Analisis Manajemen Obat Kaitannya Dengan Ketersediaan Obat Di RSUD Dr. Hadrianus Sinaga Kabupaten Samosir Tahun 2013

Universitas Sumatera Utara

LAPORAN STOCK OPNAME OBAT-OBATAN PER 31 DESEMBER 2012

MUTASI PENERIMAAN

SALDO AWAL
No

Nama Obat

Satuan
JLH

1
2
3
4
5
6
7

8
9
10
11
12
13
14
15
16

17
18
19
20
21
22
23
24
25


26

HARGA

TOTAL

PEMAKAIAN

Januari s/d Desember 2012
harga
JLH
baru
TOTAL

Acyclovir 400mg Tab

Tablet

86


650.00

55,900.00

100

Acyclovir cream

Tube

34

3,000.00

102,000.00

Adona AC 2ml amp

Ampul


4

9,372.00

Adona AC tab

Tablet

190

Agrezol Tab
Albendazole 400mg
Tab

Tablet

570.67

Obat
Expiry


Januari s/d Desember 2012
JLH

HARGA

TOTAL

JLH

HARGA

13,696.08

APBD

3

3,000.00


9,000.00

APBD

4

9,372.00

37,488.00

APBD

100

2,207.70

220,770.00

APBD


244,545.00

103

6,987.00

719,661.00

APBD

7,612.50

21

304.50

6,394.50

APBD


26,950.00

80,850.00

APBD

162

570.67

92,448.54

-

-

31

3,000.00


93,000.00

37,488.00

-

-

9,372.00

-

2,207.70

419,463.00

-

-


2,207.70

-

38

7,000.00

266,000.00

100

Tablet

46

304.50

14,007.00


Albothyl

Botol

6

26,950.00

Allupurinol 100 mg tab

Tablet

884

Alprazolam 0.5 mg tab

Tablet

Alprazolam 1 mg tab

-

90

24

698,700.00

35

6,987.00

-

-

25

304.50

161,700.00

-

-

3

26,950.00

80,850.00

3

146.00

129,064.00

-

-

397

146.00

57,962.00

487

146.00

71,102.00

APBD

1,720

725.00

1,247,000.00

-

-

1,446

725.00

1,048,350.00

274

725.00

198,650.00

APBD

Tablet

100

945.00

94,500.00

-

-

945.00

94,500.00

APBD

Ambroxol Syr

Botol

66

2,584.00

170,544.00

300

3,300.00

270,600.00

APBD

Ambroxol tab

Tablet

543

109.00

59,187.00

2,000

113.00

130,854.00

APBD

Aminoleban

Fls

10

167,645.00

1,508,805.00

APBD

Aminophillin inj

Ampul

53

5,508.00

Amiparen

Fls

25

105,214.00

Amitriptillin 25 mg Tab

Tablet

500

-

3,300.00

990,000.00

284

3,300.00

937,200.00

82

113.00

226,000.00

1,385

113.00

156,505.00

1,158

1,676,450.00

-

-

1

167,645.00

167,645.00

9

167,645.00

291,924.00

-

-

55

5,508.00

302,940.00

-

5,508.00

2,630,350.00

-

-

1

105,214.00

105,214.00

24

105,214.00

88.00

44,000.00

-

-

161

2,611.00

420,371.00

-

85

1,692,000.00

587

Tablet

58

4,447.00

257,926.00

1,000

Amlodipin 5mg Tab
Amoxicillin 500 mg
tablet

Tablet

282

2,541.00

716,562.00

-

-

116

Tablet

2,661

354.00

941,994.00

-

-

2,424

Amoxicillin syr
Antalgin tab 500 mg
tab

Botol

37

3,400.00

125,800.00

50

Tablet

1,000

51.58

51,580.00

-

Antasida syr

Botol

75

2,523.00

189,225.00

200

Antasida tab

Tablet

3,351

30.53

102,306.03

Aptor tab

Tablet

25

277.00

6,925.00

Aquabidest

Fls

-

Tablet

378

-

127.00

48,006.00

1,692.00

-

Amlodipin 10mg Tab

As. Mefenamat 500mg
tab

100

2,611.00

500

88.00

-

APBD

2,525,136.00

APBD

44,000.00

APBD

198,436.00

APBD

796,932.00

APBD

221,935.00

76

993,204.00

471

2,541.00

294,756.00

166

2,541.00

421,806.00

APBD

354.00

858,096.00

237

354.00

83,898.00

APBD

1,692.00

2,611.00
1,692.00

235,450.00

56

4,709.00

263,704.00

31

4,709.00

145,979.00

APBD

-

50

51.58

2,579.00

950

51.58

49,001.00

APBD

770,000.00

187

3,850.00

719,950.00

88

3,850.00

338,800.00

APBD

-

-

238

30.53

7,266.14

3,113

30.53

95,039.89

APBD

-

-

4,709.00

3,850.00

277.00

-

25

-

500

2,420.00

1,210,000.00

728

2,420.00

1,761,760.00

-

500

1,774.00

887,000.00

500

1,774.00

887,000.00

-

5,000

197.00

985,000.00

5,421

197.00

1,067,937.00

-

1,200

176.00

211,200.00

1,200

176.00

211,200.00

-

2,420.00

197.00

Keterangan

TOTAL

570.67

57,067.00

6,987.00

Sumber

SALDO AKHIR

-

APBD

-

APBD

-

APBD

-

APBD

-

APBD

2

Pinj. dr JPS

228

Pinj. dr JPS

43

Pinj. dr JPS

Universitas Sumatera Utara

27
28

29
30
31
32
33
34

35
36
37
38
39
40
41
42
43
44
45

46
47
48
49
50
51
52
53
54

55

Asam traneksamat
250mg inj
Asam tranexamat
500mg inj

Ampul

-

Ampul

27

-

100

3,850.00

385,000.00

21

3,850.00

80,850.00

79

3,850.00

304,150.00

APBD

11,550.00

311,850.00

600

9,075.00

5,445,000.00

558

9,075.00

5,063,850.00

69

9,075.00

626,175.00

APBD

200

10,450.00

2,090,000.00

-

200

10,450.00

2,090,000.00

APBD

35,112.00

-

1,254.00

1,451,670.00

157

17,490.00

-

-

11,550.00

-

Asam tranexamat
500mg tab

Tablet

2

1,254.00

2,508.00

Asering inf

Fls

-

Aspilet 80 mg

Tablet

-

366.00

-

-

-

-

-

Ativan

Tablet

-

2,791.00

-

-

-

-

-

Atropin sulfat amp

Ampul

312

891.00

277,992.00

-

-

ATS 1500 IU amp

Ampul

-

Becarbon

Tablet

2,853

Becom C capl

Caplet

-

Betadine gargle100 ml

Botol

4

Betahistin tab
Betametason Cream
0.1 %

Tablet

-

Tube

46

Biocef inj

Ampul

Bioplacenton gel

-

-

18.00
7,920.00

-

-

240

-

4,197,600.00

83

-

82

1,254.00
17,490.00

891.00

24,156,000.00

142

109,800.00

15,591,600.00

78

150

99,825.00

14,973,750.00

150

99,825.00

14,973,750.00

-

115

-

-

-

-

31,680.00

-

-

4

91,440.00

41

-

17

7,590,000.00

55

-

8

17,600,000.00

95

176,000.00

950,430.00

378

2,437.00

90

391,000.00

-

8

115,500.00

924,000.00

60

Tube

9

8,800.00

79,200.00

-

Bioxon inj

Ampul

21

Bisoprolol 5 mg tab

Tablet

1

Bronsolvan tab

Tablet

78

Burnazin cream 35gr

Tube

-

1,016.00

126,500.00

3,580,500.00

100

176,000.00

2,391.00

2,391.00

390

2,437.00

432.00

33,696.00

18.00

2,070.00
-

-

-

41,656.00

49

8,500.00

144,500.00

29

126,500.00

6,957,500.00

8,800.00

70,400.00

1,016.00

-

8,500.00

246,500.00

APBD

13

126,500.00

1,644,500.00

APBD

1

8,800.00

8,800.00

APBD

26

176,000.00

4,576,000.00

APBD

13

2,437.00

31,681.00

APBD

-

78

432.00

33,696.00

APBD

-

6

42,350.00

254,100.00

APBD

16,720,000.00
921,186.00

42,350.00

254,100.00

-

42,350.00

10

40,010.00

400,100.00

10

40,010.00

400,100.00

-

-

APBD

50

22,990.00

1,149,500.00

50

22,990.00

1,149,500.00

-

-

APBD

9,498.00

113,976.00

27

9,498.00

256,446.00

8

-

1

6,864.00

6,864.00

31

-

7

14,520.00

101,640.00

2

11,500.00

264,500.00

12

Camicetin Syr

Botol

32

6,864.00

219,648.00

-

Camitrosine syr

Botol

9

14,520.00

130,680.00

Captopril 12.5 mg tab

Tablet

80

68.00

5,440.00

3,000

90.00

270,006.00

1,449

90.00

130,412.90

Captopril 25 mg tab
Carbamazepin 200 mg
tab

Tablet

211

132.00

27,852.00

2,800

137.00

383,600.00

1,008

137.00

Tablet

373

246.00

91,758.00

-

Cartylo tablet
Cefadroxil 500 mg
caps

Tablet

-

Capsul

220

75,984.00

APBD

6,864.00

212,784.00

APBD

14,520.00

29,040.00

APBD

1,631

90.00

146,793.26

APBD

138,096.00

2,003

137.00

274,411.00

APBD

11,316.00

327

80,442.00

APBD

46
814

508.00

413,512.00

586

508.00

297,688.00

APBD

840.00

682,083.25

APBD

246.00

1,400

508.00

711,200.00

147,180.00

3,000

840.00

2,520,012.00

2,408

840.00

2,022,729.63

812

3,000

700.00

2,099,988.00

3,000

700.00

2,099,988.00

-

61

7,669.00

467,809.00

-

30

7,669.00

9,498.00

-

-

224,130.00

1,016.00

6

23

7,230.00

APBD
APBD

Botol

31

APBD

49,784.00

Calcidol syr

Botol

APBD

APBD

49,284.00

31,680.00

7,920.00

230,070.00

246.00

26

APBD

8,564,400.00
-

18.00

APBD
APBD

2,745,930.00

-

Ampul

Cefadroxil syr

2,738

109,800.00

-

-

Bupivacaine 5 mg inj

669.00

230

109,800.00

-

-

73,062.00

220

8,500.00

-

28

51,354.00

-

170,500.00

17,490.00

-

-

-

APBD

-

APBD

Universitas Sumatera Utara

Pinj. dr JPS

56

57
58
59
60
61
62

63
64

65
66
67
68
69
70
71
72
73
74
75
76
77
78
79

80
81
82
83

Cefixim 100 mg cap

Capsul

25

2,286.00

-

57,150.00

8,097.00

647,760.00

20

8,097.00

161,940.00

APBD

1,173

2,390.00

2,803,470.00

352

2,390.00

841,280.00

APBD

300

2,274.00

682,200.00

APBD

2,064,400.00

55

31,760.00

1,746,800.00

APBD

8,678.00

6,057,244.00

427

8,678.00

3,705,506.00

APBD

37,620.00

4,928,220.00

25

37,620.00

940,500.00

APBD

7,168,590.00

407

10,026.00

4,080,582.00

APBD

362,340.00

10

40,260.00

402,600.00

APBD

8,097.00

809,700.00

1,500

2,390.00

3,585,000.00

300

2,274.00

682,200.00

120

31,760.00

3,811,200.00

65

31,760.00

8,678.00

8,678,000.00

698

40

37,620.00

1,504,800.00

131

10,026.00

11,048,652.00

715

10,026.00

9

40,260.00

-

Cefixim syr

Botol

-

Cefotaxim 1 gr inj

Vial

125

7,890.00

986,250.00

Ceftazidime 1 gr inj

Vial

257

34,200.00

8,789,400.00

Ceftriaxon inj 1 gr

Vial

20

8,681.00

173,620.00

1,102

Cetadop 200 mg amp

Ampul

19

40,260.00

764,940.00

-

Cetirizin tab

Tablet

80

330.00

26,400.00

150

320.00

48,000.00

230

320.00

73,600.00

-

300

330.00

99,000.00

133

330.00

43,890.00

167

330.00

55,110.00

APBD

90

73.00

6,570.00

APBD

Cimetidin tab

Tablet

90

73.00

Citicholin 250mg amp

Ampul

16

16,500.00

-

80

100

1,000

-

6,570.00
264,000.00

-

412,500.00

41

16,500.00

676,500.00

-

-

APBD

50

14,520.00

726,000.00

50

14,520.00

726,000.00

-

-

APBD

100

19,800.00

1,980,000.00

12

19,800.00

237,600.00

88

-

20

510.00

10,200.00

226

91,000.00

166

910.00

151,060.00

79

601

570,950.00

756

-

capsul

246

510.00

125,460.00

-

capsul

145

900.00

130,500.00

100

Clobazam

Tablet

1,357

950.00

1,289,150.00

-

-

Clonidin tab

Tablet

100

150.00

15,000.00

-

-

Co Amoxiclav tab

Tablet

42

5,600.00

235,200.00

-

-

11

Codein 10 mg

Tablet

-

Codein 15 mg

Tablet

339

Cotrimoxazole syr

Botol

69

Criax Inj

Vial

2

CTM

tablet

5,374

Curcuma

tablet

406

Cyprofloxacin inf

tablet

12

Cyprofloxacin 500 mg

tablet

200

Daryantulle

Pcs

33

Dexametasone 1 ml
amp

Ampul

36

Dexametasone tab

Tablet

1,139

Dexocort 0,25 %

Tube

Dextromethorphan syr

Botol

APBD

16,500.00

Tablet

-

-

25

Clapharma tablet
Clindamicin 150 mg
caps
Clindamicin 300 mg
caps

-

141

910.00

950.00

5,600.00

61,600.00

10

21

500

427.00

213,500.00

419

427.00

178,913.00

81

348.00

117,972.00

500

727.00

363,500.00

839

727.00

609,953.00

-

2,924.00

201,756.00

-

10

2,924.00

29,240.00

59

219,700.00

439,400.00

-

2

219,700.00

439,400.00

-

7.00

37,618.00

-

2,851

7.00

19,957.00

2,523

660.00

267,960.00

1,500

313,040.00

1,347

51,818.00

621,816.00

76

5,357,060.00

-

230.00

46,000.00

2,000

701,800.00

-

11,000.00

363,000.00

200

13,750.00

100

840,000.00

559

560.00

4,331,240.00

94

56,990.00

2,200

319.00

2,750,000.00

193

13,750.00

2,653,750.00

40

13,090.00

1,309,000.00

100

13,090.00

1,309,000.00

-

2,000.00

1,400,000.00

419

2,000.00

838,000.00

317

3,564

50.00

178,200.00

1,575

56,990.00
319.00

638,000.00

867.00

31,212.00

700

40.00

45,560.00

4,000

6

21,300.00

127,800.00

-

-

55

2,400.00

132,000.00

-

-

50.00

200,000.00

19

2,400.00

45,600.00

APBD

510.00

115,260.00

APBD

910.00

71,890.00

APBD

718,200.00

APBD

950.00

-

100

-

560.00

1,742,400.00

19,800.00

5,600.00
427.28

117,600.00

APBD

34,609.68

APBD
-

2,924.00

560.00

APBD

17,661.00

APBD

754,320.00

APBD

56,990.00

13,750.00

APBD
APBD

172,516.00
-

7.00

APBD

-

APBD

-

APBD

6

APBD

550,000.00
-

APBD

2,000.00

634,000.00

APBD

50.00

78,750.00

APBD

6

21,300.00

127,800.00

APBD

36

2,400.00

86,400.00

APBD

Universitas Sumatera Utara

Pinj. dr JPS

84
85
86
87

88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115

Dextromethorphan tab

Tablet

5,174

36.00

186,264.00

Dextrose 10 %

Fls

Dextrose 40%
Dextrose 5%

-

171

4,100.00

701,100.00

Fls

31

2,061.00

63,891.00

-

Fls

14

3,821.00

53,494.00

100
100

36.00

181,584.00

APBD

138

4,100.00

565,800.00

APBD

61,830.00

1

2,061.00

2,061.00

APBD

8,690.00

26,070.00

111

964,590.00

APBD

100

4,840.00

484,000.00

-

208

78.00

16,224.00

576

-

130

36.00

4,680.00

5,044

-

33

4,100.00

135,300.00

-

30

2,061.00

8,690.00

869,000.00

3

4,840.00

484,000.00
-

8,690.00

44,928.00

APBD

31.00

19,158.00

APBD

140.00

280.00

APBD

Diaform tab

Tablet

784

78.00

61,152.00

-

Diazepam 2mg

Tablet

720

19.00

13,680.00

1,000

31.00

31,000.00

1,102

31.00

34,162.00

618

Digoxin 0,25mg tab

Tablet

82

83.21

6,823.22

100

140.00

14,000.00

180

140.00

25,200.00

2

Dobutamin inj

Ampul

1

26,000.00

26,000.00

26,000.00

-

Doksisiklin 100 mg

Tablet

202

400.00

80,800.00

200

220.00

29,700.00

267

220.00

Domperidone syr

Botol

-

-

240

13,280.00

1,766,240.00

107

13,280.00

Domperidone tab

Tablet

26

416.00

218,400.00

506

420.00

Dopamin Giulini inj

Ampul

52

50,644.00

2,633,488.00

-

658,372.00

39

Dulcolactol Syr
Dulcolax supp anak 5
mg

Botol

1

39,820.00

39,820.00

6

Supp

-

-

18

Dulcolax supp dewasa

Supp

117

10,756.00

Dulcolax tab

Tablet

102

717.00

73,134.00

Duvadilan

Tablet

41

4,200.00

172,200.00

Efedrin inj

Ampul

-

Erlamicetin tts telinga

Botol

5

Erphafilin Tab

Tablet

4,027

Erytromicin 250 mg
Erytromicin 500 mg
tab

Tablet

-

Tablet

436

Erytromicin syr

Botol

Estin syr

-

-

10,816.00

-

26,000.00

APBD

212,520.00

APBD

50,644.00

1,975,116.00

APBD

1

41,000.00

41,000.00

APBD

64,680.00

12

10,780.00

129,360.00

APBD

10,756.00

925,016.00

31

10,756.00

333,436.00

APBD

91

854.00

77,714.00

11

854.00

9,394.00

APBD

-

36

4,200.00

151,200.00

5

4,200.00

21,000.00

APBD

605,000.00

21

254,100.00

29

12,100.00

350,900.00

APBD

5

2,640.00

13,200.00

APBD

3,879

77.00

298,683.00

APBD

3,187,200.00

133

13,280.00

420,000.00

520

420.00

-

13

41,000.00

246,000.00

6

41,000.00

246,000.00

10,780.00

194,040.00

6

10,780.00

-

86

-

-

50

12,100.00

50,644.00

12,100.00

2,640.00

13,200.00

-

-

77.00

310,079.00

-

-

-

-

-

603.00

262,908.00

-

-

255

9

6,721.00

60,489.00

-

-

Botol

13

36,300.00

471,900.00

-

Faktu supp

Supp

55

7,535.00

414,425.00

-

Fentanyl 0.05

Ampul

FG troches tab

Tablet

503

813.00

408,939.00

Folavit tab

Tablet

23

655.00

15,065.00

-

-

Folid acid

Tablet

177

32.00

5,664.00

-

-

37

Formalin 37% 10L

Liter

185

26,500.00

3,630,000.00

161

36,300.00

Furosemid 40 mg

Tablet

362

65.00

23,530.00

1,000

90.00

90,002.00

734

90.00

Furosemid inj

Ampul

15

1,167.00

17,505.00

175

2,100.00

367,500.00

140

2,100.00

-

100

4,902,500.00

35,570.00

36,300.00

148

77.00

11,396.00
-

-

APBD

603.00

153,765.00

181

9

6,721.00

60,489.00

-

-

APBD

-

13

36,300.00

471,900.00

-

-

APBD

-

17

7,535.00

128,095.00

38

7,535.00

286,330.00

APBD

100

35,570.00

3,557,000.00

APBD

346

813.00

281,298.00

APBD

23

655.00

15,065.00

APBD

3,557,000.00
-

100

APBD

1,420,960.00

220.00

420.00

-

APBD

135

1,000

78.00

58,740.00

44,000.00

1,258,452.00

-

1

APBD

157

813.00

127,641.00
-

32.00

603.00

109,143.00

1,184.00

140

32.00

4,480.00

APBD

5,844,300.00

124

36,300.00

4,501,200.00

APBD

66,061.47

628

90.00

56,521.26

APBD

294,000.00

50

105,000.00

APBD

2,100.00

Universitas Sumatera Utara

116
117

118
119
120
121

122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143

144
145

Tube

3

31,900.00

95,700.00

-

Gentamicin Inj

Ampul

12

2,575.00

30,900.00

100

3,690.00

369,000.00

112

3,690.00

413,280.00

-

100

3,960.00

396,000.00

12

3,960.00

47,520.00

88

3,960.00

348,480.00

APBD

1,700.00

340,000.00

142

1,700.00

241,400.00

74

1,700.00

125,800.00

APBD

Gentamicin SK

Tube

16

Glibenclamide 5 mg

tablet

Gliseryl Guaiyakolat
Glucodex 80 mg tab

-

-

3

31,900.00

APBD

Fuson Cream

95,700.00
-

APBD

1,750.00

28,000.00

200

1,541

58.00

89,378.00

-

-

108

58.00

6,264.00

800

633

58.00

36,714.00

APBD

tablet

4,197

36.00

151,092.00

-

-

271

36.00

9,756.00

3,000

926

36.00

33,336.00

APBD

Tablet

37

1,914.00

70,818.00

-

-

-

1,914.00

37

1,914.00

70,818.00

APBD

500

1,450.00

725,000.00

-

382

1,450.00

553,900.00

118

1,450.00

171,100.00

APBD

-

APBD

Glucosamin tab
Glukosa 5% + NaCl
0,225% inf
Glukosa 5% + NaCl
0,45% inf

Tablet

24

880.00

21,120.00

-

-

21

880.00

18,480.00

Fls

251

8,250.00

2,070,750.00

-

-

114

8,250.00

940,500.00

137

Fls

104

8,665.00

901,160.00

200

1,914,000.00

44

421,080.00

260

9,570.00

Gradilex tab

Tablet

113

265.00

29,945.00

-

-

55

265.00

14,575.00

58

265.00

Graprima 480 mg tab

Tablet

211

431.00

90,941.00

-

-

211

431.00

90,941.00

-

Griseopulvin

Tablet

100

111.00

11,100.00

-

-

-

100

Haloperidol 0,5mg tab

Tablet

-

-

-

-

-

-

Haloperidol 1,5mg tab

Tablet

196

82.58

16,185.68

-

-

-

196

82.58

16,185.68

APBD

Haloperidol 5 mg

Tablet

13

126.00

1,638.00

500

-

513

130.00

66,690.00

APBD

HCT tab

Tablet

4,883

26.00

126,958.00

-

-

123,474.00

APBD

Hepachol caps

capsul

156

1,298.00

202,488.00

-

-

Hidrocortison zalf

Tube

19

2,910.00

55,290.00

-

-

14

Hufatichol 500mg

Capsul

97

500.00

48,500.00

500

570.00

285,000.00

314

Ibufropen 400 mg tab

Tablet

554

152.00

84,208.00

500

217.00

108,500.00

726

Ikamycetin eye oint

Tube

4

3,300.00

13,200.00

-

3

Illiadin 0.05 %

Botol

8

25,476.00

203,808.00

-

2

Interhistin tab

Tablet

420

550.00

231,000.00

Interpril 5 mg Tab
Isoket IV 0,1% 10 ml
amp

Tablet

5

372.00

1,860.00

-

Ampul

1

75,900.00

75,900.00

-

Isoniazide 100mg tab

Tablet

997

25.75

25,672.75

-

168

25.75

4,326.00

Isoniazide 300mg tab
Isosorbid dinitrat 5 mg
tab

Tablet

1,649

66.14

109,064.86

-

612

66.14

Tablet

55

65.00

3,575.00

48,500.00

38

500

66.00

33,000.00

-

500

500

500

9,570.00

130.00

680.00

97.00

65,000.00

340,000.00

9,570.00

130.00
134

26.00

3,484.00
-

430

3

-

4,749
156

8,250.00

1,130,250.00

APBD

2,488,200.00

APBD

15,370.00

APBD
-

111.00

APBD
APBD

11,100.00
-

26.00

-

14,550.00

APBD

570.00

161,310.00

APBD

217.00

71,176.00

APBD

3,300.00

3,300.00

APBD

25,476.00

152,856.00

APBD

490

680.00

333,200.00

APBD

-

5

372.00

1,860.00

APBD

-

1

75,900.00

75,900.00

APBD

829

25.75

21,346.75

APBD

40,477.68

1,037

66.14

68,587.18

APBD

3,686.00

517

50,149.00

APBD

66.00

33,000.00

-

2,910.00

40,740.00

5

570.00

178,980.00

283

217.00

157,542.00

328

3,300.00

9,900.00

1

25,476.00

50,952.00

6

292,400.00

680.00

97.00

2,910.00

97.00

KA-EN 1B

Fls

5

15,000.00

75,000.00

-

10

15,000.00

150,000.00

-

15,000.00

KA-EN 3A inf

Fls

464

15,627.00

7,250,928.00

-

2

15,627.00

31,254.00

462

15,627.00

7,219,674.00

-

APBD

-

APBD

5

APBD

Universitas Sumatera Utara

Pinj. dr JPS

146
147
148
149

150
151
152
153
154

155

156
157
158
159
160
161
162
163

KA-EN 3B

Fls

70

15,000.00

1,050,000.00

-

Kalsium lactas tab

Tablet

197

39.33

Kalxetin 20mg caps

Capsul

434

Kanamicin inj

Vial

7,748.01

-

5,819.00

2,525,446.00

-

261

5,819.00

22

5,390.00

118,580.00

-

-

5,390.00

20

4,900.00

98,000.00

-

5

4,900.00

24,500.00

166
167
168
169

170

171
172
173

15,000.00

30,000.00

2,232.00

15,624.00

383.00

48

-

20
197

15,000.00
39.33

300,000.00

APBD

7,748.01

APBD

173

5,819.00

1,006,687.00

APBD

22

5,390.00

118,580.00

APBD

15

4,900.00

73,500.00

APBD

32

2,232.00

71,424.00

APBD

50,939.00

44

383.00

16,852.00

APBD

56,040.00

8

4,670.00

37,360.00

APBD

1,518,759.00
-

KCL
Ketokonazole 200mg
tab

Fls

114

2,232.00

254,448.00

-

7

Tablet

177

383.00

67,791.00

-

133

Ketokonazole cream

Tube

93,400.00

12

Ketoprofen 100mg Tab

Tablet

79

1,227.60

96,980.40

-

40

1,227.60

49,104.00

39

1,227.60

47,876.40

APBD

Ketoprofen 50mg Tab

Tablet

63

725.12

45,682.56

-

40

725.12

29,004.80

23

725.12

16,677.76

APBD

50

630.00

31,500.00

-

31,500.00

APBD

53

9,900.00

524,700.00

1,103,600.00

APBD

Ketorolac 10mg amp

Ampul

-

-

20

4,670.00

4,670.00

-

1,174,800.00

61

8,900.00

542,900.00

124

60

7,499.00

449,940.00

60

7,499.00

449,940.00

-

13,300.00

9,177,000.00

773

13,300.00

54

12,150.00

656,100.00

690

Kidmin 7,2 %
Klorpromazin 25 mg
tab

Fls

1

85,900.00

85,900.00

-

Tablet

648

83.00

53,784.00

KSR tab

Tablet

184

2,431.00

447,304.00

Lacbon tab

Tablet

291

902.00

Lansoprazole caps

Capsul

318

Levofloxacin 500 mg

Tablet

89

Lidocain 2 % amp

Ampul

-

10,280,900.00
-

-

1

8,900.00

13,300.00

-

590

83.00

48,970.00

58

83.00

-

-

192

2,431.00

466,752.00

-

2,431.00

262,482.00

-

-

291

902.00

262,482.00

-

1,722.00

547,596.00

1,400

2,100,000.00

924

1,386,000.00

794

1,188.00

105,732.00

-

63

74,844.00

26

-

-

343.00

1,500.00

1,500.00
1,188.00

300

1,000.00

300,000.00

122

1,000.00

122,000.00

178

400

990.00

396,000.00

400

990.00

396,000.00

-

500

340.00

170,000.00

386

340.00

131,240.00

256
43

-

2

71,230.00

142,460.00

MAYLON

Fls

8

8,548.00

68,384.00

-

6

8,548.00

Meloxicam 15 mg tab

Tablet

55

1,481.00

81,455.00

-

Metformin 500 mg

Tablet

1,391

124.00

172,484.00

Metformin 850 mg tab

Tablet

100

201.00

20,100.00

22

4,700

1,190.00

5,593,000.00

820

1,190.00

975,800.00

3,935

2,000

1,100.00

2,200,000.00

2,000

1,100.00

2,200,000.00

-

200

2,260.00

452,000.00

200

2,260.00

-

623

-

-

124.00

APBD

1,190.00

800.00

80,000.00

APBD

232,530.00

163

690.00

112,470.00

APBD

452,000.00

-

77,252.00

768

-

100

124.00
201.00

8

Pinj. dr JPS

APBD

100

-

Pinj. dr JPS

APBD

APBD

1,851,980.00

-

178,000.00

4,682,650.00

71,230.00

Tablet

APBD

APBD

26

Meprobal

30,888.00

17,096.00

FLs

690.00

APBD

8,548.00

MANITOL INFUS

337

1,191,000.00

2

496,485.00

345,000.00

APBD

51,288.00

29,205.00

690.00

-

APBD

17

500

APBD

142,460.00

-

800.00

-

340.00

29

APBD

4,814.00

71,230.00

1,752,300.00

80,000.00

APBD

2

29,205.00

800.00

-

APBD

60

100

APBD

1,255,815.00

Botol

-

1,000.00

-

29,205.00

Magasida Syr

-

1,188.00

APBD

APBD

142

48,706.00

1,500.00

-

87,040.00

Tablet

-

-

630.00

-

Loratadine tab

Tablet

50

8,900.00

Ampul

Meloxicam 7.5 mg

75

132

Ketorolac 30mg amp

164
165

2

APBD

95,232.00

APBD

20,100.00

APBD

Universitas Sumatera Utara

174
175

176
177

178

179

180
181
182
183
184
185
186

187
188
189
190
191

192
193
194
195

196
197
198
199

Methovin
tab(methilergometrin
tab)
Methylprednisolon 4
mg

Tablet

-

Tablet

386

Methylprednisolon 8
mg

Tablet

120

Metoklopramid tab

Tablet

-

Metronidazole inf

Metronidazole tab 500
mg

Botol

Ampul

50

411

408.00

706.00
-

18,900.00

129.00

-

500

590.00

295,000.00

170

590.00

100,300.00

330

157,488.00

1,500

440.00

660,000.00

1,886

440.00

829,840.00

-

2,000

250.00

500,000.00

60

250.00

15,000.00

1,940

-

96

67,776.00

24

84,720.00
-

945,000.00

53,019.00

200

110.00

22,000.00

11

110.00

1,210.00

189

300

99.00

29,700.00

300

99.00

29,700.00

-

300

30,974.00

9,292,200.00

181

30,974.00

5,606,294.00

169

400

29,490.00

11,796,000.00

400

29,490.00

440,000.00

1,994

220.00

438,680.00

417

4,000

190.00

760,012.00

4,000

190.00

760,012.00

-

144,200.00

10

53,982.00

7

38

5,150.00

195,700.00

-

Miconazole cream

Tube

5

3,000.00

15,000.00

20

Microginon

Tablet

2

8,900.00

17,800.00

Miratrim tab

Tablet

714

429.00

306,306.00

Mucos drop

Botol

-

-

25

Mucos syr

Botol

-

-

Musin syr

Botol

-

41,800.00

2,999.00

-

28

59,980.00

18

2,999.00

-

-

-

167

32,670.00

816,750.00

50

16,630.00

831,500.00

100

49,500.00

4,950,000.00

250

41,800.00

10,450,000.00

5,144.00

6,172,800.00

1,200

16,944.00

APBD

20,790.00

APBD
-

30,974.00

220.00

APBD
APBD

5,234,606.00

APBD
APBD

91,740.00
-

APBD

51,500.00

APBD

2,999.00

20,993.00

APBD

2

8,900.00

17,800.00

APBD

429.00

234,663.00

APBD

5,150.00

32,670.00

816,750.00

-

-

50

16,630.00

831,500.00

-

-

APBD

49,500.00

-

100

49,500.00

4,950,000.00

APBD

263

41,800.00

10,993,400.00

3

41,800.00

125,400.00

APBD

901

5,144.00

889

5,144.00

4,573,016.00

APBD

20

13,000.00

260,000.00

APBD

3,186,000.00

NaCl 3%

Fls

20

13,000.00

260,000.00

-

Natrium Bicarbonat
Natrium diklofenac 25
mg
Natrium diklofenac 50
mg

Tablet

994

19.00

18,886.00

-

54

Tablet

293

176.00

51,568.00

500

163.00

81,500.00

445

Tablet

-

-

500

212.00

106,000.00

500

217.00

4,634,744.00
-

19.00

1,026.00

940

163.00

72,535.00

348

500

212.00

106,000.00

-

108,500.00

4

217.00

868.00

496

Neuralgin RX tab

Tablet

17

341.00

5,797.00

-

16

341.00

5,456.00

1

Neurobion 5000 inj

Ampul

1

5,720.00

5,720.00

-

1

5,720.00

5,720.00

-

Neurobion 5000 tab

Tablet

135

1,890.00

255,150.00

500,200.00

141

Neurovit E

Tablet

-

-

110.00

APBD

25

5,400.00

512,500.00

706.00

APBD

485,000.00

547

590

2,050.00

250.00

71,643.00

Fls

250

-

429.00

NaCl 0.9% inf

-

5,150.00

APBD

194,700.00

-

220.00

Fls

16

11,796,000.00

2,000

MgSO4 40%

41,800.00

706.00

590.00

163.00

APBD

56,724.00
-

217.00
341.00

107,632.00

APBD

341.00

APBD
-

APBD
APBD

244

2,050.00

1,200

880.00

1,056,000.00

-

-

APBD

-

APBD

1,200

880.00

1,056,000.00

300

924.00

277,200.00

300

924.00

277,200.00

-

2,050.00

APBD

289,050.00

New Diatabs

Tablet

4

385.00

1,540.00

200

423.00

84,600.00

189

423.00

79,947.00

15

423.00

6,345.00

APBD

Nifedipin 10 mg tab

Tablet

192

103.00

19,776.00

100

129.00

12,899.70

234

129.00

30,185.30

58

129.00

7,481.83

APBD

Noperten 5 mg

Tablet

40

3,400.00

136,000.00

-

40

3,400.00

136,000.00

APBD

Noperten 10 mg

Tablet

-

-

258,120.00

96

APBD

Universitas Sumatera Utara

200
201
202
204
205
206

212

Otopraf TT

213

Ottopan drop

224
225
226

1,324,500.00

150

8,830.00

Ofloxacin 400 mg
Omeprazole caps

Oralit serbuk

223

8,830.00

OBH syr

211

222

150

Tablet

Opilax Syr

221

-

Norvask tab

210

220

4,780.00

5

Opicef syr

219

54

Ampul

209

218

717,000.00

Notrixum inj

Opicef Capsul

217

4,780.00

-

208

216

150

Ampul

Ondansentron Tablet

215

-

Norages Inj

207

214

-

-

APBD

-

APBD

-

8

72,600.00

580,800.00

-

72,600.00

582

7,623.00

4,436,586.00

-

9

7,623.00

68,607.00

573

7,623.00

4,367,979.00

APBD

Botol

277

1,250.00

346,250.00

-

53

1,250.00

66,250.00

224

1,250.00

280,000.00

APBD

Tablet

121

900.00

108,900.00

-

7

900.00

6,300.00

114

900.00

102,600.00

APBD

Capsul

612

450.00

275,400.00

46,000.00

APBD

Tablet

-

Capsul

101

Botol

-

Sachet

412

Botol

9

Botol

-

PAN-AMIN-G

Fls

1

Papaverin tab

Tablet

967

Parasetamol syr

Botol

-

Parasetamol Tab

tablet

406

Pehacain inj

Ampul

Perifas tab

Tablet

46

Phenitoin 30mg caps

Capsul

Phenobarbital Tab

Tablet

Ampul

8,800.00

1,320

400.00

528,000.00

1,817

400.00

726,800.00

115

900

430.00

387,000.00

900

430.00

387,000.00

-

903

250.00

225,750.00

204

1,540.00

314,160.00

78

-

101

888,800.00
-

320.00

131,840.00

23,650.00

212,850.00
-

120,120.00

126

1,540.00

194,040.00

APBD

888,800.00

11

20

36,300.00

726,000.00

20

36,300.00

726,000.00

-

-

APBD

12

35,200.00

422,400.00

12

35,200.00

422,400.00

-

-

APBD

-

242

320.00

77,440.00

170

-

8

23,650.00

189,200.00

352,000.00

10
1

20

17,600.00

58,987.00

-

17,600.00
34,980.00

54,400.00

APBD

1

23,650.00

23,650.00

APBD

176,000.00

10

17,600.00

176,000.00

APBD

34,980.00

-

247,700.00

113

2,477.00

279,901.00

-

3,000

50.00

150,000.00

3,406

50.00

170,300.00

-

4,000

49.00

196,000.00

1,159

49.00

56,791.00

2,841

142

3,110.00

441,620.00

358

500

3,110.00

1,555,000.00

1,080.00

49,680.00

-

-

130

58.04

7,545.20

-

-

840

31.00

26,040.00

1,000

30.00

30,000.00

5,700.00

912,000.00

160

967

2,477.00

100

-

-

790

31.00

-

24,490.00
-

2,477.00

49.00
3,110.00

-

APBD

-

APBD

139,209.00

APBD

1,113,380.00

APBD

-

-

APBD

7,545.20

APBD

1,550.00

APBD

30.00

30,000.00

APBD

93

6,840.00

636,120.00

APBD

130
50
1,000

58.04
31.00

100

6,270.00

627,000.00

-

100

6,270.00

627,000.00

APBD

-

-

450

1,200.00

540,000.00

APBD

5,088,600.00

49

19,800.00

970,200.00

APBD

540,000.00

Piracetam 3 gr amp

Ampul

86

18,000.00

1,548,000.00

220

19,800.00

Tablet

501

456.00

228,456.00

500

Tablet

3

836.00

2,508.00

600

Pinj. dr JPS

APBD

58,987.00

684,000.00

1,200.00

1,142,280.00

61.00

APBD

6,840.00

450

6,840.00

46

-

100

Tablet

167

423,500.00

320.00

-

13

APBD

1,116,500.00

38,500.00

Pinj dari JPS

APBD

38,500.00

61.00

19,396.73

APBD

29

-

47.78

225,750.00

1,540,000.00

34,980.00

-

250.00

-

3

APBD

38,500.00

34,980.00

-

8,800.00

-

903

1,540.00

400.00

40

Piracetam 1200 mg

Piracetam 800 mg tab

-

363,000.00

-

Piracetam 400 mg tab

1,324,500.00

458,880.00

72,600.00

Botol

Piracetam 1 gr amp

4,780.00

4,356,000.00

257

19,800.00

500.00

250,000.00

914

500.00

457,000.00

87

500.00

43,500.00

APBD

880.00

528,000.00

49

880.00

43,120.00

554

880.00

487,520.00

APBD

Universitas Sumatera Utara

227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243

Piralen Inj
Pirantel Pamoat 125
mg

Ampul

-

-

Tablet

54

154.00

Piroxicam 10 mg

Tablet

101

Pondex syr

Botol

5

Prednison tab

Tablet

3,459

Prenatin plus tab

Tablet

-

Primadex syr

Botol

69

4,400.00

Procain penicillin inj

Vial

10

Promuxol Tab

Tablet

104

Propanolol 10mg tab

Tablet

84

61.00

Propanolol 40mg tab

Tablet

296

Propil Triurasil ( PTU)

Tablet

Proxidan tablet
Pyrazinamide 500 mg
tab

600,000.00

72

8,316.00

-

8

150.00

15,150.00

-

100

11,275.00

56,375.00

-

2

38.00

131,442.00

245
246
247

248
249
250

251
252
253
254

4,000

6,000.00

168,000.00

APBD

154.00

7,084.00

APBD

1

150.00

150.00

APBD

22,550.00

3

11,275.00

33,825.00

APBD

50,103.00

6,580

57.00

375,060.00

APBD

-

432,000.00

28

6,000.00

154.00

1,232.00

46

150.00

15,000.00

11,275.00

879

-

10

528.00

5,280.00

303,600.00

-

10

4,400.00

44,000.00

11,858.00

118,580.00

-

1

11,858.00

11,858.00

9

11,858.00

106,722.00

APBD

1,000.00

104,000.00

-

18

1,000.00

18,000.00

86

1,000.00

86,000.00

APBD

5,124.00

-

13

61.00

793.00

71

61.00

4,331.00

APBD

79.00

23,384.00

-

8

79.00

632.00

288

79.00

22,752.00

APBD

52

309.00

16,068.00

35,400.00

234

70,200.00

APBD

Tablet

3

3,900.00

11,700.00

3,900.00

11,700.00

-

Tablet

306

220.00

67,320.00

220.00

62,260.00

23

220.00

R. lactat 500 ml inf

Fls

441

4,900.00

2,160,900.00

5,302

5,460.00

R. solution inf

Fls

67

8,250.00

552,750.00

20

Ranitidin inj

Ampul

88

2,454.00

215,952.00

-

-

Ranitidin tab

Tablet

57.00

6,000.00

228,000.00

-

244

100

-

-

300

300.00

-

90,000.00
-

3

-

283

5,460.00

54,600,000.00

10,230.00

204,600.00

2,500

2,690.00

6,725,000.00

300

2,570.00

771,000.00

130

6,400.00

832,000.00

10,000

225

265.00

59,625.00

600

220.00

132,000.00

600

191.00

114,600.00

6,000

200.00

1,200,000.00

17,000.00

51,000.00

20

16,940.00

118

57.00

300.00

59

-

300.00

-

APBD

-

APBD

5,060.00

APBD

28,948,920.00

APBD

-

APBD

5,460.00

151

10,230.00

1,544,730.00

-

2,464

2,690.00

6,628,160.00

124

2,690.00

333,560.00

APBD

-

300

2,570.00

771,000.00

APBD

-

130

6,400.00

832,000.00

APBD

-

825

220.00

181,500.00

APBD

1,289,000.00

155

200.00

31,000.00

APBD

10,230.00

6,445

200.00

338,800.00

16

16,940.00

271,040.00

7

16,940.00

118,580.00

APBD

Rhelafen Syr

Botol

3

Rifampicin 450 mg

Tablet

246

450.00

110,700.00

-

176

450.00

79,200.00

70

450.00

31,500.00

APBD

Rifampicin 600 mg tab

Tablet

143

703.15

100,550.45

-

115

703.00

80,845.00

28

703.00

19,684.00

APBD

100

671.00

67,100.00

-

100

671.00

67,100.00

-

Risperidone 2 mg tab

Tablet

647

2,500.00

1,617,500.00

-

Rivanol

Botol

39

1,254.00

48,906.00

-

Rocer Inj

Ampul

2

110,000.00

220,000.00

8

1,254.00

150

121,000.00

18,150,000.00

123

121,000.00

30

110,000.00

3,300,000.00

30

110,000.00

10,032.00
14,883,000.00

550

2,500.00

242,500.00

APBD

31

1,254.00

38,874.00

APBD

29

121,000.00

3,509,000.00

APBD

-

Pinj. dr JPS

64

Pinj. dr JPS

APBD

97

3,300,000.00

10

APBD

5,139

-

28,058,940.00

528.00

-

APBD

-

2,500

80.00

200,000.00

2,619

80.00

209,520.00

-

80.00

-

APBD

119

Pinj. dr JPS

100.50

13,668.00

1,000

90.00

90,000.00

1,368

90.00

123,120.00

-

90.00

-

APBD

232

Pinj. dr JPS

5

4,100.00

20,500.00

24

4,099.00

98,376.00

20

4,099.00

81,980.00

9

4,099.00

11

13,400.00

147,400.00

20

13,600.00

272,000.00

31

13,600.00

421,600.00

-

Salbutamol 2 mg tab

Tablet

-

Salbutamol 4mg tab

Tablet

136

Salicyl Talc

Bungkus

Sanmol drop

Botol

-

APBD

36,891.00
-

APBD

Universitas Sumatera Utara

255
256
257
258
259
260
261

262
263
264
265
266
267
268
269
270
271
272

273
274
275
276
277
278
279
280
281
282
283

284

Scopamin amp

Ampul

8

Scopamin 10 mg tab

Tablet

-

Simvastatin tab

Tablet

238

Spiramicin 500 mg
Spironolacton 100 mg
tab
Spironolacton 25 mg
tab

Tablet

Stesolid inj

13,200.00
-

105,600.00

100

12,100.00

1,210,000.00

81

12,100.00

980,100.00

27

12,100.00

326,700.00

APBD

1,000.00

1,000,000.00

409

1,000.00

409,000.00

591

1,000.00

591,000.00

APBD

127,500.00

282

510.00

143,820.00

206

510.00

105,060.00

APBD

15

600.00

9,000.00

APBD

-

1,000

540.00

128,520.00

250

15

600.00

9,000.00

-

Tablet

98

2,215.00

217,070.00

-

69

2,215.00

152,835.00

29

2,215.00

64,235.00

APBD

Tablet

130

1,455.00

189,150.00

-

127

1,455.00

184,785.00

3

1,455.00

4,365.00

APBD

Ampul

63

12,000.00

756,000.00

11,440.00

1,693,120.00

APBD

510.00

-

100

11,400.00

1,140,000.00

15

11,400.00

171,000.00

148

100

9,900.00

990,000.00

100

9,900.00

990,000.00

-

Stesolid 10 mg rectal

Supp

29

11,880.00

344,520.00

10

35,600.33

356,003.30

24

35,600.33

854,407.92

Stesolid 5 mg rectal

Supp

185

39,600.00

7,326,000.00

10

23,700.00

237,000.00

28

23,700.00

663,600.00

Streptomicin 1 gr inj

Vial

39

5,820.00

226,980.00

-

17

5,820.00

98,940.00

Strocain tab

Tablet

10

1,300.00

13,000.00

-

Suprafenid supp

Supp

-

Tarivid Otic

Botol

9

72,900.00

656,100.00

Theravask 5 mg

tablet

60

3,700.00

222,000.00

Tibigon 500 mg tab

tablet

253

500.00

126,500.00

Toramin inj

Ampul

12

28,600.00

343,200.00

65

Tramadol amp

Ampul

28

10,061.00

281,708.00

Tramadol 50 mg caps

Ampul

66

356.00

23,496.00

250

355.00

88,750.00

-

70

11,400.00

798,000.00

70

-

-

3

-

-

11,400.00
72,900.00

356,003.30

APBD

10

23,700.00

237,000.00

APBD

22

5,820.00

128,040.00

APBD

10

1,300.00

13,000.00

APBD

218,700.00

6

72,900.00

APBD
APBD

437,400.00

-

-

APBD

-

-

APBD

45

500.00

22,500.00

28,600.00

1,859,000.00

15

28,600.00

429,000.00

62

28,600.00

1,773,200.00

APBD

300

6,700.00

2,010,000.00

216

6,700.00

1,447,200.00

112

6,700.00

750,400.00

APBD

250

320.00

80,000.00

316

320.00

101,120.00

-

-

42

322.00

13,524.00

208

-

6

48,400.00

290,400.00

-

48,400.00

290,400.00

Tyarit 200mg tab

Tablet

30

3,960.00

118,800.00

-

Ulsidex tab

Tablet

1,219

1,122.00

1,367,718.00

-

814

1,122.00

Ultraviton

Tablet

8

1,600.00

12,800.00

-

8

Vit B 6

Tablet

1,816

10.00

18,160.00

-

Vit B complex

Tablet

11,641

22.00

256,102.00

Vit B1 tab

Tablet

854

17.60

Vit B12 Tab

Tablet

918

Vit C tab 25

Tablet

4,877

Vit K 10 mg Amp

Ampul

201

Vomistop Syr

Botol

14

-

208

-

-

6

-

35,600.33

-

60

APBD

10

798,000.00

-

Tube

Tablet

157

-

Trombophob 20 gr gel

Vomistop Tab

5

-

322.00

APBD
APBD

66,976.00
-

APBD

30

3,960.00

118,800.00

APBD

913,308.00

405

1,122.00

454,410.00

APBD

1,600.00

12,800.00

-

163

10.00

1,630.00

1,653

10.00

16,530.00

APBD

-

1,563

22.00

34,386.00

10,078

22.00

221,716.00

APBD

15,030.40

-

20

17.60

352.00

834

17.60

14,678.40

APBD

12.00

11,016.00

-

918

12.00

11,016.00

APBD

19.00

92,663.00

-

1,503

19.00

28,557.00

3,374

19.00

64,106.00

APBD

978.00

196,578.00

-

1

978.00

978.00

27,300.00

382,200.00

-

-

-

-

200

-

-

30

30,200.00

906,000.00

36

30,200.00

1,087,200.00

8

10

27,200.00

272,000.00

10

27,200.00

272,000.00

-

150

3,611.00

541,650.00

150

3,611.00

541,650.00

-

30,200.00

APBD

APBD
APBD

241,600.00
-

APBD

-

APBD

Universitas Sumatera Utara

285
286
287

Voxin 500 mg tablet

Tablet

7

28,000.00

196,000.00

-

Widahes infus

Fls

6

163,900.00

983,400.00

40

Zink Tablet

Tablet

190

475.00

90,250.00

200

163,900.00
474.00

7

28,000.00

196,000.00

APBD

4,425,300.00

19

163,900.00

3,114,100.00

APBD

165,900.00

40

474.00

18,960.00

APBD

163,015,507.42

APBD

-

6,556,000.00

27

163,900.00

94,800.00

350

474.00

JUMLAH

Diketahui,
Pengurus Barang

Pangururan,
Pebruari 2013
an. Kepala Instalasi Farmasi

Bonar Hiras A. Marbun
NIP. 198308222011011007

Mestika S.J Sitohang
NIP. 197701292006042005

Mengetahui,
Direktur RSUD Dr. Hadrianus Sinaga
Pangururan

dr. Nimpan Karo-karo
NIP. 196405101997031003

Universitas Sumatera Utara

Universitas Sumatera Utara