PRB DM

Tanggal SEP
No Nama No. JKN RS Dokter Spesialis Diagnosis Obat Dosis Signa Jumlah
PRB
METFORMIN 500 mg 3x1 XC

AMLODIPIN 5 mg 1x1 XXX

DM TYPE II ,
1 NGADISEM 506037238 KU PMC 31/10/2019 dr. Franky, Sp.PD HT BISOPROLOL 2,5 mg 1x1 XXX

ACARBOSE 50 mg 3x1 XC

GLOQUIDON 30 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

CANDESARTAN 8mg 1x1 XXX

2 ENTIN WARTINI 1296157713 RSU BUNGSU 30/10/2019 dr. Helentina H Sinaga, Sp.PD DM type II, HT
METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 4 mg 1x1 xxx

METFORMIN 500 mg 2x1 LX

3 TJITJIH SUMINARSIH 56881675 RSU BUNGSU 2/5/2020 dr. Helentina H Sinaga, Sp.PD DM type II, HT LISINOPRIL 10 mg 1x1 XXX

BISOPROLOL 2,5 mg 1x1 XXX

LISINOPRIL 10 mg 1x1 XXX

DM TYPE II ,
4 SARI 2456698983 KU PMC 10/30/2019 dr. Franky, Sp.PD BISOPROLOL 5 mg 1x1 XXX
HT
METFORMIN 500 mg 2x1 LX

METFORMIN 500 mg 3x1 XC

5 SLAMET RAHARJO 2269700212 RSU BUNGSU 10/30/2019 dr. Helentina H Sinaga, Sp.PD DM TYPE II
GLIMEPIRIDE 1 mg 1x1 XXX

GLIMEPIRIDE 4 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

DM TYPE II ,
6 JUAENAH 55469812 RS.Kebon Jati 2/8/2020 dr. C. Sanjaya, Sp.PD
HT
ACARBOSE 50 mg 2x1 LX

METFORMIN 850 mg 3x1 XC

GLIMEPIRIDE 2 mg 1x1 XXX

7 HENI SUHAENI 2182037951 RS SARININGSIH 20/2/2019 dr.Fuaida,Sp.PD DM TYPE II
METFORMIN 500 mg 1x1 XXX

GLIMEPIRIDE 2 mg 1x1 XXX

8 HANI KURNIASIH 1447420162 RS SARININGSIH 20/2/2019 dr.Fuaida,Sp.PD DM TYPE II
METFORMIN 500 mg 3x1 XC
 PRB DM
METFORMIN 500 mg 2x1 LX

AMLODIPIN 5 mg 1x1 XXX

DM TYPE II ,
9 SUPARMI 1448282643 RSU BUNGSU 10/30/2019 dr. Helentina H Sinaga, Sp.PD
HT
APTOR 100mg 1x1 XXX

RAMIPRIL 5 mg 1x1 XXX

NOVORAPID FLEXIPEN No.VII S.28-20-22

10 YANA FITRIANA 1319901952 RS SARININGSIH 2/7/2020 dr.Fuaida, Sp.PD DM TYPE II
ACARBOSE 50 mg 3x1 XC

ADALAT OROS 30 mg 1x1 XXX

ACARBOSE 50 mg 2X1 LX
DM TYPE II ,
11 SARI SUSANTI 976851044 RSU Bungsu 5/3/2020 dr. Helentina H Sinaga, Sp.PD
HT
ASPILET 100 mg 1x1 XXX

CONCOR 2.5 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

12 HERMAYANTI 55187649 RS BUNGSU 23/04/2019 dr.Maria Paula Cynthia,Sp.PD DM TYPE II
GLIMEPIRIDE 3 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

DM TYPE II ,
13 HERNI ROCHBIYATI 1340012867 RS. BUNGSU 3/5/2020 dr. Helentina H Sinaga, Sp.PD
HT
METFORMIN 500 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

CONCOR 2.5 mg 1X1 XXX

DM TYPE II ,
14 DEDE FARIDA 1379186076 RS BUNGSU 1/3/2020 dr. Helentina H Sinaga, Sp.PD
HT
GLIQUIDONE 30 mg 1 x 1/2 XV

RAMIPRIL 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

15 TITI SURYATI 218325335 RS SARININGSIH 22/03/2019 dr.Fuaida,Sp.PD NIDDM + HT
METFORMIN 500 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

CANDESARTAN 8 mg 1X1 XXX

DM TYPE II ,
16 SAPTA 1013477984 RSU Bungsu 2/5/2020 dr. Helentina H Sinaga, Sp.PD
HT
GLIMEPIRIDE 2 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

METFORMIN 500 mg 3x1 XC

DM TYPE II ,
17 SRI UTAMI 504675281 RS BUNGSU 4/8/2020 dr.Maria Paula Cynthia,Sp.PD GLIMEPIRIDE 4 MG 1X1 XXX
HT
17 SRI UTAMI 504675281 RS BUNGSU
PRB DM
4/8/2020 dr.Maria Paula Cynthia,Sp.PD
DM TYPE II ,
HT
LISINOPRIL 5 mg 1x1 XXX
 PRB DM
METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 1 mg 1x1 XXX

APTOR 100 MG 1X1 XXX

18 D.HIDAYAT 57925462 RS. BUNGSU 5/2/2020 dr. Helentina H Sinaga, Sp.PD DM type II , HT LISINOPRIL 10 mg 1x1 XXX

SIMVASTATIN 20 mg 1x1 XXX

CONCOR 2,5 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

19 NANDANG KOMARA 976850987 RS SARININGSIH 19/8/2019 dr.Fuaida, Sp.PD DM TYPE II
GLIBENCLAMID 5 mg 1X1/2 xv

METFORMIN 500 mg 3x1 XC

CONCOR 2,5 mg 1x1 XXX

FUROSEMID 40 mg 1x1 XXX

DM TYPE II ,
20 SUHERMAN 2059196354 RS SARININGSIH 5/2/2020 dr.Fuaida,Sp.PD
HT
RAMIPRIL 5 mg 1x1 XXX

CARDISMO 1x1 xxx

GLIMEPIRIDE 1 mg 1x1 XXX

GLIMEPIRIDE 1 mg 1x1 XXX

21 KEMAS HERAWATI 2583875046 RSU Bungsu 30/10/2019 dr. Helentina H Sinaga, Sp.PD DM TYPE II
METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 3 mg 1x1 XXX

DM TYPE II ,
22 YULIAH 1292911839 RSU Bungsu 3/5/2020 dr. Helentina H Sinaga, Sp.PD HT CANDESARTAN 8 mg 1x1 XXX

BISOPROLOL 2,5 MG 1x1 XXX

METFORMIN 500 mg 3x1 XC

23 CECE SUGANDHI 1806403871 RS SARININGSIH 26/07/2019 dr.Fuaida,Sp.PD DM TYPE II
GLIBENCLAMID 5 mg 1x1 XXX

ACARBOSE 50 mg 3x1 XC
24 NINING YULIAHNINGSIH 1013480908 RS SARININGSIH 26/07/2019 dr.Fuaida,Sp.PD DM TYPE II
AMLODIPIN 5 mg 1X1 XXX

BISOPROLOL 10 MG 1x1 XXX

25 SURAYEM 1294146505 RSU Bungsu 20/01/2020 dr. Helentina H Sinaga, Sp.PD DM TYPE II METFORMIN 500 mg 3x1 XC
25 SURAYEM 1294146505 RSU Bungsu
PRB DM
20/01/2020 dr. Helentina H Sinaga, Sp.PD DM TYPE II

RAMIPRIL 5 mg 1x1 XXX

 PRB DM
METFORMIN 500 mg 3x1 XC
26 MIMIN 2396117406 RS SARININGSIH 3/2/2020 dr.Fuaida,Sp.PD DM TYPE II
GLIBENCLAMID 5 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 6 mg 1x1 XXX

DM TYPE II ,
27 CICI SURYATI 1013521983 RS BUNGSU 3/2/2020 dr. Helentina H Sinaga, Sp.PD HT ACARBOSE 50 mg 3x1 XC

CONCOR 2,5mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

NOVORAPID FLEXIPEN 3X6 UNIT no II

28 SUWARTIE 56407904 RS SARININGSIH 1/3/2020 dr.Fuaida,Sp.PD DM TYPE II
LANTUS 18 UNIT no II

AMLODIPIN 5 mg 1x1 XXX

29 SARINAH 2183254885 RS SARININGSIH 12/9/2019 dr.Fuaida, Sp.PD DM type II, HT GLIBENCLAMID 5 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 1 mg 1x1 XXX

30 DEDE ROHAETI 505892463 RS.Kebon Jati 22/2/2020 dr. C. Sanjaya, Sp.PD DM TYPE II
METFORMIN 500 mg 2x1 LX

GLIBENCLAMID 5 mg 1x1 XXX

31 SOLEHAH 1448278176 RS.SARININGSIH 30/3/2020 dr.Fuaida, Sp.PD DM TYPE II
METFORMIN 500 mg 3x1 XC

METFORMIN 500 mg 3x1 XC

32 HUSEN 1448276343 RS BUNGSU 6/12/2020 dr. Helentina H Sinaga, Sp.PD DM TYPE II
GLOQUIDON 30 mg 1x1 XXX

GLIBENCLAMID 5 mg 1x1 XXX

33 AGUS SUHANA RS SARININGSIH 1/28/2020 dr.Fuaida,Sp.PD DM TYPE II
METFORMIN 500 mg 3x1 XC

GLIMEPIRIDE 1 mg 1x1 XXX

34 TOTO SUHARTO 57846317 RS SARININGSIH 5/5/2020 dr.Fuaida, Sp.PD DM TYPE II
METFORMIN 500 mg 3x1 XC

AMLODIPIN 10 mg 1x1 XXX

35 YULIRIA ZEGA 1890031151 RS SARININGSIH 19/10/2020 dr. Fuaida, Sp. PD DM TYPE II, HT METFORMIN 500 mg 2X1 LX

RAMIPRIL 5 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

36 KUMPUL 1521624936 RS SARININGSIH 11/11/2020 dr. Fuaida, Sp. PD DM TYPE II
 PRB DM
36 KUMPUL 1521624936 RS SARININGSIH 11/11/2020 dr. Fuaida, Sp. PD DM TYPE II
GLIMEPIRIDE 1 mg 1x1 XXX
 PRB HT
Tanggal SEP
No Nama No. JKN RS Dokter Spesialis Diagnosis Obat Dosis Signa Jumlah
PRB
CONCOR 2,5 mg 1x1 XXX

1 H.EDJE CHAMBALI 1797364563 RS BUNGSU 11/1/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 10 mg 1x1 XXX

LISINOPRIL 10 mg 1x1 XXX

SIMVASTATIN 20 mg 1x1 XXX

2 E. KUSYATIE 505453252 RS BUNGSU 31/10/2019 dr. Helentina H Sinaga, Sp.PD HT
AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

3 TINI 1438269491 RS SARININGSIH 3/6/2020 dr. Fuaida, SpPD HT
RAMIPRIL 5 mg 1x1 XXX

4 POPON MULYATI 505984544 RS SARININGSIH 06/03/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

5 SUHARYANI 56673854 RS BUNGSU 2/5/2020 dr. Helentina H Sinaga, Sp.PD HT
SIMVASTATIN 20 mg 1x1 XXX

6 ROKAYAH 1890036009 RS BUNGSU 05/02/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

7 IIN SAINEM 1463355134 RS BUNGSU 12/3/2019 dr. Helentina H Sinaga, Sp.PD HT CONCOR 1.25 mg 1x1 XXX

SIMVASTATIN 10 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

8 CUCU KARTINI 506042897 KU PMC 1/31/2019 dr. Franky Sp,PD HT
LISINOPRIL 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

9 SRI DAYANTI 57346143 RSU BUNGSU 05/02/2020 dr. Helentina H Sinaga, Sp.PD HT CONCOR 2.5 mg 1x1 XXX

SIMVASTATIN 10 mg 1x1 XXX

CANDESARTAN 16 mg 1x1 XXX

10 ADANG 2183254569 RS BUNGSU 3/12/2019 dr. Helentina H Sinaga, Sp.PD HT SIMVASTATIN 20 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

 PRB HT
SIMVASTATIN 20 mg 1x1 XXX

BISOPROLOL 20 1x1 XXX

11 ATIS WARTISKA 2034096489 KU PMC 1/31/2019 dr. Franky Sp,PD HT
AMLODIPIN 5 mg 1x1 XXX

APTOR 100 mg 1x1 XXX

HYDROCHLOROTIAZID 25 mg 1x1 XXX

12 HASANA 504608534 RS BUNGSU 2/5/2020 dr. Helentina H Sinaga, Sp.PD HT
CANDESARTAN 16 mg 1x1 XXX

LISINOPRIL 5 mg 1x1 XXX

CONCOR 2,5 mg 1x1 XXX

13 IKE SURTIATI 504794327 RS BUNGSU 4/6/2020 dr. Maria Paula Cynthia, Sp.PD HT SPIRONOLACTONE 25 mg 1x1 XXX

METFORMIN 500 mg 3x1 XC

FUROSEMID 40 mg 1 x 1/2 XV

AMLODIPIN 5 mg 1x1 XXX

14 SARNI 2183253052 KU PMC 1/31/2019 dr. Franky Sp,PD HT BISOPROLOL 2,5 mg 1x1 XXX

RAMIPRIL 2,5 mg 1x1 XXX

SIMVASTATIN 20 mg 1x1 XXX

LISINOPRIL 10 mg 1x1 XXX

15 IYAM MARYAM 1440187931 RS BUNGSU 12/3/2020 dr. Helentina H Sinaga, Sp.PD HT APTOR 100 mg 1x1 XXX

CONCOR 5 mg 1x1 XXX

FUROSEMID 40 mg 1 x 1/2 xv

CANDESARTAN 16 mg 1x1 XXX

16 DEDE ROHANA 504794294 KU PMC 1/31/2019 dr. Franky Sp,PD HT BISOPROLOL 2,5 mg 1x1 XXX

ALLUPURINOL 100 mg 1x1 XXX

17 RUDI RAHDIANA 2621441215 KU PMC 1/31/2019 dr. Franky Sp,PD HT AMLODIPIN 10 mg 1x1 XXX

RAMIPRIL 10 mg 1x1 XXX

18 TITIN HALIMAH 2182039615 RS BUNGSU 05/2/2020 dr. Helentina H Sinaga, Sp.PD HT
 PRB HT
18 TITIN HALIMAH 2182039615 RS BUNGSU 05/2/2020 dr. Helentina H Sinaga, Sp.PD HT
BISOPROLOL 2,5 mg 1x1 XXX

CONCOR 2.5 mg 1x1 XXX

19 EUIS ARMILAH 57315925 RS BUNGSU 12/3/2020 dr. Helentina H Sinaga, Sp.PD HT SIMVASTATIN 20 mg 1x1 XXX

FUROSEMID 20 mg 1x1 XXX

20 SUMIATI 56668476 RS BUNGSU 19/02/2019 dr.Maria Paula Cynthia,Sp.PD HT AMLODIPIN 5 mg 1x1 XXX
HERMINA
21 R.LELA SUNDARI 1389267213 19/12/2019 dr.Adam Iskandar HT AMLODIPIN 5 mg 1x1 XXX
PASTEUR
22 ANIH ROHANIH 2182043417 RS SARININGSIH 22/2/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

23 AISAH SUNDARI 504903205 RS BUNGSU 2/5/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

24 WIWIN WININGSIH 1013477444 RS BUNGSU 16 /2/2019 dr. Maria Paula Cynthia, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

25 DEDE MINTARSIH 2063075275 RS SARININGSIH 19 /12/2019 dr.Fuaida, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

26 ATIKAH 1261676935 RS BUNGSU 2/5/2020 dr. Helentina H Sinaga, Sp.PD HT
CANDESARTAN 8 mg 1x1 XXX

BISOPROLOL 5mg 1x1 XXX

RS SANTO
27 ETI ROHAETI 1274935882 15/3/2019 dr. Demas HT
BORROMAUS
IRBESARTAN 300 mg 1x1 XXX

28 YAYUK SUGIARTI 1850929143 RS BUNGSU 5/2/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

SIMVASTATIN 20 mg 1x1 XXX

29 DEDE JUMAENI 1013479312 RS BUNGSU 10/30/2019 dr. Helentina H Sinaga, Sp.PD HT
AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

30 ENGKAR KARTINI 505073744 RS SARININGSIH 21/5/2019 dr. Fuaida, SpPD HT
CATROPIL 2 mg 2x1 LX

31 IDAS 1264338099 RS SARININGSIH 30/11/2019 dr. Fuaida, SpPD HT AMLODIPIN 10 mg 1x1 XXX

BISOPROLOL 2,5 mg 1x1 XXX

CANDESARTAN 8 mg 1x1 XXX

32 AAM SURYAMAH 1311732347 RSU BUNGSU 11/1/2019 dr. Helentina H Sinaga, Sp.PD HT
SIMVASTATIN 10 mg 1x1 XXX

APTOR 100 mg 1x1 XXX

 PRB HT
33 LILIS MINTARSI 504584471 RS BUNGSU 12/3/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 10 mg 1x1 XXX

34 YAYA SURYANA 58051642 RS SARININGSIH 13/08/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

RAMIPRIL 5 mg 1X1 XXX

35 DAYAT HIDAYAT 1434683935 RS SARININGSIH 13/08/2019 dr. Fuaida, SpPD HT BISOPROLOL 2.5 mg 1X1 XXX

AMLODIPIN 10 mg 1x1 XXX

36 NENI TRIYANTI 1304450155 RS SARININGSIH 8/10/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

37 RUKIAH 1733715224 RS SARININGSIH 10/30/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

38 YAYAH JUARIAH 56759051 RS SARININGSIH 7/11/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

39 ENTIN KARTINI 57210118 RS SARININGSIH 26/07/2019 dr. Fuaida, SpPD HT
RAMIPRIL 5 mg 1x1 XXX

40 SAODAH 56482896 RS BUNGSU 12/3/2020 dr. Helentina H Sinaga, Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

41 TINI KARTINI 57210344 RS SARININGSIH 11/4/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

42 TINI SUPARTINI 2047923156 RS SARININGSIH 17/12/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

43 YANI TRISNA SUKANDA 1284646689 RS SARININGSIH 11/8/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

44 NURHELAWATI 2396313145 RS SARININGSIH 12/5/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

RAMIPRIL 5 mg 1x1 XXX

R.SUTENDI
45 1336322237 RS BUNGSU 3/1/2020 dr.Maria Paula Cynthia,Sp.PD HT
PRADJADINATA
AMLODIPINE 5 mg 1x1 XXX

CATROPIL 25 mg 3x1 XC

46 ASEP KURNIA 1481622759 RS.KEBONJATI 14/11/2019 dr.Teddy HT TROMBOASPILET 80 mg 1x1 XXX

CONCOR 2.5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

47 ALIT 2084933553 RS.KEBONJATI 9/1/2020 dr.Teddy HT
CONCOR 2.5 mg 1x1 XXX

48 ABDUL QODIR

49 ACHMAD SAMSUDIN 1469860233 RS SARININGSIH 14/1/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX
 PRB HT
50 R.LINA YULIANA 2294966531 RS.BUNGSU 12/12/2019 dr.Maria Paula Cynthia,Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 5 mg 1x1 XXX

51 TINI KARTINI 1317426175 RS SARININGSIH 1/9/2020 dr. Fuaida, SpPD HT
CANDESARTAN 8 mg 1x1 XXX

52 DARWIN SEREGAR 1431398351 RS SARININGSIH 18/2/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

53 WACHYU 173319682 RS SARININGSIH 23/12/2019 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

54 NANDANG YUSUF 2776856455 RS SARININGSIH 30/1/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

dr.Rubin
55 AEP DADANG SUKANDA 1519097038 RS.ADVENT 2/20/2020 HT
Gondodiputro,Sp.PD,.KGH
CANDESARTAN 16 mg 1x1 XXX

56 NONEH HASANA 1299466607 RS SARININGSIH 7/1/2020 dr. Fuaida , Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

CANDESARTAN 8 mg 1X1 XXX

57 INING 2182042585 RS SARININGSIH 4/11/2020 dr.Fuaida, SpPd HT
BISOPROLOL 5 mg 1X1 XXX

58 NENDAH 2182033833 RS SARININGSIH 8/18/2020 dr. Fuaida, SpPD HT AMLODIPIN 10 mg 1x1 XXX

59 ABDULLAH KARIM 2903702916 RS SARININGSIH 7/30/2020 dr. Fuaida, SpPD HT AMLODIPIN 5 mg 1x1 XXX

60 ROSIDI 2223100563 RS SARININGSIH 2/11/2020 dr. Fuaida , Sp.PD HT AMLODIPIN 5 mg 1x1 XXX

CONCOR 2,5mg 1x1 XXX

61 BEDA JUBAEDAH 2262040031 RS BUNGSU 7/16/2020 dr. Helentina H Sinaga, Sp.PD HT FUROSEMID 40 mg 1X1/2 XV

RAMIPRIL 5 mg 1x1 XXX

62 YULIA 505097706 HT AMLODIPIN 5 mg 1x1 XXX

63 OVI SOPIYARTI 2182036959 HT AMLODIPIN 10 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

64 YANI SUPRIYANI 2265383889 HT
RAMIPRIL 10 mg 1x1 XXX

CLOPIDOGREL 1X1 XXX

ASPILET 100 mg 1X1 XXX

RAMIPRIL 5 mg 1X1 XXX

65 NURDIN HAKIM 2924588169 CAD
 PRB HT
65 NURDIN HAKIM 2924588169 CAD
CONCOR 2,5 mg 1X1 XXX

AMLODIPIN 10 mg 1X1 XXX

ATORVASTATIN 20 mg 1X1 XXX

66 SUMIRAH 1630396506 RS SARININGSIH 22/9/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 10 mg 1x1 XXX

67 YANA SETIANA 3044773258 RS SARININGSIH 23/9/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 10 mg 1x1 XXX

68 NANI YUNINGSIH 506133843 RS SARININGSIH 14/9/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 5 mg 1x1 XXX

69 RATNI TRIHARTINI 2247285194 RS SARININGSIH 10/9/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 5 mg 1x1 XXX

70 E SUTISNA 2944728281 RS SARININGSIH 10/13/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 5 mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

RS ST
71 RATNASIH 9/10/2020 dt. Jani Heriwidajani, Sp.S HT, STROKE
BORROMEUS
ASPILET 100 mg 1x1 XXX

72 PUPU DJUANINGSIH 57516513 RS SARININGSIH 10/13/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 10 mg 1x1 XXX

73 PARSIYEM 2706496378 RS SARININGSIH 9/16/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 5 mg 1x1 XXX

74 YAYAH 2583363194 RS SARININGSIH 31/8/2020 dr. Fuaida, Sp. PD HT AMLODIPIN 10 mg 1x1 XXX

75 SITI ROKAYAH 1722256806 RS SARININGSIH 11/16/2020 dr. Fuaida, Sp. PD HT RAMIPRIL 10 mg 1x1 XXX

RAMIPRIL 5 mg 1x1 XXX

dr. Teddy Arnold Sihite, Sp.
76 IIS RATNASIH 1466461708 RS KEBONJATI 11/19/2020 CHF, HT CONCOR 2,5 mg 1x1 XXX
PD, Sp.JP
FUROSEMID 40 mg 1x 1/2 XV

BISOPROLOL 2,5mg 1x1 XXX

AMLODIPIN 10 mg 1x1 XXX

77 KARMINI 57207993 RS.KEBON JATI 3/5/2020 dr. Helentina H Sinaga, Sp.PD DM TYPE II
FUROSEMID 40 mg 1x1 XXX

TROMBO ASPILET 80 mg 1x1 XXX

TANAPRES 5 mg 1x1 XXX

78 NANI SUMYANI 1446506987 RS KEBON JATI 2/12/2020 dr. Teddy HT
CONCOR 2.5 mg 1x1 XXX

79 KIMYATI LINA SA 1463554001 RS SARININGSIH 27/1/2021 dr. Fuaida, Sp. PD HT CANDESARTAN 8 MG 1X1 XXX
 PRB HT
80 ENTIN KARTINI 1424598491 RS SARININGSIH 4/3/2021 dr. Fuaida, Sp. PD HT AMLODIPINE 10 MG 1X1 XXX

AMLODIPINE 10 MG 1X1 XXX

81 RADIX FEBRUADY 2921303351 RS SANTO YUSUF 3/3/2021 dr. Marina, Sp. S STROKE , HT
ASPILET 80 MG 1X1 XXX

82 PATONAH 1013479064 RS SARININGSIH 7/4/2021 dr. Fuaida, Sp. PD HT AMLODIPINE 5 MG 1X1 XXX