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    Formulir Peminjaman Bahan Medis Dan Obat - Obatan Ok Ke Ifrs

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    ilham ace
    The document is a form for borrowing medical supplies and medications from the OK to IFRS department. It lists 52 items including medications, bandages, catheters, sutures, and other supplies. For each item it specifies the name, quantity needed, and space to record when the items are borrowed and returned.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Formulir Peminjaman Bahan Medis Dan Obat - Obatan Ok Ke Ifrs

    Uploaded by

    ilham ace
    31 views2 pages
    The document is a form for borrowing medical supplies and medications from the OK to IFRS department. It lists 52 items including medications, bandages, catheters, sutures, and other supplies. For each item it specifies the name, quantity needed, and space to record when the items are borrowed and returned.

    Original Title

    FORM PEMINJAMAN OPERASI

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    The document is a form for borrowing medical supplies and medications from the OK to IFRS department. It lists 52 items including medications, bandages, catheters, sutures, and other supplies. For each item it specifies the name, quantity needed, and space to record when the items are borrowed and returned.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    31 views2 pages

    Formulir Peminjaman Bahan Medis Dan Obat - Obatan Ok Ke Ifrs

    Uploaded by

    ilham ace
    The document is a form for borrowing medical supplies and medications from the OK to IFRS department. It lists 52 items including medications, bandages, catheters, sutures, and other supplies. For each item it specifies the name, quantity needed, and space to record when the items are borrowed and returned.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    FORMULIR PEMINJAMAN BAHAN MEDIS TEMPEL STIKER

    DAN OBAT - OBATAN OK KE IFRS PASIEN

    NAMA DOKTER
    TGL
    NO NAMA BARANG JML NO NAMA BARANG JML
    JAM
    WIB 1 Alkohol 70% 100 ML 1 26 Hand Steril 7/7,5/8 3.4.2
    ....../....../........... 2 Betadin 300 ML 1 27 Hand On Mas (M) 10 PCS
    TINDAKAN 3 Bandage Care (5x10) 1 28 Suction Cateter no 10 1
    BPH 4 Big Haus 29 Foley cath no 16/18 JAM 1.1.0
    5 Kasa Tampon 5X10 STERIL 30 Tri Way Cath no 22/24 JAM 0.1
    6 Bisturi no 24 1 31 Urine Bag Jam 3
    7 REGIVEL INJ 1 32 Aqua Bidest 25 ML 1
    8 EPEDRINE INJ 1 33 ALKOHOL SWAB 2
    9 PIRALEN INJ 1 34 Blood Set JAM 2
    10 ONDANSENTRON 4MG INJ 1 35 NGT NO 16/18 1.1
    11 TRAMADOL INJ 2 36 SPONGESTAN 1
    12 KETOROLAC INJ 2 37 Nasal Kanul Dewasa 1
    13 ASAM TRANEXAMAT INJ 500 MG 2 38 Underpad 1
    14 DEXAMETASON INJ 2 39 CROMIC 1,0,2/0 TAPPER 4.2.2
    15 FENTANIL INJ 2 40 ASUCRYL 1,2/0 TAPPER 1.1
    16 SEDACUM INJ 1 41 ASUCRYL MONOSLOW 3/0 1
    17 KTM INJ 1 42 SILK 2/0 TAPPER 2
    18 ATROPIN SULFAT INJ 1 43 NYLON 2/0 CUTING 2
    19 NUPOVEL INJ 1 44 RL 4
    20 FERELAX INJ 1 45 NACL 0.9% 10
    21 EPINEPRINE INJ 1 46 GELOFUSINE 1
    22 CATAPRES 1 47 SPUIT 3CC TERUMO 2
    23 RANITIDIE INJ 2 48 SPINOCAIN NO 25 1
    24 LIDOCAIN INJ 0 49 SPUIT 3/5/10 2.2.3
    25 ROFIDEN SUP 1 50
    PETUGAS (PINJAM) PETUGAS (BAYAR)
    OK IFRS OK IFRS

    CATATAN : JARUM TAPPER (●)


    JARUM CUTTING (▼)
    LAKUKAN DOUBLE CHECK SEBELUM SERAH TERIMA PEMINJAMAN !
    IKER

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