Format RKO PKM Oke 2015 WTB

8/15/2019 Format RKO PKM Oke 2015 WTB

1/30

RENCANA KEBUTUHAN OBAT HARGA E - KATALOG TAHUN UNTUK PELAYANAN KESEHATAN DASAR

PUSKESMAS : WATUBELAH

NO NAMA OBAT SATUANHARG TERK

1 ACT (Artesunate ta !et "# $% & A$' a*u ne an+, r a ta !et -## $%) 1 ! ster.-/ ta !et 10 2"

- A e3'4 r 5 p 4'6s ! ta !et76ap!et 1# $% 5us0 B! ster . 1# 6apsu! -20"##

A r untu6 n8e6s (A*ua pr' In8e6s) -# $! 9 a! -# $!

/ A r untu6 In8e6s -" $! 5us0 1-# a$pu! PE . -"ML -

" A r untu6 r %as !ar n3us 1### $! Bt! . 1### $!

A6ar 'se ta !et76ap!et 1## $% 5us0 1# str p .1#ta !et ;;#

2 A6ar 'se ta !et76ap!et "# $% 5us0 1# str p .1#ta !et 2

< A! en a='! suspens -## $%7" $! 5us0 1# us . 1 't'! . 1# $! 00 1## $! 9 a! 1## $! 2"#0###

11 A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s -#>0 "# $! 9 a! "# $! /"0###

1- A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s -">0 1## $! 5us0 't'! . 1## $! 10"1"0###

1 A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s -">0 -# $! 't'! . -# $! -10""-

1/ A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s -">0 "# $! 't'! . "# $! 2 -02-2

1" A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s "> -"# $! 't'! . -"# $! ;##0###

1 A! u$ n seru$ n'r$a! (+u$an a! u$ n) n8e6s "> "# $! 't'! . "# $! -< 0###

12 A!'pur n'! ta !et76apsu!76ap!et 1## $% B'?0 1# str ps . 1# ta !ets <

1< A!'pur n'! ta !et76apsu!76ap!et ## $% 5us0 1# ! ster . 1# ta !et -##

1; A!pra='!a$ ta !et76apsu!76ap!et #0-" $% 5us0 1# Str p . 1# ta !et tu e " %r 1<

-/ A$ 6as n n8e6s -"# $%7$! 9 a! - $!

-" A$ n' ! n n8e6s -/ $%7$! us # a$pu! .1# $! 0


2/30


2 Atapu!% t ta !et ## $% 5us " str p . 1# ta !et

2/ Aten'!'! ta !et76apsu!76ap!et 1## $% str p

2" Aten'!'! ta !et76apsu!76ap!et "# $% B'? . 1# str p 1# ta "

2 Atra6ur u$ n8e6s -" $%7-0" $! 5us0 " a$pu! . - " $! -#0##

22 Atr'p n n8e6s 4 7 $ 7s 6 #0-" $%7$! 1## AMPUL . 1 ML

2< Atr'p n Su!3at ta !et #0" $% 5us0 1# str p . 1# ta !et

2; Atr'p n Su!3at tetes $ata #0"> B't'! "$!

5us0 tu e . " % "02

1-# 5es'6s $etas'n 6r $ #0-"> K'ta60 tu e . 1" %ra$ ;0;<

1-1 5es'6s $etas'n sa!ep #0-"> 5us Tu e 1# %ra$ ;0<

1-- 5 a=epa$ !arutan re6ta! " $%7-0" $L 5us0 " a!u a% . 1 tu e . -0"$! 110"-"


3/30


1/< 5'seta6se! n8e6s -# $%7#0" $! 5us0 1 4 a! .#0" $!& 1 4 a! pe!arut .1 ;2#0-##

1/; 5TPA ( et+,!ene tr a$ ne pentaa et a ) -0# -0" $% pentetate a! 5us . " 4 a! /""0###

1"# 5utaster 6aps !una6 #0" $% 5us0 B't'! P!ast 6 . # Ta !et 201#

1"1 E3a4 rens ta !et sa!ut ## $% B't'! # ta

1"- E3e r n In8 "# $%7$! A$pu! . 1 $!

1" E6se$estan ta !et -" $% 5us0 - ! ster . 1" ta !et /-0 ##

1"/ En'6sapar n s' u$ n8 -# $%7#0- $L us0 - pre !!e s,r n%e . #0- $! /#02/#

1"" En'6sapar n s' u$ n8 /# $%7#0/ $L us0 - pre !!e s,r n%e . #0/ $! 210 5us0 Can ster -## 's s 1120"##


4/30


-- ur'se$ n8e6s 4 7 $ 1# $%7$! 5us0 -" a$pu! . - $! 10 Tu e . 0" %r -0

- 2 Genta$ s n tetes $ata #0 > 5us0 't'! p!ast 6 " $! 01;/

- < G! en6!a$ ta !et " $% 5us0 1# ! ster . 1# 6apta "

- ; G! 6!a= ta G!, er n 1## $!

-"/ G!u6'sa !arutan n3us 1# > ster ! 't'! . "## $! "02

-"" G!u6'sa !arutan n3us " > ster ! 't'! . "## $! "0-

-" G'sere! n asetat n8 1#0< $%74 a! 5us0 1 s,r n%e . 1# < $% -0 ##0#

-"2 G'sere! n asetat n8 0 $% 5us0 1 s,r n%e . $% tu e . " $! -0

-2# H r'6'rt s'n 6r $ -0" > Tu e " %r

-21 H r'6s Urea ta !et76ap!et76apsu! "## $% 4 a!

-2- H 's n ut ! r'$ n8e6s -# $%7$! '? "a$pu! .1 $! /0"##


5/30


-;< I upr'3en ta !et /## $% 5us0 1# str p . 1# ta !et 1

-;; I3's3a$ ser u6 n8e6s 1### $%74 a! 5us0 1 4 a! . 1 % 10 -;01

## I$an t Mes !at ta !et sa!ut se!aput 1## $% (S6e$a R s6 S+ar n% sesu 5us0 ! ster . 1# ta !et sa!ut se!aput -110###

#1 I$ apr ! ta 1# $% ! ster . 1# ta !et 0

#- I$ apr ! ta " $% ! ster . 1# ta !et -0

# I'pa$ '! -## ## $% I' u$7$L ( ##$% . 4 a! 1##$!) 5us0 't'! . 1## $! "#0###

#/ I'pa$ '! -## ## $% I' u$7$L ( ##$% . 4 a! #$!) 5us0 4 a! . # $! 1--0###

#" I'pa$ '! -## ## $% I' u$7$L ( ##$% . 4 a! "#$!) 5us0 4 a! . "# $! 1 0###

# I'pa$ '! ## 2# $% I' u$7$L ( 2#$% . 4 a! 1##$!) 5us0 't'! . 1## $! ;0###

#2 I'pa$ '! ## 2# $% I' u$7$L ( 2#$% . 4 a! #$!) 5us0 4 a! . # $! 1/20###

#< I'pa$ '! ## 2# $% I' u$7$L ( 2#$% . 4 a! "#$!) 5us0 4 a! . "# $! 1;;0###

#; I'pr'$ e ## 2# $% I' u$7$L ( ## $% 7 1## $!) B't'! -/"0###

1# I'pr'$ e ## 2# $% I' u$7$L ( ## $% 7 "# $!) B't'! 1- 0-##

11 I'pr'$ e ## 2# $% I' u$7$L ( 2# $% 7 1## $!) B't'! -;;0###

1- I'pr'$ e ## 2# $% I' u$7$L ( 2# $% 7 "# $!) B't'! 1"#0 ##

1 Ipratr'p u$ r'$ a n+a!as -# $ %7se$pr't B'?0 an ster 1#$L en'! 1## $% 7 1 $! -0

/1 Kar 'p!at n 1"# $% 7 1" $! 4 a! . 1" $! 1;#

/- Kar 'p!at n /"# $% 7 /" $! 4 a! . /" $! /# tu e " %r


6/30


7/30


//< Larutan $en%an un% L p (K'$ nas G!u6'sa an e!e6tr'! t (HCL) 5us0 1## a$pu! . - $!

/ L '6a n n8e6s -> (HC!) & Ep ne3r n 1 :


8/30


"- M'r n HCL n8 1# $%7$! 5us 1# a$p . 1 $!

"-/ M'r n HCL ta !et SR 1# $% 5us0 str p . 1# ta !et 1"0

"-" M'r n HCL ta !et SR 1" $% 5us0 str p . 1# ta !et --0;;

"- M'r n ta !et 1# $% B't'! # ta !et

"-2 N aset ! s ste n n8 ne u!es 1## $% B'? . " a$pu! 1 0-

"-< Na ! #0;> B't'! "## $!

"-; Na r'par n n8 ;"## A?a7$L s,r n%e #0 $L 5us0 " ! ster . - p3s # $! "/01//

" # Na r'par n n8 ;"## A?a7$L0 s,r n%e #0/ $L 5us0 " ! ster . - p3s # / $! 0 /#

" 1 Na r'par n n8 ;"## A?a7$L0 s,r n%e #0 $L 5us0 " ! ster . - p3s # $! ;/0; -

" - Na!'6s'n n8e6s #0/ $%7$! 5us0 " A$pu! . -$! 10

" Natr u$ B 6ar 'nat n8e6s 4 A$p'e! -" ML 0

" / Natr u$ 5 6!'3ena6 ta !et "# $% B'? 0" B! ster . 1# ta !et -##

" " Natr u$ 3's3at !ar 'ra! /" $L B't'!0 /" $! 0

" Natr u$ 3us at sa!ep -# $%7% Tu e " %r

" 2 Ne'st %$ n n8e6s #0" $%7$! B'?0 s " a$pu! . 1 $! ;0

" < Ne4 rap n ta !et -## $% t! # ta !et

" ; N 3e p n ta -# $%0 s!' re!ease 'r's ! ster -0;;

"/# N 3e p n ta # $%0 'r's ! ster

"/1 N 3e p n ta !et76apsu! 1# $% 5us0 1# Str p . 1# ta !et sa!ut se!aput 1##

"/- N 6ar p n n8 1# $%74 a! B'? . 1 4 a!

"/ N !'t n 6apsu! -## $% (S6e$a R s6 S+ar n% sesua Kep$en6es RI N'$' 5us0 - ! ster . 1/ 6apsu! Bt! . " $!

"" OJ'?a n ta !et -## $% B'? 0" Str p . 1# ta !et /#

""2 OJ'?a n ta !et /## $% B'? 0" Str p . 1# ta !et

""< O6sa! p!at n ser u6 n8e6s 1## $% 7 4 a! 5us0 1 4 a! . -# $! 101##0

""; O6sa! p!at n ser u6 n8e6s "# $% 7 4 a! 5us0 1 4 a! . 1# $! ""#0#

" # O6s $eta='! n tetes + un% #0#-"> 't'! . 1# $! -20""#

" 1 O6s $eta='! n tetes + un% #0#"#> 't'! 1" $! -;0#

" - O6s t's n n8e6s 1# IU7$! a$pu! . 1 $!

" O6tre't 1# $% 5us0 4 a! . ""$ & 1 pre !!e s,r n%e -0;"#0###

" / O!an=ap n n8 1# $%74 a! 9 a!

" " O!'pata n tts $ata #01> 't'!0 tetes $ata " $!


9/30


";< P'4 'n I' a !arutan 1#> 1### $! 't'! . 1### $! 201#;

";; P'4 'n I' a !arutan 1#> # $! 't'! . # $! -01

## P'4 'n I' a !arutan 1#> ## $! 't'! . ## $! 1/0-#

#1 P'4 'n I' a !arutan 1#> # $! t! # $! "0;;<

#- Pra$ pe6s'! ta ER #0 2" $% 5us0 a!u ! ster . 1# ta !et 20-##

# Pra$ pe6s'! ta ER #02"# $% 5us0 a!u ! ster . 1# ta !et 110- <

#/ Pra4astat n ta !et -# $% B'? 0" Str p . 1# ta !et -0

#" Pr $a6u n ta !et 1" $% 5us01# ! ster .1# ta !et -

# Pr' enes ta !et76apsu!76ap!et "## $% 5us0 1# str p . 1# ta !et 10 "#

#2 Pr'6a n Ben= !pen s ! n ser u6 n8e6s 8uta IU74 a! 9 a! . 8uta IU 201

#< Pr'pan'!'! ta !et 1# $% ( HC! ) 5us0 1# Str p . 1# ta !et

#; Pr'p !t 'uras ! ta !et76apsu!76ap!et 1## $% B't'! . 1## Ta !et 1;

1# Pr'p'3'! n8e6s 4 0 '!us 1> A$pu!

11 Pr'pran'!'! ta !et /# $% (HC!) 5us0 1# str p . 1# ta !et 1#

1- uet ap n ta -## $% 5us0 1 ! ster . 1# ta !et 120 ;

1 uet ap n ta ## $% 5us0 1 ! ster . 1# ta !et 1;0"#

1/ uet ap n ta /## $% 5us0 1 ! ster . 1# ta !et - 01<

1" Ra$ pr ! ta !et -0" $% 5us0 ! ster . 1# ta !et ;

1 Ra$ pr ! ta !et " $% 5us0 1# Str p . 1# 6apta

12 Ra$ pr ! ta !et76ap!et76apsu! 1# $% 5us0 1# str p . 1# ta !et 10#

1< Ran t n n8e6s -" $%7$! 5us0 1# A$pu! . - $! 1

1; Ran t n ta !et 1"# $% 5us0 1# Str p . 1# ta !et sa!ut se!aput 1-#

-# Ret n'! (9 ta$ n A) 1## ### IU B't'! "# 6apsu! !una6

-1 Ret n'! (9 ta$ n A) -## ### IU 6apsu! !una6 B't'! "# Kapsu! /

-- R 3a$p s n ta !et76apsu!76ap!et ## $% 5us0 1# str p . 1# 6apsu! 1#

- R 3a$p s n ta !et76apsu!76ap!et /"# $% 5us0 1# str p . 1# 6apsu! 2;#

-/ R 3a$p s n ta !et76apsu!76ap!et ## $% 5us0 1# str p .1# 6apta 101##

-" R n%er La6tat !arutan n3us 't'! "## $!

- R sper 'n ta !et 1 $% 5us0 " B! ster . 1# ta !et 10/

-2 R sper 'n ta !et - $% KOTAK . " ? 1# TAB

-< R sper 'n ta !et $% 5us0 " B! ster . 1# ta !et -0#

-; R tu6s $a n8e6s 1# $%7$! (S6e$a R s6 S+ar n% sesua Kep$en6es RI 5us0 1 4 a! . 1# $! 01 /0 5us0 /?" B't'! P!ast 6.- " $! 0 ##

< Sa! uta$'! n+a!as 7aer's'! 1## $ %7 's s 5us0 't'! -## 's s 02"#

; Sa! uta$'! ser n+ -## $ %76aps 5us0 1# B! ster . 1# Kapsu! / 1

/# Sa! uta$'! ser n+ -## $ %76aps & r'ta+a!er 5us0 1 R'ta+a!er "0< 2

/1 Sa! uta$'! ta !et - $% (se a%a Su!3at) str p . 1# ta !et ";

/- Sa!ep - / 0 K'$ nas : Asa$ Sa! s !at -> & Be!eran% en ap /> P't . # %ra$ -0###

/ Se3a r'6s ! s rup 6er n% 1-" $%7"$! 5us0 B't'! # $! /02/

// Se3a r'6s ! 6apsu!76ap!et -"# $% str p

/" Se3a r'6s ! 6apsu!76ap!et "## $% 5us0 1# str p . 1# 6apsu! "

/ Se3a r'6s ! s r 6er n% -"# $%7" $L 5us0 B't'! # $! "0<

/2 Se3a!e6s n 6apsu!76ap!et "## $% 5us0 " Str p . 1# Kapsu! 1


10/30


2 S !'sta='! ta !et76apsu!76ap!et 1## $% str p

2/ S $4astat n s 're ta !et 1# $% 5us0 Str p . 1# Kap!et sa!ut se!aput 1 ;

2" S $4astat n ta !et -# $% 5us0 Str p . 1# Kap!et sa!ut se!aput ;1

2 S pr'J'6sas n n3us -> 9 a! -## $!

22 S pr'J'6sas n ta !et "## $% (se a%a HC!) 5us0 1# ! ster . 1# ta ss -""

2< S sp!at n ser u6 n8e6s 1# $% 4 a!

2; S sp!at n ser u6 n8e6s "# $% 4 a!

5us0 B't'! P!ast 6 . "$! ;01-<

21" T $'!'! tetes $ata #0"> 5us0 B't'! P!ast 6 . "$! ;02

21 T 'tr'p u$ 1< $ % re !! B'?0 ! sters .1# apsu!es 1 0< 2

212 T 'tr'p u$ 6aps 1< $ % & +an +a!!er 5us0 1 ! ster .1# 6apsu! & +an +a!er 1"-0"/

21< Tra$a '! n8e6s "# $%7$! 5us0 1# A$pu! . - $! -

21; Trastu=u$a ser u6 n8e6s //# $%74 a! (S6e$a R s6 S+ar n% sesua Ke 5us0 1 4 a! . //# $% & 1 4 a! pe!arut 1;0 # 't'!0 tetes $ata -0" $! 11"0###

2-1 Tr a$s n'!'n aset'n nasa! spra, "" $ %7pu 5us0 't'! p!ast 6 1-# 's s ;#0###

2-- Tr a$s n'!'n n8 1# $%7$L 5us01 4 a!. "$! "


11/30

NO NAMA OBAT SATUANHARGA SATUAN TERKECIL (Rp)

2/< 9a6sn ra es0 untu6 $anus a ser u6 n8e6s s 6 7 6 & ''ster 5us0 1 4 a!. 1 's s & 1 S,r n%e . #0" 2


12/30

NO NAMA OBAT SATUANHARGA SATUAN TERKECIL (Rp)

Men%eta+u C rKepa!a UPT Pus6es$as Watu e!a+ Pen%e!'!a O

H8 S Rat$ n n%s +0SKM0S ST0MH

NIP 1;2##-1< 1;;##- -##1 N P. 13


13/30

5

9OLUME TOTAL Rp

-## 120-##

"## ;-0#### 11


14/30

9OLUME TOTAL Rp

1### 10-"#0###

-## #/0###

-#### 10 #0###

/### 1


15/30

9OLUME TOTAL Rp

# -/ 0###

-## 1- 0


16/30

9OLUME TOTAL Rp

"### -


17/30

9OLUME TOTAL Rp

1"### -0- "0###

"### "#0###

### /


18/30

9OLUME TOTAL Rp

2## 1#/0 ##/#- < -0-;#


19/30

9OLUME TOTAL Rp

1## 1"0/##

"#21 "2 0#-

-## 1 #0###

"###


20/30

9OLUME TOTAL Rp

-## /#0###

-/## -/#0###

1# /;0//#

## 0 ##

1-# -/0###


21/30

9OLUME TOTAL Rp

-### -/#0###

; 1;-0###


22/30

9OLUME TOTAL Rp


23/30

9OLUME TOTAL Rp

-


24/30

9OLUME TOTAL Rp

'n0 1- Fun -#1" at Pus6es$as Watu e!a+

H .Y*)n! a

0622 13 307 2006


25/30

RENCANA KEBUTUHAN B9HP HARGA E - KATALOG TAHUNTUK PELAYANAN KESEHATAN DASAR

PUSKESMAS : WATUBELAH

NO NAMA OBAT SA

1 A!at Sunt 6 Se6a! Pa6a 1 Tu er u! n -2G ? 17- (n pr')

- A!at Sunt 6 Se6a! Pa6a 1 Tu er u! n -2G ? 17- (stera)

A!at Sunt 6 Se6a! Pa6a 1 Tu er u! n -2G ? 17- (Teru$')

/ A!at Sunt 6 Se6a! Pa6a 1# ? -1G ? 1 17- (n pr')

" A!at Sunt 6 Se6a! Pa6a 1# ? -1G ? 1 17- (stera)

A!at Sunt 6 Se6a! Pa6a 1# ? -1G ? 1 17- (teru$')

2 A!at Sunt 6 Se6a! Pa6a - " ? - G ? 1 17/ (stera)

< A!at Sunt 6 Se6a! Pa6a ? - G ? 1 17/ (n pr')

; A!at Sunt 6 Se6a! Pa6a ? - G ? 1 17/ (stera)

1# A!at Sunt 6 Se6a! Pa6a ? - G ? 1 17/ (teru$')

11 A!at Sunt 6 Se6a! Pa6a ? - G ? 1 17/ (teru$')

1- A!at Sunt 6 Se6a! Pa6a " ? --G ? 1 17/ (stera)

1 A!at Sunt 6 Se6a! Pa6a " ? --G ? 1 17/ (NIPRO)

1/ A!at Sunt 6 Se6a! Pa6a " ? --G ? 1 17/ (teru$')

1" A!at Sunt 6 Se6a! Pa6a " ? --G ? 1 17/ (teru$')

1 Benan% Be a+ SMI(CATGUT CHROMIC SMI -7# 5S -/ MM) Ra8a a! Nurs n '

12 Benan% Be a+ SMI(CATGUT CHROMIC SMI -7# HR - MM) Ra8a a! Nurs n '

1< Benan% Be a+ SMI(CATGUT CHROMIC SMI -7# HR 2 MM) Ra8a a! Nurs n '

1; Benan% Be a+ SMI(CATGUT CHROMIC SMI 7# HR - MM) Ra8a a! Nurs n '

-# Benan% Be a+ SMI(CATGUT PLAIN SMI -7# HR 2 MM) Ra8a a! Nurs n '

-1 Benan% Be a+ SMI(CATGUT PLAIN SMI 7# 5S -/ MM) Ra8a a! Nurs n '

-- Benan% Be a+ SMI(CATGUT PLAIN SMI 7# HR - MM) Ra8a a! Nurs n '

- Benan% Be a+ SMI(CATGUT PLAIN SMI 7# 5S -/ MM) Ra8a a! Nurs n '

-/ Benan% Be a+ SMI(SILK BLACK -7# HR -# MM) Ra8a a! Nurs n '

-" Benan% Be a+ SMI(SILK BLACK -7# HR - MM) Ra8a a! Nurs n '

- Benan% Be a+ SMI(SILK BLACK 7# HR - MM) Ra8a a! Nurs n '

-2 Benan% Be a+ SMI(SILK BLACK 7# 5S -/ MM)Ra8a a! Nurs n '

-< Benan% Be a+ SMI(SILK BLACK -7# HR -# MM) Ra8a a! Nurs n '

-; Benan% Be a+ SMI(SILK BLACK -7# 5S -/ MM) Ra8a a! Nurs n '

# Benan% Operas Cat%ut C+r'$ -7# & 8aru$ 17- GT " $$(One$e Cat%ut +r'$ -7# & 8aru$ 17- GT " $$)

1 Benan% Operas Cat%ut C+r'$ 7# & 8aru$ 17- GT " $$(One$e Cat%ut +r'$ 7# & 8aru$ 17- GT " $$)

- Benan% Operas Cat%ut P!a n -7# & 8aru$ 17- GT " $$(One$e Cat%ut P!a n -7# & 8aru$ 17- GT " $$)

Benan% Operas Cat%ut P!a n 7# & 8aru$ 17- GT " $$(One$e Cat%ut P!a n 7# & 8aru$ 17- GT " $$)

/ Benan% Operas S !6 -7# & 8aru$ 17- GT " $$(One$e S !6 -7# & 8aru$ 17- GT " $$)

" Benan% Operas S !6 7# & 8aru$ 17- GT " $$(One$e S !6 7# & 8aru$ 17- GT " $$)

B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q 1;

2 B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q -#

< B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q --

; B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q -

/# B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q -/

/1 B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q -"

/- B!a e raun Aes u!ap !a e7 ar 'n stea! s a!pe! !a es Q -

/ '!!e, Cat+eter - a, N' 1 One$e ur' are 3'!!e, Cat+eter - a, N' 1<

// '!!e, Cat+eter - a, N' 1< One$e ur' are 3'!!e, Cat+eter - a, N' 1<

/" '!!e, Cat+eter - a, N' -- One$e ur' are 3'!!e, Cat+eter - a, N' --

/ '!!e, Cat+eter a, N' -# One$e ur' are 3'!!e, Cat+eter a, N' -#

/2 '!!e, Cat+eter a, N' -- One$e ur' are 3'!!e, Cat+eter a, N' --


26/30

NO NAMA OBAT SATUANHA TE

2< Sarun% tan%an Ster ! A@IME5 CHIRURGI GLO9ES0 (SI E 2 #)

2; Sarun% tan%an Ster ! A@IME5 CHIRURGI GLO9ES0 (SI E 2 ")


27/30

9OLUME TOTAL Rp

1 ;"0###

1## ;-0"##

1# "#0###

- -"0###

1# 10 /#0###

1# 10 /#0###

1 11#0###

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Format RKO PKM Oke 2015 WTB

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