Pendaftaran 1 25,000
Adm Rawat inap 1 30,000
Jasa Pelaksana Perawatan 3 300,000
Rawat inap 3 300,000
Ringer Laktat 9 900,000
Infus set 6 25,000
Spuit 3 cc 5 20,000
Abbocath 24 2 20,000
Needle 4 10.000
Ketoprofen Inj 1 20,000
Dexamethason Inj 5 100.000
Ceftriaxone Inj 7 210,000
Ondansentron Inj 5 100,000
Lostacef Sirup 2 50.000
Bronchitin Sirup 2 50.000
Provinas Cap 8 20.000
Cefixime Cap 12 30.000
Jumlah 2.210.000,-
Penerima