LAPORAN OBAT DAN HABIS PAKAI PASIEN ASKIN

BULAN …….. 2008

SWADANA TOTAL
NO TANGGAL MASUK NAMA NAMA OBAT QTY HARGA SWADANA
1 27-Oct-08 Ny.Maskamah 24th Cefo Inj 5 Rp 88,200
Kr.tengah Rp 88,200

2 10/28/2008 Tn.Nadhirin 33th Scopamin Inj 10 Rp 100,000

Sukomulyo Rp 100,000

3 10/27/2008 Tn.Juraedi 72th Piracetam Inj 4 Rp 34,000

Mororejo Furosemid Inj 3 Rp 15,000
DC 1 Rp 30,000
Pasang O2 24 Rp 100,000

Rp 179,000

4 10/25/2008 Tn.Siam 48th

Nolokerto
5 11/4/2008 An.Lyal Kaira 1th Kaolin Syrp 1 Rp 6,500
Sumberrejo Susu LLM 1 Rp 20,760
Rp 27,260

6 11/5/2008 An.M.Farul F 1,2bln Fuzide Syrp 1 Rp 44,000

Sekopek Rp 44,000

7 10/26/2008 Ny.Warsini 45th Timact Inj 12 Rp 133,200

Kutoharjo Cefo Inj 12 Rp 211,680
Rp 344,880

8 10/28/2008 Nn.St.Mustofiah Cefo Inj 14 Rp 246,960

22th Brangsong Rp 246,960
 9 10/31/2008 Ny.Sinta Utami
35th Kutoharjo

10 10/31/2008 Ny.Maryamah 55th

Mororejo

11 10/31/2008 Ny.Poniati 52th Cefo Inj 5 Rp 88,200

Krajan kulon Rp 88,200

12 11/2/2008 Tn.Sugiono 51th Pasang O2 48 Rp 200,000

Protomulyo Rp 200,000
13 11/2/2008 An.Ilham Dwi 9bln
Mororejo

14 11/2/2008 An.Moh.Dala 1,5th Cefo inj 1 Rp 17,640

Protomulyo Regit Syrp 1 Rp 23,100
Hufagesic Syrp 1 Rp 5,760
Rp 46,500

15 11/3/2008 Ny.St.Riyanti 34th

Kutoharjo

16 11/3/2008 Ny.Sukarti 53th Pasang O2 24 Rp 100,000

Protomulyo Rp 100,000
17 11/4/2008 Tn.Atmo 72th
Sumberrejo

18 11/10/2008 Tn.Slamet 53th Vicillin Inj 8 Rp 92,000

Kr.tengah Rp 92,000

19 11/10/2008 An.Ahmad Khairil Vicillin Inj 3 Rp 34,500

11bln Kutoharjo Kaolin Syrp 1 Rp 6,500
Rp 41,000

20 11/14/2008 An.Ismawati 7th Vicillin Inj 8 Rp 92,000

Kr.tengah Rp 92,000

21 11/17/2008 Tn.Bari 60th Vicillin Inj 10 Rp 115,000

Mororejo Rp 115,000
22 11/17/2008 Tn.Kamsin 55th Cefo Inj 4 Rp 70,560
Jagalan Caviplex 10 Rp 6,500
Cateter 1 Rp 18,500
Urin bag 1 Rp 6,000
Pasang O2 24 Rp 100,000
Rp 201,560

23 11/18/2008 An.m.Noval 5bln

Jeruk giling

24 11/18/2008 An.Aprillia 3,5th

Sukomulyo
AI PASIEN ASKIN
8

PEMDA
TOTAL PEMDA
NAMA OBAT QTY HARGA KET
Infs Set 1 Rp 15,000
Abocat 2 Rp 50,000
RL 8 Rp 76,800
Diphen Inj 10 Rp 7,500
Dexa Inj 10 Rp 9,500
Spuit 11 Rp 16,500
Aqua Inj 2 Rp 4,800
Pamol tab 20 Rp 6,000
Dexa tab 10 Rp 6,000
Cipro tab 7 Rp 3,150
Rp 195,250

Infs Set 2 Rp 30,000

Abocat 1 Rp 25,000
RL 5 Rp 48,000
D5% 2 Rp 19,100
Diphen Inj 9 Rp 6,750
Spuit 11 Rp 16,500
Ranitidine 20 Rp 10,000
Cipro tab 10 Rp 4,600
Pamol tab 20 Rp 6,000
Tramadol tab 12 Rp 7,200
Rp 173,150

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 2 Rp 19,200
D5% 1 Rp 9,550
Spuit 6 Rp 9,000
Rp 102,750

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 7 Rp 67,200
D5% 2 Rp 19,100
Diphen Inj 14 Rp 10,500
Spuit 8 Rp 12,000
Cipro tab 10 Rp 4,600
Vit.K 20 Rp 16,000
Ambroxol tab 20 Rp 5,600
 Rp 200,000

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 5 Rp 48,000
Pamol tab 3 Rp 900
B6 tab 4 Rp 1,440
CTM 4 Rp 800
Antasida 1 Rp 450
Cotrim Syrp 2 Rp 10,000
Rp 126,590

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 5 Rp 48,000
Diphen Inj 6 Rp 4,500
Vertivom Inj 4 Rp 24,000
Spuit 7 Rp 10,500
Cotrym Syrp 1 Rp 5,000
Pamol Puyer 1 Rp 5,000
Rp 162,000

Infs Set 2 Rp 30,000

Abocat 2 Rp 50,000
RL 13 Rp 124,800
NaCL 1 Rp 12,312
D5% 1 Rp 9,550
Diphen Inj 56 Rp 42,000
Dexa Inj 40 Rp 38,000
Spuit 34 Rp 51,000
Aqua Inj 5 Rp 12,000
Ibuprofen 10 Rp 6,600
Cipro tab 10 Rp 4,600
Dexa tab 10 Rp 6,000
Rp 386,862

Infs Set 1 Rp 15,000

Abocat 1 Rp 25,000
RL 9 Rp 86,400
D5% 3 Rp 28,650
Diphen Inj 21 Rp 15,750
Spuit 22 Rp 33,000
Aqua Inj 6 Rp 14,400
Pamol tab 30 Rp 9,000
Cipro tab 10 Rp 4,600
 Rp 231,800

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 9 Rp 86,400
D5% 2 Rp 19,100
Dhipen inj 12 Rp 9,000
Spuit 10 Rp 15,000
Ibuprofen 20 Rp 13,200
Antasida 10 Rp 4,500
B6 10 Rp 3,600
Ranitidine 10 Rp 5,000
Cefad tab 10 Rp 16,000 Rp 236,800

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 7 Rp 67,200
D5% 3 Rp 28,650
Diphen Inj 12 Rp 9,000
Ampi Inj 12 Rp 138,000
Spuit 10 Rp 15,000
Aqua Inj 5 Rp 12,000
Ibuprofen 10 Rp 6,600
Tramadol 10 Rp 6,000
Cipro tab 10 Rp 4,600
Rp 352,050

Infs Set 2 Rp 30,000

Abocat 1 Rp 25,000
RL 1 Rp 9,600
D5% 6 Rp 57,300
Dhipen inj 10 Rp 7,500
Vertivom Inj 5 Rp 27,500
Spuit 11 Rp 16,500
Aqua Inj 3 Rp 7,200
Captopril 20 Rp 6,000
ISDN 10 Rp 5,000
Rp 191,600

Infs Set 2 Rp 30,000

Abocat 2 Rp 50,000
RL 2 Rp 19,200
D5% 7 Rp 66,850
Captopril 20 Rp 6,000
HCT 20 Rp 7,000
Diazepam 10 Rp 5,000
Salbutamol 5 Rp 2,000
Aminophln Inj 1 Rp 10,000
Spuit 3 Rp 4,500
Rp 200,550

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 3 Rp 28,800
Cotrym Syrp 1 Rp 5,000
Puyer 1 Rp 5,000
Rp 103,800

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 5 Rp 48,000
Diphen Inj 6 Rp 4,500
Spuit 7 Rp 10,500
Aqua Inj 1 Rp 2,400
Cotrym Syrp 1 Rp 5,000
Puyer 1 Rp 5,000
Rp 140,400

Infs Set 2 Rp 30,000

Abocat 1 Rp 25,000
RL 4 Rp 38,400
D5% 3 Rp 28,650
Tramadol Inj 11 Rp 94,600
Dhipen Inj 22 Rp 16,500
Spuit 10 Rp 15,000
Dimen 20 Rp 4,000
Asmet 20 Rp 10,000
Pamol tab 20 Rp 6,000

Rp 268,150

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 7 Rp 67,200
Digoksin 10 Rp 3,000
Diazepam 10 Rp 5,000
Dexa 10 Rp 6,000
Rp 146,200
Infs Set 1 Rp 15,000
Abocat 1 Rp 25,000
RL 6 Rp 57,600
D5% 2 Rp 19,100
Papav Inj 7 Rp 8,400
Spuit 8 Rp 12,000
Antasida 20 Rp 9,000
Antalgin 20 Rp 6,000
Amox tab 20 Rp 10,000
Rp 162,100

Infs Set 3 Rp 45,000

Abocat 1 Rp 25,000
RL 11 Rp 105,600
NaCL 1 Rp 12,312
Dhipen Inj 8 Rp 6,000
Spuit 9 Rp 13,500
Aqua Inj 3 Rp 7,200
Pamol tab 20 Rp 6,000
Diaform 10 Rp 3,000
Rp 223,612

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 9 Rp 86,400
Dhipen Inj 15 Rp 11,250
Puyer 2 Rp 10,000
Spuit 10 Rp 15,000
Aqua Inj 2 Rp 4,800
Rp 192,450

Infs Set 1 Rp 15,000

Abocat 2 Rp 50,000
RL 9 Rp 86,400
Dhipen Inj 9 Rp 6,750
Puyer 2 Rp 10,000
Ampi Syrp 1 Rp 5,000
Spuit 5 Rp 7,500
Aqua Inj 3 Rp 7,200
Rp 187,850

Infs Set 1 Rp 15,000

Abocat 1 Rp 25,000
RL 9 Rp 86,400
D5% 3 Rp 28,650
Diphen Inj 15 Rp 11,250
Pamol tab 20 Rp 6,000
Ambroxol 20 Rp 5,600
Dexa tab 20 Rp 2,000
Salbutamol 10 Rp 1,200
Spuit 6 Rp 9,000
Aqua Inj 4 Rp 9,600
Rp 199,700

Infs Set 2 Rp 30,000

Abocat 1 Rp 25,000
Diphen Inj 24 Rp 18,000
B6 12 Rp 4,320
Natrium diklo 10 Rp 5,000
Dexa Inj 5 Rp 4,750
Allopurinol 10 Rp 2,500
Spuit 10 Rp 15,000
Aqua Inj 2 Rp 4,800
Rp 109,370

Infs Set 1 Rp 15,000

Abocat 1 Rp 25,000
RL 8 Rp 76,800
Diphen Inj 7 Rp 5,250
Genta Inj 5 Rp 5,000
Cotrim Syrp 1 Rp 5,000
Pamol Syrp 1 Rp 5,000
Spuit 10 Rp 15,000
Rp 152,050