Anda di halaman 1dari 845

LAPORAN PENGGUNAAN B

Tanggal : 01/01/2022 - 31/12/2022


Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Letrozole 2.5mg
Debitur : BPJS
Poli/
:-
Ruang
Type
:-
Pasien
Kat
:-
Pasien
Stt
:-
Pasien
Group
: Group by Detail
by
No Tgl
1 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
1.1 1/2/2022

2 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara


2.1 1/3/2022

3 00219812 - Iming Darmi, Ny - Taman mangu Indah Blok c No 13 006/012 Jurangmangu Barat Pondok Aren Kota Tang
3.1 1/10/2022

4 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


4.1 1/12/2022

5 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


5.1 1/20/2022

6 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
6.1 1/22/2022

7 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


7.1 1/25/2022

8 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


8.1 2/1/2022

9 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara


9.1 2/2/2022

10 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


10.1 2/12/2022

11 00219812 - Iming Darmi, Ny - Taman mangu Indah Blok c No 13 006/012 Jurangmangu Barat Pondok Aren Kota Tang
11.1 2/14/2022

12 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


12.1 2/21/2022

13 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


13.1 3/1/2022

14 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
14.1 3/2/2022

15 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara


15.1 3/4/2022

16 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


16.1 3/4/2022
17 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
17.1 3/14/2022

18 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


18.1 3/23/2022

19 00219812 - Iming Darmi, Ny - Taman mangu Indah Blok c No 13 006/012 Jurangmangu Barat Pondok Aren Kota Tang
19.1 3/24/2022

20 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
20.1 4/2/2022

21 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


21.1 4/2/2022

22 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara


22.1 4/3/2022

23 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


23.1 4/3/2022

24 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
24.1 4/12/2022

25 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


25.1 4/13/2022
26 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap
26.1 4/22/2022

27 00219812 - Iming Darmi, Ny - Taman mangu Indah Blok c No 13 006/012 Jurangmangu Barat Pondok Aren Kota Tang
27.1 4/23/2022

28 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara


28.1 5/4/2022

29 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
29.1 5/10/2022

30 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


30.1 5/10/2022

31 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
31.1 5/12/2022

32 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


32.1 5/14/2022

33 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


33.1 5/14/2022

34 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


34.1 5/22/2022
35 00143305 - Sulistyowati, Heru Supriyanto, Ny - Purwasaba 002/003 Mandiraja Banjarnegara
35.1 6/3/2022

36 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


36.1 6/9/2022

37 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
37.1 6/11/2022

38 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
38.1 6/11/2022

39 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


39.1 6/13/2022

40 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


40.1 6/17/2022

41 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


41.1 6/21/2022

42 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


42.1 7/9/2022

43 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
43.1 7/11/2022
44 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
44.1 7/11/2022

45 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


45.1 7/13/2022

46 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


46.1 7/19/2022

47 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


47.1 7/22/2022

48 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


48.1 8/8/2022

49 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
49.1 8/10/2022

50 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


50.1 8/12/2022

51 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
51.1 8/13/2022

52 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


52.1 8/21/2022

53 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


53.1 8/26/2022

54 00230023 - Santi, Kartadiwirya, Ny - Gandatapa 006/002 Gandatapa Sumbang


54.1 9/2/2022

55 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


55.1 9/7/2022

56 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
56.1 9/9/2022

57 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


57.1 9/11/2022

58 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


58.1 9/20/2022

59 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


59.1 9/25/2022

60 00230023 - Santi, Kartadiwirya, Ny - Gandatapa 006/002 Gandatapa Sumbang


60.1 10/5/2022

61 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


61.1 10/7/2022

62 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


62.1 10/11/2022
63 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
63.1 10/13/2022

64 00233448 - Yani Setiawati,Ny - Jalan pancurawis 1162 Purwokerto Kidul Purwokerto Selatan
64.1 10/14/2022

65 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
65.1 10/15/2022

66 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


66.1 10/20/2022

67 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


67.1 10/26/2022

68 00230023 - Santi, Kartadiwirya, Ny - Gandatapa 006/002 Gandatapa Sumbang


68.1 11/4/2022

69 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


69.1 11/7/2022

70 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


70.1 11/10/2022

71 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
71.1 11/12/2022
72 00233448 - Yani Setiawati,Ny - Jalan pancurawis 1162 Purwokerto Kidul Purwokerto Selatan
72.1 11/18/2022

73 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


73.1 11/19/2022

74 00225281 - Kujiah, Madchoeri, Ny - Jl. Dukuh No. 1366 003/002 Maos Lor Maos
74.1 11/21/2022

75 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


75.1 11/25/2022

76 00230023 - Santi, Kartadiwirya, Ny - Gandatapa 006/002 Gandatapa Sumbang


76.1 12/7/2022

77 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur


77.1 12/7/2022

78 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara


78.1 12/10/2022

79 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
79.1 12/12/2022

80 00143171 - Sukeri Supardi, Ny - Jl. Alpukat 002/003 Jenang Majenang Cilacap


80.1 12/19/2022
81 00233448 - Yani Setiawati,Ny - Jalan pancurawis 1162 Purwokerto Kidul Purwokerto Selatan
81.1 12/21/2022

82 00152306 - Tri Umiyatiningsih,Ny - Kincang 003 / 003 Rakit Banjarnegara


82.1 12/26/2022

83 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar


83.1 12/29/2022

84 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara


84.1 12/30/2022

86.1 12/29/2022

87 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara


87.1 12/30/2022

88 000000 - : Sulistyowati, Heru Supriyanto, Ny - APS


88.1 6/3/2022

89 000000 - : Yani Setiawati,Ny - APS


89.1 11/18/2022
LAPORAN PENGGUNAAN BARANG

NoResep Dokter Barang SatJual


erto Timur
R-000237 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

003 Mandiraja Banjarnegara


R-000308 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

006/012 Jurangmangu Barat Pondok Aren Kota Tanggerang Selatan


R-003205 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-003875 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-007085 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-008111 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-009170 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-000184 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

003 Mandiraja Banjarnegara


R-000315 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004331 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

006/012 Jurangmangu Barat Pondok Aren Kota Tanggerang Selatan


R-005025 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-007317 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-000383 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-000952 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

003 Mandiraja Banjarnegara


R-001347 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-001550 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk
Su

rnegara Banjarnegara
R-004736 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-008077 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

006/012 Jurangmangu Barat Pondok Aren Kota Tanggerang Selatan


R-008707 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-000507 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-000608 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

003 Mandiraja Banjarnegara


R-000674 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-000696 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-003990 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004177 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk
Su

enang Cilacap
R-007306 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

006/012 Jurangmangu Barat Pondok Aren Kota Tanggerang Selatan


R-007837 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

003 Mandiraja Banjarnegara


R-000163 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-002395 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-002469 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-003460 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004176 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-004257 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-006747 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su
003 Mandiraja Banjarnegara
R-000500 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-003085 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-003831 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-003832 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004071 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-006095 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-007134 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-002966 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-003203 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su
02 Kober Purwokerto Barat
R-003523 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004083 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-006438 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-007388 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

erto Timur
R-002623 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-003278 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-004127 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-004522 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-007159 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-009385 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

apa Sumbang
R-000686 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

erto Timur
R-002402 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-002909 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-003551 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-006704 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-008684 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

apa Sumbang
R-001425 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

erto Timur
R-002432 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-003221 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk
Su

02 Kober Purwokerto Barat


R-004461 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rto Kidul Purwokerto Selatan


R-004808 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

Maos Lor Maos


R-005061 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-006987 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-009028 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

apa Sumbang
R-001588 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

erto Timur
R-002458 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-003377 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-004191 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk
Su

rto Kidul Purwokerto Selatan


R-006473 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

enang Cilacap
R-006594 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

Maos Lor Maos


R-007262 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

arnegara
R-008571 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

apa Sumbang
R-002196 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

erto Timur
R-002261 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

rnegara Banjarnegara
R-003218 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

02 Kober Purwokerto Barat


R-003419 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

enang Cilacap
R-005633 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su
rto Kidul Purwokerto Selatan
R-006594 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

arnegara
R-007783 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

elar Gumelar
R-008893 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab
(K) Onk

Su

njarnegara
R-009182 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

G
Gran

R-008893 dr. Lopo Triyanto, Sp.B. Letrozole 2.5mg Tab


(K) Onk

Su

njarnegara
R-009182 dr. Wahyu Djatmiko, Letrozole 2.5mg Tab
Sp.PD.,KHOM

Su

LU0058 - Letrozole 2.5mg Tab

Su

LU0293 - Letrozole 2.5mg Tab

Su

G
Gran
Qty Harga SubTotal

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000
30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000
30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000
30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000
Sub Total Resep 57,000
Sub Total Embalase 0
Total Per Pasien 57,000
Grand Total Resep 4,788,000
Grand Total Embalase 0
Grand Total 4,788,000

30 1,900 57,000

Sub Total Resep 57,000


Sub Total Embalase 0
Total Per Pasien 57,000

30 1,900 57,000

Sub Total Resep 57,000


Sub Total Embalase 0
Total Per Pasien 57,000

30 2,300 69,000
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000

8 2,300 18,400
Sub Total Resep 18,400
Sub Total Embalase 0
Total Per Pasien 18,400
Grand Total Resep 5,082,400
Grand Total Embalase 0
Grand Total 5,082,400
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2023 - 31/10/2023
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Letrozole 2.5mg
Debitur :-
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
1.1 1/2/2023 R-000021 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
2 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
2.1 1/2/2023 R-000065 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
3 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
3.1 1/2/2023 R-000068 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
4 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
4.1 1/2/2023 R-000084 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
5 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
5.1 1/3/2023 R-000120 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
6 00202892 - Warsinah, Sumiarto, Ny - Dsn Pekuncen 003/003 Bengbulang Karangpucung Cilacap
6.1 1/3/2023 R-000123 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
7 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
7.1 1/3/2023 R-000124 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
8 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
8.1 1/3/2023 R-000125 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
9 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
9.1 1/3/2023 R-000165 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
10 00240792 - Watini,Madwirya,Ny - Blender 002/005 Sumingkir jeruklegi Cilacap
10.1 1/5/2023 R-000378 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
11 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
11.1 1/6/2023 R-000407 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
90 2,300 207,000
Sp.B.(K)
Onk
Sub Total Resep 207,000
Sub Total Embalase 0
Total Per Pasien 207,000
12 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
12.1 1/6/2023 R-000409 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
13 00216872 - Daryati, Mahrudi, Ny - Dusun Gunungnangka 010/005 Gentasari Kroya
13.1 1/6/2023 R-000410 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
14 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
14.1 1/6/2023 R-000413 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
15 00208466 - Aspiyah, San Sukardi, Ny - Jl. Rinjani No. 74 001/022 Sidanegara Cilacap Tengah
15.1 1/6/2023 R-000414 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
16 00186839 - Dasilah, Sanwiarjo, Ny - Tumiyang 003/001 Kebasen Banyumas
16.1 1/6/2023 R-000416 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
17 00196436 - Kirem, Sobirin, Ny - Pagedangan 001/006 Negarajati Cimanggu Cilacap
17.1 1/6/2023 R-000454 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
18 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
18.1 1/6/2023 R-000455 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
19 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
19.1 1/6/2023 R-000457 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
20 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
20.1 1/6/2023 R-000458 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
21 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
21.1 1/6/2023 R-000460 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
22 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
22.1 1/6/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
23 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
23.1 1/6/2023 R-000484 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,300 138,000
Sp.B.(K)
Onk
Sub Total Resep 138,000
Sub Total Embalase 0
Total Per Pasien 138,000
24 00192144 - Raminah, Murtaji, Ny - Pandansari 004/006 Ajibarang Banyumas
24.1 1/7/2023 R-000528 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
25 00181059 - Sawiyah, Suwarto, Ny - Pucung Kidul 015/007 Kroya Cilacap
25.1 1/7/2023 R-000567 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
26 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
26.1 1/9/2023 R-000648 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
27 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
27.1 1/9/2023 R-000650 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
28 00212655 - Tumirah, Reja W, Ny - Dsn Siapit No. 007 003/008 Karangpakis, Nusawungu
28.1 1/9/2023 R-000696 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
29 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
29.1 1/9/2023 R-000700 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
15 2,300 34,500
Sp.B.(K)
Onk
Sub Total Resep 34,500
Sub Total Embalase 0
Total Per Pasien 34,500
30 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
30.1 1/9/2023 R-000701 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
31 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
31.1 1/9/2023 R-000709 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
32 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
32.1 1/9/2023 R-000738 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
33 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
33.1 1/10/2023 R-000750 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
34 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
34.1 1/10/2023 R-000751 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
35 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
35.1 1/10/2023 R-000762 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
36 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
36.1 1/10/2023 R-000763 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
37 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
37.1 1/10/2023 R-000795 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
38 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
38.1 1/10/2023 R-000797 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
39 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
39.1 1/10/2023 R-000801 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,300 138,000
Sp.B.(K)
Onk
Sub Total Resep 138,000
Sub Total Embalase 0
Total Per Pasien 138,000
40 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
40.1 1/10/2023 R-000803 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
41 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
41.1 1/10/2023 R-000805 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
42 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
42.1 1/10/2023 R-000838 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
43 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
43.1 1/10/2023 R-000839 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
44 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
44.1 1/11/2023 R-000855 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
45 00235556 - Sunarti, Suryadi, Ny - Pamulihan 005/002 Pamulihan Larangan
45.1 1/11/2023 R-000861 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
46 00232872 - Rusmari Suryaningsih, Ny - Babakan 005/001 Babakan kalimanah
46.1 1/11/2023 R-000863 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
47 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
47.1 1/11/2023 R-000882 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
48 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
48.1 1/11/2023 R-000884 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
49 00224068 - Ramini, Wasjo, Ny - Dusun Curug 005/004 Kedungbokor Larangan
49.1 1/11/2023 R-000885 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
50 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
50.1 1/11/2023 R-000886 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
51 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
51.1 1/11/2023 R-000887 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
52 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
52.1 1/11/2023 R-000888 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
53 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
53.1 1/11/2023 R-000893 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
54 00181351 - Turni, Warto, Ny - Dusun Kroya 003/003 Kedungwadas Kawunganten Cilacap
54.1 1/11/2023 R-000895 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
55 00174907 - Endang Mardikaningsih, Ny - Dusun 5 018/005 Brobot Bojongsari
55.1 1/11/2023 R-000896 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
56 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
56.1 1/11/2023 R-000908 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
57 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
57.1 1/11/2023 R-000910 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
58 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
58.1 1/16/2023 R-001215 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
59 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
59.1 1/17/2023 R-001316 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
60 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
60.1 1/18/2023 R-001442 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
61 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
61.1 1/18/2023 R-001444 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
62 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
62.1 1/18/2023 R-001448 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
63 00240928 - Dede Darti, Ny - Dusun Serang 001/005 Datar DayeuhLuhur Ciacap
63.1 1/19/2023 R-001474 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
64 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
64.1 1/19/2023 R-001477 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
65 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
65.1 1/19/2023 R-001478 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
66 00197843 - Eni Wardaningsih, Ny - Jl. Meranti No. 49 Per Tj Elok 005/007 Tanjung Purwokerto
Selatan
66.1 1/19/2023 R-001484 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
67 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
67.1 1/19/2023 R-001517 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
68 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
68.1 1/20/2023 R-001543 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
69 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
69.1 1/20/2023 R-001544 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
70 00202270 - Ruswi, Taryono, Ny - Dusun Rambut Pala 004/001 Sadabumi Majenang
70.1 1/20/2023 R-001602 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
71 00161245 - Malikah, Sugito, Ny - Dusun Sudagaran 002/001 Sidareja Cilacap
71.1 1/20/2023 R-001603 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,300 138,000
Sp.B.(K)
Onk
Sub Total Resep 138,000
Sub Total Embalase 0
Total Per Pasien 138,000
72 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
72.1 1/20/2023 R-001604 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
73 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
73.1 1/20/2023 R-001605 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
74 00217638 - Aeliyah, Ach Tohirin, Ny - Tumiyang 004/002 Pekuncen Banyumas
74.1 1/20/2023 R-001614 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
75 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
75.1 1/20/2023 R-001615 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
76 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
76.1 1/20/2023 R-001616 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
77 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
77.1 1/21/2023 R-001650 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
78 00192144 - Raminah, Murtaji, Ny - Pandansari 004/006 Ajibarang Banyumas
78.1 1/21/2023 R-001666 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
79 00192841 - Musyati, Nurudin, Ny - Jl. Beo No. 23008/002 Cipari, Cilacap
79.1 1/21/2023 R-001689 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
80 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
80.1 1/21/2023 R-001691 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
81 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
81.1 1/21/2023 R-001696 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
82 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
82.1 1/21/2023 R-001697 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
83 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
83.1 1/23/2023 R-001749 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
84 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
84.1 1/23/2023 R-001758 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
85 00189431 - Surati, Nasri, Ny - Karangduwur 002/001. Petahanan. Kebumen
85.1 1/23/2023 R-001776 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
86 00240852 - Karsinem, Sujari, Ny - Masaran 001/004 Masaran, Bawang
86.1 1/24/2023 R-001809 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
87 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
87.1 1/24/2023 R-001810 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
88 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
88.1 1/24/2023 R-001811 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
89 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
89.1 1/24/2023 R-001814 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
90 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
90.1 1/24/2023 R-001815 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
91 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
91.1 1/24/2023 R-001845 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
92 00151817 - Darsitem, Nawiraji, Ny - Cilangkap 004/003 Gumelar Banyumas
92.1 1/25/2023 R-001900 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
93 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
93.1 1/25/2023 R-001907 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
94 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
94.1 1/25/2023 R-001934 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
95 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
95.1 1/25/2023 R-001945 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
96 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
96.1 1/26/2023 R-001960 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
97 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
97.1 1/26/2023 R-001965 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
98 00151022 - Wasini Sugito, Ny - Ketenger 007/002
98.1 1/26/2023 R-001967 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
99 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
99.1 1/26/2023 R-001968 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
100 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
100.1 1/26/2023 R-001984 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
101 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
101.1 1/26/2023 R-001993 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
102 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
102.1 1/27/2023 R-002019 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
103 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
103.1 1/27/2023 R-002020 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
104 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
104.1 1/27/2023 R-002021 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
105 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
105.1 1/27/2023 R-002050 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
106 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
106.1 1/27/2023 R-002053 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
107 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
107.1 1/27/2023 R-002075 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
108 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
108.1 1/28/2023 R-002098 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
109 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
109.1 1/28/2023 R-002102 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
110 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
110.1 1/28/2023 R-002113 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
111 00142338 - Danisah, Kardono, Ny - Wanarata 002/005
111.1 1/28/2023 R-002124 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
112 00150967 - Kus Daryati, Solikin, Ny - Kuwayuhan 001/002
112.1 1/28/2023 R-002125 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
113 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
113.1 1/28/2023 R-002128 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
114 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
114.1 1/28/2023 R-002129 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
115 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
115.1 1/30/2023 R-002170 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
116 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
116.1 1/30/2023 R-002207 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
117 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
117.1 1/30/2023 R-002217 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
118 00224099 - Aan Suhanah, Ny - Lingkungan Desa 003/001 Cigembor Ciamis
118.1 1/30/2023 R-002223 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
119 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
119.1 1/30/2023 R-002237 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
120 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
120.1 1/31/2023 R-002263 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
121 00227923 - Samirah, Samidi, Ny - Kalitapen 005/007 Kalitapen Banyumas
121.1 1/31/2023 R-002269 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
122 00241158 - Suparmi, Sanrani, Ny - Kebutuh 002/007 Bukateja Purbalingga
122.1 1/31/2023 R-002317 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
123 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
123.1 2/1/2023 R-000004 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
124 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
124.1 2/1/2023 R-000005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
125 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
125.1 2/1/2023 R-000006 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
126 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
126.1 2/1/2023 R-000007 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
127 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
127.1 2/1/2023 R-000041 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
128 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
128.1 2/1/2023 R-000042 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
129 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
129.1 2/1/2023 R-000043 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
130 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
130.1 2/1/2023 R-000047 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
35 2,300 80,500
Sp.PD.,KH
OM
Sub Total Resep 80,500
Sub Total Embalase 0
Total Per Pasien 80,500
131 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
131.1 2/1/2023 R-000054 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
132 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
132.1 2/2/2023 R-000094 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
133 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
133.1 2/2/2023 R-000096 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
134 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
134.1 2/2/2023 R-000100 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
135 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
135.1 2/2/2023 R-000124 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
136 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
136.1 2/2/2023 R-000128 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
137 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
137.1 2/3/2023 R-000197 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
138 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
138.1 2/3/2023 R-000198 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
139 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
139.1 2/3/2023 R-000206 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
140 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
140.1 2/3/2023 R-000209 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
141 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
141.1 2/3/2023 R-000216 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
142 00217638 - Aeliyah, Ach Tohirin, Ny - Tumiyang 004/002 Pekuncen Banyumas
142.1 2/3/2023 R-000217 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
143 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
143.1 2/4/2023 R-000235 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
144 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
144.1 2/4/2023 R-000242 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
145 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
145.1 2/4/2023 R-000246 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
146 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
146.1 2/4/2023 R-000250 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
147 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
147.1 2/4/2023 R-000268 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
148 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
148.1 2/4/2023 R-000270 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
149 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
149.1 2/4/2023 R-000269 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
150 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
150.1 2/6/2023 R-000312 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
151 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
151.1 2/6/2023 R-000314 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
152 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
152.1 2/6/2023 R-000319 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
153 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
153.1 2/6/2023 R-000321 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
154 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
154.1 2/6/2023 R-000360 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
155 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
155.1 2/6/2023 R-000362 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
156 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
156.1 2/6/2023 R-000363 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
157 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
157.1 2/6/2023 R-000369 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
158 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
158.1 2/6/2023 R-000371 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
159 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
159.1 2/6/2023 R-000376 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
160 00240792 - Watini,Madwirya,Ny - Blender 002/005 Sumingkir jeruklegi Cilacap
160.1 2/6/2023 R-000379 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
161 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
161.1 2/7/2023 R-000450 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
162 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
162.1 2/8/2023 R-000467 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
163 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
163.1 2/8/2023 R-000481 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
164 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
164.1 2/8/2023 R-000487 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
165 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
165.1 2/8/2023 R-000486 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
166 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
166.1 2/8/2023 R-000497 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
167 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
167.1 2/9/2023 R-000526 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
168 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
168.1 2/9/2023 R-000527 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
169 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
169.1 2/9/2023 R-000534 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
170 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
170.1 2/9/2023 R-000542 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
171 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
171.1 2/9/2023 R-000557 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
172 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
172.1 2/9/2023 R-000559 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
173 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
173.1 2/9/2023 R-000560 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
174 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
174.1 2/9/2023 R-000571 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
175 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
175.1 2/9/2023 R-000581 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
176 00235556 - Sunarti, Suryadi, Ny - Pamulihan 005/002 Pamulihan Larangan
176.1 2/10/2023 R-000589 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
177 00237060 - Nemah, Jaja. Ny - Dusun Mekarsari 014/003 Cikupa, Banjaranyar
177.1 2/10/2023 R-000590 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
178 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
178.1 2/10/2023 R-000591 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
179 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
179.1 2/10/2023 R-000592 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
180 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
180.1 2/10/2023 R-000626 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
181 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
181.1 2/10/2023 R-000628 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
182 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
182.1 2/10/2023 R-000630 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
183 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
183.1 2/10/2023 R-000631 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
184 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
184.1 2/10/2023 R-000634 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
185 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
185.1 2/10/2023 R-000644 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
186 00212655 - Tumirah, Reja W, Ny - Dsn Siapit No. 007 003/008 Karangpakis, Nusawungu
186.1 2/10/2023 R-000647 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
187 00174907 - Endang Mardikaningsih, Ny - Dusun 5 018/005 Brobot Bojongsari
187.1 2/10/2023 R-000649 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
188 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
188.1 2/11/2023 R-000712 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
189 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
189.1 2/13/2023 R-000825 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
190 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
190.1 2/13/2023 R-000847 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
191 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
191.1 2/13/2023 R-000866 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
192 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
192.1 2/14/2023 R-000912 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
193 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
193.1 2/14/2023 R-000917 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
194 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
194.1 2/15/2023 R-000933 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
195 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
195.1 2/15/2023 R-000935 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
196 00181351 - Turni, Warto, Ny - Dusun Kroya 003/003 Kedungwadas Kawunganten Cilacap
196.1 2/15/2023 R-000947 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
197 00241358 - Wartini Hasanah, Ny - Jl Gatot Subroto Gg Palasari 006/009 Sidanegara Cilacap
197.1 2/15/2023 R-000965 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
198 00240928 - Dede Darti, Ny - Dusun Serang 001/005 Datar DayeuhLuhur Ciacap
198.1 2/16/2023 R-000989 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
199 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
199.1 2/16/2023 R-000996 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
200 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
200.1 2/16/2023 R-001025 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
201 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
201.1 2/17/2023 R-001049 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
202 00189431 - Surati, Nasri, Ny - Karangduwur 002/001. Petahanan. Kebumen
202.1 2/17/2023 R-001055 dr. Mega Letrozole Tab
Yudistira, 2.5mg
30 2,300 69,000
Sp. Onk.
Rad
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
203 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
203.1 2/17/2023 R-001072 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
204 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
204.1 2/17/2023 R-001071 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
205 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
205.1 2/17/2023 R-001088 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
206 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
206.1 2/18/2023 R-001100 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
207 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
207.1 2/18/2023 R-001101 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
208 00197843 - Eni Wardaningsih, Ny - Jl. Meranti No. 49 Per Tj Elok 005/007 Tanjung Purwokerto
Selatan
208.1 2/18/2023 R-001109 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
209 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
209.1 2/18/2023 R-001114 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
210 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
210.1 2/18/2023 R-001118 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
211 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
211.1 2/20/2023 R-001140 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
212 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
212.1 2/20/2023 R-001178 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
213 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
213.1 2/20/2023 R-001180 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
214 00208466 - Aspiyah, San Sukardi, Ny - Jl. Rinjani No. 74 001/022 Sidanegara Cilacap Tengah
214.1 2/20/2023 R-001192 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
215 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
215.1 2/20/2023 R-001193 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
216 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
216.1 2/20/2023 R-001199 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
217 00192144 - Raminah, Murtaji, Ny - Pandansari 004/006 Ajibarang Banyumas
217.1 2/20/2023 R-001204 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
218 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
218.1 2/20/2023 R-001220 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
219 00192841 - Musyati, Nurudin, Ny - Jl. Beo No. 23008/002 Cipari, Cilacap
219.1 2/21/2023 R-001252 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
220 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
220.1 2/22/2023 R-001291 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
221 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
221.1 2/22/2023 R-001293 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
222 00240852 - Karsinem, Sujari, Ny - Masaran 001/004 Masaran, Bawang
222.1 2/23/2023 R-001326 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
223 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
223.1 2/23/2023 R-001328 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
224 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
224.1 2/23/2023 R-001348 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
225 00151022 - Wasini Sugito, Ny - Ketenger 007/002
225.1 2/24/2023 R-001379 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
226 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
226.1 2/24/2023 R-001409 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
227 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
227.1 2/24/2023 R-001418 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
228 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
228.1 2/25/2023 R-001456 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
229 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
229.1 2/25/2023 R-001460 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
230 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
230.1 2/25/2023 R-001461 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
231 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
231.1 2/25/2023 R-001477 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
232 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
232.1 2/27/2023 R-001516 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
233 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
233.1 2/27/2023 R-001517 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
234 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
234.1 2/27/2023 R-001518 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
235 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
235.1 2/27/2023 R-001519 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
236 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
236.1 2/27/2023 R-001521 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
237 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
237.1 2/27/2023 R-001522 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
238 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
238.1 2/27/2023 R-001540 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
239 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
239.1 2/27/2023 R-001543 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
240 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
240.1 2/28/2023 R-001590 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
241 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
241.1 3/1/2023 R-000006 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
242 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
242.1 3/1/2023 R-000012 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
243 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
243.1 3/1/2023 R-000030 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
244 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
244.1 3/1/2023 R-000050 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
245 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
245.1 3/2/2023 R-000075 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
246 00227923 - Samirah, Samidi, Ny - Kalitapen 005/007 Kalitapen Banyumas
246.1 3/2/2023 R-000077 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
247 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
247.1 3/2/2023 R-000080 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
248 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
248.1 3/3/2023 R-000125 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
249 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
249.1 3/3/2023 R-000131 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
250 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
250.1 3/3/2023 R-000146 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
251 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
251.1 3/3/2023 R-000156 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
252 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
252.1 3/3/2023 R-000157 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
253 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
253.1 3/3/2023 R-000165 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
254 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
254.1 3/3/2023 R-000167 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
255 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
255.1 3/3/2023 R-000169 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
256 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
256.1 3/4/2023 R-000213 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
257 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
257.1 3/4/2023 R-000214 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
258 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
258.1 3/4/2023 R-000219 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
259 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
259.1 3/4/2023 R-000220 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
260 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
260.1 3/4/2023 R-000231 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
261 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
261.1 3/4/2023 R-000235 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
262 00181059 - Sawiyah, Suwarto, Ny - Pucung Kidul 015/007 Kroya Cilacap
262.1 3/4/2023 R-000246 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
263 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
263.1 3/6/2023 R-000280 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,300 138,000
Sp.B.(K)
Onk
Sub Total Resep 138,000
Sub Total Embalase 0
Total Per Pasien 138,000
264 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
264.1 3/6/2023 R-000286 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
265 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
265.1 3/6/2023 R-000311 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
266 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
266.1 3/6/2023 R-000316 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
267 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
267.1 3/6/2023 R-000317 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
268 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
268.1 3/6/2023 R-000320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
269 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
269.1 3/6/2023 R-000329 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,300 138,000
Sp.B.(K)
Onk
Sub Total Resep 138,000
Sub Total Embalase 0
Total Per Pasien 138,000
270 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
270.1 3/6/2023 R-000330 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
271 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
271.1 3/8/2023 R-000419 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
272 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
272.1 3/8/2023 R-000427 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
273 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
273.1 3/8/2023 R-000428 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
274 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
274.1 3/8/2023 R-000429 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
275 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
275.1 3/8/2023 R-000442 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
276 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
276.1 3/8/2023 R-000445 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
277 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
277.1 3/8/2023 R-000459 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
278 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
278.1 3/8/2023 R-000460 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
279 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
279.1 3/8/2023 R-000465 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
30 2,300 69,000
Sp.PD.,KH
OM
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
280 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
280.1 3/9/2023 R-000528 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,300 69,000
Sp.B.(K)
Onk
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
281 00235556 - Sunarti, Suryadi, Ny - Pamulihan 005/002 Pamulihan Larangan
281.1 3/10/2023 R-000548 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
282 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
282.1 3/10/2023 R-000550 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
283 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
283.1 3/10/2023 R-000552 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
284 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
284.1 3/10/2023 R-000553 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
285 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
285.1 3/10/2023 R-000582 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
286 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
286.1 3/10/2023 R-000586 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
287 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
287.1 3/10/2023 R-000589 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
288 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
288.1 3/10/2023 R-000592 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
289 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
289.1 3/10/2023 R-000593 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
290 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
290.1 3/11/2023 R-000624 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
291 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
291.1 3/11/2023 R-000626 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
292 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
292.1 3/11/2023 R-000629 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
293 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
293.1 3/11/2023 R-000633 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
294 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
294.1 3/11/2023 R-000640 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
295 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
295.1 3/11/2023 R-000641 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
296 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
296.1 3/11/2023 R-000642 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
297 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
297.1 3/11/2023 R-000646 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
298 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
298.1 3/11/2023 R-000657 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
299 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
299.1 3/11/2023 R-000660 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
300 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
300.1 3/11/2023 R-000661 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
301 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
301.1 3/11/2023 R-000668 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
302 00174907 - Endang Mardikaningsih, Ny - Dusun 5 018/005 Brobot Bojongsari
302.1 3/11/2023 R-000669 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
303 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
303.1 3/11/2023 R-000672 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
304 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
304.1 3/13/2023 R-000698 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
305 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
305.1 3/13/2023 R-000703 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
306 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
306.1 3/13/2023 R-000706 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
307 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
307.1 3/13/2023 R-000712 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
308 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
308.1 3/13/2023 R-000732 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
309 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
309.1 3/13/2023 R-000744 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
310 00240792 - Watini,Madwirya,Ny - Blender 002/005 Sumingkir jeruklegi Cilacap
310.1 3/13/2023 R-000755 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
311 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
311.1 3/15/2023 R-000899 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
312 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
312.1 3/16/2023 R-000936 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
313 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
313.1 3/17/2023 R-000960 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
314 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
314.1 3/17/2023 R-000963 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
315 00241358 - Wartini Hasanah, Ny - Jl Gatot Subroto Gg Palasari 006/009 Sidanegara Cilacap
315.1 3/17/2023 R-000996 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
316 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
316.1 3/17/2023 R-001003 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
317 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
317.1 3/18/2023 R-001016 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
318 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
318.1 3/18/2023 R-001019 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
319 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
319.1 3/18/2023 R-001032 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
320 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
320.1 3/18/2023 R-001043 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
321 00181351 - Turni, Warto, Ny - Dusun Kroya 003/003 Kedungwadas Kawunganten Cilacap
321.1 3/18/2023 R-001044 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
322 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
322.1 3/18/2023 R-001047 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
323 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
323.1 3/18/2023 R-001048 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
324 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
324.1 3/20/2023 R-001076 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
325 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
325.1 3/20/2023 R-001079 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
326 00197843 - Eni Wardaningsih, Ny - Jl. Meranti No. 49 Per Tj Elok 005/007 Tanjung Purwokerto
Selatan
326.1 3/20/2023 R-001092 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
327 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
327.1 3/20/2023 R-001093 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
328 00189431 - Surati, Nasri, Ny - Karangduwur 002/001. Petahanan. Kebumen
328.1 3/20/2023 R-001107 dr. Mega Letrozole Tab
Yudistira, 2.5mg
30 2,400 72,000
Sp. Onk.
Rad
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
329 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
329.1 3/20/2023 R-001117 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
330 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
330.1 3/20/2023 R-001121 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
331 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
331.1 3/20/2023 R-001136 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
332 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
332.1 3/20/2023 R-001149 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
333 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
333.1 3/21/2023 R-001188 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
334 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
334.1 3/22/2023 R-001221 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
335 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
335.1 3/22/2023 R-001236 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
336 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
336.1 3/24/2023 R-001319 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
337 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
337.1 3/24/2023 R-001328 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
338 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
338.1 3/25/2023 R-001349 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
339 00240852 - Karsinem, Sujari, Ny - Masaran 001/004 Masaran, Bawang
339.1 3/25/2023 R-001350 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
340 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
340.1 3/25/2023 R-001351 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
341 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
341.1 3/25/2023 R-001352 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
342 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
342.1 3/25/2023 R-001353 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
343 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
343.1 3/25/2023 R-001355 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
344 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
344.1 3/25/2023 R-001356 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
345 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
345.1 3/25/2023 R-001357 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
346 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
346.1 3/25/2023 R-001379 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
347 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
347.1 3/27/2023 R-001418 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
348 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
348.1 3/27/2023 R-001420 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
349 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
349.1 3/29/2023 R-001514 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
350 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
350.1 3/29/2023 R-001515 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
351 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
351.1 3/29/2023 R-001518 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
352 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
352.1 3/29/2023 R-001519 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
353 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
353.1 3/29/2023 R-001520 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
354 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
354.1 3/29/2023 R-001531 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
355 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
355.1 3/29/2023 R-001547 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
356 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
356.1 3/29/2023 R-001558 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
357 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
357.1 3/31/2023 R-001645 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
358 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
358.1 3/31/2023 R-001646 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
359 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
359.1 3/31/2023 R-001684 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
360 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
360.1 3/31/2023 R-001693 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
361 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
361.1 3/31/2023 R-001704 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
362 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
362.1 4/1/2023 R-000003 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
363 00227923 - Samirah, Samidi, Ny - Kalitapen 005/007 Kalitapen Banyumas
363.1 4/1/2023 R-000005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
364 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
364.1 4/1/2023 R-000013 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
365 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
365.1 4/1/2023 R-000016 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
366 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
366.1 4/1/2023 R-000021 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
367 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
367.1 4/1/2023 R-000022 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
368 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
368.1 4/3/2023 R-000077 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
369 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
369.1 4/3/2023 R-000084 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
370 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
370.1 4/3/2023 R-000090 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
371 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
371.1 4/3/2023 R-000094 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
372 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
372.1 4/3/2023 R-000113 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
373 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
373.1 4/3/2023 R-000119 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
374 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
374.1 4/3/2023 R-000120 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
375 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
375.1 4/3/2023 R-000132 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
376 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
376.1 4/3/2023 R-000138 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
377 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
377.1 4/4/2023 R-000160 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
378 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
378.1 4/5/2023 R-000219 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
379 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
379.1 4/5/2023 R-000250 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
380 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
380.1 4/5/2023 R-000251 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
381 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
381.1 4/5/2023 R-000269 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
382 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
382.1 4/6/2023 R-000279 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
383 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
383.1 4/6/2023 R-000311 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
384 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
384.1 4/6/2023 R-000327 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
385 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
385.1 4/7/2023 R-000340 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
386 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
386.1 4/7/2023 R-000341 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
387 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
387.1 4/7/2023 R-000344 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
388 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
388.1 4/7/2023 R-000353 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
389 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
389.1 4/7/2023 R-000364 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
390 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
390.1 4/7/2023 R-000366 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
35 2,400 84,000
Sp.PD.,KH
OM
Sub Total Resep 84,000
Sub Total Embalase 0
Total Per Pasien 84,000
391 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
391.1 4/8/2023 R-000379 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
392 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
392.1 4/8/2023 R-000381 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
393 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
393.1 4/8/2023 R-000382 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
394 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
394.1 4/8/2023 R-000384 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
395 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
395.1 4/8/2023 R-000393 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
396 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
396.1 4/8/2023 R-000395 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
397 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
397.1 4/8/2023 R-000399 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
398 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
398.1 4/8/2023 R-000400 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
399 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
399.1 4/8/2023 R-000413 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
400 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
400.1 4/10/2023 R-000450 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
401 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
401.1 4/10/2023 R-000451 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
402 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
402.1 4/10/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
403 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
403.1 4/10/2023 R-000456 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
403.2 4/10/2023 R-000456 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
404 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
404.1 4/10/2023 R-000457 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
404.2 4/10/2023 R-000457 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
405 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
405.1 4/10/2023 R-000462 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
405.2 4/10/2023 R-000462 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
406 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
406.1 4/10/2023 R-000464 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
406.2 4/10/2023 R-000464 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
407 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
407.1 4/10/2023 R-000469 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
407.2 4/10/2023 R-000469 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
408 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
408.1 4/10/2023 R-000496 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
409 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
409.1 4/10/2023 R-000500 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
410 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
410.1 4/10/2023 R-000512 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
411 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
411.1 4/10/2023 R-000514 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
412 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
412.1 4/11/2023 R-000516 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
413 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
413.1 4/11/2023 R-000517 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
414 00197843 - Eni Wardaningsih, Ny - Jl. Meranti No. 49 Per Tj Elok 005/007 Tanjung Purwokerto
Selatan
414.1 4/12/2023 R-000587 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
415 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
415.1 4/12/2023 R-000591 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
416 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
416.1 4/12/2023 R-000593 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
417 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
417.1 4/12/2023 R-000617 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
0 2,400 0
Sp.B.(K)
Onk
Sub Total Resep 0
Sub Total Embalase 0
Total Per Pasien 0
418 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
418.1 4/12/2023 R-000622 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
419 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
419.1 4/12/2023 R-000623 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
420 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
420.1 4/12/2023 R-000626 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
421 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
421.1 4/13/2023 R-000658 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
422 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
422.1 4/13/2023 R-000684 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
423 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
423.1 4/14/2023 R-000712 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
424 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
424.1 4/14/2023 R-000715 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
425 00241358 - Wartini Hasanah, Ny - Jl Gatot Subroto Gg Palasari 006/009 Sidanegara Cilacap
425.1 4/15/2023 R-000774 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
426 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
426.1 4/17/2023 R-000817 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
427 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
427.1 4/17/2023 R-000821 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
428 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
428.1 4/17/2023 R-000826 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
429 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
429.1 4/17/2023 R-000828 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
430 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
430.1 4/17/2023 R-000830 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
431 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
431.1 4/17/2023 R-000836 dr. Adam Letrozole Tab
Abdul 2.5mg 30 2,400 72,000
Malik
Sujoko
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
432 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
432.1 4/17/2023 R-000860 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
433 00181059 - Sawiyah, Suwarto, Ny - Pucung Kidul 015/007 Kroya Cilacap
433.1 4/18/2023 R-000918 dr. Letrozole Tab
30 2,400 72,000
Mariska 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
434 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
434.1 4/18/2023 R-000928 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
435 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
435.1 4/18/2023 R-000937 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
436 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
436.1 4/19/2023 R-000958 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
437 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
437.1 4/19/2023 R-000963 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
438 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
438.1 4/19/2023 R-000998 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
439 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
439.1 4/19/2023 R-001008 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 7,486 224,580
Sp.B.(K)
Onk
Sub Total Resep 224,580
Sub Total Embalase 0
Total Per Pasien 224,580
440 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
440.1 4/20/2023 R-001034 dr. Nauval Letrozole Tab
30 2,400 72,000
2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
441 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
441.1 4/21/2023 R-001058 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
442 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
442.1 4/24/2023 R-001096 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
443 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
443.1 4/24/2023 R-001104 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
444 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
444.1 4/24/2023 R-001106 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
445 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
445.1 4/25/2023 R-001115 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
446 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
446.1 4/25/2023 R-001117 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
447 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
447.1 4/25/2023 R-001118 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
448 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
448.1 4/26/2023 R-001147 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
449 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
449.1 4/26/2023 R-001148 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
450 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
450.1 4/26/2023 R-001170 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
451 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
451.1 4/27/2023 R-001242 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
452 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
452.1 4/28/2023 R-001263 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
453 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
453.1 4/28/2023 R-001287 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
454 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
454.1 4/28/2023 R-001288 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
455 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
455.1 4/29/2023 R-001315 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
456 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
456.1 4/29/2023 R-001342 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
457 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
457.1 4/29/2023 R-001346 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
458 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
458.1 5/1/2023 R-000002 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
459 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
459.1 5/1/2023 R-000005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
460 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
460.1 5/1/2023 R-000013 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
461 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
461.1 5/1/2023 R-000024 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
462 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
462.1 5/1/2023 R-000025 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
463 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
463.1 5/1/2023 R-000029 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
464 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
464.1 5/1/2023 R-000034 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
465 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
465.1 5/2/2023 R-000050 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
466 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
466.1 5/2/2023 R-000124 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
467 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
467.1 5/2/2023 R-000136 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
468 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
468.1 5/3/2023 R-000164 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
469 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
469.1 5/3/2023 R-000166 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
470 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
470.1 5/3/2023 R-000176 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
471 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
471.1 5/3/2023 R-000179 dr. Sigit Letrozole Tab
30 2,400 72,000
Unggul 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
472 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
472.1 5/3/2023 R-000208 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
473 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
473.1 5/3/2023 R-000212 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
474 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
474.1 5/3/2023 R-000221 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
475 00240852 - Karsinem, Sujari, Ny - Masaran 001/004 Masaran, Bawang
475.1 5/4/2023 R-000308 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
476 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
476.1 5/5/2023 R-000320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
477 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
477.1 5/5/2023 R-000362 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
478 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
478.1 5/5/2023 R-000363 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
479 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
479.1 5/5/2023 R-000364 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
480 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
480.1 5/5/2023 R-000368 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
481 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
481.1 5/5/2023 R-000372 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
482 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
482.1 5/5/2023 R-000380 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
483 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
483.1 5/6/2023 R-000415 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
484 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
484.1 5/6/2023 R-000416 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
485 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
485.1 5/6/2023 R-000427 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
486 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
486.1 5/6/2023 R-000425 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
487 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
487.1 5/6/2023 R-000430 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
488 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
488.1 5/6/2023 R-000433 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
489 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
489.1 5/6/2023 R-000458 dr. Adam Letrozole Tab
Abdul 2.5mg 0 2,400 0
Malik
489.2 5/6/2023 Sujoko
R-000458 dr. Adam Letrozole Tab
Abdul 2.5mg 30 2,400 72,000
Malik
Sujoko
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
490 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
490.1 5/8/2023 R-000516 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
491 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
491.1 5/8/2023 R-000520 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
492 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
492.1 5/8/2023 R-000521 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
493 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
493.1 5/8/2023 R-000522 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
494 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
494.1 5/8/2023 R-000524 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
495 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
495.1 5/8/2023 R-000554 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
496 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
496.1 5/8/2023 R-000555 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
497 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
497.1 5/8/2023 R-000561 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
498 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
498.1 5/8/2023 R-000558 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
499 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
499.1 5/8/2023 R-000576 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
500 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
500.1 5/10/2023 R-000658 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
501 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
501.1 5/10/2023 R-000659 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
502 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
502.1 5/10/2023 R-000661 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
503 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
503.1 5/10/2023 R-000662 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
504 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
504.1 5/10/2023 R-000705 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
505 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
505.1 5/10/2023 R-000706 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
506 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
506.1 5/10/2023 R-000707 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
507 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
507.1 5/10/2023 R-000708 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
508 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
508.1 5/10/2023 R-000711 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
509 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
509.1 5/10/2023 R-000714 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
510 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
510.1 5/10/2023 R-000744 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
511 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
511.1 5/11/2023 R-000757 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
512 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
512.1 5/11/2023 R-000800 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
513 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
513.1 5/12/2023 R-000832 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
514 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
514.1 5/12/2023 R-000836 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
515 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
515.1 5/12/2023 R-000870 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
516 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
516.1 5/12/2023 R-000871 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
517 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
517.1 5/12/2023 R-000884 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
35 2,400 84,000
Sp.PD.,KH
OM
Sub Total Resep 84,000
Sub Total Embalase 0
Total Per Pasien 84,000
518 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
518.1 5/13/2023 R-000909 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
519 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
519.1 5/13/2023 R-000934 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
520 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
520.1 5/13/2023 R-000941 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
521 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
521.1 5/15/2023 R-000983 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
522 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
522.1 5/15/2023 R-001023 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
523 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
523.1 5/15/2023 R-001034 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
524 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
524.1 5/15/2023 R-001048 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
525 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
525.1 5/16/2023 R-001103 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
526 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
526.1 5/17/2023 R-001143 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
527 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
527.1 5/17/2023 R-001146 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
528 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
528.1 5/17/2023 R-001147 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
529 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
529.1 5/17/2023 R-001148 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
530 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
530.1 5/17/2023 R-001156 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
531 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
531.1 5/17/2023 R-001183 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
532 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
532.1 5/19/2023 R-001251 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
533 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
533.1 5/19/2023 R-001254 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
534 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
534.1 5/19/2023 R-001286 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
535 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
535.1 5/19/2023 R-001298 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
536 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
536.1 5/19/2023 R-001304 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
537 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
537.1 5/20/2023 R-001343 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
538 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
538.1 5/22/2023 R-001384 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
539 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
539.1 5/24/2023 R-001477 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
540 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
540.1 5/24/2023 R-001478 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
541 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
541.1 5/24/2023 R-001480 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
542 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
542.1 5/24/2023 R-001481 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
543 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
543.1 5/24/2023 R-001493 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
544 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
544.1 5/24/2023 R-001501 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
545 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
545.1 5/25/2023 R-001512 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
546 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
546.1 5/25/2023 R-001513 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
547 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
547.1 5/26/2023 R-001565 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
548 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
548.1 5/26/2023 R-001566 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
549 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
549.1 5/27/2023 R-001625 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
550 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
550.1 5/27/2023 R-001630 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
551 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
551.1 5/27/2023 R-001639 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
552 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
552.1 5/27/2023 R-001640 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
553 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
553.1 5/29/2023 R-001687 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
554 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
554.1 5/29/2023 R-001717 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
555 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
555.1 5/29/2023 R-001730 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
556 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
556.1 5/29/2023 R-001732 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
557 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
557.1 5/29/2023 R-001739 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
558 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
558.1 5/31/2023 R-001814 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
559 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
559.1 5/31/2023 R-001815 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
560 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
560.1 5/31/2023 R-001813 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
561 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
561.1 5/31/2023 R-001818 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
562 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
562.1 5/31/2023 R-001844 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
563 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
563.1 6/1/2023 R-000003 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
564 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
564.1 6/1/2023 R-000007 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
565 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
565.1 6/1/2023 R-000023 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
566 00181059 - Sawiyah, Suwarto, Ny - Pucung Kidul 015/007 Kroya Cilacap
566.1 6/1/2023 R-000030 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
567 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
567.1 6/2/2023 R-000036 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
568 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
568.1 6/2/2023 R-000043 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
569 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
569.1 6/2/2023 R-000047 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
570 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
570.1 6/2/2023 R-000082 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
571 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
571.1 6/2/2023 R-000083 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
572 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
572.1 6/2/2023 R-000084 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
573 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
573.1 6/2/2023 R-000088 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
574 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
574.1 6/2/2023 R-000091 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
575 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
575.1 6/3/2023 R-000115 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
576 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
576.1 6/3/2023 R-000116 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
577 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
577.1 6/3/2023 R-000117 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
578 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
578.1 6/3/2023 R-000147 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
579 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
579.1 6/5/2023 R-000187 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
580 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
580.1 6/5/2023 R-000188 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
581 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
581.1 6/5/2023 R-000190 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
582 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
582.1 6/5/2023 R-000196 dr. Eka Letrozole Tab
30 2,400 72,000
Wijaya 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
583 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
583.1 6/5/2023 R-000217 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
584 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
584.1 6/5/2023 R-000223 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
585 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
585.1 6/5/2023 R-000228 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
586 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
586.1 6/5/2023 R-000230 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
587 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
587.1 6/7/2023 R-000297 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
588 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
588.1 6/7/2023 R-000298 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
589 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
589.1 6/7/2023 R-000303 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
590 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
590.1 6/7/2023 R-000305 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
591 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
591.1 6/7/2023 R-000306 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
592 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
592.1 6/7/2023 R-000326 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
593 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
593.1 6/7/2023 R-000329 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
594 00235194 - Salifah, Markasan, Ny - Pasurenan 002/002 Batur Banjarnegara
594.1 6/7/2023 R-000330 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
595 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
595.1 6/7/2023 R-000335 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
596 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
596.1 6/7/2023 R-000337 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
597 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
597.1 6/7/2023 R-000356 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
598 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
598.1 6/8/2023 R-000387 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
599 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
599.1 6/9/2023 R-000408 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
600 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
600.1 6/9/2023 R-000412 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
601 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
601.1 6/9/2023 R-000439 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
602 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
602.1 6/9/2023 R-000441 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
603 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
603.1 6/9/2023 R-000443 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
604 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
604.1 6/9/2023 R-000444 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
605 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
605.1 6/9/2023 R-000445 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
606 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
606.1 6/9/2023 R-000448 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
607 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
607.1 6/9/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
608 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
608.1 6/9/2023 R-000459 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
609 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
609.1 6/9/2023 R-000463 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
610 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
610.1 6/9/2023 R-000469 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
611 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
611.1 6/10/2023 R-000472 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
612 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
612.1 6/10/2023 R-000474 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
613 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
613.1 6/10/2023 R-000477 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
614 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
614.1 6/10/2023 R-000483 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
615 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
615.1 6/10/2023 R-000491 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
616 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
616.1 6/12/2023 R-000561 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
617 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
617.1 6/12/2023 R-000564 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
618 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
618.1 6/12/2023 R-000566 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
619 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
619.1 6/12/2023 R-000600 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
620 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
620.1 6/12/2023 R-000615 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
621 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
621.1 6/13/2023 R-000632 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
622 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
622.1 6/14/2023 R-000721 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
623 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
623.1 6/14/2023 R-000726 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
624 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
624.1 6/15/2023 R-000774 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
625 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
625.1 6/15/2023 R-000782 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
626 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
626.1 6/16/2023 R-000815 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
627 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
627.1 6/16/2023 R-000816 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
628 00225157 - Ratmini, Madiarjo, Ny - Cidora 002/004 Lumbir Banyumas
628.1 6/16/2023 R-000847 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
629 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
629.1 6/16/2023 R-000850 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
630 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
630.1 6/16/2023 R-000853 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
631 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
631.1 6/16/2023 R-000857 dr. Sigit Letrozole Tab
7 2,400 16,800
Unggul 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
632 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
632.1 6/17/2023 R-000872 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
633 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
633.1 6/17/2023 R-000876 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
634 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
634.1 6/17/2023 R-000890 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
635 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
635.1 6/17/2023 R-000891 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
636 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
636.1 6/17/2023 R-000902 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
637 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
637.1 6/19/2023 R-000935 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
638 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
638.1 6/19/2023 R-000936 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
639 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
639.1 6/19/2023 R-000938 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
640 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
640.1 6/19/2023 R-000950 dr. Andika Letrozole Tab
30 2,400 72,000
Pratiwi 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
641 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
641.1 6/22/2023 R-001169 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
642 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
642.1 6/22/2023 R-001173 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
643 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
643.1 6/23/2023 R-001196 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
644 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
644.1 6/23/2023 R-001197 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
645 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
645.1 6/23/2023 R-001218 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
646 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
646.1 6/23/2023 R-001224 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
30 2,400 72,000
Sp.PD.,KH
OM
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
647 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
647.1 6/24/2023 R-001242 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
648 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
648.1 6/24/2023 R-001243 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
649 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
649.1 6/24/2023 R-001249 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
650 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
650.1 6/24/2023 R-001263 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
651 00173185 - Sujiati, Majujer, Ny - Ds. Majasem 017/008 Kemangkon Purbalingga
651.1 6/24/2023 R-001269 dr. Letrozole Tab
Rahardita 2.5mg 30 2,400 72,000
Alidris
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
652 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
652.1 6/26/2023 R-001314 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
653 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
653.1 6/26/2023 R-001316 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
654 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
654.1 6/26/2023 R-001320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
655 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
655.1 6/28/2023 R-001425 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
656 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
656.1 6/28/2023 R-001426 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
657 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
657.1 6/28/2023 R-001434 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
658 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
658.1 6/30/2023 R-001458 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
659 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
659.1 6/30/2023 R-001460 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
660 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
660.1 6/30/2023 R-001468 dr. Doni Letrozole Tab
30 2,400 72,000
Kristiyono 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
661 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
661.1 6/30/2023 R-001481 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
662 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
662.1 6/30/2023 R-001484 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
663 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
663.1 6/30/2023 R-001486 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
664 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
664.1 7/1/2023 R-000003 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
665 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
665.1 7/1/2023 R-000005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
666 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
666.1 7/1/2023 R-000007 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
667 00231537 - Suyatni, Suparno, Ny - Dusun Karangsari 002/001 Bojongsari Kedungreja Cilacap
667.1 7/1/2023 R-000008 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
668 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
668.1 7/1/2023 R-000016 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
669 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
669.1 7/1/2023 R-000033 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
670 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
670.1 7/1/2023 R-000043 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
671 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
671.1 7/3/2023 R-000090 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
672 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
672.1 7/3/2023 R-000098 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
673 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
673.1 7/3/2023 R-000101 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
674 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
674.1 7/3/2023 R-000110 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
675 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
675.1 7/3/2023 R-000132 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
676 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
676.1 7/3/2023 R-000135 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
677 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
677.1 7/4/2023 R-000199 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
678 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
678.1 7/5/2023 R-000235 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
679 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
679.1 7/5/2023 R-000234 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
680 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
680.1 7/5/2023 R-000240 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
681 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
681.1 7/5/2023 R-000273 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
682 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
682.1 7/5/2023 R-000297 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
683 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
683.1 7/6/2023 R-000303 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
684 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
684.1 7/6/2023 R-000336 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
685 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
685.1 7/7/2023 R-000361 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
686 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
686.1 7/7/2023 R-000366 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
687 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
687.1 7/7/2023 R-000368 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
688 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
688.1 7/7/2023 R-000370 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
689 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
689.1 7/7/2023 R-000371 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
690 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
690.1 7/7/2023 R-000399 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
691 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
691.1 7/7/2023 R-000401 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
692 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
692.1 7/7/2023 R-000403 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
693 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
693.1 7/7/2023 R-000410 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
694 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
694.1 7/8/2023 R-000451 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
695 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
695.1 7/8/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
696 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
696.1 7/8/2023 R-000459 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
697 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
697.1 7/8/2023 R-000461 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
698 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
698.1 7/8/2023 R-000469 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
699 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
699.1 7/8/2023 R-000470 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
700 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
700.1 7/8/2023 R-000474 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
701 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
701.1 7/8/2023 R-000477 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
702 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
702.1 7/8/2023 R-000478 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
703 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
703.1 7/8/2023 R-000488 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
704 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
704.1 7/8/2023 R-000490 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
705 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
705.1 7/8/2023 R-000491 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
706 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
706.1 7/10/2023 R-000517 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
707 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
707.1 7/10/2023 R-000549 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
708 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
708.1 7/10/2023 R-000565 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
709 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
709.1 7/11/2023 R-000613 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
710 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
710.1 7/12/2023 R-000689 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
711 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
711.1 7/12/2023 R-000707 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
712 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
712.1 7/12/2023 R-000718 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
713 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
713.1 7/12/2023 R-000726 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
714 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
714.1 7/14/2023 R-000789 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
715 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
715.1 7/15/2023 R-000849 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
716 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
716.1 7/15/2023 R-000855 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
717 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
717.1 7/15/2023 R-000856 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
718 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
718.1 7/15/2023 R-000857 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
719 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
719.1 7/15/2023 R-000862 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
720 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
720.1 7/15/2023 R-000865 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
721 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
721.1 7/15/2023 R-000869 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
722 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
722.1 7/15/2023 R-000870 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
723 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
723.1 7/15/2023 R-000873 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
724 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
724.1 7/15/2023 R-000887 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
725 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
725.1 7/15/2023 R-000893 dr. Shofa Letrozole Tab
Shabrina 2.5mg 60 2,400 144,000
Henandar
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
726 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
726.1 7/15/2023 R-000895 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
727 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
727.1 7/17/2023 R-000948 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
728 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
728.1 7/17/2023 R-000978 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
729 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
729.1 7/17/2023 R-000980 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
730 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
730.1 7/18/2023 R-001005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
731 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
731.1 7/19/2023 R-001083 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
732 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
732.1 7/19/2023 R-001084 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
733 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
733.1 7/20/2023 R-001133 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
734 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
734.1 7/21/2023 R-001156 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
735 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
735.1 7/21/2023 R-001183 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
30 2,400 72,000
Sp.PD.,KH
OM
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
736 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
736.1 7/21/2023 R-001191 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
736.2 7/21/2023 R-001191 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
737 00224629 - Warsiti, Dahlan, Ny - Karangklesem 002/001 Pekuncen
737.1 7/22/2023 R-001201 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
738 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
738.1 7/22/2023 R-001202 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
739 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
739.1 7/22/2023 R-001209 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
740 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
740.1 7/22/2023 R-001245 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
741 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
741.1 7/24/2023 R-001275 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
742 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
742.1 7/24/2023 R-001285 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
743 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
743.1 7/24/2023 R-001309 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
744 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
744.1 7/24/2023 R-001312 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
745 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
745.1 7/24/2023 R-001317 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
746 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
746.1 7/24/2023 R-001333 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
747 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
747.1 7/26/2023 R-001403 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
748 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
748.1 7/26/2023 R-001404 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
749 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
749.1 7/26/2023 R-001405 dr. Sigit Letrozole Tab
30 2,400 72,000
Unggul 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
750 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
750.1 7/28/2023 R-001511 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
751 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
751.1 7/28/2023 R-001512 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
752 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
752.1 7/28/2023 R-001518 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
753 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
753.1 7/28/2023 R-001522 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
754 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
754.1 7/29/2023 R-001544 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
755 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
755.1 7/29/2023 R-001546 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
756 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
756.1 7/29/2023 R-001569 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
757 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
757.1 7/31/2023 R-001607 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
758 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
758.1 7/31/2023 R-001608 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
759 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
759.1 7/31/2023 R-001615 dr. Andika Letrozole Tab
30 2,400 72,000
Pratiwi 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
760 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
760.1 7/31/2023 R-001636 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
761 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
761.1 7/31/2023 R-001637 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
762 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
762.1 8/1/2023 R-000030 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
763 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
763.1 8/2/2023 R-000055 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
764 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
764.1 8/2/2023 R-000056 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
765 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
765.1 8/2/2023 R-000057 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
766 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
766.1 8/2/2023 R-000064 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
767 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
767.1 8/2/2023 R-000086 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
768 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
768.1 8/2/2023 R-000087 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
769 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
769.1 8/3/2023 R-000106 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
770 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
770.1 8/3/2023 R-000114 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
771 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
771.1 8/4/2023 R-000146 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
772 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
772.1 8/4/2023 R-000147 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
773 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
773.1 8/4/2023 R-000179 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
774 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
774.1 8/4/2023 R-000180 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
775 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
775.1 8/4/2023 R-000188 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
776 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
776.1 8/4/2023 R-000196 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
777 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
777.1 8/4/2023 R-000197 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
778 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
778.1 8/5/2023 R-000215 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
779 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
779.1 8/5/2023 R-000222 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
780 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
780.1 8/5/2023 R-000228 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
781 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
781.1 8/5/2023 R-000230 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
782 00227423 - Duryati, Machrudin, Ny - Maribaya 008/003 Maribaya Karanganyar
782.1 8/5/2023 R-000242 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
783 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
783.1 8/5/2023 R-000255 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
784 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
784.1 8/5/2023 R-000264 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
785 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
785.1 8/7/2023 R-000315 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
786 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
786.1 8/7/2023 R-000318 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
787 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
787.1 8/7/2023 R-000320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
788 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
788.1 8/7/2023 R-000325 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
789 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
789.1 8/7/2023 R-000347 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
790 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
790.1 8/7/2023 R-000348 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
791 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
791.1 8/7/2023 R-000349 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
792 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
792.1 8/7/2023 R-000350 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
793 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
793.1 8/7/2023 R-000352 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
794 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
794.1 8/7/2023 R-000361 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
795 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
795.1 8/7/2023 R-000369 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
796 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
796.1 8/7/2023 R-000374 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
797 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
797.1 8/7/2023 R-000378 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
798 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
798.1 8/7/2023 R-000379 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
799 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
799.1 8/8/2023 R-000400 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
800 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
800.1 8/8/2023 R-000401 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
801 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
801.1 8/8/2023 R-000422 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
802 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
802.1 8/8/2023 R-000426 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
803 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
803.1 8/9/2023 R-000469 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
804 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
804.1 8/11/2023 R-000546 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
805 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
805.1 8/11/2023 R-000567 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
806 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
806.1 8/12/2023 R-000603 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
807 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
807.1 8/12/2023 R-000605 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
808 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
808.1 8/12/2023 R-000619 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
809 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
809.1 8/12/2023 R-000623 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
810 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
810.1 8/14/2023 R-000656 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
811 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
811.1 8/14/2023 R-000657 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
812 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
812.1 8/14/2023 R-000666 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
813 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
813.1 8/14/2023 R-000721 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
814 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
814.1 8/14/2023 R-000724 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
815 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
815.1 8/14/2023 R-000738 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
816 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
816.1 8/15/2023 R-000750 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
817 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
817.1 8/15/2023 R-000766 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
818 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
818.1 8/16/2023 R-000838 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
819 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
819.1 8/16/2023 R-000840 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
820 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
820.1 8/17/2023 R-000878 dr. Andika Letrozole Tab
30 2,400 72,000
Pratiwi 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
821 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
821.1 8/18/2023 R-000882 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
822 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
822.1 8/18/2023 R-000886 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
823 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
823.1 8/18/2023 R-000924 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
35 2,400 84,000
Sp.PD.,KH
OM
Sub Total Resep 84,000
Sub Total Embalase 0
Total Per Pasien 84,000
824 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
824.1 8/19/2023 R-000948 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
825 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
825.1 8/19/2023 R-000955 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
826 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
826.1 8/21/2023 R-001011 dr. Shofa Letrozole Tab
Shabrina 2.5mg 30 2,400 72,000
Henandar
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
827 00224629 - Warsiti, Dahlan, Ny - Karangklesem 002/001 Pekuncen
827.1 8/21/2023 R-001060 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
828 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
828.1 8/21/2023 R-001062 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
829 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
829.1 8/23/2023 R-001142 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
830 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
830.1 8/23/2023 R-001144 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
831 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
831.1 8/23/2023 R-001147 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
832 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
832.1 8/23/2023 R-001180 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
833 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
833.1 8/23/2023 R-001196 dr. Letrozole Tab
30 2,400 72,000
Mariska 2.5mg
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
834 00181059 - Sawiyah, Suwarto, Ny - Pucung Kidul 015/007 Kroya Cilacap
834.1 8/24/2023 R-001229 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
835 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
835.1 8/24/2023 R-001230 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
836 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
836.1 8/24/2023 R-001243 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
837 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
837.1 8/25/2023 R-001253 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
838 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
838.1 8/25/2023 R-001256 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
839 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
839.1 8/25/2023 R-001257 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
840 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
840.1 8/25/2023 R-001276 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
841 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
841.1 8/25/2023 R-001279 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
842 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
842.1 8/26/2023 R-001296 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
843 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
843.1 8/26/2023 R-001299 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
844 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
844.1 8/26/2023 R-001307 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
845 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
845.1 8/26/2023 R-001316 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
846 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
846.1 8/28/2023 R-001384 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
847 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
847.1 8/28/2023 R-001393 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
848 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
848.1 8/30/2023 R-001507 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
849 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
849.1 8/30/2023 R-001512 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
850 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
850.1 8/30/2023 R-001548 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
851 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
851.1 8/30/2023 R-001553 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
852 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
852.1 8/31/2023 R-001602 dr. Letrozole Tab
7 2,400 16,800
Mariska 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
853 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
853.1 8/31/2023 R-001627 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
854 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
854.1 9/1/2023 R-000001 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
855 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
855.1 9/1/2023 R-000005 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
856 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
856.1 9/1/2023 R-000006 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
857 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
857.1 9/1/2023 R-000011 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
858 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
858.1 9/1/2023 R-000040 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
859 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
859.1 9/1/2023 R-000042 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
860 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
860.1 9/2/2023 R-000065 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
861 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
861.1 9/2/2023 R-000066 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
862 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
862.1 9/2/2023 R-000075 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
863 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
863.1 9/2/2023 R-000105 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
864 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
864.1 9/4/2023 R-000146 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
865 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
865.1 9/4/2023 R-000181 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
866 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
866.1 9/4/2023 R-000186 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
867 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
867.1 9/4/2023 R-000191 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
868 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
868.1 9/5/2023 R-000223 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
869 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
869.1 9/5/2023 R-000224 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
870 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
870.1 9/5/2023 R-000226 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
871 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
871.1 9/6/2023 R-000286 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
872 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
872.1 9/6/2023 R-000289 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
873 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
873.1 9/6/2023 R-000320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
874 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
874.1 9/6/2023 R-000321 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
875 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
875.1 9/6/2023 R-000322 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
876 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
876.1 9/6/2023 R-000323 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
877 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
877.1 9/6/2023 R-000324 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
878 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
878.1 9/6/2023 R-000328 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
879 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
879.1 9/6/2023 R-000334 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
880 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
880.1 9/6/2023 R-000342 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
881 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
881.1 9/6/2023 R-000345 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
882 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
882.1 9/6/2023 R-000351 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
883 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
883.1 9/7/2023 R-000355 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
884 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
884.1 9/7/2023 R-000356 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
885 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
885.1 9/7/2023 R-000358 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
886 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
886.1 9/7/2023 R-000376 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
887 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
887.1 9/7/2023 R-000386 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
888 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
888.1 9/7/2023 R-000389 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
889 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
889.1 9/8/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
890 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
890.1 9/8/2023 R-000462 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
891 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
891.1 9/8/2023 R-000463 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
892 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
892.1 9/9/2023 R-000509 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
893 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
893.1 9/9/2023 R-000516 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
894 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
894.1 9/9/2023 R-000539 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
895 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
895.1 9/11/2023 R-000590 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
896 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
896.1 9/11/2023 R-000615 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
897 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
897.1 9/11/2023 R-000650 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
898 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
898.1 9/12/2023 R-000666 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
899 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
899.1 9/12/2023 R-000690 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
900 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
900.1 9/13/2023 R-000718 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
901 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
901.1 9/13/2023 R-000719 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
902 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
902.1 9/13/2023 R-000724 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
903 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
903.1 9/13/2023 R-000766 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
904 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
904.1 9/13/2023 R-000769 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
905 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
905.1 9/14/2023 R-000799 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
906 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
906.1 9/15/2023 R-000915 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
907 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
907.1 9/15/2023 R-000919 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
908 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
908.1 9/16/2023 R-000956 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
909 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
909.1 9/16/2023 R-000959 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
910 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
910.1 9/16/2023 R-000960 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
911 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
911.1 9/16/2023 R-000975 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
912 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
912.1 9/18/2023 R-001017 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
913 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
913.1 9/18/2023 R-001059 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
914 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
914.1 9/20/2023 R-001155 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
915 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
915.1 9/20/2023 R-001161 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
916 00224629 - Warsiti, Dahlan, Ny - Karangklesem 002/001 Pekuncen
916.1 9/20/2023 R-001194 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
917 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
917.1 9/21/2023 R-001252 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
918 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
918.1 9/22/2023 R-001278 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
919 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
919.1 9/22/2023 R-001303 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
920 00209979 - Rusmiyati, Sansumarto. Ny - Kemangunan 003/007 Klampok
920.1 9/22/2023 R-001307 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
921 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
921.1 9/22/2023 R-001316 dr. Wahyu Letrozole Tab
Djatmiko, 2.5mg
35 2,400 84,000
Sp.PD.,KH
OM
Sub Total Resep 84,000
Sub Total Embalase 0
Total Per Pasien 84,000
922 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
922.1 9/23/2023 R-001347 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
923 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
923.1 9/23/2023 R-001354 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
924 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
924.1 9/23/2023 R-001355 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
925 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
925.1 9/23/2023 R-001385 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
926 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
926.1 9/23/2023 R-001392 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
927 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
927.1 9/25/2023 R-001422 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
928 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
928.1 9/25/2023 R-001452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
929 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
929.1 9/25/2023 R-001470 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
930 00202621 - Warsini, Tuslam Warsudin, Ny - Paseh 002/001 Paseh Banjarmangu Banjarnegara
930.1 9/26/2023 R-001535 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
931 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
931.1 9/27/2023 R-001568 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
932 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
932.1 9/27/2023 R-001590 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
933 00171182 - Anis, Sansukardi, Ny - Gg.Sadang 003 004/008 Gumilir Cilacap Utara Cilacap
933.1 9/27/2023 R-001597 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
934 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
934.1 9/29/2023 R-001652 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
935 00228829 - Tursinah, Sanwireja, Ny - Wiradadi 001/001 Sokaraja Banyumas
935.1 9/29/2023 R-001657 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
936 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
936.1 9/29/2023 R-001660 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
937 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
937.1 9/29/2023 R-001692 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
938 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
938.1 9/29/2023 R-001693 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
939 00163464 - Rusiyah, Subandi, Ny - Karanganyar 003/001 Sukoharjo Wonosobo
939.1 9/30/2023 R-001731 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
940 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
940.1 9/30/2023 R-001736 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
941 00151966 - Priyatin Martoyo, Ny - Brobot 006/002 Bojongsari Purbalingga
941.1 10/2/2023 R-000017 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
942 00188453 - Ngadinem Sunari, Ny - Cendana 002/001 Cendana Banjarnegara
942.1 10/2/2023 R-000018 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
943 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
943.1 10/2/2023 R-000024 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
944 00214459 - Darsini, Wangsameja, Ny - Sokawera 006/002 Cilongok Banyumas
944.1 10/2/2023 R-000025 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
945 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
945.1 10/2/2023 R-000030 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
946 00195489 - Daemunah, Hadimiardjo, Ny - Bungkanel 002/002. Karanganyar. Purbalingga
946.1 10/2/2023 R-000065 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
947 00178400 - Sariah, Bunari, Ny - Patemon 002/007 Bojongsari Purbalingga
947.1 10/2/2023 R-000067 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
948 00240768 - Siyamtinah, Ahmad Slamet, Ny - Jl. Jend Sutoyo V 001/002 Kedungwuluh Purwokerto
Barat
948.1 10/3/2023 R-000094 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
949 00205073 - Kuswati, Suratman, Ny - Sokawera 001/002 Patikraja Banyumas
949.1 10/4/2023 R-000149 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
950 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
950.1 10/4/2023 R-000179 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
951 00188605 - Faizah, Abu Zaeni, Ny - Kembaran Kulon 005/001 Purbalingga
951.1 10/5/2023 R-000221 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
952 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
952.1 10/5/2023 R-000222 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
953 00226235 - Warsiyem, Sumarto, Ny - Jl. Nakula 003/007 Tritih Wetan Jeruk Legi
953.1 10/5/2023 R-000224 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
954 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
954.1 10/5/2023 R-000226 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
955 00200790 - Umu Junainah. Ny - Dusun Karangsari 003/003 Kawungenten
955.1 10/5/2023 R-000231 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
60 2,400 144,000
Sp.B.(K)
Onk
Sub Total Resep 144,000
Sub Total Embalase 0
Total Per Pasien 144,000
956 00182758 - Khotiah, Muhrosin, Ny - Kalenaren 002/009 Bulupayung Patimuan Cilacap
956.1 10/5/2023 R-000259 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
957 00184979 - Suwarni, Sutarjo Tuyat, Ny - Gumingsir 003/001 Wanadadi Banjarnegara
957.1 10/5/2023 R-000273 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
958 00198899 - Sangadah, Hambali, Ny - Kalitapen 001/003 Purwojati, Banyumas
958.1 10/5/2023 R-000276 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
959 00219258 - Sopuroh, Sahuri, Ny - Banjaranyar 001/002 Balapulang Tegal
959.1 10/5/2023 R-000278 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
960 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
960.1 10/5/2023 R-000279 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
961 00211287 - Masitoh, Amarudin, Ny - Pucungbedug 002/001 Pucungbedug Purwanegara
961.1 10/5/2023 R-000285 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
962 00237072 - Thoyibah,Reksomiarto,Ny - Wanayasa 003/006 Wanayasa banjarnegara
962.1 10/5/2023 R-000296 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
963 00150301 - Sri Hartati, Ny - Gang Dipakrama 002/001 Kutabanjarnegara Banjarnegara
963.1 10/6/2023 R-000310 dr. Nauval Letrozole Tab
8 2,400 19,200
2.5mg
Sub Total Resep 19,200
Sub Total Embalase 0
Total Per Pasien 19,200
964 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
964.1 10/6/2023 R-000318 dr. Andika Letrozole Tab
7 2,400 16,800
Pratiwi 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
965 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
965.1 10/6/2023 R-000331 dr. Andika Letrozole Tab
7 2,400 16,800
Pratiwi 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
966 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
966.1 10/6/2023 R-000342 dr. Andika Letrozole Tab
7 2,400 16,800
Pratiwi 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
967 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
967.1 10/6/2023 R-000347 dr. Sigit Letrozole Tab
7 2,400 16,800
Unggul 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
968 00176023 - Sugiyanti,Yugo Suwito, Ny - Jl. Pulasari 006/002 Kalikabong Kalimanah Purbalingga
968.1 10/9/2023 R-000391 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
90 2,400 216,000
Sp.B.(K)
Onk
Sub Total Resep 216,000
Sub Total Embalase 0
Total Per Pasien 216,000
969 00178178 - Heni Kustiyah, Ny - Kuntili 001/002 Sumpiuh Banyumas
969.1 10/9/2023 R-000401 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
970 00196653 - Darsuni, Suharyo Edi, Ny - Dsn Babakan 1 003/001 Babakan Karangpucung Cilacap
970.1 10/9/2023 R-000427 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
971 00199305 - Ruminah, Darsono, Ny - Dsn ,Manganti 011/001 Sidarahayu Purwadadi Ciamis
971.1 10/9/2023 R-000431 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
972 00235213 - Esti Mardiwati, Ny - Dk Krangdempul 003/007 Jatisawit Bumiayu Brebes
972.1 10/9/2023 R-000434 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
973 00230339 - Siswati,Soeprapto,Ny - jalan pemuda gang Merpati 07 003/007 Kober Purwokerto Barat
973.1 10/9/2023 R-000451 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
974 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
974.1 10/9/2023 R-000452 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
975 00206644 - Samsiyah, Martareja. Ny - Kertayasa 006/004 Mandiraja Banjarnegara
975.1 10/9/2023 R-000457 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
976 00197151 - Nampen, Sanrosidi, Ny - Wlahar Wetan 009 / 002 Kalibagor Banyumas
976.1 10/9/2023 R-000460 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
977 00196451 - Kustinah, Sohadi, Ny - Cijati Rt 004/004 Cimanggu Cilacap
977.1 10/9/2023 R-000480 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
978 00214054 - Ratinah,Sumarjo, Ny - Ketasari 005/001 Losari Rawalo Banyumas
978.1 ### R-000505 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
979 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
979.1 ### R-000523 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
980 00224492 - Yati, Arlan, Ny - Pakeleran 002/002 Sridadi Sirampog
980.1 ### R-000532 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
981 00190379 - Maryamah, Iliyas, Ny - Sokaraja Kulon 001/002 Sokaraja Banyumas
981.1 ### R-000579 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
982 00220053 - Tumiati, Amad Kasan, Ny - Kalimendong Wetan 003/005 Danaraja Purwanegara
Banjarnegara
982.1 ### R-000582 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
983 00162731 - Widia Widiati, Ny - Kalimanah Kulon 001/001 Kalimanah Purbalingga
983.1 ### R-000607 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
984 00220230 - Siti Sadiyastuti, Ny - JL. Pahlawan Gg XI 004/001 Tanjung, Purwokerto Selatan
984.1 ### R-000654 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
985 00176272 - Sutiati, Suwedi, Ny - Jl. Anggrek Raya 001/001 Kembaran Kulon Purbalingga
985.1 ### R-000660 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
986 00192005 - Jariah, Karto Miarji, Ny - Dsn. Karang Salam Lor 005/001 Karangsalam Baturraden
Banyumas
986.1 ### R-000674 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
987 00229816 - Parilah, Resa Wirya. Ny - Jl Damar No 150 001/010 Karangtalun, Cilacap Utara
987.1 ### R-000676 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
988 00120428 - Amen, Kasani, Ny - Wlahar 001/003 Wangon Banyumas
988.1 ### R-000677 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
989 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
989.1 ### R-000717 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
990 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
990.1 ### R-000722 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
991 00235683 - Rusimah, Kidin. Ny - Dusun Karangpaci 001/009 Kertayasa, Cijulang
991.1 ### R-000723 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
992 00157714 - Sartinah Mahmudin, Ny - Piasa Wetan 002/001 Susukan Banjarnegara
992.1 ### R-000725 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
993 00178345 - Sarni, Sumarno, Ny - Ds. Bantar 004/002 Jatilawang Banyumas
993.1 ### R-000727 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
994 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
994.1 ### R-000756 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
995 00234372 - Ninik Retnowati, Ny - Jl Sawo No 11B 004/007 Tegalreja Cilacap Selatan
995.1 ### R-000757 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
996 00193365 - Misirah, Karto Mulyo, Ny - Jl. Pemuda 001/009 Kalisabuk Kesugihan Cilacap
996.1 ### R-000766 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
997 00223329 - Suwarti, Dirun Karyodiharjo, Ny - Pamijen 001/004 Sokaraja Banyumas
997.1 ### R-000767 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
998 00196466 - Tarwi, Sameja, Ny - Tambaknegara 001/006 Rawalo Banyumas
998.1 ### R-000788 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
999 00189308 - Menik Sudarti, Ny - Kunci 005/003 Sidareja Cilacap
999.1 ### R-000818 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1000 00229292 - Palupi Setyaningsih, Ny - Gg. Cempaka No. 12 004/002 Kober Purwokerto Barat
1000.1 ### R-000820 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1001 00236288 - Hazizah Semirah, Ny - Dusun Tegalsari 002/006 Kawunganten Lor, Kawunganten,
Cilacap
1001.1 ### R-000838 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1002 00177829 - Sri Purwaningsih, Ny - Ngadiwongso 001/001 Kalikajar Kalikajar Wonosobo
1002.1 ### R-000845 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1003 00194093 - Tati Rusmiyati, Ny - Kel. Mewek 002/001 Mewek Kalimanah Purbalingga
1003.1 ### R-000849 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1004 00160346 - Yetti Rusmiyati, Ny - Arcawinangun 005/010 Purwokerto Timur
1004.1 ### R-000934 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1005 00173496 - Warinah, Singamiharjo, Ny - Karangnanas 003/005 Sokaraja Banyumas
1005.1 ### R-000947 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1006 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
1006.1 ### R-000955 dr. Sigit Letrozole Tab
7 2,400 16,800
Unggul 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 0
Total Per Pasien 16,800
1007 00216059 - Marfungah, Nurudin, Ny - pamijen 006/002 Baturraden
1007.1 ### R-001105 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1008 00197962 - Sumini, Madsumeri, Ny - Dusun Cilemba 003/001 Kalijeruk Cilacap
1008.1 ### R-001106 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1009 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
1009.1 ### R-001119 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1010 00193664 - Muslimah Mustareja, Ny - Sokaraja Kulon 003/006 Sokaraja Kulon Sokaraja Banyumas
1010.1 ### R-001168 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1011 00215848 - Ati Yunaera Dinariat, Ny - Dsn Kramasari 003/004 Bojongsari Kawunganten Cilacap
1011.1 ### R-001198 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1012 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
1012.1 ### R-001203 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1013 00238117 - Sri Sulastri, Ny - JL. Lamping No. 08 003/005 Gedong Panjang Citamiang Sukabumi
1013.1 ### R-001210 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1014 00168372 - Surati, Salun Sawijaya, Ny - Mandiraja Wetan 008/002 Mandiraja Banjarnegara
1014.1 ### R-001226 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1015 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
1015.1 ### R-001232 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1016 00210509 - Suharti, Darmo Pawiro, Ny - Pengadegan 001/002 Wangon
1016.1 ### R-001290 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1017 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
1017.1 ### R-001320 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1018 00183974 - Laksmi, Abdurrahman, Ny - Karangwangkal 005/003 Purwokerto Utara Banyumas
1018.1 ### R-001325 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 0
Total Per Pasien 72,000
1019 00155525 - Ponirah, Maddarso. Ny - Dusun Wungureja 002/007 Kaliwungu Kedungreja Cilacap
1019.1 ### R-001348 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1020 00187546 - Supriyati, Samsudi, Ny - Ajibarang Kulon 001/001 Ajibarang Banyumas
1020.1 ### R-001349 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1021 00223338 - Mujinem, San Murti, Ny - Dsn Tambaksari 005/001 Kedungreja
1021.1 ### R-001351 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1022 00164622 - Marwati, Dulahkhanan, Ny - Jl. N Kapten Sukardan 001/010
1022.1 ### R-001355 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1023 00224629 - Warsiti, Dahlan, Ny - Karangklesem 002/001 Pekuncen
1023.1 ### R-001408 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1024 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
1024.1 ### R-001432 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1025 00235792 - Sarwono, Tarmidi, Tn - Bawang 001/002 Bawang Banjarnegara
1025.1 ### R-001453 dr. Andika Letrozole Tab
7 2,400 16,800
Pratiwi 2.5mg
Sub Total Resep 16,800
Sub Total Embalase 100
Total Per Pasien 16,900
1026 00218378 - Maryamah Supeni,Ny - Bandingan 003/001 Bandingan Bawang Banjarnegara
1026.1 ### R-001454 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1027 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
1027.1 ### R-001478 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1028 00221364 - Tutur, Madrawi, Ny - Lagaran kaligiri 001/002 Sirampog Brebes
1028.1 ### R-001482 dr. Lopo Letrozole Tab
Triyanto, 2.5mg
30 2,400 72,000
Sp.B.(K)
Onk
Sub Total Resep 72,000
Sub Total Embalase 100
Total Per Pasien 72,100
1029 000000 - NY SRI HARTATI - APS
1029.1 1/9/2023 LU0136 - Letrozole Tab
30 2,300 69,000
2.5mg
Sub Total Resep 69,000
Sub Total Embalase 0
Total Per Pasien 69,000
1030 000000 - Surati, Nasri, Ny - APS
1030.1 5/4/2023 LU0032 - Letrozole Tab
90 2,400 216,000
2.5mg
Sub Total Resep 216,000
Sub Total Embalase 0
Total Per Pasien 216,000
1031 000000 - RSDK CIAMIS - APS
1031.1 7/12/2023 LU0073 - Letrozole Tab
600 2,400 1,440,000
2.5mg
Sub Total Resep 1,440,000
Sub Total Embalase 0
Total Per Pasien 1,440,000
1032 000000 - Surati, Nasri, Ny - APS
1032.1 8/21/2023 LU0145 - Letrozole Tab
90 2,400 216,000
2.5mg
Sub Total Resep 216,000
Sub Total Embalase 0
Total Per Pasien 216,000
Grand Total Resep ###
Grand Total Embalase 1,000
Grand Total ###
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2022 - 31/12/2022
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Anastrozole 1mg
Debitur : BPJS
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
1.1 1/1/2022 R-000030 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
2 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
2.1 1/1/2022 R-000036 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
3 00156145 - Tumirah, Aminudin, Ny - Cipawon 005/005 Bukateja Purbalingga
3.1 1/1/2022 R-000081 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
4 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
4.1 1/1/2022 R-000097 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
5 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
5.1 1/3/2022 R-000300 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
6 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
6.1 1/3/2022 R-000313 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
7 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
7.1 1/3/2022 R-000323 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
8 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
8.1 1/4/2022 R-000734 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
9 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
9.1 1/4/2022 R-000752 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
10 00212338 - Sri Wahyuningsih, Ny - Kalibeber 001/002 Mojotengah Wonosobo
10.1 1/4/2022 R-000764 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
11 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
11.1 1/4/2022 R-001074 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
12 00141249 - Khasanah, Ahmad Mursalim, Ny - Ciberung 001/003
12.1 1/4/2022 R-001131 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
13 00160872 - Surtiyem, Cantarja, Ny - Patikraja Rt 004/001 Patikraja Banyumas
13.1 1/5/2022 R-001238 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
14 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
14.1 1/5/2022 R-001244 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
15 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
15.1 1/5/2022 R-001246 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
16 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
16.1 1/5/2022 R-001407 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
17 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
17.1 1/5/2022 R-001486 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
18 00163486 - Rohimah, Sutiarjo, Ny - Mangunan 005/003 Wonosobo
18.1 1/5/2022 R-001603 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
19 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
19.1 1/6/2022 R-001681 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
20 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
20.1 1/7/2022 R-002156 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
21 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
21.1 1/7/2022 R-002339 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
22 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
22.1 1/7/2022 R-002340 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
23 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
23.1 1/7/2022 R-002408 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
24 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
24.1 1/7/2022 R-002465 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
25 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
25.1 1/8/2022 R-002539 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
26 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
26.1 1/8/2022 R-002570 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
27 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
27.1 1/8/2022 R-002597 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
28 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
28.1 1/8/2022 R-002669 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
29 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
29.1 1/8/2022 R-002755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
30 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
30.1 1/9/2022 R-002847 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
31 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
31.1 1/9/2022 R-002852 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
32 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
32.1 1/9/2022 R-002861 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
33 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
33.1 1/9/2022 R-002862 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
34 00179068 - Nasiyah, Mungkini, Ny - Dk. Wetan Gili 003/002 Wadasmalang, Karangsambung
34.1 1/9/2022 R-002869 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
35 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
35.1 1/9/2022 R-002888 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
36 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
36.1 1/9/2022 R-002922 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
37 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
37.1 1/10/2022 R-002975 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
38 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
38.1 1/10/2022 R-002982 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
39 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
39.1 1/10/2022 R-003202 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
40 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
40.1 1/11/2022 R-003418 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
41 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
41.1 1/11/2022 R-003426 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
42 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
42.1 1/11/2022 R-003448 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
43 00218043 - Purwani Wirawati, Ny - Perum Griya asri blok 03-15 012/011 Ciseureuh Purwakarta
43.1 1/11/2022 R-003705 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
44 00220485 - Umi Haryati, Ny - Jl. Gladiul Moga 003/005 Moga Moga
44.1 1/11/2022 R-003803 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
45 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
45.1 1/12/2022 R-004071 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
46 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
46.1 1/12/2022 R-004131 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
47 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
47.1 1/13/2022 R-004347 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
48 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
48.1 1/13/2022 R-004403 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
49 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
49.1 1/14/2022 R-004797 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
50 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
50.1 1/14/2022 R-004821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
51 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
51.1 1/14/2022 R-005102 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
52 00153600 - Reni Haryati, Ny - Curgecang 001/002
52.1 1/14/2022 R-005108 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
53 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
53.1 1/15/2022 R-005203 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
54 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
54.1 1/15/2022 R-005206 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
55 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
55.1 1/15/2022 R-005278 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
56 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
56.1 1/15/2022 R-005342 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
57 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
57.1 1/16/2022 R-005569 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
58 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
58.1 1/16/2022 R-005605 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
59 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
59.1 1/17/2022 R-005655 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
60 00179201 - Sudaryanti, Warso Utomo, Ny - Ledug 005 / 005 kembaran Banyumas
60.1 1/17/2022 R-005950 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
61 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
61.1 1/17/2022 R-006080 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
62 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
62.1 1/18/2022 R-006583 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
63 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
63.1 1/19/2022 R-006636 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
64 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
64.1 1/19/2022 R-006640 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
65 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
65.1 1/19/2022 R-006651 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
66 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
66.1 1/19/2022 R-006716 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
67 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
67.1 1/19/2022 R-006862 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
68 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
68.1 1/20/2022 R-007075 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
69 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
69.1 1/20/2022 R-007321 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
70 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
70.1 1/20/2022 R-007385 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
71 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
71.1 1/21/2022 R-007473 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
72 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
72.1 1/21/2022 R-007479 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
73 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
73.1 1/21/2022 R-007493 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
74 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
74.1 1/21/2022 R-007494 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
75 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
75.1 1/21/2022 R-007498 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
76 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
76.1 1/21/2022 R-007654 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
77 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
77.1 1/21/2022 R-007821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
78 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
78.1 1/22/2022 R-007887 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
79 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
79.1 1/22/2022 R-007894 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
80 00209850 - Mapiroh, Suratmo, Ny - Jejeg 002/004 Bumijawa Tegal
80.1 1/22/2022 R-008104 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
81 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
81.1 1/23/2022 R-008178 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
82 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
82.1 1/23/2022 R-008195 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
83 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
83.1 1/23/2022 R-008205 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
84 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
84.1 1/24/2022 R-008283 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
85 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
85.1 1/24/2022 R-008312 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
86 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
86.1 1/24/2022 R-008402 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
87 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
87.1 1/24/2022 R-008453 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
88 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
88.1 1/25/2022 R-008788 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
89 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
89.1 1/25/2022 R-008813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
90 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
90.1 1/25/2022 R-009039 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
91 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
91.1 1/25/2022 R-009041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
92 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
92.1 1/25/2022 R-009132 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
93 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
93.1 1/25/2022 R-009195 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
94 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
94.1 1/26/2022 R-009254 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
95 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
95.1 1/26/2022 R-009281 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
96 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
96.1 1/28/2022 R-010098 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
97 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
97.1 1/28/2022 R-010103 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
98 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
98.1 1/28/2022 R-010112 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
99 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
99.1 1/28/2022 R-010251 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
100 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
100.1 1/28/2022 R-010356 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
101 00151141 - Ani Sulistiyani, Ny - Bantarsoka 006/001 Purwokerto Barat
101.1 1/28/2022 R-010370 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
102 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
102.1 1/29/2022 R-010692 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
103 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
103.1 1/30/2022 R-010804 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
104 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
104.1 1/30/2022 R-010878 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
105 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
105.1 1/31/2022 R-010919 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
106 00156145 - Tumirah, Aminudin, Ny - Cipawon 005/005 Bukateja Purbalingga
106.1 1/31/2022 R-010926 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
107 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
107.1 1/31/2022 R-011181 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
108 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
108.1 1/31/2022 R-011191 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
109 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
109.1 2/2/2022 R-000241 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
110 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
110.1 2/2/2022 R-000284 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
111 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
111.1 2/2/2022 R-000314 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
112 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
112.1 2/3/2022 R-000679 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
113 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
113.1 2/3/2022 R-000699 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
114 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
114.1 2/3/2022 R-000801 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
115 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
115.1 2/3/2022 R-000920 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
116 00141249 - Khasanah, Ahmad Mursalim, Ny - Ciberung 001/003
116.1 2/4/2022 R-001157 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
117 00160872 - Surtiyem, Cantarja, Ny - Patikraja Rt 004/001 Patikraja Banyumas
117.1 2/4/2022 R-001169 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
118 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
118.1 2/4/2022 R-001177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
119 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
119.1 2/4/2022 R-001280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
120 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
120.1 2/5/2022 R-001589 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
121 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
121.1 2/5/2022 R-001667 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
122 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
122.1 2/6/2022 R-001920 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
123 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
123.1 2/6/2022 R-001953 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
124 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
124.1 2/6/2022 R-001964 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
125 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
125.1 2/6/2022 R-001965 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
126 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
126.1 2/7/2022 R-002036 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
127 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
127.1 2/7/2022 R-002057 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
128 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
128.1 2/7/2022 R-002432 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
129 00179068 - Nasiyah, Mungkini, Ny - Dk. Wetan Gili 003/002 Wadasmalang, Karangsambung
129.1 2/8/2022 R-002501 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
130 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
130.1 2/8/2022 R-002522 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
131 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
131.1 2/8/2022 R-002534 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
132 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
132.1 2/8/2022 R-002545 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
133 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
133.1 2/8/2022 R-002548 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
134 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
134.1 2/8/2022 R-002561 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
135 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
135.1 2/8/2022 R-002627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
136 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
136.1 2/8/2022 R-002932 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
137 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
137.1 2/9/2022 R-002995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
138 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
138.1 2/9/2022 R-003012 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
139 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
139.1 2/9/2022 R-003015 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
140 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
140.1 2/9/2022 R-003202 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
141 00180408 - Nur Handini, Ny - Dsn. Mrica 004/002 Simpur Belik Pemalang
141.1 2/9/2022 R-003261 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
142 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
142.1 2/10/2022 R-003409 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
143 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
143.1 2/10/2022 R-003411 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
144 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
144.1 2/10/2022 R-003461 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
145 00220485 - Umi Haryati, Ny - Jl. Gladiul Moga 003/005 Moga Moga
145.1 2/10/2022 R-003817 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
146 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
146.1 2/11/2022 R-004075 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
147 00221551 - Tarisah, Dul Khoeri, Ny - Cinangsi 004/004 Gandrungmangu Cilacap
147.1 2/11/2022 R-004078 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
148 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
148.1 2/11/2022 R-004149 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
149 00218043 - Purwani Wirawati, Ny - Perum Griya asri blok 03-15 012/011 Ciseureuh Purwakarta
149.1 2/11/2022 R-004150 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
150 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
150.1 2/12/2022 R-004330 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
151 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
151.1 2/12/2022 R-004387 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
152 00163486 - Rohimah, Sutiarjo, Ny - Mangunan 005/003 Wonosobo
152.1 2/12/2022 R-004524 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
153 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
153.1 2/13/2022 R-004601 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
154 00153600 - Reni Haryati, Ny - Curgecang 001/002
154.1 2/13/2022 R-004640 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
155 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
155.1 2/13/2022 R-004643 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
156 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
156.1 2/14/2022 R-004714 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
157 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
157.1 2/14/2022 R-004717 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
158 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
158.1 2/14/2022 R-004723 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
159 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
159.1 2/15/2022 R-005176 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
160 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
160.1 2/15/2022 R-005193 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
161 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
161.1 2/15/2022 R-005396 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
162 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
162.1 2/16/2022 R-005611 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
163 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
163.1 2/16/2022 R-005643 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
164 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
164.1 2/16/2022 R-005664 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
165 00179201 - Sudaryanti, Warso Utomo, Ny - Ledug 005 / 005 kembaran Banyumas
165.1 2/16/2022 R-005882 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
166 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
166.1 2/18/2022 R-006422 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
167 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
167.1 2/18/2022 R-006423 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
168 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
168.1 2/18/2022 R-006425 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
169 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
169.1 2/18/2022 R-006578 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
170 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
170.1 2/18/2022 R-006651 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
171 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
171.1 2/18/2022 R-006758 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
172 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
172.1 2/18/2022 R-006764 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
173 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
173.1 2/19/2022 R-006823 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
174 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
174.1 2/19/2022 R-006948 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
175 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
175.1 2/19/2022 R-006951 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
176 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
176.1 2/20/2022 R-007167 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
177 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
177.1 2/20/2022 R-007168 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
178 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
178.1 2/20/2022 R-007219 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
179 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
179.1 2/20/2022 R-007233 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
180 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
180.1 2/21/2022 R-007273 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
181 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
181.1 2/21/2022 R-007275 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
182 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
182.1 2/21/2022 R-007284 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
183 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
183.1 2/21/2022 R-007292 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
184 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
184.1 2/21/2022 R-007299 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
185 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
185.1 2/22/2022 R-007752 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
186 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
186.1 2/22/2022 R-007765 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
187 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
187.1 2/23/2022 R-008174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
188 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
188.1 2/23/2022 R-008198 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
189 00209850 - Mapiroh, Suratmo, Ny - Jejeg 002/004 Bumijawa Tegal
189.1 2/23/2022 R-008409 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
190 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
190.1 2/23/2022 R-008477 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
191 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
191.1 2/23/2022 R-008480 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
192 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
192.1 2/24/2022 R-008555 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
193 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
193.1 2/24/2022 R-008566 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
194 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
194.1 2/24/2022 R-008604 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
195 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
195.1 2/24/2022 R-008792 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
196 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
196.1 2/24/2022 R-008831 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
197 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
197.1 2/25/2022 R-008985 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
198 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
198.1 2/25/2022 R-008987 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
199 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
199.1 2/25/2022 R-009133 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
200 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
200.1 2/26/2022 R-009551 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
201 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
201.1 2/27/2022 R-009600 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
202 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
202.1 2/27/2022 R-009608 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
203 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
203.1 2/27/2022 R-009632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
204 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
204.1 2/28/2022 R-009739 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
205 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
205.1 2/28/2022 R-009748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
206 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
206.1 2/28/2022 R-009749 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
207 00151141 - Ani Sulistiyani, Ny - Bantarsoka 006/001 Purwokerto Barat
207.1 2/28/2022 R-009821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
208 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
208.1 3/1/2022 R-000001 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
209 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
209.1 3/1/2022 R-000037 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
210 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
210.1 3/1/2022 R-000261 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
211 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
211.1 3/2/2022 R-000468 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
212 00156145 - Tumirah, Aminudin, Ny - Cipawon 005/005 Bukateja Purbalingga
212.1 3/2/2022 R-000482 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
213 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
213.1 3/2/2022 R-000954 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
214 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
214.1 3/3/2022 R-001135 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
215 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
215.1 3/4/2022 R-001203 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
216 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
216.1 3/4/2022 R-001222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
217 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
217.1 3/5/2022 R-001619 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
218 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
218.1 3/5/2022 R-001649 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
219 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
219.1 3/5/2022 R-001681 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
220 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
220.1 3/5/2022 R-001725 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
221 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
221.1 3/5/2022 R-001757 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
222 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
222.1 3/5/2022 R-001881 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
223 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
223.1 3/6/2022 R-001907 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
224 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
224.1 3/6/2022 R-001925 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
225 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
225.1 3/6/2022 R-001930 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
226 00141249 - Khasanah, Ahmad Mursalim, Ny - Ciberung 001/003
226.1 3/6/2022 R-001958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
227 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
227.1 3/7/2022 R-001998 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
228 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
228.1 3/7/2022 R-002002 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
229 00160872 - Surtiyem, Cantarja, Ny - Patikraja Rt 004/001 Patikraja Banyumas
229.1 3/7/2022 R-002007 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
230 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
230.1 3/7/2022 R-002179 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
231 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
231.1 3/8/2022 R-002556 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
232 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
232.1 3/8/2022 R-002724 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
233 00221551 - Tarisah, Dul Khoeri, Ny - Cinangsi 004/004 Gandrungmangu Cilacap
233.1 3/8/2022 R-002773 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
234 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
234.1 3/8/2022 R-002994 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
235 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
235.1 3/9/2022 R-003143 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
236 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
236.1 3/10/2022 R-003499 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
237 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
237.1 3/10/2022 R-003504 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
238 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
238.1 3/10/2022 R-003518 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
239 00179068 - Nasiyah, Mungkini, Ny - Dk. Wetan Gili 003/002 Wadasmalang, Karangsambung
239.1 3/10/2022 R-003604 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
240 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
240.1 3/10/2022 R-003626 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
241 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
241.1 3/10/2022 R-003645 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
242 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
242.1 3/10/2022 R-003698 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
243 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
243.1 3/10/2022 R-003703 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
244 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
244.1 3/10/2022 R-003805 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
245 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
245.1 3/10/2022 R-003813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
246 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
246.1 3/10/2022 R-003815 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
247 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
247.1 3/11/2022 R-003885 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
248 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
248.1 3/11/2022 R-003920 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
249 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
249.1 3/11/2022 R-004122 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
250 00180408 - Nur Handini, Ny - Dsn. Mrica 004/002 Simpur Belik Pemalang
250.1 3/11/2022 R-004228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
251 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
251.1 3/12/2022 R-004280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
252 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
252.1 3/12/2022 R-004283 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
253 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
253.1 3/12/2022 R-004302 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
254 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
254.1 3/13/2022 R-004631 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
255 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
255.1 3/14/2022 R-004718 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
256 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
256.1 3/14/2022 R-004807 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
257 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
257.1 3/15/2022 R-005246 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
258 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
258.1 3/15/2022 R-005326 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
259 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
259.1 3/15/2022 R-005408 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
260 00153600 - Reni Haryati, Ny - Curgecang 001/002
260.1 3/15/2022 R-005450 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
261 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
261.1 3/15/2022 R-005480 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
262 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
262.1 3/16/2022 R-005935 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
263 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
263.1 3/17/2022 R-006006 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
264 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
264.1 3/18/2022 R-006408 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
265 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
265.1 3/18/2022 R-006409 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
266 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
266.1 3/18/2022 R-006414 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
267 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
267.1 3/18/2022 R-006418 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
268 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
268.1 3/18/2022 R-006439 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
269 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
269.1 3/18/2022 R-006543 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
270 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
270.1 3/18/2022 R-006590 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
271 00179201 - Sudaryanti, Warso Utomo, Ny - Ledug 005 / 005 kembaran Banyumas
271.1 3/18/2022 R-006652 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
272 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
272.1 3/19/2022 R-006754 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
273 00163486 - Rohimah, Sutiarjo, Ny - Mangunan 005/003 Wonosobo
273.1 3/19/2022 R-006947 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
274 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
274.1 3/20/2022 R-006972 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
275 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
275.1 3/20/2022 R-006983 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
276 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
276.1 3/20/2022 R-006988 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
277 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
277.1 3/21/2022 R-007096 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
278 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
278.1 3/21/2022 R-007140 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
279 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
279.1 3/21/2022 R-007280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
280 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
280.1 3/21/2022 R-007295 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
281 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
281.1 3/21/2022 R-007390 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
282 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
282.1 3/22/2022 R-007638 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
283 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
283.1 3/22/2022 R-008013 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
284 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
284.1 3/22/2022 R-008025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
285 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
285.1 3/23/2022 R-008059 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
286 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
286.1 3/23/2022 R-008070 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
287 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
287.1 3/23/2022 R-008089 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
288 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
288.1 3/23/2022 R-008228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
289 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
289.1 3/23/2022 R-008452 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
290 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
290.1 3/23/2022 R-008489 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
291 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
291.1 3/24/2022 R-008565 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
292 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
292.1 3/24/2022 R-008570 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
293 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
293.1 3/24/2022 R-008587 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
294 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
294.1 3/25/2022 R-008923 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
295 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
295.1 3/25/2022 R-008984 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
296 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
296.1 3/25/2022 R-009229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
297 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
297.1 3/26/2022 R-009283 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
298 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
298.1 3/26/2022 R-009303 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
299 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
299.1 3/26/2022 R-009304 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
300 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
300.1 3/26/2022 R-009319 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
301 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
301.1 3/26/2022 R-009341 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
302 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
302.1 3/26/2022 R-009482 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
303 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
303.1 3/27/2022 R-009537 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
304 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
304.1 3/27/2022 R-009593 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
305 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
305.1 3/28/2022 R-010052 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
306 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
306.1 3/28/2022 R-010071 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
307 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
307.1 3/29/2022 R-010124 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
308 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
308.1 3/29/2022 R-010151 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
309 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
309.1 3/29/2022 R-010454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
310 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
310.1 3/29/2022 R-010471 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
311 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
311.1 3/30/2022 R-010755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
312 00151141 - Ani Sulistiyani, Ny - Bantarsoka 006/001 Purwokerto Barat
312.1 3/30/2022 R-010867 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
313 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
313.1 3/31/2022 R-010945 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
314 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
314.1 3/31/2022 R-011010 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
315 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
315.1 3/31/2022 R-011045 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
316 00156145 - Tumirah, Aminudin, Ny - Cipawon 005/005 Bukateja Purbalingga
316.1 4/1/2022 R-000013 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
317 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
317.1 4/1/2022 R-000016 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
318 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
318.1 4/1/2022 R-000019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
319 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
319.1 4/1/2022 R-000021 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
320 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
320.1 4/1/2022 R-000100 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
321 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
321.1 4/2/2022 R-000443 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
322 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
322.1 4/4/2022 R-000733 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
323 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
323.1 4/4/2022 R-000743 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
324 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
324.1 4/4/2022 R-000753 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
325 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
325.1 4/4/2022 R-000784 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
326 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
326.1 4/4/2022 R-000839 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
327 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
327.1 4/4/2022 R-000911 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
328 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
328.1 4/5/2022 R-001185 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
329 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
329.1 4/5/2022 R-001287 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
330 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
330.1 4/5/2022 R-001543 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
331 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
331.1 4/6/2022 R-001644 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
332 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
332.1 4/6/2022 R-001672 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
333 00160872 - Surtiyem, Cantarja, Ny - Patikraja Rt 004/001 Patikraja Banyumas
333.1 4/6/2022 R-001988 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
334 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
334.1 4/6/2022 R-001995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
335 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
335.1 4/7/2022 R-002095 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
336 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
336.1 4/7/2022 R-002207 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
337 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
337.1 4/7/2022 R-002410 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
338 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
338.1 4/8/2022 R-002444 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
339 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
339.1 4/8/2022 R-002456 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
340 00221551 - Tarisah, Dul Khoeri, Ny - Cinangsi 004/004 Gandrungmangu Cilacap
340.1 4/8/2022 R-002491 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
341 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
341.1 4/9/2022 R-002861 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
342 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
342.1 4/9/2022 R-002864 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
343 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
343.1 4/9/2022 R-002873 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
344 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
344.1 4/9/2022 R-002901 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
345 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
345.1 4/9/2022 R-002903 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
346 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
346.1 4/9/2022 R-002951 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
347 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
347.1 4/9/2022 R-002962 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
348 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
348.1 4/9/2022 R-003041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
349 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
349.1 4/9/2022 R-003064 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
350 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
350.1 4/9/2022 R-003069 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
351 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
351.1 4/10/2022 R-003156 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
352 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
352.1 4/10/2022 R-003161 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
353 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
353.1 4/11/2022 R-003222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
354 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
354.1 4/11/2022 R-003228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
355 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
355.1 4/11/2022 R-003234 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
356 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
356.1 4/11/2022 R-003267 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
357 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
357.1 4/11/2022 R-003286 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
358 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
358.1 4/11/2022 R-003547 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
359 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
359.1 4/12/2022 R-003717 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
360 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
360.1 4/12/2022 R-003931 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
361 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
361.1 4/13/2022 R-004152 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
362 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
362.1 4/13/2022 R-004216 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
363 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
363.1 4/14/2022 R-004577 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
364 00179068 - Nasiyah, Mungkini, Ny - Dk. Wetan Gili 003/002 Wadasmalang, Karangsambung
364.1 4/14/2022 R-004574 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
365 00153600 - Reni Haryati, Ny - Curgecang 001/002
365.1 4/14/2022 R-004813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
366 00141249 - Khasanah, Ahmad Mursalim, Ny - Ciberung 001/003
366.1 4/14/2022 R-004841 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
367 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
367.1 4/16/2022 R-005113 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
368 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
368.1 4/16/2022 R-005126 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
369 00179201 - Sudaryanti, Warso Utomo, Ny - Ledug 005 / 005 kembaran Banyumas
369.1 4/17/2022 R-005536 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
370 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
370.1 4/17/2022 R-005541 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
371 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
371.1 4/17/2022 R-005543 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
372 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
372.1 4/18/2022 R-005584 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
373 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
373.1 4/18/2022 R-005588 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
374 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
374.1 4/18/2022 R-005599 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
375 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
375.1 4/18/2022 R-005750 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
376 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
376.1 4/18/2022 R-005774 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
377 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
377.1 4/18/2022 R-005775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
378 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
378.1 4/19/2022 R-006073 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
379 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
379.1 4/19/2022 R-006074 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
380 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
380.1 4/19/2022 R-006089 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
381 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
381.1 4/25/2022 R-008300 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
382 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
382.1 4/25/2022 R-008439 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
383 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
383.1 4/25/2022 R-008475 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
384 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
384.1 4/26/2022 R-008563 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
385 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
385.1 4/26/2022 R-008565 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
386 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
386.1 4/26/2022 R-008573 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
387 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
387.1 4/26/2022 R-008576 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
388 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
388.1 4/27/2022 R-008954 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
389 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
389.1 4/27/2022 R-009039 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
390 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
390.1 4/27/2022 R-009205 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
391 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
391.1 4/27/2022 R-009321 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
392 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
392.1 4/27/2022 R-009336 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
393 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
393.1 4/28/2022 R-009374 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
394 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
394.1 4/28/2022 R-009392 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
395 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
395.1 4/28/2022 R-009436 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
396 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
396.1 4/28/2022 R-009638 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
397 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
397.1 4/29/2022 R-009703 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
398 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
398.1 4/29/2022 R-009932 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
399 00151141 - Ani Sulistiyani, Ny - Bantarsoka 006/001 Purwokerto Barat
399.1 4/29/2022 R-009968 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
400 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
400.1 4/30/2022 R-010047 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
401 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
401.1 4/30/2022 R-010069 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
402 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
402.1 5/1/2022 R-000036 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
403 00156145 - Tumirah, Aminudin, Ny - Cipawon 005/005 Bukateja Purbalingga
403.1 5/1/2022 R-000058 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
404 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
404.1 5/1/2022 R-000085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
405 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
405.1 5/4/2022 R-000180 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
406 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
406.1 5/4/2022 R-000204 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
407 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
407.1 5/4/2022 R-000250 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
408 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
408.1 5/4/2022 R-000260 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
409 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
409.1 5/5/2022 R-000362 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
410 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
410.1 5/5/2022 R-000416 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
411 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
411.1 5/5/2022 R-000477 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
412 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
412.1 5/5/2022 R-000516 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
413 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
413.1 5/5/2022 R-000661 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
414 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
414.1 5/6/2022 R-000747 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
415 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
415.1 5/6/2022 R-000856 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
416 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
416.1 5/6/2022 R-000926 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
417 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
417.1 5/6/2022 R-000944 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
418 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
418.1 5/6/2022 R-001019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
419 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
419.1 5/7/2022 R-001141 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
420 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
420.1 5/7/2022 R-001274 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
421 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
421.1 5/8/2022 R-001505 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
422 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
422.1 5/9/2022 R-001587 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
423 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
423.1 5/9/2022 R-001590 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
424 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
424.1 5/9/2022 R-001632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
425 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
425.1 5/9/2022 R-001643 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
426 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
426.1 5/9/2022 R-001669 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
427 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
427.1 5/9/2022 R-001711 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
428 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
428.1 5/9/2022 R-001864 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
429 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
429.1 5/9/2022 R-001940 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
430 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
430.1 5/9/2022 R-002057 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
431 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
431.1 5/9/2022 R-002108 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
432 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
432.1 5/10/2022 R-002172 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
433 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
433.1 5/10/2022 R-002478 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
434 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
434.1 5/10/2022 R-002580 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
435 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
435.1 5/10/2022 R-002583 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
436 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
436.1 5/11/2022 R-002652 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
437 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
437.1 5/11/2022 R-002655 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
438 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
438.1 5/11/2022 R-002689 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
439 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
439.1 5/11/2022 R-002694 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
440 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
440.1 5/11/2022 R-002718 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
441 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
441.1 5/12/2022 R-003203 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
442 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
442.1 5/12/2022 R-003331 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
443 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
443.1 5/13/2022 R-003578 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
444 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
444.1 5/13/2022 R-003632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
445 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
445.1 5/13/2022 R-003953 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
446 00221551 - Tarisah, Dul Khoeri, Ny - Cinangsi 004/004 Gandrungmangu Cilacap
446.1 5/14/2022 R-004059 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
447 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
447.1 5/14/2022 R-004078 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
448 00153600 - Reni Haryati, Ny - Curgecang 001/002
448.1 5/14/2022 R-004244 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
449 00209850 - Mapiroh, Suratmo, Ny - Jejeg 002/004 Bumijawa Tegal
449.1 5/14/2022 R-004254 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
450 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
450.1 5/15/2022 R-004369 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
451 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
451.1 5/17/2022 R-004605 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
452 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
452.1 5/17/2022 R-004623 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
453 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
453.1 5/17/2022 R-004701 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
454 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
454.1 5/18/2022 R-005119 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
455 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
455.1 5/18/2022 R-005121 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
456 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
456.1 5/18/2022 R-005122 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
457 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
457.1 5/18/2022 R-005267 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
458 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
458.1 5/19/2022 R-005548 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
459 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
459.1 5/19/2022 R-005558 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
460 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
460.1 5/19/2022 R-005736 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
461 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
461.1 5/20/2022 R-006014 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
462 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
462.1 5/20/2022 R-006102 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
463 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
463.1 5/21/2022 R-006446 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
464 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
464.1 5/21/2022 R-006570 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
465 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
465.1 5/21/2022 R-006607 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
466 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
466.1 5/22/2022 R-006764 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
467 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
467.1 5/22/2022 R-006776 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
468 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
468.1 5/22/2022 R-006813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
469 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
469.1 5/23/2022 R-006898 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
470 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
470.1 5/23/2022 R-006902 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
471 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
471.1 5/23/2022 R-006915 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
472 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
472.1 5/23/2022 R-006928 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
473 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
473.1 5/24/2022 R-007379 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
474 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
474.1 5/24/2022 R-007405 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
475 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
475.1 5/24/2022 R-007690 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
476 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
476.1 5/25/2022 R-007836 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
477 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
477.1 5/25/2022 R-007845 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
478 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
478.1 5/25/2022 R-007856 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
479 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
479.1 5/25/2022 R-008038 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
480 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
480.1 5/26/2022 R-008282 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
481 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
481.1 5/26/2022 R-008304 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
482 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
482.1 5/26/2022 R-008387 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
483 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
483.1 5/26/2022 R-008393 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
484 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
484.1 5/27/2022 R-008494 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
485 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
485.1 5/27/2022 R-008496 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
486 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
486.1 5/27/2022 R-008778 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
487 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
487.1 5/27/2022 R-008980 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
488 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
488.1 5/27/2022 R-008983 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
489 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
489.1 5/28/2022 R-009024 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
490 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
490.1 5/28/2022 R-009026 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
491 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
491.1 5/28/2022 R-009205 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
492 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
492.1 5/28/2022 R-009282 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
493 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
493.1 5/28/2022 R-009294 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
494 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
494.1 5/28/2022 R-009295 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
495 00151141 - Ani Sulistiyani, Ny - Bantarsoka 006/001 Purwokerto Barat
495.1 5/29/2022 R-009370 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
496 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
496.1 5/29/2022 R-009383 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
497 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
497.1 5/29/2022 R-009397 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
498 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
498.1 5/30/2022 R-009417 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
499 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
499.1 5/30/2022 R-009474 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
500 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
500.1 5/30/2022 R-009557 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
501 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
501.1 5/30/2022 R-009648 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
502 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
502.1 5/30/2022 R-009803 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
503 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
503.1 5/31/2022 R-009929 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
504 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
504.1 5/31/2022 R-010162 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
505 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
505.1 6/1/2022 R-000026 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
506 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
506.1 6/1/2022 R-000118 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
507 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
507.1 6/3/2022 R-000515 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
508 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
508.1 6/3/2022 R-000538 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
509 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
509.1 6/3/2022 R-000642 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
510 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
510.1 6/4/2022 R-000823 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
511 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
511.1 6/4/2022 R-000862 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
512 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
512.1 6/4/2022 R-000867 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
513 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
513.1 6/4/2022 R-000890 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
514 00160872 - Surtiyem, Cantarja, Ny - Patikraja Rt 004/001 Patikraja Banyumas
514.1 6/4/2022 R-000910 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
515 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
515.1 6/4/2022 R-001041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
516 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
516.1 6/4/2022 R-001060 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
517 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
517.1 6/5/2022 R-001147 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
518 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
518.1 6/5/2022 R-001177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
519 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
519.1 6/6/2022 R-001222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
520 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
520.1 6/6/2022 R-001248 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
521 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
521.1 6/6/2022 R-001429 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
522 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
522.1 6/7/2022 R-001769 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
523 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
523.1 6/7/2022 R-001872 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
524 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
524.1 6/7/2022 R-001878 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
525 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
525.1 6/8/2022 R-002183 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
526 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
526.1 6/8/2022 R-002214 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
527 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
527.1 6/8/2022 R-002257 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
528 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
528.1 6/8/2022 R-002345 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
529 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
529.1 6/8/2022 R-002369 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
530 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
530.1 6/8/2022 R-002453 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
531 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
531.1 6/8/2022 R-002611 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
532 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
532.1 6/9/2022 R-002681 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
533 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
533.1 6/9/2022 R-002718 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
534 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
534.1 6/9/2022 R-002721 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
535 00180408 - Nur Handini, Ny - Dsn. Mrica 004/002 Simpur Belik Pemalang
535.1 6/9/2022 R-002877 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
536 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
536.1 6/9/2022 R-002934 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
537 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
537.1 6/9/2022 R-003094 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
538 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
538.1 6/10/2022 R-003136 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
539 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
539.1 6/10/2022 R-003139 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
540 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
540.1 6/10/2022 R-003143 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
541 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
541.1 6/10/2022 R-003236 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
542 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
542.1 6/11/2022 R-003595 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
543 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
543.1 6/12/2022 R-003899 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
544 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
544.1 6/12/2022 R-003908 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
545 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
545.1 6/12/2022 R-003958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
546 00153600 - Reni Haryati, Ny - Curgecang 001/002
546.1 6/13/2022 R-004309 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
547 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
547.1 6/14/2022 R-004667 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
548 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
548.1 6/14/2022 R-004815 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
549 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
549.1 6/14/2022 R-004863 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
550 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
550.1 6/16/2022 R-005336 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
551 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
551.1 6/16/2022 R-005685 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
552 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
552.1 6/16/2022 R-005723 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
553 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
553.1 6/17/2022 R-005775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
554 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
554.1 6/17/2022 R-005949 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
555 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
555.1 6/17/2022 R-005950 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
556 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
556.1 6/17/2022 R-006148 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
557 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
557.1 6/17/2022 R-006156 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
558 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
558.1 6/18/2022 R-006198 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
559 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
559.1 6/18/2022 R-006205 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
560 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
560.1 6/18/2022 R-006284 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
561 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
561.1 6/19/2022 R-006530 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
562 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
562.1 6/19/2022 R-006550 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
563 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
563.1 6/20/2022 R-006622 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
564 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
564.1 6/20/2022 R-007037 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
565 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
565.1 6/21/2022 R-007316 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
566 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
566.1 6/22/2022 R-007566 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
567 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
567.1 6/22/2022 R-007593 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
568 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
568.1 6/22/2022 R-007607 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
569 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
569.1 6/22/2022 R-007616 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
570 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
570.1 6/22/2022 R-007639 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
571 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
571.1 6/22/2022 R-007903 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
572 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
572.1 6/23/2022 R-008067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
573 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
573.1 6/23/2022 R-008093 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
574 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
574.1 6/23/2022 R-008206 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
575 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
575.1 6/23/2022 R-008433 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
576 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
576.1 6/24/2022 R-008485 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
577 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
577.1 6/24/2022 R-008523 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
578 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
578.1 6/24/2022 R-008533 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
579 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
579.1 6/24/2022 R-008550 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
580 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
580.1 6/24/2022 R-008558 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
581 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
581.1 6/24/2022 R-008690 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
582 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
582.1 6/25/2022 R-008929 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
583 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
583.1 6/25/2022 R-008995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
584 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
584.1 6/26/2022 R-009206 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
585 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
585.1 6/27/2022 R-009280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
586 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
586.1 6/27/2022 R-009292 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
587 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
587.1 6/27/2022 R-009303 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
588 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
588.1 6/27/2022 R-009307 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
589 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
589.1 6/27/2022 R-009309 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
590 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
590.1 6/27/2022 R-009314 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
591 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
591.1 6/27/2022 R-009520 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
592 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
592.1 6/27/2022 R-009602 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
593 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
593.1 6/27/2022 R-009662 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
594 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
594.1 6/27/2022 R-009728 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
595 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
595.1 6/28/2022 R-010064 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
596 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
596.1 6/28/2022 R-010083 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
597 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
597.1 6/28/2022 R-010161 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
598 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
598.1 6/29/2022 R-010221 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
599 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
599.1 6/29/2022 R-010228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
600 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
600.1 6/29/2022 R-010426 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
601 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
601.1 6/30/2022 R-010640 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
602 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
602.1 6/30/2022 R-010678 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
603 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
603.1 6/30/2022 R-010782 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
604 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
604.1 6/30/2022 R-011019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
605 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
605.1 7/1/2022 R-000055 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
606 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
606.1 7/1/2022 R-000249 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
607 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
607.1 7/1/2022 R-000279 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
608 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
608.1 7/2/2022 R-000325 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
609 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
609.1 7/3/2022 R-000584 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
610 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
610.1 7/3/2022 R-000601 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
611 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
611.1 7/3/2022 R-000611 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
612 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
612.1 7/4/2022 R-000679 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
613 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
613.1 7/4/2022 R-000714 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
614 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
614.1 7/4/2022 R-000717 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
615 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
615.1 7/4/2022 R-000724 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
616 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
616.1 7/4/2022 R-000821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
617 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
617.1 7/5/2022 R-001314 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
618 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
618.1 7/6/2022 R-001501 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
619 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
619.1 7/6/2022 R-001515 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
620 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
620.1 7/6/2022 R-001647 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
621 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
621.1 7/6/2022 R-001649 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
622 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
622.1 7/7/2022 R-001951 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
623 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
623.1 7/7/2022 R-002025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
624 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
624.1 7/7/2022 R-002076 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
625 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
625.1 7/8/2022 R-002376 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
626 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
626.1 7/8/2022 R-002451 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
627 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
627.1 7/8/2022 R-002453 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
628 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
628.1 7/8/2022 R-002497 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
629 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
629.1 7/8/2022 R-002574 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
630 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
630.1 7/8/2022 R-002797 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
631 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
631.1 7/9/2022 R-002847 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
632 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
632.1 7/9/2022 R-002848 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
633 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
633.1 7/9/2022 R-002851 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
634 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
634.1 7/9/2022 R-002865 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
635 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
635.1 7/9/2022 R-002900 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
636 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
636.1 7/9/2022 R-002963 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
637 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
637.1 7/9/2022 R-002969 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
638 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
638.1 7/10/2022 R-002999 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
639 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
639.1 7/10/2022 R-003009 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
640 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
640.1 7/10/2022 R-003028 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
641 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
641.1 7/11/2022 R-003127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
642 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
642.1 7/11/2022 R-003139 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
643 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
643.1 7/11/2022 R-003562 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
644 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
644.1 7/12/2022 R-003628 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
645 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
645.1 7/12/2022 R-003850 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
646 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
646.1 7/12/2022 R-003956 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
647 00153600 - Reni Haryati, Ny - Curgecang 001/002
647.1 7/13/2022 R-004234 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
648 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
648.1 7/14/2022 R-004445 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
649 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
649.1 7/14/2022 R-004654 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
650 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
650.1 7/14/2022 R-004748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
651 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
651.1 7/16/2022 R-005193 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
652 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
652.1 7/17/2022 R-005439 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
653 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
653.1 7/17/2022 R-005454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
654 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
654.1 7/17/2022 R-005456 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
655 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
655.1 7/17/2022 R-005481 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
656 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
656.1 7/17/2022 R-005505 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
657 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
657.1 7/18/2022 R-005522 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
658 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
658.1 7/18/2022 R-005551 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
659 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
659.1 7/18/2022 R-005774 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
660 00228033 - Rahayu Titik Yuniati, Ny - Jl. Bakung 002/006 Sidakaya, Cilacap Selatan
660.1 7/18/2022 R-005872 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
661 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
661.1 7/18/2022 R-005885 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
662 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
662.1 7/19/2022 R-006067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
663 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
663.1 7/19/2022 R-006082 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
664 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
664.1 7/19/2022 R-006454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
665 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
665.1 7/20/2022 R-006492 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
666 00233858 - Sri Kusumastuti, Ny - Jl. Stasiun No. 5 004/001 Bantarsoka Purwokerto Barat
666.1 7/20/2022 R-006501 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
667 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
667.1 7/20/2022 R-006528 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
668 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
668.1 7/21/2022 R-007148 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
669 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
669.1 7/22/2022 R-007375 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
670 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
670.1 7/22/2022 R-007378 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
671 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
671.1 7/22/2022 R-007380 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
672 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
672.1 7/22/2022 R-007399 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
673 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
673.1 7/22/2022 R-007630 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
674 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
674.1 7/23/2022 R-007723 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
675 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
675.1 7/23/2022 R-007931 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
676 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
676.1 7/23/2022 R-007979 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
677 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
677.1 7/24/2022 R-008019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
678 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
678.1 7/24/2022 R-008024 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
679 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
679.1 7/24/2022 R-008041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
680 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
680.1 7/24/2022 R-008056 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
681 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
681.1 7/24/2022 R-008057 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
682 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
682.1 7/25/2022 R-008127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
683 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
683.1 7/25/2022 R-008133 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
684 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
684.1 7/25/2022 R-008159 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
685 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
685.1 7/25/2022 R-008160 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
686 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
686.1 7/25/2022 R-008178 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
687 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
687.1 7/26/2022 R-008640 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
688 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
688.1 7/26/2022 R-008858 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
689 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
689.1 7/26/2022 R-008952 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
690 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
690.1 7/27/2022 R-009044 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
691 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
691.1 7/27/2022 R-009062 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
692 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
692.1 7/27/2022 R-009076 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
693 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
693.1 7/27/2022 R-009079 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
694 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
694.1 7/27/2022 R-009081 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
695 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
695.1 7/27/2022 R-009093 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
696 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
696.1 7/27/2022 R-009208 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
697 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
697.1 7/28/2022 R-009468 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
698 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
698.1 7/28/2022 R-009629 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
699 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
699.1 7/28/2022 R-009676 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
700 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
700.1 7/29/2022 R-009848 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
701 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
701.1 7/29/2022 R-009852 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
702 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
702.1 7/29/2022 R-009864 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
703 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
703.1 7/29/2022 R-009871 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
704 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
704.1 7/29/2022 R-009999 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
705 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
705.1 7/30/2022 R-010220 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
706 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
706.1 7/30/2022 R-010225 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
707 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
707.1 7/30/2022 R-010241 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
708 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
708.1 7/31/2022 R-010374 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
709 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
709.1 7/31/2022 R-010394 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
710 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
710.1 8/1/2022 R-000001 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
711 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
711.1 8/1/2022 R-000027 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
712 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
712.1 8/1/2022 R-000044 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
713 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
713.1 8/1/2022 R-000360 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
714 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
714.1 8/2/2022 R-000421 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
715 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
715.1 8/2/2022 R-000570 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
716 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
716.1 8/2/2022 R-000603 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
717 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
717.1 8/2/2022 R-000708 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
718 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
718.1 8/2/2022 R-000794 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
719 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
719.1 8/3/2022 R-000844 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
720 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
720.1 8/3/2022 R-000854 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
721 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
721.1 8/3/2022 R-000871 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
722 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
722.1 8/3/2022 R-000884 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
723 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
723.1 8/3/2022 R-001148 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
724 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
724.1 8/4/2022 R-001504 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
725 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
725.1 8/5/2022 R-001620 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
726 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
726.1 8/5/2022 R-001745 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
727 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
727.1 8/5/2022 R-001776 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
728 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
728.1 8/6/2022 R-001999 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
729 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
729.1 8/6/2022 R-002052 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
730 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
730.1 8/7/2022 R-002222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
731 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
731.1 8/7/2022 R-002225 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
732 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
732.1 8/7/2022 R-002230 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
733 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
733.1 8/7/2022 R-002239 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
734 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
734.1 8/7/2022 R-002244 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
735 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
735.1 8/8/2022 R-002328 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
736 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
736.1 8/8/2022 R-002339 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
737 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
737.1 8/8/2022 R-002361 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
738 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
738.1 8/8/2022 R-002543 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
739 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
739.1 8/8/2022 R-002782 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
740 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
740.1 8/9/2022 R-002817 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
741 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
741.1 8/9/2022 R-002818 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
742 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
742.1 8/9/2022 R-002825 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
743 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
743.1 8/9/2022 R-002837 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
744 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
744.1 8/9/2022 R-003081 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
745 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
745.1 8/9/2022 R-003191 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
746 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
746.1 8/10/2022 R-003294 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
747 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
747.1 8/10/2022 R-003298 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
748 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
748.1 8/10/2022 R-003330 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
749 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
749.1 8/11/2022 R-004016 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
750 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
750.1 8/12/2022 R-004136 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
751 00153600 - Reni Haryati, Ny - Curgecang 001/002
751.1 8/12/2022 R-004350 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
752 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
752.1 8/12/2022 R-004433 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
753 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
753.1 8/13/2022 R-004539 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
754 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
754.1 8/13/2022 R-004554 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
755 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
755.1 8/13/2022 R-004574 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
756 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
756.1 8/13/2022 R-004698 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
757 00189196 - Endriana Cahyaningsih, Ny - Jl. Putra I NO 4 006/014 Sidanegara Cilacap
757.1 8/15/2022 R-004854 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
758 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
758.1 8/16/2022 R-005331 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
759 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
759.1 8/16/2022 R-005347 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
760 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
760.1 8/16/2022 R-005348 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
761 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
761.1 8/16/2022 R-005362 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
762 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
762.1 8/16/2022 R-005635 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
763 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
763.1 8/17/2022 R-005787 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
764 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
764.1 8/17/2022 R-005790 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
765 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
765.1 8/17/2022 R-005849 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
766 00224013 - Pairah, Sanmurdi, Ny - Jl. Nusa Sejati No. 02 002/004 Kutawaru Cilacap Tengah
766.1 8/17/2022 R-005915 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
767 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
767.1 8/17/2022 R-005930 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
768 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
768.1 8/18/2022 R-005999 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
769 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
769.1 8/18/2022 R-006053 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
770 00215139 - Leni Diana Kusumaningtyas, Ny - Surotrunan 001 /002 Surotrunan Alian Kebumen
770.1 8/18/2022 R-006137 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
771 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
771.1 8/19/2022 R-006383 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
772 00233858 - Sri Kusumastuti, Ny - Jl. Stasiun No. 5 004/001 Bantarsoka Purwokerto Barat
772.1 8/19/2022 R-006398 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
773 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
773.1 8/19/2022 R-006617 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
774 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
774.1 8/20/2022 R-007010 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
775 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
775.1 8/20/2022 R-007098 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
776 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
776.1 8/21/2022 R-007157 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
777 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
777.1 8/21/2022 R-007196 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
778 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
778.1 8/21/2022 R-007205 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
779 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
779.1 8/22/2022 R-007265 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
780 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
780.1 8/22/2022 R-007288 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
781 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
781.1 8/22/2022 R-007697 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
782 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
782.1 8/22/2022 R-007698 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
783 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
783.1 8/23/2022 R-007773 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
784 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
784.1 8/23/2022 R-007798 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
785 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
785.1 8/23/2022 R-007999 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
786 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
786.1 8/23/2022 R-008067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
787 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
787.1 8/24/2022 R-008259 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
788 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
788.1 8/24/2022 R-008268 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
789 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
789.1 8/25/2022 R-008662 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
790 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
790.1 8/25/2022 R-008683 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
791 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
791.1 8/25/2022 R-008735 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
792 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
792.1 8/26/2022 R-009097 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
793 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
793.1 8/26/2022 R-009100 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
794 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
794.1 8/26/2022 R-009101 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
795 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
795.1 8/26/2022 R-009122 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
796 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
796.1 8/26/2022 R-009135 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
797 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
797.1 8/26/2022 R-009254 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
798 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
798.1 8/27/2022 R-009474 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
799 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
799.1 8/27/2022 R-009477 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
800 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
800.1 8/27/2022 R-009485 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
801 00170794 - Mariana Subariyah, Ny - Jl. Dokter Angka No.43 Blk 001/008
801.1 8/27/2022 R-009511 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
802 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
802.1 8/27/2022 R-009607 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
803 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
803.1 8/27/2022 R-009656 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
804 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
804.1 8/28/2022 R-009733 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
805 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
805.1 8/28/2022 R-009749 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
806 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
806.1 8/28/2022 R-009753 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
807 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
807.1 8/28/2022 R-009755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
808 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
808.1 8/28/2022 R-009763 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
809 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
809.1 8/28/2022 R-009777 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
810 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
810.1 8/28/2022 R-009790 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
811 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
811.1 8/29/2022 R-009812 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
812 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
812.1 8/29/2022 R-009813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
813 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
813.1 8/29/2022 R-009839 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
814 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
814.1 8/29/2022 R-009984 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
815 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
815.1 8/30/2022 R-010438 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
816 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
816.1 8/31/2022 R-010726 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
817 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
817.1 8/31/2022 R-010751 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
818 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
818.1 8/31/2022 R-010833 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
819 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
819.1 9/1/2022 R-000043 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
820 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
820.1 9/1/2022 R-000143 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
821 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
821.1 9/1/2022 R-000144 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
822 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
822.1 9/1/2022 R-000224 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
823 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
823.1 9/2/2022 R-000397 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
824 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
824.1 9/2/2022 R-000438 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
825 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
825.1 9/2/2022 R-000446 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
826 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
826.1 9/2/2022 R-000748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
827 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
827.1 9/3/2022 R-000812 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
828 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
828.1 9/3/2022 R-000891 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
829 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
829.1 9/4/2022 R-001099 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
830 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
830.1 9/4/2022 R-001145 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
831 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
831.1 9/4/2022 R-001155 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
832 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
832.1 9/5/2022 R-001229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
833 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
833.1 9/5/2022 R-001235 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
834 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
834.1 9/6/2022 R-001620 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
835 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
835.1 9/6/2022 R-001628 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
836 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
836.1 9/6/2022 R-001637 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
837 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
837.1 9/6/2022 R-001651 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
838 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
838.1 9/6/2022 R-001961 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
839 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
839.1 9/6/2022 R-001975 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
840 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
840.1 9/7/2022 R-002047 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
841 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
841.1 9/7/2022 R-002062 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
842 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
842.1 9/7/2022 R-002262 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
843 00224843 - Kamirah, Mad Garta, Ny - Dusun Rawabaya No. 86 001/002 Gentasari Kroya
843.1 9/7/2022 R-002270 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
844 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
844.1 9/7/2022 R-002353 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
845 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
845.1 9/8/2022 R-002462 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
846 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
846.1 9/8/2022 R-002463 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
847 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
847.1 9/8/2022 R-002464 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
848 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
848.1 9/8/2022 R-002467 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
849 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
849.1 9/8/2022 R-002538 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
850 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
850.1 9/8/2022 R-002550 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
851 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
851.1 9/9/2022 R-002866 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
852 00210293 - Siti Latifah, Ny - Dagan 005/009 Bobotsari Purbalingga
852.1 9/9/2022 R-002886 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
853 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
853.1 9/9/2022 R-002908 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
854 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
854.1 9/9/2022 R-002971 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
855 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
855.1 9/9/2022 R-003243 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
856 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
856.1 9/10/2022 R-003494 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
857 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
857.1 9/11/2022 R-003555 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
858 00153600 - Reni Haryati, Ny - Curgecang 001/002
858.1 9/11/2022 R-003601 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
859 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
859.1 9/12/2022 R-003746 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
860 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
860.1 9/12/2022 R-004033 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
861 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
861.1 9/13/2022 R-004179 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
862 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
862.1 9/13/2022 R-004437 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
863 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
863.1 9/13/2022 R-004493 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
864 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
864.1 9/13/2022 R-004542 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
865 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
865.1 9/15/2022 R-004995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
866 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
866.1 9/15/2022 R-005248 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
867 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
867.1 9/15/2022 R-005389 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
868 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
868.1 9/16/2022 R-005418 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
869 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
869.1 9/16/2022 R-005438 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
870 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
870.1 9/18/2022 R-005940 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
871 00180408 - Nur Handini, Ny - Dsn. Mrica 004/002 Simpur Belik Pemalang
871.1 9/18/2022 R-005981 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
872 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
872.1 9/18/2022 R-005982 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
873 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
873.1 9/18/2022 R-006042 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
874 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
874.1 9/19/2022 R-006101 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
875 00233858 - Sri Kusumastuti, Ny - Jl. Stasiun No. 5 004/001 Bantarsoka Purwokerto Barat
875.1 9/19/2022 R-006104 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
876 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
876.1 9/19/2022 R-006597 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
877 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
877.1 9/20/2022 R-006678 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
878 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
878.1 9/20/2022 R-006680 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
879 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
879.1 9/20/2022 R-006703 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
880 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
880.1 9/20/2022 R-006707 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
881 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
881.1 9/20/2022 R-006716 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
882 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
882.1 9/20/2022 R-007118 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
883 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
883.1 9/21/2022 R-007180 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
884 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
884.1 9/21/2022 R-007196 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
885 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
885.1 9/21/2022 R-007540 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
886 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
886.1 9/22/2022 R-007799 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
887 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
887.1 9/23/2022 R-007976 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
888 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
888.1 9/23/2022 R-008202 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
889 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
889.1 9/24/2022 R-008381 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
890 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
890.1 9/24/2022 R-008387 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
891 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
891.1 9/24/2022 R-008479 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
892 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
892.1 9/24/2022 R-008522 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
893 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
893.1 9/25/2022 R-008653 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
894 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
894.1 9/25/2022 R-008658 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
895 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
895.1 9/25/2022 R-008683 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
896 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
896.1 9/26/2022 R-008730 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
897 00140969 - Matin Susani, Ny - Papringan 001/003 Papringan Banyumas
897.1 9/26/2022 R-008749 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
898 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
898.1 9/26/2022 R-009020 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
899 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
899.1 9/26/2022 R-009033 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
900 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
900.1 9/26/2022 R-009073 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
901 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
901.1 9/26/2022 R-009074 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
902 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
902.1 9/26/2022 R-009095 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
903 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
903.1 9/26/2022 R-009155 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
904 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
904.1 9/27/2022 R-009287 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
905 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
905.1 9/27/2022 R-009293 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
906 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
906.1 9/27/2022 R-009307 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
907 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
907.1 9/27/2022 R-009315 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
908 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
908.1 9/27/2022 R-009507 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
909 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
909.1 9/27/2022 R-009561 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
910 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
910.1 9/27/2022 R-009564 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
911 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
911.1 9/28/2022 R-009763 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
912 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
912.1 9/28/2022 R-009767 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
913 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
913.1 9/28/2022 R-009931 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
914 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
914.1 9/28/2022 R-009944 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
915 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
915.1 9/29/2022 R-010169 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
916 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
916.1 9/30/2022 R-010863 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
917 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
917.1 9/30/2022 R-010892 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
918 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
918.1 10/1/2022 R-000054 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
919 00152339 - Muzayanah, Hj.Zuhrii, Ny - Pegiringan 008/002 Bantarbolang Pemalang
919.1 10/2/2022 R-000214 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
920 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
920.1 10/2/2022 R-000222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
921 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
921.1 10/2/2022 R-000229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
922 00153498 - Sobiyatun, Sayuti, Ny - Pasiraman Lor 004/006 Pekuncen Banyumas
922.1 10/2/2022 R-000231 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
923 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
923.1 10/2/2022 R-000239 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
924 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
924.1 10/3/2022 R-000509 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
925 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
925.1 10/4/2022 R-000669 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
926 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
926.1 10/4/2022 R-000909 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
927 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
927.1 10/4/2022 R-000912 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
928 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
928.1 10/4/2022 R-000937 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
929 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
929.1 10/5/2022 R-001135 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
930 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
930.1 10/5/2022 R-001136 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
931 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
931.1 10/5/2022 R-001345 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
932 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
932.1 10/5/2022 R-001362 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
933 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
933.1 10/5/2022 R-001520 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
934 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
934.1 10/6/2022 R-001546 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
935 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
935.1 10/6/2022 R-001555 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
936 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
936.1 10/6/2022 R-001565 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
937 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
937.1 10/6/2022 R-001798 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
938 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
938.1 10/7/2022 R-002279 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
939 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
939.1 10/7/2022 R-002302 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
940 00141979 - Mudita Kentakasari, Ny - Keniten 002/003 Kedungbanteng Banyumas
940.1 10/7/2022 R-002370 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
941 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
941.1 10/8/2022 R-002483 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
942 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
942.1 10/8/2022 R-002489 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
943 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
943.1 10/8/2022 R-002495 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
944 00152904 - Suyati, Sanmardi, Ny - Suro 002/001 Kalibagor Banyumas
944.1 10/8/2022 R-002498 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
945 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
945.1 10/8/2022 R-002511 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
946 00151251 - Nurul Fadilah, Ny - Kutasari 001/005 Kutasari Baturaden
946.1 10/8/2022 R-002512 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
947 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
947.1 10/8/2022 R-002559 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
948 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
948.1 10/8/2022 R-002561 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
949 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
949.1 ### R-002683 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
950 00131405 - Tuti Estiningsih, Ny - Jl. Dr Sutomo No.172 004/004 Gunungsimping Cilacap Tengah
950.1 ### R-002689 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
951 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
951.1 ### R-002914 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
952 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
952.1 ### R-002962 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
953 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
953.1 ### R-003081 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
954 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
954.1 ### R-003160 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
955 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
955.1 ### R-003172 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
956 00142302 - Ludiyah Sabar,Ny - Sumingkir 005/005 Jeruklegi Cilacap
956.1 ### R-003175 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
957 00185224 - Asyaroh, Raiman, Ny - Kaliabang Tengah 002/021. Bekasi Utara
957.1 ### R-003218 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
958 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
958.1 ### R-003230 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
959 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
959.1 ### R-003234 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
960 00153600 - Reni Haryati, Ny - Curgecang 001/002
960.1 ### R-003618 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
961 00201747 - Sahiroh, Suratno, Ny - Jagalempeni 002/003 Wanasari
961.1 ### R-003974 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
962 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
962.1 ### R-003982 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
963 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
963.1 ### R-004035 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
964 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
964.1 ### R-004044 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
965 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
965.1 ### R-004086 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
966 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
966.1 ### R-004087 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
967 00175007 - Katipah, Suwardi, Ny - Padanama 006/002 Mendala Sirampog Brebes
967.1 ### R-004385 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
968 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
968.1 ### R-004400 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
969 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
969.1 ### R-004410 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
970 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
970.1 ### R-004433 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
971 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
971.1 ### R-004440 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
972 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
972.1 ### R-004579 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
973 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
973.1 ### R-004931 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
974 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
974.1 ### R-004936 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
975 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
975.1 ### R-004978 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
976 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
976.1 ### R-004985 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
977 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
977.1 ### R-005260 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
978 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
978.1 ### R-005286 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
979 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
979.1 ### R-005730 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
980 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
980.1 ### R-006035 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
981 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
981.1 ### R-006110 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
982 00150246 - Jarti, Sukardi, Ny - Pekiringan 001/010 Karangmoncol Purbalingga
982.1 ### R-006127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
983 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
983.1 ### R-006457 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
984 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
984.1 ### R-006604 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
985 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
985.1 ### R-006663 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
986 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
986.1 ### R-006671 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
987 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
987.1 ### R-006674 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
988 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
988.1 ### R-006678 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
989 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
989.1 ### R-006953 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
990 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
990.1 ### R-007032 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
991 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
991.1 ### R-007041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
992 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
992.1 ### R-007067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
993 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
993.1 ### R-007106 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
994 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
994.1 ### R-007429 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
995 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
995.1 ### R-007452 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
996 00150922 - Siti Aliyah, Ny - Kademangaran 004/001 Dukuhturi Tegal
996.1 ### R-007465 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
997 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
997.1 ### R-007655 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
998 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
998.1 ### R-007775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
999 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
999.1 ### R-008034 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1000 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
1000.1 ### R-008042 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1001 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
1001.1 ### R-008140 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1002 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
1002.1 ### R-008159 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1003 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
1003.1 ### R-008235 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1004 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
1004.1 ### R-008239 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1005 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
1005.1 ### R-008575 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1006 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1006.1 ### R-008586 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1007 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
1007.1 ### R-008833 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1008 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
1008.1 ### R-008844 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1009 00140969 - Matin Susani, Ny - Papringan 001/003 Papringan Banyumas
1009.1 ### R-008955 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1010 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
1010.1 ### R-008958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1011 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
1011.1 ### R-008975 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1012 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
1012.1 ### R-009013 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1013 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
1013.1 ### R-009072 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1014 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
1014.1 ### R-009090 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1015 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
1015.1 ### R-009093 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1016 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
1016.1 ### R-009296 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1017 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
1017.1 ### R-009365 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1018 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
1018.1 ### R-009424 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1019 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
1019.1 ### R-009439 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1020 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
1020.1 ### R-009460 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1021 00210927 - Yeni Sulistiyowati, Ny - Kaliori 008/005 Kaliori Kalibagor
1021.1 ### R-009465 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1022 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
1022.1 ### R-009515 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1023 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
1023.1 ### R-009518 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1024 00216812 - Harningsih,Ramidi,Ny - Mejagong 001/002 Mejagong Randu Dongkal Pemalang
1024.1 ### R-009741 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1025 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
1025.1 ### R-009816 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1026 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
1026.1 ### R-009942 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1027 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
1027.1 ### R-010049 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1028 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
1028.1 ### R-010236 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1029 00210494 - Siska Rohini, Ny - Jl Indraloka No 45 004/004 Sidanegara Cilacap Tengah
1029.1 ### R-010238 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1030 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1030.1 ### R-010242 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1031 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
1031.1 ### R-010628 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1032 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
1032.1 ### R-010642 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1033 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
1033.1 ### R-010645 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1034 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
1034.1 ### R-010662 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1035 00229383 - Dwi Ambarwati, Ny - Jl Kenanga No 465 002/004 Purwokerto Timur
1035.1 ### R-010664 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1036 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
1036.1 11/1/2022 R-000023 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1037 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
1037.1 11/1/2022 R-000391 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1038 00166683 - Siti Aminah, Ny - Jl. M Yusuf 1308 002/008 Purwokerto Wetan Purwokerto Timur
1038.1 11/1/2022 R-000424 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1039 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
1039.1 11/2/2022 R-000478 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1040 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
1040.1 11/2/2022 R-000763 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1041 00193642 - Lucia Widyastuti, Ny - Jl. Bandawasa 008/008 Banyumudal Moga Pemalang
1041.1 11/2/2022 R-000809 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1042 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
1042.1 11/3/2022 R-000901 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1043 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
1043.1 11/3/2022 R-001167 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1044 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
1044.1 11/3/2022 R-001182 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1045 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
1045.1 11/4/2022 R-001299 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1046 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
1046.1 11/4/2022 R-001560 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1047 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
1047.1 11/4/2022 R-001573 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1048 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
1048.1 11/4/2022 R-001643 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1049 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
1049.1 11/4/2022 R-001645 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1050 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
1050.1 11/5/2022 R-001729 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1051 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
1051.1 11/5/2022 R-001730 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1052 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
1052.1 11/5/2022 R-001759 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1053 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
1053.1 11/5/2022 R-001878 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1054 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
1054.1 11/7/2022 R-002024 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1055 00152904 - Suyati, Sanmardi, Ny - Suro 002/001 Kalibagor Banyumas
1055.1 11/7/2022 R-002028 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1056 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
1056.1 11/7/2022 R-002040 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1057 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
1057.1 11/7/2022 R-002042 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1058 00141979 - Mudita Kentakasari, Ny - Keniten 002/003 Kedungbanteng Banyumas
1058.1 11/7/2022 R-002064 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1059 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
1059.1 11/7/2022 R-002090 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1060 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
1060.1 11/7/2022 R-002296 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1061 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
1061.1 11/7/2022 R-002322 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1062 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
1062.1 11/7/2022 R-002404 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1063 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
1063.1 11/7/2022 R-002464 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1064 00151251 - Nurul Fadilah, Ny - Kutasari 001/005 Kutasari Baturaden
1064.1 11/8/2022 R-002527 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1065 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
1065.1 11/8/2022 R-002528 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1066 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
1066.1 11/9/2022 R-002949 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1067 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
1067.1 11/9/2022 R-002951 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1068 00142302 - Ludiyah Sabar,Ny - Sumingkir 005/005 Jeruklegi Cilacap
1068.1 11/9/2022 R-002955 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1069 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
1069.1 11/9/2022 R-002956 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1070 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
1070.1 11/9/2022 R-003157 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1071 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
1071.1 11/9/2022 R-003208 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1072 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
1072.1 11/9/2022 R-003293 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1073 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
1073.1 ### R-003360 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1074 00131405 - Tuti Estiningsih, Ny - Jl. Dr Sutomo No.172 004/004 Gunungsimping Cilacap Tengah
1074.1 ### R-003651 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1075 00153600 - Reni Haryati, Ny - Curgecang 001/002
1075.1 ### R-003649 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1076 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
1076.1 ### R-004062 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1077 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
1077.1 ### R-004085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1078 00201747 - Sahiroh, Suratno, Ny - Jagalempeni 002/003 Wanasari
1078.1 ### R-004121 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1079 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
1079.1 ### R-004127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1080 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
1080.1 ### R-004138 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1081 00175007 - Katipah, Suwardi, Ny - Padanama 006/002 Mendala Sirampog Brebes
1081.1 ### R-004199 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1082 00223780 - Khomsiyah, Santasir, Ny - Karangtengah 004/002 Karangtengah Kemangkon
Purbalingga
1082.1 ### R-004256 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1083 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
1083.1 ### R-004261 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1084 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
1084.1 ### R-004282 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1085 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
1085.1 ### R-004286 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1086 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
1086.1 ### R-004289 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1087 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
1087.1 ### R-004408 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1088 00232741 - Sudirah, Tawiraji, Ny - Dusun Mijahan 004/006 Gumelar Gumelar
1088.1 ### R-004421 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1089 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
1089.1 ### R-004432 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1090 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
1090.1 ### R-004443 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1091 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
1091.1 ### R-004873 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1092 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
1092.1 ### R-004915 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1093 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
1093.1 ### R-004922 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1094 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
1094.1 ### R-005296 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1095 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
1095.1 ### R-005302 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1096 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
1096.1 ### R-005336 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1097 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
1097.1 ### R-005345 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1098 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
1098.1 ### R-005756 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1099 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
1099.1 ### R-006076 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1100 00201093 - Kaipah Ruswadi,Ny - Pangebatan 002/008 Pangebatan Karanglewas
1100.1 ### R-006079 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1101 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
1101.1 ### R-006109 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1102 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
1102.1 ### R-006123 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1103 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
1103.1 ### R-006124 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1104 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
1104.1 ### R-006433 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1105 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
1105.1 ### R-006577 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1106 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
1106.1 ### R-006579 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1107 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
1107.1 ### R-006581 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1108 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
1108.1 ### R-006598 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1109 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
1109.1 ### R-006718 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1110 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
1110.1 ### R-006722 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1111 00150922 - Siti Aliyah, Ny - Kademangaran 004/001 Dukuhturi Tegal
1111.1 ### R-006732 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1112 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
1112.1 ### R-006740 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1113 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
1113.1 ### R-006782 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1114 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
1114.1 ### R-006821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1115 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
1115.1 ### R-006935 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1116 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
1116.1 ### R-006980 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1117 00182675 - Sugiharti, Padmonegoro, Ny - Dk. Pecangkringan 002/002 Mangunharjo, Adimulyo,
Kebumen
1117.1 ### R-007185 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1118 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
1118.1 ### R-007186 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1119 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
1119.1 ### R-007290 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1120 00221716 - Wakirah, Kasan Pawira, Ny - Tunggara 001/002 Sigaluh Banjarnegara
1120.1 ### R-007356 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1121 00157749 - Ninik Suparni, Ny - Karangrau 006/003 Karangrau Sokaraja
1121.1 ### R-007362 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1122 00167743 - Sangidah, Abu Sangid, Ny - JL Watu Telu 002/006 Karangasem Sampang Cilacap
1122.1 ### R-007662 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1123 00185224 - Asyaroh, Raiman, Ny - Kaliabang Tengah 002/021. Bekasi Utara
1123.1 ### R-007668 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1124 00163701 - Dasilah Wiryawijaya, Ny - Dusun Kemantren 005/003 Kamulyan Bantarsari
1124.1 ### R-007768 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1125 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
1125.1 ### R-007772 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1126 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
1126.1 ### R-007777 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1127 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
1127.1 ### R-007785 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1128 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
1128.1 ### R-007845 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1129 00163808 - Waemi, Asmareja, Ny - Beluk Krajan 030/007 Beluk Pemalang
1129.1 ### R-007988 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1130 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
1130.1 ### R-008130 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1131 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
1131.1 ### R-008174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1132 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
1132.1 ### R-008505 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1133 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1133.1 ### R-008551 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1134 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
1134.1 ### R-008555 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1135 00140969 - Matin Susani, Ny - Papringan 001/003 Papringan Banyumas
1135.1 ### R-008627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1136 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
1136.1 ### R-008630 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1137 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
1137.1 ### R-008642 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1138 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
1138.1 ### R-008742 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1139 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
1139.1 ### R-008927 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1140 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
1140.1 ### R-008958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1141 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
1141.1 ### R-008963 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1142 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
1142.1 ### R-009045 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1143 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
1143.1 ### R-009077 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1144 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
1144.1 ### R-009083 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1145 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
1145.1 ### R-009085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1146 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
1146.1 ### R-009163 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1147 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
1147.1 ### R-009165 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1148 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
1148.1 ### R-009166 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1149 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
1149.1 ### R-009167 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1150 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
1150.1 ### R-009203 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1151 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
1151.1 ### R-009228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1152 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
1152.1 ### R-009242 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1153 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
1153.1 ### R-009379 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1154 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
1154.1 ### R-009538 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1155 00190898 - Titin Rohayati, Ny - Ds. Darmakradenan 007/008 Ajibarang Banyumas
1155.1 ### R-009552 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1156 00210927 - Yeni Sulistiyowati, Ny - Kaliori 008/005 Kaliori Kalibagor
1156.1 ### R-009731 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1157 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1157.1 ### R-010177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1158 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
1158.1 ### R-010179 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1159 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
1159.1 ### R-010195 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1160 00229383 - Dwi Ambarwati, Ny - Jl Kenanga No 465 002/004 Purwokerto Timur
1160.1 ### R-010484 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1161 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
1161.1 12/1/2022 R-000045 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1162 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
1162.1 12/1/2022 R-000140 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1163 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
1163.1 12/1/2022 R-000207 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1164 00220485 - Umi Haryati, Ny - Jl. Gladiul Moga 003/005 Moga Moga
1164.1 12/1/2022 R-000308 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1165 00166683 - Siti Aminah, Ny - Jl. M Yusuf 1308 002/008 Purwokerto Wetan Purwokerto Timur
1165.1 12/1/2022 R-000320 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1166 00161639 - Parsini, Tarmeja, Ny - Jl. Riyanto GG Sidaluhur No. 16 001/006 Sumampir Purwokerto
Utara
1166.1 12/2/2022 R-000356 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1167 00169579 - Heltiatun, Nasocha, Ny - Ds. Kober 002/002 Purwokerto Barat
1167.1 12/2/2022 R-000526 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1168 00168632 - Kasmi, Mad Kasman, Ny - Sidamulya 003/001 Kemranjen Banyumas
1168.1 12/2/2022 R-000530 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1169 00193642 - Lucia Widyastuti, Ny - Jl. Bandawasa 008/008 Banyumudal Moga Pemalang
1169.1 12/2/2022 R-000626 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1170 00232678 - Cartini, Darjo, Ny - Dsn Naroknok 003/012 Wanareja Wanareja Cilacap
1170.1 12/2/2022 R-000631 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1171 00130556 - Nani Kristiati, Ny - Candiwulan 002/002 Mandiraja Banjarnegara
1171.1 12/2/2022 R-000650 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1172 00210494 - Siska Rohini, Ny - Jl Indraloka No 45 004/004 Sidanegara Cilacap Tengah
1172.1 12/3/2022 R-000722 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1173 00151126 - Siti Asiah, Ny - Bondolharjo 003/002 Punggelan Banjarnegara
1173.1 12/3/2022 R-000727 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1174 00143261 - Ruci, Karyono, Ny - Bentarsari 001/004 Salem Brebes
1174.1 12/3/2022 R-000728 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1175 00166355 - Sumarni, Marsudi, Ny - Berkoh 002/006 Purwokerto Selatan
1175.1 12/4/2022 R-000898 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1176 00152233 - Tarminah Daryono, Ny - Badak 004/004 Belik Pemalang
1176.1 12/4/2022 R-000902 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1177 00142399 - Badriah Mad Rusmin, Ny - Dusun Gimbal 030/004 Mangunjaya Pangandaran
1177.1 12/4/2022 R-000909 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1178 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
1178.1 12/5/2022 R-000946 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1179 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
1179.1 12/5/2022 R-000958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1180 00162706 - Misem Sanislam, Ny - Purwasaba 005/001 Mandiraja Banjarnegara
1180.1 12/5/2022 R-000965 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1181 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
1181.1 12/5/2022 R-000967 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1182 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
1182.1 12/5/2022 R-000968 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1183 00143085 - Tuyem, Kasan, Ny - Simbang 001/002
1183.1 12/5/2022 R-001280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1184 00193644 - Tri Eni Pujiati, Ny - Kawedusan 004/001. Kebumen
1184.1 12/5/2022 R-001290 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1185 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
1185.1 12/5/2022 R-001288 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1186 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
1186.1 12/6/2022 R-001444 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1187 00152904 - Suyati, Sanmardi, Ny - Suro 002/001 Kalibagor Banyumas
1187.1 12/7/2022 R-001831 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1188 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
1188.1 12/7/2022 R-001834 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1189 00143232 - Lilis Widhiarti, Ny - Perum New Saphire Regency No.18 004/009 Kober Purwokerto
Barat
1189.1 12/7/2022 R-001836 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1190 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
1190.1 12/7/2022 R-001837 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1191 00200694 - Rawati, Sarip, Ny - Purwanegara 008/004 Purwokerto Utara Banyumas
1191.1 12/7/2022 R-001838 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1192 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
1192.1 12/7/2022 R-001859 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1193 00141979 - Mudita Kentakasari, Ny - Keniten 002/003 Kedungbanteng Banyumas
1193.1 12/7/2022 R-001862 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1194 00153369 - Sukarni Mufrodi, Ny - Jl. Laban 002/014 Gumilir Cilacap Utara
1194.1 12/7/2022 R-002158 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1195 00181351 - Turni, Warto, Ny - Dusun Kroya 003/003 Kedungwadas Kawunganten Cilacap
1195.1 12/7/2022 R-002204 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1196 00191526 - Oti Sunarti, Ny - Jl. Penatusan 002/.007 Karangpucung Purwokerto Selatan
1196.1 12/7/2022 R-002260 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1197 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
1197.1 12/7/2022 R-002262 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1198 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
1198.1 12/8/2022 R-002319 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1199 00151251 - Nurul Fadilah, Ny - Kutasari 001/005 Kutasari Baturaden
1199.1 12/8/2022 R-002322 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1200 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
1200.1 12/9/2022 R-002704 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1201 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
1201.1 12/9/2022 R-002712 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1202 00142302 - Ludiyah Sabar,Ny - Sumingkir 005/005 Jeruklegi Cilacap
1202.1 12/9/2022 R-002715 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1203 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
1203.1 12/9/2022 R-002722 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1204 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
1204.1 12/9/2022 R-002745 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1205 00191935 - Tuti, Jayawikarta, Ny - Jl Gunung Guntur 003/008 Bancarkembar Purwokerto Utara
1205.1 12/9/2022 R-003043 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1206 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
1206.1 12/9/2022 R-003088 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1207 00141692 - Sri Siaganingsih, Ny - Notog 003/001 Patikraja Banyumas
1207.1 12/9/2022 R-003089 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1208 00181634 - Suprihatin, Lasikun, Ny - Glempang 006/001 Maos Cilacap
1208.1 ### R-003139 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1209 00151149 - Tasmini, Soeparman, Ny - Alasmalang 004/001 Kemranjen Banyumas
1209.1 ### R-003145 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1210 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
1210.1 ### R-003229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1211 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
1211.1 ### R-003343 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1212 00131405 - Tuti Estiningsih, Ny - Jl. Dr Sutomo No.172 004/004 Gunungsimping Cilacap Tengah
1212.1 ### R-003414 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1213 00223780 - Khomsiyah, Santasir, Ny - Karangtengah 004/002 Karangtengah Kemangkon
Purbalingga
1213.1 ### R-003426 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1214 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
1214.1 ### R-003680 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1215 00194276 - Kheriyah, Jambari, Ny - Kaliwungu 001/001 Balapulang Tegal
1215.1 ### R-003780 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1216 00201747 - Sahiroh, Suratno, Ny - Jagalempeni 002/003 Wanasari
1216.1 ### R-003811 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1217 00229241 - Karsini, Yasroji, Ny - Rungkang 001/002 Gandrungmangu Cilacap
1217.1 ### R-003813 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1218 00141019 - Sutarmi, Sameja Tarsun Ny - Banjaranyar 002/004
1218.1 ### R-003872 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1219 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
1219.1 ### R-003876 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1220 00151974 - Kami, Dasro, Ny - Jebed Selatan 002/002 Taman Pemalang
1220.1 ### R-003878 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1221 00187766 - Nurul Hartanti, Ny - Karangpucung 001/006 Purwokerto Selatan
1221.1 ### R-003917 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1222 00211220 - Naridah, Sanari, Ny - Jl. Bayur Kebocoran 005/003 Kedungabanteng Banyumas
1222.1 ### R-004167 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1223 00232878 - Murni, Mardiono, Ny - Jl. Nusa Indah No. 82 005/007 Kutawaru Cilacap Tengah
1223.1 ### R-004241 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1224 00153600 - Reni Haryati, Ny - Curgecang 001/002
1224.1 ### R-004258 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1225 00171848 - Tatit Megawati, Ny - Jl.Wahid Hasim 272A 002/002 Karangklesem
1225.1 ### R-004306 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1226 00152462 - Juwariyah, Yarno, Ny - Sokaraja Kulon 005/008 Sokaraja Banyumas
1226.1 ### R-004321 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1227 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
1227.1 ### R-004323 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1228 00215482 - Erlina Widiastuti, Ny - Perumahan Gria Satria Blok N No. 6 003/003 Bantarsoka
Purwokerto Barat
1228.1 ### R-004326 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1229 00238254 - Supinah, Majahid. Ny - Cigintung 001/010 Kutawaru, Cilacap Tengah
1229.1 ### R-004548 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1230 00232741 - Sudirah, Tawiraji, Ny - Dusun Mijahan 004/006 Gumelar Gumelar
1230.1 ### R-004571 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1231 00151643 - Sumiatun, Muslim, Ny - Adisana 001/003 Kebasen Banyumas
1231.1 ### R-004662 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1232 00131728 - Ponirah, Suprihadi, Ny - Karangmoncol 002/009 Purbalingga
1232.1 ### R-004671 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1233 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
1233.1 ### R-004775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1234 00151733 - Meida Kusumandari, Ny - Purbalingga Wetan 002/004 Purbalingga
1234.1 ### R-004968 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1235 00175007 - Katipah, Suwardi, Ny - Padanama 006/002 Mendala Sirampog Brebes
1235.1 ### R-005025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1236 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
1236.1 ### R-005070 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1237 00230117 - Satini, Nawiraji, Ny - Panusupan 004/005 Cilongok
1237.1 ### R-005071 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1238 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
1238.1 ### R-005072 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1239 00186477 - Cartiyah, Satim, Ny - Susukan 003/005 Sumbang Banyumas
1239.1 ### R-005073 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1240 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
1240.1 ### R-005079 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1241 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
1241.1 ### R-005310 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1242 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
1242.1 ### R-005346 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1243 00140669 - Satya Alam Prihatini, Ny - Sokaraja Kulon 007/006 Sokaraja Banyumas
1243.1 ### R-005355 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1244 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
1244.1 ### R-005402 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1245 00227932 - Tuti Handayani. Ny - DK Krajan 01 003/002 Jatisawit, Bumiayu
1245.1 ### R-005410 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1246 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
1246.1 ### R-005422 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1247 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
1247.1 ### R-005424 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1248 00191201 - Sri Wahyuni, Ny - Jl Sarwodadi V/7 002/008 Purwokerto Kidul Purwokerto Selatan
1248.1 ### R-005432 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1249 00196311 - Jamini, Arsameja. Ny - Banjarsari Kidul 05/03
1249.1 ### R-005435 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1250 00201479 - Esti Mulyani, Ny - Dsn Danasri 003/004 Jeruklegi Kulon, Cilacap
1250.1 ### R-005439 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1251 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
1251.1 ### R-005441 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1252 00201436 - Kastini, Sunaryo, Ny - Sembawa 003/002 Kalibening Banjarnegara
1252.1 ### R-005478 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1253 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
1253.1 ### R-005547 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1254 00121216 - Endang Yuniarti, Ny - Jl. Sulawesi Gg. Ujungpandang 001/012
1254.1 ### R-005548 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1255 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
1255.1 ### R-005577 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1256 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
1256.1 ### R-005580 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1257 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
1257.1 ### R-005594 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1258 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
1258.1 ### R-005604 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1259 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
1259.1 ### R-005618 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1260 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
1260.1 ### R-005632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1261 00201093 - Kaipah Ruswadi,Ny - Pangebatan 002/008 Pangebatan Karanglewas
1261.1 ### R-005915 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1262 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
1262.1 ### R-006015 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1263 00211707 - Ami Tarmini, Nn - Jl. Duwet No. 48/377 003/011 Tambakreja Cilacap Selatan
1263.1 ### R-006025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1264 00215454 - Reny Dewi Kania, Ny - Karanganyar 001/002 Karanganyar Kebumen
1264.1 ### R-006078 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1265 00183758 - Nur Hastuti R, Ny - Kebojangan 007/002 Comal Pemalang
1265.1 ### R-006084 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1266 00150922 - Siti Aliyah, Ny - Kademangaran 004/001 Dukuhturi Tegal
1266.1 ### R-006322 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1267 00182675 - Sugiharti, Padmonegoro, Ny - Dk. Pecangkringan 002/002 Mangunharjo, Adimulyo,
Kebumen
1267.1 ### R-006354 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1268 00183000 - Dakem, Warsidi, Ny - Karangsalam 005/002 Baturaden Banyumas
1268.1 ### R-006537 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1269 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
1269.1 ### R-006549 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1270 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
1270.1 ### R-006621 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1271 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
1271.1 ### R-006696 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1272 00157749 - Ninik Suparni, Ny - Karangrau 006/003 Karangrau Sokaraja
1272.1 ### R-006910 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1273 00217835 - Raminah, Sujono, Ny - Jl. Budi Utomo 006/002 Tegalkamulyan Cilacap Selatan
1273.1 ### R-006958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1274 00167743 - Sangidah, Abu Sangid, Ny - JL Watu Telu 002/006 Karangasem Sampang Cilacap
1274.1 ### R-007004 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1275 00183028 - Warsinah, Daroji, Ny - Karang Mangu 002/005 Purwojati Banyumas
1275.1 ### R-007039 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1276 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
1276.1 ### R-007041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1277 00151161 - Sapinah, Kiswad, Ny - Jagapura 001/002 Kersana Brebes
1277.1 ### R-007144 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1278 00154766 - Admiyah, Mulyamiarja, Ny - Jl. Lombok No 96 002/002 Maos Cilacap
1278.1 ### R-007172 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1279 00184833 - Ari Mujiyani, Ny - Ciberung 001/006 Ajibarang Banyumas
1279.1 ### R-007393 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1280 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
1280.1 ### R-007394 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1281 00150107 - Kasirah, Nasori, Ny - Dusun Sida Mulya 001/011 Sikanco Nusawungu Cilacap
1281.1 ### R-007395 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1282 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1282.1 ### R-007528 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1283 00151412 - Muchyatun, Suyadi, Ny - Belik 005/001 Pemalang
1283.1 ### R-007531 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1284 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
1284.1 ### R-007533 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1285 00140969 - Matin Susani, Ny - Papringan 001/003 Papringan Banyumas
1285.1 ### R-007538 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1286 00204043 - Endrayanti, Ardani, Ny - Jln. Permadi 001/004 Pandak Baturaden
1286.1 ### R-007569 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1287 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
1287.1 ### R-007576 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1288 00154020 - Soimah Sungikad, Ny - Sunyalangu 002/ 003 Karanglewas Banyumas
1288.1 ### R-007577 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1289 00181748 - Siti Ngalimah, Ny - Jl Randujaya 004/003 Mulyadadi Majenang Cilacap
1289.1 ### R-007592 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1290 00141725 - Nening Sofiah, Ny - Pangkah 005/007 Tegal
1290.1 ### R-007605 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1291 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
1291.1 ### R-007665 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1292 00131749 - Maria Yustina Suripah, Ny - Jl Menur 002 / 003 Sidakaya Cilacap Selatan
1292.1 ### R-007715 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1293 00232798 - Kasnati, Sumarji, Ny - Dsn Pagergunung 006/002 Cisalak Cimanggu
1293.1 ### R-007824 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1294 00150170 - Emmy Saraswati, Ny - Jl. Kalpataru 12 No.101 005/005
1294.1 ### R-007885 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1295 00168057 - Samen, Murjana, Ny - Jl. Baru No.528 Kalijaran Maos Cilacap
1295.1 ### R-007928 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1296 00154200 - Masiyah, Hadi Sumanto, Ny - Muntang 012/004 Kemangkon Purbalingga
1296.1 ### R-007935 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1297 00231238 - Siti Kuwati,Ny - Watuagung 002/004 Watuagung Tambak Banyumas
1297.1 ### R-007989 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1298 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
1298.1 ### R-007997 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1299 00196715 - Rubiningsih, Suratman, Ny - Datar 004/001 Sumbang Banyumas
1299.1 ### R-007998 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1300 00227535 - Rumiati, Suhadi, Ny - Dusun 5 001/011 Bojongsari Bojongsari
1300.1 ### R-008000 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1301 00150432 - Rohinah, Kudiono, Ny - Desa Purbadana 004/001 Kembaran Banyumas
1301.1 ### R-008085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1302 00209368 - Suparmi, Resa Wirya,Ny - Jl. Damar No. 150 001/010 Karangtalun Cilacap Utara
1302.1 ### R-008325 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1303 00162258 - Ismiyati, M Syafei, Ny - Jl. Prof M Yamin VII 006/004
1303.1 ### R-008345 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1304 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
1304.1 ### R-008352 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1305 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
1305.1 ### R-008495 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1306 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
1306.1 ### R-008520 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1307 00190898 - Titin Rohayati, Ny - Ds. Darmakradenan 007/008 Ajibarang Banyumas
1307.1 ### R-008678 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1308 00185224 - Asyaroh, Raiman, Ny - Kaliabang Tengah 002/021. Bekasi Utara
1308.1 ### R-008992 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1309 00210927 - Yeni Sulistiyowati, Ny - Kaliori 008/005 Kaliori Kalibagor
1309.1 ### R-009005 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1310 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1310.1 ### R-009008 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1311 00229383 - Dwi Ambarwati, Ny - Jl Kenanga No 465 002/004 Purwokerto Timur
1311.1 ### R-009085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1312 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
1312.1 ### R-009125 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1313 00211422 - Tarisah,Karya Sentana,Ny - Karangjati 001/002 Karangjati sususkan Banjarnegara
1313.1 ### R-009129 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1314 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
1314.1 ### R-009173 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1315 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
1315.1 ### R-009324 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1316 00185830 - Munarsih, Simin, Ny - Jl Aster 004/003 Gombolharjo Adipala Cilacap
1316.1 ### R-009345 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1317 00227205 - Sriyatin Rahayu, Ny - Rabak 004/005 Rabak Kalimanah
1317.1 ### R-009402 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1318 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
1318.1 ### R-009413 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
1319 00154998 - Siti Romlah, Ny - Semingkir 003/003 Padudongkal Pemalang
1319.1 ### R-009423 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 3,300 99,000
Sp.B.(K)
Onk
Sub Total Resep 99,000
Sub Total Embalase 0
Total Per Pasien 99,000
Grand Total Resep ###
Grand Total Embalase 0
Grand Total ###
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2023 - 31/10/2023
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Anastrozole 1mg
Debitur :-
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
1.1 1/2/2023 R-000082 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
2 00222149 - Wayem, Wiryadi. Ny - Jl Kanguru 004/005 Mertasinga, CIlacap Utara
2.1 1/3/2023 R-000174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
3 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
3.1 1/3/2023 R-000177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
4 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
4.1 1/3/2023 R-000180 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
5 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
5.1 1/3/2023 R-000182 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
6 00197721 - Misni Ahmad Supriyatin, Ny - Tanjunganom 001/003 Rakit Banjarnegara
6.1 1/3/2023 R-000184 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
7 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
7.1 1/4/2023 R-000228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
8 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
8.1 1/4/2023 R-000229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
9 00151591 - Nur Khatiroh, Ny - Dk. Bandarsari 005/001 Bumijawa Tegal
9.1 1/4/2023 R-000268 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
90 4,000 360,000
Sp.B.(K)
Onk
Sub Total Resep 360,000
Sub Total Embalase 0
Total Per Pasien 360,000
10 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
10.1 1/4/2023 R-000288 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
11 00207308 - Hj. Musrifah, Matori, Ny - Kedungjati 001/005 Bukateja Purbalingga
11.1 1/4/2023 R-000299 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
12 00210301 - Warsinah, Murtasan, Ny - Kalisari 005/004 Cilongok Banyumas
12.1 1/4/2023 R-000303 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
13 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
13.1 1/4/2023 R-000306 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
14 00240541 - Aryati, Taswirodji, Ny - Karangmalang 002/006 Karangmalang Bobotsari
14.1 1/5/2023 R-000324 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
15 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
15.1 1/5/2023 R-000325 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
16 00192049 - Yuliani R, Wiryo, Ny - Wirasana 001/004. Purbalingga
16.1 1/5/2023 R-000329 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
17 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
17.1 1/5/2023 R-000366 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
18 00224814 - Is Mulyani, Ny - Dusun Purwosari 005/001 Babakan Kawunganten
18.1 1/5/2023 R-000368 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
19 00224398 - Rantiyem, Suhanta, Ny - Dusun Cisani 003/009 Bantar Wanareja Cilacap
19.1 1/5/2023 R-000370 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
20 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
20.1 1/5/2023 R-000394 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
21 00151994 - Turahmi, Sarjono, Ny - Karanganyar Kulon 002/003 Karanganyar Madukara
Banjarnegara
21.1 1/6/2023 R-000406 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
22 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
22.1 1/6/2023 R-000412 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
23 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
23.1 1/6/2023 R-000447 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
24 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
24.1 1/6/2023 R-000461 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
25 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
25.1 1/7/2023 R-000512 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
26 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
26.1 1/7/2023 R-000529 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
27 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
27.1 1/7/2023 R-000548 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
28 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
28.1 1/9/2023 R-000649 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
29 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
29.1 1/9/2023 R-000654 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
30 00210589 - Suyatni, Kasmudi. Ny - Karangtengah 021/010 Karangtengah, Kemangkon
30.1 1/9/2023 R-000699 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
31 00189431 - Surati, Nasri, Ny - Karangduwur 002/001. Petahanan. Kebumen
31.1 1/9/2023 R-000706 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
32 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
32.1 1/10/2023 R-000755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
33 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
33.1 1/11/2023 R-000898 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
34 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
34.1 1/11/2023 R-000921 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
35 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
35.1 1/12/2023 R-000940 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
36 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
36.1 1/12/2023 R-000941 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
37 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
37.1 1/12/2023 R-000971 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
38 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
38.1 1/12/2023 R-000975 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
39 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
39.1 1/12/2023 R-000977 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
40 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
40.1 1/12/2023 R-000978 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
41 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
41.1 1/12/2023 R-000984 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
42 00232355 - Musringah, Musim, Ny - Mantrianom 004/001 Bawang Banjarnegara
42.1 1/12/2023 R-000989 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
43 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
43.1 1/12/2023 R-000991 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
44 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
44.1 1/12/2023 R-001004 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
45 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
45.1 1/13/2023 R-001020 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
46 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
46.1 1/13/2023 R-001021 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
47 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
47.1 1/13/2023 R-001022 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
48 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
48.1 1/13/2023 R-001025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
49 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
49.1 1/13/2023 R-001031 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
50 00224099 - Aan Suhanah, Ny - Lingkungan Desa 003/001 Cigembor Ciamis
50.1 1/13/2023 R-001032 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
51 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
51.1 1/13/2023 R-001034 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
52 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
52.1 1/13/2023 R-001061 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
53 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
53.1 1/13/2023 R-001065 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
54 00238254 - Supinah, Majahid. Ny - Cigintung 001/010 Kutawaru, Cilacap Tengah
54.1 1/13/2023 R-001068 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
55 00224363 - Tur Patriati, Ny - JL. Sawo 004/001 Tritih Lor Jeruk Legi Cilacap
55.1 1/13/2023 R-001070 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
56 00230555 - Rami,Ratmadi,Ny - Jalatunda 003/005 jalatunda Mandiraja Banjarnegara
56.1 1/14/2023 R-001112 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
57 00231851 - Rusmiati, Ach Nurudin,Ny - Majapura 002/005 Majapura Bobotsari Purbalingga
57.1 1/14/2023 R-001113 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
58 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
58.1 1/14/2023 R-001115 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
59 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
59.1 1/14/2023 R-001117 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
60 00161385 - Surtini, Nasrodin, Ny - Ds. Genting No. 528, Danasri Lor 004/007
60.1 1/14/2023 R-001119 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
61 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
61.1 1/14/2023 R-001121 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
62 00240981 - Sri Hidayahwati, S.PD.SD, Ny - BOJANEGARA RT 12 RW 04 PADAMARA PURBALINGGA
62.1 1/14/2023 R-001133 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
63 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
63.1 1/14/2023 R-001160 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
64 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
64.1 1/14/2023 R-001162 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
65 00236250 - Tarsiyah, Arsantika, Ny - Karangrau 002/002 Karangrau Banyumas
65.1 1/16/2023 R-001220 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
66 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
66.1 1/16/2023 R-001225 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
67 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
67.1 1/16/2023 R-001226 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
68 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
68.1 1/16/2023 R-001229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
69 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
69.1 1/16/2023 R-001261 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
70 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
70.1 1/16/2023 R-001263 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
71 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
71.1 1/16/2023 R-001264 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
72 00175742 - Sanis, Yawireja, Ny - Dk. Penusupan 004/002 Argopeni Kebumen
72.1 1/16/2023 R-001262 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
73 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
73.1 1/16/2023 R-001279 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
74 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
74.1 1/17/2023 R-001312 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
75 00204616 - Sutarti, Sudarmo, Ny - Karangbanjar 008/003 Bojongsari Purbalingga
75.1 1/17/2023 R-001314 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
76 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
76.1 1/17/2023 R-001340 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
77 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
77.1 1/17/2023 R-001349 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
78 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
78.1 1/17/2023 R-001358 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
79 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
79.1 1/17/2023 R-001365 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
80 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
80.1 1/30/2023 R-002177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
81 00192130 - Ratinah, Asanusman, Ny - Panggisari 004/002 Mandiraja Banjarnegara
81.1 1/30/2023 R-002176 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
82 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
82.1 1/30/2023 R-002182 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
83 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
83.1 1/30/2023 R-002171 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
84 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
84.1 1/30/2023 R-002227 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
85 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
85.1 2/1/2023 R-000012 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
86 00229733 - Sri Rochani, Ny - Jl P Diponegoro No 617 004/005 Jatisawit Bumiayu
86.1 2/1/2023 R-000052 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
87 00232872 - Rusmari Suryaningsih, Ny - Babakan 005/001 Babakan kalimanah
87.1 2/2/2023 R-000092 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
88 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
88.1 2/2/2023 R-000127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
89 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
89.1 2/3/2023 R-000161 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
90 00210301 - Warsinah, Murtasan, Ny - Kalisari 005/004 Cilongok Banyumas
90.1 2/3/2023 R-000208 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
91 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
91.1 2/3/2023 R-000212 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
92 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
92.1 2/4/2023 R-000254 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
93 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
93.1 2/4/2023 R-000263 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
94 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
94.1 2/6/2023 R-000316 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
95 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
95.1 2/6/2023 R-000368 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
96 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
96.1 2/6/2023 R-000375 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
97 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
97.1 2/8/2023 R-000466 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
98 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
98.1 2/8/2023 R-000470 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
99 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
99.1 2/9/2023 R-000536 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
100 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
100.1 2/9/2023 R-000558 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
101 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
101.1 2/9/2023 R-000573 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
102 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
102.1 2/10/2023 R-000627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
103 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
103.1 2/10/2023 R-000648 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
104 00197721 - Misni Ahmad Supriyatin, Ny - Tanjunganom 001/003 Rakit Banjarnegara
104.1 2/10/2023 R-000650 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
105 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
105.1 2/11/2023 R-000675 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
106 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
106.1 2/11/2023 R-000678 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
107 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
107.1 2/11/2023 R-000683 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
108 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
108.1 2/11/2023 R-000690 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
109 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
109.1 2/11/2023 R-000691 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
110 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
110.1 2/11/2023 R-000692 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
111 00232355 - Musringah, Musim, Ny - Mantrianom 004/001 Bawang Banjarnegara
111.1 2/11/2023 R-000700 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
112 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
112.1 2/11/2023 R-000701 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
113 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
113.1 2/11/2023 R-000709 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
114 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
114.1 2/11/2023 R-000711 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
115 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
115.1 2/11/2023 R-000713 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
116 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
116.1 2/13/2023 R-000766 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
117 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
117.1 2/13/2023 R-000770 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
118 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
118.1 2/13/2023 R-000773 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
119 00231851 - Rusmiati, Ach Nurudin,Ny - Majapura 002/005 Majapura Bobotsari Purbalingga
119.1 2/13/2023 R-000774 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
120 00161385 - Surtini, Nasrodin, Ny - Ds. Genting No. 528, Danasri Lor 004/007
120.1 2/13/2023 R-000775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
121 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
121.1 2/13/2023 R-000778 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
122 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
122.1 2/13/2023 R-000779 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
123 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
123.1 2/13/2023 R-000782 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
124 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
124.1 2/13/2023 R-000783 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
125 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
125.1 2/13/2023 R-000785 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
126 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
126.1 2/13/2023 R-000786 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
127 00240981 - Sri Hidayahwati, S.PD.SD, Ny - BOJANEGARA RT 12 RW 04 PADAMARA PURBALINGGA
127.1 2/13/2023 R-000826 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
128 00238254 - Supinah, Majahid. Ny - Cigintung 001/010 Kutawaru, Cilacap Tengah
128.1 2/13/2023 R-000830 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
129 00224363 - Tur Patriati, Ny - JL. Sawo 004/001 Tritih Lor Jeruk Legi Cilacap
129.1 2/13/2023 R-000831 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
130 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
130.1 2/13/2023 R-000838 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
131 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
131.1 2/13/2023 R-000840 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
132 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
132.1 2/14/2023 R-000879 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
133 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
133.1 2/14/2023 R-000884 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
134 00236250 - Tarsiyah, Arsantika, Ny - Karangrau 002/002 Karangrau Banyumas
134.1 2/15/2023 R-000934 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
135 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
135.1 2/15/2023 R-000938 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
136 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
136.1 2/15/2023 R-000939 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
137 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
137.1 2/15/2023 R-000943 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
138 00175742 - Sanis, Yawireja, Ny - Dk. Penusupan 004/002 Argopeni Kebumen
138.1 2/15/2023 R-000959 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
139 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
139.1 2/15/2023 R-000961 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
140 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
140.1 2/15/2023 R-000960 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
141 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
141.1 2/16/2023 R-000992 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
142 00204616 - Sutarti, Sudarmo, Ny - Karangbanjar 008/003 Bojongsari Purbalingga
142.1 2/16/2023 R-000997 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
143 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
143.1 2/16/2023 R-001014 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
144 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
144.1 2/16/2023 R-001016 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
145 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
145.1 2/16/2023 R-001012 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
146 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
146.1 2/17/2023 R-001045 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
147 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
147.1 2/17/2023 R-001083 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
148 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
148.1 2/17/2023 R-001091 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
149 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
149.1 2/18/2023 R-001116 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
150 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
150.1 2/21/2023 R-001230 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
151 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
151.1 2/21/2023 R-001250 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
152 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
152.1 2/23/2023 R-001330 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
153 00230845 - Sri Widajati, Ny - Gg Masjid Albukhori Dusun Bayeman Lor 009/004 Gentasari Kroya
153.1 2/23/2023 R-001356 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
154 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
154.1 2/24/2023 R-001443 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
155 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
155.1 2/28/2023 R-001575 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
156 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
156.1 2/28/2023 R-001577 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
157 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
157.1 2/28/2023 R-001622 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
158 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
158.1 3/1/2023 R-000042 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
159 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
159.1 3/2/2023 R-000100 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
160 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
160.1 3/3/2023 R-000133 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
161 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
161.1 3/3/2023 R-000135 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
162 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
162.1 3/3/2023 R-000170 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
163 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
163.1 3/4/2023 R-000203 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
164 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
164.1 3/4/2023 R-000239 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
165 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
165.1 3/6/2023 R-000277 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
166 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
166.1 3/6/2023 R-000284 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
167 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
167.1 3/6/2023 R-000323 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
168 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
168.1 3/7/2023 R-000357 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
169 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
169.1 3/7/2023 R-000361 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
170 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
170.1 3/8/2023 R-000452 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
171 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
171.1 3/8/2023 R-000462 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
172 00229733 - Sri Rochani, Ny - Jl P Diponegoro No 617 004/005 Jatisawit Bumiayu
172.1 3/8/2023 R-000483 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,000 240,000
Sp.B.(K)
Onk
Sub Total Resep 240,000
Sub Total Embalase 0
Total Per Pasien 240,000
173 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
173.1 3/9/2023 R-000499 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
174 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
174.1 3/9/2023 R-000501 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
175 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
175.1 3/9/2023 R-000502 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
176 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
176.1 3/9/2023 R-000510 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
177 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
177.1 3/9/2023 R-000529 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
178 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
178.1 3/9/2023 R-000534 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,000 120,000
Sp.B.(K)
Onk
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
179 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
179.1 3/10/2023 R-000549 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
180 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
180.1 3/10/2023 R-000551 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
181 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
181.1 3/10/2023 R-000588 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
182 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
182.1 3/11/2023 R-000627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
183 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
183.1 3/11/2023 R-000628 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
184 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
184.1 3/11/2023 R-000632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
185 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
185.1 3/11/2023 R-000647 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
186 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
186.1 3/11/2023 R-000648 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
187 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
187.1 3/11/2023 R-000670 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
188 00197721 - Misni Ahmad Supriyatin, Ny - Tanjunganom 001/003 Rakit Banjarnegara
188.1 3/11/2023 R-000671 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
189 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
189.1 3/13/2023 R-000700 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
190 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
190.1 3/13/2023 R-000705 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
191 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
191.1 3/13/2023 R-000711 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
192 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
192.1 3/13/2023 R-000734 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
193 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
193.1 3/13/2023 R-000737 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
194 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
194.1 3/13/2023 R-000739 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
195 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
195.1 3/13/2023 R-000743 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
196 00232355 - Musringah, Musim, Ny - Mantrianom 004/001 Bawang Banjarnegara
196.1 3/13/2023 R-000748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
197 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
197.1 3/13/2023 R-000756 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
198 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
198.1 3/13/2023 R-000773 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
199 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
199.1 3/14/2023 R-000788 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
200 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
200.1 3/15/2023 R-000846 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
201 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
201.1 3/15/2023 R-000849 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
202 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
202.1 3/15/2023 R-000850 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
203 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
203.1 3/15/2023 R-000853 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
204 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
204.1 3/15/2023 R-000854 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
205 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
205.1 3/15/2023 R-000856 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
206 00238254 - Supinah, Majahid. Ny - Cigintung 001/010 Kutawaru, Cilacap Tengah
206.1 3/15/2023 R-000864 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
207 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
207.1 3/15/2023 R-000875 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
208 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
208.1 3/15/2023 R-000885 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
209 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
209.1 3/16/2023 R-000910 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
210 00236250 - Tarsiyah, Arsantika, Ny - Karangrau 002/002 Karangrau Banyumas
210.1 3/17/2023 R-000961 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
211 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
211.1 3/17/2023 R-000962 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
212 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
212.1 3/17/2023 R-000965 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
213 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
213.1 3/17/2023 R-000966 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
214 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
214.1 3/17/2023 R-000968 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
215 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
215.1 3/17/2023 R-000995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
216 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
216.1 3/17/2023 R-001009 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
217 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
217.1 3/18/2023 R-001015 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
218 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
218.1 3/18/2023 R-001025 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
219 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
219.1 3/18/2023 R-001027 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
220 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
220.1 3/18/2023 R-001037 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
220.2 3/18/2023 R-001037 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
221 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
221.1 3/18/2023 R-001038 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
222 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
222.1 3/20/2023 R-001075 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
223 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
223.1 3/20/2023 R-001085 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
224 00234249 - Karsinah, Nawiraji. Ny - Sindangbarang 001/001 Sindangbarang, Karangpucung
224.1 3/20/2023 R-001120 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
225 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
225.1 3/20/2023 R-001119 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
226 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
226.1 3/20/2023 R-001127 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
227 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
227.1 3/20/2023 R-001128 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
228 00186958 - Hj. Ninih Muspiroh, Ny - Dusun Karangpaci 002/009 Kertayasa, Cijulang
228.1 3/20/2023 R-001134 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
229 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
229.1 3/22/2023 R-001228 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
230 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
230.1 3/25/2023 R-001380 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
231 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
231.1 3/27/2023 R-001421 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
232 00230845 - Sri Widajati, Ny - Gg Masjid Albukhori Dusun Bayeman Lor 009/004 Gentasari Kroya
232.1 3/29/2023 R-001557 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
233 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
233.1 3/30/2023 R-001610 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
234 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
234.1 3/30/2023 R-001611 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
235 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
235.1 3/31/2023 R-001648 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
236 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
236.1 3/31/2023 R-001652 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
237 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
237.1 4/1/2023 R-000015 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
238 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
238.1 4/3/2023 R-000080 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
239 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
239.1 4/3/2023 R-000082 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
240 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
240.1 4/4/2023 R-000152 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
241 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
241.1 4/4/2023 R-000159 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
242 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
242.1 4/4/2023 R-000204 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
243 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
243.1 4/5/2023 R-000209 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
244 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
244.1 4/5/2023 R-000212 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
245 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
245.1 4/5/2023 R-000234 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
246 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
246.1 4/5/2023 R-000265 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
247 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
247.1 4/6/2023 R-000308 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
248 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
248.1 4/8/2023 R-000378 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
249 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
249.1 4/8/2023 R-000380 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
250 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
250.1 4/8/2023 R-000383 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
251 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
251.1 4/8/2023 R-000396 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
252 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
252.1 4/8/2023 R-000398 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
253 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
253.1 4/8/2023 R-000403 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
254 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
254.1 4/10/2023 R-000454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
255 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
255.1 4/10/2023 R-000460 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
0 4,100 0
Sp.B.(K)
Onk
255.2 4/10/2023 R-000460 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
256 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
256.1 4/10/2023 R-000488 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
257 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
257.1 4/10/2023 R-000498 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
258 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
258.1 4/10/2023 R-000503 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
259 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
259.1 4/11/2023 R-000519 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
260 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
260.1 4/11/2023 R-000529 dr. Shofa Anastrozo Tab
Shabrina le 1mg 30 4,100 123,000
Henandar
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
261 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
261.1 4/11/2023 R-000538 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
262 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
262.1 4/11/2023 R-000550 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
263 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
263.1 4/12/2023 R-000585 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
264 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
264.1 4/12/2023 R-000592 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
265 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
265.1 4/12/2023 R-000620 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
266 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
266.1 4/12/2023 R-000621 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
267 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
267.1 4/12/2023 R-000627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
268 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
268.1 4/12/2023 R-000633 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
269 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
269.1 4/13/2023 R-000660 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
270 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
270.1 4/14/2023 R-000709 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
271 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
271.1 4/14/2023 R-000710 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
272 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
272.1 4/14/2023 R-000713 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
273 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
273.1 4/14/2023 R-000714 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
274 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
274.1 4/14/2023 R-000735 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
275 00210301 - Warsinah, Murtasan, Ny - Kalisari 005/004 Cilongok Banyumas
275.1 4/14/2023 R-000742 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
276 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
276.1 4/15/2023 R-000754 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
277 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
277.1 4/15/2023 R-000758 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
278 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
278.1 4/15/2023 R-000759 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
279 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
279.1 4/15/2023 R-000767 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
280 00236250 - Tarsiyah, Arsantika, Ny - Karangrau 002/002 Karangrau Banyumas
280.1 4/17/2023 R-000814 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
281 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
281.1 4/17/2023 R-000820 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
282 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
282.1 4/17/2023 R-000824 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
283 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
283.1 4/17/2023 R-000825 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
284 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
284.1 4/17/2023 R-000827 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
285 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
285.1 4/17/2023 R-000837 dr. Adam Anastrozo Tab
Abdul le 1mg 30 4,100 123,000
Malik
Sujoko
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
286 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
286.1 4/17/2023 R-000850 dr. Adam Anastrozo Tab
Abdul le 1mg 30 4,100 123,000
Malik
Sujoko
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
287 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
287.1 4/17/2023 R-000861 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
288 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
288.1 4/18/2023 R-000895 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
289 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
289.1 4/18/2023 R-000941 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
290 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
290.1 4/19/2023 R-000960 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
291 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
291.1 4/19/2023 R-000972 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
292 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
292.1 4/19/2023 R-000974 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
293 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
293.1 4/19/2023 R-000996 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
294 00151565 - Sugiyanti Lasiman, Ny - Dk Wanasintru 001/003 Adikato Adimulyo Kebumen
294.1 4/19/2023 R-000997 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
295 00130567 - Yuliana Sumartini, Ny - Purwanegara 001/004 Purwokerto Utara
295.1 4/19/2023 R-001002 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
296 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
296.1 4/20/2023 R-001036 dr. Nauval Anastrozo Tab
30 4,100 123,000
le 1mg
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
297 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
297.1 4/24/2023 R-001076 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
298 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
298.1 4/25/2023 R-001129 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
299 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
299.1 4/26/2023 R-001149 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
300 00235556 - Sunarti, Suryadi, Ny - Pamulihan 005/002 Pamulihan Larangan
300.1 4/26/2023 R-001150 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
301 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
301.1 4/28/2023 R-001264 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
302 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
302.1 4/28/2023 R-001295 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
303 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
303.1 4/29/2023 R-001321 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
304 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
304.1 4/29/2023 R-001335 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
305 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
305.1 4/29/2023 R-001366 dr. Anastrozo Tab
Rahardita le 1mg 30 4,100 123,000
Alidris
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
306 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
306.1 5/1/2023 R-000007 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
307 00151444 - Supiyah, Ahmad Kardi, Ny - Wonolinggo 004/003 Jonggolsari Leksono Wonosobo
307.1 5/2/2023 R-000056 dr. Shofa Anastrozo Tab
Shabrina le 1mg 30 4,100 123,000
Henandar
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
308 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
308.1 5/2/2023 R-000111 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
309 00204616 - Sutarti, Sudarmo, Ny - Karangbanjar 008/003 Bojongsari Purbalingga
309.1 5/2/2023 R-000128 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
310 00241186 - Slamet Sofiyah,Ny - Dieng 001/001 Kejajar Wonosobo
310.1 5/3/2023 R-000169 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
311 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
311.1 5/3/2023 R-000171 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
312 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
312.1 5/3/2023 R-000174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
313 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
313.1 5/3/2023 R-000207 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
314 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
314.1 5/3/2023 R-000239 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
315 00228655 - Narsiti, Nasichin, Ny - Karangnanas 001/002 Sokaraja Banyumas
315.1 5/3/2023 R-000238 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
316 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
316.1 5/4/2023 R-000250 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
317 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
317.1 5/4/2023 R-000289 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
318 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
318.1 5/5/2023 R-000316 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
319 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
319.1 5/5/2023 R-000369 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
320 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
320.1 5/5/2023 R-000370 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
321 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
321.1 5/6/2023 R-000432 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
322 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
322.1 5/8/2023 R-000518 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
323 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
323.1 5/8/2023 R-000528 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
324 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
324.1 5/9/2023 R-000594 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
325 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
325.1 5/9/2023 R-000619 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
326 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
326.1 5/9/2023 R-000630 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 90,100 2,703,000
Sp.B.(K)
Onk
Sub Total Resep 2,703,000
Sub Total Embalase 0
Total Per Pasien 2,703,000
327 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
327.1 5/10/2023 R-000709 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
328 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
328.1 5/10/2023 R-000719 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
329 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
329.1 5/10/2023 R-000724 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
330 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
330.1 5/10/2023 R-000726 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
331 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
331.1 5/11/2023 R-000756 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
332 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
332.1 5/11/2023 R-000758 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
333 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
333.1 5/11/2023 R-000759 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
334 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
334.1 5/11/2023 R-000763 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
335 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
335.1 5/11/2023 R-000794 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
336 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
336.1 5/11/2023 R-000796 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
337 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
337.1 5/11/2023 R-000807 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
338 00130840 - Tri Asih Boru Saragih, Ny - Petahunan 007/001 Sempor Kebumen
338.1 5/12/2023 R-000841 dr. Puti Anastrozo Tab
khasanah le 1mg 30 4,100 123,000
kasih
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
339 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
339.1 5/12/2023 R-000846 dr. Puti Anastrozo Tab
khasanah le 1mg 30 4,100 123,000
kasih
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
340 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
340.1 5/12/2023 R-000877 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
341 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
341.1 5/12/2023 R-000878 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
342 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
342.1 5/13/2023 R-000905 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
343 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
343.1 5/13/2023 R-000910 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
344 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
344.1 5/13/2023 R-000913 dr. Doni Anastrozo Tab
30 4,100 123,000
Kristiyono le 1mg
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
345 00140429 - Juwariyah Dulah Komari, Ny - Jl. Jendral Sudirman 004/007 Kroya Cilacap
345.1 5/13/2023 R-000915 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
346 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
346.1 5/13/2023 R-000937 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
347 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
347.1 5/15/2023 R-000984 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
348 00183874 - Titi Hasiti, Ny - Sukajaya 006/004. Cimerak
348.1 5/15/2023 R-000987 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
349 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
349.1 5/15/2023 R-000990 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
350 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
350.1 5/15/2023 R-000991 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
351 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
351.1 5/15/2023 R-000995 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
352 00210301 - Warsinah, Murtasan, Ny - Kalisari 005/004 Cilongok Banyumas
352.1 5/15/2023 R-001036 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
353 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
353.1 5/16/2023 R-001067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
354 00242166 - Samsiyah, Kudori, Ny - Jl Delima No. 25 004/005 Kuripan Kesugihan
354.1 5/16/2023 R-001071 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
355 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
355.1 5/16/2023 R-001075 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
356 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
356.1 5/17/2023 R-001149 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
357 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
357.1 5/17/2023 R-001153 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
358 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
358.1 5/17/2023 R-001154 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
359 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
359.1 5/17/2023 R-001155 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
360 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
360.1 5/17/2023 R-001164 dr. Sigit Anastrozo Tab
30 4,100 123,000
Unggul le 1mg
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
361 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
361.1 5/17/2023 R-001195 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
362 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
362.1 5/18/2023 R-001223 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
363 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
363.1 5/18/2023 R-001224 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
364 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
364.1 5/19/2023 R-001253 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
365 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
365.1 5/19/2023 R-001252 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
366 00151565 - Sugiyanti Lasiman, Ny - Dk Wanasintru 001/003 Adikato Adimulyo Kebumen
366.1 5/19/2023 R-001287 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
367 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
367.1 5/19/2023 R-001296 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
368 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
368.1 5/20/2023 R-001340 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
369 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
369.1 5/23/2023 R-001404 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
370 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
370.1 5/24/2023 R-001452 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
371 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
371.1 5/26/2023 R-001605 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
372 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
372.1 5/27/2023 R-001623 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
373 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
373.1 5/27/2023 R-001624 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
374 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
374.1 5/27/2023 R-001656 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
375 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
375.1 5/29/2023 R-001720 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
376 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
376.1 5/29/2023 R-001726 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
377 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
377.1 5/29/2023 R-001731 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
378 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
378.1 5/29/2023 R-001740 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
379 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
379.1 5/29/2023 R-001743 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
380 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
380.1 5/30/2023 R-001782 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
381 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
381.1 5/31/2023 R-001817 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
382 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
382.1 5/31/2023 R-001820 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
383 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
383.1 5/31/2023 R-001848 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
384 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
384.1 6/2/2023 R-000041 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
385 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
385.1 6/2/2023 R-000042 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
386 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
386.1 6/3/2023 R-000113 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
387 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
387.1 6/3/2023 R-000119 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
388 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
388.1 6/3/2023 R-000124 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
389 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
389.1 6/3/2023 R-000133 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
390 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
390.1 6/3/2023 R-000146 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
391 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
391.1 6/5/2023 R-000186 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
392 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
392.1 6/5/2023 R-000215 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
393 00235934 - Tiwi, Kartaicang, Ny - Dusun Bulakbanjar 013/005 Banjaharja Kalipucang
393.1 6/5/2023 R-000220 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
394 00229383 - Dwi Ambarwati, Ny - Jl Kenanga No 465 002/004 Purwokerto Timur
394.1 6/5/2023 R-000233 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
395 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
395.1 6/6/2023 R-000272 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
396 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
396.1 6/7/2023 R-000302 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
397 00219074 - Sunarti, Martadji, Ny - Bilungan 002/005 Kecitran Purawerja Klampok
397.1 6/8/2023 R-000363 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
398 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
398.1 6/8/2023 R-000365 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
399 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
399.1 6/8/2023 R-000367 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
400 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
400.1 6/8/2023 R-000388 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
401 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
401.1 6/9/2023 R-000450 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
402 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
402.1 6/9/2023 R-000453 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
403 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
403.1 6/9/2023 R-000454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
404 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
404.1 6/10/2023 R-000475 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
405 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
405.1 6/10/2023 R-000476 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
406 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
406.1 6/10/2023 R-000503 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
407 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
407.1 6/10/2023 R-000504 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
408 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
408.1 6/10/2023 R-000507 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
409 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
409.1 6/10/2023 R-000509 dr. Doni Anastrozo Tab
30 4,100 123,000
Kristiyono le 1mg
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
410 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
410.1 6/12/2023 R-000554 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
411 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
411.1 6/12/2023 R-000560 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
412 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
412.1 6/12/2023 R-000562 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
413 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
413.1 6/12/2023 R-000592 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
414 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
414.1 6/12/2023 R-000594 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
415 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
415.1 6/12/2023 R-000598 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
416 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
416.1 6/12/2023 R-000599 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
417 00183874 - Titi Hasiti, Ny - Sukajaya 006/004. Cimerak
417.1 6/13/2023 R-000626 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
417.2 6/13/2023 R-000626 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 369,000
Sub Total Embalase 0
Total Per Pasien 369,000
418 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
418.1 6/13/2023 R-000627 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
419 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
419.1 6/13/2023 R-000655 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
420 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
420.1 6/14/2023 R-000684 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
421 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
421.1 6/14/2023 R-000685 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
422 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
422.1 6/14/2023 R-000688 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
423 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
423.1 6/15/2023 R-000743 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
424 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
424.1 6/15/2023 R-000745 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
425 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
425.1 6/15/2023 R-000790 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
426 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
426.1 6/15/2023 R-000799 dr. Shofa Anastrozo Tab
Shabrina le 1mg 30 4,100 123,000
Henandar
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
427 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
427.1 6/16/2023 R-000821 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
428 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
428.1 6/16/2023 R-000848 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
429 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
429.1 6/17/2023 R-000871 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
430 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
430.1 6/17/2023 R-000889 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
431 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
431.1 6/19/2023 R-000937 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
432 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
432.1 6/19/2023 R-000964 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
433 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
433.1 6/19/2023 R-000976 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
434 00232507 - Riswati, Narwadi, Ny - Arcawinangun 008/008 Arcawinangun Purwokerto Timur
434.1 6/19/2023 R-000979 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
435 00192130 - Ratinah, Asanusman, Ny - Panggisari 004/002 Mandiraja Banjarnegara
435.1 6/21/2023 R-001051 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
436 00235556 - Sunarti, Suryadi, Ny - Pamulihan 005/002 Pamulihan Larangan
436.1 6/23/2023 R-001194 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
0 4,100 0
Sp.B.(K)
Onk
436.2 6/23/2023 R-001201 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
0 4,100 0
Sp.B.(K)
Onk
436.3 6/23/2023 R-001202 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
436.4 7/8/2023 R-000494 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
437 00197582 - Eti Sumartini, Ny - Dusun Balengbeng 005/002 Margacinta Cijulang
437.1 6/23/2023 R-001216 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
438 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
438.1 6/24/2023 R-001245 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
439 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
439.1 6/24/2023 R-001248 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
440 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
440.1 6/27/2023 R-001387 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
441 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
441.1 6/27/2023 R-001391 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
442 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
442.1 6/28/2023 R-001431 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
443 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
443.1 6/28/2023 R-001433 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
444 00121153 - Siti Khalimah, Ny - Doplang 001/008
444.1 6/28/2023 R-001436 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
445 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
445.1 6/30/2023 R-001461 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
446 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
446.1 6/30/2023 R-001465 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
447 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
447.1 7/1/2023 R-000011 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
448 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
448.1 7/1/2023 R-000020 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
449 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
449.1 7/1/2023 R-000029 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
450 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
450.1 7/1/2023 R-000031 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
451 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
451.1 7/3/2023 R-000089 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
452 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
452.1 7/3/2023 R-000094 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
453 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
453.1 7/3/2023 R-000097 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
454 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
454.1 7/3/2023 R-000105 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
455 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
455.1 7/3/2023 R-000150 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
456 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
456.1 7/4/2023 R-000202 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
457 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
457.1 7/5/2023 R-000231 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
458 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
458.1 7/5/2023 R-000265 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
459 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
459.1 7/5/2023 R-000272 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
460 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
460.1 7/5/2023 R-000276 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
460.2 7/5/2023 R-000276 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
461 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
461.1 7/7/2023 R-000365 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
462 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
462.1 7/7/2023 R-000411 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
463 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
463.1 7/8/2023 R-000450 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
464 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
464.1 7/8/2023 R-000447 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
465 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
465.1 7/8/2023 R-000449 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
466 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
466.1 7/8/2023 R-000460 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
467 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
467.1 7/8/2023 R-000462 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
468 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
468.1 7/8/2023 R-000471 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
469 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
469.1 7/8/2023 R-000487 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
470 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
470.1 7/10/2023 R-000522 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
471 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
471.1 7/10/2023 R-000556 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
472 00242166 - Samsiyah, Kudori, Ny - Jl Delima No. 25 004/005 Kuripan Kesugihan
472.1 7/10/2023 R-000560 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
473 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
473.1 7/10/2023 R-000561 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
474 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
474.1 7/11/2023 R-000584 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
475 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
475.1 7/11/2023 R-000587 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
476 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
476.1 7/12/2023 R-000680 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
477 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
477.1 7/12/2023 R-000686 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
478 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
478.1 7/12/2023 R-000688 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
479 00229453 - Roidah, Sayid. Ny - Grinting 009/001 Bulakamba Brebes
479.1 7/12/2023 R-000706 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
480 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
480.1 7/12/2023 R-000708 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
481 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
481.1 7/12/2023 R-000709 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
482 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
482.1 7/12/2023 R-000712 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
483 00237744 - Rakisah, Paryoto, Ny - Ds. Sekardoja 01/09 Pamulihan Larangan Brebes
483.1 7/12/2023 R-000713 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
484 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
484.1 7/13/2023 R-000748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
485 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
485.1 7/14/2023 R-000786 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
486 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
486.1 7/14/2023 R-000790 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
487 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
487.1 7/14/2023 R-000825 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
488 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
488.1 7/15/2023 R-000850 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
489 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
489.1 7/15/2023 R-000852 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
490 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
490.1 7/15/2023 R-000861 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
491 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
491.1 7/15/2023 R-000875 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
492 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
492.1 7/15/2023 R-000876 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
493 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
493.1 7/17/2023 R-000946 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
494 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
494.1 7/18/2023 R-001004 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
495 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
495.1 7/18/2023 R-001048 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
496 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
496.1 7/19/2023 R-001082 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
497 00232507 - Riswati, Narwadi, Ny - Arcawinangun 008/008 Arcawinangun Purwokerto Timur
497.1 7/19/2023 R-001104 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
498 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
498.1 7/20/2023 R-001136 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
499 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
499.1 7/20/2023 R-001148 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
500 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
500.1 7/20/2023 R-001149 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
501 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
501.1 7/21/2023 R-001174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
502 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
502.1 7/22/2023 R-001204 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
503 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
503.1 7/22/2023 R-001229 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
504 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
504.1 7/25/2023 R-001377 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
505 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
505.1 7/26/2023 R-001406 dr. Sigit Anastrozo Tab
30 4,100 123,000
Unggul le 1mg
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
506 00121153 - Siti Khalimah, Ny - Doplang 001/008
506.1 7/26/2023 R-001438 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
507 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
507.1 7/28/2023 R-001525 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
508 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
508.1 7/29/2023 R-001547 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
509 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
509.1 7/29/2023 R-001560 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
510 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
510.1 7/31/2023 R-001609 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
511 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
511.1 7/31/2023 R-001648 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
512 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
512.1 8/1/2023 R-000026 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
513 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
513.1 8/2/2023 R-000054 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
514 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
514.1 8/2/2023 R-000059 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
515 00181204 - Amidah, Martodiharjo, Ny - Jl Sersan Mijan 002/009 Karangklesem Purwokerto Selatan
515.1 8/4/2023 R-000149 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
516 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
516.1 8/4/2023 R-000177 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
517 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
517.1 8/4/2023 R-000184 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
518 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
518.1 8/4/2023 R-000187 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
519 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
519.1 8/5/2023 R-000218 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
520 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
520.1 8/5/2023 R-000223 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
521 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
521.1 8/5/2023 R-000227 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
522 00242740 - Kusmartanti,Sapadi,Ny - Jalan pudang No 52 009/005 Tegakreja Cilacap Selatan
522.1 8/5/2023 R-000240 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
523 00219893 - Siti Ngaisah, Madrustam, Ny - Canduk 004/001 Canduk Lumbir
523.1 8/5/2023 R-000256 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
524 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
524.1 8/5/2023 R-000258 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
525 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
525.1 8/5/2023 R-000266 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
526 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
526.1 8/7/2023 R-000319 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
527 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
527.1 8/7/2023 R-000358 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
528 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
528.1 8/7/2023 R-000360 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
529 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
529.1 8/7/2023 R-000371 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
530 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
530.1 8/9/2023 R-000446 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
531 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
531.1 8/9/2023 R-000447 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
532 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
532.1 8/9/2023 R-000449 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
533 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
533.1 8/9/2023 R-000476 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
534 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
534.1 8/9/2023 R-000477 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
535 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
535.1 8/10/2023 R-000499 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
536 00159447 - Murotin, Slamet, Ny - Dusun Krajan 007/001 Warungpring Moga Pemalang
536.1 8/10/2023 R-000501 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
537 00228116 - Maryam, Abu Nangim, Ny - Klapagading 005/0010 Wangon Banyumas
537.1 8/10/2023 R-000504 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
538 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
538.1 8/10/2023 R-000516 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
539 00192130 - Ratinah, Asanusman, Ny - Panggisari 004/002 Mandiraja Banjarnegara
539.1 8/10/2023 R-000525 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
540 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
540.1 8/11/2023 R-000537 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
541 00237744 - Rakisah, Paryoto, Ny - Ds. Sekardoja 01/09 Pamulihan Larangan Brebes
541.1 8/11/2023 R-000541 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
542 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
542.1 8/11/2023 R-000543 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
543 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
543.1 8/11/2023 R-000544 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
544 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
544.1 8/11/2023 R-000562 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
545 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
545.1 8/11/2023 R-000565 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
546 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
546.1 8/12/2023 R-000591 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
547 00240085 - Saripah, Muhadi, Ny - Tinggarjaya 001/010 Tinggarjaya Jatilawang
547.1 8/12/2023 R-000596 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
548 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
548.1 8/12/2023 R-000599 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
549 00242740 - Kusmartanti,Sapadi,Ny - Jalan pudang No 52 009/005 Tegakreja Cilacap Selatan
549.1 8/12/2023 R-000607 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
550 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
550.1 8/12/2023 R-000611 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
551 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
551.1 8/12/2023 R-000617 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
552 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
552.1 8/14/2023 R-000663 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
553 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
553.1 8/14/2023 R-000703 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
554 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
554.1 8/14/2023 R-000704 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
555 00225840 - Khuryati, Munarjo, Ny - Dsn Krajan Badak 001/002 Badak Belik
555.1 8/14/2023 R-000709 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
556 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
556.1 8/14/2023 R-000710 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
557 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
557.1 8/15/2023 R-000752 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
558 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
558.1 8/15/2023 R-000754 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
559 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
559.1 8/15/2023 R-000755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
560 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
560.1 8/16/2023 R-000807 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
561 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
561.1 8/16/2023 R-000836 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
562 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
562.1 8/18/2023 R-000884 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
563 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
563.1 8/18/2023 R-000891 dr. Shofa Anastrozo Tab
Shabrina le 1mg 30 4,100 123,000
Henandar
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
564 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
564.1 8/18/2023 R-000920 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
565 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
565.1 8/19/2023 R-000944 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
566 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
566.1 8/19/2023 R-000961 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
567 00242740 - Kusmartanti,Sapadi,Ny - Jalan pudang No 52 009/005 Tegakreja Cilacap Selatan
567.1 8/19/2023 R-000975 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
568 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
568.1 8/19/2023 R-000981 dr. Anastrozo Tab
Rahardita le 1mg 30 4,100 123,000
Alidris
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
569 00242679 - Sartono, Esrori, Tn - Salakan 013/004 Marongsari Sapuran Wonosobo
569.1 8/21/2023 R-001003 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
570 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
570.1 8/21/2023 R-001006 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
571 00150838 - Karyati, Ngateman, Ny - Tambaknegara 005/002
571.1 8/21/2023 R-001046 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
572 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
572.1 8/21/2023 R-001072 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
573 00219430 - Manisem, Kramasentana, Ny - Srowot 005/004 Srowot Kalibagor
573.1 8/24/2023 R-001232 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
574 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
574.1 8/24/2023 R-001238 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
575 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
575.1 8/24/2023 R-001247 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
576 00121153 - Siti Khalimah, Ny - Doplang 001/008
576.1 8/25/2023 R-001281 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
577 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
577.1 8/26/2023 R-001298 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
578 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
578.1 8/26/2023 R-001300 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
579 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
579.1 8/26/2023 R-001301 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
580 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
580.1 8/26/2023 R-001320 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
581 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
581.1 8/26/2023 R-001325 dr. Anastrozo Tab
Rahardita le 1mg 30 4,100 123,000
Alidris
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
582 00242889 - Is Solechah, Ny - Krajan Timur 002/007 Belik Pemalang
582.1 8/28/2023 R-001389 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
583 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
583.1 8/28/2023 R-001399 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
584 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
584.1 8/28/2023 R-001402 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
585 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
585.1 8/29/2023 R-001454 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
586 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
586.1 8/30/2023 R-001508 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
587 00187975 - Widaryahmi, Marto Sumitro, Ny - Ledug 003/006 Kembaran Banyumas
587.1 8/30/2023 R-001556 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
588 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
588.1 8/30/2023 R-001558 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
589 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
589.1 8/31/2023 R-001588 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
590 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
590.1 8/31/2023 R-001632 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
591 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
591.1 8/31/2023 R-001634 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
592 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
592.1 9/2/2023 R-000068 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
593 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
593.1 9/2/2023 R-000070 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
594 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
594.1 9/2/2023 R-000088 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
595 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
595.1 9/2/2023 R-000110 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
596 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
596.1 9/4/2023 R-000185 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
597 00198463 - Mutmainah, SE, Muhamad Samhudi, Ny - Jl Kapten Suyono 003/001 Mulyasari
Majenang Cilacap
597.1 9/4/2023 R-000190 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
60 4,100 246,000
Sp.B.(K)
Onk
Sub Total Resep 246,000
Sub Total Embalase 0
Total Per Pasien 246,000
598 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
598.1 9/5/2023 R-000220 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
599 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
599.1 9/5/2023 R-000221 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
600 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
600.1 9/5/2023 R-000222 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
601 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
601.1 9/5/2023 R-000275 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
602 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
602.1 9/6/2023 R-000335 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
603 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
603.1 9/7/2023 R-000388 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
604 00243090 - Dariah, Reksawiraji, Ny - Serang 003/008 Karangreja Purbalingga
604.1 9/7/2023 R-000416 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
605 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
605.1 9/8/2023 R-000418 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
606 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
606.1 9/8/2023 R-000458 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
607 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
607.1 9/8/2023 R-000485 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
608 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
608.1 9/9/2023 R-000496 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
609 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
609.1 9/9/2023 R-000497 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
610 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
610.1 9/9/2023 R-000498 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
611 00159447 - Murotin, Slamet, Ny - Dusun Krajan 007/001 Warungpring Moga Pemalang
611.1 9/9/2023 R-000504 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
612 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
612.1 9/9/2023 R-000505 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
613 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
613.1 9/9/2023 R-000507 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
614 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
614.1 9/9/2023 R-000510 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
615 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
615.1 9/9/2023 R-000511 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
616 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
616.1 9/9/2023 R-000518 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
617 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
617.1 9/9/2023 R-000526 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
618 00183874 - Titi Hasiti, Ny - Sukajaya 006/004. Cimerak
618.1 9/11/2023 R-000584 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
180 4,100 738,000
Sp.B.(K)
Onk
Sub Total Resep 738,000
Sub Total Embalase 0
Total Per Pasien 738,000
619 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
619.1 9/11/2023 R-000585 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
620 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
620.1 9/11/2023 R-000589 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
621 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
621.1 9/11/2023 R-000619 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
622 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
622.1 9/12/2023 R-000663 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
623 00192130 - Ratinah, Asanusman, Ny - Panggisari 004/002 Mandiraja Banjarnegara
623.1 9/12/2023 R-000665 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
624 00209081 - Siti Giati, Ny - Ds. Majasem 005/002 Kemangkon Purbalingga
624.1 9/13/2023 R-000720 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
625 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
625.1 9/13/2023 R-000727 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
626 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
626.1 9/13/2023 R-000728 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
627 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
627.1 9/13/2023 R-000749 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
628 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
628.1 9/13/2023 R-000752 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
629 00225840 - Khuryati, Munarjo, Ny - Dsn Krajan Badak 001/002 Badak Belik
629.1 9/13/2023 R-000754 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
630 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
630.1 9/14/2023 R-000805 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
631 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
631.1 9/14/2023 R-000872 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
632 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
632.1 9/15/2023 R-000890 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
633 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
633.1 9/15/2023 R-000914 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
634 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
634.1 9/15/2023 R-000918 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
635 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
635.1 9/16/2023 R-000958 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
636 00219430 - Manisem, Kramasentana, Ny - Srowot 005/004 Srowot Kalibagor
636.1 9/16/2023 R-000961 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
637 00233760 - Umi Afiati, Ny - Kaliwedi 005/005 Kaliwedi Kebasen
637.1 9/16/2023 R-000976 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
638 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
638.1 9/18/2023 R-001052 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
639 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
639.1 9/18/2023 R-001067 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
640 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
640.1 9/19/2023 R-001089 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
641 00243090 - Dariah, Reksawiraji, Ny - Serang 003/008 Karangreja Purbalingga
641.1 9/19/2023 R-001111 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
642 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
642.1 9/20/2023 R-001157 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
643 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
643.1 9/20/2023 R-001185 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
644 00150838 - Karyati, Ngateman, Ny - Tambaknegara 005/002
644.1 9/20/2023 R-001188 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
645 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
645.1 9/20/2023 R-001192 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
646 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
646.1 9/20/2023 R-001199 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
647 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
647.1 9/23/2023 R-001367 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
648 00242679 - Sartono, Esrori, Tn - Salakan 013/004 Marongsari Sapuran Wonosobo
648.1 9/25/2023 R-001421 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
649 00121153 - Siti Khalimah, Ny - Doplang 001/008
649.1 9/25/2023 R-001468 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
650 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
650.1 9/26/2023 R-001499 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
651 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
651.1 9/26/2023 R-001539 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
652 00243224 - Muntafingah, Sangadi, Ny - Banjaranyar, 003/004, Sokaraja, Banyumas
652.1 9/26/2023 R-001540 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
653 00243181 - Turahmi, Sawi, Ny - Petambakan 004/004 Madukara Banjarnegara
653.1 9/27/2023 R-001569 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
654 00242889 - Is Solechah, Ny - Krajan Timur 002/007 Belik Pemalang
654.1 9/27/2023 R-001598 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
655 00154774 - Tasimi, Sanriswan, Ny - Jl. Nakula 002/017 Gumilir Cilacap Utara
655.1 9/29/2023 R-001661 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
656 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
656.1 9/29/2023 R-001698 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
657 00161993 - Titin Suwaryati Rahayu, Ny - Sokaraja Tengah 004/006 Sokaraja Banyumas
657.1 9/30/2023 R-001733 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
658 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
658.1 9/30/2023 R-001734 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
659 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
659.1 9/30/2023 R-001735 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
660 00179839 - RR. Muryanti, Hadi Sumarto,Ny - Kunci 009/003 Sidareja Cilacap
660.1 9/30/2023 R-001745 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
661 00242114 - Tanimah, Rushad, Ny - Bantarbolang 004/004 bantarbolang Pemalang
661.1 9/30/2023 R-001748 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
662 00151464 - Taswiyah, Sajab, Ny - Jeruklegi Wetan 005/003 Jeruklegi Cilacap
662.1 9/30/2023 R-001749 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
663 00170073 - Maryati, Marta, Ny - Dsn. Cibodas 002/003 Kersaratu, Sidamulih, Ciamis
663.1 10/2/2023 R-000019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
664 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
664.1 10/2/2023 R-000028 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
665 00187975 - Widaryahmi, Marto Sumitro, Ny - Ledug 003/006 Kembaran Banyumas
665.1 10/2/2023 R-000070 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
666 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
666.1 10/2/2023 R-000074 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
667 00242701 - Lilis Ernawati, Ny - Mangli 002/002 Randudongkal Pemalang
667.1 10/2/2023 R-000086 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
668 00150419 - Emiliana Siam Riyani, Ny - Jln. Suparto No.37 A 004/001
668.1 10/2/2023 R-000088 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
669 00171025 - Nurprianti Saptiwi, Ny - Sudagaran 002/002 Banyumas
669.1 10/4/2023 R-000145 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
670 00183716 - Warniah, Wihadi, Ny - Bandungsari 001/005 Banjarharjo Brebes
670.1 10/4/2023 R-000174 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
671 00243090 - Dariah, Reksawiraji, Ny - Serang 003/008 Karangreja Purbalingga
671.1 10/4/2023 R-000181 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
672 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
672.1 10/4/2023 R-000186 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
673 00192588 - Karsiti, Priyo Miharjo, Ny - Sumingkir 001/001 Kutasari Purbalingga
673.1 10/5/2023 R-000220 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
674 00201343 - Sri Respati Purwaningsih, Ny - Jl kemanggisan Ilir Raya no 37 012/008 Kemanggisan,
Palmerah
674.1 10/5/2023 R-000223 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
675 00197965 - Karisah, Nursidik. Ny - Kedungbanteng 004 / 001 Banyumas
675.1 10/5/2023 R-000260 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
676 00243014 - Kasmirah, Kaswad, Ny - Kedungjati 002/001 Warureja Tegal
676.1 10/5/2023 R-000265 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
677 00228886 - Cariwen Haryanti, Ny - Kedungbokor 003/001 Larangan Brebes
677.1 10/5/2023 R-000267 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
678 00162463 - Darwati, Madruki, Ny - Surusunda 002/001 Karangpucung Cilacap
678.1 10/5/2023 R-000275 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
679 00217773 - Sri Utami, Ny - Krajan 003/001 Pakikiran Susukan
679.1 10/5/2023 R-000280 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
680 00229465 - Marwiyah,Kuswari,Ny - Gading 003/008 Banjarnegara Banjarnegara
680.1 10/5/2023 R-000281 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
681 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
681.1 10/5/2023 R-000282 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
682 00185611 - Ikit, Sudri, Ny - Dusun Desa 003/002 Cikembulan Sidamulih Pangandaran
682.1 10/5/2023 R-000301 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
683 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
683.1 10/7/2023 R-000370 dr. Doni Anastrozo Tab
7 4,100 28,700
Kristiyono le 1mg
Sub Total Resep 28,700
Sub Total Embalase 0
Total Per Pasien 28,700
684 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
684.1 10/7/2023 R-000371 dr. Doni Anastrozo Tab
7 4,100 28,700
Kristiyono le 1mg
Sub Total Resep 28,700
Sub Total Embalase 0
Total Per Pasien 28,700
685 00156877 - Nesem, Edi Winarso, Ny - Jl. Prambanan No 91 011/004 Kroya Cilacap
685.1 10/9/2023 R-000388 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
686 00211852 - Leni Suharyanti, Ny - Jl. Let Jend Pol Sumarto GG. Sindoro 193 003/001 Purwanegara
Purwokerto Utara
686.1 10/9/2023 R-000389 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
687 00234049 - Sukiyem, Sawi Arnom, Ny - Padangjaya 003/012 Padangjaya Majenang
687.1 10/9/2023 R-000392 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
688 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
688.1 10/9/2023 R-000400 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
689 00224489 - Tukisah, Madmarta, Ny - Palumbungan 002/010 Gumelar Gumelar
689.1 10/9/2023 R-000404 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
690 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
690.1 10/9/2023 R-000408 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
691 00238894 - Sugiasih, Kismo Utomo, Ny - Dusun Ciwelutan 002/003 Sudagaran Sidareja
691.1 10/9/2023 R-000437 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
692 00192355 - Sri Salwidari, Ny - Dusun Cimanggu Wetan 002/003 Cimanggu
692.1 10/9/2023 R-000442 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
693 00217096 - Rosiyah,Jukri,Ny - Kubangkangkung Lor 003/005 Kubangkangkung kawunganten
Cilacap
693.1 10/9/2023 R-000464 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
694 00158390 - Sri Sulastri, Ny - Prembun 002/004 Tambak Banyumas
694.1 10/9/2023 R-000463 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
695 00219181 - Nurliana Pancawati,Ny - Jln Sindoro no 31 Sidanegara Cilacap Tengah Kabupaten
Cilacap
695.1 10/9/2023 R-000484 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
696 00196169 - Lely Dianawati, S.Pd, Ny - Ds Adimulya 001/001 Wanareja, Cilacap
696.1 10/9/2023 R-000494 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
697 00151490 - Harnani, Muhardi, Ny - Perum Rutan 002/004 Kel. Purbalingga LorKecamatan
Purbalingga/Purbalingga
697.1 ### R-000549 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
698 00168624 - Saminah, Sunarto, Ny - Karanganyar 005/001 Sukoharjo Wonosobo
698.1 ### R-000563 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
699 00215068 - Suryati, Mad Daslim, Ny - Dusun Karangsari 004/003 Kawunganten Cilacap
699.1 ### R-000566 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
700 00159447 - Murotin, Slamet, Ny - Dusun Krajan 007/001 Warungpring Moga Pemalang
700.1 ### R-000569 dr. Sigit Anastrozo Tab
7 4,100 28,700
Unggul le 1mg
Sub Total Resep 28,700
Sub Total Embalase 0
Total Per Pasien 28,700
701 00201656 - Rasiyah, Waryadi, Ny - Gunungtiga 010/004 Belik, Pemalang
701.1 ### R-000578 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
702 00169327 - Supriyati, Antan Sudarma, Ny - Dsn. Pamotan 005/001
702.1 ### R-000605 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
703 00209891 - Narti, Kartawintana. Ny - Karangnangka 004/001 Karangnangka, Pagentan
703.1 ### R-000645 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
704 00242889 - Is Solechah, Ny - Krajan Timur 002/007 Belik Pemalang
704.1 10/9/2023 R-000490 dr. Anastrozo Tab
Arundito le 1mg
30 4,100 123,000
Widikusu
mo,
Sp.Onk.Ra
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
705 00242802 - Elisa Yuliati,Ny - Jalan Pisang 001/004 Bulupayung Kesugihan Cilacap
705.1 ### R-000646 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
706 00223749 - Ikha Hayati,Ny - Jl. Dr Sutomo 146 004/004 Gunung Simping Cilacap Tengah
706.1 ### R-000682 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
707 00203734 - Kasiyati, Ali Dwijo Sumarto, Ny - Dukuh Beji 005/002 Dawuhan Madukara Banjarnegara
707.1 ### R-000718 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
708 00222550 - Suwitri, Sanmarto, Ny - Babakan 026/007 Babakan Kalimanah
708.1 ### R-000754 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
709 00196889 - Nikmawati, Ahmad Samsidin, Ny - Jl Pandansari No 9 002/006 Ajibarang Kulon
Banyumas
709.1 ### R-000755 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
710 00160968 - Neneng Wihayati, Ny - Jl. Pengasinan 05/005 Kedungwringin Patikraja Banyumas
710.1 ### R-000759 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
711 00177795 - Munjiasih, Slamet Trisno W, Ny - Kaliwungu 001/001 Kaliwungu Mandiraja
Banjarnegara
711.1 ### R-000774 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
712 00207475 - Ani Catyaningsih, Ny - Jl Bandeng No. 42 B 032 / 003 Kroya, Cilacap
712.1 ### R-000775 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
713 00219430 - Manisem, Kramasentana, Ny - Srowot 005/004 Srowot Kalibagor
713.1 ### R-000814 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
714 00192130 - Ratinah, Asanusman, Ny - Panggisari 004/002 Mandiraja Banjarnegara
714.1 ### R-000874 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
715 00207983 - Dra. Wahjuning, Soewignyo,Ny - Kober 004/005 Kober Purwokerto Barat
715.1 ### R-000890 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
716 00167354 - Iin Inayah, Ny - Dsn Pasirgaru 001/006
716.1 ### R-000916 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
717 00207265 - Marisem, Rebo, Ny - Srowot 005/002 Kalibagor Banyumas
717.1 ### R-000918 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
718 00131156 - Sunarti, Raswin, Ny - Tembok Luwung 027/006 Adiwerna Tegal
718.1 ### R-000946 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
719 00175814 - Triani Hardiyati, Ny - Limas Agung Estate P.7 No. 14 001/012 Bancarkembar
Purwokerto Utara
719.1 ### R-001019 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
720 00240710 - Ratinah, Sanistad, Ny - Ds Kedungwringin 008/002 Kedungwringin, Jatilawang
720.1 ### R-001044 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
721 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
721.1 ### R-001069 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
722 00150838 - Karyati, Ngateman, Ny - Tambaknegara 005/002
722.1 ### R-001072 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
723 00209334 - Sutarti, Hadimulyo. Ny - Jl Gerilya 283 002/002 Tanjung Purwokerto Selatan
723.1 ### R-001074 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
724 00186269 - Riswati Indraningsih, Ny - Kober Gang Terate No. 6 002/002 Purwokerto Barat
724.1 ### R-001075 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
725 00167339 - Rasmiati, Santarji, Ny - Mandiraja Wetan 004/001 Banjarnegara
725.1 ### R-001076 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
726 00166897 - Sulastri, Mad Surat, Ny - Dsn Cihandiwung Kidul 003/003 Adimulyo Wanareja Cilacap
726.1 ### R-001245 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
727 00152443 - Lilis Kurniyati, Ny - Dusun Tlete 001 / 001 Kalimandi Purwareja Klampok
727.1 ### R-001323 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 0
Total Per Pasien 123,000
728 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
728.1 ### R-001347 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
729 00121153 - Siti Khalimah, Ny - Doplang 001/008
729.1 ### R-001354 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
730 00220928 - Grasetine Wahjuning,Ny - Jalan Mutiara 105 037/010 Demangan Gondokusuman
Yogyakarta
730.1 ### R-001365 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
731 00165764 - Umi Barokah, Ny - Rakit 004/002 Banjarnegara
731.1 ### R-001406 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
732 00178008 - Tamirah, Slamet, Ny - Jl Lettu Kuseri 002/005 Purbalingga Wetan Purbalingga
732.1 ### R-001413 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
733 00150479 - Ellysa Abdullah Yislam, Ny - Jl. Sindoro No.32 005/002 Sidanegara Cilacap Tengah
Cilacap
733.1 ### R-001457 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
734 00212616 - Dwi Astuti, Ny - Tapen 003/001 Wanadadi Banjarnegara
734.1 ### R-001479 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
735 00231901 - Titi Kustantini, Ny - Perum Citra Kalimanah Blok B 6 003/004, Klapasawit, Kalimanah
735.1 ### R-001483 dr. Lopo Anastrozo Tab
Triyanto, le 1mg
30 4,100 123,000
Sp.B.(K)
Onk
Sub Total Resep 123,000
Sub Total Embalase 100
Total Per Pasien 123,100
736 000000 - NY, RUCI - APS
736.1 1/2/2023 LU0015 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
737 000000 - NY. KASMI - APS
737.1 1/2/2023 LU0039 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
738 000000 - NY. TARMINAH - APS
738.1 1/3/2023 LU0050 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
739 000000 - NY. MISEM - APS
739.1 1/4/2023 LU0062 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
740 000000 - NY. TUYEM - APS
740.1 1/4/2023 LU0063 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
741 000000 - NY. LILIS KURNIYATI - APS
741.1 1/5/2023 LU0081 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
742 000000 - ny suyati - APS
742.1 1/6/2023 LU0097 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
743 000000 - ny supiyah - APS
743.1 1/8/2023 LU0125 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
744 000000 - NY YULIANA - APS
744.1 1/28/2023 LU0403 - Anastrozo Tab
30 4,000 120,000
le 1mg
Sub Total Resep 120,000
Sub Total Embalase 0
Total Per Pasien 120,000
Grand Total Resep ###
Grand Total Embalase 800
Grand Total ###
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2022 - 31/12/2022
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Eksemestan 25mg
Debitur : BPJS
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
1.1 1/3/2022 R-000311 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
2 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
2.1 1/10/2022 R-002973 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
3 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
3.1 1/10/2022 R-002984 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
4 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
4.1 1/10/2022 R-002997 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
5 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
5.1 1/13/2022 R-004439 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
6 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
6.1 1/13/2022 R-004631 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
7 00211632 - Sudarti, Sudardjo, Ny - Karangreja 001/005 Karangreja Karangreja
7.1 1/14/2022 R-005112 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
8 00141456 - Warsini, Harun, Ny - Patikraja 001/002
8.1 1/14/2022 R-005125 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
9 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
9.1 1/17/2022 R-006017 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
10 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
10.1 1/18/2022 R-006441 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
11 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
11.1 1/19/2022 R-006625 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
12 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
12.1 1/21/2022 R-007500 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
13 00223743 - Marwati,Sutarjo, Ny - Jetis 015/006 Jetis Kemangkon Purbalingga
13.1 1/22/2022 R-007932 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
14 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
14.1 1/24/2022 R-008465 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
15 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
15.1 1/25/2022 R-009106 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
16 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
16.1 1/26/2022 R-009267 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
17 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
17.1 1/26/2022 R-009483 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
18 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
18.1 1/26/2022 R-009559 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
19 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
19.1 1/28/2022 R-010093 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
20 00140289 - Rustiyah, Sugiyatno, Ny - Karangreja 003/002
20.1 1/30/2022 R-010824 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
21 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
21.1 1/30/2022 R-010826 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
22 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
22.1 1/31/2022 R-010913 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
23 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
23.1 2/2/2022 R-000292 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
24 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
24.1 2/9/2022 R-002996 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
25 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
25.1 2/9/2022 R-003046 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
26 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
26.1 2/9/2022 R-003140 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
27 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
27.1 2/12/2022 R-004353 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
28 00141456 - Warsini, Harun, Ny - Patikraja 001/002
28.1 2/12/2022 R-004552 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
29 00211632 - Sudarti, Sudardjo, Ny - Karangreja 001/005 Karangreja Karangreja
29.1 2/13/2022 R-004642 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
30 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
30.1 2/16/2022 R-005804 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
31 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
31.1 2/19/2022 R-006811 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
32 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
32.1 2/19/2022 R-007007 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
33 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
33.1 2/20/2022 R-007210 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
34 00223743 - Marwati,Sutarjo, Ny - Jetis 015/006 Jetis Kemangkon Purbalingga
34.1 2/21/2022 R-007308 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
35 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
35.1 2/23/2022 R-008245 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
36 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
36.1 2/24/2022 R-008849 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
37 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
37.1 2/25/2022 R-009252 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
38 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
38.1 2/26/2022 R-009330 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
39 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
39.1 2/26/2022 R-009449 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
40 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
40.1 2/28/2022 R-009764 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
41 00140289 - Rustiyah, Sugiyatno, Ny - Karangreja 003/002
41.1 3/1/2022 R-000013 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
42 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
42.1 3/1/2022 R-000313 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
43 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
43.1 3/2/2022 R-000476 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
44 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
44.1 3/2/2022 R-000784 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
45 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
45.1 3/4/2022 R-001253 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
46 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
46.1 3/10/2022 R-003495 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
47 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
47.1 3/10/2022 R-003630 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
48 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
48.1 3/11/2022 R-003886 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
49 00141456 - Warsini, Harun, Ny - Patikraja 001/002
49.1 3/14/2022 R-005099 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
50 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
50.1 3/17/2022 R-006122 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
51 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
51.1 3/21/2022 R-007094 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
52 00211632 - Sudarti, Sudardjo, Ny - Karangreja 001/005 Karangreja Karangreja
52.1 3/22/2022 R-007955 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
53 00223743 - Marwati,Sutarjo, Ny - Jetis 015/006 Jetis Kemangkon Purbalingga
53.1 3/23/2022 R-008087 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
54 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
54.1 3/25/2022 R-008926 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
55 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
55.1 3/25/2022 R-009092 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
56 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
56.1 3/25/2022 R-009114 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
57 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
57.1 3/26/2022 R-009345 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
58 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
58.1 3/27/2022 R-009605 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
59 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
59.1 3/28/2022 R-009660 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
60 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
60.1 3/29/2022 R-010469 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
61 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
61.1 3/30/2022 R-010554 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
62 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
62.1 4/1/2022 R-000007 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
63 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
63.1 4/1/2022 R-000312 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
64 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
64.1 4/2/2022 R-000516 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
65 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
65.1 4/3/2022 R-000648 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
66 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
66.1 4/6/2022 R-001963 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
67 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
67.1 4/9/2022 R-002877 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
68 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
68.1 4/9/2022 R-002985 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
69 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
69.1 4/10/2022 R-003132 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
70 00141456 - Warsini, Harun, Ny - Patikraja 001/002
70.1 4/13/2022 R-004158 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
71 00140289 - Rustiyah, Sugiyatno, Ny - Karangreja 003/002
71.1 3/31/2022 R-011203 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
72 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
72.1 4/16/2022 R-005278 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
73 00177275 - Tuti Setiasih, Ny - Sodong 003/002 Sikasur Belik Pemalang
73.1 4/19/2022 R-006288 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
74 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
74.1 4/20/2022 R-006498 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
75 00151880 - Sutirah, Turmudi, Ny - Desa Pekuncen 002/005 Jatilawang Banyumas
75.1 4/20/2022 R-006533 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
76 00181234 - Sangidah, Khumeri, Ny - Sambeng Kulon 005/002 Kembaran Banyumas
76.1 4/20/2022 R-006559 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
77 00130301 - Muksinah Tasmudi, Ny - Jl. Masjid Istiqomah No.54 B 002/001 Panisihan Maos Cilacap
77.1 4/20/2022 R-006668 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
78 00141150 - Sulasmini, Wahyudi, Ny - Jatimalang 001/002 Klirong Kebumen
78.1 4/20/2022 R-006768 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
79 00130466 - Khotiyah, Siali, Ny - Banjaranyar 005/001
79.1 4/20/2022 R-006883 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
80 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
80.1 4/21/2022 R-006961 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
81 00141361 - Siti Solichah, Ny - Gumelar 001/001 Banyumas
81.1 4/22/2022 R-007296 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
82 00161179 - Oneng Kuraesin, Ny - Lingk. Pangadegan 002/019 Hegarsari, Banjar
82.1 4/22/2022 R-007301 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
83 00162345 - Aan Wiani, Ny - Jl. Pasukan Pelajar Imam 003/003 Purbalingga Wetan
83.1 4/22/2022 R-007305 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
84 00223743 - Marwati,Sutarjo, Ny - Jetis 015/006 Jetis Kemangkon Purbalingga
84.1 4/22/2022 R-007313 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
85 00150390 - Karsih, Heriyanto, Ny - Simbar 002/007 Bener Majenang Cilacap
85.1 4/22/2022 R-007315 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
86 00150803 - Kustini,Sukowaluyo, Ny - Jl. Perkutut No.28 001/001 Ciwuni Kesugihan Cilacap
86.1 4/22/2022 R-007498 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
87 00141782 - Sumidah, Sanyasir, Ny - Purwodadi 001/002 Kembaran Banyumas
87.1 4/22/2022 R-007637 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
88 00206639 - Sri Yati, Ny - Jl, Gereja No. 231 004/002 Adipala Cilacap
88.1 4/23/2022 R-007722 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
89 00164936 - Rusmiyati, Murtaji, Ny - Sumingkir 001/001 Kutasari
89.1 4/23/2022 R-007729 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
90 00153624 - Djoeharti, Ahmad Budi Yudarto, Ny - Jl. Kyai Moch Syafii 2372 004/008 Purwokerto Lor
Purwokerto Timur
90.1 4/23/2022 R-007735 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
91 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
91.1 4/24/2022 R-007990 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
92 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
92.1 4/25/2022 R-008111 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
93 00130158 - Mahwati, Sahidi, Ny - Pagerandong 001/003 Mrebet Purbalingga
93.1 4/25/2022 R-008145 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
94 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
94.1 4/25/2022 R-008352 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
95 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
95.1 4/25/2022 R-008469 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
96 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
96.1 4/26/2022 R-008839 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
97 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
97.1 4/27/2022 R-008956 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
98 00211632 - Sudarti, Sudardjo, Ny - Karangreja 001/005 Karangreja Karangreja
98.1 4/27/2022 R-009335 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
99 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
99.1 4/29/2022 R-009710 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
100 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
100.1 4/29/2022 R-009802 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
101 00140289 - Rustiyah, Sugiyatno, Ny - Karangreja 003/002
101.1 4/30/2022 R-010082 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
102 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
102.1 5/4/2022 R-000251 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
103 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
103.1 5/5/2022 R-000357 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
104 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
104.1 5/5/2022 R-000420 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
105 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
105.1 5/6/2022 R-000886 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
106 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
106.1 5/9/2022 R-001610 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
107 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
107.1 5/9/2022 R-001612 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
108 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
108.1 5/10/2022 R-002156 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
109 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
109.1 5/11/2022 R-003036 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
110 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
110.1 5/16/2022 R-004486 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
111 00141456 - Warsini, Harun, Ny - Patikraja 001/002
111.1 5/16/2022 R-004539 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
112 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
112.1 5/21/2022 R-006447 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
113 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
113.1 5/21/2022 R-006464 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
114 00223743 - Marwati,Sutarjo, Ny - Jetis 015/006 Jetis Kemangkon Purbalingga
114.1 5/22/2022 R-006801 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
115 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
115.1 5/24/2022 R-007445 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
116 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
116.1 5/25/2022 R-008142 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
117 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
117.1 5/26/2022 R-008364 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
118 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
118.1 5/26/2022 R-008394 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
119 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
119.1 5/27/2022 R-008510 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
120 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
120.1 5/27/2022 R-008521 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
121 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
121.1 5/29/2022 R-009339 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
122 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
122.1 5/31/2022 R-010326 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
123 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
123.1 6/4/2022 R-000887 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
124 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
124.1 6/5/2022 R-001118 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
125 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
125.1 6/5/2022 R-001127 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
126 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
126.1 6/7/2022 R-001726 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
127 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
127.1 6/8/2022 R-002184 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
128 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
128.1 6/8/2022 R-002236 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
129 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
129.1 6/9/2022 R-002686 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
130 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
130.1 6/10/2022 R-003529 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
131 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
131.1 6/15/2022 R-005054 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
132 00141456 - Warsini, Harun, Ny - Patikraja 001/002
132.1 6/18/2022 R-006392 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
133 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
133.1 6/20/2022 R-006611 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
134 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
134.1 6/20/2022 R-006643 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
135 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
135.1 6/23/2022 R-008037 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
136 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
136.1 6/23/2022 R-008222 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
137 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
137.1 6/24/2022 R-008700 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
138 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
138.1 6/25/2022 R-009130 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
139 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
139.1 6/27/2022 R-009583 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
140 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
140.1 6/28/2022 R-009794 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
141 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
141.1 6/28/2022 R-009808 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
142 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
142.1 6/28/2022 R-009810 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
143 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
143.1 7/4/2022 R-000743 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
144 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
144.1 7/4/2022 R-000745 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
145 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
145.1 7/4/2022 R-000995 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
146 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
146.1 7/6/2022 R-001604 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
147 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
147.1 7/7/2022 R-001899 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
148 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
148.1 7/8/2022 R-002384 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
149 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
149.1 7/9/2022 R-002862 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
150 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
150.1 7/9/2022 R-002902 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
151 00182884 - Sukarti, Kambari, Ny - Kuntili 005/001 Sumpiuh Banyumas
151.1 7/15/2022 R-004977 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
152 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
152.1 7/18/2022 R-005944 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
153 00141456 - Warsini, Harun, Ny - Patikraja 001/002
153.1 7/19/2022 R-006339 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
154 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
154.1 7/20/2022 R-006510 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
155 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
155.1 7/23/2022 R-007726 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
156 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
156.1 7/23/2022 R-007745 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
157 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
157.1 7/23/2022 R-007816 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
158 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
158.1 7/25/2022 R-008356 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
159 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
159.1 7/25/2022 R-008521 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
160 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
160.1 7/28/2022 R-009471 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
161 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
161.1 7/28/2022 R-009485 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
162 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
162.1 7/29/2022 R-009861 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
163 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
163.1 7/29/2022 R-010007 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
164 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
164.1 8/3/2022 R-000865 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
165 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
165.1 8/5/2022 R-001649 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
166 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
166.1 8/5/2022 R-001787 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
167 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
167.1 8/6/2022 R-001941 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
168 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
168.1 8/7/2022 R-002253 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
169 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
169.1 8/8/2022 R-002304 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
170 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
170.1 8/9/2022 R-002838 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
171 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
171.1 8/14/2022 R-004759 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
172 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
172.1 8/18/2022 R-006310 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
173 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
173.1 8/19/2022 R-006401 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
174 00141456 - Warsini, Harun, Ny - Patikraja 001/002
174.1 8/19/2022 R-006704 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
175 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
175.1 8/22/2022 R-007270 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
176 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
176.1 8/22/2022 R-007423 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
177 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
177.1 8/24/2022 R-008570 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
178 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
178.1 8/25/2022 R-008857 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
179 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
179.1 8/27/2022 R-009456 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
180 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
180.1 8/27/2022 R-009472 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
181 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
181.1 8/27/2022 R-009530 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
182 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
182.1 8/29/2022 R-009822 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
183 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
183.1 9/1/2022 R-000195 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
184 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
184.1 9/2/2022 R-000442 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
185 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
185.1 9/5/2022 R-001199 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
186 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
186.1 9/7/2022 R-002037 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
187 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
187.1 9/7/2022 R-002049 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
188 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
188.1 9/8/2022 R-002494 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
189 00169421 - Tarsilah, Sastro Miharjo, Ny - Pasir Kidul 004/004 Purwokerto Barat
189.1 9/8/2022 R-002582 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
190 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
190.1 9/9/2022 R-003160 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
191 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
191.1 9/18/2022 R-005921 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
192 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
192.1 9/18/2022 R-005942 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
193 00141456 - Warsini, Harun, Ny - Patikraja 001/002
193.1 9/19/2022 R-006455 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
194 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
194.1 9/19/2022 R-006502 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
195 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
195.1 9/21/2022 R-007375 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
196 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
196.1 9/23/2022 R-007978 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
197 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
197.1 9/23/2022 R-008346 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
198 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
198.1 9/26/2022 R-008724 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
199 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
199.1 9/26/2022 R-009023 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
200 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
200.1 9/27/2022 R-009291 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
201 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
201.1 9/27/2022 R-009553 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
202 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
202.1 10/2/2022 R-000208 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
203 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
203.1 10/4/2022 R-000661 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
204 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
204.1 10/4/2022 R-001030 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
205 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
205.1 10/7/2022 R-002025 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
206 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
206.1 10/7/2022 R-002035 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
207 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
207.1 10/7/2022 R-002389 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
208 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
208.1 10/8/2022 R-002506 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
209 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
209.1 ### R-006603 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
210 00141456 - Warsini, Harun, Ny - Patikraja 001/002
210.1 ### R-006605 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
211 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
211.1 ### R-006949 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
212 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
212.1 ### R-007436 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
213 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
213.1 ### R-007769 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
214 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
214.1 ### R-008081 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
215 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
215.1 ### R-008602 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
216 00238201 - Sobicha, Kamsin. Ny - Karangjati Timur 002/005 Tonjong
216.1 ### R-008793 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
217 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
217.1 ### R-008940 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
218 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
218.1 ### R-009084 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
219 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
219.1 ### R-009433 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
220 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
220.1 11/1/2022 R-000024 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
221 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
221.1 11/4/2022 R-001302 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
222 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
222.1 11/7/2022 R-002034 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
223 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
223.1 11/7/2022 R-002038 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
224 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
224.1 11/7/2022 R-002049 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
225 00181970 - Kasiyem, San Marwi, Ny - Kradenan 004/002 Sumpiuh Banyumas
225.1 11/7/2022 R-002386 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
226 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
226.1 11/7/2022 R-002407 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
227 00178766 - Een Rohaenah,Ny - Dusun Ciwaru 011/007 Cijulang Cijulang Pangandaran
227.1 ### R-004680 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
228 00141456 - Warsini, Harun, Ny - Patikraja 001/002
228.1 ### R-006537 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
229 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
229.1 ### R-007119 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
230 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
230.1 ### R-007184 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
231 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
231.1 ### R-008061 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
232 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
232.1 ### R-008459 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
233 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
233.1 ### R-008508 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
234 00238201 - Sobicha, Kamsin. Ny - Karangjati Timur 002/005 Tonjong
234.1 ### R-008775 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
235 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
235.1 ### R-008889 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
236 00164963 - Lardin Budhi Nursanti, Ny - Perumahan Sumampir 007/002 Sumampir Purwokerto Utara
236.1 ### R-008892 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
237 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
237.1 ### R-008925 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
238 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
238.1 ### R-008947 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
239 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
239.1 ### R-009095 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
240 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
240.1 ### R-009574 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
241 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
241.1 12/1/2022 R-000021 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
242 00150547 - Ngapiyah, Suyarso, Ny - Jl. Arsantaka 002/005 Arcawinangun Purwokerto Timur
242.1 12/7/2022 R-001842 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
243 00195887 - Paryati, Marchoni, Ny - Pesantren 001/002 Wanayasa Banjarnegara
243.1 12/7/2022 R-001847 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
244 00181908 - Zilla Djaminah Sumiati Setiadi, Ny - Jl. Jend. Soedirman No. 05 002/003 Sokaraja
Kidul, Sokaraja Banyumas
244.1 12/7/2022 R-001852 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
245 00191065 - Sulijah, Sastro Sudarjo, Ny - Jeblog Jatiwaringin Kadus III 1/4 Karangsalam Susukan
Banjarnegara
245.1 12/7/2022 R-001863 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
246 00216884 - Ery Purwanti, Ny - Jl Krakatau No 28 005/012 Sidanegara Cilacap Tengah
246.1 12/7/2022 R-002108 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
247 00181534 - Simah, Sadikrama, Ny - Kracak 004/009 Kracak Ajibarang Banyumas
247.1 12/8/2022 R-002318 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
248 00178766 - Een Rohaenah,Ny - Dusun Ciwaru 011/007 Cijulang Cijulang Pangandaran
248.1 ### R-004519 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
249 00169313 - Umi Hindun, Ny - Parungkamal 004/005 Lumbir Banyumas
249.1 ### R-005440 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
250 00141456 - Warsini, Harun, Ny - Patikraja 001/002
250.1 ### R-005978 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
251 00181697 - Triani Puji Astuti, Ny - Kalipelus 002/003 Purwanegara Banjarnegara
251.1 ### R-006611 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
252 00183195 - Miskem, Marhami, Ny - Mergayasa Kulon 002/001 Gumiwang Purwanegara
Banjarnegara
252.1 ### R-006651 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
253 00180408 - Nur Handini, Ny - Dsn. Mrica 004/002 Simpur Belik Pemalang
253.1 ### R-006705 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
254 00192841 - Musyati, Nurudin, Ny - Jl. Beo No. 23008/002 Cipari, Cilacap
254.1 ### R-006709 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
255 00181895 - Sutarti, Sohari, Ny - Mantrianom, 003/005 Bawang Banjarnegara
255.1 ### R-007273 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
256 00168771 - Suwarti, Sukarso, Ny - Ds. Karanggude Kulon 006/001, Karanglewas Banyumas
256.1 ### R-007567 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
257 00182466 - Sis Nurhayati, Ny - Purwareja 005/011 Purwareja Klampok Banjarnegara
257.1 ### R-007581 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
258 00181942 - Suliyah, Mejasukarta, Ny - Desa Cilangkap 003/004 Gumelar Banyumas
258.1 ### R-007594 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
259 00238201 - Sobicha, Kamsin. Ny - Karangjati Timur 002/005 Tonjong
259.1 ### R-007782 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
260 00181917 - Juariah, Andri Wiharja, Ny - Mandirancan 004/002 Kebasen Banyumas
260.1 ### R-007817 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
261 00183096 - Suprapti, Yastrawireja, Ny - Karangpucung 002/005 Purwokerto Selatan
261.1 ### R-007905 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
262 00164167 - Sutarni, Sanroni, Ny - Pingit 002/004 Rakit Banjarnegara
262.1 ### R-007948 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
263 00182368 - Nasiyah, Kandari, Ny - Cimei 002/018 Bantar Wanareja Cilacap
263.1 ### R-009246 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
264 00216880 - Kasirah, Sanurya, Ny - Glempang 008/002 Pekuncen Banyumas
264.1 ### R-009427 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 44,800 1,344,000
Sp.B.(K)
Onk
Sub Total Resep 1,344,000
Sub Total Embalase 0
Total Per Pasien 1,344,000
Grand Total Resep ###
Grand Total Embalase 0
Grand Total ###
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2023 - 31/10/2023
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Eksemestan 25mg
Debitur :-
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
1.1 1/17/2023 R-001362 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
2 00174662 - Yustina Siti Rowijah, Ny - Jl. Onderan No.46 005/001 Kedunguter Banyumas
2.1 1/28/2023 R-002114 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
3 00164997 - Rumiarti, Kramareja, Ny - Jl. Bayur, Kebocoran 002/004 Kedungbanteng
3.1 2/4/2023 R-000245 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
4 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
4.1 2/16/2023 R-001035 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
5 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
5.1 3/18/2023 R-001042 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
6 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
6.1 4/17/2023 R-000878 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
7 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
7.1 5/17/2023 R-001191 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,661 1,579,830
Sp.B.(K)
Onk
Sub Total Resep 1,579,830
Sub Total Embalase 0
Total Per Pasien 1,579,830
8 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
8.1 6/20/2023 R-001022 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
9 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
9.1 7/21/2023 R-001177 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
10 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
10.1 8/17/2023 R-000879 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
11 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
11.1 9/18/2023 R-001066 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
12 00232448 - Rumdani Prapti Sumiwi. Ny - Perum Tegal Asri Jl Baruna Tengah I no 249 004/014
Tegalkamulyan
12.1 ### R-000981 dr. Lopo Eksemest Tab
Triyanto, an 25mg
30 52,000 1,560,000
Sp.B.(K)
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
Grand Total Resep ###
Grand Total Embalase 0
Grand Total ###
LAPORAN PENGGUNAAN BARANG
Tanggal : 01/01/2023 - 31/10/2023
Depot/
: Instalasi Farmasi Rawat Jalan
Apotek
Dokter : Semua Dokter
Barang : Tamofen 10 mg Kalbe
Debitur :-
Poli/Ruang : -
Type
:-
Pasien
Kat
:-
Pasien
Stt Pasien : -
Group by : Group by Detail
No Tgl NoResep Dokter Barang SatJual Qty Harga SubTotal
1 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
1.1 1/2/2023 R-000009 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
2 00235589 - Kusmiyati, Resa Wireja, Ny - Bilungan 002/004 Kecitran Purwareja Klampok
2.1 1/2/2023 R-000010 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
3 00240471 - Warni, Amad Aslim, Ny - Bengkat 002/005 Tanjungtirta Punggelan Banjarnegara
3.1 1/2/2023 R-000011 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
4 00231761 - Toirah, Tanawirja, Ny - Dusun Simanis 003/004 Banjarsari Nusawungu Cilacap
4.1 1/2/2023 R-000012 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
5 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
5.1 1/2/2023 R-000013 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
6 00222813 - Siti Nurkhotimah, Ny - Jl. Prof Dr H Bunyamin 53 002/001 Bancarkembar Purwokerto
Utara
6.1 1/2/2023 R-000016 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
7 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
7.1 1/2/2023 R-000019 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
8 00206353 - Maryati,Makinudin. Ny - Tipar kidul 002/002 Tiparkidul ajibarang banyumas
8.1 1/2/2023 R-000023 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
9 00224630 - Suratmi, Asan Muhrad, Ny - Kalimendong Wetan 002/005 Danaraja, Purwanegara
9.1 1/2/2023 R-000025 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
10 00188811 - Darmi, Dimun, Ny - Dsn. Cimalati 001/008 Madusari Wanareja Cilacap
10.1 1/2/2023 R-000064 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
11 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
11.1 1/2/2023 R-000066 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
12 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
12.1 1/2/2023 R-000075 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
13 00207747 - Rohanah, Ilyas, Ny - Dukuh Kepirang 002/002 Dempel Kalibawang Wonosobo
13.1 1/2/2023 R-000087 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
14 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
14.1 1/2/2023 R-000096 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
15 00234121 - Ngadinem, Kartadasun, Ny - Sokawera 003/002 Somagede Banyumas
15.1 1/3/2023 R-000115 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
16 00239926 - Rusih, Undinasim, Ny - Dusun Ciparakan 005/001 Kalipucang Pangandaran
16.1 1/3/2023 R-000116 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
17 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
17.1 1/3/2023 R-000117 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
18 00222473 - Ruti, Saherman, Ny - Wanoja 001/005 Salem Brebes
18.1 1/3/2023 R-000169 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
19 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
19.1 1/3/2023 R-000171 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
20 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
20.1 1/3/2023 R-000181 dr. Lopo Tamofen Tab
Triyanto, 10 mg
30 2,500 75,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 75,000
Sub Total Embalase 0
Total Per Pasien 75,000
21 00213286 - Priyatun, Ayan, Ny - Jl. Daksa Piun 007/003 Kalibata, Pancoran, Jakarta Selatan
21.1 1/3/2023 R-000195 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
22 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
22.1 1/3/2023 R-000216 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
23 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
23.1 1/4/2023 R-000233 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
24 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
24.1 1/4/2023 R-000235 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
25 00218912 - Mumilah, Muharif, Ny - Dk Karang Dempul 004/007 Jatisawit Bumiayu
25.1 1/4/2023 R-000236 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
26 00194782 - Lewih, Munardji Al Sana, Ny - Cendana 017/008 Kutasari Purbalingga
26.1 1/4/2023 R-000238 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
27 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
27.1 1/4/2023 R-000274 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
28 00229008 - Rupinah, Sukarta, Ny - Padawaras 005/003 Gumelar Gumelar Banyumas
28.1 1/4/2023 R-000283 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
29 00224710 - Tukini ,Mukri,Ny - Sicina 002/004 punggelan banjarnegara
29.1 1/4/2023 R-000285 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
30 00224829 - Harumi Alfiyah,Ny - Karangjati 001/001/ Krangjati Susukan banjarnegara
30.1 1/5/2023 R-000326 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
31 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
31.1 1/5/2023 R-000327 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
32 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
32.1 1/5/2023 R-000367 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
33 00228655 - Narsiti, Nasichin, Ny - Karangnanas 001/002 Sokaraja Banyumas
33.1 1/5/2023 R-000369 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
34 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
34.1 1/5/2023 R-000374 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
35 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
35.1 1/6/2023 R-000403 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
36 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
36.1 1/6/2023 R-000404 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
37 00199871 - Gandhy Haryani, Nn - Jl. Jatiwinangun Gang Arjuna No 13 002/009 Purwokerto Lor,
Purwokerto Timur Banyumas
37.1 1/6/2023 R-000415 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
38 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
38.1 1/6/2023 R-000453 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
39 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
39.1 1/7/2023 R-000516 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
40 00233490 - Een,Tawirana,Ny - Pabuaran 002/004 Pabuaran Salem Brebes
40.1 1/7/2023 R-000517 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
41 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
41.1 1/7/2023 R-000540 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
42 00214056 - Nendah, Suhana, Ny - Dsn Citembong 001/002 Cikalong, Sidamulih, Pangandaran
42.1 1/7/2023 R-000541 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
43 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
43.1 1/7/2023 R-000544 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
44 00207504 - Widayati, Djasmadi, Ny - Kadus 1 005/001 Cirahab Lumbir Banyumas
44.1 1/7/2023 R-000547 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
45 00178890 - Siti Rokhatun, Ny - Mulyadadi 002/001. Cipari. Cilacap
45.1 1/7/2023 R-000549 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
46 00141979 - Mudita Kentakasari, Ny - Keniten 002/003 Kedungbanteng Banyumas
46.1 1/7/2023 R-000562 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
47 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
47.1 1/7/2023 R-000566 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
48 00234476 - Djarijah, Sankarta, Ny - Kober 009/001 Kober Purwokerto Barat
48.1 1/7/2023 R-000573 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
49 00175385 - Sulyati, Madwitana, Ny - Jl. Jatisari No.48 002/005 Sumampir Purwokerto Utara
49.1 1/7/2023 R-000575 dr. Lopo Tamofen Tab
Triyanto, 10 mg
30 2,500 75,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 75,000
Sub Total Embalase 0
Total Per Pasien 75,000
50 00240402 - Marti Tumiyati, Ny - Tambagsogra 001/005 Tambaksogra Sumbang
50.1 1/9/2023 R-000647 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
51 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
51.1 1/9/2023 R-000651 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
52 00131457 - Wahyu Hidayati, Ny - Karangturi 001/001 Bumiayu
52.1 1/9/2023 R-000690 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,500 450,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 450,000
Sub Total Embalase 0
Total Per Pasien 450,000
53 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
53.1 1/9/2023 R-000693 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
54 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
54.1 1/9/2023 R-000695 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
55 00130381 - Sabaryani, Waryo Utomo, Ny - Gondang 017/004 Watumalang Wonosobo
55.1 1/9/2023 R-000733 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
56 00225123 - Sumarni, Kojari, Ny - Bodas 001/011 Mendelem, Belik, Pemalang
56.1 1/10/2023 R-000752 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
57 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
57.1 1/10/2023 R-000753 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
58 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
58.1 1/10/2023 R-000759 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
59 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
59.1 1/10/2023 R-000798 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
60 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
60.1 1/10/2023 R-000811 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
61 00234239 - Winarsih, Karto Wireja. Ny - Kebondalem 002/001 Kebondalem, Bawang
61.1 1/10/2023 R-000814 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
62 00196796 - Siti Badriyah, Ny - Dsn Mlaten 001/001 Gadingmangu Perak Jombang Jawa Timur
62.1 1/10/2023 R-000829 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
63 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
63.1 1/11/2023 R-000854 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
64 00240786 - Sanis Wiryadi,Ny - Jalan Kendeng 05/015 Sidanegara cilacap Tengah Cilacap
64.1 1/11/2023 R-000860 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
65 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
65.1 1/11/2023 R-000868 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
66 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
66.1 1/11/2023 R-000916 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
67 00171410 - Kanti, Redjo Kartono, Ny - Ds. Kutabanjarnegara 001/006 Banjarnegara
67.1 1/11/2023 R-000919 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
68 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
68.1 1/11/2023 R-000922 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
69 00130552 - Lastri, Nurdiarso, Ny - Purbayasa 003/001 Padamara Purbalingga
69.1 1/11/2023 R-000926 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
70 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
70.1 1/12/2023 R-000933 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
71 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
71.1 1/12/2023 R-000938 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
72 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
72.1 1/12/2023 R-000972 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
73 00167909 - Ngafiyah, Jainun, Ny - Jl. Sengon No.8 008/004 Tritih Kulon Cilacap Utara
73.1 1/12/2023 R-000974 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
74 00228954 - Sarmini, Maskur. Ny - Dusun Rangkasan 002/008 Tarisi, Wanareja
74.1 1/12/2023 R-000976 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
75 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
75.1 1/12/2023 R-000980 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
76 00239270 - Solihati, Daniri, Ny - Dusun Karangpaningal 025/006 Purwadadi Ciamis
76.1 1/12/2023 R-000982 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
77 00151621 - Lina, Rahmat, Ny - Ds Sindangmangu 016/008
77.1 1/13/2023 R-001024 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
78 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
78.1 1/13/2023 R-001026 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
79 00168535 - Barni, Asmadi, Ny - Adisana 001/006
79.1 1/13/2023 R-001027 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
80 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
80.1 1/13/2023 R-001028 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
81 00211199 - Marniatun, Tumino. Ny - Karangpucung 005/004 Purwokerto Selatan
81.1 1/13/2023 R-001035 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
82 00172413 - Kusmiyati, Tana, Ny - Dk. Krajan 03 002/003 Negaradaha Bumiayu Brebes
82.1 1/13/2023 R-001036 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
83 00237744 - Rakisah, Paryoto, Ny - Ds. Sekardoja 01/09 Pamulihan Larangan Brebes
83.1 1/13/2023 R-001063 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
84 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
84.1 1/13/2023 R-001074 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
85 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
85.1 1/13/2023 R-001079 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
86 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
86.1 1/14/2023 R-001114 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
87 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
87.1 1/14/2023 R-001116 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
88 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
88.1 1/14/2023 R-001145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
89 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
89.1 1/14/2023 R-001139 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
90 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
90.1 1/14/2023 R-001161 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
91 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
91.1 1/14/2023 R-001167 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
92 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
92.1 1/16/2023 R-001216 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
93 00224182 - Dahrotun Faudiyah, Ny - Jl. Keramik No. 13 002/007 Karangtalun Cilacap Utara
93.1 1/16/2023 R-001224 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
94 00209728 - Sutarmi, Salim Sumarto, Ny - Dukuhwaluh 002/001 Kembaran Banyumas
94.1 1/16/2023 R-001227 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
95 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
95.1 1/16/2023 R-001276 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
96 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
96.1 1/16/2023 R-001280 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
97 00121153 - Siti Khalimah, Ny - Doplang 001/008
97.1 1/16/2023 R-001282 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
98 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
98.1 1/17/2023 R-001308 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
99 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
99.1 1/17/2023 R-001309 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
100 00168658 - Sri Meniwati, Ny - Jl. Pramuka No.132 002/003 Purwokerto Kulon
100.1 1/17/2023 R-001310 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
101 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
101.1 1/17/2023 R-001311 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
102 00221635 - Peni, Sumiaji, Ny - Bodaskarangjati 002/004 Rembang
102.1 1/17/2023 R-001351 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
103 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
103.1 1/17/2023 R-001352 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
104 00240759 - Kunjiatul Maslakha, Ny - krajan 004/001 Pruwatan Bumiayu
104.1 1/17/2023 R-001363 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
105 00168656 - Karti, Muchhadir Nursito,Ny - Lemahjaya 004/002 Wanadadi Banjarnegara
105.1 1/18/2023 R-001396 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
106 00157401 - Turkiem, Misyono, Ny - Sudimara 004/007 Bantarmangu Cimanggu Cilacap
106.1 1/18/2023 R-001427 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
107 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
107.1 1/18/2023 R-001431 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
108 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
108.1 1/18/2023 R-001462 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
109 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
109.1 1/19/2023 R-001479 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
110 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
110.1 1/19/2023 R-001480 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
111 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
111.1 1/19/2023 R-001500 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
112 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
112.1 1/19/2023 R-001502 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
113 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
113.1 1/19/2023 R-001504 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
114 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
114.1 1/20/2023 R-001600 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
115 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
115.1 1/21/2023 R-001649 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
116 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
116.1 1/21/2023 R-001651 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
117 00216258 - Lu Luul Farochati, Ny - Pamurian 004/001 Pagedongan Banjarnegara
117.1 1/21/2023 R-001661 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
118 00183527 - Nuryanti, Suparno, Ny - Pengadegan 002/002 Wangon Banyumas
118.1 1/21/2023 R-001668 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
119 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
119.1 1/21/2023 R-001680 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
120 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
120.1 1/21/2023 R-001682 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
121 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
121.1 1/21/2023 R-001683 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
122 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
122.1 1/23/2023 R-001769 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
123 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
123.1 1/23/2023 R-001777 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
124 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
124.1 1/24/2023 R-001812 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
125 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
125.1 1/24/2023 R-001813 dr. Lopo Tamofen Tab
Triyanto, 10 mg
30 2,500 75,000
Sp.B.(K) Kalbe
Onk
125.2 1/24/2023 R-001813 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 225,000
Sub Total Embalase 0
Total Per Pasien 225,000
126 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
126.1 1/24/2023 R-001842 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
127 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
127.1 1/24/2023 R-001841 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
128 00240787 - Sri Purwasih,Ny - Gayamsari 005/004 Purwasari, Wanareja
128.1 1/24/2023 R-001849 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
129 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
129.1 1/25/2023 R-001896 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
130 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
130.1 1/25/2023 R-001901 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
131 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
131.1 1/25/2023 R-001902 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
132 00224590 - Nirwahyuni Tyas Widi Astuti, Ny - JL. Palm 005/007 Gumilir Cilacap Utara Cilacap
132.1 1/25/2023 R-001930 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
133 00202319 - Ruriyah, Dimroni, Ny - jalan Kol.Sugiono Ni 52 Cipari Cilacap
133.1 1/26/2023 R-001959 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
134 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
134.1 1/26/2023 R-001962 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
135 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
135.1 1/26/2023 R-001966 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
136 00185744 - Siti Munifatun, Ny - Tanngulangin 002/004. Kurong. Kebumen
136.1 1/26/2023 R-001985 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
137 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
137.1 1/26/2023 R-001997 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
138 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
138.1 1/26/2023 R-002006 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
139 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
139.1 1/27/2023 R-002017 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
140 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
140.1 1/27/2023 R-002049 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
141 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
141.1 1/27/2023 R-002051 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
142 00156512 - Wiji Pamulatsih, Ny - Jipang 001/004 Jipang Karanglewas
142.1 1/27/2023 R-002062 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
143 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
143.1 1/28/2023 R-002100 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
144 00218271 - Siti Nangiroh, Ny - Jl. Perintis No. 25 003/002 Sidasari Cipari
144.1 1/28/2023 R-002117 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
145 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
145.1 1/28/2023 R-002126 dr. Lopo Tamofen Tab
Triyanto, 10 mg
32 2,500 80,000
Sp.B.(K) Kalbe
Onk
145.2 1/28/2023 R-002126 dr. Lopo Tamofen Tab
Triyanto, 10 mg
28 2,500 70,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
146 00209125 - Turmiati, M. Solihin, Ny - Dusun Mulyasari 001/002 Majenang Cilacap
146.1 1/28/2023 R-002130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
147 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
147.1 1/30/2023 R-002168 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
148 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
148.1 1/30/2023 R-002169 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
149 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
149.1 1/30/2023 R-002172 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
150 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
150.1 1/30/2023 R-002175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
151 00176359 - Cici Nurfiyanti, Ny - Jl Manyar 002/003 Serang Cipari Cilacap
151.1 1/30/2023 R-002206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
152 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
152.1 1/30/2023 R-002208 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
153 00155620 - Tumsitah, Warso, Ny - Jagalempeni 001/003 Wanasari Brebes
153.1 1/30/2023 R-002209 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
154 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
154.1 1/30/2023 R-002210 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
155 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
155.1 1/30/2023 R-002211 dr. Lopo Tamofen Tab
Triyanto, 10 mg
32 2,500 80,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 80,000
Sub Total Embalase 0
Total Per Pasien 80,000
156 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
156.1 1/30/2023 R-002212 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
157 00218530 - Parwati, Darmo Suwito, Ny - Jl. Perintis Kemerdekaan 004/006 Kebon Manis Cilacap
Utara
157.1 1/30/2023 R-002221 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
158 00241379 - Eti Hernawati, Ny - Dusun Rejasari 004/005 Bantarsari Cilacap
158.1 1/30/2023 R-002225 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
159 00235469 - Kurniasih, Rasma, Ny - Dusun kalenpandan 006/013 Pamulihan Larangan
159.1 1/31/2023 R-002308 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
160 00240459 - Sugiati, Mistar Arjo S, Ny - Karang Talun 005/001 Rakitan Madukara
160.1 1/31/2023 R-002314 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
161 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
161.1 2/1/2023 R-000002 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
162 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
162.1 2/1/2023 R-000003 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
163 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
163.1 2/1/2023 R-000011 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
164 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
164.1 2/1/2023 R-000038 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
165 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
165.1 2/1/2023 R-000039 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
166 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
166.1 2/1/2023 R-000053 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
167 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
167.1 2/1/2023 R-000056 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
168 00155229 - Suratmi, Sarno, Ny - Betun kota 002/001 Kletek, Malaka Tengah
168.1 2/1/2023 R-000064 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,500 450,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 450,000
Sub Total Embalase 0
Total Per Pasien 450,000
169 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
169.1 2/2/2023 R-000090 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
170 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
170.1 2/2/2023 R-000095 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
171 00183084 - Sumarsih, Madnursam, Ny - Karangklesem 001/008 Purwokerto Selatan
171.1 2/2/2023 R-000120 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
172 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
172.1 2/2/2023 R-000123 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
173 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
173.1 2/2/2023 R-000133 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
174 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
174.1 2/2/2023 R-000146 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
175 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
175.1 2/3/2023 R-000158 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
176 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
176.1 2/3/2023 R-000196 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
177 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
177.1 2/3/2023 R-000204 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
178 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
178.1 2/4/2023 R-000236 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
179 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
179.1 2/4/2023 R-000237 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
180 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
180.1 2/4/2023 R-000271 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
181 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
181.1 2/6/2023 R-000304 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
182 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
182.1 2/6/2023 R-000311 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
183 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
183.1 2/6/2023 R-000315 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
184 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
184.1 2/6/2023 R-000356 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
185 00214056 - Nendah, Suhana, Ny - Dsn Citembong 001/002 Cikalong, Sidamulih, Pangandaran
185.1 2/6/2023 R-000358 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
186 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
186.1 2/6/2023 R-000359 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
187 00233490 - Een,Tawirana,Ny - Pabuaran 002/004 Pabuaran Salem Brebes
187.1 2/6/2023 R-000364 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
188 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
188.1 2/6/2023 R-000366 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
189 00173963 - Elinda Sumiati, Ny - Ds. Bumijawa 006/001 Bumijawa Tegal
189.1 2/6/2023 R-000372 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
190 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
190.1 2/6/2023 R-000387 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
191 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
191.1 2/8/2023 R-000465 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
192 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
192.1 2/8/2023 R-000469 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
193 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
193.1 2/8/2023 R-000489 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
194 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
194.1 2/8/2023 R-000490 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
195 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
195.1 2/8/2023 R-000491 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
196 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
196.1 2/8/2023 R-000494 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
197 00228655 - Narsiti, Nasichin, Ny - Karangnanas 001/002 Sokaraja Banyumas
197.1 2/8/2023 R-000509 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
198 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
198.1 2/9/2023 R-000532 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
199 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
199.1 2/9/2023 R-000533 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
200 00225123 - Sumarni, Kojari, Ny - Bodas 001/011 Mendelem, Belik, Pemalang
200.1 2/9/2023 R-000535 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
201 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
201.1 2/9/2023 R-000556 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
202 00141325 - Rochayati, Sakum, Ny - Dusun Poris 008/002 Mamgunjaya Pangandaran
202.1 2/9/2023 R-000564 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
203 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
203.1 2/9/2023 R-000574 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
204 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
204.1 2/9/2023 R-000580 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
205 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
205.1 2/10/2023 R-000588 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
206 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
206.1 2/10/2023 R-000599 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
207 00240786 - Sanis Wiryadi,Ny - Jalan Kendeng 05/015 Sidanegara cilacap Tengah Cilacap
207.1 2/10/2023 R-000645 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
208 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
208.1 2/10/2023 R-000654 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
209 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
209.1 2/10/2023 R-000656 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
210 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
210.1 2/11/2023 R-000674 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
211 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
211.1 2/11/2023 R-000679 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
212 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
212.1 2/11/2023 R-000682 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
213 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
213.1 2/11/2023 R-000689 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
214 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
214.1 2/11/2023 R-000699 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
215 00240402 - Marti Tumiyati, Ny - Tambagsogra 001/005 Tambaksogra Sumbang
215.1 2/11/2023 R-000710 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
216 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
216.1 2/13/2023 R-000769 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
217 00168535 - Barni, Asmadi, Ny - Adisana 001/006
217.1 2/13/2023 R-000776 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
218 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
218.1 2/13/2023 R-000777 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
219 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
219.1 2/13/2023 R-000780 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
220 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
220.1 2/13/2023 R-000835 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
221 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
221.1 2/13/2023 R-000834 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
222 00211199 - Marniatun, Tumino. Ny - Karangpucung 005/004 Purwokerto Selatan
222.1 2/13/2023 R-000837 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
223 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
223.1 2/13/2023 R-000839 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
224 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
224.1 2/13/2023 R-000843 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
225 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
225.1 2/13/2023 R-000851 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
226 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
226.1 2/13/2023 R-000855 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
227 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
227.1 2/13/2023 R-000868 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
228 00235469 - Kurniasih, Rasma, Ny - Dusun kalenpandan 006/013 Pamulihan Larangan
228.1 2/14/2023 R-000881 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
229 00190853 - Watiah, Madreja, Ny - Wanaadadi 004/001 Karanggedangh Sidareja Cilacap
229.1 2/14/2023 R-000905 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
230 00192509 - Satem, Kasidi, Ny - Karangendep 006/002 Patikraja Banyumas
230.1 2/14/2023 R-000911 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
231 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
231.1 2/15/2023 R-000936 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
232 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
232.1 2/15/2023 R-000963 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
233 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
233.1 2/15/2023 R-000966 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
234 00219758 - Mei Cen, Ny - Jl Jend Suprapto No 43, Purwokerto Purwokerto Lor Purwokerrto Timur
234.1 2/15/2023 R-000973 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
60 2,500 150,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
235 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
235.1 2/16/2023 R-000990 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
236 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
236.1 2/16/2023 R-000991 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
237 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
237.1 2/16/2023 R-001013 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
238 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
238.1 2/16/2023 R-001015 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
239 00235162 - Umi Khayati, Ny - Karangtengah 006/004 Karangtengah Cilongok
239.1 2/16/2023 R-001022 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
240 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
240.1 2/16/2023 R-001027 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
241 00168658 - Sri Meniwati, Ny - Jl. Pramuka No.132 002/003 Purwokerto Kulon
241.1 2/16/2023 R-001037 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
242 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
242.1 2/16/2023 R-001038 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
243 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
243.1 2/17/2023 R-001047 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
244 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
244.1 2/17/2023 R-001081 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
245 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
245.1 2/18/2023 R-001105 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
246 00224590 - Nirwahyuni Tyas Widi Astuti, Ny - JL. Palm 005/007 Gumilir Cilacap Utara Cilacap
246.1 2/18/2023 R-001110 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
247 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
247.1 2/18/2023 R-001111 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
248 00214073 - Mulyani, Parto Miharjo, Ny - Pasiraman Lor 001/002 Pekuncen Banyumas
248.1 2/20/2023 R-001145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
249 00154445 - Welas Nurasih, Ny - Bendo 003/002 pagu kediri jawa timur
249.1 2/20/2023 R-001149 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,500 450,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 450,000
Sub Total Embalase 0
Total Per Pasien 450,000
250 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
250.1 2/20/2023 R-001175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
251 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
251.1 2/20/2023 R-001176 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
252 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
252.1 2/20/2023 R-001179 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
253 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
253.1 2/20/2023 R-001181 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
254 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
254.1 2/20/2023 R-001183 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
255 00241493 - II Kamilatushodiqoh, Ny - Dusun Kertanagara 011/006 Sindangsari Kawali Ciamis
255.1 2/20/2023 R-001187 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
256 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
256.1 2/20/2023 R-001196 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
257 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
257.1 2/20/2023 R-001197 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
258 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
258.1 2/21/2023 R-001229 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
259 00183527 - Nuryanti, Suparno, Ny - Pengadegan 002/002 Wangon Banyumas
259.1 2/21/2023 R-001249 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
260 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
260.1 2/21/2023 R-001253 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
261 00234127 - Atik Susilowati, Ny - Cikadu 022/004 Cikadu Watukumpul
261.1 2/21/2023 R-001258 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
262 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
262.1 2/22/2023 R-001292 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
263 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
263.1 2/22/2023 R-001295 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
264 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
264.1 2/22/2023 R-001310 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
265 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
265.1 2/23/2023 R-001327 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
266 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
266.1 2/23/2023 R-001329 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
267 00240787 - Sri Purwasih,Ny - Gayamsari 005/004 Purwasari, Wanareja
267.1 2/23/2023 R-001351 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
268 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
268.1 2/23/2023 R-001355 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
269 00167909 - Ngafiyah, Jainun, Ny - Jl. Sengon No.8 008/004 Tritih Kulon Cilacap Utara
269.1 2/23/2023 R-001362 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
270 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
270.1 2/23/2023 R-001363 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
271 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
271.1 2/24/2023 R-001378 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
272 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
272.1 2/24/2023 R-001420 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
273 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
273.1 2/25/2023 R-001455 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
274 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
274.1 2/25/2023 R-001457 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
275 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
275.1 2/25/2023 R-001458 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
276 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
276.1 2/25/2023 R-001459 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
277 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
277.1 2/25/2023 R-001463 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
278 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
278.1 2/25/2023 R-001465 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
279 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
279.1 2/25/2023 R-001466 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
280 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
280.1 2/25/2023 R-001472 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
281 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
281.1 2/25/2023 R-001475 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
282 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
282.1 2/27/2023 R-001513 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
283 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
283.1 2/27/2023 R-001515 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
284 00185744 - Siti Munifatun, Ny - Tanngulangin 002/004. Kurong. Kebumen
284.1 2/27/2023 R-001535 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
285 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
285.1 2/27/2023 R-001538 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
286 00209125 - Turmiati, M. Solihin, Ny - Dusun Mulyasari 001/002 Majenang Cilacap
286.1 2/27/2023 R-001537 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
287 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
287.1 2/27/2023 R-001541 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
288 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
288.1 2/27/2023 R-001546 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
289 00151817 - Darsitem, Nawiraji, Ny - Cilangkap 004/003 Gumelar Banyumas
289.1 2/27/2023 R-001547 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
290 00218271 - Siti Nangiroh, Ny - Jl. Perintis No. 25 003/002 Sidasari Cipari
290.1 2/28/2023 R-001578 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
291 00240459 - Sugiati, Mistar Arjo S, Ny - Karang Talun 005/001 Rakitan Madukara
291.1 2/28/2023 R-001608 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
292 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
292.1 3/1/2023 R-000003 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
293 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
293.1 3/1/2023 R-000005 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
294 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
294.1 3/1/2023 R-000008 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
295 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
295.1 3/1/2023 R-000011 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
296 00176359 - Cici Nurfiyanti, Ny - Jl Manyar 002/003 Serang Cipari Cilacap
296.1 3/1/2023 R-000021 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
297 00155620 - Tumsitah, Warso, Ny - Jagalempeni 001/003 Wanasari Brebes
297.1 3/1/2023 R-000031 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
298 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
298.1 3/1/2023 R-000032 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
299 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
299.1 3/1/2023 R-000033 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
300 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
300.1 3/1/2023 R-000034 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
301 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
301.1 3/1/2023 R-000036 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
302 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
302.1 3/1/2023 R-000041 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
303 00227691 - Siti Maryam, Ny - Dukuhwaluh 001/002 Kembaran Banyumas
303.1 3/2/2023 R-000095 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
304 00241404 - Suji Rahayu, Suhadi, Ny - Jl Beo 003/005 Slarang Kesugihan Cilacap
304.1 3/2/2023 R-000105 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
305 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
305.1 3/3/2023 R-000127 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
306 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
306.1 3/3/2023 R-000129 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
307 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
307.1 3/3/2023 R-000130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,500 300,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
308 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
308.1 3/3/2023 R-000132 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
309 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
309.1 3/3/2023 R-000144 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
310 00171410 - Kanti, Redjo Kartono, Ny - Ds. Kutabanjarnegara 001/006 Banjarnegara
310.1 3/3/2023 R-000160 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
311 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
311.1 3/3/2023 R-000161 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
312 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
312.1 3/3/2023 R-000166 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
313 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
313.1 3/3/2023 R-000171 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
314 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
314.1 3/3/2023 R-000173 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
315 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
315.1 3/4/2023 R-000205 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
316 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
316.1 3/4/2023 R-000206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
317 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
317.1 3/4/2023 R-000207 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
318 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
318.1 3/4/2023 R-000208 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
319 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
319.1 3/4/2023 R-000209 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
320 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
320.1 3/4/2023 R-000212 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
321 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
321.1 3/4/2023 R-000222 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
322 00183084 - Sumarsih, Madnursam, Ny - Karangklesem 001/008 Purwokerto Selatan
322.1 3/4/2023 R-000223 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
323 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
323.1 3/4/2023 R-000230 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
324 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
324.1 3/4/2023 R-000236 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,500 150,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
325 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
325.1 3/6/2023 R-000279 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
326 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
326.1 3/6/2023 R-000281 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
327 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
327.1 3/6/2023 R-000283 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
328 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
328.1 3/6/2023 R-000310 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
329 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
329.1 3/6/2023 R-000324 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
330 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
330.1 3/7/2023 R-000354 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
331 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
331.1 3/7/2023 R-000356 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
332 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
332.1 3/7/2023 R-000358 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
333 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
333.1 3/7/2023 R-000379 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
334 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
334.1 3/7/2023 R-000380 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
335 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
335.1 3/7/2023 R-000383 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
336 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
336.1 3/8/2023 R-000418 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
337 00214056 - Nendah, Suhana, Ny - Dsn Citembong 001/002 Cikalong, Sidamulih, Pangandaran
337.1 3/8/2023 R-000431 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
338 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
338.1 3/8/2023 R-000443 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
339 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
339.1 3/8/2023 R-000444 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
340 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
340.1 3/8/2023 R-000446 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
341 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
341.1 3/8/2023 R-000454 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
342 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
342.1 3/9/2023 R-000507 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
343 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
343.1 3/9/2023 R-000535 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
344 00235716 - Sakini, Sakiman, Ny - Karangsalam 003/004 Karangsalam Kemranjen
344.1 3/9/2023 R-000536 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
345 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
345.1 3/9/2023 R-000540 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
346 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
346.1 3/10/2023 R-000547 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
347 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
347.1 3/10/2023 R-000554 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
348 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
348.1 3/10/2023 R-000556 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
349 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
349.1 3/10/2023 R-000583 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
350 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
350.1 3/10/2023 R-000585 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
351 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
351.1 3/10/2023 R-000587 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
352 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
352.1 3/10/2023 R-000594 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
353 00229788 - Dani Murwanti. Ny - Jl Kertadeirjan 15 001/003 Sokaraja kulon
353.1 3/10/2023 R-000613 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
120 2,600 312,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
354 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
354.1 3/11/2023 R-000620 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
355 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
355.1 3/11/2023 R-000621 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
356 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
356.1 3/11/2023 R-000622 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
357 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
357.1 3/11/2023 R-000643 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
358 00240402 - Marti Tumiyati, Ny - Tambagsogra 001/005 Tambaksogra Sumbang
358.1 3/11/2023 R-000644 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
359 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
359.1 3/11/2023 R-000649 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
360 00231376 - Aryati, Darman, Ny - Girikarya 007/002 Langkaplancar Langkaplancar
360.1 3/13/2023 R-000699 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
361 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
361.1 3/13/2023 R-000701 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
362 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
362.1 3/13/2023 R-000702 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
363 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
363.1 3/13/2023 R-000740 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
364 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
364.1 3/13/2023 R-000738 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
365 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
365.1 3/13/2023 R-000766 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
366 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
366.1 3/13/2023 R-000770 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
366.2 3/13/2023 R-000770 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
367 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
367.1 3/14/2023 R-000809 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
368 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
368.1 3/14/2023 R-000819 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
369 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
369.1 3/14/2023 R-000832 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
370 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
370.1 3/14/2023 R-000831 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
371 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
371.1 3/14/2023 R-000835 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
372 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
372.1 3/15/2023 R-000848 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
373 00168535 - Barni, Asmadi, Ny - Adisana 001/006
373.1 3/15/2023 R-000851 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
374 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
374.1 3/15/2023 R-000852 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
375 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
375.1 3/15/2023 R-000858 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
376 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
376.1 3/15/2023 R-000874 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
377 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
377.1 3/15/2023 R-000878 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
378 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
378.1 3/15/2023 R-000879 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
379 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
379.1 3/15/2023 R-000892 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
380 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
380.1 3/16/2023 R-000911 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
381 00121153 - Siti Khalimah, Ny - Doplang 001/008
381.1 3/16/2023 R-000938 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
382 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
382.1 3/16/2023 R-000949 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
383 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
383.1 3/17/2023 R-000964 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
384 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
384.1 3/17/2023 R-000994 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
385 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
385.1 3/17/2023 R-000997 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
386 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
386.1 3/18/2023 R-001014 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
387 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
387.1 3/18/2023 R-001039 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
388 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
388.1 3/18/2023 R-001051 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
389 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
389.1 3/18/2023 R-001053 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
390 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
390.1 3/18/2023 R-001054 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
391 00142512 - Chalimah, Mahdani, Ny - Petarangan 001/010 Kemranjen Banyumas
391.1 3/20/2023 R-001071 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
392 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
392.1 3/20/2023 R-001077 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
393 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
393.1 3/20/2023 R-001081 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
394 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
394.1 3/20/2023 R-001083 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
395 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
395.1 3/20/2023 R-001094 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
396 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
396.1 3/20/2023 R-001130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
397 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
397.1 3/20/2023 R-001141 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
398 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
398.1 3/21/2023 R-001191 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
399 00235716 - Sakini, Sakiman, Ny - Karangsalam 003/004 Karangsalam Kemranjen
399.1 3/21/2023 R-001194 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
400 00142741 - Danik Sri Sudarti, Ny - Karang Kajen 002/003 Wonosobo Timur Wonosobo
400.1 3/21/2023 R-001196 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
401 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
401.1 3/23/2023 R-001245 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
402 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
402.1 3/23/2023 R-001248 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
402.2 3/23/2023 R-001248 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
403 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
403.1 3/23/2023 R-001249 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
403.2 3/23/2023 R-001249 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
404 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
404.1 3/23/2023 R-001261 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
405 00130381 - Sabaryani, Waryo Utomo, Ny - Gondang 017/004 Watumalang Wonosobo
405.1 3/23/2023 R-001272 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
406 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
406.1 3/23/2023 R-001273 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
407 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
407.1 3/24/2023 R-001282 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
408 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
408.1 3/24/2023 R-001283 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
409 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
409.1 3/24/2023 R-001285 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
410 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
410.1 3/25/2023 R-001354 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
411 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
411.1 3/25/2023 R-001359 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
412 00241823 - Listina Agustiarini,Ny - Ketapang Daman a148 003 /010 Kebonmanis Cilacap Utara
412.1 3/25/2023 R-001362 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
413 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
413.1 3/25/2023 R-001367 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
414 00240787 - Sri Purwasih,Ny - Gayamsari 005/004 Purwasari, Wanareja
414.1 3/25/2023 R-001371 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
415 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
415.1 3/27/2023 R-001412 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
416 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
416.1 3/27/2023 R-001416 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
417 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
417.1 3/27/2023 R-001438 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
418 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
418.1 3/27/2023 R-001437 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
419 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
419.1 3/27/2023 R-001440 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
420 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
420.1 3/28/2023 R-001469 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
421 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
421.1 3/28/2023 R-001484 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
422 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
422.1 3/29/2023 R-001516 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
423 00151817 - Darsitem, Nawiraji, Ny - Cilangkap 004/003 Gumelar Banyumas
423.1 3/29/2023 R-001522 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
424 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
424.1 3/29/2023 R-001541 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
425 00209125 - Turmiati, M. Solihin, Ny - Dusun Mulyasari 001/002 Majenang Cilacap
425.1 3/29/2023 R-001545 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
426 00224590 - Nirwahyuni Tyas Widi Astuti, Ny - JL. Palm 005/007 Gumilir Cilacap Utara Cilacap
426.1 3/29/2023 R-001556 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
427 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
427.1 3/29/2023 R-001562 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
428 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
428.1 3/30/2023 R-001586 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
429 00218271 - Siti Nangiroh, Ny - Jl. Perintis No. 25 003/002 Sidasari Cipari
429.1 3/30/2023 R-001598 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
430 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
430.1 3/30/2023 R-001614 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
431 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
431.1 3/30/2023 R-001619 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
432 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
432.1 3/31/2023 R-001644 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
433 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
433.1 3/31/2023 R-001647 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
434 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
434.1 3/31/2023 R-001649 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
435 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
435.1 3/31/2023 R-001650 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
436 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
436.1 3/31/2023 R-001654 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
437 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
437.1 3/31/2023 R-001655 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
438 00176359 - Cici Nurfiyanti, Ny - Jl Manyar 002/003 Serang Cipari Cilacap
438.1 3/31/2023 R-001673 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
439 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
439.1 3/31/2023 R-001674 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
440 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
440.1 3/31/2023 R-001676 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
441 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
441.1 3/31/2023 R-001675 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
442 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
442.1 3/31/2023 R-001687 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
443 00240654 - Erna Wati M, Ny - Adiwerna 035/002 Adiwerna Tegal
443.1 3/31/2023 R-001690 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
444 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
444.1 4/1/2023 R-000006 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
445 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
445.1 4/1/2023 R-000008 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
446 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
446.1 4/1/2023 R-000025 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
447 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
447.1 4/1/2023 R-000030 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
448 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
448.1 4/1/2023 R-000033 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
449 00167909 - Ngafiyah, Jainun, Ny - Jl. Sengon No.8 008/004 Tritih Kulon Cilacap Utara
449.1 4/1/2023 R-000042 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
450 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
450.1 4/3/2023 R-000079 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
451 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
451.1 4/3/2023 R-000081 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
452 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
452.1 4/3/2023 R-000085 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
453 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
453.1 4/3/2023 R-000087 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
454 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
454.1 4/3/2023 R-000117 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
455 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
455.1 4/3/2023 R-000121 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
456 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
456.1 4/3/2023 R-000128 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
457 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
457.1 4/3/2023 R-000135 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
458 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
458.1 4/4/2023 R-000156 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
459 00181637 - Karti, Kardjo, Ny - Wanaraja 002/002 Wanaraja Wanayasa Banjarnegara
459.1 4/4/2023 R-000158 dr. Lopo Tamofen Tab
Triyanto, 10 mg
30 2,600 78,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 78,000
Sub Total Embalase 0
Total Per Pasien 78,000
460 00183084 - Sumarsih, Madnursam, Ny - Karangklesem 001/008 Purwokerto Selatan
460.1 4/4/2023 R-000161 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
461 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
461.1 4/4/2023 R-000182 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
462 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
462.1 4/4/2023 R-000185 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
463 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
463.1 4/5/2023 R-000210 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
464 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
464.1 4/5/2023 R-000211 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
465 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
465.1 4/5/2023 R-000216 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
466 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
466.1 4/5/2023 R-000217 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
467 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
467.1 4/5/2023 R-000218 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
468 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
468.1 4/5/2023 R-000221 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
469 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
469.1 4/5/2023 R-000255 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
470 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
470.1 4/5/2023 R-000266 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
471 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
471.1 4/6/2023 R-000283 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
472 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
472.1 4/6/2023 R-000306 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
473 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
473.1 4/6/2023 R-000305 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
474 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
474.1 4/6/2023 R-000312 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
475 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
475.1 4/7/2023 R-000337 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
476 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
476.1 4/7/2023 R-000342 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
477 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
477.1 4/7/2023 R-000343 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
478 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
478.1 4/7/2023 R-000345 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
479 00214056 - Nendah, Suhana, Ny - Dsn Citembong 001/002 Cikalong, Sidamulih, Pangandaran
479.1 4/7/2023 R-000349 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
480 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
480.1 4/7/2023 R-000352 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
481 00240402 - Marti Tumiyati, Ny - Tambagsogra 001/005 Tambaksogra Sumbang
481.1 4/7/2023 R-000354 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
482 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
482.1 4/7/2023 R-000357 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
483 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
483.1 4/8/2023 R-000386 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
484 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
484.1 4/8/2023 R-000387 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
485 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
485.1 4/8/2023 R-000388 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
486 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
486.1 4/8/2023 R-000394 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
487 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
487.1 4/8/2023 R-000397 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
488 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
488.1 4/8/2023 R-000402 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
489 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
489.1 4/8/2023 R-000404 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
490 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
490.1 4/8/2023 R-000405 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
491 00228655 - Narsiti, Nasichin, Ny - Karangnanas 001/002 Sokaraja Banyumas
491.1 4/8/2023 R-000408 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
492 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
492.1 4/10/2023 R-000448 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
493 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
493.1 4/10/2023 R-000449 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
494 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
494.1 4/10/2023 R-000447 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
495 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
495.1 4/10/2023 R-000461 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
495.2 4/10/2023 R-000461 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
496 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
496.1 4/10/2023 R-000463 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
496.2 4/10/2023 R-000463 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
497 00131457 - Wahyu Hidayati, Ny - Karangturi 001/001 Bumiayu
497.1 4/10/2023 R-000468 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
497.2 4/10/2023 R-000468 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
497.3 4/10/2023 R-000468 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
498 00141325 - Rochayati, Sakum, Ny - Dusun Poris 008/002 Mamgunjaya Pangandaran
498.1 4/10/2023 R-000492 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
499 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
499.1 4/10/2023 R-000504 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
500 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
500.1 4/10/2023 R-000506 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
501 00240786 - Sanis Wiryadi,Ny - Jalan Kendeng 05/015 Sidanegara cilacap Tengah Cilacap
501.1 4/11/2023 R-000520 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
502 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
502.1 4/11/2023 R-000551 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
503 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
503.1 4/11/2023 R-000552 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
504 00240759 - Kunjiatul Maslakha, Ny - krajan 004/001 Pruwatan Bumiayu
504.1 4/11/2023 R-000556 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
505 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
505.1 4/12/2023 R-000583 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
506 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
506.1 4/12/2023 R-000584 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
507 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
507.1 4/12/2023 R-000624 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
508 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
508.1 4/12/2023 R-000629 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
509 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
509.1 4/13/2023 R-000656 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
510 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
510.1 4/13/2023 R-000659 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
511 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
511.1 4/13/2023 R-000663 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
512 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
512.1 4/13/2023 R-000680 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
513 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
513.1 4/13/2023 R-000681 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
514 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
514.1 4/13/2023 R-000693 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
515 00168535 - Barni, Asmadi, Ny - Adisana 001/006
515.1 4/14/2023 R-000716 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
516 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
516.1 4/14/2023 R-000717 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
517 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
517.1 4/14/2023 R-000721 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
518 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
518.1 4/14/2023 R-000741 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
519 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
519.1 4/15/2023 R-000755 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
520 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
520.1 4/15/2023 R-000757 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
521 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
521.1 4/15/2023 R-000760 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
522 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
522.1 4/15/2023 R-000766 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
523 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
523.1 4/15/2023 R-000771 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
524 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
524.1 4/15/2023 R-000785 dr. Tamofen Tab
Rahardita 10 mg 60 2,600 156,000
Alidris Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
525 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
525.1 4/16/2023 R-000812 dr. Nauval Tamofen Tab
60 2,600 156,000
10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
526 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
526.1 4/17/2023 R-000818 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
527 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
527.1 4/17/2023 R-000819 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
528 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
528.1 4/17/2023 R-000822 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
529 00242035 - Lingawati,Otong Karyadi,Ny - Link Cimenyan 1 004/003 Mekarsari Banjar Kota Banjar
529.1 4/17/2023 R-000832 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
530 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
530.1 4/17/2023 R-000859 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
531 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
531.1 4/17/2023 R-000862 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
532 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
532.1 4/17/2023 R-000868 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
533 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
533.1 4/18/2023 R-000925 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
534 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
534.1 4/19/2023 R-000965 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
535 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
535.1 4/19/2023 R-000970 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
536 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
536.1 4/19/2023 R-000973 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
537 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
537.1 4/19/2023 R-001001 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
538 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
538.1 4/20/2023 R-001030 dr. Nauval Tamofen Tab
60 2,600 156,000
10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
539 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
539.1 4/20/2023 R-001045 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
540 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
540.1 4/21/2023 R-001049 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
541 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
541.1 4/24/2023 R-001075 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
542 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
542.1 4/24/2023 R-001078 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
543 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
543.1 4/24/2023 R-001079 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
544 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
544.1 4/24/2023 R-001085 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
545 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
545.1 4/24/2023 R-001095 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
546 00240787 - Sri Purwasih,Ny - Gayamsari 005/004 Purwasari, Wanareja
546.1 4/24/2023 R-001097 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
547 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
547.1 4/24/2023 R-001105 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
548 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
548.1 4/25/2023 R-001116 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
549 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
549.1 4/25/2023 R-001125 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
550 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
550.1 4/25/2023 R-001132 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
551 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
551.1 4/26/2023 R-001145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
552 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
552.1 4/26/2023 R-001146 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
553 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
553.1 4/26/2023 R-001143 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
554 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
554.1 4/26/2023 R-001151 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
555 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
555.1 4/26/2023 R-001155 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
556 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
556.1 4/26/2023 R-001161 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
557 00214490 - Elly Aryuni, Ny - Pandak 006/002 Sumpiuh Banyumas
557.1 4/26/2023 R-001177 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
558 00121519 - Painem Kartimin,Ny - Dusun Cibadak 003/010 Padaherang Pangandaran
558.1 4/26/2023 R-001180 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
559 00241921 - Tri Ristiani, Ny - Desa Danaraja 001/001 Banyumas
559.1 4/26/2023 R-001206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
560 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
560.1 4/27/2023 R-001217 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
561 00224590 - Nirwahyuni Tyas Widi Astuti, Ny - JL. Palm 005/007 Gumilir Cilacap Utara Cilacap
561.1 4/27/2023 R-001241 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
562 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
562.1 4/28/2023 R-001262 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
563 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
563.1 4/28/2023 R-001286 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
564 00242114 - Tanimah, Rushad, Ny - Bantarbolang 004/004 bantarbolang Pemalang
564.1 4/28/2023 R-001289 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
565 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
565.1 4/28/2023 R-001308 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
566 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
566.1 4/29/2023 R-001313 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
567 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
567.1 4/29/2023 R-001316 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
568 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
568.1 4/29/2023 R-001317 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
569 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
569.1 4/29/2023 R-001318 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
570 00176359 - Cici Nurfiyanti, Ny - Jl Manyar 002/003 Serang Cipari Cilacap
570.1 4/29/2023 R-001322 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
571 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
571.1 4/29/2023 R-001324 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
572 00218271 - Siti Nangiroh, Ny - Jl. Perintis No. 25 003/002 Sidasari Cipari
572.1 4/29/2023 R-001328 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
573 00207504 - Widayati, Djasmadi, Ny - Kadus 1 005/001 Cirahab Lumbir Banyumas
573.1 4/29/2023 R-001329 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
574 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
574.1 4/29/2023 R-001333 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
575 00174093 - Suciati, Mahmuri, Ny - Jl. Kober 004/004 Purwokerto Barat
575.1 4/29/2023 R-001334 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
576 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
576.1 4/29/2023 R-001338 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
577 00209125 - Turmiati, M. Solihin, Ny - Dusun Mulyasari 001/002 Majenang Cilacap
577.1 4/29/2023 R-001339 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
578 00183527 - Nuryanti, Suparno, Ny - Pengadegan 002/002 Wangon Banyumas
578.1 4/29/2023 R-001340 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
579 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
579.1 5/1/2023 R-000006 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
580 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
580.1 5/1/2023 R-000008 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
581 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
581.1 5/1/2023 R-000012 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
582 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
582.1 5/1/2023 R-000021 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
583 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
583.1 5/1/2023 R-000023 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
584 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
584.1 5/1/2023 R-000035 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
585 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
585.1 5/2/2023 R-000051 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
586 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
586.1 5/2/2023 R-000100 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
587 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
587.1 5/3/2023 R-000163 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
588 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
588.1 5/3/2023 R-000167 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
589 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
589.1 5/3/2023 R-000170 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
590 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
590.1 5/3/2023 R-000172 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
591 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
591.1 5/3/2023 R-000205 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
592 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
592.1 5/3/2023 R-000209 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
593 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
593.1 5/3/2023 R-000210 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
594 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
594.1 5/3/2023 R-000211 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
595 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
595.1 5/3/2023 R-000214 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
596 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
596.1 5/3/2023 R-000215 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
597 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
597.1 5/3/2023 R-000219 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
598 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
598.1 5/3/2023 R-000220 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
599 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
599.1 5/3/2023 R-000228 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
600 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
600.1 5/3/2023 R-000232 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
601 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
601.1 5/4/2023 R-000252 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
602 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
602.1 5/4/2023 R-000253 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
603 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
603.1 5/4/2023 R-000288 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
604 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
604.1 5/5/2023 R-000317 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
605 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
605.1 5/5/2023 R-000318 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
606 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
606.1 5/5/2023 R-000319 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
607 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
607.1 5/5/2023 R-000321 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
608 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
608.1 5/5/2023 R-000322 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
609 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
609.1 5/5/2023 R-000323 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
610 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
610.1 5/5/2023 R-000361 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
611 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
611.1 5/5/2023 R-000367 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
612 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
612.1 5/5/2023 R-000371 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
613 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
613.1 5/5/2023 R-000373 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
614 00141325 - Rochayati, Sakum, Ny - Dusun Poris 008/002 Mamgunjaya Pangandaran
614.1 5/5/2023 R-000388 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
615 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
615.1 5/6/2023 R-000413 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
616 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
616.1 5/6/2023 R-000429 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
617 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
617.1 5/6/2023 R-000431 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
618 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
618.1 5/6/2023 R-000434 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
619 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
619.1 5/6/2023 R-000440 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
620 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
620.1 5/6/2023 R-000445 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
621 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
621.1 5/6/2023 R-000450 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
622 00240654 - Erna Wati M, Ny - Adiwerna 035/002 Adiwerna Tegal
622.1 5/6/2023 R-000451 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
623 00242121 - Umu Laely, Ny - Jenang 004/017 Majenang
623.1 5/7/2023 R-000502 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
624 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
624.1 5/8/2023 R-000515 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
625 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
625.1 5/8/2023 R-000523 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
626 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
626.1 5/8/2023 R-000530 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
627 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
627.1 5/8/2023 R-000552 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
628 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
628.1 5/8/2023 R-000553 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
629 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
629.1 5/8/2023 R-000559 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
630 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
630.1 5/8/2023 R-000565 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
631 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
631.1 5/8/2023 R-000577 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
632 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
632.1 5/9/2023 R-000592 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
633 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
633.1 5/9/2023 R-000617 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
634 00229627 - Iis Sugiarti, Ny - Cikawung 001/006 Pekuncen Banyumas
634.1 5/9/2023 R-000620 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
635 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
635.1 5/10/2023 R-000657 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
636 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
636.1 5/10/2023 R-000660 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
637 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
637.1 5/10/2023 R-000663 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
638 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
638.1 5/10/2023 R-000668 dr. Sigit Tamofen Tab
60 2,600 156,000
Unggul 10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
639 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
639.1 5/10/2023 R-000686 dr. Sigit Tamofen Tab
60 2,600 156,000
Unggul 10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
640 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
640.1 5/10/2023 R-000720 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
641 00240786 - Sanis Wiryadi,Ny - Jalan Kendeng 05/015 Sidanegara cilacap Tengah Cilacap
641.1 5/11/2023 R-000762 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
642 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
642.1 5/11/2023 R-000797 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
643 00159547 - Suparni, Kuswanto,Ny - Bentarsari 005/001 salem Brebes
643.1 5/11/2023 R-000798 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
644 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
644.1 5/11/2023 R-000799 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
645 00240402 - Marti Tumiyati, Ny - Tambagsogra 001/005 Tambaksogra Sumbang
645.1 5/11/2023 R-000803 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
646 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
646.1 5/11/2023 R-000806 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
647 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
647.1 5/12/2023 R-000830 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
648 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
648.1 5/12/2023 R-000831 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
649 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
649.1 5/12/2023 R-000833 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
650 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
650.1 5/12/2023 R-000872 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
651 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
651.1 5/12/2023 R-000873 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
652 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
652.1 5/12/2023 R-000876 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
653 00155229 - Suratmi, Sarno, Ny - Betun kota 002/001 Kletek, Malaka Tengah
653.1 5/12/2023 R-000879 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,600 468,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
654 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
654.1 5/12/2023 R-000883 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
655 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
655.1 5/12/2023 R-000890 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
656 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
656.1 5/12/2023 R-000893 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
657 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
657.1 5/12/2023 R-000898 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
658 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
658.1 5/13/2023 R-000907 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
659 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
659.1 5/13/2023 R-000908 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
660 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
660.1 5/13/2023 R-000931 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
661 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
661.1 5/13/2023 R-000933 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
662 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
662.1 5/13/2023 R-000936 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
663 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
663.1 5/15/2023 R-000986 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
664 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
664.1 5/15/2023 R-000982 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
665 00168535 - Barni, Asmadi, Ny - Adisana 001/006
665.1 5/15/2023 R-000988 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
666 00234249 - Karsinah, Nawiraji. Ny - Sindangbarang 001/001 Sindangbarang, Karangpucung
666.1 4/26/2023 R-001160 dr. Sigit Tamofen Tab
60 2,600 156,000
Unggul 10 mg
Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
667 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
667.1 5/15/2023 R-001038 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
668 00142741 - Danik Sri Sudarti, Ny - Karang Kajen 002/003 Wonosobo Timur Wonosobo
668.1 5/15/2023 R-001039 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
669 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
669.1 5/15/2023 R-001042 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
670 00176737 - Paryati, Satiman Purwanto, Ny - Rogojati 005/002 Sukoharjo Wonosobo
670.1 5/16/2023 R-001072 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
671 00171410 - Kanti, Redjo Kartono, Ny - Ds. Kutabanjarnegara 001/006 Banjarnegara
671.1 5/16/2023 R-001095 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
672 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
672.1 5/16/2023 R-001100 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
673 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
673.1 5/16/2023 R-001101 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
674 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
674.1 5/16/2023 R-001105 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
675 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
675.1 5/16/2023 R-001121 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
676 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
676.1 5/17/2023 R-001145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
677 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
677.1 5/17/2023 R-001150 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
678 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
678.1 5/17/2023 R-001151 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
679 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
679.1 5/17/2023 R-001186 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
680 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
680.1 5/17/2023 R-001190 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
681 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
681.1 5/17/2023 R-001189 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
682 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
682.1 5/18/2023 R-001237 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
683 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
683.1 5/19/2023 R-001255 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
684 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
684.1 5/19/2023 R-001257 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
685 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
685.1 5/19/2023 R-001293 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
686 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
686.1 5/19/2023 R-001313 dr. Ageng Tamofen Tab
60 2,600 156,000
Bella 10 mg
dinata Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
687 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
687.1 5/20/2023 R-001321 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
688 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
688.1 5/20/2023 R-001322 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
689 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
689.1 5/20/2023 R-001323 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
690 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
690.1 5/20/2023 R-001328 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
691 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
691.1 5/20/2023 R-001329 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
692 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
692.1 5/21/2023 R-001347 dr. Tamofen Tab
Rahardita 10 mg 60 2,600 156,000
Alidris Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
693 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
693.1 5/22/2023 R-001353 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
694 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
694.1 5/22/2023 R-001376 dr. Andika Tamofen Tab
60 2,600 156,000
Pratiwi 10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
695 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
695.1 5/22/2023 R-001380 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
696 00121153 - Siti Khalimah, Ny - Doplang 001/008
696.1 5/22/2023 R-001387 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
697 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
697.1 5/22/2023 R-001389 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
698 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
698.1 5/22/2023 R-001393 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
699 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
699.1 5/23/2023 R-001399 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
700 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
700.1 5/24/2023 R-001451 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
701 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
701.1 5/24/2023 R-001453 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
702 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
702.1 5/24/2023 R-001454 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
703 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
703.1 5/24/2023 R-001476 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
704 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
704.1 5/24/2023 R-001484 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
705 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
705.1 5/24/2023 R-001495 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
706 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
706.1 5/25/2023 R-001514 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
707 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
707.1 5/25/2023 R-001528 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
708 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
708.1 5/26/2023 R-001562 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
709 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
709.1 5/26/2023 R-001563 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
710 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
710.1 5/26/2023 R-001564 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
711 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
711.1 5/26/2023 R-001597 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
712 00229788 - Dani Murwanti. Ny - Jl Kertadeirjan 15 001/003 Sokaraja kulon
712.1 5/26/2023 R-001618 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
120 2,600 312,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
713 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
713.1 5/27/2023 R-001621 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
714 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
714.1 5/27/2023 R-001622 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
715 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
715.1 5/27/2023 R-001627 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
716 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
716.1 5/27/2023 R-001629 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
717 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
717.1 5/27/2023 R-001633 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
718 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
718.1 5/27/2023 R-001636 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
719 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
719.1 5/27/2023 R-001647 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
720 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
720.1 5/29/2023 R-001685 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
721 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
721.1 5/29/2023 R-001689 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
722 00140133 - Atik Sri Murwati, Ny - Losari 004/003 Sumur Brangsong
722.1 5/29/2023 R-001684 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,600 468,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
723 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
723.1 5/29/2023 R-001716 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
724 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
724.1 5/29/2023 R-001723 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
725 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
725.1 5/29/2023 R-001724 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
726 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
726.1 5/29/2023 R-001727 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
727 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
727.1 5/29/2023 R-001728 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
728 00242179 - Dewi Ida Purwanti, Ny - Prupuk Selatan 006/002 Margasari Tegal
728.1 5/29/2023 R-001718 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
729 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
729.1 5/30/2023 R-001800 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
730 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
730.1 5/31/2023 R-001819 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
731 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
731.1 5/31/2023 R-001821 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
732 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
732.1 5/31/2023 R-001822 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
733 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
733.1 5/31/2023 R-001843 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
734 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
734.1 5/31/2023 R-001851 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
735 00130381 - Sabaryani, Waryo Utomo, Ny - Gondang 017/004 Watumalang Wonosobo
735.1 5/31/2023 R-001864 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
736 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
736.1 6/1/2023 R-000004 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
737 00224590 - Nirwahyuni Tyas Widi Astuti, Ny - JL. Palm 005/007 Gumilir Cilacap Utara Cilacap
737.1 6/1/2023 R-000016 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
738 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
738.1 6/2/2023 R-000037 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
739 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
739.1 6/2/2023 R-000038 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
740 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
740.1 6/2/2023 R-000039 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
741 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
741.1 6/2/2023 R-000044 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
742 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
742.1 6/2/2023 R-000045 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
743 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
743.1 6/2/2023 R-000046 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
744 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
744.1 6/2/2023 R-000085 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
745 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
745.1 6/2/2023 R-000086 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
746 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
746.1 6/3/2023 R-000114 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
747 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
747.1 6/3/2023 R-000120 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
748 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
748.1 6/3/2023 R-000121 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
749 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
749.1 6/3/2023 R-000122 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
750 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
750.1 6/3/2023 R-000125 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
751 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
751.1 6/3/2023 R-000129 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
752 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
752.1 6/3/2023 R-000130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
753 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
753.1 6/3/2023 R-000134 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
754 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
754.1 6/3/2023 R-000135 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
755 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
755.1 6/3/2023 R-000148 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
756 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
756.1 6/5/2023 R-000182 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
757 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
757.1 6/5/2023 R-000184 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
758 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
758.1 6/5/2023 R-000189 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
759 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
759.1 6/5/2023 R-000183 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
760 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
760.1 6/5/2023 R-000191 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
761 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
761.1 6/5/2023 R-000192 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
762 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
762.1 6/5/2023 R-000193 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
763 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
763.1 6/5/2023 R-000197 dr. Eka Tamofen Tab
60 2,600 156,000
Wijaya 10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
764 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
764.1 6/5/2023 R-000210 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
765 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
765.1 6/5/2023 R-000212 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
766 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
766.1 6/5/2023 R-000214 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
767 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
767.1 6/5/2023 R-000221 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
768 00207952 - Yunengsih, Kasan. Ny - KP. Krajan I 001/001 Kediri, Binong
768.1 6/6/2023 R-000242 dr. Lopo Tamofen Tab
Triyanto, 10 mg
600 2,600 1,560,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 1,560,000
Sub Total Embalase 0
Total Per Pasien 1,560,000
769 00214490 - Elly Aryuni, Ny - Pandak 006/002 Sumpiuh Banyumas
769.1 6/6/2023 R-000267 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
770 00242179 - Dewi Ida Purwanti, Ny - Prupuk Selatan 006/002 Margasari Tegal
770.1 6/6/2023 R-000268 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
771 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
771.1 6/7/2023 R-000296 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
772 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
772.1 6/7/2023 R-000300 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
773 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
773.1 6/7/2023 R-000301 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
774 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
774.1 6/7/2023 R-000308 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
775 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
775.1 6/7/2023 R-000327 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
776 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
776.1 6/7/2023 R-000333 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
777 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
777.1 6/7/2023 R-000336 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
778 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
778.1 6/7/2023 R-000338 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
779 00216858 - Siti Nur Faiqoh,Ny - Sidadi 002/006 Bulaksari bantarsari Cilacap
779.1 6/7/2023 R-000339 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
780 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
780.1 6/7/2023 R-000342 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
781 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
781.1 6/7/2023 R-000355 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
782 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
782.1 6/9/2023 R-000407 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
783 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
783.1 6/9/2023 R-000410 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
784 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
784.1 6/9/2023 R-000411 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
785 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
785.1 6/9/2023 R-000449 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
786 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
786.1 6/9/2023 R-000447 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
787 00154445 - Welas Nurasih, Ny - Bendo 003/002 pagu kediri jawa timur
787.1 6/9/2023 R-000457 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
788 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
788.1 6/10/2023 R-000473 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
789 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
789.1 6/10/2023 R-000478 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
790 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
790.1 6/10/2023 R-000480 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
791 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
791.1 6/10/2023 R-000481 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
792 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
792.1 6/10/2023 R-000484 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
793 00159547 - Suparni, Kuswanto,Ny - Bentarsari 005/001 salem Brebes
793.1 6/10/2023 R-000492 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
794 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
794.1 6/10/2023 R-000493 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
795 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
795.1 6/10/2023 R-000502 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
796 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
796.1 6/10/2023 R-000506 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
797 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
797.1 6/12/2023 R-000557 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
798 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
798.1 6/12/2023 R-000558 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
799 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
799.1 6/12/2023 R-000556 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
800 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
800.1 6/12/2023 R-000565 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
801 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
801.1 6/12/2023 R-000590 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
802 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
802.1 6/12/2023 R-000595 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
803 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
803.1 6/12/2023 R-000589 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
804 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
804.1 6/12/2023 R-000601 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
805 00242256 - Erna Estriyani. Ny - Purwodadi 002/003
805.1 6/13/2023 R-000625 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
806 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
806.1 6/13/2023 R-000656 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
807 00242510 - Siti Setyowati, Ny - Limbangan 001/003 Madukara Banjarnegara
807.1 6/13/2023 R-000657 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
808 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
808.1 6/13/2023 R-000658 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
809 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
809.1 6/14/2023 R-000682 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
810 00168535 - Barni, Asmadi, Ny - Adisana 001/006
810.1 6/14/2023 R-000687 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
811 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
811.1 6/14/2023 R-000719 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
812 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
812.1 6/15/2023 R-000744 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
813 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
813.1 6/15/2023 R-000775 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
814 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
814.1 6/15/2023 R-000776 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
815 00242166 - Samsiyah, Kudori, Ny - Jl Delima No. 25 004/005 Kuripan Kesugihan
815.1 6/15/2023 R-000779 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
816 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
816.1 6/15/2023 R-000786 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
817 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
817.1 6/15/2023 R-000787 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
818 00163783 - Munawati, Mulyono, Ny - Tlagayasa 002/007 Bobotsari Purbalingga
818.1 6/15/2023 R-000788 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
819 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
819.1 6/16/2023 R-000811 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
820 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
820.1 6/16/2023 R-000812 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
821 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
821.1 6/16/2023 R-000813 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
822 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
822.1 6/16/2023 R-000849 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
823 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
823.1 6/17/2023 R-000873 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
824 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
824.1 6/17/2023 R-000888 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
825 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
825.1 6/17/2023 R-000893 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
826 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
826.1 6/17/2023 R-000906 dr. Tamofen Tab
Rahardita 10 mg 60 2,600 156,000
Alidris Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
827 00219758 - Mei Cen, Ny - Jl Jend Suprapto No 43, Purwokerto Purwokerto Lor Purwokerrto Timur
827.1 6/17/2023 R-000909 dr. Tamofen Tab
Rahardita 10 mg 60 2,600 156,000
Alidris Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
828 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
828.1 6/19/2023 R-000942 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
829 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
829.1 6/19/2023 R-000966 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
830 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
830.1 6/20/2023 R-000989 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
831 00183084 - Sumarsih, Madnursam, Ny - Karangklesem 001/008 Purwokerto Selatan
831.1 6/20/2023 R-000996 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
832 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
832.1 6/20/2023 R-001014 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
833 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
833.1 6/21/2023 R-001048 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
834 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
834.1 6/21/2023 R-001049 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
835 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
835.1 6/21/2023 R-001050 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
836 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
836.1 6/21/2023 R-001075 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
837 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
837.1 6/21/2023 R-001076 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
838 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
838.1 6/21/2023 R-001079 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
839 00121153 - Siti Khalimah, Ny - Doplang 001/008
839.1 6/21/2023 R-001083 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
840 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
840.1 6/21/2023 R-001082 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
841 00224629 - Warsiti, Dahlan, Ny - Karangklesem 002/001 Pekuncen
841.1 6/22/2023 R-001134 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
842 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
842.1 6/22/2023 R-001139 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
843 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
843.1 6/22/2023 R-001140 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
844 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
844.1 6/22/2023 R-001170 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
845 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
845.1 6/22/2023 R-001185 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
846 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
846.1 6/23/2023 R-001193 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
847 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
847.1 6/23/2023 R-001199 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
848 00242106 - Toriah, Daliri, Ny - Dusun Krajan 010/001 Cibuyur Warungpring Pemalang
848.1 6/23/2023 R-001213 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
849 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
849.1 6/23/2023 R-001212 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
850 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
850.1 6/23/2023 R-001214 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
851 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
851.1 6/23/2023 R-001226 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
852 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
852.1 6/24/2023 R-001239 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
853 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
853.1 6/24/2023 R-001240 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
854 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
854.1 6/24/2023 R-001250 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
855 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
855.1 6/24/2023 R-001251 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
856 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
856.1 6/24/2023 R-001264 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
857 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
857.1 6/26/2023 R-001308 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
858 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
858.1 6/26/2023 R-001312 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
859 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
859.1 6/26/2023 R-001318 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
860 00242461 - Heti Purwati, Ny - Dusun Sindangsari 008/003 Purwajaya Purwadadi Ciamis
860.1 6/26/2023 R-001321 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
861 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
861.1 6/26/2023 R-001323 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
862 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
862.1 6/26/2023 R-001336 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
863 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
863.1 6/26/2023 R-001337 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
864 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
864.1 6/26/2023 R-001344 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
865 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
865.1 6/26/2023 R-001346 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
866 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
866.1 6/27/2023 R-001363 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
867 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
867.1 6/27/2023 R-001370 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
868 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
868.1 6/28/2023 R-001407 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
869 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
869.1 6/28/2023 R-001406 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
870 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
870.1 6/28/2023 R-001409 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
871 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
871.1 6/28/2023 R-001419 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
872 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
872.1 6/28/2023 R-001420 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
873 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
873.1 6/28/2023 R-001424 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
874 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
874.1 6/29/2023 R-001454 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
875 00188572 - Endang Sayekti Dwi Hariningsih, Ny - Jl. Marta Atmaja 002/011 Padangjaya Majenang
Cilacap
875.1 6/29/2023 R-001456 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
876 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
876.1 6/30/2023 R-001457 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
877 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
877.1 6/30/2023 R-001463 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
878 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
878.1 6/30/2023 R-001464 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
879 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
879.1 6/30/2023 R-001476 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
880 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
880.1 6/30/2023 R-001477 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
881 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
881.1 6/30/2023 R-001482 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
882 00242114 - Tanimah, Rushad, Ny - Bantarbolang 004/004 bantarbolang Pemalang
882.1 6/30/2023 R-001487 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
883 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
883.1 7/1/2023 R-000006 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
884 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
884.1 7/1/2023 R-000010 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
885 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
885.1 7/1/2023 R-000013 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
886 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
886.1 7/1/2023 R-000015 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
887 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
887.1 7/1/2023 R-000017 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
888 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
888.1 7/1/2023 R-000018 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
889 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
889.1 7/1/2023 R-000019 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
890 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
890.1 7/1/2023 R-000021 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
891 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
891.1 7/1/2023 R-000032 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
892 00242630 - Lia Yulianti, Ny - Sukamantri 006/002 Sukasari Cidolog Ciamis
892.1 7/3/2023 R-000091 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
893 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
893.1 7/3/2023 R-000095 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
894 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
894.1 7/3/2023 R-000096 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
895 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
895.1 7/3/2023 R-000099 dr. Lopo Tamofen Tab
Triyanto, 10 mg
2 2,600 5,200
Sp.B.(K) Kalbe
Onk
895.2 7/3/2023 R-000099 dr. Lopo Tamofen Tab
Triyanto, 10 mg
58 2,600 150,800
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
896 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
896.1 7/3/2023 R-000100 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
897 00191628 - Susni Munarto,Ny - Cirebah 001/008 Cihonje Gumelar Banyumas
897.1 7/3/2023 R-000104 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
898 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
898.1 7/3/2023 R-000129 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
899 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
899.1 7/3/2023 R-000130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
900 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
900.1 7/3/2023 R-000151 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
901 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
901.1 7/5/2023 R-000230 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
902 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
902.1 7/5/2023 R-000232 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
903 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
903.1 7/5/2023 R-000233 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
904 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
904.1 7/5/2023 R-000237 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
905 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
905.1 7/5/2023 R-000238 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
906 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
906.1 7/5/2023 R-000263 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
907 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
907.1 7/5/2023 R-000264 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
908 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
908.1 7/5/2023 R-000266 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
909 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
909.1 7/5/2023 R-000275 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
910 00234127 - Atik Susilowati, Ny - Cikadu 022/004 Cikadu Watukumpul
910.1 7/5/2023 R-000281 dr. Lopo Tamofen Tab
Triyanto, 10 mg
30 2,600 78,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 78,000
Sub Total Embalase 0
Total Per Pasien 78,000
911 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
911.1 7/6/2023 R-000302 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
912 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
912.1 7/6/2023 R-000330 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
913 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
913.1 7/7/2023 R-000360 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
914 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
914.1 7/7/2023 R-000359 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
915 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
915.1 7/7/2023 R-000363 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
916 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
916.1 7/7/2023 R-000372 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
917 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
917.1 7/7/2023 R-000375 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
918 00154445 - Welas Nurasih, Ny - Bendo 003/002 pagu kediri jawa timur
918.1 7/7/2023 R-000378 dr. Doni Tamofen Tab
180 2,600 468,000
Kristiyono 10 mg
Kalbe Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
919 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
919.1 7/7/2023 R-000400 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
920 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
920.1 7/7/2023 R-000402 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
921 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
921.1 7/7/2023 R-000405 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
922 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
922.1 7/7/2023 R-000406 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
923 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
923.1 7/7/2023 R-000407 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
924 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
924.1 7/7/2023 R-000409 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
925 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
925.1 7/7/2023 R-000431 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
926 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
926.1 7/8/2023 R-000448 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
927 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
927.1 7/8/2023 R-000453 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
928 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
928.1 7/8/2023 R-000463 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
929 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
929.1 7/8/2023 R-000472 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
930 00169649 - Sunarsih, Samiadi, Ny - Sidaurip 006/004 Gandrungmangu Cilacap
930.1 7/8/2023 R-000480 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
931 00168658 - Sri Meniwati, Ny - Jl. Pramuka No.132 002/003 Purwokerto Kulon
931.1 7/10/2023 R-000516 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
932 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
932.1 7/10/2023 R-000520 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
933 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
933.1 7/10/2023 R-000519 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
934 00242461 - Heti Purwati, Ny - Dusun Sindangsari 008/003 Purwajaya Purwadadi Ciamis
934.1 7/10/2023 R-000526 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
935 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
935.1 7/10/2023 R-000552 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
936 00240787 - Sri Purwasih,Ny - Gayamsari 005/004 Purwasari, Wanareja
936.1 7/10/2023 R-000551 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
937 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
937.1 7/10/2023 R-000564 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
938 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
938.1 7/11/2023 R-000612 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
939 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
939.1 7/11/2023 R-000614 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
940 00150838 - Karyati, Ngateman, Ny - Tambaknegara 005/002
940.1 7/11/2023 R-000615 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
941 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
941.1 7/11/2023 R-000632 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
942 00130381 - Sabaryani, Waryo Utomo, Ny - Gondang 017/004 Watumalang Wonosobo
942.1 7/11/2023 R-000648 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
943 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
943.1 7/12/2023 R-000681 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
944 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
944.1 7/12/2023 R-000682 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
945 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
945.1 7/12/2023 R-000683 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
946 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
946.1 7/12/2023 R-000685 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
947 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
947.1 7/12/2023 R-000684 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
948 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
948.1 7/12/2023 R-000704 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
949 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
949.1 7/12/2023 R-000710 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
950 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
950.1 7/12/2023 R-000711 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
951 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
951.1 7/12/2023 R-000725 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
952 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
952.1 7/12/2023 R-000735 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
953 00242256 - Erna Estriyani. Ny - Purwodadi 002/003
953.1 7/13/2023 R-000744 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
954 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
954.1 7/13/2023 R-000756 dr. Andika Tamofen Tab
60 2,600 156,000
Pratiwi 10 mg
Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
955 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
955.1 7/13/2023 R-000777 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
956 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
956.1 7/14/2023 R-000787 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
957 00168535 - Barni, Asmadi, Ny - Adisana 001/006
957.1 7/14/2023 R-000810 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
958 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
958.1 7/14/2023 R-000811 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
959 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
959.1 7/14/2023 R-000812 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
960 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
960.1 7/14/2023 R-000814 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
961 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
961.1 7/15/2023 R-000845 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
962 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
962.1 7/15/2023 R-000846 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
963 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
963.1 7/15/2023 R-000847 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
964 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
964.1 7/15/2023 R-000848 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
965 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
965.1 7/15/2023 R-000877 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
966 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
966.1 7/15/2023 R-000878 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
967 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
967.1 7/15/2023 R-000888 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
968 00242500 - Parsiti, Dulmanan, Ny - Jl. Kinibalu No. 37 002/011 Sidanegara Cilacap
968.1 7/15/2023 R-000890 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
969 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
969.1 7/15/2023 R-000892 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
970 00242535 - Nur Jaetun,Ny - mangli 007/002 Randudongkal Pemalang
970.1 7/17/2023 R-000939 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
971 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
971.1 7/17/2023 R-000965 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
972 00150838 - Karyati, Ngateman, Ny - Tambaknegara 005/002
972.1 7/17/2023 R-000979 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
973 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
973.1 7/17/2023 R-000981 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
974 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
974.1 7/19/2023 R-001085 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
975 00210301 - Warsinah, Murtasan, Ny - Kalisari 005/004 Cilongok Banyumas
975.1 7/19/2023 R-001088 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
976 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
976.1 7/19/2023 R-001091 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
977 00242802 - Elisa Yuliati,Ny - Jalan Pisang 001/004 Bulupayung Kesugihan Cilacap
977.1 7/19/2023 R-001092 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
978 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
978.1 7/19/2023 R-001105 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
979 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
979.1 7/19/2023 R-001107 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
980 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
980.1 7/20/2023 R-001119 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
981 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
981.1 7/21/2023 R-001151 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
982 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
982.1 7/21/2023 R-001153 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
983 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
983.1 7/21/2023 R-001175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
984 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
984.1 7/21/2023 R-001180 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
985 00219758 - Mei Cen, Ny - Jl Jend Suprapto No 43, Purwokerto Purwokerto Lor Purwokerrto Timur
985.1 7/21/2023 R-001188 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
60 2,600 156,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
986 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
986.1 7/22/2023 R-001200 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
987 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
987.1 7/22/2023 R-001203 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
988 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
988.1 7/22/2023 R-001205 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
989 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
989.1 7/22/2023 R-001206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
990 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
990.1 7/22/2023 R-001208 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
991 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
991.1 7/22/2023 R-001207 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
992 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
992.1 7/22/2023 R-001211 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
993 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
993.1 7/22/2023 R-001212 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
994 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
994.1 7/22/2023 R-001215 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
995 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
995.1 7/22/2023 R-001228 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
996 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
996.1 7/22/2023 R-001234 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
997 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
997.1 7/24/2023 R-001269 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
998 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
998.1 7/24/2023 R-001274 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
999 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
999.1 7/24/2023 R-001270 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1000 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
1000.1 7/24/2023 R-001288 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1001 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
1001.1 7/24/2023 R-001310 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1002 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
1002.1 7/24/2023 R-001313 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1003 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
1003.1 7/24/2023 R-001314 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1004 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
1004.1 7/24/2023 R-001327 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1005 00225840 - Khuryati, Munarjo, Ny - Dsn Krajan Badak 001/002 Badak Belik
1005.1 7/24/2023 R-001335 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1006 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
1006.1 7/25/2023 R-001349 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1007 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
1007.1 7/25/2023 R-001373 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1008 00181714 - Tasmiyati, H. Rusmin, Ny - Dusun Karangmulya 002/006 Nusawungu Cilacap
1008.1 7/25/2023 R-001379 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1009 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
1009.1 7/25/2023 R-001382 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1010 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
1010.1 7/26/2023 R-001402 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1011 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
1011.1 7/26/2023 R-001432 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1012 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
1012.1 7/26/2023 R-001433 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1013 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
1013.1 7/28/2023 R-001493 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
1014 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
1014.1 7/28/2023 R-001495 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1015 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
1015.1 7/28/2023 R-001510 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1016 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
1016.1 7/28/2023 R-001514 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1017 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
1017.1 7/28/2023 R-001520 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1018 00229788 - Dani Murwanti. Ny - Jl Kertadeirjan 15 001/003 Sokaraja kulon
1018.1 7/28/2023 R-001533 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
60 2,600 156,000
Sp.PD.,KH Kalbe
OM
1018.2 7/28/2023 R-001533 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
120 2,600 312,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
1019 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
1019.1 7/29/2023 R-001545 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1020 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
1020.1 7/29/2023 R-001548 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1021 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
1021.1 7/29/2023 R-001551 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1022 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
1022.1 7/29/2023 R-001553 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1023 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
1023.1 7/29/2023 R-001561 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1024 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
1024.1 7/29/2023 R-001570 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1025 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
1025.1 7/29/2023 R-001572 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1026 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
1026.1 7/29/2023 R-001574 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1027 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
1027.1 7/31/2023 R-001600 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1028 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
1028.1 7/31/2023 R-001603 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1029 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
1029.1 7/31/2023 R-001604 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1030 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
1030.1 7/31/2023 R-001606 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1031 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
1031.1 7/31/2023 R-001610 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1032 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
1032.1 7/31/2023 R-001633 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1033 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
1033.1 7/31/2023 R-001635 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1034 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
1034.1 7/31/2023 R-001640 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1035 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
1035.1 7/31/2023 R-001649 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1036 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
1036.1 8/2/2023 R-000060 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1037 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
1037.1 8/2/2023 R-000061 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1038 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
1038.1 8/2/2023 R-000063 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1039 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
1039.1 8/2/2023 R-000065 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1040 00157898 - Caskiroh, Walyono, Ny - Kubangputat 002/002 Tanjung Brebes
1040.1 8/2/2023 R-000083 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1041 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
1041.1 8/2/2023 R-000084 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1042 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
1042.1 8/3/2023 R-000103 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1043 00242701 - Lilis Ernawati, Ny - Mangli 002/002 Randudongkal Pemalang
1043.1 8/3/2023 R-000125 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1044 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
1044.1 8/3/2023 R-000126 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1045 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
1045.1 8/3/2023 R-000130 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1046 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
1046.1 8/4/2023 R-000143 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1047 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
1047.1 8/4/2023 R-000144 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1048 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
1048.1 8/4/2023 R-000145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1049 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
1049.1 8/4/2023 R-000178 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1050 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
1050.1 8/4/2023 R-000182 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1051 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
1051.1 8/4/2023 R-000185 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1052 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
1052.1 8/4/2023 R-000183 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1053 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
1053.1 8/4/2023 R-000186 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1054 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
1054.1 8/4/2023 R-000189 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1055 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
1055.1 8/5/2023 R-000216 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1056 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
1056.1 8/5/2023 R-000217 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1057 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1057.1 8/5/2023 R-000220 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1058 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
1058.1 8/5/2023 R-000226 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1059 00197745 - Tutik Wahyuninsih, Ny - Desa Candinegara 001/003 Pekuncen Banyumas
1059.1 8/5/2023 R-000229 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1060 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
1060.1 8/5/2023 R-000234 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1061 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
1061.1 8/5/2023 R-000235 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1062 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
1062.1 8/5/2023 R-000239 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1063 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
1063.1 8/5/2023 R-000244 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1064 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
1064.1 8/5/2023 R-000243 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1065 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
1065.1 8/5/2023 R-000246 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1066 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
1066.1 8/5/2023 R-000259 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1067 00169649 - Sunarsih, Samiadi, Ny - Sidaurip 006/004 Gandrungmangu Cilacap
1067.1 8/5/2023 R-000261 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1068 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
1068.1 8/5/2023 R-000265 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1069 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
1069.1 8/5/2023 R-000267 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1070 00242719 - Darti, Tanto, Ny - Kp. Cibodas 001/003 Cibodas Tangerang
1070.1 8/7/2023 R-000314 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1071 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
1071.1 8/7/2023 R-000313 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1072 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
1072.1 8/7/2023 R-000317 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1073 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
1073.1 8/7/2023 R-000323 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1074 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
1074.1 8/7/2023 R-000351 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1075 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
1075.1 8/7/2023 R-000359 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1076 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
1076.1 8/8/2023 R-000405 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1077 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
1077.1 8/8/2023 R-000420 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1078 00242655 - Mukhaenah, Kiswo, Ny - Kutayasa 002/003 Bawang Banjarnegara
1078.1 8/8/2023 R-000435 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1079 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
1079.1 8/9/2023 R-000448 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1080 00159547 - Suparni, Kuswanto,Ny - Bentarsari 005/001 salem Brebes
1080.1 8/9/2023 R-000454 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1081 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
1081.1 8/9/2023 R-000475 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1082 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
1082.1 8/9/2023 R-000486 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1083 00168658 - Sri Meniwati, Ny - Jl. Pramuka No.132 002/003 Purwokerto Kulon
1083.1 8/10/2023 R-000503 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1084 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
1084.1 8/10/2023 R-000510 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1085 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
1085.1 8/10/2023 R-000511 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1086 00242166 - Samsiyah, Kudori, Ny - Jl Delima No. 25 004/005 Kuripan Kesugihan
1086.1 8/10/2023 R-000514 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1087 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
1087.1 8/10/2023 R-000519 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1088 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
1088.1 8/10/2023 R-000520 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1089 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
1089.1 8/10/2023 R-000528 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1090 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
1090.1 8/11/2023 R-000536 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1091 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
1091.1 8/11/2023 R-000539 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1092 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
1092.1 8/11/2023 R-000542 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1093 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
1093.1 8/11/2023 R-000545 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1094 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
1094.1 8/11/2023 R-000563 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1095 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
1095.1 8/11/2023 R-000564 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1096 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
1096.1 8/11/2023 R-000568 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1097 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
1097.1 8/11/2023 R-000583 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1098 00242256 - Erna Estriyani. Ny - Purwodadi 002/003
1098.1 8/12/2023 R-000592 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1099 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
1099.1 8/12/2023 R-000597 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1100 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
1100.1 8/12/2023 R-000606 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1101 00242802 - Elisa Yuliati,Ny - Jalan Pisang 001/004 Bulupayung Kesugihan Cilacap
1101.1 8/12/2023 R-000610 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1102 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
1102.1 8/12/2023 R-000618 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1103 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
1103.1 8/12/2023 R-000621 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1104 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
1104.1 8/12/2023 R-000624 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1105 00242993 - Hj.Edah Djubaedah,Ny - Girisetra 006/002 Kalipucang Pangandaran
1105.1 8/14/2023 R-000652 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1106 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
1106.1 8/14/2023 R-000654 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1107 00168535 - Barni, Asmadi, Ny - Adisana 001/006
1107.1 8/14/2023 R-000655 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1108 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
1108.1 8/14/2023 R-000658 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1109 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
1109.1 8/14/2023 R-000661 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1110 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
1110.1 8/14/2023 R-000705 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1111 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
1111.1 8/14/2023 R-000706 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1112 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
1112.1 8/14/2023 R-000708 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1113 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
1113.1 8/14/2023 R-000726 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1114 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
1114.1 8/15/2023 R-000775 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1115 00242723 - Musayaroh, Sukono, Ny - Semanding 004/004 Gombong Kebumen
1115.1 8/15/2023 R-000778 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1116 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
1116.1 8/16/2023 R-000805 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1117 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
1117.1 8/16/2023 R-000808 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1118 00226630 - Ispah Pebri Tianah, Ny - Dusun Ciulu 018/005 Banjarsari Ciamis
1118.1 8/16/2023 R-000830 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
1119 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
1119.1 8/16/2023 R-000843 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1120 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
1120.1 8/16/2023 R-000860 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1121 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
1121.1 8/18/2023 R-000883 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1122 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
1122.1 8/18/2023 R-000890 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1123 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
1123.1 8/18/2023 R-000912 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
1123.2 8/18/2023 R-000912 dr. Lopo Tamofen Tab
Triyanto, 10 mg
22 2,600 57,200
Sp.B.(K) Kalbe
Onk
1123.3 8/18/2023 R-000912 dr. Lopo Tamofen Tab
Triyanto, 10 mg
38 2,600 98,800
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1124 00183709 - Sakiyah, Sanuri, Ny - Gumelem Wetan 003/005. Susukan. Banjarnegara
1124.1 8/18/2023 R-000922 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1125 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
1125.1 8/18/2023 R-000927 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1126 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
1126.1 8/19/2023 R-000945 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1127 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
1127.1 8/19/2023 R-000947 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1128 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1128.1 8/19/2023 R-000952 dr. Shofa Tamofen Tab
Shabrina 10 mg 60 2,600 156,000
Henandar Kalbe
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1129 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
1129.1 8/19/2023 R-000963 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1130 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
1130.1 8/19/2023 R-000974 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1131 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
1131.1 8/21/2023 R-001005 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
1132 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
1132.1 8/21/2023 R-001007 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1133 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
1133.1 8/21/2023 R-001009 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1134 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
1134.1 8/21/2023 R-001010 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1135 00219758 - Mei Cen, Ny - Jl Jend Suprapto No 43, Purwokerto Purwokerto Lor Purwokerrto Timur
1135.1 8/21/2023 R-001031 dr. Wahyu Tamofen Tab
Djatmiko, 10 mg
60 2,600 156,000
Sp.PD.,KH Kalbe
OM
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1136 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
1136.1 8/21/2023 R-001042 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1137 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
1137.1 8/21/2023 R-001043 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1138 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
1138.1 8/21/2023 R-001048 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1139 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
1139.1 8/23/2023 R-001137 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1140 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
1140.1 8/23/2023 R-001138 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1141 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
1141.1 8/23/2023 R-001140 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1142 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
1142.1 8/23/2023 R-001141 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1143 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
1143.1 8/23/2023 R-001146 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1144 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
1144.1 8/23/2023 R-001175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1145 00243014 - Kasmirah, Kaswad, Ny - Kedungjati 002/001 Warureja Tegal
1145.1 8/23/2023 R-001176 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1146 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
1146.1 8/23/2023 R-001177 dr. Lopo Tamofen Tab
Triyanto, 10 mg
22 2,600 57,200
Sp.B.(K) Kalbe
Onk
1146.2 8/23/2023 R-001177 dr. Lopo Tamofen Tab
Triyanto, 10 mg
38 2,600 98,800
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1147 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
1147.1 8/23/2023 R-001181 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1148 00242535 - Nur Jaetun,Ny - mangli 007/002 Randudongkal Pemalang
1148.1 8/24/2023 R-001205 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1149 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
1149.1 8/24/2023 R-001209 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1150 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
1150.1 8/24/2023 R-001210 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1151 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
1151.1 8/24/2023 R-001233 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1152 00242904 - Suminah, Sutarno, Ny - Dusun Kertajaya 006/004 Mangunjaya Pangandaran
1152.1 8/24/2023 R-001234 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1153 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
1153.1 8/25/2023 R-001254 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1154 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
1154.1 8/25/2023 R-001260 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1155 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
1155.1 8/25/2023 R-001277 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1156 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
1156.1 8/25/2023 R-001292 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1157 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
1157.1 8/26/2023 R-001297 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1158 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
1158.1 8/26/2023 R-001302 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1159 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
1159.1 8/26/2023 R-001303 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1160 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
1160.1 8/26/2023 R-001304 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1161 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
1161.1 8/26/2023 R-001305 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1162 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
1162.1 8/26/2023 R-001309 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1163 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
1163.1 8/28/2023 R-001357 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1164 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
1164.1 8/28/2023 R-001358 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1165 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
1165.1 8/28/2023 R-001387 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1166 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
1166.1 8/28/2023 R-001394 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1167 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
1167.1 8/29/2023 R-001452 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
1167.2 9/1/2023 R-000014 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1168 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
1168.1 8/29/2023 R-001458 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1169 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
1169.1 8/29/2023 R-001468 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1170 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
1170.1 8/30/2023 R-001503 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1171 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
1171.1 8/30/2023 R-001505 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1172 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
1172.1 8/30/2023 R-001509 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1173 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
1173.1 8/30/2023 R-001511 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1174 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
1174.1 8/30/2023 R-001549 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1175 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
1175.1 8/30/2023 R-001551 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1176 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
1176.1 8/30/2023 R-001554 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1177 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
1177.1 8/31/2023 R-001591 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1178 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
1178.1 8/31/2023 R-001626 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1179 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
1179.1 8/31/2023 R-001631 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1180 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
1180.1 8/31/2023 R-001639 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1181 00155229 - Suratmi, Sarno, Ny - Betun kota 002/001 Kletek, Malaka Tengah
1181.1 8/31/2023 R-001649 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,600 468,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
1182 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
1182.1 9/1/2023 R-000004 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1183 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
1183.1 9/1/2023 R-000008 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1184 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
1184.1 9/1/2023 R-000009 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1185 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
1185.1 9/1/2023 R-000010 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1186 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
1186.1 9/1/2023 R-000041 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1187 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
1187.1 9/2/2023 R-000067 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1188 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
1188.1 9/2/2023 R-000069 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1189 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
1189.1 9/2/2023 R-000072 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1190 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
1190.1 9/2/2023 R-000090 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1191 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
1191.1 9/2/2023 R-000091 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1192 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
1192.1 9/2/2023 R-000093 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1193 00242701 - Lilis Ernawati, Ny - Mangli 002/002 Randudongkal Pemalang
1193.1 9/2/2023 R-000089 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1194 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
1194.1 9/2/2023 R-000092 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1195 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
1195.1 9/2/2023 R-000095 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1196 00242802 - Elisa Yuliati,Ny - Jalan Pisang 001/004 Bulupayung Kesugihan Cilacap
1196.1 9/2/2023 R-000097 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1197 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
1197.1 9/2/2023 R-000102 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1198 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
1198.1 9/2/2023 R-000103 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1199 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
1199.1 9/2/2023 R-000106 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1200 00141325 - Rochayati, Sakum, Ny - Dusun Poris 008/002 Mamgunjaya Pangandaran
1200.1 9/2/2023 R-000116 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1201 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
1201.1 9/4/2023 R-000139 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1202 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
1202.1 9/4/2023 R-000140 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1203 00243181 - Turahmi, Sawi, Ny - Petambakan 004/004 Madukara Banjarnegara
1203.1 9/4/2023 R-000141 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1204 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
1204.1 9/4/2023 R-000143 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1205 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
1205.1 9/4/2023 R-000145 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1206 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
1206.1 9/4/2023 R-000175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1207 00190327 - Rasih, Dasmiat, Ny - Ds. Negarajati 004/002 Cimanggu Cilacao
1207.1 9/4/2023 R-000176 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1208 00243183 - Siti Khasanah, Ny - Gandrungmanggu 002/005 Gandrungmangu Gandrungmangu
1208.1 9/4/2023 R-000179 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1209 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
1209.1 9/4/2023 R-000184 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1210 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
1210.1 9/5/2023 R-000219 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1211 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
1211.1 9/5/2023 R-000227 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1212 00242993 - Hj.Edah Djubaedah,Ny - Girisetra 006/002 Kalipucang Pangandaran
1212.1 9/5/2023 R-000235 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1213 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
1213.1 9/5/2023 R-000260 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1214 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
1214.1 9/5/2023 R-000264 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1215 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
1215.1 9/6/2023 R-000284 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1216 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
1216.1 9/6/2023 R-000287 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1217 00242719 - Darti, Tanto, Ny - Kp. Cibodas 001/003 Cibodas Tangerang
1217.1 9/6/2023 R-000288 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1218 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
1218.1 9/6/2023 R-000290 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1219 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
1219.1 9/6/2023 R-000325 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1220 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
1220.1 9/6/2023 R-000330 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1221 00243207 - Sanem, Martawirja, Ny - Dsn Ayamalas 001/012 Ayamalas, Kroya
1221.1 9/6/2023 R-000331 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1222 00242655 - Mukhaenah, Kiswo, Ny - Kutayasa 002/003 Bawang Banjarnegara
1222.1 9/6/2023 R-000333 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1223 00243011 - Reni Setiawati, Ny - Dsn Pangandaran Barat 001/006 Pangandaran
1223.1 9/7/2023 R-000378 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1224 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
1224.1 9/7/2023 R-000382 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1225 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
1225.1 9/7/2023 R-000394 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1226 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
1226.1 9/8/2023 R-000417 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1227 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
1227.1 9/8/2023 R-000451 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1228 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
1228.1 9/8/2023 R-000453 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1229 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
1229.1 9/8/2023 R-000454 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1230 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
1230.1 9/8/2023 R-000455 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1231 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
1231.1 9/9/2023 R-000500 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1232 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
1232.1 9/9/2023 R-000502 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1233 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
1233.1 9/9/2023 R-000503 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1234 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
1234.1 9/9/2023 R-000514 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1235 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
1235.1 9/9/2023 R-000515 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1236 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
1236.1 9/9/2023 R-000519 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1237 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
1237.1 9/9/2023 R-000520 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1238 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
1238.1 9/9/2023 R-000521 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1239 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
1239.1 9/9/2023 R-000523 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1240 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
1240.1 9/9/2023 R-000525 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1241 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
1241.1 9/9/2023 R-000538 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1242 00242256 - Erna Estriyani. Ny - Purwodadi 002/003
1242.1 9/11/2023 R-000588 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1243 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
1243.1 9/11/2023 R-000622 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1244 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
1244.1 9/11/2023 R-000634 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1245 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
1245.1 9/11/2023 R-000646 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1246 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
1246.1 9/12/2023 R-000691 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1247 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1247.1 9/12/2023 R-000692 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1248 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
1248.1 9/12/2023 R-000697 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1249 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
1249.1 9/13/2023 R-000716 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1250 00168535 - Barni, Asmadi, Ny - Adisana 001/006
1250.1 9/13/2023 R-000721 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1251 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
1251.1 9/13/2023 R-000722 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1252 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
1252.1 9/13/2023 R-000725 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1253 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
1253.1 9/13/2023 R-000726 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1254 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
1254.1 9/13/2023 R-000750 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1255 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
1255.1 9/13/2023 R-000751 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1256 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
1256.1 9/13/2023 R-000753 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1257 00242723 - Musayaroh, Sukono, Ny - Semanding 004/004 Gombong Kebumen
1257.1 9/13/2023 R-000759 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1258 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
1258.1 9/13/2023 R-000768 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1259 00242630 - Lia Yulianti, Ny - Sukamantri 006/002 Sukasari Cidolog Ciamis
1259.1 9/13/2023 R-000772 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1260 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
1260.1 9/13/2023 R-000789 dr. Lopo Tamofen Tab
Triyanto, 10 mg
12 2,600 31,200
Sp.B.(K) Kalbe
Onk
1260.2 9/13/2023 R-000789 dr. Lopo Tamofen Tab
Triyanto, 10 mg
48 2,600 124,800
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1261 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
1261.1 9/14/2023 R-000797 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1262 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
1262.1 9/14/2023 R-000846 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1263 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
1263.1 9/14/2023 R-000853 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1264 00243271 - Sukarni, Sumiarji, Ny - Sikapat 004/003 Sumbang
1264.1 9/15/2023 R-000886 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1265 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
1265.1 9/15/2023 R-000916 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1266 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
1266.1 9/15/2023 R-000935 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1267 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
1267.1 9/16/2023 R-000954 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1268 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
1268.1 9/16/2023 R-000955 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1269 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
1269.1 9/16/2023 R-000964 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1270 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1270.1 9/16/2023 R-000966 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1271 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
1271.1 9/18/2023 R-001018 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1272 00242993 - Hj.Edah Djubaedah,Ny - Girisetra 006/002 Kalipucang Pangandaran
1272.1 9/18/2023 R-001054 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1273 00143371 - Sri Sukapti, Ny - Jl Pinang 001/001 Pamulang Timur Pamulang Tangerang Selatan
1273.1 9/18/2023 R-001062 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
1274 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
1274.1 9/18/2023 R-001065 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1275 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
1275.1 9/19/2023 R-001114 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1276 00243144 - Trima, Sansukardi, Ny - Dusun Sidasari Wetan 002/004 Kubangkangkung Kawunganten
1276.1 9/19/2023 R-001113 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1277 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
1277.1 9/20/2023 R-001159 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1278 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
1278.1 9/20/2023 R-001186 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1279 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
1279.1 9/20/2023 R-001187 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1280 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
1280.1 9/20/2023 R-001191 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1281 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
1281.1 9/20/2023 R-001190 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1282 00209662 - Harti Suswati. Ny - Jl Windu 004/006 Sawojajar, Wanasari Brebes
1282.1 9/20/2023 R-001193 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1283 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
1283.1 9/20/2023 R-001196 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1284 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
1284.1 9/21/2023 R-001223 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1285 00242904 - Suminah, Sutarno, Ny - Dusun Kertajaya 006/004 Mangunjaya Pangandaran
1285.1 9/21/2023 R-001240 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1286 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
1286.1 9/22/2023 R-001276 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1287 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
1287.1 9/22/2023 R-001277 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1288 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
1288.1 9/22/2023 R-001281 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1289 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
1289.1 9/22/2023 R-001301 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1290 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
1290.1 9/22/2023 R-001302 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1291 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
1291.1 9/22/2023 R-001318 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1292 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
1292.1 9/23/2023 R-001345 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1293 00185016 - Wartem, Tawirya, Ny - Ds. Dawuhan 002/002 Banyumas
1293.1 9/23/2023 R-001346 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1294 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
1294.1 9/23/2023 R-001348 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1295 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
1295.1 9/23/2023 R-001349 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1296 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
1296.1 9/23/2023 R-001351 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1297 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
1297.1 9/23/2023 R-001353 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1298 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
1298.1 9/23/2023 R-001357 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1299 00207884 - Nur Amaliah, Ny - Dukuh Krajan 009/001 Karangsari Pulosari Pemalang
1299.1 9/23/2023 R-001356 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1300 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
1300.1 9/23/2023 R-001360 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1301 00183084 - Sumarsih, Madnursam, Ny - Karangklesem 001/008 Purwokerto Selatan
1301.1 9/23/2023 R-001362 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1302 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
1302.1 9/23/2023 R-001384 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1303 00159780 - Tukiyati Yunianto, Ny - Jl. A Yani 003/001 Cipari Cilacap
1303.1 9/25/2023 R-001454 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1304 00242535 - Nur Jaetun,Ny - mangli 007/002 Randudongkal Pemalang
1304.1 9/25/2023 R-001457 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1305 00209156 - Yeni, Kasmiarjo, Ny - Dusun Blender 002/003 Purwojati Banyumas
1305.1 9/25/2023 R-001458 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1306 00229627 - Iis Sugiarti, Ny - Cikawung 001/006 Pekuncen Banyumas
1306.1 9/26/2023 R-001533 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1307 00130381 - Sabaryani, Waryo Utomo, Ny - Gondang 017/004 Watumalang Wonosobo
1307.1 9/26/2023 R-001549 dr. Lopo Tamofen Tab
Triyanto, 10 mg
120 2,600 312,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
1308 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
1308.1 9/27/2023 R-001570 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1309 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
1309.1 9/27/2023 R-001587 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1310 00228927 - Samen, Sanasmad, Ny - Jl. Nakula 004/001 Kebonmanis Cilacap Utara
1310.1 9/27/2023 R-001589 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1311 00241246 - Rohyati, Oyin, Ny - Medono 010/003 Kaliwiro
1311.1 9/27/2023 R-001595 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1312 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
1312.1 9/27/2023 R-001601 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1313 00176875 - Sugiyati, Slamet, Ny - Jl Pesapen No 16 002/001 Karanganyar Adipala Cilacap
1313.1 9/28/2023 R-001638 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1314 00240174 - Alfiah, Amad, Ny - Gandrungmangu 001/009 Cilacap
1314.1 9/28/2023 R-001644 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1315 00175586 - Setiya Widiyati, Ny - Banjarmangu 004/001 Banjarnegara
1315.1 9/29/2023 R-001654 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1316 00182470 - Musaropah, Muslihin, Ny - Cibalung 002/002 Cibalung Cimanggu
1316.1 9/29/2023 R-001655 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1317 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
1317.1 9/29/2023 R-001658 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1318 00210079 - Rochimah, Slamet,Ny - JL. Muria 005/005 Kroya Cilacap
1318.1 9/29/2023 R-001662 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1319 00195532 - Siti Qoningatun, Ny - Paguyangan 001/002 Brebes
1319.1 9/29/2023 R-001664 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1320 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
1320.1 9/29/2023 R-001699 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1321 00166157 - Dian Indah Lestari, Ny - Desa Dukuhturi 005/002 Bumiayu Brebes
1321.1 9/30/2023 R-001732 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1322 00211729 - Wiji Utami, Ny - Bancar 001/005 Bancar Purbalingga
1322.1 9/30/2023 R-001738 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1323 00191276 - Sunarmi, Sawiarja, Ny - Karangpucung 003/009 Karangpucung. Cilacap
1323.1 9/30/2023 R-001739 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1324 00189762 - Kodariyah, Saryan, Ny - Nusadadi 004/002 Sumpiuh Banyumas
1324.1 9/30/2023 R-001743 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1325 00152141 - Andayani, Aan Suwandi, Ny - Jl. Jend Sudirman No.105 001/003
1325.1 9/30/2023 R-001746 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1326 00173780 - Diyah Kartika Sari, Ny - Ds. Klapagading 002/012 Wangon Banyumas
1326.1 9/30/2023 R-001747 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1327 00201858 - Suciana Suliyah, Ny - Dusun Kalirau 004/002 Cilibang Jeruklegi Cilacap
1327.1 9/30/2023 R-001756 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1328 00196184 - Fatonah, Tarjo, Ny - Dukuh Sawangan Penakir 022/008 Penakir Pulosari Pemalang
1328.1 9/30/2023 R-001769 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1329 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
1329.1 9/30/2023 R-001773 dr. Sigit Tamofen Tab
14 2,600 36,400
Unggul 10 mg
Kalbe Sub Total Resep 36,400
Sub Total Embalase 0
Total Per Pasien 36,400
1330 00182846 - Chotijah, Sanrakim, Ny - Kedungjati 002/006 Bukateja Purbalingga
1330.1 10/2/2023 R-000014 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1331 00142852 - Sudiah, Sukemi Mitromiharjo, Ny - Tambaksogra 004/005 Sumbang Banyumas
1331.1 10/2/2023 R-000015 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1332 00160357 - Ratmini, Sawon, Ny - Dusun Kemplang 003/002 Sigaluh Banjarnegara
1332.1 10/2/2023 R-000026 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1333 00181026 - Indah Susanti, Ny - Lesmana 003/004 Ajibarang Banyumas
1333.1 10/2/2023 R-000029 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1334 00239535 - Tika, Bandi, Ny - Dusun Bojong 004/007 Putrapinggan Kalipucang
1334.1 10/2/2023 R-000056 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1335 00230831 - Supriyati, Aswan, Ny - Pecikalan 003/008 Wangon Wangon
1335.1 10/2/2023 R-000057 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1336 00229729 - Santi Lestari, Ny - Ciberem 002/001 Sumbang
1336.1 10/2/2023 R-000058 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1337 00211530 - Sumyati, Saring, Ny - Lempayan Dsn 1 002/001 Jingkang, Karangjambu Purbalingga
1337.1 10/2/2023 R-000059 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1338 00209340 - Robingah, Sungedi, Ny - Jarakan 005/004 Tanjungtirta Punggelan Banjarnegara
1338.1 10/2/2023 R-000064 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1339 00170207 - Tri Mulyani, Ny - Jl Sokajati 005/004 Pasirmuncang Purwokerto Barat
1339.1 10/2/2023 R-000079 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1340 00240321 - Astuti, Tawi Krama, Ny - Purbayasa 002/001 Padamara Purbalingga
1340.1 10/2/2023 R-000082 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1341 00216155 - Kasiti, Musdi, Ny - JL Kalidonan 003/013 Donan Cilacap Tengah
1341.1 10/3/2023 R-000093 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1342 00209178 - Siti Fatonah Nurjanah, Ny - Bantarkalong 002/011 Sidomulyo, Pangandara
1342.1 10/4/2023 R-000141 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1343 00207351 - Muhayani, M Khoerudin, Ny - Grogol Penatus 002/002 Petanahan Kebumen
1343.1 10/4/2023 R-000142 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1344 00209816 - Sri Asih, Ny - Jl Mangunjaya Gang VI No. 8 006/003 Purwokerto Lor Purwokerto Timur
1344.1 10/4/2023 R-000143 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1345 00178816 - Iin Nurhayatin, Ny - Blandongan 001/004 Banjarharjo Brebes
1345.1 10/4/2023 R-000175 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1346 00143038 - Siti Solikha, Ny - Balapulang kulon 005/003 Balapulang Tegal
1346.1 10/4/2023 R-000176 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1347 00205686 - Turasmi, Moh Basir,Ny - Karangpucung 004/002 Tambak Banyumas
1347.1 10/4/2023 R-000180 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1348 00220889 - Narsiti, Mulyadi, Ny - Desa Kedungurang 001/004 Kedungurang Gumelar
1348.1 10/4/2023 R-000184 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1349 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
1349.1 10/4/2023 R-000185 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1350 00206510 - Sutini, Sukardo, Ny - Kertayasa 004/004 Mandiraja Banjarnegara
1350.1 10/4/2023 R-000206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1351 00242719 - Darti, Tanto, Ny - Kp. Cibodas 001/003 Cibodas Tangerang
1351.1 10/5/2023 R-000219 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1352 00231991 - Dwi Nursetyawati,Ny - Perum Asabri RT 003/RW 004 , Kelurahan Wirasana ,
Kecamatan Purbalingga
1352.1 10/5/2023 R-000225 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1353 00240050 - Musliah, Sudiarjo, Ny - Karangtalun 002/003 Karangtalun Bobotsari
1353.1 10/5/2023 R-000229 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1354 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
1354.1 10/5/2023 R-000232 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1355 00241195 - Karsiti, Sumajo, Ny - Dsn Tanjungsari 004/005 Mentasan, Kawunganten
1355.1 10/5/2023 R-000261 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1356 00228885 - Dian Andriyani, Ny - Larangan 003/003 Brebes
1356.1 10/5/2023 R-000268 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1357 00243011 - Reni Setiawati, Ny - Dsn Pangandaran Barat 001/006 Pangandaran
1357.1 10/5/2023 R-000270 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1358 00205911 - Casyati, Sudiarto, Ny - Desa Pasiraman Lor 002/004 Pekuncen Banyumas
1358.1 10/5/2023 R-000274 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1359 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
1359.1 10/6/2023 R-000308 dr. Nauval Tamofen Tab
10 2,600 26,000
10 mg
Kalbe
Sub Total Resep 26,000
Sub Total Embalase 0
Total Per Pasien 26,000
1360 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
1360.1 10/6/2023 R-000337 dr. Andika Tamofen Tab
14 2,600 36,400
Pratiwi 10 mg
Kalbe Sub Total Resep 36,400
Sub Total Embalase 0
Total Per Pasien 36,400
1361 00216556 - Sumiati, Tofik, Ny - Kebumen 007/001 Baturaden
1361.1 10/9/2023 R-000393 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1362 00228242 - Mahmudah, Mubarok, Ny - Dusun Ciklapa 008/001 Kedungreja Cilacap
1362.1 10/9/2023 R-000394 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1363 00234403 - Budiyati, Purhadi, Ny - Dieng 004/001 Kejajar, Wonosobo
1363.1 10/9/2023 R-000396 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1364 00234480 - Ani Widiasih, Ny - Karanganyar 009/004 Wadaslintang Wonosobo
1364.1 10/9/2023 R-000398 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1365 00230966 - Satinah, Karsa Dimulya. Ny - Jl Kebon Pisang No 004/004 Kesugihan Kidul, Kesugihan
1365.1 10/9/2023 R-000399 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1366 00168712 - Tarmini, Sumidi, Ny - Karanggintung 010/004 Gandrungmangu Cilacap
1366.1 10/9/2023 R-000406 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1367 00188602 - Khamdiyah, Murahmad, Ny - Sambirata 005/002 Cilongok Banyumas
1367.1 10/9/2023 R-000407 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1368 00181300 - Sukiem, Suharyo, Ny - Napel 001/003 Cisalak Cimanggu Cilacap
1368.1 10/9/2023 R-000425 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1369 00218385 - Sunarti, Kasori, Ny - Dk Igir Gowok 001/004 Dawuhan Sirampog
1369.1 10/9/2023 R-000429 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1370 00153918 - Umyati, Madsaidi, Ny - Cidadap 001 / 002
1370.1 10/9/2023 R-000430 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1371 00155486 - Sri Wahyuni Widayati, Ny - Watuagung 001/008 Tambak Banyumas
1371.1 10/9/2023 R-000433 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1372 00241440 - Haryati, Ruswan Hadi W, Ny - Jl. Pucang no.96 rt 03/09, kelurahan Gumilir, Kecamatan
Cilacap Utara, Kabupaten Cilacap
1372.1 10/9/2023 R-000435 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1373 00242655 - Mukhaenah, Kiswo, Ny - Kutayasa 002/003 Bawang Banjarnegara
1373.1 10/9/2023 R-000439 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1374 00141984 - Marsinah, Abdul Manan, Ny - Kasegeran 002/002
1374.1 10/9/2023 R-000448 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1375 00223839 - Tri Astuti, Ny - Jl Gerilya GG. 04 004/003 Tanjung Purwokerto Selatan
1375.1 10/9/2023 R-000454 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1376 00203370 - Mugiati, Sanbardi, Ny - Rabak 002/005 Kalimanah Purbalingga
1376.1 10/9/2023 R-000470 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1377 00168845 - Nur Khotimah, Ny - Darmakradenan 009/008 Ajibarang
1377.1 10/9/2023 R-000479 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1378 00235640 - Yuningsih, Dulhamid. Ny - Dusun Kedungbulu 005/006 Tambakreja, Kedungreja
1378.1 ### R-000524 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1379 00226246 - Sumarni, Dasian, Ny - Dusun Kedungbulu 003/005 Tambakreja Kedungreja Cilacap
1379.1 ### R-000525 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1380 00240693 - Sumarni, Rasmin, Ny - KP Sukasari 010/003 Cibuniasih Pancatengah Tasikmalaya
1380.1 ### R-000526 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1381 00166909 - Tuti Warningsih, Ny - Sokaraja Tengah 003/007 Sokaraja Banyumas
1381.1 ### R-000544 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1382 00242256 - Erna Estriyani. Ny - Purwodadi 002/003
1382.1 ### R-000564 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1383 00241422 - Yanti, Madisman, Ny - Dusun Pasirgaru 004/004 Bojongsari Kedungreja
1383.1 ### R-000580 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1384 00223308 - Murtiningrum, Joko Sutrisno. Ny - Jl DR Rajiman No 34 002/005 Kebonmanis, Cilacap
Utara
1384.1 ### R-000590 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1385 00216472 - Daryati, Lasam Soekarto, Ny - Dusun I 001/002 Karangrau Banyumas
1385.1 ### R-000603 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1386 00213556 - Surip Niyati, Ny - Igirklanceng 003/002 Igirklanceng, Sirampog
1386.1 ### R-000632 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1387 00232735 - Elis Mawati, Ny - Dusun Tenjolaya 002/011 Kertayasa Cijulang
1387.1 ### R-000634 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1388 00240174 - Alfiah, Amad, Ny - Gandrungmangu 001/009 Cilacap
1388.1 ### R-000639 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1389 00225460 - Satiwen, Hadi Sumarto, Ny - Jl. Salya No. 15 003/003 Gumilir Cilacap Utara
1389.1 ### R-000637 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1390 00190723 - Misyati, Rasmaja, Ny - Ciporos 001/011 Karangpucung Cilacap
1390.1 ### R-000650 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1391 00199665 - Munjiatun, Akhmad Khamdi, Ny - Purwanegara 002/007 Purwokerto Utara
1391.1 ### R-000653 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1392 00168535 - Barni, Asmadi, Ny - Adisana 001/006
1392.1 ### R-000671 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1393 00152471 - Satiyawati, Buchori, Ny - Selabaya Indah C.3 004/007 Kalimanah Purbalingga
1393.1 ### R-000673 dr. Lopo Tamofen Tab
Triyanto, 10 mg
22 2,600 57,200
Sp.B.(K) Kalbe
Onk
1393.2 ### R-000673 dr. Lopo Tamofen Tab
Triyanto, 10 mg
38 2,600 98,800
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1394 00215722 - Hadminah, Sanbadri, Ny - Karangmalang 002/005 Bobotsari Bobotsari Purbalingga
1394.1 ### R-000675 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1395 00215030 - Ellis Satiyawati, Ny - Jl. Mataram 002/001 Pekuncen, Kroya, Cilacap
1395.1 ### R-000679 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1396 00121086 - Muji Suprapti, Ny - Kutasari 002/002 kutasri
1396.1 ### R-000683 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1397 00210177 - Rusmiyati, Wartono,Ny - Jl. Kiadeg 006/001 Jenang Majenang Cilacap
1397.1 ### R-000719 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1398 00230788 - Karnati, Sanasmad, Ny - Jl. Anggur No.40 003/005 Jenang Majenang Cilacap
1398.1 ### R-000720 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1399 00141768 - Supriyati, Sastro Suwarno, Ny - Klapasawit 003/004 Kalimanah Purbalingga
1399.1 ### R-000724 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1400 00227453 - Toifah, Abdul Aziz, Ny - Argasoka 003/006 Banjarnegara
1400.1 ### R-000730 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1401 00183634 - Bariyah, Darsun, Ny - Ds. Kalisari 003/001 Cilongok Banyumas
1401.1 ### R-000729 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1402 00231362 - Nani Priyanti. Ny - Gondang 004/001 Gondang, Karangreja
1402.1 ### R-000745 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1403 00157391 - Hermi Budiarti, Ny - Dukuh Waluh 003/005 Kembaran Banyumas
1403.1 ### R-000758 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1404 00220469 - Eni Murtinah, Ny - Jln. Lapang No. 18 003/009 Karangtengah Sampang Cilacap
1404.1 ### R-000763 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1405 00230672 - Nayly Fadlillah, Ny - Ajibarang Kulon 005/011 Ajibarang Banyumas
1405.1 ### R-000765 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1406 00184417 - Amirah, Saridjo,Ny - Bojong 002/002 Purbalingga
1406.1 ### R-000772 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1407 00243495 - Andri Widya Nursanti, Ny - Perum Griya Satria Blok c2 No 8 005/001 Gemuruh Bawang
Banjarnegara
1407.1 ### R-000793 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
1407.2 ### R-000558 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
1407.3 ### R-000810 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1408 00217924 - Turati, Ahmad Sarbini, Ny - Sudimara 003/003 Selanega Purbalingga
1408.1 ### R-000812 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1409 00213094 - Atikah Mumpuni, Nn - JL. Jambu GG Kesemek/30 001/005 Kedungwuluh Purwokerto
Barat
1409.1 ### R-000813 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1410 00165886 - Ngasiyem, Ngasim, Ny - Ds. Kedungreja 003/006 Kedungreja Cilacap
1410.1 ### R-000816 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1411 00239914 - Cahyati, Kartaji. Ny - Cirebah 003/007 Cihonje
1411.1 ### R-000839 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1412 00231067 - Lilis latifah,Ny - Bangbayang 001/003 Bantarkawung Brebes
1412.1 ### R-000840 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
1412.2 ### R-000840 dr. Lopo Tamofen Tab
Triyanto, 10 mg
0 2,600 0
Sp.B.(K) Kalbe
Onk
1412.3 ### R-001047 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1413 00154445 - Welas Nurasih, Ny - Bendo 003/002 pagu kediri jawa timur
1413.1 ### R-000841 dr. Lopo Tamofen Tab
Triyanto, 10 mg
180 2,600 468,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
1414 00213766 - Siti Barokah, Ny - Ds Cikembulan 004/004 Cikembulan, Pekuncen
1414.1 ### R-000848 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1415 00172552 - Nanik Ratih Yuniatin, Ny - Jl. Sawah Contoh 003/002 Karangasem
1415.1 ### R-000854 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1416 00225827 - Sri Kuswati, Ny - Jl. Keong Mas 004/012 Mertasinga Cilacap Utara
1416.1 ### R-000949 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1417 00171314 - Muslikhah, Abu Tamam, Ny - Pagentan 001/001 Banjarnegara
1417.1 ### R-000950 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1418 00213071 - Martini, Suhatma, Ny - Malabar 002/005 Wanareja Cilacap
1418.1 ### R-000973 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1419 00205346 - Parminah, Abdul Rohman, Ny - Kedungrejo 009/003 Kauman Kaliwiro Wonosobo
1419.1 ### R-000999 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1420 00242904 - Suminah, Sutarno, Ny - Dusun Kertajaya 006/004 Mangunjaya Pangandaran
1420.1 ### R-001023 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1421 00235374 - Dwi Nurfarindah. Nn - Selokromo 003/004 Selokromo, Leksono
1421.1 ### R-001043 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1422 00205462 - Juhariyah, Edi Purwanto, Ny - Jl. Durian 002/010 Jenang Majenang Cilacap
1422.1 ### R-001045 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1423 00231656 - Admini, Sansuwardi, Ny - Dusun Banjursari 003/002 Ujungmanik Kawunganten
1423.1 ### R-001068 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1424 00194794 - Rumiyati, Madiarjo, Ny - Dsn Igirtugel Utara 007/002 Kertajaya Gandrungmangu
Cilacap
1424.1 ### R-001070 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1425 00190782 - Yakuti, Kliwon, Ny - Gambarsari 004/002 Kemangkon Purbalingga
1425.1 ### R-001107 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1426 00235406 - Sudaryanti, Sarbinu, Ny - Karangpucung 001/010 Cilacap
1426.1 ### R-001103 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1427 00216855 - Masitoh, Achmadi, Ny - Pekuncen 003/002 Bobotsari Purbalingga
1427.1 ### R-001104 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1428 00150559 - Musliah Sanrohadi, Ny - Donan 005/013 Cilacap Tengah Cilacap
1428.1 ### R-001110 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1429 00231190 - Hartinah, Mukhanto, Ny - Pager Andong 002/003 Pagerandong Mrebet
1429.1 ### R-001111 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1430 00163729 - Lilis Supriyanti, Ny - Bandingan 002/001 Bawang Banjarnegara
1430.1 ### R-001113 dr. Lopo Tamofen Tab
Triyanto, 10 mg
34 2,600 88,400
Sp.B.(K) Kalbe
Onk
1430.2 ### R-001113 dr. Lopo Tamofen Tab
Triyanto, 10 mg
26 2,600 67,600
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1431 00233948 - Mulyani, Kartam, Ny - Dusun Padawaras 004/003 Kunci Sidareja
1431.1 ### R-001115 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1432 00130526 - Amyati, Sunaryo, Ny - Ds. Salebu 004/006, Salebu, Majenang, Cilacap
1432.1 ### R-001120 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1433 00166798 - Aminah, Munari, Ny - Rejasa 003/001 Madukara Banjarnegara
1433.1 ### R-001117 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1434 00198858 - Finda Yuliana, Ny - Jalan Batuata C18/173 GSP 003/014 Gunungsimping Cilacap
Tengah Cilacap
1434.1 ### R-001134 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1435 00242723 - Musayaroh, Sukono, Ny - Semanding 004/004 Gombong Kebumen
1435.1 ### R-001137 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1436 00192322 - Tarmini, Mudi, Ny - Reban 002/007 Lamuk Kaliwiro Wonosobo
1436.1 ### R-001138 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1437 00158670 - Ngatiqotur Rohmaniah, Ny - Sidabowa 002/002 Patikraja Banyumas
1437.1 ### R-001165 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1438 00207409 - Darsih, Rusmito,Ny - Ujungbarang 001/001 Ujungbarang Majenang
1438.1 ### R-001167 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1439 00179448 - Martinah, Dwirya, Ny - Dusun Pangkalan 004/001 Kroya Cilacap
1439.1 ### R-001199 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1440 00236412 - Septi Prihatiningtyas. Ny - Langgongsari 004/002 Langgongsari, Cilongok
1440.1 ### R-001206 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1441 00224775 - Neni Suharsih, Ny - Kalibagor 004/001 Kalibagor Kalibagor
1441.1 ### R-001209 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1442 00196000 - Enti Hatiyah, Ny - Pesahangan 002/003 Pesahangan Cimanggu Cilacap
1442.1 ### R-001211 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1443 00171398 - Sulis Kurniati, Ny - Karangklesem 003/005 Karangklesem Purwokerto Selatan
1443.1 ### R-001229 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1444 00242535 - Nur Jaetun,Ny - mangli 007/002 Randudongkal Pemalang
1444.1 ### R-001350 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1445 00193872 - Turmini, Sumeri, Ny - Karanggedang 002/001 Bukateja Purbalingga
1445.1 ### R-001407 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1446 00229627 - Iis Sugiarti, Ny - Cikawung 001/006 Pekuncen Banyumas
1446.1 ### R-001412 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1447 00217318 - Watini, Sanmarji, Ny - Cikembulan 001/002 Cikembulan
1447.1 ### R-001433 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1448 00241740 - Rahayu Agus Mulyanti, SH, Ny - JL. DR Sutomo No.180 004/004 Gunungsimping Cilacap
Tengah
1448.1 ### R-001438 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1449 00182554 - Lasinem,Mad Miarjo,Ny - Kuntili 003/002 Sumpiuh Banyumas
1449.1 ### R-001456 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1450 00214576 - Wiwi Isnaeni, Ny - Dusun Satu 001/005 Rawalo Banyumas
1450.1 ### R-001458 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1451 00235093 - Tri Indah Ratnastuti, Nn - Jl. Raya Susukan N012 001/001 Susukan Susukan
1451.1 ### R-001459 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1452 00221450 - Supriyanti, Mukholik, Ny - Bantar Barang 001/009 Rembang Purbalingga
1452.1 ### R-001480 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1453 00203512 - Kasikem, Mamun Arifin, Ny - Jl. Gebug Payung NO 24 005/004 Sidasari Cipari Cilacap
1453.1 ### R-001481 dr. Lopo Tamofen Tab
Triyanto, 10 mg
60 2,600 156,000
Sp.B.(K) Kalbe
Onk
Sub Total Resep 156,000
Sub Total Embalase 100
Total Per Pasien 156,100
1454 000000 - NY. CHOTIJAH - APS
1454.1 1/6/2023 LU0100 - Tamofen Tab
120 2,500 300,000
10 mg
Kalbe Sub Total Resep 300,000
Sub Total Embalase 0
Total Per Pasien 300,000
1455 000000 - NY. MUJI SUPRAPTI - APS
1455.1 1/17/2023 LU0269 - Tamofen Tab
60 2,500 150,000
10 mg
Kalbe Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
1456 000000 - RS DK CIAMIS - APS
1456.1 1/21/2023 LU0326 - Tamofen Tab
300 2,500 750,000
10 mg
1456.2 1/21/2023 LU0326 - Kalbe
Tamofen Tab
2820 2,500 7,050,000
10 mg
Kalbe Sub Total Resep 7,800,000
Sub Total Embalase 0
Total Per Pasien 7,800,000
1457 000000 - NY. SOLIAH - APS
1457.1 1/21/2023 LU0327 - Tamofen Tab
60 2,500 150,000
10 mg
Kalbe Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
1458 000000 - NY SURATMI - APS
1458.1 2/1/2023 LU0012 - Tamofen Tab
0 2,500 0
10 mg
Kalbe Sub Total Resep 0
Sub Total Embalase 0
Total Per Pasien 0
1459 000000 - NY KUNTARYATIN - APS
1459.1 2/9/2023 LU0088 - Tamofen Tab
60 2,500 150,000
10 mg
Kalbe Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
1460 000000 - NY SUDIAH - APS
1460.1 3/2/2023 LU0014 - Tamofen Tab
60 2,500 150,000
10 mg
Kalbe Sub Total Resep 150,000
Sub Total Embalase 0
Total Per Pasien 150,000
1461 000000 - Ny. Nasiti - APS
1461.1 3/6/2023 LU0080 - Tamofen Tab
60 2,600 156,000
10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1462 000000 - NY. MEI CHEN - APS
1462.1 3/17/2023 LU0191 - Tamofen Tab
180 2,600 468,000
10 mg
Kalbe Sub Total Resep 468,000
Sub Total Embalase 0
Total Per Pasien 468,000
1463 000000 - NY RITA - APS
1463.1 3/22/2023 LU0244 - Tamofen Tab
60 2,600 156,000
10 mg
Kalbe Sub Total Resep 156,000
Sub Total Embalase 0
Total Per Pasien 156,000
1464 000000 - Reni Setiawati, Ny - APS
1464.1 9/11/2023 LU0094 - Tamofen Tab
10 2,600 26,000
10 mg
Kalbe Sub Total Resep 26,000
Sub Total Embalase 0
Total Per Pasien 26,000
1465 000000 - NY. MEI CAN - APS
1465.1 9/20/2023 LU0151 - Tamofen Tab
120 2,600 312,000
10 mg
Kalbe Sub Total Resep 312,000
Sub Total Embalase 0
Total Per Pasien 312,000
Grand Total Resep ###
Grand Total Embalase 1,000
Grand Total ###

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