TTV = hr X =
Injeksi = hr X =
Pasang Infs Anak = X =
DWS = X =
Nebul = X =
Tindakan lain = X =
ALKES
Inflo No . . . = bj X =
Infuset DWS = bj X =
Anak = bj X =
Tranfuset = bj X =
Plesterin = bj X =
Spuit
1CC = bj X =
3CC = bj X =
5CC = bj X =
10CC = bj X =
Jarum 26 = bj X =
FL CATETER =
UROBAG =
Lain-lain = +
JUMLAH = X %
TOTAL =
CAIRAN ( RL/D5/PZ/KN3B/ ) = Flash X =
OBAT-OBATAN
IV:
PO: