PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN JANUARI 2018

KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidin ampul Rp 20,000 5 Rp 100,000
2 Kanamicin ampul Rp 200,000 1 Rp 200,000
3 Ventolin nebulizer Rp 185,000 1 Rp 185,000
4 Nitrile handscoon (xs,s,m,l) Rp 45,000 10 Rp 450,000
5 Masker jilbab/biasa Rp 20,000 5 Rp 100,000
6 Pot obat 20 cc Rp 27,000 2 Rp 54,000
7 Pot obat 100 cc Rp 85,000 1 Rp 85,000
8 Pot obat 50 cc Rp 25,000 1 Rp 25,000
9 Pot obat 30 cc Rp 37,000 1 Rp 37,000
10 Kapsul No.00 Rp 50,000 1 Rp 50,000
11 Kapsul No. 0 Rp 30,000 1 Rp 30,000
12 Kapsul No. 1 Rp 30,000 1 Rp 30,000
13 Sendok obat Rp 35,000 4 Rp 140,000
14 Blender obat Rp 400,000 1 Rp 400,000
15 Alat tindik bayi Rp 50,000 1 Rp 50,000
16 Handrub 5 ltr Rp 180,000 1 Rp 180,000
17 Kertas Puyer Rp 65,000 3 Rp 195,000
18 Spoit 3 cc Rp 190,000 2 Rp 380,000
19 Ultrafix 10 cm Rp 30,000 1 Rp 30,000
20 Alkohol swabs Rp 12,000 6 Rp 72,000
21 Gestin F1 Suntik KB Rp 125,000 1 Rp 125,000
22 Depo progestin Rp 145,000 1 Rp 145,000
23 Manset tensi reister Rp 85,000 1 Rp 85,000
24 Micropore uk 5 cm Rp 50,000 1 Rp 50,000
25 NaCl 500 ml Rp 12,000 3 Rp 36,000
26 NaCl 25 ml Rp 6,500 6 Rp 39,000
27 Strip GDS Nesco Rp 90,000 1 Rp 90,000
28 Strip AU Nesco Rp 90,000 1 Rp 90,000
29 Strip Kolesterol Nesco Rp 175,000 1 Rp 175,000
30 Strip GDS Rp 90,000 6 Rp 540,000
31 Strip Kolesterol Rp 175,000 5 Rp 875,000
JUMLAH Rp 5,043,000
2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Bur diamond (Global Dent) Rp 18,000 12 Rp 216,000
2 Mylastrip (MM) Rp 80,000 1 Rp 80,000
3 Bur diamond (MM) Rp 34,000 6 Rp 204,000
4 Bur diamond (MM) Rp 40,000 2 Rp 80,000
5 Microbrush reguler refill (MM) Rp 120,000 2 Rp 240,000
6 Line cavity (Kiang) Rp 182,000 1 Rp 182,000
7 Caviton pink (Cobra) Rp 154,000 2 Rp 308,000
8 Fuji IX GIC (Cobra) Rp 781,000 1 Rp 781,000
9 Bur diamond (Cobra) Rp 29,700 2 Rp 59,400
10 Bur diamond (Cobra) Rp 27,500 2 Rp 55,000
11 Calcipex (Kiang) Rp 368,000 1 Rp 368,000
12 Septoject 30G (BS) Rp 126,750 1 Rp 126,750
13 Bur poles composite (BS) Rp 40,950 2 Rp 81,900
14 Bur poles composite (BS) Rp 33,150 2 Rp 66,300
15 Forceps children (BS) Rp 1,702,350 1 Rp 1,702,350

JUMLAH Rp 4,550,700
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN FEBRUARI 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Cateter no. 16 Rp 24,000 3 Rp 72,000
2 Ventolim nebulizer Rp 185,000 1 Rp 185,000
3 Jelly ANC Rp 15,000 1 Rp 15,000
4 Nitrile handscoon (xs,s,m,l) Rp 45,000 11 Rp 495,000
5 Masker jilbab/biasa Rp 20,000 3 Rp 60,000
6 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
7 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
8 Kertas Puyer press Rp 65,000 3 Rp 195,000
9 Kertas Etiket untuk salep Rp 10,000 1 Rp 10,000
10 Sofratulle Rp 180,000 1 Rp 180,000
11 Alkohol 70% Rp 15,000 2 Rp 30,000
12 Kasa gulung Rp 90,000 2 Rp 180,000
13 Spoit 3 cc Rp 190,000 1 Rp 190,000
14 Alkohol swabs Rp 12,000 7 Rp 84,000
15 Gestin F1 Suntik KB Rp 125,000 2 Rp 250,000
16 NaCl 500 ml Rp 12,000 7 Rp 84,000
17 Strip AU ET Rp 90,000 2 Rp 180,000
18 Strip Kolesterol ET Rp 175,000 10 Rp 1,750,000
19 Strip GDS ET Rp 90,000 10 Rp 900,000
JUMLAH Rp 5,139,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Composite syringe (CD) Rp 381,700 1 Rp 381,700
2 Composite Syringe (CD) Rp 374,000 1 Rp 374,000
3 Scaler woodpecker Rp 3,000,000 1 Rp 3,000,000

JUMLAH Rp 3,755,700
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN MARET 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Vitamin K amp Rp 5,000 10 Rp 50,000
2 Ventolin nebulizer Rp 185,000 3 Rp 555,000
3 Ketorolac amp Rp 26,000 3 Rp 78,000
4 Neurobion amp Rp 185,000 1 Rp 185,000
5 Dexametason amp (100amp) Rp 130,000 1 Rp 130,000
6 Bisolvon nebulizer Rp 85,000 1 Rp 85,000
7 Nitrile handscoon (xs,s,m,l) Rp 45,000 10 Rp 450,000
8 Masker jilbab/biasa Rp 22,000 3 Rp 66,000
9 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
10 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
11 Kertas Puyer press Rp 65,000 3 Rp 195,000
12 Kapsul no. 00 Rp 50,000 1 Rp 50,000
13 Spuit 10 cc terumo Rp 5,000 10 Rp 50,000
14 Spuit 3 cc terumo Rp 190,000 2 Rp 380,000
15 Spuit 1 cc terumo Rp 265,000 1 Rp 265,000
16 Kassa steril Rp 5,000 5 Rp 25,000
17 Aseptic gel Rp 75,000 1 Rp 75,000
18 Ultrafix 15 cm Rp 30,000 1 Rp 30,000
19 Catether no. 16 Rp 24,000 1 Rp 24,000
21 Alkohol swabs Rp 12,000 7 Rp 84,000
22 Gestin F1 Suntik KB Rp 125,000 1 Rp 125,000
23 Depo progestin Rp 145,000 1 Rp 145,000
24 NaCl 25 ml Rp 6,500 5 Rp 32,500
25 Lancet Rp 15,000 5 Rp 75,000
26 Strip AU ET Rp 90,000 2 Rp 180,000
27 Strip Kolesterol ET Rp 175,000 8 Rp 1,400,000
28 Strip GDS ET Rp 90,000 12 Rp 1,080,000
JUMLAH Rp 6,093,500

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Elite Cement (MM) Rp 165,000 1 Rp 165,000
2 Endo needle (H&H) Rp 85,000 1 Rp 85,000
3 Medipouch sterile (H&H) Rp 95,000 1 Rp 95,000
4 Saliva ejector (H&H) Rp 48,000 2 Rp 96,000
5 Malam merah / wax (H&H) Rp 85,000 1 Rp 85,000
6 Polibib isi 125 (H&H) Rp 70,000 1 Rp 70,000
7 NaOCl 5% (H&H) Rp 30,000 1 Rp 30,000
8 Cotton roll (H&H) Rp 71,500 1 Rp 71,500
9 GC Fuji IX (BS) Rp 781,000 1 Rp 781,000
10 Carpule needle (BS) Rp 130,000 1 Rp 130,000
JUMLAH Rp 1,608,500
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN APRIL 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Stetoskop Litman Rp 1,050,000 1 Rp 1,050,000
2 Ranitidine amp Rp 20,000 6 Rp 120,000
3 Ventolin nebulizer Rp 185,000 3 Rp 555,000
4 Ketorolac amp Rp 26,000 5 Rp 130,000
5 Neurobion amp Rp 185,000 1 Rp 185,000
6 Pulmicort Rp 95,000 1 Rp 95,000
7 Bisolvon nebulizer Rp 85,000 2 Rp 170,000
8 Nitrile handscoon (xs,s,m,l) Rp 45,000 10 Rp 450,000
9 Masker jilbab Rp 22,000 1 Rp 22,000
10 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
11 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
12 Plastik klip 15 x 10 Rp 39,000 3 Rp 117,000
13 Sendok obat syrup Rp 35,000 2 Rp 70,000
14 Etiket putih Rp 10,000 2 Rp 20,000
15 Combivent Rp 95,000 1 Rp 95,000
16 Epinefrin amp Rp 10,000 5 Rp 50,000
17 Antrain amp Rp 50,000 1 Rp 50,000
18 Underpad Rp 50,000 1 Rp 50,000
19 Alkohol swabs Rp 12,000 4 Rp 48,000
20 Gestin F1 Suntik KB Rp 135,000 1 Rp 135,000
21 Depo progestin Rp 145,000 1 Rp 145,000
22 Aqua pro inj Rp 15,000 3 Rp 45,000
23 Lancet Rp 15,000 5 Rp 75,000
24 Strip AU ET Rp 90,000 2 Rp 180,000
25 Strip Kolesterol ET Rp 165,000 8 Rp 1,320,000
26 Strip GDS ET Rp 85,000 12 Rp 1,020,000
JUMLAH Rp 6,476,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Xylestesin 2% (BS) Rp 750,000 2 Rp 1,500,000
2 Septocaine 2% (BS) Rp 855,000 1 Rp 855,000
3 Gips stone (CD) Rp 33,000 1 Rp 33,000
4 Composite flow (CD) Rp 570,900 1 Rp 570,900
5 Sonde half moon (KD) Rp 25,000 5 Rp 125,000
6 Matriks band (KD) Rp 90,000 1 Rp 90,000
7 Matriks holder (KD) Rp 90,000 1 Rp 90,000
8 Kaca mulut (KD) Rp 25,000 5 Rp 125,000
9 Caviton pink Rp 154,000 1 Rp 154,000
Rp -
JUMLAH Rp 3,542,900
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN MEI 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Asam traneksamat amp Rp 10,000 10 Rp 100,000
2 Ranitidine amp Rp 20,000 3 Rp 60,000
3 Ventolin nebulizer Rp 185,000 2 Rp 370,000
4 Ketorolac amp Rp 26,000 1 Rp 26,000
5 Antrain amp Rp 50,000 1 Rp 50,000
6 Metronidazole infus Rp 35,000 1 Rp 35,000
7 Paracetamol infus Rp 35,000 2 Rp 70,000
8 Dexametasone Rp 130,000 1 Rp 130,000
9 Nitrile handscoon (xs,s,m,l) Rp 45,000 10 Rp 450,000
10 Masker jilbab Rp 22,000 2 Rp 44,000
11 Masker biasa Rp 17,000 2 Rp 34,000
12 Kertas puyer press Rp 65,000 3 Rp 195,000
13 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
14 Plastik klip 15 x 10 Rp 39,000 3 Rp 117,000
15 Pot obat 100 cc Rp 85,000 1 Rp 85,000
16 Needle 25G Rp 48,000 2 Rp 96,000
17 Spuit 3 cc terumo Rp 190,000 1 Rp 190,000
18 Spuit 5 cc terumo Rp 185,000 1 Rp 185,000
19 NaCl 500 ml Rp 12,000 3 Rp 36,000
20 NaCl 25 ml Rp 6,500 3 Rp 19,500
21 Termometer digital (Omron) Rp 85,000 2 Rp 170,000
22 Aqua pro inj Rp 15,000 6 Rp 90,000
23 Lancet Rp 15,000 3 Rp 45,000
24 Strip AU ET Rp 87,000 2 Rp 174,000
25 Strip Kolesterol ET Rp 145,000 6 Rp 870,000
26 Strip GDS ET Rp 87,000 8 Rp 696,000
JUMLAH Rp 4,499,500

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Single Bond 3M (CD) Rp 905,300 1 Rp 905,300
2 Root elevator kohler Rp 975,000 1 Rp 975,000
3 Oxyfresh Rp 185,000 1 Rp 185,000
Rp -
JUMLAH Rp 2,065,300
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN JUNI 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 19,000 3 Rp 57,000
2 Ventolin nebulizer Rp 180,000 2 Rp 360,000
3 Ketorolac amp Rp 23,000 1 Rp 23,000
4 Dexametasone Rp 2,500 30 Rp 75,000
5 Nitrile handscoon (xs,s,m,l) Rp 45,000 10 Rp 450,000
6 Masker jilbab Rp 22,000 2 Rp 44,000
7 Masker biasa Rp 17,000 2 Rp 34,000
8 Kertas puyer press Rp 65,000 3 Rp 195,000
9 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
10 Plastik klip 15 x 10 Rp 39,000 3 Rp 117,000
11 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
12 Pot obat 100 cc Rp 85,000 1 Rp 85,000
13 Pot obat 50 cc Rp 25,000 2 Rp 50,000
14 Pot obat 20 cc Rp 27,000 2 Rp 54,000
15 Needle 25G Rp 60,000 1 Rp 60,000
16 Spuit 3 cc terumo Rp 160,000 1 Rp 160,000
17 Aqua pro inj Rp 25,000 6 Rp 150,000
18 Lancet Rp 17,000 2 Rp 34,000
19 Strip AU ET Rp 87,000 2 Rp 174,000
20 Strip Kolesterol ET Rp 145,000 6 Rp 870,000
21 Strip GDS ET Rp 87,000 10 Rp 870,000
JUMLAH Rp 4,141,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Holie dental Rp 474,000 1 Rp 474,000
2 Gel chairside whitening zoom (BS) Rp 1,749,400 1 Rp 1,749,400
3 Sendok cetak (KD) Rp 87,500 1 Rp 87,500
4 Brush aplikator (KD) Rp 69,000 1 Rp 69,000
5 Diamond bur poles (KD) Rp 22,000 3 Rp 66,000

JUMLAH Rp 2,445,900
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN JULI 2018
KLINIK PRATAMA CEMPAKA PUTIH

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 20,000 1 Rp 20,000
2 Ventolin nebulizer Rp 165,000 1 Rp 165,000
3 Ketorolac amp Rp 23,000 2 Rp 46,000
4 Bisolvon nebulizer Rp 85,000 3 Rp 255,000
5 Kasa steril Rp 5,000 10 Rp 50,000
6 Nitrile handscoon (xs,s,m,l) Rp 45,000 7 Rp 315,000
7 Masker jilbab Rp 22,000 1 Rp 22,000
8 Povidon Iodine Rp 60,000 1 Rp 60,000
9 Gestin F1 Rp 135,000 1 Rp 135,000
10 Kertas puyer press Rp 65,000 3 Rp 195,000
11 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
12 Sendok obat syrup Rp 35,000 2 Rp 70,000
13 NaCl Rp 11,000 3 Rp 33,000
14 Spuit 3 cc terumo Rp 160,000 1 Rp 160,000
15 NaCl 25 ml Rp 7,000 10 Rp 70,000
16 Alkohol swab Rp 12,000 5 Rp 60,000
17 Strip AU ET Rp 87,000 2 Rp 174,000
18 Strip Kolesterol ET Rp 145,000 6 Rp 870,000
19 Strip GDS ET Rp 87,000 10 Rp 870,000
JUMLAH Rp 3,732,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 TG Jet (KD) Rp 148,000 1 Rp 148,000
2 Diestone (KD) Rp 53,000 1 Rp 53,000
3 Fuji IX GIC (CD) Rp 800,800 1 Rp 800,800
4 Camphenol (CD) Rp 66,000 1 Rp 66,000
5 Diamond bur poles (KD) Rp 22,000 3 Rp 66,000
6 Chlor ethyl Rp 185,000 1 Rp 185,000

JUMLAH Rp 1,318,800
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN AGUSTUS 2018
KLINIK PRATAMA CEMPAKA PUTIH

1. Kebutuhan Poli Umum

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 20,000 2 Rp 40,000
2 Pehacain amp Rp 5,000 10 Rp 50,000
3 Ketorolac amp Rp 23,000 1 Rp 23,000
4 Perban coklat Rp 65,000 2 Rp 130,000
5 Nitrile handscoon (s,m) Rp 45,000 9 Rp 405,000
6 Depo progestin Rp 145,000 1 Rp 145,000
7 Gestin F1 Rp 130,000 2 Rp 260,000
8 Kertas puyer press Rp 65,000 3 Rp 195,000
9 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
10 Sendok obat syrup Rp 35,000 2 Rp 70,000
11 NaCl Rp 11,000 2 Rp 22,000
12 NaCl 25 ml Rp 7,000 10 Rp 70,000
13 Alkohol swab Rp 12,000 3 Rp 36,000
14 Strip AU ET Rp 95,000 3 Rp 285,000
15 Strip Kolesterol ET Rp 165,000 6 Rp 990,000
16 Strip GDS ET Rp 90,000 8 Rp 720,000
JUMLAH Rp 3,603,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Filtek Z3t50 Composit5e (CD) Rp 372,660 1 Rp 372,660
2 Handpiece fiber optic (KD) Rp 1,710,000 1 Rp 1,710,000
3 Polypouch small (KD) Rp 185,000 1 Rp 185,000
4 Opahl gel anest (KD) Rp 115,000 1 Rp 115,000
5 Surgi spons (KD) Rp 49,000 4 Rp 196,000
6 Polypouch small (KD) Rp 185,000 1 Rp 185,000
7 Beind Ulir (KD) Rp 195,000 1 Rp 195,000

JUMLAH Rp 2,958,660
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN SEPTEMBER 2018
KLINIK PRATAMA CEMPAKA PUTIH

1. Kebutuhan Poli Umum

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 20,000 1 Rp 20,000
2 Ventolin nebulizer Rp 185,000 1 Rp 185,000
3 Ketorolac amp Rp 23,000 2 Rp 46,000
4 Bisolvon nebulizer Rp 85,000 2 Rp 170,000
5 Nitrile handscoon (s,m) Rp 45,000 10 Rp 450,000
6 Depo progestin Rp 145,000 1 Rp 145,000
7 Gestin F1 Rp 135,000 2 Rp 270,000
8 Kertas puyer press Rp 65,000 3 Rp 195,000
9 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
10 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
11 Lancet Rp 12,000 4 Rp 48,000
12 Sensi masker hijab Rp 22,000 2 Rp 44,000
13 Sensi masker biasa Rp 17,000 1 Rp 17,000
14 Spuit 3 cc terumo Rp 160,000 1 Rp 160,000
15 Underpad Rp 25,000 1 Rp 25,000
16 Doppler LCD Rp 785,000 1 Rp 785,000
17 Strip AU ET Rp 90,000 2 Rp 180,000
18 Strip Kolesterol ET Rp 155,000 6 Rp 930,000
19 Strip GDS ET Rp 85,000 8 Rp 680,000
JUMLAH Rp 4,629,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Bite fork (KD) Rp 48,500 1 Rp 48,500
2 Power chain (KD) Rp 110,000 1 Rp 110,000
3 Fuji IX GIC (CD) Rp 800,800 1 Rp 800,800
4 Bur diamond (CD) Rp 33,000 5 Rp 165,000
5 Etchant scithbond 3M (CD) Rp 137,775 1 Rp 137,775
6 Caviton pink (CD) Rp 157,850 1 Rp 157,850

JUMLAH Rp 1,419,925
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN OKTOBER 2018
KLINIK PRATAMA CEMPAKA PUTIH

1. Kebutuhan Poli Umum

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 20,000 2 Rp 40,000
2 Ventolin nebulizer Rp 185,000 1 Rp 185,000
3 Scopamin amp Rp 50,000 1 Rp 50,000
4 Alkohol 70% Rp 12,000 2 Rp 24,000
5 Nitrile handscoon (s,m) Rp 45,000 10 Rp 450,000
6 Kassa gulung Rp 95,000 2 Rp 190,000
7 Alkohol swab Rp 12,000 7 Rp 84,000
8 Kertas puyer press Rp 65,000 3 Rp 195,000
9 Plastik klip 13 x 8,7 Rp 54,000 3 Rp 162,000
10 Plastik klip 10 x 7 Rp 39,000 3 Rp 117,000
11 Lancet Rp 12,000 3 Rp 36,000
12 Masker hijab Rp 22,000 1 Rp 22,000
13 NaCl infus Rp 15,000 6 Rp 90,000
14 Pot obat 100cc Rp 85,000 1 Rp 85,000
15 Depo progestin Rp 145,000 1 Rp 145,000
16 PCT infus Rp 50,000 2 Rp 100,000
17 Infus set Rp 28,000 1 Rp 28,000
18 Strip AU ET Rp 77,000 2 Rp 154,000
19 Strip Kolesterol ET Rp 142,000 4 Rp 568,000
20 Strip GDS ET Rp 77,000 8 Rp 616,000
JUMLAH Rp 3,341,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 Bein Itali (Kiang) Rp 87,000 3 Rp 261,000
2 Bein Luxator (Kiang) Rp 115,000 1 Rp 115,000
3 Power chain Rp 110,000 1 Rp 110,000
4 Tang cabut sisa akar (MM) Rp 160,000 2 Rp 320,000

JUMLAH Rp 806,000

806
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN NOVEMBER 2018
KLINIK PRATAMA CEMPAKA PUTIH

1. Kebutuhan Poli Umum

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 19,000 2 Rp 38,000
2 Ventolin nebulizer Rp 185,000 2 Rp 370,000
3 Ketorolac amp Rp 23,000 2 Rp 46,000
4 Bisolvon nebulizer Rp 85,000 2 Rp 170,000
5 Nitrile handscoon (s,m) Rp 45,000 10 Rp 450,000
6 Depo progestin Rp 150,000 1 Rp 150,000
7 Gestin F1 Rp 135,000 1 Rp 135,000
8 Aseptik gel Rp 75,000 2 Rp 150,000
9 Betadine 1 lt Rp 60,000 1 Rp 60,000
10 Alkohol 70% Rp 12,000 2 Rp 24,000
11 Lancet Rp 15,000 3 Rp 45,000
12 Sensi masker hijab Rp 18,000 1 Rp 18,000
13 Sensi masker biasa Rp 17,000 1 Rp 17,000
14 Spuit 5 cc terumo Rp 185,000 1 Rp 185,000
15 Spuit 1 CC Rp 265,000 1 Rp 265,000
16 Otsu NS 500ML Rp 10,000 4 Rp 40,000
17 Otsu NS 25ML Rp 7,000 10 Rp 70,000
18 Ephinefrin Rp 10,000 5 Rp 50,000
19 AQUA INJECPRO Rp 25,000 4 Rp 100,000
20 Lidocain amp Rp 125,000 1 Rp 125,000
21 Dexametason amp Rp 60,000 1 Rp 60,000
22 Alkohol swab Rp 11,000 6 Rp 66,000
23 Norages amp Rp 35,000 1 Rp 35,000
24 ANTRAIN INJ Rp 50,000 1 Rp 50,000
25 Neurobion amp Rp 185,000 1 Rp 185,000
26 ONDANSENTRON INJ 2MG Rp 30,000 1 Rp 30,000
27 CEFTRIAXONE INJ Rp 20,000 4 Rp 80,000
28 ULTRAFIX 5CMX5CM Rp 17,000 1 Rp 17,000
29 ULTRAFIX 10CMX5CM Rp 27,000 1 Rp 27,000
30 Strip AU ET Rp 77,000 2 Rp 154,000
31 Strip Kolesterol ET Rp 142,000 6 Rp 852,000
32 Srip GDS ET Rp 77,000 8 Rp 616,000
JUMLAH Rp 4,680,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 TG Jet (KD) Rp 148,000 2 Rp 296,000
2 Polibib (KD) Rp 110,000 1 Rp 110,000
3 Fuji IX GIC (CD) Rp 800,800 1 Rp 800,800
4 Septocain citojet (BM) Rp 805,000 2 Rp 1,610,000
JUMLAH Rp 2,816,800
 PERMINTAAN ALAT DAN BAHAN KESEHATAN BULAN DESEMBER 2018
KLINIK PRATAMA CEMPAKA PUTIH

1. Kebutuhan Poli Umum

NO NAMA OBAT SATUAN QTY JUMLAH

1 Ranitidine amp Rp 20,000 2 Rp 40,000
2 Ketorolac amp Rp 23,000 2 Rp 46,000
3 Bisolvon nebulizer Rp 85,000 2 Rp 170,000
4 Nitrile handscoon (s,m) Rp 45,000 8 Rp 360,000
5 Depo progestin Rp 150,000 1 Rp 150,000
6 Gestin F1 Rp 125,000 1 Rp 125,000
7 Scopamin inj Rp 55,000 1 Rp 55,000
8 Lancet Rp 15,000 2 Rp 30,000
9 Sensi masker hijab Rp 22,000 1 Rp 22,000
10 Sensi masker biasa Rp 17,000 1 Rp 17,000
11 Spuit 3 cc Rp 165,000 2 Rp 330,000
12 Otsu NS 500ML Rp 11,000 2 Rp 22,000
13 Otsu NS 25ML Rp 7,000 10 Rp 70,000
14 AQUA INJECPRO Rp 30,000 4 Rp 120,000
15 Slik without neddle Rp 120,000 1 Rp 120,000
16 Cut gut cromic with needle Rp 120,000 1 Rp 120,000
17 Alkohol swab Rp 12,000 6 Rp 72,000
18 Norages amp Rp 35,000 2 Rp 70,000
19 Antrain INJ Rp 35,000 2 Rp 70,000
20 Neurobion amp Rp 210,000 3 Rp 630,000
21 Ondansentron INJ 2MG Rp 30,000 1 Rp 30,000
22 Micropore 3 cm Rp 20,000 2 Rp 40,000
23 Micropore 5cm Rp 38,000 2 Rp 76,000
24 Strip AU ET Rp 75,000 2 Rp 150,000
25 Strip Kolesterol ET Rp 140,000 2 Rp 280,000 4
26 Srip GDS ET Rp 75,000 8 Rp 600,000
JUMLAH Rp 3,815,000

2. Kebutuhan Poli Gigi

No Nama Alat / Bahan Harga Qty Jumlah

1 TG Jet (KD) Rp 148,000 2 Rp 296,000
2 Polibib (KD) Rp 110,000 1 Rp 110,000
3 Fuji IX GIC (CD) Rp 800,800 1 Rp 800,800
4 Septocain citojet (BM) Rp 805,000 2 Rp 1,610,000

JUMLAH Rp 2,816,800