HNA+PPN 1 BETADIN SOL 5 CC BOTOL 1 3294.5 Rp 3,294.50 Rp 4,118.13 2 BLOOD SET PIECES 1 19635 Rp 19,635.00 Rp 24,543.75 3 GENTAMICIN SM TUBE 1 37211.62 Rp 37,211.62 Rp 46,514.53 4 HANDSCHON STERIL 7,5 PSG 1 10560 Rp 10,560.00 Rp 13,200.00 5 HANDSCHON STERIL 6,5 PSG 1 10560 Rp 10,560.00 Rp 13,200.00 6 INFUSAN RL 500 ML FLS 1 12551 Rp 12,551.00 Rp 15,688.75 7 PLESTER PUTIH 1/2 INCHI PCS 1 11053.35 Rp 11,053.35 Rp 13,816.69 8 MYDRIATIL TM FLS 1 39129.75 Rp 39,129.75 Rp 48,912.19 9 SPUIT 1CC PIECES 5 3520 Rp 17,600.00 Rp 22,000.00 10 SPUIT 5 CC PIECES 1 2464 Rp 2,464.00 Rp 3,080.00 11 SPUIT 10 CC PIECES 1 2299 Rp 2,299.00 Rp 2,873.75 12 KAPAS LIDI PIECES 10 500 Rp 5,000.00 Rp 6,250.00 13 GENTAMICIN INJ AMPUL 1 3507.64 Rp 3,507.64 Rp 4,384.55 14 POLYDEX TM STRIP 2 27109.5 Rp 54,219.00 Rp 67,773.75 15 PANTOCAIN TM FLS 1 12403.87 Rp 12,403.87 Rp 15,504.84 16 FLOXA TM STRIP 1 34206.56 Rp 34,206.56 Rp 42,758.20 17 DEXAMETHASON INJ AMPUL 1 5891.32 Rp 5,891.32 Rp 7,364.15 18 EPINEPRINE INJ AMPUL 1 8549.99 Rp 8,549.99 Rp 10,687.49 19 KASA STERIL BOX 1 2750 Rp 2,750.00 Rp 3,437.50 TOTAL Rp 292,886.60 Rp 366,108.25
OBAT ANASTESI UMUM
NO NAMA SATUAN JUMLAH HNA+PPN TOTAL 25% 1 PROANES AMPUL 1 Rp 80,410.00 Rp 80,410.00 Rp 100,512.50 2 FENTANYL AMPUL 1 Rp 48,400.00 Rp 48,400.00 Rp 60,500.00 3 FORTANEST 15 MG AMPUL 1 Rp 41,580.00 Rp 41,580.00 Rp 51,975.00 TOTAL Rp 170,390.00 Rp 212,987.50