Rekapan Resep Harian 2021

REKAPAN RESEP HARIAN APOTIK
Bulan : Januari
Tahun : 2021
Jenis Umur Jenis TTV (mmHG, cm, Jumlah Aturan

No Tanggal Nomor Kartu (BPJS) Nama Pasien Alamat Diagnosa Nama Obat
Pasien (Thn) Kelamin kg) Obat Pakai
1 2 3 4 5 6 7 8 9 10 11 12 13
Cefadroxil 10 2x1
Post op App Ranitidin 10 2x1
1 12/21/2020 BPJS 0002642249553 Ny. Muliana 47 P Lora Laparatomi Omeprazol 5 1x1
Ibuprofen 200 10 2x1
Acyclovir 15 4x1
Cetirizin 10 2x1
2 12/21/2020 BPJS 0001941321385 Ny. Juwita 12 P Puuwaea Varicela
Dexametason 10 2x1
Acyclovir Salf 1 2x1
110/90 Omeprazol 10 2x1
Dispepsia + Vit. C 10 2x1
3 12/21/2020 BPJS 0000165569726 Ny. Murgana 49 P Lora
44 Hiperkolesterol Simvastatin 10 10 1x1
Lidocain 2
4 12/21/2020 G An. Fare 13 L Sirkum Ibuprofen 200 10 3x1
Amoxicillin 500 10 3x1
Cotri syr 1 3x1/2
5 12/21/2020 Umum An. Aslan 3 Bln L Lora ISPA PCT syr 1 3x1/2
7 GG 6 3x1/4
Omeprazol 5 1x1
146
6 12/22/2020 BPJS 0001941319383 Ny. Nirma 15 P Toli-toli Dispepsia Ranitidin 10 2x1
Pehavral 5 1x1
120/80 Nadik 50 10 2x1
160 CTM 10 2x1
7 12/22/2020 BPJS 0001889842296 Tn. Yusril 24 L Lora Alergi
56q Dexametason 10 2x1
Ketoconazol salf 1
150/90 Amlodipin 10 20 1x1
8 12/22/2020 BPJS 0000133211867 Ny. Darmawati 54 P Lora 149 HT Nadik 50 10 2x1
60 Asam Mefenamat 10 3x1
Amox syr 1 3x1
Cetirizin syr 1 3x1
9 12/22/2020 Umum An. Riski R 3 P Lora Dermatitis
Dexametason 5 3x1/2
Betametason Salf 1 2x1
Furosemid 20 1x1
Pulau Eritromisin 500 10 3x1
10 12/22/2020 Umum Ny. Kamaria P HT + Tonsilitis
Tambako Pehavral 10 1x1
100/80 Ibuprofen 400 10 3x1
11 12/23/2020 BPJS 0001074940918 Ny. Hasnawati P Lora CTM 10 3x1
Vit. C 10 2x1
PCT syr 1 3x1/2
CTM 3
12 12/23/2020 BPJS 0002916982203 An. Aura P Lora ISPA Prednison 2
3x1
GG 3
Vit. C 4
Acyclovir 10 2x1
13 12/23/2020 BPJS 0001941319383 An. Nirma P Toli-toli Varicela Acyclovir Salf 1 2x1
160/100 Amlodipin 5 10 1x1

14 12/23/2020 BPJS 0000953939171 Tn. Bakri 64 L Pomontoro HT + Dermatitis Griseosulvin 10 3x1
100/90 Piroxicam 20 10 2x1

15 12/23/2020 BPJS 0000952250659 Ny. Rosdiana P Pomontoro OA + ISK Prednison 10 2x1
55 Vit. B1 10 2x1
16 12/23/2020 BPJS 0000953534248 Tn. Aswar 37 L Lora Febris Paracetamol 10 3x1
Pehavral 10 1x1
Simvastatin 10 10 3x1
Hiperkolesterol +
17 12/23/2020 BPJS 0000953690692 Tn. Darwis L Lora Acyclovir 10 3x1
Herpes
Salbutamol 4 10 3x1
Pulau
18 12/23/2020 BPJS 0001986971646 Ny. Haliati 44 P Asma Dexametason 10 3x1
Tambako
B Komplex 10 2x1
GG 10 3x1
19 12/23/2020 BPJS 0000525659455 Ny. Maryatun P Cough Metilprednisolon 10 2x1
Pehavral 10 1x1
Cetirizin 10 2x1
Pulau Dexametason 10 2x1
20 12/23/2020 BPJS 000174591245 Ny. Wahidin P Dermatitis
Tambako
Pulau
20 12/23/2020 BPJS 000174591245 Ny. Wahidin P Tambako Dermatitis
CTM 10 2x1
Pehavral 10 1x1
Amlodipin 10 20 1x1
21 12/23/2020 BPJS 0001941319991 Ny. Keteng P Lora HT
Ranitidin 10 2x1
Diazepam 4 1x2
Amox syr 1 3x1
22 12/23/2020 G An. Mirsan 1 L Lora Milliaria Dexametason 10 3x1/4
Cetirizin syr 1 3x1
Bedak Salisil 1 sue
23 12/23/2020 G An. Nur Alifa 2 P Lora 80 Dermatitis Desoxymetason salp 1 sue
10
110/80 Antasida syr 2 3x1
Pulau
24 12/23/2020 G Ny. Asmina P 155 Dispepsia Pehavral 20 1x1
Tambako
55
130/80 Cendo Xitrol 2
165 Piroxicam 20 10 2x1
25 12/26/2020 BPJS 0001941318663 Tn. Halik N L Lora Konjungtivitis + OA
Metilprednisolon 10 2x1
Vit. B1 10 2x1
100/70 Allopurinol 10 2x1
26 12/26/2020 BPJS 000948533624 Ny. Rusnah 26 P Toli-toli Hiperurisemia
152 Vit. B1 10 2x1
Salbutamol 4 10 2x1
27 12/26/2020 BPJS 0001941326255 Ny. Hayati P Lora Asma Dexametason 10 2x1
Cefixim 5 1x1
Ketoconazol salf 1 2x1
28 12/26/2020 BPJS 0000952860712 Ny. Nurwaida 39 P Lora Dermatitis Ketoconazol 10 3x1
150/90 Ibuprofen 400 20 3x1

29 12/26/2020 BPJS 0000953690692 Tn. Darwis 45 L Lora Cefalgia + HT Becefort 10 1x1
Amlodipin 10 10 1x1
100/p Ranitidin 20 2x1
150 Ibuprofen 200 20 2x1
30 12/26/2020 BPJS 0001074940929 AN. Halima P Lora Dispepsia
41 Antasida syr 2 3x1
Pehavral 10 1x1
Eritromisin 500 20 3x1
31 12/26/2020 BPJS 0002172619056 An. Raka 10 L Lora TF Paracetamol 20 2x1
Procurma syr 2 1x1
190/100 Amlodipin 10 20 1x1
Asam Mefenamat 10 3x1
32 12/26/2020 BPJS 0000953350659 Ny. Rosdiana P Lora HT
Ranitidin 10 2x1
Diazepam 4 1x2
120/70 Salbutamol 4 10 3x1
33 12/26/2020 BPJS 0002746119172 Tn. Hasanuddin 31 L Lora 165 Asma Bronkial Prednison 20 3x1
65
90/70 Cendo Xitrol 1
Pulau Konjungtivitis +
34 12/26/2020 BPJS 0000203017173 Ny. Nur Harpenas 37 P 150 Pehavral 10 1x1
Tambako Anemia
55
120/80 Ibuprofen 400 20 3x1
Pulau
35 12/26/2020 BPJS 0002641222776 Tn. Aminung L Tambako 164 Pehavral 10 1x1
60 Metronidazol 10 3x1
140/100 Glibenclamid 5 2x1/2
Pulau
36 12/28/2020 BPJS 0002827940038 Ny. Sahima P DM Ciprofloxacin 10 2x1
Tambako
Metronidazol 10 3x1
160/90 Metformin 20 2x1
37 12/28/2020 BPJS 0001987221396 Ny. Amira P Liano HT + DM Pehavral 15 1x1
Amlodipin 10 20 1x1
38 12/28/2020 BPJS 0001941322318 An. Sudiansah 13 L Puuwaea V. laceratum Paracetamol 10 3x1/2
Dexametason 10 3x1
110/p Dexametason 10 2x1
39 12/28/2020 BPJS 0002474249253 Ny. Sriwahyuni 31 P Lora 159 Alergi CTM 10 2x1
60 Nadik 25 10 2x1
Pulau Nadik 25 10 2x1
40 12/28/2020 BPJS 0002641224677 Ny. Sitti Hasia 55 P Osteoarthritis
Tambako Prednison 10 2x1
Vit. B1 10 2x1
110/p Ciprofloxacin 10 2x1
Dexametason 10 3x1
41 12/28/2020 BPJS 0000952955572 Ny. Rosmiati 38 P Lora Dermatitis
Cetirizin 10 3x1
100/80 Ofloxacin 200 10 2x1
42 12/28/2020 BPJS 0002642249226 Ny. Mariana 29 P Lora Cough GG 10 2x1
Prednison 10 2x1
Pulau Nadik 50 10 2x1
43 12/28/2020 BPJS 0001851163806 Tn. H. Ramli 62 L Tambako Hiperurisemia
Amlodipin 10 20 1x1
Pulau
43 12/28/2020 BPJS 0001851163806 Tn. H. Ramli 62 L Hiperurisemia
Tambako
Vit. B1 10 2x1
120/80 Amoxicillin 500 10 3x1
44 12/28/2020 BPJS 0002172614804 Ny. Rosni 52 P Lora Mastitis Asam Mefenamat 10 3x1
Ranitidin 10 3x1
Acyclovir 10 3x1
Dexametason 10 3x1
45 12/28/2020 BPJS 0001941321785 An. Juwita P Puuwaea Herpes
Cetirizin 10 3x1
Cotri syr 1 2x1/2
46 12/28/2020 G AN. Dimas S L Lora 81
8.3
100/70 Doksisiklin 10 3x1
47 12/29/2020 BPJS 0002751482406 Tn. Sumardin 47 L Lora Febris
Vit. B12 10 2x1
Vit. B6 10 2x1
120/80 Ambroxol 10 3x1
48 12/29/2020 BPJS 0000953765864 Ny. Harnia P Pulau Asma Bronkial Salbutamol 4 10 3x1
Tambako
71 Prednison 10 3x1
PCT syr 1 3x1
49 12/29/2020 BPJS 0001885512519 An. Usy P Lora ISPA Cotri syr 1 2x1
Ambroxol syr 1 3x1
Cefadroxil 10 2x1
50 12/29/2020 BPJS 0000952698701 Ny. Suharni P Liano OMA
Kloramfenikol tts 1 2x1
160/80 Amlodipin 5 10 1x1
Pulau
51 12/30/2020 BPJS 0000953682456 Ny. Sutia 51 P 147 Hipertensi Pehavral 10 1x1
Tambako
55
120/80 Ciprofloxacin 20 2x1
52 12/30/2020 BPJS 0003058673185 Tn. Aminuddin L Toli-toli 170 ISK Asam Mefenamat 20 2x1
65 Pehavral 5 1x1
Pulau
53 12/30/2020 BPJS 0001941318639 Ny. Asmina 37 P 155 Dyspepsia Omeprazol 10 2x1
Tambako
57 Paracetamol 10 3x1
Tablet Fe 10 3x1
Pulau
54 12/30/2020 Umum Ny. Asrini 21 L G2P1A0 Kalk 10 3x1
Tambako
GG 10 3x1/2
55 12/30/2020 Umum An. Atar 2 L Lora Cough Prednison 10 3x1/2
55 12/30/2020 Umum An. Atar 2 L Lora Cough
Amox syr 1 3x1

56 12/30/2020 G An. Ikra Irawan 3 L Lora Dermatitis Dexametason 10 3x1/2

57 12/30/2020 G Ny. Ratna 25 P Lora 150 Furunkel Asam Mefenamat 10 3x1
52 Dexametason 10 3x1
B6 10 2x1
58 12/30/2020 G Ny. Farni P Hipotensi B12 20 2x1

59 12/30/2020 G Ny. Selfi 25 P Lora Mastitis Asam Mefenamat 10 3x1
B Komplex 10 3x1
190/100 Amlodipin 10 20 1x1
Pulau Amoxicillin 500 10 3x1
60 1/2/2021 G Ny. Wabaeda P HT + Abses
Tambako Asam Mefenamat 10 3x1
Pehavral 10 1x1
Ibuprofen syr 1 3x1
61 1/4/2021 BPJS 0000953644138 An. Hafis 5 L Lora Febris

Pulau 165 Dermastitis + B Komplex 10 2x1
62 1/4/2021 BPJS 0000198430749 Tn. Samsul S L Tambako Hiperurisemia
80 Cetirizin 20 2x1
120/80 Ibuprofen 400 20 3x1
164 Ranitidin 20 2x1
Pulau Dispepsia +
63 1/4/2021 BPJS 0002641222776 Tn. Aminung 31 L 60 Pehavral 20 1x1
Tambako Dermatitis
Griseosulvin 20 2x1
Prednison 20 2x1
110/70 Ibuprofen 400 10 3x1
GG 10 3x1
64 1/4/2021 BPJS 0000162977387 Tn. Anto L Lora ISPA + Alergi
Prednison 10 2x1
110/70 Betahistin 10 3x1
CTM 10 3x1
65 1/4/2021 BPJS 0001074940918 Ny. Hasna 34 P Lora Vertigo + Ealbus
B12 10 2x1
Metronidazol 20 3x1
100/70 Cendolyteers 2 1x1
66 1/4/2021 BPJS Ny. Nasria 26 P Lora Konjungtivitis CTM 10 3x1
66 1/4/2021 BPJS Ny. Nasria 26 P Lora Konjungtivitis
Prednison 10 2x1
Salbutamol 4 20 2x1
67 1/5/2021 BPJS 0002746119172 Tn. Hasanuddin 31 L Lora 165 ISPA Prednison 20 2x1
65
90/80 Metokloperamid 10 3x1
68 1/5/2021 BPJS 0000953474433 Ny. Tiwi 22 P Lora 145 Gravit trms 1 Pehavral 30 1x1
130/80 CTM 10 3x1
69 1/5/2021 BPJS 0001941322847 Ny. Rosmiati 54 P Pomontoro 146 Dermatitis Ketoconazol salf 2 2x1
Pehavral 10 3x1
70 1/5/2021 BPJS 0000954434665 Ny. Masna 82 L Pomontoro CC CTM 10 3x1
Prednison 10 2x1
110/80 Piroxicam 10 10 2x1
Pulau 170 Ranitidin 10 2x1
71 1/5/2021 BPJS 0001941320169 Tn. Basir 60 L OA + Dispepsia
Tambako 70 Dexametason 10 2x1
Becefort 10 1x1
120/80 Piroxicam 10 10 2x1
164 Antasida 10 3x1
72 1/5/2021 BPJS 0000953471665 Tn. Muherwin 30 L Lora OA + Dispepsia
60 Prednison 10 3x1
Becefort 10 1x1
100/70 Ibuprofen 400 20 3x1
Cefalgia + Ranitidin 20 3x1
73 1/6/2021 BPJS 0000953445723 Tn. Amin 48 L Lora
Insomnia Diazepam 3 1x2
Pehavral 10 1x1
Gastritis + Ranitidin 20 2x1
74 1/6/2021 BPJS 0000953446353 Tn. Iksan 27 L Lora konjungtivitis Cefadroxil 10 2x1
Cendo Xitrol 2 2x2
75 1/6/2021 BPJS 00019872095861 Tn. Pegi L Lora Caries Asam Mefenamat 20 3x1

76 1/6/2021 BPJS 0002642249553 Ny. Nurliana 47 P Lora 165 Furunkel Prednison 10 2x1
Metformin 10 1x1
Pulau
77 1/6/2021 BPJS 0002827940038 Ny. Sahima 59 P Tambako 152 DM + OA Piroxicam 20 10 2x1
Ciprofloxacin 10 2x1
78 1/6/2021 BPJS 0000953683863 Ny. Marawia P Lora Dermatitis

Cetirizin 20 2x1
78 1/6/2021 BPJS 0000953683863 Ny. Marawia P Lora Dermatitis
Dexametason 20 2x1
Captopril 12,5 10 1x1
79 1/6/2021 G Ny. Subaeni P Lora HT + Dispepsia Ranitidin 10 2x1
Pehavral 20 1x1
Antasida syr 1 3x1
80 1/7/2021 BPJS 0000954446319 Ny. Yusriana 32 P Pomontoro Dispepsia Ranitidin 10 2x1
Pehavral 10 1x1
Pulau
81 1/7/2021 BPJS 0001986970713 An. Aladin 10 L Tambako V. Ictum Paracetamol 10 3x1/2
Amlodipin 5 10 1x1
Pulau HT +
82 1/7/2021 BPJS 0001851163806 Tn. H. Ramli 62 L Allopurinol 10 2x1
Tambako Hiperurisemia
Nadik 25 10 2x1
110/80 Ketoconazol salf 1 2x1
83 1/7/2021 BPJS 0000953526666 Ny. Esnawati 47 P Lora 160 Alergi Ibuprofen 400 10 3x1
40 Amoxicillin 500 10 3x1
Amox syr 1 3x1
Pulau
84 1/7/2021 BPJS 0001941320114 An. Alya 8 P Febris Ibuprofen syr 1 3x1
Tambako
Procurma syr 1 1x1
Ambroxol 20 3x1
Pulau CTM 10 3x1
85 1/7/2021 BPJS 0001941320171 Ny. Nawara 50 P ISPA
130/80 CTM 10 2x1
86 1/7/2021 BPJS 0002447733894 Ny. Asnidar 27 P Lora 156 Alergi Dexametason 10 2x1
60 Nadik 25 20 2x1
CTM 10 3x1
87 1/7/2021 BPJS 0001941326755 Ny. Hayati 50 P Lora HT + Asma
144 Captopril 12,5 10 1x1
Paracetamol 10 3x1
Amlodipin 5 10 1x1
Pulau Amoxicillin 500 10 3x1
88 1/7/2021 BPJS 0000133985114 Ny. Samuna P Caries + HT
Tambako Asam Mefenamat 1o0 2x1
Pehavral 10 1x1
Bedak Salisil 1 2x1
89 1/7/2021 G An. Nur Afifah P Lora 80 Alergi
10
Acyclovir 10 3x1/2
PCT syr 1 3x1
90 1/7/2021 G An. Aladin 10 L Lora Varicella
11 Dexametason 10 3x1/2
91 1/7/2021 G Tn. Jasman 32 L Lora ISPA + Alergi Pehavral 10 1x1
Ketoconazol salf 1 sue
Ketoconazol 10 2x1
92 1/8/2021 BPJS 0000952955572 Ny. Rosmiati P Lora Dermatitis CTM 20 2x1
Cetirizin syr 1 2x1/2
93 1/8/2021 BPJS 0002925727402 AN. Abdul s 2 L Lora ISPA PCT syr 1 3x1/4
120/80 Ibuprofen 400 10 3x1
Pulau 164 Cefalgia + Domperidon 20 3x1
94 1/9/2021 BPJS 0002641222776 Tn. AMinung 31 L
Tambako 60 Dispepsia Pehavral 20 1x1
Antasida syr 1 3x1
Hiperkolesterol +
95 1/9/2021 BPJS 0002172812409 Tn. Kadir L Laloa B Komplex 10 2x1
OA
Piroxicam 20 10 2x1
Antasida 20 3x1
96 1/9/2021 BPJS 0002172812422 Ny. Kaswidawati 23 P Laloa Dispepsia Ranitidin 10 2x1
Pehavral 10 1x1
Amox syr 1 3x1
97 1/9/2021 BPJS 0001921938928 An. Yusra 10 P Lora Tonsilitis Paracetamol 10 3x1/2
Prednison 5 3x1/2
Pulau
98 1/9/2021 BPJS 0000953592895 Ny. Rosnawati 28 P Tablet Fe 30 1x1
Tambako
Pehavral 10 1x1
B12 Inj 2
Metformin 10 2x1
99 1/9/2021 G Ny. Hj. Numing P DM CTM 10 2x1
180/100 Amlodipin 10 15 1x1

100 1/11/2021 BPJS 0000954428769 Tn. Muslimin 63 L Pomontoro HT + ISPA Ibuprofen 400 10 2x1
B Komplex 10 2x1
110/80 Nadik 50 10 2x1
101 1/11/2021 BPJS 0000954425384 Ny. Yamni 51 P Pomontoro Hiperurisemia Prednison 10 2x1
101 1/11/2021 BPJS 0000954425384 Ny. Yamni 51 P Pomontoro Hiperurisemia
65 Vit. B1 10 2x1
180/100 Antasida 10 3x1
102 1/11/2021 BPJS 0000953939171 Tn. Bakri 75 L Pomontoro Dispepsia + HT
Amlodipin 10 5 1x1
103 1/11/2021 BPJS 0000952957606 Ny. Jumina 37 P Lora Caries Asam Mefenamat 10 3x1
Dexametason 10 3x1
Diazepam 5 1x1
Pulau
104 1/11/2021 BPJS 0000953649202 Tn. Rosal 18 L 150 Scizophrenia Triheksifenidil 10 2x1
Tambako
100/80 Simvastatin 10 10 2x1
105 1/11/2021 BPJS 0002172924876 Ny. Rutin 51 P Lora Hiperkolesterol + Allopurinol 10 2x1
95 Hiperurisemia Piroxicam 20 10 2x1
Ranitidin 10 2x1
Ranitidin 10 2x1
106 1/11/2021 BPJS 0000953680847 Ny. Rena 40 P Lora Dispepsia + HT
Diazepam 2 1x2
Antasida 10 2x1
107 1/11/2021 BPJS 0001885512519 An. Sri Umarti 22 P Lora Dispepsia Ranitidin 10 2x1
Vit. B6 10 2x1
100/p Loratadin 20 2x1
108 1/11/2021 BPJS 0001975401832 Ny. Hasni P Lora Dermatitis Prednison 10 2x1
Amoxicillin 500 1- 3x1
Pulau
109 1/11/2021 BPJS 0000134174136 Ny. Taty 30 P Abses Paracetamol 20 3x1
Tambako
Dexametason 10 3x1
Prednison 10 2x1
Pulau
110 1/11/2021 BPJS 0003065078735 Tn. Faisal 30 L Piroxicam 20 10 2x1
Tambako
100/p Simvastatin 10 20 2x1

111 1/11/2021 BPJS 0000953680847 Ny. Rena 32 P Lora Hiperkolesterol Asam Mefenamat 10 2x1
Antasida 10 2x1
Metformin 10 1x1
112 1/11/2021 G Ny. Nurliana P Lora DM + ISPA
Pehavral 5 1x1
130/p Amoxicillin 500 10 3x1
113 1/12/2021 BPJS 0000133994867 Tn. Irwan L Pomontoro TCR
113 1/12/2021 BPJS 0000133994867 Tn. Irwan L Pomontoro TCR Asam Mefenamat 10 3x1
B Komplex 10 2x1
130/p Betahistin 10 3x1
114 1/12/2021 BPJS 0001941319991 Ny. Keteng P Lora 147 Vertigo Pehavral 5 1x1
45 Ranitidin 10 2x1
80/60 Antasida 10 3x1
115 1/12/2021 BPJS 0001975403002 Ny. Dewi 27 P Dispepsia
Tambako 63 Ibuprofen 400 10 3x1
Pehavral 5 1x1
Omeprazol 5 1x1
Pulau
116 1/12/2021 BPJS 0001986956651 Ny. Liana P Tambako Gastritis + HT Pehavral 5 1x1
Metocloperamid Inj 1
Neurosanbe Inj 1
Betahistin 10 3x1
117 1/12/2021 Umum Tn. Suharman 44 L Lora Hiperkolesterol + Simvastatin 10 30 3x1
Vertigo
Metokloperamid 10 3x1
Dispepsia + susp. Omeprazol 5 1x1
118 1/13/2021 BPJS 0000953652385 Ny. Wa Ruba P Toli-toli
Cardiomegali Ranitidin 10 2x1
Pehavral 5 1x1
110/80 Pehavral 10 1x1
Pulau CTM 10 2x1
119 1/13/2021 BPJS 0000953698386 Tn. Rasid L Febris
Tambako 170 Paracetamol 10 3x1
160/90 Amlodipin 10 5 1x1/2
120 1/13/2021 BPJS 0000954074158 Ny. Intang P Lora 155 HT + DM Glibenclamid 10 2x1/2
59 Vit. B1 10 1x1
152 Konjungtivitis Dexametason 10 3x1
121 1/13/2021 BPJS 0000953525979 AN. Sri Muliati 17 P Lora
Traumatik Asam Mefenamat 10 3x1
51 Cendoxitrol 1 2x2
Piroxicam 20 10 2x1
Pulau Pulpitis
122 1/14/2021 BPJS 0001987180751 Ny. Dewi A 28 P 155 Prednison 10 2x1
Tambako Irreversibel 18
Cefadroxil 10 2x1
Pulau
123 1/14/2021 BPJS 0000953693796 Ny. Dewi M 23 P Tambako Konjungtivitis Dexametason 10 3x1
dispnea at causa
124 1/14/2021 BPJS 0000953652385 Ny. Waraba P Toli-toli
susp. Kp + DM
dispnea at causa Dexametason 20 2x1
124 1/14/2021 BPJS 0000953652385 Ny. Waraba P Toli-toli susp. Kp + DM Glibenclamid 10 2x1/2
Pulau Hiperkolesterol + Pehavral 5 1x1
125 1/14/2021 BPJS 0002586073228 Ny. Samria 36 P
Tambako Dermatitis Ibuprofen 400 10 2x1
Glibenclamid 10 2x1/2
Pulau
126 1/14/2021 BPJS 0000953686912 Ny. Wahasi 66 P DM Ciprofloxacin 10 3X1
Tambako
Metronidazol 10 3X1
Paracetamol 10 3x1
127 1/14/2021 BPJS 00001629777387 Tn. Umar 47 L Lora Febris
Pehavral 20 1x1
Dexametason 10 3x1
Salbutamol 4 10 2x1
128 1/14/2021 BPJS 0002746119172 Tn. Hasanuddin 31 L Lora ISPA Prednison 20 2x1
B Komplex 10 2x1
Ambroxol syr 1 3x1/2
Pulau Cetirizin syr 1 3x1/2
129 1/14/2021 BPJS 0001986970713 An. Aladin 10 L Cough
Tambako Ibuprofen syr 1 3x1
Procurma syr 1 1x1
Pulau Asam Mefenamat 10 3x1
130 1/14/2021 G Ny. Wa Baeda P
Bacitrasin salf 2 2x1
Lidocain 2 im
131 15/01/02021 BPJS 0002172616119 Tn. Kamaruddin 38 L Liano corpus
Pehavral 5 1x1
100/70 Ibuprofen 400 10 3x1
Mialgia + Tinea
132 15/01/02021 BPJS 0000953526666 Ny. Esnawati 45 P Lora 152 Pedis Ketoconazol salf 1 2x1
45
133 15/01/02021 BPJS 0001941320698 Ny. Isa 53 P Tajuncu Mialgia Ibuprofen 400 10 3x1
Vit. B1 10 2x1
Prednison 10 3x1
134 15/01/02021 BPJS 0002642249463 Ny. Supia P Lora Cough
Ambroxol 10 3x1
Pehavral 10 1x1
135 15/01/02021 BPJS 0000133956459 Tn. Sahrul L Lora Konjungtivitis
Prednison 10 2x1
Cendoxitrol 1 2x2
100/70 Ranitidin 20 3x1
Pulau
136 15/01/02021 G Ny. Wa Hasi P Tambako Dispepsia Antasida syr 1 3x1
Metokloperamid 20 3x1
Metformin 10 2x1
Pulau
137 1/18/2021 BPJS 0000953686912 Ny. Wahasi 65 P DM + HT Ibuprofen 400 20 3x1
Tambako
Amlodipin 10 10 1x1
Acyclovir 10 3x1
138 1/18/2021 BPJS 0000133952141 Ny. Sutiarti P Lora Varicella Asam Mefenamat 10 3x1
Pehavral 10 1x1
Pulau
139 1/18/2021 BPJS 0000953693796 Ny. Dewi M 23 P Dermatitis Antasida 10 3x1
Tambako
Nadik 25 20 2x1
Allopurinol 30 1x1
140 1/18/2021 BPJS 0001386259931 Tn. Hitmin 52 L Lora HHD Furosemid 30 1x1
Spironolakton 10 1x1/4
Candesartan 30 1x1
120/100 Piroxicam 10 10 2x1
141 1/18/2021 BPJS 0002641224677 Ny. Sitti Hasia 54 P Pulau Osteoarthritis Prednison 10 2x1
Tambako
Vit. B1 10 2x1
150/p Amlodipin 10 20 1x1/2
142 1/18/2021 BPJS 0000953953108 Ny. Nurhayati 45 P Pomontoro HT + Post NHS Ranitidin 20 2x1
143 1/18/2021 BPJS 0001851164493 Tn. Ramli 67 L Lora Gout + HT Piroxicam 20 10 2x1
75 Amlodipin 10 10 1x1/2
Pulau
144 1/18/2021 BPJS 0002827940139 Ny. Dewi Ratnasari 27 P Tambako Vertigo+ Febris Paracetamol 10 3x1
Pehavral 5 1x1
150/90 Amlodipin 10 10 1x1
145 1/20/2021 BPJS 0002827940051 Ny. Harida 45 P Laloa 160 Konjungtivitis + HT Paracetamol 10 3x1
120/80 Ibuprofen 400 10 3x1
146 1/20/2021 BPJS 0002827940264 Tn. Sirajudin 34 L Laloa 165 Mialgia Pehavral 10 1x1
50
147 1/20/2021 BPJS 000095362456 NY. Sitia D P Pomontoro DM Pehavral 10 1x1
148 1/20/2021 BPJS 0000953968443 Ny. Nuriala 57 P Pomontoro Dispepsia Ibuprofen 400 10 3x1
Ranitidin 10 2x1
149 1/20/2021 BPJS 0001987181998 Tn. Agusman 32 L Pomontoro Vulnus Laceratum
Becefort 10 1x1
Salbutamol 4 30 2x1
GG 30 3x1
150 1/20/2021 BPJS 0001941326755 Ny. Hayati 50 L Lora Asma + HT
CTM 5 2x1/2
Amlodipin 10 5 1x1/2
120/89 Ibuprofen 400 20 3x1
Pulau Prednison 20 2x1
151 1/20/2021 BPJS 0002641222776 Tn. Aminung 31 L ISPA
Tambako 164 CTM 20 3x1
60 Pehavral 20 1x1
240/120 Amlodipin 10 10 1x1
152 1/20/2021 G Ny. Aisyah P Lora Hipertensi
110/80 Ketoconazol salf 2 2x1

153 1/21/2021 BPJS 0001941321251 Ny. Ice 32 P Pomontoro 155 Dermatitis Ketoconazol 10 1x1
58
Metokloperamid Inj 1 Im
Omeprazol inj 1 Im
154 1/21/2021 BPJS 0001987221396 Ny. Amina P Liano Gastritis
Neurosanbe Inj 1 im
Antasida syr 1 3x1
155 1/21/2021 BPJS 0001941322263 Ny. Sahriwanti P Liano ISPA Paracetamol 10 3x1
B Komplex 10 2x1
Pulau Mialgia + Pehavral 20 1x1
156 1/21/2021 BPJS 0001941320169 Tn. Basir 70 L
Tambako Dispepsia Paracetamol 10 3x1
Omeprazol 10 1x1
140/90 Aminofilin 10 2x1
Pulau
157 1/21/2021 BPJS 0000953682455 Tn. Irfan L Tambako Asma Cefixim 10 2x1
Dexametason 10 2x1
158 1/21/2021 BPJS Nn. Nasria 26 P Lora
158 1/21/2021 BPJS Nn. Nasria 26 P Lora Paracetamol 10 3x1
Dexametason 10 2x1
Furosemid 10 1x1
159 1/21/2021 BPJS Tn. Ariadi 38 L Lora Susp. CGA
Pehavral 5 1x1
Procurma syr 2 1x1
Amox syr 1 3x1
160 1/21/2021 Umum An. Askar L Lora Febris PCT syr 1 3x1
9.3 GG 5 3x1/4
Cotrimoxazol 10 2x1
161 1/22/2021 BPJS 0001941322274 An. Anindy 7 P Liano GEA Metocloperamid 10 3x1/2
Oralit 10 3x1
Pulau Dexametason 10 3x1
162 1/22/2021 BPJS 0002850686436 Ny. Yusriani 32 p Dermatitis
Tambako Loratadin 10 3x1
110/80 Vit. B6 20 1x1
163 1/22/2021 BPJS 0002172924393 Tn. Bahtiar L Toli-toli Anorexia Pehavral 10 1x1

Hipotensi +
164 1/22/2021 BPJS 0000953930654 Tn. Safrudin 47 L Liano 170 Betahistin 10 2x1
Vertigo
57 Pehavral 5 1x1
Omeprazol 10 2x1
Dispepsia + HT + GG 10 3x1
165 1/22/2021 BPJS 0000953727412 Tn. Jurahi 62 L Lora
Dispnea Amlodipin 10 10 1x1
Salbutamol 4 10 2x1
Ranitidin 10 2x1
166 1/22/2021 BPJS 0001987219708 Tn. Muhlis 45 L Liano Dispepsia + Febris
48 B Komplex 10 2x1
CTM 3
Prednison 3 3x1
167 1/22/2021 G An. Nur Afifah 2 P Lora
10.5 Vit. C 4
Amox syr 1 3x1/2
140/90 Ofloxacin 200 10 2x1
Dispepsia + Omeprazol 5 1x1
168 1/22/2021 G Tn. Sauna 80 L Lora
Dispnea Dexametason 10 2x1
B Komplex 10 2x1
160/90 Amlodipin 10 10 1x1
169 1/23/2021 BPJS 0000954422155 Ny. Asruni 50 P Laloa Hipertensi
169 1/23/2021 BPJS 0000954422155 Ny. Asruni 50 P Laloa 155 Hipertensi Asetilsistein 10 3x1
59 Pehavral 20 1x1
80/60 Becefort 10 1x1
Pulau
170 1/23/2021 BPJS 0000133963773 Ny. Fiarni 45 P Hipotensi Ibuprofen 400 10 3x1
Tambako

171 1/23/2021 BPJS 0000954406394 Tn. Nasir L Pomontoro 167 Dispepsia Ibuprofen 400 10 2x1
Omeprazol 10 1x1
Antasida 10 3x1
172 1/23/2021 BPJS 0002642249553 Ny. Muliana 47 P Lora 150 Dispepsia Ranitidin 10 2x1
Pehavral 10 2x1
Furosemid 20 2x1
Omeprazol 10 1x1
173 1/23/2021 BPJS 0000953652385 Ny. Waruba 67 P Toli-toli susp. Efusi pleura
Propanol 10 1x1
Cefixim 10 2x1
Nadik 50 10 2x1
174 1/23/2021 BPJS 0000953990987 Ny. Fatmawati 27 P Batu Sempe Nekrosis pulpa 27 Metilprednisolon 5 2x1
Cefadroxil 10 2x1
160/p Amlodipin 10 20 1x1
175 1/25/2021 BPJS 0002173172872 Ny. Taju P Lora HT + Dispepsia Ibuprofen 400 20 3x1
Antasida 10 3x1
Loperamid 5 3x1/2
176 1/25/2021 BPJS 0001885925845 An. Ester 8 P Pulau Diare Metokloperamid 5 2x1/2
Tambako
25 Zinc 10 1x1
160/100 Ambroxol 10 3x1
Paracetamol 10 3x1
177 1/25/2021 BPJS 0002749672015 Ny. Masse 60 P Puuwaea Cough +HT Amoxicillin 500 10 3x1
Pehavral 10 1x1
Amlodipin 10 10 1x1
178 1/25/2021 BPJS 0001074541245 Tn. Wahidin L Lora 162 ISK Metilprednisolon 5 3x1/2
70
Dispepsia + Kolik
179 1/25/2021 BPJS 0001941322757 Ny. Rappe 84 P Puuwaea 140 Omeprazol 10 3x1
Abdomen
38 Amlodipin 10 10 1x1
90/60 Ibuprofen 400 10 3x1
180 1/25/2021 BPJS 000203017173 Ny. Nurharpenas 37 P Cefalgia
Tambako 55 Pehavral 10 1x1
CTM 10 2x1
100/70 Metronidazol 10 2x1
Pulau 157 Paracetamol 10 3x1
181 1/25/2021 BPJS 0000953605135 Ny. Lija 50 P Tambako Abses + Dispepsia
56 Pehavral 10 1x1
Ranitidin 10 2x1
182 1/25/2021 BPJS 0001941322263 Ny. Sahriwanti P Liano 62 Post partum Pehavral 10 1x1
B12 Inj 2
Tablet Fe 30 1x1
Amlodipin 10 10 1x1
183 1/25/2021 Umum Tn. Bidin 35 L Lora 161 HT + Dispepsia Ranitidin 10 2x1
57 Pehavral 5 1x1
184 1/25/2021 G An. Iswan 6 L Lora 98 Vulnus Laceratum Amoxicillin 250 10 3x1
8
BPJS 154 Lora, 25 Januari 2021

Umum 8 Pengelola Obat
G 22
Total Resep 184
Total Resep (A)
Kunjungan Polindes
BPJS 30
G 2
Total (B)
Total (A+B) 0
Bulan : Februari
Tahun : 2021
Jenis Umur Jenis TTV (mmHG, cm, Jumlah Aturan

No Tanggal Nomor Kartu (BPJS) Nama Pasien Alamat Diagnosa Nama Obat
Pasien (Thn) Kelamin kg) Obat Pakai
1 2 3 4 5 6 7 8 9 10 11 12 13
Pulau 140 Antasida syr 1 3x1
1 1/26/2021 BPJS 0000953686912 NY. Wa Hasi 66 P Tambako DM + Dispepsia
38 Ranitidin 10 2x1
Diazepam 3 1x1
156 GG 10 3x1
2 1/26/2021 BPJS 0000133211891 Ny. Asniar 29 P Lora ISPA
60 CTM 10 3x1
Dexametason 10 3x1
110/80 Cefadroxil 10 2x1
3 1/26/2021 BPJS 0000952859362 Ny. Selfi 27 P Lora Susp. App Ibuprofen 400 20 2x1
Prednison 10 2x1
Eritromisin 10 2x1
Pulau 159 GG 10 3x1
4 1/26/2021 BPJS 0000953605135 Ny. Lija 50 P ISPA
Dexametason 10 2x1
130/p Asam Traneksamat 10 3x1
5 1/26/2021 BPJS 0001941322847 Ny. Rosmiati 55 P Pomontoro Melena
Pehavral 10 1x1
Pulau
6 1/26/2021 G Tn. Hafilu L 172 Dispepsia Omeprazol 10 1x1
Tambako
75 Pehavral 5 1x1
100/80 CTM 20 2x1
7 1/26/2021 G Ny. Ratna 25 P Lora 155 Alergi Prednison 20 2x1
50 Pehavral 10 1x1
Pulau
8 1/26/2021 G Tn. Faisal L Salep 2-4 1 2x1
Tambako
Dexametason 10 3x1
Pulau
9 1/26/2021 G Ny. Fani 26 P Salep 2-4 1 2x1
Tambako
Pulau
9 1/26/2021 G Ny. Fani 26 P
Tambako
Furosemid 20 2x1
Pulau Captopril 12,5 10 2x1
10 1/27/2021 BPJS 0000953989964 Ny. Kamalia P Hipertensi
Tambako Paracetamol 10 3x1
Vit. C 10 2x1
80/p Neurosanbe Inj 1 IM
11 1/27/2021 BPJS 0001074940907 Tn. Herman L Lora 164 Hipotensi Antasida syr 2 3x1
60
170/100 Amlodipin 10 10 1x1
12 1/28/2021 BPJS 0001074941875 Ny. Juniati 46 P Laloa 141 Post NHs Becefort 5 1x1
100/70 Metocloperamid 10 3x1
13 1/28/2021 BPJS 0000953947124 Ny. Intan 32 P Pomontoro 146 Gravid B6 10 3x1
72
14 1/28/2021 BPJS 0000953990987 Ny. Fatmawati 27 P Batu Sempe Nekrosis pulpa 27 Amoxicillin 500 10 3x1
B Komplex 3 1x1
150/100 Captopril 12,5 10 1x1
15 1/28/2021 BPJS 0000162977387 Tn. Umar Uba L Lora 160 HT Pehavral 10 1x1
45
110/80 Paracetamol 10 3x1
162 Pehavral 10 1x1
16 1/28/2021 BPJS 0001941320799 Ny. Rosna 35 P Pulau 70 Mialgia + Alrgi Amoxicillin 500 10 3x1
Tambako
Prednison 10 3x1
Pulau
17 1/28/2021 BPJS 0000133963773 Ny. Fiarni 45 P 147 Tonsilitis Prednison 10 3x1
Tambako
Pulau
18 1/28/2021 BPJS 0000953698386 Tn. Rasid 60 L Tambako ISPA Amoxicillin 500 10 3x1
162 Prednison 10 3x1
70 CTM 10 3x1
Pulau
19 1/28/2021 BPJS 0002641222776 Tn. Aminung 31 L 164 Frunkel Ibuprofen 400 10 3x1
Tambako
60 Pehavral 10 1x1
160/90 Amlodipin 10 10 1x1
65 Griseofulvin 10 2x1
20 1/28/2021 BPJS 0001789877777 Tn. H. Aripin 65 L Lora HT + tinea
58 Loratadin 10 2x1
20 1/28/2021 BPJS 0001789877777 Tn. H. Aripin 65 L Lora HT + tinea

21 1/28/2021 BPJS 0000952957506 Ny. Jumina P Lora CC Paracetamol 10 3x1
Dexametason 10 3x1
Pulau
22 1/28/2021 BPJS 0000953710637 Tn. Ld. Hamiru 70 L Tambako 148 Dispepsia Ranitidin 10 2x1
57 B Komplex 10 2x1
Hiperkolesterol +
23 1/28/2021 BPJS 0001386259931 Tn. H. Hitmin L Lora Allopurinol 10 2x1
Hiperurisemia
78 Omeprazol 5 1x1
PCT syr 1 3x1
24 1/28/2021 G An. Alfia Kamila P Tajuncu TF Eritromisin syr 1 3x1
11 GG 10 3x1/2
Amox syr 1 3x1
25 1/28/2021 G An. Kabil 11 Bln L Febris PCT syr 1 3x1
Procurma syr 1 1x1
PCT syr 1 3x1
26 1/28/2021 Umum An. Yuni 9 P Lora 107 Persistensi 61 Amox syr 1 3x1
Vit. C 3 1x1
Metformin 20 2x1
27 1/28/2021 G Ny. Hj. Numin P Lora DM CTM 20 2x1
190/100 Amlodipin 10 10 2x1

28 1/28/2021 G Ny. Taeta P Pulau HT Grt II + Simvastatin 10 10 1x1
Tambako Hiperkolesterol
Propanolol 6 2x1/2
100/80 GG 10 2x1
29 1/29/2021 BPJS 0002642249226 Ny. Mariana 31 P Lora 145 Cough + OA Metilprednisolon 5 2x1/2
170 Hiperkolesterol + Ranitidin 10 2x1
30 1/29/2021 BPJS 0002918733366 Tn. Nasruddin L Lora
82 HT Pehavral 10 1x1
Amlodipin 5 10 1x1
140/100 Amlodipin 5 10 1x1
31 1/29/2021 BPJS 0002918733682 Ny. Hasma 39 P Lora HT Ibuprofen 400 10 3x1
66 Ranitidin 10 2x1
Antasida syr 1 3x1
32 1/29/2021 BPJS 0002172569253 Ny. Johoda 21 P Lemo ISK + Dispepsia
Ranitidin 10 3x1
Pehavral 5 1x1
33 1/29/2021 BPJS 0001941322757 Ny. Rappe 84 P Puuwaea 150 HT + Dispepsia Omeprazol 5 1x1
38 Ranitidin 10 2x1
150/90 Cefixime 10 2x1
34 1/29/2021 BPJS 0002749072015 Ny. Masse 60 P Puuwaea 152 Bronchitis + HT Ambroxol 10 3x1
Pehavral 10 1x1
Hipoglikemi +
35 1/29/2021 BPJS 0000953719762 Ny. Rosna 31 P Lora 152 Ranitidin 10 2x1
Hipotensi

36 1/29/2021 BPJS 0000165569725 Ny. Murgana 50 P Lora 145 Hiperkolesterol
46
37 1/29/2021 BPJS 0000953526666 Ny. Esnawati 47 P Lora 145 Hiperkolesterol Ibuprofen 400 10 2x1
47 Pehavral 5 1x1
Cefixime 10 2x1
38 1/29/2021 G Ny. Wa Ruba P Toli-toli Cough Ranitidin 10 2x1
Pehavral 5 1x1
39 1/29/2021 G Tn. Halim L Lora Piroxicam 10 10 2x1
Prednison 10 2x1
120/80 Ambroxol Syr 2 2x1
153 Becefort 10 1x1
40 1/30/2021 BPJS 0000954005343 Tn. Sambira 81 L Lora Cough + Insomnia
120/80 Clindamisin 10 3x1

Pulau
41 1/30/2021 BPJS 0001941320171 Ny. Nawara 50 P Tambako 70 Bisul + LBP Asam Mefenamat 10 3x1
Pehavral 10 1x1
Amlodipin 10 mg 10 1x1
42 1/30/2021 BPJS 0001941320169 Tn. Basir. R 65 L Pulau Ispa + Dispepsia Ambroxol Syr 1 3x1
Tambako
Ranitidin 10 3x1
60 Pyrantel 4 1x1
100/60 Piroxicam 20 10 2x1
43 1/30/2021 BPJS 0001941320698 Ny. Isa P Tajuncu OA
Ranitidin 10 2x1
Bcomp 10 2x1
150/100 Amlodipin 10 mg 20 1x1
Pulau
44 1/30/2021 BPJS 0000954088097 Ny. Watambe P HT Ranitidin 10 2x1
Tambako
Pehavral 10 1x1
Pulau 164 Ispa + Ibuprofen 400 20 3x1
45 1/30/2021 BPJS 0000953981752 Tn. Dahlan 31 L
Tambako 60 Hiperkolesterol Loratadin 10 1x1
Becefort 20 1x1
Hiperkolesterol + Allopurinol 10 2x1
46 2/1/2021 BPJS 0000133414402 Tn. M. Darul 42 L Hambawa
Hiperurisemia Prednison 10 2x1
Pehavral 20 1x1
Cotrimoksazole Syr 1 3x1
Oralit 10 3x1
47 2/1/2021 BPJS 0002916982203 An. Nurul 5 P Lora Gea

48 2/1/2021 BPJS 0000133414413 Ny. Melyasari P Hambawa 160 Hipotensi + Omeprazol 5 1x1
Dispepsia
52 Pehavral 5 1x1
120/80 Chloramfenicol Zalf 1 3x1
49 2/1/2021 BPJS 0002172812444 Tn. Kasmiruddin 28 L Laloa 150 Konjungtifits Dexametason 10 3x1
50 CTM 10 2x1
110/70 Gentamisin Zalf 1 2x1
50 2/1/2021 BPJS 0002172812455 Ny. Kasmawati 29 P Laloa Abses
Prednison 10 3x1
51 2/1/2021 BPJS 0002172617932 Ny. Maryam P Hambawa 52 Hiperkolesterol Piroxicam 10 10 3x1
120/70 Aminophilin 10 2x1

52 2/1/2021 BPJS 0000954437343 Tn. Kasmaludin L Pomontoro 157 Asma Bronchial Dexametason 10 2x1
65
53 2/1/2021 G Ny. Amelia P Laloa HT
130/80 Nadik 25 20 2x1

Pulau
54 2/2/2021 BPJS 0002641224677 Ny. Sitti Hasia 59 P OA Metilprednisolon 10 2x1
Tambako
Vit. B1 10 2x1
Pulau
55 2/2/2021 BPJS 0000953682456 Ny. Sitia D P HT Ranitidin 10 2x1
Tambako
Pulau
55 2/2/2021 BPJS 0000953682456 Ny. Sitia D P HT
Tambako
Antasida syr 1 3x1
56 2/2/2021 G Gastritis Ranitidin 10 2x1
Pehavral 5 1x1
Metformin 30 2x1
Pulau Ciprofloxacin 10 3x1
57 2/2/2021 BPJS 0002827940038 Ny. Sahima P DM
Tambako Metronidazol 10 3x1
90/P Ranitidin 10 2x1
Pulau
58 2/2/2021 BPJS 0000953760339 Ny. Wa Nasi 60 P 150 Dispepsia Antasida syr 1 3x1
Tambako
Pehavral 5 1x1
Cetirizin syr 2 3x1
59 2/2/2021 BPJS 0002925727402 an. Abd. Syarif 1 L Lora Dematitis Betametason Salf 2 2x1
110/70 Pyrantel 10 2x1

60 2/2/2021 G Nn. Lala 12 P Lora Ascariasis
37 Pehavral 20 1x1
118 Zinc syr 2 1x1

61 2/2/2021 BPJS 0002172618033 An. M. Dirga L Hambawa 21 Diare

Pulau 172 Prednison 20 2x1
62 2/3/2021 BPJS 0001975483653 Ny. Harnia 49 P Asma Brongkialis
Tambako 70 Salbutamol 4 20 3x1

167 CTM 10 3x1
63 2/3/2021 BPJS 0002059396672 Tn. Masdal 28 L Lora 68 Cefalgia Betametason Salf 1
140/100 Catopril 10 1x1

Pehavral 20 1x1
64 2/3/2021 BPJS 0001957206895 Tn. Asbar 35 L Lora HT

Pulau 157 Paracetamol 20 2x1
65 2/3/2021 BPJS 0000953725972 Ny. Hestin 26 P Post Partum
90 Piroxicam 20 mg 10 2X1
66 2/3/2021 BPJS 000133983584 Ny. Hawaria 43 P Lora RA
66 2/3/2021 BPJS 000133983584 Ny. Hawaria 43 P Lora RA Prednison 10 2X1
B1 10 2X1
15 Piroxicam 20 2x1
67 2/3/2021 BPJS 0000133954389 Ny. Sukaesih 40 P Doule Mialgia
Paracetamol 10 3x1/2
68 2/3/2021 BPJS 0002074245131 Ny. Halwah Qanita.R 4 P Lora Ispa Ambroxol 5 3x1/2
CTM 5 1X1/2
80/60 SF 10 1X1
69 2/4/2021 BPJS 0000954125209 Ny. Suharti 21 P Lora Gravid Pehavral 10 1X1
37 B6 10 2X1
Pulau
70 2/4/2021 BPJS 0002641222776 Tn. Aminung 31 L 158 Frunkel Natrium Diklofenat 10 2x1
Tambako
Prednison 20 2x1
150/100 Amlodipin 10 20 1x1
Pulau 169 Piroxicam 20 2x1
71 2/4/2021 BPJS 0001851163806 Tn.H. Ramli 62 L LPOP + HT
Tambako 70 Allopurinol 20 2x1
Cefadroxil 10 2x1/2
Prednison 5 2x1/2
72 2/4/2021 BPJS 0001941322678 An. ABD. Faiq. L Puuwaea
19 ibuprofen 200 10 3x1
Procurma syr 1 2x1
Pulau 155 Pehavral 10 1x1
73 2/4/2021 BPJS 0001074940705 Ny.Esri Triana .P P DM + Alergi
Tambako 40 Miconazole 10 1x1
120/80 Ibuprofen 400 10 3x1

Pulau 164 CTM 10 3x1
74 2/4/2021 BPJS 0000953981752 Tn. Dahlan 31 L Tambako Ispa
60 Prednison 10 2x1
Becefort 9 1x1
100/80 Pehavral 20 1X1
Pulau
75 2/5/2021 BPJS 0002776799867 Ny. Zia 59 P Tambako 150 DM

76 2/5/2021 BPJS 0000953725105 Tn. Ismail 46 L Lora 152 Dispepsia antasida 10 3x1
57 Pehavral 10 1x1
Paracetamol Sry 1 3x1
Pulau
77 2/5/2021 BPJS 0003065078755 An. Alfatih 5 L Tambako Ispa ambroxol syr 1 3x1
155 Omeprazol 10 2x1
78 2/5/2021 BPJS 0002567533048 Ny. Diana Kristina P Lora Post SC

79 2/5/2021 BPJS 000013391421 Tn. Lambua L Lora mialgia Amoxicillin 500 20 3x1
pirantel syr 4 2x1

Pulau
80 2/5/2021 BPJS 0000952784065 An. m. Praja 11 L Askariasis + Alergi Procurma syr 1 2x1
Tambako
36 Betametason Salf 2 2x1
150/90 Catopril 25 10 2x1
81 2/6/2021 BPJS 0000954250391 Ny. Sudarni P Tajuncu 52 HT + Dispepsia Antasida 10 2x1
Paracetamol 10 2x1
82 2/6/2021 BPJS 0000953526666 Ny.Esnawati 47 P Lora 155 Dispepsia ibuprofen 10 3x1
47
144 Asma Brongkialis + Dexametason 10 3x1
83 2/6/2021 BPJS 0001941326755 Ny. Hayati 50 P Lora
HT CTM 10 3x1
55 Amlodipin 5 10 1X1
Gentamisin Zalf 1 2x1
84 2/6/2021 BPJS 0000133952141 Ny. Sutiarti P Lora Alergi + GEA Zinc syr 1 2x1
Oralit 3 1x1
Allopurinol 100 10 3X1
Prednison 10 3X1
85 2/8/2021 BPJS 000016454502 Ny. Aslia P Lora Hiperurisemia
B1 10 2X1
Natrium Diklofenat 25 10 2X1

Pulau
86 2/8/2021 BPJS 0002641224677 Ny.Sittiasia 57 P OA Metilprednisolon 10 2X1/2
Tambako
B1 10 2X1
Antasida 20 3X1
Metocloperamid 20 3X1
87 2/8/2021 BPJS 0000953947124 Ny. Intan 33 P Pomontoro G4 P3 A0
B1 20 3X1
170/90 Amlodipin 10 20 1x1

145 ibuprofen 20 2x1
88 2/8/2021 BPJS 0000953968443 Ny. Nuriala 59 P Pomontoro HT
Ranitidin 20 1x1
Diazepam 2 1x1
Salbutamol 4 10 2x1
Pulau
89 2/8/2021 BPJS 00001986971646 Ny. Haliati 44 P Tambako Asma Brongkialis
Pulau
89 2/8/2021 BPJS 00001986971646 Ny. Haliati 44 P Asma Brongkialis Dexametason 10 2x1
Tambako
Pehavral 5 1x1
Combiven 1
Amonophilin 10 2x1
90 2/8/2021 BPJS 0002172616198 Ny. Lisnawati 33 P Lora Asma Brongkial
Dexametason 10 2x1

91 2/8/2021 BPJS 0000133954389 Ny. Sukaesih P Lora 150 ISK Piroxicam 20 mg 10 2x1
50 Metilprednisolon 5 2x1/2
64 Piroxicam 20 mg 10 2x1
92 2/8/2021 BPJS 0000133983191 Tn. Alirman 64 Thn L Lora LBP+Alergi Pehavral 20 1x1
Miconazole 2 2x1
93 2/9/2021 BPJS 0000133951421 Tn. Lambua 66 Thn L Lora V. Laceratum Cefadroxil 10 2x1
Hipertensi + Allopurinol 10 2x1
94 2/9/2021 BPJS 0000133983202 Ny. Rosnida P Lora Hiperurisemia Piroxicam 20 mg 20 3x1
Bcomp 10 2x1
112 PCT Syr 1 3x1
Pulau
95 2/9/2021 G An. Nur Ain 6 Thn P Tambako 16 Febris Procurma syr 1 1x1

Pulau
96 2/10/2021 BPJS 0000953698386 Tn. Rasid 60 Thn L 165 Hipotensi+DispepsiaPehavral 10 3x1
Tambako
ambroxol syr 1 3x1
Pulau
97 2/10/2021 BPJS 0003065078755 An. Al Fatih 5 L Tambako Ispa Cetirizin syr 1 1x1
PCT 10 3x1
PCT 3x1
Pulau
98 2/10/2021 BPJS 0002740785536 Tn. Ludin 40 Thn L Febris Pehavral 1x1
Tambako
PCT Syr 2 3x1

99 2/10/2021 G Ny. Dian Sharani P Pulau Ispa Amoxicillin Syr 2 3x1
Tambako
Procurma syr 2 1x1
Omeprazol 10 1x1
100 2/10/2021 BPJS 0000953930654 Tn. Safrudin 47 L Dispepsia Ranitidin 20 2x1
Bcomp 20 2x1
Amoxicilin 250nmg 10 2x1
101 2/10/2021 BPJS 0000953569708 An. Masdianto L V. Laceratum
Tambako
Pulau
101 2/10/2021 BPJS 0000953569708 An. Masdianto L Tambako V. Laceratum
Bcomp 10 2x1
120/80 Amoxicilin 500 mg 20 3x1

Pulau
102 2/10/2021 BPJS 0003065078665 Tn. Faisal 30 L Caries dentin + TineaAsam Mefenamat 10 3x1
Tambako
Pulau
103 2/10/2021 BPJS 0000953710637 Tn. Ld. Hamiru L 150 HT Ranitidin 10 2x1
Tambako
55 Ibuprofen 20 2x1
Ibuprofen Syr 1 3x1
104 2/10/2021 BPJS 00009537666393 An. Faiz 9 Thn L Lora Febris

158 CTM 10 2x1
105 2/10/2021 BPJS 0000953765493 Tn. Ali Basri 47 Thn L Lora Ispa
Prednison 10 3x1
PCT 10 3x1
Metoclopramid Inj. 2 2x1
106 2/10/2021 BPJS 0000954527163 60 Thn P Mawar Gastritis Ranitidin 10 3x1
B12 inj. 3 2x1
107 2/10/2021 U Tn. Asman L lora Gea Cotrimoksazole 10 3x1
Oralit 10 2x1
CTM 10 3x1
108 2/11/2021 BPJS 000306078665 Tn. Faisal 30 L Pulau Ambroxol 10 3x1
Tambako
110/80 Amoxicillin 500 mg 10 3x1

109 2/11/2021 BPJS 0002827940916 Tn. Ruslan L Batu Sempe V. Eksoriatum Asam Mefenamat 20 3x1
Dexametason 10 3x1
Pulau Hipotensi+Dispeps
110 2/11/2021 BPJS 0001074940605 Ny. Subaini 37 Thn P 167 Fe 10 1x1
Tambako ia
65 Pehavral 10 1x1
Omeprazol 19 1x1
130/80 Aminopilin 10 2x1
Dexametason 10 2x1
111 2/11/2021 BPJS 0000133951421 Tn. La Mbua L Lora Asma Bronchial
80/P NaCl 4
Pulau
112 2/11/2021 BPJS 0002827940038 Ny. Sahima 53 P Tambako DM Ceftriaxon 5
Asam Traneksamat 1
90/60 Amoxicillin 10 3x1
156 Ibuprofen 10 2x1
113 2/11/2021 BPJS 0000953500375 Ny. Rosni 40 Thn P Lora Post Partum Pehavral 10 1x1
Neurosanbe Inj 4
Dexametason Inj. 4
Becefort 10 1x1
114 2/11/2021 BPJS 00001627977477 Nn. Sri 22 thn P Lora Dispepsia
50/P Ceftriaxon 4
Metoclopramid Inj. 5
115 2/11/2021 U Tn. Asman L Lora Gea PCT 10 3x1
Cotrimoksazole 10 3x1
Oralit 10 4x1
Pehavral 10 1x1
116 2/11/2021 BPJS 000203017173 Ny. Nur Harpenas 38 thn P Pulau Dispepsia Ranitidin 10 2x1
Tambako
Antasida 10 3x1
Ibuprofen 20 2x1
PCt 1
Ambroxol 2
117 2/11/2021 BPJS 0002925724402 Abdul Syarif 1,5 thn L Lora Ispa CTM 2
Prednison 1
Bcomp 3
120/80 Clindamisin 10 3x1
Pulau 160 Prednison 20 3x1
118 2/11/2021 BPJS 0001941320171 Nawara P Frunkel+Dispepsia
Tambako 60 Piroxicam 10 3x1
Omeprazol 10 1x1
Pulau
119 2/11/2021 BPJS 0000953981752 Tn. Dahlan 31 Thn L 164 Asma Bronchial Ambroxol 20 3x1
Tambako
60 Prednison 20 2x1
120 2/11/2021 BPJS 0000952936211 Ny. Hasria 49 P lora Hiperkolesterol+ Pehavral 10 1x1
Caries Dentin Ibuprofen 400 10 3x1
135 Amoxicillin 250 mg 20 3x1

121 2/11/2021 BPJS 0002827940782 Windi Aysah 13 P Lora 35 Alergi Prednison 5 3x1/2
158 Antasida Syr 1 3x1
Pulau Ranitidin 10 2x1
122 2/13/2021 BPJS 0000953760014 Tn. Ladohe 65 L HT + Dispepsia
Tambako
Pulau
122 2/13/2021 BPJS 0000953760014 Tn. Ladohe 65 L Tambako HT + Dispepsia
Pehavral 10 2x1
150 CTM 10 2x1
123 2/13/2021 BPJS 0002172614804 Ny. Rosni 50 P Lora Vulnus
Metformin 10 1x1
Hiperurisemia+Dis Ranitidin 10 2x1
124 2/13/2021 BPJS 000095765494 Tn. Ali Basri 48 L Lora
pepsia ibuprofen 200 10 2x1

Pulau
125 2/13/2021 BPJS 0002776799867 Ny. Zia P Tambako 39 DM Pehavral 5 1x1
Ranitidin 10 2x1
100/60 Cendo Lyters 1 2x1
160 Amlodipin 10 mg 10 1x1
126 2/13/2021 G Tn. Dedi Sarwito 33 L Lora Konjungtifits+HT
52
Amoxicillin 500 mg 20 3x1/2

127 2/13/2021 BPJS 0000953766393 An. Faiz 9 L Lora Febris PCT 10 3x1/2
Procurma syr 1 1x1
170 CTM 10 3x1
128 2/13/2021 BPJS 0000952935726 Tn. Syamsudin 50 L Lora Hypotensi
55

129 2/13/2021 BPJS 0002776799608 Tn. Adg. Gani 50 L Tambako ISK
Bcomp 10 2x1

63 Nadik 25 10 2x1
130 2/13/2021 BPJS 0002643139326 Tn. Firman L Lora Otitis
Prednison 10 2x1
Becefort 5 1x1
131 2/15/2021 BPJS 0002172616053 Ny. Darmawati 27 P Laloa 140 abses Asam Mefenamat 20 3x1
39 Prednison 10 2x1
Metformin 10 1x1
Pulau
132 2/15/2021 BPJS 0000953988884 Ny. Wa Uko P Tambako DM Ciprofloxacin 10 2x1
Ibuprofen 200 mg 10 2x1
100/70 Prednison 20 2x1
133 2/15/2021 BPJS 0002746119172 Tn. Hasanuddin L lora Asma Bronchial

165 Salbutamol 4 20 3x1
133 2/15/2021 BPJS 0002746119172 Tn. Hasanuddin L lora Asma Bronchial
65
110/80 Loratadin 10 2x1

48 Deksametason 10 2x1
134 2/15/2021 BPJS 0000952955572 Ny. Rosmiati 32 P Lora Dermatitis

135 2/15/2021 BPJS 0002591276804 Nn. Windi 17 P Lora 154 Tonsilitis+Tiroid PTU 10 2x1/2
43 Procurma syr 1 1x1
136 2/15/2021 BPJS 0002172617379 Ny. Nurlia 32 P Lora 57 Vertigo Betahistin 10 3x1
Ranitidin 10 2x1
137 2/15/2021 BPJS 0000133983202 Ny. Rosmida P Lora HT Piroxicam 20 10 2x1
B1 10 2x1
138 2/15/2021 BPJS 0002827940106 Tn. Herianto 33 L Lora 165 Febris PCT 30 3x1
63 Pehavral 20 1x1
PCT 10 3x1
CTM 10 3x1
139 2/15/2021 BPJS 000203017173 Ny. Nur Harpenas 38 P Pulau Ispa + Dispepsia Cefadroxil 10 2x1
Tambako
Ranitidin 10 3x1
Ambroxol 10 3x1
140 2/15/2021 G Ny. Hasma 30 P Toli-Toli 156 GVIIPVA1
54
141 2/15/2021 G Ny. Filda Firanti 18 P Toli-Toli 144 G2P0A1 Kalk 10 1x1
48
142 2/15/2021 G Ny. Harmisa Sakaria 30 P Toli-Toli G1P0A0 Metoclopramid 10 3x1
110/80 SF 10 1x1
143 2/15/2021 G Ny. Endayani 25 P Toli-Toli 150 G3P2A0 Kalk 10 3x1
59 Metoclopramid 20 3x1
90/70 SF 20 1x1
144 2/15/2021 G Ny. Ulfa Ramadayanti 23 P Toli-Toli 156 G1P0A0 Kalk 10 3x1
75 Becefort 10 1x1
90/70 SF 20 1x1
145 2/15/2021 G Ny. Fira 20 P Toli-Toli 145 G3P1A1 Kalk 20 2x1
57 Metoclopramic 20 3x1
100/70 SF 10 1x1
146 2/15/2021 G Ny. Nusriani 32 Thn P Toli-Toli 157 G3P2A0 Kalk 10 2x1
44 Metoclopramid 10 3x1
90/70 SF 10 1x1
153 Kalk 10 2x1
147 2/15/2021 G Ny. Rianti 20 P Toli-Toli G1P0A0
Metoclopramid 10 3x1
58 Becefort 10 1x1
Ambroxol Syr 1 3x1
Pulau CTM 5 3x1/2
148 2/16/2021 BPJS 0000952784065 An. Prajap 11 L CC
Tambako Amoxicillin 250 mg 10 3x1
Ibuprofen Syr 1 3x1
Vit. C 10 1x1/2
149 2/16/2021 BPJS 0002172614848 An. Rezki Alfatur L Lora Febris

144 Amlodipin 5 mg 10 1x1
150 2/16/2021 BPJS 0001941326755 Ny. Hayati 51 P Lora Asma Bronchial
Ibuprofen 400 mg 10 2x1
Pehavral 5 1x1
Glibenclamic 10 2x1/2
151 2/16/2021 BPJS 0001987180187 Ny. Suati 36 P Lora DM + Frunkel Metronidazole 500 mg 20 2x1
110/80 Glibenclamic 10 2x1/2

152 2/16/2021 BPJS 0000525659455 Ny. Maryatun P Lora 52 DM

149 DM + Simvastatin 10 10 2x1
153 2/16/2021 BPJS 0000953446026 Ny. Nurkaya 48 P Lora
81 Hiperkolesterol Bcomp 10 2x1
Pehavral 10 1x1
Pulau
154 2/16/2021 BPJS 0000952922913 Ny. Rosna 36 P Hipotensi
Tambako

155 2/17/2021 BPJS 0002059396672 Tn. Masdal 28 Thn L Lora Dermatitis
68 Betametason Salf 1 2x1
90/80 Cendo Xytrol 1 2x1
156 2/17/2021 BPJS 0000134282722 Tn. Dedi Sarwito 32 P Lora 156 Konjungtifitis SF 10 1x1
61
150 Miconazole 2 2x1
157 2/17/2021 BPJS 0002369064745 Ny. Wa Sutriani 36 P Lora 54 Alergi CTM 10 3x1

Pulau 164 GG 10 3x1
158 2/17/2021 BPJS 0002641222776 Tn. Aminung 31 L Ispa
Tambako 60 Ibuprofen 400 mg 20 3x1
CTM 10 3x1
Amoxicillin 500 mg 10 3x1/2
Retensi + Colic
159 2/17/2021 U An. Windi 6 P Lora Abdomen PCT Syr 1 3x1/2
Procurma syr 1 1x1
Eritromisin 250 mg 10 3x1/2
160 2/17/2021 BPJS 0000953766393 An. Faiz 9 L Lora Tonsilitis PCT 10 3x1/2
Ambroxol Syr 1 3x1
Pulau Ambroxol 10 3x1
161 2/17/2021 BPJS 0001851163806 Tn. Ramli 65 L HT+Ispa
Tambako Ibuprofen 400 mg 10 3x1
CTM 10 3x1
Amoxicillin 250 mg 10 3x1
162 2/17/2021 BPJS 0001921938928 An. Yusra 9 P Lora Furunkel PCT Syr 1 3x1
Procurma syr 1 1x1
163 2/17/2021 G Tn. Adiat 38 L Lora 176 Otitis Media Amoxicillin 500 mg 20 3x1
75 PCT 20 3x1
90/60 Metronidazole 500 mg 10 3x1
161 Pehavral 20 1x1
164 2/17/2021 BPJS 0001885046938 Ny. Wa Salmia 38 P Lora Flour Albous
Aciclovir 10 3x1
PCT 10 3x1
165 2/17/2021 BPJS 0002827940398 Ny. Sardia 44 P Tajuncu Varicela
Dexametason 10 3x1
Becefort 10 1x1
PCT 3
CTM 3 3x1
166 2/18/2021 G An. Fahri 3 Bln L Lora Influenza
Ambroxol 3
Amoxicillin Syr 1
Pulau 158 Pehavral 20 1x1
167 2/18/2021 BPJS 0001941319361 Ny. Murni 45 P Tambako HT
66
Omeprazol 10 2x1
Pehavral 10 1x1
168 2/18/2021 BPJS 0000134282081 Ny. Tote 68 P Pomontoro Dispepsia+HT
Ranitidin 10 2x1
Pulau
169 2/18/2021 G Ny. Wa Baeda 78 P DM + Dispepsia Bcomp 10 2x1
Tambako
Omeprazol 10 2x1
PCT Syr 1 3x1
170 2/18/2021 BPJS 0001987177353 An. Adi 11 L Liano Influenza Procurma syr 2 1x1

171 2/18/2021 BPJS 0001941326755 Ny. Hayati 50 P Lora DM + OA Becefort 20 1x1
Piroxikam 20 mg 20 2x1
172 2/18/2021 BPJS 0000953488326 Tn. Muslimin 43 L Lora V. Laceratum
Becefort 20 1x1
Lido 1
CTM 10 2x1
Prednison 10 2x1
173 2/19/2021 BPJS 0000948533624 Ny. Rusnah 26 P Toli-Toli Insomnia
Ranitidin 10 3x1
Becefort 10 1x1
150 Ketokenazole Zalf 10 1x1
174 2/19/2021 BPJS 0000953528512 Nn. Febrianti 18 P Lora 43 Alergi+Asma Pehavral 10 1x1
Aminopilin 10 2x1
Allopurinol 10 1x1
175 2/19/2021 G Ny. Rasia P Toli-Toli TB + Hiperurisemia Pehavral 10 1x1
160 piroxicam 10 mg 10 2x1

Prednison 20 2x1
176 2/19/2021 BPJS 0001386261674 Ny. Hj.Nurhayati 48 P Lora Myalgia B1 10 2x1
177 2/20/2021 BPJS 00021726614804 Ny. Rosni P Lora Hipercolesterol Glibenclamic 5 2x1/2
123 Cotrimoksazole 10 2x1
178 2/20/2021 BPJS 0002172654859 An. Reski 9 L Lora 19.5 Colik Abdomen PCT Syr 1 3x1
Procurma syr 1 1x1
Prednison 10 3x1
179 2/20/2021 BPJS 0000162977387 Tn. Umar Uba L Lora Konjungtifitis

Pulau 164 Ibuprofen 400 mg 10 3x1
180 2/20/2021 BPJS 0002641222776 Tn. Aminung 31 L Ispa
Tambako 60 Ambroxol 10 3x1
CTM 20 3x1
Cotrimoksazole Syr 1 3x1
Domperidon Syr 1 3x1
181 2/22/2021 U An. Aslan 5 Bln L Lora Gea
Oralit 5 2x1
120/80 Piroxikam 20 mg 10 2x1

182 2/22/2021 BPJS 0001941323332 Ny. Hapsa 50 P Lora 63 Myalgia Prednison 10 2x1
B1 10 2x1
Piroxikam 20 mg 10 2x1
183 2/22/2021 BPJS 0001941322252 Tn. Abdul Asis 49 L Liano Myalgia Prednison 10 2x1
B1 10 2x1
184 2/22/2021 BPJS 0000953580802 Tn. M. Ali 49 L Pulau 57 Post OP Amputasi Asam Mefenamat 20 3x1
Tambako
Becefort 10 1x1
185 2/22/2021 BPJS 0000165569726 Ny. Murgana P Lora Hipercolesterol Piroxicam 20 mg 10 2x1
Becefort 10 2x1
120/80 Nadik 25 10 2x1
Pulau
186 2/22/2021 BPJS 0002641224677 Ny. Sitti Hasia 50 P OA Prednison 10 2x1
Tambako
B1 10 2x1
Amoxicillin Syr 1 3x1
187 2/22/2021 G An. Divia.F 3 L Lora Vulnus PCT Syr 1 3x1
Dexametason 10 3x1/2
Eritromisin 250 mg 10 3x1
188 2/22/2021 BPJS 0002593923366 An. Dimas. R 7 L Lora Tonsilofaringitis PCT 10 3x1/2
Dexametason 10 3x1/2
Prednison 10 2x1
189 2/22/2021 BPJS 0000954059951 Tn. Baharin L Lora OA Nadik 25 10 2x1
Bcomp 10 2x1
Ketokenazole 10 3x1
190 2/22/2021 BPJS 0001975403643 Tn. Hajrin L Lora Dermatitis Prednison 10 2x1
Loratadin 10 3x1
Dexametason 10 3x1
191 2/22/2021 BPJS 0003065078665 Tn. Faisal 30 L Diare+Alergi
Tambako Loperamid 10 3x1
Pulau
192 2/23/2021 BPJS 0000953989964 Ny. Kamaria 60 P 160 Cardiomegali Amlodipin 5 mg 10 1x1
Tambako
Propanolol 10 2x1/2
Amoxicillin Syr 1 3x1/2
Pulau
193 2/23/2021 G An. Wd. Maira 2 P Tambako Corpus Alianum PCT Syr 1 3x1
110/80 Cotrimoksazole 10 2x1

194 2/23/2021 BPJS 0000954061841 Tn. Ld. Zaenuri 54 L Lora 165 Gea + Kolik Ranitidin 10 2x1
Omeprazol 10 1x1
195 2/23/2021 BPJS 0002172614848 An. M. Akbar 13 L Lora Frunkel PCT 10 2x1
Bcomp 5 1x1
147 Ibuprofen 400 mg 10 3x1
Pulau
196 2/23/2021 BPJS 0000133963773 Ny. Fiarni 45 P 48 Febris Pehavral 10 1x1
Tambako
120/80 CTM 10 3x1

197 2/23/2021 BPJS 0000162977477 nn. Sri 23 P Lora 157 Ispa Prednison 10 2x1
54 Becefort 10 1x1
GG 10 3x1/2
198 2/24/2021 BPJS 000194132926 An. yuni 8 P Lora Cough Prednison 10 3x1/2
CTM 5 2x1/2
130/90 Piroxicam 20 mg 10 2x1
199 2/24/2021 BPJS 0002172617368 Tn. Taufik 36 L Lora OA Prednison 10 2x1
B1 10 2x1
90/60 Metoclopramid 10 3x1
Pulau Hiperemesis
200 2/24/2021 BPJS 0000953598036 Ny. Suriadi 48 P 154 Ranitidin 10 3x1
Tambako Gravid
54 Pehavral 10 2x1
Antasida Syr 1 3x1
201 2/24/2021 BPJS 0002773763583 Tn. Saparudin L Lora Dispepsia Ranitidin 10 2x1
B1 10 2x1
Pulau
202 2/24/2021 BPJS 0002740785536 Tn. Ludin 40 L Vulnus Asam Mefenamat 10 3x1
Tambako
Pulau
202 2/24/2021 BPJS 0002740785536 Tn. Ludin 40 L Vulnus
Tambako
Bcomp 10 3x1
203 2/24/2021 BPJS 0000954067871 Ny. Rasna 37 P Tajuncu 165 Pruritus CTM 10 2x1
75
Piroxicam 20 mg 10 2x1
204 2/24/2021 BPJS 0000133983191 Tn. Alirman 64 L Lora OA + Caries Prednison 10 2x1
Hipotensi+Dermati Ranitidin 10 2x1
205 2/24/2021 BPJS 0002642249553 Ny. Muliana 47 P Lora
tis Pehavral 5 1x1
206 2/24/2021 BPJS 0000133983202 Ny. Rosmida P Lora Dermatitis Dexametason 20 2x1
Bcomp 20 2x1
Piroxicam 20 mg 20 2x1
207 2/24/2021 BPJS 0000953757461 Ny. Yuyun P Lora OA Prednison 20 2x1
B1 20 2x1
Procurma syr 1 1x1
208 2/24/2021 G An. Alyana 9 P Lora Stomatitis Amoxicillin Syr 1 3x1
Wifield Zalf 1 2x1
Acylovir 10 2x1
209 2/25/2021 BPJS 0000133951421 Tn. Lambua L Lora HT+Varicella
PCT 10 3x1
Cefadroxil 10 3x1
Cefadroxil 10 2x1
Ranitidin 10 2x1
210 2/25/2021 BPJS 0002643139405 Ny. Nurusia P Toli-Toli Abortus Complit Ibuprofen 400 mg 10 2x1
Pehavral 10 1x1
Diazepam 2 mg 2 1x2
Neurosanbe Inj 1
Omeprazol Inj 2
211 2/25/2021 BPJS 0002643139405 Ny. Nurusia P Toli-Toli Abortus Complit Ketorolac Inj 1
Vit. K Inj 1
RL 5
110/70 Nadik 50 mg 10 2x1
141 Allopurinol 10 1x1
212 2/25/2021 BPJS 0000954544577 Ny. Nurfia 44 P Mawar Hiperurisemia
Ranitidin 10 2x1
63 B1 10 2x1
100/70 Dexametason 10 3x1
213 2/25/2021 G Ny. Yuni 17 P Tajuncu Dermatitis
213 2/25/2021 G Ny. Yuni 17 P Tajuncu 167 Dermatitis CTM 10 3x1
42 B6 10 1x1
Pehavral 10 1x1
214 2/25/2021 BPJS 0000954090371 Y 37 P Lora Post Partum
B12 inj. 2 1x1
Pitogin Ijn 1 1x1
59 Phytamenadion Inj 1 1x1
215 2/25/2021 BPJS 0000954437343 Tn. Kamaludin L Pomontoro V.Ictum Asam Mefenamat 20 3x1
Bcomp 20 3x1
6385
BPJS 178 Lora, 25 Februari 2021
G 32
Total Resep (A) 215
Kunjungan Polindes
BPJS 30
G 2
Total (B) 32
Total (A+B) 247

Bulan : Maret
Tahun : 2021
No Tanggal Jenis Umur Jenis TTV (mmHG, cm, Jumlah Aturan

Pasien Nomor Kartu (BPJS) Nama Pasien (Thn) Kelamin Alamat kg) Diagnosa Nama Obat Obat Pakai
1 2 3 4 5 6 7 8 9 10 11 12 13
110/P Loratadin 10 2x1
Prednison 10 2x1
Desa Pulau Dermatitis +
1 2/26/2021 BPJS 0000953580802 Tn.M. Ali.M 51 L Ketoconaozol 10 2x1
Tambako Insomnia
Diazepam 4 1x1
Betametason Zalf 1 1x1
140/80 Natrium Diklofenak 25 20 2x1
150 Catopril 25 10 2x1
2 2/26/2021 BPJS 0000133211867 Ny. Darmawati 55 P Desa Lora Mialgia + HT
61
110/70 Dexamethasone 10 3X1

3 2/26/2021 BPJS 0001889842296 Tn. Yusril 22 L Desa Lora 160 Dermatitis CTM 20 3X1
58
110/70 CTM 10 3x1
160 Ambroxol 10 3X1
4 2/26/2021 BPJS 0000162977387 Tn. Umar Uba L Desa Lora ISPA
55 Ibu Profen 400 10 3x1
Becefort 10 1x1
100/70 Ibu Profen 400 20 3X1
Desa 146 Prednison 10 2x1
5 2/26/2021 BPJS 0002172614758 Ny. Mirawati 38 p Cefalgia
Pomontoro 53 Pehavral 20 1x1
100/70 Ibu Profen 400 10 2x1

Desa Pulau 150 Mialgia + Metil Prednison 10 2x1
6 2/26/2021 BPJS 0000203017173 Ny. Nurharpenas 38 P
Tambako 54 Dispepsia Ranitidin 10 3x1
Becefort 10 1x1
130/P Metoclopiramide 10 3x1
7 2/26/2021 BPJS 0000952956977 Tn. Simon 51 L Desa Lora Dispepsia Ranitidin 10 2x1
Omeprazole 5 1x1
110/70 Amoxicilin 500 20 3x1
Desa Pulau
8 2/26/2021 BPJS 0000210489265 Ny. Nurbulan 32 P Tambako 159 Carier Ibu Profen 400 20 3x1
63 Pehavral 20 1x1
Ibu Profen SYR 2 3x1
Desa Pulau
9 2/26/2021 BPJS 0002740706526 An. Nurfathona 7 P Tambako Febris + Alergi ketoconazol Zalf 1 2x1
Amoxicilin Syr 2 3X1
Paracetamol Syr 2 3X1
10 2/26/2021 G An. Nur Afifah 2.5 P Desa Lora ISPA
CTM 3 3X1/2
Procurma Syr 2 1X1
Pehavral 20 1x1
11 2/27/2021 BPJS 00026442249463 Ny. Supia 59 P Desa Lora Malaise

12 2/27/2021 BPJS 0000953474433 Ny. Tiwi 23 P Desa Lora 145 G2 P1 A0 Vitamin B1 10 2x1
55 Metoclopiramide 10 3x1
100/80 Allopurinol 100 20 2x1
Desa
13 2/27/2021 BPJS 0000954441775 Tn. Nawir 62 L 165 Hiperurisemia Natrium Diklofenak 50 20 2x1
Pomontoro
Prednison 20 2x1
160/100 Amlodipin 10 10 1x1
Desa Ranitidin 10 2x1
14 2/27/2021 BPJS 0000953959803 Ny. Timasa 58 P HT
Pomontoro Diazepam 2 1x1
IbuProfen 400 20 2x1
Omeprazole 10 1x1
Desa
15 2/27/2021 BPJS 0000953968443 Ny. Nurmala 58 P 145 Dispepsia Ranitidin 10 2x1
Pomontoro
Hipercolestrol +
16 2/27/2021 BPJS 0000954084159 Ny. Amina 32 P Desa Lora 56 Paracetamol 500 10 3x1
Dispepsia
180/90 Amlodipin 10 10 1x1

17 2/27/2021 BPJS 0002641219841 Tn. Tibo 50 L Desa HT IbuProfen 400 10 2x1
Pomontoro
B1 10 2x1
120/80 Prednison 10 2X1
160 CTM 10 3X1
Desa Pulau
18 2/27/2021 BPJS 0000954045731 Ny. Farida 32 P 51 Dermatitis Bethametason ZALF 3 2X1
Tambako
Pehavral 10 1X1
100/80 CTM 10 2x1

19 2/27/2021 BPJS 0002170186885 Ny. Hj. Numming P Desa Lora 160 Alergi B6 10 2x1
110/70 Metronidazole 20 3x1
167
20 2/27/2021 G Tn.Amal 38 L Desa Lora
80
100/70 Amlodipin 10 10 1X1

HT +
21 2/27/2021 G Ny. Nurkaya 48 P Desa Lora 150 Hipercolestrol Metformin 500 10 2X1
21 2/27/2021 G Ny. Nurkaya 48 P Desa Lora HT +
Hipercolestrol
49 Simvastatin 10 10 1X1
140/90 Omeprazole 10 1x1
Desa
22 3/1/2021 BPJS 0001941322847 Ny. Rosmiati 55 P 145 Dispepsia + HT Ranitidin 20 2x1
Pomontoro
Ibu Profen 400 20 2x1
160 Pehavral 10 1x1
23 3/1/2021 BPJS 0000210490626 Ny. Harmisa. S P Desa Lora 63 G1 P0 A0 Calak 10 3x1
Antasida 10 3x1
Desa Pulau
24 3/1/2021 BPJS 0000953693796 Ny. Dewi Masita P Tambako Dispepsia Pehavral 10 1x1
160/90 Amlodipin 10 10 1x1

Desa Pulau
25 3/1/2021 BPJS 0001987208642 Ny. Ratna 37 P 62 Dispepsia + HT Betahistin 10 2x1
Tambako
Antasida 20 3x1
145 Metformin 500 10 1X1
26 3/1/2021 BPJS 0002172811522 Ny. Hasbia 53 P Desa Lora DM CTM 10 3X1
Antasida 10 3x1
Omeprazole 10 3x1
27 3/1/2021 BPJS 0000952956977 Tn. Simon 53 L Desa Lora Dispepsia + OA
154 CTM 10 1x1
Allopurinol 100 10 2x1
Desa Pulau
28 3/1/2021 BPJS 0002641222607 Ny. Farida jaya 23 P 157 Dispepsia Ranitidin 10 2x1
Tambako
67 B. Com 10 2x1
110/70 IbuProfen 400 20 3X1
169 Prednison 20 3X1
29 3/1/2021 G Tn. Ariadi 38 L Desa Lora ISPA
Pehavral 20 1X1
75 Paracetamol Syr 2 3X1
70/P Neurosambe Amp 1
Desa Pulau Dexamethasone Amp 1
30 3/1/2021 U Tn. Nasir 21 L
Tambako Antasida Syr 1 3x1
Metformin 500 30 1x1

31 3/2/2021 BPJS 0000913988884 Ny. Wa uko P Desa Pulau DM + Allopurinol 100 20 1x1
Tambako Hiperurisemia
Natrium Diklofenak 25 20 2x1
32 3/2/2021 BPJS 0000133985812 Tn. Laode Sukri L Desa Lora HT + Post Ext. Gigi
Ciprolaxin 500 10 2x1

152 Dexamethasone 10 2x1
33 3/2/2021 BPJS 0000953734577 Ny.Nurlina 31 P Desa Lora Deratitis
33 3/2/2021 BPJS 0000953734577 Ny.Nurlina 31 P Desa Lora Deratitis

90/P Ambroxol 10 3x1
34 3/2/2021 BPJS 0002642249226 Ny. Mariana 30 P Desa Lora ISPA Paracetamol 500 10 3x1
35 3/2/2021 BPJS 0000949242137 Ny. Nurliza 21 P Desa Lora Febris Paracetamol 500 10 3x1
B. Com 10 3x1
110/70 Salbutamol 4 10 2X1
dexametashon 10 2x1
36 3/2/2021 BPJS 0001941326755 Ny. Hayati 50 P Desa Lora Asma
Paracetamol 500 10 2x1
160/100 Amlodipin 5 20 1x1
Desa
37 3/2/2021 BPJS 0000954434665 Ny. Maena 66 P 140 HT IbuProfen 400 20 2x1
Pomontoro
Pehavral 10 1x1
Stomatitis +
38 3/2/2021 BPJS 0000953755222 Asdar 16 L Desa Lora Dispepsia Cefixime 10 2x1
Omeprazole 10 2x1
Cendo xitrol 1 3x1
150 Amoxicilin 500 10 3x1
39 3/2/2021 BPJS 0002172812455 Ny. Kasrawati 29 P Desa Lora Kongjutivis
CTM 10 3x1
Prednison 10 2x1
100/70 Neurosambe Amp 1
omeprazole Amp 2
40 3/2/2021 G Tn. Sauna 81 L Desa Lora
Ciprolaxin Amp 1
Aquades 1
Metoclopiramide 10 3x1
41 3/2/2021 G Tn. Jomo 52 L Desa Lora Dispepsi + Febris Paracetamol 500 20 3x1
100/80 Natrium diklofenat 25 10 2X1

42 3/3/2021 BPJS 0000954005343 Tn. Sambira 81 L Desa Lora 80 OA B1 10 2x1
ambroxol Syr 1 3X1

Desa ibuProfen Syr 1 3X1
43 3/3/2021 BPJS 0002495907606 An. Anisa Putri 3 P ISPA
Pomontoro CTM 3 3X1
100/80 IbuProfen 400 20 3X1

Desa Pulau
44 3/3/2021 BPJS 0000954039341 Ny. Wasima P 147 Angina Pectonis B1 10 2X1
Tambako
44 3/3/2021 BPJS 0000954039341 Ny. Wasima P Desa Pulau Angina Pectonis
Tambako
54 Ranitidin 10 2X1
100/80 natrium diklofenat 50 10 2x1
45 3/3/2021 BPJS 0000954425384 Ny. Yamni 53 P OA
Pomontoro 63 B1 10 2x1
amoxicillin 250 10 3x1

Prednison 5 2x1/2
46 3/3/2021 BPJS 0002642250036 Agil 14 L Desa Lora Alergi
170/90 Amlodipin 10 10 1x1

Desa 162 Griseosulvin 20 1x1
47 3/3/2021 BPJS 0000953939171 Tn. Bakri 63 L Pomontoro HT + Alergi
ketoconazol Zalf 2 2x1
130/80 Ciprolaflaxacin Amp 2

Neurosambe Amp 2
48 3/3/2021 BPJS 0000952868856 Tn. Sauna 82 L Desa Lora Gastritis
Omeprazole amp 4
Diazepam 4
90/P Paracetamol Syr 2 3x1
49 3/3/2021 BPJS 0000954061481 An. Hikmawati 8 P Desa Lora ISPA Procurma Syr 2 1x1
Paracetamol Syr 2 3x1

Procurma Syr 2 1x1
50 3/3/2021 G An. Afifah 1.8 P Desa Lora ISPA
9
110/P Dexamethasone 10 2x1

Desa Pulau Piroxicam 20 10 2x1
51 3/4/2021 BPJS 0002320572161 Tn. La Odo 66 L Herpes Zoster + OA
Tambako Acyclovit 10 2x1
110/70 Piroxicam 10 10 2X1
52 3/4/2021 BPJS 0000954060039 Ny. Mardiana 46 P Desa Lora RA Prednison 10 2X1
B1 10 2X1
120/70 Piroxicam 20 10 2x1
53 3/4/2021 BPJS 002519752329 Nn. Musrifa P Desa Lora 150 OA + Dispepsia Prednison 10 2x1
50 Ranitidin 10 2x1
Desa Pulau
54 3/4/2021 BPJS 0001074940705 Ny. Esri Triana Putri P Tambako Hipercolestrol
90/P Antasida Syr 10 3X1

Desa Pulau
55 3/4/2021 BPJS 0000953792122 Ny. Hasma. M 33 P Tambako Dispepsia Ranitidin 10 2X1
B. Com 10 2X1
90/70 Piroxicam 20 10 2x1
Desa Pulau Ranitidin 10 2x1
56 3/4/2021 BPJS 0000203017173 Ny. Nurharpenas 37 P OA
Tambako
56 3/4/2021 BPJS 0000203017173 Ny. Nurharpenas 37 P Desa Pulau OA
Tambako 150 Metil Prednison 10 2x1
54 Becefort 10 3x1
100/70 Amoxicilin 500 10 3x1
CTM 10 3x1
57 3/4/2021 BPJS 000095369838 Tn. Rasid L Desa Pulau 157 ISPA Ambroxol 10 3x1
Tambako
59 Prednison 10 3x1
170/80 Amoxicilin 500 10 3x1
Prednison 10 3x1
Desa Pulau
58 3/4/2021 BPJS 00001941320169 Tn. Basir L Tambako ISPA CTM 10 3x1
170 Ambroxol 10 3x1
59 3/5/2021 BPJS 0001975401832 Ny. Hasni P Desa Lora Hipotermi + Febris Ranitidin 10 2x1
65 Paracetamol 500 10 3x1
60 3/5/2021 BPJS 00002827940051 Ny. Andi Harida 45 P Desa Laloa V. Laceratum
Prednison 10 2x1
Pehavral 10 1x1
130/90 Ciprofrolaxin Amp 2
Neurosambe Amp 2
61 3/5/2021 BPJS 0000952868856 Tn. Sauna 82 L Desa Lora Gastritis
Antasida Syr 1 3X1
B. Com 10 2X1
80/60 Ciprofloxacin 500 10 3x1
Desa Pulau 152 Paracetamol 500 10 3x1
62 3/5/2021 BPJS 0000953719762 Ny. Rosna 39 P ISPA
Tambako 50 dexamethasone 10 3x1
Pehavral 5 1x1
Amoxicillin 500 20 3X1/2
Paracetamol 500 20 3X1/2
63 3/5/2021 BPJS 0000952969061 An. Muh. Fadil L Desa Lora V. Exaritum / TCR DExamethasone 20 3X1/2
120/80 Amoxicillin 500 10 3X1

Desa Pulau 164 DExamethasone 10 2X1
64 3/5/2021 BPJS 0002641222776 Tn. Aminung 31 L ISPA
Tambako 60 GG 10 3X1
IbuProfen 400 10 3X1
Desa Pulau Cefadroxil 10 2x1
65 3/5/2021 BPJS 0001074940571 Ny. Ruspiah P Tambako Vrunkel

Desa Pulau
66 3/5/2021 BPJS 0000953981752 Tn. Dahlan 31 L Tambako 164 Asma Bronchial Prednison 20 3x1
66 3/5/2021 BPJS 0000953981752 Tn. Dahlan 31 L Desa Pulau Asma Bronchial
Tambako
60 GG 20 3x1
150/90 Propanol 5 2X1/2
Dispepsia + B. Com 10 2X1
67 3/5/2021 G Tn. Bidin L Desa Lora
Takikardi Omeprazole 10 2X1
58 Ranitidin 10 2X1
amoxicillin syr 1 3X1
68 3/5/2021 U An. Anisa Faiha 1.2 P Desa ISPA Paracetamol Syr 1 3X1
Puuwaeya
GG 5 3X1/4
Desa Pulau piroxicam 20 10 2x1
69 3/6/2021 BPJS 0000953710637 Tn. LD. Hamiru 65 L
Tambako 148 Ranitidin 10 2x1
51 Pehavral 5 1x1
Pirantel 125 4 1x1
Desa Pulau
70 3/6/2021 BPJS 0000952784065 Muh. Prajab L Tambako 129 Ascariasis
29
Desa Pulau 161 Hipercolestrol + Amlodipin 5 20 2x1
71 3/6/2021 BPJS 0000953959803 Ny. Timasa 58 P Tambako HT

Desa 155 Antasida 20 2x1
72 3/6/2021 BPJS 0001941321251 Ny. Ice 33 P Gastritis
Pomontoro 60 IbuProfen 400 20 2x1
120/80 Cefadroxil 10 2X1

Desa 160 Asam Traneksamat 10 2X1
73 3/6/2021 BPJS 0000954406394 Tn. Nasir 64 L Cough
Pomontoro GG 10 2X1

157 Loratadin 20 2x1
74 3/6/2021 BPJS 0001885046938 Ny. Wa Salmia 39 P Desa Lora Dispepsia + Alergi
60 Hydro Zalf 1 2x1
120/80 B. Com 10 2X1

75 3/6/2021 BPJS 0002642249226 Ny. Mariana 32 P Desa Lora 145 Cough Prednison 10 3X1
62 GG 10 3X1
76 3/6/2021 BPJS 0002827940264 Tn. Sirajudin 32 L Desa Laloa Mialgia B. Com 10 2x1

77 3/6/2021 BPJS 0002827940106 Tn. Herianto 33 L Desa Laloa Vulnus Laceratum
Pehavral 10 1x1
Prednison 10 2x1
Desa Pulau
78 3/6/2021 BPJS 0001886169712 An. Sakti L Tambako Febris
78 3/6/2021 BPJS 0001886169712 An. Sakti L Desa Pulau 120 Febris
Tambako
20
Diazepam Amp 1
Diazepam 10
Omeprazole 10 2x1
79 3/6/2021 G Gozal Scizofherenia
Pehavral 10 1x1
Amitripilin 10 3x1
120/80 Loratadin 10 2X1

Desa Pulau
80 3/6/2021 G Tn. Musafir 32 L Tambako 167 Dermatitis DExamethasone 10 2X1
70 Amoxicillin 500 20 3X1
Vit.C 10 2X1
81 3/6/2021 G An. Naufan 11 L Desa Lora 126 Stomatitis IbuProfen 200 10 3X1/2
29.8
82 3/6/2021 BPJS 002519752329 Nn. Musrifa P Desa Lora 50 ISPA DExamethasone 10 3X1
Pehavral 10 1X1
120/80 Paracetamol 500 10 3x1
165 ambroxol 10 3x1
83 3/8/2021 BPJS 0000162977387 Tn. Umar Uba 48 L Desa Lora ISPA
68 CTM 10 3x1
Prednison 10 3x1
100/80 CTM 10 2x1
84 3/8/2021 BPJS 0000953930654 Tn. Safrudin 48 L Desa Liano Alergi Prednison 10 2x1
Asam Traneksamat 15 3x1

B. Com 15 3x1
85 3/8/2021 BPJS 0000133985417 Ny. Hamida P Desa Laloa Hipermenorhea
Cefadroxil 10 2x1
Antasida 10 3x1
Desa Pulau
86 3/8/2021 BPJS 0000953791705 Tn. Murba 44 L Dispepsia Ranitidin 10 3x1
Tambako
B. Com 10 2x1
Dexamethashone 10 3X1
87 3/8/2021 BPJS 0003058673185 Tn. Alimuddin L Desa Toli-Toli Otitis ext
Becefort 5 3X1
Chlorampenicol tts T 1 1X2
100/80 Natrium Diklofenat 25 10 2X1
Desa Pulau 158 B. Com 10 3X1
88 3/8/2021 BPJS 0000953760014 Tn. La Dohe L OA
Tambako Prednison 10 2X1

Desa Metoclopiramide 20 3x1
89 3/8/2021 BPJS 0000953939553 Ny. Erna 53 P Pomontoro Gastritis
Diazepam 3 1x1
Desa
89 3/8/2021 BPJS 0000953939553 Ny. Erna 53 P Gastritis
Pomontoro
Ranitidin 20 2x1
Eritromicin 250 10 3x1
Desa Paracetamol 500 10 3x1/2
90 3/8/2021 BPJS 0001441419761 An. Muh.Irawan 11 L Cough
Pomontoro GG 10 3x1/2
Procurma Syr 1 1x1
80/60 IbuProfen 400 10 3x1
Desa Pulau Becefort 10 3x1
91 3/8/2021 BPJS 0002586073223 Ny. Samria 37 P Mialgia+Hipokusi
50 injek B12 3
130/8 B. Com 20 1X1
Desa Pulau
92 3/8/2021 BPJS 0001851163806 Tn. H.Ramli 60 L Tambako Malaise GG 10 3X1
68
120/80 Clorampenicol syr 3 3X2
Vertigo+ Susp Paracetamol Syr 10 2X1
93 3/8/2021 BPJS 000952956977 Tn. Simon L Desa Lora Tipoid B. Com 10 2X1
antasida 15 3X1
160/100 Catopril 50 10 2X1
Desa Pulau 61 Diazepam 2 1X
94 3/8/2021 BPJS 0000133985362 Tn. Haji L Tambako HT + Insomnia

95 3/8/2021 BPJS 0002746119172 Tn. Hasanudin L Desa Lora 165 Asma Prednison 10 2x1
67 Ranitidin 10 2x1
130/80 Antasida Syr 1 3X1
Desa Pulau
96 3/8/2021 BPJS 0000953682456 Ny. Sitia 64 P 147 Dispepsia Ranitidin 20 2X1
Tambako
B6 10 2X1
110/70 Natrium Diklofenat 50 20 2x1
97 3/8/2021 BPJS 0001885049324 Riski Adiputra 21 L Desa Lora 163 OA Metil Prednison 10 2x1
60 B1 20 2x1
100/60 Betahistin 10 3X1
98 3/8/2021 BPJS 0000955737841 Tn. Mahamalu L Desa Lora 151 Vertigo+ PPOK CTM 10 3X1
41 OBH 1 3X1
Procurma Syr 1 1x1
99 3/8/2021 G An. Yaya 5 Desa Lora Anorexia Paracetamol Syr 1 3x2
18
100/80 Simvastatin 10 10 3X1
100 3/9/2021 BPJS 0000954081358 Ny. Waase 55 P Desa Lora 150 Hipercolestrol Betahistin 10 3X1
Ranitidin 10 2X1
B. Com 10 2X1
Becefort 10 1X1
101 3/9/2021 G Tn. Nilo L Desa Lora KP
101 3/9/2021 G Tn. Nilo L Desa Lora KP
SF 10 2X1

102 3/9/2021 G An. Fitria.R 7 P Desa Lora Common COOL ambroxol Syr 20 3x1
amoxicillin syr 20 3x1
Eritromicin 250 10 3x1/2
103 3/10/2021 BPJS 0002173173175 Aprialiani 6 P Influenza
123 Procurma Syr 1 2x1
Albendaxzol 400 10 1x1
110/70 Metformin 500 10 1x1
149 Simvastatin 10 10 2x1
104 3/10/2021 BPJS 0000953446026 Ny. Nurkaya 49 P Desa Lora Dermatitis
79 Betametason Zalf 1 3x1

105 3/10/2021 BPJS 0002172614804 Ny. Rosni 42 P Desa Lora Dispepsia+ DM+Hipcol
Metformin 500 10 2x1
100/P Paracetamol 500 10 3x1
164 Dispepsia+ omeprazole 10 2x1
106 3/10/2021 BPJS 0002173173096 Tn. Dg. Saru L Desa Lora Headcher B. Com 10 2x1
Ranitidin 10 3x1
Cetirizin syr 1 2x1/2
107 3/10/2021 BPJS 0002925727402 An. Abd. Syarif 1.3 L Desa Lora Influenza
110/70 Metformin 500 10 1x1

162 natrium diclofenac 25 20 2x1
108 3/10/2021 BPJS 0002252059481 Tn. Asrun Martin 37 L Desa Lora DM
70
120/80 IbuProfen 400 20 3x1

Loratadin 20 3x1
109 3/10/2021 BPJS 00002172924268 Ny. Karni 29 P Desa Lora Dermatitis+ Febris
158 dexamethasone 20 3x1
110 3/10/2021 BPJS 0000953445723 Tn. Amin. 59 L Desa Lora HT+OA+HIPERCOL
165 Piroxicam 20 2x1
120/80 ketoconazol Zalf 1 3x1
111 3/10/2021 G Tn. Musafir 32 L Desa Lora Dermatitis+dispepsia
167 Omeprazole 10 3x1
70 Ranitidin 10 2x1
Desa Pulau
112 3/10/2021 BPJS 0003065078755 An. Alfatih 5 L Tambako Influenza
112 3/10/2021 BPJS 0003065078755 An. Alfatih 5 L Desa Pulau Influenza GG 5 1x1/2
Tambako
Procurma Syr 1 1x1
150/90 Amlodipin 10 10 1x1
113 3/11/2021 BPJS 0000952868856 Tn. Sauna 82 L Desa Lora HT+OA Allopurinol 100 10 2x1
Piroxicam 10 2x1

161 Betahistin 20 3x1
114 3/11/2021 G Ny. Dian 28 P Desa Lora Febris+vertigo
53 Becefort 20 2x1

Antasida 10 3x1
115 3/11/2021 G Ny. Ratna P Desa Lora HT + Dispepsia
160 B.Com 10 3x1
60 Ranitidin 10 2x1
Eritromicin 250 10 1X1
Desa Pulau
116 3/11/2021 BPJS 0001886169712 An. Sakti 7 L Tambako 19 CTM 10 3X1/2
Procurma syr 1 1x1
120 IbUPROFEN 200 10 3x1

23 Post Trauma pd Amoxicillin 250 10 3x1
117 3/11/2021 BPJS 0002584168154 Muh. Goloy L
Bokong Ranitidin 10 2x1
150/80 Catopril 25 10 2x1

164 Becefort 10 1x1
118 3/11/2021 BPJS 0002641222776 Tn. Minun 31 L Desa Pulau 60 HT Ranitidin 10 2x1
Tambako
Paracetamol syr 1 3X1

119 3/11/2021 G An. Salsa 5 P Desa Lora Influenza CTM 5 1X1/2
Procurma syr 1 1X1
GG 5 3X1/2
110/80 Simvastatin 10 2x1
Desa
120 3/12/2021 BPJS 0002641221358 Ny. Karmila 23 P Hambawa 51 Hipercolestrol
100/70 OBH Syr 1 3x1

Desa Pulau 150 Becefort 10 1x1
121 3/12/2021 BPJS 000203017173 Ny. Harpenas 37 P Tambako CC
56
GG 2 Puyer
122 3/12/2021 G nn ISPA

CTM 2 Puyer
122 3/12/2021 G nn ISPA
Paracetamol 500 2 Puyer
Procurma syr 1 2x1/2
OBH Syr 1 3x1
Dexametasone 10 2x1
123 3/13/2021 BPJS 0000952893573 Ny. Ida 38 P Desa Lora COUGH
Paracetamol syr 1 3x1

Desa
124 3/13/2021 BPJS 0000954415102 Hamim 61 L Pomontoro Asma Brongkhiale Dexametasone 20 3X1
GG 20 3X1
B1 10 2x1
154 Natrium Diklofenat 25 20 2x1
125 3/13/2021 BPJS 0000210490896 Ny. Fauzia. R 31 P Desa Lora OA
61
100/80 Ranitidin 10 2X1

167 Omeprazole 10 2X1
126 3/13/2021 BPJS 0000951893426 Tn. Zamal 39 L Desa Lora Dispepsia
57 IbUPROFEN 400 10 2X1
80/60
38 Paracetamol syr 3 3x1
127 3/13/2021 BPJS 0000952896587 An. Ayu Ashari P Desa Lora ISPA
Procurma syr 1 3x1
128 3/13/2021 BPJS 0000133952141 Ny. Sutiarti 47 P Desa Lora 145 HT IbUPROFEN 400 10 3x1
52
Asam mefenamat 10 3X1
129 3/13/2021 BPJS 0000953724778 Difal 18 L Desa Lora Caries
Dexametasone 10 H
110/70 Allopurinol 100 10 2X1

Desa Pulau
130 3/13/2021 BPJS 0000953981752 Tn. Dahlan 31 L 164 Hyperurese Prednison 10 2X1
Tambako
60 B1 10 2X1
120/80 Loperamid 10 2x1
Desa Pulau 170 Catopril 25 10 2x1
131 3/13/2021 BPJS 0001982939787 Hafilu L Diare + HT
Tambako 70 Oralit 10 2x1
Zink 10 2x1
Desa Pulau 164 Ranitidin 10 2x1
132 3/13/2021 BPJS 0002641222776 Aminung 31 L Tambako Dispepsia
60 Pehavral 5 1x1

Desa CTM 10 2x1
133 3/15/2021 BPJS 000953354597 Ny. Asnia P Mialgia + ISK
Pomontoro
133 3/15/2021 BPJS 000953354597 Ny. Asnia P Desa Mialgia + ISK
Pomontoro B.Com 10 2x1
Ciprolaxin 10 2x1
Paracetamol 500 5 3x1/2
134 3/15/2021 BPJS 0002458240784 Imal Anugrah 8 P Desa Lora Abces Amoxicillin 250 10 3x1
Loratadin 10 3x1/2
Procurma syr 2 1x1
Desa Pulau
135 3/15/2021 BPJS 0002641222383 Ny. Wa abe P Tambako Dispepsia Ranitidin 10 2x1
Desa Pulau 154 Metilprednison 10 2x1
136 3/15/2021 BPJS 0002641224677 Ny. Sitti Hasia P Tambako OA
48

137 3/15/2021 BPJS 0000953508227 Ny. Hani 64 P Desa Lora Chest Paru
48 IbUPROFEN 400 10 2x1
Salicil Talk 1 3x1

Desa Pulau
138 3/15/2021 U An. Nazran 46 bln L Tambako Dermatitis
140/90 Amlodipin 5 5 1X1

IbUPROFEN 400 10 3X1
139 3/15/2021 BPJS 0001074940907 Tn. Harman Ato 44 L Desa Lora Influenza+HT gr 1 B.Com 10 2X1
160 GG 10 3X1
100/70 IbUPROFEN 400 10 3x1
140 3/15/2021 BPJS 0001986968845 Harudi L Desa Pulau Febris B.Com 10 2x1
Tambako
Fe 10 1x1
80/60 B.Com 10 3x1
141 3/15/2021 BPJS 0000954087693 Ny. Rani Maria 19 P Desa Lora 157 G1 P0 A0 Calak 10 3x1
47 Fe 30 1x1
90/70 Fe 10 1x1
160
142 3/15/2021 BPJS 0000954087074 Ny. Fitriati P Desa Lora 58 Anemia
110/70 DHP 9 1x3

143 3/16/2021 BPJS 0001934959533 Tn. Rusli 29 L Kel. Kabung 158 Malaria Falcifarum Proimaquin 14 1x1
Ranitidin 10 2x1
144 3/16/2021 BPJS 0001885046938 Ny. Salmia P Desa Lora Dispepsia + HT
144 3/16/2021 BPJS 0001885046938 Ny. Salmia P Desa Lora Dispepsia + HT
157 calac 10 2x1
56 Catopril 12,5 10 3x1
130/60 RL 5
145 3/16/2021 BPJS 0000952868856 Tn. Sauna 82 L Desa Lora Dispepsia Antasida syr 1 3X1
120/70 Paracetamol syr 2 3x1

146 3/16/2021 BPJS 0000210490626 Ny. Harmisa 31 P Desa Mawar 160 ISPA + Alergi Procurma syr 2 1x1
Salep 24 1 2x1
100/60 B.Com 10 1x1
147 3/16/2021 BPJS 0000165569725 Ny. Murgana P Desa Lora Hipotensi
110/70 Ciprolaxin 10 3x1

148 3/16/2021 BPJS 000953457884 Ny. Masni 35 P Desa Lora 151 INF. Lokal Asam mefenamat 10 3x1
Dexametasone 10 3x1
GG 10 3X1
149 3/16/2021 BPJS 0002173173096 Tn Dg.Saro L Desa Lora ISPA
67 B1 10 2X1
150 3/16/2021 BPJS 0002172616064 Gilal 5 L Desa Laloa Kongjutivitis
Dexametasone 10 3x1/2

Propanolol 5 2x1/2
151 3/16/2021 G Ny. Juhania L Desa Lora Dispepsia
B.Com 10 2x1
Antasida 10 3x1
152 3/17/2021 BPJS 0000952956977 Tn. Simon 52 L Desa Lora Dispepsia
B.Com 10 1x1
Chlorampenicol 10 3x1
Desa Pulau Paracetamol 500 10 3x1
153 3/17/2021 BPJS 0000953766933 Musdalifa P Susp Typoid
Tambako metoclapiramide 10 3x1
B.Com 10 2x1
154 3/17/2021 BPJS 0001420949463 An. ST. Khadijah P Desa Lora Tonsilitis amoxicillin syr 1 3x1

155 3/17/2021 G An. Muh Dzain L Desa Lora Tonsilitis amoxicillin syr 1 3x1
Becefort 1 3x1
Zink 10 1x1
156 3/17/2021 BPJS 0002767674295 An.Ciniya .R 1.1 P Desa Laloa Diare+Alergi
156 3/17/2021 BPJS 0002767674295 An.Ciniya .R 1.1 P Desa Laloa Diare+Alergi
Ketoc 10 1x1
OAT KAT 1 1X1

157 3/17/2021 G Tn. Nilo 43 L Desa Lora TB.Triatmen CTM 20 2X1

Desa Piroxicam 10 2x1
158 3/18/2021 BPJS 0000953547597 Ny. Asnia P ISK
Pomontoro 38 Prednison 10 2x1
b1 10 2x1
Desa Pulau Antasida syr 2 3xx1
159 3/18/2021 BPJS 0000953710637 Tn. Hamiru 85 L Tambako HT+ Dispepsia
51 B.Com 20 2x1
110/80 Ciprolaxin 20 3X1
Desa Ibuprofen 400 20 3X1
160 3/18/2021 BPJS 0000953959803 Ny. Timasa 58 P OMA
Pomontoro 157 Dexametasone 10 3X1
B.Com 10 3X1
Antasida syr 2 3x1
Ranitidin 20 2x1
161 3/18/2021 BPJS 0000853508227 Ny. Hani P Desa Lora Dispepsia
Pehavral 5 1x1
Gentamicin Zalf 1 2x1
162 3/18/2021 BPJS 0002827940578 Tn. Wahidin L Desa Lora V. Eksoriatum
Prednison 10 3x1
160 Cetirizine 10 2x1
163 3/18/2021 BPJS 0000953502636 Tn. Halim 56 L Desa Lora Dermatitis Dexametasone 10 2x1
B.Com 10 2x1
164 3/18/2021 BPJS 0002172617932 Ny. Mariam 30 P Flour. A
Hambawa 58 Griseosulvin 20 3x1
110/90 Glibenclamide 10 2x1/2

165 3/18/2021 BPJS 000953682456 Ny. Sitia. D 65 P Desa Pulau 147 DM+Hiperusemia Ranitidin 20 2x1
Tambako
166 3/18/2021 BPJS 0000954425384 Ny. Yamni 50 P Desa GEA Dehidrasi metoclapiramide 20 3x1
Pomontoro 165 sedang Loperamid 20 3x1
62 Oralit 20 4x1
Desa Pulau GEA Dehidrasi Paracetamol 500 10 3x1/2
167 3/18/2021 U An. LD.RIFO L Tambako Ringan
23 Oralit 10 3x1
Desa Pulau GEA Dehidrasi
167 3/18/2021 U An. LD.RIFO L
Tambako Ringan

Desa Pulau 164 Dexametasone 10 3x1
168 3/19/2021 BPJS 000953981753 Tn. Dahlan 31 L Dermatitis
Tambako 60

Desa Pulau 161 Ranitidine 10 2x1
169 3/19/2021 BPJS 0002641222776 Tn. Aminung 31 L Tambako Dispepsia
60 Pehavral 10 1x1
120/80 GG 10 3x1
Desa Pulau 170 Cetirizine 10 1x1
170 3/19/2021 BPJS 0001982939787 Hafilu L Tambako CC+Tinea Corporis
75 Becefort 10 1x1
Ketok Zalf 10 1x1
120/70 Piroxicam 20 2x1
Desa Pulau Pehavral 20 1x1
171 3/19/2021 BPJS 0002641223711 Tn. Andi L OA
Tambako Cefixime 20 2x1

172 3/19/2021 BPJS 0001986969824 Yuni 16 P Desa Lora Febris Paracetamol 500 20 3x1
Pehavral 10 3x1
173 3/19/2021 BPJS 0000953457884 Ny. Masni 33 P Desa Lora Infeksi Lokal
151 Dexametasone 10 3x1
66 Pehavral 15 1x1
Dexametasone 20 2x1
174 3/19/2021 BPJS 00001941326755 Ny. Hayati 51 P Desa Lora Asma Brongkiali
56 Pehavral 10 1x1
140/70 Infus set 1
aboket 2
175 3/19/2021 BPJS 0000952868856 Tn. Sauna 82 L Desa Lora
Rl 3
160/110 Amlodipin 10 10 2X1

158 Simvastatin 10 1X1
176 3/19/2021 BPJS 0002918733366 Tn. Nasrudin L Desa Lora HT + Col
59 Ranitidine 10 2X1
OBH 3X1
177 3/19/2021 BPJS 0000953719762 Ny. Rosna P Desa Lora Dispepsia Ranitidine 20 2x1
Pehavral 10 1x1
Amlodipin 5 10 1x1
GG 10 3x1
178 3/19/2021 BPJS 0000953502996 Ny. Samdia 56 P Desa Lora HT
178 3/19/2021 BPJS 0000953502996 Ny. Samdia 56 P Desa Lora HT
B.Com 10 3x1
Prednison 10 3x1
179 3/19/2021 BPJS 0001386259931 Tn. H.Hitmin 53 L Desa Lora 78 Febris Pehavral 10 1x1
110/80 Cendo xitrol 1 2X1

Amoxicillin 500 10 3X1
180 3/19/2021 BPJS 0002172812444 Kasmirudin 28 L Desa Laloa Kongjutivitis
153 Prednison 5 3X1
60 CTM 10 3X1
Cetirizine syr 1 2x1/2
Desa Pulau Paracetamol 500 2 Puyer
181 3/19/2021 G An. Nazran L Tambako Dermatitis
Eritromicin 2 Puyer
6 Betametason Zalf 1 2X1
100/60 Natrium Diklofenat 10 2x1
182 3/20/2021 BPJS 00009534005343 Tn. Sambira 65 L Desa Lora OA
50 B1 10 1x1

183 3/20/2021 BPJS 0000954082809 Ny. Neni 34 P Desa Lora OA
69 B.Com 10 1x1
Ibuprofen syr 1 3x1

Chlorampenicol syr 1 3x1
184 3/20/2021 BPJS 0000952896587 An. Ayu Ashari P Desa Lora Susp.Tipoid
Prednison 5 3x1/2
Procurma 1 1x1
GG 5 Puyer
Amoxicillin 500 4 Puyer
185 3/20/2021 BPJS 0002458243315 An. Naumi 4 P Desa Lora ISPA
Dexametasone 4 Puyer
CTM 3 Puyer
Procurma 2 2x1
132 amoxicillin 250 10 3x1
Desa
186 3/20/2021 BPJS 0000953372801 Kevin 11 L Pomontoro ISPA+Kecacingan CTM 10 2x1/2
30 Vit. C 5 1x1
Pirantel 2 1x2
GG 10 3x1
187 3/20/2021 BPJS 000953528512 Febrianti 16 P Desa Lora ISPA Prednison 10 3x1
CTM 5 2x1/2
187 3/20/2021 BPJS 000953528512 Febrianti 16 P Desa Lora ISPA
Vit. C 10 2x1
100/80 Metformin 10 2X1
188 3/20/2021 BPJS 0002170186885 Ny. Hj.Numming P Desa Lora Alergi CTM 10 2X1
B6 10 2X1
Ambroxol 20 3x1
189 3/20/2021 G Nn. Nasria P Desa Lora ISPA
55 CTM 20 3x1
Domperidon syr 1 3x1
190 3/20/2021 G An. Fitria. R P Desa Lora GEA Zink syr 1 1x1
Procurma 1 1x1
191 3/20/2021 G Tn. Sumardin L Desa Lora ISK Piroxicam 10 2x1
B.Com 10 2x1
192 3/22/2021 BPJS 0000513540583 Ny. Rasna P Desa Lora ISK ibuprofen 400 10 3x1
B.Com 10 2x1
70/P Antasida syr 1 3x1
Dispepsia+Hipoten
193 3/22/2021 BPJS 0000953722991 Ny.Darma 40 P Desa Lora Ranitidine 10 2x1
si
Pehavral 10 1x1
194 3/22/2021 BPJS 0000956441248 Tn. La.iin 31 L Desa Pulau Kongjutivitis Dexametasone 10 3x1
Tambako
110/70 Acyclovir 400 20 4x1
Infeksi Lokal
195 3/22/2021 BPJS 0000133211891 Nn. Asniar 29 P Desa Lora 156 Dexametasone 20 3x1
Blevaritis
Prednison 20 2x1
196 3/22/2021 BPJS 0001874869852 Ny. Risnawati P Desa Lora Vrunkel
155 Ibuprofen 20 3x1
53 Becefort 10 1x1
Cetirizine syr 1 3x1
197 3/23/2021 BPJS 0002891110274 An. Fatimah.A 3 P Desa Milaria Dexametasone 10 3x1/2
Pomontoro
Amoxicillin syr 1 3x1/2
Neurosambe Amp 1 inj
Ketorolac Amp 1 inj
198 3/23/2021 BPJS 000259541053 Ny. Alima 62 P Desa Toli-Toli Neuropati
Tramadol 50 10 2x1
Cefadroxil 10 2x1
Cefadroxil 10 2x1
199 3/23/2021 BPJS 0002827941107 Tn. Darman 32 L Desa Laloa ABSES
kalak 10 2x1
Prednison 10 3x1
Simvastatin 10 1x1
200 3/23/2021 BPJS 0000953446026 Ny. Nurkaya 50 P Desa Lora HT+ DM
200 3/23/2021 BPJS 0000953446026 Ny. Nurkaya 50 P Desa Lora 149 HT+ DM Metformin 10 2x1
Amlodipin 5 10 1x1
Neurosambe Amp 1 inj
Desa Natrium Diklofenat 10 2x1
201 3/23/2021 BPJS 0001941322285 Ny. Mukmin 83 P RA
Puuwaeya Dexametasone 10 2x1
Glibenclamide 10 2x1
Desa Pulau
202 3/24/2021 BPJS 0000198430749 Tn. Samsul. S 42 L Tambako 165 DM Loratadin 20 2x1
90 Metformin 20 2x1
Prednison 10 2X1
203 3/24/2021 BPJS 0000953757461 Ny.Yuyun 36 P Desa Lora Asma
CTM 10 3X1
52 B1 10 2X1
Anttasida 10 2X1
204 3/24/2021 BPJS 0000133952141 Ny. Sutiarti P Desa Lora Dispepsia + ISPA SF 10 1X1
CTM 10 3X1
CTM 3 Puyer
Prednison 3 Puyer
205 3/24/2021 G An. Rafanda 3 P Desa Lora Alergi
B6 3 Puyer
ibuprofen 400 3 Puyer
110/80 CTM 10 3x1
206 3/24/2021 BPJS 0000203508112 Ny. Ramalh Putri. A 31 P Desa Tajuncu 155 Mialgia Prednison 10 3x1
100/70 Cotri 480 20 2x2
Pulau
207 3/25/2021 BPJS 0001440228655 Tn. Ld. Aswin 34 L 160 Gea Metoclopramid 10 3x1
Tambako
48 Oralit 5 4x1
208 3/25/2021 BPJS 0000954074158 Ny. Intang 69 P Lora 148 DM + HT Metformin 20 2x1
59 Ranitidine 20 2x1
Pulau
209 3/25/2021 BPJS 0002776799867 Ny. Zia 52 P 50 DM Pehavral 10 1x1
Tambako
Amoxicillin syr 1 3x1
GG 10 3x1/2
210 3/25/2021 BPJS 0002458239704 An. Naomi 4 P Lora Ispa
Procurma Syr 2 1x1
100/70 Metronidazole 500 mg 10 3x1
211 3/25/2021 BPJS 000217812692 Tn. Amir 34 L Lora Melena
Becefort 10 1x1
57 Asam Traneksamat 10 3x1
120/70 allopurinol 10 2x1
212 3/25/2021 BPJS 0000952893191 Ny. Fatia 63 P Lora Gout + Cough
212 3/25/2021 BPJS 0000952893191 Ny. Fatia 63 P Lora Gout + Cough
45 GG 10 2x1
Vit. B1 10 2x1
110/80 amoxicillin 500 mg 10 3x1
Pulau
213 3/25/2021 BPJS 0002776799608 Tn. Abd. Gani 50 L 160 Carbunkel Asam Mefenamat 10 3x1
Tambako
70 Bcomp 10 3x1
BPJS 182 Lora, 25 Maret 2021

G 27
Total 213
Bulan : April
Tahun : 2021
No Tanggal Jenis Nomor Kartu (BPJS) Nama Pasien Umur Jenis Alamat
Pasien (Thn) Kelamin
1 2 3 4 5 6 7 8
Desa Pulau
1 3/26/2021 BPJS 0001986971646 Ny. Haliati 44 P Tambako
2 3/26/2021 BPJS 0002172811522 Ny. Hasbia 64 P Desa Lora
Desa
3 3/26/2021 BPJS 0002172617932 Ny.Maryam. M P
Hambawa
4 3/26/2021 BPJS 0000952961578 Ny. Sunarti 22 P Desa Lora
5 3/26/2021 BPJS 0000954027909 Ny. Yana 38 P Desa Lora
6 3/26/2021 U Ny. Isna 30 P Desa Lora
7 3/26/2021 BPJS 0002172619304 Ny. Zaina Wanti P Desa Lora
8 3/26/2021 BPJS 0003075469288 An. Ilmi 3 P Desa Laloa
9 3/26/2021 BPJS 0002641225555 Ny. Wanawia 30 P Desa Lora
Desa Pulau
10 3/27/2021 BPJS 0002641222776 Tn. Aminung 31 L
Tambako
Desa Pulau
10 3/27/2021 BPJS 0002641222776 Tn. Aminung 31 L
Tambako
Desa
11 3/27/2021 BPJS 0000954415102 Tn. Hamim 61 L
Pomontoro
12 3/29/2021 BPJS 0002744800918 Tn. Akbarlin 44 L Kel.Doule
13 3/29/2021 BPJS 0000953717865 Ny.Mina 52 P Desa Lora
Desa Pulau
14 3/29/2021 G Tn. Ladinu L
Tambako
Desa Pulau
15 3/29/2021 BPJS 0000963693796 Ny.Dewi Masita P
Tambako
Desa Pulau
16 3/29/2021 BPJS 0002740757411 Tn.Agus L
Tambako
Desa Pulau
17 3/29/2021 BPJS 0002740757624 An. M.Rizal.A 5 L
Tambako
18 3/29/2021 BPJS 000277282132 Ny. Wasaluma 76 P Desa Toli-Toli
19 3/30/2021 G Ny. Nurkaya 50 P Desa Lora
Desa
20 3/30/2021 BPJS 0002172617932 Ny. Maryam P
Hambawa
Desa Pulau
21 3/30/2021 BPJS 0001886152353 An. Arif N 10 L
Tambako
22 3/30/2021 BPJS 0000953526137 Tn. Lasundi 95 L Desa Lora

23 3/30/2021 BPJS 0002172617122 Wasanaba 70 P Desa Pulau
Tambako
24 3/30/2021 BPJS 0000953499857 Tn. Suparman 47 L Desa Lora
Desa Pulau
25 3/30/2021 BPJS 0001941320171 Ny. Nawara 50 P
Tambako
26 3/30/2021 BPJS 0002747709786 Ny. ST. Jawa 68 P Desa Lora
27 3/30/2021 G An. Rafa 6 L Desa Lora
Desa Pulau
28 3/31/2021 BPJS 0002641222776 Tn. Aminung 31 L
Tambako
Desa Pulau
29 3/31/2021 G Tn. Dahlan 31 L Tambako
30 3/31/2021 BPJS 0002925727402 An. Abdul Syarif L Desa Lora
31 3/31/2021 BPJS 0000953704361 Ny. Nurmawati 53 P Desa Lora
Desa Pulau
32 3/31/2021 BPJS 0001987207119 Ny. Farida 34 P
Tambako
33 3/31/2021 BPJS 00002642249878 Muh. Nabil 10 L Desa Lora
34 3/31/2021 BPJS 0000953523753 Ny. Nani 45 P
35 4/1/2021 G Ny. Dewi 23 L Desa Lora

35 4/1/2021 G Ny. Dewi 23 L Desa Lora
36 4/1/2021 G Tn. Masdal 28 L Desa Lora
37 4/1/2021 BPJS 0001987190187 Ny. Suati 35 P Desa Lora
38 4/1/2021 BPJS 0001986959136 Ny. Mariati 52 P Desa Lora
39 4/1/2021 BPJS 0000133954389 Ny. Sukaesi P Desa Lora
Desa Pulau
40 4/1/2021 BPJS 0003065078665 Tn. Faisal 30 L
Tambako
Desa Pulau
41 4/1/2021 BPJS 000034174136 Ny. Tati Suhartin P
Tambako
42 4/1/2021 BPJS 0002744800918 Tn. Akbarlin L Rumbia
43 4/1/2021 BPJS 0002921298759 An. Assauqi P Desa Lora
44 4/1/2021 G An. Muh. Rizky 5 P Desa Lora
Desa
45 4/1/2021 BPJS 0002641221358 Karmila 21 P
Hambawa
46 4/1/2021 G Ayas 18 bln L Desa Lora

46 4/1/2021 G Ayas 18 bln L Desa Lora
47 4/1/2021 BPJS 0000954102789 Ny. Riska 24 P Desa Lora
Desa Pulau
48 4/1/2021 BPJS 0000953598036 Ny. Suriadi 49 P
Tambako
Desa Pulau
49 4/1/2021 BPJS 0000953715824 Tn. Supardi 54 L
Tambako
50 4/1/2021 BPJS 0003065078755 An. Alfatih 5 L Desa Pulau

Tambako
Desa
51 4/1/2021 G Tn. Yamna 40 L
Puuwaeya
Desa Pulau
52 4/3/2021 G Sri Hardianti 29 P
Tambako
Desa Pulau
53 4/3/2021 G Alifa Farzana 3 P
Tambako
54 4/3/2021 BPJS 00001339521451 Ny. Sutiarti P Desa Lora
55 4/3/2021 BPJS 00009535261337 Tn. Lasudi 95 L Desa Lora
56 4/3/2021 BPJS 952748447 Ny. Hasbia 44 P Desa Liano
57 4/5/2021 BPJS 0000954107829 Ny. Astin 22 P Desa Lora
58 4/5/2021 BPJS 0002921298759 An. Assauqi 2 L Desa Lora

58 4/5/2021 BPJS 0002921298759 An. Assauqi 2 L Desa Lora
59 4/5/2021 BPJS 0000952845568 Tn. Abdul Latif 52 L Desa Lora
Desa Pulau
60 4/5/2021 BPJS 0000953715824 Tn. Supardi 53 L
Tambako
61 4/5/2021 BPJS 0000953059803 Ny. Tima. S P Desa Lora
62 4/5/2021 BPJS 0001987218819 Ny. Rosni 35 P Desa Lora
63 4/5/2021 BPJS 0000953732991 Ny. Darmia 39 P Desa Lora
64 4/5/2021 BPJS 0000133985079 Ny. Darma 50 P Desa Lora
65 4/5/2021 BPJS 0002747306845 Ny. Fatmawati P Desa Lora
66 4/5/2021 BPJS 0002590808984 Ny.Rutiana 34 P Desa Lora
67 4/5/2021 BPJS 0000954454601 Ny. Hanija P Desa Laloa
68 4/5/2021 BPJS 0000953463126 Ny. Haya 47 P Desa Lora
Desa Pulau
69 4/5/2021 G An. Putri 1 P
Tambako
Desa Pulau
69 4/5/2021 G An. Putri 1 P
Tambako
70 4/5/2021 BPJS 0000953737029 Ny. Asmila 23 P Desa Lora
71 4/5/2021 BPJS 0001275941114 An. Riska Marsandi 25 P Desa Lora
Desa Pulau
72 4/6/2021 BPJS 0002641224677 Ny. Hasia 55 P
Tambako
Desa Pulau
73 4/6/2021 BPJS 0000953710637 Tn. Ld. Hamiru 65 L
Tambako
74 4/6/2021 BPJS 0000952903765 Tn. Guntur 60 L Desa Lora
Desa
75 4/6/2021 BPJS 0001941322307 An. Sufianti 17 P
Puuwaeya
Desa
76 4/6/2021 BPJS 0001941322285 Ny. Mukmin P
Puuwaeya
77 4/6/2021 BPJS 0002172619067 An. Rafa 11 L Desa Lora
78 4/7/2021 U Tn. Sunarto 24 L Desa Lora
79 4/7/2021 BPJS 0000953457884 Ny. Masni 32 P Desa Lora
80 4/7/2021 BPJS 0002594492471 Ny. Mila 36 P Desa Laloa
81 4/7/2021 BPJS 0002172616198 Ny. Lisnawati P Desa Lora

81 4/7/2021 BPJS 0002172616198 Ny. Lisnawati P Desa Lora
Desa Pulau
83 4/7/2021 G An. Albais L
Tambako
84 4/8/2021 G Yusraini 16 P
85 4/8/2021 BPJS 0002172614804 Ny. Rosni P Desa Lora
Desa
86 4/8/2021 BPJS 0000954457841 Tn. Asani 31 L
Pomontoro
Desa
87 4/8/2021 BPJS 00026033411833 An.Aisyah 7 P
Pomontoro
Desa
88 4/8/2021 BPJS 0002241219025 Ny. Dewi sasmita 28 P
Pomontoro
Desa
89 4/8/2021 BPJS 00026033411833 An. Aisya 7 P
Pomontoro
90 4/8/2021 BPJS 0002059396672 Tn. Masdal 28 L Desa Lora
Desa Pulau
91 4/8/2021 BPJS 0001941320114 Alya Nur P P
Tambako
Desa Pulau
92 4/8/2021 BPJS 0000952922913 Ny. Rosna 38 P
Tambako
Desa Pulau
93 4/8/2021 BPJS 0000953698386 Rasid L
Tambako
Desa Pulau
93 4/8/2021 BPJS 0000953698386 Rasid L
Tambako
94 4/9/2021 G Tn. Ariadi 38 L Desa Lora
95 4/9/2021 BPJS 0002000328175 Tn. Burhan 35 L Desa Lora
Desa
96 4/9/2021 BPJS 0000953959803 58 P
Pomontoro
97 4/9/2021 BPJS 0000134212116 Tn. Khaerudin L Desa Lora
Desa
98 4/9/2021 BPJS 0000954446319 Ny. Yusriani 33 P Pomontoro
99 4/10/2021 BPJS 0000953710637 Tn.Ld. Hamiru 66 L Desa Pulau

Tambako
100 4/10/2021 BPJS 0001941319383 Nn. Nirma 16 P Desa Toli-Toli
101 4/10/2021 BPJS 0001888335876 Naufan Caesar 11 L Desa Lora
102 4/10/2021 BPJS 00002921298759 Assauqi Dhafa 1 L Desa Doule
Desa Pulau
103 4/10/2021 BPJS 0001986971646 Ny. Haliati 44 P
Tambako
104 4/10/2021 BPJS 0002474249253 Ny. Sriwahyuni 32 P Desa Lora
105 4/10/2021 BPJS 0000133211889 Tn. Asdar 32 L Desa Lora

105 4/10/2021 BPJS 0000133211889 Tn. Asdar 32 L Desa Lora
Desa Pulau
106 4/10/2021 BPJS 0000953779061 Tn. Zaidir 34 L
Tambako
Desa Pulau
107 4/10/2021 G Caya 3 P
Tambako
Desa Pulau
109 4/10/2021 BPJS 0000134174136 TAN 30 P
Tambako
Desa Pulau
110 4/11/2021 BPJS 0001941323242 Tn. Hendrik 27 L Tambako
111 4/11/2021 BPJS 0002172615118 Ny. Masming 25 P Desa Lora
112 4/11/2021 BPJS 0001941223139 Tn. Firman 33 L Desa Lora
113 4/11/2021 BPJS 0002172932774 Tn. Tirman L Desa Lora
Desa
115 4/11/2021 BPJS 0001941321251 Ny. Ice 33 P
Pomontoro
116 4/12/2021 BPJS 0001941326755 Ny. Hayati 50 P Desa Lora

117 4/12/2021 BPJS 0002172614804 Ny. Rosni P Desa Lora
118 4/12/2021 BPJS 0000953731732 Ny. Nirma p Desa Lora
119 4/12/2021 BPJS 0002172924876 Ny. Nurtin 59 P Desa Lora
Desa
120 4/12/2021 BPJS 0000953350659 Ny. Rosdiana 33 P
Pomontoro
121 4/12/2021 BPJS 0002172614837 Faisal L Desa Lora
122 4/13/2021 BPJS 000133211891 Nn. Asniar 29 P Desa Lora
Desa
123 4/13/2021 BPJS 0002641221358 nn. Karmila 21 P
Hambawa
Desa Pulau
124 4/13/2021 BPJS 0002740757411 Tn. Agus 34 L
Tambako
126 4/14/2021 BPJS 0002447733894 nn. Asnidar 27 P Desa Lora

126 4/14/2021 BPJS 0002447733894 nn. Asnidar 27 P Desa Lora
127 4/14/2021 BPJS 0002827940051 Andi Harida 45 P Desa Laloa
Desa Pulau
128 4/14/2021 BPJS 0000953698386 Tn. Rasid 70 L
Tambako
129 4/14/2021 BPJS 0000953526666 Ny. Esnawati 47 P Desa Lora
Desa Pulau
130 4/14/2021 BPJS 0001941320169 Tn. BASIR 75 L
Tambako
131 4/14/2021 BPJS 0001941322263 Ny. Sahriawanti P Desa Liano
Desa Pulau
132 4/15/2021 BPJS 0001941320081 Musdalifa 5 P
Tambako
Desa Pulau
133 4/15/2021 BPJS 0000953792122 Ny. Hasma. M P
Tambako
134 4/15/2021 BPJS 0002172617379 Ny. Nurlia 33 P Desa Lora
Desa
135 4/15/2021 BPJS 0001941322252 Tn. Abdul Asis 44 L
Puuwaeya
136 4/15/2021 BPJS 0002747406701 Ny. Dina 60 P Desa Lora
Desa Pulau
137 4/15/2021 G An. Agam L
Tambako
Desa Pulau
137 4/15/2021 G An. Agam L
Tambako
138 4/16/2021 BPJS 0000952904338 Ny. Supia 52 P Desa Lora
139 4/16/2021 BPJS 0002172921917 Ny. Hasma 42 P Desa Lora
140 4/16/2021 BPJS 0002172921941 An. Fitria 7 P Desa Lora
141 4/16/2021 BPJS 0002641222776 Tn. Aminung 31 L Desa Pulau

Tambako
142 4/16/2021 BPJS 0002918733366 Tn. Hasrudin L Desa Lora
143 4/16/2021 BPJS 0000953446026 Ny. Nurkaya 49 P Desa Lora
144 4/16/2021 BPJS Tn. Hasan 32 L Desa Lora
145 4/16/2021 G An. Naufan
146 4/17/2021 BPJS 0000133952141 Ny. Sutiarti 47 P Desa Lora
Desa
147 4/17/2021 BPJS 0001941321251 Ny. Ice 33 P Pomontoro
Desa Pulau
148 4/17/2021 BPJS 0000133963773 Ny. Fiarni 45 P
Tambako
149 4/17/2021 BPJS 0002172615805 Ny. Erma 25 P Desa Lora

150 4/17/2021 BPJS 0000953989931 An. Anjar 14 L Desa Pulau
Tambako
151 4/17/2021 G An. Alfiah Kamila 2 P Desa Tajuncu
Desa Pulau
152 4/19/2021 BPJS 0000953698386 Tn. Rasid 70 P
Tambako
153 4/19/2021 BPJS 0002642249553 Ny. Muliana 47 P Desa Lora
154 4/19/2021 BPJS 000953757461 Ny. Yuyun 35 P Desa Lora
Desa Pulau
Tambako
Desa Pulau
156 4/19/2021 BPJS 0001941318729 Ny. Asmin 30 P
Tambako
157 4/19/2021 BPJS 0002751482406 Tn. Sumardin 45 L Desa Lora
Desa Pulau
158 4/19/2021 G Ny. Yusniar P
Tambako
Desa
159 4/19/2021 BPJS 0000953968443 Ny. Nuriala 58 P
Pomontoro
160 4/20/2021 BPJS 0000954026212 Ny. Saeda 69 P Desa Lora

160 4/20/2021 BPJS 0000954026212 Ny. Saeda 69 P Desa Lora
161 4/20/2021 BPJS 0000954514091 Ny. Nursana 47 P Desa Laloa
162 4/20/2021 BPJS 0000954425384 Ny. Yamni 51 P Desa

Pomontoro
Desa Pulau
163 4/20/2021 BPJS 0000953988884 Ny. Wauko P
Tambako
164 4/20/2021 BPJS 0000953508407 Tn. Jumading 53 L Desa Lora
Desa Pulau
165 4/20/2021 BPJS 0002641224677 Ny. Sitti Hasia 50 P
Tambako
Desa
166 4/20/2021 G Tn. Firmansyah 32 L
Pomontoro
167 4/20/2021 G Ny. Wa Ase 56 P Desa Lora
Desa Pulau
168 4/20/2021 BPJS 0000954043119 Tn. Najamudi 65 L Tambako
169 4/20/2021 BPJS 0001431382331 An.M. Lorana 16 L Desa Lora
Desa Pulau
170 4/21/2021 BPJS 0000156922964 Ny. Darmawati, S.Pd P
Tambako
Desa Pulau
171 4/21/2021 BPJS 0000954088097 Ny. Watambe 66 P
Tambako
Desa Pulau
171 4/21/2021 BPJS 0000954088097 Ny. Watambe 66 P
Tambako
172 4/21/2021 BPJS 00019872186606 Arsal 11 L Desa Pulau

Tambako
173 4/21/2021 BPJS 0001987218326 Arcan 14 L Desa Pulau

Tambako
174 4/21/2021 BPJS 0000954025986 Tn. Paharudin 72 L Desa Lora
175 4/21/2021 BPJS 0000954104049 An. Fadil 15 L Desa Lora
Desa Pulau
176 4/21/2021 BPJS 0001074940705 Ny. Esri Triana P. 24 P Tambako
177 4/21/2021 G Ny. Darmawati 25 P Desa Pulau

Tambako
Desa Pulau
178 4/21/2021 G An. Reski 2 L
Tambako
Desa Pulau
179 4/22/2021 BPJS 000203017173 Ny. Nurhapenas 37 P
Tambako
Desa Pulau
180 4/22/2021 BPJS 0000133963773 Ny. Fiarni 45 P
Tambako
181 4/23/2021 BPJS 0002918733366 Tn. H. Nasrudin L Desa Lora
182 4/23/2021 BPJS 0000953503547 Ny.Yusmin 23 P Desa Lora

182 4/23/2021 BPJS 0000953503547 Ny.Yusmin 23 P Desa Lora
183 4/23/2021 BPJS 0000953737841 Tn.Muhamalu 79 L Desa Lora
184 4/23/2021 G Tn.Milo L Desa Lora
185 4/24/2021 BPJS 0001789877777 Tn. H.Arifin L Desa Lora
186 4/24/2021 BPJS 0000952860712 Ny. Nurwaida P Desa Lora
Desa Pulau
Tambako
Desa
188 4/24/2021 BPJS 0000953350042 Tn. Isnan L
Hambawa
189 4/24/2021 BPJS 0001074966502 Ny. Sindi 10 P Desa Lora
Desa
190 4/24/2021 BPJS 0002749113832 Tn. Malu 67 L
Puuwaeya
191 4/24/2021 U An. Kesya 1 P Desa Laloa
Desa
192 4/24/2021 BPJS 0001079990525 An. Adrian 16 L
Hambawa
Desa
192 4/24/2021 BPJS 0001079990525 An. Adrian 16 L
Hambawa
193 4/24/2021 BPJS 0002641222667 Tn. Aminung 31 L Desa Pulau

Tambako
Desa Pulau
194 4/24/2021 G Mona P P
Tambako
BPJS 165
Umum 3
G 26
Total Resep (A) 194
Kunjungan Polindes
BPJS 46
G 2
Total (B) 48
Total (A+B) 242

HARIAN APOTIK
TTV (mmHG, cm, Diagnosa Nama Obat Jumlah Aturan

kg) Obat Pakai
9 10 11 12 13
56 Prednison 20 2x1
156 Asma Brongchial Pehavral 10 1x1
Paracetamol 20 3x1
Metrformin 30 2x1
Pehavral 10 1x1
DM + Asma

Dispepsia +
158 Catopril 25 10 2x1
Hyperusemia
58 Allopurinol 100 10 2x1
153 Pehavral 5 1x1
Hipercolestrol
39
120/80 Natrium Diklofenat 50 10 3x1

Artritis
Amoxicillin 10 3x1
120/80 Ibuprofen 400 20 3x1

163 Pehavral 5 1x1
Cefalgia
63
148 Antasida 10 3x1

46 Dispepsia Omeprazole 5 1x1
Pehavral 5 1x1
11 Natrium Diklofenat 25 5 3x1/2
OA + COUGH
Ambroxol syr 1 2x1
Procurma syr 1 2x1
155 Dispepsia + DM Omeprazole 5 1X1
78 Metrformin 10 2X1
160 Natrium Diklofenat 50 10 2x1
Frunkel
60 Pehavral 10 1x1
Frunkel

154 Asma Brongchial Dexametasone 20 3X1
49 B1 20 2X1
160 Tonsilitis Becefort 5 1x1
Piroxicam 10 2x1
Nefrotiliasis
Prednison 10 2x1
120/80 Loperamid 10 3x1
164 Oralit 5 1x1
Diare+Scabses
68 Antifungi 1 2x1

Otitis Media
Pehavral 10 1x1
100/70 Ibuprofen 400 10 3X1
156 CTM 10 3X1
60 ISPA Prednison 10 3X1
115 Ibuprofen syr 1 3x1

28 Febris
Amlodipin 10 10 1x1
Furosemide Ampl 1
HT Metoclopiramide Ampl 1
100/90 Cetirizine 10 1x1

159 Dermatitis Betamethasone 10 3x1
69 Metokonazole 10 2x1
120/80 Ibuprofen 400 10 3x1
152 CTM 10 2x1
ISPA
45 Prednison 10 2x1
105 Paracetamol 5 3X1/2

23 ISPA CTM 5 3X1/2
GG 5 3x1/2
170 Mialgia Ibuprofen 400 10 3x1
60
180/120 Amlodipine 5 20 1x1
HT+Cefalgia
70 Pehavral 10 1x1
120/70 Asam Mefenamat 10 3x1
160 Mialgia Amoxicillin 500 10 3x1
53 Pehavral 10 1x1
Alergi
65 Prednison 10 3x1
180/90 Catopril 25 10 2x1
150 Hipertensi + MialgiaPiroxicam 10 2x1
55 Pehavral 10 1x1
104 Amoxicillin syrI 10 3x1
20.5 Ibuprofen syr 10 3x1
Tonsilitis
Prednison 5 2x1
120/80 Keconazole 10 1x1

164 Tinea Keconazole Zlf 2 2x1
60
Abses
60 Natrium Diklofenak 50 10 2x1
Eritromicin 250 5 Puyer

Dexamethasone 3 Puyer
ISPA
GG 3 Puyer
100/70 ibuprofen 500 10 3x1
155 Cefalgia Ranitidine 10 3x1
55 Becefort 10 1x1
100/70 Loratadine 10 2x1
Dexamethasone 10 2x1
Dermatitis
B.Com 10 2x1

Thermis
Procurma syr 1 1x1
110/70 Ranitidine 10 3x1

152 Dispepsia Ibuprofen 400 10 3x1
53 Becefort 10 3x1
70/p Ciprofloxacin 500 20 3x1
Ispa + Hipotermi
Ispa + Hipotermi Paracetamol 20 3x1
Pehavral 20 1x1
110/70 Piroxicam 10 2X1
Atritis
70 Asam Traneksamat 10 2X1
B1 10 2X1
160/80 Amlodipin 10 20 1x1
HT
Ranitidin 20 2x1
Diazepam 4 2x1
Amlodipin 10 10 1x1
Frunkel + HT Ciprofloxacin 500 10 3x1
80/P Ciprofloxacin 500 20 2x1
Ispa
Pehavral 10 1x1
Ambroxol 10 3x1
CTM 20 3x1
ISPA
Vit. C 10 1X1
Dexametasone 10 3x1
Chlorampenicol 10 3x1
Alergi Betametasone 1 2x1
Ambroxol 10 3x1
Vit. C 10 3x1
ISPA CTM 10 3x1
Acyclofir 400 10 4x1/2

Acyclofir Zalf 1 3x1
Nespes Zooster
111 Ambroxol syr 1 3x1

ISPA
19 Procurma 1 1x1
100/80 CTM 20 3x1
CC
55 B.Com 10 2x1
Ambroxol syr 10 3x 1/2

CTM 10 3x1/4
CC
CC
Procurma syr 2 1x1
80/P Ibuprofen 400 20 3X1

44 Ranitidin 10 3X1
Cefalgia + Hipotensi
154 Pehavral 10 1X1
CTM 10 2X1
110/p Vit. C 10 3x1
147 ctm 20 3x1
Stomatitis
52 Prednison 20 3x1
140/P Amoxicillin 500 20 3X1

Invelasi Lokal +
164 Asam Mefenamat 20 3X1
v.ictum
54 Dexametasone 10 3X1
OBH 1 3x1
Procurma syr 1 3x1
ISPA
110/70 20 20 3X1
168 10 10 2X1
OA
70
100/70 Metilergometrin 10 3x1

160 Amenorea Ibuprofen 400 20 3x1
54 Pehavral 10 1x1
94 Procurma 2 1x1
14 Anonereksia
Loratadin 10 3X1
Dermatitis Prednison 10 2x1
Vit. C 10 2X1
130/80 GG 10 3x1
150 COUGH Pehavral 10 1x1
50 Cefadroxil 10 2x1
170/90 Cimetidin 20 2X1
145 Amlodipin 10 20 1X1
46 HT+PPOK+Dispepsi Salbutamol 4 VII PUYER
a
CTM VII PUYER
Ambroxol VII PUYER
100/80 Antasida 10 3X1
Ranitidin 10 3X1
Dispepsia Ibuprofen 400 20 2X1
B1 20 1X1

ISPA
ISPA Procurma syr 2 1x1

Hipotensi+Dispeps CTM 10 2x1
155 ia Antasida 20 3x1
48 Ranitidin 20 2x1
Frunkel+Abses
Dexametasone 10 3x1

165 Piracetam 10 2x1
NNS
44 B1 10 2x1
Cefadroxil 10 2x1
VERTIGO
Pehavral 5 1x1
54 0A B1 10 2X1
90/P Pehavral 10 1x1

Antasida 10 3x1
Hipotensi+Dispepsia
Ranitidin 10 2x1
120/90 CTM 10 2x1

Insomnia+Cefalgia
60 Ranitidin 10 2x1

Simvastatin 20 10 2X1
HT+ Hipercolestrol
160 Piroxicam 10 2X1
70 B1 10 2X1
160 PARACETAMOL 500 20 3X1
G3 P2 A0
67 B.Com 10 2X1
160/90 amlodipin 5 20 1X1

158 Ranitidin 10 2X1
HT+Dispepsia
36 Natrium Diklofenat 10 2X1
B1 10 2X1
Domperidon 1 3x1
Vomitus
Vomitus
100/P Antasida 20 2x1

Ranitidin 20 2x1
Dispepsia
Pehavral 20 1x1
PARACETAMOL 500 10 3x1
40 Loperamid 10 2x1
GEA
Oralit 10 3x1
Piroxicam 10 2X1
Metil Prednison 10 2X1
OA
B1 10 2X1

B1 10 2x1
OA+ HT
Cimetidin 10 2x1
Antasida syr 1 3x1
90/P Ibuprofen 400 10 3x1
ISPA
72 Ambroxol 10 3x1
Pehavral 10 1x1
90/60 CTM 10 2x1
Alergi Dexametasone 10 2X1
Vit. C 10 1x1
Cefadroxil 10 2x1
OA
Pehavral 10 1x1
Metil Prednison 10 2x1
PARACETAMOL 500 10 3x1/2
Febris
Procurma syr 1 1x1

163 ISPA Prednison 10 3x1
59 Pehavral 5 1x1
Infeksi Lokal
Prednison 10 3x1

Abses Asam Mefenamat 10 3x1
Prednison 20 2x1
90/p Salbutamol 4 20 3X1
ASMA GG 20 3X1
ASMA
Dexametasone 10 3X1
110/80 antasida 10 2x1
147 Dispepsia+ISPA Ambroxol 20 3x1
50 Pehavral 10 1x1
Paracetamol syr 1 3x1/2
Febris
Procurma syr 1 1x1
100/60 Dexametasone 20 3x1/2

153 Dermatitis CTM 20 3x1/2
43
Caries Dental
60
100/70 Griseovulvin 10 1x1

160 Dermatitis Dexametasone 10 2X1
58 Ketoc zalf 2 2x1
Becefort 20 1x1
Loratadin 20 1x1
CC
16
110/70 Ibuprofen 400 30 3x1

155 Pehavral 15 1x1
Cefalgia
61
Ibuprofen 400 2 3x1

Ambroxol syr 2 3x1
ISPA
Procurma syr 1 1x1

ISPA
72 Vit. C 10 1x1
112 Ibuprofen 400 20 3X1

Cotrimoksazole 1 2X1
Febris
Domperidon 1 3X1
140/80 Natrium diklofenak 25 10 3x1

Prednison 10 3x1
OA+ HT
170 Pehavral 10 1x1
70 Catopril 12,5 10 1x1/2
160 CTM 10 3x1
ISPA Prednison 10 3x1
ISPA
60 PARACETAMOL 500 10 3x1
Pehavral 10 1x1
Betametasone salf 2 3x1
Hipercolestrol
Ketoc zalf 1 1

160 HT Ibuprofen 400 10 2x1
64 Ranitidin 10 2x1
Piroxicam 10 2x1
NNS
B1 10 2X1
Diazepam 1 1X1
140/100 Ciprofloxacin 500 10 2X1
Decubitus Natrium diklofenak 25 10 2X1
B.Com 10 2X1
Omeprazole 10 1X1
Ranitidin 10 2X1
Dispepsia
Pehavral 10 1X1
CTM 10 3X1
160/P Amlodipin 5 10 1x1
HT+dispepsia+OA
53 Ranitidin 10 2x1
Allopurinol 10 2x1
100/p Antasida syr 2 3X1
145 Gastrtis Ranitidin 20 2X1
GG 10 3x1/2
Ibuprofen 10 3x1/2
ISPA
CTM 10 3x1/2
Clhorampenicol syr 10 3x1/2
ISPA
Salbutamol 4 20 2x1
Dexametasone 20 2x1
Asma Brongkhial
B.com 10 1x1

Dispepsia + Diare
62 Oralit 5 2x1
130/90 CTM 20 3x1

Alergi
Alergi
Piroxicam 10 2X1
Prednison 10 2X1
RA
B1 10 2X1
95
15 Albendazole 4 1x1
Ascariasis
SF 30 1x1
Becefort 10 2x1
Anemia
Ibuprofen 10 3x1
Pehavral 10 1x1
ibuprofen 400 10 3x1
ISPA Ambroxol 10 3x1
Prednison 10 3x1
CTM 10 3x1
110/P Ciprolaxin 10 3X1
171 Paracetamol 500 15 3X1
ISPA
Dexametasone 10 3X1
GG 10 3X1
90/P Amoxicillin 500 10 2x1
Nadic 25 10 2x1
Tr. Tumpul
Prednison 15 2x1

OA + Otitis Prednison 10 2x1
Cefadroxil 10 2x1
Ciprolaxin 10 3x1
V.Ictum Asam Mefenamat 10 3x1
Dexametasone 10 3x1
151 Ciprolaxin 10 3x1

Asam mefenamat 10 3x1
Mastitis
Dexametasone 10 3x1
B.Com 10 2x1
100/70 Ketocenazole 10 2x1
Dermatitis
58 Ketocenazole Zalf 2 2x1

Ranitidin 10 3x1
Antasida
Asma Brongchial+ Dispepsia 5 3x1
Asma Brongchial+ Dispepsia
160/100 Amlodipine 10 10 1x1

Hopertensi+Dispe Ranitidin 10 2x1
psia Ibuprofen 400 10 2x1
90/p Ciprolaxin 20 3x1

155 Asam mefenamat 20 3x1
52 V. Ictum Dexametasone 20 3x1
Becefort 10 1x1
155 Allopurinol 100 10 2X1

Hiperuresemia+ Piroxicam 10 2X1
Dispepsia Omeprazole 10 1X1
B1 10 2x1
90/60 SF 20 3x1
G4 P3 A0
110/70 Piroxicam 10 10 2x1

Frunkel+Dispepsia

156 Catopril 12,5 20 2x1
Febris + HT
60
Ciprolaxin 10 3x1
GG 10 3x1
ISPA
Diazepam 4 1x1
Ceftriaxon 2
Metoclopiramide Amp 1
Oralit 10
GEA
100/80 Ibuprofen 400 10 3x1

150 Influenza+Dispepsi Ranitidine 20 3x1
60 a Antasida 30 3x1

Prednison 10 2x1
Hematom
Hematom
Natrium Diklofenat 25 10 2x1

Prednison 10 2x1
Frunkel
Cetirizine 20 1x1
Beta 1 2x1
Ambroxol 10 3x1
ISPA CTM 10 3x1
60 Becefort 10 1x1
160 Becefort 10 1x1
Cefalgia

Alergi+Caries Gigi
Ranitidine 20 2x1
Dispepsia
Eritromicin 10 3x1
Tonsilufaringitis
Ambroxol syr 1 3x1

Omeprazole 10 1x1
Gastritis+Tonsilitis
Eritromicin 20 3x1
120/80 Pirantel 2 1x2
Ascariasis

Hernia Inguinalis Asam mefenamat 10 3X1
Dex
B6 10 3X1
90/P Antasida SYR 1 2X1
Ranitidine 10 2X1
Dispepsia
B6 10 2X1

ISPA
ISPA
Ambroxol syr 1 3x1
110/90 GG 10 3X1
160 CTM 10 2X1
CC
60 Prednison 10 2X1
Cefadroxil 10 2X1
110/70 Ibuprofen 400 10 3x1
68 ISPA CTM 10 3x1
Ambroxol 10 3x1
ibuprofen syr 1 3x1

Febris Amoxicillin syr 1 3x1
120/80 Ibuprofen 400 20 3X1

164 Mialgia Prednison 20 3X1
60 B1 10 3X1
120/P Catopril 25 10 1x1
164 Becefort 10 1x1
78 HT Ringan
140/P Amlodipin 5 20 1x1

149 HT+ Alergi Simvastatin 10 20 1x1
78 Ketoconazole zalf 1 3x1
ASMA
68 Becefort 30 1x1
Calac 10 2x1/2
Artritis Becefort 5 1x1
Prednison 10 2X1
150 ISPA CTM 10 2X1
53 GG 10 2X1
100/70 Ibuprofen 400 20 3x1
155 ABSES Amoxicillin 500 10 3x1
59 Prednison 10 2x1
Cefalgia Becefort 10 1x1

42 Prednison 10 2X1
LBP
B1 10 2X1
Procurma 1 1x1
febris
Cotry syr 1 2x1

GG 3 Puyer
GEA + ISPA CTM 3 Puyer
12 Ibuprofen 3 Puyer
Zink 10 Puyer
170 Ambroxol 1 3x1
Mialgia + Ispa Natrium Diklofenat 25 10 2x1
70 Becefort 10 1x1
Prednison 10 3x1
158 Metformin 10 2x1
DM+ Mialgia
Becefort 10 1x1
Prednison 10 2x1
Ambroxol 10 3x1
CTM 10 3x1
ISPA+ALERGI Prednison 10 3x1
Becefort 10 1x1
Cetirizine 10 1x1
Amlodipin 5 10 1X1
Antasida SYR 2 2X1
Dispepsia
Ranitidine 10 2X1
B6 10 2X1
Dexametasone 10 3x1
Caries
B.COM 10 2x1
120/80 Asam mefenamat 20 3x1
74 Vulnus Prednison 20 3x1
Gentamicin 2 2x1
Oxytetracylin 1 2x1
CALAK 10 1x1
Mialgia

Ht+ Dispepsia
Ranitidine 20 2x1
Kongstipasi + OA
natrium Diklofenat 50 10 2x1
Kongstipasi + OA
Prednison 10 2x1

GG 10 2X1
HT+COUGH
B1 10 2X1
110/80 Natrium Diklofenak 50 10 2X1

BI 10 2X1
OA
Prednison 10 2X1

DM

52 Pitacetam 20 2x1
NNS
Becefort 10 1x1
Ranitidine 20 2x1
140/100 Amlodipin 5 10 1X1
47 HT+OA Piroxicam 20 10 2X1
B1 10 2X1
Hernia Inguinalis
62 Becefort 10 1x1
110/80 Brtahistine 10 2x1

Vertigo + Antasida 10 2x1
Dispepsia Ranitidine 10 2x1
180/100 Catopril 50 10 2X1
B1 10 2X1
HT
150 Betametasone Zalf 1 1x1

45
Dermatitis
110/90 Betahistine 10 2x1

Vertigo
Becefort 10 1x1
150/100 Oxy Zalf 1 1x1

151 Ambroxol 10 3x1
Kongjugtifis+HT+IS CTM 10 3x1
PA
Kongjugtifis+HT+IS
PA
Paracetamol 10 3x1
Amlodipin 5 10 3x1
20 Paracetamol 5 3x1/2
Ambroxol 5 3x1/2
ISPA
CTM 5 3x1/2
Procurma Syr 1 1x1
Antasida 10 3x1
Febris
Becefort 10 1x1
145 Antasida 10 3x1

Paracetamol 10 3x1
Dispepsia
Becefort 5 1x1

Ambroxol 10 3x1
ISPA Amoxicillin 500 10 3x1
CTM 10 3x1
Becefort 5 1x1
100/70 Antalgin 10 3x1
Mialgia
43

ISPA
Prednison 10 3x1
Becefort 5 1x1
Febris
Procurma Syr 1 1x1
80/60 SF 30 1x1
55 Alergi
100/70 Ibuprofen 400 10 3x1

147 B12 10 2x1
Cefalgia
119

170 Antasida 10 2X1
HT
Becefort 10 1X1
110/70 SF 30 1x1
Gravid
148
Gravid
53.9

151 GG 10 2x1
Vertigo + PPOK
39 Prednison 10 2x1
B.Com 10 2x1
CTM 10 2x1
Becefort 10 2x1
Insomnia
Dexamethasone amp 2 injek

Ciprolaxin amp 1 injek
Ketorolac amp 1 injek
Syok Anafilactik
Becefort 10 1x1

Catopril 12,5 10 2x1
Alergi+HT
90/70 Cendoxitrol tts mata 1 2x1

56 kongjutifis Ranitidine 10 3x1
Becefort 10 1x1
120/80 Ketoconazole 30 2x1

Prednison 30 2x1
Dermatitis
Ketoconazole Zalf 30 2x1
Loratadine 30 2x1
123 Procurma 1 1x1
24
Anorexia

Cefixime 10 2x1
HT+COUGH
GG 10 2x1
Prednison 10 2x1
CTM 5 3x1/4
Dermatitis
Procurma syr 1 1x1/2
Betametasone Zalf 1 2x1
Albendazole 14 1x1
dermatitis + Pyrantel 2 1x2
ASCARIASIS
dermatitis +
ASCARIASIS Betametasone Zalf 2 1x2
120/80 Ibuprofen 400 10 3x1

164 Cefalgia CTM 10 3x1
60 Becefort 10 1x1
17 Procurma syr 2 2x1
Febris
Lora, 25 April 2021

Pengelola Obat
Bulan : Mei
Tahun : 2021
No Tanggal Jenis Nomor Kartu (BPJS) Nama Pasien Umur Jenis Alamat
1 2 3 4 5 6 7 8
Desa Pulau
1 4/26/2021 BPJS 0000953710637 Tn. Ld. Hamiru 65 L Tambako
2 4/26/2021 BPJS 0002642249553 Ny. Muliafia 42 P Desa Lora
3 4/26/2021 BPJS 0000953765493 Tn. Alibasri 47 L Desa Lora
4 4/26/2021 BPJS 0002827941063 An. Putri Velyani 8 P Desa Lora
Desa Pulau
5 4/26/2021 BPJS 0001886169712 An. Sakti 7 L
Tambako
Desa
6 4/26/2021 BPJS 0000954441775 Tn. Nawir.P L
Pomontoro
Desa Pulau
7 4/27/2021 BPJS 0001074940705 Ny. Esri P
Tambako
Desa
8 4/27/2021 BPJS 0002641221358 nn. Karmila 22 P
Hambawa
Desa
9 4/27/2021 BPJS 0002172617932 Ny. Maryam 34 P
Hambawa
Desa Pulau
10 4/27/2021 BPJS 0000954026245 Ny. Hasrifa 17 P
Tambako
Desa Pulau
10 4/27/2021 BPJS 0000954026245 Ny. Hasrifa 17 P
Tambako
Desa Pulau
11 4/27/2021 BPJS 0000953763737 Tn. La Sadi L
Tambako
12 4/27/2021 BPJS 0002918733366 Tn. H. Nasruddin L Desa Lora
13 4/27/2021 BPJS 0000953760014 Tn. Ladohe 67 L Desa Pulau

Tambako
Desa Pulau
14 4/28/2021 BPJS 0002740757512 Ny. Amria 39 P Tambako
15 4/28/2021 U An. Putri 2 P Desa Lora
Desa Pulau
16 4/28/2021 U An. Jumardin 9 L
Tambako
17 4/28/2021 G An. Aftur 8 L Desa Pulau

Tambako
18 4/28/2021 BPJS 0000953446026 Ny. Nurkaya 48 P Desa Lora
Desa Pulau
19 4/28/2021 BPJS 0001941318797 Ny. Ratna 26 P
Tambako
20 4/28/2021 BPJS 0002474249253 An. Muh Farhan 6 L Desa Lora
22 4/28/2021 BPJS 0000953699139 Anita P Desa Lora

22 4/28/2021 BPJS 0000953699139 Anita P Desa Lora
23 4/28/2021 BPJS 00018855050246 Lala P Desa Lora
24 4/28/2021 G Tn. Sahuna L Desa Pulau

Tambako
Desa Pulau
25 4/28/2021 BPJS 000953981752 Tn. Dahlan L Tambako
Desa Pulau
26 4/28/2021 BPJS 0002641222776 Tn. Aminung 31 L Tambako
27 4/29/2021 BPJS 000952893191 Ny. Fatia P Desa Lora
28 4/29/2021 G An. Azizah 6 P Desa Lora
29 4/29/2021 BPJS 000095297396 An. Faris 12 L Desa Lora
30 4/29/2021 BPJS 0000954059951 Tn. Baharudin L Desa Lora
31 4/29/2021 BPJS 0002747406701 Ny. Dina 61 P Desa Lora
32 4/29/2021 BPJS 0000952904338 Ny. Supia P Desa Lora
33 4/29/2021 BPJS 0002746119172 Hasanuddin 31 L Desa Lora
34 4/29/2021 G
34 4/29/2021 G
35 4/30/2021 BPJS 0000668402324 Ny. Ramla 57 P Desa Lora
36 4/30/2021 BPJS 0000953987883 Ny. Hariana 56 P Desa

Pomontoro
37 4/30/2021 BPJS 00002827939882 Ny. Cece Andriani 26 P Desa Laloa
38 4/30/2021 BPJS 0000954514091 Ny. Nursana 46 P Desa Laloa
Desa
39 4/30/2021 BPJS 0000954443665 An. Celsi 11 P
Pomontoro
41 5/3/2021 BPJS 0001975401832 Ny. Hasni 40 P Desa Lora
42 5/3/2021 BPJS 0002642250036 Ny. Aqil 14 P Desa Lora
43 5/3/2021 BPJS 0002642249463 Ny. Supia 59 P Desa Lora
44 5/3/2021 BPJS 0000952869789 Ny. Wapundu 78 P Desa Lora
45 4/3/2021 BPJS 0001941320171 Nawara 50 P Desa Pulau

Tambako
Desa Pulau
45 4/3/2021 BPJS 0001941320171 Nawara 50 P
Tambako
Desa
46 5/3/2021 BPJS 0000954434665 Ny.Maena P
Pomontoro
47 5/3/2021 BPJS 0002175172872 Ny. Tajuncu 59 P Desa Lora
Desa
48 5/3/2021 BPJS 0000953939553 Ny. Erna 55 P Pomontoro
49 5/3/2021 BPJS 0002172812444 Kasmiruddin 28 L Desa Laloa
50 5/3/2021 BPJS 0000952922913 Ny. Rosna 36 P Desa Lora
51 5/3/2021 BPJS 0000953962492 Tn. Yusrin 44 L Desa

Pomontoro
52 5/3/2021 BPJS 0002172812409 Tn. Kadir 59 L Desa Laloa
Desa Pulau
53 5/3/2021 BPJS 0000953682456 Ny. Sitia P
Tambako
Desa Pulau
54 5/3/2021 BPJS 0000953698386 Tn. Rasid 60 L
Tambako
55 5/3/2021 BPJS 0001920907474 An. M. Alwi 8 L Desa Lora
56 5/3/2021 BPJS 0000952883549 Ny. Anti 22 P Desa Lora

57 5/3/2021 BPJS 0000954050771 Ny. Sumarni 47 P
58 5/3/2021 BPJS 0002172923831 Ny. Hajra 40 P Desa Lora
59 5/3/2021 G Tn. Nilo L Desa Lora
Desa Pulau
60 5/3/2021 G Tn. Ruslin 43 L
Tambako
62 5/3/2021 BPJS 0000952746524 Tn. Muslimin 46 L Desa Liano
63 5/3/2021 BPJS 0000952923701 An. Feldi L Desa Lora
Desa Pulau
64 5/3/2021 G An. Zalza 2 P Tambako
65 5/3/2021 G Hasnatang 71 P Desa Liano
Desa Pulau
66 5/4/2021 BPJS 0000171603549 Ny. Rosnia 42 P Tambako
Desa Pulau
67 5/4/2021 BPJS 0002495952077 An. Nurkaida 3 P
Tambako
Desa Pulau
67 5/4/2021 BPJS 0002495952077 An. Nurkaida 3 P
Tambako
68 5/4/2021 BPJS 00024749703 An. Muh Fathan 7 L Desa Lora
69 5/4/2021 BPJS 0000953988884 Ny. Wa Uko P Desa Pulau

Tambako
70 5/4/2021 BPJS 0002172615401 Tn. Amborappe 30 L Desa Tajuncu
Desa Pulau
71 5/4/2021 G Muh. Qadim 7 L
Tambako
72 5/4/2021 G An. Fikram 2 L Desa Lora
73 5/5/2021 BPJS 0001264426806 An. Nurfahmi 11 P Desa Lora
74 5/5/2021 BPJS 0002172614815 An. Olivia 13 P Desa Lora
75 5/5/2021 BPJS 0001889665457 Ny. Jumria 44 P Desa Lora
76 5/5/2021 BPJS 0000953459537 Ny. Asrianti 38 P Desa Lora
77 5/5/2021 BPJS 0003074634652 Tn. Suharman L Desa Lora
Desa Pulau
78 5/5/2021 BPJS 0003065078755 An. Alfatih 5 L
Tambako
79 5/5/2021 BPJS 0000201159944 Ny. Agustian 57 P Desa
Pomontoro
Desa Pulau
80 5/5/2021 BPJS 0000134174136 Ny. Taty Suhartin 30 P
Tambako
82 5/5/2021 BPJS 0000133211867 Ny. Darmawati 59 P Desa Lora
83 5/5/2021 BPJS 0001889842296 Yusril 22 L Desa Lora
84 5/6/2021 BPJS 0002587533059 Muh. Khassya 10 L Desa Lora
85 5/6/2021 BPJS 0002173173096 Tn. Dg. Sarro L Desa Lora
Desa Pulau
86 5/6/2021 BPJS 0000953999133 Tn. Saheri 60 L
Tambako
87 5/6/2021 BPJS 0002642249553 Ny. Muliana 47 P Desa Lora
Desa
88 5/6/2021 BPJS 0000952736218 Ny. Rosmini 46 P
Puuwaeya
Desa
89 5/6/2021 BPJS 0001941322285 Ny. Mukmin 82 P Puuwaeya
90 5/6/2021 BPJS 0000162977387 Tn. Umar Uba 48 L Desa Lora

91 5/6/2021 BPJS 0001987216626 Imran 83 L Desa Lora
92 5/6/2021 G An. Syifa 6.5 P Desa Lora
93 5/7/2021 BPJS 0000953502636 Tn. Halim 51 L Desa Lora
94 5/7/2021 BPJS 0001282543097 Ny. Erna P Desa Lora
95 5/8/2021 BPJS 000095390654 Tn. Safrudin 47 L Desa Liano
Desa
96 5/8/2021 BPJS 0002495907606 An. Anisa 3 P
Pomontoro
Desa
97 5/8/2021 BPJS 0000133986148 Tn. Rudinfin 61 L
Pomontoro
98 5/8/2021 BPJS 0000954415102 Tn. Hamim 63 L Desa

Pomontoro
Desa Pulau
99 5/8/2021 BPJS 0002367123309 An. Kadim 8 L
Tambako
100 5/8/2021 BPJS 00002172615401 Tn. Amborappe 30 L Desa Tajuncu
Desa Pulau
101 5/8/2021 BPJS 0000952784065 An. Prajab 13 L
Tambako
102 5/8/2021 U An. Azka 11 L Desa Lora

102 5/8/2021 U An. Azka 11 L Desa Lora
103 5/10/2021 BPJS 0000953526137 Tn. Lasundi 89 L Desa Lora
Desa Pulau
104 5/10/2021 BPJS 0002204350964 Nn. Fauzi Nulla 18 P
Tambako
105 5/10/2021 G Sabna 54 P Desa Laloa
106 5/10/2021 BPJS 0002172811522 Ny. Hasbia 64 P Desa Lora
Desa Pulau
107 5/10/2021 BPJS 0001851163806 Tn. H. Ramli 65 P Tambako
108 5/10/2021 G Ny. Rahima 50 P Desa Tajuncu
110 5/10/2021 G An. Hamid 15 L Desa Lora
111 5/11/2021 BPJS 0001074940255 Ny. Dorkas 63
112 5/11/2021 BPJS 0000952746709 Ny. Mastan P Desa Liano
113 5/11/2021 BPJS 0001941322285 Ny. Muymin P Desa

Puuwaeya
Desa
113 5/11/2021 BPJS 0001941322285 Ny. Muymin P
Puuwaeya
Desa
114 5/11/2021 BPJS 0001941321317 Tn. Akmal 51 L
Pomontoro
115 5/11/2021 BPJS 0001941321328 Ny. Saida 46 P Desa

Pomontoro
116 5/11/2021 BPJS 0002746119172 Hasan 31 L Desa Lora
117 5/11/2021 G Ny. Martan 70 P Desa Liano
118 5/11/2021 G An. Nuravivah 2.7 P Desa Lora
119 5/11/2021 G Tn. Samsuddin 41 L Desa Lora
Desa Pulau
120 5/17/2021 BPJS 0002641222776 Tn. Aminung 31 L Tambako
Desa
121 5/17/2021 BPJS 0000953939171 Tn. Bakri 63 L
Pomomtoro
Desa
122 5/17/2021 BPJS 00009539395553 Ny. Erna 53 P Pomomtoro
Desa
123 5/17/2021 U An. Sasfa 1.5 P
Pomomtoro
Desa
123 5/17/2021 U An. Sasfa 1.5 P
Pomomtoro
124 5/17/2021 BPJS 0000133951421 Tn. Lambua 58 L Desa Lora
125 5/17/2021 BPJS 0002172614848 Muh. Akbar 14 L Desa Lora
Desa Pulau
126 5/17/2021 BPJS 0001074940604 Tn. Samsir 44 L
Tambako
127 5/17/2021 BPJS 0000959005343 Tn. Sambira L Desa Lora
128 5/17/2021 BPJS 0002172924279 An. Ferni 6 P Desa Lora
129 5/17/2021 BPJS 00020301773 Ny. Nurharpenas 37 P Desa Pulau

Tambako
130 5/17/2021 BPJS 0002925727402 An. Arif 1.5 L Desa Lora
Desa Pulau
131 5/17/2021 BPJS 0001851163806 Tn. H.Ramli L
Tambako
132 5/17/2021 U Tn. Ferdi L Desa Lora
Desa
133 5/17/2021 G Ny. Mariati 50 P
Tahuncu
134 5/17/2021 G Tn. Ferdi

134 5/17/2021 G Tn. Ferdi
Desa
135 5/18/2021 G Ny. Sukaesih P
Pomontoro
136 5/18/2021 BPJS 0000952973796 An. Faris 11 L Desa Lora
137 5/18/2021 BPJS 0001986971343 Ny. Wacuni 41 P Desa Lora
Desa
138 5/18/2021 BPJS 0000953691175 Tn. Harimudin 40 P
Batusempe
139 5/18/2021 BPJS 0002367123017 Ny. Muhajirin L Desa Lora
140 5/18/2021 BPJS 0002367123028 Ny. Fardianti P Desa Lora
Desa
141 5/18/2021 BPJS 0000952705012 Tn. Yaco 66 L
Puuwaeya
142 5/18/2021 BPJS 0002747306845 Ny Fatmawati P Desa Lora
144 5/18/2021 BPJS 0000954025986 Ny. Paharudin L Desa Lora
145 5/18/2021 BPJS 0002000583854 Wa Hube P Desa Pulau

Tambako
Desa Pulau
145 5/18/2021 BPJS 0002000583854 Wa Hube P
Tambako
Desa Pulau
146 5/18/2021 BPJS 0000953999133 Tn. Saheri L
Tambako
147 5/19/2021 BPJS 0000133951421 Tn. Lambua 58 L Desa Lora
148 5/19/2021 BPJS 0001074107351 Tn. Lapou 51 L Desa Lora
149 5/19/2021 BPJS 000104107417 Dewi 13 P Desa Mawar
Desa Pulau
150 5/19/2021 BPJS 000953701097 Ny. Ratna 39 P
Tambako
151 5/19/2021 BPJS 0002074245131 An. Halwah P Desa Lora
152 5/19/2021 BPJS 0001105118886 H. Nurdin L Desa Laloa
153 5/19/2021 BPJS 0001957206895 Tn. Asbar 38 L Desa Lora
154 5/19/2021 BPJS 0002918733682 Ny. H. Hasma 39 P Desa Lora
Desa Pulau
155 5/19/2021 BPJS 0003065078665 Tn. Faisal 30 L
Tambako
Desa
156 5/19/2021 G Tn. Hamidin 29 L
Mawasangka
Desa
156 5/19/2021 G Tn. Hamidin 29 L
Mawasangka
157 5/19/2021 G An. Fadil 18 L Desa Lora
158 5/19/2021 G An. Fandi 16 L Desa Lora
Desa Pulau
160 5/19/2021 U Nur Ayu Fatimah P
Tambako
161 5/20/2021 BPJS 0000953702302 Ny. Yeti Desa Lora
162 5/20/2021 BPJS 0000953683863 Ny. Marawia P Desa Lora
163 5/20/2021 BPJS 0000952939719 Ny.Risma L Desa Lora
Desa
164 5/20/2021 BPJS 0002641219841 Tn. Nibo 50 L
Pomontoro
Desa Pulau
165 5/20/2021 BPJS 0002015244944 Nn. Rasni 15 P
Tambako
166 5/20/2021 BPJS 0002074245131 An. Halwah P Desa Lora
167 5/20/2021 BPJS 0001789877777 Tn. H.Arifin 56 L Desa Lora

169 5/20/2021 BPJS 0000953453373 Ny. Lina. K 36 P Desa Lora
Desa Pulau
170 5/20/2021 BPJS 0011886169712 Ny. Sakti 7 L
Tambako
Desa
171 5/20/2021 BPJS 0000954438085 Tn. Samsul 34 L
Pomontoro
172 5/20/2021 BPJS 0000953781063 Ny. ATI 45 L Desa Lora
173 5/20/2021 BPJS 0002827940106 Tn. Herianto 33 L Desa Laloa
174 5/21/2021 G Ny. Hafsah 52 P Desa Lora
175 5/21/2021 G An. Wahyu 1.5 L Desa Lora
176 5/21/2021 G An.Afika 3 P Desa Lora
177 5/21/2021 G An. Syifa 2 P Desa Lora

178 5/21/2021 BPJS 0000952936211 Ny.Hasria 47 P Desa Lora
179 5/21/2021 BPJS 0000953773661 Tn.Nuing 58 L Desa Lora
180 5/21/2021 BPJS 0001941322252 Tn. Abdul Asis L Desa Lora
181 5/21/2021 U An. Muh Askar 1.1 L Desa Liano
182 5/21/2021 BPJS 0001941322263 Ny. Sahriwanti 43 P Desa Liano
183 5/21/2021 BPJS 0001941322285 Ny. Mukmin P Desa Lora
184 5/21/2021 BPJS 0000952922913 Ny. Rosna P Desa Lora
185 5/21/2021 BPJS 0002172619269 Ny. Asma 37 P Desa Lora
Desa Pulau
187 5/22/2021 BPJS 0002170185884 Ny. Mutia 32 P
Tambako
Desa Pulau
188 5/22/2021 BPJS 0001986968924 Karisna 15 P
Tambako
Desa Pulau
188 5/22/2021 BPJS 0001986968924 Karisna 15 P
Tambako
189 5/22/2021 BPJS 000952736038 Tn. Sirajuddin 57 L Desa

Puuwaeya
190 5/22/2021 BPJS 0000952736218 Ny. Rosmini 44 P Desa

Puuwaeya
Desa Pulau
191 5/22/2021 BPJS 0000953555095 Tn. La Pute L Tambako
192 5/22/2021 BPJS 000226500658 Sonya Ananta 12 P Desa Lora
193 5/22/2021 BPJS 0000953765493 Tn. Ali Basri L Desa Lora
194 5/22/2021 BPJS 000952922913 Ny. Rosna 35 P Desa Lora
195 5/22/2021 BPJS 0000953528512 Febrianti P Desa Lora
Desa Pulau
196 5/22/2021 BPJS 0000953572577 Ny. Cahya 39 P Tambako
197 5/22/2021 BPJS 0000952936211 Ny.Hasria P Desa Lora
Desa Pulau
198 5/22/2021 BPJS 0000953725555 Ny. Hadora 42 P Tambako
199 5/22/2021 BPJS 0001986969824 Nn. Yuni P Desa Lora

199 5/22/2021 BPJS 0001986969824 Nn. Yuni P Desa Lora
200 5/22/2021 BPJS 0002925727402 An. Abdul Syarif 9 L Desa Lora
201 5/22/2021 BPJS 0003076864345 An. Afifah 11 P Desa Lora
202 5/22/2021 BPJS 0000952935726 An. M.Defirza 6 P Desa Lora
Desa
203 5/22/2021 BPJS 0001941322318 Sudiansyah L
Puuwaeya
204 5/22/2021 G Feldi L
205 5/22/2021 G Ny. Nani 32 P Desa Lora
206 5/22/2021 G Ny. Ratna 26 P Desa Lora
207 5/22/2021 G Ny. Erma 26 P Desa Lora
208 5/22/2021 G Ny. Yusria 17 P Desa Lora
Desa Pulau
209 5/22/2021 U An. Jodan Ramadan 2 L Tambako
210 5/24/2021 BPJS 0000954005343 Tn. Sambira 67 L Desa Lora

Desa
212 5/24/2021 BPJS 0000952705012 Tn.Yaco 66 L
Puuwaeya
Desa
213 5/24/2021 BPJS 0002641219841 Tn. Nibo 50 L
Pomontoro
Desa
214 5/24/2021 BPJS 000095393108 Ny. Nurhayati 44 P
Pomontoro
215 5/24/2021 BPJS 0000953722866 Ny.Manawia 70 P Desa Lora
216 5/24/2021 BPJS 000095346 Ny. Parni 32 P Desa Lora
217 5/24/2021 BPJS 0002611586451 Ny. Jamria 34 p Desa Lora
218 5/24/2021 BPJS 00001986968935 An. Bani 15 L Desa Lora
219 5/24/2021 BPJS 0000954081358 Ny. Waase 55 P Desa Lora
Desa
220 5/24/2021 BPJS 0001884903221 Ny. Yoni 28 P
Pomontoro
Desa
221 5/24/2021 BPJS 0002495907606 An. Anisa Putri 3 P
Pomontoro
Desa Pulau
222 5/24/2021 BPJS 0002740757512 Ny. Amria 39 P
Tambako
Desa Pulau
222 5/24/2021 BPJS 0002740757512 Ny. Amria 39 P
Tambako
Desa
223 5/24/2021 BPJS 0000954441775 Tn. Nawir 62 L
Pomontoro
224 5/24/2021 BPJS 0001986968834 An. Muh. Jefri 14 L Desa Lora
Desa
225 5/24/2021 BPJS 0001074939579 Ny. Suhaeni 44 P
Puuwaeya
226 5/24/2021 G Ny. Silfiani 28 P Desa Lora
227 5/24/2021 G An.M. Akbar 6 L Desa Lora
228 5/25/2021 BPJS 0002172811522 Ny.Hasbia P Desa Lora
229 5/25/2021 BPJS 0002586073228 Ny. Samria 36 P Desa Pulau

Tambako
Desa Pulau
230 5/25/2021 BPJS 0001079940619 Ny. Subaini 37 P
Tambako
231 5/25/2021 BPJS 0008074966489 Ny. Nurlia 35 P Desa Lora

BPJS 187
Umum 8
G 36
Total Resep (A) 231
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 231

HARIAN APOTIK
TTV (mmHG, cm, Diagnosa Nama Obat Jumlah Aturan

kg) Obat Pakai
9 10 11 12 13
150/100 Amlodipin 5 20 1X1
148 Antasida 20 3X1
HT+Dispepsia
52 Ranitidin 20 2X1
GG 10 2x1
Natrium Diklofenak 10 2x1
COUGH+ Dispepsia
B.Com 10 2x1
Antasida 10 3x1
Hiperusemia+Frun
kel
Ibuprofen 400 10 2X1
Febris
ibuprofen syr 1 3x1

Febris
20 Albendazol 1 1x1

165 natrium Diklofenak 25 20 2x1
Hiperusemia
Prednison 20 2x1

ISPA Ibuprofen 400 10 2X1
CTM 10 3X1
90/70 SF 10 2x1
160 Antasida 20 3x1
Hipotensi

153 Febris Amoxicillin 500 10 3x1
52 Becefort 10 1x1
80/70 Metoclopiramide 20 3x1
144 B.Com 10 2x1
G1 P0 A0
34.5 Kalk 10 3X1
G1 P0 A0
120/P Allopurinol 100 10 1x1

Hiperusemia Piroxicam 10 2x1
Prednison 20 2x1
Brochopneumoni Ambroxol 20 2x1
160/100 Amlodipin 5 10 1x1

158 Ciprolaxin 500 10 2x1
HT+ ISK

Becefort 20 1x1
Febris

Alergi
8
Ibuprofen syr 1 3x1

Tonsilitis B.Com 4 2x1
16 ibuprofen syr 1 3X1

Dexametashone 5 3X1/2
Febris+ ISPA
Ambroxol 5 3X1/2
CTM 5 3X1/2
HT+ Hipercolestrol Metformin 10 2x1

Mialgia Amoxicillin 500 10 3x1
Becefort 20 2x1
Pirantel 1 1x2
Ibuprofen syr 2 3x1
Askariasis

Dispepsia+ ISPA
78 CTM 10 2X1
Dexametashone 10 2x1
159 Antalgin 20 2X1
Cefalgia
Cefalgia Ranitidin 20 2X1
Prednison 10 2X1

CTM 20 3x1
ISPA
Prednison 10 2x1
Becefort 10 1x1
110/60 Amoxcicillin 500 10 3X1
Piroxicam 10 2X1
Trauma Kapitis
B1 10 2X1
Prednison 10 2X1
Ambroxol 10 3x1
Prednison 10 2x1
ASMA
Salbutamol 4 10 3x1
Loratadin 20 1x1
120/80 Ibuprofen 40 20 3X1
164 ISPA CTM 20 2X1
60 Becefort 10 1X1
162 Simvastatin10 20 2x1
Hipercolestrol
Amoxicillin syr 2 3X1

Febris Paracetamol 500 3 Puyer
CTM 3 Puyer
29 Loratadin 20 2x1
Dexametasone 20 2x1
Dermatitis Alergi
B. Com 10 1x1
Betametasone 1 2x1
110/80 Natrium Diklofenak 25 10 2x1
Prednison 10 2x1
OA
Becefort 5 2x1

147 Dispepsia Ranitidin 10 2x1
44
CTM 10 2x1
iSPA + Hipotermi
B.Com 10 2x1
120/80 Ibuprofen 400 20 3x1
164 GG 20 3x1
ISPA
65 CTM 20 3x1
Becefort 10 1X1
Amlodipine 5 20 1X1
Asma Brongkhial+
HT
Asma Brongkhial+ Salbutamol 4 20 2x1
HT Piroxicam 20 2x1
B1 20 2x1
160/90 Diazepam 4 2x1
150 Insomnia Becefort 5 1x1
65
146 Simvastatin10 20 2x1
HT+Hipercolestrol
Ranitidin 10 10
Antasida syr 1 1
Dispepsia
Antihemoroid 10 2x1
Hemoroid Amoxicillin 500 10 3x1
Asmet 10 3x1
Antasida syr 1 3x1/2
Metoclopiramide 10 3x1/2
Dispepsia+ Alergi
27 Betametasone 1
150/100 Antasida syr 2 2X1

Ranitidin 20 2X1
Dispepsia+HT
Amlodipine 5 10 1X1

ISK Becefort 10 1x1

Febris
120/80 Ibuprofen 400 10 3X1

160 CTM 20 3X1
ISPA
60 Vit.C 10 1X1

158 Amlodipine 5 10 1x1
CC+HT
Becefort 10 1x1
Ambroxol syr 1 3x1
CTM 20 3x1
ISPA
Albendazole 10 1x1
150/90 GG 20 2x1
Prednison 20 2x1
HT+ ISPA
Amlodipine 5 10 1x1

Hiperurisemia
Piroxicam 20 2x1

Vertigo
Becefort 10 1x1
120/80 Betametasone Zalf 2
150 Dermatitis
59
Caries gigi
Asmet 20 3x1
Albendazole 10 1x1
100/80 Ibuprofen 200 20 3x1
Amox 250 20 3x1
V. Lazeratum
160/100 Simvastatin10 20 1x1

157 Hipercolestrol Amlodipine 10 20 1x1
60 Prednison 10 2x1
DM B1 10 2X1

CTM 20 3x1
165 ISPA Prednison 20 3x1
Betametashone Zalf 1 2x1
66 Ambroxol 20 3x1
Alergi Vit.C 10 1x1

58 Prednison 10 2x1
Caries Dentin B12 10 2x1
Asmet 10 3x1
55 HT+DM Ciprofloxacin 500 20 2x1

Ranitidin 20 2X1
Dispepsia B.Com 20 3X1
47 OAT 1x3
Becefort 10 1x1
KP

Asma Brongkhial+ Dexametasone 20 2x1
Dispepsia Ranitidin 20 2x1

Ranitidin 20 2x1
Dispepsia+ HT
amlodipine 5 10 1x1

Tonsilitis+ISPA
63 Ambroxol 10 3x1
Becefort 10 1x1
Febris Pehavral 10 1x1

Ibuprofen syr 1 3X1
Febris+ Alergi
Beta ZALF 2 2X1

156 Vit.C 10 1x1
Dispepsia

ISPA
56 CTM 10 2x1
Becefort 10 1x1
12 Pyrantel 1 1x1
B.Com 3 2x1/2
Askariasis
Askariasis

Ambroxol syr 2 2x1
CC

DM

170 Asmet 10 3X1
OA
65
Ibuprofen syr 10 3x1

Vulnus Laseratum
9 Cetirizine syr 1 2x1/2

Cefadroxil syr 1 2x1/2
Alergi
Ibuprofen syr 2 3x1/2
Prednison 5 2X1/2
ISPA
GG 5 2x1/2

Konjungtifis

Ranitidin 10 2x1
Dispepsia
150 B.Com 10 2x1
157 Hipotermi+ Ibuprofen 400 10 2x1
Cefalgia

63 Ranitidin 10 2x1
Vertigo
Simvastatin10 10 2x1
Chloramfenicol syr 1 3X1

Febris Paracetamol syr 1 3X1
GG 5 3X1/2
OA
B1 10 2X1
Ciprofloxacin 500 10 2x1

Asmet 20 2x1
Otitis M
Dexametasone 10 2x1
OTT Cloramfenicol 1 2x2
140/90 Ibuprofen 400 10 2x1
160 dErmatitis Dexametasone 20 2x1
68 CTM 20 3x1
150/90 Catopril 25 20 1x1
150 Natrium Diklofenak 25 20 2x1
HT+ Dispepsia
Ranitidin 10 2x1
antasida 10 2x1
160 CTM 20 2x1
febris
60 Betahistine 10 1x1
120/80 Cotrimoxazole 10 2x1

65 GEA Ibuprofen 200 10 2x1

68 Metformin 10 2x1
DM Tipe 2

DM Tipe 2 +
66 Amoxicilli 500 10 2x1
Konjungtivitis
158 GG 20 2X1
DM Tipe 2+ Cough
61 Becefort 10 2X1

Dispepsia

OA
metilprednison 10 2x1
Becefort 5 1x1
120/80 Ibuprofen 400 20 3x1
160 CTM 20 3x1
Influenza
50 Becefort 10 1x1
Mialgia
60 B1 10 2X1
8 Domperidone syr 1 3x1

Febris

74 Prednison 10 2x1
Dispepsia Allopurinol 10 2x1
85/60 Ambroxol 10 3x
48 Ibuprofen 10 3x1
ISPA
CTM 10 3x1
Becefort 10 1x1
165 Natrium Diklofenak 25 10 3X1
Dispepsia
Prednison 10 2X1
59 Becefort 10 1X1
13 Cotrimoxazole syr 2 3x1
Febris + GEA
Oralit 10
130/80 Simvastatin10 20 1x1

Hipercolestrol Ibuprofen 400 30 2x1

Prednison 20 2x1
Asma Brongkhial
Becefort 10 1x1
CTM 20 3x1
Ibuprofen syr 2 2x1
Vulnus

Frungkel Asmet 10 2x1

Febris/Dermatitis

Cough+Dispepsia
Cough+Dispepsia Antasida syr 1 3x1/2
Amlodipine 10 20 1x1
Cefalgia+ HT

38 Dermatitis+ ISPA Ambroxol 10 3x1/2
Vit. C 10 2x1
120/80 Ketonazole 30 1x1
Kandidiasis
65 Ketonazole Zalf 2

145 Loperamide 10 3x1
DM+GEA
60 Oralit 3 3x1

Allopurinol 10 2x1
Artritis

159
Cefalgia
54

63 OA+HT
100/60 Cotrimozole 10 2x1

153 Asmet 30 2x1
Frunkel
45 Prednison 10 2x1
150/100 Amlodipin 5 10 1x1

Omeprazole 10 1x1
HT+Dispepsia
Ranitidene 10 2x1

ISPA
CTM 10 3x1
Antasida syr 2 3x1
Gastritis
Gastritis Omeprazole 20 2x1
Ranitidine 20 2x1
110/70 Ibuprofen 400 30 3x1

Vit. B1 20 2x1
Mialgia
Prednison 30 2x1

Colest + Dispepsia
53 Antasida 10 3x1

65 Asma Brongkhial
140/90
157
Dispepsia

10 ISPA GG 10 3X1/4

Vertigo+ Dispepsia
Ranitidine 10 2x1
110/80 Amoxillin 500 20 3x1

164 Nadik 25 20 2x1
62 Frunkel Prednison 10 2x1

Antasida 20 3x1
Dispepsia

46 Metronidazole 10 3X1
Frunkel
Prednison 10 2X1
Cotry syr 1 2X1/2

Paracetamol syr 1 3X1/2
GEA
GEA
10 ZINK 10 1X1
170/90 Amlodipine 5 10 1X1

75 OBH 1 X1
HT+CC
CTM 10 3X1

Prednison 10 2x1/2
V.Eksoriatum
Becefort 10 1X1
Salbutamol 4 10 1X1
ASMA Prednison 10 2X1
OBH 1 2X1
CTM 10 3X1
Cefixime 10 2x1
cough Pro
Metilprednison 5 2x1

110 Prednison 5 2X1/2
16 ISPA Ibuprofen 200 10 3X1
Vit. C 10 2X1

Dispepsia

Ambroxol SYR 3 3X1/2
GEA+ISPA
8 Cotry syr 1 2X1/2
ZINK 10 1X1
140/100 Amlodipine 10 20 1x1
HT+Hiperusemia
Piroxicam 20 20 2x1

ASMET 10 3X1
V. Laseratum
Becefort 5 1X1

156
DM
70
V. Laseratum
ASMET 20 3x1
V. Laseratum Becefort 10 1x1
120/80 Ketoconazole Zalf 1 2X1

Dermatitis+
Vumiting
50 B6 10 2X1
Dermatitis
120/80 Achiclovir 10 4x1

50 Achiclovir Zalf 1 2x1
Herpes Zooster

168 CTM 10 3x1
Dermatitis
74 B.Com 10 1x1
110/90 Ambroxol 20 3X1

CTM 20 3X1
ISPA Dexamethasone 20 3X1
Vit. C 20 1X1
90/P Asam Traneksamat 10 3X1

Hipermenorhea+D
SF 10 1X1
ispepsia
Ranitidine 10 2X1
169 CTM 10 3x1
ISPA + Dispepsia
45 Prednison 10 2x1
Omeprazol 5 1x1
110/70 Ibuprofen 400 10 3X1
50 Cefalgia
120/100 Ibuprofen 400 10 3x1

146 Cefalgia Prednison 10 2x1
37 Becefort 5 1x1
90/P Paracetamol 500 10 3x1
Hipercolestrol
150/90 Ibuprofen 400 10 3x1

150 Atritis Allopurinol 100 10 2x1
Atritis
65 B.Com 10 1x1
165 DM Becefort 10 1x1
65
140/100 Ketoconazole Zalf 1 2x1
Alergi Paracetamol 500 10 3x1
Haemoroid Grad 1
Anti Hemoroid 10 1x1
Amoxicillin250 10 3x1
CTM 10 3x1/2
Alergi
Prednison 10 2x1/2
Bacitracin Zalf 1 2x1
150/90 Catopril 25 10 2X1
B12 10 1X1
HT
CTM 10 1X1
Amoxicillin 500 3 Puyer

CTM 2 Puyer
Febris Paracetamol syr 1 3x1
120/80 Ranitidine 10 3X1

Loperamide 10 3X1
Dispepsia+GEA B6 10 2X1
SF 20 1X1
Salbutamol 4 10 2x1
ASMA
Ciprolaxin 10 2x1
150/P Allopurinol 100 10 1x1

HT+Hiperusemia Amlodipine 10 10 1x1
Piroxicam 10 2x1

Ambroxol 10 3x1
Febris
110/80 Becefort 10 1X1
160 Insomnia+Dispepsi Diazepam 4 1X2
62 a Ranitidine 10 2X1
Insomnia+Dispepsi
a

160 Loratadine 10 2x1
49 Dermatitis Betametasone Zalf 1 2x1
100/60 Antalgin 20 3x1

163
Cefalgia
49
metformin 10 2x1
Hipercolestrol
Miconazole Zalf 1 2x1
Pyrantel syr 1
Vit. C 5 1x1/2
Askariasis+Febris
9 Paracetamol syr 1
170/100 Amlodipine 10 10 1X1

HT

Ranitidine 10 2x1
Dispepsia

Dispepsia+Cough Ranitidine 10 3X1
GG 10 3X1
130/60 Sucralfate syr 1 3x1
Omeprazol 5 1x1
Gastritis
Ranitidine 10 2x1

56 Dispepsia Ranitidine 10 2X1
B1 10 2X1
ISPA

Hiperusemia+DM
Piroxicam 10 2x1
ISPA
ISPA

AFF Implant

ISPA

165 Asmet 10 3x1
68 Abses

Ranitidine 10 2X1
HT

Prednison 20 2X1
Febris
B1 20 2X1

Ambroxol 10 3x1
ISPA CTM 10 3x1
Becefort 5 1x1
Ambroxol 1,1/2 Puyer
8 ISPA CTM 1.1/2 Puyer
Vit.C 1.1/2 Puyer
10 Paracetamol syr 1 3x1/2

Ambroxol 3 Puyer
ISPA CTM 3 Puyer
Vit.C 3 Puyer
Prednison 3 Puyer
Ambroxol 2 Puyer
ISPA CTM 2 Puyer
Vit.C 2 Puyer
Dexamethasone 2 Puyer
Asmet 10 3x1
Caries
100/80 Ibuprofen 400 10 3X1

Insomnia+Cafalgia CTM 10 3X1
140/90 Ibuprofen 400 10 3x1

Antasida 10 3x1
Caries+Dispepsia
Ranitidine 10 3x1
Cotrimoxazole syr 1 3X1

CTM 10 3X1/4
GEA

Post SC+HT
Amlodipine 5 10 1x1
Nadik 50 10 2X1
Prednison 10 2X1
OA
B1 10 2X1

Cefalgia+Dispepsia
B1 10 2X1

Paracetamol 10 3x1
Febris
CTM 10 3x1

Asma Brongkhial Piroxicam 20 2x1
Cefadroxil 20 2x1
Paracetamol 20 3x1
Post Partum Becefort 20 1x1
Cefadroxil 20 2x1
Post Partum
Post Partum
Becefort 20 2x1
120/120 Furesemid 20 2x1

166 Propanolol 10 2x1/2
Chest Point
78

162 Asmet 10 3x1
Dispepsia+ISK

HT+Atritis
6.2 Allopurinol 10 2x1

Ektraksi+Diare
Oralit 5 2x1

158 GEA Loperamide 10 3x1
26 Oralit 3 3x1
CTM 20 3x1
Ambroxol 20 3x1
Becefort 10 1x1
Prednison 10 3x1
ISPA CTM 10 3x1
Ambroxol syr 1 3x1
Paracetamol 10 3x1
157 CTM 10 3x1
ISPA
80 Prednison 10 2x1
Vit.C 5 1x1
Piroxicam 20 10 2X1
Methilprednison 10 2X1
Abses 12
Metronidazole 10 3X1
Ranitidine 10 2X1
110/70 Loperamide 10 3X1
163 Oralit 3 3X1
GEA+Dispepsia
100/60 Paracetamol 500 10 3X1

141 Ambroxol 10 3X1
ISPA
ISPA
35 CTM 10 3X1
Prednison 10 2X1
9 Ambroxol 1.1/2 Puyer
ISPA ctm 1.1/2 Puyer
Vit.C 1.1/2 Puyer
Prednison 1.1/2 Puyer
Ibuprofen SYR 1 3x1
Ambroxol 1.1/2 Puyer
7.5 ISPA CTM 1.1/2 Puyer
Vit.C 1.1/2 Puyer
Prednison 1.1/2 Puyer
Tipoid Fifer Paracetamol syr 2 3x1
Ambroxol syr 2 3x1
Sucralfat syr 2 3x1
Omeprazole 20 1x1
Dispepsia

V.Ictum Asmet 20 3x1

Post Partum
Becefort 10 1X1
SF 10 1X1
Alergi Ibuprofen 400 10 3x1

ISPA Eritromicin 250 10 3x1
CTM 10 3x1
Prednison 10 3x1
CTM 10 3x1
10 Domperidone syr 1 3X1
GG 2 Puyer
GEA/ISPA
CTM 2 Puyer
Vit.C 2 Puyer
153 Cefixime 10 2x1
Ambroxol 10 2x1
Cough
130/90 Piroxicam 20 10 2X1
CTM 20 2X1
146 Atralgia B1 10 2X1
59
100/70 OBH Syr 1 3X1/2

Eritromicin 250 10 3X1
PPOK
Antasida SYR 1 3X1
B6 10 2X1
130/90 Ciprolaxin 500 10 2x1
53 ISK+ DM Metrformin 500 10 2x1
Antasida syr 10 2x1
71 Post Allopurinol 100 10 2x1
NNS+Hiperusemia Simvastatin 10 20 2x1

HT
Ranitidine 20 2X1
100/70 Ibuprofen 400 10 2x1

Cefalgia
CTM 20 2x1
Becefort 5 1x1
dispepsia
100/60 Asmet 10 3x1

V.Laseratum
60 Oxytetracilin Zlf 1 2x1

150 Cefalgia+Hipercole Ibuprofen 400 10 2x1
strol Diazepam 2 1x1
100/70 Asmet 20 3x1
V. Eksoriatum
52 Prednison 20 2x1
12.5 Ibuprofen syr 1 3x1

Ambroxol syr 1 3x1
ISPA
Cotrimoxazole syr 1 3x1
Nadik 50 10 3x1
S. Gigi
S. Gigi
Vit.C 5 1x1
120/80 Cefadroxil 500 10 3x1

Cefadroxil 500 10 2x1
OA+Mioma
Nadik 50 10 2x1
Cotrimoxazole 10 2x1
Loperamide 10 3x1
GEA+Cefalgia Metoclopiramide 10 3x1
Oralit 10 2x1
Ibuprofen 10 3x1
70 Metronidazole 20 3x1
Frunkel
Prednison 20 2x1
90/70 eritromicin 10 3x1
45 Ambroxol 10 3x1
ISPA
CTM 20 3x1
16 Eritromicin 250 10 2x1
Febris
B.Com 10 2x1/2

145 CTM 20 3x1
DM
62 Becefort 10 1x1
Betahistine 10 3X1
FE 10 3X1
Hipotermi
B1 10 3X1
Piroxicam 20 20 2x1
B1 10 2x1
OA
B12 10 2x1
160 Proponolol 5 2x1/2
Dispepsia
B1 10 2x1
Sucralfat syr 2 3x1
Lora, 25 Mei 2021

Pengelola Obat
REKAPAN RESEP HARIAN AP
Bulan : Mei
Tahun : 2021
Jenis Umur Jenis

No Tanggal Nomor Kartu (BPJS) Nama Pasien
1 2 3 4 5 6 7
1 5/27/2021 BPJS 0000952903765 Tn.Guntur 60 L
2 5/27/2021 BPJS 0000134282722 Tn. Dedi Sarwito 32 L
3 5/27/2021 BPJS 0000953502636 Tn. Halim 67 L
4 5/27/2021 BPJS 0000954415102 Tn. Hamim 60 L
5 5/27/2021 BPJS 0001987181998 Tn. Agusman 33 L
6 5/27/2021 BPJS 0000954245327 Tn. Sabri 77 L
7 5/27/2021 BPJS 00009529362 Ny. Hasria 49 P
8 5/27/2021 BPJS 0000954245935 Ny. Sahwati 57 P
9 5/27/2021 BPJS 0002827940051 Ny.Andi Harida 45 P
10 5/27/2021 BPJS 0002916982203 An. Aura 2 P
11 5/27/2021 BPJS 0000953965473 Ny. Nariati 52 P

11 5/27/2021 BPJS 0000953965473 Ny. Nariati 52 P
12 5/27/2021 BPJS 0001074941829 Ny. Yusni 24 P
13 5/27/2021 U An. Muh. Defriza 5 L
14 5/27/2021 BPJS 0000953502636 Tn. Halim 65 L
15 5/28/2021 BPJS 0000954021317 Ny. Buati 53 P
16 5/28/2021 BPJS 0001987218369 Tn.Ardi 25 L
17 5/28/2021 BPJS 0000952904338 Ny.Supia 52 P
18 5/28/2021 BPJS 0002172811678 Ny. Harianti 31 P
19 5/28/2021 BPJS 000156922964 Ny. Darmawati 39 P
20 5/28/2021 BPJS 0002827941096 Ismansyah 6 L
21 5/28/2021 G Zalsa 2 P
22 5/28/2021 BPJS 0002204350964 Nn. Fausia Hulla 19 P
23 5/28/2021 BPJS 0000165569726 Ny. Murgana 49 P

23 5/28/2021 BPJS 0000165569726 Ny. Murgana 49 P
24 5/28/2021 BPJS 0000953776697 Ny. Salwia P
25 5/28/2021 BPJS 0002642248631 Adelia Putri 18 P
26 5/29/2021 BPJS 0002827939871 Tn. Sumran 34 L
27 5/29/2021 BPJS 0000133211889 Tn. Asdar 33 L
28 5/29/2021 BPJS 0000954088097 Ny. Watambe 67 P
29 5/29/2021 BPJS 0000952917952 Tn. Riki 24 L
30 5/29/2021 BPJS 0000953730819 Ny. Muhaena 59 P
31 5/31/2021 BPJS 0002495907606 An. Anisa 3.8 P
32 5/31/2021 BPJS 0000953693796 Nn. Dewi Masita 24 P
33 5/31/2021 BPJS 0000954540887 Ny. Haria 44 P
34 5/31/2021 BPJS 0000954413752 Ny. Nurce 38 P
35 5/31/2021 BPJS 000952705012 Tn. Yaco 66 L

35 5/31/2021 BPJS 000952705012 Tn. Yaco 66 L
36 5/31/2021 BPJS 0000954439721 Tn. Raspin 44 L
37 5/31/2021 BPJS 0003076864345 An. Afifah 11 Bln P
38 5/31/2021 BPJS 0000954441775 Tn. Nawir 62 L
39 5/31/2021 BPJS 0002641219841 Tn. Nibo 49 L
40 5/31/2021 BPJS 0002641225555 Ny. Wanawia 36 P
41 5/31/2021 BPJS 0003051232672 An. Muh. Khanfi L
42 5/31/2021 BPJS 0000953463126 Ny. Haya 50 P
43 5/31/2021 BPJS 00001987131205 Tn. Alibasri 44 L
44 5/31/2021 U Ardi 16 L
45 5/31/2021 U An. Putri 2 P
46 6/2/2021 BPJS 0000198430749 Tn. Samsul Sugiat 42 L

48 6/2/2021 BPJS 0002582294905 An. Nursabilla 11 P
50 6/2/2021 BPJS 0003080151731 An. Muh. Rizky AL. L
51 6/2/2021 BPJS 0000953737841 Tn. Muhamalu 64 L
52 6/2/2021 BPJS 0001851163806 Tn. H. Ramli 60 L
53 6/2/2021 BPJS 0001941320698 Ny. Isa 53 P
54 6/2/2021 BPJS 0003080149648 An. Muh. Dimas 1.8 L
55 6/2/2021 BPJS 0000133985114 Ny. Samuna P
56 6/2/2021 G By. N P
57 6/2/2021 G An. Gifani P
58 6/3/2021 BPJS 0002916982203 An. Aura 4 P

58 6/3/2021 BPJS 0002916982203 An. Aura 4 P
59 6/3/2021 BPJS 0000953698386 Tn. Rasid 61 L
60 6/3/2021 BPJS 0002925727402 Abdul Syarif L
61 6/3/2021 BPJS 0000525659455 Ny.Maryatun 37 P
62 6/3/2021 BPJS 0000954103601 Ny. Risna P
63 6/3/2021 BPJS 0000952801154 Ny. Nurmin P
64 6/3/2021 BPJS 0002172811948 Tn. Mariadi 39 L
65 6/3/2021 U Ny. Salma P
66 6/3/2021 BPJS 0001941320169 Tn.Basir 70 L
67 6/4/2021 BPJS 0000953502996 Ny. Samdia P
68 6/4/2021 BPJS 0000953503953 Ny. Husna P
69 6/4/2021 BPJS 0002172616233 An. Cika P
70 6/4/2021 BPJS 000095295706 Ny. Jumina P

70 6/4/2021 BPJS 000095295706 Ny. Jumina P
71 6/5/2021 BPJS 0000165569725 Ny. Murgana 51 P
72 6/5/2021 BPJS 0002367123039 An. Fhebi 6 P
73 6/5/2021 BPJS 0001282543097 Ny. Erna 41 P
74 6/5/2021 BPJS 0000952859362 Ny. Selfi 27 P
75 6/5/2021 BPJS 0002019807077 Ny. Asnawati 22 P
76 6/5/2021 BPJS 0000953473195 Ny. Siar 53 P
77 6/5/2021 BPJS 000261381468 Abdul Rohib 4.6 L
78 6/5/2021 BPJS 0001074966489 Ny. Nurlia 36 P
79 6/5/2021 BPJS 0000133963773 Ny. Fiarni 45 P
80 6/5/2021 BPJS 0002827941107 Tn. Darman 32 L
81 6/7/2021 BPJS 0001941322858 Tn. Janib 50 L
82 6/7/2021 BPJS 0000198648674 Ny. Suriani 51 P

82 6/7/2021 BPJS 0000198648674 Ny. Suriani 51 P
83 6/7/2021 BPJS 0001074940705 Ny. Esri Triana p
84 6/7/2021 G An. Muh. Febriansah 2.4 L
85 6/7/2021 BPJS 00005855452276 An. Muh. Fadliansyah 6 L
86 6/8/2021 BPJS 0001558042356 Ny. Bau 57 P
87 6/8/2021 BPJS 0001941321183 Ny. Ani 36 P
88 6/8/2021 BPJS 00001941321194 An. Alif 6 L
89 6/8/2021 BPJS 000953768801 Ny. Haliati 45 P
90 6/8/2021 BPJS 00002124777824 Ny. Hasria 49 P
91 6/8/2021 BPJS 0000953446026 Ny. Nurkaya L
92 6/8/2021 BPJS 0000953445723 49 P
93 6/8/2021 G Ny. Hasna 39 P
94 6/9/2021 BPJS 0001074940907 Tn. Darman 42 L

94 6/9/2021 BPJS 0001074940907 Tn. Darman 42 L
95 6/9/2021 BPJS 0001074972071 Ny. Riski 25 P
96 6/9/2021 BPJS 0000953693796 Dewi Masita 23 P
97 6/10/2021 BPJS 0000953574579 Ny. Tasima 49 P
98 6/10/2021 BPJS 0000953987883 Ny. Hariana 56 P
99 6/10/2021 BPJS 0000954443261 Ny. Cici Ramianti 28 P
100 6/10/2021 BPJS 0000954499353 Ny. Sahima 48 P
101 6/10/2021 BPJS 0002925727402 An. Abdul Syarif 1.6 L
102 6/10/2021 BPJS 0000953758304 Ny. Masnia 51 P
103 6/10/2021 BPJS 0000954499792 Ny.Esi P
104 6/10/2021 BPJS 0001987217537 Ny. Alimba 33 P
105 6/11/2021 BPJS 0000952916051 Ny. Suhuria P
106 6/11/2021 BPJS 0000170557539 Nn. Zulaika 13 P

106 6/11/2021 BPJS 0000170557539 Nn. Zulaika 13 P
107 6/11/2021 U An. Muh. Askar 13 Bln L
108 6/11/2021 BPJS 00001941322286 Ny. Mukmin 82 P
109 6/11/2021 BPJS 0000954441775 Tn. Nawir 61 L
110 6/11/2021 BPJS 0000525659455 Ny. Maryatun 37 P
111 6/11/2021 BPJS 000182182458 M.Feby 6 L
112 6/11/2021 BPJS 0000953758304 Ny. Masnia 51 P
113 6/11/2021 BPJS 0000953945291 Dimas 19 L
114 6/11/2021 G Tn. Jaludin 59 L
115 6/12/2021 BPJS 0000953988884 Ny. Wa Uko P
116 6/12/2021 BPJS 0002642250036 Agil 14 L
117 6/12/2021 BPJS 0000953355519 Ny. Nusra 52 P

118 6/12/2021 G An. Zaidan L
119 6/12/2021 BPJS 0000954484738 Tn. Abd Rasyid 61 L
120 6/12/2021 BPJS 0002642249081 Tn. Tono 29 L
121 6/12/2021 BPJS 0001941326755 Ny. Hayati 49 P
122 6/12/2021 BPJS 0000953457884 Ny. Masni 33 P
123 6/14/2021 BPJS 000133352141 Ny. Sutiarti 47 P
124 6/14/2021 BPJS 0002173173175 An. Apriliani 7 P
125 6/14/2021 BPJS 0002495907606 An. Anisa Putri 3, 10 bln P
126 6/14/2021 BPJS 0000954443665 An. Celsi 11 P
127 6/14/2021 BPJS 0000953965473 Ny. Nariati 53 P
128 6/14/2021 BPJS 0000953944457 Tn. Asmudin 37 L

128 6/14/2021 BPJS 0000953944457 Tn. Asmudin 37 L
129 6/14/2021 BPJS 0002642249553 Ny. Muliana 47 P
130 6/14/2021 BPJS 0002519752307 Tn. Mudin 53 L
131 6/14/2021 BPJS 0000952736038 Tn. Sirajuddin 56 L
132 6/14/2021 BPJS 0002586073228 Ny. Samria 36 P
133 6/14/2021 BPJS 0002641224677 Ny. Sitti Hasia P
134 6/14/2021 BPJS 0002320572161 Tn. Laodo 66 L
135 6/14/2021 BPJS 0000953526137 Tn. Lasundi 65 L
136 6/14/2021 BPJS 0002590127998 An. Alfian 9 L
137 6/14/2021 BPJS 0002827940051 Ny. Andi Harida 45 P
138 6/14/2021 G NY.P
139 6/15/2021 BPJS 0000953716116 Ny. Rostina 57 P
140 6/15/2021 BPJS 000953930654 Tn. Safrudin 46 L

140 6/15/2021 BPJS 000953930654 Tn. Safrudin 46 L
141 6/15/2021 BPJS 000953703472 Ny. Daniati 19 P
142 6/15/2021 G An. Agustian 7 bln
143 6/15/2021 BPJS 0000953773997 Ny. Ruhana 25 P
144 6/15/2021 BPJS 0000133963773 Ny. Fiarni 47 P
145 6/15/2021 BPJS 0001885512519 Usy 12 P
146 6/15/2021 BPJS 0001941322263 Ny. Sahriwanti 43 P
147 6/15/2021 BPJS 0001941322465 Tn. Situru 54 L
148 6/15/2021 BPJS 0002519752307 Tn. Mudin 54 L
149 6/15/2021 BPJS 0002172923425 Ny. Jumsia 47 P
150 6/15/2021 BPJS 0001941322847 Ny. Rosmiati 55 P
151 6/15/2021 G Ny. Sumiati 47 P
152 6/15/2021 G Ny. Nurtin 59 P

152 6/15/2021 G Ny. Nurtin 59 P
153 6/15/2021 BPJS 0000953459537 Ny. Asrianti 38 P
154 6/15/2021 BPJS 000952860655 Tn. Darwis 59 L
155 6/15/2021 G 740608421060001 Ny. Mariani 72 P
156 6/15/2021 G Ny. Armian 43 P
157 6/15/2021 G NY. S
158 6/16/2021 BPJS 0002368348929 Ny. Yulianti 34 P
159 6/16/2021 BPJS 0000953355879 Ny. Nutria 57 P
160 6/16/2021 BPJS 00010749490615 Ny. Subaini 37 P
161 6/16/2021 BPJS 0000198648426 Tn. Ilyas 51 L
162 6/16/2021 BPJS 0000133051421 Tn. Lambua 56 L
163 6/16/2021 BPJS 0002925727402 An. Abdul Syarif 1.9 bln L

164 6/16/2021 BPJS 0000133985823 Ny. Waode Basia 57 P
165 6/16/2021 BPJS 0001941323332 Ny. Hapsa 53 P
166 6/16/2021 BPJS 0000133985676 Ny. Jumiati 55 P
167 6/16/2021 BPJS 0000133414402 Tn. Muh. Darul 49 L
168 6/16/2021 BPJS 0000953963188 Ny. Tinirawati 53 P
169 6/16/2021 BPJS 0000953359389 Tn. Hasirudin 50 L
170 6/16/2021 BPJS 0000954453879 Ny. Suna 56 P
171 6/16/2021 G S
172 6/16/2021 G An. Adeva 4, 10 bln P
173 6/16/2021 G Ashanti P
174 6/17/2021 BPJS 0001941321295 An. Marsya 10 P
175 6/17/2021 BPJS 0001941321306 An. Sovi 13 P

175 6/17/2021 BPJS 0001941321306 An. Sovi 13 P
176 6/17/2021 BPJS 0002083975165 Al FATIH 5 L
177 6/17/2021 BPJS 0001987129517 Hasmia P
178 6/17/2021 BPJS 0002204350964 Fausia HULLA 19 P
181 6/17/2021 BPJS 0000953944457 Tn. Asmudin 37 L
182 6/17/2021 BPJS 0001441419761 Muh. Iqrawan 11 L
183 6/17/2021 BPJS 0002642249553 Muliana P
184 6/17/2021 G Asfikasari 32 P
185 6/17/2021 G 7400080107670007 Baco.S L

185 6/17/2021 G 7400080107670007 Baco.S L
186 6/17/2021 BPJS 0000953736366 ito 73 L
187 6/17/2021 BPJS 0001616552347 Ny. Gustina P
188 6/17/2021 G 740608260650001 Tn. Yani 51 L
189 6/17/2021 G An. Nuraisa 6 P
191 6/18/2021 BPJS 0000953968443 Tn. Nasir.M 61 L
192 6/18/2021 BPJS 0000953758304 Ny. Masnia P
193 6/18/2021 BPJS 0001941319383 An. Nirma P
194 6/18/2021 G 7403014107820227 Hardia P
195 6/18/2021 G An. Adiva 1,10 bln P
196 6/18/2021 BPJS 0000953504965 Nurmin P

198 6/18/2021 G 9406084107600047 Ny. Hacce 61
199 6/18/2021 BPJS 0002172922323 Wa Parisa
200 6/18/2021 BPJS 0002642249968 Wa Muna P
201 6/18/2021 BPJS 0000952946212 Tawa 52 P
202 6/18/2021 BPJS 0000953500375 Ny. Rosni 36 P
203 6/18/2021 G 7403034110000203 Ny. Nurlisa 25 P
204 6/18/2021 BPJS 0000954101417 Ny. Gasna
205 6/18/2021 G 7406084803760001 Ny. Wati 44 P
206 6/18/2021 BPJS 0002640293572 Ny. Maria 59 P
207 6/18/2021 G 740608500383009 Ny. Nurkaya 51 P
208 6/18/2021 G 7406084107890009 Ny. Risma 32 P
209 6/18/2021 G Tn. Haslim 57 L

209 6/18/2021 G Tn. Haslim 57 L
7406080841076700
210 6/18/2021 G Ny. Rosminati P
15
211 6/18/2021 G S
212 6/18/2021 G 7406084107780017 Ny. Marawia
213 6/18/2021 BPJS 0000170557539 An. Zulaika 14 P
214 6/18/2021 BPJS 0000953719762 Rosna P
215 6/18/2021 BPJS 0000953781063 Ny. Ati P
216 6/18/2021 BPJS 0002827939893 Hamra P
217 6/18/2021 G 7406085607710001 Ny. Juhaena P
218 6/18/2021 G 7406084107680831 Ny. Mariati P
219 6/18/2021 BPJS 0000953692648 Ny. Mia 41 P
220 6/19/2021 BPJS 0000954067724 Tn. Jufri 45 L
221 6/19/2021 BPJS 0002916982203 An. Aura 4 P

221 6/19/2021 BPJS 0002916982203 An. Aura 4 P
222 6/19/2021 G An. Wandi 7 L
223 6/19/2021 BPJS 0000134174136 Ny. Taty 30 P
224 6/19/2021 BPJS 0000953727412 Tn. Jurahi 70 L
225 6/19/2021 BPJS 0002172618303 Tn. Hasari L
226 6/19/2021 BPJS 0000952926693 Ny. Hasra 39 P
227 6/19/2021 BPJS 0001074940918 Ny. Hasna P
228 6/19/2021 BPJS 0000953609321 Ny. Masnia 38 P
229 6/19/2021 BPJS 0000953682456 Ny. Sitia. D P
230 6/19/2021 BPJS 0000952904338 Ny. Supia P
231 6/19/2021 BPJS 0000952903765 Tn Guntur L
232 6/21/2021 BPJS 00001339633762 Tn. Edy Nursalim L

232 6/21/2021 BPJS 00001339633762 Tn. Edy Nursalim L
234 6/21/2021 BPJS 0002172619416 Tn. Adi L
235 6/21/2021 BPJS 0001986971646 Ny. Haliati P
236 6/21/2021 BPJS 0000953698386 Tn. Rasid 60 L
237 6/21/2021 BPJS 0000953499857 Tn. Saparudin 47 L
238 6/21/2021 BPJS 0000952568093 Tn. Rusdi 38 L
239 6/21/2021 BPJS 0000198648674 Ny. Suriani 52 P
240 6/21/2021 G Ny. Astin 24 P
241 6/22/2021 BPJS 0002611586957 Ny. Jamria 38 P
242 6/22/2021 BPJS 0001941322307 Nn. Sufianti 17 P
243 6/22/2021 BPJS 0001941323196 Ny. Siba 52 P
244 6/22/2021 BPJS 0000953446026 Ny. Nurkaya 48 P
245 6/22/2021 BPJS 0001885925845 An. Ester 8 P

245 6/22/2021 BPJS 0001885925845 An. Ester 8 P
246 6/22/2021 BPJS 0003065078755 An.N 6 L
247 6/22/2021 BPJS 0003085671756 An.Zulfan 3 L
248 6/22/2021 BPJS 0000953757461 Ny.Yuyun 35 P
249 6/22/2021 G Tn. Ariadi 38 L
250 6/23/2021 BPJS 0000953360032 Ny. Arni 46 P
251 6/23/2021 BPJS 0000953737841 Tn. Mahamalu 87 L
253 6/23/2021 BPJS 0002172614804 Ny. Riosni 52 P
254 6/23/2021 BPJS 0002172614815 An. Olivia 12 P
255 6/23/2021 BPJS 0002925727402 An. Abd Syarif 1,6 L
256 6/23/2021 G Ny. S

256 6/23/2021 G Ny. S
257 6/24/2021 BPJS 0001074966489 Ny. Nurlia 36 P
258 6/24/2021 BPJS 0001074966502 An. Sindi 11 P
259 6/24/2021 BPJS 0002172614804 Ny. Rosni 53 P
260 6/24/2021 BPJS 0002172618303 Tn. Harasi 68 L
261 6/24/2021 BPJS 0002019807077 Ny. Asnawia 21 P
262 6/24/2021 BPJS 0001264426806 An. Nur fahmi 11 L
263 6/24/2021 BPJS 0000953457884 Ny. Masnia 33 P
264 6/24/2021 BPJS 0000953732305 Tn. Jaliman 24 L
265 6/24/2021 BPJS 0000133951421 Tn. Lambua L
266 6/24/2021 U An. Rafa Akbar 6 L
267 6/24/2021 U An. Yuda 3,8 L

267 6/24/2021 U An. Yuda 3,8 L
268 6/24/2021 G Hj. Numing P
269 6/24/2021 G Harma.k P
270 6/25/2021 BPJS 0002173173063 Sukma 18 P
271 6/25/2021 BPJS 0003065078755 n 6 L
272 6/25/2021 BPJS 0000952862837 An. Jumarni 12 P
273 6/25/2021 BPJS 0000952860712 Ny. Nurwaida 33 P
274 6/25/2021 BPJS 0002641227502 An. Muh. Ismaul 16 L
275 6/25/2021 BPJS 0000952904338 Ny. Supia 52 P
276 6/25/2021 BPJS 0000952893191 Ny. Fatia 63 P
277 6/25/2021 BPJS 0000953355519 Tn. Nusra 52 L
278 6/25/2021 BPJS 0001987181998 Tn. Agusman 34 L
279 6/25/2021 BPJS 0000954056452 An. Satria 10 P

279 6/25/2021 BPJS 0000954056452 An. Satria 10 P
281 6/25/2021 BPJS 0000949715919 Tn. Ld. Safrin 31 L
282 6/25/2021 BPJS 0000171603549 Ny. Rosnia 43 P
BPJS 187
Umum 8
G 36
Total Resep (A) 282
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 282

RESEP HARIAN APOTIK
TTV (mmHG, Jumlah Aturan

Alamat Diagnosa Nama Obat
cm, kg) Obat Pakai
8 9 10 11 12 13
120/80 Ibuprofen 400 10 3x1
170 GG 10 3x1
Desa Lora ISPA+Kongstivasi
70 CTM 10 2x1
Dulcolax 1
Loratadin 10 2X1
Desa Lora ISPA
Vit.C 10 2X1
130/90 Captropril 25 10 1x1

Desa Lora HT+Dispepsia Sucralfate 1 2x1

Dexametasone 10 3x1
Desa Lora ASMA

Desa 175 Paracetamol 500 10 3x1
ISPA
Pomontoro GG 10 3x1
160/100 Sucralfate 2 3X1

Omeprazole 10 1X1
Desa Tajuncu Dispepsia

Desa Lora Nekrose Pulpa 22 Amoxicillin 500 10 3X1

Piroxicam 10 2X1
Desa Tajuncu Vertigo+HT
52 Betahistine 10 2X1
B1 10 2X1
Desa Laloa HT+Mialgia Ibuprofen 400 10 2X1
Vit. B1 10 1X1
Cotrimoxazole syr 1 3x1
Domperidone syr 1 3x1
Desa Lora GEA
Oralit 5 3x1
110/70 Ciprolaxin 500 10 3X1

Desa Dexametasone 10 3X1
Frunkel
Pomontoro
Desa
Frunkel
Pomontoro B1 10 3X1
Desa
59 Febris Paracetamol 500 10 3X1
Pomontoro
GG 10 3X1
Desa Lora Persistensi

Desa Loa Periodantitis Kronis 36

Desa Lora Dispepsia

Desa Lora Frunkel+Otitis Asmet 10 3x1
ttes Telinga 1 3x1

160 Simvasatin 10 20 1x1
Desa Lora Anorexia+Hypercol
Paracetamol 500 10 3X1

Desa
ISPA Prednison 10 3X1
Pomontoro
CTM 10 3X1
110/70153 Ibuprofen 400 10 3x1

Desa Pulau Ambroxol 10 3x1
Cefalgia+ISPA
61 Becefort 5 1x1
Ambroxol 5 Pyr
Desa Laloa ISPA
CTM 3 Pyr
Vit.C 3 Pyr
Desa Pulau Paracetamol syr 1 3x1
Tambako Febris

Desa Pulau Alergi+Caries ggi ibuprofen 200 10 3x1
Tambako
145 Smvastatin 10 10 1x1
Desa Lora Hipecolestrol

Nadic 25 10 2x1

Desa Lora Dermatitis
57 Ketoconazole 10 2x1

Desa Lora ISPA
42 Becefort 5 1x1

Prednison 10 3X1
Desa Laloa Mialgia+ CC
Becefort 10 1X1
CTM 10 2X1
Desa Lora HT+ISPA
60 CTM 20 2x1
Ambroxol 20 3x1
150/p Amlodipine 5 20 1x1
Desa Pulau Betahistine 10 3x1
HT+Vertigo
62 Metformin 500 10 2x1
Desa Lora ISPA
B.Com 10 3x1
120/70 Betahistine 10 3X1

Desa Pulau 148 Antasida 10 3x1
Vertigo
Tambako Piroxicam 10 10 3X1
Becefort 5 1X1
13.6 Pyrantel syr 1
Desa
Ascarasisi
Pomontoro

Desa Pulau 145 Ambroxol 10 3x12x1
Tambako CC
45 Prednison 10 3x1
CTM 10
Desa Mawar ISPA
54 CTM 10 3X1
Betametasone Zalf 2
Cetirizine 20 3X1
Desa Laloa Alergi
Dexametasone 20 3X1
Vit. C 20 2X1
45 Etambotol 27 1x3
Desa Puuwaeya TB Becefort 10 1x1
Desa Puuwaeya TB

Cetirizine 20 3x1
Desa Laloa D. Alergi
Dexametasone 20 3x1
Vit. C 20 2x1
Ambroxol 1 pyr
CTM 1 pyr
Desa Lora ISPA
7.5 Vit. C 1 pyr
Prednison 1 pyr
Allopurinol 20 2x1
Desa Nadic 25 20 2x1
AU+GV
Pomontoro Cefadroxil 10 2x1
Prednison 10 2x1
110/70 Metformin 500 20 2x1
Desa 157 Ranitidine 20 2x1
Pomontoro DM
53

153
Desa Lora HT+ISPA
80

11 Ambroxol 1 pyr
Desa Hambawa ISPA CTM 1 pyr
Vit. C 1 pyr
Dexametasone 1 pyr
140/p Antasida 10 3x1
Desa Lora 38 Dispepsia+HT Sr 1 Amlodipine 5 10 1x1
110/70 Piroxicam 10 10 2X1

Desa Lora Hiperusemia
71 Allopurinol 10 2X1
110/P Amoxicillin 500 10 3x1

Dexametasone 10 3x1
Desa Lora Abces

Desa Lora Febris
90/80 Glibencloude 10 2x1/2

Desa Pulau 154 GG 10 3x1
DM
Tambako Antasida 10 3x1
Desa Pulau Antasida 10 3x1
HT+Dispepsia
Tambako Ibuprofen 400 10 3x1

GG 10 3x1/2
Desa Laloa ISPA

Dexametasone 20 3x1
Desa Lora ISPA
150 CTM 20 3x1
110 Ambroxol syr 1 3X1
Ibuprofen syr 1 3X1
Desa Lora ISPA
CTM 5 3X1/2
Vit. C 5 3X1/2
155 GG 10 3X1
Desa Lora Vertigo+PPOK
Prednison 10 3X1
Becefort 5 1X1
Desa Pulau
HT+Hiperusemia Allopurinol 20 1x1
Tambako
Piroxicam 10 20 2x1
Betahistine 10 2x1
Desa Tajuncu Vertigo Becefort 5 1x1
Antasida 10 3x1
78 Paracetamol Syr 2 3x1/2
Desa Lora ISPA Amoxicillin syr 1 3x1/2

Desa Pulau
ISPA Becefort 5 1x1
Tambako
Omeprazole 10 1x1
Becefort
Desa Laloa Febris
Amoxicillin syr 1 3X1/2

GG 10 3X1/4
Desa Pulau ISPA Prednison 10 3X1/4
Tambako

Ambroxol syr 2 3x1
Desa Lora ISPA Tetes Telinga 1 2x1
Desa Lora ISPA
Becefort 10 1x1
amoxicillin 500 10 3x1
Desa Pulau
Cefalgia Ibuprofen 400 10 3x1
Tambako
Prednison 10 3x1
Piirantel 4 1x1
Pirantel 4 1x1
Desa Lora Alergi+Febris
Ibuprofen syr 1 3x1
Amox syr 1 3x1
Desa Lora DM

Ranitidine 20 2x1
Desa Lora Dispepsia
140/90 Glibenclamide 5 2X1/2

Furosemide 10 2X1
Desa Liano DM Ranitidine 10 2X1
Desa Lora Colestrol
Becefort 10 1x1
Piroxicam 10 10 2x1
Metilprednisone 10 2x1
Desa Lora P.Irreverseel 38
Cefadroxil 10 2x1

Desa Pulau 166 Prednison 10 3x1
Mialgia
Tambako 70 Asmet 10 3x1
Becefort 10 1x1
Prednison 10 2x1
Desa Lora Hiperusemia+HT
Amlodipine 5 10 2x1
GG 10 3x1
Prednison 10 3x1
Desa Lora COUGH

Desa Lora Febris
GG 10 3X1/2
100/60 Ibuprofen 400 10 3x1
Desa Lora ISPA

Ambroxol 10 3x1
Desa Lora ISPA
CTM 10 3x1
Neurovit 5 1x1
Desa Lora Hipercolestro+Dispepsia
Omeprazole 20 1x1
102 Paracetamol 500 5 3X1/2

18 Ambroxol 5 3X1/2
Desa Lora ISPA
Prednison 5 3X1/2
CTM 5 3X1/2
Desa Lora Gastritis
Becefort 10 1x1
120/100 Cipro 10 3x1
Desa Pulau B1 10 1x1
Dispepsia+Mialgia
Tambako Ranitidine 10 2x1
Piroxicam 20 10 2x1
Desa Pulau Metilprednisone 10 2x1
Abses 26
Tambako Metronidazole 15 3x1
Ranitidine 10 2x1
Piroxicam 20 10 2x1
Desa Lora Abses 23
Metronidazole 10 2x1
Ranitidine 10 2x1
10 Cotrimoxazole 1 3x1
Desa Lora GEA
Oralit 5 2x1
110/80 CTM 10 2x1

Ketonazole 10 2x1
Desa Lora Alergi
Becefort 5 1x1
Prednison 10 2x1
Desa Pulau amoxicillin 500 10 3x1
Dermatitis+Mialgia
Tambako asmet 10 3x1
Ranitidine 10 3x1
Prednison 20 3X1
Desa Laloa Mialgia
Becefort 20 1X1

Desa Lora HT
Diaz 1 1x1
Desa Liano Febris

Prednison 20 3X1
Desa Liano Febris

Desa Pulau CTM 10 3x1
ISPA
Tambako Cefadroxil 10 3x1
Ambroxol 10 3x1
Desa Pulau
Dermatitis CTM 5 3x1/4
Tambako
Ambroxol syr 2 3x1
ISPA

HT+OA Piroxicam 20 10 2X1
B1 10 2X1
Desa Kalak 10 3x1
Pomontoro GIVP3A0
Becefort 10 1x1/2
Desa
Hipotensi
Pomontoro

Asma Brongcial
Tambako 50 ctm 20 3x1
90/60 Ketonazole 30 3x1

Prednison 20 2x1
Nadic 25 10 2x1
Ketonazole Zalf 3 2x1
Amlodipine 10 1x1
Desa Lora HT+Hipercolstrol
Desa Lora Frunkel
Prednison 20 2x1

Cipro 10 2x1
Desa Laloa Asma Brongcial Dexametasone 10 3x1

Desa Lora Mialgia+ HT GR 1
Desa Lora Mialgia+ HT GR 1
GG 20 3x1
Desa Lora Dispepsia
50

Desa Pulau 40 Ibuprofen 400 10 3x1
Frunkel
Tambako Dexametasone 20 2x1
80/P B12 10 2X1

Desa Pulau
Hipotensi Metoclopiramide 20 3X1
Tambako
B6 20 1X1
56 ambroxol 10 3x1
Desa Laloa Hipercolestro+cough
ctm 10 1x1
Desa GG 20 3x1
Pomontoro CC
Prednison 20 3x1
Desa Laloa CC GG 10 3X1
Prednison 10 2X1
B6 10 2X1
9 Eritromicin 250 5 pyr
Prednison 3 pyr
Desa Lora ISPA
ctm 2 pyr
120/80 Piroxicam 10 10 2x1
Desa Liano Abses 41
Ranitidine 10 2x1
GG 10 3X1
Desa Laloa CC+Dispepsia
Prednison 10 2X1
Ranitidine 20 3X1
110/70 Piroxicam 10 10 2x1
Desa Pulau Abses 36 Metronidazole 15 2x1
Tambako
110/70 Amtasida 10 3X1

Ranitidine 10 2X1
Desa Lora Dispepsia
B6 10 2X1
asmet 10 3x1
Desa Lora TCR
Desa Lora TCR
Dexametasone 10 3x1

Desa Liano ISPA
ctm 5 2x1/4
120/90 Allopurinnol 100 10 2x1

Ciprolaxin 10 2x1
Desa Puuwaeya Hiperusemia+ISK
Nadic 25 10 2x1
Ciprolaxin 10 2x1
nadic 50 10 2x1
Desa
OA+Frunkel Prednison 10 2x1
Pomontoro
150 Nadic 25 10 2x1

Prednison 10 2x1
Desa Lora RA
Ambroxol syr 2 3x1

Desa Lora ISPA
Ketoconazole zalf 2 2x1

Prednison 20 2x1
Desa Liano Dermatitis
loratadine 20 2x1

Desa
Tinea Corvoris ctm 10 2x1
Pomontoro
Ketoconazole 10 2x1
Salbutamol 4 10 2X1
Ciprolaxin 10 2X1
Desa Laloa Dispeneu+Cough
Dexametasone 10 3X1
Vit.C 10 2X1
Desa Pulau
DM
Tambako

30 Asmet 10 2x1
Desa Lora Febris
110/P Aciclorovil 10 3x1

Desa Dexametasone 10 3x1
Herpes
Pomontoro Paracetamol 500 10 3x1
Ambroxol syr 1 3x1
Desa Pulau
ISPA Paraceamol syr 2 3x1
Tambako
GG 10 3x1
Ambroxol 10 3x1
Desa Laloa Cough
Prednison 10 3x1
GG 10 2x1
Ranitidine 10 2x1
Desa Lora Febris+Cough Paracetamol 500 10 2x1
110/P Salbutamol 4 10 2x1

Desa Lora Asma
151 Catopril 12,5 10 1x1

B.Com 10 2x1
Desa Lora HT Ringan
Acyclovir 10 3X1
Gentamicyn Zalf 1 3X1
Desa Lora Herpes
Acyclovir zalf 2 3X1
CTM 20 2X1
Ibuprofen 400 10 3x1/2
Desa Lora Sakit Gigi
Ibuprofen syr 1 3x1

Desa Amoxicillin syr 1 3x1
Febris
Pomontoro
Antasida syr 1 3x1/2

23 Domperidon 10 3x1/2
Desa
Dispepsia
Pomontoro
Pomontoro Abses
140/90 Ibuprofen 400 10 3x1

Becefort 10 1x1
Desa
Febris Amlodipine 5 10 1x1
Pomontoro
Desa
Febris
Pomontoro
Desa Lora DM

Ranitidine 10 2x1
Desa Lora Dispepsia+Hiperusemia
Allopurinol 10 2x1
Piroxicam 10 2x1
170/100 Amlodipine 10 10 1x1
Desa Puuwaeya Hiperusemia+ HT
Antasida 10 3x1
Desa Pulau Amoxicilin 20 3x1
Tambako Dispepsia
120/80 Piroxicam 10 10 2x1

Desa Pulau Metilprednison 10 2x1
Tambako OA

Desa Pulau
Hiperusemia Prednison 10 2X1
Tambako
Cendo xytrol 1 3x1

Desa Lora 165 Kongjungtivitis Amox 10 3x1
CTM 10 2x1/2
Desa Laloa Dermatitis+Alergi
VIT.C 10 1x1
Hidrocortison salf 1 1x1
Becefort 10 1x1
Desa Laloa Mialgia
Allopurinol 10 3x1
Nadic 25 10 2x1
Hiperusemia

Desa Lora Vertigo+Dispepsia Antasida syr 1 3x1
Loratadine 10 2x1
Desa Liano Dermatitis+Dispepsia Dexametasone 10 2x1
Desa Liano Dermatitis+Dispepsia
Ranitidine 10 2x1
90/P Amox 500 20 3x1
Asmet 20 3x1
Desa Lora Abses
Dexametasone 20 3x1

4.1 Paracetamol syr 1 3x1/2
COUGH
Amox 500 10 3x1

Febris Paracetamol 500 10 3x1
Becefort 5 1x1
1290/70 Betahstine 10 2x1
Desa Pulau
Tambako Vertigo
110/p Ibuprofen 400 20 3x1

Desa Lora Febris+Dermatitis Amox 500 10 3x1
Betametason Zalf 1
Allopurinol 10 2X1
Desa Liano Hiperusemia Ibuprofen 400 10 2X1
B6 10 2X1
Ciprolaxin 500 10 3X1
Desa Puuwaeya Febris+ Post OP
GG 20 3X1
Becefort 5 1X1
Dizepam Ampl 1 injek
Diazepam Tab 4 2x1
Vertigo Omeprazole 1 injek
Ranitidine 10 2x1
Betahistine 10 2x1
Dexametasone 10 2x1
Desa Tajuncu Dermatitis
Ketoconazole 10 2x1
100/p GG 10 3x1
Desa Metilprednison 10 3x1
COUGH
Pomontoro CTM 10 3x1
160/110 Amlodipine 10 10 1X1

Desa Lora HT B6 10 2X1

Hiprusemia+Hipercolestr Nadic 25
Desa Lora 10 2x1
ol
Hiprusemia+Hipercolestr
Desa Lora
ol
100/60 Nadic 25 10 2X1

47 Prednison 10 2X1
Desa Lora RA

Desa Lora Dispepsia B6 10 2X1
120/80 Glibenclamide 5 10 2x1/2

Desa Lora DM+Hipercolestrol
Nadic 25 10 2x1

Desa Lora HT
Ranitidine 10 2X1

Antasida syr 1 3x1

Desa Lora ISPA
GG 10 3X1/2
130/80 Acyclovir tab 20 3x1

Desa Acyclovir Zalf 2 3x1
Herpes

Desa Pulau 60 Antasida syr 10 3x1
Hipercolestrol
130/90 Glibenclamide 5 5 2x1/1
Desa Liano DM

HT+Hipercol+Hiperusemi Simvastatin 10 20 2x2
Desa Lora a Allopurinol 20 2x2
GG 4 pyr
Prednison 3 pyr
Desa Lora Brongchitis
CTM 2 pyr
Ambroxol syr 1 3x1
Desa Lora HT+Abses

Desa Lora 60 Hiperusemia Prednison 10 2x1
Betahistine 10 2x1
Desa Amlodipine 5 10 1x1
ASMA+HT
Pomontoro Ibuprofen 400 20 2x1

Allopurinol 10 3X1
Desa Hambawa Hipercol+Hiperusemia

Desa GG 10 3x1
CC+HT
Amlodipine 5 10 1x1
160/100 Ibuprofn 400 20 2x1

Desa Prednison 20 2x1
OA+HT
Pomontoro Becefort 10 1x1
Ibuprofn 400 20 2x1
Desa Prednison 20 2x1
OA+Hipercol
Simvasatin 10 10 2x1
Metoclopiramide 10 3X1
Febris CTM 20 3X1
80 Eritromicin 250 20 3x1/2

Desa 11.5 Ibuprofen syr 2 3x1/2
Pomontoro Febris

GG 10 3x1/4
Kel Doule ISPA
Prednison 10 3x1/4
Paracetamol 10 3X1/2
GG 5 3X1/2
Desa
ISPA CTM 5 3X1/2
Pomontoro
Ibuprofen 200 20 3X1/2

GG 10 3X1/2
Desa ISPA
Pomontoro
Desa
ISPA CTM 10 3X1/2
Pomontoro

Ambroxol syr 1 3x1
Desa Pulau
ISPA
Tambako
90/P Omeprazole 10 1x1

Ranitidine 10 2x1
Desa Lora Dispepsia
130 Ibprofen 200 10 2x1

Tambako ISPA+Alergi
Cefadroxil 10 2x1
Ketokonazole Zalf 1
Cefadroxil 10 3x1
CTM 10 3x1
Desa Lora ISPA+Alergi Ranitidine 10 3x1
Becefort 10 3x1
Betametasone 1 1x1
OBH syr 1 2x1
Desa Lora HT
130/80 Nadic 50 20 2X1

Desa Prednison 20 2X1
LBP
Pomontoro B12 20 2X1
Ibuprofn 200 20 3x1

Desa CTM 20 3x1/2
CC
Pomontoro Ambroxol syr 20 3x1
Amox 250 20 3x1
Glibenclamide 10 2x1/2
Ciprolaxin 10 3x1
Desa Lora DM+ISK
Becefort 10 1x1
Betahistine 10 3x1
Desa
ISPA+KIPI Paracetamol 500 10 3x1
Pomontoro
Amoxiciillin 500 10 3x1
Ambroxol 20 3x1
Amlodipine 5 20 1x1
HT
Tambako
Desa Pulau
HT
Tambako
nadic 25 20 2x1
Desa Pulau
HT
Tambako
Betahistine 10 3x1
Becefort 10 1x1
Desa Lora Vertigo+ Hipotensi
Desa Pulau
DM
Tambako

Desa Pulau AMOXICILLIN SYR 1 3X1/2
Nekrose pilpa 51
Tambako
CTM 10 3X1
Desa Pulau Becefort 5 1X1
CC

Desa Betahistine 10 2x1
Vertigo+HT
Amlodipine 10 1x1
Ibuprofn 200 20 2x1
Desa Liano Brongchitis
Becefort 20 1x1
100/70 Paracetamol syr 2 3x1

Desa Toli-Toli ISPA Ambroxol syr 2 3x1
Simvasatin 10 10 2x1
Desa Lora HT+Hipercol Allopurinol 10 2x1
Cloramphenicol syr 1 3x1/2

Desa 13.6 Susp Typoid Ambroxol syr 1 3x1/2
Pomontoro
Becefort 10 1X1
Desa Lora Malaise

150 Nadic 25 20 2x1
Desa Lora HT+OA
60

Ranitidine 10 2X1
HT
Ranitidine 10 2x1
HT
Desa Lora HT

Ranitidine 10 2x1
Desa Lora HT
Amlodipine 5 10 1x1
Desa Lora HT+Dermatitis Betametasone Zalf 1 2x1
Ranitidine 10 2x1
Becefort 10 1x1
Desa Lora Hipotensi
170/110 Amlodipine 10 10 1x1

HT Ibuprofen 400 10 2x1
Ranitidine 10 2x1
Loratadine 10 2x1
Prednison 10 2x1
Desa Lora Scabies

Desa Lora Dispepsia Ibuprofen 400 10 2x1

Desa Lora HT+OA Nadic 25 10 1x1
Ranitidine 10 2x1
Becefort 5 1x1
Desa Lora Dispepsia
Allopurinol 10 2X2

Nadic 25 10 2X1
Prednison 10 2X1
Amlodipine 5 20 1x1
Nadic 25 20 2x1
Desa Lora HT+OA
Metoclopiramide 10 3X1
SR
Omeprazole 10 1x1
Ranitidine 10 1x1
Dispepsia

Desa Lora ISPA Amox 250 10 3x1
Becefort 10 1x1
Desa Lora Dispepsia
Cloramphenicol syr 2 3x1

Desa Lora Febris Susp Tipoid
Becefort 5 2x1
Ranitidine 10 2x1
Antasida syr 1 3x1
Desa Lora Dispepsia+Pro. Ev
Becefort 5 1x1
Amlodipine 5 10 1x1
Desa Lora HT
Amlodipine 5 10 1x1
Desa Lora HT
Becefort 10 1X1
CTM 10 2X1
Desa Lora Hipotensi+Vertigo
Ranitidine 10 2X1

ASMET 10 3x1
Desa Tajuncu Frunkel
Antasida 10 3x1
Ambroxol syr 1 3X1
Desa Lora CC
Amox syr 1 3X1
Desa Lora CC Dexametasone 3 PYR
CTM 3 PYR
Vit.C 2 PYR
Vit.C 10 1x1
Desa Lora Febris
Zink 10 1x1

Desa Pulau Amox 500 10 3x1
Pulpitis Irreversibel 28
Tambako
Salbutamol 4 10 2x1
Desa Lora HT+PPOK Omeprazole 10 1x1

Desa Pulau ASMET 10 3x1
Tambako HT
Amox 500 10 3x1

Amox 500 10 3x1
Desa Lora ISPA CTM 10 3x1
Becefort 5 1x1
Antasida 10 3x1
80/60 CTM 10 3x1
Desa Pulau Prednison 10 3x1
Alergi+CC
Tambako Paracetamol 500 10 3x1
80/P Ibuprofen 400 10 3x1

Amox 500 10 3x1
Desa Lora OMA
Prednison 10 3x1
160/P Amlodipine 10 1x1

Desa Pulau 53 Antasida 10 3x1
Tambako HT
Becefort 10 1x1

Desa Lora ISPA
65 CTM 10 2x1
Becefort 10 1x1
110/80 Oxy Zalf 1
170
Desa Lora
70

Desa Lora ISPA
Desa Lora ISPA
Salbutamol 4 10 3X1
Prednison 10 3X1
Desa Tajuncu ASMA
Salbutamol 4 10 3x1
ASMA
Tambako B.Com 10 3x1
Amox 500 10 3x1

Prednison 10 3x1
Desa Pulau
Tambako
Pirantel 4 1x1
Paracetamol 10 3x1
Asmet 10 3x1
Desa Lora Caries Gigi+Dispepsia
Ranitidine 10 2x1
Amox 500 10 3x1

ASMET 10 3x1
Desa Lora Caries Gigi
Cendo xitrol 1 2x1

Desa Pulau 160 Metformin 10 2x1
HT+DM
Tambako 80
100/70 Vit. B12 20 2x1

154
Desa Lora Gravid Trim 2
48

Desa Lora Post Partum

Desa Puuwaeya Asma Brongkial
Ambroxol 10 3x1
130/80 Catopril 12,5 5 1x1

Desa Lora Cealgia+HT
59

157 Simvasatin 10 10 1x1
Desa Lora HT+Colestrol
77 Piroxicam 10 2x1

Desa Pulau
Febris
Tambako
Desa Pulau B.Com 5 2x1
Febris
Tambako Prednison 5 3x1/2
GG 10 3X1/2
Desa Pulau CTM 10 3X1/2
CC
Tambako
Cloramphenicol syr 1 3x1

Paracetamol 500 3 pyr
ctm 3 pyr
Desa Liano Susp Tipoid
Prednison 3 pyr
Vit.C 3 pyr
Ambroxol 3 pyr
Desa Lora Post Partum
59 Becefort 10 1x1

Prednison 10 3x1
Desa Lora ISPA
Ambroxol 10 3x1
Desa Amox 500 10 3x1
HT+Febris
100/P Prednison 10 3x1

GG 10 3x1
Desa Lora Vertigo
B12 10 2x1
Nadic 25 10 2x1
Allopurinol 10 2x1
Desa Pulau Nadic 25 10 2x1
Hiperusemia

Prednison 10 3x1
Desa Lora OA
110/80 Acyclovir 10 4x1

Desa Lora Faricella+ISPA
Prednison 10 3x1
Ambroxol 10 3x1
Prednison 2 pyr
Ambroxol 2 pyr
Desa Pulau 6.2 CTM 2 pyr
CC
Tambako Vit.C 2 pyr
Paracetamol 2 pyr
Tetes Telinga 1 2x1
Cefadroxil 10 2X1
Post Partum
Paractamol 500 10 2X1
Post Partum
Becefort 5 1X1
SF 10 1X1
Dispepsia
Tambako

Amox 250 10 3x1
Desa Lora ISPA
Prednison 5 3x1/2
Vit.C 10 1x1
DM+Hiprcol+Hiperusemi Simvasatin 10 10 1x1
Desa Lora
a Allopurinol 10 2x1

Periodentitis Kronis 41
Tambako

Desa Pulau Ibuprofen 400 10 2X1
Dispepsia+Skit Gigi
Tambako

Ambroxol 5 3x1/2
Desa Lora ISPA CTM 5 3x1/2
20 Amox 250 10 3x1
Vit.C 10 1x1
Ciprolaxin 10 2X1
ASMET 10 3X1
Desa Lora Infeksi Lokal
Prednison 10 3X1
140.90 OBH SYR 1 3X1

Catopril 50 10 1x1
Desa Lora CC+HT

Amox 500 10 3X
Desa Lora ISPA
GG 10 3X1
B6 10 1X1
Ibuprofen syr 1 3x1
Amox syr 1 3x1
CTM 4 pyr
Desa Lora ISPA
Prednison 4 pyr
19.5 Vit.C 5 pyr
Ambroxol 4 pyr
Ambroxol 3 pyr
Desa Lora ISPA
Desa Lora ISPA
12.5 CTM 3 pyr
Vit.C 3 pyr
Metformin 10 3x1
Becefort 10 1x1
Desa Lora DM
180/70 Catopril 25 10 2x1

HT
Tambako

B6 10 2x1
Desa Lora Dispepsia
Antasida 20 3x1
Ibuprofen syr 1 3x1
126 Ibuprofen 10 3x1/2
Desa Pulau 26 Ambroxol 10 3x1
ISPA
Tambako

GG 10 3X1
Desa Lora ISPA
CTM 10 3X1

Ranitidine 20 2X1
Desa Lora Dispepsia+Febris
Antasida 20 3X1
B6 20 2X1
CTM 5 3x1/2
Desa Lora ISPA
Prednison 5 3x1/2
GG 5 3x1/2
Desa Lora ISPA
60 CTM 20 2x1
Becefort 10 1x1
162 GG 10 3X1
Desa Lora ISPA
CTM 20 3X1
110/80 Ibuprofen 400 20 3x1

Desa GG 20 3x1
Pomontoro Febris
B12 20 2x1
Ciprolaxin 10 2x1
130/70 Ketoc Tab 10 1x1
Desa 175 Loratadine 10 2x1
Alerrgi
Pomontoro Ketoc Zalf 2 2x1
CTM 15 3x1/2
Desa Pulau Prednison 15 2x1/2
Alerrgi
Tambako
Desa Pulau
Alerrgi
Tambako 23 Vit.C 10 2x1
Bedak Salicil
110/80 Ibuprofen 400 20 3X1
Desa Pulau 57 Ranitidine 20 2X1
ISPA
Tambako Metoclopiramide 20 3X1
GG 10 3X1
Antasida 10 3X1
Desa Pulau Ranitidine 20 2X1
Dispepsia
Tambako B6 10 2X1
Allopurinol 10 1x1
Hiperusemia
Tambako Piroxicam 10 2x1
Lora, 25 Mei 2021

Pengelola Obat
REKAPAN RESEP HARIAN APOT
Bulan : Juli
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
1 6/26/2021 BPJS 0002827941941063 Putri Velyani 8 P
2 6/26/2021 BPJS 0000954081358 Ny. Wa Ase 56 P
3 6/26/2021 BPJS 00018855126519 An. Nur Halifa 8 P
4 6/26/2021 BPJS 0000954092463 Ny. Sumiati P
5 6/26/2021 BPJS 0001856361903 Tn. Arwahyudin L
6 6/26/2021 BPJS 0001856353037 Ny. Cristina Natalia P
7 6/26/2021 BPJS 0002642249553 Ny. Muliana 47 P
8 6/26/2021 U An. Alyama 10 P
9 6/28/2021 BPJS 0000954443261 Ny. Cici Darmianti 28 P
10 6/28/2021 BPJS 0000953939553 Ny. Erna 53 P
11 6/28/2021 BPJS 0000953968443 Ny. Nuriala 58 P

11 6/28/2021 BPJS 0000953968443 Ny. Nuriala 58 P
12 6/28/2021 BPJS 0002925727402 An. A. Syarif 1.6 L
13 6/28/2021 BPJS 0001074966502 An. Sindi 11 P
14 6/28/2021 BPJS 0001074966489 Ny. Nurlia 32 P
15 6/28/2021 BPJS 0000952926142 Tn. Basran 50 L
16 6/28/2021 G An. Nur Afifah 2 P
17 6/28/2021 G Tn. Keyyu 81 L
18 6/28/2021 G An. Dhafa L
19 6/29/2021 BPJS 0000953457884 Ny. Masnia 32 P
20 6/29/2021 BPJS 0001986971343 Ny. Macuni 40 P
21 6/29/2021 BPJS 0000952973177 An. Yanti 13. T P
22 6/29/2021 G An. Afifa Jahra 3.6 P

22 6/29/2021 G An. Afifa Jahra 3.6 P
23 6/30/2021 BPJS 0001074940615 Ny. Subaini P
24 6/30/2021 BPJS 0000171603549 Ny. Rosnia 42 P
25 6/30/2021 BPJS 0002172921917 Nn. Nasria P
26 6/30/2021 BPJS 0000133986216 Ny. Samsia 55 L
27 6/30/2021 BPJS 0000133985204 Tn. Baharuddin L
28 6/30/2021 BPJS 0000133963885 Tn. Rahmad 45 L
29 6/30/2021 BPJS 0002642249553 Ny. Muliana P
30 6/30/2021 BPJS 0002172614837 Tn. Faisal 31 L
31 6/30/2021 G An. Nuravivah 2 P
32 6/30/2021 BPJS 0000133985351 Ny. Habia 59 P
33 6/30/2021 BPJS 0000953757461 Ny.Yuyun P
34 6/30/2021 BPJS 0000133963762 Tn. Edi Nursalim 53 L

35 7/1/2021 BPJS 0000198648426 Tn. Iliyas L
36 7/1/2021 BPJS 0000953344888 Ny. Ani 37 P
37 7/1/2021 BPJS 0001941321251 Ny. Ice 34 P
38 7/1/2021 BPJS 0002172619102 Ny. Tina 35 P
39 7/1/2021 BPJS 0002472429703 An. Muh. Fathan 7 L
40 7/1/2021 BPJS 0000953446026 Ny. Nurkaya 48 P
41 7/1/2021 BPJS 0003086994824 Tn. Keyyu 81 L
42 7/1/2021 BPJS 0000953725364 Ny. Muliana 43 P
43 7/1/2021 BPJS 0002918733366 Tn. H. Nasrudin 44 L
44 7/1/2021 BPJS 0001821482458 An. Muh.Febi 6 L
45 7/1/2021 BPJS 0000953971942 Tn. Yamin L

45 7/1/2021 BPJS 0000953971942 Tn. Yamin L
46 7/2/2021 BPJS 0001941320169 Tn. Basir 70 L
47 7/2/2021 BPJS 0000954112948 Ny. Saida P
48 7/2/2021 BPJS 0001074972071 Ny.Riski 26 P
49 7/2/2021 G 7406085112770001 Ny. Murniati 44 P
50 7/2/2021 BPJS 0000953698386 Tn. Rasid 60 L
51 7/2/2021 BPJS 0002124777339 Ny. Watita P
52 7/2/2021 G Laode Sukri
53 7/2/2021 G Musrifa P
54 7/2/2021 BPJS 0000953526137 Tn. Lasundi 85 L
55 7/2/2021 BPJS G Fitma 1.3 P
56 7/3/2021 BPJS 0000953369774 Ny. Asmawati 20 P

57 7/3/2021 BPJS 0002204350964 Fausia Hulla 19 P
58 7/3/2021 BPJS 0002740706526 An. Nur Fathuna 7.5 P
59 7/3/2021 BPJS 0002586073228 Ny. Samria P
60 7/3/2021 BPJS 0001386261674 Hj. Nurhayati 50 P
61 7/3/2021 BPJS 0000133985632 Ny. Jumarlianti P
62 7/3/2021 G Anwar 33 L
63 7/3/2021 BPJS 0000953682456 Ny. Sitia 65 P
64 7/3/2021 BPJS 0000952904338 NY.Supia 61 P
65 7/5/2021 BPJS 0000953457884 Ny. Masni 33 P
66 7/5/2021 BPJS 0001941320057 Tn. Jafarudin 42 L
67 7/5/2021 BPJS 0000953940262 Tn. Firmansyah L

68 7/5/2021 BPJS 0000952916051 Ny. Suhuria 60 P
69 7/5/2021 BPJS 0001987214332 Ny. Watita 46 P
70 7/6/2021 BPJS 0000165569726 Ny. Murgana 50 P
71 7/6/2021 BPJS 0001987207209 Tn. Salili 36 L
72 7/6/2021 BPJS 0000953476222 Tn. Ahmad L
73 7/6/2021 BPJS 00010774941133 Ny. Anna 54 P
74 7/6/2021 BPJS 0002173173107 Ny. Sania 44 P
75 7/7/2021 BPJS 0002642248631 An.Adelia 18 P
76 7/7/2021 BPJS 0001941320171 Nawara P
77 7/7/2021 BPJS 0001941323331 Ny. Hapsa P
78 7/7/2021 BPJS 0001921938895 An. Rohim 8 L
79 7/7/2021 BPJS 0001074938916 Ny. Muheyang 45 P

80 7/7/2021 BPJS 0001074940942 Ny. Radia 65 P
81 7/7/2021 BPJS 0000952935726 Tn. Syamsudin 50 L
82 7/7/2021 BPJS 0000198648426 Tn. Iliyas 51 L
83 7/8/2021 BPJS 0000952884854 Ny. Iska 24 P
84 7/8/2021 BPJS 0000133985079 Ny. Darmia 49 P
85 7/8/2021 BPJS 0002749072015 Messe P
86 7/8/2021 G Ny. Munira P
87 7/8/2021 U An. Syawal 1.6 L
88 7/9/2021 BPJS 0000952936211 Ny. Hasria P
89 7/9/2021 BPJS 0002172614804 Ny. Rosni 53 P
90 7/9/2021 BPJS 0000133951421 Tn. Lambua 57 L
91 7/9/2021 BPJS 00001921938928 An. Yusra 9 P
92 7/9/2021 BPJS 000953502636 Tn. Halim 57 L

92 7/9/2021 BPJS 000953502636 Tn. Halim 57 L
93 7/9/2021 BPJS 0000952893573 Ny.Ida 39 P
94 7/10/2021 BPJS 0001885512519 An. Usy 12 P
95 7/10/2021 BPJS 7371126405920003 NY. Srihrdianti 29 P
97 7/10/2021 BPJS 0000954026212 Ny. Saeda 70 P
98 7/10/2021 BPJS 0000953726051 An. Irwan L
99 7/10/2021 G Tn. Nilo L
100 7/12/2021 BPJS 7371126405920003 NY. Srihrdianti 29 P
101 7/12/2021 BPJS 0001851163806 Tn. H. Ramli 63 L
102 7/12/2021 BPJS 0001074941098 Ny. Hajra 62 P
103 7/12/2021 BPJS 0000953765493 Tn. Ali Basri 48 L

104 7/13/2021 BPJS 0000925471416 Riska andriani 27 L
105 7/13/2021 BPJS 0002172619394 Muh. Ali L
106 7/13/2021 BPJS 0002642250036 Agil 14 L
108 7/13/2021 BPJS 0000954008245 Ny. Misna P
109 7/13/2021 BPJS 0000953686912 Ny. Wa Haji 64 P
110 7/13/2021 BPJS 00002827940714 Ny. Ehy P
111 7/13/2021 BPJS 0000953537995 Tn. Abd. ASIS L
112 7/14/2021 BPJS 00002172923504 Tn. Bahrin 50 L
113 7/14/2021 BPJS 0002172923515 Ny. Marwati 45 P
114 7/14/2021 BPJS 0000953446026 Ny. Nurkaya 50 P
115 7/14/2021 BPJS 0000954102486 Ny. Jusnaeda 36 P

115 7/14/2021 BPJS 0000954102486 Ny. Jusnaeda 36 P
116 7/14/2021 BPJS 0001987182325 Ny. Iis 28 P
117 7/14/2021 G Ny. Kisna P
118 7/14/2021 BPJS 0000133983191 Tn. Alirman L
119 7/14/2021 BPJS 0000953571273 Tn. Ld. Muhammad 76 L
120 7/14/2021 U An. Jodan 2.7 L
121 7/14/2021 BPJS 0000952973177 An. Yanti 11 P
122 7/14/2021 BPJS 0001980971342 Ny. Wacuni P
123 7/14/2021 BPJS 0000953525338 Tn. Poero 52 L
124 7/15/2021 BPJS 0001975401832 Ny. Hasni P
125 7/15/2021 BPJS 0001987216569 Tn. Paharudin 58 P
126 7/15/2021 BPJS 0000954455185 Alimsa 29 L

126 7/15/2021 BPJS 0000954455185 Alimsa 29 L
127 7/15/2021 BPJS 0000953698386 Rasid 65 L
128 7/15/2021 BPJS 0001987207334 An. Fahrizal 13 L
129 7/15/2021 BPJS 0000953757461 Ny. Yuyun P
130 7/16/2021 BPJS 0002204350964 Nn. Fauzia Hulla 18 P
131 7/16/2021 BPJS 0000953354597 Ny. Asnia P
132 7/16/2021 BPJS 0002642249553 Ny. Muliana P
133 7/16/2021 BPJS 0001941326755 Ny. Hayati P
134 7/16/2021 BPJS 000095980356 Ny. Yuli P
135 7/16/2021 BPJS 0000953526137 Tn. Lasundi 75 L
137 7/17/2021 BPJS 000095360032 Ny. Arni 46 P

138 7/17/2021 BPJS 0000954413752 Ny. Nurce 38 P
139 7/17/2021 BPJS 0000954107829 Ny. Astin 23 P
140 7/17/2021 BPJS 0001941322252 Tn. ABD. Asis 48 L
141 7/17/2021 BPJS 0002498521836 Ny. Sarmayani 26 P
142 7/19/2021 BPJS 0002474249253 Ny.Sri Wahyuni 32 P
143 7/19/2021 G Tn. Saban 30 L
144 7/19/2021 BPJS 0000133211889 Tn. Asdar 32 L
145 7/19/2021 BPJS 0000953699139 Nn. Anita 25 P
147 7/19/2021 BPJS 0003078999369 Ny. Darmin 24 P
148 7/22/2021 BPJS 0000133363773 Ny. Fiarni 45 P
149 7/22/2021 BPJS 0001941326755 Ny. Hayati P

149 7/22/2021 BPJS 0001941326755 Ny. Hayati P
150 7/22/2021 BPJS 0000953876283 An. Hasrun 11 L
151 7/22/2021 BPJS 0000953776697 Ny. Salwia 62 P
152 7/22/2021 BPJS 0000953574941 Ny. Sumiati 25 P
153 7/22/2021 U Syawal Zuhri 1.6 L
155 7/23/2021 G An. Azlan 5 L
156 7/23/2021 BPJS 0001921938895 An. Rohim 9 L
157 7/23/2021 BPJS 0000953526137 Tn. Lasundi 70 L
158 7/24/2021 BPJS 0002641225487 Ny. Hasmila 26 P

158 7/24/2021 BPJS 0002641225487 Ny. Hasmila 26 P
159 7/24/2021 BPJS 0000525659455 Ny. Maryatun P
160 7/24/2021 BPJS 0002172614804 Ny. Rosni P
161 7/24/2021 BPJS 0000133985632 Ny. Jumarlianti 38 P
162 7/24/2021 BPJS 0000134174136 Ny. Tati Suhartin 30 P
163 7/24/2021 BPJS 0000133952141 Ny. Sutiarti P
164 7/24/2021 G An. M. Zakaria 14 L
BPJS 187
Umum 8
G 36
Total Resep (A) 282
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 282

SEP HARIAN APOTIK
TTV Jumlah Aturan

Alamat (mmHG, Diagnosa Nama Obat
Obat Pakai
cm, kg)
8 9 10 11 12 13
Amoxillin syr 1 3x1
Desa Lora Persistensi 83,84
Betahistine 10 3X1
B12 10 2X1
Desa Lora Vertigo

Desa Lora Abses 54 Amoxillin syr 1 3X1

Desa Lora HT+Hiperusemia

Desa Pulau Amoxicillin 500 10 3x1
ISPA
Omeprazole 10 1x1
Desa Pulau Paracetamol 10 2x1
Dispepsia+ISPA
Tambako
160/80 Glimepiride 10 2x1/2

Desa Lora 158 DM+Mialgia Paracetamol 10 3x1

Desa Lora Cefalgia+Mual
Domperidone syr 1 3x1/2

Desa
56 Febris Ibuprofen 400 20 3x1
Pomontoro
Prednison 20 2x1
Desa Ambroxol 20 2x1
Dispepsia
180/100 Ibuprofen 400 20 3x1

Cefalgia+HT
Pomontoro
Desa
Cefalgia+HT
Pomontoro
Eritromicin 250 5 Pyr

Prednison 3 pyr
Desa Lora CC CTM 3 Pyr
Vit. C 4 Pyr
GG 10 3X1/2
Desa Lora ISPA
CTM 10 3X1/2

CTM 10 3x1
Desa Lora ISPA
Prednison 10 2x1
Nadic 25 10 2X1
Prednison 10 2X1
Desa Lora LBP
Vit. C 10 2X1
Paracetamol syr
Amoxicillin syr
Desa Lora Febris
Cefixime 10 2x1
Desa Liano Post. OP.Uretrariasis
Omeprazole 10 2x1
Diazepam 4 1x2
Cotry syr 1 2X1/2
CTM 3 Pyr
Prednison 3 Pyr
Kel. Doule ISPA
GG 3 Pyr
Ibuprofen 400 3 Pyr
Vit. C 4 Pyr
Desa Lora Infeksi Lokal
66 Prednison 10 3x1
110/70 CTM 20 2x1

Desa Lora D. Alergi
Vit. C 10 1x1
Beta zalf 2
50 CTM 20 2x1
Desa Lora D. Alergi
Vit. C 10 1x1
Betametasone Salf 2 2x1
Amox syr 1 3X1
Desa Pulau ISPA
Tambako
Desa Pulau
ISPA Ambroxol 3 Pyr
Tambako
CTM 3 Pyr
Prednison 3 Pyr
Vit. C 3 Pyr
Desa Pulau Antasida syr 2 3x1
Hiperusemia
90/P Piroxicam 10 10 2x1

Rhematoid Artritis
Tambako
100/70 Cotrymoksazole 10 3x2

Desa Lora Diare
Zinc 10 1x1
Ranitidine 10 3x1
Desa Pulau Nadic 25 10 2X1
Hiperusemia
Tambako

Desa Pulau Metformin 10 2X1
Hiperusemia+ DM
Tambako Nadic 25 10 2X1

Desa Paracetamol 500 10 3X1
Febris
Pomontoro GG 10 3X1
Glibenclamide 10 2X1/2
ASMET 10 2X1
Desa Lora DM

Prednison 10 3x1
Desa Lora CC
GG 10 3x1
10 Amox syr 2 3x1
Desa Lora Febris

Desa Pulau 150 Piroxicam 10 10 2x1
Tambako Hiperusemia
Asmet 10 3x1
130/90 Ciprolaxin 500 10 3X1

Desa Lora ISK
B6 10 3X1
120/80 GG 10 3X1
Desa Lora COUGH

Desa Lora COUGH
CTM 10 2X1
Desa Liano DM

Desa ASMET 20 3x1
Post Partum
Pomontoro As. Traneksamat 10 3x1
110/80 Amoxicillin 20 3x1

Desa 155 Paracetamol 20 3x1
CC
Pomontoro 58 Dexametasone 20 3x1
Piroxicam 10 10 2x1
Methilprednison 10 2x1
Desa Lora Pulpitis Irreveisible
Cefadroxil 10 2x1
Desa Lora Persistensi 62

149
Desa Lora DM
Cefixime 10 2x1
Desa Liano Post Partum Omeprazole 10 1x1

B6 20 2x1
Desa Lora Dispepsia+Febris Paracetamol 10 3x1
130/80 Catopril 12,5 10 1X1

Piroxicam 10 10 2X1
Desa Lora Cefalgia
B6 10 2X1

GG 5 3X1/2
Desa Lora ISPA
Prednison 5 2X1/2
Ranitidine 10 2x1
Ibuprofen 10 3x1
Desa
Dispepsia
Pomontoro
Desa
Dispepsia
Pomontoro

Dispepsia+Mialgia
Ambroxol 10 3x1
Piroxicam 10 10 2x1
Desa Lora V.Eksoriatum
Salep Oxy 1 2x1
Betahisitne 10 3X1
CTM 10 3X1
Desa Lora Vertigo
B6 10 3X1
Ranitidine 10 2X1
Dexametasone 10 2X1
Desa Lora Dispepsia
B6 10 2X1

163 CTM 10 3X1
Desa Pulau
ISPA+MIALGIA ASMET 20 3X1
Tambako
70 Prednison 10 3X1
Ambroxol 10 3X1
110/90 Betahisitne 10 3x1
Vertigo
Tambako 67

HT+ASMA Salbutamol 10 2x1
100/70 Eritromicin 500 10 3X1

Desa Lora ISPA CTM 10 3X1
Ciprolaxin 10 3X1
ASMET 10 3X1
Desa Lora ISK B6 10 3X1
PAracetamol 2 PYR
Ambroxol 2 PYR
CTM 2 PYR
ISPA
Prednison 2 PYR
B.Com 2 PYR
Vit. C 2 PYR
ASMET 10 3x1
Desa Hambwa V.Ictum Dexametasone 10 3x1
Desa Pulau
45 Dispepsia Becefort 10 1X1
Tambako
CTM 10 3X1
Ambroxol 10 3x1/2
Prednison 10 3x1/2
Desa Pulau
ISPA Paracetamol 10 3x1/2
Tambako
80/70/ Ambroxol 10 3x1

Desa Pulau
45 ISPA Ibuprofen 400 20 3x1
Tambako
Becefort 10 1x1
CTM 10 3x1
100/70 Loratadin 10 2X1
Dexametasone 10 2X1
Desa Lora Dermatitis+ Cough
GG 10 2X1

Hiperusemia
Tambako

160/100 Amlodipine 10 10 1x1

147 Antasidar 10 3x1
Desa Pulau
65 HT
Tambako

160
Desa Lora HT
65

Ciprolaxin 10 3x1
Desa Lora Mastitis+DM
Catopril 12,5 10 1x1
Antasida 20 3X1
Tambako Dispepsia
B6 20 2X1

Desa Paracetamol 10 2x1
Febris
Pomontoro Ranitidine 10 2x1
Omeprazole 10 1x1
Desa Lora Dispepsia+OA
Piroxicam 10 2x1

Kongjungtivitis+disp Dexametasone 10 3x1
Desa Lora
epsia Ranitidine 10 3x1
100/P B6 10 2X1
Desa Lora Cefalgia
120/70 Simvastatin 10 1x1

Desa Pulau 162
Tambako Hipercolestrol
67

Cefixime 10 2x1
Desa Lora Raningitis
Betahisitne 10 31
CTM 10 3X1
Desa Lora Vertigo
B6 10 3X1

Amox 500 10 3x1
Desa Lora ISPA
CTM 10 3x1
Antasida 10 3x1
Amoxicillin 500 10 3x1/2
Desa Lora Caries

Desa Pulau 160 ASMET 20 3X1
Caries +Hipotensi
SF 10 1X1
60 Betahisitne 10 2x1
CTM 20 2x1
Nadic 50 20 2x1
Amoxicillin 500 10 3x1/2
Desa Lora Dermatitis+Febris
Omeprazole 20 2X1
Ranitidine 20 2X1
Desa Liano Dispepsia
B6 10 2X1
Antasida SYR 1 3X1
Ranitidine 20 2X1
Desa Lora Dispepsia+COUGH
GG 10 2X1

Desa Lora Asma Bronchial
120 GG 10 3x1
CTM 20 3x1
Desa Liano COUGH+HT
Amlodipine 5 20 1x1
90/60 Ibuprofen 400 10 3x1
145 CTM 10 2x1
Desa Lora Cefalgia+ISK
44 B6 10 2x1
Ciprolaxin 10 2x1
146 Piroxicam 10 10 2X1
Desa Lora Atralgia CTM 10 2X1
B6 10 2x1
170/100 OBH SYR 1 3x1
Desa CTM 10 2x1
HT+COUGH
Puuwaeya Salbutamol 4 10 2x1
Catopril 25 10 1x1
Piroxicam 10 2x1
Desa Tajuncu RA+Dispepsia Prednison 10 2x1
Ranitidine 10 2x1
Amox syr 1 3x1/2
Prednison 3 pyr
Desa Lora D. Alergi CTM 3 pyr
Vit. C 4 pyr
Cefixime 10 2x1
Salbutamol 4 10 2x1
Desa Lora ASMA
Ranitidine 10 2x1

Desa Lora CC
65 CTM 10 3x1

Omeprazole 5 1X1
Desa Lora Dispepsia
B6 10 2X1
Amoxicillin SYR 1 3X1

Metronidazole 5 3X1/2
Desa Lora Vrunkel
Vit. C 10 1X1
Desa Lora Dispepsia

Omeprazole 5 1X1
Desa Lora Dispepsia
110/70 Ibuprofen 400 10 3X1

B6 10 2X1
Desa Lora Febris Prednison 10 2X1
100/80 Amox 500 10 3x1

150 ASMET 10 3x1
Desa Lora Febris
34

Desa Pulau 160 Amox 500 10 3X1
Tambako CC
54 Prednison 10 3X1
ASMET 10 3X1
120/80 Amox 500 10 3X1
140 ASMET 10 3X1
Desa Lora Mialgia
120/80 CTM 10 2x1

Desa Lora Insomnia+Alergi
160 Betametasone Salf 1 2x1
45
Ketoconazole 10 2X1
CTM 10 2X1
Desa Lora TINEA
54 Ambroxol 3x1
Becefort 1x1
Desa Lora TB+COUGH

Desa Pulau
Tambako 160 cough GG 10 3X1
56
130/100 Amlodipine 10 20 1x1

Desa Pulau 165 Piroxicam 20 2x1
HT+OA
Tambako 70 Allopurinol 20 1x1

144 PCT 10 3x1
Desa Lora ISPA
CTM 10 3x1
Ambroxol 10 3x1
110/80 Ketoconazole 10 1x1
150 CTM 10 3x1
Desa Lora Alergi
ketoconazole Zalf 2 2x1
100/80 PCT 20 3x1
Desa Lora 51 Herpes Acyclorovil Zalf 1 2x1
110/70 CTM 20 2X1

54 Prednison 20 2x1
Desa Tajuncu D. Alergi
100/80 Amox 500 10 3x1

140 Prednison 10 3x1/2
Desa Lora Alergi
35 betametasone Zalf 1 2x1
110/70 Ibuprofen 400 10 3X1

Desa Dexametashone 10 2X1
Pomontoro Mastitis
Vit. C 10 2X1
90/70 B6 10 2X1
Desa Pulau 151 KALAK 10 3X1
Tambako G3P2A0
Desa Pulau
DM
Tambako
Piroxicam 10 10 2x1
HT
Desa Lora HT
120/80 Ibuprofen 400 10 3x1

Prednison 10 2x1
Desa Lora Mialgia

Desa Lora CC Ambroxol 10 2x1
Ciprolaxin 10 2x1
149 Glibenclamide 10 2x1/2
Desa Lora DM
120/80 Metoclopiramide 10 3X1

152 B6 10 2X1
Desa Lora Emesis
Desa Lora Emesis
83

Desa Lora Dispepsia CTM 10 2X1
100/80 GG 10 3x1
Amox 500 10 3x1
Desa Lora COUGH
CTM 10 3x1
GG 10 2x1
Piroxicam 10 2x1
Desa Lora COUGH+OA Prednison 10 2x1

Otitis
Cotrimoxozole 10 3x1
Desa Pulau
GEA
Tambako
Loratadine 10 2x1/2
Loratadine 10 2x1
Dexametasone 10 2x1
80/60 B12 10 2x1

Piroxicam 20 10 2x1
Desa Lora Hipotensi
Prednisona 10 2x1
Amox 500 10 2X1

Vit.C 10 1X1
Desa Lora Vulnus
Cetirizine 20 3x1
D.Alergi
CTM 20 3x1
Dexametasone 20 3x1
Desa Dermatitis
Pomontoro
Desa
Dermatitis Becefort 10 1x1
Pomontoro
Miconazole Zlf 1 2x1
120/80 Nadic 50 10 3X1

Desa Pulau 165 Prednisona 10 3X1
Mialgia
Tambako 60 Amox 500 10 3X1
Injek B12 1
Antasida 10 3x1
Ranitidine 10 2x1
Desa
Dispepsia Metoclopiramide 10 3x1
Puuwaeya

160 Ambroxol 10 3x1
Desa Lora ISPA
45 Prednison 30 2x1
CTM 20 3x1
Desa Pulau Prednison 10 2X1
Febris
Tambako B12 10 2X1

Mialgia+Iritasi Mata
Pomontoro

B12 10 2X1
Desa Lora DM
Ranitidine 10 2X1

GG 10 2x1
Desa Lora HT
CTM 10 2x1
Desa
Asma Bronchial GG 10 2X1
Pomontoro
110/70 Amox 500 10 3x1

Desa Lora D.Alergi Prednison 10 2x1
CTM 10 2x1
Desa Amox 500 10 3X1
Pomontoro Febris
GG 10 3X1
Becefort 10 1X1
Desa Amox 500 10 3X1
Febris
Pomontoro Vit.C 10 1X1
CTM 10 3X1
CTM 20 3x1
Dexametasone 20 2x1
Desa Laloa Alergi
Amox 500 10 2X1

Becefort 10 1X1
Desa Lora Gravida G2P1A0 SF 30 1X1

Desa Liano Hiperusemia Piroxicam 10 10 2x1
58 SF 10 1x1
Becefort 10 1X1
Desa Tajuncu Gravida
KALAK 10 2X1
140/80 Nadic 25 20 2X1

Amlodipine 5 20 1X1
Desa Lora HT Ibuprofen 400 20 3X1

Becefort 20 1X1
Desa Lora Febris
CTM 20 3X1

160 Nadic 25 20 2X1
Desa Lora HT

CTM 20 3x1
Desa Lora ISPA
GG 10 3x1
Amox 500 10 3x1
Vit.C 10 1x1
Desa
Mastitis+Dispepsia Dexametasone 10 2x1
Pomontoro
Ranitidine 10 2x1
Antasida 10 3x1
Cefixime 10 2X1
Desa Pulau Paracetamol 500 30 3X1
Tambako ISK
B12 20 1X1

Desa Pulau Hipercolestrol Becefort 10 1x1
Tambako
Desa Lora Hiperusemia+Asma

Prednison 20 2x1
Desa Lora Hiperusemia+Asma
Allopurinol 10 2x1
Amox 250 10 3x1

CTM 5 3x1/2
Desa
D.Alergi Prednison 5 3x1/2
Puuwaeya
23 Metronidazole 5 3x1/2
Betametasone Zalf 1 3x1/2
100/80 B12 10 2x1
Metformin 20 2x1
Desa Lora DM
52 Amox 500 10 3x1

Loratadine 10 2x1
Desa Lora Alergi prednison 10 2x1
9 Metronidazole 3 Puyer
Desa Lora D.Alergi CTM 3 Puyer
B6 4 Puyer
Cefadroxil 3 Puyer
Desa Pulau
HT Antasida 10 3x1
Tambako

Metronidazole SYR 10 3x1
Prednisone 4 Puyer
Desa Lora Alergi
Vit.C 4 Puyer
Amox syr 1 p3x1
Metronidazole SYR 1 3x2
Prednisone 5 Puyer
Vit.C 5 Puyer
Desa Lora Alergi
amoxicillin syr 1 Puyer
100/80 OBH SYR 1 3X1
165 CTM 10 2X1
Desa Lora 50 CC B1 10 2X1
80/70 SF 20 3x1
Desa Pulau Paracetamol 500 20 2x1
Hipotensi
Tambako
Desa Pulau
Hipotensi
Tambako

Desa Lora DM

Desa Lora ISPA+FEBRIS
150 CTM 10 3x1
65 Becefort 5 1x1
100/60 Ibuprofen 400 10 3x1
Mialgia
Tambako 40
Desa Pulau ASMET 10 3x1
Tambako Alergi
Prednisone 10 3x1

GG 5 3X1
Desa Lora ISPA
CTM 10 2X1
95/60 Ibuprofen 400 10 2x1

Desa Pulau 138 Amoxicillin 500 10 3x1
Febris
Tambako 39 Becefort 5 1x1
REKAPAN RESEP HARIAN APO
Bulan : Agustus
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
1 7/26/2021 BPJS 0000133414402 Tn. Muh Darul 42 L
2 7/26/2021 BPJS 00001629977387 Tn. Umar Uba 48 L
3 7/26/2021 BPJS 0000954014297 Ny. Zarnia susi 21 P
4 7/26/2021 BPJS 0000133985272 Tn. Daud 72 L
5 7/26/2021 BPJS 0000952856561 Ny. Nurasri 17 P
6 7/26/2021 BPJS 0000133985876 Ny. Juniati P
7 7/26/2021 BPJS 0000953980356 Ny. Yuli 61 P
8 7/26/2021 BPJS 0000953355519 Tn. Nusra 52 L
9 7/26/2021 BPJS 0001941321251 Ny. Ice 33 P
10 7/26/2021 BPJS 0000953371157 Nn. Irnawati 29 P

10 7/26/2021 BPJS 0000953371157 Nn. Irnawati 29 P
11 7/26/2021 BPJS 0002641222776 Tn. Aminung 32 L
12 7/26/2021 G An. Nur Aisya 6 P
13 7/26/2021 G Tn. La Sida L
14 7/27/2021 BPJS 0000953571047 An. Nurhidayat L
15 7/27/2021 BPJS 0002642249226 Ny. Mariana 32 P
16 7/27/2021 BPJS 0000949292137 Ny. Nurhalisa P
17 7/27/2021 BPJS 0000953734577 Ny. Nurlina P
18 7/27/2021 BPJS 0002262415116 Nn.Erna 25 P
19 7/27/2021 BPJS 0000952936211 Ny. Hasria P
20 7/27/2021 BPJS 00009252938369 An. Farel L
21 7/27/2021 BPJS 0000953717265 Ny. Mina 65 P

21 7/27/2021 BPJS 0000953717265 Ny. Mina 65 P
22 7/27/2021 BPJS 000272619326 Tn. Paddli L
24 7/27/2021 BPJS 0001851163806 Tn.H. Ramli 62 L
25 7/27/2021 BPJS 0002584168154 An. Muh Goldy 11 L
26 7/27/2021 BPJS 0002642250036 An. Agil 14 L
27 7/27/2021 BPJS 0002643137919 Otang 16 L
28 7/27/2021 BPJS 0002642250093 Arel 9 L
29 7/27/2021 BPJS 0002643137842 Ny.Suharti 37 P
30 7/27/2021 BPJS 0000953987174 Ny.Siti Nur P
31 7/28/2021 BPJS 0000953727412 Tn. Jurahi L
32 7/28/2021 BPJS 0000952916051 Ny. Suhuria 65 P

32 7/28/2021 BPJS 0000952916051 Ny. Suhuria 65 P
33 7/28/2021 BPJS 0001074938861 Tn. Busta L
34 7/28/2021 BPJS 0000953698386 Tn.Rasin 60 L
35 7/28/2021 BPJS 0000951893426 Tn. Zamal 40 L
36 7/28/2021 BPJS 0000952893573 Ny. IDA 35 P
37 7/28/2021 BPJS 0001941320169 Tn. Basir. P 70 L
38 7/28/2021 BPJS 0001941320114 An. Alya Nurhalifa 6 P
39 7/28/2021 BPJS 0002172924876 Ny. Nurtin 50 P
40 7/28/2021 BPJS 0001431382351 An. M. Lorano 15 L
41 7/28/2021 U An. Muh Askar L
42 7/29/2021 BPJS 0002172619269 Ny. Asma 39 P
43 7/29/2021 BPJS 000953354597 Ny. Asnia P

43 7/29/2021 BPJS 000953354597 Ny. Asnia P
44 7/29/2021 BPJS 0000954084003 Tn. Mariadi 40 L
45 7/29/2021 BPJS 0002746138037 Ny. Rahmawati 30 P
46 7/29/2021 BPJS 0000954084677 Tn. Ardi L
47 7/29/2021 BPJS 000095398752 Tn. Dahlan 32 L
48 7/30/2021 BPJS 0000954484738 Tn. Andi Rasyid L
49 7/30/2021 BPJS 0000133285733 Tn. Labaya L
50 7/30/2021 BPJS 0000953945291 Dimas 17 L
51 7/30/2021 G An. Kevin 15 L
52 7/30/2021 BPJS 0001074940852 Tn. Basrudin L
53 7/30/2021 BPJS 0003080151731 An. Muh Rizky 5 L
54 7/30/2021 BPJS 000072619394 Tn. Muh. Ali L

54 7/30/2021 BPJS 000072619394 Tn. Muh. Ali L
55 7/30/2021 BPJS 0002641222176 Tn. Aminung 31 L
56 7/30/2021 BPJS 0002172616209 Zhara P
57 7/30/2021 BPJS 0000954025986 Tn. Paharudin 79 L
58 7/30/2021 BPJS 0002642249553 Ny. Muliana P
59 7/30/2021 BPJS 0000953537995 Ny. Taju p
60 8/2/2021 BPJS 0002601292184 Ny. Darwia 48 P
61 8/2/2021 BPJS 0000954514091 Ny. Nursana P
62 8/2/2021 BPJS 0000954404662 Tn. Hartawan 47 L
63 8/2/2021 BPJS 0001941321249 Ny. Sapihi 69 P
64 8/2/2021 BPJS 0002747552218 Citra 21 P

65 8/2/2021 BPJS 0002643137987 Ny. Sumarni P
66 8/2/2021 BPJS 000954088097 Ny. Watambe 66 P
67 8/2/2021 BPJS 0000133985079 Ny. Darmia 48 P
68 8/2/2021 BPJS 0000953752386 Tn. Yani 47 L
69 8/2/2021 BPJS 0002642249463 Ny. Supia 59 P
70 8/2/2021 BPJS 0000953474433 Ny. Tiwi 23 P
71 8/2/2021 BPJS 0000953350659 Ny. Rosdiana P
72 8/2/2021 BPJS 0000134289775 Nn. Yurica P
74 8/2/2021 BPJS 0000953939719 Ny. Risma 33 P
75 8/2/2021 BPJS 0001975401832 Ny. Hasni P
76 8/2/2021 BPJS 0002172924909 An. Yusrianti 11 P

77 8/2/2021 G Nn. Dewi Masita 23 P
78 8/2/2021 G Tn. Hasanudin 32 L
79 8/2/2021 U An. Rafa L
80 8/2/2021 BPJS 0001987218336 Tn. Syamsul 34 L
81 8/2/2021 BPJS 0000953360032 Ny. Arni 46 P
83 8/2/2021 BPJS 0000953365871 Ny. Sukmawati 43 P
84 8/2/2021 BPJS 0000953471665 Muh. Erwin 25 L
85 8/2/2021 BPJS 000095292213 Ny. Rosna 37 P
86 8/2/2021 ice Ny. Maena 70 P
87 8/3/2021 BPJS 000289730713 An. Alifiya 3 P

88 8/3/2021 BPJS 0000133988409 Ridwan Ago L
89 8/3/2021 BPJS 0000953947449 Alfin 11 L
90 8/3/2021 BPJS 0002749113832 Tn. NalU L
91 8/3/2021 BPJS 0000953968443 Ny. Numala 58 P
92 8/3/2021 BPJS 0000953376524 Ny. Mina 71 P
94 8/3/2021 G An. Syawal Nuhri 6 bln L
95 8/4/2021 BPJS 00022029367 Tn. Irwan 23 L
96 8/4/2021 BPJS 0000952784065 An. M. Prajab 12 L
97 8/4/2021 BPJS 0001986971646 Ny. Haliati 47 P
98 8/4/2021 BPJS 0001314414325 Ny. Sri Hardianti 29 P

98 8/4/2021 BPJS 0001314414325 Ny. Sri Hardianti 29 P
99 8/4/2021 BPJS 0002172812409 L
100 8/4/2021 G An. Zhara P
101 8/4/2021 G Kasmirudin 29 L
102 8/4/2021 G Ny. Rosna L
103 8/4/2021 U An. Anang 7 L
104 8/5/2021 BPJS 000953727412 Tn. Jurahi 85 L
105 8/5/2021 BPJS 0000952936211 Ny. Hasria 49 P
106 8/5/2021 BPJS 0001941322926 An. YUNI P
107 8/5/2021 BPJS 0000953719762 Ny. Rosna P
108 8/5/2021 BPJS 0000133985114 Ny. Samuna P
109 8/5/2021 BPJS 0000133985103 Tn. Abd. Kadir 83 L

109 8/5/2021 BPJS 0000133985103 Tn. Abd. Kadir 83 L
110 8/5/2021 G Ny. Hasnawit 50 P
111 8/5/2021 G An. Nur Afifa 3 P
112 8/5/2021 G A. Givani 1.5 P
113 8/5/2021 U An. Revan L
114 8/6/2021 BPJS 0000953954976 Ny. Salmina P
115 8/6/2021 BPJS 0002740785536 Tn. Ludin 40 L
116 8/6/2021 BPJS 0002204350964 Nn. Fausia Hulla 18 P
118 8/6/2021 BPJS 000188512519 Usy 12 P
119 8/6/2021 BPJS 0000133997181 Tn. Aswan L

120 8/6/2021 BPJS 0000954088097 Ny. Watambe P
121 8/6/2021 BPJS 000953354597 Ny. Asnia 60 P
122 8/7/2021 BPJS 0000963670316 Mutiara.P P
123 8/7/2021 BPJS 0000953682456 Ny. Sitia 50 P
124 8/7/2021 BPJS 0001884903952 An.Nunira Amelia P
125 8/7/2021 BPJS 0003065078755 6 L
126 8/7/2021 BPJS 0000953737841 Tn. Mahamalu L
127 8/7/2021 BPJS 0000953570316 Ny. Mutiara Jufri 11 P
128 8/7/2021 BPJS 0000953471665 Ny. Muhermin 39 L
130 8/7/2021 BPJS 0000952887519 Ny. Hasmia P

130 8/7/2021 BPJS 0000952887519 Ny. Hasmia P
131 8/7/2021 BPJS 0000954003881 Tn. Ladimu L
132 8/7/2021 G An. Ayas 2 L
133 8/7/2021 G Ny. Yusnita 29 P
134 8/9/2021 BPJS 0000953725364 Ny. Muliati 43 P
135 8/9/2021 BPJS 0002749113832 Tn. Nalu 67 L
136 8/9/2021 BPJS 0000953716116 Ny. Rostina 55 P
137 8/9/2021 BPJS 0001851163806 Tn. H. Ramli 65 L
138 8/9/2021 BPJS 0000952886891 Tn. Buhari L
139 8/9/2021 BPJS 0002916982203 An. Aura 5 P
140 8/9/2021 BPJS 0000953370573 Ny. Sitti Nomma 76 P
141 8/9/2021 G Ny. Ice 33 P

141 8/9/2021 G Ny. Ice 33 P
142 8/9/2021 BPJS 0001941320169 Tn. Basir 60 L
143 8/10/2021 BPJS 0002172812422 Kasnidawati 23 P
144 8/10/2021 BPJS 0002172812422 Ny. Kasrawati 29 P
146 8/10/2021 BPJS 0002642250025 Tn. Ridwan 38 L
147 8/10/2021 G An. Sifa 8 p
148 8/10/2021 G Tn. Sumardin L
149 8/12/2021 BPJS 0002172616209 Ny. Zharaa P
150 8/12/2021 BPJS 0000953574941 Ny. Sumiati P
151 8/12/2021 BPJS 0000954063415 Ny. Siti Amina P

153 8/12/2021 BPJS 0000954425384 Ny. Yamni 51 P
154 8/12/2021 BPJS 0002172923821 Ny. Hajra 42 P
155 8/12/2021 BPJS 000954103601 Nn. Risnawati P
156 8/12/2021 G An. Cindy 6 P
157 8/13/2021 BPJS 0002172923144 Ny. Sumarni 42 P
158 8/13/2021 BPJS 0002642249553 Ny. Muliana 48 P
159 8/13/2021 BPJS 0001987130035 Ny. Arwa 49 P
161 8/13/2021 BPJS 0000954092463 Ny. Sumiati 43 P
162 8/14/2021 BPJS 0002172617313 Ny. Wa Sita 38 P

162 8/14/2021 BPJS 0002172617313 Ny. Wa Sita 38 P
163 8/14/2021 BPJS 00000954453879 Sunaa 56 P
164 8/14/2021 BPJS 0002827940051 Andi Hadira 45 P
166 8/16/2021 BPJS 000194132171 Ny. Nawara 50 P
167 8/16/2021 BPJS 00026422488131 An. Adelia Putri P
168 8/16/2021 BPJS 0002320572161 Tn. Laodo 67 L
169 8/16/2021 BPJS 0000133963773 Ny. Fiarni 45 P
170 8/16/2021 BPJS 0001941320169 Tn. Basir R 70 L
171 8/18/2021 BPJS 0001941322858 Tn. Janib 50 L

174 8/18/2021 BPJS 0000925471416 Nn. Riska Amriani 27 P
175 8/18/2021 BPJS 0000953727412 Tn. Jurahi 71 L
176 8/18/2021 BPJS 0001941326755 Ny. Hayati 48 P
177 8/18/2021 BPJS 0000953529759 An. Taufan 10 L
178 8/18/2021 G Ny. Nurce 37 P
179 8/18/2021 G Ny. Harianti 30 P
180 8/19/2021 BPJS 0002746119172 Tn. Hasanudin L
181 8/19/2021 BPJS 0000952967679 Ny. Haya P
182 8/19/2021 BPJS 0001851163806 Tn. H. Ramli 60 L

184 8/20/2021 BPJS 0000165569771 Ny. Indri 29 P
186 8/20/2021 G Tn. Abdul Rahman 37 L
187 8/21/2021 BPJS 0000954027909 Ny. Yana 37 P
188 8/21/2021 BPJS 0001921938895 Tn. Rohim 10 L
189 8/21/2021 BPJS 0001074940705 Ny. Esri Triana.P 26 P
190 8/21/2021 BPJS 0002642249226 Ny. Mariana P
191 8/21/2021 BPJS 00002740757624 An. M. Rizala L
192 8/21/2021 BPJS 0000952784065 An. M. Prajab 12 L

194 8/21/2021 BPJS 0000954455185 Tn. Alimsa 28 L
195 8/21/2021 BPJS 000953605901 Ny. Sumarni 45 P
196 8/23/2021 BPJS 0000953940262 Tn. Firmansyah 33 P
197 8/23/2021 BPJS 0000954050771 Ny. Sumarni 49 P
198 8/23/2021 BPJS 0000953355519 Tn. Nusna 52 L
199 8/23/2021 BPJS 0000953528502 An. Febrianti 15 P
200 8/23/2021 BPJS 0002740706526 An. Nur Fathona 8 P
201 8/23/2021 BPJS 0002586073228 Ny. Samria 37 P
202 8/23/2021 BPJS 0000952922913 Ny.Rosna 37 P
203 8/23/2021 BPJS 0000953528512 Ny. Febrianti 28 P

203 8/23/2021 BPJS 0000953528512 Ny. Febrianti 28 P
204 8/23/2021 BPJS 0000954088097 Ny. Wa Taambe 67 P
205 8/23/2021 BPJS 0001921907474 An. M. Alwi 8 L
206 8/23/2021 BPJS 0000952883594 Ny. Anti 30 P
207 8/23/2021 BPJS 0002172923515 Ny. Marwati 45 P
208 8/23/2021 BPJS 0000953727412 Tn. Jurahi L
209 8/23/2021 BPJS 000952917952 Tn. Riki 24 L
210 8/24/2021 BPJS 0000133951421 Tn. Lambua L
211 8/24/2021 BPJS 0000953751543 An. Naril 14 L
212 8/24/2021 BPJS 0001431382331 An. M. Lorand 16 L
213 8/24/2021 BPJS 0002751482406 Tn. Sumardin 48 L
214 8/24/2021 BPJS 0002643137919 Otang 16 L

214 8/24/2021 BPJS 0002643137919 Otang 16 L
215 8/24/2021 BPJS 0002642250036 Agil 14 L
216 8/24/2021 BPJS 0002643137842 Ny. Suharti 37 P
217 8/24/2021 G Tn Nilo/Asrun L
218 8/25/2021 BPJS 0000952936211 Ny. Hasria 47 P
219 8/25/2021 BPJS 0000953446353 Tn. Iksan L
220 8/25/2021 BPJS 0002172812409 Tn.Kadir 59 L
221 8/25/2021 BPJS 0002172924876 Ny. Nurtin P
222 8/25/2021 BPJS 0000953526137 Tn. Lasundi 95 L
223 8/25/2021 BPJS 0002172812714 Tn.Anton 32 L
224 8/25/2021 BPJS 0000952936211 Ny.Hasria 47 P

BPJS 187
Umum 8
G 36
Total Resep (A) 282
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 282

RESEP HARIAN APOTIK

cm, kg) Obat Pakai
8 9 10 11 12 13
Allopurinol 10 3x1
Desa Hambawa Hiperusemia

GG 10 3X1
Desa Lora ISPA
CTM 10 3X1
CTM 10 3x1
Desa Lora Insomnia Becefort 10 1x1
160/80 Ciprolaxacin 500 20 2x1
Desa Metronidazole 20 2x1
Gangren
90/80 SF 10 1x1
GIP0A0
Tambako Kalak 10 3x1
180/100 Amlodipine 10 10 1x1

HT+COUGH
140/80 Salbutamol 20 2x1

Desa
ASMA Ambroxol 20 2x1
Pomontoro
Dexametasone 20 2x1
Dexametasone 10 3x1
COUGH
CTM 10 3x1
110/70 GG 10 3X1
COUGH
Cefadroxil 10 2X1
Desa
Hipotensi
Pomontoro
Desa Antasida syr 1 1x1
Hipotensi
Pomontoro
120/80 Ibuprofen 400 20 3X1

Desa Pulau 164 CTM 20 3X1
ISPA
Tambako 65 Prednison 20 2X1
Becefort 20 1X1
Desa Pulau
Persistensi 61 Amoxicillin syr 2 3x1
Tambako
Becefort 20 1X1
Ranitidine 10 1X1
Desa Hambawa Insomnia

Desa Pulau 18 Amox syr 2 3x1
ISPA
Tambako
124 Antasida 20 3x1

Ranitidine 10 2x1
Desa Lora Dispepsia+Febris
Amox 500 10 3X1

Desa Lora CC CTM 10 3X1
152 Ciprolaxacin 500 20 20

Paracetamol 500 10 10
Desa Lora ISPA
GG 10 10
100/80 Doxicycline 10 3x1

Desa Pulau
50 Alergi CTM 10 3x1
Tambako
Dexametasone 10 3x1

Paracetamol 10 3X1
Desa Lora CC
B1 10 3X1

Desa Lora ISPA
CTM 10 3X1/2

180/144 Amlodipine 10 10 1x1

Desa Tajuncu 144 HT+OA Piroxicam 10 2x1
110 Becefort 5 1x1

Allopurinol 10 2x1

68

Febris
Tambako Becefort 5 1x1
Amox 500 5 3x1/2

Loratadine 5 3x1/2
Desa Lora D. Alergi
Prednison 5 3x1/2
Amox 500 5 3x1/2

Loratadine 5 3x1/2
Desa Lora D.Alergi
Prednison 5 3x1/2
Loratadine 10 3x1/2
Amox syr 1 3x1
Amox 500 20 3X1

Loratadine 20 1x1
Desa Lora Alergi
Prednison 20 2X1
149 Amox 500 10 3x1

Desa Pulau 48 Paracetamol 500 10 3x1
CC
Becefort 10 1x1
160/90 OBH Syr 1 3x1
Desa Lora PPOK Salbutamol 10 3x1
110/80 Amox 500 10 3x1
Desa Lora Dispepsia
Omeprazole 10 1x1
Desa Lora Dispepsia
140 Piroxicam 10 2X1

CTM 10 2X1
Desa Liano Vertigo+Atragia
B12 10 2X1

Milagia+GEA
Tambako Domperidone syr 1 3x1
Amox 500 10 3x1
Desa Lora 165 Miialgia Amoxicillin 10 3X1
Vit. B1 10 3X1
100/80 Ibuprofen 400 10 3x1
150 b1 10 3x1
Desa Lora Mialgia
60 Amox 500 10 3x1
120/80 Amox 500 10 3x1

Desa Pulau 170 ASMET 10 3x1
Caries Gigi+Diare
Tambako 60 Prednison 10 3x1
Loperamide 10 3x1
Desa Pulau 105 Cotri syr 1 2x1
Febris
Tambako

155 Hyperusemia+Hypercole Allopurinol 10 2x1
Desa Lora
strol Simvastatin 10 2x1
Omeprazole 10 1x1
GG 10 3X1
CTM 10 3X1
Desa Lora ISPA
Prednison 10 2X1
Cotri syr 1 2x1

Desa Liano Febris
Antasida syr 1 3x1

Desa Lora Dispepsia Ranitidine 10 2x1

Desa 45 Metilprednison 10 3X1/2
CC
Pomontoro CTM 10 3X1/2
Desa
CC
Pomontoro
Vit.C 10 1X1
160 Ambroxol 10 3X1
Desa Lora ISPA Prednison 10 2X1
Amox 500 10 3X1
Omeprazole 10 1X1
90/70 Paracetacetamol 500 10 3x1
Amox 500 10 3x1
Desa Lora Cefalgia

Becefort 10 1x1
Desa Lora Cefalgia

Desa Pulau 164 Prednison 20 3X1
Dispepsia
Tambako 60 Omeprazole 20 1X1
Becefort 20 1x1
CTM 20 3x1
Desa Liano Hipotensi
Ambroxol 20 3x1

DM
Tambako
Omeprazole 10 2X1
Desa Ranitidine 10 2X1
Dispepsia
Pomontoro
100/60 Ibuprofen 400 20 3x1

155 Amox 500 20 3x1
Desa Lora Febris
Prednison 10 2x1
100/70 Ibuprofen 400 10 3x1

Desa Lora 157 Febris Amox 500 10 2x1
59 Becefort 5 1x1
Amox 500 10 3x1/2
Desa Lora ISPA Paracetamol 500 10 3x1/2
CTM 20 2x1
Prednison 20 2x1
120/80 ASMET 20 3x1

Desa Pulau
164 FRUNKEL Prednison 20 2x1
Tambako
60 Amox 500 20 3x1
Cefadroxil 10 2X1
Desa Lora Post Op APP Metronidazole 10 2X1
Becefort 10 1X1
145 Cotrinidazole syr 10 2x1

Papaverin 10 3x1
Desa Lora GEA Piroxicam 10 2x1
Ciprolaxin 10 3x1
Ranitidine 10 3x1
Desa Lora ISPA Paracetamol 500 10 3x1
150/110 Amlodipine 10 10 1x1

Desa Lora Hiperusemia+HT Piroxicam 10 2x1

148 Nadic 25 10 2x1
73 Prednison 10 2x1
Becefort 5 1x1
Amlodipine 5 10 1x1
Desa Laloa COUGH+HT
Becefort 10 1x1
Cefixime 10 2x1
HT+Febris
Pomontoro Becefort 10 1X1

Simvastatin 30 2x1
Desa
Pomontoro HT+Hipercolestrol Ibuprofen 400 20 2x1
Omeprazole 20 1x1
90/60 Ketoconazole ZALF 1 2x1

151 Ketoconazole tab 10 3x1
Desa Lora Macula Pro ev
68 Prednison 10 2x1
140/90 Piroxicam 20 20 2x1
Desa Lora OA
69 Becefort 5 1x1

ISK
Tambako 59 Becefort 5 1x1

Desa Lora HT
59 Miconazole Zalf 1 2x1
110/70 Amox 500 10 3x1

Caries
Tambako
120/80 Ibuprofen 400 10 3X1

155 Ambroxol 10 3X1
Desa Lora CC
60 Prednison 10 2X1
Becefort 10 1X1
150 CTM 10 2x1/2
Desa Lora CC
55 Amox 500 10 3x1
Becefort 10 1x1
90/70 SF 30 1x1
145 Becefort 5 2x1
Desa Hambawa G4P2A0
Kalak 10 3x1
70/P Cefadroxil 10 2x1

Desa Lora Gastritis+Febris

Amox syr 1 3x1
Desa Lora Dermatitis+Stomatitis
Vit.C 10 2x1/2
90/P Ciprolaxin 10 3x1
Ambroxol 10 3x1
Desa Lora COUGH
Prednison 10 3x1
Becefort 5 1x1
Ciprolaxin 10 3x1
ASMET 10 3x1
Desa Lora ISK
Prednison 10 3x1
Becefort 5 1x1
Amox 500 10 3x1/2
Desa Lora Febris+ISPA

124 Ambroxol 10 3x1/2
Desa Lora Febris+ISPA
20.4 Paracetamol 500 10 3x1/2
Becefort 5 1x1
Ciprolaxin 10 3x1
Desa Pulau Paracetamol 10 3x1
ISPA
Tambako Ambroxol 10 3x1
Becefort 5 1x1
163 Asma Salbutamil 4 20 3x1
Desa Lora
71 Brongchialis+Dispepsia Prednison 20 2x1
Cefixime 20 2x1
Amox 500 10 3x1/2
Desa Lora ISPA
Ambroxol 10 3x1/2

Desa 168 Ibuprofen 400 20 3X1
Febris
Pomontoro 67 B12 20 2X1

Desa Ranitidine 20 2x1
Pomontoro Dispepsia
Antasida syr 2 2x1
Becefort 10 1x1
Amox 500 10 3x1
Desa Paracetamol 500 10 3x1
Febris

Desa Piroxicam 20 20 2x1
Hipercolestrol+OA
Pomontoro Prednison 20 2x1
Becefort 10 1x1
120/80 Amox 500 10 3X1
Desa Lora 168 Caries Gigi ASMET 10 3X1
50 Prednison 10 3X1
120/80 Amox 500 10 3x1
Mialgia

Desa
COUGH +HT Amlodipine 5 10 1X1
Pomontoro
Vit.K 10 3X1
Desa Lameroro Febris
Fluconazole 20 2x1
Prednison 20 2x1
Dermatitis
Cetirizine 20 2x1
Amox 500 10 3x1/2

Desa Paracetamol 500 10 3x1/2
V.Laceratum

160 CTM 10 2X1
Desa Puuwaeya COUGH
56 Becefort 5 1X1

Desa CTM 20 2X1
Vertigo
Pomontoro Ibuprofen 400 20 2X1

Ciprolaxin 20 2x1
Desa Hambawa Febris+Cough
Becefort 10 1x1
Ambroxol 10 3x1
CTM 10 3x1
Becefort 10 1x1
Desa Insomnia+Dermatitis Oxitetracilin Zalf 1 2x1
Pomontoro
Metronidazole syr 1 Pyr

Dexametasone 3 Pyr
Desa Lora D. Alergi CTM 3 Pyr
Vit.C 4 Pyr
Cefadroxil 3 Pyr
Ciprolaxin 10 3x1
Desa Hambawa Febris
Becefort 5

Febris
Tambako
Salbutamol 4 10 3x1
Desa Pulau Metilprednison 3 2x1
ASMA+Alergi
Tambako B6 10 2x1
Miconazole Zalf 1
Desa Pulau 160 CTM 30 1x1
Febris+Insomnia
Tambako 53 Pirantel 4 1x4
Desa Pulau
Febris+Insomnia
Tambako
130/90 Glibenclamide 10 1x1

Desa Laloa DM
Amox 500 10 3x1
Cefadroxil 20 2x1
Desa Lora Post Op APP

Desa Laloa ISPA

Desa Pulau 120/80 Paracetamol 500 10 3x1
Tambako Dispepsia+Febris
Pirantel 4 1x4
Amox 500 10 3x1/2

Desa Lora Infeksi Pedis
150/100 Cefixime 10 2x1

Ambroxol 10 2x1
Desa Lora PPOK Diazepam 1 1x1
90/P Paracetamol 500 10 3X1

Becefort 10 1X1
Desa Lora Febris
GG 10 3X1

Amox syr 1 3x1
Desa Lora Persistensi 51
Ciprolaxin 10 3X1
Desa Lora ISPA
Ranitidine 10 3X1
Becefort 5 1X1
Cotrimoxazole 10 3x1
Desa Pulau Loperamide 10 3x1
GEA
Tambako Oralit 5 3x1
Ciprolaxin 10 3x1
Desa Pulau ISPA Ambroxol 10 3x1
Tambako
Desa Pulau
ISPA
Tambako
180/100 Amlodipine 10 10 1x1

156
Desa Tajuncu HT
55
Amox syr 2 3x1

Desa Lora ISPA
11 Ambroxol syr 1 3x1
Cotrimoxozole syr 1 3x1

Tambako GEA

Desa Lora Vikos Pekolitus 61

Pomontoro Dispepsia+Cough
CTM 10 2x1
Prednisone 10 2x1
Loperamide 10 3x1
Desa Pulau Ranitidine 10 3x1
Diare
Tambako Ibuprofen 10 3x1
150 Amox 500

Ibuprofen 400
Desa Pulau
Febris Becefort
Tambako
150 Amox 500 20 3x1

Desa Lora V. Laceratum

Becefort 5 1x1
Desa Lora Febris
ASMET 10 3X1
Amox 500 10 3X1
Desa Lora Caries
ASMET 10 3x1
Desa Pulau
Colic ABD Becefort 5 1x1
Tambako
137 Cendo Xitrol 1 2x2

Desa 43 Piroxicam 20 10 2x1
Kongjungtivitis+OA
Pomontoro Prednisone 10 2x1
Becefort 10 1x1
110/70 Ibuprofen 400 20 3X1
Desa Pulau Ambroxol 20 3X1
ISPA
Tambako CTM 20 3X1
B6 20 3X1
160/100 Amlodipine 10 10 1X1
Tambako HT
Cotrimoksazole 10 2X1
Desa Vit.K 10 2X1/2
Milena
Pomontoro

ISPA
Tambako Ambroxol 10 3x1

Ambroxol 10 3X1
Desa Lora Vertigo ASMET 20 3X1
Amox 500 10 3x1

ISPA
Tambako Paracetamol 500 10 3x1
110/80 Ibuprofen 400 30 3x1

160 CTM 10 3x1
Desa Lora 45 ISPA Prednisone 10 3x1
Ambroxol 10 3x1
Amox 500 10 3x1
Becefort 10 1x1
100/p Antasida syr 2 3x1

Ranitidine 10 3x1
Desa Lora Dispepsia
Desa Lora Dispepsia

Desa Pulau ZINC 10 1x1
GEA
Tambako Loperamide 10 3x1
Cotrimoksazole syr 1 3x1

Domporidone syr 1 3x1
Desa Lora GEA

Insomnia+Dispepsia+ISP CTM 10 3X1
Desa Laloa A Ambroxol 10 3x1
Ranitidine 10 2x1
Antasida 10 3x1
B6 10 2x1
160 Becefort 10 1x1

Desa Puuwaeya TB Triatum
120/80 Ciprolaxin 500 10 2x1

147 Ambroxol 10 2x1
Desa Lora Faringitis+COUGH
Becefort 5 1x1
Hiperusemia
Tambako Prednisone 10 2x1
Ranitidine 20 2X1
Betahistine 10 3X1
Ranitidine 10 3X1
Desa Lora Vertigo
CTM 10 3X1
Becefort 5 1X1
Paracetamol 500 3 Pyr
Ambroxol 3 Pyr
Desa Lora ISPA CTM 3 Pyr
Prednisone 3 Pyr
Vit. C 4 Pyr
Desa
Gastritis Ranitidine 20 2x1
Pomontoro
Omeprazole 10 1x1
Desa 155 Omeprazole 10 1X1
Dispepsia
Pomontoro 58 Metoclopiramide 10 2X1
Desa
Dispepsia
Pomontoro
120/80 CTM 10 3x1

170 Prednisone 10 3x1
Desa Pulau
70 Alergi Amox 500 10 3x1
Tambako
120/80 Ibuprofen 400 20 3x1
Desa Laloa Mialgia+Hiperusemia Allopurinol 100 20 1x1
nadic 50 10 2x1
90/60 SF 30 1x1
Becefort 10 1x1
Desa Laloa Anemia+OA
Piroxicam 20 10 2x1
Dexametasone 10 2x1
124 Ambroxol 20 3X1/2
CTM 10 3X1/2
Desa Lora Influensa
24 Amox 500 10 3X1/2
Vit. C 5 2X1/2
Dexametasone 20 3x1
Desa Lora ISPA
160 CTM 20 3x1
60 Becefort 20 1x1
Oxytetracilin/Mata 1 1x1
Konjungtivitis+Febris
Tambako Paracetamol Syr 1 3x1
Loperamide 10 3x1
Zink 10 1x1
Desa Lora Diare+Diare Becefort 5 1x1
Ketoconazole 1 2x1
Cefadroxil 10 2x1
Desa Lora Post App
Omeprazole 5 1x1
Cetirizine 20 2x1
Dexametasone 20 2x1
Becefort 5 1x1

Piroxicam 20 10 2X1
Desa Pulau
DM Vit. B6 20 2X1
Tambako
Cotri Syr 1 2x1

Zink 10 1x1
Desa Diare+Vomitus
Pomontoro
Desa
14.2 Diare+Vomitus Paracetamol Syr 1 1x1
Pomontoro
100/80 nadic 50 10 2x1

OA+Hipercolstrol
Pomontoro Simvastatin 10 20 1x1

Ranitidine 10 3x1
Desa Lora G5P4A0

nadic 50 10 2x1
Desa Lora Hiperusemia+Dispepsia
Ranitidine 10 2x1
Cendo Xitrol 1 1x1
Cetirizine 20 3x1/2
Amox syr 2 3x1
Dexametasone 10 3X1/2
Desa Tajuncu HT+Colestrol
Ranitidine 10 2x1
Paracetamol 10 3x1
Desa Lora Dispepsia
Amox 500 10 3x1
Cefixime 10 3X1
Ambroxol 10 3X1
Desa Hambawa Bronchitis Amlodipine 20 1X1
Diazepam 4 1X2
CTM 20 2X1
Desa Lora Hiperglikemia
150/100 Amlodipine 10 20 1x1

Desa Lora HT+Hiperusemia
Paracetamol 10 3x1
CTM 20 1x1
Desa Mawar Influenza
Ambroxol 10 3x1
Desa Mawar Influenza
Dexametasone 10 2x1
120/80 Hidrocortisone 2 2x1
Desa 154 Cetirizine 20 1x1
Alergi
Antalgin 20 2x1
110/70 Vit. K 10 2X1
151 FE 20 1X1
Desa Laloa Milena
53

Desa Pulau
152 Hiperusemia Piroxicam 20 20 2x1
Tambako
45 Prednisone 10 2x1
120/80 Omeprazole 20 1X1
Desa Pulau 160 Nadic 25 10 2X1
Dispepsia
Tambako 55 Dexametasone 10 2X1
Amox 500 10 3x1

Desa Lora OMA
Dexametasone 10 3x1

Hiperusemia

Desa Pulau 49
Hiperusemia
Tambako

Desa Pulau 170 Catopril 12,5 10 1x1
HT+Dispepsia
Desa Lora Dispepsia+HT Amlodiien 5 20 1x1

Desa Lora Dispepsia+HT
Desa Pulau Allopurinol 10 1x1
Colestrol+Gout Atritis
Tambako Metilprednisone 10 2x1
Desa Pulau
Colestrol+Gout Atritis
Tambako
110/80 Amox 500 10 3x1

160 ASMET 10 3x1
Desa Lora 51 Trauma Kulit Dexametasone 10 2x1
Betametasone 1 1x1

Desa Lora PPOK+HT

Desa Lora ASMA+HT Amlodipinne 5 10 1x1

Vit. C 5 1X1/2
Desa Lora Febris

Dexametasone 10 2x1
Desa Laloa Dermatitis

150 Vit. C 10 2x1
Desa
Febris+Dermatitis Dexametasone 10 2x1
Pomontoro

Dexametasone 10 2X1
Desa Lora ASMA+Hipercolestrol
Metilprednisone 10 2X1
Paracetamol 10 3X1
Desa Lora HT+Febris
Vit. B12 10 2X1
Nadic 25 20 2x1
HT+Hiperusemia
Tambako Amlodipine 10 20 1x1

Desa Pulau
Hiperusemia
Tambako
Desa Pulau Piroxicam 10 2x1
Hiperusemia

Calak 10 1x1
Desa Lora Mialgia Amox 500 10 3x1
Paracetamol 10 3X1
Antasida 10 3X1
Desa Lora Dispepsia
Ranitidine 10 3X1
100/60 ASMET 10 3x1

170 Amox 500 10 3x1
Desa Lora 63 Dental Caries
160 Amox 500 10 3X1

60 Paracetamol 10 3X1
Desa Lora ISPA Dexametasone 10 3X1
Amox 500 10 3x1/2

Desa Pulau 150 B12 10 2x1
ISPA
Cefadroxil 10 3x1
100/70 Paracetamol 10 3X1
Ambroxol 10 3X1
Desa Lora CC
CTM 10 2X1
Becefort 5 1X1
105 Amox 500 5 3X1/2
Desa Pulau 30 CTM 5 3X1/2
Dermatitis
Tambako Dexametasone 5 3X1/2
110 Metronidazole 10 3X1/2

Desa Pulau 33 Dexametasone 10 3x1/2
Dermatitis
Tambako CTM 10 3x1/2
Nadic 50 10 2X1
Desa
OA Dexametasone 10 2X1
Pomontoro
CTM 10 2X1
Paracetamol 10 3x1
Amox 500 10 3x1
Desa
Febris
Pomontoro
90/60 SF 10 2x1
Betametasone 1 2x1
Desa Pulau
Anemia+Dermatitis
Tambako
130/80 Amox 500 10 3X1

Desa 160 ASMET 20 2X1
Pomontoro Vulnus + Hipercolestrol
63 Becefort 10 1X1
Desa Pulau Amlodipine 5 10 1x1
HT+DM
Tambako

Desa Ibuprofen 400 20 2x1
Pomontoro Dispepsia+HT
Amlodipine 5 20 1x1
160/80 Amox 500 10 3X1

Desa Lora Mialgia
40 Becefort 10 1X1
105 Paracetamol 2 3x1/2

20 Prednison 5 3x1/2
Desa Pulau
ISPA Ambroxol 5 3x1/2
Tambako
100/80 Ibuprofen 400 10 3x1

150 Amox 500 10 3x1
Desa Pulau
52 Mialgia Becefort 10 1x1
Tambako
120/80 ASMET 10 3X1

Prednison 10 3X1
Desa Lora Mialgia
160 CTM 10 3X1
45 Becefort 10 1X1
100/80 Amox 500 10 3x1
Ambroxol 10 3x1
Desa Lora ISPA+Dispepsia
Omeprazole 10 1x1
35 CTM 10 3x1
Desa Lora ISPA+Dispepsia
Paracetamol 5 2x1
120/80 Ibuprofen 400 10 3X1
Desa Pulau
Susp APP Ranitidine 20 2X1
Tambako
CTM 10 3X1/2

Desa Lora Frunkel
Dexametasone 10 3x1
Becefort 5 1x1
Betahistine 10 2x1
Desa Lora Vertigo+HT
67 Becefort 5 1x1
Amlodipine 5 10 1x1
Cefixime 5 1x1
Desa Lora Dispepsia+HT Ranitidine 10 2x1
Becefort 10 1x1
Paracetamol 10 3x1
Desa Lora COVID-19
Ranitidine 20 2x1
Allopurinol 10 3X1
Ketoconazole Zalf 1 2X1
Desa Lora Hiperusemia+Dermatitis
SF 10 1X1
125 CTM 10 3x1

Desa Pulau
ISPA Paracetamol 10 2x1
Tambako
Amox 500 10 3x1
Ambroxol 10 3x1
Cefadroxil 10 2X1
Metilprednisone 10 2X1
Desa Lora Herpez Zoster
ibuprofen 200 10 3X1
Vit. C 10 2X1
Desa Lora ISK+Dermatitis
68 Ketoconazole Zalf 1 2x1
Ambroxol 10 3x1
CTM 10 2x1
Desa Lora ISPA
Vit. C 10 2x1
Desa Lora ISPA

Metilprednisone 2 2x1/4
Desa Lora Cefalgia
Vit. C 10 2x1
110/80 ASMET 10 3X1

150 Amox 500 10 3X1
Desa Lora Frunkel
Salbutamol 4 10 2x1
CTM 10 2x1
Desa Lora TB
Becefort 10 1x1
Ranitidine 10 2x1
Antasida 10 3x1
Ambroxol 10 3x1
Amox 10 3x1
Desa Lora Hipotensi
ASMET 10 3x1
Pehavral 10 1x1
Desa Laloa DM

Hipercolestrol+Hiperuse
Desa Lora Allopurinol 10 2x1
mia
120/80 Ibuprofen 400 10 3x1

170 Becefort 10 1x1
Desa Lora Mialgia
50
Pehavral 10 1x1
Desa Laloa DM
Ranitidine 10 2x1
Antasida 10 3x1
Desa Lora Dispepsia+CC Metoclopiramide 10 3x1
Ambroxol 10 3x1
Lora, 25 Agustus 2021
Pengelola Obat
Bulan : September
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
1 8/26/2021 BPJS 0000954459224 Ny. Sumartina 35 P
2 8/27/2021 BPJS 0000165569725 Ny. Murgana 49 P
3 8/27/2021 BPJS 0000953727412 Tn. Jurahi P
4 8/27/2021 BPJS 0000953344495 An. Galang 15 L
5 8/27/2021 BPJS 0000953980356 Ny. Yuli 64 P
6 8/27/2021 BPJS Wa Salmia P
7 8/30/2021 BPJS 0002643137842 Ny. Suharti 37 P
8 8/30/2021 BPJS 0002642250025 Tn. Ridwan.S 38 L
9 8/30/2021 BPJS 0000953578269 Ny. Murinu 59 P
10 8/30/2021 BPJS 0000954581398 Tn. Laonti 85 L

11 8/30/2021 BPJS 000952935726 Tn. Syamsuddin 48 L
12 8/30/2021 BPJS 0002827940264 Tn. Sirajuddin 34 L
13 8/30/2021 BPJS 0000953727412 Tn. Jurahi 79 L
14 8/30/2021 BPJS 0000953573927 Tn. Labaya 76 L
15 8/30/2021 G An. Rafanda 4 P
16 8/30/2021 G An. Naufan P
17 8/30/2021 G Tn. Anwar L
18 8/31/2021 BPJS 0000954075565 Ny. Zahima 45 P
20 8/31/2021 BPJS 0002172617245 An Anggun P
21 8/31/2021 G An. Fitria 1.2 P
22 8/31/2021 BPJS 0000953569707 Ny. Asriani 37 P

22 8/31/2021 BPJS 0000953569707 Ny. Asriani 37 P
8/31/2021
23 BPJS 0000954408453 Ny. Jumiati 48 P
24 8/31/2021 BPJS 0001921939007 An. Asrina 10 P
25 8/31/2021 BPJS 0000133954389 Ny. Sukaesi P
26 8/31/2021 BPJS 0002172616985 Ny. Ramida P
27 8/31/2021 BPJS 0002172617032 An. Fatin P
28 8/31/2021 BPJS 0000952835703 An.Lisman 14 L
29 8/31/2021 BPJS 00026412222776 Tn.Aminung 32 L
30 8/31/2021 BPJS 0002746119172 Tn. Hasan 32 L
31 8/31/2021 BPJS 0000953355879 Ny. Nutria 67 P
32 8/31/2021 BPJS 0000953370573 Ny. Sitti Norma 72 P
33 9/1/2021 BPJS 0000953698386 Tn. Rasid 69 L

35 9/1/2021 BPJS 0000953727412 Tn. Jurahi L
36 9/1/2021 BPJS 0001986969824 An. Yuni 14 P
37 9/1/2021 BPJS 0003074634652 Tn. Suharman 40 L
38 9/1/2021 U Tn. Hardiman L
39 9/1/2021 U An. Ikra P
40 9/2/2021 BPJS 0001851163806 Tn. H. Ramli 64 L
42 9/2/2021 BPJS 0000953362541 Ny. Halisa P
43 9/2/2021 BPJS 0002172615502 Ny. Hania 75 P

46 9/2/2021 BPJS 0000952859362 Ny. Selfi 27 P
47 9/2/2021 G Tn. Nuo 41 L
48 9/3/2021 BPJS 0001204051781 Ny. Erdawati P
49 9/3/2021 BPJS 0002498521836 Ny. Sarmayani 25 P
50 9/3/2021 BPJS 0002172619326 Tn. Paddu L
51 9/4/2021 BPJS 0001941320171 Ny. Nawara 50 P
52 9/4/2021 BPJS 0000953360032 Ny. Arni 46 P
53 9/4/2021 BPJS 0002289730713 An. Alifiya Farzana 4 P
54 9/4/2021 BPJS 0000954408453 Ny. Jusmiati 48 P
55 9/4/2021 G An. Anisa Nurfadila 5 bln L
56 9/6/2021 G Ny. Nursila 50 P

59 9/6/2021 BPJS 0000953446026 Ny. Nurkaya 47 P
61 9/6/2021 BPJS 0000954075565 Tn. Zahima 45 P
62 9/6/2021 BPJS 0000953609321 Ny. Masnia P
64 9/6/2021 BPJS 0000134174135 Ny. Tati 30 P
66 9/6/2021 BPJS 00009537277412 Tn. Jurahi L
67 9/6/2021 BPJS 0000161789455 Ny. Jumianti 157 P
68 9/7/2021 BPJS 0000165569771 Ny. Indrianimgsi 29 P

68 9/7/2021 BPJS 0000165569771 Ny. Indrianimgsi 29 P
69 9/7/2021 BPJS 0000953936054 Tn. Ambo 50 L
70 9/7/2021 BPJS 0002871974632 An. Fikram 9 L
71 9/7/2021 BPJS 0001484421579 An. Fadel 10 L
72 9/8/2021 BPJS 0000953737841 Tn. Muhamalu L
73 9/8/2021 BPJS 0001885907711 Ainil Nurul P
74 9/8/2021 BPJS 0000953980356 Ny. Yuli 64 P
75 9/8/2021 BPJS 0000954441775 Tn. Nawin 62 L
76 9/8/2021 BPJS 0000953940262 Tn. Firmansyah 33 L
77 9/8/2021 BPJS 0000952901212 Ny. Samsan 35 P
78 9/8/2021 BPJS 0000954050771 Ny. Sumarni 49 P
79 9/8/2021 BPJS 0001074939575 Ny. Suhaeni P

81 9/8/2021 BPJS 000953981752 Tn. Dahlan 32 L
82 9/9/2021 BPJS 0002204350964 NN. Fausia Hulla 18 P
83 9/9/2021 BPJS 0000953753139 Ny. Kusnawati 43 P
84 9/9/2021 BPJS 0000133951421 Tn. Lambua P
85 9/10/2021 BPJS 0000952893426 Tn. Zamal 39 L
86 9/10/2021 BPJS 0001282543097 Ny. Erna 40 P
88 9/10/2021 BPJS 0002641222776 Tn. Aminung 32 L
89 9/11/2021 BPJS 0000954016694 An. Sardin L
90 9/11/2021 BPJS 0000954015985 Ny. Neka P
91 9/11/2021 BPJS 0001987219225
92 9/11/2021 BPJS 0001386261674 Ny. Hj. Nurhayati 48 P

93 9/11/2021 BPJS 0000953765493 Tn. Basri L
94 9/11/2021 G Icetresnawati 33 P
96 9/13/2021 BPJS 0001975401865 Ny. Husna P
97 9/13/2021 G An. Aslan L
98 9/13/2021 BPJS 000954025986 Tn. Paharudin L
99 9/13/2021 BPJS 0000953206846 Ny. Sunarti
100 9/14/2021 BPJS 0001982873966 An. Jeki L
101 9/14/2021 BPJS 0002643137919 Otang 16 L
102 9/14/2021 BPJS 0002643137842 Ny. Suharti 37 P
103 9/14/2021 BPJS 0002642250025 Tn. Ridwan 38 L

104 9/15/2021 BPJS 0001941320755 Ny. Hayati P
105 9/15/2021 BPJS 0000953763737 Tn. La sadi L
106 9/15/2021 BPJS 0003080151731 Muh. Rizky 5 L
107 9/15/2021 BPJS 0000953446026 Ny. Nurkaya 48 P
108 9/15/2021 BPJS 0000165569771 Indri 29 P
109 9/15/2021 BPJS 0000952938268 An. Fahri 12 L
110 9/15/2021 BPJS 0000953731732 Ny. Nirma 29 P
111 9/15/2021 BPJS 0000171603549 Ny. Rosnia 42 P
112 9/15/2021 BPJS 0002204350964 Nn. Fausia H 17 P
113 9/15/2021 BPJS 0002641224677 Ny. Sitti Hasia P
9/15/2021
114 BPJS 0002740706526 An. Nurfatonah 8 P

116 9/17/2021 BPJS 0000954003881 Tn. La Dinu 57 L
117 9/17/2021 BPJS 0002172924279 Verni 7 P
118 9/17/2021 BPJS 0003058673185 Tn. Amiludin 41 L
119 9/17/2021 G Tasman 8 L
120 9/17/2021 G Ny. Nurosi 32 P
121 9/18/2021 BPJS 0001987215445 Ny. Sukmati P
122 9/18/2021 BPJS 0000134174135 Ny. Taty Suhartin P
123 9/18/2021 BPJS 0002916982203 An. Aura 3 P
124 9/18/2021 BPJS 0002204350964 Nn. Fausia 18 P
125 9/18/2021 BPJS 0000953968443 Ny. Nuriala 58 P

126 9/18/2021 BPJS 0000954514091 Ny. Nursana P
127 9/18/2021 G An. Alyama 8 P
128 9/18/2021 BPJS 0001889842296 Yusril 22 L
129 9/18/2021 BPJS 0000133211867 Ny. Darmawati 55 L
130 9/18/2021 BPJS 0002641222776 Tn. Aminung 32 L
131 9/20/2021 BPJS 0001941320081 An. Musdalifa P
132 9/20/2021 BPJS 0000953498294 Ny. Nurosy P
134 9/20/2021 BPJS 0001074591245 Ny. Muliana P
135 9/20/2021 BPJS 0003065078755 Alfatih 6 L
137 9/20/2021 BPJS 0003074634652 Tn. Suharman L

137 9/20/2021 BPJS 0003074634652 Tn. Suharman L
138 9/20/2021 BPJS 0000954408453 Ny. Jumiati 48 P
139 9/20/2021 BPJS 00001333211891 Asniar 30 P
140 9/20/2021 BPJS 0000133211889 Asdar 32 L
141 9/20/2021 BPJS 0002474249253 Ny. Sriwahyuni 32 P
142 9/20/2021 G Anita P
143 9/20/2021 G Tn. Nilo L
144 9/21/2021 BPJS 00002905003765 Ny. Agustina P
145 9/21/2021 BPJS 0001941321251 Ny. Ice Trisnawati 33 P
146 9/21/2021 BPJS 0000954476403 Ny. Hastina 39 P
147 9/21/2021 BPJS 0001074941875 Ny. Juniati 46 P
148 9/21/2021 BPJS 0000954457841 Tn. AS ARI 33 L

148 9/21/2021 BPJS 0000954457841 Tn. AS ARI 33 L
149 9/21/2021 BPJS 0002495907606 An. Anisa 4 P
150 9/21/2021 BPJS 0002746119172 Tn. Hasan L
151 9/22/2021 BPJS 0001885512519 An. USY P
152 9/22/2021 BPJS 0000165569771 Indry 29 P
153 9/23/2021 BPJS 0000954485302 Adi Arful 20 L
154 9/24/2021 BPJS 0000954581398 Tn. Laonti L
155 9/24/2021 BPJS 0001386261674 Ny. Hj. Nurhayati 45 L
156 9/24/2021 BPJS 0002172923504 Tn. Bahrin 48 L
157 9/24/2021 G An. Reski Aditia 2, 5 L
158 9/25/2021 BPJS 0000952746524 Tn. Muslimin 48 L
159 9/25/2021 G Fakih L

159 9/25/2021 G Fakih L
160 9/25/2021 BPJS 0002171812455 Ny. Kasrawati 29 P
161 9/25/2021 BPJS 0000954401082 Tn. Alimin 49 L
162 9/25/2021 G Agusandra 33 L
163 9/25/2021 BPJS 0000133951421 Tn. Lambua L
BPJS 187
Umum 8
G 36
Total Resep (A) 282
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 282

RESEP HARIAN APOTIK

cm, kg) Obat Pakai
8 9 10 11 12 13
Betahistine 10 3x1
Desa Paracetamol 10 3x1
Vertigo
Pomontoro Pehavral 10 1x1

Desa Lora Vertigo
B6 10 3X1
Desa Lora Asma+Dispepsia Ranitidine 10 2x1
Salbutamol 4 10 2x1
CTM 10 2x1
Dermatitis
Pomontoro Ketokonazole Zalf 2 2x1

Asma Brongchial
110/70 Ibuprofen 400 20 3X1

170 Ambroxol 20 3X1
Desa Lora ISPA
50 Vit. C 20 1X1
CTM 20 2X1
Desa Lora Alergi
60 Pehavral 10 1x1
110/80 ASMET 10 3X1
Desa Lora Frunkel
Pehavral 10 1X1
Vertigo+Dispepsia
Ambroxol 20 3x1
CTM 20 3x1
Desa Mawar CC+Alergi
Dexametasone 20 2x1
170 CTM 10 2X1
Desa Lora Vertigo
B12 10 2X1
ASMET 10 3x1
Desa Laloa Sakit gigi+Insomnia
CTM 20 1x1
Pehavral 10 1x1
Pehavral 5 1x1
Ambroxol 10 2x1
Desa Lora Dispeneu + Malaise
165 Loratadine 10 2X1

Tambako Dermatitis+Dispepsia
Dexametasone 10 2X1
Amoxicillin Syr 1 3x1

CTM 3 Puyer
Desa Lora Alergi Dexametasone 3 Puyer
Paracetamol 3 Puyer
Vit. C 4 Puyer
Loperamide 5 3x1
Desa
GEA Ibuprofen 5 3x1
Pomontoro
Oralit 10

Desa Ciprolaxin 10 3x1
Influensa
Pomontoro Ambroxol 10 3x1
Pehavral 5 1x1
Amox 500 10 3x1
Desa Pulau
Vulnus Dexametasone 10 2x1
Tambako

Desa Pulau 150 Pehavral 20 1x1
Hiperusemia
Tambako 55
90/P Amox 500 10 3x1

Desa Pulau Hordeolum Internum Paracetamol 500 10 3x1
Tambako Inferior Dexametasone 10 3x1
Amox syr 1 3x1

Cetirizine 5 3x1/4
CTM 5 3x1/4
Desa Pulau Dispepsia
Tambako
Desa Pulau
Dispepsia Ibuprofen 400 10 2x1
Tambako
Pehavral 5 1x1
Ciprolaxin 10 3x1
ASMET 10 3x1
Desa Laloa Ineksi Primer Digit 3+DM
Metformin 10 1x1
25 Amox 500 10 3x1/2

80/P 20 20 1x1
Desa Lora Malaise
90/p Ranitidine 10 2x1

Hipotensi+COUGH
Amox syr 10 3X1

Desa Pulau Paracetamol 500 10 3x1/2
ISPA
Tambako CTM 10 3X1/2
Amox 500 10 3x1

Loratadine 10 2x1
Dexametasone 10 2x1

Dispepsia

Desa Lora ASMA+Dispepsia

Desa
156 Hipotensi
Pomontoro
41
Simvastatin 20 1x2
Desa Pehavral 10 1x1
Pomontoro Hipercolestrol
120/80 Amox 500 10 3X1

Desa Pulau 170 ASMET 10 3X1
Mialgia
Tambako 50 Dexametasone 10 3X1
CTM 10 3X1
Betahistine 10 3x1
Vertigo
Pomontoro
Desa
Vertigo
Salbutamol 4 10 3x1
Desa Lora ASMA Dexametasone 10 2x1
80/p
149 Pehavral 5 1x1
Desa Lora Hipotensi+Anoreksia
35 FE 5 1x1

Betahistine 10 3x1
Desa Lora Vertigo
CTM 10 1x1

Desa Laloa Absas Frunkel

Desa Pulau Amox 500 5 3x1/2
Tambako Conibutsio derajat 1
Vit. C 5 3x1/2
Betametasone Zalf 1
100/80 Nadic 25 20 2x1
HT+OA
Tambako Amlodipine 5 20 1x1

Desa Pulau
Hyperusemia Dexametasone 10 2x1
Tambako

Ranitidine 20 2x1
Desa Hambawa Vertigo+Dispepsia Paracetamol 10 3x1
Ciprolaxin 10 2X1
CTM 10 2X1
Desa Lora Alergi+PPOK
OBH 2 2X1
150 ASMET 10 3x1

153 Ketokonazole Zalf 1 3x1
Desa Lora S. Gigi+Pruritas

Loratadine 10 2x1
Desa Lora Pruritus
Desa Lora Pruritus
90/70 Ibuprofen 400 10 3X1

153 Pehavral 10 1X1
Desa Pulau
ISPA+Dermatitis CTM 10 3X1
Tambako
Ketokonazole Zalf 1 2X1
OBH syr 2 3x1
Salbutamol 4 20 3x1
Desa Lora Post Op TB
Pehavral 10 1x1
90/p Antasida syr 2 3x1

Desa Pulau Ranitidine 20 3x1
Dispepsia

155 Amox 500 10 3x1
Desa Tajuncu Post Partum
56 Pehavral 10 1x1

Pehavral 5 1x1
Desa Tajuncu HT
140/100 Ibuprofen 400 20 3x1

Desa Pulau 160 Amox 500 20 3x1
HT+Cefalgia
Tambako 60 Catopril 12,5 20 1x1
Salbutamol 4 10 2X1
Desa
Dispneu+Febris Dexametasone 20 2X1
Pomontoro
Paracetamol 2 Puyer
Desa Pulau CTM 1 Puyer
CC
Tambako Amox 500 2 Puyer
Vit. C 1 Puyer
Ciprolaxin 10 2x1
ASMET 10 2x1
Desa Laloa Infeksi Sekunder Becefort 5 1x1
5.6 Cetirizine 2 Puyer

Desa Lora Dermatitis Alergi B6 2 Puyer
148 Glimepirimide 10 1x1
Desa Hambawa 60 HT+DM
100/80 OBH 1 3x1

Amox 500 10 3x1
Desa Lora COUGH
Desa Lora COUGH
130/90 CTM 20 3X1

Desa Lora 60 Dermatitis Ibuprofen 400 20 2X1
160/80 Piroxicam 20 10 2x1

Desa Lora OA Pehavral 5 1x1

Tambako HT+Dispepsia
Pehavral 5 1x1
Dexametasone 10 3x1
Tambako OA
Allopurinol 10 3x1
Hiperusemia
Ciprolaxin 10 2X1
ASMET 10 2X1
Desa Laloa Infeksi Premis Becefort 10 1X1
ASMET 10 3x1
Alergi+DM
Tambako Metforfin 20 2x1

Ranitidine 10 2X1
Desa Lora Vertigo
Pehavral 5 1X1

Ambroxol 20 2x1
Desa Lora COUGH
Furosemid 5 1x1
157 Amox 500 10 1X1

Desa Hambawa Caries
Dexametasone 10 2X1

148 Kalak 10 2x1
Desa Lora Mialgia
Desa Lora Mialgia
51 Pehavral 10 1x1
110/70 Piroxicam 20 mg 20 2X1

OA
Pomontoro Vit. B6 20 2X1
Amox 500 10 3x1/2

Desa Cetirizine 5 1x1/2
Dermatitis
Pomontoro
29 Paracetamol 500 10 3x1/2

Desa Amox 500 10 3x1/2
Febris
Pomontoro Dexametasone 10 2x1/2
160 Betahistine 10 10
120/80 Ranitidine 20 20
Desa Lora Vertigo+COUGH
60 Pehavral 5 5
80/P Ranitidine 20 2x1

Desa Pulau Antasida Syr 2 3x1
Gastritis+Hipotensi
140/90 Dulcolacs 2
Desa Antasida Syr 2 3x1
Congtivasi
Pomontoro Ranitidine 20 3x1
110/70 Piroxicam 20 20 2X1

Desa Ranitidine 20 2X1
OA
Pomontoro Pehavral 10 1X1
130/80 Piroxicam 20 20 2x1

Desa 165 Dexametasone 20 2x1
RA

CTM 10 3x1
Desa Lora Dispepsia
Pehavral 5 1x1
Desa Pulau Glibenclamide 5 5 2x1/1
Tambako DM
Pehavral 5 1x1
Loratadine 10 2x1
Desa Puuwaeya Vrunkel
Dexametasone 10 2x1
110/70 Ibuprofen 400 20 3X1

Desa Pulau 155 Dexametasone 10 2X1
Febris
Tambako
Desa Pulau
Febris
Tambako 50 Vit. C 10 1X1
120/80 Nadic 25 10 3x1

Desa Pulau 165 Anti Hemoroid 3
Cefalgia+Haemoroid
110/70 Ibuprofen 200 10 2x1

Desa Pulau 150 Metronidazole 10 3x1
Frunkel
Tambako 45
Amox 500 10 3x1

Desa Pulau Dermatitis Kontraksi Cetirizine 10 3x1
Tambako Alergi Dexametasone 10 2x1
130/90 Ketokonazole Zalf 1 2X1

Betametasone Zalf 1 2X1
Nadic 25 10 2X1
Dexametasone 10 2X1
110/70 Amox 500 10 3x1
156 ASMET 10 3x1
Pehavral 10 3x1
154 Ambroxol 10 3x1
Paracetamol 20 3x1
Desa Lora Hipotensi
80/p Amox 500 10 3x1
Pehavral 10 1x1
80/70 Ibuprofen 400 20 3x1
Dispepsia
120/80 Piroxicam 20 mg 20 2x1

Mialgia
130 Cetirizine 20 2x1/2

Amox 500 20 3x1/2
Oxytetracillin Zalf 1 2x1
100/P Cetirizine 20 2x1
Dexametasone 20 3x1
Amox 500 20 3x1
Kalac 20 2x1
Pehavral 20 1x1
OA
Piroxocam 20 20 2x1

Dexametasone 10 2x1
Becefort 10 1x1

Desa Lora 62 Dermatitis Ketokonazole Zalf 1 2x1
Fluconazole 10 2x1
110 Nadic 50 10 3x1

Allopurinol 10 2x1
Desa
Hiperusemia Dexametasone 10 3x1
Pomontoro

160 Antasida 10 2X1
Desa Lora Dispepsia
58 B6 10 2X1

Ambroxol 10 3x1
Desa Lora ISPA
CTM 10 2x1
12 Ambroxol 2 2 Puyer
Desa Lora Alergi+ Ispa
CTM 2 Puyer
Vit.C 3 Puyer
B6 10 3X1
Desa Lora Cefalgia

156 Kalak 10 2x1
Desa Lora Gravid Tr 3
58
Cetirizine 10 2x1
Desa Lora Dermatitis Dexametasone 10 2x1
100/80 Amox 500 10 3x1

165 CTM 10 3x1
Desa Lora Alergi
45 Dexameasone 10 3x1
Desa Lora ISPA
60 CTM 10 2x1
Pehavral 20 1x1
Desa Lora ISPA
60 CTM 10 2x1
Pehavral 20 1x1
Desa Lora HT+ASMA Amlodipine 5 10 1x1

Desa Pulau
ISPA Pehavral 20 1X1
Tambako
Amox 500 10 3X1
CTM 10 3X1
Amox Syr 1 3X1
CTM 4 Puyer
Desa Lora Alergi
Dexameasone 4 Puyer
B.COM 3 Puyer
149 Miconazole Zalf 1 2x1
Desa Lora Alergi+HT

148 Ambroxol 10 3x1
Desa Lora ISPA
CTM 10 3x1
Dexameasone 10 3x1
Amox 500 10 3x1
Dexameasone 10 3x1
Desa Lora Alergi CTM 10 3x1
CTM 10 2x1
Dexameasone 10 2x1
Desa Lora Alergi
Pehavral 10 2x1
CTM 10 2x1
Desa Pulau Miconazole Zalf 1 2x1
Alergi
Tambako

Desa Pulau 45 Ketoconazole Zalf 1 2x1
Mialgia
Tambako
110/80 Piroxicam 20 10 2x1

Desa Pulau
145 OA Dexameasone 10 2x1
Tambako

Desa Pulau Dexametasone 5 3x1/2
Cefalgia
Tambako
B12 10 2x1
Desa Lora Insomnia

Desa Lora Insomnia
CTM 10 3x1
Glibenclamide 10 2x1
Desa Pulau
Frunkel becefort 5 1x1
Tambako
Amox syr 1 3x1

pred 5 3x1/2
Desa Lora Konjutivitis
Paracetamol 5 3x1/2
120/80 OBH SYR 1 3X1

160
Desa Toli-Toli 50 CC
110 Amox Syr 2 3x2

Tambako Vulnus
110/80 Amox 500 10 3x1

ASMET 10 3x1
Desa Lora V. Laseratum Dexametasone 10 3x1

Desa Ibuprofen 400 20 3x1
Vertigo+Dispepsia
Antasida 10 3x1
ISPA+Alergi
Amox Syrp 1 syr
Desa Lora Alergi CTM 4 Puyer
Vit. C 4 Puyer
110/80 Paracetamol 10 3X1
Desa Pulau 160 Ibuprofen 400 20 3X1
Tambako Febris
30 ASMET 10 3X1

Desa Ranitidine 20 2x1
Gastritis+HT
Pomontoro Sucralfate Syr 2 2x1
Amlodipine 20 1x1
Ciprolaxin 10 2x1
DESA Laloa CC Ambroxol 10 3x1
Dexametasone 10 2x1
Amox 500 5 3x1/2

Desa Lora Alergi
CTM 5 3x1/2
Desa Lora 56 Frunkel CTM 20 3x1
Amox 500 10 3x1

150 Simvatatin 10 10 2x1
Desa Lora HT+Hypercolestrol

Dispepsia
18 AMOX 500 20 3x1/2

Desa Pulau Dexametasone 20 3x1/2
Frunkel
Tambako Paracetamol 20 3x1
120/80 Amox 500 10 3X1

Desa Lora Vulnus
60 ASMET 10 3X1

Ranitidine 10 2x1
Desa Lora HT
110/80 Amox 500 10 3x1

Desa Lora Caries + COUGH Ammbroxol 10 3x1
Amox Syrp 1 3x1

Tambako Tr. THERMIS & Caries
Dexametasone 10 2x1
Pehavral 10 1x1
Simvatatin 10 20 2x1
Desa Lora Dispepsia+Hipercolestrol

Ranitidine 10 3X1
Desa Lora Dispepsia+Hipercolestrol
Simvatatin 10 20 3X1
B1 2 1x1
Desa Tajuncu Infeksi Sekunder
Becefort 10 1x1

Desa Lora 64 Dermatitis+Dispepsia Sucralfate Syr 1 2x1

Desa Lora 161 HT Nadic 25 20 2X1
32 CTM 20 2X1
60 Ambroxol 20 3x1
Desa Lora ISPA
68 CTM 20 3x1
Dexametasone 20 2x1
158 AMOX 500 20 3x1
Desa Lora Konjungtivitis Dexametasone 20 3x1
Ambroxol 20 3x1
Predniso 10 3x1
Desa Lora Dispneu+ COUGH
Cefadroxil 20 2x1
Becefort 10 1x1
Desa Lora HT
Becefort 10 1x1
110/70 AMOX 500 20 3X1

Desa 155 Ibuprofen 400 20 3X1
Frunkel+ISK
Pomontoro 58 Dexametasone 20 3X1

DESA Laloa HT+Dispepsia
Ranitidine 20 2x1
Pehavral 10 1x1
Desa Salbutamol 4 20 2x1
Pomontoro ASMA Brongchial +HT
Dexametasone 20 2x1
CTM 20 3x1
110/70 Fluconazole 20 2x1
Cetirizine 20 3x1
Desa
Dermatitis Dexametasone 20 3x1
Pomontoro
Desa
Dermatitis
Pomontoro
14.5 Amox Syrp 1 3x1

Desa PCT SYR 2 3x1
Febris
Pomontoro Domperidone syr 2 3x1

Desa Lora ASMA
65 Becefort 10 1x1
110/80 AMOX 500 10 3x1

155 Antalgin 10 3x1
Desa Lora 35 Caries Gigi Dexametasone 10 3x1
110/90 Asam Traneksamat 10 3x1

148 Amox 500 10 3x1
Desa Lora 52 Melena+Influenza CTM 5 3x1
Paracetamol 10 3x1
Amox 500 10 3x1
ASMET 10 3x1
DESA Laloa V. Laseratum
Diazepam 2 mg 4 1x1

155 CTM 10 2X1
Desa Mawar 50 Alergi+Febris Dexametasone 10 2X1
130/P Amlodipine 5 10 1X1

Cetirizine 10 2X1
Desa Lora HT
130/100 Piroxicam 10 10 2x1

Dexametasone 10 3x1
Desa Lora RA
Calak 10 2x1
Amox Syrp 1 3x1

Desa Lora dermatitis Cetirizine 10 2x1/2
Ranitidine 10 2x1
Simvatatin 10 10 2x1
Desa Liano Dispepsia+Hipercolestrol
DESA Laloa Febris

DESA Laloa Febris
120/80 Metronidazole 20 3X1

DESA Laloa Flora Albus+ Dispepsia
46

Desa 165 Paracetamol 10 3x1
V. Laseratum
160/90 Catopril 25 10 10
165 Simvastatin 10 20 20
65
140/90 Amox 500 10 3x1

Amlodipine 5 10 2x1
Desa Lora HT+Febris
Paracetamol 10 3x1
Lora, 25 September 2021

Pengelola Obat
Bulan : Oktober
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
1 9/27/2021 BPJS 0000165569725 Ny. Murgana 51 P
2 9/27/2021 BPJS 0000954071662 Tn. Burhanudin 55 L
3 9/27/2021 BPJS 0000952893573 Ny. Ida 28 P
4 9/27/2021 BPJS 0001074940918 Ny. Hasnawati P
5 9/27/2021 G Tn. Nilo L
6 9/27/2021 BPJS 0002918733682 Ny. Hasma 40 P
7 9/27/2021 BPJS 0001987207103 Ny. Uliana 35 P
8 9/27/2021 BPJS 0001987220182 Ny. Gunakan 50 L
9 9/27/2021 BPJS 0001941321251 Ny. Icetrisnawati 33 P
10 9/27/2021 BPJS 0000953457884 Ny. Masni 32 P

10 9/27/2021 BPJS 0000953457884 Ny. Masni 32 P
11 9/27/2021 BPJS 0002776799867 Ny. Zia 52 P
12 9/27/2021 BPJS 0000954081358 Ny. Waase 56 P
13 9/27/2021 BPJS 0000953358052 Tn. Sayardin L
14 9/28/2021 BPJS 0001987207991 Ny. Urni P
15 9/28/2021 BPJS 0002740757512 Ny. Amria 40 P
16 9/28/2021 BPJS 000953751543 An. Naril 15 L
17 9/28/2021 G Rusli 11 L
18 9/28/2021 BPJS 0000954021666 Tn. Dotrin 45 L
19 9/28/2021 BPJS 0000954425384 Ny. Yamni 51 P
20 9/28/2021 BPJS 0001975403553 Tn. Sumardin L
21 9/28/2021 BPJS 0000165569771 Ny. Indri 29 P
22 9/28/2021 BPJS 000954021317 Ny. Buati P

22 9/28/2021 BPJS 000954021317 Ny. Buati P
23 9/28/2021 BPJS 0000954408453 Ny.Jusmiati 48 P
24 9/28/2021 BPJS 0002173172876 Ny. Taju.Intang P
25 9/28/2021 BPJS 0002746138195 An. Nurfahmi 11 P
26 9/28/2021 BPJS 0000198648428 Tn. Ilyas 50 L
27 9/29/2021 BPJS 000953354597 Ny. Asnia P
28 9/29/2021 BPJS 0000954075565 Ny. Zahima 45 P
29 9/29/2021 BPJS 0000952886891 Tn. Buhari L
30 9/29/2021 BPJS 0000953358052 Tn. Sukardin 38 L
31 9/30/2021 BPJS 0000953710637 Tn. LD. Hamiru 67 L
32 9/30/2021 BPJS 0000954425946 Ny. Jusrianti P
33 9/30/2021 BPJS 0003080151731 M. Rizki Al Fauzan L
34 9/30/2021 BPJS 0003086943254 Ny. Nurlalela 47 P

34 9/30/2021 BPJS 0003086943254 Ny. Nurlalela 47 P
35 9/30/2021 G Maulvi L
36 9/30/2021 BPJS 0003065078665 Tn. Faisal 30 L
37 10/1/2021 BPJS 0000165569725 Ny. Murgana 51 P
38 10/1/2021 BPJS 0003065078665 Tn. Faisal L
40 10/1/2021 BPJS 0002919023256 An. M. Nutabuqari L
41 10/1/2021 BPJS 0001987180929 Tn. Aris 35 L
42 10/1/2021 G Rozal L
43 10/1/2021 G Ny. Ratna 26 P
44 10/2/2021 BPJS 0002172921917 Nn. Nasria L
45 10/2/2021 BPJS 0002172921906 Ny. Hasma P

45 10/2/2021 BPJS 0002172921906 Ny. Hasma P
46 10/2/2021 BPJS 000953526137 Tn. Lasundi 95 L
47 10/2/2021 BPJS 0000952873435 Tn. Ian 25 L
48 10/2/2021 BPJS 0000953760014 Tn. Ladohe 67 L
49 10/2/2021 BPJS 0000954581398 Tn. Laonti L
50 10/2/2021 BPJS 0002918733366 Tn. H. Nasrudin L
51 10/4/2021 BPJS 0000953737412 Tn. Jurahi L
52 10/4/2021 BPJS 0000952901212 Ny. Samsam 36 p
53 10/4/2021 BPJS 0000954009641 Adrian 23 L
54 10/4/2021 BPJS 0000954008109 Ny. Wasia 70 P
56 10/4/2021 BPJS 0000952771151 Ny.ITA P

56 10/4/2021 BPJS 0000952771151 Ny.ITA P
57 10/4/2021 BPJS 0000954099224 An. Risman 13 L
58 10/4/2021 BPJS 0003065078755 An. Al fatih 4 L
59 10/4/2021 BPJS 0003080149648 Dimas L
60 10/5/2021 BPJS 0002172616064 Bilal L
62 10/5/2021 BPJS 0001851163806 Tn. H. Ramli L
63 10/5/2021 BPJS 0000953699139 Nn. Anita 25 P
64 10/6/2021 BPJS 0002642250025 Tn. Ridwan .S 38 L
65 10/6/2021 BPJS 0002642250093 Arel 8 L
66 10/6/2021 BPJS 000954071662 Tn. Burhanudin 55 L
67 10/6/2021 BPJS 000203017173 Ny. Nurharpenas P

67 10/6/2021 BPJS 000203017173 Ny. Nurharpenas P
68 10/6/2021 BPJS 0001888335876 An. Naufan L
69 10/6/2021 BPJS 0000133211889 Tn. Asdar 32 L
70 10/6/2021 BPJS 0000133211867 Nn. Asnidar 28 P
72 10/6/2021 BPJS 0000133951421 Tn. Lambua L
73 10/6/2021 BPJS 000953446026 Ny. Nurkaya 48 P
10/6/2021 BPJS 0002905003765 Ny. Agustina 56 P
75 10/6/2021 G An. Inaya 1.8 P
76 10/7/2021 BPJS 0000952901212 Ny. Samsam 36 P
77 10/7/2021 BPJS 0001885512519 An. Usma 12 P
78 10/7/2021 BPJS 0003080151731 An. Rizky 5 L
79 10/7/2021 BPJS 0001941320171 Ny. Nawara 50 P

79 10/7/2021 BPJS 0001941320171 Ny. Nawara 50 P
81 10/7/2021 BPJS 0000952747896 Tn. Suhaebe L
82 10/7/2021 BPJS 000525659455 Ny. Mariatun P
83 10/8/2021 BPJS 0000954453879 Ny. Sunaa 56 P
84 10/8/2021 BPJS 0001941322915 Tn. Sudirman 37 L
85 10/8/2021 BPJS 0000953727412 Tn. Jurahi L
86 10/8/2021 G Azwat 3 bln L
87 10/8/2021 BPJS 0002367125706 Ny. Lia 26 P
88 10/9/2021 BPJS 0001941323332 Ny. Hapsa P
89 10/9/2021 BPJS 0001074940705 Ny. Esri Triana Putri 25 P
90 10/9/2021 BPJS 0002641222677 Tn. Aminung 32 L
91 10/9/2021 BPJS 0001999265141 Ny. Jusni P
92 10/9/2021 BPJS 0000952936211 Ny. Hasria 49 P

92 10/9/2021 BPJS 0000952936211 Ny. Hasria 49 P
94 10/11/2021 BPJS 0000952893573 Ny. IDA 35 P
95 10/11/2021 BPJS 0000952893628 NN. Ulfa 21 P
96 10/11/2021 BPJS 0000952893191 Ny. Fatia 68 P
97 10/11/2021 BPJS 0000953698386 Tn. Rasid 68 L
98 10/11/2021 BPJS 0000953528512 Febrianti 28 P
99 10/11/2021 BPJS 0001941321251 Ny. Icetrisnawati 33 P
100 10/11/2021 G
10/11/2021
101 BPJS 0001851163806 Tn. H. Ramli L
102 10/11/2021 BPJS 0002128985223 Tn. Sunudin L
103 10/11/2021 BPJS 0002172614848 M. Akbar 14 L

103 10/11/2021 BPJS 0002172614848 M. Akbar 14 L
104 10/11/2021 BPJS 0002172614804 Ny. Rosni 51 P
106 10/12/2021 BPJS 0002642249463 Ny. Supia 59 P
107 10/12/2021 BPJS 0001981416104 Tn. Darsun L
108 10/12/2021 BPJS 0001987219225 Tn. Darwin L
109 10/12/2021 U An. Ahiran 4 bln P
110 10/12/2021 BPJS 000952901212 Ny. Samsam P
111 10/12/2021 BPJS 0001941326755 Ny. Hayati P
113 10/13/2021 BPJS 0000953573927 Tn. Labaya 75 L
114 10/13/2021 BPJS 0000953540583 Ny. Rasna P
115 10/13/2021 BPJS 0001074940705 Ny. Esri P

115 10/13/2021 BPJS 0001074940705 Ny. Esri P
116 10/13/2021 BPJS 0000953980863 Tn. Amarudin 40 L
117 10/14/2021 BPJS 000095337640 Tn. Sukamin L
118 10/14/2021 BPJS 0000133985079 Ny. Darmia P
119 10/14/2021 BPJS 0001975402653 Ny. Harnia 48 P
120 10/14/2021 BPJS 0001999265141 Ny. Jusni P
121 10/14/2021 BPJS 0002172921941 An. Fitria P
122 10/15/2021 BPJS 0000952784065 M.Prajap 12 L
123 10/15/2021 BPJS 0000198430749 Tn. Samsul Sugiat 42 L
124 10/15/2021 BPJS 0003051232672 Muh. Kahfi 13 P
125 10/16/2021 BPJS 000953715824 Tn. Supardi L
126 10/16/2021 BPJS 0002172619269 Ny. ASMA P

126 10/16/2021 BPJS 0002172619269 Ny. ASMA P
127 10/16/2021 BPJS 0000952698386 Tn. Rasid 60 L
128 10/16/2021 BPJS 0000954071267 Tn. Anton 49 L
129 10/16/2021 G Tn. Marsin 20 L
130 10/16/2021 G An. Zaka 2 L
131 10/18/2021 BPJS 0000953359389 Tn Hasirudin 50 L
132 10/18/2021 BPJS 0000953376524 P
133 10/18/2021 U Muh. Robi 7 L
134 10/18/2021 BPJS 0000952901212 Ny. Samsam P
135 10/18/2021 BPJS 0002172811948 Tn. Mariadi 39 L
136 10/18/2021 BPJS 0001975403002 Ny. Dewi. A P
137 10/19/2021 BPJS 0000952859362 Ny. Selfi 27 P

137 10/19/2021 BPJS 0000952859362 Ny. Selfi 27 P
138 10/19/2021 BPJS 0000953763737 55 L
140 10/19/2021 G An. Zaki 8 L
141 10/19/2021 BPJS 0000954061841 Tn. Laode Zaenuri L
142 10/21/2021 BPJS 0002749113852 Tn. Nalu L
143 10/21/2021 BPJS 0002921298769 Asshauqi Dhafa L
144 10/21/2021 BPJS 00002904685986 An. Arka 4 L
145 10/21/2021 BPJS 0002905003798 Juliana 16 P
146 10/21/2021 BPJS 0000162977387 Tn. Umar Uba 48 L
148 10/21/2021 BPJS 0000133963762 Tn. Edy Nursalim 53 L
149 10/21/2021 BPJS 0000133954389 Ny. Sukaesih 40 P

149 10/21/2021 BPJS 0000133954389 Ny. Sukaesih 40 P
150 10/21/2021 G Ny. Harlia 33 P
151 10/21/2021 BPJS 00009540005343 Tn. Sambira L
152 10/21/2021 BPJS 0000133983191 Tn. Alirman L
154 10/21/2021 BPJS 0000953727412 Tn. Jurahi L
155 10/21/2021 BPJS 0000165569771 Ny. Indri 29 P
156 10/21/2021 BPJS 0002204350964 Nn. Fauzia Hulla 18 P
157 10/21/2021 U An. Aira 1 P
158 10/21/2021 BPJS 0002334214809 An. Hariana 13 P
159 10/21/2021 BPJS 0001885557587 Ariadi

160 10/21/2021 BPJS 0002262415116 Nn. Erna L
161 10/21/2021 G Rayan 9 L
162 10/21/2021 G An. Zulfikar 5 L
163 10/21/2021 BPJS 0002172614804 Ny. Rosni 53 P
164 10/22/2021 BPJS 0000954092463 Ny. Sumiati 46 P
165 10/22/2021 BPJS 0000052921427 Tn. Ruslin 43 L
166 10/22/2021 G Ny. Yayu 26 P
167 10/22/2021 U An. M. Abdul Arisal 8 L
168 10/23/2021 BPJS 0001999265141 Ny. Jusni P
169 10/23/2021 BPJS 0000162977387 Tn. Umar Uba 47 L
170 10/23/2021 BPJS 0001074110477 Tn. Lukman 47 L
171 10/23/2021 BPJS 0000953502636 Tn. Halim L

171 10/23/2021 BPJS 0000953502636 Tn. Halim L
172 10/23/2021 BPJS 0000134174135 Ny. Taty P
173 10/23/2021 BPJS 0001885512519 An. Usy 12 P
174 10/23/2021 BPJS 0002641222776 Tn. Aminung 32 L
175 10/23/2021 G
176 10/23/2021 G
177 10/25/2021 BPJS 0000954511918 Tn. Lamidu L
178 10/25/2021 BPJS 0000954061841 Tn. Laode Zaenuri L
179 10/25/2021 BPJS 0001851163806 Tn. H. Ramli L
180 10/25/2021 BPJS 0000953683863 Ny. Marawia P
181 10/25/2021 G Ny. Ruliani 22 P

182 10/25/2021 BPJS 0003065078665 Tn.Faisal L
183 10/25/2021 BPJS 0002923015691 Ny. Nova Olga Sari P
BPJS 161
Umum 4
G 18
Total Resep (A) 183
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 183

RESEP HARIAN APOTIK

cm, kg) Obat Pakai
8 9 10 11 12 13
Desa Lora Dispepsia

170 CTM 10 2x1
Desa Lora Alergi+Dispepsia
70 Antasida syr 2 3x1/2
120/80 Dexametasone 10 3x1

Omeprazole 10 1x1
Desa Lora Dispepsia+Caries Gigi
155 ASMET 10 3x1
156 CTM 10 3x1
Desa Lora COUGH
Ambroxol 10 3X1
Pehavral 10 1X1
Desa Lora COUGH
CTM 10 2X1

Ibuprofen 10 3x1
Desa Lora Mialgia+Floor Albur
B1 10 3x1
120/90 Fluconazole 10 2x1
Pehavral 10 1x1
Ibuprofen 20 3x1
CTM 20 3x1
Desa Liano DM+Frunkel
Diazepam 4 2x1
Desa 155 Ranitidine 20 2x1
Tr. Eloctronic
Pomontoro 58 Ibuprofen 400 20 2x1

Desa Lora HT
Ranitidine 10 2x1
Desa Lora HT
140/80 Allopurinol 10 2X1

Desa Pulau 150 Nadic 25 10 2X1
Hiperusemia+HT
Tambako 39 Amlodipine 5 10 1X1
B1 10 2X1
B1 10 2x1
63 Nadic 25 10 2X1
120/80 Ibuprofen 400 10 3x1
Desa 166 Cefadroxil 10 3x1
Frunkel
CTM 10 2x1
120/80 Piroxicam 20 20 1x1
Becefort 10 1x1
Desa Lora Atralgia
Dexametasone 10 2x1
110/80 Ibuprofen 400 10 3x1

Tambako Abces
50 Pehavral 10 1x1
100/70 ASMET 10 3X1

135 AMOX 500 10 3X1
Desa Pulau
35 Sakit Gigi Pehavral 10 1X1
Tambako

Becefort 10 1x1
Dermatitis
120/80 Ibuprofen 400 10 2x1

Desa Pulau
55 Insomnia+Cefalgia CTM 10 2x1
Tambako
110/80 Piroxicam 20 20 2X1

Desa 170 Dexametasone 20 2X1
OA
Pomontoro 67 B1 20 2X1
100/70 Zalf 24 3 2x1

Pomontoro Dermatitis+Febris
Becefort 10 2x1
145 CTM 10 2x1
Pehavral 5 1x1
160/100 Amlodipine 10 10 1x1

Desa Lora HT
Desa Lora HT Piracetam 800 10 2x1
Tramadol 10 2x1
Diazepam 2 2x1
140 Ciprolaxin 10 3x1
50 Infeksi Sekunder digit 3 Ibuprofen 400 10 3x1
Desa Laloa
Dextra+DM Metformin 10 1x1

Piroxicam 20 10 2x1
Desa Lora HT
Pehavral 10 1x1
130 AMOX 500 10 3x1/2

23 Paracetamol 500 10 3x1/2
Desa Lora ISPA
CTM 10 3x1/2
Desa Liano Pruritus
100/80 Loperamide 10 3x1

Desa 137 Pyrantel 3 1x3
Diare+Aseriasis
Pomontoro 41
110/80 Amox 500 10 3X1

Desa Pulau 160 Ibuprofen 400 10 3X1
OA
Tambako 70
154 AMOX 500 10 3X1

ASMET 10 3X1
Desa Lora V. Axcoriatum TCR
Becefort 5 2X1

Desa Liano Post Insisi Frunkel L02
Becefort 5 1x1
148 Sucralfate syr 1 3x1

Piroxicam 20 10 3x1
Pehavral 10 2x1
Desa Laloa Hiperemesis Gravidarum
Amox syr 1 3x1

Desa Lora Hidrosel

Pehavral 20 1x1
Desa Laloa D. Alergi L23
Desa Laloa D. Alergi L23
105 AMOX 500 3 Puyer

Desa Laloa ISPA
CTM 3 Puyer
B.COM 3 Puyer
Cefalgia
Tambako
110/80 CTM 10 3X1

150 Insomnia+Infeksi Becefort 10 1X1
Desa Lora
50 Sekunder Cetirizine 20 3X1

Dispepsia
Tambako 50 Ibuprofen 400 10 2X1
B1 10 2X1
Desa Ciprolaxin 10 3x1
COUGH
Pehavral 5 1x1
96 AMOX SYR 2 3x1
12 Paracetamol syr 3 31
Desa Lora ISPA
Ambroxol 20 3x1/2

Ambroxol 10 3X1
Desa Tajuncu ISPA CTM 10 3X1/2
AMOX 500 10 3X1
110/80 Diazepam 10 1x1

155 Pehavral 20 1x1
Desa Pulau
Tambako 55 SCZ. P Piroxicam 20 20 2x1
100/80 Piroxicam 20 20 2x1

155 B1 10 2x1
Desa Lora Mialgia
55 Amox 500 10 3x1
90/70 AMOX 500 20 3X1

CTM 10 3X1
Desa Lora 157 ISPA Metylprednisone 20 2X1/2
130/90 AMOX 500 10 3x1

CTM 10 3x1
Desa Lora ISPA Metylprednisone 10 2x1/2
Desa Lora ISPA

Desa Lora Diare
56 Pehavral 10 1x1

153 CTM 10 3X1
Desa Lora ISPA Paracetamol 500 10 3X1
Dexametasone 10 3X1
Vit. C 10 3X1
Desa Pulau 158 Salbutamol 4 10 2x1
HT+ASMA
Pehavral 5 1x1
Dexametasone 20 2x1
Desa Mawar Dermatitis
CTM 10 2x1
Cefixime 10 3x1
170 Diazepam 1 2x1
Desa Lora HT
Ranitidine 10 2x1
Pehavral 10 1x1
Salbutamol 4 20 2x1
Ranitidine 10 3x1
Desa Lora Dispepsia
Pehavral 10 1x1
Antasida syr 2 3x1

Ranitidine 10 2x1
Desa Lora Hipoglikemi+ Dispepsia Pehavral 10 1x1
Piroxicam 20 10 2x1
Diazepam 6 1x2
Desa Pulau Omeprazole 10 1x1
Dispepsia
Desa Pulau
40 Mialgia Amox 500 10 3X1
Tambako
B12 INJEK 1
120/80 NADIC 25 20 2X1

Desa Pulau
148 OA Metylprednisone 5 2X1/12
Tambako
49 B1 10 2X1
Ciprolaxin 10 2x1
Cetirizine 10 2x1
Desa Lora Dermatitis Dexametasone 10 2x1
90/60 Amox 500 10 3x1/2

Cetirizine 10 3x1/2
Desa Lora Dermatitis Dexametasone 10 3x1/2
Amox Syr 1 3X1

Cetirizine 10 3x1/2
Desa Lora Dermatitis CTM 10 3X1/2
Amox Syr 1 3x1

Desa Lora ISPA CTM 10 3x1/2
Desa Laloa Febris
100/70 Piroxicam 20 10 2x1

Desa Lora Atralgia
B1 10 2x1
Allopurinol 10 2x1
160/100 Amlodipine 10 10 1x1
HT+Hiperusemia
Tambako Allopurinol 10 2x1
130/90 Domperidone 10 2X1

Paracetamol 10 3X1
Desa Lora Febris+ HT Amlodipine 5 10 1X1
AMOX 500 10 3X1
110/80 ASMET 10 3X1

160 Amox 500 10 3X1
Desa Lora Mialgia
60 Pehavral 15 1X1
Betametasone Zalf 2 2X1

Amox Syr 2 3X1
Desa Lora Mialgia+Dermatitis
ASMET 10 3X1

Desa Pulau ASMET 10 3X1
Dermatitis+Mialgia
Tambako Pehavral 20 1X1
Amox 500 10 3X1
CC+Hypercolestrol
Desa Pulau
CC+Hypercolestrol
Tambako
Dexametasone 10 3x1
Loperamide 10 2x1/2
Desa Metoclopiramide 10 3x1/2
GEA
Pomontoro Antasida 10 3x1/2

Desa Lora Dispepsia+ISPA
56 Ambroxol 20 3x1
CTM 20 3x1
110/80 Piroxicam 10 20 2x1
Desa Lora OA+Dermatitis

150 NADIC 25 20 2x1
Desa Lora HT+Alergi
60 CTM 20 3x1
Dexametasone 20 2x1
Hiperglikemi+Hipercolest Allopurinol 20 2x1
Desa Lora rol+HT Amlodipine 5 10 1x1

149 Glibenclamide 10 1x1
Desa Lora HT+DM

Piroxicam 20 10 2x1
Desa Lora HT+OA
B1 10 2x1
Antasida 10 3x1
Desa Pulau AMOX SYR 1 3X1
OMA
Tambako
Antasida syr 1 3x1

Bedak Salicyl
Desa Lora Dispepsia

Dexametasone 10 3X1
Desa Lora ISPA
CTM 10 3X1
112 Ambroxol 10 3x1/2

21 CTM 10 3x1/2
Desa Lora ISPA

Desa Pulau 160 Amox 500 10 3x1
Dispepsia+Mialgia
Tambako 60 Paracetamol 500 10 3x1
Desa Pulau
Dispepsia+Mialgia
Tambako

53 Amox 500 10 3X1
Desa Lora Caries Gigi+Dispepsia
Antasida syr 1 3X1
100/p Glimepiride 10 2x1

Desa Liano DM+Hipercolestrol
Pehavral 5 1x1

Desa Lora Malaise
Salbutamol 4 10 2x1
Desa 158 Hipercolestrol+Hiperuse Ibuprofen 400 20 2x1
Pomontoro 60 mia Allopurinol 30 1x1
110/80 Acyclovir 10 2x1

Desa Lora 160 Varicella Dexametasone 10 2x1
Desa Lora HT+PPOK
Omeprazole 10 1x1

Desa Lora D. Alergi Cetirizine 3 2x1/4
Amox syr 2 2x1/4
Desa Lora Dermatitis+Dispepsia
Allopurinol 10 2X1
Hiperusemia+Hipercolest Simvastatin 10 10 1X1
Desa Lora
rol CTM 10 3X1
ASMET 10 2X1
100/90 Ibuprofen 400 10 3x1
Desa Pulau 156 CTM 10 3x1
ISPA
Tambako 40 Prednison 10 3x1
Cefadroxil 10 2x1
120/80 Amox 500 20 3x1
Tambako ISPA
167 CTM 10 3x1
Pehavral 10 1x1
Ranitidine 10 3x1
Desa Liano Control Op Hypertiroid
NaDIC 50 10 2x1
100/70 Simvastsatin 10 5 1X1
Desa Lora Hipercolestrol+Alergi

Desa Lora Hipercolestrol+Alergi

Hipercolestrol+Hiperglike
Desa Lora
mi
110/80 Antalgin 10 3X1

155 Pirantel 4 1X1
Desa Lora Cefalgia B12 INJEK 1
110/80 Ibuprofen 400 10 3x1

160 Ambroxol 10 3x1
Desa Lora Mialgia+ISPA
40 CTM 10 3x1
Becefort 10 1x1
162 Ketoconazole Zalf 1 2x1
CTM 10 3x1
Desa Lora Alergi
Antalgin 10 3x1
Amox 500 10 3x1
Omeprazole 1 1x1
Desa Pulau Antasida syr 1 3x1
Dispepsia
Tambako Amox 500 20 3x1

160 CTM 20 3x1
Desa Lora ASMA
140/100 Catopril 12,5 10 1X1

HT
Pomontoro 60 Amox 500 20 3X1
CTM 10 3x1/2
Dermatitis Alergi Pehavral 10 1x1

Tambako HT+Hiperusemia
Piroxicam 20 20 2x1
180/100 Amlodipine 10 20 1x1

Allopurinol 20 2x1
Desa Hambawa HT+Hiperusemi+Dispepsia
piroxicam 10 20 2x1
Antasida 10 3x1
Amox 500 20 3X1
Desa Pulau CTM 10 3X1
Alergi
Tambako
Desa Pulau
Alergi
Tambako

Desa Lora 65 HT+DM+Colestrol Metformin 10 2x1
Allopurinol 20 2x1
Desa Piroxicam 10 20 2x1
Hiperusemia+Combutsio
Pomontoro Gentamicin Zalf 2 3x1

155 CTM 10 3x1
Desa Lora ISPA
60 Pehavral 10 1x1
Amox 500 10 3x1
Cefixime 20 2x1
Ambroxol 20 2x1
Desa Lora ISPA
Becefort 10 1x1
Piroxicam 20 20 2x1
Desa Lora OA+Dispepsia
Ranitidine 20 2x1
Becefort 10 1x1
Acyclovir 4 Puyer
Loratadine 3 Puyer
Desa Lora Varicella ctm 3 Puyer
Ranitidine 20 2x1
Antasida 2 2x1
Desa Lora Dispepsia
Pehavral 10 1x1

Ranitidine 10 3x1
Desa Lora Dispepsia+ASMA
Salbutamol 4 10 2x1
Amlodipine 5 10 1x1
Antasida 10 3x1
Ranitidine 10 2x1
Amlodipine 5 20 1x1

Desa Pulau
50 Dispepsia Omeprazole 10 1x1
Tambako
Pehavral 10 1x1
120/80 Amox 500 10 3x1

160 ASMET 20 3x1
Desa Lora Tonsilitis

Desa Pulau
ISPA
Tambako
ISPA
Tambako Cefadroxil 20 2x1

Desa Pulau
59 Dispepsia Metoclopiramide 10 3x1
Tambako
Pehavral 5 1x1
Hipercolestrol+Hiperuse Allopurinol 10 1x1
Desa Hambawa
mia Becefort 10 1x1
80/60 SF 5 1x1
Desa Lora 55 Hipotensi+Dispepsia Antasida 10 3x1
172 Metilprednisone 10 3x1/4

Desa Pulau Salbutamol 4 10 3x1
Tambako ASMA
ranitidine 10 2x1
Desa Lora Dispepsia Nadic 50 10 2x1
Amox 500 10 3X1/2

Metilprednisone 10 3X1/4
CTM 10 3X1/2

Desa Pulau 120
Febris
Tambako 30
Metformin 10 2x1
DM+Hiperglikemi
Tambako
Amox syr 1 3X1

Paracetamol 3 Puyer
Desa Hambawa ISPA
CTM 3 Puyer
Vit. C 3 Puyer
Desa Pulau 164 Metoclopiramide 10 3x1
Febris
Tambako becefort 10 1x1
100/80 ranitidine 10 2X1
Desa Lora Dispepsia

155 Antasida 10 3X1
Desa Lora 40 Dispepsia Paracetamol 10 3X1
120/80 Amox 500 10 3x1

160 Ambroxol 10 3x1
Desa Pulau
ISPA Catopril 12,5 10 1x1
Tambako
60 CTM 10 3x1
Dexametasone 10 3x1
becefort 10 1x1
Desa Lora Mialgia Dulcolax 1 2x1
Cefadroxil 10 2x1
Desa Pulau Ibuprofen 400 10 3x1
Abses
Tambako becefort 10 1x1

Desa Pulau Clorampenicol 1 3x1/2
Febris+Alergi
Tambako Betametasone Zalf 2 2x1
120/70 Ibuprofen 400 20 3x1

Desa 160 Amox 500 20 3x1
Abses+Dispepsia
Pomontoror 62 Antasida 10 2x1
Antasida 10 3x1
CTM 10 3x1
Desa Hambawa Dispepsia+Hiperglikemi
Allopurinol 10 1x1
ASMET 10 3x1/2
Amox 500 10 3x1/2
Desa Lora Vulnus Laseratum
Metylprednisone 10 3x1/2
Vit. C 10 1x1
90/60 Dulcolax 2 1x1
Desa Lora Constipasi

Desa Pulau
160 ASMA CTM 20 3X1
Tambako
56 AMOX 10 3X1
Miconzole 2 2x1
Desa Pulau
Alergi
Tambako

Desa Pulau becefort 20 1x1
Febris
Tambako
Desa Pulau
Febris
Tambako

Desa Pulau 76 Nadic 50 10 2x1
OA
Tambako
Cefadroxil 10 2x1
Desa Laloa GV ranitidine 10 2x1

Desa Pulau
CC CTM 10 2x1/2
Tambako
Vit. C 10 2x1/2
Hypercolestrol+Hiperuse Allopurinol 10 1x1
Desa Lora
mia

ranitidine 20 2X1
Desa Puuwaeya HT Ibuprofen 400 20 2X1
Amox syr 2 3X1

Kel. Doule ISPA Paracetamol syr 2 3X1
CTM 20 3X1/2
Pirantel 4 1x/2
Desa Lora Ascariasis
Amox Syr 2 3x1
100/p Paracetamol 500 20 3X1

Amox 500 20 3X1
Desa Lora Febris
becefort 10 1X1

becefort 10 1x1
Desa Lora Febris

becefort 10 1x1
Desa Lora Febris

159 becefort 10 1x1
Desa Lora 66.5 Febris+Dermatitis Ketoconazole Zalf 1 2x1
Desa Lora Febris

51 becefort 10 1x1
Desa Lora Febris
120/90 Amox 500 20 3X1

Otitis
Tambako CTM 20 3X1
130/P Piroxicam 10 20 2X1

153 Metilprednisone 15 2X1/3
Desa Lora Cough+OA B1 20 2X1
90/70 Amox 500 10 3x1

Desa Lora Hipotensi+Caries Dexametasone 20 3x1
100/60 Piroxicam 10 20 2x1

Desa Pulau Metilprednisone 5 2x1/2
Tambako OA

CTM 10 2x1
Desa Lora ASMA

148 Antasida 10 3x1
Desa Lora Febris
51 ranitidine 10 2x1

Desa Pulau Amox 500 10 3X1
Febris
Tambako becefort 5 1X1
6.5 Paracetamol Syr 2 3x1/2

CTM 2 3x1
Desa Lora ISPA Amox Syr 2 3x1
Paracetamol 20 3x1
Desa Pulau becefort 10 1x1
Tambako Febris
Allopurinol 20 3X1
Nadic 25 20 3X1
Hiperusemia B1 20 3X1
90/70 Ibuprofen 400 10 3X1
Desa Pulau 158 Cefadroxil 10 3X1
ISPA+Hipotensi
Tambako 52 SF 10 1X1
B12 10 3X1
Amox 500 5 3x1/2
Caries Gigi
Amox syr 1 3x1

ISPA
Tambako

Nadic 50 10 2X1
ranitidine 10 2X1

ranitidine 10 2X1
Desa Lora HT+Dispepsia
B6 10 2X1
90/P becefort 5 1x1

Desa Pulau
160 Asma Bronchia Salbutamol 4 10 2x1
Tambako
144 Cotrimoxazole 10 3x1
40 Acyclovir Zalf 1 2x1
Desa Lora Diare+Alergi
Pirantel 4 1x2
Desa Lora Ascariasis
Metronidazole 10 3X1
Desa Liano POST OP
ranitidine 10 2X1

167 CTM 10 3x1
Desa Lora Kongjuntivitis
57 Amox 500 10 3x1
110/70 Piroxicam 10 10 2x1

Desa Pulau 78 Allopurinol 10 2x1
Tambako Artritis

168 Metilprednison 5 2x1/4
Desa Lora OA
Desa Lora OA
SALEP 24 1 2x1
Dermatitis
Tambako Ibuprofen 20 3x1

150
Desa Lora Cefalgia
40
120/80 Amox 500 10 3x1

Desa Pulau
165 Frunkel Pehavral 10 1x1
Tambako
Amox 500 20 3x1

ASMET 20 3x1
ABSES Becefort 10 1x1
Allopurinol 10 2x1
Piroxicam 20 10 2x1
Hiperusemia+HT B1 10 2x1
Amlodipin 10 10 1x1
130/90 Metronidzole 10 3x1

Desa Mawar 58 Frunkel Ranitidine 10 2x1

Becefort 5 1x1
150/90 Piroxicam 10 10 2x1

Allopurinol 10 2x1
Desa Pulau
Atritis
Tambako
Omeprazole 10 1x1
Desa Lora Dispepsia+OA
100/60 Ibuprofen 400 10 2x1

155 Amox 500 10 3x1
Desa Tajuncu Post Partum
65 Vit. B12 10 2x1
Salep 24 1 2x1
Desa Pulau
Dermatitis
Tambako
Pehavral 10 1X1
SF 10 1X1
Desa Laloa G1P0A0
Lora, 25 Oktober 2021

Pengelola Obat
REKAPAN RESEP HARIAN APO
Bulan : November
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
1 10/26/2021 BPJS 0002172617032 An. Fatih 6 P
2 10/26/2021 BPJS 0000954005343 Tn. Sambira L
3 10/26/2021 BPJS 0000133985204 Tn. Baharudin, S.Pd 55 L
4 10/26/2021 BPJS 0002642249225 Ny. Mariana 40 P
5 10/26/2021 BPJS 0002172923965 Tn. Kartono 39 L
6 10/26/2021 BPJS 0002172812409 Tn. Kadir 59 L
7 10/26/2021 BPJS 0001987129517 Ny. Hamsia 46 P
8 10/26/2021 BPJS 0002641222776 Tn. Aminung 32 L
9 10/26/2021 G Kasman 1 L
9 10/26/2021 G Kasman 1 L
10 10/27/2021 BPJS 0000954067959 Ny. Kiki 23 P
11 10/27/2021 BPJS 0002173173107 Ny. Kiki 45 P
12 10/27/2021 BPJS 0001851163806 Tn. H. Ramli L
13 10/27/2021 BPJS 0002773763583 Tn. Saparudin L
14 10/27/2021 BPJS 0002172617379 Ny. Nurlia 33 P
15 10/28/2021 BPJS 0000953350659 Ny. Rosdiana P
16 10/28/2021 BPJS 000954245935 Ny. Sahwati P
17 10/28/2021 BPJS 0000954245307 Tn. Sabri L
18 10/28/2021 BPJS 0001986971409 Ny. Amlia P
19 10/28/2021 BPJS 0000952936211 Ny. Hasria P
20 10/28/2021 BPJS 0000952938369 An. Muh. Farel L

20 10/28/2021 BPJS 0000952938369 An. Muh. Farel L
21 10/28/2021 BPJS 0001941323332 Ny. Hapsa P
22 10/28/2021 BPJS 0002172921928 Nn. Musra P
23 10/28/2021 BPJS 0001986971646 Ny. Haliati 45 P
24 10/29/2021 BPJS 0001941326755 Ny. Hayati P
25 10/29/2021 BPJS 0000954441775 Tn. Nawir L
26 10/29/2021 BPJS 0000954003881 Tn. Ladinu L
27 10/29/2021 BPJS 0002172921941 An. Fitria Ramadani P
28 10/29/2021 BPJS 0000953446026 Ny. Nurkaya 49 P
31 11/1/2021 BPJS 0000952936211 Ny. Hasria P

31 11/1/2021 BPJS 0000952936211 Ny. Hasria P
32 11/1/2021 BPJS 0000954025986 Tn. Paharudin L
33 11/1/2021 BPJS 0002172614804 Ny. Rosni P
34 11/1/2021 BPJS 0000953569787 Ny. Asriani P
35 11/1/2021 BPJS 0001941322869 Ny. Juharni 49 P
36 11/1/2021 BPJS 0000952967676 Ny. Nurhayati 72 L
37 11/1/2021 BPJS 0002172923201 Tn.Ibrahim 38 L
38 11/1/2021 BPJS 0000952893573 Ny. Ida 38 P
39 11/1/2021 G Tn. Kasman L
40 11/1/2021 G Tn. Rahmat 37 L
41 11/2/2021 BPJS 0001851163806 Tn. H. Ramli 63 L

41 11/2/2021 BPJS 0001851163806 Tn. H. Ramli 63 L
42 11/2/2021 BPJS 0001885050242 Ny. Wa Salmia P
43 11/2/2021 BPJS 0000953502996 Ny. Samdia P
44 11/2/2021 BPJS 0000953376524 Ny. Mina P
45 11/2/2021 BPJS 0002643137987 Ny. Sumarni 48 P
47 11/2/2021 BPJS 0003075469255 An. Indah . A 7 P
48 11/2/2021 BPJS 0000953503672 Aslim 18 L
49 11/2/2021 BPJS 0000954093666 Ny. Hasna 26 P
50 11/2/2021 BPJS 0002122643215 Muh. Ifal 21 L
51 11/2/2021 G An. Fahmi Nur 3 L
52 11/2/2021 G Azam 1.5 L

52 11/2/2021 G Azam 1.5 L
53 11/3/2021 BPJS 0000954410332 Tn. Jaludin L
54 11/3/2021 BPJS 0000953376524 Ny. Nursila P
55 11/3/2021 BPJS 0000953675469 Ny. Niar 33 P
56 11/3/2021 G Nur Afifa 3 P
57 11/4/2021 BPJS 0002262415116 Nn. Erna 25 P
58 11/4/2021 BPJS 0000953605901 Ny. Sumarni P
59 11/4/2021 BPJS 0002474249253 Ny. Sriwahyuni 32 P
60 11/4/2021 BPJS 0000953104865 Tn. Rusman. B L
61 11/4/2021 BPJS 0002474252256 An. Muh. Farhan 4 L
62 11/4/2021 BPJS 000954006513 An. Haslan 13 L
63 11/5/2021 BPJS 0000954441775 Tn. Nawir 62 L

63 11/5/2021 BPJS 0000954441775 Tn. Nawir 62 L
64 11/5/2021 BPJS 000282794001 Ny. Andi Harida P
65 11/5/2021 BPJS 0002760548275 Ny. Halifa P
66 11/5/2021 G An. Adefa Firmansyah P
67 11/6/2021 BPJS 0002642249553 Ny. Muliana 48 P
68 11/6/2021 BPJS 0000953702471 Arisman 21 L
69 11/6/2021 BPJS 0000953943895 Ny. Badawi 67 P
70 11/6/2021 BPJS 0000954476403 Ny. Hastina 38 P
71 11/6/2021 BPJS 0002172811972 Indar 22 L
72 11/6/2021 BPJS 0002172614804 Ny. Rosni P
73 11/6/2021 G Asnida P
74 11/6/2021 U An. Imelda 1.7 P

74 11/6/2021 U An. Imelda 1.7 P
75 11/6/2021 BPJS 0000952744893 Ny. Sitti Arpa 40 P
76 11/9/2021 BPJS 0000952974808 Tn. Hardin L
77 11/9/2021 BPJS 0000954456748 Ny. Martina 52 P
78 11/9/2021 BPJS 0001987181998 Tn. Agusman 34 L
79 11/9/2021 BPJS 0001441419761 An. Muh. Irawan 11 L
80 11/9/2021 BPJS 0001986968902 Ny. Sarmila P
81 11/9/2021 BPJS 0000949242137 Ny. Nurliza P
82 11/9/2021 G Ny. Are 56 P
83 11/10/2021 BPJS 0002586073228 Ny. Sumira 37 P
11/10/2021
84 BPJS 0000952967676 Ny. Nurhayati 68 P
85 11/10/2021 G Tn. Idris 63 L

85 11/10/2021 G Tn. Idris 63 L
86 11/11/2021 BPJS 0000953682456 Ny. Sitia. D 65 P
87 11/11/2021 BPJS 0000954061841 Tn. Ld. Zaenuri 67 L
88 11/11/2021 BPJS 0000954012892 Ny. Fatima P
89 11/11/2021 BPJS 0002746119172 Tn. Hasan 33 L
90 11/11/2021 BPJS 0000954081729 Hera 14 P
91 11/11/2021 BPJS 0000953725555 Ny. Hadora P
91 11/11/2021 BPJS 0000953457889 Ny. Masni 33 P
93 11/11/2021 BPJS 000217298428 Ny. Karni 29 P
94 11/11/2021 BPJS 0002642248899 Ny. Mimin 49 P

94 11/11/2021 BPJS 0002642248899 Ny. Mimin 49 P
95 11/12/2021 BPJS 0000954093666 Ny. Hasna P
96 11/12/2021 BPJS 0001309005134 An. Abdul Habib Dzakwa L
97 11/12/2021 BPJS 0002642249553 Ny. Muliana 50 P
98 11/12/2021 BPJS 0000953473342 Tn. Zaenudin L
99 11/12/2021 BPJS 0000954410332 Tn. Jaludin L
100 11/12/2021 G An. Putri 6.6 P
101 11/13/2021 BPJS 0000954071267 Tn. Anto. S L
102 11/13/2021 BPJS 0001941320081 An. Musdalifa 5 P
103 11/13/2021 BPJS 0002643137987 Ny. Sumarni 49 P
104 11/13/2021 G An. Taslim 3 L

105 11/15/2021 BPJS 0001941320755 Ny. Hayati P
106 11/15/2021 BPJS 0003065078755 An. Al Fatih 6 L
107 11/15/2021 BPJS 0003048960429 An. Dzaka L
108 11/15/2021 G Nn. Nasria 26 P
109 11/15/2021 G Ny. Nuria P
110 11/15/2021 BPJS 0001851163806 Tn. H. Ramli 57 L
111 11/16/2021 BPJS 0000954415102 Tn. Hamim L
112 11/16/2021 BPJS 0000953541281 Buyung 11 L
113 11/16/2021 BPJS 0000165569771 Ny. Indry 29 P
114 11/16/2021 BPJS 0000954005343 Tn. Sambira L
115 11/16/2021 BPJS 0000953690692 Tn. Darwis 49 L

115 11/16/2021 BPJS 0000953690692 Tn. Darwis 49 L
116 11/16/2021 BPJS 0000952893573 Ny. IDA 35 P
117 11/16/2021 BPJS 0000953686912 Ny. Wa Hasi 66 P
118 11/16/2021 BPJS 000285068289 An. Muhammad Bilal 11 L
120 11/17/2021 BPJS 0001921907687 An. Yuhal 11 L
122 11/17/2021 BPJS 0000953446026 Ny. Nurkaya 49 P
123 11/17/2021 BPJS 0001921938906 An. Sugianto 10 L
124 11/18/2021 BPJS 0001987129888 An. Ayatul.H 11 P
125 11/18/2021 BPJS 0002642250025 Tn. Ridwan.s 38 L

126 11/18/2021 BPJS 0002642249463 Ny. Supia 59 P
127 11/18/2021 BPJS 0001074941829 Ny. Yusni 22 P
130 11/18/2021 BPJS 0002927418873 An. Azzam Aulian 1 L
131 11/18/2021 BPJS 0000954008245 Ny. Misna 29 P
132 11/18/2021 BPJS 0000953781063 Ny. Ati 50 P
133 11/18/2021 G An. Nur Afifah 3 P
134 11/18/2021 U Tn. Samsung 52 L
135 11/19/2021 BPJS 0000954093666 Ny. Hasna P
136 11/19/2021 BPJS 0002918733366 Tn. H. Nasaruddin L

136 11/19/2021 BPJS 0002918733366 Tn. H. Nasaruddin L
138 11/19/2021 BPJS 0000952492961 Tn. Yansar 32 L
141 11/19/2021 BPJS 0002173173096 Tn. Dg Sarro 59 L
142 11/20/2021 BPJS 0002916982203 An. Aura 4 P
143 11/20/2021 BPJS 0002747552218 Nn. Citra 21 P
144 11/20/2021 BPJS 0002172617458 Ajeng Sari Putri 6 P
146 11/22/2021 BPJS 0002642250036 An. Agil 14 L

147 11/22/2021 BPJS 0000953538164 Ny. Yani 49 P
148 11/22/2021 BPJS 0000954408453 Ny. Jumiati 48 P
149 11/22/2021 BPJS 000095345006 Nn. Putri 17 P
150 11/22/2021 BPJS 0000953727412 Tn. Jurahi L
151 11/22/2021 BPJS 0001986969532 Tn. Wawan 35 L
152 11/22/2021 BPJS 0001987214332 Ny. Watita 49 P
153 11/22/2021 BPJS 0002641222776 Tn. Aminung 32 L
154 11/22/2021 BPJS 0002918733366 Nasrudin 45 L
155 11/23/2021 BPJS 0000354071471 Ny. Ziana P
156 11/23/2021 BPJS 0002747480264 An. Jashar Dika. S L
157 11/23/2021 BPJS 0000954071267 Tn. Anton 49 L

157 11/23/2021 BPJS 0000954071267 Tn. Anton 49 L
158 11/23/2021 BPJS 0001885050246 Nn. Lala Cahya 15 P
159 11/23/2021 BPJS 0001885049324 Tn. Risky 21 L
160 11/23/2021 BPJS 0000953725555 Ny. Hadora 52 P
161 11/23/2021 BPJS 0001085611206 Ny. Hasriani 45 P
162 11/23/2021 BPJS 0003065078755 An. Alfatih 6 L
164 11/24/2021 BPJS 0001264425513 Ny. Rahmawati P
165 11/24/2021 BPJS 0000954026008 Tn. Adnan 23 L
166 11/24/2021 BPJS 0003107845754 Tn. Nilo L

166 11/24/2021 BPJS 0003107845754 Tn. Nilo L
167 11/24/2021 BPJS 0000525659455 Ny.Maryatun P
168 11/25/2021 BPJS 0000954012802 Tn. Ambo L
169 11/25/2021 BPJS 0000953682456 Ny. Sitia P
BPJS 152
Umum 2
G 15
Total Resep (A) 169
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 169

RESEP HARIAN APOTIK

cm, kg) Obat Pakai
8 9 10 11 12 13
Desa Pulau Ambroxol 5 3x1/2
Tambako ISPA
Metilprednison 4 2x1/4
Amox 500 5 3x1/2
Desa Lora CC+Vertigo
Betahistine 10 2x1
Miconazole Zalf 2
Desa Pulau
Tambako Dermatitis

Acyclovir 10 3x1
Desa Lora Varicella
Acyclovir Zalf 2

Allopurinol 10 1x1
Desa Laloa Hipertensi+Asam Urat
Piroxicam 10 10 2x1

Allopurinol 10 1x1
Desa Laloa HT+AU
Piroxicam 10 10 2x1

120/70
Desa Lora Hipercolestrol

ISPA
8.5 Paracetamol syr 2 3x1

Desa Pulau
Febris
Tambako
Desa Pulau
Febris
Tambako
110/70 Ibuprofen 400 10 3x1

160 B12 10 2x1
Desa Watu2 Post Partum
55 Amox 500 10 3x1

Desa Lora Dispepsia

Hipercolestrol
Tambako
140/90 Ibuprofen 400 10 3x1

Amox 500 10 3x1
Desa Lora ISPA
Metilprednison 5 2x1/4

Desa Lora Dispepsia
120/80 Amox 500 20 3X1

Desa Hambawa Post Partum
SF 10 1X1
160/90 B12 10 1x1

CTM 10 2x1
Desa Tajuncu HT Amlodipine 5 10 1x1
130/90 Ofloxacin 5 1X1/2

ASMET 10 3X1
Desa Tajuncu ISK
100/60 Ibuprofen 400 10 3x1

Pehavral 5 1x1
Desa Lora Cefalgia CTM 10 3x1
100/60 Amox 500 10 3x1

Desa Lora Febris
Pehavral 5 1x1
100/60 Ibuprofen 400 10 3x1

Amox 500 10 3x1
Desa Lora Febris
Desa Lora Febris
Pehavral 5 1x1

CTM 10 2x1
Becefort 5 1x1
Betahistine 10 3x1
Desa Lora Vertigo Metoclopiramide 10 3x1
Salbutamol 4 10 3x1
Desa Pulau Metilprednison 10 2x1/4
Tambako ASMA
Pehavral 10 1x1

144 CTM 10 2x1
Desa Lora HT+Dispneu
Amlodipine 5 10 1x1
130/90 Amox 500 10 3X1

Pomontoro Vulnus Iktum
47
100/70 Cetirizine 10 1X1

Desa Pulau 162 B1 10 1X1
Dermatitis
Tambako

Amox 500 5 3x1/2
Desa Lora Febris

Desa Lora HT
Amlodipine 10 10 1X1
Amox 500 10 3X1
Desa Lora HT+Caries
CTM 10 2X1
159 Ambroxol 10 3x1

MetilPrednison 10 3x1/2
Desa Lora Cough+Dispepsia B1 10 2x1
Lansoperazole 10 1x1
110/80 Ranitdine 10 3x1

Piroxicam 10 3x1
Desa Lora Vertigo+Dispepsia
Desa Lora Vertigo+Dispepsia
Becefort 5 2x1
Ranitdine 10 2X1
Desa Lora Atralgia+Dispepsia
Becefort 5 1X1
Lansoperazole 10 1X1
150 Ranitdine 20 2x1
Desa Lora Dermatitis+Dispepsia
Becefort 10 1x1
Amox 500 20 3x1
Desa Lora Caries+Dispepsia
Omeprazole 10 3x1


Desa Lora HT+OA
B1 10 2X1
160/100 Amlodipine 10 20 1x1

Simvastatinm10 10 1x1
Desa Lora HT+Colestrol Becefort 5 1x1

Desa Lora Atralgia+Hipercolestrol Simvastatin 20 10 1X1
100/70 Amox 500 10 3x1

ASMET 10 3x1
Desa Hambawa V.Laseratum Lansoperazole 10 1x1

NADIC 50 10 1X1
Desa Laloa Hipecolestrol+Dispepsia Omeprazole 10 3X1

Allopurinol 20 2x1
Desa Pulau
HT+OA+Hipercol Amlodipine 20 2x1
Tambako
Desa Pulau
HT+OA+Hipercol
Tambako
Ranitdine 20 2X1
Antasida 20 3X1

Ranitdine 10 2x1
Desa Lora Febris
Sukralfate syr 10 3x1

CTM 10 2x1
Desa Hambawa Dispepsia+Dermatitis
1
120/80 AMOX 500 10 3X1

152 MetilPrednison 10 2X1/2
Desa Lora Post Ekstraksi gigi
ASMET 10 3X1

CTM 10 2x1
Desa Dermatitis+Hipercolestro Ketokonazole Zalf
2 2x1/2
Pomontoro l

B6 5 2x1/2
Desa Laloa Obstipasi
Amox Syr 1 3x1/2

Cotri 10 2X1
Desa Lora Febris
B6 10 2X1
Ranitdine 10 2X1
Cefadroxil 10 2x1
Desa Lora Trauma
MetilPrednison 5 3x1/2
Becefort 5 1x1
Ciprolaxin 10 2X1
Desa Pulau Paracetamol 500 10 3X1
ISK
Tambako B6 10 2X1
5.14 Ambroxol 5 3x1/4

Desa Pulau Paracetamol Syr 1 3x1/2
Tambako Cough
10 Paracetamol 500 3 Puyer

GG 3 Puyer
Desa Lora ISPA
Desa Lora ISPA Prenison 3 Puyer
CTM 3 Puyer
Vit. C 4 Puyer
154 Sukralfate syr 1 3x1
Ranitdine 1 3x1
Desa Laloa Dispepsia
Becefort 5 1x1
Glibenclamide 5 5 1x1/2
Desa Hambawa Hipecolestrol+DM

Tambako HT
145 Ranitdine 10 2x1
11 Paracetamol 500 3 Puyer

CTM 3 Puyer
Desa Lora ISPA
Ambroxol 3 Puyer
Vit. C 4 Puyer
Desa Pulau 158 ASMET 10 3x1
Tambako Abses
50 MetilPrednison 5 3x1/3
Becefort 5 1X1
Hipotensi+Dispepsia
Tambako Ranitdine 10 2X1

160 CTM 20 3x1
Desa Lora ISPA
68 Ambroxol 20 3x1
Ranitdine 10 2X1
Tambako Cefalgia+Insomnia
CTM 10 3X1
Desa Lora ISPA
Ranitdine Ampl 1 Injek

Neurosambe Amp 1 Injek
Desa Lora Febris Pro Ev Diazepam Ampl 1 Injek
110/80 Nadic 50 20 2x1

Desa
Hyperusemia
Pomontoro
Desa Allopurinol 20 2x1
Hyperusemia
Pomontoro MetilPrednison 10 2x1/2

Desa Lora Dispepsia
158
Desa Laloa Hipertensi
62
15.3 CTM 4 Puyer

Desa Vit. C 4 Puyer
Pomontoro ISPA
Antalgin 10 3x1
Desa Lora Mialgia
Pehavral 20 1x1
CTM 10 3x1
Desa Lora Colestrol + HT

Desa HT+Dispepsia Sukralfate syr 1 3x1
Pomontoro
Pehavral 5 1x1
160/100 Amlodipine 10 20 1x1
Desa Laloa HT+Hipercolestrol
Pehavral 5 1x
Amlodipine 5 10 1x1
HT
Tambako

Antasida 10 3x1
Amlodipine 5 10 1x1

B.Com 10 1x1
Desa Laloa HT
CTM 2 Puyer
Prenison 2 Puyer
Desa Mawar Alergi B.Com 2 Puyer
Desa Mawar Alergi
Amox syr 1 3x1
Acyclovir 10 2x1
220/100 Amlodipine 10 10 1x1
Furosemide 10 1x1
Desa Liano HT+ Cough
Allopurinol 10 1x1
Amlodipine 5 10 1x1
Desa Lora Post Stroke+HT
110/70 Ibuprofen 200 20 2X2

Amox 500 10 3X1
Desa
CE+Dispepsia Ranitidine 10 2X1
Pomontoro

Desa 175 MetilPrednison 10 2x1/2
Hiperusemia
Pomontoro Nadic 50 10 2X1
32 Cefadroxil 10 2x1/2
Desa CTM 10 2x1/2
OMA
Pomontoro Procurma syr 1 2x1
90/70 SF 30 1x1
14.5 Pehavral 10 1x1
Desa Lora G1P0A0
35 Kalk 10 3x1
90/70 SF 30 1X1
140 Pehavral 10 1X1
Desa Lora G1P0A0
4 KALAK 10 3X1

Sucralfate syr 1 3x1

Desa Pulau
Hipotensi
Tambako
Piroxicam 10 3X1
B1 10 1X1
Desa Lora OA
120/80 ASMET 10 3x1
Desa Liano Sakit Gigi

Cefadroxil 10 2x1
Desa Liano Sakit Gigi
Dexametasone 10 3x1
Neurosambe Amp Injek

Ranitidine Amp Injek
Desa Liano DM A.Traneksamat AMP Injek
Glibenclamide 5 10 1x1
Desa Lora Hipercolestrol
90/60 Ibuprofen 200 10 3x1

Pehavral 10 1x1
Desa Lora Headche

Desa Lora ASMA
67

146 Pehavral 10 1x1
Desa Tajuncu Hipotensi
46
120/80 Piroxicam 20 10 3x1

Remathoid Arthritis
Tambako

151 ASMET 10 3x1
Desa Lora Inf Lokal+HT Catopril 25 10 1x1
9 Hidrocortisone Zalf 1 2x1

Cetirizine 10 3x1/3
Desa Lora D. Alergi
110/P Acyclovir 20 4x1

150 Acyclovir Zalf 1 4x1
Desa Lora Herpes
150/P Amlodipine 5 10 1X1

158 CTM 5 1X1
Desa Lora HT+Insomnia
Desa Lora HT+Insomnia
Cefadroxil 10 2x1
Desa Lora Pembesaran Kelenjar Metoclopiramide 10 2x1
Omeprazole 10 2x1

Dexametashone 10 3x1/2
Rumbia Perdontitis
Cefixime 10 2x1
90/p Ibuprofen 200 10 3x1

158 Pehavral 10 1x1
Desa Lora Malaise
64
100/80 Ibuprofen 200 10 3x1

Antasida syr 2 3x1

154 Sucralfate syr 1 3x1
Desa Laloa Dispepsia
Pehavral 5 1x1
105 Amox syr 1 3x1

Loratadine 10 2x1/2
Desa Lora Dermatitis CTM 10 2x1/2

Piroxicam 20 10 2x1
Desa Lora DM
Pehavral 5 1x1
Metformin 20 1x1
Ambroxol syr 2 3x1

CTM 20 3x1/2
Desa Pulau
Cough Paracetamol syr 2 3x1
Tambako
120/80 Amox 500 10 3x1

153 ASMET 10 3x1
Desa Lora Post Ext Gigi
Pehavral 5 1x1
Amox syr 1 3x1

Desa Lora Febris
Asma Dexametasone 10 3x1
Brongkhial+Obstipasi Dulcolax 3
ASMET 10 3x1/2
Desa Pulau AMOX 500 10 3X1/2
Sakit Gigi
Tambako

Amox 500 1 3X1
Desa Tajuncu ISPA
100/70 Ibuprofen 200 20 3X2

Ambroxol 10 3X1
Metylprednison 10 2X1
AMOX 500 20 3X1
Desa Pulau
60 Hipertensi+Dispepsia
Tambako
160/90 Piroxicam 10 20 2x1

Desa Pulau Hiperkol+HT+Hiperusemi Allopurinol 20 1x1
Tambako a

ASMA
Pomontoro Ambroxol 10 3x1
100/70 Ibuprofen 200 10 3x1/2

Becefort 5 1x1/2
Desa Lora Febris
120/80 Amox 500 20 3x1

Desa Lora Vulnus
Pehavral 10 1x1
153 NADIC 25 10 2X1

Vit. C 10 2X1
Desa Lora OA+Dermatitis
CTM 10 2X1
AMOX 500 20 2X1
120/60 Fe 5 1x1
Pehavral 20 1x1
Desa Lora Anemia
Desa Lora Anemia
110/80 Ibuprofen 200 20 2x2

Pehavral 10 1x1
Desa Lora Febris+Dermatitis Salep 2-4 1 2x1
100/70 Glibenclamide 4 2X1

Desa Pulau Ciprolaxin 10 3X1
Hiperglikemi
Tambako Metronidzole 10 3X1
Vit. C 5 1X1
Desa Pulau Amox 500 5 3X1/2
Tambako Vulnus Iktum
Allopurinol 20 3X1
Desa Pulau NADIC 50 10 2X1
Hiperusemia
Tambako Vit.B1 10 3X1
Amox 500 10 3X1/2

Desa Pulau Ibuprofen 200 10 3X1/2
Tambako TR. Tumpul
B1 10 3X1/2
110/90 NADIC 50 10 2X1

Metilprednison 10 2X1
Desa
OA B1 10 2X1
Pomontoro

Desa Lora HT+Hiperglikemi
149 Glibenclamide 5 1x1/2
80
Amox syr 1 3x1
Desa Lora Combursio
Oxy Zalf 1 2x1
Desa Lora Febris

CTM 20 3x1
Desa Lora ISPA
60 Pehavral 20 3x1
100/70 GG 20 3x1
CTM 10 2x1
Desa Lora CC
Dexametasone 10 2x1
Pehavral 5 1x1
120/80 Ibuprofen 200 20 2x2
CC
Becefort 5 1x1
Desa Pulau 145 Piroxicam 20 20 2X1
Hiperusemia
Tambako Metilprednison 20 2X1/2
B1 10 2X1
145 Metronidzole 10 2x1
Cetirizine 10 2x1
10 Paracetamol syr 1 3X1

Amox syr 1 3X1/2
Desa Lora ISPA Ambroxol syr 1 3X1
Vit. C 3 2X1/4
100/70 Ibuprofen 200 10 3x1

Desa Pulau 150 Pehavral 10 1x1
Post Partum
Tambako Amox 500 20 3x1

ASMET 20 3X1
Desa Lora Herpes
Dexametasone 20 3X1
85 Ambroxol Syr 1 3x1

11 Amox syr 1 3x1/2
Desa Lora ISPA Paracetamol syr 1 3x1

54 Metronidzole 10 3x1
Milena Asam Traneksamat 10 3x1

Ranitidine 20 2x1
Desa Lora Struma
Dexametasone 20 2x1
Pehavral 5 1x1
Desa Lora HT+Hipercolestrol
Ciprolaxin 10 2x1
ISK+Alergi
Cetirizine 20 2x1
Omeprazole 5 1X1
Ranitidine 10 2X1
B6 10 2X1
160/90 OBH 1 3X1

NADIC 20 2X1
Desa Lora CC+OA CTM 10 2X1
Pehavral 5 1X1
110/60 Omeprazole 5 1X1

Ranitidine 10 2X1
Desa Lora Dispepsia
B6 10 2X1

Desa Lora 74 HT+Caries Ranitidine 10 2X1
2 Dexametasone 3 Puyer
CTM 3 Puyer
Vit. C 2 Puyer
Salep Oxytetra 1 Puyer
Dexametasone 10 2x1
Desa Lora Febris

Desa Lora Febris
41 Amox 500 20 3X1

Desa Pulau Dexametasone 20 3X1
Tambako Perindotitis

B6 10 2X1
Desa Lora Febris
Desa Lora Dispepsia Ranitidine 20 2X1
B1 20 2X1
120/80 Glimepiride 10 2x1
Amlodipin 5 10 1x1
Desa Laloa DM + HT
Metformin 10 3x1
Omeprazole 20 1x1
100/80 AMOX 500 20 3x1
ASMET 10 3x1
Desa Lora Hidroxel
Pehavral 5 1x1
Ranitidine Ampl 3 Injek

Furosemid Ampl 3 Injek
Neuosambe Ampl 1 Injek
Desa Lora Dispneu
Salbutamol 4 10 2x1
Ambroxol 10 2x1
Cefixime 10 2x1
120/90 Cotry 10 2x2

Desa Lora GEA
130/80 Ibuprofen 400 20 3x1

155 B.Com 10 3x1
Desa Lora Febris
120/80 Ibuprofen 400 20 3x1

164 Ambroxol 20 3x1
Desa Pulau
65 ISPA CTM 20 3x1
Tambako
Pehavral 20 1x1

170 Captopril 50 10 2x1
Desa Lora Hiperlipidemia+HT
70
Cefixime 20 2X1
Metilprednison 10 2X1
Desa Lora Dispneu
AMOX 500 10 3X1/2

Desa Lora V. Laceratum B.Com 10 2X1/2
Glibencalmide 5 2x1/2
Desa Lora DM+GEA

COTRY 10 3x1
Desa Lora DM+GEA Piroxicam 20 20 3x1
110/70 Ibuprofen 400 20 3X1

157 AMOX 500 20 3X1
Desa Lora 43 Febris B6 20 2X1

170 Antasida 2 3X2
Desa Lora 62 Dispepsia B6 20 3X1
Allopurinol 10 2X1
Desa Pulau Metilprednison 5 2X1/2
Hiprusemia
Tambako Pehavral 5 2X1
NADIC 50 10 2X1
147 Cefadroxil 10 2X1
Pehavral 5 1X1
Desa
CA Mammae
Pomontoro
Amox Syr 1 3x1

Frunkel
Tambako Dexametasone 10 3x1/2

Desa Pulau Piroxicam 10 10 3X1
ISK
Tambako B1 10 3X1
100/70 Ibuprofen 400 10 3X1

Pehavral 5 1X1
Desa Lora Cefalgia

Desa Pulau Metilprednison 5 2X1/2
Tambako Konjungtivitis
Vit. B 10 2X1

Pehavral 5 1X1
Desa Lora ASMA Brongkhial CTM 20 2X1
Desa Lora ASMA Brongkhial
90/P Glibencalmide 6 2X1/2
Desa Lora Hiperglikemi
90/P Ciprolaxin 20 3X1

Ambroxol 20 3X1
Desa Lora COUGH Metilprednison 10 3X1/2
Omeprazole 5 1X1
Tambako Dispepsia+DM
Glibencalmide 5 2X1/2
Lora, 25 November 2021

Pengelola Obat
Bulan : Desember
Tahun : 2021
Jenis Umur Jenis

1 2 3 4 5 6 7
2 11/26/2021 BPJS 0001074941875 Ny. Jusnia 42 L
3 11/26/2021 BPJS 0001941321339 An. Al Zahna Maulida 7 P
4 11/26/2021 BPJS 0000953951433 Ny. Saida P
5 11/26/2021 BPJS 0000953683863 Ny. Marawia 43 P
6 11/26/2021 BPJS 0000133211856 Tn. Silfatman 58 L
8 11/26/2021 BPJS 0000133963986 Tn. Sukirman L
9 11/26/2021 BPJS 0002173173096 Tn. Dg. Sarro L
10 11/26/2021 BPJS 0001431382331 Tn. M.Lorand 16 L

10 11/26/2021 BPJS 0001431382331 Tn. M.Lorand 16 L
12 11/26/2021 BPJS 0000953598036 Ny. Suriadi 48 P
13 11/26/2021 G An. Naufan L
14 11/27/2021 BPJS 0000952887519 Ny. Hasmia P
15 11/27/2021 BPJS 0002918733682 Ny. Hj. Hasma P
16 11/27/2021 BPJS 0002172617087 Ny. Amria P
17 11/29/2021 BPJS 0002172619045 An.Idris 13 L
18 11/29/2021 BPJS 0002172812409 Tn. Kadir 59 L
19 11/29/2021 BPJS 0002172923965 Tn. Kartono 39 L
20 11/29/2021 BPJS 0002172923201 Tn. Ibrahim 37 L
21 11/29/2021 BPJS 0000953375758 Tn. Kartono L
22 11/29/2021 BPJS 0000953706104 Tn. Yanto L

22 11/29/2021 BPJS 0000953706104 Tn. Yanto L
23 11/29/2021 BPJS 0002172614804 Ny. Rosni P
24 11/29/2021 BPJS 0002641221718 Ny. Mariati 39 P
25 11/29/2021 BPJS 0001851163806 Tn. H. Ramli L
26 11/29/2021 BPJS 0000953463126 Ny. Haya P
27 11/29/2021 BPJS 0001907218819 Ny. Rosni 35 P
28 11/29/2021 BPJS 0003074634652 Tn. Suherman 41 L
29 11/29/2021 BPJS 0000953446026 Ny. Nurkaya 49 P
31 11/29/2021 BPJS 0002000328175 Tn. Burhan 36 L
32 11/29/2021 BPJS 000953728402 An. Hikma P
33 11/29/2021 BPJS 000953766393 An. Faiz L

34 11/29/2021 BPJS 0000953765627 Ny. Harmia L
35 11/29/2021 BPJS 0002172617627 An. Musrah P
36 11/29/2021 BPJS 0000954005343 Tn. Sambira L
37 11/29/2021 BPJS 0001074940839 Wa Abe P
38 11/29/2021 BPJS 0002172619045 An. Idris L
39 11/29/2021 BPJS 0000953682456 Ny. Sitia.D P
40 11/29/2021 BPJS 000953343092 Tn. Buhaera L
41 11/29/2021 BPJS 0003065078755 Al Fatih 6 L
42 11/30/2021 BPJS 000095358417 Tn. Lanini L
43 11/30/2021 BPJS 0001941322252 Tn. Abdul ASIS 49 L
44 11/30/2021 BPJS 0003065078665 Tn. Faisal 30 L

44 11/30/2021 BPJS 0003065078665 Tn. Faisal 30 L
45 11/30/2021 BPJS 0002616553271 An. Sahrul Gunawan L
46 11/30/2021 BPJS 0001941322205 An. Sufianti P
47 12/1/2021 BPJS 0000954107829 Ny. Astin 22 P
48 12/1/2021 BPJS 0000953473342 Tn. Zainudin L
49 12/1/2021 BPJS 000095293719 Ny. Risma P
50 12/1/2021 G Tn. Ruslin L
51 12/1/2021 BPJS 0000953682456 Ny. Sitia.D P
52 12/1/2021 BPJS 0001074941177 Ny. Mariani P
53 12/1/2021 BPJS 0002172924876 Ny. Nurtin P
54 12/1/2021 BPJS 0000954060039 Ny. Mardiana 49 P
55 12/1/2021 BPJS 0002641225555 Ny. Manawia P

55 12/1/2021 BPJS 0002641225555 Ny. Manawia P
56 12/1/2021 BPJS 0001941321317 Tn. Kamal 52 L
57 12/1/2021 G Ny. Darawia 25 P
58 12/1/2021 BPJS 0002170186885 Ny. Hj.Numming P
59 12/1/2021 G Ny. Salni 32 P
61 12/1/2021 BPJS 0002751482406 Tn. Sumardin L
62 12/2/2021 BPJS 00009527050112 Tn. Yaco 66 L
63 12/2/2021 BPJS 0000953752386 Tn. Yani 50 L
64 12/2/2021 BPJS 0000165569725 Ny. Murgana 50 P
65 12/2/2021 BPJS 0001431382331 An. Muh. Lorand L
66 12/2/2021 BPJS 0001386261674 Ny. Hj. Nurhayati P
67 12/2/2021 BPJS 0000954411006 An. Adi 12 L

67 12/2/2021 BPJS 0000954411006 An. Adi 12 L
68 12/2/2021 BPJS 0000953728402 An. Hikma 12 p
69 12/2/2021 BPJS 0000953737974 Ny. Maini 37 P
70 12/2/2021 BPJS 0001986968834 Muh. Jefri 13 L
72 12/2/2021 BPJS 0000954012802 Tn. Ambotang L
73 12/2/2021 BPJS 0002641216667 Ny. H. Dg. Mawelong 83 P
74 12/2/2021 G Yusman L
75 12/3/2021 BPJS 0002172619056 An. Lefi 14 L
76 12/3/2021 BPJS 0000952893191 Ny. Fatia 63 P
77 12/3/2021 BPJS 0000954437343 Tn. Kasmaludin 36 L
78 12/3/2021 BPJS 0003080151538 Tn. Didin 27 L

78 12/3/2021 BPJS 0003080151538 Tn. Didin 27 L
79 12/3/2021 BPJS 0000953961276 Tn. Hasbi 58 L
81 12/3/2021 BPJS 0000953766393 An. Faiz 11 L
82 12/3/2021 G An. EL L
83 12/3/2021 BPJS 0001074966489 Ny. Nurlia 36 P
12/3/2021
84 BPJS 0000952901212 Ny. Samsam 36 P
85 12/3/2021 G An. Muh Alvan L
86 12/3/2021 G An. Adiva 2.5 P
87 12/3/2021 BPJS 0000952900762 An. Sinta Bella 15 P
88 12/4/2021 G Ny. Rosmiati 37 P
89 12/4/2021 BPJS 0000953589791 Ny. Hasmiati 35 P
90 12/4/2021 BPJS 0000953682456 Ny. Sitia.P P

90 12/4/2021 BPJS 0000953682456 Ny. Sitia.P P
91 12/4/2021 BPJS 0001204051781 Ny. Erdawati 34 P
91 12/6/2021 BPJS 0000171603549 Ny. Rosnia 42 P
92 12/6/2021 BPJS 000953727974 Ny. Maini 36 P
93 12/6/2021 BPJS 000200328175 Tn. Burhan 36 L
94 12/6/2021 BPJS 0000953728402 An. Hikma 12 P
95 12/6/2021 G Ny. Hasni P
12/6/2021
96 BPJS 0000952939719 Ny. Risma P
98 12/6/2021 BPJS 0000953940262 Tn.Firmansyah 33 L
99 12/6/2021 BPJS 0001941321251 Ny. ICE 34 P
100 12/6/2021 BPJS 00001074490255 Ny. Dorkas 62 P

100 12/6/2021 BPJS 00001074490255 Ny. Dorkas 62 P
101 12/6/2021 G Ny. Mariatun 40 P
102 12/7/2021 BPJS 0000953688194 Tn. Riswan 14 L
103 12/7/2021 BPJS 0001074966489 Ny. Nurlia 36 P
104 12/7/2021 BPJS 0001987218606 Arsal 11 L
105 12/7/2021 BPJS 0002172614848 Muh. Akbar 14 L
106 12/7/2021 BPJS 0000952961578 Ny. Sunarti P
107 12/7/2021 G Tn. H. Arifin L
108 12/7/2021 G An. Rahma 17 L
109 12/8/2021 BPJS 0000952967676 Ny. Haya 73 P
110 12/8/2021 BPJS 0000952966473 Ny. Rasma 16 P
111 12/8/2021 BPJS 0000952936211 Ny. Hasria 49 P

111 12/8/2021 BPJS 0000952936211 Ny. Hasria 49 P
112 12/8/2021 BPJS 0002173172872 Ny. Taju 61 P
113 12/8/2021 BPJS 0000133951421 Tn. Lambua 57 L
114 12/8/2021 BPJS 0002613814648 An. Abd. Rohib 4 L
115 12/8/2021 BPJS 00009534514151 Tn. Asrudin 23 L
116 12/8/2021 BPJS 0000953727974 Ny. Maini 34 P
117 12/8/2021 BPJS 0000953629773 Ny. Finarti 37 P
118 12/8/2021 BPJS 0002642250025 Tn. Ridwan 38 L
119 12/8/2021 BPJS 000095368386 Ny. Marawia 43 P
120 12/8/2021 BPJS 0000952784065 M.Prajab 13 L
121 12/8/2021 BPJS 0000134381812 Ny. WD. Fatma Nur 28 P
122 12/9/2021 BPJS 0002172923212 Ny. Asdar 33 P

122 12/9/2021 BPJS 0002172923212 Ny. Asdar 33 P
123 12/9/2021 BPJS 0000133963773 Ny. Fiarni 45 P
124 12/9/2021 BPJS 0001941322307 Sufianti 18 P
125 12/9/2021 BPJS 0002592509731 Ny. Hajona 37 P
126 12/9/2021 BPJS 0002172923976 Ny.Ridawati 38 P
127 12/9/2021 BPJS 0002172923965 Kartono L
128 12/9/2021 BPJS 0002616552347 Ny.Gustina 33 P
129 12/9/2021 G An. Nurafifah 3 P
130 12/10/2021 BPJS 0000954085116 Elsa P
132 12/10/2021 BPJS 0001074940918 Ny. Hasmawati 35 P
133 12/10/2021 BPJS 0000953682456 Ny. Sitia. D 65 P

134 12/10/2021 BPJS 0000954084159 Amina P
135 12/11/2021 BPJS 00022204354518 M.Prajab 14 L
136 12/11/2021 BPJS 0000133985351 Ny. Habia P
137 12/11/2021 BPJS 0002643137842 Ny. Suharti 37 P
139 12/13/2021 BPJS 0000954581398 Tn. Laonti 70 L
140 12/13/2021 BPJS 0000952916051 Ny. Suharia P
141 12/13/2021 BPJS 0002172929876 Ny. Nurtin 60 P
142 12/13/2021 BPJS 0003066719027 An. Aman Razak 5 L
143 12/13/2021 BPJS 0002916982203 An. AURA P
144 12/13/2021 BPJS 0002933050048 Ny. Itapurnamasari P

145 12/13/2021 G Ny. EDA 40 P
146 12/14/2021 BPJS 0000954489025 Nn. Nur Hidayat 31 P
147 12/14/2021 BPJS 0002368348929 Ny. Yulianti.M 34 P
148 12/14/2021 BPJS 0001941322307 Sufianti 18 P
149 12/14/2021 BPJS 0002122643463 Ny. Samsiar Naco P
150 12/14/2021 BPJS 0002172619315 An. Fianti P
151 12/14/2021 BPJS 0002616552347 Ny. Gustina 33 P
152 12/14/2021 BPJS 0002586073228 Ny. Samria 37 P
153 12/14/2021 BPJS 0002776799867 Ny. ZIA p
154 12/14/2021 BPJS 0002740757624 An. M. Rizal 5 L
155 12/15/2021 BPJS 0003080149648 An. Dimas 2.5 L
156 12/15/2021 BPJS 0002172619102 Ny. Tina 35 P

156 12/15/2021 BPJS 0002172619102 Ny. Tina 35 P
157 12/15/2021 BPJS 0000952886891 Tn. Buhari 50 L
158 12/15/2021 G An. Ayas Athaillah 1.4 L
159 12/15/2021 BPJS 0002747709786 Ny. Siti Jawa 79 P
160 12/15/2021 BPJS 0000952887519 Ny. Hasmia P
161 12/15/2021 BPJS 0002642249553 Ny. Muliana 48 P
162 12/15/2021 BPJS 0000954415102 Tn. Hamim L
163 12/15/2021 G An. Adiva 2 P
165 12/15/2021 BPJS 0000165569725 Ny. Murgana P
166 12/16/2021 BPJS 0000953760014 Tn. Ladohe 76 L

166 12/16/2021 BPJS 0000953760014 Tn. Ladohe 76 L
167 12/16/2021 BPJS 0003090255726 An. M. Dafirza L
168 12/16/2021 BPJS 0000953728402 An. Hikma P
169 12/16/2021 BPJS 0000953765493 Tn. Ali Basri L
170 12/16/2021 BPJS 0001941321339 Al Zahra P
171 12/16/2021 BPJS 0002173173107 Ny. Sania P
172 12/16/2021 BPJS 0001874863809 Ny. Hj. Mardia P
173 12/16/2021 G An. Zalsa P
174 12/17/2021 BPJS 0002827940387 Tn. Basri 52 L
175 12/17/2021 BPJS 00019413222307 Sufianti 18 P
176 12/17/2021 BPJS 0000954085566 Elma Theana 14 P

177 12/17/2021 BPJS 0002172614804 Ny. Rosni P
178 12/17/2021 BPJS 0000952922913 Ny. Rosna 38 P
179 12/17/2021 BPJS 0000953698386 Tn. Rasid 60 L
180 12/17/2021 G Zakaria L
181 12/18/2021 BPJS 0002204350964 Nn. Fausia. H 18 P
182 12/18/2021 BPJS 000952784065 Muh. Prajab 13 L
183 12/18/2021 BPJS 0000133956459 Tn. Sahrul 41 L
184 12/18/2021 BPJS 0001948323317 Tn. Made Aming L
185 12/18/2021 BPJS 0000953446026 Ny. Nurkaya 50 P
186 12/18/2021 G Tn. Jasman 48 L
187 12/18/2021 BPJS 0000942935366 Nurhidayah P

187 12/18/2021 BPJS 0000942935366 Nurhidayah P
188 12/18/2021 BPJS 0001074940705 Ny. Esri P
189 12/20/2021 BPJS 0000954425351 Tn. Darwis 56 L
190 12/20/2021 BPJS 0001851163806 Tn. H. Ramli 66 L
191 12/20/2021 BPJS 0000133951421 Tn. Lambua L
192 12/20/2021 BPJS 0002905003798 An. Juliana 16 P
193 12/20/2021 BPJS 0000953765695 Ny. Maemana P
194 12/20/2021 BPJS 0000162977387 Tn. Umar Uba 48 L
195 12/20/2021 BPJS 0000198648420 Tn. Ilyas 50 L
196 12/20/2021 BPJS 0002905003765 Agustina P
197 12/20/2021 BPJS 000953607519 An. Levi 14 L

198 12/20/2021 BPJS 0000953766393 An. Faiz 11 L
199 12/20/2021 BPJS 0002925727402 An. Abdul Syarif 2 L
200 12/20/2021 BPJS 0000952939719 Ny. Risma 33 P
201 12/20/2021 BPJS 0002519752307 Tn. Mudin 54 L
202 12/20/2021 BPJS 0000953451415 Tn. Asrudin L
203 12/20/2021 BPJS 0000133211891 Ny. Asniar 30 P
204 12/21/2021 BPJS 0002172614859 An. Rezqi Alfatur 10 L
205 12/21/2021 BPJS 0001941320698 Ny. Isa 65 P
206 12/21/2021 BPJS 0002172925078 Ny. Wa Kama 54 P
207 12/21/2021 BPJS 0000953718928 Ny. WA Ende 55 L

208 12/21/2021 BPJS 000236723287 Tn. La Riamu 48 L
209 12/21/2021 BPJS 0002641224677 Ny. St. Hasia 56 P
210 12/21/2021 BPJS 0000973180192 Tn. Jasman Muna 47 L
211 12/21/2021 BPJS 0001987176925 Ny. Neli 23 P
212 12/21/2021 BPJS 0000953763737 Tn. Lasadi L
213 12/21/2021 BPJS 0001885925845 An. ESTER Maria 9 P
215 12/21/2021 BPJS 0000205367365 Tn. Lasani 52 L
216 12/22/2021 BPJS 0000953725555 Ny. Hadora 53 P
217 12/22/2021 BPJS 0002634988059 An. Lestari 12 P

217 12/22/2021 BPJS 0002634988059 An. Lestari 12 P
218 12/22/2021 BPJS 0000953376524 Ny. Mina 71 P
219 12/22/2021 BPJS 0001941321047 Ny. Hasnawati P
220 12/22/2021 G Tn. Dahlan 32 L
221 12/22/2021 G Tn. Udin 33 L
222 12/22/2021 BPJS 000953760339 Ny. Wa Nasi 67 P
223 12/22/2021 BPJS 0001074941177 Ny. Mariani 51 P
224 12/23/2021 G An. Muh. Fadil 3 L
225 12/23/2021 BPJS 000953766393 An. Faiz 10 L
227 BPJS 0001941322847 Ny. Rosmiati 55 P

227 BPJS 0001941322847 Ny. Rosmiati 55 P
228 BPJS 0000953964551 An. Meysha 13 P
BPJS
Umum
G 23
Total Resep (A)
Kunjungan Polindes
BPJS
G
Total (B)
Total (A+B) 0
RESEP HARIAN APOTIK

cm, kg) Obat Pakai
8 9 10 11 12 13
Cotry 10 3x1
Desa Lora HT+GEA
160/100 Amlodipine 10 20 2x1

Desa Laloa Hipercolestrol+HT
Loratadine 5 2x1/2
Desa Dexametasone 5 2x1/2
Dermatitis
Pomontoro Hydrocortisone Zalf 2 2x1

Hipercolestrol+HT
Pomontoro

Amlodipine 5 10 1x1
150/90 Piroxicam 10 20 2x1

CTM 20 3x1
Desa Lora OA+ISPA
Ambroxol 20 3x1
Dexametasone 10 2x1
Piroxicam 10 20 2x1
Desa Pulau Ranitdine 20 2x1
OA+Dispepsia

Desa Pulau Loratadine 10 2X1
Tambako Febris
Dexametasone 10 2X1
140/90 Ibuprofen 400 20 3x1

Cefadroxil 10 2x1
150 Cotry 10 2x1

41 Pehavral 10 1x1
Desa Lora GEA
Desa Lora GEA

Ranitdine 10 2x1
Amlodipine 5 20 2x1
Cefadroxil 20 3X1
Febris+Frunkel
Tambako Metilprednisone 20 2X1
B1 20 3X1
Ambroxol 10 3X1
ISPA
Pomontoro CTM 20 2X1
AMOX 500 5 3X1
Desa Lora Vertigo
150/100 Amlodipine 10 10 1x1
Desa Lora HT

Cefadroxil 10 2x1
Desa Pulau
Susp. Parotitis Pehavral 10 1x1
Tambako

Amox 500 10 3x1/2
Desa Lora Vulnus Laseratum

AMOX 500 10 3x1
Desa Laloa Hipercolestrol+Abses Nadic 50 10 1x1

B.Com 10 1x1
Desa Laloa Hipercol+Frunkel
AMOX 500 10 3x1

NADIC 50 20 1X1
Desa Laloa Hiperusemia
B.Com 10 1x1
AMOX 500 10 3X1

ASMET 10 3X1
Desa Hambawa V.Laceratum
B12 10 3X1
57 Pirantel 125 4
Desa Lora Ascariasis+Dermatitis
Desa Lora Ascariasis+Dermatitis Ibuprofen 400 10 2x1
Loratadine 10 2x1
100/70 Ibuprofen 400 10 3x1
Ambroxol 10 3x1
Desa Lora ISPA
CTM 10 3x1
100/80 Ibuprofen 400 10 3x1

Desa Lora Konjungtivitis
AMOX 500 10 3x1
Oxytetaclin Zalf 1 2x1
140/90 Piroxicam 20 20 2x1
Hiperusemia
Tambako
130/80 Antasida SYR 1 3X1

Ranitdine 10 2X1
Desa Lora Dispepsia

Desa Lora Dermatitis+Cefalgia
Hydrocortisone Zalf 2 2x1
120/80 Oxytetaclin Zalf 1 2X1
Desa Lora Combutsio
Amlodipine 5 10 1x1
Desa Lora HT+DM
110/70 Piroxicam 20 10 2X1

Antasida 10 3X1
Desa Pulau
Tambako Hiperusemia Pehavral 5 1X1
Allopurinol 10 2x1
Des Lora Hiperglikemi
Amox 500 10 3x1

Desa Pulau Metilprednisone 8 10 3x1
Tambako Dermatitis
Paracetamol 10 3x1
Amox syr 2 3x1

Loratadine 10 2x1/2
Desa Pulau Dexametasone 10 2x1
ASMA
Tambako
AMOX 500 10 2X1

Paracetamol 10 2X1
Desa Pulau
Febris B6 10 2X1
Tambako

Dexametasone 10 2x1
Ciprolaxin 10 2x1
110/80 Ibuprofen 400 10 3X1

153 Cefadroxil 10 2X1
Desa Pulau
56 Abces Dexametasone 10 3X1
Tambako
B1 10 3X1
Ibuprofen 200 10 3X1/2

Desa Lora V. Laceratum Amox 500 10 3X1/2

Amlodipine 5 10 1x1
Desa Lora DM+HT

CTM 10 2X1
Desa
HT
Pomontoro

AMOX SYR 1 3x1
Desa Pulau
Tambako Febris Procurma syr 1 3x1

Ambroxol 10 3x1
Desa Pulau
HT+GOULD+Alergi Metilprednisone 8 10 2x1
Tambako
Ketoconazole 1 1x1
Desa Liano Cefalgia+Alergi
Metilprednisone 8 10 3x1
CTM 10 2x1
Desa Pulau
Tambako
Desa Pulau
ISPA
Tambako
Becefort 10 1x1
Loratadine 10 1x1
Zalf 2-4 1 1x1
Desa Lora Skabies
110/70 Amox 500 10 3x1

Ambroxol 10 3x1
Desa Puuwaeya ISPA Ibuprofen 200 10 3x1
80/60 Ibuprofen 200 10 3x2

GG 10 3x1
Desa Lora ISPA
Amox 500 10 3x1
Becefort 10 1x1
AMOX 500 10 3X1
Desa Lora Ginggivitis
100/70 Ibuprofen 400

Ambroxol 10 3x1
Desa Lora ISPA Metilprednisone 8 10 3x1
Amox 500 10 3x1
Antasida 10 3x1
Salbutamol 4 10 2x1
Desa Pulau Metilprednisone 8 10 2x1
ASMA
Tambako Ranitdine 10 2x1

Desa Pulau 147 Antasida 10 3X1
HT+Dispepsia
Tambako Ranitdine 10 3X1
Glibenclamide 5 2X1/2
Piroxicam 20 20 2X1
Desa Lora DM B1 10 2X1


CTM 20 3x1
Desa Lora Dispepsia+ISPA Ambroxol 20 3x1
Antasida 20 3x1
Omeprazole 20 1x1
AMOX 500 10 3x1
Desa Lora Konjungtivitis+DM
Desa Lora Konjungtivitis+DM
Metformin 10 2x1
110/90 Piroxicam 20 30 2X1

Desa Metilprednison 16 10 2X1/2
OA
Pomontoro B12 10 2X1
Amox 500 10 3x1

Febris
Glibenclamide 5 2X1
Ranitdine 10 2X1
Desa Lora DM
B6 10 2X1
Ciprolaxin 10 2x1
Desa Pulau Omeprazole 10 2x1
Melena
Tambako AS.Traneksamat 10 2x1
150/90 Nadic 25 20 2x1

Desa Lora OA+HT
120/80 Amox 500 10 3X1

ASMET 10 3X1
Desa Lora DM
Glibenclamide 5 1X1
Nadic 25 10 2x1
Desa Puuwaeya OA Ranitdine 10 2x1
Becefort 5 1x1
170 Glibenclamide 5 2X1/2

Desa Pulau
DM
Tambako
145 Nadic 25 10 2x1

Desa Lora RA+Dispepsia
Ranitdine 10 2x1
100/70 Amox 500 10 3x1

Becefort 5 1x1
Desa Lora Febris
Cetirizine 10 2x1
Metilprednison 8 10 2x1
Becefort 5 1x1
Amox 500 10 3x1/2
Desa Lora V.Ictum

Desa Lora V.Ictum
Amox 500 10 3x1

Frunkel
Becefort 5 1x1
100/70 Loratadine 10 2X1

Dermatitis CTM 10 2X1
Loratadine 10 2x1
CTM 10 2x1
B.Com 10 2x1
110/70 Amox 500 10 3X1

Desa Lora ISPA
CTM 10 3X1

153 Ambroxol 10 3x1
Desa Lora COUGH
Metiilprednisone 8 10 3x1
Allopurinol 10 3x1
Desa Puuwaeya Kontipasi+Hiperusemia
Dulcolax 1
120/70 AMOX 500 10 3x1
Desa Poeya V.Ictum
100/70 Ibuprofen 400 10 3x1

151 Amox 500 10 3x1
Desa Lora Febris
Pehavral 5 1x1

B.Com 10 2X1
Desa Lora Migren
160/70 Kettoconazole Zalf 2 2x1

Loratadine 10 2x1
Desa
Dermatitis+HT Amlodipine 5 10 1x1
Pomontoro
120/90 Ibuprofen 400 10 3x1

172 CTM 10 3x1
Desa Lora ISPA
Metilprednison 8 10 3x1
Desa Lora ISPA
Becefort 5 1x1
Ciprolaxin 10 3x1
Ambroxol 10 3x1
Desa Lora COUGH
Becefort 5 1x1
Metformin 10 1x1
Amlodipine 10 1x1
Desa Laloa Post OP+HT+DM
Omeprazole 10 2x1
Amox syr 1 3x1

Desa Lora Febris
Ambroxol syr 1 3x1
Acyclovir 20 3x1/2
Desa Lora Varicula
Loratadine 20 3x1/2
Desa Lora Hipotensi Becefort 5 1x1
B12 Amp 1
Loratadine 10 2x1
Amox 500 10 3x1/2

Desa Paracetamol syr 1 3x1/2
Strount
Pomontoro
Amox syr 1 3X1

Desa
Gingivitis
Pomontoro
Cefdroxil 10 2x1
Nadic 25 20 2x1
Desa Lora Post OP Miom Ranitidine 10 2x1
Loratadine 10 2x1
Ciprolaxin 10 2x1
120/70 Amox 500 10 3X1

Desa Pulau B12 10 2X1
Post Partum
Tambako Ibuprofen 400 10 2X1

Desa Pulau
HT+Dispepsia
Tambako
HT+Dispepsia
Tambako B6 10 2X1

ISPA+COUGH
Tambako Piroxicam 20 10 3x1
Salbutamol 4 10 2x1
Ambroxol 10 2x1
Desa Pulau
ASMA+COUGH Metilprednison 8 10 2x1
Tambako
Acyclovir 10 3X1
Metilprednisone 8 10 3X1
Desa Lora Varicella
Loratadine 10 3X1
Betametasone ZALF 1 2X1
Metformin 10 1X1
Nadic 25 10 2X1
Desa Lora DM
B1 10 2X1
AMOX 500 10 3x1

Becefort 5 1x1
PTU 10 2x1
Desa Lora Hypertiroid Ranitidine 10 2x1
Ambroxol 10 2x1
Becefort 5 1x1
Ciprolaxin 10 3x1
Ambroxol 10 3x1
Desa Lora COUGH
Ciprolaxin 10 3x1
Ambroxol 10 3x1
Desa Lora COUGH

Desa
65 Post OP Ileus Lansoperazole 20 2x1
Pomontoro
100/80 Ibiprofen 400 20 2X1

Desa 150 B1 20 2X1
Cefalgia
Pomontoro 58
160/100 Captopril 50 10 1X1

Omeprazole 10 2X1
Desa
Gastritis+HT B6 10 2X1
Pomontoro
Desa
Gastritis+HT
Pomontoro

60
100/70 Ibuprofen 400 10 3x1

140 Ambroxol 10 3x1
Desa Lora 42 ISPA CTM 10 3x1
Becefort 5 1x1


Desa Pulau 23 B.Com 10 3x1/2
Cefalgia
Tambako
Antasida syr 1 3x1

Desa Lora Dispepsia
Pehavral 15 1x1
Acyclorovir 5 2x1/4
Cetirizine 5 2x1/4
Desa Lora Varicella
Becefort 5 1x1

Cefadroxil 10 2x1
Desa Lora ISPA
Becefort 5 1x1
110/70 Amox 500 10 3x1
163 Antalgin 10 3x1
Desa Lora 60 Febris

143 Metilprednisone 8 10 2x1
Desa Lora HT Ibuprofen 400 10 3x1

Ibuprofen 10 3x1
Desa Lora ISK
Desa Lora Dermatitis+COUGH

OBH 1 3x1
Desa Lora Dermatitis+COUGH

Desa Lora Vertigo
B. Com 10 3x1

Ranitidine 10 3x1
Diazepam 2 4 1x2
Amox syr 1 3x1
Desa Lora Febris
Ambroxol syr 1 2x1
Procurma syr 1 1x1
AMOX 500 20 3X1
ASMET 10 3X1
Pehavral 5 1X1
120/80 CTM 10 3x1

156 Metilprednisone 8 5 2x1/2
Desa Lora 53 Alergi
120/80 Piroxicam 10 10 2X1

Desa Pulau 147 Metilprednisone 8 5 2X1/2
Atritis
Tambako

160
Desa Lora Dispepsia
60

165
Desa Lora Dispepsia
90
100/60 Loperamide 10 3X1

Desa Pulau 135 Cotrimoxazole 10 3X1
GEA
Tambako 30
100/60 Asmet 10 3x1

Desa Pulau
Frunkel
Tambako
120/80 AMOX 500 20 3x1

Metformin 20 1x1
Desa Laloa Abses+DM
B.Com 10 1x1
Desa Laloa Abses+DM
Desa Pulau Metilprednisone 8 10 2X1
OA
Tambako B1 20 2X1

ASMET 10 3x1
Desa Puuwaeya Vulnus Ictum Pehavral 20 1x1

Lanzoperasole 10 1x1
Desa Laloa Hipercolestrol+Dispepsia
Pehavral 10 1x1

Ranitidine 20 2x1
Desa Laloa Gastritis+Vertigo
Betahistine 10 2x1

Allopurinol 10 1x1
Desa Laloa Kolestrol+AU
Nadic 50 10 1x1

160 Metilprednisone 8 10 3x1
Desa Lora T. Thermis
ASMET 10 3x1
Hidrocortisone Zalf 3 2x1
Ambroxol syr 1 3x1
Desa Lora ISPA
Amox syr 1 3x1
90/p Amox 500 10 3x1

Desa Lora Febris Pehavral 5 1x1

Desa Lora ISK
Becefort 10 1x1
90/70 Ibuprfen 400 10 3X1

156 Metilprednisone 8 5 2X1
Desa Lora OA
B1 10 2X1
147 Amlodipine 5 10 1X1

B6 10 1X1
Desa Pulau HT
Tambako
110/80 Piroxicam 10 10 2X1
Desa Lora OA B1 10 1X1

Desa Pulau Metoc 10 3X1
Febris
Tambako CTM 20 3X1
160 GG 10 3x1
Piroxicam 10 10 2x1
Desa Pulau
Could+Hiperusemia Pehavral 5 1x1
Tambako
100/70 Acyclorovir 10 3x1

Desa Lora Varicella
60 Becefort 5 1x1
Acyclorovir Zalf 1 1x1
Piroxicam 10 10 2X1
Desa Pulau B1 10 1X1
Hiperusemia
Tambako

Ranitidine 10 2X1
Desa Mawar Dispepsia
Antasida 10 3x1
Omeprazole 10 1x1
Desa Lora Dispepsia +OA
Piroxicam 10 10 2x1

Ranitidine 10 2x1
Desa Lora Vertigo+Hipercolestrol Simvastatin 10 10 2x1
Ambroxol syr 1 3x1

Desa Pulau
COULD+OMA
Tambako
Amox syr 1 3x1

PCT Syr 1 3x1
Desa Lora Febris

Desa Lora HT
Amox 500 10 3x1
Pehavral 5 1x1
Desa Lora HT
80/p Antasida 10 3X1

Ranitidine 20 2X1
Desa Mawar Dispepsia
FE 10 2X1
ASMET 10 3X1
Desa Lora Caries Gigi AMOX 500 10 3X1
Pehavral 5 1X1
ASMET 10 3X1
AMOX 500 10 3X1
Desa Puuwaeya ABSES
Vit.C 5 1X1
Amox 500 10 3X1

ASMET 10 3X1
Desa Lora V. Morseum
Becefort 10 3X1
Domperidone syr 1 3X1

Antasida 10 3X1/2
PCT Syr 1 3X1
Desa Lora Gastritis

Metilprednison 16 10 3x1/2
Desa Lora Thrmis
ASMET 10 3x1
Hidro Zalf 4 2x1
Amox 500 20 3x1
Febris+Hipercolestrol
Tambako FE 20 3x1
80/p Ciprolaxin 500 10 2x1
Desa Pulau
DM+ABSES Glibenclamide 5 10 2x1/2
Tambako
PCT syr 1 3x1

Desa Pulau AMOX SYR 1 3x1
Tambako ISPA
Ambroxol syr 1 3x1
Ambroxol syr 2 3X1

AMOX SYR 1 3X1
Desa Lora ISPA
PCT syr 2 3X1
151 Ciprolaxin 500 10 2x1
Desa Lora RA
80/P Piroxicam 20 10 2x1
Desa Lora RA Metilprednison 16 5 2x1/2
110/90 Piroxicam 20 10 2X1

Desa Lora OA B1 10 2X1
Amox syr 1 3x1

PCT syr 1 3x1
Desa Lora ISPA Ambroxol 10 3x1/4

Ranitidine 20 2x1
Desa Lora HT Pehavral 5 1x1

Betahistine 10 3x1
Desa Lora Vertigo+COUGH
Pehavral 10 1x1

Pehavral 5 1x1
Desa Lora Dermatitis Ketoconazole Zalf 1 2x1

Desa Metilprednison 16 10 2X1/2
ASMA Brongkhial
13.6 AMOX SYR 1 3x1

Desa Domperidone Syr 1 3x1
Pomontoro ISPA
PCT syr 1 3x1
Procurma 2 1x1
110/80 Ciprolaxin 500 10 2x1
Desa Lora HORDEUCAN inj
Nadic 50 30 2x1
90 Pehavral 5 1x1
B1 10 2x1
Desa Lora Hipotensi

Diazepam 6 2x1
Desa Pulau HT
Tambako
Desa Pulau
HT Lanzoperzole 10 1x1
Tambako
PCT syr 1 3x1

Ambroxol syr 1 3x1
Desa Lora ISPA
AMOX SYR 1 3x1

Desa Lora Frunkel AMOX 10 3x1
Becefort 10 1x1
Zalf 2-4 1 2x1
CTM 10 3x1
Desa Lora Cefalgia
Pehavral 5 1x1
Acyclovir 10 3x1/2
Loratadine 10 3x1/2
Desa Lora Varicella Dexametasone 10 3x1/2
Piroxicam 20 10 2x1
Antasida 10 3x1
Pehavral 20 1x1
Desa Lora HT Antasida 10 3x1
Lanzoperzole 10 1x1
AMOX SYR 1 3x1

PCT syr 1 3x1
ISPA
Procurma 1 1x1

Pehavral 5 1x1
Desa Tajuncu Vertigo+HT Amlodipine 5 10 1x1

ASMET 10 3x1
Desa Puuwaeya Vulnus Ictum
Pehavral 10 1x1
Lanzoperzole 10 1x1
Amox 500 10 3x1
Desa Lora Febris+Dermatitis Ketoconazole Zalf 1 2x1
Pehavral 5 1x1
Hipercolestrol+Hiperuse Piroxicam 20 10 2x1
Desa Lora
mia Amox 10 3x1
Allopurinol 10 2x1
Ambroxol 10 3x1
CTM 10 3x1
Desa Lora ISPA+Dispepsia Omeprazole 10 3x1
Amox 500 10 3x1
Ambroxol 20 3x1
CTM 20 3x1
Desa Pulau
ISPA Ibuprofen 400 10 3x1
Tambako
Prednisone 20 3x1
Amox 10 3x1
B6 10 3x1
Desa Lora Febris Ranitidine 10 2x1
100/80 Ibuprofen 200 20 2x1

Febris
Tambako Antasida 20 2x1
39 CotriMoxazole 10 2x1/2
Loperamide 10 3x1/2
Desa Pulau
GEA Ibuprofen 200 10 2x1
Tambako

Ranitidine 10 2X1
Desa Lora Dispepsia
120/80 Ibuprofen 200 10 3x1

Pehavral 5 1x1
Desa Lora Cefalgia

100/70 CTM 10 2x1

Insomnia
Tambako
100/70 Ibuprofen 200 10 3x1

154 CTM 10 3x1
Desa Lora Febris
Desa Lora 40 Febris Cefadroxil 10 3x1
100/70 Ibuprofen 400 10 3x1

Desa Pulau 155 Cefadroxil 10 2x1
Febris
Pehavral 10 2x1
Ambroxol 10 3x1
Desa
CC Metilprednisone 16 5 2x1/2
Pomontoro
150/100 Amlodipine 10 10 1x1

Tambako HT+Hiperusemia
Piroxicam 20 20 2x1

Piroxicam 20 20 2x1
Desa Lora Hiperusemia Pehavral 12 1x1
100/60 Amox 20 3x1

Desa Lora Tonsilitis
Metilprednisone 8 10 2x1/2
Nadic 50 10 3x1
B1 10 2x1
Desa Lora OA Ibuprofen 400 10 2x1

Desa Lora CC
60 CTM 20 2x1
Antasida 10 2x1
Ambroxol 20 3x1
Desa Liano DM+COUGH Metilprednisone 16 5 2x1/2
Diazepam 2 1x2

AMOX 20 3X1
Desa Lora Febris
Becefort 20 1X1
100/70 Ibuprofen 200 20 3x1

Desa Pulau ISPA GG 10 3x1
Tambako
Cefadroxil 10 2x1
Amox 500 10 3x1/2
PCT syr 1 3x1
Desa Lora Febris
CTM 10 3x1/2
Procurma syr 1 1x1
9.5 PCT syr
CTM 1 pyr
Desa Lora ISPA+Dermatits
Vit. C 2 pyr
Hidrocortisone Zalf 2 2x1
Varicella Acyclovir 10 3x1
Desa Lora
Zoster+Ascariasis+Could Acyclovir Zalf 1 2x1
Pirantel 4 1x4
Oxy Zalf 1 2x1
Piroxicam 20 20 2x1
Desa Lora Dermatitis+OA
171 AMOX 500 10 3X1

ASMET 20 3X1
Desa Lora Vulnus
Albendazole 20 1x2
Procurma syr 1 1x1
Desa Lora ASKARIASIS
21 PCT syr 1 3X1

Domperidone Syr 1 3X1
Desa Lora ISPA CTM 15 2X1/2
110/p Ambroxol 10 3x1

CTM 10 2x1
Desa Tajuncu CC+Gastritis Antasida 10 2x1
Becefort 5 1x1
100/80 Piroxicam 20 10 2X1

Desa Mawar OA B1 10 2X1

CTM 10 2x1
Desa Pulau CC+HT Amlodipine 5 10 1x1
Tambako
Becefort 5 1x1
Amox 500 30 3X1
Piroxicam 20 10 2X1
Desa Pulau
V.Eksoriatun B1 10 2X1
Tambako
100/80 Piroxicam 20 20 2X1

Metilprednison3 16 4 2X1/2
Desa Pulau
OA B1 20 2X1
Tambako
Diazepam 2 10 1x2
Becefort 5 1x1
Desa Pulau
Skiopherenia Ibuprofen 200 10 3x1
Tambako
100/P Betahistine 10 2X1

Antasida 10 2X1
Desa Pulau
Vertigo Becefort 5 1X1
Tambako
Cefadroxil 10 3x1
Desa Pulau
Caries+Cough Ambroxol 10 3x1
Tambako
Amox 500 10 3x1/2

PCT syr 1 3x1
Desa Pulau
Febris B.Com 10 3x1/2
Tambako
Griseosulvin 10 2x1
Desa Pulau
Dermatitis Ketoconazole Zalf 2 2x1
Tambako

Diazepam 2 6 1x2
Desa Pulau
HT Ibuprofen 400 10 2x1
Tambako
120/80 Piroxicam 20 10 3X1

Metilprednisone 16 5 2X1/2
Desa Pulau
RA B1 10 1X1
Tambako
25 PCT syr 2 3x1

Ambroxol syr 2 3x1
Desa Lora Febris
Desa Lora Febris

Cetirizine 20 2X1
Desa
Dispepsia+Dermatitis B6 10 2X1
Pomontoro

Cefadroxil 20 2x1
Desa
CC Cetirizine 20 2x1
Pomontoro
Loperamide 20 3x1
SCOPMA 20 3x1
Desa Pulau
Diare Oralit 6 3x1
Tambako

170 AMOX 500 10 3x1
Desa Pulau
70 Alergi Metilprednisone 8 10 3x1
Tambako

Neurovit 8 1x1
Desa Pulau
Dispepsia
Tambako
Omeprazole 25 2X1
B.Com 10 2X1
AMOX SYR 1 3X1

Ambroxol syr 1 3X1
Desa Lora COUGH PCT syr 1 3X1
AMOX SYR 1 3x1

PCT syr 1 3x1
Desa Lora Febris Domperidone Syr 1 3x1
120/80 Piroxicam 20 20 2x1

Desa OA+Dermatitis B1 20 2x1
Pomontoro
Enbatic 1 2x1
Desa
Hipercolestrol
Pomontoro
Amlodipine 5 10 1x1
Desa
Hipercolestrol Becefort 10 1x1
Pomontoro
110/70 Ketoconazole Zalf 2 2X1

Paracetamol 10 3X1
Desa
Dermatitis Amox 500 30 3X1
Pomontoro
ASMET 10 3X1
Lora, 25 Desember 2021

Pengelola Obat

Rekapan Resep Harian 2021

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REKAPAN RESEP HARIAN APOTIK

Jenis Umur Jenis TTV (mmHG, cm, Jumlah Aturan

160/100 Amlodipin 5 10 1x1

100/90 Piroxicam 20 10 2x1

150/90 Ibuprofen 400 20 3x1

Amox syr 1 3x1

Amoxicillin 500 10 3x1

Amoxicillin 500 10 3x1

120/80 Allopurinol 10 2x1

120/80 Ciprofloxacin 10 3x1

78 1/6/2021 BPJS 0000953683863 Ny. Marawia P Lora Dermatitis

180/100 Amlodipin 10 15 1x1

100/80 Simvastatin 10 10 2x1

100/p Simvastatin 10 20 2x1

110/80 Ketoconazol salf 2 2x1

90/p Ranitidin 10 2x1

120/80 Ranitidin 10 2x1

BPJS 154 Lora, 25 Januari 2021

Jenis Umur Jenis TTV (mmHG, cm, Jumlah Aturan

Ketoconazol salf 2 2x1

190/100 Amlodipin 10 10 2x1

100/70 Simvastatin 10 10 1x1

120/80 Clindamisin 10 3x1

90/70 Ranitidin 10 2x1

120/70 Aminophilin 10 2x1

130/80 Nadik 25 20 2x1

110/70 Pyrantel 10 2x1

118 Zinc syr 2 1x1

130/70 Ambroxol 20 3x1

140/70 Paracetamol 10 2x1

140/100 Catopril 10 1x1

110/80 Amoxicillin 500 10 3x1

120/80 Ibuprofen 400 10 3x1

100/70 Ranitidin 10 3x1

Asam Mefenamat 10 3x1

pirantel syr 4 2x1

Natrium Diklofenat 25 10 2X1

170/90 Amlodipin 10 20 1x1

110/80 Ciprofloxacin 10 2x1

80/60 Omeprazol 10 1x1

PCT Syr 2 3x1

120/80 Amoxicilin 500 mg 20 3x1

104 2/10/2021 BPJS 00009537666393 An. Faiz 9 Thn L Lora Febris

110/80 Ambroxol 10 3x1

110/80 Amoxicillin 500 mg 10 3x1

135 Amoxicillin 250 mg 20 3x1

100/80 Metformin 10 2x1

Amoxicillin 500 mg 20 3x1/2

120/90 Ciprofloxacin 10 3x1

120/80 Ciprofloxacin 10 2x1

133 2/15/2021 BPJS 0002746119172 Tn. Hasanuddin L lora Asma Bronchial

110/80 Loratadin 10 2x1

80/60 Amoxicillin 500 mg 10 3x1

140/90 Salbutamol 4 10 2x1

110/80 Glibenclamic 10 2x1/2

130/90 Metformin 10 1x1

110/70 Loratadin 10 1x1

120/80 Amoxicillin 500 mg 10 3x1

130/80 Metformin 20 2x1

160 piroxicam 10 mg 10 2x1

110/70 Cefadroxil 10 2x1

120/80 Piroxikam 20 mg 10 2x1

110/80 Cotrimoksazole 10 2x1

120/80 CTM 10 3x1