No

Tanggal

Format Buku Log untuk Usaha Kesehatan Perorangan

Kegiatan
Kode
Jenis
Usia
Tatalaks
Kasus Diagnosis
Kelamin (tahun)
ana
3
4
5
6
7

6/3/2015

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

21
22
23
24
25
26

6/5/2015 A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
6/6/2015 A
A
A
A
A
6/9/2015 A
A
A
A
A
A

Common
cold

Disfagia

Dispepsia P
HiperkolesteP
Konjungtiviti L
ISK
P
Dispepsia P
Urtikaria, Co L
ISPA
P
Faringitis akuP
HiperkolesteP
HiperkolesteP
HiperurisemiL
TFA
P
Faringitis akuL
Myalgia
L
L
P
TFA
L
Diare akut taP
Asma
L
Dermatitis L
G3P2A0
P
ISPA
L
Mastitis
P
Konjungtiviti P
Dispepsia P
HiperurisemiP
ISPA
P
ISPA
L
Dispepsia L
HiperkolesteP
ISPA
P

15

Paraceta
mol 3x1,
Ambroxo
l 3x1

24

Ibuprofe
n
3x400mg
, Dexa
3x1

48 Ibuprofen 3x400 mg, Antasid

43 Piroxicam 2x1, Simvastatin 1x
10 bln
Tetes mata Recho 3x2 gtt
23 Metronidazole 2x1, Ibuprofen
56 Ibuprofen 3x400 mg, Antasid
47 Cetirizine 2x1, Ambroxol 3x1
58 Amoxicilin 3x1, Ambroxol 3x1
26 Amoxicilin 3x1,Paracetamol 3
55 Piroxicam 2x1, Simvastatin 1x
50 Simvastatin 1x1, Ibuprofen 3x
64 Piroxicam 2x1, Allopurinol 1x
3 Amox 3x1 cth, Novakid 1x1 c
3 Amox 3x1 cth, Novakid 2x1 c
38 Asam mefenamat 3x1, MPS 2
3 Pirantel pamoat 125 mg singl
27 Pirantel pamoat 500 mg singl
18 Amoxicilin 3x1, Pct 3x1, Amb
1.1 Cotrimoxazole 40/200 syr 2x1
67 Salbutamol 3x4mg, MPS 3x1,
8 bln
Amoxicilin 3x1 cth, Pct 3x1 ct
35 Vidabion 1x1, Kalk 2x1
2.5 Amoxicilin 3x1 cth, Pct 3x1 ct
31 Amoxicilin 3x1, Asam Mefena
60 Gentamisin eye drop 4x2 gtt
40 Antasid 3x1ac, Ranitidine 2x1
72 Allopurinol 1x1, Piroxicam 2x
1.9 Amox 3x1 cth, Pct 3x1 cth, Am
51 Amoxicilin 3x1, Flucadex 3x1
49 Antasid 3x1 ac, Omeprazole 2
68 Simvastatin 1x1, Piroxicam 2x
73 Amoxicilin 3x1, Flucadex 3x1

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71

D
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
6/10/2015 A
A
A
A
B
A
6/12/2015 A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A

Skizofrenia P
Dispepsia P
ISPA
P
ISPA
P
ISK
P
OA
P
ISPA
P
Vertigo
P
ISPA
L
ISPA
L
HT grade 2 L
Fatigue
L
Myalgia, Dis P
ISK, OA
P
ISPA
P
Asma
P
Vertigo
L
Dispepsia P
ISPA, Diare AP
ISPA
L
Obs. Febris L
ISPA
L
ISK
P
Dispepsia P
G2P1A0
P
Vulnus LacerL
Hiperemesis P
Konjungtiviti L
Vulnus LacerP
Otitis Ekster P
ISPA
P
ISPA
P
ISPA, HT gra P
bronkitis
L
Dermatitis AlP
TFA
L
Dermatitis AlP
ISPA
P
ISPA, DermatiP
ISPA, DermatiP
HT grade 2, L
ISPA
L
ISPA
L
Faringitis akuL
ISPA, Otitis P

25 Haloperidol 1x1, Diazepam 2

20 Antasid 3x1 ac, ibuprofen 3x4
2.6 Amoxicilin 3x1 cth, Flutamol 3
5 Amoxicilin 3x1,5 cth, Flutamo
16 Metronidazole 2x1, Ibuprofen
54 Piroxicam 2x1, vit Bcom 2x1
2 Amoxicilin 3x1 cth, Flutamol 3
40 Vastigo 2x1, Ibuprofen 3x400
10 Amoxicilin 2x1,5 cth, Flucade
9 Cotrimoxazole 40/200 syr 2x1
71 Captopril 2x25 mg, HCT 1x1,
10 Ibuprofen 3x200 mg, Novakid
51 Antasid 3x1ac, ibuprofen 3x4
37 Metronidazole 2x1, NaDic 2x1
54 Amoxicilin 3x1, Salbutamol 3
2 Amoxicilin 3x1 cth, Pct 3x1 ct
20 Vastigo 2x1, Pct 3x1, Vit Bcom
40 Antasid 3x1ac, ibuprofen 3x4
3 Cotrimoxazole 40/200 2x1 cth
27 Cefadroxil 2x1, Flucadex 3x1,
11 bln
Pct 3x1 cth, Novakid 1x1 cth
6 bln
Amoxicilin 3x1/2 cth, Flutamo
19 Metronidazole 2x500mg, Ibup
23 Antasid 3x1ac, Omeprazole 2
23 Vidabion 1x1, SF 1x1
50 Hecting luar 3 jahitan, Amoxi
26 Pct 3x1, Ranitidine 2x1, Vidab
64 Salep mata Oxytetracycline 3
14 Amoxicilin 3x1, Asam Mefena
2 bln
Amox 3x1/2 cth, Pct drop 3x0
7 Amoxicilin 3x1,5 cth, Flucade
36 Amoxicilin 3x1, Flucadex 3x1
51 Flucadex 3x1, Amlodipine 3x1
1.1 Ambroxol 2 tab+CTM 2 tab+
14 Loratadine 1x1, Salep Oxytet
8 Amoxicilin 3x2 cth, Flucadex
46 Cetirizine 2x1, Salep Oxytetra
1.1 Cefadroxil 2x1 cth, Ibuprofen
26 Cefadroxil 2x1, Flucadex 3x1,
55 Eritromisin 3x1, Flucadex 3x1
56 Amlodipine 2x1, HCT 2x1, Sim
1.7 Amoxicilin 3x1 cth, Flucadex
4.5 Eritromisin 3x1 cth, Flucadex
20 Eritromisin 3x1, Flucadex 3x1
37 Amoxicilin 3x1, Flucadex 3x1

72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116

A
A
A
A
A
A
A
A
D
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
6/18/2015 A
A
C
6/24/2015 D
A
A
A
A
A

ISPA, DispepsP
ISPA
P
ISPA
P
ISPA
P
ISPA
P
Iritasi kulit P
RA, Edema tuL
Artritis
P
Skizofrenia P
Dispepsia, DL
ISPA, Diare AP
ISPA
P
ISPA
L
Vertigo, ISPAP
Dispepsia L
ISPA
P
ISPA
P
Dispepsia, Art
P
ISPA, Diare AL
Dermatitis, DL
Furunkel, DMP
Myalgia
L
Dispepsia, ISP
ISPA
P
Bronkitis, Di L
ISPA, DispepsL
Faringitis akuP
G1P0A0, Derm
P
G3P2A0
P
Melena ec UlP
Skizofrenia P
Diare akut taP
ISPA, DispepsP
Reumatoid Art
L
Influenza
L
Dermatitis a P

8 bln

8 bln

3 bln

38 Eritromisin 3x1, Ibuprofen 3x

46 Eritromisin 3x1, Flucadex 3x1
5 Cotrimoxazole 40/200 2x1 cth
2.2 Eritromisin 3x1 cth, Flucadex
4 Amoxicilin 3x1 cth, Pct 4x1 ct
24 Edukasi
81 Furosemid 1x1, Dexa 3x1, Ibu
69 Ibuprofen 3x400mg, Neurode
25 Haloperidol 2x1, Diazepam 2
48 Eritromisin 3x1, Ibuprofen 3x
Cotrimoxazole 2x1 cth, Pct 3x
1.8 Cefadroxil 2x1 cth, Ibuprofen
4 Eritromisin 3x1 cth, Flucadex
40 Vastigo 3x1, Flucadex 3x1, An
54 Antasid 3x1ac, Omeprazole 2
5 Eritromisin 3x1 cth, Flucadex
63 Flucadex 3x1, Amoxicilin 3x1
43 Antasid 3x1ac, Omeprazole 2
Cotrimoxazole 2x1/2 cth, Ibup
37 Antasid 3x1 ac, Omeprazole 2
60 Eritromisin 3x1, Ibuprofen 3x
62 Ibuprofen 3x400mg, CTM 3x1
46 Omeprazole 2x1, Antasid 3x1
2.9 Cotrimoxazole 40/200 2x1 cth
45 Eritromisin 3x1, Ambroxol 3x1
30 Amoxicilin 3x1, Flucadex 3x1
7 Amoxicilin 3x2 cth, Flucadex
25 Vidabion 1x1, SF 1x1, Loratad
39 Pct 3x1, Metronidazole 3x1, V
48 IVFD RL 20 tpm, Antasid 3x1a
25 Haloperidol 2x1, Diazepam 2
Cotrimoxazole 2x1/2 cth, Zink
62 Amoxicilin 3x1, Flucadex 3x1
46 Ibuprofen 3x400mg, Predniso
63 Salbutamol 3x4mg, Ambroxol
52 Eritromisin 3xi, Ketokonazole

117
118
119
120
121
122
123
124
125
126
127
128
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161

162
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207
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251

252
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285
286
287
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291
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293
294
295
296

297
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340
341

342
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387
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Catatan
Perorangan
dan
Tanda
Usulan
tangan Keterang
Pendam
Pendam
an
ping
ping
terhadap
8
9
10
kinerja

buprofen 3x400 mg, Antasid 3x1 ac, Ranitidin 2x1, Vit Bcom 2x1
iroxicam 2x1, Simvastatin 1x1, B com 2x1
etes mata Recho 3x2 gtt
Metronidazole 2x1, Ibuprofen 2x1
buprofen 3x400 mg, Antasid 3x1 ac, Lansoprazole 2x1
etirizine 2x1, Ambroxol 3x1
moxicilin 3x1, Ambroxol 3x1, CTM 3x1
moxicilin 3x1,Paracetamol 3x1, CTM 3x1
iroxicam 2x1, Simvastatin 1x1
imvastatin 1x1, Ibuprofen 3x400 mg
iroxicam 2x1, Allopurinol 1x1
mox 3x1 cth, Novakid 1x1 cth, Ambroxol 4 tab+CTM 4 tab (10 puyer, 3x1)
mox 3x1 cth, Novakid 2x1 cth, Ambroxol 3 tab+CTM 3 tab,+pct 3 tab (10 puyer, 3x1)
sam mefenamat 3x1, MPS 2x1
irantel pamoat 125 mg single dose
irantel pamoat 500 mg single dose
moxicilin 3x1, Pct 3x1, Ambroxol 3x1, CTM 3x1
otrimoxazole 40/200 syr 2x1, Novakid 1x1 cth, Domperidone 3x1/2 cth ac
albutamol 3x4mg, MPS 3x1, Ibuprofen 3x1, Antasid 3x1 ac
moxicilin 3x1 cth, Pct 3x1 cth, CTM 3x1/2 tab, Salep Ketokonazole
idabion 1x1, Kalk 2x1
moxicilin 3x1 cth, Pct 3x1 cth, Ambroxol 4 tab+Vit C 4 tab+CTM 4 tab (10 puyer, 3x1)
moxicilin 3x1, Asam Mefenamat 3x1, Dexa 3x1, Omeprazole 2x1
entamisin eye drop 4x2 gtt ODS
ntasid 3x1ac, Ranitidine 2x1, Pct 3x1
llopurinol 1x1, Piroxicam 2x1, Vit Bcom 2x1
mox 3x1 cth, Pct 3x1 cth, Ambroxol 2,5 tab+Dexa 2,5 tab+Salbutamol 2,5 tab (10 puyer, 3x1)
moxicilin 3x1, Flucadex 3x1, Vit C 3x1
ntasid 3x1 ac, Omeprazole 2x1, Paracetamol 3x1
imvastatin 1x1, Piroxicam 2x1, Antasid 3x1
moxicilin 3x1, Flucadex 3x1

aloperidol 1x1, Diazepam 2x1/2 tab, Vit B12 2x1, Pct 3x1
ntasid 3x1 ac, ibuprofen 3x400 mg
moxicilin 3x1 cth, Flutamol 3x1 cth
moxicilin 3x1,5 cth, Flutamol 3x1,5 cth
Metronidazole 2x1, Ibuprofen 3x1, Vit Bcom 2x1
iroxicam 2x1, vit Bcom 2x1
moxicilin 3x1 cth, Flutamol 3x1 cth, Novakid 1x1
astigo 2x1, Ibuprofen 3x400mg, Vit Bcom 2x1
moxicilin 2x1,5 cth, Flucadex 3x1 cth, Novakid 2x1 cth
otrimoxazole 40/200 syr 2x1,5 cth, Novakid 1x1 cth, Flucadex 3x1/2 cth
aptopril 2x25 mg, HCT 1x1, Pct 3x1
buprofen 3x200 mg, Novakid 2x1 cth
ntasid 3x1ac, ibuprofen 3x400mg, Vit Bcom 2x1
Metronidazole 2x1, NaDic 2x1, Antasid 3x1ac, Kalk 2x1
moxicilin 3x1, Salbutamol 3x1, Flucadex x1
moxicilin 3x1 cth, Pct 3x1 cth, Ambroxol 2 tab+Salbutamol 2 tab+Dexa 2tab+Vit C 2 tab (10 puyer, 3x1)
astigo 2x1, Pct 3x1, Vit Bcom 2x1
ntasid 3x1ac, ibuprofen 3x400mg, Ranitidine 2x1
otrimoxazole 40/200 2x1 cth, Flucadex 3x1/2 cth, Zink 1x20 mg, Oralit, Novakid 2x1 cth
efadroxil 2x1, Flucadex 3x1, Vit Bcom 2x1
ct 3x1 cth, Novakid 1x1 cth
moxicilin 3x1/2 cth, Flutamol 3x1/2 cth
Metronidazole 2x500mg, Ibuprofen 3x400mg, Antasid 3x1ac, Nystatin vaginal 1x1
ntasid 3x1ac, Omeprazole 2x1, Pct 3x1
idabion 1x1, SF 1x1
ecting luar 3 jahitan, Amoxicilin 3x1, Asam Mefenamat 3x1
ct 3x1, Ranitidine 2x1, Vidabion 1x1, SF 1x1, Vit B6 2x1
alep mata Oxytetracycline 3x1
moxicilin 3x1, Asam Mefenamat 3x1
mox 3x1/2 cth, Pct drop 3x0,5 ml
moxicilin 3x1,5 cth, Flucadex 3x1 cth, Lysin vit 2x1 cth
moxicilin 3x1, Flucadex 3x1
lucadex 3x1, Amlodipine 3x1, HCT 1-1-0, Antasida 3x1
mbroxol 2 tab+CTM 2 tab+ Vit c 2 tab (10 puyer, 3x1)
oratadine 1x1, Salep Oxytetracycline
moxicilin 3x2 cth, Flucadex 3x1 cth, Lysin vit 2x1 cth
etirizine 2x1, Salep Oxytetracycline
efadroxil 2x1 cth, Ibuprofen 3x1 cth, Ambroxol 2tab+CTM 2tab+Vit c 2tab (10 puyer, 3x1)
efadroxil 2x1, Flucadex 3x1, Cetirizine 2x1, Salep Dexametasone
ritromisin 3x1, Flucadex 3x1, Loratadine 1x1, Salep gentamisin
mlodipine 2x1, HCT 2x1, Simvastatin 1x1, Allopurinol 1x1, Antasid 3x1ac, Neuralgin 3x1
moxicilin 3x1 cth, Flucadex 3x1/2 cth
ritromisin 3x1 cth, Flucadex 3x1 cth, Lysin vit 2x1 cth
ritromisin 3x1, Flucadex 3x1
moxicilin 3x1, Flucadex 3x1, Antasid 3x1ac, Tetes telinga 4x2 gtt AD

ritromisin 3x1, Ibuprofen 3x400 mg, Ambroxol 3x1, Dexa 3x1, Antasid 3x1ac
ritromisin 3x1, Flucadex 3x1, Antasid 3x1ac
otrimoxazole 40/200 2x1 cth, Flucadex 3x1/2 cth, Novakid 2x1 cth
ritromisin 3x1 cth, Flucadex 3x1/2 cth, Lysin vit 1x1 cth
moxicilin 3x1 cth, Pct 4x1 cth, Ambroxol 2,5tab+Vit c 2 tab+CTM 2 tab (10 puyer, 3x1)

urosemid 1x1, Dexa 3x1, Ibuprofen 3x400mg

buprofen 3x400mg, Neurodex 2x1
aloperidol 2x1, Diazepam 2x1/2 tab, Pct 3x1
ritromisin 3x1, Ibuprofen 3x400mg, Antasid 3x1ac, Omeprazole 2x1, Salep gentamisin
otrimoxazole 2x1 cth, Pct 3x1 cth, Zink 1x20 mg, Ambroxol 2 tab+CTM 2tab+Vit C 2tab (10 puyer, 3x1)
efadroxil 2x1 cth, Ibuprofen 3x1 cth, Ambroxol 2,5tab+CTM 2tab+Vit c 2,5tab (10 puyer, 3x1)
ritromisin 3x1 cth, Flucadex 3x cth, Lysin vit 2x1 cth
astigo 3x1, Flucadex 3x1, Antasid 3x1ac
ntasid 3x1ac, Omeprazole 2x1
ritromisin 3x1 cth, Flucadex 3x1 cth
lucadex 3x1, Amoxicilin 3x1, Antasid 3x1ac
ntasid 3x1ac, Omeprazole 2x1, Antalgin 3x1
otrimoxazole 2x1/2 cth, Ibuprofen 4x1/2 cth, Ambroxol 2 tab, CTM 2tab, Vit C 2 tab (10 puyer, 3x1), Zink 1x20 m
ntasid 3x1 ac, Omeprazole 2x1, Loratadine 1x1
ritromisin 3x1, Ibuprofen 3x400mg, Antasid 3x1ac, Metformin 1x500mg, Salep gentamisin
buprofen 3x400mg, CTM 3x1, Vit B6 2x1
Omeprazole 2x1, Antasid 3x1ac, Amoxicilin 3x1, Flucadex 3x1
otrimoxazole 40/200 2x1 cth, Flucadex 3x1/2 cth, Zink 1x20 mg, Oralit, Novakid 1x1 cth
ritromisin 3x1, Ambroxol 3x1, Dexa 3x1, Antasid 3x1ac, Omeprazole 2x1, Pct 3x1
moxicilin 3x1, Flucadex 3x1, Antasid 3x 1ac
moxicilin 3x2 cth, Flucadex 3x1,5 cth, Novadex 2x1 cth, Domperidone 3x1 cth ac
idabion 1x1, SF 1x1, Loratadine 1x1
ct 3x1, Metronidazole 3x1, Vidabion 2x1, SF 2x1
VFD RL 20 tpm, Antasid 3x1ac, Omeprazole 2x1, Hyorex 2x1
aloperidol 2x1, Diazepam 2x1/2 tab, Pct 3x1
otrimoxazole 2x1/2 cth, Zink 1x10mg, Pct 3x0,5 ml
moxicilin 3x1, Flucadex 3x1, Antasid 3x1 ac, Omeprazole 2x1
buprofen 3x400mg, Prednison 2x1, Antasid 3x1
albutamol 3x4mg, Ambroxol 3x1, Pct 3x1, Vit C 2x1
ritromisin 3xi, Ketokonazole 2x1, Cetirizine 2x1, Pct 3x1

ab (10 puyer, 3x1)

b (10 puyer, 3x1)

puyer, 3x1), Zink 1x20 mg