Hutang Jatuh Tempo

No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal

1 TSM 18TSM03992 27/11/18 Rp 375,000
2 TSM 18TSM03993 27/11/18 Rp 775,000
3 IGM 1220010153 30/12/18 Rp 1,081,377
4 APL 1220032592 22/11/18 Rp 831,820
5 WSM WSMK227/18 28/11/18 Rp 792,200
Total Rp 3,855,397
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 TSM 18TSM03992 27/11/18 Rp 375,000
2 TSM 18TSM03993 27/11/18 Rp 775,000
3 WSM WSMK197/18 26/11/18 Rp 800,250
4 WSM WSMK227/18 28/11/18 Rp 792,200
5 MMP 116/SAL/INV/BDG2/11/18 28/11/18 Rp 441,815
6 MMP SAL/INV/BDG2/11/18 28/11/18 Rp 2,071,393
Total Rp 5,255,658
 FAKTUR JATUH TEMPO
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 BSP FKTSK/201812/0117 3/1/2018 Rp 96,140
2 BSP FKTSK/201812/01176 3/1/2018 Rp 127,875
3 BSP FKTSK/201812/01177 3/1/2018 Rp 71,280
4 BSP FKTSK/201812/01178 3/1/2018 Rp 132,000
6 TSM 18TSM04256 12/12/2018 Rp 740,000
7 MMP 011/MMPBDG2/12/18 5/12/2018 Rp 1,052,601
8 MMP 057/SAL/INV/BDG2/12/18 13/12/18 Rp 1,296,790
9 WSM WSML044/18 12/12/2018 Rp 369,250
10 APL 1220023168 6/12/2018 Rp 836,000
11 APL 1220026847 12/12/2018 Rp 1,098,075
12 APL 1220037499 28/12/18 Rp 1,540,550
16 RAJAWALI FKT/BDG/2018/00017438 27/12/18 Rp 114,754
17 RAJAWALI FKT/BDG/2018/00017437 27/12/18 Rp 184,437
20 IGM 1220010561 12/12/2018 Rp 1,128,714
21 IGM 1220010638 14/12/18 Rp 540,306
22 AAM 36180067528 26/11/18 Rp 577,500
23 TEMPO 1044049308 30/11/18 Rp 288,462
24 MPI 133418017221 13/11/18 Rp 1,769,730
25 MPI 133418017262 13/11/18 Rp 2,796,420
26 MPI 133418017417 15/11/18 Rp 792,110
29 MPI 133418/017777 20/11/18 Rp 2,976,188
30 MPI 133418018006 22/11/18 Rp 2,165,196
31 MPI 133418018025 23/11/18 Rp 2,164,800
32 MPI 133418018436 10/11/2018 Rp 563,200
33 MPI 133418018434 10/11/2018 Rp 783,750
34 MPI 133418019111 14/12/18 Rp 1,536,975
35 MPI 133418019110 14/12/18 Rp 3,222,780
36 MPI 133418019634 21/12/18 Rp 2,462,900
37 MPI 133418019145 14/12/18 Rp 1,245,794
22 combi 18ECO56 20/12/18 Rp 650,913
19 WSM WSML174/18 19/12/18 Rp 1,409,500
total Rp 34,734,989
 SISA KESELURUHAN HUTANG
DARI TGL. 24/11/18 S/D 18/01/18
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 KF 2801544829 24/11/18 Rp 356,642
2 TSM 18TSM04145 5/12/2018 Rp 1,200,000
3 AMS INVBDG181107178 26/12/18 Rp 1,288,980
4 AMS INVBDG181107160 26/12/18 Rp 928,125
5 AMS INVBDG181108329 29/12/18 Rp 297,000
6 AMS INVBDG181109082 30/12/18 Rp 979,275
7 TEMPO 1014074988 30/12/18 Rp 246,000
8 Apotek siaga jaya 26/12/18 Rp 1,190,200
9 PENTA VALEN 400109180016820 11/1/2019 Rp 1,859,055
10 BSP FKTSK/201812/04709 11/1/2019 Rp 96,140
11 BSP FKTSK/201812/04714 11/1/2019 Rp 261,690
12 BSP FKTSK/201812/04713 11/1/2019 Rp 620,400
13 BSP FKTSK/201812/04712 11/1/2019 Rp 132,000
14 TEMPO 1044051971 13/01/19 Rp 364,000
15 AMS INVBDG181202958 13/01/19 Rp 2,150,474
16 PENTA VALEN 400109180016861 12/1/2019 Rp 418,275
17 MPI 133418020503 4/1/2019 Rp 1,278,557
18 COMBI 18DY843 12/1/2019 Rp 565,818
19 TSM 18TSM04369 19/12/18 Rp 1,140,000
20 MMP 101/SAL/INV/BDG2/12/18 20/12/18 Rp 2,191,467
21 BSP FKTSK/201811/11415 26/12/18 Rp 9,672,465
22 Penta Valent 40010918017222 18/01/19 Rp 2,078,450
23 RAJAWALI FKT/BDG/2018/00016225 12/12/2018 Rp 109,560
24 RAJAWALI FKT/BDG/2018/00016226 12/12/2018 Rp 19,000
25 RAJAWALI FKT/BDG/2018/00016600 17/12/18 Rp 50,534
26 RAJAWALI FKT/BDG/2018/00017811 2/1/2018 Rp 236,795
27 RAJAWALI FKT/BDG/2018/00017812 2/1/2018 Rp 307,395
28 PV 400109180013852 24/11/18 Rp 2,145,000
29 SCI 534496 12/12/2018 Rp 1,540,000
30 AMS INVBDG181205185 18/01/19 Rp 2,658,478
31 IGM 1220010945 21/12/18 Rp 882,131
32 IGM 1220010943 21/12/18 Rp 192,920
33 IGM 1220010946 21/12/18 Rp 2,359,001
34 RAJAWALI FKT/BDG/2018/00018328 9/1/2018 Rp 461,092
35 RAJAWALI FKT/BDG/2018/00018327 9/1/2018 Rp 208,066
36 MPI 133418020886 11/1/2018 Rp 6,608,580
total Rp 47,093,565
 FAKTUR JATUH TEMPO
DARI TGL. 05/12/18 S/D 30/12/18
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 BSP FKTSK/201811/11415 26/12/18 Rp 9,672,465
2 TEMPO 1014074988 30/12/18 Rp 246,000
3 TSM 18TSM04145 5/12/2018 Rp 1,200,000
4 SCI 534496 12/12/2018 Rp 1,540,000
5 AMS INVBDG181107178 26/12/18 Rp 1,288,980
6 AMS INVBDG181107160 26/12/18 Rp 928,125
7 AMS INVBDG181108329 29/12/18 Rp 297,000
8 AMS INVBDG181109082 30/12/18 Rp 979,275
TOTAL Rp 16,151,845
 SISA KESELURUHAN HUTANG
DARI TGL. 09/01/19 S/D 28/01/19
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 Penta Valent 40010918017222 18/01/19 Rp 2,078,450
2 AMS INVBDG181205185 18/01/19 Rp 2,658,478
3 APL 1220055878 25/01/19 Rp 4,065,111
4 BSP FKTSK/201812/11542 25/01/19 Rp 1,681,500
5 BSP FKTSK/201812/11543 25/01/19 Rp 368,500
6 BSP FKTSK/201812/11549 25/01/19 Rp 95,040
8 MPI 133418021156 17/01/19 Rp 3,803,360
9 MPI 133418021104 17/01/19 Rp 3,893,670
10 BSP FKTSK/201812/11761 26/01/19 Rp 620,400
11 AAM 36180074858 26/01/19 Rp 1,978,040
12 WSM WSML254/18 27/01/19 Rp 495,400
13 PENTA VALEN 400109180017641 26/01/19 Rp 324,967
14 SIAGA jaya 24/01/19 Rp 873,000
15 BSP FKTSK/201812/12845 27/01/19 Rp 1,083,830
16 MPI 133418021279 18/01/19 Rp 426,800
17 AMS INVBDG181207935 28/01/18 Rp 131,083
18 RAJAWALI FKT/BDG/2018/00018887 18/01/19 Rp 236,794
19 BSP FKTSK/201812/12851 27/12/18 Rp 10,233,300
20 MMP007/MMPBDG2-RS-ANNISA QUEEN/1/2019 6/2/2019 Rp 240,570
21 COMBI 1911554 8/2/2019 Rp 575,790
22 MPI 133419000419 30/01/19 Rp 2,365,825
23 AMS INVBDG190102176 8/2/2019 Rp 742,500
24 MMP 041/SAL/INV/BDG2/01/19 9/2/2019 Rp 1,086,015
25 AMS INVBDG181202958 13/01/19 Rp 2,150,474
total Rp 42,208,897
 PENGAJUAN PEMBAYARAN FAKTUR JATUH TEMPO YANG SUDAH ADA KONTRA BON
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
1 KF 2801544829 24/11/18 Rp 356,642
2 TSM 18TSM04369 19/12/18 Rp 1,140,000
3 MMP 101/SAL/INV/BDG2/12/18 20/12/18 Rp 2,191,467
4 RAJAWALI FKT/BDG/2018/00017811 2/1/2018 Rp 236,795
5 RAJAWALI FKT/BDG/2018/00017812 2/1/2018 Rp 307,395
6 IGM 1220010945 21/12/18 Rp 882,131
7 IGM 1220010943 21/12/18 Rp 192,920
8 IGM 1220010946 21/12/18 Rp 2,359,001
9 RAJAWALI FKT/BDG/2018/00016225 12/12/2018 Rp 109,560
10 RAJAWALI FKT/BDG/2018/00016226 12/12/2018 Rp 19,000
11 RAJAWALI FKT/BDG/2018/00016600 17/12/18 Rp 50,534
12 TSM 18TSM04552 31/12/18 Rp 555,000
13 MPI 133418020503 4/1/2019 Rp 1,278,557
14 PENTA VALEN 400109180016820 11/1/2019 Rp 1,859,055
15 BSP FKTSK/201812/04709 11/1/2019 Rp 96,140
16 BSP FKTSK/201812/04714 11/1/2019 Rp 261,690
17 BSP FKTSK/201812/04713 11/1/2019 Rp 620,400
18 BSP FKTSK/201812/04712 11/1/2019 Rp 132,000
19 TEMPO 1044051971 13/01/19 Rp 364,000
20 COMBI 18DY843 12/1/2019 Rp 565,818
21 RAJAWALI FKT/BDG/2018/00018328 9/1/2018 Rp 461,092
22 RAJAWALI FKT/BDG/2018/00018327 9/1/2018 Rp 208,066
23 MPI 133418020886 11/1/2018 Rp 6,608,580
24 PENTA VALEN 400109180016861 12/1/2019 Rp 418,275

TOTAL Rp 21,274,118
 REKAPITULASI KESELURUHAN HUTANG APOTEK
No. Nama PBF No. Faktur Tgl. Jth Tempo Nominal
40 WSM WSM A203/19 22/02/19 Rp 100,000

41 KF 2801544829 24/11/18 Rp 356,642

42 TSM 18TSM04369 19/12/18 Rp 1,140,000

43 MMP 101/SAL/INV/BDG2/12/18 20/12/18 Rp 2,191,467

44 RAJAWALI FKT/BDG/2018/00017811 2/1/2018 Rp 236,795

45 RAJAWALI FKT/BDG/2018/00017812 2/1/2018 Rp 307,395

46 IGM 1220010945 21/12/18 Rp 882,131

47 IGM 1220010943 21/12/18 Rp 192,920

48 IGM 1220010946 21/12/18 Rp 2,359,001

49 RAJAWALI FKT/BDG/2018/00016225 12/12/2018 Rp 109,560

50 RAJAWALI FKT/BDG/2018/00016226 12/12/2018 Rp 19,000

51 RAJAWALI FKT/BDG/2018/00016600 17/12/18 Rp 50,534

52 TSM 18TSM04552 31/12/18 Rp 555,000

53 MPI 133418020503 4/1/2019 Rp 1,278,557

54 PENTA VALEN 400109180016820 11/1/2019 Rp 1,859,055

55 BSP FKTSK/201812/04709 11/1/2019 Rp 96,140

56 BSP FKTSK/201812/04714 11/1/2019 Rp 261,690

57 BSP FKTSK/201812/04713 11/1/2019 Rp 620,400

58 BSP FKTSK/201812/04712 11/1/2019 Rp 132,000

59 TEMPO 1014078509 1/25/2019 Rp 246,000

60 TEMPO 1044051971 13/01/19 Rp 364,000

61 COMBI 18DY843 12/1/2019 Rp 565,818

62 RAJAWALI FKT/BDG/2018/00018328 9/1/2018 Rp 461,092

63 RAJAWALI FKT/BDG/2018/00018327 9/1/2018 Rp 208,066

64 MPI 133418020886 11/1/2018 Rp 6,608,580

65 PENTA VALEN 400109180016861 12/1/2019 Rp 418,275

66 PT KIMIA FARMA 230158021910 VAKSIN Rp 3,862,375

67 BIO FARMA Rp 5,512,375

TOTAL Rp 85,835,341
REKAPITULASI PENGAJUAN PEMBAYARAN FAKTUR JATUH TEMPO (SUDAH ADA KONTRA BON )

No. Nama PBF No. Faktur Tgl Masuk Tgl. Jth Tempo

1 Penta Valent 40010918017222 20/12/2018 18/01/19

2 AMS INVBDG181205185 21/12/2018 18/01/19

3 APL 1220055878 27/12/2018 25/01/19

7 MPI 133418021156 28/12/18 17/01/19

8 MPI 133418021104 28/12/2018 17/01/19

10 AAM 36180074858 28/12/2018 26/01/19

12 PENTA VALEN 400109180017641 28/12/2018 26/01/19

16 AMS INVBDG181207935 31/12/2018 28/01/18

20 COMBI 1911554 10/1/2019 8/2/2019

24 AMS INVBDG181202958 13/12/2018 13/01/19

24 AMS INVBDG181202958 13/12/2018 13/01/19

28 COMBI 1918630 14/01/2019 10/2/2019

44 RAJAWALI FKT/BDG/2018/00017811 2/12/2018 2/1/2019

45 RAJAWALI FKT/BDG/2018/00017812 2/12/2018 2/1/2019
49 RAJAWALI FKT/BDG/2018/00016225 23/11/2018 12/12/2018
50 RAJAWALI FKT/BDG/2018/00016226 23/11/2018 12/12/2018

51 RAJAWALI FKT/BDG/2018/00016600 30/11/2018 17/12/18

53 MPI 133418020503 15/12/2018 4/1/2019

54 PENTA VALEN 400109180016820 13/12/2018 11/1/2019

61 COMBI 18DY843 18/12/2018 12/1/2019

62 RAJAWALI FKT/BDG/2018/00018328 21/12/2018 9/1/2018

63 RAJAWALI FKT/BDG/2018/00018327 21/12/2018 9/1/2018

64 MPI 133418020886 21/12/2018 11/1/2018

65 PENTA VALEN 400109180016861 14/12/18 12/1/2019

4 BSP FKTSK/201812/11542 12/27/2018 25/01/19

5 BSP FKTSK/201812/11543 12/27/2018 25/01/19

6 BSP FKTSK/201812/11549 27/12/2018 25/01/19

9 BSP FKTSK/201812/11761 28/12/2018 26/01/19

14 BSP FKTSK/201812/12845 12/29/2018 27/01/19

17 RAJAWALI FKT/BDG/2018/00018887 04/01/2019 18/01/19

41 KF 2801544829 26/10/2018 24/11/18

42 TSM 18TSM04369 18/12/2018 19/12/18

42 TSM 18TSM04369 18/12/2018 19/12/18

43 MMP 101/SAL/INV/BDG2/12/18 19/12/2018 20/12/18

46 IGM 21/12/2018 21/12/2018 21/12/18

47 IGM 1220010943 21/12/2018 21/12/18

48 IGM 1220010946 21/12/2018 21/12/18

52 TSM 18TSM04552 31/12/2018 31/12/18

55 BSP FKTSK/201812/04709 13/12/2018 11/1/2019

56 BSP FKTSK/201812/04714 13/12/2018 11/1/2019
57 BSP FKTSK/201812/04713 13/12/2018 11/1/2019
58 BSP FKTSK/201812/04712 13/12/2018 11/1/2019
59 TEMPO 568653 22/12/2018 1/25/2019
60 TEMPO 1044051971 13/12/2018 13/01/19
66 PT KIMIA FARMA 230158021910 VAKSIN
67 BIO FARMA
TOTAL

KESIMPULAN
NAMA OBAT QTY
ABBOCATH NO 22G 60 PCS
ABBOCATH NO 24G 30PCS
ACYCLOVIR TABLET 50 TAB
ALKOHOL 1 LITER MEDIKA 1 BTL
AMBROXOL TABLET 300 TAB
AMIKACIN INJ 20 AMP
AMOXSAN PAED DROPS 30 4 FLS
APIALYS DROP 35 FLS
ASAM TRANEKSAMAT INJ 30 AMP
ASERING (JKN) - SOFTBG 500 ML - OL 20
ATRACURIUM INJ 20 AMP
BIOTHICOL FORTE DRY SYRUP 20FLS
BUPIVACAINE INJ 20 AMP
CARBOZOCHROME INJ 10 AMP
CEFIXIME 100MG KAPS 1 BOX
CEFIXIME 200MG 50 TAB
CEFOTAXIME INJ 200 VIAL
CEFTRIAXON INJ 100 VIAL
CENDO ALBUVIT DROP 7 TUBE
CHROMA BALLON CATHETER 2 WAY FR 20 (0/0) 3 PCS
COLTIN CAPS 120 KAPS
COMBIVENT 2,5 ML UDV-AS 4 BOX
COTRIMOXAZOL TABLET 100 TAB
DAKTARIN ORAL GEL 6 TUBE
DARYA ZINC SYR 5 FLS
DEXAMETHASON TABLET 100 TAB
DEXKETOPROFEN INJ 10 AMP
DHAVIT SYR 80 FLS
DISP SYRINGE 1 CC KIMSMED (0/0) 200 PCS
DISP SYRINGE 10 CC KIMSMED (0/0) 200 PCS
DISP SYRINGE 3 CC KIMSMED (0/0) 300 PCS
DISP SYRINGE 5 CC KIMSMED (0/0) 200 PCS
ERYSANBE DRY SYR 4 FLES
EXTROPECT TAB 200 TAB
FORASMA SYR 10 FLS
FORASMA TAB 250 TAB
FORIFEK DRY SYRUP 9 FLS
FORIFEK FORTE DRY SYRUP 5 BOTOL
FULADIC CR 12 TUBE
GLUKOSA 10% (OGB) - BTL 500 ML - WI 20 BTL
GLUKOSA 5% (OGB) - BTL 500 ML - WI 20 BTL
IMUNPED DROP 10 FLS
IMUNPED SYR 10 FLS
INFUSET TYPE 200 - JMS 20 PCS
IODINE POVIDONE 1 LITER BRATACO 1 BTL
ISOPRINOSIN SYR 12 FLS
KASA 40X 80 BUNDA HUSADA BIRU 4 ROL
KETEROLAC INJ 84 AMP
LASAL SYR 10 FLS
LATROPIL SYR 6 FLS
LAXOBERON DROP 6 FLS
LEUKOPAST ROLL 7,5CM X 4,5 CM 3 ROL
LIDOCAINE INJ 100 AMP
MAGANOL TAB 240 TAB
MAS BLOOD TRANFUSION SET WITH Y-INJECTOR (20/ 10 PCS
MAS EXAMINATION GLOVES PRE-POWDERED M (AKD) 2 BOX
MAS PEDIATRIC SUCTION SET (MUCUS EXTRACTOR) FG 6 PCS
MAS URINE BAG 2000 ML (0/0) 15 PCS
MEDICARE MASK EARLOOP 1 BOX
MEDIC-DENT STERILE POWDERED LATEX SURGICAL GLO30 PAIR
MEDIC-DENT STERILE POWDERED LATEX SURGICAL GLO50 PAIR
METRONIDAZOLE INF 15
MICROLAX CREAM 4 TUBE
MYCO Z OINT 9 TUBE
NAPREX SYR 30 FLS
NATRIUM CHLORIDA (OGB) - BTL 500 ML -WI 100
NB RYL 1 ACTIDUO 400G FB 3 ST
NEUROHAX TAB 100 TAB
NIRAL SYR 13 FLS
NORAGES DROPS 10 FLS
OI AMBROXOL 15 MG/5 MG SIROP BOTOL 60 ML (MULTI10 BOXT)
FLS
OI MELOXICAM 15 MG TAB KOTAK 50 ( S STRIP @ 10 100 TAB
OI MELOXICAM 7,5 MG TAB KOTAK 50 ( S STRIP @ 10 100 TAB
ONDANSETRON INJ 45 AMP
ORALIT SACH 100 SACH
PARACETAMOL INF 10
PEHACAIN INJ 20 AMP
PROBI SACH 2 BOX
PROFEN SUSP 6 FLS
PROPOFOL INJ 20
PRORIS SUSPENSI 1
PYRAZINAMIDE 500 MG (DUS 100 TAB) 200 TAB
Q CEF TABLET 60 TAB
RANITIDINE INJ 140 AMP
RHELAFEN SUSP 10 FLS
RIFAMPICIN 600 MG (DUS 100TAB) 200 TAB
RIFAMTIBI 600 MG CAP 300 TAB
RINGER LAKTAT (OGB) - BTL 500 ML - WI 200
SAGESTAM CREAM 30 TUBE
SAGESTAM INJ 17 X 5 AMPUL 20 BOX
SIRPLUS RASA JERUK 6 FLS
SIRPLUS RASA STOBERY 6 FLS
SMECTHA SACH 30 SACH
SODIUM VALPROA TE 250 MG SYR/120 ML 15 BTL
SODIUM VALPROATE SYR 15 FLS
SUCRALFAT SYR 8 FLS
TB VIT TABLET 300 TAB
T-BOND 1 12 PCS
T-CHROMIC 2-0 12 PCS
T-CHROMIC 3-0 12 PCS
THIAMPENICOL KAPS 100 CAPS
T-MONO 3-0 12 PCS
T-NYLON 2-0 12 PCS
T-NYLON 3-0 12 PCS
T-NYLON 5-0 12 PCS
T-VIO 0 12 PCS
T-VIO 1 12 PCS
T-VIO 2-0 12 PCS
T-VIO 3-0 12 PCS
VELLEPSY SYR 15 FLS
VITACUR SYR 10 BTL
ZINC TABLET 100 TAB
 Nama Obat QTY Nominal
EXTROPECT TAB 200
FORASMA TAB 50
FULADIC CR 6
NEUROHAX TAB 100 Rp 2,078,450
MAGANOL TABLET 120
DHAVIT SYR 20
NIRAL SYR 13
KETEROLAK INJ 24
METRONIDAZOLE INF 15
RANITIDINE INJ 80
ONDANSETRON INJ 25
CARBOZOCHROME INJ 10 Rp 2,656,478
PARACETAMOL INF 10
ATRACURIUM INJ 20
BUPIVACAINE INJ 20
PROPOFOL INJ 20
ISOPRINOSIN SYR 12
PROBI SACH 2 BOX
NAPREX SYR 30
Rp 4,065,111
IMUNPED DROP 10
IMUNPED SYR 10
DARYA ZINC SYR 5
APIALYS DROP 20
SUCRALFAT SYR 8
DHAVIT SYR 30
FORASMA TABLET 200
FORASMA SYR 10
Rp 3,803,360
COLTIN CAPS 60
VITACUR SYR 4 BTL
LASAL SYR 10
FULADIC CR 6
Q CEF TABLET 30
T-VIO 0 12
T-VIO 1 12
Rp 3,893,670
T-VIO 3-0 12
T-CHROMIC 3-0 12
CEFOTAXIME INJ 200
CEFTRIAXON INJ 100 Rp 1,978,040
CEFIXIME 100MG KAPS 1 BOX
TB VIT TABLET 300
SIRPLUS RASA JERUK 3 Rp 324,967
SIRPLUS RASA STOBERY 3
CEFIXIME 200MG 50 Rp 131,083
CENDO ALBUVIT DROP 3
Rp 575,790
LAXOBERON DROP 6
PRORIS SUSPENSI 1
KETEROLAC INJ 60
RANITIDINE INJ 60
ONDANSETRON INJ 20
Rp 2,150,474
ASAM TRANEKSAMAT INJ 30
VELLEPSY SYR 15
 Rp 2,150,474

DEXKETOPROFEN INJ 10
MEDICARE MASK EARLOOP 50
DAKTARIN ORAL GEL 6
MYCO-Z-OINT 3
Rp 715,300
PEHACAIN INJ 20
SMECTHA SACH 30
SODIUM VALPROATE SYR 15 Rp 236,795
AMIKACIN INJ 10 Rp 307,395
LIDOCAINE INJ 100 Rp 109,560
ACYCLOVIR TABLET 50 Rp 19,000
AMBROXOL TABLET 100
Rp 50,534
COTRIMOXAZOL TABLET 100
APIALYS DROP 15
LATROPIL SYR 6
Rp 1,278,557
RHELAFEN SUSP 10
VITACUR SYR 6
Q CEF TABLET 30
PROFEN SUSP 6
MAGANOL TAB 120
DHAVIT SYR 30 Rp 1,859,055
COLTIN CAPS 60
SIRPLUS RASA JERUK 3
SIRPLUS RASA STRAWBERY 3
CENDO ALBUVIT DROP 4
MICROLAX CREAM 4 Rp 565,818
MYCO Z OINT 6
AMIKACIN INJ 10 Rp 461,092
DEXAMETHASON TABLET 100
THIAMPENICOL KAPS 100
Rp 208,066
ZINC TABLET 100
ORALIT SACH 100
T-VIO 2-0 12
T-MONO 3-0 12
T-BOND 1 12
T-NYLON 2-0 12 Rp 6,608,580
T-NYLON 3-0 12
T-NYLON 5-0 12
T-CHROMIC 2-0 12
NORAGES DROPS 10 Rp 418,275
RIFAMTIBI 600 MG CAP 3 BOX Rp 1,849,650
SAGESTAM INJ 17 X 5 AMPUL 20 BOX
Rp 368,500
SAGESTAM CREAM 20 TUBE
ERYSANBE DRY SYR 4 FLES Rp 95,040
BIOTHICOL FORTE DRY SYRUP 10 FLES Rp 620,400
FORIFEK DRY SYRUP 6 FLES
Rp 1,083,830
FORIFEK FORTE DRY SYRUP 5 BOTOL
SODIUM VALPROA TE 250 MG SYR/120 ML 1 BOTOL
Rp 236,794
SODIUM VALPROA TE 250 MG SYR/120 ML 14 BOTOL
PYRAZINAMIDE 500 MG (DUS 100 TAB) 2 DUS
Rp 356,642
RIFAMPICIN 600 MG (DUS 100TAB) 2 DUS
KASA 40X 80 BUNDA HUSADA BIRU 4 ROL
ABOCATH N0 24G 10 PCS
ALKOHOL 1 LITER MEDIKA 1 BTL
Rp 1,140,000
IODINE POVIDONE 1 LITER BRATACO 1 BTL
 Rp 1,140,000

LEUKOPAST ROLL 7,5CM X 4,5 CM 3 ROL

INFUSET TYPE 200 - JMS 20 PCS
MEDIC-DENT STERILE POWDERED LATEX SURGICAL GLOVES 7 (0/0) 30 PAIR
MEDIC-DENT STERILE POWDERED LATEX SURGICAL GLOVES 7,5 (0/0) 50 PAIR
POLYWIN IV CANNULA 22G (0/0) 50 PCS
CHROMA BALLON CATHETER 2 WAY FR 20 (0/0) 3 PCS
MAS PEDIATRIC SUCTION SET (MUCUS EXTRACTOR) FG 10 (0/0) 6 PCS
MAS URINE BAG 2000 ML (0/0) 15 PCS
Rp 2,191,467
MAS BLOOD TRANFUSION SET WITH Y-INJECTOR (20/0) 10 PC S
DISP SYRINGE 1 CC KIMSMED (0/0) 200 PCS
DISP SYRINGE 3 CC KIMSMED (0/0) 300 PCS
DISP SYRINGE 5 CC KIMSMED (0/0) 200 PCS
DISP SYRINGE 10 CC KIMSMED (0/0) 200 PCS
MAS EXAMINATION GLOVES PRE-POWDERED M (AKD) (0/0) 2 BOX
OI AMBROXOL 30 MG TABLET KOTAK 100 (10 BLISTER @ 10 TABLET) 2
OI AMBROXOL 15 MG/5 MG SIROP BOTOL 60 ML (MULTI BOXT) 10
Rp 882,131
OI MELOXICAM 15 MG TAB KOTAK 50 ( S STRIP @ 10 TABLET) 2
OI MELOXICAM 7,5 MG TAB KOTAK 50 ( S STRIP @ 10 TABLET) 2
ASERING (JKN) - SOFTBG 500 ML - OL 20 Rp 192,920
NATRIUM CHLORIDA (OGB) - BTL 500 ML -WI 100
RINGER LAKTAT (OGB) - BTL 500 ML - WI 200
Rp 2,359,001
GLUKOSA 10% (OGB) - BTL 500 ML - WI 20
GLUKOSA 5% (OGB) - BTL 500 ML - WI 20
ABBOCATH NO 24G 20 PCS
Rp 555,000
ABBOCATH NO 22G 10 PCS
AMOXSAN PAED DROPS 30 4 FLES Rp 96,140
FORIFEK DRY SYRUP 3 FLES Rp 261,690
BIOTHICOL FORTE DRY SYRUP 10 FLES Rp 620,400
SAGESTAM CREAM 10 TUBE Rp 132,000
NB RYL 1 ACTIDUO 400G FB 3 ST Rp 246,000
COMBIVENT 2,5 ML UDV-AS 4 BOX Rp 364,000
Rp 3,862,375
Rp 5,512,375
Rp 57,521,805
18 IGM 1220012796 13/02/2019

19 MMP 047/SAL/INV/BDG2/02/19 14/02/2019 14/03/2019

20 APL 1220085774 14/02/2019 15/03/2019

21 BSP FKTSK/201902/06060 15/02/2019 16/03/2019

22 RAJAWALI FKT/BDG/2019/00002530 15/02/2019 14/03/2019

23 RAJAWALI FKT/BDG/2019/00002730 15/02/2019 16/03/2019

24 BSP FKTSK/201902/07027 2/18/2019 3/18/2019

25 BSP FKTSK/201902/07027 2/18/2019 3/18/2019

26 MPI 133419002921 2/19/2019 3/11/2019

27 IGM 1120013303 2/20/2019

27 IGM 1120013303 2/20/2019

28 COMBI 1968468 2/20/2019 25 HARI

29 MPI 133419003259 2/23/2019 3/15/2019

30 APL 1220085623 2/13/2019 3/15/2019

31 APL 1220066509 1/15/2019 3/16/2019

32 KUALITA 9/Kmp.Bdg/57976367 2/25/2019 3/27/2019

TOTAL
AMBROXOL TAB 100 TAB
CEFADROXIL CAPS 100 CAPS
LANSOPRAZOL TAB 20 CAPS
MELOXICAM 15 MG 50 TAB
MELOXICAM 7.5 MG 50 TAB Rp 1,306,544
RANITIDIN TAB 200 TAB
AMBROXOL SYR 5 BTL
RL 60 BTL
NS 60 BTL
HANDSCOON NO 7 50 PAIR
HANDSCOON NO 7.5 50 PAIR
ABB. NO 24 50 PCS
ABB NO. 26 30 PCS
FEEDING TUBE NO. 6 3 PCS
NASAL CANUL DEWASA 6 PCS Rp 2,266,440
NASAL CANUL BAYI 6 PCS
NASAL CANUL ANAK 5 PCS
SPUIT 1CC 200 PCS
SPUIT 3 CC 300 PCS
MACRO KMS 30 PCS
IMUNPED SYR 8 BTL
IMUNPED DROP 6 BTL
Rp 1,601,600
NAPREX SYR 20 BTL
DARYAZINC SYR 4 BTL
SAGESTAM CR 20 TUBE
BIOTHICOL DS 5 FLS
Rp 1,106,270
BIOTHICOL F SYR 10 FLS
COLSANSETIN INJ 10 VIAL
AMIKACIN INJ 15 VIAL Rp 461,092
DEXAMETHASON INJ 100 AMP Rp 109,671
VALISANBE INJ 3 BOX
VALISANBE 2 MG 1 BOX Rp 630,190
VALISANBE 5 MG 1 BOX
TREMENZA TAB 2 BOX
TREMENZA SYR 15 FLS Rp 1,145,650
EDORISAN DROP 10 BTL
T-SILK 9 PCS Rp 451,440
OMEPRAZOL CAPS 30 PCS
MELOXICAM 15MG 100 TAB
CEFIXIM SYR 10 BTL
CEFIXIM CAPS 30 CAPS Rp 1,839,373
RL 140 BTL
 Rp 1,839,373

NS 40 BTL
GENTAMICIN INJ 15 AMP
SCABIMITE CR 6 TUBE Rp 353,925
COLTIN CAPS 80 TAB
NORAGES DROPS 15 BTL
DHAVIT SYR 50 BTL
EXTROPECT SYR 5 BTL Rp 3,104,750
FORASMA TAB 50 TAB
FULADIC CR 3 TUBE
TB VIT TAB 100 TAB
VENTOLIN 90 CAP
VENTOLIN 87 BOX Rp 12,599,928
VENTOLIN 3 BOX
SKAVOC AVODART CAP 70 BOX Rp 9,869,937
DILUENT 20L 1 GLN
Rp 3,483,889
CLEANSER 10L 1 GLN

Rp 66,627,713
74 BSP FKTSK/201903/01893 3/8/2019 4/5/2019

75 MMP 031/SAL/INV/BDG2/03/19 3/8/2019 4/5/2019

76 COMBI 1991446 3/8/2019

77 MPI 133419004074 3/8/2019 3/27/2019

78 MPI 133419004075 3/8/2019 3/27/2019

79 APL 1220100600 3/8/2019 4/5/2019

80 AMS INVBDG190301703 3/9/2019 4/7/2019

81 BSP FKTSK/201903/03530 3/11/2019 4/8/2019

82 MPI 133419004267 3/12/2019 4/1/2019

83 MPI 133419004388 3/13/2019 4/2/2019

84 APL 1220066509 1/15/2019 3/16/2019

85 APL 1220085623 2/13/2019 3/15/2019

86 APL 1220085713 2/13/2019 4/14/2019

87 APL 1220092524 2/22/2019 3/24/2019

88 APL 1220096147 2/27/2019 3/29/2019

89 APL 1220102579 3/12/2019 5/10/2019

TOTAL
RIFAMTIBI 600 MG 2 BOX Rp 1,233,100
POLYWIN IV CANNULA 20 G 20 PCS
POLYWIN IV CANNULA 24 G 10 PCS
POLYWIN IV CANNULA 26 G 30 PCS
CATHETER 2 WAY FR 16 3 PCS
Rp 1,051,710
FEEDING TUBE FR 6 3PCS
NASAL OXYGEN CANNULA INFANT 15 PCS
STOMACH TUBE FR 16 3 PCS
DISP SYRINGE 1CC KMS 200 PCS
DAKTARIN ORAL GEL 2 PCS
CENDO POLYGRAN DROPS 5 PCS Rp 1,132,197
LAXOBERON DROPS 10 PCS
COLTIN KAPSUL 1 BOX
ETAPEN 400 1 BOX
FORASMA 2,5 MG 2 BOX
HEPATIN 1 BOX Rp 1,031,491
APYALIS DROPS 10 BTL
DEXAMETHASON INJ 2 BOX
NORAGES SYR 5 BTL
MELOXICAM 15 MG 2 BOX
MELOXICAM 7,5 MG 1 BOX
PARACETAMOL 500 MG 2 BOX Rp 382,324
IBU PROFEN 400 MG 3 BOX
ASAM MEFENAMAT 2 BOX
NAPREX DROP 20 BTL
IMUNPED SYR 10 BTL
NIFURAL SYR 23 BTL Rp 3,302,750
AMINOSTERIL INFANT 2 BTL
DARYAZINC SYR 10 BTL
KETEROLAC INJ 2 BOX
METRONIDAZOLE INF 9 BTL Rp 601,370
DEXKETOPROFEN TROMETAMOL INJ 2 BOX
CAPRITAZIN DROPS 5 BOX Rp 260,150
DEXAMETHASONE INJ 6 BOX
Rp 585,328
DEXAMETHASONE INJ 12 BOX
T-NYLON 2-0 12 PCS
T-NYLON 3-0 12 PCS Rp 2,758,800
T-MONO 3-0 12 PCS
SKAVOC AVODART CAP 70 BOX Rp 9,869,937
VENTOLIN 90 CAP
VENTOLIN 87 BOX Rp 12,599,928
VENTOLIN 3 BOX
AVAMYS 70 BOX
Rp 12,433,382
AVODART 35 BOX
ASPILET 500 BOX Rp 5,500,000
ASPILET 212 BOX Rp 2,420,000
YMHRC 30 JN MARNAL OCAS TAB 30'S 50 BOX
Rp 17,418,500
YMHRC 30 JN MARNAL 0,2 MG DISP TAB 50 BOX

Rp 182,902,910
 REKAPITULASI HUTANG YANG MAU DIBAYAR

No. Nama PBF No. Faktur TGL MASUK Tgl. Jth Tempo

1 WSM WSML254/18 12/28/2019 1/27/2019

2 AMS INVBDG190102176 1/11/2019 2/8/2018

3 AMS INVBDG190103021 12/01//2019 10/2/2019

4 AMS INVBDG190103641 1/15/2019 13/02/2019

5 WSM WSMA152/19 16/01/2019 15/02/19

6 WSM WSM A199/19 23/01/2019 22/02/19

7 WSM WSM A203/19 23/01/2019 22/02/19

8 MMP 116/SAL/INV/BDG2/01/19 25/01/2019 22/02/2019

9 MMP 139/SAL/INV/BDG2/01/19 28/01/2019 24/02/2019

10 BSP FKTSK/201901/13943 30/01/2019 28/02/19

11 APL 2/1/2019 3/2/2019

12 BSP FKTSK/201901/15512 2/1/2019 3/2/2019

12 BSP FKTSK/201901/15512 2/1/2019 3/2/2019

13 BSP FKTSK/201901/15498 2/1/2019 3/2/2019

14 RAJAWALI FKT/BDG/2019/00002010 2/1/2019 3/2/2019
15 RAJAWALI FKT/BDG/2019/00001942 2/1/2019 3/2/2019

16 MMP 169/SAL/INV/BDG 2/4/2019 3/2/2019

17 AMS INVBDG1909760 2/4/2019 3/2/2019

18 COMBI PUTRA 1958367 13/02/2019 3/8/2019

TOTAL
NG MAU DIBAYAR

NAMA OBAT QTY Nominal

K-Y JELLY 50 G 2 TUBE
NGT TERUMO 14 3 PCS
Rp 495,400
NGT TERUMO 18 3 PCS
SPINOCAIN 26 5 PCS
VELLEPSY SYR 12 BTL Rp 742,500
ONDANSETRON INJ 10 BOX Rp 269,500
KETEROLAC INJ 10 BOX
METRONIDAZOL INF 15 BTL
RANITIDIN INJ 10 BOX Rp 1,558,920
ASAM TRANEKSAMAT INJ 1 BOX
ASAM TRANEKSAMAT INJ 4 BOX
IUD ANDALAN 3 PCS
LAMINARIA M 5 PCS
Rp 864,000
SPINOCAIN NO 25 5 PCS
SPINOCAIN NO 27 5 PCS
BISTURI NO 15 82 PCS
BISTURI NO 10 20 PCS
NGT NO 6 3 PCS Rp 602,700
NASAL OXIGEN BAYI 4 PCS
NASAL OXIGEN DEWASA 1 PCS
STERIL NO 7 10 PCS
Rp 100,000
STERIL NO 7.5 10 PCS
HANDSCOON NO 7 50 PCS
HANDSCOON NO. 7,5 50 PCS
ABBOCATH NO. 22 POLYWIN 50 PCS
ABBOCATH NO. 24 POLYWIN 30 PCS Rp 1,892,198
URINE BAG 10 PCS
SPUIT 1 CC 300 PCS
MICRODRIP KMS 30 PCS
ABBOCATH 26 POLYWIN 30 PCS
SPUIT 3 CC 400 PCS Rp 894,960
SPUIT 10 CC 200 PCS
BECOM C KAPLET 1 BOX
RIFAMTIBI 450 MG 1 BOX
Rp 1,970,650
RIFAMTIBI 600 MG 2 BOX
SAGESTAM CR 10 TUBE
DARYA ZINC SYR 10 BTL
Rp 1,166,000
NAPREX SYR 20 BTL
CEFACEF 200 CAPS 30 CAPS
CEFACEF 200 CAPS 10 CAPS

Rp 10,288,025
CEFACEF 100 CAPS 90 CAPS
CAPRITAZIN SYR 10 BTL Rp 10,288,025
CAPRITAZIN DROP 5 BTL
CEFACEF DS 80 BTL
ROKSICAPS DS 3 BTL
FORIFEX DS 12 FLS Rp 1,046,760
SODIUM VALPROATE 30 BTL Rp 473,590
AMIKACIN INJ 10 DUS Rp 307,395
FOLLEY CATH. NO. 6 3 PCS
FEEDING TUBE NO. 5 3 PCS
FEEDING TUBE NO. 6 3 PCS
Rp 346,170
NASAL CANUL DEWASA 3 PCS
NASAL CANUL BAYI 6 PCS
NASAL CANUL ANAK 6 PCS
POLYSILANE CAPS 1 BOX
KETOKONAZOLE CR 1 Rp 971,000
VELLEPSY SYR 15 FLS
MYCO Z OINT 3 TUBE
MICROLAX CR 5 TUBE
Rp 559,408
SMECTHA SACH 30 SACH
CENDO POLYGRAN TM 4 TUBE

Rp 24,549,176