<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'>01-10-2021</td>
<td align='left'>SUPRIYATIN</td>
<td align='left'>
DESA KEBONAGUNG RT 14 RW 4 KEBONAGUNG BALEREJO </td>
<td align='left'>69 T-0 B-24 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">
PARACETAMOL TABLET 500 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">
NATRIUM DIKLOFENAK TABLET 50 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">
CAPTOPRIL TABLET 12.5 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'>2</td>
<td align='left'>01-10-2021</td>
<td align='left'>PANDJI TRI WARSONO</td>
<td align='left'>
GLONGGONG, RT : 10,RW :1 GLONGGONG BALEREJO </td>
<td align='left'>64 T-2 B-2 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%">20</td>
<td width="20%">2 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>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Amlodipine 10 mg BLUD BALEREJO </td>
<td width="10%">30</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'>01-10-2021</td>
<td align='left'>SUNARTO</td>
<td align='left'>
KEBONAGUNG RT 016 RW 004 KEBONAGUNG BALEREJO </td>
<td align='left'>64 T-6 B-28 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">
Ibuprofen 400 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>
</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'>01-10-2021</td>
<td align='left'>MIRAH</td>
<td align='left'>
KEDUNGJATI RT 17 RW 04 KEDUNGJATI BALEREJO </td>
<td align='left'>61 T-1 B-26 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%">2 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%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
PREDNISONE TABLET 5 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'>5</td>
<td align='left'>02-10-2021</td>
<td align='left'>EKO PRIAMBODO</td>
<td align='left'>
BALEREJO RT 14 RW 002 BALEREJO BALEREJO </td>
<td align='left'>28 T-4 B-27 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">
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'>6</td>
<td align='left'>02-10-2021</td>
<td align='left'>WARSINI</td>
<td align='left'>
NGAKAR, RT : 1,RW :1 GADING BALEREJO </td>
<td align='left'>54 T-4 B-19 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">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah 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>
<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'>7</td>
<td align='left'>02-10-2021</td>
<td align='left'>SUPARDI</td>
<td align='left'>
BALEREJO 275, RT : 22,RW :2 BALEREJO BALEREJO </td>
<td align='left'>60 T-4 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">
NATRIUM DIKLOFENAK 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">
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'>8</td>
<td align='left'>02-10-2021</td>
<td align='left'>LASMI</td>
<td align='left'>
PURWO BHAKTI RT 13 WARUREJO BALEREJO </td>
<td align='left'>58 T-4 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">
ASAM MEFENAMAT 500MG 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">
Dimenhidrinat 50 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'>9</td>
<td align='left'>02-10-2021</td>
 <td align='left'>MURTINI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>49 T-0 B-27 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">
IBUPROFEN TABLET 400 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">
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 </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'>04-10-2021</td>
<td align='left'>WULANDARI KUSUMANINGRUM</td>
<td align='left'>
PILANGBANGU RT 002 RW 001 PILANGBANGO KARTOHARJO </td>
<td align='left'>38 T-6 B-3 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">
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">
Sianokobalamin tablet 25 mcg (Vitamin B12) 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">
Ibuprofen 400 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">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">20</td>
<td width="20%">1 x 1 0 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL TABLET 100 MG </td>
<td width="10%">10</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'>11</td>
<td align='left'>04-10-2021</td>
<td align='left'>WIWIT</td>
<td align='left'>
KEMBANGAN, RT : 9,RW :2 GARON BALEREJO </td>
<td align='left'>60 T-1 B-2 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">
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">
RANITIDINE TABLET 150 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'>12</td>
<td align='left'>04-10-2021</td>
<td align='left'>RUSMINEM</td>
<td align='left'>
JERUKGULUNG RT 22 RW 004 JERUKGULUNG BALEREJO </td>
 <td align='left'>64 T-5 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">
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">
RANITIDINE TABLET 150 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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GLIMEPIRIDE TABLET 3 MG </td>
<td width="10%">30</td>
<td width="20%">1 x 1 0 </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'>04-10-2021</td>
<td align='left'>MARSININGSIH</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>68 T-2 B-21 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">
Ibuprofen 200 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">
CAPTOPRIL TABLET 12.5 MG </td>
<td width="10%">10</td>
 <td width="20%">1 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>
</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'>04-10-2021</td>
<td align='left'>JIYEM</td>
<td align='left'>
GADING RT 07 RW 03 GADING BALEREJO </td>
<td align='left'>65 T-4 B-9 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">
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">
Ibuprofen 400 mg BLUD BALEREJO </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'>15</td>
<td align='left'>04-10-2021</td>
<td align='left'>RONO RADI</td>
<td align='left'>
KEDUNGJATI RT 15 RW 04 KEDUNGJATI BALEREJO </td>
<td align='left'>69 T-4 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">
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">
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">
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">
BEDAK SALISIL SERBUK 2% BLUD BALEREJO
</td>
<td width="10%">1</td>
<td width="20%">3 x 1 sehari oleskan</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'>04-10-2021</td>
<td align='left'>DAMINEM</td>
<td align='left'>
JERUKGULUNG, RT : 20,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>65 T-7 B-21 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
NATRIUM DIKLOFENAK TABLET 50 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%">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'>17</td>
<td align='left'>05-10-2021</td>
<td align='left'>DJAINEM</td>
<td align='left'>
KASREMAN 21 BALEREJO BALEREJO </td>
<td align='left'>66 T-10 B-8 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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">20</td>
<td width="20%">2 x 1 </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 </td>
</tr>
<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%">2</td>
<td width="20%">0 x 0 0 </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%">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'>18</td>
<td align='left'>05-10-2021</td>
 <td align='left'>MAHFUDI</td>
<td align='left'>
KASREMAN 112, RT : 5,RW :1 BALEREJO BALEREJO </td>
<td align='left'>43 T-1 B-27 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">
NATRIUM DIKLOFENAK TABLET 50 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">
PARACETAMOL TABLET 500 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%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ACYCLOVIR TABLET 400 MG </td>
<td width="10%">20</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'>19</td>
<td align='left'>05-10-2021</td>
<td align='left'>SITI SAODAH</td>
<td align='left'>
TULUNGREJO RT 002 RW 001 TULUNGREJO MADIUN </td>
<td align='left'>59 T-4 B-9 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">
NATRIUM DIKLOFENAK TABLET 50 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">
 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 </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%">20</td>
<td width="20%">2 x 1 </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%">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'>20</td>
<td align='left'>05-10-2021</td>
<td align='left'>NURANI PRATIWI</td>
<td align='left'>
JERUKGULUNG RT 021 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>30 T-9 B-8 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">
NATRIUM DIKLOFENAK TABLET 50 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">
Sianokobalamin tablet 25 mcg (Vitamin B12) BLUD BALEREJO
</td>
<td width="10%">20</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%">20</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'>21</td>
<td align='left'>05-10-2021</td>
<td align='left'>SUJATNO</td>
<td align='left'>
BALONGGLAGAH SUMBERBENING BALEREJO </td>
<td align='left'>69 T-5 B-23 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</td>
<td width="20%">2 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%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GLIMEPIRIDE TABLET 3 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 1/2 jam sebelum makan</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'>05-10-2021</td>
<td align='left'>UMI PAWUH</td>
<td align='left'>
BALONGGLAGAH SUMBERBENING BALEREJO </td>
<td align='left'>68 T-0 B-29 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</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%">6</td>
 <td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GENTAMYCIN DROPS 0.3 %( tetes mata )
</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">
AMLODIPINE TABLET 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'>23</td>
<td align='left'>05-10-2021</td>
<td align='left'>SUHATI</td>
<td align='left'>
BALONGGLAGAH, RT : 26,RW :8 SUMBERBENING BALEREJO </td>
<td align='left'>62 T-10 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<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%">6</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'>24</td>
<td align='left'>05-10-2021</td>
<td align='left'>DIBYOWIJONO</td>
<td align='left'>
BALONGGLAGAH, RT : 25,RW :8 SUMBERBENING BALEREJO </td>
<td align='left'>71 T-1 B-29 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</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%">6</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'>25</td>
<td align='left'>05-10-2021</td>
<td align='left'>SURADI</td>
<td align='left'>
BALONGGLAGAH, RT : 26,RW :8 SUMBERBENING BALEREJO </td>
<td align='left'>67 T-10 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</td>
<td width="20%">2 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%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
Kloramfenikol salep mata 1% </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'>26</td>
<td align='left'>05-10-2021</td>
<td align='left'>SARNO</td>
<td align='left'>
BALONGGLAGAH, RT : 27,RW :8 SUMBERBENING BALEREJO </td>
<td align='left'>61 T-1 B-24 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">6</td>
<td width="20%">2 x 1 Setelah 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'>27</td>
<td align='left'>05-10-2021</td>
<td align='left'>LAMI</td>
<td align='left'>
BALONGGLAGAH RT 25 SUMBERBENING BALEREJO </td>
<td align='left'>59 T-8 B-26 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<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%">6</td>
<td width="20%">2 x 1 Setelah 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'>28</td>
<td align='left'>05-10-2021</td>
<td align='left'>SARIJEM</td>
<td align='left'>
DSN PILANGPATOK, RT : 4,RW :1 KUWU BALEREJO </td>
<td align='left'>75 T-3 B-24 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
 SIMVASTATIN TABLET 20 MG </td>
<td width="10%">5</td>
<td width="20%">1 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'>29</td>
<td align='left'>05-10-2021</td>
<td align='left'>JARNI</td>
<td align='left'>
WATES, RT : 34,RW :10 SUMBERBENING BALEREJO </td>
<td align='left'>47 T-3 B-20 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<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>
</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'>05-10-2021</td>
<td align='left'>MURTINI</td>
<td align='left'>
BALONGGLAGAH RT 27 RW 008 SUMBERBENING BALEREJO </td>
<td align='left'>60 T-0 B-19 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </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">
THIAMINE (VITAMIN B1) 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'>31</td>
<td align='left'>05-10-2021</td>
<td align='left'>SUKIJAH</td>
<td align='left'>
NGAKAR RT 003 RW 001 GADING BALEREJO </td>
<td align='left'>53 T-7 B-27 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">
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'>32</td>
<td align='left'>05-10-2021</td>
<td align='left'>BINANTO</td>
<td align='left'>
NGAKAT RT 05 RW 02 GADING BALEREJO </td>
<td align='left'>51 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">
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">
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">
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'>33</td>
<td align='left'>05-10-2021</td>
<td align='left'>SRI WARNI</td>
<td align='left'>
PURWOGATI RT 18 RW07 WARUREJO BALEREJO </td>
<td align='left'>52 T-11 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">
Ibuprofen 400 mg BLUD BALEREJO </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">
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'>34</td>
<td align='left'>05-10-2021</td>
<td align='left'>DAMIATI</td>
<td align='left'>
KEDUNGJATI, RT : 4,RW :1 KEDUNGJATI BALEREJO </td>
<td align='left'>47 T-3 B-2 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">
Deksamethason 0,5 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">
PIRIDOKSIN HCL ( VIT. B6 ) 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'>35</td>
<td align='left'>06-10-2021</td>
<td align='left'>SUNARSIH</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>60 T-8 B-21 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">
ASAM MEFENAMAT 500MG 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>
</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'>06-10-2021</td>
<td align='left'>SURATMI</td>
<td align='left'>
BABADAN LOR, RT : 6,RW :2 BABADAN LOR BALEREJO </td>
<td align='left'>73 T-4 B-9 H</td>
<td align='left'>PUSTU BABADAN LOR</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%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE 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">
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">
OBAT BATUK HITAM (OBH) SIRUP </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'>37</td>
<td align='left'>06-10-2021</td>
<td align='left'>SITI ROKAYAH</td>
<td align='left'>
JERUKGULUNG RT 001 RW 001 JERUKGULUNG BALEREJO </td>
<td align='left'>41 T-8 B-17 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
Sianokobalamin tablet 25 mcg (Vitamin B12) BLUD BALEREJO
</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'>38</td>
<td align='left'>07-10-2021</td>
<td align='left'>MARSINI</td>
<td align='left'>
BALONGGLAGAH SUMBERBENING BALEREJO </td>
<td align='left'>50 T-11 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">8</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'>39</td>
<td align='left'>07-10-2021</td>
<td align='left'>RATMINI</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>51 T-5 B-2 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">
PREDNISONE TABLET 5 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%">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'>40</td>
<td align='left'>08-10-2021</td>
<td align='left'>MIDJAN</td>
<td align='left'>
BALEREJO RT 008 RW 001 BALEREJO BALEREJO </td>
<td align='left'>67 T-4 B-8 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">
NATRIUM DIKLOFENAK 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">
Sianokobalamin tablet 25 mcg (Vitamin B12) 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 0 </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'>08-10-2021</td>
<td align='left'>SURATI</td>
<td align='left'>
GADING RT 09 RW 03 GADING BALEREJO </td>
<td align='left'>56 T-0 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">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<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>
</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'>08-10-2021</td>
<td align='left'>KARTINI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>64 T-6 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">
Ibuprofen 200 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">
THIAMINE (VITAMIN B1) 50 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'>43</td>
<td align='left'>08-10-2021</td>
<td align='left'>MINTEN</td>
<td align='left'>
KEDUNGJATI RT 08 RW 02 KEDUNGJATI BALEREJO </td>
<td align='left'>43 T-4 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">
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">
Deksamethason 0,5 mg BLUD BALEREJO </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">
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'>44</td>
<td align='left'>08-10-2021</td>
<td align='left'>TARIYEM</td>
<td align='left'>
BABADAN LOR RT 016 RW 003 BABADAN LOR BALEREJO </td>
<td align='left'>59 T-4 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">
Ibuprofen 400 mg BLUD BALEREJO </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'>45</td>
<td align='left'>08-10-2021</td>
<td align='left'>SUKAR</td>
<td align='left'>
KEMBANGAN RT 10 RW 002 GARON BALEREJO </td>
<td align='left'>51 T-10 B-8 H</td>
<td align='left'>POLINDES GARON</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%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL 100MG BLUD BALEREJO </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'>46</td>
<td align='left'>09-10-2021</td>
<td align='left'>DARSINI</td>
<td align='left'>
SUMBERBENING, RT : 10,RW :4 SUMBERBENING BALEREJO </td>
<td align='left'>52 T-2 B-4 H</td>
<td align='left'>POLINDES SUMBERBENING</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">
THIAMINE (VITAMIN B1) 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'>47</td>
<td align='left'>09-10-2021</td>
<td align='left'>DINEM</td>
<td align='left'>
SATRIYAN RT 11 RW 04 GADING BALEREJO </td>
<td align='left'>73 T-1 B-2 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">
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">
 BEDAK SALISIL SERBUK 2% BLUD BALEREJO
</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'>48</td>
<td align='left'>09-10-2021</td>
<td align='left'>WIWIT</td>
<td align='left'>
KEMBANGAN, RT : 9,RW :2 GARON BALEREJO </td>
<td align='left'>60 T-1 B-2 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">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">20</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%">10</td>
<td width="20%">3 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDINE TABLET 150 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">
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 </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'>09-10-2021</td>
<td align='left'>KASMINI</td>
<td align='left'>
KEDUNGJATI RT 10 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>71 T-5 B-9 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">
Deksamethason 0,5 mg BLUD BALEREJO </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>
</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'>10-10-2021</td>
<td align='left'>SRIATUN</td>
<td align='left'>
TANJUNGREJO RT 002 RW 001 TANJUNGREJO MADIUN </td>
<td align='left'>56 T-0 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">
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">
ASAM MEFENAMAT 500MG 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'>51</td>
 <td align='left'>11-10-2021</td>
<td align='left'>JUWARIYAH</td>
<td align='left'>
BLAWONG RT 13 RW 05 GADING BALEREJO MADIUN GADING BALEREJO MADIUN
</td>
<td align='left'>60 T-4 B-8 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">
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">
NATRIUM DIKLOFENAK 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">
METHYLPREDNISOLONE TABLET 4 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'>52</td>
<td align='left'>11-10-2021</td>
<td align='left'>SUHARSIH</td>
<td align='left'>
KASREMAN RT 002 RW 001 BALEREJO BALEREJO </td>
<td align='left'>69 T-4 B-9 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">
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">
NATRIUM DIKLOFENAK 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">
METHYLPREDNISOLONE TABLET 4 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 0 </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'>11-10-2021</td>
<td align='left'>INSIJAH</td>
<td align='left'>
KEBONAGUNG, RT : 24,RW :7 KEBONAGUNG BALEREJO </td>
<td align='left'>72 T-7 B-12 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">
ALLOPURINOL TABLET 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">
IBUPROFEN TABLET 400 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">
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 </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'>11-10-2021</td>
<td align='left'>ISNADI</td>
<td align='left'>
PURWO BHAKTI RT 9 RW 4 WARUREJO BALEREJO </td>
<td align='left'>66 T-9 B-8 H</td>
<td align='left'>PUSTU BABADAN LOR</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">
Ibuprofen 400 mg BLUD BALEREJO </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'>11-10-2021</td>
<td align='left'>MARTINI</td>
<td align='left'>
BABADAN LOR, RT : 2,RW :1 BABADAN LOR BALEREJO </td>
<td align='left'>38 T-4 B-15 H</td>
<td align='left'>PUSTU BABADAN LOR</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%">0 x </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</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'>56</td>
<td align='left'>11-10-2021</td>
<td align='left'>BRONTO SUWARNO</td>
<td align='left'>
PURWO BHAKTI RT 10 RW 4 WARUREJO BALEREJO </td>
<td align='left'>71 T-7 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">
NATRIUM DIKLOFENAK 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">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">30</td>
<td width="20%">1 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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDINE TABLET 150 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 0 </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'>11-10-2021</td>
<td align='left'>SAMSIATI</td>
<td align='left'>
GADING, RT : 10,RW :4 GADING BALEREJO </td>
<td align='left'>49 T-10 B-27 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">
THIAMINE (VITAMIN B1) 50 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'>58</td>
<td align='left'>11-10-2021</td>
<td align='left'>SETIYOWIYADI</td>
<td align='left'>
GADING, RT : 9,RW :3 GADING BALEREJO </td>
<td align='left'>73 T-4 B-16 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">
CALCIUM LACTATE TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">1 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%">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'>59</td>
<td align='left'>12-10-2021</td>
<td align='left'>SUWANDI</td>
<td align='left'>
KEMBANGAN RT 011 RW 002 GARON BALEREJO </td>
<td align='left'>51 T-10 B-10 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">
NATRIUM DIKLOFENAK TABLET 50 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">
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 </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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">60</td>
<td width="20%">1 x 2 0 </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'>12-10-2021</td>
<td align='left'>MARNI</td>
<td align='left'>
BALONGGLAGAH SUMBERBENING BALEREJO </td>
<td align='left'>58 T-10 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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'>61</td>
<td align='left'>12-10-2021</td>
<td align='left'>SUMARDIONO</td>
<td align='left'>
KEBONAGUNG RT 015 RW 004 KEBONAGUNG BALEREJO </td>
 <td align='left'>82 T-5 B-12 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">
IBUPROFEN TABLET 400 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">
ANTACIDA TABLET 400 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'>62</td>
<td align='left'>12-10-2021</td>
<td align='left'>JARNI</td>
<td align='left'>
WATES, RT : 34,RW :10 SUMBERBENING BALEREJO </td>
<td align='left'>47 T-3 B-20 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
THIAMINE (VITAMIN B1) 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'>63</td>
<td align='left'>12-10-2021</td>
<td align='left'>SAMINEM</td>
<td align='left'>
GADING GADING BALEREJO </td>
<td align='left'>54 T-8 B-12 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">
THIAMINE (VITAMIN B1) 50 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'>64</td>
<td align='left'>12-10-2021</td>
<td align='left'>ANIK ASMIATUN</td>
<td align='left'>
BABADAN LOR RT 005 RW 001 BALEREJO BALEREJO </td>
<td align='left'>52 T-0 B-29 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">
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">
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">
CEFADROXIL TABLET 500 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'>65</td>
<td align='left'>12-10-2021</td>
<td align='left'>SATI</td>
<td align='left'>
 BALONGGLAGAH RT 019 RW 006 SUMBERBENING BALEREJO </td>
<td align='left'>45 T-11 B-9 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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>
</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'>12-10-2021</td>
<td align='left'>GONO PURWANTORO</td>
<td align='left'>
JERUKGULUNG RT 21` RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>56 T-4 B-27 H</td>
<td align='left'>POLINDES JERUKGULUNG</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>
</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'>12-10-2021</td>
<td align='left'>SARIATI</td>
<td align='left'>
NGAKAR, RT : 5,RW :2 GADING BALEREJO </td>
<td align='left'>61 T-1 B-2 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">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">10</td>
<td width="20%">1 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'>68</td>
<td align='left'>12-10-2021</td>
<td align='left'>SUYAT</td>
<td align='left'>
KARANGMALANG SUMBERBENING BALEREJO </td>
<td align='left'>70 T-10 B-9 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</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'>69</td>
<td align='left'>12-10-2021</td>
<td align='left'>SUTIRAH</td>
<td align='left'>
SUMBERBENING SUMBERBENING BALEREJO </td>
<td align='left'>64 T-0 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">8</td>
<td width="20%">3 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CAPTOPRIL TABLET 12.5 MG </td>
<td width="10%">5</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'>70</td>
<td align='left'>12-10-2021</td>
<td align='left'>KARSIANI</td>
<td align='left'>
KEDUNGJATI, RT : 18,RW :4 KEDUNGJATI BALEREJO </td>
<td align='left'>55 T-8 B-4 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">
PREDNISONE TABLET 5 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'>71</td>
<td align='left'>12-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
DUSUN PLUMPUNG RT 03 RW 03 GLONGGONG BALEREJO </td>
 <td align='left'>51 T-3 B-29 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<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">
NATRIUM DIKLOFENAK 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'>72</td>
<td align='left'>12-10-2021</td>
<td align='left'>SARMUN</td>
<td align='left'>
BABADAN LOR, RT : 6,RW :2 BABADAN LOR BALEREJO </td>
<td align='left'>63 T-3 B-6 H</td>
<td align='left'>PUSTU BABADAN LOR</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%">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'>73</td>
<td align='left'>12-10-2021</td>
<td align='left'>DEMES</td>
<td align='left'>
PURWO DARMO WARUREJO BALEREJO </td>
<td align='left'>82 T-2 B-25 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">
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">
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">
THIAMINE (VITAMIN B1) 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'>74</td>
<td align='left'>13-10-2021</td>
<td align='left'>MINARTI</td>
<td align='left'>
GARON GARON BALEREJO </td>
<td align='left'>42 T-2 B-9 H</td>
<td align='left'>POLINDES GARON</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">
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'>75</td>
<td align='left'>13-10-2021</td>
<td align='left'>SRIKUSTATIK</td>
<td align='left'>
BALONGMLOKO RT 18 KEDUNGREJO BALEREJO </td>
<td align='left'>71 T-3 B-26 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">
Sianokobalamin tablet 25 mcg (Vitamin B12) BLUD BALEREJO
</td>
<td width="10%">20</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'>76</td>
<td align='left'>13-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
KEDUNGJATI RT 006 RW 002 KEDUNGJATI BALEREJO </td>
<td align='left'>54 T-1 B-19 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%">15</td>
<td width="20%">3 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">
Sianokobalamin tablet 25 mcg (Vitamin B12) BLUD BALEREJO
</td>
<td width="10%">20</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'>77</td>
<td align='left'>13-10-2021</td>
<td align='left'>JARKASIH</td>
<td align='left'>
KEBONAGUNG RT 17 RW 005 KEBONAGUNG BALEREJO </td>
<td align='left'>47 T-8 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">
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">
NATRIUM DIKLOFENAK TABLET 50 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">
THIAMINE (VITAMIN B1) 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'>78</td>
<td align='left'>13-10-2021</td>
<td align='left'>SARMUJI</td>
<td align='left'>
GADING RT 07 RW 03 GADING BALEREJO </td>
<td align='left'>56 T-6 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">
NATRIUM DIKLOFENAK 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'>79</td>
<td align='left'>13-10-2021</td>
<td align='left'>TUKIRAH</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>66 T-2 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">
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">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">5</td>
<td width="20%">1 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%">6</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'>80</td>
<td align='left'>13-10-2021</td>
<td align='left'>SUMINEM</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>60 T-4 B-9 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">
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%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">5</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>81</td>
<td align='left'>13-10-2021</td>
<td align='left'>S U K I</td>
<td align='left'>
KEDUNGJATI, RT : 2,RW :1 KEDUNGJATI BALEREJO </td>
<td align='left'>59 T-11 B-0 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%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
METFORMIN HCL TABLET 500 MG </td>
<td width="10%">20</td>
<td width="20%">1 x 1 Pagi sesudah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GLIMEPIRIDE TABLET 1 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Sebelum makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>82</td>
<td align='left'>13-10-2021</td>
<td align='left'>SUNGKEM</td>
<td align='left'>
KEDUNGJATI RT 02 RW 01 KEDUNGJATI BALEREJO </td>
<td align='left'>69 T-3 B-16 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%">6</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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>83</td>
<td align='left'>13-10-2021</td>
<td align='left'>WARI</td>
<td align='left'>
KEDUNGJATI RT 01 RW 01 KEDUNGJATI BALEREJO </td>
<td align='left'>71 T-8 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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CAPTOPRIL TABLET 25 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">
SIMVASTATIN TABLET 20 MG </td>
<td width="10%">5</td>
<td width="20%">1 x 1/2 Setelah makan</td>
 </tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>84</td>
<td align='left'>13-10-2021</td>
<td align='left'>SANEM</td>
<td align='left'>
KEDUNGJATI RT 001 RW 001 KEDUNGJATI BALEREJO </td>
<td align='left'>61 T-4 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">
NATRIUM DIKLOFENAK TABLET 50 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">
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%">6</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'>85</td>
<td align='left'>14-10-2021</td>
<td align='left'>RAHAYU SRI HARINI</td>
<td align='left'>
BALEREJO RT 019 RW 002 BALEREJO BALEREJO </td>
<td align='left'>54 T-11 B-11 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">
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">
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'>86</td>
<td align='left'>14-10-2021</td>
<td align='left'>SUPARNI</td>
<td align='left'>
KEDONDONG RT 009 RW 003 PURWOSARI WONOASRI </td>
<td align='left'>60 T-11 B-14 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">
NATRIUM DIKLOFENAK 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">
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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>87</td>
<td align='left'>14-10-2021</td>
<td align='left'>KASTUROH</td>
<td align='left'>
 SUMBERBENING RT 10 RW 004 SUMBERBENING BALEREJO </td>
<td align='left'>48 T-3 B-0 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
SIMVASTATIN TABLET 20 MG </td>
<td width="10%">5</td>
<td width="20%">1 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>88</td>
<td align='left'>14-10-2021</td>
<td align='left'>DAMIN SH</td>
<td align='left'>
NGAKAR RT 004 RW 002 GADING BALEREJO </td>
<td align='left'>68 T-3 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">
NATRIUM DIKLOFENAK 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">
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">
CALCIUM LACTATE TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 </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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>89</td>
<td align='left'>14-10-2021</td>
<td align='left'>SANIYEM</td>
<td align='left'>
KEDUNGJATI, RT : 19,RW :4 KEDUNGJATI BALEREJO </td>
<td align='left'>54 T-8 B-3 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">
PREDNISONE TABLET 5 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%">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'>90</td>
<td align='left'>14-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
JERUKGULUNG, RT : 12,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
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'>91</td>
<td align='left'>14-10-2021</td>
<td align='left'>SUYUT</td>
<td align='left'>
JERUKGULUNG, RT : 14,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>70 T-0 B-29 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
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'>92</td>
<td align='left'>14-10-2021</td>
<td align='left'>RASIMIN</td>
<td align='left'>
JERUKGULUNG, RT : 10,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-1 B-3 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<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>
 <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'>93</td>
<td align='left'>14-10-2021</td>
<td align='left'>MIRAH</td>
<td align='left'>
JERUKGULUNG, RT : 14,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>62 T-0 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
NATRIUM DIKLOFENAK TABLET 50 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%">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'>94</td>
<td align='left'>14-10-2021</td>
<td align='left'>LAMINI</td>
<td align='left'>
JERUKGULUNG, RT : 10,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>63 T-9 B-1 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">2 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%">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'>95</td>
<td align='left'>14-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
JERUKGULUNG, RT : 10,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>70 T-0 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<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'>96</td>
<td align='left'>14-10-2021</td>
<td align='left'>RASEMI</td>
<td align='left'>
JERUKGULUNG, RT : 14,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>76 T-5 B-4 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">2 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%">1 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>97</td>
<td align='left'>14-10-2021</td>
<td align='left'>WAKIYEM</td>
<td align='left'>
JERUKGULUNG, RT : 9,RW :2 JERUKGULUNG BALEREJO </td>
<td align='left'>71 T-9 B-6 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 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%">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'>98</td>
 <td align='left'>14-10-2021</td>
<td align='left'>SARTI</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>65 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
NATRIUM DIKLOFENAK TABLET 50 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%">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'>99</td>
<td align='left'>14-10-2021</td>
<td align='left'>PANTES</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>88 T-6 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
NATRIUM DIKLOFENAK TABLET 50 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%">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'>100</td>
<td align='left'>14-10-2021</td>
<td align='left'>SULASTRI</td>
<td align='left'>
BAUDANYANG, RT : 12,RW :4 NGLAMES MADIUN </td>
<td align='left'>83 T-4 B-9 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
ALLOPURINOL 100MG 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'>101</td>
<td align='left'>14-10-2021</td>
<td align='left'>LAMIRAH</td>
<td align='left'>
KEMBANGAN GARON BALEREJO </td>
<td align='left'>79 T-10 B-8 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
 ALLOPURINOL 100MG 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'>102</td>
<td align='left'>15-10-2021</td>
<td align='left'>KATI</td>
<td align='left'>
KEBONAGUNG RT 004 RW 001 KEBONAGUNG BALEREJO </td>
<td align='left'>68 T-4 B-8 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">
NATRIUM DIKLOFENAK 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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>103</td>
<td align='left'>15-10-2021</td>
<td align='left'>ADI KARMAN</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>77 T-3 B-4 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">
Deksamethason 0,5 mg BLUD BALEREJO </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">
THIAMINE (VITAMIN B1) 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'>104</td>
<td align='left'>15-10-2021</td>
<td align='left'>KASMINI</td>
<td align='left'>
GADING, RT : 8,RW :3 GADING BALEREJO </td>
<td align='left'>56 T-6 B-16 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">
THIAMINE (VITAMIN B1) 50 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'>105</td>
<td align='left'>15-10-2021</td>
<td align='left'>SUWARTINI</td>
<td align='left'>
BLAWONG, RT : 12,RW :5 GADING BALEREJO </td>
<td align='left'>45 T-6 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">
SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG ENDAP 4%
</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%">1</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>106</td>
<td align='left'>15-10-2021</td>
<td align='left'>MUSTADI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>66 T-7 B-1 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">
NATRIUM DIKLOFENAK TABLET 50 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">
THIAMINE (VITAMIN B1) 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'>107</td>
<td align='left'>16-10-2021</td>
<td align='left'>ATIN</td>
<td align='left'>
PURWO DARMO WARUREJO BALEREJO </td>
<td align='left'>62 T-7 B-24 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">
Ibuprofen 400 mg BLUD BALEREJO </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">
THIAMINE (VITAMIN B1) 50 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>108</td>
<td align='left'>16-10-2021</td>
<td align='left'>SADIMAN</td>
<td align='left'>
JALAN PURWOGATI RT 5 RW 2 WARUREJO BALEREJO </td>
<td align='left'>51 T-5 B-13 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">
Ibuprofen 400 mg BLUD BALEREJO </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">
NATRIUM DIKLOFENAK 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'>109</td>
<td align='left'>16-10-2021</td>
<td align='left'>RUSMINEM</td>
<td align='left'>
JERUKGULUNG RT 22 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-5 B-21 H</td>
 <td align='left'>POLINDES JERUKGULUNG</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%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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'>110</td>
<td align='left'>16-10-2021</td>
<td align='left'>SUKARMI</td>
<td align='left'>
GLONGGONG GLONGGONG BALEREJO </td>
<td align='left'>58 T-0 B-29 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
ALLOPURINOL 100MG 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'>111</td>
<td align='left'>18-10-2021</td>
<td align='left'>SRI ANAH</td>
<td align='left'>
BALEREJO RT 039 RW 004 BALEREJO BALEREJO </td>
<td align='left'>37 T-6 B-1 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">
NATRIUM DIKLOFENAK 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">
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 </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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>112</td>
<td align='left'>18-10-2021</td>
<td align='left'>DAMIN SH</td>
<td align='left'>
NGAKAR RT 004 RW 002 GADING BALEREJO </td>
<td align='left'>68 T-3 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">
NATRIUM DIKLOFENAK 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">
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">
CALCIUM LACTATE 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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>113</td>
<td align='left'>18-10-2021</td>
<td align='left'>TRIAMAN</td>
<td align='left'>
KARANGMALANG SUMBERBENING BALEREJO </td>
<td align='left'>67 T-8 B-21 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE 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">
ASAM MEFENAMAT 500MG 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">
THIAMINE (VITAMIN B1) 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'>114</td>
<td align='left'>18-10-2021</td>
<td align='left'>SARNI</td>
<td align='left'>
BABADAN LOR BABADAN LOR BALEREJO </td>
<td align='left'>69 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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'>115</td>
<td align='left'>18-10-2021</td>
<td align='left'>SUDARMI</td>
<td align='left'>
KEDUNGJATI RT 10 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>50 T-6 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">
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">
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">
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%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
BEDAK SALISIL SERBUK 2% BLUD BALEREJO
</td>
<td width="10%">1</td>
<td width="20%">3 x 1 sehari oleskan</td>
 </tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>116</td>
<td align='left'>18-10-2021</td>
<td align='left'>SUWARNO</td>
<td align='left'>
GADING, RT : 8,RW :3 GADING BALEREJO </td>
<td align='left'>58 T-5 B-23 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">
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'>117</td>
<td align='left'>18-10-2021</td>
<td align='left'>SUNARTO</td>
<td align='left'>
PURWO JOYO, RT : 16,RW :6 WARUREJO BALEREJO </td>
<td align='left'>58 T-1 B-3 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">
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 SE</td>
</tr>
<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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>118</td>
<td align='left'>19-10-2021</td>
<td align='left'>SRI WISMIATI</td>
<td align='left'>
BALEREJO RT 11 BALEREJO BALEREJO </td>
<td align='left'>75 T-10 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">
PARACETAMOL TABLET 500 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">
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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>119</td>
<td align='left'>19-10-2021</td>
<td align='left'>SEMUN</td>
<td align='left'>
KALIBENING, RT : 3,RW :1 SUMBERBENING BALEREJO </td>
<td align='left'>51 T-6 B-25 H</td>
<td align='left'>POLINDES SUMBERBENING</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">
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'>120</td>
<td align='left'>19-10-2021</td>
<td align='left'>SUTIYATI</td>
<td align='left'>
BALONGGLAGAH SUMBERBENING BALEREJO </td>
<td align='left'>52 T-11 B-5 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>121</td>
<td align='left'>19-10-2021</td>
<td align='left'>WARNI</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>68 T-1 B-0 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">
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">
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'>122</td>
<td align='left'>19-10-2021</td>
<td align='left'>SAMINEM</td>
<td align='left'>
GADING GADING BALEREJO </td>
<td align='left'>54 T-8 B-12 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">
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'>123</td>
<td align='left'>19-10-2021</td>
<td align='left'>DIRAN</td>
<td align='left'>
PURWO JOYO RT 014 RW 006 WARUREJO BALEREJO </td>
<td align='left'>44 T-4 B-2 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">
NATRIUM DIKLOFENAK TABLET 50 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">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">10</td>
<td width="20%">3 x Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>124</td>
<td align='left'>20-10-2021</td>
<td align='left'>TAMARA FITRUL DWI PRASTYO</td>
<td align='left'>
PLEMBANG RT 25 RW 04 GARON BALEREJO </td>
<td align='left'>22 T-9 B-20 H</td>
<td align='left'>POLINDES GARON</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">
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'>125</td>
<td align='left'>21-10-2021</td>
<td align='left'>SUKARDI</td>
<td align='left'>
PLEMBANG GARON BALEREJO </td>
<td align='left'>51 T-4 B-19 H</td>
<td align='left'>POLINDES GARON</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">
ALLOPURINOL 100MG BLUD BALEREJO </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'>126</td>
<td align='left'>21-10-2021</td>
<td align='left'>SUNARYO</td>
<td align='left'>
PLEMBANG GARON BALEREJO </td>
<td align='left'>63 T-11 B-6 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL 100MG 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">
NATRIUM DIKLOFENAK TABLET 50 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'>127</td>
<td align='left'>21-10-2021</td>
<td align='left'>SUTINI</td>
<td align='left'>
GADING RT 002 RW 001 GADING BALEREJO </td>
<td align='left'>58 T-4 B-19 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">
NATRIUM DIKLOFENAK TABLET 50 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">
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 </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 0 0 1</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>128</td>
<td align='left'>21-10-2021</td>
<td align='left'>SUPRAPTI</td>
<td align='left'>
BLAWONG RT 15 RW 06 GADING BALEREJO </td>
<td align='left'>46 T-2 B-29 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">
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">
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'>129</td>
<td align='left'>21-10-2021</td>
<td align='left'>WINARSIH</td>
 <td align='left'>
SOGO RT 022 RW 005 SOGO BALEREJO </td>
<td align='left'>37 T-7 B-2 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">
NATRIUM DIKLOFENAK 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">
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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>130</td>
<td align='left'>21-10-2021</td>
<td align='left'>DINAH</td>
<td align='left'>
KEBONAGUNG RT 20 KEBONAGUNG BALEREJO </td>
<td align='left'>68 T-4 B-9 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">
IBUPROFEN TABLET 400 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">
THIAMINE (VITAMIN B1) 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'>131</td>
<td align='left'>21-10-2021</td>
<td align='left'>MOH. JAIS</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>70 T-5 B-24 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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMOXYCILLIN TABLET 500 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">
METHYLPREDNISOLONE TABLET 4 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'>132</td>
<td align='left'>21-10-2021</td>
<td align='left'>SULASTRI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>44 T-2 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">
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">
NATRIUM DIKLOFENAK TABLET 50 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'>133</td>
<td align='left'>21-10-2021</td>
<td align='left'>PAINEM</td>
<td align='left'>
JERUKGULUNG, RT : 20,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>70 T-10 B-27 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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'>134</td>
<td align='left'>21-10-2021</td>
<td align='left'>SITI SARIBAH</td>
<td align='left'>
JERUKGULUNG, RT : 20,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>78 T-10 B-1 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
THIAMINE (VITAMIN B1) 50 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'>135</td>
<td align='left'>21-10-2021</td>
<td align='left'>KAILAH</td>
<td align='left'>
JERUKGULUNG RT 021 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>68 T-2 B-5 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
THIAMINE (VITAMIN B1) 50 MG </td>
<td width="10%">9</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'>136</td>
<td align='left'>21-10-2021</td>
<td align='left'>TUMINEM</td>
<td align='left'>
JERUKGULUNG RT 21 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>68 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>137</td>
<td align='left'>21-10-2021</td>
<td align='left'>KASMI</td>
<td align='left'>
JERUKGULUNG, RT : 21,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>78 T-10 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>138</td>
<td align='left'>21-10-2021</td>
<td align='left'>ISKANDAR</td>
<td align='left'>
JERUKGULUNG, RT : 21,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>89 T-10 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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%">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'>139</td>
<td align='left'>21-10-2021</td>
 <td align='left'>RUSMINEM</td>
<td align='left'>
JERUKGULUNG RT 22 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-5 B-21 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>140</td>
<td align='left'>21-10-2021</td>
<td align='left'>ROCHMAD</td>
<td align='left'>
JERUKGULUNG, RT : 23,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>62 T-0 B-20 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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%">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'>141</td>
<td align='left'>21-10-2021</td>
<td align='left'>DEWI CHALIMAH</td>
<td align='left'>
JERUKGULUNG RT 20 RW 04 JERUKGULUNG BALEREJO </td>
<td align='left'>73 T-3 B-27 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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%">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'>142</td>
<td align='left'>21-10-2021</td>
<td align='left'>SUWAJI</td>
<td align='left'>
JERUKGULUNG, RT : 20,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-10 B-21 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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'>143</td>
 <td align='left'>22-10-2021</td>
<td align='left'>RIYEM</td>
<td align='left'>
DESA GARON, RT : 20,RW :3 GARON BALEREJO </td>
<td align='left'>53 T-8 B-8 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">
NATRIUM DIKLOFENAK 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">
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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 0 0 1</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>144</td>
<td align='left'>22-10-2021</td>
<td align='left'>CIPTO SUWARNO</td>
<td align='left'>
KEDUNGJATI RT.16/04 KEDUNGJATI BALEREJO </td>
<td align='left'>60 T-11 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">
NATRIUM DIKLOFENAK 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">
RANITIDINE TABLET 150 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%">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'>145</td>
<td align='left'>22-10-2021</td>
<td align='left'>SUJIYEM</td>
<td align='left'>
KEBONAGUNG RT 024 RW 007 KEBONAGUNG BALEREJO </td>
<td align='left'>62 T-4 B-9 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">
NATRIUM DIKLOFENAK 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">
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">
GENTAMYCIN DROPS 0.3 %( tetes mata )
</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'>146</td>
<td align='left'>22-10-2021</td>
<td align='left'>SUMADI</td>
<td align='left'>
 KEBONAGUNG RT 024 RW 007 KEBONAGUNG BALEREJO </td>
<td align='left'>71 T-11 B-29 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">
ANTACIDA TABLET 400 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">
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 </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%">1 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GENTAMYCIN DROPS 0.3 %( tetes mata )
</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'>147</td>
<td align='left'>22-10-2021</td>
<td align='left'>SAMIDI</td>
<td align='left'>
KEBONAGUNG, RT : 23,RW :7 KEBONAGUNG BALEREJO </td>
<td align='left'>69 T-2 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">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">30</td>
<td width="20%">1 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%">1 x 1 </td>
</tr>
<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%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
GENTAMYCIN DROPS 0.3 %( tetes mata )
</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'>148</td>
<td align='left'>22-10-2021</td>
<td align='left'>HARIYANTO</td>
<td align='left'>
DS.GADING RT 01 RW 01 BALEREJO MADIUN BALEREJO BALEREJO </td>
<td align='left'>45 T-6 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">
NATRIUM DIKLOFENAK 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">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">20</td>
<td width="20%">2 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDINE TABLET 150 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">
Vitamin Neurotropik BLUD Balerejo (FORNERO)
 </td>
<td width="10%">10</td>
<td width="20%">2 x 0 0 1</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>149</td>
<td align='left'>22-10-2021</td>
<td align='left'>RANTIMAN</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>60 T-3 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">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%">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'>150</td>
<td align='left'>22-10-2021</td>
<td align='left'>SUKI</td>
<td align='left'>
BABADAN LOR RT.05,RW.01 BABADAN LOR BALEREJO </td>
<td align='left'>57 T-2 B-9 H</td>
<td align='left'>PUSTU BABADAN LOR</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%">0 x </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%">0 x </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%">0 x </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>151</td>
<td align='left'>23-10-2021</td>
<td align='left'>WARNITI</td>
<td align='left'>
SUMBERBENING SUMBERBENING BALEREJO </td>
<td align='left'>42 T-10 B-8 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">8</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">
CALCIUM LACTATE 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'>152</td>
<td align='left'>23-10-2021</td>
<td align='left'>TRIAMAN</td>
<td align='left'>
KARANGMALANG SUMBERBENING BALEREJO </td>
<td align='left'>67 T-8 B-21 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE 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">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>153</td>
<td align='left'>23-10-2021</td>
<td align='left'>RASMI</td>
<td align='left'>
KEDUNGJATI RT 10 RW 03 KEDUNGJATI BALEREJO </td>
<td align='left'>49 T-11 B-19 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">
ASAM MEFENAMAT 500MG 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">
PIRIDOKSIN HCL ( VIT. B6 ) 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">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">5</td>
<td width="20%">1 x 1 Pagi sesudah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>154</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUPARNI</td>
<td align='left'>
BALEREJO 144 RT 16 RW 002 BALEREJO BALEREJO </td>
<td align='left'>62 T-10 B-8 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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">20</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%">20</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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>155</td>
<td align='left'>25-10-2021</td>
<td align='left'>SAKIRUN</td>
<td align='left'>
BALEREJO 144 RT 016 RW 002 BALEREJO BALEREJO </td>
<td align='left'>69 T-9 B-19 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">
NATRIUM DIKLOFENAK 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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDINE TABLET 150 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'>156</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUPRIYATIN</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>69 T-0 B-24 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">
Ambroksol 30 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">
NATRIUM DIKLOFENAK TABLET 50 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">
AMOXYCILLIN TABLET 500 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'>157</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUMINI</td>
 <td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>65 T-3 B-13 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">
IBUPROFEN 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'>158</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUMINAH</td>
<td align='left'>
KEBONAGUNG, RT : 24,RW :7 KEBONAGUNG BALEREJO </td>
<td align='left'>71 T-4 B-9 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">
IBUPROFEN TABLET 400 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">
ANTACIDA TABLET 400 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'>159</td>
<td align='left'>25-10-2021</td>
<td align='left'>SAIMI</td>
<td align='left'>
KEBONAGUNG, RT : 22,RW :7 KEBONAGUNG BALEREJO </td>
<td align='left'>67 T-4 B-9 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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
 <td width="10%">20</td>
<td width="20%">2 x 1 </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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>160</td>
<td align='left'>25-10-2021</td>
<td align='left'>WARTINAH</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>60 T-4 B-9 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">
NATRIUM DIKLOFENAK 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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>161</td>
<td align='left'>25-10-2021</td>
<td align='left'>SRI MARMIATI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>68 T-7 B-22 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">
NATRIUM DIKLOFENAK 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">
ANTACIDA TABLET 400 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">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">20</td>
<td width="20%">1 x 2 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>162</td>
<td align='left'>25-10-2021</td>
<td align='left'>EDI SUTARTO</td>
<td align='left'>
JERUKGULUNG, RT : 23,RW :4 JERUKGULUNG BALEREJO </td>
<td align='left'>36 T-7 B-13 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMOXYCILLIN 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">
Deksamethason 0,5 mg BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">3 x 1 1/2 jam sebelum makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>163</td>
<td align='left'>25-10-2021</td>
<td align='left'>DJARMINI</td>
<td align='left'>
KEDUNGMENENG RT 004 RW 001 GARON BALEREJO </td>
<td align='left'>68 T-0 B-2 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL 100MG BLUD BALEREJO </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Pagi sesudah makan</td>
</tr>
<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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>164</td>
<td align='left'>25-10-2021</td>
<td align='left'>SRI NINGSIH</td>
<td align='left'>
POJOK SOGO, RT : 37,RW :8 SOGO BALEREJO </td>
<td align='left'>52 T-1 B-0 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL 100MG BLUD BALEREJO </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">
NATRIUM DIKLOFENAK 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'>165</td>
<td align='left'>25-10-2021</td>
<td align='left'>NINUK SUMIATI</td>
<td align='left'>
GADING, RT : 9,RW :3 GADING BALEREJO </td>
<td align='left'>40 T-9 B-19 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">
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'>166</td>
<td align='left'>25-10-2021</td>
<td align='left'>ARUM</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>62 T-5 B-8 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">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">20</td>
<td width="20%">1 x 2 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">20</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'>167</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUYATI</td>
<td align='left'>
KEBONAGUNG RT 023 RW 007 KEBONAGUNG BALEREJO </td>
<td align='left'>73 T-4 B-9 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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">20</td>
<td width="20%">2 x 1 </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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>168</td>
<td align='left'>25-10-2021</td>
<td align='left'>SUJIYEM</td>
<td align='left'>
KEBONAGUNG RT 024 RW 007 KEBONAGUNG BALEREJO </td>
<td align='left'>62 T-4 B-9 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">
IBUPROFEN TABLET 400 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">
AMLODIPINE TABLET 5 MG </td>
<td width="10%">20</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'>169</td>
<td align='left'>26-10-2021</td>
<td align='left'>BOINAH</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>45 T-4 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">
RANITIDINE TABLET 150 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">
NATRIUM DIKLOFENAK 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">
DOMPERIDONE TABLET 10 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'>170</td>
<td align='left'>26-10-2021</td>
<td align='left'>DAMIN SH</td>
<td align='left'>
NGAKAR RT 004 RW 002 GADING BALEREJO </td>
<td align='left'>68 T-3 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">
NATRIUM DIKLOFENAK 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">
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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE TABLET 500 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'>171</td>
<td align='left'>26-10-2021</td>
<td align='left'>SRIKUSTATIK</td>
<td align='left'>
BALONGMLOKO RT 18 KEDUNGREJO BALEREJO </td>
<td align='left'>71 T-3 B-26 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">
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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>172</td>
<td align='left'>26-10-2021</td>
<td align='left'>KARTINEM</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>79 T-9 B-5 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">
GENTAMYCIN DROPS 0.3 %( tetes mata )
</td>
<td width="10%">1</td>
<td width="20%">3 x 1 TETES MATA</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">
METHYLPREDNISOLONE TABLET 4 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">
IBUPROFEN TABLET 400 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'>173</td>
<td align='left'>26-10-2021</td>
<td align='left'>SUKIJAH</td>
<td align='left'>
NGAKAR RT 003 RW 001 GADING BALEREJO </td>
<td align='left'>53 T-7 B-27 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">
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'>174</td>
<td align='left'>26-10-2021</td>
<td align='left'>KASMINI</td>
<td align='left'>
GADING, RT : 8,RW :3 GADING BALEREJO </td>
<td align='left'>56 T-6 B-16 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">
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'>175</td>
<td align='left'>26-10-2021</td>
<td align='left'>SAMIRAH</td>
<td align='left'>
KARANGMALANG SUMBERBENING BALEREJO </td>
<td align='left'>79 T-4 B-9 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE 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">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">6</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'>176</td>
<td align='left'>26-10-2021</td>
<td align='left'>SUMARNO</td>
<td align='left'>
SATRIYAN RT 11 RW 04 GADING BALEREJO </td>
<td align='left'>53 T-6 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">
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">
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'>177</td>
<td align='left'>27-10-2021</td>
<td align='left'>HARSININGSIH</td>
<td align='left'>
WATES SUMBERBENING BALEREJO </td>
<td align='left'>46 T-1 B-22 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>178</td>
<td align='left'>27-10-2021</td>
<td align='left'>SURYANI</td>
<td align='left'>
KEDUNGJATI RT 016 RW 004 KEDUNGJATI BALEREJO </td>
<td align='left'>44 T-4 B-3 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">
NATRIUM DIKLOFENAK TABLET 50 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">
METHYLPREDNISOLONE TABLET 4 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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>179</td>
<td align='left'>27-10-2021</td>
<td align='left'>SATIYEM</td>
<td align='left'>
KEDUNGJATI 19/04 KEDUNGJATI BALEREJO </td>
<td align='left'>63 T-6 B-8 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%">2 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">
CALCIUM LACTATE TABLET 500 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'>180</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
GADING RT 007 RW 003 GADING BALEREJO </td>
<td align='left'>40 T-3 B-2 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">
NATRIUM DIKLOFENAK 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">
METHYLPREDNISOLONE TABLET 4 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">
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 0 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>181</td>
<td align='left'>27-10-2021</td>
<td align='left'>SURATMI</td>
<td align='left'>
KEDUNGJATI KEDUNGJATI BALEREJO </td>
<td align='left'>72 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">
ASAM MEFENAMAT 500MG 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">
CALCIUM LACTATE TABLET 500 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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>182</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUGINEM</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>79 T-6 B-4 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">
NATRIUM DIKLOFENAK TABLET 50 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">
THIAMINE (VITAMIN B1) 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'>183</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUNARTI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>55 T-4 B-9 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">
IBUPROFEN TABLET 400 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">
NATRIUM DIKLOFENAK TABLET 50 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">
THIAMINE (VITAMIN B1) 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'>184</td>
<td align='left'>27-10-2021</td>
<td align='left'>SITI PATONAH</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>67 T-2 B-24 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">
THIAMINE (VITAMIN B1) 50 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">
NATRIUM DIKLOFENAK 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'>185</td>
<td align='left'>27-10-2021</td>
<td align='left'>SAKIYEM</td>
<td align='left'>
 SOGO SOGO BALEREJO </td>
<td align='left'>81 T-2 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">
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">
METHYLPREDNISOLONE TABLET 4 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'>186</td>
<td align='left'>27-10-2021</td>
<td align='left'>YENI SEFINA D</td>
<td align='left'>
DESA GADING RT 7 RW 3 BALEREJO MADIUN JAWA TIMUR GADING BALEREJO
</td>
<td align='left'>31 T-5 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">
NATRIUM DIKLOFENAK 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'>187</td>
<td align='left'>27-10-2021</td>
<td align='left'>RUSINEM</td>
<td align='left'>
JERUKGULUNG, RT : 15,RW :3 JERUKGULUNG BALEREJO </td>
<td align='left'>75 T-4 B-9 H</td>
 <td align='left'>POLINDES JERUKGULUNG</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%">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'>188</td>
<td align='left'>27-10-2021</td>
<td align='left'>KASMI</td>
<td align='left'>
JERUKGULUNG, RT : 16,RW :3 JERUKGULUNG BALEREJO </td>
<td align='left'>63 T-5 B-4 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
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'>189</td>
<td align='left'>27-10-2021</td>
<td align='left'>HADI SADIRUN</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>72 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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">
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'>190</td>
<td align='left'>27-10-2021</td>
<td align='left'>RATMIATI</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">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'>191</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUYATMI</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">2 x 1 Setelah makan</td>
</tr>
<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%">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'>192</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUMINI</td>
<td align='left'>
JERUKGULUNG RT 18 RW 003 JERUKGULUNG BALEREJO </td>
<td align='left'>71 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">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%">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'>193</td>
<td align='left'>27-10-2021</td>
<td align='left'>SRIYONO</td>
<td align='left'>
JERUKGULUNG RT 015 RW 003 JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-8 B-12 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">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%">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'>194</td>
<td align='left'>27-10-2021</td>
<td align='left'>MENIS</td>
<td align='left'>
JERUKGULUNG, RT : 18,RW :3 JERUKGULUNG BALEREJO </td>
<td align='left'>74 T-8 B-28 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<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%">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%">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'>195</td>
<td align='left'>27-10-2021</td>
<td align='left'>JUMSARI</td>
<td align='left'>
 JERUKUGULUNG, RT : 16,RW :3 JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-11 B-11 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</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%">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'>196</td>
<td align='left'>27-10-2021</td>
<td align='left'>MASINAH</td>
<td align='left'>
JERUKGULUNG RT 017 RW 003 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</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%">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'>197</td>
<td align='left'>27-10-2021</td>
<td align='left'>KUTISIH</td>
<td align='left'>
JERUKGULUNG, RT : 17,RW :3 JERUKGULUNG BALEREJO </td>
 <td align='left'>66 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">6</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'>198</td>
<td align='left'>27-10-2021</td>
<td align='left'>LAMI</td>
<td align='left'>
BLAWONG, RT : 12,RW :5 GADING BALEREJO </td>
<td align='left'>64 T-1 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">
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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">20</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'>199</td>
<td align='left'>27-10-2021</td>
<td align='left'>SUWADI</td>
<td align='left'>
NGAKAR, RT : 6,RW :2 GADING BALEREJO </td>
<td align='left'>70 T-1 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">
MULTIVITAMIN DAN ZINC (CAVIPLEX CDEZ)
</td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>200</td>
<td align='left'>28-10-2021</td>
<td align='left'>SAKEM</td>
<td align='left'>
JERUKGULUNG RT 03 RW 01 JERUKGULUNG BALEREJO </td>
<td align='left'>91 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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%">1 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 1/2 jam sebelum makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>201</td>
<td align='left'>28-10-2021</td>
 <td align='left'>MARIYAH</td>
<td align='left'>
JERUKGULUNG RT 023 RW 004 JERUKGULUNG BALEREJO </td>
<td align='left'>63 T-1 B-11 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">
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 </td>
</tr>
<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%">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">
CALCIUM LACTATE TABLET 500 MG </td>
<td width="10%">20</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'>202</td>
<td align='left'>28-10-2021</td>
<td align='left'>SRI SULASTRI</td>
<td align='left'>
KEBONAGUNG RT 12 RW 003 KEBONAGUNG BALEREJO </td>
<td align='left'>67 T-0 B-3 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">
NATRIUM DIKLOFENAK 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">
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 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CALCIUM LACTATE TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 </td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
RANITIDINE TABLET 150 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'>203</td>
<td align='left'>28-10-2021</td>
<td align='left'>AMIATI</td>
<td align='left'>
DESA GLONGGONG RT 009 RW 001 GLONGGONG BALEREJO </td>
<td align='left'>47 T-6 B-29 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">
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 </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>
</table>
</td>
</tr>
 <tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>204</td>
<td align='left'>28-10-2021</td>
<td align='left'>BANDIONO</td>
<td align='left'>
NGAKAR RT 04 RW 02 GADING BALEREJO </td>
<td align='left'>45 T-11 B-27 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">
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">
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">
ANTACIDA TABLET 400 MG </td>
<td width="10%">10</td>
<td width="20%">3 x 1 Sebelum makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>205</td>
<td align='left'>28-10-2021</td>
<td align='left'>MURTINI</td>
<td align='left'>
NGAKAR GADING BALEREJO </td>
<td align='left'>56 T-2 B-24 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%">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>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>206</td>
<td align='left'>28-10-2021</td>
<td align='left'>HARI ASTUTI</td>
<td align='left'>
SUMBERBENING RT 012 RW 004 SUMBERBENING BALEREJO </td>
<td align='left'>54 T-1 B-29 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </td>
<td width="10%">7</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">
THIAMINE (VITAMIN B1) 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'>207</td>
<td align='left'>28-10-2021</td>
<td align='left'>SAWI</td>
<td align='left'>
JERUK GULUNG, RT : 5,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>69 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</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%">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'>208</td>
<td align='left'>28-10-2021</td>
<td align='left'>SADINO</td>
<td align='left'>
JERUKGULUNG, RT : 3,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>80 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</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%">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'>209</td>
<td align='left'>28-10-2021</td>
<td align='left'>SUMINAH</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>61 T-3 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</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%">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'>210</td>
<td align='left'>28-10-2021</td>
<td align='left'>RAKIYEM</td>
<td align='left'>
JERUKGULUNG, RT : 5,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>61 T-2 B-21 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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 1/2 jam sebelum 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'>211</td>
<td align='left'>28-10-2021</td>
<td align='left'>SUTI</td>
<td align='left'>
JERUKGULUNG, RT : 6,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>68 T-1 B-21 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
 ACETYLCYSTEINE TABLET 200 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">
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">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">6</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'>212</td>
<td align='left'>28-10-2021</td>
<td align='left'>MARSIJAM</td>
<td align='left'>
JERUKGULUNG, RT : 7,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-4 B-10 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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%">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'>213</td>
<td align='left'>28-10-2021</td>
<td align='left'>ASTRO JONO</td>
<td align='left'>
JERUKGULUNG, RT : 6,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>66 T-9 B-8 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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%">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'>214</td>
<td align='left'>28-10-2021</td>
<td align='left'>AMINI</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>65 T-9 B-8 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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 1/2 jam sebelum 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%">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'>215</td>
<td align='left'>28-10-2021</td>
<td align='left'>SUMARNO</td>
<td align='left'>
 JERUKGULUNG, RT : 5,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>65 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">2 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%">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'>216</td>
<td align='left'>28-10-2021</td>
<td align='left'>JATINEM</td>
<td align='left'>
JERUKGULUNG RT 001 RW 001 JERUKGULUNG BALEREJO </td>
<td align='left'>64 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">6</td>
<td width="20%">2 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%">1 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'>217</td>
<td align='left'>28-10-2021</td>
<td align='left'>SAINEM</td>
<td align='left'>
JERUKGULUNG RT 004 RW 001 JERUKGULUNG BALEREJO </td>
<td align='left'>71 T-4 B-9 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">6</td>
<td width="20%">2 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%">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'>218</td>
<td align='left'>28-10-2021</td>
<td align='left'>SIJAM</td>
<td align='left'>
JERUKGULUNG, RT : 5,RW :1 JERUKGULUNG BALEREJO </td>
<td align='left'>80 T-3 B-22 H</td>
<td align='left'>POLINDES JERUKGULUNG</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 1/2 jam sebelum makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
NATRIUM DIKLOFENAK TABLET 50 MG </td>
<td width="10%">6</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
AMLODIPINE TABLET 10 MG </td>
<td width="10%">10</td>
<td width="20%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
CAPTOPRIL TABLET 25 MG </td>
<td width="10%">6</td>
<td width="20%">2 x 1/2 Setelah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>219</td>
<td align='left'>28-10-2021</td>
<td align='left'>GEMI</td>
<td align='left'>
KEMBANGAN RT 10 RW 002 GARON BALEREJO </td>
<td align='left'>65 T-10 B-8 H</td>
<td align='left'>POLINDES GARON</td>
<td align='left'>
<table width='100%' border="1">
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ALLOPURINOL 100MG BLUD BALEREJO </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">
PARACETAMOL TABLET 500 MG </td>
<td width="10%">10</td>
<td width="20%">2 x 1 Setwlah makan</td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>220</td>
<td align='left'>29-10-2021</td>
<td align='left'>TATIK</td>
<td align='left'>
GARON GARON BALEREJO </td>
<td align='left'>53 T-6 B-17 H</td>
<td align='left'>POLINDES GARON</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">
ALLOPURINOL 100MG 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'>221</td>
<td align='left'>29-10-2021</td>
<td align='left'>DEWI AMINAH</td>
<td align='left'>
JERUKGULUNG JERUKGULUNG BALEREJO </td>
<td align='left'>44 T-8 B-29 H</td>
<td align='left'>POLINDES JERUKGULUNG</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%">4</td>
<td width="20%">2 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG 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">
THIAMINE (VITAMIN B1) 50 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'>222</td>
<td align='left'>29-10-2021</td>
<td align='left'>GONO</td>
<td align='left'>
GADING BLAWONG RT 15 RW 06 GADING BALEREJO </td>
<td align='left'>50 T-6 B-19 H</td>
<td align='left'>POLINDES JERUKGULUNG</td>
<td align='left'>
<table width='100%' border="1">
 <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%">1 x 1 Setelah makan</td>
</tr>
<tr style="background-color:#ECF0F1; border-
bottom:1px;" valign="top">
<td align="left">
ASAM MEFENAMAT 500MG BLUD BALEREJO </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'>223</td>
<td align='left'>29-10-2021</td>
<td align='left'>LAMI</td>
<td align='left'>
BABADAN LOR RT 001 RW 001 BABADAN LOR BALEREJO </td>
<td align='left'>76 T-4 B-9 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%">20</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'>224</td>
<td align='left'>29-10-2021</td>
<td align='left'>SETIYANINGSIH</td>
<td align='left'>
BLAWONG RT 12 RW 05 GADING BALEREJO </td>
<td align='left'>39 T-9 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">
NATRIUM DIKLOFENAK 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'>225</td>
<td align='left'>29-10-2021</td>
<td align='left'>SARMINI</td>
<td align='left'>
KEBONAGUNG KEBONAGUNG BALEREJO </td>
<td align='left'>85 T-4 B-9 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">
IBUPROFEN TABLET 400 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">
THIAMINE (VITAMIN B1) 50 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">
PARACETAMOL TABLET 500 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'>226</td>
<td align='left'>29-10-2021</td>
<td align='left'>ADI WAJIO</td>
<td align='left'>
PURWO GATI, RT : 18,RW :7 WARUREJO BALEREJO </td>
<td align='left'>53 T-0 B-2 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">
Ibuprofen 400 mg BLUD BALEREJO </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">
NATRIUM DIKLOFENAK TABLET 50 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">
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'>227</td>
<td align='left'>30-10-2021</td>
<td align='left'>NANIK SULASTRI</td>
<td align='left'>
MUNENG I, RT : 5,RW :2 MUNENG PILANGKENCENG </td>
<td align='left'>51 T-0 B-29 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">
NATRIUM DIKLOFENAK 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">
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 </td>
</tr>
</table>
</td>
</tr>
<tr style="background-color:#ECF0F1; border-bottom:1px;" valign="top"
class="font a-font">
<td align='center'>228</td>
<td align='left'>30-10-2021</td>
<td align='left'>NYASRI</td>
<td align='left'>
GARON RT 004/RW001 GARON BALEREJO </td>
<td align='left'>34 T-5 B-2 H</td>
<td align='left'>POLINDES GARON</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">
ASAM MEFENAMAT 500MG 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'>229</td>
<td align='left'>30-10-2021</td>
<td align='left'>DARSINI</td>
<td align='left'>
SUMBERBENING, RT : 10,RW :4 SUMBERBENING BALEREJO </td>
<td align='left'>52 T-2 B-4 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<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'>230</td>
<td align='left'>30-10-2021</td>
<td align='left'>DARSANI</td>
<td align='left'>
DUSUN KALIBENING SUMBERBENING BALEREJO </td>
<td align='left'>46 T-8 B-26 H</td>
<td align='left'>POLINDES SUMBERBENING</td>
<td align='left'>
<table width='100%' border="1">
<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>
</table>
</td>
</tr>
</table>