rs.sandlkarsa@gmal.com
BILLING
No.Nota
2022/10/26/RIO003
Bangsal/Kamar 511 A, KAMAR KELAS 1
Tgl.Perawatan
:23 October 2022 07:03:47 s.d. 25 October 2022 16:47:43(3 Hari)
No.R.M. 015372
Nama Pasien
:TN.MUH.YUSUF (51Th)
Alamat Pasien
JLPROFDR.IR.SUTAMI, BULUROKENG, BIRINGKANYA,KOTA MAKASSAR
Registras
50.000
Ruang
511 A, KAMAR KELAS 1 500.000 3.0 1.500.000
5. Pemeriksaan Lab
Total VISITE :500.000
HEMATOLOGY ANALYSIS 145.000 0
1.0 145.0.000
URINE ANALYSIS 60.000 1.0 0 60.000
DIABETES 0 1.0 52.000 52.000
FUNGSI GINJAL 185.0 000
1.0 185.000
Total Periksa
Lab: 442.000
6. Pemeriksaan
Radiologi
USG Abdomen Atas+ Bawah (Whole Abdomen) 550.000 1.0 0 550.000
550.000
7. Obat & BHP Total Periksa Radiologi:
INFUS SET MAKROTIPE Y" (PILIH INI) (ALKES & BHP) 10.800 1.0 10.8 800
SPOIT 10CC (ALKES & BHP) 1.914 1.0 1.914
PD FIX 10CM X 10M ROLL (ALKES & BHP) 104 6.0 624
SPOIT 3CC (ALKES & BHP) 1.622 4.0 6.188
SURFLO IV CATHETER 22G TERUMO (ALKES& BHP) 35..640 1.0 35.640
CAIRAN RL 500 ML INFUS (INFUS) 10.072 5.0
.360
KETOROLAC INJEKSI 30 MG (PILIH INI) (INJEKSI) 9.583 6.0 0 57.498
ONDANSETRON 4MG/2ML INJEKSI (INJEKSI) 9.240 1.0 9.240
CEFTRIAXONE 1 GR INJ @100 (INJEKSI) 46.200 6.0 0 277.200
NEUROSANBE INJEKSI @10 (INJEKSI) 8.125 3.0 0 24.375
CAIRAN PTIGGY BACK NACL 100 ML INFUS (1NJEKSI) 18.216 3.0 0 54.6648
KETOROLAC 10 MG TABLET (ORAL) 3.788 15.0 56.8820
ALLOPURINOL 300 MG TABLET (ORAL) 660 15.0 0 9.900
CEFIXIME 200 MG KAPSUL @50 (ORAL) 5.610 10.0 0 56.100
Total Obat & BHP: 661.219
Total Obat Bersih: 661.219
TOTAL TAGIHAN 4.272.584
PPN
TAGIHAN + PPN 4.272.584
DEPOSIT
EKSES
SISA PIUTANG 4.272.584
Mengetahui,
Makassar, 26-10-2022 16:20:13
a/n Direktur
Kabid Umum & Keuangan Kasir
(Mita KalamboPasande)