201920471011072_OCTAVIANA PUTRI G_APOTEK

Lampiran 2 Berita Acara Pemeriksaan Apotek

24

Lampiran 3. Hasil Pemeriksaan

25

26

27

28

Lampiran 4. Laporan Pengalihan Tanggung Jawab Pelayanan Kefarmasian

29

Lampiran 5. Copy Resep

X-one Apotek Jawa

Jalan Abdul Ghani Bawah, Ngaglik, Kec. Batu, Kota Batu,

Timur 65311

Telp. (0341) 483311

APA: Aziza Ratna Sari, S.Farm
SIPA: 21660131/SIPA/-21.06/2021/2106

Dari Dokter COPY RESEP
Untuk APOGRAPH
Umur :________________________________
Tertulis Tanggal :________________________________
Dibuat tanggal :________________________________
No. Resep :________________________________
:________________________________
R :________________________________

PCC

Lampiran 8. Etiket

30

Lampiran 6. Etiket Obat

Xone Apotek

Jalan Abdul Ghani Bawah, Ngaglik,
Kec. Batu, Kota Batu, Jawa Timur
65311

Telp. (0341) 483311

APA: Apt. Aziza Ratna Sari, S.Farm
SIPA: 21660131/SIPA/-21.06/2021/2106

No: Tanggal:

OBAT LUAR
(Jauhkan dari jangkauan anak-anak)

Xone Apotek Jawa
Jalan Abdul Ghani Bawah, Ngaglik, Kec. Batu, Kota Batu,

Timur 65311

APA: Apt. Aziza Ratna Sari, S.Farm
SIPA: 21660131/SIPA/-21.06/2021/2106

No: Tanggal:
(.........Th/Bln)

____X Sehari ____ Tetes/Biji/Semprot Pagi
Pada Mata/Telinga/Hidung Siang
Melalui Anus/Vagina Sore
Malam

(Hubungi Apoteker bila membutuhkan Informasi Obat)

31

Xone Apotek Jawa
Jalan Abdul Ghani Bawah, Ngaglik, Kec. Batu, Kota Batu,

Timur 65311

APA: Apt. Aziza Ratna Sari, S.Farm
SIPA: 21660131/SIPA/-21.06/2021/2106
No: Tanggal:

(.........Th/Bln)

____X Sehari ____Tablet/Kapsul/Puyer Pagi
Siang
Malam

(Hubungi Apoteker bila membutuhkan Informasi Obat)

KOCOK DAHULU

32

Lampiran 7. Surat Pesanan Obat Bebas, Keras, dan Alat Kesehatan

SURAT PESANAN
XONE APOTEK

No. SIA._________________
Jalan Abdul Ghani Bawah, Ngaglik, Kec. Batu, Kota Batu, Jawa Timur 65311

APA: Apt. Aziza Ratna Sari, S.Farm
SIPA: 21660131/SIPA/-21.06/2021/2106

Batu,_______

Kepada Yth: SURAT PESANAN
________
di- No. / /
_____
Nama Obat/Barang Jumlah Keterangan
No

Hormat kami,

APA: Rilla Diyah Sutrisno, S.Farm., Apt.
SIPA: 446/0154/1436/2019

33

Lampiran 8. Contoh Surat Pesanan

34

35

36

37

Lampiran 9. Daftar Harga Obat Banyak Satuan Harga Barang Total
50 Tablet Rp. 600 Rp. 30.000
Narkotik 40 Tablet Rp. 44.000
50 Tablet Rp. 1.100 Rp. 43.000
No Nama obat 10 Kapsul Rp. 860 Rp. 79.000
1 Codein 10 mg 10 Kapsul
2 Codein 20 mg 1 Rp. 7.900 Rp. 105.000
3 Codein 15 mg 10 Fls Rp. 10.500 Rp. 51.000
4 Codipront caps Kapsul Rp. 51.000 Rp. 33.000
5 Codipront expect Total
6 Codipront syr Rp. 3.300 Rp. 385.000
7 Coditam
Total
Psikotropik Banyak Satuan Harga Barang Rp. 50.000
10 tablet Rp. 5.000 Rp. 9.000
No Nama Obat 10 tablet Rp. 900 Rp. 16.000
1 Braxidin 10 tablet Rp.1.600 Rp. 12.000
2 Diazepam 2 mg 10 tablet Rp. 1200 Rp. 90.000
3 Phental 100 mg 60 tablet Rp. 1500 Rp. 30.000
4 Phenobarbital 30 mg 10 Tablet Rp. 3000 Rp. 35.000
5 Phenobarbital 50 mg 10 Tablet Rp.3500 Rp. 35.000
6 Sanmag 10 Tablet Rp. 3.500
7 Valisanbe 5 mg Rp. 312.000
8 Esilgan Total
Total
Suplemen Banyak Satuan Harga Rp. 25.000
1 Fls Rp. 25.000 Rp. 30.000
Nama barang Rp. 46.000
Curcuma fruit vegie 2 fls Rp. 15.000 Rp. 14.000
Becefort syr 60mL 2 fls Rp. 23.000 Rp. 15.000
Betafort syr 60 mL 1 fls Rp. 14.000 Rp. 38.000
Biolysin smart sirup 1 fls Rp. 15.000
Biolysin tablet hisap 2 Fls Rp. 19.000 Rp. 122.000
Cerebrofort 100 mg Rp. 40.000
1 box Rp. 122.000 Rp. 50.000
Enervon C Rp. 51.000
10 tab Rp. 4.000 Rp. 22.000
Enervon C Tab 10 strip Rp. 5.000 Rp. 13.000
Ester C'4 Rp. 45.000
1 fls Rp. 51.000
Ever-E (30) Rp. 73.000
1 box Rp. 22.000 Rp. 15.000
Ever-E '12 Rp. 446.000
1 Fls Rp. 13.000 Rp. 74.000
Fitkom 30 tab 3 bos Rp. 15.000 Rp. 98.000
Fitkom gummy Rp. 14.000
1 Fls Rp. 73.000 Rp. 24.000
Imboost force sirup 60 ml 20 pcs Rp. 750 Rp. 170.000
Minyak ikan OMEGA 3 1 box
Neurobion 100 2 tube Rp. 446.000 38
Redoxon Fortimun EFF '10 1 fls Rp. 37.000
Regrou FORTE 30 ml 1 fls Rp. 98.000
Sakatonik ABC 1 Fls Rp. 14.000
Scottcs Emulsion 200 mg 1 fls Rp. 24.000
Thermolyte plus 30 caps
Rp. 170.000

Vidoran plus 1 Fls Rp. 16.000 Rp. 16.000
Vitacimin 20 strip Rp. 1.000 Rp. 20.000
Xon-Ce 20 strip Rp. 1.000 Rp. 20.000
Xonche 30 strip Rp. 1.000 Rp. 30.000
Zevit grow 4 tablet 10 strip Rp. 5.000 Rp. 50.000
Rp. 1.561.000
Obat Bebas Total

Nama Dagang Banyak Satuan Harga Total

Ambeven 1 box Rp. 171.000 Rp. 171.000
Hemoroid 1 box Rp. 44.000 Rp. 44.000
Tonikum Bayer, 100 ml 2 Fls Rp. 12.000 Rp. 24.000
Tonikum Bayer,300 ml 2 Fls Rp. 24.000 Rp. 48.000
Sakatonik Liver, 100 ml 2 Fls Rp. 8.000 Rp. 16.000
Sakatonik Liver, 330 ml 2 fls Rp. 19.000 Rp. 38.000
Antasida generik 2 box Rp. 15.000 Rp. 30.000
Antasida generik sirup 2 fls Rp. 5.000 Rp. 10.000
Mylanta 1 box Rp. 55.000 Rp. 55.000
Mylanta sirup 50 ml 2 fls Rp. 13.000 Rp. 26.000
Promag 3 box Rp. 15.000 Rp. 45.000
Diapet 1 box Rp. 41.000 Rp. 41.000
New diatabs 1 box Rp. 57.000 Rp. 57.000
Entrostop anak
Entrostop 1 box Rp. 11.000 Rp. 11.000
Lacto B 2 box Rp. 13.000 Rp. 26.000
Laxing
Microlax 1 box Rp. 209.000 Rp. 209.000
Dexanta tab 1 box Rp. 60.000 Rp. 60.000
Diapet NR
Curcuma fruit vegie 2 tube Rp. 24.000 Rp. 48.000
Curcuma plus imun
Vitamin A IPI 5 strip Rp. 2.000 Rp. 10.000
Vitamin C IPI
Vitamin B1 IPI 2 strip Rp. 30.000 Rp. 60.000
Vitamin B12 IPI
Vitamin B Komplek IPI 2 fls Rp. 25.000 Rp. 50.000
Ambroxol 2 fls Rp. 14.000 Rp. 28.000
Ambroxol sirup 60 ml 3 tube Rp. 5.000 Rp. 15.000
OBH 3 tube Rp. 5.000 Rp. 15.000
Decolsin 3 tube Rp. 5.000 Rp. 15.000
Decamag tab 3 tube Rp. 5.000 Rp. 15.000
Decolsin sirup 3 tube Rp. 5.000 Rp. 15.000
Degirol 1 box Rp. 14.000 Rp. 14.000
C 1000 sido muncul
Sari kurma isi jack for kids 3 fls Rp. 4.000 Rp. 12.000
5 fls Rp. 6.000 Rp. 30.000

10 strip Rp. 2.000 Rp. 20.000

3 strip Rp. 3.000 Rp. 9.000

2 botol Rp. 16.000 Rp. 32.000
10 sachet Rp. 3.000 Rp. 30.000

10 pcs Rp. 1.000 Rp. 10.000
2 fls Rp. 17.500 Rp. 35.000

39

Sari buah BIO Janna 2 fls Rp. 40.000 Rp. 80.000

Sari Kurma Nahlah 2 fls Rp. 20.000 Rp. 40.000
Paracetamol Generik 1 box Rp. 12.000 Rp. 12.000
Paracetamol Generik Sirup 2 fls Rp. 5.000 Rp. 5.000
Biogesic 1 box Rp. 45.000 Rp. 45.000
Panadol biru 1 box Rp. 72.000 Rp. 72.000
Panadol merah 1 box Rp. 84.000 Rp. 84.000
Sanmol sirup 2 fls Rp. 11.000 Rp. 22.000

Sanmol drop 2 fls Rp. 15.000 Rp. 30.000

Termorex sirup 2 fls Rp. 10.000 Rp. 20.000
Tempra sirup 2 Fls Rp. 23.000 Rp. 46.000

Tempra drop 2 Fls Rp. 40.000 Rp. 80.000

Cendo lyteers drop 2 Fls Rp. 22.000 Rp. 44.000
y-rins 2 Fls Rp. 11.000 Rp. 22.000

Degirol 1 Box Rp. 15.000 Rp. 15.000

Forumen 2 Fls Rp. 26.000 Rp. 52.000

MKP lang 15 ml 2 Fls Rp. 4.000 Rp. 8.000

MKP lang 30 ml 2 Fls Rp. 8.000 Rp. 16.000

MKP lang 60 ml 2 Fls Rp. 15.000 Rp.30.000
MKP lang 100 2 Fls Rp. 29.000 Rp. 58.000
MKP lang 210 ml 2 Fls Rp. 56.000 Rp. 112.000
MT lang 60 ml 2 Fls Rp. 13.000 Rp. 26.000
MT lang 100 ml 2 Fls Rp. 21.000 Rp. 42.000
MT lang plus 60 ml 2 Fls Rp. 13.000 Rp. 26.000
MT lang plus 100 ml 2 Fls Rp. 21.000 Rp. 42.000
MK 5 ml 2 Fls Rp. 7.000 Rp. 14.000
MK 10 ml 2 Fls Rp. 11.000 Rp. 22.000

Minyak tawon CC 2 Fls Rp. 12.000 Rp. 24.000
Minyak tawon DD 2 Fls Rp. 17.000 Rp. 34.000
Minyak tawon EE 2 Fls Rp. 29.000 Rp. 58.000
Gandapura 30 ml 2 Fls Rp. 6.000 Rp. 12.000
Gandapura 60 ml 2 Fls Rp. 10.000 Rp. 20.000
GPU 30 ml 2 Fls Rp. 7.000 Rp. 14.000

GPU 60 ml 2 Fls Rp. 12.000 Rp. 24.000

Safe care roll 10 Fls Rp. 13.000 Rp. 130.000

Salonpas roll 10 ml 2 Fls Rp. 10.000 Rp. 20.000

Salonpas roll 50 ml 2 Fls Rp. 15.000 Rp. 30.000
Hot in cream 60 ml 2 Fls Rp. 10.000 Rp. 20.000
Hot in cream 120 ml 2 Fls Rp. 14.000 Rp. 28.000
Counterpain cr 5 g 2 Fls Rp. 8.000 Rp. 18.000
Counterpain cr 15 g 2 Fls Rp. 22.000 Rp. 44.000
Counterpain cr 30 g 2 Fls Rp. 35.000 Rp. 70.000
Counterpain cr 60 g 2 Fls Rp. 82.000 Rp. 164.000
Voltaren gel 10 g 2 Fls Rp. 42.000 Rp. 84.000
Voltaren gel 20 g 2 Fls Rp. 81.000 Rp. 162.000
Rp. 346.000
Voltaren gel 50 g 2 Fls Rp. 173.000
40

Balsam geliga 20 g 2 Pot Rp. 6.000 Rp. 12.000
Balsam geliga 40 g 2 Pot Rp. 13.000 Rp. 26.000

Salonpas koyo 2 Box Rp. 60.000 Rp. 120.000
Salonpas koyo cabe 1 Box Rp. 169.000 Rp169.000

Herocyn bedak 2 Pcs Rp. 9.000 Rp. 18.000
Herocyn baby bedak 2 Pcs Rp. 9.000 Rp. 18.000
Caladin bedak kecil 2 Pcs Rp. 10.000 Rp. 20.000
Caladin bedak besar 2 Pcs Rp. 17.000 Rp. 34.000
Caladin lotion kecil 2 Fls Rp. 11.000 Rp. 22.000
Bamboo belly slimming koyo 2 patch Rp. 15.000 Rp. 30.000
Bambi lotion anti nyamuk 2 botol Rp. 13.000 Rp. 26.000
Bambi rash cream 50 ml 2 botol Rp. 13.000 Rp. 26.000
Lifree pants 2 patch Rp. 41.000 Rp. 42.000

Ban leng '100' 2 Tube Rp. 27.000 Rp. 54.000
Ban leng 'A' 2 Tube Rp. 16.000 Rp. 32.000

Benoson krim 5 g 2 Tube Rp. 15.000 Rp. 30.000
Benoson krim 15 g 2 Tube Rp. 32.000 Rp. 62.000
Benoson N krim 5 g 2 Tube Rp. 18.000 Rp. 36.000

Benoson N krim 15 g 2 Tube Rp. 37.000 Rp. 74.000
Benzolac CL gel 2 Tube Rp. 29.000 Rp. 58.000
Benzolac 2,5% 2 Tube Rp. 13.000 Rp. 26.000
Benzolac 5% 2 Tube Rp. 17.000 Rp. 34.000

Bioplacenton gel 2 Tube Rp. 15.000 Rp. 30.000
Biocream 20 gr 2 Tube Rp. 24.000 Rp. 48.000
Vicks VAP 10 gr 2 Pot Rp. 6.000 Rp. 12.000
Vicks VAP 25 gr 2 Pot Rp. 13.000 Rp. 26.000
Vicks VAP 50 gr 2 Pot Rp. 22.000 Rp. 44.000
Bodrex Migrain 1 Box Rp. 44.000 Rp. 44.000
Bodrex Extra 1 Box Rp. 41.000 Rp. 41.000

Bodrexin 1 Box Rp. 5.000 Rp. 5.000

Bodrex Flu dan Batuk 1 Box Rp. 47.000 Rp. 47.000
Bodrex Flu dan Batuk Biru 1 Box Rp. 41.000 Rp. 41.000

Tolak angin tablet 2 Box Rp. 10.000 Rp. 20.000
Tolak angin cair 2 Box Rp. 25.000 Rp. 50.000
Rp. 44.000
Antangin cair 2 Box Rp. 22.000 Rp. 20.000
Kapsida 2 Fls Rp. 10.000
Rp. 22.000
em-kapsul 2 Pcs Rp. 11.000
Rp. 2.000
Bintang 7 masuk angin 2 Pcs Rp. 1.000 Rp. 185.000
Bio 7 1 botol Rp. 185.000
Rp. 135.000
Bio HAS 1 botol Rp. 135.000
Rp. 80.000
Gamat gol kapsul '60 2 botol Rp. 40.000 Rp. 90.000
Black seed oil 2 botol Rp. 45.000 Rp. 18.000
Cing cau kecil 20 gr 2 Pot Rp. 9.000
Rp. 2.000
Clofen tablet 2 Pcs Rp. 1.000 Rp. 26.000
Garam LOSOSA 250 gr 2 pack Rp. 13.000 Rp. 8.000
Curcumin drink 2 Fls Rp. 4.000 Rp. 32.000
Combantrin 125 mg 2 Strip Rp. 16.000
Rp. 32.000
Combantrin 250 mg 2 Strip Rp. 16.000
41

Counterpain patch 2 Bks Rp. 20.000 Rp. 40.000
Counterpain patch hot 2 Bks Rp. 21.000 Rp. 42.000
Curmino 2 botol Rp. 34.000 Rp. 64.000

Curmino plus 2 botol Rp. 45.000 Rp. 90.000
Cendo vasacon A 2 botol Rp. 24.000 Rp. 48.000
Cendo Vassacon 2 Strip Rp. 15.000 Rp. 30.000

Cendo Dexaton botol 5 ml 2 botol Rp. 19.000 Rp. 38.000
Enkasari syr 120 ml 2 Fls Rp. 17.000 Rp. 34.000

Zaitun Cair an nu 60 2 Fls Rp. 17.000 Rp. 34.000
Zaitun Cair Jadied 60 ml 2 Fls Rp. 15.000 Rp. 30.000
Koyo Cabe 2 Pax Rp. 7.000 Rp. 14.000
Total Rp. 6.278.000
Obat Bebas Terbatas Harga
Banyak Satuan Total
Nama Dagang Rp 24,700
2 Botol Rp 49,400
Cendo lyteers drop Rp 18,999
2 Botol Rp 31,000 Rp 37,998
y-rins 2 Botol Rp 7,800 Rp 62,000
Forumen 2 Tube Rp 15,000
Ketokonazole generik 2 Tube Rp 122,218 Rp 15,600
Micoral 1 Tube Rp 28,413 Rp 30,000
Nizoral 3 Tube Rp 10,325
Verile 3 Tube Rp 23,928 Rp 122,218
Neo ultrasiline 2 Tube Rp 42,026 Rp 85,239
Canesten 5 g 2 Tube Rp 11,573
Canesten 10 g 2 Tube Rp 26,059 Rp 30,975
Kalpanax krim 2 Tube Rp 41,267 Rp 47,856
Daktarin 5 g 1 Tube Rp 59,000 Rp 84,052
Daktarin 10 g 1 Botol Rp 35,485
Augentoni 2 Botol Rp 29,380 Rp 23,146
Cenfresh MDS 2 Botol Rp 14,000 Rp 52,118
Eyefresh MDS 3 Botol Rp 8,934 Rp 41,267
Insto 7,5 ml 5 Botol Rp 12,275 Rp 59,000
Rohto 2 Botol Rp 11,916 Rp 70,970
Visine 2 Botol Rp 27,962 Rp 58,760
Santadex 3 Tube Rp 20,000 Rp 42,000
Voltadex gel 2 1box Rp 65,225
Neosanmag 1 1 box Rp 2,336 Rp 44,670
Asma soho 5 Strip Rp 32,000 Rp 24,550
Neo Napacin 1 Dos Rp 12,804
GG Generik tab 3 Botol Rp 6,151 Rp23,832
OBH Combi 2 Botol Rp 10,510 Rp 83.886
Zenirex 2 Box Rp 201,500 Rp 40,000
Allerin 1 Box Rp 13,582 Rp 65,225
Bisolvon Tablet 2 Botol Rp 58,160 Rp 11,680
Woods Expectoran Syr 1 Box Rp 26,169 Rp 32,000
Mucohexin 1 Botol Rp 32,208 Rp 38,412
Tremenza Syr 60 ml 1 Botol Rp 40,996 Rp 12,302
Lapifed Syr 60 ml 1 Botol Rp 113,400 Rp 21,020
Lapifed Syr 100 ml 1 Box Rp 90,210 Rp 201,500
Tuzalos tab 1 Botol Rp 27,164
Panadol Flu dan Batuk Rp 58,160
Rp 26,169
Rp 32,208
Rp 40,996
Rp 113,400
Rp 90.210

42

Bodrex Flu dan Batuk Berdahak 2 Botol Rp 11,070 Rp 22,140
Actifed Merah Syr 1 Botol Rp 45,000 Rp 45,000
Hufarip BP Syr 3 Botol Rp 15,634 Rp 46,902
Decolgen 3 Box Rp 25,700 Rp 77,100
Decolsin 2 Box Rp 30,000 Rp 60,000
Decolsin Syr 2 Botol Rp 20,000 Rp 40,000
Intunal F 1 Box Rp 232,875
Inza 1 Box Rp 26,887 Rp 232,875
Neozep F 1 Box Rp 57,252 Rp 53,774
Procold 1 Box Rp 38,916 Rp 57,252
Ultraflu 1 Box Rp 41,185 Rp 38,916
Flutamol 1 Box Rp 54,995 Rp 41,185
Demacolin 1 Box Rp 46,970 Rp 54,995
Demacolin Syr 3 Botol Rp 15,936 Rp 46,970
Anakonidin Syr 30 ml 4 Botol Rp 6,534 Rp 47,808
Anakonidin Syr 60 ml 2 Botol Rp 9,331
Bodrexin Syr FB 2 Botol Rp 8,000 Rp 26,136
Baby Cough Syr 2 Botol Rp 5,325 Rp 18,662
Hufagrip Flu Syr 3 Botol Rp 15,291 Rp 16,000
Nellco Spesial 55 ml 1 Botol Rp 26,941 Rp 10,650
Nellco Spesial 100 ml 1 Botol Rp 36,391
OBH Combi Plus 60 ml Dewasa 3 Botol Rp 13,353 Rp 45,873
OBH Combi Plus 100 ml Dewasa 2 Botol Rp 17,325 Rp 26,941
OBH Combi Plus 60 ml Anak Syr 2 Botol Rp 13,353 Rp 36,391
Termorex Plus Syr 30 ml 3 Botol Rp 9,703 Rp 40,059
Sanadryl EKP 60 ml 3 Botol Rp 9,955 Rp 34,650
Sanadryl DMP 60 ml 2 Botol Rp 10,670 Rp 26,706
Sanadryl DMP 120 ml 3 Botol Rp 17,600 Rp 29,109
Paratusin 1 Box Rp 111,540 Rp 29,865
Abate 1 Box Rp 11,550 Rp 21,340
Afrin semprot hidung 1 Botol Rp 51,854 Rp 52,800
Alco oral drop 15 ml 1 Botol Rp 69,300 Rp 111,540
Alco plus sirup 1 Botol Rp 49,500 Rp 11,550
Alco plus DMP 100 ml 2 Botol Rp 39,600 Rp 51,854
Alleron tab 1 Box Rp 20,000 Rp 69.300
Allerin exp syr 60 ml 3 Botol Rp 11,261 Rp 49,500
Allerin exp syr 120 ml 2 Botol Rp 20,645 Rp 79,200
Alpara tab 1 Box Rp 99,000 Rp 20,000
Anaton tab 1 Box Rp 30,000 Rp 33,783
Anaton Sirup 2 Botol Rp 4,100 Rp 41,290
Asmasolon 1 Box Rp 42,350 Rp 99,000
Baby cough pacdin 60 ml 2 Botol Rp 3,350 Rp 30,000
Becom zet 1 Box Rp 1,353 Rp 8,200
Benzolac 2,5% 2 Tube Rp 13,310 Rp 42,350
Benzolac 5% 2 Tube Rp 17,600 Rp 6,700
Benadryl WCS 50 mL 1 Botol Rp 19,602 Rp 1,350
Betadine so, hygiene 60 ml 3 Botol Rp 21,340 Rp 26,620
Betadine kumur 100 ml 1 Botol Rp 10,450 Rp 35,200
Betadine kumur 190 ml 2 Botol Rp 17,710 Rp 19,602
Betadine sol 5 mL 4 Botol Rp 3,448 Rp 64,020
Betadine sol 15 mL 2 Botol Rp 10,829 Rp 10,450
Betadine sol 30 mL 1 Botol Rp 19,965 Rp 35,420
Betadine sol 60 mL 1 Botol Rp 35,698 Rp 13,792
Rp 21,658
Rp 19,965
Rp 35,698

43

Bodrex migra 1 Box Rp 48,000 Rp 48,000
Bodrex extra 1 Box Rp 46,000 Rp 46,000
Bodrex flu dan batuk biru 1 Box Rp 38,000 Rp 38,000
Dentasol 2 Botol Rp 7,247 Rp 14,494
Dermifar 3 Tube Rp 5,632 Rp 16,896
Esepuluh 1 Box Rp 80,000 Rp 80,000
Etaflusin tab 1 Box Rp 57,500 Rp 57,500
Etafen 200 mg syr 2 Botol Rp 5,200 Rp 10,400
Farsifen syr 2 Botol Rp 5,500 Rp 11,000
Farsifen forte 2 Botol Rp 11,500 Rp 23,000
Ferris syr 60 mL 1 Botol Rp 28,200 Rp 28,200
Ferris syr 100 mL 2 Botol Rp 36,300 Rp72,600
Iprox 60 mL 2 Botol Rp 42,300 Rp 84,600
Iprox 100 mL 1 Botol Rp 55,800 Rp 55,800
Prosic 60 mL 1 Botol Rp 18,500 Rp 18,500
Feminax 1 Box Rp 120,500 Rp 120,500
Fludane tab 1 Box Rp 69,900 Rp 69,900
Fludane syr 2 Botol Rp 17,600 Rp 35,200
Flutadex tab 1 Box Rp 61,000 Rp 61,000
Flutadex syr 2 Botol Rp 7,400 Rp 14,800
Flutop C syr 2 Botol Rp 8,850 Rp 17,700
Stop Cold 1 Box Rp 39,600 Rp 39,600
Hufagrip pilek syr 60 ml 2 Botol Rp 10,903 Rp 11,806
Ikadryl Exp 60 ml 1 Botol Rp 12,870 Rp 12,870
Ikadryl Exp 100 ml 1 Botol Rp 17,820 Rp 89,100
Mextril tab 1 Box Rp 36,500 Rp 36,500
Mextril syr 60 ml 3 Botol Rp 8,800 Rp 26,400
Mextril syr biru 2 Botol Rp 8,800 Rp 17,600
Nalgestan tab 1 Box Rp 33,868 Rp 33,868
Neozep forte 2 Box Rp 50,500 Rp 101.000
Neonapasin 2 Box Rp 81,400 Rp 162,800
Neo rheumacyl Cr (kuning) 3 Tube Rp 20,000 Rp 60,000
Neo rheumacyl Cr
(biru) 2 Tube Rp 28,000 Rp 54,000
Zinkid
Zinkid syr 2 Box Rp 33,825 Rp 67,650
Upixon Syr 1 Botol Rp 30,250 Rp 30,250
Pyrantel pamoate tablet 3 Botol Rp 11,757 Rp 35,271
Pyrantel pamoate 15 mL 1 Box Rp 14,674 Rp 14,674
Ultraflu Extra 1 Botol Rp 14,674 Rp 14,674
Allerzin 5 mg/mL 1 Box Rp 64,000 Rp 64,000
Siladex 60 ML MERAH 2 Botol Rp 4,250 Rp 8,500
Siladex 60 ML BIRU 2 Botol Rp 9,300 Rp 18,600
Siladex 60 ML HIJAU 2 Botol Rp 9,300 Rp 18,600
Siladex 30 ML MERAH 2 Botol Rp 9,300 Rp 18,600
Siladex 30 ML BIRU 1 Botol Rp 5,720 Rp 5,720
Siladex 30 ML HIJAU 2 Botol Rp 5,720 Rp 11,440
Teobron 2 Botol Rp 5,720 Rp 11,440
Mixagrip flu 2 Botol Rp 27,515 Rp 55,030
Mixagrip flu & batuk 1 Box Rp 47.700 Rp 47,700
Paramex 1 Box Rp 47.700
Konidin 1 Box Rp 47.700 Rp. 98.000
Total 1 Box Rp. 98.000 Rp. 99.950
Rp. 99.950 Rp 5,867,000
Obat Keras
44

Nama dagang Banyak Satuan Harga Barang Total
Amoksisilin generik 1 Box Rp51.600 Rp51.600

amoksisilin sirup 2 Fls Rp7.666 Rp 14.332
Amoxan Dispersible 250mg 10 Pcs Rp1.929 Rp 19.290
amoxan drop 2 Fls Rp22.097 Rp 44.194
ciprofloxacin generik 1 Box Rp38.500 Rp 38.500
Baquinor 500mg 10 Pcs Rp13.860 Rp 138.600
baquinor 250mg 10 Pcs Rp6.545 Rp 65.450
clotrimoksazol generik 1 Box Rp25.800 Rp 25.800
primadex 30 Pcs Rp489 Rp 14.670
primadex forte 20 Pcs Rp711 Rp 14.220
primadex sirup 2 Fls Rp4.356 Rp 8.712
sefadroksil generik 1 Box Rp71.789 Rp71.789
metronidazol generik 1 box Rp22.000 Rp 22.000
flagyl sirup 1 Fls Rp49.974 Rp 49.974
flagyl suppositoria 2 Pcs Rp23.936 Rp 47.872
tiamfenikol generik 1 Box Rp13.200 Rp 13.200
klindamisin generik 150 mg 5 Strip Rp7.960 Rp 39.800
klindamisin generik 300 mg 5 Strip Rp13.500 Rp 67.500
azithromisin generik 1 Box Rp90.000 Rp 90.000
acyclovir generik 200 mg 5 Strip Rp8.180 Rp 40.900
zooter 200 mg 1 Strip Rp81.940 Rp 81.940
griseofulvin generik 125mg 1 Box Rp51.600 Rp 51.600
griseofulvin 500 mg 50 Pcs Rp1.644 Rp 82.200
ketokonazol generik 1 box Rp18.449 Rp 18.449
Meloksikam generik 15 mg 1 Box Rp166.000 Rp166.000
Meloksikam generik 7,5 mg 1 Box Rp110.000 Rp110.000
Ostelox 7,5 mg 2 Strip Rp76.380 Rp152.760
Ostelox 15 mg 2 Strip Rp124.220 Rp248.440
piroksikam generik 10 mg 100 Pcs Rp233 Rp23.300
piroksikam generik 20 mg 100 Pcs Rp339 Rp33.900
pirofel 20 mg 10 Pcs Rp2.268 Rp 22.680
pirofel 10 mg 10 Pcs Rp685 Rp 6.850
allopurinol generik 300 mg 1 Box Rp21.150 Rp 21.150
allopurinol generik 100 mg 1 Box Rp25.100 Rp 25.100
puresco 300 mg 10 Pcs Rp4.550 Rp 45.500
kaptopril generik 12,5 mg 1 Box Rp15.100 Rp 15.100
kaptopril generik 25 mg 1 Box Rp17.600 Rp 17.600
kaptopril generik 50 mg 1 Box Rp25.300 Rp 25.300
furosemid generik 1 Box Rp22.900 Rp 22.900
nifedipin 100 Pcs Rp214 Rp21.400

45

Diltiazem generik 100 Pcs Rp227 Rp 22.700
Herbesser CD 200
Lisinopril generik 1 Pcs Rp124.410 Rp 124.410
Interpril 5 mg
Hidroklortiazide 25 mg 100 Pcs Rp462 Rp 46.200
Valsartan 80 mg
Valsartan 160 mg 10 Pcs Rp 4.690 Rp 46.900
Valesco
Candesartan 8 mg 20 Strip Rp2.500 Rp 50.000
Candesartan 16 mg
Candotens 8 mg 20 Strip Rp5.650 Rp 113.000
Candotens 16 mg
exforge 5 mg / 80 mg 20 Strip Rp9.171 Rp 183.420
Bisoprolol 5 mg
Bisoprolol 2,5 mg 20 Pcs Rp11.288 Rp 225.760
digoksin generik
Fargoxin 0,25 1 Box Rp148.500 Rp 148.500
Aspilets
cardio aspirin 1 Box Rp214.500 Rp 214.500

Boraginol N Supp 20 pcs Rp6.388 Rp 127.760
boraginol S Supp
Boraginol N Oint 20 Pcs Rp10.461 Rp 209.220
boraginol S Oint
salbutamol generik 2 mg 5 Strip Rp18.618 Rp 93.090
salbutamol generik 4 mg
Ventolin inhaler 100 Pcs Rp1.031 Rp103.100
ventolin nebules
100 Pcs Rp903 Rp 90.300
lasal 2 mg
lasal 4 mg 1 Box Rp11.440 Rp 22.880
theobron
ratidin generik 1 Boc Rp28.600 Rp 28.600
omeprazol generik
lansoprazol generik 1 Box Rp71.170 Rp 71.170
ulsidex tab
sukralfat sirup 200 ml 1 Box Rp58.500 Rp 58.500
lodia
metoklopramid generik 5 Pcs Rp9.295 Rp 46.475
primperan
ondansetron generik 4 mg 5 Pcs Rp10.651 Rp 53.255
domperidon generik
1 Pack Rp56.463 Rp 56.463

1 Pack Rp76.037 Rp 76.037

1 Box Rp14.800 Rp 14.800

1 Box Rp19.600 Rp 19.600

1 Fls Rp103.000 Rp 103.000

1 box/5ampu Rp48.000 Rp 48.000

l

1 Box Rp165.300 Rp 165.300

1 Box Rp206.600 Rp 206.600

1 Box Rp297.660 Rp 297.660

1 Box Rp24.200 Rp 24.200

1 Box Rp17.190 Rp 17.190

1 Box Rp37.400 Rp 37.400

50 Pcs Rp1.559 Rp 77.950

1 Fls Rp 99.723 Rp 99.723

100 Pcs Rp1.364 Rp 136.400

1 Box Rp16.100 Rp 16.100

1 Box Rp175.000 Rp 175.000

50 Pcs Rp1.150 Rp 57.500

100 Pcs Rp562 Rp 56.200

46

vometa sirup 1 Fls Rp42.146 Rp 42.146
betahistin tablet
1 box/3 strip Rp39.260 Rp 39.260
ctm generik
dexaharsen 0,5 mg 1 Box Rp1.000 Rp 1.000
dexaharsen 0,75 mg 100 Pcs Rp296 Rp 296.000
histapan
interhistin 100 Pcs Rp323 Rp 323.00
interhistin sirup
cetirizin generik 1 Box Rp60.000 Rp 60.000
incidal-OD
lerzin sirup 1 Box Rp58.080 Rp 58.080
lerzin 10 mg kapsul
loratadin generik 2 Fls Rp26.730 Rp 53.460
Alloris
glibenklamid generik 1 Box Rp18.756 Rp 18.756
glimepiride 1 mg
Glucobay 50 mg 1 Box Rp129.475 Rp 129.475
Glucobay 100 mg
Metformin HCl 500 mg 2 Fls Rp12.470 Rp 12.470
andalan FE
andalan laktasi 50 Pcs Rp690 Rp 34.500
marvelon
yasmin 1 Box Rp14.988 Rp 14.988
postinor 2
asam mefenamat generik 50 Pcs Rp6.264 Rp 313.200
mefinal 500 mg
antalgin generik 1 Box Rp22.900 Rp 22.900
kalium diklofenak generik
cataflam fast 1 Box Rp62.700 Rp 62.700
natrium diklofenak generik
1 Box Rp93.250 Rp 93.250
voltadex gel
betason 1 Box Rp149.550 Rp 149.550
betason N
benoson 5g 1 Box Rp24.800 Rp 24.800
benoson 15 g
benoson N 5 g 1 pack Rp12.065 Rp 12.065
benoson N 15 g
bevalex 1 pack Rp9.900 Rp 9.900
lotasbat
gentamisin generik 1 Box Rp47.845 Rp 47.845
kalnicol
1 pack Rp187.953 Rp 187.953

1 pack Rp20.790 Rp 20.790

1 Box Rp19.750 Rp 19.750

1 Box Rp175.600 Rp 175.600

1 Box Rp35.600 Rp 35.600

1 Box Rp30.091 Rp 30.091

5 scahet Rp10.576 Rp 52.880

1 Box Rp26.700 Rp 26.700

1 tube Rp27.962 Rp27.962

2 tube Rp7.433 Rp14.866

2 tube Rp10.331 Rp20.662

2 tube Rp11.581 Rp 23.162

1 tube Rp15.680 Rp 15.680

2 tube Rp21.000 Rp 42.000

2 tube Rp31.360 Rp 62.720

2 tube Rp9.630 Rp 19.260

2 tube Rp38.610 Rp 77.220

2 tube Rp20.465 Rp 40.930

2 tube Rp8.910 Rp17.820

47

cinolon 2 tube Rp15.791 Rp 31.582
esperson
inerson 1 tube Rp46.610 Rp 46.610
digenta
hidrokortison generik 1% 1 tube Rp50.500 Rp 50.500
bioplacenton
scabimite 5 g 1 tube Rp64.350 Rp 64.350
enbatic
cendo fenicol drop 3 tube Rp4.180 Rp 12.540
erlamicetin drop
cendo xytrol drop 3 tube Rp13.365 Rp 40.095
cendo xytrol minidose
cendo hyaluph drop 2 tube Rp37.138 Rp 74.276
genoint drop
cendo carpine drop 2% 3 tube Rp6.879 Rp 20.637
otopain
colme 2 Fls Rp26.750 Rp 53.500
ambroksol generik
ambroksol sirup 3 Fls Rp9.000 Rp 27.000
epexol
tremenza tablet 2 Fls Rp27.800 Rp 55.600
asetilsistein 200 mg
Fluimucil 100 mg sachet 2 Fls Rp24.460 Rp48.920
Rhinos SR
Acetram tablet 2 Fls Rp54.181 Rp108.362
Atorvastatin 20 mg
Atorvastatin 40 mg 2 Fls Rp7.000 Rp 14.000
Simvastatin 20 mg
Simvastatin 10 mg 2 Fls Rp20.900 Rp 41.800
Spironolacton 25 mg
Spironolacton 100 mg 2 Fls Rp44.550 Rp 89.100
Total
2 Fls Rp29.040 Rp58.080

1 Box Rp 26.200 Rp 26.200

10 Fls Rp6.816 Rp68.160

1 Box Rp 109.800 Rp 109.800

1 Box Rp161.000 Rp 161.000

1 Box Rp110.000 Rp 110.000

1 Box Rp99.000 Rp 99.000

1 Box Rp67.160 Rp 67.160

1 strip Rp75.900 Rp 75.900

1 Box Rp13.250 Rp 13.250

1 Box Rp30.500 Rp 30.500

1 Box Rp36.300 Rp 36.300

1 Box Rp65.900 Rp 65.900

1 Box Rp 34.367 Rp 34.367

1 Box Rp 95.905 Rp 95.905

Rp 9.840.000

48

Alat Kesehatan

Jenis Nama Alat Banyak Satuan Harga Barang Total
Pampers Confidence adult M '1 4 pcs Rp 5.250 Rp 21.000
Confidence adult L'1 2 pcs Rp 5.567
Alkes Confidence adult XL'6 1 pack Rp 40.874 Rp 11.134
Softex Maternity 10+2 3 pcs Rp 13.666 Rp 40.874
Sensi popok dewasa M2 2 pcs Rp9.521 Rp 40.998
Sensi popok dewasa L2 2 pcs Rp11.425 Rp 19.042
Alkohol 70% 100 ml 5 fls Rp3.713 Rp 22.850
Alkohol 95% 100 ml 5 fls Rp7.150 Rp 18.565
Arm sling S,M,L 4 pcs Rp29.500 Rp 35.750
Medisafe coton balls 2 pcs Rp 6.890 Rp 118.000
Botol HUKI 250 ml 2 botol Rp22.000 Rp 13.780
Botol HUKI 120 ml 2 botol Rp21.000 Rp 44.000
Botol HUKI 60 ml 2 botol Rp21.000 Rp 42.000
Celana Khitan S 3 pcs Rp 9.817 Rp 42.000
Rp 29.451
Celana Khitan M 2 pcs Rp 10.300
Celana Khitan L 2 pcs Rp 10.300 Rp 20.600
Celana Khitan XL 2 pcs Rp 10.300 Rp 20.600
Folley Catheter 14 2 pcs Rp17.000 Rp 20.600
Folley Catheter 18 2 pcs Rp17.000 Rp 34.000
Folley Catheter 20 2 pcs Rp17.000 Rp 34.000
Folley Catheter 22 2 pcs Rp17.000 Rp 34.000
Ice Cup Kompres Air Dingin 2 pcs Rp20.000 Rp 34.000
Urinal laki-laki 2 pcs Rp4.900 Rp 40.000
Urinal perempuan 2 pcs Rp4.900 Rp 9.800
Kapas Husada 25 gr 5 roll Rp3.135 Rp 9.800
kapas Husada 50 gr 5 roll Rp6.380 Rp 15.675
Kapas Husada 100 gr 3 roll Rp11.800 Rp 31.900
Kapas Husada 250 gr 2 roll Rp28.600 Rp 35.400
Hansaplast kain elastis 1 box Rp35.200 Rp 57.200
Rp 35.200
Hansaplast aqua protect '6s 3 box Rp12.000
Rp 36.000

Hansaplast plester transparan 1 box Rp29.100 Rp 29.100
amplop
1 box Rp13.900 Rp 13.900
Hansaplast foot plester 5 pcs Rp3.406 Rp 17.030
2 pcs Rp27.551 Rp 5.502
Dermafix T 5 x 7 cm 2 pcs Rp26.153 Rp 52.306
Dermafix T 10 x 25 cm 2 roll Rp30.151 Rp 60.302
Daryant tulle
Leukofix 1 x 10

49

Medicrepe 15 cm 2 roll Rp31.450 Rp 62.900
Medicrepe 7,5 cm 2 roll Rp19.800 Rp 39.600
Perban nasako 10 cm 10 pcs Rp950 Rp 9.500
Perban nasako 15 cm Rp 14.400
10 pcs Rp1.440
Povidone Iodine 60 ml Rp 33.000
Rivanol 100 ml 10 botol Rp3.300 Rp 6.435
Rivanol 300 ml Rp 12.870
3 fls Rp2.145
Sedot Ingus 2 in 1 Rp 70.500
3 fls Rp4.290
Onemed Testpack Rp 45.000
3 pcs Rp 23.500
Skriner girly Rp 25.000
Sofratulle 1 box Rp 45.000 Rp 49.562
Surflo 22 Rp 32.550
Surflo 24 5 bks Rp 5.000 Rp 32.550
Super Magic Rp 38.000
Sutra '12 2 pcs Rp 24.781 Rp 60.000
Sutra RM '12 Rp 52.503
Sutra OK '3 3 pcs Rp 10.850 Rp 52.650
Sutra '24 Rp 42.240
Termometer safety 3 pcs Rp 10.850 Rp 37.881
Termometer digital FESCO Rp 32.000
5 pack Rp 7.700
Ultrafix 5 x 1 Rp 37.400
Ultrafix 5 x 5 5 pack Rp 12.000 Rp 34.100

3 pack Rp 17.501 Rp. 1.967.000

3 pack Rp 17.550

2 pack Rp 21.120

3 pcs Rp 12.627

2 pcs Rp 16.000

10 pcs Rp 3.740
2 pcs Rp 17.050

Total

Non Obat

No Nama Nama Dagang Banya Satuan Harga Barang Total
Barang k
Aqua 600 ml Rp 40,000 Rp 80.000
1 Minuman 2 Dus
Larutan Badak Botol 500 Ml Rp 97,500 Rp 97.500
2 Larutan cap kaki tiga 1 Dus Rp 103,000 Rp 103.000
3 Nephrisol 1 Dus Rp 87,202 Rp 87.202
4 Susu Nephrisol-D 1 Dus Rp 60,637 Rp 60.637
5 Entramix 1 Dus Rp 87,202 Rp 87.202
6 Hepatosol 1 Dus Rp 60,637 Rp 60.637
7 Nutrican 1 Dus Rp 87,202 Rp 87.202
8 Peptimune 1 Dus Rp 60,637 Rp 60.637
9 Entrakid 1 Dus Rp 60,637 Rp 60.637
10 Anmun materna 1 Dus Rp 41,000 Rp 41.000

11 Anmun menyusui lacta 1 Dus Rp 41,000 Rp 41.000
Prenagen mommy Rp 41,000 Rp 41.000
12 Prenagen lactamom 1 Dus Rp 41,000 Rp 41.000
Prenagen emesis Rp 41,000 Rp 41.000
13 Lactamil pregnasis 1 Dus Rp 32,000 Rp 32.000
14 1 Dus
15 1 Dus
16 1 Dus

50

17 Lactamil inisis 1 Dus Rp 32,000 Rp 32.000

18 Lactamil lactasis 1 Dus Rp 32,000 Rp 32.000
19 SGM bunda hamil 1 Dus Rp 17,000 Rp 17.000
20 SGM bunda menyusui 1 Dus Rp 17,500 Rp 17.500
21 Lovamil 1 Dus Rp 21,000 Rp 21.000
22 Bedak herocyn 75 gr 3 Dus Rp 8,661 Rp 25.983
23 3 Dus Rp 5,390 Rp 16.170
Bedak herocyn 100 gr
24 3 Dus Rp 9,350 Rp 28.050
Bedak herocyn 200 gr
25 3 Dus Rp 3,625 Rp 10.875
Bedak Salicyl Gajah POT
26 3 Dus Rp 12,443 Rp 37.329
27 Bedak herocyn 150 gr 3 Dus Rp 6,116 Rp 18.348
28 Bedak salicyl KF 3 Dus Rp 11,880 Rp 35.640
29 Bedak salicyl IKA kuning 5 Dus Rp 4,300 Rp 21.500
30 Bedak salicyl 5 Dus Rp 4.125 Rp 20.625
31 NELLCO NON MENTHOL 2 Dus Rp 35.849 Rp 71.698
32 Dancow Coklat 400gr 2 Dus Rp 19.623 Rp 39.246
33 Dancow putih 200gr 2 Dus Rp 18,113 Rp 36.226
34 Dancow Coklat 200gr 2 Dus Rp 39,622 Rp 79.244
35 Dancow Putih 400gr 2 Dus Rp 21,132 Rp 42.264
36 Dancow 3+ madu 200gr 2 Dus Rp 43,396 Rp 86.792
37 Dancow 3+ madu 400 gr 2 Dus Rp 37,942 Rp 75.884
38 Diabetasol 180gr 2 Dus Rp 30,030 Rp 60.060
39 Entrasol Gold 185gr 2 Dus Rp 25,121 Rp 50.242
40 Entrasol Active 1 Dus Rp 60,637 Rp 60.637
41 Entrasol Gold 370 gr 2 Dus Rp 19,635 Rp 39.270
42 Entrasol quick vanila 1 Dus Rp 47,182 Rp 47.182
43 Lactogen 1 350 gr 1 Dus Rp 23,545 Rp 23.545
44 Lactogen 2 180gr 1 Dus Rp 40,909 Rp 40.909
45 Body care Lactogen 3 350gr 3 Dus Rp 12,474 Rp 37.422
46 Cussons Baby Cream 3 Botol Rp 8,492 Rp 25.476
Cussons Baby cologne 50 ml
47 Cussons baby Shampoo 100 7 Botol Rp 7,590 Rp 53.130
ml
48 Cussons Baby Cologne 100 3 Botol Rp 14,806 Rp 44.418
ml
49 Cussons baby powder 50 gr 2 Botol Rp 3,124 Rp 6.248

50 Cussons baby powder 100 gr 2 Botol Rp 5,841 Rp 11.682

51 Cussons sabun padat 6 Pcs Rp 2,497 Rp 14.982
52 Cussons tisu basah 5’s 5 Bks Rp 2,200 Rp 11.000
Cussons pasta gigi all
53 variant 7 Tube Rp 4,400 Rp 30.800
Cussons baby oil 100 ml
54 Cussons tisu basah hijau 2 Tube Rp 15,590 Rp 31.180
50’s
55 3 Bks Rp 14,740 Rp 44.220
Cussons baby oil 50 ml
56 5 Tube Rp 8,437 Rp 42.185
Cussons sabun cair 50 ml
57 Cuka apel Kusuma 2 Pcs Rp 4,125 Rp 8.250
58 Dettol cair 50 ml 2 Botol Rp 20,000 Rp 40.000
59 5 Botol Rp 5,385 Rp 26.925

51

60 Dettol cair 100 ml 3 Botol Rp 11,987 Rp 35.961

61 Dettol Sabun padat kecil 70 10 Pcs Rp 3,114 Rp 31.140
gr

62 Dettol Sabun padat besar 10 Pcs Rp 4,841 Rp 48.410
110 gr

63 Jamu ALL Instan 5 Pcs Rp 11,000 Rp 55.000

64 Jahe ALL Instan 5 Pcs Rp 13,000 Rp 6.500

65 Jesscool 20 Pcs Rp 1,573 Rp 31.460

66 Jesscool DOS 20 Pcs Rp 1,573 Rp 31.460

67 JF Acne sulfur sabun wajah 3 Pcs Rp 9,020 Rp 27.060
90gr

68 Jonshon baby Shampoo 2 Botol Rp 7,040 Rp 14.080
100ml

69 Jonshon baby oil 50ml 3 Botol Rp 8,382 Rp 25.146

70 Jonshon baby cream KECIL 3 Tube Rp 12,705 Rp 38.115

71 Jonshon baby lotion 2 Botol Rp 3,740 Rp 7.480

72 Jonshon sabun padat 2 Pcs Rp 3,740 Rp 7.480

73 Jonshon baby powder 100 gr 5 Botol Rp 5,467 Rp 27.335

74 Jonshon baby shampoo soft 2 Botol Rp 8,360 Rp 16.720
n shiny100ml

75 Jonshon baby cologne 125 2 Botol Rp 16,170 Rp 32.340
ml

76 Jonshon Baby Cologne 2 Fls Rp 15,829 Rp 31.658
Summer Swing 100ml

77 Jonshon Baby Cologne 2 Fls Rp 15,829 Rp 31.658
Summer Swing 100ml

78 Jonshon baby powder 50 gr 2 Botol Rp 2,750 Rp 5.500

79 Jonshon baby powder 200 2 Botol Rp 9,240 Rp 18.480
Gr

80 Jonshon baby oil 125 ml 2 Botol Rp 18,051 Rp 36.102

81 Jonshon baby activ powder 2 Botol Rp 6,072 Rp 12.144
100 gr

82 Laserin Madu 30ml 4 Fls Rp 3,900 Rp 15.600

83 Laserin Madu 60ml 3 Fls Rp 8,299 Rp 24.897

84 Laserin Syr 110ml 3 Fls Rp 13,099 Rp 39.297

85 Laserin Syr 30ml 4 Fls Rp 3,675 Rp 14.700
86 Laserin Syr 60ml 3 Fls Rp 7,250 Rp 21.750
87 Listerine 80 ML 5 Fls Rp 7,480 Rp 37.400

88 Listerine 80 ML vanilla 5 Fls Rp 7,920 Rp 39.600

89 Madu TJ Sachet 12 Sach Rp 15,862 190364

90 Pigeon baby oil 2 Botol Rp 13,376 Rp 26.752

91 Pigeon baby powder 2 Botol Rp 21,340 Rp 42.680

92 Pigeon hair lotion 100 ml 2 Botol Rp 13,376 Rp 26.752

93 Pigeon baby cream 60 g 2 Botol Rp 13,475 Rp 26.950

94 Pigeon hair lotion 200 ml 2 Botol Rp 21,340 Rp 42.680

95 Pure Kids 2 Botol Rp 27,999 Rp 55.998

96 Pure Baby TISU BASAH'60 2 Pack Rp 23,130 Rp 46.060

52

97 Purekids fever free 5 Pcs Rp 5,500 Rp 27.500
Total Rp. 3.787.000

53