IN
Arzi Bhutto
Date:__________________________
Surgeon:_______________________________________________Room No._____________________
Pt. Name:______________________________________________Procedure:_____________________
Company:___________________________________________________________________________
Item Qty Return Cost Item Qty Return Cost
Surgical Cotton Catgut No. 0
Surgical Bandage Catgut No. 1
Crepe Bandage 4/6 Catgut No. 2
P O P 4-6 Catgut No. 2/0 3/0
Spirit Silk Needle 0,1,2/0,3/0
Mefix Prolene No.
Kleen Enema Prolen mesh No.
Moddies Vicryl (Ethicon) No. 1
Pyodine S.S.S Vicryl (Ethicon) No.
Liquid Parafin Post Posite Size
D/Set Inj: Haemaccel
Leuoko Plaster Primapor/Mepore
Inj: Lasix Halothane
Xylocall Jell Redovac Bottle Drain No.
Polyfax (Skin) Inj: Transamin
Polyfax (Plus)
Gauz Pads Zantac Inj.
Cylotee Tab Metocolon Inj.
Inj: Avil Pantothal Propofole
Voren Susp Succiny/S=choline
Normal Sline Stigma Neo Pyrolate
Rangolcated 1000 cc P.B Tracrium/Acuron
D/Water 5cc Bupican, Sensocain
Surgical Gloves No: Katasoll
D.Gloves Xylocian 2% Aderlain
Surgical Blade No: Valium
Air Way No: Syntocinon
Cord Clamp Methergin
Inj: Vepresor Sosegon
Atropine
I.V Cannual No………... Dormi cum
Spinal Needle No……… Tramal
Foley’s Catheter No……… Kinz 10-20 mg
Neltan Catheter No……….. Uring Beg
Feeding Tube no………...
E.T Tube No……….
D/Syring 5cc B.D Total Amount:___________________________________________
Advance:_______________________________________________
D/Syring 10cc B.D
Balance:________________________________________________
Blader Syring No.
