7/25/2019 Daftar Pemakaian Obat OK
1/6
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
7/25/2019 Daftar Pemakaian Obat OK
2/6
?en&0 O%era0& :
O%era0& :
Ane0e0& :
Tg$ :
?am :
O!a/Ba"an ?um$a" Harga
Fean8$ am%
Keoro$a(/Remo%a&n am%
Keam&n mg
7/25/2019 Daftar Pemakaian Obat OK
3/6
Nama DAFTAR PEMAKAIAN OBAT/BAHAN
Umur DI KAMAR BERSALIN
No. MR RSB AL-IHSAN
Ruangan
Runner
No.Pake
No O!a/Ba"an ?um$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
7/25/2019 Daftar Pemakaian Obat OK
4/6
?en&0 Paru0 :
O%era0& :
Ane0e0& :
Tg$ :
?am :
O!a/Ba"an ?um$a" Harga
Fean8$ am% R%
Keoro$a(/Remo%a&n am% R%
Keam&n mg R%
7/25/2019 Daftar Pemakaian Obat OK
5/6
Nama : Nama :
Paket Emesis : Paket Emesis :
No Kebutuhan Jmlh Harga Total No Kebutuhan Jmlh
' Ruangan R% ' Ruangan, 2&0&e R%3.R% , 2&0&e
Kon0u$ 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
7/25/2019 Daftar Pemakaian Obat OK
6/6
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%
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