NO RM NO RM

NAMA NAMA
PASIEN PASIEN
DOKTER DOKTER
Sectio Caesaria TANPA TUBEKTOMI BIUS SPINAL Sectio Caesaria TANPA TUBEKTOMI BIUS SPINAL
NO NAMA BARANG JUMLAH PEMAKAIAN NO NAMA BARANG JUMLAH PEMAKAIAN
1 Catgut Chromic 2/0 Taper 1 1 Catgut Chromic 2/0 Taper 1
2 Catgut Chromic 2 Taper 2 2 Catgut Chromic 2 Taper 2
3 Safil 1 Taper 1 3 Safil 1 Taper 1
4 Novosyn 3/0 1 4 Novosyn 3/0 1
5 Spinal 25 1 5 Spinal 25 1
6 Ceftriaxone Inj 3 6 Ceftriaxone Inj 3
7 Keterolac Inj 5 7 Keterolac Inj 5
8 Metronidazole Inj 3 8 Metronidazole Inj 3
9 Ondansentron Inj 2 9 Ondansentron Inj 2
10 Dexamethasone Inj 1 10 Dexamethasone Inj 1
11 Oxytocyn Inj 5 11 Oxytocyn Inj 5
12 Aquabides 1 12 Aquabides 1
13 Methylergometryn Inj 2 13 Methylergometryn Inj 2
14 Asam Tranexamat Inj 1 14 Asam Tranexamat Inj 1
15 Misoprostol 2 15 Misoprostol 2
16 RL 5 16 RL 5
17 D5% 2 17 D5% 2
18 Tranfusi Set 1 18 Tranfusi Set 1
19 Abocath 18 2 19 Abocath 18 2
20 Topi Pasien 1 20 Topi Pasien 1
21 Handscun No 6,5/ 7 / 7,5 2 21 Handscun No 6,5/ 7 / 7,5 2
22 Handscun M 10 22 Handscun M 10
23 Masker 8 23 Masker 8
24 Bisturi No 22 1 24 Bisturi No 22 1
25 Spuit 1 cc 2 25 Spuit 1 cc 2
26 Spuit 3 cc 5 26 Spuit 3 cc 5
27 Spuit 5 cc 2 27 Spuit 5 cc 2
28 Spuit 10 cc 2 28 Spuit 10 cc 2
29 NaCl 1 29 NaCl 1
30 Supratule / Excel tulle 2 30 Supratule / Excel tulle 2
31 Kassa Rol 1 31 Kassa Rol 1
32 Batadine 1 32 Batadine 1
33 Alkohol 1 33 Alkohol 1
34 Hypavix 1 34 Hypavix 1
35 One Scrub 1 35 One Scrub 1
36 Asoy Merah 1 36 Asoy Merah 1
37 Asoy Hitam 1 37 Asoy Hitam 1
38 Oksigen 1 38 Oksigen 1
39 Bunascan 1 39 Bunascan 1
40 KTM 1 40 KTM 1
41 Three Way 1 41 Three Way 1
42 Cefadroxil Kap 12 42 Cefadroxil Kap 12
43 Metronidazole Tab 16 43 Metronidazole Tab 16
44 Assam Mefenamat Tab 16 44 Assam Mefenamat Tab 16
45 Selcom C Tab 12 45 Selcom C Tab 12
46 Catheter no 18 1 46 Catheter no 18 1
47 Urine Bag 1 47 Urine Bag 1
48 Gillete 1 48 Gillete 1
49 Suction No 8 1 49 Suction No 8 1
50 Umbilical Cord 1 50 Umbilical Cord 1
51 Neo K 1 51 Neo K 1
52 Plester 1 52 Plester 1
53 Erlamycetin salep mata 1 53 Erlamycetin salep mata 1
54 Vit C Inj 3 54 Vit C Inj 3
55 Under Pad 2 55 Under Pad 2
56 Gelang Dewasa 1 56 Gelang Dewasa 1
57 Gelang Bayi 1 57 Gelang Bayi 1
NO RM NO RM
NAMA PASIEN NAMA PASIEN
DOKTER DOKTER
HISTEREKTOMI SAECARIA HISTEREKTOMI SAECARIA
NO NAMA BARANG JUMLAH NO NAMA BARANG JUMLAH
1 Catgut Chromic 2/0 Taper 1 1 Catgut Chromic 2/0 Taper 1
2 Catgut Chromic 2 Taper 2 2 Catgut Chromic 2 Taper 2
3 Safil 1 Taper 2 3 Safil 1 Taper 2
4 Silkam 1 Taper 2 4 Silkam 1 Taper 2
5 Novosyn 3/0 1 5 Novosyn 3/0 1
6 Catgut Plain 2/0 1 6 Catgut Plain 2/0 1
7 Cefotaxime Inj Ceftriaxone 3 7 Cefotaxime Inj Ceftriaxone 3
8 Keterolac Inj 5 8 Keterolac Inj 5
9 Metronidazole Inj 3 9 Metronidazole Inj 3
10 Ondansentron Inj 2 10 Ondansentron Inj 2
11 Dexamethasone Inj 1 11 Dexamethasone Inj 1
12 Oxytocyn Inj 5 12 Oxytocyn Inj 5
13 Aquabides 1 13 Aquabides 1
14 Methylergometryn Inj 2 14 Methylergometryn Inj 2
15 Asam Tranexamat Inj 1 15 Asam Tranexamat Inj 1
16 Misoprostol 2 16 Misoprostol 2
17 RL 5 17 RL 5
18 D5% 2 18 D5% 2
19 Tranfusi Set 1 19 Tranfusi Set 1
20 Abocath 18 2 20 Abocath 18 2
21 Topi Pasien 1 21 Topi Pasien 1
22 Handscun No 6,5/ 7 / 7,5 2 22 Handscun No 6,5/ 7 / 7,5 2
23 Handscun M 10 23 Handscun M 10
24 Masker 8 24 Masker 8
25 Bisturi No 22 1 25 Bisturi No 22 1
26 Jarum Spinal 25 1 26 Jarum Spinal 25 1
27 Spuit 1 cc 2 27 Spuit 1 cc 2
28 Spuit 3 cc 5 28 Spuit 3 cc 5
29 Spuit 5 cc 2 29 Spuit 5 cc 2
30 Spuit 10 cc 2 30 Spuit 10 cc 2
31 NaCl 1 31 NaCl 1
32 Supratule 2 32 Supratule 2
33 Kassa Rol 1 33 Kassa Rol 1
34 Batadine 1 34 Batadine 1
35 Alkohol 1 35 Alkohol 1
36 Hypavix 1 36 Hypavix 1
37 One Scrub 1 37 One Scrub 1
38 Asoy Merah 1 38 Asoy Merah 1
39 Asoy Hitam 1 39 Asoy Hitam 1
40 Oksigen 1 40 Oksigen 1
41 Bunascan 1 41 Bunascan 1
42 KTM 1 42 KTM 1
43 Recofol 1 43 Recofol 1
44 Fentanyl 1 44 Fentanyl 1
45 Sedacum Inj 1 45 Sedacum Inj 1
46 Three Way 1 46 Three Way 1
47 Cefadroxil tab 12 47 Cefadroxil tab 12
48 Metronidazole 16 48 Metronidazole 16
49 Assam Mefenamat 16 49 Assam Mefenamat 16
50 Selcom C 12 50 Selcom C 12
51 Catheter no 18 1 51 Catheter no 18 1
52 Urine Bag 1 52 Urine Bag 1
53 Gillete 1 53 Gillete 1
54 Suction No 8 1 54 Suction No 8 1
55 Umbilical Cord 1 55 Umbilical Cord 1
56 Neo K 1 56 Neo K 1
57 Plester 1 57 Plester 1
58 Erlamycetin salep mata 1 58 Erlamycetin salep mata 1
59 Vit C Inj 3 59 Vit C Inj 3
60 Under Pad 2 60 Under Pad 2
61 Gelang dewasa/ Gelang Bayi 1 61 Gelang dewasa/ Gelang Bayi 1
NO RM NO RM
NAMA PASIEN NAMA PASIEN
DOKTER DOKTER
HISTEREKTOMI LAPARATOMI HISTEREKTOMI LAPARATOMI
NO NAMA BARANG JUMLAH NO NAMA BARANG JUMLAH
1 Catgut Chromic 2/0 Taper 1 1 Catgut Chromic 2/0 Taper 1
2 Catgut Chromic 2 Taper 2 2 Catgut Chromic 2 Taper 2
3 Safil 1 Taper 2 3 Safil 1 Taper 2
4 Silkam 1 Taper 2 4 Silkam 1 Taper 2
5 Novosyn 3/0 1 5 Novosyn 3/0 1
6 Catgut Plain 2/0 1 6 Catgut Plain 2/0 1
7 Ceftriaxone Inj 3 7 Ceftriaxone Inj 3
8 Keterolac Inj 5 8 Keterolac Inj 5
9 Metronidazole Inj 3 9 Metronidazole Inj 3
10 Ondansentron Inj 2 10 Ondansentron Inj 2
11 Dexamethasone Inj 1 11 Dexamethasone Inj 1
12 Oxytocyn Inj 5 12 Oxytocyn Inj 5
13 Aquabides 1 13 Aquabides 1
14 Methylergometryn Inj 2 14 Methylergometryn Inj 2
15 Asam Tranexamat Inj 1 15 Asam Tranexamat Inj 1
16 Misoprostol 2 16 Misoprostol 2
17 RL 5 17 RL 5
18 D5% 2 18 D5% 2
19 Tranfusi Set 1 19 Tranfusi Set 1
20 Abocath 18 2 20 Abocath 18 2
21 Topi Pasien 1 21 Topi Pasien 1
22 Handscun No 6,5 / 7/ 7.5 2 22 Handscun No 6,5 / 7/ 7.5 2
23 Handscun M 10 23 Handscun M 10
24 Masker 8 24 Masker 8
25 Bisturi No 22 1 25 Bisturi No 22 1
26 Jarum Spinal 25 1 26 Jarum Spinal 25 1
27 Spuit 1 cc 2 27 Spuit 1 cc 2
28 Spuit 3 cc 5 28 Spuit 3 cc 5
29 Spuit 5 cc 2 29 Spuit 5 cc 2
30 Spuit 10 cc 2 30 Spuit 10 cc 2
31 NaCl 1 31 NaCl 1
32 Supratule 2 32 Supratule 2
33 Kassa Rol 1 33 Kassa Rol 1
34 Batadine 1 34 Batadine 1
35 Alkohol 1 35 Alkohol 1
36 Hypavix 1 36 Hypavix 1
37 One Scrub 1 37 One Scrub 1
38 Asoy Merah 1 38 Asoy Merah 1
39 Asoy Hitam 1 39 Asoy Hitam 1
40 Oksigen 1 40 Oksigen 1
41 Recofol 1 41 Recofol 1
42 Fentanyl 1 42 Fentanyl 1
43 Sedacum Inj 1 43 Sedacum Inj 1
44 Three Way 1 44 Three Way 1
45 Cefadroxil tab 12 45 Cefadroxil tab 12
46 Metronidazole 16 46 Metronidazole 16
47 Assam Mefenamat 16 47 Assam Mefenamat 16
48 Selcom C 12 48 Selcom C 12
49 Catheter no 18 1 49 Catheter no 18 1
50 Urine Bag 1 50 Urine Bag 1
51 Gillete 1 51 Gillete 1
52 Suction No 8 1 52 Suction No 8 1
53 Umbilical Cord 1 53 Umbilical Cord 1
54 Neo K 1 54 Neo K 1
55 Plester 1 55 Plester 1
56 Erlamycetin salep mata 1 56 Erlamycetin salep mata 1
57 Vit C Inj 3 57 Vit C Inj 3
58 Under Pad 2 58 Under Pad 2
59 Gelang dewasa/gelang bayi 1 59 Gelang Dewasa / Gelang Bayi 1
RM RM
NAMA NAMA
PASIEN PASIEN
DOKTER DOKTER
Sectio Caesaria dengan TUBEKTOMI Sectio Caesaria dengan TUBEKTOMI
NO NAMA BARANG JUMLAH NO NAMA BARANG JUMLAH
1 Catgut Chromic 2/0 Taper 1 1 Catgut Chromic 2/0 Taper 1
2 Catgut Chromic 2 Taper 2 2 Catgut Chromic 2 Taper 2
3 Catgut Chromic 1 Taper 1 3 Catgut Chromic 1 Taper 1
4 Safil 1 Taper 1 4 Safil 1 Taper 1
5 Novosyn 3/0 1 5 Novosyn 3/0 1
6 Catgut Plain 2/0 1 6 Catgut Plain 2/0 1
7 Ceftriaxone Inj 3 7 Ceftriaxone Inj 3
8 Keterolac Inj 5 8 Keterolac Inj 5
9 Metronidazole Inj 3 9 Metronidazole Inj 3
10 Ondansentron Inj 2 10 Ondansentron Inj 2
11 Dexamethasone Inj 1 11 Dexamethasone Inj 1
12 Oxytocyn Inj 5 12 Oxytocyn Inj 5
13 Aquabides 1 13 Aquabides 1
14 Methylergometryn Inj 2 14 Methylergometryn Inj 2
15 Asam Tranexamat Inj 1 15 Asam Tranexamat Inj 1
16 Misoprostol 2 16 Misoprostol 2
17 RL 5 17 RL 5
18 D5% 2 18 D5% 2
19 Tranfusi Set 1 19 Tranfusi Set 1
20 Abocath 18 2 20 Abocath 18 2
21 Topi Pasien 1 21 Topi Pasien 1
22 Handscun No 6,5 / 7 / 7,5 2 22 Handscun No 6,5 / 7 / 7,5 2
23 Handscun M 10 23 Handscun M 10
24 Masker 8 24 Masker 8
25 Bisturi No 22 1 25 Bisturi No 22 1
26 Jarum Spinal 25 1 26 Jarum Spinal 25 1
27 Spuit 1 cc 2 27 Spuit 1 cc 2
28 Spuit 3 cc 5 28 Spuit 3 cc 5
29 Spuit 5 cc 2 29 Spuit 5 cc 2
30 Spuit 10 cc 2 30 Spuit 10 cc 2
31 NaCl 1 31 NaCl 1
32 Supratule 2 32 Supratule 2
33 Kassa Rol 1 33 Kassa Rol 1
34 Batadine 1 34 Batadine 1
35 Alkohol 1 35 Alkohol 1
36 Hypavix 1 36 Hypavix 1
37 One Scrub 1 37 One Scrub 1
38 Asoy Merah 1 38 Asoy Merah 1
39 Asoy Hitam 1 39 Asoy Hitam 1
40 Oksigen 1 40 Oksigen 1
41 Recofol 1 41 Recofol 1
42 Fentanyl 1 42 Fentanyl 1
43 Sedacum Inj 1 43 Sedacum Inj 1
44 Three Way 1 44 Three Way 1
45 Cefadroxil tab 12 45 Cefadroxil tab 12
46 Metronidazole 16 46 Metronidazole 16
47 Assam Mefenamat 16 47 Assam Mefenamat 16
48 Selcom C 12 48 Selcom C 12
49 Catheter no 18 1 49 Catheter no 18 1
50 Urine Bag 1 50 Urine Bag 1
51 Gillete 1 51 Gillete 1
52 Suction No 8 1 52 Suction No 8 1
53 Umbilical Cord 1 53 Umbilical Cord 1
54 Neo K 1 54 Neo K 1
55 Plester 1 55 Plester 1
56 Erlamycetin salep mata 1 56 Erlamycetin salep mata 1
57 VIt C Inj 3 57 VIt C Inj 3
58 Under Pad 2 58 Under Pad 2
59 Gelang Dewasa / Gelang Bayi 1 59 Gelang Dewasa / Gelang Bayi 1
RM
NAMA
PASIEN
DOKTER
CURATAGE BIUS UMUM
NO NAMA BARANG JUMLAH
1 Abocath 18 2
2 Ceftriaxone inj 1
3 Ketorolac inj 1
4 Ondansentron inj 1
5 Oxytocin inj 3
6 Aquabides 1
7 Methylergometrin inj 1
8 Asam Traneksamat inj 1
9 Misoprostol tab 2
10 RL 2
11 Nacl 1
12 Bloodset 1
13 Handscoon 7 2
14 Handscoon M 10
15 Masker 2
16 Spinal 25 1
17 Spuit 1 cc 1
18 Spuit 3 cc 3
19 Spuit 5 cc 2
20 Spuit 10 cc 1
21 Chateter no.18 1
22 Bunascan 1
23 KTM inj 1
24 Underpad 1
25 Cefadroxil kap 14
26 Metronidazole tab 15
27 Methylergometrin tab 9
28 Selcom C 10
29 Kassa rol 1
30 Betadine 1
31 Alkohol 1
32 One Scrub 1
33 Asoy Merah 1
34 Oksigen 1
35 Plester 1
59