No

Identitas
Tegar adi nugroho
9 th, pakunden 1/5

An. Didit 9th

Yulian setiadi kanter 4/11

Panas, pusing, batuk,

muntah. BB: 24 kg

Tn. Suranto
Sudagaram
Ny. Rasmiati/ Ny. Maniek
34 th
Nur khairunnisa 13
Sudagram 6/III

Kontrol tensi
TD: 140/90 mmHg
TD: 100/70 mmHg
BB: 69 kg
Panas 3 hari, nyari
punggung, gatal di badan

An. Evi triana 5th

Tanggenan 3/II
Ny. Karsiati 71 th
Karangsalam

Muntah 5x/hari, mencret

4x/hari, demam BB: 16 kg
Batuk, nggreges.
TD: 155/90 mmHg

An. Cahaya ugi ramadhani

13 bln BB 10,3 kg
karangsalam
Gabriel 2th
Sudagaram

Panas, batuk, pilek,

muntah

10

An. Dava 9 th

Panas, batuk, pilek,

muntah, kembung, diare

11

Ny, Sugeng
kdutes 2/II

12

An. Didit Yudian 9 th

Kdutes 4/I

Muntah, Batuk, BB: 24 kg

13

An Namira 7 th
Kdutes 6/I BB: 32 Kg

Panas, batuk, pusing

4.
5.

6.
7.

8.

9.

Tanggal
01/10/14

Ax-px-dx
Muntah-muntah, demam,
batuk, pusing. BB: 20 kg

Panas 2 hari

2/10/14

Mual, nyeri, panas,

muntah.

Tx
Vegrena 3x1/2 tablet
PCT 3x1/2 tab
Amox 3x1/2 tab
Ambroxol 3x1/2 tab
Amox 3x1/2 tablet
PCT 3x1/2 tablet
Dentac 3x1/2 tablet
Lytamin 3x1/2 tablet
Gravask 1x1 malam
Cyclofen
Amox 3x1/2 tablet
PCT 3x1/2 tablet
CTM 3x1/2 tablet
Infalgi 3x1/2 tablet
= SKD 3 hari
SKD 3 hari
Licoprama 2x1
Hufaxol 3x1/
Grafadon 3x1
Rit 3x1
Amox 3x1
Dexa III
Anacete 3x1
Oraprenefe F1 3x 3/4
Lostacef f1 2x1
Dexa III 2X1
CTM III 2X1
Avbroxol III 2X1
Oraprenefe 3X1
Lostacef 2X1
Dexa IV 2x3/4
CTM IV 2x2/4
Vespren 3x1/2
Diaform 1-1-1
Moxigna 2x1
Drafasclike
Hogra 3x1
Ramitidi 2x1
Hufagrip F 3x1/2 VI
Vergrem 3x1/2 tab VI
Lostacef F I 2xII
Oraprofe F I 3XI
Doxtaco 3x1/2

14

Ny. Romiah
Kdutes

15

An/By Jafar 14 bln

16

Ny. Siti 37 th
Kr.rama

17

An Reza 5th
Sudagaram 4/3
Ny Elis sulastri 54 th
Kejawan 3/II

Keringat dingi, mual,

pusing
TD: 145/80 mmHg
Panas, batuk BB: 11,2 kg

19

By. Hafiz 6 bln BB: 7,8 kg

Kdutes

Bintik kemerahan seluruh

tubuh, demam, tenggorok
sakit, batuk
TD: 90/60 mmHg
Panas 2 hari, mual,
mencret cair 1x/hari
Nyeri kepala 3 hari,
demam, keringat malam,
muntah, diare
TD: 130/80 mmHg
Panas 1 hati, muntah,
mencret

20

Tn afrizal 17 th
Wlakas kulon 8/II

Pusing, demam, mual,

diare, batuk

21

An. Aziz Nurahmat 18 bln

Pajerukan, kalibagor 2/I

Muntah 4x/hari, mencret

5x/hari, panas, diare akut
BB: 12,3 kg

22

An alfian 3 th
BB: 6kg

Diare 7X, sudah ke bidan

diare akut

23

Ny. Wasinem
Kaliori 12/IV

Pusing, leher kencang,

mual TD: 180/100 mmHg

24

Ny partini 32 th

Keputihan

25

An. Eka 25 kg 11 th
Kaliori 4/IV

Muntah 4x/hari, mencret,

panas, diare akut

26

P. Rasikin 65 th
kdutes 6/2

27
28

Ny. Dian andriani

Ny. Tulasmi 61 th

Pusing, ngliyeng, mual,

keringat dingin
TD: 180/90 mmHg GDS
226 mg/dt
Kurang Vit c
Batuk 3 hari, mual, suara

18

3/10/12

Ramitidi 2x1
Hufagrip 3x1
Yusiox jv I 3x1
Dexa III
Anacete jv I 3x1
Hufagrip F 3x1
Hufanig fal 3x1

Hufagi 2x1
Dexmetra 3x
Nemalji nleca 2x1
Dz 1x1/2
Ramitidi 2x1
Guafandun 3x1
Prindax 3x1
CTM 3x1
PCT f I 3x3/4
Diaform 4. .
Hufanokyl tab 3x1
Grafadon 3x1
Ambroxol F I 3x2 cil
Dexanetason 3x1
SKD 3 hari
Amox 3x1
PPV III
PCT III
CTM III
Diaform
Amox fr 3x1/2
PCR III
CTM III
Diaform 1/4-1/4-1/4
Captojul 2x1
Hufagi 3x1
CTM 1x1
Ramisidi 2x1
Grafazil 2x1
Grafachlor 3x1
Licoprin F 2x1/2
Grafadon 3x1/2
Diaform 3/2-3/2-3/2
Vespren 3x1/2
SKD 3 hari
Histigo X
Vespren X 3x1
Zenicasdo X 1x1
Vit C
Roveton f I 3x2

Danangan 2/1 bms

29. An. Zalfa 9 th

BB: 21 kg
30. Tn. Sajim 47 th
Somagede 1/8 BMS

serak . TD: 130/80

04/10/14

Demam, batuk, sesak

Kaki bengkak,

Amoxilin 3x1
Hufalgi 3x1
Vit c 3x1
Licoprin 2x1/2
Fascofe 2x1
Grafachles 3x1/2
Fargetix 3x1
Dexametasiru 3