PERMINTAAN PENERIMAAN

8/17/2019 PERMINTAAN PENERIMAAN

1/94

LAPORAN P

No. Nama Barang Satuan Permintaan Penerimaan Pedodontik

Permintaan Penerimaa

1 Abbocath no. 18 box 1


! Abbocath no. 22 "c# 1 $

% Abbocath no. 2% "c# $ $

$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) - 2

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0 !

5 A)6(nat b/n6&/# 0$ 1- 1$

1 A)&oho) 07 boto) 25 $0 1

11 A)&oho) 5$7 boto) 8 1

12 A)&oho) #*ab box $ $

1! A)o69), t/b, 1

1% A:a)6a: boto) boto) %

1$ A:a)6a: &a"#/) "c# 2 % $

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118 8 !

18 A/a "'o (n;,ct(o Ot#/&a4 (a) !-15 A/a "'o (n;,ct(o Pha'o#4 (a) !

2 A't(c/)at(n6 "a"",' "a't box 2 $ 1

21 A't(c/)at(n6 "a"",' /)) box 1

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1- 1

2% B,nan6 R,t'a#( 20 B,nan6 St(& %= Ro)) 1

28 Po(+on, Io+(n, - :) boto) 8 2

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b, 1!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, ! $


2/94

LAPORAN P

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8 - 2

!$ Bon+(n6 b'ac&,t #,t 1 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t 2

!0 B'ac&,t @)a'(t9 SL S,t 1

!8 B'ac&,t G,:(n( M,ta) Roth Un(t,& S,t 2

!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t 2

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $ -

$ B/' D(a:on+ E+,nta @o+,C@ "c# $

$1 B/' D(a:on+ #,t - RA E+,nta S,t 1

$2 @a('an (#( #(to;,ct= #can+on,#t box % - 1

$! @a('an D,,)o",' box 2 -$% @a('an >(x,' box 2 -

$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box %

$0 @,)/)o(+ #t'(" box % - 1

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1

$5 @h,'o"han, boto) 2

- @HKM boto) ! % 1

-1 @h'o:(c cat 6/t /&. 2= "c# 2% %8

-2 @h'o:(c @at6/t /&. != "c# %8

-! @),an #tan+ box 1

-% @h)o' ,th9) &a),n6 1% 15 $

-$ @o:"o#(t, A2 t/b, 12 ! 2

-- @o:"o#(t, A! t/b, 11 $ 1-0 @o:"o#(t, A!


3/94

LAPORAN P

-8 @o:"o#(t, A% t/b, 1 2

-5 @MS boto) % !

0 @ocoa b/tt,' box ! 1

01 @otton b/+# b/n6&/# -

02 @otton 'o)) b/n6&/# !! 0 1$

0! @otton ",)),t b/n6&/# 2- 25 $

0% @? (),# no. 8 21 :: box ! $

0$ @? (),# no. 1 21 :: box ! %

0- @? (),# no. 8 2$ :: box 2 22

00 @? (),# no. 1 2$ :: box 2 21

08 @',#o"hat, boto) 1 2 1

05 @',#o+,nt $:) box 2

8 @',#o), boto) 1

81 @'o*n o': box 8

82 @'o*n o': ant,'(o' +,*a#a box 0

8! @'o*n o': "o#t,'(o' +,*a#a box 0

8% D,nt(n con+(t(on,' box % ! 1

8$ D,(ta)(#a#( non a'#,n boto) ! 1 1

8- D(a:on+ b/' )(n6&a' &/n(n6 "c# 2 1$

80 D(a:on+ b/' "o),# #,t !2 2

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $ 2 2

5 EDTA t/b, 2

51 E"h(n,'(n, (n;,( a:"/) !

52 E)a#t(c ",'ban b/ah !

5! En+o ac#,# b/' box $ 1 2

5% En+o b)oc& b/ah 2

5$ En+o box box 1 2 1

5- En+o:,tha#on, box - 8

50 Et#a boto) 8 $ 2

58 E/6,no) boto) % 0 2

55 Exa),# :ono"ha#, box 1 2

1 >(b,' box 2 !

11 >(b,' AA box 1

12 >(b,' DA box 2


4/94

LAPORAN P

1! >(b',&),,' "ac& ! 1

1% >(): "ano'a:(+, box -

1$ >(): ",'(a"(&a) box 1 1!

1- >),tch,' #,t

10 >)o/' "'ot,cto' #,t 1 1

18 >)o*ab), co:"o#(t t/b, 0 % 1

15 >o':o&',#o) boto) 1 2 1

11 >',,6,no) t,:"o'a'9 box ! 2

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2 !

11! GI@ >/;( II box 2 1

11% GI@ >/;( 5 Ext'a box % 2 2

11$ G("# "/t(h= G(" 1 b/n6&/# 1

11- G("# T(", 1 S/",' G("# b/n6&/# $

110 G("# #ton, b('/ t9", 2 b/n6&/# $0 $- 5

118 G("# Ston, T(", 2 B/n6&/# 0

115 G("# #ton, b('/ t9", ! b/n6&/# 8 1

12 G("# "),#t,' o "a'(# b/n6&/# $

121 G)a##ton, t9", % "(n&=o'an6, box !$ %5

122 G)a##ton, t9", $ 9,))o* box 0 0

12! G)/co #t(c& box 1 112% G)/co t,#t b/ah 1

12$ G'(n+(n6 #t'(" 8 :: "ac& ! %

12- G/tta, ",'cha box

120 G/tta" ",'cha 1$C% box 1$ $

128 G/tta" ",'cha %$C8 box 1$ 2

125 G/tta" P,'cha @a)(b'at(on Ga/6, b/ah 1

1! G/tta" "'ota"",' Un(,'#a) >1 box ! %

1!1 G/tta" "'ota"",' Un(,'#a) >2 box ! %

1!2 G/tta" "'ota"",' Un(,'#a) >! box ! $

1!! G/tta" "'ota"",' Un(,'#a) >% box ! !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box 1

1!$ Han+#coon S box 11% 2$ 1$

1!- Han+#coon M box -8 2$ 1$1!0 Han+#coon L box !8 2$ 1$


5/94

LAPORAN P

1!8 Han+#coon S box -$ 2$ 1$

1!5 Han+#coon #t,'() 0


6/94

LAPORAN P

10! KC(), 8 21 :) box 21 2 1

10% KC(), 1 21 :) box 2 2

10$ KC(), 8 2$ :) box 2 2

10- KC(), 1 2$ :) box 2 2

100 KC(), n(t(),x no.1$< 2$ :: box % - 1

108 K)a:,'


7/94

LAPORAN P

28 b%ect 0lass box 4

25 C botol 2 1 1

21 dol anak tube $ $

211 ne scrub $## cc botol 5 $#

212 ne scrub $L 0alon 1 1#

21! !halescence box 3 4

21% rtho resin !o&der botol "

21$ xy6o& ,asal ksigen +nak !cs 1#

21- xy6o& ,asal ksigen 7e&asa !cs 1#

210 8a!er 8oint 9ndodent box 5

218 8a!!er !oint 1$4# box 4# 2

215 8a!!er !oint 4$# box 4# 1

22 8egas o!en coil s!ring 1

221 8egas close coil s!ring 1

222 8ehacain in%eksi am!ul $#

22! 8eriodental 8+- box 2 3

22% 8issure sealent tube 5 2

22$ 8lester coklat roll 1

22- 8o&er kotak 1

220 8o&er chain kum!aran 1 1

228 8rineden :C Cream tube

225 8rota!!er uni;ersal box 3

2! 8rota!!er hand use 4 21 mm !cs 3 4

2!1 8rota!!er hand use $ 21 mm !cs 3 5

2!2 8rota!!er hand use 4 2$ mm box 4 $

2!! 8rota!!er hand use $ 2$ mm box 4

2!% 8rota!!er retreatment box 3

2!$ 8rota!!er rotary 21 mm box 3

2!- 8umice bungkus 1 3

2!0 8utty set 2

2!8 8utty exa6ex box 5 2

2!5 :ubber amalgam (mata bur karet) set 2#

2% Shade 0uide box 1

2%1Sikat gigi anak !cs 3## 33# 3##

2%2 S!iritus botol


8/94

LAPORAN P

2%! S!ongostan box 12

2%% S!uit 3 cc terumo !cs 3"

2%$ S!uit 3 cc !cs 14# 2###

2%- S!uit $ cc !cs 3## 3##

2%0 S!uit 1# cc !cs 1# 2##

2%8 S!uit 2# cc !cs 1## $#

2%5 S!uit $# cc !cs 1## 2#

2$ S!uit 1 cc !cs 4## $## 1##

2$1 Sticky&ak orange box 1

2$2 Sungku! oksigen buah 2

2$! Surgical blade !cs 1#

2$% Surgical silk uk< 2=# box 1 2

2$$ Surgical suture no 4=1# roll 1

2$- Suture needle (r;1#) box 3

2$0 *abung oksigen kecil > regulator buah 1

2$8 *abung oksigen besar > regulator buah 2

2$5 *am!on gigi diss!osible bungkus 2$ 33 $

2- *em!ron box 3 3

2-1 *est kit golongan darah set 1

2-2 *est stri! ,esco botol $

2-! *i!=u%ung suction bungkus 25 32 1#

2-% *- botol 2 $

2-$ *o!ical anastesi !ot $ 4 3

2-- *o! seal tube 3

2-0 *ourch buah

2-8 *ri &ay box 1

2-5 *um!atan sementara box 2 3

20 ?nimatrix set 2 3

201 ?rine bag buah $ $#

202 @arnish box $ 5 3

20! @aseline !ot 2 4

20% @en6on box 1

20$ Aire 'iostater 12 box 1

20- Aire 'iostater 14 box 1

200 Aire 'iostater 1 box 1


9/94

LAPORAN PER

208 Aire 'iostater 1x1 box 1


28 Aire 'iostater 15x2$ box 1


282 Aire 'iostater 1"x2$ box 1

28! Aire ,iti 12 box 1 1

28% Aire ,iti 14 box 1 1

28$ Aire ,iti 1 box 1 1

28- Aire ,iti 1x1 box 1 1

280 Aire ,iti 1x22 box 1 1

288 Aire ,iti 15x2$ box 1 1

285 Aire ,iti 1 box 1 1

25 Aire ,iti 1"x2$ box 1 1

251 Aire SS 12 box 1 1


25! Aire SS 1 box 1 1

25% Aire SS 1x1 box 1 1

25$ Aire SS 1x22 box 1 1

25- Aire SS 15x2$ box 1 1


258 Aire SS 1"x2$ box 1 1

255 Bink !hos!ate cement oDmants box $ 3 2! Bink !hos!ate cement 0C box


10/94

No. Nama Barang Satuan Permintaan Penerimaan





$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) - 2

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0 !

5 A)6(nat b/n6&/# 0$ 1-

1 A)&oho) 07 boto) 25 $0

11 A)&oho) 5$7 boto) 8 1

12 A)&oho) #*ab box $ $

1! A)o69), t/b, 1


1$ A:a)6a: &a"#/) "c# 2 %

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118 8

18 A/a "'o (n;,ct(o Ot#/&a4 (a) !-

15 A/a "'o (n;,ct(o Pha'o#4 (a) !2 A't(c/)at(n6 "a"",' "a't box 2 $

21 A't(c/)at(n6 "a"",' /)) box 1

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1-


28 Po(+on, Io+(n, - :) boto) 8 2

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b, 1

!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, ! $

N BAKHP RUMAH SAKIT G

Periodontik

Permintaan Penerimaan

2

1

10$

%

12

2 %


11/94

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8 -

!$ Bon+(n6 b'ac&,t #,t 1 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t 2

!0 B'ac&,t @)a'(t9 SL S,t 1


!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t 2

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $ -

$ B/' D(a:on+ E+,nta @o+,C@ "c# $

$1 B/' D(a:on+ #,t - RA E+,nta S,t 1

$2 @a('an (#( #(to;,ct= #can+on,#t box % -

$! @a('an D,,)o",' box 2 -

$% @a('an >(x,' box 2 -$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box %

$0 @,)/)o(+ #t'(" box % -

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1


- @HKM boto) ! %

-1 @h'o:(c cat 6/t /&. 2= "c# 2% %8

-2 @h'o:(c @at6/t /&. != "c# %8


-% @h)o' ,th9) &a),n6 1% 15

-$ @o:"o#(t, A2 t/b, 12 !

-- @o:"o#(t, A! t/b, 11 $

-0 @o:"o#(t, A!


12/94

-8 @o:"o#(t, A% t/b, 1 2

-5 @MS boto) % !


01 @otton b/+# b/n6&/# -

02 @otton 'o)) b/n6&/# !! 0

0! @otton ",)),t b/n6&/# 2- 25

0% @? (),# no. 8 21 :: box ! $

0$ @? (),# no. 1 21 :: box ! %

0- @? (),# no. 8 2$ :: box 2 2200 @? (),# no. 1 2$ :: box 2 21

08 @',#o"hat, boto) 1 2

05 @',#o+,nt $:) box 2

8 @',#o), boto) 1

81 @'o*n o': box 8

82 @'o*n o': ant,'(o' +,*a#a box 0

8! @'o*n o': "o#t,'(o' +,*a#a box 0

8% D,nt(n con+(t(on,' box % !

8$ D,(ta)(#a#( non a'#,n boto) ! 1

8- D(a:on+ b/' )(n6&a' &/n(n6 "c# 2 1$

80 D(a:on+ b/' "o),# #,t !2

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $ 2

5 EDTA t/b, 2

51 E"h(n,'(n, (n;,( a:"/) !


5! En+o ac#,# b/' box $ 1


5$ En+o box box 1 2


50 Et#a boto) 8 $

58 E/6,no) boto) % 0


1 >(b,' box 2 !

11 >(b,' AA box 1

12 >(b,' DA box 2

N BAKHP RUMAH SAKIT GI

1

!

2

2 2


13/94

1! >(b',&),,' "ac& ! 1

1% >(): "ano'a:(+, box -

1$ >(): ",'(a"(&a) box 1 1!

1- >),tch,' #,t

10 >)o/' "'ot,cto' #,t 1

18 >)o*ab), co:"o#(t t/b, 0 %

15 >o':o&',#o) boto) 1 2

11 >',,6,no) t,:"o'a'9 box ! 2

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2 !

11! GI@ >/;( II box 2 1

11% GI@ >/;( 5 Ext'a box % 2

11$ G("# "/t(h= G(" 1 b/n6&/# 1

11- G("# T(", 1 S/",' G("# b/n6&/# $

110 G("# #ton, b('/ t9", 2 b/n6&/# $0 $-

118 G("# Ston, T(", 2 B/n6&/# 0

115 G("# #ton, b('/ t9", ! b/n6&/# 8 1

12 G("# "),#t,' o "a'(# b/n6&/# $

121 G)a##ton, t9", % "(n&=o'an6, box !$ %5

122 G)a##ton, t9", $ 9,))o* box 0 0

12! G)/co #t(c& box 1 1

12% G)/co t,#t b/ah 112$ G'(n+(n6 #t'(" 8 :: "ac& ! %


120 G/tta" ",'cha 1$C% box 1$ $

128 G/tta" ",'cha %$C8 box 1$ 2


1! G/tta" "'ota"",' Un(,'#a) >1 box ! %

1!1 G/tta" "'ota"",' Un(,'#a) >2 box ! %

1!2 G/tta" "'ota"",' Un(,'#a) >! box ! $

1!! G/tta" "'ota"",' Un(,'#a) >% box ! !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box 1

1!$ Han+#coon S box 11% 2$

1!- Han+#coon M box -8 2$

1!0 Han+#coon L box !8 2$


2

2

12

-

- $


14/94

1!8 Han+#coon S box -$ 2$

1!5 Han+#coon #t,'() 0


15/94

10! KC(), 8 21 :) box 21 2

10% KC(), 1 21 :) box 2 2

10$ KC(), 8 2$ :) box 2 2

10- KC(), 1 2$ :) box 2 2

100 KC(), n(t(),x no.1$< 2$ :: box % -

108 K)a:,'


16/94


25 C botol 2 1

21 dol anak tube $

211ne scrub $## cc botol 5 $#







218 8a!!er !oint 1$4# box 4# 2

215 8a!!er !oint 4$# box 4# 1





22% 8issure sealent tube 5


22- 8o&er kotak 1



225 8rota!!er uni;ersal box 32! 8rota!!er hand use 4 21 mm !cs 3 4







2!0 8utty set 2




2%1 Sikat gigi anak !cs 3## 33#

2%2 S!iritus botol


1

1

2#

2

4


17/94



2%$ S!uit 3 cc !cs 14# 2###

2%- S!uit $ cc !cs 3## 3##

2%0 S!uit 1# cc !cs 1# 2##

2%8 S!uit 2# cc !cs 1## $#

2%5 S!uit $# cc !cs 1## 2#

2$ S!uit 1 cc !cs 4## $##

2$1 Sticky&ak orange box 12$2 Sungku! oksigen buah 2







2$5 *am!on gigi diss!osible bungkus 2$ 33

2- *em!ron box 3 3



2-! *i!=u%ung suction bungkus 25 32

2-% *- botol 2 $2-$ *o!ical anastesi !ot $ 4

2-- *o! seal tube 3

2-0 *ourch buah

2-8 *ri &ay box 1

2-5 *um!atan sementara box 2



202 @arnish box $ 5


20% @en6on box 1





# 2#

# 1$

1#

1 1

2 2


18/94









28- Aire ,iti 1x1 box 1 1280 Aire ,iti 1x22 box 1 1












255 Bink !hos!ate cement oDmants box $ 3

! Bink !hos!ate cement 0C box

N BAKHP RUMAH SAKIT GIGI


19/94






$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) - 2

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0 !

5 A)6(nat b/n6&/# 0$ 1-

1 A)&oho) 07 boto) 25 $0

11 A)&oho) 5$7 boto) 8 1

12 A)&oho) #*ab box $ $

1! A)o69), t/b, 1


1$ A:a)6a: &a"#/) "c# 2 %

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118 8

18 A/a "'o (n;,ct(o Ot#/&a4 (a) !-


21 A't(c/)at(n6 "a"",' /)) box 1

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1-


28 Po(+on, Io+(n, - :) boto) 8 2

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b, 1

!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, ! $

AN AMAN BANJARMASIN

POLIKLINIK

Orthodontik


-

20

1


20/94

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8 -

!$ Bon+(n6 b'ac&,t #,t 1 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t 2

!0 B'ac&,t @)a'(t9 SL S,t 1


!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t 2

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $ -

$ B/' D(a:on+ E+,nta @o+,C@ "c# $

$1 B/' D(a:on+ #,t - RA E+,nta S,t 1


$! @a('an D,,)o",' box 2 -

$% @a('an >(x,' box 2 -$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box %

$0 @,)/)o(+ #t'(" box % -

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1


- @HKM boto) ! %

-1 @h'o:(c cat 6/t /&. 2= "c# 2% %8

-2 @h'o:(c @at6/t /&. != "c# %8


-% @h)o' ,th9) &a),n6 1% 15

-$ @o:"o#(t, A2 t/b, 12 !

-- @o:"o#(t, A! t/b, 11 $

-0 @o:"o#(t, A!


21/94

-8 @o:"o#(t, A% t/b, 1 2

-5 @MS boto) % !


01 @otton b/+# b/n6&/# -

02 @otton 'o)) b/n6&/# !! 0

0! @otton ",)),t b/n6&/# 2- 25

0% @? (),# no. 8 21 :: box ! $

0$ @? (),# no. 1 21 :: box ! %

0- @? (),# no. 8 2$ :: box 2 2200 @? (),# no. 1 2$ :: box 2 21

08 @',#o"hat, boto) 1 2

05 @',#o+,nt $:) box 2

8 @',#o), boto) 1

81 @'o*n o': box 8

82 @'o*n o': ant,'(o' +,*a#a box 0

8! @'o*n o': "o#t,'(o' +,*a#a box 0


8$ D,(ta)(#a#( non a'#,n boto) ! 1

8- D(a:on+ b/' )(n6&a' &/n(n6 "c# 2 1$

80 D(a:on+ b/' "o),# #,t !2

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $ 2

5 EDTA t/b, 2

51 E"h(n,'(n, (n;,( a:"/) !


5! En+o ac#,# b/' box $ 1


5$ En+o box box 1 2


50 Et#a boto) 8 $

58 E/6,no) boto) % 0


1 >(b,' box 2 !

11 >(b,' AA box 1

12 >(b,' DA box 2

AN AMAN BANJARMASIN

%

1

1


22/94

1! >(b',&),,' "ac& ! 1

1% >(): "ano'a:(+, box -

1$ >(): ",'(a"(&a) box 1 1!

1- >),tch,' #,t

10 >)o/' "'ot,cto' #,t 1

18 >)o*ab), co:"o#(t t/b, 0 %

15 >o':o&',#o) boto) 1 2

11 >',,6,no) t,:"o'a'9 box ! 2

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2 !

11! GI@ >/;( II box 2 1

11% GI@ >/;( 5 Ext'a box % 2

11$ G("# "/t(h= G(" 1 b/n6&/# 1

11- G("# T(", 1 S/",' G("# b/n6&/# $

110 G("# #ton, b('/ t9", 2 b/n6&/# $0 $-

118 G("# Ston, T(", 2 B/n6&/# 0

115 G("# #ton, b('/ t9", ! b/n6&/# 8 1

12 G("# "),#t,' o "a'(# b/n6&/# $

121 G)a##ton, t9", % "(n&=o'an6, box !$ %5

122 G)a##ton, t9", $ 9,))o* box 0 0

12! G)/co #t(c& box 1 1

12% G)/co t,#t b/ah 112$ G'(n+(n6 #t'(" 8 :: "ac& ! %


120 G/tta" ",'cha 1$C% box 1$ $

128 G/tta" ",'cha %$C8 box 1$ 2


1! G/tta" "'ota"",' Un(,'#a) >1 box ! %

1!1 G/tta" "'ota"",' Un(,'#a) >2 box ! %

1!2 G/tta" "'ota"",' Un(,'#a) >! box ! $

1!! G/tta" "'ota"",' Un(,'#a) >% box ! !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box 1




AN AMAN BANJARMASIN

8

28

!

!


23/94


1!5 Han+#coon #t,'() 0


24/94

10! KC(), 8 21 :) box 21 2

10% KC(), 1 21 :) box 2 2

10$ KC(), 8 2$ :) box 2 2

10- KC(), 1 2$ :) box 2 2

100 KC(), n(t(),x no.1$< 2$ :: box % -

108 K)a:,'


25/94


25 C botol 2 1

21 dol anak tube $








218 8a!!er !oint 1$4# box 4# 2

215 8a!!er !oint 4$# box 4# 1







22- 8o&er kotak 1










2!0 8utty set 2





2%2 S!iritus botol

AN AMAN BANJARMASIN

1

1

1

1

1


26/94



2%$ S!uit 3 cc !cs 14# 2###

2%- S!uit $ cc !cs 3## 3##

2%0 S!uit 1# cc !cs 1# 2##

2%8 S!uit 2# cc !cs 1## $#

2%5 S!uit $# cc !cs 1## 2#

2$ S!uit 1 cc !cs 4## $##









2- *em!ron box 3 3




2-% *- botol 2 $

2-$ *o!ical anastesi !ot $ 4

2-- *o! seal tube 3

2-0 *ourch buah

2-8 *ri &ay box 1




202 @arnish box $ 5


20% @en6on box 1




AN AMAN BANJARMASIN

2

1

1

1


27/94























AN AMAN BANJARMASIN

1

1

1

1

1

1

1

1

11

1

1

1

1

1

1

1

1

1

1

1


28/94






$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) - 2

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0 !

5 A)6(nat b/n6&/# 0$ 1-

1 A)&oho) 07 boto) 25 $0

11 A)&oho) 5$7 boto) 8 1

12 A)&oho) #*ab box $ $

1! A)o69), t/b, 1


1$ A:a)6a: &a"#/) "c# 2 %

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118 8

18 A/a "'o (n;,ct(o Ot#/&a4 (a) !-


21 A't(c/)at(n6 "a"",' /)) box 1

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1-


28 Po(+on, Io+(n, - :) boto) 8 2

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b, 1

!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, ! $

VIP



29/94

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8 -

!$ Bon+(n6 b'ac&,t #,t 1 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t 2

!0 B'ac&,t @)a'(t9 SL S,t 1


!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t 2

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $ -

$ B/' D(a:on+ E+,nta @o+,C@ "c# $

$1 B/' D(a:on+ #,t - RA E+,nta S,t 1


$! @a('an D,,)o",' box 2 -

$% @a('an >(x,' box 2 -$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box %

$0 @,)/)o(+ #t'(" box % -

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1


- @HKM boto) ! %

-1 @h'o:(c cat 6/t /&. 2= "c# 2% %8

-2 @h'o:(c @at6/t /&. != "c# %8


-% @h)o' ,th9) &a),n6 1% 15

-$ @o:"o#(t, A2 t/b, 12 !

-- @o:"o#(t, A! t/b, 11 $

-0 @o:"o#(t, A!


30/94

-8 @o:"o#(t, A% t/b, 1 2

-5 @MS boto) % !


01 @otton b/+# b/n6&/# -

02 @otton 'o)) b/n6&/# !! 0

0! @otton ",)),t b/n6&/# 2- 25

0% @? (),# no. 8 21 :: box ! $

0$ @? (),# no. 1 21 :: box ! %

0- @? (),# no. 8 2$ :: box 2 2200 @? (),# no. 1 2$ :: box 2 21

08 @',#o"hat, boto) 1 2

05 @',#o+,nt $:) box 2

8 @',#o), boto) 1

81 @'o*n o': box 8

82 @'o*n o': ant,'(o' +,*a#a box 0

8! @'o*n o': "o#t,'(o' +,*a#a box 0


8$ D,(ta)(#a#( non a'#,n boto) ! 1

8- D(a:on+ b/' )(n6&a' &/n(n6 "c# 2 1$

80 D(a:on+ b/' "o),# #,t !2

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $ 2

5 EDTA t/b, 2

51 E"h(n,'(n, (n;,( a:"/) !


5! En+o ac#,# b/' box $ 1


5$ En+o box box 1 2


50 Et#a boto) 8 $

58 E/6,no) boto) % 0


1 >(b,' box 2 !

11 >(b,' AA box 1

12 >(b,' DA box 2


31/94

1! >(b',&),,' "ac& ! 1

1% >(): "ano'a:(+, box -

1$ >(): ",'(a"(&a) box 1 1!

1- >),tch,' #,t

10 >)o/' "'ot,cto' #,t 1

18 >)o*ab), co:"o#(t t/b, 0 %

15 >o':o&',#o) boto) 1 2

11 >',,6,no) t,:"o'a'9 box ! 2

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2 !

11! GI@ >/;( II box 2 1

11% GI@ >/;( 5 Ext'a box % 2

11$ G("# "/t(h= G(" 1 b/n6&/# 1

11- G("# T(", 1 S/",' G("# b/n6&/# $

110 G("# #ton, b('/ t9", 2 b/n6&/# $0 $-

118 G("# Ston, T(", 2 B/n6&/# 0

115 G("# #ton, b('/ t9", ! b/n6&/# 8 1

12 G("# "),#t,' o "a'(# b/n6&/# $

121 G)a##ton, t9", % "(n&=o'an6, box !$ %5

122 G)a##ton, t9", $ 9,))o* box 0 0

12! G)/co #t(c& box 1 1

12% G)/co t,#t b/ah 112$ G'(n+(n6 #t'(" 8 :: "ac& ! %


120 G/tta" ",'cha 1$C% box 1$ $

128 G/tta" ",'cha %$C8 box 1$ 2


1! G/tta" "'ota"",' Un(,'#a) >1 box ! %

1!1 G/tta" "'ota"",' Un(,'#a) >2 box ! %

1!2 G/tta" "'ota"",' Un(,'#a) >! box ! $

1!! G/tta" "'ota"",' Un(,'#a) >% box ! !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box 1





32/94


1!5 Han+#coon #t,'() 0


33/94

10! KC(), 8 21 :) box 21 2

10% KC(), 1 21 :) box 2 2

10$ KC(), 8 2$ :) box 2 2

10- KC(), 1 2$ :) box 2 2

100 KC(), n(t(),x no.1$< 2$ :: box % -

108 K)a:,'


34/94


25 C botol 2 1

21 dol anak tube $








218 8a!!er !oint 1$4# box 4# 2

215 8a!!er !oint 4$# box 4# 1







22- 8o&er kotak 1










2!0 8utty set 2





2%2 S!iritus botol


35/94



2%$ S!uit 3 cc !cs 14# 2###

2%- S!uit $ cc !cs 3## 3##

2%0 S!uit 1# cc !cs 1# 2##

2%8 S!uit 2# cc !cs 1## $#

2%5 S!uit $# cc !cs 1## 2#

2$ S!uit 1 cc !cs 4## $##









2- *em!ron box 3 3




2-% *- botol 2 $


2-- *o! seal tube 3

2-0 *ourch buah

2-8 *ri &ay box 1




202 @arnish box $ 5


20% @en6on box 1





36/94























-e!ala 9nstalasi armasi

:umah Sakit 0igi dan Mulut 0+

:amadha ,ita S< arm


37/94






$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) - 2

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0 !

5 A)6(nat b/n6&/# 0$ 1-

1 A)&oho) 07 boto) 25 $0

11 A)&oho) 5$7 boto) 8 1

12 A)&oho) #*ab box $ $

1! A)o69), t/b, 1


1$ A:a)6a: &a"#/) "c# 2 %

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118 8

18 A/a "'o (n;,ct(o Ot#/&a4 (a) !-


21 A't(c/)at(n6 "a"",' /)) box 1

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1-


28 Po(+on, Io+(n, - :) boto) 8 2

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b, 1

!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, ! $

TEK

Penerimaan


38/94

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8 -

!$ Bon+(n6 b'ac&,t #,t 1 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t 2

!0 B'ac&,t @)a'(t9 SL S,t 1


!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t 2

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $ -

$ B/' D(a:on+ E+,nta @o+,C@ "c# $

$1 B/' D(a:on+ #,t - RA E+,nta S,t 1


$! @a('an D,,)o",' box 2 -

$% @a('an >(x,' box 2 -$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box %

$0 @,)/)o(+ #t'(" box % -

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1


- @HKM boto) ! %

-1 @h'o:(c cat 6/t /&. 2= "c# 2% %8

-2 @h'o:(c @at6/t /&. != "c# %8


-% @h)o' ,th9) &a),n6 1% 15

-$ @o:"o#(t, A2 t/b, 12 !

-- @o:"o#(t, A! t/b, 11 $

-0 @o:"o#(t, A!


39/94

-8 @o:"o#(t, A% t/b, 1 2

-5 @MS boto) % !


01 @otton b/+# b/n6&/# -

02 @otton 'o)) b/n6&/# !! 0

0! @otton ",)),t b/n6&/# 2- 25

0% @? (),# no. 8 21 :: box ! $

0$ @? (),# no. 1 21 :: box ! %

0- @? (),# no. 8 2$ :: box 2 2200 @? (),# no. 1 2$ :: box 2 21

08 @',#o"hat, boto) 1 2

05 @',#o+,nt $:) box 2

8 @',#o), boto) 1

81 @'o*n o': box 8

82 @'o*n o': ant,'(o' +,*a#a box 0

8! @'o*n o': "o#t,'(o' +,*a#a box 0


8$ D,(ta)(#a#( non a'#,n boto) ! 1

8- D(a:on+ b/' )(n6&a' &/n(n6 "c# 2 1$

80 D(a:on+ b/' "o),# #,t !2

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $ 2

5 EDTA t/b, 2

51 E"h(n,'(n, (n;,( a:"/) !


5! En+o ac#,# b/' box $ 1


5$ En+o box box 1 2


50 Et#a boto) 8 $

58 E/6,no) boto) % 0


1 >(b,' box 2 !

11 >(b,' AA box 1

12 >(b,' DA box 2


40/94

1! >(b',&),,' "ac& ! 1

1% >(): "ano'a:(+, box -

1$ >(): ",'(a"(&a) box 1 1!

1- >),tch,' #,t

10 >)o/' "'ot,cto' #,t 1

18 >)o*ab), co:"o#(t t/b, 0 %

15 >o':o&',#o) boto) 1 2

11 >',,6,no) t,:"o'a'9 box ! 2

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2 !

11! GI@ >/;( II box 2 1

11% GI@ >/;( 5 Ext'a box % 2

11$ G("# "/t(h= G(" 1 b/n6&/# 1

11- G("# T(", 1 S/",' G("# b/n6&/# $

110 G("# #ton, b('/ t9", 2 b/n6&/# $0 $-

118 G("# Ston, T(", 2 B/n6&/# 0

115 G("# #ton, b('/ t9", ! b/n6&/# 8 1

12 G("# "),#t,' o "a'(# b/n6&/# $

121 G)a##ton, t9", % "(n&=o'an6, box !$ %5

122 G)a##ton, t9", $ 9,))o* box 0 0

12! G)/co #t(c& box 1 1

12% G)/co t,#t b/ah 112$ G'(n+(n6 #t'(" 8 :: "ac& ! %


120 G/tta" ",'cha 1$C% box 1$ $

128 G/tta" ",'cha %$C8 box 1$ 2


1! G/tta" "'ota"",' Un(,'#a) >1 box ! %

1!1 G/tta" "'ota"",' Un(,'#a) >2 box ! %

1!2 G/tta" "'ota"",' Un(,'#a) >! box ! $

1!! G/tta" "'ota"",' Un(,'#a) >% box ! !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box 1





41/94


1!5 Han+#coon #t,'() 0


42/94

10! KC(), 8 21 :) box 21 2

10% KC(), 1 21 :) box 2 2

10$ KC(), 8 2$ :) box 2 2

10- KC(), 1 2$ :) box 2 2

100 KC(), n(t(),x no.1$< 2$ :: box % -

108 K)a:,'


43/94


25 C botol 2 1

21 dol anak tube $








218 8a!!er !oint 1$4# box 4# 2

215 8a!!er !oint 4$# box 4# 1







22- 8o&er kotak 1










2!0 8utty set 2





2%2 S!iritus botol

1


44/94



2%$ S!uit 3 cc !cs 14# 2###

2%- S!uit $ cc !cs 3## 3##

2%0 S!uit 1# cc !cs 1# 2##

2%8 S!uit 2# cc !cs 1## $#

2%5 S!uit $# cc !cs 1## 2#

2$ S!uit 1 cc !cs 4## $##









2- *em!ron box 3 3




2-% *- botol 2 $


2-- *o! seal tube 3

2-0 *ourch buah

2-8 *ri &ay box 1




202 @arnish box $ 5


20% @en6on box 1





45/94
























46/94

No. Nama Barang Satuan Permintaan



! Abbocath no. 22 "c# 1

% Abbocath no. 2% "c# $$ A&'()(& "o*+,' boto)

- A&'()(& o'tho ',#(n )(/(+ boto) -

0 A&'()(& L(/(+ boto)

8 A&'()(& #,) c/', "/t(h L(/(+ 3 "o*+,'4 boto) 0

5 A)6(nat b/n6&/# 0$

1 A)&oho) 07 boto) 25

11 A)&oho) 5$7 boto) 8

12 A)&oho) #*ab box $

1! A)o69), t/b, 1

1% A:a)6a: boto) boto) %1$ A:a)6a: &a"#/) "c# 2

1- A"'on D(##"o#(b), b/ah 2$$

10 A/a+,#t boto) 118

18 A/a "'o (n;,ct(o Ot#/&a4 (a)

15 A/a "'o (n;,ct(o Pha'o#4 (a)

2 A't(c/)at(n6 "a"",' "a't box 2

21 A't(c/)at(n6 "a"",' /)) box

22 Ba6 a)/, :a#& b/ah 2

2! Ba'b,' B'oach ;a'/: ,t('"a#(4 box 1-

2% B,nan6 R,t'a#( 20 B,nan6 St(& %= Ro))

28 Po(+on, Io+(n, - :) boto) 8

25 Po(+on, Io+(n, ! :) boto)

! Po(+on, Io+(n, 1 ) boto) 1

!1 B(t, ',6(#t'at(on= >/ta' D t/b,

!2 B(t, ',6(#t'at(on ? :(x(n6 t("# t/b, !

!! B),ach(n6 1

!% Bon+(n6=A+",' #(n6), bon+ boto) 8

!$ Bon+(n6 b'ac&,t #,t 1

!- B'ac&,t AGILE ,+6,*(#, 22 S,t

!0 B'ac&,t @)a'(t9 SL S,t

!8 B'ac&,t G,:(n( M,ta) Roth Un(t,& S,t

!5 B'ac&,t S:a't @)("# S,) L(6at(n6 22 $x$ #,t

% B'ac&,t Lo6a: 'oth *(', #9#t,: #,t 2

%1 B'ac&,t Lo6a: ,+6, *(', #9#t,: #,t 2

%2 B'ac&,t Lo6a: #,) )(6a#t(c #9#t,: #,t 2


47/94

%! B'ac&,t a#th,#t(& 'oth *(', #9#t,: #,t 1

%% B'ac&,t a#th,#t(& ,+6, *(', #9#t,: #,t 1

%$ B'ac&,t a#th,#t(& #,) )(6a#t(c #9#t,: #,t 1

%- B'ac&,t - b'ac&,t :o)a' #,t 2

%0 B'ac&,t - :o)a' ban+ #,t 2

%8 B',,, t/b, -

%5 B/()tC(t "ac& $$ B/' D(a:on+ E+,nta @o+,C@ "c#

$1 B/' D(a:on+ #,t - RA E+,nta S,t

$2 @a('an (#( #(to;,ct= #can+on,#t box %

$! @a('an D,,)o",' box 2

$% @a('an >(x,' box 2

$$ @an/) o(6,n b/ah 2

$- @h,"a)o:,t'( (): box

$0 @,)/)o(+ #t'(" box %

$8 @,:,nt /;( (x "o*+,' ? )(/(+ #,t 1

$5 @h,'o"han, boto) 2- @HKM boto) !

-1 @h'o:(c cat 6/t /&. 2= "c# 2%

-2 @h'o:(c @at6/t /&. != "c#

-! @),an #tan+ box

-% @h)o' ,th9) &a),n6 1%

-$ @o:"o#(t, A2 t/b, 12

-- @o:"o#(t, A! t/b, 11

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48/94

88 D(a:on+ "',"a'a#( #,t !

85 D(#c)o#(n6 a6,nt boto) $

5 EDTA t/b,

51 E"h(n,'(n, (n;,( a:"/)


5! En+o ac#,# b/' box $

5% En+o b)oc& b/ah5$ En+o box box 1

5- En+o:,tha#on, box -

50 Et#a boto) 8

58 E/6,no) boto) %

55 Exa),# :ono"ha#, box 1

1 >(b,' box 2

11 >(b,' AA box

12 >(b,' DA box

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1- >),tch,' #,t

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18 >)o*ab), co:"o#(t t/b, 0

15 >o':o&',#o) boto) 1

11 >',,6,no) t,:"o'a'9 box !

111 Ga/6(n6 "c#

112 GI@ >/;( I box 2

11! GI@ >/;( II box 2

11% GI@ >/;( 5 Ext'a box %

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122 G)a##ton, t9", $ 9,))o* box 0

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128 G/tta" ",'cha %$C8 box 1$

125 G/tta" P,'cha @a)(b'at(on Ga/6, b/ah

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1!2 G/tta" "'ota"",' Un(,'#a) >! box !


49/94

1!! G/tta" "'ota"",' Un(,'#a) >% box !

1!% G/tta" "'ota"",' Un(,'#a) >%C>$ box

1!$ Han+#coon S box 11%

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50/94

108 K)a:,'


51/94

22! 8eriodental 8+- box 2



22- 8o&er kotak 1

220 8o&er chain kum!aran 1


225 8rota!!er uni;ersal box2! 8rota!!er hand use 4 21 mm !cs 3

2!1 8rota!!er hand use $ 21 mm !cs 3

2!2 8rota!!er hand use 4 2$ mm box 4




2!- 8umice bungkus 1

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2!5 :ubber amalgam (mata bur karet) set 2#2% Shade 0uide box

2%1 Sikat gigi anak !cs 3##

2%2 S!iritus botol


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2-! *i!=u%ung suction bungkus 25

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2-- *o! seal tube 3

2-0 *ourch buah


52/94

2-8 *ri &ay box 1


20 ?nimatrix set 2

201 ?rine bag buah $

202 @arnish box $

20! @aseline !ot 2

20% @en6on box 120$ Aire 'iostater 12 box 1








28! Aire ,iti 12 box 1

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280 Aire ,iti 1x22 box 1

288 Aire ,iti 15x2$ box 1

285 Aire ,iti 1 box 1

25 Aire ,iti 1"x2$ box 1

251 Aire SS 12 box 1

252 Aire SS 14 box 1

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250 Aire SS 1 box 1

258 Aire SS 1"x2$ box 1

255 Bink !hos!ate cement oDmants box $



53/94

Penerimaan IGD Triage

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60/94

Radiologi La. Klinik Pen!.

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61/94

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63/94

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64/94

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65/94

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67/94

POLIKLINIK

ulut Pedodontik Konservasi

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71/94

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73/94

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74/94

Periodontik Bedah Mulut Orth

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75/94

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77/94

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78/94

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81/94

dontik Prostodontik VIP

Penerimaan Permintaan Penerimaan Permintaan Penerimaan

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82/94

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83/94

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86/94

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87/94


88/94

APOTEK



89/94


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1


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PERMINTAAN PENERIMAAN

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