DAFTAR BUFFER STOK OBAKHP DAFTAR BUFFER STOK OBAKHP

RUANG : IGD TRIASE RUANG : IGD RESUSITASI

NO OBAT / BAKHP JML NO OBAT / BAKHP JML
1 NACL INFUS 1 1 GUDEL NO 0 1
2 VENTOLIN NEBULIZER 3 2 GUDEL NO 0,5 1
3 ANTRAIN INJ 3 3 GUDEL NO 1 1
4 KETOROLAC INJ 3 4 ETT NO 3,5 1
5 DISP. SYRINGE NO 3 3 5 ETT NO 5 1
6 DISP. SYRINGE NO 5 3 6 ETT NO 6 1
7 DISP. SYRINGE NO 10 3 7 ETT NO 6,5 1
8 ETT NO 7 1
9 ETT NO 7,5 1
10 SUCTION CATHETER NO 8 1
11 SUCTION CATHETER NO 10 1
12 SUCTION CATHETER NO 12 1
13 NASAL CANULA BAYI 1
14 NASAL CANULA ANAK 1
15 NASAL CANULA DEWASA 1
16 INFUS SET DEWASA 3
17 INFUS SET ANAK 3
18 TRANFUSI SET 3
19 IV CATHETER NO 16 3
20 IV CATHETER NO 18 3
21 IV CATHETER NO 20 3
22 IV CATHETER NO 22 3
23 IV CATHETER NO 24 3
24 IV CATHETER NO 26 3
25 URINE BAG 3
26 NGT NO 3,5 1
27 NGT NO 5 1
28 NGT NO 6 1
29 NGT NO 8 1
30 NGT NO 10 1
31 NGT NO 12 1
32 NGT NO 14 1
33 NGT NO 16 1
34 DISP. SYRINGE NO 1 3
35 DISP. SYRINGE NO 3 3
36 DISP. SYRINGE NO 5 3
37 DISP. SYRINGE NO 10 3
38 DISP. SYRINGE NO 20 3
39 DISP. SYRINGE NO 50 3
40 FOLEY CATHETER NO 8 3
41 FOLEY CATHETER NO 10 3
42 FOLEY CATHETER NO 12 3
55 LIDOKAIN 2% 3 43 FOLEY CATHETER NO 14 3
56 DEXTROSE 40% 5 44 FOLEY CATHETER NO 16 3
57 AMINOPHYLLIN 3 45 FOLEY CATHETER NO 18 3
58 DOPAMIN 1 46 FOLEY CATHETER NO 20 3
59 DOBUTAMIN 1 48 RL 5
62 VENTOLIN 3 49 NACL 5
63 FUROSEMID 3 50 DEXTROSE 10% 5
64 DEXAMETHASON 5 51 DEXTROSE 5% 5
65 DIAZEPAM INJ 3 53 ADRENALIN 5
66 STESOLID RECTAL 3 54 ATROPIN SULFAT 10
 LEMBAR SERAH TERIMA
OBAT DAN BAKHP BUFFER STOK RUANG RAWAT
RUANG : INTALASI GAWAT DARURAT

RUANG : IGD TRIASE

NO OBAT / BAKHP JML
1 NACL INFUS 1
2 VENTOLIN NEBULIZER 3
3 ANTRAIN INJ 3
4 KETOROLAC INJ 3
5 DISP. SYRINGE NO 3 3
6 DISP. SYRINGE NO 5 3
7 DISP. SYRINGE NO 10 3

RUANG : IGD RESUSITASI

NO OBAT / BAKHP JML
1 GUDEL NO 0 1
2 GUDEL NO 0,5 1
3 GUDEL NO 1 1
4 ETT NO 3,5 1
5 ETT NO 5 1
6 ETT NO 6 1
7 ETT NO 6,5 1
8 ETT NO 7 1
9 ETT NO 7,5 1
10 SUCTION CATHETER NO 8 1
11 SUCTION CATHETER NO 10 1
12 SUCTION CATHETER NO 12 1
13 NASAL CANULA BAYI 1
14 NASAL CANULA ANAK 1
15 NASAL CANULA DEWASA 1
16 INFUS SET DEWASA 3
17 INFUS SET ANAK 3
18 TRANFUSI SET 3
19 IV CATHETER NO 16 3
20 IV CATHETER NO 18 3
21 IV CATHETER NO 20 3
22 IV CATHETER NO 22 3
23 IV CATHETER NO 24 3
24 IV CATHETER NO 26 3
25 URINE BAG 3
26 NGT NO 3,5 1
27 NGT NO 5 1
28 NGT NO 6 1
29 NGT NO 8 1
30 NGT NO 10 1
NO OBAT / BAKHP JML
31 NGT NO 12 1
32 NGT NO 14 1
33 NGT NO 16 1
34 DISP. SYRINGE NO 1 3
35 DISP. SYRINGE NO 3 3
36 DISP. SYRINGE NO 5 3
37 DISP. SYRINGE NO 10 3
38 DISP. SYRINGE NO 20 3
39 DISP. SYRINGE NO 50 3
40 FOLEY CATHETER NO 8 3
41 FOLEY CATHETER NO 10 3
42 FOLEY CATHETER NO 12 3
43 FOLEY CATHETER NO 14 3
44 FOLEY CATHETER NO 16 3
45 FOLEY CATHETER NO 18 3
46 FOLEY CATHETER NO 20 3
48 RL 5
49 NACL 5
50 DEXTROSE 10% 5
51 DEXTROSE 5% 5
53 ADRENALIN 5
54 ATROPIN SULFAT 10
55 LIDOKAIN 2% 3
56 DEXTROSE 40% 5
57 AMINOPHYLLIN 3
58 DOPAMIN 1
59 DOBUTAMIN 1
62 VENTOLIN 3
63 FUROSEMID 3
64 DEXAMETHASON 5
65 DIAZEPAM INJ 3
66 STESOLID RECTAL 3

RUANG : IGD BEDAH

NO OBAT / BAKHP JML
1 GUDEL NO 0 1
2 GUDEL NO 0,5 1
3 GUDEL NO 1 1
4 ETT NO 3,5 1
5 ETT NO 5 1
6 ETT NO 6 1
7 ETT NO 6,5 1
8 ETT NO 7 1
9 ETT NO 7,5 1
10 SUCTION CATHETER NO 8 1
11 SUCTION CATHETER NO 10 1
NO OBAT / BAKHP JML
12 SUCTION CATHETER NO 12 1
13 NECK COLLAR RIGID S 1
14 NECK COLLAR RIGID M 1
15 NECK COLLAR RIGID L 1
16 NASAL CANULA BAYI 1
17 NASAL CANULA ANAK 1
18 NASAL CANULA DEWASA 1
19 INFUS SET DEWASA 3
20 INFUS SET ANAK 3
21 TRANFUSI SET 3
22 IV CATHETER NO 16 3
23 IV CATHETER NO 18 3
24 IV CATHETER NO 20 3
25 IV CATHETER NO 22 3
26 IV CATHETER NO 24 3
27 IV CATHETER NO 26 3
28 URINE BAG 3
29 NGT NO 3,5 1
30 NGT NO 5 1
31 NGT NO 6 1
32 NGT NO 8 1
33 NGT NO 10 1
34 NGT NO 12 1
35 NGT NO 14 1
36 NGT NO 16 1
37 FOLEY CATHETER NO 8 3
38 FOLEY CATHETER NO 10 3
39 FOLEY CATHETER NO 12 3
40 FOLEY CATHETER NO 14 3
41 FOLEY CATHETER NO 16 3
42 FOLEY CATHETER NO 18 3
43 FOLEY CATHETER NO 20 3
44 ANTRAIN INJ 3
45 RANITIDIN INJ 3
46 KETOROLAC INJ 3
47 DEXAMETHASON INJ 3
48 MANITOL 3
49 RL 3
50 NACL 3
51 EPHINEPRIN INJ 3
52 ATROPIN SULFAT 3

RUANG : IGD MEDIK

NO OBAT / BAKHP JML
1 NASAL CANULA BAYI 3
2 NASAL CANULA ANAK 3
NO OBAT / BAKHP JML
3 NASAL CANULA DEWASA 3
4 SUNGKUP O2 ANAK 3
5 SUNGKUP O2 DEWASA 3
6 INFUS SET DEWASA 3
7 INFUS SET ANAK 3
8 TRANFUSI SET 3
9 IV CATHETER NO 16 3
10 IV CATHETER NO 18 3
11 IV CATHETER NO 20 3
12 IV CATHETER NO 22 3
13 IV CATHETER NO 24 3
14 IV CATHETER NO 26 3
15 URINE BAG 3
16 NGT NO 3,5 1
17 NGT NO 5 1
18 NGT NO 6 1
19 NGT NO 8 1
20 NGT NO 10 1
21 NGT NO 12 1
22 NGT NO 14 1
23 NGT NO 16 1
24 FOLEY CATHETER NO 8 3
25 FOLEY CATHETER NO 10 3
26 FOLEY CATHETER NO 12 3
27 FOLEY CATHETER NO 14 3
28 FOLEY CATHETER NO 16 3
29 FOLEY CATHETER NO 18 3
30 FOLEY CATHETER NO 20 3
31 RL 3
32 NACL 3
33 DEXTROSE 5 % 3
34 DEXTROSE 10 % 3
35 DEXTROSE 40 % 3
36 DEXTROSE 5 1/2 NS % 3
37 DEXTROSE 5 1/4 NS % 3
38 DIAZEPAM INJ 3
39 STESOLID RECTAL 2
40 ADRENALIN 3
41 ATROPIN SULFAT INJ 3
42 MGSO4 20% 3
43 DEXAMETHASONE INJ 3
44 AMINOPHILLIN INJ 3
45 VENTOLIN NEBULIZER 3
46 ANTRAIN INJ 3
47 RANITIDIN INJ 3
48 KETOROLAC INJ 3
 NO OBAT / BAKHP JML
49 GITAS INJ 3

Pelaihari, 20 Juni 2013

Petugas IFRS Ka. Ruang

___________________ ______________________
Nip. Nip.
 KARTU STOK BUFFER STOK
RUANG : BERLIAN (VIP)
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ADRENALIN INJ 3
2 AMINOPHILLIN INJ 2
3 ATROPIN SULFAT INJ 2
4 CA GLUKONAS INJ 2
5 DEXAMETASON INJ 5
6 DEXTROSE 40% 5
7 FUROSEMIDA INJ 3
8 STESOLID TUBE 2
9 DIAZAPAM INJ 2
10 DEXTROSE 5% 1
11 DEXTROSE 10% 1
12 NACL 1
13 RINGER LACTAT 1
14 DISP. SYRINGE 1 CC 3
15 DISP. SYRINGE 3 CC 3
16 DISP. SYRINGE 5 CC 3
17 DISP. SYRINGE 10 CC 3
18 DISP. SYRINGE 20 CC 3
19 IV CATEHTER NO 24 2
20 IV CATEHTER NO 22 2
21 IV CATEHTER NO 20 2
22 INFUSION SET DEWASA 1
23 INFUSION SET MICRO 1
24 GUDEL DEWASA NO. 4 1
25 VENTOLIN NEBULIZER 2
26 FOLEY CATHETER NO. 16 2
27 FOLEY CATHETER NO. 8 2
 IAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : ICU
NO OBAT / BAKHP JML PEMAKAIAN
TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
1 ADRENALIN 5
2 ATROPIN SULFAT 5
3 AMINOPHYLLIN 3
4 DEXAMETHASON 3
5 DOBUTAMIN 2
6 DOPAMIN 2
7 DEXTROSE 40% 3
8 MGS04 20% 3
9 MGS04 40% 3
10 FUROSEMIDA INJ 3
11 DIPHENHYDRAMIN INJ 3
12 CA GLUKONAS 3
13 DIAZEPAM INJ 3
14 STESOLID RECTAL 2
15 CATAPRES AMP 3
16 HERBESSER INJ 1
17 KETOROLOC 3
18 VENTOLIN NEBULIZER 3
19 ANTRAIN 3
20 INFUS SET DEWASA 1
21 INFUS SET ANAK 1
22 TRANFUSI SET 1
23 IV CATEHTER NO 18 2
24 IV CATEHTER NO 20 2
25 IV CATEHTER NO 22 2
26 IV CATEHTER NO 24 2
27 IV CATEHTER NO 26 2
28 GUDEL NO 3 1
29 FOLEY CATHETER NO 10 1
30 FOLEY CATHETER NO 12 2
31 FOLEY CATHETER NO 16 1
32 FOLEY CATHETER NO 18 1
33 NGT NO 3,5 1
NO OBAT / BAKHP JML PEMAKAIAN
TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
34 NGT NO 8 1
35 NGT NO 16 1
 MAKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 MAKAIAN
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : NILAM
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ADRENALIN INJ 5
2 AMINOFILIN INJ 5
3 ATROPIN SULFAT INJ 5
4 CA GLUKONAS 5
5 VENTOLIN NEBULIZER 5
6 DEXAMETHASON INJ 5
7 DEXTROSE 40% 5
8 FUROSEMID INJ 5
9 ANTRAIN 5
10 DOPAMIN 2
11 DOBUTAMIN 2
12 ASAM TRANEKSAMAT 3
13 DIAZEPAM INJ 3
14 DEXTROSE 5% 3
15 DEXTROSE 10% 3
 MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : PERINATOLOGI
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ADRENALIN INJ 2
2 AMINOPHILLIN INJ 2
3 INFUS KAEN MG 3 2
4 DEXTROSE 10% 2
5 DEXTROSE 40% 1
6 NACL 0,9% 2
7 RL 1
8 PHENITOIN INJ 2
9 WING NEDDLE NO 25 2
10 IV CATHETER NO 26 2
11 INFUS SET MICRO 2
12 DISP. SYRINGE 1 CC 2
13 DISP. SYRINGE 3 CC 2
14 DISP. SYRINGE 5 CC 2
15 DISP. SYRINGE 10 CC 2
16 DISP. SYRINGE 20 CC 2
17 NGT NO 5 2
18 NGT NO 8 2
 MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : MUTIARA
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ASERING 3
2 RL 3
3 DEXTROSE 10% 3
4 DEXTROSE 5% 3
5 METRONIDAZOL 3
6 NGT 3
7 URINE BAG 3
8 CA GLUKONAS 3
9 DEXAMETHASON 3
10 IV CATHETER NO 22 3
11 INFUS SET 3
12 TRANFUSI SET 3
13 ADRENALIN 3
14 AMINOPHILLIN 3
15 DISP. SYRRING 1 CC 3
16 DISP. SYRRING 3 CC 3
17 DISP. SYRRING 5 CC 3
18 DISP. SYRRING 10 CC 3
19 FOLLEY CATHETER NO. 1 3
20 FOLLEY CATHETER NO. 1 3
21 MGSO4 20% 3
22 MGSO4 40% 3
23 DEXTROSE 40% 3
24 LIDOKAIN INJ 3
 MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : SAFIR
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ADRENALIN 5
2 ATROPIN SULFAT 5
3 AMINOPHYLLIN 3
4 DEXAMETHASON 3
5 DOBUTAMIN 2
6 DOPAMIN 2
7 DEXTROSE 40% 3
8 MGS04 20% 3
9 MGS04 40% 3
10 FUROSEMIDA INJ 3
11 DIPHENHYDRAMIN INJ 3
12 CA GLUKONAS 3
13 DIAZEPAM INJ 3
14 STESOLID RECTAL 2
15 CATAPRES AMP 3
16 HERBESSER INJ 1
17 KETOROLOC 3
18 VENTOLIN NEBULIZER 3
19 ANTRAIN 3
20 INFUS SET DEWASA 1
21 INFUS SET ANAK 1
22 TRANFUSI SET 1
23 IV CATEHTER NO 18 2
24 IV CATEHTER NO 20 2
25 IV CATEHTER NO 22 2
26 IV CATEHTER NO 24 2
27 IV CATEHTER NO 26 2
28 GUDEL NO 3 1
29 FOLEY CATHETER NO 10 1
30 FOLEY CATHETER NO 12 2
31 FOLEY CATHETER NO 16 1
 PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

32 FOLEY CATHETER NO 18 1
33 NGT NO 3,5 1
34 NGT NO 8 1
35 NGT NO 16 1
 MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 MAKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : INTAN
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ADRENALIN INJ 3
2 AMINOPHILLIN INJ 3
3 ATROPIN SULFAT INJ 3
4 CA GLUKONAS INJ 3
5 CHLORPROMAZIN INJ 3
6 DEXAMETHASON INJ 3
7 FUROSEMIDA INJ 3
8 DIAZEPAM INJ 3
9 DIPHENHYDRAMIN INJ 3
10 DEXTROSE 40% 5
11 LIDOCAIN INJ 3
12 ASAM TRANEKSAMAT INJ 3
13 MEYLON 3
14 NACL 3
15 RL 3
16 D5 3
17 D10 2
18 IV CATEHTER NO 16 3
19 IV CATEHTER NO 18 3
20 IV CATEHTER NO 20 3
21 IV CATEHTER NO 22 3
22 IV CATEHTER NO 24 3
23 DISP. SYRINGE 1 CC 3
24 DISP. SYRINGE 3 CC 3
25 DISP. SYRINGE 5 CC 3
26 DISP. SYRINGE 10 CC 3
27 DISP. SYRINGE 20 CC 3
28 DISP. SYRINGE 50 CC 3
29 FOLEY CATHETER NO. 16 3
30 FOLEY CATHETER NO. 18 3
31 INFUS SET 3
 PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

32 TRANFUSI SET 3
33 NGT 14 3
34 NGT 16 2
35 NGT 18 2
36 ANTRAIN 3
 AKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 AKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : JAMRUD
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 ATROPIN SULFAT 8
2 DIAZEPAM 3
3 AMINOPHILLIN INJ 5
4 DIPHENHYDRAMIN 5
5 DEXAMETHASON 5
6 DOPAMIN 1
7 DOBUTAMIN 1
8 ANTRAIN 5
9 KETOROLAC INJ 5
10 EPINEPRIN INJ 5
11 FUROSEMID INJ 5
12 MEYLON 2
13 D 40% 5
14 VENTOLIN NEBULIZER 3
15 INFUS SET DEWASA 3
16 TRANFUSI SET 3
17 NGT NO. 18 3
18 WING NEEDLE NO 23 3
19 IV CATEHTER NO 20 3
20 IV CATEHTER NO 22 3
21 FOLEY CATHETER NO 16 3
22 DISP. SYRINGE 1 CC 3
23 DISP. SYRINGE 3 CC 3
24 DISP. SYRINGE 5 CC 3
25 DISP. SYRINGE 10 CC 3
26 DISP. SYRINGE 20 CC 3
27 DISP. SYRINGE 50 CC 3
28 CA GLUKONAS INJ 3
29 NACL 3
30 DEXTROSE 5 % 3
31 RINGER LACTAT 3
 AKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : OK (KAMAR OPERASI)
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 PREMILENE NO 7/ 0 3
2 WIDAHES 3
3 ETT NO 6,5 2
4 ETT NO 6,6 2
5 KALNEX INJ 4
 I)
MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : IGD TRIASE
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 NACL INFUS 1
2 VENTOLIN NEBULIZER 3
3 ANTRAIN INJ 3
4 KETOROLAC INJ 3
5 DISP. SYRINGE NO 3 3
6 DISP. SYRINGE NO 5 3
7 DISP. SYRINGE NO 10 3
 MAKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : IGD RESUSITASI
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 GUDEL NO 0 1
2 GUDEL NO 0,5 1
3 GUDEL NO 1 1
4 ETT NO 3,5 1
5 ETT NO 5 1
6 ETT NO 6 1
7 ETT NO 6,5 1
8 ETT NO 7 1
9 ETT NO 7,5 1
10 SUCTION CATHETER NO 8 1
11 SUCTION CATHETER NO 1 1
12 SUCTION CATHETER NO 1 1
13 NASAL CANULA BAYI 1
14 NASAL CANULA ANAK 1
15 NASAL CANULA DEWASA 1
16 INFUS SET DEWASA 3
17 INFUS SET ANAK 3
18 TRANFUSI SET 3
19 IV CATHETER NO 16 3
20 IV CATHETER NO 18 3
21 IV CATHETER NO 20 3
22 IV CATHETER NO 22 3
23 IV CATHETER NO 24 3
24 IV CATHETER NO 26 3
25 URINE BAG 3
26 NGT NO 3,5 1
27 NGT NO 5 1
28 NGT NO 6 1
29 NGT NO 8 1
30 NGT NO 10 1
31 NGT NO 12 1
 PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

32 NGT NO 14 1
33 NGT NO 16 1
34 DISP. SYRINGE NO 1 3
35 DISP. SYRINGE NO 3 3
36 DISP. SYRINGE NO 5 3
37 DISP. SYRINGE NO 10 3
38 DISP. SYRINGE NO 20 3
39 DISP. SYRINGE NO 50 3
40 FOLEY CATHETER NO 8 3
41 FOLEY CATHETER NO 10 3
42 FOLEY CATHETER NO 12 3
43 FOLEY CATHETER NO 14 3
44 FOLEY CATHETER NO 16 3
45 FOLEY CATHETER NO 18 3
46 FOLEY CATHETER NO 20 3
48 RL 5
49 NACL 5
50 DEXTROSE 10% 5
51 DEXTROSE 5% 5
53 ADRENALIN 5
54 ATROPIN SULFAT 10
55 LIDOKAIN 2% 3
56 DEXTROSE 40% 5
57 AMINOPHYLLIN 3
58 DOPAMIN 1
59 DOBUTAMIN 1
62 VENTOLIN 3
63 FUROSEMID 3
64 DEXAMETHASON 5
65 DIAZEPAM INJ 3
66 STESOLID RECTAL 3
 AKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 AKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : IGD MEDIK
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 NASAL CANULA BAYI 3

2 NASAL CANULA ANAK 3
3 NASAL CANULA DEWASA 3
4 SUNGKUP O2 ANAK 3
5 SUNGKUP O2 DEWASA 3
6 INFUS SET DEWASA 3
7 INFUS SET ANAK 3
8 TRANFUSI SET 3
9 IV CATHETER NO 16 3
10 IV CATHETER NO 18 3
11 IV CATHETER NO 20 3
12 IV CATHETER NO 22 3
13 IV CATHETER NO 24 3
14 IV CATHETER NO 26 3
15 URINE BAG 3
16 NGT NO 3,5 1
17 NGT NO 5 1
18 NGT NO 6 1
19 NGT NO 8 1
20 NGT NO 10 1
21 NGT NO 12 1
22 NGT NO 14 1
23 NGT NO 16 1
24 FOLEY CATHETER NO 8 3
25 FOLEY CATHETER NO 10 3
26 FOLEY CATHETER NO 12 3
27 FOLEY CATHETER NO 14 3
28 FOLEY CATHETER NO 16 3
29 FOLEY CATHETER NO 18 3
30 FOLEY CATHETER NO 20 3
31 RL 3
 PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

32 NACL 3
33 DEXTROSE 5 % 3
34 DEXTROSE 10 % 3
35 DEXTROSE 40 % 3
36 DEXTROSE 5 1/2 NS % 3
37 DEXTROSE 5 1/4 NS % 3
38 DIAZEPAM INJ 3
39 STESOLID RECTAL 2
40 ADRENALIN 3
41 ATROPIN SULFAT INJ 3
42 MGSO4 20% 3
43 DEXAMETHASONE INJ 3
44 AMINOPHILLIN INJ 3
45 VENTOLIN NEBULIZER 3
46 ANTRAIN INJ 3
47 RANITIDIN INJ 3
48 KETOROLAC INJ 3
49 GITAS INJ 3
 AKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 AKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 KARTU STOK BUFFER STOK
RUANG : IGD BEDAH
PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

1 GUDEL NO 0 1
2 GUDEL NO 0,5 1
3 GUDEL NO 1 1
4 ETT NO 3,5 1
5 ETT NO 5 1
6 ETT NO 6 1
7 ETT NO 6,5 1
8 ETT NO 7 1
9 ETT NO 7,5 1
10 SUCTION CATHETER NO 8 1
11 SUCTION CATHETER NO 1 1
12 SUCTION CATHETER NO 1 1
13 NECK COLLAR RIGID S 1
14 NECK COLLAR RIGID M 1
15 NECK COLLAR RIGID L 1
16 NASAL CANULA BAYI 1
17 NASAL CANULA ANAK 1
18 NASAL CANULA DEWASA 1
19 INFUS SET DEWASA 3
20 INFUS SET ANAK 3
21 TRANFUSI SET 3
22 IV CATHETER NO 16 3
23 IV CATHETER NO 18 3
24 IV CATHETER NO 20 3
25 IV CATHETER NO 22 3
26 IV CATHETER NO 24 3
27 IV CATHETER NO 26 3
28 URINE BAG 3
29 NGT NO 3,5 1
30 NGT NO 5 1
31 NGT NO 6 1
32 NGT NO 8 1
 PEMAKAIAN
JML TGL TGL TGL TGL TGL TGL TGL TGL

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF

PARAF
NO OBAT / BAKHP

33 NGT NO 10 1
34 NGT NO 12 1
35 NGT NO 14 1
36 NGT NO 16 1
37 FOLEY CATHETER NO 8 3
38 FOLEY CATHETER NO 10 3
39 FOLEY CATHETER NO 12 3
40 FOLEY CATHETER NO 14 3
41 FOLEY CATHETER NO 16 3
42 FOLEY CATHETER NO 18 3
43 FOLEY CATHETER NO 20 3
44 ANTRAIN INJ 3
45 RANITIDIN INJ 3
46 KETOROLAC INJ 3
47 DEXAMETHASON INJ 3
48 MANITOL 3
49 RL 3
50 NACL 3
51 EPHINEPRIN INJ 3
52 ATROPIN SULFAT 3
 AKAIAN
TGL
PARAF

TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
 AKAIAN
TGL
PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF
TGL

PARAF