25 april-30 april 2018 Data

01 Pelayanan Farmasi Sum of Qwt Sum of Harga Dosis Lama

CEFILA 100MG/5ML(30ML) DROP 1 117,975 2x4ml
CEFIM 1 GR INJ 3 839,438 2x1 6 hari
CEPRAZ INJ 5 487,500
GELANG PENGENAL ANAK (PINK) 1 3,725
GELANG PENGENAL DWS KUNING 1 3,725
INFUSSET DWS OM BS 1 9,834
IV CANNULA 24 1 32,780
ONDANCETRON INJ 4MG/2ML 3 20,625 3x1/4cc 6 hari
OTSU WATER 25 ML 1 8,800
PAMOL SUPP 125 3 50,416 k/p
RL BB 8 133,100 5 hari
SPUIT 3CC OM BS 2 1,916
SPUIT 5CC OM BS 13 15,341
TROGYL SYR 5ML/125MG 1 57,475 3x1cth 5 hari
VERBAN 5 CM 1 10,904
Grand Total 45 1,793,553
 Perincian Pemakaian Obat/Alkes
No. Reg : 0082297 INDHIRA DIVYANISA NI PUTU

Alamat : BR TUNJUK TENGAH DS TUNJUK

01 Pelayanan Farmasi dosis tanggal Qwt Satuan Harga

GELANG PENGENAL ANAK (PINK) 25/04/2018 1.00 PCS 3,725
GELANG PENGENAL DWS KUNING 25/04/2018 1.00 PSC 3,725
INFUSSET DWS OM BS 25/04/2018 1.00 PCS 9,834
IV CANNULA 24 25/04/2018 1.00 BUAH 32,780
ONDANCETRON INJ 4MG/2ML 25/04/2018 1.00 AMPUL 6,875
OTSU WATER 25 ML 25/04/2018 1.00 fls 8,800
RL BB 25/04/2018 3.00 FLS 49,913
SPUIT 3CC OM BS 25/04/2018 1.00 PCS 958
SPUIT 5CC OM BS 25/04/2018 2.00 PCS 2,360
VERBAN 5 CM 25/04/2018 1.00 BUNGKUS 10,904
CEFIM 1 GR INJ 25/04/2018 1.00 vial 279,813
CEFIM 1 GR INJ 26/04/2018 2.00 vial 559,625
ONDANCETRON INJ 4MG/2ML 26/04/2018 2.00 AMPUL 13,750
PAMOL SUPP 125 26/04/2018 3.00 SUPP 50,416
RL BB 26/04/2018 1.00 FLS 16,638
SPUIT 3CC OM BS 26/04/2018 1.00 PCS 958
SPUIT 5CC OM BS 26/04/2018 5.00 PCS 5,900
TROGYL SYR 5ML/125MG 26/04/2018 1.00 BOTOL 57,475
CEPRAZ INJ 26/04/2018 2.00 vial 195,000
CEPRAZ INJ 27/04/2018 2.00 vial 195,000
RL BB 27/04/2018 2.00 FLS 33,275
SPUIT 5CC OM BS 28/04/2018 4.00 PCS 4,720
CEPRAZ INJ 29/04/2018 1.00 vial 97,500
RL BB 29/04/2018 2.00 FLS 33,275
SPUIT 5CC OM BS 29/04/2018 2.00 PCS 2,360
CEFILA 100MG/5ML(30ML) DROP 30/04/2018 1.00 BTL 117,975

Sub Total 1,793,553

02 Retur Farmasi

1804260001 26/04/2018
CEFIM 1 GR INJ 2.00 vial -559,625

Jumlah -559,625
1804300007 30/04/2018
RL BB 1.00 FLS -16,638

SPUIT 5CC OM BS 1.00 PCS -1,180

SPUIT 3CC OM BS 1.00 PCS -958

CEPRAZ INJ 1.00 vial -97,500

Jumlah -116,276
Sub Total -675,901

Total 1,117,653
 Perincian Pemakaian Obat/Alkes
No. Reg : 0082297 INDHIRA DIVYANISA NI PUTU

Alamat : BR TUNJUK TENGAH DS TUNJUK

Keterangan Qwt Satuan Harga

01 Pelayanan Farmasi

1804250065 25/04/2018
RL BB 3.00 FLS 49,913

OTSU WATER 25 ML 1.00 fls 8,800

INFUSSET DWS OM BS 1.00 PCS 9,834

IV CANNULA 24 1.00 BUAH 32,780

GELANG PENGENAL ANAK (PINK) 1.00 PCS 3,725

GELANG PENGENAL DWS KUNING 1.00 PSC 3,725

ONDANCETRON INJ 4MG/2ML 1.00 AMPUL 6,875

SPUIT 5CC OM BS 2.00 PCS 2,360

SPUIT 3CC OM BS 1.00 PCS 958

VERBAN 5 CM 1.00 BUNGKUS 10,904

Jumlah 129,874
1804250066 25/04/2018
CEFIM 1 GR INJ 1.00 vial 279,813

Jumlah 279,813
1804260010 26/04/2018
CEFIM 1 GR INJ 2.00 vial 559,625

Jumlah 559,625
1804260011 26/04/2018
ONDANCETRON INJ 4MG/2ML 2.00 AMPUL 13,750

SPUIT 5CC OM BS 5.00 PCS 5,900

SPUIT 3CC OM BS 1.00 PCS 958

RL BB 1.00 FLS 16,638

PAMOL SUPP 125 3.00 SUPP 50,416

TROGYL SYR 5ML/125MG 1.00 BOTOL 57,475

Jumlah 145,137
1804260032 26/04/2018
CEPRAZ INJ 2.00 vial 195,000

Jumlah 195,000
1804270010 27/04/2018
RL BB 2.00 FLS 33,275

CEPRAZ INJ 2.00 vial 195,000

Jumlah 228,275
1804280004 28/04/2018
SPUIT 5CC OM BS 4.00 PCS 4,720

Jumlah 4,720
1804290009 29/04/2018
SPUIT 5CC OM BS 2.00 PCS 2,360

CEPRAZ INJ 1.00 vial 97,500

RL BB 2.00 FLS 33,275

Jumlah 133,135
1804300049 30/04/2018
CEFILA 100MG/5ML(30ML) DROP 1.00 BTL 117,975

Jumlah 117,975
Sub Total 1,793,553

02 Retur Farmasi

1804260001 26/04/2018
CEFIM 1 GR INJ 2.00 vial -559,625

Jumlah -559,625
1804300007 30/04/2018
RL BB 1.00 FLS -16,638

SPUIT 5CC OM BS 1.00 PCS -1,180

SPUIT 3CC OM BS 1.00 PCS -958

CEPRAZ INJ 1.00 vial -97,500

Jumlah -116,276
Sub Total -675,901

Total 1,117,653