1 dr. Syila Marcella 2 dr.

Ayra Riantista
SIP : No.7219/DU-06/11.V/2020 SIP : No.007/V/BMS/DU/2021
Jl. Gerilya No. 23 Purwokerto Jl. Sukarno No. 15 Purwokerto
Telp. (0281) 637123 Telp. (0281) 637554

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Potio Nigra Contra Tussim 100 R/ Solutio Camphorae Spirituosa sec FMS 50
Mf potio mf sol
s 3 dd cth I sue

Pro : Hartadi (10th) Pro : Martin

Alamat : Jl. Anggrek 5 Teluk Alamat : Jl. Kenanga 13 Purwokerto

3 dr. Hanan Faozi 2 dr. Guntur

SIP : No.012/VI/BMS/DU/2021 SIP : No.150/DS-06/10.V/2018
Jl. Office Isdiman No. 05 Purwokerto Jl. Arjuna No. 20 Purwokerto
Telp. (0281) 637321 Telp. (0281) 675567

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Liquor Faberi sec FMS R/ Methlis salisilat 8 mL

mf lotio Menthol 1,4 g
sue Oleum Cajuputi 3 mL
Oleum Arachidis ad 30 mL
mf Linimentum
SUC
Pro : Ny. Sindi Pro : Tn. Ando
Alamat : Jl. Merpati 05 Purwokerto Alamat : Jl. Mawar 20 Purwokerto

4 dr. Hanan Faozi 5 dr. Hanan Faozi

SIP : No.012/VI/BMS/DU/2020 SIP : No.012/VI/BMS/DU/2020
Jl. Office Isdiman No. 05 Purwokerto Jl. Office Isdiman No. 05 Purwokerto
Telp. (0281) 637321 Telp. (0281) 637321

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Lotio Kumerfeldi sec FMS 150 R/ Lotio Calaminae sec FMS 50

mf Lotion sue
s.acne lotion

Pro : Nn. Alifa Pro : Nn. Putri

Alamat : Jl. Melati 22 Berkoh Alamat : Jl. Mawar 20 Purwokerto

RESEP KELAS XI 1
7 dr. Ahmad Rezi 8 dr. Ibrahim
SIP : No.170/DS-04/10.VI/2021 SIP : No.008/V/BMS/DU/2021
Jl. Sudirman No. 17 Purwokerto Jl. Ketapang No. 12 Purwokerto
Telp. (0281) 637516 Telp. (0281) 637520

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Paracetamol 120 mg/5mL R/ Oleum Iecoris Aselli 5 g

PGS qs PGA 2,5 g
Sirup Simplex 20 Ol. Cinnamommi gtt III
Mf. Susp 60 mL Aqua ad 50 mL
s.prn 1 cth, max 3x sehari m.f emulsi
s.2.dd.cth I

Pro :An. Calya (4th) Pro : Andini

Alamat : Jl. Pattimura 15 Karanglewas Alamat : Jl. Patriot 2 Purwokerto

9 dr. Ahmad Rezi 10 dr. Ibrahim

SIP : No.170/DS-04/10.VI/2021 SIP : No.008/V/BMS/DU/2021
Jl. Sudirman No. 17 Purwokerto Jl. Ketapang No. 12 Purwokerto
Telp. (0281) 637516 Telp. (0281) 637520

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Oleum Ricini Aromaticum sec Fornas R/ Paraffini Emulsum sec Fornas

mf. Emuls mf. Emuls
s.1 dd C 1 s. 1 dd C II

Pro : Rendra Pro : Insari

Alamat : Jl. Kamboja 1 Karanggintung Alamat : Jl. Melati 3 Rejasari

11 dr. Virhan Sp.A 12 dr. Virhan Sp.A

SIP : No.002/V/2019/BMS/01-71 SIP : No.002/V/2019/BMS/01-71
Jl. Jend Sudirman No 35 Purwokerto Jl. Jend Sudirman No 35 Purwokerto
Telp. (0281) 625351 Telp. (0281) 625351

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Paracetamol 125 mg R/ Aminophyllin 125 mg

Cera Flava 5% Cera Flava 5%
Ol. Cacao ad 100% Ol. Cacao ad 100%
mf.Suppo dtd No. V mf.Suppo dtd No. V

Pro : Nia (7 th) Pro : Nadia (7 th)

Alamat : Jl. Raya Dalam Teluk Alamat : Jl. Raya Dalam Teluk

RESEP KELAS XI 2
13 dr. Syila Marcella 14 dr. Imam Sp.K
SIP : No.7219/DU-06/11.V/2020 SIP : No.012/V/BMS/SP/2021
Jl. Suparno No. 22 Purwokerto Jl. Gerilya No. 23 Purwokerto
Telp. (0281) 637123 Telp. (0281) 632637

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Unguentum Whitefield sec FMS 50 R/ Ungt. Sulfuris 10% sec FMS 50 g

mf. Ungt s.u.e
s.u.e

Pro : Sari Pro : Tn. Anton

Alamat : Jl. Ringin tirto 10 Purwokerto Alamat : Jl. Pramuka No. 11 Purwokerto

15 dr. Agustin Sp.A 16 dr. Syila Marcella

SIP : No.005/IV/BMS/DA/2020 SIP : No.7219/DS-06/11.V/2017
Jl. Sudirman No. 60 Purwokerto Jl. Gerilya No. 21 Purwokerto
Telp. (0281) 643657 Telp. (0281) 672019

Purwokerto, 01 Mei 2023 Purwokerto, 01 Mei 2023

R/ Ambroxol 10mg R/ Theophyllin 1,2

CTM 2mg Coffein 0,3
Dexamethasone 0,5 mg SL qs
mf.pulv.dtd. No. X mf.caps No VIII
s o m et vesp caps I
Pro : An. Andika (6 th)
Alamat : Jl. Sudagaran No. 2 Purwokerto Pro : Angga (10th)
Alamat : Jl. Kali Putih 9 Purwokerto

RESEP KELAS XI 3