Laporan Harian Bulan Januari 2022

NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
LAPORAN HARIAN PASIEN BPJS
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)
Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Attapulgit/New Antides
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Metronidazole 500 mg
Metyl Prednisolon 4 mg
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BULAN…………………………

NO. NAMA PASIEN

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 lilik puji 10
2 nilam
3 karsi 10 10
4 mustofa
5 m habib 10
6 celfin 4
7 tarmisih
8 abdul jalil
9 siti musripah 10
10 siti nuur
11 vikri mauly 10
12 utrima 10
13 pipit dwi 10
14 purwati 10 10
15 yumaroh 10
16 siti nurul 10
17 suwarti 10
18 anisa 10
19 aisyah 1
20 sulistyowati 10
21 parti
22 purnomo
23 mastu'ah
24 farida 10
25 ripa'i
26 suci
27 risqi 10
28 darmi 10
29 sumiyaun 10
30 m maulana 10
31 sunawi 10
32 siti barokah 10
33 rumyati 10
34 sukarno 10 10
35 sri wahyuni 10
36 melly
37 muslikah 10 10
38 dwi maryati 10
39 sukarsih
40 warijah
41 siti suparti
42 siti jayatun 10 10
43 m alwi 2 2
44 maskup 10
45 karis 10
46 titik hartini 10 10
47 suroso 10
48 sri ariyanti 10
49 ceisa 1 1
50 sarpini 10 10
51 fatonah 10
52 warsini
53 mahrita diyah 10
54 kasimah 10 10
55 siti kunasih
56 supriyati 10 10
57 sukati
58 rusdi 10 10
59 rika alistia 10
60 ahmad selamet
61 sunarto 10 10
62 kulsum
63 suparno 10 10
64 rasemi
65 m nukin 10
66 alman 2
67 suwarti
68 nur idayati 10
69 sugiman 10 10
70 m athaya 5
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0### 0 0 0 60 5### 2 40 1 0 10 70### 0
10
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
1
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
6
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10 10
10 10 10
1 10 10
10
10
10 10 10
2 5
10 10
10 10
10 10 10 10
4
10 10 10
10
10
10
1 10
10
1 10
10 10
10
10
10 1 10 10
3 2 5
10
10 10 10
10 3 0 0 0 0 0 0### 0 0 3 0 0 2 1 0 20 0 0 0 0 0 0 0### 316 0 0 10 54 0 10
Furosemide 40 mg
Garam Oralit
1
1
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
25
Metformin 500 mg
Metoklopromid
Miconazole SK
10
Natrium Diklofenak
10 10
10 20
10 10 25
10
10 10
10
10
10
10
10
10
10
0 0 0 3 0 0 0 0 40 0 0 0 0 0 0 1 0 0 0 0 0 0 0### 0 0 20 80 0 0 0 0 20
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
10
10
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
10
10
10
Tambah darah
Tetracyclin 500 tab
10
10
10
zink
THP 2 mg
Trifluoperazine
10
10
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
10
10
10 10
30
10
30
10 10 10
10 10 10
10
1
10 10
10
1
10
10
10 10 10
30
10
10 10 10
10
10
10 30
10
10 10 10
10
1 4
10 10 10
10 10
5
0 0 0 0 0 4 335 0### 30 0 4 0 0 0 40 0 0### 0### 0 0 40 0 0 0 0
BULAN…………………………

NO. NAMA PASIEN

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 syafaatun
2 gusti kjhali 5 5
3 kusmiati 10
4 sumarsono 10 10
5 warni 10
6 eni lestari 10
7 jaurotul 10
8 wiwi wiarsih 10 10
9 zulia marfuah 10
10 anjani 5
11 sutrini 10
12 abdur rohmad 10
13 farihatun 10 10
14 anwarudin 10 10
15 mohamad nahmudi 10
16 kasdi 10
17 sumini 10 10
18 tamsir
19 ali mahsyar 10
20 siti zumaroh 10
21 siti munawaroh 10 10
22 zulaikha 20
23 susilowati
24 khaira
25 aisyah
26 suparmin
27 risma 5 5
28 musriah 10
29 poniah 10 10
30 naila
31 siti khanifa 10 10
32 umami 10
33 mulyono 10
34 heni mulyaningsih 10
35 nadif 2
36 siti rohmawati 10
37 suhardi 10 10 10
38 eva dwi 10
39 nur saadah
40 safaati 10
41 lkunsri 10
42 susanti 10
43 latri 10
44 ika idiya 10
45 putri nur 10
46 jamilun 10
47 m ali 10 1
48 sudarni 10 10
49 nur hayati 10 10
50 junaedi 10
51 fitri suharwati 10 10
52 dewi septia
53 m kholil 1
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 70 10 1 0 0 0 20 0 0 0 10 0 0### 60 6 0 0### 70 0 20
1
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
10
6
6
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
5
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
5
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
6 10
1 2 2
10
10
6 10
10 10
10 10
10 10
10
4 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0### 182 0 0 15 0 0 0
Furosemide 40 mg
1
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
6
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
10
10
10
ISDN
Kalsium Laktat
1
Kendaron tab
1 10
Ketokonazole cream
6
1 5 6
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
Miconazole SK
Natrium Diklofenak
10
10
1
10
10
10
10 10
6
6
0 0 2 0 0 0 0 30 0 0 0 0 0 0 0 6 0 0 80 0 3 15 30 0 0 0 0 0 0 0 0 20 10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
5
10
10
10
10
10
10
10
Paracetamol tab
10
10 10
10
10 10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
30
10
30
Spironolactone
Tambah darah
10
10
10
10
10
Tetracyclin 500 tab

zink
THP 2 mg
Trifluoperazine
1
Vit B Kompleks
Vit B1
10
Wicold syr
Loratadin
Azitromicin
10 10
30
10 10
30
30
10
30
10 10
10
10
10
30
10
10
10
10
10
10 10
10
10 10
1
0 0 0 0 0 1 210 40 0 0 10 0 0 0 0 0 0### 0 80 0 0 0 2 0 20 0 0
BULAN…………………………

NO. NAMA PASIEN

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 rizky 6
2 sarman
3 siti zaenab
4 hartutik 10 10
5 fatehah
6 addir 10
7 hanun 10 10
8 salam 2 2
9 titik jamila 2
10 habibah
11 mulatun 10
12 kamsin 1
13 suami 10
14 sutra anggela 10
15 ema wijaya 10 10
16 yum ariyani 10
17 ayu diyana 10
18 fauzan 10
19 aisha 10 10
20 faza ihyatul 1
21 m maliki
22 suyanto 5
23 maulana safi'i 10
24 m adenan
25 qowqria
26 karsipin 10
27 eko kamisan 5
28 handayani 10 10
29 vio renja
30 legiman 10
31 etty 10
32 putri diana 10
33 puji lestari
34 siti munjayanah 10 10
35 sudarwati 10
36 saiful 10 10
37 m fatqur 10
38 sarmi
39 sulatun 10
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 10 0 0 0 25 0 14 0 0 0 30 0### 2 40 0 0 0 30 60 0
1
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
5
4
3
2
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
1
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
5
4
6
2
6
CTM
10
10
10
10
10
10
10
10
10
5
5
5
5
6
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
5 10
10
10 10
0 3 0 0 0 0 0 0 34 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 68 156 0 0 0 40 0 0
Furosemide 40 mg
Garam Oralit
10
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
10
Lisinopril 5 mg
Metformin 500 mg
10 Metoklopromid
Miconazole SK
Natrium Diklofenak
10 20
10
10 10 20
0 0 0 0 10 0 0 0 20 0 0 0 1 0 0 1 0 0 0 0 0 0 0 60 0 0 10 40 0 10 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
1
Paracetamol syr
5
6
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
Spironolactone
20
Tambah darah
Tetracyclin 500 tab
10
10
10
zink
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
1
1
Vit B1
Wicold syr
Loratadin
Azitromicin
10
10
10
10 10 10
10
10 20
10 10
6 1
10
0 0 0 0 0 4 207 10 70 0 0 0 0 2 0 0 0 0 50 0 50 0 0 10 2 0 0 0
BULAN…………………………

NO. NAMA PASIEN

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 samsu 10
2 paijan 10
3 safaatun 10
4 istianah 10
5 sumijah
6 sugi 10
7 zuslimi 1
8 madinatul
9 natalia
10 umi kholifa
11 tamsiri
12 ngatmi 10
13 suliatin
14 ramija 10
15 rochman 10
16 susniati 10 10
17 dwi susana
18 suwarti
19 sumijan 10
20 mustagfiroh
21 soekarmi
22 kartini 10
23 m lazuatdi
24 sutikno 10
25 chantika
26 indri setiani 10 1
27 sriwati 10
28 m jibril 10
29 abdul muad 1
30 m nukin 10 10
31 ernaati 10
32 ngadirun 10 10
33 hamdan 1
34 selwa 4
35 sofiyatun 10
36 sri mulyani 10
37 sunarti 10 20
38 muningsih 10 10
39 tutik
40 nia wulan
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 1 0 0 0 0 0 0 10 20 0### 2 60 1 0 4 30 20 0
2
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
6
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
1
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
5
CTM
10
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
1 10
4 6
10 10
1 10
20
0 4 0 0 0 0 0 0 20 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 65 161 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
30
Griseofulvin tab
Guanistrep syr
1
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
90
Metformin 500 mg
Metoklopromid
Miconazole SK
10 Natrium Diklofenak
10
6
2 10
10
1 10
0 0 0 1 0 0 0 0 60 0 0 0 0 1 0 0 0 10 0 20 0 3 0 64 0 0 10 90 0 0 0 0 20
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
10
10
10
10
5
Piroxicam
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
5
Spironolactone
30
30
10
30
Tambah darah
Tetracyclin 500 tab
10
10
20
10
10
10
10
10
10 zink
10
THP 2 mg
Trifluoperazine
20
10
10
Vit B Kompleks
1
Vit B1
Wicold syr
10
Loratadin
Azitromicin
1
1
10
10 10
2 10
10 10
1 20
0 0 0 0 0 2 175 30 55 10 0 0 2 0 0 5 10 0### 0### 10 0 50 3 0 30 0
BULAN…………………………

NO. NAMA PASIEN

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 hani antika 10 10
2 hani atika
3 eril diyaz 1 1
4 uswatun chasanah
5 sholikhatun
6 GCHOIRUN NIKMAH 10
7 tri yunik
8 siti sulikah 10 10
9 nurul hidayah 10
10 siti rukini
11 shaquenza 1
12 eka damayanti 10
13 putri 10
14 aviva 10
15 lathifa 1
16 siti fatiroh 1
17 nindi fitriani 10
18 suwarni 10
19 ahmad sofan
20 gio zaki 10
21 suminarti
22 ela khumaeroh 10 10 10
23 jupri 10 10
24 supeno
25 suyuti 10 1
26 siti nikmah 10
27 moh lukmanul 10
28 muji
29 abdul hakam 10 10
30 kasipin
31 ngatini 10 10
32 ngatmi 10 10
33 syarifatul
34 eka auia 10
35 sunaji 10
36 muh arsaka 10
37 tuminah 1
38 dwi laifatul 10
39 m nur imron
40 khalimah 10
41 m irsyat
42 ainun 1
43 sofiyah 10 1
44 sugiyatun 10 10
45 sumiatun
46 ngadimin 10
47 m taufiqur
48 muh tasni 1
49 kumbino 1
50 noval 10
51 afsyah 5
52 partini 10
53 nali 10 10
54 maryati 10
55 siti nur 10
56 elang
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 50 0 1 0 0 0 0 0 0 0 0 0### 8 10 2 0 10 70 70 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
CTM
10
10
10
10
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
5 5 5
10
10
10 10
10 10
1 5 5
10
15
10 10
10
10
10 10 10
10 10
10
10
1 5 10
0 2 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 10 5 0 0 0 0 0 0 91 160 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
10
10
10
10
10
Kalsium Laktat
Kendaron tab
1
1
Ketokonazole cream
Ketokonazole tab
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
1
30 90
5 15
6 10
0 0 0 2 0 0 0 0 30 0 0 0 0 0 0 1 0 0 0 90 0 2 5 16 0 0 0 90 0 15 0 0 10
Nifedipin
Novorapid inj
10
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
70
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
20
30
30
30
30
30
10
30
30
Tambah darah
Tetracyclin 500 tab
10
10
10
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
1
1
1
Vit B1
Wicold syr
Loratadin
Azitromicin
1
10 10 10
10 10
1 10 10
10
10
10
1
1
1 10
10 10 10
1
1
10
5
10
10
1
0 0 12 0 0 6 135 10 70 70 0 0 0 0 0 0 10 0### 0 60 0 0 0 5 0 10 0
NO.
29
28
27
26
25
24
23
22
21
20
17 elvin
1 cyndi
8 dwi sri
18 aryanti
13 susanti
7 karmini
15 nur rika
4 karsono
2 khumaira
11 fatimatus
19 citro mau
12 siti saadah
16 siti aminah
14 siti rohmah
9 rina purnama
6 lathifa safaati
3 siti khomariah
10 mushina antika
BULAN…………………………
5 endang susilo wati

NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
10
10
10
5
Antasida DOEN tab
Antasida syr
Antifungsi SK
10
10
10
10
10
10
10
10
Asam Folat
10
10
10
Asam Mefenamat
30 10 10
31
32 1
33 10 10
34 10 10
35 30
36
37
38 10
39 10
40
41 10 10
42 3
43 1
44 10
45
46
47 1
48 5
49 5
50 10
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 0 0 10 0 20 0 0 0 30 0### 3 65 1 0 3 80 30 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
5
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1 10 10
1 1
10
10
6 10 10
10
5 5
10
10 10 10
0 2 0 0 0 0 0 0 46 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0### 200 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
10
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
6
30
10
10
1
0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0### 0 0 0 18 0 30 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
1
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
30
30
30
30
30
20
Tambah darah
Tetracyclin 500 tab
10
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
1
1
Vit B1
Wicold syr
Loratadin
Azitromicin
10
10 10
1
10
10
10 10 10
10 10 10
10 10 10
10 10 10
10 10
10
10
1
10 10
10 10 10
1 1
1
5
5
10
0 0 2 0 0 1 250 0 80 0 0 0 0 1 0 0 0 0### 0 90 0 0 0 5 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 siti junasih
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
Acetyl Sistein
Acyclovir 400 mg
10 1
Acyclovir salp
Albendazol
10
10
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
10
10
5
Amoxicilin 500 mg
10
10
10
10
Antasida DOEN tab
1
Antasida syr
Antifungsi SK
10
10
Asam Folat
10
10
10
Asam Mefenamat
30 10
31
32 1
33 10
34 10 10
35 10
36 10
37
38 5
39 10
40
41
42
43
44 10
45
46
47
48 10
49 10
50
51
52
53 10
54
55 10
56
57 30 10
58 30 10
59 10
60 10
61 10
62
63
64
65 20
66 10
67 10
68 30
69
70 10
71
72
73
74
75 10
76 10 10
77 10
78
79
80
81 10
82 1
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 40 10 1 0 50 0 30 0 0 0### 0### 1 90 2 0 25 0 90 10
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
5
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
6
6
CTM
10
10
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
5
Domperidone tab
Domperione syr
Etabion
NAMA OBA
10
10
10
10 10
1 5
10
5
10 1
1 10
10 10 10
10
10
10
20
10
10
20 20
1
10 10
10
10
1
10
10
10 10 10
10
10 3 0 0 0 0 0 0### 0 0 1 0 0 3 1 10 10 15 0 0 0 0 1 20 97 235 0 0 20 15 0 0
Furosemide 40 mg
Garam Oralit
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
30
20
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
1
Ketokonazole cream
Ketokonazole tab
6
5
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
40
40
6
Metformin 500 mg
Metoklopromid
10
Miconazole SK
Natrium Diklofenak
10
1
6
10 6
10
1
10
10
10
10
10
10
10
10
10
10
30
10
10
10
1
10
10
0 0 0 2 0 0 0 0 70 0 0 0 2 0 0 1 10 30 10 10 0 1 0 51 0 0 30### 0 30 0 0 40
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
10
Vit B Kompleks
10
10
10
10
10
10
Vit B1
20 Wicold syr
Loratadin
Azitromicin
10 10
10 10 10
1
10 10
10 10
10 10
10
5
1
10 10
1
10 10 10
10
1
10
1
10
1
10 10
10
10 10
10
10
10
10
10
1 10
10 10
10 10
10
10 10
1
10 10 10
10
10 10
10 10
1
10 10
1 10
10 20
0 0 4 0 0 1 425 20### 10 0 10 0 2 2 0 10 0 0 0 0 0 0 40 130 11 25 30

NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 kaswi
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
10
10
10
5
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
10
10
10
10
10
10
10
Antasida DOEN tab
1
1
Antasida syr
Antifungsi SK
10
Asam Folat
10
Asam Mefenamat
30
31
32 10
33 10
34
35
36 10
37 5
38 5
39 5
40 10
41
42 10
43 10
44 10
45 10
46
47 3
48 10
49
50 10 10
51 10
52
53 10
54 10
55 5
56 5
57
58 10
59 10
60 10
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 60 0 0 0 0 0 0 0 0 0 55 0### 1 70 2 0 0 120 20 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
6
6
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
6 10
3 3
10
0 0 0 0 0 0 0 0 32 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 79 123 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
1
Hidrokortison SK
10
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
10
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
6
6 Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 10 0 0 70 30 0 0 18 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
6
6
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10 10
10
10
10
Vit B1
1 Wicold syr
Loratadin
Azitromicin
10 10
10 10
30
30
10 10
10 10
10
5
5
30
10 10
10 10
20
30
30
30
10 10
1
30
10 30
10 30
20
10 30
20
1
5
10
10
10
0 0 1 0 0 2 305 30 72 0 0 10 0 0 0 0 0 0### 0 0 0 0 10 70 1 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 lwginah
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
10
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
10
5
Amoxicilin 500 mg
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
10
10
20
Asam Folat
10
10
10
10
10
Asam Mefenamat
30
31 10
32 10
33
34
35 10
36 5
37 10
38 10 10
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 10 0 40 0 0 0 10 0### 1 40 0 0 0 70 60 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
1
Chloramfenicol TT
10
6
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
6
CTM
10
10
10
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
10 10
10 10
10 1 0 0 0 0 0 0 40 0 0 0 0 0 0 1 0 10 6 0 0 0 0 0 0 46 155 0 0 0 20 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
10
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
15
15
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10
0 0 0 0 0 0 0 0 30 0 0 0 1 0 0 1 0 0 0 10 0 0 0 30 0 0 0 30 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
30
30
30
10
20
30 Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
10 10
1
1 10
10 10 10
10
5
10
0 0 2 0 0 2 110 10 80 0 0 0 0 0 0 20 0 0### 0 0 0 0 0 40 2 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 suwarni
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
2
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
10
Amoxicilin 500 mg
10
1
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
10
10
10
Asam Folat
10
10
10
10
Asam Mefenamat
30 10
31
32 1
33
34
35 10
36 10
37
38
39 5
40
41 10
42 10
43 1
44 10
45 2
46 10
47
48 1
49 10 10
50 1
51 10 10
52 10
53
54 5
55 10 10 10
56 5
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 0 0 0 0 32 0 0 0 40 0 90 13 62 2 10 15 60 60 0
10
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
2
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
6
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
CTM
10
10
10
10
2
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
5
10 1 10
10 10
10 10
10
1
10
10
3 3
10
10
10
10
5 5
10 1 0 0 0 0 0 0### 0 0 0 0 0 3 0 0 6 0 0 0 0 0 0 0 60 107 0 0 10 18 0 0
Furosemide 40 mg
Garam Oralit
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
Natrium Diklofenak
10
10
10
10 6
30 90
1 10
6
0 0 0 2 0 0 0 0 50 0 0 0 1 0 0 0 10 0 0 30 0 1 20 18 0 0 0 90 0 0 0 0 40
Nifedipin
Novorapid inj
1
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
Paracetamol tab
10
10 10
10
10
Piroxicam
10
10
10
10
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
10
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
10
10
10
10
10
Vit B1
1
1 Wicold syr
Loratadin
Azitromicin
10 10
4 5
5
30
10 10
10 10 10
5
10 10 10
10
10 10 10
1
6
10 10 10
10 10 10
10
1
10
1
10
1
0 0 2 0 0 3 209 25 76 60 0 0 0 0 0 0 0 0### 0 0 0 0 20### 3 5 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 fena cyntia
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
Amoxicilin 500 mg
1
1
1
1
1
1

10
Antasida DOEN tab
1
1
1
1
1
Antasida syr
Antifungsi SK
5
5
10
10
10
10
10
10
10
Asam Folat
10
10
Asam Mefenamat
30 10
31 10
32 10
33
34 10
35 10
36 1
37
38 10
39 1
40 10
41 10
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 50 0 0 0 30 0 50 6 10 7 0 10 80 30 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
CTM
5
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
10 Etabion
NAMA OBAT
10 10
10
1 10 10 10
1 10
10 10
5
0 0 0 0 0 0 0 0 10 0 0 0 0 0 2 1 0 20 0 0 0 0 0 1 0 65 40 0 0 0 0 0 10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
5
5
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
10
Metformin 500 mg
Metoklopromid
Miconazole SK
10
Natrium Diklofenak
1
10
0 0 0 0 0 0 0 0 10 0 0 0 2 0 0 0 0 0 0 50 0 0 0 40 0 0 0 10 0 0 0 0 10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
Spironolactone
30
30
30
30
30
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
10
Vit B Kompleks
10 10
10
Vit B1
1
1
1
1
Wicold syr
Loratadin
Azitromicin
1
10
1
30
10 10 10
10
10
1 10 5
10 5
10 10
0 0 1 0 0 3 100 0 90 0 0 0 1 1 0 0 0 0### 0 0 0 0 50 30 5 5 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 khumaira zalfa
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
4
5
5
5
Amoxicilin 500 mg
1

Antasida DOEN tab
Antasida syr
Antifungsi SK
3
5
10
10
10
10
10
Asam Folat
10
Asam Mefenamat
30
31 10 10
32
33 10
34 10
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 40 0 0 0 0 0 10 0 0 0 0 0 79 1 0 0 0 8 60 20 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
4
CTM
10
10
10
10
4
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
10
10 0 0 0 0 0 0 0 10 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 24 54 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
1
1
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
1 10
Ketokonazole tab
10
10
10
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
40
Miconazole SK
Natrium Diklofenak
0 0 0 2 0 0 0 0 30 0 0 0 1 0 0 1 0 0 0 10 0 1 10 48 0 0 0 0 0 40 0 0 0
10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
5
5
5
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
10
Spironolactone
30
30
30
30
20
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
10
10
10
Vit B Kompleks
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
1
1
30
10
10 0 0 0 0 4 135 10 50 0 0 0 0 0 30 0 0 0### 0 0 0 0 40 0 2 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 yani alfa
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
Amoxicilin 500 mg
1
1
10
Antasida DOEN tab
1
1
1
Antasida syr
Antifungsi SK
10
10
10
10
10
Asam Folat
10
Asam Mefenamat
30

30 6
31 10
32 10 10
33 10
34 10 10
35
36 10
37 10
38 10 10
39 10
40
41
42
43
44
45
46
47 10
48 10
49
50
51 1 10
52
53
54
55
56
57 10 10
58 10
59
60 10
61 10 10
62 1
63 10
64
65
66 10 10
67
68 10
69
70
71 10
72 10
73 10
74 1
75 1
76 1
77 5
78 10
79 10
80 10
81 10
82 10
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 1 10 0 10 0 96 0 0 0 0 0### 6 40 3 0 10 90 40 30
10
10
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
30
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
30
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
8
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
4 6 5
10 10
1 10
10
10
10 10
1
10
1 10
10
10
30
10
10
10
10
10
10
20 0 0 0 30 30 0 0 44 0 0 0 0 0 5 0 0 40 0 0 0 0 30 0 0### 185 0 0 0 38 0 0
Furosemide 40 mg
3
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10
10
10
6
10
10
10
10
10
10
1
10 10
1 10
10
1 1
10
0 0 3 1 0 0 0 0 10 0 0 0 1 0 0 1 0 10 0### 0 2 10 56 0 0 0 0 0 10 0 0 10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
30
Spironolactone
10
30
30
10
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
10
Vit B Kompleks
10
10
10
10
Vit B1
1
1 Wicold syr
10
Loratadin
Azitromicin
4
10
10 10
10
10
10
10
30
30
10
10 10
10 10
10
10 10 10 10
10 10 10 10
10 10 10
30
30
10 10
10 10 10
10
1 1
10
10 10 10
10 10 10
10 10
10 10 10
1
10
10 10
10 10 10
10 10
10
30
10 10
10 10 10
10
10
10
1
1
1
5
10
10
10
10
10
0 0 1 0 0 4 419 10### 0 0 10 1 0 60 0 0 30### 0 0 0 0###### 3 20 0

NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
6
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
Amoxicilin 500 mg
10
10
10
10
Antasida DOEN tab
1
Antasida syr
Antifungsi SK
20
Asam Folat
10
10
10
10
Asam Mefenamat
30 10
31 10
32 10
33 10
34 5
35
36 10
37
38 10 10
39 10
40 10
41 5
42
43
44
45 20
46 10
47 10
48 10
49 10
50 10 10
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 10 0 0 0 0 0 66 0 0 0 20 0 50 0 60 1 0 0 80 60 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
6
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
6
CTM
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10 10
10
10 10 10
10 10
1 5
10 10 10
10
10 10 10
10
10
10
0 0 0 0 0 0 0 0 96 0 0 1 0 0 2 0 0 0 10 0 0 0 0 0 0### 160 0 0 0 30 0 0
10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
10
10
10
10
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
Miconazole SK
Natrium Diklofenak
10
10
10
10 10
10
1 1 10
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 50 0 0 0 1 10 46 0 0 10 0 0 0 50 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
10
10
10
10
10
Piroxicam
10 10
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
1
Salicil talk
Spironolactone
10
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
10
10
Vit B1
Wicold syr
10
Loratadin
Azitromicin
10
10 10
10
5
10 10
10
1
30
10
5
10 10
1
10 30
10
10
10
10
10
0 0 0 0 0 2 230 10 80 10 0 10 0 1 0 0 0 0### 0 0 0 0 0### 1 20 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 rif"an
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
Ambroxol tab
Aminofilin tab
10
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
5
5
Amoxicilin 500 mg
1
10
10
10
Antasida DOEN tab
1
Antasida syr
Antifungsi SK
10
5
10
10
10
10
10
10
Asam Folat
10
10
10
Asam Mefenamat
30 10 10
31 10
32 5
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 20 0 0 0 0 0 30 0 10 0 0 0 90 1 30 1 0 20 60 30 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
8
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
CTM
10
10
10
10
10
10
1
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
5 5
0 0 0 0 0 0 0 0 23 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 30 86 0 5 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
10
10 Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10 Metronidazole 500 mg
1
Miconazole SK
10
Natrium Diklofenak
1
0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 60 0 0 0 36 1 0 0 0 0 0 10 1 10
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
5
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
Piroxicam
10
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
20
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
10
5
Loratadin
Azitromicin
10
10
1
0 0 1 0 0 1 100 0 60 10 0 10 0 0 0 0 0 0### 0 0 0 0 0 80 2 15 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 hilal
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
3
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
10
5
5
5
Amoxicilin 500 mg
1
1
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
10
10
10
20
10
10
Asam Folat
Asam Mefenamat
30 10
31
32
33 10
34 10
35
36 1
37 10
38 10
39 10
40 10 10
41 5
42 10
43 6
44 10
45 10
46 10 10
47 10 10
48 10 10
49
50 10
51 10
52 4 4
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 10 0 0 0 0 0 93 0 0 0 25 0### 2 10 1 0 0 70 84 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
3
4
2
CTM
10
10
10
10
10
10
10
3
4
2
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
10 10 10
10
10
10 10 10
10
1 10
10
10 10 10
6 6 5
10 10 10
10 10
10 10
1
10
10 10
10 1 10
10
4 4 5
0 2 0 0 0 0 0 0### 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0### 179 0 0 10 10 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
1
Ketokonazole cream
Ketokonazole tab
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10 10
10
10
10
10
20 10
0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 2 0 0 0 0 0 1 0 10 0 0 0 50 0 0 10 0 0
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
3
5
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10 10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
20
30
30
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
10
Vit B1
Wicold syr
Loratadin
Azitromicin
10 10
10 10 10
10 10 10 10
10 10 10
10
10
10 10
10 10
10 10
10
1
10
10 10
10
10
10 10
10
10 10
10
0 0 1 0 0 4 328 30 50 70 0 0 0 0 0 0 0 0### 0 0 0 0 10 60 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
4
5
5
5
5
Amoxicilin 500 mg
1
1
1
1
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
2
5
4
10
10
10
Asam Folat
10
10
Asam Mefenamat
30
31
32
33
34
35
36
37 1
38
39 10 10
40 10
41 10
42 10
43 10
44 1
45 5
46 5
47 5
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 40 0 0 0 0 0 10 0 0 0 0 0### 5 20 1 0 11 30 20 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
5
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
1
Chloramfenicol TT
6
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
CTM
10
10
10
10
10
5
5
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
0 0 0 0 0 0 0 0 15 0 0 0 0 0 1 1 0 6 0 0 0 0 0 0 0 80 75 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
Kalsium Laktat
Kendaron tab
1 10 Ketokonazole cream
Ketokonazole tab
6
6
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
60
Metformin 500 mg
Metoklopromid
Miconazole SK
10 Natrium Diklofenak
6
0 0 0 0 0 0 0 0 20 0 0 0 1 0 0 0 0 0 0 30 0 1 10 36 0 0 0 60 0 0 0 0 10
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
5
5
5
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
6
6
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
10
Tambah darah
Tetracyclin 500 tab
4
zink
THP 2 mg
Trifluoperazine
4
Vit B Kompleks
10
10
10
Vit B1
1
1
1
Wicold syr
10
Loratadin
Azitromicin
1
10 10 10
10 10
10
10
10
10
1
5
5
5
0 0 1 0 0 4 180 10 22 0 0 0 1 0 0 0 0 0### 0 4 0 0 4 50 3 10 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
3
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
2
Amoxicilin 500 mg
1
1
1
10
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
2

20
Asam Folat
10
10
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 23 0 0 0 10 0 52 3 20 0 0 2 20 20 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
3
CTM
10
10
10
10
10
3
2
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
3
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 53 0 0 0 0 0 1 0 0 10 0 0 0 0 0 0 0 43 55 0 0 0 13 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
30
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
1
Ketokonazole cream
Ketokonazole tab
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
20
Metformin 500 mg
Metoklopromid
10
10
10
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 20 0 0 30 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
3
2
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
10
10
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
10 Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
Vit B1
Wicold syr
10
Loratadin
Azitromicin
0 0 0 0 0 3 135 0 20 20 0 10 0 0 0 0 0 0 40 0 0 0 0 0 40 0 10 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
5
Amoxicilin 500 mg
1
1
10
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
5
Asam Folat
Asam Mefenamat
30
31 10 10
32 1
33
34
35 5
36 10 10
37 10
38 10
39 10
40 10
41 10
42 1
43 10
44 10
45 10
46 10
47 5
48 1
49 10
50 5
51 10
52 10 10
53 10 1
54 3 1 3 3
55 10
56 10
57 10
58 10
59 10
60
61 10
62
63 10
64 10
65
66 10
67 10
68 10
69 1
70 1
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 40 3 1 0 0 0 40 0 0 0 30 0### 7 70 1 0 38 90 30 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
5
CTM
10
10
10
10
10
10
10
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1 10
1 5 5
1
10 10
10
10
10
10
10
3
1 4
0 1 0 0 0 0 0 0 40 0 0 2 0 0 4 0 0 0 0 0 0 0 0 1 0### 149 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
Miconazole SK
Natrium Diklofenak
10
10
10
10
10
10
10
10
1
0 0 0 0 0 0 0 0 30 0 0 0 1 0 0 0 0 0 0 80 0 0 0 36 0 0 0 0 0 0 10 0 0
Nifedipin
Novorapid inj
1
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
10
10
10
10
Piroxicam
10
10
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
5
5
Loratadin
Azitromicin
10 10 10
1
10 10 10
5
5
10
10
10
10
10
10
1
10
10
10
10
5
1
10
5
10 10
10
10
1
30
30
30
30
30
10 10
10
10 10
30
1 10
10 10
30
30
30
1
1
1
0 0 3 0 0 4 410 0### 20 0 10 0 0 0 0 0 0### 0 0 0 0 20### 5 15 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
10
10
10
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
Amoxicilin 500 mg
10
10
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
10
10
Asam Mefenamat
30
31
32
33 10 10
34
35 10
36 10 10
37
38
39 10
40
41 10
42 10
43
44
45
46
47 10
48
49 10
50 10
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 0 0 40 0 0 0 0 0 0 0 30 0 80 0 0 0 0 50 0
10
10
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
10
20 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 20 0 0 0 0 0 0 40 10 0 0 0 0 0 0
10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
10
10
10
10
10
10
10
10
Ibuproven 400 mg
ISDN
10 Kalsium Laktat
1 Kendaron tab
1
Ketokonazole cream
Ketokonazole tab
10
10
10
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
60
Metformin 500 mg
Metoklopromid
10
10
1
Miconazole SK
10
10
Natrium Diklofenak
10
10
6
6
30 10 30 30
10
0 10 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0### 0 10 0 2 0 70 0 30 0 90 0 0 30 1 20
Nifedipin
Novorapid inj
1
1
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
20
10
10
Paracetamol tab
10
Piroxicam
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
10
20
Spironolactone
Tambah darah
10 Tetracyclin 500 tab
zink / biocom
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
10
10
1
10 10
10
10
10
10
10 10 10
10 10
10 10
10
10 10
10 10
10 10
10 10
10
1
10
10 10
0 0 4 0 0 1 200 0 20 10 0 0 1 1 0 30 0 0 0 0 10 0 0 20### 0 10 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
6
5
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
5
6
Amoxicilin 500 mg
1

Antasida DOEN tab
Antasida syr
Antifungsi SK
10
10
10
10
10
10
20
Asam Folat
10
10
10
10
10
Asam Mefenamat
30 10 10
31 10
32 10
33 10
34 10
35
36 5
37 10
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 41 0 0 0 0 0### 1 0 0 0 0 80 70 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
3
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
6
5
CTM
10
10
10
6
5
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1
10
10
10
10
0 0 0 0 0 0 0 0 26 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 41 56 0 0 0 10 0 0
Furosemide 40 mg
4
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
20 Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
10
Natrium Diklofenak
10
10
0 0 4 0 0 0 0 0 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
5
3
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
Piroxicam
10
10
10
10 10
10 10
10 10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
Spironolactone
10
30
20
10
30
10
20
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
Vit B1
Wicold syr
10
10
Loratadin
4
Azitromicin
10 5
10 4
10 10
10
10
10 10 10
5
10 10 4
0 0 0 0 0 3 163 0 50### 0 10 0 1 0 0 0 0### 0 0 0 0 0 40 0 25 12
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
10
5
5
5
5
Amoxicilin 500 mg
1
1
1
10
2
Antasida DOEN tab
Antasida syr
Antifungsi SK
10
10
Asam Folat
10
10
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 0 0 0 0 0 0 0 0 10 0 80 3 12 0 0 0 20 20 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
1
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
5
CTM
10
10
10
10
5
3
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
3
4
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 2 0 0 0 0 0 0 20 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 75 48 0 0 7 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
20
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
3
10
10
Kalsium Laktat
Kendaron tab
1
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
40 Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 23 0 1 0 6 0 0 0 0 0 40 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
5
5
10
10
10
10
10
10
Paracetamol tab
4
10
Piroxicam
10
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
20
Spironolactone
30
20 Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
Vit B1
1
1
1
1
Wicold syr
5
Loratadin
Azitromicin
0 0 0 0 0 1 75 4 10 20 0 0 0 0 0 20 0 0 50 0 0 0 0 0 20 4 5 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
9
8
7
6
5
4
3
2
1
10 narti
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
10 2
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
4
Amoxicilin 500 mg
1
1
10
10
10
Antasida DOEN tab
1
1
1
Antasida syr
Antifungsi SK
10
Asam Folat
10
10
10
10
Asam Mefenamat
30

30
31 10
32
33 10
34 10
35 10
36 10
37 10
38 1
39 5
40 5
41 5
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 10 2 0 0 0 40 0 0 0 10 0 89 3 30 3 0 0 10 60 30
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
30
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
Chloramfenicol TM
1
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
CTM
10
10
10
10
5
5
5
Dexametason 0.5 tab

Diazepam 5 mg
10 Digoxin tab
Dimenhidrinat tab
10 10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10 10
10 10 10
10
1 10
10
0 0 0 0 0 30 0 0 30 0 0 1 0 0 4 1 0 0 0 0 0 0 0 0 0 70 95 0 10 20 10 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
1
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
10
ISDN
Kalsium Laktat
Kendaron tab
1
2
1
Ketokonazole cream
10
Ketokonazole tab
10
10
10
4
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
20
20
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10
0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 3 0 0 10 0 0 4 10 44 0 0 0 40 0 0 0 0 0
30
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
10
10
10
10 10
10
10 10
10
10 10
Prednison tab
Riseridone tab
Salbutamol tab
2
Salep 2-4
1
Salicil talk
30
Spironolactone
30 Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
5
10
3
Loratadin
4
4
10
Azitromicin
10 10
10
10
10 10
10 10
10
10
10
1
5
5
5
30 0 0 0 0 2 251 0 50 90 0 0 2 1 0 30 0 0 30 0 0 0 0 0### 1 18 18
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
1
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
10
10
10
10
10
10
10
Asam Folat
10
10
Asam Mefenamat
30
31
32 10
33 1
34 10
35
36 10 10
37
38
39 10
40
41 1
42 10
43 10
44 10
45 1
46 6
47 5
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 20 0 0 0 0 0 10 0 0 0 0 0### 5 20 2 0 0 70 20 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
6
CTM
10
10
10
10
10
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
1 10 10
10
10
10
1 10 10
10
1 10
10
6
0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 106 0 0 20 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
10
6
5 15
10
20 60
10 10
0 0 0 0 0 0 0 0 20 0 0 0 1 0 0 0 0 0 10 60 0 0 15 42 0 0 0 60 0 15 0 0 10
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
10
10
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
10
30
30
30
30
30
10
30
30 Tambah darah
Tetracyclin 500 tab
4
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
Vit B1
1
1
Wicold syr
4
4
Loratadin
10
Azitromicin
10 10 10
10 4
10 10
10
10 10 10
10 10
10 10
4
10
10 10
10
10
1
1
4
0 0 1 0 0 3 189 0 50 30 0 0 0 0 0 0 0 0### 0 4 0 0 10 80 2 16 10
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
10 1
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
10
2
4
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
10
10
Amlodipin 5 mg
10
10
10
10
10
10
10
2
Amoxicilin 500 mg
1
1
10
10
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
2
10
10
10
Asam Folat
10
10
10
10
10
15
10
Asam Mefenamat
10

30 10
31 10
32 10
33 10
34 10
35 10
36 2
37 1
38
39 10
40 3
41 1
42 10
43 10
44 4
45 1
46 10
47 10
48 10
49 10 10 10
50 10 10
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 10 1 0 10 0 42 0 0 0 80 0### 5 40 0 0 2 70 95 10
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
2
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
2
2
4
CTM
10
10
10
10
5
2
5
Dexametason 0.5 tab
Diazepam 5 mg
10
Digoxin tab
Dimenhidrinat tab
10
10
4
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
3 2 5
1
1 1 3 5
4
6 10
4 4 5
10
10
0 2 0 0 0 0 0 0 22 0 0 3 0 0 2 0 0 0 0 0 0 0 0 0 0 53 91 0 10 0 34 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
1 Ketokonazole tab
1 10
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
Miconazole SK
Natrium Diklofenak
1 10
10
10
10
10 20
0 0 0 0 0 0 0 0 10 0 0 0 1 0 0 0 0 0 0 0 0 0 2 42 1 10 0 20 0 0 30 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
3
3
10
10
10
10
10
10
10
10
10
15
10
10
10
Paracetamol tab
10
Piroxicam
10 10
10
10 10
10
10 10
10
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
20
30
10
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10 10
10
10
10
Vit B1
1
Wicold syr
Loratadin
4
Azitromicin
10 10
10 10
30
30
10
1
1
10 10 10
4
1
10 10 10
10
1
1
10
10
10 10
10
10 10 4
10 10
10 10
4 0 0 0 0 7 231 0 90 90 0 10 0 0 0 10 0 0### 0 0 0 0 10### 2 0 8
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 prolanis
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
###
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
######
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
###

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0### 0 0 0 0 0 0 0 0 0###### 0 0 0 0 0 0 0 0 0###
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
###### 90
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
30 30
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
45
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0###### 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 30 0 0 0 0 0 45 0 0 0 0
30
Furosemide 40 mg
Garam Oralit
Glibenklamid
60
Glicazide tab
Glicerii Guaiakolas
######
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
###
ISDN
Kalsium Laktat
30
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
2 60######
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 30 0 0 0 60 0 0###### 0 0 0 0 0 0 0 0### 0 30 0 0 0 2 60###### 0 0 0 0 0
Nifedipin
90 4
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
############ Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
60
Vit B1
Wicold syr
Loratadin
Azitromicin
60
nitrocaf
90 4 0 0 0 0 0 0 0 0 0 0 0 0############ 0 0 0 0 0 0 60 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
5
5
Amoxicilin 500 mg
1
1
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
10
10
10
10
10
Asam Folat
10
Asam Mefenamat
30 5
31
32 2 1 2
33 10 10
34 10 10
35 10
36 10 10
37 30
38 10
39 10 10
40
41 10
42 1
43 10
44 10
45 10 10
46 10 10
47 10
48 10
49 10
50
51
52 10
53 10
54 10 10
55
56 10
57 10
58 10
59 1
60 1
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 2 1 0 10 0 80 0 0 0 10 0### 5 40 0 0 0 120 40 30
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
6
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
30
10
3
CTM
10
10
10
10
10
10
3
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1 10 10
2
10
30
10
10
10
1 10
10 6
1 10 10
6 10
10 10
1
10 3 0 0 0 0 0 0 18 0 0 0 0 0 3 0 0 10 0 0 0 0 30 0 0 85 123 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
3 ISDN
10
10
10
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
10
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
30
10
30
30
10
10
6
10
10
6
6 6
0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 6 0 30### 0 0 0 40 0 0 0 10 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
5
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
5
Spironolactone
30
30
30
30
20
30
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
5
10
2
10 10
10
20
10 10
30 30
30
10 10 10
20
1
10
10
10
10
10 10 10
4
10 30
10
10 10 10
10
10
4
1
1
0 0 0 0 0 2 257 20 90 20 0 0 0 0 0 10 35 0### 0 0 0 0 0### 4 8 0
LAPORAN BULANAN non JKN
BULAN …………………
NO NAMA OBAT 1 2 3 4 5 6
1 Acarbose 100 mg 0 0 0 0 0 0
2 Acarbose 50 mg 0 0
3 Acetyl Sistein 0 0
4 Acyclovir 400 mg 0 0
5 Acyclovir salp 0 0
6 Albendazol 0 0
7 Allupurinol 100 mg 0 0
8 Ambroxol syr 0 0
9 Ambroxol tab 0
10 Aminofilin tab 0
11 Amitriptilin 0
12 Amlodipin 10 mg 0
13 Amlodipin 5 mg 0
14 Amoxicilin 125 mg/5 ml 0
15 Amoxicilin 500 mg 0
16 Amoxicilin forte 250 mg/5 ml 0
17 Antasida DOEN tab 0
18 Antasida syr 0
19 Antifungsi SK 0
20 Asam Ascorbat (Vit C) 0
21 Asam Folat 0
22 Asam Mefenamat 0
23 Aspilet/Miniaspi/ Asam Asetyl Salisilat 0
24 Attapulgit/New Antides 0
25 Betametason SK 0
26 Bisacodyl tab 0
27 Bisoprolol 5 mg 0
28 Candesartan 8 mg 0
29 Captopril 12.5 mg 0
30 Captopril 25 mg 0
31 Carbamazepin 0
32 Cefadroxil 500 mg 0
33 Cetrizine 0
34 Chloramfenicol 250 0
35 Chloramfenicol SK 0
36 Chloramfenicol SM 0
37 Chloramfenicol syr 0
38 Chloramfenicol TM 0
39 Chloramfenicol TT 0
40 Chlorphromazine 100 mg 0
41 Ciprofloxacin 500 mg 0
42 Clindamicin 300 mg 0
43 Clobazam 0
44 Clonidin 0
45 Clopidogrel 0
46 Concor 2.5 mg 0
47 Cotrimoxazol syr 0
48 Cotrimoxazol tab 0
49 CTM 0
50 Dexametason 0.5 tab 0
51 Diazepam 5 mg 0
52 Digoxin tab 0
53 Dimenhidrinat tab 0
54 Domperidone tab 0
55 Domperione syr 0
56 Etabion 0
57 Fitomenadion ta/Vit K 0
58 Furosemide 40 mg 0
59 Garam Oralit 0
60 Gentamicin SK 0
61 Glibenklamid 0
62 Glicazide tab 0
63 Glicerii Guaiakolas 0
64 Glimepiride 1 mg tab 0
68 Griseofulvin tab 0
69 Guanistrep syr 0
70 Halloperidol 0
71 HCT 0
72 Hidrokortison SK 0
73 Hysocine N 0
74 Ibuproven 400 mg 0
75 ISDN 0
76 Kalsium Laktat 0
77 Kendaron tab 0
78 Ketokonazole cream 0
79 Ketokonazole tab 0
80 Lansoprazole 0
81 Lantus inj 0
82 Lisinopril 10 mg 0
83 Lisinopril 5 mg 0
84 Metformin 500 mg 0
85 Metoklopromid 0
86 Metronidazole 500 mg 0
87 Metyl Prednisolon 4 mg 0
88 Miconazole SK 0
89 Natrium Diklofenak 0
90 Nifedipin 0
91 Novorapid inj 0
92 OBH 0
93 Oxytetra SM 0
94 Papaverin tab 0
95 Paracetamol syr 0
96 Paracetamol tab 0
97 Piridoxin tab (Vit B6) 0
98 Piroxicam 0
99 Prednison tab 0
100 Riseridone tab 0
101 Salbutamol tab 0
102 Salep 2-4 0
103 Salicil talk 0
104 Sianocobalamin tab (Vit B12) 0
105 Simvastatin 10 mg tab 0
106 Simvastatin 210 mg tab 0
107 Spironolactone 0
108 Tambah darah 0
109 Tetracyclin 500 tab 0
110 Thiamin tab ( Vit B1) 0
111 THP 2 mg 0
112 Trifluoperazine 0
113 Vit B Kompleks 0
114 Wicold syr 0
115 Zink 0
TANGGAL
7 8 9 10 11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0
TANGGAL
17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0
27 28 29 30 31
0 0 0 0 0
Laporan Bulanan Januari

TGL

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Cefadroxil 500 mg
Candesartan 8 mg
Asam Mefenamat
Captopril 12.5 mg
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Betametason SK
Acarbose 50 mg
Captopril 25 mg
Amlodipin 5 mg
Bisoprolol 5 mg
Carbamazepin
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Bisacodyl tab
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 144 0 0 0 60 5 136 2 40 1 0 10 70 110 0 10 3 0 0 0 0 0 0 143
4 0 70 10 1 0 0 0 20 0 0 0 10 0 0 167 60 6 0 0 125 70 0 20 4 0 0 0 0 0 0 38 0
5 0 0 10 0 0 0 25 0 14 0 0 0 30 0 103 2 40 0 0 0 30 60 0 0 3 0 0 0 0 0 0 34
6 0 0 30 0 1 0 0 0 0 0 0 10 20 0 110 2 60 1 0 4 30 20 0 0 4 0 0 0 0 0 0 20
7 0 0 50 0 1 0 0 0 0 0 0 0 0 0 205 8 10 2 0 10 70 70 0 0 2 0 0 0 0 0 0 35
8 0 0 30 0 0 0 10 0 20 0 0 0 30 0 170 3 65 1 0 3 80 30 0 0 2 0 0 0 0 0 0 46
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 40 10 1 0 50 0 30 0 0 0 130 0 195 1 90 2 0 25 0 90 10 10 3 0 0 0 0 0 0 120
11 0 0 60 0 0 0 0 0 0 0 0 0 55 0 168 1 70 2 0 0 120 20 0 0 0 0 0 0 0 0 0 32
12 0 0 0 0 0 0 10 0 40 0 0 0 10 0 110 1 40 0 0 0 70 60 0 10 1 0 0 0 0 0 0 40
13 0 0 30 0 0 0 0 0 32 0 0 0 40 0 90 13 62 2 10 15 60 60 0 10 1 0 0 0 0 0 0 120
14 0 0 0 0 0 0 0 0 50 0 0 0 30 0 50 6 10 7 0 10 80 30 0 0 0 0 0 0 0 0 0 10
15 0 0 40 0 0 0 0 0 10 0 0 0 0 0 79 1 0 0 0 8 60 20 0 10 0 0 0 0 0 0 0 10
16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 0 0 0 1 10 0 10 0 96 0 0 0 0 0 175 6 40 3 0 10 90 40 30 20 0 0 0 30 30 0 0 44
18 0 0 10 0 0 0 0 0 66 0 0 0 20 0 50 0 60 1 0 0 80 60 0 0 0 0 0 0 0 0 0 96
19 0 0 20 0 0 0 0 0 30 0 10 0 0 0 90 1 30 1 0 20 60 30 0 0 0 0 0 0 0 0 0 23
20 0 0 10 0 0 0 0 0 93 0 0 0 25 0 145 2 10 1 0 0 70 84 0 0 2 0 0 0 0 0 0 103
21 0 0 40 0 0 0 0 0 10 0 0 0 0 0 169 5 20 1 0 11 30 20 0 0 0 0 0 0 0 0 0 15
22 0 0 0 0 0 0 0 0 23 0 0 0 10 0 52 3 20 0 0 2 20 20 0 0 0 0 0 0 0 0 0 53
23 0 0 40 3 1 0 0 0 40 0 0 0 30 0 263 7 70 1 0 38 90 30 0 0 1 0 0 0 0 0 0 40
24 0 0 30 0 0 0 40 0 0 0 0 0 0 0 30 0 80 0 0 0 0 50 0 20 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 41 0 0 0 0 0 106 1 0 0 0 0 80 70 0 0 0 0 0 0 0 0 0 26
26 0 0 30 0 0 0 0 0 0 0 0 0 10 0 80 3 12 0 0 0 20 20 0 0 2 0 0 0 0 0 0 20
27 0 0 0 10 2 0 0 0 40 0 0 0 10 0 89 3 30 3 0 0 10 60 30 0 0 0 0 0 30 0 0 30
28 0 0 20 0 0 0 0 0 10 0 0 0 0 0 161 5 20 2 0 0 70 20 0 0 4 0 0 0 0 0 0 0
29 0 0 0 10 1 0 10 0 42 0 0 0 80 0 115 5 40 0 0 2 70 95 10 0 2 0 0 0 0 0 0 22
30 0 180 0 0 0 0 0 0 0 0 0 120 2070 0 0 0 0 0 0 0 0 0 150 0 0 0 150 630 90 0 0 0
31 0 0 30 2 1 0 10 0 80 0 0 0 10 0 207 5 40 0 0 0 120 40 30 10 3 0 0 0 0 0 0 18
TOTAL 0 250 530 37 18 0 165 20 911 0 10 140 2670 5 3315 146 965 31 10 293 1550 1209 280 104 33 0 150 660 150 0 38 1100
Dexametason 0.5 tab
Clindamicin 300 mg
Chloramfenicol 250
Chloramfenicol TM
Chloramfenicol SM
Chloramfenicol syr
Furosemide 40 mg
Glicerii Guaiakolas
Dimenhidrinat tab
Chloramfenicol TT
Chloramfenicol SK
Domperidone tab
Cotrimoxazol tab
Cotrimoxazol syr
Domperione syr
Diazepam 5 mg
Concor 2.5 mg
Gentamicin SK
Glibenklamid
Garam Oralit
Glicazide tab
Clopidogrel
Digoxin tab
Clobazam
Cetrizine
Clonidin
Etabion
CTM
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 2 1 0 20 0 0 0 0 0 0 0 170 316 0 0 10 54 0 10 0 0 0 3 0 0 0 0 40 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 128 182 0 0 15 0 0 0 0 0 2 0 0 0 0 30 0 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 68 156 0 0 0 40 0 0 0 0 0 0 10 0 0 0 20 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 65 161 0 0 0 0 0 0 0 0 0 1 0 0 0 0 60 0 0
0 0 0 0 0 0 0 0 10 5 0 0 0 0 0 0 91 160 0 0 0 0 0 0 0 0 0 2 0 0 0 0 30 0 0
0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 100 200 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 3 1 10 10 15 0 0 0 0 1 20 97 235 0 0 20 15 0 0 0 0 0 2 0 0 0 0 70 0 0
0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 79 123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 10 6 0 0 0 0 0 0 46 155 0 0 0 20 0 0 0 0 0 0 0 0 0 0 30 0 0
0 0 0 0 0 3 0 0 6 0 0 0 0 0 0 0 60 107 0 0 10 18 0 0 0 0 0 2 0 0 0 0 50 0 0
0 0 0 0 0 2 1 0 20 0 0 0 0 0 1 0 65 40 0 0 0 0 0 10 0 0 0 0 0 0 0 0 10 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 24 54 0 0 10 0 0 0 0 0 0 2 0 0 0 0 30 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 5 0 0 40 0 0 0 0 30 0 0 106 185 0 0 0 38 0 0 0 0 3 1 0 0 0 0 10 0 0
0 0 1 0 0 2 0 0 0 10 0 0 0 0 0 0 136 160 0 0 0 30 0 0 10 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 30 86 0 5 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0
0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0 109 179 0 0 10 10 0 0 0 0 0 0 0 0 0 0 30 0 0
0 0 0 0 0 1 1 0 6 0 0 0 0 0 0 0 80 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0
0 0 0 0 0 1 0 0 10 0 0 0 0 0 0 0 43 55 0 0 0 13 0 0 0 0 0 0 0 0 0 0 40 0 0
0 0 2 0 0 4 0 0 0 0 0 0 0 0 1 0 103 149 0 0 10 0 0 0 0 0 0 0 0 0 0 0 30 0 0
0 0 2 0 0 2 0 0 0 20 0 0 0 0 0 0 40 10 0 0 0 0 0 0 0 10 0 0 0 0 0 0 60 0 0
0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 41 56 0 0 0 10 0 0 0 0 4 0 0 0 0 0 10 0 0
0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 75 48 0 0 7 0 0 0 0 0 0 0 0 0 0 0 40 0 0
0 0 1 0 0 4 1 0 0 0 0 0 0 0 0 0 70 95 0 10 20 10 0 0 0 0 0 0 0 0 0 0 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 106 0 0 20 0 0 0 0 0 0 0 0 0 0 0 20 0 0
0 0 3 0 0 2 0 0 0 0 0 0 0 0 0 0 53 91 0 10 0 34 0 0 0 0 0 0 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 30 30 0 0 0 0 0 45 0 0 0 0 0 30 0 0 0 60 0 0 2100 270 0
0 0 0 0 0 3 0 0 10 0 0 0 0 30 0 0 85 123 0 0 10 0 0 0 0 0 0 0 0 0 0 0 60 0 0
0 0 15 0 0 56 7 10 142 56 0 0 30 90 5 20 2050 3307 0 70 142 292 0 20 10 40 9 15 10 60 0 30 2830 270 0

Ketokonazole cream
Natrium Diklofenak
Metformin 500 mg
Ibuproven 400 mg
Ketokonazole tab
Hidrokortison SK
Paracetamol tab
Paracetamol syr
Griseofulvin tab
Lisinopril 10 mg
Metoklopromid
Salbutamol tab
Guanistrep syr
Kalsium Laktat
Miconazole SK
Lisinopril 5 mg
Riseridone tab
Prednison tab
Papaverin tab
Kendaron tab
Novorapid inj
Lansoprazole
Oxytetra SM
Halloperidol
Hysocine N
Piroxicam
Lantus inj
Salep 2-4
Nifedipin
ISDN
OBH
0 0 0 HCT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 100 0 0 20 80 0 0 0 0 20 0 0 0 0 0 4 335 0 150 30 0 4 0
0 0 0 0 6 0 0 80 0 3 15 30 0 0 0 0 0 0 0 0 20 10 0 0 0 0 0 1 210 40 0 0 10 0 0
0 1 0 0 1 0 0 0 0 0 0 0 60 0 0 10 40 0 10 0 0 0 0 0 0 0 0 4 207 10 70 0 0 0 0
0 0 1 0 0 0 10 0 20 0 3 0 64 0 0 10 90 0 0 0 0 20 0 0 0 0 0 2 175 30 55 10 0 0 2
0 0 0 0 1 0 0 0 90 0 2 5 16 0 0 0 90 0 15 0 0 10 0 0 12 0 0 6 135 10 70 70 0 0 0
0 1 0 0 0 0 0 0 110 0 0 0 18 0 30 0 0 0 0 0 0 0 0 0 2 0 0 1 250 0 80 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 0 1 10 30 10 10 0 1 0 51 0 0 30 118 0 30 0 0 40 0 0 4 0 0 1 425 20 170 10 0 10 0
0 0 0 0 2 10 0 0 70 30 0 0 18 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 305 30 72 0 0 10 0
0 1 0 0 1 0 0 0 10 0 0 0 30 0 0 0 30 0 0 0 0 0 0 0 2 0 0 2 110 10 80 0 0 0 0
0 1 0 0 0 10 0 0 30 0 1 20 18 0 0 0 90 0 0 0 0 40 0 0 2 0 0 3 209 25 76 60 0 0 0
0 2 0 0 0 0 0 0 50 0 0 0 40 0 0 0 10 0 0 0 0 10 0 0 1 0 0 3 100 0 90 0 0 0 1
0 1 0 0 1 0 0 0 10 0 1 10 48 0 0 0 0 0 40 0 0 0 10 0 0 0 0 4 135 10 50 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 1 0 10 0 100 0 2 10 56 0 0 0 0 0 10 0 0 10 0 0 1 0 0 4 419 10 190 0 0 10 1
0 0 0 0 3 0 50 0 0 0 1 10 46 0 0 10 0 0 0 50 0 0 0 0 0 0 0 2 230 10 80 10 0 10 0
0 0 0 0 0 0 0 0 60 0 0 0 36 1 0 0 0 0 0 10 1 10 0 0 1 0 0 1 100 0 60 10 0 10 0
0 0 0 0 2 0 0 0 0 0 1 0 10 0 0 0 50 0 0 10 0 0 0 0 1 0 0 4 328 30 50 70 0 0 0
0 1 0 0 0 0 0 0 30 0 1 10 36 0 0 0 60 0 0 0 0 10 0 0 1 0 0 4 180 10 22 0 0 0 1
0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 20 0 0 30 0 0 0 0 0 0 0 3 135 0 20 20 0 10 0
0 1 0 0 0 0 0 0 80 0 0 0 36 0 0 0 0 0 0 10 0 0 0 0 3 0 0 4 410 0 120 20 0 10 0
0 0 0 0 0 0 120 0 10 0 2 0 70 0 30 0 90 0 0 30 1 20 0 0 4 0 0 1 200 0 20 10 0 0 1
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 20 0 10 0 0 0 0 0 3 163 0 50 100 0 10 0
0 0 0 0 0 0 0 0 23 0 1 0 6 0 0 0 0 0 40 0 0 0 0 0 0 0 0 1 75 4 10 20 0 0 0
0 0 0 0 3 0 0 10 0 0 4 10 44 0 0 0 40 0 0 0 0 0 30 0 0 0 0 2 251 0 50 90 0 0 2
0 1 0 0 0 0 0 10 60 0 0 15 42 0 0 0 60 0 15 0 0 10 0 0 1 0 0 3 189 0 50 30 0 0 0
0 1 0 0 0 0 0 0 0 0 0 2 42 1 10 0 20 0 0 30 0 0 4 0 0 0 0 7 231 0 90 90 0 10 0
0 0 0 0 0 0 0 120 0 30 0 0 0 2 60 210 5460 0 0 0 0 0 90 4 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 6 0 30 113 0 0 0 40 0 0 0 10 0 0 0 0 0 0 0 0 0 0 2 257 20 90 20 0 0 0
0 15 1 0 23 36 220 260 876 63 36 122 957 4 130 290 6378 0 160 190 22 220 134 4 36 0 0 74 5764 269 1865 670 10 94 8

Thiamin tab ( Vit B1)

Tetracyclin 500 tab
Trifluoperazine
Spironolactone
Vit B Kompleks
Tambah darah
Azitromicin
Loratadine
Wicold syr
Salicil talk
THP 2 mg
Zink
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 40 0 0 160 0 100 0 0 40 0 0 0 0
0 0 0 0 270 0 80 0 0 0 2 0 20 0 0
2 0 0 0 0 50 0 50 0 0 10 2 0 0 0
0 0 5 10 0 100 0 100 10 0 50 3 0 30 0
0 0 0 10 0 270 0 60 0 0 0 5 0 10 0
1 0 0 0 0 260 0 90 0 0 0 5 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 0 10 0 0 0 0 0 0 40 130 11 25 30
0 0 0 0 0 460 0 0 0 0 10 70 1 0 0
0 0 20 0 0 150 0 0 0 0 0 40 2 0 0
0 0 0 0 0 190 0 0 0 0 20 100 3 5 0
1 0 0 0 0 240 0 0 0 0 50 30 5 5 0
0 30 0 0 0 170 0 0 0 0 40 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 60 0 0 30 300 0 0 0 0 140 100 3 20 0
1 0 0 0 0 120 0 0 0 0 0 100 1 20 0
0 0 0 0 0 170 0 0 0 0 0 80 2 15 0
0 0 0 0 0 170 0 0 0 0 10 60 0 0 0
0 0 0 0 0 100 0 4 0 0 4 50 3 10 0
0 0 0 0 0 40 0 0 0 0 0 40 0 10 0
0 0 0 0 0 310 0 0 0 0 20 100 5 15 0
1 0 30 0 0 0 0 10 0 0 20 210 0 10 0
1 0 0 0 0 130 0 0 0 0 0 40 0 25 12
0 0 20 0 0 50 0 0 0 0 0 20 4 5 0
1 0 30 0 0 30 0 0 0 0 0 120 1 18 18
0 0 0 0 0 230 0 4 0 0 10 80 2 16 10
0 0 10 0 0 130 0 0 0 0 10 130 2 0 8
0 120 210 480 150 0 0 0 0 0 0 60 0 0 0
0 0 10 35 0 330 0 0 0 0 0 150 4 8 0
10 212 375 545 450 4160 80 418 10 0 476 1725 71 247 78

Laporan Harian Bulan Januari 2022

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Laporan Harian Bulan Januari 2022

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NO.

Dexametason 0.5 tab

Dexametason 0.5 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

Dexametason 0.5 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

Tetracyclin 500 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

Dexametason 0.5 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

5 endang susilo wati

Dexametason 0.5 tab

Dexametason 0.5 tab

0 0 4 0 0 1 425 20### 10 0 10 0 2 2 0 10 0 0 0 0 0 0 40 130 11 25 30

Antasida DOEN tab

Dexametason 0.5 tab

Antasida DOEN tab

Antasida DOEN tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Amoxicilin forte 250 mg/5 ml

Dexametason 0.5 tab

Asam Ascorbat (Vit C)

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Dexametason 0.5 tab

0 0 1 0 0 4 419 10### 0 0 10 1 0 60 0 0 30### 0 0 0 0###### 3 20 0

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Asam Ascorbat (Vit C)

Antasida DOEN tab

Dexametason 0.5 tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Amoxicilin forte 250 mg/5 ml

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Asam Ascorbat (Vit C)

Piridoxin tab (Vit B6)

Simvastatin 210 mg tab

Thiamin tab ( Vit B1)

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