CEKLISH UGD

BULAN :
TAHUN :

TANGGAL
NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 DEXA 1 ML

2 EPINEPHRINE 1 ML

3 CYANOCOBALAMIN 500 MCG

4 RANITIDINE 50 MG/2 ML

5 SANTAGESIK 2 ML

6 HALOPERIDOL 1 ML

7 HYOSINE N - BUTYLBROMIDE 20MG

8 ONDANSETRON 2ML

9 DIAZ 5 MG

10 WATER INJECTION 25 ML

11 D 40 % 25 ML

12 NS 0,9 %
13 RL

14 D5%

15 VENTOLIN

16 SILK BRAINDED

17 PLAIN CAT GUT

18 SILK

19 CROMIC CAT GUT

20 IV CHATETER 22

21 IV CHATETER 24

22 IV CHATETER 20

23 KASA STERIL 16 CM X 16 CM

24 SPUIT 1 ML

25 SPUIT 3 ML

26 SPUIT 5 ML

27 SPUIT 10 ML

28 OXYGEN MASKER BAYI

29 OXYGEN MASKER ANAK

30 OXYGEN MASKER DEWASA

31 NEBULIZER MASK DEWASA

32 UROCARE 16

33 UROCARE 20

34 URINE BAG

35 STOMACH TUBE 14

36 STOMACH TUBE 16

37 STOMACH TUBE 18

38

39

40

41

42

43

44
45

46

47

48

49

50
H UGD

TANGGAL
JML
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31