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APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
APOTEK MITRA FARMA APOTEK MITRA FARMA
APOTEKER : YUHENDRA S. Farm., Apt APOTEKER : YUHENDRA S. Farm., Apt
JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576 JL. LINTAS TIMUR – PKL. KERINCIHp : 0853 59115576
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
Nama : ................................................... Nama : ...................................................
No. ............................Tgl...................... No. ............................Tgl......................
..........................x Sehari ..............oles ..........................x Sehari ..............oles
KHUSUS OBAT LUAR KHUSUS OBAT LUAR
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
PUSKESMAS BERKILAU PUSKESMAS BERKILAU
Pangkalan Kerinci Barat Pangkalan Kerinci Barat
No. .........Tgl. ........................................... No. .........Tgl. ...........................................
Nama : ...................................................... Nama : ......................................................
............ x Sehari.................Tetes ............ x Sehari.................Tetes
Sendok Sendok
Sendok Makan Sendok Makan
Sebelum / Sesuai Makan Sebelum / Sesuai Makan
Kocok dahulu Kocok dahulu
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