DETAIL TAGIHAN 2nd IADI-APRC Study Visit and IDIC International Seminar
WESTIN NUSA DUA, 6-9 NOVEMBER 2022
No Jenis Jasa Harga satuan Satuan Jumlah
1. Ambulance stand by Rp 31.300.000 1 paket Rp 31.300.000 dan Mini ICU 4 hari 2. PCR Sars Cov2 Rp 275.000 orang Rp 3. Antigen Sars Cov2 Rp 75.000 2 orang Rp 150.000 4. Pemakaian Obat-obatan Terlampir Rp Total Rp Data Pemeriksaan PCR Sars Cov 2 No PRN Nama Hasil PCR Tanggal 7 November 2022 1 NEGATIF Tanggal 8 November 2022 1 NEGATIF Tanggal 9 November 2022 1 NEGATIF Data Pemeriksaan Antigen Sars Cov 2 No PRN Nama Hasil Antigen Tanggal 6 November 2022 1 00504988 Suwandi NEGATIF Tanggal 9 November 2022 1 00505216 Meyke Ito Florentina POSITIF Pemakaian Obat-obatan
No Tanggal Nama No Hp Obat-obatan Jumlah Tagihan
Pemeriksaan 1. 06/11/22 Suwandi 08158094938 - Sanexon 4 mg 10 tablet Rp 1 - Sanadryl DMP 1 botol 2. 06/11/22 Yuni Suandari 0881037007883 - Cetirizine 10 mg 10 tablet Rp 81.433 2 - Sanadryl DMP 1 botol - Sanexon 4 mg 10 tablet - Sanmol 500 mg 4 tablet 3. 06/11/22 Erina Puspita 087862529868 - Methyl pred 8 mg 10 tablet Rp 44.513 3 - Sanadryl DMP 1 botol 4. 06/11/22 Januar 085779240294 - Becomzet 5 tablet Rp 200.889 4 - Invomit 4 mg 6 tablet 5. 06/11/22 Oka Antara 08175784147 - Sanmol 500 mg 4 tablet Rp 38.775 5 - Sanexon 4 mg 5 tablet - Becomzet 5 tablet 6. 06/11/22 Juli Antara 081916616816 - Sanadryl DMP 1 botol Rp 58.393 6 - Sanexon 4 mg 5 tablet - Sanmol 500 mg 4 tablet 7. 06/11/22 Putri Kusuma 081314542205 - Rillus 6 tablet Rp 83.578 7 - Sanmol 500 mg 8 tablet 8. 06/11/22 Caesar Ferino 081282600082 - Sanadryl DMP 1 botol Rp 36.963 8 9. 06/11/22 Radityo Adi Nugroho 082114833337 - Cek GDS Rp 40.000 9 10. 06/11/22 Mercy Kent Yanuar 0817698889 - Sanmol 500 mg 4 tablet Rp 19.985 10 - Becomzet 5 tablet 11. 06/11/22 Rifky Aulia 081229768363 - Intridol 4 mg 10 tablet Rp 86.425 - Becomzet 5 tablet 12. 06/11/22 Prof Iwan Jaya Aziz 08557802005 - Cebex 10 kapsul Rp 88.460 - Mertigo 6 mg 10 tablet - Sanmol 500 mg 4 tablet 13. 07/11/22 Trisnani Dewi 081280061213 - Cek GD Puasa Rp 76.350 - Inj Pantoprazole 1 vial - Aqua injeksi 25 mL - Wing needle 25G 1 pcs - Spuit 5 cc 1 pcs - Pantoprazole 40 mg 7 tablet - Cebex 10 kapsul - Sanmol 500 mg 10 tablet 14. 08/11/22 Putu Fhanny 089677745477 - Mucera 30 mg 10 tablet Rp 128.760 - Intridol 10 tablet - Sanmol 500 mg 10 tablet - Cebex 10 kapsul 15. 08/11/22 Kaankorn +66816452915 - Sanmol 500 mg 4 tablet Rp 2.660 16. 08/11/22 Desak Made Lestari Dewi 085936182867 - Cebex 10 kapsul Rp 139.750 - Rhinos SR 10 kapsul - Sanmol 500 mg 4 tablet 17. 08/11/22 Oka Antara 08175784147 - Rillus 6 tablet Rp 80.918 - Sanmol 500 mg 4 tablet 18. 08/11/22 Thanut Nusasanov 0817801580 - Sanmol 500 mg 4 tablet Rp 2.660 19. 08/11/22 I Putu Mahendra Artha Mulya 082147704157 - Rhinos SR 10 kapsul Rp 137.090 - Cebex 10 kapsul 20. 08/11/22 Amirah Laras Ulinnuha 081388198901 - Cebex 10 kapsul Rp 29.700 21. 09/11/22 Nanda Laurensia Oematan 082236934230 - Mertigo 6 mg 6 tablet Rp 54.677 - Sanmol 500 mg 4 tablet - Pantoprazole 40 mg 3 tablet 22. 09/11/22 Feronica 083822450203 - Cebex 10 kapsul Rp 125.220 - Intridol 4 mg 6 tablet - Intrizin 6 tablet 23. 09/11/22 Meyke Ito Florentina 081212109127 - Cebex 10 kapsul Rp 220.930 - Sanmol 500 mg 4 tablet - Rhinos SR 10 kapsul 24. 09/11/22 Debbie 089503118338 - Sanmol 500 mg 4 tablet Rp 2.660 25. 09/11/22 Nicholas Edieth 083116121849 - Cebex 4 kapsul Rp - Intridol 4 tablet - Sanmol 500 mg 8 tablet Total Tagihan Rp