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dr.

Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020 • 1. a & b


R/ Permethrin Cream 5% No. I
S ue .
R/ Acidum salicylicum 2%
Sulfur precipitate 4%
Vaseline flavum ad. 30g
m.f. ung
S u.e.
------------------------------------------------------------ da in 2 plo (utk adiknya yang
juga sama sakitnya)

Pro : An. X
Umur : 5 th
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020
•2
R/ Ketokonazole 2%
Diphenhydramine Hcl 2%
Vanishing cream ad. 20g
m.f.l.a cream
Sue .
R/ Ketoconazole 2%
Sulfur ptt. 4%  antiseptik
Menthol 1%  antipruritus
Calamine 5%  astringent
Cleansing cream ad. 20g
m.f.l.a. cream
S u.e.
------------------------------------------------------------------------------

Pro : Tn. X
Umur : 30 th
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020 •3
R/Tannin 5%  astringent
Lidocaine2%  analgetik
Acidum salicilicum 2%  antiseptik
Balsamum peruviarium 5%  cell proliferant
Adeps lanae 10%
Vaseline ad. 20g
m.f.l.a ung
S u.e.
----------------------------------------------------------------

Pro :
Umur :
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020
•4
R/ Na Diclofenac 1%
Menthol 10%
Adeps lanae ad. 50 g
m.f.l.a. ung
sue .

R/Methyl salicylicum 15%


Menthol 10%
Vanishing cream ad. 20g
m.f.l.a. cream
S u.e.
------------------------------------------------------------

Pro : Ny. X
Umur : 60 th
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020

R/ Selenium sulfide shampoo 1,8% No. I


•5
Sue .
R/ Ketoconazole 2%
Camphora 2%
Calamine 5%
Vanishing cream ad. 20g
m.f.l.a. cream
S u.e.
--------------------------------------------------
Pemberian diikuti jumlah mandi pasien

Pro : Tn. X
Umur : 30 th
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020
•6
R/ Eritromycine 2%
Vaseline 20%
Adeps lanae 10%
mf ung
S ue

Pro :
Umur :
Alamat :

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