Type Sales Item Qty UOM

Sales Item Type Id: Bed Rental 2,025,000

Service Sales GENERAL WARD / UMUM 3

Sales Item Type Id: Consultation and Visit 738,000

Service Sales IPD CONS (VISIT) II 1
Service Sales CONSULTATION IPD (VISIT/STAND BY) _ RMO 1
Service Sales CONSULTATION IPD (VISIT/STAND BY) _ RMO 1
Service Sales CONSULTATION IPD (VISIT/STAND BY) _ RMO 1
Service Sales IPD CONS (VISIT) II 1
Service Sales IPD CONS (VISIT) II 1
Service Sales CONSULTATION IPD (VISIT/STAND BY) _ RMO 1

Sales Item Type Id: Consumables and Medical Supplies 847,688.27

Item Issue MICROPORE WITH DISPENCER 1” X 10YD (2,5CM x 9,1M) 1535-1 3M 1 PIECES
Item Issue TEGADERM IV 7 X 8,5CM 1633 3M 1 PIECES
Item Issue VASOFIX SAFETY 18G X 1.1/4" (1,3X33MM) 4268334S-03 BBRAUN 1 PIECES
Item Issue VASOFIX SAFETY 20G X 1.1/4" (1,1X33MM) 4268113S-03 BBRAUN 1 PIECES
Item Issue VASOFIX SAFETY 22G X 1" (0,9X25MM) 4268091S-03 BBRAUN 1 PIECES
Item Issue INTRAFIX SAFESET 4063005 BBRAUN 1 PIECES
Item Issue 3 WAY STOPCOCK TUBE DISCOFIX 4098102 BBRAUN 1 PIECES
Item Issue AC SWAB 1 PACK
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 1 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 2 PIECES
Item Issue PAMPERS LIFREE (L) 1 PIECES
Item Issue SYRINGE - TERUMO - 5ML 2 PIECES
Item Issue SYRINGE - TERUMO - 3ML 2 PIECES
Item Issue BLOOD SET TB-U800L11 TERUMO 1 PIECES
Item Issue AC SWAB 1 PACK
Item Issue PAMPERS LIFREE (L) 1 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 1 PIECES
Item Issue PAMPERS LIFREE (L) 1 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 2 PIECES
Item Issue DOCARE WASH GLOVES TISSUE 4S 1 PIECES
Item Issue PAMPERS LIFREE (L) 1 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 2 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 2 PIECES
Item Issue SYRINGE - TERUMO - 3ML 2 PIECES
Item Issue AC SWAB 1 PACK
Item Issue SYRINGE 10ML SS+10L2138 TERUMO 5 PIECES
Item Issue SYRINGE - TERUMO - 3ML 5 PIECES
Item Issue BLOOD SET TB-U800L11 TERUMO 1 PIECES
Item Issue TEGADERM IV 7 X 8,5CM 1633 3M 1 PIECES
Item Issue UNDERPAD GREEN 23" X 36" SOLAMED 1 PIECES
Item Issue IN-STOPPER 4238010 B. BRAUN 1 PIECES
Item Issue TEGADERM IV 7 X 8,5CM 1633 3M 1 PIECES

Sales Item Type Id: Drugs 1,822,099.36

Item Issue ECOSOL NACL 0,9% 500ML INF 1 PIECES
Item Issue LAXADINE 60ML EMULSION 1 FLS
Item Issue LASIX 10MG/ML-2ML INJ 2 AMPOULE
Item Issue ECOSOL NACL 0,9% 100ML INF 2 PIECES
Item Issue ECOSOL NACL 0,9% 500ML INF 2 PIECES
Item Issue LASIX 10MG/ML-2ML INJ 1 AMPOULE
Item Issue LASIX 10MG/ML-2ML INJ 1 AMPOULE
Item Issue CALCII GLUCONAS 100MG/ML-10ML INJ (ETHI) 1 AMPOULE
Item Issue ECOSOL NACL 0,9% 100ML INF 3 PIECES
Item Issue KETESSE 2,5% 2ML INJ 3 AMPOULE
Item Issue ESOFER 40MG INJ 2 VIAL
Item Issue ECOSOL NACL 0,9% 100ML INF 3 PIECES
Item Issue ECOSOL NACL 0,9% 500ML INF 1 PIECES
Item Issue LASIX 10MG/ML-2ML INJ 2 AMPOULE
Item Issue KETESSE 2,5% 2ML INJ 3 AMPOULE
Item Issue ESOFER 40MG INJ 1 VIAL
Item Issue KETESSE 2,5% 2ML INJ 3 AMPOULE
Item Issue ESOFER 40MG INJ 1 VIAL
Item Issue EPERISONE 50MG TAB (ETER) 2 TABLET

Sales Item Type Id: Laboratory 8,979,300

Service Sales TRANSFUSION PC - NAT 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales CROSSMATCH + BLOOD TYPE & RHESUS 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales TRANSFUSION PC - NAT 1
Service Sales COMPLETE BLOOD COUNT (HB, HT, E, LEUKOCYTE, PLATELET, MCV, MC 1
Service Sales UREUM & CREATININE 1

Sales Item Type Id: Radiology 6,643,800

Service Sales COMPLETE ABDOMEN USG 1
Service Sales CT WHOLE ABD CNTRS 1
Doctor Price Amount Disc. Patient Net Payer Net

dr. Eva Carolina Sitompul, SpPD 750,000 2,250,000 225,000 0 2,025,000

0 2,025,000

dr. Eva Carolina Sitompul, SpPD 220,000 220,000 22,000 0 198,000

TIM RMO 40,000 40,000 4,000 0 36,000
TIM RMO 40,000 40,000 4,000 0 36,000
TIM RMO 40,000 40,000 4,000 0 36,000
dr. Eva Carolina Sitompul, SpPD 220,000 220,000 22,000 0 198,000
dr. Eva Carolina Sitompul, SpPD 220,000 220,000 22,000 0 198,000
TIM RMO 40,000 40,000 4,000 0 36,000
0 738,000

dr. Eva Carolina Sitompul, SpPD 41,926.5 41,926.5 4,192.65 0 37,733.85

dr. Eva Carolina Sitompul, SpPD 21,780 21,780 2,178 0 19,602
dr. Eva Carolina Sitompul, SpPD 81,675 81,675 8,167.5 0 73,507.5
dr. Eva Carolina Sitompul, SpPD 81,675 81,675 8,167.5 0 73,507.5
dr. Eva Carolina Sitompul, SpPD 81,675 81,675 8,167.5 0 73,507.5
dr. Eva Carolina Sitompul, SpPD 54,450 54,450 5,445 0 49,005
dr. Eva Carolina Sitompul, SpPD 63,525 63,525 6,352.5 0 57,172.5
dr. Eva Carolina Sitompul, SpPD 2,595.45 2,595.45 259.55 0 2,335.91
dr. Eva Carolina Sitompul, SpPD 9,680 9,680 968 0 8,712
dr. Eva Carolina Sitompul, SpPD 9,680 19,360 1,936 0 17,424
dr. Eva Carolina Sitompul, SpPD 12,561.25 12,561.25 1,256.13 0 11,305.13
dr. Eva Carolina Sitompul, SpPD 10,164 20,328 2,032.8 0 18,295.2
dr. Eva Carolina Sitompul, SpPD 8,349 16,698 1,669.8 0 15,028.2
dr. Eva Carolina Sitompul, SpPD 46,282.5 46,282.5 4,628.25 0 41,654.25
dr. Eva Carolina Sitompul, SpPD 2,595.45 2,595.45 259.55 0 2,335.91
dr. Eva Carolina Sitompul, SpPD 12,561.25 12,561.25 1,256.13 0 11,305.13
dr. Eva Carolina Sitompul, SpPD 9,680 9,680 968 0 8,712
dr. Eva Carolina Sitompul, SpPD 12,561.25 12,561.25 1,256.13 0 11,305.13
dr. Eva Carolina Sitompul, SpPD 9,680 19,360 1,936 0 17,424
dr. Eva Carolina Sitompul, SpPD 41,926.5 41,926.5 4,192.65 0 37,733.85
dr. Eva Carolina Sitompul, SpPD 12,561.25 12,561.25 1,256.13 0 11,305.13
dr. Eva Carolina Sitompul, SpPD 9,680 19,360 1,936 0 17,424
dr. Eva Carolina Sitompul, SpPD 9,680 19,360 1,936 0 17,424
dr. Eva Carolina Sitompul, SpPD 8,349 16,698 1,669.8 0 15,028.2
dr. Eva Carolina Sitompul, SpPD 2,595.45 2,595.45 259.55 0 2,335.91
dr. Eva Carolina Sitompul, SpPD 13,249.5 66,247.5 6,624.75 0 59,622.75
dr. Eva Carolina Sitompul, SpPD 8,349 41,745 4,174.5 0 37,570.5
dr. Eva Carolina Sitompul, SpPD 46,282.5 46,282.5 4,628.25 0 41,654.25
dr. Eva Carolina Sitompul, SpPD 21,780 21,780 2,178 0 19,602
dr. Eva Carolina Sitompul, SpPD 9,680 9,680 968 0 8,712
dr. Eva Carolina Sitompul, SpPD 10,890 10,890 1,089 0 9,801
dr. Eva Carolina Sitompul, SpPD 21,780 21,780 2,178 0 19,602
0 847,688.27

dr. Eva Carolina Sitompul, SpPD 17,050 17,050 1,705 0 15,345

dr. Eva Carolina Sitompul, SpPD 59,675 59,675 5,967.5 0 53,707.5
dr. Eva Carolina Sitompul, SpPD 25,123.52 50,247.03 5,024.7 0 45,222.33
dr. Eva Carolina Sitompul, SpPD 16,335 32,670 3,267 0 29,403
dr. Eva Carolina Sitompul, SpPD 17,050 34,100 3,410 0 30,690
dr. Eva Carolina Sitompul, SpPD 25,123.52 25,123.52 2,512.35 0 22,611.16
dr. Eva Carolina Sitompul, SpPD 25,123.52 25,123.52 2,512.35 0 22,611.16
dr. Eva Carolina Sitompul, SpPD 22,458.75 22,458.75 2,245.88 0 20,212.88
dr. Eva Carolina Sitompul, SpPD 16,335 49,005 4,900.5 0 44,104.5
dr. Eva Carolina Sitompul, SpPD 77,550 232,650 23,265 0 209,385
dr. Eva Carolina Sitompul, SpPD 222,750 445,500 44,550 0 400,950
dr. Eva Carolina Sitompul, SpPD 16,335 49,005 4,900.5 0 44,104.5
dr. Eva Carolina Sitompul, SpPD 17,050 17,050 1,705 0 15,345
dr. Eva Carolina Sitompul, SpPD 25,123.52 50,247.03 5,024.7 0 45,222.33
dr. Eva Carolina Sitompul, SpPD 77,550 232,650 23,265 0 209,385
dr. Eva Carolina Sitompul, SpPD 222,750 222,750 22,275 0 200,475
dr. Eva Carolina Sitompul, SpPD 77,550 232,650 23,265 0 209,385
dr. Eva Carolina Sitompul, SpPD 222,750 222,750 22,275 0 200,475
dr. Eva Carolina Sitompul, SpPD 1,925 3,850 385 0 3,465
0 1,822,099.36

dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000

dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 218,000 218,000 21,800 0 196,200
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 660,000 660,000 66,000 0 594,000
dr. Eva Carolina Sitompul, SpPD 145,000 145,000 14,500 0 130,500
dr. Eva Carolina Sitompul, SpPD 174,000 174,000 17,400 0 156,600
0 8,979,300

dr. Eva Carolina Sitompul, SpPD 1,015,000 1,015,000 101,500 0 913,500

dr. Eva Carolina Sitompul, SpPD 6,367,000 6,367,000 636,700 0 5,730,300
0 6,643,800
23,395,430.7 2,339,543.07 0 21,055,887.63
Start Date End Date Package

15-Dec-2017 09:37

16-Dec-2017 00:00
Notes Order Date Status Return Stock Qty Create User Id

### Active 0 Natalia Magdalena

### Active 0 Stefani Henni Natalya

### Active 0 Natalia Magdalena
### Active 0 HOPE CONSOLE
### Active 0 HOPE CONSOLE
### Active 0 Ratna Kusuma Sari
### Active 0 Ratna Kusuma Sari
### Active 0 HOPE CONSOLE

### Active 0 Stefani Henni Natalya

### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya
### Active 0 Ratna Kusuma Sari
### Active 0 Christi Felinda
### Active 0 Ratna Kusuma Sari
### Active 0 Ratna Kusuma Sari
### Active 0 Ratna Kusuma Sari
### Active 0 Purnomo
### Active 0 Purnomo
### Active 0 Purnomo
### Active 0 Purnomo
### Active 0 Purnomo
### Active 0 Stefani Henni Natalya
### Active 0 Stefani Henni Natalya

### Active 0 Stefani Henni Natalya

### Active 0 Irna Fatmawati
### Active 0 Megawati Sihombing
### Active 0 Christi Felinda
### Active 0 Christi Felinda
### Active 0 Megawati Sihombing
### Active 0 Roby Azhary
### Active 0 Roby Azhary
### Active 0 Ratna Kusuma Sari
### Active 0 Winda Widowati
### Active 0 Winda Widowati
### Active 0 Purnomo
### Active 0 Purnomo
### Active 0 Nur Fatma Nurdin
### Active 0 Nur Fatma Nurdin
### Active 0 Nur Fatma Nurdin
### Active 0 Nur Fatma Nurdin
### Active 0 Nur Fatma Nurdin
### Active 0 Nur Fatma Nurdin

### Active 0 Susie Sulastri DS

### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Susie Sulastri DS
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Regi Fralaga Setya
### Active 0 Nur Hasnah
### Active 0 Nur Hasnah
### Active 0 Nur Hasnah
### Active 0 Nur Hasnah
### Active 0 Nur Hasnah
### Active 0 Nur Hasnah
### Active 0 Florensia Janita
### Active 0 Florensia Janita

### Active 0 Mifta Ayu Dian Candra

### Active 0 Dina Anggreyni
 Cancel Date Cancel User Id Cancel Notes

Henni Natalya

Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya
Henni Natalya

Henni Natalya
Henni Natalya
Henni Natalya

Henni Natalya
Henni Natalya

Henni Natalya
ati Sihombing

ati Sihombing

yu Dian Candra