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FORM KELENGKAPAN PEMBERIAN LABEL LASA

No
Tanggal . Nama Obat Ada Label Tidak Ada LABEL
14/7/20 1 Acyclovir 200mg √  
2 Acyclovir 400mg √  
3 Amlodipine 10 mg √  
4 Amlodipine 5 mg √  
5 Allupurinol 100mg √  
6 Allupurinol 300 mg √  
7 Asam Mefenamat √  
8 Asam Tranexamat √  
9 Betahistin 6 mg √  
10 Betahistin 24 mg √  
11 Captopril 25 mg √  
12 Captopril 50 mg √  
13 Captopril 12,5 mg √  
14 Clindamycin 150mg √  
15 Clindamycin 300mg √  
16 Candesartan 16 mg √  
17 Candesartan 8 mg √  
18 Cotrimoxazole Forte 960mg √  
19 Cotrimoxazole 480mg √  
20 Cefixime 100mg √  
21 Cefixime 200mg √  
22 Etoricoxib 90mg √  
23 Etoricoxib 60mg √  
24 Fenofibrat 200 √  
25 Fenofibrat 10 mg √  
26 Flunarizine 5 mg √  
27 Flunarizine 10 mg √  
28 Ibuprofen 400 mg √  
29 Ibuprofen 200 mg √  
30 Isosorbid dinitrat 5 mg √  
31 Isosorbid dinitrat 10 mg √  
32 Irbesartan 300 mg √  
33 Kalium diklofenak 50mg √  
34 Ketoprofen 50 mg √  
35 Lisinopin 10 mg √  
36 Lisinopin 5 mg √  
37 Meloxicam 7,5 mg √  
38 Meloxicam 15 mg √  
39 Methyl Prednisolon 4 mg √  
40 Methyl Prednisolon 8 mg √  
41 Methyl Prednisolon 16 mg √  
42 Natrium diklofenak 50 mg √
43 Ondansentron 4 mg √
44 Ondansentron 8 mg √  
45 Propanolol 10 mg √  
46 Propanolol 40 mg √  
47 Pantoprazole 20 mg √  
48 Pantoprazole 40 mg √  
49 Piracetam 800 mg √  
50 Piracetam 400 mg √
51 Piracetam 1200 mg √
52 Rifampicin 600 mg √  
53 Rifampicin 450 mg √
54 Ramipril 10 mg √
55 Ramipril 5 mg √
56 Salbutamol 4 mg √
57 Salbutamol 2 mg √
58 Simvastatin 10 mg √
59 Simvastatin 20 mg √
60 Spironolakton 100 mg √
61 Vitamin B1 √
62 Vitamin B. Complex √
63 Vitamin B6 Long √
64 Vit. B12 √

FORM KELENGKAPAN PEMBERIAN LABEL LASA


Tanggal No. Nama Obat Ada Label Tidak Ada LABEL
15/7/20 65 Asam Traneksamat 250 mg √  
66 Asam Traneksamat 500 mg √
67 Amikasin 250 mg √
68 Citicolin 125 mg √
69 Citicolin 500 mg √
70 Cefazolin √
71 Cefotaxime √  
72 Cefoperazole √  
73 Ceftazidine √  
74 Granisetron 1 mg √  
75 Granisetron 3 mg √  
76 Farsix √
77 Ceftriaxone √  
78 Piracetam 1 g √  
79 Piracetam 3 g √
80 Dexketoprofen √
81 Ketorolac 10 mg √  
82 Ketorolac 30 mg √
83 Ondansetron 4 mg √
84 Ondansetron 8 mg √  
85 Phytomenadion 2 mg √
86 Phytomenadion 10 mg √
87 Pantoprazole √
88 Phenytoin √
89 Desolex √  
90 Desolex N √
91 Hydrocortison 1% √  
92 Hydrocortison 2,5% √
93 Kloderma 10 g cream √ √
94 Kloderma 10 g salep √ √
95 Salbutamol √  
96 Thiampenicol syr √
97 Cotrimoxacol syr √
98 Domperidon syr √
99 Erdostain syr √
10
0 Ibuprofen syr √  
10
1 Paracetamol syr √
10
2 Sucralfat syr √  
10 Nystatin syr √  
3
10
4 Paracetamol drop √  
10
5 Ondavel 8 mg √  
10
6 Omeprazole √
10
7 Neurotam √
10
8 ODR mg √  
10
9 Ondavel 4 mg √  
11
0 ODR 8 mg √  
11
1 Pebzole √  
11
2 Taxegram injeksi 1 gram √  
11
3 Fometron 8 mg √  
11
4 Fometron 4 mg √
11
5 Keren inj √
11
6 Breinact 250 mg √  
11
7 Breinact 500 mg √
11
8 Lasix √
11
9 Utrogestan 100mg √
12
0 Utrogestan 200 mg √
12
1 Urdafaalk √
12
2 Xarelto 10 mg √
12
3 Xarelto 15 mg √
12
4 3 FDC OAD √
12
5 2 FDC OAD √
12
6 4 FDC OAD √
12
7 S-Omeveel 20 mg √
12
8 S-Omeveel 40 mg √
12
9 Silum 5 mg √
13
0 Silum 10 mg √
13
1 Scopamin plus √
13
2 Qten 10 mg √
13
3 Qten √
13
4 Kalnex 500mg √
13
5 KSR √
13
6 L-bio sacht √
13
7 Mefinal 500mg √
13
8 Mikardi 40mg √
13
9 Mikardis 80 mg √
14
0 Nitrokaf retard √
14
1 Nitrokaf retard forte √
14
2 Neuroclaf 600mg √
14
3 Neurosanbe √
14
4 Neurosanbe plus √
14
5 Neurosanbe hax √
14
6 Neurosanbe hax 5000 √
14
7 Cefadroxil 250 mg/5ml √
14
8 Azitromicyn syr √
14
9 Amoxcillin syr √
15 Ambroxol 15 mg syr √
0
15
1 Ambroxol 30 mg syr √
15
2 Antasida syr √
15
3 Cetirizine drop √
15
4 Condom S √
15
5 Condom M √
15
6 Condom L √
15
7 Vicryl 1/0 √
15
8 Vicryl2/0 √
15
9 Vicryl3/0 √
16
0 Vicryl4/0 √
16
1 Vicryl5/0 √
16
2 Needle 18 √
16
3 Needle 20 √
16
4 Needle21 √
16
5 Needle22 √
16
6 Needle23 √
16
7 Needle24 √
16
8 Needle25 √
16
9 Needle26 √
17
0 Spalk anak √
17
1 Spalk bayi √
17
2 Tegaderm anak √
17
3 Tegaderm dewasa √
17
4 3 way panjang √
17
5 3 way pendek √
17
6 Catarlent 5ml √
17
7 Catarlent 15 ml √
17
8 Hyaloph ED √
17
9 Hyalub MD √
18
0 Timol 0,5% ED √
18
1 Timol 0,25% MD √
18
2 Tobrosan MD √
18
3 Polydex MD √
18
4 Polydex ED √
18
5 Mydriatil cendo ED 0,5% √
18
6 Gentamisin ED √
18
7 Gentamisin ED 0,3% √
18
8 Xitrol ED √
18
9 Xitrol MD √
19
0 Vacacon ED √
19
1 Tobrosan ED √
19
2 Betadine gargle 100 ml √
19
3 Betadine gargle 190 ml √
19
4 Cloderma 5 g salep √
19
5 Betadine 15 ml √
19
6 Betadine 5 ml √
TOTAL 154 42
Nama : Alena Putri Jathy (201920471011080)
Salma Luthfia Azzahra (201920471011085)
Septiani Tri Ayuningsih (201920471011091)
Taufik Haldi (201920471011092)

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