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STOK RUANGAN LT.

8A

NO NAMA OBAT/ ALKES JUMLAH


1 RINGER LACTAT 500 ML WIDA 1
2 3-WAY BD CONNECTA PLUS 3 WHITE 1
3 ABBOCATH NO 18 TERUMO 1
4 ABBOCATH NO 20 TERUMO 1
5 ABBOCATH NO 22 TERUMO 1
6 ABBOCATH NO 24 TERUMO 1
7 ANSEL GAMEX NO 6,5 1
8 ANSEL GAMEX NO 7,0 1
9 ANSEL GAMEX NO 7,5 1
10 ANSEL GAMEX NO 8,0 1
11 BLOOD TRANSFUSION SET TERUMO 1
12 CAIRAN 2:1 WIDA(WIDA D5-1/2NS) 1
13 CAIRAN 4:1 WIDA (WIDA D5-1/4 NS) 1
14 DEXTROSE 10% 500 ML WIDA 1
15 DEXTROSE 5% 500 ML WIDA 1
16 FOLEY CATHETER 2WAY NO 14 BARDIA 1
17 FOLEY CATHETER 2WAY NO 16 BARDIA 1
18 FOLEY CATHETER 2WAY NO 18 BARDIA 1
19 INFUSION SET ADULT (EASY FUSION VENTED) 1
20 INFUSION SET ADULT TERUMO 1
21 INFUSION SET PEDIATRIC TERUMO 1
22 LOMATUELL 1
23 NACL 500 ML WIDA 1
24 NACL 500ML OTSU 1
25 NASAL OXYGEN ANAK 1
26 NASAL OXYGEN DEWASA 1
27 NEBULIZER MASKER ANAK 1
28 NEBULIZER MASKER DEWASA 1
29 NEOLUS DISP NEEDLE NO.26 TERUMO 1
30 RINGER SOLUTION WIDA 500 ML 1
31 SPUIT 1 CC TUBERCULIN Terumo 1
32 SPUIT 10 CC 1
33 SPUIT 3 CC 1
34 SPUIT 5 CC 1
35 SPUIT 50 CC CATHETER TIP TERUMO 1
36 SPUIT 50 CC TERUMO ECCENTRIC 1
37 STERIL WATER 25 ML 1
38 STOMACH TUBE NO 14 TERUMO 1
39 STOMACH TUBE NO 16 TERUMO 1
40 STOMACH TUBE NO 18 TERUMO 1
41 SUCTION CATHETER 14 1
42 SUCTION CATHETER 16 1
43 URINE BAG 2 LTR 1

Diketahui,

dr. Wienaldi Indah Pertiwi Tryonita Debora S.


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.8
,

NO NAMA OBAT/ ALKES JUMLAH


1 ABBOCATH NO 18 TERUMO 2
2 3-WAY BD CONNECTA PLUS 3 WHITE 2
3 ABBOCATH NO 20 TERUMO 4
4 ABBOCATH NO 22 TERUMO 3
5 ABBOCATH NO 24 TERUMO 2
6 ABBOCATH NO 26 TERUMO 2
7 ANSEL GAMEX NO 7,0 1
8 ANSEL GAMEX NO 7,5 1
9 BLOOD TRANSFUSION SET TERUMO 1
10 CROME INJEKSI 1
11 DUMIN RECTAL 125 MG/2,5 ML 1
12 EXTENTION TUBE 150 CM TERUMO 1
13 FEEDING TUBE 8 TERUMO (100CM) 1
14 FOLEY CATHETER 2WAY NO 16 BARDIA 1
15 FOLEY CATHETER 2WAY NO 20 UROCARE 1
16 INFUSION SET ADULT TERUMO 1
17 INFUSION SET PEDIATRIC TERUMO 1
18 INTRAFIX PRIMELINE BBRAUN (DEWASA) 1
19 MASKER OXYGEN DEWASA 2
20 NASAL OXYGEN ANAK 1
21 PRONALGES SUPPO 100MG 3
22 SPUIT 1 CC TUBERCULIN Terumo 1
23 SPUIT 20 CC TERUMO 1
24 SPUIT 50 CC CATHETER TIP TERUMO 1
25 STOMACH TUBE NO 12 TERUMO 1
26 STOMACH TUBE NO 14 TERUMO 1
27 STOMACH TUBE NO 16 TERUMO 1
28 SUCTION CATHETER 12 1
29 TEGADERM 1624W 6X7 CM 2
30 URINE BAG 2 LTR 1

Diketahui,

dr. Wienaldi Indah Pertiwi Cikles hutabarat


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.15A
STOK RUANGAN LT.6A

NO NAMA OBAT/ALKES JUMLAH

1 ABBOCATH NO 18 TERUMO 2
2 ABBOCATH NO 20 TERUMO 1
3 3-WAY BD CONNECTA PLUS 3 WHITE 1
4 INFUSION SET ADULT (EASY FUSION VENTED) 2
5 RINGER LACTAT 500 ML WIDA 1
6 NACL 500 ML WIDA 1
7 LOMATUELL 2
8 ANSEL GAMEX NO 7,0 1
9 ANSEL GAMEX NO 7,5 1
10 ANSEL GAMEX NO 8,0 1
11 BLEDSTOP INJEKSI 5
12 SYNTOCINON 1 ML INJEKSI 5
13 PRONALGES SUPPO 100MG 2

Diketahui,

dr. Wienaldi Indah Pertiwi Endang P Ningsih


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.6A
STOK SBW 2 NICU

NO NAMA OBAT/ALKES JUMLAH


1 CAIRAN 2:1 WIDA(WIDA D5-1/2NS) 1
2 CAIRAN 4:1 WIDA (WIDA D5-1/4 NS) 1
3 DEXTROSE 10% 500 ML WIDA 1
4 STERIL WATER 25 ML 1
5 ABBOCATH TERUMO NO 24 1
6 ABBOCATH TERUMO NO 26 1
7 3- WAY BD CONNECTA 1
8 EXTENSION TUBE 1
9 FEEDING TUBE TERUMO 8 (120 CM) 1
10 FEEDING TUBE TERUMO 5 (100 CM) 1
11 FEEDING TUBE TERUMO 3,5 (3,5 CM) 1
12 INTRAFIX PRIMELINE BBRAUN (ANAK) MICRODROPER 1
13 SPUIT 50 CC TERUMO ECCENTRIC 1
14 SPUIT 20 CC 1
15 SPUIT 10 CC 1
16 SPUIT 5 CC 1
17 SPUIT 3 CC 1
18 SPUIT 1 CC 1
19 ANSEL GAMEX NO. 7,5 2
20 ALKOHOL SWAB 8
21 MUCOS EXTRACTOR 1
22 ELECTRODA ANAK 3

Diketahui,

dr. Wienaldi Indah Pertiwi Sari Melina


Direktorat Yanmed Ka. IFRS Ka.Ruangan NICU
STOK RUANGAN LT.10A

NO NAMA OBAT/ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 1
2 ABBOCATH NO 14 TERUMO 1
3 ABBOCATH NO 18 TERUMO 2
4 ABBOCATH NO 20 TERUMO 1
5 ABBOCATH NO 22 TERUMO 2
6 ABBOCATH NO 24 TERUMO 1
7 ANSEL GAMEX NO 6,5 1
8 ANSEL GAMEX NO 7,0 1
9 ANSEL GAMEX NO 7,5 1
10 APRON FILM WHITE SURGILAP(CLEMEK OPERASI) 1
11 BLOOD TRANSFUSION SET TERUMO 1
12 EXTENTION TUBE 150 CM TERUMO 1
13 FOLEY CATHETER 2WAY NO 12 BARDIA 1
14 FOLEY CATHETER 2WAY NO 16 BARDIA 1
15 FOLEY CATHETER 2WAY NO 20 BARDIA 1
16 FOLEY CATHETER 3WAY NO 24 UROCARE 1
17 GUEDEL NO 4 (RED) 1
18 INFUSION SET PEDIATRIC TERUMO 1
19 LOMATUELL 2
20 MASKER OXYGEN DEWASA 2
21 NASAL OXYGEN DEWASA 1
22 NEBULIZER MASKER DEWASA 1
23 REBREATHING MASKER ADULT 8120 1
24 SPUIT 50 CC CATHETER TIP TERUMO 1
25 SPUIT 50 CC TERUMO ECCENTRIC 1
26 STOMACH TUBE NO 12 TERUMO 1
27 STOMACH TUBE NO 14 TERUMO 1
28 STOMACH TUBE NO 16 TERUMO 1
29 STOMACH TUBE NO 18 TERUMO 1
30 SUCTION CATHETER 14 2
31 SUCTION CATHETER 16 1
32 URINE BAG 2 LTR 1

Diketahui,

dr. Wienaldi Indah Pertiwi Lasmana bancin


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.10A
STOK RUANGAN LT. 9A

NO NAMA OBAT/ ALKES JUMLAH


1 ABBOCATH NO 22 COSMOMED 2
2 ABBOCATH NO 24 COSMOMED 2
3 ABBOCATH NO 20 COSMOMED 2
4 ABBOCATH NO 18 COSMOMED 2
5 3 WAY COSMOMED 2
6 BLOOD SET COSMOMED 2
7 INFUSET ADULT COSMOMED 2
8 SPUIT 50 CC CATIP COSMOMED 2
9 NGT NO 16 TERUMO 2
10 NGT NO 18 TERUMO 2
11 FOLLEY CATETER NO 16 COSMOMED 2
12 FOLLEY CATETER NO 18 COSMOMED 2
13 URINE BAG COSMOMED 2
14 SPUIT 10 CC COSMOMED 2
15 WATER STERIL 25 ML 2
16 LOMATUELL 2
17 GAMEX NO 8 2
18 GAMEX NO 7,5 2

Diketahui,

dr. Wienaldi Indah Pertiwi Lenny Elfrida Pakpahan


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.9A
STOK RUANGAN LT. 8B

NO NAMA OBAT/ALKES JUMLAH


1 ABBOCATH NO 22 COSMOMED 1
2 ABBOCATH NO 24 COSMOMED 2
3 ABBOCATH NO 26 COSMOMED 1
4 INFUSION SET PEDIATRIC COSMOMED 1
5 INFUSION SET DEWASA COSMOMED 1
6 3-WAY BD CONNECTA PLUS 3 WHITE 2
7 NASAL OXYGEN ANAK COSMOMED 1
8 NASAL OXYGEN BAYI COSMOMED 1
9 NEBULIZER MASKER ANAK 1
10 CAIRAN 2 : 1 MJB 2
11 CAIRAN 4 : 1 MJB 2
12 RINGER LACTAT MJB 2
13 CAIRAN KAEN 3B 2

Diketahui,

dr. Wienaldi Indah Pertiwi Siti Risna Hutagalung


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.8B
STOK RUANGAN LT. 11A

NO NAMA OBAT/ ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 3
2 ABBOCATH NO 14 TERUMO 1
3 ABBOCATH NO 18 TERUMO 5
4 ABBOCATH NO 20 TERUMO 5
5 ABBOCATH NO 22 TERUMO 5
6 ABBOCATH NO 24 TERUMO 5
7 ANSEL GAMEX NO 6,5 1
8 ANSEL GAMEX NO 7,0 1
9 BLOOD TRANSFUSION SET TERUMO 1
10 FOLEY CATHETER 2WAY NO 10 BARDIA 1
11 FOLEY CATHETER 2WAY NO 16 BARDIA 1
12 FOLEY CATHETER 2WAY NO 18 BARDIA 1
13 INFUSION SET ADULT TERUMO 1
14 INTRAFIX SAFESET (DEWASA) 5
15 LOMATUELL 1
16 MASKER OXYGEN DEWASA 2
17 NASAL OXYGEN DEWASA 1
18 NEBULIZER MASKER DEWASA 2
19 SPUIT 10 CC 2
20 SPUIT 20 CC Terumo 2
21 SPUIT 5 CC 2
22 SPUIT 50 CC CATHETER TIP TERUMO 1
23 SPUIT 50 CC TERUMO ECCENTRIC 1
24 STOMACH TUBE NO 12 TERUMO 1
25 STOMACH TUBE NO 14 TERUMO 1
26 STOMACH TUBE NO 16 TERUMO 1
27 SUCTION CATHETER 10 1
28 SUCTION CATHETER 14 1
29 SUCTION CATHETER 16 1
30 URINE BAG 2 LTR 2

Diketahui,
dr. Wienaldi Indah Pertiwi Mariani Sihombing
Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.11A
STOK RUANGAN LT. 12A

NO NAMA OBAT/ ALKES JUMLAH

1 3-WAY BD CONNECTA PLUS 3 WHITE 1


2 ABBOCATH NO 18 TERUMO 1
3 ABBOCATH NO 20 TERUMO 1
4 ABBOCATH NO 22 TERUMO 1
5 ABBOCATH NO 24 TERUMO 1
6 ANSEL GAMEX NO 7,0 1
7 ANSEL GAMEX NO 7,5 1
8 ANSEL GAMEX NO 8,0 1
9 BLOOD TRANSFUSION SET TERUMO 1
10 EXTENTION TUBE 150 CM TERUMO 1
11 FOLEY CATHETER 2WAY NO 16 BARDIA 1
12 INFUSION SET ADULT TERUMO 1
13 INFUSION SET PEDIATRIC TERUMO 1
14 LOMATUELL 1
15 NASAL OXYGEN DEWASA 1
16 NEBULIZER MASKER DEWASA 1
17 SPUIT 50 CC CATHETER TIP TERUMO 1
18 SPUIT 50 CC TERUMO ECCENTRIC 1
19 STOMACH TUBE NO 14 TERUMO 1
20 STOMACH TUBE NO 16 TERUMO 1
21 STOMACH TUBE NO 18 TERUMO 1
22 SUCTION CATHETER 16 1
23 URINE BAG 2 LTR 1

Diketahui,

dr. Wienaldi Indah Pertiwi Marshinta Hutauruk


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.12A
STOK RUANGAN ICU

NO NAMA OBAT/ALKES JUMLAH

1 3-WAY BD CONNECTA PLUS 3 WHITE 10


2 ABBOCATH NO 18 TERUMO 10
3 ABBOCATH NO 20 TERUMO 10
4 ABBOCATH NO 22 TERUMO 10
5 ABBOCATH NO 24 TERUMO 10
6 ABBOCATH NO 26 TERUMO 10
7 ALCOHOL SWAB 100
8 ANSEL GAMEX NO 6 6
9 ANSEL GAMEX NO 6,5 6
10 ANSEL GAMEX NO 7,0 1
11 ANSEL GAMEX NO 7,5 5
12 ANSEL GAMEX NO 8,0 5
13 BENANG VICRYL 2/0 J602H 1
14 BENANG VICRYL 2/0 W9140 1
15 BENANG VICRYL 2/0 W9360 1
16 BENANG VICRYL 3/0 311H 2
17 BENANG VICRYL 3/0 VCP 452H 1
18 BLOOD TRANSFUSION SET TERUMO 5
19 CVC NO 5 (502-10 BIOSENSORS) 1
20 CVC NO 7 (702-20Y BIOSENSORS) 1
21 ELECTRODA ANAK 10
22 ELECTRODA DEWASA 20
23 EXTENTION TUBE 150 CM TERUMO 10
24 FEEDING TUBE 10 JMS 1
25 FEEDING TUBE 8 TERUMO (100CM) 1
26 FEEDING TUBE 8 TERUMO (120CM) 1
27 FENTANYL INJEKSI 5
28 FOLEY CATHETER 2WAY NO 12 BARDIA 2
29 FOLEY CATHETER 2WAY NO 16 BARDIA 4
30 FOLEY CATHETER 2WAY NO 18 BARDIA 2
31 GUEDEL NO 0 (BLUE) 1
32 GUEDEL NO 1 (WHITE) 1
33 GUEDEL NO 2 (GREEN) 1
34 GUEDEL NO 3 (YELLOW) 1
35 GUEDEL NO 4 (RED) 1
36 GUEDEL NO 5 1
37 INTRAFIX PRIMELINE BBRAUN (DEWASA) 5
38 INTRAFIX SAFESET (DEWASA) 5
39 LMA SUPREME SIZE 4 1
40 LMA SUPREME SIZE 3 1
41 LOMATUELL 5
42 MASKER OXYGEN ANAK 2
43 MASKER OXYGEN BAYI 2
44 MASKER OXYGEN DEWASA 5
45 MORPHIN INJEKSI 2
46 MEDIFIX LINE 90 CM WITH INTRAFI 1
47 MEDIFIX MANOMETER SCALE 1
48 NASAL OXYGEN ANAK 2
49 NASAL OXYGEN DEWASA 5
50 NEBULIZER MASKER ANAK 2
51 NEBULIZER MASKER DEWASA 3
52 NEOLUS DISP NEEDLE NO.18 TERUMO 5
53 NIPPEL NUT 2
54 NON REBREATHING MASK ADULT 1359 5
55 PETHIDIN INJEKSI 2
56 PORTEX Y PIECE 2
57 RECTAL TUBE NO 16 AXIMED 1
58 RECTAL TUBE NO 18 AXIMED 1
59 RECTAL TUBE NO 20 AXIMED 1
60 SPUIT 1 CC TUBERCULIN Terumo 5
61 SPUIT 10 CC 12
62 SPUIT 20 CC Terumo 5
63 SPUIT 3 CC 12
64 SPUIT 5 CC 11
65 SPUIT 50 CC CATHETER TIP TERUMO 5
66 SPUIT 50 CC TERUMO ECCENTRIC 10
67 STOMACH TUBE NO 12 TERUMO 1
68 STOMACH TUBE NO 14 TERUMO 2
69 STOMACH TUBE NO 16 TERUMO 2
70 STOMACH TUBE NO 18 TERUMO 2
71 STYLET INTUBATION NO 3 (100/120/300) 1
72 STYLET INTUBATION NO1 (100/120/100) 1
73 STYLET INTUBATION NO2 (100/120/200) 1
74 SUCTION CATHETER 06 2
75 SUCTION CATHETER 08 2
76 SUCTION CATHETER 10 2
77 SUCTION CATHETER 12 2
78 SUCTION CATHETER 14 2
79 SUCTION CATHETER 16 2
80 TEGADERM 1624W 6X7 CM 5
81 TEGADERM IV 1655 6
82 URINE BAG 2 LTR 5

Diketahui,

dr. Wienaldi Indah Pertiwi Nina lestari


Direktorat Yanmed Ka. IFRS Ka.Ruangan ICU
a lestari
ngan ICU
STOK TROLY EMERGENCY ICU GDG BARU

NO NAMA OBAT/ALKES JUMLAH


1 AMINOPHILIN 24 MG INJEKSI 3
2 3-WAY BD CONNECTA PLUS 3 WHITE 3
3 ABBOCATH NO 18 COSMOMED 1
4 ABBOCATH NO 20 COSMOMED 1
5 ABBOCATH NO 22 COSMOMED 1
6 ABBOCATH NO 24 COSMOMED 1
7 ABBOCATH NO 26 COSMOMED 1
8 ALCOHOL SWAB 10
9 ANSEL GAMEX NO 6 1
10 ANSEL GAMEX NO 6,5 1
11 ANSEL GAMEX NO 7,0 1
12 ANSEL GAMEX NO 7,5 1
13 ANSEL GAMEX NO 8,0 1
14 ASPILET TABLET CHEWABLE 2
15 ATROPINE 0,25 MG INJEKSI 20
16 BLOOD TRANSFUSION SET COSMOMED 2
17 CA GLUCONAS 10 24 AMP/10 CC 2
18 CLOPIDOGREL 75 MG TABLET 4
19 CORDARONE INJEKSI 4
20 DEXAMETHASONE 5 MG INJEKSI 5
21 DEXTROSE 10% 500 ML WIDA 1
22 DEXTROSE 40% 25 ML OTSU 2
23 DEXTROSE 5% 500 ML WIDA 1
24 DOBUTAMIN 50 MG INJEKSI 5
25 DOPAMIN INJEKSI 3
26 ELECTRODA ANAK 3
27 ELECTRODA DEWASA 5
28 EPHEDRINE INJEKSI 5
29 EPINEPHRINE INJEKSI 20
30 ETT CLEAR PROF SOFT SEAL 5,0 1
31 ETT CLEAR PROF SOFT SEAL 5.5 1
32 ETT CLEAR PROF SOFT SEAL 6,0 1
33 ETT CLEAR PROF SOFT SEAL 6.5 1
34 ETT CLEAR PROF SOFT SEAL 7,0 1
35 ETT CLEAR PROF SOFT SEAL 7,5 1
36 EXTENTION TUBE 150 CM TERUMO 2
37 FARGOXIN INJEKSI 3
38 FEEDING TUBE 10 JMS 1
39 FEEDING TUBE 5 TERUMO (100CM) 1
40 FEEDING TUBE 8 TERUMO (100CM) 1
41 FOLEY CATHETER 2WAY NO 12 BARDIA 1
42 FOLEY CATHETER 2WAY NO 16 BARDIA 1
43 FOLEY CATHETER 2WAY NO 18 BARDIA 1
44 FUROSEMIDE 10 MG INJEKSI 20
45 GELAFUSAL 500 ML INFUS 1
46 INFUSION SET ADULT COSMOMED 2
47 INFUSION SET PEDIATRIC COSMOMED 2
48 ISOSORBIDE DINITRAT 5 MG TABLET 3
49 KCL OTSU 2
50 LIDOCAIN INJEKSI 3
51 MASKER OXYGEN ANAK GEA 1
52 MASKER OXYGEN DEWASA COSMOMED 1
53 MEYLON 25 ML INJEKSI 2
54 NACL 500 ML MJB 3
55 NASAL OXYGEN ANAK COSMOMED 1
56 NASAL OXYGEN DEWASA COSMOMED 1
57 NEBULIZER MASKER ANAK COSMOMED 1
58 NEBULIZER MASKER DEWASA COSMOMED 1
59 NICARDIPIN 4MG/4ML 2
60 NON REBREATHING MASK ADULT 1359 1
61 NOREPINEPHRINE BITARTRATE 4MG/4ML 5
62 NTG NITROGLYCERIN INJEKSI 2
63 PORTEX Y PIECE 1
64 REBREATHING MASKER ADULT 8120 1
65 RINGER LACTAT 500 ML MJB 3
66 SEDACUM INJEKSI 5
67 SPUIT 1 CC TUBERCULIN TERUMO 3
68 SPUIT 10 CC COSMOMED 3
69 SPUIT 20 CC COSMOMED 3
70 SPUIT 3 CC COSMOMED 3
71 SPUIT 5 CC COSMOMED 3
72 SPUIT 50 CC CATHETER TIP TERUMO 1
73 SPUIT 50 CC TERUMO ECCENTRIC 1
74 STESOLID 2 ML INJEKSI 3
75 STOMACH TUBE NO 12 TERUMO 1
76 STOMACH TUBE NO 14 TERUMO 1
77 STOMACH TUBE NO 16 TERUMO 1
78 STOMACH TUBE NO 18 TERUMO 1
79 SUCTION CATHETER 06 1
80 SUCTION CATHETER 08 1
81 SUCTION CATHETER 10 1
82 SUCTION CATHETER 14 1
83 SUCTION CATHETER 16 1
84 TEGADERM 1624W 6X7 CM 2
85 URINE BAG 2 LTR 2

Diketahui,

dr. Wienaldi Indah Pertiwi Nina Lestari


Direktorat Yanmed Ka. IFRS Ka.Ruangan ICU
STOK RUANGAN LT.6 B

NO NAMA OBAT/ ALKES JUMLAH


1 ASERING OTSU 2
2 3-WAY COSMO 3
3 ABBOCATH NO 18 COSMO 2
4 ABBOCATH NO 20 COSMO 2
5 ABBOCATH NO 22 COSMO 2
6 ABBOCATH NO 24 COSMO s
7 ABBOCATH NO 26 COSMO 2
8 SARUNG TANGAN STERIL NO 6 COSMO 1
9 SARUNG TANGAN STERIL NO 6,5 COSMO 1
10 SARUNG TANGAN STERIL NO 7 COSMO 1
11 SARUNG TANGAN STERIL NO 7,5 COSMO 1
12 CAIRAN 2:1 WIDA(WIDA D5-1/2NS) 2
13 CAIRAN 4:1 WIDA (WIDA D5-1/4 NS) 2
14 DEXTROSE 5% 500 ML MJB 2
15 FOLEY CATHETER 2WAY NO 8 BARDIA 1
16 FOLEY CATHETER 2WAY NO 10 BARDIA 1
17 FOLEY CATHETER 2WAY NO 12 BARDIA 1
18 FOLEY CATHETER 2WAY NO 14 BARDIA 1
19 FOLEY CATHETER 2WAY NO 16 BARDIA 1
20 INFUSION SET ADULT COSMO 2
21 INFUSION SET PEDIATRIC COSMO 2
22 LOMATUELL 1
23 NACL 500 ML WIDA 1
24 NASAL OXYGEN BAYI 2
25 NASAL OXYGEN ANAK 1
26 NASAL OXYGEN DEWASA 2
27 NEBULIZER MASKER ANAK 2
28 NEBULIZER MASKER DEWASA 1
29 NEOLUS DISP NEEDLE NO.26 TERUMO 5
30 RINGER LACTAT 500 ML WIDA 3
31 SPUIT 1 CC COSMO 5
32 SPUIT 3 CC COSMO 5
33 SPUIT 5 CC COSMO 5
34 SPUIT 10 CC COSMO 2
35 SPUIT 20 CC COSMO 1
36 SPUIT 50 CC TERUMO ECCENTRIC 1
37 SPUIT 50 CC CATHETER TIP TERUMO 1
38 STERIL WATER 25 ML 5
39 STOMACH TUBE NO 3,5 COSMO 1
40 STOMACH TUBE NO 5 COSMO 1
41 STOMACH TUBE NO 8 COSMO 1
42 STOMACH TUBE NO 10 COSMO 1
43 URINE BAG 2 LTR COSMO 2

Diketahui,

dr. Wienaldi Indah Pertiwi Annisa Fatia


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.6B
STOK RUANGAN LT. 7B

NO NAMA OBAT/ALKES JUMLAH

1 SARUNG TANGAN NON STERIL (M) 200


2 MASKER EARLOOP (KARET) 200
3 APRON DISPOSIBBLE 1
4 ABBOCATH NO 18 COSMOMED 7
5 ABBOCATH NO 20 COSMOMED 7
6 ABBOCATH NO 22 COSMOMED 7
7 ABBOCATH NO 24 COSMOMED 7
8 INFUSION SET ADULT COSMOMED 7
9 INFUSION SET PEDIATRIC COSMOMED 7
10 ALCOHOL SWAB 200
11 LOMATUEL 2
12 MASKER OXYGEN DEWASA 2
13 NASAL OXYGEN DEWASA 2
14 NON REBREATHING MASK ADULT 1359 2
15 MASKER NEBULIZER DEWASA 2
16 ANSEL GAMEX NO 7,5 2
17 ANSEL GAMEX NO 8 2
18 BLOOD TRANSFUSION SET COSMOMED 2

Diketahui,

dr. Wienaldi Indah Pertiwi Rini Hutabarat


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.7B
STOK RUANGAN LT. 10B

NO NAMA OBAT/ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 2
2 ABBOCATH NO 18 TERUMO 2
3 ABBOCATH NO 20 TERUMO 2
4 ABBOCATH NO 22 TERUMO 2
5 ABBOCATH NO 24 TERUMO 2
6 ANSEL GAMEX NO 6,5 1
7 ANSEL GAMEX NO 7,0 1
8 ANSEL GAMEX NO 7,5 1
9 APRON FILM WHITE SURGILAP (CLEMEK OPERASI) 1
10 FOLEY CATHETER 2WAY NO 12 BARDIA 1
11 FOLEY CATHETER 2WAY NO 16 BARDIA 1
12 INFUSION SET PEDIATRIC TERUMO 2
13 INFUSION SET DEWASA TERUMO 2
14 LOMATUELL 1
15 MASKER OXYGEN ANAK (GEA) 1
16 MASKER OXYGEN DEWASA (GEA) 1
17 NASAL OXYGEN ANAK COSMOMED 1
18 NASAL OXYGEN DEWASA COSMOMED 1
19 NEBULIZER MASKER DEWASA 1
20 REBREATHING MASKER ADULT 8120 1
21 SPUIT 50 CC CATHETER TIP COSMOMED 1
22 SPUIT 10 CC TERUMO 2
23 SPUIT 5 CC TERUMO 2
24 SPUIT 3 CC TERUMO 2
25 SPUIT 1 CC TERUMO 2
26 SUCTION CATHETER 14 COSMOMED 1
27 SUCTION CATHETER 16 COSMOMED 1
28 URINE BAG 2 LTR 2

Diketahui,

dr. Wienaldi Indah Pertiwi Erma Friyana


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.10B
yana
T.10B
STOK TROLY RUANGAN LT. 5B

NO NAMA OBAT/ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 2
2 ABBOCATH NO 18 COSMOMED 2
3 ABBOCATH NO 20 COSMOMED 2
4 ABBOCATH NO 22 COSMOMED 2
5 ABBOCATH NO 24 COSMOMED 2
6 ANSEL GAMEX NO 6,5 1
7 ANSEL GAMEX NO 7,0 1
8 ANSEL GAMEX NO 7,5 1
9 APRON FILM WHITE SURGILAP(CLEMEK OPERASI) 1
10 FOLEY CATHETER 2WAY NO 12 COSMOMED 1
11 FOLEY CATHETER 2WAY NO 16 COSMOMED 1
12 INFUSION SET PEDIATRIC COSMOMED 2
13 INFUSION SET DEWASA COSMOMED 2
14 LOMATUELL 1
15 MASKER OXYGEN ANAK (GEA) 1
16 MASKER OXYGEN DEWASA (GEA) 1
17 NASAL OXYGEN ANAK COSMOMED 1
18 NASAL OXYGEN DEWASA COSMOMED 1
19 NEBULIZER MASKER DEWASA 1
20 REBREATHING MASKER ADULT 8120 1
21 SPUIT 50 CC CATHETER TIP COSMOMED 1
22 SPUIT 10 CC COSMOMED 2
23 SPUIT 5 CC COSMOMED 2
24 SPUIT 3 CC COSMOMED 2
25 SPUIT 1 CC ONEMED 2
26 SUCTION CATHETER 14 COSMOMED 1
27 SUCTION CATHETER 16 COSMOMED 1
28 URINE BAG 2 LTR 2

Diketahui,

dr. Wienaldi Indah Pertiwi Kristina Simanjuntak


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.5B
STOK RUANGAN LT. 9B

NO NAMA OBAT/ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 2
2 ABBOCATH NO 18 COSMOMED 2
3 ABBOCATH NO 20 COSMOMED 2
4 ABBOCATH NO 22 COSMOMED 2
5 ABBOCATH NO 24 COSMOMED 2
6 ANSEL GAMEX NO 6,5 1
7 ANSEL GAMEX NO 7,0 1
8 ANSEL GAMEX NO 7,5 1
9 APRON FILM WHITE SURGILAP(CLEMEK OPERASI) 1
10 FOLEY CATHETER 2WAY NO 12 COSMOMED 1
11 FOLEY CATHETER 2WAY NO 16 COSMOMED 1
12 INFUSION SET PEDIATRIC COSMOMED 2
13 INFUSION SET DEWASA COSMOMED 2
14 LOMATUELL 1
15 MASKER OXYGEN ANAK (GEA) 1
16 MASKER OXYGEN DEWASA (GEA) 1
17 NASAL OXYGEN ANAK COSMOMED 1
18 NASAL OXYGEN DEWASA COSMOMED 1
19 NEBULIZER MASKER DEWASA 1
20 REBREATHING MASKER ADULT 8120 1
21 SPUIT 50 CC CATHETER TIP COSMOMED 1
22 SPUIT 10 CC COSMOMED 2
23 SPUIT 5 CC COSMOMED 2
24 SPUIT 3 CC COSMOMED 2
25 SPUIT 1 CC ONEMED 2
26 SUCTION CATHETER 14 COSMOMED 1
27 SUCTION CATHETER 16 COSMOMED 1
28 URINE BAG 2 LTR 2

Diketahui,

dr. Wienaldi Indah Pertiwi Verani Purba


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.9B
STOK RUANGAN POLI LT. 2

NO RUANGAN NAMA OBAT JUMLAH


1 POLI ABBOCATH NO 18 TERUMO 6
2 POLI ABBOCATH NO 20 TERUMO 4
3 POLI ABBOCATH NO 22 TERUMO 5
4 POLI ABBOCATH NO 24 TERUMO 4
5 POLI NEOLUS DISP NEEDLE NO.18 TERUMO 2
6 POLI NEOLUS DISP NEEDLE NO.23 TERUMO 3
7 POLI NEOLUS DISP NEEDLE NO.26 TERUMO 2
8 POLI ANSEL GAMEX NO 6,5 3
9 POLI ANSEL GAMEX NO 7,0 2
10 POLI ANSEL GAMEX NO 7,5 2
11 POLI SPUIT 1 CC TUBERCULIN Terumo 1
12 POLI SPUIT 3 CC 4
13 POLI SPUIT 5 CC 1
14 POLI SPUIT 10 CC 2
15 POLI SPUIT 50 CC CATHETER TIP TERUMO 1
16 POLI NACL 500 ML WIDA 3
17 POLI NACL 500ML OTSU 3
18 POLI NACL 500 ML SANBE 2
19 POLI BLADE 11 3
20 POLI VERBAND GULUNG SWALOW 8 CM 2
21 POLI BLOOD TRANSFUSION SET TERUMO 1
22 POLI INFUSION SET ADULT (EASY FUSION VENTED) 1
23 POLI TEGADERM PAD 9X25 CM 1
24 POLI TEGADERM 1622 W 1
25 POLI MASKER OXYGEN ANAK 1
26 POLI NEBULIZER MASKER DEWASA 2
27 POLI NASAL OXYGEN DEWASA 1
28 POLI ALCOHOL SWAB 8
29 POLI STERIL WATER 25 ML 1
30 POLI 3-WAY BD CONNECTA PLUS 3 WHITE 2

31 Orthopedi GYPSONA 4 3,5M X 10CM 4


32 Orthopedi GYPSONA 6 3,5M X 15CM 1
33 Orthopedi SOFTBAN 4 (10CMX2.7M) 1
34 Orthopedi SOFTBAN 6 (15CMX2.7M) 5
35 Orthopedi LEUKOCREPE 8240 4.5M X 10CM (4 inci) 1
36 Orthopedi LEUKOCREPE 8245 4.5M X 15CM (6 inci) 2
37 Orthopedi NEOLUS DISP NEEDLE NO.23 TERUMO 5
38 Orthopedi SPUIT 3 CC 2
39 Orthopedi VERBAND GULUNG SWALOW 8 CM 2
40 Orthopedi ANSEL GAMEX NO 7,5 1
41 Orthopedi TEGADERM 1624W 6X7 CM 1
42 Orthopedi GENTAMYCIN 0.1% SALEP 1

43 anak SPUIT 1 CC TUBERCULIN Terumo 6


44 anak SPUIT 1 CC TUBERCULIN TERUMO 1
45 anak SPUIT 1 CC INSULIN TERUMO (U 80) 2
46 anak SPUIT 3 CC 2
47 anak SPUIT 5 CC TERUMO 4
48 anak SPUIT 5 CC 6
49 anak ALCOHOL SWAB 22
50 anak PLESTERIN BULAT/ 200S ONEMED 6

51 THT SPUIT 1 CC TUBERCULIN Terumo 1


52 THT PEHACAIN INJEKSI 20X2ML 1
53 THT NASACORT AQ 1
54 THT ALBOTHYL CONCENTRATE 5 ML 1
55 THT OTOPAIN EAR DROPS 8 ML 1
56 THT ERLA TETES MATA 1
57 THT DAKTARIN 5 GR CREAM 1
58 THT GENTAMYCIN 0.1% SALEP 1
59 THT PIPET TETES KACA 2
60 THT SIDIADRYL INJEKSI 1
61 THT DESOXIMETASON 0,25% 15 GR CREAM 1
62 THT LOMATUELL 1
63 THT ABBOCATH NO 18 TERUMO 2
64 THT ALCOHOL SWAB 1
65 THT NACL 500 ML WIDA 1

66 Obgyn GENTAMYCIN 0.1% SALEP 3


67 Obgyn TEGADERM PAD 9X25 CM 1
68 Obgyn DERMAFIX WATERPROOF 10 X 25 1
69 Obgyn ANSEL GAMEX NO 7,5 1

70 Bedah LOMATUELL 2
71 Bedah VERBAND GULUNG SWALOW 8 CM 3
72 Bedah GENTAMYCIN 0.1% SALEP 1
73 Bedah SPUIT 3 CC 1
74 Bedah SPUIT 5 CC 3
75 Bedah SPUIT 10 CC 1
76 Bedah STERIL WATER 25 ML 2

77 Urologi STERIL WATER 25 ML 1


78 Urologi SPUIT 10 CC 1
79 Urologi 3-WAY BD CONNECTA PLUS 3 WHITE 1
80 Urologi ABBOCATH NO 20 TERUMO 1
81 Urologi ABBOCATH NO 22 TERUMO 1

DIKETAHUI,

dr. Wienaldi Indah Pertiwi S.Farm.,Apt. Emma Oktaviani, Am.Keb


Direktorat Yanmed Ka. IFRS Ka.Ruangan Poliklinik
STOK RUANGAN ENDOSCOPY
NO NAMA OBAT JUMLAH

1 SPUIT 50 CC CATETER TIP (T) 2

2 SPUIT 10 CC ( T) 5

3 SPUIT 5 CC (T) 5

4 SPUIT 3 CC (T) 5

5 NALD 23 (T) 8

6 NACL 500 WIDA 6

7 STERIL WATER 1000 WIDA 3

8 HANDSCHOON NON STERIL (M) 2 KOTAK

9 SCOPAMIN INJEKSI 4

10 ALKOHOL SWAB 1 KOTAK

11 MASKER EAR LOOP 1 KOTAK

12 SPUIT 50 CC ECENTRIC (T) 7

13 RINGER LACTAD WIDA 3

14 FENTANYL 1

15 FENTANYL 1

16 EPINEPFRIN 5

17 SULFAT ATROPIN 5

18 SPUIT 1CC ONEMED 5

19 SPUIT 3 CC ONEMED 5

20 SPUIT 5 CC ONEMED 5

21 INFUSION SET DEWASA 2

22 ABBOCAT 18 (T) 2

23 ABBOCAT 20 (T) 2

24 ABBOCAT 22 (T) 2

25 ABBOCAT 24 (T) 2

26 SPUIT 10 CC ONEMED 5

27 THREE WAY 2

28 STERIL WATER 25 ML 4
29 NACL 100 ML 2
30 SUCTION CATETER NO 14 2
31 SUCTION CATETER NO 18 1
32 SPUIT 20 CC ONEMED 3
33 GAMEX NO 7,5 5
34 GAMEX NO 8 5
35 KETAMIN INJEKSI 10 CC
36 EFEDRIN INJEKSI 3
37 GUIDEL YELLOW 1
38 DEXTROSE 40% 2
39 ONDANCENTRON 4 MG 2
40 ONDANCENTRON 8 MG 2
41 ETT NO 7.O 1
42 ETT NO 7.5 1
43 GUIDEL MERAH 1
STOK RUANGAN VK-1

NO NAMA OBAT JUMLAH

1 RINGER LACTAT 500 ML WIDA 3


2 NACL 500 ML WIDA 2
3 DEXTROSE 5% 500 ML WIDA 2
4 SPUIT 1 CC TUBERCULIN TERUMO 5
5 SPUIT 3 CC 4
6 SPUIT 5 CC 5
7 SPUIT 10 CC 5
8 FOLEY CATHETER 2WAY NO 16 BARDIA 1
9 FOLEY CATHETER 2WAY NO 18 BARDIA 1
10 URINE BAG 2 LTR 1
11 INFUSION SET ADULT TERUMO 2
12 INFUSION SET ADULT (EASY FUSION VENTED) 2
13 3-WAY BD CONNECTA PLUS 3 WHITE 2
14 STERIL WATER 25 ML 3
15 ABBOCATH NO 18 TERUMO 2
16 ABBOCATH NO 20 TERUMO 2
17 ABBOCATH NO 22 TERUMO 2
18 CEFTRIAXONE 1 GR INJEKSI 2
19 CEFOTAXIME 1 GR INJEKSI 2
20 GASTRUL TABLET 5
21 DEXAMETHASONE 5 MG INJEKSI 4
22 DUVADILAN INJEKSI 3
23 ASAM TRANEKSAMAT 50 MG INJEKSI 1
24 NEO-K 2 MG INJEKSI 3
25 XYLOCAINE 2% PDF 20ML 2
26 BENANG VICRYL 2/0 W9962 2
27 UMBILICAL CORD CLAMP 5
28 APRON FILM WHITE SURGILAP(CLEMEK OPERASI) 5
29 ANSEL GAMEX NO 7,0 1
30 ANSEL GAMEX NO 7,5 1
31 ATROPINE 0,25 MG INJEKSI 3
32 SYNTOCINON 1 ML INJEKSI 3
33 EPHEDRINE INJEKSI 3
34 FENTANYL 0.05 MG INJEKSI 1
35 MGSO4 20% 1
36 MGSO4 40% 1
37 RECOFOL N INJEKSI 1

Diketahui,

dr. Wienaldi Indah Pertiwi Endang P Ningsih


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.6A
STOK RUANGAN VK-2
NO NAMA OBAT JUMLAH

1 RINGER LACTAT 500 ML WIDA 3


2 NACL 500 ML WIDA 2
3 DEXTROSE 5% 500 ML WIDA 2
4 SPUIT 1 CC TUBERCULIN TERUMO 1
5 SPUIT 1 CC TUBERCULIN Terumo 4
6 SPUIT 3 CC 5
7 SPUIT 5 CC 5
8 SPUIT 10 CC 5
9 FOLEY CATHETER 2WAY NO 16 BARDIA 1
10 FOLEY CATHETER 2WAY NO 18 BARDIA 1
11 URINE BAG 2 LTR 1
12 INFUSION SET ADULT TERUMO 2
13 INFUSION SET ADULT (EASY FUSION VENTED) 2
14 3-WAY BD CONNECTA PLUS 3 WHITE 3
15 STERIL WATER 25 ML 3
16 ABBOCATH NO 18 TERUMO 2
17 ABBOCATH NO 20 TERUMO 2
18 ABBOCATH NO 22 TERUMO 2
19 CEFTRIAXONE 1 GR INJEKSI 2
20 CEFOTAXIME 1 GR INJEKSI 2
21 GASTRUL TABLET 5
22 DEXAMETHASONE 5 MG INJEKSI 4
23 DUVADILAN INJEKSI 3
24 ASAM TRANEKSAMAT 50 MG INJEKSI 1
25 NEO-K 2 MG INJEKSI 3
26 XYLOCAINE 2% PDF 20ML 2
27 BENANG VICRYL 2/0 W9962 2
28 UMBILICAL CORD CLAMP 5
29 APRON FILM WHITE SURGILAP(CLEMEK OPERASI 5
30 ANSEL GAMEX NO 7,5 1
31 ANSEL GAMEX NO 8,0 1
32 NEOLUS DISP NEEDLE NO.26 TERUMO 5
33 SARUNG TANGAN OBGYN ONEMED 2
34 SYNTOCINON 1 ML INJEKSI 3
35 EPHEDRINE INJEKSI 3
36 FENTANYL 0.05 MG INJEKSI 1
37 MGSO4 20% 1
38 MGSO4 40% 1
39 RECOFOL N INJEKSI 1

Diketahui,

dr. Wienaldi Indah Pertiwi Endang P Ningsih


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.6A
STOK RUANGAN VK-3

NO NAMA OBAT JUMLAH

1 RINGER LACTAT 500 ML WIDA 2


2 SPUIT 1 CC TUBERCULIN TERUMO 1
3 SPUIT 1 CC TUBERCULIN Terumo 1
4 SPUIT 1 CC INSULIN TERUMO (U 100) 3
5 SPUIT 3 CC 5
6 SPUIT 5 CC TERUMO 2
7 SPUIT 5 CC 3
8 SPUIT 10 CC 5
9 URINE BAG 2 LTR 1
10 INFUSION SET ADULT (EASY FUSION VENTED) 2
11 INFUSION SET ADULT TERUMO 2
12 STERIL WATER 25 ML 3
13 ABBOCATH NO 18 TERUMO 2
14 ABBOCATH NO 20 TERUMO 2
15 ABBOCATH NO 22 TERUMO 2
16 DUVADILAN INJEKSI 2
17 XYLOCAINE 2% PDF 20ML 2
18 UMBILICAL CORD CLAMP 10
19 APRON FILM WHITE SURGILAP(CLEMEK OPERASI) 4
20 SUCTION CATHETER 08 3
21 SYNTOCINON 1 ML INJEKSI 3
22 EPHEDRINE INJEKSI 3
23 FENTANYL 0.05 MG INJEKSI 1
24 MGSO4 20% 1
25 MGSO4 40% 1

Diketahui,

dr. Wienaldi Indah Pertiwi Endang P Ningsih


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.6A
STOK EMERGENCY HAEMODIALISA

NO NAMA OBAT JUMLAH


1 RANITIDINE INJEKSI 3
2 GENTAMYCIN INJEKSI 3
3 DEXAMETASONE INJEKSI 5
4 KETOROLAC 3% INJEKSI 7
5 NOREPINEPRINE INJEKSI 2
6 CORDARON INJEKSI 1
7 OTSU KCL 2
8 DEXTROSE 40% 7
9 MEYLON 2
10 SPUIT 20 CC COSMOMED 5
11 SPUIT 10 CC COSMOMED 10
12 SPUIT 5 CC COSMOMED 10
13 SPUIT 3 CC COSMOMED 10
14 SPUIT 1 CC COSMOMED 10
15 SPUIT 50 CC CATETER TIP 2
16 DEXTROSE 10 % 1
17 DEXTROSE 5 % 1
18 HANDSCHOON NO 7.5 6
19 HANDSCHOON NO 6.5 1
20 MASKER NON REBREATING 1
21 NASAL CANUL ADULT 7
22 GUEDEL WARNA HIJAU 1
23 GUEDEL WARNA KUNING 1
24 ELEKTRODA DEWASA 4
25 INFUSION SET ADULT 3
26 BLOOD SET COSMOMED 3
27 ABBOCAT NO 14 COSMOMED 1
28 ABBOCAT NO 16 COSMOMED 4
29 ABBOCAT NO 20 COSMOMED 3
30 ABBOCAT NO 22 COSMOMED 2
31 ABBOCAT NO 24 COSMOMED 2
32 ABBOCAT NO 26 COSMOMED 2
33 PRAGESOL INJEKSI 5
34 LIDOCAIN INJEKSI 7
35 ONDANCSENTRON INJEKSI 7

Diketahui,

dr. Wienaldi Indah Pertiwi Syafrizal


Direktorat Yanmed Ka. IFRS Ka.Ruangan HD
STOK RUANGAN IGD

NO NAMA OBAT JUMLAH


1 RANITIDINE INJEKSI 10
2 ONDANCENTRON 4 MG 10
3 ONDANCENTRON 8 MG 5
4 KETOROLAC INJEKSI 5
5 FUROSEMIDE INJEKSI 5
6 FENTANYL INJEKSI 2
7 MORPHIN INJEKSI 2
8 PETHIDIN INJEKSI 2
9 ASAM TRANEXAMAT 50 MG INJEKSI 5
10 NOVALGIN INJEKSI 5
11 CITICOLIN INJEKSI 5
12 DEXAMETASONE INJEKSI 5
13 LIDOCAIN INJEKSI 4
14 TRAMADOL INJEKSI 2
15 WATER STERIL 25 ML 10
16 ABBOCAT NO 18 5
17 ABBOCAT NO 20 5
18 ABBOCAT NO 22 10
19 ABBOCAT NO 24 5
20 ABBOCAT NO 26 2
21 3 WAY BD CONNECTA 22
22 INFUSION SET DEWASA 10
23 INFUSION SET ANAK 10
24 SPUIT 3 CC 20
25 SPUIT 5 CC 10
26 SPUIT 10 CC 10
27 SPUIT 50 CC CATHETER TIP 5
28 SPUIT 50 CC ECCENTRIK 2
29 RINGER LACTAT WIDA 10
30 RINGER SOLUSION WIDA 2
31 ASERING 5
32 NACL 500 CC WIDA 5
33 DEXTROSE 10 % 2
34 DEXTROSE 5 % 2
35 NASAL OKSIGEN DEWASA 5
36 NASAL OKSIGEN ANAK 2
37 MASKER OKSIGEN DEWASA 2
38 NON REABRITING MASKER 2
39 REABRITING MASKER 2
40 CATETER NO 8 COSMOMED 1
41 CATETER NO 10 COSMOMED 1
42 CATETER NO 12 COSMOMED 1
43 CATETER NO 14 COSMOMED 1
44 CATETER NO 16 COSMOMED 1
45 CATETER NO 18 COSMOMED 1
46 URINE BAG 2

Diketahui,

dr. Wienaldi Indah Pertiwi Raja imam


Direktorat Yanmed Ka. IFRS Ka.Ruangan IGD
STOK RUANGAN OT

NO NAMA OBAT STOK AWAL OT


1 3WAY STOPCOCK TERUMO (SLIP TIP) 10
2 451400/9-PERIFIX 400 G18X3 1/4PCS-PC8 2
3 6 PROXIMATE PLUS SKIN STAPLER 35 2
4 ABBOCATH NO 14 TERUMO 10
5 ABBOCATH NO 16 TERUMO 10
6 ABBOCATH NO 18 TERUMO 10
7 ABBOCATH NO 20 TERUMO 10
8 ABBOCATH NO 22 TERUMO 10
9 ABBOCATH NO 24 TERUMO 10
10 ABBOCATH NO 26 TERUMO 0
11 ALBOTHYL CONCENTRATE 10 ML 2
12 ALCOHOL SWAB 50
13 AMINOPHILIN 24 MG INJEKSI 1
14 ANSEL GAMEX NO 6,5 40
15 ANSEL GAMEX NO 7,0 40
16 ANSEL GAMEX NO 7,5 40
17 ANSEL GAMEX NO 8,0 40
18 ARM SLING U-M 1
19 ARM SLING U-S 1
20 ASERING OTSU 500 ML 20
21 ATROPINE 0,25 MG INJEKSI 25
22 BENANG PROLENE 5/0 W527 12
23 BENANG PROLENE 6/0 W523 12
24 BENANG BONE WAX W810T 24
25 BENANG C27 T-CHROMIC 2/0 90 CM 12
26 BENANG C43 T-CHROMIC 3/0 12
27 BENANG C98 T-CHROMIC 1 (Lever) 12
28 BENANG CATGUT 3/0 L34193-75 12
29 BENANG CATGUT CHROMIC 3/0 HR 30 75CM 12
30 BENANG CATGUT PLAIN 1 HR 43 75CM 10
31 BENANG CATGUT PLAIN 2/0 223N ASSUT SWITZERLAND 12
32 BENANG CATGUT PLAIN 3/0 HR 22 75CM 12
33 BENANG CATGUT PLAIN 3/0 HR 26 75CM 12
34 BENANG DAFILON 3/0 DS 19 75CM 12
35 BENANG DAFILON 5/0 DS 16 75CM 6
36 BENANG DAFILON 6/0 DS 12 75CM 12
37 BENANG ECOSORB 0 90 CM TAPER POINT 1/2 CIRCLE 40 MM E09RH400 24
38 BENANG ECOSORB 0-90 CM REVERSE CUTTING 1/2 CIRCLE 40 MM E09CH400 24
39 BENANG ECOSORB 1 90 CM TAPER POINT 1/2 CIRCLE 40 MM E19RH400 24
40 BENANG ECOSORB 1-100 CM TAPER POINT 1/2 CIRCLE 40 MM E10RH400 24
41 BENANG ECOSORB 1-100 CM TAPER POINT 1/2 CIRCLE 48 MM E10RH480 24
42 BENANG ECOSORB 1-90 CM REVERSE CUTTING 1/2 CIRCLE 40 CM E19CH400 24
43 BENANG ECOSORB 2/0 75 CM REVERSE CUTTING 3/8 CIRCLE 24 MM E27CD24 24
44 BENANG ECOSORB 2/0 90 CM TAPE POINT 1/2 CIRCLE 37 MM E29RH370 24
45 BENANG ECOSORB 2/0 90 CM TAPER POINT 1/2 CIRCLE 26 MM E29RH260 24
46 BENANG ECOSORB 3/0 90 CM TAPER POINT 1/2 CIRCLE 26 MM E39RH260 24
47 BENANG ECOSORB 3/0 75 CM REVERSE CUTTING 3/8 CIRCLE 19 MM E37CD19W 24
48 BENANG ECOSORB 4/0 75 CM REVERSE CUTTING 3/8 CIRCLE 19 MM E47CD19 24
49 BENANG ECOSORB 4/0 75 CM TAPER POINT 1/2 CIRCLE 22 MM E47RH220 24
50 BENANG ETHIBOND 2 W 4843 12
51 BENANG ETHILON 0 W740 12
52 BENANG ETHILON 2/0 W1626T 24
53 BENANG ETHILON 4/0 W319 12
54 BENANG HM29 T HERNIA MESH SQUAR 2
55 BENANG L18 T-LINE 4/0 12
56 BENANG L19 T-LENE 3/0 76 CM 12
57 BENANG L74 T-LINE 6/0 12
58 BENANG MERSILK 2/0 W321H 12
59 BENANG MERSILK 3/0 W212 12
60 BENANG MERSILK 3/0 W328H 12
61 BENANG MONOCRYL 3/0 Y427H 12
62 BENANG MONOCRYL 4-0 Y496G 12
63 BENANG P121X T-PLAIN 3/0 12
64 BENANG P87 T-PLAIN 3/0 76 CM 12
65 BENANG PGA 2/0 Rk21262-75 12
66 BENANG PROLENE 2/0 8833H 12
67 BENANG PROLENE 3/0 W8522 12
68 BENANG PROLENE 3/0 W8684 12
69 BENANG PROLENE 4/0 W525 12
70 BENANG PROLENE 4/0 W8683 12
71 BENANG PROLENE 5/0 8681G 12
72 BENANG PROLENE 6/0 W8597 12
73 BENANG PROLENE 7/0 W8702 12
74 BENANG S25 T-SILK 2/0 76 CM 12
75 BENANG S61 T-SILK 3/0 76 CM 12
76 BENANG S84 T-SILK 1 90 CM 12
77 BENANG SILK BLACK 2/0 W679H 12
78 BENANG SILKAM 2 HR 48 75CM 6
79 BENANG SILKAM 2/0 C0263869 12
80 BENANG SILKAM 2/0 DS 30 75CM 12
81 BENANG SILKAM 3/0 DS 24 75CM 12
82 BENANG SILKAM 3/0 HR 22 BLACK 75CM 12
83 BENANG SOFTCAT CHROMIC 1 DRN64 90 CM(B0661694) 10
84 BENANG SURGICEL 5X7 W1913T 12
85 BENANG T-CROMIC 0-90CM C58 12
86 BENANG T-PLAIN P180 2-0 90CM 12
87 BENANG T SILK/SUTER S78 12
88 BENANG V11 T-VIO 0 90 CM TC 12
89 BENANG V3 T-VIO 4/0 76 CM 12
90 BENANG V33 T-VIO 3/0 76 12
91 BENANG VICRYL 0 J346H 36
92 BENANG VICRYL 0 W9138 12
93 BENANG VICRYL 1 359H 36
94 BENANG VICRYL 1 J347 H 36
95 BENANG VICRYL 1 W9431 12
96 BENANG VICRYL 1 W9465 12
97 BENANG VICRYL 2/0 CTD J532H 36
98 BENANG VICRYL 2/0 J602H 36
99 BENANG VICRYL 2/0 VCP 333H 36
100 BENANG VICRYL 2/0 W9140 12
101 BENANG VICRYL 2/0 W9360 12
102 BENANG VICRYL 3/0 311H 12
103 BENANG VICRYL 3/0 J 305 H 12
104 BENANG VICRYL 3/0 VCP 452H 36
105 BENANG VICRYL 3/0 W9130 12
106 BENANG VICRYL 3/0 W9511T 24
107 BENANG VICRYL 3/0 W9890 12
108 BENANG VICRYL 4/0 W9106 12
109 BENANG VICRYL 4/0 W9386 12
110 BENANG VICRYL 4/0 W9506T 24
111 BENANG VICRYL 5/0 J 503 G 12
112 BENANG VICRYL 5/0 W9442 12
113 BENANG VICRYL 5/0 W9505T 24
114 BENANG VICRYL 6/0 J212H 36
115 BENANG VICRYL 6/0 J499G 12
116 BENANG VICRYL 8/0 W9560 12
117 BETADINE 10 GR SALEP 5
118 BETADINE 20 GR SALEP 2
119 BIOPLACENTON YELLY 15 GR 5
120 BLADE 10 30
121 BLADE 11 30
122 BLADE 15 30
123 BLADE 20 30
124 BLADE 21 30
125 BLADE 22 30
126 BLADE 23 30
127 BLEDSTOP INJEKSI 10
128 BLOOD TRANSFUSION SET TERUMO 10
129 BONE MEDIK-S (BONE GRAFF 1 CC) 1
130 BRAUNOL 100 ML 40
131 CEFOTAXIME 1 GR INJEKSI 5
132 CEFTRIAXONE 1 GR INJEKSI 2
133 CENDO XITROL OIT 3,5 GR 5
134 COLLACURE 120 X 40 1
135 COLOSTOMY BAG ONE MED NO 5 2
136 CONTOUR CURV CUTR STOLR 40-CS40G 1
137 CYSTOFIX 12 CM BBRAUN 1
138 CYSTOFIX 8 CM BBRAUN 2
139 DEXAMETHASONE 5 MG INJEKSI 10
140 DEXTROSE 10% 500 ML WIDA 5
141 DEXTROSE 40% 25 ML OTSU 6
142 DEXTROSE 5% 100 ML OTSU 2
143 DEXTROSE 5% 500 ML WIDA 2
144 DJ STEN UNIVERSE SOF USI 500 R 2
145 DJSTAND 5 FR SURGIMEDIK 5
146 DYNACAST PRELUDE 12,5CM X 4,6M 1
147 ELASTOMUL 10CM X 4M 4
148 ELASTOMUL 12CM X 4M 4
149 ELASTOMUL 8CM X 4M 4
150 ELECTRODA ANAK 10
151 ELECTRODA DEWASA 50
152 ELECTRODA NEUTRAl BESAR 20
153 ENDOLOOP PDS 4
154 EPHEDRINE INJEKSI 5
155 EPINEPHRINE INJEKSI 25
156 ETT CLEAR PROF SOFT SEAL 3,0 3
157 ETT CLEAR PROF SOFT SEAL 3,5 3
158 ETT CLEAR PROF SOFT SEAL 4,0 1
159 ETT CLEAR PROF SOFT SEAL 4,5 1
160 ETT CLEAR PROF SOFT SEAL 5.5 2
161 ETT CLEAR PROF SOFT SEAL 6,0 2
162 ETT CLEAR PROF SOFT SEAL 6.5 2
163 ETT CLEAR PROF SOFT SEAL 7,0 2
164 ETT CLEAR PROF SOFT SEAL 7,5 2
165 ETT NON KINGKING 5,5 CUFF (REINFORCE) 1
166 ETT NON KINGKING 7 CUFF (REINFORCE) 1
167 ETT NON KINGKING 7,5 CUFF (REINFORCE) 1
168 EXTENTION TUBE 150 CM TERUMO 10
169 FEEDING TUBE 10 JMS 3
170 FEEDING TUBE 3,5 TERUMO 3
171 FEEDING TUBE 5 TERUMO (100CM) 3
172 FEEDING TUBE 5 TERUMO (40CM) 3
173 FEEDING TUBE 8 TERUMO (100CM) 3
174 FENTANYL 0.05 MG INJEKSI 54
175 FLAMICORT 10 ML INJEKSI 5 CC
176 FOLEY CATHETER 2WAY NO 10 BARDIA 5
177 FOLEY CATHETER 2WAY NO 10 UROCARE 5
178 FOLEY CATHETER 2WAY NO 12 BARDIA 5
179 FOLEY CATHETER 2WAY NO 12 UROCARE 5
180 FOLEY CATHETER 2WAY NO 14 BARDIA 5
181 FOLEY CATHETER 2WAY NO 16 BARDIA 5
182 FOLEY CATHETER 2WAY NO 18 BARDIA 5
183 FOLEY CATHETER 2WAY NO 20 BARDIA 5
184 FOLEY CATHETER 2WAY NO 20 UROCARE 5
185 FOLEY CATHETER 2WAY NO 6 UROCARE 2
186 FOLEY CATHETER 2WAY NO 8 UROCARE 2
187 FOLEY CATHETER 3WAY NO 20 2
188 FOLEY CATHETER 3WAY NO 24 2
189 FOLEY CATHETER SILICONE NO 16 RUSCH 3
190 FOLEY CATHETER SILICONE NO 20 RUSCH 3
191 FUROSEMIDE 10 MG INJEKSI 5
192 GASTRUL TABLET 3
193 GENTAMYCIN 0.1% SALEP 5
194 GENTAMYCIN INJEKSI 25
195 GUEDEL NO 1 (WHITE) 3
196 GUEDEL NO 2 (GREEN) 3
197 GUEDEL NO 3 (YELLOW) 3
198 GUEDEL NO 4 (RED) 3
199 GUEDEL NO 5 3
200 GYPSONA 3 3,5M X 7,5CM 3
201 GYPSONA 4 3,5M X 10CM 3
202 GYPSONA 6 3,5M X 15CM 3
203 HARMONIC FOCUS REF FCS17 1
204 HARMONIC FOCUS REF FCS9 1
205 INFUSION PUMP SET 10
206 INFUSION SET ADULT TERUMO 5
207 INFUSION SET PEDIATRIC TERUMO 5
208 INVICLOT INJEKSI 5 CC
209 KA-EN MG3 500 ML 1
210 KCL OTSU 12
211 LEUKOCREPE 8245 4.5M X 15CM (6 INCI) 6
212 LIDOCAIN 2% INJEKSI 10
213 LINEAR CUTTER RELOAD 75 MM SR75 5
214 LMA SUPREME SIZE 3 1
215 LMA SUPREME SIZE 5 1
216 LOMATUELL 20
217 LYOSTYPT 3 X 5CM 6
218 LYOSTYPT 5 X 8CM 3
219 MANITOL 20 2
220 MASKER OXYGEN ANAK 5
221 METRONIDAZOLE 500 MG INFUS 1
222 MEYLON 25 ML INJEKSI 5
223 MORPHINE HCL 10 MG INJEKSI 2
224 NACL 100 ML SANBE 3
225 NACL 1000 MG WIDA 20
226 NACL 500 ML WIDA 10
227 NASAL OXYGEN BAYI 2
228 NASAL OXYGEN DEWASA 5
229 NATURA D/P 10 INC OPAQUE 57 MM 1
230 NATURA D/P 12 INC OPAQUE 70 MM 1
231 NATURA STOMAHESIVE WAFER 57 MM 1
232 NATURA STOMAHESIVE WAFER 70 MM 1
233 NEOLUS DISP NEEDLE NO.18 TERUMO 10
234 NEOLUS DISP NEEDLE NO.23 TERUMO 10
235 NEOLUS DISP NEEDLE NO.25 TERUMO 10
236 NEOLUS DISP NEEDLE NO.26 TERUMO 10
237 NEOLUS DISP NEEDLE NO.27 TERUMO 10
238 NEOSTIGMINE 0,5 MG INJEKSI 20
239 NICARDIPINE HCL 10 MG INJEKSI 5
240 NOVERON / ROCUMINJEKSI 10
241 ONDANSETRON 4 MG INJEKSI 5
242 ONDANSETRON 8 MG INJEKSI 5
243 OPSITE 45X28 CM 1
244 OPSITE 84X56 CM 1
245 PEHACAIN INJEKSI 20X2ML 40
246 PENCIL CAUTER MERK HARUM 10
247 PETHIDIN HCL 50 MG INJEKSI 26
248 POT PLASTIK 100 CC 20
249 PREMILENE MESH 15X15 2
250 PROFENID 100 MG SUP 10
251 PRONALGES SUPPO 100MG 10
252 RANITIDINE 25 MG INJEKSI 10
253 RECOFOL N INJEKSI 10
254 RECTAL TUBE NO 26 PHASCO 1
255 RECTAL TUBE NO 30 PHASCO 1
256 REGIVELL INJEKSI 10
257 RINGER LACTAT 500 ML WIDA 20
258 RINGER SOLUTION WIDA 500 ML 2
259 SAGESTAM INJEKSI 17X5 5
260 SANMOL 100 ML INFUS 1
261 SCRUBBRUSH 20
262 SEDACUM INJEKSI 10
263 SIDIADRYL INJEKSI 10 CC
264 SKIN MARKER REGULAR TIP QUEST 2
265 SKINTRACTION (STK) ADULT 1
266 SKINTRACTION (STK) CHILD 1
267 SOFTBAN 3 (7.5CMX2.7M) 3
268 SOFTBAN 4 (10CMX2.7M) 3
269 SOFTBAN 6 (15CMX2.7M) 3
270 SPINOCAN 25G 15
271 SPINOCAN 27G 5
272 SPUIT 1 CC INSULIN TERUMO (U 100) 5
273 SPUIT 10 CC 40
274 SPUIT 10 CC TERUMO 40
275 SPUIT 20 CC TERUMO 10
276 SPUIT 3 CC 50
277 SPUIT 3 CC TERUMO 50
278 SPUIT 5 CC 40
279 SPUIT 50 CC CATHETER TIP TERUMO 5
280 SPUIT 50 CC TERUMO ECCENTRIC 2
281 STERIL WATER 1000 ML OTSU 40
282 STERIL WATER 25 ML 20
283 STIMUPLEX A300 G22 X 2 INC (0,70 X 50 MM) 1
284 STIMUPLEX A300 G21 X 4 INC (0,8 X 100 MM) 3
285 STOMACH TUBE NO 12 TERUMO 3
286 STOMACH TUBE NO 14 TERUMO 3
287 STOMACH TUBE NO 16 TERUMO 3
288 STOMACH TUBE NO 18 TERUMO 3
289 STYLET INTUBATION NO1 (100/120/100) 1,1,1
290 SUCTION CATHETER 06 2
291 SUCTION CATHETER 10 2
292 SUCTION CATHETER 12 2
293 SUCTION CATHETER 14 2
294 SUCTION CATHETER 18 2
295 SUPRASORB C 20482 2
296 SURFIT TAIL CLOSURE 2
297 SYNTOCINON 1 ML INJEKSI 10
298 TEGADERM PAD 9X10 CM 1
299 THORACIC TROCAR & CANNULA CH-20 1
300 THORACIC TROCAR & CANNULA CH-28 1
301 TIP CLEANER MEERK HARUM 5
302 TRACHEOSTOMY 7 KIT 1
303 TRACHEOSTOMY 8 KIT 1
304 TRAMADOL 100 MG INJEKSI 5
305 TRAMUS 1% 5 ML INJEKSI 5
306 TRANEXID 10% INJEKSI 5
307 URINE BAG 2 LTR 5
308 UROGARD ADULT URINE BAG 2500 CC TERUMO 2
309 VERBAND GULUNG SWALOW 15 CM 10
310 VERBAND GULUNG SWALOW 8 CM 10
311 VITAMIN C INJEKSI 10
312 VITAMIN K 10 MG INJEKSI 5
313 WEGO NATURAL SILK TAPER 2/0,LENGTH 26MM S21262-75 12
314 WEGO NATURAL SILK TAPER 3/0,LENGTH 26 MM S31262-75 12
315 WEGO PGA 0 TAPER CUT HEAVY 40MM G17402H-90 12
316 WEGO PGA 1 TAPER 40MM GB1402-90 24
317 WEGO PGA 1 TAPER HEAVY 37 MM GB1372H-90 24
318 WEGO PGA 2/0 TAPER 26MM G21262-75 12
319 WEGO PGA 3/0 REV CUTTING 19MM G33193-75 12
320 WEGO PGCL RESERVE CUTTING 3/0,LENGTH 19MM Q33193-45 24
321 WEGO PGCL RESERVE CUTTING 4/0,LENGTH 19MM Q43193-45 24
322 WEGO PLAIN CATGUT TAPER 2/0,LENGTH 37MM L21372-75 24
323 WEGO POLYPROPYLENE 2/0 26MM P23263 12
324 WEGO POLYPROPYLENE REVERSE CUTTING 3/0, LENGTH 19MM P33193-75 24
325 WEGO RESERVE CUTTING 3/0 LENGTH 24 MM G33243-75 12
326 WEGO REVERSE CUTTING 1 LENGTH 40 MM GB3403-75 12
327 WEGO SILK 1 38M CUTTING SB3383-90 12
328 WEGO SILK 1 40M TUPER SB1402-90 12
329 WEGO SILK 1 60 CM SB006012 24
330 WEGO SILK 2 40M CUTTING SC3403-90 24
331 WEGO SILK 2 90 CM SC009001 24
332 WEGO SILK 2/0 30M CUTTING S24303-75 24
333 WEGO SILK 2/0 45CM S2004512 24
334 WEGO SILK 3/0 24 TUPER S31242-75 24
335 WEGO SILK 3/0 60 CM S3006012 24
336 WEGO TAPER 3/0 LENGTH 26 MM G31262-75 12
337 WIDAHEST 130 2
338 WOUND DRAINE 200 CC 1
339 XYLOCAINE 2% PDF 20ML 2
340 PENCAN G27 INTRODUCER 2
341 STARDINE 60 ML 20
342 SPINOCAN NO 26 10
343 BENANG SILK 3-0 -607 12
344 BENANG SILK 2-0- 610 12
345 BENANG SILK 2-0 62455 12
346 BENANG SILK 2-0 654 12
347 BENANG POLYPROPILENE 3-0 9564 12
348 BENANG POLYPROPILENE 2-0 9575 12
349 WEGO SILK 3-0 S37222 1,5 TAPER 12
350 WEGO SILK 4-0 S41222 1,5 TAPER 12
351 BENANG C45 T-CHROMIC 1 12
352 WEGO POLYPROPYLENE 2/0 19MM P23193-75 12
353 BENANG SILKAM 3/0 HR 26 12
354 BENANG CATGUT PLAIN 0 HR 37 12
355 BENANG CATGUT PLAIN 3/0 HR 26 7
356 BENANG CATGUT CHROMIC 0 HR 375 12
357 BENANG DAFILON 3/0 DS 24 12
358 BENANG L20 T-LINE 2/0 12
359 TRACHEOSTOMY 7,5 KIT 1
360 TRANSOFIX 10
361 THORACIC TROCAR & CANNULA CH-24 1
362 THORACIC TROCAR & CANNULA CH-32 0
363 STARDINE SOLUTION 60 ML 0
364 CAIRAN 2A 5
365 SUCTION CATHETER 08 5
366 SUCTION CATHETER 16 5
367 GUEDEL NO 0 3
368 MASKER OXYGEN DEWASA 5
369 FEEDING TUBE 8 TERUMO (40CM) 3
370 ETT CLEAR PROF SOFT SEAL 2,5 2
371 NASAL OXYGEN ANAK 5
372 GELAFUSAL 2
373 LARUTAN 4 : 1 5
374 LARUTAN 2 : 1 5
375 KETOROLAC INJEKSI 10
376 INVICLOT INJEKSI 1
377 TENSOPLAS STK ANAK 1
378 TENSOPLAS STK DEWASA 1
379 FLAMICORT 40 ML INJEKSI 1 CC
380 MARCAIN SPINAL 0,5% HVY 3
381 BENANG DAFILON 2/0 DS 24 75CM 12
382 BENANG DAFILON 4/0 DS 19 75CM 12
383 LEUKOCREPE 8238 4.5M X 7.5CM (3 INCI) 6
384 LEUKOCREPE 8240 4.5M X 10CM (4 inci) 6
385 CATHEGEL GEL 1
386 KETALAR INJEKSI / KTM / KETAMIN 10 CC
387 NAROPIN INJEKSI 3
388 THREE WAY EKOR 10 CM (DISCOFIX) 2
389 SOFTBAN 6 INCI 3
390 SOFTBAN 4 INCI 3
391 SOFTBAN 3 INCI 3
392 BENANG SILKAM 2/0 HR 22 75 CM 12
393 BENANG PROLENE 5/0 W86816 12
394 PROLENE MESH 15 X 15 1
395 PROLENE MESH 7.6 X 15 1
396 BENANG MERSILK 2/0 W213 12
397 BENANG MERSILK 3/0 W570 12
398 BENANG MERSILK 2/0 W327 12
399 BENANG VICRYL 1 W9421 12
400 BENANG VICRYL 1 W9377 12
401 BENANG VICRYL 2/0 W9962 36
402 GUEDEL NO 00 3
403 CENDO GENTA OINT 1
404 BURNAZIN 6
405 NOVALGIN INJEKSI 5
406 COLOSTOMY BAG ONE MED NO 3 CM 3
407 ETT CLEAR PROF SOFT SEAL 5 2
408 LOVENOX 0,6 1
409 CENDO XITROL MINIDOSE 2
410 CENDO PANTOCAIN 2% 1
411 MARCAIN 5% PDF 20 ML 2
412 BENANG SILKAM 1 HR 37S 75CM 10
413 GARAMYCIN OINT 15 GR 2
414 KY JELLY 100 GR 2
415 METHERGIN 1 ML INJEKSI 10
416 T TUBE NO 4 1
417 LASIX INJEKSI 5
418 FOLEY CATHETER SILICONE NO 18 RUSCH 3
419 WINGSET 25 G X 3/4' X 7' (367294) 2
420 BENANG DAFILON 3/0 DS 19 75CM 2
421 WOUND DRAINE 400 CC 1
422 OPSITE 45X55 CM 1
423 OPSITE 28X30 CM 1
424 LMA SUPREME SIZE 4 1
425 LMA SUPREME SIZE 5 1
426 STYLET INTUBATION NO. 1 1
427 POT PLASTIK 40 CC 10
428 POT PLASTIK 20 CC 10
429 STOPLES JARINGAN KECIL U-S 5
430 STOPLES JARINGAN KECIL U-M 5
431 STOPLES JARINGAN KECIL U-L 5
432 DYNACAST PRELUDE 10CM X 4,6M 1

Diketahui,

dr. Wienaldi Indah Pertiwi Ester Lelyana Zebua


Direktorat Yanmed Ka. IFRS Ka.Ruangan OT
STOK TROLY EMERGENCY CATHLAB

NO NAMA OBAT/ALKES JUMLAH

1 3-WAY BD CONNECTA PLUS 3 WHITE 3


2 ABBOCATH NO 20 TERUMO 1
3 ABBOCATH NO 22 TERUMO 1
4 ABBOCATH NO 24 TERUMO 1
5 ABBOCATH NO 26 COSMOMED 1
6 ALCOHOL SWAB 10
7 AMINOPHILIN 24 MG INJEKSI 3
8 ANSEL GAMEX 6.0 1
9 ANSEL GAMEX 6.5 1
10 ANSEL GAMEX 7 1
11 ANSEL GAMEX 7.5 1
12 ANSEL GAMEX 8 1
13 ASPILET TABLET CHEWABLE 2
14 ATROPINE 0,25 MG INJEKSI 20
15 BLOOD TRANSFUSION SET TERUMO 2
16 CA GLUCONAS 10 24 AMP / 10 CC 2
17 CLOPIDOGREL 75 MG TABLET 4
18 CORDARONE INJEKSI 4
19 DEXAMETHASONE 5 MG INJEKSI 5
20 DEXTROSE 10% 500 ML WIDA 1
21 DEXTROSE 40% 25 ML OTSU 2
22 DEXTROSE 5% 500 ML MJB 1
23 DOBUTAMIN INJEKSI 5
24 DOPAMIN INJEKSI 2
25 ELECTRODA ANAK 3
26 ELECTRODA DEWASA 5
27 EPHEDRINE INJEKSI 5
28 EPINEPHRINE INJEKSI 20
29 ETT CLEAR PROF SOFT SEAL 5.0 EUROMEDICAL 1
30 ETT CLEAR PROF SOFT SEAL 5.5 WELL LEAD 1
31 ETT CLEAR PROF SOFT SEAL 6.5 FLEXICARE 1
32 ETT CLEAR PROF SOFT SEAL 7.0 VENTISEAL 1
33 ETT CLEAR PROF SOFT SEAL 7.5 FLEXICARE 1
34 EXTENTION TUBE 150 CM TERUMO 1
35 FARGOXIN INJEKSI 3
36 FEEDING TUBE 10 JMS 1
37 FEEDING TUBE 5 TERUMO (100 CM) 1
38 FEEDING TUBE 8 TERUMO (120 CM) 1
39 FOLEY CATHETER 2WAY NO 12 BARDIA 1
40 FOLEY CATHETER 2WAY NO 16 BARDIA 1
41 FOLEY CATHETER 2WAY NO 18 BARDIA 1
42 FUROSEMIDE 10 MG INJEKSI 20
43 GELAFUSAL 500 ML INFUS 1
44 INFUSION SET ADULT TERUMO 2
45 INFUSION SET PEDIATRIC TERUMO 2
46 ISOSORBIDE DINITRAT 5 MG TABLET 4
47 KCL OTSU 2
48 LIDOCAIN INJEKSI 3
49 MASKER OXYGEN ANAK 1
50 MASKER OXYGEN DEWASA 1
51 MEYLON 25 ML INJEKSI 2
52 NACL 500 ML WIDA 3
53 NASAL OXYGEN ANAK 1
54 NASAL OXYGEN DEWASA 1
55 NEBULIZER MASKER ANAK 1
56 NEBULIZER MASKER DEWASA 1
57 NICARDIPINE HCL 10 MG INJEKSI 2
58 NON REBREATHING MASK ADULT 1359 1
59 NOREPINEPHRINE BITARTRATE 4MG/4ML 5
60 NTG NITROGLYCERIN INJEKSI 2
61 PORTEX Y PIECE 1
62 REBREATHING MASKER ADULT 8120 1
63 RECOFOL INJEKSI 2
64 RINGER LACTAT 500 ML WIDA 3
65 SEDACUM INJEKSI 5
66 SPUIT 1 CC TUBERCULIN TERUMO 3
67 SPUIT 3 CC TERUMO 3
68 SPUIT 5 CC TERUMO 3
69 SPUIT 10 CC TERUMO 3
70 SPUIT 20 CC TERUMO 3
71 SPUIT 50 CC TERUMO ECCENTRIK 1
72 SPUIT 50 CC CATHETER TIP COSMOMED 1
73 STOMACH TUBE NO 12 TERUMO 1
74 STOMACH TUBE NO 14 TERUMO 1
75 STOMACH TUBE NO 16 TERUMO 1
76 STOMACH TUBE NO 18 TERUMO 1
77 SUCTION CATHETER 06 1
78 SUCTION CATHETER 08 1
79 SUCTION CATHETER 10 1
80 SUCTION CATHETER 14 1
81 SUCTION CATHETER 16 1
82 TEGADERM 1624W 6 X 7 CM 2
83 TRANSOFIX 5
84 URINE BAG 2 LTR 2

Diketahui,
dr. Wienaldi Indah Pertiwi Ester Zebua
Direktorat Yanmed Ka. IFRS Ka.Ruangan OT
STOK RUANGAN PICU

NO NAMA OBAT/ALKES JUMLAH


1 3-WAY BD CONNECTA PLUS 3 WHITE 10
2 ABBOCATH NO 18 TERUMO 10
3 ABBOCATH NO 20 TERUMO 10
4 ABBOCATH NO 22 TERUMO 10
5 ABBOCATH NO 24 TERUMO 10
6 ABBOCATH NO 26 TERUMO 10
7 ALCOHOL SWAB 100
8 ANSEL GAMEX NO 6 6
9 ANSEL GAMEX NO 6,5 6
10 ANSEL GAMEX NO 7,0 1
11 ANSEL GAMEX NO 7,5 5
12 ANSEL GAMEX NO 8,0 5
13 BLOOD TRANSFUSION SET TERUMO 5
14 BENANG VICRYL 2/0 J602H 1
15 BENANG VICRYL 2/0 W9140 1
16 BENANG VICRYL 2/0 W9360 1
17 BENANG VICRYL 3/0 VCP 452H 1
18 CVC 2L COMP 5F 13 CM FV 2564 1
19 CVC NO 7 (702 - 20Y BIOSENSOR) 1
20 ELECTRODA ANAK 20
21 ELECTRODA DEWASA 10
22 EXTENTION TUBE 150 CM TERUMO 10
23 FEEDING TUBE 10 JMS 1
24 FEEDING TUBE 8 TERUMO (100CM) 1
25 FENTANYL INJEKSI 5
26 FOLEY CATHETER 2WAY NO 12 BARDIA 2
27 FOLEY CATHETER 2WAY NO 16 BARDIA 4
28 FOLEY CATHETER 2WAY NO 18 BARDIA 2
29 GUEDEL NO. 0 1
30 GUEDEL NO. 1 1
31 GUEDEL NO. 2 1
32 GUEDEL NO. 3 1
33 GUEDEL NO. 4 1
34 GUEDEL NO. 5 1
35 INTRAFIX PRIMELINE BBRAUN (DEWASA) 5
36 INTRAFIX SAFESET DEWASA 5
37 LOMATUELL 5
38 MASKER OXYGEN BAYI 2
39 MASKER OXYGEN ANAK 2
40 MASKER OXYGEN DEWASA 5
41 MEDIFIX LINE 90 CM WITH INTRAFIX 1
42 MEDIFIX MANOMETER SCALE 1
43 MORPHIN INJEKSI 2
44 NASAL OXYGEN ANAK COSMOMED 4
45 NASAL OXYGEN DEWASA COSMOMED 5
46 NEBULIZER MASKER ANAK COSMOMED 3
47 NEBULIZER MASKER DEWASA COSMOMED 2
48 NEOLUS DISP NEEDLE NO. 18 TERUMO 5
49 NON REBREATHING MASK ADULT 1359 5
50 PORTEX Y PIECE 2
51 SPUIT 1 CC TUBERCULIN TERUMO 5
52 SPUIT 10 CC TERUMO 12
53 SPUIT 20 CC TERUMO 5
54 SPUIT 3 CC TERUMO 12
55 SPUIT 5 CC TERUMO 11
56 SPUIT 50 CC CATHETER TIP TERUMO 5
57 SPUIT 50 CC TERUMO ECCENTRIC 10
58 STOMACH TUBE NO 12 TERUMO 1
59 STOMACH TUBE NO 14 TERUMO 2
60 STOMACH TUBE NO 16 TERUMO 2
61 STOMACH TUBE NO 18 TERUMO 2
62 STYLET INTUBATION NO. 1 (100/120/100) 1
63 STYLET INTUBATION NO. 2 (100/120/200) 1
64 STYLET INTUBATION NO. 3 (100/120/300) 1
65 SUCTION CATHETER 06 2
66 SUCTION CATHETER 08 2
67 SUCTION CATHETER 10 2
68 SUCTION CATHETER 12 2
69 SUCTION CATHETER 14 2
70 SUCTION CATHETER 16 2
71 TEGADERM 1624W 6X7 CM 5
72 TEGADERM IV 1655 6
73 URINE BAG 2 LTR 5

Diketahui,

dr. Wienaldi Indah Pertiwi Leni


Direktorat Yanmed Ka. IFRS Ka.Ruangan PICU
STOK RUAGAN ORTOPEDI LT. 9 A

NO NAMA OBAT/ALKES JUMLAH

1 LEUKOCREPE 8238 4.5 M X 7.5 CM (3 INCI) 5

2 LEUKOCREPE 8238 4.5 M X 10 CM (4 INCI) 5


3 ARM SLING ACTIMOVE MITELLA "S" 1

4 ARM SLING ACTIMOVE MITELLA "M" 1


5 ARM SLING ACTIMOVE MITELLA "L" 1
6 NECK COLLAR OPPO "S" 1

7 NECK COLLAR OPPO "M" 1


8 NECK COLLAR OPPO "L" 1

9 OSFLEX 1 SYRINGE INJEKSI 1


10 BONEVELL INJEKSI 3
11 FLAMICORT 40 MG / ML 7

12 ALCOHOL SWAB 100

Diketahui,

dr. Wienaldi Indah Pertiwi Leni


Direktorat Yanmed Ka. IFRS Ka.Ruangan Lt. 9 A
STOK RUANGAN LT. 12B

NO NAMA OBAT/ALKES JUMLAH


1 ABBOCATH NO 18 COSMOMED 2
2 ABBOCATH NO 22 COSMOMED 2
3 ABBOCATH NO 24 COSMOMED 2
4 TRANSFUSION BLOOD SET 2
5 DEXTROSE 5% 1
6 FOLEY CATHETER 10 1
7 FOLEY CATHETER 18 1
8 INFUSION SET ANAK 1
9 NACL 100 SANBE 1
10 NACL 500 ML 2
11 RINGER LACTAT 500 ML 1
12 MASKER OKSIGEN DEWASA 1
13 NASAL OKSIGEN DEWASA 2
14 NON REBREATHING DEWASA 1
15 REBREATHING DEWASA 1
16 SPUIT 50 CATHETER TIP 2
17 STOMACH TUBE 14 1
18 STOMACH TUBE 16 2
19 URINE BAG 1

Diketahui,

dr. Wienaldi Indah Pertiwi


Direktorat Yanmed Ka. IFRS Ka.Ruangan LT.12B

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