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FORM.

IGD LES
RUJUKAN
SOAP LES
KEMATIAN
FORM FORM
RAWAT RAWAT INAP
JALAN
LEMBAR PERSETUJUA
KONSUL &
N TINDAKAN
JAWABAN
BLANGKO PERSETUJUA
DARAH
N TINDAKAN
AMPLOP MEDICAL
REPORT
PENOLAKAN HOSPITALIZATIO
N REGISTRATION
RAWAT INAP
PENOLAKAN PERESEPAN
TINDAKAN HD
MEDIS
BLANKO KERTAS
RUJUKAN
KOSONG
MEDICAL ABOCATH
TREATMEN 18
ABOCATH
APPROVAL 24 F
MEDICAL ABOCATH
TREATMEN 22
ABOCATH
REJECTION 24
ANASTETIC ABOCATH
TREATMEN 20

APPROVAL
OXYMETRI N. SANBE

SILET TROVENSIS

COTTON B ACRAN

IDENT ANTRAIN
RED
IDENT AQUABIDE
YELLOW ST
NEEDLE 18 INDEXON COMBIVEN
T
NEEDLE 23 GELANG

NEEDLE 24 LIDOCAIN DIPHENHIDRA


MIN
TRI WAY SET
PEDIATRIK
SPUIT 1 CC
SPUIT 10 CC SET DARAH

SPUIT 5 CC IVFD D5 %

SPUIT 3 CC SET DEWASA

F. CATH : 14, 16,18


IVFD RL NGT: 16.14
UROBAG

IVFD NACL TRIDEX 27 B


0.9%
MgSO4 20 MgSO4 40

Meylon Farsik

Stesolid Amiodaron

Aminophylin Indexon
e
Isosorbid Dex 40%

Dopamine Epinephrine

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