You are on page 1of 7

<h4> Laporan Pengeluaran Obat Ruang Farmasi Per Tanggal 2018-01-17 Sampai 2018-

01-17 </h4>
<table class="table table-bordered table-hover table-striped"
width="1100" border='1'>
<thead>
<tr>
<th width="25" rowspan="2">No</th>
<th width="55" rowspan="2">Transaksi ID</th>
<th width="65" rowspan="2">Tanggal Transaksi</th>
<th width="200" rowspan="2">Dikeluarkan Kepada</th>
<th width="700" colspan="9">Detail</th>
</tr>
<tr>
<th width="190">Nama Obat</th>
<th >Kode</th>
<th width="5">satuan</th>
<th >Harga</th>
<th width="5">Qtt</th>
<th>Total</th>
<th>E</th>
<th>T</th>
<th>ket</th>
</tr>
</thead>
<tbody>
<tr>
<td valign='top' align="center"><b>1</b></td>
<td valign='top' align="center"><b>30390</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>TERI YULIANA.BY.NY</td>
<td>Underpad dr.J<br />Umbilical clem<br />Suction
Catheter no.10<br />Vitadion inj<br />Genoint salep MATA<br />Spuit 1cc
terumo<br />Spuit 3cc HD<br />kasa steril 16 x16 nasaco<br />MAS STERIL FREE POWDER
NO.6,5<br />MAS STERIL FREE POWDER NO.7<br />OTTOGENTA INJ<br />Poliflex iv
cath+inj port 26<br />Aqua pro inj<br />PICYN 0,75<br /></td>
<td align="right">'100456<br />'100455<br />'100523<br
/>'080506<br />'110483<br />'100419<br />'100567<br />'100568<br />'100727<br
/>'100728<br />'080534<br />'100510<br />'080031<br />'080533<br /></td>
<td align="">pcs<br />pcs<br />pcs<br />ampul<br
/>tube<br />pcs<br />pcs<br />box<br />pcs<br />pcs<br />ampul<br />pcs<br />fls<br
/>vial<br /></td>
<td align="right">6000<br />2970<br />3900<br
/>19140<br />12705<br />10560<br />1143<br />5775<br />18150<br />18150<br
/>14850<br />37950<br />8250<br />123750<br /></td>
<td align="right">1<br />1<br />1<br />1<br />1<br />4<br
/>8<br />2<br />1<br />2<br />1<br />1<br />1<br />2<br /></td>
<td valign='top' align='right'>472649</td>
<td valign='top' align='right'>2000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>2</b></td>
<td valign='top' align="center"><b>30383</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>JONATHAN FRANCISCO THOMAS.AN</td>
<td>L-Bio sach<br />CLABAT FORTE SYR<br />L-zink
syrup<br /></td>
<td align="right">'020244<br />'010480<br />'020481<br
/></td>
<td align="">sachet<br />botol<br />botol<br /></td>
<td align="right">9900<br />148500<br />49500<br /></td>

<td align="right">5<br />1<br />1<br /></td>

<td valign='top' align='right'>250500</td>


<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>3</b></td>
<td valign='top' align="center"><b>30382</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.BY.NY</td>
<td>Nucef Kaps<br />Kertas puyer<br /></td>
<td align="right">'010467<br />'100641<br /></td>
<td align="">kapsul<br />pcs<br /></td>
<td align="right">30525<br />150<br /></td>
<td align="right">2<br />10<br /></td>
<td valign='top' align='right'>66550</td>
<td valign='top' align='right'>2000</td>
<td valign='top' align='right'>2000</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>4</b></td>
<td valign='top' align="center"><b>30381</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>TERI YULIANA.NY</td>
<td>Underpad dr.J<br />Masker O2 Dewasa<br />MgSo4
40%<br />needle terumo 23<br />Spuit 10cc HD<br />Nifedipine<br />Vasofix iv 16G<br
/>Bloodset HD<br />Cefotaxime inj<br />Kalnex 500 inj<br />Metronidazol infus 500mg
ikaph<br />Fetik supp<br />Folley Catheter 16<br />Urine bag<br />T-Towel
wash<br />MAS STERIL FREE POWDER NO.6,5<br />Spuit 3cc HD<br />Spuit 5cc Hd<br
/>Needle terumo 26<br />Lasix<br />Vasofix iv 16G<br /> NS otsu 500ml<br
/>Syntocinon inj<br /></td>
<td align="right">'100456<br />'100528<br />'090282<br
/>'100514<br />'100575<br />'040307<br />'100507<br />'100566<br />'080084<br
/>'080230<br />'090495<br />'030448<br />'100172<br />'100459<br />'100559<br
/>'100727<br />'100567<br />'100573<br />'100300<br />'080503<br />'100507<br
/>'090516<br />'080436<br /></td>
<td align="">pcs<br />pcs<br />fls<br />pcs<br
/>pcs<br />tablet<br />pcs<br />pcs<br />vial<br />ampul<br />fls<br />pcs<br
/>pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />ampul<br
/>pcs<br />fls<br />ampul<br /></td>
<td align="right">6000<br />25498<br />13035<br />2970<br
/>1632<br />193<br />13126<br />6337<br />10395<br />19800<br />39600<br />20625<br
/>28050<br />10350<br />7425<br />18150<br />1143<br />1321<br />2970<br />22722<br
/>13126<br />23958<br />20869<br /></td>
<td align="right">2<br />1<br />3<br />5<br />4<br />1<br
/>1<br />1<br />3<br />3<br />3<br />3<br />1<br />1<br />1<br />1<br />2<br />6<br
/>1<br />1<br />2<br />2<br />2<br /></td>
<td valign='top' align='right'>607682</td>
<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>5</b></td>
<td valign='top' align="center"><b>30376</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>JONATHAN FRANCISCO THOMAS.AN</td>
<td>Gelang Bayi Biru<br />Hypafix 10 x 5m<br />Sensi
Gloves S<br />Alkohol Swab<br />OKE PLAST<br />Sensi Gloves S<br />KALENDER 2018<br
/></td>
<td align="right">'100183<br />'100203<br />'100404<br
/>'100010<br />'100684<br />'100404<br />'100746<br /></td>
<td align="">pcs<br />cm<br />pcs<br />pcs<br />pcs<br
/>pcs<br />pcs<br /></td>
<td align="right">1500<br />334<br />1000<br />501<br
/>300<br />1000<br />10000<br /></td>
<td align="right">1<br />60<br />2<br />7<br />1<br
/>2<br />1<br /></td>
<td valign='top' align='right'>39347</td>
<td valign='top' align='right'></td>
<td valign='top' align='right'></td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>6</b></td>
<td valign='top' align="center"><b>30372</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.BY.NY</td>
<td>Gelang Bayi Biru<br />MINYAK KAYU PUTIH<br />Hypafix
10 x 5m<br />KAPAS BHP<br />Alkohol Swab<br />Masker Tali / Cantol<br />Foto
bayi<br />OKE PLAST<br /></td>
<td align="right">'100183<br />'030437<br />'100203<br
/>'100661<br />'100010<br />'100262<br />'100666<br />'100684<br /></td>
<td align="">pcs<br />ml<br />cm<br />pcs<br />pcs<br
/>pcs<br />lembar<br />pcs<br /></td>
<td align="right">1500<br />1000<br />334<br />1000<br
/>501<br />1500<br />5001<br />300<br /></td>
<td align="right">1<br />7<br />10<br />19<br />6<br
/>2<br />1<br />1<br /></td>
<td valign='top' align='right'>42147</td>
<td valign='top' align='right'></td>
<td valign='top' align='right'></td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>7</b></td>
<td valign='top' align="center"><b>30368</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>YA`IN WIYAYA.BY.NY</td>
<td>Underpad dr.J<br />Suction Catheter no.10<br
/>Umbilical clem<br />Genoint salep MATA<br />kasa steril 16 x16 nasaco<br />MAS
STERIL FREE POWDER NO.6,5<br />MAS STERIL FREE POWDER NO.7<br />Spuit 1cc terumo<br
/>Spuit 3cc HD<br />Vitadion inj<br />Poliflex iv cath+inj port 26<br />OTTOGENTA
INJ<br />Aqua pro inj<br />PICYN 0,75<br /></td>
<td align="right">'100456<br />'100523<br />'100455<br
/>'110483<br />'100568<br />'100727<br />'100728<br />'100419<br />'100567<br
/>'080506<br />'100510<br />'080534<br />'080031<br />'080533<br /></td>
<td align="">pcs<br />pcs<br />pcs<br />tube<br
/>box<br />pcs<br />pcs<br />pcs<br />pcs<br />ampul<br />pcs<br />ampul<br
/>fls<br />vial<br /></td>
<td align="right">6000<br />3900<br />2970<br
/>12705<br />5775<br />18150<br />18150<br />10560<br />1143<br />19140<br
/>37950<br />14850<br />8250<br />123750<br /></td>
<td align="right">1<br />1<br />1<br />1<br />1<br />1<br
/>2<br />4<br />8<br />1<br />1<br />1<br />1<br />2<br /></td>
<td valign='top' align='right'>467874</td>
<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>8</b></td>
<td valign='top' align="center"><b>30366</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>YA`IN WIYAYA.NY</td>
<td>Underpad dr.J<br />Nasal O2 dewasa<br />Nova T
iud<br />Vasofix iv 16G<br />Folley Catheter 16<br />Urine bag<br />Bloodset
HD<br />Spuit 3cc HD<br />Spuit 5cc Hd<br />Spuit 10cc HD<br />Aqua pro inj<br
/>Syntocinon inj<br /> NS otsu 500ml<br />Cefotaxime inj<br />Metronidazol infus
500mg ikaph<br />Kalnex 500 inj<br />Fetik supp<br />MAS STERIL FREE POWDER NO.7<br
/>T-Towel wash<br /></td>
<td align="right">'100456<br />'100296<br />'100309<br
/>'100507<br />'100172<br />'100459<br />'100566<br />'100567<br />'100573<br
/>'100575<br />'080031<br />'080436<br />'090516<br />'080084<br />'090495<br
/>'080230<br />'030448<br />'100728<br />'100559<br /></td>
<td align="">pcs<br />pcs<br />pcs<br />pcs<br
/>pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />fls<br />ampul<br
/>fls<br />vial<br />fls<br />ampul<br />pcs<br />pcs<br />pcs<br /></td>
<td align="right">6000<br />13695<br />389554<br
/>13126<br />28050<br />10350<br />6337<br />1143<br />1321<br />1632<br
/>8250<br />20869<br />23958<br />10395<br />39600<br />19800<br />20625<br
/>18150<br />7425<br /></td>
<td align="right">2<br />1<br />1<br />1<br />1<br />1<br
/>1<br />2<br />6<br />2<br />2<br />2<br />2<br />3<br />3<br />3<br />3<br />1<br
/>1<br /></td>
<td valign='top' align='right'>893577</td>
<td valign='top' align='right'>4000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>9</b></td>
<td valign='top' align="center"><b>30360</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.BY.NY</td>
<td>Poliflex iv cath+inj port 26<br /></td>
<td align="right">'100510<br /></td>
<td align="">pcs<br /></td>
<td align="right">37950<br /></td>
<td align="right">1<br /></td>
<td valign='top' align='right'>38950</td>
<td valign='top' align='right'>1000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>10</b></td>
<td valign='top' align="center"><b>30358</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>JONATHAN FRANCISCO THOMAS.AN</td>
<td>Infuset polymed<br />Ampicillin vial<br />Spuit 5cc
Hd<br />Spuit 3cc HD<br />NS otsu 1000ml<br />Perban gulung 5cm<br />GETIDIN INJ<br
/>Ondancentron 4mg inj<br />Spuit 10cc HD<br />Poliflex iv cath+inj port 26<br
/>Kaen 3B infus<br />Spuit 1cc terumo<br />Needle terumo 18<br />Aqua pro inj<br
/></td>
<td align="right">'100717<br />'080023<br />'100573<br
/>'100567<br />'090509<br />'100344<br />'080535<br />'080326<br />'100575<br
/>'100510<br />'090227<br />'100419<br />'100481<br />'080031<br /></td>
<td align="">pcs<br />vial<br />pcs<br />pcs<br
/>fls<br />pcs<br />ampul<br />ampul<br />pcs<br />pcs<br />fls<br />pcs<br
/>pcs<br />fls<br /></td>
<td align="right">14850<br />13905<br />1321<br />1143<br
/>48222<br />1419<br />31350<br />11880<br />1632<br />37950<br />33000<br
/>10560<br />2970<br />8250<br /></td>
<td align="right">1<br />2<br />1<br />11<br />1<br
/>1<br />1<br />1<br />1<br />1<br />3<br />4<br />3<br />1<br /></td>

<td valign='top' align='right'>350407</td>


<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>11</b></td>
<td valign='top' align="center"><b>30294</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.NY</td>
<td>Catgut cromic usp 2 triton<br />Povidon Iodine<br
/>Electrode<br />Sensi Gloves M<br />Sensi Gloves S<br />Mediscrub 5000ml<br
/>GIGAZYM <br />Masker Tali / Cantol<br />Oksigen O2<br />Selang Suction BHP OK<br
/>Couter BHP OK<br />Kasa BHP OK<br />Hansaplast strip<br />CATGUT PLAIN 2/0<br
/>Alkohol 70 % 1 Liter<br />Alkohol Swab<br />Nurse cap green<br />Aqua pro
inj<br /></td>
<td align="right">'100543<br />'100358<br />'100486<br
/>'100403<br />'100404<br />'100487<br />'100710<br />'100262<br />'100554<br
/>'100673<br />'100674<br />'100675<br />'100482<br />'100740<br />'100009<br
/>'100010<br />'100519<br />'080031<br /></td>
<td align="">cm<br />ml<br />pcs<br />pcs<br />pcs<br
/>ml<br />ml<br />pcs<br />lpm/menit<br />pcs<br />pcs<br />m<br />pcs<br
/>cm<br />ml<br />pcs<br />pcs<br />fls<br /></td>
<td align="right">412<br />150<br />1980<br />1000<br
/>1000<br />340<br />525<br />1500<br />60<br />35001<br />28500<br />360<br
/>501<br />210<br />150<br />501<br />1000<br />8250<br /></td>
<td align="right">250<br />200<br />3<br />6<br />6<br
/>50<br />50<br />10<br />300<br />1<br />1<br />100<br />1<br />100<br />25<br
/>2<br />1<br />2<br /></td>
<td valign='top' align='right'>370444</td>
<td valign='top' align='right'></td>
<td valign='top' align='right'></td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>12</b></td>
<td valign='top' align="center"><b>30289</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.NY</td>
<td>Granisetron Inj.3mg<br />Lidodex inj<br />Matolac 30
mg inj<br />Syntocinon inj<br />Bledstop inj<br />Asering infus<br />Farhes
130<br />Spinocan No.26<br />Triton BP6 silk 3-0<br />Dermafix T10<br />MAS STERIL
FREE POWDER NO.6,5<br />MAS STERIL FREE POWDER NO.7<br />MAS STERIL FREE POWDER
NO.7,5<br />Mess 23 Aescolap<br />Underpad dr.J<br />Spuit 5cc terumo<br />Spuit 10
cc Terumo<br />Gastrul tabl<br /></td>
<td align="right">'080512<br />'080529<br />'080496<br
/>'080436<br />'080052<br />'090036<br />'090498<br />'100413<br />'100449<br
/>'100502<br />'100727<br />'100728<br />'100729<br />'100274<br />'100456<br
/>'100423<br />'100418<br />'020476<br /></td>
<td align="">ampul<br />ampul<br />ampul<br />ampul<br
/>ampul<br />fls<br />fls<br />pcs<br />pcs<br />pcs<br />pcs<br />pcs<br
/>pcs<br />pcs<br />pcs<br />pcs<br />pcs<br />tablet<br /></td>
<td align="right">82500<br />90750<br />47850<br
/>20869<br />11253<br />35475<br />280500<br />66000<br />206250<br />32200<br
/>18150<br />18150<br />18150<br />6000<br />6000<br />9300<br />12100<br
/>17200<br /></td>
<td align="right">1<br />1<br />1<br />4<br />4<br />2<br
/>1<br />1<br />1<br />1<br />1<br />2<br />2<br />1<br />2<br />2<br />2<br />4<br
/></td>
<td valign='top' align='right'>1225838</td>
<td valign='top' align='right'></td>
<td valign='top' align='right'></td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>13</b></td>
<td valign='top' align="center"><b>30288</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.NY</td>
<td>Hansaplast strip<br />OKE PLAST<br />SILET<br />Sensi
Gloves M<br />Alkohol Swab<br />Tegaderm i.v<br />Gelang dewasa one med pink<br
/>KRESEK SEDANG<br />Materai 6000<br />Masker Tali / Cantol<br />GENDOK<br
/>KALENDER 2018<br /></td>
<td align="right">'100482<br />'100684<br />'070479<br
/>'100403<br />'100010<br />'100653<br />'100515<br />'100663<br />'070447<br
/>'100262<br />'070480<br />'100746<br /></td>
<td align="">pcs<br />pcs<br />PCS<br />pcs<br
/>pcs<br />pcs<br />pcs<br />PCS<br />pcs<br />pcs<br />PCS<br />pcs<br /></td>
<td align="right">501<br />300<br />3000<br />1000<br
/>501<br />11001<br />3000<br />2001<br />7000<br />1500<br />8001<br />10000<br
/></td>
<td align="right">1<br />1<br />1<br />32<br />5<br
/>1<br />1<br />1<br />1<br />2<br />1<br />1<br /></td>
<td valign='top' align='right'>82309</td>
<td valign='top' align='right'></td>
<td valign='top' align='right'></td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>14</b></td>
<td valign='top' align="center"><b>30287</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>JONATHAN FRANCISCO THOMAS.AN</td>
<td>Extropect tab<br />Lasal 4mg tab<br />Tremenza
tablet<br />Kertas puyer<br />Ottopan syrup 60ml<br /></td>
<td align="right">'050528<br />'050249<br />'050447<br
/>'100641<br />'030436<br /></td>
<td align="">tablet<br />tablet<br />tablet<br
/>pcs<br />botol<br /></td>
<td align="right">1815<br />2310<br />2170<br />150<br
/>20625<br /></td>
<td align="right">4<br />4<br />4<br />15<br />1<br
/></td>
<td valign='top' align='right'>54055</td>
<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>3000</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
<tr>
<td valign='top' align="center"><b>15</b></td>
<td valign='top' align="center"><b>30163</b></td>
<td valign='top' align="center">17-01-2018</td>
<td valign='top'>ANGGUN RIASTUTIK.NY</td>
<td>Farsix Inj<br />RL OTSU<br /></td>
<td align="right">'080508<br />'090505<br /></td>
<td align="">ampul<br />fls<br /></td>
<td align="right">11022<br />21780<br /></td>
<td align="right">1<br />1<br /></td>
<td valign='top' align='right'>33802</td>
<td valign='top' align='right'>1000</td>
<td valign='top' align='right'>0</td>
<td valign='top' align='right'>rawatinap</td>
</tr>
</tbody>
</table>

You might also like