Format Soal Paket Upk 2014 - Marta

BENTUK SEDIAAN
PAKET A
PAKET B
PAKET C
1 KAPSUL/ SERBUK
A
B
C
D
E
i/2
II/2
II/4
III/4
IV/2
A
B
C
D
E
V/4
VI/1
VII/1
XI/4
XIII/2
A
B
C
D
E
XVI/2
XVII/3
XVIII/3
XXII/1
XXIII/1
2 SOLUTIO/SUSP
EMULSI
A
B
C
D
E
IV/1
V/2
X/1
XIV/1
XV/3
A
B
C
D
E
XVI/4
XXI/2
XX1/2
XXVI/2
XXVIII/4
A
B
C
D
E
XXIX/2
XXX/4
XXXI/3
XXXVII/1
XXXXI/1
3 CREAM/LINIMENT
A
B
C
D
E
LX/2
LVIII/1
LIX/4
LV/4
LI/1
A
B
C
D
E
XLV/1
XLIV/3
XXXVIII/1
XXX/3
XXIX/1
A
B
C
D
E
XXVIII/3
XXVI/3
XX/2
XIX/1
XVI/1
4 PULV ADSP/LINIM
LOTO
A
B
C
D
E
I/3
VII/3
IX/4
X/3
XII/4
A
B
C
D
E
XVIII/1
XX/1
XXI/3
XXII/4
XXIV/2
A
B
C
D
E
XXVIII/2
XXX/2
XXXIV/2
XXXVII/3
XXXIX/2
No. 1
Dr. Handoko DUM 19/94
1
Jl. Megamendung No.6 Jakarta
Jakarta, 21-1-2013
R/ Bellaphen tabl
No. X
Parasetamol
3
mf.caps No. X
S. 3 dd caps
No. 3
Dr. Cecep DUM 123/87
1
Jl. Angkasa No.32 Jakarta
Jakarta, 21-1-2013
R/ Pot. Brom Valerian 155 ml
Codein HCl
100 mg
mf. Pot
S. t dd C I
Pro: Asep Yupri - 21 tahun
No. 2
Dr. Darundono DUM 23/
1
Jl. Kilat No.38 Jakarta
Jakarta, 21-1-2013
R/ Chloramphenicol
2%
Hidrocortison Ac.
1%
Lanolini Anhydric
25
Vaselini
60%
S.u.e
-- da 20
Pro: Cici

2
Jakarta, 21-1-2013
R/ Aneurin HCl
0,025
Riboflavin
0,005
Calc. Panth
0,012
mf. pulv dtd No.XII
S. 1 dd p
Dr. Darundono DUM 23/89

2
Jakarta, 21-1-2013
CITO !
R/ Phenobarbital
0,15
Acetaminophen
3
mf. pulv. No XII
S.4 dd p

2
Jakarta, 21-1-2013
R/ Reserpini
0,08 mg
Luminali
50 mg
Calc. Lact
250 mg
Elaeosacch. Foenic 0,2
mf p.dtd No. X
Pro : Corry-5 tahun

3
Jakarta, 21-1-2013
R/ Sol. Acid Salicyl 1 200 cc
S.Obat kompres
Pro: Poniman (4 tahun)

3
Jakarta, 21-1-2013
R/ Zinc Oxyd
1
Sulf. Praecip
2
Resorcini
1
Glycerini
1
Bentonit
3
Aqua
ad
20
mf. lin.
S.u.e
Pro: Ny. Sumariati
Pro: Kartono-15 tahun

3
Jakarta, 21-1-2013
R/ Phenol liq
0,6
Camphora
0,6
Sulfur pp
0,4
Zinci Oxydi
2
Vas. Flav ad
22
mf. Ungt
Sue
No. 4
1
Jakarta, 21-1-2013
R/ Pot. Nigra
100
Extr.Bellad
0,1
Aqua M.P
20
mf. Potio
S.3 dd C a.c
Pro: Ny. Dewi-18 tahun
2
Jakarta, 21-1-2013
R/ Bactrim A
tabl V
Acetaminophen 1,8
mf p. No. XII
S.2 dd p I p.c
Pro: Linda-4 tahun

3
Jakarta, 21-1-2013
R/ Codein HCl
12,5 mg
Theophillin
75 mg
Bisolvon
8 mg
mf. cap dtd No. XII
S 3 dd cap 1 pc
Pro: Ny. Sally
No. 5
1
Jakarta, 21-1-2013
R/ Aminophyllin
0,150
Coffein
0,075
Phenobarbital
0,020
mf. caps dtd No. X
S. b dd caps I
Pro: Ny. Hartati
2
Jakarta, 21-1-2013
R/ Brom. Natr
2
Sir. Aurantii
10
Tinct. Valerianae
5
Oleum M.P
gtt II
Aqua
ad
125
md S. t dd. Cth a.c
Pro : Conny
3
Jakarta, 21-1-2013
R/ Acid Salicyl
1%
LCD
0,5%
Sulf. pp
5%
Lc.Chloramfecort cream II
mf. cream
S.u.e alas bedak pagi-sore
Pro : Nn. Shinta
Pro : Corry-5 tahun

Pro: Sonya
4
Jakarta, 21-1-2013
R/ S.D
4
Sasa
1,5
Calc. Lact
3
Sir.simpl.
10
Na. Benzoat
0,150
Aqua ad
150
S.tdd.C
Dr. Darundono DUM 23/89 4

Jakarta, 21-1-2013
R/ Coffein
1
Aminophyllini
3
mf. caps. No. XII
S. 3 dd caps I
Pro: Ny. Harmoko

4
Jakarta, 21-1-2013
R/ Vitamin B1
1
Ferrosi Sulfas
3
mf. caps No X
S. t dd caps

4
Jakarta, 21-1-2013
R/ Trosyd cream
10
Chloramphenicol
2%
mf. Cream
S.u.e

4
Jakarta, 21-1-2013
R/ Ciprofloxacin
0,250
Antalgin
tab
Luminal
0,030
Mf p dtd no. XII
S t dd p pc
Pro: Tn. Lukito

No. 6
1
Jakarta, 21-1-2013
R/ Gliceril Guaiac
0,75
Methyl Morphini HCl 0,3
Ephedrine HCl
0,1
mf caps No.XII
S t dd caps I
Pro : Tn. Gerry

2
Jakarta, 21-1-2013
R/ Hydrogenii Peroxydi Dil 50
D.S obat cuci kuping
Pro: Sulianti-21 tahun

No. 7
Dr. Menadion DUM 56/78
1
Jl. Mars No.27 Jakarta
Jakarta, 21-1-2013
R/ Ephedrini HCl
0,75
Coffein
1,50
mf caps No.XXX
S.4 dd caps
-da XII-
Pro : Ny. Linda

2
Jakarta, 21-1-2013
R/ Bellad. Extr
0,1
Papaverini HCl
0,4
Calcii Carb
2
mf. pulv No. X
S.t dd pulv
Pro: Ny. Susi

No. 8
1
Jakarta, 21-1-2013
R/ Tct. BDV sec.Form.Nas 20
S.t dd gtt XX p.c

3
Jakarta, 21-1-2013
R/ Pot. Nigra
100 ml
Syr. Thymi
50
Cod. HCl
50 mg
Ephedrin HCl
150 mg
CTM
60 mg
Prednison
60 mg
S.3.dd. C I
Pro : Vina Yulia
4
Jakarta, 21-1-2013
R/ Zinci pastae
20
Zinci undecylenat 20%
mf.ungt
S.u.e

3
Jakarta, 21-1-2013
R/ Ammonii Chlorid
1,8
Natrii Chlorid
1,8
Natrii Bic
1,8
mf. cuci hidung
60
S.u.c
Pro : Royal
4
Jakarta, 21-1-2013
R/ Acidi Salicylic
1,5
Sulf Praecip
2
Kalii Iodide
0,600
Cerae flavi
2,5
Olei Sesami
5
Lanolini
ad
20
Pro : Anita (10 th)
No. 9
1
Jakarta, 21-1-2013
R/ Salycilamida
2,50
Coffein
0,50
Chlorphenon
0,04
Panadol
2,5
Luminal
0,20
mfp.No.XII
S.q dd p.I.p.c
Pro : Ny. Yuliana
No. 10
1
Jakarta, 21-1-2013
R/ Potio nigra
150
Longatin
100 mg
m.f potio
S. t dd Cth I

2
Jakarta, 21-1-2013
R/ Magn. Citras
7,5
Sir. Simpl
10
Papav.HCl
0,4
Oleum M.P gtt II
Aqua
ad 150
mf. pot.
S.o.m.C I a.c
Pro: Yulianto

2
Jakarta, 21-1-2013
R/ Acid Salicyl
1%
Resorcini
2%
L.C.D
3%
Basis salep ad 20
mf.ungt.
S.u.e

3
Jakarta, 21-1-2013
R/ Chinin Sulfat
1
Acid.Sulfuric dil
0,8
Cera alba
1
Spermaceti
2,5
Adeps lanae
15
Aqua rosae
5
mf. cream
S.sun cream
Pro: Riana

3
Jakarta, 21-1-2013
R/ Iodium
0,3
NaI
q.s
Acid.Salicylic
1,5
Lanolini
4
Vas. ad
20
m.f.ungt.
S.u.e

3
Jakarta, 21-1-2013
R/ Antazolini gutt. Nasales
sec.Form.Nas
30 ml
S t dd gtt II

4
Jakarta, 21-1-2013
R/ As. Tartrat
2
As. Sitrat
4
Na. Subcarb
q.s
Extr.Bellad
0,2
Ol. M.P
gtt II
Aqua
ad
200

4
Jakarta, 21-1-2013
R/ Salicyl Spiritus
sec. Fornas
50 ml
m d S.u.e
Pro: Ny. Ratna

2
Jakarta, 21-1-2013
R/ Dextromethorphan HBr 10 mg
Coffein
50 mg
Theophyllini
100 mg
mf p.dtd. No.X
S.t.dd.p.I
Pro : Parida
Pro : Rina (12 th)
Pro: Tn. Ibrahim
Pro : Ratih
Pro: Yana
Pro : Dewi
Pro: Komariah
Pro: Karlina
4
Jakarta, 21-1-2013
R/ Sulfasomidin
5
Murias Cod.
0,15
Pulv. Doveri
1,5
C.T.M
50 mg
mf.da in caps No. XII
S.t dd caps I
Pro: Farid
mf. ungt
S.u.e
Pro : Dora
No. 11
Jakarta, 21-1-2013
R/ Alupent tab
1/4
Selvigon tab
1/2
Celeston tab
1/4
Spiradan
150 mg
mf p. dtd. No.XX
S. q.dd p.I
= d.i.d=
Pro: Astrid
No. 12
1
Jakarta, 21-1-2013
R/ Kloramfenikol
2,5
Vanilini
0,050
Sirupi
ad
100 cc
mf. Pot
S.4.dd.cth

Jakarta, 21-1-2011

2
Jakarta, 21-1-2013
R/ Paraff. Liq
3
Cerae Albae
0,2
Emulgidi
1
Trietanolamini
0,8
Aqua dest
10
mf. Cream
S. Cleansing Milk
R/ Gargarisma Khan 150

S. 3 dd pc
Pro: Tn. Syamsurizal
Pro : Anto
mf. pot.neutral
S.o.t.h.Cth.I
Pro : Rendra

3
Jakarta, 21-1-2013
R/ INH
25 mg
CTM
1 mg
Theophyllin 15 mg
Amoxyllin 125 mg
mf. Cap.dtd.No.XVI
S. qt.dd.Cap.pc
- did -

4
Jakarta, 21-1-2013
R/Longcef
250 mg
Septrin (TMP)
25 mg
mf. caps. dtd No. X

4
Jakarta, 21-1-2013
R/ Sulf PP
3
Acid Salicyl
0,5
Zinc Oxyd
7,5
Pro: Kartini - 24 tahun
No. 13
1
Jakarta, 21-1-2013
R/ Potio Nigra
100
Syr. Thymi
50
Doveri Pulv
3
Pehachlor
0,036
mf. Pot
S. tdd. C1
Pro : Robby
No. 14
1
Jl. Mars No. 27 Jakarta
Jakarta, 21-1-2013
R/ Euchinini
1
SD
4
Spirit Citri
10
Aqua
ad 100
mf.potio
S.4 dd Cth
No. 15
1
Jakarta, 21-1-2013
R/ Refagan Tabl
VIII
Pulv. Doveri
2
mf. pulv. No. X
S. tdd. Pulv I

2
Jakarta, 21-1-2013
R/ Phenobarb
30 mg
Theophyllini
200 mg
mf. Caps. dtd. No. XX
S.tdd. Caps. pc
-did-

2
Jakarta, 21-1-2013
CITO !
R/ Chloramphenicol 2%
Glycerol
2
Ol. Iecoris Aselli 5
Adeps Lanae
6
Aqua dest
8
mf. Ungt
S. Salep luka bakar
Pro : Ridho

2
Jakarta, 21-1-2013
R/ Diazepam
2 mg
Prednison
3 mg
Codein HCl 10 mg
mf. Caps dtd No. X
S. Vesp. Caps. I

3
Jakarta, 21-1-2013
R/ Spiradan
250 mg
Codein HCl
6 mg
Efedrin HCl
6 mg
INH
50 mg
mf. Pulv.dtd No. XII
S. 3 dd P.I

3
Jakarta, 21-1-2013
R/ Pot. Nigra Cont. Tus 150
Extr. Belladon
0,1
Sir. Simpl
20
mf. pot
S. bdd. C
Pro : Ny. Tini
Pro : dr. Anda Mulya

3
Jakarta, 21-1-2013
R/Hydrocortisoni Acetatis 2,5%
Paraff Liq
6
Cerae Albae
1
Cetacei
1,4
Vaselini
2
Paraf Solid
0,8
Ol. Citri
2 tts
mf.ungt.S.u.e
Pro: Dr. Andri
Pro: Yesicca

3
Jakarta, 21-1-2013
R/ Salep 2-4 Sec. For Nas 20
Resorcini
1
mf. Ungt
Sue
Pro : May-may (9 th)
Pro : Aminah
Pro : Ir. Anita (28 th)

Pro : Widya (3 th)
Pro : Yulia - 11 tahun

4
Jakarta, 21-1-2013
R/ Pulv. Doveri
1
Extr. Bellad
0,120
Lactosa
qs

4
Jakarta, 21-1-2013
R/ Extr. Belladon
1/2 tab
Panadol
250 mg
Mentalium
2 mg

4
Jakarta, 21-1-2013
R/ Hidrokortison asetat
1%
Chloramphenicoli
0.5 %
Ungt. Simplex ad 20
S. t dd caps I
Pro: Erick-8 tahun

No. 16
1
Jakarta, 21-1-2013
R/ Ichthyoli
1,5
Ungt. 2-4 Sec. For Nas ad 20
MDS.u.e
Pro : Helena
Talc. Venet
Glycerin
aa 10
Aq. Dest
ad 100
mf. Lot
Pro : RS. Gatot Subroto
No. 17
1
Jl. Angkasa No. 32 Jakarta
Jakarta, 21-1-2013
R/ Ac. Salicyl
3%
Mentholi
1%
Adeps Lanae 1,5%
Talc. Veneti ad 20
mf. Pulv. Adsp
S. Bedak
Pro : Ny. Irene ( 28 th )

2
Jakarta, 21-1-2013
R/ Bactrim A
1/2 Tabl
Codein HCl
5 mg
CTM
1 mg
Equal
1/6 Tabl
S.bdd p.I. pc

2
Jakarta, 21-1-2013
R/ Ac. Salicyl
1%
Lc. Cinolon Cream 10 g
S.u.e
Pro : Nunung ( 20 th)
mf. pulv. No. XII

S.tdd. Pulv. I
mf. Caps. dtd No. XII

S. prn cap I pc
Pro : Tn. Ali
Pro : Camarwulan (13 th)
MDS.u.e
Pro : Mariah
No. 18
1
Jakarta, 21-1-2013
R/ Ac. Salicyl
2%
Zinc Oxyd
100
Zn. Stearat
50
Kaolin
150
Talk.
Ad
1000
mf.pulv.adsp
S. Bedak Jerawat
-da 20Pro : Ny.Liani
No. 19
1
Jakarta, 21-1-2013
R/ Tanini
1
Bals.peruv
2
Adeps lanae
5
Vas.Flav ad
20
m.f.ungt.
S. salep wasir

2
Jakarta, 21-1-2013
R/ Tinc. Iodii 2% 15
Sulf. pp
2,5
Ungt. Lanolini ad 25
m.f.ungt.
S.u.e

2
Jakarta, 21-1-2013
R/ Elix.Paracetamol
100 ml
m.f.pot
S. t dd Cth
Pro : Rany
No. 20
1
Jakarta, 21-1-2013
R/ Ac. Boric
0.1%
Rivanol
0.1%
mf. Solutio
100
S.u.e. Obat kompres
Pro: Fadilah
Pro: Tn. Arifin
Pro: Ani-15 tahun

2
Jakarta, 21-1-2013
R/ Chloramfenicol
1%
Hydrocortisoni Acetat 0.5%
mf. Cream
15
S.2 dd.u.e
Pro : Shinta
Pro : Rudi ( 6 th )
3
Jakarta, 21-1-2013
R/ Tabl Valium
1/4
Tabl. Largactil 1
Mefinal
3/4 Caps
mf. caps.dtd No. XII
S.m.et.vesp. Caps. I pc
Pro : Aan ( 8 th )
4
Jakarta, 21-1-2013
R/ Elix. Paracetamoli 100 ml
mf. pot
S.tdd. Cth

3
Jakarta, 21-1-2013
R/ Amoxicillin
250 mg
Nalgestan
1/4 tabl
Alupent
5 mg
mf. pulv. dtd.No. XII
S. tdd. caps
Pro : Anis ( 6 th )
4
Jakarta, 21-1-2013
R/ Theophyllin 1
HCL. Cod
0,1
CTM
40 mg

3
Jakarta, 21-1-2013
R/ Doveri
150 mg
Codein HCl
10 mg
Mucopect
1 tabl
mf. caps dtd No. XII
S.t dd caps I
Pro : Samsinar
4
Jakarta, 21-1-2013
R/ Doveri
1 gram
Bisolvon
10 tabl
C.T.M
5 tabl

3
Jakarta, 21-1-2013
R/ Codein HCl
15 mg
C.T.M
2 mg
Extr. Bellad
2,5 mg
Calc Lact
200 mg
m.f caps dtd No. XII
S 3 dd caps I
Pro: Badrun

3
Jakarta, 21-1-2013
R/ Paracetamol
250 mg
Metampyron
200 mg
CTM
2,5 mg
Lact. Calc
100 mg
mf. caps.dtd. No. XV
S.tdd.caps
Pro : Ade ( 10 th )

4
Jakarta, 21-1-2013
R/ Pulv Doveri
1,8
Natrii bicarb
4,2
N.B.B
2

4
Jakarta, 21-1-2013
R/ Codein HCl
0,2
Amonii Chlorid 3
Sasa
4
Pro : Ani ( 15th )
No.21
1
Jakarta, 21-1-2013
R/ Voltaren
25mg
Urbason
4 mg
Ativan
0,3 mg
mf. caps.dtd.No. XX
S. 2 dd caps. I pc
- da XPro : Ny. Suprapto
2
Jakarta, 21-1-2013
R/ OBH
150
CTM
0,025
mf.Potio
S.q dd C
Pro : Sugeng (12 th)

3
Jakarta, 21-1-2013
R/ Menthol
0.5 %
Ac. Salicyl
2%
Amyl Oryzae 14
mf. pulv
S. Bedak
Ol. MP gtt II
OBH
150cc
mf. pot
S. 2.dd.C
Calc.Lact
2,5
Sir. Thymi
50 cc
OBH quinq. 20 cc
m.f.pot
150 cc
S t dd C
Pro : Nunung (20 th)
Pro: Hendrata - 22 tahun
No. 22
1
Jakarta, 21-1-2013
R/ Amoxillin 200mg
CTM
1,5 mg
Luminal
20 mg
mf. pulv.dtd.No. XII
S.tdd.pulv. I
Pro : Andayani ( 4 th )
2
Jakarta, 21-1-2013
R/ Trisulfa
6
Natr. Citr.
5
Vit. B1
0,5
mf. pot
100
S.tdd.Cth
Pro : Anindita
3
Jakarta, 21-1-2013
R/ Doveri
100 mg
Cod. HCl 15 mg
Nalgestan 1 tab
mf. caps.dtd.No.XII
S. 3dd.cap.I
No. 23
1
Jakarta, 21-1-2013
R/ Aminophillin
2
Bisolvon tabl XV
Prednison
80mg
mf. caps.No. XII
S.tdd caps
Pro : Tn. Oloan

2
Jakarta, 21-1-2013
R/ Magn. Citr
15
Natr. Sulf
10
Bellad. extr 0,15
Spir. Citri
10
Aqua ad
200
S.qdd.C.II pc
Pro : Ardi
3
Jakarta, 21-1-2013
R/ Neomycin Sulf
60 mg
Gramisidin HCl
50 mg
Benzocain
100 mg
mf. Ungt 20 g
S.Oleskan pada luka di tangan
m.f pulv No.X

S t dd p I
Pro: Noni
Pro : Sahrul
No. 24
1
Jakarta, 21-1-2013
R/ Euchinin
2
SD
5
Nipagin
0,050
Sir. Simpl. 20
m.f potio
100
S.5 dd Cth
Pro: Zulkifli
2
Jakarta, 21-1-2013
R/ Acid salicyl
3%
Zinc Oxyd.
10%
Calamini
20%
Talci
30
MDS. Bedak
Pro: Deri
3
Jakarta, 21-1-2013
R/ Acid salicyl
0,1
Lc. Esperson cream 10
MDS.u.e
Pro: Deri-5 tahun

Pro: Ny. Prapti
4
Jakarta, 21-1-2013
Pro : Reinold
4
Jakarta, 21-1-2013
Pro : Ardian
4
Jakarta, 21-1-2013
Ol. MP
gtt I
Sir.Thymi
15
Aqua
ad 200
mf. pot
S. 4.dd.C.I
No. 25
1
Jakarta, 21-1-2013
R/ Sir.Dionin Efetonin 100 ml
m.f.pot
S t dd Cth
Pro: Hartati-5 tahun

2
Jakarta, 21-1-2013
R/ Lc. Chloramfecort Cream 20
Ac. Salicyl
0,5%
Sulfur pp
4%
mf. cream
S.u.e alas bedak pagi-sore
Pro: Ny. Maryam

3
Jakarta, 21-1-2013
R/ CTM
0,8 mg
Luminali
10 mg
Salbron
0,5 mg
Amoxicillin
150 mg
mfp.dtd No.XV
S.t dd p.I
Pro: Aga-6 tahun

4
Jakarta, 21-1-2013

4
Jakarta, 21-1-2013
R/ Ungt. Simplic
Iod
NaI
Lanolin
mf. ungt
S.u.e
15
0,5
qs
6
Pro : Handi
No.26
1
Jakarta, 21-1-2013
R/ Reserpini
0,1 mg
Bromazepami 0,5 mg
mf.caps dtd No.XXX
S.mane et vesp I
-da X-
R/ Ac. Salicyl
1%
Resorcini
1, 5%
Alc. 70%
50
mf. Lot
S. pagi dan sore
(obat cuci rambut)
Pro : Ny. Yudi

No.27
1
Jakarta, 21-1-2013
R/ Lotio Kummerfeldi FMS 100
Hidrocortison Acetas 2%
mf. lotio
S.u.e
R/ Curcuma 1/3 tab

Cimetidine 50 mg
Motilium
1/3 tab
Vit.B12
20 mcgr
mf.p.dtd.No.XXX
S.tdd.p.I
-da XII-
Pro : Abraham (4th)

No.28
1
Jakarta, 21-1-2013
R/ Theophyllin
1,2
Coffein
0,6
mf.caps No.XII
S t dd caps I
R/ Antalgin
250 mg
Efedrin HCl
10 mg
Coffein
50 mg
Theophyllini 100 mg
m.f caps dtd N.XII
S.s.o.s.caps.I
Pro: Ny.Silvia
No.29
1
Jakarta, 21-1-2013
R/ Acid Salicyl
0,2
Chloramfenicol
0,4
mf. cream
20
S.u.e
Pro: Ny. Andriati

Pro : Tn. Anwar
2
Jakarta, 21-1-2011
R/ OBH
100
Theopyllin
1
CTM
10 tab
Sirup Thymi
50
mf.pot
Pro : Ny.Endah
3
Jakarta, 21-1-2013
R/ Menthol
6%
Metil Salisilat 11,5%
Kamfer
1,5%
mf. Ungt
20
S. aplic.Ioc.dol
Pro: Bu Siti
4
Jakarta, 21-1-2013
Pro : Marwan
2
Jakarta, 21-1-2013
R/ Reserpini
Atropin Sulf aa 0,25mg
mf.caps dtd No.XX
S.mane caps I p.c
- da X Pro : Tn.Badu
3
Jakarta, 21-1-2013
R/ Trisulfa
10
C.M.C Na
1%
Sir.Cinnamomi
40
Glyc
10
Aq.q.s
ad
100
S.t dd Cth
Pro : Kanti
2
Jakarta, 21-1-2013
R/ Protargoli
1,5%
Ephedrini HCl
3%
Sol.Glukosa 5% 20
mf. guttae nas.
S.t dd gtt II
Pro: Adinda -18 tahun
3
Jakarta, 21-1-2013
R/ Methylis Salicyl Ungt 20
Cerae flav
Camphorae aa
2
MDS. Obat gosok
Pro : Menik-8 tahun

3
Jakarta, 21-1-2013
R/ Duricef
200 mg
Avil
10 mg
Celeston
1/3 tab
mf. pulv.dtd No. XV
S.t dd p I
Pro: Tn. Danurejo

No.30
1
Jakarta, 21-1-2013
R/ Dextromethorphan HBr 7,5 mg
C.T.M
0,5 mg
Ammonii chlorid
30 mg
Ephedrini HCl
5 mg
mf pulv dtd No XV
S.t dd p.I p.c
Pro : Ali-6 tahun
2
Jakarta, 21-1-2013
R/ Mikonazol nitrat 2%
Acid. Salicyl
2%
Camphorae
0,1
Talkum
25
mds. bedak
Pro : Diman
3
Jakarta, 21-1-2013
R/ Anaesthesin
1,5
Ungt. Whitfield ad 25
mds.u.e
Pro: Nenek Minah
Pro : Dono-5 tahun

4
Jakarta, 21-1-2013

2
Jakarta, 21-1-2013
R/ OBH
Syr.Thymi aa
75
Benadryl
0,25
mf.pot
S. m et v C. I pc
R/ Dekstrometorfan tab 1/2

C.T.M
2 mg
Salmiak
30 mg
Natr. Sitrat
50 mg
mf.caps.dtd No.X
S t dd caps I
Pro : Cahya -10 tahun

4
Jakarta, 21-1-2013

4
Jakarta, 21-1-2013
Pro : Utami-15 tahun

4
Jakarta, 21-1-2013
R/ Ac.Salicyl
1%
Balsam Peru
0,5%
Kamfer
0,5%
Menthol
0,5%
Zinc oxyd
5%
Talc
ad
30
m.f pulv adspers
S.u.e
R/ Ac.Salicyl
2
Balsam Peru
2
MgO
10
ZnO
10
Adeps Lanae
4
Ol. Lavandulae gtt II
Talkum
ad 100
mf pulv adsp.
S.u.e-Bedak gatal
R/ Diphenhydramini HCl 0,050

Ammonii Chloridum 0,250
Menthol
0,050
Etanol 70%
5 cc
Sirupus ad
100 cc
Mf potio
S o met v cth 1
R/ Codein HCl
10 mg
Bellad. Extr
10 mg
C.T.M
2 mg
mf.caps dtd No. XII
S. jika batuk caps I max tdd
R/ Ephedrini HCl
Acetaminofeni
Amoksisilin
Sirupi
ad
S.qt dd Cth I
0,2
4
4
80 ml
Pro : Sandi-15 tahun

Pro: Paiman (20 tahun)
=da 25
Pro: Leni
No.31
1
Jakarta, 21-1-2013
R/ Emulgidi
1,5
Olei Arachidi
3
Cetacei
0,8
Aquadest ad 12
Sulf.pp
1,5
mf.l.a.cream
S.u.e
Pro: Faradilla-3 tahun

No.32
Jakarta, 21-1-2013
R/ Ciprofloxacin
250 mg
Antalgin tabl
1/2
Phenobarb
0,03
mf.caps dtd No X
S.2 dd caps p.c
Pro: Yulia Yasmin 5 tahun

No.33
1
Jakarta, 21-1-2013
R/ Ampicillin
0,15
Codeini HCl
0,005
Ascorbic Acid 0,050
mf p dtd No. XII
S.4 dd p
No.34
1
Jakarta, 21-1-2013
R/ Danalgin
3/4 tab
Stelazin
2/3 tablet
Indene
7 mg
mf.caps dtd No.XII
S.b.dd caps p.c
No.35
1
Jakarta, 21-1-2013
R/ Coffeini
0,5
Theophyllini
1
mf. caps No. X
S. b dd caps I
Pro: Hani-23 tahun

Pro: Udin
Pro: Makmur
Pro : Melur-4 tahun

2
Jakarta, 21-1-2013
R/ Heptasan
1/2 tab
Aneurini HCl
25 mg
Lysagor
1 tabl
mfp dtd No.XV
S 1 dd p 1
Pro: Andreas-10 tahun

Jakarta, 21-1-2013
R/ Metampyron
4
Coffeini
1,0
Aneurini HCl
0,4
mfp. No XII
S.b dd p
Pro: Amrin-12 tahun

2
Jakarta, 21-1-2013
R/ Luminali
0,3
Ac. Mefenamic 3,75
mf. caps No.XII
S. t dd caps

3
Jakarta, 21-1-2013

Jakarta, 21-1-2013
R/ Cetaceum
2,5
Cerae alba
2,4
Paraff.liq
11,0
Natrii Tetra Boras 0,1
Aq dest
4
Resorcin
2%
mf. cream
S.u.e

3
Jakarta, 21-1-2013
R/ Iod
0,03
KI
0,06
Aqua ad
15
m.d
S.3 dd gtt V in Aq
R/ Amonii Chloridi
2,5
Codein HCl
0,200
Sir. Simplic.
15
Tct. Ipecac
5
Aq.dest
ad 150
mf.potio
S. 4 dd C
Pro: Anastasia 15 tahun
Pro : Tn Sarimin
Pro : Ny. Harjo

2
Jakarta, 21-1-2013
R/ Mentholi
0,3
Camphorae
0,5
Lin. Ammoniae 30
m.f lin
S.u.e
Pro : Sugeng

2
Jakarta, 21-1-2013
R/ Natr.Bromid
4
Natr. Subcarb
6
mf.pot
200
S.p.r.n.C.II.pc

3
Jakarta, 21-1-2013
R/ Ol. lecoris Aseli 20
Ol. Cinnamomi
0,05
PGA
7,5
Sir.simpl.
10
mf .emuls
60
S.1 dd Cth

3
Jakarta, 21-1-2013
R/ Tinc.Iodii
1
Ac.Salicyl
0.75
Resorcini
5%
Adeps lanae 5
Vaselin ad 20
mf. ungt
S. obat kutu air
Pro : Ny. Isye
Pro: Iman
Pro : Ny. Adele

4
Jakarta, 21-1-2013
R/ Diazepam
2 mg
Codein HCl
20 mg
Cataflam
tabl I
Ponstan
250 mg
mf.caps dtd No.XII
S.t dd caps I
Pro: Ny. Tiur
Pro: Sarinem
No. 36
Jakarta, 21-1-2013
R/ Ol.Sesami
15
Acid.Oleinic.Crud
0,15
Menthol
0,2
Sol.Hydrastis Calcisi 15
M.D.S.u.e
Pro :Laura
No. 37
1
Jakarta, 21-1-2013
R/ Sir.Bromida Timus Sec.FOI 100
Codein HCl
100 mg
mf.potio
S. 4dd.cth.I
Pro : Beni M

Jakarta, 21-1-2013
R/ Codein HCl 0,15
INH
1,2
mf.Caps.No.XII
S.bdd.Caps.I
Pro : Diana

Jakarta, 21-1-2013
R/ Ol. Ricini
15
P.G.A
7
Syrup simplex
24
Sulf. Magn
3
mf.pot
150
S t dd C
(10 th/35 Kg)

Jakarta, 21-1-2013
R/ Ac. Salicyl
Sulf. pp aa
1%
Lc.Melanox Forte tube I
mf. cream
S. dipakai malam hari
diamkan 2 jam, lalu cuci

2
Jakarta, 21-1-2013
R/ Erithromycin
125 mg
Prednison
3 mg
CTM
2 mg
mf.p.dtd.No.XII
S.tdd.p.I
Pro : Emilia ( 6 th )
3
Jakarta, 21-1-2013
R/ Natr.Carbonat 1
Glycerin
10
Aqua dest
10
mf. gutt.auric
S.1dd.gtt.auric.d.s
Pro: Hendrika-2 tahun

4
Jakarta, 21-1-2013
R/ Aluin
1
Zinc. Chlorid
1
Acid Salicyl
0,3
Ol. M.P
gtt II
Aqua ad
300
mf.gargar
S.t dd C pc
Pro : Anisa

4
Jakarta, 21-1-2013
R/ Luminali
0,2
Papaverin HCl
0,3
m.f pulv No. XII
S.t dd pulv
No. 38
1
Jakarta, 21-1-2013
R/ Chloramphecort Cream 10g
Anaesthesin
2%
mf. cream
SUE
Iter 2x
No. 39
1
Jakarta, 21-1-2013
R/ Emulsi minyak ikan
s.f. Form.Nas
50
Vit. B1
500mg
mf. pot
S.1dd.Cth
Pro : Ny. Pangestu

2
Jakarta, 21-1-2013
R/ Panadol
3
Diazepam
0,010
mf. pulv.No.X
S.tdd.pulv.I
Pro : Yeni ( 8 th )
3
Jakarta, 21-1-2013
R/ Gliceril Guaiacolas 1
Promethazin HCl 0,1
Luminal
0,6
Syr.Thymi
150
mf.pot
S.s.o.s.CI
Pro : Lola-8 tahun
Pro : Zainal
2
Jakarta, 21-1-2013
Ac. Salicyl
2%
ZnO
10
Talcum
10
mf.pulv
S.u.e
Pro : Zulfikar ( 3 th )
3
Jakarta, 21-1-2013
R/ Tab.Influenza.Dep.Kes No.X
Cod.HCl
120mg
CTM
48 mg
mf.caps.No.XII
S.4dd.caps.I
Pro : Bi inem
4
Jakarta, 21-1-2013
R/ Actifed
tabl V
Prednison
50 mg
Adona Forte tabl V
Cataflam
tabl V
mf.p.No. X
S.tdd.p
Pro : Angga ( 10 th )
No. 40
1
Jakarta, 21-1-2013
R/ CTM
1/5 tab
Longatin
7mg
Phenobarbital
5mg
Amoxicillin
60mg
mf.p.dtd.No.X
S. 3dd.I
Pro : Indah ( 1 th )
2
Jakarta, 21-1-2013
R/ Ampicillin
125 mg/Cth
Noscapin
0,050
Ol.Citri
gtt.II
Sirup ad 100 ml
mf.pot
S.tdd.Cth.I
Pro : Irma ( 9 th )
3
Jakarta, 21-1-2013
R/ Aminophyllin 0,1
Ephedrin HCl 0,025
Luminal
0,03
mf. caps.dtd.No.XII
S.tdd.caps.I
Pro : Ny. Laneke

Jakarta, 21-1-2013
R/ Paracetol 150 mg
Codein HCl
5 mg
Celestamin
1/2 tab
Ca. Lactat
150 mg
mf.p.dtd.No.XV
S.tdd.p
Pro : Wagimin ( 6 th )
No. 41
1
Jakarta, 21-1-2013
R/ OBH
200
Ephedrin HCl
0,250
Thiamin HCl
0,500
mf.pot
S.tdd.C.ac
Pro : Budi
Pro :Bardi
4
Jakarta, 21-1-2013
R/ Dramamin
1 tab
Diazepam
2 mg
Antalgin
200 mg
mf.caps.dtd.No.XII
S.3dd.I
Pro : Kartiningsih (16 th)

No. 42
1
Jakarta, 21-1-2013
R/ Trisulfa tabl 1/2
Papav.HCl
40 mg
Doveri
200 mg
mf.p.dtd.No.X
S.tdd.p.I
Pro : Popi
Pro : Tn. Yoe

4
Jakarta, 21-1-2013
R/ Stelazin
1/2 tabl
Serenace 2 mg
Frisium
1/2 tabl
mf.cap.dtd.No.XC
S. 3dd.cap.I
da XII
Pro : Aldino (15 th)

No. 43
1
Jakarta, 21-1-2013
R/ Codein HCl 12,5 mg
Theophyllin 80 mg
Bisolvon
8 mg
mf. caps.dtd.No.XII
S.tdd.caps.I
Pro : Sally ( 13 th )
Pro : Zaelani (24 th)
Pro : Subrata ( 21 th )

4
Jakarta, 21-1-2013
R/ Menthol
1
Phenol Liq
3
Camphorae 3
Sulfur pp
2
Vas.Flav ad 100
mf.Ungt
S.u.e
da 15
Pro : Zaenab

4
Jakarta, 21-1-2013
R/ Ungt.Liniens sf.Form. Nas 30
Acid Tannic
1
mf. ungt cream
S.u.e
No. 44
1
Jakarta, 21-1-2013
R/ Ampicillin 200 mg
Luminal
10 mg
CTM
2 mg
mf.p.dtd.No.X
S.tdd.p.ac
No. 45
1
Jakarta, 21-1-2013
CITO!
R/ Anaesthesini 2
Levertran
30
Vas.Flav ad 100
mf. ungt
S.salep luka bakar
da 1/5 quant
Pro : Romi
Pro : Yanthi

2
Jakarta, 21-1-2013
R/ Neurobion tabl No.X
Diazepam
0,030
mf.caps.No.XXX
S.tdd.caps
- da X Pro : Ny. Lina

2
Jakarta, 21-1-2013
CITO!
R/ Ungt.Iec.Aselli.Comp
s.f. For.Nas
15
mf. ungt
S.U.E
Pro : Palupi

2
Jakarta, 21-1-2013
R/ Na. Karbonat 1
Glycerol
4.75
Aq.
5
mf.gutt.auric
S.2dd.gtt.II.au.dext
Pro : Anton

2
Jakarta, 21-1-2013
R/ Salbutamol 0,020
Cod.HCl
0,225
mf.caps.No.XV
S.tdd.caps.I

3
Jakarta, 21-1-2013
R/ Resorcinoli
0,2
Zinci Oxydi
2
Ichthyol
1
Vaselini
4
Ungt.Lanolin
10
mf. ungt

3
Jakarta, 21-1-2013
R/ Phenobarb 0,7
NaBr
6,7
Aq.M.P
7 ml
PGS
qs
Aqua ad 100 ml
mf. pot

3
Jakarta, 21-1-2013
R/ Ac. Salicyl
4%
Gentamycin sulfat 1%
Sulfur
1%
Anaesthesini
2%
Vaselin
10
Adeps lanae
10

3
Jakarta, 21-1-2013
R/ Hidrokinon 20mg/g
mf.cream 15
S. vesp.u.e
Pro : Tn. Kardi
Pro : Sony

2
Jakarta, 21-1-2013
R/ Nalgestan 1 tab
Cod.HCl
15 mg
Bisolvon
1 tab
Cataflam
25 mg
mf. caps.dtd.No.XII
Pro : Rina
3
Jakarta, 21-1-2013
R/ Antalgin tab 1
Theophyllin 75 mg
Extr.Bellad 10 mg
mf.p.dtd.No.XII
S.tdd.p.I
S.u.e
S.o.n.C.II
Pro : Debby
Pro : Tika

4
Jakarta, 21-1-2013
R/ Erythrocyn dulcet 200mg
CTM
1mg
Prednisoni
2,5mg
Panadol
tabl 1/5
mf.pulv.dtd.No.XII
S.q.dd.pulv.ac

4
Jakarta, 21-1-2013
R/ Ac. Salicyl
Balsam Peru aa 0,6
Adeps lan.
0,5
ZnO
3
Talc
ad
30
mf. bedak obat
S.U.E
mf. ungt
S.u.e
Pro : Betty
4
Jakarta, 21-1-2013
R/ Sol. Citratis Magnesii 120
Papaverin HCl
0,250
mf.pot
S.o.m.c.II
Pro: Belina
Pro : Sheilla ( 6 th )
No. 46
1
Jakarta, 21-1-2013
R/ Lotio Kummerfeldi 100
mf.S. acne lotion
Pro : Nn. Anita

2
Jakarta, 21-1-2013
R/ Trisulfa
150 mg
mf.caps.dtd.No.XII
S.tdd.caps.I
Pro : Dono ( 10 th )
3
Jakarta, 21-1-2013
R/ Spasminal
X tab
Pro: Indra
No. 47
1
Jakarta, 21-1-2013
R/ Spironolacton
25 mg
HCT
25 mg
mf.caps.dtd.No.X
S.o.mane caps.I
Pro : Ketty ( 12 th )
2
Jakarta, 21-1-2013
R/ Pot.Nigra
100
Syr.Thymi
50
Cod.HCl
150 mg
Ephedrin HCL 150 mg
mf.pot
S. 3dd.C.I
Pro : Tn. HI.Sien
3
Jakarta, 21-1-2013
R/ Coffein
0,5
Pro : Ny. Aldian

Pro : Indah
4
Jakarta, 21-1-2013
R/ Clindamycin HCl
0,30
Resorcinoli
0,50
Ac. Salicyl
1
Sulf. PP
3
Mucil.Gummi.Arabici
4
Aq.Rosae
50
Sol. Calc.Hydroxydi ad 100
S. Malam-Jerawat
Pro : Nn. Yuniati
No.48
1
Jakarta, 21-1-2013
R/ Ampicillin
250 mg
Pehachlor
4 mg
Vit.B.Kompleks
1 tab
mf.caps.dtd.No.XII
S.4dd.Caps
Pro : Liliek (23 th)

2
Jakarta, 21-1-2013
R/ Iodii Sol.SF.Fornas 25 ml
S.diminum malam hari
25 tetes dalam 1 gelas air
Pro : Ny. Shanti

3
Jakarta, 21-1-2013
R/ OBH
No. 49
1
Jakarta, 21-1-2013
R/ OBH
300 cc
CTM
60 mg
Prednison
60 mg
Noskapin
300 mg
MDS.tdd.C
- da 1/3 -
Pro : Ny.Teti
2
Jakarta, 21-1-2013
R/ Sulfadiazin
250mg
Papav. HCl
40mg
Kaolin
300mg
mf.pulv.dtd.No.X
S.tdd.pulv
Pro : Tn. Karim

3
Jakarta, 21-1-2013
R/ Gentamycin Sulfat
0,015

R/ Dionin
0,1
Menthol
0,1
Ethanol 95%
4cc
Pulv. Doveri
3
Syr.Thymi.Comp ad 120
S.3dd.C.I
Pro : Tn. Gunawan

No. 50
1
Jakarta, 21-1-2013
R/ Anaesthesini
2,5
Ungt.Peruv
40%
2-4 salep
50%
mf.ungt
S.u.e
Pro : Hendra
2
Jakarta, 21-1-2013
R/ Kamfer
0,5%
Asam Salisilat 3%
Amyli
6,5
Talc
10,5
mf.pulv.adsp
S.Bedak tabur
Pro :Juwita
3
Jakarta, 21-1-2013
R/ OBH
120 ml
Paracetamoli 5
mf.p.No.XII
S.tdd.p.I
Pro : Tn. Mario

4
Jakarta, 21-1-2013
R/ Ac. Salicyl
2%
Liq.Carb.Det
1
Lc. Soft U Derm
40
MDS.u.e
--da 1/4
Pro : Ny. Ani

No. 51
1
Jakarta, 21-1-2013
R/ Salep Wasir sec Fornas 25
mf. ungt.
S.2 dd u.e
Pro : Tn. Sasongko

2
Jakarta, 21-1-2013
R/ Lot. Kummerfeldi FMS 100
S.acne lotion
Pro : Nn. Anna

3
Jakarta, 21-1-2013
R/ Trisulfa
5
Panadol
mf.p.No.X
S.tdd.p.I
Pro : Mariana
4
Jakarta, 21-1-2013
R/ Resorcini
2%
Sulf.pp
8%
mf. cream
30
S.u.e
Pro: Ny.Adinda
Syr. Thymi aa 80
CTM
0,05
mf.pot
S.m.et.v.C.pc
Hydrocortison Acetat 0,150

mf.cream
15
S.u.e
CTM
Cod.HCl
mf.potio
S.3dd.C.I
Pro : Meta
Pro : Dora
Pro : Lita (15 th)

4
Jakarta, 21-1-2013
R/ Calamin
8%
Camphora
0,5%
Diphenhidramin HCl 1%
mf.cream
20
S.u.e. Obat gatal
Pro : Ny. Tanjung

4
Jakarta, 21-1-2013
R/ Paracetamol
300mg
Diazepam
0,5mg
Clobazam
2 mg
mf. caps.dtd.No.XII
S.tdd.caps
Pro : Sandra
No. 52
1
Jakarta, 21-1-2013
R/ Ampicillin 500 mg VI tabl
Codein HCl
0,200
Syr. Thymi
25
Aqua
ad
150
mf.pot.
S.t dd C
Pro: Tn.Hasan
No. 53
1
Jakarta, 21-1-2013
R/ Extr.Bellad
10mg
Dextromethorphan HBr 10mg
mf.caps.dtd.No.X
S.tdd.caps.I

2
Jakarta, 21-1-2013
R/ Loco Garamycin cream 20
Acid. Salicylici
0,2
Hydrocortisoni Acetatis 0,4
mf. cream
S.u.e

2
Jakarta, 21-1-2013
R/ Codein HCl
0,300
Prometazin HCl 0,200
Luminal
0,300
Syr.Simplex
30
OBH
150
mf.pot.
S.tdd.C
Pro : Tn. Aminudin

2
Jakarta, 21-1-2013
R/ OBH
100
Codein HCl
0,150
mf.pot
S.tdd.C

3
Jakarta, 21-1-2013
R/ Resochin
tabl 2/5

3
Jakarta, 21-1-2013
R/ Amoxicillin
100mg
Pro: Nn. Fani

3
Jakarta, 21-1-2013
R/ Codeini HCl
10 mg
Pro : Ny.Dewi
No. 54
1
Jakarta, 21-1-2013
R/Tetes telinga
Kloramfenikol 15ml
MDS.tdd gtt II aur dext
Pro : Nn. Sagita
Pro : Ny.Farid
20 mg
100 mg

4
Jakarta, 21-1-2013
R/ Ergotamin tartrat 0,010
Valium
tablet V
mf.caps.No.X
S.tdd.caps
Pro : Ny.Sartika
No. 55
1
Jakarta, 21-1-2013
R/ Erythromycin 0,200
Ephedrin HCl
0,010
Prednison
1/2 tab
mf.p.dtd.No.X
S.4dd.p
Pro : Rudi (6 th)
2
Jakarta, 21-1-2013
R/ Codein HCl 0,100
Extr.Bellad
0,100
Chlorphenon 0,040
mf.caps.No.X
S.tdd.caps
Pro : Ny. Endi

3
Jakarta, 21-1-2013
R/ OBH
125
Na Sitrat
Vit. B1
Syrup
mf.pot
S. 3 dd C
5
100 mg
10%
150
Pro: Lutfi 8 tahun

4
Jakarta, 21-1-2013
R/ Bactrim adult tabl No.XII
Codein HCl
150 mg
Pulv. Doveri
1,5
CTM
0,050
mf. caps No.XII
S. t dd caps
Lameson
Phenobarbitali
Septrin (TMP)
mfp.dtd No.XII
S. t dd p I
1 mg
10 mg
30 mg
Pro: Dodi 10 tahun

4
Jakarta, 21-1-2013
R/ Camphora
1
Sulf.pp
7
Mucil.Gom Arab
3,5
Sol.Calc.Hydroxyd 45
Ol.Rosae
gtt II
Aqua
ad
100
mf.Lotion
S.Acne Lotion
Quinini Sulfat
Elaeosacch.Anisi
mf.p.dtd.No.X
S.tdd.p
0,20
0,20
Pro : Rony
4
Jakarta, 21-1-2013
R/ Ungt.Liniens S.F. Fornas 20
Tanini
1,2
mf
S.u.e
Dexamethason 0,25mg
Codein HCl
5mg
Bisolvon
1/2 tab
mf.p.dtd.No.XII
S.tdd.p. 1/2 h ac
Syr.Thymi
25
Longatin
V Caps
Ol.MP gtt II
mf.potio
S.3dd.C I
Pro : Rita ( 5 th )
Pro : Kartika ( 17th )

4
Jakarta, 21-1-2013
R/ Prednison
2,5mg
Codein HCl
5mg
Chlorphenon
1 tab
mf.caps.dtd.No.X
S.3dd.I

4
Jakarta, 21-1-2013
R/ Ungt. 2-4
20
Menthol
2%
LCD
2%
mf. ungt
S.u.e
Pro : Nn.Wati
Pro: Ny. Tigor
Pro : Lany
No. 56
1
Jakarta, 21-1-2013
R/ Potio Nigrae c. tuss 200
Benadryl
0,300
Bromhexin HCl
X tabl
Syr. Thymi
20
mf.pot
S. t dd C
-didPro: Tn. Kurdi
No. 57
1
Jakarta, 21-1-2013
R/ Strocain P tabl No. VIII
Papaverin HCl
0,2
Extr.Bellad
0,1
mfp. l.a.No.X
S.bdd.p

2
Jakarta, 21-1-2013
R/ Chloramphenicoli
2%
Hidrocortison asetat 1 %
Cream emulgide
20
MDS. u.e

2
Jakarta, 21-1-2013
R/ Sol. Charcot
200 ml
Luminali
0,4
mf.potio
S. mane et vesp C
Pro: Nn. Eni

3
Jakarta, 21-1-2013
Pro : Karmila
Pro : Dodo
3
Jakarta, 21-1-2013
Pro : Rohana Hanggi

No. 58
1
Jakarta, 21-1-2013
R/ Salep Kliokuinol hidrokort 10
L.C.D
10%
mf.ungt
S.u.e
Pro : Nella
No. 59
1
Jakarta, 21-1-2013
R/ Bodrex
tabl 1/2
Dextrometorphan HBr 10 mg
Noscapini
7,5 mg
mf. pulv dtd No.X
S.tdd.pulv
Pro : Lintang-8 tahun

2
Jakarta, 21-1-2013
R/ Bactrim (TMP)
25 mg
Asetosal
50 mg
Chlorpromazin HCl 5 mg
Equal
1/5 tabl
mf. pulv dtd No.X
S. t dd p
Pro: Kurnia

2
Jakarta, 21-1-2013
R/ Quinini sulfat
0,6
Ferrosi sulfas
2
mf.caps No. XII
S. t ddd caps

3
Jakarta, 21-1-2013

3
Jakarta, 21-1-2013
Pro : Susan
No. 60
1
Jakarta, 21-1-2013
R/ Ketotifen
0,5 mg
Phenobarbital
10 mg
mf.caps dtd No.X
S. mane et vesp caps I
Pro: Mangunredjo (dewasa)

2
Jakarta, 21-1-2013
R/ Ungt. Whitefield 25
S.u.e
Pro: Nn. Sarti

Pro : Endang
3
Jakarta, 21-1-2013
R/ Diazepami
Cafergot
mfp. dtd No.X
S. t dd p
0,002
1 tabl
Pro: Ny. Tobing
R/ Ampicillini
0,2
Decolsin
caps I
Vit B complex 1/2 tabl
mf.caps. dtd No. X
S. t dd caps
Pro : Ranti
R/ Potio nigra
C.T.M
Codeini HCl
mf.potio
S.t dd C
150 cc
0,040
0,150
Pro: Karman
R/ Sir. Bromida Thymus Sec FOI.100

Phenergan
0,200
mf.potio
S. t dd C
R/ Acetaminophen
2,4
Coffein
0,150
Glycerylis Guaiac
0,500
Dextromethorphan HBr 0,100
Syrupi ad
100 ml
mf.potio
S. t dd Cth
Pro : Tn Nata
Pro: Indah - 8 tahun

4
Jakarta, 21-1-2013
R/ Doveri
150 mg
Mucopect
tabl.I
mf. caps dtd No.XII
S. t dd caps
Pro: Ny. Dudung

4
Jakarta, 21-1-2013
R/ Benzocain
20 mg
Tanin
1
Ad. Lan
2
Vas. Flav
7
m d.s.u.e
Pro : Tn. Yono

4
Jakarta, 21-1-2013
R/ Metampyron
400 mg
Dramamin
1/2 tabl
Extr. Bellad
2 1/2 mg
Glyceril Guaiacolas 50 mg
mf.pulv dtd No.XII
S.3 dd cap I
Pro: Didi 16 tahun

4
Jakarta, 21-1-2013
R/ Gentamycin sulfas
2%
Cream emulgid
25
mf.cream
S.u.e
Pro : Ny. Tuti

4
Jakarta, 21-1-2013
R/ Atropin Sulfat
1/6 mg
Luminal
12,5 mg
Lactosa
q.s
mf.pulv dtd No.XII
S.t dd p I
Pro: Caroline-10 tahun
PAKET A
PAKET A 1
PAKET A 2

2
Jakarta, 21-1-2013
R/ Aneurin HCl
0,025
Riboflavin
0,005
Calc. Panth
0,012
mf. pulv dtd No.XII
S. 1 dd p

2
Jakarta, 21-1-2013
CITO !
R/ Phenobarbital
0,15
Acetaminophen
3
mf. pulv. No XII
S.4 dd p
Pro : Corry-5 tahun

2
Jakarta, 21-1-2013
CITO !
R/ Phenobarbital
0,15
Acetaminophen
3
mf. pulv. No XII
S.4 dd p

Jakarta, 21-1-2013
R/ Coffein
1
Aminophyllini
3
mf. caps. No. XII
S. 3 dd caps I

2
Jakarta, 21-1-2013
R/ Bactrim A
tabl V
Acetaminophen 1,8
mf p. No. XII
S.2 dd p I p.c

2
Jakarta, 21-1-2013
R/ Brom. Natr
2
Sir. Aurantii
10
Tinct. Valerianae
5
Oleum M.P
gtt II
Aqua
ad
125
md S. t dd. Cth a.c
Pro : Conny
1
Jakarta, 21-1-2013
R/ Tct. BDV sec.Form.Nas 20
S.t dd gtt XX p.c
Pro: Ny. Ratna

3
Jakarta, 21-1-2013
R/ Ammonii Chlorid
1,8
Natrii Chlorid
1,8
Natrii Bic
1,8
mf. cuci hidung
60
S.u.c
Pro: Linda-4 tahun

Pro : Royal
PAKET A 3
PAKET A 4

Jakarta, 21-1-2013
R/ Coffein
1
Aminophyllini
3
mf. caps. No. XII
S. 3 dd caps I

4
Jakarta, 21-1-2013
R/ Vitamin B1
1
Ferrosi Sulfas
3
mf. caps No X
S. t dd caps

1
Jakarta, 21-1-2013
R/ Potio nigra
150
Longatin
100 mg
m.f potio
S. t dd Cth I
Pro: Ny. Susi

1
Jakarta, 21-1-2013
R/ Euchinini
1
SD
4
Spirit Citri
10
Aqua
ad 100
mf.potio
S.4 dd Cth
Pro : Dewi
4
Jakarta, 21-1-2013
R/ Extr. Belladon
1/2 tab
Panadol
250 mg
Mentalium
2 mg
mf. Caps. dtd No. XII
S. prn cap I pc

4
Jakarta, 21-1-2013
R/ Ungt. 2-4
20
Menthol
2%
LCD
2%
mf. ungt
S.u.e
Pro : Camarwulan (13 th)

4
Jakarta, 21-1-2013
R/ Salicyl Spiritus
sec. Fornas
50 ml
m d S.u.e
Pro : Susan
3
Jakarta, 21-1-2013
R/ Antazolini gutt. Nasales
sec.Form.Nas
30 ml
S t dd gtt II
Pro: Yesicca
Pro: Karlina
PAKET A 5
2
Jakarta, 21-1-2013
R/ Bactrim A
tabl V
Acetaminophen 1,8
mf p. No. XII
S.2 dd p I p.c
Pro: Linda-4 tahun

3
Jakarta, 21-1-2013
R/ Pot. Nigra Cont. Tus 150
Extr. Belladon
0,1
Sir. Simpl
20
mf. pot
S. bdd. C
Pro : Ir. Anita (28 th)

1
Jakarta, 21-1-2013
R/ Salep Wasir sec Fornas 25
mf. ungt.
S.2 dd u.e
Pro : Tn. Sasongko

4
Jakarta, 21-1-2013
R/ Sulf PP
3
Acid Salicyl
0,5
Zinc Oxyd
7,5
Talc. Venet
Glycerin
aa 10
Aq. Dest
ad 100
mf. Lot
Pro : RS. Gatot Subroto
PAKET B
PAKET B 1
PAKET B 2

4
Jakarta, 21-1-2013
R/ Ciprofloxacin
0,250
Antalgin
tab
Luminal
0,030
Mf p dtd no. XII
S t dd p pc

1
Jakarta, 21-1-2013
R/ Gliceril Guaiac
0,75
Methyl Morphini HCl 0,3
Ephedrine HCl
0,1
mf caps No.XII
S t dd caps I
Pro : Anita (10 th)

4
Jakarta, 21-1-2013
R/ Elix. Paracetamoli 100 ml
mf. pot
S.tdd. Cth
Pro : Tn. Gerry

2
Jakarta, 21-1-2013
R/ Trisulfa
6
Natr. Citr.
5
Vit. B1
0,5
mf. pot
100
S.tdd.Cth
Pro : Ani ( 15th )

Pro : Anindita

1
Jakarta, 21-1-2013
CITO!
R/ Anaesthesini 2
Levertran
30
Vas.Flav ad 100
mf. ungt
S.salep luka bakar
da 1/5 quant
Pro : Romi

2
Jakarta, 21-1-2013
R/ Salbutamol 0,020
Cod.HCl
0,225
mf.caps.No.XV
S.tdd.caps.I

1
Jakarta, 21-1-2013
R/ Ac. Salicyl
2%
Zinc Oxyd
100
Zn. Stearat
50
Kaolin
150
Talk.
Ad
1000
mf.pulv.adsp
S. Bedak Jerawat
-da 20-

1
Jakarta, 21-1-2013
R/ Ac. Boric
0.1%
Rivanol
0.1%
mf. Solutio
100
S.u.e. Obat kompres
Pro : Tn. Kardi
Pro: Fadilah
Pro : Ny.Liani
PAKET B 3
PAKET B 4
PAKET B5

1
Jakarta, 21-1-2013
R/ Ephedrini HCl
0,75
Coffein
1,50
mf caps No.XXX
S.4 dd caps
-da XII-

4
Jakarta, 21-1-2013
R/Longcef
250 mg
Septrin (TMP)
25 mg
mf. caps. dtd No. X
S. t dd caps I

2
Jakarta, 21-1-2013
R/ Phenobarb
30 mg
Theophyllini
200 mg
mf. Caps. dtd. No. XX
S.tdd. Caps. pc
-didPro : Ny. Tini
Pro : Ny. Linda

2
Jakarta, 21-1-2013
R/ OBH
150
CTM
0,025
mf.Potio
S.q dd C
Pro: Erick-8 tahun

2
Jakarta, 21-1-2011
R/ OBH
100
Theopyllin
1
CTM
10 tab
Sirup Thymi
50
mf.pot
Pro : Ny.Endah
Pro : Sugeng (12 th)

1
Jakarta, 21-1-2013
R/ Chloramphecort Cream 10g
Anaesthesin
2%
mf. cream
SUE
Iter 2x
Pro : Ny. Pangestu

3
Jakarta, 21-1-2013
R/ Menthol
0.5 %
Ac. Salicyl
2%
Amyl Oryzae 14
mf. pulv
S. Bedak

3
Jakarta, 21-1-2013
R/ Anaesthesin
1,5
Ungt. Whitfield ad 25
mds.u.e

4
Jakarta, 21-1-2013
R/ Diphenhydramini HCl 0,050
Ammonii Chloridum 0,250
Menthol
0,050
Etanol 70%
5 cc
Sirupus ad
100 cc
Mf potio
S o met v cth 1
Pro: Yulia Yasmin 5 tahun

1
Jakarta, 21-1-2013
R/ Acid Salicyl
0,2
Chloramfenicol
0,4
mf. cream
20
S.u.e
Pro : Utami-15 tahun

4
Jakarta, 21-1-2013
R/ Ac. Salicyl
1%
Resorcini
1, 5%
Alc. 70%
50
mf. Lot
S. pagi dan sore
(obat cuci rambut)
Pro : Kanti
2
Jakarta, 21-1-2013
R/ Acid salicyl
3%
Zinc Oxyd.
10%
Calamini
20%
Talci
30
MDS. Bedak
Pro: Ny. Prapti

Pro : Ny. Yudi
Pro: Deri
PAKET C
PAKET C 1
2
Jakarta, 21-1-2013
R/ Bactrim A
1/2 Tabl
Codein HCl
5 mg
CTM
1 mg
Equal
1/6 Tabl
S.bdd p.I. pc
PAKET C

3
Jakarta, 21-1-2013
R/ Amoxicillin
250 mg
Nalgestan
1/4 tabl
Alupent
5 mg
mf. pulv. dtd.No. XII
S. tdd. caps
Pro : Anis ( 6 th )
Pro : Rudi ( 6 th )
2
Jakarta, 21-1-2013
R/ OBH
Syr.Thymi aa
75
Benadryl
0,25
mf.pot
S. m et v C. I pc
Pro : Menik-8 tahun
3
Jakarta, 21-1-2013
R/ Methylis Salicyl Ungt 20
Cerae flav
Camphorae aa
2
MDS. Obat gosok

4
Jakarta, 21-1-2013
R/ Ephedrini HCl
0,2
Acetaminofeni
4
Amoksisilin
4
Sirupi
ad
80 ml
S.qt dd Cth I
Pro : Sandi-15 tahun
3
Jakarta, 21-1-2013
R/ Menthol
6%
Metil Salisilat 11,5%
Kamfer
1,5%
mf. Ungt
20
S. aplic.Ioc.dol
Pro: Nenek Minah

Pro: Bu Siti
2
Jakarta, 21-1-2013
R/ Protargoli
1,5%
Ephedrini HCl
3%
Sol.Glukosa 5% 20
mf. guttae nas.
S.t dd gtt II
Pro: Adinda -18 tahun

2
Jakarta, 21-1-2013
Acid. Salicyl
2%
Camphorae
0,1
Talkum
25
mds. bedak
Pro : Diman
PAKET C 3
PAKET C 4
PAKET C 5

3
Jakarta, 21-1-2013
R/ Doveri
150 mg
Codein HCl
10 mg
Mucopect
1 tabl
mf. caps dtd No. XII
S.t dd caps I

1
Jakarta, 21-1-2013
R/ Amoxillin 200mg
CTM
1,5 mg
Luminal
20 mg
mf. pulv.dtd.No. XII
S.tdd.pulv. I

1
Jakarta, 21-1-2013
R/ Aminophillin
2
Bisolvon tabl XV
Prednison
80mg
mf. caps.No. XII
S.tdd caps
Pro : Samsinar
Pro : Andayani ( 4 th )
4
Jakarta, 21-1-2013
R/ Diazepam
2 mg
Codein HCl
20 mg
Cataflam
tabl I
Ponstan
250 mg
mf.caps dtd No.XII
S.t dd caps I
Pro: Ny. Tiur
2
Jakarta, 21-1-2013
R/ Chloramfenicol
1%
Hydrocortisoni Acetat 0.5%
mf. Cream
15
S.2 dd.u.e

1
Jakarta, 21-1-2013
R/ Sir.Bromida Timus Sec.FOI 100
Codein HCl
100 mg
mf.potio
S. 4dd.cth.I
Pro : Beni M
1
Jakarta, 21-1-2013
R/ Tanini
1
Bals.peruv
2
Adeps lanae
5
Vas.Flav ad
20
m.f.ungt.
S. salep wasir
Pro : Tn. Oloan

1
Jakarta, 21-1-2013
R/ OBH
200
Ephedrin HCl
0,250
Thiamin HCl
0,500
mf.pot
S.tdd.C.ac
Pro : Budi
1
Jakarta, 21-1-2013
R/ Ichthyoli
1,5
Ungt. 2-4 Sec. For Nas ad 20
MDS.u.e
Pro : Helena
Pro : Shinta
Pro: Tn. Arifin
2
Jakarta, 21-1-2013
R/ Mentholi
0,3
Camphorae
0,5
Lin. Ammoniae 30
m.f lin
S.u.e
Pro : Sugeng

3
Jakarta, 21-1-2013
R/ Natr.Carbonat 1
Glycerin
10
Aqua dest
10
mf. gutt.auric
S.1dd.gtt.auric.d.s
Pro :Bardi

2
Jakarta, 21-1-2013
Ac. Salicyl
2%
ZnO
10
Talcum
10
mf.pulv
S.u.e
Pro : Zulfikar ( 3 th )

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Pro: Asep Yupri - 21 tahun

Dr. Handoko DUM 19/94

Dr. Darundono DUM 23/89

Dr. Cecep DUM 123/87

Pro : Corry-5 tahun

Pro: Poniman (4 tahun)

Pro: Ny. Sumariati

Pro: Kartono-15 tahun

Pro: Linda-4 tahun

Pro: Ny. Sally

Pro : Corry-5 tahun

Dr. Darundono DUM 23/89 4

Pro: Ny. Harmoko

Dr. Handoko DUM 19/94

Dr. Darundono DUM 23/89

Pro: Tn. Lukito

Pro : Tn. Gerry

Pro: Sulianti-21 tahun

Pro : Ny. Linda

Pro: Ny. Susi

Dr. Cecep DUM 123/87

Dr. Menadion DUM 56/78

Pro : Anita (10 th)

Dr. Cecep DUM 123/87

Dr. Cecep DUM 123/87

Dr. Darundono DUM 23/89

Dr. Cecep DUM 123/87

Dr. Cecep DUM 123/87

Dr. Darundono DUM 23/89

Dr. Cecep DUM 123/87

Pro: Ny. Ratna

Pro: Tn. Ibrahim

Dr. Darundono DUM 23/89 2

Dr. Cecep DUM 123/87

R/ Gargarisma Khan 150

Pro: Tn. Syamsurizal

Dr. Cecep DUM 123/87

Dr. Darundono DUM 23/8

Dr. Cecep DUM 123/87

Pro: Kartini - 24 tahun

Dr. Cecep DUM 123/87

Dr. Menadion DUM 56/78

Dr. Cecep DUM 123/87

Dr. Menadion DUM 56/78

Dr. Cecep DUM 123/87

Pro : Ny. Tini

Pro : dr. Anda Mulya

Dr. Cecep DUM 123/87

Pro : May-may (9 th)

Pro : Ir. Anita (28 th)

Pro : Yulia - 11 tahun

Dr. Menadion DUM 56/78

Dr. Cecep DUM 123/87

Pro: Erick-8 tahun

Dr. Handoko DUM 19/94

Dr. Cecep DUM 123/87

Pro : Nunung ( 20 th)

mf. pulv. No. XII

mf. Caps. dtd No. XII

Pro : Tn. Ali

Pro : Camarwulan (13 th)

Dr. Menadion DUM 56/78