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    PAKET SC - Docx NEW

    Uploaded by

    lia dwi utami
    The document contains a list of 45 medical supplies and equipment items with corresponding quantities needed for Paket SC 1. It includes items such as Ring As 500ml solution, BD Venflon needles, Tegaderm dressings, surgical gloves in various sizes, syringes, sutures, antibiotics, IV solutions and other common operating room supplies. The list is duplicated, suggesting it is for two identical medical procedure packs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PAKET SC - Docx NEW

    Uploaded by

    lia dwi utami
    18 views6 pages
    The document contains a list of 45 medical supplies and equipment items with corresponding quantities needed for Paket SC 1. It includes items such as Ring As 500ml solution, BD Venflon needles, Tegaderm dressings, surgical gloves in various sizes, syringes, sutures, antibiotics, IV solutions and other common operating room supplies. The list is duplicated, suggesting it is for two identical medical procedure packs.

    Original Description:

    Original Title

    PAKET SC.docx NEW.docx

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    The document contains a list of 45 medical supplies and equipment items with corresponding quantities needed for Paket SC 1. It includes items such as Ring As 500ml solution, BD Venflon needles, Tegaderm dressings, surgical gloves in various sizes, syringes, sutures, antibiotics, IV solutions and other common operating room supplies. The list is duplicated, suggesting it is for two identical medical procedure packs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views6 pages

    PAKET SC - Docx NEW

    Uploaded by

    lia dwi utami
    The document contains a list of 45 medical supplies and equipment items with corresponding quantities needed for Paket SC 1. It includes items such as Ring As 500ml solution, BD Venflon needles, Tegaderm dressings, surgical gloves in various sizes, syringes, sutures, antibiotics, IV solutions and other common operating room supplies. The list is duplicated, suggesting it is for two identical medical procedure packs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    PAKET SC 1 PAKET SC 1

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
    a
    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    PAKET SC 2 PAKET SC 2

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
    a
    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    PAKET SC 3 PAKET SC 3

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
    a
    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    PAKET SC 4 PAKET SC 4

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
    a
    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    PAKET SC 5 PAKET SC 5

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
    a
    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    PAKET SC 6 PAKET SC 6

    Nama : Nama :

    Tanggal : Tanggal :
    No Nama Obat / Alkes Banyakny Pemakaian
    No Nama Obat / Alkes Banyakny Pemakaian
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    a
    1 Ring As 500ml (Sanbe) 5 5
    1 Ring As 500ml (Sanbe) 5 5
    2 BD Venflon 18 1 1
    2 BD Venflon 18 1 1
    3 Tegaderm 1 1
    3 Tegaderm 1 1
    4 Blood Set Infus (Terumo) 1 1
    4 Blood Set Infus (Terumo) 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    5 Opsite - Curapor Transparant 10x25cm 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    6 Sanoskin Melladerm - Plus Tulle 1 1
    7 Diapres Ibu 1 1
    7 Diapres Ibu 1 1
    8 Underpad 2 2
    8 Underpad 2 2
    9 Urin Bag 1 1
    9 Urin Bag 1 1
    10 Foley Cateter No 14 1 1
    10 Foley Cateter No 14 1 1
    11 Handscoon Gamex No 8 4 4
    11 Handscoon Gamex No 8 4 4
    12 Handscoon Gamex No 7.5 1 1
    12 Handscoon Gamex No 7.5 1 1
    13 Handscoon Gamex No 7 1 1
    13 Handscoon Gamex No 7 1 1
    14 Handscoon Gamex No 6.5 1 1
    14 Handscoon Gamex No 6.5 1 1
    15 Handscoon Maxter No 8 2 2
    15 Handscoon Maxter No 8 2 2
    16 Handscoon Maxter No 7.5 1 1
    16 Handscoon Maxter No 7.5 1 1
    17 Handscoon Maxter No 7 1 1
    17 Handscoon Maxter No 7 1 1
    18 Spuit 10 Cc 2 2
    18 Spuit 10 Cc 2 2
    19 Spuit 5 Cc 2 2
    19 Spuit 5 Cc 2 2
    20 Spuit 3 Cc 2 2
    20 Spuit 3 Cc 2 2
    21 Spuit 1 Cc 2 2
    21 Spuit 1 Cc 2 2
    22 Aquabidest 25ml Inj 1 1
    22 Aquabidest 25ml Inj 1 1
    23 Bisturi No 10 1 1
    23 Bisturi No 10 1 1
    24 Bisturi No 23 1 1
    24 Bisturi No 23 1 1
    25 Hansaplast Jumbo 1 1
    25 Hansaplast Jumbo 1 1
    26 Catgut Chromic 2-0 923T 1 1
    26 Catgut Chromic 2-0 923T 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Monosyn 1 HR 48 Violet 90 cm 1 1
    27 Novosyn 2-0 HR37s 1 1
    27 Novosyn 2-0 HR37s 1 1
    28 Cortidex Inj 2 2
    28 Cortidex Inj 2 2
    29 Teranol Injek 2 2
    29 Teranol Injek 2 2
    30 Santocyn Injek 4 4
    30 Santocyn Injek 4 4
    31 Myotonic Injek 1 1
    31 Myotonic Injek 1 1
    32 Ondane 8mg Injek 1 1
    32 Ondane 8mg Injek 1 1
    33 Plasminex Injek 1 1
    33 Plasminex Injek 1 1
    34 Regivel Injek 1 1
    34 Regivel Injek 1 1
    35 Vasodrin Injek 1 1
    35 Vasodrin Injek 1 1
    36 Ephineprin Injek 1 1
    36 Ephineprin Injek 1 1
    37 Atrophine Sulfat (SA) 1 1
    37 Atrophine Sulfat (SA) 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    38 Fordin 50mg/2 ml Inj 1 1
    39 RL 1 1
    39 RL 1 1
    40 Alkohol 70% 100ml 1 1
    40 Alkohol 70% 100ml 1 1
    41 Betadine Sol 2 2
    41 Betadine Sol 2 2
    42 Topi Pasien 1 1
    42 Topi Pasien 1 1
    43 Topi Tali Dokter (Remedi) 8 8
    43 Topi Tali Dokter (Remedi) 8 8
    44 Masker Tali 8 8
    44 Masker Tali 8 8
    45 Apron 4 4
    45 Apron 4 4
    46 Selang O2 Dewasa 1 1
    46 Selang O2 Dewasa 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    47 Paket Operasi Tambahan (Bighaas) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    48 Paket Operasi Tambahan (Kassa) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    49 Paket Operasi Tambahan (Selang) 1 1
    50 Gatron Injeksi 1 1
    50 Gatron Injeksi 1 1
    51 Kettese Injek 2 2
    51 Kettese Injek 2 2
    52 Fetik Supp 2 2
    52 Fetik Supp 2 2
    53 Transofix Bbraun 1 1
    53 Transofix Bbraun 1 1
    54 Silet Tiger 1 1
    54 Silet Tiger 1 1
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang
    55 Sensi Gloves Size M / Pcs 5 Pasang 5 Pasang

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