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  • Perician BPers

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    This document is a bill for costs associated with childbirth. It lists the mother and father's names and address at the top. It then breaks down the costs into 5 sections - 1) medical supplies and equipment used, 2) medications administered to mother and baby, 3) fees for delivery assistance and stitches, 4) postpartum care for mother and baby, and 5) hepatitis B immunization for the newborn. Space is provided to fill in the price for each item or service. A total cost is calculated at the bottom.

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    Perician BPers.xlsx

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    This document is a bill for costs associated with childbirth. It lists the mother and father's names and address at the top. It then breaks down the costs into 5 sections - 1) medical supplies and equipment used, 2) medications administered to mother and baby, 3) fees for delivery assistance and stitches, 4) postpartum care for mother and baby, and 5) hepatitis B immunization for the newborn. Space is provided to fill in the price for each item or service. A total cost is calculated at the bottom.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views1 page

    Perician BPers

    Uploaded by

    ema
    This document is a bill for costs associated with childbirth. It lists the mother and father's names and address at the top. It then breaks down the costs into 5 sections - 1) medical supplies and equipment used, 2) medications administered to mother and baby, 3) fees for delivery assistance and stitches, 4) postpartum care for mother and baby, and 5) hepatitis B immunization for the newborn. Space is provided to fill in the price for each item or service. A total cost is calculated at the bottom.

    Copyright:

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    of 1

    PERINCIAN BIAYA PERSALINAN

    Nama Ibu :
    Nama Suami :
    Alamat :

    1. BHP
    * Klem umbilical Rp.
    * Kasa Rp.
    * Bethadine Rp.
    * Handscoon Rp.
    * Spuit 3 cc Rp.
    * Spuit 1 cc Rp.
    * Underpad Rp.
    * Cutgut Rp.

    2. Obat obatan (Injeksi dan oral)


    * Oxytocin Rp.
    * Vitamin K Rp.
    * Lidocain Rp.
    * Methergin Rp.
    * Antibiotik Rp.
    * Analgetik Rp.
    * FE Rp.
    * Sari ASI Rp.
    * Vitamin A Rp.
    * Salep mata Bayi Rp.

    3. Jasa pertolongan persalinan, Jahitan Dll Rp.


    4 Perawatan Ibu dan Bayi Pasca Salin Rp.

    5. Imunisasi HB 0 Rp.

    TOTAL Rp.

    Mengetahui

    Ema Suliyusti P Amd.Keb

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