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PEMANTAUAN PERBEKALAN FARMASI

RS MAGUAN HUSADA

NAMA INSTALASI : HEMODIALISA


TANGGAL :

NO PEMANTAUAN Keterangan
Ya Tidak
1. Monitoring suhu ruangan
2. Monitoring kelembapan ruangan
3. Pengisian kartu stok
4. Penataan barang
5. Barang mendekati ED / Rusak
6. Kebersihan
7. Palet

Catatan =
.......................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................
Instalasi Hemodialisa Instalasi Farmasi

( ) ( Emi Putri Primasari )


Kepala Instalasi Farmasi

( Tri Wahyuni )
PEMANTAUAN PERBEKALAN FARMASI
RS MAGUAN HUSADA

NAMA INSTALASI : LABORATORIUM


TANGGAL :

NO PEMANTAUAN Keterangan
Ya Tidak
1. Monitoring suhu ruangan
2. Monitoring kelembapan ruangan
3. Pengisian kartu stok
4. Penataan barang
5. Barang mendekati ED / Rusak
6. Kebersihan
7. Palet

Catatan =
.......................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................
Instalasi Laboratorium Instalasi Farmasi

( ) ( Emi Putri Primasari )


Kepala Instalasi Farmasi

( Tri Wahyuni )
PEMANTAUAN PERBEKALAN FARMASI
RS MAGUAN HUSADA

NAMA INSTALASI : CSSD


TANGGAL :

NO PEMANTAUAN Keterangan
Ya Tidak
1. Monitoring suhu ruangan
2. Monitoring kelembapan ruangan
3. Pengisian kartu stok
4. Penataan barang
5. Barang mendekati ED / Rusak
6. Kebersihan
7. Palet

Catatan =
.......................................................................................................................................................................................................................................
.......................................................................................................................................................................................................................................
Instalasi CSSD Instalasi Farmasi

( ) ( Emi Putri Primasari )


Kepala Instalasi Farmasi

( Tri Wahyuni )

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