0711 55781 Palembang, 14 April 2013 R/ Acid Salicylic Balsam Peru Adeps Lanae Magnesii Oxydi Zinci Oxydi Talcum ad m. d. s. pulv adspers s. bedak purol 2 gram 2 gram 4 gram 10 gram 10 gram 100 ml
RESEP 2 Dr. Ida Ayu Larasati SIP. 9785/IPDU/00 Jln. Jambi 74, Palembang Telp.0711 55781 Palembang, 14 April 2013 R/ Ol. Ricini Acid salicyl aa Sulfur praecip Zinc oxydi Acid Boric Talk ad Ol. Rosarum gtt. V m.d.s pulv adspers
g g g g ml
RESEP 3 Dr. Ida Ayu Larasati SIP. 9785/IPDU/00 Jln. Jambi 74, Palembang Telp.0711 55781 Palembang, 14 April 2013
RESEP 4 Dr. Ida Ayu Larasati SIP. 9785/IPDU/00 Jln. Jambi 74, Palembang Telp.0711 55781 Palembang, 14 April 2013 R/ NH4Cl 5,5 Codein HCL 80 mg CTM 20 mg Sacch Lact q.s M. f. Pulv No. XV S. t dd pulv I Pro : Febi Umur : 5 th Alamat : Jl. Kenanga no. 27
R/