This document contains 16 prescriptions from various doctors in cities across Indonesia including Bandung, Bogor, Depok, Jakarta, Semarang, Tegal, and Banjarmasin. The prescriptions provide medications, dosages, and instructions for patients of various ages and medical conditions. The prescriptions are numbered and include the doctor's information, date, patient information, and medications prescribed.
This document contains 16 prescriptions from various doctors in cities across Indonesia including Bandung, Bogor, Depok, Jakarta, Semarang, Tegal, and Banjarmasin. The prescriptions provide medications, dosages, and instructions for patients of various ages and medical conditions. The prescriptions are numbered and include the doctor's information, date, patient information, and medications prescribed.
This document contains 16 prescriptions from various doctors in cities across Indonesia including Bandung, Bogor, Depok, Jakarta, Semarang, Tegal, and Banjarmasin. The prescriptions provide medications, dosages, and instructions for patients of various ages and medical conditions. The prescriptions are numbered and include the doctor's information, date, patient information, and medications prescribed.
This document contains 16 prescriptions from various doctors in cities across Indonesia including Bandung, Bogor, Depok, Jakarta, Semarang, Tegal, and Banjarmasin. The prescriptions provide medications, dosages, and instructions for patients of various ages and medical conditions. The prescriptions are numbered and include the doctor's information, date, patient information, and medications prescribed.
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USULAN PAKET SOAL UPK 2017/2018
dr. Dewi Anjarwat dr. Sandi J
SIP.: No. 376 / DKK-DN/II/2015 SIP No. 115/KW/2009 Jl. Buah batu no. 115 Bandung Jl. Paskal No.501 Bandung Telp. 022-3558190
No.1A Bandung, Tgl , 13 Feb 2018 No.1 B Bandung, Tgl : 13 Feb 2018
R/ Amoxicillin 500mg no.VI
CTM no.IV R/ Acidum undecylenicum 5% Glyceryl guaiacolas no.V Zinci undecylenicum 20 % Zinci oxyd m.f. pulv. No.X Bolus Alba aa ad 10 S. 3 d.d pulv. I m.f. Pulv. adspers da in duplo
Pro: An. Aliya Pro. Bala Klima
Umur: 10 th, BB 27 Kg Alamat: Jl. Bledak Anggur II / 40 bandung
dr. Darma W dr. Seni M
SIP No. 13/KW/2005 SIP No. 23/KW/2005 Jl. Jakarta No. 23 Bandung Jl. Jawa No. 23 Bandung
No. 1C Bandung, Tgl : 13-Feb-2018 No. 1D Bandung, Tgl : 13-Feb-2018
R/ Paracetamol 0,3 R/ Ungt Neomycin 20
Guaiafenesin 50 mg adde Fenil Propanolamin HCl 15 mg Prednisolon 2% Aquadest ad 5 ml m.d.s. 2 dd ue m.f. poto s. b. dd Cth I da 60 ml
Pro : Fata Pro : Zarima dr. Joko S dr. Herman Sugiarto , Sp.KK SIP No. 15/KW/2009 SIP No. 11/KW/2010 Jl. Banteng No.51 Bandung Jl. Ir. Juanda No. 15 Bogor
No.2 A Bandung, Tgl : 13-Feb-2018 No.2B Bogor, Tgl : 13-Feb-2018
R/ Syr INH 100 ml R/ Acyclovir 400 mg
adde pro 5 ml CTM ½ tab Pyridoxin HCl 0,010 Ca Lactas 200 mg S. t dd c 1 pc m.f. pulv d.t.d no. XII S. 4 d.d pulv I
Pro : Tasya Pro : An. Raihan
Umur : 7 th, BB.18 kg Alamat : Jl. Belitung No.7 Bogor
dr. Sandi J dr. Darma W
Jl. Paskal No.501 Bandung Jl. Jakarta No. 23 Bandung SIP No. 115/KW/2009 SIP No. 13/KW/2005
No.2 C Bandung, 13-Feb-2018 No. 2 D Bandung, 13-Feb-2018
R/Chloramphenicolum 2% R/ Acid Salyc 2%
Propylenglycolum 2 Sulpur PP 1% Lanolin anhidrat Kaolin 5% Vaselin album aa ad 20 m.d.s. ungt m.f .pulv. adpers 15 s.u.c
Pro : Akhmad Pro : Rani
dr. Rossy Abdul Wahid dr. Zen zen Jl. Nusantara No 15 Depok Jl. Melong No.123 Bandung SIP No. 21/KW/2005 SIP No. 21/KW/2005
No.3A Depok, 13-Feb-2018 No.3 B Bandung, 13-Feb-2018
R/ GG 15 mg R/ Diphenhydramin HCl 1% Deksamethason ½ tab Calamin 8% Codein HCl 10 mg Camphora 0.10% CTM 1 tab m.f.loto 60 mL m.f. pulv. da.in.caps. d.t.d no. X S.u.e S.3.d.d. caps . I
Pro : Andri Pro : Tn. Baharuddin Umur : 45 th Alamat : Jl. Kalimantan 10 Depok
Dr. Cecep Dr. Cecep
Jl. Angkasa No.32 Jakarta Jl. Angkasa No.32 Jakarta SIP No. 23/KW/2005 SIP No. 23/KW/2005
No.3 C Jakarta, 13 Feb-2018 No.3D Jakarta, 13-Feb-2018
R/ Calamin R/ OBH r.p 100 ml
Hidrocortson Acetat aa 2% adde Salep Antazolin ad 10 Codein HCl 0,05
m.d.s u e m.f. Poto
S. 3dd. C I pc
Pro : Krisani Pro : Sandra (12th)
dr. Sani M dr. Wahid Hasyim, Sp.PD Jl. Jakarta No. 73 Bandung SIP No: 046/XII/29/2014 SIP No. 23/KW/2005 Jl.Dorang Utara No 1 Tegal Telp. 0283-8548233
No.4A Bandung, 13-Feb-2018 No.4B Tegal, 13-Feb-2018
R/ Ephedrin HCl 0,25 R/ Ranitdine 150 mg No. V
Parasetamol 1,5 Papaverine HCl 40 mg No. III CTM 0,05 Domperidone 10 mg No. 5 Sir.simplex 15 ml m.f pulv da in caps no. X m.f poto 60 ml S.prn cap I a.c S. 3-4 dd 5 ml
Pro : Karunia, 7 th Pro : Ny. Hariyat
Umur : 58 th Alamat : Jl. Untung Suropat 76 Tegal
Dr. Cecep Dr. Cecep
Jl. Angkasa No.32 Jakarta Jl. Angkasa No.32 Jakarta SIP No. 21/KW/2005 SIP No. 21/KW/2005
No.4C Jakarta, 13-Feb-2018 No.4D Jakarta, 13-Feb-2018
R/ Neomycin 0,07 R/ Acid Benzoic
Lidocain HCl 1% Camphora aa 2% ZnO 6 m.f guttae auric. 20 ml Talcum 18
S. tdd gtt 1 ads mf pulvis adspers
S. u e
Pro : Ny Munali Pro : Ny. Susilo dr. Androniko Dr. Cecep SIP No. 264 / DKK-DN/II/2012 Jl. Angkasa No.32 Jakarta Jl. Ligu Tengah no 1150 Semarang SIP No. 21/KW/2005 Telp. 0243558190
No. 5A Semarang, 13 Feb 2018 No. 5B Jakarta, 13 Feb 2018
R/ Parasetamol 500 mg No.IV R/ Methylis Salicylas 8 ml
CTM No.IV Menthol 1,4 Ambroksol No.IV Oleum Cajuput 3 ml Amoksisilin 250 mg No.IV Oleum Arachidis ad 30 ml
m.f. pulv. No.X mf linimentum
S. 3 d.d pulv. I S.u c
Pro : An. Rengganis Pro: July
Umur : 5 th, BB 25 Kg Alamat : Jl. P Diponegoro 43 Semarang
No. 5C Banjarmasin, 13 Feb 2018 No. 5D Banjarmasin, 13 Feb 2018
R/ Oleum Ricini 10 R/ Asam salisilat 0,25
PGA qs Amylum 10 % Syr Simplex 5 ml Ol. Rosae gtt III Aqua ad 100 ml Talcum Venet ad 20 mf. pulv. adspers. mf la emulsi S bedak tabur ue S 1 dd C 1 an
Pro: Ny. Yani Pro : Andika 7 tahun
Alamat : Jl Lombok II/7 Banjarmasin Dr. Cecep DUM 123/87 dr. Zen zen Jl. Angkasa No.32 Jakarta Jl. Melong No.123 Bandung SIP No. 21/KW/2005 SIP No. 21/KW/2005
No. 6A Jakarta, 13 Feb 2018 No.6B Bandung, 13 Feb 2018
R/ Parasetamol 120mg/ 5ml R/ Neomycin 0,140
PGS qs Lidocain HCl 1% Sir. simplex 20 Glycerol ad 20 ml
m.f susp 60 ml m. f. gtt. auric.
S prn cth I max 3x sehari S. 2 dd gtt I auric dext
Pro: Bintang (5th)
Pro : Susilo
dr. Bobby Bondan Dr. Cecep DUM 123/87
Jl. Durian Raya no 15 Semarang Jl. Angkasa No.32 Jakarta Telp. 024-355861 SIP No. 21/KW/2005
No.6C Semarang, 13 Feb 2018 No.6D Jakarta, 13 Feb 2018
R/ Codein HCl 15 mg R/ Salep 2 - 4 15
Parasetamol 500 mg Camphora 2% CTM 4 mg mf ungt m.f. pulv. d.t.d no. X Sue S.3.d.d. pulv . I
Pro : Hana
Pro : Tn. Johan
Umur : 50 th Alamat : Jl. Badak 54 Semarang dr. Bambang Irawan dr. Surya Dinata SIP No.45/IPD/IV/89/BJM SIP.: No. 046/XII/29/2014 Jl. Kamboja No. 125 Jl.Dorang Utara No 1 Bantul Banjarmasin Telp. 0283-8548233
No.7A Banjarmasin, 13 Feb 2018 No.7B Bantul, 13 Feb 2018
Salmiak 1 Aminophilin 100 mg Mentol 0,1 prednison 5 mg Etanol 3 ml Syr Thymi 12 ml m.f caps dtd no X Aquadest ad 60 mL S. 3 d.d caps I p.c Mf poto S. o.s cth 1 Pro : Sdr. Fauzan Pro : Atkah Umur : 21 th Alamat : Jl. Penggalang No 5 Banjarmasin Alamat : Jl. Untung Suropat 76 Bantul
Dr. Darundono dr. Nydia Kirana
Jl. Kilat No.38 Jakarta SIP.: No.190/DS-06/10.V/1998 SIP: 486/III/DU/89 Jl. Elang II No. 17 Palangkaraya, Telp. 0536 515658
No.7C Jakarta, 13 Feb 2018 No.7D Palangkaraya, 13 Feb 2018
R/ Lin. Ammonia 50ml R/ Liquor carb detergent 4%
Camphora 2% Zinc Oxyd 10 % Vaselin 20 m.d. s u e m.d. s u e
Pro: Ratna (63 th) Pro : Tn. Sodikin
Alamat : Jl. Penggalang No 5 Palangkaraya dr. Fatmawat Jusuf dr. Ria Margaria SIP.: No. 376 / DKK-DN/II/2015 SIP. 123/399/DU/2014 Jl. Merant Barat No. 10 Semarang Jl. Candi Pawon No. 70 Temanggung Telp. 024-9888190 Telp. 0298-548921
No.8A Semarang, 13 Feb 2018 No.8B Temanggung, 13 Feb 2018
R/ Amoxicillin 500 mg no.VI R/ salycilic acid 2%
CTM no.IV Sulfur PP 1% Efedrin tab no.V Zync oxyd 5% Bolus alba ad 20 m.f. pulv. No.X mds. Pulv. adsper S. 3 d.d pulv. I S. ue
Pro: Ny. Briani
Pro: An. Felicia Umur: 70 tahun Umur: 9 th, BB 26 Kg Alamat: Jl. Jat Raya 291 Semarang
No.8C Gorontalo, 13 Feb 2018 No.8D Gorontalo, 13 Feb 2018
R/ Parasetamol 120mg/5ml R/ Benzocain 0,050
PGS q.s Tannin 2,5 Sirup Simplex 20 Adeps 5% Vaselin flavum ad 25 mf. Susp. 60 ml mf. Ungt S. p.r.n. 1 cth S salep wasir ue
Pro : Bintang ( 4 th ) Pro : Kelly
Alamat : Jl. Patmura 5 Gorontalo Alamat : Jl Biak II/7 Gorontalo dr. Susilo Wibowo dr. Lupita Hermawan SIP.: No. 046/XII/29/2015 SIP.: No.173/DS-06/10.V/1998 Jl.Merbabu No. 1 Madiun Jl. Kutlang no.18 Palangkaraya Telp. (0536) 725516 Telp. 0351-464442 No.9B Palangkaraya, 13 Feb 2018 No.9A Madiun, 13 Feb 2018 R/ Chloramphenicol palm 125 mg R/ Aminophyllin 0,100 CMC Na 50 mg Prednison 0,005 Propylenglycol 1 ml Luminal 0,030 Sirup 1,5 gram Lactosa 0.200 Aqua dest ad 5 ml m.f pulv da in caps dtd no. X Mf suspensi S. prn caps I ac S t dd cth II da 75 ml
Pro : Ananda Pro : Ny. Abidin Alamat : Jl. Lombok II/17 Palangkaraya Umur : 60 th Alamat : Jl. Dieng N0. 45 Madiun
dr. Andika Pratama dr. Wijaya Kusuma
SIP No.405/IPD/XI/BJM SIP.: No.158/DS-02/15.II/2001 Jl. Kampung Melayu Darat No.145 Banjarmasin Jl. Kecubung 17 Gorontalo Telp. (0435) 87526
No.9C Banjarmasin, 13 Feb 2018 No.9D Gorontalo, 13 Feb 2018
R/ Ungt. Whitefield 20 R/ Liquor Faberi 100 ml
Contn Menthol 2% mf loto Mf. Ungt. Sue S. salep kutu air
Pro : Tn. Aritonang
Pro : Ny. Halimah Alamat : Jl Merak III no 12 Gorontalo Alamat : Jl Mawar No 6 Banjarmasin dr. Rio Haryanto Dr. Dea Rizqi Fadillah Jl. Dagan No. 77 Yogyakarta Jl. Blok Duku No. 10 Cibubur, Jakarta Telp. 0274-993847 SIP No. 05/VIII/1997
No.10A Yogyakarta, 13 Feb 2018 No.10B Jakarta, 13 Feb 2018
R/ Guafenesin 15 mg R/ Parasetamol 120mg/ 5ml
Ephedrine 25 mg PGS qs Aminophyllin 150 mg Sir. simplex 20 Lactosa 300 mg m.f susp 60 ml m.f. pulv. da.in.caps. d.t.d no. X S 3 dd cth I S.3.d.d. caps . I
Pro : Tn. Samsul Bahri
Umur : 45 th Pro: Bintang (5 th) Alamat : Jl. Wirobrajan No. 280 Yogyakarta
