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LAPARASCOPY MOW

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No MS& Obat ToT Harga Satuan
Kebut Kebut Kebut
1 ALKOHOL 70% ( 100 cc) 1 1 2 Rp 5,500
2 ALKOHOL SWAB Pastik 7 5 10 22 Rp 363
3 APRON 3 3 Rp 3,420
4 WFI 1000 ml 2 1 3 Rp 6,954
5 Mefinal 500 mg 10 10 Rp 1,430
6 BENANG Silk 2-0 S25 1 1 Rp 101,385
7 BENANG Cromic C26 1 1 Rp 125,522
8 BENANG Monocryl 3-0 DS24 2 2 Rp 92,434
9 BETHADINE 60 ML 3 3 Rp 32,450
10 BISTURI NO 11 1 1 Rp 715
11 CATAPRES INJ 1 1 Rp 117,350
12 CEFAZOL 1 GR 1 1 2 Rp 118,800
13 CORTIDEX INJ 2 2 Rp 6,700
14 ELEKTRODA 3 3 Rp 6,500
15 EPHEDRIN 1 1 Rp 55,000
16 FENTANYL INJ 1 1 Rp 48,400
17 Fortanest 5 mg 1 1 Rp 18,700
18 Rocuronium 1 1
19 Artrakurium 1 1
20 FOLEY CATHETER 14/16 (Rusch) 1 1 Rp 14,851
21 GAUZE 7,5 X 7,5 2 2 Rp 9,350
22 GAUZE JAHIT XRAY 12 x 85 1 1 Rp 34,100
23 GAUZE X RAY 10 X 10 6 6 Rp 10,000
24 GLOVE STERIL NO. 7,5 ( GAMEX) 2 2 Rp 13,500
25 GLOVE STERIL NO.6,5 3 3 Rp 13,500
26 GLOVE STERIL NO.7 2 2 Rp 13,500
27 GLOVE STERIL NO.8 2 2 Rp 13,500
28 Blood Set ( Sangofx) 1 1 Rp 25,300
29 INTROCANT SAFETY No 20 2 2 Rp 26,500
30 LIDOCAIN 2 % INJ 2ML 1 1 Rp 1,650
31 NACL 0,9% 500 ML(ECOSOL) 2 2 Rp 12,925
32 NACL 0,9% 25ML ( OTSU) 2 2 Rp 7,000
33 NASAL CANULE ADULT 1 1 Rp 10,450
34 ONDANSENTRON 4 mg 2 2 Rp 7,700
35 PETHIDINE INJ 50 mg 1 1 Rp 19,500
36 Clipper 1 1 Rp 40,000
37 PLASMINEX 100 MG 2 2 Rp 13,400
38 PLATE ARDE ( Alfamed) 1 1 Rp 132,000
39 PROFENID SUP 100 MG 1 1 Rp 19,300
40 REMOPAIN INJ 1 1 Rp 35,200
41 RL 500 ML (Ecosol) 2 1 3 Rp 12,000
42 SA 1 1 Rp 2,200
43 SIKAT Cuci tangan 3 3 Rp 15,400
44 SPINAL NEDDLE 27/25 1 1 Rp 44,000
45 NGT No:16 1 1
46 SUCTION CATHETER + TUTUP NO.1 1 1 Rp 10,000
47 SUCTION CONECTING TUBE (3 mtr) 1 1 Rp 38,500
48 SYRINGE 1 CC 1 1 2 Rp 7,100
49 SYRINGE 10 CC 5 1 6 Rp 8,100
50 SYRINGE 3 CC 3 3 Rp 5,100
51 SYRINGE 5 CC 3 3 Rp 6,200
52 SYRINGE 20 CC 1 1
53 Tegaderm 1623 2 1 3 Rp 7,000
54 TEGADERM 1626 4 4 Rp 30,500
55 TRAMADOL INJ 100 MG 2 2 Rp 9,600
56 TRANSOFIX 1 1 Rp 7,600
57 TUVER GAUZE XRAY 2 2 Rp 4,000
58 UNDER PAD 2 2 Rp 5,900
59 URINE BAG 1 1 Rp 9,000
60 XYLOCAIN GEL 1 1 Rp 51,500
TOTAL
Harga Provit Tot Harga

Rp 7,425 Rp 14,850
Rp 490 Rp 10,781
Rp 4,617 Rp 13,851
Rp 9,388 Rp 28,164
Rp 1,931 Rp 19,305
Rp 136,870 Rp 136,870
Rp 169,455 Rp 169,455
Rp 124,786 Rp 249,572
Rp 43,808 Rp 131,423
Rp 965 Rp 965
Rp 158,423 Rp 158,423
Rp 160,380 Rp 320,760
Rp 9,045 Rp 18,090
Rp 8,775 Rp 26,325
Rp 74,250 Rp 74,250
Rp 65,340 Rp 65,340
Rp 25,245 Rp 25,245

Rp 20,049 Rp 20,049
Rp 12,623 Rp 25,245
Rp 46,035 Rp 46,035
Rp 13,500 Rp 81,000
Rp 18,225 Rp 36,450
Rp 18,225 Rp 54,675
Rp 18,225 Rp 36,450
Rp 18,225 Rp 36,450
Rp 34,155 Rp 34,155
Rp 35,775 Rp 71,550
Rp 2,228 Rp 2,228
Rp 17,449 Rp 34,898
Rp 9,450 Rp 18,900
Rp 14,108 Rp 14,108
Rp 10,395 Rp 20,790
Rp 26,325 Rp 26,325
Rp 54,000 Rp 54,000
Rp 18,090 Rp 36,180
Rp 178,200 Rp 178,200
Rp 26,055 Rp 26,055
Rp 47,520 Rp 47,520
Rp 16,200 Rp 48,600
Rp 2,970 Rp 2,970
Rp 20,790 Rp 62,370
Rp 59,400 Rp 59,400
Rp 13,500 Rp 13,500
Rp 51,975 Rp 51,975
Rp 9,585 Rp 19,170
Rp 10,935 Rp 65,610
Rp 6,885 Rp 20,655
Rp 8,370 Rp 25,110

Rp 9,450 Rp 28,350
Rp 41,175 Rp 164,700
Rp 12,960 Rp 25,920
Rp 10,260 Rp 10,260
Rp 5,400 Rp 10,800
Rp 7,965 Rp 15,930
Rp 12,150 Rp 12,150
Rp 69,525 Rp 69,525
Rp 3,071,924

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