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BARANG HABIS PAKAI KAMAR OPERASI

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Umur :
Alamat :
Diagnosa :

Jumlah
No Nama Barang Ukuran Harga Keterangan
Pemakaian
1 Aquades
2 Apron
3 Alkohol
4 Abocat 16
18
20
22
24
5 Betadine
6 Bomwoks
7 Bisturi 24
15
8 Catgut Cromik (jarum) No. 1
No. 2
9 Cairan RL
10 Cairan Nacl
11 Chateter 18
16
14
12
10
8
12 Elastis Verban 6
4
3
13 Formalin
14 Gipsona 6
4
3
15 Handscoon 7,5
7
6,5
16 H2 O2
17 Hepavix
18 Inderpad
19 Infus set Mikro
Makro
20 Jelly
21 Kain has
22 Lomatul
23 Masker
24 Mitella S
M
L
Xl
25 NGT Lunak 18
16
14
12
26 Nylon 5/0
4/0
3/0
27 O2 / Jam
28 Poli cateter (rush) 24
29 Plaster
30 Silk 2/0
3/0
31 Soft band 6
4
3
32 Said Roll 2/0
3/0
33 Spoit 50
20
10
5
3
1
34 Tutup Kepala
35 Transfusi set
36 Uring bag
37 Urogard
38 Vio 1/0
2/0
3/0
Tota Harga Rp.

Mengetahui
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