laporan polibun pt.hpm bulan januari 2016

7/25/2019 Laporan Polibun PT.hpm Bulan Januari 2016

1/34

LAPORAN ASSET POLIKLIN

PT. Hamparan Perkasa Mandiri Periode : Agustus 2015

NO NAMA BARANG JUMLAHKONDISI

BAIK RUSAK

Alat Medis

1 Tabung Oksigen kecil 1 1 0

2 Partus kit 1 1 03 Larongoscope 1 1 0

4 Lampu sorot 1 0 1

5 Suction Pump 1 1 0

Timbangan dan tinggi badan 1 1 0

! Timbangan ba"i 1 1 0

# Pen lig$t%senter 1 1 0

& termometer digital 1 1 0

10 Tiang 'n(us 2 2 0

11 Tabung Oksigen )esar 1 1 0

12 *angka Tabung kecil 1 1 0

13 T+*,O,+T+* *-A./A. 1 1 0

14 Termometer bulat kulkas 1 1 0

15 ,inor set 1 1 01 Partus set 1 1 0

1! Pispot 1 1 0

1# Tempat orentang 2 2 0


2/34

3& +tractor pengambil benda asing 1 1 0

40 ,itella 10 10 0

41 Spekulum ukuran , 1 1 0

42 )rankar 1 1 0

43 ,ea /inekologi 1 1 0

44 Stetoskop merek /+A 1 1 0

45 )askom uci tangan 2 2 0

4 Stand baskom 1 1 0

Alat .on ,edis

1 ,ea 2 2 02 ursi Tenaga ,edis 2 2 0

3 ursi Pasien 1 1 0

4 Tempat Tidur Periksa 1 1 0

5 tangga periksa 1 1 0

long spine board 1 1 0

! Scoop stretc$er 1 1 0

# +mergenc" lamp 1 1 0

& *anang kasur 1 1 0

10 ursi tunggu 1 1 0

11 Lemari Obat 3 3 0

12 ,ea 'nstrumen 1 1 0

13 e"board 1 1 0

14 ile ase 3 3 015 Tempat Sampa$ Plastik kecil 2 2 0

1 Lampu merk p$ilips 4 4 0

1! eset 2 2 0


3/34

K

KTRANGAN


4/34


5/34

PT.Hamparan Perkasa Mandiri

NO NAMA OBAT SATUAN HARGAPRSDIAAN

A#AL PNAMBAHAN UMLA

1 A)- 'neksi =generik>%Poli?alen Amp *p 5070!5 4 4

2 Ac"clo?ir 200 ,/ =/enerik> )lister *p 37#45 25 25

3 A@LO'* 400 ,/ =/+.+*'> )lister *p 7500 4 4

4 A@LO'* 5B ream=/enerik> Tube *p 37052 1& 1&

5 AlbendaCole 400 mg )lister *p 37200

AL)OT9@L =-.T- SA*'AA.> )TL *p 3474&5

! Alko$ol !0B 1 L )tl *p 2731# 4 4

# ALLOP-*'.OL 100 ,/=generik> )lister *p 17445 ! !

& Alloris%allo$e S"r )TL *p 4!7040 20 20

10 Ambe?en blister *p 117000 2& 2&

11 Ambrool s"r )TL *p 37500 0 0

12 Ambrool tab btl *p 172#3 5 5

13 A,'.OP9@L'. =/+.+*'> '.D+S' Amp *p 57!40 0 0

14 A,LO'P'.+ 10 mg =generik> )lister *p &700 14 14

15 A,LO'P'.+ 5 mg =generik> )lister *p &7 # #1 Amoicilin S"rup =generik> 125 mg )TL *p 47030 14 14

1! Amoiciline 500mg =generik> blister *p 37500 2& 2&

1# Ampisilin blister *p 4740 0 0

1& Andalan Pil ) Laktasi )Lister *p 157000 44 44

20 Antalgin tab *p 233 00 00

21 A.TAS'A O+. =/+.+*'> blister *p 172#0 125 125

22 ASA, ,++.A,AT 500,/ blister *p 17#30 0 0

23 Aspilet blister *p 57#!5 50 50

24 AT*OP'.+ '.D Amp *p 27#0 1# 1#25 )A)@


6/34

53 etiriCin S"rup )TL *p 1072& 10 10

54 iproIoacin 'neksi las$ *p 5&7530 13 13

55 oartem )OG *p 1227150 20 20

5 ombantrin s"r )tl *p 1274!1 101 101

5! ombantrin tabE blister *p 117500 2 2

5# otrimoksaCole s"rup )TL *p 37&0# 0 0

5& otrimoksaCole tab blister *p 174!# ! !

0 T, 4 mg =generik> Tab *p 14 !00 !00

1 eametasone 085 mg =generik> Tab *p 5 300 300

2 eametasone ineksi Amp *p 273&0 25 25

3 etrosin s"rup%etral )TL *p #7!00 5! 5!

4 '/OG'. 0825 ,/ )lister *p 174&5

5 O,P+*'O.+ 10 ,/%9u(adon )lister *p 27450 o"ciclin 100 mg blister *p 27!0 10 10

! -LOLAG Tab )lister *p 107& 22 22

# +P9'.+P9*'.+ '.D Amp *p 275 ! !

& +rlam"acetin%c$loramp$enicol Tube *p 37#!5 10 10

!0 +r"t$rom"cin 200mg%5ml =generik>s"rup botol )TL *p #7250 4! 4!

!1 +r"t$rom"cin 500mg =generik>%+r"a blister *p 107000 44 44

!2 +t$ambutol 500 mg )lister *p 57## 4& 4&

!3 +t"l c$lorida pcs *p 1257000 1 1

!4 aktu%anti$emoroid supp Supp *p #71!2 10 10!5 / Troc$es blister *p &7&20 # #

! itbone )lister *p #7!# 24 24

!! lamicort '.D+T ial *p 10&7000 1! 1!

!# O*-,+. T+T+S T+L'./A Tube *p 2372!5 35 35

!& -*OS+,'+ 40 ,/ =/+.+*'> )lister *p 17250 3 3

#0 /em?ibroCil )lister *p 37330 15 15

#1 /+.TA,''. =/+.+*'> Salp ulit Tube *p 17&35 0 0

#2 /L')+.LA,'+ 5 ,/ =/+.+*'> blister *p !!0 45 45

#3 /L'A)+T #0 ,/ blister *p #743! 4& 4&

#4 /limepiride 2 mg blister *p 170## 22 22

#5 /limipiride 4 mg blister *p 1700# 25 25

# /*'S+O-L'. 500,/ =/+.+*'> blister *p 1273#0 5& 5&

#! 92O2 = -ntuk pembersi$ luka > #00 cc )TL *p 1#7000 3 3

## 92O2 1000 cc tube *p 1!7500 2 2


7/34

112 ,+TO*,'. blister *p 27042 23 23

113 ,et$"lprednisolon 4 mg blister *p 47#25 0 0

114 ,etronidaCole 500mg =generik> blister *p 2730 13 13

115 ,gSO4 ls$ *p 733# 10 10

11 ,oleIu )lister *p 37100 3# 3#

11! ,"onepE )lister *p 4573!5 0 0

11# .atrium iclo(enak 50 mg%grat$eos blister *p 27300 34 34

11& .eo blister *p 47010 24 24

12# O*AL'T Pcs *p 410 1!3 1!3

12& Orasederm%betason Tube *p 57400 &1 &1

130 O*+F'. )tl *p 257234 2& 2&

131 otopra(%otolin Tube *p 2!7500 1 1

132 O"tetrac"cline 3B Tube *p 17#00 0 0

133 Paracetamol Tab *p ! 0 0134 PA*A+TA,OL s"rup 125 ,/ %5 ,L =/+.+*'>% )TL *p 27350 # #

135 Pios(en )TL *p 127210 2 2

13 Paracetamol tab blister *p 1714# 3# 3#

13! Parsi(en%ibupro(en s"rE )tl *p 72&4 2 2

13# P+9AA'. Amp *p 371&! ! !

13& P'*A+TA, 1200 ,g =generik> )lister *p 13703

140 P'*OG'A, 20,/ blister *p 170#0 10 10

141 PP Test one med%S+.S'T' Pcs *p 47500 50 50

142 Prednison 5 mg =generik> Tab *p 11# 0 0

143 P*OPA.OLOL 10 ,/ )lister *p #7#!5 14& 14&

144 Propepsa%sucral(at s"r%alpepsa s"r )TL *p 417#00 2 2

145 PT- 100 ,/ Tab *p 3&2 500 500

14 P@*A.T+L PA,OAT blister *p 1724 125 125

14! P"raCinamide 500 mg )lister *p 27420 50 50


8/34

1!1Trombopop salep 15 gr Tube *p 4!735 1 1

1!2 -rinter )lister *p 347120 5 5

1!3 +.TOL'. 285 ,/ .+)-LiF+* pcs *p #7!00 35 35

1!4 +.TOL'. '.9AL+* pcs *p &1750 1 1

1!5 itamin A 000 -' Tab *p 2# 1#00 1#00

1! 'TA,'. ) O,PL+S =/+.+*'> Tab *p 2! 0 0

1!! itamin )12 'neksi amp *p 47013 35# 35#

1!# itamin *p 432 3300 3300

1!& 'TA,'. =/+.+*'> Tab *p !5 4!0 4!0

1#0 Gep$alium%rego )lister *p !&7000 !# !#

1#1 e(triaone ial *p #7 &0 &0

1#2 ,etronidaCole ineksi las$ *p 237000 45 45

1#3 e(adroil capsulE blister *p !7 3 31#4 Le?oIoacin ineksi las$ *p #&700 5 5

1#5 *apid test malaria Pcs *p 2#700 14! 14!

1# ."statin aginal Tablet tab *p 530 3 3

1#! Plantacid )tl *p #71&2 1 1

1## endo Liters Tube *p 34751 3# 3#

1#& ompola s"rup%Laadine s"rup )tl *p 3274#0 32 32

1&0 omperidone s"rup )tl *p 127!5 20 20

1&1 /enolon creamE Tube *p 33700 0 0

1&2 oldmi s"rup )TL *p 1&7250 &! &!

1&3 Ondansetron ampl *p 72!0 20 20

1&4 ,"coral ream Tube *p 1070#0 14 14

1&5 Pil ) Andalan )lister *p 470!5 53 53

1& ie( S"rup )tl *p !!7!00 !0 !0

1&! iacla? 500 mg tablet blister *p 11375&0

1 urcuma plus emulsion 0 ml )TL *p &7!50 !5 !5

1&& urcuma plus emulsion btl *p 337300 0 0

200 Salbron S"rup%Lasal )tl *p 1#7330 2 2

201 ounterpain Tube *p 2072#4 0 0

202 iacla? r" s"rup 125 mg )tl *p 527&00 50 50

203 i(erron blister *p 72!0 30 30

204 Festam blister *p 107!50 & &

205 Torasic blister *p 547#0 15 15

20 iproIoacin capsul blister *p 3710 141 141


9/34

1 +lastis Perban ecil *OL *p 157400 & &1! 9andscoon .on Steril )o K isi 100 pcs *p 45 0 0

1# 9andscoon Steril PS/ *p 37&00 15 15

1& 9"pa?i *OL *p 5#7!35 0 0

20 'n(us Set Anak Pcs *p 47!00 12 12

21 'n(us Set e;asa Pcs *p 4750 12 12

22 Darum Da$it ulit no 10 Pcs *p 17222 ! !

23 Darum Da$it Otot no 11 Pcs *p 17333 # #

24 Dell" doppler Tube *p 17000 1 1

25 apas 1000 /ram Pcs *p 7000 1 1

2 apas 250 gr pcs *p 17000 3 3

2! apas 500 gr pcs *p 207000 3 3

2# asa /ulung 10 cm Pcs *p 27#00 0 0

2& assa gulung roll *p 17154 0 0

30 assa gulung40#0 )all *p 1357000 0 0

31 ,asker pcs *p 5&! 50 50

32 .eedle 23 / 1 Pcs *p 4!5 0 0

33 .eedle 24 / 1 Pcs *p 4!5 0 0

34 O2 Tube Pcs *p 127000 2 2

35 PL+ST+* L+-OPLAST 5 ,G 485 , *OL *p 2#7#4#

3Spuit S"ringe 10 cc

Pcs *p 17250 5 53! Spuit S"ringe 3 cc Pcs *p 0 0 0

3# Spuit S"ringe 5 cc Pcs *p &5 0 0

3& Spuitt 1cc Pcs *p #50 0 0

40 Strip nesco /lukosa strip *p 37440 &0 &0

41 Strip nesco kolesterol strip *p 15754 55 55

42 Strip nesco uric acid strip *p 37#0 5 5

43 Suction cat$eter Pcs *p &7000 2 2

44 ./T (r 1 pcs *p 17000 20 20

45 Supratule Pcs *p 2700 4! 4!4 Surgical blade%mata pisau scapel bisturi pcs *p 500 44 44

4! -mbilical ord Pcs *p 17320 2# 2#

4# -*'.+ )A/ Pcs *p 7315 15 15

4& Lancet pcs *p 320 200 200


10/34

PT. HAMPARAN PRKASA MANDIRI

TANGGAL NO A$DLINGNAMA NAMA

UMURPNANGGUNG PASIN

1


11/34

102O ."8artini ."8artini 42

103 O ."8atima ."8atima 40104 O ."8,ar"ana ."8,ar"ana 1!

105 O ."8*a$matia ."8*a$matia 30

10 O ."8itri ."8itri 20

10! O ."8@ustina ."8@ustina 40

10#PLAS,A .+./A@+T.A Tn8Oding Tn8Oding 40

10& -,-, Tn8 .adi Tn8 .adi 32

110-,-, Tn8Supians"a ."8idard"ani 35

111-,-, Tn8sukadi ."8Sudar;ati 35

112 -,-, Tn8Sukadi An8itri ! bln

113 O ."8,ega ."8,ega 25

114O ."8Sania$ ."8Sania$ 3!

115 O ."8Sira ."8Sira 3

11 PLAS,A .+./A@+T.A ."8eronika ."8eronika 2#

11! PLAS,A .+./A@+T.A Tn8'larius Tn8'larius 30

11# O) ."8riska ."8riska 1&

11&T+.' Tn8So("an ."8Sur"ani 30

10


12/34

21&O Tn8,arianus Tn8,arianus 1&

15


13/34

325O Tn89ironimus Tn89ironimus

2!

32 O Tn89ironimus An8.o?ia&bln

32!O) Tn8)udianto .n8$usnul Andini

13

32#O9 Tn8arius

25

32& O) Tn8,atius 30

330O) ."8,asini ."8,asini

2&

331O) Tn8anel ."8etronela 30

332 O) Tn8anel An8Dusua 2

333 OA ."8Petronela 2&

334OA Tn8Albertus ,anik

40

335OA ."8AlHna

25

33OA ."89amida ."89amida

21

33! OA ."8Lesta 2#33# OA ."8+lisabet )ete 44

33& OA ."8Agustina 31

340 OA Tn8Agustinus 45

341 OA ."8*ince timo 35

342 OA . S l i i 22


14/34

445-,-, Tn8)ambang ."8Sunart" 35

44 O) Tn8,aksi 1544! O Tn8'c$a ."8amina 42

44# STA tn8Sutan An8Akis"a 185

44& STA Tn8Sultan 31

450 -,-, Tn89arianto 44

451 -,-, Tn8Sunan 35

452-,-, Tn8.ikolas An8Dosua 2

453STA Tn8Sulaiman ."8Sulaiman 32

454 O Tn8,arianus 1#

455 O Tn8Alekadius 2&

45 OA Tn8aud An89abel

45! OA Tn8aud 30

45# OA Tn8A"ub 31

31


15/34

JUMLAH KU

PER AFDELI

PT. HAMPARAN PRKASA MANDIRI Periode : unung

NO. DPT.-BAG.JUMLAH

KUNJUNGAN

1 OA 42

2 OB &2

3 O" 141

4 O 25 OH 1

UMUM 34

! Teknik 42

# Plasma Nen2a3etna 5

& Mas3arakat 15

10 Sta4 25

L" 1111 Bi5itan tana6 mera6 1

JUMLAH 4!!

Long Peeng7 3 ebruari 201

epala Polibun PT8 9P,

dr8 Ardian ibo;o


16/34

NJUNGAN

G/BAGIAN

n Danuari 201

PRSNTAS

,7/

#8#1

1&82&

2&85

08423835

!813

#8#1

118!4

3814

5824

28310821

100800


17/34

LAPORAN REKAPITULAS

PT.HAMPARAN PRKASA MANDIRI Periode : ebrua

NO TMPATBROBAT AKIBAT JNIS P

SAKIT K"L. KRJA JALAN

1 Polibun

2 *-,A9 SA'T

J&mla6

Long Peeng7 3 ebruari 201


dr8 Ardian ibo;o

S'P8 11%dr8-mum%01#%PT


18/34


19/34

PASIEN BEROBAT

kec kera ri 201 9P, SAA

A#ATANKTRANGAN

p8li5&n

INAP r&ma6 sakit


20/34


21/34

)erobat9P, SAA


22/34


23/34

JUMLAH

PER AFD

PT. HAMPARAN PRKASA MANDIRI Periode

0

20

40

0

#0

100

120

140

10

1#0


24/34

Long Peeng7 3 Danuari 201


dr8 Ardian ibo;o

S'P8 11%dr8-mum%01#%PT


25/34

KUNJUNGAN

LING/BAGIAN

: Agustus 2015

olumn

olumn


26/34


27/34

8

PT.HAMPARAN PRKASA MANDIRI

NO

HPM

PN!AKIT JUMLAH

) +,A, T'O' (

' +,A, .O. SP+S'' 99

: 'A*+ );

9 @SP+PS'A :9

; 9'P+*T+.S' :

* P+.@A'T /'/' A. *O.//A ,-L-T ):

< P+.@A'T '.+S' +.+,'S =,ALA*'A%+,A, )+*A*A97dll> (

= P+.@A'T A.-./A. A. +)'A.A. '*

> P+.@A'T -L'T AL+*/' ;*

)( P+.@A'T -L'T '.+S' )AT+*'7PA*AS'T7MDA,-* ;

)) P+.@A'T ,ATA >

)' P+.@A'T ,+TA)OL'7DA.T-./ M P+,)-L-9 A*A9 (

): P+.@A'T SAL-*A. +*.A :

)9 P+.@A'T SAL-*A. +,'9 ='.+S' ,+.-LA* S+S-AL> (

); P+.@A'T SAL-*A. +,'9 =.O. '.+S' ,+.-LA* S+S-AL>

laporan polibun pt.hpm bulan januari 2016

Documents