No Nama Pasien No. MR No.

Rekord Nama Dokter Type Operasi Tgl operasi Anst

1 Vanesya ESH Labio 8/18/2016 ct/mk
2 Muhammad Iqbal ESH Tumor di kepala 8/18/2016 ct/mk
3 Wahyu Rizki ESH Fx.Mandibula 8/18/2016 ct/mk

4 Gandhira Gutawan esh bone graft 8/20/2016 rk/hp

5 Ibrahim Algazali esh palato 8/20/2016 rk/hp
6 liserasi esh 27//06/2016
6/18/2016
7/12/2016
 6/27/2016

7 Yazid Al Abqari esh kontraktur 8/24/2016

8 Gabrian Hizkia esh revisi hidung 8/12/2016 rk/mk
9 arif rahmat pasaribu esh bone graft 8/16/2016 rk/hp
10 Muhammad hidayah esh sumbing wajah 8/12/2016 rk/mk
11 valeria esh palatoplasty 8/23/2016 rk/hp
12 meidira azwa esh labio unilateral rsd/hp
13
 BHP Sat Harga Jumlah Total BHP
Pisau No. 15 1 6,000 6,000 1,804,000
Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 1 135,000 135,000
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 7,000 0
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 1 30,000 30,000
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 3 13,000 39,000
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 2 150,000 300,000
Pisau No. 15 1 6,000 6,000 1,344,000
Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 1 135,000 135,000
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 3 20,000 60,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 2 6,000 12,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 1 23,000 23,000
supratul 1 15,000 15,000
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 7,000 0
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 1 30,000 30,000
Ondancetron 20,000 0
Primperan 1 5,000 5,000
Recofol 1 13,000 13,000
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 1 20,000 20,000
Asammefenamat 1 7,000 7,000
Salep Oxitetra 1 5,000 5,000
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000
Pisau No. 15 1 6,000 6,000 1,810,500
Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 1 10,000 10,000
Betadine 1 10,000 10,000
RL 3 15,000 45,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 1 25,000 25,000
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 1 23,000 23,000
supratul 15,000 0
Isofluran 35 13,500 472,500
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 7,000 0
Aquabides 10,000 0
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 1 30,000 30,000
Ondancetron 20,000 0
Primperan 1 5,000 5,000
Recofol 1 13,000 13,000
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 1 20,000 20,000
Asammefenamat 1 7,000 7,000
Salep Oxitetra 1 5,000 5,000
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000

Pisau No. 15 1 6,000 6,000 1,393,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 6 7,000 42,000
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 20 13,500 270,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 7,000 0
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 2 25,000 50,000
Cipro 1 20,000 20,000
Asammefenamat 1 7,000 7,000
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 3 150,000 450,000

Pisau No. 15 1 6,000 6,000 1,585,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 6 7,000 42,000
Spuit 3 CC 3 5,000 15,000
Spuit 5 CC 2 6,000 12,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 20 13,500 270,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 7,000 0
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 1 10,000 10,000
Prostigmin 1 25,000 25,000
Cipro 1 20,000 20,000
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000

Pisau No. 15 3 6,000 18,000 15,823,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 3 135,000 405,000
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 2 95,000 190,000
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 29 10,000 290,000
Betadine 3 10,000 30,000
RL 5 15,000 75,000
NaCL ( per /x ) 3 20,000 60,000
O2 dan N2O ( l/m ) 7 115,000 805,000
Alkohol 3 5,000 15,000
mebo 3 10,000 30,000
Handscoen 7 5 20,000 100,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 6 20,000 120,000
Masker dan Topi 6 7,000 42,000
Spuit 3 CC 7 5,000 35,000
Spuit 5 CC 6 6,000 36,000
Spuit 10 CC 7 10,000 70,000
Abbocath 18 25,000 0
Abbocath 20 2 25,000 50,000
Abbocath 22 4 25,000 100,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 3 23,000 69,000
supratul 15 15,000 225,000
Isofluran 60 13,500 810,000
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 3 5,000 15,000
Sulfat Atrophane 5 7,000 35,000
Aquabides 1 10,000 10,000
Atracurium 2 45,000 90,000
Adrenaline 5 6,000 30,000
Novalgin 30,000 0
Ketorolax 2 30,000 60,000
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 100 13,000 1,300,000
Midazolam 2 35,000 70,000
Pentanil inj 3 55,000 165,000
Kalnex 10,000 0
Prostigmin 3 25,000 75,000
Cipro 3 20,000 60,000
Asammefenamat 3 7,000 21,000
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 1 7,000 7,000
3 M Kecil 1 15,000 15,000
3 M Besar 1 25,000 25,000
Elastis 4" 3 90,000 270,000
Lab 3 110,000 330,000
OK 4 350,000 1,400,000
Kamar 33 250,000 8,250,000

Pisau No. 15 1 6,000 6,000 1,496,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 1 135,000 135,000
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 1 20,000 20,000
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 3 7,000 21,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 2 6,000 12,000
Spuit 10 CC 2 10,000 20,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 20 13,500 270,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 110,000 0
OK 1 350,000 350,000
Kamar 150,000 0

Pisau No. 15 1 6,000 6,000 2,051,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 1 95,000 95,000
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 4 10,000 40,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 3 7,000 21,000
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 23,000 0
supratul 15,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 200,000 400,000

Pisau No. 15 1 6,000 6,000 2,656,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 2 25,000 50,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 1 23,000 23,000
supratul 1 15,000 15,000
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 2 10,000 20,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 1 13,000 13,000
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 1 110,000 110,000
OK 2 350,000 700,000
Kamar 3 200,000 600,000

Pisau No. 15 1 6,000 6,000 2,243,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 1 95,000 95,000
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 3 10,000 30,000
Betadine 10,000 0
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 5,000 0
mebo 10,000 0
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 2 10,000 20,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 1 10,000 10,000
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000

Pisau No. 15 1 6,000 6,000 2,351,500

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 10,000 0
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 25 13,500 337,500
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 200,000 600,000

Pisau No. 15 1 6,000 6,000 1,322,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
supratul 15,000 0
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 1 35,000 35,000
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 150,000 300,000

Pisau No. 15 6,000 0 0

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 10,000 0
Betadine 10,000 0
RL 15,000 0
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 115,000 0
Alkohol 5,000 0
mebo 10,000 0
Handscoen 7 20,000 0
Handscoen 7,5 20,000 0
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 5,000 0
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 23,000 0
supratul 15,000 0
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 7,000 0
Aquabides 10,000 0
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 110,000 0
OK 350,000 0
Kamar 150,000 0

Pisau No. 15 6,000 0 0

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 10,000 0
Betadine 10,000 0
RL 15,000 0
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 115,000 0
Alkohol 5,000 0
mebo 10,000 0
Handscoen 7 20,000 0
Handscoen 7,5 20,000 0
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 5,000 0
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 23,000 0
supratul 15,000 0
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 5,000 0
Sulfat Atrophane 7,000 0
Aquabides 10,000 0
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Elastis 4" 90,000 0
Lab 110,000 0
OK 350,000 0
Kamar 150,000 0
No Nama Pasien No. MR No.Rekord Nama Dokter Type Operasi Tgl operasi Anst
1 nurlin dr.eddy l/n revisi 9/1/2016 rk/hp
2 mhd haikal fahri dr.frank palatoplasty 8/31/2016 rk/mk
3 mhd daniel arfa dr.eddy paltoplasty 8/31/2016 rk/mk
4 gita silitonga dr.eddy palatoplasty 8/31/2016 rk/mk
5 samuel dr.eddy labioplasty 9/7/2016 rk/mk
6 Gilbrant aganta dr.eddy labio 9/7/2016 rk/mk
7 Rabia Aldawiyah dr.eddy fistel 9/6/2016 rk/nb
8 Muhammad Ikhsan dr.eddy labioplasty 9/7/2016 rk/mk
9 riskian dr.eddy l/n revisi 9/6/2016 yfs/hp
10 muhammad idam dr.eddy palatoplasty 9/5/2016 rk/mk
11 Indra Ferdinan Sianturi dr.eddy Debridement 9/21/2016 rk/mk
9/22/2016
9/23/2016
9/26/2016
 BHP Sat Harga Jumlah Total BHP
Pisau No. 15 1 6,000 6,000 1,262,000
Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 1 135,000 135,000
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 2 10,000 20,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 2 20,000 40,000
Handscoen 7,5 20,000 0
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 1 30,000 30,000
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 350,000 0
Kamar 150,000 0

Pisau No. 15 1 6,000 6,000 1,324,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 1 10,000 10,000
Betadine 2 10,000 20,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 350,000 0
Kamar 150,000 0

Pisau No. 15 1 6,000 6,000 1,392,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 1 95,000 95,000
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 1 10,000 10,000
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 350,000 0
Kamar 150,000 0

Pisau No. 15 6,000 0 1,378,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 1 5,000 5,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 2 10,000 20,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 1 10,000 10,000
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 350,000 0
Kamar 150,000 0

Pisau No. 15 1 6,000 6,000 1,738,500

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 1 135,000 135,000
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 25 13,500 337,500
Halotane 11,000 0
Pehacain 2 10,000 20,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 1 45,000 45,000
Adrenaline 2 6,000 12,000
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 55,000 0
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 1 5,000 5,000
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 150,000 300,000

Pisau No. 15 1 6,000 6,000 1,625,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 1 135,000 135,000
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 20,000 0
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 3 7,000 21,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 150,000 300,000

Pisau No. 15 1 6,000 6,000 2,341,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 1 135,000 135,000
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 30 13,500 405,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 4 13,000 52,000
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000

Pisau No. 15 1 6,000 6,000 1,893,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 1 135,000 135,000
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 3 115,000 345,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 6,000 0
Spuit 10 CC 10,000 0
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 20 13,500 270,000
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 10,000 0
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 1 25,000 25,000
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 150,000 300,000

Pisau No. 15 1 6,000 6,000 1,245,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 10,000 0
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 5,000 0
mebo 10,000 0
Handscoen 7 20,000 0
Handscoen 7,5 1 20,000 20,000
Handscoen 8 20,000 0
Masker dan Topi 4 7,000 28,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 1 10,000 10,000
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 10,000 0
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 1 5,000 5,000
Omemox Syr 10,000 0
Paracetamol syr 7,000 0
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1 350,000 350,000
Kamar 2 150,000 300,000

Pisau No. 15 1 6,000 6,000 2,026,500

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 95,000 0
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 2 10,000 20,000
Betadine 1 10,000 10,000
RL 1 15,000 15,000
NaCL ( per /x ) 20,000 0
O2 dan N2O ( l/m ) 2 115,000 230,000
Alkohol 1 5,000 5,000
mebo 1 10,000 10,000
Handscoen 7 1 20,000 20,000
Handscoen 7,5 2 20,000 40,000
Handscoen 8 20,000 0
Masker dan Topi 7,000 0
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 1 6,000 6,000
Spuit 10 CC 1 10,000 10,000
Abbocath 18 25,000 0
Abbocath 20 25,000 0
Abbocath 22 1 25,000 25,000
Abbocath 24 1 25,000 25,000
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 1 23,000 23,000
infuset makro 23,000 0
Isofluran 25 13,500 337,500
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 1 45,000 45,000
Adrenaline 6,000 0
Novalgin 30,000 0
Ketorolax 30,000 0
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 13,000 0
Midazolam 35,000 0
Pentanil inj 1 55,000 55,000
Kalnex 1 10,000 10,000
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 1 10,000 10,000
Paracetamol syr 1 7,000 7,000
3 M Kecil 15,000 0
3 M Besar 25,000 0
Lab 1 110,000 110,000
OK 1.5 350,000 525,000
Kamar 3 150,000 450,000

Pisau No. 15 6,000 0 5,444,000

Pisau No. 11 6,000 0
Pisau No. 10 6,000 0
Optime 3/0 135,000 0
Optime 4/0 135,000 0
Optime 5/0 135,000 0
Nylon 3/0 1 95,000 95,000
Nylon 4/0 95,000 0
Nylon 5/0 95,000 0
Nylon 6/0 95,000 0
Sodalime ( per /x ) 7,000 0
Nald 27 7,000 0
Kasa steril 25 10,000 250,000
Betadine 4 10,000 40,000
RL 7 15,000 105,000
NaCL ( per /x ) 3 20,000 60,000
O2 dan N2O ( l/m ) 5 115,000 575,000
Alkohol 4 5,000 20,000
Burnazim (x) 9 15,000 135,000
Handscoen 7 3 20,000 60,000
Handscoen 7,5 5 20,000 100,000
Handscoen 8 5 20,000 100,000
Masker dan Topi 6 7,000 42,000
Spuit 3 CC 2 5,000 10,000
Spuit 5 CC 2 6,000 12,000
Spuit 10 CC 2 10,000 20,000
Abbocath 18 2 25,000 50,000
Abbocath 20 25,000 0
Abbocath 22 25,000 0
Abbocath 24 25,000 0
ETT ( all number) 90,000 0
Spongestan 10,000 0
infuset mikro 23,000 0
infuset makro 2 23,000 46,000
Isofluran 13,500 0
Halotane 11,000 0
Pehacain 10,000 0
Lidocain 5,000 0
Dexamethasone inj 1 5,000 5,000
Sulfat Atrophane 1 7,000 7,000
Aquabides 1 10,000 10,000
Atracurium 45,000 0
Adrenaline 6,000 0
Novalgin 1 30,000 30,000
Ketorolax 1 30,000 30,000
Ondancetron 20,000 0
Primperan 5,000 0
Recofol 1 13,000 13,000
Midazolam 1 35,000 35,000
Pentanil inj 2 55,000 110,000
Kalnex 1 10,000 10,000
Prostigmin 25,000 0
Cipro 20,000 0
Asammefenamat 7,000 0
Salep Oxitetra 5,000 0
Omemox Syr 10,000 0
Paracetamol syr 2 7,000 14,000
3 M Kecil 1 15,000 15,000
3 M Besar 1 25,000 25,000
Lab 2 110,000 220,000
OK 2 350,000 700,000
Kamar 10 250,000 2,500,000