Tah.xls

RS. BaliMed Karangasem Jl. Nenas Kecicang, Bungaya Kangin, Karangasem RINCIAN OBAT : No.Registrasi / MR Jaminan No.Peserta Tgl Masuk Tgl Keluar Dokter No. 1.

: RG00099831 / 03.14.85 : BPJS KESEHATAN : 0001872582715 : 14-01-2019 : 17-01-2019 : dr. Gede Parwata Yasa, Sp. OG

Tgl

No. Bill

14-01-2019

RI-158976

Nama Pasien Alamat

: REMAYANTI NI KETUT (NY) : BD TENGAH, BEBANDEM, BEBANDEM

Ruangan Sex / Umur Diagnosa

: RM0034 / TITIPAN DARI JEPUN B : Perempuan / 46 Tahun 17 Hari : MIOMA UTERI PASCA TOTAL ABDOMINAL HISTEREKTOMI + BILATERAL SALPHINGO OFEREKTOMY

Nama Obat

Qty

14-01-2019

1

11361

INFUSET DARAH STERA (BP)

1

8180

THREE WAY STOP COCK BEREKOR HOSPITECH

1

19505

INFLO 18 G OM (BP)

1

8580

ID BAND PINK ADULT

1

3249

SPUIT 1 ONE MED (BP)

1

1573

SPUIT 10 CC ONEMED (BP)

1

2360

CEFTRIAXONE HEXPHARM INJ (BP)

1

14300

AQUA INJ 25 ML

1

8294

1 Sub Total :

14-01-2019

14-01-2019

PISAU CUKUR 2 SISI

1

11798

CEFTRIAXONE HEXPHARM INJ (BP)

2

14300

SPUIT 10 CC KIMSMED

2

1859

15-01-2019

1 Sub Total :

1

Total Harian :

16

15-01-2019

CEFADROXIL 500 TAB

10

1017

ASAM MEFENAMAT 500 MG

15

386

SIOBION TAB

10

422

1 Sub Total :

15-01-2019

35

RI-159305 ANESFAR INJ

3.

2288

RI-159303

Sub Total : 2.

5

RI-159078 NURSE CUP (MAS)

1.

8580

1

RI-159053

Sub Total : 4.

9

RI-159019 INFLO 22 G OM (BP)

3.

Diskon

WIDA RL 500 ML (BP)

Sub Total : 2.

Harga

22880

1

RI-159306 ALKOHOL 70% / ML

10

CHLORO TULLE

1

16281

COUTER PEN

1

135849

POLYMED YANKUAR SUCTION

1

78650

MEDIC - DENT STERIL SURG GLOVE 7.0

4

14300

MAS DHD PF SURGICAL GLOVE 7,5

1

22880

MESS 20

1

5663

1

213316

MONOSYN 0 HR 40 VIOLET BETADINE ONE MED/ml

100

107

250

CATGUT CHROMIC 1 ROLL

5

23834

T MONO 3-0 76 CM REVERSE CUTTING

1

160160

No.

Tgl

No. Bill

Nama Obat

Qty 1

UNDERPAD NON STERIL OM

1

7150

T SILK 1

5

11440

1

28600

200

FORMALIN CAIR 37% Sub Total :

1.

15-01-2019

16-01-2019

1.

16-01-2019

9867

573

334

RI-159308 AQUA INJ 25 ML

1

8294

BUNASCAN SPINAL 0.5%

1

90090

DEXKETOPROFEN INJ

2

34320

ELEKTRODE

3

6435

EPHEDRINE HCL INJ

1

71500

LIDOCAIN INJ 2% (BP)

1

2242

WIDA NACL 500 ML (BP)

3

10184

PARACETAMOL INFUS (BERNO)

1

43355

WIDA RL 500 ML (BP)

2

11361

SPUIT 1 CC INSULIN TERUMO

1

9152

SPUIT 10 CC TERUMO

1

10439

SPUIT 5 CC KIMSMED

1

1359

SPUIT 5 CC TERUMO

1

8809

Sub Total :

19

Total Harian :

389

RI-159321 ANTASIDA DOEN SUSP 60 ML (INH)

1

5710

WIDA RL 500 ML (BP)

4

11361

Sub Total : 2.

Diskon

TRANSOFIX /TUSUKAN INFUS

TOPLES 20 L

4.

Harga

5

RI-159390

17-01-2019

ANTASIDA DOEN SUSP 60 ML (INH)

1

5710

FASIDOL FORTE TAB (BP)

15

313

Sub Total :

16

Total Harian :

21

RT-10493 WIDA RL 500 ML (BP)

-1

11361

CEFTRIAXONE HEXPHARM INJ (BP)

-1

14300

INFLO 18 G OM (BP)

-1

8580

-1

1573

SPUIT 1 ONE MED (BP) Sub Total :

-4

Total Harian :

-4

Grand Total :

DENPASAR, 21-01-2019

422

PETUGAS,

PENERIMA,

REMAYANTI NI KETUT (NY)

DR. I WAYAN YOGI PRIMASATYA

T (NY) DEM, BEBANDEM

RI JEPUN B 17 Hari TOTAL ABDOMINAL TERAL SALPHINGO Total 11361.35 8179.6 19505.2 8580 3248.96 1573 2359.5 14300 8294 77401.61 8580 8580 11797.5 28600 3718 44115.5 2288 2288 132385.11 10167.3 5791.5 4218.5 20177.3 22880 22880 1072.5 16280.55 135848.57 78650 57200 22880 5662.8 213315.96 25025 119169.05 160160

Total 9867 7150 57200 28600 114660 1052741.43 8294 90090 68640 19305 71500 2242.24 30553.38 43354.74 22722.7 9152 10439 1358.5 8808.8 386460.36 1482259.09 5709.99 45445.4 51155.39 5709.99 4697.55 10407.54 61562.93 -11361.35 -14300 -8580 -1573 -35814.35 -35814.35 1640392.78

N YOGI PRIMASATYA