Daftar Pemakaian Obat OK

7/25/2019 Daftar Pemakaian Obat OK

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Nama : DAFTAR PEMAKAIAN OBAT/BAHAN

Umur : DI KAMAR OPERASI

No. MR : RSB AL-IHSAN

Ruangan :

Runner :

No.Pake :

No O!a/Ba"an Sok A#a$ er%aka& Harga O!a/Ba"an Sok a#a$ Ter%aka& Harga

'. A$ko"o$ (( )rom&( *Ro$$+ , m

,. Bea&ne (( )rom&( *Ro$$+ ,/ m

. H&!&0 (ru! (( P$a&n *Ro$$+ ,/ m

1. Ka00a g$g Aroma&k 2&(r&$ '/ ' !"

3. 2er!an Be0ar/Ke(&$ !" Aroma&k mono(r&$ ' !"

4. P$a0er m Aro%&n Su$5a0 ' am%

6. Maa P&0au No., ' !" 2& K ' am%

7. P$a0&k A0o8 H&am !" 2& ) ' am%

9. S%u& ' (( !" Dea , am%

'. S%u& (( !" E5er&n ' am%

''. S%u& 3 (( , !" Inu&n am%

',. S%u& ' (( ' !" Po0%arg&n am%'. Han S(on No.4.3 %0g Re(o5o$ ' am%

'1. Han S(on No.6.3 1 %0g 2a$&0an!e ' am%

'3. Uner Pa $!r De(a&n S%&na$ ' am%

'4. U$ra; , (m U$0&kur/Ran&&&n ' am%

'6. Dra5 ka0a ke(&$/!e0ar !" Tramao$ ' am%

'7. Ma0ker !" Dama!en ' am%

'9. M&e$a !" Onan0eron ' am%

,. Po$& )aeer ' !" P$a0m&ne ' am%

,'. Ur&ne Bag ' !" Prona$ge0 ' am%

,,. Su(&on (aeer No.7 ' !" Sage0am ' am%

,. Na$ S%&na$ , !" In


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?en&0 O%era0& :

O%era0& :

Ane0e0& :

Tg$ :

?am :

O!a/Ba"an ?um$a" Harga

Fean8$ am%

Keoro$a(/Remo%a&n am%

Keam&n mg


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Nama DAFTAR PEMAKAIAN OBAT/BAHAN

Umur DI KAMAR BERSALIN

No. MR RSB AL-IHSAN

Ruangan

Runner

No.Pake

No O!a/Ba"an ?um$a" Harga O!a/Ba"an ?um$a" Harga

'. A$ko"o$ (( R% Aroma&k 2&(r&$ ,/ !" R%

,. Bea&ne (( R% )rom&( (a gu !" R%

. I2 )aeer !" R% P$a&n (a gu !" R%

1. Ka00a g$g R% Aro%&n Su$5a0 am% R%

3. 2er!an Be0ar/Ke(&$ !" R% 2& K am% R%

4. P$a0er m R% 2& ) am% R%

6. Maa P&0au No., !" R% Dea am% R%

7. P$a0&k A0o8 H&am !" R% Pe"a(a&n am% R%

9. S%u& ' (( !" R% Inu&n am% R%

'. S%u& (( !" R% Po0%arg&n am% R%

''. S%u& 3 (( !" R% Re(o5o$ am% R%

',. S%u& ' (( !" R% 2a$&0an!e am% R%'. Han S(on Non Ser&$ %0g R% S(o%am&n am% R%

'1. B$oo Se %0g R% U$0&kur am% R%

'3. Uner Pa $!r R% Tramao$ am% R%

'4. U$ra; (m R% Dama!en am% R%

'6. Dra5 ka0a ke(&$/!e0ar !" R% Onan0eron am% R%

'7. Ma0ker !" R% P$a0m&ne am% R%

'9. M&e$a !" R% Prona$ge0 am% R%

,. Po$& )aeer !" R% 2&(&$&n 2&a$ R%

,'. Ur&ne Bag !" R% In


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?en&0 Paru0 :

O%era0& :

Ane0e0& :

Tg$ :

?am :

O!a/Ba"an ?um$a" Harga

Fean8$ am% R%

Keoro$a(/Remo%a&n am% R%

Keam&n mg R%


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Nama : Nama :

Paket Emesis : Paket Emesis :

No Kebutuhan Jmlh Harga Total No Kebutuhan Jmlh

' Ruangan R% ' Ruangan, 2&0&e R%3.R% , 2&0&e

Kon0u$ R%4. R% Kon0u$

1 Am R%,3. R% 1 Am

3 I2 (aeer R%'3. R% 3 I2 (aeer

4 B$oo Se R%'3. R% 4 B$oo Se

6 D3 R%'3. R% 6 D3

7 R/L R%'3. R% 7 R/L

9 Am&no@u& R% 9 Am&no@u&

' A0er&ng R%,. R% ' A0er&ng

'' USC R% '' USC', Dama!en &n R%'3. R% ', Dama!en &n

' Onan0eron &n R%'3. R% ' Onan0eron &n

'1 U$0&kur &n R%'3. R% '1 U$0&kur &n

'3 Neuro0an!e &n R%'. R% '3 Neuro0an!e &n

'4 Sanmag S8r R%. R% '4 Sanmag S8r

'6 An


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Harga Total

R%R%3.R%

R%4.R%

R%,3.R%

R%'3.R%

R%'3.R%

R%'3.R%

R%'3.R%

R%

R%,.R%

R%R%'3.R%

R%'3.R%

R%'3.R%

R%'.R%

R%.R%

R%. R%

R%'. R%

R%3. R%

R%

Daftar Pemakaian Obat OK

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