No. CAIRAN Pemesanan Jumlah Paraf No. OBAT-OBATAN LAIN Pemesanan Jumlah Paraf
Terpakai OK Farmasi Terpakai OK Farmasi
1. NaCI0,9% fls fls 1. Oxygen (O2) ltr ltr
2. Dextrose 5% fls fls 2. Sodium Penihotal amp amp
3. NaCI0,125% & Dex fls fls 3. Ketalar / Ivanes cc cc
5% 4. Suesinil Colin cc cc
4. NaCI 0,45% & Dex fls fls 5. Pethidine amp amp
5% 6. Pentanyl amp amp
5 Ringer Lactal fls fls
6 Ringer Solution fls fls 7. Sulfas Antropin amp amp
7 Potacol Solution fls fls 8. Prostigmine amp amp
8. Asering fls fls 9. Valium 10 amp amp