PAKET SC BPJS: PAKET SC BPJS:

NO NAMA OBAT JUMLAH CEK NO NAMA OBAT JUMLAH CEK

LIST LIST
1 2 1 2
1 ABOCATH 18 1 ABOCATH 18
2 INFUS SET 2 INFUS SET
3 SPINOCAN 27 3 SPINOCAN 27
4 SUCTION 4 SUCTION
CATHETER CATHETER
5 FOLEY CATHETER 5 FOLEY CATHETER
6 URINE BAG 6 URINE BAG
7 UNDER PADS 7 UNDER PADS
8 UMBILICAL CORD 8 UMBILICAL CORD
CLAMP CLAMP
9 SPUIT 1 CC 9 SPUIT 1 CC
10 SPUIT 3 CC 10 SPUIT 3 CC
11 SPUIT 5 CC 11 SPUIT 5 CC
12 SPUIT 10 CC 12 SPUIT 10 CC
13 HANDSCOON 6.5 13 HANDSCOON 6.5
14 HANDSCOON 7 14 HANDSCOON 7
15 HANDSCOON 8 15 HANDSCOON 8
16 BISTURI 10 BULAT 16 BISTURI 10 BULAT
17 VICRIL 17 VICRIL
18 RL 18 RL
19 NACL 19 NACL
20 AQUA PRO 20 AQUA PRO
INJECTION INJECTION
21 CEFTRIAXONE 21 CEFTRIAXONE
INJEKSI INJEKSI
22 ONDANSENTRONE 22 ONDANSENTRONE
INJEKSI INJEKSI
23 BUNASCAN INJEKSI 23 BUNASCAN INJEKSI

24 EPHEDRINE INJEKSI 24 EPHEDRINE INJEKSI

25 PROTOCYN INJEKSI 25 PROTOCYN INJEKSI

26 MYOMERGIN 26 MYOMERGIN
INJEKSI INJEKSI
27 KETOROLAC 27 KETOROLAC
INJEKSI INJEKSI
28 RANITIDINE INJEKSI 28 RANITIDINE INJEKSI

29 PROHEM INJEKSI 29 PROHEM INJEKSI

TANDA TANGAN CEK : TANDA TANGAN CEK :

TGL SERAH TERIMA : TGL SERAH TERIMA :