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  • Rs Harapan Sehat Jatibarang: Data Pemberian Obat/Barang/Alkes/Perlengkapan

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    The document contains a list of medical supplies and medications provided to a patient named Abdul Azis from January 20th to January 22nd. It includes the date, hospital record number, patient information, item name, packaging details, costs and total costs for each supply. A variety of medications, medical equipment and supplies were provided including oxygen masks, IV fluids, syringes and gloves. The total cost of supplies provided to this patient over this three day period was over 200 million rupiah.

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    ABDUL AZIZ

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    The document contains a list of medical supplies and medications provided to a patient named Abdul Azis from January 20th to January 22nd. It includes the date, hospital record number, patient information, item name, packaging details, costs and total costs for each supply. A variety of medications, medical equipment and supplies were provided including oxygen masks, IV fluids, syringes and gloves. The total cost of supplies provided to this patient over this three day period was over 200 million rupiah.

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    © All Rights Reserved
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    12 views2 pages

    Rs Harapan Sehat Jatibarang: Data Pemberian Obat/Barang/Alkes/Perlengkapan

    Uploaded by

    RM rshsjtb
    The document contains a list of medical supplies and medications provided to a patient named Abdul Azis from January 20th to January 22nd. It includes the date, hospital record number, patient information, item name, packaging details, costs and total costs for each supply. A variety of medications, medical equipment and supplies were provided including oxygen masks, IV fluids, syringes and gloves. The total cost of supplies provided to this patient over this three day period was over 200 million rupiah.

    Copyright:

    © All Rights Reserved
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    of 2

    RS HARAPAN SEHAT JATIBARANG

    Jalan Raya Jatibarang-Brebes, Janegara, Brebes, Jawa Tengah


    (0283) 4513655
    E-mail : rshs_jatibarang@asia.com

    DATA PEMBERIAN OBAT/BARANG/ALKES/PERLENGKAPAN

    Tgl.Beri No.Rawat No.R.M Nama Pasien Nama Obat/Alkes Embalase Tuslah Jml Biaya Obat Total Biaya
    20/01/2021 13:06:24 2021/01/20/000009 003105 ABDUL AZIS,TN SELANG O2 DEWASA (Nasal Kanul) 1,500 200 1.0 7,800 9,500
    20/01/2021 13:08:16 2021/01/20/000009 003105 ABDUL AZIS,TN SANMOL TAB 1,500 200 3.0 418 2,954
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN FARGOXIN TAB 100s 1,500 200 3.0 395 2,885
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN FARSIX INJ (FUROSEMIDE) 1,500 200 2.0 13,296 28,292
    20/01/2021 13:06:24 2021/01/20/000009 003105 ABDUL AZIS,TN ABBOCATH INFLO 26 1,500 200 2.0 14,300 30,300
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN CANDESARTAN 16 MG TAB 30s 1,500 200 2.0 6,864 15,428
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 3 CC 1,500 200 2.0 1,022 3,744
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN SANMOL TAB 1,500 200 3.0 418 2,954
    20/01/2021 13:08:16 2021/01/20/000009 003105 ABDUL AZIS,TN MASKER 3 PLY EARLOOP 1,500 200 1.0 1,040 2,740
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 1.0 9,918 11,618
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN AMINOPHYLLINE 24 MG INJ 30s 1,500 200 2.0 8,175 18,050
    20/01/2021 13:06:24 2021/01/20/000009 003105 ABDUL AZIS,TN INFUSET DEWASA ONEMED 1,500 200 1.0 7,800 9,500
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 3.0 2,275 8,525
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 10 CC OM 1,500 200 2.0 1,455 4,610
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML WIDA 0 0 1.0 12,540 12,540
    20/01/2021 13:08:16 2021/01/20/000009 003105 ABDUL AZIS,TN AMLODIPINE 10 Mg Tab 1,500 200 1.0 1,845 3,545
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN RANITIDIN INJ 25 MG/ML 0 0 1.0 3,080 3,080
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN RANITIDINE HCL 50 MG/2 ML 0 0 1.0 11,074 11,074
    20/01/2021 13:06:24 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 1.0 9,918 11,618
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN NURSING CUP 1,500 200 3.0 2,145 8,135
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN MASKER 3 PLY EARLOOP 1,500 200 3.0 1,040 4,820
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN LEVOFLOXACIN INFUS 500 MG/100 1,500 200 2.0 104,000 209,700
    20/01/2021 13:08:16 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 2.0 2,275 6,250
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN AMLODIPINE 10 Mg Tab 1,500 200 3.0 1,845 7,235
    20/01/2021 17:07:57 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 5 CC OM 1,500 200 2.0 1,180 4,060
    21/01/2021 06:34:01 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 3.0 2,275 8,525
    21/01/2021 16:02:58 2021/01/20/000009 003105 ABDUL AZIS,TN AMINOPHYLLINE 24 MG INJ 30s 1,500 200 1.0 8,175 9,875
    21/01/2021 06:34:01 2021/01/20/000009 003105 ABDUL AZIS,TN AMINOPHYLLINE 24 MG INJ 30s 1,500 200 1.0 8,175 9,875
    21/01/2021 22:24:50 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 2.0 9,918 21,536
    21/01/2021 16:02:58 2021/01/20/000009 003105 ABDUL AZIS,TN RANITIDINE HCL 50 MG/2 ML 1,500 200 2.0 10,067 21,834
    21/01/2021 22:24:50 2021/01/20/000009 003105 ABDUL AZIS,TN SANMOL TAB 1,500 200 3.0 418 2,954
    21/01/2021 06:34:01 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 10 CC OM 1,500 200 1.0 1,455 3,155
    21/01/2021 22:24:50 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 2.0 2,275 6,250
    21/01/2021 16:02:58 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 2.0 9,918 21,536
    21/01/2021 22:24:50 2021/01/20/000009 003105 ABDUL AZIS,TN AMINOPHYLLINE 24 MG INJ 30s 1,500 200 2.0 8,175 18,050
    21/01/2021 06:34:01 2021/01/20/000009 003105 ABDUL AZIS,TN MASKER 3 PLY EARLOOP 1,500 200 2.0 1,040 3,780
    21/01/2021 16:02:58 2021/01/20/000009 003105 ABDUL AZIS,TN FARSIX INJ (FUROSEMIDE) 1,500 200 2.0 13,296 28,292

    3/2/21, 5:18 PM Page 1 of 2


    Tgl.Beri No.Rawat No.R.M Nama Pasien Nama Obat/Alkes Embalase Tuslah Jml Biaya Obat Total Biaya
    21/01/2021 16:02:58 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 3.0 2,275 8,525
    21/01/2021 22:24:50 2021/01/20/000009 003105 ABDUL AZIS,TN MASKER 3 PLY EARLOOP 1,500 200 2.0 1,040 3,780
    22/01/2021 07:49:13 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 2.0 2,275 6,250
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN MASKER 3 PLY EARLOOP 1,500 200 1.0 1,040 2,740
    22/01/2021 07:49:13 2021/01/20/000009 003105 ABDUL AZIS,TN SENSI MASKER HEADLOOP 1,500 200 1.0 1,040 2,740
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN RANITIDINE HCL 50 MG/2 ML 1,500 200 2.0 10,067 21,834
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 2.0 9,918 21,536
    22/01/2021 07:49:13 2021/01/20/000009 003105 ABDUL AZIS,TN INFUS RL 500ML (RINGER LAKTAT) 1,500 200 2.0 9,918 21,536
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 5 CC OM 1,500 200 2.0 1,180 4,060
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN CANDESARTAN 8 MG TAB 30s 1,500 200 3.0 7,188 23,264
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN LEVOFLOXACIN INFUS 500 MG/100 1,500 200 2.0 104,000 209,700
    22/01/2021 07:49:13 2021/01/20/000009 003105 ABDUL AZIS,TN CANDESARTAN 8 MG TAB 30s 1,500 200 3.0 7,188 23,264
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN SPUIT 3 CC 1,500 200 2.0 1,022 3,744
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN HANDSCOON SENSI GLOVES M 1,500 200 2.0 2,275 6,250
    22/01/2021 16:28:11 2021/01/20/000009 003105 ABDUL AZIS,TN FARSIX INJ (FUROSEMIDE) 1,500 200 2.0 13,296 28,292
    Total : 73,500 9,800 976,334

    3/2/21, 5:18 PM Page 2 of 2

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