NAMA : TANGGAL : RUANGAN :

NO NAMA OBAT / ALKES NO NAMA OBAT / ALKES NO NAMA OBAT / ALKES

1 ALKES PEN. RAWAT INAP (3 HARI) 31 KA-EN 3B 61 SPALK 5 X 20 PEREKAT
2 ALKES PEN. RAWAT INAP (4-6 HARI) 32 KASA HIDROFIL STERIL 62 SPUIT 1 CC INSULIN
3 ALKES PEN. RAWAT INAP (7-10 HARI) 33 KASA ROL 5CM 63 SPUIT 1 CC TUBERKULIN
4 ALKOHOL SWAB 34 KASA UMUM ISI 5 64 SPUIT 3 CC
5 ASERING 500 ML 35 LIDI KAPAS 65 SPUIT 5 CC
6 BLOOD SET 36 MASKER N95 1860S 66 SPUIT 10 CC
7 BIONECTOR 37 MASKER NEBULIZER ANAK 1173 67 SPUIT 20 CC
8 DARYAN-TULLE STERIL 38 MASKER NEBULIZER DEWASA 1172 68 SPUIT 50 CC
9 DEXTROSE 10% 500ML 39 MASKER NEBULIZER PEDIATRIC 1174 69 SURFLOW FLASH
10 DEXTROSE 5% + ½ NACL 500 ML (N2) 40 NACL 0,9% 25 ML 70 TEGADERM 1610
11 DEXTROSE 5% + ½ 500 ML SANBE 41 NACL 0,9% 100 ML 71 TEGADERM 1624
12 DEXTROSE 5% + ¼ NACL 500 ML (N4) 42 NACL 0,9% 500 ML 72 TEGADERM 1626
13 DEXTROSE 5% + ¼ 500 ML SANBE 43 NASAL CANUL ANAK-OXYFLOW 73 TEGADERM 1627
14 DEXTROSE 5% 100 ML 44 NASAL CANUL ADULT SALTER 1169 74 TEGADERM 1633
15 DEXTROSE 5% 500 ML 45 NASAL CANUL NEONATE 1611 75 TEGADERM + PAD 3591
16 DISCOFIX 3-WAY TUBE 46 NASAL CANUL PEDIATRIC 1602 76 TRANSOFIX
17 DISCOFIX 3-WAY STOPCOCK BLUE 47 NEEDLE 18G 77 TRIDEX 27A
18 DOCARE WASH GLOVES 48 NEEDLE 23G 78 TRIDEX 27B
19 ECOSOL NACL 0,9% 100 ML 49 NEEDLE 25G 79 TRIDEX PLAIN
20 ECOSOL NACL 0,9% 500 ML 50 NEEDLE 27G 80 UNDERPAD
21 ECOSOL RINGER LACTAT 500 ML 51 NEOFLON NO.26 81 VASOFIX SAFETY G 18
22 EPHINEPRINE INJEKSI 1 ML 52 RINGER DEXTROSE 500 ML 82 VASOFIX SAFETY G 20
23 EXTENTION TUBE 150 CM 53 RINGER LACTAT 500 ML 83 VASOFIX SAFETY G 22
24 FEEDING TUBE NO.5 (40 CM) 54 SARUNG TANGAN STERIL NO. 6 84 VASOFIX SAFETY G 24
25 INFUS SET MAKRO B.BRAUN 55 SARUNG TANGAN STERIL N0. 6,5 85 WATER FOR INJECTION 25 ML
26 INFUSAN D5 500ML SP (SANBE) 56 SARUNG TANGAN STERIL NO. 7 86 WING NEEDLE NO. 21
27 INFUSAN D5 + ½ NS SP 500ML SANBE 57 SARUNG TANGAN STERIL NO. 7,5 87 WING NEEDLE NO. 23
28 INFUSAN D5 + ¼ NS SP 500ML SANBE 58 SARUNG TANGAN STERIL NO. 8 88 WING NEEDLE NO.25
29 KA-EN 1B 59 SPALK 5 X 10 PEREKAT 89 WING NEEDLE NO. 27
30 KA-EN 3A 60 SPALK 5 X 15 PEREKAT 90

NAMA : TANGGAL : RUANGAN :

NO NAMA OBAT / ALKES NO NAMA OBAT / ALKES NO NAMA OBAT / ALKES

1 ALKES PEN. RAWAT INAP (3 HARI) 31 KA-EN 3B 61 SPALK 5 X 20 PEREKAT
2 ALKES PEN. RAWAT INAP (4-6 HARI) 32 KASA HIDROFIL STERIL 62 SPUIT 1 CC INSULIN
3 ALKES PEN. RAWAT INAP (7-10 HARI) 33 KASA ROL 5CM 63 SPUIT 1 CC TUBERKULIN
4 ALKOHOL SWAB 34 KASA UMUM ISI 5 64 SPUIT 3 CC
5 ASERING 500 ML 35 LIDI KAPAS 65 SPUIT 5 CC
6 BLOOD SET 36 MASKER N95 1860S 66 SPUIT 10 CC
7 BIONECTOR 37 MASKER NEBULIZER ANAK 1173 67 SPUIT 20 CC
8 DARYAN-TULLE STERIL 38 MASKER NEBULIZER DEWASA 1172 68 SPUIT 50 CC
9 DEXTROSE 10% 500ML 39 MASKER NEBULIZER PEDIATRIC 1174 69 SURFLOW FLASH
10 DEXTROSE 5% + ½ NACL 500 ML (N2) 40 NACL 0,9% 25 ML 70 TEGADERM 1610
11 DEXTROSE 5% + ½ 500 ML SANBE 41 NACL 0,9% 100 ML 71 TEGADERM 1624
12 DEXTROSE 5% + ¼ NACL 500 ML (N4) 42 NACL 0,9% 500 ML 72 TEGADERM 1626
13 DEXTROSE 5% + ¼ 500 ML SANBE 43 NASAL CANUL ANAK-OXYFLOW 73 TEGADERM 1627
14 DEXTROSE 5% 100 ML 44 NASAL CANUL ADULT SALTER 1169 74 TEGADERM 1633
15 DEXTROSE 5% 500 ML 45 NASAL CANUL NEONATE 1611 75 TEGADERM + PAD 3591
16 DISCOFIX 3-WAY TUBE 46 NASAL CANUL PEDIATRIC 1602 76 TRANSOFIX
17 DISCOFIX 3-WAY STOPCOCK BLUE 47 NEEDLE 18G 77 TRIDEX 27A
18 DOCARE WASH GLOVES 48 NEEDLE 23G 78 TRIDEX 27B
19 ECOSOL NACL 0,9% 100 ML 49 NEEDLE 25G 79 TRIDEX PLAIN
20 ECOSOL NACL 0,9% 500 ML 50 NEEDLE 27G 80 UNDERPAD
21 ECOSOL RINGER LACTAT 500 ML 51 NEOFLON NO.26 81 VASOFIX SAFETY G 18
22 EPHINEPRINE INJEKSI 1 ML 52 RINGER DEXTROSE 500 ML 82 VASOFIX SAFETY G 20
23 EXTENTION TUBE 150 CM 53 RINGER LACTAT 500 ML 83 VASOFIX SAFETY G 22
24 FEEDING TUBE NO.5 (40 CM) 54 SARUNG TANGAN STERIL NO. 6 84 VASOFIX SAFETY G 24
25 INFUS SET MAKRO B.BRAUN 55 SARUNG TANGAN STERIL N0. 6,5 85 WATER FOR INJECTION 25 ML
26 INFUSAN D5 500ML SP (SANBE) 56 SARUNG TANGAN STERIL NO. 7 86 WING NEEDLE NO. 21
27 INFUSAN D5 + ½ NS SP 500ML SANBE 57 SARUNG TANGAN STERIL NO. 7,5 87 WING NEEDLE NO. 23
28 INFUSAN D5 + ¼ NS SP 500ML SANBE 58 SARUNG TANGAN STERIL NO. 8 88 WING NEEDLE NO.25
29 KA-EN 1B 59 SPALK 5 X 10 PEREKAT 89 WING NEEDLE NO. 27
30 KA-EN 3A 60 SPALK 5 X 15 PEREKAT 90