ANFRAG RUANGAN HEMODIALISA DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 APRON 3,300
2 MASKER 660 65 66 66 66
3 TOPI 660 30 25 25 25 20
4 HANDSCOEN 2,200 100 10 50 100 50 100 50 50 100 100 100 100 100 100 50 100 100 50
5 PLESTER 22,880 1 2 1 1 1 1 1 1 2 1 1 1 1 2 1 2 2 2
6 HYPAFIX 10x5 68,750
7 KASA 40x80 177,100 1 1 2
8 INFUS SET ADULT 7,925
9 KY JELLY 66,600
10 H2O2 111,000 1 1 1
11 AQUADEST 1L 31,758
12 ALKOHOL SWAB 153
13 SAFETY BOX 23,136
14 HEPAGUSAN 60,000 30 12 30 30 30
15 ALKOHOL 70% 300 20,180
16 DISPO 5CC 1,149 10 10 10
17 DISPO 3CC 1,019 10 10 10 10 100
18 DISPO 1CC 1,465 100 100 100 100
19 DISPO 10CC 2,062 100 10 100 100
20 ALKOHOL 70% 1L 90,900 1 1 1 1 1 1
27 28 29 30 31 JMLH TOTAL
0 0
263 173580
125 82500
100 100 100 1710 3762000
2 2 2 30 686400
0 0
1 1 6 1062600
0 0
0 0
1 4 444000
0 0
0 0
0 0
30 162 9720000
0 0
30 34470
140 142660
400 586000
310 639220
6 545400
3186 17878830
 ANFRAG RUANGAN OK DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 50 20 20 30 30
2 MASKER 660 70 70 70 70
3 TOPI 660 100 100 100 100
4 HANDSCOEN 2,200 100 150 150
5 PLESTER 22,880 2 2
6 ULTRAFIX 10x5 53,280 1 1 1 1
7 KASA 40x80 177,100 5 5
8 OZYME 5L 5,050,000
9 KY JELLY 66,600
10 H2O2 111,000
11 AERRANE 250ML 1,277,650
12 ONE SCRUB 5ML 1,010,000 1
13 SEVOFLURANE 2,017,980
14 ALKOHOL SWAB 184
15 SAFETY BOX 23,158
16 K T M 205,128
17 PEN COWFER [PD] 69,300
18 POUCH 25cm x 200cm 1,570,200
19 RED DOT ADULT 201,798
20
21
26 27 28 29 30 31 JMLH TOTAL
30 180 594000
70 70 420 277200
100 100 600 396000
150 150 700 1540000
2 2 8 183040
1 1 6 319680
10 1771000
1 1 5050000
0 0
0 0
0 0
1 1010000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1926 11140920
 ANFRAG RUANGAN I G D DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 10 10
2 MASKER 660 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 100
3 TOPI 660 100 100 100 50
4 HANDSCOEN 2,200 100 100 50 100 100 100 100 100 150 100 100 50 50 100 100 150 100 100 300
5 PLESTER 22,880 2 2 1 2 2 2 2 1 2 2 1 3 1 2 2 2 2 1 2 5
6 HYPAFIX 10x5 68,750
7 KASA 40x80 177,100 1 1 2
8 OZYME 5L 5,050,000
9 KY JELLY 66,600 1 1
10 H2O2 111,000 1
11 AERRANE 250ML 1,277,650
12 ONE SCRUB 5ML 1,010,000
13 SEVOFLURANE 2,017,980
14 ALKOHOL SWAB 184 100 100 200 100 100 200 100 100 200 100 200 100 500
15 SAFETY BOX 23,158 1 2 1 2
16 RED DOT 3,330 50
17 AQUADEST 1L 35,646
18 PITA EKG 166,500 1 1 1 1 1
19
20
21
26 27 28 29 30 31 JMLH TOTAL
10 30 99000
100 150 1150 759000
100 450 297000
300 300 2650 5830000
4 4 47 1075360
0 0
1 5 885500
0 0
1 3 199800
1 111000
0 0
0 0
0 0
300 400 2800 515200
6 138948
50 166500
0 0
1 1 7 1165500
0 0
0 0
7199 11242808
 ANFRAG RUANGAN MARKUS DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 10 10
2 MASKER 660 140 140 140
3 TOPI 660
4 HANDSCOEN 2,200 200 200 100
5 PLESTER 22,880 2 1 2
6 PITA EKG 166,500 1
7 KASA 40x80 177,100 1
8 SAFETY BOX 23,158 2
9 KY JELLY 66,600 2
10 ALLKOHOL SWAB 184 200 400 200
11
12
13
14
26 27 28 29 30 31 JMLH TOTAL
20 66000
20 120 560 369600
0 0
200 700 1540000
1 6 137280
1 166500
1 177100
2 46316
2 133200
800 147200
0 0
0 0
0 0
0 0
2092 2783196
 ANFRAG RUANGAN I C U DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 20 10
2 MASKER 660 50 50 50 50 50 50 50
3 TOPI 660 100 100
4 HANDSCOEN 2,200 100 100 100 50 100 100 100 100 50 200 50 100 100 100 100 100 100
5 PLESTER 22,880 2 2 2 2
6 HYPAFIX 10x5 68,750 1 1 1 1 1 1
7 KASA 40x80 177,100 1 1
8 OZYME 5L 5,050,000
9 KY JELLY 66,600 1
10 H2O2 111,000
11 AERRANE 250ML 1,277,650
12 ONE SCRUB 5ML 1,010,000
13 SEVOFLURANE 2,017,980
14 ALKOHOL SWAB 184 200 200 100 200 200 100
15 SAFETY BOX 23,158 2 2
16 RED DOT 3,330 50 50 50 50
17 PITA EKG 166,500
18 AQUADEST 1liter 33,440 2 1 1 2 2 1
19
20
26 27 28 29 30 31 JMLH TOTAL
10 10 50 165000
50 400 264000
100 300 198000
50 100 50 100 100 2050 4510000
1 2 11 251680
1 1 8 550000
1 3 531300
0 0
1 66600
0 0
0 0
0 0
0 0
100 100 200 1400 257600
4 92632
50 250 832500
0 0
2 2 3 16 535040
0 0
0 0
4493 8254352
 ANFRAG RUANGAN MARIA DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 20
2 MASKER 660 30 30 30 30
3 TOPI 660
4 HANDSCOEN 2,200 100 100 100 100
5 PLESTER 22,880 2 2 2 2
6 SAFETY BOX 23,158 2
7 ALKOHOL SWAB 184 200 200 200 200
8 ULTRASONIC GELL 5,050,000
9 KY JELLY 66,600
10 HYPAFIX 10x5cm 68,750 1
11 KASA 40X80cm 177,100 1
12
13
14
26 27 28 29 30 31 JMLH TOTAL
20 66000
30 150 99000
100 100 66000
100 500 1100000
2 10 228800
2 46316
200 1000 184000
0 0
0 0
1 68750
1 2 354200
0 0
0 0
1785 2213066
 ANFRAG RUANGAN YEHEZKIEL DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50 50 50 50
3 TOPI 660 35
4 HANDSCOEN 2,200 100 100 100 100
5 PLESTER 22,880 2 3 2 2
6 SAFETY BOX 23,158 2
7 KASA 40x80 177,100 1
8 PITA EKG 166,500
9 KY JELLY 66,600
10 ALKOHOL SWAB 184 200 100 100 200
11
12
13
26 27 28 29 30 31 JMLH TOTAL
0 0
60 260 171600
35 23100
100 500 1100000
2 11 251680
2 4 92632
1 177100
0 0
0 0
100 700 128800
0 0
0 0
0 0
1511 1944912
 ANFRAG RUANGAN HANNA DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300 10 10 10
2 MASKER 660 50 50
3 TOPI 660 10
4 HANDSCOEN 2,200 50
5 PLESTER 22,880 1 1 1 1 1
6 SAFETY BOX 23,158
7 KASA 40x80 177,100
8 PITA EKG 166,500
9 KY JELLY 66,600
10 ALKOHOL SWAB 184 100 100 100 100
11
12
13
26 27 28 29 30 31 JMLH TOTAL
10 40 132000
50 150 99000
10 6600
50 100 220000
1 6 137280
0 0
0 0
0 0
0 0
100 500 92000
0 0
0 0
0 0
806 686880
 ANFRAG RUANGAN LABORATORIUM DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50 50 50
3 TOPI 660
4 HANDSCOEN 2,200 100 100 100 200
5 PLESTER 22,880
6 SAFETY BOX 23,158
7 KASA 40x80 177,100
8 SAFETY BOX 23,158
9 AQUADEST 25ML 3,178
10 ALKOHOL SWAB 184 200 200 200
11 DISPO 3CC 996 100 100
12 DISPO 5CC 1,149
13 NACL 0,9% 500ML 23,976
26 27 28 29 30 31 JMLH TOTAL
0 0
50 200 132000
0 0
150 650 1430000
0 0
0 0
0 0
0 0
0 0
200 800 147200
100 300 298800
0 0
0 0
1950 2008000
 ANFRAG RUANGAN BETHESDA DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50
3 TOPI 660
4 HANDSCOEN 2,200 100
5 PLESTER 22,880 2
6 SAFETY BOX 23,158
7 KASA 40x80 177,100
8 PITA EKG 166,500
9 KY JELLY 66,600
10 ALKOHOL SWAB 184 200
11
12
13
26 27 28 29 30 31 JMLH TOTAL
0 0
50 100 66000
0 0
100 200 440000
2 4 91520
2 2 46316
0 0
1 1 166500
0 0
200 400 73600
0 0
0 0
0 0
707 883936
 ANFRAG RUANGAN ELISABETH DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50 50 50 50 50 50
3 TOPI 660
4 HANDSCOEN 2,200 150 150 150 100 150 150
5 PLESTER 22,880 4 4 4 3 2 4
6 SAFETY BOX 23,158 2 2
7 KASA 40x80 177,100 2
8 PITA EKG 166,500 1 2
9 KY JELLY 66,600 1 1 1
10 ALKOHOL SWAB 184 300 300 300 300 300 300
11
12
13
26 27 28 29 30 31 JMLH TOTAL
0 0
50 50 400 264000
0 0
150 100 1100 2420000
4 4 29 663520
4 92632
1 3 531300
3 499500
3 199800
300 300 2400 441600
0 0
0 0
0 0
3942 5112352
 ANFRAG RUANGAN DEBORA DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50 50 50 50 50
3 TOPI 660
4 HANDSCOEN 2,200 50 50 100
5 PLESTER 22,880 3 3 3 1 3 3 3
6 SAFETY BOX 23,158 1 1
7 KASA 40x80 177,100
8 PITA EKG 166,500
9 KY JELLY 66,600
10 ALKOHOL SWAB 184 200 200 200 200 200
11
12
13
26 27 28 29 30 31 JMLH TOTAL
0 0
50 50 350 231000
0 0
50 50 300 660000
3 3 25 572000
2 4 92632
0 0
0 0
0 0
200 1200 220800
0 0
0 0
0 0
1879 1776432
 ANFRAG RUANGAN YOHANES DESEMBER 2022

NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 50 50 50 50
3 TOPI 660
4 HANDSCOEN 2,200 100 100 100 100
5 PLESTER 22,880 2 2 2
6 SAFETY BOX 23,158 1
7 KASA 40x80 177,100 1
8 PITA EKG 166,500
9 KY JELLY 66,600 1
10 ALKOHOL SWAB 184 200 600 200 200
11
12
13
26 27 28 29 30 31 JMLH TOTAL
0 0
50 250 165000
0 0
100 500 1100000
2 8 183040
1 23158
1 177100
0 0
1 66600
200 1400 257600
0 0
0 0
0 0
2161 1972498
 ANFRAG RUANGAN RUANGAN DESEMBER 2022
NO OBAT/ALKES MASKER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 KEUANGAN 660 45
2 DRIVER 660 50
3 LOGISTIK 660
4 BPJS 660
5 REKAM MEDIK 660 111 444 81
6 SECURITY 660 68 68 68 68
7SDM 660 50
8 KOMITEE 660 50
9MOD 660
10 I T 660 30
11 SEKRETARIAT 660 24
12 W A S H 660
27 28 29 30 31 JMLH TOTAL
27 72 47520
50 33000
0 0
0 0
81 717 473220
272 179520
50 33000
50 33000
0 0
30 19800
24 15840
0 0
1265 834900
 ANFRAG RUANGAN WASH DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 MASKER 660 66 66 66 66
2 TOPI 660 100
3 HANDSCOEN 2,200
26 27 28 29 30 31 JMLH TOTAL
77 341 225060
100 66000
77 77 169400
518 460460
 ANFRAG RUANGAN BEDAH DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 APRON 3,300
2 MASKER 660 30
3 TOPI 660
4 HANDSCOEN 2,200 200
5 PLESTER 22,880 4
6 HYPAFIX 10x5 68,750
7 KASA 40x80 177,100 1
8 NACL 0,9% 500ML 10,000 3
9 VERBAN 4X5cm 1,465 10
10 VERBAN4X10cm 2,930 10
11 VERBAN4X15cm 4,396 10
12 IODIN 60ml 10,230 4
13 ALKOHOL 70% 1L 90,900
14 KY JELLY 66,600 2
27 28 29 30 31 JMLH TOTAL
0 0
30 19800
0 0
200 440000
4 91520
0 0
1 177100
3 30000
10 14650
10 29300
10 43960
4 40920
0 0
2 133200
274 1020450
 ANFRAG RUANGAN POLI GIGI DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 ALKOHOL 1L 70% 90,900
2 IODIN 60ml 10,230 2
3 DISPO 3CC 1,019
4 HANDSCOEN 2,200 100
5 KASSA 40x80cm 177,100 1
6 PLESTER 22,880
7 MASKER 660 50
8 TOPI 660 100
9 PEHACAIN inj. 37,770
10 EPINEPHRIN inj, 2,109
11 DISPO 1cc 996
26 27 28 29 30 31 JMLH TOTAL
0 0
2 20460
0 0
100 220000
1 177100
0 0
50 33000
100 66000
0 0
0 0
0 0
253 516560
 ANFRAG RUANGAN KAMAR MAYAT DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 MASKER 660 50 50
2 HANDSCOEN no.7 10,763
3 HANDSCOEN 2,200 50 50
26 27 28 29 30 31 JMLH TOTAL
100 66000
0 0
100 220000
200 286000
 ANFRAG RUANGAN P P I DESEMBER 2022
R
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 MASKER 660
2 TOPI 660 100 200
3 HANDSCOEN 2,200 200 250
4 APRON 3,300 20 10
26 27 28 29 30 31 JMLH TOTAL
0 0
300 198000
450 990000
30 99000
0 0
780 1287000
 ANFRAG RUANGAN KESLING DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 MASKER 660 50 50 10
2 APRON 3,300 8 10
3 HANDSCOEN 2,200 50 50
26 27 28 29 30 31 JMLH TOTAL
110 72600
18 59400
50 150 330000
278 462000
 ANFRAG RUANGAN PAULUS DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 MASKER 90,900
2 ALKOHOL 70% 1L 3,300 1
3 PLESTER 22,880
26 27 28 29 30 31 JMLH TOTAL
0 0
2 3 9900
2 2 45760
5 55660
 ANFRAG POLI ANAK DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 17 17 20 21 22 23 24 25
1 MASKER 660 50
2 SAFETY BOX 23,136
3 HANDSCOEN 2,200 50
26 27 28 29 30 31 JMLH TOTAL
50 33000
0 0
50 110000
100 143000
 ANFRAG POLI KANDUNGAN DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
1 MASKER 660 50
2 HANDSCOEN ON 2,200 50
3 TOPI 660
4 FILM USG 399,600 2 2
5 ULTRASONIC GEL 24,216 20
6 PITA EKG 166,500
7 PLESTER 22,880
8
27 28 29 30 31 JMLH TOTAL
50 33000
50 110000
0 0
4 1598400
20 484320
0 0
0 0
0 0
124 2225720
 ANFRAG POLI INTERNA DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 17 17 20 21 22 23 24 25
1 MASKER 660 50
2 TOPI 660 30
3 HANDSCOEN 2,200 50
26 27 28 29 30 31 JMLH TOTAL
50 33000
30 19800
50 110000
130 162800
 ANFRAG RUANGAN APOTIK DESEMBER 2022
NO OBAT/ALKES HARGA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
1 APRON 3,300
2 MASKER 660 70 70 70
3 TOPI 660
4 HANDSCOEN 2,200 100
5 PLESTER 22,880 1
6 ALKOHOL SWAB 153
7 ALKOHOL 1L 70% 177,100 1
8 SAFETY BOX 23,136
26 27 28 29 30 31 JMLH TOTAL
0 0
70 280 184800
0 0
100 220000
1 22880
0 0
1 2 354200
0 0
0 0
0 0
0 0
0 0
0 0
383 781880