You are on page 1of 4

NAMA - NAMA PESERTA PRB KLINIK CITRA HUSADA

NO NAMA NO TLP ALAMAT DX NAMA OBAT TANGGAL KU TTD/KET

1 SUTIK ARIYANI 085806948033 Pandanwangi DM+HT amlodipin 10mg 12/5/2020

gliclazid

metformin500mg

acorbose 50mg

2 SAROPAH 085732027706 KERAS HT amlodipin 10mg 12/9/2020

Aptor

3 BADRI 085232677221 beyan HT furosemid 12/11/2020

Adalat oros

4 TUKIMIN 085733737768 pandanwangi I25 furosemid 12/11/2020

Spironolakton25mg

Lisinopril 5mg

5 TAHMIDATUN 085100295076 Glimepiride 1mg 1x1 12/14/2020

B1 1x1

Aptor 1x1

6 SITI CHODIJAH 081336477264 Pandanwangi HT amlodipin 10mg 1x1 12/14/2020

7 SULASMI 081559974830 pandanwangi DM Glimepiride 1mg 1x1 12/14/2020

metformin500mg 3x1

Vit B1 1x1

Aptor 1x1
8 BASRAN 085755093259 Balongbesuk I25 amlodipin 10mg 1x1 12/16/2020

Bisoprolol 5mg 1x1

9 EDDY JUSFAN 082230340929 Jombatan DM Gliquidone 1x1 12/17/2020

Acorbose 50mg 2x1

Vit B1 1x1

10 TRIMO WARDOJO 085 SENGON I64 Vit B1 1x1

VIT B 12

11 SITI RUBAIAH 082243324421 Kedawong DM+HT Amlodipine 10mg 1x1 12/18/2020

Glimepiride 4mg 1x1

Metformin 500mg3x1

Acorbose 2x1

13 MUTROFIN 081383018199 Pandanwangi DM Gliquidone 2x1 12/18/2020

Metformin 500mg3x1

Acorbose 50mg 3x1

14 SUMARLIK 085707035575 Pandanwangi I25 Aspilet1x1 12/18/2020

15 Eli Ahmida 082244981929 Kedawong DM Glimepiride 2mg 1x1 12/18/2020

Acorbose 3x1

Vit B1 1x1

16 MASYHUDI 085733479830 Balongbesuk I25 Bisoprolol 2,5mg 1x1 12/21/2020

HCT 25mg 1x1

Irbesartan 150mg 1x1


B6 1x1

17 SUKISWATI 085730904333 Jabon I25 Aptor 1x1 12/23/2020

Bisoprolol 5mg 1x1/2

CPG 1x1

18 SARNIATI Seblak kwaron HT Alodipine 10mg 1x1 12/24/2020

Lisinopril 5mg 1x1

Vit B1 1x1

Simvastatin 20mg 1x1

19 SUTARTIK '081233793008 Pandanwangi HT Amlodipine 10mg 1x1 12/24/2020

20 JULIANIK 081216261596 Balongbesuk DM+HT Aptor 1x1 12/24/2020

Glimepiride 2mg 1x1

Lisinopril 10mg 1x1

Vit B1 1x1

21 MASLUHAH 085733148721 Bandung Glimepiride 3mg 1x1 12/24/2020

Metformin 500mg2x1

Lisinopril 5mg 1x1

22 M AFFANDI 085733148721 Bandung HT Lisinopril 5mg 1x1 12/24/2020

Amlodipine 5mg 1x1

Vit B1 1x1

23 ABU BAKAR 081233881989 Kedawong Asma Farmasal 1x1 12/24/2020

Vit B1 1x1
24 SRI JOHANA 082132117377 sengon I25 furosemid 1x1 12/26/2020

Concor 2,5mg 1x1

Nitrokaf 2,5mg 2x1

Allopurinol 100mg 1x1

Simbicort 160

25 KASTIYANI 085655045861 Keras DM Glimepiride 4mg 1x1 12/26/2020

Metformin 3x1

Vit B1 1x1

26 EDI PURWANTO 085706491780 Sepanyul HT+DM Amlodipin 5mg 12/26/2020

ISDN 3x1

Glimepiride 2mg 1x1

27 SUNEPI 085648633759 Ngemplak PPOK forosma 2,5mg 2x1 12/28/2020


28 HARNANIK 081515355554 Ngemplak I25 furosemide 1x1/2 12/30/2020
Amodipin 5mg 1x1

You might also like