You are on page 1of 3

TN.

ARI S

Jumat Sabtu Minggu Senin Selasa Rabu Kamis


No Nama Obat Signa pemakaian Sisa Obat

1 Bedaquiline 100 mg 2 tablet 2 2 2


2 Levofloxacin 250 mg 1 x 750 mg ( 3 tablet ) 3 3 3 3 3 3 3
3 Linezolid 600 mg 1 x 450 mg ( 3/4 tablet ) 1 1 1 1 1 1 1
4 Cycloserin 250 mg 1 x 500 mg ( 2 kapsul ) 2 2 2 2 2 2 2
5 Clofazimin 10 mg 1 x 100 mg ( 1 tablet ) 1 1 1 1 1 1 1
6 Vit B6 25 mg 1 x 100 mg ( 6 tablet ) 4 4 4 4 4 4 4

Jumat Sabtu Minggu Senin Selasa Rabu Kamis


No Nama Obat Signa pemakaian Sisa Obat

1 Bedaquiline 100 mg 2 tablet 2 2 2


2 Levofloxacin 250 mg 1 x 750 mg ( 3 tablet ) 3 3 3 3 3 3 3
3 Linezolid 600 mg 1 x 450 mg ( 3/4 tablet ) 1 1 1 1 1 1 1
4 Cycloserin 250 mg 1 x 500 mg ( 2 kapsul ) 2 2 2 2 2 2 2
5 Clofazimin 10 mg 1 x 100 mg ( 1 tablet ) 1 1 1 1 1 1 1
6 Vit B6 25 mg 1 x 100 mg ( 6 tablet ) 4 4 4 4 4 4 4

Jumat Sabtu Minggu Senin Selasa Rabu Kamis


No Nama Obat Signa pemakaian Sisa Obat

1 Bedaquiline 100 mg 2 tablet 2 2 2


2 Levofloxacin 250 mg 1 x 750 mg ( 3 tablet ) 3 3 3 3 3 3 3
3 Linezolid 600 mg 1 x 450 mg ( 3/4 tablet ) 1 1 1 1 1 1 1
4 Cycloserin 250 mg 1 x 500 mg ( 2 kapsul ) 2 2 2 2 2 2 2
5 Clofazimin 10 mg 1 x 100 mg ( 1 tablet ) 1 1 1 1 1 1 1
6 Vit B6 25 mg 1 x 100 mg ( 6 tablet ) 4 4 4 4 4 4 4

Jumat Sabtu Minggu Senin Selasa Rabu Kamis


No Nama Obat Signa pemakaian Sisa Obat

1 Bedaquiline 100 mg 2 tablet 2 2 2


2 Levofloxacin 250 mg 1 x 750 mg ( 3 tablet ) 3 3 3 3 3 3 3
3 Linezolid 600 mg 1 x 450 mg ( 3/4 tablet ) 1 1 1 1 1 1 1
4 Cycloserin 250 mg 1 x 500 mg ( 2 kapsul ) 2 2 2 2 2 2 2
5 Clofazimin 10 mg 1 x 100 mg ( 1 tablet ) 1 1 1 1 1 1 1
6 Vit B6 25 mg 1 x 100 mg ( 6 tablet ) 4 4 4 4 4 4 4
TN. ADI DWI MARGONO

NY. KARYANI WIJAYA

You might also like