Bulan: Juni 2022

JENIS
NO NAMA PESERTA NO KARTU KELAMIN DIAGNOSA OBAT SEPSEALIS COVER KF OBAT SPESIALIS PUSKESMAS

1 Ny.Atikah 0001272644864 P HT BEROBAT KE RS DULU

2 Ny.Adah Saadah 0000505832466 P HT BEROBAT KE RS DULU
3 Ny Ai Kuraesin 504907683 P HT Amplodipin 10 mg simvastatin 1x1
4 Ny. Anung Dahlia 53878656 P HT amplodipin 10 mg 1x1, concor 2,5 mg 1x1 TIDAK ADA
5 Ny. Bismi Oriza 2070387156 P DM BEROBAT KE RS DULU
6 Cucu Aisah 2315171417 P HT Bisoprolol 1x2,5mg, Simvastatin 1x10 mg, Spironolakton 1x25mg TIDAK ADA
7 Ny.Deti 0001399066468 P HT Metformin 3x1, Glimepirid 1x1, Simvastatin 1x20mg
8 Ny.Eva 0000505282498 P HT+DM BEROBAT KE RS DULU
9 Ny.Erlinah 0000056437143 P HT amplodipin 5 mg 1x1 SIMVASTATIN 1X1 , Asam folat 1 mg 3x1
10 Ny entin supriyani 1459405506 P HT BEROBAT KE RS DULU
11 Ny. Etty Setiawatiningsih 56436175 P HT Ramipil 1x10MG simvastatin 1x1 dan Asam folat 1 mg 3x1
12 Ny. Edwina Meihetty 0001811850715 P HT amplodipin 10 mg 1x1 simvastatin 1X1
13 Tn. Engkos Kosasih 56436164 L HT amplodipin 5 mg 1x1 simvastatin 1x1
14 Ny E. Rustika 57243993 P HT+DM BEROBAT KE RS DULU
0001399068303 P HT+DM Akarbose 50 mg 3x1, amplodipin 10 mg 1x1, glibenklamid 5 mg 1X1, HCT 1X1/2, METFORMIN
15 Ny.Euis Siti Mariam 500 MG 3x1 simvastatin 1x1
16 Ny. Euis Sumiati 1967085461 Amplodipin 5 mg 1x1 simvastatin 1x1
17 Ny. Emi supriyati 1399074985 bisoprolol 5 Mg 1x1 dan furosemide 40 Mg 1x1 simvastatin 1x1
18 Ny.R. Eti Kusnati 1722781271 P HT Amplodipin1x 10 mg, gliquidon 1/2-0-0, asam folat 1x 5 mg
19 Ny.Iin Karwati 0001399131786 P HT amplodipin 5 mg 1x1 TIDAK ADA
20 Ny.Idas 0000053378638 P HT Amplodipin 10 mg 1x1dan hct 1x1/2 simvastatin 1x1
21 Ny. Juju Hasanah 0001399147209 P HT amplodipin 10 mg 1x1 simvastatin 1x1
22 Ny.Karminah 0001426826024 P HT+DM Metformin 3x500mg, Amlodipin 1x5mg Asam folat 1 mg 3x1
23 Ny. Lilis Rosita 1311655735 P HT+DM amplodipin 10, metformin 500 mg 3x1, glimipirid 2 mg 1x1
24 Ny.Lasinem 0000055820351 P HT Amplodipin 10mg, Lisinopril (Pagi) 1x1, hct 1x1/2, bisoprolol 1x1 simvastatin 1x1
25 Ny.Lilis Rohaeni 0000504948598 P HT amplodipin 5 mg 1x1 TIDAK ADA
26 Ny.Lasmini 0001317047736 P HT amplodipin 5 mg simvastatin 20 mg 1x1
27 Ny.Mulyaningsih BEROBAT KE RS BULAN 5 2021 Amplodipin 5 mg 1x1 dan metformin 3x1 850 simvastatin 1x1
28 Ny.Mami Rukimah 0000056436895 P HT+DM BEROBAT KE RS DULU
29 Ny. Mintarsih 0001803635447 P HT BEROBAT KE RS DULU
30 Ny.Nining yuningsih 57261306 HF Furosemid 40 mg 1x1/2, Spironolacton 25 1x1, Bisoprolol 5 mg 1x1/2, metformin 3x1 simvastatin 1x1
31 Ny.Nanih Setiawati 0000056207035 P HT amplodipin 10 mg 1x1 Asam folat 1 mg 3x1 dan simvastatin 1X1
32 Ny.Nana Jaenah 0000504777295 P DM Metformin 2x1, Glibenklamid 1x1 Simvastatin 1x10 mg
33 Ny. Nina Heryani P HT amplodipin 10 mg 1x1, bisoprolol 2,5 mg 1x1 TIDAK ADA
34 Ny. Nani Eha 0001013512577 P Amplodipin 5 mg 1x1 dan concor 2,5 mg 1x1 simvastatin 1x1
35 Ny. Hj.Oom Rohmayani 0000055511381 P HF amplodipin 10 mg 1x1, bisoprolol 5 mg 1x1 TIDAK ADA
36 Ny. Otih 0001013514401 P HT amplodipin 10 mg 1x1 Asam folat 1 mg 3x1
37 Ny.Opon BEROBAT KE RS DULU
38 Tn.oma h achmad BEROBAT KE RS DULU
39 Tn. Padijo 57028263 L HT Bisoprolol 2,5 mg 1x1, furosemid 1x1dan ramipril 1x1 TIDAK ADA
40 Ny.Popon waryati 0000506328502 P HT amplodipin 10 mg 1x1 Asam folat 1 mg 3x1
41 Ny.Roland/Rismauli Siahaan 0001267107467 P HT+DM Bisoprolol2,5 1x1, glimipirid 3 mg 1x1, metformin 3x1 simvastatin 1x1
42 Ny.Ratna 0000056439639 p HT+DM Akarbose 3x1, Amplodipin 5 mg 1X1, Glimipirid 2 mg 1X1, Metfomin HCL 3X1 TIDAK ADA
43 Ny.Sumaryati 0000055545704 P HT Amlodipin 1x5mg Asam folat 1 mg 3x1
44 Ny. Sri Suryati 57243148 P HT BEROBAT KE RS DULU
45 Ny.Sri Wanti 0000505860107 P HT+DM BEROBAT KE RS DULU
46 Ny. Siti Sarnayati 0002197268561 P HT BEROBAT KE RS DULU
47 Ny. Sumini 2623918408 P HT Amplodipin 10 mg 1x1, Ramipil 10 mg 1x1 TIDAK ADA
48 Ny.Tumiyah 2085659302 P HT+DM tidak mau ke rs resep pkm 10 hr. metformin 3x1, glibenklamid 1x1 dan amplodipin 1x1
 49 Ny.Titi Nurhayati 0000504958072 P HT+DM BEROBAT KE RS DULU
50 Ny.Tin Jatini 0000056436963 P HT Amlodipin 1x5mg TIDAK ADA
51 Ny.Uun Djunaedi 0000056082058 L DM metformin 2X1 simvastatin 1x1
52 Ny wati 57253858 P HT amplodipin 10 mg 1x1 simvastatin 1x1 dan Asam folat 1 mg 3x1
53 Ny. Wiwin 0002315174769 P HT amplodipin 5 mg 1x1, lisinopril 5 mg 2x1 simvasatain 10 1x1
54 Ny.Yuyun Yuhanah 57163318 P HT Ramipil 1x10MG, furosemid 1x1/2, spironolakton 1x1, alopurinol 1x1 Asam folat 1 mg 3x1
55 Mamat 53716419 HT Amplodipin 5 mg, bisoprolol 2,5 1x1, hct 25 1x1/2 dan kandesartan 8 mg 1x1
56 radik 1306930691 HT amplodipin 10 mg 1x1, hct 1x1/2, lisinopril 10 mg 1x1 TIDAK ADA
57 mamay HT Lisinopril 1x10mg
58 Eman Sulaeman 1967084987 HT amplodpn 10 mg, lisinopril 10 mg
59 Suherman Agrianto 57896864 L DM Metformin 3x1, Glimepirid 3 mg 1x1, Amlodipin 5mg 1x1

prolanis murni
cucu BEROBAT KE RS DULU
KAMDAN BEROBAT KE RS DULU
SUPARNI BEROBAT KE RS DULU
ISAH BEROBAT KE RS DULU
SITI KOMARIAH BEROBAT KE RS DULU
SUWARLAN BEROBAT KE RS DULU
e. komariah amplodipin 5 mg dan simvastatin
diah suardiah amplodipin 5 mg, glibenklamid 1x1 , metformin 3x1
tumiyatun amplodipin 10 mg dan pct 3x1
 OBAT PROLANIS PRB PUSKESMAS NE
BULAN APRIL 2022

NO NAMA PESERTA NO KARTU JENIS

KELAMIN

1 Ny Ai Kuraesin 504907683 P
2 Ny. Anung Dahlia 53878656 P
3 Ny. Deti 1399066468 P
4 Cucu Aisah 2315171417 P
5 Ny.Erlinah 0000056437143 P
6 Ny. Etty Setiawatiningsih 56436175 P
7 Ny. Edwina Meihetty 0001811850715 P
8 Tn. Engkos Kosasih 56436164 L
9 Ny.Euis Siti Mariam 0001399068303 P
10 Ny. Euis Sumiati 1967085461
11 Ny. Emi supriyati 1399074985
12 Ny.R. Eti Kusnati 1722781271 P
13 Ny.Iin Karwati 0001399131786 P
14 Ny.Idas 0000053378638 P
15 Ny. Juju Hasanah 0001399147209 P
16 Ny.Karminah 0001426826024 P
17 Ny. Lilis Rosita 1311655735 P
18 Ny.Lasinem 0000055820351 P
19 Ny.Lilis Rohaeni 0000504948598 P
20 Ny.Lasmini 0001317047736 P
21 Ny.Mulyaningsih BEROBAT KE RS BULAN 5 2021
22 Ny. Nana Jaenah BEROBAT KE RS BULAN AGUSTUS 2021 P
23 Ny.Nining yuningsih 57261306
24 Ny.Nanih Setiawati 0000056207035 P
25 Ny. Nina Heryani P
26 Ny. Nani Eha 0001013512577 P
27 Ny. Hj.Oom Rohmayani 0000055511381 P
28 Ny. Otih 0001013514401 P
29 Tn. Padijo 57028263 L
30 Ny.Popon waryati 0000506328502 P
31 Ny.Roland/Rismauli Siahaan 0001267107467 P
32 Ny.Ratna 0000056439639 p
33 Ny.Sumaryati 0000055545704 P
34 Ny. Sumindiki 2623918408 P
35 Ny.Tumiyah 2085659302 P
36 Ny.Tin Jatini 0000056436963 P
37 Ny.Uun Djunaedi 0000056082058 L
38 Ny wati 57253858 P
39 Ny. Wiwin 0002315174769 P
40 Ny.Yuyun Yuhanah 57163318 P
41 Mamat 53716419
42 radik 1306930691
43 mamay
44 eman 1967084987
45 Suherman Agrianto 57896864 L
OBAT PROLANIS PRB PUSKESMAS NEGLASARI
BULAN APRIL 2022

DIAGNOSA

HT
HT
DM
HT
HT
HT
HT
HT
HT+DM

HT
HT
HT
HT
HT+DM
HT+DM
HT
HT
HT

DM
HF
HT
HT

HF
HT
HT
HT
HT+DM
HT+DM
HT
HT
HT+DM
HT
DM
HT
HT
HT
HT
HT
HT
HT
DM
SMAS NEGLASARI
022

OBAT SEPSEALIS COVER APOTEK AL-MASOEM

Amplodipin 10 mg
amplodipin 10 mg 1x1, concor 2,5 mg 1x1
Metformin 3x1, Glimepirid 1x1 mg, Simvastatin 1x20 mg
Bisoprolol 1x2,5mg, Simvastatin 1x10 mg, Spironolakton 1x25mg
amplodipin 5 mg 1x1
Ramipil 1x10MG
amplodipin 10 mg 1x1
amplodipin
Akarbose 505mgmg3x1,
1x1 amplodipin 10 mg 1x1, glibenklamid 5 mg 1X1, HCT 1X1/2, METFORMIN
500 MG 3x1
Amplodipin 5 mg 1x1
bisoprolol 5 Mg 1x1 dan furosemide 40 Mg 1x1
Amplodipin1x 10 mg, gliquidon 1/2-0-0,
amplodipin 5 mg 1x1
Amplodipin 10 mg 1x1dan hct 1x1/2
amplodipin 10 mg 1x1
Metformin 3x500mg, Amlodipin 1x5mg
amplodipin 10, metformin 500 mg 3x1, glimipirid 2 mg 1x1
Amplodipin 10mg, Lisinopril (Pagi) 1x1, hct 1x1/2, bisoprolol 1x1
amplodipin 5 mg 1x1
amplodipin 5 mg
Amplodipin 5 mg 1x1 dan metformin 3x1 850
Metfomrin 2x 500 mg, Glibenklamid 1x1
Furosemid 40 mg 1x1/2, Spironolacton 25 1x1, Bisoprolol 5 mg 1x1/2, metformin 3x1
amplodipin 10 mg 1x1
amplodipin 10 mg 1x1, bisoprolol 2,5 mg 1x1
Amplodipin 5 mg 1x1 dan concor 2,5 mg 1x1
amplodipin 10 mg 1x1, bisoprolol 5 mg 1x1
amplodipin 10 mg 1x1
Bisoprolol 2,5 mg 1x1, furosemid 1x1dan ramipril 1x1
amplodipin 10 mg 1x1
Bisoprolol2,5 1x1, glimipirid 3 mg 1x1, metformin 3x1
Akarbose 3x1, Amplodipin 5 mg 1X1, Glimipirid 2 mg 1X1, Metfomin HCL 3X1
Amlodipin 1x5mg
Amplodipin 10 mg 1x1, Ramipil 10 mg 1x1
tidak mau ke rs resep pkm 10 hr. metformin 3x1, glibenklamid 1x1 dan amplodipin 1x1
Amlodipin 1x5mg
metformin 2X1
amplodipin 10 mg 1x1
amplodipin 5 mg 1x1, lisinopril 5 mg 2x1
Ramipil 1x10MG, furosemid 1x1/2, spironolakton 1x1, alopurinol 1x1
Amplodipin 5 mg, bisoprolol 2,5 1x1, hct 25 1x1/2 dan kandesartan 8 mg 1x1
amplodipin 10 mg 1x1, hct 1x1/2, lisinopril 10 mg 1x1
Lisinopril 1x10mg
amplodpn 10 mg, lisinopril 10 mg
Metformin 3x1, Glimepirid 3 mg 1x1, Amlodipin 5mg 1x1