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5 Mei-9 Mei 2018 Data

01 Pelayanan Farmasi Sum of Qwt Sum of Harga Dosis Lama


AMBROXOL 15MG/5ML SYR BS 1 8,250 3x1/2cth 2 hari
CEFILA 100MG/5ML(30ML) DROP 1 125,538
CEFXON INJEKSI 4 1,270,500 2x1 5 hari
GELANG PENGENAL ANAK (BIRU) 1 3,725
GELANG PENGENAL DWS KUNING 1 3,725
INFUSAN D1/4 DP 4 113,740 3 hari
INFUSSET DWS OM BS 1 9,834
IV CANNULA 24 3 98,340
OTSU WATER 25 ML 3 26,400
PARACETAMOL DROP BS 1 8,395 3x0,9 3 hari
PARACETAMOL INFUS 1GR/100ML BS 1 82,500 k/p
SPALK 6 X 10 1 7,450
SPUIT 10CC OM BS 1 2,459
SPUIT 3CC OM BS 1 958
SPUIT 5CC OM BS 8 9,441
VENTOLIN NEBULES 2,5 MG 2 27,189 2x1/2cc 2 hari
VERBAN 5 CM 1 10,904
Grand Total 35 1,809,347
Perincian Pemakaian Obat/Alkes
No. Reg : 0082459 ABIMANA ADINATA I KADEK

Alamat : BR BONGAN KAUH DESA BONGAN

01 Pelayanan Farmasi dosis tanggal Qwt Satuan Harga


CEFXON INJEKSI 06/05/2018 1.00 VIAL 317,625
INFUSAN D1/4 DP 06/05/2018 2.00 FLS 56,870
SPUIT 5CC OM BS 06/05/2018 4.00 PCS 4,720
GELANG PENGENAL ANAK (BIRU) 06/05/2018 1.00 pcs 3,725
GELANG PENGENAL DWS KUNING 06/05/2018 1.00 PSC 3,725
INFUSAN D1/4 DP 06/05/2018 2.00 FLS 56,870
INFUSSET DWS OM BS 06/05/2018 1.00 PCS 9,834
IV CANNULA 24 06/05/2018 1.00 BUAH 32,780
OTSU WATER 25 ML 06/05/2018 2.00 fls 17,600
PARACETAMOL DROP BS 06/05/2018 1.00 FLS 8,395
SPALK 6 X 10 06/05/2018 1.00 PCS 7,450
SPUIT 5CC OM BS 06/05/2018 2.00 PCS 2,360
VERBAN 5 CM 06/05/2018 1.00 BUNGKUS 10,904
CEFXON INJEKSI 06/05/2018 2.00 VIAL 635,250
PARACETAMOL INFUS 1GR/100ML BS 06/05/2018 1.00 FLS 82,500
SPUIT 10CC OM BS 06/05/2018 1.00 PCS 2,459
AMBROXOL 15MG/5ML SYR BS 07/05/2018 1.00 BTL 8,250
SPUIT 3CC OM BS 07/05/2018 1.00 PCS 958
VENTOLIN NEBULES 2,5 MG 07/05/2018 2.00 AMPUL 27,189
IV CANNULA 24 07/05/2018 2.00 BUAH 65,560
OTSU WATER 25 ML 08/05/2018 1.00 fls 8,800
SPUIT 5CC OM BS 08/05/2018 2.00 PCS 2,360
CEFXON INJEKSI 08/05/2018 1.00 VIAL 317,625
CEFILA 100MG/5ML(30ML) DROP 09/05/2018 1.00 BTL 125,538

Sub Total 1,809,347

02 Retur Farmasi

1805090004 09/05/2018
INFUSAN D1/4 DP 1.00 FLS -28,435

VENTOLIN NEBULES 2,5 MG 1.00 AMPUL -13,595

Jumlah -42,030
Sub Total -42,030

Total 1,767,317

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