<table align="center" width="50%" >

<tr>
<td align="center" colspan="5">
<big><big><big><span style="font-weight: bold;">
PEMAKAIAN OBAT RASIONAL
</span></big></big></big>
</td>
</tr>
</table>

<table class='tabel bayang' width='80%' border="1">

<tr class='row1' align='center'>
<td width="3%" >No</td>
<td width="8%" >Tanggal</td>
<td >Pasien</td>
<td >Alamat</td>
<td >Umur</td>
<td >Ruang</td>
<td width="50%" >Detail Obat</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>1</td>
<td align='left'>01-09-2021</td>
<td align='left'>PARTIANI</td>
<td align='left'>
KEDUNGJATI RT 09 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>52 T-5 B-29 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>2</td>
<td align='left'>01-09-2021</td>
<td align='left'>WAHYUNI</td>
<td align='left'>
KRANDANG RT 002 RW 001 SAWAHAN SAWAHAN </td>
<td align='left'>52 T-1 B-24 H</td>
<td align='left'>POLI UMUM</td>
 <td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SALBUTAMOL TABLET 2 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDIN 150MG BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Isosorbid DiNitrat 5 mg (ISDN) </td>
<td width="10%">5</td>
<td width="20%">1 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>3</td>
<td align='left'>01-09-2021</td>
<td align='left'>CANDRIKA</td>
<td align='left'>
GADING 7/3 GADING BALEREJO </td>
<td align='left'>1 T-11 B-28 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>4</td>
<td align='left'>03-09-2021</td>
<td align='left'>ATHAR PRADIPTA RAMAZAN</td>
<td align='left'>
DUSUN SATRIAN, RT : 10,RW :4 GADING BALEREJO </td>
<td align='left'>5 T-3 B-11 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">9</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
</table>
 </td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>5</td>
<td align='left'>04-09-2021</td>
<td align='left'>WAINEM</td>
<td align='left'>
WIJAYA BHAKTI RT7 RW3 WARUREJO BALEREJO </td>
<td align='left'>53 T-6 B-0 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>6</td>
<td align='left'>04-09-2021</td>
<td align='left'>JAIMIN</td>
<td align='left'>
PURWO GATI WARUREJO BALEREJO </td>
<td align='left'>66 T-3 B-7 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
 <td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>7</td>
<td align='left'>06-09-2021</td>
<td align='left'>DARIYATI</td>
<td align='left'>
GADING, RT : 14,RW :6 GADING BALEREJO </td>
<td align='left'>53 T-8 B-26 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SIANOKOBALAMIN (VITAMIN B12) INJEKSI 500 MCG
</td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALAT SUNTIK SEKALI PAKAI 3 ML </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>8</td>
<td align='left'>06-09-2021</td>
<td align='left'>NURYANTI ANIS SATITI</td>
<td align='left'>
WARUREJO RT 9 RW 4 WARUREJO BALEREJO </td>
<td align='left'>36 T-1 B-5 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>9</td>
<td align='left'>06-09-2021</td>
<td align='left'>ANWAR AFANDI</td>
<td align='left'>
WARUREJO RT 018 RW 007 WARUREJO BALEREJO </td>
<td align='left'>4 T-0 B-6 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">5</td>
<td width="20%">3 x 0.5 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">5</td>
<td width="20%">3 x 0.5 S</td>
 </tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">5</td>
<td width="20%">3 x 0.5 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>10</td>
<td align='left'>07-09-2021</td>
<td align='left'>FARA FETI NUR A</td>
<td align='left'>
MOJOMANIS 3/2 KWADUNGAN MOJOMANIS KWADUNGAN </td>
<td align='left'>30 T-3 B-10 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>11</td>
<td align='left'>07-09-2021</td>
<td align='left'>YATINI</td>
<td align='left'>
GADING RT 07 RW 03 GADING BALEREJO </td>
<td align='left'>49 T-3 B-21 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
 <tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SALBUTAMOL TABLET 2 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>12</td>
<td align='left'>07-09-2021</td>
<td align='left'>SUWANTO</td>
<td align='left'>
PURWO BHAKTI RT 2 RW 1 WARUREJO BALEREJO </td>
<td align='left'>41 T-1 B-18 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>13</td>
<td align='left'>07-09-2021</td>
<td align='left'>UMIQOIRUL H</td>
<td align='left'>
DSN SATRIYAN RT 010 RW 004 GADING BALEREJO </td>
<td align='left'>50 T-9 B-6 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
 <tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>14</td>
<td align='left'>07-09-2021</td>
<td align='left'>INDARI</td>
<td align='left'>
RT 2 RW 1 WARUREJO BALEREJO </td>
<td align='left'>37 T-3 B-4 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Obat Batuk Hitam (OBH) Jeruk Nipis BLUD BALEREJO
</td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>15</td>
<td align='left'>07-09-2021</td>
<td align='left'>TRIONO</td>
<td align='left'>
WARUREJO WARUREJO BALEREJO </td>
<td align='left'>47 T-1 B-29 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Garam Oralit Kombinasi Serbuk (200 ml air)
</td>
<td width="10%">5</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>16</td>
<td align='left'>08-09-2021</td>
<td align='left'>SURATI</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>76 T-4 B-22 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">5</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>17</td>
<td align='left'>08-09-2021</td>
<td align='left'>ADI WIYONO</td>
 <td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>61 T-3 B-23 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>18</td>
<td align='left'>08-09-2021</td>
<td align='left'>ALINEA SEPTI AIRIKU</td>
<td align='left'>
GADING, RT : 12,RW :5 GADING BALEREJO </td>
<td align='left'>2 T-0 B-14 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>19</td>
<td align='left'>08-09-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
RUNGKUT MENANGGAL KYAI SATARI III 17D SURABAYA RUNGKUT MENANGGAL GUNUNG
ANYAR </td>
<td align='left'>52 T-3 B-7 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>20</td>
<td align='left'>08-09-2021</td>
<td align='left'>INDASAH</td>
<td align='left'>
NGAKAR GADING BALEREJO </td>
<td align='left'>57 T-10 B-0 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
 <tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>21</td>
<td align='left'>09-09-2021</td>
<td align='left'>NATANIA</td>
<td align='left'>
GADING 10/4 GADING BALEREJO </td>
<td align='left'>5 T-1 B-17 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">9</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
 </table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>22</td>
<td align='left'>11-09-2021</td>
<td align='left'>NATASHA IRSYA NUR AINI</td>
<td align='left'>
BALEREJO RT 008 RW 001 BALEREJO BALEREJO </td>
<td align='left'>1 T-3 B-7 H</td>
<td align='left'>POLI KIA</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ZINC SULFATE SIRUP 20 MG BOTOL 60 ML
</td>
<td width="10%">1</td>
<td width="20%">1 x 1 cth setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>23</td>
<td align='left'>11-09-2021</td>
 <td align='left'>WINARYO</td>
<td align='left'>
BAYEMAN NO. 67 RT 36 RW 004 BALEREJO BALEREJO </td>
<td align='left'>45 T-8 B-21 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">20</td>
<td width="20%">1 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">20</td>
<td width="20%">0 x 0 0 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>24</td>
<td align='left'>11-09-2021</td>
<td align='left'>ALI MUHTAROM</td>
<td align='left'>
GADING RT 07 RW 03 GADING BALEREJO </td>
<td align='left'>22 T-0 B-25 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
 </tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>25</td>
<td align='left'>11-09-2021</td>
<td align='left'>MUJIANTO</td>
<td align='left'>
DS KEBONAGUNG RT 22 RW 07 BALEREJO MADIUN KEBONAGUNG BALEREJO
</td>
<td align='left'>45 T-0 B-24 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>26</td>
<td align='left'>13-09-2021</td>
<td align='left'>AMAT DAMIN</td>
<td align='left'>
SATRIYAN RT 10 RW 04 GADING BALEREJO </td>
<td align='left'>67 T-3 B-5 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
 </tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>27</td>
<td align='left'>13-09-2021</td>
<td align='left'>ANGNIA NURAENI</td>
<td align='left'>
KEBONAGUNG RT 017 RW 003 KEBONAGUNG BALEREJO </td>
<td align='left'>0 T-8 B-3 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok teh</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
 <tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>28</td>
<td align='left'>13-09-2021</td>
<td align='left'>ARISANTI PRAMUDITA PUTRI NURYADIN</td>
<td align='left'>
KEBONAGUNG, RT : 19,RW :5 KEBONAGUNG BALEREJO </td>
<td align='left'>5 T-9 B-18 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>29</td>
<td align='left'>13-09-2021</td>
 <td align='left'>EVELYN</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>1 T-6 B-10 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok teh</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>30</td>
<td align='left'>13-09-2021</td>
<td align='left'>NINIK MARTINI</td>
 <td align='left'>
KEBONAGUNG, RT : 4,RW :1 KEBONAGUNG BALEREJO </td>
<td align='left'>38 T-9 B-2 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>31</td>
<td align='left'>13-09-2021</td>
<td align='left'>KATI</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>58 T-9 B-24 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ibuprofen 400 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>32</td>
<td align='left'>13-09-2021</td>
<td align='left'>PARTI</td>
<td align='left'>
 KEDUNGJATI RT11/3 KEDUNGJATI BALEREJO </td>
<td align='left'>51 T-9 B-23 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>33</td>
<td align='left'>15-09-2021</td>
<td align='left'>DEVINZO CALVIN BALASKY</td>
<td align='left'>
GADING 5/2 GADING BALEREJO </td>
<td align='left'>1 T-1 B-6 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
 <td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PIRIDOKSIN HCL ( VIT. B6 ) 10 MG </td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>34</td>
<td align='left'>15-09-2021</td>
<td align='left'>MUHAMMAD RISKY ALFAREZA</td>
<td align='left'>
RT 07 RW 03 WARUREJO BALEREJO </td>
<td align='left'>2 T-5 B-17 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">5</td>
<td width="20%">3 x 0,5 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Garam Oralit Kombinasi Serbuk (200 ml air)
</td>
<td width="10%">5</td>
 <td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>35</td>
<td align='left'>16-09-2021</td>
<td align='left'>SADIRAH</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>80 T-9 B-17 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>36</td>
<td align='left'>16-09-2021</td>
<td align='left'>SRIATUN</td>
<td align='left'>
PURWOGATI WARUREJO BALEREJO </td>
<td align='left'>46 T-11 B-9 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>37</td>
<td align='left'>17-09-2021</td>
<td align='left'>ILYAS GUNARSO ASKA JUNIOR</td>
<td align='left'>
KEBONAGUNG RT 004 RW 001 KEBONAGUNG BALEREJO </td>
<td align='left'>5 T-11 B-5 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
DIPHENHYDRAMINE|PARACETAMOL|BROMHEXINE TABLET (HUSTAB
TABLET) </td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ZINC SULPHATE TABLET 20 MG </td>
<td width="10%">5</td>
<td width="20%">1 x 1/2 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>38</td>
<td align='left'>17-09-2021</td>
<td align='left'>SAMIRAN</td>
<td align='left'>
BAYEMAN 53, RT : 35,RW :4 BALEREJO BALEREJO </td>
<td align='left'>62 T-0 B-22 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SALBUTAMOL TABLET 2 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">1 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>39</td>
<td align='left'>17-09-2021</td>
<td align='left'>LASMINI</td>
<td align='left'>
BAYEMAN 53, RT : 35,RW :4 BALEREJO BALEREJO </td>
<td align='left'>62 T-4 B-18 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
DIAZEPAM TABLET 2 MG </td>
<td width="10%">6</td>
<td width="20%">1 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
</table>
 </td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>40</td>
<td align='left'>17-09-2021</td>
<td align='left'>MUKHLIS AHSAN AL KAHFI</td>
<td align='left'>
KEBONGUNG RT 19 KEBONAGUNG BALEREJO </td>
<td align='left'>1 T-10 B-10 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 cth setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>41</td>
<td align='left'>17-09-2021</td>
<td align='left'>RAKA SYARIF RAMADAN</td>
<td align='left'>
GADING 7/3 GADING BALEREJO </td>
 <td align='left'>0 T-5 B-3 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1/2 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>42</td>
<td align='left'>17-09-2021</td>
<td align='left'>UMROTIN</td>
<td align='left'>
PUNTUKMLATI RT 16 RW 006 KEDUNGREJO BALEREJO </td>
<td align='left'>38 T-5 B-9 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
 <td align='center'>43</td>
<td align='left'>20-09-2021</td>
<td align='left'>SALMA ADHARA SWARNO</td>
<td align='left'>
BANCANGAN RT 002 RW 001 BANCANGAN SAMBIT </td>
<td align='left'>0 T-4 B-1 H</td>
<td align='left'>POLI KIA</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">12</td>
<td width="20%">3 x 1 SET</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>44</td>
<td align='left'>20-09-2021</td>
<td align='left'>HANIFAH FERDA NINGTYAS</td>
<td align='left'>
BAYEMAN, RT : 34,RW :4 BALEREJO BALEREJO </td>
<td align='left'>10 T-3 B-6 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
 <td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
DOMPERIDONE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ANTACIDA SIRUP 400 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">2 x 1SDK </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">5</td>
<td width="20%">1 x 1/2 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>45</td>
<td align='left'>20-09-2021</td>
<td align='left'>WARIYO</td>
<td align='left'>
KEMBANGAN RT 11 RW GARON BALEREJO </td>
<td align='left'>56 T-9 B-4 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
 </tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>46</td>
<td align='left'>20-09-2021</td>
<td align='left'>RUMIAH TASMI</td>
<td align='left'>
RT 05 RW 01TANJUNGSARI SOGO BALEREJO </td>
<td align='left'>39 T-4 B-15 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
BETAHISTINE TABLET 6 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ANTACIDA TABLET 400 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>47</td>
<td align='left'>20-09-2021</td>
<td align='left'>ASMIYA SELLA PUTRI</td>
<td align='left'>
KEBONAGUNG RT RW 024 RW 007 KEBONAGUNG BALEREJO </td>
<td align='left'>4 T-8 B-14 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CEFADROXIL SIRUP 125 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">2 x 1,5 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
 <td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1,5 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">3</td>
<td width="20%">3 x 1/3 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>48</td>
<td align='left'>21-09-2021</td>
<td align='left'>SITI JUARIYAH</td>
<td align='left'>
BALONGMLOKO, RT : 18,RW :7 KEDUNGREJO BALEREJO </td>
<td align='left'>25 T-3 B-22 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">2 x 1SDM </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">1 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>49</td>
<td align='left'>21-09-2021</td>
<td align='left'>MARSITI</td>
<td align='left'>
GADING, RT : 9,RW :3 GADING BALEREJO </td>
<td align='left'>71 T-3 B-5 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
 </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ANTACIDA TABLET 400 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>50</td>
<td align='left'>21-09-2021</td>
<td align='left'>SRI WULANDARI</td>
<td align='left'>
KEBONAGUNG RT 012 RW 003 KEBONAGUNG BALEREJO </td>
<td align='left'>51 T-0 B-20 H</td>
<td align='left'>PUSTU KEBONAGUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>51</td>
<td align='left'>21-09-2021</td>
<td align='left'>SUDARMI</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>52 T-6 B-8 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>52</td>
<td align='left'>21-09-2021</td>
<td align='left'>KARSIH</td>
<td align='left'>
DESA GADING RT 7 RW 3 GADING </td>
<td align='left'>80 T-5 B-0 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
 <td align='center'>53</td>
<td align='left'>21-09-2021</td>
<td align='left'>GALUH PUTRI WIDYAWATI</td>
<td align='left'>
KEDUNG PELEM RT 16 KEDUNGJATI BALEREJO </td>
<td align='left'>3 T-6 B-27 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>54</td>
<td align='left'>22-09-2021</td>
<td align='left'>YAKUP</td>
<td align='left'>
BAYEMAN 34 RT 031 RW 004 BALEREJO BALEREJO </td>
<td align='left'>64 T-7 B-25 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
 <td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>55</td>
<td align='left'>22-09-2021</td>
<td align='left'>SUDARMI</td>
<td align='left'>
KEDUNGJATI RT 10 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>50 T-5 B-18 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>56</td>
<td align='left'>22-09-2021</td>
<td align='left'>DENIS AGI BAGUS SAPUTRA</td>
<td align='left'>
BALEREJO 26, RT : 11,RW :2 BALEREJO BALEREJO </td>
<td align='left'>11 T-4 B-12 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok makan</td>
 </tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">5</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">9</td>
<td width="20%">3 x 1/2 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>57</td>
<td align='left'>23-09-2021</td>
<td align='left'>DENAYA DELCINE ARDISTIA DETRYS</td>
<td align='left'>
KEDUNGJATI, RT : 3,RW :1 KEDUNGJATI BALEREJO </td>
<td align='left'>8 T-6 B-18 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ANTACIDA TABLET 400 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1/2 1/2 jam sebelum makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">4</td>
<td width="20%">3 x 1 puyer</td>
</tr>
 <tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>58</td>
<td align='left'>23-09-2021</td>
<td align='left'>MUKINAH</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>89 T-3 B-5 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ibuprofen 400 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>59</td>
<td align='left'>23-09-2021</td>
<td align='left'>PRAPTO SATIRAN</td>
<td align='left'>
PURWO BHAKTI WARUREJO BALEREJO </td>
<td align='left'>72 T-6 B-20 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Ambroksol 30 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>60</td>
<td align='left'>23-09-2021</td>
<td align='left'>PANIMAN</td>
<td align='left'>
PURWO GATI, RT : 18,RW :7 WARUREJO BALEREJO </td>
<td align='left'>65 T-8 B-20 H</td>
<td align='left'>POLINDES WARUREJO</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>61</td>
<td align='left'>24-09-2021</td>
<td align='left'>ALMAHIRA AYYASYA SASMAYA DEWI</td>
<td align='left'>
 KEDUNGJATI RT 19 RW 04 KEDUNGJATI BALEREJO </td>
<td align='left'>4 T-4 B-6 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok teh</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 1 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>62</td>
<td align='left'>24-09-2021</td>
<td align='left'>WARSINEM</td>
<td align='left'>
GADING RT 015 RW 006 GADING BALEREJO </td>
<td align='left'>52 T-10 B-8 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SALBUTAMOL TABLET 2 MG </td>
 <td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>63</td>
<td align='left'>25-09-2021</td>
<td align='left'>SAMINI</td>
<td align='left'>
DUSUN PLUMPUNG, RT : 7,RW :3 GLONGGONG BALEREJO </td>
<td align='left'>52 T-3 B-23 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PREDNISONE TABLET 5 MG </td>
<td width="10%">6</td>
<td width="20%">2 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>64</td>
<td align='left'>25-09-2021</td>
<td align='left'>LIVIA NADELA MARCHELIN</td>
<td align='left'>
DSN SATRIYAN GADING BALEREJO </td>
<td align='left'>10 T-7 B-25 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">6</td>
<td width="20%">3 x 1/2 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
 <td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>65</td>
<td align='left'>25-09-2021</td>
<td align='left'>ALDAN NUR HAFIZ</td>
<td align='left'>
BALEREJO, RT : 17,RW :2 BALEREJO BALEREJO </td>
<td align='left'>2 T-4 B-14 H</td>
<td align='left'>UGD</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
DOMPERIDONE SIRUP 5 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">4</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">4</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">4</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>66</td>
 <td align='left'>28-09-2021</td>
<td align='left'>DWI UTAMI</td>
<td align='left'>
TUNGU, RT : 27,RW :5 BATOK GEMARANG </td>
<td align='left'>24 T-10 B-29 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>67</td>
<td align='left'>28-09-2021</td>
<td align='left'>TALITHA AZZALINA ZAHIRAH</td>
<td align='left'>
GADING, RT : 15,RW :6 GADING BALEREJO </td>
<td align='left'>7 T-5 B-13 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>68</td>
<td align='left'>28-09-2021</td>
<td align='left'>MUTMAINAH</td>
<td align='left'>
GADING RT 14 RW 006 GADING BALEREJO </td>
<td align='left'>35 T-9 B-13 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
 <table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>69</td>
<td align='left'>28-09-2021</td>
<td align='left'>SUPIYAH</td>
<td align='left'>
BALEREJO RT 017 RW 002 BALEREJO BALEREJO </td>
<td align='left'>48 T-3 B-22 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
OBAT BATUK HITAM (OBH) SIRUP </td>
<td width="10%">1</td>
<td width="20%">2 x 1SDM </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>70</td>
<td align='left'>28-09-2021</td>
<td align='left'>MUTIARA CITRA LESTARI</td>
 <td align='left'>
KEDUNGJATI RT 014 RW 004 KEDUNGJATI BALEREJO </td>
<td align='left'>5 T-5 B-7 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1 sendok takar setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">5</td>
<td width="20%">3 x 1 puyer</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">3</td>
<td width="20%">3 x 1 puyer</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>71</td>
<td align='left'>28-09-2021</td>
<td align='left'>PANJALU SETYO GUMILANG</td>
<td align='left'>
KEDUNGJATI RT 10 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>6 T-1 B-23 H</td>
<td align='left'>POLINDES KEDUNGJATI</td>
<td align='left'>
<table width='100%' border="1">
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>72</td>
<td align='left'>28-09-2021</td>
<td align='left'>FEBRIAN FUAD KUSUMA</td>
<td align='left'>
GADING 10/4 GADING BALEREJO </td>
<td align='left'>0 T-7 B-11 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
 Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">2</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>73</td>
<td align='left'>29-09-2021</td>
<td align='left'>GUNAWAN</td>
<td align='left'>
BALEREJO BALEREJO BALEREJO </td>
<td align='left'>38 T-9 B-4 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Vitamin Neurotropik BLUD Balerejo (FORNERO)
</td>
<td width="10%">10</td>
<td width="20%">2 x 1 </td>
</tr>
</table>
</td>
</tr>
 <tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>74</td>
<td align='left'>30-09-2021</td>
<td align='left'>SUYOTO</td>
<td align='left'>
JERUK GULUNG RT 23 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>70 T-3 B-7 H</td>
<td align='left'>POLI UMUM</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Anti Flu/DEMACOLIN/PARAFLU/FLUNADIN/BRONCHIFAR BLUD
BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASCORBIC ACID (VITAMIN C) TABLET 50 MG
</td>
<td width="10%">5</td>
<td width="20%">1 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>75</td>
<td align='left'>30-09-2021</td>
<td align='left'>HUMAIRA CLARISA MAULIDINA</td>
<td align='left'>
SOGO RT 017RW 003 SOGO BALEREJO </td>
<td align='left'>0 T-10 B-22 H</td>
<td align='left'>POLI KIA</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PARACETAMOL SIRUP 120 MG/5 ML </td>
<td width="10%">1</td>
<td width="20%">3 x 1.2 ML Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">3</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
VITAMIN B KOMPLEKS: VITAMIN B1 2 MG, VITAMIN B2 2 MG,
VITAMIN B6 2 MG, NICOTINAMIDE 20 MG, Ca PANTOTHENATE 10 MG </td>
<td width="10%">3</td>
<td width="20%">3 x 1 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>76</td>
<td align='left'>30-09-2021</td>
<td align='left'>YUNA</td>
<td align='left'>
GADING 12/5 GADING BALEREJO </td>
<td align='left'>0 T-11 B-1 H</td>
<td align='left'>POLINDES GADING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Pembuatan Puyer </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CHLORPHENIRAMINE TABLET 4 MG (CTM) </td>
<td width="10%">1</td>
<td width="20%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GUAIFENESIN TABLET 100 MG (Gliseril Guaiakolat 100 mg)
</td>
<td width="10%">3</td>
<td width="20%">0 x </td>
</tr>
</table>
</td>
</tr>
</table>