DAFTAR CEKLIS BARANG MEDIS HABIS PAKAI DIRUANGAN PONEK

BULAN MARET 2017

NO NAMA BARANG SATUAN DIMINTA DIBERI DAFTAR CEKLIS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Hanscoon bersih M Box 2 2
2 Alcohol 70% Botol 2 2
3 Spuit 1 cc Box 1 1
4 Spuit 3 cc Box 1 1
5 Spuit 5 cc Box 1 1
6 Spuit 10 cc Box 1 1
7 Spuit 20 cc Box 1 1
8 Saction cateter 10 Pcs 1 1
9 Softaman + breaket Tube 20 10
10 Cateter no. 18 Pcs 10 10
11 Infuse set Pcs 10 10
12 Blood set Pcs 10 10
13 Saction catether 14 Pcs 2 2
14 Kassa steril 16 x 16 Kotak 5 5
15 Kapas Pcs 2 2
16 Urine bag Pcs 10 10
17 Alcohol soap biasa Kotak 1 1
18 Kasa panjang / gulung besar Pcs 1 1
19 Plesterin bulat Kotak 2 2
20 Plester leucoplast besar 7,5 x 4,5 Pcs 2 2
21 Polifix 15 x 5 Kotak 1 1
22 Underped steril Pcs 20 10
23 Aqua gel 82 g Tube 2 2
24 Eletroda dewasa Pcs 30 30
25 Aboocath 18 IV cat Pcs 15 15
26 Aboocath 20 IV cat Pcs 15 15
27 Meliseptor foam 750 ml Botol 1 1
28 Slang oxygen adult Pcs 4 -
29 Desinfektan Botol 2 1
30 Pispot biru Buah 3 3
31 Hanscoon S Box 2 2
32 Giving set biasa coren Pcs 10 10
33 Leokoplast 2,5 x 4,5 Rol 2 2
34
35
36
37
38
39
40
TANDA TANGAN
 DAFTAR CEKLIS BMHP RUANG PONEK
AGUSTUS 2017

NO NAMA BARANG SATUAN DIMINTA DIBERI DAFTAR CEKLIS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Hanscoon bersih M Box 2 2 3
2 Alcohol 70% Botol 2 2 1
3 Spuit 1 cc Box 1 1 1
4 Spuit 3 cc Box 1 1 1
5 Spuit 5 cc Box 1 1 1
6 Spuit 10 cc Box 1 1 1
7 Spuit 20 cc Box 1 1 1
8 Saction cateter 10 Pcs 1 1 3
9 Softaman + breaket Tube 20 10 10
10 Cateter no. 18 Pcs 10 10 8
11 Infuse set Pcs 10 10 21
12 Blood set Pcs 10 10 9
13 Saction catether 6 Pcs 3
Saction catether 8 Pcs 3
Saction catether 10 Pcs 2
Saction catether 14 Pcs 2 2 2
Saction catether 16 Pcs 1
14 Kassa steril 16 x 16 Kotak 5 5 5
15 Kapas Pcs 2 2 1
16 Urine bag Pcs 10 10 11
17 Alcohol soap biasa Kotak 1 1 1
18 Kasa panjang / gulung besar Pcs 1 1 -
19 Plesterin bulat Kotak 2 2 2
20 Plester leucoplast besar 7,5 x 4,5 Pcs 2 2 2
21 Plester Leokoplast 2,5 x 4,5 Rol 2 2 2
22 Polifix 15 x 5 Kotak 1 1 1
23 Underped steril Pcs 20 10 9
24 Aqua gel 82 g Tube 2 2 2
25 Eletroda dewasa Pcs 30 30 30
26 Aboocath 18 IV cat Pcs 15 15 16
27 Aboocath 20 IV cat Pcs 15 15 17
28 Meliseptor foam 750 ml Botol 1 1 2
29 Nasal oxygen adult Pcs 4 - 6
30 Nasal Oxygen pediatric Pcs 2
31 Desinfektan Botol 2 1 1
32 Pispot biru Buah 3 3 4
33 Handscoon S Box 2 2 2
34 I.V Film Box 1
35 Surgical mask Box 1
36 Safety Box Box 1
37
38
39
40
41
42
TANDA TANGAN

NOTE : Diperiksa tanggal 29 Agustus 2017