Central Sterile Supply Central Sterile Supply Central Sterile Supply Central Sterile Supply

Department Department Department Department

( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 )

Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ......................................

Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : .........................................

Central Sterile Supply Central Sterile Supply Central Sterile Supply Central Sterile Supply
Department Department Department Department

( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 )

Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ......................................

Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : .........................................

Central Sterile Supply Central Sterile Supply Central Sterile Supply Central Sterile Supply
Department Department Department Department

( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 )

Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ......................................

Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : .........................................

Central Sterile Supply Central Sterile Supply Central Sterile Supply Central Sterile Supply
Department Department Department Department

( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 ) ( Depres Kecil isi 5 )

Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ...................................... Tgl. Kedaluwarsa : ......................................

Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : ......................................... Petugas CSSD : .........................................