OBAT DAN ALKES OP ORTHO

RUMAH SAKIT PUSURA CANDI

NAMA :
TGL LAHIR :
RM :
ALAMAT :

PREMED

Nama Jumlah ket

Spuit 5 cc onemad 3
Spuit 3 cc nipro 1
Needle 25 1
Underpad 1
Apron 5

Bloodset terumo 1

Surflo 18 1
Spuit 10 cc nipro 1
Otsu NS 100 mL 1
Otsu RL 500 mL 1

POST OP / RANAP

Nama Jumlah ket

Otsu RL Inf. 2
Underpad 1
Ondansentron 4 mg /ml 1
inj
Spuit 10 cc nipro 2
Spuit 5 cc onemad 5
Ketorolax inj 4
Ranitidin inj 4
Hansaplast ecer 2
Water For Injeksi 3
Cateter no. 16 1
Urine bag 1
RUANG OK

Nama Jumlah ket

Otsu RL 500 mL 2
Otsu NS 500 mL 6
ST Sterill Maxter no. 8
ST Sterill
Ketorolax inj 2
Benang
Water For Injection 1
Nasal canul dws 1
Sotband besar 1
Gyosona besar 1
Tensocrepe 15x4.5 1
Spuit 10 cc nipro 5
Spuit 3 cc nipro 4
Double spike 1
Spuit 5 cc onemad 3
Underpad Sterill 1
Daryant – tulle 1
Cortidex Inj. 4
Mess 20, 11, 15
BHP
Urine bag 1

Ozyme
Formalin
Onescrub
Povidon iodine 300 ml
Hypavix 10 cm
Leukoplast 30 cm
Alkohol 300 ml
Kasa 20
Hansaplast 2
Cukur 1

Sidoarjo,

Apotek Penerima

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