Nama Obat:
Nama :
No. Registrasi :
Umur :
Ruangan
Tanggal
Terima
Frek
Pagi
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Sisa
Sore
Dosis:
Nama Dokter:
Sisa
Malam
Sisa
Ekstra
Sisa
Nama Obat:
Tanggal
Terima
Frek
Pagi
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Jam
Pf
Sisa
Sore
Dosis:
Nama Dokter:
Sisa
Malam
Sisa
Ekstra
Sisa
Keterangan:
1. Tidak ada persediaan (TAP)