,340 225,780

CAL-95 6864 15 102,960
L-VIT D3 1000 3432 15 51,480
6,000
NAUSIMEX 15840 30 475,200 551,760

KURKUMEX 1032 30 30,960
FOREMES 2640 15 39,600
6,000
Cefadroxil 500 944 10 9,440 19,870

6,000
ANALTRAM 11880 30 356,400 2,184,000

AXION 5280 30 158,400
OPTIMUNO 10560 30 316,800
CEFILA 200 39600 30 1,188,000
6,000
L-VIT D3 1000 3432 8 27,456 88,368

CAL-95 6864 8 54,912
6,000
KALIUM DEICLOFENC 712 20 14,240 91,890

METIL 4MG 567 20 11,340
LACONS SYR 59400 1 59,400
6,000
Betahistin tbl 6 mg(Dexa) 143 10 1,430
Masneuro 924 10 9,240
Ondansentron 4 mg PROMED 1674 10 16,740
6,000
PROMAVIT 4356 10 43,560 118,200

CAL-95 6864 10 68,640
6,000
DERMAFIX 10X25 19800 1 19,800 25,800

6,000
DERMAFIX 10X25 19800 1 19,800 184,200

AXION 5280 30 158,400
6,000
AB VASK 10MG 12540 8 100,320 277,860

CAPTOPRIL 12.5MG 86 30 2,580
OPTIMUNO 10560 16 168,960
6,000
JAM TERIMA JAM PENYERAHAN
PENDAPATAN HARIAN
RESEP OBAT
153,220
1,534,100
1,254,254
150,695
100,139
81,520
1,032,394
1,032,904
910,468
144,540
99000
127,000
116,820
82,368
108,240
56,002
274,982
378,180
962,280
487,080
1,124,640
29,650,446
526,767
526,767
132,300
475,200
182,160
66,960
189,360
173,880
439,560
116,820
9/1/2021 1 UMUM NADIA ASAM MEFENAMAT
8/5/2021 1 IGD MBA RIKA AMLODIPIN 10

MASNEURO
CEFIXIME 200
GEMFIBROZIL
LAPISTAN
SIMVASTATIN 10
2 poli umum tn paryuni meloxicam 7.5 mg

bapak karyawan lapistan
masneuro
mp 4mg
9/6/2021 1 KARYAWAN
2 KARYAWAN DOKTER INDO CANDESARTAN 8 MG
9/8/2021 1 MUNASRI AS MEFENAMAT

(ISMI) DEKSAMETHASONE TAB
POTASIUM DIKLO
9/10/2021 1 POLI UMUM ARIANAWATI MASNEURO

LAPISTAN
RANITIDIN TAB
MELOXICAM 15
2 SDR ROHMAT INTUNAL
3 ANIS KHOIRUN FONT ACTIV

PROMAVIT
9/11/2021 1 POLI GIGI MB EKA AMOXICULLIN TAB

DEXAMETASON TAB
ASAM MEFENAMAT
2 FENNY INTUNAL
3 BU HANI HANDSCOON STERIL 6.5

PHYTOMENADION
ABBOCATH 20
ABBOCATH 18
CHROMIC 3/0
9/13/2021 1 AURIA Diazepam tbl 5 mg (Mersi)
2 EKA H AS MEFENAMAT
AMOXICILLIN
PARASETAMOL
9/15/2021 1 NY SITI SHOLEHAH ANALTRAM
2 APRILIA Gentamisin SK (molex)
9/17/2021 3 ora ngerti cavicur

curmunos
4 DR INDO AMOXICILLIN TAB

K DIKLOFENAC
GRAFAZOL
9/20/2021 1 FERIKA ALLOPURINOL 100

CETERIZIN
AS MEFENAMAT
DEXAMETHASONE
9/23/2021 1 AGUS OK THYROZOL 5MG
2 FENI KASIR CEFIXIME 200 MG

LANSOPRAZOLE TAB
7/24/2021 1 BU WIDI NAC

CEFIXIME
METILPREDNISOLON 4MG
2 POLI DALAM MB DANA SIMVASTATIN

MASNEURO
3 APRILIA BIVALEX
DEXAMETASON
CETIRIZIN
4 DIYAH AYU RANITIDIN INJ

ONDANSENTRON INJ
MERSIBION INJ
9/25/2021 1 NY. SETYANINGSIH DULCOLAX SUPP

ANTIHEMOROID SUPP
9/27/2021 1 POLI OBGYN NY FITRIYA AYU Nifedipine tbl 10 mg(Dexa M)
9/29/2021 1 rizal Masneuro
9/30/2021 1 DR ARIO CETIRIZIN TAB

HARGA SATUAN QTY JUMLAH TOTAL BAYAR PENDAPATAN HARIAN
Rp 375 10 Rp 3,750 Rp 3,750
91 20 Rp 1,820 Rp 72,980
924 10 Rp 9,240
3081 10 Rp 30,810
494 10 Rp 4,940
1716 10 Rp 17,160
901 10 Rp 9,010
263 10 2,630 34,700

1716 10 17,160
924 10 9,240
567 10 5,670
Rp 858 8 6,864
Rp 599 80 Rp 47,920
Rp 443 10 Rp 4,430 Rp 13,200

Rp 165 10 Rp 1,650
Rp 712 10 Rp 7,120
Rp 924 10 Rp 9,240 Rp 34,280

Rp 1,716 10 Rp 17,160
Rp 325 10 Rp 3,250
Rp 926 5 Rp 4,630
Rp 787 4 Rp 3,146 Rp 3,146
Rp 158,400 1 Rp 158,400 Rp 201,960

Rp 4,356 10 Rp 43,560
Rp 278 10 Rp 2,783 Rp 7,930

Rp 140 10 Rp 1,396
Rp 375 10 Rp 3,751
Rp 858 8 Rp 6,864 Rp 6,864
Rp 13,200 10 Rp 132,000 Rp 240,476

Rp 986 10 Rp 9,860
Rp 8,098 2 Rp 16,195
Rp 8,098 4 Rp 32,390
Rp 10,006 5 Rp 50,030
125.4 Rp 4 Rp 502 BELUM BAYAR
Rp 443 10 Rp 4,430 Rp 12,660

Rp 601 10 Rp 6,010
Rp 222 10 Rp 2,220
Rp 11,880 5 Rp 59,400
Rp 2,640 1 Rp 2,640
Rp 655 10 Rp 6,550 Rp 85,200

78650 1 Rp 78,650
Rp 329 10 Rp 3,290 Rp 14,970

Rp 712 10 Rp 7,120
Rp 456 10 Rp 4,560
Rp 247 30 Rp 7,410 Rp 16,030

Rp 254 10 Rp 2,540
Rp 443 10 Rp 4,430
Rp 165 10 Rp 1,650
Rp 794 20 Rp 15,880
Rp 2,607 10 Rp 26,070 Rp 31,420

Rp 535 10 Rp 5,350
Rp 1,078 20 Rp 21,560 Rp 52,430

Rp 2,607 10 Rp 26,070
Rp 480 10 Rp 4,800
Rp 762 20 Rp 15,240 Rp 23,710

Rp 847 10 Rp 8,470
Rp 12,463 1 Rp 12,463 Rp 15,993

Rp 139 10 Rp 1,390
Rp 214 10 Rp 2,140
Rp 1,545 1 Rp 1,545 Rp 17,587

Rp 4,880 1 Rp 4,880
Rp 5,581 2 Rp 11,162
Rp 25,300 1 Rp 25,300 Rp 32,267

Rp 3,484 2 Rp 6,967
Rp 129 10 Rp 1,290
Rp 847 10 Rp 8,470 Rp 8,470
Rp 99 10 Rp 990 Rp 990
RESEP OBAT
8/1/2021 1 IGD RASIMIN NGT No 16

00-69-20 Infus Set Dewasa
Alat suntik 20 ml (Aximed) spuit
Gudel airway no 100 (merah)
Ringer Laktat(Widatra)
Atropin sulfat injeksi(Ethica)
2 COPY RESEP NY SITI ESCORTE
3 IGD PAYEM KONI D

SIVIT ZINC
PARASETAMOL
AZITROMYCIN TAB
DEXA 0.5 TAB
8/2/2021 1 poli umum sdr MEISYA ANGGRAINI Lagesil

Zinc tbl 20 mg(KF)
2 POLI DALAM TN SUMARNO Amlodipin 10mg

Miniaspi
Furosemid 40mg (KF) tablet
Sivit zinc (mersi)
KONI D 400
3 POLI DALAM TN ARIS NOVIYANTO MINIASPI

AMLODIPIN 10
MEGAZINC
L VIT D3
4 POLI DALAM NY SUWILAH Bisoprolol tab 5 mg (Novel)

Furosemid 40mg (KF) tablet
Spirolacton 25mg
Miniaspi
Clopidogrel
Lansoprazole kapsul 30 mg (BERNO)
SUCRALFAT SUSPENSI (PROMED)
5 POLI OBGYN NY JAYILATUL AB VASK 10 MG

DOPAMET
CAL 95
AXION
6 POLI OBGYN NY KHOLIFATUS Z CAL 95
7 POLI OBGYN NY DEWI P PROMAVIT
8 POLI OBGYN NY MUJIDAH AXION

AS MEFENAMAT
KALNEX
9 POLI OBGYN NY ELIA K LVIT D3
10 POLI OBGYN NY RENI P DOMPERIDON

PROMAVIT
CAL-95
L-VIT D3
11 POLI OBGYN NY. ENDAH SULISTYOWATI KURKUMEX

Susu Fontactive One
12 POLI OBGYN NY. SARMINAH CAL-95
13 POLI OBGYN NY. DWIYANA NOVITA NAUSIMEX

KURKUMEX
FOREMES
14 POLI OBGYN NY. SILVIA DWI SUJIANA Parasetamol 500 mg(Mersi)
PROMAVIT
CAL-95
NAUSIMEX
LVIT D3
IGD TN. JUMADI Ketorolac inj. 30mg/ml(Ethica)

Difenhidramin injeksi 10 mg/ml (Pha
ODR 4MG
Scopma
Omeprazole 20 mg
SUCRALFAT SUSPENSI (HOLI)
8/3/2021 1 Poli GIGI sdri Cicik Lestari amox tab

asmef
2 POLI OBGYN NY FITROTUN NURUL L-VIT D3

CAL-95
KURKUMEX
3 POLI OBGYN NY SITI NUR KHAMIDAH L-VIT D3

PROMAVIT
8/4/2021 1 POLI DALAM NY KATI ATORVASTATIN

B KOMP
MINIASPI
CLOPIDOGREL
LISINOPRIL
BISOPROLOL
SPIRONOLAKTON 25
ISDN
LANSOPRAZOL
2 POLI DALAM TN PRIYANTO AMLODIPIN 10
MINIASPI
GLIMEPIRIDE
METFORMIN
SIVIT ZINC
3 POLI DALAM NY SULASTRI CODEIN 10MG

METFORMIN 500MG TAB
GLIMEPIRID 2MG
SPIRONOLACTON 25
BISOPROLOL 5MG
SIVIT ZINC
FUROSEMID
4 POLI OBGYN NY SUCI WAHYU PROMAVIT

00.70.67 CAL-95
CRAWAK 3/3 KALANGLUNDO MISCROGEST 100MG
5 POLY OBGYN NY IMAS SUCI LVIT D3

00.50.34 CAL-95
PANDEAN 2/1 WIROSARI KURKUMEX
6 POLY OBGYN NY AYU SULIS RANITIDIN

MISCROGEST 100MG
FOREMES
NAUSIMEX
KURKUMEX
7 POLI OBGYN NY LILIS LISNAWATI MICROGEST 100MG

FOREMES
NAUSIMEX
8 POLI OBGYN NY RIANA ASAM TRANEXAMAT

ESCORDIA
ESCOTE
FOLAVICAP 100 MCG
KONI E
9 POLI OBGYN MOH RIFAI KQ100

MEGAZING
FOLAVICAP 1000MCG
AXION
8/5/2021 1 COPY RESEP NY NIKEN TRILAC
2 POLI OBGYN NY ADE ERMA ARYANI L-VIT D3

FOREMES
3 POLI OBGYN NY SITI MUTIAH L-VIT D3

CAL-95
4 POLI OBGYN NY NIKEN DWI P KONI E
5 IGD ARDIAN ZAMRONI GENTAMISIN SK

ASMEF
AMOX TAB
DEXA TAB
8/6/2021 1 IGD NY WAKINEM KETOROLAK INJ

SPUIT 3CC
8/6/2021 2 COPY RESEP NY ELHAWA AXION

KONI E
PROMAVIT
CAL 95
KURKUMEX
L-VIT D3
8/7/2021 1 IGD MOHAMMAD ABDULLAH SALBUTAMOL 2MG

CEFADROXIL
CETERIZIN
CTM
AMBROXOL
8/8/2021 1 POLI OBGYN NY NASIKATUS SHOLEHAH NAUSIMEX

KURKUMEX
FOREMES
2 POLI OBGYN NY LULUK SETYARINI KURKUMEX

PROMAVIT
CAL-95
3 POLI OBGYN NY ANISA R SUSU FONT ACTIVE ONE
4 POLI OBGYN NY. FITRIYANI SUSU FONT ACTIVE ONE

KURKUMEX
PROMAVIT
8/9/2021 1 IGD TN SARPIN Salbutamol tbl 2 mg(KF)

Setirizine kps 10 mg (Futamed)
Deksametason tbl 0.5 mg (Novaphari
Vitamin C 500mg
2 POLI DALAM NY LASIYEM COMVIT D3 1000

SIVIT ZINK
3 POLI DALAM TN SUMARNO CODEIN 10MG

SPIRONOLACTON 25MG
AMLODIPIN 10MG
BISOPROLOL 5MG
FUROSEMID
SIVIT ZINK
COMVIT D3 1000
4 VK INTAN AYU P DOMPERIDON
5 POLI OBGYN NY MARYANTI Microgest 200 mg

00-70-76 AB-VASK 10MG
KONI E 400
OPTIMUNO
6 POLI OBGYN NY AFRIDA INDRIYANI CAL-95

00-70-78
7 POLI OBGYN NY IKA FEBRIANA OPTIMUNO

00-60-45 Promavit
8 POLI OBGYN NY TUTIK ANDAYANI SUSU FONT ACTIVE ONE

00-60-06 PROMAVIT
L-VIT D3
9 POLI OBGYN NY RINA DIYAH PALUPI CEFILA 200

00-32-15 Megazing
AXION
ANALTRAM
Dermafix t 10x25
10 POLI OBGYN NY NAFIATUL F CAL-95

00-70-77
11 POLI OBGYN NY EFUI INDAH LESTARI L-VIT D3

00-70-78
12 POLI OBGYN NY ERIANA R PROMAVIT

00-70-79 OPTIMUNO
13 POLI OBGYN NY DWI ERNASARI PROMAVIT

00-38-40 CAL-95
L-VIT D3
14 IGD AN SINTIA RAHMA AGUSTINA Fartolin inhalasi
8/10/2021 1 IGD NGATMIN AMOX TAB

KETOPROFEN TAB
OMEPRAZOLE CAPS
NEOCENTA
MEGAZINC
2 POLI DALAM DEDI WIJAYA CEFIXIM 200 MG

HCT
ANALTRAM
3 COPY RESEP NY. SITI ESCORTE
8/11/2021 1 IGD NY SUMINI RANITIDIN INJ
2 IGD NY KARTIYEM CEFIXIME 200MG

NA DICLO
MASNEURO
3 IGD NY KARTIYEM Lansoprazole kapsul 30 mg (Nufarind

4 IGD SLAMET ASTUTIK SUCRALFAT SUSPENSI (HOLI)

Ondansentron 4 mg
Omeprazole 20 mg
8/12/2021 1 POLI DALAM NY SUNTARI LISINOPRIL 10

FUROSEMID
BISOPROLOL 5MG
LANSOPROZOLE
ASAM FOLAT 400MG
NAC
CEFIXIME
AMLODIPIN 10MG
2 IGD NY JAMINAH BIOSAT INJ
CEFIXIME
DEKSAMETHASON TAB
PARACETAMOL TAB
SIVIT ZINK
3 POLI DALAM NY MAHMUDAH PIOGLITAZONE 30MG

METFORMIN
GLIMEPIRID 2MG
SIVIT ZINK
BISOPROLOL 5MG
COMVIT D3
LISINOPRIL 10MG
4 IGD TN. JIWANTONO Amlodipin 10mg (Sampharindo)

Omeprazole 20 mg
SIVIT ZINK
PARACETAMOL TAB
5 IGD an. TARA ULFA Fartolin inhalasi
6 POLI OBGYN NY SRI UNTARI CAL-95

L-VIT D3
7 POLI OBGYN NY ZULFA Susu Fontactive One
8 POLI OBGYN NY TESSA KUMALA CAL-95

PROMAVIT
9 POLI OBGYN NY MUNAWAROH ANALTRAM

Megazing
OBH SYR
10 POLI OBGYN NY. MUFLICHAH MEGAZINC
ANALTRAM
AXION
11 POLI OBGYN NY. SITI QOIRIYAH OPTIMUNO

PROMAVIT
12 POLI OBGYN NY. UMI NURISTIQOMAH AXION
13 POLI OBGYN NY. RENI AS MICROGEST 100

FOREMES
NAUSIMEX
KURKUMEX
14 POLI OBGYN NY. DEWI K L-VIT D3

CAL 95
15 POLI OBGYN NY. KRISTIYANA L-VIT D3

PROMAVIT
16 POLI OBGYN NY. SITI NURKAMAH MICROGEST 100

FOREMES
KURKUMEX
8/13/2021 1 IGD NUR KHAYATI FARTOLIN

SALBUTAMOL 2 MG
AMBROXOL
CEFADROXIL
RANITIDIN
2 POLI DALAM HJ SITI MARSIDAH BISOPROLOL 5MG

AMLODIPIN 10MG
SIVIT ZINK
COMVIT D3
LANSOPRAZOLE
SUCRALFAT SYR
3 IGD SUJIMAN ATROPIN
4 IGD AN. DARMAYA Ambroxol 30mg tab

CTM PIM
5 PAK TRIS ANALTRAM
8/15/2021 1 POLI OBGYN NY. FERA FEBRIANTI CAL-95
2 POLI OBGYN NY. SENDANG M CAL-95

PROMAVIT
3 POLI OBGYN NY. SEMI INDAH PROMAVIT
4 POLI OBGYN NY. MIRA Y PROMAVIT

L-VIT D3 5000
5 POLI OBGYN NY LINA BUDIARTI CAL-95

L-VIT D3 5000
8/16/2021 1 IGD GAISHAN ARSYA HENDRAWAN Parasetamol syr 120mg/5ml (Mersi)

CAVICUR TAB
Amoxillin tab 500mg
Dumin Rectal 125 mg
2 POLI UMUM NY RASMI LAPISTAN
MELOXICAM 15 MG
MASNEURO
RANITIDINE
3 IGD ARINA ULFA PARACETAMOL TAB

NA DIKLOFENAK
OXYVIT
CEFIXIME 200 MG
DOMPERIDON TAB
OMEPRAZOLE CAPS
4 POLI OBGYN NY. NURUL F L-VIT D3 5000

CAL-95
PROMAVIT
5 POLI OBGYN NY RINA DYAH PALUPI KONIDERM SK
6 POLI OBGYN NY ERI OPRAS CAL-95
7 POLI OBGYN NY SITI MUNTIAH KURKUMEX
8 IGD TN SUWARTO HADI Ringer Laktat(Widatra)

Aminofilin inj 24mg/ml (Lucas)
Clopidogrel
Miniaspi
Pampers L
Dobutamin HCl injeksi 250mg/5ml (D
Aquabides
8/17/2021 1 IGD MITA APRILIANA NA DIKLOFENAK 59

VIT B COMPLEX
2 IGD ANDRE APRILIANO CEFADROXIL TAB

ASAM MEFENAMAT (TRIMAN)
3 IGD TN SAJAR ODR 4MG
Lansoprazole kapsul 30 mg (BERNO)
CAVICUR TAB
8/18/2021 1 POLI UMUM AN AJI OSAKA CEFADROXIL

MELOXICAM
LAPISTAN
2 POLI GIGI DEWI SULISTYOWATI CLINDAMISIN 300MG

ASAM MEFENAMAT
PARACETAMOL
3 POLI DALAM TN SUMARNO METILPREDNISOLON 8 MG

BISOPROLOL 5MG
AMLODIPIN 10MG
SPIRONOLACTON 25MG
4 POLI DALAM TN SUROTO N-asetil sistein tab (PT.GUARDIAN)

Miniaspi
Metil Prednisolon 4mg
Kodein 10mg
OBH surya
Sivit zinc (mersi)
COMVIT D3 1000
5 POLI DALAM NINIK SUSILOWATI

LANSOPRAZOLE 30MG
6 POLI DALAM NY SULASTRI CODEIN 10MG

NAC
GLIMEPIRID 2MG
METFORMIN
SPIRONOLACTON 25 MG
BISOPROLOL 5MG
SIVIT ZINK
7 POLI OBGYN NY DYAH AYU KURKUMEX

FOREMES
8 POLY OBGYN LILIS ERNAWATI PROMAVIT

KURKUMEX
NAUSIMEX
MICROGEST 100 MG
9 POLI OBGYN NY SITI SHOLIHATI CAL-95

L-VIT D3
10 POLI OBGYN NY. SUCI WAHYUNINGSIH GENOCLOM

FOLAVIT 1000
KONI E
MICROGEST 200
11 POLI OBGYN NY. SISKA OKTAVIA CAL-95

L-VIT D3
12 POLI OBGYN NY. VONI VERONIKA CAL-95

FOREMES
13 POLI OBGYN NY. YENTI W CAL-95

L-VIT D3
14 POLI OBGYN NY. UMI N KALNEX 500 MG

CAL-95
L-VIT D3
15 POLI OBGYN NY. ANDREANA L-VIT D3 5000
ESCORTE
ESCORDIA
FOLAVIT 1000
KONI E
GENOCLOM
8/19/2021 1 IGD sri sugiwati asam mefenamaf

cefadroxil tab
lidocain amp
2 IGD NY PURSINI ASAM MEFENAMAT

CEFDROXIL TAB
AMLODIPIN 10MG
RANITIDIN TAB
LISINOPRIL 10MG
3 POLI DALAM TN JIWANTONO SIVIT ZINK

B.COMP
AMLODIPIN 10MG
AZITROMISIN
NAC
METIL 4MG
CUVICUR
4 POLI DALAM SUNTARI GLIMEPIRID 2MG

FUROSEMID
BISOPROLOL 5MG
LANSOPRAZOLE 30MG
NAC
MINIASPI
AMLODIPIN 10MG
5 POLI DALAM SRIJATUN DOMPERIDON TAB

PIOGLITAZON 30MG
LANSOPRAZOLE
6 POLI OBGYN NY FITRIYA KRISTIYANA PROMAVIT

CAL-95
7 POLI OBGYN NY ERNAWATI CAL-95
L-VIT D3 5000
8 POLI OBGYN INTAN AYU KONIDERM SK
9 POLI OBGYN LISA INAYAH PROMAVIT

L-VIT D3 5000
10 POLI OBGYN SITA ANTIKA AXION
11 POLI OBGYN NY SITI ROFIAH ESCORTE

FOLAVIT 1000
KONI E 400
Metformin HCl tablet 500 mg (Hexp
12 POLI OBGYN MUFLIKAH KONIDERM SK
13 POLI OBGYN NY BETARI MAULIDA ANALTRAM

NAUSIMEX
8/20/2021 1 IGD Jesica Terani Asam mefenamat tbl 500 mg (Mersi)

Cefadroxil 500
2 POLY OBGYN MUNAWAROH KONIDERM SK

CEFILA 100 MG
DEXA TAB
AMBROXOL TAB
8/21/2021 1 POLI DALAM NY WASIYEM AMLODIPIN 10MG

BISOPROLOL 5MG
MINIASPI
SPIRONOLACTON 25MG
2 POLI DALAM NY SUMARNI BISOPROLOL 5MG

AMLODIPIN 10MG
SPIRONOLACTON 25MG
MINIASPI
3 COPY RESEP NY YUANITA FOREMES

KURKUMEX
FONT ACTIVE
4 COPY RESEP NY LULUK CEFILA 200MG
5 COPY RESEP NY RENI FOREMES

KURKUMEX
8/22/2021 1 IGD TN. NYOTO CPG

MINIASPI
SUCRALFAT
8/23/2021 1 IGD ERLANGGA WIRA Fartolin inhalasi

Metil Prednisolon 4mg
Ambroxol 30mg tab
2 POLI UMUM TN AGUS SISWANTO CEFIXIME

MP 4MG
LAPSITAN
RANITIDIN
3 POLI UMUM TN BUKORI CEFIXIME

MP 4MG
INTUNAL
RANITIDIN
4 POLI DALAM TN SETO HARIYANTO CEFIXIME
LAPISTAN
AMLODIPIN 10MG
MASNEURO
GEMFIBROZIL 300MG
5 POLI OBGYN NY ST. NOOR H AB VASK 10MG

CAL-95
6 POLI OBGYN NY. SRI RAHAYU NAUSIMEX

KURKUMEX
ANTASIDA SYR
7 POLI OBGYN NY SAFITRI L CAL-95
8 POLI OBGYN NY SITI SARIFAH PROMAVIT

CAL-95
9 POLI OBGYN NY. NOVA PROMAVIT

CAL-95
10 POLI OBGYN NY. AYU SULISTYOWATI PROMAVIT

NAUSIMEX
KURKUMEX
11 POLI OBGYN NY LINA ROSITA L-VIT D3 5000

CAL-95
12 POLI OBGYN NY APRILIA NAUSIMEX

KURKUMEX
FOREMES
13 POLI OBGYN NY WIWIK L-VIT D3 5000

CAL-95
14 POLI OBGYN NY WIDYA APRILIA L-VIT D3 5000
CAL-95
8/24/2021 1 IGD SUGIONO Cefadroxil 500

Lansoprazole kapsul 30 mg (Nulab)
Natrium Diklofenak 50mg
2 POLI UMUM TN HARNO MASNEURO

LAPISTAN
MELOXICAM 15MG
3 POLI UMUM NY HARTATIK MASNEURO

CITICOLIN
AMLODIPIN 10 MG
FUROSEMID TAB
4 POLI OBGYN NY. PUJI MUNTAMAH KURKUMEX
5 POLI OBGYN NY SITI AMINATI CAL-95

FONTACTIVE
6 POLI OBGYN NY. SELA ANGGITA CAL-95
7 POLI OBGYN BETARI AXION

FONTACTIVE
8/25/2021 1 POLI OBGYN NY SITI PUATUN Kalnex tablet

LAVIT-C 1000
2 POLI OBGYN NY METASARI AXIOON
PROMAVIT
KURKUMEX
COMIVIT D3
3 POLI OBGYN NY FITRIANA OKTAVIANI AB VASK 10 MG

PARASETAMOL 500 MG
COMVIT D3
4 POLI OBGYN NY SITI KHOEROTUN COMIVIT D3

PROMAVIT
8/26/2021 1 POLI UMUM TN SANTOSO MASNEURO

KALIUM DICLOFENAC
ALLOPURINOL
AMLODIPIN 10MG
2 POLI UMUM NY SRI JATUN METFORMIN

GLIMEPIRID 2MG
LAPISTAN
MASNEURO
3 POLI OBGYN RITA MUSSAROH L VIT D3 1000 MG
4 POLI OBGYN SRI SUSANTI L VIT D3 1000 MG
5 POLI OBGYN AJENG SAFITRI L VIT D3 1000 MG

CAL 95
6 POLY OBGYN ERNAWATI FOREMES

NAUSIMEX
7 POLY OBGYN WAHYU SIWI OPTIMUNO

KURKUMEX
MISOPROSTOL
DERMAFIX
8/29/2021 1 POLY OBGYN ROSIATI PROMAVIT
2 POLY OBGYN LINDAWATI FOREMES
3 POLY OBGYN NY NURUL FOREMES

OPTIMUNO
5 IGD TN DARJI Lansoprazole kapsul 30 mg (Nulab)

Miniaspi
Nifedipine tab (Dexa)
Ketoprofen inj
Ketoprofen tab
Sivit zinc (mersi)
6 POLI OBGYN NY TIKA APRILIA FOREMES

KURKUMEX
7 POLI OBGYN NY OKTIKA CAL-95

KURKUMEX
FOREMES
8 POLI OBGYN NY USWATUN KURKUMEX

FOREMES
9 IGD AN DEVI L BIO

L-Zinc Sirup
Vitamin C tbl 250 mg (KF)
10 POLI OBGYN NY WITA FOLAVIT 1000
11 IGD NY HESTI Ringer Laktat(Widatra)

Parasetamol Infus
Bioron Injeksi
Onetic 8 Injeksi
8/30/2021 1 POLI UMUM ALLETE QUENTY CEFADROXIL

00.30.59 DEXAMETHASON
KUNDERN BARAT 5/6 WRS ETAFLUSIN SYR
2 POLI DALAM TN SUMARNO METFORMIN 500MG

00.65.54 GLIMEPIRID 2MG
SOKO 4/4 DAPURNO BISOPROLOL 5MG
AMLODIPIN 10MG
NAC
3 POLI UMUM MARTHA YENEMIA LAPISTAN

CEFADROXIL
MASNEURO
LAGESIL
4 poli dalam TN SUROTO MINIASPI

CETIRIZIN
CODEIN 10MG
CEFIXIM
ZIVIT ZINK
5 POLI DALAM TN DJAMASRI FUROSEMID

SPIRONOLACTON 25
ATORVASTATIN
ALLOPURINOL 100 MG
LISINOPRIL 10 MG
BISOPROLOL 5 MG
NAC
6 IGD NY. SUMIYATI DEXA INJ

DIPHENHIDRAMIN INJ
LORATADIN
DEXAMETASON TAB
OXYVIT
7 POLI OBGYN NY. LINA ASTUTI PROMAVIT
8 POLI OBGYN NY YUANITA KONIDERM SALEP

AXION
OPTIMUNO
LAVIT C 1000
9 POLI OBGYN SULASMI KURKUMEX

FOREMES
10 POLI OBGYN NY RENI KONIDERM SALEP

CAL-95
AXION
11 POLI OBGYN NY VIKA KURKUMEX

L-VIT D3 1000
12 POLI OBGYN NY DWI AYU FOREMES

CAL-95
13 POLI OBGYN ny ajeng FOREMES

CAL-95
14 POLI OBGYN ny putri KURKUMEX

NAUSIMEX
FOREMES
15 POLI OBGYN ny RIA YULIATI NAUSIMEX
FOREMES
Microgest 100 mg
8/31/2021 1 POLI OBGYN NY PRIHATIN SUSANTI L-VIT D3 1000

FOREMES
2 POLI OBGYN NURUL BADIAH PROMAVIT

AXION
3 POLI OBGYN SRI NINGSIH FOREMES
4 POLY OBGYN NY SENDANG MULYANI CAL-95

KURKUMEX
PROMAVIT
5 POLY OBGYN NY WIDAYANTI PROMAVIT
6 POLY OBGYN NY YANTI PROMAVIT
7 POLY OBGYN NY SEFTIANA W KONI E

L VIT D3 1000 MG
8 POLY OBGYN NY SITI LESTARI FONT ACTIVE

KURKUMEX
9 POLY OBGYN NY JESSIKA PARACETAMOL TAB

PROMAVIT
10 IGD RIBUT DWI OMEPRAZOL INJ

SCOPMA TAB
AQUABIDEST
SUCRALFAT SYR
RANITIDIN TAB
DIAZEPAM TAB 2MG
11 IGD NN RISMA CAVICUR TAB

RANITIDIN TAB
DIAZEPAM 2MG TAB
SUCRALFAT SYR
PENDAPATAN
HARGA SATUAN QTY JUMLAH TOTAL BAYAR
HARIAN
39,600 1 39,600.00 Rp 126,633.80

8,580 1 8,580.00
2,345 1 2,344.80
33,000 1 33,000.00
9,919 3 29,757.00
1,545 2 3,090.00
2,131 2 4,262.00
6,000.00
Rp 321,583.80
4,620 30 138,600.00 Rp 144,600.00
6,000.00
1,188 10 11,880.00 Rp 50,350.00

702 10 7,020.00
222 15 3,330.00
4,160 5 20,800.00
165 8 1,320.00
6,000.00
1,452 10 14,520.00 Rp 26,150.00

222 10 2,220.00
682 5 3,410.00
6,000.00
260 8 2,080.00 Rp 26,432.00

137 8 1,096.00
267 8 2,136.00
702 8 5,616.00
1,188 8 9,504.00
6,000.00
137 10 1,370.00 Rp 77,490.00

260 5 1,300.00
3,450 10 34,500.00
3,432 10 34,320.00
6,000.00
77,490.00
328 5 1,640.00 Rp 69,776.00

267 10 2,670.00
476 10 4,760.00
137 10 1,370.00
2,210 10 22,100.00
116 25 2,900.00
634 10 6,340.00
18,876 1 18,876.00
156 20 3,120.00
6,000.00
12,540 15 188,100.00
2,222 21 46,662.00
6,864 15 102,960.00
5,280 15 79,200.00
6,000.00
422,922.00
6,864 10 68,640.00 Rp 74,640.00

6,000.00
4,356 10 43,560.00 Rp 49,560.00

6,000.00
5,280 20 105,600.00 Rp 160,250.00 Rp 3,604,952.00

443 10 4,430.00
4,422 10 44,220.00
6,000.00
3,432 10 34,320.00 Rp 40,320.00

6,000.00
1,226 20 24,520.00 Rp 323,560.00

4,356 20 87,120.00
6,864 20 137,280.00
3,432 20 68,640.00
6,000.00
1,031 30 30,937.50 Rp 195,337.50

158,400 1 158,400.00
6,000.00 Rp 189,337.50
6,864 10 68,640.00 Rp 74,640.00

6,000.00
15,840 30 475,200.00 Rp 591,337.50

1,031 30 30,937.50
2,640 30 79,200.00 Rp 585,337.50
6,000.00
222 10 2,220.00 Rp 510,480.00

6,000.00
4,356 15 65,340.00
6,864 10 68,640.00
15,840 20 316,800.00
3,432 15 51,480.00 Rp 502,260.00
1,416 1 1,416.00 Rp 108,044.00

1,545 1 1,545.00
1,424 1 1,424.00
40,128 1 40,128.00
6,000.00
1,506 10 15,060.00
1,276 10 12,760.00
143 10 1,430.00
21,055 1 21,055.00
1,226 1 1,226.00
6,000.00
601 10 6,010.00 Rp 16,440.00

443 10 4,430.00
6,000.00
16,440.00
3,432 15 51,480.00 Rp 146,745.00

Rp 247,065.00
6,864 10 68,640.00
1,031 20 20,625.00
6,000.00
3,432 10 34,320.00 Rp 83,880.00

4,356 10 43,560.00
6,000.00
1,430 30 42,900.00 Rp 118,276.50

156 15 2,340.00
137 15 2,055.00
2,210 15 33,150.00
337 15 5,055.00
328 15 4,920.00
476 15 7,140.00
116 45 5,220.00
633 15 9,496.50
6,000.00
118,276.50
260 10 2,600.00 Rp 53,400.00

137 10 1,370.00
270 10 2,700.00
293 20 5,860.00
3,487 10 34,870.00
6,000.00
53,400.00
324 50 16,200.00 Rp 101,114.00

293 30 8,790.00
270 15 4,050.00
476 15 7,140.00
328 8 2,624.00
3,487 15 52,305.00
267 15 4,005.00
6,000.00
4,356 10 43,560.00 Rp 268,680.00

6,864 10 68,640.00
15,048 10 150,480.00
6,000.00
3,432 15 51,480.00 Rp 157,080.00

6,864 10 68,640.00
1,032 30 30,960.00
6,000.00
325 10 3,250.00 Rp 606,850.00

15,048 15 225,720.00
2,640 15 39,600.00
15,840 20 316,800.00
1,032 15 15,480.00
6,000.00
15,048 15 225,720.00 Rp 548,520.00

2,640 30 79,200.00
15,840 15 237,600.00
6,000.00 Rp 1,853,920.50
2,060 20 41,200.00 Rp 738,400.00 BLM BYR & OBT BELUM AMBIL

6,600 30 198,000.00
4,260 60 255,600.00
2,640 30 79,200.00
5,280 30 158,400.00
6,000.00
9,240 30 277,200.00 Rp 624,300.00 BLM BYR & OBT BELUM AMBIL

3,450 30 103,500.00
2,640 30 79,200.00
5,280 30 158,400.00
6,000.00
44,814 1 44,814.00 Rp 50,814.00

6,000.00
3,432 10 34,320.00 Rp 66,720.00

2,640 10 26,400.00
6,000.00
3,432 15 51,480.00 Rp 160,440.00

6,864 15 102,960.00
6,000.00 Rp 463,584.00
5,280 30 158,400.00 Rp 164,400.00

6,000.00
3,120 1 3,120.00 Rp 21,210.00

443 10 4,430.00
601 10 6,010.00
165 10 1,650.00
6,000.00
7,298 1 7,298.00 Rp 14,363.00

1,065 1 1,065.00
6,000.00
5,280 13 68,640.00 Rp 369,744.00

5,280 6 31,680.00 Rp 384,107.00
4,356 18 78,408.00
6,864 18 123,552.00
1,032 13 13,416.00
3,432 14 48,048.00
6,000.00
88 10 880.00 Rp 24,679.00
944 8 7,552.00
Rp 24,679.00
567 10 5,670.00
254 8 2,032.00 Rp 24,679.00
59 5 295.00
225 10 2,250.00
6,000.00
15,840 15 237,600.00 Rp 353,737.50

1,031 30 30,937.50
2,640 30 79,200.00
6,000.00
1,031 30 30,937.50 Rp 373,537.50

4,356 30 130,680.00
6,864 30 205,920.00
6,000.00
Rp 1,905,247.50
Rp 367,537.50
158,400 1 158,400.00 Rp 164,400.00

6,000.00
158,400 1 158,400.00 Rp 326,017.50

1,031 30 30,937.50
4,356 30 130,680.00
6,000.00 Rp 320,017.50
88 10 880.00 Rp 20,200.00
117 10 1,170.00
165 10 1,650.00
894 10 8,940.00
156 10 1,560.00
6,000.00
1,800 10 18,000.00 Rp 31,020.00

702 10 7,020.00
6,000.00
897 20 17,940.00 Rp 55,161.00

476 8 3,808.00
260 8 2,080.00
328 4 1,312.00
267 15 4,005.00
702 8 5,616.00
1,800 8 14,400.00
6,000.00
1,226 42 51,492.00 Rp 57,492.00

6,000.00
29,040 10 290,400.00 Rp 1,022,400.00

12,540 20 250,800.00
5,280 30 158,400.00
10,560 30 316,800.00
6,000.00
6,864 10 68,640.00 Rp 74,640.00

6,000.00
10,560 30 316,800.00 Rp 409,920.00

Rp 4,073,203.00
4,356 20 87,120.00
6,000.00
158,400 1 158,400.00 Rp 398,040.00

4,356 30 130,680.00
3,432 30 102,960.00
6,000.00
39,600 20 792,000.00 Rp 1,364,550.00

3,450 15 51,750.00
5,280 30 158,400.00
11,880 30 356,400.00
6,000.00
19,800 1 19,800.00
6,864 20 137,280.00 Rp 143,280.00

6,000.00
3,432 10 34,320.00 Rp 40,320.00

6,000.00
4,356 10 43,560.00 Rp 207,960.00

10,560 15 158,400.00
6,000.00
4,356 15 65,340.00 Rp 219,780.00

6,864 15 102,960.00
3,432 15 51,480.00
6,000.00
22,440 1 22,440.00 Rp 28,440.00
6,000.00
601 10 6,010.00 Rp 89,840.00

1,197 10 11,970.00
1,276 10 12,760.00
18,600 1 18,600.00
3,450 10 34,500.00
6,000.00
Rp 450,420.00
3,081 10 30,810.00 Rp 215,980.00
194 5 970.00
11,880 15 178,200.00
6,000.00
4,620 30 138,600.00 Rp 144,600.00

6,000.00
1,545 5 7,725.00 Rp 13,725.00

6,000.00
3,081 10 30,810.00 Rp 53,170.00

712 10 7,120.00
924 10 9,240.00
6,000.00
1,014 10 10,140.00 Rp 39,415.00
222 10 2,220.00 Rp 165,085.00
21,055 1 21,055.00
6,000.00
21,055 1 21,055.00 Rp 58,775.00

1,674 10 16,740.00
222 10 2,220.00
1,276 10 12,760.00
6,000.00
337 10 3,370.00 Rp 84,230.00

267 20 5,340.00
328 5 1,640.00
1,014 10 10,140.00
1,182 10 11,820.00
1,420 10 14,200.00
3,081 10 30,810.00
91 10 910.00
6,000.00
170,299 2 340,598.00 Rp 388,298.00

3,081 10 30,810.00
165 10 1,650.00
222 10 2,220.00
702 10 7,020.00
6,000.00
4,648 8 37,184.00 Rp 75,075.00

293 15 4,395.00
270 8 2,160.00
702 8 5,616.00
328 8 2,624.00
1,800 8 14,400.00
337 8 2,696.00
6,000.00
129 10 1,290.00 Rp 40,942.00

116 14 1,624.00
592 10 5,920.00
1,276 14 17,864.00
702 7 4,914.00
222 15 3,330.00
6,000.00
22,440 1 22,440.00 Rp 28,440.00

6,000.00
6,864 10 68,640.00 Rp 108,960.00

3,432 10 34,320.00
6,000.00
158,400 1 158,400.00 Rp 164,400.00

6,000.00 Rp 2,605,527.50
6,864 10 68,640.00 Rp 139,980.00

4,356 15 65,340.00
6,000.00
11,880 10 118,800.00 Rp 168,870.00

3,450 10 34,500.00
165 10 1,650.00
7,920 1 7,920.00
6,000.00
3,450 9 31,050.00 Rp 208,650.00
11,880 10 118,800.00
5,280 10 52,800.00
6,000.00
10,560 20 211,200.00 Rp 260,760.00

4,356 10 43,560.00
6,000.00
5,280 10 52,800.00 Rp 58,800.00

6,000.00
15,048 5 75,240.00 Rp 418,665.00

2,640 30 79,200.00
15,840 15 237,600.00
1,031 20 20,625.00
6,000.00
3,432 10 34,320.00 Rp 108,960.00

6,864 10 68,640.00
6,000.00
3,432 10 34,320.00 Rp 83,880.00

4,356 10 43,560.00
6,000.00
15,048 10 150,480.00 Rp 266,617.50

2,640 30 79,200.00
1,031 30 30,937.50
6,000.00
22,440 1 22,440.00 Rp 44,260.00

88 10 880.00
225 10 2,250.00
944 10 9,440.00
325 10 3,250.00
6,000.00
328 8 2,624.00 Rp 59,933.00

91 8 728.00
702 8 5,616.00
1,800 8 14,400.00
634 15 9,510.00
Rp 126,064.00
21,055 1 21,055.00 Rp 126,064.00
6,000.00
2,131 4 8,524.00 Rp 8,524.00
225 2 450.00 Rp 13,347.00

117 2 234.00
59 1 59.00
137 2 274.00
165 2 330.00
12,000.00
11,880 10 118,800.00 Rp 118,800.00
6,864 15 102,960.00 Rp 108,960.00

6,000.00
6,864 15 102,960.00 Rp 174,300.00

4,356 15 65,340.00
6,000.00
4,356 15 65,340.00 Rp 71,340.00

6,000.00 665,580.00
4,356 15 65,340.00 Rp 136,680.00

4,356 15 65,340.00
6,000.00
6,864 15 102,960.00 Rp 174,300.00

4,356 15 65,340.00
6,000.00
1,536 1 1,536.00 Rp 39,921.56

1,226 2 2,452.00
325 2 650.00
715 2 1,429.56
601 2 1,202.00
156 3 468.00
137 3 411.00
76 2 152.00
19,621 1 19,621.00
12,000.00
1,716 10 17,160.00 Rp 40,280.00
926 5 4,630.00
924 10 9,240.00
325 10 3,250.00
6,000.00
222 10 2,220.00 Rp 48,635.00

146 10 1,460.00
1,600 6 9,600.00
3,081 5 15,405.00
119 10 1,190.00
1,276 10 12,760.00
6,000.00
Rp 646,449.06
4,356 15 65,340.00 Rp 239,640.00
4,356 15 65,340.00
6,864 15 102,960.00
6,000.00
99,000 1 99,000.00 Rp 105,000.00

6,000.00
4,356 10 43,560.00 Rp 49,560.00

6,000.00
1,031 10 10,312.50 Rp 16,312.50

6,000.00
9,919 1 9,919.00 Rp 107,100.00

1,545 1 1,545.00
3,869 3 11,607.00
2,210 4 8,840.00
137 4 548.00
91 1 91.00
8,400 5 42,000.00
15,396 1 15,396.00
3,718 3 11,154.00
6,000.00
146 10 1,460.00 Rp 9,020.00

156 10 1,560.00
6,000.00
944 8 7,552.00 Rp 21,324.00

443 4 1,772.00
Rp 131,729.80
12,000.00
40,128 1 40,128.00 Rp 101,385.80 Rp 131,729.80

325 1 325.00
21,055 1 21,055.00
1,674 10 16,740.00
143 10 1,430.00
634 10 6,340.00
222 10 2,220.00
715 10 7,147.80
6,000.00
944 10 9,440.00 Rp 26,798.00

926 3 2,778.00
1,716 5 8,580.00
6,000.00
930 15 13,950.00 Rp 26,600.00

443 10 4,430.00
222 10 2,220.00
6,000.00
567 20 11,340.00 Rp 24,650.00

328 5 1,640.00
91 10 910.00
476 10 4,760.00
6,000.00
1,274 30 38,220.00 Rp 122,310.00

137 10 1,370.00
91 10 910.00
567 30 17,010.00
897 20 17,940.00
7,920 2 15,840.00
702 10 7,020.00
1,800 10 18,000.00
6,000.00
634 30 19,020.00 Rp 25,020.00

6,000.00
897 40 35,880.00 Rp 131,560.00

1,274 20 25,480.00
270 30 8,100.00
293 90 26,370.00
476 30 14,280.00
328 15 4,920.00
702 15 10,530.00
6,000.00
1,031 20 20,625.00 Rp 105,825.00

2,640 30 79,200.00
6,000.00 Rp 3,400,422.85
4,356 30 130,680.00 Rp 549,345.00

1,031 20 20,625.00
15,840 20 316,800.00
15,048 5 75,240.00
6,000.00
6,864 10 68,640.00 Rp 118,200.00

4,356 10 43,560.00
6,000.00
17,556 5 87,780.00 Rp 357,784.95

2,640 15 39,604.95
5,280 15 79,200.00
29,040 5 145,200.00
6,000.00
6,864 10 68,640.00 Rp 118,200.00

4,356 10 43,560.00
6,000.00
6,864 10 68,640.00 Rp 101,040.00

2,640 10 26,400.00
6,000.00
6,864 10 68,640.00 Rp 118,200.00

4,356 10 43,560.00
6,000.00
4,422 10 44,220.00 Rp 162,420.00

6,864 10 68,640.00
4,356 10 43,560.00
6,000.00
4,356 30 130,680.00 Rp 1,412,469.90
4,620 120 554,400.00
6,600 60 396,000.00
2,640 30 79,209.90
5,280 30 158,400.00
17,556 5 87,780.00
6,000.00
443 10 4,430.00 Rp 21,458.00

944 10 9,440.00
1,588 1 1,588.00
6,000.00
443 10 4,430.00 Rp 27,400.00

944 10 9,440.00
91 10 910.00
325 10 3,250.00
337 10 3,370.00
6,000.00
702 10 7,020.00 Rp 90,407.00

156 10 1,560.00
91 10 910.00
4,160 10 41,600.00
1,274 5 6,370.00
567 16 9,072.00
715 25 17,875.00
6,000.00
270 5 1,350.00 Rp 21,684.00

267 10 2,670.00
328 3 984.00
634 5 3,170.00
1,274 5 6,370.00
137 5 685.00
91 5 455.00
6,000.00
1,226 18 22,068.00 Rp 66,944.00

4,648 7 32,536.00
634 10 6,340.00
Rp 1,349,093.00
6,000.00
4,356 15 65,340.00 Rp 174,300.00

6,864 15 102,960.00
6,000.00
6,864 10 68,640.00 Rp 118,200.00

4,356 10 43,560.00
6,000.00
99,000 1 99,000.00 Rp 105,000.00

6,000.00
4,356 15 65,340.00 Rp 93,120.00

4,356 5 21,780.00
6,000.00
5,280 10 52,800.00 Rp 58,800.00

6,000.00
4,620 0 0.00 Rp 251,610.00

2,641 30 79,230.00
5,280 30 158,400.00
133 60 7,980.00
6,000.00
99,000 1 99,000.00 Rp 105,000.00

6,000.00
11,880 4 47,520.00 Rp 215,170.00

15,840 10 158,400.00
325 10 3,250.00
6,000.00
443 10 4,430.00 Rp 16,094.00

944 6 5,664.00
6,000.00
99,000 1 99,000.00 Rp 367,125.00 Rp 383,219.00

25,740 10 257,400.00
165 15 2,475.00
225 10 2,250.00
6,000.00
91 10 910.00 Rp 16,320.00
328 10 3,280.00
137 10 1,370.00
476 10 4,760.00
6,000.00
328 30 9,840.00 Rp 36,960.00

91 30 2,730.00
476 30 14,280.00
137 30 4,110.00
6,000.00
Rp 1,043,945.00
2,640 30 79,200.00 Rp 264,220.00
1,031 20 20,620.00
158,400 1 158,400.00 Rp 258,220.00
6,000.00
39,600 9 356,400.00 Rp 362,400.00

6,000.00
2,640 30 79,200.00 Rp 105,825.00

1,031 20 20,625.00
6,000.00
2,210 4 8,840.00 Rp 36,169.00

137 2 274.00
21,055 1 21,055.00
6,000.00
22,440 1 22,440.00 Rp 39,191.00

567 5 2,835.00
88 5 440.00
225 5 1,125.00
117 3 351.00
12,000.00
3,081 10 30,810.00 Rp 75,090.00

567 10 5,670.00
1,716 10 17,160.00
1,545 10 15,450.00
6,000.00
3,081 10 30,810.00 Rp 66,510.00

567 10 5,670.00
858 10 8,580.00
1,545 10 15,450.00
6,000.00
3,081 10 30,810.00 Rp 70,048.00
1,716 10 17,160.00
91 10 910.00
924 10 9,240.00
494 12 5,928.00
6,000.00
12,540 20 250,800.00 Rp 359,760.00 102,960.00

6,864 15 102,960.00
6,000.00
15,840 20 316,800.00 Rp 347,585.00 337,425.00

1,031 20 20,625.00
4,160 1 4,160.00
6,000.00
6,864 10 68,640.00 Rp 74,640.00 68,640.00

6,000.00
4,356 15 65,340.00 Rp 174,300.00 168,300.00

6,864 15 102,960.00
6,000.00
4,356 15 65,340.00 Rp 139,980.00 133,980.00

6,864 10 68,640.00
6,000.00
4,356 15 65,340.00 Rp 329,565.00 323,565.00

15,840 15 237,600.00
1,031 20 20,625.00
6,000.00
4,356 10 43,560.00 Rp 118,200.00 112,200.00

6,864 10 68,640.00
6,000.00
15,840 20 316,800.00 Rp 383,025.00

1,031 20 20,625.00
2,640 15 39,600.00 377,025.00
6,000.00
4,356 15 65,340.00 Rp 174,300.00 168,300.00

6,864 15 102,960.00
6,000.00
4,356 10 43,560.00 Rp 118,200.00 112,200.00
6,864 10 68,640.00
6,000.00
944 10 9,440.00 Rp 30,430.00

1,121 10 11,210.00
76 10 760.00
156 10 1,560.00
146 10 1,460.00
6,000.00
924 10 9,240.00 Rp 42,700.00

567 10 5,670.00
1,716 10 17,160.00
926 5 4,630.00
6,000.00
924 10 9,240.00 Rp 81,935.00

6,445 10 64,450.00
91 10 910.00
267 5 1,335.00
6,000.00
1,031 20 20,625.00 Rp 26,625.00

6,000.00
6,864 15 102,960.00 Rp 267,360.00 261,360.00

158,400 1 158,400.00
6,000.00
6,864 15 102,960.00 Rp 108,960.00

6,000.00
5,280 20 105,600.00 Rp 428,400.00 422,400.00

158,400 2 316,800.00
6,000.00
4,422 10 44,220.00 Rp 94,570.00

343 10 3,430.00
4,092 10 40,920.00
6,000.00
5,280 15 79,200.00 Rp 240,817.50 240,817.50
4,356 30 130,680.00
1,031 30 30,937.50
1,800 30 53,999.75 Rp 59,999.75
6,000.00
12,540 10 125,400.00 Rp 160,619.87

222 10 2,220.00
1,800 15 26,999.87
6,000.00
1,800 15 26,999.87 Rp 98,339.87

4,356 15 65,340.00
6,000.00
924 10 9,240.00 Rp 25,740.00

712 10 7,120.00
247 10 2,470.00
91 10 910.00
6,000.00
293 10 2,930.00 Rp 38,030.00

270 10 2,700.00
1,716 10 17,160.00
924 10 9,240.00
6,000.00
3,432 15 51,480.00 Rp 57,480.00

6,000.00
3,432 10 34,320.00 Rp 40,320.00

6,000.00
3,432 10 34,320.00 Rp 143,280.00

6,864 15 102,960.00
6,000.00
2,640 10 26,400.00 Rp 190,800.00

15,840 10 158,400.00
6,000.00
10,560 10 105,600.00 Rp 173,888.00

1,031 10 10,310.00
5,363 6 32,178.00
19,800 1 19,800.00
6,000.00
4,356 10 43,560.00 Rp 49,560.00 776,064.50

6,000.00
2,640 10 26,400.00 Rp 32,400.00

6,000.00
2,640 10 26,400.00 Rp 138,000.00

10,560 10 105,600.00
6,000.00
1,121 10 11,210.00 Rp 76,217.00

1,674 1 1,674.00
137 10 1,370.00
243 1 243.00
1,545 1 1,545.00
5,730 1 5,730.00
1,197 10 11,970.00
702 10 7,020.00
76 10 760.00
592 10 5,920.00
86 20 1,720.00
21,055 1 21,055.00
6,000.00
2,640 15 39,600.00 Rp 55,912.50

1,031 10 10,312.50
6,000.00
6,864 10 68,640.00 Rp 111,352.50

1,031 10 10,312.50
2,640 10 26,400.00
6,000.00
1,031 10 10,312.50 Rp 55,912.50

2,640 15 39,600.00
6,000.00
10,000 6 60,000.00 Rp 118,942.00

43,560 1 43,560.00
1,226 2 2,452.00
222 2 444.00
162 3 486.00
12,000.00
2,641 12 31,692.00 Rp 31,692.00
9,919 2 19,838.00 Rp 106,076.00

16,106 1 16,106.00
1,545 1 1,545.00
5,921 1 5,921.00
55,440 1 55,440.00
1,226 1 1,226.00
6,000.00
944 4 3,776.00 Rp 24,476.00

165 4 660.00
8,040 1 8,040.00
12,000.00
293 30 8,790.00 Rp 41,939.00

270 15 4,050.00
328 8 2,624.00
91 15 1,365.00
1,274 15 19,110.00
6,000.00
1,716 10 17,160.00 Rp 56,360.00

944 10 9,440.00
924 10 9,240.00
1,452 10 14,520.00
6,000.00
137 10 1,370.00 Rp 74,900.00

567 10 5,670.00
117 10 1,170.00
897 40 35,880.00
3,081 10 30,810.00
702 10 7,020.00
6,000.00
267 15 4,005.00 Rp 46,629.00

476 8 3,808.00
1,430 8 11,440.00
247 24 5,928.00
337 8 2,696.00
328 4 1,312.00
1,430 8 11,440.00
6,000.00
1,427 1 1,427.00 Rp 30,841.00

1,424 1 1,424.00
434 10 4,340.00
165 10 1,650.00
1,600 10 16,000.00
6,000.00
4,356 10 43,560.00 Rp 49,560.00 43,560.00

6,000.00
99,000 1 99,000.00 Rp 403,980.00 336,600.00

5,280 15 79,200.00
10,560 15 158,400.00
4,092 15 61,380.00
6,000.00
1,031 30 30,937.50 Rp 116,137.50 110,137.50

2,640 30 79,200.00
6,000.00
99,000 2 198,000.00 Rp 568,320.00 562,320.00

6,864 30 205,920.00
5,280 30 158,400.00
6,000.00
1,031 20 20,625.00 Rp 95,265.00 89,265.00

3,432 20 68,640.00
6,000.00
2,640 15 39,600.00 Rp 148,560.00 142,560

6,864 15 102,960.00
6,000.00
2,640 15 39,600.00 Rp 272,640.00 266,640.00

6,864 10 68,640.00
158,400 1 158,400.00
6,000.00
1,031 30 30,937.50 Rp 551,737.50 545,737.50

15,840 30 475,200.00
2,640 15 39,600.00
6,000.00
15,840 30 475,200.00 Rp 710,880.00
2,640 30 79,200.00
15,048 10 150,480.00
6,000.00
2,096,820.00
3,432 15 51,480.00 Rp 83,880.00 Rp 77,880.00

2,640 10 26,400.00
6,000.00
4,356 10 43,560.00 Rp 102,360.00 Rp 96,360.00

5,280 10 52,800.00
6,000.00
2,640 15 39,600.00 Rp 45,600.00 Rp 39,600.00

6,000.00
6,864 10 68,640.00 Rp 160,605.00 Rp 154,605.00

1,031 20 20,625.00
4,356 15 65,340.00
6,000.00
4,356 15 65,340.00 Rp 71,340.00 Rp 65,340.00

6,000.00
4,356 15 65,340.00 Rp 71,340.00 Rp 65,340.00

6,000.00
5,280 30 158,400.00 Rp 233,040.00 Rp 227,040.00

3,432 20 68,640.00
6,000.00
158,400 1 158,400.00 Rp 185,020.00 Rp 179,020.00

1,031 20 20,620.00
6,000.00
222 15 3,330.00 Rp 74,670.00 Rp 68,670.00

4,356 15 65,340.00
6,000.00
12,834 1 12,834.00 Rp 64,095.00

1,506 11 16,566.00
3,718 1 3,718.00
21,055 1 21,055.00
325 10 3,250.00
112 6 672.00
6,000.00
715 10 7,147.80 Rp 38,124.80

325 10 3,250.00
112 6 672.00
21,055 1 21,055.00
6,000.00
JAM
JAM TERIMA RESEP PENYERAHAN
OBAT
OBT BELUM AMBIL
OBT BELUM AMBIL
8
Rp 973,855.00
HARGA
TANGGAL NO NAMA KARYAWAN NAMA OBAT
SATUAN
8/1/2021 1 NADIA Metil Prednisolon 4mg 567.00
Parasetamol 500 mg(Mersi) 222.00
8/3/2021 1 TEGUH Cefspan syr 121,000.00
8/5/2021 2 ISMI GLIMEPIRID 228.00
CANDESARTAN 8MG 709.00
8/6/2021 1 NY PRICILIA I FAVIPIRAVIR 16,500.00

(SAUDARA AURIA)
8/8/2021 1 NY FERIKA Cetrizine Tab 214.50

Amoxillin tab 500mg 508.20
Ketorolac tab 1,948.10
2 NADIA Obat Flu Batuk/ Intunal 858.00
3 ANIS SUSU FONT ACTIVE ONE 158,400.00
8/10/2021 1 ny. Iik (dr. Ika) diazepam 2 mg 94.60
8/11/2021 1 ny. Fitria Deksametason tbl 0.5 mg (Novapharin) 165.00

Asam mefenamat tbl 500 mg (Mersi) 443.00
Sivit zinc (mersi) 702.00
Parasetamol 500 mg(Mersi) 222.00
Amoksisilin tablet 500 mg (Mersi) 329.00
Amlodipin 10mg (Sampharindo) 91.00
2 SAYLENDRA DEXA 165.00

GG 300.00
SALBUTAMOL 2MG 88.00
8/12/2021 1 DR ALBA MINOSEP 60ML 38,940.00

AMOXICILLIN TAB 601.00
2 Imro Bisoprolol tab 5 mg (Novel) 328.00

Lisinopril 10mg 337.00
Miniaspi 137.00
Masneuro 924.00
8/13/2021 1 eka amoxicillin 500mg 601.00
8/14/2021
8/15/2021 1 DIYAH AYU BIORON 5,426.96
8/16/2021 1 RISWATI GENOCLOM 16,093.00
2 TN ALFIAN RILO Amlodipin 10mg (Sampharindo) 77.00
3 ALFIAN RANAP Ranitidine tbl 150 mg(Mersi) 325.00

Zinc tbl 20 mg(KF) 682.00
Parasetamol syr 120mg/5ml (Mersi) 1,536.00
Domperidon syrup 6,000.00
8/18/2021 1 SUSI Infus Set Dewasa 8,580.00

Alat Suntik 3 ml (Aximed) spuit 1,065.34
Ranitidin inj. 25mg/ml (SOHO) 1,545.00
Fartolin inhalasi 22,440.00
2 BU HANI MGSO4 4,175.00

DERMAFIX 10X25 16,500.00
FASCOPLAS 20,290.00
3 NUR INTUNAL 786.00

ASMET 375.00
4 MB DANA Amlodipin 10mg (Sampharindo) 77.00
8/19/2021 1 NY DIYAH Kloramfenikol TM 11,550.00
8/20/2021 1 SDR ANTOK N-asetil sistein tab (PT.GUARDIAN) 1,078.00
8/21/2021 1 ARIANAWATI PROMAVIT 4,356.00
2 FENI INTUNAL 858.00
3 ANIS KHOIRUN NISA FONTACTIVE ONE 158,400.00
4 TUTUT VK DIKLOFENAK POTASSIUM 712.00
8/22/2021 1 ELISA NEOCENTA 17,050.00

FARMACROL 1,028.50
2 PARACETAMOL SYR 1,299.10
3 KIKI A MEDITHIN 6,600.00
8/23/2021 1 AURIA Thrombopop Gel 54,450.00

PARASETAMOL TAB 188.00
8/25/2021 1 AYU VK FLUNARIZIN 1,382.00

TES KEHAMILAN 2,500.00
ALLOPURINOL 100 247.00
POTASIUM DIKLOFENAK 712.00
8/26/2021 1 APRIL N-ACETILSISTEIN 1,078.00

MASNEURO 847.00
METILPREDNISOLON 4MG 479.00
3 DR PURBO DOPAMET 2,222.00
dr ika Cefixime tab 200 mg (Bernofarm) 3,081.00

Ambroxol 30mg tab 225.00
N-asetil sistein
Atapulgit tabmg
tab 600 (PT.GUARDIAN) 1,274.00
( New Antides ) 185.00
Kodein 10mg 897.00
Obat Flu Batuk/ Intunal 858.00
Novahexin tablet 144.00
DOMPERIDONE (TRIMAN) 1,226.00
8/29/2021 1 SDR ROHMAT Salbutamol tbl 2 mg(KF) 73.70

Cefixime tab 200 mg (Bernofarm) 2,607.00
VIT C 500 MG 687.50
Deksametason tbl 0.5 mg (Novapharin) 139.62
OBH surya 7,260.00
Vitamin B complek tablet(DEF) 132.00
CTM PIM 49.50
8/30/2021 1 ny feny NaCl 0,9%(Widatra) 7,524.00

IV Catheter WP No 22 (Aximed) 8,022.00
Infus Set Dewasa 8,580.00
2 DR IKA Ketorolac tab 1,948.10

Natrium Diklofenak 50mg 123.00
QTY JUMLAH TOTAL BAYAR PENDAPATAN HARIAN
10 Rp 5,670.00 Rp 7,890.00 Rp 7,890.00
10 Rp 2,220.00
1 Rp 121,000.00 Rp 121,000.00 Rp 121,000.00
20 Rp 4,560.00 Rp 4,560.00 Rp 47,100.00
60 Rp 42,540.00 Rp 42,540.00
10 165,000.00 Rp 165,000.00 Rp 165,000.00
10 Rp 2,145.00 Rp 26,708.00
10 Rp 5,082.00
10 Rp 19,481.00
Rp 40,436.00
16 Rp 13,728.00 Rp 13,728.00
2 316,800.00
10 Rp 946.00 Rp 946.00 Rp 946.00
20 Rp 3,300.00 Rp 39,040.00
20 Rp 8,860.00
20 Rp 14,040.00
20 Rp 4,440.00
20 Rp 6,580.00
Rp 40,611.00
20 Rp 1,820.00
3 Rp 495.00 Rp 1,571.00
3 Rp 900.00
2 Rp 176.00
1 38,940 Rp 44,950.00
10 6,010
10 3,280 17,260 Rp 62,210.00

10 3,370
10 1,370
10 9,240
10 6,010.00 6,010.00 6,010.00
1 5426.96 5426.96 5426.96
8 128,744.00 128,744.00
10 770.00 770.00
147,120.00
10 3,250.00 17,606.00
10 6,820.00
1 1,536.00
1 6,000.00
1 8,580.00 42,632.69
8 8,522.69
2 3,090.00
1 22,440.00
4 16,700.00 69,990.00
2 33000 120,286.69
1 20,290.00
4 3,144.00 6,894.00
10 3,750.00
10 770.00 770.00
1 11,550.00 11,550.00 11,550.00
20 21,560.00 21,560.00 21,560.00
10 43,560.00 43,560.00
4 3,432.00 3,432.00
2 316,800.00 316,800.00
10 7,120.00 7,120.00
1 17,050.00 27,335.00
10 10,285.00
1 1,299.10 1,299.10
10 66,000.00 66000
1 54,450.00 58,210.00
20 3,760.00
1 1,382.00 13,472.00
1 2,500.00
10 2,470.00
10 7,120.00
10 10,780.00 24,040.00
10 8,470.00
10 4,790.00
30 66,660.00 66,660.00
20 61,620.00 136,284.00
10 2,250.00
20 25,480.00
20 3,700.00
10 8,970.00
8 6864
20 2880
20 24520
10 737.00 50,153.15 50,153.15

10 26,070.00
10 6,875.00
10 1,396.15
1 7,260.00
10 1,320.00
10 495.00
6000
1 7,524.00 24,126.00
1 8,022.00
1 8,580.00
20 38,962.00 41,422.04
20 2,460.04
2 FERIKA NAC 1,210 30 Rp 36,300.00
PARASETAMOL 188 30 Rp 5,643.00
L-VIT D3 2,989 30 Rp 89,661.00
AZYTHROMYCIN 3,520 18 Rp 63,360.00
OMEPRAZOL INJ 10,859 2 Rp 21,718.40
ONDANSETRON INJ 2,904 3 Rp 8,712.00
SPUIT 3CC 888 2 Rp 1,775.56
SPUIT 10CC 1,382 2 Rp 2,764.74
AQUABIDEST 3,146 2 Rp 6,292.00
Rp 236,226.70
7/1/2021 1 POLI UMUM NY DEWI LUPIYATI
2 POLI UMUM ASRORUI WACHID
3 POLI OBGYN NY SITI SARIFAH
4 POLI OBGYN NY NOVITA AYU
7/2/2020 1 POLI UMUM TIARA MUNIKA
2 (COPY RESEP TGL 27/06/2NY ZENI
3 IGD NY LASIYEM
4 IGD NY HARSUNIAH
7/3/2021 1 POLI UMUM NY PUJI ERNAWATI
2 NY NUNING
3 IGD TN SALIM
4 IGD MIYATUN
7/5/2021 1 POLI UMUM RAFI BUDI SETIAWAN

2 IGD ONY LINAWATI
3 POLI OBGYN SUSI SETYOWATI
4 POLI OBGYN ZULFA
5 POLI OBGYN AZIS
6 POLI OBGYN DEVI PRAHES
7 POLI OBGYN SETIYANINGSIH
8 POLI OBGYN GALIH PURBONINGTI
9 POLI OBGYN NY ARDESTA ALVIANY

10 POLI OBGYN NY SHOLEKAH KHOIRUL
11 POLI OBGYN NY SITI JAMILAH
12 POLI OBGYN NY NURUL FATIKI AMANILAH
13 POLI OBGYN NY UMI KHONIURROHMAS
7/6/2021 1 igd ny kuwatun
2 POLI DALAM NINIK SUSILO WATI

LK DOLOK 4/6 WIROSARI
3 POLI DALAM TN SUHARTO

JL.DIPONEGORO 474
4 POLI DALAM SULASTRI

JL JAMBU 2/2 WIROSARI
5 POLI DALAM MARYONO
6 POLI UMUM TN UMAR ISMAIL
7 POLI UMUM TN KARYANTO
8 POLI OBGYN DEVITA
9 POLY OBGYN NY WAHYU
10 POLY OBGYN NY LULUK
11 POLY OBGYN PUTRI W
12 POLY OBGYN SHOLIKAH

13 POLY OBGYN LISTYORINI
7/7/2021 1 IGD WARTONO
2 POLYOBGYN NY ZENI
3 POLI OBGYN GESTARI AYU
4 POLI OBGYN BETARI MAULIDA
5 POLI OBGYN NY ERLINA
6 IGD TN PASNO
7/8/2021 1 POLI UMUM NINIK SUSILOWATI
2 Poli dalam Virgia Sukma

3 poli dalam Tn Ngaidi
4 Sumariyem
7/9/2021 1 POLI UMUM TN EKO BUDI

(00.61.37)
KRAJAN 4/1 KARANGASEM
2 IGD NY SUTIYEM
65 TAHUN
PURWODADI
3 IGD NY. SUKALIS

7/10/2021 1 POLI GIGI METTASHA MAKAILA
2 IGD NY SARMI
3 POLI DALAM TN EDY WIDARTO
4 IGD TN. GUNAWAN
5 IGD RAFI BUDI
7/11/2021 1 IGD SUBADRI
2 IGD TN SISTOYO
3 POLI OBGYN NY MIA
4 POLI OBGYN NY IKA FEBRIANA

00-60-45
7/12/2021 1 IGD TN DJUMARKO
2 POLI UMUM NY SUKARMI
4 POLI UMUM TN MARYONO
5 POLI UMUM NY DIYAH AYU W
6 POLI UMUM TN HENDRY

7 poli obgyn ny sheylla bryan
8 poli obgyn NY. RENI SUSANTI
9 poli obgyn NY. SHOLIKAH
10 poli obgyn NY. SUHERMIN
7/13/2021 1 POLI GIGI ny Tyas
2 POLI GIGI BASTIAN RAKA
3 POLI UMUM TN SUPRAPTO
4 poli dalam TN CHRISTIAN
5 POLI OBGYN NY SUGIANTI
6 POLI OBGYN NY LUPITASARI

7 POLI OBGYN NY EKA SEPTIANA
8 POLI OBGYN NY DEVITA FITRIANI
7/14/2021 1 POLI OBGYN NY LIYA YUTANTI

00.66.54
2 POLI OBGYN NY WAHYU AMBARSARI

00.31.63
3 POLI OBGYN NY SITI MULYATI

RM 00.45.21
4 POLI OBGYN NY ZENI IRAWATI

00.63.05
5 POLI OBGYN SITI NURKHAMAH

00.37.44
7/15/2021 1 POLI UMUM FERDIAN
4 POLI UMUM NY SITI MARYUNI
5 POLI UMUM TN TOPO ADI
6 POLI OBGYN NY. WIDYA NURUL

7 POLI OBGYN NY LIYA PRIHANDAYANI
4869
7/16/2021 1 POLI UMUM TN SUNARDI

6664
KARANGASEM 5/5 WIROSARI
2 POLI UMUM SARINEM
3 POLI UMUM TN RIFKI
7/17/2021 1 poli dalam NY SUMARIYEM
7/18/2021
7/19/2021 1 POLI DALAM NY. NINIK SUSILOWATI
2 POLI DALAM NY. LASIYEM

3 POLI DALAM NY. NGATMI
4 POLI DALAM NY. RAHMIYANA
5 POLI OBGYN NY ZULIANA SAFITRI
6 POLI OBGYN NY BETARI MAULIDA
7 POLI OBGYN NY IMAS SUCI P
8 POLI OBGYN NY SITI
9 POLI OBGYN NY DYAH N
POLI OBGYN NY LULUK
10 POLI OBGYN NY ANIS Y

11 POLI OBGYN TN YANTO
7/21/2021 1 POLI UMUM NY SULASTRI
2 POLI DALAM TN SARIKEN
4 POLI OBGYN NY ITA RETNO

00.66.90
KEBONDALEM 6/4 SELO TAWANGHARJO
5 POLY OBGYN NY ELIZA NUR AINI

00.66.91
NGASEM 43/7 DOPLANG
6 POLI OBGYN NY YUANITA HANDAYANI

00.50.26
NGASEM 42/7 DOPLANG
7 POLI OBGYN NY FITRIYANI

00.66.93
TEGAL 2/1 KUWU KRADENAN
8 POLI OBGYN AZWIROTUL
9 POLI OBGYN TN ARIF
7/22/2021 1 IGD NY. SULIYEM
2 POLI UMUM TN SLAMET WALUYO
3 POLI DALAM TN DIDIK HARIYANTO

4 POLI DALAM TN SUBADRI
5 POLI DALAM SRIYONO
6 POLI DALAM TN HENRY W
7 POLI DALAM NY GUNARTI
8 POLI DALAM NY SULIKATI
9 IGD LILIK LISTYONO

39 TH
KUNDEN BARAT 9/1 KUNDEN
WIROSARI
10 COPY RESEP NY EKA
11 COPY RESEP NY SHEYLLA
12 POLI OBGYN NY FAJAR RIA A
13 POLI OBGYN DYAH AYU SUKMAWATI
14 POLI OBGYN NY SITI JUNITA
15 POLI OBGYN NY MEI DIA ANGGRAINI
16 POLI OBGYN NY NIKEN
17 POLI OBGYN NY FITA FURNIAWAN

18 POLI OBGYN NY YULI SEPTIANA
19 POLI OBGYN NY LILIS DIAN SAFITRI
20 POLI OBGYN NY ISTI PURNOWATI
7/23/2021 -
7/24/2021 1 IGD TN SUKARNO
7/25/2021 1 POLI OBGYN NY PIPIT ANTIKA SARI
2 POLI OBGYN NY ENDANG SETYOWATI
3 POLI OBGYN NY DIAN LESTARI
* 4 POLI OBGYN NY NASIKATUS S
7/26/2021 1 POLI DALAM TN SUMARNO

2 IGD NY ENDANG LESTARI
4 POLI OBGYN NY ERNA RINAWATI
5 POLI OBGYN NY. SUMI
6 POLI OBGYN NY INTAN AYU PRATIWI
7 POLI OBGYN NY LAILI MUFIDAH
8 POLI OBGYN NY. RINA DYAH
9 POLI OBGYN NY. DWI ERNA SARI
10 POLI OBGYN NY. PUTRI RAHAYU

7/27/2021 1 POLI OBGYN SUHERMIN
POLI OBGYN RINA WIDYASTUTI
POLI OBGYN SITI KHOEROTUN
POLI OBGYN NY RINI
POLI OBGYN KASTA AYU
POLI OBGYN NY NINGSIH
7/28/2021 POLI UMUM TN SLAMET WALUYO
2 POLI OBGYN ISTIROKAH
3 POLI OBGYN NY LIYA YUNTANTI

4 POLI OBGYN SITI QORIYAH
7/29/2021 1 IGD DIDI LAISDAHAYANTI
2 POLI OBGYN NY AJENG SAFITRI
3 POLI OBGYN NY SITI FADILAH
4 POLI OBGYN NY SULAMI
5 POLI OBGYN NY LISA PRIHARTININGSIH
6 POLI OBGYN NY DEWI KUNTARI
7 IGD WAHYU ANDINAH
8 POLI OBGYN NY. PUTRI ROSIANA

(JAMPERSAL)
7/30/2021 1 POLI UMUM SUMIYATI
2 POLI OBGYN NY IKA FEBRIANA

3 POLI DALAM NY LASIYEM
4 POLI DALAM CHRISTIAN ADI

00.66.40
BERU 3/4 KELIREJO WIROSARI
5 POLI DALAM NY KATI

00.30.67
KEDUSAN 4/3 WIROSARI
6 IGD NY. PRIYATI

BRINGIN 6/6 PLOSOREJO,
TAWANGHARJO
7 IGD TN SARIMAN
7/31/2021 1 SISWADI SISWADI
2 IGD NY RANDIYAH
NAMA OBAT HARGA SATUAN QTY JUMLAH
OXYVIT 1,600 10 Rp 16,000.00

ASAM MEFENAMAT 343 10 Rp 3,430.00
DEXAMETHASON TAB 165 10 Rp 1,650.00
OMEPRAZOLE TAB 1,276 10 Rp 12,760.00
6000
CEFIXIME 3,081 10 Rp 30,810.00

METILPREDNISOLON 4 MG 567 10 Rp 5,670.00
INTUNAL 858 10 Rp 8,580.00
Rp 6,000.00
KURKUMEX TAB Rp 990 30 Rp 29,700.00

Promavit Rp 4,356 30 Rp 130,680.00
Cal-95 Rp 6,521 30 Rp 195,630.00
L-VIT D3 1000 Rp 3,261 30 Rp 97,830.00
Rp 6,000.00
Cefila 100 Rp 24,454 10 Rp 244,540.00

Analtram Rp 11,286 10 Rp 112,860.00
Megazing Rp 3,450 10 Rp 34,500.00
Promavit Rp 4,356 10 Rp 43,560.00
LAGESIL TAB 1,452 10 Rp 14,520.00

CEFADROXIL TAB 944 10 Rp 9,440.00
HISTIGO TAB 827 10 Rp 8,270.00
Rp 6,000.00
MEGAZING 3,450 10 Rp 34,500.00

ANALTRAM 11,286 10 Rp 112,860.00
KONI E 5,280 5 Rp 26,400.00
L-VIT D3 3,261 5 Rp 16,305.00
CEFILA 200 37,620 10 Rp 376,200.00
MEDITHIN 6,600 15 Rp 99,000.00
Rp 6,000.00
oxyvit 1,600 10 Rp 16,000.00

KONI D 400 1,188 10 Rp 11,880.00
Azithromocin 500 mg 4,160 5 Rp 20,800.00
N-asetil sistein tab 1,430 15 Rp 21,450.00
Rp 6,000.00
KONI D 400 1,188 10 Rp 11,880.00

Parasetamol 500 mg(Mersi) 222 15 Rp 3,330.00
Megazing 3,450 10 Rp 34,500.00
Curcuma FCT 1,145 15 Rp 17,175.00
DOMPERIDONE (TRIMAN) 1,226 10 Rp 12,260.00
KONI D 400 STRIP 1,906 10 Rp 19,060.00
Rp 6,000.00
CEFIXIM 200 4,183 10 Rp 41,830.00

METHYLPREDNISOLON 567 10 Rp 5,670.00
MASNEURO 924 10 Rp 9,240.00
OMEPRAZOLE 1,276 10 Rp 12,760.00
Rp 6,000.00
AZITROMISIN 4,160 5 Rp 20,800.00

PCT TAB Rp 222 15 Rp 3,330.00
NAC 1,430 10 Rp 14,300.00
INFUS SET DEWASA 8,580 1 Rp 8,580.00
ABBOCATH 20 4,800 2 Rp 9,600.00
NEUROBION INJ 14,739 2 Rp 29,478.00
RL 9,919 3 Rp 29,757.00
Rp 6,000.00
Rp 121,845.00
ISDN 116 1 Rp 116.00

MINIASPI 137 2 Rp 274.00
CPG 2,210 4 Rp 8,840.00
Rp 6,000.00
Rp 15,230.00
RANITIDIN INJ 1,545 1 Rp 1,545.00
AMBROXOL TAB 225 5 Rp 1,125.00

DEXAMETHASON ETAB 165 5 Rp 825.00
SALBUTAMOL 2MG 88 5 Rp 440.00
CETIRIZINE TAB 117 5 Rp 585.00
FARTOLIN 22,440 1 Rp 22,440.00
Rp 6,000.00
PARACETAMOL TAB 222 10 Rp 2,220.00
OMEPRAZOLE CAPS 1,276 10 Rp 12,760.00
NAC 1,430 10 Rp 14,300.00
L VIT D3 3,261 10 Rp 32,610.00
MEGAZING 3,450 10 Rp 34,500.00
Rp 6,000.00
MICROGEST 200 29,040 3 Rp 87,120.00

PARACETAMOL TAB 222 4 Rp 888.00
AB VASK 12,540 3 Rp 37,620.00
Rp 6,000.00
PROMAVIT TAB 4,356 10 Rp 43,560.00

CAL 95 6,521 10 Rp 65,210.00
Rp 6,000.00
OBH SYR 7,920 1 Rp 7,920.00

MEGAZING 3,450 15 Rp 51,750.00
MEDITIN 6,600 10 Rp 66,000.00
Rp 6,000.00
MICROGEST 200 29,400 15 Rp 441,000.00

PROMAVIT 4,356 15 Rp 65,340.00
KURKUMEX 990 10 Rp 9,900.00
CAL 95 6,521 15 Rp 97,815.00
Rp 6,000.00
CAL 95 6,521 30 Rp 195,630.00

Rp 6,000.00
Cefila 100 Rp 24,454 10 Rp 244,540.00

Deksametason tbl 0.5 mg (Novap 165 15 Rp 2,475.00
Medithin 6,600 30 Rp 198,000.00
Megazing 3,450 10 Rp 34,500.00
KURKUMEX TAB 990 15 Rp 14,850.00
PROMAVIT 4,356 10 Rp 43,560.00
Rp 6,000.00
CAL 95 6,521 30 Rp 195,630.00

L-VIT D3 1000 3,261 30 Rp 97,830.00
PROMAVIT 4,356 30 Rp 130,680.00
Rp 6,000.00
Nausimex 15,840 10 Rp 158,400.00
Microgest 100 mg 15,048 10 Rp 150,480.00
PROMAVIT 4,356 10 Rp 43,560.00
Susu Fontactive One 160,000 1 Rp 160,000.00
Rp 6,000.00
Microgest 100 mg 15,048 15 Rp 225,720.00

PROMAVIT 4,356 15 Rp 65,340.00
Rp 6,000.00
Nausimex 15,840 10 Rp 158,400.00

PROMAVIT 4,356 15 Rp 65,340.00
CAL 95 6,521 15 Rp 97,815.00
Rp 6,000.00
Escordia kapsul Rp 6,600 15 Rp 99,000.00

Escorte kapsul 4,620 60 Rp 277,200.00
Rp 6,000.00
Fartolin inhalasi Rp 22,440 1 Rp 22,440.00

Salbutamol tbl 2 mg(KF) 88 10 Rp 880.00
Cefixime tab 200 mg (Bernofarm 3,081 10 Rp 30,810.00
oxyvit 1,600 10 Rp 16,000.00
Metil Prednisolon 4mg 567 10 Rp 5,670.00
Vitamin B complek tablet(DEF) 156 10 Rp 1,560.00
Guafenesin Tab 100 mg (Trifa) 167 10 Rp 1,670.00
Rp 6,000.00
BISOPROLOL 328 10 Rp 3,280.00

LANSOPRAZOLE 1,121 10 Rp 11,210.00
SUCRALFAT SYR 18,876 1 Rp 18,876.00
Rp 6,000.00
MP 4 MG 567 20 Rp 11,340.00
KALIUM DIKLOFENAK 50 712 20 Rp 14,240.00
Rp 6,000.00
Rp 31,580.00
LEVOFLOXACIN 750 3,487 7 Rp 24,409.00

FAVIPIRAVIR 19,305 40 Rp 772,200.00
FUROSEMID 267 8 Rp 2,136.00
GLIMEPIRID 2 MG 270 8 Rp 2,160.00
SIVIT ZINC 3,487 10 Rp 34,870.00
KONI D 1,188 10 Rp 11,880.00
NAC 1,430 30 Rp 42,900.00
OBH SYR 7,920 1 Rp 7,920.00
Rp 6,000.00

NAC 1,430 20 Rp 28,600.00
SIVIT ZINC 3,487 10 Rp 34,870.00
Rp 6,000.00
PARACETAMOL 222 10 Rp 2,220.00

CTM TAB 91 10 Rp 910.00
SIVIC ZINK 3,487 5 Rp 17,435.00
Rp 6,000.00

AMLODIPIN 10MG 260 10 Rp 2,600.00
KONI D 1,188 20 Rp 23,760.00
SIVIT ZINC 702 30 Rp 21,060.00
KODEIN TAB 897 20 Rp 17,940.00
OMEPRAZOL CAPS 1,276 10 Rp 12,760.00
INTUNAL TAB 858 30 Rp 25,740.00
Rp 6,000.00
MICROGEST 200 29,040 15 Rp 435,600.00

PROMAVIT 4,356 15 Rp 65,340.00
NAUSIMEX 15,840 10 Rp 158,400.00
FONT ACTIVE 160,000 1 Rp 160,000.00
Rp 6,000.00
CAL 95 6,521 10 Rp 65,210.00

Rp 6,000.00
L VIT D3 3,261 25 Rp 81,525.00

Rp 6,000.00
PROMAVIT 4,356 15 Rp 65,340.00

CAL 95 6,521 15 Rp 97,815.00
Rp 6,000.00
PROMAVIT 4,356 30 Rp 130,680.00

CAL 95 6,521 17 Rp 110,857.00
Rp 6,000.00
PROMAVIT 4,356 30 Rp 130,680.00

Rp 6,000.00
CURCUMA TAB 1,110 10 Rp 11,100.00

AZYTRO TAB 4,160 10 Rp 41,600.00
DEXA TAB 165 10 Rp 1,650.00
NAC 1,430 15 Rp 21,450.00
KONI D 1,188 10 Rp 11,880.00
SIVIF ZINC 702 10 Rp 7,020.00
MEGAZINC 3,450 8 Rp 27,600.00

ANALTRAM 11,286 8 Rp 90,288.00
KONI E 5,280 4 Rp 21,120.00
KONI D STRIP 1,906 4 Rp 7,624.00
CEFILA 200 MG 24,454 16 Rp 391,264.00
MEDHITIN 6,600 12 Rp 79,200.00
Rp 6,000.00
PROMAVIT 4,356 15 Rp 65,340.00

Rp 6,000.00
KONI E 400 5,280 12 Rp 63,360.00

Rp 6,000.00
KURKUMEX 990 15 Rp 14,850.00

NAUSIMEX 15,840 15 Rp 237,600.00
PROMAVIT 4,356 15 Rp 65,340.00
FONTACTIVE ONE 160,000 1 Rp 160,000.00
Rp 6,000.00
NACL INF 8,892 2 Rp 17,784.00

PARASETAMOL TAB 222 3 Rp 666.00
AMLODIPIN 10 260 1 Rp 260.00
AQUABIDEST 3,718 2 Rp 7,436.00
Rp 6,000.00
PTU 715 30 Rp 21,450.00

PROPANOLOL 40MG 99 10 Rp 990.00
Rp 6,000.00
FAVIPIRAVIR 19,305 Rp -
FAVIPIRAVIR 19,305 Rp -
Sivit zinc (mersi) 702 15 Rp 10,530.00
DOMPERIDONE (TRIMAN) 1,226 15 Rp 18,390.00
Rp 6,000.00
N-ac 1,430 30 Rp 42,900.00

amlodipin 10 Rp 260 15 Rp 3,900.00
lansoprazole Rp 1,121 20 Rp 22,420.00
favipiravir 19,305 19 Rp 366,795.00
sivit zinc 702 15 Rp 10,530.00
Rp 6,000.00
Rp 452,545.00
Sansulin log-G 106,800 1 Rp 106,800.00

Lansoprazole kapsul 30 mg (BER 634 10 Rp 6,340.00
N-asetil sistein kapsul 200 mg 1,193 20 Rp 23,860.00
Amlodipin 10mg 260 10 Rp 2,600.00
sivit zinc 702 10 Rp 7,020.00
Rp 6,000.00
KONI D 1,188 10 Rp 11,880.00

NAC 1,193 10 Rp 11,930.00
SIVIT ZINC 702 10 Rp 7,020.00
KURKUMEX 990 15 Rp 14,850.00
Rp 6,000.00
CEFIXIM TAB 3,081 10 Rp 30,810.00

PARASETAMOL TAB 222 10 Rp 2,220.00
VIT B COMPLEX 156 10 Rp 1,560.00
VIT C TAB 137 10 Rp 1,370.00
NAC 1,430 10 Rp 14,300.00
Rp 6,000.00
Ringer Laktat(Widatra) 9,919 1

Bioron Injeksi 5,921 1 Rp 5,921.00
Ranitidin inj. 25mg/ml (SOHO) 1,545 1 Rp 1,545.00
Ranitidine tbl 150 mg(Mersi) 325 10 Rp 3,250.00
Vitamin B complek tablet(DEF) 156 10 Rp 1,560.00
Cefadroxil 500 944 10 Rp 9,440.00
Rp 6,000.00
AMOXICILIN SYR 4,717 1 Rp 4,717.00
PARACETAMOL SYR 1,536 1 Rp 1,536.00
Rp 6,000.00
GENTAMISIN 0,1% SALEP 3,120 1 Rp 3,120.00

ASAM TRANEXAMAT TAB 2,060 10 Rp 20,600.00
OXYVIT 1,600 10 Rp 16,000.00
KASSA STRIL 8,844 1 Rp 8,844.00
Rp 6,000.00
ATORVASTATIN 10MG 1,430 16 Rp 22,880.00

MINIASPI 137 8 Rp 1,096.00
CEFIXIME 200MG 3,081 10 Rp 30,810.00
METFORMIN 293 21 Rp 6,153.00
Rp 6,000.00
AZYTHROMYCIN 4,160 5 Rp 20,800.00

NAC 1,430 10 Rp 14,300.00
KONI D 1,188 10 Rp 11,880.00
oxyvit 1,600 10 Rp 16,000.00
Rp 6,000.00
VARTOLIN 22,440 1 Rp 22,440.00

SALBUTAMOL 2 MG 104 10 Rp 1,040.00
DEXA TAB 165 5 Rp 825.00
Rp 6,000.00
OBH SYR 7,920 1 Rp 7,920.00

AZYTRO 4,160 10 Rp 41,600.00
MEGAZING 3,450 10 Rp 34,500.00
OMEPRAZOLE 1,276 10 Rp 12,760.00
NAC 1,430 15 Rp 21,450.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
RL 9,919 1 Rp 9,919.00
RANITIDINE INJ 1,545 1 Rp 1,545.00
ONDAN INJ 3,432 1 Rp 3,432.00
NEUROBION INJ 14,739 1 Rp 14,739.00
NAC 1,430 10 Rp 14,300.00
oxyvit 1,600 10 Rp 16,000.00
AZYTRO 4,160 5 Rp 20,800.00
HISTIGO 827 10 Rp 8,270.00
GUAIAFENESIN 167 10 Rp 1,670.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
GENOCLOM 17,556 10 Rp 175,560.00

CEFIXIME 200 MG 4,183 5 Rp 20,915.00
FOLAVIT 1000MCG 2,515 30 Rp 75,450.00
Rp 6,000.00
AB-VASK 10MG 12,540 15 Rp 188,100.00

Medithin 6,600 15 Rp 99,000.00
Rp 6,000.00
KONI D 1,188 10 Rp 11,880.00

NAC 1,430 15 Rp 21,450.00
AZYTRO 4,160 5 Rp 20,800.00
Rp 6,000.00
CEFDROXIL TAB 944 10 Rp 9,440.00

METILPREDNISOLON 4MG 567 10 Rp 5,670.00
LAPISTAN 1,716 10 Rp 17,160.00
Rp 6,000.00
CEFIXIME 200 4,183 10 Rp 41,830.00

AZITROMISIN 4,160 6 Rp 24,960.00
AMBROXOL 225 20 Rp 4,500.00
NAC 1,430 20 Rp 28,600.00
OBH SYR 7,920 1 Rp 7,920.00
SALBUTAMOL 2 88 20 Rp 1,760.00
OXYVIT 1,600 7 Rp 11,200.00
Rp 6,000.00
CODEIN 10 MG 897 12 Rp 10,764.00

CETIRIZIN 117 6 Rp 702.00
Rp 6,000.00
NAC 1,430 9 Rp 12,870.00

Rp 6,000.00
Rp 18,870.00
Promavit 4,356 5 Rp 21,780.00
Ciprofloxacin 500 Berno 592 15 Rp 8,880.00
Rp 6,000.00
Nausimex 15,840 20 Rp 316,800.00

Rp 6,000.00
Misoprostolol 200 mcg 5,363 10 Rp 53,630.00

Cefila 100 24,454 10 Rp 244,540.00
Rp 6,000.00
Cefila 100 24,454 10 Rp 244,540.00

Furosemid 40mg (KF) tablet 267 7 Rp 1,869.00
Rp 6,000.00
cefadroxil 944 10 Rp 9,440.00

metil pred 4 mg 567 10 Rp 5,670.00
metronidazol 480 3 Rp 1,440.00
lapistan 1,716 10 Rp 17,160.00
Rp 6,000.00
Rp 39,710.00

Rp 6,000.00
CEFIXIME 200MG 3,081 5 Rp 15,405.00

INTUNAL 858 10 Rp 8,580.00
SALBUTAMOL 88 10 Rp 880.00
Rp 6,000.00
LANSOPRAZOLE 30MG 1,014 15 Rp 15,210.00

ATORVASTATIN 10MG 1,430 20 Rp 28,600.00
DOMPERIDON 119 20 Rp 2,380.00
MINIASPI 137 10 Rp 1,370.00
Rp 6,000.00
CEFILA 100 24,454 10 Rp 244,540.00

MEDITHIN 6,600 10 Rp 66,000.00
Rp 6,000.00
NAUSIMEX 15,840 10 Rp 158,400.00

Rp 6,000.00
MEDITHIN 6,600 10 Rp 66,000.00

Rp 6,000.00
MEDITHIN 6,600 10 Rp 66,000.00

NAUSIMEX 15,840 10 Rp 158,400.00
MISOPROSTOL 5,363 10 Rp 53,630.00
Rp 6,000.00

MICROGEST 200MG 15,048 10 Rp 150,480.00
NAUSIMEX 15,840 10 Rp 158,400.00
Rp 6,000.00
MICROGES 100MG 15,048 10 Rp 150,480.00

Rp 6,000.00
MEDITHIN 6,600 30 Rp 198,000.00

FOLAVIT 1000MG 2,515 30 Rp 75,450.00
Rp 6,000.00
MEDITHIN 6,600 10 Rp 66,000.00

Rp 6,000.00
MICROGES 100MG 15,048 15 Rp 225,720.00

Rp 6,000.00
CAPTOPRIL 86 10 Rp 860.00
Rp 6,000.00
LAGESIL 1,452 10 Rp 14,520.00

CEFIXIM 3,081 5 Rp 15,405.00
METILPREDNISOLON 567 10 Rp 5,670.00
INTUNAL 858 10 Rp 8,580.00
Rp 6,000.00
CAPTOPRIL 86 10 Rp 860.00
Rp 6,000.00
Rp 6,860.00
CEFILA 100 24,454 10 Rp 244,540.00

ANALTRAM 11,286 10 Rp 112,860.00
Rp 6,000.00
CEFILA 100 24,454 10 Rp 244,540.00

ANALTRAM 11,286 10 Rp 112,860.00
Rp 6,000.00
CEFIXIME 200MG 3,081 5 Rp 15,405.00

SALBUTAMOL 2MG 88 10 Rp 880.00
INTUNAL 858 10 Rp 8,580.00
AMLODIPIN 260 10 Rp 2,600.00
Rp 6,000.00
AZITROMISIN TAB 4,160 10 Rp 41,600.00

NAC 1,430 10 Rp 14,300.00
OXYVIT 1,600 10 Rp 16,000.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
FAVIPIRAVIR 19,305 5 Rp 96,525.00

Rp 6,000.00
Rp 102,525.00
NAC 1,430 21 Rp 30,030.00

SANSULIN 106,800 1 Rp 106,800.00
SIVIT ZINC 702 5 Rp 3,510.00
MINIASPI 137 15 Rp 2,055.00
MASNEURO 924 15 Rp 13,860.00
AMLODIPIN 10MG 260 15 Rp 3,900.00
LISINOPRIL 10MG 337 15 Rp 5,055.00
Rp 6,000.00
PROPANOLOL 99 60 Rp 5,940.00
PTU 715 70 Rp 50,050.00
Rp 6,000.00
MINIASPI 137 10 Rp 1,370.00

LEVOFLOXACIN 750 MG 3,487 8 Rp 27,896.00
METIL PREDNISOLON 4 MG 567 20 Rp 11,340.00
CODEIN 897 40 Rp 35,880.00
CETIRIZIN 117 10 Rp 1,170.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
MASNEURO 924 10 Rp 9,240.00

DOMPERIDON 1,226 20 Rp 24,520.00
SUCRALFAT 18,876 1 Rp 18,876.00
ANALTRAM 11,286 15 Rp 169,290.00
Rp 6,000.00
CEFIXIM 3,539 8 Rp 28,314.00

Rp 6,000.00
Promavit 4,356 15 Rp 65,340.00

Rp 6,000.00

L-VIT D3 1000 3,261 30 Rp 97,830.00
Rp 6,000.00

Rp 6,000.00
MEDITHIN 6,600 30 Rp 198,000.00

ESCORDIA 6,600 60 Rp 396,000.00
ESCORTE 4,620 60 Rp 277,200.00
L-VIT D3 3,575 30 Rp 107,250.00
FOLAVIT 1000 2,515 30 Rp 75,450.00
Rp 6,000.00
MICROGEST 200 29,040 6 Rp 174,240.00

AXION 5,500 15 Rp 82,500.00
FONT ACTIVE 160,000 1 Rp 160,000.00
Rp 6,000.00
DEXA TAB 165 15 Rp 2,475.00

CTM 100 15 Rp 1,500.00
CEFILA 100 24,454 10 Rp 244,540.00
GENTAMYCIN SK 3,120 2 Rp 6,240.00
Rp 6,000.00
MEDITHIN 6,600 15 Rp 99,000.00

FOLAVIT 1000 2,515 15 Rp 37,725.00
L-VIT D3 3,575 15 Rp 53,625.00
ESCORDIA 6,600 15 Rp 99,000.00
Rp 6,000.00
BIOSAN 15,428 15 Rp 231,420.00

KQ-100 9,240 15 Rp 138,600.00
MEDITHIN 6,600 15 Rp 99,000.00
FOLAVIT 1000 2,515 15 Rp 37,725.00
MEGAZING 3,450 15 Rp 51,750.00
L-VIT D3 3,575 15 Rp 53,625.00
Rp 6,000.00
Metformin 500 mg 293 30 Rp 8,790.00

Glimepiride tab 2mg 270 15 Rp 4,050.00
Furosemid 40mg (KF) tablet 267 15 Rp 4,005.00
Sivit zinc (mersi) 702 10 Rp 7,020.00
LEVOFLOXACIN 750 3,487 6 Rp 20,922.00
Rp 6,000.00
METFORMIN 500 293 30 Rp 8,790.00

GLIMEPIRIDE 2 270 15 Rp 4,050.00
SIVIT ZINC 702 5 Rp 3,510.00
CODEIN 10 897 60 Rp 53,820.00
CETIRIZIN 117 10 Rp 1,170.00
LEVOFLOXACIN 750 3,487 6 Rp 20,922.00
LAPIBAL Rp 2,970 10 Rp 29,700.00
MINIASPI 137 15 Rp 2,055.00
Rp 6,000.00
Rp 130,017.00
BISOPROLOL 328 30 Rp 9,840.00

AMLODIPIN 10 260 30 Rp 7,800.00
MINIASPI 137 30 Rp 4,110.00
CLOPIDOGREL 2,210 30 Rp 66,300.00
BRAXIDIN 1,465 15 Rp 21,975.00
Rp 6,000.00
Rp 116,025.00
PROMAVIT 4,538 15 Rp 68,070.00

Rp 6,000.00
Rp 74,070.00
PROMAVIT 4,538 15 Rp 68,070.00

Rp 6,000.00
Rp 74,070.00
CAL-95 7,150 15 Rp 107,250.00

Rp 6,000.00
Rp 113,250.00
AB VASK 12,540 10 Rp 125,400.00

DOPAMET 2,222 10 Rp 22,220.00
HCT 194 5 Rp 970.00
MEDITIN 6,600 5 Rp 33,000.00
AXION 5,500 5 Rp 27,500.00
Rp 6,000.00
Rp 215,090.00
FOLAVICAP 1000MG 2,515 30 Rp 75,450.00

MEDITIN 6,600 30 Rp 198,000.00
Rp 6,000.00
L-VIT D3 3,575 15 Rp 53,625.00
KQ100 9,240 30 Rp 277,200.00

BIOSAN 15,428 30 Rp 462,840.00
FOLACICAP 1000MG 2,515 30 Rp 75,450.00
MEGAZING 3,450 30 Rp 103,500.00
Rp 6,000.00
L-VIT D3 3,575 15 Rp 53,625.00

SUCRALFAT 18,876 1 Rp 18,876.00
DOMPERIDON 1,226 10 Rp 12,260.00
ANTASIDA 76 10 Rp 760.00
Rp 6,000.00
Cefadroxil 500 944 10 Rp 9,440.00

Cetrizine Tab 254 10 Rp 2,540.00
CTM Strip 100 10 Rp 1,000.00
Hidrokortison cr 2,5%(KF) 3,218 1 Rp 3,218.00
Rp 6,000.00
N ASETIL SISTEIN 1,430 10 Rp 14,300.00

ANALTRAM 11,286 6 Rp 67,716.00
MASNEURO 924 10 Rp 9,240.00
Rp 6,000.00
Rp 107,396.00
METIL PRED 4 567 20 Rp 11,340.00

LEVOFLOXACIN 3,487 6 Rp 20,922.00
NAC 1,430 10 Rp 14,300.00
SIVIT ZINC 3,487 8 Rp 27,896.00
KONI D 1,188 8 Rp 9,504.00
Rp 6,000.00
Rp 89,962.00

KONI D 1,188 8 Rp 9,504.00
Analtram 11,286 6 Rp 67,716.00
SIVIT ZINC 3,487 8 Rp 27,896.00
OBH SYR 7,920 1 Rp 7,920.00
Rp 6,000.00
Rp 146,471.00
NAC 1,430 10 Rp 14,300.00

Rp 6,000.00
Rp 20,300.00
CODEIN 10 MG 897 30 Rp 26,910.00

CETIRIZIN 117 10 Rp 1,170.00
BISOPROLOL 5 328 5 Rp 1,640.00
DOMPERIDON TAB 1,226 20 Rp 24,520.00
Rp 6,000.00
Rp 77,055.00
DOMPERIDON 1,226 10 Rp 12,260.00

FARMACROL F SYR 66,000 1 Rp 66,000.00
SIVIT ZINC 3,487 10 Rp 34,870.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 147,825.00
PARASETAMOL INFUS 16,106 1 Rp 16,106.00

RL 9,919 1 Rp 9,919.00
BIORON INJ 5,921 1 Rp 5,921.00
ONDASETRON TAB 1,674 10 Rp 16,740.00
RANITIDIN TAB 325 10 Rp 3,250.00
LEFOVLOXACIN 500 TAB 517 10 Rp 5,170.00
MEGAZING 3,450 10 Rp 34,500.00
KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
GENOCLOM 17,556 10 Rp 175,560.00

MEDITHIN 6,600 26 Rp 171,600.00
Rp 6,000.00
KURKUMEX 1,031 15 Rp 15,468.75

Rp 6,000.00
CODEIN TAB 897 6 Rp 5,382.00

DEKSAMETHASONE TAB 165 10 Rp 1,650.00
CEFILA 100 24,454 10 Rp 244,540.00
Rp 6,000.00
CAL-95 Rp 7,150.00 15 Rp 107,250.00

PROMAVIT 4,538 10 Rp 45,380.00
FONTACTIVE 160,000 1 Rp 160,000.00
Rp 6,000.00
PROMAVIT 4,538 15 Rp 68,070.00

Rp 6,000.00
CAL-95 Rp 7,150.00 10 Rp 71,500.00

Rp 6,000.00
PROMAVIT 4,538 10 Rp 45,380.00

Rp 6,000.00
Alat suntik 1 ml (Gidcare) Rp 1,008 1 Rp 1,008.00

Aqua pro inj(Otsuka) 3,718 1 Rp 3,718.00
Cefila 100 24,454 10 Rp 244,540.00
Rp 6,000.00
CAL-95 Rp 7,150.00 10 Rp 71,500.00

PROMAVIT 4,538 15 Rp 68,070.00
Rp 6,000.00
CAL-95 Rp 7,150.00 15 Rp 107,250.00
PROMAVIT 4,538 15 Rp 68,070.00
Rp 6,000.00
CAL-95 Rp 7,150.00 15 Rp 107,250.00

PROMAVIT 4,538 15 Rp 68,070.00
Rp 6,000.00
NAUSIMEX Rp 16,500.00 5 Rp 82,500.00

FOREMES 2,750 15 Rp 41,250.00
Rp 6,000.00
Ondansentron 4 mg PROMED 1,674 10 Rp 16,740.00

Vitamin B6 tablet 10 mg (KF) 171 10 Rp 1,710.00
Metronidazol 480 0 Rp -
Ranitidine tbl 150 mg(Mersi) 325 6 Rp 1,950.00
Rp 6,000.00
KURKUMEX 1,031 6 Rp 6,187.50

FOREMES 2,640 20 Rp 52,800.00
KURKUMEX 1,031 20 Rp 20,625.00
Rp 6,000.00
CAL-95 Rp 7,150.00 15 Rp 107,250.00

PROMAVIT 4,538 15 Rp 68,070.00
Rp 6,000.00
FOREMES 2,640 20 Rp 52,800.00

KURKUMEX 1,031 15 Rp 15,468.75
Rp 6,000.00
MICROGEST 100 15,048 15 Rp 225,720.00

NAUSIMEX 16,500 20 Rp 330,000.00
FOREMES 2,640 15 Rp 39,600.00
KURKUMEX 1,031 15 Rp 15,468.75
Rp 6,000.00
AMLODIPIN 10 260 8 Rp 2,080.00

MINIASPI 137 8 Rp 1,096.00
EZELIN 100,740 1 Rp 100,740.00
METIL PRED 4MG 567 8 Rp 4,536.00
SIVIT ZINC 3,487 8 Rp 27,896.00
KONI D 1,188 8 Rp 9,504.00
Rp 6,000.00
Rp 151,852.00
MEGAZINC 3,450 10 Rp 34,500.00

KONI D 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 52,380.00
PROMAVIT Rp 4,538.00 15 Rp 68,070.00

CAL-95 7,150 10 Rp 71,500.00
Rp 6,000.00
AB VASK 10 MG 12,540 10 Rp 125,400.00

DOPAMET 250 MG 2,222 20 Rp 44,440.00
Rp 6,000.00
PROMAVIT Rp 4,538.00 21 Rp 95,298.00

CAL-95 7,150 21 Rp 150,150.00
Rp 6,000.00
PROMAVIT Rp 4,538.00 10 Rp 45,380.00

CAL-95 7,150 10 Rp 71,500.00
Rp 6,000.00

Rp 6,000.00
PROMAVIT 4,538 15 Rp 68,070.00
CAL 95 7,150 15 Rp 107,250.00
MICROGEST 100 15,048 15 Rp 225,720.00

Rp 6,000.00
FOREMES 2,640 30 Rp 79,200.00
NAUSIMEX 16,500 20 Rp 330,000.00
MICROGEST 100 15,048 15 Rp 225,720.00

Rp 6,000.00
FOREMES 2,640 15 Rp 39,600.00
KURKUMEX 1,031 15 Rp 15,468.75
PROMAVIT 4,538 0 Rp -
CAL-95 7,150 15 Rp 107,250.00
Rp 6,000.00
L-VIT D3 3,575 10 Rp 35,750.00

PROMAVIT 4,538 10 Rp 45,380.00
Rp 6,000.00
KURKUMEX 1,031 10 Rp 10,312.50

PROMAVIT 4,538 10 Rp 45,380.00
Rp 6,000.00
PROMAVIT 4,538 0 Rp -
CAL-95 7,150 0 Rp -
KURKUMEX 1,031 10 Rp 10,312.50

FOREMES 2,640 30 Rp 79,200.00
Rp 6,000.00
Gentamisin SK (molex) 3,120 1 Rp 3,120.00

AB-VASK 10MG 12,540 30 Rp 376,200.00
Hidroklorotiazid tbl 25 mg(KF) 194 30 Rp 5,820.00
Kaptopril tbl 12.5 mg(KF) 86 60 Rp 5,160.00
Rp 6,000.00
CEFADROXIL 944 10 Rp 9,440.00

DEXA TAB 165 10 Rp 1,650.00
CTM 59 10 Rp 590.00
CETIRIZIN 117 10 Rp 1,170.00
HIDROCORTISON ZALF 3,218 1 Rp 3,218.00
Rp 6,000.00
Rp 22,068.00
PROMAVIT 4,538 15 Rp 68,070.00

Rp 6,000.00

FOREMES 2,640 30 Rp 79,200.00
Rp 6,000.00
Misoprostolol 200 mcg 5,363 10 Rp 53,630.00
Cefila 100 24,454 10 Rp 244,540.00
Rp 6,000.00
CIPROFLOXACIN 592 10 Rp 5,920.00

ASAM MEFENAMAT 443 10 Rp 4,430.00
CTM 100 10 Rp 1,000.00
DEXAMETHASON 165 10 Rp 1,650.00
ASAM TRANEXAMAT TAB 2,060 3 Rp 6,180.00
Rp 6,000.00
PROMAVIT 4,356 15 Rp 65,340.00

Rp 6,000.00
CAL-95 6,864 15 Rp 102,960.00

Rp 6,000.00
CEFILA 100 24,454 10 Rp 244,540.00

AXION 5,280 30 Rp 158,400.00
Rp 6,000.00
Rp 408,940.00
CAL-95 6,864 10 Rp 68,640.00

L-VIT D3 3,432 10 Rp 34,320.00
Rp 6,000.00
CAL 95 6,864 10 Rp 68,640.00

L VIT D3 3,432 10 Rp 34,320.00
Rp 6,000.00
Rp 108,960.00

MEGAZING 3,450 5 Rp 17,250.00
CTM 59 10 Rp 590.00
Rp 6,000.00

NIFEDIPIN 243 10 Rp 2,430.00
DEXAMETHASONE TAB 165 10 Rp 1,650.00

INTUNAL 858 10 Rp 8,580.00
Rp 6,000.00
AXION 5,280 30 Rp 158,400.00

Rp 6,000.00

NAC 1,430 21 Rp 30,030.00
MEGAZING 3,450 8 Rp 27,600.00
LVIT D3 3,432 8 Rp 27,456.00
Rp 6,000.00

DOMPERIDONE TAB 1,226 20 Rp 24,520.00
BARXIDIN 1,465 20 Rp 29,300.00
Rp 6,000.00
MINIASPI 137 8 Rp 1,096.00

CPG 75MG 2,210 8 Rp 17,680.00
BISOPROLOL 5MG 328 4 Rp 1,312.00
SPIRONOLACTON 25MG' 476 8 Rp 3,808.00
ISDN 116 20 Rp 2,320.00
Rp 6,000.00
AZYTHROMYCIN TAB 4,160 1 Rp 4,160.00

FAVIPIRAVIR 19,305 16 Rp 308,880.00
CANGKANG KAPSUL 146 6 Rp 876.00
PARACETAMOL TAB 222 3 Rp 666.00
SIVIT ZINC 702 1 Rp 702.00
KONI D 1,188 1 Rp 1,188.00
NAC 1,430 6 Rp 8,580.00
DEXAMETASON TAB 165 2 Rp 330.00
RL 9,919 1 Rp 9,919.00
Rp 12,000.00
RL Rp 9,919.00 1 Rp 9,919.00
PARACETAMOL INFUS Rp 16,106.00 1 Rp 16,106.00
SIVIT ZINC 702 7 Rp 4,914.00
KONI D 1,188 7 Rp 8,316.00
NAC 1,430 21 Rp 30,030.00
PARASETAMOL 222 21 Rp 4,662.00
DEKSAMETHASONE TAB 165 14 Rp 2,310.00
AZITROMYCIN TAB 4,160 5 Rp 20,800.00
Rp 18,000.00
OXYVIT 1,600 10 Rp 16,000.00
KONI D 1,188 20 Rp 23,760.00
CETIRIZIN TAB 117 10 Rp 1,170.00
NAC 1,430 24 Rp 34,320.00
OSELTAMIVIR 16,860 10 Rp 168,600.00
ISDN 116 1 Rp 116.00

FUROSEMIDE INJ 1,733 2 Rp 3,466.00
ATROPIN SULFAS INJ 2,131 4 Rp 8,524.00
Rp 6,000.00
Rp 18,106.00
JAM
PENDAPATAN JAM TERIMA
TOTAL BAYAR PENYERAHAN
HARIAN RESEP
OBAT
Rp 39,840.00 Rp 986,200.00
Rp 51,060.00
Rp 459,840.00
Rp 435,460.00
Rp 50,990.00 Rp 944,840.00
Rp 671,265.00
Rp 76,130.00
Rp 146,455.00
Rp 75,500.00 Rp 212,575.00
Rp 121,845.00
Rp 15,230.00
Rp 1,545.00
Rp 31,415.00 Rp 4,022,578.00
Rp 102,390.00
Rp 131,628.00
Rp 114,770.00
Rp 131,670.00
Rp 620,055.00
Rp 201,630.00
Rp 543,925.00
Rp 430,140.00
Rp 518,440.00
Rp 471,910.00
Rp 342,405.00
Rp 382,200.00
Rp 85,030.00 Rp 2,835,413.00
Rp 39,366.00
Rp 31,580.00
Rp 904,475.00
Rp 73,970.00
Rp 26,565.00
Rp 136,980.00
AKAN DIBAYAR DR IKA
Rp 825,340.00
Rp 71,210.00
Rp 87,525.00
Rp 169,155.00
Rp 247,537.00
Rp 136,680.00
Rp 94,700.00 Rp 1,375,977.00
Rp 623,096.00
Rp 71,340.00
Rp 69,360.00
Rp 483,790.00
Rp 33,691.00
Rp 28,440.00 Rp 711,425.00
Rp 77,820.00
Rp 452,545.00
Rp 152,620.00
Rp 55,550.00 Rp 141,746.00
Rp 56,260.00
Rp 29,936.00
Rp 12,253.00 Rp 237,481.00
Rp 56,784.00
Rp 66,939.00
Rp 71,200.00
Rp 30,305.00
Rp 136,110.00
Rp 112,425.00
Rp 819,560.00
Rp 819,560.00
Rp 277,925.00
Rp 293,100.00
Rp 63,460.00
Rp 38,270.00
Rp 126,770.00
Rp 17,466.00
Rp 1,182,525.00
Rp 18,870.00
Rp 36,660.00
Rp 322,800.00
Rp 304,170.00
Rp 254,059.00
Rp 39,710.00
Rp 8,220.00
Rp 36,535.00
Rp 72,436.00
Rp 993,871.00
Rp 316,540.00
Rp 164,400.00
Rp 72,000.00
Rp 284,030.00
Rp 318,210.00
Rp 156,480.00
Rp 279,450.00
Rp 1,217,860.00
Rp 72,000.00
Rp 391,720.00
Rp 6,860.00
Rp 50,175.00
Rp 6,860.00
Rp 790,695.00
Rp 363,400.00
Rp 363,400.00
Rp 39,135.00
Rp 89,780.00
Rp 231,440.00
Rp 102,525.00
Rp 171,210.00
Rp 171,210.00
Rp 92,410.00 Rp 3,633,571.00
Rp 95,536.00
Rp 243,136.00
Rp 44,454.00
Rp 71,340.00
Rp 263,830.00
Rp 166,000.00
Rp 1,059,900.00
Rp 422,740.00
Rp 260,755.00
Rp 295,350.00
Rp 618,120.00
Rp 65,087.00
Rp 130,017.00
Rp 116,025.00
Rp 1,622,819.00
Rp 1,622,819.00
Rp 333,075.00
Rp 978,615.00
Rp 50,256.00
Rp 23,848.00
Rp 107,396.00
Rp 89,962.00
Rp 146,471.00
Rp 20,300.00
Rp 77,055.00
Rp 113,251.00
Rp 2,677,765.75
Rp 2,677,765.75
Rp 353,160.00
Rp 21,468.75
Rp 257,572.00
Rp 318,630.00
Rp 74,070.00
Rp 79,720.00
Rp 51,380.00
Rp 255,266.00
Rp 145,570.00
Rp 181,320.00
Rp 181,320.00
Rp 129,750.00
Rp 33,919.50
Rp 33,919.50
Rp 239,425.00 Rp 1,111,802.50
Rp 181,320.00
Rp 74,268.75
Rp 616,788.75
Rp 385,068.75
Rp 151,852.00
Rp 52,380.00
Rp 145,570.00
Rp 175,840.00
Rp 251,448.00
Rp 122,880.00
Rp 184,650.00
Rp 175,320.00
Rp 2,941,533.75
Rp 231,720.00
Rp 409,200.00
Rp 231,720.00
Rp 55,068.75
Rp 113,250.00
Rp 87,130.00
Rp 61,692.50
Rp -
Rp 95,512.50
Rp 396,300.00
Rp 22,068.00 Rp 645,508.00
Rp 74,070.00
Rp 245,200.00
Rp 304,170.00
Rp 867,490.00
Rp 25,180.00
Rp 71,340.00
Rp 108,960.00
Rp 408,940.00
Rp 111,180.00
Rp 102,960.00
Rp 108,960.00 Rp 102,960.00
Rp 26,060.00
Rp 6,870.00
Rp 16,230.00 Rp 1,073,942.00
Rp 324,400.00
Rp 95,622.00
Rp 96,085.00
Rp 61,383.00
Rp 347,301.00
Rp 132,921.00
Rp 243,850.00
Rp 18,106.00
206
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1
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
1/2/2021
1 Ny Karni Sucralfat Suspensi Rp 24,505.00 1

Omeprazole 20 mg Rp 1,275.30 10
Vitamin B complek tablet(DEF) Rp 156.00 10
ASUHAN FARMASI
1/4/2021
1 siti nurdliyah Parasetamol 500 mg(Mersi) Rp 221.65 10
Ranitidine tbl 150 mg(Mersi) Rp 324.61 10
N-asetil sistein kapsul 200 mg(Eterco Rp 484.90 10
ASUHAN FARMASI
2 Muh. Sholeh lisinopril Rp 1,280.00 10

Histigo Rp 895.70 10
Asam mefenamat tbl 500 mg(Mersi) Rp 443.30 10
ASUHAN FARMASI
1/7/2021
1 An. Danish Fadhilah Ranitidine tbl 150 mg(Mersi) Rp 324.61 2
Stimuno sirup Rp 29,760.00 1
ASUHAN FARMASI
1/9/2021
1 Radtiya dafa L-Bio kapsul Rp 9,240.00 3
ASUHAN FARMASI
1/11/2021
1 Widodo Omeprazole 20 mg Rp 1,275.30 10
Sucralfat Suspensi Rp 24,505.00 1
Masneuro Rp 1,001.00 10
ASUHAN FARMASI
2 Joko Suseno Asam Mefenamat 500mg Rp 443.30 10

Paracetamol 500 mg Rp 221.65 10
ASUHAN FARMASI
3 pasni Paracetamol 500 mg Rp 221.65 10

oxyvit Rp 1,600.00 6
ASUHAN FARMASI
4 Devi Restu Jati Promavit Rp 4,356.00 20

ASUHAN FARMASI
5 Septi Nur Paracetamol syr Rp 1,535.30 1

ASUHAN FARMASI
Obat Pulang
1/13/2021 Vilian Alain Promavit Rp 4,356.00 14
Amlodipin 10mg Rp 260.00 7
ASUHAN FARMASI
1/14/2021
1 Ny. Karni Ranitidine tbl 150 mg(Mersi) Rp 324.61 10
Parasetamol 500 mg(Mersi) Rp 221.65 10
Vitamin B6 tablet 10 mg (KF) Rp 170.30 10
ASUHAN FARMASI
1/18/2021
1 Ny. Sri Wahyuni Promavit Rp 4,356.00 10
ASUHAN FARMASI
1/20/2021
1 Tn. Widodo Antasida DOEN tbl(Mersi) Rp 75.40 10
Ranitidin tab 150mg Rp 253.50 10
Sucralfat Suspensi Rp 24,505.00 1
Paracetamol 500 mg Rp 141.82 10
ASUHAN FARMASI
1/21/2021 Sugiarti Promavit Rp 4,356.00 30

ASUHAN FARMASI
fina isfionita Microgest 100 mg Rp 15,840.00 6

Promavit Rp 4,356.00 20
ASUHAN FARMASI
bambang Budi Vitamin B complek tablet(DEF) Rp 156.00 10

Vitamin C 250 mg Rp 1,183.00 10
ASUHAN FARMASI
1/23/2021 Supiyono Obat Flu Batuk/ Intunal Rp 858.00 15
Cefadroxil 500 Rp 944.00 10
Salbutamol tbl 2 mg(KF) Rp 88.00 10
Metil Prednisolon 4mg Rp 567.00 10
ASUHAN FARMASI
1/25/2021 Tn. Paodji Histigo Rp 827.00 15

Masneuro Rp 924.00 10
Domperidone Rp 187.00 15
Omeprazole Rp 1,276.00 10
ASUHAN FARMASI
Ny. Iffatin Munfarikah Paracetamol Rp 222.00 10

ASUHAN FARMASI
Ny. Siti Wijayanti Promavit Rp 4,356.00 30

Cal-95 Rp 6,864.00 10
ASUHAN FARMASI
Ny. Anis Kusumawati Promavit Rp 4,356.00 30

Cal-95 Rp 6,864.00 10
ASUHAN FARMASI
Ny. Sholikhah Metformin tab 500 mg Rp 293.00 60

ASUHAN FARMASI
Ny. Sri Murni Methylprednisolon 4 mg Rp 567.00 7

Omeprazole tab Rp 1,276.00 10
ASUHAN FARMASI
Ny. Indang MurdyaningCefixime 400mg+Azitromicin 100 Rp 4,183.00 10

Azythromocin 500 mg Rp 4,160.00 6
vitamin c 500 Rp 687.50 7
N-Acetysistein tab Rp 1,430.00 20
Omeprazole 20 mg Rp 1,276.00 15
Salbutamol tbl 2 mg(KF) Rp 136.00 20
ASUHAN FARMASI
Tn Widodo Cefixime 200 Rp 4,183.00 10

Omeprazole Rp 1,276.00 15
Sucralfat syr Rp 22,620.00 1
Domperidon Rp 187.00 15
ASUHAN FARMASI
1/26/2021 Ir. Wijanto Natrium Diklofenak Rp 146.00 10

Paracetamol Rp 222.00 10
Metil 4 mg Rp 567.00 10
ASUHAN FARMASI
Tn Wagimin Cefixim 200 Rp 4,183.00 5

HCT 25 Rp 194.00 5
Lisinopril 10mg Rp 780.00 5
ASUHAN FARMASI
Tn. Sutrisno Asam Mefenamat Rp 343.00 10

Amoxicillin Rp 601.00 10
Dexamethasone Rp 165.00 10
ASUHAN FARMASI
1/27/2021 Tn Prandi Asam Mefenamat 500 mg Rp 343.00 10

Vit B Complex (Masneuro) Rp 924.00 10
Omeprazol Rp 1,276.00 10
ASUHAN FARMASI
NY LASMIYATI ASAM MEFENAMAT 500 MG Rp 343.00 10

MASNEURO Rp 924.00 10
CAPTROPIL 12.5 MG Rp 86.00 10
CETIRIZINE Rp 254.00 10
KETOKONAZOLE CREAM Rp 3,274.00 2
OMEPRAZOLE Rp 1,276.00 10
ASUHAN FARMASI
1/28/2021 Tn. SUMADI LISINOPRIL 10 Rp 780.00 10

NA DIKLOFENAK 50 Rp 146.00 15
OMEPRAZOL Rp 1,276.00 10
SUCRALFAT SYR Rp 22,620.00 1
MASNEURO Rp 924.00 8
ASUHAN FARMASI
Dwi Puji Astuti Promavit Rp 4,356.00 30

Cal-95 Rp 6,864.00 10
ASUHAN FARMASI
NY FITROTUN NURUL MICROGEST 100 Rp 15,840.00 15
PROMAVIT Rp 4,356.00 30
ASUHAN FARMASI
Ny Choirul Aminah Promavit Rp 4,356.00 30

Cal - 95 Rp 6,864.00 15
ASUHAN FARMASI
Tn Radujo Cefixime 200mg 4,183.00 10

Azytromycin Rp 4,160.00 6
N Acetylsistein Rp 1,430.00 15
OBH Syr Rp 7,920.00 1
Dexamethasone 0.5mg Rp 165.00 10
Ceterizin 10mg Rp 254.00 6
Zegavit Rp 4,752.00 8
ASUHAN FARMASI
1/30/2021 sutrisno Ciprofloxacin 500 Berno Rp 592.00 10

Deksametason tbl 0.5 mg (Novaphari Rp 165.00 10
Asam Mefenamat 500mg Rp 343.00 15
ASUHAN FARMASI
RS Ki Ageng Selo Wirosari

Rp 24,505.00 1
Rp 12,753.00 0
Rp 1,560.00
Rp 6,000.00
Rp 44,818.00
Rp 2,216.50 1
Rp 3,246.10
Rp 4,849.00
Rp 1,560.00
Rp 6,000.00
Rp 17,871.60 17900
Rp 12,800.00
Rp 8,957.00
Rp 4,433.00
Rp 6,000.00
Rp 32,190.00 32200
50,100
Rp 649.22
Rp 29,760.00
Rp 12,000.00
Rp 42,409.22
Rp 27,720.00
Rp 6,000.00
Rp 33,720.00 50000 16,280
Rp 12,753.00
Rp 24,505.00
Rp 10,010.00
Rp 6,000.00
Rp 53,268.00
Rp 4,433.00
Rp 2,216.50
Rp 1,560.00
Rp 6,000.00
Rp 14,209.50
Rp 2,216.50
Rp 9,600.00
Rp 6,000.00
Rp 17,816.50
Rp 87,120.00
Rp 6,000.00
Rp 93,120.00
Rp 1,535.30
Rp 6,000.00
Rp 7,535.30
Rp 60,984.00
Rp 1,820.00
Rp 6,000.00
Rp 68,804.00
Rp 3,246.10
Rp 2,216.50
Rp 1,703.00
Rp 6,000.00
Rp 13,165.60
Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 754.00
Rp 2,535.00
Rp 24,505.00
Rp 1,560.00
Rp 1,418.17
Rp 6,000.00
Rp 30,772.17
Rp 130,680.00
Rp 6,000.00
Rp 136,680.00
Rp 95,040.00
Rp 87,120.00
Rp -
Rp 6,000.00
Rp 188,160.00
Rp 1,560.00
Rp 11,830.00
Rp 6,000.00
Rp 19,390.00
Rp 12,870.00
Rp 9,440.00
Rp 880.00
Rp 5,670.00
Rp 6,000.00
Rp 28,860.00
Rp 12,405.00
Rp 9,240.00
Rp 2,805.00
Rp 12,760.00
Rp 6,000.00
Rp 43,210.00
Rp 2,220.00
Rp 6,000.00
Rp 8,220.00
Rp 130,680.00
Rp 68,640.00
Rp 6,000.00
Rp 205,320.00
Rp 130,680.00
Rp 68,640.00
Rp 6,000.00
Rp 205,320.00
Rp 17,580.00
Rp 6,000.00
Rp 23,580.00
Rp 3,969.00
Rp 7,392.00
Rp 12,760.00
Rp 6,000.00
Rp 30,121.00
Rp 41,830.00
Rp 24,960.00
Rp 4,812.50
Rp 28,600.00
Rp 19,140.00
Rp 2,720.00
Rp 6,000.00
Rp 128,062.50
Rp 41,830.00
Rp 19,140.00
Rp 22,620.00
Rp 2,805.00
Rp 9,240.00
Rp 6,000.00
Rp 101,635.00
Rp 1,460.00
Rp 2,220.00
Rp 5,670.00
Rp 6,000.00
Rp 15,350.00
Rp 20,915.00
Rp 970.00
Rp 3,900.00
Rp 6,000.00
Rp 31,785.00
Rp 3,430.00
Rp 6,010.00
Rp 1,650.00
Rp 6,000.00
Rp 17,090.00
Rp 3,430.00
Rp 9,240.00
Rp 12,760.00
Rp 6,000.00
Rp 31,430.00
Rp 3,430.00
Rp 9,240.00
Rp 860.00
Rp 2,540.00
Rp 6,548.00
Rp 12,760.00
Rp 6,000.00
Rp 41,378.00
Rp 7,800.00
Rp 2,190.00
Rp 12,760.00
Rp 22,620.00
Rp 7,392.00
Rp 6,000.00
Rp 58,762.00
Rp 130,680.00
Rp 68,640.00
Rp 6,000.00
Rp 205,320.00
Rp 237,600.00
Rp 130,680.00
Rp 6,000.00
Rp 374,280.00
Rp 130,680.00
Rp 102,960.00
Rp 6,000.00
Rp 239,640.00
Rp 41,830.00
Rp 24,960.00
Rp 21,450.00
Rp 7,920.00
Rp 1,650.00
Rp 1,524.00
Rp 38,016.00
Rp 6,000.00
Rp 143,350.00
Rp 5,920.00
Rp 1,650.00
Rp 5,145.00
Rp 6,000.00
Rp 18,715.00
TANGGAL POLI NAMA PASIEN NAMA OBAT
2/1/2021 POLI DALAM SHINTA ARIFA M OMEPRAZOLE
SUCRALFATE SYR
CEFIXIME 200 MG
ASUHAN FARMASI
Asam mefenamat tbl 500 mg (Mersi)

POLI OBGYN Supariyem
promavit
asam tranexamat berno
asuhan farmasi
POLI UMUM Ula Qiana Amoxicillin syr

Paracetamol syr
ASUHAN FARMASI
Suratman Cefixime tab

Masneuro
ASUHAN FARMASI
2/2/2021 IGD Setya IGD Kanul O2
Parasetamol syr 120mg/5ml (Mersi)

POLI UMUM An. M Bilal
Amlodipin tbl 10 mg(Tempo)
CTM Strip
ASUHAN FARMASI
Tn. Ngadimin Ringer Laktat

Ondansentron 4mg/2ml injeksi
Rantin Injeksi
ASUHAN FARMASI
2/3/2021 Tn Martono Cetirizin

Asetilsitein 200
Omeprazole
Oxyvit
Amlodipin 10
ASUHAN FARMASI
POLI UMUM Ny. Siti Aminah Antasida tab

Masneuro
Omeprazole
Amlodipin 10 mg
ASUHAN FARMASI
POLI DALAM Tn Widodo Domperidon tab

masneuro
ASUHAN FARMASI
2/4/2021 POLI GIGI ENI PUSPOSARI METRONIDAZOL TAB 500 MG

NA DIKLOFENAK 50 MG
ASUHAN FARMASI
POLI DALAM Tn Rasimin Analtram

Lisinopril 10
ASUHAN FARMASI
POLI BEDAH SURATMAN CEFIXIM 200 MG

ASAM MEFENAMAT
MASNEURO
ASUHAN FARMASI
2/5/2021 poli umum Tn. Sujimin Ciprofloxacin 500 Berno

Omeprazole 20 mg
Intunal Forte
Masneuro
ASUHAN FARMASI
poli umum An. Muhammad Savier Cefadroxil 500

Deksametason tbl 0.5 mg
(Novapharin)
CTM PIM
Farbivent inhalasi
ASUHAN FARMASI
2/6/2021 IGD INDRAWATI NEW ANTIDES

PARACETAMOL
RANITIDINE
ASUHAN FARMASI
ANIK SAFITRI ASAM MEFENAMAT

DEXAMETHASONE
CTM PIM
CEFADROXIL
LIDOCAIN INJ
ASUHAN FARMASI
2/8/2021 POLI DALAM TN RADI METHYLPREDNOSOLON 4 MG
OBH SYR
AMBROXOL TAB
SALBUTAMOL 4 MG
ASUHAN FARMASI
POLI DALAM TN SALIYO AMBROXOL TAB

METHYLPREDNOSOLON 4 MG
AZITROMISIN 500 MG
OBH SYR
MASNEURO
CETIRIZINE 10 MG
ASUHAN FARMASI
POLI DALAM TN MARTONO METHYLPREDNOSOLON 4 MG

CODEIN 10 MG
CETIRIZINE 10 MG
AMBROXOL TAB
AZITROMISIN 500 MG
ASUHAN FARMASI
POLI GIGI BU JASMI METRONIDAZOLE TAB

ASAM MEFENAMAT
DEXAMETHASON
ASUHAN FARMASI
IGD DR ROSI DWI ALLOPURINOL 100 MG

HISTIGO
2/9/2021 POLI UMUM ANIK SAFITRI CEFADROXIL

ASAM MEFENAMAT
MASNEURO
ASUHAN FARMASI
2/10/2021 POLI DALAM Didin Mujiati Parasetamol 500 mg(Mersi)

Zegavit tablet
ASUHAN FARMASI
IGD Tn Subito Omeprazol

Na Diklofenak 50mg
ASUHAN FARMASI
IGD TN SUPARDI Ciprofloxacin 500 Berno
ASAM MEFENAMAT
ASUHAN FARMASI
2/11/2021 OBGYN NY. PUJIANI Ciprofloxacin 500mg

Masneuro
ASUHAN FARMASI
OBGYN Ny. Oktavia Dwi Fontactiv one

ASUHAN FARMASI
OBGYN Ny. Siti Lailatul Fontactiv one

ASUHAN FARMASI
OBGYN Ny. Fina Isfionita Promavit

Fontactiv one
ASUHAN FARMASI
2/13/2021 POLI UMUM NY NGATINEM NA DIKLOFENAK

MASNEURO
CETIRIZIN
POLI DALAM NGADIMIN METILPREDNISOLON 4 MG

LISINOPRIL 10 MG
ANALTRAM
DR ROSI DWI IGD ZEGAVIT
IGD AN. TRIA F CEFADROXIL

DEXA
ZINC TAB
VIT C 250 MG
VITAMIN B COMPEX
RANITIDIN
PARACETAMOL TAB
DOMPERIDONE TAB
ASUHAN FARMASI
2/15/2021 OBGYN SITI RINAWATI OSFIT DHA

PARACETAMOL
ASUHAN FARMASI
OBGYN RIKA RETRI A FONT ACCTIVE
(KARYAWAN) OBH SYR
POLI DALAM TN SUPARDI SALBUTAMOL 4 MG

AMBROXOL TAB
OBH SYR
METHYL 4 MG
ASUHAN FARMASI
POLI DALAM TN SALIYO AMBROXOL TAB

METHYL 4 MG
ASUHAN FARMASI
IGD ERI NUR LEVOFLOXACIN

N-Acetysistein tab
ZINC
VIT C 500 MG
PARACETAMOL
ASUHAN FARMASI
2/16/2021 POLI DALAM Ny. Sulinah Amlodipin 10mg

Lisinopril 10mg
Atorvastatin 10 mg
Bisoprolol
ASUHAN FARMASI
2/17/2021 POLI UMUM Aletta Quinbi Cefadroxil

CTM
ASUHAN FARMASI
2/17/2021 IGD
REFA Omecdiar suspensi
Domperidon syrup
L-Zinc Sirup
Parasetamol syr 120mg/5ml (Mersi)
ASUHAN FARMASI
2/18/2021 POLI UMUM FATIKHATUL K ANTASID TAB

CEFADROXIL TAB
OMEPRAZOLE
ASUHAN FARMASI
IGD Tn. Kasbi Dulcolax Dewasa
58 th L-bio
sambirejo, kunduran Kaptopril tbl 12.5 mg(KF)
ASUHAN FARMASI
IGD RAJAL TN SUJADI KETOPROFEN INJ

58 TAHUN RANITIDIN INJ
WIROSARI ONDANSETRON INJ
RANITIDIN TAB
KETOROLAC TAB
2/19/2021 POLI UMUM AN DANISH FADHILAH APYALIS SYR
IGD TN MULYADI ONDAN INJ

AQUABIDEST
RL
ASUHAN FARMASI
IGD NY DARWATI OMEPRAZOLE CAP

CIPROFLOXACIN TAB 500
PARACETAMOL TAB
IGD SETYO Folley Catheter No 16 (Aximed)

Urine Bag (Aximed)
NGT 14
jarum insulin
2/20/2021 SITI CHOTIMAH DIAZEPAM 5MG
POLI DALAM TN. DARTO METIL PREDNISOLON

MASNEURO
ASUHAN FARMASI
POLI UMUM AN. RAFI BUDI AMBROXOL

DEXA
SALBUTAMOL 4 MG
CETIRIZINE
FARTOLIN
ASUHAN FARMASI
POLI DALAM NY. SRI HANDAYANI METFORMIN
GLIMEPIRIDE
ASUHAN FARMASI
POLI DALAM NY. SRI HARTUTIK SALBUTAMOL 4 MG

METIL PRED 4MG
AMBROXOL
NAC
AZYTHROMYCIN
CEFIXIME
ASUHAN FARMASI
2/22/2021 POLI DALAM TN SUNARDI METHYLPREDNISOLON 4 MG

66 TH SALBUTAMOL 4 MG
BEKU 5/2 GEDANGAN WRSARI OBH SYR
AMBROXOL TAB
ANLODIPIN 10 MG
AZITHROMISIN
POLI DALAM RUKIMIN CODEIN 10 MG

39 TH CETIRIZIN 10
DAMAR 5/5 BANJARDOWO KARADE KALNEX 500
LEVOFLOXACIN 500
2/23/2021 POLI UMUM FAUZANA HARDIANTA ANTASIDA TAB

MASNEURO
OMEPRAZOLE
ASUHAN FARMASI
POLI DALAM LUKA EMALASARI DOMPERIDON TAB

ASUHAN FARMASI
POLI DALAM Ny. Sumiati Insulin Lantus

Masneuro
Omeprazole 20 mg
Cefixime tab 200 mg (Bernofarm)
Domperidon 10mg
Jarum Insulin
ASUHAN FARMASI
2/24/2021 POLI OBGYN NY SHOLIKAH Osfit DHA Plus

ASUHAN FARMASI
NY DIAN PRIHARTANTI Microgest 100 mg
ASUHAN FARMASI
ny pujianik Asam Mefenamat 500mg

asuhan farmasi
2/25/2021 POLI OBGYN NY RENI SETIANINGSIH Cefadroxil 500

Genoclom
ASUHAN FARMASI
POLI OBGYN NY RINDA APRILIYANI FONT ACTIVE ONE

ASUHAN FARMASI
POLI DALAM NY KATI CLOPIDOGREL

BISOPROLOL 5 MG
ATORVASTATIN 10 MG
ASUHAN FARMASI
2/26/2021 POLI OBGYN RENI WAHYU BUNDAVIN

MICROGEST 100
SITI SOLEKAH BUNDAVIN

KARYAWAN
POLI DALAM TN DARTO METILPREDNISOLON 4 MG

61 TH MOVIX TAB
KUNDURAN 5/2 LAPIBAL
POLI OBGYN RIANI ANIS SANTIKA GASTRUL

15 TAHUN CEFADROXIL 500 MG
NGUTER BATURECO KUNDURAN
HARGA QTY JUMLAH
Rp 1,276 15 Rp 19,140
Rp 22,620 1 Rp 22,620
Rp 4,183 4 Rp 16,732
Rp 6,000
Rp 64,492
Rp 444 10 Rp 4,440
Rp 4,356 20 Rp 87,120
Rp 2,060 10 Rp 20,600
Rp 6,000
Rp 118,160
Rp 4,717 1 Rp 4,717
Rp 1,536 1 Rp 1,536
Rp 6,000
Rp 12,253
Rp 4,183 10 Rp 41,830
Rp 343 10 Rp 3,430
Rp 325 10 Rp 3,250
Rp 924 5 Rp 4,620
Rp 6,000
Rp 59,130
Rp 7,500 2 Rp 15,000
Rp 1,536
1 Rp 1,536
Rp 329 2 Rp 658
Rp 100 2 Rp 200
Rp 12,000
Rp 14,394
Rp 9,018 1 Rp 9,018
Rp 7,865 1 Rp 7,865
Rp 26,400 1 Rp 26,400
Rp 6,000
Rp 49,283
Rp 254 10 Rp 2,540
Rp 485 10 Rp 4,850
Rp 1,559 10 Rp 15,590
Rp 1,600 6 Rp 9,600
Rp 260 10 Rp 2,600
Rp 6,000
Rp 41,180
Rp 75 10 Rp 750
Rp 924 10 Rp 9,240
Rp 1,275 10 Rp 12,750
Rp 260 10 Rp 2,600
Rp 6,000
Rp 31,340
Rp 186 15 Rp 2,790
Rp 924 10 Rp 9,240
Rp 6,000
Rp 18,030
Rp 480 10 Rp 4,800
Rp 146 10 Rp 1,460
Rp 6,000
Rp 12,260
Rp 11,880 10 Rp 118,800
Rp 337 3 Rp 1,011
Rp 6,000
Rp 125,811
Rp 4,183 5 Rp 20,915
Rp 343 10 Rp 3,430
Rp 924 10 Rp 9,240
Rp 6,000
Rp 39,585
Rp 592 10 Rp 5,920
Rp 1,559 10 Rp 15,590
Rp 1,180 10 Rp 11,800
Rp 924 10 Rp 9,240
Rp 6,000
Rp 48,550
Rp 944 3 Rp 2,832
Rp 165 3 Rp 495
Rp 59 3 Rp 177
Rp 13,200 1 Rp 13,200
Rp 12,000
Rp 28,704
Rp 185 10 Rp 1,850
Rp 222 10 Rp 2,220
Rp 325 10 Rp 3,250
Rp 6,000
Rp 13,320
Rp 342 10 Rp 3,420
Rp 1,426 10 Rp 14,260
Rp 59 10 Rp 590
Rp 944 10 Rp 9,440
Rp 1,587 1 Rp 1,587
Rp 6,000
Rp 35,297
Rp 567 7 Rp 3,969
Rp 7,920 1 Rp 7,920
Rp 225 20 Rp 4,500
Rp 104 8 Rp 832
Rp 6,000
Rp 23,221
Rp 225 20 Rp 4,500
Rp 567 20 Rp 11,340
Rp 4,160 6 Rp 24,960
Rp 7,920 1 Rp 7,920
Rp 924 7 Rp 6,468
Rp 117 5 Rp 585
Rp 6,000
Rp 61,773
Rp 567 20 Rp 11,340
Rp 897 30 Rp 26,910
Rp 117 15 Rp 1,755
Rp 225 20 Rp 4,500
Rp 4,160 5 Rp 20,800
Rp 6,000
Rp 71,305
Rp 480 10 Rp 4,800
Rp 444 10 Rp 4,440
Rp 165 10 Rp 1,650
Rp 6,000
Rp 16,890
Rp 247 20 Rp 4,940
Rp 1,000 10 Rp 10,000
Rp 15,000
Rp 944 10 Rp 9,440
Rp 444 15 Rp 6,660
Rp 924 10 Rp 9,240
Rp 6,000
Rp 31,340
Rp 222 10 Rp 2,220
Rp 4,752 8 Rp 38,016
Rp 6,000
Rp 46,236
1,559.00 10 Rp 15,590
Rp 146 5 Rp 730
Rp 6,000
Rp 22,320
Rp 592 10 Rp 5,920
Rp 444 10 Rp 4,440
Rp 6,000
Rp 16,360
Rp 592 15 Rp 8,880
Rp 924 15 Rp 13,860
Rp 6,000
Rp 28,740
Rp 160,000 1 Rp 160,000
Rp 6,000
Rp 166,000
Rp 160,000 1 Rp 160,000
Rp 6,000
Rp 166,000
Rp 4,356 10 Rp 43,560
Rp 160,000 1 Rp 160,000
Rp 7,000
Rp 210,560
Rp 146 10 Rp 1,460
Rp 924 10 Rp 9,240
Rp 254 10 Rp 2,540
Rp 6,000
Rp 19,240
Rp 567 20 Rp 11,340
Rp 337 10 Rp 3,370
Rp 11,880 15 Rp 178,200
Rp 6,000
Rp 198,910
Rp 4,752 10 Rp 47,520
Rp 944 5 Rp 4,720
Rp 165 4 Rp 660
Rp 682 3 Rp 2,046
Rp 1,183 1 Rp 1,183
Rp 156 4 Rp 624
Rp 325 3 Rp 975
Rp 222 10 Rp 2,220
Rp 187 5 Rp 935
Rp 12,000
Rp 25,363
Rp 5,940 30 Rp 178,200
Rp 222 10 Rp 2,220
Rp 6,000
Rp 186,420
Rp 132,000 1 Rp 132,000
Rp 6,600 1 Rp 6,600
Rp 138,600
Rp 104 8 Rp 832
Rp 225 15 Rp 3,375
Rp 6,600 1 Rp 6,600
Rp 567 5 Rp 2,835
Rp 6,000
Rp 19,642
Rp 225 15 Rp 3,375
Rp 567 8 Rp 4,536
Rp 6,000
Rp 13,911
Rp 517 6 Rp 3,102
Rp 1,430 10 Rp 14,300
Rp 682 10 Rp 6,820
Rp 894 10 Rp 8,940
Rp 222 10 Rp 2,220
Rp 6,000
Rp 41,382
Rp 260 10 Rp 2,600
Rp 337 10 Rp 3,370
Rp 116 26 Rp 3,016
Rp 1,430 20 Rp 28,600
Rp 643 10 Rp 6,430
Rp 6,000
Rp 50,016
Rp 944 3 Rp 2,832
Rp 59 3 Rp 177
Rp 12,000
Rp 15,009
Rp 10,880 1 Rp 10,880
Rp 6,000 1 Rp 6,000
Rp 43,560 1 Rp 43,560
Rp 1,536 1 Rp 1,536
Rp 6,000
Rp 67,976
Rp 75 10 Rp 750
Rp 944 10 Rp 9,440
Rp 1,559 10 Rp 15,590
Rp 6,000
Rp 31,780
Rp 27,600 2 Rp 55,200
Rp 9,240 6 Rp 55,440
Rp 86 12 Rp 1,032
Rp 222 10 Rp 2,220
Rp 6,000
Rp 119,892
Rp 5,730 1 Rp 5,730
Rp 8,950 1 Rp 8,950
Rp 7,865 1 Rp 7,865
Rp 325 10 Rp 3,250
Rp 1,197 10 Rp 11,970
Rp 6,000
Rp 43,765
Rp 43,560 1 Rp 43,560
Rp 6,000
Rp 49,560
Rp 7,865 1 Rp 7,865
Rp 7,800 1 Rp 7,800
Rp 9,156 2 Rp 18,312
Rp 6,000
Rp 39,977
Rp 1,559 6 Rp 9,354
Rp 592 10 Rp 5,920
Rp 222 10 Rp 2,220
Rp 6,000
Rp 23,494
Rp 11,565 1 Rp 11,565
Rp 5,785 1 Rp 5,785
Rp 33,000 1 Rp 33,000
Rp 3,300 20 Rp 66,000
Rp 116,350
Rp 149 20 Rp 2,980
Rp 567 20 Rp 11,340
Rp 924 7 Rp 6,468
Rp 6,000
Rp 23,808
Rp 225 5 Rp 1,125
Rp 165 5 Rp 825
Rp 104 3 Rp 312
Rp 117 5 Rp 585
Rp 22,440 1 Rp 22,440
Rp 6,000
Rp 31,287
Rp 133 10 Rp 1,330
Rp 270 10 Rp 2,700
Rp 6,000
Rp 10,030
Rp 104 20 Rp 2,080
Rp 567 30 Rp 17,010
Rp 225 20 Rp 4,500
Rp 1,430 20 Rp 28,600
Rp 4,160 5 Rp 20,800
Rp 3,081 10 Rp 30,810
Rp 6,000
Rp 109,800
Rp 567 16 Rp 9,072
Rp 104 22 Rp 2,288
Rp 7,920 1 Rp 7,920
Rp 225 22 Rp 4,950
Rp 260 8 Rp 2,080
Rp 4,160 8 Rp 33,280
Rp 6,000
Rp 65,590
Rp 897 30 Rp 26,910
Rp 254 6 Rp 1,524
Rp 4,422 6 Rp 26,532
Rp 517 5 Rp 2,585
Rp 6,000
Rp 63,551
Rp 75 10 Rp 750
Rp 924 10 Rp 9,240
Rp 1,276 10 Rp 12,760
Rp 6,000
Rp 28,750
Rp 186 15 Rp 2,790
Rp 6,000
Rp 8,790
Rp 249,598 1 Rp 249,598
Rp 924 10 Rp 9,240
Rp 1,559 21 Rp 32,739
Rp 3,081 15 Rp 46,215
Rp 187 20 Rp 3,740
Rp 3,960 1 Rp 3,960
Rp 6,000
Rp 351,492
Rp 5,940 20 Rp 118,800
Rp 6,000
Rp 124,800
Rp 15,840 10 Rp 158,400
Rp 6,000
Rp 164,400
Rp 343 15 Rp 5,145
Rp 592 15 Rp 8,880
Rp 6,000
Rp 20,025
Rp 944 10 Rp 9,440
Rp 18,480 15 Rp 277,200
Rp 6,000
Rp 292,640
Rp 160,000 1 Rp 160,000
Rp 6,000
Rp 166,000
Rp 2,210 15 Rp 33,150
Rp 643 8 Rp 5,144
Rp 1,430 30 Rp 42,900
Rp 6,000
Rp 87,194
Rp 586 30 Rp 17,580
Rp 15,840 10 Rp 158,400
Rp 6,000
Rp 181,980
Rp 488 30 Rp 14,640
Rp 567 20 Rp 11,340
Rp 11,616 8 Rp 92,928
Rp 2,970 8 Rp 23,760
Rp 6,000
Rp 134,028
Rp 14,520 10 Rp 145,200
Rp 944 10 Rp 9,440
Rp 6,000
Rp 160,640
TANGGAL RUANG NAMA PASIEN NAMA OBAT HARGA
2/8/2021 RANAP ATAS TN NGADIMIN OMEPRAZOLE Rp 1,559
1/12/1965 AZITHROMYSIN Rp 4,160
WATUANDO 5/3 NGUMBUL CEFIXIM 200MG Rp 4,183
HISTIGO Rp 827
NAC Rp 485
AMLODIPIN 10 MG Rp 260
OXYVIT Rp 1,600
LISINOPRIL 10MG Rp 337
SALBUTAMOL 4 MG Rp 104
AMBROXOL TAB Rp 225
RANAP ATAS SUPARDI FARTOLIN Rp 22,440

7/8/1958 METILPREDNISOLON INJ Rp 13,621
DOLO 4/3 TANJUNGSARI AMBROXOL Rp 225
NAC Rp 485
OMEPRAZOLE KAP Rp 1,559
PARACETAMOL TAB Rp 222
AZITROMISIN Rp 4,160
MASKER NEBUL DWS Rp 22,200
2/9/2021 VK FINA MICROGEST 100 Rp 15,840

19 TAHUN PROMAVIT Rp 4,356.00
NGARINGAN 1/4 KRADENAN ONDANCENTRON INJ Rp 7,865
PRAZOTEC INJ Rp 158,400
RANAP ATAS SUPARDI CIPROFLOXACIN INJ Rp 13,240

7/8/1958 AMBROXOL Rp 225
DOLO 4/3 TANJUNGSARI PARACETAMOL TAB Rp 222
OMEPRAZOLE TAB Rp 1,559
SALBUTAMOL 4MG Rp 104
N ASETILSISTEIN Rp 485
AZITROMISIN Rp 4,160
FARTOLIN Rp 22,440
METHYL PRED INJ Rp 13,621
2/10/2021 VK NY FINA ISFIONITA ONDANCETRON INJ Rp 7,865

19 TAHUN PRAZOTEC INJ Rp 158,400
NGARINGAN 1/4 KRADENAN
Asuhan Farmasi
2/10/2021 RANAP 1&2 Tn. Supardi Prazotec injeksi Rp 158,400

82 th Ciprofloxacine infus. 2mg/ Rp 13,240
LK. Kliling, Jl. Bantolo mulyo 3/4 k Metil Prednisolon 4mg Rp 567
Rp 592
Salbutamol tbl 4 mg(KF) Rp 104
Azythromocin 500 mg Rp 4,160
N-Acetysistein tab Rp 1,430
Ambroxol 30mg tab Rp 225
Parasetamol 500
mg(Mersi)
Rp 222
Omeprazole 20 mg Rp 1,559
Asuhan Farmasi
2/10/2021 RANAP 1&2 Ny. Sulinah Ketorolac inj Rp 7,298

71 th D5%
PRAZOTEC INJ Rp 158,400
Isosorbidinitrat tbl 5 mg
(Yarindo)
Rp 116
Lisinopril 10mg Rp 337
Bisoprolol 5 mg Rp 643
Amlodipin 10mg Rp 260
Asuhan Farmasi
RANAP ATAS Ny. Sulinah Atorvastatin 10mg Rp 1,430

71 th Asuhan Farmasi
Dukuh Watuondo 5/3 Ngumbul
Todanan
2/11/2021 RANAP 1&2 Ny. Sulinah Analtram Rp 11,880

Isosorbidinitrat tbl 5 mg
(Yarindo)
71 th Rp 116
Dkh. Watuondo 5/3 Ngumbul Tod Lisinopril 10mg Rp 337
Bisoprolol 5 mg Rp 643
Atorvastatin 10 mg Rp 1,430
Asuhan Farmasi
RANAP Ny. Sulimi Azytromycin 4,160.00

52 th Oseltamivir Rp 18,592
Paracetamol Rp 222
Krajan 06/01 Tegalrejo, Wirosari
Acetylsistein Rp 1,430
Clopidogrel Rp 2,210
Omeprazole Rp 1,559
Zegavit Rp 4,752
Masneuro Rp 924
Bisoprolol 5mg Rp 643
Asuhan Farmasi
RANAP An. Aletta Quinbi Diazepam tb 5mg Rp 149

Paracetamol syr Rp 1,536
Asuhan Farmasi
2/12/2021 RANAP An. DANISH PARACETAMOL SYR Rp 1,536

ASUHAN FARMASI
An. ALETTA ZINK SYR Rp 4,123

ANAGEN SYR Rp 15,190
ASUHAN FARMASI
IGD Tn. SUNARDI N-Acetysistein tab Rp 1,430

LISINOPRIL 10 MG Rp 337
ASUHAN FARMASI
IGD- RANAP AN. DANIS FADHILAH RL Rp 9,919

PARACETAMOL INFUS Rp 16,106
ONDANSENTRON INJ Rp 7,865
ABBOCATH NO.22 Rp 6,600
INFUS SET ANAK Rp 10,560
SPUIT 3CC Rp 1,386
THREWAYS
ASUHAN FARMASI
RANAP TN. SUNARDI INJ PRAZOTEC Rp 158,400

66 TAHUN FARTOLIN Rp 22,440
INJ METIL PREDNISOLON Rp 13,621
NY. SULIMI Azythromocin 500 mg Rp 4,160

52 TAHUN
AN. ALETTA INJ ONDANSENTRON Rp 13,511

1,4 TAHUN
TN. DARTO Ceftriaxone 1 g inj Rp 7,150

61 TAHUN
KAMSORI RL Rp 9,919
IGD NACL Rp 8,892
ONDANSETRON INJ Rp 13,511
HISTIGO Rp 827
MASNEURO TAB Rp 924
ANALTRAM TAB Rp 11,880
METFORMIN Rp 293
ASUHAN FARMASI
2/13/2021 RANAP ATAS NY SUMIYATI N ACETILSISTEIN Rp 1,430
MASNEURO Rp 924
PARACETAMOL Rp 222
KETOROLAC INJ Rp 7,298
FUROSEMID INJ Rp 1,733
NY KATI ONDAN INJ Rp 7,865

CLOPIDROGEL 75 Rp 2,210
ISDN Rp 116
LISINOPRIL 10MG Rp 337
ATORVASTATIN 10MG Rp 1,430
DIAZEPAM TAB 5 MG Rp 149
CEFTRIAXON INJ 1 GR Rp 7,150
TN SUNARDI METHILPRED INJ Rp 13,621

FARTOLIN NEBUL Rp 22,440
KAMSORI ONDAN INJ Rp 7,865

BETAHISTIN TAB Rp 143
MASNEURO Rp 924
METFORMIN Rp 293
ANALTRAM Rp 11,880
AN DENISH ONDAN INJ Rp 7,865

INFUS SET MIKRO Rp 10,560
TN DARTO AMLODIPIN 10 MG Rp 260

CEFTRIAXON INJ Rp 7,150
CEFOTAXIME INJ Rp 20,020
NA DIKLOFENAK 50MG Rp 146
NY SULIM AZYTROMISIN Rp 4,160

OSELTAMIVIR Rp 18,592
PARACETAMOL TAB Rp 222
NAC Rp 1,430
OMEPRAZOLE KAP Rp 1,559
ZEGAVIT Rp 4,752
CLOPIDOGREL 75 MG Rp 2,210
AN ALETA PAMOL SYR Rp 1,536
AN. DANISH ZINC SYR Rp 4,123

L-BIO CAPS Rp 9,240
2/14/2021 RANAP AN. DANISH ANAGENS SYR Rp 15,190
TN. DARTO INJ CEFTRIAXONE Rp 7,150

NATRIUM DICLOFENAC Rp 146
NY. KATI INJ ONDANSENTRON Rp 7,865

INJ KETOROLAC Rp 7,298
OMEPRAZOLE INJ Rp 13,511
TN. KAMSORI INJ ONDANSENTRON Rp 7,865

NY SUMIYATI INJ FUROSEMIDE Rp 1,733

SUNARDI PRAZOTEC INJ 158,400.00
2/15/2021 TN KAMSORI OMEPRAZOLE Rp 1,559

ANALTRAM Rp 11,880
HISTIGO Rp 827
MASNEURO Rp 924
METFORMIN Rp 293
NY KATI INJ FUROSEMID Rp 1,733

OMEPRAZOLE Rp 1,559
INJ ONDAN Rp 7,865
INJ CEFTRIAXON Rp 7,150
Sdr FAHRI A ZEGAVIT Rp 4,752
INJ RANITIDINE Rp 1,545
INJ ONDAN Rp 7,865
PARACETAMOL 500 MG Rp 222
Ny SRI HANDAYANI CEFTRIAXON INJ Rp 7,150

INJ ONDAN Rp 7,865
TN DARTO NATRIUM DIKLOFENAK Rp 146

CEFIXIME 200 MG Rp 4,183
METHYL 4 MG Rp 567
NY SUMIYATI INJ PRAZOREC Rp 158,400

INJ CEFTRIAXON Rp 7,150
AZYTROMICIN Rp 4,160
OMEPRAZOLE Rp 1,559
CODEIN 10 MG Rp 897
NY SRI HANDAYANI JARUM INSULIN Rp 3,960

INJ RANITIDINE Rp 1,545
METFORMIN Rp 293
TN SUNARDI METHYL 4 MG Rp 567

OMEPRAZOLE Rp 1,559
N ACETYL Rp 1,430
AMBROXOL Rp 225
2/21/2021 VK SRI WAHYUNI GASTRUL Rp 14,520

CEFTRIAXONE VIAL Rp 7,150
QTY JUMLAH
10 Rp 15,590
3 Rp 12,480
6 Rp 25,098
10 Rp 8,270
15 Rp 7,275
5 Rp 1,300
10 Rp 16,000
5 Rp 1,685
8 Rp 832
15 Rp 3,375
Rp 7,000
Rp 98,905
3 Rp 67,320
1 Rp 13,621
3 Rp 675
3 Rp 1,455
2 Rp 208
2 Rp 3,118
3 Rp 666
1 Rp 4,160
1 Rp 22,200
Rp 7,000
Rp 120,423
10 Rp 158,400
10 Rp 43,560
2 Rp 15,730
2 Rp 316,800
Rp 7,000
Rp 541,490
4 Rp 52,960
3 Rp 675
3 Rp 666
2 Rp 3,118
2 Rp 208
3 Rp 1,455
1 Rp 4,160
3 Rp 67,320
1 Rp 13,621
Rp 7,000
Rp 151,183
6 Rp 47,190
4 Rp 633,600
Rp 7,000
Rp 7,000
Rp 694,790
1 Rp 158,400
2 Rp 26,480
10 Rp 5,670
6 Rp 3,552
15 Rp 1,560
3 Rp 12,480
15 Rp 21,450
15 Rp 3,375
15 Rp 3,330
10 Rp 15,590
Rp 7,000
Rp 258,887
2 Rp 14,596
2 Rp -
1 Rp 158,400
3 Rp 348
1 Rp 337
1 Rp 643
1 Rp 260
Rp 7,000
Rp 181,584
5 Rp 7,150
Rp 7,000
Rp 14,150
15 Rp 178,200
15 Rp 1,740
5 Rp 1,685
3 Rp 1,929
5 Rp 1,300
10 Rp 14,300
Rp 7,000
Rp 206,154
10 Rp 41,600
10 Rp 185,920
10
Rp 2,220
10 Rp 14,300
10 Rp 22,100
10 Rp 15,590
10 Rp 47,520
10 Rp 9,240
10 Rp 2,600
5 Rp 3,215
Rp 7,000
Rp 351,305
1 Rp 149
1 Rp 1,536
Rp 7,000
Rp 8,685
1 Rp 1,536
Rp 7,000
Rp 8,536
1 Rp 4,123
1 Rp 15,190
Rp 7,000
Rp 26,313
10 Rp 14,300
10 Rp 3,370
Rp 7,000
Rp 24,670
1 Rp 9,919
1 Rp 16,106
1 Rp 7,865
2 Rp 13,200
1 Rp 10,560
2 Rp 2,772
1 Rp -
Rp 7,000
Rp 67,422
1 Rp 158,400
5 Rp 112,200
1 Rp 13,621
Rp 7,000
Rp 291,221
1 Rp 4,160
Rp 7,000
Rp 11,160
2 Rp 27,022
Rp 7,000
Rp 34,022
2 Rp 14,300
Rp 7,000
Rp 21,300
2 Rp 19,838
1 Rp 8,892
1 Rp 13,511
1 Rp 827
1 Rp 924
1 Rp 11,880
1 Rp 293
Rp 7,000
Rp 63,165
10 Rp 14,300
10 Rp 9,240
10 Rp 2,220
3 Rp 21,894
1 Rp 1,733
Rp 7,000
Rp 56,387
2 Rp 15,730
2 Rp 14,596
10 Rp 22,100
10 Rp 1,160
10 Rp 3,370
10 Rp 14,300
5 Rp 745
4 Rp 28,600
Rp 7,000
Rp 107,601
1 Rp 13,621
3 Rp 67,320
Rp 7,000
Rp 87,941
5 Rp 39,325
10 Rp 1,430
5 Rp 4,620
10 Rp 2,930
10 Rp 118,800
3 Rp 21,894
Rp 7,000
Rp 195,999
1 Rp 7,865
1 Rp 10,560
Rp 7,000
Rp 25,425
5 Rp 1,300
2 Rp 14,300
1 Rp 20,020
3 Rp 438
Rp 7,000
Rp 43,058
3 Rp 12,480
6 Rp 111,552
10 Rp 2,220
15 Rp 21,450
10 Rp 15,590
5 Rp 23,760
5 Rp 1,300
5 Rp 11,050
Rp 7,000
Rp 206,402
1 Rp 1,536
Rp 7,000
Rp 8,536
1 Rp 4,123
6 Rp 55,440
Rp 7,000
Rp 66,563
1 Rp 15,190
Rp 7,000
Rp 22,190
2 Rp 14,300
4 Rp 584
Rp 7,000
Rp 21,884
3 Rp 23,595
3 Rp 21,894
1 Rp 13,511
Rp 7,000
Rp 66,000
3 Rp 23,595
3 Rp 21,894
1 Rp 13,511
Rp 7,000
Rp 66,000
2 Rp 3,466
1 Rp 13,511
Rp 7,000
Rp 23,977
1 Rp 158,400
Rp 7,000
6 Rp 9,354
9 Rp 106,920
15 Rp 12,405
5 Rp 4,620
10 Rp 2,930
7000
Rp 143,229
2 Rp 3,466
2 Rp 3,118
2 Rp 15,730
2 Rp 14,300
2 Rp 14,596
7000
Rp 58,210
1 Rp 4,752
2 Rp 3,090
3 Rp 23,595
4 Rp 888
Rp 7,000
Rp 39,325
3 Rp 21,450
1 Rp 7,865
Rp 7,000
Rp 36,315
15 Rp 2,190
10 Rp 41,830
20 Rp 11,340
Rp 7,000
Rp 62,360
1 Rp 158,400
2 Rp 14,300
1 Rp 4,160
2 Rp 3,118
6 Rp 5,382
Rp 7,000
Rp 192,360
5 Rp 19,800
2 Rp 3,090
3 Rp 879
Rp 7,000
Rp 30,769
10 Rp 5,670
10 Rp 15,590
15 Rp 1,560
15 Rp 21,450
5 Rp 1,300
15 Rp 3,375
Rp 7,000
Rp 55,945
2 Rp 29,040
3 Rp 21,450
Rp 7,000
Rp 57,490
3/1/2021 POLI OBGYN NY ANIK NOVIANA Microgest 100 mg
OSFIT DHA
ASUHAN FARMASI
POLI OBGYN NY ANIS SAFITRI OSFIT DHA

ASUHAN FARMASI
POLI OBGYN NY FARIDA MARIA ULFA SUCRALFAT SYR

Vitamin B6 tablet 10 mg (KF)
POLI OBGYN AMMA FATHIKA Promavit

Fontactiv one
ASUHAN FARMASI
IGD NY SITI MARLINA LIDOCAIN INJ

AMOX TAB
VIT B COMP
PARACETAMOL TAB
ASUHAN FARMASI
NY. DYAH UMI (KARYAWAN)OSFIT DHA

NONEMI
IGD POPPY LINTANG JUANITA DOMPERIDON SYR

PENGGUNGHARJO 19 KUNDPARACETAMOL SYR
DEXAMETHASON TAB
AMBROXOL TAB
CTM
VITAMIN C 50MG
3/2/2021 POLI OBGYN SUPARIYEM ASAM MEFENAMAT

39 TAHUN
PLUMPUNG 3/2 KEMADOH BATUR
POLI OBGYN NY SUSI KUSWATI PROMAVIT

31 TAHUN ASUHAN FARMASI
PENGGUNG HARJO 3/9 KUNDEN
POLI OBGYN FITRIA WAHYU M PROMAVIT

DALINGAN 2/3 TAWANGHARJO
POLI OBGYN NY LULU CRISTYANTI PROMAVIT

SAWIT 2/1 TANJUNGREJO WIROSARI
POLI OBGYN NY SRI PURWANTINI PROMAVIT

SUKOHARJO 3/6 KRADENAN
NY SUWARTI PROMAVIT
LASGAN
ASUHAN FARMASI
POLI UMUM EKA HERMAWATI (KRYWAN)

CALSIUM LACTAT
VIT C 250 MG
POLI DALAM NY SULIMI CEFIXIM 200 MG

SALBUTAMOL 2 MG
AMBROXOL 30 MG
CODEIN 10MG
OBH SYR
AMLODIPIN 10 MG
POLI DALAM NY SUMIYATI LANTUS

JARUM INSULIN
MASNEURO
ASPILET
ASUHAN FARMASI
3/3/2021 POLI OBGYN YETIK ROHMAWATI FONTACTIVE ONE
POLI OBGYN PINGKY SASTIKA RM FONTACTIVE ONE

PROMAVIT
POLI OBGYN DIAN PRIHARTANTI PROMAVIT

27 TAHUN MICROGEST 200MG
DOROSEMI 2/9 TANJUNG HARJO
POLI OBGYN RIANI ANIS SANTIKA PROMAVIT

15 TAHUN
NGUTER BOTOREJO KUNDUREN
3/4/2021 IGD AN MUH RISKA Paracetamol Infus

RANITIDINE INJ
Dumin Rectal 125 mg
Diazepam tbl 5 mg (Mersi)
ASUHAN FARMASI
3/5/2021 POLI UMUM TN DARTO CLINDAMICIN 300

KUNDURAN 5/2 METHYL PRED 4 MG
MOVIC 15 MG
LAPIBAL
ASUHAN FARMASI
POLI UMUM NY DEXAMETHASON

KARYAWAN
IGD Tn. Ali Nuryanto Natrium Diklofenak 50mg

Ketoprofen tab
ASUHAN FARMASI
IGD TN MURI Amoxillin tab 500mg

ATS
SPUIT 5 CC
ASUHAN FARMASI
3/6/2021 POLI OBGYN RAHAYU MUKTI OXYVIT

3/7/2021 karyawan veny endah
Omeprazole inj
Ketoprofen tab

karyawan witantri
Onetic 4 Injeksi
Sucralfat Suspensi
karyawan diyah ayu Obat Flu Batuk/ Intunal
IGD TN SALI ASAM TRANEXAMAT TAB 250

AMLODIPIN 10 MG
OMEPRAZOLE
PCT TAB
NEO CENTA
ASUHAN FARMASI
IGD TN SUPARDI AMLODIPIN 10 MG

NATRIUM DIKLOFENAC 50 MG
ASUHAN FARMASI
IGD NY SRI UTAMI OMEPRAZOLE

ASUHAN FARMASI
Poli Obgyn Rina Widyastuti Promavit

Microgest 100 mg
ASUHAN FARMASI
Poli Obgyn Ny Nafiul Aila Promavit

ASUHAN FARMASI
Poli Obgyn Ny. Nuzulul Nikmah Promavit

ASUHAN FARMASI
3/8/2021 Poli Obgyn NY. RINA WIDYASTUTI PROMAVIT

MICROGEST 100MG
NY. NAFI'UL PROMAVIT
NY. NUZULUL NIKMAH PROMAVIT
NY. MEI PUJI INA AMLODIPIN 10MG

PROMAVIT
NY. PARTINI PROMAVIT
NY. RINA DIAH LASGAN

PROMAVIT
NY. KHOMSIYATUN MICROGEST 200MG

POLI DALAM NY. SRI UTAMI ZEGAVIT
SALBUTAMOL 2MG
AMBROXOL
SUCRALFAT SYR
NAC
POLI UMUM AN. ISFAHANI APYALIS SYR
Parasetamol syr 120mg/5ml

(Mersi)
IGD An. Arrayyan dylan
Amoksisilin tablet 500 mg
(Mersi)
Vitamin C 250 mg (Kuning)
CTM PIM
Deksametason tbl 0.5 mg
(Novapharin)
ASUHAN FARMASI
3/9/2021 Poli Obgyn NY. WAHYU AMBARSARI fontactive

microgest 100mg
ASUHAN FARMASI
NY SARTI BISOPROLOL 5 MG
LISINOPRIL 10 MG
AMLODIPIN 10 TAB
LASGAN TAB
SUCRALFAT SYR
KARYAWAN VENY ENDAH OMEPRAZOLE INJ
3/10/2021 POLI OBGYN NY RIA YULIYATI ZINC TAB 20 MG

PROMAVIT
PONTACTIVE ONE
POLI OBGYN NY HESTI AYU SURYANI FONTACTIVE ONE

ASUHAN FARMASI
IGD TN SUWITO CIPROFLOXACIN TAB

ASAM MEFENAMAT
CTM
POLI UMUM AN. M. RAZKA CEFADROXIL SYR

ETAFLUSIN SYR
ASUHAN FARMASI
POLI GIGI NY FITRIA AMOX TAB

AS MEFENAMAT
DEXA TAB
ASUHAN FARMASI
POLI OBGYN NY DARMINI PROMAVIT TAB
POLI UMUM AN MUHAMMAD IBNU OBH SYR

9 TAHUN
TAMBAK SELO 01/10 WIROSARI
POLI UMUM NY ROFI'ATUL HASANAH CEFADROXIL TAB

METYLPREDNISOLON 4 MG
AMBROXOL TAB
OMEPRAZOL KAP
POLI DALAM NY KATI ASPILET TAB

BISOPROLOL 5MG
CLOPIDOGREL TAB 75
SPIRONOLACTON 100
ATORVASTATIN 10 MG
MASNEURO
POLI UMUM TN EDY PURWANTO LAPIBAL 500

RANITIDIN TAB
AMLODIPIN 10
ASUHAN FARMASI
POLI UMUM TN MOCH SYAIFUL MASNEURO

ASAM MEFENAMAT
MELOXICAM 15 MG
ASUHAN FARMASI
KARYAWAN DR AYUK GLIMIPIRIDE 2 MG
3/11/2021 IGD SUTARTI SCOPMA

OMEORAZOLE TAB
KETOPROFEN TAB
ASUHAN FARMASI
IGD TN. WARDOYO RANITIDINE TAB

ANTASIDA TAB
VIT B6
ONDAN TAB
ASUHAN FARMASI
NY. KUSWATI RANITIDIN TAB

CAPTOPRIL 12,5 MG
PARACETAMOL
VIT B6
AMOX TAB
ASUHAN FARMASI
SAFAATUL PCT SYR

AMOX SYR
CTM TAB PIM
ASUHAN FARMASI
3/12/2021 POLI UMUM AN PUTRI VALENCIA DULCOLAX SUPP ANAK

Pralac syrup
ASUHAN FARMASI
3/13/2021 POLI BEDAH TN. MIFTAKUL CIPRO TAB

ASMEF
MASNEURO
ASUHAN FARMASI
3/14/2021 karyawan witantri Gastrul

Karyawan Veny Endah
Ketorolac inj. 30mg/ml(Ethica)
KARYAWAN Setyo Jarum Insulin

3/15/2021 kel. Karyawan Siti Muayanah Omeprazole 20 mg
Zegavit tablet
Zinc tbl 20 mg(KF)
Sukralfat suspensi (Meprof)
Gemfibrozil 300 mg
poli obgyn Nurul Komariyah Susu Fontactive One

Asuhan Farmasi
Aniki Noviana Microgest 200 mg

Susu Fontactive One
Asuhan Farmasi
POLI OBGYN FITRIYANI PROMAVIT

asuhan farmasi
POLI OBGYN AMMA FATIKHA CAL-95

asuhan farmasi
POLI DALAM TN SUWARNO SALBUTAMOL 4 MG

Farsix
N-AC
AMBROXOL
DIGOXIN
METYL PRED 4 MG
CETIRIZIN
asuhan farmasi
POLI OBGYN NY WIKA PUTRI MICROGEST 200

PROMAVIT
asuhan farmasi
Poli dalam Tn. Parjuman Natrium Diklofenak 50mg

Amlodipin 10mg
Lisinopril 10mg
Farsix
asuhan farmasi
Poli Obgyn Ny. Riza Zeni P Promavit

asuhan farmasi
Poli Obgyn Ny. Khomsiyatun Promavit

Microgest 100 mg
asuhan farmasi
POLI OBGYN NY JUHARNIK PROMAVIT

asuhan farmasi
POLI OBGYN NY SYLVIA FEBBY PROMAVIT

CEFILA 100
SELESNIZOL
asuhan farmasi
POLI OBGYN NY KURNIAWATI PROMAVIT

asuhan farmasi
POLI OBGYN NY DESTI PURWANINGSIH FONT ACCTIVE

asuhan farmasi
3/16/2021 POLI OBGYN Ny SRI SUWATI PROMAVIT

ASUHAN FARMASI
POLI UMUM AN ARGA ERVANO CEFIXIME

GG
DEKSAMETASON TAB
RANITIDINE TAB
PARACETAMOL TAB
VIT B PLEX
ASUHAN FARMASI
POLI OBGYN NY LISTYONINGSIH PROMAVIT

FONTACTIVE
POLI DALAM TN JAWANDI LANSOPRAZOL

SUCRALFAT
ASUHAN FARMASI
POLI DALAM MINASTO MASNEURO

ZEGAVIT
ASUHAN FARMASI
KARYAWAN VENY RANITIDIN INJ

KETOROLAC INJ
3/17/2021 POLI OBGYN WINDA RAWI BUNDAVIN

26 TAHUN PROMAVIT
TRUWOLU 5/2
POLI OBGYN PURNAMASARI MICROGEST 100 MG

29 TAHUN
TUNGGUL REJO 6/1 GABUS
POLI BEDAH MIFTAHUL HUDA CIPROFLOXACIN TAB

25 TAHUN NEURODEX TAB
TANGGUNGREJO WIROSARI
POLI UMUM DR LADY ONETIC 4

SPUIT 3 CC
ALKOHOL SWAB
IGD TN. YARDI PCT TAB

OMEPRAZOLE TAB
DOMPERIDONE TAB
SUCRALFAT
ASUHAN FARMASI
3/18/2021 POLI OBGYN SRI RETNOWATI PROMAVIT

BUNDAVIN
POLI OBGYN NY SRI JUWANTI Fontactiv one

ASUHAN FARMASI
POLI OBGYN NY DESTIA ANJAR SARI Fontactiv one

ASUHAN FARMASI
POLI DALAM NY KATI ASPILET

BISOPROLOL 5 MG
SPIRONOLACTON 100
KAPSUL
SIMVASTATIN 10 MG
B COMPLEK TAB
POLI DALAM JASMI CETIRIZIN TAB

KELUARGA KARYAWAN GLIMEPIRIDE 2 MG
AMBROXOL TAB
CODEIN 10MG
LEVOFLOXACIN 750MG
CANGKANG KAPSUL
SALBUTAMOL 4MG
NAC TAB
POLI OBGYN CAHYU DANA SAFITRI KALNEX

KARYAWAN
3/19/2021 1 Poli Obgyn Ny. Susanti Susu Fontactive One

asuhan farmasi
2 NY. DESI CANDRA MICROGEST 100MG

KALNEX
3 Ny. Ratih Kurnia Putri Promavit

asuhan farmasi
4 Ny Riswatisih Genoclom
(karyawan)
5 POLI DALAM Ny. Kasmi Metformin 500 mg

Glimepiride tab 2mg
ASPILET
Clopidogrel
Amlodipin 10mg
Omeprazole 20 mg
asuhan farmasi
6 Ny. Sholikah Microgest 100 mg

asuhan farmasi
7 IGD ARIFIN BUDYANSAH SALBUTAMOL 2MG

CEFADROXYL CAP
AMBROXOL
DEXAMETHASON
GG
asuhan farmasi
8 IGD TN AMIN HIDAYAT PARACETAMOL

ZEGAVIT
CURCUMA
ASUHAN FRAMASI
9 IGD NY. SULIAH NACL

JL MEKAR JAYA 1/1 EPINEFRIN INJ
KUNDEN DOBUTAMIN INJ
AQUADEST
ASUHAN FRAMASI
3/20/2021 1 POLI UMUM JA'FAR SODIQ METTHYLPREDNISOLON 4MG

SALBUTAMOL 4MG
ASUHAN FRAMASI
2 IGD TN SUDJADI KETOPROFEN TAB

58 TAHUN OMEPRAZOLE CAP
DUSUN KRIKILAN 4/5 TANJUPARACETAMOL
METRONIDAZOL TAB
3/21/2021 1 LIANA A AS MEFENAMAT

KARYAWAN NA DIKLOFENAK
AMOKSISILIN
3/22/2021 1 MBAK LIA CAPTOPRIL 12.5

KARYAWAN
2 VENI INDAH LANSOPRAZOLE

KARYAWAN SPASMAL
3 NY SUYATMI SUCRALFATE SYR

DOMPERIDON
ASUHAN FARMASI
4 AMIN HIDAYAT Natrium Diklofenak 50mg

LEVOFLOXACIN
N ACETYL
MASNEURO
OMEPRAZOLE CAPS
5 DR. IKA (KARYAWAN) AMBROXOL

CTM
METIL PRED
CETIRIZINE
DEXA
6 SUSI (KARYAWAN) BETAHISTIN

AMLODIPIN 10MG
VIT B COM
7 POLI OBGYN OKTAVINA PROMAVIT

ASUHAN FARMASI
8 NY ANDESTA PROMAVIT
ASUHAN FARMASI
9 Ny. Wahyu Tri Sejati Amlodipin 10mg

PROMAVIT
ASUHAN FARMASI
10 Ny. Shopiyah PROMAVIT

ASUHAN FARMASI
1 Ny. Adinda putri Kodein 10mg

Karyawan
12 Ny. Dewi Kuntari Susu Fontactive One

ASUHAN FARMASI
3/23/2021 1 Poli Umum M.Nur Kholiq (KARYAWAN) CIPROFLOXACIN TAB

AMBROXOL
AMLODIPIN 10
2 POLI UMUM TN. SUDJADI CEFADROXIL

MASNEURO
AS. MEFENAMAT
OMEPRAZOLE
ASUHAN FARMASI
3 DR IKA BETAHISTIN
KARYAWAN NEW ANTIDES
DOMPERIDON
OMEPRAZOL
SIMVASTATIN 10MG
AMLODIPIN 10MG
PCT
INTUNAL
HIDROKORTISON
3/24/2021 1 POLI UMUM JOKO PURNOMO MASNEURO
AS MEF
ASUHAN FARMASI
MELOXICAM
2 TN. PARJUMAN AMLODIPIN 10 MG

FARSIX
LAPIBAL
3 POLI OBGYN NY SRI RAHAYU PROMAVIT

ASUHAN FARMASI
4 POLI OBGYN NY FITA F FONTACTIVE-ONE

ASUHAN FARMASI
5 POLI OBGYN NY INTAN AYU PROMAVIT

FONTACTIVE-ONE
ASUHAN FARMASI
3/25/2021 1 POLI DALAM Ny. Karinem Metil Prednisolon 4mg

Farsix tablet
Spirolacton 100mg
Tablet tambah darah(Ferro sulfat
KAPSUL
Lisinopril 10mg
ASUHAN FARMASI
2 POLI UMUM TN MASHUDI CEFADROXIL

ASAM MEFENAMAT
MELOXICAM 15mg
ASUHAN FARMASI
3 POLI OBGYN NY OKI SETYANINGSIH PROMAVIT

L-VIT D3 1000
4 POLI OBGYN NY ILMA K PROMAVIT

ASUHAN FARMASI
5 POLY OBGYN NY RINDA APRILIYANI PROMAVIT

ASUHAN FARMASI
6 POLY OBGYN NY ENI ERNAWATI TABLET TAMBAH DARAH
(JAMPERSAL)
7 POLY OBGYN NY ENIK LISTARI PROMAVIT

ASUHAN FARMASI
3/26/2021 1 POLY UMUM SDR HASDIN MASNEURO

PARACETAMOL
BETAHISTINE
DOMPERIDON TAB
ASUHAN FARMASI
IGD NY KASTRI NAC

AZYTHROMICIN TAB
OSELTAMIVIR TAB
PARACETAMOL TAB
ZEGAVIT TAB
VITAMIN D TAB
3/27/2021 1 POLI DALAM WARDOYO TN OMEPRAZOLE

SUCRALFAT SYR
DOMPERIDON
asuhan farmasi
2 IGD Cefadroxil 500

N-Acetysistein tab
Deksametason tbl 0.5 mg (Novaph
Zegavit tablet
CTM Strip
Natrium Diklofenak 50mg
asuhan farmasi
3 IDG NY. MURTINI CAPTOPRIL 12,5 MG

AMLODIPIN 10 MG
CANDESARTAN 8MG
OMEPRAZOLE
PCT TAB
ASUHAN FARMASI
3/28/2021 1 IGD TN SAMIDJO NA DIKLO 50 MG

DOMPERIDONE TAB
CURCUMA TAB
2 IGD AN. YULIA PRALAC

PAMOL SYR
3 IGD WATIAH FARBIVENT

MP 4MG
SALBUTAMOL 2MG
NAC
CTM NOVAPHARIN
AZYTHROMYCIN
3/29/2021 1 IGD MAULANA ULUL AZMI PARACETAMOL SYR

L ZINC SYR
LIPROLAC
OMEGDIAR SYR
ORALIT
asuhan farmasi
2 POLI DALAM Tn. Amin Hidayat Omeprazole 20 mg

Sukralfat suspensi (Meprof)
Azythromocin 500 mg
Hidroklorotiazid tbl 25 mg(KF)
Kodein 10mg
asuhan farmasi
3 igd Tn. Rasiman Brainact injeksi

00-35-88 asuhan farmasi
4 poly obgyn ny kesiana promavit

obh syr
deksametason tab
asuhan farmasi
5 poly obgyn ny sholikah microgest 200 mg

L-VIT D3 1000
3/30/2021 1 POLI DALAM Ny. Kartini Ciprofloxacin 500 Berno

Hidroklorotiazid tbl 25 mg(KF)
Pralac syrup
Omeprazole 20 mg
asuhan farmasi
2 POLI OBGYN NY SURIYANTI FONTACTIVE ONE

RANITIDIN TAB
FOLAVIT 1000
ONDANSETRON 4 MG TAB
3/31/2021 1 DYAH (KARYAWAN) IV CATETHER 20G

NEUROBION INJ
NY ENIK FONT ACTIVE

CEFILA 200
PROMAVIT
PARACETAMOL TAB
FONT ACTIVE
CEFIXIME 200
BUNDAVINE
PCT TAB
2 NY SARTI BISOPROLOL 2.5 MG

LISINOPRIL 10 MG
AMLODIPIN 10MG
ASUHAN FARMASI
LANSOPRAZOL 30
3 poli umum ny sri yanti omeprazole cps

sucralfate syr
pct tab
domperidon tab
vit b plex
4 poli umum wanto pehacain

spuit 3 ml
benang silk
bisturi 23
5 NY SUSI DOMPERIDON TAB

OMEPRAZOL TAB
ASUHAN FARMASI
CURCUMA TAB
6 MEGA YULIANIK PARACETAMOL SYR

VIT C 50 MG TAB
CETIRIZINE 10 MG
AMBROXOL TAB
DEXA TAB
9 IGD TN. PAIDI ASAM MEFENAMAT

CTM
CEFADROXIL
10 TN. MARYATUN ASAM MEFENAMAT

CTM
CEFADROXIL
AMLODIPIN 10MG
11 POLI OBGYN NY. PRETI SEPTI SAMCOBION

PCT
AMOX
12 NY. SUHARTUTIK PCT

SAMCOBION
SELESNIZOL
13 POLI OBGYN NY WAHYU HIDAYAH SAMCOBION

(ISTRINYS PAK SATPAM) PROMAVIT
14 POLI OBGYN NY. LISTIYA PROMAVIT

FONTACTIVE
15 POLI OBGYN NY RINA K AMLODIPIN 10 MG

PROMAVIT
16 POLI OBGYN NY.SUYANTI PROMAVIT

17 POLI OBGYN NY SITI SARIFAH MICROGEST 200 MG
18 KARYAWAN MB ELY FANDEX

( KARYAWAN)
19 POLI OBGYN NY SITI MUTMAINAH PROMAVIT

ASUHAN FARMASI
20 POLY OBGYN NY FRANSISCA MEGA PARACETAMOL TAB

SELESNIZOLE
AZYTROMYCIN
KALNEX 500 MG
ASUHAN FARMASI
21 POLY OBGYN NY DESI CANDRA PROMAVIT

MICROGEST 100 MG
ASUHAN FARMASI
22 POLY OBGYN NY RIYA YULIATI MICROGEST 100 MG
IGD TN SURANTO INJ RANITIDINE

INJ KETOPROFEN
INJ LIDOCAIN
INFUS RL
HARGA QTY JUMLAH
Rp 15,840.00 10 Rp 158,400.00
Rp 5,940.00 15 Rp 89,100.00
Rp 6,000.00
Rp 253,500.00
Rp 5,940.00 10 Rp 59,400.00
Rp 6,000.00
Rp 65,400.00
Rp 23,400.00 1 Rp 23,400.00
Rp 171.00 10 Rp 1,710.00
Rp 6,000.00
Rp 31,110.00
Rp 4,356.00 60 Rp 261,360.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 427,360.00
Rp 1,588.00 1 Rp 1,588.00
Rp 601.00 10 Rp 6,010.00
Rp 156.00 10 Rp 1,560.00
Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 17,378.00
Rp 4,950.00 10 Rp 49,500.00
Rp 1,815.00 10 Rp 18,150.00
Rp 67,650.00
Rp 6,000.00 1 Rp 6,000.00
Rp 1,536.00 1 Rp 1,536.00
Rp 165.00 3 Rp 495.00
Rp 225.00 3 Rp 675.00
Rp 100.00 2 Rp 200.00
Rp 137.00 2 Rp 274.00
Rp 12,000.00
Rp 21,180.00
Rp 444.00 15 Rp 6,660.00
Rp 6,000.00
Rp 12,660.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 4,356.00 10 Rp 43,560.00
Rp 18,480.00 6 Rp 110,880.00
Rp 6,000.00
Rp 160,440.00
Rp 117.00 10 Rp 1,170.00
Rp 82.00 10 Rp 820.00
Rp 1,183.00 10 Rp 11,830.00
Rp 13,820.00
Rp 10,630.77
Rp 3,081.00 10 Rp 30,810.00
Rp 567.00 20 Rp 11,340.00
Rp 88.00 15 Rp 1,320.00
Rp 225.00 15 Rp 3,375.00
Rp 897.00 15 Rp 13,455.00
Rp 7,920.00 1 Rp 7,920.00
Rp 260.00 20 Rp 5,200.00
Rp 6,000.00
Rp 79,420.00
Rp 249,598.00 1 Rp 249,598.00
Rp 4,000.00 1 Rp 4,000.00
Rp 924.00 15 Rp 13,860.00
Rp 696.00 15 Rp 10,440.00
Rp 6,000.00
Rp 283,898.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 160,000.00 1 Rp 160,000.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 209,560.00
Rp 4,356.00 10 Rp 43,560.00
Rp 29,040.00 10 Rp 290,400.00
Rp 6,000.00
Rp 339,960.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 16,106.00 1 Rp 16,106.00
Rp 1,545.00 1 Rp 1,545.00
Rp 110,897.00 1 Rp 110,897.00
Rp 149.00 2 Rp 298.00
Rp 6,000.00
Rp 2,000.00 5 Rp 10,000.00
Rp 567.00 20 Rp 11,340.00
Rp 11,616.00 5 Rp 58,080.00
Rp 2,970.00 10 Rp 29,700.00
Rp 6,000.00
Rp 115,120.00
Rp 126.50 10 Rp 1,265.00
Rp 146.00 10 Rp 1,460.00
Rp 1,197.00 10 Rp 11,970.00
Rp 156.00 10 Rp 1,560.00
Rp 6,000.00
Rp 20,990.00
Rp 601.00 10 Rp 6,010.00
Rp 222.00 10 Rp 2,220.00
Rp 156.00 10 Rp 1,560.00
Rp 170,299.00 1 Rp 170,299.00
Rp 1,200.00 1 Rp 1,200.00
Rp 6,000.00
Rp 187,289.00
Rp 1,600.00 30 Rp 48,000.00
Rp 6,000.00
Rp 54,000.00
Rp 1,188.00 1 Rp 1,188.00
Rp 6,050.00 1 Rp 6,050.00
Rp 10,393.00 1 Rp 10,393.00
Rp 920.40 10 Rp 9,204.00
Rp 26,835.00
Rp 6,050.00
1 Rp 6,050.00
Rp 29,040.00 1 Rp 29,040.00
Rp 1,188.00 1 Rp 1,188.00
Rp 18,850.00 1 Rp 18,850.00
Rp 55,128.00
Rp 715.00 4 Rp 2,860.00
Rp 2,060.00 5 Rp 10,300.00
Rp 260.00 10 Rp 2,600.00
Rp 1,276.00 10 Rp 12,760.00
Rp 222.00 10 Rp 2,220.00
Rp 18,600.00 1 Rp 18,600.00
Rp 6,000.00
Rp 52,480.00
Rp 260.00 10 Rp 2,600.00
Rp 146.00 5 Rp 730.00
Rp 6,000.00
Rp 9,330.00
Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 18,760.00
Rp 4,356.00 20 Rp 87,120.00
Rp 15,840.00 10 Rp 158,400.00
Rp 6,000.00
Rp 251,520.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 4,356.00 20 Rp 87,120.00
Rp 15,840.00 10 Rp 158,400.00
Rp 6,000.00
Rp 251,520.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 260.00 10 Rp 2,600.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 73,940.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 18,480.00 10 Rp 184,800.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 256,140.00
Rp 29,040.00 10 Rp 290,400.00
Rp 6,000.00
Rp 296,400.00
Rp 4,752.00 8 Rp 38,016.00
Rp 88.00 15 Rp 1,320.00
Rp 225.00 15 Rp 3,375.00
Rp 8,826.00 1 Rp 8,826.00
Rp 1,430.00 15 Rp 21,450.00
Rp 6,000.00
Rp 78,987.00
Rp 43,560.00 1 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 1,536.00 1 Rp 1,536.00
Rp 329.00 3 Rp 987.00
Rp 1,183.00 3 Rp 3,549.00
Rp 59.00 1 Rp 59.00
Rp 165.00 2 Rp 330.00
Rp 12,000.00
Rp 18,461.00
Rp 160,000.00 1 Rp 160,000.00
Rp 15,840.00 14 Rp 221,760.00
Rp 6,000.00
Rp 387,760.00
Rp 328.00 5 Rp 1,640.00
Rp 337.00 10 Rp 3,370.00
Rp 260.00 10 Rp 2,600.00
Rp 18,480.00 15 Rp 277,200.00
Rp 8,826.00 1 Rp 8,826.00
Rp 6,000.00
Rp 299,636.00
Rp 13,511.00 1 Rp 13,511.00 BELUM BAYAR
Rp 682.00 30 Rp 20,460.00
Rp 4,356.00 20 Rp 87,120.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 273,580.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 592.00 10 Rp 5,920.00
Rp 343.00 9 Rp 3,087.00
Rp 59.00 9 Rp 531.00
Rp 6,000.00
Rp 15,538.00
Rp 5,099.00 1 Rp 5,099.00
Rp 8,040.00 1 Rp 8,040.00
Rp 6,000.00
Rp 19,139.00
Rp 601.00 10 Rp 6,010.00
Rp 444.00 10 Rp 4,440.00
Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 18,100.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 7,920.00 1 Rp 7,920.00
Rp 6,000.00
Rp 13,920.00
Rp 944.00 10 Rp 9,440.00
Rp 567.00 10 Rp 5,670.00
Rp 225.00 10 Rp 2,250.00
Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 36,120.00
Rp 700.00 8 Rp 5,600.00
Rp 328.00 8 Rp 2,624.00
Rp 2,210.00 8 Rp 17,680.00
Rp 2,317.00 8 Rp 18,536.00
Rp 1,430.00 16 Rp 22,880.00
Rp 924.00 8 Rp 7,392.00
Rp 7,000.00
Rp 81,712.00
Rp 2,970.00 10 Rp 29,700.00
Rp 325.00 10 Rp 3,250.00
Rp 260.00 5 Rp 1,300.00
Rp 6,000.00
Rp 40,250.00
Rp 924.00 10 Rp 9,240.00
Rp 444.00 10 Rp 4,440.00
Rp 750.00 5 Rp 3,750.00
Rp 6,000.00
Rp 23,430.00
Rp 270.00 10 Rp 2,700.00
Rp 1,506.00 10 Rp 15,060.00
Rp 1,276.00 10 Rp 12,760.00
Rp 1,197.00 10 Rp 11,970.00
Rp 6,000.00
Rp 45,790.00
Rp 325.00 10 Rp 3,250.00
Rp 76.00 10 Rp 760.00
Rp 171.00 10 Rp 1,710.00
Rp 2,100.00 10 Rp 21,000.00
Rp 6,000.00
Rp 32,720.00
Rp 325.00 10 Rp 3,250.00
Rp 86.00 1 Rp 86.00
Rp 222.00 10 Rp 2,220.00
Rp 171.00 10 Rp 1,710.00
Rp 601.00 10 Rp 6,010.00
Rp 6,000.00
Rp 19,276.00
Rp 1,536.00 1 Rp 1,536.00
Rp 4,717.00 1 Rp 4,717.00
Rp 59.00 5 Rp 295.00
Rp 12,000.00
Rp 18,548.00
Rp 26,400.00 2 Rp 52,800.00
Rp 92,400.00 1 Rp 92,400.00
Rp 6,000.00
Rp 151,200.00
Rp 592.00 10 Rp 5,920.00
Rp 343.00 10 Rp 3,430.00
Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 24,590.00
Rp 12,100.00 5 Rp 60,500.00
Rp 1,188.00 1 Rp 1,188.00
1,089
1 Rp 1,089.00
Rp 2,277.00
3300 20 Rp 66,000.00
Rp 981.00 10 Rp 9,810.00
Rp 3,960.00 10 Rp 39,600.00
Rp 524.00 10 Rp 5,240.00
Rp 6,789.00 1 Rp 6,789.00
Rp 496.50 10 Rp 4,965.00
Rp 66,404.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 29,040.00 10 Rp 290,400.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 456,400.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 6,864.00 30 Rp 205,920.00
Rp 6,000.00
Rp 211,920.00
Rp 104.00 15 Rp 1,560.00
Rp 1,320.00 10 Rp 13,200.00
Rp 1,430.00 20 Rp 28,600.00
Rp 225.00 20 Rp 4,500.00
Rp 203.00 10 Rp 2,030.00
Rp 567.00 10 Rp 5,670.00
Rp 117.00 10 Rp 1,170.00
Rp 6,000.00
Rp 62,730.00
Rp 29,040.00 5 Rp 145,200.00
Rp 4,356.00 20 Rp 87,120.00
Rp 6,000.00
Rp 238,320.00
Rp 146.00 20 Rp 2,920.00
Rp 260.00 10 Rp 2,600.00
Rp 337.00 10 Rp 3,370.00
Rp 1,320.00 10 Rp 13,200.00
Rp 6,000.00
Rp 28,090.00
Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 136,680.00
Rp 4,356.00 30 Rp 130,680.00
Rp 15,840.00 10 Rp 158,400.00
Rp 6,000.00
Rp 295,080.00
Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 136,680.00
Rp 4,356.00 8 Rp 34,848.00
Rp 25,740.00 16 Rp 411,840.00
Rp 480.00 8 Rp 3,840.00
Rp 6,000.00
Rp 456,528.00
Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 136,680.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 71,340.00
Rp 3,081.00 1 Rp 3,081.00
Rp 250.00 3 Rp 750.00
Rp 165.00 3 Rp 495.00
Rp 325.00 2 Rp 650.00
Rp 222.00 3 Rp 666.00
Rp 156.00 2 Rp 312.00
Rp 6,000.00
Rp 11,954.00
Rp 4,356.00 10 Rp 43,560.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 209,560.00
Rp 1,400.00 20 Rp 28,000.00
Rp 22,620.00 1 Rp 22,620.00
Rp 6,000.00
Rp 56,620.00
Rp 924.00 10 Rp 9,240.00
Rp 4,752.00 8 Rp 38,016.00
Rp 6,000.00
Rp 53,256.00
Rp 1,545.00 1 Rp 1,545.00
Rp 1,416.00 1 Rp 1,416.00
Rp 2,961.00
Rp 586.00 10 Rp 5,860.00
Rp 4,356.00 5 Rp 21,780.00
Rp 6,000.00
Rp 33,640.00
Rp 15,840.00 5 Rp 79,200.00
Rp 6,000.00
Rp 85,200.00
Rp 592.00 10 Rp 5,920.00
Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 21,160.00
Rp 34,900.00 1 Rp 34,900.00
Rp 1,200.00 2 Rp 2,400.00
Rp 139.00 2 Rp 278.00
Rp 37,578.00
Rp 222.00 3 Rp 666.00
Rp 1,276.00 2 Rp 2,552.00
Rp 187.00 2 Rp 374.00
Rp 8,826.00 1 Rp 8,826.00
Rp 6,000.00
Rp 18,418.00
Rp 4,356.00 5 Rp 21,780.00
Rp 586.00 10 Rp 5,860.00
Rp 6,000.00
Rp 33,640.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 696.00 30 Rp 20,880.00 OBAT LUAR

Rp 328 15 Rp 4,920.00
Rp 2,317 8 Rp 18,536.00
Rp 146 30 Rp 4,380.00
Rp 901 60 Rp 54,060.00
Rp 156 30 Rp 4,680.00
Rp 6,000.00
Rp 113,456.00
Rp 117.00 10 Rp 1,170.00
Rp 270.00 10 Rp 2,700.00
Rp 225.00 20 Rp 4,500.00
Rp 897.00 40 Rp 35,880.00
Rp 517.00 8 Rp 4,136.00
Rp 146.00 5 Rp 730.00
Rp 567.00 20 Rp 11,340.00
Rp 104.00 20 Rp 2,080.00
Rp 1,430.00 20 Rp 28,600.00
Rp 91,136.00
Rp 75,946.67
Rp 4,422.00 10 Rp 44,220.00
Rp 36,850.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 15,840.00 15 Rp 237,600.00
Rp 4,422.00 6 Rp 26,532.00
Rp 6,000.00
Rp 270,132.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 15,400.00 15 Rp 231,000.00
Rp 293.00 25 Rp 7,325.00
Rp 270.00 8 Rp 2,160.00
Rp 696.00 8 Rp 5,568.00
Rp 2,210.00 8 Rp 17,680.00
Rp 260.00 8 Rp 2,080.00
Rp 1,276.00 15 Rp 19,140.00
Rp 6,000.00
Rp 59,953.00
Rp 15,840.00 10 Rp 158,400.00
Rp 6,000.00
Rp 164,400.00
Rp 88.00 10 Rp 880.00
Rp 944.00 10 Rp 9,440.00
Rp 225.00 15 Rp 3,375.00
Rp 165.00 15 Rp 2,475.00
Rp 250.00 15 Rp 3,750.00
Rp 6,000.00
Rp 25,920.00
Rp 222.00 10 Rp 2,220.00
Rp 4,752.00 4 Rp 19,008.00
Rp 1,300.00 10 Rp 13,000.00
Rp 6,000.00
Rp 40,228.00
Rp 8,892.00 1 Rp 8,892.00
Rp 1,831.00 2 Rp 3,662.00
Rp 15,396.00 1 Rp 15,396.00
Rp 7,800.00 3 Rp 23,400.00
Rp 6,000.00
Rp 57,350.00
Rp 567.00 10 Rp 5,670.00
Rp 104.00 5 Rp 520.00
Rp 6,000.00
Rp 12,190.00
Rp 1,197.00 10 Rp 11,970.00
Rp 1,276.00 10 Rp 12,760.00
Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 32,950.00
Rp 480.00 10 Rp 4,800.00
Rp 37,750.00
Rp 263.00 10 Rp 2,630.00
Rp 112.00 10 Rp 1,120.00
Rp 462.00 10 Rp 4,620.00
Rp 8,370.00
Rp 86.00 20 Rp 1,720.00
Rp 1,500.00
Rp 1,200.00 20 Rp 24,000.00
Rp 580.00 10 Rp 5,800.00
Rp 29,800.00
Rp 8,826.00 1 Rp 8,826.00
Rp 242.00 20 Rp 4,840.00
Rp 6,000.00
Rp 19,666.00
Rp 146.00 20 Rp 2,920.00
Rp 517.00 10 Rp 5,170.00
Rp 1,430.00 20 Rp 28,600.00
Rp 924.00 10 Rp 9,240.00
Rp 1,276.00 20 Rp 25,520.00
Rp 6,000.00
Rp 77,450.00
Rp 173.00 20 Rp 3,460.00
Rp 69.00 20 Rp 1,380.00
Rp 436.00 10 Rp 4,360.00
Rp 90.00 20 Rp 1,800.00
Rp 127.00 10 Rp 1,270.00
Rp 12,270.00
Rp 110.00 10 Rp 1,100.00
Rp 99.00 10 Rp 990.00
Rp 120.00 10 Rp 1,200.00
Rp 3,290.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 260.00 10 Rp 2,600.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 52,160.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 897.00 10 Rp 8,970.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 455.00 10 Rp 4,550.00
Rp 172.73 10 Rp 1,727.30
Rp 99.00 10 Rp 990.00
Rp 7,267.30
Rp 944.00 10 Rp 9,440.00
Rp 924.00 10 Rp 9,240.00
Rp 444.00 10 Rp 4,440.00
Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 41,880.00
Rp 143.00 10 Rp 1,430.00
Rp 185.00 30 Rp 5,550.00
Rp 119.00 20 Rp 2,380.00
Rp 1,276.00 20 Rp 25,520.00
Rp 901.00 10 Rp 9,010.00
Rp 260.00 20 Rp 5,200.00
Rp 222.00 20 Rp 4,440.00
Rp 990.00 8 Rp 7,920.00
Rp 3,218.00 1 Rp 3,218.00
Rp 64,668.00
Rp 924.00 10 Rp 9,240.00
Rp 343.00 10 Rp 3,430.00
Rp 6,000.00
Rp 18,670.00
Rp 750.00 10 Rp 7,500.00
Rp 129.00 10 Rp 1,290.00
Rp 1,320.00 5 Rp 6,600.00
Rp 2,970.00 10 Rp 29,700.00
Rp 6,000.00
Rp 43,590.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 166,000.00
Rp 4,356.00 10 Rp 43,560.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 209,560.00
Rp 567.00 10 Rp 5,670.00
Rp 1,320.00 15 Rp 19,800.00
Rp 2,317.00 4 Rp 9,268.00
Rp 328.00 8 Rp 2,624.00
Rp 65.00 15 Rp 975.00
Rp 146 15 Rp 2,190.00
Rp 337 8 Rp 2,696.00
Rp 6,000.00
Rp 49,223.00
Rp 944.00 10 Rp 9,440.00
Rp 343.00 10 Rp 3,430.00
Rp 926.00 5 Rp 4,630.00
Rp 6,000.00
Rp 23,500.00
Rp 3,630.00 10 Rp 36,300.00
Rp 2,860.00 10 Rp 28,600.00
Rp 64,900.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 65.00 10 Rp 650.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 924.00 10 Rp 9,240.00
Rp 222.00 10 Rp 2,220.00
Rp 143.00 10 Rp 1,430.00
Rp 119.00 10 Rp 1,190.00
Rp 6,000.00
Rp 20,080.00
Rp 1,430.00 30 Rp 42,900.00
Rp 4,160.00 6 Rp 24,960.00
Rp 16,860.00 12 Rp 202,320.00
Rp 222.00 18 Rp 3,996.00
Rp 4,752.00 14 Rp 66,528.00
Rp 3,432.00 14 Rp 48,048.00
Rp 6,000.00
Rp 394,752.00
Rp 1,276.00 20 Rp 25,520.00
Rp 23,400.00 2 Rp 46,800.00
Rp 119.00 20 Rp 2,380.00
Rp 6,000.00
Rp 80,700.00
Rp 944.00 10 Rp 9,440.00
Rp 222.00 12 Rp 2,664.00
Rp 1,430.00 12 Rp 17,160.00
Rp 165.00 12 Rp 1,980.00
Rp 4,752.00 5 Rp 23,760.00
Rp 100.00 12 Rp 1,200.00
Rp 146.00 10 Rp 1,460.00
Rp 6,000.00
Rp 63,664.00
Rp 86.00 2 Rp 172.00
Rp 260.00 10 Rp 2,600.00
Rp 709.00 10 Rp 7,090.00
Rp 1,276.00 10 Rp 12,760.00
Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 30,842.00
Rp 146.00 10 Rp 1,460.00
Rp 119.00 10 Rp 1,190.00
Rp 6,000.00
Rp 8,650.00
Rp 1,000.00 12 Rp 12,000.00
Rp 92,400.00 1 Rp 92,400.00
Rp 1,536.00 1 Rp 1,536.00
Rp 6,000.00
Rp 99,936.00
Rp 13,200.00 2 Rp 26,400.00
Rp 567.00 10 Rp 5,670.00
Rp 88.00 10 Rp 880.00
Rp 1,430.00 10 Rp 14,300.00
Rp 91.00 10 Rp 910.00
Rp 4,160.00 6 Rp 24,960.00
Rp 6,000.00
Rp 79,120.00
Rp 1,536.00 1 Rp 1,536.00
Rp 43,560.00 1 Rp 43,560.00
Rp 8,801.00 5 Rp 44,005.00
Rp 10,880.00 1 Rp 10,880.00
Rp 335.00 10 Rp 3,350.00
Rp 6,000.00
Rp 109,331.00
Rp 1,276.00 15 Rp 19,140.00
Rp 8,826.00 1 Rp 8,826.00
Rp 4,160.00 5 Rp 20,800.00
Rp 143.00 15 Rp 2,145.00
Rp 194.00 5 Rp 970.00
Rp 897.00 30 Rp 26,910.00
Rp 6,000.00
Rp 84,791.00
Rp 92,400.00 1 Rp 92,400.00
Rp 6,000.00
Rp 98,400.00
Rp 4,356.00 10 Rp 43,560.00
Rp 7,920.00 1 Rp 7,920.00
Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 59,130.00
Rp 29,040.00 10 Rp 290,400.00
Rp 3,432.00 10 Rp 34,320.00
Rp 6,000.00
Rp 330,720.00
Rp 592.00 10 Rp 5,920.00
Rp 194.00 6 Rp 1,164.00
Rp 92,400.00 1 Rp 92,400.00
Rp 1,276.00 10 Rp 12,760.00
Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 121,574.00
Rp 160,000.00 1 Rp 160,000.00
Rp 325.00 30 Rp 9,750.00
Rp 2,515.00 30 Rp 75,450.00
Rp 6,000.00
Rp 251,200.00
Rp 1,400.00 30 Rp 42,000.00
Rp 293,200.00
Rp 6,748.00 1 Rp 6,748.00
Rp 19,500.00 1 Rp 19,500.00
Rp 26,248.00
Rp 160,000.00 1 Rp 160,000.00
Rp 39,600.00 10 Rp 396,000.00
Rp 4,356.00 10 Rp 43,560.00
Rp 222.00 10 Rp 2,220.00
Rp 7,000.00
Rp 608,780.00
Rp 160,000.00 1 Rp 160,000.00
Rp 3,081.00 10 Rp 30,810.00
Rp 586.00 10 Rp 5,860.00
Rp 222.00 10 Rp 2,220.00
Rp 7,000.00
Rp 205,890.00
Rp 328.00 5 Rp 1,640.00
Rp 337.00 10 Rp 3,370.00
Rp 129.00 10 Rp 1,290.00
Rp 6,000.00
Rp 12,300.00
Rp 754.00 10 Rp 7,540.00
Rp 1,276.00 10 Rp 12,760.00
Rp 8,826.00 1 Rp 8,826.00
Rp 222.00 10 Rp 2,220.00
Rp 119.00 10 Rp 1,190.00
Rp 156.00 10 Rp 1,560.00
Rp 6,000.00
Rp 32,556.00
Rp 4,713.00 4 Rp 18,852.00
Rp 1,386.00 2 Rp 2,772.00
Rp 3,777.00 1 Rp 3,777.00
Rp 6,000.00
Rp 31,401.00
Rp 6,200.00 1 Rp 6,200.00
Rp 119.00 10 Rp 1,190.00
Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 19,950.00
Rp 1,300.00 10 Rp 13,000.00
Rp 1,536.00 1 Rp 1,536.00
Rp 137.00 3 Rp 411.00
Rp 117.00 3 Rp 351.00
Rp 225.00 2 Rp 450.00
Rp 165.00 2 Rp 330.00
Rp 12,000.00
Rp 15,078.00
Rp 343.00 10 Rp 3,430.00
Rp 91.00 10 Rp 910.00
Rp 944.00 10 Rp 9,440.00
Rp 6,000.00
Rp 19,780.00
Rp 343.00 10 Rp 3,430.00
Rp 91.00 10 Rp 910.00
Rp 944.00 10 Rp 9,440.00
Rp 260.00 10 Rp 2,600.00
Rp 6,000.00
Rp 22,380.00
Rp 1,340.00 10 Rp 13,400.00
Rp 222.00 10 Rp 2,220.00
Rp 329.00 10 Rp 3,290.00
Rp 6,000.00
Rp 24,910.00
Rp 222.00 15 Rp 3,330.00
Rp 1,340.00 10 Rp 13,400.00
Rp 6,000.00
Rp 22,730.00
Rp 480.00 15 Rp 7,200.00
Rp 1,340.00 30 Rp 40,200.00
Rp 4,356.00 7 Rp 30,492.00
Rp 70,692.00
Rp 58,910.00
Rp 4,356.00 10 Rp 43,560.00
Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 209,560.00
Rp 260.00 15 Rp 3,900.00
Rp 4,356.00 5 Rp 21,780.00
Rp 6,000.00
Rp 31,680.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 29,040.00 15 Rp 435,600.00
Rp 2,515.00 15 Rp 37,725.00
Rp 6,000.00
Rp 479,325.00
Rp 6,600.00 5 Rp 33,000.00
Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 49,560.00
Rp 222.00 10 Rp 2,220.00
Rp 480.00 21 Rp 10,080.00
Rp 4,160.00 15 Rp 62,400.00
Rp 4,422.00 10 Rp 44,220.00
Rp 6,000.00
Rp 124,920.00
Rp 4,356.00 15 Rp 65,340.00
Rp 15,840.00 15 Rp 237,600.00
Rp 6,000.00
Rp 308,940.00
Rp 15,840.00 10 Rp 158,400.00
Rp 6,000.00
Rp 164,400.00
Rp 1,545 1 Rp 1,545.00
Rp 5,730 1 Rp 5,730.00
Rp 1,588 4 Rp 6,352.00
Rp 9,919 1 Rp 9,919.00
Rp 6,000.00
Rp 29,546.00
4/1/2021 1 OBGYN NY SITI NUR KHASANAH
2 IGD An. Amir
4/2/2021 1 IGD RISKI AGUNG
2 dr rosi
3 AN RAFI BUDI S
4/3/2021 1 POLI UMUM ALFIA NUR AZIZAH

8 TAHUN
TAMBAK 6/3 KARANGASEM WIR
4/4/2021 1 karyawan Ketorolac inj. 30mg/ml(Ethica)

Dyah Susanti
4/5/2021 1 POLI DALAM Ny. Suwarni

2 POLI DALAM NY NGADINEM
3 POLI DALAM TN PARMAN
4 IGD LAPIN TN
5 IGD SETYO NURYATNO SDR

(karyawan)
6 SETYO N
7 POLI OBGYN MEI PUJI
8 POLI OBGYN Ny.Tika Zalistyaningsih
9 POLI OBGYN NY. RINA WIDYASTUTI

4/6/2021 1 IGD KHOIROTUL NUR
2 POLI UMUM TN SUJANTO

(KARYAWAN)
POLI DALAM NY KARNI
4 POLI DALAM TN YASMI
5 POLI OBGYN NY YHAYIK
6 POLI OBGYN NY IMPROTUL
7 IGD AN METASHA
8 POLI OBGYN NY SHOLIKHAH
9 POLI OBGYN NY WIKA PUTRI

10 POLI OBGYN NY SHARA
11 POLI OBGYN NY INDAH P
12 POLI OBGYN NY AULIA USWATUN
4/7/2021 1 SOFIA R (KARYAWAN)
2 FAHRUDIN
3 POLI UMUM TN LAPIN
4 POLI DALAM KARMINEM
5 IGD WARSITI
6 POLI OBGYN NY ENIK LESTARI

18 TAHUN
LOGENDER 4/10 TUKO PULOKU
7 POLI OBGYN NY MUNADLIROH

37 TAHUN
KRAJAN 4/4 TAMBAK SELO
8 POLI OBGYN NY HESTI FEBRIANI

21 TAHUN
NGLINDUK 2/6 GABUS
9 POLI OBGYN NY LULUK SETYARINI

23 TAHUN
4/8/2021 1 IGD NY DASRI
2 IGD CHYNTIA AUDI OKTAVIAN
3 IGD SUWADI
4 poli obgyn ny. Arum setiana
5 poli obgyn NY. SITI NUR K
6 poli obgyn NY. SYAMSIATUN
7 poli obgyn NY. TRI NINGSIH
8 poli obgyn NY. MUNIFATUN
9 IGD NY SLAMI
10 IGD MEYSA ANANDA P
4/9/2021 1 POLI UMUM SALWA WIYANDA
4/10/2021 1 POLI DALAM SARTI
2 POLI DALAM ADILA DEWI
3 IGD NY SUNARTI
4 POLI UMUM AN VINA OKTAVIANA
5 SOFI
6 ANDRIANI P
7 QONITINA
8 IGD KARYANTO
9 DR ROSI
4/11/2021 1 IGD Tn. Budiyanto
2 POLI OBGYN LULUK SETYORINI
3 POLI OBGYN NY FITYANA SARI
4 POLI OBGYN RENI SETIANINGSIH
5 POLI OBGYN NY DWI RATNASARI
6 POLI OBGYN NY. SOFIYA

7 POLI OBGYN NY. RYA YULIATI
8 POLI OBGYN NY. APRISKA
4/12/2021 1 POLI UMUM TN ANDRE
2 POLI UMUM AN.ARDIAN
3 POLI DALAM Sumarni
4 poli dalam TN SUKAT
5 POLI UMUM DR LADY
6 poli dalam NY. Rasiyem
1 poli obgyn ny siti

2 poly obgyn ny amelia putri
3 POLI OBGYN Ny. Siti Sarifah
4 POLI OBGYN Ny. Lilis Indriawati
5 Anik Noviana
4/13/2021 1 POLI UMUM NY SARMI
2 POLI UMUM RAFI BUDI
3 IGD SRI KARTINI
4 IGD TN PONIMAN
53 TAHUN
5 IGD DOKTER IKA
6 POLI OBGYN NY KHOMSIYATUN

7 POLI OBGYN NY ANIS SAFITRI
8 POLI OBGYN Ny. Suriyanti
4/14/2021 1 IGD NY SISKA RAHMA NUR
2 IGD TN SANTOSO
3 POLI UMUM TN LAPIN
4 POLI DALAM TN PARMAN
5 POLI DALAM NY NGADINEM
6 POLI DALAM NY KARNI

7 poli umum isnadliroh
karyawan
8 POLI UMUM INDRI KUSUMA W

KARYAWAN
9 POLI OBGYN NY RINA KHOMSATUN
10 POLI OBGYN NY LISTIYORINI
11 IGD M ROSYADA P (KARYAWAN REGI
12 IGD AN M FAIK
4/15/2021 1 IGD AN FINA
2 POLI UMUM NY ENI SUSANTI
3 poli obgyn NY. APRILIYANI

4 poli obgyn ny iis fatmasari
5 poli obgyn ny krisnawati
6 POLI OBGYN NY. DWI ERNASARI
7 POLI UMUM ELISA (KARYAWAN)
8 POLI OBGYN NY ENDANG S
9 IGD NY MINARTI
10 IGD AN RAFI
4/16/2021 1 IGD TN YANUAR
2 IGD TN. YANUAR
3 IGD NY YATMI
4
4/17/2021 1 POLI UMUM Ny Adila Dwi M
2 NY SITI SARIFAH
4/19/2021 1 POLI UMUM NY KTISTIANI
2 POLI UMUM HERMIN DAHLIA

(KARYAWAN)
3 POLI UMUM BAYU SAKTI
4 POLI DALAM SUGIMAN
5 IGD SITI CHOTIMAH

27 TAHUN
KARYAWAN
6 POLI OBGYN NY ANIS NURAINI

26 TAHUN
KRAJAN 3/3 GEDANGAN WRS
7 IGD SUMINDAR
39 TAHUN
MOJOLASAN 4/8
8 POLI OBGYN NY LYNDA RIRIN M

SULUR 7/5 SULURSARI GABUS
9 POLI OBGYN NY DWI LISTIYANI

KD WARU 1/2 KARANGREJO
10 POLI OBGYN NY ARDESTA ALVIANY

SOPONYONO 2 5/6 PURWODADI
11 POLI OBGYN NY DEVI PUSPITASARI
12 POLI OBGYN NY Ishani
14 IGD Tn. Ahmad Mohsan
13 POLI OBGYN ny Siti Khoniah
2/20/2021 1 POLI OBGYN NY. FITA FURNIAWAN
2 POLI OBGYN NY DEVI RIA RUSTANTI

3 POLI OBGYN NY TRI WIDIARTI
4 POLI OBGYN NY RATIH KURNIA P

24 TAHUN
JATISARI 2/2 TAMBAK SELO
5 IGD TIARA MUNIKA
6 IGD WARNO
7 IGD RISWATI (KARYAWAN)
4/21/2021 1 POLI UMUM SITI CHOTIMAH

KARYAWAN
2 IGD KHALISA A
4/22/2021 1 IGD DARSI

(KARYAWAN)
2 IGD Tn. Raman
3 Ogna
(karyawan)
4 Poli Obgyn Ny. Vivi H
5 Poli Obgyn Ny. Catur wahyu
6 Poli Obgyn Ny. Rini Jayanti
7 Poli Obgyn Ny Rinda
8 Poli Obgyn Ny. Nurul
9 Poli Obgyn Ny. Umi Nur
10 Poli Obgyn Ny. Sri Wartini
11 Poli Obgyn Ny. Jumiatu n
4/23/2021 1 IGD Ny. Darsini
2 IGD Nn. Auria

3 IGD NY LASMI
4 IGD KARISMA YOGI
4/24/2021 1 POLI UMUM AN NAZRIL
2 POLI UMUM RAMAN
3 IGD SUPARMO
4 NY UMI
4/25/2021 1 IGD ALBI REHAN A
2 IGD NY KUSMIYATI
(KARYAWAN)
3 IGD TN KEMIS
4 POLI OBGYN NY SITI MUTAALIN

KRAJAN 9/1 ARAP ARAP NGARINGAN
5 POLI OBGYN NY TRI LESTARI

KRADENAN 4/2
6 POLI OBGYN NY PUJI HASTUTI

GROMPOL 5/8 KRADENAN
7 POLI OBGYN NY LULUK SETYORINI

PENDEM 4/2
8 IGD TN SARDJAN
9 POLI OBGYN NY SOFYA HARANI

KI MANGUN SARKORO 3/7 KUN
4/26/2021 1 POLI GIGI NY DEWI S
2 POLI GIGI KURISMA YOGI OKTAFIANI
3 POLI DALAM NY SUMIYATI

4 POLI DALAM TN ADITYA BUHORINUDIN
5 ISNA ( KARYAWAN )
6 POLI OBGYN NY FITYANA SARI
4/27/2021 1 POLI DALAM NY KARMINEM
2 POLI OBGYN Ny. Darwati
3 POLI OBGYN Ny. Karmi
4 Saadatun
5 Ny. Eni Yuliyanti
6 Ny. Mei Puji Ina Komari
7 NY SRI RAHAYU
8 Ny. Sarifah
4/28/2021 1 IGD SUPARLAN
2 POLI UMUM AN KHALYSA ARSYFA
3 POLI UMUM AN ALFERO
4 POLI DALAM NY PRIYATI
5 POLI DALAM NY SUKARTI

6 POLI DALAM NY RATMI
7 POLI DALAM NY NGAMI
8 NY DYAH LASMA
KARYAWAN
9 NY. FARDHELA
10 Witantri
karyawan
11 MIFTAH ARIYADI
CREWEK 6/3 KRADENAN
4/29/2021 1 HERMIN DAHLIA

karyawan
2 POLI DALAM Sri patmi

3 POLI OBGYN SITI SHOLEHAH
KARYAWAN
4 POLI OBGYN TN JOKO
5 NY SEPI KUSHARIANTI
6 NY INDAH
7 NY WITANTRI
4/30/2021 1 POLI UMUM NY SRI MUTIAH
2 NY ISHANI KOMARIYAH
3 NY VENY
4 IGD IBU WARSITI

5 NY MIFTAKHUL
6 SOFIA R
KARYAWAN
7 IGD Tn. Supardi

NAMA OBAT HARGA QTY JUMLAH
FONT ACCTIVE Rp 160,000.00 1 Rp 160,000.00

asuhan farmasi Rp 6,000.00
Rp 166,000.00
Parasetamol syr 120mg/5ml (Mersi) Rp 1,536.00 1 Rp 1,536.00

Amoksisilin syr 125mg/5ml (Mersi) Rp 8,320.00 1 Rp 8,320.00
Tiamfenikol kapsul 500 mg(Novapharin) Rp 1,170.00 4 Rp 4,680.00
Rp 26,536.00
RECO TT Rp 12,740.00 1 Rp 12,740.00

ASAM MEFENAMAT Rp 343.00 10 Rp 3,430.00
AMOXICILLIN Rp 329.00 10 Rp 3,290.00
DEXAMETHASONE Rp 165.00 6 Rp 990.00
Rp 6,000.00
Rp 26,450.00
ABOCATH 22 Rp 8,022.00 1 Rp 8,022.00

INFUS SET Rp 8,580.00 1 Rp 8,580.00
RL Rp 9,018.00 1 Rp 9,018.00
Rp 25,620.00
Rp 21,350.00
DEXAMETHASONE TAB Rp 165.00 10 Rp 1,650.00

CETERIZIN TAB Rp 254.00 5 Rp 1,270.00
AMBROXOL TAB Rp 225.00 10 Rp 2,250.00
ASUHAN FARMASI Rp 6,000.00
Rp 11,170.00
CEFADROXIL KAP Rp 944.00 5 Rp 4,720.00

DEXA Rp 165.00 5 Rp 825.00
CTM Rp 100.00 5 Rp 500.00
AMBROXOL Rp 225.00 5 Rp 1,125.00
APYALIS SYR Rp 43,560.00 1 Rp 43,560.00
Rp 12,000.00
Rp 62,730.00
Ketorolac inj. 30mg/ml(Ethica) Rp 1,416.00 2 Rp 2,832.00
Rp 567.00 10 Rp 5,670.00
Rp 11,220.00 6 Rp 67,320.00
Rp 4,422.00 6 Rp 26,532.00
Rp 99,522.00
Rp 82,935.00
Bisoprolol tab 5 mg (Novel) Rp 328.00 8 Rp 2,624.00

Amlodipin 10mg Rp 260.00 8 Rp 2,080.00
Farsix tablet Rp 1,320.00 8 Rp 10,560.00
Spirolacton 100mg Rp 2,317.00 2 Rp 4,634.00
Lansoprazole tab (Nulab) BELI LUAR Rp 754.00 8 Rp 6,032.00
Rp 31,930.00
AMLODIPIN 10 Rp 260.00 10 Rp 2,600.00

BISOPROLOL 5 Rp 328.00 10 Rp 3,280.00
LISINOPRIL 10 Rp 337.00 10 Rp 3,370.00
LANSOPRAZOLE Rp 754.00 20 Rp 15,080.00
MASNEURO Rp 924.00 10 Rp 9,240.00
SUCRALFAT SYR Rp 23,400.00 1 Rp 23,400.00
Rp 62,970.00

DOMPERIDON TAB Rp 119.00 15 Rp 1,785.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 55,505.00
CEFADROXIL CP Rp 944.00 10 Rp 9,440.00

VIT B COMPLEX Rp 156.00 15 Rp 2,340.00
LAPIBAL Rp 2,970.00 5 Rp 14,850.00
SAMCOBION Rp 1,340.00 5 Rp 6,700.00
AMLODIPIN 10 Rp 260.00 5 Rp 1,300.00
LIDOCAIN INJ Rp 1,588.00 1 Rp 1,588.00
Rp 47,363.00
OMEPRAZOLE INJ Rp 14,250.00 1 Rp 14,250.00

ONDANCENTRON INJ Rp 2,233.00 1 Rp 2,233.00
RL Rp 7,630.00 1 Rp 7,630.00
NEUROBION INJ Rp 16,250.00 1 Rp 16,250.00
Rp 40,363.00
INSULIN NEEDLE Rp 3,300.00 20 Rp 66,000.00

Rp 106,363.00
AMLODIPIN 10 MG Rp 260.00 10 Rp 2,600.00

Rp 6,000.00
Rp 8,600.00
Microgest 100 mg Rp 15,840.00 10 Rp 158,400.00

Folavit 1000mcg Rp 2,515.00 30 Rp 75,450.00
Rp 6,000.00
Rp 239,850.00
MICROGEST 100 MG Rp 15,840.00 5 Rp 79,200.00

PCT TAB Rp 222.00 10 Rp 2,220.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 130,980.00
CEFTRIAXON INJ Rp 7,150.00 2 Rp 14,300.00
FUROSEMID INJ Rp 1,733.00 1 Rp 1,733.00
RANITIDIN INJ Rp 1,545.00 1 Rp 1,545.00
DEXA INJ Rp 1,427.00 1 Rp 1,427.00
AMINOFILIN INJ Rp 3,869.00 1 Rp 3,869.00
INFUS RL Rp 3,869.00 1 Rp 3,869.00
INFUS D5% Rp 8,703.00 1 Rp 8,703.00
Rp 6,000.00
Rp 41,446.00
MASNEURO Rp 924.00 10 Rp 9,240.00

LAPISTAN Rp 1,430.00 10 Rp 14,300.00
MELOXICAM 15 MG Rp 770.00 5 Rp 3,850.00
Rp 27,390.00

BISOPROLOL 5 Rp 328.00 4 Rp 1,312.00
AMLODIPIN 10 Rp 260.00 8 Rp 2,080.00
SPIROLACTON 100 Rp 2,317.00 2 Rp 4,634.00
CANGKANG KAPSUL Rp 146.00 8 Rp 1,168.00
LISINOPRIL 10 Rp 337.00 8 Rp 2,696.00
Rp 50,338.00
MASNEURO Rp 924.00 8 Rp 7,392.00

Rp 13,392.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
CEFADROXIL Rp 944.00 4 Rp 3,776.00

DEXAMETHASONE Rp 165.00 4 Rp 660.00
CTM Rp 59.00 2 Rp 118.00
VIT C 50MG Rp 137.00 4 Rp 548.00
GG Rp 300.00 3 Rp 900.00
VIT BC Rp 156.00 4 Rp 624.00
Rp 18,626.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

MICROGEST 100 Rp 15,840.00 10 Rp 158,400.00
Rp 207,960.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
PROMAVIT Rp 4,356.00 30 Rp 130,680.00

L-VIT D3 Rp 3,432.00 30 Rp 102,960.00
Rp 239,640.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
PARACETAMOL Rp 222.00 3 Rp 666.00

HISTIGO Rp 827.00 3 Rp 2,481.00
Rp 3,147.00
KODEIN 10MG Rp 897.00 30 Rp 26,910.00

CETERIZIN 10MG Rp 254.00 10 Rp 2,540.00
Rp 29,450.00

LAPISTAN Rp 1,787.50 15 Rp 26,812.50
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 51,492.50
FARSIX Rp 1,320.00 20 Rp 26,400.00

SPIROLAKTON 100MG Rp 2,317.00 5 Rp 11,585.00
METIL PREDNISOLON 4MG Rp 567.00 20 Rp 11,340.00
BISOPROLOL 5MG Rp 328.00 10 Rp 3,280.00
MASNEURO Rp 924.00 10 Rp 9,240.00
LISINOPRIL 10MG Rp 337.00 5 Rp 1,685.00
Rp 75,530.00
OMEPRAZOL INJ Rp 13,511.00 1 Rp 13,511.00

ONDANSENTRON INJ Rp 2,903.00 1 Rp 2,903.00
Rp 16,414.00
SAMCOBION TAB Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200MG Rp 4,183.00 10 Rp 41,830.00
PARACETAMOL TAB Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 63,450.00
SAMCOBION TAB Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200MG Rp 4,183.00 5 Rp 20,915.00
Rp 6,000.00
Rp 42,535.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
RANITIDINE INJ Rp 1,545.00 1 Rp 1,545.00

PARACETAMOL TAB Rp 222.00 1 Rp 222.00
Rp 6,000.00
Rp 7,767.00
NA DIKLOFENAK TAB Rp 146.00 10 Rp 1,460.00

OMEPRAZOLE KAP Rp 1,276.00 10 Rp 12,760.00
ZEGAVIT TAB Rp 4,752.00 10 Rp 47,520.00
AMOXICILLIN TAB Rp 601.00 10 Rp 6,010.00
Rp 6,000.00
Rp 73,750.00
SUCRALFAT Rp 8,826.00 1 Rp 8,826.00

OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
SCOPMA Rp 1,506.00 10 Rp 15,060.00
Rp 6,000.00
Rp 42,646.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200 MG Rp 4,183.00 10 Rp 41,830.00
PCT Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 64,560.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200 MG Rp 4,183.00 10 Rp 41,830.00
PCT Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 64,560.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200 MG Rp 4,183.00 15 Rp 62,745.00
PCT Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 85,475.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

CAL 95 Rp 6,864.00 5 Rp 34,320.00
Rp 6,000.00
Rp 83,880.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

FONTACTIV ONE Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 209,560.00
OMEPRAZOL Rp 1,276.00 10 Rp 12,760.00

DIAZEPAM TAB 5MG Rp 149.00 2 Rp 298.00
Rp 12,000.00
Rp 36,104.00
PARACETAMOL SYR Rp 1,536.00 1 Rp 1,536.00

AMOKSISILIN SYR Rp 8,320.00 1 Rp 8,320.00
DIAZEPAM TAB 5MG Rp 149.00 2 Rp 298.00
Dumin Rectal 125 mg Rp 19,621.00 1 Rp 19,621.00
Rp 12,000.00
Rp 41,775.00

DEXA TAB Rp 126.50 10 Rp 1,265.00
CTM TAB Rp 69.30 10 Rp 693.00
CETIRIZINE TAB Rp 195.00 10 Rp 1,950.00
BEVALEX Rp 11,330.00 1 Rp 11,330.00
Rp 19,858.00
BISOPROLOL Rp 328.00 15 Rp 4,920.00

LISINOPRIL 10 MG Rp 337.00 15 Rp 5,055.00
Rp 6,000.00
Rp 28,701.00
METIL PREDNISOLON 4MG Rp 567.00 30 Rp 17,010.00

HISTIGO Rp 827.00 15 Rp 12,405.00
DOMPERIDON Rp 119.00 10 Rp 1,190.00
ZEGAVIT Rp 4,752.00 8 Rp 38,016.00
CEFIXIM 200 MG Rp 4,183.00 10 Rp 41,830.00
Rp 6,000.00
Rp 116,451.00
FLUNARIZIN Rp 1,000.00 5 Rp 5,000.00

PARACETAMOL Rp 222.00 10 Rp 2,220.00
LAPIBAL TAB Rp 2,970.00 10 Rp 29,700.00
Rp 6,000.00
Rp 47,032.00
SALBUTAMOL 2MG Rp 88.00 4 Rp 352.00

AMOKSISILIN TAB Rp 601.00 6 Rp 3,606.00
CTM TAB Rp 59.00 4 Rp 236.00
VIT C TAB Rp 137.00 6 Rp 822.00
DEKSAMETASONE TAB Rp 165.00 6 Rp 990.00
PARASETAMOL SYR Rp 1,536.00 1 Rp 1,536.00
Rp 12,000.00
Rp 19,542.00
ANAGENS SYR Rp 13,000.00 1 Rp 13,000.00

AS MEFENAMAT Rp 343.00 10 Rp 3,430.00
Rp 9,094.00
GENOCLOM Rp 15,400.00 10 Rp 154,000.00

Scopma Rp 1,506.00 10 Rp 15,060.00
Cefixime tab Rp 3,081.00 8 Rp 24,648.00
Natrium Diklofenak 50mg Rp 146.00 8 Rp 1,168.00
Omeprazole 20 mg Rp 1,276.00 8 Rp 10,208.00
Ketoprofen inj Rp 5,730.00 1 Rp 5,730.00
Ranitidin inj. 25mg/ml (SOHO) Rp 1,545.00 1 Rp 1,545.00
Rp 7,000.00
Rp 67,959.00
Stesolid rectal 5mg/2.5ml Rp 12,573.00 2 Rp 25,146.00
Goldtrion Rp 9,600.00 6 Rp 57,600.00

Dimenhidrinat tablet 50 mg (KF) Rp 146.00 10 Rp 1,460.00
Simvastatin 10mg (Mersi) Rp 901.00 5 Rp 4,505.00
Sukralfat suspensi (Meprof) Rp 8,826.00 1 Rp 8,826.00
Gemfibrozil 300 mg Rp 494.00 5 Rp 2,470.00
Rp 6,000.00
Rp 80,861.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
MICROGEST 100 Rp 15,840.00 15 Rp 237,600.00

FONTACTIVE Rp 160,000.00 1 Rp 160,000.00
KALNEK 500 TAB Rp 4,422.00 10 Rp 44,220.00
Rp 6,000.00
Rp 447,820.00
NEO GYNOXA Rp 19,800.00 5 Rp 99,000.00

PRIMOLUT N 28 Rp -
METFORMIN 500 Rp 293.00 30 Rp 8,790.00
Rp 6,000.00
Rp 113,790.00
MICROGEST 100 Rp 15,840.00 15 Rp 237,600.00

FOLAVIT Rp 2,515 20 Rp 50,300.00
Rp 6,000.00
Rp 293,900.00
FONTACTIV ONE Rp 160,000.00 1 Rp 160,000.00

PROMAVIT Rp 4,356.00 30 Rp 130,680.00
CAL 95 Rp 6,864.00 30 Rp 205,920.00
ONDANSENTRON 8 MG Rp 3,089.00 20 Rp 61,780.00
Rp 6,000.00
Rp 564,380.00
GENOCLOM Rp 18,480.00 10 Rp 184,800.00

FOLAVIT Rp 2,515.00 30 Rp 75,450.00
Rp 6,000.00
Rp 266,250.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
OMEPRAZOLE VIAL Rp 13,511.00 1 Rp 13,511.00

AQUA PI Rp 7,800.00 1 Rp 7,800.00
Rp 6,000.00
Rp 27,311.00
APIALYS SYR Rp 43,560.00 1 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00

Amlodipin tbl 10 mg(Tempo) Rp 260.00 20 Rp 5,200.00
Lansoprazole kapsul 30 mg (Nufarindo) Rp 937.00 10 Rp 9,370.00
Asam asetil salisilat tbl 80 mg (Miniaspi) Rp 137.00 20 Rp 2,740.00
Analtram Rp 11,880.00 10 Rp 118,800.00
Rp 6,000.00
Rp 195,010.00
LISINOPRIL 10 Rp 337.00 8 Rp 2,696.00

AMLODIPIN 10 Rp 260.00 8 Rp 2,080.00
BISOPROLOL 5 Rp 328.00 8 Rp 2,624.00
PCT TAB Rp 222.00 15 Rp 3,330.00
MINIASPI Rp 137.00 8 Rp 1,096.00
Rp 6,000.00
Rp 17,826.00

SPUID 3 CC Rp 1,155.00 2 Rp 2,310.00
Rp 5,731.00
Cefixime tab 200 mg (Bernofarm) Rp 3,081.00 10 Rp 30,810.00

Kalium Diklofenak Tab 50 Mg (Hexpharm) Rp 620.00 20 Rp 12,400.00
Lansoprazole kapsul 30 mg (Nufarindo) Rp 937.00 10 Rp 9,370.00
Pioglitazone tab 10 mg (Mahakam) Rp 3,098.00 10 Rp 30,980.00
Rp 6,000.00
Rp 89,560.00
genoclom Rp 15,400.00 10 Rp 154,000.00

Asuhan Farmasi Rp 6,000.00
Rp 160,000.00
promavit Rp 4,356.00 10 Rp 43,560.00
Rp 49,560.00
promavit Rp 4,356.00 15 Rp 43,560.00

Rp 49,560.00
promavit Rp 4,356.00 10 Rp 43,560.00

Rp 49,560.00
promavit Rp 4,356.00 15 Rp 43,560.00

Rp 49,560.00

METHYLPREDNISOLON 4MG Rp 567.00 10 Rp 5,670.00
NAC Rp 1,430.00 10 Rp 14,300.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 41,860.00
AMBROXOL Rp 225.00 5 Rp 1,125.00

DEKSAMETHASONE Rp 165.00 5 Rp 825.00
CETERIZINE TAB Rp 254.00 5 Rp 1,270.00
FARTOLIN INH Rp 22,440.00 1 Rp 22,440.00
Rp 6,000.00
Rp 32,100.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00

OMEPRAZOLE CAPS Rp 1,276.00 10 Rp 12,760.00
D40 Rp 12,900.00 3 Rp 38,700.00
Rp 6,000.00
Rp 104,980.00
OXYVIT TAB Rp 1,600.00 6 Rp 9,600.00

MASNEURO Rp 924.00 10 Rp 9,240.00
RANITIDIN Rp 325.00 10 Rp 3,250.00
AMOX Rp 329.00 10 Rp 3,290.00
Rp 6,000.00
Rp 33,600.00
BISACODYL TAB Rp 415.00 1 Rp 415.00

DEXAMETASON TAB Rp 127.00 20 Rp 2,540.00
Rp 9,775.00
MICROGEST 100 Rp 15,840.00 15 Rp 237,600.00

Rp 6,000.00
Rp 243,600.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

DEXA TAB Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 51,210.00
MICROGEST 100 Rp 15,840.00 15 Rp 237,600.00

PROMAVIT Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 308,940.00
NATRIUM DIKLOFENAK TAB Rp 146.00 10 Rp 1,460.00

AMOX TAB Rp 329.00 10 Rp 3,290.00
RANITIDINE TAB Rp 325.00 10 Rp 3,250.00
Rp 6,000.00
Rp 14,000.00
B COMPLEX TAB Rp 156.00 10 Rp 1,560.00

AMOX TAB Rp 329.00 10 Rp 3,290.00
ASMET TAB Rp 343.00 10 Rp 3,430.00
CAPTROPIL 12,5 MG Rp 86.00 20 Rp 1,720.00
Rp 6,000.00
Rp 19,250.00
CEFADOXIL CAPS Rp 944.00 10 Rp 9,440.00

LAPISTAN Rp 1,716.00 10 Rp 17,160.00
MASNEURO Rp 924.00 10 Rp 9,240.00
FARSIX TAB Rp 1,320.00 5 Rp 6,600.00
Rp 6,000.00
Rp 51,040.00
MELOXICAM 15 MG Rp 926.00 6 Rp 5,556.00

SUCRALFATE SYR Rp 8,826.00 1 Rp 8,826.00
Rp 6,000.00
Rp 34,437.00

BISOPROLOL 5 MG Rp 328.00 10 Rp 3,280.00
CODEIN 10 MG Rp 897.00 40 Rp 35,880.00
SPIRONOLACTON 100 MG Rp 2,317.00 5 Rp 11,585.00
Rp 6,000.00
Rp 73,825.00

LANSOPRAZOLE CPS Rp 937.00 20 Rp 18,740.00
ALLUPURINOL 100 MG Rp 247.00 10 Rp 2,470.00
Rp 6,000.00
Rp 43,646.00
meloxicam Rp 925.00 6 Rp 5,550.00
CIFLON TAB Rp 11,220.00 6 Rp 67,320.00

KALNEX 500MG Rp 4,422.00 6 Rp 26,532.00
METHYLPREDNISOLON 4 MG Rp 567.00 10 Rp 5,670.00
ASAM MEFENAMAT TAB Rp 343.00 10 Rp 3,430.00
NACL Rp 8,892.00 2 Rp 17,784.00
BETADIN 30 ML Rp 3,770.00 1 Rp 3,770.00
KASA STERIL Rp 8,844.00 1 Rp 8,844.00
Rp 136,640.00
Rp 113,866.67
MICROGEST 100MG Rp 15,840.00 15 Rp 237,600.00

PROMAVIT TAB Rp 4,356.00 10 Rp 43,560.00
AMLODIPIN 10 Rp 260.00 20 Rp 5,200.00
Rp 6,000.00
Rp 292,360.00

Rp 6,000.00
Rp 136,680.00

AMOKSISILIN SYR Rp 6,400.00 1 Rp 6,400.00
Rp 7,581.00

INTUNAL F Rp 1,180.00 2 Rp 2,360.00
VITAMIN C Rp 137.00 3 Rp 411.00
Rp 12,000.00
Rp 15,101.00

METHYL PREDNISOLON 4MG Rp 567.00 2 Rp 1,134.00
VITAMIN C 50MG Rp 137.00 3 Rp 411.00
AMBROXOL TAB Rp 225.00 2 Rp 450.00
Rp 12,000.00
Rp 14,171.00
NEURODEX TAB Rp 924.00 10 Rp 9,240.00

ASAM MEFENAMAT TAB Rp 343.00 10 Rp 3,430.00
MELOXICAM 15 MG Rp 11,616.00 5 Rp 58,080.00
Rp 6,000.00
Rp 76,750.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

PCT TAB Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 22,730.00
GRAFAZOL Rp 480.00 15 Rp 7,200.00
cefixime 200 mg Rp 4,183.00 15 Rp 62,745.00

samcobion Rp 1,340.00 10 Rp 13,400.00
metronidazole Rp 480.00 15 Rp 7,200.00
paracetamol tab Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 92,675.00
samcobion Rp 1,340.00 10 Rp 13,400.00

paracetamol tab Rp 222.00 15 Rp 3,330.00
metro tab Rp 480.00 15 Rp 7,200.00
Rp 6,000.00
Rp 29,930.00
FOLAVIT Rp 2,515.00 30 Rp 75,450.00

PROMAVIT Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 212,130.00
FARMACROL Rp 935.00 10 Rp 9,350.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
RL Rp 9,919.00 1 Rp 9,919.00
CEPRAZ INJ Rp 198,000.00 2 Rp 396,000.00
AQUA INJ Rp 3,718.00 2 Rp 7,436.00
Rp 6,000.00
Rp 419,355.00

FARTOLIN Rp 22,440.00 1 Rp 22,440.00
DEKSAMETASON TAB Rp 165.00 5 Rp 825.00
SALBUTAMOL 2 MG TAB Rp 88.00 3 Rp 264.00
LAPICEF SYR Rp 60,720.00 1 Rp 60,720.00
Rp 6,000.00
Rp 91,374.00
KETOROLAC INJ Rp 1,416.00 1 Rp 1,416.00

Rp 6,000.00
Rp 8,961.00
KETOPROFEN TAB Rp 1,197.00 10 Rp 11,970.00

RANITIDIN TAB Rp 325.00 10 Rp 3,250.00
PCT TAB Rp 222.00 15 Rp 3,330.00
Rp 6,000.00
Rp 24,550.00
DIGOXIN Rp 203.00 10 Rp 2,030.00

ISDN Rp 116.00 11 Rp 1,276.00
CPG Rp 2,210.00 4 Rp 8,840.00
MINIASPI Rp 1,500.00 2 Rp 3,000.00
Rp 6,000.00
Rp 21,146.00
ASPILETS Rp 700.00 10 Rp 7,000.00
Rp 28,146.00
Histigo Rp 827.00 10 Rp 8,270.00

Metil Prednisolon 4mg Rp 567.00 12 Rp 6,804.00
Zegavit tablet Rp 4,752.00 5 Rp 23,760.00
Rp 6,000.00
Rp 86,664.00

Rp 6,000.00
Rp 164,400.00
DEXA TAB Rp 165.00 10 Rp 1,650.00

CTM Rp 100.00 10 Rp 1,000.00
CETIRIZINE Rp 195.00 10 Rp 1,950.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 19,840.00
DEXA TAB Rp 127.00 10 Rp 1,270.00

CTM Rp 45.00 10 Rp 450.00
CETIRIZINE Rp 90.00 10 Rp 900.00
BETAMETASON Rp 1,340.00 1 Rp 1,340.00
Rp 3,960.00
AMOKSISILIN 500MG Rp 329.00 10 Rp 3,290.00

DEKSAMETHASONE TAB Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 14,370.00
SALBUTAMOL 4MG 80 20 Rp 1,600.00

ZEGAVIT TAB Rp 3,960.00 8 Rp 31,680.00
AZYTHROMYCIN Rp 3,200.00 6 Rp 19,200.00
OBH SYR Rp 6,600.00 2 Rp 13,200.00
Rp 65,680.00
FARMADOL INF Rp 79,200.00 2 Rp 158,400.00

Rp 132,000.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

CETIRIZIN TAB Rp 195.00 10 Rp 1,950.00
Rp 6,000.00
Rp 53,160.00
MEPTIN NEBUL Rp 6,961.00 1 Rp 6,961.00

SALBUTAMOL 2 MG Rp 88.00 10 Rp 880.00
KETOCONAZOLE TAB Rp 689.00 10 Rp 6,890.00
KETOCONAZOLE CREAM Rp 8,802.00 1 Rp 8,802.00
CETIRIZIN TAB Rp 117.00 5 Rp 585.00
DIAZEPAM TAB 5 MG Rp 149.00 3 Rp 447.00
Rp 6,000.00
Rp 30,565.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

PURWODADI Rp 6,000.00
Rp 49,560.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 506,940.00

Rp 6,000.00
Rp 296,400.00
Ringer Laktat(Widatra) Rp 9,919.00 2 Rp 19,838.00

Paracetamol Infus Rp 16,106.00 1 Rp 16,106.00
Ondansetron Inj 4mg/2ml (Mahakam) Rp 2,903.00 1 Rp 2,903.00
Ranitidine tbl 150 mg(Mersi) Rp 325.00 10 Rp 3,250.00
Vitamin B complek tablet(DEF) Rp 156.00 10 Rp 1,560.00
Ondansentron 4 mg Rp 1,716.00 10 Rp 17,160.00
Antasida DOEN tbl(Mersi) Rp 76.00 10 Rp 760.00
Parasetamol 500 mg(Mersi) Rp 222.00 10 Rp 2,220.00
Rp 7,000.00
Rp 114,172.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
FONTACTIV Rp 160,000.00 1 Rp 160,000.00

PROMAVIT Rp 4,356.00 15 Rp 65,340.00
VIT D Rp 3,432.00 15 Rp 51,480.00
Rp 6,000.00
Rp 282,820.00

PROMAVIT Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 506,940.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
BRONCHIFAR TAB Rp 865.00 10 Rp 8,650.00

OXYVIT Rp 1,600.00 6 Rp 9,600.00
AMOKSISILIN Rp 329.00 10 Rp 3,290.00
Rp 6,000.00
Rp 32,350.00

ONDANSENTRON TAB 4MG Rp 1,716.00 5 Rp 8,580.00
NEW ANTIDES Rp 185.00 5 Rp 925.00
Rp 6,000.00
Rp 39,311.00
FOLAVIT 1000mcg Rp 2,095.50 10 Rp 20,955.00
CEFTRIAXON INJ Rp 7,150.00 6 Rp 42,900.00

PARACETAMOL INF Rp 16,106.00 5 Rp 80,530.00
RL Rp 9,919.00 4 Rp 39,676.00
Rp 163,106.00
Rp 135,921.67
ANAGENS SYR Rp 15,190.00 1 Rp 15,190.00

VIT C 50 MG Rp 137.00 10 Rp 1,370.00
Rp 6,000.00
Rp 22,560.00
INTUNAL Rp 715.00 8 Rp 5,720.00
Cefadroxil 500 Rp 944.00 10 Rp 9,440.00

Asam Mefenamat 500mg Rp 343.00 10 Rp 3,430.00
Lapibal tab Rp 2,970.00 10 Rp 29,700.00
Lidocaine 2% injeksi (Phapros) Rp 1,588.00 1 Rp 1,588.00
Rp 6,000.00
Rp 51,718.00
Obat Flu Batuk/ Intunal Rp 715.00 8 Rp 5,720.00

Salbutamol tbl 2 mg(KF) Rp 87.10 10 Rp 871.00
Rp 6,591.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Rp 6,000.00
Rp 71,340.00
Asam mefenamat tbl 500 mg (Mersi) Rp 444.00 10 Rp 4,440.00

SAMCOBION Rp 1,340.00 10 Rp 13,400.00
Rp 6,000.00
Rp 65,670.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

Cal-95 Rp 6,864.00 20 Rp 137,280.00
Rp 6,000.00
Rp 208,620.00

SAMCOBION Rp 1,340.00 10 Rp 13,400.00
Susu Fontactive One Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 230,110.00

Rp 6,000.00
Rp 56,710.00

SAMCOBION Rp 1,340.00 10 Rp 13,400.00
Rp 6,000.00
Rp 74,550.00

SAMCOBION Rp 1,340.00 10 Rp 13,400.00
Rp 6,000.00
Rp 70,110.00
N-asetil sistein kapsul 200 mg Rp 485.00 1 Rp 485.00

CTM PIM Rp 59.00 1 Rp 59.00
Deksametason tbl 0.5 mg Rp 165.00 1 Rp 165.00
Ringer Laktat Rp 9,018.00 1 Rp 9,018.00
Rp 7,000.00
Rp 16,727.00
RL Rp 7,630.00 1 Rp 7,630.00
Neurobion ampul Rp 16,250.00 1 Rp 16,250.00
Rp 23,880.00

RINGER LAKTAT Rp 9,919.00 1 Rp 9,919.00
ANTASIDA TAB Rp 76.00 1 Rp 76.00
AMOKSISILIN TAB Rp 329.00 10 Rp 3,290.00

AS MEFENAMAT Rp 343.00 10 Rp 3,430.00
LIDOCAIN INJ Rp 1,588.00 1 Rp 1,588.00
Rp 6,000.00
Rp 15,958.00
STAFORIN SYR Rp 99,000.00 1 Rp 99,000.00

ETAFLUSIN SYR Rp 8,040.00 1 Rp 8,040.00
APIALYS DROP Rp 52,800.00 1 Rp 52,800.00
Rp 6,000.00
Rp 165,840.00
Cefadroxil 500 Rp 944.00 5 Rp 4,720.00

LAPISTAN TAB Rp 1,716.00 10 Rp 17,160.00
Rp 6,000.00
Rp 27,880.00
PCT 500 MG Rp 222.00 13 Rp 2,886.00

ONDAN TAB Rp 1,400.00 10 Rp 14,000.00
MASNEURO Rp 924.00 10 Rp 9,240.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 46,346.00
FONT ACTIVE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
RINGER LAKTAT Rp 9,919.00 1 Rp 9,919.00

L-ZINC Rp 43,560.00 1 Rp 43,560.00
L BIO Rp 9,240.00 2 Rp 18,480.00
Rp 7,000.00
Rp 84,651.00
RL Rp 9,919.00 1 Rp 9,919.00
INFUS SET DEWASA Rp 8,580.00 1 Rp 8,580.00
ABBOCATH 22 Rp 4,800.00 2 Rp 9,600.00
SPUIT 3 CC Rp 1,386.00 2 Rp 2,772.00
HYPAFIX 20 CM Rp 113.00 20 Rp 2,260.00
Rp 33,131.00
Rp 27,609.17
NEUROBION Rp 15,600.00 2 Rp 31,200.00
Rp 58,809.17
FARTOLIN NEBULES Rp 22,440 1 Rp 22,440.00

SALBUTAMOL TAB 4 MG Rp 104 10 Rp 1,040.00
DEXAMETHASONE TAB Rp 165 10 Rp 1,650.00
FUROSEMID TAB Rp 104 10 Rp 1,040.00
Rp 6,000.00
Rp 32,170.00

RAP NGARINGAN Rp 6,000.00
Rp 71,340.00

Rp 6,000.00
Rp 71,340.00

Rp 6,000.00
Rp 71,340.00
FONTACTIVE ONE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00

CEFIXIM 200 Rp 3,081.00 10 Rp 30,810.00
Rp 6,000.00
Rp 60,616.00
ONDANSETRON 4 MG Rp 1,716.00 15 Rp 25,740.00

PROMAVIT Rp 4,356.00 30 Rp 130,680.00
L VIT D3 Rp 3,432.00 30 Rp 102,960.00
Rp 6,000.00
Rp 265,380.00
CLINDAMYCIN 300 Rp 2,100.00 10 Rp 21,000.00

DEXA TAB Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 32,080.00
DEXAMETHASON TAB Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 20,370.00
PIOGLITAZON 30 MG Rp 4,648.00 10 Rp 46,480.00

GLIMEPIRIDE 2 MG Rp 270.00 10 Rp 2,700.00
SALBU 2 MG Rp 88.00 15 Rp 1,320.00
LANSOPRAZOLE Rp 1,014.00 10 Rp 10,140.00
KALIUM DIKLOFENAK Rp 671.00 10 Rp 6,710.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 88,505.00

MASNEURO Rp 924.00 8 Rp 7,392.00
ASAM TRANEXAMAT Rp 2,060.00 15 Rp 30,900.00
Rp 6,000.00
Rp 70,548.00

CTM Rp 76.00 10 Rp 760.00
BEVALEX Rp 11,330.00 1 Rp 11,330.00
Rp 14,040.00

Rp 6,000.00
Rp 104,370.00
SPIRONOLACTON 100 Rp 2,317.00 8 Rp 18,536.00

CODEIN 10 MG Rp 897.00 30 Rp 26,910.00
CETIRIZIN Rp 195.00 10 Rp 1,950.00
NAC Rp 1,430.00 15 Rp 21,450.00
Rp 6,000.00
Rp 84,146.00
Promavit Rp 4,356.00 15 Rp 65,340.00

L-VIT D3 1000 Rp 3,261.00 15 Rp 48,915.00
Rp 6,000.00
Rp 120,255.00
Promavit Rp 4,356.00 15 Rp 65,340.00

L-VIT D3 1000 Rp 3,261.00 10 Rp 32,610.00
Rp 6,000.00
Rp 103,950.00

SAMCOBION Rp 1,340.00 20 Rp 26,800.00
Rp 6,000.00
Rp 218,155.00

Rp 6,000.00
Rp 243,600.00
SAMCOBION Rp 1,340.00 20 Rp 26,800.00

Rp 6,000.00
Rp 58,155.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

CEFIXIME 200 MG Rp 3,081.00 5 Rp 15,405.00
Rp 6,000.00
Rp 39,245.00

Promavit Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 374,280.00
NACL Rp 8,084.00 2 Rp 16,168.00

POVIDON IODIN 30 ML Rp 5,280.00 1 Rp 5,280.00
LIDOCAIN Rp 1,588.00 4 Rp 6,352.00
DEXA TAB Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 44,890.00
CETIRIZINE TAB Rp 195.00 2 Rp 390.00

DEXA TAB Rp 165.00 2 Rp 330.00
LAPISIV Rp 1,716.00 2 Rp 3,432.00
Rp 12,000.00
Rp 16,152.00
APIALYS SYR Rp 43,560.00 1 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00

MASNEURO Rp 924.00 6 Rp 5,544.00
Rp 6,000.00
Rp 47,704.00
OMEPRAZOLE Rp 1,276.00 20 Rp 25,520.00

DOMPERIDON TAB Rp 119.00 20 Rp 2,380.00
Rp 6,000.00
Rp 57,300.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00

PCT TAB Rp 222.00 10 Rp 2,220.00
MASNEURO Rp 924.00 5 Rp 4,620.00
Rp 6,000.00
Rp 25,600.00
AZITROMISIN 500 Rp 4,160.00 5 Rp 20,800.00

CEFIXIM 200 Rp 4,183.00 10 Rp 41,830.00
ZEGAVIT Rp 4,752.00 15 Rp 71,280.00
METFORMIN 500 Rp 293.00 20 Rp 5,860.00
NAC Rp 1,430.00 20 Rp 28,600.00
PCT 500 Rp 222.00 20 Rp 4,440.00
MASNEURO Rp 924.00 10 Rp 9,240.00
CODEIN 10 Rp 897.00 40 Rp 35,880.00
CETIRIZIN Rp 195.00 15 Rp 2,925.00
Rp 6,000.00
Rp 226,855.00
INFUS SET Rp 7,150.00 1 Rp 7,150.00

SPUID 5 CC Rp 1,650.00 1 Rp 1,650.00
SPUID 1 CC Rp 880.00 1 Rp 880.00
ABBOCATH NO 24 Rp 4,000.00 1 Rp 4,000.00
ABBOCATH NO 22 Rp 4,000.00 1 Rp 4,000.00
Rp 17,680.00

Folavit 1000mcg Rp 2,515.00 15 Rp 37,725.00
Rp 6,000.00
Rp 202,125.00
Folavit 1000mcg Rp 2,095.50 8 Rp 16,764.00
L VIT D 3 Rp 3,261.00 10 Rp 32,610.00

ZEGAVIT TAB Rp 4,752.00 10 Rp 47,520.00
LORATADIN TAB Rp 434.00 10 Rp 4,340.00
CEFADROXIL KAP Rp 944.00 10 Rp 9,440.00
Rp 6,000.00
Rp 102,130.00
BETAMETASON CR Rp 1,340.00 1 Rp 1,340.00
Asam asetil salisilat tbl 80 mg (Miniaspi) Rp 137.00 8 Rp 1,096.00

Lansoprazole kapsul 30 mg (Nufarindo) Rp 1,014.00 8 Rp 8,112.00
Clindamicyn Rp 2,100.00 10 Rp 21,000.00
Rp 12,000.00
Rp 52,724.00
MICROGEST 100 Rp 13,200.00 14 Rp 184,800.00
MEDITHIN Rp 6,600.00 30 Rp 198,000.00

GENOCLOM 50 Rp 18,480.00 10 Rp 184,800.00
Rp 6,000.00
Rp 388,800.00
MEGAZING Rp 3,630.00 30 Rp 108,900.00

KONI E Rp 5,280.00 30 Rp 158,400.00
MEDITHIN Rp 6,600.00 30 Rp 198,000.00
FOLAVIT 1000 Rp 2,515.00 30 Rp 75,450.00
GENOCLOM Rp 18,480.00 15 Rp 277,200.00
Rp 6,000.00
Rp 823,950.00
MICROGEST 100 Rp 15,840.00 7 Rp 110,880.00

PROMAVIT Rp 4,356.00 14 Rp 60,984.00
Rp 6,000.00
Rp 177,864.00
MEDHITIN Rp 5,500.00 10 Rp 55,000.00

KONI E Rp 4,400.00 6 Rp 26,400.00
GENOCLOM Rp 15,400.00 2 Rp 30,800.00
Rp 112,200.00
LAGESIL TAB Rp 1,452.00 15 Rp 21,780.00

NA DIKLO 50 MG Rp 146.00 10 Rp 1,460.00
SCOPMA Rp 1,506.00 10 Rp 15,060.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 57,060.00
KONI E Rp 4,400.00 20 Rp 88,000.00

MEDHITIN Rp 6,600.00 20 Rp 132,000.00
Rp 6,000.00
Rp 226,000.00
METILPREDNISOLON 4MG Rp 436.00 10 Rp 4,360.00

Rp 6,580.00
RL Rp 9,919.00 3 Rp 29,757.00
ONDAN INJ Rp 7,865.00 1 Rp 7,865.00
ANTASIDA SYR Rp 4,160.00 1 Rp 4,160.00
NEW ANTIDES Rp 185.00 10 Rp 1,850.00
FUROSEMID INJ Rp 1,733.00 1 Rp 1,733.00
Rp 6,000.00
Rp 64,199.00
ANALTRAM Rp 11,880.00 6 Rp 71,280.00
CEFILA 200 Rp 39,600.00 10 Rp 396,000.00
Rp 6,000.00
Rp 473,280.00
SAMCOBION Rp 1,116.60 10 Rp 11,166.00

ALLOPURINOL 100 Rp 190.00 10 Rp 1,900.00
NA DIKLO 50 Rp 112.00 10 Rp 1,120.00
DEXA 0.5 Rp 127.00 10 Rp 1,270.00
Rp 15,456.00
Serum ATS 1500 IU/Biosat(Biofarma) Rp 170,299.00 1 Rp 170,299.00

Cefixime tab 200 mg (Bernofarm) Rp 3,081.00 10 Rp 30,810.00
Deksametason tbl 0.5 mg (Novapharin) Rp 1,427.00 10 Rp 14,270.00
Rp 6,000.00
Rp 224,809.00
JAM TERIMA JAM
RESEP PENYERAHAN
OBAT
17.21
18.03 18.11
19.01 19.14
19.13 19.18
19.17 19.22
19.55 20.03
20.12 20.2
22.00 22.12
5:50 6:05
20:04 20:07
BELUM BAYAR, BLM AMBIL OBAT, RESEP DI APOTEK

8:30 8:35:00
9:00 9:05
12:00 12:10
16:30 16:35
8:20 8:30
8:25 8:30
20:05 20:10
20:23 20:35
20:29 20:36
20:46 20:47
20:56 20:58
19:48 19:55
20:19 20:26
20:31
23.57
21:00 21:04
21:05 21:09
21:25 21:29
9:35 9:45
11:30
5/1/2021 1 WITANTRI
2 IGD SUNARTO
retur
3 IGD TN YAHMIN
5/2/2021 1 ELISA (KARYAWAN)
2 MAS SETYO IGD

KARYAWAN
3 IGD AN. ALESTINE

4 IGD TN RABUN
5/3/2021 1 BEDAH TN RAMAN
2 UMUM ALBY REIHAN
3 DALAM SUMARNI
4 IGD TN SADI
5 DALAM LASMI
6 POLI DALAM NY DIAH SULISTYORINI

KARYAWAN
7 DALAM MUNAWAR
8 IGD Rossi Dwi M
9 POLI OBGYN NY. SRI NINGSIH
10 POLI OBGYN NY. LENI MERDIANA
11 POLI OBGYN NY. RINA W
12 POLI OBGYN Ny. OKI (KARYAWAN)
13 POLI OBGYN NY. SULASTRI
14 POLY OBGYN NY NAFIUL
15 POLY OBGYN NY DESI CANDRA

16 POLY OBGYN NY RINA DIYAH P
17 IGD TN ROYANI
18 POLY OBGYN NY LISTIYORINI
19 IGD TN HARTO
20 POLY OBGYN NY SOFYA H
21 IGD AN HANIF
22 IGD NY DJASMI
5/4/2021 1 POLI DALAM MORINTA HERDANTI
2 POLI DALAM SUPRATMIN TN
3 IGD Ny. Liyanah
4 Obgyn Ny. Sephia
5 IGD KOIRUL AFIA

6 OBGYN NY. UMI K
5/5/2021 1 POLI UMUM ALFIAN

(KARYAWAN)
2 IGD NAIM SDR

KARYAWAN
3 IGD NAIM SDR

KARYAWAN
4 POLI DALAM TN KLIWON SUTRISNO
5 POLI UMUM DR. FITRIA IKA

(KARYAWAN)
6 POLI UMUM NADIA

(KARYAWAN)
7 IGD TN EDI
8 IGD TN PURNOMO
9 OBGYN NY. IKA FARIDA
10 DR LADY
11 SOFI (KARYAWAN)
12 POLI OBGYN NY DEFI RIA
12 OBGYN NY. RINA KHOMSATUN
13 IGD AN. TARA

5/6/2021 1 poli umum TN ROYANI
2 Poli Umum Tn. SUHARTO
3 Poli Umum Hartanti
4 IGD Ny Puji Lestari
5 NURUL KARYAWAN
6 POLI OBGYN NY NOVIANA
7 POLY OBGYN NY DWI NY DWI LISTIYANI
8 POLY OBGYN NY RUKMINI
9 POLY OBGYN NY EKO DYAH P

10 POLY OBGYN DEFI RIA R
11 POLI OBGYN Ny. Nur Pikayanti
12 POLI OBGYN Ny. Lupitasari
13 IGD An. Sintia Rahma A
5/7/2021 1 POLI DALAM TN PARJUMAN
2 POLI DALAM NY KADIYEM

3 POLI DALAM SRI MUTIAH
PAKIS 05/03
KRADENAN
4 POLI UMUM ADE TISVIAN P

KEDUSAN WIROSARI
5 POLI UMUM SOFI (KARYAWAN)
6 POLI UMUM MAULIDIA (KARYAWAN)
7 POLI UMUM SINTIA RAHMA AGUSTINA
8 POLI OBGYN NY NOVIANA
9 IGD AN. ROFI BUDI
KARYAWAN NN SUSI
5/8/2021 1 POLI UMUM SUYATNO
2 POLI UMUM ZEVI FURMIA
3 IGD MAS SETYO

IGD
4 VK DYAH
KARYAWAN VK
5/9/2021 1 IGD HADI SUSANTO
2 IGD SUTINI
3 Ny. Witantri
karyawan
4 IGD TN RIDWAN CHOIRONI

5 IGD Ny. Suwarti
6 IGD Tn. Jupri
7 IGD NY SULASTRI
5/10/2021 1 poli umum Ny. Yunia Sandra
2 POLI DALAM Ny. Suwati
3 POLI DALAM Ny. Nyami

4 POLI DALAM Ny. Lasmi
5 POLI DALAM Tn Ahmad Dahlan
6 POLI DALAM Ny. Sri Patmi
7 POLI DALAM Tn Yadmin

8 POLI DALAM Ny. Ngatmi
9 POLI DALAM Tn. Supratmin
10 POLI DALAM TN SUDARSONO
11 POLI DALAM Tn. Suyatno
12 IGD NY SUNARTI
13 Dyah umi
14 IGD Ny. Sarmi
15 POLI OBGYN Ny. Siti Nur
16 POLI OBGYN OKVITA TUNGGA P

27 TAHUN
MAMBUNG 5/6 PULOKULON
NY APRISKA DWI
17 POLI OBGYN
18 POLI OBGYN NY AIK LINDASARI

TREMBES 1/1 NGLINDUK
GABUS
28 TAHUN
19 POLI OBGYN NY HESTI PEBRIANA

NGLINDUK 2/6 GABUS
22 TAHUN
20 POLI OBGYN ISTI NURAINI
KUNDEN 2/1
21 POLI OBGYN NY WAHYUNI
22 POLI OBGYN NY SITI NUR H
23 POLI OBGYN NY PARTINI
24 POLI OBGYN NY DWI RETNOWATI
25 POLI OBGYN TITIK ISTIANA

26 POLI OBGYN NY SRI NURKHAYATUN
SARIREJO 3/4
NGARINGAN
27 POLY OBGYN NY. DEFI J
28 IGD M RIZAL P
29 POLI OBGYN NY. MUNAFIAH
TN. MUSLIH
5/12/2021 1 IGD NY. SEKAR AYU
2 POLI UMUM RATIH INDIRA

3 POLI DALAM TN DASRI
4 POLI UMUM KAISAR FAUZAN
5 POLI UMUM TN JOKO SUSILO
6 IGD SETYO (KARYAWAN)
5/13/2021 1 IGD NY. SITI ROCHYATI
2 DR. IKA (KARYAWAN)

3 IGD NY DIAN
4 IGD AN. ARFA
5 IGD NY.SUYATI
6 IGD TN. ZAHRA
5/14/2021 1 IGD TN. LASIJAN
2 IGD NY. KASMIYAH

3 IGD ny. Siti Aminah
5/15/2021 1 poli umum nadia
2 IGD ACHMAD FATHONI

(KARYAWAN)
3 IGD ACHMAD FATHONI

(KARYAWAN)
5/16/2021 1 IGD EVY PUJIATI
2 KARYAWAN DYAH SUSANTI

5/17/2021 1 IGD An. Amera
2 POLI UMUM Tn. Bambang Supriyanto
3 Karyawan Limawan
4 POLI DALAM Tn. Soleman
5 POLI DALAM PASI
6 POLI DALAM Ny. Karni
7 POLI UMUM Ferika Putri R

8 LISTIWATI
9 IGD PUSPITA CHANDRA
10 karyawan Elisa
11 POLI OBGYN OKI S (KARYAWAN)
12 POLI OBGYN NY SRI RISTUNINGSIH
13 POLI OBGYN NY. RATIH KURNIA
14 IGD TN. SUYANTO
5/18/2021 1 IGD NY. MEGA

2 POLI OBGYN NY PINGKI SASTIKA
(RESEP TGL 17MEI)
3 POLI OBGYN NY YANUARI

(RESEP TGL 17MEI)
4 POLI OBGYN NY PUJIHANTI

(RESEP TGL 17MEI)
5 POLI UMUM AN. SEPTI NUR
6 POLI OBGYN NY DAMIYATI
7 POLI OBGYN NY WIKA PUTERI
8 POLI OBGYN NY SITI HANIF

10 POLI OBGYN NY SULASTRI
11 POLI GIGI HARTATIK
12 POLI OBGYN NY GUDEL
13 POLI OBGYN NY NURWATI
14 POLI OBGYN NY SUPARTI
15 POLI OBGYN NY DESI CANDRA
16 POLI OBGYN NY SCARINA ANITA

17 POLI OBGYN NY. LUTMI
18 POLI OBGYN NY. UMI K
19 POLI OBGYN NY. SALMA ISTIA
20 POLI OBGYN NY. SOFYA H
21 POLI OBGYN NY. SUJATININGSIH
22 KARYAWAN DIKY
5/19/2021 1 POLI DALAM NY SUWATI

47 TAHUN
GENTON 3/11 NGARINGAN
2 POLO DALAM TN YATMIN

60 TAHUN
BERU 3/3 KALIREJO
3 POLI OBGYN NY CHAQIQIYATUL
4 IGD NY SATIYEM
5 RENI SETIANINGSIH
(COPY RESEP)
6 POLI DALAM BAGUS LANGGENG
7 POLI OBGYN NY FITTA PRATIWI
8 POLI OBGYN NY FITA FURNIAWAN

9 POLI OBGYN NY DEWI YANINGSIH
10 POLI OBGYN NY SRI JUWANTI
11 POLI OBGYN NY. SHOLIKHAH
5/20/2021 1 IGD TN. RIDWAN
2 IGD TN SAYO
3 UMUM NADIA
(KARYAWAN)
4 IGD AN RAHMAD
5 POLI DALAM NY SRI PATMI

6 POLI UMUM NY RASIYEM
7 POLI OBGYN FITROTUN NURUL B
8 POLI OBGYN NY. ISTIKOMAH
9 POLI OBGYN NY SITI UMI V
10 IGD PARSIYO
11 IGD TN BUDI
12 IGD NY MAYANG
5/21/2021 1 POLI DALAM SUNARTI
2 POLI DALAM DYAH LASMA WARDANI

KARYAWAN
3 POLI DALAM MARYATI

6/7/1970
BLIMBING 3/5 DOKORO
4 karyawan Ny. Oki Setianingsih
5 KARYAWAN Ny. Wita

6 IGD AN CANDRA SATRIA
5/22/2021 1 IGD SDR ROBIATUL
2 IGD MOCHAMAD CAMAK
3 POLI UMUM SLAMET
4 KARYAWAN ny MEGA
5 IGD Nn. Wita Sari

6 IGD RISWATI IGD
5/23/2021 1 POLI UMUM ANIS KHOIRUN NISA

KARYAWAN VK
2 IGD TN SAIPUL RACHMAN
3 IGD SRI SULISTIANINGSIH
4 KARYAWAN APRLIANA
5 KARYAWAN RIZKA FEBRIANA
6 KARYAWAN SITI CHOTIMAH
7 IGD NY YATINI
8 IGD AN KHOIRUL AMIN
3 TAHUN
9 KARYAWAN SOFIA
10 IGD NY. JUMI
5/24/2021 1 karyawan Elisa
2 POLI DALAM TN SOLEMAN
3 POLI DALAM SUYANTO

4 POLI DALAM JUARI
5 POLI DALAM NY SRI WARSITI
6 POLI DALAM TN DIMIN
7 (KARYAWAN) ENDANG TRI
8 IGD EDY ERWANTO
9 POLI OBGYN NY SHEGLLA BRYAN
10 POLI OBGYN SUMI

35 TAHUN
11 POLI OBGYN NY. ESNU MAYNA
12 POLI OBGYN NY. TRI FEBRIANI
13 POLI OBGYN NY. ELHAWA YULVANI
14 IGD TN. SUMARMIN
5/25/2021 1 KARYAWAN NY. FITRI
2 IGD TN. MANGUN BUSONO
3 POLI UMUM AN FANIA

1 TAHUN
4 POLI DALAM NY LASMI

42 TAHUN
5 POLI DALAM TN SRIYOTO
6 POLI DALAM TN SLAMET
7 POLI UMUM AN.ALETTA QUINBY
8 POLI DALAM NY SULASTRI
9 KIKI A (KARYAWAN)
10 ANIS KHOIRUN NR (KARYAW
11 POLI UMUM SOVIA ROMANDHONA

(KARYAWAN)
12 Poli dalam NY ERMI
13 SETYO NURYANTO
KARYAWAN
14 IGD MUSTARI
DYAH SUSANTI
5/26/2021 1 IGD VIA MELATI SUKMA
2 TN RAVI
(KELUARGA KARYAWAN)
3 NY MEGA
(KARYAWAN)
4 IGD NY SARTI
5 IGD NY LASMI
6 IGD DR NAFI
KARYAWAN
7 IGD RIZKA FEBRIANA

KARYAWAN
5/27/2021 1 POLI DALAM SUNARDI
2 POLI GIGI SITI ROMDHONI
3 POLI DALAM RUKMINI
4 POLI OBGYN NY. SITI MUTMAINAH

5 KARYAWAN NY. ANIS KHOIRUN NISA
6 KARYAWAN NY. DYAH LASMA
7 POLI OBGYN NY. MAYA SETIYA
8 POLI OBGYN NY. MAGHFIROH
9 POLI OBGYN NY. SUKARTI
10 POLI OBGYN NY. WAHYUNI

11 POLI OBGYN NY MUNAFIAH
12 POLI OBGYN SITI FADILAH
13 POLY OBGYN NY DEFI RIA
14 POLY OBGYN NY DEFI JUNARIYAH
15 POLY OBGYN NY HIDAYATUL R
16 POLY OBGYN NY ERNA S
17 POLY OBGYN NY OKI S

(KARYAWAN)
18 POLY OBGYN HERMIN

( KARYAWAN)
19 POLY OBGYN RIZA
(SUAMIKARYAWAN )
20 POLY OBGYN SITI BADIYAH
5/28/2021 1 IGD TN SRIYONO
2 IGD NY SUPATMI
3 IGD MARSONI
4 POLI DALAM NY DJASMI
5 karyawan diyah ayu

6 IGD DHIAJENG HAYU
5/29/2021 1 KARYAWAN SOFIA
2 KARYAWAN ROSSI DWI M
3 POLI DALAM SUPI
5/30/2021 1 IGD TN SUWARTO
TN SUWARTO
2 POLI OBGYN NY. LISTYORINI
3 POLI OBGYN NY SOFYA HARANI
4 POLI OBGYN NY SITI
5 POLI OBGYN TN FAJAR
6 IGD NY SARMIATI
7 IGD NY ZULIANA
8 POLI OBGYN NY DWI INDAH S
9 KARYAWAN NY WITANTRI
10 IGD NY WATIAH
5/31/2021 1 KARYAWAN NY ANIS
2 POLI DALAM TN EDI RIYANTO
3 POLI DALAM TN PAIMIN

4 DYAH LASMA
(KARYAWAN)
5 POLI DALAM TN AGUS ANDRIYANTO
6 POLI DALAM NY UMI MAHMUDAH
7 POLI DALAM NY SUMIYATUN
8 POLI DALAM NY HARMINI
9 POLI DALAM SINI
10 IGD NY SITI BADRIYAH

11 IGD TN SYAFAAT
12 IGD ISMAIL M
13 IGD ASYIFATUL
NAMA OBAT HARGA QTY JUMLAH JAM TERIMA
RESEP
ONDANSENTRON 8MG 2,574 2 Rp 5,148 9:00:00
Sucralfat Suspensi 22,620 1 Rp 22,620 22:02:00

Parasetamol 500 mg(Mersi) 222 10 Rp 2,220
Asam asetil salisilat tbl 80 mg (Miniaspi) 137 5 Rp 685
Omeprazole 20 mg 1,276 10 Rp 12,760
Rp 6,000
Rp 44,285
ISDN 216 5 Rp 1,080
Rp 45,365
Asam asetil salisilat tbl 80 mg (Miniaspi) 137 4 Rp 548
ISDN 216 4 Rp 1,080
Rp 16,608
Sucralfat Suspensi 22,620 1 Rp 22,620 22:27:00

Vitamin B6 tablet 10 mg (KF) 171 10 Rp 1,710
Curcuma FCT 1,110 10 Rp 11,100
Rp 6,000
Rp 56,410
INTUNAL 715 8 Rp 5,720

ANTASIDA SYR 2,768 1 Rp 2,768
STIMUNO JERUK 24,800 1 Rp 24,800
KETOKONAZOLE TAB 530 10 Rp 5,300
Rp 38,588
JARUM INSULIN 4,000 10 Rp 40,000

Rp 33,333
PCT SYR 1,536 1 Rp 1,536 13:40:48

DOMPERIDON TAB 119 4 Rp 476
RANITIDIN TAB 325 4 Rp 1,300
VIT B COMPLEX 156 4 Rp 624
CURCUMA TAB 1,110 4 Rp 4,440
ANTASIDA TAB 76 5 Rp 380
Rp 12,000
Rp 20,756
LIPROLAC 8,801 4 Rp 35,204
VIT BC 156 10 Rp 1,560
CAPTOPRIL 12.5MG 86 10 Rp 860
Rp 6,000
Rp 43,624
LAPISTAN TAB 1,716 10 Rp 17,160 9:13:00

MASNEURO 924 10 Rp 9,240
CEFADROXIL KAP 944 10 Rp 9,440
Rp 6,000
Rp 41,840
CEFADROXIL KAP 944 3 Rp 2,832

CTM 59 3 Rp 177
ETAFLUSIN SYR 8,040 1 Rp 8,040
Rp 12,000
Rp 23,049
BISOPROLOL 5 MG 328 30 Rp 9,840

AMLODIPIN 10 MG 260 30 Rp 7,800
SPIRONOLACTON 100 MG 2,317 8 Rp 18,536
KAPSUL 146 30 Rp 4,380
Rp 12,000
Rp 52,556
ZAGAVIT TAB 4,752 5 Rp 23,760

AMLODIPIN TAB 260 5 Rp 1,300
Rp 6,000
Rp 31,060
PROVE D 3 3,800 5 Rp 19,000
Rp 50,060
LANSOPRAZOLE KAP 1,014 10 Rp 10,140

SUCRALFAT SYR 8,826 1 Rp 8,826
DIAZEPAM 2 MG TAB 112 2 Rp 224
Rp 6,000
Rp 25,190
METHYL PRED 4 MG 436 20 Rp 8,720

AMBROXOL 173 15 Rp 2,595
CETIRIZIN 90 10 Rp 900
SALBUTAMOL 2MG 67 15 Rp 1,005
CODEIN 10 690 30 Rp 20,700
Rp 33,920
CODEIN 10 MG 897 15 Rp 13,455
AS TRANEXAMAT 137 15 Rp 2,055
OMEPRAZOLE KAP 1,276 10 Rp 12,760
Rp 6,000
Rp 43,096
NaCl 0,9%(Widatra) 6,840 3 Rp 20,520

Ringer Laktat(Widatra) 7,630 1 Rp 7,630
Metronidazol INFUS 21,450 1 Rp 21,450
Rp 49,600
Rp -
Neurobion Inj (BELI LUAR) 19,500 1 Rp 19,500
PROMAVIT 4,356 10 Rp 43,560 19:40:00

Rp 6,000
Rp 49,560
PROMAVIT 4,356 10 Rp 43,560 19:58:00

Rp 6,000
Rp 49,560
FONTACTIV 160,000 1 Rp 160,000 20:06:00

Rp 6,000
Rp 166,000
Promavit 3,630 10 Rp 36,300

L-VIT D3 1000 2,717 10 Rp 27,170
Rp 63,470
PROMAVIT 4,356 10 Rp 43,560 20:30:00

Rp 6,000
Rp 49,560
FONT ACTIVE 160,000 1 Rp 160,000

PROMAVIT 4,356 15 Rp 65,340
Rp 6,000
Rp 231,340
PROMAVIT 4,356 15 Rp 65,340

Rp 6,000
Rp 71,340
Cal-95 6,864 20 Rp 137,280

PROMAVIT 4,356 20 Rp 87,120
Rp 6,000
Rp 230,400
CEFADOXYL 500 MG 944 10 Rp 9,440

ASAM MEFENAMAT 443 10 Rp 4,430
DEXAMETASON TAB 1,427 10 Rp 14,270
LIDOCAIN INJ 1,588 1 Rp 1,588
Rp 6,000
Rp 35,728
CAL 95 6,864 30 Rp 205,920

L-VIT D3 1000 3,261 30 Rp 97,830
Rp 6,000
Rp 309,750
DEXAMETASON TAB 1,427 10 Rp 14,270

GLIMEPIRIDE 2 MG TAB 270 10 Rp 2,700
RL 9,919 1 Rp 9,919
DEXAMETASON INJ 1,427 1 Rp 1,427
EPINEPRIN INJ 1,831 1 Rp 1,831
ONDAN INJ 4,147 1 Rp 4,147
DOMPERIDON TAB 119 10 Rp 1,190
Rp 6,000
Rp 41,484
SOFRATUL 26,400 1 Rp 26,400

SPUIT 3 CC 1,386 1 Rp 1,386
NEOCENTA SALEP 18,600 1 Rp 18,600
CEFILA 100 MG 25,740 8 Rp 205,920
PROMAVIT 4,356 10 Rp 43,560
PARACETAMOL TAB 222 15 Rp 3,330
Rp 6,000
Rp 305,196
Fartolin inhalasi 22,440 1 Rp 22,440

CTM 100 2 Rp 200
SALBUTAMOL 2 MG 88 2 Rp 176
AMBROXOL TAB 225 2 Rp 450
PARACETAMOL TAB 222 2 Rp 444
Rp 6,000
Rp 29,710
KETOROLAC INJ 1,416 1 Rp 1,416
OMEPRAZOLE INJ 12,834 1 Rp 12,834
KETOROLAC TAB 2,303 10 Rp 23,030
OMEPRAZOLE CAPS 1,276 10 Rp 12,760
Rp 6,000
Rp 56,040
ANALTRAM 11,880 15 Rp 178,200

METHYL PRED 4 MG 567 16 Rp 9,072
LANSOPRAZOLE 1,121 8 Rp 8,968
Rp 6,000
Rp 202,240
CURCUMA 1,110 20 Rp 22,200

OMEPRAZOLE 1,276 15 Rp 19,140
FOLAVIT 400 985 10 Rp 9,850
NAC 1,430 20 Rp 28,600
METIL PRED 4MG 567 20 Rp 11,340
CEFIXIME 200 4,183 5 Rp 20,915
LISINOPRIL 10 337 5 Rp 1,685
Rp 6,000
Rp 128,970
Brainact injeksi Rp 92,400 1 Rp 92,400

Piracetam inj 5mg/ml (Bernofarm) Rp 8,580 1 Rp 8,580
Lapibal Injeksi Rp 33,000 1 Rp 33,000
Ringer Laktat(Widatra) Rp 9,919 1 Rp 9,919
Rp 6,000
Rp 149,899
Cefila 100 25,740 0 Rp -

Megazing 3,630 15 Rp 54,450
Promavit 4,356 15 Rp 65,340
Rp 6,000
Rp 129,120
OXYVIT 1,600 10 Rp 16,000

VIT D 3,261 10 Rp 32,610
Rp 6,000
Rp 63,850
PROMAVIT 4,356 10 Rp 43,560

ANALTRAM 11,880 10 Rp 118,800
Rp 6,000
Rp 168,360
LAGESIL 1,210 10 Rp 12,100

CEFADROXIL 726 10 Rp 7,260
METIL PRED 4MG 436 10 Rp 4,360
LAPISIV 1,430 10 Rp 14,300
Rp 38,020

AMLODIPIN 10 260 10 Rp 2,600
VIT B COMP 156 10 Rp 1,560
Rp 7,500

AMLODIPIN 10 260 10 Rp 2,600
VIT B COMP 156 10 Rp 1,560
Rp 7,570

DOMPERIDON 1,226 15 Rp 18,390
Rp 6,000
Rp 71,217
VIT B COMP 120 2 Rp 240
DEXAMETHASON 1,097 10 Rp 10,970
LAPISIV 1,430 10 Rp 14,300
Rp 6,000
Rp 33,240
DIAZEPAM 2 MG 86 3 Rp 258
RANITIDIN TAB Rp 325.00 10 Rp 3,250

CEFADROXIL Rp 944.00 10 Rp 9,440
DOMPERIDON Rp 1,226.00 10 Rp 12,260
VIT B COMPLEX Rp 156.00 10 Rp 1,560
BROCHIFAR Rp 865.00 10 Rp 8,650
RL Rp 9,919.00 2 Rp 19,838
ONDANCENTRON INJ Rp 4,147.00 1 Rp 4,147
RANITIDIN INJ Rp 1,545.00 1 Rp 1,545
DEKSAMETHASONE TAB Rp 1,427.00 10 Rp 14,270
Rp 6,000
Rp 80,960
RL Rp9,919 1 Rp 9,919
SCOPMA TAB 1,506 10 Rp 15,060
RANITIDIN TAB 325 10 Rp 3,250
RANITIDIN INJ 1,545 1 Rp 1,545
Rp 6,000
Rp 73,400
PROMAVIT 4,356 15 Rp 65,340

METRO 324 20 Rp 6,480
CEFILA 200 39,600 15 Rp 594,000
MEGAZING 3,630 15 Rp 54,450
Rp 6,000
Rp 726,270
ONDANCENTRON INJ 3,190 2 Rp 6,380

CESFAN 110,000 1 Rp 110,000
Rp 116,380
NACL 6,840 1 Rp 6,840

SPUIT 5ML 1,650 4 Rp 6,600
Rp 13,440
MISOPROSTOL Rp 4,950 6 Rp 29,700

Rp 6,000
Rp 35,700
DOPAMET 2,222 30 Rp 66,660

AMLODIPIN 10MG 260 20 Rp 5,200
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 121,420
SALBUTAMOL 2MG 88 2 Rp 176

Rp 12,000
Rp 12,176
LAPISTAN 1,716 10 Rp 17,160
CETIRIZINE 117 10 Rp 1,170
Rp 6,000
Rp 43,010
Cefadroxil 500 944 10 Rp 9,440

Metil Prednisolon 4mg 567 10 Rp 5,670
LAPISIV-T 1,716 10 Rp 17,160
Rp 6,000
Rp 38,270
Analtram 11,880 10 Rp 17,160 ne det
Ketoprofen tab 1,197 10 Rp 11,970

Vitamin C tablet 50 mg(KF) 137 6 Rp 822
Rp 6,000
Rp 31,552

DEKSAMETASON 165 10 Rp 1,650
Rp 4,510
CEFILA 100 MG 25,740 10 Rp 257,400

MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 299,700
OBH SYR 7,920 1 Rp 7,920

DEKSAMETASON TAB 165 10 Rp 1,650
CEFILA 100 MG 25,740 10 Rp 257,400
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 309,270
CEFILA 100 MG 25,740 10 Rp 257,400

MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 299,700
CEFILA 100 MG 25,740 10 Rp 257,400

PARACETAMOL 500 MG 222 15 Rp 3,330
MEGAZING 3,630 15 Rp 54,450
PROMAVIT 4,356 15 Rp 65,340
Rp 6,000
Rp 386,520
CEFILA 100 25,740 5 Rp 128,700

Rp 6,000
Rp 134,700
CEFILA 100 25,740 10 Rp 257,400

Megazing 3,630 10 Rp 36,300
Rp 6,000
Rp 299,700
Kaptopril tbl 12.5 mg(KF) 86 40 Rp 3,440

Megazing 3,630 10 Rp 36,300
CEFILA 100 25,740 10 Rp 257,400
Hidroklorotiazid tbl 25 mg(KF) 194 10 Rp 1,940
Rp 6,000
Rp 305,080

Apialys Syr 43,560 1 Rp 43,560
Salbutamol tbl 2 mg(KF) 88 5 Rp 440
Rp 12,000
Rp 80,141
KALIUM DIKLOFENAK 671 20 Rp 13,420

METHYLPREDNISOLON 4MG 567 20 Rp 11,340
GLUCOSAMIN 1,399 15 Rp 20,985
LISINOPRIL 10MG 337 20 Rp 6,740
BISOPROLOL 5MG 328 10 Rp 3,280
Rp 6,000
Rp 66,965
CEFIXIME 200 3,081 10 Rp 30,810

LISINOPRIL 10MG 337 4 Rp 1,348
LANSOPRAZOL 1,121 10 Rp 11,210
DOMPERIDON TAB 1,226 15 Rp 18,390
Rp 6,000
Rp 76,998
OMEPRAZOL 1,276 15 Rp 19,140

BISOPROLOL 5MG 328 3 Rp 984
Rp 6,000
Rp 34,950

LAPISTAN 1,716 10 Rp 17,160
CALSIUM LACTAT 82 10 Rp 820
Rp 6,000
Rp 33,420
DOMPERIDON 943 10 Rp 9,430

HISTIGO 689 10 Rp 6,890
Rp 16,320
RANITIDIN INJ 1,188 2 Rp 2,376

Rp 2,500
FERTOLIN NEBUL 22,440 1 Rp 22,440

GG 167 4 Rp 668
CTM 59 4 Rp 236
Rp 12,000
Rp 35,344
ANALTRAM TAB 11,286 10 Rp 112,860 NEBUS COPY

Rp 6,000
Rp 118,860
Ambroxol 30mg tab 225 6 Rp 1,350

Deksametason tbl 0.5 mg (Novapharin) 165 6 Rp 990
Vitamin C 500mg 894 6 Rp 5,364
Rp 6,000
Rp 14,232
Natrium Diklofenak 50mg 112 10 Rp 1,118

Setirizine kps 10 mg (Futamed) 90 5 Rp 450
Deksametason tbl 0.5 mg (Novapharin) 165 10 Rp 1,650
Rp 3,218
LAGESIL 1,452 15 Rp 21,780
SCOPMA 1,506 10 Rp 15,060
CURCUMA 1,110 10 Rp 11,100
Rp 6,000
Rp 66,690
NACL 8,084 1 Rp 8,084
DIAZEPAM TAB 2 MG 112 10 Rp 1,120

Rp 2,000
INFUS SET DEWASA 8,580 1 Rp 8,580

SPUIT 5 CC 1,181 1 Rp 1,181
IV CATH 24 AXIMED 8,022 1 Rp 8,022
IV CATH 26 AXIMED 10,391 1 Rp 10,391
Rp 28,174
Rp 23,478
METHYLPREDNISOLON AMP 13,620 1 Rp 13,620

SALBUTAMOL TAB 2MG 87 10 Rp 870
METHYLPREDNISOLON TAB 566 10 Rp 5,660
NAC 1,430 10 Rp 14,300
FARBIVEN NEBUL 13,200 1 Rp 13,200
Rp 6,000
Rp 62,245
DIAZEPAM TAB 2MG 112 5 Rp 560

OXYVIT 1,600 5 Rp 8,000
Rp 6,000
Rp 15,430
Medithin 5,500 10 Rp 55,000

Escordia kapsul 5,500 10 Rp 55,000
Rp 110,000
CEFADROXYL 944 8 Rp 7,552

INTUNAL F 858 10 Rp 8,580
METHYL 4 MG 567 10 Rp 5,670
VIT C 250 MG 1,183 4 Rp 4,732
Rp 6,000
Rp 34,566
Ketoprofen inj 5,730 1 Rp 5,730
Amlodipin 10mg 260 10 Rp 2,600
Cefixime tab 200 mg (Bernofarm) 3,081 5 Rp 15,405
Domperidon tbl 10 mg (Novapharin) 119 10 Rp 1,190
Omeprazol Injeksi (Mahakam) 12,834 1 Rp 12,834
Aqua pro inj(Otsuka) 3,718 1 Rp 3,718
Rp 6,000
Rp 60,237
Spasmal (obt luar) 750 8 Rp 6,000

Asam Mefenamat 500mg 343 10 Rp 3,430
Lapibal tab 2,970 10 Rp 29,700
Rp 6,000
Rp 48,570
CEPRAZ INJ 188,100 1 Rp 188,100

Rp 6,000
Rp 194,100

LAPISTAN TAB 1,716 10 Rp 17,160
Masneuro 924 10 Rp 9,240
Rp 6,000
Rp 54,600
Bisoprolol tab 5 mg (Novel) 328 5 Rp 1,640

Asam asetil salisilat tbl 80 mg (Miniaspi) Rp 137.00 10 Rp 1,370
Lansoprazole kapsul 30 mg (Nulab) 1,121 10 Rp 11,210
ANTASIDA DOEN SUSPENSI 4,160 1 Rp 4,160
Rp 6,000
Rp 24,380
Metformin HCl tablet 500 mg (Hexpharm) 133 20 Rp 2,660

N-Acetysistein tab 1,430 25 Rp 35,750
OBH surya 7,920 1 Rp 7,920
Kodein 10mg 897 40 Rp 35,880
Cetrizine Tab 254 7 Rp 1,778
Rp 6,000
Rp 95,788
Sukralfat suspensi (Meprof) 20,347 1 Rp 20,347

Analtram 11,286 15 Rp 169,290
Rp 6,000
Rp 228,608
Furosemide tablet 40 mg (Sampharindo) 104 15 Rp 1,560

Spirolacton 25mg 476 15 Rp 7,140
Lisinopril 10mg 337 15 Rp 5,055
Rp 6,000
Rp 61,394

Spirolacton 25mg 476 15 Rp 7,140
Furosemide tablet 40 mg (Sampharindo) 104 30 Rp 3,120
Rp 6,000
Rp 38,395

Asam asetil salisilat tbl 80 mg (Miniaspi) 137 10 Rp 1,370
Atapulgit tab 600 mg 185 20 Rp 3,700
( New Antides )
Ondansentron 4 mg 1,971 15 Rp 29,565
Vitamin B complek tablet(DEF) 156 10 Rp 1,560
Rp 6,000
Rp 81,105
Azythromocin 500 mg 4,160 7 Rp 29,120

Oseltamivir cap 75 mg 16,860 10 Rp 168,600
Zegavit tablet 4,752 15 Rp 71,280
MecoVit-D3 971 15 Rp 14,565
Rp 6,000
Rp 449,565

Folavit 400 mcg 1,182 10 Rp 11,820
Rp 6,000
Rp 56,765
CEFIXIM 200 3,081 10 Rp 30,810

ANALTRAM 11,880 5 Rp 59,400
ZEGAVIT 4,752 8 Rp 38,016
ONDANCENTRON 8 MG 3,089 8 Rp 24,712
Rp 6,000
Rp 166,785
Sucralfat Suspensi 22,620 1 Rp 22,620

CEFIXIM 200 3,081 10 Rp 30,810
ANALTRAM 11,880 5 Rp 59,400
Rp 6,000
Rp 130,170
NaCL 8,892 1 Rp 8,892

MINIASPI 137 2 Rp 274
CLOPIDOGREL 2,210 4 Rp 8,840
ISDN 116 1 Rp 116
Novorapid 226,000 1 Rp 226,000
Rp 6,000
Rp 250,122
NONEMI 1,815 30 Rp 54,450

PROMAVIT 3,630 30 Rp 108,900
CAL-95 5,720 30 Rp 171,600
Rp 334,950

Rp 6,000
Rp 89,885
Promavit 4,356 10 Rp 43,560

Rp 6,000
Rp 49,560
L VIT D3 3,261 30 Rp 97,830

Rp 6,000
ULOKULON Rp 103,830
PROMAVIT 4,356 15 Rp 65,340

Rp 6,000
Rp 71,340
ASPILET 696 15 Rp 10,440
Rp 81,780
PROMAVIT 4,356 10 Rp 43,560

CEFILA 100 24,454 10 Rp 244,540
METRONIDAZOL 500 324 10 Rp 3,240
ANALTRAM 11,286 10 Rp 112,860
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 446,500
CEFILA 100 24,454 10 Rp 244,540

PROMAVIT 4,356 10 Rp 43,560
MEGAZINC 3,630 10 Rp 36,300
PARACETAMOL 222 20 Rp 4,440
Rp 6,000
Rp 334,840
PROMAVIT 4,356 10 Rp 43,560

CEFILA 100 24,454 10 Rp 244,540
MEGAZING 3,630 20 Rp 72,600
Rp 6,000
Rp 377,620
PROMAVIT 4,356 10 Rp 43,560

CEFILA 100 24,454 10 Rp 244,540
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 335,860
FOLAVICAP 1000 2,515 30 Rp 75,450

KONI E 5,280 30 Rp 158,400
L VIT D3 3,261 20 Rp 65,220
MEGAZING 3,630 30 Rp 108,900
Rp 6,000
Rp 413,970
CEFILA 100 24,454 10 Rp 244,540

PROMAVIT 4,356 10 Rp 43,560
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 332,620

CEFILA 100 24,454 10 Rp 244,540
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 293,920
CEFILA 100 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
L VIT D3 3,261 10 Rp 32,610
KONI E 5,280 10 Rp 52,800
Rp 6,000
Rp 375,580
CEFILA 100 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
L VIT D3 3,261 10 Rp 32,610
KONI E 5,280 10 Rp 52,800
Rp 6,000
Rp 375,580
MICROGEST 100 MG 15,048 10 Rp 150,480

FOLAVIT 1000 MCG 2,515 15 Rp 37,725
KALNEX 4,422 10 Rp 44,220
Rp 6,000
Rp 238,425
AMOX TAB 601 10 Rp 6,010

CETIRIZINE 117 5 Rp 585
METIL PREDNISOLON 567 6 Rp 3,402
Rp 6,000
Rp 20,427
ESCORDIA 6,600 10 Rp 66,000

KONI E 400 MG 5,280 30 Rp 158,400
GENOCLOM 18,480 15 Rp 277,200
MEGAZING 3,630 30 Rp 108,900
L-VIT D 3,261 30 Rp 97,830
KQ 100 MG 9,240 30 Rp 277,200
GENOCLOM 18,480 15 Rp 277,200
MEDHITIN 6,600 30 Rp 198,000
Rp 6,000
Rp 1,466,730
SUCRALFAT 20,347 1 Rp 20,347

CIPROFLOXACIN 592 10 Rp 5,920
CURCUMA 1,110 10 Rp 11,100
Rp 6,000
Rp 58,347
DIAZEPAM 5 MG 149 4 Rp 596

Rp 6,000
Rp 6,596
CURCUMA 1,110 30 Rp 33,300

CEFIXIME 200 4,183 10 Rp 41,830
AZYTROMISIN 4,160 7 Rp 29,120
OSELTAMIVIR 16,860 12 Rp 202,320
DEXA TAB 1,427 15 Rp 21,405
N AC 1,430 30 Rp 42,900
ZEGAVIT 4,752 15 Rp 71,280
PCT TAB 222 30 Rp 6,660
MECOVIT D 971 15 Rp 14,565
Rp 6,000
Rp 469,380
Meloxicam 15mg (Medikon) 926 5 Rp 4,630

LAPISTAN TAB 1,716 10 Rp 17,160
Rp 6,000
Rp 37,030

LAPISTAN 1,716 10 Rp 17,160
Rp 6,000
Rp 44,440
NEUROBION INJ 12,281 2 Rp 24,562

GLIBENKLAMID 207 10 Rp 2,070
Rp 26,632
SUCRALFAT 20,347 1 Rp 20,347

NAC 1,430 10 Rp 14,300
ZEGAVIT 4,752 10 Rp 47,520
Rp 6,000
Rp 90,387
AMOX TAB 462 10 Rp 4,620

DEXA TAB 165 20 Rp 3,300
PCT TAB 171 20 Rp 3,420
VIT B COMPLEX 120 20 Rp 2,400
Rp 21,260
FUROSEMID 267 10 Rp 2,670
Rp 6,000
Rp 11,270
INJ RANITIDIN 1,545 1 Rp 1,545

PARACETAMOL SYR 1,536 1 Rp 1,536
STIMUNO SYR 29,760 1 Rp 29,760
RL 9,919 1 Rp 9,919
Rp 7,000
Rp 49,760

Amlodipin 10mg 260 1 Rp 260
NaCl 0,9%(Widatra) 8,892 1 Rp 8,892
Rp 7,000
Rp 46,341
Antasida DOEN tbl 76 10 Rp 760

Deksametason tbl 0.5 mg 165 10 Rp 1,650
Ranitidine tbl 150 mg 325 10 Rp 3,250
Ranitidin inj. 25mg/ml 1,545 1 Rp 1,545
Ringer Laktat 9,919 1 Rp 9,919
Ondansetron Inj 4mg/2ml 4,147 1 Rp 4,147
Parasetamol 500 mg 222 10 Rp 2,220
Tiamfenikol kapsul 500 mg 1,170 20 Rp 23,400
Rp 7,000
Rp 123,371
Brochifar plus tablet 865 10 Rp 8,650

Ranitidine tbl 150 mg 325 10 Rp 3,250
Antasida DOEN tbl(Mersi) 76 10 Rp 760
Rp 7,000
Rp 46,020
Digoxin tablet 203 6 Rp 1,218

Bisoprolol 328 5 Rp 1,640
Antasida tab 415 10 Rp 4,150
Bisacodyl tab 76 2 Rp 152
Curcuma tab 1,110 10 Rp 11,100
Rp 6,000
Rp 24,260

Paracetamol tab 222 10 Rp 2,220
Oxyvit 1,600 5 Rp 8,000
Vitamin b complex 156 5 Rp 780
Rp 6,000
Rp 18,300
NEW ANTIDES 185 10 Rp 1,850
INFUS SET DEWASA 7,150 1 Rp 7,150

ABOCATH NO 22 6,685 1 Rp 6,685
RL 7,630 2 Rp 15,260
Rp 53,657
SPUIT 3 CC Rp 1,155 2 Rp 2,310

SPUIT 10 CC Rp 1,870 1 Rp 1,870
IV CHATETER NO 22 Rp 6,685 1 Rp 6,685
Rp 10,865

RL 9,919 2 Rp 19,838
ONDANSENTRON INJ 4,147 1 Rp 4,147
AQUABIDES 3,718 2 Rp 7,436
AZYTHROMYCIN 4,160 5 Rp 20,800
ZEGAVIT 4,752 10 Rp 47,520
OMEPRAZOLE TAB 1,276 20 Rp 25,520
MECOVIT D 971 10 Rp 9,710
NAC 1,430 10 Rp 14,300
Rp 7,000
Rp 203,019
GENOCLOM 18,480 7 Rp 129,360

Amoxicillin 250mg/5ml (Novapharin) 4,717 1 Rp 4,717
CTM PIM 59 2 Rp 118
Rp 12,000
Rp 17,165

Deksametason tbl 0.5 mg (Novapharin) 165 10 Rp 1,650
Rp 6,000
Rp 26,330
Metronidazol INFUS 25,740 1 Rp 25,740

Isosorbidinitrat tbl 5 mg (Yarindo) 116 20 Rp 2,320
Asam asetil salisilat tbl 80 mg (Miniaspi) 137 10 Rp 1,370
Rp 6,000
Rp 39,390
METHYLPREDNISOLON 4 MG 567 8 Rp 4,536

SALBUTAMOL 2 MG 88 15 Rp 1,320
Rp 6,000
Rp 51,098

Meloxicam 15mg (Medikon) 926 8 Rp 7,408
Rp 6,000
Rp 115,482

MecoVit-D3 809 15 Rp 12,128
N-ACETHYLSISTEIN 1,100 10 Rp 11,000
Rp 67,003
Natrium Diklofenak 50mg 146 6 Rp 876

Rp 6,000
Rp 14,532

N-asetil sistein kapsul 200 mg (Etercon F) 485 15 Rp 7,275
L-VIT D3 1000 3,261 5 Rp 16,305
Rp 6,000
Rp 270,655
Farmacrol 935 10 Rp 9,350

Neocenta 15,500 2 Rp 31,000
Rp 40,350
PROMAVIT 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560

Rp 6,000
Rp 49,560
PROMAVIT 4,356 30 Rp 130,680

CAL 95 6,864 15 Rp 102,960
L-VIT D3 3,261 15 Rp 48,915
Rp 6,000
Rp 288,555

SALBUTAMOL 2 MG 88 10 Rp 880
NAC 1,430 10 Rp 14,300
Rp 6,000
Rp 34,850
RL 7,630 1 Rp 7,630
PCT INFUS 12,389 1 Rp 12,389
NAC 1,100 10 Rp 11,000
Rp 43,300
CEFI LA 100 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
ANALTRAM 11,286 10 Rp 112,860
Rp 6,000
Rp 443,260
Rp 443,300
METRONIZAZOLE 5MG 324 10 Rp 3,240

CEFILA 200 MG 37,620 10 Rp 376,200
ANALTRAM 11,286 10 Rp 112,860
MEGAZING 3,630 10 Rp 36,300
Rp 6,000
Rp 534,600
CEFILA 100MG 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 330,400
AMOX SYR 8,320 1 Rp 8,320

Rp 6,000
Rp 15,856
Rp 15,900
CEFILA 100 25,454 10 Rp 254,540

MEGAZING 4,356 10 Rp 43,560
Rp 6,000
Rp 304,100
CEFILA 100MG 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 340,400
CEFILA 100MG 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 330,400
PROMAVIT 4,356 10 Rp 43,560

MEGAZING 3,630 10 Rp 36,300
CEFILA 100MG 24,454 10 Rp 244,540
Rp 6,000
Rp 330,400
AMOXICILIN 500MG 329 10 Rp 3,290

ASAM MFENAMAT 343 10 Rp 3,430
Rp 6,000
Rp 12,720
Rp 12,800
CEFILA 100MG 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 330,400

CEFILA 200 37,620 10 Rp 376,200
MEGAZING 3,630 10 Rp 36,300
ANALTRAM 4 11,286 4 Rp 45,144
Rp 6,000
Rp 470,124
CEFILA 100 24,454 10 Rp 244,540

MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 333,730
Susu Fontactive One 160,000 1 Rp 160,000

PROMAVIT 4,356 30 Rp 130,680
Cal-95 6,864 20 Rp 137,280
Rp 6,000
Rp 433,960
DOPAMET 2,222 30 Rp 66,660

L-VIT D3 3,261 30 Rp 97,830
Rp 6,000
Rp 170,490
Rp 6,000
Rp 166,000
Microgest 100 mg 15,048 15 Rp 225,720

PROMAVIT 4,356 15 Rp 65,340
Cal-95 6,864 15 Rp 102,960
Rp 6,000
Rp 400,020

Kaptopril tbl 12.5 mg(KF) 86 40 Rp 3,440
Ciprofloxacin 500 Berno 592 15 Rp 8,880
Kalnex tablet 4,422 10 Rp 44,220
Asam mefenamat tbl 500 mg (Mersi) 443 10 Rp 4,430
Rp 6,000
Rp 72,170
PROMAVIT 4,356 30 Rp 130,680

Cal-95 6,864 20 Rp 137,280
Rp 6,000
Rp 273,960
Cefila 100 24,454 10 Rp 244,540

Megazing 3,630 10 Rp 36,300
Promavit 4,356 10 Rp 43,560
Rp 6,000
Rp 333,730
Intunal Forte 715 8 Rp 5,720
DIGOXIN 203 15 Rp 3,045

LISINOPRIL 337 8 Rp 2,696
ISDN 116 30 Rp 3,480
Rp 6,000
Rp 17,845

MINIASPI 137 10 Rp 1,370
CURCUMA 1,110 30 Rp 33,300
CEFIXIM 200 3,081 10 Rp 30,810
NAC 1,430 15 Rp 21,450
Rp 6,000
Rp 99,540
MEGAZING 3,630 10 Rp 36,300

CEFILA 100 24,454 10 Rp 244,540
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 330,400
CLOPIDOGREL Rp 2,210 2 Rp 4,420

OMEPRAZOL INJ Rp 12,834 1 Rp 12,834
RINGER LAKTAT Rp 9,919 2 Rp 19,838
AQUABIDEST Rp 3,718 1 Rp 3,718
OMEPRAZOL 1,276 10 Rp 12,760
NAC 1,430 10 Rp 14,300
MEGAZING 3,630 10 Rp 36,300
MECOVIT D3 971 10 Rp 9,710
Rp 6,000
Rp 343,400
GENOCLOM 18,480 15 Rp 277,200

Rp 6,000
Rp 283,200
MEGAZING 3,630 10 Rp 36,300

Rp 6,000
Rp 42,300
FONT ACTIVE 160,000 1 Rp 160,000

PROMAVIT 4,356 15 Rp 65,340
Rp 6,000
Rp 231,340
PROMAVIT 4,356 30 Rp 130,680

Rp 6,000
Rp 136,680
DOPAMET 250 MG 2,222 20 Rp 44,440
Rp 6,000
Rp 53,040
PROMAVIT 4,356 15 Rp 65,340

DOPAMET 250 MG 2,222 40 Rp 88,880
Rp 6,000
Rp 160,220
Microgest 100 mg 15,048 10 Rp 150,480

Rp 6,000
Rp 156,480
Ketoprofen tab Rp 1,197 4 Rp 4,788

Scopma Rp 1,506 10 Rp 15,060
Rp 6,000
Rp 42,768
Ranitidin inj. 25mg/ml (SOHO) 1,545 1 Rp 1,545

Scopma Rp 1,506 10 Rp 15,060
DOMPERIDONE (TRIMAN) 1,226 10 Rp 12,260
Rp 6,000
Rp 51,785
ASMET 263 10 Rp 2,630

CEFADOXYL 726 10 Rp 7,260
DEKSAMETASON 165 10 Rp 1,650
Rp 11,540
RL Rp 9,919 1 Rp 9,919
STESOLID RECTAL Rp 33,977 1 Rp 33,977
DIAZEPAM INJ Rp 5,695 1 Rp 5,695
Rp 6,000
Rp 55,591

BISOPROLOL 328 10 Rp 3,280
CANDESARTAN 8 MG 709 20 Rp 14,180
SPIRONOLACTON 25 476 20 Rp 9,520
Rp 6,000
Rp 63,280
CEFADOXYL 944 10 Rp 9,440

LAPISTAN 1,716 10 Rp 17,160
METFORMIN 293 30 Rp 8,790
GLIMEPIRIDE 2 MG 270 10 Rp 2,700
Rp 6,000
Rp 53,330
MICROGEST 200 MG 29,040 15 Rp 435,600

FOLAVIT 100 MCG 2,515 15 Rp 37,725
Rp 6,000
Rp 479,325
ONDANSENTRON 4 MG 1,971 20 Rp 39,420

PROMAVIT 4,356 10 Rp 43,560
RANITIDIN 325 10 Rp 3,250
Rp 6,000
Rp 92,230
FONTACTIVE ONE 160,000 1 Rp 160,000

PROMAVIT 4,356 15 Rp 65,340
CAL 95 6,521 15 Rp 97,815
Rp 6,000
Rp 329,155
RL 9,919 1 Rp 9,919
OMEPRAZOL INJ 12,834 1 Rp 12,834
PARACETAMOL TAB 222 1 Rp 222
OMEPRAZOL TAB 1,276 10 Rp 12,760
AMLODIPIN 10MG 260 3 Rp 780
CEFIXIM 3,081 10 Rp 30,810
Rp 6,000
Rp 106,992
GENTAMYCIN SK 3,120 1 Rp 3,120

AS MEFENAMAT 443 10 Rp 4,430
AMOKSISILIN 329 10 Rp 3,290
DEKSAMETHASONE 165 10 Rp 1,650
Rp 6,000
Rp 18,490
NIFEDIPIN TAB 243 1 Rp 243

MGSO4 40% 4,934 1 Rp 4,934
CEPRAZ 188,100 1 Rp 188,100
SPUIT 10CC 2,244 1 Rp 2,244
SPUIT 1CC 1,056 1 Rp 1,056
AQUA PRO INJ 3,718 1 Rp 3,718
Rp 6,000
Rp 206,295
PIOGLITAZONE 30 MG 4,648 10 Rp 46,480

Rp 6,000
Rp 68,450
CEFIXIME 200 MG 3,081 10 Rp 30,810

Rp 30,000

GEMFIBROZIL KAP 494 10 Rp 4,940
SAMCOBION 924 10 Rp 9,240
Rp 6,000
Rp 30,590
GABAPENTIN 300 MG 3,500 10 Rp 35,000
Rp 65,590
LACONS SYR 49,500 1 Rp 49,500

Misoprostolol 200 mcg 4,125 10 Rp 41,250
Rp 90,750

Medithin 5,500 10 Rp 55,000
Rp 110,000
RANITIDINE 325 6 Rp 1,950
DOMPERIDON 1,226 6 Rp 7,356
ZINK SYR 4,123 1 Rp 4,123
CEFADOXYL CAPS 944 5 Rp 4,720
Rp 6,000
Rp 24,149

ANTASIDA 76 10 Rp 760
VIT B PLEX 156 10 Rp 1,560
Rp 6,000
Rp 23,300
LISINOPRIL 337 1 Rp 337

AMLODIPIN 10 MG 260 1 Rp 260
Rp 6,000
Rp 6,597
CEFIXIME 3,081 10 Rp 30,810

FOROSEMID TAB 267 5 Rp 1,335
OMEPRAZOLE TAB 1,276 10 Rp 12,760
LAGESIL 1,452 10 Rp 14,520
DULCOLAX SUPP 27,600 1 Rp 27,600
Rp 6,000
Rp 102,265
Rp 102,300
azythromycin 3,200 5 Rp 16,000

pct tab 171 20 Rp 3,420
NAC 1,100 25 Rp 27,500
zegavit 1,200 10 Rp 12,000
mecovit 825 10 Rp 8,250
Rp 67,170

Liprolac 8,801 4 Rp 35,204
Antasida DOEN tbl(Mersi) 76 10 Rp 760
Ranitidine tbl 150 mg(Mersi) 325 10 Rp 3,250
Rp 6,000
Rp 122,971
GENOCLOM TAB 14,630 12 Rp 175,560
MEGAZING TAB 3,025 30 Rp 90,750

MECOVIT-D3 825 90 Rp 74,250
Rp 165,000
RL 9,919 1 Rp 9,919
ONDANSETRON INJ 4,147 1 Rp 4,147
CIPROFLOXACIN TAB 592 6 Rp 3,552
OMEPRAZOLE KAP 1,276 6 Rp 7,656
DOMPERIDON TAB 1,226 10 Rp 12,260
SCOPMA TAB 1,506 10 Rp 15,060
Rp 6,000
Rp 71,428
OMEPRAZOLE INJ 12834 1 Rp 12,834

Rp 6,000
Rp 18,834
ALLOPURINOL 100MG 105 10 Rp 1,050

DEXAMETHASON 0.5MG 165 10 Rp 1,650
Rp 2,700

1,100 10 Rp 11,000
DEXAMETHASON 165 6 Rp 990
Rp 61,210

Simvastatin 10mg (Mersi) 208 100 Rp 20,777
CTM PIM 59 50 Rp 2,950
Rp 38,137
METHYL PREDNISOLON 4MG 567 10 Rp 5,670

SALBUTAMOL TAB 88 10 Rp 880
ZEGAVIT 4,515 10 Rp 45,150
RANITIDIN 325 10 Rp 3,250
Rp 6,000
Rp 62,250

STIMUNO SYR 29,760 1 Rp 29,760
METRONIDAZOL TAB 324 3 Rp 972
VIT B6 171 2 Rp 342
ZINC TAB 682 2 Rp 1,364
RANITIDIN TAB 325 2 Rp 650
Rp 12,000
Rp 46,624
Amoxicillin 250mg/5ml (Novapharin) 4,000 1 Rp 4,000

Domperidon syrup 5,000 1 Rp 5,000
Rp 9,000
LANSOPRAZOLE TAB 1,014 10 Rp 10,140

BETAHISTIN 143 10 Rp 1,430
VITAMIN B COMPLEX 156 10 Rp 1,560
Rp 6,000
Rp 39,477
Samcobion 1,117 20 Rp 22,332

Na Diclofenak 112 10 Rp 1,118
Paracetamol tab 171 30 Rp 5,130
Intunal 715 8 Rp 5,720
Omeprazole 981 30 Rp 29,430
Allopurinol 190 20 Rp 3,800
Rp 67,530

Rp 6,000
Rp 37,070
Rp 37,100
HCT
SPIRONOLACTON 2,317 10 Rp 23,170
NAC 1,430 20 Rp 28,600
SALBUTAMOL 2MG 88 20 Rp 1,760
LEVOFLOXACIN 500MG 517 10 Rp 5,170
Rp 6,000
Rp 69,200
LANSOPRAZOLE 30MG 1,121 20 Rp 22,420

DOMPERIDON 119 20 Rp 2,380
Rp 6,000
Rp 65,007
ASAM URSODEOKSIKOLAT 2,949 20 Rp 58,980

METIL PRED 4 567 8 Rp 4,536
N-AC 1,430 20 Rp 28,600
SPIRONOLAKTON 25 476 8 Rp 3,808
Rp 6,000
Rp 118,739

CURCUMA 1,110 30 Rp 33,300
SPIRONOLACTON 100 2,371 10 Rp 23,710
VIT K 986 15 Rp 14,790
Rp 6,000
Rp 142,147
OBH SYR 6,600 1 Rp 6,600

CEFIXIME 200 3,081 5 Rp 15,405
ZEGAVIT 4,515 5 Rp 22,575
NAC 1,430 10 Rp 14,300
Rp 6,000
Rp 259,987
FONTACTIVE 160,000 1 Rp 160,000

Rp 6,000
Rp 166,000

Rp 6,000
Rp 10,110
Microgest 100 mg 15,048 10 Rp 150,480

Rp 6,000
Rp 156,480
Lasgan 18,480 10 Rp 184,800

Promavit 4,356 15 Rp 65,340
Rp 6,000
Rp 258,680

Promavit 4,356 15 Rp 65,340
L-VIT D3 1000 3,261 15 Rp 48,915
Cal-95 6,521 15 Rp 97,815
Rp 6,000
Rp 378,070
Ringer Laktat(Widatra) Rp 9,919 1 Rp 9,919

Aqua pro inj(Otsuka) Rp 3,718 1 Rp 3,718
Clopidogrel Rp 2,210 4 Rp 8,840
Miniaspi Rp 137 2 Rp 274
Rp 6,000
Rp 28,751
Cal-95 5,434 20 Rp 108,680

Parasetamol 500 mg(Mersi) 222 1 Rp 222
Aqua pro inj(Otsuka) Rp 3,718 1 Rp 3,718
Rp 6,000
Rp 42,612
APIALYS SYR 43,560 1 Rp 43,560

Rp 6,000
Rp 49,560
LANSOPRAZOL 1,121 15 Rp 16,815

Rp 6,000
Rp 43,162
SAMCOBION 1,340 10 Rp 13,400
Rp 6,000
Rp 28,640
OXYVIT 1,600 10 Rp 16,000

FUROSEMIDE 267 4 Rp 1,068
Rp 6,000
Rp 32,174
CEFADROXIL CP 944 3 Rp 2,832

DEXA TAB 165 3 Rp 495
CTM 59 3 Rp 177
KERTAS PUYER 146 10 Rp 1,460
PCT SYR 1,536 1 Rp 1,536
APIALYS SYR 43,560 1 Rp 43,560
Rp 12,000
Rp 62,060

NAC 1,430 30 Rp 42,900
GLIMEPIRID 2MG 270 15 Rp 4,050
OXYVIT 1,600 30 Rp 48,000
MECOVIT D3 990 15 Rp 14,850
Rp 6,000
Rp 388,686
NACL 6,840 1 Rp 6,840

KASA STERIL 7,370 1 Rp 7,370
INFUS SET 7,150 1 Rp 7,150
Rp 21,360
MECOVIT D 825 90 Rp 74,250
CEFIXIME 2,370 10 Rp 23,700

METIL PRED 4 MG 436 10 Rp 4,360
LAPISIV 1,430 10 Rp 14,300
PCT TAB 171 10 Rp 1,710
Rp 44,070
PIOGLITAZONE 30 4,648 8 Rp 37,184
GLIMEPIRID 2 270 8 Rp 2,160
PCT TAB 171 15 Rp 2,565
Rp 6,000
Rp 57,149
CLOPIDROGEL 1,700 10 Rp 17,000

CANDESARTAN 8 MG 545 10 Rp 5,450
Rp 23,590
Obat Flu Batuk/ Intunal 858 15 Rp 12,870

Rp 6,000
Rp 41,660

Rp 65,930
Asam Mefenamat 500mg 343 10 Rp 3,430

Ciprofloxacin 500 Berno 592 10 Rp 5,920
Bisacodil tab 5 mg (Novel) Rp 415 4 Rp 1,660
Rp 6,000
Rp 17,010
AZITROMISIN 3,200 5 Rp 16,000

NAC 373 20 Rp 7,460
ZEGAVIT 3,762 10 Rp 37,620
MECOVIT 825 10 Rp 8,250
Rp 69,330
BISOPROLOL 5 MG 328 3 Rp 984

LISINOPRIL 10 MG 337 6 Rp 2,022
AMLODIPIN 260 6 Rp 1,560
Rp 6,000
Rp 21,776
AMLODIPIN 10 MG 260 5 Rp 1,300 17:43:00

MASNEURO TAB 924 10 Rp 9,240
SPIRONOLACTON 25 MG 476 3 Rp 1,428
Rp 6,000
Rp 20,968
ETAFLUSIN SYR 6,700 2 Rp 13,400

Rp 16,975
NA DIKLOFENAK 112 20 Rp 2,240

ACETYLSYSTEIN 1,100 10 Rp 11,000
AZITHROMICYN 3,200 5 Rp 16,000
BRONCHIFAR PLUS 721 10 Rp 7,210
DEXAMETHASONE 145 40 Rp 5,800
Rp 49,950
SALBUTAMOL 2 MG 88 20 Rp 1,760
NAC 1,430 20 Rp 28,600
MP 4 MG 567 20 Rp 11,340
Rp 6,000
Rp 52,200
AMOXICILLIN TAB 601 10 Rp 6,010

LAPISTAN 1,716 10 Rp 17,160
DEKSAMETHASONE TAB 165 10 Rp 1,650
RECO TM 13,650 1 Rp 13,650
Rp 6,000
Rp 44,470
LISINOPRIL 10 MG 337 8 Rp 2,696

PIOGLITAZONE 15 MG 3,098 16 Rp 49,568
Rp 6,000
Rp 64,203
Cefila 100 24,454 10 Rp 244,540

Promavit 4,356 10 Rp 43,560
Megazing 3,630 10 Rp 36,300
KONI E 400 5,280 10 Rp 52,800
Medithin 6,600 10 Rp 66,000
Rp 6,000
Rp 452,530
Folavit 1000mcg 2,096 12 Rp 25,146

Megazing 3,025 30 Rp 90,750
MecoVit-D3 825 30 Rp 24,750
Rp 140,646
Cefila 100 20,378 10 Rp 203,780
Cefila 100 24,454 10 Rp 244,540

Promavit 4,356 10 Rp 43,560
Megazing 3,630 10 Rp 36,300
KONI E 400 5,280 10 Rp 52,800
Medithin 6,600 10 Rp 66,000
Rp 6,000
Rp 452,530
Cefila 100 24,454 10 Rp 244,540

Promavit 4,356 10 Rp 43,560
Megazing 3,630 10 Rp 36,300
KONI E 400 5,280 10 Rp 52,800
Medithin 6,600 10 Rp 66,000
Rp 6,000
Rp 452,530
OBH syr (Ikapharmindo) 7,920 1 Rp 7,920

CEFILA 200 37,620 10 Rp 376,200
Metronidazole Tab 500 Mg (Nova) 324 15 Rp 4,860
Rp 6,000
Rp 394,980
Cefila 100 24,454 10 Rp 244,540

Metronidazole Tab 500 Mg (Nova) 324 15 Rp 4,860
Analtram 11,286 10 Rp 112,860
OBH syr (Ikapharmindo) 7,920 1 Rp 7,920
Rp 6,000
Rp 376,180
Microgest 200 mg 29,040 10 Rp 290,400

Rp 6,000
Rp 296,400
PROMAVIT 4,356 15 Rp 65,340

CAL- 95 6,521 15 Rp 97,815
Rp 6,000
Rp 169,155
Folavit 1000mcg 2,515 30 Rp 75,450

KONI E 400 5,280 30 Rp 158,400
MEDHITIN 6,600 30 Rp 198,000
Rp 6,000
Rp 437,850
Folavit 1000mcg 2,515 30 Rp 75,450

GENOCLOM 17,556 10 Rp 175,560
Rp 6,000
Rp 257,010
PROMAVIT 4,356 15 Rp 65,340

CAL 95 6,521 10 Rp 65,210
Rp 6,000
Rp 136,550
Misoprostolol 200 mcg 5,363 10 Rp 53,630

CEFILA 100 24,454 10 Rp 244,540
MEGAZING 3,630 10 Rp 36,300
PROMAVIT 4,356 10 Rp 43,560
Rp 6,000
Rp 378,030
LACONS SYR 49,500 2 Rp 99,000

cefila 200 31,350 15 Rp 470,250
metro 500 249 20 Rp 4,980
megazine 3,025 15 Rp 45,375
Rp 619,605
FOLAVIT 1000 2,095 10 Rp 20,950

KONI E 400 4,400 10 Rp 44,000
MEDHITIN 5,500 5 Rp 27,500
GENOCLOM 14,630 10 Rp 146,300
Rp 238,750
KQ 100 7,700 10 Rp 77,000

BIOSAN 12,856 10 Rp 128,560
MEGAZING 3,025 10 Rp 30,250
MEDHITIN 5,500 5 Rp 27,500
Rp 263,310
DEXA TAB 165 15 Rp 2,475

CEFIXIME 200 2,370 5 Rp 11,850
Rp 14,325

CEFADOXYL CAPS 944 10 Rp 9,440
Rp 6,000
Rp 54,750
ONDAN TAB 1,971 10 Rp 19,710

DIMEN 146 10 Rp 1,460
RANITIDINE TAB 325 10 Rp 3,250
CIPRO TAB 592 10 Rp 5,920
Rp 6,000
Rp 38,560

ZEGAVIT 4,515 10 Rp 45,150
Rp 6,000
Rp 52,450
METFORMIN 500 293 20 Rp 5,860

Rp 6,000
Rp 55,530

domperidon syr 6,000 1 Rp 6,000
L-zink syr 43,560 1 Rp 43,560
L bio cap 9,240 3 Rp 27,720
paracetamol syr 1,536 1 Rp 1,536
cefixime 200 mg 3,081 2 Rp 6,162
ranitidin tab 325 2 Rp 650
vit b comp 156 2 Rp 312
vit c 137 3 Rp 411
Rp 12,000
Rp 98,351

MecoVit-D3 825 10 Rp 8,250
oxyvit 1,600 12 Rp 19,200
Rp 187,340

MecoVit-D3 825 6 Rp 4,950
Rp 195,212
LANSOPRAZOLE 30 MG 1,121 20 Rp 22,420

BISOPROLOL 2,5MG 328 10 Rp 3,280
Rp 6,000
Rp 54,647
Rp 54,700
RINGER LACTAT 9,919 1 Rp 9,919

ONDANSENTRON INJ 4,147 1 Rp 4,147
AQUABIDES 3,718 1 Rp 3,718
PARACETAMOL TAB Rp 222 10 Rp 2,220

SUCRALFATE SYR Rp 20,347 1 Rp 20,347
OMEPRAZOLE CAPS Rp 1,276 10 Rp 12,760
SCOPMA Rp 1,506 10 Rp 15,060
CURCUMA TAB Rp 1,110 10 Rp 11,100
Rp 6,000
Rp 100,325
Promavit 4,356 30 Rp 130,680

Cal-95 6,521 30 Rp 195,630
L-VIT D3 1000 3,261 30 Rp 97,830
Rp 6,000
Rp 430,140
Promavit 4,356 30 Rp 130,680

Cal-95 6,521 30 Rp 195,630
L-VIT D3 1000 3,261 30 Rp 97,830
FONT ACTIVE 160,000 1 Rp 160,000
Rp 6,000
Rp 590,140
Escorte kapsul 4,620 30 Rp 138,600

Rp 6,000
Rp 144,600
Biosan 15,428 20 Rp 308,560

KQ 100 9,240 20 Rp 184,800
GENOCLOM 17,556 10 Rp 175,560
Megazing 3,630 20 Rp 72,600
Rp 6,000
Rp 879,520

MecoVit-D3 990 5 Rp 4,950
Rp 6,000
Rp 122,922
Cepraz injeksi 188,100 2 Rp 376,200

Deksametason inj. 5mg/ml (Mepro) 1,427 2 Rp 2,854
Rp 6,000
Rp 396,208
Cefila 100 24,454 10 Rp 244,540

Rp 6,000
Rp 250,540
GENOCLOM 14,630 8 Rp 117,040

INTUNAL 715 10 Rp 7,150
Rp 6,000
Rp 65,274
Neurobion inj 12,282 2 Rp 24,564

Rp 39,824
OXYVIT 1,600 20 Rp 32,000

CODEIN 10 MG 690 40 Rp 27,600
CETIRIZIN 90 10 Rp 900
NAC 1,430 20 Rp 28,600
Rp 6,000
Rp 102,070
BISOPROLOL 5 328 5 Rp 1,640

FUROSEMIDE 267 10 Rp 2,670
ISDN 216 30 Rp 6,480
CURCUMA 1,110 20 Rp 22,200
Rp 6,000
Rp 46,805
CEFILA 100 20,378 5 Rp 101,890

CEFIXIME 200 4,183 15 Rp 62,745
Rp 6,000
Rp 102,473

Rp 6,000
Rp 18,307
PCT 500 222 30 Rp 6,660

AZYTROMISIN 4,160 6 Rp 24,960
OXYVIT 1,600 30 Rp 48,000
MECOVIT 971 15 Rp 14,565
NAC 1,430 60 Rp 85,800
Rp 6,000
Rp 388,305

DOMPERIDON 10MG 119 20 Rp 2,380
Rp 6,000
Rp 43,610
Rp 43,700
AZITROMISIN 4,160 5 Rp 20,800

METHYLPREDNISOLON 4MG 567 10 Rp 5,670
CODEIN 10MG 897 20 Rp 17,940
CETIRIZIN 10MG 117 10 Rp 1,170
Rp 6,000
Rp 52,460
Rp 52,500

RANITIDINE INJ 1,545 1 Rp 1,545
RL 9,919 1 Rp 9,919
Rp 6,000
Rp 32,203

AQUABIDEST 3,718 1 Rp 3,718
RL 9,919 1 Rp 9,919
Rp 6,000
Rp 47,210
AZYTRO 4,160 5 Rp 20,800

ZEGAVIT 4,515 5 Rp 22,575
MECOVIT 990 5 Rp 4,950
Rp 6,000
Rp 56,545

GG 167 4 Rp 668
CTM 91 4 Rp 364
ANAGENS SYR 15,190 1 Rp 15,190
KERTAS PUYER 146 9 Rp 1,314
Rp 6,000
Rp 24,646
JAM PENYERAHAN
OBAT
9:02:00
22:20:00
19:45:00
20:00:00
20:10:00
20:32:00
RUJUK
6/1/2021 1 IGD TN. NGADIMIN
2 IGD NY. SULASTRI
3 karyawan dr. Ika
4 karyawan ELISA
5 karyawan SETYO
6 IGD TN KARNO
7 KARYAWAN WITANTI
8 IGD TN JASMIN
9 IGD NY SUWARTI
10 IGD NY SUWARNI
6/2/2021 1 IGD TN DARMO
2 KARYAWAN IMPROHATUL

4 POLI DALAM TN SUWARJI
5 POLI UMUM ELFIRA LAILI
6 POLI OBGYN NY SARNI
7 IGD YAHMO
8 POLI OBGYN NY RIZA YULI A
9 POLI OBGYN NY GAYATRI
10 POLI OBGYN NY APRISKILA DWI P

11 POLI OBGYN DIAH AYU
12 POLI OBGYN NY SITI BADI'AH
13 POLI OBGYN NY RIZKI PUTRI A
14 IGD NUR KHAYATI
15 KARYAWAN ANDRIANI PUTRI
6/3/2021 1 IGD AN. AYUNA NANTIKA

2 IGD AN. BALQIS
3 DR NAFI
4 poli dalam tn wardoyo
5 POLI DALAM NY RUKMINI
POLI OBGYN NY SITI NUR HIDAYAH
7 IGD NY. JUMARI

8 POLI OBGYN NY. LUPITASARI
9 POLI OBGYN SUSI RODIYATUL
10 POLI OBGYN NY WIWIK S
11 POLI OBGYN NY SURYATI
12 POLI OBGYN NY FITROHUN NURUL
13 POLI OBGYN NY RINDA
14 POLI OBGYN NY FINA MAHMUDAH
15 POLI OBGYN NY RIZA ZENI P

16 POLI OBGYN
17 KARYAWAN NN. REGINA
18 POLI OBGYN NY SOLEKHAH
19 POLI OBGYN TN ARYA
20 POLI OBGYN NY YULIA DEWI H
21 POLI OBGYN NY ERNA

22 TN AHMAD SHOLEH
23 POLI OBGYN NY NOFA KHAIRUNNISA
24 POLI OBGYN NY ADE ERMA ARYANI
25 IGD NY WAKINI
6/4/2021 1 karyawan NY WITANTRI
2 SOFI
(KARYAWAN)
3 POLI UMUM NY SARMIATI

4 KARYAWAN NY SUGIARTI
5 NY EVI SUSANTI
6 NY SITI RUPIAH
7 REGARINA
KARYAWAN
8 IGD SHINTA AMALIYA
6/5/2021 1 KARYAWAN NN IMRO
2 poli umum m. rafasya
3 POLI DALAM sri warsini
4 POLI DALAM NY KARSINI

5 POLI DALAM JOKO SUSILO
6 POLI DALAM SUYATI
7 KARYAWAN NN PINASIH
8 KARYAWAN dr rosi
9 IGD TN MARNO
10 IGD AN ELNINO E
11 ny restu asmar
( dr evy)
12 IGD sri patmowati
13 KARYAWAN ELISA
14 NY SUGI
15 karyawan kiky
16 karyawan denik
6/6/2021 1 karyawan AL RASYA
2 IGD NY. SRI WAHYUNI

6/7/2021 1 IGD NY SUPARTI
2 KARYAWAN DYAH LASMA
3 POLI UMUM NY SUTRI
4 POLI UMUM NY SARTI
5 POLI UMUM SUHADI

6 IGD ARIP SETIAJI
7 POLI UMUM SUWARNO
8 POLI UMUM TN SUPRIYADI
9 KARYAWAN DIARA TAKYIF
10 POLI OBGYN NY. ROTUN
11 POLI OBGYN NY. EKA PUJIANA
12 KARYAWAN SITI CHOTIMAH

13 POLI OBGYN NY. DAYANA
14 POLI OBGYN TN. DONAROH
15 POLI OBGYN NY. AYU UMI
16 NY. WIDYA
17 IGD AN. AMIR
18 POLI OBGYN NY. SRI NINGSIH
6/8/2021 1 IGD AN. RAFI
2 POLI UMUM WAHYU FIXI

3 POLI UMUM SOLEMAN
KARYAWAN POLI
4 KARYAWAN REGINA
5 POLI UMUM NY SUPI
6 keluarga karyawanAn. Ismail M. Anwar
7 POLI OBGYN NY. SITI ALIMI
8 POLI OBGYN NY YENI DESTIA
6/9/2021 1 poli dalam NY SRI PATMI

2 POLI DALAM NY SUMIATI
3 POLI UMUM NY WAKINI
4 POLI DALAM SULASTRI
5 POLI DALAM ENDANG NAILIANI
6 POLI UMUM TN SOEGIARTO
7 POLI UMUM NY SAMINEM

8 KARYAWAN ANDRIANI PUTRI
9 KARYAWAN ISMI
10 KARYAWAN DENIK
11 POLI OBGYN NY MARLINA
12 POLI OBGYN NY SURYATI
13 IGD NY SUNARYATI
6/10/2021 1 KARYAWAN MB ZEVI

2 POLI UMUM AN ALFARA YUSUF
3 POLI UMUM IKA WIDAYATI
4 KARYAWAN NUGROHO
5 KARYAWAN RIZA
6 POLI OBGYN NY. ZULIANA
7 IGD AN BIMO
8 POLI OBGYN NY. EVI SUSANTI
9 POLI OBGYN NY. SITI RUPIAH

10 POLI OBGYN NY. RUMSIDAH
DR. AYUK
6/11/2021 1 KARYAWAN ISMI
2 KARYAWAN FERIKA
3 POLI UMUM NN RATNASARI
4 IGD TN SUMARDI
5 VK NY ARUM
6 POLI DALAM NY SUWATI
GERITAN 3/11 TANJUNGHARJO
7 MARMI
8 KARYAWAN MBA RIGA KARYAWAN
9 IGD UMA HATUN MUKMININ
10 KARYAWAN DICKY
6/12/2021 1 KARYAWAN SETYO

2 KARYAWAN MB ANIS
3 KARYAWAN NURUL APRILIANI
4 IGD TN SUWARDI
5 KARYAWAN LIMMAWAN IGD
6 KARYAWAN MBA AJENG VK

KARYAWAN
7 IGD NY ENY
8 KARYAWAN NY NARWATI
MBA ZEVI VK
6/13/2021 1 KARYAWAN DYAH LASMA

2 IGD NY UMI NURKHAYATI
3 KARYAWAN ENDANG TRI

BIDAN

BIDAN
5 KARYAWAN JUMADI
MBA ISMI LAB
6 DR. NAFI
7 NY.SUTINI
8 TN JUMADI
9 TN SARMAN
10 MARWOTO
11 IGD NY HARTI
12 KARYAWAN DIKY
6/14/2021 1 KARYAWAN FENY
2 IGD tn khoiri
3 IGD Ny Eni Kusrini

4 IGD APHITA
5 IGD M RAZKA
6 KARYAWAN FERIKA
7 IGD TN SUTOPO
8 IGD TN SLAMET
9 POLI OBGYN SITI JAMILAH
10 POLI OBGYN NY JAYANTI
6/15/2021 1 KARYAWAN M. NUR KHOLIQ
2 KARYAWAN DYAH SUSANTI
3 KARYAWAN TN YIKNO
4 POLI UMUM ANINDITA
7 KARYAWAN LAILATUL ISTIQOMAH
8 KARYAWAN VENY ENDAH

9 IGD LISTONO
10 POLY OBGYN NY ANIK NOVIANA
6/16/2021 1 IGD Tn. Saputra Alwi
2 KARYAWAN ACHMAD FATHONI
3 IGD AN. IZZAN
4 KARYAWAN DR QONITINA
5 KARYAWAN SETYO KARYAWAN

6 KARYAWAN BU DENIK
7 POLI OBGYN APRISKA DWI P
8 IGD TN SARMAN
9 POLI OBGYN NY TRI MULYANI
10 POLI OBGYN NY UMI MAGHFIROH
11 POLI OBGYN NY DESI CANDRA
12 POLI OBGYN IMAS SUCI
13 IGD M NUR CHOIRUL

14 IGD FITRI MEIYANI
15 IGD SUMARIYEM
16 KARYAWAN WITA
17 IGD NY KARMI
6/17/2021 1 karyawan ENDANG TRI
2 POLI UMUM NY SUMINI
3 POLI UMUM TN MUHWAN

4 POLI UMUM NY SULASIH
5 KARYAWAN NY DYAH LASMA
NY UNTARI
6 obgyn Ny. Fitrotun
7 obgyn ny. Siti mulyati
8 poli obgyn NY. ARUM
9 POLY OBGYN NY. TUTIK ANDAYANI
10 POLY OBGYN NY. ERNA

11 POLY OBGYN ny. PUJI LESTARI
12 POLY OBGYN SITI BADRIYAH
13 KARYAWAN TN. JUMADI
SUSI
14 BU IMRO
15 IGD NY. TJANDRA P
6/18/2021 1 IGD Widjo Kongko

2 IGD TN SUDARWANTO
3 POLI UMUM NY SITI NURHALIMAH
4 POLI UMUM TN RIKIYANTO
5 KARYAWAN APRILIA
6 IGD SARTIK MARTHA

57 TAHUN
7 IGD TUGIYANTI
8 KARYAWAN KIKI VK
9 KARYAWAN MBA AJENG VK
10 IGD KHOIRUL IMAM
11 IGD JASWADI
12 IGD KASIMIN
13 poli dalam TN JUMADI
(ISMI KARYAWAN)
6/19/2021 1 POLI UMUM SRI SULASTRI
2 KARYAWAN CICUK WIJANARKO
3 POLI UMUM NY RISWATI
4 IGD NY NGATINI
6 karyawan feny
7 karyawan anis
8 KARYAWAN NY SRI W (BU SARI)
9 KARYAWAN BU YAYUK
10 KARYAWAN BU DENIK
6/20/2021 1 KARYAWAN SETYO
2 KARYAWAN PURWATI
3 IGD TN. EKO BUDI
4 IGD TN LAGIONO
6 KARYAWAN MB AJENG
7 KARYAWAN PURWATI
8 KARYAWAN MB RIRIS
9 IGD TN SUPARJO
10 SRI WAHYUNINGSIH
11 NY NANIK
KEL MBA UNTARI IGD
6/21/2021 1 IGD NY PARMI
2 IGD NY PARMI
3 NN SUSI WAHYU
4 karyawan AURIA
NY KRISTIN
5 KARYAWAN BU FITRI
6 KARYAWAN NY YATMINI
7 KARYAWAN ANIK
8
9 IGD NY. KASMINAH
10 KARYAWAN NY. SANIPAH
11 poly obgyn NY. EKA PUJIANA
12 poly obgyn ny. Dewi Rusmala

13 TN NUROHMAT AMIN
14 poly obgyn NY. NOVI YUNITASARI
15 poly obgyn NY. MEI DIA
16 poly obgyn NY. ILMA K
17 poly obgyn NY. MUNAWAROH
18 POLY OBGYN NY LULUK S

19 KARYAWAN MAYA
20 KARYAWAN DR ROSI
21 KARYAWAN AURIA
6/22/2021 1 IGD NN NIHAYATUR RAHMAH
2 IGD TN SANUSI
3 KARYAWAN NY DIYAH LASMA
4 KARYAWAN CANDRA (BU IMRO)

5 KARYAWAN LULUS SETIYANINGSIH
6 karyawan ERMADA
ISOMAN
7 KARYAWAN DR IKA
8 KARYAWAN DENIK
9 POLI OBGYN NY. DESSY RETNO
10 POLI OBGYN NY. JAYILATUL FATIMAH
11 POLI OBGYN NY. OKFITA

12 KARYAWAN ANIK RONTGEN
13 KARYAWAN HIMMA
14 KARYAWAN DR INDO
15 KARYAWAN DR. NAFI
16 KARYAWAN MAS ARI
6/23/2021 1 karyawan ROHMAT
2 KARYAWAN ANIS
3 igd RAJAL FAJAR YULIYANTO
4 POLI UMUM ARIKA
4 KARYAWAN AGUS
5 KARYAWAN ANIS KHIRUN

6 KARYAWAN GINA
7 IGD TN PARLAN
8 IGD DR INDO
KARYAWAN
9 IGD ETYK YUNARNI
10 IGD TN SUWARDI
11 POLI OBGYN NY METASARI
12 POLI OBGYN NY LISTIYA ZUMAIROH

13 POLI OBGYN NY WAHYU AMBARSARI
14 POLI OBGYN ARDESTA ALVIANY
15 POLI OBGYN IKA FEBRIANA
16 POLI OBGYN NY MIFTAHUL K
6/24/2021 1 KARYAWAN ANIS K (VK)
2 KARYAWAN ARIANAWATI
3 KARYAWAN DR AYU IGD

4 KARYAWAN SUNARMI
5 KARYAWAN DR LADY
6 POLI UMUM TN TRI PRASIDA
7 POLI UMUM DIDIK HARI YANTO
8 KARYAWAN FERIKA
9 KARYAWAN ZUHROTUN
10 KARYAWAN IFA
11 IGD SYAIFUDDIN
12 POLI OBGYN RUMSIDAH
13 IGD SEMI RAHAYU
14 IGD ALI MUHSON
KARYAWAN IKA
KARYAWAN endang
KARYAWAN VENY
KARYAWAN KIKY
IGD RAFI BUDI
KARYAWAN anis
KARYAWAN endang
6/25/2021 1 KARYAWAN ANIS
2 KARYAWAN SRI WAHYU
3 POLI UMUM INTAN AYU
4 POLI UMUM SRI RUMIYATI

5 KARYAWAN FENY
6 POLI UMUM SUPRIONO
9 KARYAWAN SRI WAHYUNI
10 KARYAWAN TN ARI SETIAWAN

ISOMAN
11 KARYAWAN NN. NAIM
12 KARYAWAN NY. FITRI
13 KARYAWAN MB AJENG
14 KARYAWAN NY. RISKA
15 KARYAWAN BU DENIK
16 IGD RN RUSDI
17 IGD TN SUGIO ISOLASI
18 IGD NY SITI MUZAYANAH

19 NN NIKEN
6/26/2021 1 KARYAWAN KIKI A
2 POLI UMUM M. SHODRI
3 DR BUDI
4 POLI UMUM NY DIAN PUSPITASARI
5 APRILIA
6 IGD NY. SATIMAH
7 KARYAWAN KHOLIS S
8 KARYAWAN DYAH LASMA
9 karyawan NURITS
10 KARYAWAN ELISA
11 KARYAWAN VENY ENDAH
12 KARYAWAN RIZKA FEBRIANA

KARYAWAN HANY
13 KARYAWAN ANTOK
14 KARYAWAN ANTOK
15 KARYAWAN NY ENDANG TRI
16 IGD TN SUKARI
17 POLI OBGYN NY SITI HALIMAH

18 POLI OBGYN NY. RISTIANTI
19 POLI OBGYN NY JESSYCA NOVIA A
20 POLI OBGYN NY ANIN NAIM
21 POLI OBGYN NY SITI AMINAH
22 POLI OBGYN NY KASTA AYU I
23 POLI OBGYN NY KHOIRUN NISA
25 KARYAWAN BU HIM
26 POLI OBGYN SUYATMI
27 IGD ADDAM CHOLAM
28 IGD MULYADI
KARYAWAN DICKY
6/27/2021 1 VK QOTIMATUL QOTIMAH
2 IGD TN SUPARIMAN
3 IGD SDR NOSICO

4 IGD TN KHURIYANTO
5 NADIA KARYAWAN
6 KARYAWAN WITANTRI
7 ROHMAT KARYAWAN
KARYAWAN DR. NAFI
KARYAWAN DR. NAFI
KARYAWAN IKA
POLI UMUM WAKINI
POLI UMUM ANGGUN (PAK SETIYO KARYAWA
POLI UMUM NY LASMI
NURHAYATI
HERI
KARYAWAN NADIA
POLI UMUM LAGIYONO

POLI UMUM SOLEMAN
IGD NY SRI HARDATI
ISNADHIROH
PRIHANTO
HERMIN LIA
IGD TN KARJANTO
POLI OBGYN NY NANING AYU P
POLI OBGYN RINA DYAH P
6/29/2021 1 KARYAWAN NUR
2 KARYAWAN WITANTRI
3 IGD NY PUJI ASTUTI
4 IGD AN HAURA
5 IGD NY YOSSI
6 POLY OBGYN RINA WIDYASTUTI
7 KARYAWAN FERIKA
8 IGD NY. MARNI
6/30/2021 1 KARYAWAN DR AYUK
2 POLI UMUM SUMARNI

3 IGD TN SARNO
4 IGD MARYATI
5 POLI OBGYN IKA FEBRIANA

NAMA OBAT HARGA QTY JUMLAH

KETOROLAC INJ Rp 1,416.00 1 Rp 1,416.00
SUCRALFAT Rp 20,347.00 1 Rp 20,347.00
ONDANSENTRON TAB Rp 1,971.00 10 Rp 19,710.00
Rp 6,000.00
Rp 73,748.00
RL Rp 9,919.00 1 Rp 9,919.00
OSELTAMIVIR Rp 16,860.00 1 Rp 16,860.00
MECOVIT Rp 990.00 1 Rp 990.00
NAC Rp 1,430.00 1 Rp 1,430.00
Rp 6,000.00
Rp 40,857.00
PCT TAB Rp 171.00 20 Rp 3,420.00

OMEPRAZOLE Rp 981.00 20 Rp 19,620.00
AMBROXOL Rp 172.73 20 Rp 3,454.60
INTUNAL Rp 715.00 12 Rp 8,580.00
DEXA TAB Rp 165.00 20 Rp 3,300.00
Rp 45,834.60
INTUNAL Rp 715.00 12 Rp 8,580.00
PATACETAMOL INFUS Rp 12,389.00 1 Rp 12,389.00
ALLOGON Rp 990.00 10 Rp 9,900.00

DEKSAMETASON TAB Rp 165.00 10 Rp 1,650.00
CTM Rp 91.00 10 Rp 910.00
CEFADOXYL TAB Rp 944.00 10 Rp 9,440.00
Rp 6,000.00
Rp 27,900.00
ONDAN 4 MG Rp 1,516.00 4 Rp 6,064.00

RANITIDINE Rp 325.00 10 Rp 3,250.00
MASNEURO Rp 924.00 10 Rp 9,240.00
ANALTRAM Rp 11,286.00 10 Rp 112,860.00
Rp 6,000.00
Rp 154,297.00
SAMCOBION Rp 1,340.00 10 Rp 13,400.00

ANALTRAM Rp 11,286.00 10 Rp 112,860.00
MASNEURO Rp 924.00 10 Rp 9,240.00
GABAPENTIN Rp 1,799.00 10 Rp 17,990.00
Rp 6,000.00
Rp 179,837.00
RL Rp 9,919.00 1 Rp 9,919.00
ONDAN INJ Rp 4,147.00 1 Rp 4,147.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
BROCHIFAR PLUS Rp 865.00 6 Rp 5,190.00
ONDAN 4 MG TAB Rp 1,971.00 10 Rp 19,710.00
Rp 6,000.00
Rp 138,506.00

ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
INTUNAL F Rp 858.00 10 Rp 8,580.00
Rp 6,000.00
Rp 75,710.00
Bisacodil tab 5 mg (Novel) Rp 415.00 2 Rp 830.00
Clopidogrel Rp 2,210.00 30 Rp 66,300.00

Bisacodil tab 5 mg (Novel) Rp 415.00 30 Rp 12,450.00
Sukralfat suspensi (Meprof) Rp 20,347 1 Rp 20,347.00
Miniaspi Rp 137 30 Rp 4,110.00
Rp 6,000.00
Rp 117,007.00

DOMPERIDON TAB Rp 1,226.00 15 Rp 18,390.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 53,977.00
MASNEURO Rp 924.00 10 Rp 9,240.00

LAPISTAN Rp 1,716.00 10 Rp 17,160.00
Rp 6,000.00
Rp 32,400.00
CEFIXIME 200 MG Rp 3,081.00 15 Rp 46,215.00

METRONIDAZOLE TAB Rp 324.00 15 Rp 4,860.00
ANALTRAM Rp 11,286.00 10 Rp 112,860.00
FUROSEMID TAB Rp 104.00 15 Rp 1,560.00
Rp 6,000.00
Rp 176,695.00
AZITHROMICIN TAB Rp 4,160.00 5 Rp 20,800.00

MECOVIT D3 Rp 990.00 10 Rp 9,900.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
N ACE Rp 1,430.00 10 Rp 14,300.00
DEKSAMETHASONE TAB Rp 165.00 5 Rp 825.00
Rp 6,000.00
Rp 112,565.00
FONTACTIVE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
FONTACTIVE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
ANALTRAM Rp 11,286.00 10 Rp 112,860.00

CEFILA 100MG Rp 24,454.00 5 Rp 122,270.00
CLINDAMICYN KAP 300 MG Rp 1,200.00 15 Rp 18,000.00
AZYTHROMICIN Rp 4,160.00 10 Rp 41,600.00
Rp 6,000.00
Rp 445,930.00
FONTACTIVE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
L VIT D3 Rp 3,261.00 30 Rp 97,830.00

PROMAVIT Rp 4,356.00 30 Rp 130,680.00
CAL-95 Rp 6,521.00 30 Rp 195,630.00
Rp 6,000.00
Rp 430,140.00
L VIT D3 Rp 3,261.00 15 Rp 48,915.00

PROMAVIT Rp 4,356.00 10 Rp 43,560.00
CAL-95 Rp 6,521.00 15 Rp 97,815.00
Rp 6,000.00
Rp 196,290.00
FARTOLIN Rp 22,440.00 1 Rp 22,440.00

SALBUTAMOL 2 MG Rp 88.00 10 Rp 880.00
NAC Rp 1,430.00 10 Rp 14,300.00
METIL PREDNISOLON Rp 567.00 10 Rp 5,670.00
CETIRIZIN Rp 117.00 5 Rp 585.00
Rp 6,000.00
Rp 49,875.00
CODEIN Rp 689.47 10 Rp 6,894.70

L-VIT D Rp 2,717.00 10 Rp 27,170.00
ZEGAVIT Rp 3,762.00 10 Rp 37,620.00
Rp 103,684.70

AMBROXOL Rp 225.00 2 Rp 450.00
CETIRIZINE Rp 117.00 2 Rp 234.00
DEXA Rp 165.00 2 Rp 330.00
CEFSPAN Rp 132,000.00 1 Rp 132,000.00
DOMPERIDON SYR Rp 6,000.00 1 Rp 6,000.00
L-BIO Rp 9,240.00 5 Rp 46,200.00
Rp 12,000.00
Rp 198,750.00
STESOLID RECTAL Rp 15,088.00 1 Rp 15,088.00
DUMIN RECTAL Rp 19,621.00 1 Rp 19,621.00
CEFSPAN Rp 132,000.00 1 Rp 132,000.00
L-BIO Rp 9,240.00 5 Rp 46,200.00
DIAZEPAM 2 MG Rp 112.00 3 Rp 336.00
CETIRIZIN Rp 117.00 3 Rp 351.00
DEXA Rp 165.00 3 Rp 495.00
AMBROXOL Rp 225.00 2 Rp 450.00
Rp 12,000.00
Rp 228,077.00

Rp 981.00 10 Rp 9,810.00
Rp 10,570.00
sucralfat syr Rp 20,347.00 1 Rp 20,347.00

domperidon tab Rp 1,226.00 15 Rp 18,390.00
samcobion tab Rp 1,340.00 6 Rp 8,040.00
Rp 6,000.00
Rp 52,777.00
PIOGLITAZON 30 Rp 4,648.00 30 Rp 139,440.00

METFORMIN Rp 293.00 60 Rp 17,580.00
GLIMEPIRIDE 2 Rp 270.00 30 Rp 8,100.00
AMLODIPIN 10 Rp 260.00 30 Rp 7,800.00
LISINOPRIL 10 Rp 337.00 30 Rp 10,110.00
MINIASPI Rp 137.00 30 Rp 4,110.00
B KOMP Rp 156.00 30 Rp 4,680.00
Rp 6,000.00
Rp 197,820.00
GENOCLOM TAB Rp 17,556.00 15 Rp 263,340.00

Rp 6,000.00
Rp 269,340.00
Ketorolac inj. 30mg/ml(Ethica) Rp 1,416.00 1 Rp 1,416.00

Deksametason tbl 0.5 mg (Novapharin) Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 14,391.00
Rp 6,000.00
Rp 166,000.00
Folavit 1000mcg Rp 2,515.00 30 Rp 75,450.00

Escordia kapsul Rp 6,600.00 30 Rp 198,000.00
Escorte kapsul Rp 4,620.00 60 Rp 277,200.00
KONI E 400 Rp 5,280.00 30 Rp 158,400.00
Rp 6,000.00
Rp 1,005,450.00
AB-VASK 10MG Rp 12,540.00 15 Rp 188,100.00

Dopamet Rp 2,222.00 30 Rp 66,660.00
Promavit Rp 11,286.00 15 Rp 169,290.00
Cal-95 Rp 6,521.00 15 Rp 97,815.00
Rp 6,000.00
Rp 521,865.00

Cefila 100 Rp 24,454.00 10 Rp 244,540.00
Analtram Rp 11,286.00 10 Rp 112,860.00
Medithin Rp 6,600.00 15 Rp 99,000.00
KONI E 400 Rp 5,280.00 10 Rp 52,800.00
Megazing Rp 3,630.00 15 Rp 54,450.00
Rp 6,000.00
Rp 729,650.00
Promavit Rp 11,286.00 15 Rp 169,290.00

Rp 6,000.00
Rp 401,010.00
Promavit Rp 11,286.00 30 Rp 338,580.00

Cal-95 Rp 6,521.00 30 Rp 195,630.00
L-VIT D3 1000 Rp 3,261.00 30 Rp 97,830.00
Rp 6,000.00
Rp 640,260.00
Cal-95 Rp 6,521.00 30 Rp 195,630.00

Rp 6,000.00
Rp 201,630.00
Dopamet Rp 2,222 15 Rp 33,330.00

AB-VASK 10MG Rp 12,540.00 15 Rp 188,100.00
Cal-95 Rp 6,521.00 15 Rp 97,815.00
Rp 6,000.00
Rp 325,245.00
Promavit Rp 11,286.00 30 Rp 338,580.00

Rp 6,000.00
Rp 344,580.00
Deksametason tbl 0.5 mg (Novapharin) Rp 165 10 Rp 1,650.00

Ciflon 9,350 6 Rp 56,100.00
Rp 59,460.00
KONI E 400 Rp 5,280 30 Rp 158,400.00

Medithin Rp 6,600 30 Rp 198,000.00
Escordia kapsul Rp 6,600 30 Rp 198,000.00
Folavit 1000mcg Rp 2,515 30 Rp 75,450.00
Megazing Rp 3,630 30 Rp 108,900.00
Rp 6,000.00
Rp 744,750.00
KQ 100 Rp 9,240 30 Rp 277,200.00

Megazing Rp 3,630 15 Rp 54,450.00
Rp 6,000.00
Rp 337,650.00
Microgest 100 mg Rp 15,048 15 Rp 225,720.00

Promavit Rp 11,286 15 Rp 169,290.00
Nausimex Rp 15,840 20 Rp 316,800.00
Rp 6,000.00
Rp 717,810.00
L-VIT D3 1000 Rp 3,261 30 Rp 97,830.00

Kalnex tablet Rp 4,422 10 Rp 44,220.00
KONI E 400 Rp 5,280 30 Rp 158,400.00
Folavit 1000mcg Rp 2,515 30 Rp 75,450.00
Medithin Rp 6,600 30 Rp 198,000.00
Megazing Rp 3,630 30 Rp 108,900.00
Rp 6,000.00
Rp 688,800.00
KQ 100 Rp 9,240 30 Rp 277,200.00
Megazing Rp 3,630 30 Rp 108,900.00
GENOCLOM Rp 17,556 15 Rp 263,340.00
Rp 6,000.00
Rp 655,440.00
Promavit Rp 11,286 10 Rp 112,860.00

Rp 6,000.00
Rp 118,860.00

Promavit Rp 11,286 10 Rp 112,860.00
Rp 6,000.00
Rp 269,340.00
Amlodipin 10mg Rp 260 3 Rp 780.00

Betahistin tbl 6 mg(Dexa) Rp 143 10 Rp 1,430.00
Parasetamol 500 mg(Mersi) Rp 222 10 Rp 2,220.00
DOMPERIDONE (TRIMAN) Rp 1,226 6 Rp 7,356.00
Vitamin B6 tablet 10 mg (KF) Rp 171 5 Rp 855.00
Rp 6,000.00
Rp 18,641.00
Escordia kapsul 5500 10 Rp 55,000.00

Medithin 5500 10 Rp 55,000.00
Rp 110,000.00
AZITROMISIN TAB Rp 4,160.00 12 Rp 49,920.00

ONDAN 4MG Rp 1,516.00 12 Rp 18,192.00
KONI D Rp 990.00 10 Rp 9,900.00
OXYVIT Rp 1,600.00 6 Rp 9,600.00
NAC Rp 1,100.00 20 Rp 22,000.00
DEXAMETHASON Rp 1,097.00 10 Rp 10,970.00
Rp 120,582.00

METHYLPRED Rp 567.00 10 Rp 5,670.00
NAC Rp 1,430.00 10 Rp 14,300.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
AZITROMISIN Rp 4,160.00 4 Rp 16,640.00
Rp 6,000.00
Rp 79,750.00
Rp 80,000.00
BEVALEX Rp 11,330.00 1 Rp 11,330.00

Rp 6,000.00
Rp 166,000.00

Rp 6,000.00
Rp 166,000.00
Infus Set Dewasa Rp 8,580 1 Rp 8,580.00

Alat suntik 1 ml (Aximed) spuit Rp 1,056 1 Rp 1,056.43
Alat Suntik 3 ml BD Rp 1,386 1 Rp 1,386.00
Alat Suntik 5 ml Rp 1,980.00 1 Rp 1,980.00
Alat Suntik 10 ml BD Rp 2,244 1 Rp 2,244.00
Alat suntik 20 ml (Aximed) spuit Rp 2,345 1 Rp 2,344.80
Alkohol Swab 2 Ply (Aximed) Rp 139 5 Rp 696.00
Rp 18,287.23
LAPISTAN Rp 1,716.00 10 Rp 17,160.00

CTM Rp 100.00 10 Rp 1,000.00
VITAMIN C Rp 137.00 10 Rp 1,370.00
Rp 6,000.00
Rp 25,530.00
CETIRIZINE TAB Rp 117.00 10 Rp 1,170.00
cefdroxil Rp 944.00 2 Rp 1,888.00

dexamethason Rp 165.00 2 Rp 330.00
lapisiv Rp 1,716.00 2 Rp 3,432.00
paracetamol syr Rp 1,536.00 1 Rp 1,536.00
Rp 12,000.00
Rp 19,186.00
Rp 19,200.00
methylprednisolon Rp 567.00 10 Rp 5,670.00

furosemid Rp 267.00 6 Rp 1,602.00
spironolacton 25mg Rp 467.00 10 Rp 4,670.00
Rp 6,000.00
Rp 17,942.00
Rp 18,000.00
LISINOPRIL Rp 337.00 10 Rp 3,370.00

DOMPERIDONE Rp 119.00 20 Rp 2,380.00
Rp 6,000.00
Rp 34,697.00
ANALSIK Rp 2,013.00 15 Rp 30,195.00

GABAPENTIN 100 Rp 1,799.00 15 Rp 26,985.00
Rp 6,000.00
Rp 63,180.00
AMLODIPIN Rp 260.00 10 Rp 2,600.00

ANALSIK Rp 2,013.00 15 Rp 30,195.00
Rp 6,000.00
Rp 44,240.00
Rp 44,300.00
GEMFIBROZIL Rp 380.00 10 Rp 3,800.00
curcuma Rp 924.00 10 Rp 9,240.00

diazepam Rp 112.00 10 Rp 1,120.00
RL Rp 7,630.00 3 Rp 22,890.00
Rp 33,250.00
Rp 33,300.00
AMLODIPIN 10 MG Rp 260.00 3 Rp 780.00

DEOMPERIDON TAB Rp 119.00 10 Rp 1,190.00
NAC Rp 1,430.00 10 Rp 14,300.00
CIPRO TAB Rp 592.00 10 Rp 5,920.00
ORALIT Rp 335.00 6 Rp 2,010.00
Rp 6,000.00
Rp 45,180.00

VITAMIN B PLEX Rp 156.00 5 Rp 780.00
KERTAS PUYER Rp 146.00 9 Rp 1,314.00
Rp 6,000.00
Rp 18,920.00
CODEIN TAB Rp 689.00 10 Rp 6,890.00
AZYTRO Rp 4,160.00 5 Rp 20,800.00

ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
L VIT D Rp 3,261.00 10 Rp 32,610.00
NAC Rp 1,430.00 20 Rp 28,600.00
CURCUMA TAB Rp 1,110.00 20 Rp 22,200.00
DOMPERIDON TAB Rp 119.00 6 Rp 714.00
Rp 6,000.00
Rp 493,274.00

Rp 27,977.84

N-asetil sistein kapsul 200 mg (Etercon F) Rp 485.00 15 Rp 7,275.00
Levofloxacin 500 mg Rp 517 10 Rp 5,170.00
Zegavit tablet Rp 4,515 5 Rp 22,575.00
Curcuma FCT Rp 1,110 10 Rp 11,100.00
Rp 6,000.00
Rp 64,990.00
L-VIT D3 1000 Rp 2,717.00 10 Rp 27,170.00

Goldtrion Rp 9,600.00 10 Rp 96,000.00
KONI E 400 Rp 4,400.00 8 Rp 35,200.00
Rp 158,370.00
Goldtrion Rp 9,600.00 20 Rp 192,000.00

KONI E 400 Rp 4,400.00 20 Rp 88,000.00
L-VIT D3 1000 Rp 2,717.00 20 Rp 54,340.00
Folavit 1000mcg Rp 2,095.50 32 Rp 67,056.00
Rp 401,396.00
Paracetamol syr Rp 1,181.00 1 Rp 1,181.00

Antasida syr Rp 3,199.84 1 Rp 3,199.84
Curmunos Rp 71,500.00 1 Rp 71,500.00
Cefixim tab Rp 2,370.00 4 Rp 9,480.00
CTM Rp 45.00 3 Rp 135.00
Rp 85,495.84

CODEIN Rp 897.00 20 Rp 17,940.00
ZEGAVIT Rp 4,515.00 5 Rp 22,575.00
CURCUMA Rp 1,110.00 15 Rp 16,650.00
NAC Rp 1,430.00 20 Rp 28,600.00
Rp 6,000.00
Rp 449,765.00
OSELTAMIVIR Rp 16,860 4 Rp 67,440.00

PARACETAMOL TAB Rp 222 15 Rp 3,330.00
CURCUMA TAB Rp 1,110 15 Rp 16,650.00
AZYTRO Rp 4,160 5 Rp 20,800.00
ZEGAVIT Rp 4,515.00 5 Rp 22,575.00
N ACETYL Rp 1,430.00 15 Rp 21,450.00
L VIT D Rp 3,261.00 2 Rp 6,522.00
Rp 6,000.00
Rp 164,767.00
INFUSET DEWASA Rp 7,150.00 1 Rp 7,150.00

METRONODAZOLE TAB Rp 324.00 10 Rp 3,240.00
ASAM TRANEXAMAT Rp 2,060.00 10 Rp 20,600.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
MASNEURO Rp 924.00 10 Rp 9,240.00
AMLODIPIN 10MG Rp 260.00 10 Rp 2,600.00
Rp 6,000.00
Rp 76,547.00

Rp 6,000.00
Rp 33,957.00
Rp 34,000.00

LAGESIL Rp 1,452.00 10 Rp 14,520.00
CEFADROXIL TAB Rp 944.00 10 Rp 9,440.00
MASNEURO Rp 924.00 10 Rp 9,240.00
NATRIUM DICLOFENAC Rp 146.00 10 Rp 1,460.00
Rp 6,000.00
Rp 63,607.00
Rp 63,700.00
Ketorolac inj. 30mg/ml(Ethica) Rp 1,416 1 Rp 1,416.00

DEXAMETHASON TAB Rp 165.00 8 Rp 1,320.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 21,406.00

Lagesil Rp 1,452 10 Rp 14,520.00
Masneuro Rp 924 10 Rp 9,240.00
Furosemid 40mg (KF) tablet Rp 267 5 Rp 1,335.00
Digoxin tablet Rp 203 5 Rp 1,015.00
Rp 6,000.00
Rp 52,457.00
Cefadroxil 500 Rp 944 10 Rp 9,440.00

LAPISTAN TAB Rp 1,716 10 Rp 17,160.00
Meloxicam 15mg (Medikon) Rp 926 5 Rp 4,630.00
Ranitidine tbl 150 mg(Mersi) Rp 325 10 Rp 3,250.00
Rp 6,000.00
Rp 40,480.00
L-bio 7,700 3 Rp 23,100.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

CAL 95 Rp 6,521.00 15 Rp 97,815.00
Rp 6,000.00
Rp 169,155.00
MICROGEST 100 Rp 15,048.00 15 Rp 225,720.00

PROMAVIT Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 297,060.00

DOMPERIDON Rp 91.00 2 Rp 182.00
OMZ Rp 981.00 2 Rp 1,962.00
ZEGAVIT Rp 3,762.00 2 Rp 7,524.00
NEW ANTIDES Rp 142.00 2 Rp 284.00
Rp 11,404.00
GENOCLOM Rp 17,556.00 15 Rp 263,340.00
KONI E Rp 5,280.00 30 Rp 158,400.00
FOLAVIT 1000 Rp 2,515.00 30 Rp 75,450.00
MEGAZING Rp 3,630.00 30 Rp 108,900.00
MEDITHIN Rp 6,600.00 30 Rp 198,000.00
Rp 6,000.00
Rp 810,090.00
KQ 100 Rp 9,240.00 30 Rp 277,200.00

MEGAZING Rp 3,630.00 30 Rp 108,900.00
Rp 6,000.00
Rp 392,100.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

CAL 95 Rp 6,521.00 15 Rp 97,815.00
Rp 6,000.00
Rp 169,155.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
STESOLID RECTAL Rp 15,088.00 2 Rp 30,176.00

CURMUNOS Rp 85,800.00 1 Rp 85,800.00
Rp 6,000.00
Rp 129,512.00
CAL 95 Rp 6,521.00 30 Rp 195,630.00

Rp 6,000.00
Rp 201,630.00
FARTOLIN Rp 22,440.00 1 Rp 22,440.00

CURMUNOS Rp 85,800.00 1 Rp 85,800.00
Rp 6,000.00
Rp 114,240.00
CEFDROXIL TAB Rp 944.00 10 Rp 9,440.00

DEXAMETHASONE TAB 0,5 MG Rp 194.00 10 Rp 1,940.00
Rp 6,000.00
Rp 20,620.00
Rp 20,700.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 12,610.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00

Rp 45,150.00

PRAZOTEK TAB Rp 17,160.00 6 Rp 102,960.00
Rp 129,187.00
Rp 129,200.00
ZEGAVIT Rp 4,515.00 5 Rp 22,575.00

Oseltamivir cap 75 mg 12,969 10 Rp 129,690.00
Azythromocin 500 mg 3,200 5 Rp 16,000.00
Curcuma FCT Rp 925.00 10 Rp 9,250.00
Rp 6,000.00
Rp 183,515.00
Promavit Rp 4,356 15 Rp 65,340.00

Cal-95 Rp 6,521 10 Rp 65,210.00
Rp 6,000.00
Rp 136,550.00
Nausimex Rp 15,840.00 10 Rp 158,400.00

Promavit Rp 4,356 15 Rp 65,340.00
OBH syr (Ikapharmindo) Rp 7,920 1 Rp 7,920.00
Rp 6,000.00
Rp 239,310.00
PCT TAB Rp 222.00 20 Rp 4,440.00

BISOPROLOOL 5MG Rp 328.00 8 Rp 2,624.00
CANDESARTAN 8MG Rp 709.00 15 Rp 10,635.00
FUROSEMID Rp 267.00 15 Rp 4,005.00
SPIRONOLACTON 25MG Rp 476.00 15 Rp 7,140.00
CEFIXIME 200MG Rp 3,081.00 10 Rp 30,810.00
ONDANSENTRON 8MG Rp 3,089.00 10 Rp 30,890.00
Rp 6,000.00
Rp 119,164.00
Rp 119,200.00
AMLODIPIN 10 Rp 260.00 20 Rp 5,200.00

MINIASPI 80 Rp 137.00 20 Rp 2,740.00
CITICOLIN 500MG Rp 6,445.00 10 Rp 64,450.00
Rp 6,000.00
Rp 85,130.00
Rp 85,200.00
HISTIGO Rp 827.00 10 Rp 8,270.00

MASNEURO Rp 924.00 10 Rp 9,240.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
Rp 6,000.00
Rp 40,250.00
Rp 40,300.00
ZEGAVIT Rp 4,515.00 15 Rp 67,725.00

MASNESURO Rp 924.00 15 Rp 13,860.00
SALBUTAMOL 2MG Rp 88.00 20 Rp 1,760.00
NAC Rp 1,430.00 30 Rp 42,900.00
AMBROXOL Rp 225.00 30 Rp 6,750.00
METFORMIN Rp 293.00 41 Rp 12,013.00
GLIMEPIRID 2MG Rp 270.00 15 Rp 4,050.00
Rp 6,000.00
Rp 155,058.00
Rp 155,100.00
NOCID 20
NAC Rp 1,430.00 8 Rp 11,440.00
ASAM FOLAT 400MG Rp 1,182.00 8 Rp 9,456.00
Rp 6,000.00
Rp 28,244.00
Rp 28,300.00
SIMVASTATIN 10MG Rp 901.00 10 Rp 9,010.00

Rp 6,000.00
Rp 17,610.00
Rp 17,700.00
CEFIXIME 200MG Rp 3,081.00 10 Rp 30,810.00

LAPISIV Rp 1,716.00 10 Rp 17,160.00
Rp 6,000.00
Rp 60,520.00
Rp 60,600.00
CODEIN Rp 689.00 20 Rp 13,780.00

AZYTRO Rp 3,200.00 10 Rp 32,000.00
Rp 45,780.00
GOLDTRION Rp 8,000.00 40 Rp 320,000.00

KONI E Rp 4,400.00 40 Rp 176,000.00
L VIT D Rp 2,717.00 40 Rp 108,680.00
Rp 604,680.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00

CAL-95 Rp 6,521.00 10 Rp 65,210.00
Rp 6,000.00
Rp 114,770.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

MEGAZING Rp 3,630.00 15 Rp 54,450.00
KONI E 400 Rp 5,280.00 15 Rp 79,200.00
MEDHITIN Rp 6,600.00 15 Rp 99,000.00
Rp 6,000.00
Rp 303,990.00

AZYTROMICIN Rp 4,160.00 5 Rp 20,800.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
L VIT D Rp 3,261.00 5 Rp 16,305.00
ZEGAVIT Rp 4,515.00 5 Rp 22,575.00
Rp 6,000.00
Rp 247,600.00
RL Rp 7,630.00 3 Rp 22,890.00
IV CHATETER NO 22 Rp 6,685.00 1 Rp 6,685.00
AQUABIDES Rp 2,860.00 1 Rp 2,860.00
INFUSET Rp 7,150.00 1 Rp 7,150.00
Rp 85,539.00
CEFADOXYL Rp 944.00 8 Rp 7,552.00
DEXA TAB Rp 165.00 8 Rp 1,320.00
CTM Rp 100.00 8 Rp 800.00
Rp 6,000.00
Rp 18,242.00
Kalium Diklofenak Tab 50 Mg Rp 712.00 10 Rp 7,120.00

Rp 6,000.00
Rp 13,120.00
GELOCLOM Rp 14,630.00 12 Rp 175,560.00

ZEGAVIT Rp 3,762.00 10 Rp 37,620.00
DOMPERIDON Rp 91.00 10 Rp 910.00
OMEPRAZOLE Rp 981.00 10 Rp 9,810.00
Rp 50,050.00
CEFILA 100 Rp 24,454.00 15 Rp 366,810.00

ANALTRAM Rp 11,286.00 10 Rp 112,860.00
MEDITHIN Rp 6,600.00 10 Rp 66,000.00
KONI E Rp 5,280.00 10 Rp 52,800.00
Rp 6,000.00
Rp 604,470.00

CURMUNOS Rp 85,800.00 1 Rp 85,800.00
Rp 6,000.00
Rp 93,336.00
METRONIDAZOL Rp 324.00 21 Rp 6,804.00

CEFILA 100 Rp 24,454.00 15 Rp 366,810.00
MEDITHIN Rp 6,600.00 10 Rp 66,000.00
KONI E Rp 5,280.00 10 Rp 52,800.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00
FONT ACTIV ONE Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 723,754.00
ANALTRAM Rp 11,286.00 15 Rp 169,290.00

OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
CEFILA 100 Rp 24,454.00 10 Rp 244,540.00
Rp 6,000.00
Rp 432,590.00
DOPAMET Rp 2,222.00 14 Rp 31,108.00

AB VASK 10 MG Rp 12,540.00 25 Rp 313,500.00
Rp 6,000.00
Rp 350,608.00
CODEIN Rp 897 20 Rp 17,940.00
INTUNAL Rp 858.00 8 Rp 6,864.00
Kalium Diklofenak Tab 50 Mg (Hexpharm) Rp 516.00 5 Rp 2,580.00

CURCUMA Rp 1,110.00 10 Rp 11,100.00
KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,515.00 5 Rp 22,575.00
NAC Rp 1,430.00 15 Rp 21,450.00
Rp 6,000.00
Rp 288,355.00
Rp 288,400.00

CURCUMA Rp 1,110.00 5 Rp 5,550.00
KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
NAC Rp 1,430.00 15 Rp 21,450.00
RANITIDIN Rp 325.00 10 Rp 3,250.00
Omeprazol Injeksi (Mahakam) Rp 12,834.00 1 Rp 12,834.00
Parasetamol 500 mg(Mersi) Rp 222.00 3 Rp 666.00
Amlodipin 10mg Rp 260.00 2 Rp 520.00
Rp 6,000.00
Rp 302,839.00
FUROSEMID 10 MG Rp 104.00 7 Rp 728.00

AB VASK 10 MG Rp 12,540.00 14 Rp 175,560.00
Rp 6,000.00
Rp 182,288.00

SPIRONOLACTON 25 Rp 476.00 20 Rp 9,520.00
FUROSEMID 40 MG Rp 104.00 20 Rp 2,080.00
NAC Rp 1,430.00 20 Rp 28,600.00
MINIASPI TAB Rp 137.00 20 Rp 2,740.00
ISDN Rp 116.00 20 Rp 2,320.00
ATORVASTATIN 10 Rp 1,430.00 40 Rp 57,200.00
Rp 6,000.00
Rp 115,760.00

KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
Rp 6,000.00
Rp 231,630.00
MECOBALAMIN INJ Rp 11,000.00 1 Rp 11,000.00

NACL 6,840 1 Rp 6,840.00
KASA DRC Rp 7,370.00 1 Rp 7,370.00
HYPAFIX Rp 2,000.00 2 Rp 4,000.00
Rp 29,210.00

KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
NAC Rp 1,430.00 15 Rp 21,450.00
Rp 6,000.00
Rp 290,447.00

KALIUM DIKLOFANAK Rp 712.00 10 Rp 7,120.00
Rp 8,488.00

AZYTRO Rp 3,200.00 5 Rp 16,000.00
ZEGAVIT Rp 3,762.00 5 Rp 18,810.00
NAC Rp 1,100.00 10 Rp 11,000.00
Rp 177,210.00
GOLDTRION Rp 8,000.00 20 Rp 160,000.00

L VIT D Rp 2,717.00 20 Rp 54,340.00
KONI E Rp 4,400.00 10 Rp 44,000.00
Rp 258,340.00

ZEGAVIT Rp 3,762.00 5 Rp 18,810.00
Rp 20,520.00
AMLODIPIN TAB Rp 260.00 10 Rp 2,600.00

ZEGAVIT Rp 4,515.00 10 Rp 45,150.00
KONI D STRIP Rp 1,906.00 10 Rp 19,060.00
PARASETAMOL TAB Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 69,030.00
FAVIPIRAVIR Rp 16,300.00 10 Rp 163,000.00
KONI D Rp 990.00 30 Rp 29,700.00

MEGAZINC 2875 30 Rp 86,250.00
CURCUMA TAB Rp 924.83 36 Rp 33,293.70
AZITHROMISIN Rp 3,200.00 5 Rp 16,000.00
Rp 165,243.70
KONI D STRIP Rp 1,906.00 10 Rp 19,060.00

MEGAZINC Rp 3,450.00 10 Rp 34,500.00
INTUNAL Rp 858.00 10 Rp 8,580.00
PARASETAMOL Rp 222.00 10 Rp 2,220.00
DEXAMETHASONE Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 72,010.00
LAPISIV 1430 10 Rp 14,300.00

CTM Rp 100.00 5 Rp 500.00
Rp 14,800.00

SPUIT 5 CC Rp 1,650.00 1 Rp 1,650.00
ZEGAVIT Rp 3,762.00 4 Rp 15,048.00
Rp 20,078.00
HISTIGO Rp 827.00 10 Rp 8,270.00
DOMPERIDON Rp 1,226.00 10 Rp 12,260.00
MEGAZINC Rp 3,450.00 10 Rp 34,500.00
Rp 6,000.00
Rp 76,390.00
VASELIN SWAB Rp 22,000.00 1 Rp 22,000.00

ETHYL CHLORID KALENG Rp 126,000.00 1 Rp 126,000.00
Rp 148,000.00
IV CATH 20 AXIMED Rp 6,748.00 2 Rp 13,496.00

RL Rp 7,630.00 3 Rp 22,890.00
INFUS SET Rp 7,150.00 1 Rp 7,150.00
POVIDON IODINE 300 Rp 33,000.00 1 Rp 33,000.00
PARASETAMOL INF Rp 12,389.00 1 Rp 12,389.00
Rp 88,925.00
LAPISIV Rp 1,430.00 10 Rp 14,300.00

DEXAMETHASONE Rp 165.00 10 Rp 1,650.00
CETIRIZINE TAB Rp 90.00 10 Rp 900.00
Rp 19,380.00
N-asetil sistein tab Rp 485.00 20 Rp 9,700.00

Vitamin C 500mg Rp 687.00 10 Rp 6,870.00
Rp 16,570.00

Cefadroxil 500 Rp 944.00 10 Rp 9,440.00
Masneuro Rp 924.00 5 Rp 4,620.00
Rp 6,000.00
Rp 48,987.00

Masneuro Rp 924.00 5 Rp 4,620.00
Rp 6,000.00
Rp 53,827.00
Ciprofloxacin 500 Berno Rp 592.00 10 Rp 5,920.00

Rp 6,000.00
Rp 14,140.00

Azithromocin 500 mg Rp 4,160.00 5 Rp 20,800.00
Oseltamivir cap 75 mg Rp 16,860.00 0 Rp -
N-asetil sistein kapsul 200 mg (Etercon F) Rp 485.00 15 Rp 7,275.00
OBH syr (Ikapharmindo) Rp 7,920.00 1 Rp 7,920.00
oxyvit Rp 1,600.00 10 Rp 16,000.00
L-VIT D3 1000 Rp 3,261.00 10 Rp 32,610.00
Rp 6,000.00
Rp 92,825.00
Ciprofloxacin 500 Berno Rp 592 10 Rp 5,920.00

Rp 6,000.00
Rp 32,267.00
DOMPERIDONE (TRIMAN) 943 10 Rp 9,430.00

Rp 11,140.00

N-asetil sistein kapsul 200 mg (Etercon F) Rp 485 20 Rp 9,700.00
Setirizine kps 10 mg (Futamed) Rp 117.00 5 Rp 585.00
Ranitidine tbl 150 mg(Mersi) Rp 325.00 10 Rp 3,250.00
Vitamin C 500mg Rp 894.00 10 Rp 8,940.00
Rp 6,000.00
Rp 51,495.00
Pioglitazone tab 30 mg (Mahakam) Rp 4,647.50 10 Rp 46,475.00

Lisinopril 10mg Rp 337.00 10 Rp 3,370.00
Glimepiride tab 2mg Rp 270.00 10 Rp 2,700.00
Masneuro Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 69,085.00
N-asetil sistein kapsul 200 mg (Etercon F) Rp 485 16 Rp 7,760.00
L-VIT D3 1000 Rp 3,261.00 10 Rp 32,610.00
oxyvit Rp 1,600.00 10 Rp 16,000.00
OBH syr (Ikapharmindo) Rp 7,920.00 1 Rp 7,920.00
Rp 6,000.00
Rp 132,237.00
AMOXICILIN TAB Rp 601.00 3 Rp 1,803.00

VIT C 50 MG Rp 137.00 2 Rp 274.00
Stesolid rectal 5mg/2.5ml Rp 15,088.00 2 Rp 30,176.00
Rp 6,000.00
Rp 40,369.00
N ACETYL Rp 1,100.00 10 Rp 11,000.00

AZYTRO Rp 3,200.00 25 Rp 80,000.00
CURCUMA TAB Rp 924.00 30 Rp 27,720.00
L VIT D Rp 2,717.00 24 Rp 65,208.00
OMEPRAZOLE Rp 981.00 10 Rp 9,810.00
NAC Rp 550.00 30 Rp 16,500.00
ZEGAVIT Rp 3,960.00 10 Rp 39,600.00
Rp 515,878.00
AMLODIPIN 10 MG TAB Rp 260.00 10 Rp 2,600.00

VIT B PLEX Rp 156.00 10 Rp 1,560.00
GLIMEPIRIDE 2 MG Rp 270.00 10 Rp 2,700.00
Rp 6,000.00
Rp 25,620.00
NACL Rp 8,892.00 1 Rp 8,892.00

AQUA INJ Rp 3,718.00 1 Rp 3,718.00
OMEPRAZOLE TAB Rp 1,276.00 10 Rp 12,760.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 57,524.00
MICROGEST 200 Rp 29,040.00 15 Rp 435,600.00
ASAM TRANEX Rp 137.00 10 Rp 1,370.00
L VIT D Rp 3,261.00 20 Rp 65,220.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 573,530.00
FONTACTIVE SUSU Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00

Rp 6,000.00
Rp 156,480.00
CEFIXIME 200 MG Rp 2,370.00 10 Rp 23,700.00

METHYLPREDNISOLON 4MG Rp 436.00 10 Rp 4,360.00
LAPISIV Rp 1,430.00 10 Rp 14,300.00
Rp 44,070.00
MEGAZING Rp 2,875.00 15 Rp 43,125.00
FOLAVIT 1000 Rp 2,095.00 15 Rp 31,425.00
MEDHITIN Rp 5,500.00 15 Rp 82,500.00
KONI E Rp 4,400.00 15 Rp 66,000.00
L-VIT D3 Rp 2,717.00 15 Rp 40,755.00
Rp 263,805.00
KQ 100 Rp 7,700.00 15 Rp 115,500.00

MEDHITIN Rp 5,500.00 15 Rp 82,500.00
MEGAZING Rp 2,875.00 15 Rp 43,125.00
Rp 241,125.00
FARTOLIN Rp 22,440.00 1 Rp 22,440.00

Rp 6,000.00
Rp 28,440.00

OXYVIT Rp 1,600.00 10 Rp 16,000.00
KONI D Rp 990.00 10 Rp 9,900.00
Rp 41,900.00
MEDITHIN Rp 5,500.00 10 Rp 55,000.00

GOLDTRION Rp 8,000.00 10 Rp 80,000.00
MEGAZING Rp 2,875.00 20 Rp 57,500.00
L-VIT D3 Rp 2,717.00 20 Rp 54,340.00
VITAMIN C 500 MG Rp 687.00 20 Rp 13,740.00
Rp 260,580.00
VITAMIN C 500 MG Rp 894.00 10 Rp 8,940.00

Rp 6,000.00
Rp 14,940.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00

PROMAVIT Rp 4,356.00 30 Rp 130,680.00
PCT Rp 222.00 10 Rp 2,220.00
Rp 6,000.00
Rp 173,400.00

L Acys Rp 3,960.00 15 Rp 59,400.00
Levofloxacin 500 mg Rp 517.00 10 Rp 5,170.00
oxyvit Rp 1,600.00 5 Rp 8,000.00
Curcuma FCT Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 90,550.00
NACL 500 ML Rp 6,840.00 2 Rp 13,680.00

ABOCATH NO 20 Rp 4,000.00 1 Rp 4,000.00
ABOCATH NO 22 Rp 4,000.00 1 Rp 4,000.00
INFUS SET Rp 7,150.00 2 Rp 14,300.00
SPUIT 3 CC Rp 1,155.00 3 Rp 3,465.00
Rp 64,009.00
LIPROLAC Rp 8,801.00 3 Rp 26,403.00

Rp 6,000.00
Rp 32,403.00
RL Rp 9,919.00 3 Rp 29,757.00
ONDANSETRON INJ Rp 2,500.00 3 Rp 7,500.00
OXYVIT Rp 1,600.00 10 Rp 16,000.00
Rp 53,257.00
JARUM INSULIN 5500 5 Rp 27,500.00

GOLDTRION Rp 8,000.00 10 Rp 80,000.00
KONI E Rp 4,400.00 10 Rp 44,000.00
L VIT D3 Rp 2,717.00 10 Rp 27,170.00
Rp 151,170.00
CEFILA 100 MG Rp 24,454.00 10 Rp 244,540.00

MEGAZINC Rp 3,450.00 10 Rp 34,500.00
ANALTRAM Rp 11,286.00 10 Rp 112,860.00
MEDITHIN Rp 6,600.00 10 Rp 66,000.00
PROMAVIT Rp 4,356.00 10 Rp 43,560.00
Rp 6,000.00
Rp 507,460.00
VIITAMIN C 500MG Rp 894.00 10 Rp 8,940.00

OMEPRAZOLE CAP Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 33,710.00
CEFILA 100 MG Rp 24,454.00 10 Rp 244,540.00

MEGAZINC Rp 3,450.00 10 Rp 34,500.00
ANALTRAM Rp 11,286.00 10 Rp 112,860.00
Rp 6,000.00
Rp 397,900.00
FONTACTIVE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00

CAL 95 Rp 6,521.00 15 Rp 97,815.00
FONTACTIVE Rp 160,000.00 1 Rp 160,000.00
Rp 6,000.00
Rp 329,155.00
CAL 95 Rp 6,521.00 30 Rp 195,630.00

Rp 6,000.00
Rp 201,630.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00

KONI D Rp 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 108,170.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00

KONI D Rp 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 108,170.00
NACL Rp 8,892.00 2 Rp 17,784.00

ONDAN INJ Rp 3,250.00 1 Rp 3,250.00
Rp 6,000.00
Rp 39,868.00
MEDHITIN Rp 5,500.00 10 Rp 55,000.00

ESCORDIA Rp 5,500.00 10 Rp 55,000.00
Rp 110,000.00
AQUABIDEST Rp 3,718.00 2 Rp 7,436.00

ONDAN INJ Rp 3,250.00 1 Rp 3,250.00
AMLODIPIN 10 MG TAB Rp 260.00 10 Rp 2,600.00
BETAHISTINE TAB Rp 143.00 10 Rp 1,430.00
DOMPERIDIN TAB Rp 119.00 10 Rp 1,190.00
Rp 6,000.00
Rp 43,798.00
NACL Rp 6,840.00 2 Rp 13,680.00

CHLOR ETIL SPRAY Rp 126,000.00 1 Rp 126,000.00
VASELINSWAB Rp 15,000.00 1 Rp 15,000.00
Rp 154,680.00
Cefixime tab 200 mg (Bernofarm) Rp 3,081 10 Rp 30,810.00

Metil Prednisolon 4mg Rp 567 10 Rp 5,670.00
LAPISIV-T Rp 1,716 10 Rp 17,160.00
Rp 6,000.00
Rp 61,860.00
Klindamisin kps 150 mg (Novell) Rp 930 10 Rp 9,300.00

Metronidazole Tab 500 Mg (Nova) Rp 324 10 Rp 3,240.00
LAPISTAN TAB Rp 1,716 10 Rp 17,160.00
Rp 6,000.00
Rp 37,350.00

LAPISIV-T Rp 1,716 10 Rp 17,160.00
Lagesil Rp 1,452 10 Rp 14,520.00
Rp 6,000.00
Rp 94,507.00
Megazing Rp 2,875 10 Rp 28,750.00

L-VIT D3 1000 2717 10 Rp 27,170.00
Rp 55,920.00
CODEIN 10MG Rp 869.00 10 Rp 8,690.00

Rp 15,030.00
Nausimex Rp 15,840.00 20 Rp 316,800.00

Lasgan Rp 18,480.00 15 Rp 277,200.00
Rp 6,000.00
Rp 600,000.00

Rp 6,000.00
Rp 322,800.00
MEGAZING Rp 2,875.00 10 Rp 28,750.00

L-VIT D3 Rp 3,261.00 10 Rp 32,610.00
Rp 6,000.00
Rp 67,360.00
MICROGEST 100 Rp 15,048.00 5 Rp 75,240.00

L-VIT D3 Rp 3,261.00 30 Rp 97,830.00
CAL 95 Rp 6,521.00 15 Rp 97,815.00
PROMAVIT Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 407,565.00
GENOCLOM Rp 17,556.00 15 Rp 263,340.00

Rp 6,000.00
Rp 269,340.00
CAL-95 Rp 6,521 30 Rp 195,630.00

L-VIT D3 Rp 3,261.00 30 Rp 97,830.00
Rp 6,000.00
Rp 299,460.00
MEDITHIN Rp 5,500.00 30 Rp 165,000.00

MEGAZING Rp 2,875.00 10 Rp 28,750.00
L-VIT D3 Rp 2,717.00 30 Rp 81,510.00
Rp 275,260.00
KONI D Rp 1,466.00 10 Rp 14,660.00

ZEGAVIT Rp 3,960.00 10 Rp 39,600.00
Rp 199,950.00
PCT Rp 171.00 3 Rp 513.00

ZEGAVIT Rp 3,960.00 5 Rp 19,800.00
METIL PRED Rp 435.74 5 Rp 2,178.70
Rp 22,491.70
PCT INFUS Rp 16,106.00 4 Rp 64,424.00

ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
SUCRALFAT Rp 20,347.00 1 Rp 20,347.00
Rp 6,000.00
Rp 242,837.00
Oseltamivir cap 75 mg Rp 16,860.00 10 Rp 168,600.00

L Acys Rp 3,960.00 10 Rp 39,600.00
Zinc tbl 20 mg(KF) Rp 682 5 Rp 3,410.00
KONI D 400 Rp 1,188.00 5 Rp 5,940.00
Curcuma FCT Rp 1,110.00 10 Rp 11,100.00
Minosep gargle 0.1% 60ml Rp 38,400.00 1 Rp 38,400.00
Rp 6,000.00
Rp 317,610.00
Azithromocin 500 mg Rp 4,160 10 Rp 41,600.00

Oseltamivir cap 75 mg Rp 16,860 6 Rp 101,160.00
KONI D 400 Rp 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 208,160.00

LAPISIV-T Rp 1,716 6 Rp 10,296.00
Rp 6,000.00
Rp 75,343.00
METILPREDNISOLON Rp 567.00 10 Rp 5,670.00

OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
Rp 6,000.00
Rp 57,630.00
Betametason cr 0,1%(KF) 1,340 1 1,340

ZEGAVIT TAB Rp 4,752.00 5 Rp 23,760.00
KONI D STRIP Rp 1,906.00 5 Rp 9,530.00
CURCUMA TAB Rp 1,110 15 Rp 16,650.00
NAC ETERCON Rp 485.00 10 Rp 4,850.00
KONI E Rp 5,280.00 5 Rp 26,400.00
Rp 6,000.00
Rp 279,920.00

ZEGAVIT TAB Rp 4,752.00 7 Rp 33,264.00
KONI D STRIP Rp 1,906.00 7 Rp 13,342.00
CURCUMA TAB Rp 1,110 15 Rp 16,650.00
KONI E Rp 5,280.00 7 Rp 36,960.00
DEXAMETHASON Rp 165.00 10 Rp 1,650.00
Rp 6,000.00
Rp 144,756.00
GOLDTRION Rp 8,000.00 10 Rp 80,000.00

KONI E Rp 5,280.00 10 Rp 52,800.00
KONI D 400 STRIP Rp 1,188.00 10 Rp 11,880.00
CURCUMA Rp 1,110 12 Rp 13,320.00
Rp 158,000.00
KONI D 400 Rp 990.00 40 Rp 39,600.00

APYALIS SYR Rp 36,300.00 1 Rp 36,300.00
Rp 75,900.00

ZEGAVIT TAB Rp 4,752.00 7 Rp 33,264.00
L-VIT D1000 Rp 3,261.00 7 Rp 22,827.00
KONI E Rp 5,280.00 8 Rp 42,240.00
DEXAMETHASON Rp 165.00 15 Rp 2,475.00
DIAZEPAM 2 MG Rp 112.00 15 Rp 1,680.00
Rp 6,000.00
Rp 148,676.00

ZEGAVIT TAB Rp 4,752.00 7 Rp 33,264.00
KONI E Rp 5,280.00 7 Rp 36,960.00
KONI D 400 STRIP Rp 1,188.00 7 Rp 8,316.00
NAC Rp 485.00 10 Rp 4,850.00
CURCUMA TAB Rp 1,110 15 Rp 16,650.00
DEXAMETHASON Rp 165.00 6 Rp 990.00
Rp 6,000.00
Rp 285,506.00

ZEGAVIT TAB Rp 4,752.00 5 Rp 23,760.00
KONI E Rp 5,280.00 5 Rp 26,400.00
KONI D 400 STRIP Rp 1,188.00 5 Rp 5,940.00
CURCUMA TAB Rp 1,110 15 Rp 16,650.00
DEXAMETHASON Rp 165.00 6 Rp 990.00
Rp 6,000.00
Rp 317,840.00
PIOGLITAZON 30MG Rp 3,879.00 6 Rp 23,274.00

GLIMEPIRIDE 2MG Rp 207.00 6 Rp 1,242.00
Rp 24,516.00

CEFIXIME TAB Rp 3,081.00 10 Rp 30,810.00
METILPREDNISOLON Rp 567.00 10 Rp 5,670.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
Rp 6,000.00
Rp 81,027.00
RL Rp 7,630.00 2 Rp 15,260.00
NEUROBION IN 12282 2 Rp 24,564.00
Rp 39,824.00
ISDN Rp 116.00 10 Rp 1,160.00

CEFIXIME Rp 3,081.00 10 Rp 30,810.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
Rp 6,000.00
Rp 54,710.00
Rp 54,800.00
CAPTOPTIL Rp 86.00 3 Rp 258.00

NAC (MAHAKAM) Rp 1,193.00 10 Rp 11,930.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
KONI D Rp 1,188.00 10 Rp 11,880.00
OBH SYR Rp 7,920.00 1 Rp 7,920.00
Rp 6,000.00
Rp 228,268.00
Cefixime tab 200 mg (Bernofarm) 2370 10 Rp 23,700.00

Obat Flu Batuk/ Intunal 715 12 Rp 8,580.00

Vitamin C 250 mg (Kuning) 910 10 Rp 9,100.00
Masneuro 770 10 Rp 7,700.00
OBH surya 6,600 10 Rp 66,000.00
Rp 116,510.00
Kloramfenikol TM 10,500 1 Rp 10,500.00

Megazing 2875 10 Rp 28,750.00
Rp 37,000.00
SAVEGLOSE Rp 1,450.00 100 Rp 145,000.00

ZEGAVIT Rp 3,960.00 10 Rp 39,600.00
KONI D Rp 990.00 10 Rp 9,900.00
NAC Rp 373.00 10 Rp 3,730.00
CURCUMA Rp 924.83 10 Rp 9,248.25
Rp 224,168.25

ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
KONI D Rp 1,188.00 10 Rp 11,880.00
NAC Rp 715.00 15 Rp 10,725.00
CURCUMA Rp 1,110.00 10 Rp 11,100.00
Rp 291,425.00
NAC Rp 715.00 15 Rp 10,725.00

CURCUMA Rp 1,110.00 10 Rp 11,100.00
KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
Rp 6,000.00
Rp 297,425.00
VASELIN SWAB Rp 22,000.00 2 Rp 44,000.00

NEOCENTA Rp 15,500.00 1 Rp 15,500.00
GENTAMISIN SK Rp 2,400.00 1 Rp 2,400.00
Rp 61,900.00

Rp 145,690.00
INJ RANITIDIN Rp 1,188.00 6 Rp 7,128.00

INJ ONDANSENTRON Rp 3,432.00 6 Rp 20,592.00
Rp 27,720.00
GENOCLOM Rp 14,630.00 8 Rp 117,040.00

MEGAZING Rp 3,450.00 10 Rp 34,500.00
L-VIT D 1000 Rp 3,261.00 10 Rp 32,610.00
CURCUMA Rp 1,110.00 15 Rp 16,650.00
NAC Rp 1,193.00 15 Rp 17,895.00
Rp 6,000.00
Rp 388,905.00

NAC Rp 1,193.00 15 Rp 17,895.00
ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
KONI D STRIP Rp 1,906.00 6 Rp 11,436.00
CURCUMA Rp 1,110.00 12 Rp 13,320.00
Rp 6,000.00
Rp 93,211.00
LEVOFLOXACIN TAB Rp 517.00 6 Rp 3,102.00

NAC Rp 1,193.00 20 Rp 23,860.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
DEXA TAB Rp 165.00 10 Rp 1,650.00
ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
L-VIT D 1000 Rp 3,261.00 5 Rp 16,305.00
KALIUM DIKLOFENAK Rp 671.00 10 Rp 6,710.00
Rp 86,487.00

ONDAN INJ Rp 1,674.00 1 Rp 1,674.00
Rp 6,000.00
Rp 69,589.00
METHYLPREDNISOLON Rp 450.00 10 Rp 4,500.00
AZITROIMYCIN DIHIRAD Rp 3,200.00 6 Rp 19,200.00

ACETYLCYSTEINE Rp 917.00 10 Rp 9,170.00
Rp 28,370.00
CEFIXIME Rp 3,081.00 10 Rp 30,810.00

INTUNAL Rp 858.00 15 Rp 12,870.00
Rp 6,000.00
Rp 58,680.00
Klindamisin kps 150 mg (Novell) 715 10 Rp 7,150.00

Metronidazole Tab 500 Mg (Nova) Rp 324 10 Rp 3,240.00
LAPISTAN TAB 1430 10 Rp 14,300.00
Rp 26,340.00

ZEGAVIT Rp 3,960.00 5 Rp 19,800.00
Rp 188,660.00

ACETYLCYSTEINE Rp 917.00 10 Rp 9,170.00
Rp 338,170.00
OBH SYR Rp 7,920.00 1 Rp 7,920.00

DEXAMETASON TAB Rp 1,427.00 10 Rp 14,270.00
MEDITIN Rp 6,600.00 12 Rp 79,200.00
MEGAZING Rp 3,450.00 20 Rp 69,000.00
LAVIT-D3 Rp 3,261.00 20 Rp 65,220.00
CEFILA 100MG Rp 24,454.00 10 Rp 244,540.00
Rp 6,000.00
Rp 486,150.00
NAC Rp715.00 Rp 10.00 Rp7,150.00

OSELTAMIVIR Rp16,860.00 Rp 10.00 Rp168,600.00
AZYTHROMYCIN Rp4,160.00 Rp 10.00 Rp41,600.00
ZEGAVIT Rp4,752.00 Rp 10.00 Rp47,520.00
KONI D Rp1,188.00 Rp 10.00 Rp11,880.00
CURCUMA Rp1,110.00 Rp 10.00 Rp11,100.00
Rp6,000.00
Rp293,850.00
Rp294,000.00
AZYTHROMYCIN Rp3,200.00 Rp 7.00 Rp22,400.00

OSELTAMIVIR Rp12,969.00 Rp 10.00 Rp129,690.00
ZEGAVIT Rp3,762.00 Rp 10.00 Rp37,620.00
KONI D Rp990.00 Rp 10.00 Rp9,900.00
CURCUMA Rp924.83 Rp 10.00 Rp9,248.25
Rp208,858.25
Rp209,000.00
RANITIDIN INJ Rp1,188.00 Rp 6.00 Rp7,128.00
ONDAANSENTRON INJ Rp2,640.00 Rp 5.00 Rp13,200.00
Rp20,328.00
MEDITHIN Rp6,600.00 Rp 20.00 Rp132,000.00

MICROGEST 100 Rp15,048.00 Rp 15.00 Rp225,720.00
Rp6,000.00
Rp363,720.00
Rp334,000.00
ESCORTE Rp4,620.00 Rp 120.00 Rp554,400.00

KONI E Rp5,280.00 Rp 30.00 Rp158,400.00
GENOCLOM Rp17,556.00 Rp 15.00 Rp263,340.00
MEDITHIN Rp6,600.00 Rp 30.00 Rp198,000.00
ESCORDIA Rp6,600.00 Rp 60.00 Rp396,000.00
L-VIT D3 Rp3,261.00 Rp 30.00 Rp97,830.00
FOLAVIT 1000 Rp2,515.00 Rp 30.00 Rp75,450.00
Rp6,000.00
Rp1,749,420.00
KQ 100 Rp9,240.00 Rp 30.00 Rp277,200.00

MEDITHIN Rp6,600.00 Rp 30.00 Rp198,000.00
MEGAZING Rp3,450.00 Rp 30.00 Rp103,500.00
FOLAVIT 1000 Rp2,515.00 Rp 30.00 Rp75,450.00
Rp6,000.00
Rp660,150.00
FONTACTIV Rp 1.00 Rp155,500.00

KURKUMEX Rp9,000.00 Rp 30.00 Rp270,000.00
Rp6,000.00
Rp431,500.00
CAL 95 Rp6,521.00 Rp 30.00 Rp195,630.00

L-VIT D3 Rp3,261.00 Rp 30.00 Rp97,830.00
Rp6,000.00
Rp299,460.00
Rp299,500.00
PCT TAB Rp222.00 Rp 10.00 Rp2,220.00

DEXA TAB Rp194.00 Rp 10.00 Rp1,940.00
MEDITHIN Rp6,600.00 Rp 20.00 Rp132,000.00
Rp6,000.00
Rp136,160.00
Rp136,500.00
FONTACTIV Rp155,500.00 Rp 1.00 Rp155,500.00

CAL 95 Rp6,521.00 Rp 15.00 Rp97,815.00
PROMAVIT Rp4,356.00 Rp 15.00 Rp65,340.00
L-VIT D3 Rp3,261.00 Rp 15.00 Rp48,915.00
Rp6,000.00
Rp373,570.00
Rp373,600.00
CEFILA 200 Rp37,620.00 Rp 10.00 Rp376,200.00

DEXA TAB Rp194.00 Rp 10.00 Rp1,940.00
GENTAMYCIN SALEP Rp3,120.00 Rp 2.00 Rp6,240.00
CAL 95 Rp6,521.00 Rp 30.00 Rp195,630.00
PROMAVIT Rp4,356.00 Rp 30.00 Rp130,680.00
Rp6,000.00
Rp716,690.00
OSELTA Rp12,969.00 Rp 14.00 Rp181,566.00

AZYTRO Rp3,200.00 Rp 7.00 Rp22,400.00
ZEGAVIT Rp3,762.00 Rp 7.00 Rp26,334.00
KONI D Rp990.00 Rp 7.00 Rp6,930.00
PARACETAMOL TAB Rp171.00 Rp 7.00 Rp1,197.00
NAC Rp1,100.00 Rp 15.00 Rp16,500.00
CURCUMA TAB Rp924.00 Rp 15.00 Rp13,860.00
DEXAMETASON TAB Rp165.00 Rp 10.00 Rp1,650.00
Rp270,437.00
MEGAZING Rp2,875.00 Rp 1.00 Rp2,875.00
Asam Mefenamat 500mg Rp 343 10 Rp 3,430.00
OBH surya Rp 7,920 1 Rp 7,920.00

N-asetil sistein tab Rp 1,430 10 Rp 14,300.00
KONI D 400 Rp 1,188 10 Rp 11,880.00
Rp 6,000.00
Rp 87,620.00
OBH surya Rp 7,920 1 Rp 7,920.00

Omeprazole 20 mg Rp 1,276 10 Rp 12,760.00
Amlodipin 10mg Rp 260 10 Rp 2,600.00
Rp 6,000.00
Rp 50,730.00
Azithromocin 500 mg Rp 3,200.00 6 Rp19,200.00

FAVIPIRAVIR Rp14,850.00 6 Rp89,100.00
Rp108,300.00

Zegavit tablet 3,960 5 Rp 19,800.00
Rp 130,570.00

Zegavit tablet 3,960 15 Rp 59,400.00
Rp 170,170.00
ZEGAVIT 3,960 10 Rp 39,600.00

KONI D Rp 990.00 10 Rp 9,900.00
VITAMIN C 250MG Rp 1,290.00 10 Rp 12,900.00
ZINK TAB Rp 524.00 10 Rp 5,240.00
NAC Rp 1,193.00 30 Rp 35,790.00
CURCUMA Rp 925.00 10 Rp 9,250.00
Rp 404,060.00
Curcuma FCT Rp 924.83 20 Rp 18,496.50

Kloramfenikol TT 2%(Reco) Rp 9,800.00 1 Rp 9,800.00
Rp 42,596.50
KONI E 400 Rp 4,400.00 30 Rp 132,000.00

Goldtrion Rp 8,000.00 40 Rp 320,000.00
L-VIT D3 1000 Rp 3,261.00 30 Rp 97,830.00
Rp 549,830.00
AB-VASK 10MG Rp 12,540.00 30 Rp 376,200.00

Promavit Rp 4,356.00 30 Rp 130,680.00
Rp 6,000.00
Rp 512,880.00
Medithin Rp 6,600.00 10 Rp 66,000.00

Promavit Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 137,340.00
Promavit Rp 4,356.00 30 Rp 130,680.00

KURKUMEX TAB Rp 990.00 30 Rp 29,700.00
Rp 6,000.00
Rp 166,380.00
Goldtrion Rp 8,000.00 5 Rp 40,000.00
Goldtrion Rp 8,000.00 30 Rp 240,000.00
Oseltamivir cap 75 mg Rp 12,969.00 6 Rp 77,814.00

Setirizine kps 10 mg (Futamed) Rp 90.00 10 Rp 900.00
Rp 80,424.00
RL Rp 7,630.00 5 Rp 38,150.00
INFUS SET Rp 7,150.00 5 Rp 35,750.00
ABOCATH NO 22 Rp 6,685.00 11 Rp 73,535.00
Rp 147,435.00
ASAM TRANEXAMAT INJ Rp 4,400.00 1 Rp 4,400.00
INTUNAL Rp 715.00 10 Rp 7,150.00

DEKSAMETASON Rp 1,097.00 10 Rp 10,970.00
ZEGAVIT Rp 3,960.00 6 Rp 23,760.00
Rp 43,590.00
INTUNAL Rp 715.00 8 Rp 5,720.00

KONI D Rp 1,188.00 10 Rp 11,880.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
NAC Rp 1,193.00 15 Rp 17,895.00
Rp 6,000.00
Rp 104,095.00
Rp 104,500.00
AZITRO Rp 3,200.00 5 Rp 16,000.00
METILPRENISOLON Rp 436.00 10 Rp 4,360.00
NAC Rp 917.00 10 Rp 9,170.00
Rp 178,030.00
MEDITHIN Rp 5,500.00 20 Rp 110,000.00
NAUSIMEX Rp 13,200.00 30 Rp 396,000.00

PROMAVIT Rp 3,630.00 30 Rp 108,900.00
KURKUMEX Rp 825.00 30 Rp 24,750.00
Rp 529,650.00
Ondansentron inj (INTERBAT) Rp 2,460.00 1 Rp 2,460.00

BIORON INJ Rp 4,934.00 1 Rp 4,934.00
Rp 7,394.00

CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 19,320.00
METFORMIN Rp 133.00 10 Rp 1,330.00

KONI E Rp 5,280.00 10 Rp 52,800.00
L-VIT D1000 Rp 3,261.00 10 Rp 32,610.00
CANDESARTAN 8 MG Rp 709.00 10 Rp 7,090.00
PARASETAMOL Rp 222.00 10 Rp 2,220.00
ZINC TAB Rp 682.00 10 Rp 6,820.00
LANZOPRAZOLE KAP Rp 634.00 10 Rp 6,340.00
Rp 6,000.00
Rp 115,210.00

OBH SYR Rp 7,920.00 1 Rp 7,920.00
NAC Rp 1,193.00 15 Rp 17,895.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
Rp 6,000.00
Rp 94,695.00
INTUNAL Rp 858.00 10 Rp 8,580.00

OBH SYR Rp 7,920.00 1 Rp 7,920.00
NAC Rp 1,193.00 15 Rp 17,895.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 51,495.00
PROMAVIT Rp 4,356.00 30 Rp 130,680.00

L-VIT D3 Rp 3,261.00 30 Rp 97,830.00
Rp 6,000.00
Rp 234,510.00
PROMAVIT Rp 4,356.00 30 Rp 130,680.00

Rp 6,000.00
Rp 136,680.00
NAUSIMEX Rp 15,840.00 15 Rp 237,600.00

KURKUMEX Rp 990.00 20 Rp 19,800.00
MICROGEST 100 Rp 15,048.00 15 Rp 225,720.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00
Rp 6,000.00
Rp 554,460.00
MICROGEST 200 MG Rp 29,040.00 15 Rp 435,600.00

L-VIT D3 Rp 3,261.00 30 Rp 97,830.00
MEDITHIN Rp 6,600.00 30 Rp 198,000.00
Rp 6,000.00
Rp 737,430.00
CAL 95 Rp 6,521 15 Rp 97,815.00

AB VASK 10 MG Rp 12,540.00 15 Rp 188,100.00
DOPAMET 250 Rp 2,222.00 30 Rp 66,660.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00
L VIT D31000 Rp 3,261.00 15 Rp 48,915.00
Rp 6,000.00
Rp 472,830.00
FOLAVIT 1000 Rp 2,515.00 30 Rp 75,450.00

L VIT D31000 Rp 3,261.00 30 Rp 97,830.00
KONI E Rp 5,280.00 30 Rp 158,400.00
MEDITHIN Rp 6,600.00 30 Rp 198,000.00
Rp 6,000.00
Rp 535,680.00

Rp 6,000.00
Rp 10,977.00
MEGAZINK Rp 2,875.00 10 Rp 28,750.00

L-VIT D3 Rp 2,717.00 10 Rp 27,170.00
Rp 55,920.00
Rp 56,000.00
CODEIN TAB Rp 897 20 Rp 17,940.00

Rp 6,000.00
Rp 23,940.00
MEDITIN Rp 6,600.00 10 Rp 66,000.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00

LVIT D3 Rp 3,261.00 10 Rp 32,610.00
MEDITIN Rp 6,600.00 10 Rp 66,000.00
Rp 6,000.00
Rp 139,110.00
CEFIXIME Rp 4,183.00 10 Rp 41,830.00

NAC Rp 1,430.00 10 Rp 14,300.00
Rp 6,000.00
Rp 69,260.00
Rp 69,500.00

CEFIXIME Rp 4,183.00 10 Rp 41,830.00
INTUNAL Rp 858.00 10 Rp 8,580.00
Rp 6,000.00
Rp 84,647.00
Rp 84,700.00

KURKUMEX Rp 990.00 10 Rp 9,900.00
AZITRO Rp 4,160.00 12 Rp 49,920.00
NAC Rp 485.00 10 Rp 4,850.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
Rp 116,950.00
NAC Rp 1,430.00 30 Rp 42,900.00

ZEGAVIT Rp 3,960.00 10 Rp 39,600.00
KONI D Rp 689.00 10 Rp 6,890.00
CURUCMA TAB Rp 925.00 20 Rp 18,500.00
AZYTRO Rp 3,200.00 10 Rp 32,000.00
Rp 269,580.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00

INTUNAL Rp 858.00 12 Rp 10,296.00
DEXA TAB Rp 165.00 10 Rp 1,650.00
Rp 61,686.00
INTUNAL Rp 858.00 10 Rp 8,580.00

ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
AMOX Rp 601.00 10 Rp 6,010.00
Rp 6,000.00
Rp 82,520.00
DOPAMET Rp 2,222.00 23 Rp 51,106.00

Rp 6,000.00
Rp 57,106.00

AZYTRO Rp 4,160.00 5 Rp 20,800.00
ZEGAVIT Rp 4,752.00 12 Rp 57,024.00
KONI D Rp 1,188.00 10 Rp 11,880.00
ANTASIDA Rp 76.00 10 Rp 760.00
Rp 6,000.00
Rp 99,984.00
KODEIN Rp 897.00 10 Rp 8,970.00

DEKSAMETASON Rp 165.00 10 Rp 1,650.00
KURKUMEX Rp 990.00 10 Rp 9,900.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
Rp 6,000.00
Rp 76,260.00
Antasida DOEN tbl(Mersi) Rp 76.00 10 Rp 760.00
Medithin Rp 6,050.00 6 Rp 36,300.00

L-VIT D3 1000 Rp 2,717.00 10 Rp 27,170.00
Rp -
Rp 63,470.00

Rp 6,674.14
Goldtrion Rp 8,800.00 10 Rp 88,000.00

L-VIT D3 1000 Rp 2,988.70 10 Rp 29,887.00
Megazing Rp 3,162.50 10 Rp 31,625.00
Rp 158,587.00

Deksametason tbl 0.5 mg (Novapharin) Rp 165.00 5 Rp 825.00
Ambroxol 30mg tab Rp 225.00 5 Rp 1,125.00
Domperidon tbl 10 mg (Novapharin) Rp 119.00 5 Rp 595.00
Fartolin inhalasi Rp 22,440.00 1 Rp 22,440.00
Rp 6,000.00
Rp 31,425.00

Rp 50,336.00
EtIl Klorida Spray botol kaca ( kloretil ) Rp 175,010.00 1 Rp 175,010.00
KURKUMEX Rp 825.00 10 Rp 8,250.00

AZYTRO Rp 3,200.00 5 Rp 16,000.00
ZEGAVIT Rp 3,960.00 5 Rp 19,800.00
Rp 44,050.00
AZYTRO Rp 4,160.00 5 Rp 20,800.00

NAC Rp 1,430.00 20 Rp 28,600.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
KONI D Rp 1,188.00 10 Rp 11,880.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 125,900.00
METHYL 4 MG Rp 567.00 10 Rp 5,670.00

INTUNAL F Rp 858.00 10 Rp 8,580.00
Rp 6,000.00
Rp 20,250.00
CEFIXIME Rp 3,081.00 5 Rp 15,405.00

METHYL 4 MG Rp 567.00 10 Rp 5,670.00
NAC Rp 1,430.00 10 Rp 14,300.00
LAPISTAN Rp 1,716.00 10 Rp 17,160.00
OMEPRAZOLE Rp 1,276.00 10 Rp 12,760.00
Rp 6,000.00
Rp 71,295.00
INTUNAL Rp 715.00 10 Rp 7,150.00
METIL 4 MG Rp 436.00 10 Rp 4,360.00
Rp 11,510.00
AMOX TAB Rp 601.00 10 Rp 6,010.00

NATRIUM DIKLOFENAK Rp 671.00 10 Rp 6,710.00
Rp 6,000.00
Rp 18,720.00
APIALYS Rp 43,560.00 1 Rp 43,560.00

CURCUMA Rp 1,110.00 10 Rp 11,100.00
PCT TAB Rp 222.00 10 Rp 2,220.00
Rp 56,880.00

ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
KONI D Rp 1,188.00 10 Rp 11,880.00
MEDITHIN Rp 6,600.00 10 Rp 66,000.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00
L-VIT D3 Rp 3,261.00 10 Rp 32,610.00
KONI E Rp 5,280.00 10 Rp 52,800.00
KURKUMEX Rp 990.00 10 Rp 9,900.00
Rp 381,110.00
NAC Rp 1,193.00 20 Rp 23,860.00

KODEIN Rp 897.00 10 Rp 8,970.00
CURCUMA Rp 1,110.00 10 Rp 11,100.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00
PCT TAB Rp 222.00 10 Rp 2,220.00
KONI D Rp 1,188.00 10 Rp 11,880.00
METIL PREDNISOLON 4 MG Rp 567.00 10 Rp 5,670.00
Rp 132,640.00
CAL-95 Rp 6,521.00 20 Rp 130,420.00
AZYTHRO Rp 4,160.00 10 Rp 41,600.00

KONI D Rp 1,188.00 20 Rp 23,760.00
MEGAZING Rp 3,450.00 20 Rp 69,000.00
CETIRIZIN Rp 117.00 20 Rp 2,340.00
NAC Rp 1,430.00 20 Rp 28,600.00
AMBROXOL Rp 225.00 20 Rp 4,500.00
CURCUMA Rp 1,110.00 20 Rp 22,200.00
Rp 192,000.00
AZYTHRO Rp 4,160.00 10 Rp 41,600.00

NAC Rp 1,430.00 20 Rp 28,600.00
OBH Rp 7,920.00 1 Rp 7,920.00
INTUNAL Rp 858.00 12 Rp 10,296.00
CURCUMA Rp 1,110.00 10 Rp 11,100.00
ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
VIT D Rp 1,188.00 10 Rp 11,880.00
Rp 135,156.00
GOLDTRION Rp 9,600.00 20 Rp 192,000.00

KONI E Rp 5,280.00 30 Rp 158,400.00
LAVID D3 Rp 3,261.00 10 Rp 32,610.00
Rp 6,000.00
Rp 389,010.00

ONDAN INJ Rp 3,432.00 1 Rp 3,432.00
CEFADROXIL TAB Rp 944.00 10 Rp 9,440.00
NAC Rp 1,430.00 10 Rp 14,300.00
ONDANSETRON 4 MG Rp 1,674.00 10 Rp 16,740.00
GG Rp 167.00 10 Rp 1,670.00
CURCUMA TAB 10 Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 90,857.00
PEMPERS XL Rp 11,400 6 Rp 68,400.00

Rp 6,000.00
Rp 74,400.00
RL Rp 9,919.00 1 Rp 9,919.00
DIMENHIDRINATE TAB Rp 146.00 10 Rp 1,460.00
CAPTOPRIL 12.5 Rp 86.00 1 Rp 86.00
AMLODIPIN 10MG Rp 260.00 1 Rp 260.00
GLIBENCLAMID Rp 130.00 10 Rp 1,300.00
METFORMIN Rp 133.00 10 Rp 1,330.00
ALLOPURINOL Rp 137.00 10 Rp 1,370.00
Rp 6,000.00
Rp 55,332.00
RL Rp 9,919.00 2 Rp 19,838.00
AQUABIDEST Rp 3,718.00 2 Rp 7,436.00
OBH SYR Rp 7,920.00 1 Rp 7,920.00
NAC Rp 1,430.00 10 Rp 14,300.00
PCT TAB Rp 222.00 10 Rp 2,220.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
KONI D Rp 1,188.00 10 Rp 11,880.00
Rp 6,000.00
Rp 161,218.00
CURCUMA Rp 1,110.00 10 Rp 11,100.00

KONI D STRIP Rp 1,906.00 10 Rp 19,060.00
Rp 30,160.00
SUCRALFAT Rp 17,424.00 1 Rp 17,424.00

CEFIXIM Rp 4,183.00 10 Rp 41,830.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00
LAPISTAN Rp 1,716.00 10 Rp 17,160.00
Rp 6,000.00
Rp 99,534.00
INFUSET DEWASA Rp 8,580.00 1 Rp 8,580.00

ABOCATH NO 22 Rp 8,022.00 1 Rp 8,022.00
RL Rp 9,919.00 4 Rp 39,676.00
CEFIXIME Rp 3,081.00 10 Rp 30,810.00
NAC Rp 1,430.00 20 Rp 28,600.00
SPUIT 3 CC Rp 1,065.00 2 Rp 2,130.00
Rp 185,724.00
CEFIXIME Rp 4,183.00 10 Rp 41,830.00
METILPREDNOSOLON 4MG Rp 567.00 10 Rp 5,670.00
INTUNAL Rp 858.00 10 Rp 8,580.00
Rp 6,000.00
Rp 82,104.00
Rp 82,500.00
INTUNAL Rp 858.00 10 Rp 8,580.00

ZEGAVIT Rp 4,752.00 5 Rp 23,760.00
L-VIT D3 Rp 3,261.00 5 Rp 16,305.00
CURCUMA Rp 1,110.00 15 Rp 16,650.00
CETIRIZIN Rp 117.00 10 Rp 1,170.00
NAC Rp 1,430.00 15 Rp 21,450.00
Rp 6,000.00
Rp 109,465.00

ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
L-VIT D3 Rp 3,261.00 10 Rp 32,610.00
NAC Rp 1,430.00 15 Rp 21,450.00
Rp 122,380.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
L-VIT D3 Rp 3,261.00 10 Rp 32,610.00
NAC Rp 1,430.00 15 Rp 21,450.00
DEXA Rp 165.00 10 Rp 1,650.00
CURCUMA Rp 1,110.00 15 Rp 16,650.00
Rp 140,680.00

BETADIN 30 ML Rp 2,900.00 1 Rp 2,900.00
Rp 35,112.00
CEFIXIM Rp 3,081.00 10 Rp 30,810.00
NAC Rp 1,430.00 10 Rp 14,300.00

CEFIXIM Rp 3,081.00 10 Rp 30,810.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00
KONI D Rp 1,188.00 5 Rp 5,940.00
AZYTROMYCIN Rp 4,160.00 10 Rp 41,600.00
Rp 134,660.00
medithin Rp 6,600.00 5 Rp 33,000.00

L-VIT D3 Rp 3,261.00 5 Rp 16,305.00
Rp 49,305.00
oxyvit Rp 1,600 30 Rp 48,000.00

Parasetamol 500 mg(Mersi) 188.1 100 Rp 18,810.00
NAC Rp 1,430.00 20 Rp 28,600.00
Rp 95,410.00
Curcuma FCT 1049.4 10 Rp 10,494.00

KONI D 400 1089 10 Rp 10,890.00
Zegavit tablet 4356 10 Rp 43,560.00
Azithromocin 500 mg 3520 10 Rp 35,200.00
N-asetil sistein tab 1210 5 Rp 6,050.00
Parasetamol 500 mg(Mersi) 188.1 15 Rp 2,821.50
Rp 109,015.50
Zegavit tablet 4356 10 Rp 43,560.00

L-VIT D3 1000 2988.7 10 Rp 29,887.00
Rp 73,447.00

KONI D 400 Rp 1,188 10 Rp 11,880.00
Curcuma FCT Rp 1,145 10 Rp 11,450.00
Sucralfat Suspensi Rp 22,620 1 Rp 22,620.00
Rp 6,000.00
Rp 143,940.00
Promavit Rp 4,356 10 Rp 43,560.00

Cal-95 Rp 6,521 10 Rp 65,210.00
Rp 6,000.00
Rp 114,770.00
FONTACTIV Rp 158,400.00 1 Rp 158,400.00
Rp 6,000.00
Rp 164,400.00
Promavit Rp 4,356 10 Rp 43,560.00

Rp 6,000.00
Rp 49,560.00
Promavit Rp 4,356 10 Rp 43,560.00

Cal-95 Rp 6,521 10 Rp 65,210.00
Rp 6,000.00
Rp 114,770.00
Promavit Rp 4,356 20 Rp 87,120.00

Cal-95 Rp 6,521 20 Rp 130,420.00
Miniaspi Rp 137 15 Rp 2,055.00
Rp 6,000.00
Rp 225,595.00
Promavit Rp 4,356 30 Rp 130,680.00

KURKUMEX TAB Rp 990 20 Rp 19,800.00
Medithin Rp 6,600 30 Rp 198,000.00
Susu Fontactive One Rp 160,000 1 Rp 160,000.00
Nausimex Rp 15,840 30 Rp 475,200.00
Rp 6,000.00
Rp 989,680.00
Megazing Rp 3,450 15 Rp 51,750.00

OBH surya Rp 7,920 1 Rp 7,920.00
Promavit Rp 4,356 30 Rp 130,680.00
Rp 6,000.00
Rp 423,720.00
GOLDTRION Rp 8,000.00 60 Rp 480,000.00

CEFILA 100 MG Rp 24,454.00 10 Rp 244,540.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00
L VIT D3 Rp 3,261.00 10 Rp 32,610.00
MEDHITIN Rp 6,600.00 10 Rp 66,000.00
Rp 6,000.00
Rp 383,650.00
DUMIN REKTAL Rp 19,621.00 2 Rp 39,242.00

Rp 6,000.00
Rp 45,242.00
NAC Rp 1,430.00 20 Rp 28,600.00

OBH SYR Rp 7,920.00 1 Rp 7,920.00
ZEGAVIT Rp 4,752.00 10 Rp 47,520.00
L VIT D3 Rp 3,261.00 10 Rp 32,610.00
CURUCMA TAB Rp 1,110.00 10 Rp 11,100.00
AZYTRO Rp 4,160.00 5 Rp 20,800.00
Rp 6,000.00
Rp 156,770.00
ASMET Rp 343.00 3 Rp 1,029.00

METHYL 4 MG Rp 567.00 3 Rp 1,701.00
ZEGAVIT Rp 4,752.00 3 Rp 14,256.00
Rp 16,986.00
Pampers L Rp 8,400 1 Rp 8,400.00
LACONS SYR Rp 59,400 1 Rp 59,400.00

Ranitidine tbl 150 mg(Mersi) Rp 325 10 Rp 3,250.00
Masneuro Rp 924 10 Rp 9,240.00
Rp 6,000.00
Rp 80,110.00
RL Rp 8,393.00 1 Rp 8,393.00
NEUROBION INJ 13510.20 1 Rp 13,510.20
Rp 6,000.00
Rp 28,843.70
SUCRALFAT SUSPENSI (PROMED) Rp 18,876 1 Rp 18,876.00

Obat Flu Batuk/ Intunal Rp 858 10 Rp 8,580.00
Rp 6,000.00
Rp 78,016.00
INTUNAL F Rp 786.50 10 Rp 7,865.00

OXYVIT Rp 1,600.00 10 Rp 16,000.00
Rp 23,865.00
Medithin 6050 10 Rp 60,500.00

Oseltamivir cap 75 mg 14265.9 6 Rp 85,595.40
oxyvit Rp 1,600 5 Rp 8,000.00
KONI D 400 1089 5 Rp 5,445.00
Azithromocin 500 mg 3520 2 Rp 7,040.00
N-asetil sistein tab 1210 15 Rp 18,150.00
Escordia kapsul 6050 6 Rp 36,300.00
Rp 221,030.40
INTUNAL F Rp 786.50 10 Rp 7,865.00

Parasetamol Infus Rp 13,627.90 4 Rp 54,511.60
Ketoprofen tab Rp 1,012.44 10 Rp 10,124.40
N-asetil sistein kapsul 200 mg (MAHAKAM) Rp 1,008.70 10 Rp 10,087.00
Vitamin C 500mg Rp 755.70 20 Rp 15,114.00
Rp 144,115.40
Metoklopramide inj 5 mg/ml (Bernofarm) Rp 4,356.00 6 Rp 26,136.00

Omeprazol Injeksi (Mahakam) Rp 10,859.20 4 Rp 43,436.80
Neurobion inj Rp 13,510.20 1 Rp 13,510.20
Rp 83,083.00

Gemfibrozil kapsul 300 mg (Phapros) Rp 418.00 10 Rp 4,180.00
Rp 11,803.00
CEFIXIME Rp 3,081.00 10 Rp 30,810.00
METILPRENISOLON Rp 567.00 10 Rp 5,670.00
LAPISTAN Rp 1,716.00 10 Rp 17,160.00
INTUNAL Rp 858.00 10 Rp 8,580.00
Rp 6,000.00
Rp 68,220.00
Kodein 10mg Rp 897.00 20 Rp 17,940.00

Setirizine kps 10 mg (Futamed) Rp 117.00 10 Rp 1,170.00
Rp 19,110.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00

CEFIXIME Rp 3,081.00 10 Rp 30,810.00
DIAZEPAM 2 MG Rp 149.00 5 Rp 745.00
Rp 6,000.00
Rp 59,965.00
LAGESIL Rp 1,452.00 10 Rp 14,520.00

Masneuro Rp 924.00 10 Rp 9,240.00
Furosemid 40mg (KF) tablet Rp 267.00 5 Rp 1,335.00
Glimepiride tab 2mg Rp 270.00 15 Rp 4,050.00
Allopurinol 100mg Rp 247.00 10 Rp 2,470.00
Rp 6,000.00
Rp 50,375.00

Rp 6,000.00
Rp 44,700.00

Rp 30,863.14

Rp 6,000.00
Rp 74,820.00
MINIASPI Rp 137.00 10 Rp 1,370.00
MASNEURO Rp 924.00 10 Rp 9,240.00
Rp 6,000.00
Rp 22,580.00
MEGAZING Rp 3,450.00 10 Rp 34,500.00

KONI D Rp 1,188.00 10 Rp 11,880.00
OMEPRAZOL Rp 1,276.00 10 Rp 12,760.00
ONDANSETRON TAB Rp 1,674.00 10 Rp 16,740.00
AZITHROMYCIN TAB Rp 4,160.00 10 Rp 41,600.00
Rp 6,000.00
Rp 123,480.00
FOLAVIT Rp 2,305.05 12 Rp 27,660.60
CEFIXIM Rp 2,607.00 10 Rp 26,070.00

LAGESIL TAB Rp 1,331.00 10 Rp 13,310.00
OMEPRAZOL CAPS Rp 1,079.10 10 Rp 10,791.00
RL Rp 8,393.00 2 Rp 16,786.00
ABBOCATH 22 Rp 8,022.00 2 Rp 16,044.00
INFUS SET DEWASA Rp 8,580.00 1 Rp 8,580.00
PARASETAMOL INF Rp 13,627.90 1 Rp 13,627.90
Rp 120,600.10
Miniaspi Rp 137.00 10 Rp 1,370.00

Isosorbidinitrat tbl 5 mg (Yarindo) Rp 116.00 10 Rp 1,160.00
Rp 6,000.00
Rp 20,140.00

Rp 33,083.14

KONI D TAB Rp 1,188.00 10 Rp 11,880.00
OXYVIT TAB Rp 1,600.00 10 Rp 16,000.00
CEFIXIM TAB Rp 3,081.00 10 Rp 30,810.00
OMEPRAZOL Rp 1,276.00 10 Rp 12,760.00
AMLODIPIN 10MG TAB Rp 260.00 10 Rp 2,600.00
Rp 6,000.00
Rp 88,390.00
FONT ACTIVE ONE Rp 160,000.00 1 Rp 160,000.00

Rp 6,000.00
Rp 166,000.00
PARASETAMOL 500MG TAB Rp 222.00 10 Rp 2,220.00

MEDITHIN TAB Rp 6,600.00 30 Rp 198,000.00
Rp 6,000.00
Rp 206,220.00
PARASETAMOL 500MG TAB Rp 222.00 10 Rp 2,220.00
GENOCLOM 16093 10 Rp 160,930.00

Folavit 1000mcg 2305.05 8 Rp 18,440.40
Rp 179,370.40
VIT BC Rp 156.00 10 Rp 1,560.00

GG Rp 167.00 10 Rp 1,670.00
CEFADROXIL CAPS Rp 944.00 10 Rp 9,440.00
VITAMIN C Rp 137.00 10 Rp 1,370.00
Rp 6,000.00
Rp 23,910.00
RANITIDIN TAB Rp 325.00 2 Rp 650.00

L-VIT D3 Rp 3,261.00 1 Rp 3,261.00
VITAMIN C Rp 137.00 3 Rp 411.00
ZINC Rp 682.00 1 Rp 682.00
AMOKSISILIN Rp 601.00 4 Rp 2,404.00
GG Rp 167.00 4 Rp 668.00
SALBUTAMOL Rp 88.00 3 Rp 264.00
CURMUNOS SYR Rp 85,800.00 1 Rp 85,800.00
Rp 12,000.00
Rp 106,800.00
OBH SYR Rp 7,920.00 1 Rp 7,920.00
AZITHROMYCIN TAB Rp 4,160.00 5 Rp 20,800.00
CURCUMA TAB Rp 1,145.00 10 Rp 11,450.00
DIAZEPAM 2MG Rp 112.00 4 Rp 448.00
NAC Rp 1,430.00 20 Rp 28,600.00
PACARSETAMOL Rp 222.00 10 Rp 2,220.00
KONI D Rp 1,188.00 10 Rp 11,880.00
THIAMEX Rp 1,170.00 20 Rp 23,400.00
ONDANSETRON TAB Rp 1,971.00 10 Rp 19,710.00
ANTASIDA DOEN Rp 76.00 10 Rp 760.00
OXYVIT Rp 1,600.00 10 Rp 16,000.00
Rp 6,000.00
Rp 154,088.00
CAL 95 Rp 6,521.00 15 Rp 97,815.00

Rp 6,000.00
Rp 103,815.00
RL Rp 9,919.00 3 Rp 29,757.00
SUCRALFAT SUSPENSI (PROMED) Rp 18,876.00 1 Rp 18,876.00

Vitamin B6 tablet 10 mg (KF) Rp 171.00 10 Rp 1,710.00
Dimenhidrinat tablet 50 mg (KF) Rp 146.00 10 Rp 1,460.00
Curcuma FCT Rp 1,145.00 5 Rp 5,725.00
Rp 6,000.00
Rp 48,751.00
Parasetamol syr 120mg/5ml (Mersi) Rp 1,536.00 10 Rp 15,360.00

Rp 6,000.00
Rp 21,360.00
BISOPROLOL Rp 328.00 20 Rp 6,560.00

AMLODIPIN Rp 260.00 10 Rp 2,600.00
CPG Rp 2,210.00 20 Rp 44,200.00
MINIASPI Rp 137.00 20 Rp 2,740.00
Rp 6,000.00
Rp 84,520.00
PRALAC SYR Rp 92,400.00 1 Rp 92,400.00

NAC Rp 1,430.00 10 Rp 14,300.00
OXYVIT Rp 1,600.00 10 Rp 16,000.00
KONI D Rp 1,188.00 10 Rp 11,880.00
Rp 6,000.00
Rp 165,420.00

OXYVIT Rp 1,600.00 10 Rp 16,000.00
KONI D Rp 1,188.00 10 Rp 11,880.00
MASNEURO Rp 924.00 10 Rp 9,240.00
CURCUMA TAB Rp 1,110.00 10 Rp 11,100.00
Rp 6,000.00
Rp 56,440.00
CAL 95 Rp 6,521.00 15 Rp 97,815.00

AB VASK 10 MG Rp 12,540.00 15 Rp 188,100.00
PROMAVIT Rp 4,356.00 15 Rp 65,340.00
L VIT D3 Rp 3,261.00 15 Rp 48,915.00
Rp 6,000.00
Rp 406,170.00
RESEP OBAT
Rp 73,748.00
Rp 40,857.00
Rp 45,834.60
Rp 8,580.00
Rp 12,389.00
Rp 27,900.00
Rp 6,064.00 BLM BAYAR
Rp 154,297.00
Rp 179,837.00
Rp 138,506.00
Rp 75,710.00
Rp 830.00
Rp 117,007.00
Rp 53,977.00
Rp 32,400.00
Rp 176,695.00
Rp 112,565.00
Rp 166,000.00
Rp 166,000.00
Rp 445,930.00
Rp 166,000.00
Rp 430,140.00
Rp 196,290.00
Rp 49,875.00
Rp 103,684.70
Rp 198,750.00
Rp 228,077.00
Rp 10,570.00
Rp 52,777.00
Rp 197,820.00
Rp 269,340.00 NEBUS RESEP SAJA
Rp 14,391.00
Rp 166,000.00
Rp 1,005,450.00
Rp 521,865.00
Rp 729,650.00
Rp 401,010.00
Rp 640,260.00
Rp 201,630.00
Rp 325,245.00
Rp 344,580.00
Rp 59,460.00
Rp 744,750.00
Rp 337,650.00
Rp 717,810.00
Rp 688,800.00
OBAT PULANG
OBAT IGD
TAMBAHAN OBAT DARI DR ADIA

PASIEN PULANG
BLM BAYAR
SUDAH BAYAR BLM ADA RESEP
BON BU SARI KATANYA MAU DIBAYAR HARI SENIN
BELUM BAYAR
BELUM ADA RESEP

BELUM BAYAR
BLM BAYAR
1,800,000.00 2,250,000.00 2,295,000.00 2,524,500.00
45,900.00
2,249,100.00

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NO NAMA BARANG SATUAN HARGA SATUAN

1.1 BAHAN MEDIS PAKAI HABIS

1,2 OBAT - OBATAN

2 ASPILETS TAB Rp 696.00

ALBUMIN FIT KAPSUL KAP 750.00 Rp 900.00

74 Cefila 100 Cefiksim 100 mg

tablet BLUD 120 20,378 22415.8 24,454 Rp 24,454

12/1/2021 1 POLI UMUM AN. HEROZA CEFADROXIL

2 poli dalam TN GANGSAR OAT KAT 1

4 POLI DALAM ZAINAL ARIFIN RANITIDIN

5 POLI DALAM NY DASMINI SANADRYL SYR

6 IGD DASRI DIAZEPAM TAB 2MG

7 POLY OBGYN PUJI R PROMAVIT

8 POLY OBGYN NY ANA SETIYANI FONT ACTIVE

9 POLY OBGYN NY SITI RUPIAH MICROGEST 100

10 POLY OBGYN NY SITI NUR KAMAH CAL 95

11 POLY OBGYN NY MILA MUTIARA PROMAVIT

12 POLY OBGYN NY SITI NURIYATUS FOLAVIT 1000 MG

13 POLY OBGYN TN SAIFUDIN MEGAZING

14 POLY OBGYN DALU ENGGARWATI PROMAVIT

15 POLY OBGYN NY MUSYAFIAH FONT ACTIVE

12/2/2021 1 POLI UMUM TN PANGAT LAGESIL

2 IGD IMAM SYAFRUDIN LAPISTAN

4 POLI OBGYN NY KHOIRUL OKTAVIA PROMAVIT

5 POLI OBGYN NOVIA PURNAMAWATI NAUSIMEX

6 POLI OBGYN ANISA ROHMAH PROMAVIT

7 POLI OBGYN BENI NOFITA SARI PROMAVIT

8 POLI OBGYN LENI H PROMAVIT

9 POLI OBGYN INDRIANA MICROGEST 100 MG

12/3/2021 1 IGD TYAS ALFATURAHMA dexamethason tab

2 POLI DALAM SRI LESTARI NY PIOGLITAZON 30

3 IGD BALQIS AN ANTASIDA SYR

5 IGD PAGI NY SURIPAH Nifedipine tab (Dexa)

6 igd zhafran stimuno

12/4/2021 1 POLI DALAM YANTO LANSOPRAZOL

2 POLI DALAM SULAMI FARSIRETIC

3 POLI UMUM UWAIS SULTHAN CEFADROXIL

4 POLI DALAM SULASMIYATI GOLDTRION

6 POLI DALAM SITI MUAYANAH SANSULIN

8 IGD AN. QONI NURUL Cefadroxil 500

2 IGD PAGI SATRIA ENGGAR DUMIN RECTAL

CETIRIZIN TAB (NULAB)

12/6/2021 1 IGD DINI HARI MUHAMMAD RAZKA STIMONO

2 POLI UMUM TRI SETYORINI CEFADROXIL

3 POLI UMUM RASIYEM CEFADROXIL

4 POLI UMUM SILFA QARIN APIALYS SYR

5 POLI UMUM OKTAVIA Cefadroxil 500

6 POLI GIGI SITI SOLEKAH Asam Mefenamat 500mg (hexphar

8 POLI UMUM RIZAL WAHYU WIRANTO Cefadroxil 500

9 POLI DALAM NY MUNARI Folavit 400 mcg

10 POLI OBGYN NY CICIK SUGIHARTI SUSU FONT ACTIVE ONE

11 POLI OBGYN NY SANIA PERMATASARI PROMAVIT

12 POLI OBGYN NY DIYAH AYU SUSU FONT ACTIVE ONE

13 POLI OBGYN NY RIKA WIDIASTUTI ANALTRAM

15 POLI OBGYN NY NIKEN PURDASARI PROMAVIT

16 POLI OBGYN NY IDHATUL INAYAH SUSU FONT ACTIVE ONE

17 POLI OBGYN UMI MUZAZAROH PROMAVIT

18 IGD MALAM NN SAFITRI CEFADROXYL CAPS

12/7/2021 1 POLI UMUM FIA NURUL H CEFADROXIL CAPS

2 POLI DALAM NY LASINEM Levofloxacin 750 mg