Nama Pasien : No. Reg : Nama Pasien : No. Reg : Nama Pasien : No. Reg :
PAKET BEDAH / OBAT ANESTESI OPERASI PAKET BEDAH / OBAT ANESTESI OPERASI PAKET BEDAH / OBAT ANESTESI OPERASI
REPAIR HERNIA REPAIR HERNIA REPAIR HERNIA
No Nama Barang Jumlah Ket No Nama Barang Jumlah Ket No Nama Barang Jumlah Ket
1 Vicryl 2.0 1 1 Vicryl 2.0 1 1 Vicryl 2.0 1
2 Prolene 2.0 1 2 Prolene 2.0 1 2 Prolene 2.0 1
3 Prolene 3.0 1 3 Prolene 3.0 1 3 Prolene 3.0 1
4 Ranitidin inj 1 4 Ranitidin inj 1 4 Ranitidin inj 1
5 Ondansetron inj 1 5 Ondansetron inj 1 5 Ondansetron inj 1
6 Ketorolac inj 1 6 Ketorolac inj 1 6 Ketorolac inj 1
7 Dexamethasone inj 1 7 Dexamethasone inj 1 7 Dexamethasone inj 1
8 Bunascan inj 2 8 Bunascan inj 2 8 Bunascan inj 2
9 Spinocan 25 1 9 Spinocan 25 1 9 Spinocan 25 1
10 Aqua pro inj 1 10 Aqua pro inj 1 10 Aqua pro inj 1
11 Hernia set 1 11 Hernia set 1 11 Hernia set 1