Tgl.Beri No.Rawat No.R.

M Nama Pasien Nama Obat/Alkes Jml

28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY PLATE PATIENT ERBE ADULT 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY FRAMISETIN SULFAT KASA STERIL 1 % 1.0
( DARYANTUL)
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY RINGER LACTAT 500ML EMJEBE 2.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SARUNG TANGAN STERIL NO. 6,5 2.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY OXYTOCIN INJ 10 IU/ML PT. ETHICA TA 4.0
2018
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPUIT 20CC MAS HOSPITAL 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY UNDERPAD DIAPRO 4.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY FOLEY CATHETER NO. 12 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY EPHEDRIN HCL 50 MG / ML INJ 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY NASAL CANUL O2 DEWASA 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY PEN CAUTER 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY NACL LARUTAN INFUS 0,9 % 500 ML 1.0
WIDATRA
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY WOUND DRESSING UK. BESAR DOCARE 1.0
(NON TEGADERM)
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SCAPEL BLADE ( BISTURI ) NO. 20 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY NACL LARUTAN INFUS 0,9 % 100 ML 1.0
OTSUKA
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY WFI 25 ML (SATORIA) 2.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPUIT 1ML NIPRO 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SARUNG TANGAN STERIL NO. 8 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY MARCAIN HEAVY ( BUVICAIN ) 0,5 % 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPUIT 10 ML TERUMO 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY METIL ERGOMETRIN INJ 0.2 MG/ML 2.0
DEXAMED
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPUIT 5 ML TERUMO 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SKINTACT FOAM ELEKTRODA 35X41MM 3.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPINOCAN 27G X 3 BBRAUNN 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SPUIT 3 ML TERUMO 3.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY ASSUCRYL ( SAFIL ) 3/0 TS 27 REF 1.0
909016
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY DEXKETOPROFEN INJ 25MG/ML 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY SARUNG TANGAN STERIL NO. 7 5.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY URINE BAG 2.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY CATGUT CHROMIC 2/0 HRG 38 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY MORFINA 10 MG / ML INJEKSI TA 2021 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY ONDANSENTRON 4 MG / ML TA 1.0
BERNOFARM
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY LIDOCAIN INJEKSI 2% 1.0
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY FENTANYL INJEKSI 0.05 MG/ML 1.0
JANSSEN(PIRAMAL)
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY ASSUCRYL (SAFIL) 1 HRG-50 REF 1.0
43437H
28/01/2023 09:51:06 2023/01/27/000117 145012 VINCE CICILIA MUNTE , NY PROTOFEN 100 MG ( KETOPROFEN ) 1.0

1/28/23, 9:57 AM

Yang Menyerahkan Yang Menerima

( ) ( )
1/28/23, 9:57 AM