NO NAMA OBAT & ALKES 1 2 3 4 5 6 7 8 9 10 11 12

Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok
1 Lidocain HCl 2% ( 1 Amp )
2 Dexamethasone 5mg/ml ( 2 amp )
3 Asam Tranexamat 100mg/ml ( 2 amp )
4 Atropin 0,25mg/ml ( 2 amp )
5 EPHEDrine HCl ( 2 amp )
6 Ondansetron 4mg/2ml ( 2 amp )
7 Stesolid 10mg/2ml ( 2 amp )
8 RL 500 ml ( 1 Botol )
9 NaCl 0,9% 500ml ( 1 Botol )
10 Abocath 24 ( 2 pcs )
11 Abocath 22 ( 2 pcs )
12 Abocath 20 ( 2 pcs )
13 Abocath 18 ( 2 pcs )
14 Spoit 10 ml ( 2 pcs )
15 Spoit 5 ml ( 2 pcs )
16 Spoit 3 ml ( 2 pcs )
17 Transfusi Set ( 2 pcs )
18 Infus Set ( 2 pcs )
19 Masker O2 ( 1 pcs )
20 Masker O2 Nebu ( 1 pcs )
21 Nasal O2 ( 1 pcs )
 FORM PEMAKAIAN OBAT AMBULANCE BULAN NOVEMBER 2022
TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok
26 27 28 29 30 31
Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti
 NO NAMA OBAT & ALKES 1 2
Stok Ganti Stok Ganti
1 Lidocain HCl 2% ( 1 Amp )
2 Dexamethasone 5mg/ml ( 2 amp )
3 Asam Tranexamat 100mg/ml ( 2 amp )
4 Atropin 0,25mg/ml ( 2 amp )
5 EPHEDrine HCl ( 2 amp )
6 Ondansetron 4mg/2ml ( 2 amp )
7 Stesolid 10mg/2ml ( 2 amp )
8 RL 500 ml ( 1 Botol )
9 NaCl 0,9% 500ml ( 1 Botol )
10 Abocath 24 ( 2 pcs )
11 Abocath 22 ( 2 pcs )
12 Abocath 20 ( 2 pcs )
13 Abocath 18 ( 2 pcs )
14 Spoit 10 ml ( 2 pcs )
15 Spoit 5 ml ( 2 pcs )
16 Spoit 3 ml ( 2 pcs )
17 Transfusi Set ( 2 pcs )
18 Infus Set ( 2 pcs )
19 Masker O2 ( 1 pcs )
20 Masker O2 Nebu ( 1 pcs )
21 Nasal O2 ( 1 pcs )
 3 4 5 6 7
Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti

Penanggung Jawab Unit Operasional

Letiza Sampetoding, SKM. MSC

 FORM PEMA

8 9 10 11 12
Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti
FORM PEMAKAIAN OBAT AMBULANCE BULAN DESEMBER 2022
TANGGAL
13 14 15 16 17
Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti
 18 19 20 21 22
Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti
 23 24 25 26 27
Stok Ganti Stok Ganti Stok Ganti Stok Ganti Stok Ganti

Penanggung Jawab Farmasi

Apt. Suriyani S. Farm

 28 29 30 31
Stok Ganti Stok Ganti Stok Ganti Stok Ganti