Formulir Pencatatan Konsumsi OAT Second Line Harian

Programmatic Management of Drug-resistance Tuberculosis

RSUP Dr. Hasan Sadikin Bandung

Nama Pasien Umur

No. Rekam Medik BB (awal pengobatan) 38
Tanggal Lahir BB (bulan berjalan)
Status Bulan ke 1
Puskesmas Fase Pengobatan Awal

Regimen Obat
No. Tanggal E Z Cm Km Lfx Mfx Eto Cs B6 PAS Keterangan
3 3cc 3 2 2 4
1 2/2/2016 3 1 3 1 1 1 rshs
2 2/3/2016 3 1 3 1 1 1
3 2/4/2016 3 1 3 2 2 2
4 2/5/2016 3 1 3 2 2 2
5 2/6/2016 3 0 3 2 2 2
6 2/7/2016 3 0 3 2 2 2
7 2/8/2016 3 1 3 2 2 2
8 2/9/2016 3 1 3 2 2 2
9 2/10/2016 3 1 3 2 2 2
10 2/11/2016 3 1 3 2 2 2
11 2/12/2016 3 1 3 2 2 2
12 2/13/2016 3 0 3 2 2 2
13 2/14/2016 3 0 3 2 2 2
14 2/15/2016 3 1 3 2 2 2
15 2/16/2016 3 1 3 2 2 2
16 2/17/2016 3 1 3 2 2 2
17 2/18/2016 3 1 3 2 2 2
18 2/19/2016 3 1 3 2 2 2
19 2/20/2016 3 0 3 2 2 2
20 2/21/2016 3 0 3 2 2 2
21 2/22/2016 3 1 3 2 2 2
22 2/23/2016 3 1 3 2 2 2
23 2/24/2016 3 1 3 2 2 2
24 2/25/2016 3 1 3 2 2 2
25 2/26/2016 3 1 3 2 2 2
26 2/27/2016 3 0 3 2 2 2
27 2/28/2016 3 0 3 2 2 2
28 2/29/2016 3 1 3 2 2 2
84 0 20 84 0 54 54 54 0

CATATAN :
 Formulir Pencatatan Konsumsi OAT Second Line Harian
Programmatic Management of Drug-resistance Tuberculosis
RSUP Dr. Hasan Sadikin Bandung

Nama Pasien Umur

No. Rekam Medik BB (awal pengobatan) 38
Tanggal Lahir BB (bulan berjalan)
Status Bulan ke 2
Puskesmas Fase Pengobatan Awal

Regimen Obat
No. Tanggal E Z Cm Km Lfx Mfx Eto Cs B6 PAS Keterangan
3 3cc 3 2 2 50
1 3/1/2016 3 1 3 2 2 2
2 3/2/2016 3 1 3 2 2 2
3 3/3/2016 3 1 3 2 2 2
4 3/4/2016 3 1 3 2 2 2
5 3/5/2016 3 0 3 2 2 2
6 3/6/2016 3 0 3 2 2 2
7 3/7/2016 3 1 3 2 2 2
8 3/8/2016 3 1 3 2 2 2
9 3/9/2016 3 1 3 2 2 2
10 3/10/2016 3 1 3 2 2 2
11 3/11/2016 3 1 3 2 2 2
12 3/12/2016 3 0 3 2 2 2
13 3/13/2016 3 0 3 2 2 2
14 3/14/2016 3 1 3 2 2 2
15 3/15/2016 3 1 3 2 2 2
16 3/16/2016 3 1 3 2 2 2
17 3/17/2016 3 1 3 2 2 2
18 3/18/2016 3 1 3 2 2 2
19 3/19/2016 3 0 3 2 2 2
20 3/20/2016 3 0 3 2 2 2
21 3/21/2016 3 1 3 2 2 2
22 3/22/2016 3 1 3 2 2 2
23 3/23/2016 3 1 3 2 2 2
24 3/24/2016 3 1 3 2 2 2
25 3/25/2016 3 1 3 2 2 2
26 3/26/2016 3 0 3 2 2 2
27 3/27/2016 3 0 3 2 2 2
28 3/28/2016 3 1 3 2 2 2
84 0 20 84 0 56 56 56 0

CATATAN :
 Formulir Pencatatan Konsumsi OAT Second Line Harian
Programmatic Management of Drug-resistance Tuberculosis
RSUP Dr. Hasan Sadikin Bandung

Nama Pasien Totok Sukarno Umur

No. Rekam Medik BB (awal pengobatan) 74
Tanggal Lahir BB (bulan berjalan)
Status Bulan ke 3
Puskesmas Fase Pengobatan Awal

Regimen Obat
No. Tanggal E Z Cm Km Lfx Mfx Eto Cs B6 PAS Keterangan
4 4cc 4 4 4 4
1 3/24/2016 4 1 4 4 4 4 rshs
2 3/25/2016 4 1 4 4 4 4
3 3/26/2016 4 0 4 4 4 4
4 3/27/2016 4 0 4 4 4 4
5 3/28/2016 4 1 4 4 4 4
6 3/29/2016 4 1 4 4 4 4
7 3/30/2016 4 1 4 4 4 4
8 3/31/2016 4 1 4 4 4 4
9 4/1/2016 4 1 4 4 4 4
10 4/2/2016 4 0 4 4 4 4
11 4/3/2016 4 0 4 4 4 4
12 4/4/2016 4 1 4 4 4 4
13 4/5/2016 4 1 4 4 4 4
14 4/6/2016 4 1 4 4 4 4
15 4/7/2016 4 1 4 4 4 4
16 4/8/2016 4 1 4 4 4 4
17 4/9/2016 4 0 4 4 4 4
18 4/10/2016 4 0 4 4 4 4
19 4/11/2016 4 1 4 4 4 4
20 4/12/2016 4 1 4 4 4 4
21 4/13/2016 4 1 4 4 4 4
22 4/14/2016 4 1 4 4 4 4
23 4/15/2016 4 1 4 4 4 4
24 4/16/2016 4 0 4 4 4 4
25 4/17/2016 4 0 4 4 4 4
26 4/18/2016 4 1 4 4 4 4
27 4/19/2016 4 1 4 4 4 4
28 4/20/2016 4 1 4 4 4 4
112 0 20 112 0 112 112 112 0

CATATAN :
Awal
Awal
Awal
 Formulir Pencatatan Konsumsi OAT Second Line Haria
Programmatic Management of Drug-resistance Tubercu
RSUP Dr. Hasan Sadikin Bandung

Nama Pasien BP DIAN

No. Rekam Medik 1428201
Tanggal Lahir 12/6/2/1967
Status UMUM/JKN/
Puskesmas ASTANA ANYAR

Regimen Obat
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2
1 11/25/2014 1 1 1 1 1
2 11/26/2014 1 1 1 1 1
3 11/27/2014 2 1 2 2 2
4 11/28/2014 2 1 2 2 2
5 11/29/2014 3 0 3 2 2
6 11/30/2014 3 0 3 2 2
7 12/1/2014 3 1 3 2 2
8 12/2/2014 3 1 3 2 2
9 12/3/2014 3 1 3 2 2
10 12/4/2014 3 1 3 2 2
11 12/5/2014 3 1 3 2 2
12 12/6/2014 3 0 3 2 2
13 12/7/2014 3 0 3 2 2
14 12/8/2014 3 1 3 2 2
15 12/9/2014 3 1 3 2 2
16 12/10/2014 3 1 3 2 2
17 12/11/2014 3 1 3 2 2
18 12/12/2014 3 1 3 2 2
19 12/13/2014 3 0 3 2 2
20 12/14/2014 3 0 3 2 2
21 12/15/2014 3 1 3 2 2
22 12/16/2014 3 1 3 2 2
23 12/17/2014 3 1 3 2 2
24 12/18/2014 3 1 3 2 2
25 12/19/2014 3 1 3 2 2
26 12/20/2014 3 0 3 2 2
 27 12/21/2014 3 0 3 2 2
28 12/22/2014 3 1 3 2 2

Formulir Pencatatan Konsumsi OAT Second Line Haria

Programmatic Management of Drug-resistance Tubercu
RSUP Dr. Hasan Sadikin Bandung

Nama Pasien BP DIAN

No. Rekam Medik 1428201
Tanggal Lahir 12/6/2/1967
Status UMUM/JKN/
Puskesmas ASTANA ANYAR

Regimen Obat
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2
1 12/23/2014 1 1 1 1 1
2 12/24/2014 1 1 1 1 1
3 12/25/2014 2 1 2 2 2
4 12/26/2014 2 1 2 2 2
5 12/27/2014 3 0 3 2 2
6 12/28/2014 3 0 3 2 2
7 12/29/2014 3 1 3 2 2
8 12/30/2014 3 1 3 2 2
9 12/31/2014 3 1 3 2 2
10 1/1/2015 3 1 3 2 2
11 1/2/2015 3 1 3 2 2
12 1/3/2015 3 0 3 2 2
13 1/4/2015 3 0 3 2 2
14 1/5/2015 3 1 3 2 2
15 1/6/2015 3 1 3 2 2
16 1/7/2015 3 1 3 2 2
17 1/8/2015 3 1 3 2 2
18 1/9/2015 3 1 3 2 2
19 1/10/2015 3 0 3 2 2
20 1/11/2015 3 0 3 2 2
21 1/12/2015 3 1 3 2 2
22 1/13/2015 3 1 3 2 2
23 1/14/2015 3 1 3 2 2
24 1/15/2015 3 1 3 2 2
25 1/16/2015 3 1 3 2 2
26 1/17/2015 3 0 3 2 2
27 1/18/2015 3 0 3 2 2
28 1/19/2015 3 1 3 2 2

Regimen Obat
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2
1 1/20/2015 1 1 1 1 1
2 1/21/2015 1 1 1 1 1
3 1/22/2015 2 1 2 2 2
4 1/23/2015 2 1 2 2 2
5 1/24/2015 3 0 3 2 2
6 1/25/2015 3 0 3 2 2
7 1/26/2015 3 1 3 2 2
8 1/27/2015 3 1 3 2 2
9 1/28/2015 3 1 3 2 2
10 1/29/2015 3 1 3 2 2
11 1/30/2015 3 1 3 2 2
12 1/31/2015 3 0 3 2 2
13 2/1/2015 3 0 3 2 2
14 2/2/2015 3 1 3 2 2
15 2/3/2015 3 1 3 2 2
16 2/4/2015 3 1 3 2 2
17 2/5/2015 3 1 3 2 2
18 2/6/2015 3 1 3 2 2
19 2/7/2015 3 0 3 2 2
20 2/8/2015 3 0 3 2 2
21 2/9/2015 3 1 3 2 2
22 2/10/2015 3 1 3 2 2
23 2/11/2015 3 1 1 2 2
24 2/12/2015 3 1 1 2 2
25 2/13/2015 3 1 1 2 2
26 2/14/2015 3 0 1 2 2
27 2/15/2015 3 0 1 2 2
28 2/16/2015 3 1 1 2 2

Regimen Obat
No. Tanggal
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2
1 2/17/2015 1 1 1 1 1
2 2/18/2015 1 1 1 1 1
3 2/19/2015 2 1 1 2 2
4 2/20/2015 2 1 1 2 2
5 2/21/2015 3 0 1 2 2
6 2/22/2015 3 0 1 2 2
7 2/23/2015 3 1 1 2 2
8 2/24/2015 3 1 1 2 2
9 2/25/2015 3 1 1 2 2
10 2/26/2015 3 1 1 2 2
11 2/27/2015 3 1 1 2 2
12 2/28/2015 3 0 1 2 2
13 3/1/2015 3 0 1 2 2
14 3/2/2015 3 1 1 2 2
15 3/3/2015 3 1 1 2 2
16 3/4/2015 3 1 1 2 2
17 3/5/2015 3 1 1 2 2
18 3/6/2015 3 1 1 2 2
19 3/7/2015 3 0 1 2 2
20 3/8/2015 3 0 1 2 2
21 3/9/2015 3 1 1 2 2
22 3/10/2015 3 1 1 2 2
23 3/11/2015 3 1 1 2 2
24 3/12/2015 3 1 1 2 2
25 3/13/2015 3 1 1 2 2
26 3/14/2015 3 0 1 2 2
27 3/15/2015 3 0 1 2 2
28 3/16/2015 3 1 1 2 2

Regimen Obat
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2
1 3/17/2015 1 1 1 1 1
2 3/18/2015 1 1 1 1 1
3 3/19/2015 2 1 1 2 2
4 3/20/2015 2 1 1 2 2
5 3/21/2015 3 0 1 2 2
6 3/22/2015 3 0 1 2 2
7 3/23/2015 3 1 1 2 2
 8 3/24/2015 3 1 1 2 2
9 3/25/2015 3 1 1 2 2
10 3/26/2015 3 1 1 2 2
11 3/27/2015 3 1 1 2 2
12 3/28/2015 3 0 1 2 2
13 3/29/2015 3 0 1 2 2
14 3/30/2015 3 1 1 2 2
15 3/31/2015 3 1 1 2 2
16 4/1/2015 3 1 1 2 2
17 4/2/2015 3 1 1 2 2
18 4/3/2015 3 1 1 2 2
19 4/4/2015 3 0 1 2 2
20 4/5/2015 3 0 1 2 2
21 4/6/2015 3 1 1 2 2
22 4/7/2015 3 1 1 2 2
23 4/8/2015 3 1 1 2 2
24 4/9/2015 3 1 1 2 2
25 4/10/2015 3 1 1 2 2
26 4/11/2015 3 0 1 2 2
27 4/12/2015 3 0 1 2 2
28 4/13/2015 3 1 1 2 2
AT Second Line Harian
g-resistance Tuberculosis
n Bandung

Umur 48
BB (awal pengobatan) 39
BB (bulan berjalan)
Bulan ke 1
Fase Pengobatan AWAL / LANJUTAN

PAS B6 Keterangan
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
 2
2

AT Second Line Harian

g-resistance Tuberculosis
n Bandung

Umur 48
BB (awal pengobatan) 39
BB (bulan berjalan) 40
Bulan ke 2
Fase Pengobatan AWAL / LANJUTAN

PAS B6 Keterangan
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
 2
2
2
2
2
2
2

PAS B6 Keterangan
2
1
1
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2 2
2 2
2 2
2 2
2 2
2 2

Keterangan
PAS B6 Keterangan
2
2 1
2 1
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2

PAS B6 Keterangan
2
2 1
2 1
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
Nama Pasien BP DIAN
No. Rekam Medik 1428201
Tanggal Lahir 12/6/2/1967
Status UMUM/JKN/
Puskesmas ASTANA ANYAR

Regimen Obat
No. Tanggal E Z Cm Lfx Mfx Eto Cs
3 1 3 2 2

1 11/25/2014
2 11/26/2014 1 1 1 1 1
3 11/27/2014 2 1 2 2 2
4 11/28/2014 2 1 2 2 2
5 11/29/2014 3 0 3 2 2
6 11/30/2014 3 0 3 2 2
7 12/1/2014 3 1 3 2 2
8 12/2/2014 3 1 3 2 2
9 12/3/2014 3 1 3 2 2
10 12/4/2014 3 1 3 2 2
11 12/5/2014 3 1 3 2 2
12 12/6/2014 3 0 3 2 2
13 12/7/2014 3 0 3 2 2
14 12/8/2014 3 1 3 2 2
15 12/9/2014 3 1 3 2 2
16 12/10/2014 3 1 3 2 2
17 12/11/2014 3 1 3 2 2
18 12/12/2014 3 1 3 2 2
19 12/13/2014 3 0 3 2 2
20 12/14/2014 3 0 3 2 2
21 12/15/2014 3 1 3 2 2
22 12/16/2014 3 1 3 2 2
23 12/17/2014 3 1 3 2 2
24 12/18/2014 3 1 3 2 2
25 12/19/2014 3 1 3 2 2
26 12/20/2014 3 0 3 2 2
27 12/21/2014 3 0 3 2 2
28 12/22/2014 3 1 3 2 2
1 12/23/2014 3 1 3 2 2
2 12/24/2014 3 1 3 2 2
3 12/25/2014 2 1 3 2 2
4 12/26/2014 2 1 3 2 2
5 12/27/2014 3 0 3 2 2
6 12/28/2014 3 0 3 2 2
7 12/29/2014 3 1 3 2 2
8 12/30/2014 3 1 3 2 2
9 12/31/2014 3 1 3 2 2
102 26 0 104 0 71 71

10 1/1/2015 3 1 3 2 2
11 1/2/2015 3 1 3 2 2
12 1/3/2015 3 0 3 2 2
13 1/4/2015 3 0 3 2 2
14 1/5/2015 3 1 3 2 2
15 1/6/2015 3 1 3 2 2
16 1/7/2015 3 1 3 2 2
17 1/8/2015 3 1 3 2 2
18 1/9/2015 3 1 3 2 2
19 1/10/2015 3 0 3 2 2
20 1/11/2015 3 0 3 2 2
21 1/12/2015 3 1 3 2 2
22 1/13/2015 3 1 3 2 2
23 1/14/2015 3 1 3 2 2
24 1/15/2015 3 1 3 2 2
25 1/16/2015 3 1 3 2 2
26 1/17/2015 3 0 3 2 2
27 1/18/2015 3 0 3 2 2
28 1/19/2015 3 1 3 2 2
1 1/20/2015 3 1 3 2 2
2 1/21/2015 3 1 3 2 2
3 1/22/2015 3 1 3 2 2
4 1/23/2015 3 1 3 2 2
5 1/24/2015 3 0 3 2 2
6 1/25/2015 3 0 3 2 2
7 1/26/2015 3 1 3 2 2
8 1/27/2015 3 1 3 2 2
9 1/28/2015 3 1 3 2 2
10 1/29/2015 3 1 3 2 2
11 1/30/2015 3 1 3 2 2
12 1/31/2015 3 0 3 2 2
13 2/1/2015 3 0 3 2 2
14 2/2/2015 3 1 3 2 2
15 2/3/2015 3 1 3 2 2
16 2/4/2015 3 1 3 2 2
17 2/5/2015 3 1 3 2 2
18 2/6/2015 3 1 3 2 2
19 2/7/2015 3 0 3 2 2
20 2/8/2015 3 0 3 2 2
21 2/9/2015 3 1 3 2 2
22 2/10/2015 3 1 3 2 2
23 2/11/2015 3 1 1 2 2
24 2/12/2015 3 1 1 2 2
25 2/13/2015 3 1 1 2 2
26 2/14/2015 3 0 1 2 2
27 2/15/2015 3 0 1 2 2
28 2/16/2015 3 1 1 2 2
1 2/17/2015 3 1 1 1 1
2 2/18/2015 3 1 1 1 1
3 2/19/2015 3 1 1 2 2
4 2/20/2015 3 1 1 2 2
5 2/21/2015 3 0 1 2 2
6 2/22/2015 3 0 1 2 2
7 2/23/2015 3 1 1 2 2
8 2/24/2015 3 1 1 2 2
9 2/25/2015 3 1 1 2 2
10 2/26/2015 3 1 1 2 2
11 2/27/2015 3 1 1 2 2
12 2/28/2015 3 0 1 2 2
13 3/1/2015 3 0 1 2 2
14 3/2/2015 3 1 1 2 2
15 3/3/2015 3 1 1 2 2
16 3/4/2015 3 1 1 2 2
17 3/5/2015 3 1 1 2 2
18 3/6/2015 3 1 1 2 2
19 3/7/2015 3 0 1 2 2
20 3/8/2015 3 0 1 2 2
21 3/9/2015 3 1 1 2 2
22 3/10/2015 3 1 1 2 2
23 3/11/2015 3 1 1 2 2
24 3/12/2015 3 1 1 2 2
25 3/13/2015 3 1 1 2 2
26 3/14/2015 3 0 1 2 2
27 3/15/2015 3 0 1 2 2
28 3/16/2015 3 1 1 2 2
1 3/17/2015 3 1 1 2 2
2 3/18/2015 3 1 1 2 2
 3 3/19/2015 3 1 1 2 2
4 3/20/2015 3 1 1 2 2
5 3/21/2015 3 0 1 2 2
6 3/22/2015 3 0 1 2 2
7 3/23/2015 3 1 1 2 2
8 3/24/2015 3 1 1 2 2
9 3/25/2015 3 1 1 2 2
10 3/26/2015 3 1 1 2 2
11 3/27/2015 3 1 1 2 2
12 3/28/2015 3 0 1 2 2
13 3/29/2015 3 0 1 2 2
14 3/30/2015 3 1 1 2 2
15 3/31/2015 3 1 1 2 2
270 64 0 123 49 178 178
270 64 0 123 49 178 178

16 4/1/2015 3 1 1 2 2
17 4/2/2015 3 1 1 2 2
18 4/3/2015 3 1 1 2 2
19 4/4/2015 3 0 1 2 2
20 4/5/2015 3 0 1 2 2
21 4/6/2015 3 1 1 2 2
22 4/7/2015 3 1 1 2 2
23 4/8/2015 3 1 1 2 2
24 4/9/2015 3 1 1 2 2
25 4/10/2015 3 1 1 2 2
26 4/11/2015 3 0 1 2 2
27 4/12/2015 3 0 1 2 2
28 4/13/2015 3 1 1 2 2

E Z Cm km Lfx Mfx Eto Cs

TW 4 2014 1 0 0 0 0 0 0 0
2 835 110 100 835 690 690
3 166 26 16 164 116 116
4 669 84 84 671 0 574 574

E Z Cm km Lfx Mfx Eto Cs

TW I 1 675 83 83 673 0 576 576
2
3
4
 Umur 48
BB (awal pengobatan) 39
BB (bulan berjalan)
Bulan ke 1
Fase Pengobatan AWAL / LANJUTAN

PAS B6 Keterangan
2

1
2
2
2
2
2
2
2
2
2
2
2
2
2 15 12/9/2014
2 16 12/10/2014
2 17 12/11/2014
2 18 12/12/2014
2 19 12/13/2014
2 20 12/14/2014
2 21 12/15/2014
2 22 12/16/2014
2 23 12/17/2014
2 24 12/18/2014
2 25 12/19/2014
2 26 12/20/2014
2 27 12/21/2014
2 28 12/22/2014
2 1 12/23/2014
2 2 12/24/2014
2 3 12/25/2014
2 4 12/26/2014
 2 5 12/27/2014
2 6 12/28/2014
2 7 12/29/2014
2 8 12/30/2014
2 9 12/31/2014
0 71

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
 2
2
2
2
2
2
2
2 2
2 2
2 2
2 2
2 2
2 2
2 1
2 1
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
 2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
98 178
98 178

2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2
2 2

PAS B6
0 0
690
116
0 574

PAS B6
0 576
1 1 1 1 1 1
2 1 2 2 2 2
2 1 2 2 2 2
3 0 3 2 2 2
3 0 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
3 0 3 2 2 2
3 0 3 2 2 2
3 1 3 2 2 2
3 1 2 2 2 2
3 1 2 2 2 2
3 1 2 2 2 2
3 1 2 2 2 2
 3 0 3 2 2 2
3 0 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
3 1 3 2 2 2
62 16 0 58 0 43 43 0 43
102 26 0 104 0 71 71 0 71
62 16 0 58 0 43 43 0 43
164 42 0 162 114 114 114