You are on page 1of 2

DATA PEMBERIAN OBAT/BARANG/ALKES/PERLENGKAPAN

Tgl.Beri No.Rawat No.R.M Nama Pasien Nama Obat/Alkes Jml


09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SPUIT 3 ML TERUMO 4.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY DEXAMETHASONE INJ 5MG/ML 1.0
PHAPROS
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY PLATE PATIENT ERBE ADULT 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY NACL 0.9% 500ML EMJEBE 2.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY CATGUT CHROMIC 2/0 HRG38 1.0

09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY MORFINA 10 MG / ML INJEKSI TA 2021 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY METOCLOPRAMIDE HCL 10MG/2ML 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY LIDOCAIN INJEKSI 2% 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SARUNG TANGAN STERIL NO. 7 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY FRAMYCETIN SULFATE 10X10 CM KASA 1.0
(DARYANTULE) GENERIK
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY ASSUCRYL (SAFIL) 1 HRG-50 REF 1.0
43437H
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SPUIT 1 ML TERUMO TA 2019 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY PEN CAUTER 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY WOUND DRESSING UK. BESAR DOCARE 1.0
(NON TEGADERM)
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SARUNG TANGAN STERIL NO. 6,5 4.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY ASAM TRANEXAMAT INJEKSI 500 MG / 5 2.0
ML BERNO
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY OXYTOCIN INJ 10 IU/ML PT. ETHICA TA 4.0
2018
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY ONDANSENTRON 4 MG / 2 ML 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY UNDERPAD DIAPRO 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SPUIT 5 ML TERUMO 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY URINE BAG 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY EPHEDRIN HCL 50 MG / ML INJ 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SPINOCAN 26G X 3.1/2 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY METIL ERGOMETRIN INJ 0.2 MG/ML 2.0
DEXAMED
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY ASSUCRYL (SAFIL) 3/0 TS-27 1.0
MONOSLOW
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SCAPEL BLADE ( BISTURI ) NO. 20 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY FOLEY CATHETER NO. 16 OMD 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY NACL LARUTAN INFUS 0,9 % 100 ML 1.0
OTSUKA
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY WFI 25 ML (SATORIA) 2.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY DEXKETOPROFEN INJ 25MG/ML 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY RINGER LACTAT 500ML EMJEBE 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY MARCAIN HEAVY ( BUVICAIN ) 0,5 % 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SPUIT 10 ML TERUMO 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY NASAL CANUL DEWASA 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY SKINTACT FOAM ELEKTRODA 35X41MM 3.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY TRANSOFIX 1.0
09/05/2023 10:48:20 2023/05/08/000263 119865 THERESIA GABRIELLA, NY KALTROFEN SUPPOS 100 MG 1.0
(KETOPROFEN)

Yang Menyerahkan Yang Menerima

( ) ( )

You might also like