1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 ALBENDAZOL 400 TAB
2 ALOPURINOL 100 TAB
3 AMINOFILIN 200 TAB
4 AMINOFILIN INJEKSI 24 AMP
5 AMITRIPTILIN 25 TAB SAL
6 AMOKSISILIN DRY SYR 125 BTL
7 AMOKSISILIN 500 KAPL
55 KODEIN 10 TAB
56 KOTRIMOKSAZOL PED 120 TAB
57 KOTRIMOKSAZOL SUS 240 BTL
58 KOTRIMOKSAZOL D 480 TAB
59 LIDOKAIN KOMP INJ AMP
60 MEBENDAZOL 100 TAB
61 METIL ERGOMETRIN 0,125 TAB SAL
62 METRONIDAZOL 250 TAB
63 NATRIUM KLORIDA INF 0,9% BTL
64 NISTATIN 100.000IU TAB VAG
65 OBAT ANTI TUBERKULOSIS 1 PAK
66 OBAT ANTI TUBERKULOSIS 2 PAK
67 OBAT BATUK HITAM (OBH) BTL
68 OKSITETRASIKLIN SK 3 % TUB
69 OKSITETRASIKLIN SM 1 % TUB
70 PARASETAMOL SIR 120 BTL
71 PARASETAMOL 100 TAB
72 PARASETAMOL 500 TAB
73 PIRANTEL PAMOAT 365 TAB
74 PIRIDOKSIN (VIT B6) 10 TAB
75 POLIKRESULEN/ALBOTHYL BTL
76 PREDNISON 5 TAB
77 RETINOL (VIT A) 100.000 IU KAPS
78 RETINOL (VIT A) 200.000 IU KAPS
79 RIFAMPICIN 450 KAPL
80 RINGERLAKTAT (RL) LAR INF BTL
81 SALBUTAMOL 2 TAB
82 SALEP 2-4 POT
83 SALISIL BEDAK 2% PAK
84 SIANOKOBALAMIN (VIT.B12)INJ 0,5 AMP
85 SULFASETAMID NATRIUM TM 15 % BTL
86 TABLET TAMBAH DARAH (FE) TAB
87 TETRASIKLIN 250 KAPS
88 TETRASIKLIN 500 KAPS
89 TIAMIN HCL (VIT.B1) 50 TAB
93 AMLODIPINE 5 TAB
94 ASAM MEFENAMAT 500 TAB
R/ GENERIK 0
R/ NON-GENERIK 0
JUMLAH
R/
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
REGIS
26 27
GENERIK 0 0
NON GENERIK 0 0
TOTAL 0 0
BAYAR
ASKES
JPS
GRATIS AS
C
TOTAL 0 0
REGISTER OBAT-OBATAN HARIAN
28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAN INI JUMLAH OBAT SISA
16 17 18 19 20 21 22 23 24 25 DIPAKAI BULAN INI
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
16 17 18 19 20 21 22 23 24 25
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0
0
0
0
0
0 0 0 0 0 0 0 0 0 0 0