LAPORAN TAGIHAN BEROBAT KARYAWAN

PERUM LPPNI KANTOR CABANG MEDAN

TAHUN 2022
BULAN : MARET 2022
NO TGL NAMA KARYAWAN JABATAN Terapi/OBAT-BHP Harga Obat/BHP Total Biaya
(Rupiah)
01-03-2022 Husni ATC  A.U = 9,3 mg/dl @25.000 31.032
1.
 Blood Lanset (1) @192
 All Swab (1) @500
 Allopurinol Tab (10) @5340

01-03-2022 Elisabeth ATC  Ambroxol Tab (10) @2.050 76.780

2.
 Citirizine Tab (10) @4.330
 Novadex Tab (10) @7.200
73.830
 Cefixime Tab (10) @13.000
 Neurobion Forte Tab (10) @47.250

01-03-2022 Sugy Hartono ESS  A.U = 9,1 mg/dl @25.000 89.972

3.
 Blood Lanset (1) @192
 All Swab (1) @500
68.422
 Citirizine Tab (10) @4.330
 Fasidol Tab (10) @5.500
 Neurobion Putih Tab (10) @25.700
@7.200
 Novadex Tab (10)

01-03-2022 M.Khairul CNSA  Citirizine Tab (20) @4.330 4.330

4.

8.660
01-03-2022 Michael Sinuraya CNSA  Citirizine Tab (10) @4.330 66.580
5.
 Neurobion Forte Tab (10) @47.250
 Comvit-C Tab (10) @12.500
64.080

01-03-2022 Nadra N ATC  OBH Syr (1) @7.250 20.250

6.
 Cefixime Tab (10) @13.000

01-03-2022 Hotmarita . S ATC  Cefixime Tab (10) @13.000 24.580

7.
 Citirizine Tab (10) @4.330
 OBH Syr (1) @7.250

01-03-2022 Larry ZT ACO  Novadex Tab (10) @7.200 22.200

8.
 Comvit-C Tab (10) @12.500
19.700
401-03-2022 Lizti Novianti ATC  Mirasic Tab (10) @5.500 9.830
9.
 Citirizine Tab (10) @4.330

01-03-2022 Salman AC Jr.Meneger ESS  Mirasic Tab (10) @5.500 35.280

10.
 Ciproloxasin Tab (10) @6.780
 Sucralfate Syr (1) @23.000

02-03-2022 Hermawan ATFM  Nuvopec Tab (10) @2.050 11.530

11.
 Citirizine Tab (10) @4.330
6.380
02-03-2022 Renisa w ATC  Mirasic Tab (10) @5.500 24.830
12.
 Citirizine Tab (10) @4.330
 Comvit-C Tab (10) @15.000

02-03-2022 Ahmad Daniel Jr.Meneger  Mirasic Tab (10) @5.500 24.830

13.
PUM  Citirizine Tab (10) @4.330
 Comvit-C Tab (10 @15.000

02-03-2022 Khairul Zamri ATC  Miconazole Cream (1) @7.250 7.250

14.
03-03-2022 Nikita A ATC  Paracetamol Tab (10) @5.500 20.500
15.
 Comvit-C Tab (10) @15.000

03-03-2022 Irwandi ACO  Fasidol Tab (10) @5.500

16.
 Citirizine Tab (10) @4.330
 Novadex Tab (10) @7.200
 Cefixime Tab (10) @13.000
 Ambroxol Tab (10) @2.050 36.580
 Etabion Tab (10) @4.500

03-03-2022 Pratiwi Cristine ATC  Fasidol Tab (10) @5.500 56.500

17.
 Loperamide Tab (20) @12.500
 Comvid-C Tab (10) @15.000
44.000
 Omeprazole Tab (10) @6.500
 Etabion Tab (10) @4.500

03-03-2022 Abdi Ramadhani ESS  Fasidol Tab (10) @5.500 10.000

18.
 Etabion Tab (10) @4.500

04-03-2022 Nanda Dwi P ATC  Antasida Syr (1) @5.250

19.
 Domperidon Tab (10) @5.000
12.700
 Rnitidine Tab (10) @2.450

05-03-2022 Nurul Afdilla PIA  Paracetamol Tab (10) @5.500 5.500

20.

07-03-2022 Heriyawati ATC  Mirabion Tab (10) @3.500 10.700

21.
 Novadex Tab (10) @7.200
07-03-2022 Eva AS ATC  Chol : 199 mg/dl @30.000 356.032
22.
 KGD : 83 mg/dl @20.000
 A.U : 6,2 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
 Livitor 20 mg Tab (10) @275.00
@5.340
 Allopurinol Tab (10)
 LAPORAN TAGIHAN BEROBAT KARYAWAN
PERUM LPPNI KANTOR CABANG MEDAN
TAHUN 2022
07-03-2022 Lestari S ATC  Acetylhistine Tab (10) @10.000 21.530
23.
 Novadex Tab (10) @7.200
 Citirizine Tab (10) @4.330

08-03-2022 Rusnina PUM  Fasidol Tab (20) @5.500 61.400

24.
 Novadex Tab (20) @7.200
 Comvit-C Tab (20) @12.500
 Novamaq Tab (20) @5.500

08-03-2022 Yulianti ESS  Chol : 156 mg/dl @30.000 94.692

25.
 KGD : 74 mg/dl @20.000
 A.U : 7,7 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (3) @500
 Fasidol Tab (10)
 Comvit-C Tab (10)
08-03-2022 Roland PEPKP  OBH Syr (1) @7.250 81.009
26.
 Comvit-C Tab (10) @12.500
 Sibion Tab (10) @4.009
 Neurobion Forte Tab (10) @47.250
 Acetylhistine Tab (10) @10.000
08-03-2022 Satriyo HW ATC  Sibion Tab (10) @4.009 279.009
27.
 Livitor 20 mg Tab (10) @275.000
08-03-2022 Lucky Meneger  Fasidol Tab (10) @5.500 18.000
28.
Operasional  Comvit-C Tab (10) @12.500
08-03-2022 Dwi wulan ATC  Cendoxytrol Tube (2) @7.131 14.262
29.

08-03-2022 Pratiwi Cristine ATC  Asam Mefenamad Tab (10) @3000 3.000
30.

10-03-2022 Salman AC Jr.Meneger ESS  Sucralfate Syr (1) @23.000 64.070

31.
 Ciprofloxasin Tab (10) @6.780
 Fasidol Tab (10) @5.500
 Metylprenisolone Tab (10) @6.140
 Bisoprolol Tab (10) @7.250
 Candesartane Tab (10) @15.400

10-03-2022 M.Uftiyan. R FDO  Mirasic Tab (10) @5.500 5.500

32.

10-03-2022 Syifa Fauziah ATC  Hydrocortisone Cream (1) @12.116 23.646

33.
 Citirizine Tab (10) @4.330
 Novadex Tab (10) @7.200
10-03-2022 Elisabeth ATC  Levofloxacin Tab (10) @16.080
34.
 Citirizine Tab (10) @4.330
 Metylprenisolone Tab (10) @6.140
 Acetylhistine Tab (10) @10.000
 Ambroxol Tab (10) @2.050 38.600

10-03-2022 Joko Santoso MAK  Chol : 143 mg/dl @30.000 84.532

35.
 KGD : 78 mg/dl @20.000
 A.U : 13,7 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (2) @500
 Allupurinol Tab (10) @5.340
@3000
 Handscoon Psg (1)

11-03-2022 Afdiansyah Lubis K2S  Gentamicyn Cream (1) @5.420 5.420

36.

11-03-2022 Ahmad Danial Jr.Meneger  Comvit-C Tab (30) @12.500

37.
PUM  Cefixime Tab (10) @13.000
 Ambroxol Tab (10) @2.050
 Citirizine Tab (10) @4.330
 Novadex Tab (10) @7.200 64.080

12-03-2022 Rima Wadhani PUM  Neurobion Forte Tab (10) @47.250 92.610
38.
 Neurobion Putih Tab (10) @25.700
 Citirizine Tab (20) @4.330
 Paracetamol Tab (20) @5.500
12-03-2022 MHD.Abrar ATFM  Mirasic Tab (10) @5.500 67.750
39.
 Comvit-C Tab (10) @15.000
 Neurobion Forte Tab (10) @47.250

12-03-2022 Salman.AC Jr.Meneger ESS  Sucralfate Syr (1) @23.000 23.000

40.

12-03-2022 Husni Razak Hrp ATC  Allupurinol Tab(10) @5.340 5.340

41.

12-03-2022 Nurul Afdilla AIS  Cendoxytrol Tube (1) @7.131 7.131

42.

12-03-2022 Dwi Kuncoro ESS  Cataflam Tab (10) @86.220 86.220

43.

14-03-2022 Satriyo HW ATC  Betahistine Tab (10) @8500 55.750

44.
 Neurobion Forte Tab (10) @47.250
15-03-2022 Agung Prabowo ATFM  Cataflam Tat (10) @86.220 86.220
45.

15-03-2022 Syifa Fauziah ATC  Metylprenisolone Tab (10) @6.140 19.140

46.
 Cefixime Tab (10) @13.000

16-03-2022 Hafiz Sirazi ATC  Chol : 156 mg/dl @30.000 84.532

47.
 KGD : 92 mg/dl @20.000
 A.U : 9,4 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (2) @500
 Allupurinol Tab (10) @5.340
@3000
 Handscoon Psg (1)
 LAPORAN TAGIHAN BEROBAT KARYAWAN
PERUM LPPNI KANTOR CABANG MEDAN
TAHUN 2022
16-03-2022 Gusti Sandhora PIA  Novamaq Tab (10) @5.500 17.200
48.
 Ranitidine Tab (10) @5.200
 Omrprazole Tab (10) @6.500

16-03-2022 Nurul Afdilla AIS  Cendoxytrol Tube (2) @7.131 14.262

49.

16-03-2022 Ahmad Erisyah Putra ESS  Citirizine Tab (10) @4.330 31.130
50.
 Comvit-C Tab (10) @12.500
 Ambroxol Syr (1) @14.300

17-03-2022 Daulat Altar M PIA  Citirizine Tab (10) @4.330 39.280

51.
 Novadex Tab (10) @7.200
 Ambroxol Tab (10) @2.050
 Neurobion Putih Tab (10) @25.700

17-03-2022 Salman AC Jr. Maneger  Sucralfate Syr (1) @23.000 64.070

52.
ESS  Ciprofloxasin Tab (10) @6.780
 Fasidol Tab (10) @5.500
 Metylprenisolone Tab (10) @6.140
 Bisoprolol Tab (10) @7.250
 Candesartane Tab (10) @15.400

17-03-2022 Cut Rizki Leila ATC  Allopurinol Tab (10) @5.340 52.590
53.
 Neurobion Forte Tab (10) @47.250
17-03-2022 P. Sipayung ATC  Citirizine Tab (10) @4.330 34.030
54.
 Comvit-C tab (20) @12.500
 Acetylhistine Tab (10) @10.000
 Novadex Tab (10) @7.200
17-03-2022 ABD.Rahman Maneger  Paracetamol Tab (10) @5.500 5.500
55.
Operasional
17-03-2022 Dwi Kuncoro ESS  Mirasic Tab (10) @5.500 5.500
56.

17-03-2022 Afdiansyah Lubis K2S  Betametasone Cream (1) @15.558 22.808

57.
 Micomonazole Cream (1) @7.250
18-03-2022 Husni Rozak Hrp ATC  A.U = 8,2 mg/dl @25.000 25.692
58.
 Blood Lanset (1) @192
 All Swab (1) @500

18-03-2022 Winda Suryani ATC  Neuronion Putih Tab (20) @25.700 51.400
59.

18-03-2022 Nadra N ATC  Fasidol Tab (10) @5500 12.509

60.
 Asam Mefenamad Tab (10) @3000
 Sibion Tab (10) @4.009

18-03-2022 Benni ATC  Chol : LO @30.000 55.692

61.
 A.U : 9,2 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
18-03-2022 Elisabeth ATC  Chol : 185 mg/dl @30.000 114292
62.
 KGD : 145 mg/dl @20.000
 A.U : 4,7 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
 Metylprenisolone Tab (10) @6.140
@4330
 Citirizine Tab (10)
@10.000
 Acetylhistine Tab (10)
@16.080
 Levofloxacin Tab (10) @2050
 Ambroxol Tab (10)
18-03-2022 Desy Br Ginting ATC  Betahistine Tab (10) @8.500 40.580
63.
 Citirizine Tab (10) @4.330
 Ambroxol Tab (10) @2050
 Neurobion Putih (10) @25.700

20-03-2022 Benni ATC  Acetylhistine Tab (10) @10.000 27.330

64.
 Citirizine Tab (10) @4.330
 Cefixime Tab (10) @13.000
21-03-2022 Rizky Hamdani ESS  Ranacid Tab (10) @5.200 34.530
65.
 Arkavid-C Tab (10) @12.500
 Citirizine Tab (10) @4.330
 Loperamide Tab (10) @12.500

22-03-2022 Eva AS ATC  Chol : 225 mg/dl @30.000 75.692

66.
 KGD : 91 mg/dl @20.000
 A.U : 5,6 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
22-03-2022 Salman AC Jr.Maneger ESS  Sucralfate Syr (1) @23.000 64.070
67.
 Ciprofloxasin Tab (10) @6.780
 Fasidol Tab (10) @5.500
 Metylprenisolone Tab (10) @6.140
 Bisoprolol Tab (10) @7.250
 Candesartane Tab (10) @15.400

23-03-2022 Lucky Maneger  Paracetamol Tab (10) @5.500 78.450

68.
Operasional  Neurobion Forte Tab (10) @47.250
 Neurobion Putih Tab (10) @25.700
23-03-2022 Renisa w ATC  Antasida Syr (1) @5.250 58.000
69.
 Neurobion Forte Tab (10) @47.250
 Paracetamol Tab (10) @5.500
23-03-2022 Hermawan ATFM  Ambroxol Syr (1) @14.300 28.630
70.
 Acetylhistine Tab (10) @10.000
 Citirizine Tab (10) @4.330
23-03-2022 Suharsono Manager  Cendoxytrol (3) @7.131 21.393
71.
Operasional
23-03-2022 Radmad Hidayat MKT  Betametasone Cream (1) @15.558 22.808
72.
 LAPORAN TAGIHAN BEROBAT KARYAWAN
PERUM LPPNI KANTOR CABANG MEDAN
TAHUN 2022
 Micomonazole Cream (1) @7.250

25-03-2022 Salman AC Jr.Manager ESS  Sucralfate Syr (1) @23.000 64.070

73.
 Ciprofloxasin Tab (10) @6.780
 Fasidol Tab (10) @5.500
 Metylprenisolone Tab (10) @6.140
 Bisoprolol Tab (10) @7.250
 Candesartane Tab (10) @15.400
26-03-2022 Yudistira Aulia ATC  Micomonazole Cream (1) @7.250 14.450
74.
 Novadex Tab (10) @7.200
27-03-2022 Lizti Novianti ATC  Paracetamol Tab (10) @5.500 57.080
75.
 Citirine Tab (10) @4.330
 Neurobion Forte Tab (10) @47.250
27-03-2022 Robi Saputra ATC  Citirizine Tab (10) @4.330 51.580
76.
 Neurobion Forte Tab (10) @47.250
27-03-2022 Syifa Fauziah ATC  Neurobion Forte Tab (10) @47.250 47.250
77.
27-03-2022 Husni Rozak Hrp ATC  Allopurinol Tab (10) @5.340 19.640
78.
 Ambroxol Syr (1) @14.300
27-03-2022 Satriyo HW ATC  Paracetamol Tab (10) @5.500 5.500
79.

28-03-2022 Ahmad Daniel Jr.Maneger  Amlodipin 5mg Tab (100) @3.950 39.500
80.
PUM
28-03-2022 Billman SE.T ATC  Neucenta Cream (1) @28.600 28.600
81.

29-03-2022 Husni Razak Hrp ATC  Chol : 151 mg/dl @30.000 75.692
82.
 KGD : 92 mg/dl @20.000
 A.U : 8,3 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
29-03-2022 MHD.Akbar ATFM  Chol : 150 mg/dl @30.000 81.032
83.
 KGD : 85 mg/dl @20.000
 A.U : 6,8 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
 Allupurinol Tab (10) @5.340
29-03-2022 Afdiansyah P.Lubis K2S  Chol : 132 mg/dl @30.000 215.590
84.
 KGD : 151 mg/dl @20.000
 A.U : 7,0 mg/dl @25.000
 Blood Lanset (1) @192
 All Swab (1) @500
 Betametasone Cream (1) @15.558
@10.000
 Ketocomonazole Tab (10)
@10.000
 Acetylhistine Tab (10)
@5.500
 Paracetamol Tab (10) @7.200
 Dexametasone Tab (10) @86.220
 Cataflam Tab (10) @5.420
 Gentamicyn Cream (1)
30-03-2022 Hotmarita Simarmata ATC  Metylprenisolone Tab (10) @6.140 48.420
85.
 Citirizine Tab (10) @4.330
 Novadex Tab (10) @7.200
 Cefixime Tab (10) @13.000
 Arkavit Tab (10) @12.500
 Antasida Syr (1) @5.250
30-03-2022 Ahmad Daniel PUM  Novamaq Tab (40) @5.500 22.000
86.

31-03-2022 Koko Sandoko ADM  Mirasic Tab (10) @5.500 5.500

87.

31-03-2022 Nurkasan ACO  Citirizine Tab (40) @4.330 22.080

88.
 Amlodipin 10mg (10) @4.760
4.139.651