KLINIK UTAMA CARSA TARAKAN

Jl. Sebengkok Tiram No. 3 Tarakan - Kalimantan Utara

Telp. (0551) 31457
LAPORAN
Periode Laporan : 02 Oktober 2016

PENGGUNAAN OBAT APOTEK

RATA2
No. KETERANGAN UMUM JUMLAH RESEP PENGGUNAAN
OBAT
1 dr. Umum Rp 18,222,953 998 Rp 18,259
2 dr. Gigi Rp 67,080 8 Rp 8,385
3 dr. Sigit, Sp.A Rp 3,590,480 79
4 dr. Ngurah, Sp.OG Rp 811,450 3
TOTAL Rp 22,691,963 1088

PENGHASILAN APOTEK
No. KETERANGAN JUMLAH HARGA
1 Penjualan Rp 978,010
2 Tambah Bayar Rp 702,000
TOTAL Rp 1,680,010

AMPRAHAN POLI
No. KETERANGAN JUMLAH HARGA
1 KLINIK UTAMA Rp 7,314,582
2 KLINIK PRATAMA Rp 5,696,516
TOTAL Rp 13,011,098
a

TEK
RATA2
JUMLAH PENGGUNAAN
BPJS RESEP OBAT
Rp 5,800,995 802 Rp 7,233
Rp 109,521 31 Rp 3,533

Rp 5,910,516 833

Tarakan, 02 Oktober 2016

Apoteker

Devi Dewinta Sari, S.Farm.,Apt.

SIPA: 19901203/SIPA-64.73/2015/2072
 KLINIK UTAMA CARSA TARAKAN
Jl. Sebengkok Tiram No. 3 Tarakan - Kalimantan Utara
Telp. (0551) 31457
LAPORAN
Periode Laporan : 02 Oktober 2016

AMPRAHAN PRATAMA
No. Tanggal Poli Nama BHP/Obat Jumlah Satuan
1 1-Sep-16 IGD PRATAMA Handscoon M 50 Pasang
Ranitidin 10 Ampul
IGD PRATAMA
Dexamethasone 16 Ampul
2 2-Sep-16
Gelas kumur 50 Pcs
GIGI
Handscoon S 50 Pasang
Ranitidin 10 Ampul
Ketorolac 12 Ampul
Dumin 125 mg 5 Pcs
Daryantulle 2 Pcs
Sidiadryl 2 Vial
3 4-Sep-16 IGD PRATAMA Aqua pro Injeksi 2 Kolf
Infusan NS 500 CC 5 Kolf
Alkohol 1 Botol
Plain catgut 2/0 5 Pcs
Plain catgut 3/0 5 Pcs
Dispo 10 CC 10 Pcs
4 5-Sep-16 IGD PRATAMA Handscoon M 50 Pasang
5 7-Sep-16 IGD PRATAMA Handscoon M 50 Pasang
Infuset Makro 5 Pcs
6 8-Sep-16 VK Dispo 3 CC 20 Pcs
Underpad 10 Pcs
Ranitidin 10 Ampul
Ketorolac 6 Ampul
Ondancentron 4 mg 5 Ampul
7 10-Sep-16 IGD PRATAMA
Dispo 1 CC 10 Pcs
Alkohol Swab 100 Pcs
Ventolin 20 UDV
8 11-Sep-16 IGD PRATAMA Ceftriaxone 1 Vial
9 12-Sep-16 IGD PRATAMA Needle 23 G 10 Pcs
Folley catheter 16 G 2 Pcs
Urine bag 2 Pcs
Infuset dewasa 10 Pcs
Aqua pro Injeksi 5 Kolf
10 13-Sep-16 IGD PRATAMA Bisolvon solution 1 Botol
Combivent 10 UDV
Neurobion 10 Ampul
Ketorolac 18 Ampul
10 13-Sep-16 IGD PRATAMA

Ranitidin 10 Ampul
11 14-Sep-16 IGD PRATAMA Handscoon M 50 Pasang
Cyclofem 20 Vial
12 15-Sep-16 VK
Tryclofem 20 Vial
VK Alkohol Swab 100 Pcs
13 16-Sep-16
IGD PRATAMA Dumin 125 mg 5 Pcs
Ranitidin 10 Ampul
Ketorolac 6 Ampul
14 17-Sep-16 IGD PRATAMA
Infusan RL 500 CC 5 Kolf
Hypafix 1 Box
Masker 50 Pcs
Ranitidin 10 Ampul
IGD PRATAMA Ketorolac 12 Ampul
15 20-Sep-16
Handscoon M 50 Pasang
Safety Box 1 Pcs
VK Tryclofem 20 Vial
16 23-Sep-16 VK Needle 23 G 30 Pcs
VK Dispo 3 CC 10 Pcs
Needle 23 G 20 Pcs
Dispo 3 CC 100 Pcs
Alkohol Swab 100 Pcs
Ketorolac 18 Ampul
Ondancentron 4 mg 5 Ampul
17 26-Sep-16
IGD PRATAMA Ranitidin 2 Ampul
Neurobion 19 Ampul
Sagestam 2 Tube
Daryantulle 1 Pcs
Handscoon M 50 Pasang
Kassa Gulung 1 Roll
18 28-Sep-16 GIGI Masker 50 Pcs
19 30-Sep-16 IGD PRATAMA Handscoon M 50 Pasang
TOTAL
ARSA TARAKAN
arakan - Kalimantan Utara
1) 31457
RAN
02 Oktober 2016

Harga Jumlah Harga

Rp 1,674 Rp 83,700
Rp 4,158 Rp 41,580
Rp 2,750 Rp 44,000
Rp 500 Rp 25,000
Rp 1,674 Rp 83,700
Rp 4,158 Rp 41,580
Rp 6,000 Rp 72,000
Rp 21,500 Rp 107,500
Rp 19,800 Rp 39,600
Rp 7,000 Rp 14,000
Rp 6,072 Rp 12,144
Rp 19,990 Rp 99,950
Rp 42,240 Rp 42,240
Rp 9,240 Rp 46,200
Rp 11,385 Rp 56,925
Rp 3,787 Rp 37,870
Rp 1,674 Rp 83,700
Rp 1,674 Rp 83,700
Rp 5,280 Rp 26,400
Rp 3,000 Rp 60,000
Rp 7,000 Rp 70,000
Rp 4,158 Rp 41,580
Rp 6,000 Rp 36,000
Rp 7,260 Rp 36,300
Rp 3,465 Rp 34,650
Rp 372 Rp 37,200
Rp 11,723 Rp 234,460
Rp 11,344 Rp 11,344
Rp 1,056 Rp 10,560
Rp 26,565 Rp 53,130
Rp 5,500 Rp 11,000
Rp 5,280 Rp 52,800
Rp 6,072 Rp 30,360
Rp 85,800 Rp 85,800
Rp 16,329 Rp 163,290
Rp 10,300 Rp 103,000
Rp 6,000 Rp 108,000
Rp 4,158 Rp 41,580
Rp 1,674 Rp 83,700
Rp 12,000 Rp 240,000
Rp 12,435 Rp 248,700
Rp 372 Rp 37,200
Rp 21,500 Rp 107,500
Rp 4,158 Rp 41,580
Rp 6,000 Rp 36,000
Rp 20,988 Rp 104,940
Rp 232,444 Rp 232,444
Rp 1,575 Rp 78,750
Rp 4,158 Rp 41,580
Rp 6,000 Rp 72,000
Rp 1,674 Rp 83,700
Rp - Rp -
Rp 12,435 Rp 248,700
Rp 1,056 Rp 31,680
Rp 3,000 Rp 30,000
Rp 1,056 Rp 21,120
Rp 3,000 Rp 300,000
Rp 372 Rp 37,200
Rp 6,000 Rp 108,000
Rp 7,260 Rp 36,300
Rp 4,158 Rp 8,316
Rp 10,300 Rp 195,700
Rp 25,156 Rp 50,312
Rp 19,800 Rp 19,800
Rp 1,674 Rp 83,700
Rp 189,750 Rp 189,750
Rp 1,575 Rp 78,750
Rp 1,674 Rp 83,700
Rp 5,193,965

Tarakan, 02 Oktober 2016

Apoteker

Devi Dewinta Sari, S.Farm.,Apt.

SIPA: 19901203/SIPA-64.73/2015/2072
 KLINIK UTAMA CARSA TARAKAN
Jl. Sebengkok Tiram No. 3 Tarakan - Kalimantan Utara
Telp. (0551) 31457
LAPORAN
Periode Laporan : 02 Oktober 2016

AMPRAHAN UTAMA
No. Tanggal Poli Nama BHP/Obat Jumlah Satuan
1 2-Sep-16 LABORATORIUM Strip kolesterol 10 Pcs
Handscoon Gamex 40 Pasang
Handscoon Ginekologi 20 Pasang
Masker 50 Pcs
Handscoon M 50 Pasang
Pembalut bersalin 8 Pcs
Lidocain 20 Ampul
2 3-Sep-16 VK
Infusan RL 500 CC 5 Kolf
Umbilical Cord 5 Pcs
Abbocath 20 5 Pcs
Abbocath 22 5 Pcs
Dispo 3 CC 10 Pcs
Dispo 5 CC 5 Pcs
Bisolvon solution 1 Botol
Combivent 10 UDV
FISIOTERAPI
Ventolin 20 UDV
3 5-Sep-16
Infusan NS 500 CC 1 Kolf
LABORATORIUM Strip Glukosa 25 Pcs
VK Kassa Box 5 Box
4 7-Sep-16 LABORATORIUM Strip kolesterol 10 Pcs
Infuset macro 5 Pcs
VK
5 8-Sep-16 Underpad 10 Pcs
IGD UTAMA Antrain 5 Ampul
Handscoon Ginekologi 5 Pcs
VK
6 10-Sep-16 Apron 10 Pcs
LABORATORIUM Strip Asam urat 25 Pcs
7 11-Sep-16 LABORATORIUM Strip kolesterol 10 Pcs
Infusan RL 500 CC 1 Kolf
8 12-Sep-16 IGD UTAMA
Abbocath 24 G 10 Pcs
9 13-Sep-16 IGD UTAMA Infusan D5 + 1/4 NS 5 Kolf
Alkohol Swab 100 Pcs
10 14-Sep-16 LABORATORIUM
Salmonella 1 Botol
Bledstop (Methylergometrin) 10 Tablet
Pil KB Andalan 1 Strip
11 15-Sep-16 VK
Needle 23 G 10 Pcs
Neo-K 5 Ampul
Ranitidin 11 Ampul

12 16-Sep-16 IGD UTAMA

 Ketorolac 13 Ampul
Handscoon M 50 Pasang
12 16-Sep-16 IGD UTAMA Infusan D5 + 1/4 NS 1 Kolf
Infusan RL 500 CC 1 Kolf
Ceftriaxone 1 Vial
Dexamethasone 10 Ampul
Strip Glukosa 25 Pcs
13 17-Sep-16 LABORATORIUM
M-18 E-Z Cleanser 1 Botol
Blood lancet 100 Pcs
14 20-Sep-16 LABORATORIUM PP Test 100 Pcs
Hypafix 1 Roll
15 22-Sep-16 LABORATORIUM Strip kolesterol 10 Pcs
Umbilical Cord 10 PCs
Dispo 5 CC 10 Pcs
Dispo 3 Cc 10 Pcs
Nassal canul anak 5 Pcs
16 24-Sep-16 VK Nassal canul dewasa 3 Pcs
Infusan RL 500 CC 5 Kolf
IUD 5 Pcs
Implant 5 Pcs
MgSO4 5 Kolf
Handscoon M 50 Pasang
17 26-Sep-16 VK
Lidocain 10 Ampul
18 27-Sep-16 LABORATORIUM Strip kolesterol 10 Pcs
Strip Glukosa 25 Pcs
19 28-Sep-16 LABORATORIUM
Strip kolesterol 10 Pcs
TOTAL
SA TARAKAN
an - Kalimantan Utara
1457
N
Oktober 2016

Harga Jumlah Harga

Rp 21,780 Rp 217,800
Rp 15,750 Rp 630,000
Rp 17,500 Rp 350,000
Rp 1,575 Rp 78,750
Rp 1,674 Rp 83,700
Rp 6,732 Rp 53,856
Rp 2,400 Rp 48,000
Rp 20,988 Rp 104,940
Rp 3,163 Rp 15,815
Rp 22,580 Rp 112,900
Rp 22,580 Rp 112,900
Rp 3,000 Rp 30,000
Rp 2,852 Rp 14,260
Rp 85,800 Rp 85,800
Rp 16,329 Rp 163,290
Rp 11,723 Rp 234,460
Rp 19,990 Rp 19,990
Rp 4,541 Rp 113,525
Rp 9,298 Rp 46,490
Rp 21,780 Rp 217,800
Rp 5,280 Rp 26,400
Rp 7,000 Rp 70,000
Rp 10,879 Rp 54,395
Rp 17,500 Rp 87,500
Rp 4,000 Rp 40,000
Rp 4,000 Rp 100,000
Rp 21,780 Rp 217,800
Rp 20,988 Rp 20,988
Rp 22,580 Rp 225,800
Rp 21,648 Rp 108,240
Rp 372 Rp 37,200
Rp 186,120 Rp 186,120
Rp 594 Rp 5,940
Rp 10,436 Rp 10,436
Rp 1,056 Rp 10,560
Rp 16,368 Rp 81,840
Rp 4,158 Rp 45,738
Rp 6,000 Rp 78,000
Rp 1,674 Rp 83,700
Rp 21,648 Rp 21,648
Rp 20,988 Rp 20,988
Rp 11,344 Rp 11,344
Rp 2,750 Rp 27,500
Rp 4,541 Rp 113,525
Rp 987,360 Rp 987,360
Rp 275 Rp 27,500
Rp 4,500 Rp 450,000
Rp 232,444 Rp 232,444
Rp 21,780 Rp 217,800
Rp 3,163 Rp 31,630
Rp 2,852 Rp 28,520
Rp 3,000 Rp 30,000
Rp 10,500 Rp 52,500
Rp 9,000 Rp 27,000
Rp 20,988 Rp 104,940
Rp - Rp -
Rp - Rp -
Rp 9,625 Rp 48,125
Rp 1,674 Rp 83,700
Rp 2,400 Rp 24,000
Rp 21,780 Rp 217,800
Rp 4,541 Rp 113,525
Rp 21,780 Rp 217,800
Rp 7,314,582

Tarakan, 02 Oktober 2016

Apoteker

Devi Dewinta Sari, S.Farm.,Apt.

SIPA: 19901203/SIPA-64.73/2015/2072
 KLINIK UTAMA CARSA TARAKAN
Jl. Sebengkok Tiram No. 3 Tarakan - Kalimantan Utara
Telp. (0551) 31457
LAPORAN
Periode Laporan : 02 November 2016

PENGGUNAAN OBAT APOTEK

RATA2
No. KETERANGAN UMUM JUMLAH RESEP PENGGUNAAN
OBAT
1 dr. Umum Rp 18,222,953 998 Rp 18,259
2 dr. Gigi Rp 67,080 8 Rp 8,385
3 dr. Sigit, Sp.A Rp 4,948,000 79
4 dr. Ngurah, Sp.OG Rp 852,540 3
TOTAL Rp 24,090,573 1088

PENGHASILAN APOTEK
No. KETERANGAN JUMLAH HARGA
1 Penjualan Rp 2,041,090
2 Tambah Bayar Rp 690,000
TOTAL Rp 2,731,090

AMPRAHAN POLI
No. KETERANGAN JUMLAH HARGA
1 KLINIK UTAMA Rp 6,608,679
2 KLINIK PRATAMA Rp 3,989,774
TOTAL Rp 10,598,453

PEMBELIAN OBAT
No. KETERANGAN JUMLAH HARGA
1 OBAT DAN BHP/ALKES Rp 32,260,229
a

TEK
RATA2
JUMLAH PENGGUNAAN
BPJS RESEP OBAT
Rp 6,079,478 952 Rp 6,386
Rp 197,530 46 Rp 4,294

Rp 6,277,008 998

Tarakan, 02 November 2016

Apoteker

Devi Dewinta Sari, S.Farm.,Apt.

SIPA: 19901203/SIPA-64.73/2015/2072
 KLINIK UTAMA CARSA TARAKAN
Jl. Sebengkok Tiram No. 3 Tarakan - Kalimantan Utara
Telp. (0551) 31457
LAPORAN
Periode Laporan : 02 November 2016

AMPRAHAN UTAMA
No. Tanggal Poli Nama BHP/Obat Jumlah
Laboratorium Strip Cholesterol 10
Combivent 20
1 1-Oct-16 Ventolin 20
Fisioterapi
Handscoon 50
Masker 50
Dispo 10 CC 5
Masker 50
Myomergin 15
2 2-Oct-16 VK
Needle HB 20
Pembalut Bersalin 4
Gel Ultrasonic 1
Abbocath 10
3 3-Oct-16 VK
Syntocinon 2
Amikacin 2
4 4-Oct-16 VK
Syntocinon 10
Folley Catheter 18 1
5 5-Oct-16 VK Aqua Pro Injeksi 1
Folley Catheter 10 1
Aqua Pro Injeksi 1
Lidocain 10
Handscoon Ginekologi 10
5 6-Oct-16 VK
Pembalut bersalin 4
Vitamin K 4
Lidox 4
Strip Hb 25
6 7-Oct-16 Laboratorium Strip Glukosa 25
Alkohol Swab 100
7 8-Oct-16 VK Dispo 3 CC 100
Alkohol Swab 100
Dispo 1 CC 10
8 9-Oct-16 VK
Underpad 10
Catgut Chromic 2/0 10
Dispo 5 CC 10
VK Infusan RL Sanbe 10
Infuset Macro 10
Dispo 5 CC 20
Dispo 3 CC 20

9 11-Oct-16
 Dispo 10 CC 20
Folley Catheter 16 3
Aqua Pro Injeksi 3
9 11-Oct-16 Alkohol Swab 100
Ranitidin 15
IGD Utama
Ventolin 20
Black Silk 1
Daryantulle 1
Gel Ultrasonic 1
Nassal Canul Dewasa 2
Nassal Canul Anak 2
Handscoon M 50
Oxytocin 1
10 12-Oct-16 VK
Vitamin K 1
11 13-Oct-16 IGD Utama Aqua Pro Injeksi 1
Laboratorium Tabung EDTA 100
Underpad 10
Neo K 5
12 14-Oct-16
VK Lidocain 10
Oxytocin 5
Kassa Box 5
Underpad 20
Handscoon S 1
Lidocain 10
Umbilical Cord 10
Abbocath 20 5
13 16-Oct-16 VK
Catgut chromic 3/0 10
Pembalut bersalin 2
Handscoon Ginekologi 5
Hipafix 1
Catgut Chromic 0/0 10
14 31-Oct Laboratorium Strip Chlosterol 10
TOTAL
TAMA CARSA TARAKAN
m No. 3 Tarakan - Kalimantan Utara
Telp. (0551) 31457
LAPORAN
aporan : 02 November 2016

Satuan Harga Jumlah Harga

Pcs Rp 21,780 Rp 217,800
UDV Rp 16,329 Rp 326,580
UDV Rp 11,723 Rp 234,460
Pasang Rp 1,674 Rp 83,700
Pcs Rp 1,575 Rp 78,750
Pcs Rp 3,787 Rp 18,935
Pasang Rp 1,575 Rp 78,750
Ampul Rp 11,688 Rp 175,320
Pcs Rp 9,240 Rp 184,800
Pcs Rp 7,000 Rp 28,000
Botol Rp 42,000 Rp 42,000
Pcs Rp 22,580 Rp 225,800
Ampul Rp 20,880 Rp 41,760
Vial Rp 54,000 Rp 108,000
Ampul Rp 20,880 Rp 208,800
Pcs Rp 26,565 Rp 26,565
Kolf Rp 6,072 Rp 6,072
Pcs Rp 26,565 Rp 26,565
Kolf Rp 6,072 Rp 6,072
Ampul Rp 2,400 Rp 24,000
Pasang Rp 1,750 Rp 17,500
Pcs Rp 7,000 Rp 28,000
Ampul Rp 7,128 Rp 28,512
Ampul Rp 2,400 Rp 9,600
Pcs Rp 9,240 Rp 231,000
Pcs Rp 4,541 Rp 113,525
Pcs Rp 372 Rp 37,200
Pcs Rp 3,000 Rp 300,000
Pcs Rp 372 Rp 37,200
Pcs Rp 3,465 Rp 34,650
Pcs Rp 7,000 Rp 70,000
Pcs Rp 6,325 Rp 63,250
Pcs Rp 2,852 Rp 28,520
Kolf Rp 20,988 Rp 209,880
Pcs Rp 7,306 Rp 73,060
Pcs Rp 2,852 Rp 57,040
Pcs Rp 3,000 Rp 60,000
 Pcs Rp 3,787 Rp 75,740
Pcs Rp 26,565 Rp 79,695
Kolf Rp 6,072 Rp 18,216
Pcs Rp 372 Rp 37,200
Ampul Rp 4,158 Rp 62,370
UDV Rp 11,723 Rp 234,460
Roll Rp -
Pcs Rp 19,800 Rp 19,800
Botol Rp 42,000 Rp 42,000
Pcs Rp 9,000 Rp 18,000
Pcs Rp 10,500 Rp 21,000
Pasang Rp 1,674 Rp 83,700
Ampul Rp 4,858 Rp 4,858
Ampul Rp 7,128 Rp 7,128
Kolf Rp 6,072 Rp 6,072
Pcs Rp 1,518 Rp 151,800
Pcs Rp 7,000 Rp 70,000
Ampul Rp 16,368 Rp 81,840
Ampul Rp 2,400 Rp 24,000
Ampul Rp 4,858 Rp 24,290
Box Rp 9,298 Rp 46,490
Pcs Rp 7,000 Rp 140,000
Pasang Rp 1,680 Rp 1,680
Ampul Rp 2,400 Rp 24,000
Pcs Rp 3,163 Rp 31,630
Pcs Rp 22,580 Rp 112,900
Pcs Rp 8,000 Rp 80,000
Pcs Rp 7,000 Rp 14,000
Pasang Rp 17,500 Rp 87,500
Roll Rp 232,444 Rp 232,444
Pcs Rp 101,640 Rp 1,016,400
Pcs Rp 21,780 Rp 217,800
Rp 6,608,679

Tarakan, 02 Oktober 2016

Apoteker

Devi Dewinta Sari, S.Farm.,Apt.

SIPA: 19901203/SIPA-64.73/2015/2072