FORM PERMINTAAN BHP OPERASI

Tanggal : TOTAL OP :

NO. NAMA STOK PAKAI

1 Spuit 1 cc
2 Spuit 3 cc
3 Spuit 5 cc
4 Spuit 10 cc
5 Eye Drape
6 Canul Oksigen
7 RL Sanbe/Asering
8 Healon
9 Appavisc
10 Viscoat
11 Lidocain
12 Salticin (Gentamicin)
13 Ephinephrine
14 Indexon Inj (Dexametason Inj)
15 Slit 2.75/ Slit 2.5
16 Cresent
17 Straight
18 Maxter 7.5
19 Maxter 8
20 General Care 6.5 (Powder)
21 Safe Glove 6.5 (Non Powder)
22 Cathacol
23 Mede Blue
24 Infiniti Kaset (Abbot)
25 Oppo 71 (Next Generation Phaco) (Alcon)
26 Mayo Stand Cover
27 Gown (Jas Operasi)
28 Wida Steril 1 L (Aqudes Steril 1 Liter)
29 Cravit ED
30 Floxa MD
31 Pantocain 0.5%
32 Chlorosrub 500 ml (Sabun)
33 Alkohol 96%
34 Hypafix
35 Alkohol Swab
36 Masker Diapro (Masker Hijab)
37 Nurse Cap (Hijau/Putih)
38 Infuset Terumo
39 Tranfuset Terumo
40 Tip sleeve alcon (micrrosmooth microtip)
41 Needle 23 G
42 Needle 26 G
43 Needle 30 G
44 Canul Hidrodiseksi
45 Canul Subtenon
46 DOP
47 Maxter 7
48
49
50

PERAWAT FARMASI

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