INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA

DAFTAR STOK DEPO IGD

No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ABOCATH 16 ALKES PCS 2 12/25 2
2 ABOCATH 18 TERUMO ALKES PCS 8 08/24 8
3 ABOCATH 20 ALKES PCS 8 02/24 8
4 ABOCATH 22 TERUMO ALKES PCS 7 02/26 6
5 ABOCATH 24 TERUMO ALKES PCS 10 03/24 10
6 AESCULAP NO. 15 ALKES PCS 2 05/26 1
7 CUTICELL CLASSIC 10CMX10CM ALKES PCS 2 04/24 2
8 CHROMIC 3/0 HR-27 TAPER ALKES PCS 2 05/26 2
9 CATGUT PLAIN 2/0-223 TAPER ALKES PCS 2 06/26 2
10 FOLLEY CHATETER NO. 6 ROYAL ALKES PCS 1 09/25 1
11 FOLLEY CATHETER 2 WAY NO 12 BARDIA ALKES PCS 1 10/21 Tarik EXPIRED

12 FOLLEY CATHETER 2 WAY NO 14 ROYAL ALKES PCS 1 09/25 1

13 FOLLEY CHATETER 2 WAY NO. 18 RUSCH ALKES PCS 3 03/23 3
14 INFUS SET ADULT ALKES PCS 20 11/25 20
15 INFUS SET PEDIATRIC ALKES PCS 10 02/25 10
16 MAAGSLANG 5 FR ALKES SET 1 05/23 1
17 MAAGSLANG 8 FR ALKES SET 2 01/24 2
18 MAAGSLANG 14 FR (125 CM) ALKES PCS 1 12/21 1
19 MAAGSLANG 16 FR (125 CM) ALKES SET 2 03/24 2
20 MAAGSLANG 18 FR (125 CM) ALKES SET 2 09/22 2
21 MASKER OKSIGEN ADULT ALKES PCS 2 01/22 2
22 MICROMIST ADULT ALKES PCS 2 06/26 2
23 MICROMIST CHILD ALKES PCS 1 03/24 1
24 SLANG OKSIGEN ANAK ALKES PCS 3 10/25 3
25 SLANG OKSIGEN DEWASA ALKES PCS 6 07/26 6
26 SPUIT 1 CC 100IU ALKES PCS 2 05/24 2
27 SPUIT 3 CC ALKES PCS 25 12/24 25
28 SPUIT 5 CC ALKES PCS 20 08/26 20
29 SPUIT 10 CC ALKES PCS 15 08/26 15
30 SPUIT 20 CC ALKES PCS 3 08/24 3
31 SPUIT 60 CC CHATETER TIP BD ALKES PCS 3 10/23 3
32 SUCTION CHATETER NO.8 ALKES PCS 1 08/22 1
33 SUCTION CHATETER NO.12 ALKES PCS 1 02/23 1
34 SUCTION CHATETER NO.14 ALKES PCS 1 06/23 1
35 SURGICAL GLOVE STERIL 7 ALKES PCS 3 08/26 3
36 SURGICAL GLOVE STERIL 7,5 ALKES PCS 3 08/26 3
37 TROGE 8 ALKES PCS 2 -
38 TRIWAY ALKES SET 10 05/26 10
39 URINE BAG NON STERIL ALKES PCS 4 09/25 4
40 VERBAND YD 2 X 10 CM BIASA ALKES ROLL 3 - 3
41 VERBAND YD 2 X 5 CM BIASA ALKES ROLL 3 - 3
42 ASAM TRANEXAMAT INJ 500MG OBAT AMP 5 09/22 5
43 BIOSAT 1500 IU OBAT AMP 5 02/23 5
44 CAIRAN 2:1 OBAT FLS 1 04/23 1
45 CAIRAN 4:1 OBAT FLS 1 04/23 1
46 COMBIVENT NEBULES UDV OBAT FLS 2 06/22 2
47 DEXAMETHASON 5 MG/ML INJ OBAT AMP 5 10/24 5
48 DEXTROSE 5% 500 ML OBAT FLS 3 07/23 3
49 DEXTROSE 10% OBAT FLS 1 07/23 1
50 EPHEDRINE HCL OBAT AMP 2 04/22 2
51 FLIXOTIDE NEBULES 0,5 MG OBAT FLS 2 02/23 2
52 FUROSEMID INJ 20 ML OBAT AMP 5 02/22 5
53 GENTAMYCIN 0.1% X 5G OBAT TUBE 1 08/24 1
54 KAEN 3 B 500 ML OBAT FLS 2 04/22 2
55 KETOROLAC 10 MG INJ OBAT AMP 3 10/22 21
56 KETOROLAC 30mg inj OBAT AMP 5 -
57 LIDOCAIN 2% 40MG/2ML OBAT AMP 8 07/22 8
58 NACL 0,9% 500 ML OBAT FLS 12 08/23 12
59 NORAGES INJ 2ML OBAT AMP 8 02/22 8
60 ONDANSENTRON INJ 4MG OBAT AMP 8 09/23 8
61 RANITIDINE INJ 25MG/ML OBAT AMP 8 07/23 8
62 RINGER LACTAT 500 ML OBAT FLS 12 07/25 12
63 RINGER SOLUTION 500 ML OBAT FLS 1 02/24 1
64 SULFADIAZINE SILVER OBAT TUBE 1 09/24 1
65 VENTOLIN NEBULES 2.5 MG OBAT FLS 2 04/24 2

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Tiur R Pangaribuan

Kasie Farmasi Karu IGD
Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur
PIRED
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO IGD COVID
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ABOCATH 18 TERUMO ALKES PCS 3 08/24 3
2 ABOCATH 20 ALKES PCS 5 06/24 5
3 ABOCATH 22 ALKES PCS 5 04/22 5
4 ABOCATH 24 TERUMO ALKES PCS 4 03/24 4
5 FOLLEY CHATETER 2 WAY NO. 12 BARDIA ALKES PCS 1 10/21 Tarik EXPIRED

6 FOLLEY CATHETER 2 WAY NO. 14 BARDIA ALKES PCS 1 09/25 1

7 FOLLEY CATHETER 2 WAY NO. 16 ROYAL ALKES PCS 3 12/23 3
8 FOLLEY CHATETER 2 WAY NO. 18 RUSCH ALKES PCS 3 07/24 3
9 MAAGSLANG 14 FR (125 CM) ALKES PCS 2 12/21 2
10 MAAGSLANG 18 FR (125 CM) ALKES SET 2 09/22 2
11 MASKER OKSIGEN DEWASA ALKES PCS 3 01/22 3
12 MASKER OKSIGEN NON REBREATHING CIRCUIT ALKES PCS 2 05/26 2
13 MICROMIST ADULT ALKES PCS 2 03/25 2
14 MICROMIST CHILD ALKES PCS 1 04/24 1
15 SLANG OKSIGEN ADULT ALKES PCS 4 01/22 4
16 SPUIT 1 CC 100IU ALKES PCS 2 06/23 2
17 SPUIT 3 CC ALKES PCS 15 12/24 15
18 SPUIT 5 CC ALKES PCS 10 08/23 10
19 SPUIT 10 CC ALKES PCS 5 08/26 5
20 SPUIT 20 CC ALKES PCS 2 08/24 2
21 SPUIT 60 CC ALKES PCS 2 10/23 2
22 SUCTION CHATETER NO.8 ALKES PCS 1 02/22 1
23 SUCTION CHATETER NO.12 ALKES PCS 1 02/23 1
24 SUCTION CHATETER NO.14 ALKES PCS 1 04/23 1
25 TRIWAY ALKES SET 5 01/26 5
26 TROGE 8 ALKES PCS 2 06/25 2
27 URINE BAG NON STERIL ALKES PCS 2 09/25 2
28 VERBAND 2 YD X 10 CM BIASA ALKES ROLL 3 - 3
29 VERBAND 2 YD X 5 CM BIASA ALKES ROLL 3 - 3
30 ASAM TRANEXAMAT INJ 500MG OBAT AMP 2 09/22 2
31 CAIRAN 2:1 OBAT FLS 1 04/23 1
32 CAIRAN 4:1 OBAT FLS 1 04/23 1
33 GENTAMYCIN 0.1% X 5G OBAT TUBE 1 10/24 1
34 KETOROLAC 30mg inj OBAT AMP 3 04/23 3
35 NACL 0,9% 500 ML OBAT FLS 2 08/23 2
36 NORAGES INJ 2ML OBAT AMP 3 12/23 3
37 RANITIDINE INJ 25MG/ML OBAT AMP 3 06/23 3
38 RINGER LACTAT 500 ML OBAT FLS 6 08/23 6

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Tiur R Pangaribuan

Kasie Farmasi Karu IGD Covid

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO OK
Oktober 2021
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ABOCATH 14 TERUMO ALKES SET 2
2 ABOCATH 16 TERUMO ALKES SET 3
ABOCATH 18 ALKES SET 5
3 ABOCATH 20 ALKES PCS 5
4 ABOCATH 22 ALKES PCS 5
5 ABOCATH 24 TERUMO ALKES PCS 2
6 AESCULAP 11 ALKES PCS 10
AESCULAP 21 ALKES PCS 10
7 APRON ALKES PCS 10
8 BONWAX ALKES PCS 2
9 COLOSTOMI BAG NO. 2 ALKES SET 1
10 ELEKTRODA ALKES PCS 10
11 ENDOTRACEHAL TUBE NO 4 KENDAL ALKES PCS 2
12 ENDOTRACEHAL TUBE NO 6,5 KENDAL ALKES PCS 2
13 ENDOTRACEHAL TUBE NO 7 KENDAL ALKES PCS 6
14 ENDOTRACEHAL TUBE NO 7,5 KENDAL ALKES PCS 6
15 ENDOTRACEHAL TUBE NO 8 KENDAL ALKES PCS 1
16 FOLLEY CATHETER 2 WAY NO. 12 RUSCH ALKES PCS 1
17 FOLLEY CATHETER NO. 6 ROYAL ALKES PCS 1
18 FOLLEY CATHETER NO. 8 BARDIA ALKES PCS 1
19 FOLLEY CHATETER 2 WAY NO 16 Bardia ALKES PCS 2
20 FOLLEY CHATETER 2 WAY NO 18 NORTA ALKES PCS 6
21 FOLLEY CHATETER 2 WAY NO. 14 ROYAL ALKES PCS 2
22 FOLLEY CHATETER NO 10 Royal ALKES PCS 2
23 INFUS SET ADULT ALKES SET 5
24 INFUS SET PEDIATRIC ALKES SET 2
25 LEUCOCREPE 10 ALKES PCS 1
26 LEUCOCREPE 7,5 ALKES PCS 1
27 MAAGSLANG 14 FR ALKES PCS 6
28 MAAGSLANG 16 FR ALKES PCS 6
29 MAAGSLANG 18 FR (125 CM) ALKES SET 6
30 MANITOL 20% 500 CC ALKES FLS 2
31 SOFTBAN 10 CM ALKES PCS 6
32 SOFTBAN 15 CM ALKES PCS 6
33 SOFTBAN 7,5 CM ALKES PCS 6
34 SPINOCAN 27 ALKES PCS 6
35 SPUIT 1 CC 100IU ALKES PCS 10
36 SPUIT 20 CC ALKES PCS 2
37 SPUIT 3 CC ALKES PCS 20
38 SPUIT 5 CC ALKES PCS 30
39 SPUIT 50 CC CATHETER TIP BD ALKES PCS 1
40 SPUIT 60 CC CATHETER TIP BD ALKES PCS 6
41 SUCTION CHATETER NO.12 ALKES PCS 4
42 SUCTION CHATETER NO.14 ALKES PCS 4
43 SUCTION CHATETER NO.8 ALKES PCS 1
44 SURGICAL GLOVE 6,5 ALKES PCS 20
45 SURGICAL GLOVE 7 ALKES PCS 20
46 SURGICAL GLOVE 7,5 ALKES PCS 20
47 SURGICAL GLOVE 8 ALKES PCS 10
48 TRANFUSI SET TERUMO ALKES SET 4
49 TRIWAY ALKES SET 4
50 URINE BAG NON STERIL ALKES PCS 6
51 VERBAND 2 YD X 10 CM BIASA ALKES ROLL 2
52 VERBAND 2 YD X 5 CM BIASA ALKES ROLL 2
53 ASAM TRANEXAMAT INJ 500MG OBAT AMP 6
54 DEXAMETHASON 5 MG/ ML INJ OBAT AMP 6
55 FRESOFOL 20 ML OBAT AMP 3
56 FUROSEMID INJ OBAT AMP 4
57 GENTAMYCIN INJ 40MG/2ML OBAT AMP 6
58 KETOROLAC 30mg inj OBAT AMP 6
59 LIDOCAIN 2% 40MG/2ML OBAT AMP 10
60 METRONIDAZOLE INF 500MG FRESENIUS OBAT BTL 1
61 NACL 0,9% 500 ML OBAT FLS 2
62 NORAGES INJ 2ML OBAT AMP 2
63 ONDANSETRON INJ 4 MG OBAT AMP 2
64 PEHACAIN INJ 2 ML OBAT AMP 2
65 PROSTIGMIN OBAT AMP 10
66 RANITIDINE INJ 25MG/ML OBAT AMP 6
67 VITAMIN K OBAT AMP 1

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Eva Simanjuntak

Kasie Farmasi Karu OK

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO ICU COVID
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ELEKTRODA ALKES PCS 10
2 ABOCATH 18 TERUMO ALKES PCS 1
3 ABOCATH 20 ALKES PCS 3
4 ABOCATH 22 ALKES PCS 1
5 ABOCATH 24 ALKES PCS 1
6 FOLLEY CHATETER 2 WAY NO. 14 ALKES PCS 1
7 FOLLEY CHATETER 2 WAY NO. 16 ALKES PCS 1
8 FOLLEY CHATETER 2 WAY NO. 18 RUSCH ALKES PCS 1
9 INFUS SET ADULT ALKES SET 3
10 INFUS SET PEDIATRIC ALKES SET 1
11 MAAGSLANG 18 FR (125 CM) ALKES SET 1
12 MASKER OKSIGEN ANAK ALKES PCS 1
13 MASKER OKSIGEN DEWASA ALKES PCS 1
14 MASKER OKSIGEN NON REBREATHING CIRCUIT ALKES PCS 2
15 MICROMIST ADULT ALKES PCS 2
16 SPUIT 10 CC ALKES PCS 2
17 SPUIT 20 CC ALKES PCS 1
18 SPUIT 3 CC ALKES PCS 3
19 SPUIT 5 CC ALKES PCS 2
20 SPUIT 50 CC CHATETER TIP ALKES PCS 1
21 SUCTION CHATETER NO.10 ALKES PCS 1
22 SUCTION CHATETER NO.12 ALKES PCS 1
23 TRIWAY ALKES PCS 2
24 URINE BAG NON STERIL ALKES PCS 1
25 DEXTROSE 40% 25 ML OBAT FLS 2
26 NACL 0,9% 500 ML OBAT FLS 2
27 RINGER LACTAT 500 ML OBAT FLS 3

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Syafrida

Kasie Farmasi Karu ICU Covid

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes
Kabid Pelayanan Medis & Penunjang Medis Direktur
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO ICU
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ABOCATH 20 ALKES PCS 3
2 ABOCATH 18 TERUMO ALKES SET 2
3 ABOCATH 22 ALKES PCS 3
4 ABOCATH 24 TERUMO ALKES PCS 3
5 ELEKTRODA ALKES PCS 10
6 FOLLEY CATHETER 2 WAY NO. 12 RUSCH ALKES PCS 1
7 FOLLEY CATHETER NO. 10 BARDIA ALKES PCS 1
8 FOLLEY CATHETER NO. 8 BARDIA ALKES PCS 1
9 FOLLEY CHATETER 2 WAY NO. 16 ALKES PCS 1
10 FOLLEY CHATETER 2 WAY NO. 18 RUSCH ALKES PCS 1
11 GUEDEL AIRWAY NO. 2 ALKES PCS 1
12 GUEDEL AIRWAY NO. 3 ALKES PCS 1
13 GUEDEL AIRWAY NO.4 (100mm) ALKES PCS 1
14 GUEDEL NO. 1 (70mm) ALKES PCS 1
15 INFUS SET ADULT ALKES SET 3
16 INFUS SET PEDIATRIC ALKES SET 2
17 MAAGSLANG 18 FR (125 CM) ALKES SET 1
18 MAAGSLANG 6 FR ALKES SET 1
19 MAAGSLANG 16 FR ALKES SET 1
20 MAAGSLANG 8 FR ALKES SET 1
21 MASKER OKSIGEN ADULT ALKES PCS 2
22 MASKER OKSIGEN NON REBREATING CIRCUIT ALKES PCS 1
23 MICROMIST ADULT ALKES PCS 1
24 SLANG OKSIGEN DEWASA ALKES PCS 2
25 SLANG OKSIGEN ANAK ALKES PCS 2
26 SPUIT 20 CC ALKES PCS 2
27 SPUIT 10 CC ALKES PCS 3
28 SPUIT 3 CC ALKES PCS 5
29 SPUIT 5 CC ALKES PCS 3
30 SPUIT 50 CC LUERLOCK ALKES PCS 2
31 SUCTION CHATETER NO.10 ALKES PCS 2
32 SUCTION CHATETER NO.12 ALKES PCS 2
33 SUCTION CHATETER NO.14 ALKES PCS 1
34 SUCTION CHATETER NO.8 ALKES PCS 1
35 TRIWAY ALKES SET 3
36 TROGE 7 ALKES PCS 2
37 TROGE 7.5 ALKES PCS 2
38 TROGE 8 ALKES PCS 2
39 URINE BAG NON STERIL ALKES PCS 2
40 VERBAND 2 YD X 10 CM BIASA ALKES ROLL 1
41 VERBAND 2 YD X 5 CM BIASA ALKES ROLL 1
42 CLOPIDOGREL OBAT TAB 4
43 DEXAMETHASONE 5 MG/ML INJ OBAT AMP 3
44 DEXTROSE 40% 25 ML OBAT FLS 3
45 DEXTROSE 5% 500 ML OBAT FLS 1
46 DEXTROSE 10% 500 ML OBAT FLS 1
47 DOBUTAMIN OBAT AMP 2
48 FUROSEMID INJ 20 ML OBAT AMP 3
49 LIDOCAIN 2% 40MG/2ML OBAT AMP 4
50 NACL 0,9% 500 ML OBAT FLS 3
51 NICARDIPINE INJ 10 ML OBAT AMP 1
52 NORAGES INJ 2ML OBAT AMP 2
53 NOREPINEPHRINE OBAT AMP 2
54 ONDANSETRON INJ 4 ML OBAT AMP 3
55 RINGER LACTAT 500 ML OBAT FLS 3

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Kasminda Saragih

Kasie Farmasi Karu ICU

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO 5A
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan

1 ABOCATH 20 ALKES PCS 3

2 ABOCATH 18 TERUMO ALKES PCS 2
3 ABOCATH 22 ALKES PCS 3
4 ABOCATH 24 TERUMO ALKES PCS 3
5 FOLLEY CATHETER 2 WAY NO. 14 ROYAL ALKES PCS 1
7 FOLLEY CHATETER 2 WAY NO 18 NORTA ALKES PCS 1
8 INFUS SET ADULT ALKES SET 2
9 INFUS SET PEDIATRIC ALKES SET 1
10 MAAGSLANG 14 FR (125 CM) ALKES SET 1
11 MAAGSLANG 18 FR (125 CM) ALKES SET 1
12 MAAGSLANG 16 FR (125 CM) ALKES SET 1
13 MASKER OKSIGEN ADULT ALKES PCS 2
14 MICROMIST ADULT ALKES PCS 1
15 SLANG OKSIGEN DEWASA ALKES PCS 2
16 SPUIT 20 CC ALKES PCS 1
17 SPUIT 3 CC ALKES PCS 3
18 SPUIT 5 CC ALKES PCS 2
19 SPUIT 10 CC ALKES PCS 2
20 SPUIT 60 CC CATHETER TIP BD ALKES PCS 1
21 SURGICAL GLOVE STERIL 7 ALKES PCS 2
22 TRIWAY ALKES SET 2
23 URINE BAG NON STERIL ALKES PCS 1
24 DEXTROSE 40% 25 ML ALKES FLS 2
25 DEXTROSE 5% 500 ML ALKES FLS 1
26 FLIXOTIDE NEBULES 0.5 MG OBAT AMP 2
27 NACL 0.9% 500 ML OBAT FLS 2
28 NORAGES INJ 2ML OBAT AMP 2
29 VENTOLIN NEBULES 0.5 MG OBAT FLS 2
30 RINGER LACTAT 500 ML OBAT FLS 2

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Yunita H Sihotang

Kasie Farmasi Karu 5A

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur
 INSTALASI FARMASI RUMAH SAKIT MARTHA FRISKA
DAFTAR STOK DEPO 6A
No Nama Obat /Alkes JENIS Satuan Jumlah Expire Date Keterangan
1 ABOCATH 20 ALKES PCS 4
2 ABOCATH 18 TERUMO ALKES PCS 2
3 ABOCATH 22 ALKES PCS 4
4 ABOCATH 24 TERUMO ALKES PCS 3
5 FOLLEY CHATETER 2 WAY NO 16 ALKES PCS 1
6 FOLLEY CHATETER 2 WAY NO 18 NORTA ALKES PCS 1
7 FOLLEY CHATETER 2 WAY NO. 14 ROYAL ALKES PCS 1
8 INFUS SET ADULT ALKES SET 2
9 INFUS SET PEDIATRIC ALKES SET 1
10 MAAGSLANG 14 FR (125 CM) ALKES PCS 1
11 MAAGSLANG 18 FR (125 CM) ALKES SET 1
12 MASKER OKSIGEN ADULT ALKES PCS 2
13 MICROMIST ADULT ALKES PCS 1
14 NGT 16 ALKES PCS 1
15 SLANG OKSIGEN ADULT ALKES PCS 2
16 SPUIT 10 CC ALKES PCS 2
17 SPUIT 20 CC ALKES PCS 1
18 SPUIT 3 CC ALKES PCS 3
19 SPUIT 5 CC ALKES PCS 2
20 SPUIT 50 CC LUERLOCK ALKES PCS 1
21 TRIWAY ALKES PCS 2
22 TROGE 7 ALKES PCS 2
23 URINE BAG NON STERIL ALKES PCS 1
24 DEXAMETHASONE INJ OBAT AMP 2
25 DEXTROSE 40% 25 ML OBAT FLS 2
26 DEXTROSE 5% OBAT FLS 1
27 FLIXOTIDE NEBULES 0,5 MG OBAT AMP 1
28 NACL 0.9% 500 ML OBAT FLS 2
29 VENTOLIN NEBULES 2,5 MG OBAT FLS 1
30 RINGER LACTAT 500 ML OBAT FLS 2

Diserahkan Oleh, Diterima Oleh,

Lusiana Sijabat Syafrida

Farmasi Karu 6A

Diketahui Oleh, Diketahui Oleh,

dr. Arih Ginting, M.Kes dr. Adrian Martin Hutauruk, M.Kes

Kabid Pelayanan Medis & Penunjang Medis Direktur