REKAPAN DELIVERY OBAT PESERTA PRB BPJS KESEHATAN

APOTEK SEHAT BERSAMA

Nama FKTP PASIEN TANDA
: PUSKESMAS LINGKAR BARAT TANGAN PADA
Bulan Pelayanan Obat : SEPTEMBER 2023 RESEP DAN FORM
Nama Petugas Apotek : NAMIRA (0899-8313-148)
TANDA RIWAYAT
TANDA
TANGAN PENGAM
NO NAMA PESERTA NAMA OBAT JML TANGAN
PETUGAS BILAN
PASIEN
FKTP OBAT
149 ROSMALA DEWI BISOPROLOL 2,5 15
0000031520564 CANDESARTAN 8 30 15
4561 FUROSEMID 30
25-Sep-23
1 DARWIN AMLODIPIN 5 30
0000031570391
4401
6 TANTAWI SYMBICORT 1
0000031170767
4406
12 NURDIANA METFORMIN 500 90
0000031416052 GLIMEPIRID 2 30
4412
16 SALAMAH LEVEMIR 1
0000031587917
4416
18 ASMAWATI AMLODIPIN 5 30
0000031388523
4419
23 rusmawani MINIASPI 30
0000031230854 CPG 30
4425 BISOPROLOL 5 30
CANDESARTAN 8 30
SIMVASTATIN 20 30
34 MIRHANI G CANDESARTAN 16 30
0001081992238 BISOPROLOL 5 30
MINIASPI 30
4437 AMLODIPIN 10 30
35 RINI HERAWAN SYMBICORT 1
0000332667854
4438
38 mulawarman AMLODIPIN 10 30
0000031341971 CANDESARTAN 8 30
4442
39 ZAINI GLUCODEX 30
0000031009634 METFORMIN 500 90
AMLODIPIN 5 30
4443 CANDESARTAN 16 30
 VIT B COMP 30
55 YOHAMA CANDESARTAN 16 30
0001081992453 AMLODIPIN 10 30
4460 CONCOR 2,5 30
SIMVASTATIN 20 30
CPG 30
B.COMP 30
114 SEPPI TRIANI BISOPROLOL 2,5 30
0000163141582 DIGOXIN 30
4522 FUROSEMID 15
SPIRONOLACTON 25 15
RAMIPRIL 5 30
145 HASDELYATI SYMBICORT 1
0000031597198
4557
 PRB

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