NO NAMA BARANG
1 ProHP NC Baloon diameter 1.0mm s/d 3.5mm semua ukuran
2 Sheat Introducer Transradial 6 Fr 11cm
3 Injeksi Lidocain
4 macro set infus/sol adm set infus dewasa
5 Blood set/sol adm Tranfusion set dewasa
6 High pressure Tubing/extention panjang (120cm)
7 High pressure Tubing/extention pendek (60cm)
8 Manifold
9 Guide wire M Radifocus
10 Disp. Syringe 10cc
11 Disp. Syringe 5cc
12 Disp. Syringe 3cc
13 glove non steril ukuran M
14 alkohol 70%/liter
15 nacl 0.9%
16 accesoris kit
17 Guide wire "Inqiwire" 0.035mm
18 Angiografic Cateter "TIG"/"Ultimate" 5Fr
19 fortis II 3.00x08
20 fortis II 3.00x13
21 fortis II 3.00x18
PERMINTAAN BARANG CATH LAB
RUMAH SAKIT PERTAMINA BALIKPAPAN
Balikpapan, 30-01-2018
Mengetahui
Dr. M.Iqbal.SpJP
YTH : BAGIAN UGD
NO NAMA TINDAKAN
1 NY. SITI MASLACHAH BPJS PCI
2 NY. DARMI BPJS PCI
3 TN. ANTONIUS BPJS ANGIOGRAFI CORONER
4 NY. SULEHA BPJS ANGIOGRAFI CORONER
5 NY. WAGIRUN BPJS ANGIOGRAFI CORONER
6 NY. SUMIANI BPJS ANGIOGRAFI CORONER
7 M. IKRAM BPJS ANGIOGRAFI CORONER
BTP CATHLAB
DR. M. IQBAL, SP.JP