SERI I
R/ OBH 100 R/ Sol Charcot 300 R/ Elixir PCT 100ml R/ Benzocain 0.5
M. f. Potio Natrii Thiosulfat Mf. Potio ZnO 1.5
Stdd CI Mg. Sulfat aa 9 S.tdd I cth Ac.Benzoat 1,25
Mf. Potio Ol. Sesami 4
Pro : Susan S. o. n 2C Pro : Ani (15 th) Vaselin 10
d.i.d Mf. Ungt
Pro : Eka (18th) s.u.e
Pro : Dadang
SERI II
R/ Cod Hcl 0.003 R/ Sanprima R/ Sulfadiazin 4 R/ Trisulfa 6
Phenergan 0.0025 Pehachlor aa VI SASA 1.5 Na Citrat 5
Theophylin 0.03 PGS q.s Calc. Lact 3 Vit B1 0,5
Bisolvon Tab 1/5 Syr. Thymi 15 Sir Simpl 10 Mf.potio 100
Tiamfenicol 0,125 Aq. Ad 100 Na Benzoat 0,150 S.3.dd Cp I
M.f.pulv.dtd.no X S.t.dd cth I Aq ad 150 Pro : Amanda
S.t.dd.pulv I S.t.dd CI
Pro : Dwi (10 th) Pro : Ny. Zaenab
SERI III (LSP)
R/ Salbutamol 1 tab R/ Mefinal tab 500 mg R/ GG R/ Bedak salicil I fls
Iter 2x Dexa 1 tab S.t.dd I CTM aa tab 3 S.adspers
CTM 1 tab PGS q.s
M.f.la.pulv dtd no VI M.f.susp ad 60ml
S.tdd pulv I St.dd. Cth I
Pro : Sabrina 18 th
Alamat Jl. Mangga 6
SERI IV
R/ Pot. Anticonvuls 150 R/ Syr Cosylan sec FMS 100 R/ Tab Bricasma 1 R/ Cod Hcl 0.3
Adde M.f.potio Aminophylin 0,2 Luminal Na 0.5
Diazepam tab IV S.tdd.cth I Theophylin 0.05 Syr aurantii 20
S.bdd cth I Pro : Tn. Nunu Mf.pulv.dtd.no XV Mf.potio 80ml
Pro : Riofaldi S.prn pulv I S3.dd.cth I-II
Pro : Juli (14 th) Pro : Jesica 40Kg
Alat
1. Beker Glass
2. Batang Pengaduk
3. Botol Coklat
4. Kertas Perkamen
5. Lumpang /Mortir
6. Alu / Stemper
7. Sendok Tanduk
8. Cawan
9. Gelas Ukur
10. Pipet Kaca
11. Spatula
12. Pot Kaca / Platik
13. Kaca Arlogi
14. Sudip
15. Penara Timbangan
Bahan Habis Pakai
1. Aqua Dest
2. Etanol / Alkohol 70%
3. Carmin / Pewarna Merah
4. Pulv Gumosus
5. Vaselin
6. Syr Aurantii
7. Ol. Sesami
SERI I
R/ Susp.kloramfenicol R/ Cod Hcl 100 mg R/ Mix. Bromet 150 R/ Prometazin 0.2
60ml Dextro Hbr 150 mg Tinc. Vallerian 10 Luminal 0.3
Adde.p.d.s Mf.caps no X Mf. La.potionem Syr. Simpl 30
Vit B Comp tab 1/2 S.b.dd caps I S.o.n CI pc Mf.potio ad 150
M.d.s.tdd cth Pro : Tn. Karno Pro : Teguh ( 17 th ) Stdd C
Pro : Khadija (6 th) Pro : Tn. Aiko
SERI II
R/ Doveri 200 mg R/ Luminal 0 .25 R/ Trisulfa 10 R/ Amyl tritici 1.5
Antalgin 1 Ext Bellad 0.15 CMC Na 1% Mg. Oksida 1
Aq ad 100 Syr Thymi 15 Syr Cinnamom 40 Ac. Boric 3%
Mf.susp Aq ad 75 ml Glyc 10 Talc ad 40
Stdd cth I Mf.pot Aq ad 100 Mf.pulv.adsp
Pro : Tn adi Svesp cth II Stdd cth SUE
Pro : Niken Pro : Karin (5 th) d.i.d
SERI IV
R/ Trisulfa 10 R/ Acid Stearic 25 R/ Pot. Brom. Valerian 155ml R/Pasta Zink oleosa 15
Na CMC 1% Adeps Lanae 5 Cod Hcl 100 mg Sulfanilamid 2.5
Gycerin 10 TEA 1.5 Mf.pot Phnergan 0.1
Syr Cinnamom 40 Glycerol 7 Stdd CI Lanolin 5
Aq qs 100 Aq ad 100 Pro : Ny. Suketi Mf.ungt
Stdd cth mf.cream S.salep gatal
Pro : Dona (5 th) SUE Pro: Tn. Zainal
da 25
Alat
1. Beker Glass
2. Batang Pengaduk
3. Botol Coklat
4. Kertas Perkamen
5. Lumpang /Mortir
6. Alu / Stemper
7. Sendok Tanduk
8. Cawan
9. Gelas Ukur
10. Pipet Kaca
11. Spatula
12. Pot Kaca / Platik
13. Kaca Arlogi
14. Sudip
15. Penara Timbangan
Bahan Habis Pakai
1. Na CMC
2. Adeps Lanae
3. Gycerol
4. TEA
5. Aqua Dest
6. Talkum
7. Pulv Gummosus
SERI I
R/ Emuls Oleosum 100 R/ Paraf liq 30 R/ GG 0.75 R/ Cipro 0.200
Mf.emuls PGA 11,25 Cod Hcl 0.3 Antalgin 1/2 tab
S.o.m CII ac Ol. Cinnamom gtt II Ephedrin Hcl 0.1 Luminal 0.030
Pro : Bianca Mf.emuls 100 Mf.caps.no XII Mf.p.dtd.no XII
S.pagi CI Stdd caps I Stdd p I pc
Pro : Diana Pro : Tn. Gerry Pro : Anita (10 th)
SERI II
R/ Gargarisma khan 150 R/ Balsam Peru 5 R/ Papaverin Hcl 0.030/cth R/ Ol. Ricini 7.5
S 3 dd PC OL. Ricini 24 Extr Bellad 0.010/cth Piperazin citras 1.5
Pro : Tn. Syamsul PGA qs OBH Ol.cinnamom gtt II
Sir simpl Syr Thymi aa 50 Mf.emiuls ad 150
Mf.emuls Mf.la.pot S vesp c II ac
S.o.h CII S2dd cp Pro : Diana (10 th)
Pro : Agatha Pro : Nn. Putri
SERI III (LSP)
R/ Ambroxol tab 1 R/ Amoxan tab 500mg no X R/ Dextro R/ Bedak salisil 1fls
Dexa tab 1 Stdd 1 tab CTM aa tab 5 S.Adspers
Iter 3x CTM tab I PGS q.s
Mf.la.pulv.dtd. no X Mf.susp ad 60ml
Stdd pulv I
Pro : Andrea (17 th)
Alamat : Jl. Jababeka
SERI IV
R/ Emuls ol. Iecoris ass R/ Ol. Iecoris asseli 20 R/ Ol. Ricini 3 R/ Cod Hcl 12.5 mg
Sec fornas da 1/3 Cyproheptadin Hcl 0.03 Papaberin Hcl 0.2 Theophylin 80mg
Adde Syr Simpl 10 ml Syr Simpl 20 Exovon 8 mg
Vit B comp tab V Ol. Cinnamom gtt II Aq ad 100 Mf caps dtd no XII
Mf. Emulsum Mf emuls 100 ml S 2 dd 2 c mane et vesp Stdd caps I
S3dd cp ac Srdd cth II Pro : Sally (13 th)
Pro : Rika (12 th) Pro : Ny, Hanum
Alat
1. Beker Glass
2. Batang Pengaduk
3. Botol Coklat
4. Kertas Perkamen
5. Lumpang /Mortir
6. Alu / Stemper
7. Sendok Tanduk
8. Cawan
9. Gelas Ukur
10. Pipet Kaca
11. Spatula
12. Pot Kaca / Platik
13. Kaca Arlogi
14. Sudip
15. Penara Timbangan
Bahan Habis Pakai
1. Pulv Gummi Arabic
2. Ol. Iecoris
3. Ol. Ricini
4. Parafin Liq
5. Aqua Dest
SERI I
R/ Cod Hcl 0.2 R/ Acid Undecylenat 10 R/ OBH 120ml R/ Natr Carbonat 1
Doveri 1 Acid Salycil 5 CTM 20mg Glycerin 10
Mf pil no XX Adeps Lanae 10 Cod Hcl 100 mg Aq. Dest 10
Stdd pil I Vas Alb ad 100 Mf.potio Mf.gtt auric
Pro : Anisa Mf. Ungt da 1/4 S3dd C I S 1 dd gtt auric d.s
S salep panu Pro : Lisa (15 th)
Pro : Joan
SERI II (LSP)
R/ Salbutamol 1 tab R/ Mefinal tab 500 mg R/ GG R/ Bedak salicil I fls
Iter 2x Dexa 1 tab S.t.dd I CTM aa tab 3 S.adspers
CTM 1 tab PGS q.s
M.f.la.pulv dtd no VI M.f.susp ad 60ml
S.tdd pulv I St.dd. Cth I
Pro : Sabrina 18 th
Alamat Jl. Mangga 6