USULAN SOAL UJIAN PRAKTIKUM RESEP

SET 1
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 01A Bdg, 17-02- No. 02A Bdg, 17-02-2011
2011
R/ Tetes Telinga Hidrogen peroksida 20 ml
R/ Syr. Gliseril Guaikolat 60 ml
Contin Mds. Sns gtt I
Theophyllin 0.05/cth
m.d.s 3.dd.cth II Pro : Mina

Pro : Nadya
Umur : 14 Th

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 03A Bdg, 17-02- No. 04A Bdg, 17-02-2011
2011
R/ Efedrin HCl 30 mg
R/ Calamin 10 % Ambroxol HCl 0.025
ZnO 2% Elaeosacch. M.p q.s
Champora 0.1 % m.f pulv dtd No. xii
Talk 20
m.d.s 3dd ue Pro : Eka
Umur : 10 th
Pro : Andini

SET 2
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 01B Bdg, 17-02- No. 02B Bdg, 17-02-2011
2011
R/ Antalgin 0.250
R/ Diphenhidramine HCl 1% Coffein 0.025
Calamin 8% Thiamin HCl 0.050
Camphora 0.1 % Elaeosacch m.p q.s
m.f lotio 50 ml m.f pulv dtd No. xii
S 3 dd PI
Pro : Resti Pro : Ny Cindi
Umur : Umur : 21 th
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 03B Bdg, 17-02- No. 04B Bdg, 17-02-2011
2011
R/ Elixir Acetaminofen 60 ml
R/ Salep Gondopuro 15 m.d.s 3 dd CI

m.d.s dioleskan Pro : Taufik

Umur :

Pro : Ismi
 SET 3
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 01C Bdg, 17-02- No. 02C Bdg, 17-02-2011
2011
R/ Efedrin HCl 0.2
R/ Amoksisillin 250 mg Acetaminofen 2
Luminal 1/3 tab PGS q.s
Ambroxol 1/3 tab Sirupus simplex q.s
CTM 2 mg Aqua ad 100 ml
m.f la. Pulv dtd o. IX S 2dd cth 1

S 3dd pulv I Pro : Deny

Pro : Rika Umur : 15 th
Umur : 10 th
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 03C Bdg, 17-02-2011 No. 04C Bdg, 17-02-2011
R/ Acid Salicyl 2
R/ Camphora 1 Bals. Peruvianum 2
ZnO 4 Adeps Lanae 4
Ichtamolum 3 ZnO 10
Ungt. Simplex 25 Talc.venet ad 100
S ad.us. Extr m.f. pulv adspers
da ¼
Pro : Anang Pro : Aldi

SET 4
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 01D Bdg, 17-02- No. 02 D Bdg, 17-02-2011
2011
R/ Liquor Faberi 75 ml
R/ Oleum Iecoris Aselli 5 m.d.s ue
Cera flava 0.5 Sesudah mandi
Chloramphenicol 2%
Vas. Flava ad 20 Pro : Rismania
m.f ungt
S Luka Bakar

Pro : Sabrina
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 03 D Bdg, 17-02- No. 04D Bdg, 17-02-2011
2011
R/ Dhipenhidramin HCl 0.150
R/ Asam Asetil Salisilat 250 mg Salmiak 1
Asetaminofen 200 mg Syr Thimi 5
Coffein 30 mg Menthol 0.1
CTM 2 mg Alkohol 5
m.f pulv dtd No. X m.f potio 100 ml
S tdd I Pc S 3dd CI
Pro : Jeny
Pro : Salwa Umur : 12 th
 Umur : 10 th
SET 5
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 01E Bdg, 17-02-2011 No. 02E Bdg, 17-02-2011

R/ Yodsaben 15 R/ Antalgin 0.250

m.d.s Ungt Coffein 0.025
Thiamin HCl 0.050
Pro : Dera Elaeosacch m.p q.s
m.f pulv dtd No. xii
S 3 dd PI
Pro : Ny Cindi
Umur : 21 th

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No. 03E Bdg, 17-02-2011 No. 04E Bdg, 17-02-2011

R/ Acidum boricum 0.5 R/ Paraffin Liq. 10 ml

Ac. Salicylat Gom 2.5
Bolus alba aa 1 Syr. Symplex 6 ml
Amylum manihot 10 Aquadest ad 60 ml
Talk ad 25 m.f emulsi
S Bedak tabur S.u.e
Pro : Faisal
Pro : Ummi Umur :

SET 6
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 F Bdg, 17-02-2011 No.02 F Bdg, 17-02-2011

R/ Emulgide 1.5 R/ Cap Amoxan 250 mg

Olei Arachidis 3 Asetaminofen 0.3
Cetacei 0.8 Luminal 0.04
Sulfur pp 1.5 m.f pulv dtd No. XII
Aquadest ad 12 S 0.8.h pulv I
m.f la cream
s.u.e Pro : Gugun
Umur:
Pro : Rika
Umur :
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 F Bdg, 17-02-2011 No.04 F Bdg, 17-02-2011

R/ Liq. Faberi s.f FN 50 R/ Syr. Chlorpromazin 30 ml

Adde Adde
Camphora 0.5 Codein HCl 0.2
Mf. lotio Aqua ad 60 ml
S 3 dd dioleskan S tdd CI
 Pro : Ratu
Pro : Ny. Susi

SET 7
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01G Bdg, 17-02-2011 No.02 G Bdg, 17-02-2011

R/ Elixir Diphenhidramine 50 ml R/ H2O2 4 ml

S 1-0-1 cth 1 Acidum Boricum 1 %
Glycerin ad 20 ml
S 2 dd gtt I as
Pro : Farhat (38 kg)
Pro : Aurel (9 th)

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03G Bdg, 17-02-2011 No.04G Bdg, 17-02-2011

R/ Theosal 1 tab R/ Lc. Caladin Powder

Ephedrin 30 mg
Prednison 5 mg S bdd aplic
m.f la caps dtd No. X
S jika sesak Pro : Gilang
Umur : 7 th
Pro : Tn. Sule

SET 8
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 H Bdg, 17-02-2011 No.02 H Bdg, 17-02-2011

R/ Asmasolon ¼ tab R/ Oleum Iecoris Aselli 5

GG 0.03 Cera flava 0.5
m.f pulv dtd N. X Chloramp. 2%
Vaselin Flavum ad 20
S prn m.f Ungt
S obat luka bakar
Pro : Tazkia
Pro : Nazwa

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03H Bdg, 17-02-2011 No.04 H Bdg, 17-02-2011

R/ Syr INH 120 ml R/ calamine 4

S 1 dd cth II ac Sulfur
Glycerin aa 10
Pro : Lucky (60 Kg) Bentonit Magma qs
m.d.s lotion 60 ml

Pro : Zaky
 SET 9
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 I Bdg, 17-02-2011 No.02 I Bdg, 17-02-2011

R/ Acidum Acetyl Salicylicum 0.1 R/ Diphenhidramine HCl 1%

Opiii Pulv comp 0.05 Calamine 8%
m.f pulv dtd No. X Champora 1%
S 3. dd PI m.f lotio 60 ml

Pro : Maya Pro : Febi

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03I Bdg, 17-02-2011 No.04 I Bdg, 17-02-2011
R/ Ammonii Chlorida 0.3 R/ Flores Zinci 1
Succus Liq 0.35 Ichtamolum 0.5
Codein HCl 0.12 Ungt. 2-4 10
Ol. Menthae piperatae gtt II m.f la ungt
m.f potio S. u. e
Pro : Ida

SET 10
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 J Bdg, 17-02-2011 No.02 J Bdg, 17-02-2011

R/ Lc. Asmadex 1/3 tab R/ Menthol 0.5%

Prednison 2.5 Camphora 0.5%
Ephedrine HCl 12.5 mg Acid Salicyl 1%
m.f la caps dtd No. XII Talk ad 20
S 3dd cap I m.d.s obat gatal
Pro : Azzahra (8 th) Pro : Maemunah

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 J Bdg, 17-02-2011 No.04 J Bdg, 17-02-2011

R/ Efedrin HCl 0.5 R/ Ac. Boric Auric 20

Paracetamol 1.5 Perhydrol 6
CTM 0.05 m.d.s dd gtt III as
Syr. Symplex 15
m.f potio 60 ml
S 3 dd cth I Pro : Ramdhan, S. Pd

Pro : Fatimah
 SET 11
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 K Bdg, 17-02-2011 No.02 K Bdg, 17-02-2011
R/ Tropigesic 0,250 R/ Ichtyol 0,5
Coffein 0,025 Talc 10
Thiamin HCl 0,050 Adeps Lanae 2
Elaeosacch. M.p. q.s. Bolus alba ad 20
m.f. pulv. Dtd. No. X m.f. pulv. Adspers.
S. t dd PI S. ue

Pro : Wardah Pro : Rangga

Umur : 20 th
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03K Bdg, 17-02-2011 No.04 K Bdg, 17-02-2011
R/ Sol. H2O2 15
R/ OBH 100 ml
Adde pro cth m.d.s. obat cuci kuping
Codein HCl 15 mg
m.d.s. 4 dd Cth I
Pro : Angga
Pro : Abdan
Umur : 10 th

SET 12
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01L Bdg, 17-02-2011 No.02 L Bdg, 17-02-2011

R/ Salbutamol tab X R/ Ichtyol 1%

Vit. B6 0,500 ZnO 5%
Vit. B12 0,250 Asam salisilat 2%
m.f. cap. No. X Talk 15
S. t dd cap I S. b dd applic

Pro : Andin
Umur : 30 kg Pro : Nuri

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03L Bdg, 17-02-2011 No.04L Bdg, 17-02-2011
R/ Syr. Novadryl 60 ml R/ Paraffin cair 6
Cera alba 3
S. t dd Cth II Emulgide 1
Trietanolamin 1 ml
Pro : Tn. Argan Aquadest 10
m.f. cream
S. 2 dd dioleskan

Pro : Hartati
 SET 13
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01M Bdg, 17-02-2011 No.02M Bdg, 17-02-2011

R/ Calamine 6% R/ Oleum Ricini 10

Glyceroli 1% PGA 5
Camphora 1 % Syr Simplex 5
Aquadest ad 60 ml Aqua ad 75 ml
m.d.s obat gatal m.f emulsi
S. o.m C I Pc
Pro : Budi
Pro : Maria

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03M Bdg, 17-02- No.04M Bdg, 17-02-2011
2011
R/ Theophyllin 1.2
R/ Antazolin 500 mg Coffein 0.6
Cera alba 2.5 m.f caps No. XII
Oleum olivae 5 S 3 dd caps I
TEA 1
Aqua ad 10 Pro : Tn. Marcel
m.f cream
S.u.e
Pro : Arini
Umur : 8 th
SET 14
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01N Bdg, 17-02-2011 No.02N Bdg, 17-02-2011

R/ Menthol 6% R/ CTM 0.005

Metil Salisilat 11.5 % Amm. Chlorid 30 mg
Kamfer 1.5 Efedrin HCl 5 mg
m.f Ungt 20 m.f pulv dtd No. XV
S aplic.loc.dol S. tdd PI pc

Pro : Bu Siti Pro : Ali

Umur : 6 th
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03N Bdg, 17-02-2011 No.04N Bdg, 17-02-2011

R/ Asam Salisilat 1 % R/ Syr Chlorpheniramine 75 ml

Balsam peru 0.5 % Adde
Kamfer 0.5 % Efedrin HCl 0.1
Menthol 0.5 % m.f potio
ZnO 5% S tdd cth 1
Talcum ad 20
 Pro : Sumit
Pro : Rubi Umur : 5 Th

SET 15
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 P Bdg, 17-02-2011 No.02 P Bdg, 17-02-2011
R/ Tab. Cotrimoxazol 1 tab R/ Salep Whietfield 15
Diazepam 0.05 Contin
Antalgin 0.5 Sulfur PP 3%
m.f pulv dtd No XII m.d.s 3 dd u.e
S 3 dd pulv I
Pro : Junot
Pro : Tamara
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 P Bdg, 17-02-2011 No.04 P Bdg, 17-02-2011
R/ Emulsi minyak ikan s.f Fornas 50 R/ As. Salisilat 5 % b/v
Vit. B1 500 mg As. Benzoat 4 % b/v
m.f potio Menthol 0.25 b/v
S 1 dd cth Etanol dil ad 20 ml
m.d.s 2 dd digosokan
Pro : Suminah
Pro : Wulan

SET 16
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 Q Bdg, 17-02-2011 No.02 Q Bdg, 17-02-2011

R/ Ac. Salicylicum 3 % R/ Salep 4-5 15

Diphenhidramin 1 % Adde
Adeps LAnae 4 Camphor 1%
Zinc Oxyd 10 m.d.s ue
m.f pulv adpers 100
S 3 dd Us Pro : Kania
Det 75

Pro : Susan
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 Q Bdg, 17-02- No.04 Q Bdg, 17-02-2011
2011
R/ Theophyllin 0.5
R/ Luminal 2.5 mg Codein HCl II
Ospamox 125 mg caps I Pamol Tab II
Claritin tab 1/3 Syr Thymi 10
S.L q.s Aqua ad 50 ml
m.f pulv dtd No. XII m.f potio
S. 3dd IP S 3 dd CI
Pro : Candra
Umur : 8 th Pro : Ny. Rina
 SET 17
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 R Bdg, 17-02-2011 No.02 R Bdg, 17-02-2011

R/ Tetes telinga hydrogen peroksida 20 ml R/ Flores zinci 1

Contin Ichtamolum 0.5
Ac. Boricum 1% Ungt. 2-4
S 4 dd gtt 1 Lanolin aa 5
m.f la . ungt
s.u.e
Pro : Neni Pro : Erwin

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 R Bdg, 17-02- No.04 R Bdg, 17-02-2011
2011
R/ Extr. Bellad 0.100
R/ Salbutamol 1/3 tab HCl Codein 0.300
Prednison 2.5 mg HCl Efedrin 0.400
Efedrin HCl 12. 5 mg Luminal Na 0.300
m.f la caps dtd NO. XII Syr. Thymi 100 ml
S 3 dd cap i Aqua ad 300 ml
did
Pro : melani m.d.s 3 dd C
Pro : Amanda
Umur : 27 th

SET 18
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 S Bdg, 17-02-2011 No.02 S Bdg, 17-02-2011
R/ Perhydrol 1 ml R/ Ol. Iecoris Aselli 10
Ac. Boricum gtt auric ad 20 ml INH 0.75
m.f gtt auric Ol. Cinnamomi gtt. I
d.s 2 dd gtt I auric sinister PGA q.s
Tween 80 1 % b/v
m.f emulsi 50 ml
S 3dd CTH II
Pro : TN. Hendra
Umur : 65 Kg
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 S Bdg, 17-02-2011 No.04 S Bdg, 17-02-2011

R/ Cetalgin tab No .X R/ Acidum Salisilat 1

Pro tab sing adde Zinci Oxydum 2.5
Chinin Sulf 250 mg Talc
S.L q.s Bolus alba aa ad 15
Ol. Citri q.s d.s pulv adsp.pers
m.f pulv
 S m. et. V feb dur Pro : Ny. Mariza

Pro : Dra. Wati

SET 19
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 T Bdg, 17-02-2011 No.02 T Bdg, 17-02-2011

R/ Syr DMP 100 ml R/ Acidum Acetyl Salicylicum 0.250

Contin Opii pulv comp 0.050
Prometazine HCl 15 mg / cth SL qs
Mds 3 dd CI Mf. Pulv. Dtd NO. XII
S 3 dd PI
Pro : Hanifah S.H Pro : Nony (13 th)

Dr. Sri Puji Aswati Dr. Sri Puji Aswati

Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 T Bdg, 17-02-2011 No.04 T Bdg, 17-02-2011

R/ Ol. Iecoris Aselli 5 R/ Diphenhidramin HCl 1%

Cera Falva 0.5 Calamin 8%
Chlorampenicol 2 % Camphora 0.2%
Vas. Falavum ad 20 m.f lotio 100 ml
m.f Ungt
S. Obat Luka bakar Pro : Aqli

Pro : Arjuna
Umur : 8 th

SET 20
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.01 U Bdg, 17-02- No.02 U Bdg, 17-02-2011
2011
R/ Sol H2O2 10 %
R/ Potio Nigra 100 ml Ac. Boricum 2 %
Adde pro cth Glycerol ad 10 ml
Efedrin HCl 0.2 m.f gtt auric
m.f potio
S 3 dd CI Pro : Tamara
Umur : 18 th
Pro : Ny. Luna
Dr. Sri Puji Aswati Dr. Sri Puji Aswati
Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710 Jl. Emo Kurnia Atmaja No. 32 Tlp. 59710
Subang Subang
SIP. No. 02/KW/1987 SIP. No. 02/KW/1987
No.03 U Bdg, 17-02- No.04 U Bdg, 17-02-2011
2011
R/ Chloramp. Palm 2 %
R/ Antalgin 0.3 Salep 4-8 20
Coffeinum 0.01 S 3 dd ue
Vit. B1 0.02
S.L qs Pro : Gita
m.f pulv dtd N. XII Umur : 5 Th
SOS PI
Pro : Rubi