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RESEP

NO R/ TGL RI RJ

ALBENDAZOLE 400 MG
ACYCLOVIR 400 MG
ACETOSAL 100 MG

ACYCLOVIR SALF
ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24

ALBOTHYL
1 12/24/2018 Ny Giyat 1 1
2 Tn Pardi 1 1
3 Ny Mistri 1 1
4 Tn Loso 2 1 1
5 Ahmad Suyanto 1 1
6 12/25/2018 Ahmad Suyanto 1 1 1
7 An Luki 1 1
8 Ahmad Suyanto 1 1
9 Tn Loso 1 1
10 Ny Paetun 1 1
11 Tn Mulyani 1 1 1
12 Tn Maghfur 1 1
13 Tn Dhoiri 1 1
14 12/26/2018 Ny Tumini 1 1
15 Fery kurniawan 1 1
16 Tn Sunar 1 1
17 Ahmad yanwar 1 1
18 Tn Yudik 1 1
19 12/27/2018 An Habib 1 1
20 NN Lufiatul 2 1 1
21 Tn Soimin 2 1 1
22 An Irhab 1 1
23 NN Lufiatul 1 1
24 Tn Soimin 1 1
25 12/28/2018 Tn Sukirman 1 1 1
26 Ny Paetun 2 1 1
27 Nn Tits 1 1 10 1
28 Tn Loso 1 1
29 12/29/2018 Tn Hendro 1 1
30 Ny Warsiyah 2 1 1
31 Tn Sukirman 1 1
32 Ny Popi 1 1
33 Ny Mismiat 3 1 1 6
34 12/30/2018 NN Lufiatul 1 1
35 Ny Paetun 1 1
36 Tn Ismun 1 1
37 Tn Sukirman 1 1
38 Tn Soimin 1 1
39 Tn Bambang 2 1 1
40 Tn Misiman 1 1
41 Nn Ama 1 1
42 Nn Nurlaily 2 1 1
43 12/31/2018 Novayogi 1 1
44 Tn Sawal 1 1
45 Tn Aziz 2 1 1
46 Tn Yateni 1 1
47 01/01/2019 Nn Nurlaily 1 1
48 Tn Bambang 1 1
49 Sdr Fery kurniawan 1 1
50 Sdr Bimas 1 1
51 Ny Tumini 1 1
52 Tn M fikri 1 1
53 Tn Rusik 1 1
54 Tn Aziz 1 1
55 Tn Gunung 1 1 1 1
56 Tn Soimen 2 1 1
57 01/02/2019 Ny Veronica 2 1 1
58 An rafka 2 1 2
59 01/03/2019 Ny Jarmi 1 1 1
60 An Nada 1 1
61 Ny Sri Marsini 1 1
62 Tn sawal 1 1
63 01/04/2019 Tn Kustaji 2 1 1
64 Ny Ratnem 1 1
65 Tn Nurdianto 1 1
66 Ny situk 2 1 1
67 Tn Rakijo 2 1 1
68 An Agustna 1 1
69 Tn Sugito 1 1
70 01/05/2019 Tn sugiono 1 1 1
71 Tn Sawal 1 1
72 Fajar Surya 1 1
73 Ny Senikwat 1 1
74 Tn Sugito 2 1 1
75 Tn Kustaji 1 1
76 Tn Supeno 2 1 1
77 Tn Kustaji 1 1
78 01/06/2019 Ny situk 1 1
79 Tn Sugito 1 1
80 Tn Giono 1 1
81 Tn Kustaji 1 1
82 Ny Sri Marsini 1 1
83 An Misel 2 1 2
84 Ny Sumiat 1 1
85 01/07/2019 Nn Ine 1 1
86 Ny Katni 1 1
87 Ny Sunart 1 1
88 Tn Sugeng 1 1
89 Tn utomo 1 1 1
90 Nn Arlis 1 1
91 Ny Sumi 2 1 10
92 01/08/2019 Ny Indariana 1 1 1
93 Ny sri Fatmah 1 1
94 Tn Jarwo 1 1
95 Eka hermes 1 1
96 An fajar 1 1
97 Tn Nani 1 1 1
98 Tn Ngaini 1 1
99 An Edo 1 1
100 01/09/2019 Ny Martna 4 1 1
101 Ny Supi 2 1 1
102 Tn Purwanto 3 1 1
103 01/10/2019 Tn Suparno 1 1
104 01/11/2019 Nn Tyas 1 1
105 Tn Wahyudi 1 1 20 1
106 Ny Maryam 1 1
107 Tn Purwanto 1 1
108 Ny Supi 1 1
109 Ny Sri Endro 1 1
110 Amelia 2 1 1
111 01/12/2019 Ny Sri Purwant 2 1 2
112 An Novelinda 1 1 1
113 Tn Pardi 1 1
114 Ny Martni 1 1
115 Nn Herida 1 1
116 Nn Erlinda 2 1
117 Tn Triyono 1 1
118 Ny Suprihatn 2 1 1
119 Ny Saerah 2 1 1
120 Tn Panut 1 1 1
121 Tn Gatot 1 1
122 01/13/2019 Tn Suparno 1 1
123 Nabila fitri 1 1
124 Ny Saerah 1 1
125 An Novelinda 1 1
126 An Amelia 1 1
127 Ny Sri Purwant 1 1
128 Tn Panut 1 1
129 Ny Saerah 1 1
130 Ny Suprihatn 1 1
131 01/14/2019 Tn Simun 2 1 1
132 An Bima 2 1 1
133 Ny tukiyem 1 1 2
134 Ny Saerah 1 1
135 Tn Simun 1 1
136 Ny Sit Sholekah 1 1
137 Tn Marjono 1 1
138 Tn Sunardi 3 1 1
139 01/15/2019 An Nazril 1 1 1
140 An farhan 1 1
141 Tn Rusik 1 1
142 Ny Katumi 1 1 1
143 Nn Desy 2 1 2
144 An Audia Setya 1 1
145 Nn Dian revi 1 1
146 Nn Apriliana 1 1
147 An Farhan 1 1 1
148 Tn Harjo Meseni 1 1 1
149 Ny Painem 1 1
150 Ny Katumi 1 1
151 01/16/2019 Ny Sumir 1 1 1
152 Tn Sukri 1 1
153 Tn samadi 1 1 1
154 Tn Ngatemo 1 1
155 01/17/2019 Tn Sumiran 1 1 1
156 An Azka 1 1
157 Tn Sumiran 1 1
158 An Mahardika 1 1 1
159 Tn Marsudi 2 1 2
160 Tn Tukimun 1 1 1
161 01/18/2019 Sdr Mustaqim 2 1 1
162 Tn Boyamin 1 1
163 Tn Rusik 1 1
164 An erfan 1 1 1
165 An Niko 1 1
166 Tn Ngatemo 1 1
167 Ny Soerah 1 1 1
168 Ny Suryat 1 1 1 1
169 Tn Wahyudi 1 1
170 01/19/2019 Ny Jamiat 2 1 1
171 Nn Putri 2 1 1
172 Tn Rusik 1 1
173 An Azka 1 1 1
174 Tn Rusik 2 1 1
175 Sdr Mustaqim 1 1
176 Tn Sawal 1 1
177 01/20/2019 Nn Mia 1 1
178 Nn Putri 1 1
179 Ny Ernawat 1 1
180 Sdr Mustaqim 1 1
181 Tn Soeran 1 1
182 An Azka 1 1
183 Ny Suryat 1 1
184 An Mahardika 1 1
185 Ny Katumi 1 1
186 Ny Jamiat 1 1
187 Sdr Wakhdatul 1 1
188 Tn Sukamto 2 1 1
189 Ny Patmah 1 1
190 Ny Nanik 1 1
191 01/21/2019 Tn warno 2 1 1 2
192 An lukas 1 1
193 An Revan 1 1
194 01/22/2019 Tn Sungkowo 1 1
195 An Helga 1 1
196 Ny Sukirah 1 1
197 Nn Putri 1 1
198 Ny Jamiat 1 1
199 Nn Berty 1 1
200 Tn Toyib 2 1 1
201 Tn Marsimin 1 1
202 Tn Sukamto 1 1
203 01/23/2019 Tn suwagi 1 1
204 Tn Sukri atmojo 1 1
205 Ny Panirah 1 1
206 Ny Supi 1 1 2
207 Tn Marsimin 1 1 3
208 An Rama 1 1
209 Sdr Hendri 1 1 2
210 Tn Maruto 1 1
211 Nn Mar'atus 1 1
212 Nn Nazla 1 1
213 An Ifatul 2 1 1
214 Ny Katumi 1 1 1
215 Tn Sumaryanto 1 1
216 Tn Siswo prayitno 1 1 1
217 Nn Mar'atus 1 1 1
218 Nn Nazla 1 1 1
219 01/24/2019 Tn Suyoto 1 1
220 An Ifatul 1 1
221 Tn Tunggak 2 1
222 Tn Sojo 1 1
223 Tn Dimin 2 1 1
224 01/25/2019 Tn Jaenuri 2 1 1
225 An Davit 1 1
226 An M Fadli 1 1 1
227 Tn Sigit 1 1
228 Ny Darmini 1 1
229 Nn Mia 1 1
230 Sdr Agus Septan 1 1
231 Tn Mustofa 1 1
232 Ny Suyatun 1 1
233 01/26/2019 Ny Tri w 2 1 1
234 Tn Mujiono 1 1
235 An wahyu 1 1
236 Nn Risma 1 1
237 Tn barnu 1 1 1
238 Ny Tri w 1 1
239 Ny Gemi 2 1 1 10
240 Tn Boiran 1 1
241 Ny Mariyam 1 1
242 Ny septna 1 1
243 Tn Sipar 1 1
244 01/27/2019 An Iswanda 1 1
245 Tn jari 1 1
246 An Toni 1 1
247 An fadhil 1 1
248 Ny Partun 1 1 1
249 Sdr Ajie 2 1 1
250 Sdr Ajie 1 1
251 Ny Tri w 1 1
252 Ny Tri w 1 1
253 Tn barnu 1 1
254 Ny Gemi 1 1
255 Tn Bonari 2 1 1
256 Tn lanyoto 2 1 1
257 Ny Suwarni 2 1 1
258 Ny Sulis 1 1
259 Ny katni 2 1 1
260 Ny Poniyem 2 1 1
261 Ny martni 1 1
262 Tn barnu 1 1
263 Tn Bonari 1 1
264 01/28/2019 Tn Sukri 1 1
265 Sdr Ajie 1 1
266 Ny katni 1 1
267 Tn paidi 2 1 1
268 Ny wijiat 1 1
269 Ny Surip 2 1 1
270 Ny Parmini 1 1
271 Ny winarsih 1 1
272 Ny Warinem 2 1 1
273 01/29/2019 Tn Widarto 1 1
274 Ny Katni 1 1
275 Nn Pita yuniart 1 1
276 Ny Mariyat 1 1
277 Sdr Ajie 1 1
278 Nn Pita yuniart 1 1
279 01/30/2019 Tn Nurhadi 1 1 1 1
280 Tn suyoto 1 1 1
281 Tn Mesirun 1 1 1
282 Tn Nurhadi 1 1
283 Ny Part 2 1 1
284 Ny katni 1 1
285 M taufik 1 1
286 01/31/2019 An Iswanda 2 1 1 1
287 Ny Sulis 1 1 2
288 Tn Tukijan 2 1 1
289 Sdr Ferdy 1 1
290 Tn Djuwarno 1 1
291 Tn Sutrisno 2 1 1
292 Tn Purnomo 1 1
293
jumlah 355 155 137 52 58 10 16 30 3
ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

10
10
10
10
AMBROXOL 30 MG

AMINOPHILLIN 200 MG

10
AMINOPHILLIN INJEKSI 24 MG / ML

1
AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG

10
10
AMLODIPIN 5 MG

AMOXCILIN INJEKSI SSERBUK SUSPENSI 1000 MG IM.IV

AMOXCILLIN 500 MG

10
AMOXCILLIN SYR.KERING 125 MG / ML

ANTASIDA DOEN

10
10
10
10
10
10
10
10

ANTASIDA SYRUP

ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

1 ANTI BISA ULAR INJEKSI ( SABU )


10
10

10
10 1
10 10
10
10
1
10

10
10
10

10

10
10
10

10
10
10
10
10

10

10

10
10

10

10
1

10
10
10
10
10
10
10

10
10
10

10 10

10
10

1
10

10 10
10
1

10
10
10

10

10 10
10
10
10
4

10
10
10
10
10
1

10
1
10 1
10 10

10

10

10

10

10

10
10
10
10

10
10

10
10

10
10

10
10 10

10
10 10

10
10
10
10
10
10
10
1

3
10
10 1

10
10
5

10

10
10
10 2
10 10
10 10

10

10

10 10

10
9
10
1

1
1

10

1
1

201 20 9 30 290 514 10 5


AQUA PRO INJEKSI

1
1
ASAM ASCORBAT 50 MG ( VIT.C )

ASAM MEFENAMAT 500 MG

10
10
10
10
10
ASAM TRANEKSAMAT 500 MG

ASERING INFUS

BEDAK SALICYL 2 %

BETAHISTIN

10
BETAMETASON CREAM

BIO COMBIN INJEKSI

1
BIONEURON

BORAX GLYSERYN

BROMHEXIN 8 MG

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG

CATETER # 18

CEFADROXIL 500 MG

10 CEFADROXIL SYRUP
10

10

1
10

10
1

10

1
1
10

10

10
10
10

1
10

10

1
1
10
1

10
1

10
10

1
1

10
10

1 10
1
1

1 1

10
2

10

10

10

10

10

10

10
10
10
10
10

1
10

10
10
1

1
1

10 10
10

10

10Ny
1

10

10

10

10

20 350 5 86 1 50 1 10 4
CEFOTAXIM INJEKSI 1 G IM.IV

1
2
1
1
CENDO CETAMID 15 % TETES MATA

CHLORAMPHENICOLE TETES TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMPHENICOLE SALEP KULIT 1% ( FARCYCOL)

CHLORAMPHENICOLE SALEP.MATA 1%

CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG

CHLORPROMAZINE HCL 100 MG ( CPZ )

CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

10
10
10
COMBIVENT

1
1
1
1
1
1

COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

1
DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

DEXAMETASONE INJEKSI 5 MG / ML
1

DEXAMETASONE 0,5 MG

DIFENHIDRAMIN INJEKSI
2

2
10

10
2
10

10

10

3
2

10

10

1 10

10
2 1

2
1 3
10
10

10
10

10

10
10

1 10

3
2

10

10

10

10 1 10
1 10

10
10

10

2
2
1
1
1
1

1
1 4
1

1 1

3
2
3

1
2

10

1
1

10

2
10

1
2
3 1
10

10
10
10

1
3

1
3

10 10
1

1 10

3
3 1

1
2
10

62 1 30 210 50 27 10 1 1 11 113
DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG

DOMPERIDONE 10 MG

5
DOMPERIDONE SYRUP

DULCOLAK SUPP

1
EPINEPRIN INJ

ERYTROMICIN 500 MG

ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG

FURROSEMIDE injeksi

GDA
2

GENTAMICIN SALF
1
10

10
10

10
10
10
1

4
1

45 1 10 1 10 4 3 2
GARAM ORALIT

GLIBENCLAMIDE 5 MG

10
10
GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

10
10
10
10
GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

INFUSET ANAK

INFUSET DEWASA

1
1
1
1
1
1
1
1
1
1
1

ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

10
KALIUM PERMANGANAS ( PK )

KALSIUM LAKTAS ( KALK ) 500 MG

KETOKONAZOLE CREAM 2%
1

1
1
1
1
1

1
1

1
1
10

1
1

1
1
1

1
1

1
1
1
1
1
1

1
1

1
1

1
1

1
1
1
1

1
1

1
1

1
1
1

10
1
1

1
1

1
1
1

1
1
1

1
1

1
1
1

1
1

1
1
1
1

1
6

1
1
10 1

20 60 1 2 94 16 10
KETOROLAC INJEKSI

1
1
1
1
1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

2
LOPERAMIDE 2 ML

MELOXICAM 15 MG

MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2

NATRIUM DIKLOFENAK 50 MG

1 NATRIUM KLORIDA ( NaCl ) 0,9 %

NEUROBION

NEW ANTIDES

NIFEDIPIN 10 MG
1

1
1

1
1
1

1
1
1

1
10

1
1
1
1
1

1
1
1

1
1
1
1

10
1
1

1
1

1
1
1
2

1
10
1

1
1

1
1

10

1
1
1
1
2

1
1

1
1

10

10

1
10
1

1
1

1 1

1
1
1

1
1
1

74 10 1 20 4 4 40 10
OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

1
1
1
1
ORALIT

PARACETAMOL 500 MG

10
10
10
10
10
10
10
PARACETAMOL SYRUP 120 MG / 5 ML

1
( PYREXYN) PARACETAMOL SUPPOSITORIA

PHENYTOIN SODIUM

PIRACETAM 400 MG

PIRACETAM 800 MG

10
PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

PREDNISON 5 MG
10
10

PYRIDOXCINE ( B6 ) 10 MG

10
3

RANITIDIN 150 MG

10
10
10
10
5

RANITIDIN INJEKSI

1
1
1
1
1
1
10
10
10
2

1 10 1

10
10 1

10 1

10
10

10

1 10 2
10 10 1
1 10 10 10
1 1 1
1 1

10 1
10

10
1
1
10

1 10 1

10 10 1

10
10
3
10

10

10
1 10
1
10
10

1 10
10 10
1
1 10

1 10 10

10

10
10
10
1

10
10
10 10

1 10
10
1 10
1
10

10

10

1 10
1 1

1
10 1
10
10
10

2
2
1

1 1
10
10
10
10 1

1 10 1

5
10

1 1
1 1
10
1 10 1
1 10 1

1 1

1 10 1
10
2
1
2
1
2
2
10
1 10 1
10
10
1 10 1

10
10 10

10 1
10

1 1

10 10
10 10
1 10 1
1 10 1
10
1 1
1 1
1 1

10
1 1
10 10
10
1 1

10 10

10 2

1
10 10

1 10 1

2
10
10

10
10 2
1
10 10

10
10

2
10

1 1
10 10
10
10 10
1

10 10
10 1

1 1
1 10 1
1 10

1 10 10 1

47 788 6 20 10 40 273 175 85


RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID 400 MG

RL

1
1
1
1
1
1
2
2
2
2
1
SALBUTAMOL 2 MG

10
10
10
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN

SPUIT 5 ML

1
1
1
1
1
1
SPUIT 3 ML

1
1
1
1
1
1
1
1
1
1

STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG
3

URINE BAG
10
3 1 10
3
1 1
2

1 1
1
1
1 1

2 1

10
1 1
1 1
1 1
1 1
1 1
2
1

1 1

1
1 1

10
1 1

1 1

1 1

2
2
2
2
1 1 1

10
10

1 1

1 1
1 1
10

1 1

1 1 1
1
1 1 1

10

1 1
1 1
1 1

1
1
1 1
1 1
1 1
1
10
10

3
3
3
3 1
3
3
1 1
1 1
1 1
1
1

1 1
1 1
2

1 1
1 1
10

1 1
1 1

2 1
1
1 1
1
2 1

1
1 1
1 1
1
2 1
1 1

10
1
1 1

1 1
1 1

2 1
1 1
1
1
3
3
3
3
3
3
3
3

1 1 1

10
1 1

1 1

1
10

10
1 1 1
1 1

3 1
2

1 1
1 1 1

1 1 1
1 1
1 1

1
1

1
1 1 1
1 1

1
1 1

1 1
1 1
1 1

10

1
1 1
2
1
3
2 10
2
1 1
1 1
1

3 1
1 1

1 1

1 1

10
1 1
1
2
1

1 1 1
1 1

1 1

1 1
1 1 1
1 1

1
1 1
1

170 116 62 81 1 90 13 1
VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10
VIT.A

W.I

ZINC 10 MG

10
10
10
10

10

10

10

10

10

10

10
10

10
10

10

10
10

10

10

10

10
10
10

10

10
10

10

10

10
10

10
10

10

10

10
10

10
10
10

10

10

10

10
10

10

10

415 70
RESEP
NO R/ TGL NAMA RI RJ

ALBENDAZOLE 400 MG
ACYCLOVIR 400 MG
ACETOSAL 100 MG

ACYCLOVIR SALF
ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24

ALBOTHYL
1 02/01/2019 An Febriana 1 1
2 Tn ladi 1 1
3 Ny Katnah 1 1
4 An Annisa 1 1 2
5 Tn Sutrisno 1 1
6 Iswanda 1 1
7 Ny Susiyamt 1 1
8 Tn Menail 2 1 1
9 Tn priyo utomo 1 1 1
10 Tn tukijan 1 1
11 Nn Umi nur 2 1 1
12 An Huda 1 1 1
13 Ny Katnah 3 1 1
14 02/02/2019 An Afreza 1 1
15 Nn Umi nur 1 1
16 An Iswanda 1 1
17 Tn Sutrisno 1 1
18 An rizal 1 1 2
19 Sdr Niken 1 1
20 Ny Simus 1 1
21 An Deril 2 1 1
22 Ny Mesiyem 1 1
23 Tn arif 2 1
24 An Afreza 1 1
25 An fadil 1 1 1
26 02/03/2019 sdr Gogot 1 1
27 An Deril 1 1
28 An Iswanda 1 1
29 An Huda 1 1
30 An rizal 1 1
31 An Anisa 1 1
32 Nn Umi nur 1 1
33 Ny Katnah 1 1
34 Tn tukijan 1 1
35 Tn Sutrisno 1 1
36 Tn Menail 1 1
37 Tn priyo utomo 1 1
38 Ny Anjang 1 1
39 Ny Minem 1 1
40 Ny Suminah 1 1
41 Tn Derman 1 1
42 Ny Misrini 1 1
43 Ny Sutni 1 1
44 Ny Sulami 2 1
45 Tn tukijan 1 1
46 Tn Suyoto 1 1 1
47 Tn Taupan 1 1
48 02/04/2019 Tn Muryono 1 1
49 Tn maghfur 1 1
50 Tn Iswanto 1 1
51 An Afreza 1 1
52 Tn Ahmad nurdin 1 1
53 Tn Katmun 1 1
54 Ny Suciat 1 1
55 Adha 1 1 1
56 Ny Yuliana 1 1
57 02/05/2019 Ny Kayat 2 1 1
58 Ny Suciat 1 1
59 An firman 2 1 1
60 Tn priyo utomo 1 1
61 Tn Paiman 1 1
62 Tn Markuat 1 1
63 M Malik Ibrahim 1 1
64 Ny Sri Widowat 2 1 1
65 Ny Mega Nostalia 1 1
66 Tn Damun 2 1 1
67 02/06/2019 An aulia 1 1
68 Ny Sakirah 1 1
69 Tn Senin 2 1 1
70 Tn Parwoto 1 1
71 02/07/2019 An Firmansyah 1 1
72 Tn Tumiran 1 1 1
73 Ny Munah 1 1 1
74 Ny Sri Widowat 1 1
75 Tn Senin 1 1
76 Tn Tumiran 1 1
77 Tn jaya 3 1 1
78 Tn Sugito 1 1
79 Tn Kadeni 2 1 1
80 Ny Wahyuni 2 1 1
81 02/08/2019 Ny Anjang 1 1
82 Ny Misnat 2 1
83 Tn Sujarno 1 1 1
84 Tn Kateni 1 1 1
85 Tn Rusik 1 1
86 Ny Tri H 3 1 1
87 Ny Suyatmi 1 1 1
88 Ny Anjang 2 1 2
89 Ny Misrini 1 1
90 02/09/2019 Ny Suratn 1 1
91 Nn Tri Wahyuningtyas 1 1
92 An Marsha 1 1
93 Sdr Mahet Mustofa 1 1
94 Tn Kadeni 1 1
95 Tn Tumiran 1 1
96 Tn Kateni 1 1
97 Tn Markuat 1 1
98 Ny Sarmi 1 1 1
99 Ny Anjang 1 1
100 Tn Sudarsono 2 1 1
101 Ny Partun 2 1 1
102 Ny Soerah 1 1
103 Erik 1 1
104 Ny Suciat 1 1
105 02/10/2019 Sdr Andre 1 1
106 Tn Kateni 1 1
107 Tn lamidi 1 1
108 Tn Jaya 1 1
109 Ny Anjang 1 1
110 Ny Sarmi 1 1
111 Tn Sudarsono 1 1
112 Ny Suyatmi 1 1
113 Tn Suharto 1 1
114 Tn Tumiran 1 1
115 Ny Tri H 1 1
116 M Malik Ibrahim 1 1
117 Ny Suyatmi 1 1
118 Tn Pardi 1 1 1
119 Tn Jahono 1 1 1
120 Tn Jarni 1 1 1
121 Tn Sujarno 1 1
122 An Vito 1 1
123 02/11/2019 An Candra 1 1
124 An Reyhan 1 1
125 Tn Sudarsono 1 1
126 Ny Katemi 1 1 1
127 Ny Srini 2 1 1
128 Sdr Bangun Hadi 2 1 2
129 An Revano 1 1 2
130 Ny Kasri 2 1 2
131 An Azalea 1 1 1
132 Sdr Viki Pradana 1 1
133 Tn Margono 1 1
134 m Harza 1 1
135 Nn Intan 1 1
136 Ny Musriani 1 1
137 Tn daeko 1 1
138 Tn Pardi 1 1
139 Yulia Putri 1 1
140 02/12/2019 Tn Marijan 1 1
141 Tn Purnomo 2 1 1
142 Nn Yulia 1 1 1
143 An Bryan 1 1
144 Tn Marijan 2 1 1
145 Nn Yulia 1 1
146 Tn Kolis 1 1
147 02/13/2019 An Anggun 1 1 1 1
148 Ny srini 1 1
149 Ny Sumiyem 1 1
150 Sdr Sugeng 1 1
151 Ny Pasri 2 1 1
152 Tn Atm 1 1 1
153 An Anggun 1 1
154 Sdr Wahyu 1 1
155 Ny Milen 1 1
156 Ny Sumiyem 1 1
157 Tn maghfur 1 1
158 Tn Marijan 1 1
159 Ny Samini 2 1 1
160 02/14/2019 Ny Wiwik 1 1
161 Tn jahono 1 1
162 An Hazil 1 1
163 Ny Suciat 1 1
164 Tn Tukiman 1 1 1
165 Ny Sat 2 1 1
166 Nn Yulia 1 1
167 An Anggun 1 1
168 Tn Jahono 1 1
169 Tn Warimun 1 1
170 Ny Srini 1 1
171 An Bryan 1 1
172 02/15/2019 Tn Sujarno 1 1
173 An Candra 1 1
174 Ny Sunarsih 1 1 1
175 M Ilhamudin 2 1 3
176 An Sigit 1 1
177 Nn Rejeki P 1 1
178 Ny Srini 1 1
179 Sdr Bangun Hadi 1 1
180 Tn Riva Angga 2 1 1
181 Ny Mesiyem 1 1
182 Tn Mesemun 2 1 1
183 An Rifa 1 1
184 Ny Katni 1 1
185 Tn Warimun 1 1 1
186 Ana susela 1 1
187 02/16/2019 Tn Mesemun 1 1
188 Nn Herlina 1 1
189 Tn Riva Angga 1 1
190 An Ririn 1 1 1
191 An Fatma 1 1
192 Ny Sermi 1 1 1
193 Ny Rusmini 1 1
194 Tn Sarpan 2 1 1
195 02/17/2019 An Gilang 2 1 1
196 An Ririn 1 1
197 Tn Riva Angga 1 1
198 Tn Mesemun 1 1
199 Ny Satyem 1 1
200 Ny Katemi 1 1
201 Nn Herlina 1 1
202 Tn Warimun 1 1
203 Tn Sarpan 1 1
204 Ny Samini 1 1
205 Ny Parmi 1 1
206 Tn Poniran 1 1 1
207 Tn Rusik 1 1
208 An Melisa 1 1
209 02/18/2019 Tn Mesemun 1 1
210 An Ririn 1 1
211 An Melisa 1 1
212 Ny Misrini 1 1
213 Tn yahmin 1 1
214 An Gilang 1 1
215 Tn Rusik 1 1
216 Tn deko 1 1
217 Tn Sunarsi 1 1 1
218 Ny Tumirah 2 1 1
219 Tn Didik 2 1 1
220 02/19/2019 Ny Sariyem 1 1 1
221 Tn sayid 1 1
222 Ny supiah 1 1
223 An Valerina 1 1
224 Ny Mesiyem 1 1
225 Tn Gandung 3 1 10
226 Tn galimun 1 1 1
227 Tn Didik B 1 1
228 Tn Tunggak 2 1 1
229 An alif 1 1
230 02/20/2019 By M Rizal 1 1
231 Tn Gandung 1 1
232 An Arza 2 1 1
233 Tn Tunggak
234 02/21/2019 An alif 1 1 1
235 An Sakila 1 1
236 Sdr Anang 1 1 1
237 Tn Bonari 1 1 1
238 Ny Jemitri 1 1 1
239 Tn Purnomo 1 1
240 02/22/2019 Tn Mesenun 1 1
241 Dwi Wahyudi 1 1 1
242 Nn Anggita 1 1
243 Sdr Sadam 2 1 1
244 Ny Sri Handayani 2 1 1
245 Tn Toeran 2 1 1 10
246 An Nabila 1 1 1
247 Tn harum 1 1
248 Ny Iswiyani 1 1 1
249 Tn Tumari 1 1 2
250 Ny Part 1 1
251 An Faiz 1 1
252 Tn Bonari 1 1
253 Tn Jemangin 1 1
254 02/23/2019 An rizal 1 1
255 An Arya 1 1
256 Ny Jemitri 1 1
257 Ny Tami 1 1
258 An sadam 1 1
259 Tn Parwan 1 1 1
260 Tn Jemangin 1 1
261 Sdr Dwi 1 1
262 Sdr Daven 1 1 1
263 02/24/2019 Tn Jemangin 1 1
264 Ny Kholifatn 1 1 2
265 An Rizal 1 1
266 Tn Bonari 1 1
267 An Nabila 1 1
268 Tn Jemangin 1 1
269 An Dafa 1 1
270 Ny Iswiyani 1 1
271 Tn Bonari 1 1
272 Sdr Anang 1 1
273 Tn Dwi 1 1
274 Tn Lamidi 1 1
275 Ny Tami 1 1
276 Ny Menok 1 1 1
277 Tn Paijan 1 1
278 Nn Novenda 1 1
279 An arjuna 1 1 1
280 An Stabita 1 1 2
281 02/25/2019 Ny Iswiyani 1 1
282 sdr Dwi Wahyudi 1 1
283 Ny Sit 1 1 1
284 Tn Somo 1 1
285 Ny Tami 1 1
286 Tn Samidi 2 1 1
287 Tn Yudik 1 1
288 Tn maghfur 1 1
289 Tn Muryono 1 1
290 02/26/2019 Tn Jalal 1 1
291 Tn Suyatno 1 1
292 An Irham 1 1 1
293 An Kelvin 2 1 1
294 Ny Katemi 1 1 1
295 Wiliam 1 1
296 Nn Novenda 1 1
297 Ny Tami 1 1
298 02/27/2019 Ny Mitun 2 1 1
299 Ny Misrini 1 1
300 Dwi Mustofa 1 1
301 Ny Misrini 1 1 1
302 Sdr Alvi 1 1
303 Tn Jemangin 1 1
304 Ny Senikwat 1 1
305 Ny Marsini 1 1
306 Ny Ika Novita 1 1
307 02/28/2019 Ny Katrah 1 1
308 Tn Lamidi 1 1
309 Tn M Zainuri 1 1
310 An Alamsyah 2 1 1 1
311 Eko Cahyono 1 1
312 Ny Kelip 1 1
313 Tn Ahmad M 1 1
314 Ny Sutnem 1 1
315 Ny Katemi 3 1 1
316 Ny TuNi 3 1 1
317 Nova 1 1
318 Ny Katyem 1 1
319 Ny Mujiatun 1 1
320
JUMLAH 370 171 147 50 42 22 10
ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

AMBROXOL 30 MG

AMINOPHILLIN 200 MG

AMINOPHILLIN INJEKSI 24 MG / ML

AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG

10
10
10
AMLODIPIN 5 MG

AMOXCILIN INJEKSI SSERBUK SUSPENSI 1000 MG IM.IV

AMOXCILLIN 500 MG

10
AMOXCILLIN SYR.KERING 125 MG / ML

ANTASIDA DOEN

10
10
10

ANTASIDA SYRUP

1
1

ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

ANTI BISA ULAR INJEKSI ( SABU )


10

10

10
10

10

10

10

1
1
1

1
1

1
1
1
1

10
10
1
10

10
1

10

10
2

10
5
10

10

5 1
1
1

10
1

10 1
5 10

1
1
10

1
1

10
1
2

10

10
1
1

1
10

10

10
1
10
10
10
10

10

1
5

10

10

10

10
1

10
10

10

10

10

10
5

10

10
10

10 10

10
10
10 10
10
5 10

10 10

10
2
10 10
10
10 10
10

10

10

10
10
10
10
10
100 10 7 90 295 4 281 41 1 2
AQUA PRO INJEKSI

1
1
1
1
1
1
ASAM ASCORBAT 50 MG ( VIT.C )

ASAM MEFENAMAT 500 MG

10
10
ASAM TRANEKSAMAT 500 MG

ASERING INFUS

1
BEDAK SALICYL 2 %

BETAHISTIN

6
BETAMETASON CREAM

BIO COMBIN INJEKSI

BIONEURON

BORAX GLYSERYN

BROMHEXIN 8 MG
10

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG
10

CATETER # 18

CEFADROXIL 500 MG

CEFADROXIL SYRUP

1
1

1
1

10
10

10

10

10
10

10

10

10

10

10

1
1
1
10 1
10
1

1
10

10

10
10

10

1 10

10

10

1
1
1

10

10

10

10

10

10
10

10

10
1
1

10

10 10
1

10 10

10

1
10

3
10 10

10
1
10

10

10

10 10
10
1

10 10

10
10
10
10
10
10
30 10 310 10 10 76 1 90 50 40 3
CEFOTAXIM INJEKSI 1 G IM.IV

2
1
1
1
2
3
3
CENDO CETAMID 15 % TETES MATA

CHLORAMPHENICOLE TETES TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMPHENICOLE SALEP KULIT 1% ( FARCYCOL)

CHLORAMPHENICOLE SALEP.MATA 1%

CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG

CHLORPROMAZINE HCL 100 MG ( CPZ )

CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

10
COMBIVENT

1
1
1

COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

DEXAMETASONE INJEKSI 5 MG / ML

DEXAMETASONE 0,5 MG

DIFENHIDRAMIN INJEKSI
3

3
3

10
3
3

1
10

1
3
1
1

2
2
2
10

10
3

10
1

10

10

20
1

10 10

1 10
10

1
2
1
10

1
10

10
10 1

2
10

1 1
1

1
1

10
10

3
2
3
3
1
2

1 5
10

3
1

3
2

1
1
1
1
1
1
10
1
1

3 1
1
1
1 1
10
1
3
1

1
3

1 10

1
10

10
1

2 10 10

1
3
10
1

1
2

1
99 1 10 30 130 35 30 7 3 121
DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG

DOMPERIDONE 10 MG

DOMPERIDONE SYRUP

DULCOLAK SUPP

EPINEPRIN INJ

ERYTROMICIN 500 MG

ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG

FURROSEMIDE injeksi

GDA

GENTAMICIN SALF
1
10

10
10

10
10

10
1
1
1 50 10 1 1
GARAM ORALIT

GLIBENCLAMIDE 5 MG

GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

10
INFUSET ANAK

1
1

INFUSET DEWASA

1
1
1
1
1
1
1
ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

KALIUM PERMANGANAS ( PK )

KALSIUM LAKTAS ( KALK ) 500 MG

KETOKONAZOLE CREAM 2%
1
10

1
10

1
1

1
1
1
10 1

1
1
1

10

1
1

1
1

1
1
1

1
1
1
1
1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1
1
1

1
1

1
1
1 10

1
1
1
1

10

1
1 1

1
1

10

1
1
1 1

1
1
10 2 30 10 6 95 10 10
KETOROLAC INJEKSI

1
1
1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

1
LOPERAMIDE 2 ML

MELOXICAM 15 MG

10
MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2

NATRIUM DIKLOFENAK 50 MG

NATRIUM KLORIDA ( NaCl ) 0,9 %

NEUROBION

NEW ANTIDES

NIFEDIPIN 10 MG
1

1
10
1
1 1 1

10

10

3
1 10

2 1
1

10

1
1
1
10

10
1

1
10

1
1

10

1
1
1

1
1

10

10

1
1

1
1

1
1

1
2

1
1

1
1

1
1

1
1
1
1

1
1
1

10

10

1
1

1
1
1

10

10
10 10
1
1
67 14 10 1 20 72 2 20 4 60
OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

1
1
1
1
1
1
ORALIT

PARACETAMOL 500 MG

10
10
10
10
10
10
10
PARACETAMOL SYRUP 120 MG / 5 ML

1
( PYREXYN) PARACETAMOL SUPPOSITORIA

PHENYTOIN SODIUM

PIRACETAM 400 MG

PIRACETAM 800 MG

PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

PREDNISON 5 MG

PYRIDOXCINE ( B6 ) 10 MG

RANITIDIN 150 MG
10

6
RANITIDIN INJEKSI

2
1
1
2
1
1
1
1
1
2
10 2
1

10 10

10 10
10
10

10

10

1 10 1
10 10
1 10 1

1 10 1
10

10

10 10

1 10 1

10 1
1 1
10 6
10 1

1 10
1
1

10
10 10
5 5
10

2
1 10 1
1 10

10
2

1 2

10

1 10 1
1 1
10

10
2
1 1
1 10 1
1 10 1
1 10 1

10
10 10

10

10

1 1
1 1

1 10 1

6
1 1

10
1 10 1

10

10 1
10

10

1 10 1

10

1 1

10
10
10 1
10
1 1
10

1 1

10
10
1 10 1
1 10
10
1 2

2
10

2
2
2
10 6

1 10
1 10 1
1 10 2
10

1 10 1
1
10

1
10
1 10
1
1 10 1
1 10 1

10

10
1 1

1 1

10

2
2 2
1
10
1 1

2
1
1 2
1 2
2
1 2
2

10
1 1
1 10 1
10
10

1 10 1
6

6
2

1 1

10

1 1

10

10
6
10
10
10
10

1 10 1

10

1 10 1
1 10 1
10
10
10
61 10 820 4 10 75 185 98
RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID 400 MG

RL

2
2
1
2
2
2
2
1
1
2
1
1
1
1
1
SALBUTAMOL 2 MG

10
10
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN

SPUIT 5 ML

1
SPUIT 3 ML

1
2
2
2
1
1
1
2
1
1
1
1
1
1
1
1
STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG

URINE BAG
2 1
2 1
2 1
2 1
1
10

1
10
1
1

10

1 1

1 2 1
2
1

2
2 1

1 1 1

1
1 1
10
2
1 1
1 10

1
1
2 2

1 1
1 1
1
1
2 1
2 1

1 1
1 1
1 1

10
1
1
1

1 1

1 1
1 1

10
1 1
1 1
2 1

2 1
2 1

1 1
1 1
1 1

1
3 1
1
1 1
1 1
1 1
1 1
10

10
1 1
1 1

1 1

1 1

1 1

1 1
1 10 1

10
1
1 1

1 1

1 1
1 1

1 1

10
10
1 1
2
1 1

1 1
1 1
2 1
2 1
2 1
2 1
2
2
2 1
2 1
2 1
10
1 1

10

1 1
1 1
1 1
1 1

1 1
1 1

1 1

1 3
2
1
1 1
1 1 10

1 1
1 1
1 1
1 1

1 1

1 1

1 1
2

2
2 1
2
1
2 1

2
1

1 1
1 1

1 1

1
1 1
1

1 1
1 1

1 1

1 1

1 1
1 1
147 130 10 131 50 10
VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10
10
10
10
10
VIT.A

W.I

ZINC 10 MG

10
10

10
10

10
10
10

10

10

10

10

10

10
10
10

10

10

10

10
10
10

10
10
10

10

10
10
10

10

10
10
10

10

10
10

10

10

10
10 10
10

10

10

10

10

10
10

10

10
10

10
460 110
RESEP
NO R/ TGL NAMA RI RJ

ACYCLOVIR 400 MG
ACETOSAL 100 MG

ACYCLOVIR SALF
ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24
1 03/01/2019 Ny Tuminah 1 1
2 An Rafaul 1 1 2
3 Ny Sarmini 2 1 1
4 Ny Katyem 2 1 1
5 Tn Sucipto 2 1 1
6 Tn Siliwanto 1 1
7 An exel 2 1 1
8 03/02/2019 An Amanda 1 1
9 Ny Bisri 2 1
10 An exel 1 1
11 Tn Pardi 1 1
12 An Azkanza 1 1
13 An Lintang 1 1
14 An Deva 1 1
15 Tn Mahpur 1 1
16 1 1
17 Tn Warsito
18 Ny Bisri 1 1
19 Tn warno 1 1
20 Ny Datun 1 1
21 An Afreza 1 1
22 03/03/2019 An Nufansa 1 1
23 Tn Lamidi 1 1
24 An alamsyah 1 1
25 An exel 1 1
26 Ny Sarmini 1 1
27 Ny part 1 1
28 Ny Sarmi 1 1
29 An Rafaul 1 1
30 Ny Bisri 1 1
31 Ny Katyem 1 1
32 An Aleza 1 1
33 An Amelia 1 1
34 Ny ratna 2 1 2
35 An Dafa 2 1 1
36 Nn Sulis 2 1 2
37 Nn Heni 1 1
38 Tn Sucipto 1 1
39 03/04/2019 Ny Parmi 1 1 2
40 Nn Nova 1 1
41 Tn Sunyoto 1 1
42 Ny Semi 1 1
43 Tn Anton 1 1
44 An fatma 1 1
45 Tn Sunyoto 2 1 1
46 Ny Sepi 2 1 1 10
47 Ny Boimah 1 1
48 Ny Sri astut 2 1 1 8
49 Ny Rusmini 1 1
50 Tn Sunyoto 1 1
51 An Zulfan 1 1
52 Ny Fent 2 1 2
53 An arsya 1 1
54 An Dzaky 1 1
55 03/05/2019 Tn waluyo 1 1
56 An Afreza 1 1
57 Ny Rusmini 1 1
58 03/06/2019 M Muslim 1 1
59 Ny Sumini 1 1
60 Ny Suliyah 1 1 1
61 Tn Runtut 2 1 1
62 Tn Podo 1 1
63 Ny Supiyah 1 1 10
64 Ny Sri astut 1 1
65 Ny Mariyem 1 1
66 Tn Supriyanto 2 1 1
67 Ny Wiji 2 1 1
68 Ny Saniyem 2 1 1
69 An Faihan 1 1
70 03/07/2019 Tn Lamidi 1 1
71 Tn Agus 1 1
72 Ny Simpen 1 1
73 Ny sartni 1 1
74 Tn Marno 2 1 1
75 Tn Boyamin 2 1 1
76 Moh Sobirin 1 1
77 Tn Jumiran 1 1 1
78 Tn saniyem 1 1
79 Ny Jemirah 1 1
80 Ny Parmi 1 1
81 Tn Supriyanto 1 1
82 Ny Fent 1 1
83 an Diva 1 1
84 An Geisha 1 1
85 An Aqilla Syafira 1 1
86 Ny Kart 1 1
87 Ny giyat 1 1
88 Ny yuli s 1 1
89 ny Reni 1 1
90 Dindah 1 1
91 Tn Bedjan 1 1
92 Ny Tukinah 1 1
93 03/03/2019 Tn Maghfur 1 1
94 Nn Arya 1 1
95 03/08/2019 Ny Ginem 1
96 An azka 2 1 2
97 Ny Tuminah 1 1
98 Tn Langgeng 1 1
99 Ny Popy 1 1
100 03/09/2019 Ny kasri 2 1 1
101 An Nanda 1 1
102 Ny Gemi 1 1
103 Tn jari 2 1 1
104 Ny Poniyem 2 1 1
105 Tn Marno 1 1
106 Tn Langgeng 1 1
107 Tn Sunardi 1 1
108 Ny Tukinem 1 1 10
109 Ny Dewi 1 1
110 Nn tria dewi 1 1
111 Ny Suyatun 1 1
112 Tn Sunardi 1 1
113 03/10/2019 Ny Pujiat 1 1
114 Tn Sutoyo 1 1 2
115 Tn Soiman 1 1
116 Tn Samikun 1 1
117 Ny Maryam 1 1
118 Tn Langgeng 1 1
119 Ny Gemi 1 1
120 Ny Ginem 1 1
121 Tn Boyamin 1 1
122 Ny kasri 1 1
123 Ny Poniyem 1 1
124 Tn Sujari 1 1
125 Ny Tukinem 1 1
126 Tn Marno 1 1
127 Tn dimas Sutrisno 2 1 1
128 An Azka 1 1
129 Tn dimas Sutrisno 1 1
130 Tn Samikun 2 1 1
131 03/11/2019 Tn Misno 1 1
132 Ny Tutk 1 1 1
133 An zaki 2 1 1
134 An Septan 2 1 1
135 Nn Diska 1 1
136 Ny Suyatun 1 1
137 03/12/2019 Sdr Ant 1 1
138 An Geisha 1 1
139 Sdr Ahmad 1 1
140 Tn Sujan 1 1
141 An Septan 1 1
142 An Davin 2 1 1
143 Ny Sringatn 2 1 1
144 Ny Sulistyani 1 1
145 Tn Sujari 1 1
146 03/13/2019 Ny Ana 1 1
147 Ny Hartutk 1 1 1
148 An Agista 1 1
149 Ny Hartutk 1 1
150 Ny Lamirah 2 1 1
151 Ny sri Sumart 1 1 2
152 An Gendis 1 1
153 1 1
154 Ny Hartutk 1 1
155 Ny Part 3 1 1
156 Sdr Mastur 1 1
157 Sdr arya 1 1
158 Ny Sit 1 1
159 Nn Wanda Uswatun 1 1
160 An faris 1 1
161 03/14/2019 Sdr Fajar udin 1 1
162 An Rere 1 1
163 An Nisa 1 1
164 Tn Boiran bonandar 2 1 1
165 Tn sipar 1 1 1
166 03/15/2019 Ny satrah 1 1 2
167 Ny Tumi 1 1
168 Ny Simus 1 1
169 Ny Kart 1 1
170 Ny Hartutk 1 1
171 Tn Boiran bonandar 1 1
172 Ny Supiyem 1 1
173 Tn Imam 1 1
174 Nn Satrah 1 1
175 Tn sipar 1 1
176 Tn Suwito 1 1
177 03/16/2019 Ny Tuminah 1 1
178 Ny Tanem 1 1
179 Tn Tani 2 1 1 10
180 Sdr Novia 1 1 2
181 Tn Jumari 1 1
182 An Wahyu 1 1
183 Tn Imam 1 1
184 Sdr Sit Nur Azizah 1 1
185 Tn Lamirah 1 1
186 Sdr Arum 1 1
187 Tn warno 1 1
188 03/17/2019 Tn tojin 1 1
189 Ny Kart 1 1
190 An abizar 1 1
191 Ny satrah 1 1
192 Ny anik 1 1
193 Tn Imam 1 1
194 Nn Maia 1 1
195 Ny Supiyem 1 1
196 Tn Warno 1 1
197 Tn Bonandar 1 1
198 Tn Tani
199 An Ilyas 1 1 1
200 Tn Sipur 1 1
201 Ny Lamirah 1 1
202 Ny Suminem 1 1
203 Ny Sinem 1 1
204 An Amora 1 1
205 Nn Rahayu 1 1
206 Ny Tukiyem 1 1 1
207 Ny Karton 1 1 1
208 Sdr Wahyudi 2 1 2
209 Tn Triman 1 1
210 03/18/2019 An Abu Hanif 1 1
211 Tn tri wahyudi 1 1
212 Tn Sipar 1 1 10
213 Ny Simpen 2 1 1
214 03/19/2019 Tn Sono 1 1
215 Ny Tidjem 1 1
216 03/20/2019 Ny Kat 1 1 1
217 Ny Simpen 1 1
218 An Lintang 1 1
219 Ny Sart 2 1 1
220 Tn Suwito 1 1
221 Tn Suroto 1 1
222 Ny Kart 1 1
223 An Syafa 1 1
224 Tn damiran 1 1
225 Ny Tidjem 1 1
226 03/21/2019 Ny Boisah 1 1
227 An Alif 1 1
228 Ny Bonisah 1 1
229 Ny Katyem 1 1
230 Tn Pariyanto 1 1
231 Ny Romini 2 1 1
232 Tn Jemingan 1 1
233 An Avrilia 1 1
234 Nn Grisela 1 1
235 03/22/2019 Tn Purnomo 2 1 1
236 Tn Jemadi 1 1
237 Tn Santoso 1 1
238 Tn Parlan 2 1 1
239 An Abu Hanif 1 1
240 Sdr Hanafi 1 1
241 03/23/2019 Nn Nia Oktavia 1 1
242 Tn Senin 1 1 1
243 Tn Suyanto 1 1
244 Tn Sutrisno 1 1 1
245 03/24/2019 An Amanda 1 1
246 Ny Sanra 1 1
247 Ny Suprihatn 1 1
248 Ny Tidjem 1 1
249 Ny Saikem 1 1
250 Ny Katyem 1 1
251 Tn Parlan 1 1
252 Nn Andini 1 1
253 Ny Romini 1 1
254 Tn Suwito 1 1
255 Tn Yahmun 2 1 2
256 Tn Suparyono 2 1 1
257 Ny Suharlin 1 1
258 Tn Simun 1 1
259 Lizton 1 1
260 Ny Rinem 2 1 1
261 An Adila 1 1 1
262 Tn Sampar 2 1 2
263 Tn Kademin 2 1 1
264 Tn Suparyono 1 1
265 Tn Pardi 2 1 1
266 03/25/2019 Tn Suyadi 1 1
267 Tn Syaiful 1 1
268 nn Afitri 1 1
269 Tn Rusik 1 1
270 Tn Misdi 1 1
271 Ny Kusrini 3 1 1
272 Tn Misdi 1 1 1
273 Tn Supriadi 3 1 1
274 Tn Mursat 1 1
275 Tn Mislan 1 1
276 Ny Saikem 1 1
277 03/26/2019 Ny Suji 3 1 2
278 Tn Markun 2 1 1
279 Tn Supandi 1 1
280 Ny Wiji 1 1
281 03/27/2019 Tn Kasimun 1 1
282 Feri Mukt 1 1
283 Tn Markun 1 1
284 Tn Kasimun 1 1
285 03/28/2019 Ny Partni 1 1
286 Tn Rusik 1 1
287 Tn Suwito 1 1
288 Tn Sutriyanto 1 1 1
289 Tn Katman 3 1 2
290 Ny Sringatn 1 1
291 Ny Sulastri 1 1
292 Tn Sutrisno 1 1
293 03/29/2019 Tn Misdi 1 1
294 Tn yakun 1 1 1
295 Tn Jemadi 1 1 1
296 Ny Musinem/simus 2 1 1 1
297 An Rico 1 1 1
298 An Anggun 1 1
299 Tn Kasimun 1 1
300 An Ihmasil malik 1 1
301 Tn Mursat 1 1
302 Ny Kart 1 1 1
303 Ny Suminten 1 1
304 03/30/2019 Tn Kateni 1 1
305 Tn Giman 1 1
306 Tn Mujiono 1 1
307 Tri Eka 1 1
308 Ny Kart 1 1
309 An Rifa 2 1 1 2
310 Tn Misnanto 2 1 2
311 An Vino 2 1 1
312 Ny Katyem 2 1 1
313 Ny Saikem 2 1 1 10
314 Tn Rusik 1 1
315 03/31/2019 Tn Yakun 1 1
316 Tn Misdi 1 1
317 Tn Sutriyanto 1 1
318 An Rico 1 1
319 An Vimo 1 1
320 Ny Suminten 1 1
321 Tn Misnanto 1 1
322 Nn Atrik 2 1 1
323 Ny Martn 1 1
324 Ny Mujiat 2 1 1
325 Sarji 1 1
326 Tn Tekat 1 1
327 Tn Tekat 1 1
328 Abrisam 1 1

JUMLAH 387 170 156 41 58 10 58


ALBENDAZOLE 400 MG

ALBOTHYL

ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

AMBROXOL 30 MG

10
10
10
10
10
10

5
5
AMINOPHILLIN 200 MG

10
10
AMINOPHILLIN INJEKSI 24 MG / ML

2
AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG
5

AMLODIPIN 5 MG

AMOXCILIN INJEKSI SSERBUK SUSPENSI 1000 MG IM.IV

AMOXCILLIN 500 MG

10
10

AMOXCILLIN SYR.KERING 125 MG / ML

1
1

ANTASIDA DOEN

10
10
10
10

ANTASIDA SYRUP
10

10

10

10
10 10
3 1
10 10

3 10
10

10

10

10
1

10
10
10

10
1

10

10
10

10
2
10

10
10

10
10
5

10
10 10

10

5 10
10

10
10

10
10 10
5
10

10
10
10
10
10

5 10

10

5 10

10
10
10

10
10
10

10
10

10
10
10

10

10

10

10

10
10

10
10

10 5
5

10
10

10
1
10
10 10
10
10

10

10

10

5 1
10
10

10

10
10
10

10

10
1

10

10
10

10
10
10

10

10

10

10

10

10
10
10

10

10
10
10
10
10

176 30 2 10 63 235 8 745 2


ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

ANTI BISA ULAR INJEKSI ( SABU )

AQUA PRO INJEKSI

ASAM ASCORBAT 50 MG ( VIT.C )

10
ASAM MEFENAMAT 500 MG

10
ASAM TRANEKSAMAT 500 MG

ASERING INFUS

BEDAK SALICYL 2 %

BETAHISTIN

10
BETAMETASON CREAM

BIO COMBIN INJEKSI

BIONEURON

BORAX GLYSERYN
3

1
10

10

10
10

10

10
10
1

10

10

10

10

10

10

10
10
10
1

1
1 3
1

1
1
10

10

10

10

1
10
10

10

10 1

10

1
1
1

10

10

10

10
10

10

10
10
10
1 3

1
10
10

1
1 10

1
1

1
1

1 10

10

10
10
10

10
1 1 17 10 340 12 116 4
BROMHEXIN 8 MG

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG

10
10
CATETER # 18

CEFADROXIL 500 MG

10
CEFADROXIL SYRUP

1
CEFOTAXIM INJEKSI 1 G IM.IV

CENDO CETAMID 15 % TETES MATA

CHLORAMPHENICOLE TETES TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMPHENICOLE SALEP KULIT 1% ( FARCYCOL)

CHLORAMPHENICOLE SALEP.MATA 1%

CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG

10
10

CHLORPROMAZINE HCL 100 MG ( CPZ )


1

10

10
10

10

10
3
2

10

10

10

10 10

2
2

1
3
1

1
3

10

10

10

10
2
10

10 3
3

1
6

10
1

5
10

10

10

10
10

10

3
3

10
10

10

10
10
10
10

2
10

145 3 146 3 56 1 1 81
CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

10
10
COMBIVENT

1
1
1
1
COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

1 DEXAMETASONE INJEKSI 5 MG / ML

DEXAMETASONE 0,5 MG

DIFENHIDRAMIN INJEKSI

DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG

DOMPERIDONE 10 MG

10
5
10
1
1

10

1
1 1

10
10 10

10

10

10
10
1

1
1

10

10
10

10

1
10
10
5

1
10

1 1

10

10 10
1

10

10

10

3
10

4
10

10
1

1
1

1 6
1

10

1 1

1
10

10

20

10

10

1
1
10

20
2

1 5
3
1 1

1
10
1
1
1

200 33 40 2 12 8 60 131
DAU 26
BS 7
DOMPERIDONE SYRUP

DULCOLAK SUPP

EPINEPRIN INJ

ERYTROMICIN 500 MG

ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG

FURROSEMIDE injeksi

GDA

GENTAMICIN SALF

GARAM ORALIT

GLIBENCLAMIDE 5 MG
10
1
10
10
1
1 1 30
GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

10
GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

INFUSET ANAK

INFUSET DEWASA
1
1
1
1
1
1

ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

KALIUM PERMANGANAS ( PK )

KALSIUM LAKTAS ( KALK ) 500 MG


1
1
1

1
1

1
10

10

1
1

1
10 1
1

1
1

10
10

10

1
1

10 1
1

10
1

1
1

1
1
1

1
1

10

1
1

10

1
1
1

10
1
1

10

10

1
1
1
10
4

10 1

10 1
1

10
1
1

10
1
1
10 1
10 1

10 1

1
1
1
1
1

10

1
10 1
10

1
1
10 1
1

10

1
1
1
1
1
1

10

287 1 2 80

200
KETOKONAZOLE CREAM 2%

KETOROLAC INJEKSI

1
1
1
1
1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

LOPERAMIDE 2 ML

MELOXICAM 15 MG

MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

10
METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2

NATRIUM DIKLOFENAK 50 MG
1

10

1
1

1
1

1
1

1
1

1
1

1
1

2
1
2

2
1

10
1

1
1
1
1

1
1 10

1
1

10

1 10
10
1

1
10 10

10
1 10
1

10
1
1 5
1

1
10
1

1
1
1
2

10

1
10

1
1
1
1
1 10
10
1

72 11 20 1 10 125 20
NATRIUM KLORIDA ( NaCl ) 0,9 %

1
NEUROBION

NEW ANTIDES

10
10
NIFEDIPIN 10 MG

OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

1
1
1
1
1
2
1
ORALIT

PARACETAMOL 500 MG

10
10
10
10
10
10
10
10
10
10
10

PARACETAMOL SYRUP 120 MG / 5 ML

1
1
1
1

( PYREXYN) PARACETAMOL SUPPOSITORIA

PHENYTOIN SODIUM

PIRACETAM 400 MG

PIRACETAM 800 MG
1 10
1 1
1 10
1
10

10

10

1 10
10

1 10

5
10

10

1 10
10
10 10
2
10
1
10
1 10
1

10
10
1 10
10 1
10

1
1

1
10

1
1 10
1 2
10
1

10

10
1 10
1 10

1 10

10
10

10

1
1

1 10
1 1 10

1
1
1 10

10
10
5
10

10
1

10
10
1

10

10

1 1
10
10

10
10

1
1

10

10

1
10
1 10
1 10

10

10
10
3

10
10
3
10
1 1

1 10 10
10
4

10
10

10

10
1

10
1 10
1
1
6 10
1

10

10
1
1
10
1
5

10
1

10
1 10

1 10

10
1 10

1 10
1
1 10
10
10
10
1

10 10

1 1 10

10

1 10
1 3

10

1 10
1 10
10
1 10

10
1 10

1 10
10

10 50 1 6 67 10 1000 11 70
PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

PREDNISON 5 MG

10
10
PYRIDOXCINE ( B6 ) 10 MG

10
RANITIDIN 150 MG

10
6
6
RANITIDIN INJEKSI

2
2
2
2
1
2
1
RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID 400 MG

RL

3
3
3
3
3
2
1
1
1
3

SALBUTAMOL 2 MG

10
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN

SPUIT 5 ML
1
1
3
10 1 1
1

1 1
10

1
10 2 1
1

1 1

1 1 1

6
1 1
1
1

1 1
1 10
10 1 1

10
10 6
2 2 1
10 1 1 1

2 2
2 2
2 2
2 2
2
2
2 1

10

10
10

2
1 1
1

10 2 1

1
1
2
2

1 1

10
2 2
1 2
1 2
2 2
1 2
2
2

10 2
1 1 1
2
1 1
1

1
1

6
2
1
1
2 1 1
10

10 1 1
1
2
1 1

1 1

10

1 10

1
10 10
10

10

6
1
1 2
10

2 2
2 2
2 2
2
2 2
2
2
2
1
2
2
6
6

2
1 1 10
1

10 1 2

1
10

1 10 1
1
10
10
10
10 1 1
1

6
1 1 1

2
2 3
3
3
10 10
10
1
10 2 1

2 1 1
1
1
1 1 10 1

1 1

10 6

1 1 1
1 1
1 1 1
10
10

1 1
1 1

1
10
1
10

10 10

2 1
1
1 1
1

1
1

10 10
1 3
2 1
1 3
1 3
1

3
3
2 3
2 3
1
10 10
1 1
10

50 190 253 115 0 177 101 5 22


SPUIT 3 ML

1
1
1
1
1
1
STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

10
10
TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG

URINE BAG

VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10
10
10

5
5

VIT.A

W.I

ZINC 10 MG
10
10
1
1 10
1

1
1

10

10

10
1
1
1

1
1
1

10
10
10 10
10
1

10
10

1 10
1
10

1 10
1 10 10

1
1
1
10 10

10

1
1
1
1
1
1
10
1
1

1 10
1
1
1
1
1 10
1

1 10
10

10
1

1 10

10

10

1
1
1
1
1

10

10

1
1
1
1
10 10

10
1

1
1
1
1
1 10

1
1
1

10
1

1
10

1 10

10

10 10
1

1
1
1
1

1 10
1

1
1

1 10
10
1

1
10
2
10
10
1
1 10
10 10
10

1
1
1

10

1
1

1
1

1
1 10
1 10
1 10

10 10
10
10
1

97 1 120 3 450 100


RESEP
NO R/ TGL NAMA RI RJ

ACYCLOVIR 400 MG
ACETOSAL 100 MG

ACYCLOVIR SALF
ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24
1 04/01/2019 Nn Titn 1 1
2 Tn Basuki 3 1 1
3 Ny Merry 1 1
4 Tn Rusik 1 1
5 Ny Muji 3 1 1
6 Ny Simus 1 1
7 Ny Mujiat 1 1
8 An Gendis 1 1
9 04/02/2019 Tn Lamin 1 1 1
10 An Raisya 1 1
11 Ny Sit 1 1
12 Tn Lamidi 2 1 1
13 04/03/2019 Tn Basuki 1 1
14 Tn Lamin 1 1
15 Ny Mujiat 1 1
16 Tn Lamidi 1 1
17 Sdr Dikcy 1 1
18 Nn Titn 1 1
19 An Rifa 1 1
20 Ny Simus 1 1
21 Tn Syukur 1 1
22 Tn Misnanto 1 1
23 Ny Titk 1 1
24 An Jason 1 1
25 Ny Katumi 2 1 3
26 04/04/2019 Ny Mesinah 1 1 1 1
27 Ny Winart 1 1
28 Tn Jono 1 1
29 Tn Kusen 1 1
30 Tn Basuki 1 1
31 Tn Wariyanto 1 1
32 An Wiji lestari 1 1
33 Ny Hartatk 1 1
34 Nn Putria 2 1 1
35 Sdr Agung 1 1
36 Tn Kasimin 2 1 1
37 Tn Wiroso 1 1
38 Ny Anik 1 1 2
39 Ny Jemirah 1 1
40 Tn Pardi 1 1
41 04/05/2019 Tn Syukur 1 1
42 Nn Eli 1 1
43 An Efrilia 2 1 1
44 Ny Sirmi 2 1 1
45 04/06/2019 Nn Eka 2 1 2
46 Ny Anik 1 1
47 Nn Putria 1 1
48 Ny Soiyem 1 1 1
49 Ny Sarmi 1 1
50 Tn Munawar 1 1
51 Ny Sirmi 1 1
52 Ny Soiyem 1 1
53 Tn Rusik 1 1
54 An Gendis 1 1
55 04/07/2019 Ny Tri eva 1 1
56 Abian 1 1
57 Tn Kasmin 1 1
58 Ny Part 1 1
59 Ny Suratn 1 1
60 Nn Eka 1 1
61 Nn Reni 1 1
62 Ny Katumi 1 1
63 An Efrilia 1 1
64 Ny Sirmi 1 1
65 Nn Reni 2 1 2
66 Ny Mikem 1 1
67 Ny Mirah 1 1
68 Ny Mitri 3 1 1
69 Sdr Wahyu 1 1
70 Tn yitno 1 1
71 Tn Purwito lestari 1 1
72 Ny Reni 1 1
73 04/08/2019 Tn Tunggak 1 1
74 Ny Katni 1 1
75 Tn Katmin 1 1
76 Tn Bayono 1 1
77 Ny Mitri 1 1
78 Nn Reni 1 1
79 04/09/2019 Febriana 1 1
80 Tn Soiran 1 1
81 Tn Rusik 1 1
82 Tn Mukarnan 2 1 1
83 Asyaquin 1 1
84 04/10/2019 Ny Hartk 1 1
85 Nn Fitri 1 1
86 Ny Mira 1 1
87 Ny Tuminah 1 1 1
88 Tn Tukimin 2 1 1
89 Tn Giman 2 1 2
90 04/11/2019 Tn Kusen 2 1 1
91 Tn Bejo 1 1 1
92 Tn Sujarwo 2 1 1
93 Tn Djuadi 1 1 2
94 Sdr Zainal arifin 2 1 1
95 Tn Kaseni 2 1 1
96 Tn Giman 1 1
97 Tn Rusik 1 1
98 04/12/2019 An Trisa 1 1
99 Tn Sukirno 2 1 1
100 Ny Suyat 2 1 1
101 Ny Murt 1 1
102 Tn Imam 1 1
103 Ny Saniyem 2 1 1
104 Tn Matal 2 1 1
105 Nn Triningtyas 1 1
106 04/13/2019 Tn Kadis 1 1
107 An anggara 1 1
108 Ny Poniyem 1 1
109 Tn Matal 1 1 1
110 An Rifa stalisatur 1 1
111 Ita 1 1
112 Ny tukinah 1 1
113 Ny Minten 1 1
114 04/14/2019 Sofi 1 1
115 Tn Tukimin 1 1
116 Ny Saniyem 1 1
117 Tn Matal 1 1
118 Tn Sukirno 1 1
119 Tn kaseni 1 1
120 Ny Semiat 1 1
121 Sdr Zainal arifin 1 1
122 Tn Sujarwo 1 1
123 Ny Suyat 1 1
124 An syifa 1 1
125 Tn Sunar 1 1 1
126 An Amru 1 1
127 Tn yitno 1 1
128 Sdr Frengky 1 1
129 Tn Misenun 1 1
130 Ny Supadmi 2 1 1
131 04/15/2019 An Amru 1 1 2
132 Tn Boeran 1 1
133 Tn Mukri 1 1
134 Sdr Puput 1 1
135 04/16/2019 Tn Wiyoto 1 1
136 Tn Hadi C 1 1
137 By Nawang 1 1
138 Tn Wiyoto 1 1
139 Sdr Iyan 1 1
140 04/17/2019 Tn Rusik M 1 1
141 An Ahsan 1 1
142 Ny Misinah 1 1 1
143 An Amru 1 1
144 Ny Sarijem 1 1
145 Ny Mariyem 1 1
146 Nn Pita 1 1
147 04/18/2019 An Afreza 1 1
148 Ny Mesinah 1 1
149 Ny Sinah 1 1 1
150 Ny Kusrin 1 1
151 Ny Gemi 1 1
152 Ny Rusmini 1 1 1
153 Sdr Komarudin 1 1
154 Ny Jematun 3 1 2
155 04/19/2019 Ny Katemi 1 1 1
156 Ny Rusmini 1 1
157 Sdr Komarudin 1 1
158 Ny Jematun 1 1
159 Tn Gunung 1 1
160 Tn Suyadi 1 1
161 Tn Parkun 2 1 1
162 Ny Sumini 1 1 1
163 04/20/2019 Tn Romli 1 1 1
164 Tn Tumiran 2 1 2
165 Tn Wawan 1 1
166 Sdr Rangga 1 1
167 Tn Bardi 1 1
168 An Agista 2 1 1
169 04/21/2019 Ny Jematun 1 1
170 Ny Jatun 1 1
171 An Agista 1 1
172 Tn Dedi 1 1
173 Ny Sumini 1 1
174 Sdr Komarudin 1 1
175 Tn Tumiran 1 1
176 Tn Parkun 1 1
177 Tn Sarno 1 1
178 Tn warsito 1 1
179 Tn Priyo 1 1
180 Ny Katemi 1 1
181 Ny Kasiyem 2 1 1
182 Ny Jaitun 1 1
183 Nn Eka Aulia 1 1
184 Tn Sentot 1 1 1
185 04/22/2019 Tn Jayadi 1 1
186 Febriana 1 1
187 Tn Soeran 1 1
188 04/23/2019 Nn Lia 1 1 1
189 Tn Rusik 1 1
190 Ny Tut 1 1
191 Tn Bonari 1 1
192 Tn Midi 1 1
193 An septan 2 1 1
194 Tn Mulyani 1 1 1
195 04/24/2019 Ny Mesnatun 2 1 1 1
196 Nn Pita 1 1
197 Sdr Helga 1 1
198 Ny Mainem 2 1 2
199 Tn Loso 1 1
200 04/25/2019 Tn sutaji 1 1
201 Ny Mesnatun 1 1
202 Ny Mainem 1 1
203 Sdr Dadang 1 1
204 An Tanisha 1 1
205 An Akyla 2 1 2
206 An Narendra 1 1
207 Ny Anis 1 1
208 An Fajar 1 1
209 An Tanisha 1 1
210 04/26/2019 Tn sarmun 1 1 1
211 Nn Seli 1 1
212 Tn Dadang 1 1 1
213 Tn Giono 1 1 1
214 Tn Ahmad Muhtar 1 1
215 Tn Muryono 1 1
216 Sdr Ribut 1 1
217 04/27/2019 Tn Sumiran 2 1 1
218 Ny Katnem 1 1
219 Ny Sit juwariyah 1 1
220 Sdr Dadang 1 1
221 Tn Giono 1 1
222 Tn Bejo 2 1 1
223 Tn Semin 2 1 1 1
224 04/28/2019 Ny Mainem 1 1
225 Tn Giono 1 1
226 Sdr Dadang 1 1
227 Tn sarmun 1 1
228 Ny Rita 1 1
229 Tn Semin 1 1
230 Ny Katnem 1 1
231 An Daffa 1 1
232 Ny Juat 1 1
233 Tn Panimin 1 1
234 Nn Dita 1 1
235 Tn Bejo 1 1
236 Ny Mart 1 1
237 An Dimas 1 1
238 Ny Harmini 1 1
239 Tn sutaji 1 1
240 Ny Gemi 1 1 1
241 04/29/2019 An M Izza 1 1
242 Ny Hariyant 2 1 1
243 Ny Juat 2 1 1
244 Ny Gemi 1 1
245 Ny Hariyant 1 1
246 Ny Het 1 1
247 Ny Hariyantni 1 1
248 Ny Semi 2 1 1
249 Tn Bejo 1 1
250 Tn Sugianto 1 1
251 Nn Ika Yuliana 1 1
252 04/30/2019 Tn Giono 1 1
253 Ny Rusmiat 2 1 1
254 Ny Hariyantni 1 1 1
255
256
257 297 131 123 33 39 6
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
ALBENDAZOLE 400 MG

ALBOTHYL

ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

10
10
AMBROXOL 30 MG

AMINOPHILLIN 200 MG

AMINOPHILLIN INJEKSI 24 MG / ML

AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG

5
5
AMLODIPIN 5 MG

AMOXCILIN INJEKSI SSERBUK SUSPENSI 1000 MG IM.IV

AMOXCILLIN 500 MG
10
10

AMOXCILLIN SYR.KERING 125 MG / ML

ANTASIDA DOEN

10
10
10
10
10
10

6
ANTASIDA SYRUP
10
10

10 10 10

10

10

10
10

10
10
10

10
10
10
10
10

10

10
10
10

10
10
10
10
10
10 10
10

10

10 10

10
10 10
10

4 1

10 10
10 10
10
10
10 10
10
10
5

10
10
10

5 5
10

10

10

10
10 10

10 10
10
10
10
1

10 10
10
10 10
2

10

10

10

10

10
10

10
10
10
10
10
10 10
10

10
10
10

10
10

10
10

10
10 10 10

10
10
10

10

3
10
5

10

10

10

10
10
10

10 10

10
10
4
10

10
10

10

337 30 2 70 258 1 546


ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

ANTI BISA ULAR INJEKSI ( SABU )

AQUA PRO INJEKSI

1
1
ASAM ASCORBAT 50 MG ( VIT.C )

ASAM MEFENAMAT 500 MG

ASAM TRANEKSAMAT 500 MG

ASERING INFUS

2
2
BEDAK SALICYL 2 %

BETAHISTIN

10
BETAMETASON CREAM

BIO COMBIN INJEKSI

BIONEURON

BORAX GLYSERYN
8

10
10

10
10

10

1
3

10
1

1
1
1

1
1
1

1
6
10

10

1
1

6
1
10
10
10

10

10

10

10

6
10

10

3
3
1
1

6 1
10

10

21 190 13 66 1 4
BROMHEXIN 8 MG

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG

10
CATETER # 18

CEFADROXIL 500 MG

10
CEFADROXIL SYRUP

CEFOTAXIM INJEKSI 1 G IM.IV

3
2
3
2
2
CENDO CETAMID 15 % TETES MATA

CHLORAMPHENICOLE TETES TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMPHENICOLE SALEP KULIT 1% ( FARCYCOL)

CHLORAMPHENICOLE SALEP.MATA 1%

CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG

CHLORPROMAZINE HCL 100 MG ( CPZ )


10

10
10

10

10

10

10
2
3

10

10

2
3
3

3
3
3

10
10
10
10

10

10

3
3

10
1

10

3
10

10

10

10

10
10
10

3
3

10

10

10
10 2

100 130 74 70
CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

COMBIVENT

1
1
1
1
1
1
COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

1
DEXAMETASONE INJEKSI 5 MG / ML

DEXAMETASONE 0,5 MG

3
10
10

DIFENHIDRAMIN INJEKSI

DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG

DOMPERIDONE 10 MG

10
10
10
10
10

5
1
1

10

10

1
1

10
1

10

10

10

1
1

10

10

10

10
1

1
1 4

10

1
1

10

10
20
10
5
10

1 1
1

10

10
1 1

10

10

10

10

10

10
10

10

10

1
10

10

10

1
5
1 3
10

5
10

10
3

1
10

10
1

10
10

1 4

10

10

1
1

10

50 70 34 20 4 100 288
DOMPERIDONE SYRUP

DULCOLAK SUPP

EPINEPRIN INJ

ERYTROMICIN 500 MG

ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG

FURROSEMIDE injeksi

GDA

GENTAMICIN SALF

GARAM ORALIT

GLIBENCLAMIDE 5 MG
10
10
10

10
10

1
30 1 20
GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

INFUSET ANAK

INFUSET DEWASA

1
1
1
1
1
1

ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

KALIUM PERMANGANAS ( PK )

KALSIUM LAKTAS ( KALK ) 500 MG


1

1
1
1

1
1

1
1
1
1
1
1
1
1
1

1
1

1
1

1
1
1

1
1

1
1
1 10
1

1
1

1
1
1

1
10

1
1
1

1
1

1
1

1 71 10
KETOKONAZOLE CREAM 2%

KETOROLAC INJEKSI

1
1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

LOPERAMIDE 2 ML

MELOXICAM 15 MG

MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

10
METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2

NATRIUM DIKLOFENAK 50 MG
1

1
1
1
1

2
10

10

1
1
1
1
1

1
1
1

1
1

1
1

10

10
1
1

10
10

10

1
10

10 10
1
1
1
1

10
1
1

1
1
1
1

1
1
1

10

1
1
10

1
1
10
1
1

1
1

10
10
1

1
1

10
1

1
1

67 6 10 160 10
NATRIUM KLORIDA ( NaCl ) 0,9 %

1
NEUROBION

NEW ANTIDES

NIFEDIPIN 10 MG

OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

ORALIT

PARACETAMOL 500 MG

10
10
10
10
10
10
10
10
10
10
10
10

PARACETAMOL SYRUP 120 MG / 5 ML

( PYREXYN) PARACETAMOL SUPPOSITORIA

PHENYTOIN SODIUM

PIRACETAM 400 MG

PIRACETAM 800 MG
10
10 10
10
10
10
10

10

10
10
10
10
10
10

10

10

10
10

10
1
1
10
10

10
10
10
10

10

10

1
10
10
10

10

10
10
10

10
5
10

10 6 10
2 10
10

10

10

10

10

10
10

3 10
10

10
1

1
10
10

10

10

10

10

10
10

10

10
3

10

10

10
10
10

10
10

17 50 6 745 4
PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

PREDNISON 5 MG

PYRIDOXCINE ( B6 ) 10 MG

10
10
10
10

6
RANITIDIN 150 MG

10
5
RANITIDIN INJEKSI

1
1
1
1
2
2
1
1
1
RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID 400 MG

RL

3
2
2
2
2
2
2
1
1
1
1

SALBUTAMOL 2 MG

10
10
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN

SPUIT 5 ML
10 2 1
10
1 1

1
10

1
1 1 1
10 1 1 1

10
1
10

1
1

3
3
2 3 1

3
3
2 3
10 2 1

1 1
2

10 10

1
1
1 1
1
1
1 1 1
1
10 1 1 1
1 1 1
10

2
1 1
1 1 1

6
1 1 1
1 1 1
6
10

10
2 2
2
2
2 2 10
2 2
2 2
2
2 2
2
1 2 1
5
2 1
1 1 1

10

2 2

2 2

10 2 1 1
2 1 1
2
3 1
2 3 1

10 1 1 1
1 1
1 1

1 1
2 2 1
2
2 2 1
2
2
2 1
1 2
2 2 1
2 2
2 2
1 1

10

1 1

10 10
1 1

2 1

10 1 1

2 2
2 2
10

1 1
1

1 1 1

1
10 1

1 1

2 1 10 1
2 1 1
2 3 1
2
2 3
2 1
2 2

2
3

1 1 1
2
1 1 1
1 1 1

1 3
1 1

30 161 67 101 155 82 3 37


SPUIT 3 ML

1
1
1
1
1
1
2
STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

10
TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG

URINE BAG

VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10
10
10
3
VIT.A

W.I

ZINC 10 MG

10
10
1 10

10

1 3

10
10
1 10

1
10
10
1 10

1
10

1
10

10
1
10

1
1 10
1
1 10

1
1

10

10
10

10

10

10
10
10

10

10
10

10

1 10
10

10

1
1
1

1
1

1
1
1
10

10 10

1 10

1
1 10
1
1
1
10

1 10

1
1

10

1
1 10
1

1
1
1
1

1 10

10
10

1 10

10

1
10
1
1

60 30 426 66
JULY'19
NO R/ TGL NAMA RESEP RI RJ ABOCATH N
ABOCATH ABOCATH
1 43647 Tn Tri Wah 1 1
2 Ny Ernawat 1 1
3 Ny Landep 1 1 2
4 43648 Tn Sudars 1 1
5 Tn Misdi 1 1 1
6 Tn Kuat 1 1
7 Ny Lina 2 1 2
8 Nurdin 1 1 1
9 43649 Citra Audin 1 1
10 An Raisya 1 1 1
11 An Amy 1 1
12 Ny Lina 1 1
13 Tn solekha 1 1 1
14 An Abizar 2 1
15 Ny Katemi 1 1
16 Ny Tonisah 1 1
17 Ny parmi 1 1 1
18 Tn Setu 2 1 1
19 Ihzamil 1 1
20 43650 Tn Tukiyo 1 1
21 Nn Nova 1 1
22 Ny Sri Wah 1 1 1
23 Tn Sigit 2 1 1
24 An Adam 2 1
25 43651 Tn Sigit 1 1
26 Ny Musriat 1 1
27 Ny Intan 3 1 2
28 Tn Mesiran 1 1
29 An Adam 1 1
30 An Raisya 1 1
31 Tn Sigit 1 1
32 An Galih 1 1
33 An angelin 1 1
34 43652 Ny ismiatu 2 1 1
35 An Atar 2 1
36 An Isnaini 1 1
37 Tn Danang 1 1
38 43653 Tn Sujarno 1 1
39 Tn Setu 1 1
40 Sdr Catur 1 1
41 Ny Sumira 1 1
42 Ny Intan 1 1
43 Tn solekha 1 1
44 Ny ismiatu 1 1

Page 316
JULY'19
45 An Isnaini 1 1
46 Sdr Catur 1 1
47 An Atar 1 1
48 Novi Dian 1 1
49 43654 Tn Sugito 1 1
50 Tn Nanang 2 1
51 Tn Tuyadi 1 1
52 Tn Damun 1 1 3
53 Tn Saiman 2 1 1
54 Tn Sugito 1 1
55 43655 Ny Rusmin 1 1
56 Sdr Wahyu 1 1
57 Ny Ani 1 1
58 Tn kaseni 1 1 1
59 43656 An Arjuna 1 1
60 An Saputra 1 1
61 An Yopi 2 1
62 An Gabriel 2 1 2
63 Tn sakun 2 1 1
64 Ny Supart 2 1 1
65 Tn edi 1 1 1
66 Ny Sarmi 1 1
67 43657 Tn Marjo 1 1
68 Tn edi 1 1
69 An Arsi 1 1
70 Tn sarkun 1 1
71 An Gabriel 1 1
72 Nn Bint 1 1
73 Tn Sudarto 1 1
74 43658 Ny Miyam 1 1
75 Ny Supini 1 1
76 An Arsila 1 1
77 Aprelia 1 1
78 An Ulil 1 1
79 Tn Hartoyo 1 1 1
80 Tn Sugito 1 1
81 An Akbar 1 1
82 43659 Tn Meseno 1 1
83 Ny Miyam 2 1 2
84 An aufa 1 1
85 Ny Djemat 3 1 1
86 Tn Suradi 1 1 1
87 An Zifa 1 1
88 Ny Partun 2 1 2
89 Sdr Bagas 2 1

Page 317
JULY'19
90 Tn Misnant 1 1 1
91 43660 An Nataro 1 1
92 An Arjuna 1 1
93 Nn Terry 1 1
94 Tn Misnant 1 1
95 An Zifa 1 1
96 An aufa 1 1
97 Ny Partun 1 1
98 Ny Djemat 1 1
99 Tn Suradi 1 1
100 An Arya 1 1
101 An Adam F 1 1
102 Ny Sri Han 1 1
103 Tn Tri Cah 1 1
104 43661 Ny Part 1 1 1
105 Tn Misnant 1 1
106 Ny Partun 2 1 1
107 Ny Suji 2 1 2
108 Nn Aprilia 1 1
109 Ny Mesiye 2 1 1
110 Ny Jannat 1 1
111 An Ihda Am 1 1
112 Tn Sijan 1 1
113 An Arjuna 1 1
114 43662 Tn Kamijo 1 1 2
115 An habibi 1 1
116 Bagas 1 1
117 An Arjuna 1 1
118 Bojadi 1 1
119 Ny part 1 1
120 Ny Sit Nurl 1 1
121 Ny Prapt 1 1
122 43663 Tn Menail 1 1
123 An Naila 1 1
124 43664 Tn Sunarn 2 1 1
125 Ny Mut 2 1 2
126 Ny Sri kaya 1 1
127 An Stabita 1 1
128 43665 Sdr Denis 1 1
129 Tn Marijan 1 1
130 Tn Suyatno 1 1
131 Ny Sukarm 2 1 1
132 Tn Sumarn 1 1
133 Aprelia 1 1
134 Yusuf 1 1

Page 318
JULY'19
135 43666 Ny Surat 1 1
136 Ny Toni Su 1 1
137 Bagas 1 1
138 abrisam 1 1
139 Tn yatran 1 1
140 Arjuna 1 1
141 Karjono 1 1
142 jouhan 1 1
143 Ulin 1 1 1
144 Brian 1 1 1
145 Tn Saijo 1 1
146 Taupan 1 1
147 43667 Tn Marijan 2 1 1
148 Tn Jemikun 1 1
149 Ny Mut 1 1
150 An Ulin 1 1
151 Tn saijo 1 1
152 Tn Marijan 1 1
153 Ny Sukarm 1 1
154 Rizki 1 1
155 An Aracell 1 1
156 Ulin 1 1
157 Sri Widaya 1 1
158 43668 Tn Suroso 1 1 2
159 Tn M Ali 1 1
160 Ny Jemirah 1 1 1
161 Tn sarni 1 1

Page 319
JULY'19
ABOCATH ACETOSAL ACYCLOVIRACYCLOVIRALBENDAZALBOTHYLALLOPURINALPHARA ACETYL CYAMBROXOL
10

10

1
10
10

10

10

10

Page 320
JULY'19

10

10

1
2

10

1
10

Page 321
JULY'19

20 1

10

10

10
2

10

10

Page 322
JULY'19
10

10

10

10
10

Page 323
JULY'19
AMINOPHIL
AMINOPHIL
AMITRIPTIAMLODIPI AMLODIPI AMOXCILINAMOXCILLIAMOXCILLIANTASIDA ANTASIDA
10

1
1

10

10

10

10 10

10
10

10

10
10

1
1
10

10
10
10

10

Page 324
JULY'19

10
10
10

10
10

10
1

10
10
10

10

10

10 10
10

10

Page 325
JULY'19
10
1
1

10
10

10

10

10

10

10

1
10
10 10
1
1

10 10
10

Page 326
JULY'19
10

10
1

10

10
10
10

10

1
1

10

Page 327
JULY'19
ANTI BAKTANTI FUNGANTI HEMO
ANTI TETAN
ANTI BISA AQUA PROASAM ASCOR
ASAM MEFASAM TRAASERING I

10

10

10

Page 328
JULY'19

10

10

10

10

10

10

10

Page 329
JULY'19

1
1

10

10

10

Page 330
JULY'19

10
10

10

1
1

Page 331
JULY'19
BEDAK SALBETAHISTI BETAMETABIO COMBIBIONEUROBORAX GLYBROMHEXIBYOLISIN BYOLISIN CAPTOPRIL

10

10

Page 332
JULY'19

10

10
10

Page 333
JULY'19

10

10

Page 334
JULY'19

Page 335
JULY'19
CAPTOPRILCATETER #CEFADROXICEFADROXICEFOTAXIMCENDO CETCHLORAMPCHLORAMPCHLORAMPCHLORAM

1
1

3
3

Page 336
JULY'19
1
3
1

1
3
1

10

10

10
1

10

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10

1
1

10

10

10

10

10

Page 338
JULY'19
10

10

10

10

1
1

10

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JULY'19
CHLORPHEN
CHLORPROM
CIMETIDINCIPROFLOXCOMBIVENCOPARCETCOTRIMOKCOTRIMOKS
DECACITINE
DECOLGEN

1
10

1
1

1
1

Page 340
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10 1

Page 341
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1
1
10

Page 342
JULY'19

10

10

10

Page 343
JULY'19
DEXAMETAS
DEXAMETADIFENHIDRDIAZEPAMDIAZEPAMDIGOXIN 0DIMENHIDR
DOMPERIDDOMPERIDDULCOLAK

10

Page 344
JULY'19

10

10

10

10
10

10

Page 345
JULY'19

10

10

10

10

Page 346
JULY'19

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EPINEPRINERYTROMIC
ERYTROMIC
FENOL GLYFERROSI S FITOMENAD
FOLLEY CHFURAMIN IFURROSEMFURROSEMI

Page 348
JULY'19

10

Page 349
JULY'19
GDA GENTAMICIGARAM ORA
GLIBENCLAGLUCOSA GLYCERYL GRISEOVULHALLOPERIHALLOPERIHALLOPERI

Page 350
JULY'19
HIDROCORHYOREX HIDROCHLO
IBUPROFENINFUSET AINFUSET ISONIAZIDEISOSORBIDKALIUM PEKALSIUM L

1
1

1
1

1
1

1
1
1

1
1

1
1

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1
1

1
1
1
1
1

1
1

1
1
1
1
1
1

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1

1
1

1 10

1
1

1
1

Page 353
JULY'19

1
1

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KETOKONAKETOROLAC
LIDOCAIN LIDOCAIN 2LOPERAMID
MELOXICAMESS METFORMIMETHIL ERMETHIL P

10

1
1
10
10

1
1
1
1 10

Page 355
JULY'19

1
10

1
1

1
1

1
1

1
1
1
10
2

Page 356
JULY'19

1
1

10

10

10

10

10

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JULY'19

1
10

1 10

10
1

Page 358
JULY'19
METOKLOPMETRONIDMOLAGIT MYCOSTOPNASAL O2 NATRIUM DNATRIUM KL
NEUROBIONEW ANTINIFEDIPIN

Page 359
JULY'19

1 1

10

10

10
10

10

10

Page 360
JULY'19
10

10

1
20

1 1

Page 361
JULY'19

3
3

Page 362
JULY'19
OBAT BATUOMEPRAZOONDANCETONDANCETONDANCETR
ORALIT PARACETA PARACETAM
( PYREXYNPHENYTOI
10

1 3

1 10
10

10
1 10

1
1
1
1 1

10

Page 363
JULY'19

1 10

10

10
10

1
1 1
1 10
10
1 10

10
10
10 10

10
10

1 10

10

1 10 10
1
1 10
1 10
10

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1 10 10
10
10

1 10
10
1 10
1 10 10
10

10

1 10

10

10
10

1
1 10
1 10

10

10
10
1 10

10

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10

10

10
1
1

1 10
10

10

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PIRACETAMPIRACETAMPIRACETAMPIRACETAMPIROXICAMPREDNISOPYRIDOXCIN
RANITIDINRANITIDINRIFAMPICI

10 2

10 10

3 1

10 1

10

10
10 2
1

10
1

10 1
6

2
2

Page 367
JULY'19

2
1
2

10 1

1
1
1

10
10

10

Page 368
JULY'19
1

10 6

10

1
10 1
10 10 1

1
10 10

Page 369
JULY'19

10

1
10 1

10
1

2
10

10 1
2
10
10

Page 370
JULY'19
RFAMPICINRL SALBUTAMSALBUTAMSALEP 2-4 SCABIMITESIMVASTATSPUIT 5 MSPUIT 3 M STELOSI (

1
1
1 1

1 1

1 1

1 1
1 1 1

1 1

1
1
1 1
1 1

1
2 1 1
1 1 1

1 1
1 1 1
1
1

2 1
2 1
2 1

Page 371
JULY'19
2 1
2 1
2 1
2 1

1 1 1

1 1 1

1 1

1
1 1 1
1 1
1 1
1 1
1 1
10

1
1 1

10
1 1 1
1 1
1 1
1 1
1 1
1 10 1
1

Page 372
JULY'19
1 1 1

1 1
2 1
2 1
2 1
1
2 1
2 1

1 1

1 1
1

1 1

10
1 1 1

10

1 1
1 1
1

10

1 1

Page 373
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1 1
1 1

10
1 1
2

2
2
10

1 1 1

1
1 1
1
1

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JULY'19
STESOLID STOLAX SUSUFRATULLSULFACETATHYAMEX TRIHEXYPHE
TYAMIN ( BURINE BAGVALINSANM
VIT.B COM
10
10

10
10

Page 375
JULY'19

10

10
10

10
10

10

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JULY'19

10

10

10

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10

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VIT.A ZINC 10 MG

10

10

10

10

Page 379
JULY'19

10

10
10

10

10
10

10

10

10

Page 380
JULY'19

10

Page 381
JULY'19

10

Page 382
RESEP
1 TGL NAMA RI RJ

ACYCLOVIR 400 MG
ACETOSAL 100 MG
ABOCATH NO. 18

ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24
1 09/01/2019 An Riski 1 1
2 An Rafli 1 1
3 Ny Suyat 1 1
4 Nn Nova Fitriani 1 1
5 Ny Sumartn 1 1
6 Ny Murni 1 1
7 An Tania 1 1 1
8 Sdr Denis 1 1
9 By avandi 1 1
10 Ny Nyami 1 1 1
11 An Kirana 1 1 1
12 Tn Goiman 1 1 1
13 09/02/2019 Ny Liana 1 1 1
14 Tn Wajib 1 1
15 Tn Wakid 1 1 1
16 Ny Nyami 1 1
17 An Giana 1 1
18 An Zakia amalia 1 1
19 Tn Mulyono 1 2 1
20 Ny tumi 1 1
21 Ny Sumi 1 1 1
22 09/03/2019 Tn Nanang 1 1
23 Tn Deri 1 1
24 Ny Misrini 1 1
25 Ny Windi 1 1
26 Tn Sutoyo 1 1
27 An Arsy 1 1
28 Ny Susant 1 1
29 Ny Bibit 1 1
30 An Rizal 1 1
31 An rafli 1 1
32 Ny tumi 1 1 1
33 Ny Widi 1 1 1
34 Nn Diah 1 1
35 Tn Sutoyo 1 1
36 An Fadlan 1 1 1
37 09/04/2019 An M Naufal 1 1
38 An Al Idris 1 1
39 Ny Partni 1 1
40 Ny Supini 1 1
41 Ny Rina k 2 1 1
42 An Afiandika 2 1 1
43 Ny Roiin Umaya 1 1
44 Sdr Nanda 1 1
45 09/05/2019 Tn Rusik 1 1
46 Ny Tumi 1 1
47 An Raisya 1 1 1
48 An Raisya 1 1
49 Ny Surip 2 1 1 1
50 09/06/2019 Wisnudin 1 1
51 An Intan 1 1
52 Tn Kaselan 2 1 1
53 Ny Gat 2 1 1 10
54 Nn Dela 1 1
55 Nn Sit Nuraini 2 1 2
56 09/07/2019 Ny Tri Widodat 1 1
57 Tn Ali 1 1
58 Ny Endah 1 1
59 Ny Surip 1 1
60 Tn Sumaryono 1 1 1
61 An Pradipta 1 1
62 An Resa 1 1
63 Nn Dwi 1 1 1
64 09/08/2019 Ny Patmi 1 1
65 Tn Budianto 1 1
66 Ny Gat 1 1
67 Ny Surip 1 1
68 Tn Jemiran 1 1
69 Tn Sawal 1 1
70 Nn Sit Nuraini 1 1
71 Nn Dwi 1 1
72 Tn Kaselan 1 1
73 Nn Vina 2 1 1
74 Ny Kedah 1 1 1
75 Ny Merry 1 1
76 An Windra 2 1 1
77 09/09/2019 Nn Mega 2 1 1
78 Ny Gat 1 1
79 An Hilya 1 1
80 09/10/2019 An Alvi 1 1
81 Tn Darmi 1 1
82 Ny Ella 1 1
83 Ny Kedah 1 1
84 An Naginsa 1 1
85 09/11/2019 Tn andik 1 1
86 Nn Vina 1 1
87 Tn Muhadi 1 1 1
88 Tn sarimun 1 1
89 09/12/2019 Ny Sit nurlela 1 1
90 Nn Ulfa 1 1
91 An Varen 1 1
92 Ny Dewi 2 1 1
93 Nn anggi 2 1 1
94 09/13/2019 Ny Anjang 1 1
95 Tn Suradi 1 1
96 Ny Rusmini 1 1
97 Tn Muhadi 1 1
98 An Noviana 1 1 1
99 Sdr Ahmad 2 1 1
100 09/14/2019 Ny Sakinem 1 1
101 An Fatma 1 1
102 Ny Dewi 1 1
103 Sdr Adly 2 1
104 An Zulfa 1 1
105 Ny Tuminah 1 1 1
106 09/15/2019 Nn dania 1 1
107 An Zulfa 1 1
108 An Noviana 1 1
109 Ny Dewi 1 1
110 Ny saikem 1 1
111 Ny Tuminah 1 1
112 An Rofiah 1 1 2
113 Ny Zulfi k 1 1
114 Ny Koinem 2 1 1
115 Ny Suprihatn 2 1 1
116 Ny Partnah 1 1
117 Tn Wahyudi 1 1
118 16-9-2019 Ny Riza R 2 1 1
119 Ny Riza R 1 1
120 Rizki 1 1
121 Raka 1 1
122 Ny Suprihatn 1 1
123 Ny Supatmi 2 2 1
124 17-9-2019 Tn Senun 2 1 1
125 Ny Supatmi 1 1 1
126 Tn Parno 2 1 1
127 Tn Nurkolis 2 1 1
128 18-9-2019 An Maharani 2 1 1
129 An Vafian 1 1
130 Denisa 1 1
131 Tn Rusik 1 1
132 Ny Riza R 1 1 1
133 19-9-2019 Tn Surorejo 1 1 1
134 Sdr Reza Fajar 1 1 1 1
135 Mei 1 1
136 Nn Novenda 1 1
137 Tn Senin 2 1 1
138 An Revino 1 1
139 Tn Senin 1 1
140 20-9-2019 Ny Ratna 2 1 1
141 Tn Juki 1 1
142 Tn Maghfur 1 1
143 Tn Kusnadi 1 1
144 Tn Rusik 1 1
145 Ny Partnah 1 1
146 Tn Tukimun 1 1 1
147 Ny Rimba 1 1
148 Ny Eni 2 1 1
149 Tn Devit 2 1 1
150 Ny Mesinem 2 1 1
151 21-9-2019 Ny Rimba 1 1 1
152 Ny Widayat 1 1
153 Tn Suwaji 1 1
154 Ny Anjang 1 1
155 Ny Waginah 1 1 1
156 Sabrinamozza 1 1 10
157 Tn Sudiono 2 1 1
158 Ny Mesinem 1 1
159 22-9-2019 Tn Rusik 1 1
160 An Calista 1 1
161 Ny Waginah 1 1
162 Tn Sudiono 1 1
163 Ny Rimba 1 1
164 Ny Ratna 1 1
165 Tn Devit 1 1
166 Ny Enik 1 1
167 Ny Paitun 2 1 1
168 Tn Slamet 1 1 1
169 Tn Jemadi 2 1 1
170 Ny Eni 1 1 1
171 Denias 1 1
172 23-9-2019 Nn Cipa Audi 1 1
173 Ny Warsini 1 1 1
174 Tn Kusnadi 1 1
175 Sdr Dita Damar 1 1
176 Sdr M Almas Najid 1 1 1
177 Nn Cipa Audi 1 1
178 Nn Cindi Fransiska 1 1
179 Ny Titn 1 1 1
180 Sdr David Syaiful 1 1 1
181 Ny Kadinem 1 1 1 10
182 Ny Boinem 1 1 1
183 24-9-2019 M Ilham Al Azzam 1 1
184 Ny Soinem 2 1 1
185 Danang Dwi 1 1
186 An Devan 1 1 1
187 25-9-2019 Tn Jemirin 1 1 1
188 Afikdiyah 1 1
189 An Devan 1 1
190 Ny Kart 1 1
191 Tn Turmudi 1 1
192 An Gandiz 1 1
193 An Nazwa 2 1 1
194 26-9-2019 An Vanesi 2 1 1
195 Tn Maghfur 1 1
196 Kenrao irgi 1 1
197 Ny Jart 2 1 1
198 Tn Maghfur 1 1 1
199 An Arieny 1 1 1
200 Tn Maghfur 1 1
201 27-9-2019 An Hanif 1 1
202 Sdr Denis 1 1
203 Tn Maghfur 1 1
204 Tits Puji 1 1
205 Ny Tutk purwat 3 1 1
206 Ny Yatun 2 1 1
207 Tn Miswanto 2 1 2
208 Ny Misinem 2 1 2
209 09/28/2019 Ny Partni 1 1 1 1
210 Ny Yundari 1 1 1
211 Kenrao irgi 1 1
212 Ny Jart 1 1
213 Tn Sinto 1 1
214 An Alfarro 2 1
215 Ny Katmiatun 2 1 1
216 09/29/2019 Ny Partni 1 1
217 Ny Katmiatun 1 1
218 Ny Mesinem 1 1
219 Ny Yundari 1 1
220 Ny Tutk purwat 1 1
221 Tn Jemirin 1 1
222 Tn Miswanto 1 1
223 An Arieny 1 1
224 Ny Yatun 1 1
225 Ny Warsi 1 1
226 Ny Elis purwat 1 1
227 Tn Warimun 1 1
228 Nn ayu 1 1
229 Tn Sarno 1 1
230 Ny Taniyem 1 1
JUMLAH 270 127 105 4 30 50 20 10
ACYCLOVIR SALF

ALBENDAZOLE 400 MG

ALBOTHYL

ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

10
10
10

2
2
4
5
AMBROXOL 30 MG

AMINOPHILLIN 200 MG

AMINOPHILLIN INJEKSI 24 MG / ML

2
AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG

10
10
AMLODIPIN 5 MG

AMOXCILIN INJ SERBUK SUSP 1000 MG IM.IV

AMOXCILLIN 500 MG

10
10
10

AMOXCILLIN SYR.KERING 250 MG / ML

1
1

ANTASIDA DOEN

10
10
10
10
10
10
10
10

10

10

10
10
10
10

10
10

1
1
10
10 10

10 10 10

10

10

10

10
10 10
10

10
10

10
4 1

10

10

10

10

10

10
10 10
10 10

10

10
10
10
10

10
10

10
10

10

2
10

10 10
10
2
10

10

10

10

10

10
10

10
10

10
4 1

10
10

10 10
10
10 10
10

10
10
10
10
10
10

10
10

10
10
10
10 184 30 8 125 175 7 440
ANTASIDA SYRUP

1
1
1
1
1
ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

1
ANTI BISA ULAR INJEKSI ( SABU )

AQUA PRO INJEKSI

ASAM ASCORBAT 50 MG ( VIT.C )

ASAM MEFENAMAT 500 MG

10
10
10
10
ASAM TRANEKSAMAT 500 MG

10 ASERING INFUS

BEDAK SALICYL 2 %

BETAHISTIN

BETAMETASON CREAM

BIO COMBIN INJEKSI

BIONEURON
1 1
1

1
1

10

10

1
10 1
10

10

1 10

10

10

1
10
10

1
10

1 10

10
1

1
1

10
10

1
1

1
1
1
1

1 1

10
10

1
1

1
1
1

10

1
1

10

1
10

10
31 5 15 230 10 10 1
BORAX GLYSERYN

BROMHEXIN 8 MG

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG

CATETER # 18

CEFADROXIL 500 MG

CEFADROXIL SYRUP

CEFOTAXIM INJEKSI 1 G IM.IV

1
1
CENDO CETAMID 15 % TETES MATA

CHLORAMP TTS TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMP SALP KULIT 1% ( FARCYCOL)

CHLORAM SALP MATA 1%

CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG


2

1
1

2
10

2
1

10

10

10

3
10

3
2

10

10
3
10

10

4
3
3
3
3

3
3
3
3

1
1

10
2

1
3
3
3

3
3
3
3
50 40 82 1 15
CHLORPROMAZINE HCL 100 MG ( CPZ )

CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

COMBIVENT

1
1
1
1
1
1
1
1
COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

1
1
DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

DEXAMETASONE INJEKSI 5 MG / ML

DEXAMETASONE 0,5 MG
10

2
2
4
3
DIFENHIDRAMIN INJEKSI

2
1
DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG
1

10
1 10
1

1
1
1
10
1 4

2
1 3

1
10

3
10

1
1

10

1
10
1
3

10
1 4

1
1
1

10
10 20 35 2 6 101 3
DOMPERIDONE 10 MG

10
DOMPERIDONE SYRUP

DULCOLAK SUPP

EPINEPRIN INJ

ERYTROMICIN 500 MG

ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG

FURROSEMIDE injeksi

GDA

1
GENTAMICIN SALF

GARAM ORALIT
6

10

6
10

10
5

10

10
57 20 1
GLIBENCLAMIDE 5 MG

GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

INFUSET ANAK
1

INFUSET DEWASA

1
1
1
1
1
1
1
1
1
1
1

ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

KALIUM PERMANGANAS ( PK )
1
1

1
1

1
1

1
1
1
1

1
1

1
1

1
1

1
1

1
1
1

1
1

1
1
1
1

1
10 1
1
1

1
1
1
1
1

1
1

1
1

1
1
1

1
1 10
1
1
1
1

1
10 3 73 10
KALSIUM LAKTAS ( KALK ) 500 MG

KETOKONAZOLE CREAM 2%

KETOROLAC INJEKSI

1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

1
LOPERAMIDE 2 ML

MELOXICAM 15 MG

MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

10
METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2
1
1
1
1

1
1

1
1
1
1

10
10
1
1
10
1

10
1

1
1

1
1

1
1

10
1

2 10

10
1

1
10

1
1
1
1

1
1

1
1

1
1

1 10
1
1

1
1
1
1

2
60 0 10 10 70 20 1
NATRIUM DIKLOFENAK 50 MG

10
NATRIUM KLORIDA ( NaCl ) 0,9 %

3
1
NEUROBION

NEW ANTIDES

10
NIFEDIPIN 10 MG

OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

1
1
1
1
1
1

ORALIT

5
PARACETAMOL 500 MG

10
10
10
10

4
2
5
PARACETAMOL SYRUP 120 MG / 5 ML

1
1
1
1

( PYREXYN) PARACETAMOL SUPPOSITORIA

1
1

PHENYTOIN SODIUM

PIRACETAM 400 MG
1
1

10

1
1
2

10

10
10 10
10

1
1
1
1 10

3
3
10
1
1

1
20

1
1

1 1
1

1
10
6 10

10
10
1
10

1
10
1 10
1 1

10
10

10
1
10
10
1 1
10
1 10

10 1

1 1

1
1

1 10

1
10

10

10
1
5
1 1 10
10

6 10
4
6

1
1 10
1 10
6
10
10

1 1

10
1 10
1 1

10
1 10
1 10

10 10
10
10

10

10
20 21 80 24 34 15 443 16 4
PIRACETAM 800 MG

PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

10
PREDNISON 5 MG

PYRIDOXCINE ( B6 ) 10 MG

10
10
10
10

RANITIDIN 150 MG

10
10
10

6
6
RANITIDIN INJEKSI

1
1
1
1
1
1
1
1
1
2
2

RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID

RL

1
1
1
1
1
1
1
1
1
1
1
2
2

SALBUTAMOL 2 MG

10
10
10

1
2
2
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN
10
10
1 1
2 3
6

10
1 3
1
2 10
6
6
1 1
1

10 2 1

10 1 1
6
2 2

2
3
2 1
2 2
2 2
10 10
10 2 1
1 1
10
1 1
1 1
2

10
10
10

6
10 6
10 1 1
1

2
1
10 1

1 1
1 1

1
1 1

1 2
1 2
6
2 2
1 2
1 1

1
1
5

10 1 1

2 1
1 2

10 2 3
2 1
1 1

1
1
1

10 1 1

1
10
1 1
2 1
1
1

1 1

2 2
2 2
2 2
2 2
2 2
2 2
2 2

2 1
1 1
10 1 1
1

1 1

1
10

1 1
1

10 1 1
2

1
1
6

10
1
1
1 1

2 1
2 1
1 1

10 2 1
2
2 1
1
1 1
1 1

10

1 1
2 2
2 2
2 2

2 2
2 2
2 2
1 2
2 2
1

10 6

6
10 200 162 123 127 58 36
SPUIT 5 ML

1
2
1
1
1
SPUIT 3 ML

1
1
2
1
1
1
1
1
STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

1
STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG

URINE BAG

VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10

VIT.A

ZINC 10 MG

10
10
10
10
10
1
1
1 1
1
10

10
1 10
1
1
10
10
1
1

1
10

1
10

1
1
1

1
1 10
10
1
1

10
1
1
1
1

1
1
1

10

1
1 10

10
2

1 1 10
10
1
1

1
1 10
1

1
1

1
1 10
1 10
10

1
10

1 10

1
1 2

1 10
1
1
1

1
1
1

1 1

1
1
1
1
1
1
1

1 1
1 10
1
1

1
1 10
1
1
5
1

1 1
1

1
1

1
1
10
2 10
1 10
1
1

1
1
1
1 10
1
1

10
10
1
1 10
1
1
1
1
1
1
1
1
1
1 10
1 10
1
1
10
1
56 69 2 30 10 10 155 210
RESEP
NO TGL NAMA RI RJ

ACYCLOVIR 400 MG
ACETOSAL 100 MG
ABOCATH NO. 18

ABOCATH NO.20

ABOCATH NO.22

ABOCATH NO.24
1 10/01/2019 Sdr Kent Rio 1 1
2 Tn Wadi 1 1
3 tn Saim 1 1
4 Ny Endang Sukesi 2 1 1
5 Ny Situm 2 1 1
6 Tn Tata 1 1
7 Nn Tia 1 1
8 10/02/2019 Ny Sulastri 1 1
9 Ny ruliyah 1 1 1
10 10/03/2019 Sinto 1 1
11 An Yophi 1 1
12 Ny Umi 2 1 1
13 10/04/2019 Ny Ninik 2 1 10
14 M Fadhil 1 1
15 Tn Yadi 1 1
16 Sutrisno 1 1
17 Ny Nanik 2 1
18 Tumini 1 1
19 Ahmad 1 1
20 Misiyem 1 1
21 10/05/2019 Lia 1 1
22 Tn Ahmad Dasi 1 1
23 10/06/2019 Ny Susi Apriana 1 1
24 Ny ruliyah 1 1
25 Ny Umi Sulastri 1 1
26 Nn Enik anggraini 1 1
27 An Muhammad Azka 2 1 1
28 Ny Damiat 1 1
29 Ny Nanik 1 1
30 An Gendis 1 1
31 Ny Sumini 1 1 2
32 Nn wulan 1 1
33 Nn Sit Qoniah 1 1
34 Nn Sit Qonitah 1 1
35 Ny Alif 2 1 1 1
36 Ny Tumini 1
37 10/07/2019 Tn Trio 1 1 1
38 Tn sulistyo 1 1
39 Ny Kinarwat 1 1
40 Tn Shoimin 1 1
41 Ny Rusmini 1 1
42 An Ahmad Khusnul 1 1
43 Nn Dwi novi 1 1
44 A Sholikul 1 1
45 Tn Saut 1 1
46 10/08/2019 Ny Suprehaten 2 1 1
47 Tn sulistyo 1 1
48 Ny Asri 2 1 1
49 Ny Tumini 1 1
50 Tn Paidi 1 1
51 10/09/2019 Ny lasiyah 1 1
52 Nn Jasnita 1 1
53 Nn Elvina 1 1
54 Ny lamirah 1 1
55 Tn Mujarianto 1 1
56 Kart 1 1
57 Imam 1 1
58 Ika 1 1
59 10/10/2019 Tn Ahmad M 1 1
60 An Alzeto 1 1
61 Tn Paiman 1 1
62 An Helga 1 1
63 Ny Aning 1 1
64 Ny Nanik 1 1 1
65 10/11/2019 Ny Damiat 1 1
66 Tn sudaryanto 1 1
67 Tn katemin 1 1 1 10
68 Sdr Vega 1 1
69 Eva R 1 1
70 10/12/2019 An Juna 1 1 1
71 An Distania 2 1 1
72 An Kansa 1 1 1
73 An candra 1 1
74 10/13/2019 Ny parmi 1 2 1
75 Tn katemin 1 1
76 An Juna 1 1
77 An Distania 1 1
78 Ny Aisyah 1 1 1
79 An Rafif 1 1
80 Tn Gani 1 1
81 Ny Djeminem 1 1
82 Ny lamirah 1 1
83 Ny Rika 1 1
84 Ny lamirah 2 1 1
85 10/14/2019 Selfira 1 1
86 Tekad 1 1
87 Ny Rini Widart 1 1
88 Tn Wiyoto 1 1
89 Abrisan 1 1
90 Ny Jarmi 2 1 1
91 Ny Tumi 1 1 1
92 10/15/2019 Denis 1 1
93 Novenda 1 1
94 Ny Muji Astut 1 1
95 Puguh 1 1
96 10/16/2019 Tn Gani 1 1
97 Tn Tekad 1 1
98 Ny Katyem 1 1
99 Ny Parmi 1 1
100 Tn Meseno 1 1
101 10/17/2019 Tn Suyit 1 1 10
102 Ny Watemi 1 1
103 Ny Katyem 1 1
104 Ambulanc
105 10/18/2019 Ny Katyem 1 1
106 Tn Sugiono 1 1
107 Tn karno 1 1
108 Ny Mesiyem 1 1
109 Nn Widia 1 1
110 Ny Ririn 1 1 1
111 An Fadhil 1 1
112 An Prisilia 1 1 1 1
113 10/19/2019 An Gendis 1 1
114 Radhwa 1 1
115 An Kanaya 2 1 1
116 Dimas 1 1
117 Febriana 1 1
118 Nimawat 2 1 1
119 10/20/2019 Gibran 1 1
120 Tn Sumarlan 1 1 10
121 Tn Jemiran 1 1
122 Ririn 1 1
123 An Kanaya 1 1
124 Nn Nimawat 1 1
125 Ny Jumatun 1 1
126 Tn Matal 2 1 1
127 Ny Watemi 1 1
128 Ny Jumatun 1 1 1
129 Ny Jariyem 1 1
130 Tn Misdi 1 1
131 An Gendis 1 1 10
132 Ny Sit Jariyah 3 1 1
133 Tn katjo 1 1 2
134 An Zidan 1 1
135 Tn Matal 1 1
136 10/21/2019 Tn Katran 1 1 1
137 Albriant 1 1
138 Tn katjo 1 1
139 Ny warsini 1 1
140 Ny Katnem 2 1 2
141 10/22/2019 Tn Boiman 1 1 1
142 Tn Poniran 1 1 1
143 Tn Rico 1 1
144 Ny Sri Hariant 2 1 1
145 An Lituhayu 1 1 1
146 An Rafif 1 1
147 An Silvana 1 1
148 10/23/2018 Tn Slamet 1 1
149 Tn Mulyono 2 1 1
150 Ny warsini 1 1
151 Deni Trio 1 1
152 Ny Katmilah 1 1 1
153 Yuli 1 1
154 Ny Rakinem 1 1
155 Ny Sri Wahyuni 1 1 1
156 An Silvana 1 1 1
157 10/24/2019 Tn Soni 1 1
158 Tn Soirin 1 1
159 Ny Sri Wahyuni 1 1
160 An Silvana 1 1
161 Tn Mulyono 1 1
162 Ny hartutk 1 1 10
163 Albriant 1 1
164 Ny Katnem 1 1
165 Totok Hendrianto 1 1
166 Ny hartutk 1 1
167 Ny Sit Jariyah 1 1
168 An Laila 1 1 2
169 Tn sambodo 1 1
170 10/25/2019 Riko 1 1
171 Tn sambodo 1 1
172 Asri Sumarlin 1 1
173 Tn Mujiono 1 1
174 Tn Jemangin 1 1 1
175 Ny yatmi 1 1
176 Tn Mujiono 1 1
177 Tn samin 1 1
178 Ny Jini 1 1 2
179 Tn Soimun 1 1 1
180 Tn Saimen 1 1 1
181 Ny saerah 2 1 1
182 Tn Totok 1 1
183 10/26/2019 Ny Rakinem 1 1
184 Rifa 1 1
185 Ny hartutk 1 1
186 Ny maryoto 1 1
187 10/27/2019 Bibit 1 1
188 Denis 1 1
189 Tn Suyadi 1 1 1
190 Ny Toinem 1 1 1
191 Tn Sunaryo 1 1
192 Ny saerah 1 1
193 Tn Maryoto 1 1
194 Tn Jemangin 1 1
195 Thoyib 1 1
196 Soimin 1 1
197 Hadi 1 1
198 Tn Suradi 1 1
199 Tn Supardi 1 1
200 Tn Tekad 1 1
201 10/28/2019 Ny Sisum 2 1 1
202 Albriant 1 1
203 Tn Rimun 1 1 1
204 Tn Sujarni 1 1
205 10/29/2019 Ny Evi Novita 1
206 Ny Sutnem 2 1 1
207 Ny Sujiah 1 1 1
208 Andri 1 1
209 Ginarto 1 1
210 10/30/2019 Sujarni 1
211 An Ammar 1
212 Tn Rusik 1 1
213 Tn Maryono 1 1
214 Nurantomo 1 1
215 Riko 1 1
216 Kamto 1 1 1
217 An anindia 1 1 1
218 Tn Marsono 1 1
219 Ny Tumini 1 1
220 10/31/2019 Tn Sujarni 2 1 1
221 Tn Jemikan 2 1 1
222 Ny Tumini 1 1 1
223

JUMLAH 245 90 128 2 33 30 8 20 30


ACYCLOVIR SALF

ALBENDAZOLE 400 MG

ALBOTHYL

ALLOPURINOL 100 MG

ALPHARA

ACETYL CYSTEIN

10

4
AMBROXOL 30 MG

AMINOPHILLIN 200 MG

AMINOPHILLIN INJEKSI 24 MG / ML

AMITRIPTILLIN 25 MG

AMLODIPIN 10 MG

AMLODIPIN 5 MG

AMOXCILIN INJ SERBUK SUSP 1000 MG IM.IV

AMOXCILLIN 500 MG

10
10
10
10
10
10
10

AMOXCILLIN SYR.KERING 250 MG / ML

ANTASIDA DOEN

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

10

10

10
10 10
10
10
10
10
10
10
10
10
10
4

10

10
10
10

10

10
10
10 10

10
10
10
10
10

10 10
10
10

10
10
10

1
10

2
10
10
10

10

1 10
1

10
10
10

10

10
10

10
10

10
10

10

10
10
10
10
10

10
10

10

10

10
10

10

10
10

10
10
10

10

10

10
10 10

10
10

10
10

10
10 10
10 8

10

10

10

3 218 30 2 40 10 380 1 428


ANTASIDA SYRUP

1
1
1
1
ANTI BAKTERI DOEN (BACITRACIN )

ANTI FUNGI DOEN

ANTI HEMOROID SUPPOSITORIA

ANTI TETANUS INJEKSI ( ATS )

1
ANTI BISA ULAR INJEKSI ( SABU )

AQUA PRO INJEKSI

1
ASAM ASCORBAT 50 MG ( VIT.C )

ASAM MEFENAMAT 500 MG

10
10
10

ASAM TRANEKSAMAT 500 MG

ASERING INFUS

BEDAK SALICYL 2 %

BETAHISTIN

BETAMETASON CREAM

BIO COMBIN INJEKSI

BIONEURON
1

10

10

1 10

10
10
10 1

10

1
10
10

10
10

1
1

10
1
1
1
1
10
10
1

10

10
10

10

10
10

10

10 1

10

10

16 4 10 220 40 2
BORAX GLYSERYN

BROMHEXIN 8 MG

BYOLISIN

BYOLISIN SYRUP

CAPTOPRIL 12,5 MG

CAPTOPRIL 25 MG

CATETER # 18

CEFADROXIL 500 MG

10
CEFADROXIL SYRUP

CEFOTAXIM INJEKSI 1 G IM.IV

3
2
3

CENDO CETAMID 15 % TETES MATA

CHLORAMP TTS TELINGA 3% ( RECHO)

CHLORAMPHENICOLE 250 MG

CHLORAMP SALP KULIT 1% ( FARCYCOL)

CHLORAM SALP MATA 1%

1
1
1
CHLORPHENIRAMIN MALEAT ( CTM ) 4 MG
10

3
10

10

10 10

1
3

10

3
1
3
3
2

1
3

10

10
3
10

3
3
3
3

10

30 30 1 50 1 3 53
CHLORPROMAZINE HCL 100 MG ( CPZ )

CIMETIDIN 200 MG

CIPROFLOXACIN 500 MG

10
10
COMBIVENT

1
COPARCETIN

COTRIMOKSAZOL

COTRIMOKSAZOLE SYRUP 24 MG / ML

DECACITINE TTS MATA ( Clorampenicol)

DECOLGEN SYRUP ANAK2

DEXAMETASONE INJEKSI 5 MG / ML

1
1

DEXAMETASONE 0,5 MG

4
DIFENHIDRAMIN INJEKSI

DIAZEPAM INJEKSI

DIAZEPAM TAB 2 MG

DIGOXIN 0,25 MG

DIMENHIDRINATE 50 MG
10

1 10

3
1
1 5

1
10

10

1
1
1
1

1 10
1

10
10

1
2 2
1

1
10

20
20

10
1

1
1

10
5

10
1

10

10

1
1

60 26 40 2 7 107 2
DOMPERIDONE 10 MG

10
4
DOMPERIDONE SYRUP

DULCOLAK SUPP

EPINEPRIN INJ

ERYTROMICIN 500 MG

10
ERYTROMICIN SYRUP KERING 60 ML

FENOL GLYSEROL TETES TELINGA

FERROSI SULFAT

FITOMENADION (VIT.K)

FOLLEY CHATETER NO 16/18

FURAMIN INJEKSI

FURROSEMIDE 40 MG
10

FURROSEMIDE injeksi

GDA

GENTAMICIN SALF

GARAM ORALIT
10

10

10

10
2

10

10
10

84 2 10 10 1
GLIBENCLAMIDE 5 MG

GLUCOSA 5%

GLYCERYL GUAYACOLAT 100 MG

4
GRISEOVULVIN 125 MG

HALLOPERIDOLE 0,5 MG

HALLOPERIDOLE 1,5 MG

HALLOPERIDOLE 5 MG

HIDROCORTISON CREAM

1
HYOREX

HIDROCHLOROTHIAZIDE 25 MG

IBUPROFEN 400 MG

INFUSET ANAK
1

INFUSET DEWASA

1
1
1
1
1
1
1
1
1

ISONIAZIDE ( INH ) 100 MG

ISOSORBID DINITRATE ( ISDN ) 5 MG

KALIUM PERMANGANAS ( PK )
1

1
1
1

1
1
1

1
1
1

1
1
1

1
1

1
1

1
1
1
1
10

1
1

1
1

1
1

1
1
1

10 4 1 1 54
KALSIUM LAKTAS ( KALK ) 500 MG

KETOKONAZOLE CREAM 2%

KETOROLAC INJEKSI

1
1
1
1
1
1
1
1
1
1
1
LIDOCAIN 2% COMPOSITUM

LIDOCAIN 2% INJEKSI 20 MG / ML

LOPERAMIDE 2 ML

MELOXICAM 15 MG

MESS

METFORMIN 500 MG

METHIL ERGOMETRIN 0,125 MG

METHIL PREDNISOLON

10
10
10
METOKLOPRAMIDE HCL

METRONIDAZOLE 500 MG

MOLAGIT

MYCOSTOP

NASAL O2

1
2

10

10

1
10

10

10

1
10

1
3
1

1
10

10 1

1
1
1
10

1
1
1

1
1

1
1

10

1
1
1

43 10 1 10 120 2
NATRIUM DIKLOFENAK 50 MG

NATRIUM KLORIDA ( NaCl ) 0,9 %

3
NEUROBION

NEW ANTIDES

10
10
10
NIFEDIPIN 10 MG

OBAT BATUK HITAM ( OBH ) LAR.100 ML

OMEPRAZOLE 20 MG

10
ONDANCETRON 4 MG

ONDANCETRON 8 MG

ONDANCETRON INJEKSI 4 MG / ML

1
1
1
1 ORALIT
10

PARACETAMOL 500 MG

10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10

PARACETAMOL SYRUP 120 MG / 5 ML

1
1

( PYREXYN) PARACETAMOL SUPPOSITORIA

PHENYTOIN SODIUM

PIRACETAM 400 MG
10

10
10
10
10
10

10

6 10
10
10
10 10
10
10
10
10
10
10
3
10

10

6 10
10
1

10

1 1
1

10
2

10 10

10 10
1 10
2 1
2 1

10
10

10

10

1 1
10
1
10
10

1 10
1
10

1
1
1 10
6

10

10
1 10
10 10
1
1

10
10

1 1 10
1
1

10 6 10 10
1 1

6
6 10

10 10
10

6
1
10 10
10 10

10
6

1 10 1

6
6

1 10
10
5

10
6

10 1

10
10

10
10

10

1
10
6
1 2 10
3 1 10

10
10

10 10

10
1 10

22 110 132 28 20 818 10


PIRACETAM 800 MG

PIRACETAM INJEKSI 1 gram

PIRACETAM INJEKSI 3 gram

PIROXICAM 20 MG

PREDNISON 5 MG

10
10
10
PYRIDOXCINE ( B6 ) 10 MG

10
10
10
RANITIDIN 150 MG

10
10
10
RANITIDIN INJEKSI

1
1
1
1
2
2
1
2
2

RIFAMPICIN 150 MG / ISONIAZIDE 150 MG

RFAMPICIN 150 MG/ISONIAZID 75 MG/PYRAZINAMID

RL

1
1
1
1
1
2
1
1
1
2

SALBUTAMOL 2 MG

2
SALBUTAMOL 4 MG

SALEP 2-4

SCABIMITE SALF

SIMVASTATIN
1

10 2 1

10

10
3

1
1 3
1 1

3 1 2
2

10

1 1
10

1
1
10

10

1 1

1 1

10 1 1

2 2
2
2 2
2 2
10 2 1
10

10 1 1
1
1
1

2
1

10 1

10
1
1

10
1
10

10

10

10 1
1
1
10 1
10
10

1
1
1
2
2
2
2
2

10

10

10 1 10
1
1

10 50 133 30 35 73 82 33 10
SPUIT 5 ML

1
1
1
1
SPUIT 3 ML

1
1
1
1
1
1
1
1
1
1
1
1
1
STELOSI ( TRIFLUORAZINE )

STESOLID SUPP

STOLAX SUPPOSITORIA

SUFRATULLE

SULFACETAMID TETES MATA

THYAMEX 500 MG

10
10
10
TRIHEXYPHENIDIL 2 MG ( THP )

TYAMIN ( B1 ) 50 MG

URINE BAG

VALINSANMBE INJEKSI

VIT.B COMPLEX

10
10
10
10
10
10
10
10

VIT.A

ZINC 10 MG

10
10
10
10
1

10
10
1
1

1
10

10
10

10
3

10

10
5 10

1 1
1
10
10

1 3
1 10
1
10
2

10
1
1

1
1

1 10
2

10

10

1 10

1 10
2

1
1
1
1
1

10

1
1 10
1
1

10
1
1

1 1

10
10

1
1 10
10
10
1 10
1

10
10
1

1
1
1
1
1 10
1 10
1
1
1
1
1
1
1
1
10

1 1 10

10
10
1 10
1 10

10

10

1 10
1
1
1
1

35 58 30 43 313 180

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