PEMAKAIAN OBAT PASIEN BPJS 23 MARET-22 APRIL 2017

NO TANGGAL NAMA PASIEN NAMA OBAT JUMLAH SATUAN

1 23/03/2017 AFRIANO I. MAHMUD PARACETAMOL 10 TABLET
CEFADROXIL 10 TABLET
VITAMIN C 10 TABLET
2 24/03/2017 JAMALUDDIN AMOXICILLIN 10 TABLET
ASAM MEFENAMAT 10 TABLET
3 24/03/2107 SUMIATI AMLODIPINE 5 10 TABLET
FUROSEMID 10 TABLET
4 24/03/2017 SATRYA MANDALA P ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
5 25/03/2017 M. BASRI WAHAB AMOXICILLIN 10 TABLET
PARACETAMOL 10 TABLET
6 25/03/2017 HERY YULIANTO AMOXICILLIN 10 TABLET
PARACETAMOL 10 TABLET
7 25/03/2017 FATHIYAH UTAMI ASAM MEFENAMAT 10 TABLET
AHMAD
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
8 25/03/2017 JAMALUDDIN ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
9 27/03/2017 DURRATUL BAIDA'I PARACETAMOL 10 TABLET
AMOXICILLIN 10 TABLET
10 27/03/2107 M. BASRI WAHAB PARACETAMOL 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
11 29/03/2107 MUH. FARID T. AMOXICILLIN 10 TABLET
 ASAM MEFENAMAT 10 TABLET
12 30/03/2017 HJ. MUSDALIPA MUSA ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
13 31/03/2017 KAMARUDDIN ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
14 31/03/2017 MUH. ALIF MANDAR ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
15 01/04/2017 ABDULLAH PARACETAMOL 10 TABLET
AMOXICILLIN 10 TABLET
16 04/04/2017 JASMANINE AIRA S. AMOXICILLIN 5 TABLET
PARACETAMOL 5 TABLET
17 05/04/2017 NURLINA AMOXICILLIN 10 TABLET
ASAM MEFENAMAT 10 TABLET
18 07/04/2017 IRMAWATY A. ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
19 08/04/2017 IRWANSYAH N. ASAM MEFENAMAT 10 TABLET
20 08/04/2017 JASMANINE AIRA S. AMOXICILLIN 5 TABLET
VITAMIN C 10 TABLET
21 08/04/2017 NURLINA ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
22 10/04/2017 M. SARIF AMOXICILLIN 10 TABLET
ASAM MEFENAMAT 10 TABLET
23 10/04/2017 IRMAWATY A. ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
 VITAMIN C 10 TABLET
24 11/04/2017 FADIAL SALSABILAH PARACETAMOL 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN B COMPLEX 10 TABLET
25 11/04/2017 ACHMAD ALGHIFARI VITAMIN C 10 TABLET
26 17/04/2017 MULIANI PARACETAMOL 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
27 17/04/2017 NURLAILA ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
28 18/04/2017 DWI NAZWA SALSABILA PARACETAMOL SYR 1 BOTOL
29 18-Apr KAMARUDDIN ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET
30 18/04/2017 NURLIAH ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET

AMOXICILLIN 245 TABLET X430 105350

ASAM MEFENAMAT 170 TABLET X270 45900
CEFADROXIL 10 TABLET X1100 11000
AMLODIPINE 5 10 TABLET X1150 11500
FUROSEMID 10 TABLET X800 8000
PARACETAMOL 85 TABLET X150 12750
PARACETAMOL SYR 1 BOTOL X3500 3500
VITAMIN C 160 TABLET X90 14400
VITAMIN B 10 TABLET X90 900
213300
 PEMAKAIAN OBAT PASIEN UMUM 23 MARET – 22 APRIL 2017

NO TANGGAL NAMA PASIEN NAMA OBAT JUMLAH SATUAN HARGA

1 23/03/2017 IMASYAHRANI CEFADROXIL KAPS. 10 TABLET
FARSIFEN 10 TABLET
FLUDANE PLUS 10 TABLET 30000
2 23/03/2017 SRINAMIAH VITAMIN C 10 TABLET 5000
3 23/03/2017 IRMAWATI FARGETIX 10 TABLET
NOVAMOX 10 TABLET
VITAMIN C 10 TABLET 15000
4 23/03/2017 ANDI AIRA AZZAHRAH VITAMIN C 10 TABLET 5000
5 25/03/2017 HERY YULIANTO NEUROBION 10 TABLET
GRANTUSIF 10 TABLET
CEFADROXIL KAPS. 10 TABLET
FLUDANE 10 TABLET 40000
6 29/03/2017 HILMAN FASIDOL 10 TABLET
NOVAMOX 10 TABLET
VITAMIN C 10 TABLET 15000
7 29/03/2017 AMELIA FAJRIANI FARGETIX 10 TABLET
NOVAMOX 10 TABLET
VITAMIN C 10 TABLET 15000
8 29/03/2017 CANDRA IMBOOST FORCE 10 TABLET 75000
9 31/03/2017 NUR AFIFAH VITAMIN C 10 TABLET 5000
10 31/03/2017 SAHARIA BETHADINE GARGLE 1 BOTOL 22000
11 01/04/2017 DIAN NOVITA FIMESTAN 10 TABLET
NOVAMOX 10 TABLET
NEURODEX 10 TABLET 15000
12 01/04/2017 ABD.RAHMAN FARGETIX 10 TABLET
NOVAMOX 10 TABLET
VITAMIN C 10 TABLET 15000
13 03/04/2017 FITRI KOMARIA AMOXICILLIN 10 TABLET
ASAM MEFENAMAT 10 TABLET 10000
14 03/04/2017 NURLAILA AMOXICILLIN 10 TABLET
ASAM MEFENAMAT 10 TABLET 10000
15 03/04/2017 KARMILA OBIMIN AF 10 TABLET
BETHADINE GARGLE 10 TABLET 39000
16 03/04/2017 ABD. HAFID LOPERAMIDE 10 TABLET
GRANTUSIF 10 TABLET
NEUROBION 10 TABLET
AMBROXOL 10 TABLET 20000
17 03/04/2017 S.HAMID CEFADROXIL KAPS. 10 TABLET
FLUDANE PLUS 10 TABLET
NEUROBION 10 TABLET
IBUPROFEN 10 TABLET 33000
18 05/04/2017 MUSLIM BIOLYSIN 1 BOTOL
AMOXICILLIN 10 TABLET
BETHADINE GARGLE 10 TABLET 30000
19 06/04/2017 HAMKA BIOLYSIN 10 TABLET
BETHADINE GARGLE 1 BOTOL 17500
20 07/04/2017 ANDI SABIRA VITAMIN C 10 TABLET 5000
21 07/04/2017 NURFADILAH BETHADINE GARGLE 1 BOTOL 22000
22 08/04/2017 NURRAHMAT VITAMIN C 10 TABLET 5000
23 08/04/2017 SAFIRAH ARDELIA VITAMIN C 10 TABLET 5000
24 08/04/2017 ACO RAHMAT FARGETIX 10 TABLET
NOVAMOX 10 TABLET
VITAMIN C 10 TABLET 15000
25 10/04/2017 FARUL ASAM MEFENAMAT 10 TABLET
AMOXICILLIN 10 TABLET
VITAMIN C 10 TABLET 15000
26 11/04/2017 DIAN NOVITA DEXAMETHASONE 0,5 10 TABLET
NEURODEX 10 TABLET 10000
26 11/04/2017 ACHMAD GIFARI BETHADINE GARGLE 1 BOTOL 19000
27 12/04/2017 ANDI MUH. AKRAM SUHU VITAMIN C 10 TABLET 5000
28 15/04/2017 HAERIAH BETHADINE GARGLE 1 BOTOL 13000
29 15/04/2017 FAIHAN AMOXICILLIN 5 TABLET
PARACETAMOL 5 TABLET 5000
30 17/04/2017 ROSDIANA ASAM TRANEKSAMAT 10 TABLET
NATRIUM DIKLOFENAK 10 TABLET
31 17/04/2017 NI KETUT BIOLYSIN 10 TABLET 5000
IBUPROFEN 10 TABLET 25000
31 18/04/2017 NENE W. VITAMIN B1 10 TABLET 5000
32 18/04/2107 SAHIBUDDIN INTERHISTIN 10 TABLET 10000
33 19/04/2017 SITI NAURAH AZIZAH AMOXICILLIN 10 TABLET
PARACETAMOL 10 TABLET 10000
34 19/04/2017 SAPRIANI BETHADINE GARGLE 10 TABLET 13000
TOTAL 603500

NO TANGGAL PRODUK JUMLAH SATUAN HARGA SATUAN HARGA

1 9/04/2017 Natrium Klorida 2 botol 8000 16000
2 9/04/2017 Abocath 18 1 pcs 12000 12000
3 9/04/2017 Spooit 20 cc 1 pcs 3000 3000
TOTAL 31000