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LAPORAN OBAT DAN HABIS PAKAI PASIEN ASKIN

BULAN JULI 08

SWADANA TOTAL PEMDA


TOTAL PEMDA
NO TANGGAL MASUK NAMA NAMA OBAT QTY HARGA SWADANA NAMA OBAT QTY HARGA KET
1 2-Jul-08 Ny Kasmah Asam tranek 18 Rp 144,000 Codein 15 Rp 3,750
Penyakringan WLR Hufabion 10 Rp 2,500 Infus set 2 Rp 30,000
Aboket 2 Rp 50,000
Rp 146,500 RL 6 Rp 57,600
D5% 2 Rp 20,000
Spuit 12 Rp 18,000
Cyproflosasi 15 Rp 6,000
Antasida 15 Rp 3,000 Rp 188,350

2 4-Jul-08 Tn Salim 45 TH Infus set 1 Rp 15,000


Gadukan KTHJ Abokat 2 Rp 50,000
RL 5 Rp 48,000
D5 % 3 Rp 30,000
Nacl 2 Rp 25,000
Ampicilin inj 9 Rp 51,975
Dypen inj 9 Rp 5,400
Vertivom 6 Rp 33,600
pamol tb 15 Rp 3,000
Antasida 20 Rp 4,500
Dyispo inj 24 Rp 36,000
Aguobides 3 Rp 6,600 Rp 309,075

3 5-Jul-08 An.Wahyu Jafar Vicillin Inj 9 Rp 95,724 Rp 95,724 Infus Set 2 Rp 30,000
5th Mororejo Abocat 2 Rp 50,000
RL 6 Rp 57,600
D5% 3 Rp 30,000
NaCL 1 Rp 12,500
Vertivom Inj 5 Rp 3,000
Pamol Tab 10 Rp 2,000
BC 12 Rp 4,320
Prednison 10 Rp 3,600
Spuit 10 Rp 15,000
Aqua Inj 3 Rp 6,600
Rp 214,620

4 5-Jul-08 Mb.Jumiah 60th Vicillin Inj 15 Rp 159,540 Infus Set 1 Rp 15,000


Wonorejo Rp 159,540 Abocat 2 Rp 50,000
RL 6 Rp 57,600
D5% 6 Rp 60,000
Captopril Tab 20 Rp 30,000
ISDN 15 Rp 18,000
Antalgin 20 Rp 14,000
BC 20 Rp 7,200
Spuit 5 Rp 7,500
Aqua Inj 5 Rp 11,000
Vit C Inj 4 Rp 34,012
Rp 304,312

5 7-Jul-08 An.Laila 9th Vicillin Inj 6 Rp 63,816 Infus Set 1 Rp 15,000


Jrajan Kulon Rp 63,816 Abocat 2 Rp 50,000
RL 8 Rp 76,800
D5% 3 Rp 30,000
Pamol Tab 15 Rp 3,000
Dimen Tab 15 Rp 31,500
Spuit 6 Rp 9,000
Aqua Inj 3 Rp 6,600
Amox Tab 5 Rp 3,000
Rp 224,900

6 7-Jul-08 Ny.Sri Lestari Infus Set 1 Rp 15,000


16th Kutoharjo Abocat 1 Rp 25,000
RL 10 Rp 96,000
D5% 4 Rp 40,000
Vertivom Inj 10 Rp 6,000
Pamol Tab 20 Rp 4,000
GG 20 Rp 10,000
Cimetidine 20 Rp 3,000
Cloramp Tab 60 Rp 36,000
Spuit 6 Rp 9,000
Rp 244,000

7 8-Jul-08 Mb.Khomariyah Mecodiar 40 Rp 10,400 Infus Set 1 Rp 15,000


70th Plantaran Rp 10,400 Abocat 2 Rp 50,000
RL 8 Rp 76,800
D5% 5 Rp 50,000
Vertivom Inj 12 Rp 7,200
Tetra Tab 23 Rp 11,500
As.Mefenmd 25 Rp 12,500
Rp 223,000

8 9-Jul-08 Ny.Khotijah 48th Cefo Inj 6 Rp 85,014 Infus Set 2 Rp 30,000


Jagalan Kutoharjo Rp 85,014 Abocat 1 Rp 25,000
RL 8 Rp 76,800
D5% 5 Rp 50,000
Vertivom Inj 9 Rp 5,400
Pamol Tab 20 Rp 4,000
Cimetidine 20 Rp 3,000
Antasida 20 Rp 4,500
BC 20 Rp 7,200
Spuit 5 Rp 7,500
Aqua Inj 6 Rp 13,200
Rp 226,600
9 14-Jul-08 An.M.Edi F 1th Vicillin Inj 4 Rp 42,544 Infus Set 1 Rp 15,000
Sarirejo Rp 42,544 Abocat 3 Rp 75,000
RL 8 Rp 76,800
D5% 3 Rp 30,000
Bicarbon 10 Rp 3,600
B6 10 Rp 4,000
Pamol Syrp 1 Rp 2,500
Cotrym Syrp 1 Rp 3,000
Vertivom 2 Rp 1,200
Spuit 5 Rp 7,500
Aqua Inj 3 Rp 6,600
Rp 225,200

10 15-Jul-08 Ny.Hariyanti 23th Ulceranin Inj 6 Rp 87,120 Infus Set 2 Rp 30,000


Kutoharjo Rp 87,120 Abocat 1 Rp 25,000
RL 10 Rp 96,000
D5% 2 Rp 20,000
D40% 9 Rp 90,000
Vertivom Inj 15 Rp 9,000
Diphen Inj 30 Rp 18,000
Spuit 6 Rp 9,000
Rp 297,000

11 13-Jul-08 Ny.St Masruroh Etabion 20 Rp 5,000 Infus set 1 Rp 15,000


35 th,Kumpulrejo Rp 5,000 Abocat 1 Rp 25,000
RL 3 Rp 28,800
Mettergin inj 1 Rp 2,300
Oksitosin inj 1 Rp 2,300
Amoxicillin 20 Rp 7,200
Metergin tab 20 Rp 3,000
Spuit 2 Rp 3,000
D5% 2 Rp 19,200
Rp 105,800
12 13-Jul-08 Byi Ny.Masruroh O2 1 Rp 5,000 Vit k inj 1 Rp 7,000
kumpulrejo Handscon 4 Rp 2,800 Spuit 1 Rp 1,500
Rp 7,800 Rp 8,500

13 14-Jul-08 Ny.Miswati,20th Etabion 20 Rp 5,000 Abocat 1 Rp 25,000


Sekopek Handscon 6 Rp 4,200 Infus set 1 Rp 15,000
Rp 9,200 RL 4 Rp 38,400
Spuit 2 Rp 3,000
Metergin inj 1 Rp 2,300
Oksitosin inj 1 Rp 2,300
Amoxicillin 20 Rp 7,200
As.mefenamat 20 Rp 3,000
Metergin tab 20 Rp 3,000
Rp 99,200

14 14-Jul-08 Byi Ny.miswati O2 2 Rp 10,000 Vit K inj 1 Rp 7,000


Sekopek Rp 10,000 Spuit 1 Rp 1,500
Rp 8,500

15 16-Jul-08 An.St Nur Aisah Sakarin 20 Rp 2,000 Abocat 3 Rp 75,000


8th,Klaseman Rp 2,000 Infus set 2 Rp 30,000
RL 7 Rp 67,200
Aquades 4 Rp 8,800
Spuit 15 Rp 22,500
D5% 3 Rp 28,800
Vertivom inj 5 Rp 31,250
Vicillin inj 8 Rp 85,600
Cloram tab 32 Rp 8,000
Pamol tab 20 Rp 2,000
Antasid 20 Rp 2,000
Ibuprofen 10 Rp 2,000
Diazepam tab 5 Rp 500
B6 20 Rp 1,000
Rp 364,650
16 16-Jul-08 TN joko subari Inf set 2 Rp 15,000
60th kp anyar Abocat 2 Rp 50,000
Rl 8 Rp 75,900
D5% 2 Rp 19,200
Gentamisin 8 Rp 52,800
Dypen 16 Rp 16,000
Obh 1 Rp 1,000
aMINOPILIN 10 Rp 1,000
Antasid 20 Rp 6,000
Vertivom inj 2 Rp 13,200
spuit3cc 15 Rp 22,500
B6 tab 15 Rp 1,000
Diazepam 10 Rp 50,000
Rp 323,600
Rp 647,200
17 21-Jul-08 Tn Supaedi 40Th
Kertomulyo Papaverin inj 2 Rp 5,000 Rp 47,700 Infus set 2 Rp 30,000
Buskopan 2 Rp 42,700 Abokat 2 Rp 50,000
RL 8 Rp 76,800
D5% 3 Rp 28,800
Rp 185,600
18 7/16/2008 Siti Nur Asomah biotycol 20 Rp 50,000 Rp 200,000 infus set 2 Rp 30,000
viccillin 15 Rp 150,000 abocath 3 Rp 75,000
RL 7 Rp 67,200
D5% 3 Rp 28,800
diphen 20 Rp 11,000
vertivom 6 Rp 36,000
ibuprofen 20 Rp 4,000
antasid 20 Rp 3,000
kloram inj 6 Rp 66,000
pamol 20 Rp 2,000
Rp 323,000
19 7/22/2008 Ngasmi infus set 2 Rp 30,000
55th Srogo abocath 2 Rp 50,000
RL 5 Rp 48,800
D5% 5 Rp 48,800
Ampicillin 15 Rp 165,000
gentamycin 10 Rp 50,000
spuit 17 Rp 27,000
gg 30 Rp 3,000
antasida 20 Rp 3,000
pamol 20 Rp 2,000
dipen 15 Rp 7,500
Bc 20 Rp 1,000
Cipro 10 Rp 5,500
Rp 441,600
20 7/25/2008 Sholeh 34th Cefo Inj 10 Rp 141,690 infs set 1 Rp 15,000
Penjalin Vitazym Tab 20 Rp 10,600 abocath 1 Rp 25,000
Rp 152,290 RL 10 Rp 96,000
D5% 2 Rp 20,000
Diphen Inj 30 Rp 18,000
B12 Inj 5 Rp 3,000
Antasida 20 Rp 3,000
Dexa Tab 30 Rp 18,000
Rp 198,000
21 7/15/2008 Mbah.Kemiran Kateter 1 Rp 14,790 Infs Set 1 Rp 15,000
60th Kandangan Rp 14,790 Abocath 1 Rp 25,000
RL 6 Rp 57,600
D5% 2 Rp 20,000
Cipro Tab 14 Rp 4,452
As.Mefnmt 20 Rp 3,000
BC 20 Rp 1,000

Rp 126,052
22 7/24/2008 Ny.Samatun 44th Cloramp Inj 12 Rp 148,500 Infs Set 1 Rp 15,000
Jagalan Kutoharjo Rp 148,500 Abocath 1 Rp 25,000
RL 9 Rp 86,400
D5% 2 Rp 20,000
Vertivom Inj 10 Rp 50,110
Pamol Tab 20 Rp 6,000
Antasida 20 Rp 3,000
Dimen Tab 20 Rp 5,000
Ergotamin 10 Rp 5,000
Diazepam 6 Rp 600
Rp 216,110

23 7/22/2008 Tn.Muslimin 54th Vicillin Inj 14 Rp 148,904 Infs Set 1 Rp 15,000


Klaseman Rp 148,904 Abocath 1 Rp 25,000
RL 8 Rp 76,800
D5% 2 Rp 20,000
Antasida 20 Rp 3,000
Pamol Tab 20 Rp 6,000
Diphen Inj 15 Rp 9,000
Rp 154,800

24 7/26/2008 Nn.Sofi Khosiah Ckoramp Inj 12 Rp 148,500 Infs Set 1 Rp 15,000


15th Sarirejo Rp 148,500 Abocath 1 Rp 25,000
RL 11 Rp 105,600
Vertivim Inj 10 Rp 50,110
Pamol Tab 20 Rp 3,000
Diaform 10 Rp 2,500
Metro 10 Rp 3,000
Rp 204,210

25 7/28/2008 Tn Irsat Infus set 1 Rp 15,000


Abocath 1 Rp 25,000
RL 3 Rp 28,800
D5% 2 Rp 19,200
Nacl 2 Rp 19,200
Acyclovir 30 Rp 9,000
dipen inj 12 Rp 7,200
B12 inj 20 Rp 2,000
Ranitidin 15 Rp 3,000
Rp 128,400
26 7/24/2008 An Bayu Viccillin 6 Rp 72,000 Infus set 2 Rp 30,000
Rp 72,000 Abocath 3 Rp 75,000
RL 16 Rp 153,600
D5% 2 Rp 19,200
pamol 3 Rp 4,500
Bc 6 Rp 600
luminal 6 Rp 1,200
Ampi syr 1 Rp 5,500
Rp 289,600

Rp 1,657,342

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