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MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM

TAHUN 2017

PERIODE : JUNI 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 4 4 100%
3 3 3 100%
4 3 3 100%
5 4 4 100%
6 3 3 100%
7 4 4 100%
8 3 3 100%
9 4 4 100%
10 3 3 100%
11 3 3 100%
12 4 4 100%
13 5 5 100%
14 4 4 100%
15 4 4 100%
16 3 3 100%
17 3 3 100%
18 2 2 100%
19 3 3 100%
20 3 3 100%
21 3 3 100%
22 2 2 100%
23 2 2 100%
24 3 3 100%
25 3 3 100%
26 2 2 100%
27 2 2 100%
28 2 2 100%
29 4 4 100%
30 4 4 100%
31 3 3 100%
32 4 4 100%
33 2 2 100%
34 4 4 100%
35 3 3 100%
36 4 4 100%
37 3 3 100%
38 3 3 100%
39 3 3 100%
40 3 3 100%
41 3 3 100%
42 4 4 100%
43 2 2 100%
44 3 3 100%
45 2 2 100%
46 3 3 100%
47 2 2 100%
48 3 3 100%
49 3 3 100%
50 2 2 100%
51 1 1 100%
jumlah 155 155 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Palembang, Juni 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : Juli 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 2 2 100%
2 3 3 100%
3 3 3 100%
4 4 4 100%
5 4 4 100%
6 3 3 100%
7 4 4 100%
8 4 4 100%
9 3 3 100%
10 4 4 100%
11 4 4 100%
12 4 4 100%
13 3 3 100%
14 3 3 100%
15 3 3 100%
16 3 3 100%
17 2 2 100%
18 3 3 100%
19 4 4 100%
20 4 4 100%
21 3 3 100%
22 4 4 100%
23 3 3 100%
24 3 3 100%
25 3 3 100%
26 4 4 100%
27 4 4 100%
28 4 4 100%
29 4 4 100%
30 4 4 100%
31 3 3 100%
32 4 4 100%
33 4 4 100%
34 4 4 100%
35 5 5 100%
36 4 4 100%
37 4 4 100%
38 3 3 100%
39 4 4 100%
40 2 2 100%
41 4 4 100%
42 4 4 100%
43 4 4 100%
44 3 3 100%
45 3 3 100%
46 2 2 100%
47 4 4 100%
48 3 3 100%
49 4 4 100%
50 4 4 100%
51 2 2 100%
52 2 2 100%
53 2 2 100%
54 5 5 100%
55 2 2 100%
56 4 4 100%
57 3 3 100%
58 3 3 100%
59 4 4 100%
60 3 3 100%
61 2 2 100%
62 3 3 100%
63 3 3 100%
64 4 4 100%
65 3 3 100%
66 2 2 100%
jumlah 222 222 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
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-
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-
-
-
-
-
-
-
-

Palembang, Juli 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : Agustus 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 4 4 100%
3 3 3 100%
4 4 4 100%
5 3 3 100%
6 3 3 100%
7 3 3 100%
8 4 4 100%
9 3 3 100%
10 2 2 100%
11 3 3 100%
12 3 3 100%
13 4 4 100%
14 2 2 100%
15 4 4 100%
16 2 2 100%
17 5 5 100%
18 4 4 100%
19 2 2 100%
20 3 3 100%
21 3 3 100%
22 4 4 100%
23 3 3 100%
24 3 3 100%
25 4 4 100%
26 3 3 100%
27 4 4 100%
28 3 3 100%
29 3 3 100%
30 3 3 100%
31 4 4 100%
32 1 1 100%
33 4 4 100%
34 3 3 100%
35 3 3 100%
36 4 4 100%
37 4 4 100%
38 3 3 100%
39 3 3 100%
40 3 3 100%
41 4 4 100%
42 4 4 100%
43 2 2 100%
44 3 3 100%
45 3 3 100%
46 4 4 100%
47 4 4 100%
48 2 2 100%
49 2 2 100%
50 4 4 100%
51 3 3 100%
52 3 3 100%
53 4 4 100%
54 2 2 100%
55 3 3 100%
56 2 2 100%
jumlah 178 178 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Palembang, Agustus 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : September 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 2 2 100%
3 5 5 100%
4 3 3 100%
5 3 3 100%
6 2 2 100%
7 3 3 100%
8 3 3 100%
9 3 3 100%
10 3 3 100%
11 3 3 100%
12 3 3 100%
13 2 2 100%
14 2 2 100%
15 3 3 100%
16 4 4 100%
17 3 3 100%
18 3 3 100%
19 2 2 100%
20 3 3 100%
21 1 1 100%
22 2 2 100%
23 4 4 100%
24 3 3 100%
25 3 3 100%
26 4 4 100%
27 2 2 100%
28 3 3 100%
29 3 3 100%
30 3 3 100%
31 3 3 100%
32 3 3 100%
33 3 3 100%
34 3 3 100%
35 3 3 100%
36 3 3 100%
37 3 3 100%
38 3 3 100%
39 5 5 100%
40 3 3 100%
41 2 2 100%
42 4 4 100%
43 3 3 100%
44 3 3 100%
45 2 2 100%
46 2 2 100%
47 2 2 100%
48 3 3 100%
49 3 3 100%
50 3 3 100%
51 3 3 100%
52 2 2 100%
53 3 3 100%
54 4 4 100%
55 4 4 100%
jumlah 161 161 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-

Palembang, September 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : Oktober 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 2 2 100%
3 4 4 100%
4 2 2 100%
5 4 4 100%
6 2 2 100%
7 3 3 100%
8 3 3 100%
9 4 4 100%
10 2 2 100%
11 4 4 100%
12 5 5 100%
13 2 2 100%
14 3 3 100%
15 3 3 100%
16 3 3 100%
17 4 4 100%
18 4 4 100%
19 4 4 100%
20 4 4 100%
21 3 3 100%
22 4 4 100%
23 4 4 100%
24 3 3 100%
25 4 4 100%
26 4 4 100%
27 3 3 100%
28 2 2 100%
29 3 3 100%
30 3 3 100%
31 4 4 100%
32 3 3 100%
33 3 3 100%
34 2 2 100%
35 2 2 100%
36 2 2 100%
37 3 3 100%
38 4 4 100%
39 2 2 100%
40 3 3 100%
41 4 4 100%
42 3 3 100%
43 2 2 100%
44 3 3 100%
45 3 3 100%
46 3 3 100%
47 3 3 100%
48 3 3 100%
49 3 3 100%
50 3 3 100%
51 3 3 100%
52 3 3 100%
53 3 3 100%
jumlah 165 165 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
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-
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-
-
-
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-
-

Palembang, Oktober 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : November 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 4 4 100%
3 3 3 100%
4 2 2 100%
5 2 2 100%
6 3 3 100%
7 3 3 100%
8 2 2 100%
9 3 3 100%
10 4 4 100%
11 4 4 100%
12 4 4 100%
13 3 3 100%
14 3 3 100%
15 4 4 100%
16 2 2 100%
17 2 2 100%
18 2 2 100%
19 4 4 100%
20 4 4 100%
21 4 4 100%
22 4 4 100%
23 4 4 100%
24 3 3 100%
25 3 3 100%
26 3 3 100%
27 3 3 100%
28 4 4 100%
29 3 3 100%
30 4 4 100%
31 3 3 100%
32 4 4 100%
33 3 3 100%
34 2 2 100%
35 3 3 100%
36 3 3 100%
37 3 3 100%
38 2 2 100%
39 3 3 100%
40 3 3 100%
41 2 2 100%
42 2 2 100%
43 4 4 100%
44 1 1 100%
45 3 3 100%
46 3 3 100%
47 3 3 100%
48 3 3 100%
49 3 3 100%
50 2 2 100%
51 3 3 100%
52 3 3 100%
53 3 3 100%
54 4 4 100%
jumlah 164 164 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-

Palembang, November 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005
MONITORING EVALUASI KESESUAIAN PERESEPAN OBAT TERHADAP FORMULARIUM
TAHUN 2017

PERIODE : Desember 2017

ITEM OBAT DALAM RESEP

NO RESEP TOTAL ITEM OBAT JUMLAH ITEM OBAT % OBAT SESUAI


PER LEMBAR RESEP SESUAI FORMULARIUM FORMULARIUM

1 3 3 100%
2 4 4 100%
3 5 5 100%
4 3 3 100%
5 4 4 100%
6 3 3 100%
7 3 3 100%
8 4 4 100%
9 2 2 100%
10 3 3 100%
11 4 4 100%
12 3 3 100%
13 5 5 100%
14 4 4 100%
15 4 4 100%
16 6 6 100%
17 3 3 100%
18 3 3 100%
19 4 4 100%
20 3 3 100%
21 4 4 100%
22 3 3 100%
23 3 3 100%
24 3 3 100%
25 3 3 100%
26 4 4 100%
27 4 4 100%
28 3 3 100%
29 4 4 100%
30 2 2 100%
31 3 3 100%
32 3 3 100%
33 3 3 100%
34 3 3 100%
35 3 3 100%
36 3 3 100%
37 3 3 100%
38 4 4 100%
39 3 3 100%
40 3 3 100%
41 3 3 100%
42 3 3 100%
43 3 3 100%
44 3 3 100%
45 3 3 100%
46 3 3 100%
47 3 3 100%
48 3 3 100%
49 3 3 100%
50 3 3 100%
51 3 3 100%
52 2 2 100%
53 3 3 100%
54 3 3 100%
55 3 3 100%
56 3 3 100%
57 3 3 100%
58 3 3 100%
jumlah 190 190 100%

Mengetahui,
Plt. Kepala Puskesmas Makrayu

Dr. Hj. Novia Diana Roza, M. Kes


NIP. 196212121989102001
OBAT TERHADAP FORMULARIUM

M RESEP

NAMA OBAT NON FORMULARIUM

-
-
-
-
-
-
-
-
-
-
-
-
-
-
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Palembang, Desember 2017


Pengelola Obat

Septiyawati, AMF
NIP. 198609082011012005

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