DAFTAR PENGAJUAN I ALKES UNTUK BULAN NOVEMBER 2021

NO. NAMA ALKES Jumlah Order Harga Total

1. Abbocath no.24 (inflo) 3bx 195,000 585,000
2. Abbocath no.26 (inflo) 2bx 195,000 390,000
3. Alcohol swab 3bx 13,000 39,000
4. ET uric acid 3bx 80,000 240,000
5. ET Cholesterol 3bx 150,000 450,000
6. Infus set dewasa GEA 1bx 195,000 300,000
7. Infus set anak GEA 1bx 225,000 225,000
8. Masker medis 1karton/40 20,000 800,000
9. Nasal canul anak 10pcs 13,000 130,000
10. Needle no,23 3bx 35,000 105,000
11. Needle no.25 2bx 35,000 70,000
12. Sungkup nebul dewasa 10pcs 35,000 350,000
13. Silk with needle 3/0 2bx 90,000 180,000
14. Spuit 1cc onemed 2bx 70,000 140,000
15. Spuit 10cc onemed 1bx 95,000 95,000
Jumlah 4,099,000

Bruno,16 November 2021

Pimpinan Klinik Pratama Rawat Inap Kabag Penunjang Medis Kasie Farmasi
Griya Saras
dr. Teguh Pambudi, MARS dr. Novia Damara apt. Susi Udkhiyawati, S.Far