Sie sind auf Seite 1von 21

No KunjunganPelaksana Nama Pasi Nomor BillTgl Penyer Tgl Input BiTgl Lunas Jml Harga per

1 202101251dr. Retno PWENITA MIIR210127027/01/20227/01/20222/04/2021 42.543


2 202104221drg. Dyah TAUFANRIZIR210422022/04/20222/04/20222/04/20210 5.556
3 202104221Dr. Harvy MUHAMMAD IR210422022/04/20222/04/20222/04/2021 33.859
4 202104232dr. RachmaSLAMET B IR210424024/04/20224/04/20224/04/2022 25.098
5 202104232dr. Ditya ArRAFA ARFI IR210424024/04/20224/04/20224/04/2021 14.415
6 202104232dr. Ditya ArRAFA ARFI IR210424024/04/20224/04/20224/04/2021 6.579
7 202104232dr. Ditya ArRAFA ARFI IR210424024/04/20224/04/20224/04/2021 30.819
8 202104222Dr. HaykalALESHA DEIR210425025/04/20225/04/20225/04/2021 12.445
9 202104222Dr. HaykalALESHA DEIR210425025/04/20225/04/20225/04/2021 66.950
10 202104222Dr. HaykalALESHA DEIR210425025/04/20225/04/20225/04/2022 6.579
11 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2022 30.819
12 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2022 30.819
13 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2022 7.886
14 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2023 7.886
15 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2021 115.434
16 202104232dr. Ditya ArALMIR RAYIR210425025/04/20225/04/20225/04/2021 5.916
17 202104262dr. Dyah ReMARIONO IBR210426026/04/20226/04/20226/04/20220 3.226
18 202104232dr. Rizki O GITA AYANIR210426026/04/20226/04/20226/04/2022 33.805
19 202104232dr. Dyah ReGITA AYANIR210426026/04/20226/04/20226/04/2022 59.840
20 202104232dr. Rizki O GITA AYANIR210426026/04/20226/04/20226/04/2021 11.307
21 202104232dr. Rizki O GITA AYANIR210426026/04/20226/04/20226/04/2021 6.579
22 202104232dr. Dyah ReGITA AYANIR210426026/04/20226/04/20226/04/2021 6.579
23 202104222dr. Ditya ArYASMINE SIR210422022/04/20222/04/20226/04/2021 46.003
24 202104222dr. Ditya ArYASMINE SIR210424024/04/20224/04/20226/04/2021 115.434
25 202104221Dr. Winda N ASRI BIN IR210426026/04/20226/04/20226/04/2021 25.098
26 202104221Dr. Winda N ASRI BIN IR210426026/04/20226/04/20226/04/2022 14.301
27 202104221Dr. Winda N ASRI BIN IR210426026/04/20226/04/20226/04/2021 25.098
28 202104262Dr. Harvy MISNI YUNIR210426026/04/20226/04/20226/04/20210 868
29 202104221Dr. Harvy INDAH PUSIR210422022/04/20222/04/20227/04/2021 25.098
30 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2021 25.098
31 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2021 16.407
32 202104221Dr. Harvy INDAH PUSIR210422022/04/20222/04/20227/04/2022 7.151
33 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2022 12.445
34 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2021 95.341
35 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2021 7.886
36 202104221Dr. Harvy INDAH PUSIR210422022/04/20222/04/20227/04/2021 7.886
37 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2022 11.307
38 202104221dr. RachmaINDAH PUSIR210422022/04/20222/04/20227/04/2021 87.374
39 202104221dr. Retno PINDAH PUSIR210424024/04/20224/04/20227/04/2022 25.671
40 202104221dr. Retno PINDAH PUSIR210426026/04/20226/04/20227/04/2021 53.505
41 202104221dr. RachmaINDAH PUSIR210426026/04/20226/04/20227/04/2026 3.576
42 202104221dr. Retno PINDAH PUSIR210426026/04/20226/04/20227/04/2024 921
43 202104221dr. Retno PINDAH PUSIR210426026/04/20226/04/20227/04/2021 87.374
44 202104221dr. Retno PINDAH PUSIR210426026/04/20226/04/20227/04/2022 25.098
45 202104221dr. Retno PINDAH PUSIR210427027/04/20227/04/20227/04/2022 8.382
46 202104221dr. Retno PINDAH PUSIR210427027/04/20227/04/20227/04/2025 1.731
47 202104292dr. Ditya ArCHILLA AMIR210429029/04/20229/04/20229/04/2022 34.321
48 202104232Dr. Titis K ROCHMANIR210425025/04/20225/04/20229/04/2023 12.445
49 202104232Dr. Titis K ROCHMANIR210425025/04/20225/04/20229/04/2023 7.886
50 202104282Dr. HaykalM. NUR NAIR210502002/05/20202/05/20202/05/2021 8.438
51 202104282Dr. HaykalM. NUR NAIR210502002/05/20202/05/20202/05/2021 26.670
52 202104282Dr. HaykalM. NUR NAIR210502002/05/20202/05/20202/05/2023 26.670
53 202105020dr. Dyah FITRIA RISKIR210502002/05/20202/05/20202/05/2021 55.056
54 202104252dr. RachmaSUNARI IR210429029/04/20229/04/20203/05/2021 59.840
55 202104302dr. Retno PITA WAHYUIR210503003/05/20203/05/20203/05/2022 25.671
56 202105030dr. Retno PSITI MUA IR210503003/05/20203/05/20203/05/2021 83.560
57 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 12.445
58 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 25.727
59 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 6.579
60 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 6.579
61 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2023 7.886
62 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 7.886
63 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 7.886
64 202105010Dr. HaykalNABIL IR210504004/05/20204/05/20204/05/2021 60.776
65 202104292dr. Rizki O SRIAMAH BIR210504004/05/20204/05/20204/05/2021 33.805
66 202105030Dr. Harvy FENI LESTAIR210504004/05/20204/05/20204/05/2021 17.161
67 202105030dr. RachmaALI MANSUIR210505005/05/20205/05/20205/05/2021 14.301
68 202105030dr. RachmaALI MANSUIR210505005/05/20205/05/20205/05/2021 14.301
69 202105030dr. RachmaALI MANSUIR210505005/05/20205/05/20205/05/2022 7.886
70 202105030Dr. Harvy ALI MANSUIR210505005/05/20205/05/20205/05/2021 11.307
71 202105030dr. RachmaALI MANSUIR210505005/05/20205/05/20205/05/2023 7.151
72 202105030dr. RachmaALI MANSUIR210505005/05/20205/05/20205/05/2021 16.407
73 202105060Dr. HaykalHANA SHOIR210506006/05/20206/05/20206/05/2022 7.866
74 202105030Dr. AhmadKUSNUL MIR210506006/05/20206/05/20206/05/2022 7.886
75 202105030dr. RachmaKUSNUL MIR210506006/05/20206/05/20206/05/2022 7.886
76 202105030Dr. AhmadKUSNUL MIR210506006/05/20206/05/20206/05/2022 6.579
77 202105030dr. RachmaKUSNUL MIR210506006/05/20206/05/20206/05/2021 6.579
78 202105030Dr. AhmadKUSNUL MIR210506006/05/20206/05/20206/05/2021 11.307
79 202105030Dr. AhmadKUSNUL MIR210506006/05/20206/05/20206/05/2021 95.341
80 202105030dr. RachmaKUSNUL MIR210506006/05/20206/05/20206/05/2024 7.151
81 202105030dr. RachmaKUSNUL MIR210506006/05/20206/05/20206/05/2021 261
82 202105030dr. RachmaKUSNUL MIR210506006/05/20206/05/20206/05/2021 16.407
83 202105030Dr. AhmadNAMEESA A IR210506006/05/20206/05/20207/05/2021 24.914
84 202105030dr. Ditya ArNAMEESA AIR210506006/05/20206/05/20207/05/2022 66.950
85 202105030Dr. AhmadNAMEESA A IR210506006/05/20206/05/20207/05/2021 7.886
86 202103201Dr. Titis K YUSUP ALKIR210321021/03/20221/03/20207/05/2022 25.671
87 202105050dr. Wara PeKEMI BINT IR210506006/05/20206/05/20209/05/2021 85.889
88 202105050dr. Wara PeKEMI BINT IR210509009/05/20209/05/20209/05/2021 59.840
89 202105050dr. Wara PeKEMI BINT IR210509009/05/20209/05/20209/05/2021 86.434
90 202105050Dr. AhmadKEMI BINT IR210509009/05/20209/05/20209/05/2021 7.151
91 202105050Dr. AhmadKEMI BINT IR210509009/05/20209/05/20209/05/2021 5.916
92 202105050dr. Wara PeKEMI BINT IR210509009/05/20209/05/20209/05/2026 6.579
93 202105050dr. Wara PeKEMI BINT IR210509009/05/20209/05/20209/05/2021 1.431
94 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 31.461
95 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2022 4.606
96 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 2.205
97 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 6.641
98 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 16.407
99 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 7.886
100 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2025 6.579
101 202105070dr. BambanDWI ADI S IR210510010/05/20210/05/20210/05/2021 59.840
102 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2022 5.916
103 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2022 29.314
104 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2022 60.776
105 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2021 95.341
106 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2021 11.307
107 202105060dr. Ditya ArFADHIL ZHIR210508008/05/20208/05/20211/05/2025 7.886
108 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2022 71.510
109 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2021 329.341
110 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2021 18.019
111 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2022 14.415
112 202105050Dr. AhmadTAHID BIN IR210508008/05/20208/05/20211/05/2021 12.445
113 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2021 12.445
114 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2024 7.886
115 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2024 6.579
116 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2022 15.731
117 202105050Dr. Titis K TAHID BIN IR210508008/05/20208/05/20211/05/2022 23.028
118 202105030dr. BambanARZA NUR IR210505005/05/20205/05/20211/05/2021 12.445
119 202105030dr. BambanARZA NUR IR210505005/05/20205/05/20211/05/2021 6.579
120 202105070dr. Ditya ArANDINA KHIR210510010/05/20210/05/20212/05/2021 8.438
121 202105070dr. Ditya ArANDINA KHIR210510010/05/20210/05/20212/05/2021 13.586
122 202105070dr. Ditya ArANDINA KHIR210510010/05/20210/05/20212/05/2021 7.151
123 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2022 50.325
124 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 29.314
125 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2023 19.328
126 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 71.510
127 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2023 6.579
128 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 115.434
129 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 115.434
130 202105070Dr. Harvy ANDINA KHIR210512012/05/20212/05/20212/05/2021 7.151
131 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 66.950
132 202105070dr. Ditya ArANDINA KHIR210512012/05/20212/05/20212/05/2021 5.916
133 202102191dr. RachmaSULISMIATIIR210219019/02/20219/02/20218/05/20215 709
134 202105171Dr. Titis K AYUNDA MIR210518018/05/20218/05/20218/05/2021 15.731
135 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 83.727
136 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 83.727
137 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 8.194
138 202102221Dr. Harvy AHMAD GHIR210224024/02/20224/02/20219/05/2021 30.031
139 202102221Dr. Harvy AHMAD GHIR210224024/02/20224/02/20219/05/2021 7.151
140 202102221Dr. Harvy AHMAD GHIR210224024/02/20224/02/20219/05/2021 6.579
141 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 6.579
142 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 7.886
143 202102221Dr. Harvy AHMAD GHIR210224024/02/20224/02/20219/05/2021 11.307
144 202102221dr. RachmaAHMAD GHIR210224024/02/20224/02/20219/05/2021 1.789
145 202102070dr. Dyah ARGATSANIIR210212012/02/20212/02/20219/05/2021 42.543
146 202102070Dr. HaykalARGATSANIIR210212012/02/20212/02/20219/05/2021 12.541
147 202102070Dr. HaykalARGATSANIIR210212012/02/20212/02/20219/05/2021 12.541
148 202105171dr. Ditya ArGANESHA IR210519019/05/20219/05/20219/05/2021 50.325
149 202011131dr. Retno PFANNY PERIR201116016/11/20216/11/20219/05/2022 12.541
150 202011131dr. Nur AisFANNY PERIR201116016/11/20216/11/20219/05/2021 12.541
151 202011131dr. Retno PFANNY PERIR201116016/11/20216/11/20219/05/2021 27.171
152 202102080dr. Retno PDEVITA RAIR210211011/02/20211/02/20219/05/2021 15.731
153 202102080dr. Retno PDEVITA RAIR210211011/02/20211/02/20219/05/2022 357
154 202102080dr. Retno PDEVITA RAIR210211011/02/20211/02/20219/05/2021 17.161
155 202102241dr. Dyah ReSRI ASTIYAIR210226026/02/20226/02/20219/05/2022 7.151
156 202102241dr. Dyah ReSRI ASTIYAIR210226026/02/20226/02/20219/05/2022 4.930
157 202102241dr. Dyah ReSRI ASTIYAIR210226026/02/20226/02/20219/05/2021 30.031
158 202102241dr. Rizki O SRI ASTIYAIR210226026/02/20226/02/20219/05/2021 11.307
159 202102241dr. Rizki O SRI ASTIYAIR210226026/02/20226/02/20219/05/2021 7.886
160 202102241dr. Dyah ReSRI ASTIYAIR210226026/02/20226/02/20219/05/2022 6.579
161 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2021 15.731
162 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2022 6.579
163 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2021 6.579
164 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2022 7.886
165 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2023 34.145
166 202102171dr. Retno PFARIDA NUIR210219019/02/20219/02/20219/05/2021 4.930
167 202102120dr. Retno PDEWI WULA IR210214014/02/20214/02/20219/05/2021 4.930
168 202102120dr. Retno PDEWI WULA IR210214014/02/20214/02/20219/05/2021 7.886
169 202102120dr. Retno PDEWI WULA IR210214014/02/20214/02/20219/05/2022 6.579
170 202102120dr. Retno PDEWI WULA IR210214014/02/20214/02/20219/05/2022 15.731
171 202102120dr. Retno PDEWI WULA IR210214014/02/20214/02/20219/05/2021 3.076
172 202102191dr. RachmaWASIATI BIR210221021/02/20221/02/20219/05/2021 83.727
173 202011292dr. RachmaBUDI LIST IR201130030/11/20230/11/20219/05/2021 8.892
174 202102080dr. RachmaSUNTORO IR210209009/02/20209/02/20219/05/2023 21.369
175 202102010dr. Ditya ArMUHAMMAD IR210203003/02/20203/02/20219/05/2021 29.314
176 202102130dr. Dyah WULAN DW IR210216016/02/20216/02/20219/05/2021 27.171
177 202102130dr. Retno PWULAN DW IR210216016/02/20216/02/20219/05/2021 27.171
178 202102130dr. Dyah WULAN DW IR210216016/02/20216/02/20219/05/2021 6.579
179 202102130dr. Retno PWULAN DW IR210216016/02/20216/02/20219/05/2021 6.115
180 202105191dr. Lucia PuIMAM MU IR210519019/05/20219/05/20219/05/20210 14.415
181 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2022 8.893
182 202011141dr. Dyah JOHASER IR201115015/11/20215/11/20219/05/2021 11.307
183 202011141dr. Dyah JOHASER IR201115015/11/20215/11/20219/05/2021 7.886
184 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2021 12.013
185 202011141dr. Dyah JOHASER IR201115015/11/20215/11/20219/05/2021 32.891
186 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2021 1.431
187 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2021 329
188 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2021 30.876
189 202011141dr. RachmaJOHASER IR201115015/11/20215/11/20219/05/2021 14.301
190 202011201Dr. Veny MBUDI SUY IR201123023/11/20223/11/20219/05/2021 30.031
191 202102201dr. Retno PFEBRI SOFIIR210220020/02/20220/02/20219/05/2024 4.930
192 202102201dr. Retno PFEBRI SOFIIR210220020/02/20220/02/20219/05/2023 34.145
193 202102201dr. Retno PFEBRI SOFIIR210220020/02/20220/02/20219/05/2021 3.076
194 202102201Dr. AhmadFEBRI SOFIIR210222022/02/20222/02/20219/05/2021 7.886
195 202102201dr. Retno PFEBRI SOFIIR210222022/02/20222/02/20219/05/2021 3.576
196 202102201dr. Retno PFEBRI SOFIIR210222022/02/20222/02/20219/05/2021 3.458
197 202102130dr. Dyah YUSNITA MIR210214013/02/20214/02/20219/05/2021 14.692
198 202102130dr. Retno PYUSNITA MIR210214013/02/20214/02/20219/05/2021 10.011
199 202102130dr. Retno PYUSNITA MIR210214013/02/20214/02/20219/05/2021 3.076
200 202102130dr. Retno PYUSNITA MIR210214013/02/20214/02/20219/05/2023 12.445
201 202102130dr. Retno PYUSNITA MIR210214013/02/20214/02/20219/05/2023 66.950
202 202102130dr. Retno PYUSNITA MIR210214014/02/20214/02/20219/05/2021 7.886
203 202102130dr. Retno PYUSNITA MIR210214014/02/20214/02/20219/05/2021 6.579
204 202102130dr. Retno PYUSNITA MIR210214014/02/20214/02/20219/05/2021 6.579
205 202102130dr. Retno PYUSNITA MIR210214014/02/20214/02/20219/05/2021 6.115
206 202102130dr. Retno PYUSNITA MIR210214014/02/20214/02/20219/05/2021 15.731
207 202102080dr. Rizki O IRMA ROSIIR210208008/02/20208/02/20219/05/2021 11.307
208 202102080dr. Rizki O IRMA ROSIIR210208008/02/20208/02/20219/05/2021 4.434
209 202102080dr. Rizki O IRMA ROSIIR210208008/02/20208/02/20219/05/2021 39.030
210 202102080dr. Retno PIRMA ROSIIR210208008/02/20208/02/20219/05/2021 11.687
211 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2022 6.579
212 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2021 7.886
213 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2023 34.145
214 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2021 4.930
215 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2022 3.576
216 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2021 12.156
217 202102080dr. Retno PIRMA ROSIIR210210010/02/20210/02/20219/05/2021 15.731
218 202102100dr. Lucia PuLAILA SEPTIR210212012/02/20212/02/20219/05/2021 8.893
219 202102100dr. Lucia PuLAILA SEPTIR210212012/02/20212/02/20219/05/2021 357
220 202102100dr. Lucia PuLAILA SEPTIR210212012/02/20212/02/20219/05/2021 25.727
221 202102241Dr. HaykalFAWAS ZIDIR210227027/02/20227/02/20219/05/2021 23.024
222 202102241Dr. HaykalFAWAS ZIDIR210227027/02/20227/02/20219/05/2021 14.301
223 202102241dr. Rizki O FAWAS ZIDIR210227027/02/20227/02/20219/05/2021 6.579
224 202102241Dr. HaykalFAWAS ZIDIR210227027/02/20227/02/20219/05/2021 7.886
225 202102100dr. Rizki O ARSHAKA IR210212012/02/20212/02/20219/05/2021 30.977
226 202102100dr. Rizki O ARSHAKA IR210212012/02/20212/02/20219/05/2021 42.543
227 202102100dr. Ditya ArARSHAKA IR210212012/02/20212/02/20219/05/2022 7.886
228 202102100dr. Rizki O ARSHAKA IR210212012/02/20212/02/20219/05/2021 12.156
229 202102010dr. Ditya ArDOMINIC KIR210203003/02/20203/02/20219/05/2021 32.525
230 202102010dr. Ditya ArDOMINIC KIR210203003/02/20203/02/20219/05/2021 3.124
231 202102010dr. Ditya ArDOMINIC KIR210203003/02/20203/02/20219/05/2021 12.156
232 202102010dr. Ditya ArDOMINIC KIR210203003/02/20203/02/20219/05/2024 6.579
233 202102010Dr. Harvy DOMINIC KIR210203003/02/20203/02/20219/05/2021 11.307
234 202102241dr. RachmaSUTAI IR210225025/02/20225/02/20219/05/2021 10.011
235 202102070dr. RachmaMOH IRFANIR210210010/02/20210/02/20219/05/2021 13.489
236 202102070dr. RachmaMOH IRFANIR210210010/02/20210/02/20219/05/2021 13.489
237 202011241dr. Wara PeSAINI IR201124024/11/20224/11/20219/05/2021 198.001
238 202011241dr. Wara PeSAINI IR201125025/11/20225/11/20219/05/2021 2.146
239 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2021 8.892
240 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2021 8.892
241 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2021 7.886
242 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2021 8.194
243 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2022 9.857
244 202011241dr. Wara PeSAINI IR201127027/11/20227/11/20219/05/2022 1.431
245 202102191dr. Retno PSRIHANDAYIR210221021/02/20221/02/20219/05/2022 15.731
246 202102191dr. Retno PSRIHANDAYIR210222022/02/20222/02/20219/05/2025 6.579
247 202102191dr. Retno PSRIHANDAYIR210222022/02/20222/02/20219/05/2021 6.579
248 202102191dr. Retno PSRIHANDAYIR210222022/02/20222/02/20219/05/2022 4.005
249 202102191dr. Retno PSRIHANDAYIR210222022/02/20222/02/20219/05/2021 5.921
250 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2022 9.919
251 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2021 9.919
252 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2023 42.543
253 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2023 12.013
254 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2021 30.031
255 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2021 32.891
256 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2021 980
257 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2023 7.886
258 202011151dr. RachmaDONY ADI IR201116016/11/20216/11/20219/05/2021 11.307
259 202011231dr. Dyah ReSUPRAPTOIR201124024/11/20224/11/20219/05/2021 12.541
260 202102050dr. Dyah ReLEO HENDRIR210207007/02/20207/02/20219/05/2022 25.098
261 202102050dr. Dyah ReLEO HENDRIR210207007/02/20207/02/20219/05/2021 114.401
262 202102050dr. Dyah ReLEO HENDRIR210207007/02/20207/02/20219/05/2021 26.932
263 202102050dr. Dyah ReLEO HENDRIR210207007/02/20207/02/20219/05/2023 7.151
264 202102050Dr. Harvy LEO HENDRIR210207007/02/20207/02/20219/05/2021 30.031
265 202102050dr. Dyah ReLEO HENDRIR210207007/02/20207/02/20219/05/2023 6.579
266 202102050Dr. Harvy LEO HENDRIR210207007/02/20207/02/20219/05/2021 11.307
267 202102251dr. Ditya ArANGELA S IR210228028/02/20228/02/20219/05/2021 60.776
268 202102070dr. Dyah KHUSNUL IR210208008/02/20208/02/20219/05/2021 7.886
269 202102070dr. Retno PKHUSNUL IR210208008/02/20208/02/20219/05/2021 6.579
270 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 42.543
271 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 4.930
272 202102211dr. Rizki O AQILA PARIR210225025/02/20225/02/20219/05/2021 7.151
273 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 7.886
274 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 36.752
275 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 18.663
276 202102211dr. Rizki O AQILA PARIR210225025/02/20225/02/20219/05/2021 6.579
277 202102211Dr. HaykalAQILA PARIR210225025/02/20225/02/20219/05/2021 12.541
278 202102080dr. Retno PSRIHANDAYIR210211011/02/20211/02/20219/05/2021 15.731
279 202102080Dr. Harvy SRIHANDAYIR210211011/02/20211/02/20219/05/2021 15.731
280 202102080dr. Retno PSRIHANDAYIR210211011/02/20211/02/20219/05/2021 7.151
281 202102080Dr. Harvy SRIHANDAYIR210211011/02/20211/02/20219/05/2021 27.171
282 202011231dr. Retno PAYU WULAIR201125025/11/20225/11/20219/05/2021 71.501
283 202011231dr. Nur AisAYU WULAIR201126026/11/20226/11/20219/05/2021 9.919
284 202102060Dr. HaykalSANDYHA IR210209009/02/20209/02/20219/05/2021 47.928
285 202102100Dr. Harvy ARDIANI R IR210211011/02/20211/02/20219/05/2021 15.731
286 202102100Dr. Harvy ARDIANI R IR210211011/02/20211/02/20219/05/2021 10.503
287 202102100Dr. Harvy ARDIANI R IR210211011/02/20211/02/20219/05/2021 31.461
288 202102100dr. Retno PARDIANI R IR210211011/02/20211/02/20219/05/2023 34.145
289 202102100Dr. Harvy ARDIANI R IR210211011/02/20211/02/20219/05/2021 42.241
290 202102100dr. Retno PARDIANI R IR210211011/02/20211/02/20219/05/2022 15.731
291 202102100dr. Retno PARDIANI R IR210212012/02/20212/02/20219/05/2023 15.731
292 202102100dr. Retno PARDIANI R IR210212012/02/20212/02/20219/05/2021 4.930
293 202102100dr. Retno PARDIANI R IR210212012/02/20212/02/20219/05/2021 7.886
294 202102100dr. Retno PARDIANI R IR210212012/02/20212/02/20219/05/2022 6.579
295 202102010dr. RachmaYENI TYA IR210203003/02/20203/02/20219/05/2021 7.886
296 202102010dr. RachmaYENI TYA IR210203003/02/20203/02/20219/05/2021 4.930
297 202105141dr. RachmaRUMAJI BI IR210518018/05/20218/05/20219/05/2021 723
298 202105141dr. RachmaRUMAJI BI IR210519019/05/20219/05/20219/05/2021 25.098
299 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2022 8.892
300 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 8.892
301 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 114.401
302 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2022 114.401
303 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 114.401
304 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 30.031
305 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 8.194
306 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2024 17.161
307 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 5.085
308 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2022 1.431
309 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 11.307
310 202011282dr. Dyah AFIFATUL IR201130030/11/20230/11/20219/05/2023 7.886
311 202011282dr. RachmaAFIFATUL IR201130030/11/20230/11/20219/05/2021 6.579
312 202102161dr. Dyah RePUPUT KURIR210218018/02/20218/02/20219/05/2022 12.541
313 202102161dr. Dyah RePUPUT KURIR210218018/02/20218/02/20219/05/2022 42.543
314 202105201dr. Retno PFITRIYA N IR210520020/05/20220/05/20220/05/20210 2.390
315 202105191Dr. AhmadMUHAMMAD IR210520020/05/20220/05/20220/05/2021 30.819
316 202105191dr. Ditya ArMUHAMMAD IR210520020/05/20220/05/20220/05/2021 25.727
317 202105191dr. Ditya ArMUHAMMAD IR210520020/05/20220/05/20220/05/2021 66.950
318 202105191dr. Ditya ArMUHAMMAD IR210520020/05/20220/05/20220/05/2021 60.776
319 202105191Dr. AhmadMUHAMMAD IR210520020/05/20220/05/20220/05/2022 6.579
320 202105191dr. Ditya ArMUHAMMAD IR210520020/05/20220/05/20220/05/2021 6.579
321 202105191dr. Ditya ArMUHAMMAD IR210520020/05/20220/05/20220/05/2022 6.579
322 202105201Dr. Titis K ANDINA KHIR210520020/05/20220/05/20220/05/2021 4.523
323 202011161dr. BambanEVA LISTYOIR201117017/11/20217/11/20221/05/2023 9.919
324 202102221Dr. Titis K SATURI BINIR210223023/02/20223/02/20221/05/2021 15.731
325 202102040Dr. AhmadMARGARETH IR210206006/02/20206/02/20221/05/2021 10.225
326 202102040Dr. Titis K MARGARETH IR210206006/02/20206/02/20221/05/2021 8.688
327 202102040Dr. Titis K MARGARETH IR210206006/02/20206/02/20221/05/2021 6.579
328 202102171dr. BambanKETUT WAIR210218018/02/20218/02/20221/05/2021 15.731
329 202105191dr. Ditya ArHAYKA GHIIR210520020/05/20220/05/20221/05/2022 16.001
330 202105191dr. Ditya ArHAYKA GHIIR210521021/05/20221/05/20221/05/2021 30.819
331 202105191dr. Ditya ArHAYKA GHIIR210521021/05/20221/05/20221/05/2021 66.950
332 202102110Dr. AhmadPUJI SISWAIR210212012/02/20212/02/20221/05/2021 15.731
333 202102110Dr. Titis K PUJI SISWAIR210212012/02/20212/02/20221/05/2021 7.151
334 202102251Dr. Titis K MACHMUDIR210226026/02/20226/02/20221/05/2021 15.731
335 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2021 10.225
336 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2021 10.225
337 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2022 4.930
338 202102010Dr. Harvy ERNAWATIIR210203003/02/20203/02/20221/05/2021 8.194
339 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2022 9.010
340 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2024 7.886
341 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2021 3.576
342 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2021 921
343 202102010Dr. Titis K ERNAWATIIR210203003/02/20203/02/20221/05/2022 293
344 202102110Dr. AhmadDJUMARS IR210213013/02/20213/02/20221/05/2021 15.731
345 202102110Dr. Titis K DJUMARS IR210213013/02/20213/02/20221/05/2022 15.731
346 202102080Dr. Titis K KURNIA MAIR210209009/02/20209/02/20221/05/2021 15.731
347 202102080dr. Dyah KURNIA MAIR210209009/02/20209/02/20221/05/2021 7.886
348 202102080Dr. Titis K KURNIA MAIR210209009/02/20209/02/20221/05/2021 11.307
349 202102080Dr. Titis K KURNIA MAIR210209009/02/20209/02/20221/05/2021 6.579
350 202102080dr. Dyah KURNIA MAIR210209009/02/20209/02/20221/05/2021 8.194
351 202102080Dr. Titis K KURNIA MAIR210209009/02/20209/02/20221/05/2021 7.151
352 202102080Dr. Titis K KURNIA MAIR210209009/02/20209/02/20221/05/2021 8.688
353 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2022 9.919
354 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2022 9.919
355 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2022 2.289
356 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2021 8.688
357 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2022 8.194
358 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2022 7.886
359 202011272dr. BambanARIS SETI IR201128028/11/20228/11/20221/05/2023 6.579
360 202102130dr. Dyah ASRIFAH IR210215015/02/20215/02/20221/05/2021 15.731
361 202010231Dr. HaykalBERDIN ANIR201023023/10/20223/10/20221/05/2021 12.156
362 202010231Dr. Titis K BERDIN ANIR201024024/10/20224/10/20221/05/2021 47.309
363 202010231Dr. Titis K BERDIN ANIR201024024/10/20224/10/20221/05/2021 19.676
364 202010231Dr. Titis K BERDIN ANIR201024024/10/20224/10/20221/05/2021 65.050
365 202010231Dr. HaykalBERDIN ANIR201026026/10/20226/10/20221/05/2022 30.977
366 202010231Dr. Titis K BERDIN ANIR201029029/10/20229/10/20221/05/2021 12.156
367 202104222Dr. Harvy ISTIQOMA IR210423023/04/20223/04/20221/05/2021 15.731
368 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2022 25.671
369 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2021 190.401
370 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2021 150.151
371 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2021 13.586
372 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2022 329.341
373 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2022 329.341
374 202104222Dr. Harvy ISTIQOMA IR210423023/04/20223/04/20221/05/2021 11.307
375 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2025 8.382
376 202104222dr. BambanISTIQOMA IR210423023/04/20223/04/20221/05/2025 1.731
377 202102020Dr. Nuki ArTRI WIDAYIR210203003/02/20203/02/20221/05/2021 10.225
378 202102020dr. BambanTRI WIDAYIR210203003/02/20203/02/20221/05/2022 10.225
379 202102100dr. BambanHELMI HERIR210211011/02/20211/02/20221/05/2022 15.731
380 202105201Dr. HaykalZENAHARRA IR210521009/02/20221/05/20221/05/2021 43.516
381 202105201Dr. HaykalZENAHARRA IR210521009/02/20221/05/20221/05/2022 7.886
382 202011151dr. BambanANTON ADIR201117017/11/20217/11/20221/05/2021 9.919
383 202102251dr. BambanMINARSIH IR210226026/02/20226/02/20221/05/2021 8.194
384 202011221dr. BambanRUKIYATI IR201124024/11/20224/11/20221/05/2021 9.919
385 202102171dr. BambanMUHAMMAD IR210218018/02/20218/02/20221/05/2021 15.731
386 202102080Dr. Titis K NIAYAH IR210209009/02/20209/02/20221/05/2021 15.731
387 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2021 9.919
388 202011161dr. Dyah DJUMARS IR201118018/11/20218/11/20221/05/2021 9.919
389 202011161dr. Dyah DJUMARS IR201118018/11/20218/11/20221/05/2021 8.194
390 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2021 8.194
391 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2022 8.194
392 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2022 9.010
393 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2021 4.930
394 202011161dr. Dyah DJUMARS IR201118018/11/20218/11/20221/05/2021 11.307
395 202011161Dr. Titis K DJUMARS IR201118018/11/20218/11/20221/05/2022 7.886
396 202102231dr. BambanRAFI NABILIR210225025/02/20225/02/20221/05/2023 15.731
397 202102040Dr. Harvy LUKMAN AIR210205005/02/20205/02/20221/05/2021 9.919
398 202102040Dr. Harvy LUKMAN AIR210205005/02/20205/02/20221/05/2021 9.919
399 202011120Dr. Titis K RATNA WIDIR201114014/11/20214/11/20221/05/2022 9.573
Omzet HNA per SaTotal HNA Harga Beli Id LayananKode Laya Nama LayaDitanggungKelompok PId Penjualan
42.543 23.863 23.863 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3410501
55.560 38.075 3.808 3.885 1204 AI0008 INTERMOXIL 500 MG KAPLET (AN3559880
33.859 23.102 23.102 23.100 20279 BE0002 ELKANA SYRUP 60 ML 3559360
50.196 35.081 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3564752
14.415 1.952 1.952 2.520 487 GR0002 RANITIDIN 25 MG/ML INJEKSI 3564396
6.579 2.745 2.745 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3564397
30.819 8.874 8.874 9.335 358 HT0004 TRIDEX 27B INFUS 3564758
12.445 3.500 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3566001
66.950 23.582 23.582 24.250 490 GS0001 SALTICIN 80 MG INJEKSI (ANTIBI3566002
13.158 5.491 2.745 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3566003
61.638 17.747 8.874 9.335 358 HT0004 TRIDEX 27B INFUS 3566742
61.638 17.747 8.874 9.335 358 HT0004 TRIDEX 27B INFUS 3566743
15.772 5.734 2.867 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3566744
23.658 8.601 2.867 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3566745
115.434 31.689 31.689 18.040 514 GV0003 VICCILLIN SX 1500 MG INJEKSI ( 3566746
5.916 3.746 3.746 3.305 204 GC0015 COMBIVENT NEBULES 2,5 ML 3566747
64.520 45.120 2.256 2.255 20484 IB0001 BD PEN NEEDLE 32G X 4 MM 3569255
67.610 17.658 8.829 8.000 22687 HA0007 ASERING 500CC INFUS 3569295
119.680 46.565 23.282 12.500 20469 HP0004 PARACETAMOL INFUS 3569296
11.307 2.195 2.195 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3569297
6.579 2.745 2.745 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3569298
6.579 2.745 2.745 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3569299
46.003 14.598 14.598 14.598 22535 IM0027 MASKER NEBULIZER ANAK GEA 3561372
115.434 31.689 31.689 18.040 514 GV0003 VICCILLIN SX 1500 MG INJEKSI ( 3564406
25.098 17.541 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3568263
28.602 14.260 7.130 6.500 22871 HE0003 ECOSOL NS 500 ML INFUS 3568305
25.098 17.541 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3568306
8.680 5.531 553 606 1109 AC0023 CIPROFLOXACIN 500 MG TABLET3568647
25.098 17.541 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3561482
25.098 17.541 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3561483
16.407 5.568 5.568 5.730 402 GC0009 CEFTRIAXON 1 G INJEKSI (ANTIBI3561484
14.302 7.492 3.746 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3561485
24.890 6.999 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3561486
95.341 22.810 22.810 21.000 22542 GO0017 OMEPRAZOLE INJ 3561487
7.886 2.867 2.867 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3561488
7.886 2.867 2.867 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3561489
22.614 4.389 2.195 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3561490
87.374 61.347 61.347 61.100 22079 HS0001 SANMOL INFUS 3561491
51.342 19.853 9.927 6.936 20470 HR0004 RL 500 ML SINGLE PORT INFUS 3563873
53.505 37.936 37.936 38.000 20631 IO0016 OPSITE 25 X 10 CM 3568573
21.456 14.623 2.437 2.500 1128 AD0007 DIAGIT TABLET 3568574
3.684 2.415 604 618 24180 AZ0006 ZINC TAB 20 MG 3568575
87.374 61.347 61.347 61.100 22079 HS0001 SANMOL INFUS 3568576
50.196 35.081 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3568577
16.764 7.079 3.539 4.167 23713 IM0031 MEDISAFE FIT TEST TIP 3570255
8.655 6.050 1.210 1.210 26557 IA0031 ACCU SAFE-T-PRO UNO 3570257
68.642 48.000 24.000 24.000 25549 AA0059 ANFIX KAPS 200 MG (ANTIBIOTIK3573931
37.335 10.499 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3566004
23.658 8.601 2.867 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3566007
8.438 5.900 5.900 6.048 3824 AL0004 LACTO B SACHET 3579244
26.670 9.431 9.431 9.431 20449 HD0004 D 5% 1/4 NS 500 ML SINGLE POR3579408
80.010 28.294 9.431 9.431 20449 HD0004 D 5% 1/4 NS 500 ML SINGLE POR3579409
55.056 37.405 37.405 38.500 253 DC0002 CLINIUM GEL 15 G 3580014
59.840 21.347 21.347 12.500 20469 HP0004 PARACETAMOL INFUS 3574068
51.342 19.853 9.927 6.936 20470 HR0004 RL 500 ML SINGLE PORT INFUS 3580524
83.560 57.211 57.211 58.433 3874 BS0005 SILEX SYRUP 100 ML 3580990
12.445 3.500 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3583579
25.727 64.225 64.225 17.990 379 CV0003 VALISANBE 5 MG/ML INJEKSI 3583580
6.579 2.693 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3583581
6.579 2.693 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3583582
23.658 8.180 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3583583
7.886 2.727 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3583584
7.886 2.727 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3584321
60.776 4.365 4.365 4.057 400 GC0007 CEFOTAXIM 1 G INJEKSI (ANTIBI 3584322
33.805 8.771 8.771 8.000 22687 HA0007 ASERING 500CC INFUS 3583568
17.161 5.320 5.320 5.170 20728 IU0005 URINAL WANITA 3583962
14.301 7.030 7.030 6.500 22871 HE0003 ECOSOL NS 500 ML INFUS 3584751
14.301 7.030 7.030 6.500 22871 HE0003 ECOSOL NS 500 ML INFUS 3584752
15.772 5.454 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3584753
11.307 2.142 2.142 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3584754
21.453 10.372 3.457 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3584755
16.407 5.575 5.575 5.730 402 GC0009 CEFTRIAXON 1 G INJEKSI (ANTIBI3584756
15.732 10.997 5.499 5.500 22387 DV0004 VAPORIN SOFTGEL 3589235
15.772 5.454 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3589132
15.772 5.454 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3589133
13.158 5.386 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3589134
6.579 2.693 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3589135
11.307 2.142 2.142 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3589136
95.341 22.267 22.267 21.000 22542 GO0017 OMEPRAZOLE INJ 3589137
28.604 13.829 3.457 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3589139
261 124 124 110 1212 AI0016 ISDN 5 MG TABLET 3589140
16.407 5.575 5.575 5.730 402 GC0009 CEFTRIAXON 1 G INJEKSI (ANTIBI3589141
24.914 9.620 9.620 9.509 22720 HW0005 WIDA D5-1/2NS 3587666
133.900 47.163 23.582 24.250 490 GS0001 SALTICIN 80 MG INJEKSI (ANTIBI3587667
7.886 2.727 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3587672
51.342 21.440 10.720 6.936 20470 HR0004 RL 500 ML BPJS KETE BPJS Keten3497784
85.889 19.221 19.221 14.598 20578 IM0002 MASKER NEBULIZER DEWASA 3587011
59.840 17.486 17.486 12.500 20469 HP0004 PARACETAMOL INFUS 3593964
86.434 12.780 12.780 12.960 458 GM0005 METHYLPREDNISOLON 125 MG IN 3593965
7.151 3.457 3.457 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3593970
5.916 3.746 3.746 3.305 204 GC0015 COMBIVENT NEBULES 2,5 ML 3593971
39.474 16.159 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3593972
1.431 1.000 1.000 1.000 24138 AA0051 ACETYL SISTEIN KAP 3593973
31.461 21.964 21.964 22.000 25756 IB0008 BLOOD SET Y PORT 3594641
9.212 6.207 3.104 3.100 431 GF0010 FUROSEMIDE INJEKSI 3594657
2.205 1.541 1.541 1.062 20379 GD0011 DIPHENHYDRAMIN INJEKSI 3594658
6.641 1.901 1.901 1.425 413 GD0005 DEXAMETHASON INJEKSI 3594659
16.407 5.375 5.375 5.730 402 GC0009 CEFTRIAXON 1 G INJEKSI (ANTIBI3594660
7.886 2.727 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3594661
32.895 13.466 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3594663
59.840 17.486 17.486 12.500 20469 HP0004 PARACETAMOL INFUS 3594715
11.832 7.492 3.746 3.305 204 GC0015 COMBIVENT NEBULES 2,5 ML 3593343
58.628 17.394 8.697 9.354 355 HR0003 RING AS SINGLE PORT INFUS 3593344
121.552 8.731 4.365 4.057 400 GC0007 CEFOTAXIM 1 G INJEKSI (ANTIBI 3593345
95.341 22.205 22.205 21.000 22542 GO0017 OMEPRAZOLE INJ 3593346
11.307 2.142 2.142 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3593347
39.430 13.634 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3593348
143.020 50.677 25.339 9.250 348 HM0002 METRONIDAZOLE INFUS 3593480
329.341 247.820 247.820 249.500 497 GS0008 STARXON INJEKSI (ANTIBIOTIKA)3593481
18.019 12.175 12.175 12.600 464 GN0004 NEUROBAT FORTE INJEKSI 3593482
28.830 3.863 1.931 2.520 487 GR0002 RANITIDIN 25 MG/ML INJEKSI 3593483
12.445 3.500 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3593484
12.445 3.500 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3593485
31.544 10.907 2.727 12.727 20675 IS0022 SPUIT 5 CC TERUMO 3593486
26.316 10.773 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3593489
31.462 14.825 7.412 7.150 336 HE0002 ECOSOL RL 500 ML INFUS 3593491
46.056 13.998 6.999 6.025 22951 HD0009 D 5% INFUS OTSU 3593492
12.445 3.500 3.500 3.500 23862 GS0020 SANTAGESIK INJ 3585391
6.579 2.693 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3585392
8.438 5.900 5.900 6.048 3824 AL0004 LACTO B SACHET 3595423
13.586 7.035 7.035 7.030 20466 HN0013 NS 100ML ECOSOL 3595428
7.151 3.457 3.457 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3595429
100.650 32.285 16.143 9.459 23049 HW0004 WIDA D5-1/4NS INFUS 3598651
29.314 8.697 8.697 9.354 355 HR0003 RING AS SINGLE PORT INFUS 3598652
57.984 41.181 13.727 7.110 20726 IU0003 UNDERPAD STERIL 3598653
71.510 25.340 25.340 9.250 348 HM0002 METRONIDAZOLE INFUS 3598654
19.737 8.079 2.693 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3598655
115.434 31.689 31.689 18.040 514 GV0003 VICCILLIN SX 1500 MG INJEKSI ( 3598656
115.434 31.689 31.689 18.040 514 GV0003 VICCILLIN SX 1500 MG INJEKSI ( 3598657
7.151 3.457 3.457 3.500 466 GO0001 ONDANSETRON 4 MG INJEKSI 3598658
66.950 23.840 23.840 24.250 490 GS0001 SALTICIN 80 MG INJEKSI (ANTIBI3598659
5.916 3.746 3.746 3.305 204 GC0015 COMBIVENT NEBULES 2,5 ML 3598660
10.635 7.444 496 495 22374 AC0052 CANDESARBPJS KESE BPJS Keseh3448589
15.731 7.195 7.195 7.150 336 HE0002 ECOSOL RL 500 ML INFUS 3604826
83.727 56.531 56.531 58.550 338 HF0002 FUTROLIT BPJS KESE BPJS Keseh3457176
83.727 56.531 56.531 58.550 338 HF0002 FUTROLIT BPJS KESE BPJS Keseh3457177
8.194 5.742 5.742 5.730 402 GC0009 CEFTRIAXON BPJS KESE BPJS Keseh3457179
30.031 21.174 21.174 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3457181
7.151 3.981 3.981 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3457182
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3457184
6.579 2.907 2.907 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3457185
7.886 2.561 2.561 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3457186
11.307 2.429 2.429 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3457187
1.789 1.237 1.237 1.125 1160 AF0010 FLUNARIZI BPJS KESE BPJS Keseh3457188
42.543 22.211 22.211 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3437765
12.541 9.201 9.201 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3438150
12.541 9.201 9.201 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3438151
50.325 13.756 13.756 9.459 23049 HW0004 WIDA D5-1/4NS INFUS 3607536
25.082 17.943 8.972 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3287890
12.541 8.972 8.972 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3287891
27.171 18.999 18.999 19.000 25260 GP0028 PROTERINEBPJS KESE BPJS Keseh3287892
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3435691
714 404 202 159 1304 AP0004 PARACETAM BPJS KESE BPJS Keseh3435692
17.161 12.000 12.000 12.000 26706 AM0055 MICROGEST BPJS KESE BPJS Keseh3435693
14.302 7.961 3.981 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3461423
9.860 6.999 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3461424
30.031 21.159 21.159 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3461425
11.307 2.299 2.299 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3461426
7.886 2.561 2.561 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3461427
13.158 5.814 2.907 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3461428
15.731 8.912 8.912 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3448048
13.158 5.966 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3448049
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3448050
15.772 5.040 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3448051
102.435 68.722 22.907 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3448052
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3448053
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3440770
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3440771
13.158 5.966 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3440772
31.462 20.083 10.041 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3440773
3.076 1.743 1.743 2.150 20542 II0001 ID BAND ABPJS KESE BPJS Keseh3440774
83.727 56.531 56.531 58.550 338 HF0002 FUTROLIT BPJS KESE BPJS Keseh3451150
8.892 6.234 6.234 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3311862
64.107 19.269 6.423 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3432346
29.314 5.490 5.490 9.354 355 HR0003 RING AS SI BPJS KESE BPJS Keseh3421378
27.171 19.000 19.000 19.000 25260 GP0028 PROTERINEBPJS KESE BPJS Keseh3443247
27.171 19.000 19.000 19.000 25260 GP0028 PROTERINEBPJS KESE BPJS Keseh3443248
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3443249
6.115 4.276 4.276 4.276 26635 GN0022 NS OTSU 1BPJS KESE BPJS Keseh3443250
144.150 19.743 1.974 2.520 487 GR0002 RANITIDIN 25 MG/ML INJEKSI 3606614
17.786 12.436 6.218 6.218 25927 HN0014 NS 500ML BPJS KESE BPJS Keseh3285268
11.307 4.362 4.362 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3285269
7.886 4.050 4.050 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3285270
12.013 8.407 8.407 4.320 467 GO0002 ONDANSETR BPJS KESE BPJS Keseh3285271
32.891 22.708 22.708 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3285272
1.431 999 999 1.000 24138 AA0051 ACETYL SISBPJS KESE BPJS Keseh3285273
329 187 187 159 1304 AP0004 PARACETAM BPJS KESE BPJS Keseh3285274
30.876 14.182 14.182 13.000 26588 AO0036 OSELTAMIVBPJS KESE BPJS Keseh3285275
14.301 9.017 9.017 1.136 20127 AA0033 AZITHROMY BPJS KESE BPJS Keseh3285276
30.031 22.453 22.453 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3300038
19.720 13.999 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3450285
102.435 68.722 22.907 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3450286
3.076 1.743 1.743 2.150 20542 II0001 ID BAND ABPJS KESE BPJS Keseh3450287
7.886 2.677 2.677 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3452089
3.576 2.500 2.500 2.500 473 GO0008 OXYTOCIN BPJS
I KESE BPJS Keseh3452090
3.458 2.259 2.259 2.160 22632 II0018 ID BAND K BPJS KESE BPJS Keseh3452091
14.692 6.675 6.675 7.069 20709 IT0002 TEGADERMBPJS KESE BPJS Keseh3440565
10.011 5.323 5.323 6.000 20725 IU0002 UNDERPADBPJS KESE BPJS Keseh3440568
3.076 1.743 1.743 2.150 20542 II0001 ID BAND ABPJS KESE BPJS Keseh3440573
37.335 10.499 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3440582
200.850 68.722 22.907 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3440583
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3440765
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3440766
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3440767
6.115 4.276 4.276 4.276 26635 GN0022 NS OTSU 1BPJS KESE BPJS Keseh3440768
15.731 10.041 10.041 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3440769
11.307 1.862 1.862 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3431368
4.434 2.715 2.715 2.600 385 GA0006 AQUA INJEBPJS KESE BPJS Keseh3431369
39.030 23.127 23.127 26.000 20563 IK0005 KATETER FO BPJS KESE BPJS Keseh3431370
11.687 7.415 7.415 8.800 20729 IU0006 URINE BAGBPJS KESE BPJS Keseh3431371
13.158 5.966 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3433527
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3433528
102.435 68.722 22.907 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3433529
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3433530
7.152 5.000 2.500 2.500 473 GO0008 OXYTOCIN BPJS
I KESE BPJS Keseh3433531
12.156 7.075 7.075 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3433532
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3433537
8.893 6.216 6.216 6.218 25278 HW0006 WIDA NS 5BPJS KESE BPJS Keseh3437727
357 202 202 159 1304 AP0004 PARACETAM BPJS KESE BPJS Keseh3437728
25.727 17.921 17.921 17.990 379 CV0003 VALISANBEBPJS KESE BPJS Keseh3437729
23.024 15.598 15.598 16.100 20461 HN0008 OTSU D 5%BPJS KESE BPJS Keseh3462175
14.301 10.010 10.010 10.000 384 GA0005 ANTRAIN INBPJS KESE BPJS Keseh3462176
6.579 2.907 2.907 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3462177
7.886 2.561 2.561 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3462178
30.977 9.990 9.990 10.455 22950 HK0005 KA-EN 3B IBPJS KESE BPJS Keseh3438146
42.543 22.211 22.211 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3438147
15.772 5.040 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3438148
12.156 7.075 7.075 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3438149
32.525 22.401 22.401 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3422916
3.124 1.529 1.529 1.425 413 GD0005 DEXAMETHA BPJS KESE BPJS Keseh3422917
12.156 4.796 4.796 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3422918
26.316 11.932 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3422920
11.307 1.853 1.853 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3422921
10.011 6.663 6.663 6.500 22871 HE0003 ECOSOL NSBPJS KESE BPJS Keseh3459003
13.489 18.795 18.795 9.482 20448 HD0003 D 5% 1/2 NBPJS KESE BPJS Keseh3433690
13.489 18.795 18.795 9.482 20448 HD0003 D 5% 1/2 NBPJS KESE BPJS Keseh3433693
198.001 117.746 117.746 100.000 24775 HL0005 LEVOFLOXABPJS KESE BPJS Keseh3302596
2.146 1.132 1.132 1.200 451 GL0002 LIDOCAIN IBPJS KESE BPJS Keseh3303845
8.892 6.234 6.234 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3306791
8.892 6.269 6.269 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3306792
7.886 4.134 4.134 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3306793
8.194 5.826 5.826 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3306794
19.714 9.885 4.943 6.667 20254 AV0020 VIP ALBUMBPJS KESE BPJS Keseh3306795
2.862 1.999 1.000 1.000 24138 AA0051 ACETYL SISBPJS KESE BPJS Keseh3306796
31.462 18.945 9.472 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3450938
32.895 14.915 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3452600
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3452602
8.010 2.989 1.495 1.400 22682 AO0028 ONDANSETBPJS KESE BPJS Keseh3452603
5.921 4.254 4.254 4.140 23999 GZ0001 ZYFORT INJBPJS KESE BPJS Keseh3452604
19.838 13.872 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3288291
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3288292
127.629 60.573 20.191 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3288293
36.039 25.221 8.407 4.320 467 GO0002 ONDANSETR BPJS KESE BPJS Keseh3288294
30.031 22.708 22.708 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3288295
32.891 22.708 22.708 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3288296
980 662 662 455 26329 AG0033 GRAHABION BPJS KESE BPJS Keseh3288297
23.658 12.149 4.050 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3288298
11.307 4.362 4.362 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3288299
12.541 8.949 8.949 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3301875
50.196 35.066 17.533 17.550 20458 HN0004 NS 500 MLBPJS KESE BPJS Keseh3428669
114.401 43.566 43.566 17.456 345 HL0001 LEVOFLOXABPJS KESE BPJS Keseh3428670
26.932 18.697 18.697 18.833 22868 AL0040 LESICHOL BPJS KESE BPJS Keseh3428671
21.453 12.338 4.113 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3428672
30.031 21.223 21.223 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3428673
19.737 8.949 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3428674
11.307 1.862 1.862 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3428679
60.776 6.459 6.459 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3462900
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3429414
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3429415
42.543 22.211 22.211 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3458996
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3458997
7.151 3.981 3.981 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3458998
7.886 2.677 2.677 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3458999
36.752 25.686 25.686 25.700 22924 BS0014 SANMOL FO BPJS KESE BPJS Keseh3459000
18.663 14.346 14.346 12.960 458 GM0005 METHYLPRE BPJS KESE BPJS Keseh3459804
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3459805
12.541 9.116 9.116 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3459806
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3437308
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3437309
7.151 4.113 4.113 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3437310
27.171 19.000 19.000 19.000 25260 GP0028 PROTERINEBPJS KESE BPJS Keseh3437311
71.501 39.432 39.432 9.250 348 HM0002 METRONIDA BPJS KESE BPJS Keseh3303601
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3304516
47.928 14.734 14.734 9.459 23049 HW0004 WIDA D5-1BPJS KESE BPJS Keseh3432703
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3435237
10.503 6.675 6.675 7.069 20709 IT0002 TEGADERMBPJS KESE BPJS Keseh3435238
31.461 21.874 21.874 22.000 25756 IB0008 BLOOD SETBPJS KESE BPJS Keseh3435239
102.435 68.722 22.907 24.250 490 GS0001 SALTICIN 8BPJS KESE BPJS Keseh3435240
42.241 30.000 30.000 30.000 25728 IS0082 SAFETY SUBPJS KESE BPJS Keseh3435241
31.462 20.154 10.077 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3437572
47.193 27.379 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3438082
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3438083
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3438084
13.158 5.966 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3438086
7.886 2.519 2.519 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3421596
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3421597
723 505 505 505 1136 AD0015 DISFLATYL TABLET 3604840
25.098 17.541 17.541 17.550 20458 HN0004 NS 500 ML SINGLE PORT INFUS 3607124
17.784 12.454 6.227 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3312589
8.892 6.234 6.234 6.182 351 HN0006 NS OTSU 5BPJS KESE BPJS Keseh3312590
114.401 47.596 47.596 17.456 345 HL0001 LEVOFLOXABPJS KESE BPJS Keseh3312591
228.802 95.484 47.742 17.456 345 HL0001 LEVOFLOXABPJS KESE BPJS Keseh3312592
114.401 47.312 47.312 17.456 345 HL0001 LEVOFLOXABPJS KESE BPJS Keseh3312593
30.031 22.237 22.237 21.000 22542 GO0017 OMEPRAZOL BPJS KESE BPJS Keseh3312594
8.194 5.826 5.826 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3312595
68.644 25.104 6.276 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3312596
5.085 3.556 3.556 3.556 26577 GN0021 NEUROSANB BPJS KESE BPJS Keseh3312597
2.862 2.000 1.000 1.000 24138 AA0051 ACETYL SISBPJS KESE BPJS Keseh3312598
11.307 5.021 5.021 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3312599
23.658 12.848 4.283 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3312600
6.579 3.750 3.750 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3312601
25.082 18.403 9.201 8.000 22687 HA0007 ASERING 5BPJS KESE BPJS Keseh3446426
85.086 44.423 22.211 12.500 20469 HP0004 PARACETABPJS KESE BPJS Keseh3446427
23.900 7.545 755 764 1101 AC0015 CEFADROXIL 500 MG KAPSUL (AN 3610051
30.819 8.874 8.874 9.335 358 HT0004 TRIDEX 27B INFUS 3611353
25.727 17.990 17.990 17.990 379 CV0003 VALISANBE 5 MG/ML INJEKSI 3611354
66.950 23.840 23.840 24.250 490 GS0001 SALTICIN 80 MG INJEKSI (ANTIBI3611355
60.776 4.239 4.239 4.057 400 GC0007 CEFOTAXIM 1 G INJEKSI (ANTIBI 3611356
13.158 5.258 2.629 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3611357
6.579 2.629 2.629 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3611358
13.158 5.258 2.629 1.035 20674 IS0021 SPUIT 3 CC TERUMO 3611360
4.523 2.872 2.872 2.872 3868 BP0002 PARACETAMOL SYRUP 3609719
29.757 20.808 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3288949
15.731 9.472 9.472 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3454985
10.225 7.044 7.044 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3427097
8.688 6.146 6.146 6.075 448 GK0004 KETOROLAC BPJS KESE BPJS Keseh3427098
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3427099
15.731 8.912 8.912 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3446062
32.002 20.093 10.047 10.157 206 GV0002 VENTOLIN NEBULES 3609037
30.819 8.874 8.874 9.335 358 HT0004 TRIDEX 27B INFUS 3613109
66.950 23.840 23.840 24.250 490 GS0001 SALTICIN 80 MG INJEKSI (ANTIBI3613110
15.731 10.130 10.130 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3437736
7.151 4.113 4.113 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3437737
15.731 9.857 9.857 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3460995
10.225 7.044 7.044 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3422368
10.225 7.044 7.044 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3422369
9.860 6.999 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3422370
8.194 5.760 5.760 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3422371
18.020 9.925 4.962 4.410 388 GA0009 ASAM TRAN BPJS KESE BPJS Keseh3422372
31.544 10.077 2.519 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3422374
3.576 2.499 2.499 2.625 1197 AI0001 INBION KABPJS KESE BPJS Keseh3422375
921 336 336 310 20206 AN0002 NATRIUM DBPJS KESE BPJS Keseh3422376
586 343 172 227 1191 AH0003 HCT 25 MGBPJS KESE BPJS Keseh3422377
15.731 10.095 10.095 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3438677
31.462 20.190 10.095 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3438678
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3431535
7.886 2.520 2.520 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3431536
11.307 1.862 1.862 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3431537
6.579 2.983 2.983 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3431538
8.194 5.747 5.747 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3431539
7.151 4.113 4.113 3.500 466 GO0001 ONDANSETR BPJS KESE BPJS Keseh3431540
8.688 6.146 6.146 6.075 448 GK0004 KETOROLAC BPJS KESE BPJS Keseh3431541
19.838 13.872 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3308503
19.838 13.872 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3309348
4.578 3.590 1.795 2.520 487 GR0002 RANITIDIN BPJS KESE BPJS Keseh3309349
8.688 6.285 6.285 6.075 448 GK0004 KETOROLAC BPJS KESE BPJS Keseh3309350
16.388 11.653 5.826 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3309351
15.772 8.565 4.283 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3309352
19.737 11.251 3.750 1.035 20674 IS0021 SPUIT 3 C BPJS KESE BPJS Keseh3309353
15.731 10.049 10.049 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3441010
12.156 6.550 6.550 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3258075
47.309 20.005 20.005 13.974 20608 IN0010 NGT 12 BPJS KESE BPJS Keseh3259176
19.676 15.896 15.896 13.974 20609 IN0011 NGT 14 BPJS KESE BPJS Keseh3259177
65.050 42.425 42.425 42.000 20677 IS0024 SPUIT 50 BPJS KESE BPJS Keseh3259178
61.954 21.464 10.732 10.455 22950 HK0005 KA-EN 3B IBPJS KESE BPJS Keseh3260700
12.156 6.550 6.550 4.057 400 GC0007 CEFOTAXIMBPJS KESE BPJS Keseh3265310
15.731 7.709 7.709 7.150 336 HE0002 ECOSOL RL 500 ML INFUS 3563449
51.342 19.853 9.927 6.936 20470 HR0004 RL 500 ML SINGLE PORT INFUS 3563451
190.401 56.877 56.877 17.456 345 HL0001 LEVOFLOXACIN INFUS (ANTIBIOT3563453
150.151 67.030 67.030 52.500 20452 HF0004 FLUCONAZOLE INFUS 3563455
13.586 9.747 9.747 7.030 20466 HN0013 NS 100ML ECOSOL 3563456
658.682 495.640 247.820 249.500 497 GS0008 STARXON INJEKSI (ANTIBIOTIKA)3563458
658.682 495.640 247.820 249.500 497 GS0008 STARXON INJEKSI (ANTIBIOTIKA)3563459
11.307 2.195 2.195 1.700 20672 IS0019 SPUIT 10 CC TERUMO 3563461
41.910 17.697 3.539 4.167 23713 IM0031 MEDISAFE FIT TEST TIP 3563463
8.655 6.050 1.210 1.210 26557 IA0031 ACCU SAFE-T-PRO UNO 3563465
10.225 7.044 7.044 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3421404
20.450 14.089 7.044 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3421405
31.462 18.252 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3435119
43.516 25.341 25.341 18.040 514 GV0003 VICCILLIN BPJS KESE BPJS Keseh3612643
15.772 5.566 2.783 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3612644
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3288967
8.194 5.742 5.742 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3460996
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3301374
15.731 8.912 8.912 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3446074
15.731 9.126 9.126 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3432633
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3290753
9.919 6.936 6.936 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3290754
8.194 5.858 5.858 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3290755
8.194 5.858 5.858 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3290756
16.388 11.717 5.858 5.730 402 GC0009 CEFTRIAXONBPJS KESE BPJS Keseh3290757
18.020 10.732 5.366 4.410 388 GA0009 ASAM TRAN BPJS KESE BPJS Keseh3290758
4.930 3.500 3.500 3.500 23862 GS0020 SANTAGESIBPJS KESE BPJS Keseh3290759
11.307 4.362 4.362 1.700 20672 IS0019 SPUIT 10 BPJS KESE BPJS Keseh3290760
15.772 8.099 4.050 12.727 20675 IS0022 SPUIT 5 C BPJS KESE BPJS Keseh3290761
47.193 28.417 9.472 7.150 336 HE0002 ECOSOL RLBPJS KESE BPJS Keseh3458461
9.919 11.740 11.740 6.936 20470 HR0004 RL 500 ML BPJS KESE BPJS Keseh3425934
9.919 11.740 11.740 6.936 20470 HR0004 RL 500 ML BPJS KESE BPJS Keseh3425935
19.146 14.933 7.466 6.025 22951 HD0009 D 5% INFUBPJS KESE BPJS Keseh3284174
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