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
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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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
LAPORAN HARIAN PASIEN BPJS

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 125 mg/5 ml
Amoxicilin 500 mg
Amoxicilin forte 250 mg/5 ml
Antasida DOEN tab
Antasida syr
Antifungsi SK
Asam Ascorbat (Vit C)

Asam Folat
Asam Mefenamat
Aspilet/Miniaspi/ Asam Asetyl Salisilat
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
Attapulgit/New Antides
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
Chlorphromazine 100 mg
Ciprofloxacin 500 mg
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
Fitomenadion ta/Vit K
Furosemide 40 mg
Garam Oralit
Gentamicin SK NAMA OBAT
Glibenklamid
Glicazide tab
Glicerii Guaiakolas
Glimepiride 1 mg tab
Glimepiride 2 mg tab
Glimepiride 3 mg tab
Glimepiride 4 mg tab
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
Metronidazole 500 mg
Metyl Prednisolon 4 mg
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
Piridoxin tab (Vit B6)
Piroxicam
Prednison tab
Riseridone tab
Salbutamol tab
Salep 2-4
Salicil talk
Sianocobalamin tab (Vit B12)
Simvastatin 10 mg tab
Simvastatin 210 mg tab
Spironolactone
Tambah darah
Tetracyclin 500 tab
zink
THP 2 mg
Trifluoperazine
Vit B Kompleks
Vit B1
Wicold syr
Loratadin
Azitromicin
0 0 0 0 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 0 0 0 0
2 Acarbose 50 mg 0 0
3 Acetyl Sistein 0 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 0
9 Ambroxol tab 0
10 Aminofilin tab 0
11 Amitriptilin 0
12 Amlodipin 10 mg 0
13 Amlodipin 5 mg 0
14 Amoxicilin 125 mg/5 ml 0
15 Amoxicilin 500 mg 0
16 Amoxicilin forte 250 mg/5 ml 0
17 Antasida DOEN tab 0
18 Antasida syr 0
19 Antifungsi SK 0
20 Asam Ascorbat (Vit C) 0
21 Asam Folat 0
22 Asam Mefenamat 0
23 Aspilet/Miniaspi/ Asam Asetyl Salisilat 0
24 Attapulgit/New Antides 0
25 Betametason SK 0
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 0
33 Cetrizine 0
34 Chloramfenicol 250 0
35 Chloramfenicol SK 0
36 Chloramfenicol SM 0
37 Chloramfenicol syr 0
38 Chloramfenicol TM 0
39 Chloramfenicol TT 0
40 Chlorphromazine 100 mg 0
41 Ciprofloxacin 500 mg 0
42 Clindamicin 300 mg 0
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 0
50 Dexametason 0.5 tab 0
51 Diazepam 5 mg 0
52 Digoxin tab 0
53 Dimenhidrinat tab 0
54 Domperidone tab 0
55 Domperione syr 0
56 Etabion 0
57 Fitomenadion ta/Vit K 0
58 Furosemide 40 mg 0
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
65 Glimepiride 2 mg tab 0
66 Glimepiride 3 mg tab 0
67 Glimepiride 4 mg tab 0
68 Griseofulvin tab 0
69 Guanistrep syr 0
70 Halloperidol 0
71 HCT 0
72 Hidrokortison SK 0
73 Hysocine N 0
74 Ibuproven 400 mg 0
75 ISDN 0
76 Kalsium Laktat 0
77 Kendaron tab 0
78 Ketokonazole cream 0
79 Ketokonazole tab 0
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 0 0 0 0 0 0 0 0
TANGGAL
17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0
27 28 29 30 31
0 0 0 0 0
 Aspilet/Miniaspi/ Asam Asetyl Salisilat
Amoxicilin forte 250 mg/5 ml
Amoxicilin 125 mg/5 ml

Attapulgit/New Antides
TGL

Asam Ascorbat (Vit C)

Chloramfenicol 250
Antasida DOEN tab
Allupurinol 100 mg

Amoxicilin 500 mg

Cefadroxil 500 mg
Candesartan 8 mg
Asam Mefenamat

Captopril 12.5 mg
Acarbose 100 mg

Acyclovir 400 mg

Amlodipin 10 mg

Betametason SK
Acarbose 50 mg

Captopril 25 mg
Amlodipin 5 mg

Bisoprolol 5 mg

Carbamazepin
Aminofilin tab
Acyclovir salp

Ambroxol tab
Acetyl Sistein

Ambroxol syr

Bisacodyl tab
Antifungsi SK
Antasida syr
Amitriptilin
Albendazol

Asam Folat

Cetrizine
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
2 0 0 0 0 0 0 0 0 0 0 0 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Chlorphromazine 100 mg

Fitomenadion ta/Vit K
Dexametason 0.5 tab
Ciprofloxacin 500 mg

Glimepiride 1 mg tab

Glimepiride 2 mg tab

Glimepiride 3 mg tab

Glimepiride 4 mg tab
Clindamicin 300 mg
Chloramfenicol TM
Chloramfenicol SM

Chloramfenicol syr

Furosemide 40 mg

Glicerii Guaiakolas
Dimenhidrinat tab
Chloramfenicol SK

Chloramfenicol TT

Domperidone tab
Cotrimoxazol tab
Cotrimoxazol syr

Domperione syr

Griseofulvin tab
Diazepam 5 mg

Guanistrep syr
Gentamicin SK
Concor 2.5 mg

Glibenklamid
Garam Oralit

Glicazide tab

Halloperidol
Clopidogrel

Digoxin tab
Clobazam

Clonidin

Etabion
CTM

HCT
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ibuproven 400 mg
Hidrokortison SK
Hysocine N
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Sianocobalamin tab (Vit B12)
Metyl Prednisolon 4 mg
Simvastatin 210 mg tab
Metronidazole 500 mg
Simvastatin 10 mg tab
Piridoxin tab (Vit B6)
Ketokonazole cream
Natrium Diklofenak
Metformin 500 mg
Ketokonazole tab
Paracetamol tab
Paracetamol syr
Lisinopril 10 mg
Metoklopromid
Spironolactone
Salbutamol tab
Miconazole SK
Kalsium Laktat
Riseridone tab
Lisinopril 5 mg
Tambah darah
Prednison tab
Papaverin tab
Kendaron tab
Novorapid inj
Lansoprazole
Oxytetra SM
Salicil talk
Piroxicam
Lantus inj
Salep 2-4
Nifedipin
ISDN
OBH
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 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

Trifluoperazine

Vit B Kompleks

Azitromicin
Loratadine
Wicold syr
THP 2 mg

0 0 0 0 0 0 Zink
0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0