DEBRIDEMENT DGN GA

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 40 lbr per tindakan
2 IODINE POVIDON 10% SOL 100 cc per tindakan
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 60cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8 pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
9 KASA PEMBALUT 4 M X 15 CM 1buah(tampon sedang)
10 KASA PEMBALUT 4 M X 15 CM 1buah
11 HYPAFIX / 10 CM X 5 M 30cm
12 STERIL GLOVE size 6,5 / TROGE 2 pcs
13 STERIL GLOVE size 7,5 / TROGE 1 pcs
14 SURGICAL BLADE NO. 10 1pcs
15 H2O2 3 % 800 ML 40cc
16 DISPOSIBLE SYRINGE / 10 CC 1 pcs
17 OTSU NS / 500 ML 2flabot
18 DARYANTULLE 1pcs
B. BHP ANASTESI
1 PROANES 1 % 1amp
2 FENTANYL 2 Ml / INJ 1amp
3 ANESFAR 5 MG / INJ 1amp
4 TRAMADOL 100 MG / 2 ML / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 2psg
7 DISPOSIBLE SYRINGE / 5 CC 1psg
8 DISPOSIBLE SYRINGE / 3 CC 2psg
9 OTSU RL 500 ML / ASKES 2flabot
10 KETAMIN-HAMELN 50MG/ML INJ/ASKES 4cc
11 SOJOURN 50 cc
12 ASAM TRANEKSAMAT 500 MG / 5 ML / INJ 1amp
13 EPHEDRINE HCL / 1 ML / INJ 1amp
14 ALKOHOL ANTISEPTIK 70% / 1 LTR 10 cc
15 IODINE POVIDON 10% SOL 50 cc
16 NON STERIL GLOVE / size M 2psg
17 STERIL GLOVE size 7 / TROGE 1psg

NB : PASIEN DENGAN PENYAKIT MENULAR, PENGGUNAAN STERIL GLOVE DI DOUBLE.

 DEBRIDEMENT DGN SPINAL

NO JENIS BIAYA KETERANGAN

A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 30 pcs
2 IODINE POVIDON 10% SOL 100 cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 60 cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 6pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
1pcs(tampon
KASA PEMBALUT 4 M X 15 CM
9 sedang)
10 KASA PEMBALUT 4 M X 15 CM 1pcs
11 HYPAFIX / 10 CM X 5 M 30cm
14 STERIL GLOVE size 6,5 / TROGE 1pcs
15 STERIL GLOVE size 7,5 / TROGE 2pcs
16 SURGICAL BLADE NO. 10 1pcs
17 H2O2 3 % 800 ML 40cc
18 DISPOSIBLE SYRINGE / 10 CC 1pcs
19 OTSU NS / 500 ML 2flabot
20 URINE BAG / TROGE 1pcs
21 FOLLEY CATHETER / CH - 16 1pcs
22 XYLOCAIN JEL 10X10 GRAM 2cc
23 DARYANTULLE 1pcs
BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1amp
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 2amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10 cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2psg
15 STERIL GLOVE size 7 / TROGE 1psg
 EKSISI BESAR DENGAN SPINAL

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 40pcs
2 IODINE POVIDON 10% SOL 100 cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 60 cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 6pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10 pcs
8 DOCTOR CUP 3pcs
9 HYPAFIX / 10 CM X 5 M 20 cm
10 T-LENE POLYVINYLIDENE 2/0 90CM L 20 1pcs
11 SOE SILK 3/0 25261 1pcs
12 T-VIO POLYGLYCOLIDE 3/0 76CM V4 1pcs
14 STERIL GLOVE size 6,5 / TROGE 1psg
15 STERIL GLOVE size 7,5 / TROGE 2psg
16 SURGICAL BLADE NO. 10 / 15 1pcs
17 PEHACAIN / 2 ML / INJ 1amp
18 DISPOSIBLE SYRINGE / 3 CC 1pcs
19 DISPOSIBLE SYRINGE / 10 CC 1pcs
20 OTSU NS / 500 ML 1flabot
21 URINE BAG / TROGE 1pcs
22 FOLLEY CATHETER / CH - 16 1pcs
23 XYLOCAIN JEL 10X10 GRAM 2cc
24 DARYANTULLE 1pcs
BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1amp
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 2amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10 cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2psg
15 STERIL GLOVE size 7 / TROGE 1psg
16 DEXTOFEN 1amp
 EKSISI BESAR DENGAN GA

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 40 pcs
2 IODINE POVIDON 10% SOL 100 cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 60cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
9 HYPAFIX / 10 CM X 5 M 20cm
10 T-LENE POLYVINYLIDENE 2/0 90CM L 20 1pcs
11 SOE SILK 3/0 25261 1pcs
12 T-VIO POLYGLYCOLIDE 3/0 76CM V4 1pcs
14 STERIL GLOVE size 6,5 / TROGE 2psg
15 STERIL GLOVE size 7,5 / TROGE 1psg
16 SURGICAL BLADE NO. 10 1pcs
17 PEHACAIN / 2 ML / INJ 1amp
18 DISPOSIBLE SYRINGE / 3 CC 1pcs
19 OTSU NS / 500 ML 1flabot
20 DARYANTULLE 1pcs
B. BHP ANASTESI
1 PROANES 1 % 1amp
2 FENTANYL 2 Ml / INJ 1amp
3 ANESFAR 5 MG / INJ 1amp
4 TRAMADOL 100 MG / 2 ML / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 2buah
7 DISPOSIBLE SYRINGE / 5 CC 1buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 KETAMIN-HAMELN 50MG/ML INJ/ASKES 4cc
11 SOJOURN 50cc
ASAM TRANEKSAMAT 500 MG / 5 ML /
12 INJ 1amp
13 EPHEDRINE HCL / 1 ML / INJ 1amp
14 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
15 IODINE POVIDON 10% SOL 50cc
16 NON STERIL GLOVE / size M 2buah
17 STERIL GLOVE size 7 / TROGE 1psg
 EKSISI KECIL DENGAN GA

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 30lbr
2 IODINE POVIDON 10% SOL 50cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 30cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 6pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
9 HYPAFIX / 10 CM X 5 M 20cm
10 T-VIO POLYGLYCOLIDE 3/0 76CM V4 1pcs
11 STERIL GLOVE size 6,5 / TROGE 2pcs
12 STERIL GLOVE size 7,5 / TROGE 1pcs
13 SURGICAL BLADE NO. 15 1pcs
14 DARYANTULLE 1pcs
B. BHP ANASTESI
1 PROANES 1 % 1amp
2 FENTANYL 2 Ml / INJ 1amp
3 ANESFAR 5 MG / INJ 1amp
4 TRAMADOL 100 MG / 2 ML / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 2buah
7 DISPOSIBLE SYRINGE / 5 CC 1buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 KETAMIN-HAMELN 50MG/ML INJ/ASKES 4cc
11 SOJOURN 50cc
12 ASAM TRANEKSAMAT 500 MG / 5 ML / INJ 1amp
13 EPHEDRINE HCL / 1 ML / INJ 1amp
14 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
15 IODINE POVIDON 10% SOL 50cc
16 NON STERIL GLOVE / size M 2buah
17 STERIL GLOVE size 7 / TROGE 1psg
 EKSISI KECIL DGN SPINAL

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 30 pcs
2 IODINE POVIDON 10% SOL 80 cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 40 cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
9 HYPAFIX / 10 CM X 5 M 20cm
10 T-VIO POLYGLYCOLIDE 3/0 76CM V4 1pcs
11 STERIL GLOVE size 6,5 / TROGE 2pcs
12 STERIL GLOVE size 7,5 / TROGE 1pcs
13 SURGICAL BLADE NO. 10 1pcs
14 DARYANTULLE 1pcs
15 URINE BAG 1pcs
16 FOLLEY CATHETER NO. 16 1pcs
17 SPUIT 10 CC 1 PCS
18 XYLOCAIN GEL 2CC
B. BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1buah
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 2kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 1amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2buah
15 STERIL GLOVE size 7 / TROGE 1psg
 EKSISI SEDANG DENGAN GA

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 30 pcs
2 IODINE POVIDON 10% SOL 70cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 50cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8pcs
6 NON STERIL GLOVE / size S 6pcs
7 USG JELLY CORONA 250 ML 10cc
8 DOCTOR CUP 3pcs
9 HYPAFIX / 10 CM X 5 M 20cm
10 CHROMIC PGUT 2/0 C 96 1pcs
11 T-VIO POLYGLYCOLIDE 3/0 76CM V4 1pcs
12 STERIL GLOVE size 6,5 / TROGE 2pcs
13 STERIL GLOVE size 7,5 / TROGE 1pcs
14 SURGICAL BLADE NO. 15 1pcs
15 PEHACAIN / 2 ML / INJ 1amp
16 DISPOSIBLE SYRINGE / 3 CC 1pcs
17 NEEDLE NO 27 - G 1pcs
18 DARYANTULLE 1pcs
B. BHP ANASTESI
1 PROANES 1 % 1amp
2 FENTANYL 2 Ml / INJ 1amp
3 ANESFAR 5 MG / INJ 1amp
4 TRAMADOL 100 MG / 2 ML / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 2buah
7 DISPOSIBLE SYRINGE / 5 CC 1buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 2kolf
10 KETAMIN-HAMELN 50MG/ML INJ/ASKES 4cc
11 SOJOURN 50cc
12 ASAM TRANEKSAMAT 500 MG / 5 ML / INJ 1amp
13 EPHEDRINE HCL / 1 ML / INJ 1amp
14 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
15 NON STERIL GLOVE / size M 2buah
16 STERIL GLOVE size 7 / TROGE 1psg
 HAEMOROID DENGAN SPINAL

NO JENIS KETERANGAN
A. BHP BEDAH
1 SURGICAL BLADE NO. 10 1buah
2 KASA 36X80 DWIPA GOLD 40lbr
3 IODINE POVIDON 10% SOL 100cc
4 ALKOHOL ANTISEPTIK 70% / 1 LTR 50cc
5 CROMIC 2/0 2pcs
6 DOCTOR CUP 4buah
7 FACE MASK / TIE ON / TALI 4buah
8 APPRON 3buah
9 STERIL GLOVE size 6,5 / TROGE 2psg
10 STERIL GLOVE size 7 / TROGE 1psg
11 STERIL GLOVE size 7,5 / TROGE 1psg
12 XYLOCAIN JEL 10X10 GRAM 2cc
13 HYPAFIX / 10 CM X 5 M 30cm
14 URINE BAG 1pcs
15 FOLLEY CATHETER NO. 16 1pcs
16 SPUIT 10 CC 1pcs
17 XYLOCAIN GEL 2cc
B. BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1buah
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 2amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2buah
15 STERIL GLOVE size 7 / TROGE 1psg
 HERNIA DENGAN SPINAL

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 30 lbr
2 IODINE POVIDON 10% SOL 100cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 30cc
4 T-VIO POLYGLYCOLIDE 0 V11 90CM 1buah
5 T-SILK 1 S 84 90 CM 1pcs
6 HERNIA MESH SQUARE 1buah
7 STERIL GLOVE size 6,5 / TROGE 2buah
8 STERIL GLOVE size 7,5 / TROGE 1buah
9 APPRON 3buah
10 FACE MASK / TIE ON / TALI 8buah
11 ADVANTIME 3/0 15D20F 1buah
12 CHROMIC PLAIN GUT 2/0 C07249 -2PTRCH249 1mtr
13 HYPAFIX / 10 CM X 5 M 15cm
14 SURGICAL BLADE NO. 10 1buah
15 DARYANTULLE 1buah
16 USG JELLY CORONA 250 ML 10cc
17 FOLLEY CATHETER / CH - 16 1buah
18 URINE BAG / TROGE 1buah
19 DISPOSIBLE SYRINGE / 10 CC 1buah
20 XYLOCAIN GEL 2cc
B. BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1buah
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 2amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2buah
15 STERIL GLOVE size 7 / TROGE 1psg
 KATARAK

NO JENIS BIAYA KETERANGAN

A. BHP BEDAH
1 OTSU RL 500 ML / ASKES 1kolf
2 GENTAMICIN 40 MG / Ml / INJ 1amp
3 DEXAMETHASONE 5 MG / INJ 1amp
4 INFUSION MAKRO 1buah
5 STARBLUE TRYPAN BLUE 1vial
6 CATAGEL / APHAVIS 1buah
7 EYE DRAPE PLAIN 1buah
8 CENDO FENICOL 3, 5 GR / EO 1buah
9 LIDOCAIN 2% INJ 1amp
11 DISPOSIBLE SYRINGE / 10 CC 2buah
12 DISPOSIBLE SYRINGE / 3 CC 3buah
13 DISPOSIBLE SYRINGE / 5 CC 1buah
14 L F X 0,6 ML MDS@5 1buah
15 CERATOME JE-1 1buah
16 CREASEN JE-2 1buah
17 FOCUS STAB KNIFE JC-15 1buah
18 EPINEPHRINE 0.1% / INJ 1amp
19 NYLON 10-0 1buah
20 IODINE POVIDON 10% SOL 30cc
21 ALKOHOL ANTISEPTIK 70% / 1 LTR 25cc
23 KASA 36X80 DWIPA GOLD 20 lbr
24 APPRON 4buah
25 FACE MASK / TIE ON / TALI 4buah
26 DOCTOR CUP 2buah
27 STERIL GLOVE size 6,5 / TROGE 2buah
29 STARCHOL CHARBACHOL 1buah
30 SILK 4/0 TP 1buah
31 LENSA MATA (KONFIRM UK.LENSA) 1buah
32 PLESTER PUTIH / 1 X 10 20cm
33 CENDO MYDRIATIL 1% / MDS 1 mds
34 CENDO PANTOCAIN 2% / 5 ML / ED 3tts
 LAPARATOMY DGN SPINAL

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 40lbr
2 IODINE POVIDON 10% SOL 100cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 70cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8pcs
6 NON STERIL GLOVE / size S 4pcs
7 NON STERIL GLOVE / size M 4pcs
8 USG JELLY CORONA 250 ML 10cc
9 DOCTOR CUP 3pcs
10 CHROMIC 2 HR 48 2pcs
11 CHROMIC PGUT 2/0 C 96 2 pcs
12 ADVANTIME 3/0 15D20F 1buah
13 HYPAFIX / 10 CM X 5 M 30cm
14 DEXAMETHASONE 5 MG / INJ 1amp
15 OXYTOCIN 10 UI / INJ 1amp
16 STERIL GLOVE size 6,5 / TROGE 2pcs
17 STERIL GLOVE size 7,5 / TROGE 1pcs
18 SURGICAL BLADE NO. 10 1pcs
19 DISPOSIBLE SYRINGE / 3 CC 1pcs
20 CURASPON / SPONGOSTAN 1pcs
21 OTSU NS / 500 ML 3flabot
22 DARYANTULLE 1pcs
23 URINE BAG 1pcs
24 FOLLEY CATH. NO. 16 1pcs
25 SPUIT 10 CC 1pc
26 XYLOCAIN GEL 2cc
B. BHP ANASTESI
1 BUNASCAN SPINAL 0,5 %/ INJ 1amp
2 SPINOCAN G - 25 1buah
3 HANDSAPLAST 1buah
4 ANESFAR 5 MG / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 1buah
7 DISPOSIBLE SYRINGE / 5 CC 2buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 OTSU WATER INJ / 25 ML 1flas
11 EPHEDRINE HCL / 1 ML / INJ 2amp
12 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
13 IODINE POVIDON 10% SOL 50cc
14 NON STERIL GLOVE / size M 2buah
15 STERIL GLOVE size 7 / TROGE 1psg
 LAPARATOMY OBGYN DGN GA

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 36X80 DWIPA GOLD 40lbr
2 IODINE POVIDON 10% SOL 100cc
3 ALKOHOL ANTISEPTIK 70% / 1 LTR 70cc
4 APPRON 3pcs
5 FACE MASK / TIE ON / TALI 8pcs
6 NON STERIL GLOVE / size S 4pcs
7 NON STERIL GLOVE / size M 4pcs
8 USG JELLY CORONA 250 ML 10cc
9 DOCTOR CUP 3pcs
10 CHROMIC 2 HR 48 2pcs
11 CHROMIC PGUT 2/0 C 96 2 pcs
12 ADVANTIME 3/0 15D20F 1buah
13 HYPAFIX / 10 CM X 5 M 30cm
14 DEXAMETHASONE 5 MG / INJ 1amp
15 OXYTOCIN 10 UI / INJ 1amp
16 STERIL GLOVE size 6,5 / TROGE 2pcs
17 STERIL GLOVE size 7,5 / TROGE 1pcs
18 SURGICAL BLADE NO. 10 1pcs
19 DISPOSIBLE SYRINGE / 3 CC 1pcs
20 CURASPON / SPONGOSTAN 1pcs
21 OTSU NS / 500 ML 2flabot
22 DARYANTULLE 1pcs
B. BHP ANASTESI
1 PROANES 1 % 1amp
2 FENTANYL 2 Ml / INJ 1amp
3 ANESFAR 5 MG / INJ 1amp
4 TRAMADOL 100 MG / 2 ML / INJ 1amp
5 KETOROLAC 30 MG / INJ 1amp
6 DISPOSIBLE SYRINGE / 10 CC 2buah
7 DISPOSIBLE SYRINGE / 5 CC 1buah
8 DISPOSIBLE SYRINGE / 3 CC 2buah
9 OTSU RL 500 ML / ASKES 3kolf
10 KETAMIN-HAMELN 50MG/ML INJ/ASKES 4cc
11 SOJOURN 50cc
12 ASAM TRANEKSAMAT 500 MG / 5 ML / INJ 1amp
13 EPHEDRINE HCL / 1 ML / INJ 1amp
14 ALKOHOL ANTISEPTIK 70% / 1 LTR 10cc
15 IODINE POVIDON 10% SOL 50cc
16 NON STERIL GLOVE / size M 2buah
17 STERIL GLOVE size 7 / TROGE 1psg
 TINDAKAN SC

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASSA STERIL 40 lembar
2 POVIDON IODINE 150 cc
3 ALKOHOL 70%, 100 cc
4 APRON , 3 buah
5 FACE MASK TALI 8 buah
6 NACL 500 ML, 1 kolf
7 DARYANTULE, 1 lembar
8 HYPAFIX 10X5 , 30 cm
9 SURGICALBLADE NO 10 1 buah
10 CROMIC 2 HR 48, 1 sachet
11 CROMIC 2 ROLL, 1 meter
12 CROMIC 2/0 ROLL, 2 meter
13 ADVANTIME 3/0 15D 20F, 1 buah
14 DISPOSIBLE SYIRING 3CC, 1 buah
15 DEXAMETHASON INJ, 1 ampul
16 OXYTOSIN INJ, 1 ampul
17 STERIL GLOVE TROGE NO 6,5, 2 pasang
18 STERIL GLOVE TROGE NO 7,5, 1 pasang
19 NON STERIL GLOVE, 10 buah
20 USG JELLY, 5cc
B. ALKES ANASTESI DENGAN SPINAL
1 SPINOCAN 1 AMP
2 BETADIN PLESTER 1 BUAH
3 BUNASCAN INJ 1 AMP
4 ASAM TRANEXAMAT 500MG INJ 2 AMP
5 EPHEDRIN HCL INJ 1 AMP
6 OTSU WFI 25 ML 1 KOLF
7 DISPOSIBLE SYRINGE 10CC 2 BUAH
8 DISPOSIBLE SYRINGE 5CC 2 BUAH
9 STERIL GLOVE NO 7 1 BUAH
10 PROTOFEN R. SUPP 1 BUAH
11 OXYTOSIN INJ 3 AMP
12 METILERGOMETRIN INJ 1 BUAH
13 TRAMADOL 100 MG/2ML INJ , 1 AMP
14 KETOROLAC 30 MG/ ML INJ 1 AMP
15 ANESFAR 5MG/5ML/INJ 1 AMP
16 RL 500 ML, 3 KOLF
 PTERIGIUM

NO JENIS KETERANGAN
A. BHP BEDAH
1 KASA 10
2 STAB KNIFE 1
3 SAFIL 8/0 1
4 RL 1
5 GENTAMYCIN 1
6 TROGE 6 1
7 TROGE 6,5 1
8 TROGE 7,5 1
9 SPUIT 1 CC 1
10 SPUIT 5 CC 1
11 SPUIT 10 CC 1
12 OXYTETRACYCLIN SALEP 1
13 PLESTER PUTIH 1/2” 20 CM
14 BETADINE 30 CC
15 ALKOHOL 70% 20 CC
DAFTAR STOK EMERGENCY

Tensocrepe 3” =1
Tensocrepe 4” =1
Glove s =1
Hypafix =1
Usg jelly =1
Alkohol 96% =1
Alkohol 70% =1
Iodin Povidone =1
Pd scrub =1
Alkacyde =1
Sojourn =1
Terrel =1
Spinocan 25 =2
Asam traneksamat =2
Oxytocin =3
Methyl ergometrin =3
Ephedrin =1
Gelafusal =1
Chromic 2 c99 =2
Silk 2/0 =2
Optime 3/0 =2
Threeway stopcock =1
ETT no. 3.5 =1
ETT no. 4.0 =1
ETT no. 4.5 =1
ETT no. 5.0 =1
ETT no. 5.5 =1
ETT no. 6.0 =1
ETT no. 6.5 =1
ETT no. 7.0 =1
ETT no. 7.5 =1
Suction no. 6 =1
Suction no. 8 =1
Suction no. 10 =1
Suction no. 12 =1
Suction no. 16 =1
Feeding tube =1
Extension tube =1
Gudel no. 0 =1
Gudel no. 1 =1
Gudel no. 2 =1
Gudel no. 3 =1
Gudel no. 4 =1
Non-rebreathing mask = 1
Ca gluconas =1
Ephinephrin =2
Prostigmin =1
Aminophilin =1
Primperan =1
Protopen supp =3
Tramadol =1
Folley cath. No. 8 =1
Folley cath. No. 10 = 1
Folley cath. No. 12 = 1
Folley cath. No. 14 = 1
Folley cath. No. 16 = 1
Folley cath. No. 18 = 1
Folley cath. No. 20 = 1
Folley cath. No. 24 = 1
Folley cath. No. 24 threeway = 1
NGT no. 12 =1
NGT no. 14 =1
NGT no. 16 =1
NGT no. 18 =1
Urine bag =1
Atropin sulfas =3