Paket BEDAH New

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Dokter : Dokter :

Nama Px : Nama Px :
No. RM/RI : BPJS / UMUM No. RM/RI : BPJS / UMUM

PAKET BEDAH PAKET BEDAH

Jumla Jumla
No. Nama Obat / Alkes retur No. Nama Obat / Alkes retur
h h
1. Spinocan 25 G 1 1. Spinocan 25 G 1
2. Spinocan 26 G 1 2. Spinocan 26 G 1
3. RL OGB 500 ml 2 3. RL OGB 500 ml 2
4. Regivel / Bunascan Injeksi 1 4. Regivel / Bunascan Injeksi 1
5. Ephinephrine Injeksi 1   5. Ephinephrine Injeksi 1  
6. Ephedrine Injeksi 1 6. Ephedrine Injeksi 1
7. Ondancetron Inj 4mg 1   7. Ondancetron Inj 4mg 1  
8. Ketorolac Injeksi 3 % 1   8. Ketorolac Injeksi 3 % 1  
9. Spuit 3 cc 5   9. Spuit 3 cc 5  
10. Spuit 5 cc 2   10. Spuit 5 cc 2  
11. Spuit 10 cc 2   11. Spuit 10 cc 2  
12. Hanscoon Steril 6,5 3   12. Hanscoon Steril 6,5 3  
13. Hanscoon Steril 7 2   13. Hanscoon Steril 7 2  
14. Hanscoon Steril 7,5 2   14. Hanscoon Steril 7,5 2  
15. Hanscoon Steril 8 2 15. Hanscoon Steril 8 2
16. Mess 10 1 16. Mess 10 1
17. Mess 11 1 17. Mess 11 1
18. Mess 15 1 18. Mess 15 1
19. Paket Benang   19. Paket Benang  
a. Demecaprone 3/0 1 a. Demecaprone 3/0 1
b. Demesorb 2/0 1 b. Demesorb 2/0 1
c. Demelon 3/0 1 c. Demelon 3/0 1
d. Demegut Plain 3/0 1 d. Demegut Plain 3/0 1
19. Aquadest 25 cc 1 19. Aquadest 25 cc 1
20. Lidocain Injeksi 2% 1 20. Lidocain Injeksi 2% 1
22. Underpad Steril 2 22. Underpad Steril 2
Sodium Chloride 500ml (PZ Sodium Chloride 500ml (PZ
23. 1 23. 1
OGB 500ml) OGB 500ml)
24. Atropin Sulfas (SA) Injeksi 2 24. Atropin Sulfas (SA) Injeksi 2

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