REGISTER RESEP PASIEN APOTEK

BULAN / TAHUN: JANUARI 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI
1 1/1/2021

2 2/1/2021

3 3/1/2021

Dexa 3 Ambroxol 1/2 GG 1/2 Ctm 1 1/2 Vit C 1

1 4/1/2021 11.13 - 11.19 Bayi Diski Darsa Dana 1bln 4 UMUM Commond Cold MTBS
(pulv) X, Paracetamol Drops I

Gliceryl Guaicolate X, Paracetamol 500 X,

1 5/1/2021 10.22 - 10.29 Tn I Putu Sutrisna 40thn 2 0002405936079
Pehavral X
2 11.12 - 11.15 Ny Ratimah 27thn 4 Vit B Complex X, Ranitidine X 0000948533949
3 11.20 - 11.23 Tn Suyitno 52thn 4 Gliceryl Guaicolate X, Salbutamol 2 X, Vit C X 0000948533736
4 11.16 - 11.17 Ny Ketut Tangkap 46thn 2 Bioron X UMUM
As Mefenamat 500 X, Amoxicillin 500 X,
5 11.30 - 11.33 Nn Komang Pujiastrini 23thn 2 UMUM
Cetirizine X
6 12.49 - 12.52 Ny Ni Nyoman Sukaya 72thn 3 Ranitidine X, FE X 0001936067152
As Mefenamat 500 X, Amoxicillin 500 X, Vit B
7 12.55 - 12.58 Tn Abeng 56thn 4 0001883116776 Vulnus Laceratum UGD
Complex X

1 6/1/2021 10.30 - 10.33 Ny Ni Ketut Menandani 23thn 2 Betametasone Zalf I, Cetirizine X 0002613844451
2 11.45 - 11.47 tn made Sudika 34thn 2 Ibuprofen 400 X, Cefadroxil 500 X, Vit B12 X 0000950985716 Febris Post Op

Paracetamol 500 X, Antasida Syr I, Vit B

1 7/1/2021 08.50 - 08.54 Ny Lasi 57thn 4 0000948574405 Gastritis
Complex X, Gentamicin ED I
2 08.57 - 08.59 Ny Sumini 58thn 4 Gentamicin ED I, Nadic 25 X 0002173155344
Betahistine X, Piroxicam 10 X, Pehavral X,
3 10.00 - 10.02 Tn Surojadi 87thn 4 0000948574383 Vertigo
Antasida Syr I
4 10.04 - 10.05 Ny Rukmayana 33thn 4 Hemafort XX, Noza VIII 0002494617816
5 10.50 - 10.51 Nn Putu Indriani 21thn 2 Vit B Complex X 0001883114763

1 8/1/2021 10.02 - 10.04 Tn Muslimin 46thn 3 As Traneksamat 500 X, Bisacodyl Suppo II UMUM
Amlodipin 10 X, Antasida Syr I, Paracetamol 500
2 10.35 - 10.39 Ny Ketut Sumiati 72thn 4 0001074017302 HT
X
Paracetamol 500 X, Vit B Complex X, Ranitidine
3 15.05 - 15.07 Tn Made Sudika 34thn 2 BPJS UGD
X
4 18.12 - 18.14 Tn Saino 48thn 4 Pehavral V, Curcuma I BPJS UGD
 Cefadroxil Syr I, Zinc Syr I, Curcuma Syr I,
1 9/1/2021 08.45 - 08.50 An Surya Pardin Alwi 10thn 2 BPJS Ispa
Amaropo X, Ambroxol X, Ambroxol Syr I
2 08.55 - 08.58 Ny Waode Musriana 39thn 5 Betahistine X, Ranitidine X, Vit B12 X BPJS Vertigo
Pcr 2 GG 2 Dexa 1 Vit C 1 (pulv) X, Amoxicillin
3 09.12 - 09.17 Bayi Askia 8bln 3 UMUM Ispa UGD
Syr I
4 09.41 - 09.43 Ny Lilis Laela Sari 3 Glibenclamide X, Metformin 500 X, Bioron X 0000133207233 DM Tipe II
5 10.11 - 10.14 Tn Nanang Kusnandar Noza IV, Ambroxol X, Pehavral X, Cetirizine X GR Influenza
6 10.51 - 10.52 Nn Ni Putu Wisnayanti 26thn 1 Sucralfate Syr I GR Gastritis

Paracetamol 500 X, Vit C X, Acetylsistein X,

1 10/1/2021 13.12 - 13.17 Ny Widayati 37thn 4 0000950633829 UGD
Cefixime 100 X, Cetirizine X

1 11/1/2021 05.03 - 05.06 Ny Kasri Metylergometrine X, Paracetamol 500 X, FE X BPJS

Amlodipine 10 X, Paracetamol 500 X, Antasida
2 09.30 - 09.35 Ny Made Durasih 64thn 5 UMUM HT
X, Vit B Complex X
Amoxicillin 500 X, Ibuprofen 400 X,
3 10.04 - 10.07 An Al Hakim 10thn 4 UMUM
Dexamethasone X, Oxytetracycline SM I
4 10.07 - 10.09 Tn Wayan Sudar 46thn 2 Cefixime 100 X, As Mefenamat 500 X 0000950957842 UGD
Glibenclamide X, Metformin 500 X, Meloxicam
5 10.30 - 10.35 Ny Sutinem 42thn 4 0000950849796 Diabetes Melitus
7,5 X, Bioron X
6 11.13 - 11.15 Ny Kadek Susun 24thn 2 Acyclovir Zalf I 00000950664655
7 11.17 - 11.20 Tn Made Sudika 34thn 2 Cefadroxil 500 X, Paracetamol 500 X, Bioron V 0000950983716 Febris Post Op

Antasida Syr I, Ranitidine X, Nadic 25 X, Vit B

1 12/1/2021 10.25 - 10.29 Ny Yayuk 63thn 4 0002297383323 Dispepsia
Complex X
Amlodipine 10 XX, Metformin 500 XX,
2 10.35 - 10.41 Ny Nengah Wedri 62thn 4 BPJS Sindrom Metabolit
Glibenclamide XX, Simvastatin 10 X
3 11.00 - 11.05 Tn kadek Winada 52thn 2 Metaneuron VI BPJS Frozen Shoulder
Dexamethasone X, As Mefenamat 500 X,
4 11.20 - 11.25 Ny Warniti 57thn 4 BPJS
Amoxicillin 500 X, Ibuprofen 400 X
5 11.30 - 11.32 Ny Marhana 36thn 2 Nifedipine X, Kalk X, FE X 0000951634293 Gravio KIA

Amlodipine 10 X, Paracetamol 500 X, Vit B

1 13/1/2021 09.41 - 09.43 Ny Ketut Sumati 71thn 4 0001074617302 HT
Complex X
2 10.21 - 10.23 Tn Daka 54thn 4 Nadic 25 X, Amoxicillin 500 X 0002173146928 Ginggivitis
3 10.34 - 10.37 Ny Luh Pirmawati 30thn 4 Paracetamol 500 X, Cetirizine X, Bedak Salycil I 0002172663292
4 10.47 - 10.49 Tn Kardi 46thn 3 Simvastatin 10 X, Pehavral X 0001879804596 HC
5 12.25 - 12.28 Ny Luh Suweli 44thn 4 Cefixime 100 X, Paracetamol 500 X, Amaropo X BPJS Trauma Capitis

1 14/1/2021 09.50 - 09.52 Ny Misnawati 41thn 3 Sucralfate Syr I 0000133198705 Dispepsia

2 10.05 - 10.07 Tn Made Sukadana 32thn 4 Captopril 12.5 VII 0001879718275 HT
3 10.10 - 10.11 Ny Juwati 20thn 1 Vit B6 X 0002172666993
 Paracetamol Drops I, GG 1/2 Dexa 1/2 Vit C 1
4 10.58 - 11.00 Bayi Andini 2bln 4 GR MTBS
(pulv) X
Amoxicillin 500 X, Paracetamol 500 X,
5 11.25 - 11.28 Ny Meliyani 18thn 3 0001883091881
Metylprednisolone 4 X, Amaropo X
6 12.20 - 12.22 Ny Sunaena 31thn 1 Dextamine X, Acyclovir Zalf I 0000951654933 DKA

Nadic 25 X, Allopurinol 25 X, Metylprednisolone

1 15/1/2021 10.30 - 10.33 Ny Niluh Manis Riana 52thn 3 0000133199763 HU
4X

1 16/1/2021 10.15 - 10.18 Tn Nengah Nesa 79thn 4 Amlodipine 5 X, Cendo Lyteers IV BPJS HT
Amlodipine 10 V, Simvastatin 20 X, Allopurinol
2 10.40 - 10.42 Ny Haja 78thn 3 BPJS
100 X
3 16.12 - 16.15 An Putu Warramayasa 1,11bln 5 Amoxicillin Syr I, Paracetamol Syr I BPJS UGD
1 17/1/2021 07.12 - 07.15 An Kadek Dwi Saputra 7thn 2 Amoxicillin Syr I, Ibuprofen Syr I 0002643665567 Rabies UGD
GG 1 Prednison 1 Ctm 1 Vit C 1 (pulv) X,
2 10.09 - 10.14 An Gede Bayu 10bln 4 UMUM UGD
Paracetamol Drops I

1 18/1/2021 10.00 - 10.03 Ny Samsiah 70thn 4 Cendo Lyteers V, Amaropo V UMUM

Paracetamol Drops I, GG 2 Prednison 2 Ctm 1 Vit
2 10.08 - 10.18 Bayi Falih Aqmar 7,5bln 4 UMUM
C 1 (pulv) X
Sucralfate Syr I, Ranitidine X, Paracetamol 500
3 10.16 - 10.20 Ny Nurkani 42thn 5 0000951928446 Dispepsia
X, Vit C X
Oralit II, Paracetamol Syr I, Cotrimoksazole Syr I,
4 10.37 - 10.40 An Muh Alam 3thn 3 UMUM
Zinc Syr I
5 10.45 - 10.47 Tn I Wayan Upadana 3 Nadic 25 X, Dexamethasone X 0000950848503
Acetylsistein 200 X, Erytromycin 500 X, Antasida
6 11.24 - 11.27 Tn Nasir 55thn 1 0002173160147
X
7 11.30 - 11.33 Tn kadek Sunada 35thn 3 Metylprednisolone 4 X, Phenol Glycerol I 0001287336756
8 11.40 - 11.41 Ny Iluh Suwali 46thn 4 Cetirizine X 0000950333951
9 18.15 - 18.17 Tn Agung Made Suwanda 42thn G. Sari Cefixime 100 XX, As Mefenamat 500 X BPJS Vulnus Laceratum UGD
10 10.45 - 10.47 Ny Siti Nurhayati 28thn 4 Sucralfate Syr I, Loratadine X 0000950654654

1 19/1/2021 11.20 - 11.23 Ny Lisnawati 22thn 3 Fe XXX, Kalk X, Amaropo X, Paracetamol 500 X 0000951685558 KIA

2 11.35 - 11.37 Ny Niluh Ayu Purnama 27thn 3 Fe XXX, Kalk X 0001936067095 G2P1A0 KIA

1 20/1/2021 10.30 - 10.32 An Riki Saputra 6thn 4 Amoxicillin Syr I, Ibuprofen Syr I 0001942398742
2 11.05 - 11.07 An Iza Azizah 2thn 4 Paracetamol Syr I UMUM 54 Ganggren Radix GIGI
3 11.10 - 11.12 Ny Iluh Suweli 4 Amoxicillin 500 X, Paracetamol 500 X BPJS
4 11.30 - 11.32 Tn Salimin 82thn 3 As Traneksamat 500 X BPJS

1 21/1/2021 10.07 - 10.08 Ny Iluh Suweli 46thn 4 Amlodipine 5 X 0000950333951 HT

2 11.11 - 11.13 Ny Ni Nyoman Sukaya Acetylcisteine 200 X, FE X 0001936067152
3 12.25 - 12.28 Tn Putu Geni 31thn 2 Amoxicillin 500 X, As Mefenamat 500 X UMUM UGD
1 22/1/2021 10.37 - 10.40 Tn Made Gati 88thn 4 Noza X, Vit B12 X 0000950332285 Influenza
Antasida Syr I, Cotrimoksazole X, Attapulgite X,
2 11.12 - 11.15 Ny Sriatun 40thn 4 UMUM Dispepsia UGD
Spasminal X

Cefadroxil 500 X, Metylergometrine X, Vit B12

1 23/1/2021 05.03 - 05.06 Ny Kadek Herawati 22thn 2 BPJS Post Partum Persalinan
X
2 09.50 - 09.52 Tn Wayan Sudar 45thn 2 Amoxicillin 500 X, As Mefenamat 500 X 0000950957842 Vulnus Laceratum
3 10.05 - 10.06 Ny Sriatun 40thn 4 Zinc 20 X UMUM

Amoxicillin 500 X, Metylergometrine X, Vit B12

1 24/1/2021 03.25 - 03.27 Ny Ketut Titrawati 2 BPJS Post Partum Persalinan
X
Cefadroxil 500 X, As Mefenamat 500 X,
2 09.09 - 09.14 Ny Suri 48thn 4 Dexamethasone X, Sulfadiazine Silver Zalf I, BPJS UGD
Amaropo X

1 25/1/2021 09.45 - 09.47 Ny Wayan Latri 61thn 3 Antasida Syr I, Vit B12 V 0000950930594 Dispepsia
2 09.48 - 09.50 Ny Iluh Suweli 44thn 4 Amlodipine 5 X, Vit B12 V 0000950333951 HT
3 09.52 - 09.54 Ny Wayan Muliani 67thn 3 Simvastatin 10 XV, Seloxy VI 0000950972321 HC
Cefadroxil 500 X, Metylprednisolone 4 X,
4 09.56 - 10.00 Ny Suryati 38thn 4 0000950793941
Loratadine X
5 10.40 - 10.42 Tn Daka 55thn 4 Amoxicillin 500 X, Nadic 25 X, Vit C X 0002173146928 37 Pulpitis GIGI
6 10.43 - 10.45 Tn Tuto Suarta 47thn 3 Simvastatin 10 XX, Vit B12 V 000095089419 HC
Simvastatin 10 XX, Allopurinol 100 XX,
7 10.47 - 10.52 Ny Tasmiatun 60thn 4 000133181087 HC + HT
Amlodipine 5 XV, Vit B12 V
8 10.55 - 10.56 Ny Hasnawati 31thn 6 Ciprofloxacin 500 X 0002173158617 ISK
9 11.12 - 11.14 An Akmal 1,4bln 6 Acyclovir Zalf II, Stimuno Syr I UMUM

Amlodipine 5 XX, Simvastatin 10 XX,

1 26/1/2021 10.30 - 10.35 Ny Nengah Wedri 61thn 4 Allopurinol 100 X, Metformin 500 XX, BPJS Sindrom Metabolit
Betametasone Zalf I

Amlodipine 5 XX, Metformin 500 XX,

2 10.36 - 10.40 Tn Nengah Ronen 65thn 4 BPJS Sindrom Metabolit
Glibenclamide X, Simvastatin 10 XV, Vit B12 X

3 10.50 - 10.52 Ny Putu Mini 61thn 2 Betahistine X, Amaropo X 0000952094351 Vertigo

4 11.05 - 11.06 Tn Putu Sinta Yana 30thn 2 Vit B6 XXX 0002643668201
Simvastatin 10 X, Allopurinol 100 XX, Pehavral
5 11.15 - 11.18 Tn Made Sandoh 58thn 2 0000952093866 HC + HU
V, Cendo Lyteers MD III
Amoxicillin Drops I, Paracetamol Drops I,
6 11.18 - 11.23 An Kadek Pandya 11bln 3 Ambroxol 2 Dexa 2 GG 1 Ctm 1 1/2 Vit C 1 GR Ispa
(pulv) X
GG 3 Ctm 3 Dexa 2 Vit C 2 (pulv) X,
7 17.20 - 12.25 An Kadek Sujati 4thn 3 UMUM Febris Pro Ev UGD
Paracetamol Syr I

Amlodipine 5 X, Simvastatin 10 XV, Antasida X,

1 27/2/2021 10.09 - 10.12 Ny Wati 51thn 4 0002289127689 HC
Pehavral V
 Dexamethasone X, Miconazole Zalf I, Loratadine
2 10.33 - 10.37 Tn I Putu Sutrisna 39thn 2 0002405936079
X, Oxytetracyckine SK I
Paracetamol 500 X, Simvastatin 10 X, Allopurinol
3 11.48 - 11.50 Tn Kardi 46thn 3 0001879804596 HC
100 X, Amaropo X
4 11.50 - 11.52 An Haris Arsiandi 8thn 1 Ibuprofen Syr I, Becefort Syr I 0002172663099 55 Persistensi GIGI
5 11.55 - 11.57 Nn Andi Nurul Hikmah 26thn 4 Antasida Syr II, Ranitidine X, Bio ATP X Amaropo X GR

Glibenclamide XX, Metformin 500 XXX, Bioron

1 28/1/2021 09.45 - 09.48 Ny Lilis Laela Sari 51thn 3 000133207233 Sindrom Metabolit
V
2 10.02 - 10.04 Nn Melisa 22thn 3 Imunos III, As Mefenamat 500 X Fituno III 0000977956299
New Diatabs 2 1/2 Spasminal 1 Vit B6 (pulv) X,
3 16.12 - 16.19 Bayi Sagung Putu Putriani 11bln 5 Zinc Syr I, Paracetamol Drops I, Domperidone Attapulgite 2 1/2 UMUM UGD
Syr I

Paracetamol Drops I, GG 1/2 Dexa 3 Ctm 2 Vit C

1 29/1/2021 09.12 - 09.17 Bayi Komang Dewi 10bln 3 UMUM Commond Cold MTBS
3 (pulv) X

2 09.19 - 09.21 An Kadek Sujati 4thn 3 Paracetamol Syr I, Ambroxol Syr I, Becefort Syr I UMUM Commond Cold MTBS

3 10.03 - 10.06 Tn Komang Arka 55thn 3 Noza VIII, Becefort Tablet V UMUM Commond Cold
Gentamicin SK I, Oxytetracycline SK I, Ibuprofen
4 10.07 - 10.09 An Muh Alif 20bln G Sari GR
Syr I
5 10.30 - 10.32 Ny Jero Nengah Seroni 51thn 2 Gentamicin SK I, Dexamethasone X, Cetirizine X 0000133205398
6 12.00 - 12.02 Ny Asia 84thn 4 Amlodipine 5 X, Vit B12 X UMUM HT
An Afrin Anisa Purnama Cefadroxil Syr I, Pct 3 Dexa 4 Ctm 3 GG 4 (pulv)
7 14.55 - 15.00 1,5thn 4 UMUM Ispa UGD
Sari X, Becefort Syr I
8 15.05 - 15.08 Ny Utari Indah 4 SF XXX, Vit B6 X, Kalk X UMUM G2P1A0 KIA
9 16.00 - 16.02 Bayi Sagung Putu Putriani 11bln 5 Domperidone Syr I UMUM

1 30/1/2021 11.06 - 11.08 Ny Ni Nyoman Sukaya 73thn 3 As Folat X, FE X 0001936067152 Anemia

Simvastatin 20 XX, Glibenclamide X, Metformin
2 1120 - 11.22 Ny Hj Andi Besse A 51thn WTB GR HC
500 X
Metylergometrine X, Cefadroxil 500 X, Vit B12
3 20.45 - 20.48 Ny Lisa Suseno 20thn 4 0002131877935 Post Partum Persalinan
X

1 31/1/2021
 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: FEBRUARI 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI
Metylergometrine X, Amoxicillin 500 X, Vit B12
1 1/2/2021 03.15 - 03.18 Ny Nasriatul Rodiati 27thn 4 UMUM Post Partum Persalinan
X
Captopril 12,5 X, Paracetamol 500 X,
2 09.42 - 09.44 Ny Suryati 38thn 4 0000950793941 HT
Metylprednisolone 4 X
3 10.30 - 10.32 Tn Kardi 46thn 3 As Folat X, Fe X, Vit B12 X 0001879804592
4 11.10 - 11.12 Ny Ketut Warki 86thn 3 Betahistine X, Bioron X 0000950091221 Vertigo
Cefadroxil 500 X, Ctm X, Nadic 25 X,
5 11.15 - 11.18 Ny Luh Sekaryani 26thn 2 GR
Gentamicin Zalf I
Antasida Syr I, Paracetamol 500 X,
6 11.30 - 11.34 Ny Asriana 32thn 4 BPJS Dispepsia
Dexamethasone X, Attapulgite X

Amoxicillin Syr I, Pct 3 Dexa 5 Ctm 4 GG 5

1 2/2/2021 10.00 - 10.07 An Ahmad Khoirun 2,5thn 4 UMUM Ispa
(pulv) X
Cetirizine X, Dexamethasone X, Betamethasone
2 09.45 - 09.47 Tn Jumardin 32thn 2 UMUM
Zalf I
3 20.05 - 20.07 An Ahmad Pirien 9thn 4 Cetirizine X, Betametasone Zalf I 0002643669652 UGD

Captopril 12,5 X, Simvastatin 20 X, Amlodipine 5

1 3/2/2021 00.24 - 00.26 Tn Mardan 58thn 3 UMUM Unstable Angina UGD
X, Vit B12 X
2 09.38 - 09.40 Tn Lauci 47thn 4 Amlodipine 5 X, Vit B12 X, Cetirizine X 0000950607336
3 09.40 - 09.43 An Fahri Aditia 6thn 4 Dextamine Syr I, Bedak Salicyl I 0002602014118
4 09.49 - 09.51 Ny Iluh Rimbawati 45thn 3 Amoxicillin 500 X, Nadic 25 X, Vit C X 0000950974525 45 Pulpitis GIGI
5 10.24 - 10.26 Bayi Muh Galih Hidayat 6bln 4 Dextamine Syr I UMUM MTBS
6 11.13 - 11.15 Ny Jumriah 32thn 1 Vit b6 X, SF XXX 0000928794868 G2P1A0 KIA
7 11.20 - 11.22 Ny Kadek Suciati 43thn 4 SF XXX, Kalk X 00001074617324 G3P2A0 KIA
Paracetamol 500 X, Ambroxol X, Lansoprazole
8 11.25 - 11.28 Ny kadek Sulastri 29thn 4 0001883118148
30 X, Vit B12 X
9 11.35 - 11.37 Tn Imam 41thn 3 Sucralfate Syr I, Amaropo V UMUM
As Mefenamat 500 X, Salep 2-4 I, Amoxicillin
10 11.40 - 11.42 Ny Jero Nengah Seroni 52thn 2 0000133205398 Furunkel
500 X

As Mefenamat 500 X, Cefadroxil 500 X,

1 4/2/2021 09.37 - 09.39 Nn Andi Nurul Hikma 26thn 4 BPJS
Dexamethasone X, Gentamicin Zalf I
2 10.06 - 10.07 Nn Sri Budi Ariana 24thn 3 Betahistine X, Ranitidine X GR Vertigo
3 10.30 - 10.32 Tn Kardi 46thn 3 Amaropo X 0001879804596
Cefadroxil 500 X, Metylprednisolone 4 X,
4 10.35 - 10.37 Ny Asriana 32thn 4 BPJS
Febrinex I
5 10.57 - 10.58 Tn Sukarman 26thn 1 Amaropo X 0000951661664 TB
6 11.02 - 11.05 Tn Komang Nasya 58thn 2 Amlodipine 5 XV, Nadic 25 X, Vit B12 X UMUM HT
7 11.08 - 11.10 Ny Wayan Darni 66thn 4 Piroxicam 10 X, Ranitidine X, Amlodipine 10 X 0001293290471 HT
Salep 2-4 I, Nadic 25 X, Ranitidine X,
8 11.15 - 11.18 Tn Udin 38thn 4 0000950721434 HU
Allopurinol 100 X
9 11.18 - 11.19 Tn Gusti Arya Darma 52thn 4 Amlodipine 5 X, Pehavral X 0000951891715 HT

Cefadroxil 500 X, Metylprednisolone 4 X, Vit

1 5/2/2021 08.30 - 08.33 ny Lindah Ayu Permata 22thn 0003059705013
B12 X, Oxytetracycline SM I
2 10.00 - 10.03 Ny Ana Sulanisi 37thn 5 Amlodipine 10 XV, Seloxy X 0002173158819 HT
3 10.07 - 10.09 Tn Adi Susanto 43thn 5 Amlodipine 5 V, Cendo Lyteers MD I 0002173158808 HT + Dry Eye
4 10.50 - 10.52 Tn Nengah Muja 78thn 2 Nadic 25 X, Allopurinol 100 X, Bio Atp V 0000951781851 HU
5 11.02 - 11.03 Ny Maryam 28thn 4 Nadic 25 XX, Bio Atp X 00002172689998
New Diatab 5 Spasminal 4 Cotri 3 (pulv) X, Zinc
6 11.15 - 11.22 An Zahra 6thn 4 GR GEA UGD
Syr I
Metylergometrine X, Cefadroxil 500 X, Vit B12
7 11.25 - 11.27 Ny Sunaeni 1 BPJS
X
8 19.35 - 19.37 Tn Nyoman Meduri 46thn 2 Amoxicillin 500 X, As Mefenamat 500 X 0002643666625 Vulnus Ictum UGD

1 6/2/2021 10.40 - 10.42 Tn I Nengah Yasa 55thn 2 Nadic 25 X, Amoxicillin 500 X, Vit B12 X 0002613844034
2 10.46 - 10.47 Ny Saenab 63thn 5 Simvastatin 10 X BPJS HC
3 11.00 - 11.02 Tn Sutarwa 85thn 5 Amlodipine 10 X, Piroxicam 10 X UMUM HT

1 7/2/2021 07.51 - 07.53 Ny Ratimah 27thn 4 Oxytetracycline SM I, As Mefenamat 500 X 000094853349 Inside Bite UGD
Ambroxol X, Erytromycin 500 X, Paracetamol
2 11.00 - 11.05 Ny Nurkani 48thn 5 0000951928446 Commond Cold UGD
500 X, Vit C X
Zinc Syr I, Oralit V, Metronidazole 500 1 1/2
3 15.40 - 15.50 An Musammil Rasyid 10bln 2 UMUM UGD
(pulv) IX

As Traneksamat 500 X, Metylergometrine X,

1 8/2/2021 09.51 - 09.55 Ny Tria Wahyu Ningsih 28thn 5 0000951154839 Post Partum Persalinan
Cefadroxil 500 X, Vit B12 X
2 09.56 - 09.58 Ny Lasi 56thn 4 Piroxicam 10 X, Antasida Syr I, Vit B12 V 0000948574405 Dispepsia
Nadic 25 V, Simvastatin 10 X, Bioron V,
3 10.02 - 10.05 Ny Sukarti 48thn 4 0000950684321
Sucralfate Syr I
4 10.10 - 10.12 Ny Wagiah 54thn 4 Nadic 25 X, Pehavral V 0000950607761
5 11.27 - 11.29 Ny Asia 84thn 4 Amlodipine 10 X, Pehavral V UMUM HT
6 11.49 - 11.52 Ny Dahlia 44thn 4 Sucralfate Syr I, Bioron V 0002172667252 Dispepsia
7 11.55 - 11.57 Tn Fajar Ilyas 30thn 4 Piroxicam 10 X, Noza X, Bioron X 000133068284 Myalgia
8 11.58 - 12.05 Tn Herianto 25thn 7 Haloperidol 1,5 XXX, Risperidone 2 XXX 81348590274 Skizofrenia UGD
1 9/2/2021 09.49 - 09.52 Tn Yusuf Passal 39thn 4 Noza VIII, Vit C X UMUM Rinitis Alergi
2 10.00 - 10.01 Ny Tria Wahyu Ningsih 28thn 5 Fe V BPJS KIA

GG 1 Dexa 1 Ctm 1 (pulv) X, Paracetamol Drops

1 10/2/2021 09.40 - 09.46 Bayi Aisha Ramadhani 9bln 3 UMUM Febris MTBS
I
Nadic 25 X, Erytromycin 500 X, OBH Syr I, Vit
2 09.55 - 09.58 Ny Ketut Warki 85thn 3 0000950091221
B12 V
 Noza X, Sucralfate Syr I, Ranitidine V,
3 10.05 - 10.08 Ny Nurkani 48thn 5 0000951928446 Dispepsia
Amlodipine 5 V
4 10.30 - 10.32 Bayi Falih Aqmar 8bln 4 Paracetamol Drops I UMUM Febris MTBS
Cefadroxil 500 X, Metylergometrine X,
5 16.17 - 16.19 Ny Sunaeni 26thn 1 BPJS Post Partum
Betamethasone Zalf I
6 17.30 - 17.32 Ny Nyoman Badung 56thn 2 Cefixime 100 X, As Mefenamat 500 X

1 11/2/2021 09.54 - 09.54 Tn Adi Susanto 42thn 5 Bioron V 0002173158808

2 11.02 - 11.04 Tn Fachruddin 80thn 4 Amlodipine 5 XX, Bio Atp X GR HT
Plasma
3 12.00 - 12.02 Tn Yahir 41thn Betahistine X, Bio Atp V UMUM Vertigo
Jaya

Antasida Syr II, Ibuprofen 400 X, Vit B Complex

1 12/2/2021 18.05 - 18.08 Tn Wayan Muliana 42thn 5 0000950724257 UGD
X, Dexamethasone X

Cefadroxil 500 X, Antasida Syr II, Lansoprazole

1 13/2/2021 10.35 - 10.39 Tn Nengah Merta 60thn 2 BPJS Dispepsia
30 X, Paracetamol 500 X
2 15.54 - 15.56 Diski Darsa dana 3bln 4 Paracetamol Drops I UMUM Febris UGD
Metylergometrine X, Amoxicillin 500 X,
3 23.55 - 23.58 Ny Surianti 31thn BPJS Post Partum Persalinan
Paracetamol 500 X, SF X

Amoxicillin 500 X, Vit B Complex X,

1 14/2/2021 15.02 - 15.05 Ny Sutanti 32thn 1 0002172663044 Post Partum Persalinan
Metylergometrine X, Vit K Inj I

1 15/2/2021 09.55 - 09.58 Ny Nia Riawati 24thn 4 Vit B12 X, Sucralfate Syr II, Ranitidine X 0000950607843 Dispepsia
2 10.00 - 10.07 An Zainal Akhyar 3thn 4 GG 2 Ambroxol 2 Ctm 2 Dexa 2 Vit C 1 (pulv) X UMUM Ispa
3 10.20 - 10.22 Ny Komang Ratnayani 30thn 4 Bromhexine tab X, Vit C X 0000950327958
4 10.22 - 10.24 Tn Ngadiman 61thn 4 Simvastatin 10 XX, Vit B12 X 0002877281256 HC
5 11.31 - 11.33 An Wahidatul Husna 4thn 4 Ibuprofen Syr I, Becefort Syr I 0002583177996 81 Persistensi GIGI

6 11.34 - 11.36 Ny Rukmayana SKM 33thn 4 Noza IV, Cefadroxil 500 X, As Mefenamat 500 X GR Influenza

7 11.40 - 11.44 Ny Ida 62thn 3 Bioron X, Captopril 12,5 XII, Simvastatin 10 XX UMUM UGD

8 11.50 - 11.52 dr Andi Widana Iswara 27thn 4 Cendo Lyteers IV GR Dry Eye
9 11.55 - 11.57 Ny Nengah Isnawati 44thn 2 Simvastatin 10 X, Bio Atp X, Ibuprofen 400 X 0002493375131 HC

1 16/2/2021 08.47 - 08.49 An Kiki Anggita Putri 12thn 4 Ibuprofen Syr I, Vit C X UMUM 46 Pulpitis Irreversible GIGI

2 08.57 - 08.59 Ny Nengah Isnawati 44thn 2 Metaneuron II BPJS

Gliceryl Guaicolate XX, Metformin 500 XXX,
3 09.30 - 09.35 Ny Lilis Laela Sari 50thn 3 0000133207233 DM
Bio Atp X

Attapulgite X, Amlodipine 10 XX, Simvastatin 10

4 10.01 - 10.07 Ny Nengah Wedri 62thn 4 BPJS Sindrom Metabolit
XV, Allopurinol 100 XV, Metformin 500 XXX
 Simvastatin 10 XX, Amlodipine 10 XX,
5 10.09 - 10.14 Tn Nengah Ronen 66thn 4 Metformin 500 XXX, Glibenclamide XX, Vit B12 BPJS Sindrom Metabolit
X
Amoxicillin 500 X, As Mefenamat 500 X,
6 11.01 - 10.05 Ny Fitria 41thn 4 UMUM Aff Implant KIA
Dexamethasone X, Pil KB 1, Kasa Steril
Amoxicillin 500 X, As Mefenamat 500 X,
7 11.02 - 11.08 Ny Siti Maisaroh 24thn 4 UMUM Aff Implant KIA
Dexamethasone X, Pil KB 1, Kasa Steril

1 17/2/2021 10.03 - 10.03 Ny Lasi 56thn 4 Antasida Syr II, Nadic 25 X, Bio Atp V BPJS Dispepsia
2 10.32 - 10.35 Ny Wayan Darni 66thn 4 Kalk X, Nadic 25 X, Amlodipine 5 X 0001293290471 HT
3 11.08 - 11.09 Tn Gede Giriani 32thn 4 Amoxicillin 500 X 0000950846657 UGD
4 11.15 - 11.17 Ny Ketut Warki 86thn 3 Nadic 25 X, Bioron V BPJS

1 18/2/2021 10.05 - 10.08 Tn Nyoman Mangku 66thn 2 Antasida Syr I, Ranitidine X, Vit B12 V 0000950111201 Dispepsia
2 10.17 - 10.18 Tn Sukarman 26thn 1 Salbutamol 2 X 0000951661664 Asma Bronchial
3 10.25 - 10.26 Tn Kadek Suparta 54thn 3 Dexamethasone X UMUM
4 10.40 - 10.41 Ny Made Kardiani 40thn 3 Salep 2-4 II 000133100109 Furunkel
5 10.48 - 10.50 Ny Asia 85thn 4 Amlodipine 10 X, Vit B12 V UMUM HT
6 10.52 - 10.53 An Farah Fauziyyah 12thn 4 Ibuprofen 400 X BPJS Febris
7 11.41 - 11.41 Ny Komang Werni 49thn 4 Amlodipine 10 X 0000951894101 HT
8 11.30 - 11.31 Nn Ika Resdiana P 27thn 4 Simvastatin 10 XX GR HC
9 15.13 - 15.14 Bayi Muh Abrizan 9bln 1 Dextamine Syr I UMUM UGD

1 19/2/2021 10.30 - 10.32 An Yuskar Pratama 13thn 6 Chloramphenicol X, Vit B12 Thiamphenicol BPJS DBD
2 11.12 - 11.14 Ny Nyoman Badung 55thn 3 Cefixime 100 X, Nadic 25 X BPJS

Cefadroxil 500 X, As Mefenamat 500 X,

1 20/2/2021 10.15 - 10.18 Tn Justang 34thn R Sangia UMUM
Metronidazole 500 III
Miconazole Zalf I+Hidrocortisone Zalf I,
2 10.45 - 10.47 Tn Jumardin 31thn 2 UMUM
Loratadine X
3 11.29 - 11.30 Ny Made Kardiani 40thn 3 Dexamethasone X, Betahistine X 000133100109 Vertigo

1 21/2/2021 18.02 - 18.04 Tn Jiwa 65thn 3 Amoxicillin 500 X, Dextamine Tab X UMUM UGD

Amoxicillin 500 X, Metylprednisolone 4 XX,

1 22/2/2021 10.00 - 10.03 Tn Supriadi 36thn 4 0001942399078 Ispa
Ambroxol X, Salbutamol 2 X
Paracetamol 500 X, Dexamethasone X, Cetirizine
2 10.10 - 10.14 Tn Abeng 55thn 4 0001883116776 Polip Nasal
X, Amaropo X
3 10.30 - 10.32 An Putu Variat 5thn 2 Amoxicillin Syr I, Dextamine Syr I UMUM DKA
4 10.50 - 10.52 Tn Nengah Murta 59thn 3 Sucralfate Syr I, Antasida XX 0000950307412
5 21.10 - 21.12 Ny Fira Safitri 20thn 4 Metylergometrine X, SF X BPJS Post Partum Persalinan

Amoxicillin 500 X, Nadic 50 X, Cimetidine X,

1 23/2/2021 10.10 - 10.12 Tn Santoso Rais 56thn 3 UMUM
Bio Atp V

2 10.16 - 10.18 Ny Ketut Juliani
3 10.22 - 10.25 Tn Ketut Tangkas 62thn
4 10.32 - 10.34 Tn Abd Syarif 36thn
5 10.45 - 10.50 Bayi Hafizah Alfatiha
6 10.35 - 10.37 Ny Yayuk
Piroxicam 10 X, Metylprednisolone 4 X,
45thn 4 0001883088821 Myalgia
Ranitidine X, Allopurinol 100 X
Metformin 500 XXX, Glibenclamide XV, Bioron
2 0002476195749 DM Tipe II
V, Piroxicam 10 X
4 Metformin 500 XXX, Ranitidine XX, Bioron X BPJS
Cotrimoksazole Syr I, Febrinex Syr I, Becefort
2thn 4 UMUM Ispa + Gea MTBS
Syr I
63thn 4 Cimetidine X, Piroxicam 10 X, Bio Atp V 0002297383323 Myalgia + Dispepsia

1 24/2/2021 09.32 - 09.36 Ny Ketut Warki 85thn 3 Metaneuron VII, Bioron V, Cimetidine XX 0000950091221
2 09.55 - 09.57 Ny Sriwulandari 18thn 3 Cimetidine X, Spasminal X 0002597686075 Dispepsia
Pct 3 Dexa 4 Ctm 4 GG 4 Vit C 5 Salbutamol 4
3 09.59 - 10.05 An Muh Alan 3thn 3 UMUM
(pulv) X
Amoxicillin Syr I, Paracetamol Syr I, Becefort
4 10.10 - 10.13 An Putra Pratama 10thn 4 0002589441028 Febris
Syr I
5 10.16 - 10.19 Ny Juwati 20thn 1 SF X, Metylergometrine X, Paracetamol 500 X BPJS
6 10.21 - 10.23 Ny Fauziah 47thn 2 Paracetamol 500 X, Hemafort X UMUM
Pct 2 Dexa 3 Ctm 3 GG 3 Vit C 2 (pulv) X,
7 10.25 - 10.32 An Aisyah Ramadhani 9bln 3 UMUM Ispa
Amoxicillin Syr I
Cefadroxil 500 X, As Mefenamat 500 X,
8 10.40 - 10.44 Tn Sultan Jabir 28thn 4 BPJS
Metylprednisolone 8 X, Oxy SM I
Amoxicillin 500 X, Meloxicam 7,5 X, Cimetidine
9 19.05 - 19.08 Tn Wayan Mudata 63thn 2 BPJS Vulnus Laceratum UGD
X

Metformin 500 X, Ambroxol 30 X,

1 25/2/2021 09.36 - 09.40 Tn Nyoman Benben 79thn 2 Metylprednisolone 4 X, Glibenclamide X, 0000949329494 DM Tipe II
Salbutamol 2 X
Chloramphenicol 500 XX, Paracetamol 500 X,
2 09.42 - 09.46 Tn Harjuri 24thn 4 Thiamphenicol 500 X 0000950642706 Thypoid Fever
Amaropo X, Metylprednisolone 4 X
Cefadroxil 500 X, Dexamethasone X, As
3 10.50 - 10.54 Tn Arba 52thn 2 BPJS
Mefenamat 500 X, Amaropo X
Metylergometrine X, Paracetamol 500 X,
4 23.30 - 23.34 Ny Ketut Swarti 22thn 4 Jampersal Post Partum Persalinan
Amoxicillin 500 X
Simvastatin 10 X, Omeprazole X, Paracetamol
1 26/2/2021 11.08 - 11.11 Ny Kasri 34thn 4 0002131877823 HC
500 X, Amaropo X
2 11.20 - 11.22 Tn Nengah Murta 70thn 3 Cimetidine X, Sucralfate Syr I 0002586975221 Dispepsia
Amoxicillin Syr I, Dextamine Syr I, Betametasone
3 11.50 - 11.54 An Izam Raditia K 6thn 4 UMUM
Zalf I

1 27/2/2021 09.05 - 09.08 An Iksan Saputra 3thn 4 Amoxicillin Syr I, Febrinex Syr I, Becefort Syr I UMUM Ispa MTBS
Cefadroxil 500 X, Paracetamol 500 X,
2 09.15 - 09.19 Tn Irwan 41thn 4 0000950675433 Febris
Metylprednisolone 4 X, Amaropo X
3 10.30 - 10.34 Tn Udin 38thn 4 Piroxicam 10 X, Omeprazole X, Bioron V BPJS Myalgia
Zinc Syr I, Paracetamol Syr I, Pyrantel Pamoate
4 10.34 - 10.37 An Alfairah Ramadhani 5thn 4 UMUM GEA
Syr I
 Amlodipine 10 XX, Furosemide X, Paracetamol
5 10.41 - 10.44 Ny Saniati 48thn 5 0001883058917 HT
500 X, Bioron X
6 10.48 - 10.50 Tn Arba 49thn 3 Cefadroxil 500 X, Ibuprofen 400 X UMUM
7 10.52 - 10.53 Ny Farida Mautia 26thn SP3 Amlodipine 10 X, As Mefenamat 500 X GR
Cefadroxil 500 X, As Mefenamat 500 X,
8 16.53 - 16.56 Ny Putu Ambarawati 36thn 5 00027451000844 OMA UGD
Dexamethasone X

1 28/2/2021
 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: MARET 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI
1 1/3/2021 09.40 - 09.42 Ny Nengah Surti 57thn 4 Piroxicam 10 X, Bio Atp V UMUM Myalgia
2 09.57 - 09.59 Tn Komang Sumanasa 33thn 4 Piroxicam 10 X, Bioron X UMUM Myalgia
3 10.30 - 10.32 An Putu Dirma 7thn 2 Ibuprofen Syr I, Becefort Syr I 000184689145 Gigi 53 Persistensi GIGI

1 2/3/2021 00.07 - 00.09 Ny Komang Sriani 30thn 4 Metylergometrine X, Amoxicillin 500 X, SF X 0001942398369 Post Partum Persalinan
Cefadroxil 500 X, Salbutamol 4 X, Bromhexine
2 09.25 - 09.28 Tn Ketut Slamet 65thn 2 0002643666265 Ispa
X, Bioron X
Amlodipine 10 XX, Piroxicam 10 XV, Cimetidine
3 09.50 - 09.55 Ny Asia 85thn 4 Omeprazole XX UMUM HT
XX, Bio Atp X
Cetirizine X, Dexamethasone X, Bedak Salycil I,
4 10.17 - 10.20 Tn Nyoman Jiwa 86thn 3 UMUM DKI
Bio Atp X
Cotrimoksazole Syr I, Paracetamol Syr I, Zinc Syr
5 10.20 - 10.23 An Alifa Ibatila 4thn 4 UMUM Diare Non Dehidrasi
I
6 10.25 - 10.27 Bayi Nilah Sarvina 2,2thn 2 Febrinex Syr I, Becefort Syr I UMUM Ispa
7 10.35 - 10.36 Ny Marhana 37thn 2 Silex Syr I UMUM Ispa + Gravidarum
Metformin 500 XXX, Simvastatin 10 XX,
8 11.12 - 11.16 Ny Wayan Meri 68thn 4 Allopurinol 100 XX, Amlodipine 10 XX, 0000950683239 Sindrom Metabolit
Glibenclamide XX, Cendo Lyteers V
9 16.38 - 16.39 Tn Salimin 81thn 2 Antasida XX BPJS Dispepsia
As Mefenamat 500 X, Metyergometrine X,
10 14.00 - 14.05 Ny Quratul Aeni 21thn 3 UMUM Post Partum Persalinan
Amoxicillin 500 X, SF X

Amlodipine 10 XXX, Simvastatin 20 XXX,

1 3/3/2021 09.41 - 09.45 Ny Nengah Wedri
2 09.46 - 09.49 Tn Nengah Ronen 66thn
3 09.58 - 10.03 Ny Wayan Suwarti
4 10.15 - 10.18 Ny Ketut Warki
5 10.30 - 10.35 Tn I Wayan Supardi 48thn
6 10.37 - 10.39 Ny Kadek Sulastri
61thn 4 BPJS Sindrom Metabolit
Metformin 500 XXX, Bio Atp XV
Amlodipine 10 XXX, Allopurinol 100 XXX,
4 Metformin 500 XXX, Glibenclamide XX, Bioron BPJS Sindrom Metabolit
XV
Amlodipine 10 XXX, Simvastatin 20 XXX,
65thn 4 Metformin 500 XXX, Bio Atp XV, Allopurinol 0002172663281 HT
100 XXX, Piroxicam 10 X
Omeprazole XX, Bio Atp V, Meloxicam 15 X,
86thn 3 000095009124
Captopril 12,5
Cefadroxil 500 X, Metformin 500 XX,
5 Allopurinol 100 XXX, Bio Atp X, Bacitracin Zalf 0002130258093 Vulnus Laceratum
I
Ibuprofen 400 X, Lansoprazole 30 X, Antasida
30thn 4 0001883118148
Syr I
 Cefadroxil 500 X, Dexamethasone X, As
7 10.55 - 10.58 Ny Wayan Windayani 33thn 4 UMUM Vulnus Laceratum UGD
Mefenamat 500 X, Amaropo X
8 11.10 - 11.12 Ny Masnia G Sari Amlodipine 10 X, Captopril 12,5 X, Vit B12 X GR HT
9 11.20 - 11.22 Ny Niluh Ayu 26thn 3 SF X, Metyergometrine X, Amoxicillin 500 X 0001936067095 Post Partum Persalinan
Novadium X, Sucralfate Syr I, Ranitidine Inj I,
10 13.12 - 13.18 Ny Kadek Karyani 32thn 5 Paracetamol Drips I, Omeprazole 20 X, UMUM UGD
Paracetamol 500 X

1 4/3/2021 10.15 - 10.17 An Komang Dewi 1thn 3 Nystatin Drops I, Paracetamol Syr I UMUM Stomatitis MTBS
Chloramphenicol 500 X, Paracetamol 500 X,
2 10.20 - 10.22 Tn Harjun 26thn 4 Thiamphenicol 500 X 0000050642706 Thypoid
Amaropo X
3 11.02 - 11.04 Ny Yatiem 48thn 4 Cimetidine X, Anvomer X, Antasida Syr II 0000950672834 Dispepsia
4 11.44 - 11.47 Ny Yayuk 64thn Betahistine X, Paracetamol 500 X, Antasida Syr II 0002297382323 Dispepsia

1 5/3/2021 08.17 - 08.18 Ny Putu Riani 22thn 2 Metyergometrine X, SF X GR Post Partum Persalinan
Metylergometrine X, Hemafort X,
2 09.45 - 09.46 Ny Rini Sugianti 31thn 5 Jampersal Post Partum Persalinan
Oxytetracycline SK I
3 10.01 - 10.02 Ny Aniati 44thn 1 Anomer VI, Antasida Syr I BPJS KIA
Amlodipine 10 XXX, Antasida Syr II, Cimetidine
4 10.05 - 10.09 Ny Made Puriatih 66thn 5 Omeprazole X UMUM HT + Myalgia
X, Piroxicam 20 X, Bio Atp X

Amoxicillin 500 X, Dexamethasone X,

1 6/3/2021 10.11 - 10.14 Tn Putu Suwarma 48thn 4 Paracetamol 500 X, Antihemoroid Suppo III, 0001883088786 Hemoroid
Hemafort X
Cendo Lyteers V, Metylprednisolone 4 X, Nadic
2 10.17 - 10.20 Ny Sumini 57thn 4 0002173155344 Myalgia + S E D
25 X, Antasida X
3 10.38 - 10.40 Ny Lasi 57thn 4 Antasida Syr II, Meloxicam 7,5 X, Bio Atp X BPJS Dispepsia
4 10.42 - 10.44 Ny Wayan Suwarti 66thn 4 Piroxicam 10 X 0002172663281 DM Tipe II + Myalgia
5 10.50 - 10.52 Ny Warniti 58thn 4 Antasida XX, Bioron X 0000950680373
Amoxicillin 500 X, Paracetamol 500 X, Hemafort
6 19.05 - 19.07 Ny Luh Eka Sekarini 39thn 2 BPJS Post Partum Persalinan
X, Metylergometrine X

1 7/3/2021 23.45 - 23.47 Ny Kadek Sekarini 21thn 2 Hemafort X, Metyergometrine X, Antasida Syr II 0000951345229 Post Partum Persalinan

1 8/3/2021 10.08 - 10.10 Tn Nengah Murta 60thn 3 Omeprazole X, Sucralfate Syr I 0002580975221 Dispepsia
Amoxicillin 500 X, Paracetamol 500 X, Amaropo
2 10.10 - 10.12 Ny Suhaeni 27thn 3 0002275023751
V
3 10.20 - 10.25 Bayi Aisha Rahmadhani 9bln 3 Pct 2 Dexa 3 Ctm 3 GG 3 (pulv) X UMUM Commond Cold
4 10.27 - 10.29 Ny Lilis Laela Sari 50thn 3 Glibenclamide X, Metformin 500 X, Bio Atp V 000133207233 DM Tipe II
Cefadroxil Syr I, Paracetamol Syr I, Becefort Syr
5 10.31 - 10.33 An Adam Rabani 4thn 3 0002887169521 Susp. Thypoid MTBS
I
 Nadic 50 X, Amlodipine 5 XX, Cimetidine XX,
6 11.15 - 11.17 Ny Wayan Darni 66thn 4 Nadic 25 X, Omeprazole X 000129320471 Ht + Myalgia
Bio Atp X
7 11.50 - 11.51 Ny Rosbiah 32thn 4 Amlodipine 5 XX GR
Amoxicillin 500 V, Paracetamol 500 V,
8 12.53 - 12.56 An Mohammad Anugrah 13thn 6 Metylprednisolone 4 X, Amaropo X, Antasida Syr 0002173150473 Susp. DBD UGD
I

9 20.34 - 20.36 Tn Mujiono 37thn 5 Cimetidine X, Antasida Syr I, Nadic 50 X Omeprazole X, Nadic 25 X 0002173154916 Myalgia UGD

Amoxicillin Syr I, Dextamine Syr I, Hidrocortison

1 9/3/2021 09.28 - 09.30 An Bilqis Atiqah 6thn 4 0002170086153 DKA
Zalf I
Meloxicam 15 X, Meylprednisolone X, Cendo
2 09.50 - 09.53 Tn Ambo Tang 54thn 1 0002173159001 Myalgia
Lyteers III
Amoxicillin 500 X, As Mefenamat 500 X, Vit C
3 10.00 - 10.02 Tn Ketut Neker 79thn 4 00009485337246 13 Gangren Radiks GIGI
X
Paracetamol Syr I, Ambroxol Syr I, Amoxicillin
4 10.17 - 10.20 An Putra Pratama 10thn 4 0002589441028 Ispa
Syr I, Becefort Syr I
5 10.40 - 10.42 An Ketut Deni Maulana 4thn 5 Paracetamol Syr I, Becefort Syr I UMUM Febris MTBS
6 11.34 - 11.36 Ny Putu Senianti 29thn 4 Amoxicillin 500 X, As Mefenamat 500 X 0000950846736
Cefadroxil 500 X, Dexamethasone X, Bacitracin
7 11.40 - 11.43 Ny Made Kardiani 39thn 3 BPJS
Zalf I
Metylergometrine X, Cefadroxil 500 X, As
8 19.50 - 19.54 Ny Siti Nursiah 24thn 3 Jampersal Post Partum Persalinan
Mefenamat 500 X, Hemafort X, Vit K Inj I

1 10/3/2021 09.47 - 09.49 Tn Imam Safi'i 27thn 4 Cetirizine X, Dexamethasone X, Amaropo X UMUM DKA
Amoxicillin 500 X, Loratadine X, Dexamethasone
2 10.04 - 10.06 Ny Nia Riawati 24thn 4 0000950607843 DKA
X
Amlodipine 5 XX, Metylprednisolone X,
3 10.10 - 10.13 Tn Lauci 47thn 4 0000950607336 DKA + HT
Cetirizine X, Piroxicam 10 X
Amoxicillin 500 X, Nadic 25 X,
4 10.17 - 10.19 Ny Paniem 41thn 4 0000950607639 Ginggivitis + DKA
Metylprednisolone X, CTM X
Ciprofloxacin 500 XX, As Mefenamat 500 X, Bio
5 10.30 - 10.32 Ny Wati 52thn 4 0002289127689 ISK
Atp X
Amlodipine 5 XX, Cefadroxil 500 X, Antasida
6 10.50 - 10.53 Ny Nurkani 48thn 5 0000951928446 HT + Dispepsia + ISK
XX
Risperidone 2 XXX, Haloperidol 2 XXX,
7 13.15 - 13.20 Ny Wani 50thn 4 BPJS Skizofrenia
Dextamine Tab X
Ciprofloxacin 500 XX, As Mefenamat 500 X, Bio
8 13.32 - 13.34 Ny Nengah Isnawati 47thn 2 000217564388 ISK
Atp X

Amoxicillin 500 X, As Mefenamat 500 X,

1 11/3/2021 10.10 - 10.13 An Wayan Sumadayasa 14thn 3 UMUM UGD
Dexamethasone X, Vit C X

Amlodipine 10 XX, Omeprazole X, Antasida Syr

1 12/3/2021 08.45 - 08.49 Tn Kasiran 69thn 5 BPJS Dispepsia + HT
I, Bio Atp X
 Fenol Gliserol TL I, Amoxicillin Syr I, Ibuprofen
2 08.55 - 08.58 An Azril 3,4thn 5 UMUM
Syr I
Antasida Syr I, Omeprazole X, Nadic 25 X, Bio
3 09.17 - 09.20 Tn Mujiono 39thn 5 0002173154916 Dispepsia + Myalgia
Atp X
Omeprazole X, Sucralfate Syr I, Loperamide X,
4 09.30 - 09.34 Tn Nengah Murta 60thn 3 0002586975221 Dispepsia
Bio Atp X
5 09.51 - 09.53 An Muhammad Alan 3thn 3 Dextamine Syr I, Becefort Syr I UMUM DKI
Meloxicam 7,5 X, Metylprednisolone X, Antasida
6 10.30 - 10.33 Tn Kadek Winada 53thn 2 000217998213 Myalgia
Syr I

Acyclovir Zalf I, Cefadroxil 500 X,

1 13/3/2021 07.52 - 07.54 Tn Muh Khaerul 3 BPJS
Dexamethasone X, CTM X, Ibuprofen 400 X
Gigi 21 Ganggren
2 09.10 - 09.12 Tn Ketut Neker 75thn 4 Amoxicillin 500 X, Nadic 25 X, Vit C X 0000948537246 GIGI
Radiks
3 09.47 - 09.48 Ny Widartika 29thn 4 SF X, Kalk X 00019360700436 GIIPIA0 KIA
Amoxicillin 500 X, As Mefenamat 500 X, Vit C
4 10.02 - 10.04 An Wayan Jumada 15thn 3 UMUM
X

1 14/3/2021

1 15/3/2021 10.06 - 10.10 Tn Wayan Wiyadi 60thn 4 Meloxicam 7,5 X, Dexamethasone X, Bio Atp V 0000951868708 Myalgia

2 10.25 - 10.27 An Kadek Suriantika 2,4thn 4 Amoxicillin Syr I, Febrinex Syr I, Becefort Syr I 0002893626584

3 10.32 - 10.35 Tn Lumu 53thn 4 Antasida Syr I, Omeprazole X, Paracetamol 500 X 0000950693264
4 10.35 - 10.38 Tn Asrianto 31thn 4 Cendo Lyteers II, CTM X, Dexamethasone X 0000950744204
5 10.40 - 10.42 Ny Wayan Darni 66thn 4 Amlodipine 5 X, Omeprazole X, Antasida Syr I 0001293290471 HT
6 10.45 - 10.46 Ny Asriana 32thn 4 Amoxicillin 500 X, As Mefenamat 500 X GR
Cefadroxil 500 X, Dexamethasone X, As
7 10.50 - 10.52 Ny Kristina 41thn 4 0002172667329
Mefenamat 500 X

8 10.55 - 10.58 Ny Satriani 22thn 4 Antasida Syr I, Omeprazole X, Gentamicin Zalf I 0002172662504 Dispepsia

Cefadroxil Syr I, Pct 2 Dexa 3 Ctm 3 GG 3 Vit C

9 11.03 - 11.08 An NN 3 UMUM Ispa
3 (pulv) X
10 11.15 - 11.17 Ny Marsina 47thn 4 Betahistine X, Paracetamol 500 X, Hemafort X BPJS Vertigo
11 16.30 - 16.32 An Vivi Septiani 18bln 4 Febrinex Syr I, Bcefort Syr I UMUM Ispa UGD
12 17.05 - 17.07 Ny Tita 21thn 4 Antasida Syr I, Vit B6 X UMUM Dispepsia

1 16/3/2021 09.20 - 09.22 Tn Nengah Murta 60thn 3 Omeprazole X, Sucralfate Sy I, Bio Atp X BPJS Dispepsia
2 09.54 - 09.56 An Putri Noviati 5thn 4 Amoxicillin Syr I, Febrinex Syr I, Becefort Syr I 00025883178018 Ispa

Metformin 500 XXX, Glibenclamide XX,

3 10.10 - 10.14 Ny Lilis Laela Sari 50thn 3 000133207233 DM Tipe II
Meloxicam 7,5 X, Bio Atp X
 Cefadroxil 500 X, Metylprednisolone X, Nadic 25
4 10.20 - 10.23 Ny Melisa Triwulan P 21thn 3 00009777956299 Ginggivitis
X, CTM X
5 10.50 - 10.51 Tn Putu Sintayana 30thn 2 Vit B6 XXX UMUM Epilepsi

Omeprazole X, Antasida Syr I, Paracetamol 500

1 17/3/2021 10.20 - 10.24 Ny Kadek Sulastri 29thn 4 0001883118148 Dispepsia
X, Vit B Complex X, Amoxicillin 500 X
Paracetamol 500 X, Amoxicillin 500 X, Vit C X,
2 10.25 - 10.28 Ny Lasi 58thn 4 0000948574405 Ganggren Radiks GIGI
Antasida Syr I
Amoxicillin Drops I, Paracetamol Drops I,
3 10.40 - 10.42 An Kadek Ardiata 3bln 4 UMUM Ispa MTBS
Ambroxol Syr I
Cefadroxil 500 X, Paracetamol 500 X,
4 11.40 - 11.45 Ny Evhy Andriani 26thn 1 Amlodipine 5 X, Metylprednisolone X, Amaropo UMUM Febris
X
Metformin 500 XX, Glibenclamide XX, Bio Atp
5 11.45 - 11.48 Tn Muhammad Said 62thn 2 0002247650919 DM Tipe II
X

BPH (Brigh Prostat

1 18/3/2021 09.55 - 09.57 Tn Wayan Rata 67thn 2 Scabimite Cream I, Bioron X, Dexamethasone X 0000950281378
Hipertropi)
2 09.57 - 10.00 An Hamzan Wadi 1thn 3 Febrinex Syr I, Becefort Syr I UMUM Ispa MTBS
Amoxicillin Drops I, Paracetamol Drops I,
3 10.10 - 10.15 Bayi Ainun Naura 8bln 3 UMUM O.M.A MTBS
Ambroxol Syr I, Zinc Syr I
4 10.17 - 10.19 An Fahri Aditia 6thn 4 Dextamine Syr I, Scabimite Cream I 00026002014118 Scabies
Cefadroxil 500 X, Dextamine X, Ibuprofen 400 X,
5 10.25 - 10.28 Ny Paniem 41thn 4 0000950607639 Ginggivitis + Scabies
Scabimite Cream I
Dextamine Syr I, Ibuprofen Syr I, Scabimite
6 10.30 - 10.33 An Izam Raditia Khairi 4thn 4 UMUM Scabies MTBS
Cream I
Cefadroxil 500 X, Metylprednisolone 4 X, As
7 10.35 - 10.40 Tn Abeng 55thn 4 UMUM Polip Nasal
Mefenamat 500 X, Ambroxol X, Amaropo X
8 10.50 - 10.55 Bayi Muzammil Al Kahfi 4bln 4 GG 1 Ctm 1 Dexa 1 Vit C 1 Pct 1/2 (pulv) UMUM Ispa UGD
Betahistine X, Paracetamol, 500 X, Antasida Syr
9 16.30 - 16.33 Ny Anis Rosida 45thn 5 UMUM UGD
I, Captopril 25 X, Ibuprofen 400 X

1 19/3/2021 10.44 - 10.46 Tn Nengah Murta 60thn 3 Omeprazole X, Sucralfate Syr I 0002586975221 Dispepsia
2 14.12 - 14.14 Tn Made Astina 43thn 2 Antasida Syr I, CTM X, Zinc X 0000950663452 UGD
Paracetamol Drips I, Amlodipine 5 X, Simvastatin
3 18.30 - 18.33 Tn I Made Weka 61thn 2 0000133199627 UGD
X, Antasida Syr I, Spasminal X

Antasida Syr I, Omeprazole X, Ibuprofen 400 X,

1 20/3/2021 08.30 - 08.33 Ny Lamiyem 60thn 4 0002172667724 Dispepsia
Bio Atp X
Antasida Syr I, Paracetamol 500 X, Omeprazole
2 08.35 - 08.38 Tn Mujiono 40thn 1 0002173154916 Dispepsia + Anemia
X, Hemafort X
Antasida Syr I, Omeprazole X, Ibuprofen 400 X,
3 08.50 - 08.53 Ny Haslinda 31thn 1 0002092273435 Dispepsia + Myalgia
Bio Atp X
4 10.25 - 10.27 Tn I Wayan Upadana 56thn 3 Piroxicam X, Metylprednisolone X, Bio Atp X 00001331997552 Myalgia
5 10.30 - 10.32 An Akila Nuranisa P 5thn 4 Dextamine Syr I, Becefort Syr I UMUM DKA
 Gigi 21 Ganggren
6 11.15 - 11.17 Tn Ketut Neker 75thn 4 Amoxicillin 500 X, Nadic 25 X, Vit C X 000094837246 GIGI
Radiks
7 11.50 - 11.52 Ny Rita Husnawati 23thn SF X, Kalk X UMUM
8 20.17 - 20.19 Ny Ketut Sri Budiana 25thn 2 Metylergometrine X, Amoxicillin 500 X, SF X 0001936069053 Post Partum Persalinan

Cefadroxil Syr I, Paracetamol Syr I, Dextamine

1 21/3/2021 09.12 - 09.14 An Nur Khotimah 8thn 4 BPJS UGD
Syr I

Amoxicillin 500 X, Nadic 25 X,

1 22/3/2021 09.54 - 09.57 Ny Kadek Pujawati 43thn 3 0000950994718 Ginggivitis
Metylprednisolone 4 XX
2 10.21 - 10.23 An Farel Setiawan 12thn 4 Cendo Lyteers III, Dextamine Syr I 0000951927096 S.D.E
Metformin 500 XXX, Glibenclamide XX,
3 10.25 - 10.29 Ny Parsi 59thn 4 UMUM DM Tipe II
Simvastatin 20 XX, Omeprazole X, Bio Atp X
4 10.27 - 10.29 Tn Mujiono 40thn 5 Antasida Syr I, Omeprazole X, Bioron X 0002173154916 Dispepsia
5 10.30 - 10.35 Bayi Shanum Syakira 4bln 4 Ctm 1 Dexa 1 Vit C 2 (pulv) X UMUM D.K.A
6 10.39 - 10.36 An David Aldian 5thn 4 Febrinex Syr I, Amoxicillin Syr I, Becefort Syr I UMUM Influenza

Ambroxol X, Metylprednisolone 4 X, Salbutamol

7 10.45 - 10.49 Ny Made Asin 53thn 2 UMUM Asma Bronchial
4 X, Cetirizine X, Paracetamol 500 X

8 10.51 - 10.53 Bayi Kadek Suardiana 8bln 5 Paracetamol Syr I, Ambroxol Syr I, Zinc Syr I UMUM Febris MTBS
Amlodipine 10 XX, Allopurinol 100 XX,
9 10.55 - 10.59 Ny Wayan Darni 66thn 4 0001293290471 HT
Meloxicam 7,5 X, Bio Atp X
10 11.02 - 11.04 An Alif Kurniawan 8thn 4 Febrinex Syr I, Becefort Syr I 0001936003776 Febris
11 11.06 - 11.08 Ny Rini Antika 30thn 4 Noza VIII, Metylprednisolone 4 X, Amaropo X BPJS Febris

Amlodipine 10 XX, Allopurinol XX, Betahistine

12 11.30 - 11.33 Ny Sarikem 60thn 4 00001942395805 HT UGD
X, Paracetamol 500 X
13 21.50 - 21.51 Tn Nyoman Rata 67thn 2 Antasida Syr II BPJS Dispepsia UGD

1 23/3/3021 09.49 - 09.51 Tn Aldiyansah 18thn 4 Antasida Syr I, Paracetamol 500 X, Bioron X 0000951924824 Dispepsia
Amlodipine 10 XX, Simvastatin 20 XX,
2 10.11 - 10.16 Ny Nengah Wedri 62thn 4 Metformin 500 XXX, Omeprazole X, Bio Atp X, BPJS Sindrom Metabolit
Bacitracin Zalf II
Amlodipine 10 XXX, Metformin 500 XXX,
3 10.19 - 10.25 Tn Nengah Ronen 66thn 4 Glibenclamide XXX, Allopurinol 100 X, Bio Atp BPJS Sindrom Metabolit
X
4 10.30 - 10.31 Ny Lisnawati 25thn 3 SF X, Kalk X 0000951685558 KIA
As Mefenamat 500 X, Amoxicillin 500 X, Vit C
5 10.40 - 10.42 Nn Nabila Salwa 12thn 3 0000950304172 46 Pulpitis GIGI
X
6 11.07 - 11.09 Tn Made Gati 64thn 4 Amlodipine 10 X, Bioron V, Ibuprofen 400 X 0002172659308 HT

Paracetamol 500 XX, Antasida Syr I, Amlodipine

7 11.20 - 11.23 Ny Rukayah 63thn WTB GR HT
5 XX, Meloxicam 7,5 X, As Mefenamat 500 X
 Paracetamol 500 X, Antasida Syr I, Ranitidine Inj
8 15.25 - 15.30 Tn Nyoman Rate 71thn 2 0000950281378 UGD
I, Paracetamol Drips I

Amlodipine 5 X, Diazepam X, Ibuprofen 400 X,

1 24/3/2021 09.29 - 09.33 Ny Ketut Warki 86thn 3 000095091221 HT + Cefalgia Kronik
Omeprazole XX
Lansoprazole X, Antasida Syr II, Paracetamol 500
2 10.31 - 10.33 Tn Ketut Adyana 31thn 3 00026308584 Dispepsia
X, Bio Atp X, Salbutamol 2 X
3 10.39 - 10.41 Tn Alimuddin 55thn 3 Piroxicam 20 X, Bio Atp X 0000952096386 Atralgia
4 11.14 - 11.16 An Muh Eril Walid 7thn 3 Cefadroxil Syr I, Ibuprofen Syr I, Becefort Syr I UMUM Vulnus Laceratum
5 11.20 - 11.22 Tn Lukman 60thn 6 Ibuprofen 400 X, Cefadroxil 500 X UMUM Headcache

Thiamphenicol 500 XX, Paracetamol 500 X,

1 25/3/2021 09.56 - 10.00 Tn Harjun 26thn 4 00009506522706 Thypoid
Omeprazole X, Antasida Syr I, Pehavral X
Amlodipine 10 XX, Ranitidine X, Piroxicam 10
2 10.09 - 10.13 Ny Titin 35thn 4 0001074617379 HT
X, Pehavral V
Sucralfate Syr I, Omeprazole X, Bacitracin Zalf I,
3 10.20 - 10.25 Tn Nengah Murta 60thn 3 0002586975221 Dispepsia
Metaneuron X

Amlodipine 10 XX, Cefadroxil 500 X, Piroxicam

4 10.35 - 10.40 Ny Nyoman Rai 68thn 2 BPJS HT
10 X, Metylprednisolone 4 X, Bioron V

Cefadroxil 500 X, Metylprednisolone 4 X,

5 10.55 - 10.58 Ny Suriati 38thn 4 0000950793941
Meloxicam 7,5 X, Omeprazole X
6 11.10 - 11.11 Tn Wayan Rata 70thn 2 Omeprazole X 0000950281378 Dispepsia
Domperidone Syr I, Betahistine X, Paracetamol
7 16.30 - 16.35 Ny Wayan Sudi 67thn 2 0001936068805 Vertigo
500 X, Zinc 20 X, Antasida Syr I

Amoxicillin 500 X, Ibuprofen 400 X, Amaropo X,

1 26/3/2021 10.12 - 10.15
2 10.30 - 10.33
3 10.40 - 10.41
4 11.50 - 11.53
Nn Hidayatul Fitri 19thn 3 0000950142879
Metylprednisolone 4 X
Cefadroxil 500 X, As Mefenamat 500 X,
Tn Gede Muna Jaya 47thn 4 0001883087065 Vulnus Laceratum
Dexamethasone X, Amaropo X
Ny Wayan Sudi 67thn 2 Cotrimoksazole 500 X 0001936068805 Diare Non Spesifik
Acyclovir 400 X, CTM X, Dexamethasone X,
Tn Asrul 50thn 4 BPJS UGD
Acyclovir Zalf II

Metylergometrine X, Amoxicillin 500 X,

1 27/3/2021 01.06 - 01.08
2 08.05 - 08.06
3 11.35 - 11.40
4 11.45 - 11.52
5 11.55 - 11.57
6 14.23 - 14.27
Ny Hesti Bandolan 27thn 3 GR Post Partum Persalinan
Paracetamol 500 X, Antasida Syr I
Ny Irma 42thn 5 Antasida Syr I BPJS
Amoxicillin 500 X, Dexamethasone X, As
Tn Kadek Rata 37thn 3 UMUM Vulnus Laceratum UGD
Mefenamat 500 X, Simvastatin 10 XX,
An Wayan Suwartika 5thn 2 Pct 4 Diazepam 2 1/2 (pulv) X, Zinc Syr I 0002170086175
Amoxicillin Drops I, Paracetamol Drops I,
Bayi Putu Sandimeysa 1thn 2 UMUM Ispa MTBS
Ambroxol Drops I
Metylergometrine X, Amoxicillin 500 X,
Ny Irma Indo Lebbi 42thn 5 0001883059288 Post Partum Persalinan
Paracetamol 500 X, FE X, Vit A II
1 28/3/2021

Metformin 500 X, Glibenclamide X, Simvastatin

1 29/3/2021 09.10 - 09.13 Ny Widayati 38thn 4 0000950633825 DM Tipe II
10 X

Amlodipine 5 X, Simvastatin 10 X, Allopurinol

2 09.49 - 09.53 Ny Tasmiatun 60thn 4 BPJS HT
100 X, Ibuprofen 400 X, Vit B Complex X

3 10.12 - 10.14 An Gusti Ngurah Putu A 1,4thn 4 Paracetamol Drops I, Ambroxol Syr I UMUM Febris MTBS
Cendo Lyteers III, Metylprednisolone 4 X, Konungtivitis Alergi +
4 10.25 - 10.28 Ny Kartika 54thn 4 0000950772295
Cetirizine X, Amlodipine 5 X HT
Paracetamol Syr I, Cotrimoksazole Syr I, Zinc Syr
5 10.28 - 10.30 An Aska Widi Lestari 10thn 4 BPJS G.E.A
I
6 11.25 - 11.27 An Putu Sriyanti 1,7thn 2 Paracetamol Syr I, Ambroxol Syr I UMUM Ispa MTBS
7 11.27 - 11.28 Tn Kardi 47thn 3 Allopurinol X, Hemafort V 0001879804596 HU
8 11.29 - 11.30 Ny Arni 36thn 1 Hemafort X 000217315728 KIA

Amlodipine 10 XX, Bio Atp X, Scabimite Cream

1 30/3/2021 09.37 - 09.38 Tn Wayan Suanda 62thn 2 0000950275732 Myalgia + HT
II
2 10.02 - 10.03 Ny Ginem 45thn 4 Piroxicam 10 X, Bioron X, Diazepam 5 V 0000948529574 Myalgia
Amlodipine 5 XX, Metformin 500 XX, Ibuprofen
3 10.53 - 10.56 Tn Gusti ngurah Kadek 30thn 4 0001879668415 HT
400 X, Bio Atp X

1 31/3/2021 11.12 - 11.14 Ny Ketut Sumiati 72thn 4 Amlodipine 5 XX, Piroxicam 10 X, Bio Atp X 0001074617302 HT + Myalgia
 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: APRIL 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI
Amlodipine 10 XX, Omeprazole X, Allopurinol
1 1/4/2021 10.51 - 10.56 Ny Wayan Darni 65thn 4 0001293290471 HT
100 X, Bio Atp X, Piroxicam 10 X
2 10.52 - 10.54 Ny Fitriani 46thn 3 Amoxicillin 500 X, Ibuprofen 400 X, Vit C X 0000950229573 GIGI
3 10.56 - 10.59 Ny Maskanah 38thn 5 Dextamine Tab X, CTM X, Amaropo X UMUM Urtikaria
Amoxicillin Drops I, Paracetamol Drops I,
4 11.05 - 11.08 Bayi Shanum Syakina 5bln 4 UMUM Ispa MTBS
Ambroxol Drops I

Amoxicillin 500 X, Dexamethasone X, As

1 2/4/2021 17.12 - 17.16 Tn Ramli 21thn 3 Mefenamat 500 X, Antasida Syr I, Becefort Tab BPJS UGD
X, Noza VIII

Paracetamol 500 X, Amaropo V, Domperidone X,

1 3/4/2021 18.03 - 18.06 Ny Upiyati 28thn 7 Cefixime 100 X, Metylprednisolone X, Antasida 0002592857676 Susp DHF Grade I UGD
Syr I

1 4/4/2021

1 5/4/2021 09.20 - 09.22 Ny Made Mekar 55thn 2 Amoxicillin 500 X, Nadic 25 X, Vit C X 0002419296399 35 Ganggren Radiks GIGI
Gliceryl Guaicolate X, Dexamethasone X,
2 09.25 - 09.27 Ny Sri Rejeki 58thn 4 UMUM
Antasida X, Bioron X
Antasida Syr I, Meloxicam 7,5 X, CTM X, Bio
3 09.30 - 09.33 Ny Lasi 56thn 4 BPJS Dispepsia
Atp X

4 09.35 - 09.38 Tn Surojadi 87thn 4 Betahistine X, Piroxicam X, Antasida X, Pehavral BPJS Vertigo

Chloramphenicol X, Paracetamol 500 X, Bioron

5 10.04 - 10.07 Tn Harjun 27thn 4 0000950642706 Thypoid
X
6 10.10 - 10.12 Tn Muh Said 61thn 2 Metformin 500 X, Glibenclamide X, Bio Atp X BPJS DM Tipe II
As Mefenamat 500 X, Amoxicillin 500 X,
7 17.40 - 17.44 An Putu Agus A 11thn 5 UMUM Vulnus Laceratum UGD
Dexamethasone X, Vit C X

1 6/4/2021 10.37 - 10.40 Ny Titin 35thn 4 Amlodipine 5 X, Ranitidine X, Bio Atp X 0001074617379 HT
Loperamide X, Zinc Tab X, Domperidone X,
2 10.42 - 10.43 Ny Azizah 23thn UMUM Diare
Antasida Syr I
Allopurinol 100 XXX, Simvastatin 20 XX,
3 10.45 - 10.48 Ny Samerah 55thn 3 UMUM HC
Piroxicam 20 X, Bio Atp X
Amlodipine 10 XX, Piroxicam 20 XX, Antasida
4 10.55 - 10.59 Ny Asia 85thn 4 UMUM HT
Syr II, Ranitidine X, Hustab Tab X
1 7/4/2021 08.20 - 08.22 An Bilqis Atiqah Z 6thn 4 Febrinex Syr I, Becefort Syr I 0002170086153 Febris
2 08.40 - 08.42 Ny Quriah 67thn 3 Ranitidine X, Paracetamol 500 X, Bio Atp X BPJS Epilepsi
3 09.10 - 09.12 An Vivi Amalia 2thn 5 Febrinex Syr I, Becefort Syr I UMUM Febris MTBS
Cefadroxil 500 X, Dexamethasone X, As
4 09.20 - 09.24 Tn Wayan Sulastra 36thn 3 UMUM UGD
Mefenamat 500 X, Amaropo X
Febrinex Syr I, Becefort Syr I, Betamethasone
5 10.12 - 10.14 An Muhammad Alan 3thn 3 UMUM D.K.I MTBS
Zalf I

6 10.19 - 10.21 Ny Yayuk 63thn 4 Antasida Syr II, Paracetamol 500 X, Pehavral V 000229783323 Dispepsia

Amoxicillin Syr I, Paracetamol Syr I, Ambroxol

7 10.35 - 10.38 Bayi Ketut Anggitariani 11bln 3 UMUM Ispa MTBS
Syr I
8 10.46 - 10.48 Tn Nengah Murta 60thn 3 Sucralfate Syr II, Bio Atp X, Diazepam 5 V 0002586975221 Dispepsia
Paracetamol 500 X, Loperamide X, CTM X,
9 11.18 - 11.22 Tn Nasir 56thn 1 0002173160147 Dispepsia + Ispa
Ambroxol X, Ranitidine X
10 11.25 - 11.27 Ny Sri Wulandari 19thn 3 Amoxicillin 500 X, Nadic 25 X, Vit C X 000259768075 27 Ganggren Radiks GIGI
11 11.30 - 11.32 Ny Sukmiati 41thn 4 Hemafort X, Kalk X GR Hiperemesis KIA
12 11.45 - 11.46 Ny Rukmayana 33thn 4 Cendo Lyteers MD III GR
Glibenclamide X, Metformin 500 X, Bio Atp X,
13 11.50 - 11.55 Ny Lilis laela Sari 3 000133207233
Ambroxol X, Salbutamol 2 X

1 8/4/2021 09.30 - 09.33 Tn Andi Misbar 45thn 1 Piroxicam 20 X, Ranitidine X, Bio Atp X UMUM Myalgia
Erytromicyn 500 X, Ambroxol X, CTM X,
2 10.27 - 10.30 Tn Udin 38thn 4 0000950721434 Ispa
Amaropo X
3 11.00 - 11.03 Ny Siti Alfatih 46thn SP3 Metformin 500 X, Amlodipine 5 X, Cetirizine X GR

1 9/4/2021 11.33 - 11.35 Ny Mekel Sandat 40thn 4 Ibuprofen 400 X, Bio Atp X, Antasida X 0000950661066
An Sindi Annisa Paracetamol 500 X, Metylprednisolone X,
2 12.05 - 12.07 15thn 4 0002170086142 Faringitis
Mutmainnah Amaropo X, Antasida X

1 10/4/2021 08.14 - 08.16 An Resti Amelia 6thn 6 Ibuprofen Syr I, Becefort Syr I UMUM Gigi 51 Persistensi GIGI

2 08.20 - 08.23 An Komang Nadi Puspita 10thn 4 Amoxicillin Syr I, OBH Syr I, Betafort Syr I 0000948569141
3 09.19 - 09.22 Tn Ketut Suderma 44thn 5 Ibuprofen 400 X, Antasida XX, Bio Atp X UMUM Neurolgia Post Op
An Wayan Eka
4 09.40 - 09.43 11bln 5 Amoxicillin Syr I, Febrinex Syr I, Becefort Syr I UMUM MTBS
Budiartayasa
Amoxicillin 500 X, As Mefenamat 500 X, Vit C
5 10.00 - 10.13 Tn Alimuddin 57thn 3 0000952096386 45 Pulpitis GIGI
X, Antasida X
Amoxicillin 500 X, As Mefenamat 500 X,
6 10.30 - 10.33 Ny Kadek Sumarni 22thn 4 0000950689495
Dexamethasone X, Antasida X

Ciprofloxacin 500 X, Antasida Syr I, As

1 11/4/2021 13.30 - 13.32 Tn Ifing 49thn 6 UMUM BPH UGD
Mefenamat 500 X, Dexamethasone X

1 12/4/2021 09.10 - 09.12 An Wahidatul Husna A 6thn 4 Ibuprofen Syr I, Becefort Syr I 0002583177996 Gigi 72 Persistensi GIGI

2 09.30 - 09.33
3 10.12 - 10.15
4 10.30 - 10.32
5 10.50 - 10.52
6 15.20 - 15.23
7 17.30 - 17.33
Amoxicillin 500 X, Dexamethasone X, Nadic 25 Gigi 36 Pulpitis
An Siti Hapiah 18thn 4 UMUM GIGI
X Irreversible
Ibuprofen 400 X, Metylprednisolone X, Bio Atp
Ny Mekel Sandal 41thn 4 0000950661066 Cephalgia
X, Ambroxol X, Amlodipine 5 X
An Komang Adi Ardana 8thn 3 Ibuprofen Syr I, Becefort Syr I 0002768784759 Gigi 72 Persistensi GIGI
An Kadek Ari Saputra 13thn 3 Ibuprofen Syr I, Vit C X 0002768784333 Gigi 83 Persistensi GIGI
Ibuprofen 400 X, Amoxicillin 500 X,
Tn Made Adi Saputra 24thn 2 VL UGD
Dexamethasone X, Vit C X
Paracetamol 500 X, Amoxicillin 500 X,
Tn Baharuddin (Paci) 51thn 7 BPJS VL UGD
Dexamethasone X, Vit C X

Amlodipine 10 XX, Furosemide 40 XX,

1 13/4/2021 10.30 - 10.33 Ny Saniati 48thn 5 0001883058917 HT
Paracetamol 500 X, Bio Atp X

1 14/4/2021 09.35 - 09.37
2 09.40 - 09.46
3 09.48 - 09.54
4 09.59 - 10.04
5 10.10 - 10.13
6 11.00 - 11.03
Ny Nafiatul Rahwah 19thn 5 Amoxicillin 500 X, Silex Syr I 0001936063214 KIA
Amlodipine 10 XXX, Antasida Syr III, Ranitidine
Ny Made Puriasih 65thn 5 UMUM HT + Dispepsia
XX, Bio Atp X, Diazepam III
Amlodipine 10 XXX, Simvastatin 20 XXX,
Ny Nengah Wedri 62thn 4 Allopurinol 100 XXX, Metformin 500 XLV, BPJS Sindrom Metabolit
Bacitracin Zalf III, Bio Atp X
Amlodipine 5 XXX, Allopurinol 100 XXX,
Tn Nengah Ronen 65thn 4 BPJS Sindrom Metabolit
Metformin 500 XLV, Bio Atp X
Tn Komang Budiasa 23thn 4 Spasminal X, Ranitidine X, Antasida Syr II 0002172665518 Dispepsia
Glibenclamide XXX, Metformin XLV, Bio Atp
Ny Lilis Laela Sari 50thn 3 BPJS DM Tipe II
XX

7 11.15 - 11.17 Tn Sudirman 49thn 7 Allopurinol 100 XX, Piroxicam 10 X, Bio Atp X UMUM Myalgia
8 11.30 - 11.32 Tn Kardi 48thn 3 Antasida Syr II, Hemafort X BPJS UGD
Paracetamol Syr I, Domperidone Syr I, Ambroxol
9 16.35 - 16.39 An Alif Ahmadi 11thn 3 0001883083138 Ispa UGD
Syr I, Amoxicillin Syr I

1 15/4/2021 09.45 - 09.47 An Aliyah 3thn G Sari Dextamine Syr I, Cefadroxil Syr I GR
2 10.10 - 10.12 Tn Sukarman 26thn 1 OAT Kat I BPJS TBC
As Mefenamat 500 X, Dexamethasone X,
3 16.45 - 16.48 An Iluh Dewi Sartika 17thn 4 UMUM VL UGD
Antasida Syr I, Vit C X

Paracetamol Syr I, Domperidone Syr I, Zinc Syr I,

1 16/4/2021 09.50 - 09.53
2 10.10 - 10.14
3 14.15 - 14.19
An Afita Fakhrun Nisa 6thn 6 BPJS G.E.A
Curcuma Plus Syr I
Lansoprazole X, Ranitidine X, Bio Atp V,
Tn Mustaming 37thn 2 0001936069029 Dispepsia
Hepagard L, Piroxicam 10 XX
Paracetamol 500 X, Domperidone X, Betahistine
Tn Ketut Wica 76thn 4 0000950679584 UGD
X, Antasida Syr II, Omeprazole X

Cefadroxil 500 X, Dexamethasone X, Ctm X,

1 17/4/2021 08.45 - 08.49 Ny Wilda Widia S 19thn 3 BPJS Epilepsi
Amaropo X
2 08.51 - 08.51 Ny Nasriani 35thn 6 Bio Atp X 0000951330111
Amlodipine 10 XXX, Simvastatin 20 XXX,
3 09.10 - 09.16 Ny Wayan Meri 68thn 4 Allopurinol 100 XXX, Metformin 500 L, 0000950683239 Sindrom Metabolit
Glibenclamide XXX, Cendo Lyteers IV
Metformin 500 L, Glibenclamide XXX,
4 09.20 - 09.24 Tn Muhammad Said 62thn 2 000247650919 DM Tipe II
Allopurinol 100 XXX, Bio Atp V

As Traneksamat 500 X, Amoxicillin 500 X,

1 18/4/2021 11.10 - 11.13 Ny Indo Tang 41thn 7 UMUM
Paracetamol 500 X, Hemafort X

1 19/4/2021 09.10 - 09.13 Tn Ketut Primayana 30thn 4 Nadic 25 X, Metylprednisolone 4 X, Bio Atp X 0001879762151
2 09.15 - 09.17 Tn Ketut Sandiasa 30thn 4 Paracetamol 500 X, Betahistine X, Pehavral X 00001942398358 Vertigo
3 09.20 - 09.22 Ny Kalbi 48thn 3 Ranitidine X, Amaropo X, Paracetamol 500 X 0002642187813
Amlodipine 10 XXX, Simvastatin 20 XXX,
4 10.21 - 10.25 Tn Acok Amir 49thn 3 0002642187892 HT
Allopurinol 100 XXX, Ibuprofen 400 X
Amoxicillin 500 X, Paracetamol 500 X,
5 10.30 - 10.32 Ny Maimuna 43thn 3 Jampersal Persalinan
Metylergometrine X
Amoxicillin 125 Syr I, Pct 2 Dexa 3 Ctm 3 Vit C
6 10.40 - 10.46 Bayi Ainun Naura 8bln 3 UMUM DKA MTBS
5 GG 3 (pulv) X

Piroxicam 10 XXX, Metylprednisolone XX,

1 20/4/2021 09.05 - 09.09 Tn Fajar Ilyas 30thn 4 BPJS Myalgia
Ketoconazole Tab XX, Bioron XX
Metylprednisolone 4 X, Ibuprofen 400 X, Bioron
2 09.30 - 09.34 Ny Mekel Sandat 40thn 4 0000950661066 Bells Palsy
X, Cendo Lyteers III
Ibuprofen 400 X, Dexamethasone X, Ctm X,
3 10.25 - 10.28 Tn Wayan Salin 57thn 3 0000950244085 DKA
Bioron X
Ciprofloxacin 500 X, Betahistine X, Ibuprofen
4 10.10 - 10.43 Tn Made Lara 57thn 2 0002405936068 ISK
400 X, Bio Atp X
5 10.55 - 10.58 Tn Made Gati 88thn 4 Noza VIII, Metylprednisolone 4 X, Bio Atp X 0000950332285 Influenza

Metformin 500 XX, Allopurinol 100 XX,

1 21/4/2021 10.11 - 10.12 Tn Wayan Dunung 82thn 3 0001966655856 DM
Paracetamol 500 X, Hemafort V

Metylprednisolone 4 X, As Mefenamat 500 X,

1 22/4/2021 09.10 - 09.15 Tn Abeng 56thn 4 UMUM Polip Nasal
Ambroxol X, Bioron X, Cendo Lyteers MD II
Pct 3 Dexa 4 Ctm 4 GG 4 Vit c 7 (pulv) X,
2 09.45 - 09.53 An Putu Sriyanti 1,8thn 2 UMUM Ispa MTBS
Amoxicillin Syr I
Cefadroxil 500 X, Dexamethasone X, Ctm X, As
3 13.11 - 13.13 Ny Putu Suci 33thn 5 0002173157098 Gigitan Binatang UGD
Mefenamat 500 X

1 23/4/2021 10.30 - 10.32 Ny Imenah 55thn 2 Betahistine X, Paracetamol 500 X, Bio Atp X 000095062333 Vertigo
Ketoconazole Cream II, Cetirizine X, Piroxicam
2 10.35 - 10.38 Ny Haja 77thn 3 BPJS
10 X, Bromhexine X, Bioron X

3 10.40 - 10.42
4 10.55 - 10.59
5 17.22 - 17.24
6 17.30 - 17.35
Dexamethasone X, Ctm X, Betametasone Cream
Ny Wilda Widia S 19thn 3 BPJS
II
Amlodipine 10 X, Allopurinol 100 X, Bio Atp X,
Ny Wayan Darni 66thn 4 0001293290471 HT
Omeprazole X, Dexamethasone X
Paracetamol 500 X, Amoxicillin 500 X,
Tn Iksan 20thn 4 0000950874794 VL UGD
Dexamethasone X, Vit C X
Pct 2 GG 3 Ctm 3 Dexa 3 Vit C 7 Salbutamol 3
An Salsabila S 10bln 3 UMUM
(pulv) X, Amoxicillin Syr I, Stimuno Syr I

Paracetamol 500 X, Domperidone X, Antasida

1 24/4/2021 09.45 - 09.48
2 09.55 - 09.59
3 11.30 - 11.32
4 20.30 - 20.32
Tn Nyoman Gunawan 37thn 2 UMUM
Syr I, Amaropo X
Amlodipine 10 XXX, Allopurinol 100 XXX,
Ny Quriyah 67thn 3 Ranitidine XX, Antasoida Syr III, Bio Atp X, BPJS HT
Paracetamol 500 X
An Dwiki Galih Purnama 6thn 2 Ibuprofen Syr I, Betafort Syr I 0001922048458 Gigi 51 GIGI
Omeprazole X, Paracetamol 500 X, Bioron X,
Ny Siti Mariamah 59thn 4 BPJS UGD
Paracetamol Drips I

1 25/4/2021 10.10 - 10.12 An Komang Dewi 1thn 3 Paracetamol Syr I, Ambroxol Syr I UMUM Ispa UGD
2 10.13 - 10.14 An Kadek Sujuti 5thn 3 Febrinex Syr I UMUM Ispa UGD
3 10.15 - 10.16 An Ketut Armika 19thn 3 Noza X UMUM Ispa UGD
Antasida Syr II, Paracetamol 500 X, Loperamide
4 15.55 - 15.57 Ny Nurminah 45thn 1 0000951605346 Dispepsia UGD
X, Omeprazole X, Loperamide X
Antasida Syr I, Omeprazole X, Domperidone X,
5 16.00 - 16.05 Ny Ketut Juliani 46thn 4 BPJS UGD
Spasminal X
Metformin 500 X, Glibenclamide X, Cefixime
6 16.20 - 16.23 Ny Sangera 55thn 3 UMUM Hiperglikemia UGD
100 X, Metronidazole 500 X, Bioron X

7 16.30 - 16.33 An Mahsun Adli 2,5thn 3 Paracetamol Syr I, Ambroxol Syr I, Betafort Syr I UMUM Ispa UGD

Griseofulvin X, Dexamethasone X, Cetirizine X,

1 26/4/2021 10.20 - 10.24 Nn Melisa Triwulan P 21thn 3 BPJS Dermatitis Kontak
As Mefenamat 500 X

Cetirizine X, Ranitidine X, Ibuprofen 400 X,

1 27/4/2021 09.55 - 09.58 Ny Suriati 38thn 4 0000950793941
Bioron X
2 10.15 - 10.16 Ny Sangera 63thn 3 Lansoprazole 30 X, Amlodipine 5 X, Bioron X UMUM Hiperglikemia UGD
3 12.00 - 12.02 An Putu Divma G 8thn 2 Ibuprofen Syr I, Betafort Syr I 0001849689145 Gigi 61 Persistensi GIGI
4 12.05 - 12.05 Tn kadek Sunada 33thn 3 Amoxicillin 500 X GR

1 28/4/2021 09.41 - 09.43 Ny Yayuk 59thn 4 Antasida Syr III, Bio Atp X 0002297383323 Dispepsia
Amlodipine 5 XX, Ibuprofen 400 XX, Ambroxol
2 09.55 - 09.59 Ny Ketut Warki 84thn 3 0000950091221 HT
X, Omeprazole X, Bio Atp V
Amoxicillin 500 X, Paracetamol 500 X,
3 10.10 - 10.13 An Suci Rahmawati 11thn 4 0000950680337 VL
Dexamethasone X, Vit C X

4 10.30 - 10.33
5 10.43 - 10.46
6 14.51 - 14.53
7 23.40 - 23.43
1 29/4/2021 09.50 - 09.53
2 09.57 - 10.00
3 10.10 - 10.13
4 13.55 - 13.57
5 14.55 - 14.58
6 21.03 - 21.13
1 30/4/2021 08.50 - 08.53
2 08.55 - 08.58
3 09.10 - 09.13
4 09.20 - 09.25
5 09.27 - 09.32
6 09.40 - 09.44
7 09.55 - 09.58
8 17.30 - 17.36
Amoxicillin 500 X, Dexamethasone X, As
Nn Elsa Alvionita 16thn 4 0000950680293 Dermatitis Kontak
Mefenamat 500 X, Betametasone Krim I
Omeprazole X, Ranitidine X, Loperamide X, Zinc
Ny Nurmina 45thn 1 0000951605346 Kolik Abdomen UGD
20 X
Amoxicillin 500 X, Paracetamol 500 X, Silex Syr
Ny Wayan Purnani 30thn UMUM
I
An Wayan Suartika 5thn 2 Paracetamol Syr I, Dextamine Syr I, Betafort Syr I 0002170086175 UGD
Amlodipine 10 XXX, Furosemide XX, Bio Atp
Ny Saniati 48thn 5 0001883058917 HT
XX
Cefadroxil 500 X, Dexamethasone X, Ctm X,
Ny Wayan Sulastri 47thn 2 0002827228004 Dermatitis Venenata
Betametasone Krim I
Metformin 500 L, Glibenclamide XXX,
Tn Nyoman Benben 78thn 2 0000949329494 DM Tipe II
Meloxicam 7,5 X, Bio Atp X
Ny Murni 46thn 4 Antasida Syr I, Ranitidine X UMUM Gastritis UGD
Amoxicillin 500 X, Metyergometrine X, As
Ny Mita Handayani 25thn 4 Jampersal Post Partum Persalinan
Mefenamat 500 X, FE X
Amoxicillin Syr I, Pct 3 Dexa 4 Ctm 4 GG 4 Vit
An Alifah H 4thn 4 UMUM UGD
C 6 Diazepam 3,5 (pulv) X
Ibuprofen 400 X, Dexamethasone X, Bio Atp X,
Ny Nengah Suaning 65thn 2 BPJS
Antasida Syr II
Acyclovir 5 (pulv) X, Febrinex Syr I, Stesolid 5
An Wayan Suwartika 5thn 2 0002170086175
II, Betafort Syr I
Cefadroxil 500 X, Bromhexine X, Ibuprofen 400
Tn Wayan Sujiwa 67thn 2 0002170086164 Ispa
X, Dexamethasone X
Metformin 500 L, Gentamicin Zalf II, Amlodipine
Ny Nengah Wedri 62thn 4 BPJS Sindrom Metabolit
10 XXX, Simvastatin 20 XXX
Metformin 500 L, Glibenclamide X, Amlodipine
Tn Nengah Ronen 66thn 4 BPJS Sindrom Metabolit
5 XXX, Allopurinol 100 XXX, Bio Atp X
Antasida Syr II, Amoxicillin 500 X, Paracetamol
Tn Wayan Pager 73thn 2 BPJS Ispa
500 X, Bromhexine X, Bio Atp X
Captopril 25 XX, Betahistine X, Ibuprofen 400 X,
Tn Wayan Dasna 56thn 2 BPJS HT
Antasida Doen XX
An Kadek Ardiladani 1thn 4 Pct 2 Dexa 3 Ctm 3 GG 3 Vit C 5 (pulv) X UMUM Ispa UGD
 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: MEI 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI
1 1/5/2021 10.03 - 10.05 Ny Sapriani 41thn 4 Antasida Syr I, Ranitidine X, Spasminal X UMUM UGD
Cefadroxil 500 X, Dexamethasone X, As
2 15.12 - 15.14 Ny Ramlah 60thn 7 UMUM VL UGD
Mefenamat 500 X

Antasida Syr I, Cotrimoksazole Syr I,

1 2/5/2021 11.13 - 11.15 Tn Made 73thn 7 0002858907172 Diare UGD
Domperidone Syr I
2 14.19 - 14.21 An Rianandra R 6thn 2 Domperidone Syr I, Paracetamol Syr I 0002608938797 UGD
Noza X, Paracetamol 500 X, Betahistine X,
3 15.02 - 15.04 Tn Kadek Winara 52thn 2 0000951465332
Pehavral X

Amoxicillin Syr I, Pct 2 Dexa 3 Ctm 3 GG 3

1 3/5/2021 09.05 - 09.10 An Gusti Ayu Adinda 1,7thn 4 UMUM
(pulv) X

2 09.12 - 09.14 An David Aldian 6thn 4 Amoxicillin Syr I, Dextamine Syr I UMUM Furinkel
3 09.16 - 09.18 An Ikbal Afandi 8thn SR Dextamine Syr I, Betafort Syr I 0002593358447 D.K.A
4 09.20 - 09.22 An Kadek Sujati 4thn 3 Febrinex Syr I, Betafort Syr I UMUM
5 09.23 - 09.24 Bayi Komang Dewi 1,2thn 3 Paracetamol Syr I, Ambroxol Syr I UMUM Ispa
6 09.30 - 09.32 Nn Eci Astika 15thn 1 Paracetamol 500 X, Antasida Syr I, Ranitidine X 0002172666058 Dispepsia

As Mefenamat 500 X, Metylprednisolone 4 X,

7 09.50 - 09.54 Tn Abeng 57thn 4 UMUM
Omeprazole X, Amaropo X
Amlodipine 10 XXX, Allopurinol 100 XXX, Bio
8 09.57 - 09.59 Ny Wayan Darni 65thn 4 0001293290471 HT
Atp X, Omeprazole XX
Piroxicam 10 X, Dexamethasone X, Ctm X,
9 10.10 - 10.14 Tn Asis Melo 56thn 1 0002172666025
Ranitidine X, Cefadroxil 500 X, Bioron X
10 10.20 - 10.25 An Isyana 3thn 4 Pct 3 Dexa 4 Ctm 4 GG 4 Vit C 7 (pulv) X BPJS

Amlodipine 5 XXX, Cefadroxil 500 X,

11 10.30 - 10.35 Ny Hasfina 52thn 3 0000133099367 HT
Dexamethasone X, Ambroxol X, Antasida Syr II

Metformin 500 XXX, Meloxicam 7,5 X, Bio Atp

12 10.58 - 11.02 Tn Nur Alam 47thn 6 BPJS DM
X, Simvastatin 20 XX
13 11.20 - 11.22 An Bilqis Atiqah 6thn 4 Phenol Gliserol TL I 0002170086153
14 11.26 - 11.28 Ny Rukmayana 33thn 4 Ranitidine X, Paracetamol 500 X GR

Antasida Syr I, Domperidone Tab X, Omeprazole

15 20.30 - 20.34 Ny Husnawati 32thn 3 BPJS UGD
X, Paracetamol 500 X
 Paracetamol 500 X, Dexamethasone X, Ambroxol
1 4/5/2021 09.44 - 09.46 An Gusti Yuda Pramana 11thn 4 0000951896608
Syr I, Betafort Syr I
Amoxicillin 500 X, Paracetamol 500 X, Antasida
2 10.00 - 10.03 Tn Sakeruji 36thn 3 BPJS
Doen X, Amaropo X

3 10.05 - 10.08 An Sari Rahma Anjani 4thn 3 Amoxicillin Syr I, Febrinex Syr I, Betafort Syr I UMUM

Simvastatin 20 XX, Ibuprofen 400 X, Diazepam 2

4 10.10 - 10.15 Tn Gusti Arya D 51thn 4 0000951891715 HC
III, Hemafort X
Simvastatin 10 XX, Allopurinol 100 XX,
5 10.19 - 10.23 Ny Nurliani 40thn 4 0000950745047 Myalgia
Ibuprofen 400 X, Hemafort X
6 10.30 - 10.32 Tn Ketut Mundra 66thn 4 Piroxicam 10 X, Bio Atp X 0000950337167
Spasminal X, Cefadroxil 500 X,
7 10.35 - 10.37 Ny Husnawati 32thn 3 BPJS
Metylprednisolone 4 X
Ibuprofen 400 X, Bio Atp X, Allopurinol 100 XX,
8 10.40 - 10.43 Ny Putu Ayuni 32thn 4 BPJS Myalgia
Omeprazole X, Antasida Syr II
9 11.00 - 11.03 Tn Slamet Riyanto 48thn 4 Noza VIII, Amaropo X, Cendo Lyteers X BPJS

Amoxicillin 500 X, Paracetamol 500 X,

1 5/5/2021 08.10 - 08.13
2 08.30 - 08.33
3 09.50 - 09.54
An Suci Rahmawati 12thn 4 0000950680337 Vulnus Laceratum
Dexamethasone X, Vit C X
Ny Gusnul Yati 41thn 4 Cetirizine X, Dexamethasone X, Amaropo X 000133051206
Ciprofloxacin 500 X, Dexamethasone X,
Tn Made Suardi 38thn 4 0000950327853 Ispa
Ibuprofen 400 X, Amaropo X

Cefadroxil 500 X, Ambroxol X, Paracetamol 500

1 6/5/2021 09.02 - 09.05 Ny Sagung Ketut Sipta 61thn 4 0000950750662 Ispa
X, Bio Atp X

2 09.07 - 09.09 Tn Gusti Ketut Raka 63thn 4 Bromhexine X, Amoxicillin 500 X, Antasida Syr I 0000950750526 Ispa
3 09.15 - 09.16 An Raida Ramdani 4thn 4 Becefort Syr I 0002259525802
4 09.20 - 09.22 Ny Titin 35thn 4 Amlodipine 10 XXX, Ranitidine X, Bio Atp X 0001074617379 HT
5 09.40 - 09.42 Ny Suriani 26thn 3 Ranitidine X, Spasminal X, Domperidone X UMUM Dispepsia
6 09.50 - 09.52 An Aliyah 3thn G Sari Febrinex Syr I, Amoxicillin Syr I, Becefort Syr I GR

Pct 2 Dexa 3 Ctm 3 GG 3 Vit C 5 Salbutamol 3

7 09.55 - 09.59 An Alif 23thn G Sari GR
(pulv) X
Allopurinol 100 XX, Antasida Syr IV,
8 10.10 - 10.13 Ny Lasi 57thn 4 BPJS Dispepsia
Paracetamol 500 X

Pct 3 Dexa 4 Ctm 4 GG 4 Vit C 7 Salbutamol 4

1 7/5/2021 09.40 - 09.45 An Adzriel Rafiq S 1thn 4 UMUM MTBS
(pulv) X
2 09.49 - 09.51 Ny Bode 55thn 4 Amlodipine 5 XX, Piroxicam 10 X, Bioron X UMUM HT
Piroxicam 10 X, Dexamethasone X, Ctm X,
3 10.10 - 10.14 Tn Gusti Markus 43thn 4 0000951869167 D.K.I
Griseofulvin XX, Bioron X
Amoxicillin 500 X, Dexamethasone X, As
4 10.17 - 10.19 Ny Eka Murbasari 54thn 3 GR
Mefenamat 500 X
 Amoxicillin 500 X, Bromhexine X, Salbutamol X,
1 8/5/2021 09.05 - 09.08 Tn Suanto 84thn 3 BPJS Ispa
Paracetamol 500 X, Hemafort X

2 09.10 - 09.13 Ny Made Gupit 66thn 3 Amlodipine 10 XXX, Bioron X, Piroxicam 20 X UMUM HT

Amlodipine 10 XXX, Piroxicam 20 X,

3 09.15 - 09.18 Ny Dasak Made Suitri 57thn 3 UMUM HT
Antihemoroid Suppo III, Bioron X

4 09.20 - 09.22 Tn Dewa made Tagel 56thn 3 Amlodipine 5 XXX, Ibuprofen 400 X, Bioron X UMUM HT

Metformin 500 L, Ranitidine X, Antasida Syr II,

5 09.25 - 09.27 Ny Nyoman Niasa 64thn 3 0001936067062 DM
Bioron X
6 09.30 - 09.33 Tn Nyoman Tani 71thn 3 Amlodipine 10 XXX, Dextamine X, Bioron X BPJS
7 09.35 - 09.38 Ny Wayan Sukmi 66thn 3 Antasida Syr I, Piroxicam 20 X, Bio Atp X BPJS
Paracetamol 500 X, Dextamine X, Bioron X,
8 10.10 - 10.13 Ny Nyoman Ayu 80thn 3 GR D.K.A
Betametasone Krim II
Paracetamol 500 X, Amaropo X, Bio Atp X,
9 10.15 - 10.18 Tn Sarim 76thn 3 GR Ispa
Amoxicillin 500 X
10 10.20 - 10.22 Ny Niluh Agustini 39thn 3 Antasida Syr II, Ranitidine X, Pehavral X 0001936067141 Dispepsia
11 10.25 - 10.27 Ny Wayan Suratmi 50thn 2 Amlodipine 10 XXX, Bio Atp X, Ranitidine X BPJS HT
Amoxicillin 500 X, Paracetamol 500 X,
12 10.35 - 10.39 Ny Azizah Amsari 22thn 4 UMUM
Ambroxol X, Antasida Syr II, Amaropo X
13 11.12 - 11.14 An Bilqis Atiqah 6thn 4 Paracetamol Syr I, Becefort Syr I 0002170086153 Febris
14 11.16 - 11.18 Ny Tusi 60thn 4 Bio Atp X, Ibuprofen 400 X BPJS Myalgia
15 11.30 - 11.33 Tn Fajar Ilyas 30thn 4 Griseofulvin XX, Ceterizine X 0000133068284 Dermatitis Venemata
Cefadroxil 500 X, Paracetamol 500 X,
16 17.10 - 17.13 An Nurul Alriana 16thn 5 0002173148662 Vulnus Laceratum UGD
Dexamethasone X

1 9/5/2021 10.13 - 10.14 Ny Ni Made Sudarmawati 3 Noza IV GR Influenza

As mefenamat 500 X, Amoxicillin 500 X,

1 10/5/2021 09.12 - 09.14 An Nurul Alviana 15thn 5 0002173148662
Dexamethasone X

2 09.17 - 09.19 Tn Wayan Niplor 57thn 2 Antasida Syr I, Omeprazole X, Paracetamol 500 X 0002252860503

Glibenclamide XXV, Metformin 500 L, Becefort

3 09.20 - 09.23 Ny Lilis Laek 51thn 3 BPJS DM Tipe II
Tab X
4 10.00 - 10.03 Ny Haslinda 31thn 1 Antasida Syr I, Ranitidine X, Spasminal X 0002092273435
5 10.10 - 10.11 Ny Marhana 36thn 2 Nifedipine XX 0000951634293 GIIIPIIA0 KIA
Paracetamol 500 X, Simvastatin 10 X, Bio Atp X,
6 10.30 - 10.33 Ny Nengah Isnawati 2 000195606325
GG X, Piroxicam 10 X
Omeprazole X, Meloxicam 7,5 X, MP 4 X,
7 10.40 - 10.42 Tn Kadek Winada 52thn 2 000950457606
Bioron X
8 10.50 - 10.51 Bayi Kirana Felisia 3blm 4 Ambroxol Drops I UMUM MTBS
9 10.59 - 11.02 Ny Fatmawati 45thn 5 Amlodipine 10 XXX, Bio Atp X 0002173160428
1 11/5/2021 09.20 - 09.22 Tn Gede Bakti Antara 40thn
2 09.23 - 09.25 Ny Sekar Ayu P
3 09.40 - 09.45 Bayi Afsal Athalla 1,1thn
4 09.50 - 09.54 Nn Hidayatul Fitri
5 09.55 - 09.59 Ny Asmah
6 10.12 - 10.15 Tn Made Gati 88thn
7 10.30 - 10.34 Ny Nyoman Sari
8 10.40 - 10.43 Tn Putu Suarma 48thn
9 10.50 - 10.53 Ny Ni Putu Wismayanti
4 Amoxicillin 500 X, Nadic 25 X, MP 4 X BPJS
Paracetamol 500 X, Amoxicillin 500 X,
20thn 4 BPJS
Ambroxol X, Amaropo X
4 Pct 2 Dexa 3 Ctm 3 GG 3 Vit C 7 (pulv) X GR
Antasida Syr II, Paracetamol 500 X,
20thn 3 0000950142879
Dexamethasone X, Hemafort X
29thn 3 Simvastatin 20 XX, Piroxicam 10 X, Bio Atp X 0001936067038 Myalgia
Erytromicyn 500 , Dexamethasone X,
4 Bromhexine X, CTM X, Amlodipine 10 XXX, 0000950332285 Ispa
Paracetamol 500 X, Antasida Syr I
Cendo Lyteers III, Antasida Syr I, Paracetamol
55thn 4 0002172659319
500 X, Bio Atp X
4 Antihemoroid Suppo X, Nadic 25 X, Bioron X BPJS
26thn 2 Sucralfate Syr I, Paracetamol 500 X, Pehavral X BPJS

Omeprazole X, Antasida Syr II, Paracetamol 500

10 10.59 - 11.03 Ny nengah Penti 73thn 2 UMUM
X, Bioron X

Metylergometrine X, Paracetamol 500 X,

1 12/5/2021 04.03 - 04.06 Ny Ruaningsih 35thn 5 0002173148829 Post Partum Persalinan
Amoxicillin 500 X, hemafort X
Amoxicillin 500 X, As Mefenamat 500 X,
2 07.01 - 07.03 Tn Gunawan P 33thn 4 UMUM UGD
Dexamethasone X, Vit C X
3 09.12 - 09.14 Tn Abeng 57thn 4 MP 4 X, As Mefenamat 500 X, Becefort X UMUM
4 10.00 - 10.02 Ny Elsa Agus S 19thn 3 SF X, Kalk X UMUM GIP0A0 KIA
5 10.15 - 10.17 Bayi Ahmad Azzam 1,5thn 4 Amoxicillin Syr I, Paracetamol Syr I 0002905182325
Amoxicillin 500 X, Nadic 25 X, Dexamethasone
6 10.40 - 10.43 Tn Suprianto 23thn 4 UMUM UGD
X, Bioron X

1 13/5/2021 11.13 - 11.19 Ny Ketut Sumiati 72thn 4 Paracetamol 500 X, Bioron X

As Mefenamat 500 X, Amoxicillin 500 X,

1 14/5/2021 10.12 - 10.14 Nn Nurul Al Viana 16thn 5 BPJS UGD
Dexamethasone X, Vit C X
2 11.15 - 11.17 Tn Putu Sumara 38thn 4 Ambroxol X, CTM X UMUM
Amoxicillin 500 X, Paracetamol 500 X,
3 11.20 - 11.22 An Kadek Desi 8thn 4 UMUM
Dexamethasone X

4 11.30 - 11.32 Bayi Diski Darsa 4 Paracetamol Syr I, Zinc Syr I, Domperidone Syr I UMUM UGD

Ranitidine Inj I, Ondansentrone Inj I, Antasida

5 09.50 - 09.52 Tn Kadek Oktoni G 27thn 2 0002607459232 UGD
Syr I, Paracetamol 500 X
1 15/5/2021
Ranitidine Inj I, Ondansetrone Inj I, Antasida Syr
1 16/5/2021 09.50 - 09.52 Tn Kadek Oktoni G 27thn 2 0002607459232 UGD
X, Paracetamol 500 X
 Amoxicillin 500 X, Paracetamol 500 X, MP 4 X,
1 17/5/2021 09.20 - 09.24 Ny Mindi 17thn 4 BPJS
Hemafort X
2 09.27 - 09.29 An Saju Ketut Murni 8thn 4 Febrinex Syr I, Betafort Syr I 0001936063899 Febris UGD
Cefixime 100 X, Amoxicillin 500 X,
3 09.30 - 09.33 Tn Ahmad Nasruddin 23thn UMUM
Dexamethasone X, As Mefenamat 500 X
Amoxicillin 500 X, As Mefenamat 500 X, Bioron
4 09.40 - 09.42 Ny Nurhayati 30thn 5 0000951963423
X
5 09.43 - 09.44 NN Amoxicillin 500 X, As Mefenamat 500 X
6 09.50 - 09.52 Tn Sudiro 51thn 4 Omeprazole X, Hemafort X BPJS Gastritis
Ranitidine X, Allopurinol 100 X, Meloxicam 7,5
7 09.54 - 09.57 Tn Bahri 57thn 2 0002883224327
X, Bio Atp X
8 09.59 - 10.01 Tn Wayan Suanda 61thn 2 Amlodipine 10 XX, Ambroxol X, Bio Atp X 0000950275732 HT
Amoxicillin 500 X, MP 4 X, As Mefenamat 500
9 10.30 - 10.34 Tn Gede Antara 40thn 4 BPJS
X, Cendo Lyteers II
Paracetamol 500 X, Ibuprofen 400 X, Curcuma
10 11.00 - 11.04 Ny Rukma 33thn 4 GR
Plus Syr I, Bioron X

Cotrimoksazole Syr I, Zinc Syr I, Paracetamol Syr

1 18/5/2021 10.00 - 10.03 An Eva Putri Karlin 5thn Bulukumba UMUM
I
2 10.05 - 10.06 An Falih Aqmar 11bln 4 Febrinex Syr I UMUM Ispa
3 10.08 - 10.10 Tn Hermanto 26thn 4 Noza VIII, Dexamethasone X, Amaropo X UMUM Ispa
4 10.20 - 10.24 An Ngurah Kenta V 3,2thn 2 Paracetamol Syr I, Domperidone Syr I, Zinc Syr I UMUM GEA MTBS

Pct 2 Dexa 3 Ctm 3 GG 3 Vit C 5 Cotri 3 (pulv)

5 10.30 - 10.37 An Muzammil Al Kahfi 6bln
6 11.00 - 11.05 Ny Wayan Darni
7 11.07 - 11.10 Tn Made Tirta 60thn
4 GR GEA MTBS
X, Zinc Syr I
Amlodipine 10 XXX, Allopurinol 100 X,
66thn 4 0001293290471 HT
Omeprazole XX, Bio Atp XX, Piroxicam 10 X
Piroxicam 20 X, Dexamethasone X, Bio Atp X,
2 0002419296164
Antasida XX

8 15.17 - 15.19 An Komang Adi Suardana 10thn 4 Paracetamol 500 X, Dexamethasone X, Vit C X UMUM UGD

Paracetamol 500 X, Amoxicillin 500 X,

9 17.00 - 17.04 Tn Hasbul 39thn Anggotoa UMUM Vulnus Laceratum UGD
Dexamethasone X, Vit C X

1 19/5/2021 08.30 - 08.32 Tn Syamsuddin 57thn 7 Omeprazole X, Antasida Syr I UMUM Dispepsia
Captopril 50 XX, Piroxicam 10 X, Bioron X,
2 08.34 - 08.37 Ny Wati 4 0002289127689 HT
Simvastatin 10 X
3 08.40 - 08.43 Ny Andi Nuraeni 58thn 3 Lactulose Syr I, Bioron X, Ibuprofen 400 X UMUM Myalgia
4 08.49 - 08.52 Tn Faiz 59thn Ranitidine X, Piroxicam 10 X, Bio Atp X 0002172666025
5 09.00 - 09.02 Ny Arianti 37thn 4 Paracetamol 500 X, Hemafort X 0000950734517
Ranitidine X, Bio Atp Ceterizine X, Cendo
6 09.20 - 09.24 Ny Nurnawi 4 0000948549958 Dispepsia
Lyterrs III
Amoxicillin 500 X, Cefixime X, Dexamethasone
7 09.30 - 09.35 Tn Ahmad Nasruddin 23thn 3 0000952065044 Vulnus Laceratum
X, As Mefenamat 500 X, Amaropo X
8 10.00 - 10.04 Ny Maskanah 5 Piroxicam 10 X, Bioron X UMUM Myalgia
 Amoxicillin 500 X, Ibuprofen 400 X, Antasida
1 20/5/2021 09.10 - 09.15 Tn Surojadi 90thn 4 0000948574383 Vertigo
Syr II, Betahistine XX, Bio Atp X
Paracetamol 500 X, Domperidone X, Antasida
2 09.17 - 09.20 Ny Ina Saniur 58thn 3 UMUM Dispepsia
Syr II, Omeprazole X, Bioron X
Erytromycin 500 XX, Salbutamol 2 XX,
3 09.23 - 09.27 Ny Nisa 30thn Ranosangia UMUM Bronchitis
Dexamethaone X, Bioron X
4 09.30 - 09.32 An Kadek Sujiati 4thn 3 Paracetamol Syr I, Betafort Syr I UMUM Febris
Cefadroxil 500 X, Dextamine X, Bromhexine Tab
5 09.35 - 09.38 Tn H Mangnga 58thn 3 UMUM Ispa
X, Amaropo X

As Mefenamat 500 X, Amoxicillin 500 X,

1 21/5/2021 06.05 - 06.08 Tn Rahman Rahim 33thn 4 GR UGD
Dexamethasone X, Vit C X
2 09.01 - 09.02 An Nabil Al Ammar 13thn 4 Ketoconazole Krim II 0000133051228
3 09.15 - 09.17 Ny Dewi Metylergometrine X, Hemafort X BPJS Post Partum
Metformin 500 XLV, Glibenclamide XX,
4 09.20 - 09.25 Tn Nengah Ronen 66thn 4 Allopurinol 100 XX, Amlodipine 5 XX, Bio Atp BPJS Sindrom Metabolit
X
Noza VIII, Dexamethasone X, Antasida X,
5 09.27 - 09.30 Nn Winda 16thn 4 00009488576137
Amaropo X
6 10.12 - 10.14 An Vivi Gebi Septiani 1,8thn 4 Amoxicillin Syr I, Febrinex Syr I UMUM MTBS

Cefadroxil 500 X, Dextamine X, Bromhexine X,

1 22/5/2021 10.32 - 10.35 Tn H Mangnga 58thn 3 UMUM D.K.I
Bioron X
2 10.55 - 10.57 Ny Junaena 45thn 1 Piroxicam 10 X, Bioron X, Ranitidine X BPJS Myalgia

1 23/5/2021
 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: JUNI 2021

JENIS KELAMIN NAMA OBAT YANG

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 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: JULI 2021

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BULAN / TAHUN: AGUSTUS 2021

JENIS KELAMIN NAMA OBAT YANG

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 gnb
b
 p
.
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BULAN / TAHUN: SEPTEMBER 2021

JENIS KELAMIN NAMA OBAT YANG

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BULAN / TAHUN: OKTOBER 2021

JENIS KELAMIN NAMA OBAT YANG

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BULAN / TAHUN: NOVEMBER 2021

JENIS KELAMIN NAMA OBAT YANG

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 REGISTER RESEP PASIEN APOTEK
BULAN / TAHUN: DESEMBER 2021

JENIS KELAMIN NAMA OBAT YANG

NO TANGGAL WAKTU PELAYANAN NAMA PASIEN ALAMAT NAMA OBAT NO. KARTU DIAGNOSA KET
L P DIGANTI