Nama Pasien/ Usia /

Tanggal Operasi
No RM/ Ruangan /
Nama Dokter
STOK
NO OBAT/ALKES/BHP TERPAKAI HARGA TOTAL
AWAL

NO OBAT/ALKES/BHP
STOK
AWAL
TERPAKAI HARGA TOTAL 42 Atracurium amp Rp 18.837  
1 Alkohol 75% 1 Liter ml Rp 50 43 Atropin Sulfas amp Rp 26.000  
2 Betadine ml Rp 70 44 Bupivacain Spinal amp Rp 36.608  
3 Kassa cm Rp 9.240 45 Cytotec tab Rp 28.743  
4 Plester pcs Rp 42.638 46 Efedrin/Vasodrin Inj. amp Rp 68.624  
5 Spuit 1 CC pcs Rp 3.000 47 Dexametason Inj. amp Rp 6.500  
6 Spuit 3 CC pcs Rp 3.000 48 Fentanyl Inj. amp Rp 52.000  
7 Spuit 5 CC pcs Rp 3.000 49 Ketamin Inj. mg Rp 97.110  
8 Spuit 10 Cc pcs Rp 4.000 50 Profopol Inj. ml Rp 21.107  
9 Abocath/Otsucath pcs Rp 26.000 51 Sevofluran ml Rp 1.420.345  
10 Infuset Makro pcs Rp 10.296 52 Isofluran amp Rp 743.600  
11 Infuset Mikro pcs Rp 10.296 53 Lidocain Inj. amp Rp 3.780  
12 Tranfusi Set pcs Rp 30.000 54 LIDODEX inj. amp Rp

13 Bisturi 15/20/22 pcs Rp 5.148 55 Ketorolac Inj. amp Rp 3.900  

14 Handscoon No. 6,5 psg Rp 22.000 56 Ondansetron Inj. amp Rp 7.865  
15 Handscoon No. 7 psg Rp 22.000 57 Metilergometrin Inj. amp Rp 8.043  
16 Handscoon No 7,5 psg Rp 22.000 58 Oksitosin Inj. amp Rp 3.146  
17 Handscoon Non Steril (S/M) psg Rp 3.000 59 Pentotal amp Rp 97.240  
18 Handscoon Non Steril (L) psg Rp 4.000 60 Ranitidin Inj. amp Rp 5000  
Neostigmin/Prostigmin
19 Hypafix cm Rp 6.000 61
Inj.
amp Rp 11.791  
20 Underpad pcs Rp 20.000 62 Rocuronium Inj vial Rp 100.100  
21 Urine bag pcs Rp 13.000 63 Tramadol Inj. amp Rp 6.500  
22 Suction Cateter pcs Rp 10.000 64 Metronidazol Infus btl Rp 37.000  
23 ETT 3/3,55,5/6,0/6,5/7,0/7,5 pcs Rp 43.200 65 RL Infus btl Rp 12.000  
24 Spinocan 25/26/27 pcs Rp 47.520 66 D5 % Infus btl Rp 12.000  
25 Threeway Stopcock pcs Rp 3.346,20 67 NaCl 0,9% Infus btl Rp 12.000  
26 NGT 3.5/5/8/12/14/16/18 pcs Rp 50.820 68 Aquadest/Aqua pro Inj. btl Rp 3.000  
27 Masker karet pcs Rp 1.500 69 Fimahes/Koloid HES fls Rp 42.900  
28
Umbilical Cord/Penjepit tali
pcs Rp 2.100
70 Asering Infus btl Rp 18.000  
pusat
71 Kaen 3B btl Rp 18.000  
29 Oksigen (O2) liter Rp 650,00
72 Aminofluid fls Rp 84.486  
30 Chromic 2 pcs Rp 60.872,50
73 Pethidin HCL Inj. amp  Rp 20.735  
31 Chromic 2/0 pcs Rp 30.652,70
74 Folley Cateter 2 way 6 pcs Rp 53.300  
32 Chromic 3/0 pcs Rp 72.930,00
75 Folley Cateter 2 way 8 pcs Rp 45.760  
33 Plain 2/0 pcs Rp 32.072,30 Folley Cateter 2 way
76
10,14,18,20
pcs Rp 18.018  
34 Daclon 2/0 pcs Rp 28.143,70
77 Folley Cateter 2 way 16 pcs Rp 19.500  
35 Daclon 3/0 pcs Rp 28.143,70

36 Safil 1 pcs Rp 150.707,70

37 Safil 2/0 pcs Rp 122.172,70

38 Safil 3/0 pcs Rp 127.799,10

39 Silk Up 1 pcs Rp 66.300,00

40 Silk Up 2/0 pcs Rp 66.300,00

41 Silk Up 3/0 pcs Rp 66.300,00