laporan akhir tahun pekkae

8/17/2019 Laporan Akhir Tahun Pekkae

1/549

NO NAMA BARANG SATUANHARGA SATUAN

PEROLEHAN

( RP )

1 2 3 4

1 Alat Suntik sekali pakai 1 ml Set 1,092.50

2 Alat Suntik sekali pakai 2,5 ml Set 1,038.00


4 Albendazol tabel 400 mg Tablet 425.00

5 Alopurinol tablet 100 mg Tablet 10.00

Amino!llin tablet 200 mg Tablet 93.31

" Amino!llin in#eksi Ampul 3,314.52

8 Amitriptilin $%l tablet salut 25 mg Tablet 118.00

9 Amoksisillin sirup &ering 125 mg'5 ml (tl 0 ml 2,511.00

10 Amoksisillin kapsul 250 mg &apsul 220.24

11 Antalgin )metampiron* tablet 500 mg &aplet 141.85

12 Antasida doen tablet kombinasi Tablet "3.12

13 Anti bakteri doen salep kombinasi Tube 5 gra 2,"41.00

14 Anti+emoroid doen kombinasi Supp 2,200.00

15 Antiungi doen kombinasi -ot 30 gra 2,09.33


2/549

1 Antimigrain doen kombinasi Tablet 135.00

1" Asam askorbat )it /* tablet 50 mg Tablet 35.20

18 Asetosal tablet 100 mg Tablet 110.00

19 Atropin sulat in#eksi 0,25 mg'ml 1 ml Ampul 1,353.00

20 Atropin sulat tablet 0,5 mg Tablet 81.00

21 (etametason 0,1 Tube 1,8.00

22 Sase 13,"50.00

23 eksametason in# 5 mg'ml 1ml Ampul 1,"50.00

24 eksametason tablet 0,5 mg Tablet "1.89

25 ekstrometoran +br Sirup 10 mg'5ml (tl 0 ml 1,4".40

2 ekstrometoran +br tablet 15 mg Tablet 102.00

2" iazepam n# 5 mg'ml 1 ml Ampul 2,5"8.00

28 iazepam tablet 2 mg Tablet 39.00

29 ietilkarbamazin sitrat tablet 100 mg Tablet 104.00

30 ieni+idramin +/l in# 10 mg'ml 1ml Ampul 1,05.00

31 igoksin tablet 0,25 mg Tablet 9.48

32 Ampul 1,50.00

33 takridin )6ianol* larutan 0,1 (tl 300 ml 2,354.22

34 tanol "0 (tl 1000 ml 18,9".00

35 til &lorida semprot (tl 100 ml 105,000.00

3 7enobarbital tablet 30 mg Tablet "4.00

3" 7enol gliserin tetes telinga 10 (otol 1,108.80

%atgut'benang beda+ no. 2'03'0 )plain /+romi/*

!nerin $%'bitatrat )adrenalin* in# 0, 1 1 ml


3/549

38 Ampul 1,"23.00

39 7itomenadion )it & 1* tablet salut 10 mg Tablet 40.59

40 7urosemid tablet 40 mg Tablet 89.3

41 :aram oralit untuk 200 ml air (ungkus 322.00

42 :entian iolet larutan 1 (tl 10 ml 985.00

43 :libenklamid tablet 5 mg Tablet 59.00

44 :liseril gua;akolat 100 mg Tablet 30.9

45 :lukosa larutan inus 5 steril (tl 500 ml 5,844.00

4 :riseuulin tablet 125 mg, mi/ronized Tablet 204.00

4" $aloperidol tablet 1,5 mg Tablet 4.43

48 $idroklotiazid )+/t* tablet 25 mg Tablet 39.93

49 $idrokortison krim 2,5 Tube 2,519.00

50 buproen tablet 200 mg Tablet 9.21


52 nusion set anak Set'&tg 4,000.00

53 nusion set de


4/549

0 &asa -embalut 2 m > 80 /m 6ol 11,500.00

1 &asa -embalut +idro!l 4 m > 15 /m 6ol 3,3"2.00

2 &asa -embalut +idro!l 4 m > 3 /m 6ol "32.00

3 &loramenikol kapsul 250 mg &apsul 250.00

4 &loramenikol tetes telinga 3 (tl 5 ml 1,"59.00

5 &loreniramini maleat )%T?* tablet 4 mg Tablet 23.00

&lorokuin osat tablet 250 mg Tablet 112.00

" &lorpromazin +/l tablet salut 100 mg Tablet 14.00

8 &odein $%l tablet 10 mg Tablet 51".00

9 &otrimoksazol suspensi (tl 0 ml 2,212.94

"0 &otrimoksazol de


5/549

82 -ara/etamol sirup 120 mg'5ml (tl 0 ml 1,403.0

83 -ara/etamol tablet 500 mg Tablet 84.80

84 -irantel pamoat tablet 125 mg Tablet 343.00

85 -iridoksin +/l tablet 10 mg Tablet 19.14

8 -lester 5 ;ard > 2 in/i 6ol 23,25.00

8" -rednison tablet 5 mg Tablet 5".00

88 -rimakuin tablet 15 mg Tablet 125.00

89 -ropiltiourasil tablet 100 mg Tablet 29".00

90 -ropranolol +/l tablet 40 mg Tablet 119.00

91 6inger laktat larutan inus steril (tl 500 ml 5,"20.00

92 Salbutamol tablet 2 mg Tablet "0.00

93 Salep 2 4 kombinasi -ot 1,980.00

94 Salisil bedak 2 &tk 50 gra 1,180.00

95 Sianokobalamin )it (12* in#. 500 m/g'ml Ampul 1,0".00

9 Silk )benang beda+ sutera* no. 3'0 Sase ,983.33

9" Sulasetamid natrium tetes mata 15 (otol 3,549.00

98 Tetrasiklin +/l kapsul 250 mg &apsul 189.00

99 Tetrasiklin +/l kapsul 500 mg &apsul 22.00

100 T+iamin +/l )it (1* n#. 100 m/g'ml 1 ml Ampul "30.00

101 Tablet 85.00

102 Bitamin (. kompleks tablet Tablet 24.42

103 Codium poidon larutan 10 30 ml (tl 30 ml 2,100.00

T+iamin +/l mononitrat )it (1* tablet 50mg


6/549

104 Codium poidon larutan 10 300 ml (tl 300 ml 15,950.00

105 Codium poidon larutan 10 1000 ml (tl 1000 ml

10 .B. %atet+er @o. 18 -/s 18,"00.00

10" .B. %atet+er @o. 20 -/s 18,"00.00

108 .B. %atet+er @o. 22 -/s 18,"00.00

109 .B. %atet+er @o. 24 -/s 18,"00.00

110 A/;/loir 400 mg Tablet 340.00

111 A/;/loir %ream Tube 2,3".00

112 Amlodipine Tablet Tablet

113 Amoksi/illin Tablet 500 mg &aplet 228.00

114 Asam ?eenamat 500 mg &aplet 114.84

115 %aptopril 25 mg Tablet 94.00

11 %eadro>il 500 mg &apsul 521.00

11" %iproDok>a/in tab 500 Tablet 241.00

118 %imetidine Tablet 115.52

119 %lonidine 0,15 mg Tablet 191.00

120 o>i/illin &apsul &apsul 250.00

121 r;tromi/in S;rup (tl 0 ml ",581.00

122 r;tromi/in Tablet 500 mg &aplet 912.94

123 &lorameni/ol S;rup (tl 0 ml 4,01.00

124 oratadine tablet Tablet

125 &asa -embalut 40 ; > 80 /m 6ol 130,900.00


7/549

12 ?i/onazole %ream Tube 10 gr 3,300.00

12" ?etronidasol Tablet 500 mg Tablet 183.00

128 ?eto/lopromide Tablet 93.00

129 ?etormin Tablet 105.00

130 ?agasida S;rup ' Antasida S;rup (tl 0 ml 2,"00.00

131 @atrium ikloenat Tablet 50 mg Tablet 20.00

132 @iedipin Tablet 118.00

133 -iro>i/am &apsul 10 mg &apsul "2.4"

134 -apaerin Tablet 10 mg Tablet 128.00135 6anitidine Tablet

13 Simastatine Tablet

13" $and S/+oen @o.8 &tk 100 ta 800.00

138 $and S/+oen @o." &tk 100 ta 800.00

139 $and S/+oen @o.",5 &tk 100 ta 800.00

140 Ein/ Tab Tablet 491.50

141 Bitamin ( 12 Tablet 15.00

142 (isturi -/s 1,320.00

143 tanol "0 (tl 100 ml

144145

14

TOTAL


8/549

A7

@ @A?A (A6A@: SATFA@

1 2 3 4

BAHAN MEDIS HABIS PAKAI


2 Alat Suntik sekali pakai 2,5 ml Set 1,038.00


4 Catgut/benang bedah no. 2/0–3/0 (plain & chromic) Sase 13,"50.00

5 Infusion set anak Set'&tg 4,000.00

Infusion set deasa Set'&tg 3,500.00

" !arum "ahit (bedah) no. # s/d $% Sase 33,""0.00

8 apas pembalut/absorben 2'0 gram (ks 250 mg 15,000.00

9 asa kompres %0/%0 steril (ungkus 2,200.00

10 asa embalut 2 m *0 cm 6ol 11,500.00

11 asa embalut hidrofil % m $' cm 6ol 3,3"2.00

12 asa embalut hidrofil % m 3 cm 6ol "32.00

13 lester ' +ard 2 inci 6ol 23,25.00

14 ,ilk (benang bedah sutera) no. 3/0 Sase ,983.33

15 -bbocath o. $* -/s 18,"00.00

1 -bbocath o. 20 -/s 18,"00.00

1" -bbocath o. 22 -/s 18,"00.00

18 -bbocath o. 2% -/s 18,"00.00

19 asa embalut %0 + *0 cm 6ol 130,900.00

20 and ,choen o.* &tk 100 tab 800.00

$A6:A SATFA@)6p*


9/549

21 and ,choen o. &tk 100 tab 800.00

22 and ,choen o.1' &tk 100 tab 800.00

23 isturi -/s 1,320.00

OBAT-OBATAN

1 -lbendaol tabel %00 mg Tablet 425.00

2 -lopurinol tablet $00 mg Tablet 10.003 -minofillin tablet 200 mg Tablet 93.31

4 -mitriptilin Cl tablet salut 2' mg Tablet 118.00

5 -moksisillin sirup ering $2' mg/' ml (tl 0 ml 2,511.00

-moksisillin kapsul 2'0 mg &apsul 220.24

" -ntalgin (metampiron) tablet '00 mg &aplet 141.85

8 -ntasida doen tablet kombinasi Tablet "3.12

9 -nti bakteri doen salep kombinasi Tube 5 gram 2,"41.00

10 -ntihemoroid doen kombinasi Supp 2,200.00

11 -ntifungi doen kombinasi -ot 30 gram 2,09.33

12 -ntimigrain doen kombinasi Tablet 135.0013 -sam askorbat (4it c) tablet '0 mg Tablet 35.20

14 -setosal tablet $00 mg Tablet 110.00

15 -tropin sulfat in"eksi 012' mg/ml – $ ml Ampul 1,353.00

1 etametason 01$ 5 Tube 1,8.00

1" 6eksametason in" ' mg/ml 7 $ml Ampul 1,"50.00

18 6eksametason tablet 01' mg Tablet "1.89

19 6ekstrometorfan hbr ,irup $0 mg/'ml (tl 0 ml 1,4".40

20 6ekstrometorfan hbr tablet $' mg Tablet 102.00

21 6iaepam In" ' mg/ml – $ ml Ampul 2,5"8.00

226iaepam tablet 2 mg

Tablet 39.0023 6ietilkarbamain sitrat tablet $00 mg Tablet 104.00

24 6ifenihidramin hcl in" $0 mg/ml – $ml Ampul 1,05.00

25 6igoksin tablet 012' mg Tablet 9.48

2 8finefrin C9/bitatrat (adrenalin) in" 01 $ 5 7$ ml Ampul 1,50.00

2" 8takridin (:i4anol) larutan 01$ 5 (tl 300 ml 2,354.22

28 8tanol 05 (tl 1000 ml 18,9".00

29 8til lorida semprot (tl 100 ml 105,000.00

30 ;enobarbital tablet 30 mg Tablet "4.00

31 ;enoksi metil penisillin tablet 2'0 mg Tablet

32 ;enoksi metil penisillin tablet '00 mg Tablet 33 ;enol gliserin tetes telinga $05 (otol 1,108.80

34 ;itomenadion (4it $) in"eksi $0 mg/ml – $ ml Ampul 1,"23.00

35 ;itomenadion (4it $) tablet salut $0 mg Tablet 40.59

3 ;urosemid tablet %0 mg Tablet 89.3

3"


10/549

40 ) tablet % mg Tablet 23.00

55 lorokuin fosfat tablet 2'0 mg Tablet 112.00

5 lorpromain hcl tablet salut $00 mg Tablet 14.005" odein Cl tablet $0 mg Tablet 51".00

58 otrimoksaol suspensi (tl 0 ml 2,212.94

59 otrimoksaol deasa Tablet 14.24

0 uinin sulfat tablet 222 mg ( h2o) Tablet

1 9idokain kompositum ineksi Ampul 1,485.00

2 9isol (tl 1000 ml ",01.00

3 >etilergometrin maleat tablet 01$2' mg Tablet 133.10

4 >etilergometrin in" 01200 m 7 $ ml Ampul 1,39.00

5 >etronidasol tablet 2'0 mg Tablet 12".3

atrium klorida larutan infus 01# 5 steril

(tl 500 ml 5,390.00" ?bat batuk hitam (?..) cairan (tl 100 ml 1,339.80

8 ?ksitetrasiklin C9 salep 3 5 Tube 1,4.00

9 ?ksitetrasiklin C9 salep mata Tube 1,80.00

"0 ?ksitosin in"eksi $0 ui/ml – $ ml Ampul 2,000.00

"1 aracetamol sirup $20 mg/'ml (tl 0 ml 1,403.0

"2 aracetamol tablet '00 mg Tablet 84.80

"3 irantel pamoat tablet 3@' mg Tablet 343.00

"4 iridoksin hcl tablet $0 mg Tablet 19.14

"5 rednison tablet ' mg Tablet 5".00

" rimakuin tablet $' mg Tablet 125.00

"" ropiltiourasil tablet $00 mg Tablet 29".00

"8 ropranolol hcl tablet %0 mg Tablet 119.00

"9 :eserpin tablet 012' mg Tablet

80 :inger laktat larutan infus steril (tl 500 ml 5,"20.00

81 ,albutamol tablet 2 mg Tablet "0.00

82 ,alep 2 7 % kombinasi -ot 1,980.00

83 ,alisil bedak 25 &tk 50 gram 1,180.00

84 ,emen seng fosfat serbuk dan cairan Set G30 g'b


11/549

85 ,ianokobalamin (4it $2) in". '00 mcg/ml Ampul 1,0".00

8 ,ulfasetamid natrium tetes mata $' 5 (otol 3,549.00

8" =etrasiklin hcl kapsul 2'0 mg &apsul 189.00

88 =etrasiklin hcl kapsul '00 mg &apsul 22.00

89 =hiamin hcl (4it $) In". $00 mcg/ml 7 $ ml Ampul "30.00

90 =hiamin hcl mononitrat (4it $) tablet '0 mg Tablet 41.58

91 Aitamin . kompleks tablet Tablet 24.4292 Bodium po4idon larutan $05 30 ml (tl 30 ml 2,100.00

93 Bodium po4idon larutan $05 300 ml (tl 300 ml 15,950.00

94 -moksicillin =ablet '00 mg &aplet 228.00

95 -sam >efenamat '00 mg &aplet 114.84

9 Captopril 2' mg Tablet 94.00

9" Cefadroil '00 mg &apsul 521.00

98 Ciproflokacin tab '00 Tablet 241.00

99 Cimetidine Tablet 115.52

100 Clonidine 01$' mg Tablet 191.00

101 6oicillin apsul &apsul 250.00102 8r+tromicin ,+rup (tl 0 ml ",581.00

103 8r+tromicin =ablet '00 mg &aplet 912.94

104 loramfenicol ,+rup (tl 0 ml 4,01.00

105 >iconaole Cream Tube 10 gra 3,300.00

10 >etronidasol =ablet '00 mg Tablet 183.00

10" >agasida ,+rup / -ntasida ,+rup (tl 0 ml 2,"00.00

108 atrium 6iklofenat =ablet '0 mg Tablet 20.00

109 ifedipin Tablet 118.00

110 iroicam apsul $0 mg &apsul "2.4"

111 apa4erin =ablet $0 mg Tablet 128.00112 inc =ab Tablet 491.50

TOTAL


12/549

DAFTAR PERHITU

UPTD KESEHA

PER 31

STOK AWAL 2014

PERSEDIAAN PENERIMAAN PEMAKAIAN

VOLUME JML HARGA

VOLUME JML HARGA

VOLUME JML HARGA

( RP) ( RP ) ( RP )

5 ! 4 " 5 # $ ! 4 " # % 10 ! 4 " %

158 1"2,15.00 "00 "4,"50.00 ""8 849,95.00

129 133,902.00 2150 2,231,"00.00 20"9 2,158,002.00

245 254,310.00 450 4",100.00 395 410,010.00

0 0 0

200 21,200.00 3500 3"1,000.00 300 381,00.00

2000 18,20.00 0 0

0 0 0

0 0 0

10 401,"0.00 890 2,234,"90.00 1050 2,3,550.00

2280 502,14".20 30000 ,0",200.00 28440 ,23,25.0

2200 312,0"0.00 1000 2,29,00.00 1"000 2,411,450.00

3000 219,30.00 3500 2,8,880.00 38400 2,80",808.00

0 0 0

0 0 0

49 102,"20.1" 228 4"",93.24 229 480,059.5"


13/549

0 0 0

2000 "0,400.00 20000 "04,000.00 22000 ""4,400.00

0 0 0

30 40,590.00 0 81,180.00 0

0 200 1,200.00 100 8,100.00

0 0 0

34 4",500.00 18 2,310,000.00 1"2 2,35,000.00

100 1"5,000.00 0 0

5200 3"3,828.00 8500 11,05.00 1000 "2,034.00

80 11",392.00 30 44,022.00 110 11,414.00

4500 459,000.00 3800 38",00.00 8300 84,00.00

40 103,120.00 0 0

0 0 0

0 0 0

30 31,80.00 0 0

900 8,832.00 300 28,944.00 00 5",888.00

0 0 0

5 11,""1.10 5 11,""1.10 10 23,542.20

2 3",394.00 33 1",001.00 35 54,395.00

30,000.00 21 2,205,000.00 2" 2,835,000.00

0 5000 3"0,000.00 4000 29,000.00

0 0 0


14/549

0 90 155,0"0.00 0

0 "00 448,413.00 00 384,354.00

500 44,815.00 100 8,93.00 500 44,815.00

0 2200 "08,400.00 2200 "08,400.00

100 98,500.00 12" 125,095.00 19 1,45.00

300 1","00.00 ""00 454,300.00 100 359,900.00

5000 153,450.00 5000 153,450.00 10000 30,900.00

80 4",520.00 135 "88,940.00 155 905,820.00

400 81,00.00 300 1,200.00 "00 142,800.00

200 12,88.00 "00 45,101.00 00 38,58.00

0 0 0

113 284,4".00 492 1,239,348.00 485 1,221,"15.00

0 400 38,484.00 400 38,484.00

0 0 0

85 340,000.00 1"1 84,000.00 25 1,024,000.00

91 318,500.00 "80 2,"30,000.00 8"1 3,048,500.00

100 10,100.00 400 40,400.00 300 30,300.00

2 ",540.00 " 23,390.00 " 23,390.00

0 0 0

0 "2 1,080,000.00 3 945,000.00

100 2,"00.00 500 133,500.00 00 10,200.00

8 189,200.00 80 1",000.00 150 330,000.00


15/549

5 5",500.00 0 90,000.00 55 32,500.00

50 18,00.00 "10 2,394,120.00 "30 2,41,50.00

0 130 95,10.00 115 84,180.00

0

0

8000 184,000.00 39000 89",000.00 4"000 1,081,000.00

3000 33,000.00 0 1000 112,000.00

0 1000 14,000.00 0

0

158 349,44.52 135 298,"4.90 155 343,005."0

2400 350,9".00 3800 555,"12.00 5000 "31,200.00

0

0 89,100.00 "80 1,158,300.00 840 1,24",400.00

402,09.00 " 49,112.00 12 804,192.00

0 0 0

10 1,390.00 0 98,340.00 55 90,145.00

300 38,289.00 800 102,104.00 400 51,052.00

20 10",800.00 2"0 1,455,300.00 290 1,53,100.00

48 4,310.40 3 48,232.80 84 112,543.20

100 14,00.00 400 58,400.00 500 823,000.00

20 33,00.00 400 "2,000.00 295 495,00.00

" 134,000.00 15 30,000.00 82 14,000.00


16/549

108 151,588.80 300 421,080.00 408 5"2,8.80

1500 12",200.00 300 534,240.00 "800 1,440.00

300 102,900.00 280 9,040.00 490 18,0"0.00

4000 ",50.00 11000 210,540.00 15000 28",100.00

1 23,25.00 39 921,3"5.00 40 945,000.00

3000 1"1,000.00 12000 84,000.00 15000 855,000.00

0 0 0

200 59,400.00 2400 "12,800.00 1800 534,00.00

0 500 59,500.00 200 23,800.00

0 380 22,0"9,200.00 30 20,935,200.00

500 35,000.00 3800 2,000.00 4200 294,000.00

0 0 0

2" 31,80.00 80 94,400.00 10" 12,20.00

"" 82,159.00 450 480,150.00 32" 348,909.00

3 251,399.88 252 1,"59,"99.1 252 1,"59,"99.1

24 85,1".00 24 85,1".00 48 1"0,352.00

3000 5",000.00 0 3000 5",000.00

0 0 0

19 13,8"0.00 300 219,000.00 139 101,4"0.00

0 0 0

1000 24,420.00 15000 3,300.00 1000 390,"20.00

0 23 48,300.00 23 48,300.00


17/549

0 0 0

0 0 0

10 18",000.00 105 1,93,500.00 110 2,05",000.00

"4 1,383,800.00 350 ,545,000.00 424 ",928,800.00

18 33,00.00 305 5,"03,500.00 323 ,040,100.00

1,234,200.00 290 5,423,000.00 35 ,5",200.00

0 100 34,000.00 100 34,000.00

25 59,1"5.00 25 59,1"5.00

0 0 0

""00 1,"55,00.00 49800 11,354,400.00 4"00 10,852,800.00

100 11,484.00 5200 59",18.00 5300 08,52.00

200 18,800.00 3500 329,000.00 3"00 34",800.00

0 200 104,200.00 200 104,200.00

200 48,200.00 400 9,400.00 00 144,00.00

1300 150,1".00 4200 485,184.00 5500 35,30.00

0 500 95,500.00 200 38,200.00

400 100,000.00 00 150,000.00 300 "5,000.00

80 0,480.00 90 82,290.00 150 1,13",150.00

"00 39,058.00 00 54","4.00 1100 1,004,234.00

0 0 0

0 0 0

5 54,500.00 25 3,2"2,500.00 25 3,2"2,500.00


18/549

"2 23",00.00 30 1,188,000.00 33 1,108,800.00

0 5800 1,01,400.00 4200 "8,00.00

0 4100 381,300.00 3000 2"9,000.00

0 0 0

51 13","00.00 201 542,"00.00 252 80,400.00

0 1400 288,400.00 1400 288,400.00

0 0 0

0 0 0

2000 25,000.00 5000 40,000.00 4000 512,000.000 0 0

0 00 00

100 80,000.00 "00 50,000.00 00 480,000.00

0 100 80,000.00 100 80,000.00

0 2000 1,00,000.00 1800 1,440,000.00

0 300 1,"9,400.00 300 1,"9,400.00

1000 15,000.00 1000 15,000.00

0 "5 99,000.00 "5 99,000.00

0 0 0

&&& 11%'21'02%20 125'3#%'$223


19/549

TA6 -6$TF@:A@ -6SAA@ (A6A@:

-T &S$ATA@ -FS&S?AS -&&A

-6 31 S?(6 2013

-6SAA@ -@6?AA@ -?A&AA@

BF? =? $A6:A )6p* BF? =? $A6:A )6p* BF? =? $A6:A )6p*

5 " 8 9 10

150 13,8"5.00 "50 819,3"5.00 "42 810,35.00

30 31,140.00 2800 2,90,400.00 2"01 2,803,38.00

140 145,320.00 550 5"0,900.00 445 41,910.00

3" 508,"50.00 204 2,805,000.00 20" 2,84,250.00

18 "2,000.00 305 1,220,000.00 238 952,000.00

90 315,000.00 1150 4,025,000.00 1149 4,021,500.00

2 ",540.00 12 405,240.00 12 405,240.00

10 150,000.00 "5 1,125,000.00 85 1,2"5,000.00

0. 1,320.00 8" 191,400.00 "0.4 154,880.00

3 34,500.00 55 32,500.00 53 09,500.00

0 854 2,8"9,88.00 804 2,"11,088.00

0 40 29,280.00 40 29,280.00

0 " 1,582,8"5.00 1,559,250.00

3 251,399.88 21 1,508,399.28 21 1,508,399.28

0 124 2,318,800.00 114 2,131,800.00

111 2,0"5,"00.00 32 ,"9,400.00 399 ",41,300.00

83 1,552,100.00 510 9,53",000.00 5"5 10,"52,500.00

9" 1,813,900.00 389 ",2"4,300.00 420 ",854,000.00

2 21,800.00 2 3,403,400.00 23 3,010,"00.00

0 200 10,000.00 100 80,000.00


20/549

0 "00 50,000.00 "00 50,000.00

0 800 40,000.00 800 40,000.00

0 92 121,440.00 92 121,440.00

0 0 0

100 10,00.00 5100 540,00.00 5000 530,000.001000 93,310.00 3000 2"9,930.00 2000 18,20.00

0 200 23,00.00 200 23,00.00

15" 394,22".00 2325 5,838,0"5.00 2322 5,830,542.00

1440 31",145.0 10080 2,220,019.20 9240 2,035,01".0

9900 1,404,315.00 19000 2,95,150.00 2"00 3,"8",395.00

"400 541,088.00 2000 4,533,440.00 400 4,855,18.00

0 0 0

40 88,000.00 50 1,430,000.00 90 1,518,000.00

"2 150,935." 84 1",091."2 10" 224,30".31

0 0 0 10000 352,000.00 85000 2,992,000.00 93000 3,2"3,00.00

0 0 0

30 40,590.00 0 0

10 1,80.00 ""5 1,292,"00.00 "85 1,309,380.00

100 1"5,000.00 100 1"5,000.00 100 1"5,000.00

0 3"00 2,"03,04.00 32400 2,329,23.00

50 "3,3"0.00 40 "5,004.00 430 30,982.00

1000 102,000.00 200 2,"13,200.00 23100 2,35,200.00

30 "",340.00 "0 180,40.00 0 154,80.00

3000 11",000.00 12000 48,000.00 15000 585,000.000 300 31,200.00 300 31,200.00

0 3,30.00 40 42,240.00 "0 "3,920.00

300 28,944.00 2400 231,552.00 1800 1"3,4.00

0 10 1,500.00 10 1,500.00

" 1,4"9.54 41 9,523.02 43 101,231.4

0 5" 1,05,"29.00 55 1,028,335.00

2 210,000.00 48 5,040,000.00 44 4,20,000.00

5000 3"0,000.00 1000 "4,000.00 000 444,000.00

0 0 0

0 0 0 14 15,523.20 0 14 15,523.20

90 155,0"0.00 150 258,450.00 240 413,520.00

0 900 5",531.00 900 5",531.00

200 1",92.00 4100 3",483.00 3800 340,594.00

0 800 2,189,00.00 800 2,189,00.00

30 29,550.00 410 403,850.00 340 334,900.00

1200 "0,800.00 8400 495,00.00 9300 548,"00.00


21/549

3000 92,0"0.00 9000 2,11",10.00 "000 2,05,230.00

"5 438,300.00 180 1,051,920.00 1"5 1,022,"00.00

1200 244,800.00 2800 5"1,200.00 300 "34,400.00

0 0 0

200 12,88.00 900 5",98".00 900 5",98".00

4000 159,"20.00 5000 199,50.00 9000 359,3"0.00

55 138,545.00 1008 2,539,152.00 950 2,393,050.001500 144,315.00 900 923,1.00 11100 1,0",931.00

900 13",250.00 4100 25,250.00 5000 "2,500.00

200 20,200.00 00 0,00.00 "00 "0,"00.00

1000 5",200.00 11000 29,200.00 12000 8,400.00

100 2,"00.00 1200 320,400.00 1200 320,400.00

1000 250,000.00 1"50 43",500.00 2"50 8",500.00

24 42,21.00 "8 13",202.00 102 1"9,418.00

11000 253,000.00 94000 2,12,000.00 9"000 2,231,000.00

1000 112,000.00 000 "2,000.00 4000 448,000.00

1000 14,000.00 2000 292,000.00 3000 438,000.000 "50 38","50.00 "50 38","50.00

135 298,"4.90 580 1,283,505.20 55" 1,232,0".58

2200 321,"28.00 15000 2,193,00.00 14800 2,14,352.00

0 0 0

0 9"5 1,44",8"5.00 915 1,358,""5.00

3 201,048.00 25 1,"5,400.00 22 1,4"4,352.00

0 1400 18,340.00 1400 18,340.00

20 32,"80.00 115 188,485.00 125 204,8"5.00

0 2500 319,0"5.00 2200 280,"8.00

25 134,"50.00 210 1,131,900.00 215 1,158,850.0028 3",514.40 382 511,803.0 32 485,00".0

20 32,920.00 1025 1,8",150.00 945 1,555,4"0.00

15 25,200.00 4"5 "98,000.00 4"0 "89,00.00

30 0,000.00 520 1,040,000.00 483 9,000.00

140 19,504.00 100 2,245,"0.00 132 2,290,"5.20

8200 95,30.00 "8000 ,14,400.00 84"00 ",182,50.00

10 54,880.00 2200 "54,00.00 200 "0,580.00

3000 5",420.00 4000 1,224,90.00 3000 1,205,820.00

2000 114,000.00 49000 2,"93,000.00 48000 2,"3,000.00

1000 125,000.00 0 1000 125,000.00

400 118,800.00 2300 83,100.00 2500 "42,500.00

400 4",00.00 800 95,200.00 1200 142,800.00

0 0 0

220 1,258,400.00 29"5 1",01",000.00 3195 18,2"5,400.00

800 5,000.00 300 252,000.00 3900 2"3,000.00

0 118,800.00 552 1,092,90.00 12 1,211,"0.00

48 5,40.00 "9 939,280.00 81" 94,00.00

0 0 0


22/549

0 450 480,150.00 3"3 39",991.00

0 9 340,"04.00 "2 255,528.00

0 20000 3,"80,000.00 1"000 3,213,000.00

400 90,400.00 900 203,400.00 1300 293,800.00

0 280 204,400.00 21 190,530.00

"000 291,00.00 "2000 2,993,"0.00 "9000 3,284,820.00

9000 219,"80.00 99000 2,41",580.00 10"000 2,12,940.000 5 11",00.00 5 11",00.00

0 19 303,050.00 19 303,050.00

5200 1,185,00.00 12000 28,"28,000.00 123500 28,158,000.00

0 12500 1,435,500.00 12400 1,424,01.00

1200 112,800.00 20"00 1,945,800.00 21"00 2,039,800.00

0 000 3,12,000.00 000 3,12,000.00

800 192,800.00 "300 1,"59,300.00 "900 1,903,900.00

1000 115,520.00 11300 1,305,3".00 11000 1,2"0,"20.00

200 38,200.00 0 200 38,200.00

200 50,000.00 200 50,000.00 2400 00,000.0013 98,553.00 245 1,85",345.00 1"8 1,349,418.00

900 821,4.00 400 5,842,81.00 00 ,025,404.00

1 4,25.00 10 40,10.00 2 104,41.00

24 "9,200.00 "08 2,33,400.00 0 2,1"8,000.00

300 54,900.00 4"00 80,100.00 5000 915,000.00

"1 191,"00.00 515 1,390,500.00 535 1,444,500.00

200 41,200.00 50 1,39,900.00 850 1,411,100.00

200 23,00.00 1900 224,200.00 2100 24",800.00

400 28,988.00 4300 311,21.00 4"00 340,09.00

0 18000 2,304,000.00 1000 2,048,000.00900 442,350.00 4300 2,113,450.00 5200 2,555,800.00

22,83",445.28 219,112,532.02 222,939,"05.23

-ekkae, 31 e

K*+,+ UPTD K.+/

D IDRIS' SKM

@-. 19580510 198


23/549

GAN PERSEDIAAN BARANG

AN PUSKESMAS PEKKAE

DESEMBER 2014

SISA HARGA SATUAN PENERIMAAN PE

VOLUME JML HARGA PEROLEHAN

VOLUME JML HARGA

VOLUME( RP ) ( RP ) ( RP )

1 ! (5#) - % 12 ! 4 " 11 13 14 15 ! 13 " 14 1

80 8",400.00 1,092.50 0 0

200 20",00.00 1,038.00 0 0

300 311,400.00 1,038.00 0 0

0 33.00 0 0

100 10,00.00 90.00 200 18,000.00 0

2000 18,20.00 8.00 0 0

0 4,200.00 15 3,000.00 0

0 0 0

0 2,50.00 450 1,152,000.00 225

3840 845,"21.0 220.00 0 0

1200 1"0,220.00 141.85 0

1100 80,432.00 "8.00 0

0 2,"".00 150 415,050.00 85

0 0

48 100,23.84 0


24/549

0 149.00 200 29,800.00 200

0 105.00 10500 1,102,500.00 8800

0 0 0

90 121,""0.00 0 0

100 8,100.00 0 0

0 1,59.00 400 38,400.00 2"5

30 412,500.00 12,833.33 0 0

100 1"5,000.00 1,"38.00 0 0

3100 222,859.00 "4.00 0 0

0 1,4".40 0 0

0 102.00 0 0

40 103,120.00 2,5"8.00 0 0

0 39.00 0 0

0 104.00 0 0

30 31,80.00 1,15.00 0 0

00 5",888.00 103.00 0 0

0 8,910.00 30 2",300.00 0

0 3,328.00 3 9,984.00 1

0 0 0

0 105,000.00 0 0

1000 "4,000.00 0 0

0 1,108.00 0 0


25/549

90 155,0"0.00 3,"54.00 0 0

100 4,059.00 90.00 100 9,000.00 0

100 8,93.00 84.00 0 0

0 31".00 200 824,200.00 1400

58 5",130.00 0 0

1900 112,100.00 1.00 0 0

0 92.00 4000 38,01.00 200

0 350,40.00 5,"20.00 0 0

0 241.00 1200 289,200.00 800

300 19,329.00 0 0

0 39.93 0 0

120 302,280.00 2,938.00 0 0

0 121.00 1000 121,000.00 100

0 15".00 "00 1,051,900.00 5400

0 ","00.00 10 "",000.00 10

0 ","00.00 20 2,002,000.00 20

200 20,200.00 98.00 0 0

2 ",540.00 33,""0.00 0 0

0 ".00 0 0

9 135,000.00 15,000.00 0 0

0 29.00 0 0

1 35,200.00 1,430.00 0 0


26/549

10 115,000.00 8,"99.00 0 0

30 101,10.00 3,3"2.00 0 0

15 10,980.00 "32.00 0 0

0 210.00 500 105,000.50 0

0 0 0

0 85.09 10000 850,900.00 2000

2000 224,000.00 0 0

1000 14,000.00 15.00 0 0

0 550.00 0 0

138 305,385."2 2,298.00 0 0

1200 1"5,488.00 152.00 2200 334,400.00 0

0 0 0

0 1,499.00 0 0

1 ",01.00 0 0

0 0 0

15 24,585.00 0 0

"00 89,341.00 11.00 0 0

0 5,1"0.00 100 51",000.00 20

0 0 0

0 0 0

125 210,000.00 0 0

0 0 0


27/549

0 1,535.00 8"0 1,335,450.00 90

0 88.00 40000 3,520,000.00 3"000

90 30,8"0.00 105,00.00 0 0

0 19.14 0 0

0 2",000.00 14 3"8,000.00 14

0 5".00 0 0

0 125.00 0 0

800 23",00.00 351.00 0 0

300 35,"00.00 114.00 0 0

200 1,144,000.00 5,"20.00 0 0

100 ",000.00 5.00 0 0

0 2,200.00 120 24,000.00 9

0 1,350.00 100 135,000.00 "5

200 213,400.00 1,0".00 0 0

3 251,399.88 ,983.00 0 0

0 3,549.00 0 0

0 12.00 1000 12,000.00 0

0 325.00 2000 50,000.00 0

180 131,400.00 "30.00 0 0

0 85.00 0 0

0 112.00 000 "2,000.00 800

0 2,344.00 0 0


28/549

0 15,38.00 0 0

0 40,202.00 " 281,414.00 2

5 93,500.00 18,"00.00 5 93,500.00 0

0 18,"00.00 100 1,8"0,000.00 100

0 18,"00.00 120 2,244,000.00 120

0 18,"00.00 "0 1,309,000.00 "0

0 32.00 1500 543,000.00 "00

0 3,150.40 50 15",520.00 5

0 352.00 930 32",30.00 0

9900 2,25",200.00 292.00 0 0

0 122.00 2500 305,000.00 2300

0 100.00 8500 850,000.00 100

0 529.00 3200 1,92,800.00 3100

0 25.00 2500 2,500.00 1300

0 114.90 1500 1"2,350.00 0

300 5",300.00 224.00 0 0

"00 1"5,000.00 253.00 300 "5,900.00 0

20 151,20.00 8,090.00 0 0

200 182,588.00 1,023.00 0 0

0 4,050.00 20 81,000.00 0

0 1"0.00 800 13,000.00 "00

5 54,500.00 130,900.00 0 0


29/549

9 31,800.00 3,150.00 0 0

100 292,800.00 19.00 0 0

1100 102,300.00 0 0

0 118.50 "00 82,950.00 0

0 2,300.00 250 5"5,000.00 130

0 193.00 300 94,800.00 3500

0 12".00 1000 12",000.00 400

0 9".02 1000 9",020.00 400

3000 384,000.00 128.00 0 00 132.00 2800 39,00.00 2400

0 1"".00 3000 531,000.00 1800

200 10,000.00 800.00 0 0

0 800.00 0 0

200 10,000.00 800.00 0 0

0 521.00 2500 1,302,500.00 900

0 15.00

0 1,320.00

0 2,25.00 0 15",500.00 42

13'042'%#%04 32'10'$1450

K*+,+


30/549

SSA -6SAA@

&TBF? =? $A6:A )6p*

11 12 13

158 1"2,15.00

129 133,902.00

245 254,310.00

34 4",500.00

85 340,000.00

91 318,500.00

2 ",540.00

0

1".2 3",840.00

5 5",500.00

50 18,00.00

0

1 23,25.00

3 251,399.88

10 18",000.00

"4 1,383,800.00

18 33,00.00

1,234,200.00

5 54,500.00

100 80,000.00


31/549

0

0

0

0

200 21,200.002000 18,20.00

0

10 401,"0.00

2280 502,14".20

2200 312,0"0.00

3000 219,30.00

0

0

49 102,"20.1"

0 2000 "0,400.00

0

30 40,590.00

0

100 1"5,000.00

5200 3"3,828.00

80 11",392.00

4500 459,000.00

40 103,120.00

0 0

30 31,80.00

900 8,832.00

0

5 11,""1.10

2 3",394.00

30,000.00

0

0

0 0

0

0

500 44,815.00

0

100 98,500.00

300 1","00.00


32/549

5000 153,450.00

80 4",520.00

400 81,00.00

0

200 12,88.00

0

113 284,4".000

0

100 10,100.00

0

100 2,"00.00

0

0

8000 184,000.00

3000 33,000.00

0 0

158 349,44.52

2400 350,9".00

0

0 89,100.00

402,09.00

0

10 1,390.00

300 38,289.00

20 10",800.0048 4,310.40

100 14,00.00

20 33,00.00

" 134,000.00

108 151,588.80

1500 12",200.00

300 102,900.00

4000 ",50.00

3000 1"1,000.00

0

200 59,400.00

0

0

0

500 35,000.00

0

2" 31,80.00

0


33/549


34/549

PENAMBAHAN 2014SISA PE

MAKAIAN SISA

JML HARGAVOLUME

JML HARGAVOLUME

( RP ) ( RP )

1# ! 13 " 1 1$ 1% ! 14 -1$ 20 ! 11 1$

0 80

0 200

0 300

0 0

200 18,000.00 300

0 2000

15 3,000.00 15

0 0

5",000.00 225 5",000.00 225

0 3840

0 1200

0 1100

235,195.00 5 1"9,855.00 5

0 0

0 48


35/549

29,800.00 0 0

924,000.00 1"00 1"8,500.00 1"00

0 0

0 90

0 100

438,900.00 125 199,500.00 125

0 30

0 100

0 3100

0 0

0 0

0 40

0 0

0 0

0 30

0 00

30 2",300.00 30

3,328.00 2 ,5.00 2

0 0

0 0

0 1000

0 0


36/549

0 90

100 9,000.00 200

0 100

443,800.00 1200 380,400.00 1200

0 58

0 1900

18,400.80 3800 349,15.20 3800

0 0

192,800.00 400 9,400.00 400

0 300

0 0

0 120

12,100.00 900 108,900.00 900

84",800.00 1300 204,100.00 1300

"",000.00 0 0

2,002,000.00 0 0

0 200

0 2

0 0

0 9

0 0

0 1


37/549

0 10

0 30

0 15

500 105,000.50 500

0 0

1"0,180.00 8000 80,"20.00 8000

0 2000

0 1000

0 0

0 138

2200 334,400.00 3400

0 0

0 0

0 1

0 0

0 15

0 "00

103,400.00 80 413,00.00 80

0 0

0 0

0 125

0 0


38/549

1,059,150.00 180 2",300.00 180

3,25,000.00 3000 24,000.00 3000

0 90

0 0

3"8,000.00 0 0

0 0

0 0

0 800

0 300

0 200

0 100

211,200.00 24 52,800.00 24

101,250.00 25 33,"50.00 25

0 200

0 3

0 0

1000 12,000.00 1000

2000 50,000.00 2000

0 180

0 0

89,00.00 5200 582,400.00 5200

0 0 Codium poidon larutan 1030 ml


39/549

0 0

80,404.00 5 201,010.00 5

.B. %atet+er @o. 18 5 93,500.00 10

1,8"0,000.00 .B. %atet+er @o. 20 0 0

2,244,000.00 .B. %atet+er @o. 22 0 0

1,309,000.00 .B. %atet+er @o. 24 0 0

253,400.00 A/;/loir 400 mg 800 289,00.00 800

15,"52.00 A/;/loir %ream 45 141,"8.00 45

232,320.00 Amlodipine Tablet 2"0 95,040.00 2"0

Amoksi/illin Tablet 500 mg 0 9900

280,00.00 Asam ?eenamat 500 mg 200 24,400.00 200

10,000.00 %aptopril 25 mg 2400 240,000.00 2400

1,39,900.00 %eadro>il 500 mg 100 52,900.00 100

344,500.00 %iproDok>a/in tab 500 1200 318,000.00 1200

%imetidine 1500 1"2,350.00 1500

%lonidine 0,15 mg 0 300

o>i/illin &apsul 300 "5,900.00 1000

r;tromi/in S;rup 0 20

r;tromi/in Tablet 500 mg 0 200

&lorameni/ol S;rup 20 81,000.00 20

119,000.00 oratadine tablet 100 1",000.00 100

&asa -embalut 40 ; > 80 /m 0 5

Codium poidon larutan 10300 ml

Codium poidon larutan 101000 ml


40/549

?i/onazole %ream 0 9

?etronidasol Tablet 500 mg 0 100

?eto/lopromide 0 1100

?etormin "00 82,950.00 "00

299,000.00 ?agasida S;rup ' Antasida S; 120 2",000.00 120

"5,500.00 @atrium ikloenat Tablet 50 100 19,300.00 100

50,800.00 @iedipin 00 ",200.00 00

38,808.00 -iro>i/am &apsul 10 mg 00 58,212.00 00

-apaerin Tablet 10 mg 0 3000 31,800.00 6anitidine 400 52,800.00 400

318,00.00 Simastatine 1200 212,400.00 1200

$and S/+oen @o.8 0 200

$and S/+oen @o." 0 0

$and S/+oen @o.",5 0 200

48,900.00 Ein/ Tab 100 833,00.00 100

Bitamin ( 12

(isturi 0 0

110,250.00 tanol "0 18 4",250.00 18

22'44#'43#$0 %'#13'3##0

-ekkae, 31 esember 2014

PTD K.+/+ P+ P+

H TASWI' S F+' A*/

@-. 19"00413 199103 1 00


41/549


42/549


43/549


44/549


45/549

SEDIAAN 2014

JML HARGA

( RP )

21 ! 13 " 20

8",400.00

20",00.00

311,400.00

28,00.00

18,20.00

3,000.00

5",000.00

845,"21.0

1"0,220.00

80,432.00

1"9,855.00

100,23.84


46/549

1"8,500.00

121,""0.00

8,100.00

199,500.00

412,500.00

1"5,000.00

222,859.00

103,120.00

31,80.00

5",888.00

2",300.00

,5.00

"4,000.00


47/549

155,0"0.00

133,059.00

8,93.00

380,400.00

5",130.00

112,100.00

349,15.20

350,40.00

9,400.00

19,329.00

302,280.00

108,900.00

204,100.00

20,200.00

",540.00

135,000.00

35,200.00


48/549

115,000.00

101,10.00

10,980.00

105,000.50

80,"20.00

224,000.00

14,000.00

305,385."2

509,888.00

",01.00

24,585.00

89,341.00

413,00.00

210,000.00


49/549

2",300.00

24,000.00

30,8"0.00

23",00.00

35,"00.00

1,144,000.00

",000.00

52,800.00

33,"50.00

213,400.00

251,399.88

12,000.00

50,000.00

131,400.00

582,400.00


50/549

201,010.00

18",000.00

289,00.00

141,"8.00

95,040.00

2,25",200.00

24,400.00

240,000.00

52,900.00

318,000.00

1"2,350.00

5",300.00

250,900.00

151,20.00

182,588.00

81,000.00

1",000.00

54,500.00


51/549

31,800.00

292,800.00

102,300.00

82,950.00

2",000.00

19,300.00

",200.00

58,212.00

384,000.0052,800.00

212,400.00

10,000.00

10,000.00

833,00.00

4",250.00

22'#5'355#4


52/549


53/549


54/549


55/549


56/549

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


57/549

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


58/549

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


59/549


60/549

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


61/549

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0


62/549

0


63/549


64/549


65/549


66/549


67/549

A7TA6 -6$TF@:A@ -6SAA@ (A6A@

F-T &S$ATA@ -FS&S?AS

-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*1 2 3 4 5 H 4 I 5

1 Alat Suntik Sekali -akai 1 ml Set 1,092.50 5 5,42.50

2 Alat Suntik Sekali -akai 2,5 ml Set 1,038.00 1 1,038.00

TOTAL '50050

P


68/549

A7TA6 -6$TF@:A@ -6SAA@ (A6A@:


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Sase 13,"50.00 5 8,"50.00

2 tanol "0 (tl 100 ml 0

3 :lukosa larutan inus 5 steril (tl 500 ml 5,844.00 19 111,03.00

4 &asa -embalut 2 m > 80 /m 6ol 11,500.00 10 115,000.00

5 6inger laktat larutan inus steril (tl 500 ml 5,"20.00 3 1",10.00

TOTAL 311'%400



69/549

P+

A7TA6 -6$TF@:A@ -6SAA@ (A6


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 idokain kompositum in#eksi Ampul 1,485.00 9 13,35.00

2 Alat Suntik Sekali -akai 2,5 ml Set 1,038.00 15 15,5"0.00


70/549

TOTAL 2$'%3500

P+

A7TA6 -6$TF@:A@ -6SAA@


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Antasida doen tablet kombinasi Tablet "3.12 300 21,93.00

2 :libenklamid tablet 5 mg Tablet 59.00 500 29,500.00


71/549

3 -ara/etamol tablet 500 mg Tablet 84.80 0

4 -iridoksin +/l tablet 10 mg Tablet 19.14 "00 13,398.00

5 -rednison tablet 5 mg Tablet 5".00 300 1",100.00

TOTAL 81,934.00

A7TA6 -6$TF@:A@ -6SAA@F-T &S$ATA@ -FS&S?AS

-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@ =? $A6:A


72/549

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Alat Suntik sekali pakai 1 ml Set 1,092.50 8 8,"40.00

2 Alat Suntik sekali pakai 2,5 ml Set 1,038.00 45 4,"10.00

3 Alat Suntik sekali pakai 5 ml Set 1,038.00 3" 38,40.00

4 Alopurinol tablet 100 mg Tablet 10.00 100 10,00.00


Amoksisillin kapsul 250 mg &apsul 220.24 30 "9,28.40

" Antalgin )metampiron* tablet 500 mg &aplet 141.85 220 31,20".008 Antasida doen tablet kombinasi Tablet "3.12 200 14,24.00


10 Asam askorbat )it /* tablet 50 mg Tablet 35.20

11 Atropin sulat in#eksi 0,25 mg'ml 1 ml Ampul 1,353.00 3 4,059.00

12 Sase 13,"50.003 41,250.00

13 eksametason tablet 0,5 mg Tablet "1.89 120 8,2.80

14 iazepam n# 5 mg'ml 1 ml Ampul 2,5"8.00 14 3,092.00

15 tanol "0 (tl 100 ml

1 7urosemid tablet 40 mg Tablet 89.3 90 8,0."0

1" :aram oralit untuk 200 ml air (ungkus 322.00


19 :liseril gua;akolat 100 mg Tablet 30.9

20 :riseuulin tablet 125 mg, mi/ronized Tablet 204.00 100 20,400.00

21 $idrokortison krim 2,5 Tube 2,519.00 8 20,152.00


23 nusion set anak Set'&tg 4,000.00

24 sosorbid dinitrat tablet sublingual 5 mg Tablet 101.00 0 ,00.00

25 &arbamazepin tablet 200 mg Tablet 2".00 100 2,"00.00

2 &asa -embalut +idro!l 4 m > 15 /m 6ol 3,3"2.00 2 8","2.00



73/549

2" &loreniramini maleat )%T?* tablet 4 mg Tablet 23.00

28 &otrimoksazol suspensi (tl 0 ml 2,212.94 " 15,490.58

29 &otrimoksazol de 80 /m 6ol 130,900.00 1 130,900.00

54 ?etronidasol Tablet 500 mg Tablet 183.00 "0 12,810.00


74/549

55 ?eto/lopromide Tablet 93.00 50 4,50.00

5 ?etormin Tablet 105.00

5" ?agasida S;rup ' Antasida S;rup (tl 0 ml 2,"00.00


59 6anitidine Tablet


1 $and S/+oen @o.8 &tk 100 tab 800.00 100 80,000.00


TOTAL 1'23'41#$


75/549

A7TA6 -6$TF@:A@ -6SAA@ (A6A


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Albendazol tabel 400 mg Tablet 425.00 150 3,"50.00

2 Alopurinol tablet 100 mg Tablet 10.00 200 21,200.003 Amoksisillin sirup &ering 125 mg'5 ml (tl 0 ml 2,511.00

4 Amoksisillin kapsul 250 mg &apsul 220.24 30 "9,28.40

5 Antalgin )metampiron* tablet 500 mg &aplet 141.85 100 14,185.00

Antasida doen tablet kombinasi Tablet "3.12 200 14,24.00

" Asam askorbat )it /* tablet 50 mg Tablet 35.20

8 (etametason 0,1 Tube 1,8.00 15 25,020.00



76/549




13 ksitetrasiklin $% salep mata Tube 1,80.00 10 1,800.00



1 -irantel pamoat tablet 125 mg Tablet 343.00 50 1",150.00

1" Salbutamol tablet 2 mg Tablet "0.00 100 ",000.00


19 A/;/loir 400 mg Tablet 340.00 20 Amoksi/illin Tablet 500 mg &aplet 228.00 200 45,00.00


22 %iproDok>a/in tab 500 Tablet 241.00

23 r;tromi/in S;rup (tl 0 ml ",581.00 15 113,"15.00

24 r;tromi/in Tablet &aplet 912.94 200 182,588.00

25 ?etronidasol Tablet 500 mg Tablet 183.00 200 3,00.00

2 -apaerin Tablet 10 mg Tablet 128.00 300 38,400.00

2" Simastatine Tablet


TOTAL #32'1%$40


77/549

A7TA6 -6$TF@:A@ -6SAA@ (


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Alopurinol tablet 100 mg Tablet 10.00 40 48,"0.00

2 Amino!llin tablet 200 mg Tablet 93.31 930 8,""8.30


4 Amoksisillin kapsul 250 mg &apsul 220.24 500 110,120.00


Antasida doen tablet kombinasi Tablet "3.12 2"5 20,108.00

" Antimigrain doen kombinasi Tablet 135.00 0

8 Anti bakteri doen salep kombinasi Tube 5 gram 2,"41.00 30 82,230.00

9 Antiungi doen kombinasi -ot 30 gram 2,09.33 42 88,045.8

10 Asam askorbat )it /* tablet 50 mg Tablet 35.20 0

11 Atropin sulat tablet 0,5 mg Tablet 81.00 100 8,100.00

12 (etametason 0,1 Tube 1,8.00 0

13 eksametason tablet 0,5 mg Tablet "1.89 380 2",318.20

14 igoksin tablet 0,25 mg Tablet 9.48 380 3,2.40

15 7itomenadion )it & 1* tablet salut 10 mg Tablet 40.59 8" 55,"31.33


78/549

1 7enobarbital tablet 30 mg Tablet "4.00 405 29,9"0.00

1" 7urosemid tablet 40 mg Tablet 89.3 30 2,88.90

18 :aram oralit untuk 200 ml air (ungkus 322.00 0

19 :entian iolet larutan 1 (tl 10 ml 985.00 13 12,805.00

20 :liseril gua;akolat 100 mg Tablet 30.9 0

21 :riseuulin tablet 125 mg, mi/ronized Tablet 204.00 0

22 $aloperidol tablet 1,5 mg Tablet 4.43 49 3,15".0"



25 sosorbid dinitrat tablet sublingual 5 mg Tablet 101.00 200 20,200.002 &arbamazepin tablet 200 mg Tablet 2".00 1"0 45,390.00

2" &loreniramini maleat )%T?* tablet 4 mg Tablet 23.00 0

28 &lorpromazin +/l tablet salut 100 mg Tablet 14.00 303 44,238.00

29 &otrimoksazol suspensi (tl 0 ml 2,212.94 11 24,342.34

30 &otrimoksazol de


79/549

4 %lonidine 0,15 mg Tablet 191.00 200 38,200.00

4" o>i/illin &apsul &apsul 250.00 240 0,000.00

48 r;tromi/in Tablet 500 mg &aplet 912.94 190 1"3,458.0

49 r;tromi/in S;rup (tl 0 ml ",581.00 9 8,229.00

50 oratadine tablet Tablet 0



53 ?etormin Tablet 105.00 0

54 ?i/onazole %ream Tube 10 gram 3,300.00 11 3,300.00

55 ?agasida S;rup ' Antasida S;rup (tl 0 ml 2,"00.00 0 5 @atrium ikloenat Tablet 50 mg Tablet 20.00 0

5" @iedipin Tablet 118.00 0

58 -apaerin Tablet 10 mg Tablet 128.00 50 4,"8.00

59 6anitidine Tablet 0

0 Simastatine Tablet 0

1 Bitamin ( 12 Tablet 15.00 40 00.00

2 Ein/ Tab Tablet 491.50 0

TOTAL 1'$25'%0$0


80/549


F-T &S$ATA@ -FS&S?AS-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*


81/549

1 2 3 4 5 H 4 I 5


2 Amoksisillin sirup &ering 125 mg'5 ml (tl 0 ml 2,511.00 0



5 Asam askorbat )it /* tablet 50 mg Tablet 35.20 2800 98,50.00

(etametason 0,1 Tube 1,8.00 0

" eksametason tablet 0,5 mg Tablet "1.89 330 23,"23."0

8 :aram oralit untuk 200 ml air (ungkus 322.00 20 ,440.009 :libenklamid tablet 5 mg Tablet 59.00 100 5,900.00




13 &loreniramini maleat )%T?* tablet 4 mg Tablet 23.00 2200 50,00.00

14 ?etronidasol tablet 250 mg Tablet 12".3 210 2,802.30

15 ksitetrasiklin $% salep 3 Tube 1,4.00 9 14,814.00

1 -ara/etamol sirup 120 mg'5ml (tl 0 ml 1,403.0 0

1" -irantel pamoat tablet 125 mg Tablet 343.00 25 8,5"5.00


19 Salbutamol tablet 2 mg Tablet "0.00 "0 4,900.00

20 Tetrasiklin +/l kapsul 250 mg &apsul 189.00 900 1"0,100.00

21 T+iamin +/l mononitrat )it (1* tablet 50 mg Tablet 85.00 300 25,500.00

22 Bitamin (. kompleks tablet Tablet 24.42 100 2,442.00

23 Amoksi/illin Tablet 500 mg &aplet 228.00 50 148,200.00

24 %aptopril 25 mg Tablet 94.00 0

25 %eadro>il 500 mg &apsul 521.00 0

2 %iproDok>a/in tab 500 Tablet 241.00 0

2" r;tromi/in Tablet 500 mg &aplet 912.94 200 182,588.00


82/549

28 r;tromi/in S;rup (tl 0 ml ",581.00 10 "5,810.00


30 @atrium ikloenat Tablet 50 mg Tablet 20.00 0


32 Ein/ Tab Tablet 491.50 0 29,490.00

TOTAL 1'1%1'#120

A7TA6 -6$TF@:A@ -6SAA@ (A6A@


-6 31 S?(6 2014


83/549


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5




4 Antasida doen tablet kombinasi Tablet "3.12 40 2,924.805 Asam askorbat )it /* tablet 50 mg Tablet 35.20 0

:aram oralit untuk 200 ml air (ungkus 322.00 25 8,050.00

" buproen tablet 200 mg Tablet 9.21 0

8 buproen tablet 400 mg Tablet 152.50 0




12 Salbutamol tablet 2 mg Tablet "0.00 40 2,800.00

13 Salep 2 4 kombinasi -ot 1,980.00 0

14 Salisil bedak 2 &tk 50 gram 1,180.00 2 2,30.00



1" @atrium ikloenat Tablet 50 mg Tablet 20.00 0

TOTAL %5'%30


84/549

A7TA6 -6$TF@:A@ -6SAA@ (A6A@


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Alat Suntik Sekali -akai 1 ml Set 1,092.50 5 5,42.502 Alat Suntik Sekali -akai 2,5 ml Set 1,038.00 1 1,038.00


85/549

TOTAL '50050

P

A7TA6 -6$TF@:A@ -6SAA@ (A6A@:


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@-6$A@

BF? =? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Sase 13,"50.00 5 8,"50.00

2 tanol "0 (tl 100 ml 0



86/549

3 :lukosa larutan inus 5 steril (tl 500 ml 5,844.00 19 111,03.00

4 &asa -embalut 2 m > 80 /m 6ol 11,500.00 10 115,000.00

5 6inger laktat larutan inus steril (tl 500 ml 5,"20.00 3 1",10.00

TOTAL 311'%400

P+

A7TA6 -6$TF@:A@ -6SAA@ (A6

F-T &S$ATA@ -FS&S?AS-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*


87/549

1 2 3 4 5 H 4 I 5

1 idokain kompositum in#eksi Ampul 1,485.00 9 13,35.00

2 Alat Suntik Sekali -akai 2,5 ml Set 1,038.00 15 15,5"0.00

TOTAL 2$'%3500

P+



-6 31 S?(6 2014


88/549


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5



3 -ara/etamol tablet 500 mg Tablet 84.80 0 4 -iridoksin +/l tablet 10 mg Tablet 19.14 "00 13,398.00


TOTAL 81,934.00


89/549



-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*1 2 3 4 5 H 4 I 5

1 Alat Suntik sekali pakai 1 ml Set 1,092.50 8 8,"40.00

2 Alat Suntik sekali pakai 2,5 ml Set 1,038.00 45 4,"10.00

3 Alat Suntik sekali pakai 5 ml Set 1,038.00 3" 38,40.00



Amoksisillin kapsul 250 mg &apsul 220.24 30 "9,28.40

" Antalgin )metampiron* tablet 500 mg &aplet 141.85 220 31,20".00



10 Asam askorbat )it /* tablet 50 mg Tablet 35.20

11 Atropin sulat in#eksi 0,25 mg'ml 1 ml Ampul 1,353.00 3 4,059.00

12 Sase 13,"50.003 41,250.00

13 eksametason tablet 0,5 mg Tablet "1.89 120 8,2.80

14 iazepam n# 5 mg'ml 1 ml Ampul 2,5"8.00 14 3,092.00

15 tanol "0 (tl 100 ml

1 7urosemid tablet 40 mg Tablet 89.3 90 8,0."0

1" :aram oralit untuk 200 ml air (ungkus 322.00



90/549


91/549

4 Asam ?eenamat 500 mg &aplet 114.84

4" %aptopril 25 mg Tablet 94.00

48 %eadro>il 500 mg &apsul 521.00


50 o>i/illin &apsul &apsul 250.00 0 15,000.00

51 r;tromi/in Tablet 500 mg &aplet 912.94 30 2",388.20

52 oratadine tablet Tablet

53 &asa -embalut 40 ; > 80 /m 6ol 130,900.00 1 130,900.00

54 ?etronidasol Tablet 500 mg Tablet 183.00 "0 12,810.00

55 ?eto/lopromide Tablet 93.00 50 4,50.005 ?etormin Tablet 105.00

5" ?agasida S;rup ' Antasida S;rup (tl 0 ml 2,"00.00


59 6anitidine Tablet


1 $and S/+oen @o.8 &tk 100 tab 800.00 100 80,000.00


TOTAL 1'23'41#$


92/549



-6 31 S?(6 2015


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5


93/549

1 Albendazol tabel 400 mg Tablet 425.00 150 3,"50.00



4 Amoksisillin kapsul 250 mg &apsul 220.24 30 "9,28.40


Antasida doen tablet kombinasi Tablet "3.12 200 14,24.00

" Asam askorbat )it /* tablet 50 mg Tablet 35.20

8 (etametason 0,1 Tube 1,8.00 15 25,020.00


10 $idrokortison krim 2,5 Tube 2,519.00 20 50,380.0011 buproen tablet 400 mg Tablet 152.50





1 -irantel pamoat tablet 125 mg Tablet 343.00 50 1",150.00

1" Salbutamol tablet 2 mg Tablet "0.00 100 ",000.00


19 A/;/loir 400 mg Tablet 340.00




23 r;tromi/in S;rup (tl 0 ml ",581.00 15 113,"15.00

24 r;tromi/in Tablet &aplet 912.94 200 182,588.0025 ?etronidasol Tablet 500 mg Tablet 183.00 200 3,00.00


2" Simastatine Tablet


TOTAL #32'1%$40


94/549

A7TA6 -6$TF@:A@ -6SAA@ (


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5

1 Alopurinol tablet 100 mg Tablet 10.00 40 48,"0.00

2 Amino!llin tablet 200 mg Tablet 93.31 930 8,""8.30




Antasida doen tablet kombinasi Tablet "3.12 2"5 20,108.00


95/549


96/549

3" Salep 2 4 kombinasi -ot 1,980.00

38 Tetrasiklin +/l kapsul 250 mg &apsul 189.00 9"0 183,330.00

39 A/;/loir 400 mg Tablet 340.00 0

40 Amlodipine Tablet Tablet 0

41 Amoksi/illin Tablet 500 mg &aplet 228.00 290 ,120.00

42 Asam ?eenamat 500 mg &aplet 114.84 0




4 %lonidine 0,15 mg Tablet 191.00 200 38,200.004" o>i/illin &apsul &apsul 250.00 240 0,000.00

48 r;tromi/in Tablet 500 mg &aplet 912.94 190 1"3,458.0

49 r;tromi/in S;rup (tl 0 ml ",581.00 9 8,229.00

50 oratadine tablet Tablet 0



53 ?etormin Tablet 105.00 0


55 ?agasida S;rup ' Antasida S;rup (tl 0 ml 2,"00.00 0

5 @atrium ikloenat Tablet 50 mg Tablet 20.00 0

5" @iedipin Tablet 118.00 0

58 -apaerin Tablet 10 mg Tablet 128.00 50 4,"8.00

59 6anitidine Tablet 0

0 Simastatine Tablet 0 1 Bitamin ( 12 Tablet 15.00 40 00.00

2 Ein/ Tab Tablet 491.50 0

TOTAL 1'$25'%0$0


97/549



98/549


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5





5 Asam askorbat )it /* tablet 50 mg Tablet 35.20 2800 98,50.00

(etametason 0,1 Tube 1,8.00 0

" eksametason tablet 0,5 mg Tablet "1.89 330 23,"23."0

8 :aram oralit untuk 200 ml air (ungkus 322.00 20 ,440.00





13 &loreniramini maleat )%T?* tablet 4 mg Tablet 23.00 2200 50,00.00

14 ?etronidasol tablet 250 mg Tablet 12".3 210 2,802.3015 ksitetrasiklin $% salep 3 Tube 1,4.00 9 14,814.00


1" -irantel pamoat tablet 125 mg Tablet 343.00 25 8,5"5.00


19 Salbutamol tablet 2 mg Tablet "0.00 "0 4,900.00

20 Tetrasiklin +/l kapsul 250 mg &apsul 189.00 900 1"0,100.00


99/549

21 T+iamin +/l mononitrat )it (1* tablet 50 mg Tablet 85.00300 25,500.00

22 Bitamin (. kompleks tablet Tablet 24.42 100 2,442.00





2" r;tromi/in Tablet 500 mg &aplet 912.94 200 182,588.00

28 r;tromi/in S;rup (tl 0 ml ",581.00 10 "5,810.00

29 ?i/onazole %ream Tube 10 gram 3,300.00 10 33,000.0030 @atrium ikloenat Tablet 50 mg Tablet 20.00 0


32 Ein/ Tab Tablet 491.50 0 29,490.00

TOTAL 1'1%1'#120


100/549

A7TA6 -6$TF@:A@ -6SAA@ (A6A@


-6 31 S?(6 2014


(A6A@: -@:AAA@ 2013

$A6:A SATFA@ -6SAA@-6$A@BF?

=? $A6:A

) 6- * ) 6-*

1 2 3 4 5 H 4 I 5





5 Asam askorbat )it /* tablet 50 mg Tablet 35.20 0

:aram oralit untuk 200 ml air (ungkus 322.00 25 8,050.00

" buproen tablet 200 mg Tablet 9.21 0

8 buproen tablet 400 mg Tablet 152.50 0




12 Salbutamol tablet 2 mg Tablet "0.00 40 2,800.00

13 Salep 2 4 kombinasi -ot 1,980.00 0

14 Salisil bedak 2 &tk 50 gram 1,180.00 2 2,30.00




101/549

1" @atrium ikloenat Tablet 50 mg Tablet 20.00 0

TOTAL %5'%30


102/549

A(6AT6F?

&&A

(A6A@: -@:AAA@ 2014SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,092.50 0 5 5,42.50

1,038.00 0 1 1,038.00

0

'50050


666 J+7+8 LABORATORIUM


103/549

S9+ S+:6' AM;AK

@-. 19"3110" 199403 2 005

&A?A6 (6SA@

&&A

(A6A@: -@:AAA@ 2014SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

12,833.33 0 5 8,"50.00

2,25.00 3 ",8"5.00 3 ",8"5.00

5,"20.00 0 19 111,03.00

8,"99.00 0 10 115,000.00

5,"20.00 3 1",10.00 0

0

0

0

#'$#500 31%'$2100


104/549


666 J+7+8 KAMAR BERSALIN

H


105/549

- 2$'%3500


666 J+7+8 KAMAR POLI GIGI

R+.:+/:' AMKG

@-. 1983111" 201001 2 02"

A6A@: FSA

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

0 300 21,93.00

0 500 29,500.00


106/549

88.00 400 35,200.00 400 35,200.00

0 "00 13,398.00

300 1",100.00

0

0

0

0

35,200.00 11",134.00


P+666 J+7+8 USILA

S/:+/:' SK*

@-. 19841020 200502 2 002

A6A@: F: &&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@ =? $A6:A =? $A6:A


107/549

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,092.50 0 8 8,"40.00

1,038.00 0 45 4,"10.00

1,038.00 400 415,200.00 43" 453,0.00

90.00 100 10,00.00

2,50.00 4 10,240.00 4 10,240.00

220.00 30 "9,28.40

141.85 220 31,20".00"8.00 200 14,24.00

149.00 80 11,920.00 80 11,920.00

105.00 "0 ",350.00 "0 ",350.00

3 4,059.00

12,833.33 3 41,250.00

"4.00 120 8,2.80

2,5"8.00 14 3,092.00

2,25.00 2 5,250.00 2 5,250.00

84.00 90 8,0."0

31".00 110 34,8"0.00 110 34,8"0.00

1.00 90 5,310.00

92.00 100 9,200.40 100 9,200.40

241.00 100 20,400.00

2,938.00 8 20,152.00

15".00 120 18,840.00 120 18,840.00

","00.00 5 38,500.00 5 38,500.00

98.00 0 ,00.00

29.00 100 2,"00.00

3,3"2.00 2 8","2.00


108/549

85.09 190 1,1".10 190 1,1".10

2,298.00 " 15,490.58

152.00 80 11,99.20

1,499.00 8 11,880.00

5,1"0.00 15 "",550.00 15 "",550.00

1,535.00 22 33,""0.00 22 33,""0.00

105,00.00 30 10,290.00

5,"20.00 20 114,400.00

5.00 100 ",000.00

2,200.00 5 11,000.00 5 11,000.001,350.00 2 2,"00.00 2 2,"00.00

1,0".00 " 81,092.00

,983.00 30 209,499.90

"30.00 20 14,00.00

112.00 180 20,10.00 180 20,10.00

18,"00.00 10 18",000.00 10 18",000.00

32.00 100 3,200.00 100 3,200.00

352.00 30 10,50.00 30 10,50.00

292.00 100 22,800.00

122.00 0 ",320.00 0 ",320.00

100.00 110 11,000.00 110 11,000.00

529.00 10 5,290.00 10 5,290.0025.00 40 10,00.00 40 10,00.00

253.00 0 15,000.00

1,023.00 30 2",388.20

1"0.00 40 ,800.00 40 ,800.00

130,900.00 1 130,900.00

19.00 "0 12,810.00


109/549

50 4,50.00

118.50 100 11,850.00 100 11,850.00

2,300.00 11 25,300.00 11 25,300.00

193.00 40 ","20.00 40 ","20.00

132.00 130 1",10.00 130 1",10.00

1"".00 "0 12,390.00 "0 12,390.00

800.00 100 80,000.00

521.00 10 5,210.00 10 5,210.00

1'0#'11#50 2'330'5#%2$


P+666 J+7+8 UGD

HARMIN' AM;F+

@-. 19"80319 20004 2 021


110/549

: -FSTF (FTTF

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,038.00 0 150 3,"50.00

90.00 200 21,200.002,50.00 5 12,800.00 5 12,800.00

220.00 30 "9,28.40

141.85 100 14,185.00

"8.00 200 14,24.00

105.00 300 31,500.00 300 31,500.00

1,59.00 15 25,020.00

1.00 100 5,900.00


111/549


112/549

6A@: A-T&

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

90.00 0 40 48,"0.00

8.00 0 930 8,""8.30

2,50.00 1 40,90.00 1 40,90.00

220.00 0 500 110,120.00

141.85 0 100 14,185.00

"8.00 0 2"5 20,108.00

149.00 100 14,900.00 100 14,900.00

2,"".00 0 30 82,230.00

0 42 88,045.8

105.00 822 8,310.00 822 8,310.00

0 100 8,100.00

1,59.00 28 44,88.00 28 44,88.00

"4.00 0 380 2",318.20

103.00 0 380 3,2.40

90.00 0 8" 55,"31.33


113/549

0 405 29,9"0.00

84.00 0 30 2,88.90

31".00 1,902.00 1,902.00

0 13 12,805.00

92.00 02 55,38.41 02 55,38.41

241.00 200 48,200.00 200 48,200.00

0 0 49 3,15".0"

121.00 350 42,350.00 350 42,350.00

15".00 150 23,550.00 150 23,550.00

98.00 0 200 20,200.0029.00 0 1"0 45,390.00

85.09 393 33,440.3" 393 33,440.3"

15.00 0 303 44,238.00

2,298.00 0 11 24,342.34

152.00 0 495 "2,388.80

0 21 35,280.00

1,535.00 13 19,955.00 13 19,955.00

88.00 330 29,040.00 330 29,040.00

105,00.00 0 22,38.00

351.00 0 514 152,58.00

5.00 0 434 30,380.00

2,200.00 9 19,800.00 9 19,800.00

12.00 0 9"0 183,330.00

32.00 100 3,200.00 100 3,200.00352.00 15 5,280.00 15 5,280.00

292.00 0 290 ,120.00

122.00 230 28,00.00 230 28,00.00

100.00 30 3,000.00 30 3,000.00

529.00 20 10,580.00 20 10,580.00

25.00 20 14,300.00 20 14,300.00


114/549

224.00 0 200 38,200.00

253.00 0 240 0,000.00

1,023.00 0 190 1"3,458.0

8,090.00 0 9 8,229.00

1"0.00 3"0 2,900.00 3"0 2,900.00

19.00 0 200 3,00.00

0 20 24,180.00

118.50 30 42,0.00 30 42,0.00

3,150.00 0 11 3,300.00

2,300.00 5 11,500.00 5 11,500.00193.00 115 22,195.00 115 22,195.00

12".00 285 3,195.00 285 3,195.00

128.00 0 50 4,"8.00

132.00 930 122,"0.00 930 122,"0.00

1"".00 500 88,500.00 500 88,500.00

15.00 0 40 00.00

521.00 "0 3,4"0.00 "0 3,4"0.00

1'14'0$1#$ 2'%%0'0425$


P+666 J+7+8 APOTEK

F:/:+:' SF+' A*/

@-. 19831001 201001 2 024


115/549

: -FSTF -F&AS

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *


116/549

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

90.00 0 220 23,320.00

2,50.00 8 20,480.00 8 20,480.00

220.00 0 230 50,55.20

"8.00 0 300 21,93.00

105.00 0 2800 98,50.00

1,59.00 9 14,34.00 9 14,34.00

"4.00 0 330 23,"23."0

31".00 0 20 ,440.001.00 0 100 5,900.00

92.00 200 18,400.80 200 18,400.80

241.00 0 80 1,320.00

2,938.00 0 5 12,595.00

85.09 0 2200 50,00.00

11.00 0 210 2,802.30

0 9 14,814.00

1,535.00 2 3,0"0.00 2 3,0"0.00

105,00.00 0 25 8,5"5.00

5".00 0 1000 5",000.00

5.00 0 "0 4,900.00

12.00 0 900 1"0,100.00

85.00 0 300 25,500.00

112.00 0 100 2,442.00

292.00 0 50 148,200.00

100.00 55 5,500.00 55 5,500.00

529.00 50 2,450.00 50 2,450.00

25.00 0 15,900.00 0 15,900.00

1,023.00 0 200 182,588.00


117/549

8,090.00 0 10 "5,810.00

3,150.00 0 10 33,000.00

193.00 20 3,80.00 20 3,80.00

128.00 0 800 102,400.00

521.00 0 0 29,490.00

10$'024$0 1'2%%'%00


K*+,+ P/ L:*+:

H


118/549

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

90.00 0 50 5,300.00

2,50.00 5 12,800.00 5 12,800.00

220.00 0 120 2,428.80

"8.00 0 40 2,924.80105.00 30 3,150.00 30 3,150.00

31".00 0 25 8,050.00

121.00 30 3,30.00 30 3,30.00

15".00 40 ,280.00 40 ,280.00

0 10 1,800.00

0 5 8,230.00

1,535.00 3 4,05.00 3 4,05.00

5.00 0 40 2,800.00

2,200.00 9 19,800.00 9 19,800.00

1,350.00 0 2 2,30.00

292.00 0 100 22,800.00

100.00 45 4,500.00 45 4,500.00

193.00 10 1,930.00 10 1,930.00

5'%500 152'3$$0


K*+,+ P>,:; M+/?


119/549

F:/:+: S' AM;K8

@-. 198"1105 201101 2 025

A(6AT6F?

&&A

(A6A@: -@:AAA@ 2014SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,092.50 0 5 5,42.501,038.00 0 1 1,038.00


120/549

0

'50050


666 J+7+8 LABORATORIUM

S9+ S+:6' AM;AK

@-. 19"3110" 199403 2 005

&A?A6 (6SA@

&&A

(A6A@: -@:AAA@ 2014SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@-6$A@

BF? =? $A6:A

BF? =? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

12,833.33 0 5 8,"50.00

2,25.00 3 ",8"5.00 3 ",8"5.00


121/549

5,"20.00 0 19 111,03.00

8,"99.00 0 10 115,000.00

5,"20.00 3 1",10.00

0

0

0

0

#'$#500 31%'$2100


666 J+7+8 KAMAR BERSALIN

H


122/549

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,499.00 0 9 13,35.00

1,038.00 0 15 15,5"0.00

- 2$'%3500


666 J+7+8 KAMAR POLI GIGI

R+.:+/:' AMKG

@-. 1983111" 201001 2 02"

A6A@: FSA

&&A


123/549

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

0 300 21,93.00

0 500 29,500.00

88.00 400 35,200.00 400 35,200.00 0 "00 13,398.00

300 1",100.00

0

0

0

0

35,200.00 11",134.00


P+666 J+7+8 USILA

S/:+/:' SK*

@-. 19841020 200502 2 002


124/549

A6A@: F:

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *" 8 9 H " I 8 10 H 5 K 8 11 H K 9

1,092.50 0 8 8,"40.00

1,038.00 0 45 4,"10.00

1,038.00 400 415,200.00 43" 453,0.00

90.00 100 10,00.00

2,50.00 4 10,240.00 4 10,240.00

220.00 30 "9,28.40

141.85 220 31,20".00

"8.00 200 14,24.00

149.00 80 11,920.00 80 11,920.00

105.00 "0 ",350.00 "0 ",350.00

3 4,059.00

12,833.33 3 41,250.00

"4.00 120 8,2.80

2,5"8.00 14 3,092.00

2,25.00 2 5,250.00 2 5,250.00

84.00 90 8,0."0

31".00 110 34,8"0.00 110 34,8"0.00


125/549

1.00 90 5,310.00

92.00 100 9,200.40 100 9,200.40

241.00 100 20,400.00

2,938.00 8 20,152.00

15".00 120 18,840.00 120 18,840.00

","00.00 5 38,500.00 5 38,500.00

98.00 0 ,00.00

29.00 100 2,"00.00

3,3"2.00 2 8","2.00

85.09 190 1,1".10 190 1,1".102,298.00 " 15,490.58

152.00 80 11,99.20

1,499.00 8 11,880.00

5,1"0.00 15 "",550.00 15 "",550.00

1,535.00 22 33,""0.00 22 33,""0.00

105,00.00 30 10,290.00

5,"20.00 20 114,400.00

5.00 100 ",000.00

2,200.00 5 11,000.00 5 11,000.00

1,350.00 2 2,"00.00 2 2,"00.00

1,0".00 " 81,092.00

,983.00 30 209,499.90

"30.00 20 14,00.00

112.00 180 20,10.00 180 20,10.00

18,"00.00 10 18",000.00 10 18",000.00

32.00 100 3,200.00 100 3,200.00

352.00 30 10,50.00 30 10,50.00

292.00 100 22,800.00


126/549

122.00 0 ",320.00 0 ",320.00

100.00 110 11,000.00 110 11,000.00

529.00 10 5,290.00 10 5,290.00

25.00 40 10,00.00 40 10,00.00

253.00 0 15,000.00

1,023.00 30 2",388.20

1"0.00 40 ,800.00 40 ,800.00

130,900.00 1 130,900.00

19.00 "0 12,810.00

50 4,50.00118.50 100 11,850.00 100 11,850.00

2,300.00 11 25,300.00 11 25,300.00

193.00 40 ","20.00 40 ","20.00

132.00 130 1",10.00 130 1",10.00

1"".00 "0 12,390.00 "0 12,390.00

800.00 100 80,000.00

521.00 10 5,210.00 10 5,210.00

1'0#'11#50 2'330'5#%2$


P+666 J+7+8 UGD

HARMIN' AM;F+

@-. 19"80319 20004 2 021


127/549

: -FSTF (FTTF

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9


128/549

1,038.00 0 150 3,"50.00

90.00 200 21,200.00

2,50.00 5 12,800.00 5 12,800.00

220.00 30 "9,28.40

141.85 100 14,185.00

"8.00 200 14,24.00

105.00 300 31,500.00 300 31,500.00

1,59.00 15 25,020.00

1.00 100 5,900.00

2,938.00 20 50,380.0015".00 200 31,400.00 200 31,400.00

85.09 300 25,52".00 300 25,52".00

0 10 1,800.00

1,535.00 10 15,350.00 10 15,350.00

88.00 100 8,800.00 100 8,800.00

105,00.00 50 1",150.00

5.00 100 ",000.00

2,200.00 10 22,000.00 10 22,000.00

32.00 200 "2,400.00 200 "2,400.00

292.00 200 45,00.00

100.00 100 10,000.00 100 10,000.00

25.00 100 2,500.00 100 2,500.00

8,090.00 15 113,"15.00

1,023.00 200 182,588.0019.00 200 3,00.00

128.00 300 38,400.00

1"".00 200 35,400.00 200 35,400.00

521.00 150 "8,150.00 150 "8,150.00

3%'$2#00 1'102'02540


129/549


K*+,+ P/ B//

A L:,9 H+=+.' SKM

@-. 19"91119 200312 2 00

6A@: A-T&

&&A

(A6A@: -@:AAA@ 2014 TTA SSA -6SAA@ 2014

$A6:A SATFA@ -6SAA@

-6$A@BF?

=? $A6:ABF?

=? $A6:A

) 6- * ) 6-* ) 6- *

" 8 9 H " I 8 10 H 5 K 8 11 H K 9

90.00 0 40 48,"0.00

8.00 0 930 8,""8.30

2,50.00 1 40,90.00 1 40,90.00

220.00 0 500 110,120.00

141.85 0 100 14,185.00

"8.00 0 2"5 20,108.00


130/549

149.00 100 14,900.00 100 14,900.00

2,"".00 0 30 82,230.00

0 42 88,045.

laporan akhir tahun pekkae

Documents