1 Infuset Dewasa Cosmo 2 pcs Rp 7,000 Rp 14,000 2 Abocath No. 20 3 pcs Rp 5,000 Rp 15,000 3 Abocath No. 22 3 pcs Rp 5,000 Rp 15,000 4 RL-Widatra 2 plabot Rp 9,000 Rp 18,000 5 NaCl Infus -Widatra 2 plabot Rp 8,000 Rp 16,000 6 Oxycan 500 cc 1 tabung Rp 60,000 Rp 60,000 7 Triocid Tab 20 Tab Rp - 8 Ranitidin Tab 20 Tab Rp - 9 Omeprazol Kap 20 Kap Rp - 10 Domperidon Tab 10 Tab Rp - 11 Fasgo Tab 20 Tab Rp - 12 Fasgo Forte Tab 20 Tab Rp - 13 Tifalsik Tab 10 Tab Rp - 14 Bioplacenton Cream 1 tube Rp - 15 Dextral Tab 10 Tab Rp - 16 Tera-F tab 20 Tab Rp - 17 Molagit Tab 20 Tab Rp - 18 Inamid Tab 20 Tab Rp - 19 Pharolit 10 bks Rp - 20 Antimo Tab 20 Tab Rp - 21 CTM tab 20 Tab Rp - 22 Hydrokortison 2,5% Cream 1 tube Rp - 23 Betadine 1 botol Rp - 24 Alkohol 70% 1 botol Rp - 25 H2O2 1 botol Rp - 26 Kassa Steril Box 2 box Rp - 27 Plester Kecil 2 roll Rp - 28 plester Luka 10 pcs Rp - 29 Micropore 1/2 In 1 pcs Rp - 30 Kassa Hydrofil 5 cm 2 roll Rp - 31 Gunting 1 pcs Rp - 32 Pinset 1 pcs Rp - 33 Termometer 1 pcs Rp - 34 Sarung Tangan Lateks 12 pcs Rp - 35 Cotton Bud 1 bks Rp - 36 Tisu 1 pak Rp -
Garut, 18 April 2019
Mengetahui Kepala IFK Medina Pimpinan Klinik Medina