You are on page 1of 15

DAFTAR OBAT SC DR SHANTI,SP.OG DAFTAR OBAT SC DR SAHA,SP.

OG
NO NAMA BARANG SATUAN QTY Harga total NO NAMA BARANG SATUAN
1 CEFOTAXIME INJEKSI vial 4 11,227 44,908 1 CEFOTAXIME INJEKSI vial
2 AQUABIDEST botol 3 6,831 20,493 2 AQUABIDEST botol
3 BUNASCAN 0,5 % INJEKSI ampul 1 94,500 94,500 3 BUNASCAN 0,5 % INJEKSI ampul
4 KETOROLAC ampul 2 6,750 13,500 4 KETOROLAC ampul
5 ONDACENTRON ampul 1 11,000 11,000 5 ONDACENTRON ampul
6 TRAMADOL ampul 2 16,827 33,654 6 TRAMADOL ampul
7 SPINOCAIN pcs 1 28,067 28,067 7 SPINOCAIN pcs
8 SANTOCYN ampul 3 15,830 47,490 8 SANTOCYN ampul
9 PROTOFEN pcs 2 4,409 8,818 9 PROTOFEN pcs
10 METHYLERGOMETRIN ampul 1 4,901 4,901 10 METHYLERGOMETRIN INJ ampul
11 RL botol 4 9,653 38,612 11 RL botol
12 NACL botol 1 8,663 8,663 12 NACL botol
13 NEO-K ampul 1 23,220 23,220 13 NEO-K ampul
14 ABOCATH 18 pcs 1 9,653 9,653 14 ABOCATH 18 pcs
15 FOLEY CATHETER 16 pcs 1 22,950 22,950 15 FOLEY CATHETER 18 pcs
16 INFUSET MIKRO pcs 1 11,138 11,138 16 INFUSET MAKRO pcs
17 TRANFUSI SET pcs 1 11,138 11,138 17 TRANFUSI SET pcs
18 CATGUT CRHOMIC NO 2 pcs 2 97,929 195,858 18 CATGUT CRHOMIC NO 2 pcs
19 SURGLOVE 6,5 pcs 3 21,170 63,510 19 SURGLOVE 6,5 pcs
20 SURGLOVE 7,5 pcs 5 21,170 105,850 20 SURGLOVE 7,5 pcs
21 SPUIT 1CC pcs 2 3,208 6,416 21 SPUIT 1CC pcs
22 SPUIT 3 CC pcs 7 3,059 21,413 22 SPUIT 3 CC pcs
23 SPUIT 5 CC pcs 2 1,782 3,564 23 SPUIT 5 CC pcs
24 SPUIT 10 CC pcs 2 2,673 5,346 24 SPUIT 10 CC pcs
25 D5% botol 1 15,221 15,221 25 D5% botol
26 SUCTION CATHETER 8 pcs 1 17,820 17,820 26 SUCTION CATHETER 8 pcs
27 UNDERPAD pcs 2 8,910 17,820 27 UNDERPAD pcs
28 URINE BAG pcs 1 10,359 10,359 28 URINE BAG pcs
29 AMOXILIN tab 9 1,040 9,360 29 GENTAMYCIN ampul
30 LAPISTAN tab 9 1,782 16,038 30 AMOXILIN tab
31 BLEDSTOP TABLET tab 6 316 1,896 31 LAPISTAN tab
32 KASSA 10x15cm 42 222,750 /roll 32 BLEDSTOP TABLET tab
33 ALKOHOL cc 62 cc 60750/L 33 KASSA 10x15cm
34 NURSE CAP pcs 9 34 ALKOHOL cc
35 BETHADINE cc 150 132300 /L 35 NURSE CAP pcs
36 Kurtimed sorbet pcs 1 36 BETHADINE cc
37 HYPAFIX 1x1 kotak 50x19 kotak 37 Kurtimed sorbet pcs
38 BISTURI NO 20 pcs 1 1350 38 Bisturi 20 pcs
39 MASKER pcs 8 861 39 HYPAFIX 1x1 kotak
40 OXYGEN 70% liter 2L 40 BISTURI NO 20 pcs
41 KAPAS ALKOHOL 2x2 cm 12 41 MASKER pcs
42 Benang Chromic roll No. 2 cm 50 42 OXYGEN 70% liter
43 KAPAS ALKOHOL 2x2 cm

44 Benang Chromic roll No. 2 cm .

612 11 RL botol 4 9.564 23 SPUIT 5 CC pcs 2 1.510 19 SURGLOVE 6.409 8.490 8 SANTOCYN ampul 3 15.346 1 15.830 47.500 2 6.220 23.782 16.138 11.750 13.067 28.820 17.416 9 3.654 6 TRAMADOL ampul 2 16.750 /roll 9 35 ALKOHOL cc 62 cc 60750/L 150 132300 /L 36 NURSE CAP pcs 9 1 37 BETHADINE cc 150 132300 /L 1 38 Kurtimed sorbet pcs 1 50x19 kotak 39 Bisturi 20 pcs 1 1350 1 1350 40 HYPAFIX 1x1 kotak 2 8 861 41 NURSE CAP pcs 1 2L 42 MASKER pcs 1 861 12 43 OXYGEN 70% liter 1 .170 63.067 7 SPINOCAIN pcs 1 28.827 33.910 17.5 pcs 3 21.220 1 9.782 16.663 1 23.490 2 4.221 25 D5% botol 1 15.510 5 21.359 10.929 195.827 33.750 /roll 33 BLEDSTOP TABLET tab 6 316 1.000 2 16.950 22.950 1 11.831 20.221 1 17.896 32 LAPISTAN tab 9 1.170 63.531 22 SPUIT 3 CC pcs 9 3.950 22.OG QTY HARGA TOTAL NO NAMA BARANG SATUAN QTY HARGA TOTAL 4 11.800 9 1.908 1 CEFOTAXIME INJEKSI vial 4 11.653 9.208 6. DAFTAR OBAT SC DR AGUS.653 38.901 10 METHYLERGOMETRIN INJ ampul 1 4.850 20 SURGLOVE 7.138 11.221 15.820 9 1.493 2 AQUABIDEST botol 3 6.908 3 6.818 1 4.500 3 BUNASCAN 0.750 13.820 17.067 28.858 18 CATGUT CRHOMIC NO 2 pcs 2 97.040 9.5 pcs 5 21.500 94.360 30 ANTASIDA SYRUP botol 50 8056 402.000 11.359 10.138 1 11.901 4 9.059 27.059 27.531 2 1.564 2 2.901 4.896 62 cc 60750/L 34 KASSA 10x15cm 42 222.831 20.416 21 SPUIT 1CC pcs 2 3.138 11.359 2 4985 9.820 2 8.500 94.138 2 97.663 8.782 3.500 4 KETOROLAC ampul 2 6.5 % INJEKSI ampul 1 94.000 11.663 12 NACL botol 1 8.910 17.850 2 3.612 1 8.673 5.409 8.227 44.820 26 SUCTION CATHETER 8 pcs 1 17.038 42 222.221 15.138 17 TRANFUSI SET pcs 1 11.970 29 GENTAMYCIN ampul 12 4985 59.654 1 28.038 31 AMOXILIN tab 9 1.138 16 INFUSET MAKRO pcs 1 11.220 13 NEO-K ampul 1 23.820 1 10.830 47.663 8.818 9 PROTOFEN pcs 2 4.782 3.929 195.220 23.820 27 UNDERPAD pcs 2 8.901 4.227 44.653 38.040 9.138 11.653 1 22.673 5.000 5 ONDACENTRON ampul 1 11.858 3 21.346 24 SPUIT 10 CC pcs 2 2.653 9.170 105.359 28 URINE BAG pcs 1 10.493 1 94.067 3 15.SP.360 6 316 1.208 6.500 1 11.950 15 FOLEY CATHETER 18 pcs 1 22.170 105.653 14 ABOCATH 18 pcs 1 9.

50 44 KAPAS ALKOHOL 2x2 cm 8 45 Benang Chromic roll No. 2 cm 2L .

OG NO NAMA BARANG SATUAN QTY Harga Total NO NAMA BARANG SATUAN QTY 1 KIFACAIN INJEKSI amp 1 3341 3341 1 KIFACAIN INJEKSI amp 1 2 SANTOCIN INJEKSI amp 1 15830 15830 2 SANTOCIN INJEKSI amp 1 3 SPUIT 1CC pcs 1 3059 3059 3 SPUIT 1CC pcs 1 4 SPUIT 3CC pcs 2 1782 3564 4 SPUIT 3CC pcs 2 5 SPUIT 5CC pcs 1 3208 3208 5 SPUIT 5CC pcs 1 6 SUCTION KATETER pcs 1 17820 17820 6 SUCTION KATETER pcs 1 7 UNDERPAD pcs 1 8910 8910 7 UNDERPAD pcs 1 8 CATGUT CROMIC 2/90 pcs 1 97929 97929 8 CATGUT CROMIC 2/90 pcs 1 9 AMOXILIN TAB tab 9 1040 9360 9 AMOXILIN TAB tab 9 10 LAPISTAN TAB tab 9 1782 16038 10 LAPISTAN TAB tab 9 11 BLEDSTOP TAB tab 6 316 1896 11 BLEDSTOP TAB Tab 6 12 KLEM TALI PUSAT pcs 1 3416 3416 12 KLEM TALI PUSAT pcs 1 13 SUR GLOVE 6.SP.5 pcs 2 15 JELLY cc 20 15 JELLY cc 20 16 TISSUE lbr 4 16 TISSUE lbr 4 17 KASSA 10x15cm 10 222.DAFTAR OBAT PAKET PARTUS NORMAL dr Shanty.750 /roll 17 KASSA 10x15 10 18 BETADINE cc 5 132300 /L 18 BETADINE cc 5 19 HAND SCOON NON STERIL pcs 10 1188 19 HAND SCOON NON STERIL pcs 10 20 ALKOHOL cc 3 60750/L 20 ALKOHOL cc 3 .OG DAFTAR OBAT PAKET PARTUS NORMAL DR SAHA.5 pcs 2 21170 42340 13 SUR GLOVE 6.5 pcs 2 21170 42340 14 SUR GLOVE 7. Sp.5 pcs 2 14 SUR GLOVE 7.

OG Harga Total NO NAMA BARANG SATUAN QTY Harga Total 3341 3341 1 LIDOCAIN INJEKSI amp 1 3341 3341 15830 15830 2 SANTOCIN INJEKSI amp 1 15830 15830 3059 3059 3 SPUIT 1CC pcs 1 3059 3059 1782 3564 4 SPUIT 3CC pcs 2 1782 3564 3208 3208 5 SPUIT 5CC pcs 1 3208 3208 17820 17820 6 SUCTION KATETER pcs 1 17820 17820 8910 8910 7 UNDERPAD pcs 1 8910 8910 97929 97929 8 CATGUT CROMIC 2/90 pcs 1 97929 97929 1040 9360 9 CEFADROXIL tab 6 1634 9804 1782 16038 10 LAPISTAN TAB tab 9 1782 16038 316 1896 11 BLEDSTOP TAB Tab 6 316 1896 3416 3416 12 KLEM TALI PUSAT pcs 1 3416 3416 21170 42340 13 SUR GLOVE 6.SP. DAFTAR OBAT PAKET PARTUS NORMAL DR AGUS.138 11138 19 JELLY cc 20 60750/L 20 TISSUE lbr 4 21 KASSA 10x15 10 22 BETADINE cc 5 23 HAND SCOON NON STERIL pcs 10 24 ALKOHOL cc 3 60750/L .5 pcs 2 21170 42340 15 METHYLERGOMETRIN INJ amp 1 4901 4901 16 LIVRON tab 6 327 1962 17 ABOCATH 18 pcs 1 9.653 9653 18 MAKROSET pcs 1 11.5 pcs 2 21170 42340 21170 42340 14 SUR GLOVE 7.

6 9. cefadroxil tab 9.984. 8 pcs 1 1 1 17820 Rp 17.00 Bledstop tab tab 6 6 6 316 Rp 1.660.346.00 Catgut chromic no 2 pcs 1 1 1 97929 Rp 97.802.809.896.00 .00 underpad pcs 1 1 1 8910 Rp 8.341.00 Asam mefenamat.00 Syringe 1 cc pcs 1 1 1 3059 Rp 3.00 Umbilical cord klem pcs 1 1 1 3416 Rp 3.00 Santocyn ampul 2 1 2 15830 Rp 31.00 Syringe 3 cc pcs 3 2 3 1782 Rp 5.00 Neo K ampul 1 1 23720 Rp 23.720.820.00 maxter 6.00 Jelly cc 20 20 kassa cm 2250 2250 betadin cc 5 5 132300 Handscoon non steril pcs 10 10 1188 Alkohol cc 3 3 Rp 320.929.00 Amoxicilin.038.910.6 9. lapistan tab 9 9 9 1782 Rp 16.416.6 1040 Rp 9.5 pcs 3 2 2 21170 Rp 42.340.00 suction catheter no.059.208.00 Syringe 5 cc pcs 1 1 1 3208 Rp 3.BPJS satuan Apotek Perawat Gabungan Harga Total Kifacain ampul 1 1 1 3341 Rp 3.5 pcs 2 2 21170 Rp 42.00 maxter 7.340.00 Methylergometrin ampul 2 1 2 4901 Rp 9.

lapistan tab 9 9 Bledstop tab tab 6 6 klem TP pcs 1 1 1 RL 2 2 jelly cc 30 tissue lbr 112 kassa cm 4500 betadin cc 20 Handscoon non steril pcs 20 Alcohol cc 30 .5 pcs 2 2 Syringe 1 cc pcs 1 2 2 Syringe 3 cc pcs 3 3 3 Syringe 5 cc pcs 1 1 1 suction catheter no. 8 pcs 1 1 underpad pcs 1 2 2 Catgut chromic no 2 pcs 1 1 1 Amoxicilin.BPJS satuan Kifacain ampul 2 2 2 Methylergometrin ampul 2 1 2 Santocyn ampul 2 1 2 Neo K ampul 1 1 1 transfusi set pcs 1 1 1 Abbocath 18 pcs 1 1 1 maxter 6. cefadroxil tab 9.5 pcs 3 2 2 maxter 7. 6 9 Asam mefenamat.

170 42.830 31.295 .782 1.177 1.802 15.340 21.929 97.820 97.682 4.306 132300 /L 132300 /L 1188 60750/L 378.782 16.208 6.782 17.910 17.harga 3.038 316 1.901 9.138 9.929 1.360 1.341 6.416 3.720 23.653 21.653 9.059 9.416 9.138 11.416 3.653 19.040 9.896 3.340 3.170 42.720 11.820 17.820 8.660 23.

5 pcs 2 21 SURGLOVE 7.5 pcs 2 22 RL botol 2 23 TRANFUSI SET pcs 1 24 ABOCATH 18 pcs 1 13 JELLY cc 30 14 TISSUE lbr 112 16 KASSA 10x15 cm 20 17 BETADINE cc 20 18 HAND SCOON NON STERIL pcs 20 19 ALKOHOL cc 30 .DAFTAR OBAT PAKET PARTUS PATOLOGIS NO NAMA BARANG SATUAN QTY 1 LIDOCAIN INJEKSI amp 2 2 BLESTOP INJEKSI amp 1 3 SANTOCIN INJEKSI amp 1 4 SPUIT 1CC pcs 2 5 SPUIT 3CC pcs 3 6 SPUIT 5CC pcs 1 7 SUCTION KATETER pcs 1 8 UNDERPAD pcs 2 9 CATGUT CROMIC 2/90 pcs 1 10 AMOXILIN TAB tab 9 11 LAPISTAN TAB tab 9 12 BLEDSTOP TAB tab 6 15 KLEM TALI PUSAT pcs 1 20 SUR GLOVE 6.

682 4.208 6.170 42.929 97.138 11.901 4.306 11.360 1.820 8.416 21.170 42.820 97.040 9.820 17.Harga Total 3.782 16.340 9.750 /roll 60750/L .830 3.830 15.929 1.138 9.653 222.416 3.782 1.910 17.653 19.038 316 1.341 6.896 3.177 1.782 17.901 15.059 9.340 21.653 9.416 3.

00 Wida NACl 500 ml botol 1 1 1 8.564.00 suction Catheter 8 pcs 1 1 1 17.00 Spinocan / quincke needle No.227 Rp 44.820.00 syringe 10 cc pcs 2 2 2 2.929 Rp 195.00 Aquabidest 25 ml Flacon 2 3 3 6.320.500.00 Maxter 7.782 Rp 3.00 abbocath 18 pcs 1 1 1 9.409 Rp 8.170 Rp 63.00 syringe 5 cc pcs 2 2 2 1.500.901 Rp 9.654.067.221.5 pcs 5 5 21.138 Rp 11.673 Rp 5.325.5% injeksi vial 1 1 1 94.908.00 Ondansentron inj vial 1 1 1 11.653 Rp 38.00 syringe 1 cc pcs 2 2 2 3.663 Rp 8.750 Rp 13.221 Rp 15.00 Maxter 6.443.443 Rp 27.950.416.325 Rp 17.827 Rp 33.00 Methylergometrin inj vial 2 1 2 4.00 Dexamethasone Inj vial 3 3 3.830 Rp 63.00 .653 Rp 9.00 Santocyn inj vial 4 3 4 15.00 Infuset micro pcs 1 1 1 11.858.00 Midazolam Inj vial 1 1 27.950 Rp 22.850.612.243 Rp 9.00 Neo K Inj vial 1 1 1 23.00 Catgut chromic no 2 pcs 2 2 2 97.493.820 Rp 17.500 Rp 94. 27 dan 26 pcs 1 1 1 28.00 Kamadol Inj vial 2 2 2 16.170 Rp 105.BPJS Satuan Apotek Perawat Gabungan harga Cefotaxime Ampul 4 4 4 11.729.000 Rp 11.00 Ketorolac inj vial 2 2 2 6.413.220 Rp 23.510.00 Folley catheter 16 pcs 1 1 1 22.220.00 Bunascan 0.00 Wida D5% 500 ml botol 1 1 1 15.831 Rp 20.818.208 Rp 6.653.00 syringe 3 cc pcs 4 7 7 3.000.663.00 Protofen supp suppositoria 2 2 2 4.067 Rp 28.00 Ephedrin inj/ephineprin inj vial 1 1 17.059 Rp 21.00 Wida RL 500 ml botol 4 4 4 9.138.5 pcs 3 3 21.346.802.

001.359 Rp 10.00 Bledstop tablet tab 6 6 6 316 Rp 1. lapistan tab 9 9 9 1.038.820.138.00 betadin cair cc 150 150 hypafic cm 38 38 Nurse cap pcs 10 10 Pisau Operasi pcs 1 1 Masker pcs 8 8 oxygen liter 2 2 kapas alkohol cm 12 Benang chromic roll cm 50 50 1.00 transfusi set pcs 1 1 1 11.360.Underpad pcs 2 2 2 8.416.820 . amoxicilin tab 9 9 9 1.782 Rp 16.416 Rp 3.00 klem TP pcs 1 1 3.00 urine bag pcs 1 1 1 10.896.040 Rp 9.138 Rp 11.359.00 Cefadroxil.910 Rp 17.00 asam mefenamat.

634 9.673 5.782 1.170 11 SURGLOVE 7.170 10 SUR GLOVE 6.782 6 UNDERPAD pcs 1 8.038 8 ASAM MEFENAMAT pcs 9 401 9 BLEDSTOP TAB tab 9 316 2.653 14 ABOCATH 18 pcs 1 9.5 pcs 1 21.Sp.660 2 SANTOCIN INJEKSI amp 2 15.653 12 RL botol 2 9.138 13 ABOCATH 18 pcs 1 9.OG DAFTAR PAKET OBAT CURETAGE dr Saha.910 7 CEFADROXIL pcs 6 1.170 21.177 4 SPUIT 3CC pcs 3 3.844 9 SUR GLOVE 6.653 19.DAFTAR PAKET OBAT CURETAGE dr shanty.170 10 SURGLOVE 7.653 9.5 pcs 1 21.830 31.673 4 SPUIT 3CC pcs 3 3.910 6 UNDERPAD pcs 1 8.059 5 SPUIT 5CC pcs 1 1.346 3 spuit 10 cc pcs 2 2.782 5 SPUIT 5CC pcs 1 1.306 12 TRANFUSI SET pcs 1 11.901 2 SANTOCIN INJEKSI amp 2 15.138 11.910 8.901 1 BLEDSTOP INJEKSI amp 1 4.170 21.SpOG NO NAMA BARANG SATUAN QTY NO NAMA BARANG SATUAN QTY Harga 1 BLEDSTOP INJEKSI amp 1 4.804 7 AMOXILIN TAB pcs 9 1.653 14 KETAMIN pcs 1 27027 15 KETAMIN pcs 1 27027 27027 15 VALISANBE pcs 1 19454 16 VALISANBE pcs 1 19454 19454 16 ONDANSENTRON pcs 1 11069 17 ONDANSENTRON pcs 1 11069 11069 17 BETADINE cc 20 18 KASSA 10x15 cm 5 18 HAND SCOON NON STERIL pcs 20 19 BETADINE cc 20 19 ALKOHOL cc 30 60750/L 20 HAND SCOON NON STERIL pcs 20 20 KASSA 10x15cm 5 21 ALKOHOL cc 30 60750/L .040 8 LAPISTAN TAB pcs 9 1.5 pcs 1 21.782 16.138 13 TRANFUSI SET pcs 1 11.901 4.830 3 spuit 10 cc pcs 2 2.5 pcs 1 21.059 9.170 11 RL botol 2 9.

660 2 SANTOCIN INJEKSI amp 2 15.360 7 CEFADROXIL pcs 6 1.910 9.901 1 BLEDSTOP INJEKSI amp 1 4.170 11.782 8.653 19.910 6 UNDERPAD pcs 1 8.138 27.673 9.170 10 SUR GLOVE 6.069 16 VALISANBE pcs 1 19454 17 ONDANSENTRON amp 1 11069 18 misoprostol tab 2 13885 19 kateter pcs 1 22950 20 KASSA 10x15 cm 21 BETADINE cc 22 HAND SCOON NON STERIL pcs 23 ALKOHOL cc 30 .830 5.454 15 KETAMIN pcs 1 27027 11. DAFTAR PAKET OBAT CURETAGE dr Agus.138 12 RL botol 2 9.177 4 SPUIT 3CC pcs 3 3.Sp.170 19.027 14 ABOCATH 18 pcs 1 9.170 9 VIT C tab 6 201 21.OG Total NO NAMA BARANG SATUAN QTY 4.653 9.901 31.306 11 SURGLOVE 7.5 pcs 1 21.782 5 SPUIT 5CC pcs 1 1.653 13 TRANFUSI SET pcs 1 11.609 8 ASAM MEFENAMAT pcs 9 401 21.634 3.059 1.346 3 spuit 10 cc pcs 2 2.5 pcs 1 21.