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TARIF PELAYANAN PUSKESMAS BLUD UPT PUSKESMAS DTP BEBER

TAHUN 2018-2022

TARIF RANCANGAN (Rp) BLUD 2019-2022


PERDA Keterangan
NO URAIAN NO.3/2011 Jenis Pelayanan Jasa
(2018 Rp) Jumlah
BMHP Sarana Pelayanan Bahan Medis Habis Pakai (BMHP) Sarana Prasarana

C pelayanan Penunjang Diagnostik

1. Pemeriksaan darah
a. Hematologi

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(1) Hematokrit Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(2) Leukosit (hitung jumlah) Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(3) Trombosit (hitung jumlah Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(4) Hitung jenis Leukosit Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),
(5) jumlah eritrosit Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(6) laju Endap darah Rp 4,500 Rp 12,000 Rp 2,000 Rp 6,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(7) Hemoglobin Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(8) retraksi bekuan Rp 4,500 Rp 1,920 Rp 2,880 Rp 3,200 Rp 8,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(9) waktu perdarahan (BT) Rp 4,500 Rp 1,680 Rp 2,520 Rp 2,800 Rp 7,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(10) waktu pembekuan (CT) Rp 4,500 Rp 1,680 Rp 2,520 Rp 2,800 Rp 7,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(11) Paket Hematologi rutin (Medonic) - Rp 20,500 Rp 19,500 Rp 15,000 Rp 55,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(12) Paket Hematologi Lengkap - Rp 32,000 Rp 22,000 Rp 21,000 Rp 75,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
(medonic handsoap, hansanitizer tissue
b. Kimia Klinik

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(1) Albumin - Rp 6,600 Rp 12,200 Rp 7,200 Rp 26,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(2) Gamma GT - Rp 11,600 Rp 12,400 Rp 12,000 Rp 36,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(3) phosphatase alkali - Rp 7,400 Rp 14,600 Rp 11,000 Rp 33,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(4) protein Total - Rp 6,200 Rp 11,800 Rp 9,000 Rp 27,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(5) SGOT - Rp 5,200 Rp 9,800 Rp 8,000 Rp 23,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(6) SGPT - Rp 5,200 Rp 9,800 Rp 8,000 Rp 23,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(7) asam urat - Rp 5,000 Rp 9,000 Rp 6,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),
(8) kreatinin - Rp 5,000 Rp 9,000 Rp 6,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(9) Ureum - Rp 9,900 Rp 10,100 Rp 5,000 Rp 25,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(10) Kolestrol total - Rp 7,200 Rp 10,800 Rp 12,000 Rp 30,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(11) HDl Kolesterol - Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(12) LDL Kolesterol - Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(13) trigliserida - Rp 7,200 Rp 10,800 Rp 12,000 Rp 30,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(14) paket lemak - Rp 19,200 Rp 28,800 Rp 32,000 Rp 80,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


(15) Glukosa darah - Rp 3,600 Rp 5,400 Rp 6,000 Rp 15,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
c. Urinalisia
(1) Makroskopis

pot urine, buku hasil, ATK,


objek glass, coverglass,
(a) warna/kejernihan Rp 4,500 Rp 1,200 Rp 1,800 Rp 2,000 Rp 5,000 strip urine, handsone tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(b) Berat jenis Rp 4,500 Rp 1,200 Rp 1,800 Rp 2,000 Rp 5,000 strip urine, handsone tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(c ) pH Rp 4,500 Rp 1,200 Rp 1,800 Rp 2,000 Rp 5,000 strip urine, handsone tabung reaksi, air, listrik,
mikroskop

(2) Mikreoskopis

pot urine, buku hasil, ATK,


objek glass, coverglass,
sedimen Rp 4,500 Rp 2,160 Rp 3,240 Rp 3,600 Rp 9,000 strip urine, handsone tabung reaksi, air, listrik,
mikroskop

(3) Urine Kimiawi

pot urine, buku hasil, ATK,


objek glass, coverglass,
(a) keton Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(b) bilirubin Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop
pot urine, buku hasil, ATK,
objek glass, coverglass,
(c) gluokosa Rp 4,500 Rp 1,680 Rp 2,520 Rp 2,800 Rp 7,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(d) protein Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(e ) urobilinogen Rp 4,500 Rp 1,440 Rp 2,160 Rp 2,400 Rp 6,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(f) urine rutin - Rp 9,800 Rp 7,200 Rp 8,000 Rp 25,000 strip urine, handsone, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
(4) Tes kehamilan - Rp 3,600 Rp 5,400 Rp 6,000 Rp 15,000 device, handscone tabung reaksi, air, listrik,
mikroskop

d. Tinja

4,400 Rp 11,000 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(1) warna, lendir, darah Rp 4,500 Rp 2,640 Rp 3,960 Rp objek glass buku hasil

9,000 Rp 10,000 Rp 25,000 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(2) darah samar Rp 4,500 Rp 6,000 Rp objek glass buku hasil
4,400 Rp 11,000 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(3) sisa pencernaan Rp 4,500 Rp 2,640 Rp 3,960 Rp objek glass buku hasil

5,800 Rp 14,500 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(4) telur cacing Rp 4,500 Rp 3,480 Rp 5,220 Rp objek glass buku hasil

5,800 Rp 14,500 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(5) amuba Rp 4,500 Rp 3,480 Rp 5,220 Rp objek glass buku hasil

9,000 Rp 10,000 Rp 25,000 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
(6) faeces rutin - Rp 6,000 Rp objek glass buku hasil

2. Toksikologi

pot urine, buku hasil, ATK,


objek glass, coverglass,
a. amphetamin - Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
b. THC Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
c. Morfin Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop
pot urine, buku hasil, ATK,
objek glass, coverglass,
d. Benzodiazepin Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
e. Metampetamin Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
f. Barbiturat Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


objek glass, coverglass,
g.Coccain Rp 20,000 Rp 9,000 Rp 6,000 Rp 35,000 strip narkoba, handscon, masker tabung reaksi, air, listrik,
mikroskop

pot urine, buku hasil, ATK,


h. Paket screening Narkoba 3 panel objek glass, coverglass,
Rp 2,640 Rp 3,960 Rp 4,400 Rp 11,000 strip narkoba, handscon, masker
(amp/mop/THC) tabung reaksi, air, listrik,
mikroskop

3. Mikrobiologi

objek glass, label, pot dahak,


a. BTA (mycobacterium tuberculosa) Rp 15,000 Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 handscoon, masker, reagen mikroskop, spirtus, bensin,
ATK, buku hasil

objek glass, label, pot dahak,


b. BTA (mycobacterium leprae) Rp 15,000 Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 handscoon, masker, reagen mikroskop, spirtus, bensin,
ATK, buku hasil
spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),
c Mycotech TB - Rp 22,800 Rp 34,200 Rp 38,000 Rp 95,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

8,000 Rp 20,000 reagen, lidi kapas, handscoon, objek label, mikroskop, air, listrik,
d. diplococcus gram negatif (N.gonorea) Rp 15,000 Rp 4,800 Rp 7,200 Rp glass ATK, buku hasil

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


e. mikrofilaria Rp 15,000 Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

8,000 Rp 20,000 pot faeces, handscoon, masker, alat kesehatan, listrik, air, ATK,
f. parasit saluran cerna Rp 15,000 Rp 4,800 Rp 7,200 Rp objek glass buku hasil

8,000 Rp 20,000 reagen, lidi kapas, handscoon, objek label, mikroskop, air, listrik,
g. jamur permukaan Rp 15,000 Rp 4,800 Rp 7,200 Rp glass ATK, buku hasil

7,200 Rp 10,800 Rp 12,000 Rp 30,000 reagen, lidi kapas, handscoon, objek label, mikroskop, air, listrik,
h. coliform - Rp glass ATK, buku hasil

7,200 Rp 10,800 Rp 12,000 Rp 30,000 reagen, lidi kapas, handscoon, objek label, mikroskop, air, listrik,
i. E. coli - Rp glass ATK, buku hasil

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


j. Salmonella sp - Rp 14,520 Rp 21,780 Rp 24,200 Rp 60,500 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),
k. Syphilis - Rp 7,920 Rp 11,880 Rp 13,200 Rp 33,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


l. Chikungunya - Rp 42,240 Rp 63,360 Rp 70,400 Rp 176,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

4. Imunologi

a. golongan darah tanpa rhesus Rp 4,500 Rp 2,400 Rp 3,600 Rp 4,000 Rp 10,000 reagen, kapas, alkohol, handscoon kartu goldar, mikropipet, ATK,

b. golonga darah dengan rhesus - Rp 4,800 Rp 7,200 Rp 8,000 Rp 20,000 reagen, kapas, alkohol, handscoon kartu goldar, mikropipet, ATK,

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


c. Widal - Rp 9,600 Rp 14,400 Rp 16,000 Rp 40,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


d. VDRL - Rp 4,320 Rp 6,480 Rp 7,200 Rp 18,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


e. HBsAg - Rp 11,600 Rp 20,800 Rp 7,600 Rp 40,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),
f. Anti HCV - Rp 21,800 Rp 20,200 Rp 18,000 Rp 60,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


g. anti HAV - Rp 13,200 Rp 19,800 Rp 22,000 Rp 55,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


h. NS1 Dengue - Rp 60,000 Rp 90,000 Rp 100,000 Rp 250,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


i. Influenza A dan B Ag - Rp 30,360 Rp 45,540 Rp 50,600 Rp 126,500 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


j. Malaria pf/p.v rapid tes Ab - Rp 42,000 Rp 38,000 Rp 10,000 Rp 90,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue

spuit, kapas, alkohol, ok plast, listrik, air, alat (penyusutan),


k. Malaria pf/p.v rapid tes Ag - Rp 42,000 Rp 38,000 Rp 10,000 Rp 90,000 reagen, byclean, handcone, masker, tabung reaksi, buku hasil, ATK,
handsoap, hansanitizer tissue
TARIF PELAYANAN POLI GIGI UPT PUSKESMAS DTP SINDANGLAUT
TAHUN 2017-2021

PERDA Keterangan
Jenis Pelayanan
NO URAIAN NO.3/2011 Jasa
(2018 Rp) Jumlah Bahan Medis Habis Pakai
BMHP Sarana Pelayanan Sarana Prasarana
(BMHP)
C pelayanan Penunjang Diagnostik

spuit, kapas,
handcone, listrik, air, alat scalling
1. Pembersihan Karang Gigi Per Rahang Rp 3,500 Rp 25,000 Rp 15,000 Rp 60,000 Rp 100,000 alkohol,byclean, (penyusutan), compresor,
masker, handsoap, buku hasil, ATK, tissue
hansanitizer,Oco,Pasta Gigi

spuit, kapas, alkohol, listrik, air, alat pencabutan


25,000 chloeretyl, handcone,
2. Pencabutan Gigi Anak Rp 3,500 Rp 5,000 Rp 5,000 Rp 15,000 Rp gigi (penyusutan), buku
masker, handsoap, hasil, ATK, tissue
hansanitizer,tampon

spuit, kapas, alkohol,


byclean, handcone, masker, listrik, air, alat pencabutan
gigi (penyusutan),
3. Pencabutan Gigi Dewasa Tanpa Komplikasi Rp 3,500 Rp 15,000 Rp 10,000 Rp 25,000 Rp 50,000 handsoap, compresor, buku hasil,
hansanitizer,lidocain, ATK, tissue
tampon, bethadine
spuit, kapas, alkohol,
bethadine,lidocain, listrik, air, alat pencabutan
tampon, byclean,
gigi (penyusutan),
4. Pencabutan Gigi dengan Komplikasi Rp 3,500 Rp 20,000 Rp 20,000 Rp 30,000 Rp 70,000 handcone, masker, compressor, buku hasil,
handsoap, ATK, tissue
hansanitizer,jarum jahit,
benang jahit

spuit, kapas, alkohol, pisau


bedah, byclean, handcone, listrik, air, alat
5. Incisi dan drainage abses - Rp 20,000 Rp 10,000 Rp 20,000 Rp 50,000 masker, handsoap, (penyusutan), compressor,
hansanitizer, jarum jahit, buku hasil, ATK, tissue
benang jahit

spuit, kapas, alkohol, listrik, air, alat kuretase


6. Kuretase Soket - Rp 10,000 Rp 10,000 Rp 20,000 Rp 40,000 byclean, handcone, masker, (penyusutan), compressor,
handsoap, hansanitizer buku hasil, ATK, tissue

spuit, kapas, alkohol,


jahit, jarum jahit, listrik, air, alat
7. Jahitan, Penjahitan - Rp 5,000 Rp 5,000 Rp 10,000 Rp 20,000 benang (penyusutan), compressor,
byclean, handcone, masker, buku hasil, ATK, tissue
handsoap, hansanitizer

spuit, kapas, alkohol, GIC, listrik, air, alat


8. Penambalan Sementara - Rp 10,000 Rp 5,000 Rp 20,000 Rp 35,000 byclean, handcone, masker, (penyusutan), compressor,
handsoap, hansanitizer buku hasil, ATK, tissue

spuit, kapas, alkohol, GIC, listrik, air, alat


9. Penambalan Permanen Rp 3,000 Rp 15,000 Rp 5,000 Rp 30,000 Rp 50,000 byclean, handcone, masker, (penyusutan), compressor,
handsoap, hansanitizer buku hasil, ATK, tissue
10. Konsultasi Ibu Hamil dari KIA ke Poli Gigi Rp 3,000 Rp 3,200 Rp 1,800 Rp 10,000 Rp 15,000 ATK,Listrik, air buku

Mengetahui Pelaksana Laboratorium


Kepala Puskesmas Sindanglaut

dr. H. Sutara Beni Syakrinal