NAMA OBAT TANGGAL JUMLAH NAMA PASIEN NOMOR KEMBAR

RIFAMPICIN 450 Mg 5/6/2022 30 ANNISA RAHMI 12830

INH 300 5/6/2022 30 ANNISA RAHMI 12830
NEUROBION DRACEE 5/6/2022 30 ANNISA RAHMI 12830
RIFAMPICIN 600 Mg 5/9/2022 15 SUDJANA KUSNO 34196
PEHADOXIN FORTE 5/9/2022 15 SUDJANA KUSNO 34196
ETHAMBUTOL 500 MG 5/9/2022 48 SUDJANA KUSNO 34196
PYRAZINAMIDE 500 MG 5/9/2022 48 SUDJANA KUSNO 34196
LESICHOL 300 MG 5/9/2022 15 SUDJANA KUSNO 34196
RIFAMPICIN 450 Mg 5/9/2022 15 HARTONO 34198
INH 300 5/9/2022 15 HARTONO 34198
ETHAMBUTOL 500 MG 5/9/2022 30 HARTONO 34198
PYRAZINAMIDE 500 MG 5/9/2022 30 HARTONO 34198
LYCOXY 5/9/2022 15 HARTONO 34198
INH 300 5/10/2022 30 NURAINI 13024
NEUROBION DRACEE 5/10/2022 30 NURAINI 13024
RIFAMPICIN 300 Mg 5/10/2022 30 NURAINI 13024
RIFAMPICIN 450 Mg 5/10/2022 30 KIKI DIAN AVRIANTI S, PSI 34325
INH 300 5/10/2022 30 KIKI DIAN AVRIANTI S, PSI 34325
NEUROBION 5000 5/10/2022 30 KIKI DIAN AVRIANTI S, PSI 34325
LESICHOL 300 MG 5/10/2022 60 KIKI DIAN AVRIANTI S, PSI 34325
DARYANT-TULLE 5/10/2022 1 ARYA PANNA PRIATNA 34341
PRONTOSAN WOUND-GEL 30ML 5/10/2022 1 ARYA PANNA PRIATNA 34341
LEVOFLOXACIN 500 MG 5/10/2022 30 ARYA PANNA PRIATNA 34341
PRO TB 2 5/10/2022 120 ARYA PANNA PRIATNA 34341
RIFAMPICIN 450 Mg 5/12/2022 30 MARYAM MUSTAFA 34424
PEHADOXIN FORTE 5/12/2022 30 MARYAM MUSTAFA 34424
ETHAMBUTOL 500 MG 5/12/2022 45 MARYAM MUSTAFA 34424
PYRAZINAMIDE 500 MG 5/12/2022 60 MARYAM MUSTAFA 34424
OMEPRAZOLE 20 MG 5/12/2022 15 MARYAM MUSTAFA 34424
THERAGRAN M 5/12/2022 15 MARYAM MUSTAFA 34424
RIFAMPICIN 450 Mg 5/12/2022 30 A.MEJ 34440
ETHAMBUTOL 500 MG 5/12/2022 25 A.MEJ 34440
PEHADOXIN FORTE 5/12/2022 10 A.MEJ 34440
AVELOX 400 MG 5/12/2022 30 A.MEJ 34440
NEUROBION DRACEE 5/12/2022 120 DWI HERDY FERNANDO 34453
PRO TB 4 5/12/2022 120 DWI HERDY FERNANDO 34453
RIFAMPICIN 450 Mg 5/14/2022 30 AGIE RAMADHAN 35039
INH 300 5/14/2022 30 AGIE RAMADHAN 35039
ALLOPURINOL 100 MG 5/14/2022 30 AGIE RAMADHAN 35039
NEUROBION DRACEE 5/14/2022 30 AGIE RAMADHAN 35039
RIFAMPICIN 450 Mg 5/17/2022 30 KANG HIE 35112
PEHADOXIN FORTE 5/17/2022 30 KANG HIE 35112
PYRAZINAMIDE 500 MG 5/17/2022 60 KANG HIE 35112
ETHAMBUTOL 500 MG 5/17/2022 45 KANG HIE 35112
THERAGRAN M 5/17/2022 30 KANG HIE 35112
TRACETATE SYRUP 5/17/2022 1 KANG HIE 35112
CURCUMA 5/18/2022 21 TJONG SIAT FUNG 35203
ETHAMBUTOL 500 MG 5/18/2022 11 TJONG SIAT FUNG 35203
PYRAZINAMIDE 500 MG 5/18/2022 14 TJONG SIAT FUNG 35203
PEHADOXIN FORTE 5/18/2022 7 TJONG SIAT FUNG 35203
RIFAMPICIN 600 Mg 5/18/2022 7 TJONG SIAT FUNG 35203
AVAMYS 5/18/2022 1 IVAN ADITYA CHANDRA 35204
PEHADOXIN FORTE 5/18/2022 30 IVAN ADITYA CHANDRA 35204
RIFAMPICIN 600 Mg 5/18/2022 30 IVAN ADITYA CHANDRA 35204
NEUROBION DRACEE 5/19/2022 30 HERMIN KURNIASIH HJ 35273
PYRAZINAMIDE 500 MG 5/19/2022 60 HERMIN KURNIASIH HJ 35273
ETHAMBUTOL 500 MG 5/19/2022 45 HERMIN KURNIASIH HJ 35273
INH 300 5/19/2022 30 HERMIN KURNIASIH HJ 35273
RIFAMPICIN 450 Mg 5/19/2022 30 HERMIN KURNIASIH HJ 35273
PEHADOXIN FORTE 5/19/2022 30 MARTINI PAREDANDAN ST 35283
RIFAMPICIN 600 Mg 5/19/2022 30 MARTINI PAREDANDAN ST 35283
ACETYLCYSTEIN 200 MG 5/20/2022 15 MEGGIE LIE 35309
LYCOXY 5/20/2022 10 MEGGIE LIE 35309
PYRAZINAMIDE 500 MG 5/20/2022 20 MEGGIE LIE 35309
ETHAMBUTOL 500 MG 5/20/2022 20 MEGGIE LIE 35309
INH 300 5/20/2022 10 MEGGIE LIE 35309
RIFAMPICIN 450 Mg 5/20/2022 10 MEGGIE LIE 35309
LYCOXY 5/21/2022 5 JEFFRY ASWIN 35351
LEVOFLOXACIN 500 MG 5/21/2022 3 JEFFRY ASWIN 35351
ETHAMBUTOL 500 MG 5/21/2022 15 JEFFRY ASWIN 35351
PEHADOXIN FORTE 5/21/2022 5 JEFFRY ASWIN 35351
RIFAMPICIN 600 Mg 5/21/2022 5 JEFFRY ASWIN 35351
LESICHOL 300 MG 5/23/2022 30 TJONG SIAU TJHIN 35424
INH 300 5/23/2022 30 TJONG SIAU TJHIN 35424
RIFAMPICIN 450 Mg 5/23/2022 30 TJONG SIAU TJHIN 35424
LYCOXY 5/23/2022 30 HARTONO 35425
PYRAZINAMIDE 500 MG 5/23/2022 60 HARTONO 35425
ETHAMBUTOL 500 MG 5/23/2022 60 HARTONO 35425
INH 300 5/23/2022 30 HARTONO 35425
RIFAMPICIN 450 Mg 5/23/2022 30 HARTONO 35425
PEHADOXIN FORTE 5/23/2022 30 ADRIAN WIRAWAN 35467
RIFAMPICIN 450 Mg 5/23/2022 30 ADRIAN WIRAWAN 35467
LYCOXY 5/24/2022 30 KATHRIN 35500
PYRAZINAMIDE 500 MG 5/24/2022 60 KATHRIN 35500
ETHAMBUTOL 500 MG 5/24/2022 60 KATHRIN 35500
INH 300 5/24/2022 30 KATHRIN 35500
RIFAMPICIN 450 Mg 5/24/2022 30 KATHRIN 35500
NOROID CREAM 5/24/2022 1 JEFFRY ASWIN 35506
ETHAMBUTOL 500 MG 5/24/2022 90 JEFFRY ASWIN 35506
LYCOXY 5/24/2022 30 JEFFRY ASWIN 35506
PEHADOXIN FORTE 5/24/2022 30 JEFFRY ASWIN 35506
RIFAMPICIN 600 Mg 5/24/2022 30 JEFFRY ASWIN 35506
NEUROBION DRACEE 5/24/2022 30 HAFIFAH SUHAILA 35545
PYRAZINAMIDE 500 MG 5/24/2022 60 HAFIFAH SUHAILA 35545
ETHAMBUTOL 500 MG 5/24/2022 45 HAFIFAH SUHAILA 35545
INH 300 5/24/2022 30 HAFIFAH SUHAILA 35545
RIFAMPICIN 450 Mg 5/24/2022 30 HAFIFAH SUHAILA 35545
PRO TB 2 5/24/2022 180 POLY DAMAYANTI 35553
LYCOXY 5/25/2022 15 NI PUTU LILA SARI 35582
PYRAZINAMIDE 500 MG 5/25/2022 30 NI PUTU LILA SARI 35582
ETHAMBUTOL 500 MG 5/25/2022 30 NI PUTU LILA SARI 35582
INH 300 5/25/2022 15 NI PUTU LILA SARI 35582
RIFAMPICIN 450 Mg 5/25/2022 15 NI PUTU LILA SARI 35582
LORATADINE 10 MG 5/25/2022 10 NI PUTU LILA SARI 35582
THERAGRAN M 5/27/2022 30 RUBY HUSIN 35690
ETHAMBUTOL 500 MG 5/27/2022 45 RUBY HUSIN 35690
PEHADOXIN FORTE 5/27/2022 30 RUBY HUSIN 35690
RIFAMPICIN 450 Mg 5/27/2022 30 RUBY HUSIN 35690
RIFAMPICIN 600 Mg 5/27/2022 30 RUBY HUSIN 35690
OMEPRAZOLE 20 MG 5/28/2022 20 SITI KHODIJAH 34747
NEUROBION DRACEE 5/28/2022 30 SITI KHODIJAH 34747
PRO TB 4 5/28/2022 90 SITI KHODIJAH 34747
NEUROBION DRACEE 5/28/2022 30 LAY JAN MI 34754
PRO TB 4 5/28/2022 90 LAY JAN MI 34754
THERAGRAN M 5/30/2022 10 YANTY INDRAWATY 34828
RACIKAN 5/30/2022 1 YANTY INDRAWATY 34828
PYRAZINAMIDE 500 MG 5/30/2022 30 YANTY INDRAWATY 34828
ETHAMBUTOL 500 MG 5/30/2022 15 YANTY INDRAWATY 34828
PEHADOXIN FORTE 5/30/2022 10 YANTY INDRAWATY 34828
RIFAMPICIN 450 Mg 5/30/2022 10 YANTY INDRAWATY 34828
LYCOXY 5/31/2022 30 JANTZEN FERNANDES 34864
PEHADOXIN FORTE 5/31/2022 30 JANTZEN FERNANDES 34864
RIFAMPICIN 600 Mg 5/31/2022 30 JANTZEN FERNANDES 34864
NEUROBION DRACEE 5/31/2022 60 HERLIN HALIM 34512
INH 300 5/31/2022 60 HERLIN HALIM 34512
RIFAMPICIN 450 Mg 5/31/2022 60 HERLIN HALIM 34512
CODIPRONT EXP SYRUP 5/31/2022 2 SONY 14013
OMEPRAZOLE 20 MG 5/31/2022 40 SONY 14013
PEHADOXIN FORTE 5/31/2022 40 SONY 14013
PYRAZINAMIDE 500 MG 5/31/2022 120 SONY 14013
RIFAMPICIN 450 Mg 5/31/2022 40 SONY 14013
KETERANGAN
5/6/2022 ANNISA RAHMI 5/6/2022 1
5/9/2022 SUDJANA KUSNO 5/9/2022 2
5/9/2022 HARTONO 5/10/2022 3
5/10/2022 NURAINI 5/12/2022 3
5/10/2022 KIKI DIAN AVRIANTI S, PSI 5/14/2022 1
5/10/2022 ARYA PANNA PRIATNA 5/17/2022 1
5/12/2022 MARYAM MUSTAFA 5/18/2022 2
5/12/2022 A.MEJ 5/19/2022 2
5/12/2022 DWI HERDY FERNANDO 5/20/2022 1
5/14/2022 AGIE RAMADHAN 5/21/2022 1
5/17/2022 KANG HIE 5/23/2022 2
5/18/2022 TJONG SIAT FUNG 5/24/2022 3
5/18/2022 IVAN ADITYA CHANDRA 5/25/2022 1
5/19/2022 HERMIN KURNIASIH HJ 5/27/2022 1
5/19/2022 MARTINI PAREDANDAN ST 5/28/2022 2
5/20/2022 MEGGIE LIE 5/30/2022 1
5/21/2022 JEFFRY ASWIN 5/31/2022 3
5/23/2022 TJONG SIAU TJHIN 30
5/23/2022 ADRIAN WIRAWAN
5/24/2022 KATHRIN
5/24/2022 HAFIFAH SUHAILA
5/24/2022 POLY DAMAYANTI
5/25/2022 NI PUTU LILA SARI
5/27/2022 RUBY HUSIN
5/28/2022 SITI KHODIJAH
5/28/2022 LAY JAN MI
5/30/2022 YANTY INDRAWATY
5/31/2022 JANTZEN FERNANDES
5/31/2022 HERLIN HALIM
5/31/2022 SONY
 LAPORAN KONSELING TB FARMASI RAWAT JALAN
BULAN MEI 2022

TIDAK
JUMLAH
TANGGAL KONSELING PERSEN KONSELIN PERSEN KETERANGAN
PASIEN
G
1 0 0 0.00% 0 0.00%
2 0 0 0.00% 0 0.00%
3 0 0 0.00% 0 0.00%
4 0 0 0.00% 0 0.00%
5 0 0 0.00% 0 0.00%
6 1 1 100.00% 0 0.00%
7 0 0 0.00% 0 0.00%
8 0 0 0.00% 0 0.00%
9 2 2 100.00% 0 0.00%
10 3 2 66.67% 1 33.33% PETUGAS LUPA MENCATAT
11 0 0 0.00% 0 0.00%
12 3 2 66.67% 1 33.33% PETUGAS LUPA MENCATAT
13 0 0 0.00% 0 0.00%
14 1 1 100.00% 0 0.00%
15 0 0 0.00% 0 0.00%
16 0 0 0.00% 0 0.00%
17 1 1 100.00% 0 0.00%
18 2 2 100.00% 0 0.00%
19 2 2 100.00% 0 0.00%
20 1 1 100.00% 0 0.00%
21 1 1 100.00% 0 0.00%
22 0 0 0.00% 0 0.00%
23 2 2 100.00% 0 0.00%
24 3 3 100.00% 0 0.00%
25 1 1 100.00% 0 0.00%
26 0 0 0.00% 0 0.00%
27 1 1 100.00% 0 0.00%
28 2 2 100.00% 0 0.00%
29 1 1 100.00% 0 0.00%
30 0 0 0.00% 0 0.00%
30 3 3 100.00% 0 0.00%
TOTAL 30 28 93.33% 2 6.67%

JUMLAH PASIEN TB 30 Jakarta, 06 Juni 2022

KONSELING PASIEN 28
TIDAK KONSELING 2
% KONSELING PASIEN 93.33%
% TIDAK KONSELING 6.67% Endang Setiawati S.Si., M.Farm., Apt.
Wa. Ka.Instalasi Farmasi
KESIMPULAN
TOTAL PASIEN TB YANG BEROBAT RAWAT JALAN SEBANYAK 34 PASIEN SELAMA BULAN MEI 2022
DENGAN 30 PASIEN (93,33%) YANG TELAH DIKONSELING SERTA 2 PASIEN (6,67%) YANG
TIDAK DIKONSELING, DIKARENAKAN PETUGAS LUPA MENCATAT DATA PASIEN
EVALUASI
UNTUK PASIEN YANG TIDAK DIKONSELING, DIKARENAKAN PETUGAS LUPA MENCATAT AKAN
DI INGATKAN SECARA LISAN AGAR JANGAN LUPA MENCATAT PADA FORM KONSELING