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Daftar Kunjungan Pasien

Umur
NO Tanggal Nama
L

1 02-06-2018 CRISTIAN AGUS 20 Thn 2 Bln 0 Hari

2 04-06-2018 MARIA KRISTIEN DE ROSARI -

3 04-06-2018 SUKADI 38 Thn 1 Bln 29 Hari

4 05-06-2018 ELI PITRIANI -

5 06-06-2018 WILDAN AINUL AHMI 10 Thn 11 Bln 15 Hari

6 07-06-2018 PT RAENALDY MARTHA 27 Thn 1 Bln 5 Hari

7 11-06-2018 RADITYA 0 Thn 3 Bln 0 Hari

8 13-06-2018 NI NYOMAN ARI TRISNAYANTI -

9 19-06-2018 WILHELMUS WOLLA WUNGA 3 Thn 10 Bln 6 Hari

10 19-06-2018 I PUTU ARYA NATA 17 Thn 7 Bln 30 Hari

11 20-06-2018 RENALDI -

12 20-06-2018 YONIQ VALENSIA BAYA -

13 21-06-2018 IZTIZAR YUAN DITRA -

14 21-06-2018 HEIKI ALVARO HERDIAMAN SINAGA 3 Thn 0 Bln 22 Hari

15 25-06-2018 ANGGA ARIANTO -

16 25-06-2018 GIAN ASAHARI -


17 28-06-2018 WELANI -

18 28-06-2018 PUTU SALSABILA PUTRI -

19 29-06-2018 AYU DWI LESTARI -

20 29-06-2018 SEPTIAWAN 0 Thn 10 Bln 17 Hari

21 29-06-2018 MADE MIRAH -

22 30-06-2018 NELLY NURUL HIDAYATI -

23 02-07-2018 DIANA ROSANA -

24 02-07-2018 AYU MANTREKA -

25 02-07-2018 SUMEHARTO 43 Thn 9 Bln 9 Hari

26 02-07-2018 SUCI RAMADHANTI -

27 03-07-2018 ALIYAH -

28 03-07-2018 WARNOTO 55 Thn 8 Bln 22 Hari

29 03-07-2018 NI WAYAN SARIANI -

30 03-07-2018 KAMILIA -

31 04-07-2018 KOMANG SRI WAHYUNI -

32 04-07-2018 GEDE AGUS ARYA SAPUTRA 20 Thn 8 Bln 19 Hari


33 04-07-2018 KETUT MANIK -

34 05-07-2018 BUDI SANTOSO 41 Thn 0 Bln 28 Hari

35 05-07-2018 HERMANI 24 Thn 0 Bln 28 Hari

36 05-07-2018 NI WAYAN SUASTINI -

37 06-07-2018 KRISTIAN 4 Thn 7 Bln 6 Hari

38 07-07-2018 ANDJANI -

39 09-07-2018 NI PUTU AYU PUTRI -

40 10-07-2018 JUANDA -

41 12-07-2018 VINCENTIA REVICA -

42 13-07-2018 KRISTIAN 4 Thn 7 Bln 6 Hari

43 13-07-2018 SAFA EL MAIKA -

44 14-07-2018 KOMANG JANGGO 16 Thn 0 Bln 19 Hari

45 14-07-2018 NI PUTU NENA RAJITA MAHESWARI -


46 17-07-2018 I MADE TELAGA TEGUH DIARSA 20 Thn 11 Bln 1 Hari

47 17-07-2018 ARDIAN AZAMUL FARHAN -

48 18-07-2018 I PUTU BAGUS WIDYADARMA PERMAN2 Thn 9 Bln 10 Hari

49 19-07-2018 SITI SYAHDU -

50 21-07-2018 SATRIOANUS -

51 23-07-2018 GEDE AGUS YUDI HENDRAWAN 7 Thn 0 Bln 21 Hari

52 25-07-2018 PAULUS SEPTIANI JENMARK 0 Thn 10 Bln 29 Hari

53 25-07-2018 NENG NANDA RAHMAWATI -

54 27-07-2018 AHMAD RADIT 2 Thn 10 Bln 16 Hari

55 27-07-2018 ALFFA REZA -

56 30-07-2018 BINTANG WIJAYA KUSUMA -

57 30-07-2018 PRAYITNO 42 Thn 0 Bln 3 Hari

58 30-07-2018 NI KOMANG DIMITA PRATIWI -


Umur
KK Alamat
P

- (CRISTIAN AGUS) JLN PRATAMA

6 Thn 9 Bln 23 Hari (MARIA KRISTIEN DE ROSARI) JLN DUKUH SARI II

- (SUKADI) BUALU

19 Thn 2 Bln 11 Hari (ELI PITRIANI) KAMPIAL

- GIRI ASRI

- (PT RAENALDY MARTHA) ANCAK BENOA

- (RADITYA) BUALU

19 Thn 7 Bln 1 Hari (NI NYOMAN ARI TRISNAYANTI) PERUM BERINGIN SARI NO 3

- (WILHELMUS WOLLA WUNGA) KEDONGANAN

- (I PUTU ARYA NATA) SAWANGAN

0 Thn 5 Bln 6 Hari

0 Thn 8 Bln 21 Hari TANJUNG BENOA

26 Thn 1 Bln 12 Hari (IZTIZAR YUAN DITRA) KAMPIAL

- JL. DUKUH SARI 2 MENESA

27 Thn 1 Bln 8 Hari (ANGGA ARIANTO) KAMPIAL

2 Thn 0 Bln 28 Hari (GIAN ASAHARI) GANG SINGAPORE


2 Thn 3 Bln 9 Hari BUALU

3 Thn 2 Bln 2 Hari ANCAK

24 Thn 1 Bln 4 Hari (AYU DWI LESTARI) BUALU

- (SEPTIAWAN) MUMBUL

16 Thn 1 Bln 4 Hari (MADE MIRAH)

24 Thn 5 Bln 13 Hari (NELLY NURUL HIDAYATI) PERUMAHAN WISMA NUSA PERMAI BLOK C 15

56 Thn 9 Bln 28 Hari (DIANA ROSANA) BR KAUH PECATU

27 Thn 1 Bln 0 Hari (AYU MANTREKA) JLN PUSPAWRESTI

- (SUMEHARTO) KAMPIAL

25 Thn 1 Bln 0 Hari (SUCI RAMADHANTI) TM GRIYA

44 Thn 6 Bln 20 Hari (ALIYAH) JLN SRIKANDI

- (WARNOTO) BR PEKEN

29 Thn 1 Bln 3 Hari BR SAWANGAN

4 Thn 0 Bln 30 Hari (KAMILIA) JIMBARAN

24 Thn 0 Bln 12 Hari (KOMANG SRI WAHYUNI) KORI NUANSA

- (GEDE AGUS ARYA SAPUTRA) RAYA KAMPIAL


2 Thn 0 Bln 29 Hari (KETUT MANIK) BUALU

- (BUDI SANTOSO) JLN PUSPAWRESTI

- (HERMANI) ULUWATU

34 Thn 2 Bln 1 Hari (NI WAYAN SUASTINI) KAMPIAL JLN MAYA LOKA

21 Thn 0 Bln 26 Hari (ANDJANI) BR CELUK

48 Thn 7 Bln 1 Hari (NI PUTU AYU PUTRI) PERUM TAMAN GIRI

24 Thn 0 Bln 23 Hari (JUANDA) JLN DHARMAWANGSA

24 Thn 4 Bln 24 Hari (VINCENTIA REVICA) JLN TAMAN GIRI

2 Thn 0 Bln 20 Hari (SAFA EL MAIKA) BELAKANG TRAGIA

- (KOMANG JANGGO) JLN PUSPAWRESTI

2 Thn 0 Bln 7 Hari JIMBARAN


- (I MADE TELAGA TEGUH DIARSA) BR PEKEN

6 Thn 0 Bln 16 Hari (ARDIAN AZAMUL FARHAN) JLN TEROPONG

- LING PANDE

2 Thn 5 Bln 24 Hari (SITI SYAHDU) SILIGITA

1 Thn 3 Bln 0 Hari (SATRIOANUS) TAMAN AYODYA

- PONDOK KAMPIAL

- SILIGITA

19 Thn 2 Bln 15 Hari (NENG NANDA RAHMAWATI) TANJUNG BENOA

- JLN MONALISA GANG JAMBU

0 Thn 5 Bln 15 Hari (ALFFA REZA) KAMPIAL

13 Thn 0 Bln 3 Hari (BINTANG WIJAYA KUSUMA) JLN BAYPASS NGURAH RAI NO 234

- (PRAYITNO) BR PANDE

8 Thn 8 Bln 28 Hari NUANSA BARAT III NO 3


Kasus
Desa Kecamatan Kode Dianosa Diagnosa
B
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
KEDONGANAN KUTA - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


TANJUNG BENOAKUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

BENOA KUTA SELATAN - A09 - Diarrhoea and gastroenteritis of -v


presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


PECATU KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

JIMBARAN KUTA SELATAN - A09 - Diarrhoea and gastroenteritis of -v


presumed infectious origin

- Diarrhoea and gastroenteritis of


BENOA KUTA SELATAN - A09 -v
presumed infectious origin

BENOA KUTA SELATAN - A09 - Diarrhoea and gastroenteritis of -v


presumed infectious origin
- Diarrhoea and gastroenteritis of
TANJUNG BENOAKUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin
- Diarrhoea and gastroenteritis of
BENOA KUTA SELATAN - A09 -v
presumed infectious origin

- Diarrhoea and gastroenteritis of


JIMBARAN KUTA SELATAN - A09 -v
presumed infectious origin
Kasus
Therapy No Medrec Status Pasien
L
- New Diatabs,- Hyocine-N-butilbr P510301018107711 RAWAT JALAN MEDIK UMUM ()
/ Scopma tab 10 mg

- Zink tab 20 mg,- New Diatabs,- P510301018007788 RAWAT JALAN MEDIK UMUM ()
Garam Oralit 200 ml air

- New Diatabs,- Garam Oralit 200 P510301018107792 RAWAT JALAN MEDIK UMUM ()
ml air,- Coparcetin
- New Diatabs,- Garam Oralit 200 P510301018007351 RAWAT JALAN MEDIK UMUM ()
ml air

- Vitamin B complek tab,- zink tab P510301017110769 RAWAT JALAN MEDIK UMUM ()
20 mg,- Garam Oralit 200 ml air

- Simvastatin 20 mg,-
Methylprednisolone 4mg,- P510301017108894 RAWAT JALAN MEDIK UMUM ()
Meloksikam 15 mg
- Zink drop 10 mg/ml,- Garam P510301018106862 RAWAT JALAN MEDIK UMUM ()
Oralit 200 ml air
- New Diatabs,- Hyocine-N-butilbr P510301018008282 BPJS-KBS ()
/ Scopma tab 10 mg
- Garam Oralit 200 ml air,- Zink P510302018100033 RAWAT JALAN MEDIK UMUM ()
tab 20 mg,- Paracetamol syr

- New Diatabs P510301018108485 BPJS (0001866502203)

- Erphaflu Sirup,- zink tab 20 mg,-


Kotrimoksazol suspensi,- Garam P510301018003557 RAWAT JALAN MEDIK UMUM ()
Oralit 200 ml air,- Kotrimoksazol
kombinasi 480 mg

P510301018001502 RAWAT JALAN MEDIK UMUM ()

- Garam Oralit 200 ml air,- New


Diatabs,- Hyocine-N-butilbr / P510301018008587 RAWAT JALAN MEDIK UMUM ()
Scopma tab 10 mg
- Garam Oralit 200 ml air,- Zink P510301017110786 RAWAT JALAN MEDIK UMUM ()
drop 10 mg/ml
- Parasetamol tab 500 mg,- Garam
Oralit 200 ml air,- Vitamin B P510301018008702 RAWAT JALAN MEDIK UMUM ()
complek tab
- Garam Oralit 200 ml air,- Zink P510301018002769 RAWAT JALAN MEDIK UMUM ()
drop 10 mg/ml
- Asam Ascorbat ( vit c ) tab 50
mg,- Zink drop 10 mg/ml,-
Ambroxol tab 30 mg,- P510301017002596 RAWAT JALAN MEDIK UMUM ()
Klorfeniramini maleat (ctm) tab 4
mg

P510301017000035 BPJS-KBS ()

- Hyocine-N-butilbr / Scopma tab


10 mg,- Garam Oralit 200 ml air,- P510301018008901 RAWAT JALAN MEDIK UMUM ()
New Diatabs
- Zink drop 10 mg/ml,- Garam P510301017111828 RAWAT JALAN MEDIK UMUM ()
Oralit 200 ml air

- Hyocine-N-butilbr / Scopma tab


10 mg,- Garam Oralit 200 ml air,- P510301018008935 ()
Besi II sulfat ( tablet tambah darah
)

- Asam Mefenamat 500mg,-


Garam Oralit 200 ml air,- Vitamin P510301018008955 BPJS (0001482393835)
B complek tab

- New Diatabs P510301018008983 BPJS (0001582396187)

- New Diatabs,- Parasetamol tab P510301018008993 RAWAT JALAN MEDIK UMUM ()


500 mg
- Parasetamol tab 500 mg,- New P510301017113310 RAWAT JALAN MEDIK UMUM ()
Diatabs
- New Diatabs,- Hyocine-N-butilbr
/ Scopma tab 10 mg,- P510301018009066 RAWAT JALAN MEDIK UMUM ()
Parasetamol tab 500 mg

- New Diatabs,- Hyocine-N-butilbr P510301018000816 RAWAT JALAN MEDIK UMUM ()


/ Scopma tab 10 mg,- Coparcetin

- New Diatabs,- Hyocine-N-butilbr


/ Scopma tab 10 mg,- P510301018109085 BPJS (0002274220258)
Parasetamol tab 500 mg
- New Diatabs,- Parasetamol tab P510301017015237 BPJS (0001386531167)
500 mg
- New Diatabs,- Garam Oralit 200
ml air,- Paracetamol drop 100 mg/ P510301018009090 RAWAT JALAN MEDIK UMUM ()
ml

- New Diatabs,- Hyocine-N-butilbr


/ Scopma tab 10 mg,- Ranitidin P510301018009196 RAWAT JALAN MEDIK UMUM ()
150 mg

- Hyocine-N-butilbr / Scopma tab


10 mg,- New Antides,- Ranitidine P510301017113999 ()
150mg
- Garam Oralit 200 ml air,-
Parasetamol tab 500 mg,- P510301018009210 RAWAT JALAN MEDIK UMUM ()
Paracetamol syr
- Coparcetin,- Zink tab 20 mg,- P510301018109226 RAWAT JALAN MEDIK UMUM ()
Vitamin B complek tab
- Vitamin B complek tab,-
Parasetamol tab 500 mg,- Garam P510301018109273 RAWAT JALAN MEDIK UMUM ()
Oralit 200 ml air

- Parasetamol tab 500 mg,-


Kotrimoksazol kombinasi 480 mg,- P510301018009283 RAWAT JALAN MEDIK UMUM ()
Garam Oralit 200 ml air

- Klorfeniramini maleat (ctm) tab


4 mg,- Asam Ascorbat ( vit c ) tab
50 mg,- Vitamin B complek tab,- P510301016100249 RAWAT JALAN MEDIK UMUM ()
zink tab 20 mg,- Ambroxol tab 30
mg,- Parasetamol tab 500 mg,-
Garam Oralit 200 ml air

- Garam Oralit 200 ml air,- zink tab


20 mg,- Hyocine-N-butilbr / P510301018009388 RAWAT JALAN MEDIK UMUM ()
Scopma tab 10 mg
- New Diatabs,- Garam Oralit 200 P510301018009501 BPJS-KBS ()
ml air
- Garam Oralit 200 ml air,- New P510301018009569 RAWAT JALAN MEDIK UMUM ()
Diatabs
- New Diatabs,- Hyocine-N-butilbr P510301018009660 BPJS-KBS ()
/ Scopma tab 10 mg

- Parasetamol tab 500 mg,- Asam


Ascorbat ( vit c ) tab 50 mg,- Zink
tab 20 mg,- Klorfeniramini maleat P510301016100249
RAWAT JALAN MEDIK UMUM ()
(ctm) tab 4 mg,- Ambroxol tab 30
mg,- Vitamin B complek tab,-
Garam Oralit 200 ml air

- Garam Oralit 200 ml air,- Vitamin


B complek tab,- Parasetamol tab P510301018009716 RAWAT JALAN MEDIK UMUM ()
500 mg

- New Diatabs,- Hyocine-N-butilbr


/ Scopma tab 10 mg,- Garam P510301018109758 RAWAT JALAN MEDIK UMUM ()
Oralit 200 ml air

- Parasetamol tab 500 mg,-


Klorfeniramini maleat (ctm) tab 4 P510301017010734 RAWAT JALAN MEDIK UMUM ()
mg,- Vitamin B complek tab,-
Garam Oralit 200 ml air
- Garam Oralit 200 ml air,- New
Diatabs,- Hyocine-N-butilbr / P510301018109882 BPJS (0001574870692)
Scopma tab 10 mg

- Garam Oralit 200 ml air,-


Parasetamol tab 500 mg,- New P510301018009884 RAWAT JALAN MEDIK UMUM ()
Diatabs

- Ambroxol tab 30 mg,-


Parasetamol tab 500 mg,- Garam
Oralit 200 ml air,- Klorfeniramini P510301018109969 BPJS (0002052902856)
maleat (ctm) tab 4 mg,- Asam
Ascorbat ( vit c ) tab 50 mg,- zink
tab 20 mg

- Zink drop 10 mg/ml,- Erphaflu P510301018002177 RAWAT JALAN MEDIK UMUM ()


Sirup,- Garam Oralit 200 ml air

- Parasetamol tab 500 mg,-


Amoxsisilina kap 500 mg,-
Klorfeniramini maleat (ctm) tab 4 P510301018006134 RAWAT JALAN MEDIK UMUM ()
mg,- Ambroxol tab 30 mg,- Zink
tab 20 mg,- Dexamethason 0,5
mg

- Zink tab 20 mg P510301017110772 RAWAT JALAN MEDIK UMUM ()

- zink tab 20 mg,- Paracetamol P510301018108245 RAWAT JALAN MEDIK UMUM ()


drop 100 mg/ ml

- Attapulgite active 600 mg P510301018010273 RAWAT JALAN MEDIK UMUM ()

- Zink tab 20 mg P510301017111340 RAWAT JALAN MEDIK UMUM ()

- zink tab 20 mg P510301018010135 RAWAT JALAN MEDIK UMUM ()

- Garam Oralit 200 ml air,- Zink P510301018010423 RAWAT JALAN MEDIK UMUM ()
tab 20 mg,- New Diatabs
- Garam Oralit 200 ml air,- Zink P510301018110425 RAWAT JALAN MEDIK UMUM ()
tab 20 mg,- New Diatabs

- Parasetamol tab 500 mg,-


Vitamin B complek tab,-
Omeprazol 20 mg,- Paracetamol P510301017015097 BPJS (1583321106)
drop 100 mg/ ml,- Garam Oralit
200 ml air