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No.

R/

1.

Materi Resep

R/ Paracetamol
Lactosa

5
1
m.f.pulv.No.XV
S.t.dd.p.I.

Pro : Leni (6th)


Alamat : Jl.Gading Raya No.6
3

R/ Riboflavinum
Calcii Lactas
Lactosi

0.01
0.1
0.5
m.f.p.dtd.No.XV.
S.s.dd.p.I

Pro : Ny.Lies (40 th )


Alamat : Jl.Kelapa No.17
5

R/Natrii Chloridi
Kalii Klorida
Natrii Subcarbonas
Glucosa

0.68
0.28
0.48
4.5

m.f.pulv.
s.larutkan dalam 1 gelas air
Pro :
Alamat :
7

R/ Methampyron
Prednison

0.35
0.05
m.f.p.dtd.No.X
S.t.dd.p.I.pc

Pro : Ny.Adria
Jl.Ketapang No.8

R/ Acid Boric
Talcum

1.25
ad. 25
m.f.pulv.adsp.
s.u.e

Pro : Vicky ( 8 th )
Jl. Pasundan No.12

11

R/ Kalii Bromida
Calcii Gluconas
Vit.B6

0.2
0.5
10 mg
m.f.p.dtd.No.XII
S.vesp.p.I

Pro : Dini
Alamat : Jl.Jeruk II/12
13

R/ Carbo adsorben
Mg.Oxyd.
Tanini

2
aa. 1
m.f.p.dtd.No.V
s.u.c

Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89
15

R/ Acid Salicyl
Zn.O
Talc

0.4
1
ad. 20
m.f.pulv.adsp.
s.u.e.

Pro : Rizky ( 6 bulan )


Alamat : Jl. Tongkol No.9

17

R/ Mg.Sulfas
Na.Sulfas
Ellaeosachara Anisi
m.f.p.No.XII
S.b.dd.p.I

3
1.5
4

Pro : Tn. Zakaria


19

R/ Ichthyol
Talc
Adeps lanae
Boli Alba

1
7
0.5
ad. 15
S.u.e

Pro : Farida
Jl. Gandasturi No.51
21

R/ Loco Bedak Purol

25
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66
23

R/ Codein Hcl
PCT
Sl

0.01
0.4
q.s.
m.f.p.dtd.No.XII

Pro : Noval (23 th )


25

2.

R/ Adeps Lanae
Aqua
Vas.
Boli Alba

aa. 25
5
70

R/ Bellad.extr.
Papav.Hcl
SL

0.01
0.04
0.5
m.f.p.dtd.No.X
s.o.m.et.v.p.I

Pro ; Yanti ( 25 th )
27

R/ Mentholum
Sulf PP
Zn.O
Amylum Oryzae
Talcum

2%
1%
5%
10%
ad. 30
m.f.p.adspers.
s.u.e

Pro : Ratna
Jl.Ketapang No.8
29

R/ Biogesic
Luminal
SL
m.f.p.dtd.No.XXX
S.t.dd.p.I.Bila panas
Pro : Putri ( 7 th )
Jl. Pasundan No. 23

0.15
0.01
ad. 0,4
da.XV

No.R/

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.012
0.45
q.s.

Pro : Noval (7 th )
Alamat : Jl.Gading Raya No.6
No.R/

Materi Resep

R/ Morfin SO4
Aspirin
Sl
m.f.p.dtd.No.XII

0.013
0.5
q.s.

Pro : Noval (15 th )


Alamat : Jl.Gading Raya No.6
No.R/

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.01
0.4
q.s.

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6

R/ Loco Bedak Purol

22
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66

No.R/

Materi Resep

R/ Coffein
Teofilin
Sl
m.f.p.dtd.No.XII

50 mg
200 mg
q.s.

Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6
11

R/ Loco Bedak Purol

26
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66

No.R/

13

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.01
0.4
q.s.

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6
No.R/

15

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII
Pro : Noval (11 th )
Alamat : Jl.Gading Raya No.6

0.01
0.4
q.s.

27

R/ Loco Bedak Purol

24
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66

No.R/

19

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.01
0.4
q.s.

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6
No.R/

21

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.01
0.4
q.s.

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6
No.R/

23

Materi Resep

R/ Codein HCl
PCT

0.01
0.4

Sl

q.s.
m.f.p.dtd.No.XII

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6

25

R/ Loco Bedak Purol

20
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66

No.R/

27

Materi Resep

R/ Codein HCl
PCT
Sl
m.f.p.dtd.No.XII

0.01
0.4
q.s.

Pro : Noval (11 th )


Alamat : Jl.Gading Raya No.6

29

R/ Loco Bedak Purol

30
m.f.pulv.adsp.
s.u.n

Pro : Astri ( 3 Bulan )


Jl. Durian No.66

No.R/

R/ Carbo adsorben
Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

R/ Carbo adsorben
Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

R/ Mentholum
Sulf PP
Zn.O
Talcum
m.f.p.adspers.
s.u.e
Pro : Ratna
Jl.Ketapang No.8

aa. 1,5

1.5
aa. 1

2%
1g
5%
30

Materi Resep

R/ Coffein
60 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6

10

No.R/

R/ Mentholum
Sulf PP
Zn.O
Amylum Oryzae
Talcum
m.f.p.adspers.
s.u.e
Pro : Ratna
Jl.Ketapang No.8

2%
1g
5%
10%
30

Materi Resep

12

R/ Coffein
50 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6

14

Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

16

R/ Carbo adsorben
Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

aa. 1

2
aa. 1,5

No.R/

Materi Resep

18

R/ Coffein
50 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6

20

R/ Carbo adsorben
Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

22

24

R/ Carbo adsorben
Mg.Oxyd.
Tanini
m.f.p.dtd.No.V
s.u.c
Pro : Tn.Agus ( 32 th )
Alamat : Jl.Musi No.89

R/ Mentholum
Sulf PP
Zn.O

2
aa. 1,5

1.5
aa. 1

2%
1g
5%

Talcum
m.f.p.adspers.
s.u.e
Pro : Ratna
Jl.Ketapang No.8

No.R/

26

No.R/

28

No.R/

30

30

Materi Resep

R/ Coffein
50 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6
Materi Resep

R/ Coffein
50 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6

Materi Resep

R/ Coffein
50 mg
Teofilin
200 mg
Sl
q.s.
m.f.p.dtd.No.XII
Pro : Noval (9 th )
Alamat : Jl.Gading Raya No.6