Format Faktur Rsud
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DAFTAR FAKTUR JANUARI 2015 NO NAMA REKANAN NO. FAKTUR TANGGAL FAKTUR JUMLAH FAKTUR NAMA OBAT PENGGOLONGAN OBAT KETERANGAN 1 PT. KIMIA FARMA 000000350 10/JANUARI/2015 25,850,000 NATRIUM KLORIDA LARUTAN ELEKTROLIT, NUTRISI LAIN 5000 Botol@500 ml 000000355 12/JANUARI/2015 45,760,000 RINGER LAKTAT LARUTAN ELEKTROLIT, NUTRISI LAIN 8000 BOTOL @500 ML 000000929 21/JANUARI/2015 4,780,050 ETHAMBUTHOL 500 ML ANTIINFEKSI 100 BOX@100 TAB 000001452 31/JANUARI/2015 37,306,500 FENTANYL INJ ANESTETIK 1000 AMPUL 000001453 31/JANUARI/2015 16,500,000 CODEIN 10 MG TABLET PSIKOFARMAKA 300 BOX@100 TAB 000001455 31/JANUARI/2015 700,920 PHENOBARBITAL 30 MG TAB PSIKOFARMAKA 100 BTL@100 TAB 000001534 31/JANUARI/2015 470,030 DIAZEPAM 2 MG TAB PSIKOFARMAKA 100 BTL@100 TAB 131,367,500 2 PT. ANUGRAH ARGON 681215004769 30/JANUARI/2015 1,375,000 AMINEFRON VITAMIN DAN MINERAL 2 BOX@100 TAB MEDICA 681215004715 30/JANUARI/2015 8,500,000 TETAGAM ANTIINFEKSI 50 BOX@1 SYRINGE 681215004736 30/JANUARI/2015 3,570,600 MERTIGO 6 MGTAB ANTIMIGRAIN 3 BOX@100TAB PSIDII KAPSUL OBAT YANG MEMPENGARUHI DARAH 2 BOX250 KAPS PSIDII SYRUP OBAT YANG MEMPENGARUHI DARAH 6 BOTOL VACLO TAB KARDIOVASKULER 5 BOX@30 TAB 861215004737 30/JANUARI/2015 4,999,825 SPIRONOLACTON 100 MG TAB ANTIINFEKSI 50 BOX@100 TAB 18,445,425 3 PT. ROYAL MEDICA RFJ.0115.00381 21/JANUARI/2015 5,445,000 VIP ALBUMIN VITAMIN DAN MINERAL 30 BTL@30 KAPS 5,445,000 4 PT. ANUGRAH PHARMINDO 8261051400 10/JANUARI/2015 11,000,000 PARASETAMOL INFUS ANALGESIK, ANTIPIRETIK, ANTIINFLA 500 BOTOL LESTARI 8261053119 16/JANUAR/2015 3,664,001 HARNAL OCAS KARDIOVASKULER 10 BOX@30 TAB HARNAL 0,2 MG TAB KARDIOVASKULER 10 BOX@28 TAB 8261054672 23/JANUARI/2015 1,999,512 ATRACURIUM HAMELN ANESTETIK 20 BOX@5 AMP 8261055233 26/JANUARI/2015 3,169,980 KETAMIN HAMELN KARDIOVASKULER 50 VIAL 8261055488 27/JANUARI/2015 836,000 DEPAKENE SYRUP ANTIEPILEPSI 20 BOTOL 8261056425 29/JANUARI/2015 9,900,000 PARASETAMOL INFUS ANALGESIK, ANTIPIRETIK, ANTIINFLA 500 BOTOL 30,569,493 5 PT. SAPTA SARI TAMA 23-001277 28/JANUARI/2015 5,621,000 NUTRIFLAM TABLET ANALGESIK, ANTIPIRETIK, ANTIINFLA 10 BOX@60 TAB 23-001481 31/JANUARI/2015 2,278,100 SEFADROXIL SYRUP ANTIINFEKSI 200 BOTOL ZIRKUM KIDS SYRUP VITAMIN DAN MINERAL 150 BOTOL
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Transcript of Format Faktur Rsud
JANUARIDAFTAR FAKTUR JANUARI 2015NONAMA REKANANNO.
FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN
OBATKETERANGANHARGA SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT.
KIMIA FARMA00000035010/JANUARI/201525,850,000NATRIUM KLORIDALARUTAN
ELEKTROLIT, NUTRISI LAIN5000 Botol@500
ml5,170BPJS25/MARET/201500000035512/JANUARI/201545,760,000RINGER
LAKTATLARUTAN ELEKTROLIT, NUTRISI LAIN8000 BOTOL @500
ML5,720JAMKESDA25/MARET/201500000092921/JANUARI/20154,780,050ETHAMBUTHOL
500 MLANTIINFEKSI100 BOX@100
TAB478JAMKESDA25/MARET/201500000145231/JANUARI/201537,306,500FENTANYL
INJANESTETIK1000
AMPUL37,307JAMKESDA25/MARET/201500000145331/JANUARI/201516,500,000CODEIN
10 MG TABLETPSIKOFARMAKA300 BOX@100
TAB550JAMKESDA25/MARET/201500000145531/JANUARI/2015700,920PHENOBARBITAL
30 MG TABPSIKOFARMAKA100 BTL@100
TAB70JAMKESDA25/MARET/201500000153431/JANUARI/2015470,030DIAZEPAM 2
MG TABPSIKOFARMAKA100 BTL@100
TAB47JAMKESDA25/MARET/2015131,367,5002PT. ANUGRAH
ARGON68121500476930/JANUARI/20151,375,000AMINEFRON VITAMIN DAN
MINERAL2 BOX@100
TAB6,875JAMKESDA25/MARET/2015MEDICA68121500471530/JANUARI/20158,500,000TETAGAMANTIINFEKSI50
BOX@1
SYRINGE170,000BPJS25/MARET/201568121500473630/JANUARI/20153,570,600MERTIGO
6 MGTABANTIMIGRAIN3 BOX@100TAB3,047JAMKESDA25/MARET/2015PSIDII
KAPSULOBAT YANG MEMPENGARUHI DARAH2 BOX250 KAPS3,960PSIDII
SYRUPOBAT YANG MEMPENGARUHI DARAH6 BOTOL33,000VACLO
TABKARDIOVASKULER5 BOX@30
TAB13,75086121500473730/JANUARI/20154,999,825SPIRONOLACTON 100 MG
TABANTIINFEKSI50 BOX@100
TAB1,000JAMKESDA25/MARET/2015TERBAYAR4,999,824SELISIH1KELUARAN
SISTEM18,445,4253PT. ROYAL
MEDICARFJ.0115.0038121/JANUARI/20155,445,000VIP ALBUMINVITAMIN DAN
MINERAL30 BTL@30 KAPS6,050JAMKESDA25/MARET/20155,445,0004PT.
ANUGRAH PHARMINDO826105140010/JANUARI/201511,000,000PARASETAMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500
BOTOL22,000JAMKESDA25/MARET/2015LESTARI826105311916/JANUAR/20153,664,001HARNAL
OCASKARDIOVASKULER10 BOX@30 TAB6,800JAMKESDA25/MARET/2015HARNAL 0,2
MG TABKARDIOVASKULER10 BOX@28
TAB5800826105467223/JANUARI/20151,999,512ATRACURIUM
HAMELNANESTETIK20 BOX@5
AMP19,995JAMKESDA25/MARET/2015826105523326/JANUARI/20153,169,980KETAMIN
HAMELNKARDIOVASKULER50
VIAL63,400JAMKESDA25/MARET/2015826105548827/JANUARI/2015836,000DEPAKENE
SYRUPANTIEPILEPSI20
BOTOL41,800JAMKESDA25/FEBRUARI/2015826105642529/JANUARI/20159,900,000PARASETAMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500
BOTOL19,800JAMKESDA15/APRIL/201530,569,4935PT. SAPTA SARI
TAMA23-00127728/JANUARI/20155,621,000NUTRIFLAM TABLETANALGESIK,
ANTIPIRETIK, ANTIINFLA10 BOX@60
TAB9,368JAMKESDA15/APRIL/201523-00148131/JANUARI/20152,278,100SEFADROXIL
SYRUPANTIINFEKSI200 BOTOL5,286JAMKESDA15/APRIL/2015ZIRKUM KIDS
SYRUPVITAMIN DAN MINERAL150
BOTOL8,14023-00151831/JANUARI/20155,480,475NUTRIFLAM
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@60
TAB9,134JAMKESDA15/APRIL/201513,379,5756PT. MERAPI UTAMA
10-37770331/JANUARI/201512,512,500MEIACT TABANTIINFEKSI10 BOX@20
TAB19,250JAMKESDA25/FEBRUARI/2015PHARMAFOSMICIN 2 GR
INJEKSIANTIINFEKSI50 VIAL173,25012,512,5007PT. PENTA VALENT0132 80
1529/JANUARI/20156,160,000PROLIVA KAPLETANALGESIK, ANTIPIRETIK,
ANTIINFLA40 BOX@20 KAPLET7,700BPJS25/MARET/2015000022230132 80 15
29/JANUARI/201515,400,000SOLVINEX INJSALURAN NAFAS50 BOX@10
AMP30,800BPJS25/MARET/2015000022230132 80
1531/JANUARI/20152,477,475GOFLEX TABLETANALGESIK, ANTIPIRETIK,
ANTIINFLA10 BOX@30 TAB8,258JAMKESDA25/MARET/2015000023730132 80
1531/JANUARI/20152,420,000NERVA 5000 MG KAPLETVITAMIN DAN MINERAL5
BOX@50 TAB2,420JAMKESDA15/APRIL/201500002420VIOQUIN
TABLETANTIINFEKSI5 BOX@30 TAB12,10026,457,4758PT. DAYA MUDA
AGUNG00024914/JANUARI/201538,721,128PANTOPRAZOLE INJSALURAN
CERNA400
VIAL40,003BPJS25/MARET/2015TERBAYAR38,721,127SELISIH1KELUARAN
SISTEMMELOXICAM 15 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA150
BOX@50 TAB598MELOXICAM 7,5 MG TABANALGESIK, ANTIPIRETIK,
ANTIINFLA150 BOX@50 TAB380ONDANSETRON INJSALURAN CERNA300BOX@10
AMP2,400PANTOPRAZOLE TABSALURAN CERNA93 BOX@10
TAB8,80000072831/JANUARI/201524,400,200ONDANSETRON INJSALURAN
CERNA100 BOX@10AMP2,400JAMKESDA25/MARET/2015PANTOPRAZOLE INJSALURAN
CERNA500 VIAL44,00263,121,3289PT. MILLENIUM
PHARMACON13121500212531/JANUARI/20155,761,800L-ZINC SYRUPSALURAN
CERNA12 BOTOL30,800JAMKESDA25/MARET/2015INTERNATIONALL- BIOSALURAN
CERNA10 BOX@10 SACHET5,500TOFEDEX TABANTIINFEKSI5 BOX@30
TAB5,720TARIFLOX 400 MGANTIINFEKSI3 BOX@30 TAB14,300LAPICEF
SYRUPANTIINFEKSI6 BOTOL41,800DOM SYRUPSALURAN CERNA3
BOTOL36,300CAL-95VITAMIN DAN MINERAL5 BOX@30 TAB3,850LASAL
SYRUPSALURAN NAFAS6 BOTOL22,000LASAL EXPECTORAN SYRUPSALURAN
NAFAS12 BOTOL34,10013121500212431/JANUARI/201512,864,500IMUNOS
KAPLETVITAMIN DAN MINERAL10 BOX@20
TAB6,050JAMKESDA25/MARET/2015IMUNOS PLUS KAPLETVITAMIN DAN MINERAL5
BOX@20 TAB8,250TOPAZOL INJANTIINFEKSI20 VIAL137,500LAPIBAL
INJVITAMIN DAN MINERAL10 BOX@5AMP20,900NEUCITI 500 MG
TABANTIINFEKSI10 BOX@30 TAB8,800LAPIFLOX 500 MG TABANTIINFEKSI10
BOX@30 TAB12,100EYEFIT TABOBAT MATA5BOX@30TAB4,400LAPIMOX 500 MG
KAPLETANTIINFEKSI1 BOX@100 TAB2,420CRAVOX 500 MG TABANTIINFEKSI2
BOX@10 TAB33,000LAPIBAL 500 MCG VITAMIN DAN MINERAL5 BOX@100
TAB2,03518,626,30010PT. ENSEVAL
PUTERA31500022329/JANUARI/201512,799,999HEMAPO INJEKSIPRODUK DARAH
& PENGGANTI PLASMA100
SYRYNGE128,000BPJS25/MARET/2015TERBAYAR12,800,400SELISIH401KELUARAN
SISTEMMEGATRADING31500023930/JANUARI/20155,355,000CLOPIDOGREL 75 MG
TABKARDIOVASKULER50 BOX@30
KAPL3,570JAMKESDA25/MARET/2015TERBAYAR5,355,020SELISIH20KELUARAN
SISTEM11500642730/JANUARI/20153,152,661CAPTOPRIL 25 MG TABOBAT YANG
MEMPENGARUHI DARAH30
BOX@100TAB138JAMKESDA25/MARET/2015TERBAYAR3,152,660SELISIH1KELUARAN
SISTEMCAPTOPRIL 50 MG TABOBAT YANG MEMPENGARUHI DARAH10 BOX@50
TAB224DOMPERIDONE SYRUP SALURAN CERNA150 BOTOL9,045METFORMIN 500 MG
TABHORMON, OBAT ENDOKRIN100 BOX@100 TAB12721,307,66011PT. PARIT
PADANG GLOBALM191500132815/JANUARI/20151,071,369SALBUTAMOL 2 MG
TABSALURAN NAFAS150 BOX@100
TAB71BPJS25/MARET/2015M191500161817/JANUARI/201536,300,000METRONIDAZOL
INFUSANTIINFEKSI3000
BOTOL12,100JAMKESDA25/MARET/2015TERBAYAR29,700,000SELISIH6,600,000SALAH
HARGATGL SP 16/JANUARI/2015TGL SPK
15/JANUARI/2015M191500353929/JANUARI/201528,215,000COYARIN 625
CAPLETANTIINFEKSI500 BOTOL@15
TAB3,762JAMKESDA25/MARET/2015M191500361330/JANUARI/201515,950,000BUNASCAN
SPINALANESTETIK50 BOX@5
AMP63,800JAMKESDA25/MARET/2015M191500361130/JANUARI/20156,270,000LACTAFAR
TABVITAMIN DAN MINERAL50 BOX@30
TAB4,180JAMKESDA25/MARET/2015M191500361230/JANUARI/201511,880,000STOBLED
CAPSULANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOX@16
CAPS7,425JAMKESDA25/MARET/2015M191500399731/JANUARI/201522,481,250FARBION
5000 INJVITAMIN DAN MINERAL500 BOX@5AMP3,878JAMKESDA15/APRIL/2015
FARMAVON INJSALURAN NAFAS50 BOX@10
AMP25,575JAMKESDA15/APRIL/2015M191500399331/JANUARI/20158,791,200TERREL
250 MLANESTETIK6
BOTOL1,465,200JAMKESDA15/APRIL/2015M191500399231/JANUARI/201516,528,600RINDOBION
KAPLETVITAMIN DAN MINERAL250
BOX@100TAB661JAMKESDA15/APRIL/2015M191500401431/JANUARI/20151,980,000SOTATIC
INJSALURAN CEERNA150 BOX@5AMP2,640JAMKESDA15/APRIL/2015tdk ada
diskon di fakturM191500404631/JANUARI/201524,200,000CEFOPERAZONE
INNJANTIINFEKSI200
BOX@2VIAL60,500M191500403531/JANUARI/201511,286,000COYARIN 625
CAPLETANTIINFEKSI200 BOX@15
TAB3,762JAMKESDA15/APRIL/2015184,953,41912PT. INDOFARMA
GLOBAL711NV.12.2014.1460902/JANUARI/2015842,706AMBROXOL 30 MG
TABLETSALURAN NAFAS71 BOX@100
TAB119JAMKESDA28/FEBRUARI/2015TERBAYAR842,707SELISIH1KELUARAN
SISTEMMEDIKA711NV.01.2015.18210/JANUARI/201531,436,488DEXAMETHASON
INJANALGESIK, ANTIPIRETIK, ANTIINFLA200BOX@100
AMP1,550BPJS25/MARET/2015TERBAYAR31,436,487SELISIH1KELUARAN
SISTEMTGL SP 09/JANUARI/2015PTU TABPSIKOFARMAKA15 BOTOL@100
TAB291711NV.01.2015.95120/JANUARI/201528,600,000RINGER
LAKTATLARUTAN ELEKTROLIT, NUTRISI LAIN5000
BOTOL5,720JAMKESDA25/MARET/2015711NV.01.2015.95020/JANUARI/2015572,000PARASETAMOL
DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA100
BOTOL5,720JAMKESDA15/APRIL/2015711NV.01.2015.99930/JANUARI/20158,249,175ALBUMAN
PRODUK DARAH DAN PENGGANTI PLASMA10 BOTOL@100
ML824,918JAMKESDA25/MARET/201568,857,66313PT. BINA SAN
PRIMA1335709/JANUARI/201542,932,615TERACEF INJANTIINFEKSI56
VIAL204,952JAMKESDA15/APRIL/2015PELASTIN INJANTIINFEKSI36
VIAL325,589BAQUINOR FORET KAPLETANTIINFEKSI10BOX@20
TABLET13,536SPORETIK 100 MGANTIINFEKSI10 BOX@30 TABLET19,168FORMUNO
KAPLETVITAMIN DAN MINERAL5 BOX@30 TABLET6,105OSTELOX 15 MG
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX@20 TABLET8,910SANEXON
4 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS5 BOX@100
TABLET2,123SANEXON 8 MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS2
BOX@100 TABLET3,344SANEXON 16 MG TABLETANTIALERGI DAN OBAT
ANAFILAKSIS3 BOX@30 TABLET5,379TAXEGRAM 1 GRANTIINFEKSI24
VIAL138,655ELKANA CL EMULSIVITAMIN DAN MINERAL24 BOTOL46,145BUFECT
SUSPENSIANALGESIK, ANTIPIRETIK, ANTIINFLA12 FLES14,047PRENAMIA
KAPSULVITAMIN DAN MINERAL10 BOX@100 TABLET1,051SANFULIQ
TABLETVITAMIN DAN MINERAL5 BOX@30
TABLET4,7360461212/JANUARI/20157,379,761TRIDEX INFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN720
SOFTBAG10,250JAMKESDA15/APRIL/2015TERBAYAR7,199,992SELISIH179,769HARGA
TDK SESUAITGL SP 11/JANUARI/2015TGL SPK
10/JANUARI/20150665615/JANUARI/201528,049,953MEGABAL KAPASULVITAMIN
DAN MINERAL200 BOX@100
TABLET715JAMKESDA15/APRIL/2015TERBAYAR28,049,952SELISIH1KELUARAN
SISTEMSANMOL INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500
BOTOL27,5000665515/JANUARI/201512,870,000BECOM-CVITAMIN DAN
MINERAL100 BOX@100
TABLET1,287JAMKESDA15/APRIL/2015TERBAYAR0666115/JANUARI/201517,600,042SANTAGESIK
INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA800 BOX@5
AMPUL4,400JAMKESDA15/APRIL/2015TERBAYAR17,600,041SELISIH1KELUARAN
SISTEMREVISI HARGA0668315/JANUARI/20153,520,000ANBACIM
INJEKSIANTIINFEKSI100
VIAL35,2000877819/JANUARI/201550,107,783INFUMAL INFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN480
SOFTBAG66,057JAMKESDA15/APRIL/2015LIVAMIN 500 ML INFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN120
BOTOL153,3370945720/JANUARI/20159,570,000BISANBE KAPSULVITAMIN DAN
MINERAL100 BOX@100
TABLET957JAMKESDA15/APRIL/20150936620/JANUARI/201510,449,164EPISAN
SUSPENSISALURAN CERNA500
BOTOL20,898JAMKESDA15/APRIL/20151042822/JANUARI/20153,814,800STOLAX
SUPPOSITORIASALURAN CERNA100 BOX@6
SUPPO6,358JAMKESDA25/MARET/20151119123/JANUARI/20155,500,605VALISANBE
INJPSIKOFARMAKA100 BOX@10
AMPUL5,501JAMKESDA15/APRIL/20151292626/JANUARI/201517,599,897ANBACIM
INJEKSIANTIINFEKSI500
VIAL35,200JAMKESDA15/APRIL/20151547730/JANUARI/201516,718,662EPISAN
SUSPENSISALURAN CERNA800
BOTOL20,898JAMKESDA15/APRIL/20151547830/JANUARI/201520,239,881ANBACIM
INJEKSIANTIINFEKSI575
VIAL35,200JAMKESDA15/APRIL/20151635631/JANUARI/20152,887,489INTRICEF
INJEKSIANTIINFEKSI6 VIAL165,842JAMKESDA15/APRIL/2015NOTRITIS
KAPLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX@50 KAPLET3,256CEFACEF
KAPSULANTIINFEKSI2 BOX@30
KAPSUL17,9741570531/JANUARI/201518,658,750PROANEST INJANESTETIK50
BOX@5
AMPUL74,635JAMKESDA15/APRIL/20151570631/JANUARI/201539,882,276LIVAMIN
500 ML INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN60
BOTOL153,337JAMKESDA15/APRIL/2015TERBAYAR39,762,430SELISIH119,846HARGA
TDK SESUAITGL SP 30/JANUARI/2015TGL SPK 29/JANUARI/2015INFUMAL
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN390 SOFTBAG66,057TRIDEX
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN480
SOFTBAG10,250307,781,67814PT. ANTARMITRA
SEMBADAQ1QZ88905/JANUARI/20151,386,000BETAHISTIN
TABLETANTIMIGRAIN100 BOX@30
TAB462JAMKESDA25/MARET/2015Q1RC15015/JANUARI/20157,982,700PANTOPRAZOLE
INJSALURAN CERNA200
VIAL39,914JAMKESDA25/MARET/2015Q1RC24115/JANUARI/20156,875,012MELOXICAM
15 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA200 BOX@50
TAB600BPJS25/MARET/2015NATRIUM DIKLOFENAK ANALGESIK, ANTIPIRETIK,
ANTIINFLA100 BOX@50
TAB176Q1RF80630/JANUARI/201512,972,960LANSOPRAZOLE 30 MG TABSALURAN
CERNA1000 BOX@20
TAB649JAMKESDA25/MARET/2015Q1RF80930/JANUARI/201533,440,000MECOBALAMIN
INJVITAMIN DAN MINERAL300 BOX@10
AMP7,480JAMKESDA25/MARET/2015CEFTIZOXIME INJEKSIANTIINFEKSI50
BOX@2VIAL110,00062,656,67215PT. MENSA BINA
SUKSESCD18789178120/JANUARI/20156,600,000DIFLOXINANTIINFEKSI20
BOX@10
TAB27,500JAMKESDA25/MARET/2015TERBAYAR2,750,000SELISIH3,850,000ROCER
TABSALURAN CERNA5 BOX@20
TAB11,000CD18788975228/JANUARI/201514,190,000CARSIVE INJOBAT YANG
MEMPENGARUHI DARAH10 BOX@10
AMP130,900JAMKESDA25/MARET/2015LANAKELOID CREAMOBAT KULIT TOPIKAL20
TUBE55,000CD18788975428/JANUARI/20155,280,000LESICHOL SOFT
KAPSULVITAMIN DAN MINERAL10 BOX@60
KAPSUL8,800JAMKESDA25/MARET/2015CD18789821230/JANUARI/20152,917,843PTU
100 MG TABLETHORMON,ENDOKRIN,100 BOTOL@100
TAB292JAMKESDA25/MARET/2015CD18791155931/JANUARI/20153,565,782STESOLID
RECTAL 5 MGPSIKOFARMAKA50 BOX@ 5
ALUBAG14,263JAMKESDA25/MARET/2015CD18791344231/JANUARI/20153,927,000CARSIVE
INJOBAT YANG MEMPENGARUHI DARAH3 BOX@10
AMP130,900JAMKESDA25/MARET/2015CD18791098831/JANUARI/201520,119,770ALPRAZOLAM
1 MG TABPSIKOFARMAKA100 BOX@100
TAB875JAMKESDA25/MARET/2015ALPRAZOLAM 0,5 MG TABPSIKOFARMAKA200
BOX@100 TAB56956,600,395TOTAL
BELANJA131,367,50018,445,4255,445,00030,569,49313,379,57512,512,50026,457,47563,121,32818,626,30021,307,660184,953,41968,857,663311,698,76862,656,67256,600,395521,400,896342,556,419162,041,8581,025,999,173mailto:300BOX@10%20AMPmailto:5BOX@30TABmailto:200BOX@100%20AMPmailto:10BOX@20%20TABLET
FEBRUARIDAFTAR FAKTUR FEBRUARI 2015NONAMA REKANANNO.
FAKTURTANGGAL FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN
OBATKETERANGANHARGA SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT.
MERAPI UTAMA10-38054428/FEBRUARI/20159,949,500WIDA KDNLARUTAN
ELEKTROLIT, NUTRISI LAIN1000
BOTOL9,95010-38047228/FEBRUARI/201522,720,500HEXYMER 2 MG
TABPSIKOFARMAKA43 BOTOL @ 1000 TAB297WIDA KDNLARUTAN ELEKTROLIT,
NUTRISI LAIN1000 BOTOL9,95032,670,0002PT.
PARAZELSUS403755995713/FEBRUARI/201538,940,000METRONIDAZOL
INFANTIINFEKSI3000
BOTOL12,980JAMKESDA15/APRIL/2015403758056628/FEBRUARI/2015610,005ASAM
MEFENAMAT 500 MGANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 100
TAB122JAMKESDA15/APRIL/2015403758056728/FEBRUARI/201527,222,800ASAM
TRANEXAMAT INJ 250 MGOBAT YANG MEMPENGARUHI DARAH500 BOX @ 100
TAB3,575MEROPENEM 1 GR INJEKSIANTIINFEKSI100
VIAL93,500403758242328/FEBRUARI/201510,890,000PARASETAMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500
BOTOL21,780403758243128/FEBRUARI/20153,660,030ASAM MEFENAMAT 500
MGANALGESIK, ANTIPIRETIK, ANTIINFLA300 BOX @ 100
TAB122JAMKESDA15/APRIL/2015403758243228/FEBRUARI/2015610,005ASAM
MEFENAMAT 500 MGANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 100
TAB122JAMKESDA15/APRIL/201581,932,8403PT. RAJAWALI
NUSINDOFKT500120125/FEBRUARI/201564,412,504RANITIDIN INJSALURAN
CERNA400 BOX @ 100 TAB1091.12PREDNISON TABLETANALGESIK,
ANTIPIRETIK, ANTIINFLA146 BOX @ 100 TAB124.89NA DIKLOFENAK 50
MGANALGESIK, ANTIPIRETIK, ANTIINFLA100 BOX @ 50
TAB193.02PANTOPRAZOLE INJSALURAN CERNA1000 VIAL43983.5IBUPROFEN 200
MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 100 TAB121IBUPROFEN
400 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 100
TAB157CALSIUM LAKTAT TABLETVITAMIN DAN MINERAL413 BOX @ 100
TAB156.264,412,5044PT. ROYAL
MEDICA016/BFT/11/201525/FEBRUARI/20155,445,000VIP ALBUMINVITAMIN
DAN MINERAL30 BOTOL @ 30 KAPS6,0505,445,0005PT. MENSA BINA
SUKSESCD18793428705/FEBRUARI/201511,880,000COPIDREL 75 MG
TABLETKARDIOVASKULER100 BOX @ 30
TAB3,960JAMKESDA15/APRIL/2015TERBAYAR10,710,000SELSIH1,170,000HRSNYA
HARGA E-CATALOGTGL SP 04/FEBRUARI/2015TGL SPK
03/FEBRUARI/2015CD18798589117/FEBRUARI/20156,061,000LESICHOL 300
MGVITAMIN DAN MINERAL10 BOX @ 60
SOFTKAPS8,360JAMKESDA15/APRIL/2015LANACELOID CREAMOBAT KULIT
TOPIKAL20 TUBE52,250CD18803336027/FEBRUARI/20156,545,000CARSIVE
INJKARDIOVASKULER5 B0X @ 10 AMP130,90024,486,0006PT. PENTA
VALENT0132-SO-15-0000439028/FEBRUARI/20156,479,550NORAGES
INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA300 BOX @ 5
AMP4,3200132-SO-15-0000439528/FEBRUARI/20153,266,917UNALIUM 5 MG
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @ 40
TAB4,934JAMKESDA15/APRIL/2015LEFOS 500 MG TABLETANTIINFEKSI5 BOX @
10 TAB33,248ANADIUM KAPLETSALURAN CERNA2 BOX @ 30 TAB7,079SIZORIL
25 MG TABLETPSIKOFARMAKA3 BOX @ 50
TAB3,9190132-SO-15-0000439628/FEBRUARI/201512,735,937CENDO XITROL
MINIDOSEOBAT MATA500 STRIP @ 5
FLESS25,4720132-SO-15-0000440728/FEBRUARI/201518,865,000SOLVINEX
INJEKSISALURAN NAFAS70 BOX @ 10
AMP26,9500132-SO-15-0000444828/FEBRUARI/20152,307,360PROPEPSA
SUSPENSISALURAN NAFAS12 BOTOL48,593VIOQUIN TABLETANTIINFEKSI5 BOX @
30 TAB11,4950132-SO-15-0000439128/FEBRUARI/201515,118,950NORAGES
INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA700 BOX @ 5
AMP4,3200132-SO-15-0000440828/FEBRUARI/20158,085,000SOLVINEX
INJEKSISALURAN NAFAS30 BOX @ 10 AMP26,95066,858,7147PT. KIMIA
FARMAINV-26.15.00000164707/FEBRUARI/20153,120,040CHLORPROMAZIN
TABLETPSIKOFARMAKA200 BOX @ 100
TAB156INV-26.15.00000246921/FEBRUARI/201517,160,000GLUCOSA 5 %
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN3000
BOTOL5,720INV-26.15.00000276327/FEBRUARI/201557,200,000RINGER
LAKTAT INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN10000
BOTOL5,72077,480,0408PT. BINA SAN
PRIMAFKMS/201502/0164604/FEBRUARI/20158,764,748ANBACIM
INJEKSIANTIINFEKSI249
VIAL35,200FKMKS/201502/0168204/FEBRUARI/201513,617,131AMOXAN 500 MG
TABANTIINFEKSI5 BOX @ 100 TAB3,240BAQUINOR FORTEANTIINFEKSI10 BOX @
20 TAB13,536MEFINAL 500 MG TABANALGESIK, ANTIPIRETIK, ANTIINFLA3
BOX@100 TAB1,287PUMPITOR INJEKSISALURAN CERNA56
VIAL145,706NEUROSANBE TABLETVITAMIN DAN MINERAL3 BOX @ 100
TAB1,062SANFULIQ TABLETVITAMIN DAN MINERAL3 BOX @ 30
TAB4,736FKMKS/201502/0168304/FEBRUARI/201527,878,686VOSEDON
SUSPENSISALURAN CERNA24 BOTOL28,199CEFORIN INJEKSIANTIINFEKSI20
VIAL306,174EPEXOL SYRUPSALURAN NAFAS5 BOTOL16,588PUMPITOR
INJEKSISALURAN CERNA41 VIAL145,706TAXEGRAM 1 GR INJANTIINFEKSI12
VIAL13,655TRICHODAZOLINFANTIINFEKSI24 SOFTBAG86,625TERFACEF
INJANTIINFEKSI48 VIAL204,952FORMUNO KAPLETVITAMIN DAN MINERAL5 BOX
@ 30 TAB6,105PRENAMIA KAPSULVITAMIN DAN MINERAL5 BOX @ 100
TAB1,051FKMKS/201502/1290906/FEBRUARI/20155,894,119PUMPISEL
INJEKSISALURAN CERNA41
VIAL143,759FKMKS/201502/0413309/FEBRUARI/20157,039,959ANBACIM
INJEKSIANTIINFEKSI200
VIAL35,200FKMKS/201502/0556911/FEBRUARI/201521,119,877ANBACIM
INJEKSIANTIINFEKSI600
VIAL35,200FKMKS/201502/0557011/FEBRUARI/20157,039,959ANBACIM
INJEKSIANTIINFEKSI200
VIAL35,200FKMKS/201502/0560011/FEBRUARI/201514,783,913ANBACIM
INJEKSIANTIINFEKSI420
VIAL35,200FKMKS/201502/0560111/FEBRUARI/201514,783,913ANBACIM
INJEKSIANTIINFEKSI420
VIAL35,200FKMKS/201502/0560211/FEBRUARI/201521,119,877ANBACIM
INJEKSIANTIINFEKSI600
VIAL35,200FKMKS/201502/0621612/FEBRUARI/201519,610,250BECOM-CVITAMIN
DAN MINERAL100 BOX @ 100 TAB1,287HISTAPAN 50 MG TABLETANTIALERGI
DAN OBAT ANAFILAKSIS100 BOX @ 100 TAB622PRENAMIA KAPSULVITAMIN DAN
MINERAL5 BOX @ 100
TAB1,051FKMKS/201502/0621912/FEBRUARI/201537,169,176PUMPITOR
KAPSULSALURAN CERNA5 BOX @ 20 TAB13,156SANEXON 16 MG
TABLETANTIALERGI DAN OBAT ANAFILAKSIS3 BOX @ 30 TAB5,379SANEXON 8
MG TABLETANTIALERGI DAN OBAT ANAFILAKSIS2 BOX @ 100
TAB3,344BAQUINOR FORTEANTIINFEKSI10 BOX @ 20 TAB13,536SANFULIQ
TABLETVITAMIN DAN MINERAL5 BOX @ 30 TAB4,736SPORETIK 100 MG
TABANTIINFEKSI10 BOX @ 100 TAB19,168NEUROSANBE PLUS TABLETVITAMIN
DAN MINERAL2 BOX @ 100 TAB1,001NEUROSANBE TABLETVITAMIN DAN
MINERAL2 BOX @ 100 TAB1,062FORMYCO 200 MG TABLETANTIINFEKSI2 BOX @
50 TAB4,906OSTELOX 15 MG TABLETANTIINFEKSI10 BOX @ 20
TAB8,910OSTELOX 7, 5 MG TABLETANTIINFEKSI10 BOX @ 20
TAB5,484LEVOCIN 500 MG TABLETANTIINFEKSI5 BOX @ 18 TAB36,724EPEXOL
DROPSSALURAN NAFAS24 BOTOL36,465ELKANA CL SUSPVITAMIN DAN MINERAL96
BOTOL46,145PELASTIN INJEKSIANTIINFEKSI24 VIAL325,589TAXEGRAM 1 GR
INJANTIINFEKSI12 VIAL138,655FORMUNO KAPLETVITAMIN DAN MINERAL20 BOX
@ 20 TAB6,105FKMKS/201502/0730714/FEBRUARI/20152,480,500FLOXACAP
INFUSANTIINFEKSI10
SOFTBAG248,050FKMKS/201502/1253924/FEBRUARI/201520,898,328EPISAN
SUSPENSISALURAN CERNA1000
BOTOL20,898FKMKS/201502/1330325/FEBRUARI/201512,742,325ANBACIM
INJEKSIANTIINFEKSI362
VIAL35,200FKMKS/201502/1448827/FEBRUARI/201526,458,608LEVOCIN 500
MG TABLETANTIINFEKSI10 BOX @ 18 TAB36,724LEVOCIN INFUSANTIINFEKSI20
SOFTBAG300,762MEROSAN 1 GR INJEKSIANTIINFEKSI20 VIAL523,078LAPRAZ
KAPSULANTIINFEKSI10 BOX @ 20 TAB11,616SANADRYL SYRUPSALURAN NAFAS20
BOTOL9,449SANMOL SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA24
BOTOL11,187SANMOL TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX @
100 TAB275SANMOL DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA30
BOTOL15,114FKMKS/201502/1550328/FEBRUARI/20159,636,413PREABOR
TABLETHORMON100 BOX @ 30
TAB3,212FKMKS/201502/1552328/FEBRUARI/201513,967,237CAPRENEM
INJANTIINFEKSI6 VIAL450,137CEFACEF 100 MG KAPSULANTIINFEKSI2 BOX @
30 TAB17,974PELASCAP INJEKSIANTIINFEKSI24 VIAL279,565FLOXACAP
INFUSANTIINFEKSI6 SOFTBAG248,050INTRICEF INJEKSIANTIINFEKSI12
VIAL165,842FKMKS/201502/1528528/FEBRUARI/201515,628,272PELASTIN
INJEKSIANTIINFEKSI48
VIAL325,589FKMKS/201502/1505128/FEBRUARI/201531,493,187TAXEGRAM 1
GR INJANTIINFEKSI27 VIAL138,655TERFACEF INJEKSIANTIINFEKSI84
VIAL204,952PUMPITOR INJEKSISALURAN CERNA54 VIAL145,706SANEXON
INJEKSIANTIINFEKSI30
VIAL88,847FKMKS/201502/1565228/FEBRUARI/201545,566,722INFUMAL
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN360 SOFTBAG66,052LIVAMIN
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN20 BOTOL196,460FUTROLIT
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN480
SOFTBAG54,065FKMKS/201502/1565528/FEBRUARI/201533,734,147LIVAMIN
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN220
BOTOL196,460411,427,3479PT. DAYA MUDA
AGUNG00140228/FEBRUARI/201525,802,150OMEPRAZOL INJEKSISALURAN
CERNA500 VIAL42,004ONDANSETRON INJEKSISALURAN CERNA200 BOX @ 10
AMP2,40025,802,15010PT. ENSEVAL
PUTERA31500054328/FEBRUARI/20156,426,000CLOPIDOGREL 75 MG
TABKARDIOVASKULER50 BOX @ 30 TAB4,2846,426,00011PT. PARIT PADANG
GLOBALM191500521910/FEBRUARI/201519,800,000METRONIDAZOL
INFANTIINFEKSI2000
BOTOL9,900M191500552513/FEBRUARI/20153,456,024AMLODIPIN 5MG
TABLETOBAT YANG MEMPENGARUHI DARAH400 BOX @ 30
TAB288M191500620817/FEBRUARI/20157,919,340SOJOURN INHALASIANESTESI6
BOTOL1,319,890M191500694624/FEBRUARI/20155,807,890INVICLOT
INJEKSIOBAT YANG MEMPENGARUHI DARAH50 VIAL48,398NOKOBA
INJEKSIKARDIOVASKULER10 BOX @ 5
AMP67,760M191500796428/FEBRUARI/201510,692,000STOBLED KAPSULVITAMIN
DAN MINERAL100 BOX @ 16 KAPS6,68347,675,25412PT. ANTARMITRA
SEMBADAQ1RG66403/FEBRUARI/2015171,519PARASETAMOL SYRUPANALGESIK,
ANTIPIRETIK, ANTIINFLA100
BOTOL1,715Q1R122611/FEBRUARI/20156,930,000BETAHISTIN
TABLETANTIMIGRAIN500 BOX @ 30
TAB462JAMKESDA15/APRIL/2015Q1R124011/FEBRUARI/201519,800,000CEFTIZOXIME
INJEKSI 1 GRANTIINFEKSI100 BOX @ 2
VIAL99,000JAMKESDA15/APRIL/2015Q1R181913/FEBRUARI/201519,800,000CEFTIZOXIME
INJEKSI 1 GRANTIINFEKSI100 BOX @ 2
VIAL99,000Q1R197714/FEBRUARI/20155,313,000ASAM TRANEKSAMAT INJ 250
MGOBAT YANGMEMPENGARUHI DARAH300 BOX @ 5
AMP3,542Q1RK20620/FEBRUARI/20156,930,000OMEVEL INJEKSISALURAN
CERNA200 VIAL34,650Q1RM06727/FEBRUARI/201510,395,000OMEVEL
INJEKSISALURAN
CERNA300VIAL34,650JAMKESDA15/APRIL/2015Q1RM22728/FEBRUARI/201543,335,600CEFTIZOXIME
INJEKSI 1 GRANTIINFEKSI50 BOX @ 2 VIAL99,000CARBAZOCHROM INJOBAT
YANGMEMPENGARUHI DARAH300 BOX @ 5 AMP11,145112,675,11913PT. ANUGRAH
ARGON MEDICA68121500686312/FEBRUARI/201517,649,991NOVOMIX
FLEXPENHORMON ENDOKRIN30 BOX @ 5 PEN106,000SPIRONOLACTON 25 MG
TABANTIINFEKSI50 BOX @ 100
TAB35068121500725313/FEBRUARI/20152,917,200TENSIVASK 10 MG TABOBAT
YANG MEMPENGARUHI DARAH5 BOX @ 50 TAB10,450MERTIGO 6 MG
TABANTIMIGREIN1 BOX @ 100
TAB3,04768121500767616/FEBRUARI/201512,750,000LEVEMIR FLEXPENHORMON
ENDOKRIN30 BOX @ 5
PEN85,00068121500995928/FEBRUARI/201532,123,685MELOXICAM
SUPPOSITORIAANALGESIK, ANTIPIRETIK, ANTIINFLA30 BOX @10
SUPP5,590RISPERIDON2 MG TABLETPSIKOFARMAKA500 BOX @ 50
TAB1,069PIRACETAM 400 MG TABKARDIOVASKULER100 BOX @ 100
KAPS37265,440,87613PT. MILLENIUM
PHARMACON13121500219602/FEBRUARI/20157,500,072LEVOFLOXACIN 500
MGTABANTIINFEKSI200 BOX @ 50
TAB750JAMKESDA15/APRIL/2015INTERNATIONAL13121500305504/FEBRUARI/20157,797,075CEFTRIMAX
INJEKSIANTIINFEKSI20 VIAL171,600JAMKESDA15/APRIL/2015MAXCEF 500 MG
TABANTIINFEKSI3 BOX @ 100 TAB9,009SIMFIX 100 MG TABANTIINFEKSI3 BOX
@ 30 TAB13,943SIMFIX 200 MG TABANTIINFEKSI2 BOX @ 10
TAB20,37813121500413128/FEBRUARI/20152,476,650ZOTAM
INJEKSIANTIINFEKSI6 VIAL151,525ROMICEF INJEKSIANTIINFEKSI6
VIAL261,25013121500416428/FEBRUARI/2015243,100LAPIFED SYRUPSALURAN
NAFAS3 BOTOL18,700LAPIFED TABLETSALURAN NAFAS1 BOX @ 100
TAB1,87013121500416528/FEBRUARI/201510,442,300IMUNOS KAPLETVITAMIN
DAN MINERAL10 BOX @ 20 TAB6,0509,716,300RETURNEUCITI 500
INJEKSIKARDIOVASKULER3 BOX @ 5 AMP48,400LAPIMOX KAPLET 500
MGANTIINFEKSI1 BOX @ 100 TAB2,420LAPIXIME INJANTIINFEKSI12
VIAL132,000LASGAN KAPSULANTIINFEKSI20 BOX @ 20 TAB13,200ANALTRAM
KAPLETANTIINFEKSI1 BOX @ 30 TAB6,600CEFILA DROPSANTIINFEKSI3
BOTOL78,100LAPICEF 500 MG TABANTIINFEKSI1 BOX @ 100
TAB9,68028,459,19714PT. INDOFARMA
GLOBALINV.02.2015.129206/FEBRUARI/201522,851,786GENTAMICIN TMOBAT
MATA189BOX @ 10BTL3,293MEDIKACARBAMAZEPIM 200 MGTABPSIKOFARMAKA430
BOX @ 100 TAB246PTUHORMON ENDOKRIN120 BOTOL @ 100 TAB291AMBROXOL
SYRUPSALURAN NAFAS500 BOTOL3,049GRISEOVULVIN TABANTIINFEKSI20BOX @
100 TAB234PARASETAMOL DROPSANALGESIK, ANTIPIRETIK, ANTIINFLA112
BOTOL5,050INV.02.2015.129306/FEBRUARI/201528,600,000RINGER
LAKTATLARUTAN ELEKTROLIT, NUTRISILAIN5000
BOTOL5,720INV.02.2015.210025/FEBRUARI/201511,440,000GLUKOSA 5
%LARUTAN ELEKTROLIT, NUTRISILAIN2000
BOTOL5,720INV.02.2015.210125/FEBRUARI/201510,000,100KAEN-3BLARUTAN
ELEKTROLIT, NUTRISILAIN1000
BOTOL10,000INV.02.2015.210825/FEBRUARI/201525,850,000NATRIUM
KLORIDALARUTAN ELEKTROLIT, NUTRISILAIN5000
BOTOL5,170JAMKESDA15/APRIL/201598,741,8861,149,932,927
MARETDAFTAR FAKTUR MARET 2015NONAMA REKANANNO. FAKTURTANGGAL
FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANHARGA
SATUANSTATUS PEMBAYARANBLN PEMBAYARANTOTAL1PT. SAPTA SARI
TAMA23-00235205/MARET/201520,088,860KOTRIMOKSAZOL
SUSPANTIINFEKSI200BOTOL2,298PYRAZINAMID 500 MG TABANTIINFEKSI500
BOX@100 TAB225CEFOPERAZONE INJANTIINFEKSI300 BOX@2
VIAL13,96523-00254311/MARET/201510,360,950NUTRIFLAM TABANALGESIK,
ANTIPIRETIK, ANTIINFLA20 BOX@ 60
TAB8,63423-00357430/MARET/20151,057,100CEFADROXIL
SYRUPANTIINFEKSI200 BOTOL5,28631,506,9102PT. MERAPI
UTAMA10-35966719/MARET/2015396,000OTSU D 40 %LARUTAN ELEKTROLIT,
NUTRISI LAIN200 FLES1,980396,0003PT.
PARAZELSUS403759977019/MARET/20153,858,888PIRACETAM 3 GR
INJKARDIOVASKULER47 BOX @ 4
AMP17,960403759977219/MARET/20154,351,512PIRACETAM 3 GR
INJKARDIOVASKULER53 BOX @ 4
AMP17,960403759977719/MARET/201542,000,200OMEPRAZOLE INJEKSISALURAN
CERNA1000 VIAL42,000403760927827/MARET/201514,300,000RIFAMPICIN 450
MG TABANTIINFEKSI100 BOX @ 100 TAB1,43064,510,6004PT. RAJAWALI
NUSINDOFKT500186024/MARET/20152,884,156HYPOBAC INJEKSIANTIINFEKSI20
VIAL144,2082,884,1565PT. UNITED DICO
CITAS010253804/MARET/201511,207,625MEVILOX TABLET 15 MGANTIINFEKSI5
BOX @ 30 TAB8,580NEVRADIN-EVITAMIN DAN MINERAL10 BOX @ 100
TAB2,520INHIPRAZ CAPSULANTIINFEKSI20 BOX @ 10 KAPS12,870LEVOVID 500
MG TABANTIINFEKSI15 BOX @ 10
TAB32,175010304924/MARET/20156,998,079NONFLAMIN KAPSULANALGESIK,
ANTIPIRETIK, ANTIINFLA30 BOX @ 60 KAPS3,88818,205,7046PT. ROYAL
MEDICA021/BFT/III/201519/MARET/20159,075,000VIP ALBUMINVITAMIN DAN
MINERAL50 BOTOL @ 30 KAPS6,0509,075,0007PT. MENSA BINA
SUKSESCD18804790102/MARET/20158,450,200METRONIDAZOL
TABANTIINFEKSI500 BOX @100
TAB169CD18810019713/MARET/201512,065,625PULNA FORTEANTIINFEKSI65
BOX @ 100 TAB1,856CD18810941116/MARET/20155,016,000LESICHOL 300
MGVITAMIN DAN MINERAL10 BOX @ 60
SOFTKAPS8,360CD18811650917/MARET/20156,496,875PULNA
FORTEANTIINFEKSI35 BOX @ 100
TAB1,856CD18816934427/MARET/20154,952,983AMLODIPIN 10 MG TABOBAT
YANG MEMPENGARUHI DARAH500 BOX @
30TAB330CD18816962927/MARET/201537,125,000PULNA FORTEANTIINFEKSI200
BOX @ 100 TAB1,856CD18818185931/MARET/20152,508,000LESICHOL 300
MGVITAMIN DAN MINERAL5 BOX @ 60 SOFTKAPS8,36076,614,6838PT. PENTA
VALENT0132-SO-15-0000523611/MARET/20154,992,487GOFLEX
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA5 BOX @ 30 TAB8,258PROLIVA
KAPLETVITAMIN DAN MINERAL25 BOX @20
KAPL7,5080132-SO-15-0000583218/MARET/20156,348,375SIZORIL 25 MG
TABPSIKOFARMAKA10 BOX @ 50 TAB3,919PROLIVA KAPLETVITAMIN DAN
MINERAL30 BOX @ 20
KAPL7,5080132-SO-15-0000592119/MARET/201526,950,000SOLVINEX
INJEKSISSALURAN NAFAS100 BOX @ 10
AMP26,9500132-SO-15-00000635026/MARET/2015965,580GOFLEX
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA4 BOX @ 30
TAB8,0470132-SO-15-0000645727/MARET/20153,465,000GABAPENTIN 300 MG
KAPLANTIEPILEPSI30 BOX @ 30 KAPL3,85042,721,4429PT. KIMIA
FARMA1NV-26.15.00000374718/MARET/2015470,030DIAZEPAM 2 MG
TABLETPSIKOFARMAKA100 BOTOL @ 100
TAB47INV-26.15.00000374818/MARET/20155,170,550BETAMETASON CREAMOBAT
KULIT TOPIKAL500 TUBENEOMERCAZOL TABHORMON ENDOKRIN50 BOTOL @ 100
TABINV-26.15.00000426530/MARET/20151,543,509DOPAMIN GIULINI
INJKARDIOVASKULER30 BOX @ 5
AMPINV-26.15.00000436931/MARET/2015520,025VITAMIN B KOMPLEX VITAMIN
DAN MINERAL50 BOX @ 100
TAB104INV-26.15.00000437431/MARET/201538,230,500FENTANYL
INJEKSIANESTETIK1000 AMPUL37306.5MORPHINE HCL INJPSIKOFARMAKA10 BOX
@ 10 AMP9240INV-26.15.00000440031/MARET/20151,421,017ALPRAZOLAM 1
MG TABPSIKOFARMAKA58 BOX @ 100 TAB24547,355,63110PT. BINA SAN
PRIMAFKMKS/201503/0161204/MARET/201518,353,632AMOXAN
SYRUPANTIINFEKSI6 BOTOL22,226BAQUINOR FORTE ANTIINFEKSI20 BOX @ 20
TAB13,536CEFAT 500 MGANTIINFEKSI3 BOX @ 100 TAB10,340SANMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA36 BOTOL59,230SPORETIK 100 MG
KAPSANTIINFEKSI10 BOX @ 30 KAPS19,168VOSEDON SUSPENSISALURAN
CERNA10 BOTOL28,199BUFECT FORTE SYRUPANALGESIK, ANTIPIRETIK,
ANTIINFLA6 BOTOL19,822SANFULIQ TABLETVITAMIN DAN MINERAL10 BOX @ 30
TAB4,736FKMKS/201503/0161304/MARET/201522,000,052SANTAGESIKINJEKSIANALGESIK,
ANTIPIRETIK, ANTIINFLA1000 BOX @5
AMP4,400FKMKS/201503/0280006/MARET/201535,199,794ANBACIM
INJEKSIANTIINFEKSI1000
VIAL35,200FKMKS/201503/0280106/MARET/201524,639,856ANBACIM
INJEKSIANTIINFEKSI700
VIAL35,200FKMKS/201503/0476310/MARET/201544,192,830PUMPITOR
INJEKSISALURAN CERNA60VIAL145,706SPORETIK 100 MG KAPSANTIINFEKSI20
BOX @30 TAB19,168TAXEGRAM 1 GR INJANTIINFEKSI27
VIAL138,655TRICHODAZOL 500 MG TABANTIINFEKSI2 BOX @ 100
TAB1,579AMOXAN DROPSANTIINFEKSI24 BOTOL22,226CEFORIM
INJEKSIANTIINFEKSI27 VIAL306,174CORTIDEX INJEKSIANALGESIK,
ANTIPIRETIK, ANTIINFLA5 BOX @ 10 AMP6,045LAPRAZ KAPSULANTIINFEKSI10
BOX @ 20 KAPS11,616OSTELOX TABLETANTIINFEKSI10 BOX @ 20
KAPS8,910PUMPITOR KAPSULSALURAN CERNA20 BOX @ 20 TAB13,156SANFULIQ
TABLETVITAMIN DAN MINERAL10 BOX @ 30
TAB4,736FKMKS/201503/0470610/MARET/20154,501,365CAPRENEM
INJANTIINFEKSI10
VIAL450,137FKMKS/201503/0670413/MARET/20154,600,816CINOLON-N
CREAMOBAT KULIT TOPIKAL100 TUBE17,402EPEXOL DROPSSALURAN NAFAS24
BOTOL36,465EPEXOL SYRUPSALURAN NAFAS12 BOTOL16,588NYMICO
DROPSANTIINFEKSI56
FLES31,900FKMKS/201503/0732114/MARET/20152,871,000FOLAVIT
TABLETVITAMIN DAN MINERAL20 BOX @ 100 TAB770CERINI
KAPLETANTIINFEKSI20 BOX @ 20
TAB3,328FKMKS/201503/0877817/MARET/20153,519,979ANBACIM
INJEKSIANTIINFEKSI100
VIAL35,200FKMKS/201503/0867917/MARET/201520,898,328EPISAN
SUSPSALURAN CERNA1000
BOTOL20,898FKMKS/201503/0955619/MARET/201511,246,565FLOXACAP
INFUSANTIINFEKSI15 SOFTBAG248,050FLOXACAP TABLETANTIINFEKSI5 BOX @
18 TAB33,605CAPRENEM INJANTIINFEKSI10
VIAL450,137FKMKS/201503/0986219/MARET/201517,906,900NEUROSANBE
INJVITAMIN DAN MINERAL500 BOX @ 10
AMP3,581FKMKS/201503/1118223/MARET/201549,279,712ANBACIM
INJEKSIANTIINFEKSI1400
VIAL35,200FKMKS/201503/1402927/MARET/201513,750,129SANMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA500
BOTOL27,500FKMKS/201503/1463928/MARET/20158,579,467FUTROLIT
INFLARUTAN ELEKTROLIT, NUTRISI LAIN240
SOFTBAG35,748FKMKS/201503/1464028/MARET/201539,634,175INFUMALINFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN600
SOFTBAG66,057FKMKS/201503/1636331/MARET/201513,456,476CAPRENEM
INJANTIINFEKSI12 VIAL450,137INTRICEF INJANTIALERGI DAN OBAT
ANAFILAKSIS12 VIAL165,842CEFACEF 100 MGANTIINFEKSI10 BOX @ 30
TAB17,974CAPRAZOL KAPSULANTIINFEKSI3 BOAX @ 20
KAPS11,209334,631,07611PT.
TEMPO120235823227/MARET/20155,844,502BUSCOPAN INJEKSISALURAN CERNA5
Box @ 10 amp22,075BUSCOPAN 10 MG TABSALURAN CERNA1 BOX @ 100
TAB2,186BISOLVON INJEKSISALURAN NAFAS10 BOX @ 10 AMP41,630BUSCOPAN
PLUS TABLETSALURAN CERNA1 BOX @ 100
TAB2,993120235822827/MARET/201559,880DULCOLAX 5 MG SUPPOSALURAN
CERNA2 BOX @ 6 SUPPO4,9905,904,38212PT. DAYA MUDA
AGUNG00214027/MARET/201546,302,300PANTOPRAZOL INJEKSISALURAN
CERNA1000 VIAL44,002METHYLPREDNISOLON TABANTIALERGI DAN OBAT
ANAFILAKSIS100 BOX @ 100 TAB23046,302,30013PT. ENSEVAL
PUTERA11502025427/MARET/20152,954,714AMLODIPIN 5 MG TABOBAT YANG
MEMPENGARUHI DARAH500 BOX @ 30
TAB19731500077327/MARET/20155,200,000FIMAHES FLEXY BAGLARUTAN
ELEKTROLIT, NUTRISI LAIN20 BOX @ 5 FLEXY BAG5,2008,154,71414PT.
PARIT PADANG GLOBALM191500976116/MARET/20151,399,200SOTATIC
INJEKSISALURAN CERNA100 BOX @ 5
AMP2,798M191500976616/MARET/20151,227,600DEXKETOPROFEN
INJEKSIANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 5
AMP24,552M191500976516/MARET/2015920,700DEXKETOPROFEN
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA10 BOX @ 30
TAB3,069M191500993717/MARET/20151,399,200SOTATIC INJEKSISALURAN
CERNA100 BOX @ 5
AMP2,798M191501175631/MARET/20154,603,500DEXKETOPROFEN
TABLETANALGESIK, ANTIPIRETIK, ANTIINFLA50 BOX @ 30
TAB3,069M191501176031/MARET/2015550,000DEHAF SACHETVITAMIN DAN
MINERAL10 BOX @ 6
SACHET9,167M191501175331/MARET/2015629,937SALBUTAMOL TAB 4 MG
SALURAN NAFAS50 BOX @ 100
TAB97M191501202631/MARET/20153,199,680BUNASCAN EPIDURAL
INJANESTESI20 BOX @ 5
AMP31,997M191501201831/MARET/20153,840,441BUNASCAN SPINAL
INJANESTESI30 B0X @ 5 AMP25,60317,770,25815PT. ANTARMITRA
SEMBADAQ1RO19610/MARET/2015857,593PARASETAMOL SYRUPANALGESIK,
ANTIPIRETIK, ANTIINFLA500
BOTOL1,715Q1RP56216/MARET/201522,365,200MECOBALAMIN INJVITAMIN DAN
MINERAL299 BOX @ 10 AMP7,480Q1RQ54620/MARET/20155,256,350PIRACETAM
INJ 3 GRAMKARDIOVASKULER10 BOX @ 4 AMP16,500CEFTIZOXIME
INJANTIINFEKSI20 BOX @ 2VIAL99,000CITICOLINE INJKARDIOVASKULER2 Box
@ 10 amp10,725PANTOPRAZOLE INJSALURAN CERNA10
VIAL42,185Q1RS00727/MARET/201519,800,000CEFTIZOXIME
INJANTIINFEKSI100 BOX @ 2
VIAL99,000Q1RS09127/MARET/20153,918,750FAKTU SUPPOSITORIASALURAN
CERNA50 BOX@ 10 SUPP7,838Q1RS31928/MARET/201519,800,000CEFTIZOXIME
INJANTIINFEKSI100 BOX @ 2
VIAL99,000Q1RS558830/MARET/20151,930,500CITICOLINE
INJKARDIOVASKULER8 BOX @ 10 AMP10,725PHENYTOIN INJKARDIOVASKULER3
BOX @ 10 AMP23,833Q1RT01131/MARET/2015611,897MILOZ INJANESTESI10
BOX @ 10 AMP6,11974,540,29016PT. ANUGRAH ARGON
MEDICA68121501176010/MARET/201516,235,000CIPROFLOXACIN
INFUSANTIINFEKSI500 BOTOL15,000GLIQUIDONE TABPSIKOFARMAKA50 BOX @
100 TAB1,045DIOVAN 80 MG TABOBAT YANGMEMPENGARUHI DARAH30 BOX @ 30
TAB3,86368121501238313/MARET/201511,627,532NEURODEX TABVITAMIN DAN
MINERAL204 BOX @ 200 TAB285681215011332519/MARET/20152,093,784ASAM
VALPROAT SYRUPANTIEPILEPSI50
BOTOL41,87668121501403124/MARET/20151,023,000NOVOTWIST JARUMJARUM
INSULIN1 BOX @ 100 PCS2,310PSIDII SYRUPVITAMIN DAN MINERAL24
BOTOL33,00068121501487527/MARET/2015475,000CLOBAZAM 10 MG
TABLETPSIKOFARMAKA5 BOX @ 100
TAB95068121501530830/MARET/20155,225,000GLIQUIDONE
TABANTIEPILEPSI50 BOX @ 100
TAB1,04568121501549930/MARET/20154,867,600AMINEFRON TABANTIINFEKSI5
BOX @ 100 TAB6,875VICTRINE 300 MG TABANTIINFEKSI5 BOX @ 20
TAB4,235SISTENOL KAPLETANTIINFEKSI1 BOX @ 60 TAB1,540MERTIGO
TABANTIMIGRAIN3 BOX @ 100
TAB3,04768121501602131/MARET/20155,330,764KETOROLAC 30 MG
INJANALGESIK, ANTIPIRETIK, ANTIINFLA200 BOX @ 10
AMP2,66568121501606931/MARET/20151,863,084CEFTAZIDIM
INHANTIINFEKSI52BOX @ 2
VIAL17,91468121501600531/MARET/20154,224,000BUPIVACAIN SPINAL
INJANESTESI30 BOX @ 5 AMP28,16052,964,76417PT. MILLENIUM
PHARMACON13121500435304/MARET/20152,477,475GOFLEX
TABLETANTIINFEKSI10 BOX @ 30
TAB8,258INTERNATIONAL13121500478004/MARET/20151,116,500IMUNOS
KAPLETVITAMIN DAN MINERAL5 BOX @ 20 TAB6,050NEUCITI 250 MG
INJKARDIOVASKULER3 BOX @ 5
AMP34,10013121500537710/MARET/20152,413,125SSIMLEV 500
MGTABANTIINFEKSI10 BOX @ 10
TAB24,13113121500507816/MAET/20154,182,750SIMFIX 100 MG
TABANTIINFEKSI10 BOX @ 30
TAB13,94313121500523318/MARET/20151,127,270MEIACT 200
MGTABANTIINFEKSI1 BOX @ 20 TAB22,000FOSMICIN INJ 1 GRANTIINFEKSI2
VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI2 VIAL173,250L-BIOSALURAN
CERNA1 BOX @ 30
SACHET5,50013121500530819/MARET/20152,895,750TOFEDEX
TABLETANTIINFEKSI5 BOX @ 30 TAB5,720IMUNOS SYRUPVITAMIN DAN
MINERAL3 BOTOL57,750LAMESON TAB 4 MGANTIINFEKSI3 BOX @ 100
TAB3,025LAPISTAN500 MG TABANTIINFEKSI1 BOX @ 100 TAB990TARIFLOX 400
MG TABANTIINFEKSI2 BOX @
30TAB14,30013121500530919/MARET/201512,112,650MEIACT 200
MGTABANTIINFEKSI9 BOX @ 20 TAB22,000FOSMICIN 1 GRANTIINFEKSI15
VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI15 VIAL173,250L-BIOSALURAN
CERNA12 BOX @ 30 SACHET5,500PROLIVAVITAMIN DAN MINERALBOX @ 20
TAB7,7001312500537720/MARET/20152,413,125SIMLEV 500 MG
TABANTIINFEKSI10 BOX @ 10
TAB24,13113121500537820/MARET/20157,887,330FOSMICIN INJ 1
GRANTIINFEKSI3 VIAL88,110FOSMICIN 2 GR INJANTIINFEKSI33
VIAAL173,250L-BIOSALURAN CERNA7 BOX @ 30 SACHET5,500PTOLIVA
TABVITAMIN DAN MINERAL5 BOX @ 20
TAB7,70013121500579727/MARET/20153,630,000IMUNOS KAPLETVITAMIN DAN
MINERAL30 BOX @ 20 TAB6,05013121500586627/MARET/20156,441,435GOFLEX
TABLETANTIINFEKSI26 BOX @ 30
TAB8,258131211500611531/MARET/20153,239,500LAPIBAL INJEKSIOBATYANG
MEMPENGARUHI DARAH7 BOX @ 5 Amp20,900TOFEDEX TABLETANTIINFEKSI5 BOX
@ 30 TAB5,720IMUNOS PLUS KAPLETVITAMIN DAN MINERAL10 BOX @ 20
TAB8,25013121500614431/MARET/20154,719,000CEFTRIMAX
INJANTIINFEKSI20 VIAL171,600IMUNVIT PLUS TABLETVITAMIN DAN
MINERAL10 BOX @ 20
TAB6,43513121500614531/MARET/20154,118,400CEFTRIMAX
INJANTIINFEKSI24 VIAL171,60058,774,31018PT. INDOFARMA GLOBAL
INV.03.2015.252404/MARET/201516,498,350ALBUMANOBAT YANGMEMPENGARUHI
PLASMA20
BOTOL824,918MEDIKAINV.03.2015.282611/MARET/20154,780,304THIAMFENIKOL
500 MGANTIINFEKSI70 BOX @ 100 TAB585OTSU SALINE INFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN40
BOTOL15,400INV.03.2015.340824/MARET/2015666,600OTSU ND PIGGY
BAGLARUTAN ELEKTROLIT, NUTRISI LAIN60
BOTOL11,110INV.03.2015.351125/MARET/201516,459,410WIDAHES
INFUSLARUTAN ELEKTROLIT, NUTRISI LAIN300
BOTOL54,865INV.03.2015.356527/MARET/201516,498,350ALBUMANOBAT
YANGMEMPENGARUHI PLASMA20
BOTOL824,918INV.03.3015.379331/MARET/20155,940,000ACETYLSISTEIN
TABSALURAN NAFAS99 BOX@60
TAB1,00060,843,014953,155,234mailto:BOX@200%20TAB
APRILDAFTAR FAKTUR APRIL 2015NONAMA REKANANNO. FAKTURTANGGAL
FAKTURJUMLAH FAKTURNAMA OBATPENGGOLONGAN OBATKETERANGANSTATUS
PEMBAYARANBLN PEMBAYARANTOTAL1PT. ANUGRAH PHARMINDO
LESTARI321104417201/APRIL/20153,240,006DORNER TABLETANALGESIK,
ANTIPIRETIK, ANTIINFLA30 BOX @ 30
TAB321104421802/APRIL/20152,549,788CORDARON INJKARDIOVASKULER30 BOX
@ 6 AMP5,789,7942PT. ENSEVAL
PUTERA11502173301/APRIL/20152,200,000FLUTIAS INHEALERSALURAN
NAFAS20 BOTOL2,200,0003PT. BINA SAN
PRIMAFKMKS/201504/0280607/APRIL/201519,799,067PELASTIN
INJEKSIANTIINFEKSI100
VIALFKMKS/201504/0280707/APRIL/201528,159,835ANBACIM
INJEKSIANTIINFEKSI800
VIALFKMKS/201504/0280807/APRIL/201528,159,835ANBACIM
INJEKSIANTIINFEKSI800
VIALFKMKS/201504/0324308/APRIL/201539,417,389LEVOCIN 500 MG
TABANTIINFEKSI10 BOX @ 18 TABOSTELOX 7,5 MG TABANTIINFEKSI10 BOX @
20 TABSANEXON 4 MG TABANTIALERGI DAN OBAT ANAFILAKSIS10 BOX @ 100
TABSANEXON 16 MG TABANTIALERGI DAN OBAT ANAFILAKSIS5 BOX @ 30
TABTRICHODAZOL INFANTIINFEKSI24 SOFTBAGTERFACEF INJANTIINFEKSI84
VIALZIDIVEC INJEKSIANTIINFEKSI10 VIALCEFAT FORTE
SYRUPANTIINFEKSI12BOTOLELKANA-CLVITAMIN DAN MINERAL120 BOTOLSANMOL
SYRUPANALGESIK, ANTIPIRETIK, ANTIINFLA48
BOTOLFKMKS/201504/0326508/APRIL/201541,800,080SANMOL
INFUSANALGESIK, ANTIPIRETIK, ANTIINFLA1000 BOTOLMEGABAL
KAPSULVITAMIN DAN MINERAL200 BOX @ 100
TABFKMKS/201504/0326608/APRIL/201516,720,000BECOM - C TABLETVITAMIN
DAN MINERAL100 BOX @ 100 TABFOLAVIT 400 MCG TABVITAMIN DAN
MINERAL50 BOX @ 100
TABFKMKS/201504/0328608/APRIL/201543,999,743ANBACIM
INJEKSIANTIINFEKSI1250
VIALFKMKS/201504/0328708/APRIL/201543,999,743ANBACIM
INJEKSIANTIINFEKSI1250
VIALFKMKS/201504/0383109/APRIL/2015126,500VERTIGOSAN
TABLETANTIINFEKSI1 BOX @ 50
TABFKMKS/201504/0384109/APRIL/201530,666,367LIVAMIN INFUSLARUTAN
ELEKTROLIT, NUTRISI LAIN200
SOFTBAGFKMKS/201504/0455610/APRIL/201520,898,328EPISAN SYRUPSALURAN
CERNA1000 BOTOL313,746,887