PEMBERIAN INFORMASI OBAT PASIEN RAWAT JALAN

PUSKESMAS : PADANG GUCI HILIR

BULAN : Maret 2022

INFORMASI YANG DIBERIKAN PARAF

KONTRAINDIKASI
PENYIMPANAN

EFEK SAMPING
NO TANGGAL NAMA PASIEN UMUR POLI DX PENUNJANG

NAMA OBAT

CARA PAKAI
PASIEN PETUGAS

STABILITAS

INTERAKSI

LAIN-LAIN
SEDIAAN

INDIKASI
DOSIS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
th
01 26/02-22 Isyulita 26 Umum Gastritis -
02 Enjelika 18th - ISPA -
03 Usnai 62th - Konjungtivitis -
04 Ulvayanti 24th - Susp.Covid-19 -
05 Winsi 38th - ISPA -
06 Devi Hurlesti 14th - ISPA -
07 Dr. Wiwi 32th - Covid-19 -
08 Usela 40th - ISPA -
09 Kaslini 43th KIA Up.Implant -
10 Inarudin 51th Umum HT Dyspepsia
11 01/03-22 Hermin 45th - ISPA -
12 Minuria 64th - ISPA Dyspepsia
13 Adam 6th - ISPA -
14 Lilitan 34th - ISPA GOUT
15 Yela 20th - Alergi -
16 Surni 63th - Alergi -
17 Mica Apriani 35th - ISPA -
18 Eliza 36th - Dyspepsia Hipotensi
19 02/03-22 Muhamad 10th - GEA -
20 Inas 51th - ISPA -
21 Trizia 3th - Febris -
22 Rismawati 37th Umum ISPA -
23 Raffi 12th Umum Dermatitis -
24 Suhadi 61th - HT -
25 Mahadi 57th - HT Asma.B
26 Sando 4th - Febris -
27 Pausan 39th - Osteoatritis -
28 Radius 34th - Dermatitis -
29 04/03-22 Inarudin 51th - Dyspepsia Vulnus
30 Niti 41th - ISPA -
31 Susilawati 51th - HT -
32 Herianto 59th - Dyspepsia -
33 Tesi Meleani 13th - Febris -
34 Anaria 33th - ISPA -
35 Raimena 81th - Dyspepsia -
36 Nini 28th Umum Ginggivitis.Acut -
37 Hensi Peronika 15th - Ginggivitis Acut -
38 Milniarti 41th - ISPA -
39 Yamral 67th - HT Dyspepsia
40 M.Rafly 14th - Migrain ISPA
41 05/03-22 Nirlan 50th - Mosele Sprain -
42 Lanharpanali 49th - ISPA -
43 Fitriana 46th - ISPA -
44 Rosraya 78th - Gastritis Hyperclstrl
45 Iprianto 46th - ISPA -
46 Gimbar Permata 16th - Cat Scrath Ds -
47 07/03-22 Inarudin 51th - HT gr 2 Dyspepsia
48 Rusmani 80th - Bronkitis Acut Drogs Eruptn
49 Bunsi 53th Umum Dermatitis -
50 Yadema 74th - HT gr 2 DM gr 2
51 Ratu Elzara 2,5th - Obs. Febris -
52 Sutanaini 53th - Dyspepsia Hypercolestrl
53 Jana 60th - HT Dyspesia
54 Gianti 20th KIA Gravida -
55 Isismaini 46th Umum Migrain -
56 08/09-22 A.Raham .K 77th - Faringitis Acut -
57 Panada 58th - PPOK -
58 Handi Thomson 23th Umum Ginggivitis Acut -
59 Radius 35th - Furunkel -
60 Yanurman 44th - JO3.0 K27.9
61 Gusman 44th - Obs.Febris -
62 09/03-22 Surmiani 79th - Faringitis Acut Dyspepsia
63 Ramdan 53th - TB Paru FS lnjt -
64 Pihar 53th - JO3.0 K27.9
65 Amran 80th - Conformed c-19 -
66 Ilmianti 43th - Dyspepsia -
67 Iswadi 42th - Dyspepsia Lipoma
68 Henadi 42th - Acne Kanglobta -
69 Ujang 47th - Asma .B Muskle.sp
70 Aswan 65th - M54.1 -
71 10/03-22 Hensen 18th Umum Faringitis Acut -
72 Rifsen 21th - Confirmid C-19 -
73 Kaito 11th - Tonsilitis Acut -
74 Lensi 39th - Faringitis Acut -
75 Rokiah 69th - HHD PPOK
76 Bagas 15th - Multiple.Ve -
77 Upik 51th - Confirmid C-19 HT
78 Elwan 57th - Scar Pain -
79 Pirgoris 37th - Limfadenophaty SNNT
80 11/03-22 Surmaini 83th - Osteoatritis -
81 12/03-22 Usnai 62th - Corpal Mata -
82 Mica Apriani 36th - Konjungtivitis Dyspepsia
83 Qiara 8th Umum Alergi Konjungtivits
84 Marto 36th - ISPA -
85 Nini 34th - Rheumatik -
86 14/03-22 Inarudin 51th - Gastritis -
87 Nisya 14th - ISPA -
88 Maryani 54th - ISPA HT
89 Ertasi Buana 55th - HT Asma .B
90 15/03-22 Bustami 73th - HT -
91 Saliha 52th - HT OA
92 Advent Timorio 20th - Vulnus Morsum -
93 Yusan 73th Umum Vulnus -
94 Idusli 43th - Hemoroid Stomatitis
95 Ari Asma 83th - GEA -
96 Surasli 79th - HT M54.1
97 Ramawati 59th - PPOK -
98 Rokiah 79th - PPOK -
99 16/03-22 Anhar 55th - DM HT
100 Nusia 63th - Kipi 27 -
101 Nirlan 51th - C0vid -19 -
102 17/03-22 Inarudin 51th - HT K279
103 Dili Asni 43th - Blefaritis -
104 Tri Lestari 24th - Obs.Febris -
105 Ocvian 40th - HT gr 1 -
106 18/03-22 Nisya 14th - Faringitis Baktri -
107 Siral 55th Umum HT gr2 Dyspepsia
108 Upik Amliana 52th - Adenopathy SNNT
109 Nisratul 52th - Gastritis -
110 Maraya 60th - HT Vertigo
111 Panada 53th - PPOK Dyspepsia
112 Pabian 10bln - Dermatitis -
113 Bilal 1,3th - GEA -
114 Zinab 5th - Entobiasis -
115 Veronika 28th - ISPA Covid-19
116 Koko Gunawan 8th - Obs.Febris -
117 19/03-22 Yanusi 61th - GEA -
118 Samhar 55th - Dyspepsia Konjungtivits
119 Yamral 67th - HT Hyperclstrl
120 21/03-22 Azka Yumna 5th Umum Dermatitis -
121 Nini 37th - Dermatitis -
122 Okti 32th - BPPV ISPA
123 Asma 63th - Myalgia -
124 Mulya 15th - OE -
125 22/03-22 Niraya 67th - HT gr 1 Dyspepsia
126 Susman Haidi 56th - MuskleSprain HT gr 1
127 23/03-22 Megawati 61rh - K37.9 -
128 Ramdan 53th Umum TB Paru -
129 Marwa 11th - Ginggivitis Acut -
130 Aldego 1th - Diare Acut -
131 Yudirhan 70th - Osteoatritis -
132 Dita Herayanti 40th - Hipotensi Myalgia
133 Herlin 54th - Pioderma -
134 24/03-22 Miliyo 57th - Snake Bith -
135 Rosanti 36th - Migren -
136 Ertasi 55th - HT Asma .B
137 Dulseman 75th - ISPA -
138 Inarudin 51th - HT ISK
139 25/03-22 Sasna 62th - DM HT gr2
140 Riwas 68th - HT -
141 Dayat 68th - Confirmed C-19 -
142 Yarmi 66th Umum DM tipe 2 HT
143 Minuria 64th - HT Tinea
144 Sinau 65th - HT gr 2 -
145 Bisti 51th - Myalgia Dyspepsia
146 Suratul 74th - HT OA
147 Juniarti 46th - Neuropathy -
148 Adiawan 39th - Covid-19 -
149 Belva 8th - Obs. Febris -
150 - -
151 - -
152 -
153 -
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155 - -
156 - -
157 - -
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159 -
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161 -
162 -
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183 - -
Mengetahui,
Kepala Puskesmas Pengelola Apotek

Ns.Defiarti,S.Kep Tesmiwati, SKM

NIP. 19821123 200502 2 006 NIP. 19801010 200804 2 004