TANGGAL STRUK PASIEN R.

INAP
13-09-2018 180913001 BW.P-A033741 - EDWARD GUNAWAN 167000

13-09-2018 180913002 BW.P-A035232 - NURUL HIDAYATI 217085

13-09-2018 180913003 APRI -

13-09-2018 180913004 BW.P-A035232 - NURUL HIDAYATI 457816

13-09-2018 180913005 BW.P-A035205 - FRANS WITIGNA KESWANDHANA, 42548

13-09-2018 180913006 olis -
13-09-2018 180913007 BW.P-A026841 - LUCZISMAN RUDY POLANDI -

13-09-2018 180913008 BW.P-A035236 - ARDYAN ADHITIA, ST 3080623

13-09-2018 180913009 BW.P-A 006572 - PERTIWI HASAN -

13-09-2018 180913010 BW.P-A028613 - MELANY -

13-09-2018 180913011 BW.P-A035232 - NURUL HIDAYATI 958548
13-09-2018 180913012 BW.P-A033741 - EDWARD GUNAWAN 310920

13-09-2018 180913014 BW.P-A034874 - M. JUSUP -

13-09-2018 180913015 BW.P-A027830 - INDRA RIZKY -

13-09-2018 180913016 BOYKE -

13-09-2018 180913017 BW.P-A035205 - FRANS WITIGNA KESWANDHANA, 66396

13-09-2018 180913018 BW.P-A035232 - NURUL HIDAYATI 1126378

13-09-2018 180913019 BW.P-A034553 - KHOTIB -

13-09-2018 180913020 APS -
13-09-2018 180913021 BW.P-A 012574 - ANASRIL -

13-09-2018 180913022 BW.P-A019214 - MANGATUR GULTOM -

13-09-2018 180913023 BW.P-A 012574 - ANASRIL -

13-09-2018 180913024 BW.P-A028204 - ADITYAS FEBRIAN BUDIHARJO -

13-09-2018 180913025 BW.P-A034901 - M. A. HAIRULLAH -

13-09-2018 180913026 BW.P-A035256 - SRI DJAWIAH RIOEH,Ir -

13-09-2018 180913027 BW.P-A025694 - FITRI KRISTIANTI -
13-09-2018 180913028 BW.P-A026424 - ZOERAINI DJAMAL IRWAN, Prof. Dr. -

13-09-2018 180913029 BW.P-A035232 - NURUL HIDAYATI 422500

13-09-2018 180913030 APS -

13-09-2018 180913031 BW.P-A023863 - PRAPTO NURGIAN 557740
13-09-2018 180913032 BW.P-A 017387 - I GUSTI NGURAH OKA -

13-09-2018 180913033 BW.P-A 017743 - LILY DJUALIYAH -

13-09-2018 180913034 BW.P-A 008685 - SUMANTO UNTORO -

13-09-2018 180913035 NY. PANG SWI HA -

13-09-2018 180913036 BW.P-A 006009 - ITA ENTONG -
13-09-2018 180913037 BW.P-A019336 - BAHRUL KARIM -

13-09-2018 180913038 BW.P-A030182 - YULIA YOSEPHINE HUTAPEA -

13-09-2018 180913039 BW.P-A035232 - NURUL HIDAYATI 260000

13-09-2018 180913040 BW.P-A033741 - EDWARD GUNAWAN 340000

13-09-2018 180913041 BW.P-A 008472 - DRS. PRIYANTO -

13-09-2018 180913042 MAS ARIF APOTEK -

13-09-2018 180913043 BW.P-A035205 - FRANS WITIGNA KESWANDHANA, 41000
13-09-2018 180913044 BW.P-A032796 - MAHPUDIN TAKA -

13-09-2018 180913045 BW.P-A028113 - PANDU DJUARSO -

13-09-2018 180913046 UP/ MSCT (MBA EHA) -

13-09-2018 180913047 BW.P-A033283 - WIRDA SALEH -

13-09-2018 180913048 BW.P-A024068 - MUHAMMAD BULDANSYAH -

13-09-2018 180913049 BW.P-A035257 - MARSONO, SH -

13-09-2018 180913050 BW.P-A035258 - YUSTINUS WAHYU SASETYO ADHI -
13-09-2018 180913051 BW.P-A029030 - AMIR HAMZAH -

13-09-2018 180913052 BW.P-A035232 - NURUL HIDAYATI 210000

13-09-2018 180913053 Dr. AGUS SpJP -

13-09-2018 180913054 BW.P-A035261 - ALVINA NITA DHYARWATI -
13-09-2018 180913055 PERGANTIAN LEMARI ICCU Px. NURUL HIDAYATI 243750

13-09-2018 180913056 BW.P-A025687 - INTARTO MURSIHADI -

13-09-2018 180913058 BW.P-A035262 - HIOE MASUKI KUSUMA -

13-09-2018 180913059 BW.P-A 013959 - VERDI ANTHONY LIMBONG -

13-09-2018 180913060 BW.P-A035262 - HIOE MASUKI KUSUMA -

13-09-2018 180913061 BW.P-A007325 - HERA MORDIANA -

13-09-2018 180913062 BW.P-A021674 - AWANG FERDIAN HIDAYAT -

13-09-2018 180913063 BW.P-A035263 - HINDUN DJUWAROCHMI -

13-09-2018 180913064 BW.P-A007325 - HERA MORDIANA -
13-09-2018 180913065 BW.P-A 015466 - SUBAGYA HARYANTO -

13-09-2018 180913066 BW.P-A021674 - AWANG FERDIAN HIDAYAT -

13-09-2018 180913067 NUR -

13-09-2018 180913068 BW.P-A035007 - JOKO PITOYO 888750

13-09-2018 180913069 BW.P-A035007 - JOKO PITOYO 230000

13-09-2018 180913070 BW.P-A033741 - EDWARD GUNAWAN 75000

13-09-2018 180913071 BW.P-A035232 - NURUL HIDAYATI 165000

13-09-2018 180913072 BW.P-A035007 - JOKO PITOYO 504348

13-09-2018 180913073 BW.P-A035232 - NURUL HIDAYATI 1345027

13-09-2018 180913074 BW.P-A035205 - FRANS WITIGNA KESWANDHANA, 45865

13-09-2018 180913075 BW.P-A033741 - EDWARD GUNAWAN 187850

 LAPORAN PENJUALAN NO ( 180913001 S/D 180913
LAPORAN RETUR NO ( 6776 S/D 6776 )

R.JALAN OWNER RINCIAN OBAT JUMLAH HARGA TOTAL

- - U Nacl 0,9 % 500 ml 2 50000 100000
U Pampers Dwsa ( L ) 1 25000 25000
U Do Care Wash 1 40000 40000
U Hansaplast plester 2 1000 2000
- - U Surflo no.24 2 25000 50000
U Surflo no.22 2 25000 50000
U Tri way buntut 1 50000 50000
U Tegaderm 6x7 1623w 1 20000 20000
U Alkohol Swab 10 1000 10000
U Spuit 5 cc 2 10000 20000
BD needle 32 lantus 5 3417 17085
5352 - Sangobion tablet 4 1338 5352
- - Lantus solostar 100ui 1 235767 235767
Apidra penfill 1 222049 222049
- - Lasix IV 20MG 2 21274 42548
14356 - Merislon 6MG TAB 2 7178 14356
2435550 - COVERAM 10/5 TAB 30 17646 529380
Ezetrol 10 mg TAB 30 23351 700530
Thrombo aspilet 80 mg TAB 30 947 28410
Crestor 10 mg tablet 30 24111 723330
Glurenorm 30 MG TAB 60 4587 275220
Glucophage XR 500MG TAB 60 2978 178680
- - BRILINTA 90 mg TAB 60 18475 1108500
Ascardia 80 mg TAB 30 1169 35070
Maintate 5MG TAB 31 9763 302653
ROSUVASTATIN 20MG 60 5500 330000
Ezetrol 10 mg TAB 60 21740 1304400
3254820 - Stator 20 mg 100 20196 2019600
COVERAM 10/5 TAB 70 17646 1235220
102480 - Notisil 2mg Tab 60 1708 102480
- - Narfoz 8 mg IV 1 74869 74869
Roxemid 20mg IV 1 12375 12375
Merotik IV 1 gr 1 587813 587813
Canderin 8 mg tab 1 8491 8491
U Cathejell 12.5 gr 1 100000 100000
U Urine bag 1 25000 25000
 U Handscone Steril No. 7 1 30000 30000
U Folley Catheter No 16 1 50000 50000
U Nacl 0,9 % 500 ml 1 50000 50000
U Tegaderm 6x7 1623w 1 20000 20000
- - BRILINTA 90 mg TAB 1 18475 18475
Xarelto 15 mg tab 1 41378 41378
Brainact 1GR IV 1 143000 143000
Lasix IV 20MG 2 21274 42548
Uperio 50mg tab 1 19643 19643
ROSUVASTATIN 20MG 1 5500 5500
Bic Natrium 500mg tab 2 232 464
Zyloric 100mg (200's) Tab 2 2878 5756
Ketosteril TAB 4 8539 34156
2165625 - Vaclo 75 mg TAB 30 18563 556890
Canderin 8 mg tab 30 9170 275100
Bisovell 5 mg Tab 30 7425 222750
Fastor 20mg 60 17634 1058040
Ultracet tab 5 10569 52845
5047560 - Fenosup 160 mg 90 17325 1559250
Stator 20 mg 90 20196 1817640
Vaclo 75 mg TAB 90 18563 1670670
87490 - Neurobion 5000 tablet 10 3547 35470
Methycobalt 500 mg TAB 10 5202 52020
- - BRILINTA 90 mg TAB 1 18475 18475
Crestor 20 mg tablet 1 26175 26175
Lasix 40 mg TAB 1 6105 6105
Bioprexum 5 MG TAB 1 11807 11807
Glucophage 500 mg TAB 2 1917 3834
- - Roxemid 20mg IV 1 12375 12375
Bisovell 5 mg Tab 1 6875 6875
Merotik IV 1 gr 1 587813 587813
Lovenox 0,4ml IV 1 206089 206089
Narfoz 8 mg IV 1 74869 74869
Topazol 40mg IV 1 192019 192019
Zypraz 0,5 mg TAB 1 2888 2888
Stator 20 mg 1 18700 18700
Microlax Sup 1 24750 24750
2362950 - Q Ten 100mg TAB 30 14108 423240
CANDERIN 16 mg Tab 30 13365 400950
Amlodipine 10mg Tab Berno(100) 30 2057 61710
Atorvastatin 20 mg tab OGB 30 5346 160380
 Bisoprolol 5 mg Tab Novell 30 1881 56430
BRILINTA 60 MG TAB 60 21004 1260240
1742 - Vitacimin tablet 2 871 1742
121686 - Flixotide 0,5/2ml Nebul 1 25839 25839
U Nebulizer Mask adult 1 82500 82500
Ventolin 2,5 mg NEB 1 13347 13347
2204100 - Fenosup 160 mg 30 17325 519750
Stator 20 mg 15 20196 302940
Velacom 2/500mg 90 3465 311850
Aldactone 25 MG TAB 30 2240 67200
V Bloc 6,25 mg TAB 60 3341 200460
CANDERIN 16 mg Tab 60 13365 801900
2498775 - Cravox 500MG TAB 10 49376 493760
Euphyllin Retard tab 30 4526 135780
Stator 20 mg 30 20196 605880
Vaclo 75 mg TAB 30 18563 556890
Bisovell 5 mg Tab 30 7425 222750
CANDERIN 16 mg Tab 30 13365 400950
Medrol 16 mg TAB 5 16553 82765
158160 - Maintate 5MG TAB 15 10544 158160
1301648 - ROSUVASTATIN 20MG 10 5940 59400
Concor 2.5 mg tab 10 7218 72180
Candesartan 8 mg tab Dexa 10 6014 60140
Crestor 20 mg tablet 14 28269 395766
Xarelto 15 mg tab 14 44688 625632
Cordaron 200 mg TAB 10 8853 88530
2348900 - Exforge 10/160 mg tab 100 23489 2348900
667080 - Nexium 20 mg TAB 30 22236 667080
218768 - Embalase obat jadi Inhealth 2 400 800
Simarc 2 mg INHEALTH 44 1272 55968
Canderin 8 mg Tab INHEALTH 30 5400 162000
- - Vascon inj 2 123750 247500
U Needle no 18 5 25000 125000
U Spuit 20 cc 5 10000 50000
5000 - MASKER 3Pcs 1 5000 5000
- - Lasix IV 20MG 10 21274 212740
U Nacl 0,9 % 500 ml 1 50000 50000
U Spuit 10 cc 2 10000 20000
U Manometer Line 1 50000 50000
U Needle no 18 1 25000 25000
U Tri way buntut 1 50000 50000
 U Alkohol Swab 10 1000 10000
U Tegaderm 6x7 1623w 1 20000 20000
U Surflo no.24 2 25000 50000
U Spuit 20 cc 2 10000 20000
U Surflo no.22 2 25000 50000
444420 - Esilgan 2 mg tablet 30 7713 231390
Simvastatin 20 mg KF 30 1247 37410
Metformin 500 mg Tab Hexa 90 221 19890
Simarc-2 tablet 30 2027 60810
Bisoprolol 5 mg Tab Novell 30 1881 56430
Amlodipine 5 mgTab Berno(100) 30 1283 38490
324300 - Zypraz 1 mg tab 60 5405 324300
2054697 - Medrol 16 mg TAB 30 16553 496590
Xanax 0,5 mg 30 8203 246090
Uperio 50mg tab 42 21214 890988
Recolfar 0,5 mg tab 63 6683 421029
164060 - Xanax 0,5 mg 20 8203 164060
246090 - Xanax 0,5 mg 30 8203 246090
3056900 - Concor 2.5 mg tab 100 7218 721800
Ezetrol 10 mg TAB 100 23351 2335100
2521450 - Concor 5 mg TAB 50 10453 522650
Diovan 160 mg TAB 100 19988 1998800
- - U Tegaderm 6x7 1623w 1 20000 20000
U Tri way buntut 1 50000 50000
U Surflo no.24 1 25000 25000
U Surflo no.22 2 25000 50000
U Do Care Wash 1 40000 40000
U Underpad 3 25000 75000
- - U Do Care Wash 2 40000 80000
U Spuit 10 cc 3 10000 30000
U Tegaderm 6x7 1623w 1 20000 20000
U Tri way buntut 1 50000 50000
U Pampers Dwsa ( L ) 4 25000 100000
U Surflo no.22 2 25000 50000
U Alkohol Swab 10 1000 10000
4060950 - Cordaron 200 mg TAB 50 8853 442650
Lipitor 40 mg TAB 50 23728 1186400
Uperio 50mg tab 100 21214 2121400
Glucophage 500 mg TAB 150 2070 310500
27400 - Antacida Doen 400 mg TAB 100 274 27400
- - U Hansaplast plester 1 1000 1000
 U Do Care Wash 1 40000 40000
549200 - Valsartan 80mg Tab Novell 50 5049 252450
Bisoprolol 5 mg Tab Novell 50 1881 94050
Simarc-2 tablet 100 2027 202700
855330 - Atorvastatin 20 mg tab OGB 30 5346 160380
Amlodipine 10mg Hexa 30 947 28410
CANDERIN 16 mg Tab 30 13365 400950
Cordaron 200 mg TAB 30 8853 265590
- 0 U Micropore 1" 5 25850 0
U Bicakcilar NO.22 50 50000 0
424280 - Uperio 50mg tab 20 21214 424280
2421150 - Concor 2.5 mg tab 30 7218 216540
Exforge 5/160 mg tab 30 21867 656010
Ezetrol 10 mg TAB 30 23351 700530
Crestor 20 mg tablet 30 28269 848070
200490 - Atorvastatin 40 mg Tab OBG 30 6683 200490
265590 - Cordaron 200 mg TAB 30 8853 265590
5371000 - Concor 5 mg TAB 100 10453 1045300
Crestor 20 mg tablet 100 28269 2826900
Platogrix 75MG TAB 100 14988 1498800
- - U Alkohol Swab 10 1000 10000
U Nacl 0,9 % 500 ml 3 50000 150000
U Tri way buntut 1 50000 50000
4826 - Mikonazol cream 2% 1 4826 4826
104530 - Concor 5 mg TAB 10 10453 104530
- - Vascon inj 1 123750 123750
U NGT( catheter tip) 50 c 1 30000 30000
U Spuit 50 cc 2 30000 60000
U Tri way 1 30000 30000
2760030 - Lipitor 40 mg TAB 30 23728 711840
Ezetrol 10 mg TAB 30 23351 700530
Bioprexum 5 MG TAB 30 12751 382530
Concor 5 mg TAB 30 10453 313590
Pletaal 50 mg TAB 60 10859 651540
276662 - Atorvastatin 40 mg Tab OBG 10 6683 66830
Platogrix 75MG TAB 14 14988 209832
71368 - Platogrix 75MG TAB 2 14988 29976
Ascardia 80 mg TAB 2 1262 2524
Atorvastatin 40 mg Tab OBG 2 6683 13366
Bioprexum 5 MG TAB 2 12751 25502
45617 - CDR (10) 1 45617 45617
2119190 - Samsca 15 mg 6 218415 1310490
Aldactone 25 MG TAB 40 2240 89600
Concor 5 mg TAB 20 10453 209060
Bioprexum 5 MG TAB 40 12751 510040
5489945 - Ezetrol 10 mg TAB 100 23351 2335100
Crestor 20 mg tablet 100 28269 2826900
Zypraz 0,5 mg TAB 30 3119 93570
Cardio Aspirin 100MG TAB 125 1875 234375
297000 - ROSUVASTATIN 20MG 50 5940 297000
6905 - Cedocard 5 mg tablet 5 1381 6905
3175080 - Crestor 20 mg tablet 30 28269 848070
Ezetrol 10 mg TAB 30 23351 700530
Bioprexum 5 MG TAB 60 12751 765060
V Bloc 6,25 mg TAB 60 3341 200460
Plavix 75 mg TAB 30 22032 660960
626 - Zypraz 0,5 mg TAB -30 3119 -93570
Neurobion 5000 tablet 10 3547 35470
Xonce tablet 1 796 796
Zypraz 0,25 mg TAB 30 1931 57930
8421 - U Hansaplast plester 1 1100 1100
Methylprednisolon 16 mg Tab Novell 3 1258 3774
Neurobion 5000 tablet 1 3547 3547
- - U Surflo no.24 2 25000 50000
U Surflo no.22 2 25000 50000
U Alkohol Swab 10 1000 10000
U Tegaderm 6x7 1623w 1 20000 20000
U Tri way buntut 1 50000 50000
U Infus set Pump TSPA 1 75000 75000
U Nacl 0,9 % 500 ml 1 50000 50000
U Pisau Cukur 1 25000 25000
U Kondom Catheter ( L) 1 25000 25000
U Kondom Catheter ( M ) 1 25000 25000
U Kondom Catheter ( S ) 1 25000 25000
U Urine bag 1 25000 25000
U Urinale 1 30000 30000
U Folley Catheter No 16 1 50000 50000
U Cathejell 12.5 gr 3 100000 300000
U Handscone steril No.7.5 1 30000 30000
U Spuit 5 cc 1 10000 10000
U WFI 25 cc 1 15000 15000
U Spuit 20 cc 1 10000 10000
 Betadine Sol 15 ml 1 13750 13750
- - U Spuit 20 cc 2 10000 20000
U Spuit 1 cc 1 10000 10000
U Needle no 18 2 25000 50000
U Manometer Line 2 50000 100000
U Nacl 0,9 % 500 ml 1 50000 50000
- - U Nebulizer Mask adult 1 75000 75000
- - U Spuit 5 cc 3 10000 30000
U Spuit 3 cc 4 10000 40000
U Alkohol Swab 5 1000 5000
U Do Care Wash 1 40000 40000
U Pampers Dwsa ( L ) 2 25000 50000
- - Profenid 100 Supp 2 17668 35336
Intrix 1 gr 2 234506 469012
- - Topazol 40mg IV 1 192019 192019
Narfoz 8 mg IV 1 74869 74869
Lovenox 0,4ml IV 1 206089 206089
Bisovell 5 mg Tab 1 6875 6875
Merotik IV 1 gr 1 587813 587813
Vaclo 75 mg TAB 1 17188 17188
Zypraz 0,5 mg TAB 1 2888 2888
Ultracet tab 1 9786 9786
Vascon inj 2 123750 247500
- - Concor 2.5 mg tab 1 6684 6684
Thrombo aspilet 80 mg TAB 1 877 877
BRILINTA 90 mg TAB 1 18475 18475
Glucophage 500 mg TAB 1 1917 1917
Bioprexum 5 MG TAB 1 11807 11807
Lasix 40 mg TAB 1 6105 6105
- - Ketosteril TAB 2 8539 17078
Bic Natrium 500mg tab 1 232 232
Zyloric 100mg (200's) Tab 1 2878 2878
Lasix IV 20MG 2 21274 42548
Uperio 50mg tab 1 19643 19643
Brainact 500MG IV 1 86996 86996
BRILINTA 90 mg TAB 1 18475 18475
Penjualan 74,293,693
LAN NO ( 180913001 S/D 180913075 )
RETUR NO ( 6776 S/D 6776 )

TANGGAL STRUK
13-09-2018 6776
 PASIEN R.INAP R.JALAN OWNER
BW.P-A035236 - ARDYAN ADHITIA, ST -277000 - -
 RINCIAN OBAT JUMLAH HARGA TOTAL
U Nacl 0,9 % 500 ml 1 -50000 -50000
U Spuit 5 cc 3 -10000 -30000
U Kondom Catheter ( L) 1 -25000 -25000
U Kondom Catheter ( S ) 1 -25000 -25000
U Alkohol Swab 6 -1000 -6000
U Needle no 18 4 -25000 -100000
U Do Care Wash 1 -40000 -40000
U Hansaplast plester 1 -1000 -1000
Retur -277,000