Royal Maternity General Hospital

Jl. Sei Mencirim No. 55-57 Medan

Tlp. (061)42002419 Fax, (061)88814017
Email : royalmaternitygeneralhospital@gmail.com
No : /RSRM/RI/XII/2018
RM : 00.0
Nama Pasien :
Usia :
Tanggal Operasi :
Deluxe
Pemakaian Obat dan Lainnya Selama Di Kamar Bedah
I. Cairan Qty Jumlah
1 Nacl 0.9% 1 Rp. 13,000.00
2 Ringer Sanbe 6 Rp 171,600.00
3 Masker 8 bh Rp 20,800.00
4 Topi Operasi 8 bh Rp 48,000.00
5 Mata Pisau No.10 1 Rp 6,500.00
6 Sarung Tangan Gamex 1 Rp 32,500.00
7 Sarung Tangan Compit 7 Rp 122,500.00
8 Sarung Tangan On Steril 8 Rp 20,800.00
II. 9 brus tangan 3 Rp 97,500.00
Alat-Alat -
1 Spuit 10 cc 3 Rp 31,200.00
2 Spuit 5 cc 3 Rp 25,500.00
3 Spuit 3 cc 3 Rp 16,500.00
4 Epidural 1 Rp 468,000.00
5 Folley Balon 1 Rp 19,500.00
6 Urine Bag 1 Rp 17,500.00
7 Electode dsip 3 Rp 46,800.00
8 Hypapix 50 cm Rp 75,000.00
9 Kassa 40 Rp 160,000.00
10 Stregen Paper 2 Rp 33,000.00
11 Fouches Besar 5 Rp 110,000.00
12 Pot Obat 1 Rp 1,700.00
III. -
Benang Lain
1 Ecosorb 1/0 1 bh Rp 130,000.00
2 Ecosorb 2/0 1 Rp 110,500.00
4 Chut Gut 2/0 1 Rp 92,500.00
6 Ecosyn 3/0 1 Rp 130,000.00
7 Apron 5 Rp 30,000.00
A Obat-Obatan -
1 Recofol 1 amp Rp 135,850.00
2 Pethidin 1 amp Rp 19,500.00
3 Ondacetron 1 amp Rp 20,800.00
4 Synto Cynon 2 amp Rp 36,177.00
5 Metergin 2 amp Rp 24,400.00
6 Ephedrin 1 amp Rp 71,500.00
7 sedacum 1 amp Rp 71,500.00
8 Naropin 2 flc Rp 295,300.00
9 Alkohol 100 cc Rp 60,000.00
10 Betadine sol 100 cc Rp 40,000.00
11 Aquabides 2fls Rp 26,000.00
12 Oxygen 2 Rp 90,000.00
13 Monitoring Rp 100,000.00
14 kendi 1 Rp 32,500.00
15 Gastrul 3 Rp 42,900.00
16 Stik Diatermi 1 Rp 121,500.00
17 morpin 1 Rp 32,500.00
18 Good Morning 2 Rp 44,000.00
19 Tabung etha 1 Rp 22,000.00
20 Indikator Coklat 2m Rp 72,000.00
21 Hydrex 50 cc Rp 30,000.00
22 Konsumsi Rp 150,000.00
Total Rp 3,569,327.00

Perawat Ok
 Royal Maternity General Hospital
Jl. Sei Mencirim No. 55-57 Medan
Tlp. (061)42002419 Fax, (061)88814017
Email : royalmaternitygeneralhospital@gmail.com
No : 00.0 /RSRM/RI/XI/2018
RM :
Nama Pasien :
Usia :
Tanggal Operasi :
Standart (Paket Hemat)
I. Cairan Satuan Harga Keterangan
1 RL B.Broun 3 Rp 33,000.00
2 Masker 6 bh Rp 15,600.00
3 Topi Operasi 5 bh Rp 30,000.00
4 Mata Pisau No.10 1 Rp 6,500.00
5 Sarung Tangan Gamex 1 Rp 32,500.00
6 Sarung Tangan Compit 4 Rp 70,000.00
7 Sarung Tangan On Steril 3 Rp 7,800.00
II. -
8 Spuit 10 cc 1 Rp 10,400.00
9 Spuit 5 cc 2 Rp 17,000.00
10 pot obat 1 Rp 1,700.00
11 Spuit 3 cc 1 Rp 5,500.00
12 Folley Balon 1 Rp 19,500.00
13 Urine Bag 1 Rp 17,500.00
14 Electode dsip 3 Rp 46,800.00
15 Hypapix 15 cm Rp 22,500.00
16 Kassa 20 Rp 80,000.00
17 Stregen Paper 2 Rp 33,000.00
18 Hydrex 100 cc Rp 60,000.00
19 Apron 3 Rp 18,000.00
20 Spinal Needle 1 Rp 130,000.00
III. -
21 Asucril 2 bh Rp 185,000.00
22 Plain 2/0 1 bh Rp 92,500.00
23 Indikator coklat 1m Rp 36,000.00
24 Cromic 3/0 1 bh Rp 92,500.00
A -
25 O2 2 liter Rp 90,000.00
26 Bunascan 1 amp Rp 85,800.00
27 Pronagles Sup 2 Rp 36,322.00
28 Synto Cynon 2 Rp 36,177.00
29 Metergin 2 Rp 24,367.00
30 Ephedrin 1 amp Rp 71,500.00
31 Alkohol 100 cc Rp 60,000.00
32 Betadine sol 100 cc Rp 40,000.00
33 Aquabides 1 Rp 13,000.00
34 Konsumsi 1 Rp 150,000.00
35 Good morning 2 Rp 44,000.00
36 Monitoring 1 jam Rp 100,000.00
37 foces Besar 2 Rp 44,000.00
Total Rp 1,858,466.00

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