Daftar Harga Paket Oprasi BEDAH

A. Obat
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Rl Wida OGB 3 6,500 7,150 21,450 8,938 26,814
2 Asering Otsu 1 12,625 13,888 13,888 17,359 17,359
3 Ns Wida OGB 1 5,827 6,410 6,410 8,012 8,012
4 Tridex 27B 1 19,000 20,900 20,900 26,125 26,125
5 Ondancetron 4mg 1 5,000 5,500 5,500 6,875 6,872
6 Dexametason Inj 2 2,184 2,402 4,805 3,003 6,006
7 Dexketofrofen Inj 3 24,000 26,400 79,200 35,640 106,920
8 Asam Tranexsamat Inj 500 1 5,250 5,775 5,775 7,219 7,219
9 Tramadol Inj 2 5,820 6,402 12,804 10,371 20,742
10 Pronalges Supp 1 11,000 12,100 12,100 15,125 15,125
11 Ranitidin Inj 1 2,336 2,570 2,570 3,212 3,212
12 Decain Inj 1 62,000 68,200 68,200 85,250 85,250
13 Sedacum Inj 1 22,000 24,200 24,200 30,250 30,250
14 Ceftriaxon Inj 6 19,400 21,340 128,040 26,675 160,050
15 Vit C inj 3 5,830 6,413 19,239 8,016 24,049
16 Metronidazol Infs 6 36,200 39,820 238,920 53,757 322,542
17 Aqua Pro Inj 1 5,000 5,500 5,500 6,875 6,875
18 Amoxcilin Tab 500 20 404 444 8,888 556 11,110
19 Paracetamol 500 15 95 105 1,568 131 1,959
Total 679,956 886,491

B. Alkes
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Tranfusiset JKn 1 9,090 9,999 9,999 8,938 26,814
2 I. V cath 20 Inflo JKN 1 9,000 9,900 9,900 13,365 12,375
3 Folly Cath 16 1 27,500 30,250 30,250 37,813 37,813
4 Spuit 10cc Aximed 3 1,183 1,301 3,904 1,627 4,880
5 Spuit 5cc Aximed 5 843 927 4,637 1,159 5,796
6 Spuit 3cc Aximed 5 750 825 4,125 1,031 5,156
7 Spuit 1cc Aximed 2 754 829 1,659 1,037 2,074
8 Urine Bag Aximed 1 5,000 5,500 5,500 6,875 6,875
9 Chromic Atramt 2-0 1 9,500 10,450 10,450 83,016 83,016
10 Spinal no 25 / 26 1 20,000 22,000 22,000 27,500 27,500
11 Sarung Tangan 7,5 1 9,500 10,450 10,450 13,063 13,063
12 Daryantul JKN 1 9,250 10,175 10,175 12,719 12,719
13 Surgical Bled 24 1 2,300 2,530 2,530 3,163 3,163
Total 125,578 241,244

C. paket Bedah
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 T-Hernia Mesh Med S 30 x 30cm 1 181,304.9 199,435 199,435 259,266 259,266
2 T-Hernia Mesh Med 6 x 11 cm 0 11,784.8 12,963 - 16,852 -
3 T-Hernia Mesh L M S 15x 15cm 0 45,326.2 49,859 - 64,816 -
4 Mesh Heavy Pre cut 4,6 x 10cm 0 16,317.5 17,949 - 23,334 -
5 Polisorb PGA 3-0 / 1-0 / 2/0 1 142,597 156,857 156,857 203,914 203,914
6 Nylon 3-0 / 2-0 1 110,000 121,000 121,000 157,300 157,300
7 Cut Gut 3-0 * 1 113,558 124,914 124,914 162,388 162,388
8 Silk 3-0 * 1 95,700 105,270 105,270 136,851 136,851
Total 707,476 919,719

TOTAL A + B + C 1,513,010 2,047,454

 Daftar Harga Paket Oprasi BEDAH

A. Obat
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Rl Wida OGB 3 6,500 7,150 21,450 8,938 26,814
2 Asering Otsu 1 12,625 13,888 13,888 17,359 17,359
3 Ns Wida OGB 1 5,827 6,410 6,410 8,012 8,012
4 Tridex 27B 1 19,000 20,900 20,900 26,125 26,125
5 Ondansetron 4mg 1 5,000 5,500 5,500 6,875 6,875
6 Dexametason Inj 0 2,184 2,402 - 3,003 -
7 Dexketofrofen Inj 3 24,000 26,400 79,200 35,640 106,920
8 Asam Tranexsamat Inj 500 1 5,250 5,775 5,775 7,219 7,219
9 Tramadol Inj 2 5,820 6,402 12,804 10,371 20,742
10 Pronalges Supp 0 11,000 12,100 - 15,125 -
11 Ranitidin Inj 1 2,336 2,570 2,570 3,212 3,212
12 Decain Inj 1 62,000 68,200 68,200 85,250 85,250
13 Sedacum Inj 1 22,000 24,200 24,200 30,250 30,250
14 Ceftriaxon Inj 6 19,400 21,340 128,040 26,675 160,050
15 Vit C inj 0 5,830 6,413 - 8,016 -
16 Metronidazol Infs 0 36,200 39,820 - 53,757 -
17 Aqua Pro Inj 1 5,000 5,500 5,500 6,875 6,875
18 Amoxcilin Tab 500 20 404 444 8,888 556 11,120
19 Paracetamol 500 15 95 105 1,568 131 1,965
Total 404,892 518,788

B. Alkes
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Tranfusiset JKn 1 9,090 9,999 9,999 8,938 8,938
2 I. V cath 20 Inflo JKN 1 9,000 9,900 9,900 13,365 13,365
3 Folly Cath 16 1 27,500 30,250 30,250 37,813 37,813
4 Spuit 10cc Aximed 3 1,183 1,301 3,904 1,627 4,881
5 Spuit 5cc Aximed 5 843 927 4,637 1,159 5,795
6 Spuit 3cc Aximed 5 750 825 4,125 1,031 5,155
7 Spuit 1cc Aximed 2 754 829 1,659 1,037 2,074
8 Urine Bag Aximed 1 5,000 5,500 5,500 6,875 6,875
9 Chromic Atramt 2-0 1 76,471 84,118 84,118 109,354 109,354
10 Spinal no 25 / 26 1 20,000 22,000 22,000 27,500 27,500
11 Sarung Tangan 7,5 1 9,500 10,450 10,450 13,063 13,063
12 Daryantul JKN 1 9,250 10,175 10,175 12,719 12,719
13 Surgical Bled 24 1 2,300 2,530 2,530 3,163 3,163
Total 199,246 250,695

C. paket Bedah
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 T-Hernia Mesh L M S 10x 15cm 1 45,326.2 49,859 49,859 64,816 64,816
2 Polisorb PGA 3-0 / 1-0 / 2/0 1 142,597 156,857 156,857 203,914 203,914
3 Nylon 3-0 / 2-0 0 110,000 121,000 - 157,300 -
4 Cut Gut 3-0 * 0 113,558 124,914 - 162,388 -
5 Silk 3-0 * 0 95,700 105,270 - 136,851 -

Total 206,715 268,730

TOTAL A + B + C 810,854 1,038,213

C. paket Bedah
NO Nama Barang HNA+PPN Total Beli Harga Jual Total Jual
1 LM3 T Hernia Mesh Light Mesh Square 5cm X 10cm - - - -
2 LM5 T Hernia Mesh Light Mesh Square 6cm X 10cm - - - -
3 LM9 T Hernia Mesh Light Mesh Square 7,5cm x 15cm 470,250 - 608,000 -
4 MM17 T Hernia Mesh Medium Mesh Aquare 6cm x 10cm - - - -
5 HM27 T Hernia Mesh Heavy Mesh Square 5cm x 10cm
6 HM29 T Hernia Mesh Heavy Mesh Square 6cm x 10cm
7 HM30 T Hernia Mesh Heavy Mesh Square 6cm x 11cm
- - - -
 Rincian Harga
No. RM : Ruang
Nama Pasien : Tn Syarif Hidayat Tanggal Masuk : 06/11/2018
Dokter :

A. Obat
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Rl Wida OGB 3 6,500 7,150 21,450 15,592 46,776
2 Asering Otsu 0 12,625 13,888 - 17,359 -
3 Ns Wida OGB 1 5,827 6,410 6,410 15,616 15,616
4 Futrolit Inf 1 51,650 56,815 56,815 76,700 76,700
5 KAEN 3B 1 22,000 24,200 24,200 29,423 29,423
6 Tridex 27B 0 19,000 20,900 - 26,125 -
7 Ondansetron 4mg 1 5,000 5,500 5,500 7,425 7,425
8 Dexametason Inj 2 2,184 2,402 4,805 3,243 6,486
9 Dexketofrofen Inj 3 24,000 26,400 79,200 35,640 106,920
10 Asam Tranexsamat Inj 500 1 5,250 5,775 5,775 7,796 7,796
11 Tramadol Inj 3 5,820 6,402 19,206 10,371 31,113
12 Pronalges Supp 1 11,000 12,100 12,100 16,335 16,335
13 Ranitidin Inj 1 2,336 2,570 2,570 4,164 4,164
14 Decain Inj 0 62,000 68,200 - 85,250 -
15 Levica Injeksi 1 55,000 60,500 60,500 81,675 81,675
16 Sedacum Inj 0 22,000 24,200 - 30,250 -
17 Ceftriaxon Inj 0 19,400 21,340 - 26,675 -
18 Vit C inj 0 5,830 6,413 - 8,016 -
19 Metronidazol Infs 0 36,200 39,820 - 53,757 -
20 Aqua Pro Inj 1 5,000 5,500 5,500 7,425 7,425
21 Cefixime 100mg Cap 10 2,612 2,873 28,732 3,879 38,790
22 Asam Mefenamat Tab 15 165 182 2,723 245 3,675
23 Amoxcilin Tab 500 0 404 444 - 556 -
24 Paracetamol 500 0 95 105 1,568 131 -
Total 337,053 480,319

B. Alkes
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 Tranfusiset JKN 1 9,090 9,999 9,999 22,275 22,275
2 I. V cath 20 Inflo JKN 1 9,000 9,900 9,900 23,017 23,017
3 Folly Cath 16 1 27,500 30,250 30,250 40,837 40,837
4 Spuit 10cc Terumo 1 4,150 4,565 4,565 6,163 6,163
5 Spuit 5cc Terumo 2 3,200 3,520 7,040 4,752 9,504
6 Spuit 3cc Terumo 1 2,650 2,915 2,915 3,935 3,935
7 Spuit 1cc Terumo 1 2,700 2,970 2,970 4,009 4,009
8 Spuit 10cc Aximed 0 1,183 1,301 - 1,627 -
9 Spuit 5cc Aximed 0 843 927 - 1,159 -
10 Spuit 3cc Aximed 0 750 825 - 1,031 -
11 Spuit 1cc Aximed 0 754 829 - 1,037 -
12 Urine Bag Aximed 0 5,000 5,500 - 6,875 -
13 Chromic Atramt 2-0 1 76,471 84,118 84,118 113,559 113,559
14 Spinal no 25 / 26 1 20,000 22,000 22,000 37,125 37,125
15 Sarung Tangan 7,5 3 9,500 10,450 31,350 14,107 42,321
16 Sarung Tangan 7,0 1 9,500 10,450 10,450 14,107 14,107
17 Lomatulle JKN 1 9,250 10,175 10,175 13,885 13,885
18 Surgical Bled 24/11 1 2,300 2,530 2,530 3,401 3,401
19 Peneng Biru (Gelang Identitas) 1 1,500 1,650 1,650 2,227 2,227
20 Urinebag cosmo 1 11,200 12,320 12,320 16,632 16,632
Total 242,232 352,997

C. paket Bedah
NO Nama Barang Satuan Harga HNA HNA+PPN Total Beli Harga Jual Total Jual
1 T-Hernia Mesh LM9 75 x 15cm 0 317,685.0 349,454 - 454,290 -
2 Polisorb PGA 3-0 / 1-0 / 2/0 0 142,597 156,857 - 203,914 -
3 Nylon 3-0 / 2-0 1 57,000 62,700 62,700 72,579 72,579
4 Cut Gut 3-0 * 0 113,558 124,914 - 162,388 -
5 Silk 3-0 * 0 95,700 105,270 - 136,851 -

Total 62,700 72,579

TOTAL A + B + C 641,985 905,895

 Rincian Harga
No. RM : Ruang :
Nama Pasien : Tanggal Masuk :
Dokter :

A. Obat Ansetesi
NO Nama Barang Satuan Harga Jual Total Jual
1 Ondansetron 4mg 1 7,425 7,425
2 Dexketofrofen Inj 3 35,640 106,920
3 Tramadol Inj 3 10,371 31,113
4 Pronalges Supp 0 16,335 -
5 Fentanyl Inj 1 43,659 43,659 Ketamin
6 Nupovel Inj (Propofol) 1 138,847 138,847 KTM
7 Notrixum Inj 0 53,460 -
8 Noveron Inj 1 148,500 148,500
9 Sevodex (Sevoflurane) 1 398,723 398,723
10 Sojourn (Sevoflurane) 0 129,335 -
11 Ketorolac Tablet 0 3,415 -
12 Tramadol Tablet 0 535 -
13 Dexketoprofen Tabet 0 4455 -

Total 875,187

B. Alkes
NO Nama Barang Satuan Harga Jual Total Jual
1 Spuit 10cc Terumo 3 6,163 18,489
2 Spuit 5cc Terumo 1 4,752 4,752
3 Spuit 3cc Terumo 4 3,935 15,740
4 Spuit 1cc Terumo 0 4,009 -
5 Sarung Tangan 7,5 2 14,107 28,214

Total 67,195

TOTAL A + B 942,382
 Rincian Harga
No. RM : Ruang :
Nama Pasien : Tanggal Masuk :
Dokter :

A. Obat Ansetesi
NO Nama Barang Satuan Harga Jual Total Jual
1 Lidocain HCl Injeksi 3 1,636 4,908
2 Ketorolac Tablet 6 3,415 20,490
3 Tramadol Tablet 4 535 2,140
4 Dexketoprofen Tabet 0 4455 -

Total 27,538

B. Alkes
NO Nama Barang Satuan Harga Jual Total Jual
1 1 Spuit 3cc Terumo 1 3,935 3,935
2 Spuit 1cc Terumo 0 4,009 -
3 Sarung Tangan 7,5 2 14,107 28,214
4 Spinal no 25 / 26 1 37,125 37,125

Total 69,274

TOTAL A + B 96,812
 Rincian Harga

A. Obat
NO Nama Barang Satuan Harga Jual Total Jual
1 Dexketoprofen Inj 3 35,640 106,920
2 Tramadol Inj 2 10,371 20,742
3 Pronalges Supp 0 16,335 -
4 Miloz Injeksi 0 29,700 -
5 Midazolam Injeksi 1 17,860 17,860
6 Regivell Injeksi 1 81,675 81,675
7 Ketorolac Tablet 0 3,415 -
8 Tramadol Tablet 0 535 -
9 Dexketoprofen Tabet 0 4455 -

Total 227,197

B. Alkes
NO Nama Barang Satuan Harga Jual Total Jual
1 Spuit 5cc Terumo 3 4,752 14,256
2 Spuit 3cc Terumo 3 3,935 11,805
3 Spuit 1cc Terumo 0 4,009 -
4 Spinal no 25 / 26 1 27,500 27,500
5 Sarung Tangan 7,5 2 13,063 26,126

Total 79,687

TOTAL A + B 306,884
 Rincian Harga
No. RM :
Nama Pasien :
Dokter :

A. Obat
NO Nama Barang Satuan Harga Jual Total Jual
1 Rl Wida OGB 3 15,592 46,776
3 Ns Wida OGB 1 15,616 15,616
4 Futrolit Inf 0 76,700 -
5 KAEN 3B 1 22,423 22,423
6 Tridex 27B 0 26,125 -
7 Ondansetron 4mg 1 7,425 7,425
8 Dexametason Inj 2 3,243 6,486
9 Asam Tranexsamat Inj 500 1 7,796 7,796
10 Ceftriaxon Inj 0 26,675 -
11 Vit C inj 0 8,016 -
12 Metronidazol Infs 0 53,757 -
13 Aqua Pro Inj 1 7,425 7,425
14 Cefixime 100mg Cap 10 3,879 38,790
15 Asam Mefenamat Tab 15 245 3,675
16 Amoxcilin Tab 500 0 556 -
17 Paracetamol 500 0 131 -

Total 156,412

B. Alkes
NO Nama Barang Satuan Harga Jual Total Jual
1 Tranfusiset JKN 1 22,275 22,275
2 I. V cath 20 Inflo JKN 1 23,017 23,017
3 Folly Cath 16 1 40,837 40,837
4 Spuit 10cc Terumo 1 6,163 6,163
5 Spuit 5cc Terumo 2 4,752 9,504
6 Spuit 3cc Terumo 1 3,935 3,935
7 Spuit 1cc Terumo 1 4,009 4,009
8 Spuit 10cc Aximed 0 1,627 -
9 Spuit 5cc Aximed 0 1,159 -
10 Spuit 3cc Aximed 0 1,031 -
11 Spuit 1cc Aximed 0 1,037 -
12 Urine Bag Aximed 0 6,875 -
13 Chromic Atramt 2-0 1 113,559 113,559
15 Sarung Tangan 7,5 3 14,107 42,321
16 Sarung Tangan 7,0 1 14,107 14,107
17 Lomatulle JKN 1 13,885 13,885
18 Surgical Bled 24/11 1 3,401 3,401
19 Peneng Biru 1 2,227 2,227
20 Urinebag cosmo 1 16,632 16,632
Total 315,872

C. paket Bedah
NO Nama Barang Satuan Harga Jual Total Jual
1 T-Hernia Mesh LM9 75 x 15cm 0 454,290 -
2 Polisorb PGA 3-0 / 1-0 / 2/0 0 203,914 -
3 Nylon 3-0 / 2-0 1 72,579 72,579
4 Cut Gut 3-0 * 0 162,388 -
5 Silk 3-0 * 0 136,851 -

Total 72,579

TOTAL A + B + C 544,863
 Rincian Harga
No. RM : Ruang :
Nama Pasien : Tanggal Masuk :
Dokter :

A. Obat
NO Nama Barang Satuan Harga Jual Total Jual
1 Rl Wida OGB 3 15,592 46,776
2 Asering Otsu 0 17,359 -
3 Ns Wida OGB 1 15,616 15,616
4 Futrolit Inf 1 76,700 76,700
5 KAEN 3B 1 22,423 22,423
6 Tridex 27B 0 26,125 -
7 Ondansetron 4mg 1 7,425 7,425
8 Dexametason Inj 2 3,243 6,486
9 Dexketofrofen Inj 3 35,640 106,920
10 Asam Tranexsamat Inj 500 1 7,796 7,796
11 Tramadol Inj 3 10,371 31,113
12 Pronalges Supp 0 16,335 -
13 Ranitidin Inj 1 4,164 4,164
14 Aqua Pro Inj 1 7,425 7,425
15 Fentanyl Inj 1 43,659 43,659
16 Nupovel Inj (Propofol) 1 138,847 138,847
17 Notrixum Inj 0 53,460 -
18 Noveron Inj 1 148,500 148,500
19 Sevodex (Sevoflurane) 1 398,723 398,723
20 Cefixime 100mg Cap 10 3,879 38,790
21 Asam Mefenamat Tab 15 245 3,675
22 Amoxcilin Tab 500 0 556 -
23 Paracetamol 500 0 131 -

Total 1,105,038

B. Alkes
NO Nama Barang Satuan Harga Jual Total Jual
1 Tranfusiset JKN 1 22,275 22,275
2 I. V cath 20 Inflo JKN 1 23,017 23,017
3 Folly Cath 16 1 40,837 40,837
4 Spuit 10cc Terumo 2 6,163 12,326
5 Spuit 5cc Terumo 3 4,752 14,256
6 Spuit 3cc Terumo 4 3,935 15,740
7 Spuit 1cc Terumo 1 4,009 4,009
13 Chromic Atramt 2-0 1 113,559 113,559
14 Spinal no 25 / 26 0 37,125 -
15 Sarung Tangan 7,5 4 14,107 56,428
16 Sarung Tangan 7,0 1 14,107 14,107
17 Lomatulle JKN 1 13,885 13,885
18 Surgical Bled 24/11 1 3,401 3,401
19 Peneng Biru/Merah 1 2,227 2,227
20 Urinebag cosmo 1 16,632 16,632

Total 352,699

C. paket Bedah
NO Nama Barang Satuan Harga Jual Total Jual
1 T-Hernia Mesh LM9 75 x 15cm 0 454,290 -
2 Polisorb PGA 3-0 / 1-0 / 2/0 0 203,914 -
3 Nylon 3-0 / 2-0 1 72,579 72,579
4 Cut Gut 3-0 * 0 162,388 -
5 Silk 3-0 * 0 136,851 -

Total 72,579

TOTAL A + B + C 1,530,316