The document lists 27 medical supplies with their quantities, units, prices per unit, and total prices. It provides a detailed invoice of supplies for a bibir sumbing procedure totaling Rp3,185,700. Key supplies included isoflurane 250ml, various injection medications like aminophylline and santagesik, infusion sets, catheters, and disposable medical tools.
The document lists 27 medical supplies with their quantities, units, prices per unit, and total prices. It provides a detailed invoice of supplies for a bibir sumbing procedure totaling Rp3,185,700. Key supplies included isoflurane 250ml, various injection medications like aminophylline and santagesik, infusion sets, catheters, and disposable medical tools.
The document lists 27 medical supplies with their quantities, units, prices per unit, and total prices. It provides a detailed invoice of supplies for a bibir sumbing procedure totaling Rp3,185,700. Key supplies included isoflurane 250ml, various injection medications like aminophylline and santagesik, infusion sets, catheters, and disposable medical tools.
1 INFUSET DARAH 16 PCS Rp 34,000 Rp 544,000 2 IV 24 16 PCS Rp 13,200 Rp 211,200 3 IV 22 16 PCS Rp 13,200 Rp 211,200 4 CAIRAN D51/2 NS 20 FLS Rp 27,000 Rp 540,000 5 CAIRAN D5 1/4 NS 20 FLS Rp 26,800 Rp 536,000 6 SPALK ANAK 20 PCS Rp 16,500 Rp 330,000 7 UNDERPAD 20 PCS Rp 10,000 Rp 200,000 8 SELANG O2 ANAK 16 PCS Rp 10,200 Rp 163,200 9 HYPAFIX 15x5 1 PCS Rp 282,000 Rp 282,000 10 ALKOHOL SWAB 100 PCS Rp 500 Rp 50,000 11 PLESTER COKLAT 1 PCS Rp 50,000 Rp 50,000 12 SPUIT 3 CC 35 PCS Rp 1,400 Rp 49,000 13 SPUIT 5 CC 20 PCS Rp 2,000 Rp 40,000 14 AQUADEST 10 FLS Rp 3,500 Rp 35,000 15 NEEDLE 23 30 PCS Rp 3,000 Rp 90,000 16 KRESEK BESAR 1 PAK Rp 12,500 Rp 12,500 17 PLASTIK @ 2 KG 1 PAK Rp 5,200 Rp 5,200 18 HANDSCOEN ON 100 PSG Rp 2,000 Rp 200,000 19 SAGESTAM SM 25 TUB Rp 37,000 Rp 925,000 20 SANTAGHESIK INJ 20 AMP Rp 12,300 Rp 246,000 TOTAL Rp 4,720,300 BAKSOS BIBIR SUMBING NO NAMA ALKES JUMLAH SATUAN HARGA@ TOTAL 1 AMINOPHILLIN INJ 10 AMP Rp 5,500 Rp 55,000 2 AQUADES 5 FLS Rp 3,500 Rp 17,500 3 PLASMINEX INJEKSI 10 AMP Rp 16,500 Rp 165,000 4 ATRACURIUM INJ 10 AMP Rp - 5 SULFAS ATROPIN INJ 20 AMP Rp 3,500 Rp 70,000 6 CORTIDEX INJEKSI 20 AMP Rp 8,300 Rp 166,000 7 EPHEDRIN INJ 3 AMP Rp 33,000 Rp 99,000 8 EPHINEFRIN INJ 5 AMP Rp 12,000 Rp 60,000 9 ETHANYL INJ 5 AMP Rp 49,000 Rp 245,000 10 INFUSET BIASA 2 PCS Rp 21,200 Rp 42,400 11 ISOFLURANCE 250 ML 1 BTL Rp 1,000,000 Rp 1,000,000 12 IV 20 5 PCS Rp 13,200 Rp 66,000 13 IV 22 5 PCS Rp 13,200 Rp 66,000 14 IV 24 20 PCS Rp 13,200 Rp 264,000 15 LIDOCAIN INJ 5 AMP Rp 2,200 Rp 11,000 16 SANTAGESIK INJEKSI 10 AMP Rp 12,300 Rp 123,000 17 NEOSTIGMIN INJ 10 AMP Rp 21,200 Rp 212,000 18 NOKOBA INJEKSI 1 AMP Rp 100,000 Rp 100,000 19 ONDANCETRON INJ 10 AMP Rp 9,500 Rp 95,000 20 PETHIDIN INJ 2 AMP Rp 23,400 Rp 46,800 21 PROANEST 10 AMP Rp 96,100 Rp 961,000 22 SPUIT 1 CC 10 PCS Rp 900 Rp 9,000 23 SPUIT 3 CC 10 PCS Rp 1,400 Rp 14,000 24 SPUIT 5 CC 10 PCS Rp 2,000 Rp 20,000 25 SPUIT 10 CC 10 PCS Rp 2,300 Rp 23,000 26 MAYO 4 2 PCS Rp 19,800 Rp 39,600 27 MAYO 5 2 PCS Rp 19,800 Rp 39,600 28 MAYO 6 2 PCS Rp 19,800 Rp 39,600 29 MAYO 7 2 PCS Rp 19,800 Rp 39,600 30 MAYO 8 2 PCS Rp 19,800 Rp 39,600 31 SUCTION CHATETER NO 10 5 PCS Rp 13,400 Rp 67,000 32 SUCTION CHATETER NO.6 5 PCS Rp 13,400 Rp 67,000 33 SUCTION CHATETER NO.8 5 PCS Rp 13,400 Rp 67,000 34 HANDSCOEN ON STERIL 100 PSG Rp 2,000 Rp 200,000 TOTAL Rp 2,903,700 DAFTAR OBAT/BHP BIBIR SUMBING PRE/POST OP TGL 12 JUNI 2021
NAMA MATKES JUMLAH HARGA @ TOTAL
INFUSET 14 Rp 21,200 Rp 296,800 IV 22 10 Rp 13,200 Rp 132,000 IV 20 1 Rp 13,200 Rp 13,200 IV 24 6 Rp 13,200 Rp 79,200 CAIRAN D51/2 NS 12 Rp 27,000 Rp 324,000 CAIRAN D5 1/4 NS 27 Rp 26,800 Rp 723,600 CAIRAN RL 3 Rp 9,500 Rp 28,500 SPALK ANAK 5 Rp 16,500 Rp 82,500 UNDERPAD 14 Rp 10,000 Rp 140,000 SELANG O2 ANAK 12 Rp 10,200 Rp 122,400 SELANG O2 DEWASA 2 Rp 33,000 Rp 66,000 HYPAFIX 15x5 1 Rp 282,000 Rp 282,000 ALKOHOL SWAB 1 Rp 21,000 Rp 21,000 PLESTER COKLAT 1 Rp 50,000 Rp 50,000 SPUIT 3 CC 28 Rp 1,400 Rp 39,200 PLASTIK @ 2 KG 1 Rp 5,200 Rp 5,200 HANDSCOEN ON 2 Rp 100,000 Rp 200,000 SAGESTAM SM 10 Rp 37,000 Rp 370,000 PARACETAMOL SYRUP 13 Rp 4,300 Rp 55,900 AMOXIXILIN SYRUP 13 Rp 6,600 Rp 85,800 SANADRYL SYRUP 1 Rp 13,200 Rp 13,200 SANMOL TAB 10 Rp 400 Rp 4,000 SANTAGESIK INJ 15 Rp 12,300 Rp 184,500 TOTAL SELURUH Rp 3,319,000 BAKSOS BIBIR SUMBING NO NAMA ALKES JUMLAH SATUAN HARGA@ TOTAL 1 AMINOPHILLIN INJ 10 AMP Rp 5,500 Rp 55,000 2 AQUADES 5 FLS Rp 3,500 Rp 17,500 3 PLASMINEX INJEKSI 10 AMP Rp 16,500 Rp 165,000 4 NOVERON INJEKSI 5 AMP Rp 118,800 Rp 594,000 5 SULFAS ATROPIN INJ 20 AMP Rp 3,500 Rp 70,000 6 CORTIDEX INJEKSI 20 AMP Rp 8,300 Rp 166,000 7 EPHEDRIN INJ 3 AMP Rp 33,000 Rp 99,000 8 EPHINEFRIN INJ 5 AMP Rp 12,000 Rp 60,000 9 ETHANYL INJ 5 AMP Rp 49,000 Rp 245,000 10 INFUSET BIASA 2 PCS Rp 21,200 Rp 42,400 11 ISOFLURANCE 250 ML 1 BTL Rp 1,000,000 Rp 1,000,000 12 IV 20 5 PCS Rp 13,200 Rp 66,000 13 IV 22 5 PCS Rp 13,200 Rp 66,000 14 IV 24 20 PCS Rp 13,200 Rp 264,000 15 LIDOCAIN INJ 5 AMP Rp 2,200 Rp 11,000 16 SANTAGESIK INJEKSI 10 AMP Rp 12,300 Rp 123,000 17 ONDANCETRON INJ 10 AMP Rp 9,500 Rp 95,000 18 PETHIDIN INJ 2 AMP Rp 23,400 Rp 46,800 19 PROANEST 10 AMP Rp 96,100 Rp 961,000 20 SPUIT 1 CC 10 PCS Rp 900 Rp 9,000 21 SPUIT 3 CC 10 PCS Rp 1,400 Rp 14,000 22 SPUIT 5 CC 10 PCS Rp 2,000 Rp 20,000 23 SPUIT 10 CC 10 PCS Rp 2,300 Rp 23,000 24 SUCTION CHATETER NO 10 5 PCS Rp 13,400 Rp 67,000 25 SUCTION CHATETER NO.6 5 PCS Rp 13,400 Rp 67,000 26 SUCTION CHATETER NO.8 5 PCS Rp 13,400 Rp 67,000 27 HANDSCOEN ON STERIL 100 PSG Rp 2,000 Rp 200,000 TOTAL Rp 3,185,700