TANDA TERIMA

NO NAMA BARANG JUMLAH SATUAN KET.

1 Handscone non steril size M 20 Box

2 Kapas pembalut 250 gram 5 Pcs
3 Alkohol Swab 120 Box
4 Jelly USG 3 Botol
5 NGT no.18 5 Pcs
6 Kasa Hidrofil 40 x 80 10 Roll
7 Extention tube 30 Pcs
8 Handscone Steril 9 Box
9 Infusion set dewasa 100 pcs
10 IV Cateter no. 20 150 Pcs
11 IV Cateter no.22 100 Pcs
12 IV Cateter no.18 100 Pcs
13 Canula O2 Dewasa 30 Pcs
14 Canula O2 anak 30 Pcs
15 Disposible syringe 10 cc 1000 Pcs
16 Disposible syringe 5 cc 1000 Pcs
17 Disposible syringe 3 cc 1000 Pcs
18 Masker 20 Pcs
19 Penjepit tali pusar 100 Pcs
20 Nebulezer mask dewasa 10 Pcs
21 Nebulezer mask anak 10 Pcs
22 Povidon iodine 1 liter 10 Botol
23 Infusion set anak 100 Pcs
24 Transfusion set 50 Pcs
25 ID band anak blue 2 Box
26 ID band anak pink 2 Box
27 ID band dewasa blue 3 Box
28 Ambu bag anak 1 set
29 Ambu bag dewasa 1 set
30 Jas operator 20 lembar
31 Baju OK 6 pasang
32 Masker O2 anak 20 Pcs
33 Masker O2 dewasa 20 Pcs
34 NRM dewasa 20 Pcs
35 Folley cateter no.16 45 pcs
36 Folley cateter no.18 30 pcs
37 Non woven tape 10 cm 10 Roll
38 Ekg paper 210 mm 2 roll
39 Ekg paper 8 cm 4 roll
40 Lumpang + alu 1 pcs
41 Gelas ukur 100 ml 1 pcs
42 Dispo 50 cc 15 Pcs
43 Urine bag 50 Pcs
44 Suction catater n0. 16 20 Pcs
45 Tromol besar 7 Pcs
46 Tromol kecil 3 Pcs
47 Troly oksigen 1 Pcs
48 Safety box 100 Pcs
49 Anticare handrub 24 Botol
50 Fresco handrub 100 Botol
Masamba, 11 September 2019

Fitria Nooryani
 TANDA TERIMA

NO NAMA BARANG JUMLAH SATUAN KET.

1 Cefotxim 1 gram 250 vial

2 Ceftriaxon 1 gram 250 vial
3 Simvastatin 10 mg 500 Tablet
4 Simvastatin 20 mg 500 Tablet
5 Candesartan 8 mg 150 Tablet
6 Lidocain injeksi 200 Ampul
7 Ambroxol sirup 15 mg 50 Botol
8 Amoxicillin 125 mg sirup 50 Botol
9 Amoxicillin 500 mg 500 Tablet
10 Captopril 25 mg 500 Tablet
11 Calsium lactat 500 Tablet
12 Ambroxol 30 mg 1000 Tablet
13 Amlodipine 5 mg 300 Tablet
14 Amlodipine 10 mg 300 Tablet
15 Salbutamol 4 mg 500 Tablet
16 Dexametason injeksi 100 Ampul
17 Epinefrin injeksi 30 Ampul
18 Oralit saset 100 Saset
19 Hidrocortison salep kulit 24 Tube
20 Acyclovir cream 25 Tube
21 Cefadroxil 500 mg 500 Tablet
22 Oxytocin injeksi 50 Ampul
23 Dextrosa 5 % 100 Botol
24 Manitol 20 Botol
25 Dextrosa 10 % 40 Botol
26 Ringer lactat 120 Botol
27 Paracetamol infus 24 Botol
28 Metronidazol infus 50 botol
29 Ondancetron 4 mg injeksi 30 ampul
30 Atropin sulfat injeksi 100 Ampul
31 Combivent 60 Respule
32 Zink dipersible 200 Tablet
33 Asam mefenamat 500 Tablet
34 Paracetamol 500 mg 500 Tablet
35 Metilprednisolon 125 mg injeksi 10 Vial
36 Furosemid injeksi 25 Ampul
37 Natrium diklofenac 50 mg 150 Tablet
38 Nifedipine 10 mg 200 Tablet
39 Asam tranexamat 250 mg injeksi 100 Ampul
40 Norages injeksi 240 Ampul

Masamba, 18 September 2019

Fitria Nooryani
 TANDA TERIMA

NO NAMA BARANG JUMLAH SATUAN KET.

1 Omeprazol kapsul 150 Kapsul

2 Metilprednisolon 4 mg 500 Tablet
3 Domperidon tablet 500 Tablet
4 Clopidogrel 75 mg 150 Tablet
5 Bisoprolol 5 mg 150 Tablet
6 Digoxin 0,25 mg 500 Tablet
7 Curcuma tablet 500 Tablet
8 Allopurinol 100 mg 500 Tablet
9 Furosemid tablet 500 Tablet
10 ISDN 5 mg 500 Tablet
11 Lansoprazole 100 Tablet
12 Ondancetron 4 mg 90 Tablet
13 Loratadine 10 mg 100 Tablet
14 Ciprofloxacin 500 mg 700 Tablet
15 Acyclovir 400 mg 100 Tablet
16 Sucralfat sirup 10 Botol
17 Omeprazole injeksi 30 vial
18 Ondancetron injeksi 4 mg 50 ampul
19 Aspilets 2000 Tablet
20 Ibuprofen 400 mg 2000 Tablet
21 Tablet tambah darah 1000 Tablet
22 Asam mefenamat 500 Tablet
23 Dexametason tablet 200 Tablet
24 Diatabs 300 Tablet
25 Vitamin B complex 500 Tablet
26 Metronidazole 600 Tablet
27 UCDA 90 Tablet
28 Acetilsistein 500 Tablet
29 Mecobalamin 100 Tablet
30 ISDN 10 mg 120 Tablet
31
32

Masamba, 23 Oktober 2019

Fitria Nooryani