You are on page 1of 11

LAPORAN KUNJUNGAN PELAYANAN RAWAT JALAN TINGKAT PERTAMA

Nama Dokter Praktek : Dr. Ida Ayu Anom Margareni


Alamat : Jl. Gunung Mandalawangi No. 8 Denpasar
Kabupaten : Kota Denpasar
Bulan Pelayanan : APRIL 2017

No Tanggal Nama Pasien Umur Diagnosa Terapi


1 1 April 2017 Ni Made Sariyani 74 LBP Wiros 2 x I
Ramabion 1 x 1

2 Kompyang Supadmi 43 Rhinitis Demacolin 3 x1


L. B Plex 2 x 1

3 I Made Dwi Rama 12 Febris Demacolin 3 x 1


L B.Plex 2 x 1

4 Ni Ketut Lilik Suryani 53 ISPA Cyprofloxacin 2 x 500mg


Ifarcyl 3 x 1
Antasida 3 x 1

5 I Nyoman Gede Subawa SNH Wiros 2 x 1


Asam Urat Allopurinol 1 x 1
t: 90/60 Ramabion 1 x 1

Tonsilopharyngitis
6 Ni Ketut Ria Sutadiyanti 8 Akut Primavan 2 x 1
Demacolin 3 x 1/2

7 Puja Devanti 6 Scabies Ampicillin 3 x 250 mg


Infeksi Sekunder Alleron 2 x 1/2
Scabicid cream

8 Ni Nengah Sureneng 80 Neurastenia L B.Plex 2 x 1


Antasida 3 x 1

9 Putu Suwena 72 ISPA Primavon 2 x II


t : 90/60 Demacolin 3 X 1
Ifarcsyl 3 x 1
10 3 April 2017 I Nyoman Jingga Gastritis Triosid syr 3 x c1

T 120/80 Ranitidine 2 x 1
L B Plex 2 x 1

11 Pande Gede Prana Dana 3 RHPH Primavon 2 x 1/2


Metylprednisolon 2 x 1/2
Coldrexin syr 3 x cth 1/2
Hydrocortison cream
Bufa cream

12 Ni Made Purni ISPA Cyprofloxacin 2 x 500mg


Metylprednisolon 2 x 1
Ambroxol 3 x 1

13 Ketut Tirtasari 22 Pharyngitis Akut Primavan 2 x II


Demacolin 3 x 1
L B.Plex 2 x 1

14 Kadek Winata 22 GEA Suprabiotic 3 x 500mg


New Diatab 2 x 1
L B.Plex 2 x 1

15 Bu Deni 35 Febris Dapyrin 3 x 500mg


Novabion 1x1

16 Yesri Kanata 22 G1P0O0 UK 7mg L B.Plex 1 x 1

17 7 April 2017 Ni Made Sariyani 74 gastritis antasida 3x1


histigo 2x1
18 Tirta Wirati Ni Made 35 Pharingitis Akut Amox 3x500mg
Paracetamol 3x1
L.B Plex 2x1

19 Ni Nyoman Suardani 50 RHPH Novabion 2x2


Demacolin 3x1

20 Ni Ketut susana dewi 44 gastritis Triosid 3x1


Ranitidine 2x1

21 Ni Nyoman Latri cystitis novabion 2x2


Asam mefenamat 3x1

22 8 April 2017 Ni Luh Putu susilawati 37 myalgia wiros 2x1


neurobion 500mg

rematik dan asam


23 Ni Nyoman Sudanti urat wiros 2x1
Allopurinol 1x2

24 I Made Bawa ISPA Cyprofloxacin 2x500mg


Metyl Prednisolon 2x2
zenirex sy 3xc1

25 I Nyoman Wirya 69 HT Injeksi N.5000


Anlodipine 1x500mg
Alloparinol 1x1

26 Ni Made Sukarmi 54 ISPA cyproflexacin 2x500mg


metyl prednisolone 2x2
zenirex sy 3xc1

27 10 April 2017 Kadek Putri Widiastini 6 bln ISPA Fasipirin 2 x cth I


Ambroxol syr 3 x cth I
Nufadol syr 3 x cth I

Tonsilopharyngitis
28 Pande Baskara 19 Akut Amox 3 x 1
Paracetamol 3 x 1

29 I Nyoman Sutrisno 42 Rhinitis Demacollin 3 x 1


Histigo 2 x 1

30 I Made Ruja 72 Vertigo Histigo 2 x 1


Wiros 2 x 1

31 I Wayan Deri PPOK Metylprednisolon 2 x 1


Teosal 2 x 1
Ambroxol syr 3 x c1

32 Puja Devanti 6 Scabies Cyprofloxacin 2 x 250 mg


Infeksi Sekunder Metylprednisolon 2 x 1
Farsycal cream
Kompres betadin ringan

33 11 April 2017 I Made Sudarsana 51 LBP Wiros 2x1


Neurobion 1x1

34 I Nyoman Gede Arya 14 Rhinitis Dapirin 3x1


Novabion 1x1

35 Ni Made Purni ISPA Cyprofloxacin 2x500mg


Metyl pednisolon 2x1
Ambroxol 3x1
Triosid 3x1

36 Ni Kadek Sriwati 30 Influensa demacolin 3x1


Novabion 1x1
37 Dewi Arum Trisnanti utami 25 pharingitis akut Amoxilin 3x500mg
ifarsyl 3x1
Dapirin 3x1

38 Adrika rhph Amox 3x500mg


v. exc Demacolin 3x1
Novabion 1x1

39 12 April 2017 Ni Wayan Riniarianti 32 Rhinitis Dapyrin 3 x 1


T: 90/60 Ifarsyl 3 x 1
Antasida 3 x 1
Novabion 1 x 1

40 Ni Made Puni 50 Rhinitis Demacollin 3 x 1


T: 100/60 Ifarsyl 3 x 1

Novabion 1 x 1

41 Dewa Ketut Rai 60 Gastritis Triosid 3 x c1


Paracetamol 3 x 1
Novabion 1x1

42 I Made Gede Karang Dwi 32 Pharyngitis Akut Amox 3 x 500mg


T: 100/60 Demacollin 3 x 1
Novabion 1 x 1

43 Komang Ayu Maspina 10 Conjungtivitis Amox 3x250mg


Paracetamol 3 x 250mg
Metylprednisolon 2 x 1
Erlamicetin tetes mata

44 13 April 2017 Ni Wayan Sukerni 60 rematik Wiros 2x1


novabion 1x1
45 Ni Made Roji 73 PPOK teosal 2x1
metyl prednisolon 2x1
demacolin 3x1
zenirex 3xc1

46 I Made Yasa 50 ISPA Amox 3x500mg


Demacolin 3x1
metyl prednisolon 2x2
ambroxol syr 3xc1

47 NI Wayan Timur 73 Demacolin 3x1


Novabion 1x1

48 17 April 2017 Made Moklok 65 Gastritis Antasida 3 x 1


Histigo 3 x 1
Novabion 1 x 1

49 I Made Subagia 50 Pharyngitis Akut Amox 3 x 1


Demacollin 3 x 1

Bofagan syr 3 x C1

50 I Putu GD Abdi Negara 28 Migrain Asm Mefenamat 3 x 500mg


Novabion 1 x 1

51 I Ketut Martana 42 HT Amlodipine 1 x 5mg


Pharungitis Akut Amox 3 x 500mg
Paracetamol 3 x 1

52 Ni Made Wati HT Amlodipine 1 x 5mg


Wiros 2 x 1
Novabion 1 x 1
53 18 APRIL 2017 I Ketut Mundra ISPA Ampicilin 3x500mg
Dapirin 3x1
Antasida 3x1
Bufagon syr 3xc1

54 Made Sriani 45 Gastritis Triosid syr 3xc1


Wiros 2x1
Novabion 1x1

55 Bagas Karang Wijaya 14 Pharingitis Akut Amox 3x500mg


Dapirin 3X1
Bufagon syr 3xc1

56 19 April 2017 I Putu Arbawa 53 ISPA Primadex 2 x 2


Paracetamol 3 x 1
Zemirex 3 x c1

57 Ni Made Puspa 61 Rhinitis Paracetamol 3 x 1


Novabion 1 x 1
Bufagan syr 3 x c1

58 I B Manuaba 82 Vertigo Novabion 1 x 1


Histigo 3 x 1

59 Ni Wayan Margi HT Terkontrol Histigo 3 x 1

Vertigo Novabion 1 x 1

60 I Made Sudiasih 67 HT Terkonrol Amlodipine 1 x 5mg


Asam Mefenamat 3 x 1

61 Wayan Dian 27 Pharyngitis Akut Amox 3 x 500mg


Paracetamol 3 x 1
Zemirex syr 3 x c1
62 20 April 2017 Ni Ketut Kerti 62 Chepalgia Dapirin 3x1
Novabion 1x1

63 Gusti Rai Sulandri 70 ISPA Cyprofloxacin 2x250mg


Neuro Dermatitis Metyl Prednisolon 2x2
Ambroxol sy 3xc1

64 I Ketut Pariasa 23 Influenza Paracetamol 3x1


Novabion 1x1

65 I Wayan Sueca 60 Myalgia Wiros 2X1


Novabion 1x1

66 Sarlotha Antoneta 55 Febris Primadex 2x2


Paracetamol 3x1
Novabion 1x1

67 I Made Sutanaya 65 Gastritis Triosid 3x1


Novabion 1x1
Zenirex 3xc1

68 21 April 2017 Komang Putri Angreni Gastritis Triosid 3 x 1


Asam Mefenamat 2 x 1

70 Nyoman Triutami 23 ISPA Amox 3 x 500mg


Demacollin 3 x 1
Ambroxol syr 3 x c1

71 Nyoman Eryana 25 ISPA Ampicillin 3 x 5mg

Metylprednisolon 2 x 1
Bufagan syr 3 x c1
72 22 April 2017 Ni Made Redi 65 Myalgia wiros 2x1
Novabion 1x1
Erlamicetin tetes mata

73 25 April 2017 Ni Kadek Winda Yuasri 4 Tonsilopharyngitis Decotan syr 2 x cth 2


Bufadol 3 x cth 1/2
Tiolisyn 1 x 1 cth

Dermatitis Kontak
74 Putu Mustini 34 Alergi Aleron 2 x 1
o/k semir rambut Metylprednisolon 2 x 2
Hydrocortison cream

75 Ni Kaded Widayani Febris Cek DL Widal


Amox 3 x 500 mg
Dapyrin 3 x 1

76 Ketut Madya Asma Ampicillin 3 x 500mg


Infeksi Sekunder Paracetamol 3 x 1
Teosal 2 x 1
Metyprednisolon 2 x 2
Ambroxol syr 3 x c1
Injekxi dexa

77 Ketut Martana 30 Hypertensi Novabion 1 x 1


Asm Mefenamat 3 x 1

78 25 April 2017 Ni Nyoman Sujani 62 ISPA Ampicilin 3x500mg


demacolin 3x1
metyl prednisolon 2x1
Ambroxol sy 3xc1

79 Bapak Agung 55 ISPA Ampicilin 3x500mg


Dapirin 3x1
Antasida 3x1

Ambroxol sy 3xc1
80 Jepuniawati Ni Luh Kade 26 pharingitis akut Ampicilin 3x500mg
dapirin 3x1
Novabion 1x1

81 27 April 2017 Ni Made Ermayani 39 GEA suprabiotik 3 x 1


Dapyrin 3 x 1
New Diatab

82 I Ketut Regeb Rhinitis Demacollin 3 x 1


Novabion 1 x 1

83 Ni Made Murtini 48 Akseptor KB Cycloven injeksi

84 28 April 2017 Kade Sumiati 40 Cystitis Cyprofloxacin 2 x 500g


Dapyrin 3 x 1
Antasida 3 x 1

85 Kadek Wardani 25 Akseptor KB Cyclofer

86 Yance 24 Obs. Febris Novabion 2 x 1


Paracetamol 3 x 1

87 29 April 2017 I Wayan Deri PPOK Metylprednisolon 2 x 1


Teosal 2 x 1
Ambroxol syr 3 x c1

88 Ni Nyoman Sayan 46 Myalgia Antasida 3 x 1


Wiros 2 x 1
Novabion 1 x 1

Gangguan
89 Kadek Candra Kartika 18 Mentruasi Novabion 1 x 1
Besok cek PPT

90 Komang Goloh 31 Lymphadenopati L B Plex 2 x 1


Coli

You might also like