RS MUSTIKA MEDIKA BEKASI

Jl. Kelapa Dua no. 110 RT.007/ RW 08 Kel. Padurenan Kec. Mustikaja
Kota Bekasi. Phone: 021-8262-2530

No. Registrasi : RI.1516298103.0001

No. Medrec : 000082
Nama Pasien : NUNING SULIASTINI, NY
Tanggal Masuk : 18/01/2018 Jam : 17:55
Tanggal Keluar : 20/01/2018 Jam : 09.04

PERINCIAN FARMASI

1 18/01/2018 AP.301180118.0005 96.036

NAMA OBAT
Spuit 5 cc (Terumo)
GLIMEPIRID TAB 2 MG PT. KIMIA FARMA
VASOFIX No. 24G
Spuit 3 cc (Terumo)
Ketorolac Inj
RINGER LACTAT INFUS 500 ML WIDATRA
QTY SUBTOTAL
1 7.084
1 1.647
2 31.626
3 17.457
1 10.753
3 24.669

2 20/01/2018 AP.301180119.0002 25.657

NAMA OBAT QTY SUBTOTAL
PARACETAMOL TAB 500MG 10 1.9
Micropore 1/2 inch 3M 1 14.611
RANITIDIN INJ 50 mg/2 ml 1 8.096

3 20/01/2018 AP.301180119.0003 552.559

NAMA OBAT QTY SUBTOTAL
EFOMET TAB 500 MG 2 2.53
Spuit 3 cc (Terumo) 1 5.819
Spuit 10 cc (Terumo) 2 18.47
GLIMEPIRID TAB 4 MG PT. KIMIA FARMA 6 17.976
CANDESARTAN 8 MG 5 31.625
G. CANDESARTAN 16MG TAB 1 8.855
Pumpisel inj 2 347.37
Mefoz inj 2 72.358
Otsu WFI 25 ml 2 12.65
Omeprazole 20mg Caps 10 7.59
RINGER LACTAT INFUS 500 ML WIDATRA 2 16.446
 METFORMIN TAB 500 MG PT. BERNOFARM 20 6.32

4 19/01/2018 OB.204180119.0001 108.811

NAMA OBAT QTY SUBTOTAL
PROFAT SUSPENSI 100 ML 1 76.533
Alkohol Swab (Kapas Alkohol) ONEMED 10 2.04
Spuit 3 cc (Terumo) 2 11.638
SARUNG TANGAN Non Steril M REMEDI 20 17.2

5 21/01/2018 AP.301180118.0002 511,615

Alkohol Swab (Kapas Alkohol) ONEMED 7 1,778
Spuit 10 cc (Terumo) 1 9,585
Spuit 3 cc (Terumo) 4 23,626
VASOFIX No. 24G 2 31,976
VASOFIX No. 22G 2 31,976
Infus Set Makro TERUMO 1 17,301
Selang Oksigen /Nasal Canul Dewasa 1 8,643
Efomed Tab 500 mg 3 4,145
GLIMEPIRID TAB 2 MG PT. KIMIA FARMA 1 1,997
Omeprazole Inj 2 202,750
RINGER LACTAT INFUS 500 ML WIDATRA 1 8,573
Gloves Non Steril S 1 4,386
1 28,180
Mefoz Inj 1 108,887
Neurobion Inj 5000 1 14,601
Lodia 2mg Tab 4 4,906
G.Candesartan 16 mg 1 9,205

Total Farmasi 1,294,678

08 Kel. Padurenan Kec. Mustikajaya
 RS MUSTIKA MEDIKA BEKASI
Jl. Kelapa Dua no. 110 RT.007/ RW 08 Kel. Padurenan Kec. Mustikajaya
Kota Bekasi. Phone: 021-8262-2530

PERINCIAN FARMASI

No. Registrasi : RI. 1516558892.0001

No. Medrec : 00-00-95
Nama Pasien : NY. YUTIAH
Tanggal Masuk : 21/01/2018
Tanggal Keluar

21/01/2018 AP.301180121.0006
NAMA OBAT QTY SUBTOTAL
Combivent Nebulizer 3 75,900
Alkohol Swab (Kapas Alkohol) ONEMED 2 408
Spuit 3 cc (Terumo) 2 11,638
Spuit 5 cc (Terumo) 1 7,084
VASOFIX No. 22G 1 15,813
Infus Set Makro TERUMO 1 16,951
Masker NonRebreathing Dewasa SALTER 1 48,703
RINGER LACTAT INFUS 500 ML WIDATRA 1 8,223
RANITIDIN INJ 50 mg/2 ml 1 8,096
2 21/01/2018 AP.301180121.0007
NAMA OBAT QTY SUBTOTAL
Spuit 1 cc Tuberculin (Terumo) 1 8,096
Otsu WFI 25 ml 1 6,325
LANCEF INJ 1 170,775
GLIMEPIRID TAB 2 MG PT. KIMIA FARMA 2 3,294
AZITHROMYCIN TAB 500 MG 10 126,500
Spuit 10 cc (Terumo) 3 27,705
3 22/01/2018 AP.301180122.0004
NAMA OBAT QTY SUBTOTAL
Alkohol Swab (Kapas Alkohol) ONEMED 20 4,080
Trombophop Gel 1 23,656
Gloves Non Steril S 20 15,680
Spuit 3 cc (Terumo) 2 11,638
4 22/01/2018 AP.301180122.0005
NAMA OBAT QTY SUBTOTAL
OMEPRAZOLE INJ 1 101,200
 LANCEF INJ 1 170,775
Spuit 10 cc (Terumo) 2 18,470
Jarum novotwist 10 37,950
Lantus insulin 1 202,400
Combivent Nebulizer 3 75,900
PREDNICORT INJ 125 MG 1 103,730
BIOCEF INJ 1 177,100
OTSU NS 25ML 2 14,674
ZOLLOCID INJ 1 82,225
5 22/01/2018 OB.204180122.0001
NAMA OBAT QTY SUBTOTAL
Spuit 3 cc (Terumo) 2 11,638
Alkohol Swab (Kapas Alkohol) ONEMED 20 4,080
6 22/01/2018
NAMA OBAT QTY SUBTOTAL
Foley Catheter Silicon (2-way catheter) No. 18 FR RUSCH 1 -
Furosemide Inj 10 MG 3 15,180
Spuit 10 cc (Terumo) 1 9,235
Urine bag steril ONEMED T-VALVE 1 5,839
7 23/01/2018 OB.204180122.0003
NAMA OBAT QTY SUBTOTAL
Spuit 10 cc (Terumo) 1 9,235
Cefotaxime inj 2 32,132
BIOCEF INJ 1 177,100
TOTAL
kajaya

195,966

344,795

56,454

987,924
 15,718

30,254

219,167
21/01/2018 AP.301180121.0008 928.345
21/01/2018 AP.301180121.0009 89.258
22/01/2018 AP.301180122.0001 65.451
22/01/2018 AP.301180122.0003 86.677
23/01/2018 AP.301180123.0006 103.532
23/01/2018 AP.301180123.0013 574.416
24/01/2018 AP.301180124.0004 347.72
24/01/2018 AP.301180124.0006 250.324
22/01/2018 OB.203180122.0001 120.6
22/01/2018 OB.203180122.0002 104.81
 RS MUSTIKA MEDIKA BEKASI
Jl. Kelapa Dua no. 110 RT.007/ RW 08 Kel. Padurenan Kec. Mustikajaya
Kota Bekasi. Phone: 021-8262-2530

PERINCIAN FARMASI

No. Registrasi : RI. 1516574296.0002

No. Medrec : 00-00-97
Nama Pasien : NN. SITI ANISATUL
Tanggal Masuk : 21/01/2018
Tanggal Keluar :

1 21/01/2018 AP.301180121.0008
NAMA OBAT QTY SUBTOTAL
SANMOL 500MG TAB 10 3,290
Spuit 1 cc Tuberculin (Terumo) 1 8,096
Spuit 10 cc (Terumo) 3 27,705
Spuit 3 cc (Terumo) 2 11,638
FORICEF INJ 1 GR 1 225,170
RANITIDIN INJ 25 MG/2 ML PT. BERNOFARM 6 48,576
KA - EN 3B 4 101,200
TRIJEC INJ 2 234,026
OTSU NS 100ML 1 17,457
Terfacef inj 1 247,687
2 21/01/2018 AP.301180121.0009
NAMA OBAT QTY SUBTOTAL
Alkohol Swab (Kapas Alkohol) ONEMED 4 816
ECOSOL RINGER LACTATE 500 ML 1 13,915
Infus Set Makro TERUMO 1 16,951
VASOFIX No. 24G 1 15,813
VASOFIX No. 22G 1 15,813
Spuit 3 cc (Terumo) 1 5,819
Spuit 10 cc (Terumo) 1 9,235
Spuit 1 cc Tuberculin (Terumo) 1 8,096
3 22/01/2018 AP.301180122.0001
NAMA OBAT QTY SUBTOTAL
Selang Oksigen/ Nasal Canul Dewasa OXYFLOW 1 8,293
Otsu WFI 25 ml 1 6,325
VASOFIX No. 20G 1 15,813
VASOFIX No. 22G 1 15,813
OTSU NS 100ML 1 17,457
4 22/01/2018 AP.301180122.0003
NAMA OBAT QTY SUBTOTAL
Alkohol Swab (Kapas Alkohol) ONEMED 10 2,040
Spuit 3 cc (Terumo) 5 29,095
LAMETIC INJ 4 MG 1 36,685
OTSU NS 100ML 1 17,457
5 22/01/2018 OB.203180122.0001
NAMA OBAT QTY SUBTOTAL
SANMOL 500MG TAB 10 3,290
FORMUNO TAB 10 101,750
Becom-C caplet 10 15,560
6 22/01/2018 OB.203180122.0002
NAMA OBAT QTY SUBTOTAL
Formuno kaplet 10 74,000
Curcuma tab 10 14,550
Becom-C caplet 10 15,560
TOTAL
ustikajaya

928,345

89,258

65,451
 86,677

120,600

104,810