KWITANSI PENAGIHAN PEMAKAIAN OBAT

KLINIK ONSITE PT. PERTAMINA GEOTHERMAL ENERGY PROYEK HULULAIS

KABUPATEN LEBONG, BENGKULU
SUMUR HLS-E/4

Tagihan obat dan Pelayanan Klinik Onsite PT. Pertamina Geothermal Energy Proyek Hululais Moving Sumur HLS-c/1 -Sumur HLS-E/4 Periode 13 Agustus 2018 - 21 Ag

No Nama Pasien Bagian No. MR Umur Tgl Berobat Diagnosa Nama Obat
Amoxcillin
1 Saiful Falak op crane 491 30 13-Aug-18 pulpitis + cough natrium diclofenat
Tuzalos
Tuzalos
2 edwardo HTE 377 53 14-Aug-18 cough
cefadroxile
sanadryl exp
3 ganda driver 492 24 14-Aug-18 cough cortidex
Becom C
sanadryl dmp
4 Zarkoni HTE 493 30 14-Jul-18 cough
Becom C
betametasoen salf
5 Junilian dereckman 242 44 14-Aug-18 insect bite
cetirizine
amlodipine 5 mg
6 musmulyadi wellder 47 45 15-Aug-18 ht grade 2 + cough cefadroxile
sanadryl exp
amlodipine 5 mg
7 armansyah floorman 42 44 15-Aug-18 ht grade 2 + DKA cetirizine
cortidex
epexole tab
8 imam syahril driver 494 36 15-Aug-18 cough neurosanbe
ctm
metilprednisolone
9 pirman hadi ast driller 222 41 15-Aug-18 acute pharyngitis + mylagia sanmol
meloxicam15 mg
 sanadryl dmp
10 raditya AAS driller 33 29 15-Aug-18 cough Becom C

sanadryl exp
11 eri edy floorman 105 45 15-Aug-18 cough sanmol
neurosanbe
betametasoen salf
12 Rudi Efendy floorman 163 37 16-Aug-18 susp psoriasis cetirizine
cortidex
sanandryl dmp
13 Parudin mekanik 495 44 16-Aug-18 cough cortidex
sanmol
amlodipine 5 mg
14 m. Luth op forclip 16 44 16-Aug-18 hypertensi terkontrol
meloxicam15 mg
sanadryl dmp
15 Agung Priambodo tool pusher 28 36 16-Aug-18 cough + acute pharyngitis cortidex
inbion
 tuzalos
16 sukisno aereted drilling 337 48 16-Aug-18 cough neurosanbe
meloxicam 15 mg
ciprofloxacime
sanmol
neurosanbe
17 Susilo driver 225 26 16-Aug-18 susp DBD
infuset
abbocate 22
nacl kolf
fg-stroces
18 Nadin dowell cementing 496 43 16-Aug-18 acute pharyngitis cortidex
sanmol
sanadryl dmp
19 Andi Satira op light truck 497 42 17-Aug-18 cough sanmol
Becom C
tuzalos
20 Abu Hanifa cutting boy 77 36 17-Aug-18 cough
neurosanbe
new diatab
21 Tukiyat store keeper 235 45 18-Aug-18 gastroenteritis
scopamin
sukralfat
22 een suryadi routabout 65 31 18-Aug-18 dyspepsia + Insect Bite omeprazole
hydrocortisone
amoxicilin
23 agus salim driver 498 32 18-Aug-18 Acute Pharyngitis + cough cortidex
Tuzalos
Tuzalos
24 ilpan Rambang top drive 499 31 18-Aug-18 cough
neurosanbe
mefinal
flunarizine
25 Nispu Syakbani elektrik 27 47 19-Aug-18 chefalgia
amodipine
neurosanbe
sanadryl dmp
27 Mulyanto Pemuka mekanik 500 46 19-Aug-18 cought + acute pharyngitis cortidex
cendo leeters
 sanmol
ciprofloxacime
28 suherman bakery 281 38 19-Aug-18 obs febris + e.c ISK
urotractin
antasida
colergis
29 Ahmad Syamsir top drive 278 34 19-Aug-18 insect bite
hydrocortisone
cek kolesterol
30 mei Situmorang hse officer 23 40 20-Aug-18 cek lab cek asam urat
cek gula darah
counterpain
31 pirman hadi ast driller 139 41 20-Aug-18 myalgia + DKA ketricine
cetirizine
metrodinazole
32 Debby Sanjaya driver 501 26 20-Aug-18 nail extraction asam mefenamat
gentamicine
mertigo
33 Arif Budi Susilo H2s 164 46 20-Aug-18 Susp Vertigo
neurosanbe
 amlodipine 5 mg
34 Desi priatna wellder 5 48 21-Aug-18 Ht terkontrol + dry eye visine TM
neurosanbe
betadine salf
35 Nelwansyah ADM RIG 46 21-Aug-18 vulnus ulcer
mefinal
JUMLAH
TERBILANG : Satu Juta Lima Ratus Empat Puluh Tujuh Ribu Lima Ratus Empat Puluh Tiga Rupiah.

Keterangan :
Biaya Pendaftaran : Rp. 7.500,-
Cek Cholestrol : Rp. 28.000,-
Cek Asam Urat : Rp. 28.000,-
Cek GDS : Rp. 17.000,-
MENGETAHUI

DOKTER ON DUTY PT. PERTAMINA DRILLING SE

dr. Evans Oktora Rolindri Junedi Faisa

Dokter on site Rig Superinten
13 Agustus 2018 - 21 Agustus 2018 :

Jumlah Harga
10 337
10 Rp25,900 387
10 1116
10 1116
Rp25,810
10 715
1 13000
10 Rp38,226 387
8 1732
1 15874
Rp37,230
8 1732
1 2742
Rp12,292
10 205
10 1115
10 Rp51,800 715
2 13000
10 1115
10 Rp26,570 205
10 587
10 1102
8 Rp31,670 1500
10 115
10 550
10 Rp35,580 387
10 1871
2 15873
8 Rp53,102 1732

1 13000
10 Rp36,370 387
8 1500
2 2742
10 Rp18,904 205
10 387
2 15873
10 Rp46,986 387
10 387
10 1115
Rp35,730
10 1708
2 15873
10 Rp64,852 387
8 2717
10 1116
8 Rp47,740 1500
10 1708
10 1001
10 387
8 1500
Rp102,822
1 26455
1 33987
1 9000
10 1442
10 Rp29,660 387
10 387
2 15873
10 Rp56,972 387
8 1732
10 1116
Rp30,660
8 1500
10 724
Rp34,290
10 1955
1 10668
10 Rp27,440 584
1 3432
10 337
10 Rp25,900 387
10 1116
10 1116
Rp30,660
8 1500
10 1759
10 2860
Rp76,840
10 1115
8 1500
2 15873
10 Rp75,291 387
1 32175
10 584
10 1001
Rp67,940
10 4304
10 155
10 3500
Rp45,932
1 3432
1 28000
1 Rp80,500 28000
1 17000
1 29458
1 Rp103,358 64350
10 205
10 344
10 Rp15,046 172
1 2386
10 4576
Rp65,260
8 1500
 10 1115
1 Rp44,456 13806
8 1500
1 20664
Rp45,754
10 1759
Rp1,547,543

PERTAMINA DRILLING SERVICE INDONESIA

Junedi Faisal
Rig Superintendent