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dr.

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

Surabaya, 27-07-2020

R/ Amoxicillin 7,5
Paracetamol 7,5
Aminophilline 1,5
Acetyl cystein 3
CMC Na 2%
Syr. Simplex 10%
Aqua a d 225ml
m.f. l.a susp
S 3 dd C 1
------------------------------------------------------------

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

Surabaya, 27-07-2020

R/ Alum. Hidroksida 7,5


Simeticone 300mg
Chlorpromazine 372mg
CMC Na 2%
Syr. Simplex 10%
Aqua a d 225ml
m.f. l.a susp
S 3 dd C 1 a.c
------------------------------------------------------------

Pro : Ny. X
Umur : 35th
Alamat :
dr. Vivi Arviandini
SIP : 201704200351
Alamat : Jl. Gembili 2 no. 25-27

Surabaya, 27-07-2020

R/ Inj. Epinephrine 1ml No.C


S d.c form

R/ Inj. Pethidine 2ml No.X


S d.c form
R/ Spuit . Inj 3ml No.C
S d.c form
R/ Inj. Ranitidine 2ml No.L
S d.c form
R/ Alkohol Swab No.C
S d.c form

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

Surabaya, 27-07-2020

R/ Salbutamol 20mg
Bromhexin 40mg
Dextrometrophan HBr 1mg/kg/hari
CMC Na 1%
Syr. Simplex 10%
Aqua a d 100ml
m.f. l.a susp
S 2 dd Cth 1
------------------------------------------------------------

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

Surabaya, 27-07-2020

R/ Klaium Permanganat 200mg


Aqua a d 1lt
m.f. l.a susp
S 3 dd 1
------------------------------------------------------------

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

Surabaya, 27-07-2020

R/ Lidocain 1% 30ml no. I


S dc form
------------------------------------------------------------

Pro :
Umur : th
Alamat :

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