TARIF SC RS. Citama
INA-CBGS SC RINGAN N O 1 2 3 4 6 7 8 " 10 11 12 13 14 1
TINDAKAN RUANG RAWATAN IBU KLS III RUANG RAWATAN IBU KLS III PEMAKAIAN RUANG OK !ASA OPERATOR !ASA DR ANASTESI !ASA PENATA ANASTESI ASISTEN RESUSITASI BA#I PEMAKAIAN OBAT $ISITE DR SPOG $I $ISITE DR SPA $ISITE DR RUANGAN BIA#A RAWATAN BHP BIA#A ADMINISTRASI SC PAKET TOTAL
4,022,100 QTT 3 3 1 1 1 1 1 1 1 2 1 2 3 1 1
HARGA 270,000 300,000 800,000 1,200,000 480,000 10,000 40,000 300,000 1,300,000 180,000 "0,000 80,000 120,000 1"0,000 36,000 6,275,000
TOTAL HARGA 162,000 180,000 20,000 720,000 288,000 "0,000 270,000 180,000 1,300,000 108,000 4,000 48,000 72,000 1"0,000 100,000 4,012,000
PEMAKAIAN OBAT PADA SC RS CITAMA
N O 1 2 3 4
KOMPONEN ABBOCATH NO 20 ALCOHOL SWAB APRON AQUABIDEST 2 ML ASAM ME%ENAMAT TAB 00 MG
6 ASAM TRANE&AMAT IN! 00 MG'ML 7 8 " 10 11 12 13 14 1 16 17 18 1" 20 21 22 23 24 2 26 27 28 2" 30 31 32 33 34 3 36 37 38 3" 40 41 42
BENANG CATGUT CHROMIC 0 TUMPUL BENANG PGA 1 TUMPUL BENANG PGA 2 TUPPER BETHADINE (ALCOHOL OK BIG GOU)E & RA# PLUS BISTURI NO 20 CAIRAN DE&TROSE * CAIRAN METRONIDA)OLE GENERIK CAIRAN RL CATHETER NO 16 CE%ADRO&IL 00 MG CAPS CE%TRIA&ONE IN! 1 GR CAUTER PAKET CURAPOR HANDSCHOEN 8 HANDSCHOEN 71'2 HANDSCHOEN DISPOSABLE IN%US BLOODSET IN!+DECAIN IN!+EPHEDRIN IN!+ULCERANIN !ARUM SPINAL NO 27 KASSA & RA# MASKER TALI ' KARET MATERNIT# SO%TE& 40 CM MET$ELL IN! NEO-K IN! ONDANSETRON IN! 4MG'2ML ORASIC IN! O&#TOCIN IN! 1 ML SPUIT 1 CC SPUIT 10 CC SPUIT CC SPUIT 3 CC SUCTION CAT NO 8 SUPRAPENID SUPO
QT 1 10 3 2 10
TOTAL 28,000 8,000 18,000 16,000 ,000
1
1,000
1 1 1 1 1 1 1 1 1 10 3 1 1 1 4 3 1 1 1 1 1 2 7 1 2 1 1 1 2 4 1 1 1 2
63,000 8,000 8,000 0,000 21,000 10,000 17,000 0,000 7,000 24,000 1,000 3",000 2",000 10,000 16,000 6,000 7,00 2,000 78,00 6,000 22,00 30,000 7,000 14,000 2,000 16,000 17,000 11,000 1",700 20,000 8,000 24,000 ,000 3,000 12,000 32,000
43 44 4 46
TOPI OPERASI UNDERPAD URIN BAG WASHLAP KAIN PAKET 4 TOTAL
PAKET SC PER!IT"N#AN $ASA TDK FEE FOR SER%ICE PEN"N$AN# DIA#NOSIS LABORATORIUM
D./. 5. M.. /./.. M.. 9:5;. %;< <=. U/;9 C/.><< G H: .
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4 1 1 1
8,000 10,000 1,000 12,000 1,267,200
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