Pedoman Pelayanan Instalasi Rawat Intens (1)

7/24/2019 Pedoman Pelayanan Instalasi Rawat Intens (1)

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PEDOMAN PELAYANAN

INSTALASI RAWAT INTENSIFRS. BAPTIS BATU TAHUN 2013

RS BAPTIS BATU

JL RAYA TLEKUNG NO 1

JUNREJO - BATU


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ii

DAFTAR ISI

Halaa! J"#"l............................................................................................. i

Da$%a& I'i ..................................................................................................... ii

BAB I. P(!#a)"l"a! ................................................................................... 1

1.1. La%a& B(la*a!+ ..................................................................................... 1

1.2. T","a! P(#a!................................................................................... 2

1.2.1. T","a! U" ................................................................................... 2

1.2.2. T","a! K)"'"' .................................................................................. 2

1.3. R"a!+ Li!+*"..................................................................................... 3

1./. Ba%a'a! O(&a'i!al............................................................................. 3

1.. La!#a'a! H"*" ................................................................................. 3

BAB II. S%a!#a& K(%(!a+aa!....................................................................... /

2.1. K"ali$i*a'i S"(& Daa Ma!"'ia ...................................................... /

2.2. T(!a+a M(#i' ....................................................................................... /

2.3. T(!a+a K((&aa%a!............................................................................ 4

2./. Di'%&i"'i K(%(!a+aa! .......................................................................... 4

2.. P(!+a%"&a! Ja+a 5 Di!a' ....................................................................... 4BAB III. S%a!#a& Fa'ili%a' ........................................................................... 6

3.1. D(!a) R"a!+a! .................................................................................... 6

3.2. S%a!#a& Fa'ili%a' ................................................................................... 6

3.2.1. S%a!#a& Fa'ili%a' P(&ala%a! IRI .......................................................... 6

3.2.2. S%a!#a& Ala% K((&aa%a! Di R"a!+ IRI D(!+a! Kaa'i%a'

7 Pa'i(! ............................................................................................. 8

3.2.3. S%a!#a& Li!(! Di R"a!+ IRI ............................................................. 103.2./. S%a!#a& Ala% R"a) Ta!++a Bi#a!+ K((&aa%a! D(!+a!

Kaa'i%a' 7 Pa'i(!............................................................................. 10

3.2.. S%a!#a& Ala% P(!9a%a%a! Da! P(la&a! Di R"a!+ I:U D(!+a!

Kaa'i%a' 7 Pa'i(! ..................................................................................

11

BAB I;. Ta%a La*'a!a P(laa!a!.....................................................................12

K&i%(&ia Ma'"* Da! K(l"a& I:U....................................................................12

K&i%(&ia Ma'"* ................................................................................................ 12


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ii

Pa'i(! D(!+a! P&i&i%a' ............................................................................ 12

Dia+!'i' P(!a*i% Ya!+ Laa* U!%"* Raa% Di IRI ..............................13

K&i%(&ia K(l"a& .......................................................................................... 1

P(&'iaa! P(!(&iaa! Pa'i(! ......................................................................... 1

M!i%&i!+ Pa'i(! .................................................................................... 1

P&'(#"& M(#i*..............................................................................................14

P(!++"!aa! Ala% M(#i*.................................................................................14

P(!9a%a%a! Da! P(la&a! K(+ia%a! P(laa!a!.............................................14

/./.16. E


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ii

Ra%a-&a%a Pa'i(! Ya!+ K(ali K( P(&aa%a! I!%(!'i$ D(!+a!

Ka'"' Ya!+ Saa = 72 Ja...................................................................3

BAB I>. P(!"%" ............................................................................................34


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1

BAB I

PENDAHULUAN

Latar Belakang.

Instalasi Rawat Intensif ?IRI@ a#ala) '"a%" a+ia! #a&i &"a) 'a*i% a!+

a!#i&i ?i!'%ala'i #iaa) #i&(*%"& (laa!a!@ #(!+a! '%a$ a!+ *)"'"' #a!

(&l(!+*aa! a!+ *)"'"' a!+ #i%","*a! "!%"* '(&


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,a!+*a a!,a!+. S(,a* 'aa% i%"la) I9" #(!+a! (&aa%a! (&!aa'a! "lai

%(&a!%"* #a! %(&'(a& l"a'.

Pa#a 'aa% i!i IRI #(&! %i#a* %(&a%a' (!a!+a!i a'i(! a'9a (#a)

a%a"


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Ruang L!ngku" Pela#anan.

P(laa!a! #i I!'%ala'i Raa% I!%(!'i$ &"a) 'a*i% Ba%i' Ba%" (li"%i

(!a!+a!a! *a'"' IRI H:U #a! (!a!+a!a! *a'"' "&! "!i%.

Bataan $"era!onal.

P(laa!a! a!+ #i(&i*a! '('"ai #(!+a! '%a!#a& &$('i '%a!#a& (laa!a!

RS #a! S%a!#a& P&'(#"& O(&a'i!al.

1. P(laa!a! IRI

P(laa!a! IRI (li"%i #"*"!+a! $"!+'i &+a!-&+a!


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BAB II

STANDAR KETENA%AAN

Kual!&!ka! Sum'er Da#a manu!a.

K"ali$i*a'i %(!a+a *('()a%a! a!+ (*(&,a #i IRI )a&"' ("!ai

(!+(%a)"a! a!+ (a#ai ("!ai *(%&aila! a!+ '('"ai #a! ("!ai

*i%(! %(&)a#a a*%".

Tenaga (ed!.

S(&a!+ #*%(& i!%(!'i


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Ma" (&(&a! '(a+ai (ii! %i #ala ((&i*a! (laa!a!

#i IRI (!++a"!+*a! #a! (la*"*a! %i%&a'i (laa!a! a#a a'i(!

(!a*i% *l(*' a%a" 9(#(&a %(&a'"* +a+al &+a! "l%i-'i'%(.

Dala (!+(lla a'i(! #*%(& i!%(!'i


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i. M(!+"a'ai '%a!#a&-'%a!#a& "!%"* "!i% critical care. A#a #a! (&'(#ia

"!%"* (&a&%i'ia'i a#a (&ai*a! *"ali%a' i!%(i'ili!(&.

Tenaga Ke"era)atan.

IRI )a&"' (ili*i ,"la) (&aa% a!+ 9"*" #a! '(a+aia! ('a&

%(&la%i). ?#i+a!%i@ (!,a#i ,"la) (&aa% #i IRI #i%(!%"*a! (a'a&*a! ,"la)

%(a% %i#"& #a! *(%(&'(#iaa!


11/40

/. D*%(& '('iali' A!('%('il+i 'ia 2/ ,a (!a!+a!i *a'"'

*(+aa%a! IRI

. D*%(& '('iali' *!'"l(! 'ia 2/ ,a (!a!+a!i *a'"' *(+aa%a! IRI

4. T(!a+a (&aa% 'ia 2/ ,a (laa!i *a'"' IRI ?%(&,a#al@.


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BAB III

STANDAR FASILITAS.

Denah Ruang.

?T(&lai&@

Standar Fa!l!ta.

Standar Fa!l!ta Peralatan IRI.

No *en! Kelengka"anStandar

IRI "r!mer*umlah -g D!m!l!k!

1 ;(!%ila'i (*a!i* S(#(&)a!a 2

2 Ala% )i'a a#a 2

3Ala%


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17 O*'i+(! '(!%&al a#a -

16

E(&+(!9 %&ll

?Ai&a la&i!+'9 a"

a+ O2 a#&(!ali! #ll @

a#a 1

Standar Alat Ke"era)atan D! Ruang IRI Dengan Ka"a!ta Pa!en.

N$ NA(A BARAN%

RATI$

PASIEN /

ALAT

RS.BAPTIS

BATU

1. T(!'i (%(& 2 5 &"a!+a! 25&"a!+a!

2. S%(%'* 2 5 &"a!+a! L(i) #a&i 2

3. Tia!+a! (&a% a#a!5%i!++i 1 5 &"a!+a! 15&"a!+a!

/. Ta"!+ *'i+(! $l(%(& 2 5 &"a!+a! L(i) #a&i 2

. S"9%i! 2 5 &"a!+a! L(i) #a&i 2

4. ;(!a S(9%i( '(% 2 5 &"a!+a! Ti#a* a#a

7. G"!%i!+


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Standar L!nen B!dang Ke"era)atan D! Ruang IRI.

N$ NA(A BARAN% RATI$RS.BAPTIS

BATU

1 Ba," Pa'i(! 1 1 3

2 S&(i ('a& 1 1 3

3 Ma!'(% #(a'a 1 15/ 1 5&"a!+a!

/ S(li"% l 1 1 1 1

S(li"% ia'a 1 1 3

4 S&(i *(9il 1 4 6 1 3

7 Sa&"!+ a!%al 1 4 1 3

6 Sa&"!+ *a'"& 1 1 1 1

8 Sa&"!+ O2 1 153 1 1

10 Ha!#"* 1 3 1 a*ai

11 S*&(% 1 152 1 2

12 D"* La!+ 1153 13

Standar Alat Rumah Tangga B!dang Ke"era)atan Dengan Ka"a!ta

Pa!en.

N$ NA(A BARAN% RATI$RS.BAPTIS

BATU

1. K"&'i a 2 3 5 &"a!+a! 1 5 &"a!+a!

2. L(a&i a% E(&+(!9 1 5 &"a!+a! 1 5 &"a!+a!

3. E(&+(!9 La 1 5 &"a!+a! 1 5 &"a!+a!

/. M(,a a'i(! 1 1 1 1

. T(a% %i#"& 1 1 1 1

4. T(a% 'aa) a'i(! 1 1 1 1

7. T(a% 'aa) ('a& %(&%"%" / 5 &"a!+a! 1 1

6. Wa'* a!#i 6 12 5 &"a!+a! 1 1


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8. D&!+a! O2 1 5 &"a!+a! 2 5 &"a!+a!

10. La" '(!%(& 1 2 5 &"a!+a! 1 5 &"a!+a!

11. Ba*i 5 &"a!+a! 5 &"a!+a!

12. Tia!+a! BB5TB 1 5 &"a!+a! 1 5 &"a!+a!

Standar Alat Pen0atatan Dan Pela"oran D! Ruang IRI Dengan

Ka"a!ta Pa!en.

N$ NA(A BARAN% RATI$ RS.BAPTIS

1. F&"li& (!+*a,ia! aal 1 1

2. F&"li& 1

3. F&"li& (&*(a!+a! 1 10

/. F&"li& '(&


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BAB I1

TATA LAKSANA PELA-ANAN

Kr!ter!a (auk Dan Keluar IRI

S((l" a'i(! a'"* *( IRI a'i(! #a!5a%a" *(l"a&+a!a )a&"'

(!#aa%*a! (!,(la'a! '(9a&a l(!+*a (!+(!ai #a'a& (&%ia!+a! (!+aa

a'i(! )a&"' (!#aa% (&aa%a! #i IRI '(&%a %i!#a*a! *(#*%(&a! a!+ "!+*i!

'(laa a'i(! #i&aa% #i IRI. P(!,(la'a! %(&'("% #i(&i*a! l() *(ala IRI a%a"

#*%(& a!+ (&%"+a'. A%a' (!,(la'a! %(&'("% a'i(! #a! 5a%a" *(l"a&+a!a #aa%

(!(&ia5(!a%a*a! (&'(%","a! "!%"* #i&aa% #i IRI. P(&'(%","a! #i!a%a*a!

#(!+a! (!a!#a%a!+a!i $&"li& informed consent.

Pa#a *(a#aa! 'a&a!a #a! &a'a&a!a IRI a!+ %(&a%a' a#a '"a%" R"a)

Sa*i% #i(&l"*a! (*a!i'( "!%"* ("a% &i&i%a' aaila *("%")a! a%a"

(&i!%aa! a*a! (laa!a! IRI l(i) %i!++i #a&i *(a"a! (laa!a! a!+

#aa% #i(&i*a!. K(ala IRI (&%a!++"!+ ,aa a%a' *('('"aia! i!#i*a'i

(&aa%a! a'i(! #i IRI. Bila *("%")a! a'i(! a'"* IRI (l(i)i %(a% %i#"&

a!+ %(&'(#ia *(ala IRI (!(%"*a! *!#i'i (a'a&*a! &i&i%a' *!#i'i (#i*

a'i(! a!a a!+ a*a!#i&aa% #i IRI.

Kr!ter!a (auk.

Pa!en Dengan Pr!or!ta.

PRIORITAS 1

Pa'i(! 'a*i% *&i%i' *!#i'i %i#a* '%ail a!+ ((&l"*a! %(&ai i!%(!'i$

#a! !i%&i!+ a!+ %i#a* ia' #ila*"*a! #i &"a!+ &aa% ia!a a!+

lai!

Pa'i(! a!+ ((&l"*a! a!%"a!


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PRIORITAS 3

Pa'i(! *&i%i' *&!i* a!+ 9(!#(&"!+ a'"* %a)a &(9


18/40

Pa%i(!% i!a! i!%(&(#ia%( 9a&( "!i% ) a&( #(!'%&a%i!+ &('i&a%&

#(%(&i&a%i!

Ma''i


19/40

H & )(&!a%&(ia i%) '(i"&(

H & )(&*al(ia i%) #'&)%ia & "'9"la& (a*!(''

H & )(&a+!('(ia i%) )(#!ai9 9&i'( &

#'&)%ia'

H)')a%(ia i%) "'9"la& (a*!(''

7. S"&+i9al

P'% (&a%i


20/40

'*& &+!'i' a!+ #aa% #i+"!a*a! a#ala) APA:HE II SOFA '*&.

R(&a%a !ilai '*&i!+ &+!'i' #ala (&i#( %(&%(!%" #ia!#i!+*a!

#(!+a! *(l"a&a! a*%"al!a. P(!9aaia! a!+ #i)a&a*a! a#ala) a!+*a

&%ali%a' a!+ 'aa a%a" l(i) &(!#a) #a&i a!+*a &%ali%a' %(&)a#a

&(&a%a !ilai '9&i!+ &+!'i'.

Proedur (ed!k 2Terlam"!r D! SP$3.

43 P(a'a!+a! :;P

53 I!%"a'i #a! (&aa%a!!a

63 E*'%"a'i

73 Bala!9( 9ai&a!

83 P(!ilaia! *(a%ia! a%a!+ %a*

93 I!#i*a'i (!++"!aa! #a! (!+)(!%ia!


21/40

)(#iali'i' #a! '(a+ai!a@ laa &aa% #a! *(l"a&a! ?)i#" a%a" (!i!++al@

#a&i IRI.


22/40

BAB 1

L$%ISTIK

Pengadaan $"era!onal.

Alat Tul! Kantor.

N$ NA(A BARAN%*(LH HAR%A

HAR%A

SATUANT$TAL

BARAN% SATUAN 2:4;


23/40

13ISI STAPLES ?K@ 4

R

1.0000

R

1.4000

R

8.80000

1/ ISOLASI DAIMARU 2:M /

R

/./0000

R

/.6/000

R

18.34000

1ISOLASI BENING ?K@ 12

R

80000

R

88000

R

11.66000

14KERTAS ASTURO HIJAU

KE:OKLATAN 3

R

1./0000

R

1./000

R

/.42000

17KERTAS ASTURO BIRU

MUDA 3

R

2.00000

R

2.20000

R

4.40000


MUDA 3

R

1./0000

R

1./000

R

/.42000


TUA 3

R

1./0000

R

1./000

R

/.42000

20KERTAS ASTURO

KUNING 3

R

1.40000

R

1.74000

R

.26000

21KERTAS ASTURO MERAH 3

R

1.2042

R

1.3746

R

/.1270

22KERTAS ASTURO

ORANGE 3

R

1.0000

R

1.4000

R

/.8000

23KERTAS ASTURO UNGU

MUDA 3

R

1.7000

R

1.8200

R

.7700

2/KERTAS ASTURO UNGU

TUA 3

R

1.40000

R

1.74000

R

.26000

2KERTAS FOTO :OPY 70

GR 12

R

24.10000

R

26.71000

R

3//.2000

24LEM PO;INAL 20

R

2.0000

R

2.7000

R

.00000

27MAP PLASTIK 10

R

/.0000

R

/.8000

R

/8.0000

26

PENGGARIS 30 :M 2

R

1.0000

R

1.4000

R

3.30000


24/40

28PENGHAPUS BOLPOINT 2

R

1.70000

R

1.67000

R

3.7/000

30 PENGHAPUS PENSIL 2

R

1.0000

R

1.4000

R

3.30000

31PENSIL 2 B 12

R

2.7000

R

3.0200

R

34.30000

32SPIDOL BOARD MARK

HITAM 12

R

.7000

R

4.3200

R

7.80000

33SPIDOL BOARD MARK

MERAH 12

R

.7000

R

4.3200

R

7.80000

3/SPIDOL KE:IL BIRU 12

R

60000

R

66000

R

10.4000

3SPIDOL KE:IL HIJAU 12

R

60000

R

66000

R

10.4000

34SPIDOL KE:IL HITAM 12

R

60000

R

66000

R

10.4000

37SPIDOL KE:IL MERAH 12

R

60000

R

66000

R

10.4000

36SPIDOL MARKER HITAM 12

R

/.7000

R

.2200

R

42.70000

38STABILLO 4

R

.20000

R

.72000

R

3/.32000

/0STIPO KIROKO 2

R

/.00000

R

/./0000

R

6.60000

/1BAR:ODE 1

R

1.200.00000

R

1.320.00000

R

1.320.00000

T$TAL

R"

5.=.>=4?58


25/40

Barang @etakan.

N$ NA(A BARAN% *U(LAH HAR%A

HAR%A

SATUAN

T$TAL

HAR%A

BARAN% SATUAN 2 : 4;< 3

1 AMPLOP RSBB ?T@ 3

R

/.00000

R

/8.0000

R

1/6.0000

2 AMPLOP RSBB ?K@ /

R

3.00000

R

36.0000

R

1/.00000

3

BON MAKAN DINAS

LEMBUR 1

R

2.0000

R

2.7000

R

2.7000

/

:AIRAN MSK. KEL.

TUBUH 00/5RIM 2

R

70.00000

R

77.00000

R

1/.00000

:ATATAN DOKTER

005RIM 2

R

7.00000

R

62.0000

R

14.00000

4

:ATATAN PERAWAT 004 A

5 ADM 70

R

13000

R

1/300

R

107.2000

7

ADMINISTRASI

004A5:AT.PWRT 004A5RIM 2

R

7.00000

R

62.0000

R

14.00000

6 ELE:ARDIOGRAM5RIM 1

R

16.00000

R

203.0000

R

203.0000

8

FISIO THERAPI :AT.

PERAWATAN 007 100

R

1000

R

1400

R

14.0000

10 GRAFIK 0025RIM 1

R

7.00000

R

62.0000

R

62.0000

11 KARTU OBAT HIJAU 1000

R

200

R

270

R

27.0000

12 KARTU OBAT KUNING 000

R

200

R

270

R

137.0000

13 KARTU OBAT MERAH 70

R

200

R

270

R

20.4200

1/ KARTU OBAT PUTIH 00

R

200

R

270

R

13.7000


26/40

1

KONSULTASI MEDIS

ANTAR BAGIAN 200

R

16000

R

18600

R

38.40000

14

LEMBAR PENGWS.N

NEUROLOGIS 200

R

22000

R

2/200

R

/6./0000

17 MEMO KOSONGAN RSBB

R

4.0000

R

7.1000

R

3.7000

16

ORDER PEMBELIAN NON

STOK 1

R

7.00000

R

7.70000

R

7.70000

18 PEMAKAIAN ALAT MEDIS 0

R

7.00000

R

7.70000

R

36.00000

20 PENDAFTARAN JENASAH 2

R

8.00000

R

8.80000

R

18.60000

21 PENGAMBILAN JENASAH 2

R

8.00000

R

8.80000

R

18.60000

22

PENGANTAR JAWABAN5

RUJUKAN 1

R

/.0000

R

/.8000

R

/.8000

23

PENSTERILAN ALAT KE

KST 4

R

7.00000

R

7.70000

R

/4.20000

2/ PERMINTAAN :T-S:AN 200

R

370

R

/12

R

6.2000

2

PERSETUJUAN TINDAKAN

MEDIK 70

R

11000

R

12100

R

80.7000

24

PERSETUJUAN TINDAKAN

PEMBIUSAN 20

R

11000

R

12100

R

30.2000

27

PESAN AT ASAM

?O>IGEN@ 2

R

.00000

R

.0000

R

137.0000

26 RESEP RSBB KOSONGAN /0

R

/.7000

R

.2200

R

208.00000

28

RINGKASAN RESUME 3

PLY5BUKU 2

R

22.00000

R

2/.20000

R

/6./0000

30

RINGKASAN KELUAR

MASUK RM 015RIM 1

R

7.00000

R

62.0000

R

62.0000


27/40

31

SLIP PERBAIKAN

BENGKEL 3

R

7.00000

R

7.70000

R

23.10000

32

SRT. KEM. BEROBAT BIRU

5DALAM 0

R

000

R

00

R

2.7000

33

SRT. KEM. BEROBAT

HIJAU5 ANAK 2

R

000

R

00

R

1.3700

3/

SRT. KEM. BEROBAT

KUNING 5 HML 20

R

1613

R

188/

R

3867

3

SRT. KEM. BEROBAT

KUNING 5 OBG 20

R

000

R

00

R

1.10000

34

SRT. KEM. BEROBAT MER.

MUDA5 BDH 30

R

000

R

00

R

1.4000

37

SRT. KEM. BEROBAT

PUTIH 5FISIO. 30

R

000

R

00

R

1.4000

36

SRT. KEM. BEROBAT

FISIOTERAPI 20

R

000

R

00

R

1.10000

38

SRT. KEM. BEROBAT

PUTIH5UMUM 30

R

000

R

00

R

1.4000

/0 SURAT KET. IIN OPERASI 2

R

7.7000

R

6.200

R

17.0000

/1

SURAT KET. PENOLAKAN

OPNAME 2

R

7.00000

R

7.70000

R

1./0000

/2

SURAT KETERANGAN

DOKTER 3

R

7.00000

R

7.70000

R

23.10000

/3

SURAT KETERANGAN

KEMATIAN 1

R

7.0000

R

6.2000

R

6.2000

//

SURAT PERINTAH KERJA

LEMBUR

R

/.0000

R

/.8000

R

2/.7000

/

SURAT TUGAS PEMAK.

AMBULAN:E /

R

7.0000

R

6.2000

R

33.00000

/4

TANDA - TANDA ;ITAL 00/

00

R

13000

R

1/300

R

71.0000


28/40

/7 ULTRA SOUND PUASA 0

R

370

R

/12

R

2.0420

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R

370

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2.0420

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PASIEN RM 0 300

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11000

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12100

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27.0000

7 GELAS KUMUR 30

R

20000

R

22000

R

77.00000

6 GUNTING ?T@ 2

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.0000

R

4.0000

R

12.10000

8 KRESEK HITAM ?B@ 4

R

18.00000

R

20.80000

R

1.36.0000

10 KRESEK KUNING ?B@ 7

R

18.00000

R

20.80000

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1.47.0000

11 SABUN BATANGAN 3

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12.00000

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13.20000

R

38.40000

12 SABUN MEDI:ARE 0

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2.10000

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2.31000

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11.0000

13 SANDAL JEPIT 10

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4.0000

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7.1000

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3.7000

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70000

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77000

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36.0000

1 SILET 2

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2.0000

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2.7000

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14 SOKLIN 1 KG 2/

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12.0000

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13.7000

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330.00000

17 STELLA RFL

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8.80000

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16 SUNLIGHT /00 ML 2

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4.00000

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4.40000

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13.20000

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Pedoman Pelayanan Instalasi Rawat Intens (1)

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