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27 April - 29 April 2018 Data

01 Pelayanan Farmasi Sum of Qwt Sum of Harga Dosis


ASAM MEFENAMAT TAB 500MG BS 15 5,569 3x1
BHP SC BS 1 63,728
BIOSYN 1 TAP (CM-966) 2 550,704
BLOOD SET BS 1 7,228
BUNASCAN SPINAL INJ 1 91,667 anestesi
CAT GUT CHROMIC 1 1 44,979
CEFADROXYL 500MG TAB BS 15 22,688 2x1
CEPRAZ INJ 4 390,000 2x1
CHROMIC GUT 2-0 TAPER (CG-923) 1 119,200
CUTICELL CLASSIC 10 X 10 CM BS 1 13,932
ECOSYN 3/0 CUT 75CM (CD24MM)Y37CD24W 1 162,261
FENTANYL 0.05 INJ 2 133,100 anestesi
FOLLEY CATH 2WAY 14 1 34,419
GELANG PENGENAL DWS (PINK) 2 7,450
GELANG PENGENAL DWS KUNING 1 3,725
INFUSAN-D5 DP 1 28,133 anestesi
INFUSSET ANAK OM BS 1 7,785
JARUM MANI 2 35,075
KETOROLAC 30MG/ML INJ BS 3 60,143 anestesi
MESS 20 1 5,900
METHYL ERGOMETRINE MAL INJ 0,2MG 3 14,582 obgyn
NACL BB 5 75,625 obgyn
ONDANCETRON INJ 4MG/2ML 1 6,875 anestesi
OPSITE 25 X 10 CM 1 62,282
OTSU WATER 25 ML 3 26,400
OXYTOCIN INJ 8 11,990 obgyn
PAMPERS CELANA(CONFIDENCE ADULT XL'6) 1 13,882
PAMPERS STERIL ONE MED 1 14,751
RANITIDIN 50MG/2ML INJ BS 1 8,800 anestesi
RL BB 4 66,550 anestesi
SILET 1 5,304
SPINOCAIN 27 BB 1 77,033
SPUIT 10CC OM BS 6 14,751
SPUIT 1CC OM BS 1 958
SPUIT 3CC OM BS 8 7,665
SPUIT 3CC TRM 1 7,539
SPUIT 5CC OM BS 2 2,360
STERIL 8 E CARE BS(SGW80) 1 7,109
STERILE GLOVE 7 BS 2 13,410
STERILE GLOVE 7,5 BS 5 29,293
THREE WAY BEREKOR 1 77,811
URINE BAG STERIL OM BS 1 7,095
VACUTAINER EDTA 3ML (UNGU) 1 7,589
VASODRIN 1ML INJ 1 55,000 k/p
VASOFIX 16 BB 1 73,755
Grand Total 118 2,476,093
Lama

paket

paket (1)

paket (1)

paket

paket

paket (1)
paket (2)
paket

paket (3)

paket
paket (2)
Perincian Pemakaian Obat/Alkes
No. Reg : 0082268 LESTARI NI NENGAH

Alamat : BR DNS BAJERA KAJA DESA BAJERA

01 Pelayanan Farmasi Dosis Tanggal Qwt Satuan


BHP SC BS 27/04/2018 1.00 PCS
BIOSYN 1 TAP (CM-966) 27/04/2018 1.00 PCS
BLOOD SET BS 27/04/2018 1.00 PCS
BUNASCAN SPINAL INJ 27/04/2018 1.00 AMPUL
CAT GUT CHROMIC 1 27/04/2018 1.00 METER
CEPRAZ INJ 27/04/2018 3.00 vial
CHROMIC GUT 2-0 TAPER (CG-923) 27/04/2018 1.00 PCS
CUTICELL CLASSIC 10 X 10 CM BS 27/04/2018 1.00 PSC
ECOSYN 3/0 CUT 75CM (CD24MM)Y37CD24W 27/04/2018 1.00 PCS
FENTANYL 0.05 INJ 27/04/2018 2.00 AMPUL
FOLLEY CATH 2WAY 14 27/04/2018 1.00 PCS
GELANG PENGENAL DWS (PINK) 27/04/2018 2.00 pcs
GELANG PENGENAL DWS KUNING 27/04/2018 1.00 PSC
INFUSAN-D5 DP 27/04/2018 1.00 FLs
INFUSSET ANAK OM BS 27/04/2018 1.00 PCS
JARUM MANI 27/04/2018 2.00 PCS
MESS 20 27/04/2018 1.00 PCS
METHYL ERGOMETRINE MAL INJ 0,2MG 27/04/2018 2.00 PCS
METHYL ERGOMETRINE MAL INJ 0,2MG 27/04/2018 1.00 PCS
NACL BB 27/04/2018 3.00 FLS
NACL BB 27/04/2018 2.00 FLS
ONDANCETRON INJ 4MG/2ML 27/04/2018 1.00 AMPUL
OTSU WATER 25 ML 27/04/2018 3.00 fls
OXYTOCIN INJ 27/04/2018 2.00 AMPUL
OXYTOCIN INJ 27/04/2018 6.00 AMPUL
PAMPERS CELANA(CONFIDENCE ADULT XL'6) 27/04/2018 1.00 PCS
PAMPERS STERIL ONE MED 27/04/2018 1.00 PCS
RANITIDIN 50MG/2ML INJ BS 27/04/2018 1.00 AMPUL
RL BB 27/04/2018 2.00 FLS
RL BB 27/04/2018 2.00 FLS
SILET 27/04/2018 1.00 PCS
SPINOCAIN 27 BB 27/04/2018 1.00 PCS
SPUIT 10CC OM BS 27/04/2018 4.00 PCS
SPUIT 10CC OM BS 27/04/2018 1.00 PCS
SPUIT 1CC OM BS 27/04/2018 1.00 PCS
SPUIT 3CC OM BS 27/04/2018 4.00 PCS
SPUIT 3CC OM BS 27/04/2018 1.00 PCS
SPUIT 3CC TRM 27/04/2018 1.00 BUAH
SPUIT 5CC OM BS 27/04/2018 1.00 PCS
SPUIT 5CC OM BS 27/04/2018 1.00 PCS
STERIL 8 E CARE BS(SGW80) 27/04/2018 1.00 PCS
STERILE GLOVE 7 BS 27/04/2018 2.00 PCS
STERILE GLOVE 7,5 BS 27/04/2018 1.00 PCS
STERILE GLOVE 7,5 BS 27/04/2018 4.00 PCS
THREE WAY BEREKOR 27/04/2018 1.00 PCS
URINE BAG STERIL OM BS 27/04/2018 1.00 PCS
VACUTAINER EDTA 3ML (UNGU) 27/04/2018 1.00 PCS
VASODRIN 1ML INJ 27/04/2018 1.00 AMPL
VASOFIX 16 BB 27/04/2018 1.00 PCS
BIOSYN 1 TAP (CM-966) 28/04/2018 1.00 PCS
CEPRAZ INJ 28/04/2018 1.00 vial
KETOROLAC 30MG/ML INJ BS 28/04/2018 3.00 AMPL
SPUIT 10CC OM BS 28/04/2018 1.00 PCS
SPUIT 3CC OM BS 28/04/2018 3.00 PCS
ASAM MEFENAMAT TAB 500MG BS 29/04/2018 15.00 TAB
CEFADROXYL 500MG TAB BS 29/04/2018 15.00 TAB
OPSITE 25 X 10 CM 29/04/2018 1.00 PCS

Total
Harga
63,728
275,352
7,228
91,667
44,979
292,500
119,200
13,932
162,261
133,100
34,419
7,450
3,725
28,133
7,785
35,075
5,900
9,721
4,861
45,375
30,250
6,875
26,400
2,998
8,993
13,882
14,751
8,800
33,275
33,275
5,304
77,033
9,834
2,459
958
3,832
958
7,539
1,180
1,180
7,109
13,410
5,859
23,435
77,811
7,095
7,589
55,000
73,755
275,352
97,500
60,143
2,459
2,874
5,569
22,688
62,282

2,476,093
Perincian Pemakaian Obat/Alkes
No. Reg : 0082268 LESTARI NI NENGAH

Alamat : BR DNS BAJERA KAJA DESA BAJERA

Keterangan Qwt Satuan Harga

01 Pelayanan Farmasi

1804270067 27/04/2018
RL BB 2.00 FLS 33,275

SPUIT 1CC OM BS 1.00 PCS 958

THREE WAY BEREKOR 1.00 PCS 77,811

STERILE GLOVE 7,5 BS 1.00 PCS 5,859

VACUTAINER EDTA 3ML (UNGU) 1.00 PCS 7,589

SILET 1.00 PCS 5,304

CEPRAZ INJ 3.00 vial 292,500

NACL BB 3.00 FLS 45,375

METHYL ERGOMETRINE MAL INJ 0,2MG 2.00 PCS 9,721

OXYTOCIN INJ 2.00 AMPUL 2,998

GELANG PENGENAL DWS KUNING 1.00 PSC 3,725

OTSU WATER 25 ML 3.00 fls 26,400

BLOOD SET BS 1.00 PCS 7,228

VASOFIX 16 BB 1.00 PCS 73,755

FOLLEY CATH 2WAY 14 1.00 PCS 34,419

GELANG PENGENAL DWS (PINK) 2.00 pcs 7,450

URINE BAG STERIL OM BS 1.00 PCS 7,095

SPUIT 10CC OM BS 4.00 PCS 9,834

SPUIT 3CC OM BS 4.00 PCS 3,832

Jumlah 655,128
1804270096 27/04/2018
BUNASCAN SPINAL INJ 1.00 AMPUL 91,667
RANITIDIN 50MG/2ML INJ BS 1.00 AMPUL 8,800

ONDANCETRON INJ 4MG/2ML 1.00 AMPUL 6,875

RL BB 2.00 FLS 33,275

INFUSAN-D5 DP 1.00 FLs 28,133

FENTANYL 0.05 INJ 2.00 AMPUL 133,100

SPINOCAIN 27 BB 1.00 PCS 77,033

SPUIT 3CC OM BS 1.00 PCS 958

SPUIT 5CC OM BS 1.00 PCS 1,180

STERIL 8 E CARE BS(SGW80) 1.00 PCS 7,109

INFUSSET ANAK OM BS 1.00 PCS 7,785

Jumlah 395,915
1804270097 27/04/2018
OXYTOCIN INJ 6.00 AMPUL 8,993

MESS 20 1.00 PCS 5,900

CUTICELL CLASSIC 10 X 10 CM BS 1.00 PSC 13,932

BHP SC BS 1.00 PCS 63,728

PAMPERS STERIL ONE MED 1.00 PCS 14,751

NACL BB 2.00 FLS 30,250

PAMPERS CELANA(CONFIDENCE ADULT XL'6) 1.00 PCS 13,882

CHROMIC GUT 2-0 TAPER (CG-923) 1.00 PCS 119,200

VASODRIN 1ML INJ 1.00 AMPL 55,000

SPUIT 10CC OM BS 1.00 PCS 2,459

SPUIT 3CC TRM 1.00 BUAH 7,539

METHYL ERGOMETRINE MAL INJ 0,2MG 1.00 PCS 4,861

SPUIT 5CC OM BS 1.00 PCS 1,180

BIOSYN 1 TAP (CM-966) 1.00 PCS 275,352

ECOSYN 3/0 CUT 75CM (CD24MM)Y37CD24W 1.00 PCS 162,261


CAT GUT CHROMIC 1 1.00 METER 44,979

JARUM MANI 2.00 PCS 35,075

STERILE GLOVE 7,5 BS 4.00 PCS 23,435

STERILE GLOVE 7 BS 2.00 PCS 13,410

Jumlah 896,185
1804280037 28/04/2018
BIOSYN 1 TAP (CM-966) 1.00 PCS 275,352

Jumlah 275,352
1804280067 28/04/2018
CEPRAZ INJ 1.00 vial 97,500

SPUIT 10CC OM BS 1.00 PCS 2,459

KETOROLAC 30MG/ML INJ BS 3.00 AMPL 60,143

SPUIT 3CC OM BS 3.00 PCS 2,874

Jumlah 162,975
1804290006 29/04/2018
CEFADROXYL 500MG TAB BS 15.00 TAB 22,688

ASAM MEFENAMAT TAB 500MG BS 15.00 TAB 5,569

OPSITE 25 X 10 CM 1.00 PCS 62,282

Jumlah 90,538
Sub Total 2,476,093

Total 2,476,093

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