NO MOW/MOP NAMA PASIEN NO RM TGL LAHIR TGL OPERASI ALKOHOL SWAB (PCS)

1 MOW ANIS WIDARSIH 5222 9/21/1982 10/21/2019 2

2 MOW FITRI ASIH 5221 7/30/1981 10/21/2019 2
3 MOW RINAWATI 5223 5/10/1981 10/21/2019 2
4 MOW NANA PRASETYA 5220 8/4/1978 10/21/2019 2
5 MOP FARIED B 5233 5/5/1978 10/22/2019
6 MOP SULIYANTO 5231 5/15/1980 10/22/2019
7 MOP BAMBANG J 5230 7/29/1973 10/22/2019
8 MOW SITI ROGYIDAH 5240 9/19/1980 10/23/2019
9 MOW SITI ZULAIKAH 5241 7/6/1984 10/23/2019
10 MOW SULAIMI 5291 7/7/1997 10/23/2019
11 MOW ENI PUJI SRI 5257 6/9/1981 10/24/2019
12 MOW MURTI MUFIDAH 5258 7/1/1981 10/24/2019
13 MOW DINA ISTANTI 5255 2/11/1978 10/24/2019
14 MOW SRIYATUN 5260 35 TH 10/24/2019
15 MOW INDAHWATI 5288 7/8/1976 10/28/2019
16 MOW SURINI 5297 3/7/1978 10/28/2019
17 MOW WIWIN MUJIATI 7/16/1983 10/28/2019
18 MOW RUSIYANI 5293 1/26/1982 10/28/2019
19 MOW ROMTINGATUN 5348 4/25/1982 11/4/2019
20 MOW SRIANI 5342 37 TH 11/4/2019
21 MOW SITI ASROFAH 5392 8/19/1982 11/7/2019 3
22 MOW SITI ISTIKOMAH 5390 11/13/1980 11/7/2019 3
23 MOW DARWATI 5389 1/16/1973 11/7/2019 3
24 MOW SRI WAHYU NINGSIH 5391 3/27/1987 11/7/2019 3
25 MOW SUWAIBATUL 5393 1/1/1975 11/7/2019 3
TOTAL SEMENTARA 23
RED DOT ELE SURFLO 22SPUIT 1 CC TERUMO SPUIT 10 CC TERUMO SPUIT 3 CC TERUMO

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6 1 3 6 10
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12 1 1
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2 1 5 5 1
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11 28 1 15 10 10 5 11
KTM (CC) MILOZ (CC)FRESOFOL SA (AMP) EPHEDRIN KETOROLACSANTAGESIONDAN 4 NACL 100 WFI (FL)
4 2.5 1 1
4 2.5 1 1 1
4 5 1 1
4 5 1 1

2 2.5 1 1 1
2 2.5 1 1 1
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2 2.5 1 1
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4 2.5 1 1 1
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4 2.5 1 1 1 1
2 2.5 1 1 2
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58 60 2 8 1 17 2 21 8 1
10 5
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ALKOHOL 7CHLORHEX 4% (ML) POVIDON (ML) T-VIO 0 T-SILK 2-0 PLESTERIN
1
1
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20 20 20 1
30 30 30 1
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1 2
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110 140 110 18 3 10