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PENGELUARAN OBAT PASIEN KEBIDANAN BPJS

NO TANGGAL DOKTER NAMA PASIEN NO MR ALAMAT PASIEN RAWAT RESEP JUMLAH OBAT HARGA PERSATUAN HARGA TOTAL TOTAL PER PASIEN
1 6/10/2020 DR MM SRI UTAMI/31 THN 7910 SIDOMULYO RAWAT INAP/SC ASAM MEFENAMAT 17 Rp 500 Rp 8,500 Rp 143,000
METRONIDAZOLE TAB 19 Rp 500 Rp 9,500
AMOXICILLIN 20 Rp 500 Rp 10,000
STOLAX SUPP 1 Rp 10,000 Rp 10,000
DARIANTUL 1 Rp 50,000 Rp 50,000
LEUKOMED BESAR 1 Rp 45,000 Rp 45,000
KASA+BETADIN 1 Rp 10,000 Rp 10,000

2 DR ARDILES RAHMI 28 TH 14077 RAWAT INAP SC CIPROFLOXACIN 12 Rp 1,000 Rp 12,000 Rp 121,500


NA. DICLOFENAC 15 Rp 1,000 Rp 15,000
METRONIDAZOLE 19 Rp 500 Rp 9,500
STOLAX 1 Rp 10,000 Rp 10,000
FIXOMUL TRANSPARAN 1 Rp 15,000 Rp 15,000
DARYANTUL 1 Rp 50,000 Rp 50,000
KASSA&BETADIN 1 Rp 10,000 Rp 10,000

3 DR ARDILES ANI MALISA 32 TH 14067 SIMP. TONANG RAWAT INAP SC CIPROFLOXACIN 12 Rp 1,000 Rp 12,000 Rp 121,500
NA. DICLOFENAC 15 Rp 1,000 Rp 15,000
METRONIDAZOLE 19 Rp 500 Rp 9,500
STOLAX 1 Rp 10,000 Rp 10,000
FIXOMUL TRANSPARAN 1 Rp 15,000 Rp 15,000
DARYANTUL 1 Rp 50,000 Rp 50,000
KASSA&BETADIN 1 Rp 10,000 Rp 10,000

4 DR ARDILES MISRADANI 27 TH 4105 S. AGUNG RAWAT INAP SC CIPROFLOXACIN 12 Rp 1,000 Rp 12,000 Rp 121,500
NA. DICLOFENAC 15 Rp 1,000 Rp 15,000
METRONIDAZOLE 19 Rp 500 Rp 9,500
STOLAX 1 Rp 10,000 Rp 10,000
FIXOMUL TRANSPARAN 1 Rp 15,000 Rp 15,000
DARYANTUL 1 Rp 50,000 Rp 50,000
KASSA&BETADIN 1 Rp 10,000 Rp 10,000

5 DR ARDILES LUSI 28 TH 13976 SILAPING RANAP/CURRET AMOXICILLIN 7 Rp 500 Rp 3,500 Rp 17,500


AS. MEFENAMAT 7 Rp 500 Rp 3,500
METRONIDAZOLE 7 Rp 500 Rp 3,500
BLEDSTOP 7 Rp 1,000 Rp 7,000

6 DR MM DARSENI/32 THN 14087 KINALI RANAP/CURRET AMOXICILLIN 7 Rp 500 Rp 3,500 Rp 17,500


AS. MEFENAMAT 7 Rp 500 Rp 3,500
METRONIDAZOLE 7 Rp 500 Rp 3,500
BLEDSTOP 7 Rp 1,000 Rp 7,000

7 DR MM ELLY/30 THN 14085 BANDARJO RANAP/CURRET AMOXICILLIN 7 Rp 500 Rp 3,500 Rp 17,500


AS. MEFENAMAT 7 Rp 500 Rp 3,500
METRONIDAZOLE 7 Rp 500 Rp 3,500
BLEDSTOP 7 Rp 1,000 Rp 7,000

8 DR ARDILES DESMAWATI 32 TH 14106 KINALI RAWAT INAP SC NA. DICLOFENAK 3 Rp 1,000 Rp 3,000 Rp 141,000
METRONIDAZOLE 6 Rp 500 Rp 3,000
CIPROFLOXACIN 4 Rp 1,000 Rp 4,000
VALISANBE 2 Rp 1,500 Rp 3,000
CEFTRIAXON INJ 3 Rp 15,000 Rp 45,000
KETOPROFEN INJ 2 Rp 10,000 Rp 20,000
RL 2 Rp 20,000 Rp 40,000
spuit 3 cc 1 Rp 5,000 Rp 5,000
HANDSCON 15 Rp 1,000 Rp 15,000
KAPAS ALKOHOL 15 Rp 200 Rp 3,000

9 DR ARDILES MELA SARI 30 TH 14012 SASAK RAWAT INAP SC NA. DICLOFENAK 3 Rp 1,000 Rp 3,000 Rp 141,000
METRONIDAZOLE 6 Rp 500 Rp 3,000
CIPROFLOXACIN 4 Rp 1,000 Rp 4,000
VALISANBE 2 Rp 1,500 Rp 3,000
CEFTRIAXON INJ 3 Rp 15,000 Rp 45,000
KETOPROFEN INJ 2 Rp 10,000 Rp 20,000
RL 2 Rp 20,000 Rp 40,000
spuit 3 cc 1 Rp 5,000 Rp 5,000
HANDSCON 15 Rp 1,000 Rp 15,000
KAPAS ALKOHOL 15 Rp 200 Rp 3,000

DR ARDILES INE 35 TH 14101 PDG SAWAH RAWAT INAP SC NA. DICLOFENAK 3 Rp 1,000 Rp 3,000 Rp 141,000
METRONIDAZOLE 6 Rp 500 Rp 3,000
CIPROFLOXACIN 4 Rp 1,000 Rp 4,000
VALISANBE 2 Rp 1,500 Rp 3,000
CEFTRIAXON INJ 3 Rp 15,000 Rp 45,000
KETOPROFEN INJ 2 Rp 10,000 Rp 20,000
RL 2 Rp 20,000 Rp 40,000
spuit 3 cc 1 Rp 5,000 Rp 5,000
HANDSCON 15 Rp 1,000 Rp 15,000
KAPAS ALKOHOL 15 Rp 200 Rp 3,000

DR MM SRI SETYAWATI 27 TH 12794 KINALI RAWAT INAP/SC ASAM MEFENAMAT 3 Rp 500 Rp 1,500 Rp 383,500
METRONIDAZOLE TAB 6 Rp 500 Rp 3,000
Vicilin inj 10 Rp 15,000 Rp 150,000
OTTOGENTA 7 Rp 18,000 Rp 126,000
Pronalges sup 2 Rp 25,000 Rp 50,000
RL 2 Rp 20,000 Rp 30,000
spuit 3 cc 1 Rp 5,000 Rp 5,000
HANDSCON 15 Rp 1,000 Rp 15,000
KAPAS ALKOHOL 15 Rp 200 Rp 3,000

DR ARDILES DARMI 38 TH 14109 M. KIAWAI RAWAT INAP PN ASAM MEFENAMAT 3 Rp 500 Rp 1,500 Rp 15,500
METRONIDAZOLE TAB 3 Rp 500 Rp 1,500
AMOXICILLIN 3 Rp 500 Rp 1,500
HANDSCON 10 Rp 1,000 Rp 10,000
KAPAS ALKOHOL 5 Rp 200 Rp 1,000

DR MM MAILIR 35 TH 14104 SIMTON RAWAT INAP PN ASAM MEFENAMAT 3 Rp 500 Rp 1,500 Rp 15,500
METRONIDAZOLE TAB 3 Rp 500 Rp 1,500
AMOXICILLIN 3 Rp 500 Rp 1,500
HANDSCON 10 Rp 1,000 Rp 10,000
KAPAS ALKOHOL 5 Rp 200 Rp 1,000

DR MM DARLIANA 34 TH 14114 SUNGAI AUR RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000
DR MM SILTRA ROZA 22 TH 14111 KINALI RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

DR MM YULIANI PITA 24 TH 14012 OPHIR RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

DR MM RAHMA YANI 38 TH 4118 MAHAKARYA RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

DR MM SOFIA ELIDA 27 TH 14116 KINALI RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

DR MM FITRI ESA 31 TH 14115 PASAR LAMA RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

DR MM CESRI WILDAWATI 34 TH 14127 SASAK RAWAT JALAN FOLAMIL 10 Rp 2,500 Rp 25,000 Rp 25,000

JUMLAH Rp 1,572,500

PETUGAS 10 JUNI 2020

MIRA YELLI BULKIS AMD KEB


PENGELUARAN OBAT PASIEN KEBIDANAN UMUM
NO TANGGAL DOKTER NAMA PASIEN NO MR ALAMAT PASIEN RAWATAN RESEP JUMLAH OBAT HARGA HARGA TOTAL TOTAL PER PASIEN
1 6/10/2020 DR MM INDAH 38 TH 7704 KINALI RAWAT INAP/SC MEFENTAN 3 Rp 1,500 Rp 4,500 Rp 578,500
TROGYL 6 Rp 3,500 Rp 21,000
LAKTAFIT 6 Rp 4,000 Rp 24,000
VIT K INJ 4 Rp 10,000 Rp 40,000
ASAM TRANEX INJ 6 Rp 10,000 Rp 60,000
VIT C INJ 4 Rp 10,000 Rp 40,000
Vicilin inj 10 Rp 15,000 Rp 150,000
OTTOGENTA 7 Rp 18,000 Rp 126,000
Pronalges sup 2 Rp 25,000 Rp 50,000
RL 2 Rp 20,000 Rp 40,000
spuit 3 cc 1 Rp 5,000 Rp 5,000
HANDSCON 15 Rp 1,000 Rp 15,000
KAPAS ALKOHOL 15 Rp 200 Rp 3,000

2 DR MM DESI RATNA SARI 25 TH 7238 KINALI RAWAT JALAN FOLAMIL 20 Rp 2,500 Rp 50,000 Rp 90,000
OSSORAL 20 Rp 2,000 Rp 40,000

3 DR MM MELDAWATI 32 TH 14121 SIALANAG RAWAT JALAN FOLAMIL 20 Rp 2,500 Rp 50,000 Rp 90,000


OSSORAL 20 Rp 2,000 Rp 40,000

DR MM POSMA ROHANITA 38 TH 5700 UJUNG GADING RAWAT JALAN FOLAMIL GENIO 1 Rp 175,000 Rp 175,000 Rp 175,000

JUMLAH Rp 355,000
PENGELUARAN OBAT PASIEN DR ANAK UMUM
NO TANGGAL DOKTER NAMA PASIEN NO MR ALAMAT RAWAT RESEP JUMLAH OBAT HARGA SATUAN TOTAL HARGA TOTAL @PASIEN
1 6/10/2020

JUMLAH Rp -
PENGELUARAN OBAT PASIEN DR ANAK BPJS
NO TANGGAL DOKTER NAMA PASIEN NO MR ALAMAT PASIEN RAWATAN RESEP JUMLAH OBAT HARGA PERSATUAN HARGA TOTAL TOTAL @PASIEN
1 6/10/2020 DR ENI BY. MAILIS TIWA LINDA 14105 SIMP TONANG PERINA SPUIT 3 CC 1 Rp 5,000 Rp 5,000 Rp 461,000
SPUIT 1 CC 1 Rp 5,000 Rp 5,000
IV CAT 24 2 Rp 40,000 Rp 80,000
KASSA GULUNG 1 Rp 5,000 Rp 5,000
INJ. PUMP 1 Rp 15,000 Rp 15,000
MEROPENEM 1 Rp 275,000 Rp 275,000
D-10 % 1 Rp 30,000 Rp 30,000
BLOOD SET ANAK 1 Rp 20,000 Rp 20,000
VIT K 10 MG 1 Rp 10,000 Rp 10,000
THREE WAY 1 Rp 16,000 Rp 16,000

JUMLAH Rp 461,000
PENGELUARAN OBAT PASIEN DR UMUM
NO TANGGAL DOKTER NAMA NO MR ALAMAT RAWATAN OBAT JUMLAH OBAT HARGA HARGA TOTAL TOTAL
1 6/10/2020 DR LAILA RAISA MARISA 1 BLN 14120 SIMP 4 RAWAT JALAN PHENOBARBITAL 1 1000 Rp 1,000 Rp 7,000
CTM 1 500 Rp 500
PLEXACORD 1 500 Rp 500
PUYER 1 5000 Rp 5,000

JUMLAH Rp 7,000

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