Anastes

Injeksi

Tablet
Gas

Cairan

BHP

1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
9
10
1
1
2
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Decain
Halothane
Recofol
Sulfas Atropin
Tramus
KTM
Sevo Fluran
Lidocain
Ephedrine
Vometron
Induxin
Bledstop
Pethidin
Dexamethasone
Asam Tranexamat
Remopain
Tramadol
Cefazolin
Gastrul
O2
N 2O
NaCl
RL
Fimahes
Nulagyl
Farmadol
H 2O 2
Formalin
Alkohol
Iodin Povidon
Minoscrub
WI
Bisturi
Surgimask Tie On/ Ear
Loop
Handscoend
Handscoend Sensi
Folley Cat(DC)
Stomach Tube (NGT)
Urine Bag
Spuit
Blood Tranfusion
Infusion Set Macro
Infusion Set Micro
Abocath
Spinocan
Kasa Steril/ Depers
Tampon

20
21
22

Kasa Roll
KY Jelly
Sufratule

Amp
Cc
Amp
Amp
Amp
Cc
Cc
Amp
Amp
Amp
Amp
Amp
Amp
Amp
Amp
Amp
Amp
Vial
Tab
Lt
Lt
Fls
Fls
Fls
Vial
Vial
Cc
Cc
Cc
Cc
Cc
Fls
Pcs
Pcs
Psg
Psg
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Gulun
g
Rol
Cc
Lbr

23
24
25

Benang

Needle

Lainlain

Polifix
Plester coklat
Kaltrofen/Pronalges
supp
Cat Gut Chrom

Cat Gut Plain

3
4
5

Assucril
Monoslow
Silkam

6
1
2
3
4
1
2
3
4
5

Nylon/ Dafilon
SE-ME
SE-TH
SE-MH
Needle 23/ 26
Polyban
Polygips
FM Crepe

Cm
Cm
biji
Cm/
Pcs
Cm/
Pcs
Pcs
Pcs
Cm/
Pcs
Pcs
Pcs
Pcs
Pcs
Pcs
Roll
Roll
Roll

Tanggal,.

Perawat

NO RM
NAMA
JENIS KELAMIN
TANGGALLAHIR
RUANG/KELAS
JENIS
PEMBIAYAAN

:
:

:
LK
PR
: ..UMUR :
.TH/BL
: /
..
:
UMUM
NON PBI
PBI