Laporan Agustus 22

NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
LAPORAN HARIAN PASIEN BPJS
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
10
10
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
Amoxicilin 125 mg/5 ml
10
10
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
10
Antasida DOEN tab
1
Antasida syr
3
Antifungsi SK
Asam Ascorbat (Vit C)
Asam Folat
10
10
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
30 10 10
31
32 10 10
33 10
34 10 10
35
36 10
37
38 10 10
39 10
40
41 10
42
43 10
44 10 10
45
46 10
47 4 4
48 4 4
49 3
50 2
51 3 1
52 5 2
53 5 5
54 1
55 1
56 1
57 1
58 1
59 1
60 10
61 10
62 10 10 10
63 10
64 10
65 10
66 10 10
67 10 10
68 10 10
69 10 10
70 10
71 4
72 10
73 10
74 10
75 10
76 10
77 10
78 10
79 10
80 10
81 10
82 10
83 1
84 1
85 1
86 1
87 1
88 1
89 10 10
90 5 5
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 90 0 0 0 0 0### 0 0 0 10 0### 12 50 1 3 3 110 70 0
Attapulgit/New Antides
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
Cefadroxil 500 mg
1
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Chlorphromazine 100 mg
10
10
Ciprofloxacin 500 mg
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA O
1
10
1 10
10
1 10
10
1 10 10
10
10 10
10
10
10 10
10
1 10
10
10 10
4
1 4
3
2
3
5
5 5
10
10
10
10
10
10 10
4
1 5
1
5 5
10 3 0 0 0 0 0 0 20 3 0 1 0 0 2 2 0 40 10 0 0 0 0 0 0### 400 0 0 30 10 1 0
Fitomenadion ta/Vit K
5
Furosemide 40 mg
Garam Oralit
Gentamicin SK
Glibenklamid
NAMA OBAT
Glicazide tab
dulcolax
Glimepiride 1 mg tab
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
1
1
1
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
1
1
Ketokonazole cream
1 10
1 10
1 10
Ketokonazole tab
10
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Metronidazole 500 mg
Metyl Prednisolon 4 mg
Miconazole SK
10
10
10
10
10
Natrium Diklofenak
6
1
10
10
1
10
10
10
10
10
10
10
10
10
10
10
10
10
0 5 0 0 0 0 0 0 0 0 0 0 1 0 0 5 10 20 0### 0 6 30 58 0 0 0 0 0 0 0 0 60
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
Piridoxin tab (Vit B6)
10
Piroxicam
Prednison tab
Riseridone tab
10
10
Salbutamol tab
Salep 2-4
1
Salicil talk
10
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
Nitro Gliserin 2,5 mg
10
10 10 1 10
10
10
10 10
10
10
10
10
10 10
10
10 10
4 1
4 1
3
2 1
1
5 1
5 1
1
1
1
1
1
1
10
10
10
10
10
10 10
10
4
10 30
30
30
30
30
30
30
30
30
30
10
1
1
1
1
1
1
5 1
0 0 0 0 0 0 382 10 20 0 0 30 0 2 10 0 0 0### 0 0 5 0 10 90 14 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
10
Antasida DOEN tab
1
1
Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
Asam Mefenamat
30
31 10 10
32
33
34 4
35 10
36 4
37 4
38 3
39 2
40
41 4 4
42 10
43
44 10 10 10
45 10
46 10
47 10
48 1
49 1
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 70 0 0 0 0 0 76 0 0 0 10 0### 3 10 2 0 0 20 60 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
Cefadroxil 500 mg
1
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10 10 10
10
10
4 4 4
1 10 10
4 4 4
5 5 5
3 3
2 2 1
4 4
10
10
0 3 0 0 0 0 0 0 73 1 0 1 0 0 1 0 0 10 0 0 0 0 0 0 0### 272 0 0 10 20 1 0
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
10
10
10
10
Natrium Diklofenak
10
10 10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 0 0 10 0 20 0 0 0 52 0 0 0 0 0 0 0 0###
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
5
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10 10
10
10 10
10
4
4
5
3
2
10 15
30
30
30
10
10
10
5
5
0 0 1 0 0 0 288 10 0 0 0 0 0 0 0 0 0 0### 0 5 0 0 10### 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
1
10
10
10
10
Antasida DOEN tab

1
Antasida syr
Antifungsi SK
Asam Folat
10
10
Asam Mefenamat
30 10 10
31 10 10 10
32 10 10
33 2
34 2
35 1
36 10
37
38 10
39 10
40 10
41 10
42 10
43 10
44 10
45 10
46 10 10
47 10
48 5
49 10 10
50 10
51 1
52 1
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 24 0 0 0 10 0### 7 50 1 0 0 70 50 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
10
10
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
3
CTM
10
10
10
10
10
10
10
10
10
10
3
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
2 2 2
2 2 2
1
10
10
10
0 1 0 0 0 0 0 0 14 0 0 2 0 0 3 0 0 60 10 0 0 0 0 0 0 57 152 0 0 20 1 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
Miconazole SK
Natrium Diklofenak
1 1
30
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 30 0 80 0 0 0 6 0 0 0 0 0 0 10 0 0
5
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
5
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
Vit B1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10
10
2
2
1
30
30
30
30
30
30
10 30
10
10
10
10
5
5
5
5 0 0 0 0 0 270 20 10 0 0 0 0 0 0 0 0 0### 5 0 0 0 0 50 3 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
5
5
5
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
1
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
Asam Folat
10
Asam Mefenamat
30 5 1
31
32
33 10 10
34 5 1
35 10
36
37 10
38 10 10
39 10 10
40
41 1
42
43
44
45
46
47
48 10
49 10
50 10
51 10
52 10
53 10
54 10
55 10 10
56 1
57 10 10
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 90 0 0 0 10 0 25 0 0 0 0 0### 9 40 0 0 0 20 30 0
10
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
5
5
CTM
10
5
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBA
5
10
5
10 10
10
10
10
10 10
5
10
10
10
10
10
10
10
10 1 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0### 65 0 0 20 40 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
10
10
10
10
10
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
10
Natrium Diklofenak
6
10 10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0### 0 30 0 0 0 30 0 0 0 30 0 0 0 0 50
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
5
5
5
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
5 Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
10
10
10
10
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
5
10
10
1 10
10
10
10
10
10
30
30
30
30
10
10 30
10 30
10
10
10
10
10
10 10
1
0 0 1 0 0 1 270 20 0 0 0 0 0 0 0 0 0 0### 0 5 0 0 60 90 2 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
4
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
10
10
Antasida DOEN tab
1
Antasida syr
Antifungsi SK
10
Asam Folat
10
Asam Mefenamat
30 1
31
32 10
33 10
34 10
35 10
36 10
37 10
38 10 10
39 10
40 10
41 10 10
42 10 10
43 10 10
44
45 10 10
46 10
47 10 10
48
49 1
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 30 0 0 0 0 0 10 0 0 0 24 0### 5 20 1 0 30 80 40 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
10
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
10
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10 10
0 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 50 0 0 0 0 0 0 0 50 160 0 0 20 10 0 0
10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
Miconazole SK
10
10
10
10
Natrium Diklofenak
1
10
10
10
10
10
10
10
10 10
10
10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 10 0 90 0 1 0 22 0 0 0 0 0 10 20 0 40
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
5 Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
1
1
30
30
30
30
30
1 30
10 30
10 30
10
10
10
10
10
10 1
10 0 1 0 0 0 250 0 20 0 0 0 0 0 0 20 0 0### 5 0 1 0 0 70 5 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
10
10
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
1
1
1
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
3
Asam Folat
Asam Mefenamat
30 1
31 1
32 1
33 10 10
34 10
35 10
36 10
37 10
38 10
39 10
40 10
41 10
42 10
43 5
44 1
45 1
46 10 10
47 10 10
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 70 0 0 0 0 0 40 0 0 0 10 0### 11 10 0 0 3 50 30 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
10
10
5
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
5
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1
10
10
10
0 2 0 0 0 0 0 0 95 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 90 185 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
1
Miconazole SK
10
Natrium Diklofenak
10 1
10
10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 30 0 0 0 0 0 0 0 0 0 0 20 2 10
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
5
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
Vit B1
1
1
1
1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
1
1
1
30
30
30
10 30
10 30
10
10
10
5
1
1
0 0 1 0 0 3 185 20 20 0 0 0 0 0 10 0 0 0### 0 5 0 0 0 20 10 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
10
Acarbose 50 mg
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
4
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
10
10
10
Antasida DOEN tab
Antasida syr
1
Antifungsi SK
Asam Folat
10
10
10
10
10
Asam Mefenamat
30
31 10
32 10 10
33 10
34 10
35 10
36
37 10
38 10
39 1
40 10
41 10
42 10
43 10
44
45
46
47
48 10
49
50 3
51
52 10 10
53 10
54 10
55 10
56 10
57 10
58 10
59 10
60 10 10
61 10
62 10
63 1
64 10 10
65 10 10
66 10 10
67 10 10
68 10 10
69 10 10
70 10 10
71 10 10
72 10 10
73 10 10
74 10 10
75 10
76 10
77 5
78 5
79 5
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 10### 0 0 0 0 0 17 0 0 0 20 0### 3 50 0 1 0 80### 0
10
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
4
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
10 Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
10
4 CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
4
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
10 10
10 10 10
10 10 10
10 10 10
10 10
10 10
10 10
10 10 10
10 10
10
3 3 3
10
10 1 10 10
10 10 10
1
3 3 3
20
10 10
10 10
10 10 10
1
10
10
10 0 0 0 0 0 0 0### 0 0 0 1 0 7 0 0 10 0 0 0 0 10 0 0### 390 0 0 0 20 1 0

Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
10
10
10
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
10
Lansoprazole
Lantus inj
10
Lisinopril 10 mg
Lisinopril 5 mg
20
20
20
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
10
10
10
10
Natrium Diklofenak
1
10
10 30 10
10
10
10
10
1 1
20
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 70 0 0 0 0 2 0 0 0 70 0 1 0 70 0 10 0 90 0 0 20 0###
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10 10
10 10
10
10
10 10 10 10
10
10
1
10
10
3
10
10 10
10
10
10 5
1
20 20 20
10
10
10 10
30
30
30
30
30
10 30
20
10
1
10
10
5
5
5
1
0 0 0 0 0 4 418 0 0 0 0 40 0 0 20 10 0 0### 0 5 0 0 0### 1 0 0 20 0

NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
1

10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
Asam Folat
Asam Mefenamat
30 10
31 10
32 10
33 10
34 10
35
36 1
37 1
38 5
39 5
40 5
41 10
42 10
43 10 10
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 0 0 0 0 0 0### 5 10 0 0 0 70 10 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
1
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
5
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1
10 10
10
0 1 0 0 0 0 0 0 50 0 0 0 0 0 1 1 0 10 0 0 0 0 0 0 0### 170 0 0 0 10 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
10
10
Ibuproven 400 mg
ISDN
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
Natrium Diklofenak
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 40 0 60 0 0 0 6 0 0 0 30 0 0 0 0 30
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
10
Spironolactone
30
30
Tambah darah
5
Tetracyclin 500 tab

zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
###
30
30
10 30
10
10 15
1
1
5
5
5
10
10
0 0 0 0 0 0 175 10 50 0 0 0 0 1 10 0 0 0### 5 0 0 0 0 70 4 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
3
3
4
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
Amoxicilin 500 mg
1
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
10
Asam Mefenamat
30 10
31 1
32 10 10
33
34 10
35 10
36 10
37 10
38 10
39 10 10
40 10 10
41 10
42 10
43 10
44 10
45
46
47 1
48 1
49 1
50 10 10
51 10
52 10
53 10
54 10
55 10
56
57 2
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 12 0 0 0 0 0 10 2### 4 0 0 100### 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
10
10
10
10
10
10
10
3
3
4
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
10
3
3
4 CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
3
3
4
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10 10
10
10
10 10
10 10
2 2 2
0 1 0 0 0 0 0 0### 0 0 1 0 0 1 0 0 0 10 0 0 0 0 0 0### 212 0 0 0 40 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
10
Hysocine N
10 Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
60
Metformin 500 mg
Metoklopromid
Miconazole SK
10
10
10
10
10
Natrium Diklofenak
10
10
10
10
10
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 10 0### 0 0 0 60 0 0 0 60 0 0 10 0 50
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
1
1
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10
10
30
30
30
10 30
10
10
10
10
10
10
10
1
1
1
10 30
10 30
30
30
10
10 15
1 1
0 0 0 0 0 6 250 20 10 0 0 10 0 0 0 10 0 0### 0 0 3 0 20 40 2 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
Acetyl Sistein
Acyclovir 400 mg
5 1
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
5
2
5
Amoxicilin 500 mg
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
Asam Folat
10
10
10
10
Asam Mefenamat
30 10
31
32 1
33
34
35
36 1
37
38 10 10
39
40
41
42
43
44
45 1
46 1
47 30
48 10
49 10
50 10
51
52 10
53 10
54 10
55 10
56 10
57 10
58 10
59 10
60 10
61 10
62 10
63
64 10 10
65 10 10
66 1
67 1
68 5
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 40 5 1 0 10 0 0 0 0 0 10 0### 7 30 0 0 30 70 60 0
10
10
10
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
10
Captopril 25 mg
Carbamazepin
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
5
2
CTM
10
10
10
10
10
10
10
10
10
10
10
10
5
5
2
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1 10 10
10
10
10 10
10
10 10
10
10
10
10
10
10
10 10
10
1 10
30 0 0 0 0 0 10 0 50 0 0 0 0 0 4 0 0 20 10 0 0 0 0 0 0### 247 0 0 20 10 1 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
1
1
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
10
Hysocine N
10 Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
Metformin 500 mg
Metoklopromid
10
Miconazole SK
10
10
10
10
10
10
Natrium Diklofenak
10
1
10
10
10
10
10
10
10
10
30
10
10
10
20
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 2 2 0 0 1 10 10 0### 0 0 0 50 0 0 0 30 0 40 20 0###
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
5
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
1
Salicil talk
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
1
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
10
10
10
10
Vit B1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10 10
1
10 10 10
10 10
10 10
1
10 10 10
10 10
10
10 10
10 10
10 15
1 1
1
30
30
30
30
10
10
10 20
10 20
10
10
10
10
10
10
10
10
10
5
0 0 0 0 0 3 340 20 40 0 0 0 0 2### 10 0 0 15 0 0 2 0 40 50 4 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
2
5
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
5
5
Amoxicilin 500 mg
1
1
1
1
10
10
Antasida DOEN tab
1
1
1
Antasida syr
Antifungsi SK
Asam Folat
10
10
Asam Mefenamat
30 10 10
31 10
32 10 10
33 10 10
34 10
35 10
36
37
38 10
39 10
40 10
41 20
42 10
43 10
44 10
45 10
46 10 10
47 3
48 10
49 10
50 1
51 1
52 1
53 5
54 5
55 5
56 5
57 5
58 5
59 10 10
60 10 10
61 10 10
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 10 0 0 0 20 0### 7 20 3 0 0 80 50 0
10
5
10
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
2
5
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
10
10
10
10
10
10
10
10
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
2
5
5
CTM
2
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
10
Dimenhidrinat tab
10
10
5
Domperidone tab
1
Domperione syr
Etabion
NAMA OBAT
10
1
10
10 10
10
10
3 3
10
10
10
25 1 0 0 0 0 0 0 7 0 0 0 0 0 2 0 0### 0 0 0 0 0 0 0 65 40 0 0 20 25 1 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
Griseofulvin tab
1
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
40
30
Metformin 500 mg
Metoklopromid
10
10
10
10
10
10
10
10
10
10
Miconazole SK
10
10
10
10
10
Natrium Diklofenak
10
10
10
10
10
10
20
10
10
10
10
0 0 0 0 0 0 0 0 0 0 20 0 2 0 0 0 0 10 0 80 0 0 0 38 0 0 0 70 0 0### 0 50
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
5
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
Vit B1
1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10
10
10
1 10 10
10 10
1 10
10
10 10
30
30
10
10
10
10
1
10 1
10
1
1
1
5
5
5
5
5
5
0 0 3 0 0 7 280 0 10 0 0 10 0 0 0 20 0 0 90 5 0 0 0 10 80 5 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
3
2
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
3
2
3
Amoxicilin 500 mg
1
1
1
10
10
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
Asam Folat
10
Asam Mefenamat
30
30 10 10 10
31 10
32
33 10
34 10
35 10
36 10
37 10
38 10
39 5
40 5
41 15
42
43 10
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 80 0 0 0 0 0 5 0 0 0 10 0### 3 70 0 0 20 70 10 30
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
15
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
10
10
10
10
10
10
10
10 Ciprofloxacin 500 mg
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
15
Concor 2.5 mg
1
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
3
2
3
CTM
10
3
2
3
5
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
1
Domperione syr
Etabion
NAMA OBAT
10 10
10
0 0 0 0 15 0 0 0 0 0 0 1 0 0 2 0 0 80 10 0 0 0 15 1 0 98 38 0 0 10 0 1 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
10
10
10
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
5
5
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
20
30
Metformin 500 mg
Metoklopromid
10
10
10
10
10
10
10
10
10
10
10
10
10
Miconazole SK
Natrium Diklofenak
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 1 0 40 0 80 0 0 0 10 0 0 0 50 0 0### 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
3
2
10
10
10
10
10
10
10
10
Paracetamol tab
10 10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
Vit B1
1
1 Wicold syr
Loratadin
Azitromicin
Ranitidin
30
30 10
30 10
30
30
30
30
30
30
5
5
5
10
10
0 0 0 0 0 1 130 10 10 0 0 0 0 0 0 0 0 10### 0 0 0 0 0 70 2 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 dempulan
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
30
30
30
30
30
30
30
30
30
30
30
30
Amlodipin 5 mg
10
10
Amoxicilin 500 mg
10
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30 30
31
32
33 30
34 30
35 30
36
37 30
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0### 0 20 0 60 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
30
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 30 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 60 0 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
30
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
30
30
30
30
30
30
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
6 Ketokonazole tab
6
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
30
Lisinopril 5 mg
60
60
90
90
90
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
30 60
30 30
10 40
30 30
0 0 0 0 30 0 0 0### 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 30### 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
10
30
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
multi vitmin
Trifluoperazine
10
10
Vit B Kompleks
10
10
10
10 Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
30
30
0 0 0 0 0 0 50 0 90 0 0 0 0 1 10 80 30 0 0 0 0 0 0 20 40 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
1
1
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
Amoxicilin 500 mg
1
1
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
Asam Folat
10
10
10
10
Asam Mefenamat
30 10 10 1
31 10 10
32 10 10 10
33 10
34 1
35 1
36 10 10
37 10
38
39 6
40 10 10
41 1
42 10 10 1
43 10 10
44 10 10 1
45 1
46
47 10
48 10 10
49
50 10 10
51 10 10
52 10 10
53 10 10
54 10 10
55 10 10
56 10 10
57 10 10
58 10 10
59 10 10
60 10 10
61 10 10
62 10
63 10
64 10
65 10
66 1
67 1
68 1
69 10
70 10
71 10 10
72 10 10
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 2 0 0 0 0 0 0 0 0 0### 8 70 4 0### 140### 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
Domperidone tab
1
Domperione syr
Etabion
NAMA OBAT
10 10
1
10
6 6
10
10
10
10
0 0 0 0 0 0 0 0 50 0 0 0 1 0 5 0 0 20 10 0 0 0 0 0 0### 11 0 0 10 10 1 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
Metformin 500 mg
Metoklopromid
10 Metronidazole 500 mg
10
10
10
10
10
10
10
10
10
10
10
10
Miconazole SK
10
10
10
Natrium Diklofenak
10
10
10
10
10
6
10
6 10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 1 0 30 0 10 0 0 0 30 0 0 0 30 0 20### 0 50
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
10
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
5
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10
1
10 10 1
10
10
10 10
6
10 10
10
10
10
1
10 10
10
10
1
30
30
30
30
30
30
30
30
30
30
30
30
10 30
30
1
1
1
10
10
0 0 0 0 0 3 266 10 90 0 0 10 1 0 50 0 0 0### 0 5 0 0 0### 4 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
Amoxicilin 500 mg
1
1
1
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
10
Asam Folat
10
10
10
Asam Mefenamat
30 10
31 10
32 10
33 10
34 10
35 10
36 10
37 10
38 10
39 10
40 10 10
41 10 10
42 10 10
43 5
44 1
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 60 0 0 0 0 0 0 0 0 0 10 0### 5 30 0 0 0 60 60 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
5
0 0 0 0 0 0 0 0 30 0 0 1 0 0 0 0 0 20 0 0 0 0 0 0 0 20 5 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
10
10
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
10
10
10
10
10
10
10
10
1
Miconazole SK
10
10
Natrium Diklofenak
10
10
10
0 0 0 0 0 0 0 0 0 0 20 0 1 0 0 0 0 0 0 60 0 0 0 6 0 0 0 0 0 10### 1 20
Nifedipin
Novorapid inj
1
1
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
30
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
30
30
10 10
10
10
10
10
10
10
10
1
1
0 0 3 0 0 2 190 0 40 0 0 0 0 0 0 0 0 0### 0 0 0 0 10 70 4 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
5
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
5
Amoxicilin 500 mg
1
1
10
10
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
10
10
Asam Mefenamat
30 10 10
31
32 10
33
34
35 10 10 1
36 10 10
37 10 10
38 10
39 10
40 10
41 10
42 10
43 10
44 10 10
45 1
46 1
47 10 10
48 10 10
49 10 10
50 5
51
52 5
53 5
54 1
55
56
57 10
58 10
59 10
60 10
61 10
62 10
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 75 0 0 0 0 0 0 0 0 0 10 0### 6 50 0 0 10 80### 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
10
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
5
CTM
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10 10
1
1 10
10
10
10 10
10
10
0 3 0 0 0 0 0 0### 0 0 2 1 0 0 1 0 20 0 0 0 0 0 0 0 95 20 0 0 10 30 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
10
Ketokonazole tab
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
Metformin 500 mg
Metoklopromid
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
1
Miconazole SK
10
10
10
Natrium Diklofenak
10
10 30
10
10
10
10
10
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 1 0 0 0 60 0 0 10 30 0 0 0 60 0 0### 1 30
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
20
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
20
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
20
10
10
10
10
10
Vit B1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
10
10 10
1
10
10 30
30
30
30
30
10 30
10 30
1
1
5
5
1
10
10
10
10
10
10
1 10
10
0 0 1 0 0 0 315 20 50 0 0 0 0 0 10 10 0 0### 0 10 0 0 0### 6 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
10 1
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
1
1
1
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
10
10
Amoxicilin 500 mg
1
10
10
10
10
Antasida DOEN tab
1
Antasida syr
Antifungsi SK
Asam Folat
10
10
Asam Mefenamat
30
31 1
32
33 1
34 1
35
36
37 1
38 1
39 1
40 10
41 10
42 10 10
43 10
44 10 10
45
46 10 10
47
48 10
49 10
50 10
51 10
52 1
53 1
54 1
55 1
56 10
57
58
59 10 10
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 90 10 1 0 10 5 0 0 0 0 10 0### 8 50 2 0 0 40 30 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
Chloramfenicol TM
1
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
CTM
10
10
10
10
10
5
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
10
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OB
1
10
10 10
10 10
10
10
1
10
10
10
10
0 1 0 0 0 0 0 0 60 0 0 0 0 0 5 1 0 40 0 0 0 0 0 0 0### 75 0 0 30 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
gom
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
10
10
Ketokonazole tab
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
10
10
10
10
1
1
Miconazole SK
10 6 40
10
10
10 10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 10 0 0 30 0 0 20 32 0 0 0 40 0 0### 2
10
10
10
20
10
Natrium Diklofenak
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
Loratadin
Azitromicin
ranitidin
10
10
10 10 10
1
10 10
1
1
1
10 10
10
10
10 10
10
10
10 10 10
30
30
30
10 10 30
1
1
1
1
10
10
1
20
90 0 0 2 0 0 1 340 20 50 0 0 20 0 0 20 30 0 0### 0 0 0 0 0### 8 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
5
4
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
20
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
Amoxicilin 500 mg
1
1
10 1
1
1
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10
10
10
Asam Folat
10
10
10
Asam Mefenamat
30 10 10
31 10
32 10
33 10
34 10
35 10
36 10
37 1
38 1
39 10 10
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 59 0 0 0 20 0 0 0 0 0 0 0### 7 20 0 0 0 30 50 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
10
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
CTM
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
1
10
10
10
0 2 0 0 0 10 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
Ibuproven 400 mg
ISDN
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
10
Metformin 500 mg
Metoklopromid
10
10
10
10
10
10
1
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 20 0 20 0 0 0 26 0 0 0 40 0 0 60 1 0
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
5
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
30
30
30
Tambah darah
10
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10 Vit B1
1
1
Wicold syr
Loratadin
Ranitidin
10
10
10
10
10
10
1
1
0 0 1 0 0 2 165 10 10 0 0 10 0 0 0 0 0 0 90 10 0 0 0 0 50 4 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1 Dempulan
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
30
Amlodipin 5 mg
10
10
10
Amoxicilin 500 mg
10
10
10
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
10 Asam Folat
Asam Mefenamat
30
31 30 10
32 10
33 10
34 20
35 30
36 10
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 20 0 0 0 20 0 0 0 0 0 70 0 30 0### 0 0 0 0 20 30
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10 10
10
10
10
10
10
10
10
10
10
CTM
10
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
10
Etabion
NAMA OBAT
30
1
0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 10### 10 0 0 10 0 0 10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
20
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
10
10
10
10
10
10
10
10 Ibuproven 400 mg
ISDN
10
10
Kalsium Laktat
Kendaron tab
Ketokonazole cream
10
10
Ketokonazole tab
10
10
4
4
4
5
4
Lansoprazole
Lantus inj
Lisinopril 10 mg
30
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
10
Natrium Diklofenak
4
4
20
20 60
0 0 0 0 0 0 0 0 20 0 40 0 0 0 0 0 0 80 0 20 0 0 20 49 0 0 30 60 0 0 0 0 10
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
1
Salicil talk
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
10
Vit B Kompleks
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10 10
10
10 10
10
20
30
10
2
0 0 0 0 0 2 240 10 30 0 0 0 0 1 30 20 0 0 0 0 0 0 0 10 60 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
2
3
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
10
10
Asam Mefenamat
30
31 10
32 6
33 10
34
35 10
36 6
37 10
38
39
40
41
42 1
43 10
44 10
45 10
46 10
47 10
48 10
49 1
50
51 10 10
52 10 10
53 10 10
54 10
55 10
56 5
57 5
58 10
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 17 0 0 0 10 0### 2 0 0 0 0 50### 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
10
10
10
2
3
Cefadroxil 500 mg
1
Cetrizine
Chloramfenicol 250
1
1
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
2
3
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
2
3
Dexametason 0.5 tab
Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
3 3 3
10 10
6 6 6
10 10 10
10
10 10 10
6 6 6
10
2 2 2
2 2 2
10
10
10
10
10
0 1 0 0 0 0 0 0### 1 0 3 0 0 0 0 0 10 0 0 0 0 0 0 0 94 314 0 0 0 1 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
1
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
10
Ketokonazole tab
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
30
30
Metformin 500 mg
Metoklopromid
1
Miconazole SK
10
10
10
10
10
10
Natrium Diklofenak
10
10
10
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 20 1 1 0 0 0 0 0 0 50 0 0 10 40 0 0 0 60 0 0 0 1 80
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
5
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
1
10
1
10
10 10
10
1 1
1 1
10 15
10 15
10
10 30
30
30
10
10
10
10
5
5
0 0 0 0 0 5 220 10 40 0 0 10 0 0 10 10 0 0### 5 0 2 0 0 80 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
10
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
10
10
Amoxicilin 500 mg
1
1
1
10
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
10
30 30
31 10
32
33
34 10
35 10 10
36 10 10
37
38
39 10 10
40
41 10 10
42 10
43
44
45 1
46 10 10
47 1
48 1
49 10
50 10
51 10 10
52 10 10
53 10
54 10
55 10
56 10
57 10
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 20 0 10 0 0 0 20 0### 5 10 0 0 0 20 50 40
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
Cefadroxil 500 mg
9 1
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
CTM
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
10
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
10
10
Etabion
NAMA OBAT
1 10
10 10 10
10
10 10
10
10
10
1 10 10
10
10
10 10
1 1 1 1
1
10
10
10
1
10 4 0 0 0 0 0 0### 1 0 2 0 0 3 0 0 0 10 0 0 0 0 0 0### 174 0 0 40 0 0 20
10
Furosemide 40 mg
Garam Oralit
30
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
10
1
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
40
30
Metformin 500 mg
10 Metoklopromid
10
10
Miconazole SK
10
10
10
10
Natrium Diklofenak
30 30
10
10
10 10
10 10
10
1
1
10
10
10
10
1
10 30 0 0 30 0 0 0 0 0 20 2 0 0 0 2 10 0 30 20 0 0 0 50 0 0 0 70 0 10 30 0 90
Nifedipin
Novorapid inj
1
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
Vit B1
1
1
1
Wicold syr
Loratadin
Azitromicin
Ranitidin
30
10
10
10 10
10
10
10 1
10 10 10
10
1
10 10
10 10
10
5 1
1
10
30
10
10
10
10
10
0 0 1 0 0 2 250 0 70 0 0 0 2 0 0 20 0 30 40 5 10 0 0 0### 4 0 0 10 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
###
10
10
10
10
10
10
10
10
10
3
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
3
2
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
10
10
10
10
Amoxicilin 500 mg
10
Antasida DOEN tab
1
1
Antasida syr
Antifungsi SK
2
Asam Folat
10 Asam Mefenamat
30 10
31 1
32
33 10
34 10
35 10
36 10 1
37 10 10
38 10
39 10
40
41 10
42 10
43 10
44 10
45 10
46 10
47 10
48 10
49 10
50 10
51 10
52 10
53 10
54 10
55 10
56 10
57 10
58
59
60
61 10 10
62
63
64 2
65 10 10
66 5
67 5
68 5
69 5
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 0 0 7 0 0 0 0 0### 1 30 3 0 2 170 30 0
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
10
10
10
5
3
2
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
10
3
3
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
5
3
2
3
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1
10 10
10 10
10
10
10
10 10
10
2 2 2
0 1 0 0 0 0 0 0### 0 0 1 0 0 2 0 0 20 0 0 0 0 0 0 0### 185 0 0 10 10 1 0
10
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6
6
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
20
Metformin 500 mg
Metoklopromid
10
10
10
Miconazole SK
10
10
10
10
10
10
10
Natrium Diklofenak
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
1
0 10 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0### 0 0 0 18 0 0 0 20 0 10 30 1 90
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
5
3
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
10
10
10
Vit B1
1
Wicold syr
Loratadin
Azitromicin
ranitidin
10 10
1
10
10
1 10
10
10
10
10
30
30
30
30
30
30
30
30
30
30
10 30
10 10 30
10 30
20
20
10
10 15
10 15
10 15
10
10
1
5
5
5
1
0 0 1 0 0 6 323 30 20 0 0 0 0 0 10 0 0 0### 0 0 0 0 10 80 1 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
10
Allupurinol 100 mg
Ambroxol syr
4
3
5
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
Amlodipin 5 mg
10
10
10
6
Amoxicilin 500 mg
10
Antasida DOEN tab
10
Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
Asam Mefenamat
30 10
31 2
32 10
33 1
34 10 10
35
36 10 10 10
37 10 10
38 10
39 10
40 10
41 10
42 10
43 10
44 10
45 10
46 10
47 10
48 5
49 1
50 1
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0### 0 0 0 10 0 14 0 0 0 10 0### 3 10 10 0 0 60 60 0
10
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
10
10
10
10
10
10
10
10
10
3
5
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
Chloramfenicol TM
Chloramfenicol TT
10
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
5
5
3
5
CTM
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
5
5
3
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
1 10
2 2 2
10
10
10
3
10 2 0 0 0 0 0 0### 0 0 1 0 0 2 0 0 10 0 0 0 0 0 0 0### 233 0 0 10 10 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
10
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
10
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
Lansoprazole
Lantus inj
10 Lisinopril 10 mg
Lisinopril 5 mg
20
Metformin 500 mg
Metoklopromid
10
10
10
Miconazole SK
10
10
10
10
Natrium Diklofenak
10
10
10
10
10
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 0 0 50 0 0 0 20 0 0 10 20 0 0 30 0 40
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
Paracetamol syr
6
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
10
Salbutamol tab
Salep 2-4
Salicil talk
10
Spironolactone
Tambah darah
5
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
1
10 10
1
10 15
10 30
10 30
30
30
10 10 10
10
10
10
10
10
5
1
1
1
0 0 0 0 0 4 311 10 0 0 0 10 0 0 0 10 0 0### 5 0 0 0 0 50 2 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
10
10
3
3
3
5
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
10
10
3
5
5
Amoxicilin 500 mg
1
10
10
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
Asam Folat
10
10
10
10
10
Asam Mefenamat
30 10
31 20
32 30
33 10
34 10
35 10
36 10
37 10
38
39 1
40 10 10
41 10 10
42 10 10
43 10 10
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 34 0 0 0 20 0### 2 50 0 0 0 90 90 0
10
1
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
10
10
3
3
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
3
3
3
5
CTM
10
10
10
10
10
10
10
10
10
3
3
3
5
5
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
10
10
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
10
10
10 3 0 0 0 0 0 0 46 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 44 129 0 0 0 20 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
15
1
Gom
1
Guanistrep syr
Halloperidol
HCT
1
Hidrokortison SK
Hysocine N
10
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
10
10
10
10 Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
15
10
Miconazole SK
Natrium Diklofenak
10
20
30
10
10
10
0 0 0 0 0 0 0 0 15 0 0 1 1 0 0 1 0 10 0 90 0 0 0 40 0 0 0 0 0 15 10 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
1
Paracetamol syr
3
5
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
1
Salep 2-4
1
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
10
10
10
10
10
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
10
20
30
30
30
30
10
10
1
1
0 0 0 0 0 5 183 0 40 0 0 0 1 1 0 0 0 0### 0 60 0 0 0 30 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
10
10
10
10
10
10
10
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
10
10
Amlodipin 5 mg
10
10
10
10
10
10
10
10
10
10
10
10
10
3
3
Amoxicilin 500 mg
1
1
1
10
10
10
Antasida DOEN tab

Antasida syr
Antifungsi SK
3
Asam Folat
10
10
10
Asam Mefenamat
30 1
31 1
32
33
34
35 10
36 10
37 10
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 70 0 0 0 0 0 0 0 0 0 20 0### 5 30 0 0 13 20 30 0
1
1
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
10
10
2
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
1
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
1
1
1
1
Chloramfenicol TM
1
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
10
10
10
10
10
10
10
10
10
10
10
3
3
CTM
10
10
10
10
10
10
10
10
10
10
10
10
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
10
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
4
0 2 0 0 0 0 0 0 22 0 0 1 0 0 4 1 0 10 0 0 0 0 0 0 0### 124 0 0 10 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
1
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
6 Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
10
Miconazole SK
10
10
Natrium Diklofenak
10
10
10
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 30 0 0 0 0 6 0 0 0 0 0 0 10 0 20
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
1
1
Paracetamol syr
2
3
10
10
10
10
10
10
10
10
10
10
10
10
10
Paracetamol tab
10
10
10
10
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
4
10
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
10
10
10
10
Vit B1
1
Wicold syr
Loratadin
Azitromicin
ranitidin
1
1
10 15
10 15
10 15
30
30
20
0 0 0 0 0 2 165 0 40 0 0 0 0 0 0 0 0 0### 0 14 0 0 0 40 3 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
###
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
60###
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
###

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0### 0 0 0 0 0 0 0 0 0 60### 0 0 0 0 0 0 0 0 0###
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
###### 90
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
60###
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
45
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0###### 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60### 0 0 0 0 0 45 0 0 0 0
30
Furosemide 40 mg
Garam Oralit
Glibenklamid
30
Glicazide tab
Glicerii Guaiakolas
######
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
###
ISDN
Kalsium Laktat
30
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
2 60######
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 30 0 0 0 30 0 0###### 0 0 0 0 0 0 0 0### 0 30 0 0 0 2 60###### 0 0 0 0 0
Nifedipin
30 4
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
############ Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
###
Vit B1
Wicold syr
Loratadin
Azitromicin
ranitidin
30

30 4 0 0 0 0 0 0 0 0 0 0 0 0############ 0 0 0 0 0 0### 0 0 0 0 30
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitidin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO.
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
BULAN…………………………
NAMA PASIEN
Acarbose 100 mg
Acarbose 50 mg
Acetyl Sistein
Acyclovir 400 mg
Acyclovir salp
Albendazol
Allupurinol 100 mg
Ambroxol syr
Ambroxol tab
Aminofilin tab
Amitriptilin
Amlodipin 10 mg
Amlodipin 5 mg
Amoxicilin 500 mg
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Folat
Asam Mefenamat
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betametason SK
Bisacodyl tab
Bisoprolol 5 mg
Candesartan 8 mg
Captopril 12.5 mg
Captopril 25 mg
Carbamazepin
Cefadroxil 500 mg
Cetrizine
Chloramfenicol 250
Chloramfenicol SK
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TM
Chloramfenicol TT
Clindamicin 300 mg
Clobazam
Clonidin
Clopidogrel
Concor 2.5 mg
Cotrimoxazol syr
Cotrimoxazol tab
CTM
Dexametason 0.5 tab

Diazepam 5 mg
Digoxin tab
Dimenhidrinat tab
Domperidone tab
Domperione syr
Etabion
NAMA OBAT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemide 40 mg
Garam Oralit
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Griseofulvin tab
Guanistrep syr
Halloperidol
HCT
Hidrokortison SK
Hysocine N
Ibuproven 400 mg
ISDN
Kalsium Laktat
Kendaron tab
Ketokonazole cream
Ketokonazole tab
Lansoprazole
Lantus inj
Lisinopril 10 mg
Lisinopril 5 mg
Metformin 500 mg
Metoklopromid
Miconazole SK
Natrium Diklofenak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin
Novorapid inj
OBH
Oxytetra SM
Papaverin tab
Paracetamol syr
Paracetamol tab
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
Ranitin
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAPORAN BULANAN non JKN
BULAN …………………
NO NAMA OBAT 1 2 3 4 5 6
1 Acarbose 100 mg 0 0 90 0 0 0
2 Acarbose 50 mg 0 90
3 Acetyl Sistein 90 0
4 Acyclovir 400 mg 0 0
5 Acyclovir salp 0 0
6 Albendazol 0 0
7 Allupurinol 100 mg 0 0
8 Ambroxol syr 0 108
9 Ambroxol tab 108
10 Aminofilin tab 0
11 Amitriptilin 0
12 Amlodipin 10 mg 0
13 Amlodipin 5 mg 10
14 Amoxicilin 125 mg/5 ml 0
15 Amoxicilin 500 mg 335
16 Amoxicilin forte 250 mg/5 ml 12
17 Antasida DOEN tab 50
18 Antasida syr 1
19 Antifungsi SK 3
20 Asam Ascorbat (Vit C) 3
21 Asam Folat 110
22 Asam Mefenamat 70
23 Aspilet/Miniaspi/ Asam Asetyl Salisilat 0
24 Attapulgit/New Antides 10
25 Betametason SK 3
26 Bisacodyl tab 0
27 Bisoprolol 5 mg 0
28 Candesartan 8 mg 0
29 Captopril 12.5 mg 0
30 Captopril 25 mg 0
31 Carbamazepin 0
32 Cefadroxil 500 mg 20
33 Cetrizine 3
34 Chloramfenicol 250 0
35 Chloramfenicol SK 1
36 Chloramfenicol SM 0
37 Chloramfenicol syr 0
38 Chloramfenicol TM 2
39 Chloramfenicol TT 2
40 Chlorphromazine 100 mg 0
41 Ciprofloxacin 500 mg 40
42 Clindamicin 300 mg 10
43 Clobazam 0
44 Clonidin 0
45 Clopidogrel 0
46 Concor 2.5 mg 0
47 Cotrimoxazol syr 0
48 Cotrimoxazol tab 0
49 CTM 150
50 Dexametason 0.5 tab 400
51 Diazepam 5 mg 0
52 Digoxin tab 0
53 Dimenhidrinat tab 30
54 Domperidone tab 10
55 Domperione syr 1
56 Etabion 0
57 Fitomenadion ta/Vit K 0
58 Furosemide 40 mg 5
59 Garam Oralit 0
60 Gentamicin SK 0
61 Glibenklamid 0
62 Glicazide tab 0
63 Glicerii Guaiakolas 0
64 Glimepiride 1 mg tab 0
68 Griseofulvin tab 0
69 Guanistrep syr 1
70 Halloperidol 0
71 HCT 0
72 Hidrokortison SK 5
73 Hysocine N 10
74 Ibuproven 400 mg 20
75 ISDN 0
76 Kalsium Laktat 110
77 Kendaron tab 0
78 Ketokonazole cream 6
79 Ketokonazole tab 30
80 Lansoprazole 0
81 Lantus inj 0
82 Lisinopril 10 mg 0
83 Lisinopril 5 mg 0
84 Metformin 500 mg 0
85 Metoklopromid 0
86 Metronidazole 500 mg 0
87 Metyl Prednisolon 4 mg 0
88 Miconazole SK 0
89 Natrium Diklofenak 0
90 Nifedipin 0
91 Novorapid inj 0
92 OBH 0
93 Oxytetra SM 0
94 Papaverin tab 0
95 Paracetamol syr 0
96 Paracetamol tab 0
97 Piridoxin tab (Vit B6) 0
98 Piroxicam 0
99 Prednison tab 0
100 Riseridone tab 0
101 Salbutamol tab 0
102 Salep 2-4 0
103 Salicil talk 0
104 Sianocobalamin tab (Vit B12) 0
105 Simvastatin 10 mg tab 0
106 Simvastatin 210 mg tab 0
107 Spironolactone 0
108 Tambah darah 0
109 Tetracyclin 500 tab 0
110 Thiamin tab ( Vit B1) 0
111 THP 2 mg 0
112 Trifluoperazine 0
113 Vit B Kompleks 0
114 Wicold syr 0
115 Zink 0
TANGGAL
7 8 9 10 11 12 13 14 15 16
0 0 108 0 0 0 10 0 335 12
TANGGAL
17 18 19 20 21 22 23 24 25 26
50 1 3 3 110 70 0 10 3 0
27 28 29 30 31
0 0 0 0 0
Agustus

TGL
Antasida DOEN tab

Allupurinol 100 mg
Amoxicilin 500 mg
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
1 0 0 90 0 0 0 0 0 108 0 0 0 10 0 335 12 50 1 3
2 0 0 70 0 0 0 0 0 76 0 0 0 10 0 119 3 10 2 0
3 0 0 100 0 0 0 0 0 24 0 0 0 10 0 215 7 50 1 0
4 0 0 90 0 0 0 10 0 25 0 0 0 0 0 200 9 40 0 0
5 0 0 30 0 0 0 0 0 10 0 0 0 24 0 180 5 20 1 0
6 0 0 70 0 0 0 0 0 40 0 0 0 10 0 155 11 10 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 0 10 180 0 0 0 0 0 17 0 0 0 20 0 245 3 50 0 1
9 0 0 110 0 0 0 0 0 0 0 0 0 0 0 125 5 10 0 0
10 0 0 130 0 0 0 0 0 12 0 0 0 0 0 10 2 110 4 0
11 0 0 40 5 1 0 10 0 0 0 0 0 10 0 187 7 30 0 0
12 0 0 130 0 0 0 0 0 10 0 0 0 20 0 140 7 20 3 0
13 0 0 80 0 0 0 0 0 5 0 0 0 10 0 103 3 70 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 510 0 20 0 60 0 0
15 0 0 120 0 2 0 0 0 0 0 0 0 0 0 186 8 70 4 0
16 0 0 60 0 0 0 0 0 0 0 0 0 10 0 155 5 30 0 0
17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 0 0 75 0 0 0 0 0 0 0 0 0 10 0 160 6 50 0 0
19 0 0 90 10 1 0 10 5 0 0 0 0 10 0 110 8 50 2 0
20 0 0 59 0 0 0 20 0 0 0 0 0 0 0 200 7 20 0 0
21 0 0 20 0 0 0 20 0 0 0 0 0 70 0 30 0 110 0 0
22 0 0 100 0 0 0 0 0 17 0 0 0 10 0 100 2 0 0 0
23 0 0 140 0 0 0 20 0 10 0 0 0 20 0 171 5 10 0 0
24 0 0 1153 0 0 0 0 0 7 0 0 0 0 0 100 1 30 3 0
25 0 0 150 0 0 0 10 0 14 0 0 0 10 0 141 3 10 10 0
26 0 0 0 0 0 0 0 0 34 0 0 0 20 0 123 2 50 0 0
27 0 0 70 0 0 0 0 0 0 0 0 0 20 0 136 5 30 0 0
28 0 240 0 0 0 0 0 0 0 0 0 60 2040 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 250 3157 15 4 0 100 5 409 0 0 60 2854 0 3646 126 990 31 4
Chloramfenicol 250
Chloramfenicol TM
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol TT
Chloramfenicol SK
Cefadroxil 500 mg
Candesartan 8 mg
Asam Mefenamat
Captopril 12.5 mg
Betametason SK
Captopril 25 mg
Bisoprolol 5 mg
Carbamazepin
Bisacodyl tab
Asam Folat
Cetrizine
3 110 70 0 10 3 0 0 0 0 0 0 20 3 0 1 0 0 2 2
0 20 60 0 0 3 0 0 0 0 0 0 73 1 0 1 0 0 1 0
0 70 50 0 0 1 0 0 0 0 0 0 14 0 0 2 0 0 3 0
0 20 30 0 10 1 0 0 0 0 0 0 10 0 0 0 0 0 0 0
30 80 40 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0
3 50 30 0 0 2 0 0 0 0 0 0 95 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 80 190 0 10 0 0 0 0 0 0 0 200 0 0 0 1 0 7 0
0 70 10 0 0 1 0 0 0 0 0 0 50 0 0 0 0 0 1 1
0 100 100 0 0 1 0 0 0 0 0 0 182 0 0 1 0 0 1 0
30 70 60 0 30 0 0 0 0 0 10 0 50 0 0 0 0 0 4 0
0 80 50 0 25 1 0 0 0 0 0 0 7 0 0 0 0 0 2 0
20 70 10 30 0 0 0 0 15 0 0 0 0 0 0 1 0 0 2 0
0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 4 0
140 140 100 0 0 0 0 0 0 0 0 0 50 0 0 0 1 0 5 0
0 60 60 0 0 0 0 0 0 0 0 0 30 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 80 110 0 0 3 0 0 0 0 0 0 100 0 0 2 1 0 0 1
0 40 30 0 0 1 0 0 0 0 0 0 60 0 0 0 0 0 5 1
0 30 50 0 0 2 0 0 0 10 0 0 20 0 0 0 0 0 0 0
0 0 20 30 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0
0 50 110 0 0 1 0 0 0 0 0 0 154 1 0 3 0 0 0 0
0 20 50 40 10 4 0 0 0 0 0 0 119 1 0 2 0 0 3 0
2 170 30 0 0 1 0 0 0 0 0 0 135 0 0 1 0 0 2 0
0 60 60 0 10 2 0 0 0 0 0 0 150 0 0 1 0 0 2 0
0 90 90 0 10 3 0 0 0 0 0 0 46 0 0 0 0 0 4 0
13 20 30 0 0 2 0 0 0 0 0 0 22 0 0 1 0 0 4 1
0 0 0 180 0 0 0 180 675 90 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
251 1580 1440 280 115 34 0 180 690 130 10 0 1587 6 0 18 3 0 58 6
Dexametason 0.5 tab
Clindamicin 300 mg
Furosemide 40 mg
Dimenhidrinat tab
Domperidone tab
Cotrimoxazol tab
Cotrimoxazol syr
Domperione syr
Diazepam 5 mg
Concor 2.5 mg
Garam Oralit
Clopidogrel
Digoxin tab
Clobazam
Clonidin
Etabion
CTM
0 40 10 0 0 0 0 0 0 150 400 0 0 30 10 1 0 0 5 0
0 10 0 0 0 0 0 0 0 152 272 0 0 10 20 1 0 0 0 0
0 60 10 0 0 0 0 0 0 57 152 0 0 20 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 190 65 0 0 20 40 0 0 0 0 0
0 50 0 0 0 0 0 0 0 50 160 0 0 20 10 0 0 10 0 0
0 0 0 0 0 0 0 0 0 90 185 0 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 10 0 0 250 390 0 0 0 20 1 0 0 0 0
0 10 0 0 0 0 0 0 0 125 170 0 0 0 10 0 0 0 0 0
0 0 10 0 0 0 0 0 0 152 212 0 0 0 40 0 0 0 0 0
0 20 10 0 0 0 0 0 0 137 247 0 0 20 10 1 0 0 0 0
0 150 0 0 0 0 0 0 0 65 40 0 0 20 25 1 0 0 0 0
0 80 10 0 0 0 15 1 0 98 38 0 0 10 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 60 0 0 0 10 0 0 0 0 0 0
0 20 10 0 0 0 0 0 0 106 11 0 0 10 10 1 0 0 0 0
0 20 0 0 0 0 0 0 0 20 5 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 20 0 0 0 0 0 0 0 95 20 0 0 10 30 0 0 0 0 0
0 40 0 0 0 0 0 0 0 110 75 0 0 30 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 10 130 10 0 0 10 0 0 10 0 0 0
0 10 0 0 0 0 0 0 0 94 314 0 0 0 1 0 0 0 0 0
0 0 10 0 0 0 0 0 0 141 174 0 0 40 0 0 20 10 30 0
0 20 0 0 0 0 0 0 0 148 185 0 0 10 10 1 0 0 10 0
0 10 0 0 0 0 0 0 0 120 233 0 0 10 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 44 129 0 0 0 20 0 0 0 0 0
0 10 0 0 0 0 0 0 0 116 124 0 0 10 0 0 0 0 0 0
0 0 0 0 0 60 105 0 0 0 0 0 45 0 0 0 0 0 30 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 580 70 0 0 60 130 1 10 2760 3671 0 45 300 267 8 30 20 75 0
Ketokonazole cream
Glicerii Guaiakolas
Ibuproven 400 mg
Ketokonazole tab
Hidrokortison SK
Guanistrep syr
Kalsium Laktat
Gentamicin SK
Kendaron tab
Glibenklamid
Glicazide tab
Halloperidol
Hysocine N
ISDN
gom
HCT
0 0 0 0 0 0 0 0 0 1 0 0 5 10 20 0 110 0 6 30
0 0 0 0 0 0 0 10 0 1 0 0 0 0 10 0 20 0 0 0
0 0 0 0 0 0 0 0 1 2 0 0 0 0 30 0 80 0 0 0
0 0 0 0 0 0 0 10 0 0 0 0 0 0 110 0 30 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 10 0 90 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 30 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 70 0 0 0 0 2 0 0 0 70 0 1 0
0 0 0 0 0 0 0 10 0 0 0 0 0 0 40 0 60 0 0 0
0 0 0 0 0 0 0 10 0 0 0 0 0 10 10 0 100 0 0 0
0 0 0 0 0 0 0 10 2 2 0 0 1 10 10 0 110 0 0 0
0 0 0 0 0 0 0 20 0 2 0 0 0 0 10 0 80 0 0 0
0 0 0 0 0 0 0 10 0 1 0 0 1 0 40 0 80 0 0 0
0 30 0 0 0 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 0 1 0 0 1 0 30 0 10 0 0 0
0 0 0 0 0 0 0 20 0 1 0 0 0 0 0 0 60 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20 0 0 0 0 1 0 0 0 60 0 0 10
0 0 0 0 0 0 0 20 0 0 0 0 0 10 0 0 30 0 0 20
0 0 0 0 0 10 0 0 0 0 0 0 0 0 20 0 20 0 0 0
0 0 0 0 0 20 0 40 0 0 0 0 0 0 80 0 20 0 0 20
0 0 0 0 0 0 0 20 1 1 0 0 0 0 0 0 50 0 0 10
0 30 0 0 0 0 0 20 2 0 0 0 2 10 0 30 20 0 0 0
0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 160 0 0 0
0 0 0 0 0 0 0 10 0 0 0 0 0 10 0 0 50 0 0 0
0 0 0 0 0 15 0 0 1 1 0 0 1 0 10 0 90 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 30 0 0 0 0
0 0 30 0 0 2130 330 0 0 0 0 0 0 0 0 180 0 30 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 60 30 0 0 2455 330 320 7 15 0 0 14 60 440 240 1430 30 8 90

Natrium Diklofenak
Metformin 500 mg
Paracetamol tab
Paracetamol syr
Lisinopril 10 mg
Metoklopromid
Miconazole SK
Lisinopril 5 mg
Prednison tab
Papaverin tab
Novorapid inj
Lansoprazole
Oxytetra SM
Piroxicam
Lantus inj
Nifedipin
OBH
58 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 382 10 20 0
52 0 0 0 0 0 0 0 0 110 0 0 1 0 0 0 288 10 0 0
6 0 0 0 0 0 0 10 0 0 5 0 0 0 0 0 270 20 10 0
30 0 0 0 30 0 0 0 0 50 0 0 1 0 0 1 270 20 0 0
22 0 0 0 0 0 10 20 0 40 10 0 1 0 0 0 250 0 20 0
0 0 0 0 0 0 0 20 2 10 0 0 1 0 0 3 185 20 20 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 0 10 0 90 0 0 20 0 110 0 0 0 0 0 4 418 0 0 0
6 0 0 0 30 0 0 0 0 30 0 0 0 0 0 0 175 10 50 0
60 0 0 0 60 0 0 10 0 50 0 0 0 0 0 6 250 20 10 0
50 0 0 0 30 0 40 20 0 100 0 0 0 0 0 3 340 20 40 0
38 0 0 0 70 0 0 140 0 50 0 0 3 0 0 7 280 0 10 0
10 0 0 0 50 0 0 130 0 0 0 0 0 0 0 1 130 10 10 0
24 0 0 30 550 0 0 0 0 0 0 0 0 0 0 0 50 0 90 0
30 0 0 0 30 0 20 180 0 50 0 0 0 0 0 3 266 10 90 0
6 0 0 0 0 0 10 100 1 20 0 0 3 0 0 2 190 0 40 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 60 0 0 230 1 30 0 0 1 0 0 0 315 20 50 0
32 0 0 0 40 0 0 100 2 90 0 0 2 0 0 1 340 20 50 0
26 0 0 0 40 0 0 60 1 0 0 0 1 0 0 2 165 10 10 0
49 0 0 30 60 0 0 0 0 10 0 0 0 0 0 2 240 10 30 0
40 0 0 0 60 0 0 0 1 80 0 0 0 0 0 5 220 10 40 0
50 0 0 0 70 0 10 30 0 90 0 0 1 0 0 2 250 0 70 0
18 0 0 0 20 0 10 30 1 90 0 0 1 0 0 6 323 30 20 0
20 0 0 10 20 0 0 30 0 40 0 0 0 0 0 4 311 10 0 0
40 0 0 0 0 0 15 10 0 0 0 0 0 0 0 5 183 0 40 0
6 0 0 0 0 0 0 10 0 20 0 0 0 0 0 2 165 0 40 0
0 2 60 150 5220 0 0 0 0 0 30 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
773 2 70 220 6530 0 115 1150 9 1130 45 4 16 0 0 59 6256 260 760 0


Trifluoperazine
Spironolactone
Salbutamol tab
Vit B Kompleks
Riseridone tab
Tambah darah
Azitromicin
Wicold syr
scametrin
Salicil talk
Loratadin
Salep 2-4
seltifort
Ranitin
Vit B1
zink
0 30 0 2 10 0 0 0 310 0 0 5 0 10 90 14 0 0 0 0
0 0 0 0 0 0 0 0 105 0 5 0 0 10 100 0 0 0 0 0
0 0 0 0 0 0 0 0 210 5 0 0 0 0 50 3 0 0 0 0
0 0 0 0 0 0 0 0 180 0 5 0 0 60 90 2 0 0 0 0
0 0 0 0 0 20 0 0 250 5 0 1 0 0 70 5 0 0 0 0
0 0 0 0 10 0 0 0 150 0 5 0 0 0 20 10 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 40 0 0 20 10 0 0 210 0 5 0 0 0 120 1 0 0 20 0
0 0 0 1 10 0 0 0 3205 5 0 0 0 0 70 4 0 0 0 0
0 10 0 0 0 10 0 0 275 0 0 3 0 20 40 2 0 0 0 0
0 0 0 2 220 10 0 0 15 0 0 2 0 40 50 4 0 0 0 0
0 10 0 0 0 20 0 0 90 5 0 0 0 10 80 5 0 0 0 0
0 0 0 0 0 0 0 10 270 0 0 0 0 0 70 2 0 0 0 0
0 0 0 1 10 80 30 0 0 0 0 0 0 20 40 0 0 0 0 0
0 10 1 0 50 0 0 0 420 0 5 0 0 0 120 4 0 0 0 0
0 0 0 0 0 0 0 0 180 0 0 0 0 10 70 4 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 10 10 0 0 210 0 10 0 0 0 120 6 0 0 0 0
0 20 0 0 20 30 0 0 120 0 0 0 0 0 110 8 0 0 0 0
0 10 0 0 0 0 0 0 90 10 0 0 0 0 50 4 0 0 0 0
0 0 0 1 30 20 0 0 0 0 0 0 0 10 60 0 0 0 0 0
0 10 0 0 10 10 0 0 140 5 0 2 0 0 80 0 0 0 0 0
0 0 2 0 0 20 0 30 40 5 10 0 0 0 100 4 0 0 10 0
0 0 0 0 10 0 0 0 485 0 0 0 0 10 80 1 0 0 0 0
0 10 0 0 0 10 0 0 145 5 0 0 0 0 50 2 0 0 0 0
0 0 1 1 0 0 0 0 150 0 60 0 0 0 30 0 0 0 0 0
0 0 0 0 0 0 0 0 125 0 14 0 0 0 40 3 0 0 0 0
0 0 0 0 240 690 810 195 0 0 0 0 0 0 270 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 150 4 8 650 940 840 235 7375 45 119 13 0 200 2070 88 0 0 30 30
TGL

Antasida DOEN tab
Allupurinol 100 mg
Amoxicilin 500 mg
Asam Mefenamat
Acarbose 100 mg
Acyclovir 400 mg
Amlodipin 10 mg
Acarbose 50 mg
Amlodipin 5 mg
Aminofilin tab
Ambroxol tab
Acyclovir salp
Acetyl Sistein
Ambroxol syr
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol
Asam Folat
1 0 0 90 0 0 0 0 0 108 0 0 0 10 0 335 12 50 1 3 3 110 70 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Clindamicin 300 mg
Chloramfenicol 250
Chloramfenicol TM
Chloramfenicol SM
Chloramfenicol syr
Chloramfenicol SK
Chloramfenicol TT
Candesartan 8 mg
Cefadroxil 500 mg
Captopril 12.5 mg
Cotrimoxazol syr
Betametason SK
Captopril 25 mg
Bisoprolol 5 mg
Concor 2.5 mg
Carbamazepin
Bisacodyl tab
Clopidogrel
Clobazam
Cetrizine
Clonidin
10 3 0 0 0 0 0 0 20 3 0 1 0 0 2 2 0 40 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dexametason 0.5 tab
Furosemide 40 mg
Glicerii Guaiakolas
Dimenhidrinat tab
Domperidone tab
Cotrimoxazol tab
Domperione syr
Griseofulvin tab
Diazepam 5 mg
Guanistrep syr
Gentamicin SK
Glibenklamid
Garam Oralit
Glicazide tab
Halloperidol
Digoxin tab
Etabion
CTM
HCT
0 150 400 0 0 30 10 1 0 0 5 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketokonazole cream
Natrium Diklofenak
Metformin 500 mg
Ibuproven 400 mg
Ketokonazole tab
Hidrokortison SK
Paracetamol syr
Lisinopril 10 mg
Metoklopromid
Kalsium Laktat
Miconazole SK
Lisinopril 5 mg
Papaverin tab
Kendaron tab
Novorapid inj
Lansoprazole
Oxytetra SM
Hysocine N
Lantus inj
Nifedipin
ISDN
OBH
5 10 20 0 110 0 6 30 58 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Thiamin tab ( Vit B1)

Tetracyclin 500 tab
Paracetamol tab
Salbutamol tab
Spironolactone
Trifluoperazine
Vit B Kompleks
Tambah darah
Riseridone tab
Prednison tab
Azitromicin
Loratadine
Wicold syr
Ranitidine
Salicil talk
Piroxicam
THP 2 mg
Salep 2-4
VIT B 1
Zink
382 10 20 0 0 30 0 2 10 0 0 0 310 0 0 5 0 10 90 14 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Laporan Agustus 22

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NO.

Dexametason 0.5 tab

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Dexametason 0.5 tab

Dexametason 0.5 tab

10 0 0 0 0 0 0 0### 0 0 0 1 0 7 0 0 10 0 0 0 0 10 0 0### 390 0 0 0 20 1 0

0 0 0 0 0 4 418 0 0 0 0 40 0 0 20 10 0 0### 0 5 0 0 0### 1 0 0 20 0

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Tetracyclin 500 tab

Antasida DOEN tab

Antasida DOEN tab

Antasida DOEN tab

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Antasida DOEN tab

Amoxicilin forte 250 mg/5 ml

Dexametason 0.5 tab

Dexametason 0.5 tab

Antasida DOEN tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Dexametason 0.5 tab

Antasida DOEN tab

Dexametason 0.5 tab

Aspilet/Miniaspi/ Asam Asetyl Salisilat

Dexametason 0.5 tab

Nitro Gliserin 2,5 mg

Dexametason 0.5 tab

Dexametason 0.5 tab

Dexametason 0.5 tab

Amoxicilin forte 250 mg/5 ml

Antasida DOEN tab

Piridoxin tab (Vit B6)

Simvastatin 210 mg tab

Nitro Gliserin 2,5 mg

Asam Ascorbat (Vit C)

Simvastatin 210 mg tab

Thiamin tab ( Vit B1)

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