Irma

BALAI KESEHATAN MATA MASYARAKAT CIKAMPEK
Jl. Ir. H. Djuanda No. 10 Cikampek

KABUPATEN KARAWANG Kode Pos - Telp. (0264) 316710
LAPORAN PENJUALAN BARANG DETAIL

Periode : 01 Mei 2020 s/d 31 Mei 2020
No.Pendaftaran Nama pasien Jenis Kelas Tgl. PelayananNama Barang Harga satuan Service Biaya Total Tangg.Rs Total Ruangan Pasien
No No Cm Pasien R/ke Qty Admin bayar Dokter
1 2005040005 025103
Dewi Susilawati Binti Sulaiman
BPJS NON KELAS ### 1 Xitrol EO 1 50000 0 0 50,000.00 0 50,000.00
2 2005040060 026206
Irsyad Razzak Solihin Bin Solihin
UMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
3 2005040060 026206
Irsyad Razzak Solihin Bin Solihin
UMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
4 2005040058 026204
Uus Suharmin Bin Sumpena
UMUM NON KELAS ### 2 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
5 2005040058 026204
Uus Suharmin Bin Sumpena
UMUM NON KELAS ### 1 Mycos EO 1 36250 0 0 36,250.00 0 36,250.00
6 2005040055 022540
Dewa Putu Bagus Bin Dewa Nyoman
7 2005040055 022540
Dewa Putu Bagus Bin Dewa Nyoman
8 2005040007 026024 Tarda Bin Wardi UMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
9 2005040007 026024 Tarda Bin Wardi UMUM NON KELAS ### 3 Natacen MD 1 57500 0 0 57,500.00 0 57,500.00
10 2005040007 026024 Tarda Bin Wardi UMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
11 2005040007 026024 Tarda Bin Wardi UMUM NON KELAS ### 4Ketoconazol 200 30 540 0 0 16,200.00 0 16,200.00
12 2005040042 026197 Suma Bin Saja UMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
13 2005040042 026197 Suma Bin Saja UMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
14 2005040057 004772Afiyah Binti Abdurahman BPJS NON KELAS ### 1Timol 0.5 % MD 1 36000 0 0 36,000.00 0 36,000.00
15 2005040057 004772Afiyah Binti Abdurahman BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
16 2005040023 026187 Sri Tekati Binti Jimin BPJS NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
17 2005040023 026187 Sri Tekati Binti Jimin BPJS NON KELAS ### 1 Noncort MD 1 58125 0 0 58,125.00 0 58,125.00
18 2005040023 026187 Sri Tekati Binti Jimin BPJS NON KELAS ### 3 Prednison 5 20 0 0 0 0.00 0 0.00
19 2005040051 026200
Sodikun Bin Mangundihardjo
BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
20 2005040051 026200
BPJS NON KELAS ### 2 Polydex MD 1 36875 0 0 36,875.00 0 36,875.00
21 2005040051 026200
BPJS NON KELAS ### Asam
3 Mefenamat 500 10 0 0 0 0.00 0 0.00
22 2005040047 026198Jajat Sudrajat Bin Yatno BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
23 2005040003 026109 Misin Bin Mijan BPJS NON KELAS ### 3 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
24 2005040003 026109 Misin Bin Mijan BPJS NON KELAS ### 1Ciprofloxacin 500 10 651 0 0 6,510.00 0 6,510.00
25 2005040003 026109 Misin Bin Mijan BPJS NON KELAS ### 2 Prednison 5 10 0 0 0 0.00 0 0.00
26 2005040003 026109 Misin Bin Mijan BPJS NON KELAS ### 5 Natacen MD 1 57500 0 0 57,500.00 0 57,500.00
27 2005040003 026109 Misin Bin Mijan BPJS NON KELAS ### 4 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
28 2005040010 024867 Suherman Bin Encer BPJS NON KELAS ### 4 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
29 2005040010 024867 Suherman Bin Encer BPJS NON KELAS ### 3Timol 0.5 % MD 1 36000 0 0 36,000.00 0 36,000.00
30 2005040010 024867 Suherman Bin Encer BPJS NON KELAS ### 2 Aspar K 3 0 0 0 0.00 0 0.00
31 2005040010 024867 Suherman Bin Encer BPJS NON KELAS ### 1 Glauseta 250 6 5783 0 0 34,698.00 0 34,698.00
32 2005040036 016931 Mujahid Bin Dunapi BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
33 2005040036 016931 Mujahid Bin Dunapi BPJS NON KELAS ### 2 Mycos EO 1 36250 0 0 36,250.00 0 36,250.00
34 2005040026 013722
Sri Mulyaningsih Binti Samsuri
35 2005040031 003247
Entin Sumarni Binti Endang Juharia
BPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
36 2005040046 018316 Aisyah Binti Aman BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
37 2005040046 018316 Aisyah Binti Aman BPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
38 2005040022 025127 Encih Binti Ana BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
39 2005040022 025127 Encih Binti Ana BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
40 2005040039 026195
Putri Yumaeroh Binti Khamami
41 2005040024 026188Yani Nuraeni Binti Tjutju BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
42 2005040033 026193 Walem Binti Jiman BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
43 2005040011 026111 Casmita Bin Munasikin BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
44 2005040011 026111 Casmita Bin Munasikin BPJS NON KELAS ### 2 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
45 2005060036 026236
Rivaldi Zaelani Bin Ating Hasanudin
46 2005060034 026234
Zenrita Elnusanti Binti Safari
UMUM NON KELAS ### 1 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
47 2005060019 000897 Panut Djojosumarto UMUM NON KELAS ### 1 Berry Vision 10 4015 0 0 40,150.00 0 40,150.00
48 2005060019 000897 Panut Djojosumarto UMUM NON KELAS ### 3 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
49 2005060019 000897 Panut Djojosumarto UMUM NON KELAS ### 2 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
50 2005060023 026225
Tarminah Laelasari Binti Taming
51 2005060027 026228 Miarsi Binti Kartomo UMUM NON KELAS ### 1 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
52 2005060013 008709 Tika Binti Usup UMUM NON KELAS ### 2 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
53 2005060013 008709 Tika Binti Usup UMUM NON KELAS ### 1 Conver 2 % MD 1 23000 0 0 23,000.00 0 23,000.00
54 2005060035 026235 Yanto Bin Rusdi BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
55 2005060031 026232 Inen Bin Sain BPJS NON KELAS ### 1 Xitrol ED 1 51563 0 0 51,563.00 0 51,563.00
56 2005060031 026232 Inen Bin Sain BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
57 2005060030 026231
Ruci Miryani Binti Adji Marmaji
58 2005060024 026226
Muhamad Repan Alpandi Bin Andri
BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
59 2005060024 026226
BPJS NON KELAS ### 3 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
60 2005060024 026226
BPJS NON KELAS ### 2 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
61 2005060004 026169
Iis Rismawati Binti Sholeh Sopian
62 2005060004 026169
Iis Rismawati Binti Sholeh Sopian
BPJS NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
63 2005060015 026221 Sahim Bin Marin BPJS NON KELAS ### 1 Natacen MD 1 57500 0 0 57,500.00 0 57,500.00
64 2005060015 026221 Sahim Bin Marin BPJS NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
65 2005060012 026220 Acim Bin Isak BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
66 2005060039 026238Rami Yulis Bin Samsudin BPJS NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
67 2005060039 026238Rami Yulis Bin Samsudin BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
68 2005060037 026237
Ajum Julaeman Bin BasuniBPJS NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
69 2005060037 026237
Ajum Julaeman Bin BasuniBPJS NON KELAS ### 1 Noncort MD 1 58125 0 0 58,125.00 0 58,125.00
70 2005060017 026223 Heni Binti Sukardi BPJS NON KELAS ### 2 Noncort MD 1 58125 0 0 58,125.00 0 58,125.00
71 2005060017 026223 Heni Binti Sukardi BPJS NON KELAS ### Metil
1 Prednisolon 16 20 1385 0 0 27,700.00 0 27,700.00
72 2005060017 026223 Heni Binti Sukardi BPJS NON KELAS ### 3 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
73 2005060010 025941 Warnah Binti Minin BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
74 2005060010 025941 Warnah Binti Minin BPJS NON KELAS ### 2 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
75 2005060010 025941 Warnah Binti Minin BPJS NON KELAS ### 4 Aspar K 3 0 0 0 0.00 0 0.00
76 2005060010 025941 Warnah Binti Minin BPJS NON KELAS ### 3 Glauseta 250 9 5783 0 0 52,047.00 0 52,047.00
77 2005080013 026244 Liucio Angkalea Halim UMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
78 2005080013 026244 Liucio Angkalea Halim UMUM NON KELAS ### 2 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
79 2005080012 026243 Nata Bin Uwar BPJS NON KELAS ### 1 Polydex MD 1 36875 0 0 36,875.00 0 36,875.00
80 2005080012 026243 Nata Bin Uwar BPJS NON KELAS ### 2 Prednison 5 10 0 0 0 0.00 0 0.00
81 2005080014 026245
Asep Sukmana Bin NasumUMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
82 2005080014 026245
Asep Sukmana Bin NasumUMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
83 2005110047 020314
Zhahira Ainun Nursila Binti Sajim
84 2005130003 011334 Didin Bin Ojo UMUM NON KELAS ### 1 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
85 2005130003 011334 Didin Bin Ojo UMUM NON KELAS ### 4Parasetamol 500 10 145 0 0 1,450.00 0 1,450.00
86 2005130003 011334 Didin Bin Ojo UMUM NON KELAS ### 2 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
87 2005130003 011334 Didin Bin Ojo UMUM NON KELAS ### 3 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
88 2005130013 000518 Entin Binti H. Jaelani UMUM NON KELAS ### 1 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
89 2005130013 000518 Entin Binti H. Jaelani UMUM NON KELAS ### 2 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
90 2005130010 009289
Mimin Sumiarsih Binti Sudirja
91 2005130010 009289
Mimin Sumiarsih Binti Sudirja
BPJS NON KELAS ### 1 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
92 2005130023 026293 Kulsum Bin Sartilun UMUM NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
93 2005130023 026293 Kulsum Bin Sartilun UMUM NON KELAS ### 1 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
94 2005130028 026296
Dzikri Zakaria Bin Ade Suherman
95 2005130028 026296
Dzikri Zakaria Bin Ade Suherman
UMUM NON KELAS ### 2 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
96 2005130018 026288 Purnama Bin Mansyur BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
97 2005130026 026294 Karni Binti Karsa BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
98 2005130026 026294 Karni Binti Karsa BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
99 2005130019 026289
Nur Salamah Binti PurnamaBPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
100 2005130025 006024 M.juhan Bin Darsa BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
101 2005130027 026295 Mariah Binti Maman UMUM NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
102 2005130027 026295 Mariah Binti Maman UMUM NON KELAS ### 1 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
103 2005150006 026309Anton Wijaya Bin Dakim BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
104 2005150006 026309Anton Wijaya Bin Dakim BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
105 2005150014 000849

Haikal Firmansah Bin Komarudin
BPJS NON KELAS ### 1 Conver 2 % MD 1 23000 0 0 23,000.00 0 23,000.00
106 2005150014 000849
Haikal Firmansah Bin Komarudin
107 2005150018 026314 Sukarsih Binti Kasih BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
108 2005150008 000830 Dadang Bayu Irawan BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
109 2005150008 000830 Dadang Bayu Irawan BPJS NON KELAS ### 2
Metil Prednisolon 4 30 581 0 0 17,430.00 0 17,430.00
110 2005150001 024430 Ayuk Bin Ganda BPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
111 2005150001 024430 Ayuk Bin Ganda BPJS NON KELAS ### 2 Prednison 5 20 0 0 0 0.00 0 0.00
112 2005150021 026316Aep Saepudin Bin Eman BPJS NON KELAS ### 1 Noncort MD 1 58125 0 0 58,125.00 0 58,125.00
113 2005150021 026316Aep Saepudin Bin Eman BPJS NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
114 2005150017 026313

Aep Hadi Rahayu Bin Alimin Syam
115 2005180019 026322 Nurhayati Binti Asdi UMUM NON KELAS ### 1 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
116 2005180026 026327
Asep Supriatna Bin Djamsari
UMUM NON KELAS ### 1 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
117 2005180026 026327

Asep Supriatna Bin Djamsari
UMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
118 2005180020 Pebrina

026323Kusuma Dewi Binti Ujang BPJS
Sumitra NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
119 2005180029 026330

Rachmat Alfani Bin Sahroni
UMUM NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
120 2005180029 026330

Rachmat Alfani Bin Sahroni
UMUM NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
121 2005180025 026326 Tayem Binti Asdi BPJS NON KELAS ### 1 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
122 2005180011 025941 Warnah Binti Minin BPJS NON KELAS ### 4 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
123 2005180011 025941 Warnah Binti Minin BPJS NON KELAS ### 3 Aspar K 3 0 0 0 0.00 0 0.00
124 2005180011 025941 Warnah Binti Minin BPJS NON KELAS ### 2 Glauseta 250 9 5783 0 0 52,047.00 0 52,047.00
125 2005180011 025941 Warnah Binti Minin BPJS NON KELAS ### 1 Gliserol 50 ml 1 0 0 0 0.00 0 0.00
126 2005180011 025941 Warnah Binti Minin BPJS NON KELAS ### 5 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
127 2005180006 026111 Casmita Bin Munasikin BPJS NON KELAS ### 1 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
128 2005180034 026333

Dimas Ali Pramuji Bin Juanta
BPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
129 2005180034 026333

Dimas Ali Pramuji Bin Juanta
130 2005180032 026332

Asep Permana Bin Dana Sri Rahayu
131 2005180015 016332 Aas Asmi Binti Ado BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
132 2005180015 016332 Aas Asmi Binti Ado BPJS NON KELAS ### 2 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
133 2005180015 016332 Aas Asmi Binti Ado BPJS NON KELAS ### 3 Xitrol ED 1 51563 0 0 51,563.00 0 51,563.00
134 2005180036 026335

Dede Napsiah Binti NasohaBPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
135 2005180035 026334 Paiman Bin Nitidiwiryo BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
136 2005180009 025225 Ewi Binti Dasan BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
137 2005180028 026329 Santoso Bin Abun UMUM NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
138 2005180023 026325
Agung Nugroho Bin Siboen
UMUM NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
139 2005180023 026325

Agung Nugroho Bin Siboen
UMUM NON KELAS ### 2 Noncort MD 1 58125 0 0 58,125.00 0 58,125.00
140 2005180039 026337Jajang Jaelani Bin BarnaUMUM NON KELAS ### 2 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
141 2005180039 026337Jajang Jaelani Bin BarnaUMUM NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
142 2005180042 026338

Sri Heryani Binti Ahmad ZenBPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
143 2005180045 026340
Supriyono Bin Gondam AliBPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
144 2005180044 026339

Nurhendra Permana Bin Apun
145 2005180033 026117 Nursih Binti Kastum UMUM NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
146 2005180033 026117 Nursih Binti Kastum UMUM NON KELAS ### 2 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
147 2005180046 026341 Atiah Inti Carkam BPJS NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
148 2005180046 026341 Atiah Inti Carkam BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
149 2005180047 026342 Ratnah Binti Sarii BPJS NON KELAS ### 1 Gliserol 50 ml 1 0 0 0 0.00 0 0.00
150 2005180047 026342 Ratnah Binti Sarii BPJS NON KELAS ### 4Timol 0.5 % MD 1 36000 0 0 36,000.00 0 36,000.00
151 2005180047 026342 Ratnah Binti Sarii BPJS NON KELAS ### 5 Xitrol ED 1 51563 0 0 51,563.00 0 51,563.00
152 2005180047 026342 Ratnah Binti Sarii BPJS NON KELAS ### 3 Aspar K 6 0 0 0 0.00 0 0.00
153 2005180047 026342 Ratnah Binti Sarii BPJS NON KELAS ### 2 Glauseta 250 18 5783 0 0 104,094.00 0 104,094.00
154 2005200001 024430 Ayuk Bin Ganda BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
155 2005200004 020376

Maman Setiawan Bin Caswan
156 2005200004 020376

Maman Setiawan Bin Caswan
157 2005200010 026355Bukhari Bin Datuk KaroneBPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
158 2005200021 010170

Maman Supriyatna Bin Sukandi
159 2005200007 026352 Udi Sahudi Bin Carman BPJS NON KELAS ### 3 Glauseta 250 9 5783 0 0 52,047.00 0 52,047.00
160 2005200007 026352 Udi Sahudi Bin Carman BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
161 2005200007 026352 Udi Sahudi Bin Carman BPJS NON KELAS ### 2 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
162 2005200007 026352 Udi Sahudi Bin Carman BPJS NON KELAS ### 4 Aspar K 3 0 0 0 0.00 0 0.00
163 2005200015 026002

Tuyus Edilia Bin Elik Djauhari
164 2005200015 026002
BPJS NON KELAS ### 2 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
165 2005200015 026002

BPJS NON KELAS ### 4 Tropin 1 % ED 1 17188 0 0 17,188.00 0 17,188.00
166 2005200015 026002

BPJS NON KELAS ### 1
167 2005200026 020290Maria Dwi Setyoningrum BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
168 2005200011 010248 Sumardi Bin Nasirin BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
169 2005200011 010248 Sumardi Bin Nasirin BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
170 2005200011 010248 Sumardi Bin Nasirin BPJS NON KELAS ### 3 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
171 2005200014 000253 Emar Binti Ajid BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
172 2005200014 000253 Emar Binti Ajid BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
173 2005200014 000253 Emar Binti Ajid BPJS NON KELAS ### 4 Aspar K 3 0 0 0 0.00 0 0.00
174 2005200014 000253 Emar Binti Ajid BPJS NON KELAS ### 3 Glauseta 250 9 5783 0 0 52,047.00 0 52,047.00
175 2005200006 017168 Rukiyah Binti Ranta BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
176 2005200006 017168 Rukiyah Binti Ranta BPJS NON KELAS ### 2 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
177 2005200006 017168 Rukiyah Binti Ranta BPJS NON KELAS ### 3 Prednison 5 10 0 0 0 0.00 0 0.00
178 2005270026 026390 A Anwar Bin E Muhtar UMUM NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
179 2005270027 002252 Samson Pasaribu BPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
180 2005270027 002252 Samson Pasaribu BPJS NON KELAS ### 2 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
181 2005270031 Poppy

003428Marlina Binti Ceppy Tarsawijaya
182 2005270031 Poppy

003428Marlina Binti Ceppy Tarsawijaya
183 2005270019 026386

Meisya Rafani Binti Mulyono
UMUM NON KELAS ### 1 Mycetin EO 1 17563 0 0 17,563.00 0 17,563.00
184 2005270019 026386

Meisya Rafani Binti Mulyono
UMUM NON KELAS ### 2 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
185 2005270022 026388Idang Komara Bin Unen BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
186 2005270028 026391 Adang Bin Hamid BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
187 2005270029 026392 Kurniasih Binti Wasan BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
188 2005270036 025847Gidion Fernando WahyudiBPJS NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
189 2005270030 026393

Novita Elvandari Binti Romli Ruhyana
190 2005280024 026408

Muhamad Agung Abdul Topik Bin
UMUM
Ade NON KELAS ### 2 Sanbe Tears ED 1 27981 0 0 27,981.00 0 27,981.00
191 2005280024 026408
Muhamad Agung Abdul Topik Bin
UMUM
Ade NON KELAS ### 1 Vitrolenta ED 1 45000 0 0 45,000.00 0 45,000.00
192 2005280027 026409E Soerjati Binti Rohaedi UMUM NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
193 2005280006 020162 Yani Haryani Binti Elon BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
194 2005280022 026406 Dali Bin Tarnelis BPJS NON KELAS ### 2 Mycos EO 1 36250 0 0 36,250.00 0 36,250.00
195 2005280022 026406 Dali Bin Tarnelis BPJS NON KELAS ### 1Ciprofloxacin 500 10 651 0 0 6,510.00 0 6,510.00
196 2005280022 026406 Dali Bin Tarnelis BPJS NON KELAS ### Metil
3 Prednisolon 16 20 1385 0 0 27,700.00 0 27,700.00
197 2005280025 017905 Limah Binti Marsan BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
198 2005280025 017905 Limah Binti Marsan BPJS NON KELAS ### 1 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
199 2005280015 026402

Salmanto Bin PartawikramaBPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
200 2005280015 026402

Salmanto Bin PartawikramaBPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
201 2005280028 Neng

026410
Dewi Sopiantiwi Binti DadangBPJS
Sopian NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
202 2005280033 007065
Susilawati Binti Anda Suhanda
UMUM NON KELAS ### 1 Hyalub MD 1 78750 0 0 78,750.00 0 78,750.00
203 2005280034 026413

Heni Rohaeni Binti Suhinda
204 2005280040 026418

Abdul Rochman Bin Maksud
205 2005280010 011058 Inda Bin Taim BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
206 2005280010 011058 Inda Bin Taim BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
207 2005280042 026419 Titin Binti Oding UMUM NON KELAS ### 1 Floxa MD 1 36875 0 0 36,875.00 0 36,875.00
208 2005280042 026419 Titin Binti Oding UMUM NON KELAS ### 3 Posop MD 1 72188 0 0 72,188.00 0 72,188.00
209 2005280042 026419 Titin Binti Oding UMUM NON KELAS ### 2 Protagenta MD 1 50000 0 0 50,000.00 0 50,000.00
210 2005280042 026419 Titin Binti Oding UMUM NON KELAS ### 4
211 2005280045 018036Nandang Bin Uci Sanusi UMUM NON KELAS ### 2 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
212 2005280045 018036Nandang Bin Uci Sanusi UMUM NON KELAS ### 1 Conver 2 % MD 1 23000 0 0 23,000.00 0 23,000.00
213 2005280046 026421 Ook Bin Oman UMUM NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
214 2005280046 026421 Ook Bin Oman UMUM NON KELAS ### 1 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
215 2005280046 026421 Ook Bin Oman UMUM NON KELAS ### 3 Mycos EO 1 36250 0 0 36,250.00 0 36,250.00
216 2005280041 026417Aam Aminah Binti Masdi BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
217 2005280039 026416 Taruna Bin Samir BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
218 2005280047 026422
Dedi Junaedi Bin Ace Nurja
219 2005280048 026423

Imam Nur Kholis Bin Sutrisno
BPJS NON KELAS ### 1 Cenfresh MD 1 31875 0 0 31,875.00 0 31,875.00
220 2005280043 026420

Mutmainah Binti Mamat Jawahir
221 2005280043 026420

Mutmainah Binti Mamat Jawahir
BPJS NON KELAS ### 2 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
222 2005280037 003537

Selvi Lusyawati Binti Mulyadi
223 2005280038 026415 M Rosin Bin Aswana BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
224 2005280036 026414 Yuyu Binti Edi BPJS NON KELAS ### 1 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
225 2005280021 024736Bada Subagja Bin Muklas BPJS NON KELAS ### 1 Catarlent MD 1 27500 0 0 27,500.00 0 27,500.00
226 2005280016 026403 Danu Bin Nursai BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
227 2005280016 026403 Danu Bin Nursai BPJS NON KELAS ### 1 Timol 0.5 % ED 1 65750 0 0 65,750.00 0 65,750.00
228 2005280016 026403 Danu Bin Nursai BPJS NON KELAS ### 4 Aspar K 3 0 0 0 0.00 0 0.00
229 2005280016 026403 Danu Bin Nursai BPJS NON KELAS ### 3 Glauseta 250 9 5783 0 0 52,047.00 0 52,047.00
230 2005280044 026155 Atem Binti Tarman BPJS NON KELAS ### 1 Tobroson MD 1 40000 0 0 40,000.00 0 40,000.00
231 2005280044 026155 Atem Binti Tarman BPJS NON KELAS ### 2 Lyteers MD 1 26875 0 0 26,875.00 0 26,875.00
Jumlah Qty 554

Jumlah Total ###
Jumlah Total Bayar ###
Total Nama Barang

Asam Mefena 10
Aspar K 24
Berry Vision 10
Catarlent MD 17
Cenfresh MD 12
Ciprofloxacin 20
Conver 2 % 3
Floxa MD 19
Glauseta 250 69
Gliserol 50 m 2
Hyalub MD 1
Ketoconazol 30
Lyteers MD 64
Metil Prednis 40
Metil Prednis 70
Mycetin EO 8
Mycos EO 6
Natacen MD 3
Noncort MD 5
Parasetamol 10
Polydex MD 2
Posop MD 7
Prednison 5 70
Protagenta M 11
Sanbe Tears 8
Timol 0.5 % 11
Timol 0.5 % 3
Tobroson MD 13
Tropin 1 % E 1
Vitrolenta ED 1
Xitrol ED 3
Xitrol EO 1
Total 554
Apotik Rawat Jalan
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Jl. Ir. H. Djuanda No. 10 Cikampek

LAPORAN PENJUALAN BARANG DETAIL

105 2005150014 000849

114 2005150017 026313

117 2005180026 026327

118 2005180020 Pebrina

119 2005180029 026330

120 2005180029 026330

128 2005180034 026333

129 2005180034 026333

130 2005180032 026332

134 2005180036 026335

139 2005180023 026325

142 2005180042 026338

144 2005180044 026339

155 2005200004 020376

156 2005200004 020376

158 2005200021 010170

163 2005200015 026002

165 2005200015 026002

166 2005200015 026002

181 2005270031 Poppy

182 2005270031 Poppy

183 2005270019 026386

184 2005270019 026386

189 2005270030 026393

190 2005280024 026408

199 2005280015 026402

200 2005280015 026402

201 2005280028 Neng

203 2005280034 026413

204 2005280040 026418

219 2005280048 026423

220 2005280043 026420

221 2005280043 026420

222 2005280037 003537

Jumlah Qty 554

Total Nama Barang

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