LEMBAR KERJA PRAKTIKUM RESEP

Nama :
Kelas :

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Acara Praktikum : ...............................................................................................................
Tujuan : 1. ...........................................................................................................
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I. RESEP :
dr.Resya Ayunda Prameshwari
SIP : 9017/2157/07/2011
Alamat : Jl.Edelweis 17 Brebes
Telp : (021)9774567
Tegal,
No :
R/

Pro :
Usia :
Alamat :

Paraf

II. KELENGKAPAN RESEP

1. Inscriptio : ........................................................................................................................
2. Invecatio : ........................................................................................................................
3. Ordinatio : R/

4. Signatura : ........................................................................................................................
5. Subscriptio : ........................................................................................................................
III. KETERANGAN ( Resep Standart, Buku Referensi, Isi Zat Aktif, Keterangan Dosis, Usul )
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IV. MONOGRAFI
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Kesimpulan Bentuk Sediaan
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V. DAFTAR PENGGOLONGAN OBAT

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Kesimpulan Golongan Sediaan Obat
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VI. PERHITUNGAN DOSIS

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VII. TABEL PENIMBANGAN BAHAN

Nama Bahan Obat Cek Fisik Bahan Obat (ED)

VIII. PROSEDUR PEMBUATAN

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IX. PENYERAHAN/ETIKET DAN LABEL

Wadah : ...............................................................................................................................
Etiket : ...............................................................................................................................
Pro/Nama : ...............................................................................................................................
Signa : ...............................................................................................................................
Label : ...............................................................................................................................

Tanggal Paraf
 LEMBAR KERJA PRAKTIKUM RESEP
Nama :
Kelas :

Tanggal : ................................................................................................................
Acara Praktikum : ................................................................................................................
Materi : 1. .............................................................................................................
2. ............................................................................................................
Tujuan : 1. ............................................................................................................
2. ............................................................................................................

I. ALAT LABORATORIUM

No Nama Dan Fungsi

Gambar Alat
Alat

II. KESIMPULAN
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III. PEMBAHASAN
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Tanggal Paraf

LEMBAR KERJA PRAKTIKUM FARMAKOGNOSI

Nama :
Kelas :

Tanggal : ................................................................................................................
Acara Praktikum : ................................................................................................................
Materi : 1. .............................................................................................................
2. ............................................................................................................
Tujuan : 1. ............................................................................................................
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I. SIMPLISIA

No Gambar Simplisia Klasifikasi

NS :
 NL :
NTA :
Ordo :
Family :
Genus :
Spesies :
Isi :

Organoleptis
Bentuk : Khasiat :
Warna :
Bau :
Rasa :
NS :
NL :
NTA :
Ordo :
Family :
Genus :
Spesies :
Isi :

Organoleptis Khasiat :
Bentuk :
Warna :
Bau :
Rasa :

NS :
NL :
NTA :
Ordo :
Family :
Genus :
Spesies :
Isi :

Organoleptis Khasiat :
Bentuk :
Warna :
Bau :
Rasa :
NS :
NL :
NTA :
Ordo :
Family :
Genus :
Spesies :
Isi :
 Organoleptis
Bentuk : Khasiat :
Warna :
Bau :
Rasa :
NS :
NL :
NTA :
Ordo :
Family :
Genus :
Spesies :
Isi :

Organoleptis Khasiat :
Bentuk :
Warna :
Bau :
Rasa :

Tanggal Paraf