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Waktu Nama Pasien Alat Obat No. Reg NRM Harga Jumlah Total Cara Bayar
No.
30/09/2017 KURNIA ERLINA IR.HJ. SPUIT 5 CC TERUMO 2054813 922746 2248
4 8992 BPJS 1.
30/09/2017 DURAHMAN HYPAFIX 20 CM X 5 M 2054810 85845 29 100 2900
UMUM 2.
30/09/2017 NURUL FAJRI SPALK TE-15 (15 X 5CM) 2054783 78020 8663 1 8663
BPJS 3.
30/09/2017 KURNIA ERLINA IR.HJ. SPUIT 1 CC NIPRO U 100 2054813 922746
6607 1 6607 BPJS 4.
30/09/2017 DURAHMAN ALCOHOL SWABS 2054810 85845 249 10 2490 UMUM
5.
30/09/2017 NURUL FAJRI INTROCAN SAFETY NO. 24 2054783 78020 53900 1 53900
BPJS 6.
30/09/2017 FELLA KUNTARYANTI INTROCAN SAFETY NO. 24 2054780 908264 53900
1 53900 ASURANSI 7.
30/09/2017 DURAHMAN ALAT PERAWATAN 2054810 85845 55000 1 55000 UMUM
8.
30/09/2017 NURUL FAJRI INTRAFIX SAFESET 2054783 78020 46200 1 46200 BPJS
9.
30/09/2017 MURNIATI SODIUM CHLORIDE 100 ML CAIRAN 2054720 922715 18480
1 18480 UMUM 10.
30/09/2017 KUSTIKAH ALCOHOL SWABS 2054811 922744 249 10 2490
BPJS 11.
30/09/2017 ABDUL MUKOHAR HANDSCOON VASCO NO. 7,5 2054841 922761 24640
1 24640 UMUM 12.
30/09/2017 DURAHMAN SODIUM CLORIDA 500 ML (OTSU) BPJS 2054810 85845 8974
1 8974 UMUM 13.
30/09/2017 KUSTIKAH HYPAFIX 20 CM X 5 M 2054811 922744 29 100
2900 BPJS 14.
30/09/2017 ABDUL MUKOHAR LEUKOPLAST 4,5 CM X 7,5 M 2054841 922761
27 100 2700 UMUM 15.
30/09/2017 DURAHMAN RINGER LACTAT (WIDA) CAIRAN 2054810 85845 20455 1
20455 UMUM 16.
30/09/2017 KUSTIKAH KASSA STERIL 2054811 922744 1037 1 1037
BPJS 17.
30/09/2017 YOSSI RANGGA P,MOH ASERING BPJS 2054469 84984 12985 1
12985 ASURANSI 18.
30/09/2017 YOSSI RANGGA P,MOH INTROCAN SAFETY NO. 22 2054469 84984 53900
1 53900 ASURANSI 19.
30/09/2017 KUSTIKAH RINGER LACTAT (WIDA) CAIRAN 2054811 922744 20455
2 40910 BPJS 20.
30/09/2017 KUSTIKAH TEGADERM DEWASA W1624 2054811 922744 8182 1
8182 BPJS 21.
30/09/2017 YOSSI RANGGA P,MOH TEGADERM DEWASA W1624 2054469 84984 8182
1 8182 ASURANSI 22.
30/09/2017 KUSTIKAH INTROCAN SAFETY NO. 22 2054811 922744 53900 1
53900 BPJS 23.
30/09/2017 DURAHMAN SPUIT 5 CC TERUMO 2054810 85845 2248 5 11240 UMUM
24.
30/09/2017 KURNIA ERLINA IR.HJ. GELANG ALERGI 2054813 922746 3311
1 3311 BPJS 25.
30/09/2017 DURAHMAN SPUIT 3 CC TERUMO 2054810 85845 1595 5 7975 UMUM
26.
30/09/2017 KURNIA ERLINA IR.HJ. SPUIT 3 CC TERUMO 2054813 922746 1595
6 9570 BPJS 27.
30/09/2017 DURAHMAN KASSA STERIL 2054810 85845 1037 1 1037 UMUM
28.
'01/10/2017 FARENDRA HABIB NUR FAHMI KA-EN 1B BPJS 2054676 922701
12982 1 12982 ASURANSI 29.
'01/10/2017 ABDUL MUKOHAR LEUKOPLAST 4,5 CM X 7,5 M 2054841 922761
27 50 1350 UMUM 30.
'01/10/2017 ABDUL MUKOHAR KASSA STERIL 2054841 922761 1037 1
1037 UMUM 31.
'01/10/2017 FELLA KUNTARYANTI ASERING BPJS 2054780 908264 12985 2
25970 ASURANSI 32.
'01/10/2017 YOSSI RANGGA P,MOH SPUIT 5 CC TERUMO 2054469 84984 2248 4
8992 ASURANSI 33.
'01/10/2017 MURNIATI RINGER LACTAT (WIDA) CAIRAN 2054720 922715 20455
2 40910 UMUM 34.
'01/10/2017 MURNIATI SPUIT 10 CC TERUMO 2054720 922715 2811 6
16866 UMUM 35.
'01/10/2017 MURNIATI SPUIT 5 CC TERUMO 2054720 922715 2248 6 13488
UMUM 36.
'01/10/2017 FELLA KUNTARYANTI SPUIT 3 CC TERUMO 2054780 908264 1595 6
9570 ASURANSI 37.
'01/10/2017 NURUL FAJRI RINGER LACTAT (WIDA) CAIRAN 2054783 78020 20455 1
20455 BPJS 38.
'01/10/2017 FELLA KUNTARYANTI TEGADERM DEWASA W1624 2054780 908264 8182
1 8182 ASURANSI 39.
'01/10/2017 KUSTIKAH SPUIT 3 CC TERUMO 2054811 922744 1595 6 9570
BPJS 40.
'01/10/2017 FELLA KUNTARYANTI INTROCAN SAFETY NO. 22 2054780 908264 53900
1 53900 ASURANSI 41.
'01/10/2017 DURAHMAN SPUIT 3 CC TERUMO 2054810 85845 1595 5 7975 UMUM
42.
'01/10/2017 KUSTIKAH NASAL O2 DEWASA (PASHO) 2054811 922744 32340 1
32340 BPJS 43.
'02/10/2017 ABDUL MUKOHAR SPUIT 3CC NIPRO 2054841 922761 1401 4
5604 UMUM 44.
'02/10/2017 AZZA SALMA AINI LEUKOPLAST 4,5 CM X 7,5 M 2054956 916112
27 100 2700 BPJS 45.
'02/10/2017 ABDUL MUKOHAR SPUIT 5 CC TERUMO 2054841 922761 2248 1
2248 UMUM 46.
'02/10/2017 AZZA SALMA AINI KASSA STERIL 2054956 916112 1037 1
1037 BPJS 47.
'02/10/2017 ABDUL MUKOHAR RINGER LACTAT (WIDA) CAIRAN 2054841 922761
20455 2 40910 UMUM 48.
'02/10/2017 AZZA SALMA AINI ALCOHOL SWABS 2054956 916112 249 10
2490 BPJS 49.
'02/10/2017 DURAHMAN SPUIT 10 CC TERUMO 2054810 85845 2811 5 14055
UMUM 50.
'02/10/2017 SAFEEYA KIRANA ARIESKA N.R SPUIT 3 CC TERUMO 2054939 922792
1595 10 15950 BPJS 51.
'02/10/2017 DURAHMAN SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2054810 85845 18623
2 37246 UMUM 52.
'02/10/2017 SAFEEYA KIRANA ARIESKA N.R ALAT PERAWATAN 2054939 922792
55000 1 55000 BPJS 53.
'02/10/2017 SAFEEYA KIRANA ARIESKA N.R SPUIT 1 CC NIPRO U 100 2054939 922792
6607 1 6607 BPJS 54.
'02/10/2017 DURAHMAN INTROCAN SAFETY NO. 22 2054810 85845 53900 1 53900
UMUM 55.
'02/10/2017 KUSTIKAH RINGER LACTAT (WIDA) CAIRAN 2054811 922744 20455
 3 61365 BPJS 56.
'02/10/2017 ABDUL MUKOHAR LEUKOPLAST 4,5 CM X 7,5 M 2054841 922761
27 50 1350 UMUM 57.
'02/10/2017 MURNIATI INTROCAN SAFETY NO. 20 2054720 922715 53900 1
53900 UMUM 58.
'02/10/2017 AZZA SALMA AINI KA-EN 1B BPJS 2054956 916112 12982 3
38946 BPJS 59.
'02/10/2017 ABDUL MUKOHAR TEGADERM DEWASA W1624 2054841 922761 8182
1 8182 UMUM 60.
'02/10/2017 SAFEEYA KIRANA ARIESKA N.R SPUIT 5 CC TERUMO 2054939 922792
2248 3 6744 BPJS 61.
'02/10/2017 ABDUL MUKOHAR NASAL O2 DEWASA (PASHO) 2054841 922761 32340
1 32340 UMUM 62.
'02/10/2017 SAFEEYA KIRANA ARIESKA N.R D5 - 1/2 NS CAIRAN 2054939 922792
23562 3 70686 BPJS 63.
'02/10/2017 FARENDRA HABIB NUR FAHMI SPUIT 3CC NIPRO 2054676 922701
1401 3 4203 ASURANSI 64.
'02/10/2017 FELLA KUNTARYANTI ASERING BPJS 2054780 908264 12985 2
25970 ASURANSI 65.
'02/10/2017 FARENDRA HABIB NUR FAHMI KA-EN 1B BPJS 2054676 922701
12982 1 12982 ASURANSI 66.
'03/10/2017 YOSSI RANGGA P,MOH SPUIT 3 CC TERUMO 2055063 84984 1595 1
1595 ASURANSI 67.
'03/10/2017 ITA SUSWITA SPUIT 1 CC NIPRO U 100 2055052 917415 6607 1
6607 BPJS 68.
'03/10/2017 SAFIQAH APRILLIA HYPAFIX 20 CM X 5 M 2055044 922818 29
100 2900 UMUM 69.
'03/10/2017 YOSSI RANGGA P,MOH SPUIT 1 CC NIPRO U 100 2055063 84984 6607
1 6607 ASURANSI 70.
'03/10/2017 YOSSI RANGGA P,MOH ALCOHOL SWABS 2055063 84984 249 20
4980 ASURANSI 71.
'03/10/2017 SAFIQAH APRILLIA ALCOHOL SWABS 2055044 922818 249 20
4980 UMUM 72.
'03/10/2017 ITA SUSWITA SPUIT 5 CC TERUMO 2055052 917415 2248 2 4496
BPJS 73.
'03/10/2017 YOSSI RANGGA P,MOH KASA HIDROFIL 40X80 (SUPER) 2055063 84984
4 500 2000 ASURANSI 74.
'03/10/2017 SAFIQAH APRILLIA ALAT PERAWATAN 2055044 922818 55000 1
55000 UMUM 75.
'03/10/2017 GHAISAN FERZIO R A HANDSCOON VASCO NO. 7,5 2055120 922837
24640 1 24640 UMUM 76.
'03/10/2017 SAFIQAH APRILLIA SPUIT 3 CC TERUMO 2055044 922818 1595 3
4785 UMUM 77.
'03/10/2017 YOSSI RANGGA P,MOH LEUKOPLAST 4,5 CM X 7,5 M 2055063 84984
27 50 1350 ASURANSI 78.
'03/10/2017 FELLA KUNTARYANTI SPUIT 10 CC TERUMO 2054780 908264 2811
1 2811 ASURANSI 79.
'03/10/2017 SUGIYANTO RINGER LACTAT (WIDA) CAIRAN 2055126 918674 20455
3 61365 ASURANSI 80.
'03/10/2017 ITA SUSWITA SODIUM CHLORIDE 100 ML CAIRAN 2055052 917415 18480
1 18480 BPJS 81.
'03/10/2017 YOSSI RANGGA P,MOH HYPAFIX 20 CM X 5 M 2055063 84984 29
200 5800 ASURANSI 82.
'03/10/2017 ABDUL MUKOHAR RINGER LACTAT (WIDA) CAIRAN 2054841 922761
20455 1 20455 UMUM 83.
'03/10/2017 ITA SUSWITA RINGER LACTAT (WIDA) CAIRAN 2055052 917415 20455
2 40910 BPJS 84.
'03/10/2017 ITA SUSWITA KASSA STERIL 2055052 917415 1037 16 16592
BPJS 85.
'03/10/2017 YOSSI RANGGA P,MOH ALAT PERAWATAN 2055063 84984 55000 1
55000 ASURANSI 86.
'03/10/2017 AZZA SALMA AINI SPUIT 3 CC TERUMO 2054956 916112 1595 6
9570 BPJS 87.
'03/10/2017 DURAHMAN INTROCAN SAFETY NO. 22 2054810 85845 53900 1 53900
UMUM 88.
'03/10/2017 ITA SUSWITA INTROCAN SAFETY NO. 24 2055052 917415 53900 1
53900 BPJS 89.
'03/10/2017 AZZA SALMA AINI KA-EN 1B BPJS 2054956 916112 12982 1
12982 BPJS 90.
'03/10/2017 DURAHMAN TEGADERM DEWASA W1624 2054810 85845 8182 1 8182
UMUM 91.
'03/10/2017 ITA SUSWITA TEGADERM DEWASA W1624 2055052 917415 8182 1
8182 BPJS 92.
'03/10/2017 SAFEEYA KIRANA ARIESKA N.R D5 - 1/2 NS CAIRAN 2054939 922792
23562 1 23562 BPJS 93.
'03/10/2017 SAFIQAH APRILLIA KA-EN 1B BPJS 2055044 922818 12982 2
25964 UMUM 94.
'03/10/2017 ITA SUSWITA HYPAFIX 20 CM X 5 M 2055052 917415 29 100
2900 BPJS 95.
'03/10/2017 DURAHMAN SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2054810 85845 18623
1 18623 UMUM 96.
'03/10/2017 GHAISAN FERZIO R A KASSA STERIL 2055120 922837 1037
1 1037 UMUM 97.
'03/10/2017 ITA SUSWITA ALCOHOL SWABS 2055052 917415 249 20 4980
BPJS 98.
'03/10/2017 GIOVANNI ARKANA SUTIONO KA-EN 3B BPJS 2055138 922840 14399
3 43197 UMUM 99.
'03/10/2017 GHAISAN FERZIO R A LEUKOPLAST 4,5 CM X 7,5 M 2055120 922837
27 100 2700 UMUM 100.
'03/10/2017 ITA SUSWITA ALAT PERAWATAN 2055052 917415 55000 1 55000
BPJS 101.
'04/10/2017 NURUL HIDAYAH SPUIT 3 CC TERUMO 2055207 93840 1595 5 7975
ASURANSI 102.
'04/10/2017 ITA SUSWITA KASSA STERIL 2055052 917415 1037 10 10370
BPJS 103.
'04/10/2017 GIOVANNI ARKANA SUTIONO SPUIT 10 CC TERUMO 2055138 922840
2811 2 5622 UMUM 104.
'04/10/2017 ITA SUSWITA SPUIT 1 CC NIPRO U 100 2055052 917415 6607 3
19821 BPJS 105.
'04/10/2017 SAFIQAH APRILLIA SPUIT 1 CC NIPRO U 100 2055044 922818 6607
4 26428 UMUM 106.
'04/10/2017 NURUL HIDAYAH KASSA STERIL 2055207 93840 1037 1 1037
ASURANSI 107.
'04/10/2017 NURUL HIDAYAH ALCOHOL SWABS 2055207 93840 249 20 4980
ASURANSI 108.
'04/10/2017 NURUL HIDAYAH LEUKOPLAST 4,5 CM X 7,5 M 2055207 93840 27
50 1350 ASURANSI 109.
'04/10/2017 NURUL HIDAYAH HYPAFIX 20 CM X 5 M 2055207 93840 29 100
2900 ASURANSI 110.
'04/10/2017 NURUL HIDAYAH ALAT PERAWATAN 2055207 93840 55000 1 55000
ASURANSI 111.
'04/10/2017 SUGIYANTO TEGADERM DEWASA W1624 2055126 918674 8182 1
8182 ASURANSI 112.
'04/10/2017 SAMSUL EKO HANDOKO HANDSCOON VASCO NO. 7,5 2055220 922857
24640 1 24640 ASURANSI 113.
'04/10/2017 SUGIYANTO INTROCAN SAFETY NO. 20 2055126 918674 53900 1
53900 ASURANSI 114.
'04/10/2017 NURUL HIDAYAH RINGER LACTAT (WIDA) CAIRAN 2055207 93840 20455
 1 20455 ASURANSI 115.
'04/10/2017 YOSSI RANGGA P,MOH SODIUM CHLORIDE 100 ML CAIRAN 2055063 84984
18480 1 18480 ASURANSI 116.
'05/10/2017 AZZA SALMA AINI KA-EN 1B BPJS 2054956 916112 12982 2
25964 BPJS 117.
'05/10/2017 NURUL HIDAYAH NEEDLE NO.23 2055207 93840 2772 3 8316
ASURANSI 118.
'05/10/2017 YOSSI RANGGA P,MOH SPUIT 10 CC TERUMO 2055063 84984 2811
5 14055 ASURANSI 119.
'05/10/2017 SAMSUL EKO HANDOKO SPUIT 1 CC NIPRO U 100 2055220 922857
6607 1 6607 ASURANSI 120.
'05/10/2017 YOSSI RANGGA P,MOH RINGER LACTAT (WIDA) CAIRAN 2055063 84984
20455 2 40910 ASURANSI 121.
'05/10/2017 DURAHMAN SPUIT 5 CC TERUMO 2054810 85845 2248 2 4496 UMUM
122.
'05/10/2017 AZZA SALMA AINI SPUIT 1 CC NIPRO U 100 2054956 916112 6607
2 13214 BPJS 123.
'05/10/2017 DURAHMAN SPUIT 10 CC TERUMO 2054810 85845 2811 3 8433
UMUM 124.
'05/10/2017 AZZA SALMA AINI SPUIT 3 CC TERUMO 2054956 916112 1595 10
15950 BPJS 125.
'05/10/2017 GIOVANNI ARKANA SUTIONO KA-EN 3B BPJS 2055138 922840 14399
1 14399 UMUM 126.
'05/10/2017 SAMSUL EKO HANDOKO URINAL LAKI-LAKI 2055220 922857 12320
1 12320 ASURANSI 127.
'05/10/2017 NURUL HIDAYAH SODIUM CHLORIDE 100 ML CAIRAN 2055207 93840 18480
1 18480 ASURANSI 128.
'05/10/2017 ITA SUSWITA RINGER LACTAT (WIDA) CAIRAN 2055052 917415 20455
2 40910 BPJS 129.
'05/10/2017 DURAHMAN SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2054810 85845 18623
1 18623 UMUM 130.
'05/10/2017 ITA SUSWITA INTRAFIX SAFESET 2055052 917415 46200 1 46200
BPJS 131.
'05/10/2017 NURUL HIDAYAH SPUIT 5 CC TERUMO 2055207 93840 2248 5 11240
ASURANSI 132.
'05/10/2017 ITA SUSWITA INTROCAN SAFETY NO. 22 2055052 917415 53900 1
53900 BPJS 133.
'05/10/2017 GHAISAN FERZIO R A RINGER LACTAT (WIDA) CAIRAN 2055120 922837
20455 2 40910 UMUM 134.
'05/10/2017 GIOVANNI ARKANA SUTIONO SPUIT 3 CC TERUMO 2055138 922840 1595
10 15950 UMUM 135.
'05/10/2017 SAFIQAH APRILLIA KA-EN 1B BPJS 2055044 922818 12982 2
25964 UMUM 136.
'05/10/2017 SAMSUL EKO HANDOKO SPUIT 3 CC TERUMO 2055220 922857 1595
5 7975 ASURANSI 137.
'05/10/2017 NURUL HIDAYAH GELANG ALERGI 2055207 93840 3311 1 3311
ASURANSI 138.
'06/10/2017 GHAISAN FERZIO R A SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2055120
922837 18623 3 55869 UMUM 139.
'06/10/2017 GHAZY ABIYU PRI PUTRA SPUIT 3 CC TERUMO 2055282 47425 1595 6
9570 ASURANSI 140.
'06/10/2017 GHAZY ABIYU PRI PUTRA ASERING BPJS 2055282 47425 12985 2
25970 ASURANSI 141.
'06/10/2017 CALYSTA QUEENIZA ROHMAN KASA HIDROFIL 40X80 (SUPER) 2055391 921638
4 500 2000 ASURANSI 142.
'06/10/2017 SAFIQAH APRILLIA SPUIT 3 CC TERUMO 2055044 922818 1595 1
1595 UMUM 143.
'06/10/2017 CALYSTA QUEENIZA ROHMAN KASSA STERIL 2055391 921638 1037
1 1037 ASURANSI 144.
'06/10/2017 SAFIQAH APRILLIA SPUIT 1 CC NIPRO U 100 2055044 922818 6607
2 13214 UMUM 145.
'06/10/2017 CALYSTA QUEENIZA ROHMAN ALCOHOL SWABS 2055391 921638 249
20 4980 ASURANSI 146.
'06/10/2017 GIOVANNI ARKANA SUTIONO KA-EN 3B BPJS 2055138 922840 14399
1 14399 UMUM 147.
'06/10/2017 CALYSTA QUEENIZA ROHMAN LEUKOPLAST 4,5 CM X 7,5 M 2055391 921638
27 50 1350 ASURANSI 148.
'06/10/2017 NURUL HIDAYAH SODIUM CHLORIDE 100 ML CAIRAN 2055207 93840 18480
2 36960 ASURANSI 149.
'06/10/2017 CALYSTA QUEENIZA ROHMAN HYPAFIX 20 CM X 5 M 2055391 921638
29 200 5800 ASURANSI 150.
'06/10/2017 GHAISAN FERZIO R A KASSA STERIL 2055120 922837 1037
10 10370 UMUM 151.
'06/10/2017 GHAISAN FERZIO R A SPUIT 10 CC TERUMO 2055120 922837
2811 1 2811 UMUM 152.
'06/10/2017 GHAISAN FERZIO R A SODIUM CHLORIDE 100 ML CAIRAN 2055120 922837
18480 1 18480 UMUM 153.
'07/10/2017 NURUL HIDAYAH SPUIT 3CC NIPRO 2055207 93840 1401 1 1401
ASURANSI 154.
'07/10/2017 CALYSTA QUEENIZA ROHMAN KA-EN 1B BPJS 2055391 921638 12982
2 25964 ASURANSI 155.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH ALAT PERAWATAN 2055483 96789 55000
1 55000 ASURANSI 156.
'07/10/2017 GHAISAN FERZIO R A INTROCAN SAFETY NO. 24 2055120 922837
53900 5 269500 UMUM 157.
'07/10/2017 CALYSTA QUEENIZA ROHMAN SPALK TE-15 (15 X 5CM) 2055391 921638
8663 1 8663 ASURANSI 158.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH KASA HIDROFIL 40X80 (SUPER) 2055483
96789 4 500 2000 ASURANSI 159.
'07/10/2017 GHAISAN FERZIO R A INTRAFIX SAFESET 2055120 922837 46200
1 46200 UMUM 160.
'07/10/2017 CALYSTA QUEENIZA ROHMAN INTROCAN SAFETY NO. 24 2055391 921638
53900 1 53900 ASURANSI 161.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH LEUKOPLAST 4,5 CM X 7,5 M 2055483
96789 27 50 1350 ASURANSI 162.
'07/10/2017 GHAISAN FERZIO R A SPUIT 3 CC TERUMO 2055120 922837 1595
3 4785 UMUM 163.
'07/10/2017 GHAISAN FERZIO R A RINGER LACTAT (WIDA) CAIRAN 2055120 922837
20455 1 20455 UMUM 164.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH HYPAFIX 20 CM X 5 M 2055483 96789
29 200 5800 ASURANSI 165.
'07/10/2017 CALYSTA QUEENIZA ROHMAN INTRAFIX SAFESET 2055391 921638 46200
1 46200 ASURANSI 166.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH KASSA STERIL 2055483 96789 1037
1 1037 ASURANSI 167.
'07/10/2017 GHAISAN FERZIO R A SPALK TE-15 (15 X 5CM) 2055120 922837
8663 1 8663 UMUM 168.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH ALCOHOL SWABS 2055483 96789 249
20 4980 ASURANSI 169.
'07/10/2017 AZZA SALMA AINI SPUIT 1 CC NIPRO U 100 2054956 916112 6607
3 19821 BPJS 170.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH SPUIT 3 CC TERUMO 2055483 96789 1595
10 15950 ASURANSI 171.
'07/10/2017 NURUL HIDAYAH SODIUM CHLORIDE 100 ML CAIRAN 2055207 93840 18480
2 36960 ASURANSI 172.
'07/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH TRIDEX 27 B CAIRAN 2055483 96789
30030 2 60060 ASURANSI 173.
'07/10/2017 GIOVANNI ARKANA SUTIONO KASSA STERIL 2055138 922840 1037
 1 1037 UMUM 174.
'07/10/2017 NURUL FAHMI SPUIT 5 CC TERUMO 2055235 922863 2248 2 4496
UMUM 175.
'07/10/2017 GIOVANNI ARKANA SUTIONO ALCOHOL SWABS 2055138 922840 249
15 3735 UMUM 176.
'07/10/2017 CALYSTA QUEENIZA ROHMAN SPUIT 1 CC NIPRO U 100 2055391 921638
6607 1 6607 ASURANSI 177.
'07/10/2017 GHAISAN FERZIO R A SPUIT 10 CC TERUMO 2055120 922837
2811 2 5622 UMUM 178.
'07/10/2017 YOSSI RANGGA P,MOH RINGER LACTAT (WIDA) CAIRAN 2055063 84984
20455 1 20455 ASURANSI 179.
'08/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH TRIDEX 27 B CAIRAN 2055483 96789
30030 1 30030 ASURANSI 180.
'08/10/2017 NURUL FAHMI URINAL LAKI-LAKI 2055235 922863 12320 1 12320
UMUM 181.
'08/10/2017 NURUL FAHMI SODIUM CHLORIDE 100 ML CAIRAN 2055235 922863 18480
1 18480 UMUM 182.
'08/10/2017 YOSSI RANGGA P,MOH SPUIT 10 CC TERUMO 2055063 84984 2811
1 2811 ASURANSI 183.
'08/10/2017 YOSSI RANGGA P,MOH SPUIT 5 CC TERUMO 2055063 84984 2248 1
2248 ASURANSI 184.
'09/10/2017 NURUL FAHMI RINGER LACTAT (WIDA) CAIRAN 2055235 922863 20455
2 40910 UMUM 185.
'09/10/2017 NURUL FAHMI SPUIT 3 CC TERUMO 2055235 922863 1595 5 7975
UMUM 186.
'09/10/2017 ALBY ALFARISKY,MOCH HYPAFIX 20 CM X 5 M 2055635 914477
29 200 5800 UMUM 187.
'09/10/2017 ANGGIE JIBRIJATUZ ZAHIRAH TRIDEX 27 B CAIRAN 2055483 96789
30030 1 30030 ASURANSI 188.
'09/10/2017 ALBY ALFARISKY,MOCH LEUKOPLAST 4,5 CM X 7,5 M 2055635 914477
27 100 2700 UMUM 189.
'09/10/2017 CALYSTA QUEENIZA ROHMAN SPUIT 1 CC NIPRO U 100 2055391 921638
6607 3 19821 ASURANSI 190.
'09/10/2017 ALBY ALFARISKY,MOCH KA-EN 1B BPJS 2055635 914477 12982
2 25964 UMUM 191.
'09/10/2017 CALYSTA QUEENIZA ROHMAN SPUIT 3 CC TERUMO 2055391 921638 1595
10 15950 ASURANSI 192.
'09/10/2017 CALYSTA QUEENIZA ROHMAN KA-EN 1B BPJS 2055391 921638 12982
2 25964 ASURANSI 193.
'09/10/2017 SISKA NURJAYANTI SPUIT 5 CC TERUMO 2055639 922993 2248 10
22480 UMUM 194.
'09/10/2017 SISKA NURJAYANTI ALCOHOL SWABS 2055639 922993 249 10
2490 UMUM 195.
'09/10/2017 SISKA NURJAYANTI ALAT PERAWATAN 2055639 922993 55000 1
55000 UMUM 196.
'09/10/2017 GHAISAN FERZIO R A KASSA STERIL 2055120 922837 1037
16 16592 UMUM 197.
'09/10/2017 GHAISAN FERZIO R A SPUIT 10 CC TERUMO 2055120 922837
2811 2 5622 UMUM 198.
10/10/2017 ALTHAF PRADIPTA ALFARIZI KA-EN 3B BPJS 2055768 923034
14399 1 14399 BPJS 199.
10/10/2017 ALBY ALFARISKY,MOCH KASA HIDROFIL 40X80 (SUPER) 2055635 914477
4 500 2000 UMUM 200.
10/10/2017 SISKA NURJAYANTI RINGER LACTAT (WIDA) CAIRAN 2055639 922993
20455 2 40910 UMUM 201.
10/10/2017 ALTHAF PRADIPTA ALFARIZI KASSA STERIL 2055768 923034
1037 1 1037 BPJS 202.
10/10/2017 YUDHA ARNELDHI SPUIT 5 CC TERUMO 2055696 51136 2248 10 22480
BPJS 203.
10/10/2017 ADAM KHOLILUR ROHMAN RINGER LACTAT (WIDA) CAIRAN 2055829 923058
20455 2 40910 ASURANSI 204.
10/10/2017 ALTHAF PRADIPTA ALFARIZI KASA HIDROFIL 40X80 (SUPER) 2055768
923034 4 500 2000 BPJS 205.
10/10/2017 YUDHA ARNELDHI SPUIT 3 CC TERUMO 2055696 51136 1595 10 15950
BPJS 206.
10/10/2017 SUMINTO SPUIT 10 CC TERUMO 2055726 50031 2811 1 2811
UMUM 207.
10/10/2017 SAIFUDDIN,AHMAD KASSA STERIL 2055728 98922 1037 1 1037
ASURANSI 208.
10/10/2017 YUDHA ARNELDHI RINGER LACTAT (WIDA) CAIRAN 2055696 51136 20455
3 61365 BPJS 209.
10/10/2017 YUDHA ARNELDHI STEKPAN 2055696 51136 75816 1 75816 BPJS
210.
10/10/2017 SAIFUDDIN,AHMAD KASA HIDROFIL 40X80 (SUPER) 2055728 98922 4
500 2000 ASURANSI 211.
10/10/2017 YUDHA ARNELDHI ALCOHOL SWABS 2055696 51136 249 20 4980
BPJS 212.
10/10/2017 ALBY ALFARISKY,MOCH SPUIT 1 CC NIPRO U 100 2055635 914477
6607 3 19821 UMUM 213.
10/10/2017 SAIFUDDIN,AHMAD LEUKOPLAST 4,5 CM X 7,5 M 2055728 98922 27
100 2700 ASURANSI 214.
10/10/2017 YUDHA ARNELDHI HYPAFIX 20 CM X 5 M 2055696 51136 29 200
5800 BPJS 215.
10/10/2017 ADAM KHOLILUR ROHMAN SPUIT 3 CC TERUMO 2055829 923058 1595
5 7975 ASURANSI 216.
10/10/2017 SAIFUDDIN,AHMAD HYPAFIX 20 CM X 5 M 2055728 98922 29 200
5800 ASURANSI 217.
10/10/2017 YUDHA ARNELDHI LEUKOPLAST 4,5 CM X 7,5 M 2055696 51136 27
100 2700 BPJS 218.
10/10/2017 ADAM KHOLILUR ROHMAN SPUIT 5 CC TERUMO 2055829 923058 2248
3 6744 ASURANSI 219.
10/10/2017 SAIFUDDIN,AHMAD ALCOHOL SWABS 2055728 98922 249 20 4980
ASURANSI 220.
10/10/2017 NURHAYATUS SAADAH ALCOHOL SWABS 2055672 923008 249
20 4980 UMUM 221.
10/10/2017 SAIFUDDIN,AHMAD KA-EN 1B BPJS 2055728 98922 12982 2 25964
ASURANSI 222.
10/10/2017 SAIFUDDIN,AHMAD ALAT PERAWATAN 2055728 98922 55000 1 55000
ASURANSI 223.
10/10/2017 NURHAYATUS SAADAH LEUKOPLAST 4,5 CM X 7,5 M 2055672 923008
27 100 2700 UMUM 224.
10/10/2017 NURHAYATUS SAADAH SPUIT 5 CC TERUMO 2055672 923008 2248
5 11240 UMUM 225.
10/10/2017 NURHAYATUS SAADAH SODIUM CHLORIDE 100 ML CAIRAN 2055672 923008
18480 1 18480 UMUM 226.
10/10/2017 NURHAYATUS SAADAH HYPAFIX 20 CM X 5 M 2055672 923008
29 200 5800 UMUM 227.
10/10/2017 SISKA NURJAYANTI INTROCAN SAFETY NO. 24 2055639 922993 53900
1 53900 UMUM 228.
10/10/2017 ALBY ALFARISKY,MOCH SPUIT 3 CC TERUMO 2055635 914477 1595
8 12760 UMUM 229.
10/10/2017 NURHAYATUS SAADAH ALAT PERAWATAN 2055672 923008 55000
1 55000 UMUM 230.
11/10/2017 BAGUS PUTRA RAMADHAN ALCOHOL SWABS 2055949 909886 249
20 4980 UMUM 231.
11/10/2017 IPUNG PUJIYOTO HYPAFIX 20 CM X 5 M 2055852 923070 29
100 2900 BPJS 232.
11/10/2017 SAIFUDDIN,AHMAD SPUIT 1 CC NIPRO U 100 2055728 98922 6607 6
 39642 ASURANSI 233.
11/10/2017 IPUNG PUJIYOTO SPUIT 3 CC TERUMO 2055852 923070 1595 5
7975 BPJS 234.
11/10/2017 IPUNG PUJIYOTO SPUIT 10 CC TERUMO 2055852 923070 2811
4 11244 BPJS 235.
11/10/2017 NURUL FAHMI HYPAFIX 20 CM X 5 M 2055235 922863 29 200
5800 UMUM 236.
11/10/2017 NURUL FAHMI KASSA STERIL 2055235 922863 1037 7 7259
UMUM 237.
11/10/2017 ADAM KHOLILUR ROHMAN SODIUM CHLORIDE 100 ML CAIRAN 2055829 923058
18480 1 18480 ASURANSI 238.
11/10/2017 ADAM KHOLILUR ROHMAN SPUIT 3 CC TERUMO 2055829 923058 1595
2 3190 ASURANSI 239.
11/10/2017 IPUNG PUJIYOTO URINAL LAKI-LAKI 2055852 923070 12320 1
12320 BPJS 240.
11/10/2017 BAGUS PUTRA RAMADHAN ALAT PERAWATAN 2055949 909886 55000
1 55000 UMUM 241.
11/10/2017 IPUNG PUJIYOTO ALCOHOL SWABS 2055852 923070 249 20
4980 BPJS 242.
11/10/2017 BAGUS PUTRA RAMADHAN LEUKOPLAST 4,5 CM X 7,5 M 2055949 909886
27 100 2700 UMUM 243.
11/10/2017 IPUNG PUJIYOTO LEUKOPLAST 4,5 CM X 7,5 M 2055852 923070
27 50 1350 BPJS 244.
12/10/2017 SUMINTO SPUIT 5 CC TERUMO 2055726 50031 2248 6 13488 UMUM
245.
12/10/2017 SAIFUDDIN,AHMAD SPUIT 1 CC NIPRO U 100 2055728 98922 6607 2
13214 ASURANSI 246.
12/10/2017 SUMINTO RINGER LACTAT (WIDA) CAIRAN 2055726 50031 20455 1
20455 UMUM 247.
12/10/2017 ADAM KHOLILUR ROHMAN SPUIT 10 CC TERUMO 2055829 923058
2811 2 5622 ASURANSI 248.
12/10/2017 IPUNG PUJIYOTO RINGER LACTAT (WIDA) CAIRAN 2055852 923070
20455 3 61365 BPJS 249.
12/10/2017 BAGUS PUTRA RAMADHAN NEBULAZER ANAK 2055949 909886 93940
1 93940 UMUM 250.
12/10/2017 IPUNG PUJIYOTO SPUIT 5 CC TERUMO 2055852 923070 2248 3
6744 BPJS 251.
12/10/2017 NURUL FAHMI SPUIT 10 CC TERUMO 2055235 922863 2811 5
14055 UMUM 252.
12/10/2017 ALBY ALFARISKY,MOCH SPUIT 1 CC NIPRO U 100 2055635 914477
6607 3 19821 UMUM 253.
12/10/2017 IPUNG PUJIYOTO KASSA STERIL 2055852 923070 1037 5
5185 BPJS 254.
12/10/2017 ALBY ALFARISKY,MOCH SPUIT 3 CC TERUMO 2055635 914477 1595
3 4785 UMUM 255.
12/10/2017 ALBY ALFARISKY,MOCH KASSA STERIL 2055635 914477 1037
10 10370 UMUM 256.
12/10/2017 ALBY ALFARISKY,MOCH KA-EN 1B BPJS 2055635 914477 12982
3 38946 UMUM 257.
12/10/2017 BAGUS PUTRA RAMADHAN D5 - 1/2 NS CAIRAN 2055949 909886
23562 3 70686 UMUM 258.
12/10/2017 ADAM KHOLILUR ROHMAN SPUIT 3 CC TERUMO 2055829 923058 1595
6 9570 ASURANSI 259.
12/10/2017 ALTHAF PRADIPTA ALFARIZI SPUIT 3 CC TERUMO 2055768 923034
1595 6 9570 BPJS 260.
12/10/2017 ADAM KHOLILUR ROHMAN RINGER LACTAT (WIDA) CAIRAN 2055829 923058
20455 2 40910 ASURANSI 261.
12/10/2017 NURUL RENDRA FITRIANA KASSA STERIL 2055897 914205 1037
1 1037 ASURANSI 262.
12/10/2017 ALTHAF PRADIPTA ALFARIZI KA-EN 3B BPJS 2055768 923034
14399 2 28798 BPJS 263.
12/10/2017 NURUL RENDRA FITRIANA LEUKOPLAST 4,5 CM X 7,5 M 2055897 914205
28 50 1400 ASURANSI 264.
12/10/2017 SAIFUDDIN,AHMAD KA-EN 1B BPJS 2055728 98922 12982 2 25964
ASURANSI 265.
12/10/2017 NURUL RENDRA FITRIANA HYPAFIX 20 CM X 5 M 2055897 914205
29 100 2900 ASURANSI 266.
13/10/2017 SUMINTO SPUIT 10 CC TERUMO 2055726 50031 2811 1 2811
UMUM 267.
13/10/2017 ALBY ALFARISKY,MOCH ALAT PERAWATAN 2055635 914477 55000
1 55000 UMUM 268.
13/10/2017 ALTHAF PRADIPTA ALFARIZI KASSA STERIL 2055768 923034
1037 1 1037 BPJS 269.
13/10/2017 SAIFUDDIN,AHMAD KASSA STERIL 2055728 98922 1037 1 1037
ASURANSI 270.
13/10/2017 ALBY ALFARISKY,MOCH KASSA STERIL 2055635 914477 1037
1 1037 UMUM 271.
13/10/2017 RUKMUNAJI TEGADERM DEWASA W1624 2055947 923094 8182 1
8182 UMUM 272.
13/10/2017 IPUNG PUJIYOTO SPUIT 10 CC TERUMO 2055852 923070 2811
1 2811 BPJS 273.
13/10/2017 GEFARIEL DION SALAMHUT SAGALA LEUKOPLAST 4,5 CM X 7,5 M
2056160 923173 28 100 2800 UMUM 274.
13/10/2017 SAIFUDDIN,AHMAD SPUIT 3 CC TERUMO 2055728 98922 1595 3 4785
ASURANSI 275.
13/10/2017 GEFARIEL DION SALAMHUT SAGALA KASA HIDROFIL 40X80 (SUPER)
2056160 923173 4 500 2000 UMUM 276.
13/10/2017 SAIFUDDIN,AHMAD SPUIT 1 CC NIPRO U 100 2055728 98922 6607 2
13214 ASURANSI 277.
13/10/2017 GEFARIEL DION SALAMHUT SAGALA HYPAFIX 20 CM X 5 M 2056160
923173 29 200 5800 UMUM 278.
13/10/2017 SUMINTO URINE BAG T-VALVE SENTRA 2055726 50031 12782 1
12782 UMUM 279.
13/10/2017 SUMINTO FOLLEY CHATETER NO. 16 2055726 50031 37730 1 37730
UMUM 280.
14/10/2017 ADAM KHOLILUR ROHMAN SPUIT 10 CC TERUMO 2055829 923058
2811 3 8433 ASURANSI 281.
14/10/2017 PUNDARI TEGADERM DEWASA W1624 2056151 922194 8182 1
8182 UMUM 282.
14/10/2017 PUNDARI SODIUM CHLORIDE 100 ML CAIRAN 2056151 922194 18480
1 18480 UMUM 283.
14/10/2017 SAIFUDDIN,AHMAD SPUIT 3 CC TERUMO 2055728 98922 1595 6 9570
ASURANSI 284.
14/10/2017 PUNDARI INTROCAN SAFETY NO. 24 2056151 922194 53900 1
53900 UMUM 285.
14/10/2017 PUNDARI INTROCAN SAFETY NO. 22 2056151 922194 53900 1
53900 UMUM 286.
14/10/2017 SAIFUDDIN,AHMAD KA-EN 1B BPJS 2055728 98922 12982 2 25964
ASURANSI 287.
14/10/2017 YUNI ARISANDI STEKPAN 2056231 60368 75816 1 75816 BPJS
288.
14/10/2017 IPUNG PUJIYOTO SPUIT 3CC NIPRO 2055852 923070 1401 3
4203 BPJS 289.
14/10/2017 SUMINTO SPUIT 5 CC TERUMO 2055726 50031 2248 3 6744 UMUM
290.
14/10/2017 YUNI ARISANDI KASSA STERIL 2056231 60368 1037 1 1037
BPJS 291.
14/10/2017 GEFARIEL DION SALAMHUT SAGALA RINGER LACTAT (WIDA) CAIRAN
 2056160 923173 20455 2 40910 UMUM 292.
14/10/2017 SUMINTO SPUIT 3 CC TERUMO 2055726 50031 1595 2 3190 UMUM
293.
14/10/2017 YUNI ARISANDI KASA HIDROFIL 40X80 (SUPER) 2056231 60368 4
500 2000 BPJS 294.
14/10/2017 PUNDARI SPUIT 10 CC TERUMO 2056151 922194 2811 6
16866 UMUM 295.
14/10/2017 YUNI ARISANDI ALCOHOL SWABS 2056231 60368 249 20 4980
BPJS 296.
14/10/2017 NURUL RENDRA FITRIANA SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2055897
914205 18623 2 37246 ASURANSI 297.
14/10/2017 YUNI ARISANDI HYPAFIX 20 CM X 5 M 2056231 60368 29 200
5800 BPJS 298.
14/10/2017 BAGUS PUTRA RAMADHAN D5 - 1/2 NS CAIRAN 2055949 909886
23562 1 23562 UMUM 299.
14/10/2017 PUNDARI SPUIT 3CC NIPRO 2056151 922194 1401 3 4203
UMUM 300.
14/10/2017 IPUNG PUJIYOTO SPUIT 3 CC TERUMO 2055852 923070 1595 1
1595 BPJS 301.
14/10/2017 HENI SETYOWATI STEKPAN 2056242 923215 75816 1 75816
UMUM 302.
14/10/2017 SAIFUDDIN,AHMAD SPUIT 1 CC NIPRO U 100 2055728 98922 6607 1
6607 ASURANSI 303.
14/10/2017 IPUNG PUJIYOTO SPUIT 10 CC TERUMO 2055852 923070 2811
3 8433 BPJS 304.
14/10/2017 HENI SETYOWATI ALAT PERAWATAN 2056242 923215 55000 1
55000 UMUM 305.
14/10/2017 PUNDARI SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056151 922194
18623 1 18623 UMUM 306.
14/10/2017 IPUNG PUJIYOTO SPUIT 5 CC TERUMO 2055852 923070 2248 6
13488 BPJS 307.
14/10/2017 HENI SETYOWATI HYPAFIX 20 CM X 5 M 2056242 923215 29
100 2900 UMUM 308.
14/10/2017 PUNDARI NASAL O2 DEWASA BMED 2056151 922194 18480 1
18480 UMUM 309.
15/10/2017 ALZENA SHABIRA Q RINGER LACTAT (WIDA) CAIRAN 2056067 923136
20455 2 40910 BPJS 310.
15/10/2017 PUNDARI INTROCAN SAFETY NO. 24 2056151 922194 53900 1
53900 UMUM 311.
15/10/2017 SUMINTO RINGER LACTAT (WIDA) CAIRAN 2055726 50031 20455 1
20455 UMUM 312.
15/10/2017 PUNDARI SPUIT 5 CC TERUMO 2056151 922194 2248 1 2248
UMUM 313.
15/10/2017 VEVILA QISKA.F KA-EN 1B BPJS 2055894 79659 12982 1 12982
ASURANSI 314.
15/10/2017 PUNDARI SODIUM CHLORIDE 100 ML CAIRAN 2056151 922194 18480
1 18480 UMUM 315.
15/10/2017 VEVILA QISKA.F SPUIT 3CC NIPRO 2055894 79659 1401 4 5604
ASURANSI 316.
15/10/2017 FAHMA RAYYA RASYUQA INTRAFIX SAFESET 2056249 94799 46200 1
46200 PERUSAHAAN 317.
15/10/2017 HENI SETYOWATI SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056242 923215
18623 2 37246 UMUM 318.
15/10/2017 FAHMA RAYYA RASYUQA KA-EN 1B BPJS 2056249 94799 12982 2
25964 PERUSAHAAN 319.
15/10/2017 HENI SETYOWATI SPUIT 3CC NIPRO 2056242 923215 1401 3
4203 UMUM 320.
15/10/2017 RAIHAN AHMAD ABRISAM KA-EN 3B BPJS 2056274 916579 14399
1 14399 ASURANSI 321.
15/10/2017 FAHMA RAYYA RASYUQA SPUIT 3CC NIPRO 2056249 94799 1401 10
14010 PERUSAHAAN 322.
15/10/2017 YUNI ARISANDI SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056231 60368
18623 2 37246 BPJS 323.
15/10/2017 KARJO KASSA STERIL 2056174 923181 1037 1 1037
UMUM 324.
15/10/2017 FAHMA RAYYA RASYUQA KASSA STERIL 2056249 94799 1037 1
1037 PERUSAHAAN 325.
15/10/2017 YUNI ARISANDI SPUIT 3CC NIPRO 2056231 60368 1401 5 7005
BPJS 326.
15/10/2017 RAIHAN AHMAD ABRISAM KASSA STERIL 2056274 916579 1037
1 1037 ASURANSI 327.
15/10/2017 FAHMA RAYYA RASYUQA KASA HIDROFIL 40X80 (SUPER) 2056249 94799
4 500 2000 PERUSAHAAN 328.
15/10/2017 RAIHAN AHMAD ABRISAM HYPAFIX 20 CM X 5 M 2056274 916579
29 200 5800 ASURANSI 329.
15/10/2017 FAHMA RAYYA RASYUQA HYPAFIX 20 CM X 5 M 2056249 94799 29
200 5800 PERUSAHAAN 330.
15/10/2017 KARJO HYPAFIX 20 CM X 5 M 2056174 923181 29 100
2900 UMUM 331.
15/10/2017 FAHMA RAYYA RASYUQA ALAT PERAWATAN 2056249 94799 55000 1
55000 PERUSAHAAN 332.
15/10/2017 RAIHAN AHMAD ABRISAM ALAT PERAWATAN 2056274 916579 55000
1 55000 ASURANSI 333.
16/10/2017 KARJO SODIUM CHLORIDE 100 ML CAIRAN 2056174 923181 18480
1 18480 UMUM 334.
16/10/2017 RAIHAN AHMAD ABRISAM KA-EN 3B BPJS 2056274 916579 14399
1 14399 ASURANSI 335.
16/10/2017 GEFARIEL DION SALAMHUT SAGALA RINGER LACTAT (WIDA) CAIRAN
2056160 923173 20455 1 20455 UMUM 336.
16/10/2017 RAISYA AQILA RAMADHANI KA-EN 3B BPJS 2056355 923248 14399
1 14399 UMUM 337.
16/10/2017 ALZENA SHABIRA Q RINGER LACTAT (WIDA) CAIRAN 2056067 923136
20455 1 20455 BPJS 338.
16/10/2017 RAISYA AQILA RAMADHANI KASSA STERIL 2056355 923248 1037
1 1037 UMUM 339.
16/10/2017 RAIHAN AHMAD ABRISAM SPUIT 3CC NIPRO 2056274 916579 1401
3 4203 ASURANSI 340.
16/10/2017 RAISYA AQILA RAMADHANI ALCOHOL SWABS 2056355 923248 249
10 2490 UMUM 341.
16/10/2017 RAISYA AQILA RAMADHANI HYPAFIX 20 CM X 5 M 2056355 923248
29 100 2900 UMUM 342.
16/10/2017 RAISYA AQILA RAMADHANI ALAT PERAWATAN 2056355 923248 55000
1 55000 UMUM 343.
16/10/2017 HUMAM FADHLUL ROHMAN SPUIT 3CC NIPRO 2056326 923254 1401
3 4203 BPJS 344.
16/10/2017 PUNDARI INFUS SET MICRO (OI-34) 2056151 922194 30800 1
30800 UMUM 345.
16/10/2017 RAIHAN AHMAD ABRISAM SPALK TE-10 (10 X 5CM) 2056274 916579
6930 1 6930 ASURANSI 346.
17/10/2017 FAHMA RAYYA RASYUQA SPUIT 3CC NIPRO 2056249 94799 1401 2
2802 PERUSAHAAN 347.
17/10/2017 GEFARIEL DION SALAMHUT SAGALA RINGER LACTAT (WIDA) CAIRAN
2056160 923173 20455 4 81820 UMUM 348.
17/10/2017 ALZENA SHABIRA Q SPUIT 3CC NIPRO 2056067 923136 1401 2
2802 BPJS 349.
17/10/2017 FAHMA RAYYA RASYUQA KA-EN 1B BPJS 2056249 94799 12985 1
12985 PERUSAHAAN 350.
17/10/2017 PUNDARI SPUIT 3CC NIPRO 2056151 922194 1401 2 2802
 UMUM 351.
17/10/2017 FAHMA RAYYA RASYUQA SPUIT 3 CC TERUMO 2056249 94799 1595 4
6380 PERUSAHAAN 352.
17/10/2017 PUNDARI SPUIT 3 CC TERUMO 2056151 922194 1595 2 3190
UMUM 353.
17/10/2017 RAIHAN AHMAD ABRISAM SPUIT 3 CC TERUMO 2056274 916579 1595
5 7975 ASURANSI 354.
17/10/2017 RAIHAN AHMAD ABRISAM KA-EN 3B BPJS 2056274 916579 14399
1 14399 ASURANSI 355.
17/10/2017 HUMAM FADHLUL ROHMAN KASA HIDROFIL 40X80 (SUPER) 2056326 923254
4 500 2000 BPJS 356.
17/10/2017 YUNI ARISANDI TEGADERM DEWASA W1624 2056231 60368 8182 1
8182 BPJS 357.
17/10/2017 HUMAM FADHLUL ROHMAN KASSA STERIL 2056326 923254 1037
1 1037 BPJS 358.
17/10/2017 YUNI ARISANDI INTROCAN SAFETY NO. 22 2056231 60368 53900 1
53900 BPJS 359.
17/10/2017 HUMAM FADHLUL ROHMAN ALCOHOL SWABS 2056326 923254 249
20 4980 BPJS 360.
17/10/2017 KARJO SPUIT 5 CC TERUMO 2056174 923181 2248 6 13488
UMUM 361.
17/10/2017 RAIHAN AHMAD ABRISAM SPUIT 3CC NIPRO 2056274 916579 1401
2 2802 ASURANSI 362.
17/10/2017 RAISYA AQILA RAMADHANI KA-EN 3B BPJS 2056355 923248 14399
2 28798 UMUM 363.
18/10/2017 KAYIKA DYAH S.N KASSA STERIL 2056581 60487 1037 1 1037
BPJS 364.
18/10/2017 HUMAM FADHLUL ROHMAN SODIUM CHLORIDE 100 ML CAIRAN 2056326 923254
18480 1 18480 BPJS 365.
18/10/2017 KAYIKA DYAH S.N ALCOHOL SWABS 2056581 60487 249 10 2490
BPJS 366.
18/10/2017 RAIHAN AHMAD ABRISAM SPUIT 3 CC TERUMO 2056274 916579 1595
2 3190 ASURANSI 367.
18/10/2017 DINDA WILIANITA LISTIANSYAH ALCOHOL SWABS 2056582 75125 249
5 1245 PERUSAHAAN 368.
18/10/2017 MUALLIMIN SHOLIH SPUIT 1 CC NIPRO U 100 2056623 923343 6607
1 6607 ASURANSI 369.
18/10/2017 PUNDARI SPUIT 10 CC TERUMO 2056151 922194 2811 3
8433 UMUM 370.
18/10/2017 DINDA WILIANITA LISTIANSYAH KASSA STERIL 2056582 75125 1037
1 1037 PERUSAHAAN 371.
18/10/2017 DINDA WILIANITA LISTIANSYAH SPUIT 3 CC TERUMO 2056582 75125 1595
4 6380 PERUSAHAAN 372.
18/10/2017 RAIHAN AHMAD ABRISAM KA-EN 3B BPJS 2056274 916579 14399
2 28798 ASURANSI 373.
18/10/2017 DINDA WILIANITA LISTIANSYAH SPUIT 5 CC TERUMO 2056582 75125 2248
1 2248 PERUSAHAAN 374.
18/10/2017 GEFARIEL DION SALAMHUT SAGALA RINGER LACTAT (WIDA) CAIRAN
2056160 923173 20455 1 20455 UMUM 375.
18/10/2017 ALZENA SHABIRA Q SPUIT 3 CC TERUMO 2056067 923136 1595 2
3190 BPJS 376.
18/10/2017 DINDA WILIANITA LISTIANSYAH RINGER LACTAT (WIDA) CAIRAN 2056582
75125 20455 3 61365 PERUSAHAAN 377.
18/10/2017 MUALLIMIN SHOLIH ALAT PERAWATAN 2056623 923343 55000 1
55000 ASURANSI 378.
18/10/2017 RAISYA AQILA RAMADHANI SPUIT 3 CC TERUMO 2056355 923248 1595
2 3190 UMUM 379.
18/10/2017 MUALLIMIN SHOLIH RINGER LACTAT (WIDA) CAIRAN 2056623 923343
20455 3 61365 ASURANSI 380.
18/10/2017 MUALLIMIN SHOLIH ALCOHOL SWABS 2056623 923343 249 10
2490 ASURANSI 381.
18/10/2017 RAISYA AQILA RAMADHANI KA-EN 3B BPJS 2056355 923248 14399
1 14399 UMUM 382.
18/10/2017 SALWA CITRA ASIFA SPUIT 5 CC TERUMO 2056633 923350 2248 2
4496 ASURANSI 383.
18/10/2017 DINDA WILIANITA LISTIANSYAH SPUIT 1 CC NIPRO U 100 2056582 75125
6607 1 6607 PERUSAHAAN 384.
18/10/2017 SALWA CITRA ASIFA KA-EN 1B BPJS 2056633 923350 12985 2
25970 ASURANSI 385.
18/10/2017 HUMAM FADHLUL ROHMAN D5 - 1/2 NS CAIRAN 2056326 923254
23562 4 94248 BPJS 386.
18/10/2017 SALWA CITRA ASIFA KASSA STERIL 2056633 923350 1037 1
1037 ASURANSI 387.
18/10/2017 DINDA WILIANITA LISTIANSYAH SODIUM CHLORIDE 100 ML CAIRAN 2056582
75125 18480 1 18480 PERUSAHAAN 388.
18/10/2017 KAYIKA DYAH S.N SPUIT 5 CC TERUMO 2056581 60487 2248 1 2248
BPJS 389.
18/10/2017 DINDA WILIANITA LISTIANSYAH ALAT PERAWATAN 2056582 75125 55000
1 55000 PERUSAHAAN 390.
19/10/2017 DWI MARGARETA SPUIT 1 CC NIPRO U 100 2056731 923379 6607
1 6607 ASURANSI 391.
19/10/2017 GABRIELLE SALSABILA SETIAWAN KA-EN 1B BPJS 2056415 90288 12985
1 12985 ASURANSI 392.
19/10/2017 SALWA CITRA ASIFA SPUIT 5 CC TERUMO 2056633 923350 2248 4
8992 ASURANSI 393.
19/10/2017 DINDA WILIANITA LISTIANSYAH RINGER LACTAT (WIDA) CAIRAN 2056582
75125 20455 2 40910 PERUSAHAAN 394.
19/10/2017 DINDA WILIANITA LISTIANSYAH SPUIT 3 CC TERUMO 2056582 75125 1595
10 15950 PERUSAHAAN 395.
19/10/2017 KAYIKA DYAH S.N RINGER LACTAT (WIDA) CAIRAN 2056581 60487 20455
2 40910 BPJS 396.
19/10/2017 KAYIKA DYAH S.N SPUIT 3 CC TERUMO 2056581 60487 1595 3 4785
BPJS 397.
19/10/2017 MUALLIMIN SHOLIH RINGER LACTAT (WIDA) CAIRAN 2056623 923343
20455 1 20455 ASURANSI 398.
19/10/2017 DWI MARGARETA SPUIT 3 CC TERUMO 2056731 923379 1595 2
3190 ASURANSI 399.
19/10/2017 DWI MARGARETA SPUIT 10 CC TERUMO 2056731 923379 2811
3 8433 ASURANSI 400.
19/10/2017 DWI MARGARETA ALAT PERAWATAN 2056731 923379 55000 1
55000 ASURANSI 401.
19/10/2017 RAIHAN AHMAD ABRISAM KA-EN 3B BPJS 2056274 916579 14399
1 14399 ASURANSI 402.
20/10/2017 AHSIN AZNADI SPUIT 3 CC TERUMO 2056853 46895 1595 2 3190
BPJS 403.
20/10/2017 AHSIN AZNADI KASSA STERIL 2056853 46895 1037 1 1037
BPJS 404.
20/10/2017 AHSIN AZNADI ALAT PERAWATAN 2056853 46895 55000 1 55000
BPJS 405.
20/10/2017 DINDA WILIANITA LISTIANSYAH TEGADERM DEWASA W1624 2056582 75125
8182 1 8182 PERUSAHAAN 406.
20/10/2017 DINDA WILIANITA LISTIANSYAH INTROCAN SAFETY NO. 24 2056582 75125
53900 1 53900 PERUSAHAAN 407.
20/10/2017 DINDA WILIANITA LISTIANSYAH INTROCAN SAFETY NO. 22 2056582 75125
53900 1 53900 PERUSAHAAN 408.
20/10/2017 KAYIKA DYAH S.N SPUIT 10 CC TERUMO 2056581 60487 2811 1
2811 BPJS 409.
20/10/2017 DINDA WILIANITA LISTIANSYAH SODIUM CHLORIDE 100 ML CAIRAN 2056582
 75125 18480 1 18480 PERUSAHAAN 410.
20/10/2017 AHSIN AZNADI SPUIT 1 CC NIPRO U 100 2056853 46895 6607 1
6607 BPJS 411.
20/10/2017 DINDA WILIANITA LISTIANSYAH SPUIT 5 CC TERUMO 2056582 75125 2248
5 11240 PERUSAHAAN 412.
20/10/2017 AHSIN AZNADI SPUIT 5 CC TERUMO 2056853 46895 2248 2 4496
BPJS 413.
20/10/2017 MUALLIMIN SHOLIH SPUIT 10 CC TERUMO 2056623 923343 2811
2 5622 ASURANSI 414.
20/10/2017 DWI MARGARETA SPUIT 5 CC TERUMO 2056731 923379 2248 1
2248 ASURANSI 415.
20/10/2017 GABRIELLE SALSABILA SETIAWAN SPUIT 3 CC TERUMO 2056415 90288 1595
4 6380 ASURANSI 416.
21/10/2017 DWI MARGARETA INTROCAN SAFETY NO. 22 2056731 923379 53900
1 53900 ASURANSI 417.
21/10/2017 AGUS PUJO HARIANTO ALCOHOL SWABS 2056880 923424 249
20 4980 BPJS 418.
21/10/2017 ALBAR RIZKY PUTRA N SPALK TE-15 (15 X 5CM) 2056870 923420
8663 1 8663 BPJS 419.
21/10/2017 HENDRY WIDODO SPUIT 5 CC TERUMO 2056879 69375 2248 2 4496
ASURANSI 420.
21/10/2017 ALBAR RIZKY PUTRA N INTROCAN SAFETY NO. 24 2056870 923420
53900 1 53900 BPJS 421.
21/10/2017 HENDRY WIDODO RINGER LACTAT (WIDA) CAIRAN 2056879 69375 20455
2 40910 ASURANSI 422.
21/10/2017 HENDRY WIDODO HANDSCOON VASCO NO. 7,5 2056879 69375 24640 1
24640 ASURANSI 423.
21/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD TRIDEX 27 B CAIRAN 2056874
901114 30030 2 60060 ASURANSI 424.
21/10/2017 DINDA WILIANITA LISTIANSYAH INTRAFIX SAFESET 2056582 75125 46200
1 46200 PERUSAHAAN 425.
21/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD SPUIT 3 CC TERUMO 2056874 901114
1595 10 15950 ASURANSI 426.
21/10/2017 ALBAR RIZKY PUTRA N KA-EN 3B BPJS 2056870 923420 14399
2 28798 BPJS 427.
21/10/2017 HENDRY WIDODO ALAT PERAWATAN 2056879 69375 55000 1 55000
ASURANSI 428.
21/10/2017 SALWA CITRA ASIFA KA-EN 1B BPJS 2056633 923350 12985 1
12985 ASURANSI 429.
21/10/2017 ALBAR RIZKY PUTRA N ALAT PERAWATAN 2056870 923420 55000
1 55000 BPJS 430.
21/10/2017 HENDRY WIDODO INTRAFIX SAFESET 2056879 69375 46200 1 46200
ASURANSI 431.
21/10/2017 DINDA WILIANITA LISTIANSYAH RINGER LACTAT (WIDA) CAIRAN 2056582
75125 20455 1 20455 PERUSAHAAN 432.
21/10/2017 HENDRY WIDODO SPUIT 1 CC NIPRO U 100 2056879 69375 6607 1
6607 ASURANSI 433.
21/10/2017 AGUS PUJO HARIANTO SPUIT 3 CC TERUMO 2056880 923424 1595
10 15950 BPJS 434.
21/10/2017 AHSIN AZNADI SPUIT 10 CC TERUMO 2056853 46895 2811 1
2811 BPJS 435.
21/10/2017 AHSIN AZNADI RINGER LACTAT (WIDA) CAIRAN 2056853 46895 20455
3 61365 BPJS 436.
21/10/2017 DWI MARGARETA INTROCAN SAFETY NO. 24 2056731 923379 53900
1 53900 ASURANSI 437.
21/10/2017 AGUS PUJO HARIANTO KASSA STERIL 2056880 923424 1037
1 1037 BPJS 438.
22/10/2017 HENDRY WIDODO SPUIT 10 CC TERUMO 2056879 69375 2811 4
11244 ASURANSI 439.
22/10/2017 BATRISYIA NABHAAN AMECCA ALAT PERAWATAN 2056960 923451
55000 1 55000 ASURANSI 440.
22/10/2017 AHSIN AZNADI SODIUM CHLORIDE 100 ML CAIRAN 2056853 46895 18480
1 18480 BPJS 441.
22/10/2017 DWI MARGARETA ALCOHOL SWABS 2056731 923379 249 20
4980 ASURANSI 442.
22/10/2017 DWI MARGARETA KASA HIDROFIL 40X80 (SUPER) 2056731 923379
4 500 2000 ASURANSI 443.
22/10/2017 DWI MARGARETA KASSA STERIL 2056731 923379 1037 1
1037 ASURANSI 444.
22/10/2017 DWI MARGARETA RINGER LACTAT (WIDA) CAIRAN 2056731 923379
20455 1 20455 ASURANSI 445.
22/10/2017 AHSIN AZNADI SPUIT 10 CC TERUMO 2056853 46895 2811 3
8433 BPJS 446.
22/10/2017 SALWA CITRA ASIFA SPUIT 5 CC TERUMO 2056633 923350 2248 3
6744 ASURANSI 447.
22/10/2017 SALWA CITRA ASIFA SPUIT 3 CC TERUMO 2056633 923350 1595 3
4785 ASURANSI 448.
22/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 1 12985 ASURANSI 449.
23/10/2017 ALIF DIRGA WIBISANA,MOH ALAT PERAWATAN 2057018 923469 55000
1 55000 UMUM 450.
23/10/2017 ALBAR RIZKY PUTRA N SPUIT 3 CC TERUMO 2056870 923420 1595
4 6380 BPJS 451.
23/10/2017 HENDRY WIDODO SPUIT 10 CC TERUMO 2056879 69375 2811 3
8433 ASURANSI 452.
23/10/2017 BATRISYIA NABHAAN AMECCA NEBULAZER ANAK 2056960 923451
93940 1 93940 ASURANSI 453.
23/10/2017 BATRISYIA NABHAAN AMECCA SPUIT 3 CC TERUMO 2056960 923451
1595 10 15950 ASURANSI 454.
23/10/2017 SUNARKO ALCOHOL SWABS 2056979 923457 249 20 4980
BPJS 455.
23/10/2017 YULI LUKITOWATI SPUIT 5 CC TERUMO 2057014 87215 2248 5 11240
BPJS 456.
23/10/2017 SUNARKO INTROCAN SAFETY NO. 24 2056979 923457 53900 1
53900 BPJS 457.
23/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 1 12985 ASURANSI 458.
23/10/2017 AHSIN AZNADI INTRAFIX SAFESET 2056853 46895 46200 1 46200
BPJS 459.
23/10/2017 SUNARKO SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056979 923457
18623 1 18623 BPJS 460.
23/10/2017 ALIF DIRGA WIBISANA,MOH SPUIT 3 CC TERUMO 2057018 923469 1595
2 3190 UMUM 461.
23/10/2017 YULI LUKITOWATI KASSA STERIL 2057014 87215 1037 1 1037
BPJS 462.
23/10/2017 ALIF DIRGA WIBISANA,MOH KASSA STERIL 2057018 923469 1037
1 1037 UMUM 463.
23/10/2017 ALIF DIRGA WIBISANA,MOH ALCOHOL SWABS 2057018 923469 249
20 4980 UMUM 464.
24/10/2017 SALWA CITRA ASIFA KA-EN 1B BPJS 2056633 923350 12985 1
12985 ASURANSI 465.
24/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD TRIDEX 27 B CAIRAN 2056874
901114 30030 1 30030 ASURANSI 466.
24/10/2017 NANA SLAMET SPUIT 1 CC NIPRO U 100 2057178 923514 6607 1
6607 UMUM 467.
24/10/2017 ALIF DIRGA WIBISANA,MOH KA-EN 1B BPJS 2057018 923469 12985
2 25970 UMUM 468.
24/10/2017 ALIF DIRGA WIBISANA,MOH SPUIT 10 CC TERUMO 2057018 923469
 2811 1 2811 UMUM 469.
24/10/2017 SALWA CITRA ASIFA SPUIT 3 CC TERUMO 2056633 923350 1595 4
6380 ASURANSI 470.
24/10/2017 NANA SLAMET SPUIT 3 CC TERUMO 2057178 923514 1595 3 4785
UMUM 471.
24/10/2017 ALIF DIRGA WIBISANA,MOH NEBULAZER ANAK 2057018 923469 93940
1 93940 UMUM 472.
24/10/2017 SUYATMININGRAT RINGER LACTAT (WIDA) CAIRAN 2057070 923493
20455 2 40910 BPJS 473.
24/10/2017 SUYATMININGRAT ALCOHOL SWABS 2057070 923493 249 20
4980 BPJS 474.
24/10/2017 NANA SLAMET ALCOHOL SWABS 2057178 923514 249 1 249
UMUM 475.
24/10/2017 YULI LUKITOWATI SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2057014 87215
18623 1 18623 BPJS 476.
24/10/2017 NANA SLAMET KASSA STERIL 2057178 923514 1037 1 1037
UMUM 477.
24/10/2017 YULI LUKITOWATI SPUIT 5 CC TERUMO 2057014 87215 2248 3 6744
BPJS 478.
24/10/2017 NANA SLAMET ALAT PERAWATAN 2057178 923514 55000 1 55000
UMUM 479.
24/10/2017 SUNARKO SPUIT 3 CC TERUMO 2056979 923457 1595 1 1595
BPJS 480.
25/10/2017 RAFFA ATHAILLAH.CHAKIM KA-EN 3B BPJS 2057257 91519 14399 1
14399 BPJS 481.
25/10/2017 NANA SLAMET SPUIT 1 CC NIPRO U 100 2057178 923514 6607 6
39642 UMUM 482.
25/10/2017 SALWA CITRA ASIFA SPALK TE-15 (15 X 5CM) 2056633 923350 8663
1 8663 ASURANSI 483.
25/10/2017 NANA SLAMET SPUIT 3 CC TERUMO 2057178 923514 1595 6 9570
UMUM 484.
25/10/2017 SALWA CITRA ASIFA VENFLON NO. 20 2056633 923350 42350 1
42350 ASURANSI 485.
25/10/2017 SUYATMININGRAT RINGER LACTAT (WIDA) CAIRAN 2057070 923493
20455 2 40910 BPJS 486.
25/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD ALAT PERAWATAN 2056874 901114
55000 1 55000 ASURANSI 487.
25/10/2017 SUYATMININGRAT SPUIT 5 CC TERUMO 2057070 923493 2248 5
11240 BPJS 488.
25/10/2017 RAFFA ATHAILLAH.CHAKIM KASSA STERIL 2057257 91519 1037 1
1037 BPJS 489.
25/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD TRIDEX 27 B CAIRAN 2056874
901114 30030 2 60060 ASURANSI 490.
25/10/2017 ROFIQ HARDIYANSYAH ALCOHOL SWABS 2057256 923562 249
10 2490 UMUM 491.
25/10/2017 FARHAAN NADHIR AMRULLAH,MUHAMMAD SPUIT 3 CC TERUMO 2056874 901114
1595 5 7975 ASURANSI 492.
25/10/2017 ROFIQ HARDIYANSYAH KASSA STERIL 2057256 923562 1037
1 1037 UMUM 493.
25/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 3 38955 ASURANSI 494.
25/10/2017 RAFFA ATHAILLAH.CHAKIM KA-EN 1B BPJS 2057257 91519 12985 1
12985 BPJS 495.
25/10/2017 ROFIQ HARDIYANSYAH ALAT PERAWATAN 2057256 923562 55000
1 55000 UMUM 496.
25/10/2017 NANA SLAMET SKIREN/CUKURAN 2057178 923514 8450 1 8450
UMUM 497.
25/10/2017 ALIF DIRGA WIBISANA,MOH KA-EN 1B BPJS 2057018 923469 12985
2 25970 UMUM 498.
25/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 3 CC TERUMO 2057257 91519 1595 1
1595 BPJS 499.
25/10/2017 SUNARKO SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056979 923457
18623 1 18623 BPJS 500.
25/10/2017 RAFFA ATHAILLAH.CHAKIM NASAL O2 ANAK (PASCHO) 2057257 91519 33418
1 33418 BPJS 501.
25/10/2017 NANA SLAMET RINGER LACTAT (WIDA) CAIRAN 2057178 923514 20455
2 40910 UMUM 502.
26/10/2017 ROFIQ HARDIYANSYAH SPUIT 10 CC TERUMO 2057256 923562
2811 1 2811 UMUM 503.
26/10/2017 BATRISYIA NABHAAN AMECCA INTROCAN SAFETY NO. 24 2056960 923451
53900 1 53900 ASURANSI 504.
26/10/2017 ROFIQ HARDIYANSYAH SPUIT 3 CC TERUMO 2057256 923562 1595
1 1595 UMUM 505.
26/10/2017 FARIT AGUSTINA INTROCAN SAFETY NO. 22 2057368 923597 53900
1 53900 UMUM 506.
26/10/2017 SUYATMININGRAT SPUIT 10 CC TERUMO 2057070 923493 2811
1 2811 BPJS 507.
26/10/2017 NANA SLAMET STEKPAN 2057178 923514 75816 1 75816 UMUM
508.
26/10/2017 YULI LUKITOWATI SPUIT 5 CC TERUMO 2057014 87215 2248 1 2248
BPJS 509.
26/10/2017 ABHAN SHULTANUL ALAM KA-EN 3B BPJS 2057325 907967 14399
1 14399 UMUM 510.
26/10/2017 SUNARKO SPUIT 3 CC TERUMO 2056979 923457 1595 3 4785
BPJS 511.
26/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 1 CC NIPRO U 100 2057257 91519 6607
1 6607 BPJS 512.
26/10/2017 SUYATMININGRAT RINGER LACTAT (WIDA) CAIRAN 2057070 923493
20455 1 20455 BPJS 513.
26/10/2017 RAFFA ATHAILLAH.CHAKIM KA-EN 1B BPJS 2057257 91519 12985 1
12985 BPJS 514.
26/10/2017 SUNARKO SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2056979 923457
18623 1 18623 BPJS 515.
26/10/2017 SANIJAH ALAT PERAWATAN 2057492 85272 55000 1 55000 UMUM
516.
26/10/2017 NANA SLAMET RINGER LACTAT (WIDA) CAIRAN 2057178 923514 20455
1 20455 UMUM 517.
26/10/2017 SANIJAH SPUIT 1 CC NIPRO U 100 2057492 85272 6607 1 6607
UMUM 518.
26/10/2017 ALIF DIRGA WIBISANA,MOH SPUIT 3CC NIPRO 2057018 923469 1401
3 4203 UMUM 519.
26/10/2017 BATRISYIA NABHAAN AMECCA SPUIT 3 CC TERUMO 2056960 923451
1595 3 4785 ASURANSI 520.
26/10/2017 SUNARKO SPUIT 3CC NIPRO 2056979 923457 1401 1 1401
BPJS 521.
26/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 1 12985 ASURANSI 522.
26/10/2017 SALWA CITRA ASIFA SPUIT 5 CC TERUMO 2056633 923350 2248 1
2248 ASURANSI 523.
26/10/2017 BATRISYIA NABHAAN AMECCA SPALK TE-10 (10 X 5CM) 2056960 923451
6930 1 6930 ASURANSI 524.
27/10/2017 SANIJAH TEGADERM DEWASA W1624 2057492 85272 8182 1 8182
UMUM 525.
27/10/2017 FARIT AGUSTINA SPUIT 10 CC TERUMO 2057368 923597 2811
1 2811 UMUM 526.
27/10/2017 SANIJAH DOPAMIN INJEKSI 2057492 85272 109340 1 109340
UMUM 527.
27/10/2017 SALWA CITRA ASIFA SPUIT 5 CC TERUMO 2056633 923350 2248 1
 2248 ASURANSI 528.
27/10/2017 ROFIQ HARDIYANSYAH RINGER LACTAT (WIDA) CAIRAN 2057256 923562
20455 1 20455 UMUM 529.
27/10/2017 BATRISYIA NABHAAN AMECCA SPUIT 3 CC TERUMO 2056960 923451
1595 1 1595 ASURANSI 530.
27/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 1 12985 ASURANSI 531.
27/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 1 CC NIPRO U 100 2057257 91519 6607
1 6607 BPJS 532.
27/10/2017 SANIJAH D5 500 ML CAIRAN 2057492 85272 18623 1 18623 UMUM
533.
27/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 3 CC TERUMO 2057257 91519 1595 1
1595 BPJS 534.
27/10/2017 SANIJAH INTRAFIX SAFESET 2057492 85272 46200 1 46200 UMUM
535.
27/10/2017 SANIJAH SODIUM CHLORIDE 500 ML(WIDA) CAIRAN 2057492 85272 18623
1 18623 UMUM 536.
27/10/2017 RAFFA ATHAILLAH.CHAKIM SPALK TE-15 (15 X 5CM) 2057257 91519 8663
1 8663 BPJS 537.
27/10/2017 SANIJAH SPUIT 1 CC NIPRO U 100 2057492 85272 6607 1 6607
UMUM 538.
27/10/2017 RAFFA ATHAILLAH.CHAKIM INTRAFIX SAFESET 2057257 91519 46200 1
46200 BPJS 539.
27/10/2017 SANIJAH SPUIT 5 CC TERUMO 2057492 85272 2248 1 2248 UMUM
540.
27/10/2017 RAFFA ATHAILLAH.CHAKIM INTROCAN SAFETY NO. 24 2057257 91519 53900
2 107800 BPJS 541.
27/10/2017 SANIJAH GELANG ALERGI 2057492 85272 3311 1 3311 UMUM
542.
27/10/2017 BATRISYIA NABHAAN AMECCA SPUIT 1 CC NIPRO U 100 2056960 923451
6607 1 6607 ASURANSI 543.
27/10/2017 SUNARKO SPUIT 5 CC TERUMO 2056979 923457 2248 1 2248
BPJS 544.
27/10/2017 SANIJAH INTROCAN SAFETY NO. 22 2057492 85272 53900 1 53900
UMUM 545.
27/10/2017 FARIT AGUSTINA SPUIT 3 CC TERUMO 2057368 923597 1595 1
1595 UMUM 546.
28/10/2017 AIMATUL MAGHFIROH RAMADHANI RINGER LACTAT (WIDA) CAIRAN 2057515
902169 20455 1 20455 ASURANSI 547.
28/10/2017 SAIFUL HUDA ALCOHOL SWABS 2057651 923676 249 20 4980
UMUM 548.
28/10/2017 FARIT AGUSTINA SPUIT 10 CC TERUMO 2057368 923597 2811
1 2811 UMUM 549.
28/10/2017 SAIFUL HUDA ALAT PERAWATAN 2057651 923676 55000 1 55000
UMUM 550.
28/10/2017 KHOIRUN NISAK SPUIT 10 CC TERUMO 2057329 915531 2811
2 5622 ASURANSI 551.
28/10/2017 BATRISYIA NABHAAN AMECCA SPUIT 1 CC NIPRO U 100 2056960 923451
6607 1 6607 ASURANSI 552.
28/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 1 CC NIPRO U 100 2057257 91519 6607
1 6607 BPJS 553.
28/10/2017 BATRISYIA NABHAAN AMECCA KA-EN 1B BPJS 2056960 923451
12985 1 12985 ASURANSI 554.
28/10/2017 RAFFA ATHAILLAH.CHAKIM SPUIT 3 CC TERUMO 2057257 91519 1595 1
1595 BPJS 555.
28/10/2017 RAFFA ATHAILLAH.CHAKIM KA-EN 1B BPJS 2057257 91519 12985 1
12985 BPJS 556.
28/10/2017 AIMATUL MAGHFIROH RAMADHANI SPUIT 3 CC TERUMO 2057515 902169
1595 1 1595 ASURANSI 557.
28/10/2017 NANA SLAMET SPUIT 1 CC NIPRO U 100 2057178 923514 6607 1
6607 UMUM 558.
28/10/2017 NANA SLAMET RINGER LACTAT (WIDA) CAIRAN 2057178 923514 20455
1 20455 UMUM 559.
28/10/2017 NANA SLAMET SPUIT 3 CC TERUMO 2057178 923514 1595 1 1595
UMUM 560.
28/10/2017 HANUM ANGELINA UTOMO, AN SODIUM CHLORIDE 500 ML(WIDA) CAIRAN
2057561 923639 18623 1 18623 ASURANSI 561.
28/10/2017 HANUM ANGELINA UTOMO, AN ALCOHOL SWABS 2057561 923639
249 20 4980 ASURANSI 562.
28/10/2017 AIMATUL MAGHFIROH RAMADHANI SPUIT 5 CC TERUMO 2057515 902169
2248 2 4496 ASURANSI 563.
28/10/2017 SAIFUL HUDA KASSA STERIL 2057651 923676 1037 1 1037
UMUM 564.
29/10/2017 SAIFUL HUDA SPUIT 3 CC TERUMO 2057651 923676 1595 2 3190
UMUM 565.
29/10/2017 HANUM ANGELINA UTOMO, AN SPUIT 3 CC TERUMO 2057561 923639
1595 2 3190 ASURANSI 566.
29/10/2017 NANA SLAMET KASSA STERIL 2057178 923514 1037 6 6222
UMUM 567.
29/10/2017 NANA SLAMET SPUIT 10 CC TERUMO 2057178 923514 2811 1
2811 UMUM 568.
29/10/2017 KASTUR URINAL LAKI-LAKI 2057684 923695 12320 1 12320
ASURANSI 569.
29/10/2017 KHOIRUN NISAK SODIUM CHLORIDE 100 ML CAIRAN 2057329 915531
18480 1 18480 ASURANSI 570.
29/10/2017 KASTUR ALCOHOL SWABS 2057684 923695 249 10 2490
ASURANSI 571.
29/10/2017 SAIFUL HUDA SODIUM CHLORIDE 100 ML CAIRAN 2057651 923676 18480
1 18480 UMUM 572.
29/10/2017 SAIFUL HUDA RINGER LACTAT (WIDA) CAIRAN 2057651 923676 20455
1 20455 UMUM 573.
29/10/2017 HANUM ANGELINA UTOMO, AN SODIUM CHLORIDE 500 ML(WIDA) CAIRAN
2057561 923639 18623 1 18623 ASURANSI 574.
29/10/2017 AIMATUL MAGHFIROH RAMADHANI INTROCAN SAFETY NO. 22 2057515 902169
53900 1 53900 ASURANSI 575.
29/10/2017 AIMATUL MAGHFIROH RAMADHANI RINGER LACTAT (WIDA) CAIRAN 2057515
902169 20455 1 20455 ASURANSI 576.
29/10/2017 SAIFUL HUDA INTROCAN SAFETY NO. 22 2057651 923676 53900 1
53900 UMUM 577.
29/10/2017 KHOIRUN NISAK SPUIT 10 CC TERUMO 2057329 915531 2811
1 2811 ASURANSI 578.
29/10/2017 AIMATUL MAGHFIROH RAMADHANI SPUIT 5 CC TERUMO 2057515 902169
2248 1 2248 ASURANSI 579.
30/10/2017 FARADIBA NAYAKA PERMATA G ALCOHOL SWABS 2057703 922877
249 20 4980 BPJS 580.
30/10/2017 KASTUR SODIUM CHLORIDE 100 ML CAIRAN 2057684 923695 18480
1 18480 ASURANSI 581.
30/10/2017 FARADIBA NAYAKA PERMATA G SPUIT 3CC NIPRO 2057703 922877
1401 1 1401 BPJS 582.
30/10/2017 KASTUR SPUIT 10 CC TERUMO 2057684 923695 2811 1
2811 ASURANSI 583.
30/10/2017 KASTUR SPUIT 1 CC NIPRO U 100 2057684 923695 6607 1
6607 ASURANSI 584.
30/10/2017 ASNA IMAM MUSYAFA' ALI,M VERBAN 10 CM 2057837 91647 2649
1 2649 UMUM 585.
30/10/2017 KASTUR KASSA STERIL 2057684 923695 1037 8 8296
ASURANSI 586.
30/10/2017 KASTUR RINGER LACTAT (WIDA) CAIRAN 2057684 923695 20455
 1 20455 ASURANSI 587.
30/10/2017 ASNA IMAM MUSYAFA' ALI,M ALAT PERAWATAN 2057837 91647 55000
1 55000 UMUM 588.
30/10/2017 FARADIBA NAYAKA PERMATA G ASERING BPJS 2057703 922877
12985 1 12985 BPJS 589.
30/10/2017 RIFQI AHSANI KASSA STERIL 2057833 923742 1037 1
1037 UMUM 590.
30/10/2017 HANUM ANGELINA UTOMO, AN KA-EN 1B BPJS 2057561 923639
12985 1 12985 ASURANSI 591.
30/10/2017 RIFQI AHSANI ALCOHOL SWABS 2057833 923742 249 20
4980 UMUM 592.
30/10/2017 KHOIRUN NISAK SPUIT 5 CC TERUMO 2057329 915531 2248 1
2248 ASURANSI 593.
30/10/2017 SABIAN FAHRI ENDRA A SPUIT 3CC NIPRO 2057732 90570 1401 1
1401 PERUSAHAAN 594.
30/10/2017 SAIFUL HUDA SPUIT 3CC NIPRO 2057651 923676 1401 2 2802
UMUM 595.
30/10/2017 SAIFUL HUDA SPUIT 5 CC TERUMO 2057651 923676 2248 1 2248
UMUM 596.
30/10/2017 KASTUR SPUIT 3CC NIPRO 2057684 923695 1401 2 2802
ASURANSI 597.
30/10/2017 SAIFUL HUDA RINGER LACTAT (WIDA) CAIRAN 2057651 923676 20455
1 20455 UMUM 598.
30/10/2017 FARADIBA NAYAKA PERMATA G SPUIT 5 CC TERUMO 2057703 922877
2248 1 2248 BPJS 599.
30/10/2017 SABIAN FAHRI ENDRA A KASSA STERIL 2057732 90570 1037 1
1037 PERUSAHAAN 600.
30/10/2017 FARADIBA NAYAKA PERMATA G KASSA STERIL 2057703 922877
1037 1 1037 BPJS 601.
30/10/2017 SABIAN FAHRI ENDRA A ALCOHOL SWABS 2057732 90570 249 20
4980 PERUSAHAAN 602.
Total '11415718