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Purchase Order Receive

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RS.

MEGA BUANA
Jl. Andi Djemma No. 138
Phone (0471)22266 / (0471)21505

LAPORAN PENERIMAAN PER SUPPLIER


Periode : 01 Oct 2022 s/d 31 Oct 2022

Jenis Persediaan : Medical


No. No. Pesan Kode Nama Barang Jumlah Pesan Jumlah Terima Harga Diskon Ppn

Supplier : APOTEK PLUS OPSAL

No. BPB : POR/PU/2210-00052 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0054 PIR-0008 PIRACETAM SYR 1.00 BOTOL 1.00 BOTOL 72,727.27 0.00 0.00
2 PO/PU/2022/10/0054 SPO-0009 SPOIT 3 CC ONEMAD 1.00 PCS 1.00 PCS 2,727.27 0.00 0.00

Total No. BPB POR/PU/2210-00052 :

Total Supplier APOTEK PLUS OPSAL :

Supplier : PT.HARSON MEDICALINDO TRADING

No. BPB : POR/PU/2210-00028 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0029 HAN-0014 HANDSCOON STERIL 7,5 9.00 BOX 9.00 BOX 325,000.00 0.00 35,750.00
2 PO/PU/2022/10/0029 URI-0002 URINE BAG ONEMED 100.00 PCS 100.00 PCS 6,400.00 0.00 704.00

Total No. BPB POR/PU/2210-00028 :

No. BPB : POR/PU/2210-00029 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0031 HAN-0010 HANDSCOON STERIL 7 MPM 10.00 BOX 10.00 BOX 340,780.00 0.00 37,485.80
2 PO/PU/2022/10/0031 HAN-0014 HANDSCOON STERIL 7,5 1.00 BOX 1.00 BOX 340,780.00 0.00 37,485.80
Total No. BPB POR/PU/2210-00029 :

No. BPB : POR/PU/2210-00030 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0035 HAN-0031 HANDSCOON NONSTERIL UK.L 10.00 BOX 10.00 BOX 79,750.00 0.00 8,772.50
2 PO/PU/2022/10/0035 NGT-0004 NGT NO 16 25.00 PCS 25.00 PCS 34,950.00 0.00 3,844.50
3 PO/PU/2022/10/0035 STO-0005 STOMATCH TUBE NO.18 ONEMAD 30.00 PCS 30.00 PCS 34,950.00 0.00 3,844.50
4 PO/PU/2022/10/0035 SUC-0012 SUCTION CHATETER CR/FR 8 250.00 PCS 250.00 PCS 7,975.00 0.00 877.25

Total No. BPB POR/PU/2210-00030 :

No. BPB : POR/PU/2210-00031 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0036 HAN-0003 HANDSCOON NONSTERIL M 30.00 BOX 30.00 BOX 65,750.00 0.00 7,232.50

Total No. BPB POR/PU/2210-00031 :

No. BPB : POR/PU/2210-00032 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0037 HAN-0002 HANDSCOON NONSTERIL S ALTAMED 30.00 BOX 30.00 BOX 65,750.00 0.00 7,232.50

Total No. BPB POR/PU/2210-00032 :

No. BPB : POR/PU/2210-00072 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0074 HAN-0002 HANDSCOON NONSTERIL S ALTAMED 20.00 BOX 20.00 BOX 65,750.00 0.00 7,232.50
2 PO/PU/2022/10/0074 HAN-0003 HANDSCOON NONSTERIL M 30.00 BOX 30.00 BOX 65,750.00 0.00 7,232.50

Total No. BPB POR/PU/2210-00072 :

No. BPB : POR/PU/2210-00073 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0075 SPO-0009 SPOIT 3 CC ONEMAD 48.00 BOX 48.00 BOX 86,750.00 0.00 9,542.50

Total No. BPB POR/PU/2210-00073 :

No. BPB : POR/PU/2210-00146 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0151 SPO-0015 SPOIT 5CC ONEMED 2,400.00 PCS 2,400.00 PCS 879.75 0.00 96.77
2 PO/PU/2022/10/0151 UND-0002 UNDERPAD 60X90 ONEMED 240.00 PCS 240.00 PCS 4,815.00 0.00 529.65

Total No. BPB POR/PU/2210-00146 :

No. BPB : POR/PU/2210-00147 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0152 HAN-0002 HANDSCOON NONSTERIL S ALTAMED 30.00 BOX 30.00 BOX 65,750.00 0.00 7,232.50
2 PO/PU/2022/10/0152 HAN-0003 HANDSCOON NONSTERIL M 30.00 BOX 30.00 BOX 65,750.00 0.00 7,232.50

Total No. BPB POR/PU/2210-00147 :

Total Supplier PT.HARSON MEDICALINDO TRADING :

Supplier : PT.ATIGA JAYA FARMA

No. BPB : POR/PU/2210-00033 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0038 IBU-0003 IBUPROFEN SYR 100.00 BOTOL 100.00 BOTOL 5,454.55 0.00 0.00
2 PO/PU/2022/10/0038 VES-0001 ZINC SULFAT SIRUP 100.00 BOTOL 100.00 BOTOL 13,636.36 0.00 0.00
Total No. BPB POR/PU/2210-00033 :

No. BPB : POR/PU/2210-00098 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0101 ANT-0001 ANTASIDA SYRUP 200.00 BOTOL 200.00 BOTOL 5,045.45 0.00 0.00

Total No. BPB POR/PU/2210-00098 :

Total Supplier PT.ATIGA JAYA FARMA :

Supplier : PT.ALVINDO FEROZ ALKESINDO

No. BPB : POR/PU/2210-00083 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0086 SPI-0003 SPINOCAN 25 G 50.00 PCS 50.00 PCS 58,000.00 0.00 6,380.00

Total No. BPB POR/PU/2210-00083 :

No. BPB : POR/PU/2210-00084 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0087 SPI-0003 SPINOCAN 25 G 75.00 PCS 75.00 PCS 58,000.00 0.00 6,380.00

Total No. BPB POR/PU/2210-00084 :

Total Supplier PT.ALVINDO FEROZ ALKESINDO :

Supplier : PT.RAIHAN BERKAH JAYA MEDIKA

No. BPB : POR/PU/2210-00131 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0136 ALK-0001 ALKOHOL 1 LITER 70% 30.00 BOTOL 30.00 BOTOL 56,000.00 0.00 6,160.00
2 PO/PU/2022/10/0136 IDB-0001 ID BAND ADULT PINK 10.00 BOX 10.00 BOX 191,800.00 0.00 21,098.00

Total No. BPB POR/PU/2210-00131 :

No. BPB : POR/PU/2210-00145 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0150 KAS-0006 KASA ROLL 40X80 CM CUT 2 10.00 ROLL 10.00 ROLL 171,500.00 0.00 18,865.00
2 PO/PU/2022/10/0150 KAS-0007 KASA ROLL 40X80 CM CUT 3 8.00 ROLL 8.00 ROLL 171,500.00 0.00 18,865.00
3 PO/PU/2022/10/0150 KAS-0008 KASA ROLL 40X80 CM CUT 4 7.00 ROLL 7.00 ROLL 171,500.00 0.00 18,865.00

Total No. BPB POR/PU/2210-00145 :

Total Supplier PT.RAIHAN BERKAH JAYA MEDIKA :

Supplier : PT.SAGARA

No. BPB : POR/PU/2210-00070 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0072 RIN-0002 RINGER LACTAT WIDATRA (RL) 500 ML INF 500.00 PLABOT 500.00 PLABOT 7,003.00 0.00 770.33
Total No. BPB POR/PU/2210-00070 :

No. BPB : POR/PU/2210-00071 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0073 RIN-0002 RINGER LACTAT WIDATRA (RL) 500 ML INF 500.00 PLABOT 500.00 PLABOT 7,003.00 0.00 770.33

Total No. BPB POR/PU/2210-00071 :

No. BPB : POR/PU/2210-00129 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0134 RIN-0002 RINGER LACTAT WIDATRA (RL) 500 ML INF 1,000.00 PLABOT 1,000.00 PLABOT 7,003.00 0.00 770.33

Total No. BPB POR/PU/2210-00129 :

Total Supplier PT.SAGARA :

Supplier : PT.DIATRI SEJAHTERA ABADI

No. BPB : POR/PU/2210-00097 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0100 STR-0001 STRIP GULA GUIDE ACCU CHECK 5.00 BOX 5.00 BOX 600,000.00 0.00 66,000.00
2 PO/PU/2022/10/0100 TAB-0005 TABUNG EDTA LAB 5.00 BOX 5.00 BOX 170,000.00 0.00 18,700.00

Total No. BPB POR/PU/2210-00097 :

No. BPB : POR/PU/2210-00099 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0102 MON-0002 MONOTES DENGUE IGG/IGM TEST DEVICE 2.00 BOX 2.00 BOX 1,415,000.00 0.00 155,650.00
2 PO/PU/2022/10/0102 POT-0001 POT URINE 100.00 PCS 100.00 PCS 3,000.00 0.00 330.00

Total No. BPB POR/PU/2210-00099 :

Total Supplier PT.DIATRI SEJAHTERA ABADI :

Supplier : APOTEK 24

No. BPB : POR/PU/2210-00156 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0161 NOR-0005 NICARDIPIN INJEKSI 2.00 AMPUL 2.00 AMPUL 122,727.27 0.00 0.00

Total No. BPB POR/PU/2210-00156 :

Total Supplier APOTEK 24 :

Supplier : APOTEK RS ST MADYANG


No. BPB : POR/PU/2210-00160 44859Tanggal : -1010409dd-mm-yyyy
1 PO/PU/2022/10/0165 NOR-0005 NICARDIPIN INJEKSI 6.00 AMPUL 6.00 AMPUL 30,053.03 0.00 0.00

Total No. BPB POR/PU/2210-00160 :

Total Supplier APOTEK RS ST MADYANG :

Supplier : PT. SAPTA SARI TAMA

No. BPB : POR/PU/2210-00011 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0012 PAT-0002 PATRACET TABLET 325 MG 600.00 TABLET 600.00 TABLET 5,566.66 139.17 597.02

Total No. BPB POR/PU/2210-00011 :

No. BPB : POR/PU/2210-00012 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0013 BIO-0001 BIOPLACENTON SALEP 15 GRAM 30.00 TUBE 30.00 TUBE 24,000.00 1,200.00 2,508.00
Total No. BPB POR/PU/2210-00012 :

No. BPB : POR/PU/2210-00021 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0022 ARK-0001 ARKINE TAB 3,000.00 TABLET 3,000.00 TABLET 780.00 136.50 70.79

Total No. BPB POR/PU/2210-00021 :

No. BPB : POR/PU/2210-00113 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0125 ARV-0001 ARVEN 750.00 KAPSUL 750.00 KAPSUL 2,100.00 52.50 225.23

Total No. BPB POR/PU/2210-00113 :

Total Supplier PT. SAPTA SARI TAMA :

Supplier : PT. INTISUMBER HASIL SEMPURNA GLOBAL

No. BPB : POR/PU/2210-00065 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0067 BET-0003 INSTRU PLUS VIRUGUARD 2 LITER 2.00 BOTOL 2.00 BOTOL 523,112.72 104,622.54 0.00
2 PO/PU/2022/10/0067 RES-0014 RESUSITATOR BAYI 2.00 SET 2.00 SET 480,909.09 0.00 0.00

Total No. BPB POR/PU/2210-00065 :

No. BPB : POR/PU/2210-00125 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0130 HAN-0003 HANDSCOON NONSTERIL M 20.00 BOX 20.00 BOX 49,243.63 9,848.72 0.00
2 PO/PU/2022/10/0130 MAN-0006 MANSET DEWASA 15.00 PCS 15.00 PCS 88,194.55 17,638.91 0.00
Total No. BPB POR/PU/2210-00125 :

Total Supplier PT. INTISUMBER HASIL SEMPURNA GLOBAL :

Supplier : PT. PENTA VALENT

No. BPB : POR/PU/2210-00014 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0015 NUF-0001 NUFED 500.00 BH 500.00 BH 2,000.00 600.00 154.00

Total No. BPB POR/PU/2210-00014 :

No. BPB : POR/PU/2210-00015 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0016 FLU-0003 FLUNARIZINE TABLET 5 MG 1,200.00 TABLET 1,200.00 TABLET 1,250.00 312.50 103.13

Total No. BPB POR/PU/2210-00015 :


No. BPB : POR/PU/2210-00135 44858Tanggal : -1010409dd-mm-yyyy
1 PO/PU/2022/10/0140 CEP-0001 CEPHAFLOX INJEKSI 15.00 AMPUL 15.00 AMPUL 210,000.00 10,500.00 21,945.00

Total No. BPB POR/PU/2210-00135 :

Total Supplier PT. PENTA VALENT :

Supplier : APOTEK PALOPO

No. BPB : POR/PU/2210-00101 44854Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0113 AMO-0006 AMOXAN TAB 10.00 TABLET 10.00 TABLET 3,330.00 0.00 0.00

Total No. BPB POR/PU/2210-00101 :

Total Supplier APOTEK PALOPO :

Supplier : APOTEK ESA

No. BPB : POR/PU/2210-00053 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0055 PIR-0008 PIRACETAM SYR 1.00 BOTOL 1.00 BOTOL 62,727.27 0.00 0.00
Total No. BPB POR/PU/2210-00053 :

Total Supplier APOTEK ESA :

Supplier : PT. DOS NI ROHA

No. BPB : POR/PU/2210-00023 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0024 OME-0007 OMEPRAZOLE INJEKSI 100.00 AMPUL 100.00 AMPUL 85,000.00 66,980.00 1,982.20

Total No. BPB POR/PU/2210-00023 :

No. BPB : POR/PU/2210-00024 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0025 OME-0007 OMEPRAZOLE INJEKSI 90.00 AMPUL 90.00 AMPUL 85,000.00 66,980.00 1,982.20

Total No. BPB POR/PU/2210-00024 :

Total Supplier PT. DOS NI ROHA :

Supplier : PT. RAJAWALI NUSINDO

No. BPB : POR/PU/2210-00066 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0068 KAL-0001 KALSIUM LAKTAT TAB 500.00 TABLET 500.00 TABLET 112.72 0.00 12.40
2 PO/PU/2022/10/0068 VIT-0004 VITAMIN B KOMPLEKS 5,000.00 TABLET 5,000.00 TABLET 94.82 0.00 10.43

Total No. BPB POR/PU/2210-00066 :

No. BPB : POR/PU/2210-00067 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0069 SUR-0012 SURGICRYL 910 2/0 HR 26 M 48.00 PCS 48.00 PCS 46,093.69 0.00 5,070.31
Total No. BPB POR/PU/2210-00067 :

Total Supplier PT. RAJAWALI NUSINDO :

Supplier : PT. MERAPI UTAMA PHARMA

No. BPB : POR/PU/2210-00005 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0006 RIN-0002 RINGER LACTAT WIDATRA (RL) 500 ML INF 400.00 PLABOT 400.00 PLABOT 7,066.66 0.00 0.00
Total No. BPB POR/PU/2210-00005 :

No. BPB : POR/PU/2210-00006 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0007 WID-0003 WIDAHES 130 20.00 PLABOT 20.00 PLABOT 82,000.00 0.00 9,020.00

Total No. BPB POR/PU/2210-00006 :

No. BPB : POR/PU/2210-00036 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0041 KAE-0003 KAEN 4B 400.00 PLABOT 400.00 PLABOT 9,782.00 0.00 1,076.02

Total No. BPB POR/PU/2210-00036 :

No. BPB : POR/PU/2210-00037 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0042 OTS-0004 OTSU MANITOL 20.00 PLABOT 20.00 PLABOT 39,545.00 0.00 4,349.95

Total No. BPB POR/PU/2210-00037 :

No. BPB : POR/PU/2210-00060 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0062 VIP-0003 VIPALBUMIN 600.00 KAPSUL 600.00 KAPSUL 5,666.66 0.00 623.33
Total No. BPB POR/PU/2210-00060 :

No. BPB : POR/PU/2210-00061 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0063 PAR-0001 PARACETAMOL 120 MG SYR 100.00 BOTOL 100.00 BOTOL 12,000.00 1,800.00 1,122.00

Total No. BPB POR/PU/2210-00061 :

No. BPB : POR/PU/2210-00103 44855Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0118 CIT-0002 CITICOLINE INJEKSI 300.00 AMPUL 300.00 AMPUL 7,500.00 1,875.00 618.75

Total No. BPB POR/PU/2210-00103 :

No. BPB : POR/PU/2210-00104 44855Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0119 AQU-0003 AQUADEST 25 ML 1,200.00 PCS 1,200.00 PCS 2,386.00 0.00 262.46
Total No. BPB POR/PU/2210-00104 :

No. BPB : POR/PU/2210-00111 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0123 MIN-0009 MINIASPI TABLET 80 MG 900.00 TABLET 900.00 TABLET 496.65 0.00 54.63

Total No. BPB POR/PU/2210-00111 :

No. BPB : POR/PU/2210-00124 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0129 EPI-0002 SUCRALFAT SUSPENSI 100.00 BOTOL 100.00 BOTOL 15,300.00 0.00 1,683.00
Total No. BPB POR/PU/2210-00124 :

No. BPB : POR/PU/2210-00141 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0146 OTS-0005 OTSU-D40 30.00 PLABOT 30.00 PLABOT 6,364.00 0.00 700.04
2 PO/PU/2022/10/0146 OTS-0011 OTSU MGSO4 40 20.00 PCS 20.00 PCS 4,273.00 0.00 470.03

Total No. BPB POR/PU/2210-00141 :

No. BPB : POR/PU/2210-00151 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0157 EPI-0002 SUCRALFAT SUSPENSI 100.00 BOTOL 100.00 BOTOL 17,000.00 1,700.00 1,683.00
Total No. BPB POR/PU/2210-00151 :
Total Supplier PT. MERAPI UTAMA PHARMA :

Supplier : PT TRI SAPTA JAYA

No. BPB : POR/PU/2210-00016 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0017 VIP-0001 PARACETAMOL INFUS 200.00 BOTOL 200.00 BOTOL 61,000.00 42,980.60 1,982.13

Total No. BPB POR/PU/2210-00016 :

No. BPB : POR/PU/2210-00017 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0018 OME-0007 OMEPRAZOLE INJEKSI 103.00 AMPUL 103.00 AMPUL 85,000.00 66,980.00 1,982.20
Total No. BPB POR/PU/2210-00017 :

No. BPB : POR/PU/2210-00059 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0061 ROV-0001 AMBROXOL SIRUP 150.00 BOTOL 150.00 BOTOL 9,000.00 1,800.00 792.00

Total No. BPB POR/PU/2210-00059 :

No. BPB : POR/PU/2210-00077 44848Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0083 PAN-0001 PANTOPRAZOLE 40 MG INJ 50.00 VIAL 50.00 VIAL 85,000.00 59,500.00 2,805.00

Total No. BPB POR/PU/2210-00077 :

No. BPB : POR/PU/2210-00082 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0085 MET-0013 METHYLPREDNISOLONE 125 MG INJEKSI 200.00 AMPUL 200.00 AMPUL 47,000.00 24,472.90 2,477.98
Total No. BPB POR/PU/2210-00082 :

No. BPB : POR/PU/2210-00089 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0092 PAR-0001 PARACETAMOL 120 MG SYR 200.00 BOTOL 200.00 BOTOL 5,000.00 750.00 467.50

Total No. BPB POR/PU/2210-00089 :

No. BPB : POR/PU/2210-00142 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0147 LEV-0003 LEVOFLOXACIN INFUS 200.00 BOTOL 200.00 BOTOL 100,000.00 40,000.00 6,600.00
Total No. BPB POR/PU/2210-00142 :

No. BPB : POR/PU/2210-00143 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0148 MET-0012 METRONIDAZOLE INFUS 300.00 BOTOL 300.00 BOTOL 50,000.00 37,500.00 1,375.00

Total No. BPB POR/PU/2210-00143 :

No. BPB : POR/PU/2210-00144 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0149 ETA-0001 ETAMBUTOL 500 MG TAB 3,000.00 TABLET 3,000.00 TABLET 820.00 82.00 81.18

Total No. BPB POR/PU/2210-00144 :

No. BPB : POR/PU/2210-00167 44865Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0172 CEF-0007 CEFTRIAXONE 1G INJ 500.00 VIAL 500.00 VIAL 7,350.00 0.00 808.50
Total No. BPB POR/PU/2210-00167 :

Total Supplier PT TRI SAPTA JAYA :

Supplier : PT. MILLENIUM PHARMACON INTERNASIONAL

No. BPB : POR/PU/2210-00157 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0162 T-L-0001 T-LENE 4/0 TRITON 36.00 PCS 36.00 PCS 80,727.27 12,109.09 0.00
2 PO/PU/2022/10/0162 T-L-0002 T-LENE 3/0 TRITON 36.00 PCS 36.00 PCS 84,763.63 12,714.54 0.00
3 PO/PU/2022/10/0162 T-V-0002 T-VIO 1 TRITON 36.00 PCS 36.00 PCS 93,845.45 14,076.81 0.00
4 PO/PU/2022/10/0162 T-V-0003 T-VIO 3/0 TRITON 36.00 PCS 36.00 PCS 80,727.27 12,109.09 0.00
5 PO/PU/2022/10/0162 T-V-0004 T-VIO 2/0 TRITON 36.00 PCS 36.00 PCS 83,754.54 12,563.18 0.00

Total No. BPB POR/PU/2210-00157 :

Total Supplier PT. MILLENIUM PHARMACON INTERNASIONAL :

Supplier : PT. PARIT PADANG GLOBAL

No. BPB : POR/PU/2210-00038 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0043 ATR-0006 ATRACURIUM BESYLATE INJEKSI 5 ML 3.00 BOX 3.00 BOX 400,000.00 0.00 44,000.00
2 PO/PU/2022/10/0043 MOX-0004 MOXIFLOXACIN INFUS 60.00 SOFT 60.00 SOFT 300,000.00 190,890.00 12,002.10
BAG BAG
Total No. BPB POR/PU/2210-00038 :

No. BPB : POR/PU/2210-00039 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0044 PRA-0004 PRAMIFROL 0,375 MG 900.00 TABLET 900.00 TABLET 2,772.73 0.00 0.00

Total No. BPB POR/PU/2210-00039 :

No. BPB : POR/PU/2210-00040 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0045 BUN-0002 BUNASCAN AMPUL 75.00 AMPUL 75.00 AMPUL 70,000.00 14,000.00 6,160.00
Total No. BPB POR/PU/2210-00040 :

No. BPB : POR/PU/2210-00051 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0053 VIP-0001 PARACETAMOL INFUS 200.00 BOTOL 200.00 BOTOL 60,000.00 45,000.00 1,650.00

Total No. BPB POR/PU/2210-00051 :

No. BPB : POR/PU/2210-00054 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0056 OME-0007 OMEPRAZOLE INJEKSI 500.00 AMPUL 500.00 AMPUL 9,000.00 2,918.70 668.94
Total No. BPB POR/PU/2210-00054 :

No. BPB : POR/PU/2210-00055 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0057 DEX-0008 DEXKETOPROFEN INJEKSI 150.00 AMPUL 150.00 AMPUL 24,000.00 4,800.00 2,112.00

Total No. BPB POR/PU/2210-00055 :

No. BPB : POR/PU/2210-00056 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0058 GAS-0003 GASTEN FORCE 20.00 BOTOL 20.00 BOTOL 48,500.00 0.00 5,335.00

Total No. BPB POR/PU/2210-00056 :

No. BPB : POR/PU/2210-00078 44848Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0084 ABB-0016 ABBOCATH NO.18 POLYWIN 300.00 PCS 300.00 PCS 19,000.00 7,600.00 1,254.00
Total No. BPB POR/PU/2210-00078 :

No. BPB : POR/PU/2210-00088 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0091 KET-0012 ACETYLCICTEINE INFUS 70.00 BOTOL 70.00 BOTOL 199,000.00 34,825.00 18,059.25
Total No. BPB POR/PU/2210-00088 :

No. BPB : POR/PU/2210-00090 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0093 EFE-0001 EFEDRIN HCL INJEKSI 200.00 AMPUL 200.00 AMPUL 25,000.00 5,855.00 2,105.95
Total No. BPB POR/PU/2210-00090 :

No. BPB : POR/PU/2210-00110 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0122 DEX-0008 DEXKETOPROFEN INJEKSI 150.00 AMPUL 150.00 AMPUL 24,000.00 4,800.00 2,112.00

Total No. BPB POR/PU/2210-00110 :

No. BPB : POR/PU/2210-00136 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0143 DEX-0006 DEXKETOPROFEN TABLET 900.00 TABLET 900.00 TABLET 2,480.00 0.00 272.80

Total No. BPB POR/PU/2210-00136 :

Total Supplier PT. PARIT PADANG GLOBAL :

Supplier : PT ENSEVAL PUTERA MEGATRADING

No. BPB : POR/PU/2210-00003 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0003 KET-0005 KETOROLAC 30 MG INJ 500.00 AMPUL 500.00 AMPUL 2,727.30 1,090.92 180.00
Total No. BPB POR/PU/2210-00003 :

No. BPB : POR/PU/2210-00004 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0004 CIP-0001 CIPROFLOXACIN 500 MG TAB 5,000.00 TABLET 5,000.00 TABLET 470.00 47.00 46.53

Total No. BPB POR/PU/2210-00004 :

No. BPB : POR/PU/2210-00019 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0020 PAR-0003 PARACETAMOL INF 100.00 BOTOL 100.00 BOTOL 35,000.00 17,500.00 1,925.00
Total No. BPB POR/PU/2210-00019 :

No. BPB : POR/PU/2210-00034 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0039 SUS-0008 SUSU LACTOGEN FREE LACTULOS 10.00 KALENG 10.00 KALENG 79,123.00 0.00 8,703.53

Total No. BPB POR/PU/2210-00034 :

No. BPB : POR/PU/2210-00062 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0064 COR-0003 CORTAMIN SIRUP 24.00 BOTOL 24.00 BOTOL 54,250.00 8,137.50 5,072.38
2 PO/PU/2022/10/0064 MOX-0003 MOXIBAT KAPLET 50.00 KAPLET 50.00 KAPLET 42,000.00 8,400.00 3,696.00
Total No. BPB POR/PU/2210-00062 :

No. BPB : POR/PU/2210-00063 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0065 CEF-0007 CEFTRIAXONE 1G INJ 100.00 VIAL 100.00 VIAL 20,000.00 9,090.00 1,200.10
2 PO/PU/2022/10/0065 DOM-0003 DOMPERIDONE SYRUP 50.00 BOTOL 50.00 BOTOL 11,500.00 1,150.00 1,138.50
Total No. BPB POR/PU/2210-00063 :

No. BPB : POR/PU/2210-00075 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0077 AZI-0002 AZITROMYCIN TAB 900.00 TABLET 900.00 TABLET 5,000.00 1,000.00 440.00

Total No. BPB POR/PU/2210-00075 :


No. BPB : POR/PU/2210-00150 44859Tanggal : -1010409dd-mm-yyyy
1 PO/PU/2022/10/0155 CEF-0026 CEFIXIME KAPSUL 200 MG 3,000.00 KAPSUL 3,000.00 KAPSUL 2,300.00 690.00 177.10

Total No. BPB POR/PU/2210-00150 :

Total Supplier PT ENSEVAL PUTERA MEGATRADING :

Supplier : PT BARATA ALEXINDO MEDIKA

No. BPB : POR/PU/2210-00134 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0139 SPO-0031 SPOIT 10 ML SUREPLUS 1,000.00 PCS 1,000.00 PCS 1,404.00 0.00 154.44
Total No. BPB POR/PU/2210-00134 :

Total Supplier PT BARATA ALEXINDO MEDIKA :

Supplier : PT.BINA SAN PRIMA

No. BPB : POR/PU/2210-00013 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0014 ANB-0001 ANBACIM 1 GR INJ 100.00 VIAL 100.00 VIAL 78,600.00 42,601.20 3,959.87

Total No. BPB POR/PU/2210-00013 :

No. BPB : POR/PU/2210-00025 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0026 VAL-0004 VALISANBE 5 MG 500.00 TABLET 500.00 TABLET 400.00 0.00 44.00
Total No. BPB POR/PU/2210-00025 :

No. BPB : POR/PU/2210-00026 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0027 TRE-0001 TREMENZA TABLET 1,500.00 TABLET 1,500.00 TABLET 1,500.00 0.00 165.00

Total No. BPB POR/PU/2210-00026 :

No. BPB : POR/PU/2210-00027 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0028 NEU-0003 NEUROSANBE INJ 500.00 AMPUL 500.00 AMPUL 6,100.00 0.00 671.00

Total No. BPB POR/PU/2210-00027 :

No. BPB : POR/PU/2210-00044 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0049 ASE-0006 ASERING INF 360.00 PLABOT 360.00 PLABOT 21,000.00 12,280.80 959.11
Total No. BPB POR/PU/2210-00044 :

No. BPB : POR/PU/2210-00045 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0050 NAC-0005 NACL 100 ML PIGGI BAG 360.00 BTL 360.00 BTL 17,450.00 5,549.10 1,309.10

Total No. BPB POR/PU/2210-00045 :

No. BPB : POR/PU/2210-00046 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0051 PRE-0005 PREABOR TABLET 600.00 TABLET 600.00 TABLET 3,550.00 0.00 390.50
Total No. BPB POR/PU/2210-00046 :

No. BPB : POR/PU/2210-00047 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0052 SAN-0003 SANTAGESIK INJEKSI 1,000.00 AMPUL 1,000.00 AMPUL 4,775.00 2,575.16 241.98

Total No. BPB POR/PU/2210-00047 :

No. BPB : POR/PU/2210-00076 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0078 DEX-0007 CEFAT FORTE DRY SIRUP 48.00 BOTOL 48.00 BOTOL 76,000.00 0.00 8,360.00

Total No. BPB POR/PU/2210-00076 :

No. BPB : POR/PU/2210-00086 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0089 EPI-0004 EPILEPSAN SYRUP 48.00 BOTOL 48.00 BOTOL 75,000.00 0.00 8,250.00
Total No. BPB POR/PU/2210-00086 :

No. BPB : POR/PU/2210-00087 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0090 SAN-0003 SANTAGESIK INJEKSI 500.00 AMPUL 500.00 AMPUL 9,550.00 5,150.31 483.97

Total No. BPB POR/PU/2210-00087 :

No. BPB : POR/PU/2210-00126 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0131 EPE-0003 EPEXOL TABLET 500.00 TABLET 500.00 TABLET 850.00 0.00 93.50
2 PO/PU/2022/10/0131 PUM-0002 PUMPITOR INJEKSI 10.00 VIAL 10.00 VIAL 153,750.00 0.00 16,912.50
3 PO/PU/2022/10/0131 SAN-0018 SANBE IV SIRUP 5.00 BOTOL 5.00 BOTOL 40,000.00 0.00 4,400.00

Total No. BPB POR/PU/2210-00126 :

No. BPB : POR/PU/2210-00140 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0145 ANB-0001 ANBACIM 1 GR INJ 100.00 VIAL 100.00 VIAL 78,600.00 42,601.20 3,959.87
Total No. BPB POR/PU/2210-00140 :

Total Supplier PT.BINA SAN PRIMA :

Supplier : PT. DAYA MUDA AGUNG

No. BPB : POR/PU/2210-00091 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0094 MER-0003 MEROPENEM 1 GRAM INJ 100.00 VIAL 100.00 VIAL 55,000.00 8,250.00 5,142.50

Total No. BPB POR/PU/2210-00091 :

Total Supplier PT. DAYA MUDA AGUNG :

Supplier : PT.INDOFARMA GLOBAL MEDIKA

No. BPB : POR/PU/2210-00128 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0133 ANT-0001 ANTASIDA SYRUP 53.00 BOTOL 53.00 BOTOL 5,406.00 1,892.10 386.53
2 PO/PU/2022/10/0133 VES-0001 ZINC SULFAT SIRUP 100.00 BOTOL 100.00 BOTOL 13,513.00 6,621.37 758.08

Total No. BPB POR/PU/2210-00128 :

Total Supplier PT.INDOFARMA GLOBAL MEDIKA :

Supplier : PT. ANTARMITRA SEMBADA

No. BPB : POR/PU/2210-00008 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0009 MEC-0002 MECOBALAMIN INJEKSI 500.00 AMPUL 500.00 AMPUL 8,000.00 1,600.00 704.00

Total No. BPB POR/PU/2210-00008 :

No. BPB : POR/PU/2210-00009 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0010 TRI-0008 TRIAMCINOLONE TAB 4 MG 3,000.00 TABLET 3,000.00 TABLET 212.38 63.71 16.35

Total No. BPB POR/PU/2210-00009 :


No. BPB : POR/PU/2210-00020 44838Tanggal : -1010409dd-mm-yyyy
1 PO/PU/2022/10/0021 PDC-0001 PD CABLE C2 POUCH 4.00 PCS 4.00 PCS 215,000.00 21,500.00 21,285.00
Total No. BPB POR/PU/2210-00020 :

No. BPB : POR/PU/2210-00068 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0070 MOX-0004 MOXIFLOXACIN INFUS 25.00 SOFT 25.00 SOFT 120,000.00 0.00 13,200.00
BAG BAG
Total No. BPB POR/PU/2210-00068 :

No. BPB : POR/PU/2210-00069 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0071 MOX-0004 MOXIFLOXACIN INFUS 25.00 SOFT 25.00 SOFT 120,000.00 0.00 13,200.00
BAG BAG
Total No. BPB POR/PU/2210-00069 :

Total Supplier PT. ANTARMITRA SEMBADA :

Supplier : PT.KIMIA FARMA

No. BPB : POR/PU/2210-00112 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0124 ACY-0001 ACYCLOVIR 5% CREAM 125.00 TUBE 125.00 TUBE 3,764.00 282.30 382.99
Total No. BPB POR/PU/2210-00112 :

No. BPB : POR/PU/2210-00130 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0135 CHA-0001 CHANA KAPSUL 300.00 KAPSUL 300.00 KAPSUL 6,050.00 1,210.00 532.40

Total No. BPB POR/PU/2210-00130 :

No. BPB : POR/PU/2210-00133 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0138 LID-0001 LIDOCAIN 2% INJ 1,000.00 BOX 1,000.00 BOX 802.70 0.00 88.30

Total No. BPB POR/PU/2210-00133 :

Total Supplier PT.KIMIA FARMA :

Supplier : PT.KALLISTA PRIMA

No. BPB : POR/PU/2210-00001 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0001 CLA-0001 REBAMIPIDE TABLET 240.00 TABLET 240.00 TABLET 3,800.00 760.00 334.40

Total No. BPB POR/PU/2210-00001 :

No. BPB : POR/PU/2210-00010 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0011 MEM-0003 MEMUCIL EFFERVESCENT 250.00 BH 250.00 BH 9,500.00 950.00 940.50

Total No. BPB POR/PU/2210-00010 :

No. BPB : POR/PU/2210-00042 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0047 CLA-0001 REBAMIPIDE TABLET 300.00 TABLET 300.00 TABLET 2,454.11 0.00 0.00
Total No. BPB POR/PU/2210-00042 :

No. BPB : POR/PU/2210-00043 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0048 MEM-0003 MEMUCIL EFFERVESCENT 250.00 BH 250.00 BH 9,500.00 950.00 940.50

Total No. BPB POR/PU/2210-00043 :


Total Supplier PT.KALLISTA PRIMA :

Supplier : PT DIATRI PROMEDIKA

No. BPB : POR/PU/2210-00095 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0098 SEL-0012 ARCUS DILUENT-CF (20 LITER) 1.00 BOTOL 1.00 BOTOL 4,900,000.00 0.00 539,000.00
2 PO/PU/2022/10/0098 SPO-0002 ARCUS CLEANER 500 ML 1.00 BOTOL 1.00 BOTOL 1,000,000.00 0.00 110,000.00

Total No. BPB POR/PU/2210-00095 :

No. BPB : POR/PU/2210-00096 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0099 LYS-0001 LYSE 1.00 BOTOL 1.00 BOTOL 2,150,000.00 0.00 236,500.00
2 PO/PU/2022/10/0099 WID-0001 WIDAL 4.00 KIT 4.00 KIT 780,000.00 0.00 85,800.00
Total No. BPB POR/PU/2210-00096 :

No. BPB : POR/PU/2210-00102 44855Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0117 DIL-0001 DILUENT 1.00 BOX 1.00 BOX 4,900,000.00 0.00 539,000.00

Total No. BPB POR/PU/2210-00102 :

Total Supplier PT DIATRI PROMEDIKA :

Supplier : PT.TIVAN BERKAT MULIA

No. BPB : POR/PU/2210-00018 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0019 MAS-0002 MASKER SURGICAL FACE MASK 80.00 BOX 80.00 BOX 38,000.00 0.00 4,180.00

Total No. BPB POR/PU/2210-00018 :

No. BPB : POR/PU/2210-00064 44847Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0066 NAS-0002 NASAL CANULA ADULT GEA 100.00 PCS 100.00 PCS 5,800.00 0.00 638.00

Total No. BPB POR/PU/2210-00064 :

No. BPB : POR/PU/2210-00085 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0088 HYP-0009 HYPAFIX 10CM X 5M (KONVERSI) 30.00 BOX 30.00 BOX 30,048.00 0.00 3,305.28
2 PO/PU/2022/10/0088 SEN-0005 MASKER JILBAB SENSI 28.00 BOX 28.00 BOX 38,000.00 0.00 4,180.00
Total No. BPB POR/PU/2210-00085 :

No. BPB : POR/PU/2210-00127 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0132 SEN-0005 MASKER JILBAB SENSI 12.00 BOX 12.00 BOX 38,000.00 0.00 4,180.00

Total No. BPB POR/PU/2210-00127 :

No. BPB : POR/PU/2210-00132 44858Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0137 SEN-0005 MASKER JILBAB SENSI 80.00 BOX 80.00 BOX 38,000.00 0.00 4,180.00

Total No. BPB POR/PU/2210-00132 :

Total Supplier PT.TIVAN BERKAT MULIA :

Supplier : PT.MENSA BINA SUKSES

No. BPB : POR/PU/2210-00108 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0120 GEN-0003 GENTAMYCIN INJEKSI 250.00 AMPUL 250.00 AMPUL 7,000.00 0.00 770.00
Total No. BPB POR/PU/2210-00108 :

No. BPB : POR/PU/2210-00114 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0127 DEX-0008 DEXKETOPROFEN INJEKSI 150.00 AMPUL 150.00 AMPUL 12,750.00 0.00 1,402.50

Total No. BPB POR/PU/2210-00114 :

No. BPB : POR/PU/2210-00120 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0128 HYO-0001 HYOSCINE N 20 MG/ML INJ 250.00 AMPUL 250.00 AMPUL 9,000.00 900.00 891.00
Total No. BPB POR/PU/2210-00120 :

No. BPB : POR/PU/2210-00158 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0163 DOL-0003 ALPHAMOL DROPS 180.00 BOTOL 180.00 BOTOL 13,000.00 4,531.80 931.50

Total No. BPB POR/PU/2210-00158 :

No. BPB : POR/PU/2210-00159 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0164 ABB-0001 ABBOCATH 24 TERUMO 150.00 PCS 150.00 PCS 28,800.00 20,698.56 891.16

Total No. BPB POR/PU/2210-00159 :

Total Supplier PT.MENSA BINA SUKSES :

Supplier : PT.UNITED DICO CITAS

No. BPB : POR/PU/2210-00155 44859Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0160 BAR-0001 BAROLE KAPSUL 20 MG 300.00 KAPSUL 300.00 KAPSUL 10,653.40 532.67 1,113.28

Total No. BPB POR/PU/2210-00155 :

Total Supplier PT.UNITED DICO CITAS :

Supplier : PT.ISMUT FITOMEDIKA INDONESIA

No. BPB : POR/PU/2210-00109 44856Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0121 NEU-0005 CHERAL KAPSUL 600.00 KAPSUL 600.00 KAPSUL 5,000.00 0.00 550.00

Total No. BPB POR/PU/2210-00109 :

Total Supplier PT.ISMUT FITOMEDIKA INDONESIA :

Supplier : PT.ANUGERAH PHARMINDO LESTARI

No. BPB : POR/PU/2210-00002 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0002 BUR-0001 BURNAZIN KRIM 30.00 PCS 30.00 PCS 61,933.00 0.00 6,812.63
Total No. BPB POR/PU/2210-00002 :

No. BPB : POR/PU/2210-00007 44837Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0008 INS-0002 APIDRA INSULIN 50.00 PCS 50.00 PCS 81,363.60 0.00 8,950.00
2 PO/PU/2022/10/0008 LAN-0006 LANTUS INSULIN 50.00 PCS 50.00 PCS 80,909.00 0.00 8,899.99

Total No. BPB POR/PU/2210-00007 :

No. BPB : POR/PU/2210-00022 44838Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0023 DEP-0002 DEPAKOTE TAB 500.00 TABLET 500.00 TABLET 5,437.97 0.00 0.00

Total No. BPB POR/PU/2210-00022 :


No. BPB : POR/PU/2210-00041 44841Tanggal : -1010409dd-mm-yyyy
1 PO/PU/2022/10/0046 MOX-0005 MOXIFLOXACIN TABLET 400 MG 1,000.00 TABLET 1,000.00 TABLET 12,361.36 0.00 0.00

Total No. BPB POR/PU/2210-00041 :

No. BPB : POR/PU/2210-00092 44851Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0095 OND-0001 ONDANSENTRON 4MG INJ 500.00 AMPUL 500.00 AMPUL 3,636.76 0.00 0.00

Total No. BPB POR/PU/2210-00092 :

Total Supplier PT.ANUGERAH PHARMINDO LESTARI :

Supplier : APOTEK KIMIA FARMA PALOPO

No. BPB : POR/PU/2210-00058 44846Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0060 SIR-0006 SIRPLUS STROBERI SYRUP 2.00 BOTOL 2.00 BOTOL 20,909.09 0.00 0.00

Total No. BPB POR/PU/2210-00058 :

Total Supplier APOTEK KIMIA FARMA PALOPO :

Supplier : PT.ANEKA GAS INDUSTRI

No. BPB : POR/PU/2210-00035 44841Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0040 TAB-0012 TABUNG OKSIGEN 35.00 BH 35.00 BH 165,000.00 0.00 0.00

Total No. BPB POR/PU/2210-00035 :

No. BPB : POR/PU/2210-00100 44852Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0104 TAB-0012 TABUNG OKSIGEN 30.00 BH 30.00 BH 165,000.00 0.00 0.00

Total No. BPB POR/PU/2210-00100 :

No. BPB : POR/PU/2210-00161 44860Tanggal : -1010409dd-mm-yyyy


1 PO/PU/2022/10/0166 TAB-0012 TABUNG OKSIGEN 40.00 BH 40.00 BH 165,000.00 0.00 0.00

Total No. BPB POR/PU/2210-00161 :

Total Supplier PT.ANEKA GAS INDUSTRI :

Total Seluruh Penerimaan : 408,730,764.42


Jumlah No. BPB : 133
Total Harga

72,727.27
2,727.27

75,454.54

75,454.54

3,246,750.00
710,400.00

3,957,150.00

3,782,658.00
378,265.80
4,160,923.80

885,225.00
969,862.50
1,163,835.00
2,213,062.50

5,231,985.00

2,189,475.00

2,189,475.00

2,189,475.00

2,189,475.00
1,459,650.00
2,189,475.00

3,649,125.00

4,622,040.00

4,622,040.00

2,343,654.00
1,282,716.00

3,626,370.00

2,189,475.00
2,189,475.00

4,378,950.00

34,005,493.80

545,455.00
1,363,636.00
1,909,091.00

1,009,090.00

1,009,090.00

2,918,181.00

3,219,000.00

3,219,000.00

4,828,500.00

4,828,500.00

8,047,500.00

1,864,800.00
2,128,980.00

3,993,780.00

1,903,650.00
1,522,920.00
1,332,555.00

4,759,125.00

8,752,905.00

3,886,665.00
3,886,665.00

3,886,665.00

3,886,665.00

7,773,330.00

7,773,330.00

15,546,660.00

3,330,000.00
943,500.00

4,273,500.00

3,141,300.00
333,000.00

3,474,300.00

7,747,800.00

245,454.54

245,454.54

245,454.54
180,318.18

180,318.18

180,318.18

3,614,708.34

3,614,708.34

759,240.00
759,240.00

2,142,855.00

2,142,855.00

1,704,543.75

1,704,543.75

8,221,347.09

836,980.36
961,818.18

1,798,798.54

787,898.20
1,058,334.60
1,846,232.80

3,645,031.34

777,000.00

777,000.00

1,248,750.00

1,248,750.00
3,321,675.00

3,321,675.00

5,347,425.00

33,300.00

33,300.00

33,300.00

62,727.27
62,727.27

62,727.27

2,000,220.00

2,000,220.00

1,800,198.00

1,800,198.00

3,800,418.00

62,559.60
526,251.00

588,810.60

2,455,871.80
2,455,871.80

3,044,682.40

2,826,664.00
2,826,664.00

1,820,400.00

1,820,400.00

4,343,208.00

4,343,208.00

877,899.00

877,899.00

3,773,995.56
3,773,995.56

1,132,200.00

1,132,200.00

1,873,125.00

1,873,125.00

3,178,152.00
3,178,152.00

496,153.35

496,153.35

1,698,300.00
1,698,300.00

211,921.20
94,860.60

306,781.80

1,698,300.00
1,698,300.00
24,025,178.71

4,000,306.80

4,000,306.80

2,060,226.60
2,060,226.60

1,198,800.00

1,198,800.00

1,415,250.00

1,415,250.00

5,001,016.20
5,001,016.20

943,500.00

943,500.00

13,320,000.00
13,320,000.00

4,162,500.00

4,162,500.00

2,457,540.00

2,457,540.00

4,079,250.00
4,079,250.00

38,638,389.60
2,470,254.48
2,593,767.24
2,871,671.04
2,470,254.48
2,562,888.96

12,968,836.20

12,968,836.20

1,332,000.00
7,266,726.00

8,598,726.00

2,495,457.00

2,495,457.00

4,662,000.00
4,662,000.00

3,330,000.00

3,330,000.00

3,375,121.50
3,375,121.50

3,196,800.00

3,196,800.00

1,076,700.00

1,076,700.00

3,796,200.00
3,796,200.00

12,756,397.50
12,756,397.50

4,250,190.00
4,250,190.00

3,196,800.00

3,196,800.00

2,477,520.00

2,477,520.00

53,211,912.00

908,190.90
908,190.90

2,347,650.00

2,347,650.00

1,942,500.00
1,942,500.00

878,265.30

878,265.30

1,228,437.00
1,864,800.00
3,093,237.00

1,211,010.00
574,425.00
1,785,435.00

3,996,000.00

3,996,000.00
5,361,300.00

5,361,300.00

20,312,578.20

1,558,440.00
1,558,440.00

1,558,440.00

3,995,866.80

3,995,866.80

222,000.00
222,000.00

2,497,500.00

2,497,500.00

3,385,500.00

3,385,500.00

3,484,192.32
3,484,192.32

4,755,599.64

4,755,599.64

2,364,300.00
2,364,300.00

2,441,822.40

2,441,822.40
4,049,280.00

4,049,280.00

3,996,000.00
3,996,000.00

2,441,827.95

2,441,827.95

471,750.00
1,706,625.00
222,000.00

2,400,375.00

3,995,866.80
3,995,866.80

40,030,130.91

5,189,250.00

5,189,250.00

5,189,250.00

206,722.74
764,970.93

971,693.67

971,693.67

3,552,000.00

3,552,000.00

495,071.10

495,071.10
859,140.00
859,140.00

3,330,000.00

3,330,000.00

3,330,000.00

3,330,000.00

11,566,211.10

483,085.88
483,085.88

1,611,720.00

1,611,720.00

890,997.00

890,997.00

2,985,802.88

809,856.00

809,856.00

2,372,625.00

2,372,625.00

736,233.00
736,233.00

2,372,625.00

2,372,625.00
6,291,339.00

5,439,000.00
1,110,000.00

6,549,000.00

2,386,500.00
3,463,200.00
5,849,700.00

5,439,000.00

5,439,000.00

17,837,700.00

3,374,400.00

3,374,400.00

643,800.00

643,800.00

1,000,598.40
1,181,040.00
2,181,638.40

506,160.00

506,160.00

3,374,400.00

3,374,400.00

10,080,398.40

1,942,500.00
1,942,500.00

2,122,875.00

2,122,875.00

2,247,750.00
2,247,750.00

1,691,946.36

1,691,946.36

1,348,889.76

1,348,889.76

9,353,961.12

3,370,203.09

3,370,203.09

3,370,203.09

3,330,000.00

3,330,000.00

3,330,000.00

2,062,368.90
2,062,368.90

4,515,679.80
4,490,449.50

9,006,129.30

2,718,985.00

2,718,985.00
12,361,360.00

12,361,360.00

1,818,380.00

1,818,380.00

27,967,223.20

41,818.18

41,818.18

41,818.18

5,775,000.00

5,775,000.00

4,950,000.00

4,950,000.00

6,600,000.00

6,600,000.00

17,325,000.00

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