GUNTUR
SIP.: No.170/DS-04/10.VI/1998 SIP.: No.169/DS-08/11.V/1999
Rumah : Praktik : Rumah : Praktik :
Jl. Bima 15 Surakarta Jl. Angsa No.1 Surakarta Jl. Arjuna 20 Surakarta RS. Pelita
Telp. (0271)654058 Telp. (0271)701134 Telp. (0271)857112 Jl. Brigjend Katamso 2 Ska
Solo, ................... Solo, ...................
R/ Lc Pehachlor ½ tab R/ Paracetamol 120 mg/5 ml
Lc Pehacort ½ tab PGS q.s.
Parasetamol ½ tab Syr Simplex 20 ml
m.f.pulv dtd No.X Mf suspensi 60 ml
S t dd pulv I S prn cth I,max 3 x sehari