1 2 3 4 5 6

TOP OF TROLLY Standard P S P S P S P S P S P S

Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial
 1 2 3 4 5 6
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

7 8 9 10 11 12
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

13 14 15 16 17 18
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

19 20 21 22 23 24
TOP OF TROLLY Standard P S P S P S P S P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

25 26 27 28 29 30
TOP OF TROLLY Standard P S P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial

31
TOP OF TROLLY Standard P S
Lifepak 20 with adult and paediatric electrode padstested dai 1
Ambu bag adult + tubing attached to O2 tank 1
Ambu bag paediatrik 1
O2 tank full + twin o Vac attached to suction tubing 1
Sharp container 2
ECG electrodes attached to leads on lifepack 3
Clear face mask size 0 ( 1277/ 1 ) 1
Clear face mask size 1 ( 1278/ 2) 1
Clear face mask size 2 ( 1279/ 3) 1
Clear face mask size 3 ( 1280/ 4) 1
Clear face mask size 4 ( 1281/ 5 ) 1
Oropharingeal airways size 000 ( 5 ) 1
Oropharingeal airways size 00 ( 5,5 ) 1
Oropharingeal airways size 0 ( 6 ) 1
Oropharingeal airways size 1 ( 7 ) 1
Oropharingeal airways size 2 ( 8 ) 1
Oropharingeal airways size 3 ( 9 ) 1
Oropharingeal airways size 4 ( 10 ) 1
Stethoscope Dewasa 1
Stethoscope Anak 1
Draw 1
Adrenaline ( 1 mg/1 ml ) 25 amp
Adenosine-ATP (20mg/2ml) 2 amp
Atropine (0.25mg) 12 amp
Amiodarone (150mg/3ml) 4 amp
Calcium chloride 10% 4 amp
Calcium gluconate (100mg/10ml) 2 amp
Potassium chloride (7.46%) 3 amp
magnesium sulfate (20%) 2 amp
Dexamethasone (5mg/1ml) 3 amp
Furosemide (20mg/2ml) 5 amp
Sodium bicarbonate(8.4%) 1 bottle
40% dextrose (25ml) 4 amp
midazolam(15mg/3ml) 1 amp
Lidocaine(50mg/2ml) 4 amp
Propofol(20mg/2ml) 2 amp
Rocoronium(25mg/2.5ml) 2 amp
Suxamethonium(200mg/10ml) 1 amp
Thiopental(500mg) 2 amp
Naloxone(800mcg/2ml) 2 amp
Flumazenil ( 500mcg/5ml ) 1 amp
Aminophylline ( 240mg/10 ) 1 amp
Trauma scissors 1
Laryngnoscope Handles Small 1
Laryngnoscope Handles Large 1
Laryngnoscope bland lurus size 0 1
Laryngnoscope bland lurus size 1 1
Laryngnoscope bland lurus size 2 1
Laryngnoscope bland lengkung size 2 1
Laryngnoscope bland lengkung size 3 1
Laryngnoscope bland lengkung size 4 1
Spare batteries and light bulbs 1 set
Elektroda Dewasa 10
Elektroda Anak 10
Draw 2
Vasofix non-wing No. 16 5
Vasofix non-wing No. 18 5
Vasofix non-wing No. 20 5
Vasofix non-wing No. 22 5
Vasofix non-wing No. 24 5
Alcohol wipes ( 70% ) 10
Needle Conector 5
3 way tap ( Discofix ) 3
IV extension Tube 1000 / ET 21000 3
IV tegaderem dewasa 4
IV tegaderm anak 4
Spuit 1ml 3
Spuit 3ml 5
Spuit 5ml 5
Spuit 10ml 10
Spuit 20ml 5
Spuit 50ml 3
Neddle No.18 5
Neddle No.21 5
Neddle No.23 5
Neddle No.25 5
needles insulin syringe ( U100 ) 5
Intraosseous needle 15,5 2
Intraosseous needle 18 1
Wing Needle 23 / 25 2&2
Holder &Vaccutte Non Needle 2&2
Bokal Kimia 2
Bokal Sitrat 2
Bokal EDTA 2
Arterial blood gass syringe ( terumo ) 3
Torniquet 1
Baby board split + Bandage ( small ) 1
Micropore S ( 3M ) & Leucoplast S 1
Sterile gauze ( 4 pieces ) 2
Draw 3
ETT Uncuffed NO. 2 1
ETT Uncuffed NO. 2,5 1
ETT Uncuffed NO. 3 1
ETT Uncuffed NO. 3.5 1
ETT Uncuffed NO. 4 1
ETT Uncuffed NO. 4.5 1
ETT Uncuffed NO. 5 1
ETT Uncuffed NO. 5.5 1
ETT Cuffed No. 5 2
ETT Cuffed No. 5.5 2
ETT Cuffed No. 6 2
ETT Cuffed No. 6.5 2
ETT Cuffed No. 7 2
ETT Cuffed No. 7.5 2
ETT Cuffed No. 8 2
ETT Cuffed No. 8.5 2
ETT Cuffed No. 9 2
Nasopharingeal airway No. 6 1
Nasopharingeal airway No. 7 1
Lubricating gel ( Water soluble ) 5
Macgills Forceps Dewasa 1
Macgills Forceps Anak 1
Klem Arteri Bengkok 1
10 ml syringe 1
Cotton tape ( 1 inche ) 70 cm
Tracheal stylet dewasa ( Mandrain ) 1
Tracheal stylet anak ( Mandrain ) 1
Gum elastic bougie 1
Nonrebreathing Mask adult 1
Nonrebreathing Mask Pediatric 1
Venturi mask dewasa 1
Venturi mask anak 1
Simpel face mask dewasa 1
Simpel face mask anak 1
Yankuar Sucker 1
Suction Catheter No. 6 1
Suction Catheter No. 8 1
Suction Catheter No. 10 1
Suction Catheter No. 12 1
Suction Catheter No. 14 1
Nasogastric tube No. 6 1
Nasogastric tube No. 8 1
Nasogastric tube No. 10 1
Nasogastric tube No. 12 1
Drainage bag 1
Bottom self
Defibrilator pads dewasa 1 set
Defibrilator pads anak 1 set
Gloves on steril - S 1 Box
Gloves on steril - M 1 Box
Gloves on steril - L 1 Box
Aprons 3
Surgical mask + EYE shield 1 Box
Normal saline 0.9 % ( 1 liter ) 2
Gelofusine ( 500 mls ) 2
Dekstrose 5 % ( 1 litre ) 1
Set infus makro 2
Set Tranfusi 2
Normal saline 0.9 % ( 25 ml ) 10
Pemeriksa shif / inisial