PENOLAKAN RESEP JANUARI 2016

KF UNPAD
TGL

Pasien

NAMA OBAT

1-31/1/16

10
5
2
5
7
1
1
1
2
11
1
1
1
1
3
1
2
1
2
1
1
1
1
1
2
1
1
1
2
1
7
2
3
2
4
1
2
2
2
1
2
1
5

MYLANTA SYR 50 ML
BENZOLAC GEL 5%
RETIN A 0.025%
ENERVON C @30
ENERVON C @4
TERRACORTIL SK
PARAFLU
INNOLIFE ASSAUDAH
ULTRAPROCT N SUPP
SUMAGESIC
FORRES
LINCOCIN 500 MG
SALEP 88
KLODERMA CR 10 GR
MELANOX PREMIUM
SELOXY AA
CPG
CONCOR 2.5 MG
FREGO 5 MG
LAGESIL TABLET
LACTO B SACH
AMBICOR
LAMANDEL
BETADINE FEMININE HYGIENE
WWZ
FAMOTIDINE 40 MG
RIKLONA
POLYSILANE SYR 100 ML
NUTRIVE BENECOL STRAW
THYRAX 100
KASSA STERIL 16 x 16
HEROCYN BEDAK 150GR
CHARM BF NIGHT WING 29CM 10P
NEW DIATAB
NORIT
SUPRAMOX SYR
NEURALGIN RX
CETIRIZINE
CRESTOR 10 MG
INHIPRAZ 15
APPETON WEIGHT GAIN ADULT 400 GR
PLANTACID FORTE SYR
POLYSILANE TAB

JUMLAH
HV

UP

10
5
2
150
100
1
4
1
10
20

3
1
3
6
60
30
30
10
10
10
10
1
2
20
6
10
30
12
2
3
24
4
20
70
20
10
2
1
40

1
2
1
2
1
3
5
1
1
1
1
2
9
1
3
3
4
1
3
1
3
1
3
4
8
10
3
2
2
2
2
1
1
1
1
2
8
3
1
1
3
2
1
2
2
1
1
1

HI-BONE
PROPRANOLOL 10 MG
RAMIPRIL
SP TROCHES@120 STRAW
DECOLGEN TAB
SIDO M TOLAK ANGIN + MADU 15ML
BIOGESIC
SENSI SARUNG TANGAN M
LONENE CAP
HCT
INH 300 MG
METFORMIN 850 MG
CALADINE LOTION
LOSARTAN
OBAT BATUK IBU DAN ANAK 150
LOTRIDERM
SIMARC 2 MG
CHOLESTAT 20MG
COMBANTRIN SYR
GAZERO SACH
GASTRIDIN TABLET
UTILOX SUSP.
SIDO MUNCUL TOLAK ANGIN MADU
VYTAZIM
SUPER ESTER C HOLISTICARE @48
HANSAPLAST STD
SENOS
VENUS FACIAL WASH 100ML
OB HERBAL 100ML
HYPOFIL 300MG
CENDO EYE FRESH MD TM
CLINMAS 150MG
CRAVIT TM
SPIRADAN CAP.
ANALSIK
VICKS VAP. 25GR
PANADOL EXTRA
VERMINT @12
DIPROGENTA CR 5GR
BION 3
ASMA SOHO
PLANTACID SYR
BETADINE GARGLE 190ML
GLISODIN
FORMYCO CR
FUNGARES CR
LASAL SYR
LASAL EXP. SYR

40
30
24
20
36
20
1
10
20
120
8
3
3
120
10
5
5
30
1
36
32
40
100
3
2
2
2

2
80
3
1
12
2
1
2
2
1
1
1

1
1
9
5
6
3
2
1
2
5
1
1
3
3
2
5
3
1
6
1
1
1
1
5
1
2
1
1
2
1
1
1
1
1
2
1
1
5
1
1
1
1
2
1
1
13
1
1

VENTOLIN EXP SYR

FARTOLIN SYR
ASAM MEFENAMAT
MINYAK SEREH
RIVANOL
LAZ
POLYCROL FORTE SYR.
ULTILOX SUSP.
DUMIN SYR
DEXAMETHASONE 0.75
RANTIN 150
KOTAK P3K
IMUNOS TAB.
CALCIUM D REDOXON @10
TRAMIFEN TAB
NORIT
LIPITOR 10MG
LIPANTHYL SUPRA
INTUNAL TAB.
ACITRAL SUSP.
NEXIUM 20MG
PROTEXIN SERBUK
METFORMIN 500MG
KALPANAX CR
FORMYCO TAB.
MUCOPECT DROP
VERMINT @30
RECOLFAR 0.5
MEDIXON 4MG
TRANSBRONCHO SYR. DWS
MUCOPECT 30MG/5ML
MOLACORT TAB
SCOTT CAP. @100
MYCORAL TAB.
COMBIVENT NEBU
NOROID CR
ISOPRINOSIN SYR
PIGEON NOSE CLEANSER
DEGIROL @4
XYZAL
ORALIT
DOMPERIDON
DOGMATIL
Thyrozol 10mg
Thyrozol 10mg
ALCOHOL 70% 100ML
HERBESSER CD 100
MADU NUSANTARA SUPER 250ML

1
1
130
5
6
30
2
1
2
50
1
20
3
5
30
30
24
1
3
30
5
2
1
20
1
1
10
1
10
30
1
1
5
4
10
10
20
30
10
10
14
20
1

1
1
1
1
1
1
1
1
2
2
1
1
1
1
1
1
1
1
3
5
2
3
2
1
2
6
4
6
2
1
2
150
70
82
2
1
1
1
1
1
1
1
1
2
1
1
1
2

INSTO
ROHTO
VISINE
ELOPRO CR
MYCORAL CR
PEPTISOL COKELAT
FATIGON SPIRIT
FATIGON C PLUS
AMLODIPIN 10MG
ASPIRIN
VESICARE
ULTRAPROCT SALEP
LINCOMYCIN 500MG
ASPAR K
ASCARDIA
VOMETA FT
TEOSALTAB.
ALDISA SR
IRVASK 150
NORVASK 5 MG
VIAGRA 100MG
TRAJENTA DUO 500
JANUMET 5/500
PULMICORT RESP 0,25/ML
REGROU FORTE
LANTUS
ZYLORIC 300
INTERLAC DROP
3 IN 1 AUTOCHECK
OSSOPAN 800
ELEVIT
AMLODIPIN 5 MG
SIMVASTATIN 10 MG
CAPTOPRIL 25 MG
ASTHIN FORCE GEL
BACTROBAN CR 5
BACTROBAN CR 10GR
BACTROBAN OINT 10GR
ANADIUM
NUTRIBREAST SOFTGEL @10
NEPHRISOL D
XARELTO 10
DUVADILAN INJ.
AVODART
HARNAL OCAS
RIMCURE PAED
EVOTHYL
BRICASMA TURBUHALER

11
13
10
1
1
1
5
5
20
40
1
10
10
20
50
10
20
30
4
30
30
10
2
6
40
6
2
30
1500
760
825
2
1
2
1
10
30
3

60
10

1
1
2
1
1
5
1
1
1
2
1
1
2
1
1
1
2
1
1
1
2
2
3
5
1
3
1
1
7
3
2
2
2
5
3
2
1
2
1
1
12
1
20
2
2

AMARYL 2MG
TRUVAZ 10MG
AUTOCHECK GLUCOSE @25
SANTA E 200
CANDESARTAN 8MG
NOVOMIX
MYONAL
KLOTAREN 25
LOSARTAN
TOPAMAX SPRINKLE 25
VYTORIN 10/10
PRADAXA 110MG
LANAKELOID CR
TRAJENTA DUO 850
IRBESARTAN 150
ANGIOTEN 50
SERETIDE 50MCG INH
UTROGESTAN 100
CLARITIN TAB
NEPHRISOL VANILA
FLIXOTIDE INH
AVAMYS
DIABETASOL 180MG COKELAT
V-BLOC 6.25
GLUCOVANCE 500/2.5
HERBESSER CD 100
ITRACONAZOL 100
ASTHIN FORCE 4MG
PULMICORT RESP 0,5/ML
CUKA APEL TAHESTA
KALOBA SYR.
BENOSON M CR
CLANEKSI SYR
CANDISTATIN DROP
MYCOSTATIN DROP 12ML
BETASERC 24MG
DOXICOR 100CAP
DUODART
KURSI RODA BAN MATI GEA
OXYGEN LENGKAP
IMBOOST FORCE TAB
EUTHYROX 100
RHINOS SR
ATAROC SYR.
KETOMED SS
TOTAL

10
10
2
50
5
10
30
60

2
30
50
20
2

10
2
2
3
150
30
90
60
36
70
3
2
2
5
3
40
120
1
1
120
25
200
2
2

UMLAH

NILAI SATUAN

NILAI

R/

16
15
5

10

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

11,221
22,000
66,778
1,096
1,092
20,885
113,850
20,598
491
8,720
12,004
8,000
37,812
126,310
8,012
19,616
7,426
7,562
962
5,534
20,240
30,800
276
9,524
23,402
6,588
2,621
9,500
14,041
8,396
642
145
25,740
756
412
21,729
13,062
330,625
35,000
1,010

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

112,210
110,000
133,556
164,400
109,200
20,885
113,850
205,980
18,700
130,800
60,020
24,000
37,812
378,930
48,072
1,176,960
222,780
226,860
9,620
55,340
20,240
61,600
5,520
95,240
140,412
65,880
78,630
114,000
28,082
25,188
15,408
580
25,740
15,120
28,840
434,580
130,620
661,250
35,000
40,400

30

30

30

50
12
1
12
10

30

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,004
790
5,500
690
432
2,300
455
49,375
6,569
128
151
412
18,090
4,333
38,500
61,201
1,788
9,625
16,000
1,914
6,188
37,125
2,300
962
1,344
256
49,500
24,300
15,295
2,860
31,798
4,812
157,300
7,293
1,573
14,059
735
23,213
66,799
3,880
444
10,000
18,596
7,562
2,225
38,500
30,250
45,375

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

120,120
31,600
165,000
16,560
8,640
82,800
9,100
49,375
65,690
2,560
4,530
49,440
144,720
129,990
115,500
183,603
214,560
96,250
80,000
9,570
185,640
37,125
82,800
30,784
53,760
25,600
148,500
48,600
30,590
143,000
63,596
57,744
157,300
87,516
15,730
28,118
58,800
69,639
66,799
116,400
5,328
20,000
18,596
15,124
4,450
38,500
30,250
45,375

20

12

10

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

65,114
48,125
339
9,969
11,385
16,500
34,375
37,125
20,075
261
5,912
26,500
7,975
40,641
10,010
14,500
22,300
25,640
908
33,688
19,665
19,158
228
8,250
6,325
76,532
42,281
5,912
3,162
34,375
69,596
4,262
589
4,758
17,819
123,750
128,906
68,750
942
8,580
811
505
4,125
2,026
2,026
10,246
12,055
56,925

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

65,114
48,125
44,070
49,845
68,310
495,000
68,750
37,125
40,150
13,050
41,384
26,500
159,500
121,923
200,200
72,500
669,000
769,200
21,792
33,688
157,320
57,474
6,840
41,250
75,900
153,064
42,281
59,120
63,240
34,375
69,596
42,620
589
47,580
534,570
123,750
128,906
343,750
3,768
85,800
8,110
10,100
123,750
20,260
20,260
143,444
241,100
56,925

30
10

30
30

25
30

10
30

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,500
15,000
13,434
33,000
13,750
64,540
1,500
1,200
2,170
806
23,336
131,312
1,014
2,810
1,548
4,950
261
5,362
12,834
9,289
173,420
9,259
8,654
21,246
123,544
236,358
6,364
265,650
550,000
6,302
4,466
1,200
641
172
96,250
48,125
74,250
74,250
9,900
9,749
67,405
35,750
36,942
11,812
18,200
3,300
14,157
250,808

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

137,500
195,000
134,340
33,000
13,750
64,540
7,500
6,000
43,400
32,240
700,080
131,312
10,140
28,100
15,480
99,000
13,050
53,620
256,680
278,670
693,680
277,770
259,620
212,460
247,088
1,418,148
254,560
1,593,900
1,100,000
189,060
133,980
1,800,000
487,160
141,900
192,500
48,125
148,500
74,250
99,000
292,470
202,215
893,750
1,108,260
708,720
182,000
33,000
424,710
501,616

30

360
10
30

16
10

20

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

6,682
17,646
104,000
2,502
6,498
210,110
8,558
1,301
4,166
8,692
24,833
25,254
75,625
9,259
1,964
14,025
152,251
12,155
10,154
58,822
104,156
165,000
43,633
3,438
4,376
12,055
9,900
9,548
21,872
30,360
137,500
75,625
68,068
46,475
63,938
11,192
8,103
20,625
1,197,000
656,250
6,957
2,329
6,188
61,875
50,188

Rp
66,820
Rp
176,460
Rp
208,000
Rp
75,060
Rp
324,900
Rp
1,050,550
Rp
85,580
Rp
39,030
Rp
249,960
Rp
3,129,120
Rp
248,330
Rp
757,620
Rp
151,250
Rp
277,770
Rp
98,200
Rp
280,500
Rp
304,502
Rp
194,480
Rp
101,540
Rp
588,220
Rp
208,312
Rp
330,000
Rp
130,899
Rp
515,700
Rp
131,280
Rp
1,084,950
Rp
594,000
Rp
343,728
Rp
1,531,040
Rp
91,080
Rp
275,000
Rp
151,250
Rp
136,136
Rp
232,375
Rp
191,814
Rp
447,680
Rp
162,060
Rp
2,475,000
Rp
1,197,000
Rp
656,250
Rp
834,840
Rp
58,225
Rp
1,237,600
Rp
123,750
Rp
100,376
Rp 47,800,585

PENOLAKAN RESEP FEBRUARI 2016

KF UNPAD
TGL

Pasien

JUMLAH

NAMA OBAT
HV

1 SD 11/2

1
1
6
20
2
1
1
1
1
1
1
1
1
1
1
1
9
1
2
2
1
2
1
1
1
1
1
1
1
1
1
5
1
1
1
15
17
5
1
1
5
3
1

PHYSIOGEL CLEANSER
ASMASOLON
SODIUM CHLORIDE 500 ML
ALKOHOL 70% 100 ML
ASCARDIA 80 MG
SERETIDE DISKUS 500 MCG
SPEDIFEN 400 MG
PROLIC 150 MG
TRAJENTA DUO 500 MG
SAKATONIK LIVER TAB
LAVACORT
BDM
LORATADINE
ANTASIDA DOEN TAB
KALOBA TAB
KALOBA SYR
OBAT BATUK IBU ANAK 150 ML
CTM
ATAROC SYR
ASVEX
LEVOPRONT SYR
CUKA APEL TAHESTA
STESOLID RECTAL 5MG 2.5ML
NEO RHEUMACIL NEURO
FAMOTIDINE 20 MG
JOHNSON MILK BABY BATH
POLDANMIG
ESPERSON CR 15 GR
DIPROGENTA CR 5 GR
RIZONAX
AFAMED
PANADOL COLD & FLU
LIPROLAC SACH
FITKOM TAB GRAPE
DAIVOBET OINT 30 GR
PRORIS TAB
AMLODIPIN 5 MG
BION 3
ZEGASE
ZEGAVIT
KOYO CABE
AMARYL 3 MG
BUDENOFALK

1
4
20

10

2
10
1
4

50
1

30
5
5
5

2/12/2016

1
1
1
2
1
1
1
1
1
3
1
6
3
5
3
1
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
2
1
5
1
1
1

SALOFALK 500
LIPITOR 40 MG
ENSURE VANILLA
PANTOZOL 20 MG
DEFLAMAT CR 100
ZORALIN TAB
GEMFIBROZIL
HYPOFIL TAB
VENOSMIL TAB
PYRIDOXINE
MAINTATE 2.5 MG
BETADINE VD+ALAT
HIMALAYA LIP BALM
CHARM BF EXTRA MAXI N WING 10P
MICROLAX ENEMA
DULCOLAX SUPPO DEWASA
VEGETA HERBAL
HYDROKORTISONE 2.5% CR
CALADINE GEL
BODREXIN BATUK PILEK SYR
BIOLINCOM SYR
SCOTT CAP
VITAONE
ABATE
LANCEF INJ
PANLOC INJ
LERZIN TAB
WWZ
CLARINASE TAB
MIOZIDINE
VERILE ACNE GEL
SANTA E 400
ANTASIDA SYR
FLUCADEX TAB
INBION
PEN NEEDLE 31G BD@100
HI BONE
ATOFAR 10 MG
DECOLGEN
PASEO BATHROOM 1 ROLL@220
HEXYMER
CETAPHIL BODY MOISTURIZER 295M

1
1
1
1
1

AMITRIPTILIN
GABAPENTIN 300 MG
DEMACOLIN
SENOS
AMBROXOL TAB

3
5
1
1
1
1
1
1
1

10

20
1

2/13/2016

2/14/2016

2/15/2016

1
1
1
1
1
1
1
5
1
1
1
1
1
1
1

SOLAC SYR
MEPTIN SYR
GOFLEX
ASCARDIA
PANTOZOL 40 MG
NOLIPO
OXOFERIN
AMLODIPIN 5 MG
BETADINE VD+ ALAT
CLANEKSI SYR
HEMOLOK
BICNAT
HYDROCORTISON 1%
AMARYL 1 MG
SCOTT VITA 400 ML

1
2
1
1
1
1
1
1
1
1

RADIN
VIRUMERZ GEL 10 GR
JOHNSON BABY LOTION
FLUCADEX
CHLOROQUIN
TEOROL
MYONEP
DEXTAMIN
LUMINAL
GLUVAS 1 MG

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

PIMTRACOL SYR
LAZ
BETADINE SOL 30 ML
SENOS
NEXCARE TATO WP
DESOLEX CR
APPETON WG ADULT
MUCERA SYR
ZEGAVIT
RIVANOL
DECOLGEN TAB
DECOLGEN FX
KIRANTI
DEMACOLIN TAB
DEXTRAL
LAPISIV TAB
BION 3
SANVITA EFF
TROSYD SALEP

BIOLINCOM SYR

1
1
1
1
1
15
1
4
10
1
10
10
10
6

2/16/2016

2/17/2016

1
1
1
1
1
1
1
1

ISOPRINOSIN TAB
NEOZEP FORTE
VOLTADEX 50MG
PERDERM CR 10 GR
TEBOKAN FORTE
CEFIXIME 100
ERYTROMYCIN 500 MG
EZERRA CR

1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
5
3
1
1
1
1
1
3
1
1

Cafergot
Ericaf tab
cefadroxil syr
CEREBROVIT EXCELL
Claneksi syr
dexamethason 0,5
ambroxol tab
Gerac sach
exforge 5/ 80
concor 1,25
Donexan Syr
resorcin
chloroquin
TROLIT
TOFRANIL
VESICARE 5 MG
SOLAXIN TAB
TERMOMETER OMRON MC 426
HIDROCORTISON 2.5%
ABBOCATH 24 KG
PANTOZOL 40 MG
KALMOXILLIN
THEOBRON CAP
NEUROBION 5000 AMPUL
TERMOMETER QUICK VIEW
OBH NELLCO
DERMATOP CR 0.25%

6
1
1
1
1
1
1
1
1
1
1

LANSOPRAZOL
DISFLATYL
ELSAZYM
BENOZYM
DOMPERIDON SYR
FEROFORT
ATIVAN 0.5MG
TIMBANGAN DIGITAL GEA
TAMOXIFEN 20 MG
CO-DIOVAN 80-12.5
VITANORM

10

10

1
4
12

5
3

3
1

1
1
1
1
1
1
1
1
1

NORMAFIT
SUVESCO 20
SUVESCO 40
ALPRAZOLAM 0,5
MY CARE CITRUS
HYDRO COCO
MUCERA SYR
METAMA
ZUMAFIB 100

2/18/2016

6
1
1
1
1
1
1

AMLODIPIN 5MG
ASCARDIA 80
OSFIT TAB
INTERDOXIN 100
GASTRAN TAB
THIAMPHENICOL CAP
DOXIXYCLIN CAP

2/19/2016

1
30

DISOLF
URDAFALK

2/20/2016

1
1
1
1
1
1
2
3
1
1
1
1

ASCARDIA 80MG
LANTULAS SYR
LEPSIO
FAMOTIDINE 40 MG
ARDIUM
DECOLGEN TAB
PARATUSIN TAB
ALBOTHYL 10 ML
FLUIMUCIL SYR 75 ML
FLUIMUICIL PED SACH
GABEXAL 100 MG
DISFLATYL TAB

2/21/2016

1
1
3
1

TJ JOYBEE
ALEGYSAL TM
AMLODIPIN 5 MG
THYRAX

2/22/2016

3
1
1
1
4
1
2
1
1

INSTO TM
CRAVIT TM
PRORIS TAB
MOLACORT 0.5 MG
ESTER C @30
MYCORINE PWD
SENOS
OXYCAN
NEOZEP F

1
1
6

20
20
3

4
2
1
1

2/23/2016

2/24/2016

2/25/2016

2/26/2016

1
1

PARATUSIN SYR
STOP COLD

1
8

3
1
1
1
1
1
1
3
1

TEMPRA FORTE
METIDIN
AMLODIPIN 5 MG
CENDO TONOR TM 0.5%
EWOMA
HI-BONE
HP PRO
NEURALGIN
ALOCLAIR SPRAY

1
1
2
2
1
1
2
1
1
1
1
1
1
1
1
1
1

OXAN
RHINOFED TAB
RHINOFED SYR
DECOLGEN
PASEO TRAVEL PACK @ 50
RIMACTAZID PAED
TEMPRA FORTE
INTERLAC
SPIRADAN TAB
SILOXAN TM
CLIAD
GASTRIDIN
UNIVIT SYR
CEFILA 100 TAB
CARDIVASK 5 MG
SENOS
HYSTOLAN

1
1
1
1
1
1
1
1
1
1
1
1

SENOS
GASTRIDIN TAB
TRIAMINIC BATUK PILEK
ASCARDIA TABLET
FLUTAMOL TABLET
BD ALCOHOL SWAB
MY BABY MINYAK TELON
NEURALGIN
OSTELOX 15 MG
STOP COLD
PROCOLD
KALKURENAL

1
1
1
1

PANTOCAIN TTS MATA

BRAINACT 500
RANTIN 150
KENALOG ORABASE

1
2

1
1

100
1

8
12

2/27/2016

2/28/2016

2/29/2016

1
1
1
1
1
1
1
1
1
1
1

baquinor 500
PARATUSIN TAB
neuralgin
MUCOPECT RETARD
AERIUS TAB
MEZATRIN TAB
LANAKELOID TAB
HANSAPLAST PLESTER
ALBUCETIN TM
CENDO EYE LOTION
STIMUNO TAB

1
1
1
1
1
1
1
1

BORAX GLISERIL
GLUMIN XR 500MG
POLYSILANE 180 ML SYR
OBAT BATUK IBU DAN ANAK 75 ML
METERGIN
METILAT
BLEDSTOP
KENALOG ORABASE

1
1
1

biocurkem
movix 7,5
ANELAT TAB
JUMLAH

10
2
1
1

16

NILAI SATUAN

JUMLAH
UP

NILAI

R/

6
50
1
15
20
10

Rp 85,000
Rp
444
Rp 13,750
Rp 10,246
Rp
1,548
Rp 211,050
Rp
7,364
Rp
4,576
Rp
9,259
Rp
492

1
20
10
10
10
1
12
2
30
1
1
10

1
1
10
6
5
1
150
210

25
90

Rp
3,146
Rp
416
Rp
208
Rp
8,480
Rp 137,500
Rp 38,500
Rp
136
Rp 61,875
Rp
111
Rp 78,045
Rp 31,856
Rp 33,977
Rp
862
Rp
141
Rp 18,216
Rp
626
Rp 148,634
Rp 69,471
Rp
5,225
Rp
9,625
Rp
946
Rp
7,590
Rp 15,812
Rp 524,810
Rp
1,210
Rp 12,000
Rp
3,886
Rp
2,910
Rp
2,910
Rp
9,000
Rp
8,398
Rp 30,416

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

85,000
1,776
82,500
204,920
77,400
211,050
110,460
91,520
92,590
4,920
62,920
4,160
2,080
84,800
137,500
346,500
1,632
123,750
3,330
78,045
63,712
33,977
8,620
1,410
18,216
2,504
148,634
69,471
52,250
57,750
47,300
37,950
15,812
524,810
181,500
2,520,000
116,580
14,550
14,550
45,000
209,950
2,737,440

60
10
17
10
10
12
10
10
90
10
6

3
5

Rp 15,361
Rp 22,338
Rp 131,984
Rp 20,429
Rp
8,594
Rp
3,402
Rp
400
Rp
2,750
Rp 10,312
Rp
185
Rp
6,399
Rp 51,865
Rp 15,144
Rp
6,131
Rp 22,138
Rp 18,558
Rp 28,690
Rp
6,875
Rp 21,505
Rp
8,137
Rp 64,350
Rp
550
Rp 200,000
Rp
2,543

Rp
1,716
Rp
3,418
Rp
4,469
Rp 13,062
Rp
432
Rp
3,045
Rp
458
Rp 295,095

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

921,660
223,380
131,984
347,293
85,940
34,020
4,800
27,500
103,120
16,650
63,990
311,190
45,432
30,655
22,138
55,674
28,690
34,375
21,505
8,137
64,350
550
200,000
2,543
30,800
72,280
85,800
14,000
28,464
3,165
51,480
34,180
268,140
391,860
8,640
3,045
13,740
295,095

Rp
Rp
Rp
Rp
Rp

Rp
Rp
Rp
Rp
Rp

4,680
214,500
3,620
49,500
1,560

2
1
10
10
20
6
1
30
10
60
30

30
1
30
30
10
10

Rp
Rp
Rp
Rp
Rp
Rp

30,800
7,228
4,290
14,000
4,744
3,165

156
7,150
362
49,500
156

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

99,000
65,038
11,688
1,548
25,929
6,149
89,375
12,000
64,762
68,068
88,550
126
4,675
3,771
46,185

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

99,000
65,038
116,880
30,960
181,503
73,788
89,375
600,000
64,762
68,068
88,550
3,780
4,675
37,710
46,185

Rp
Rp
Rp

2,502
90,090
10,765

Rp
Rp
Rp
Rp
Rp
Rp

106
2,475
5,500
2,230
88
2,819

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

50,040
180,180
10,765
1,060
74,250
55,000
22,300
1,320
28,190

1
1

Rp
8,000
Rp 17,160
Rp 19,900
Rp 49,500
Rp
6,549
Rp 28,400
Rp 386,100
Rp 24,310
Rp
2,910
Rp
4,111
Rp
864
Rp
550
Rp
3,500
Rp
334
Rp
1,139
Rp
2,024
Rp
3,880
Rp 41,112
Rp 127,444

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,000
171,600
19,900
49,500
6,549
28,400
386,100
24,310
43,650
4,111
3,456
5,500
3,500
3,340
11,385
20,240
23,280
41,112
127,444

Rp

Rp

64,350

1
10
20
7
12
1
50
1
1
30
1
10

20
2
15
10
30
10
10
15
10

10

1
1

64,350

4
50
1
10
10
10
1
10
10
1
2
10
10
15
15

10
20
15
10

2
15
13
30
2

1
60
10
10
10
1
10
10
90
14
10

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

16,624
550
619
74,355
15,230
5,188
894
55,000

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

66,496
2,200
30,950
74,355
152,300
51,880
8,940
55,000

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

9,850
5,788
12,953
1,700
68,068
109
156
19,938
18,288
4,462
14,300
545
260
12,228
7,452
24,238
5,409
65,500
3,750
18,750
25,929
3,438
2,360
11,431
45,000
24,000
72,135

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

98,500
57,880
12,953
17,000
136,136
1,090
1,560
199,380
274,320
66,930
14,300
2,180
2,600
146,736
149,040
363,570
54,090
327,500
11,250
37,500
388,935
44,694
70,800
22,862
135,000
24,000
72,135

Rp
1,689
Rp
695
Rp
2,062
Rp
2,750
Rp 15,821
Rp
2,269
Rp
2,889
Rp 137,500
Rp
5,606
Rp 16,318
Rp
4,579

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

101,340
6,950
20,620
27,500
15,821
22,690
28,890
137,500
504,540
228,452
45,790

10
10
10
10

1
10
60
30
60
20
20
10
20

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

7,620
14,438
22,344
760
13,800
5,212
23,375
1,815
6,050

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

76,200
144,380
223,440
7,600
13,800
5,212
23,375
10,890
60,500

Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,000
1,548
2,062
8,580
608
800
329

Rp
Rp
Rp
Rp
Rp
Rp
Rp

720,000
46,440
123,720
171,600
12,160
8,000
6,580

8938 Rp
13032 Rp
Rp
1,548 Rp

89,380
390,960
46,440

10
30
30

Rp
-

20
6

276

Rp

5,520

1
10
10
20

Rp
Rp
Rp
Rp
Rp
Rp
Rp

432
949
43,010
60,500
4,331
5,068
695

Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,640
18,980
129,030
60,500
4,331
5,068
695

1
60
30

Rp 12,705
Rp 110,000
Rp 12,000
Rp
2,621

Rp
Rp
Rp
Rp

12,705
110,000
720,000
78,630

Rp 12,500
Rp 151,250
Rp
1,210
Rp
206
Rp 40,480
Rp 50,531
Rp 49,500
Rp 33,206
Rp
650

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

37,500
151,250
12,100
2,060
161,920
50,531
99,000
33,206
650

1
10
10
1

Rp
-

10
30
1
18
30
20
30

90
1
40
1
15
15
1
10

10

10
10
10

20
10

1
1
10
10
1

25,000
689

Rp
Rp

25,000
5,512

Rp

44,000
12,000
33,516
8,480
3,850
5,844
756
116,875

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

132,000
360,000
33,516
152,640
115,500
116,880
22,680
116,875

Rp
6,875
Rp
2,118
Rp 29,562
Rp
432
Rp
4,500
Rp
2,736
Rp 44,000
Rp 288,750
Rp
7,293
Rp 75,432
Rp
1,719
Rp
6,188
23,595
6,761
49,500
5,638

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

68,750
21,180
59,124
6,912
4,500
246,240
88,000
288,750
291,720
75,432
25,785
92,820
235,950
67,610
49,500
56,380

Rp 49,500
Rp
6,188
Rp 50,000
Rp
1,548
Rp
852
Rp
600
Rp 11,500
Rp
756
Rp 11,412
Rp
689
Rp
500
Rp 151,250

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

49,500
61,880
50,000
15,480
8,520
60,000
11,500
15,120
114,120
5,512
6,000
151,250

Rp
Rp
Rp
Rp

Rp
Rp
Rp
Rp

18,219
165,000
59,120
62,838

Rp
Rp
Rp
Rp
Rp
Rp
Rp

10
10
2
16

10

Rp
Rp

Rp
Rp
Rp
Rp

18,219
16,500
5,912
62,838

15
10
20
5
15
10
10
1
1

10

15
15
15
1
20
10
10

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

18,018
1,072
756
11,665
9,100
18,733
8,250
3,220
14,438
49,156
2,758

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

270,270
10,720
15,120
58,325
136,500
187,330
82,500
6,440
14,438
49,156
27,580

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

3,479
2,345
34,155
21,500
4,378
3,146
644
62,838

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

6,958
23,450
34,155
21,500
65,670
47,190
9,660
62,838

Rp
Rp

14,668
6,792

Rp
293,360
Rp
67,920
Rp
Rp 29,430,613

PENOLAKAN RESEP MARET 2016

KF UNPAD
TGL

Pasien

JUMLAH

NAMA OBAT
HV

3/1/2016

1
1
1
1
1
1
1
1
1

CEFIXIME 100 MG
dermovate cr 10 GR
URDAFALK
ENICO CAP
VIOSTIN X
BIONEURON
ANUSOL SUPP
ASCARDIA 80 MG
DEXTRAL FORTE

3/2/2016

NEXCARE ACNE COVER

3/3/2016

1
1
1
1
15
1
1
1

OROXIN SYR
NIACEF GEL
CALNIC SYR
S26 NUTRISURE GOLD
ARICEPT
MEDI-KLIN TR
RIMSTAR 4 FDC
FENISTIL DROP

4-Mar

SERETIDE DISKUS 250 MCG

5-Mar

SCABISID CR

6-Mar

3
1
1
1
1

STIMUNO CAP
FUNDAMIN E
sincronic cap
OSTEONATE OAW
ALLOVEL

3/7/2016

1
1
1
1
1
1

MALE URINAL
OA FORTE
HIBLOK 100 MG
BETABLOK 100 MG
RENU
PASQUAM CR

3/9/2016

1
1

ALCO DROP
FENISTIL DROP

1
1

3/10/2016

1
1

SIMVASTATIN 10 MG
UTROGESTAN 100 MG

30

3/11/2016

12-Mar

13-Mar

14-Mar

1
1
1
1
1
1

VOSTEM FORTE
EPRINOC
HI BONE
LIPITOR 20 MG
VIBRION
OBIPLUZ

1
1
1
1
1

NERVA PLUS
ALCO DROP
FRESHCARE CITRUS
VOSTEM FORTE
OSTELOX 7.5 MG

1
1
1
1
1
1
1
1
1
1
1
1
2
1
1

ZUMAFIB 300
COLME TT
ERLAMYCETIN TT
FLUDANE CAPLET
BENOVIT M
CAVIPLEX
THERA F
WWZ
TANTUM VERDE ORAL RINSE 120 ML
LYRICA 50 MG
VOLTAREN SUPPO
HERBALAX
INERSON CR
DEXOCORT CR
KETOMED GEL

2
2
1
1
1
1
2
4
1
1
1

COLERGIS
ACTIFED EXP SYR
SANFURO SYR
WWZ
TRAMADOL
TRAMAL
CEREBROVIT GINKO
CEREBROVIT X-CEL
LISTERINE ORIGINAL 80 ML
PRADAX 75 MG
ALDACTONE 25 MG

1
1
1
1
1
1
1

AKILEN TT
CEFIXIME 100 MG
ZUMAFIB 300 MG
CANDESARTAN 16
CANDERIN 16
METHERGIN
PAMOL

1
1

1
1

2
1

20
40
1

3/15/2016

3/16/2016

3/17/2016

3/18/2016

3/19/2016

1
1
1

ARTEOPTIC TM
IFLACORT CR
DOXIXYCLIN 100

PROSTAKUR
DUMIN TAB
MEFINAL
AMBROXOL TAB
KALTROFEN GEL
FARMOTEN 25 MG
ULTRA FLU
STENIROL 8 MG

10

1
1
1
1
1

SIMARC 2
LAPISIV SYR
CEREBROVIT X-CEL
FOLAVIT 400 MCG
ATOPICLAIR CREAM
MYCO Z

1
3
1
1
4
1

JOIN HERBAL
ASAM MEFENAMAT
SANMOL EFF
AQUABIDEST 100ML
FG TROCHEES
PANADOL COLD & FLU

30

1
1
1
1
1
1
1

citaz 50 MG
TRILEPTAL 300
fibramed 300 mg
trifed
PAMOL SYR
NAN AL 110
MITELLA

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

PANTOZOL 20 MG
NASAL ASPIRATOR
INFANTRINI SUSU
NUTRIVE BENECOL
SARIKURMAKU
CARIAMYL DROP
HOMOCLAMIN
REGROU FORTE
SEBAMED SABUN BAR
ANETON SYR
MYONAL
CEFIXIME 100 MG
MYONAL

1
10

1
1
1
1

1
1

1
1
1
1
1
5

DUMIN
MEXTRIL
PUREKIDS INHALANT
COMBIVEN NEBU
TERMOREX PLUS SYR
SANMOL SYR

3/21/2016

SEBAMED INTIMATE
CESTER
UBIQUINOL
EZETROL
INTERLAC DROP
ANTIPLAT
EXFORGE 5/80

3/22/2016

TOLAK ANGIN MADU

PRADAXA 110 MG
PASQUAM CR
HOMOCLAMIN
ATORVASTATIN
MECOBALAMIN 500
APPETON 60+ 450 GR
SANGOBION DROP
KOLKATRIOL 0.25
LIVALO
PGB 75 MG

3/23/2016

PANADOL
PANADOL EXTRA
CALNIC SYR

3/26/2016

1
1
1
2
1
1
1
1
1
1
1
1
1
2
2
1
1

PROSPAN SYR
PROGESIC
CEPTIK 200
ozen syr
fluimucil syr
verille
seretide inh 50
stator 20 mg
venosmil gel
sanmol syr
panadol biru
ozen tab
loran tab
actifed dm
actifed exp
mucos tab
polysilane tab

10
8
1
1
5

12

5
50

3/27/2016

anusol supp

2
1
1
1
1

NOPERTEN 5 MG
ZEGREN TAB
SULCOLON
SAGESTAM CR
MYCO Z
AQUABIDEST 50 ML
AQUABIDEST 100 ML
PRODERMAL CR
VICKS INHALER
GLYCORE 10%
GLYCORE 8 %
OSTEOKOM CR
SENDI JAHE CR
GAVISCON SYRUP
LANCID
VITALONG C KAP @30
SALONPAS KOYO
EPEXOL FORTE
EUTHYROX
GOFLEX
SANOSKIN MELLADERM GEL
HEXILON 16 MG
CEFIXIME 100 MG
LEVOPRONT SYR
SUMAGESIC
IMBOOST 1000MG

3/28/2016

3/29/2016

FETAVITA
INBION
KOTAK P3K + ISI
HEMAVITON KARDIO

3/30/2016

TOTAL

MUCOPECT DROP
TROLIP 100
MEDIXON 4
183

1
1

10

NILAI SATUAN

JUMLAH
UP

NILAI

R/

10

1,548
866

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

51,880
85,250
390,960
115,500
478,500
29,130
15,480
8,660

16,192

Rp

32,384

Rp 31,625
Rp 35,819
Rp 60,775
Rp 165,620
Rp 30,050
Rp 50,325
Rp
8,034
Rp 81,125

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

31,625
35,819
60,775
165,620
450,750
50,325
80,340
81,125

Rp 194,249

Rp

194,249

Rp

35,420

Rp

35,420

Rp
2,758
Rp
1,054
Rp
9,625
Rp 105,188
Rp 63,938

Rp
Rp
Rp
Rp
Rp

82,740
31,620
96,250
105,188
63,938

Rp
Rp
Rp
Rp
Rp
Rp

18,562
8,112
4,125
1,832
65,780
34,900

Rp
Rp
Rp
Rp
Rp
Rp

18,562
81,120
41,250
18,320
65,780
34,900

Rp
Rp

69,575
81,125

Rp
Rp

69,575
81,125

Rp
Rp

641
12,155

Rp
Rp

85,085

1
30
30
60
30

Rp
Rp
Rp
Rp
Rp
Rp

5,188
85,250
13,032
3,850
7,975
971

Rp
Rp
Rp

2
10
10

1
1
1
1
15
1
10

30
10
1
1

10
10
10
1

30
7

15
20
30
30
15
10

Rp
Rp
Rp
Rp
Rp
Rp

7,865
4,433
5,720
23,231
8,103
4,310

Rp
Rp
Rp
Rp
Rp
Rp

117,975
88,660
171,600
696,930
121,545
43,100

15
15

Rp
Rp
Rp
Rp
Rp

3,094
69,575
15,000
7,865
7,293

Rp
Rp
Rp
Rp
Rp

30,940
69,575
15,000
117,975
109,395

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

12,169
30,938
6,325
1,050
3,438
316
212
29,975
40,606
10,880
11,240
35,800
42,625
35,750
32,725

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

121,690
30,938
6,325
8,400
34,380
3,160
2,120
29,975
40,606
54,400
56,200
35,800
85,250
35,750
32,725

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

2,750
43,000
48,606
29,975
419
7,150
1,700
1,700
8,096
25,254
2,184

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

55,000
86,000
48,606
29,975
4,190
71,500
34,000
68,000
8,096
252,540
21,840

Rp
Rp
Rp
Rp
Rp
Rp
Rp

78,364
5,188
12,169
9,295
12,188
4,378
558

Rp
Rp
Rp
Rp
Rp
Rp
Rp

78,364
51,880
121,690
92,950
121,880
43,780
4,464

10

10
1
1
10
10
10

5
5
2
1
1
20
1
10
10

10
10
1
10
10
10
10
10
8

1
1
10
60
10
10
1
10
10
30

30
1
1
30
30
1
40

10
50
30
1
1

1
10
1

30
20
10

Rp 185,900
Rp 80,795
Rp
329

Rp
Rp
Rp

185,900
80,795
3,290

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

4,160
600
1,650
156
75,625
790
650
5,775

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

249,600
6,000
16,500
1,560
75,625
7,900
5,200
57,750

Rp
1,788
Rp 22,000
Rp
1,700
Rp
1,031
Rp 176,825
Rp 81,125

Rp
Rp
Rp
Rp
Rp
Rp

53,640
22,000
17,000
30,930
176,825
81,125

Rp
Rp
Rp
Rp
Rp
Rp

2,842
339
28,589
13,612
1,306
946

Rp
Rp
Rp
Rp
Rp
Rp

85,260
10,170
28,589
13,612
52,240
28,380

Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,938
11,673
12,375
32,312
19,000
96,070
10,625

Rp
Rp
Rp
Rp
Rp
Rp
Rp

89,380
583,650
371,250
32,312
19,000
96,070
10,625

Rp
Rp

20,429
27,599

10

30
20
30

1
10
10
2
1
1
10
1

10
10
2
2
10

10
60
10
10
1
1
1
1
1
1
1
1

0
1

2STRIP
10
1
3
10

30
30

PENOLAKAN RESEP APRIL 2016

KF UNPAD
TGL

Pasien

NAMA OBAT

4/2/2016

1
1
1
1
1
1
1
1

LAPRAZ
PREDNISON
MAGALAT SYR
AQUA BIDEST
BINOZYT
OPISTAN
SPASMINAL
PROFIRON

1
1
1
1
1
1
1
1
1

HEPAMAX
ACE MAX
SUPER ZAM
SANMOL TABLET
ACRAN 150
NUTREN FIBRE
ARDIUM
ULTRAPOCT N
CELEBREX 200 MG

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

DIATAB
NODIAR
NORIT
ANORAL CAPSUL
PROVERA TAB
HUKI EMPENG ORTHODONTIC
SARI AYU MASKER JERAWT
truvaz 10mg
b-beta 5 mg
cataflam 50mg
sanmol tablet
bion 3
santa -e
zegavit
primolut
lentikular tm
hyalub tm
cefixime 100mg

1
1
1
1
1

prolacta for mother

SIBRO OINT
KALMECO
DIVENS PLUS
MEDI KLIN SOL

4/4/2016

4/5/2016

4/6/2016

4/7/2016

JUMLAH
HV

1
1
8

8
2 strip
2 strip

1
1
1
1
1
1
1
1
1

PROTYRA
ezerra cr
AERIUS SYR
CO-DIOVAN 160
HARNAL OCAS 0,4
OMEPRAZOL
MUCOS SYR
AVEGEN E
PERDERM CR

4/11/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

GLUCOVANCE 500/2.5
JANUMET 50/1000
ADALAT OROS 30
GLUCOBAY 100 MG
GLUCOBAY 50 MG
CIPROXIN
PRIMPERAN
OMEPRAZOL TAB
lutenyl
vitanorm
AMITRIPTILIN
STOBLED
ULTRAPROCT SUPP
INERSON
DONEXAN
MOLEXFLU
DEXTAMIN
MEPTIN SYR
ALPARA
FLUDANE PLUS
ACTIFED
LANSOPRAZOLE

4/12/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

ZENIREX SYR
CRESTOR 20
COCNCOR 5
OMEPRAZOLE
LANSOPRAZOLE
MERISLON 12 MG
GLRENORM
GLUCOBAY 50
CANDESARTAN 8
LAMESON 8 MG
METCOR 8 MG
PARACETAMOL
VOSTEM F
OSTEOR C
GLUCOSAMIN

4/8/2016

4/9/2016

1
1
1
1
1
1
1

UBI Q
FLUIMUCIL SYR
FLUIMUCIL SAC 100 MG
MEFINAL
TERMISIL
SANMOL SYR
KETOMED SAMPO

4/13/2016

1
1
1
1
1
1
1
1

CHLOROQUIN
RESORCHIN
AMBEVEN
EVER E
MEFINAL
NUTRIVE BENECOL
ASMA SOHO
TRIAMINIC DROP

14-Apr

1
1

CEFIXIME 200
CEFIXIME 100

4/15/2016

1
1
1
1
1
1
1
1
1
1
1

ALPARA
DEXTRAL
SANADRYL DMP 60 ML
V-BLOCK 6.25 MG
KALTROFEN GEL
EZETROL
CARDIO ASPIRIN
CRESTOR 20 MG
HUMALOG CARTD 100U/3ML
CEREBRIVIT GINKGO
CEREBROVIL X-CEL

4/16/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1

HERBESSER CD 200
CEFIXIME 100
ERLAMYCETIN TM
OMEPRAZOLE
berotec inh
neuromec
REDOXON FORITMUN
MADECASOL TAB
MERUSAN
CARDIO ASPIRIN
MUCOPECT TAB
SUMAGESIC
SANMOL FORTE
PANTOZOL 40 MG

MICROGYNON

7/18/2016

4/19/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

NEUROBION 5000
NERISONA COMBI CREAM
ESTER C @30
TOPGESIC
SANADRYL DMP
FLUDANE CAP
WOODS ATT
VICKS SYR
NOVALGIN SYR
OSFIT DHA
OBIPLUZ
FAKTU SUPP
SPEDIFEN 400 MG
NORAGES SYR
CENFRESH MD
BEERY VISION
BIOPLACENTON GEL
SIBRO
CENTABIO
BURNAZIN
BENOSON N CR 5 GR

4/20/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1

MUCOPECT TAB
KLODERMa oint
bioplacenton gel
diabetasol
comtusi syr
sumagesic
imox
BIOLITE 30 GR
OPTIMAX
KIRANTI
DEFLAMAT CR 75 MG
BEROTEC INH
NUCRAL SYR
BRONSOLVAN

4/21/2016

1
1
1
1
1
1
1

THOLIT
PROVE C
URFAMYCIN
LAPIFED EXP
PROSTAKUR
Avelox 400
Danocrine

1
1
1

ZALDIAR
PANADOL BIRU
KOTAK P3K

4/22/2016

4/23/2016

4/24/2016

1
1
1

STROCAIN P
SANMOL DROP
NORIT

4/25/2016

1
1
1
1
1
1
1

CERINI
STENIROL 8 MG
VESICARE 5 MG
DIABETASOL ZERO SWEETENER
PROMAG DOBLE ACTION
TEMPRA FORTE
COMBANTRIN SYR

4/26/2016

1
1
1

PROSPAN
INTUNAL
nutrive benecol

4/27/2016

1
1
1
1
1
1

NORIT
CATAFLAM 50 MG
LIBRAX TAB
RANITIDINE
ASAM MEFENAMAT
CIPROFLOXACIN

4/28/2016

1
1
1
1
1
1
1

NARFOZ SYR
MATOFLAM
ERICAP
CATAFLAM 50 MG
GEMFIBROZIL
TONICARD
CENDO GENTA EO

4/29/2016

1
1
1
1
1
1
1
1
1
1

CELEBREX 200 MG
KLODERMA OINT 10 GR
REUCID 100 MG
alleron
betametason
truvaz 20
decrilip
EVALEN CREAM
FELDENE FLASH
BUFACOM

4/30/2016

COMTRO

211

TOTAL

10

JUMLAH
UP

NILAI SATUAN
R/

10
10
1
30
10
10
10
30

15

60

30
30
30
1 strip

20

1 strip

NILAI

1
23

10

10

10
30

20
20
20

PENOLAKAN RESEP MEI 2016

KF UNPAD
TGL

5/1/2016

5/2/2016

5/3/2016

Pasien

NAMA OBAT

1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
3

OSTEOKOM TAB
NOCID
ATORVASTATIN
VBLOCK 6.25
IRBESARTAN 300
HEXER
FOLAVIT 400 MCG
BIOQUIN FORTE CREAM
BUFABRON
MEDROL 4
ARTRODAR
PROPOLIS NANO
MOLEXFLU
BLOPRESS PLUS 16
CATAFLAM 50
ACUATIM CR
SALEP 88

1
1
1
1
1
1
1
1
3
4
1
1
1
5
1

RYVEL SYR
OZEN SYR
METFORMIN 500
DILANTIN
BENOSON G
DIGENTA CR
NAIRET SYR
BRICASMA SYR
CTM
IMBOOST FORCE
ISPRINOL SYR
VERMINT @ 30
GEMFIBROZIL 300
CATAFLAM 50
CENDO ASTHENOF TM

50
2
1
1
1
1
1
1
1

LANSOPRAZOLE
RHINOS JUNIOR
DILANTIN
OSTEOKOM FORTE
ATORVASTATIN
PROSTAM
INTUNAL F
INTUNAL TABLET
GENTAMYCIN OINT

JUMLAH
HV

1
50

40
1

8
8

1
2
1
1
1
1
1
1
1
1
2
1
1

MANNE LOTION
NEXCARE MICROPORE 0.5 INCI
OMEPRAZOLE
BIOPLACENTON GEL
IMBOOST FORCE TAB
GLUMIN 500 MG
GLUCOPHAGE 500
ventolin inhaler
SPEDIFEN 400
NONFLAMIN
JANUMET 50/500
FLUDANE CAPLET
ZEGAVIT

5/4/2016

1
1
1
1
1

APISATE
ATORVASTATIN
HISTIGO
VOLTADEX 50
MP 4 MG

5/5/2016

1
1
1
1
1
1

RENU
TILSAN
VOLTADEX 50 MG
ALOFAR
RHINOS SYR
RHINOS DROP

5/6/2016

1
1
1
1
1
1
1
1
1

CINOLON N
AMBROXOL SYR
DOXYCYCLINE
CARNIQ
PIM TRA KOL
baby cough
transamin 500
ZENIREX SYR
ANTASIDA SYR

5/7/2016

1
1
1
1
1
1
1
1
1
1

nonflamin
nodiar
osteokom cap
doxyxiclin 100
cefixime 100
glidabet 80mg
benoson m
PANADOL SYR 60 ML
DATAN TABLET
FLUIMUCIL SACH 200 MG

10

8
5

20
10

1
1
1
1
1
1
1
1
1
1
1
1

PROCOLD
OTOLIN TT
WWZ
ZYPREXA 10 MG
LAMANDEL
MUCOPECT TAB
FLAMICORT
TEOFILIN
LAPIFED
NORIT
MERIT
tebokan tab

8-May

1
1
1
1
1
1
1
1
1

tempra syr 60ml

antimo
rhinos junior
DOMPERIDON SYR
MYCOSTATIN
MUCOPECT SYR
MUCOS SYR
EXTROPEC
DRAMAMIN

5/9/2016

1
1
1

DOMPERIDON
OMEPRAZOL
FANSIDAR

5/11/2016

1
1
1
1
1

DUMOCALCIN
LERZIN
VENTOLIN INH
CTM
FG TRICHES

5/12/2016

1
1
1
1
1

TARIVID 400
zycin 500
promethazin
pradaxa 150mg
INH 300 MG

1
1
1
1
1
1
1

LAMICTAL 100
gemfibrozil
pletaal 50
micardis 80 (bpjs)
biodiar
elidel cr
fludane plus

5/14/2016

5/16/2016

6
1

60

5/17/2016

1
1
1
1
1
1
1
1

CLIMADAN 300
OTOPAIN
LIVERPRIME
FORRES
LACTAMOR
ICHTIYOL
BIODIAR
GEMFIBROZIL

5/18/2016

1
1
1
1
1
1

RECOLFAR
CARNIQ
PROMAVIT
RHINOS SYR
FLAMAR TM
GAMEX

5/19/2016

1
1

AMOXSAN 500
TRIFED

5/20/2016

1
1
1
1
1
1

zantac
magalat
spartan
NEW SKELAN
RENOSTERIL
IMBOOST SYR

5/21/2016

1
1
1
1
1
1
1

VALESCO 80
CAVIPLEX
INTERLAC
KOMIX HERBAL
DEFLAMAT
FORRES
KALMECO

23-May

1
1

ITRACONAZOL
ABBILYFAI SYR

5/24/2016

1
1
1
1
1
1
1
1
1

EUTHYROX100
EUTHYROX 50MG
LAMICTAL
AMITRIPTILLIN
FOLAC
LIPANTHYL 200
LYRICA 75 MG
CENDO TIMOL 0.5% TM
IBUPROFEN 400

5/25/2016

1
1
1

IBUPROFEN 400
DIANE
JANUMET 50/500

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

RHINOS SYR
PIROFEL GEL
FELDENE GEL
DUMIN
KALNEX 500
PLASMINEX 500
PON FLU
GCM
CAVIT D3
NIMOTOP
NOCID
CANDERIN 16
CPG
FUCOHELIX 100
PTU

5/30/2016

1
1
1
1
1
1
1
1
1
1
1
1
1

CURMUNOS SYR
CARDIOMIN
MIRASIC
GRANTUSIF TABLET
TRILEPTAL
FLUCADEX
ATORVASTATIN 20 MG
PRADAXA 150 MG
TUZALOS
LETONAL 25
OTTOPIAN TT
rosuvastatin
benzolac

5/31/2016

1
1
1
1
1

BUFFACARYL
BENZOLACCL
nutren potimum
demacolin tablet
renosteril

5/26/2016
5/27/2016

TOTAL

265

10

JUMLAH
UP

NILAI SATUAN

10
180
30
30
30
10
30
1
5
10
30

14
20
1

1
1
30
180
1
1
1
1
36
1
30
50
1
50
2
180
30
30
10

NILAI

R/

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

8,250
8,454
5,500
3,438
4,765
5,638
1,031
44,000
1,216
4,660
12,192
457
18,685
6,872
131,588
8,594

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

82,500
1,521,720
165,000
103,140
142,950
56,380
30,930
44,000
6,080
46,600
365,760
22,850
261,590
137,440
131,588
34,376

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

61,875
68,750
228
5,858
82,500
89,375
22,000
43,988
139
6,957
103,125
42,281
439
6,872
28,875

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

61,875
68,750
6,840
1,054,440
82,500
89,375
22,000
43,988
5,004
278,280
103,125
42,281
13,170
343,600
28,875

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

1,858
41,250
5,858
8,250
5,500
915
835
2,312

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

92,900
82,500
1,054,440
247,500
165,000
7,320
6,680
2,312

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

11,550
510
16,500
6,957
1,402
1,771
123,585
7,364
5,346
9,259
1,050
2,910

Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp
Rp

23,100
5,100
16,500
69,570
42,060
53,130
123,585
44,184
53,460
129,626
8,400
14,550

10
60

Rp
Rp
Rp
Rp
Rp

14,977
5,500
854
619
551

Rp
Rp
Rp
Rp
Rp

149,770
330,000
8,540
6,190
16,530

10
1
30
30
1
6
10
14

10
10
30

10
1
10
1
1

15

30
10
10
1

10

10
60
30

36

10
1

10
10

10

10
1

1
1
1

100

PENOLAKAN RESEP JUNI 2016

KF UNPAD
TGL

Pasien

JUMLAH

NAMA OBAT
HV

1-Jun

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

OLMETEC 40
CENDO GENTA OINT
CATAFLAM 50
MOLOCO
NORVASK 5MG
LIPANTHYL 100
WWZ
MUCOSTA
LAPIFED
ASPIRIN
MEFINAL
FUNDAMIN E
OMEPRAZOL
nutribaby royal comfort
prolic 300
tuzalos
OMZ
FLUDANE PLUS
AMEROL

2-Jun

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

PROSPAN
HARNAL D 0.2
ALPARA
CATAFLAM 50
LIPANTHYL 100
OLMETEC 40
BEROTEC INH
CALLUSOL
DIPROSTA
ULTRAFLU
PIL KITA
PROMAG TABLET
IMBOOS FORCE
MUCOS SYR
GLISODIN
OSFIT
TONICARD
OMZ

6/3/2016

1
1
1
1

NELCO SPESIAL
REFAQUIN CR
pumpitor
omz

1
1
1
1

sangobion
rocer
protopic 0,03%
borraginol n

1
1
1
1
1
1
1
3
1
1
1
1
1
1
1

DEMACOLIN
TUZALOS
LIBROFED
MEFINAL
OBH NELLCO
TERRACORTIL
RIVANOL
PROMAG
PARACETAMOL
LARUTAN KAKI 3 PET
SANMOL TAB
REGROU FORTE
RHINOS DROP
TUZALOS
ASPIRIN

6/6/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

EPEXOL FORTE SYR

PHENOBARBITAL;
BREATHY NASAL DROP
CYGES 400
SULFUR PP
CLIMADAN
CLINIUM
V-BLOCK 6.25
PROTHYRA
DUODART
ARTRODAR
HEXBIO
BENZOLAC 2.5%
CATAFLAM FAST
NODROF
IRVASK 150 MG

6/7/2016

1
1
1
1
1

6/9/2016

1
1
1

PROVITAL PLUS
BACBUTHIN FOTE
CATAFLAM 25
PARACETAMOL
HESROID SUPPO
sincore
enercore
AMINORAL
MITONIK
ADECCO TAB

6/5/2016

1
1

BIOCALCI
FERRIZ

6/10/2016
6/12/2016
6/13/2016

1
1
1
1
1
1
1

DECUBAL CR 20
AMBROXOL TAB.
ALLOPURINOL 300
TUZALOS
UBI Q 30
PRORIS SUPP
FULADUC OINT

6/14/2016

1
1
1

KALIUM DIKLOFENAK 50
HALFYLIN SYR
BIOBRAN

15-Jun

1
1
1
1

LOSARTAN
KETOMED SS
JANUMET 50/500
IRBESARTAN 300

6/16/2016

1
1

ACTONEL 35 MG
FLUIMUCI; SACH 200

6/17/2016

1
1
1

sebamed soap bar anak

inpepsa
FOLAMILGENIO

6/18/2016

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

IRVERBAL 150MG
CATAFLAM FAST
movix
DIPROGENTA CR
HARNAL 0.2
MICROLAX
POLYSILANE
MYLANTA
MITELLA
SP TROCHES
FUNDAMIN E
SURBEX T
PRORIS SYR
DIGENTA
ANGINTRIZ
SYMBICORT 160/4.5 60 DOSS

6/19/2016

1
1
1
1

MITELA
LANCID
FUCOHELIX 50MG
hemorrhoid kaplet

10

1
1

TOTAL

129

ketomed cr
kloderma cr

NILAI
SATUAN

JUMLAH
UP

R/

NILAI

30

30
10
10

10

PENOLAKAN RESEP JULI 2016

KF UNPAD
TGL

Pasien

JUMLAH

NAMA OBAT
HV

7/5/2016

7/9/2016

11-Jul

7/11/2016

7/12/2016

1
1
1
1

OMEPRAZOL
CATAFLAM 50
IMBOOST F TAB
MYCOSTATIN

1
1
1
1

CALNIC
RENU
SERUM VIT C
DOMPERIDONE SYR
VIT K
NURIMAMA 2
FLIXOTID
LASERIN SYR
DRAMAMIN
IMBOOST
IMUNOS
Maintate 2.5
ASCARDIA
CEDOCARD 5MG
NUTRIMAMA 2
avamys spray
PANADOL EXTRA
ASPIRIN 500MG

UP

R/

10
30
10
1
10
1
1
1
30
30
3
1
10

NILAI
SATUAN

NILAI