The document appears to be a collection of prescription forms from different doctors in Surabaya, Indonesia. Each form includes the doctor's information, prescription details like medications, dosages, and instructions, and patient information. There are 26 total prescriptions from doctors specializing in internal medicine and general practice. The prescriptions cover a range of medications for conditions like respiratory issues, pain relief, and skin treatments.
The document appears to be a collection of prescription forms from different doctors in Surabaya, Indonesia. Each form includes the doctor's information, prescription details like medications, dosages, and instructions, and patient information. There are 26 total prescriptions from doctors specializing in internal medicine and general practice. The prescriptions cover a range of medications for conditions like respiratory issues, pain relief, and skin treatments.
The document appears to be a collection of prescription forms from different doctors in Surabaya, Indonesia. Each form includes the doctor's information, prescription details like medications, dosages, and instructions, and patient information. There are 26 total prescriptions from doctors specializing in internal medicine and general practice. The prescriptions cover a range of medications for conditions like respiratory issues, pain relief, and skin treatments.
The document appears to be a collection of prescription forms from different doctors in Surabaya, Indonesia. Each form includes the doctor's information, prescription details like medications, dosages, and instructions, and patient information. There are 26 total prescriptions from doctors specializing in internal medicine and general practice. The prescriptions cover a range of medications for conditions like respiratory issues, pain relief, and skin treatments.
Glucose ad 5 g Coffein 5mg m f pulv No. X Glucose qs S t dd pulv 1 pc m f pulv dtd No. X S 2 dd pulv 1 pc
Pro : An. Riki (25 kg) Pro : An. Zarra (5 th)
No. 9 No. 10 dr. Aminuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
iter 5x R/ Codein 10 mg R/ INH 100mg Ambroxol tab 1/2 Pyridoxine HCl 10mg Dexamethasone tab 1/5 m f cap dtd No. XV m f cap dtd No. X S 1 dd 1 S 3 dd 1 dihabiskan
Pro : An. Lyra (25 kg) Pro An. Leica (15 tahun)
No 11 No 12 dr. Aminuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Aminophyllin 5 tab R/ Paracetamol tab 1/2
Prednison 5 tab GG tab 1/2 m f pulv da in cap No. XV CTM tab 1/2 S t dd 1 cap m f pulv dtd No. X S t dd 1 pc
Pro : An. Lana (11 tahun) Pro : Luna (7 tahun)
NO. 13 NO. 14 dr. Aminuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Acid Salycil 2% R/ Menthol 2.5
Acid Boric 3% Champora 1 Sulfur praec 1% Talc Venet ad 100 Talk ad 30 m p pulv adspers m p pulv adspers Sue S bedak
--- da 20 ---
Pro : An. Flora Pro : An. Hana
Jl. Seruni 10 Surabaya Jl. Kemuning 18 Surabaya
NO. 15 NO. 16 dr. Aminuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Acid Salycil 2 R/ Calamin 5
Balsam Peru 0.2 ZnO 1 MgO 10 Champora 0.5 ZnO 10 Menthol 0.5 Talcum ad 100 Talcum ad 100 m d S pulv adspers m f pulv adspers Sue SUE
--- da 25 ---
Pro : An. Flora (15) Pro : An. Hana (12 th)
No. 19 No. 20 dr. Amiuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Salep 2-4 20 R/ Camphora 1
Menthol 0.2 Ol. Cocos 1 m f ungt. Adeps lanae ad 20 SUE m f ungt SUE
Pro : An. Meta Pro : Nn. Citra
No. 21 No. 22 dr. Amiuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Iodii 2 R/ Ol. Iecoris Aseli 40
Kalii Iodii 3 Cera flava 10 Aqua dest 5 Vaselin flava 50 Ungt. Simplex 90 m.d.S.U.E m.d.S.U.E --- da 30 g --- --- da 25 g ---
Pro : Tn. Ferro Pro : Ny. Wanti
No. 23 No. 24 dr. Amiuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Acid. Stearat 15 R/ Acid. Salycil 400mg
Cera alba 2 ZnO 5 Vaselin alba 8 Amylum Tritici 5 TEA 1.5 Vaselin flava ad 20 Propilen glikol 8 m. f. pasta Aqua dest 65.6 m. f. ungt
--- da 25g---
Pro : Nn. Bianca Pro : An. Made
No. 25 No. 26 dr. Amiuddin Sp. PD dr. Gavin Mada (Spesialis Penyakit Dalam) (Praktek Umum) SIP : 256 / IDI / 2015 SIP : 456 / IDI / 2016 Jl. Garuda 702 Surabaya Jl. Merpati 12 Surabaya Senin - Jumat : 07.00 - 09.00 wib Senin - Jumat : 19.00 - 21.00 wib
R/ Paracetamol 250 mg R/ Amoxicillin 200 mg
Codein 10 mg Phenobarbital 15 mg Oleosachara Ment. Pip 200 mg Oleosachara Citri 200 mg m f pulv dtd No. X m f pulv dtd No. X S t dd 1 pulv S b dd 1 pulv Pro : An. Wike (12 tahun) Pro : An. Jehan (10 tahun) NO. 1 NO. 2 dr. Galang Keanu, Sp.PD dr. Azzizul Hakki Sp. OG SP. 3233 / 222 / 2020 Jl. Sukodono No. 9 Surabaya Alamat : Jam Praktek : SP. 564 / 123 / 2021 Jl. Mojosari No. 1 Surabaya 06.00 - 10.00 wib Jam Praktek : 06.00 - 10.00 wib Surabaya, Surabaya,
