Pasien Umum Feb19

Laporan Penjualan Obat - Rinci
Pasien : PRIBADI
Tanggal Cetak07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

Nama PetugasTIAS
No Resep
Tanggal Nama Pasien Asal Poli / Ba Penjamin Nama Obat Harga Qty Total Rp
RAWAT JALAN
04-02-2019 WILDAN NASUPOLI GIGI PRIBADI RJ201801A0032129
FLAMIGRA 880.00 10.00 8,800.00
BROADAMOX 1,900.00 12.00 22,800.00
TOTAL RESEP WILDAN NASUTION,TN 31,600.00
06-02-2019 ARIELLA,NN POLI GIGI PRIBADI RJ201801A0032339
CATAFLAM 50MG 0.00 0.00 0.00
AMOXiCILIN 500MG 500.00 12.00 6000.00

TOTAL RESEP ARIELLA,NN 6000.00
08-02-2019 ILYAS,TN POLI GIGI PRIBADI RJ201801A0032546
BROADAMOX 1,900.00 10.00 19,000.00
CARGESIK 1,814.00 10.00 18,140.00
TOTAL RESEP ILYAS,TN 37,140.00
11-02-2019 DEDE ALWI,T POLI GIGI PRIBADI RJ201801A0032928
CARGESIK 1,200.00 6.00 7,200.00
AMOXiCILIN 500MG 500.00 12.00 6,000.00
TOTAL RESEP DEDE ALWI,TN 13,200.00
12-02-2019 ABHIRAMA,ANPOLI GIGI PRIBADI RJ201801A0033070
BROADAMOX 1,900.00 10.00 19,000.00
LICODEXON 0.00 0.00 0.00
PLASTIK KLIP (B) 330.00 30.00 9,900.00
TOTAL RESEP ABHIRAMA,AN 28,900.00
13-02-2019 YOHANNES B, POLI GIGI PRIBADI RJ201801A0033157
PEHACAIN INJ 16,000.00 1.00 16,000.00
LIDOCAIN 8,800.00 1.00 8,800.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
RJ201801A0033159
BROADAMOX 1,900.00 10.00 19,000.00
ANTALGIN 500.00 10.00 5,000.00
TOTAL RESEP YOHANNES B,TN 54,850.00
14-02-2019 KRISNA WATI POLI GIGI PRIBADI RJ201801A0033249
FLAMIGRA 880.00 10.00 8,800.00
BROADAMOX 1,900.00 12.00 22,800.00
TOTAL RESEP KRISNA WATI,NY 31,600.00
25-02-2019 DJUSNELLY ALPOLI GIGI PRIBADI RJ201801A0034536

PARACETAMOL 0.00 0.00 0.00
TOTAL RESEP DJUSNELLY ALI,NY 0.00
26-02-2019 SRI LESTARI, POLI GIGI PRIBADI RJ201801A0034750
FLAMIGRA 880.00 12.00 10,560.00
AMOXiCILIN 500MG 500.00 12.00 6,000.00
TOTAL RESEP SRI LESTARI,NY 16,560.00
27-02-2019 ANDHIKA NANPOLI GIGI PRIBADI RJ201801A0034915
PROGRESIC TABLET 0.00 0.00 0.00
BROADAMOX 1,900.00 10.00 19,000.00
TOTAL RESEP ANDHIKA NANDA,TN 19,000.00
28-02-2019 GALUH HARI POLI GIGI PRIBADI RJ201801A0035039
PEHACAIN INJ 16,000.00 1.00 16,000.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
RJ201801A0035048
AMOXiCILIN 500MG 500.00 10.00 5,000.00
CARGESIK 1,200.00 6.00 7,200.00
TOTAL RESEP GALUH HARI S,TN 34,250.00
SUBTOTAL RJ 273,100.00
GRAND TOTAL 2,171,080.00
Pasien : PRIBADI
Tanggal Ceta 07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

Nama Petuga TIAS
No Resep
RAWAT JALAN
01-02-2019 MASNAH,NY POLI OBGYN PRIBADI RJ201801A0031878
SIOBION 1,500.00 20.00 30,000.00
LICOKALK 700.00 20.00 14,000.00
TOTAL RESEP MASNAH,NY 44,000.00
02-02-2019 DESLI,NY POLI OBGYN PRIBADI RJ201801A0031917
ANTASIDA DOEN 800.00 10.00 8,000.00
SIOBION 1,500.00 30.00 45,000.00
CALCIUM LACTAT 800.00 30.00 0.00
TOTAL RESEP DESLI,NY 53,000.00
02-02-2019 DESYA NUR RPOLI OBGYN PRIBADI RJ201801A0031929
GENTAMICIN ZALF 13,500.00 1.00 13,500.00
TOTAL RESEP DESYA NUR RAHMA,BY 13,500.00
03-02-2019 IKA YOHANA, POLI OBGYN PRIBADI RJ201801A0032010
SIOBION 1,500.00 10.00 15,000.00
SPUIT 1 CC 2,750.00 1.00 2,750.00
CARGESIK 1,814.00 10.00 18,140.00
KASSA STERIL PAK 20,000.00 1.00 20,000.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
WE CARE 22,000.00 1.00 22,000.00

OXITOXIN INJ. 33,000.00 1.00 33,000.00
VIT K. INJ. 9,350.00 1.00 9,350.00
UMBILICAL KENIKO 6,600.00 1.00 6,600.00
ADROME 1,210.00 10.00 12,100.00
BROADAMOX 1,900.00 10.00 19,000.00
UNDER PAD 27,500.00 1.00 27,500.00
TOTAL RESEP IKA YOHANA,NY 191,490.00
03-02-2019 SUNARTI,NY POLI OBGYN PRIBADI RJ201801A0032076
FONDAZEN 880.00 10.00 8,800.00
LICOKALK 700.00 10.00 7,000.00
TOTAL RESEP SUNARTI,NY 15,800.00
04-02-2019 YULI YAWATI POLI OBGYN PRIBADI RJ201801A0032116
PARACETAMOL 1,000.00 10.00 10,000.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP YULI YAWATI,NY 20,000.00
04-02-2019 SITI ZULFA,N POLI OBGYN PRIBADI RJ201801A0032186
Vit. C 363.00 10.00 3,630.00
SIOBION 0.00 0.00 0.00
GG 1000 0.00 0.00 0.00
CALCIUM LACTAT 0.00 0.00 0.00
TOTAL RESEP SITI ZULFA,NY 3,630.00
04-02-2019 SITI FAJRIAH POLI OBGYN PRIBADI RJ201801A0032188
SIOBION 0.00 0.00 0.00
CALCIUM LACTAT 800.00 10.00 8,000.00

PARACETAMOL 1,000.00 10.00 10,000.00
TOTAL RESEP SITI FAJRIAH,NY 18,000.00
04-02-2019 YULIS,NY POLI OBGYN PRIBADI RJ201801A0032198
SIOBION 0.00 0.00 0.00
GG 1000 500.00 6.00 3,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
TOTAL RESEP YULIS,NY 13,000.00
04-02-2019 SITI ROHMAHPOLI OBGYN PRIBADI RJ201801A0032201
ANTASIDA DOEN 800.00 10.00 8,000.00
FOLAXIN 1,200.00 15.00 18,000.00
TOTAL RESEP SITI ROHMAH,NY 26,000.00
04-02-2019 RANI SAFITRIPOLI OBGYN PRIBADI RJ201801A0032204
SIOBION 0.00 0.00 0.00
LICOKALK 700.00 14.00 9,800.00
TOTAL RESEP RANI SAFITRI,NY 9,800.00
05-02-2019 YULISTIA KA POLI OBGYN PRIBADI RJ201801A0032243
PARACETAMOL 1,000.00 10.00 10,000.00
NEURODEX TABLET 1,980.00 10.00 19,800.00
BROADAMOX 1,900.00 10.00 19,000.00
TOTAL RESEP YULISTIA KARBIA,NY 48,800.00
05-02-2019 HERLIEN SUL POLI OBGYN PRIBADI RJ201801A0032313
SIOBION 1,500.00 15.00 22,500.00
LICOKALK 700.00 15.00 10,500.00
TOTAL RESEP HERLIEN SULIS,NY 33,000.00
07-02-2019 YAYAH MARIAPOLI OBGYN PRIBADI RJ201801A0032430
FONDAZEN 0.00 0.00 0.00
LICOKALK 700.00 15.00 10,500.00
TOTAL RESEP YAYAH MARIAH,NY 10,500.00
07-02-2019 TAMISIH,NY POLI OBGYN PRIBADI RJ201801A0032472
DEXANTA TABLET 650.00 10.00 6,500.00
GG 1000 500.00 10.00 5,000.00
FOLAXIN 1,200.00 20.00 24,000.00
TOTAL RESEP TAMISIH,NY 35,500.00
08-02-2019 DEVI KURNIA POLI OBGYN PRIBADI RJ201801A0032524
FOLAXIN 1,200.00 30.00 36,000.00
TOTAL RESEP DEVI KURNIAWATI,NY 36,000.00
08-02-2019 YULIA CITRA POLI OBGYN PRIBADI RJ201801A0032590
FOLAXIN 1,200.00 30.00 36,000.00
DOMPERIDON 598.00 10.00 5,980.00
TOTAL RESEP YULIA CITRA,NY 41,980.00
09-02-2019 ASNAH,NY POLI OBGYN PRIBADI RJ201801A0032625
SIOBION 0.00 0.00 0.00
CALCIUM LACTAT 800.00 10.00 8,000.00
TOTAL RESEP ASNAH,NY 8,000.00
09-02-2019 NUNI,NY POLI OBGYN PRIBADI RJ201801A0032643
SIOBION 1,500.00 10.00 15,000.00

LICOKALK 700.00 10.00 7,000.00
FOLAXIN 1,200.00 10.00 12,000.00
TOTAL RESEP NUNI,NY 34,000.00
09-02-2019 AISAH,NN POLI OBGYN PRIBADI RJ201801A0032697
SIOBION 1,500.00 20.00 30,000.00
FOLAXIN 1,200.00 30.00 36,000.00
TOTAL RESEP AISAH,NN 66,000.00
09-02-2019 ITI KODARSI POLI OBGYN PRIBADI RJ201801A0032716
PARACETAMOL 1,000.00 10.00 10,000.00
FOLAXIN 1,200.00 30.00 36,000.00
TOTAL RESEP ITI KODARSI,NY 46,000.00
10-02-2019 NUR MARYATIPOLI OBGYN PRIBADI RJ201801A0032775
ANDALAN KB TABLET 6,000.00 1.00 6,000.00
TOTAL RESEP NUR MARYATI,NY 6,000.00
10-02-2019 IKA YOHANA, POLI OBGYN PRIBADI RJ201801A0032788
PARACETAMOL 1,000.00 10.00 10,000.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP IKA YOHANA,NY 20,000.00
10-02-2019 MALIK,BY POLI OBGYN PRIBADI RJ201801A0032789
BETAMETASON ZALF 15,000.00 1.00 15,000.00
TOTAL RESEP MALIK,BY 15,000.00
10-02-2019 DEBY REGAR, POLI OBGYN PRIBADI RJ201801A0032796
SIOBION 1,500.00 15.00 22,500.00
LICOKALK 700.00 15.00 10,500.00
TOTAL RESEP DEBY REGAR,NY 33,000.00
10-02-2019 SITI ESTIKNAPOLI OBGYN PRIBADI RJ201801A0032806
SIOBION 1,500.00 15.00 22,500.00

LICOKALK 700.00 15.00 10,500.00
TOTAL RESEP SITI ESTIKNA,NY 33,000.00
10-02-2019 NINA SUPINI POLI OBGYN PRIBADI RJ201801A0032808
GASTRUCID 700.00 10.00 7,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
FOLAXIN 1,200.00 20.00 24,000.00
TOTAL RESEP NINA SUPINI,NY 41,000.00
14-02-2019 WINA,NY POLI OBGYN PRIBADI RJ201801A0033285
PARACETAMOL 0.00 0.00 0.00
CAVIPLEX TABLET 1,000.00 6.00 6,000.00
TOTAL RESEP WINA,NY 6,000.00
15-02-2019 KOSMIATI,NNPOLI OBGYN PRIBADI RJ201801A0033386
LICOKALK 700.00 30.00 21,000.00
SIOBION 1,500.00 30.00 45,000.00
GASTRUCID 700.00 10.00 7,000.00
TOTAL RESEP KOSMIATI,NN 73,000.00
15-02-2019 SHIFA SEPTI POLI OBGYN PRIBADI RJ201801A0033416
FOLAXIN 1,200.00 20.00 24,000.00
LICOKALK 700.00 20.00 14,000.00
TOTAL RESEP SHIFA SEPTIANI,NY 38,000.00
16-02-2019 IDA PARIDA, POLI OBGYN PRIBADI RJ201801A0033462
WE CARE 22,000.00 1.00 22,000.00
TOTAL RESEP IDA PARIDA,NY,BY 22,000.00
16-02-2019 RETNO LESTAPOLI OBGYN PRIBADI RJ201801A0033478
GASTRUCID 0.00 0.00 0.00
PARACETAMOL 1,000.00 10.00 10,000.00
LANSOPRAZOLE INF 2,750.00 0.00 0.00
TOTAL RESEP RETNO LESTARI,NY 10,000.00
17-02-2019 ARLIN TERRA POLI OBGYN PRIBADI RJ201801A0033595
GENTAMICIN ZALF 13,500.00 1.00 13,500.00
TOTAL RESEP ARLIN TERRA,BY 13,500.00

17-02-2019 ISNAWATI,NYPOLI OBGYN PRIBADI RJ201801A0033597
OBIMIN 0.00 0.00 0.00
TOTAL RESEP ISNAWATI,NY 0.00
17-02-2019 SUYANTI,NY POLI OBGYN PRIBADI RJ201801A0033602
SIOBION 1,500.00 30.00 45,000.00
LICOKALK 700.00 30.00 21,000.00
TOTAL RESEP SUYANTI,NY 66,000.00
17-02-2019 SAIMAH,NY POLI OBGYN PRIBADI RJ201801A0033617
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP SAIMAH,NY 10,000.00
17-02-2019 WARNENGSIHPOLI OBGYN PRIBADI RJ201801A0033666
SIOBION 1,500.00 10.00 15,000.00
LICOKALK 700.00 10.00 7,000.00
TOTAL RESEP WARNENGSIH,NY 22,000.00
18-02-2019 SENIA APRIY POLI OBGYN PRIBADI RJ201801A0033761
FOLAXIN 0.00 0.00 0.00
TOTAL RESEP SENIA APRIYANTI,NY 0.00
18-02-2019 ERNA WATI,NPOLI OBGYN PRIBADI RJ201801A0033809
SIOBION 1,500.00 0.00 0.00
FOLAXIN 1,200.00 10.00 12,000.00
TOTAL RESEP ERNA WATI,NY 12,000.00
20-02-2019 SITI NUROHMPOLI OBGYN PRIBADI RJ201801A0033991
SIOBION 1,500.00 30.00 45,000.00
LICOKALK 700.00 30.00 21,000.00
TOTAL RESEP SITI NUROHMAT,NY 66,000.00
20-02-2019 DEA FRICILIAPOLI OBGYN PRIBADI RJ201801A0034017
FOLAXIN 1,200.00 30.00 36,000.00

TOTAL RESEP DEA FRICILIA,NY 36,000.00
21-02-2019 FITRI RATNA POLI OBGYN PRIBADI RJ201801A0034210
FOLAXIN 1,200.00 30.00 36,000.00
TOTAL RESEP FITRI RATNA SARI,NY 36,000.00
22-02-2019 RUHYANTI,NYPOLI OBGYN PRIBADI RJ201801A0034263
SIOBION 1,500.00 20.00 30,000.00
LICOKALK 358.00 20.00 7,160.00
TOTAL RESEP RUHYANTI,NY 37,160.00
24-02-2019 MUHAMMAD FPOLI OBGYN PRIBADI RJ201801A0034409
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP MUHAMMAD FAIZ,BY 25,000.00
24-02-2019 AZRIL BILAL, POLI OBGYN PRIBADI RJ201801A0034414
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP AZRIL BILAL,BY 25,000.00
24-02-2019 ATHARIZZ,BY POLI OBGYN PRIBADI RJ201801A0034420
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP ATHARIZZ,BY 25,000.00
24-02-2019 AUDRIC ATHAPOLI OBGYN PRIBADI RJ201801A0034439
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP AUDRIC ATHARIZ,BY 25,000.00
24-02-2019 LILIS RAHAY POLI OBGYN PRIBADI RJ201801A0034446
FOLAXIN 1,200.00 20.00 24,000.00
TOTAL RESEP LILIS RAHAYU,NY 24,000.00
24-02-2019 ELZIO ATHAR POLI OBGYN PRIBADI RJ201801A0034447
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP ELZIO ATHARVA R,BY 25,000.00
25-02-2019 NY .RAHMAH, POLI OBGYN PRIBADI RJ201801A0034565
WE CARE 22,000.00 2.00 44,000.00
TOTAL RESEP NY .RAHMAH,BY 44,000.00
25-02-2019 ANTHYA NOV POLI OBGYN PRIBADI RJ201801A0034601
GASTRUCID 700.00 10.00 7,000.00
FOLAXIN 1,200.00 20.00 24,000.00
TOTAL RESEP ANTHYA NOVWILTY ANGEL,NY 31,000.00
26-02-2019 AVI NAILA PUPOLI OBGYN PRIBADI RJ201801A0034714
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP AVI NAILA PUTRI,BY 25,000.00
26-02-2019 RIAN SUSANTPOLI OBGYN PRIBADI RJ201801A0034777
ANTASIDA DOEN 800.00 10.00 8,000.00
FOLAXIN 1,200.00 10.00 12,000.00
TOTAL RESEP RIAN SUSANTI,NY 20,000.00
26-02-2019 RETNO LESTAPOLI OBGYN PRIBADI RJ201801A0034831
SIOBION 0.00 0.00 0.00
TOTAL RESEP RETNO LESTARI,NY 0.00
27-02-2019 ARI SUCIATI, POLI OBGYN PRIBADI RJ201801A0034881
FOLAXIN 1,200.00 30.00 36,000.00
LICOKALK 700.00 30.00 21,000.00
TOTAL RESEP ARI SUCIATI,NY 57,000.00

27-02-2019 MUHAMMAD AL
POLI OBGYN PRIBADI RJ201801A0034896
FASIDOL DROP 25,000.00 1.00 25,000.00
TOTAL RESEP MUHAMMAD ALIF ALFATIN,BY 25,000.00
27-02-2019 SITI SUBAEK POLI OBGYN PRIBADI RJ201801A0034909
SIOBION 1,500.00 10.00 15,000.00
LICOKALK 700.00 10.00 7,000.00
TOTAL RESEP SITI SUBAEKAH,NY 22,000.00
27-02-2019 RAMINI,NY POLI OBGYN PRIBADI RJ201801A0034918
FOLAXIN 1,200.00 30.00 36,000.00
TOTAL RESEP RAMINI,NY 36,000.00
28-02-2019 ARUM SARI,N POLI OBGYN PRIBADI RJ201801A0035058
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP ARUM SARI,NN 10,000.00
28-02-2019 IMAS NURJANPOLI OBGYN PRIBADI RJ201801A0035075
ARCAVIT-C 2,552.00 10.00 25,520.00
PARACETAMOL 1,000.00 10.00 10,000.00

TOTAL RESEP IMAS NURJANAH,NY 35,520.00
SUBTOTAL RJ Rp1,695,180
Pasien : PRIBADI

Nama Petuga TIAS
No Resep
RAWAT INAP
02-02-2019 GENI GIANTI OPNAME RSC PRIBADI R2018-A000000278
RL OTSU/BRAUN 35,000.00 2.00 70,000.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
ONDANSETRON INJ 8 MG 20,000.00 1.00 20,000.00
ONDANSENTRON INJ 4 MG 22,000.00 1.00 22,000.00
RANITIDIN 16,000.00 1.00 16,000.00
LANSOPRAZOLE INF 2,750.00 5.00 13,750.00
ZINK DISPERSAL 770.00 10.00 7,700.00
TOTAL RESEP GENI GIANTINI G,NN 222,950.00
04-02-2019 SUWANDI,TN OPNAME RSC PRIBADI R2018-A000000281
RL OTSU/BRAUN 35,000.00 4.00 140,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
RANITIDIN 16,000.00 3.00 48,000.00
HELIXIM CAP. 100 MG 3,630.00 6.00 21,780.00
TOTAL RESEP SUWANDI,TN 475,780.00
06-02-2019 ABDUL ROHM OPNAME RSC PRIBADI R2018-A000000284
RL OTSU/BRAUN 35,000.00 6.00 210,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
NORAGES 22,000.00 1.00 22,000.00

RANITIDIN 16,000.00 2.00 32,000.00
DULCOLAX TABLET 2,000.00 2.00 4,000.00
IBUPROFEN 400MG 880.00 10.00 8,800.00
NEURODEX TABLET 1,980.00 10.00 19,800.00
ANTASIDA DOEN 800.00 10.00 8,000.00
FLOXIGRA 500MG 1,000.00 10.00 10,000.00
HELIXIM CAP. 100 MG 3,630.00 0.00 0.00
PARACETAMOL 1,000.00 10.00 10,000.00
NATRIUM DICLOFENAC 50 770.00 10.00 7,700.00
OMEPRAZOLE KAPSUL 1,300.00 10.00 13,000.00
TOTAL RESEP ABDUL ROHMAN,TN 569,950.00
03-02-2019 FADLAN DARIOPNAME RSC PRIBADI R2018-A000000279
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 3.00 18,150.00
NEDLE 26 880.00 2.00 1,760.00
RANITIDIN 16,000.00 1.00 16,000.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
OMEMOX SYR 15,000.00 1.00 15,000.00
LOSTACES FORTE SYRUP 2 44,000.00 1.00 44,000.00
CURVIT 30,000.00 1.00 30,000.00
TOTAL RESEP FADLAN DARIS M,AN 348,070.00
04-02-2019 ENCIH,NY OPNAME RSC PRIBADI R2018-A000000280
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
VASOFIK NO.24 0.00 0.00 0.00
VASOFIX NO.22 28,000.00 2.00 56,000.00

SPUIT 3CC TERUMO 6,050.00 3.00 18,150.00
RANITIDIN 16,000.00 3.00 48,000.00
SPUIT 10 CC 7,500.00 1.00 7,500.00
NEDLE 25 660.00 1.00 660.00
CEFTRIAXONE 27,000.00 4.00 108,000.00
NACL 0,9 % 30,800.00 1.00 30,800.00
BROCON 1,650.00 10.00 16,500.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
Vit. C 363.00 10.00 3,630.00
SPUIT 1 CC 2,750.00 1.00 2,750.00
IBUPROFEN 400MG 880.00 10.00 8,800.00
HELIXIM CAP. 100 MG 0.00 0.00 0.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
TOTAL RESEP ENCIH,NY 566,390.00
05-02-2019 SATI,NY OPNAME RSC PRIBADI R2018-A000000282
RL OTSU/BRAUN 35,000.00 6.00 210,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 3.00 18,150.00
RANITIDIN 16,000.00 5.00 80,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
HELIXIM CAP. 100 MG 3,630.00 10.00 36,300.00
IBUPROFEN 400MG 880.00 10.00 8,800.00
OMEDOM 1,540.00 10.00 15,400.00
TOTAL RESEP SATI,NY 635,750.00
06-02-2019 SITI MUNAW OPNAME RSC PRIBADI R2018-A000000283

RL OTSU/BRAUN 35,000.00 6.00 210,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
ONDANCENTRON 8MG TAB 4,000.00 0.00 0.00
RANITIDIN 16,000.00 6.00 96,000.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
AMOXiCILIN 500MG 500.00 10.00 5,000.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
FARSIFEN SIRUP 12,100.00 1.00 12,100.00
TOTAL RESEP SITI MUNAWAROH,NY 411,150.00
08-02-2019 ADEN,TN OPNAME RSC PRIBADI R2018-A000000289
RL OTSU/BRAUN 35,000.00 9.00 315,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
SPUIT 10 CC 7,500.00 1.00 7,500.00
AQUA BIDES 50 CC 10,000.00 1.00 10,000.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
CEFTRIAXONE 27,000.00 6.00 162,000.00
RANITIDIN 16,000.00 4.00 64,000.00
TOTAL RESEP ADEN,TN 761,600.00
08-02-2019 MUHAMAD IR OPNAME RSC PRIBADI R2018-A000000291
RL OTSU/BRAUN 35,000.00 7.00 245,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00

MERSIBION INJ. 24,200.00 1.00 24,200.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
ANTRAIN 35,000.00 1.00 35,000.00
RANITIDIN 16,000.00 2.00 32,000.00
NEDLE 25 660.00 1.00 660.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
ANTASIDA DOEN 800.00 10.00 8,000.00
HELIXIM CAP. 100 MG 0.00 0.00 0.00
TOTAL RESEP MUHAMAD IRWAN,TN 511,360.00
06-02-2019 MUHAMMAD JOPNAME RSC PRIBADI R2018-A000000285
RL OTSU/BRAUN 35,000.00 2.00 70,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
RANITIDIN 16,000.00 3.00 48,000.00
ANTRAIN 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
HELIXIM CAP. 100 MG 3,630.00 0.00 0.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP MUHAMMAD JULIAN,TN 276,250.00
07-02-2019 SUMARNI,NY OPNAME RSC PRIBADI R2018-A000000286
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 4.00 24,200.00

RANITIDIN 16,000.00 2.00 32,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
ANTRAIN 35,000.00 1.00 35,000.00
TOTAL RESEP SUMARNI,NY 321,800.00
08-02-2019 MARIAM,NY OPNAME RSC PRIBADI R2018-A000000290
RL OTSU/BRAUN 35,000.00 6.00 210,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
RANITIDIN 16,000.00 1.00 16,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
TOTAL RESEP MARIAM,NY 345,400.00
07-02-2019 SANIH,NY OPNAME RSC PRIBADI R2018-A000000287
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
HELIXIM CAP. 100 MG 3,630.00 10.00 36,300.00
LOPAMID 800.00 20.00 16,000.00
TOTAL RESEP SANIH,NY 243,800.00
09-02-2019 SANTI,NN OPNAME RSC PRIBADI R2018-A000000292
RL OTSU/BRAUN 35,000.00 5.00 175,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00

ANTRAIN 35,000.00 0.00 0.00
DEXTEEM PLUS 1,000.00 10.00 10,000.00
OMEROXOL TABLET 660.00 10.00 6,600.00
Vit. C 363.00 10.00 3,630.00
TOTAL RESEP SANTI,NN 262,680.00
08-02-2019 H UJANG,TN OPNAME RSC PRIBADI R2018-A000000288
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
SCOPAMIN 44,000.00 3.00 132,000.00
HELIXIM CAP. 100 MG 3,630.00 10.00 36,300.00
ANTRAIN 35,000.00 1.00 35,000.00
TOTAL RESEP H UJANG,TN 374,800.00
09-02-2019 IRFAN,TN OPNAME RSC PRIBADI R2018-A000000293
RL OTSU/BRAUN 35,000.00 4.00 140,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
ANTRAIN 35,000.00 2.00 70,000.00
SCOPAMIN 44,000.00 4.00 176,000.00
DIONICOL 1,800.00 10.00 18,000.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
LICODEXON 600.00 10.00 6,000.00
CAMIDRYL SYRUP 12,100.00 1.00 12,100.00
TOTAL RESEP IRFAN,TN 512,600.00
11-02-2019 ROKHANI,NY OPNAME RSC PRIBADI R2018-A000000296

RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
RANITIDIN 16,000.00 4.00 64,000.00
NACL 0,9 % 30,800.00 4.00 123,200.00
TOTAL RESEP ROKHANI,NY 499,500.00
10-02-2019 RUDI,TN OPNAME RSC PRIBADI R2018-A000000294
RL OTSU/BRAUN 35,000.00 2.00 70,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
SCOPAMIN 44,000.00 1.00 44,000.00
LICODEXON 600.00 10.00 6,000.00
TERA-F 1,870.00 10.00 18,700.00
LOSTACEF CAPSUL 500MG 1,650.00 10.00 16,500.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
TOTAL RESEP RUDI,TN 296,250.00
12-02-2019 DICKY TRI F, OPNAME RSC PRIBADI R2018-A000000298
RL OTSU/BRAUN 35,000.00 8.00 280,000.00
INFUS SET ADULT 26,400.00 0.00 0.00
VASOFIX NO.22 28,000.00 1.00 28,000.00

SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00
SPUIT 5 CC 6,600.00 2.00 13,200.00
NEDLE 26 880.00 1.00 880.00
RANITIDIN 16,000.00 3.00 48,000.00
PARACETAMOL 1,000.00 1.00 1,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
DIONICOL 1,800.00 10.00 18,000.00
NEURODEX TABLET 1,980.00 10.00 19,800.00
TOTAL RESEP DICKY TRI F,TN 458,930.00
10-02-2019 AGUNG MURI OPNAME RSC PRIBADI R2018-A000000295
RL OTSU/BRAUN 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
ANTRAIN 35,000.00 1.00 35,000.00
RANITIDIN 16,000.00 1.00 16,000.00
DEXTRAL SYR 15,400.00 1.00 15,400.00
SALBUTAMOL 4 MG 700.00 10.00 7,000.00
METHIL PREDNISOLON 4M 1,100.00 10.00 11,000.00
HELIXIM SYRUP 40,000.00 1.00 40,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
TOTAL RESEP AGUNG MURIA,AN 242,900.00
12-02-2019 LILIS,NY OPNAME RSC PRIBADI R2018-A000000297
RL OTSU/BRAUN 35,000.00 8.00 280,000.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00

SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
RANITIDIN 16,000.00 4.00 64,000.00
HELIXIM SYRUP 0.00 0.00 0.00
Vit.B COM 900.00 0.00 0.00
TOTAL RESEP LILIS,NY 580,300.00
18-02-2019 ERIKA,AN OPNAME RSC PRIBADI R2018-A000000300
RL OTSU/BRAUN 35,000.00 8.00 280,000.00
INFUS SET ADULT 26,400.00 2.00 52,800.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
NORAGES 22,000.00 2.00 44,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
RANITIDIN 440.00 3.00 1,320.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
DULCOLAX TABLET 2,000.00 4.00 8,000.00
TOTAL RESEP ERIKA,AN 436,220.00
18-02-2019 M IBRAHIM,A OPNAME RSC PRIBADI R2018-A000000301
RL OTSU/BRAUN 35,000.00 2.00 70,000.00
VASOFIK NO.24 0.00 0.00 0.00
SPUIT 1 CC 2,750.00 1.00 2,750.00
SPUIT 5 CC 6,600.00 1.00 6,600.00
RANITIDIN 16,000.00 3.00 48,000.00
ANTRAIN 35,000.00 1.00 35,000.00
VITCUR 16,500.00 1.00 16,500.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00

AMOXiCILIN 500MG 500.00 1.00 500.00
TOTAL RESEP M IBRAHIM,AN 192,110.00
17-02-2019 AHZA MAHAD OPNAME RSC PRIBADI R2018-A000000299
RL OTSU/BRAUN 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
CURVIT 30,000.00 1.00 30,000.00
TOTAL RESEP AHZA MAHADIR AHMAD,AN 139,160.00
22-02-2019 MARIYANTO, OPNAME RSC PRIBADI R2018-A000000306
RL OTSU/BRAUN 35,000.00 8.00 280,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
NEDLE 26 880.00 1.00 880.00
SPUIT 3CC TERUMO 6,050.00 3.00 18,150.00
RANITIDIN 16,000.00 6.00 96,000.00
ANTRAIN 35,000.00 3.00 105,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
OMEDOM 1,540.00 10.00 15,400.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
CEFTRIAXONE 27,000.00 6.00 162,000.00
SPUIT 1 CC 2,750.00 1.00 2,750.00
DULCOLAX TABLET 2,000.00 4.00 8,000.00
NACL 0,9 % 30,800.00 0.00 0.00
AQUA BIDES 50 CC 10,000.00 3.00 30,000.00
SPUIT 10 CC 7,500.00 1.00 7,500.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
TOTAL RESEP MARIYANTO,TN 828,280.00
18-02-2019 PUTRI AYU N OPNAME RSC PRIBADI R2018-A000000302

PLASTIK KLIP (S) 400.00 270.00 108,000.00
RL OTSU/BRAUN 0.00 0.00 0.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 5 CC 6,600.00 2.00 13,200.00
NEDLE 26 880.00 1.00 880.00
RANITIDIN 16,000.00 3.00 48,000.00
DEXTRAL 1,800.00 2.00 3,600.00
DIONICOL 1,800.00 10.00 18,000.00
VITCUR 16,500.00 1.00 16,500.00
PARACETAMOL 1,000.00 10.00 10,000.00
DOMPERIDON 1,196.00 10.00 11,960.00
TOTAL RESEP PUTRI AYU NINGRUM,AN 291,540.00
20-02-2019 MAHPUDIN,T OPNAME RSC PRIBADI R2018-A000000304
RL OTSU/BRAUN 0.00 0.00 0.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 2.00 70,000.00
PARACETAMOL 1,000.00 10.00 10,000.00
DEXTRAL 1,800.00 10.00 18,000.00
DEXANTA TABLET 650.00 10.00 6,500.00
NACL 0,9 % 30,800.00 4.00 123,200.00
TOTAL RESEP MAHPUDIN,TN 254,100.00
19-02-2019 KHAWLA ADR OPNAME RSC PRIBADI R2018-A000000303
RL OTSU/BRAUN 35,000.00 1.00 35,000.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
TOTAL RESEP KHAWLA ADREENA,AN 109,160.00

21-02-2019 RENATA JELI OPNAME RSC PRIBADI R2018-A000000305
RL OTSU/BRAUN 35,000.00 2.00 70,000.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
NORAGES 22,000.00 1.00 22,000.00
NOVAGESIC 11,880.00 1.00 11,880.00
NACL 0,9 % 30,800.00 1.00 30,800.00
PRIMADEX SIRUP 17,600.00 1.00 17,600.00
TOTAL RESEP RENATA JELITA WIJAYA,AN 199,380.00
23-02-2019 ALIKA FATIH OPNAME RSC PRIBADI R2018-A000000308
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
CURVIT 30,000.00 1.00 30,000.00
TOTAL RESEP ALIKA FATIHA AZZAHRA,AN 223,160.00
22-02-2019 AZKIA AINAY OPNAME RSC PRIBADI R2018-A000000307
RL OTSU/BRAUN 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
XILTROP 30,000.00 1.00 30,000.00
PRORIS SUPP 11,000.00 1.00 11,000.00
TOTAL RESEP AZKIA AINAYA,AN 150,160.00
24-02-2019 AWI SUGANDIOPNAME RSC PRIBADI R2018-A000000309
RL OTSU/BRAUN 35,000.00 6.00 210,000.00
VASOFIX NO.22 28,000.00 1.00 28,000.00

INFUS SET ADULT 26,400.00 1.00 26,400.00
SPUIT 3CC TERUMO 6,050.00 4.00 24,200.00
RANITIDIN 16,000.00 4.00 64,000.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
ANTRAIN 35,000.00 2.00 70,000.00
SUCRALFAT 38,000.00 1.00 38,000.00
LOSTACEF CAPSUL 500MG 1,650.00 10.00 16,500.00
DEXTEEM PLUS 1,000.00 10.00 10,000.00
FLUTAMOL 1,100.00 10.00 11,000.00
AMBROXOL 770.00 10.00 7,700.00
NEURODEX TABLET 1,980.00 10.00 19,800.00
TOTAL RESEP AWI SUGANDI,TN 681,800.00
25-02-2019 MAMAN SURAOPNAME RSC PRIBADI R2018-A000000311
RL OTSU/BRAUN 35,000.00 3.00 105,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIX NO.22 28,000.00 1.00 28,000.00
RANITIDIN 440.00 10.00 4,400.00
PARACETAMOL 1,000.00 10.00 10,000.00
DEXTEEM PLUS 1,000.00 10.00 10,000.00
RANITIDIN 16,000.00 4.00 64,000.00
SPUIT 3CC TERUMO 6,050.00 2.00 12,100.00
MERSIBION INJ. 24,200.00 1.00 24,200.00
TOTAL RESEP MAMAN SURAHMAN,TN 284,100.00
25-02-2019 NUR AINI,AN OPNAME RSC PRIBADI R2018-A000000310
CURVIT 30,000.00 1.00 30,000.00
RL OTSU/BRAUN 35,000.00 1.00 35,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00

GASTRUCID SYRP 14,000.00 1.00 14,000.00
PROGRESIC SYRUP 12,760.00 1.00 12,760.00
DANASONE 1,200.00 4.00 4,800.00
ALERON 770.00 4.00 3,080.00
GASTRUCID SYRP 14,000.00 1.00 14,000.00
DIONICOL 1,800.00 10.00 18,000.00
TOTAL RESEP NUR AINI,AN 193,040.00
26-02-2019 SITIN KHASA OPNAME RSC PRIBADI R2018-A000000312
RL OTSU/BRAUN 35,000.00 4.00 140,000.00
INFUS SET ADULT 26,400.00 1.00 26,400.00
VASOFIK NO.24 35,000.00 1.00 35,000.00
SIDIADRYL 4,000.00 1.00 4,000.00
DIONICOL 0.00 0.00 0.00
FLUTAMOL 1,100.00 10.00 11,000.00
CAVIPLEX TABLET 1,000.00 10.00 10,000.00
TOTAL RESEP SITIN KHASANAH,NY 259,400.00
SUBTOTAL RI 12,589,870.00
Pasien : PRIBADI

Nama Petuga TIAS
No Resep
Tanggal Nama Pasien Asal Poli / Ba Penjamin Nama Obat Harga Qty
RAWAT JALAN
02-02-2019 ESTER SENDUUGD PRIBADI RJ201801A0031950
PRORIS SUPP 11,000.00 1.00
FARSIFEN SIRUP 12,100.00 1.00
ANABION 24,500.00 1.00
DIONICOL 15,000.00 1.00
TOTAL RESEP ESTER SENDUK,NY
01-02-2019 CECE ENDANGUGD PRIBADI RJ201801A0031821
GASELA 1,320.00 6.00
ANTASIDA DOEN 800.00 10.00
LANSOPRAZOLE INF 2,750.00 4.00
KETOROLAC INJ 24,200.00 1.00
SPUIT 3CC TERUMO 6,050.00 1.00
NEDLE 26 880.00 1.00
PRONALGES SUP 15,400.00 1.00
TOTAL RESEP CECE ENDANG T,TN
01-02-2019 ANINDYA,BY UGD PRIBADI RJ201801A0031824
MUCOS DROP 40,000.00 1.00
HELIXIM SYRUP 40,000.00 1.00
TOTAL RESEP ANINDYA,BY
01-02-2019 AJA,TN UGD PRIBADI RJ201801A0031838
HUFRALGIN TABLET 770.00 10.00
LICODEXON 600.00 10.00
RANITIDIN 440.00 10.00
NATRIUM DICLOFENAC 50 770.00 6.00
TOTAL RESEP AJA,TN
01-02-2019 ARI PUJIANTIUGD PRIBADI RJ201801A0031839

ZINK DISPERSAL 770.00 10.00
TOTAL RESEP ARI PUJIANTI,NY
01-02-2019 RAHMAT RUDUGD PRIBADI RJ201801A0031840
AMOXiCILIN 500MG 500.00 10.00
Vit.B COM 900.00 10.00
GASELA 0.00 0.00
TOTAL RESEP RAHMAT RUDIANSYAH,AN
01-02-2019 CHRISTAN H UGD PRIBADI RJ201801A0031844
LOSTACEF CAPSUL 500MG 1,650.00 10.00
TERA-F 1,870.00 10.00
GASELA 1,320.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP CHRISTAN HERMANTO,TN
01-02-2019 KASTEM,NY UGD PRIBADI RJ201801A0031845
HISTIGO 1,800.00 10.00
IBUPROFEN 400MG 880.00 10.00
GASELA 1,320.00 10.00
NEURODEX TABLET 1,980.00 10.00
TOTAL RESEP KASTEM,NY
01-02-2019 DEDE REVALLUGD PRIBADI RJ201801A0031848
ARCAVIT-C 2,552.00 3.00
TOTAL RESEP DEDE REVALLIAN,AN
01-02-2019 MR MARIUS,TUGD PRIBADI RJ201801A0031852
GENTAMICIN ZALF 13,500.00 1.00
FARIZOL 824.00 10.00

CARGESIK 1,200.00 10.00
TOTAL RESEP MR MARIUS,TN
01-02-2019 GENI GIANTI UGD PRIBADI RJ201801A0031855
PRIMADEX TABLET 440.00 10.00
DOMPERIDON 0.00 0.00
MOLACORT 0,75 0.00 0.00
TOTAL RESEP GENI GIANTINI G,NN
01-02-2019 MIRSAN,TN UGD PRIBADI RJ201801A0031856
FLUTAMOL 1,100.00 10.00
SALBUTAMOL 2MG 770.00 10.00
TOTAL RESEP MIRSAN,TN
01-02-2019 SUBUR WIJAYUGD PRIBADI RJ201801A0031859
GASTRUCID 700.00 10.00
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP SUBUR WIJAYA,TN
01-02-2019 FAHMI FEBRI UGD PRIBADI RJ201801A0031860
IBUPROFEN 400MG 880.00 10.00
PLASTIK KLIP (K) 0.00 0.00

TOTAL RESEP FAHMI FEBRIAN,AN
01-02-2019 SUPARLAN,T UGD PRIBADI RJ201801A0031861
BROCON 1,650.00 10.00
TOTAL RESEP SUPARLAN,TN
01-02-2019 TEDI MULIAD UGD PRIBADI RJ201801A0031862
DEXTRAL 1,800.00 10.00
TOTAL RESEP TEDI MULIADI,TN
01-02-2019 IDA MARLINA UGD PRIBADI RJ201801A0031863
OMEDOM 1,540.00 10.00
IBUPROFEN 400MG 880.00 10.00
HISTIGO 1,800.00 10.00
NEDLE 26 880.00 1.00
TOTAL RESEP IDA MARLINA,NY
01-02-2019 BAMBANG DWUGD PRIBADI RJ201801A0031866
FLUTAMOL 1,100.00 10.00
Vit. C 363.00 10.00
TOTAL RESEP BAMBANG DWI NAYANTAMA,TN
01-02-2019 LYSTIA MERY UGD PRIBADI RJ201801A0031871

BROCON 1,650.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP LYSTIA MERYANI,NY
01-02-2019 ELVA RENGGAUGD PRIBADI RJ201801A0031875
PRORIS SUPP 11,000.00 1.00
RJ201801A0031879
LOSTACEF SYRUP 125 mg 33,000.00 1.00
PROGRESIC SYRUP 12,760.00 1.00
DEXTRAL 1,800.00 4.00
PLASTIK KLIP (B) 330.00 1.00
TOTAL RESEP ELVA RENGGANIS,AN
01-02-2019 WARSIH,NY UGD PRIBADI RJ201801A0031877
ERLA TETES MATA 24,200.00 1.00
TOTAL RESEP WARSIH,NY
01-02-2019 NURUL AWWAUGD PRIBADI RJ201801A0031886
IBUPROFEN 400MG 880.00 10.00
FOLAXIN 1,200.00 10.00
TOTAL RESEP NURUL AWWALINA,NY
01-02-2019 SAILA ATAYA UGD PRIBADI RJ201801A0031887
LERZIN SYRUP 15,400.00 1.00
HIDROCORTISON 2,5 % 13,000.00 1.00
TOTAL RESEP SAILA ATAYA S,BY
01-02-2019 ILHAM SAPUTUGD PRIBADI RJ201801A0031888

TERA-F 1,870.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP ILHAM SAPUTRA,TN
01-02-2019 NUR SANTI,N UGD PRIBADI RJ201801A0031890
VITAMIN B6 440.00 10.00
TOTAL RESEP NUR SANTI,NY
02-02-2019 HUMAIRAH AZUGD PRIBADI RJ201801A0031891
PRORIS SUPP 11,000.00 1.00
CTM 4MG 500.00 3.00
VITCUR 0.00 0.00
TOTAL RESEP HUMAIRAH AZ ZAHRA,AN
02-02-2019 INDAH,NY UGD PRIBADI RJ201801A0031892
DEXTRAL 1,800.00 10.00
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP INDAH,NY
02-02-2019 FATHAN KAMAUGD PRIBADI RJ201801A0031894
IBUPROFEN 400MG 880.00 10.00
DEXTEEM PLUS 1,000.00 10.00
LOSTACES FORTE SYRUP 2 44,000.00 1.00
CAVIPLEX TABLET 1,000.00 5.00
TOTAL RESEP FATHAN KAMAL HUSEIN,AN
02-02-2019 MIKAIL,AN UGD PRIBADI RJ201801A0031893

ANABION 24,500.00 1.00
TOTAL RESEP MIKAIL,AN
02-02-2019 UMAMAH,NY UGD PRIBADI RJ201801A0031924
IBUPROFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
DEXTRAL 0.00 0.00
TOTAL RESEP UMAMAH,NY
02-02-2019 SELVI APRILI UGD PRIBADI RJ201801A0031922
ANABION 24,500.00 1.00
AMBROXOL 770.00 4.00
GG 1000 500.00 4.00
Vit. C 363.00 6.00
TOTAL RESEP SELVI APRILIA S,AN
02-02-2019 NOPI,AN UGD PRIBADI RJ201801A0031925
ANABION 24,500.00 1.00
GASTRUCID SYRP 14,000.00 1.00
TOTAL RESEP NOPI,AN
02-02-2019 YANTI,NY UGD PRIBADI RJ201801A0031930
DEXAMETASON.INJ 3,600.00 1.00

CARGESIK 1,200.00 10.00
TOTAL RESEP YANTI,NY
02-02-2019 SATI,NY UGD PRIBADI RJ201801A0031937
IBUPROFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP SATI,NY
02-02-2019 ESTHER KEFAUGD PRIBADI RJ201801A0031953
DIONICOL 15,000.00 1.00
ANABION 24,500.00 1.00
PRORIS SUPP 11,000.00 1.00
TOTAL RESEP ESTHER KEFAELLE,BY
02-02-2019 MANON,NY UGD PRIBADI RJ201801A0031964
CARGESIK 1,200.00 10.00
OMEROXOL SYRUP 19,800.00 1.00
CAPTOPRIL 400.00 10.00
TOTAL RESEP MANON,NY
02-02-2019 DEVINA T N UGD PRIBADI RJ201801A0031969
IBUPROFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP DEVINA T N,NN

02-02-2019 MUJAHID KHAUGD PRIBADI RJ201801A0031979
OMEMOX SYR 15,000.00 1.00
SALYCYL TALK NELCO 18,000.00 1.00
TOTAL RESEP MUJAHID KHALILUL ABRAR,BY
02-02-2019 MICHAEL JONUGD PRIBADI RJ201801A0031984
OMEMOX SYR 15,000.00 1.00
GG 1000 500.00 4.00
Vit. C 363.00 7.00
ANABION 24,500.00 1.00
TOTAL RESEP MICHAEL JONATAN S,AN
02-02-2019 DUTA RESKA UGD PRIBADI RJ201801A0031997
IBUPROFEN 400MG 880.00 10.00
FLUTAMOL 1,100.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP DUTA RESKA R.,AN
02-02-2019 IMAM HAMBALUGD PRIBADI RJ201801A0032000
IBUPROFEN 400MG 880.00 10.00
DIONICOL 1,800.00 10.00
OMEDOM 1,540.00 10.00
VOLTADEX 50MG 1,100.00 10.00
TOTAL RESEP IMAM HAMBALI,TN
02-02-2019 MARI,NY UGD PRIBADI RJ201801A0032002

ALERON 770.00 8.00
CALCIUM LACTAT 800.00 6.00
VOLTADEX 50MG 1,100.00 6.00
TOTAL RESEP MARI,NY
02-02-2019 M SP MENGGAUGD PRIBADI RJ201801A0032003
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP M SP MENGGA,TN
02-02-2019 MELDA FERA UGD PRIBADI RJ201801A0032004
DEXTRAL 0.00 0.00
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP MELDA FERA NINGRUM,NN
02-02-2019 FATHYA ADHAUGD PRIBADI RJ201801A0032005
HIDROCORTISON 2,5 % 13,000.00 1.00
CETERIZIN 770.00 2.00
Vit. C 363.00 4.00
TOTAL RESEP FATHYA ADHANIA,AN
03-02-2019 NADPUDIN,T UGD PRIBADI RJ201801A0032006
ACIVAR 2,150.00 10.00
DULCOLAX TABLET 2,000.00 10.00
TOTAL RESEP NADPUDIN,TN
03-02-2019 ALBY DWI AR UGD PRIBADI RJ201801A0032007

PRORIS SUPP 11,000.00 1.00
STESOLID 10 MG 88,000.00 1.00
TOTAL RESEP ALBY DWI ARBANI,AN
03-02-2019 FADLAN,AN UGD PRIBADI RJ201801A0032008
PRORIS SUPP 11,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP FADLAN,AN
03-02-2019 TRIANA,TN UGD PRIBADI RJ201801A0032015
LIDOCAIN 8,800.00 3.00
NEDLE 25 660.00 2.00
BROADAMOX 1,900.00 10.00
CARGESIK 1,814.00 10.00
TOTAL RESEP TRIANA,TN
03-02-2019 M.FAIZAN HA UGD PRIBADI RJ201801A0032014
OMEMOX SYR 15,000.00 1.00
DEXTRAL 1,800.00 3.00
SALBUTAMOL 4 MG 700.00 3.00
TOTAL RESEP M.FAIZAN HANAFI,AN
03-02-2019 SYAILENDRA, UGD PRIBADI RJ201801A0032016

IBUPROFEN 400MG 880.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP SYAILENDRA,AN
03-02-2019 AI ROHMAHLUUGD PRIBADI RJ201801A0032020
BROCON 1,650.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP AI ROHMAHLUSI,NN
03-02-2019 ARSHAKA,AN UGD PRIBADI RJ201801A0032022
CURVIT 30,000.00 1.00
TOTAL RESEP ARSHAKA,AN
03-02-2019 TARSONO,TN UGD PRIBADI RJ201801A0032029
FLUTAMOL 1,100.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP TARSONO,TN
03-02-2019 SUKMA KAMIDUGD PRIBADI RJ201801A0032031
TOTAL RESEP SUKMA KAMIDI,AN
03-02-2019 ANDHIKA SHAUGD PRIBADI RJ201801A0032043
ARCAVIT-C 2,552.00 10.00

IBUPROFEN 400MG 880.00 10.00
HELIXIM CAP. 100 MG 3,630.00 10.00
TOTAL RESEP ANDHIKA SHAKTI,TN
03-02-2019 SYIFA SALSA UGD PRIBADI RJ201801A0032045
GG 1000 500.00 4.00
CURVIT 30,000.00 1.00
TOTAL RESEP SYIFA SALSABILA,AN
03-02-2019 M RIZKY APR UGD PRIBADI RJ201801A0032058
FLOXIGRA 500MG 1,000.00 10.00
TERA-F 1,870.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP M RIZKY APRIYANTO,TN
03-02-2019 RULLY YANTI UGD PRIBADI RJ201801A0032059
FLOXIGRA 500MG 1,000.00 10.00
OMEDOM 1,540.00 10.00
NEDLE 26 880.00 1.00
TOTAL RESEP RULLY YANTI,NY
03-02-2019 CINDI,NN UGD PRIBADI RJ201801A0032066
FLUTAMOL 1,100.00 10.00
TOTAL RESEP CINDI,NN

03-02-2019 M ERZHAN S, UGD PRIBADI RJ201801A0032073
TERA-F 1,870.00 10.00
TOTAL RESEP M ERZHAN S,AN
03-02-2019 MIRA ANGELI UGD PRIBADI RJ201801A0032072
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP MIRA ANGELIA,NY
03-02-2019 SUNARDI,TN UGD PRIBADI RJ201801A0032077
BROCON 1,650.00 10.00
METHIL PREDNISOLON 4M 1,100.00 10.00
TOTAL RESEP SUNARDI,TN
03-02-2019 MISCHA SYALUGD PRIBADI RJ201801A0032078
DEXTRAL SYR 15,400.00 1.00
Vit. C 363.00 3.00
TOTAL RESEP MISCHA SYALSABILLA H,AN
03-02-2019 BAGUS HAND UGD PRIBADI RJ201801A0032084
VOLTADEX 50MG 1,100.00 3.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP BAGUS HANDOKO,TN

03-02-2019 YENI BINTI UGD PRIBADI RJ201801A0032085
FARSIFEN PLUS 2,310.00 10.00
HISTIGO 1,800.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP YENI BINTI UKAR,NY
03-02-2019 M LATIEF NA UGD PRIBADI RJ201801A0032087
DEXTRAL SYR 15,400.00 1.00
TOTAL RESEP M LATIEF NAJMUDIN,AN
04-02-2019 KIANDRA NAAUGD PRIBADI RJ201801A0032090
DEXTRAL SYR 15,400.00 1.00
DUMIN SUPP 38,500.00 1.00
TOTAL RESEP KIANDRA NAAILA ALISTA,AN
04-02-2019 DENYA MAYA UGD PRIBADI RJ201801A0032091
BROADAMOX 1,900.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP DENYA MAYA PRISCILA SUNDAH,NN
04-02-2019 DAMAR PRAMUGD PRIBADI RJ201801A0032092
VENTOLIN 30,000.00 1.00
TOTAL RESEP DAMAR PRAMUDYA,AN
04-02-2019 CAHAYA,AN UGD PRIBADI RJ201801A0032104

*DEXAMETASON 275.00 6.00
*SACARIN LACTAC 0.00 0.00
*PARACETAMOL 0.00 0.00
RJ201801A0032105
Vit. C 363.00 10.00
TOTAL RESEP CAHAYA,AN
04-02-2019 LUKKISAH,NY UGD PRIBADI RJ201801A0032106
METRONIDAZOLE 1,100.00 15.00
CARGESIK 1,814.00 10.00
TOTAL RESEP LUKKISAH,NY
04-02-2019 DESY ANGGRAUGD PRIBADI RJ201801A0032127
TOTAL RESEP DESY ANGGRAINI,NY
04-02-2019 SUMPENA,TN UGD PRIBADI RJ201801A0032133
Vit.B COM 0.00 0.00
SPASMAL 0.00 0.00
TOTAL RESEP SUMPENA,TN
04-02-2019 SURYANTO,T UGD PRIBADI RJ201801A0032141
OMEROXOL TABLET 660.00 10.00
BISOLVON 5,000.00 1.00

VENTOLIN 30,000.00 1.00
FULMICORT 0,5 / 1 NEBU 50,000.00 1.00
COMBIVEN 35,000.00 0.00
TOTAL RESEP SURYANTO,TN
04-02-2019 ADE WAHYU, UGD PRIBADI RJ201801A0032144
Vit.B COM 0.00 0.00
PARACETAMOL 1,000.00 10.00
CARGESIK 0.00 0.00
TOTAL RESEP ADE WAHYU,TN
04-02-2019 YEMMI DEWI UGD PRIBADI RJ201801A0032154
HIDROCORTISON 2,5 % 0.00 0.00
TOTAL RESEP YEMMI DEWI F,NY
04-02-2019 MUHAIMIN,T UGD PRIBADI RJ201801A0032165
Vit.B COM 0.00 0.00
TOTAL RESEP MUHAIMIN,TN
04-02-2019 KHALID UWAIUGD PRIBADI RJ201801A0032167
*FLUTAMOL 550.00 3.00
RJ201801A0032168
Vit. C 363.00 6.00
TOTAL RESEP KHALID UWAIS,AN
04-02-2019 II BADRU TA UGD PRIBADI RJ201801A0032174

CARGESIK 1,814.00 10.00
ADROME 1,210.00 10.00
BROADAMOX 1,900.00 10.00
TOTAL RESEP II BADRU TAMAMI,TN
04-02-2019 HENDAR SUP UGD PRIBADI RJ201801A0032180
SPUIT 5 CC 6,600.00 1.00
NEDLE 25 660.00 1.00
ONDANSETRON INJ 8 MG 20,000.00 1.00
HISTIGO 1,800.00 11.00
OMEDOM 0.00 0.00
TOTAL RESEP HENDAR SUPRIYATNA,TN
04-02-2019 ALVI ANDRIA UGD PRIBADI RJ201801A0032183
NEDLE 25 660.00 1.00
KETOROLAC INJ 0.00 0.10
TOTAL RESEP ALVI ANDRIAN,AN
04-02-2019 PRATIWI DIN UGD PRIBADI RJ201801A0032190
COTRIMOXAZOLE 814.00 10.00
PREDNISOLON 5MG 800.00 4.00
TOTAL RESEP PRATIWI DINARYATI,NY
04-02-2019 UMIN,TN UGD PRIBADI RJ201801A0032205
DIONICOL 1,800.00 10.00
TOTAL RESEP UMIN,TN

04-02-2019 HERADAWATIUGD PRIBADI RJ201801A0032193
VITAMIN B6 440.00 10.00
TOTAL RESEP HERADAWATI,NY
04-02-2019 YUNITA,NN UGD PRIBADI RJ201801A0032197
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP YUNITA,NN
04-02-2019 R TJIPTADHI UGD PRIBADI RJ201801A0032219
AMBEVEN 0.00 0.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP R TJIPTADHI POERWONO,TN
05-02-2019 MUKINI,NY UGD PRIBADI RJ201801A0032225
OMEPRAZOLE KAPSUL 1,300.00 10.00
SPASMINAL 1,800.00 10.00
TOTAL RESEP MUKINI,NY
05-02-2019 ANINDYA,BY UGD PRIBADI RJ201801A0032227
BABY COUGH 7,500.00 1.00
TOTAL RESEP ANINDYA,BY
05-02-2019 NAILA KHANSUGD PRIBADI RJ201801A0032240
IBUPROFEN 400MG 880.00 10.00
TOTAL RESEP NAILA KHANSA M,AN
05-02-2019 HARI SADEW UGD PRIBADI RJ201801A0032250

TOTAL RESEP HARI SADEWO,TN
05-02-2019 RIKI SAPUTR UGD PRIBADI RJ201801A0032260
IBUPROFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP RIKI SAPUTRA,TN
05-02-2019 SAWYA SACHIUGD PRIBADI RJ201801A0032265
BISOLVON 5,000.00 2.00
RJ201801A0032267
DEXTRAL SYR 15,400.00 1.00
TOTAL RESEP SAWYA SACHI ALZEROUN,AN
05-02-2019 ROJAK,TN UGD PRIBADI RJ201801A0032264
IBUPROFEN 400MG 880.00 10.00
Vit. C 363.00 10.00
TOTAL RESEP ROJAK,TN
BROADAMOX 1,900.00 10.00
CARGESIK 1,814.00 10.00
05-02-2019 M.HANIF,AN UGD PRIBADI RJ201801A0032272
DIONICOL 15,000.00 1.00
LACTO-B 8,126.00 6.00

TOTAL RESEP M.HANIF,AN
05-02-2019 ITI,NY UGD PRIBADI RJ201801A0032273
PIROXICAM 10MG 330.00 20.00
TOTAL RESEP ITI,NY
05-02-2019 SHULTAN ABBUGD PRIBADI RJ201801A0032278
BISOLVON 5,000.00 2.50
VENTOLIN 30,000.00 1.00
CURVIT 30,000.00 1.00
DEXTRAL 1,800.00 1.00
TOTAL RESEP SHULTAN ABBAS,AN
05-02-2019 SITI FATIMA UGD PRIBADI RJ201801A0032277
RL OTSU/BRAUN 35,000.00 1.00
INFUS SET ADULT 26,400.00 1.00
VASOFIK NO.24 35,000.00 1.00
MERSIBION INJ. 24,200.00 1.00
RANITIDIN 16,000.00 1.00
IBUPROFEN 400MG 880.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP SITI FATIMAH,NY
05-02-2019 MUHAMMAD AUGD PRIBADI RJ201801A0032281

OMEMOX SYR 15,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP MUHAMMAD ARKAN,AN
05-02-2019 ASRIYANI ZA UGD PRIBADI RJ201801A0032295
OMEMOX SYR 15,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP ASRIYANI ZAINA,AN
05-02-2019 YUSTI DELYA UGD PRIBADI RJ201801A0032298
IBUPROFEN 400MG 880.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP YUSTI DELYANA RAHMAWATI,NY
05-02-2019 ARTHUR,AN UGD PRIBADI RJ201801A0032308
GG 1000 500.00 3.00
Vit. C 363.00 5.00
VENTOLIN 30,000.00 1.00
BISOLVON 5,000.00 2.00
TOTAL RESEP ARTHUR,AN
05-02-2019 BOSMAN,TN UGD PRIBADI RJ201801A0032306
IBUPROFEN 400MG 880.00 10.00
DIONICOL 1,800.00 10.00

GASELA 1,320.00 10.00
TOTAL RESEP BOSMAN,TN
05-02-2019 FADLITA PUJ UGD PRIBADI RJ201801A0032310
IBUPROFEN 400MG 880.00 10.00
DIONICOL 1,800.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP FADLITA PUJALOKA,NY
05-02-2019 REYNALDI KA UGD PRIBADI RJ201801A0032320
IBUPROFEN 400MG 880.00 10.00
DIONICOL 1,800.00 10.00
TOTAL RESEP REYNALDI KAMAL,AN
05-02-2019 ARVINO,BY UGD PRIBADI RJ201801A0032314
Vit. C 363.00 2.00
RJ201801A0032315
TOTAL RESEP ARVINO,BY
05-02-2019 ADEL,TN UGD PRIBADI RJ201801A0032316
IBUPROFEN 400MG 880.00 10.00

TOTAL RESEP ADEL,TN
05-02-2019 SARWANI,TN UGD PRIBADI RJ201801A0032317
LERZIN KAPSUL 1,430.00 20.00
TOTAL RESEP SARWANI,TN
05-02-2019 KASWATI,NY UGD PRIBADI RJ201801A0032321
IBUPROFEN 400MG 880.00 10.00
DIONICOL 1,800.00 10.00
TOTAL RESEP KASWATI,NY
06-02-2019 ARIP,AN UGD PRIBADI RJ201801A0032323
VITCUR 16,500.00 1.00
OMEMOX SYR 15,000.00 1.00
TOTAL RESEP ARIP,AN
06-02-2019 NASRULLOH, UGD PRIBADI RJ201801A0032324
VITCUR 16,500.00 1.00
TOTAL RESEP NASRULLOH,AN
06-02-2019 ELEP RIZKI,T UGD PRIBADI RJ201801A0032326
LIDOCAIN 8,800.00 1.00

BROADAMOX 1,900.00 10.00
CARGESIK 1,814.00 10.00
TOTAL RESEP ELEP RIZKI,TN
06-02-2019 BAMBANG SIGUGD PRIBADI RJ201801A0032332
TOTAL RESEP BAMBANG SIGIT A,TN
06-02-2019 LISNAWATI,NUGD PRIBADI RJ201801A0032341
GASELA 1,320.00 10.00
TOTAL RESEP LISNAWATI,NY
06-02-2019 MUKHIBATUL UGD PRIBADI RJ201801A0032344
BROADAMOX 1,900.00 10.00
ALERON 770.00 10.00
TOTAL RESEP MUKHIBATUL KHOIRIYAH,NY
06-02-2019 FITRI ARYANIUGD PRIBADI RJ201801A0032345
CARGESIK 1,814.00 10.00
GASELA 1,320.00 6.00
AMBROXOL 770.00 10.00
TOTAL RESEP FITRI ARYANI,NY
06-02-2019 ABDUL AJID, UGD PRIBADI RJ201801A0032340
LIDOCAIN 8,800.00 2.00
NEDLE 25 660.00 1.00

SILK 3-0 SUTURE 33,000.00 1.00
RJ201801A0032343
CARGESIK 1,814.00 10.00
TOTAL RESEP ABDUL AJID,TN
06-02-2019 KURNIATI,NY UGD PRIBADI RJ201801A0032347
TOTAL RESEP KURNIATI,NY
06-02-2019 TONI,TN UGD PRIBADI RJ201801A0032350
CARGESIK 1,814.00 10.00
TOTAL RESEP TONI,TN
06-02-2019 RAHMAT HID UGD PRIBADI RJ201801A0032348
LORATADINE 10MG 400.00 8.00
TOTAL RESEP RAHMAT HIDAYAT,TN
06-02-2019 ENDANG,TN UGD PRIBADI RJ201801A0032349
FLOXIGRA 500MG 1,000.00 10.00
CARGESIK 1,814.00 10.00
SPUIT 10 CC 7,500.00 1.00
TOTAL RESEP ENDANG,TN
06-02-2019 RISA DESI MEUGD PRIBADI RJ201801A0032351

TOTAL RESEP RISA DESI MEILANI,NY
06-02-2019 FAHRI RASYI UGD PRIBADI RJ201801A0032357
CURVIT 30,000.00 1.00
TOTAL RESEP FAHRI RASYID SYAHPUTRA,AN
06-02-2019 SAFNAH,NY UGD PRIBADI RJ201801A0032360
FLUTAMOL 1,100.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP SAFNAH,NY
06-02-2019 MUHAEMAH,NUGD PRIBADI RJ201801A0032369
FLOXIGRA 500MG 1,000.00 10.00
AMBROXOL 770.00 10.00
GASELA 1,320.00 6.00
TOTAL RESEP MUHAEMAH,NY
06-02-2019 DAMAR PRAMUGD PRIBADI RJ201801A0032379
BISOLVON 5,000.00 1.00
VENTOLIN 30,000.00 1.00
TOTAL RESEP DAMAR PRAMUDYA,AN
06-02-2019 DEDE,NY UGD PRIBADI RJ201801A0032385
TOTAL RESEP DEDE,NY
06-02-2019 ARKA ALIFIA UGD PRIBADI RJ201801A0032404
PARACETAMOL 0.00 0.00
ORPHEN 700.00 2.00
VENTOLIN 30,000.00 1.00

TOTAL RESEP ARKA ALIFIANEDVA RAZIQ,BY
06-02-2019 AZHARI FATHUGD PRIBADI RJ201801A0032405
RANITIDIN 16,000.00 1.00
NEDLE 25 660.00 1.00
TOTAL RESEP AZHARI FATHIA,NY
06-02-2019 HILDA,NY UGD PRIBADI RJ201801A0032406
HISTIGO 1,800.00 10.00
ORPHEN 700.00 10.00
TOTAL RESEP HILDA,NY
07-02-2019 PUTRI PUTAMUGD PRIBADI RJ201801A0032414
ACYCLOVIR 400 MG 1,056.00 25.00
ACYCLOVIR CREAM 5 GR 9,680.00 2.00
TOTAL RESEP PUTRI PUTAMI,NY
07-02-2019 NHAZLA HAYYUGD PRIBADI RJ201801A0032415
GASELA 1,320.00 10.00
MIRASIC TABLET 550.00 0.00
TOTAL RESEP NHAZLA HAYYA,AN
07-02-2019 NEDELCU VIOUGD PRIBADI RJ201801A0032412
OMEDOM 1,540.00 15.00
LOPAMID 800.00 15.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP NEDELCU VIOREL,TN
07-02-2019 KHANSA ANDIUGD PRIBADI RJ201801A0032429

*DEXTEEM PLUS 1,000.00 2.00
*AMBROXOL 385.00 2.00
TOTAL RESEP KHANSA ANDITA MAHARANI,BY
07-02-2019 FAHMI FIRDA UGD PRIBADI RJ201801A0032423
TOTAL RESEP FAHMI FIRDAUS,TN
07-02-2019 MINTARSIH,NUGD PRIBADI RJ201801A0032424
Vit.B COM 900.00 6.00
TOTAL RESEP MINTARSIH,NY
07-02-2019 AAI NURSAID UGD PRIBADI RJ201801A0032437
TOTAL RESEP AAI NURSAIDIYAH,NN
07-02-2019 KARYATI,NY UGD PRIBADI RJ201801A0032444
CARGESIK 1,814.00 15.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP KARYATI,NY
07-02-2019 ABDUL KARIMUGD PRIBADI RJ201801A0032447
FLUTAMOL 1,100.00 15.00
TOTAL RESEP ABDUL KARIM,TN
07-02-2019 M. NUZUL IL UGD PRIBADI RJ201801A0032448

RJ201801A0032449
*AMBROXOL 385.00 3.00
TOTAL RESEP M. NUZUL ILHAM,AN
07-02-2019 ASEP,TN UGD PRIBADI RJ201801A0032453
TOTAL RESEP ASEP,TN
07-02-2019 FARIED,AN UGD PRIBADI RJ201801A0032454
TOTAL RESEP FARIED,AN
07-02-2019 ALIFAH R.N,A UGD PRIBADI RJ201801A0032466
DEXTRAL SYR 15,400.00 1.00
TOTAL RESEP ALIFAH R.N,AN
07-02-2019 RAHMAT RUDUGD PRIBADI RJ201801A0032474
TOTAL RESEP RAHMAT RUDIANSYAH,AN
07-02-2019 DICKY TRI F, UGD PRIBADI RJ201801A0032477
FLUTAMOL 1,100.00 15.00
TOTAL RESEP DICKY TRI F,TN

07-02-2019 SITI PARYUNIUGD PRIBADI RJ201801A0032484
IBUPROFEN 400MG 880.00 6.00
TOTAL RESEP SITI PARYUNI,NY
07-02-2019 BERNADH ME UGD PRIBADI RJ201801A0032486
TOTAL RESEP BERNADH MERTINUS,TN
07-02-2019 SUWANDI,TN UGD PRIBADI RJ201801A0032491
TOTAL RESEP SUWANDI,TN
07-02-2019 RUDI,TN UGD PRIBADI RJ201801A0032498
BROADAMOX 1,900.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP RUDI,TN
07-02-2019 SITI,NY UGD PRIBADI RJ201801A0032519
RL OTSU/BRAUN 35,000.00 1.00
SPUIT 5 CC 6,600.00 1.00
SCOPAMIN 44,000.00 1.00

GASELA 1,320.00 10.00
TOTAL RESEP SITI,NY
07-02-2019 JUHATI,NY UGD PRIBADI RJ201801A0032513
TOTAL RESEP JUHATI,NY
08-02-2019 ADE IRAWAN UGD PRIBADI RJ201801A0032521
BROADAMOX 1,900.00 10.00
FARSIFEN 400MG 880.00 10.00
LIDOCAIN 8,800.00 1.00
SILK 3-0 SUTURE 33,000.00 1.00
NEDLE 26 880.00 1.00
TOTAL RESEP ADE IRAWAN,TN
08-02-2019 ATIM,TN UGD PRIBADI RJ201801A0032539
DEXTRAL 1,800.00 10.00
DEXANTA TABLET 650.00 10.00
TOTAL RESEP ATIM,TN
08-02-2019 INEM,NY UGD PRIBADI RJ201801A0032527
CARGESIK 1,814.00 10.00

TOTAL RESEP INEM,NY
08-02-2019 HENDI AGUN UGD PRIBADI RJ201801A0032535
DEXTRAL 1,800.00 10.00
TOTAL RESEP HENDI AGUNG,NY
08-02-2019 RUDI,TN UGD PRIBADI RJ201801A0032552
DOMPERIDON 1,196.00 10.00
TOTAL RESEP RUDI,TN
08-02-2019 SANDRI,TN UGD PRIBADI RJ201801A0032551
FARSIFEN 400MG 880.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP SANDRI,TN
08-02-2019 GOKU ARKANAUGD PRIBADI RJ201801A0032550
GG 1000 500.00 7.00
Vit. C 363.00 9.00
TOTAL RESEP GOKU ARKANANTA FATIH,AN
CARGESIK 1,814.00 10.00

BROADAMOX 1,900.00 10.00
08-02-2019 TANIA INDRI UGD PRIBADI RJ201801A0032579
TOTAL RESEP TANIA INDRIASTUTI,NY
SUCRALFAT 38,000.00 1.00
NOVAPYRON 19.00 10.00
GASELA 1,320.00 10.00
FARSIFEN 400MG 880.00 10.00
08-02-2019 ZALFA YUMNAUGD PRIBADI RJ201801A0032585
OMEMOX SYR 15,000.00 1.00
DEXTRAL 1,800.00 4.00
Vit. C 363.00 6.00
TOTAL RESEP ZALFA YUMNA,AN
08-02-2019 KEYTA AL AL UGD PRIBADI RJ201801A0032606
OMEMOX SYR 15,000.00 1.00
CURVIT 30,000.00 1.00

TOTAL RESEP KEYTA AL ALIM BILLAH,AN
08-02-2019 TIA NATIANA UGD PRIBADI RJ201801A0032607
OMEMOX SYR 15,000.00 1.00
ANABION 24,500.00 1.00
DEXTRAL 1,800.00 3.00
Vit. C 363.00 2.00
TOTAL RESEP TIA NATIANA,AN
08-02-2019 ARIF HARTONUGD PRIBADI RJ201801A0032599
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP ARIF HARTONO,TN
08-02-2019 KUSMIRANDA UGD PRIBADI RJ201801A0032600
FARSIFEN 400MG 880.00 10.00
CARGESIK 1,814.00 10.00
TOTAL RESEP KUSMIRANDA WULANDARI,NY
08-02-2019 ANAH,NY UGD PRIBADI RJ201801A0032612
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP ANAH,NY
08-02-2019 MARYATI,NY UGD PRIBADI RJ201801A0032613

SUCRALFAT 38,000.00 1.00
SPASMAL 1,000.00 10.00
TOTAL RESEP MARYATI,NY
08-02-2019 PUTRA,TN UGD PRIBADI RJ201801A0032614
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP PUTRA,TN
08-02-2019 HASYA CAHYAUGD PRIBADI RJ201801A0032615
DEXTRAL SYR 15,400.00 1.00
CURVIT 30,000.00 1.00
BISOLVON 5,000.00 2.00
RJ201801A0032616
VENTOLIN 30,000.00 1.00
BISOLVON 5,000.00 2.00
TOTAL RESEP HASYA CAHYANI,AN
09-02-2019 ROBERT,TN UGD PRIBADI RJ201801A0032617
BROADAMOX 1,900.00 10.00
TOTAL RESEP ROBERT,TN
09-02-2019 IRWAN,AN UGD PRIBADI RJ201801A0032621

RJ201801A0032622
*LICODEXON 600.00 8.00
*DEXTRAL 1,800.00 4.00
TOTAL RESEP IRWAN,AN
09-02-2019 HAVID OKTAVUGD PRIBADI RJ201801A0032626
*DEXTRAL 1,800.00 4.00
RJ201801A0032627
RJ201801A0032629
BISOLVON 5,000.00 1.00
TOTAL RESEP HAVID OKTAVIAN,AN
09-02-2019 FA'IQ RAHMA UGD PRIBADI RJ201801A0032632
COLORTUSIN 1,328.00 10.00
CAMIDRYL SYRUP 0.00 0.00
TOTAL RESEP FA'IQ RAHMAKAL,AN
09-02-2019 RAHENDRA S UGD PRIBADI RJ201801A0032636
*AMBROXOL 385.00 6.00
*SALBUTAMOL 4 MG 0.00 4.00
RJ201801A0032637
CAMIDRYL SYRUP 12,100.00 1.00
TOTAL RESEP RAHENDRA SATRIA UTAMA,AN
09-02-2019 WAFIQ,AN UGD PRIBADI RJ201801A0032652
ALPARA SIRUP 23,000.00 1.00
RJ201801A0032653
*ANTASIDA DOEN 290.00 5.00
*OMEDOM 1,540.00 5.00
*DEXTRAL 1,740.00 4.00
TOTAL RESEP WAFIQ,AN
09-02-2019 EUGENE DAWUGD PRIBADI RJ201801A0032684
*LICODEXON 600.00 10.00
*COLORTUSIN 1,328.00 5.00
TOTAL RESEP EUGENE DAWAMIL MUAFI,AN
09-02-2019 SIDIK SAKTI UGD PRIBADI RJ201801A0032691
TOTAL RESEP SIDIK SAKTIAWAN,TN
09-02-2019 LIANA,NY UGD PRIBADI RJ201801A0032692
TOTAL RESEP LIANA,NY
09-02-2019 M. VARREL,A UGD PRIBADI RJ201801A0032715
DEXTRAL 1,800.00 4.00

TOTAL RESEP M. VARREL,AN
09-02-2019 DEA NURSALIUGD PRIBADI RJ201801A0032714
TOTAL RESEP DEA NURSALIM,AN
09-02-2019 ALVIN AL,AN UGD PRIBADI RJ201801A0032711
TOTAL RESEP ALVIN AL,AN
09-02-2019 ALKHALIFI F UGD PRIBADI RJ201801A0032712
CURVIT 30,000.00 1.00
TOTAL RESEP ALKHALIFI FADHIL,AN
09-02-2019 NEMIT BIN IJ UGD PRIBADI RJ201801A0032726
NOVAPYRON 2,000.00 10.00
RJ201801A0032727
BROADAMOX 1,900.00 10.00
FARSIFEN 400MG 880.00 10.00
RJ201801A0032728
LIDOCAIN 8,800.00 1.00
SILK 3-0 SUTURE 33,000.00 1.00
NEDLE 26 880.00 1.00
TOTAL RESEP NEMIT BIN IJAN,TN
09-02-2019 TASRUN HAD UGD PRIBADI RJ201801A0032722

FLOXIGRA 500MG 1,000.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP TASRUN HADINOTO,H
09-02-2019 AIK,NY UGD PRIBADI RJ201801A0032724
MILORIN 6,534.00 10.00
NOVAPYRON 2,000.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP AIK,NY
10-02-2019 RENI JULIANAUGD PRIBADI RJ201801A0032732
GASELA 1,320.00 10.00
TOTAL RESEP RENI JULIANA P,NY
10-02-2019 QUEENSAH ARUGD PRIBADI RJ201801A0032731
LERZIN SYRUP 15,400.00 1.00
OMEDOM SIRUP 45,000.00 1.00
TOTAL RESEP QUEENSAH ARABELA,BY
10-02-2019 TUNGGUL HU UGD PRIBADI RJ201801A0032742
SIOBION 1,500.00 10.00
TOTAL RESEP TUNGGUL HUTAJULU,NY
10-02-2019 SELLA,AN UGD PRIBADI RJ201801A0032743

BROADAMOX 1,900.00 5.00
Vit. C 363.00 5.00
TOTAL RESEP SELLA,AN
10-02-2019 TANIA NUR A UGD PRIBADI RJ201801A0032746
DEXTRAL 1,800.00 3.00
Vit. C 363.00 4.00
TOTAL RESEP TANIA NUR AISYAH,AN
10-02-2019 MIFTAHUDIN UGD PRIBADI RJ201801A0032750
NOVAPYRON 2,000.00 10.00
TOTAL RESEP MIFTAHUDIN,TN
10-02-2019 IRLIANA C,NYUGD PRIBADI RJ201801A0032755
FARSIFEN 400MG 880.00 10.00
GASELA 1,320.00 10.00
NOVAPYRON 2,000.00 10.00
TOTAL RESEP IRLIANA C,NY
10-02-2019 ZACKI KIRAN UGD PRIBADI RJ201801A0032754

DEXTRAL 1,800.00 5.00
TOTAL RESEP ZACKI KIRANA ALFADHILLAH,AN
10-02-2019 AVIA NISA,N UGD PRIBADI RJ201801A0032795
RL OTSU/BRAUN 35,000.00 1.00
VASOFIK NO.24 35,000.00 1.00
RANITIDIN 16,000.00 1.00
TOTAL RESEP AVIA NISA,NN
10-02-2019 SITI SAMSIA UGD PRIBADI RJ201801A0032776
GASELA 1,320.00 10.00
OMEDOM 1,540.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP SITI SAMSIAH,NY
10-02-2019 ADE MUHAMMUGD PRIBADI RJ201801A0032778
FARSIFEN 400MG 880.00 10.00
GG 1000 500.00 10.00
ARCAVIT-C 2,552.00 10.00

TOTAL RESEP ADE MUHAMMAD BASYAR,TN
FARSIFEN 400MG 0.00 0.00
LIDOCAIN 8,800.00 1.00
NEDLE 26 880.00 1.00
BISTURI 10,000.00 1.00
10-02-2019 TARMUNI,NN UGD PRIBADI RJ201801A0032797
FLUTAMOL 1,100.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP TARMUNI,NN
10-02-2019 NAYA Z S,NN UGD PRIBADI RJ201801A0032801
KETOCONAZOLE CREAM 11,200.00 1.00
TOTAL RESEP NAYA Z S,NN
10-02-2019 RAYINA ADZKUGD PRIBADI RJ201801A0032804
CAVIPLEX DROP 11,000.00 1.00
BABY COUGH 7,500.00 1.00
TOTAL RESEP RAYINA ADZKIYA SYAHIRA,AN
10-02-2019 BINAWATI PUUGD PRIBADI RJ201801A0032805

FARSIFEN 400MG 880.00 10.00
TOTAL RESEP BINAWATI PUTRI,NN
10-02-2019 ELIES RAMAY UGD PRIBADI RJ201801A0032807
TERA-F 1,870.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP ELIES RAMAYANI,NY
10-02-2019 ARIAH,NY UGD PRIBADI RJ201801A0032818
FARSIFEN 400MG 880.00 10.00
SIOBION 1,500.00 10.00
AMBEVEN 2,640.00 10.00
TOTAL RESEP ARIAH,NY
10-02-2019 MAULANA MALUGD PRIBADI RJ201801A0032835
ALERON 770.00 5.00
Vit. C 363.00 5.00
TOTAL RESEP MAULANA MALIK,AN
10-02-2019 CHRISTINE Y UGD PRIBADI RJ201801A0032843
FARSIFEN 400MG 880.00 10.00

OMEDOM 1,540.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP CHRISTINE YEW,NN
10-02-2019 NDARU S,TN UGD PRIBADI RJ201801A0032844
FARSIFEN 400MG 880.00 10.00
GASELA 1,320.00 10.00
AMLODIPIN 5MG 1,430.00 10.00
TOTAL RESEP NDARU S,TN
10-02-2019 EPRILIA TRI UGD PRIBADI RJ201801A0032845
TOTAL RESEP EPRILIA TRIATUMT,NY
10-02-2019 ANDIKA PUTRUGD PRIBADI RJ201801A0032846
GASELA 1,320.00 10.00
BIOPLACENTON GEL 35,000.00 1.00
TOTAL RESEP ANDIKA PUTRA,TN
10-02-2019 ALBY PUTRA, UGD PRIBADI RJ201801A0032847
DEXTRAL 1,800.00 4.00

Vit. C 363.00 4.00
TOTAL RESEP ALBY PUTRA,AN
10-02-2019 TONY,TN UGD PRIBADI RJ201801A0032848
SPASMINAL 1,800.00 10.00
TOTAL RESEP TONY,TN
11-02-2019 MUHAMMAD FUGD PRIBADI RJ201801A0032849
SPUIT 1 CC 2,750.00 1.00
NEDLE 26 880.00 1.00
CARGESIK 1,200.00 10.00
TOTAL RESEP MUHAMMAD FADLY NURFARIZI,TN
11-02-2019 WASTA,TN UGD PRIBADI RJ201801A0032850
SPASMINAL 1,800.00 10.00
TOTAL RESEP WASTA,TN
11-02-2019 HASAN,TN UGD PRIBADI RJ201801A0032852
TERA-F 1,870.00 10.00
TOTAL RESEP HASAN,TN

11-02-2019 ADAM JOEZ K UGD PRIBADI RJ201801A0032860
*PARACETAMOL 1,000.00 6.00
*DEXTRAL 1,800.00 6.00
RJ201801A0032861
Vit. C 363.00 10.00
TOTAL RESEP ADAM JOEZ KURNIA S,AN
11-02-2019 M.ALI JAOHA UGD PRIBADI RJ201801A0032863
*FLUTAMOL 550.00 4.00
TOTAL RESEP M.ALI JAOHARI,AN
11-02-2019 FEBRY NURIZ UGD PRIBADI RJ201801A0032867
Vit.B COM 900.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP FEBRY NURIZQI S.DJ,NN
11-02-2019 MOHAMAD REUGD PRIBADI RJ201801A0032874
*FLUTAMOL 550.00 4.00
TOTAL RESEP MOHAMAD REZA,BY
11-02-2019 NUR AISYAH, UGD PRIBADI RJ201801A0032876
HISTIGO 900.00 10.00
TOTAL RESEP NUR AISYAH,NY

11-02-2019 WIJI MALEO, UGD PRIBADI RJ201801A0032880
RJ201801A0032881
CURCUMA 2,500.00 10.00
TOTAL RESEP WIJI MALEO,NY
11-02-2019 M. FIRZA TR UGD PRIBADI RJ201801A0032883
*FLUTAMOL 550.00 5.00
RJ201801A0032884
Vit. C 363.00 10.00
TOTAL RESEP M. FIRZA TRI NUGRAHA,AN
11-02-2019 FITRI,NY UGD PRIBADI RJ201801A0032885
Vit.B COM 900.00 10.00
FLUTAMOL 1,100.00 10.00
TOTAL RESEP FITRI,NY
11-02-2019 ATIM,TN UGD PRIBADI RJ201801A0032894
LIBROZYM 1,250.00 10.00
TOTAL RESEP ATIM,TN
11-02-2019 LISA ELISA,N UGD PRIBADI RJ201801A0032895
Vit.B COM 900.00 10.00
HISTIGO 1,800.00 10.00
TOTAL RESEP LISA ELISA,NN

11-02-2019 ABDUL ROSIDUGD PRIBADI RJ201801A0032897
Vit.B COM 900.00 10.00
TOTAL RESEP ABDUL ROSID,TN
11-02-2019 GUSTI LUCKY UGD PRIBADI RJ201801A0032896
NIPE DROP 0.00 0.00
MUCOS DROP 40,000.00 1.00
TOTAL RESEP GUSTI LUCKY D,BY
11-02-2019 RAISA ZHAFI UGD PRIBADI RJ201801A0032908
TOTAL RESEP RAISA ZHAFIRA A,AN
11-02-2019 IMAM ARTHA UGD PRIBADI RJ201801A0032909
OMEDOM 1,540.00 10.00
TOTAL RESEP IMAM ARTHA KUSUMA,TN
11-02-2019 HARIS BADRUUGD PRIBADI RJ201801A0032921
Vit.B COM 900.00 10.00
DEXTRAL 1,800.00 6.00
TOTAL RESEP HARIS BADRU SALAM,TN
11-02-2019 VIONA ELVARUGD PRIBADI RJ201801A0032925

Vit. C 363.00 10.00
TOTAL RESEP VIONA ELVARIANI PUTRI JACKSON,AN
FARIZOL 824.00 10.00
CARGESIK 1,814.00 10.00
11-02-2019 RETNO ANGGRUGD PRIBADI RJ201801A0032932
Vit. C 363.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP RETNO ANGGREINI,NY
11-02-2019 MAULANA MALUGD PRIBADI RJ201801A0032948
GOM 6,000.00 1.00
TOTAL RESEP MAULANA MALIK,AN
11-02-2019 YOVELA SANTUGD PRIBADI RJ201801A0032951
LACTO-B 8,126.00 6.00
NIPE DROP 68,000.00 0.00
TOTAL RESEP YOVELA SANTASYA GUNAIDY,BY
11-02-2019 LAODE M.RAI UGD PRIBADI RJ201801A0032962
Vit.B COM 0.00 0.00

TOTAL RESEP LAODE M.RAIHAN,TN
11-02-2019 WAHYU ALEX UGD PRIBADI RJ201801A0032967
FLUTAMOL 1,100.00 10.00
TOTAL RESEP WAHYU ALEXSANDRO H,TN
11-02-2019 SEPTIAN IMA UGD PRIBADI RJ201801A0032983
TOTAL RESEP SEPTIAN IMAM SANTOSO,AN
11-02-2019 CASMADI,TN UGD PRIBADI RJ201801A0032993
HELIXIM CAP. 100 MG 0.00 0.00
GASELA 1,320.00 10.00
SPUIT 3CC TERUMO 0.00 0.00
NEDLE 25 0.00 0.00
TOTAL RESEP CASMADI,TN
11-02-2019 SUGANDA,TN UGD PRIBADI RJ201801A0033012
TOTAL RESEP SUGANDA,TN
11-02-2019 MELYA NELDEUGD PRIBADI RJ201801A0033011

DEXTRAL SYR 0.00 0.00
TOTAL RESEP MELYA NELDESTI,NY
12-02-2019 AULIA,AN UGD PRIBADI RJ201801A0033023
*ALPARA 1,800.00 6.00
*LORATADINE 10MG 400.00 6.00
RJ201801A0033024
*AMOXiCILIN 500MG 500.00 6.00
TOTAL RESEP AULIA,AN
12-02-2019 ROSITA,NY UGD PRIBADI RJ201801A0033028
SPASMINAL 1,800.00 10.00
PAPAVERIN 400.00 10.00
TOTAL RESEP ROSITA,NY
12-02-2019 ILHAM,BY UGD PRIBADI RJ201801A0033031
FASIDOL DROP 25,000.00 1.00
OMEMOX SYR 0.00 0.00
TOTAL RESEP ILHAM,BY
12-02-2019 MUHAMMAD JUGD PRIBADI RJ201801A0033032
BROADAMOX 1,900.00 10.00
LICODEXON 0.00 0.00
PLASTIK KLIP (S) 400.00 30.00

TOTAL RESEP MUHAMMAD JAKARIA,TN
12-02-2019 M.NADZIM TAUGD PRIBADI RJ201801A0033033
TOTAL RESEP M.NADZIM TAHARA,AN
12-02-2019 KHAFFIZAHKAUGD PRIBADI RJ201801A0033034
FULMICORT 0,5 / 1 NEBU 50,000.00 1.00
TOTAL RESEP KHAFFIZAHKAYRAL,AN
12-02-2019 MEIVY MEILA UGD PRIBADI RJ201801A0033047
TOTAL RESEP MEIVY MEILAN PANGERAPAN,NY
12-02-2019 MEYDIANA,A UGD PRIBADI RJ201801A0033063
TOTAL RESEP MEYDIANA,AN
12-02-2019 FIORENTINA, UGD PRIBADI RJ201801A0033056
RJ201801A0033057
*AMBROXOL 385.00 5.00
TOTAL RESEP FIORENTINA,AN
12-02-2019 SITI ZAENAB UGD PRIBADI RJ201801A0033061
METHIL PREDNISOLON 4M 0.00 0.00

DEXTRAL 1,800.00 0.00
TOTAL RESEP SITI ZAENAB,NN
12-02-2019 KAMILA QURRUGD PRIBADI RJ201801A0033067
*AMBROXOL 385.00 2.50
RJ201801A0033068
TOTAL RESEP KAMILA QURROTA A'YUN,AN
12-02-2019 RAHMA DINI, UGD PRIBADI RJ201801A0033069
SPASMINAL 1,800.00 10.00
OMEDOM 1,540.00 10.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP RAHMA DINI,NN
12-02-2019 DEBORA SHINUGD PRIBADI RJ201801A0033075
CARGESIK 1,200.00 15.00
TOTAL RESEP DEBORA SHINTIA,NN
12-02-2019 SEPTI SUKMAUGD PRIBADI RJ201801A0033076
SPASMINAL 1,800.00 10.00
TOTAL RESEP SEPTI SUKMAYA,AN
12-02-2019 DYAPTASA A UGD PRIBADI RJ201801A0033078
*AMBROXOL 385.00 5.00
TOTAL RESEP DYAPTASA AMIRAHAEDA GUNAWAN,AN

12-02-2019 ADINDA WIDUUGD PRIBADI RJ201801A0033083
LICODEXON 0.00 0.00
TOTAL RESEP ADINDA WIDURI,AN
12-02-2019 GWEN EMMANUGD PRIBADI RJ201801A0033090
*MOLACORT 0.5MG 0.00 10.00
*MIRASIC TABLET 0.00 10.00
*DEXTRAL 0.00 0.00
TOTAL RESEP GWEN EMMANUELLE GRACIA,AN
12-02-2019 ANDI ROY,TN UGD PRIBADI RJ201801A0033091
FLOXIGRA 500MG 1,000.00 10.00
LICODEXON 0.00 0.00
DEXTRAL 0.00 0.00
TOTAL RESEP ANDI ROY,TN
12-02-2019 SUMARNI,NY UGD PRIBADI RJ201801A0033099
RJ201801A0033100
NEDLE 26 880.00 1.00
TOTAL RESEP SUMARNI,NY
12-02-2019 SALMAN AL F UGD PRIBADI RJ201801A0033106

TOTAL RESEP SALMAN AL FARISI,AN
12-02-2019 BAYU RAMAD UGD PRIBADI RJ201801A0033123
Vit.B COM 900.00 6.00
TOTAL RESEP BAYU RAMADANI,TN
12-02-2019 AZKA ALKHALUGD PRIBADI RJ201801A0033124
PROGRESIC SYRUP 0.00 0.00
RJ201801A0033125
*OMEROXOL TABLET 330.00 2.50
RJ201801A0033126
*GENTAMICIN ZALF 8,000.00 1.00
*BETAMETASON ZALF 19,000.00 1.00
TOTAL RESEP AZKA ALKHALFI PRATAMA,AN
12-02-2019 DADAN SOPA UGD PRIBADI RJ201801A0033130
TOTAL RESEP DADAN SOPANDI,TN
12-02-2019 IRMA SURYANUGD PRIBADI RJ201801A0033133
TOTAL RESEP IRMA SURYANINGSIH,NY
13-02-2019 ASYILA PUTRIUGD PRIBADI RJ201801A0033137
ORALIT RASA JERUK 1,700.00 10.00

TOTAL RESEP ASYILA PUTRI A,AN
13-02-2019 PARMIN,TN UGD PRIBADI RJ201801A0033139
MELOXICAM 7,5MG 770.00 10.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP PARMIN,TN
13-02-2019 AISHA RAIHA UGD PRIBADI RJ201801A0033155
FLUTAMOL 1,100.00 5.00
Vit. C 363.00 5.00
TOTAL RESEP AISHA RAIHANNA ZAFIR,AN
13-02-2019 ELVARETTA,AUGD PRIBADI RJ201801A0033156
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP ELVARETTA,AN
BROADAMOX 1,900.00 10.00
CARGESIK 1,200.00 10.00
13-02-2019 HAMIDAH,NY UGD PRIBADI RJ201801A0033181
BROADAMOX 1,900.00 10.00
TOTAL RESEP HAMIDAH,NY

13-02-2019 ALLUNA MAR UGD PRIBADI RJ201801A0033180
CARGESIK 1,200.00 4.00
DEXTRAL 1,800.00 3.00
Vit. C 363.00 5.00
ERLA TETES TELINGA 0.00 0.00
TOTAL RESEP ALLUNA MARYAM,AN
13-02-2019 BOIS,TN UGD PRIBADI RJ201801A0033204
CARGESIK 1,200.00 6.00
DEXTRAL 1,800.00 6.00
TOTAL RESEP BOIS,TN
13-02-2019 MICHELIN YE UGD PRIBADI RJ201801A0033212
GASELA 1,320.00 10.00
TOTAL RESEP MICHELIN YEMIMA YESICA,NY
13-02-2019 AFRIDAH,NY UGD PRIBADI RJ201801A0033214
BROADAMOX 1,900.00 10.00
FLUTAMOL 1,100.00 10.00
TOTAL RESEP AFRIDAH,NY
13-02-2019 SION JELITA UGD PRIBADI RJ201801A0033215
SPASMINAL 1,800.00 10.00
TOTAL RESEP SION JELITA,NN
13-02-2019 SRI HANDAYAUGD PRIBADI RJ201801A0033216
FLOXIGRA 500MG 1,000.00 10.00
FLUTAMOL 1,100.00 6.00

TOTAL RESEP SRI HANDAYANI,NN
13-02-2019 ITAM MUSTO UGD PRIBADI RJ201801A0033210
LIDOCAIN 8,800.00 1.00
SPUIT 5 CC 6,600.00 1.00
BROADAMOX 1,900.00 10.00
ANASTAN 770.00 10.00
TOTAL RESEP ITAM MUSTOFA,TN
13-02-2019 ECCLESIA SU UGD PRIBADI RJ201801A0033217
ALERON 770.00 5.00
Vit. C 363.00 5.00
TOTAL RESEP ECCLESIA SUMBAYAK,AN
13-02-2019 ZACKI KIRAN UGD PRIBADI RJ201801A0033218
ORALIT RASA JERUK 1,700.00 3.00
TOTAL RESEP ZACKI KIRANA ALFADHILLAH,AN
14-02-2019 MARLINA,NY UGD PRIBADI RJ201801A0033243
DEXTRAL 1,800.00 10.00
TOTAL RESEP MARLINA,NY
14-02-2019 ELIS OKTAVI UGD PRIBADI RJ201801A0033252
NEPHROLIT 2,000.00 15.00

FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP ELIS OKTAVIANI,NN
14-02-2019 BOSMAN,TN UGD PRIBADI RJ201801A0033266
TOTAL RESEP BOSMAN,TN
14-02-2019 NENG NURAS UGD PRIBADI RJ201801A0033276
RJ201801A0033277
AMBROXOL 385.00 15.00
TOTAL RESEP NENG NURASARI,NN
14-02-2019 NIA RAHMAWUGD PRIBADI RJ201801A0033269
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP NIA RAHMAWATI,NY
14-02-2019 EMA NURMAL UGD PRIBADI RJ201801A0033279
EMTURNAS 500 MG 1,200.00 0.00
DEXTRAL 0.00 0.00
TOTAL RESEP EMA NURMALASARI,NN
14-02-2019 PUJIAMAN,TNUGD PRIBADI RJ201801A0033286
TOTAL RESEP PUJIAMAN,TN

14-02-2019 NAWA IKHRI UGD PRIBADI RJ201801A0033289
*AMBROXOL 385.00 3.00
TOTAL RESEP NAWA IKHRIMA,AN
14-02-2019 SRI HAYANI, UGD PRIBADI RJ201801A0033294
EMTURNAS 500 MG 0.00 0.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP SRI HAYANI,NY
14-02-2019 SOKO SETYO,UGD PRIBADI RJ201801A0033299
TOTAL RESEP SOKO SETYO,TN
14-02-2019 MAULANA MUUGD PRIBADI RJ201801A0033306
RJ201801A0033307
TOTAL RESEP MAULANA MUTAQIN,AN
14-02-2019 NEMIT BIN IJ UGD PRIBADI RJ201801A0033310
FLOXIGRA 500MG 1,000.00 10.00
EMTURNAS 500 MG 0.00 0.00
TOTAL RESEP NEMIT BIN IJAN,TN

14-02-2019 NYAI HETI,N UGD PRIBADI RJ201801A0033313
CARGESIK 1,200.00 10.00
TOTAL RESEP NYAI HETI,NY
14-02-2019 RULLY RAHM UGD PRIBADI RJ201801A0033317
NOVAGESIC 11,880.00 1.00
TOTAL RESEP RULLY RAHMADANI,AN
14-02-2019 IYAH,NY UGD PRIBADI RJ201801A0033350
HISTIGO 1,800.00 10.00
GASELA 1,320.00 10.00
RJ201801A0033351
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP IYAH,NY
14-02-2019 OVI TASARY, UGD PRIBADI RJ201801A0033355
GASELA 1,320.00 10.00
TOTAL RESEP OVI TASARY,NY
14-02-2019 ABBAS HADII UGD PRIBADI RJ201801A0033356
TOTAL RESEP ABBAS HADIID,AN
14-02-2019 ADLAN HADIDUGD PRIBADI RJ201801A0033357
CURVIT 30,000.00 1.00
TOTAL RESEP ADLAN HADID,AN

14-02-2019 RAIHANAH RAUGD PRIBADI RJ201801A0033361
DEXTRAL 1,800.00 4.00
RJ201801A0033362
VENTOLIN 30,000.00 1.00
TOTAL RESEP RAIHANAH RANSI T.S,AN
14-02-2019 M.DIKI S,TN UGD PRIBADI RJ201801A0033359
TOTAL RESEP M.DIKI S,TN
14-02-2019 FAHRUL,TN UGD PRIBADI RJ201801A0033360
HIDROCORTISON 2,5 % 13,000.00 1.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP FAHRUL,TN
15-02-2019 MAULANA MUUGD PRIBADI RJ201801A0033365
DUMIN SUPP 38,500.00 1.00
CURVIT 30,000.00 1.00
RJ201801A0033366
DEXTRAL SYR 0.00 0.00
TOTAL RESEP MAULANA MUTAQIN,AN
15-02-2019 OCTO JOWENUGD PRIBADI RJ201801A0033372
BROADAMOX 1,900.00 10.00
CARGESIK 1,814.00 10.00

TOTAL RESEP OCTO JOWENI,TN
15-02-2019 FELIX JERMIAUGD PRIBADI RJ201801A0033373
TOTAL RESEP FELIX JERMIAI,TN
15-02-2019 DYAPTASA A UGD PRIBADI RJ201801A0033379
DIONICOL 15,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP DYAPTASA AMIRAHAEDA GUNAWAN,AN
15-02-2019 EKA AYU ANGUGD PRIBADI RJ201801A0033384
RL OTSU/BRAUN 35,000.00 1.00
VASOFIK NO.24 35,000.00 1.00
RANITIDIN 16,000.00 1.00
SCOPAMIN 44,000.00 1.00
SUCRALFAT 38,000.00 1.00
GASELA 1,320.00 10.00
FARSIFEN 400MG 880.00 0.00
TOTAL RESEP EKA AYU ANGGRAENI,NN
15-02-2019 KHAIRINA,NY UGD PRIBADI RJ201801A0033397
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP KHAIRINA,NY
15-02-2019 ATANG,TN UGD PRIBADI RJ201801A0033402

LIDOCAIN 8,800.00 3.00
SILK 3-0 SUTURE 33,000.00 1.00
CARGESIK 1,814.00 10.00
BROADAMOX 1,900.00 10.00
TOTAL RESEP ATANG,TN
15-02-2019 HARRY SUSA UGD PRIBADI RJ201801A0033413
TOTAL RESEP HARRY SUSANTO,TN
15-02-2019 MUHAMMAD UUGD PRIBADI RJ201801A0033417
XILTROP 30,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP MUHAMMAD UWAIS AL QARNI,BY
15-02-2019 DAHLIA AZAHUGD PRIBADI RJ201801A0033418
NOVAGESIC 11,880.00 1.00
XILTROP 30,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP DAHLIA AZAHRA,AN
15-02-2019 VIRANISA AWUGD PRIBADI RJ201801A0033447
FLUTAMOL 1,100.00 10.00
TOTAL RESEP VIRANISA AWALIA RAMADANI,AN
15-02-2019 HERMAN SYA UGD PRIBADI RJ201801A0033448
DEXTRAL 0.00 0.00

TOTAL RESEP HERMAN SYAH,TN
15-02-2019 RIZKI YUGA UGD PRIBADI RJ201801A0033449
FARSIFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP RIZKI YUGA ADITAMA,TN
16-02-2019 AHMAD NISB UGD PRIBADI RJ201801A0033458
FARSIFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP AHMAD NISBAH,TN
16-02-2019 KARYONO,TN UGD PRIBADI RJ201801A0033459
FARSIFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP KARYONO,TN
16-02-2019 ERLININGSIH UGD PRIBADI RJ201801A0033469
DANASONE 0.00 0.00
TOTAL RESEP ERLININGSIH,NY
16-02-2019 AHMAD MULYUGD PRIBADI RJ201801A0033470

BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP AHMAD MULYONI,TN
16-02-2019 RADITYA RIF UGD PRIBADI RJ201801A0033482
LOSTACEF SYRUP 125 mg 0.00 0.00
DANASONE 1,200.00 8.00
DEXTRAL 1,800.00 3.00
TOTAL RESEP RADITYA RIFALDI,AN
16-02-2019 NABIL FAHRE UGD PRIBADI RJ201801A0033489
DANASONE 1,200.00 10.00
DEXTRAL 1,800.00 4.00
TOTAL RESEP NABIL FAHREZA,AN
PACDIN COUGH 8,800.00 1.00
TOTAL RESEP MUHAMMAD FAIIZ,BY
16-02-2019 KHAIRANA R UGD PRIBADI RJ201801A0033486
RJ201801A0033487

*AMBROXOL 385.00 8.00
*DEXTRAL 1,800.00 4.00
TOTAL RESEP KHAIRANA RAMADHANI,AN
16-02-2019 A RATNASARIUGD PRIBADI RJ201801A0033488
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP A RATNASARI,NN
16-02-2019 NUR AISYAH, UGD PRIBADI RJ201801A0033490
Vit.B COM 900.00 0.00
TOTAL RESEP NUR AISYAH,NY
16-02-2019 NAJWA AULIAUGD PRIBADI RJ201801A0033493
FARSIFEN SIRUP 0.00 0.00
RJ201801A0033494
*DEXTRAL 1,800.00 4.00
TOTAL RESEP NAJWA AULIA,AN
16-02-2019 VINO HASYIMUGD PRIBADI RJ201801A0033495
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP VINO HASYIM,TN
16-02-2019 HAURA NOVY UGD PRIBADI RJ201801A0033497

*ANTASIDA DOEN 800.00 8.00
*DEXTRAL 1,800.00 4.00
RJ201801A0033498
TOTAL RESEP HAURA NOVYA,AN
16-02-2019 AINA,AN UGD PRIBADI RJ201801A0033503
KERTAS PUYER 1,600.00 3.00
RJ201801A0033504
*CTM 4MG 500.00 6.00
*DEXTRAL 1,800.00 4.00
TOTAL RESEP AINA,AN
16-02-2019 IH,NY UGD PRIBADI RJ201801A0033506
TOTAL RESEP IH,NY
16-02-2019 EDI,TN UGD PRIBADI RJ201801A0033510
DANASONE 1,200.00 10.00
MILORIN 6,534.00 10.00
TOTAL RESEP EDI,TN
16-02-2019 ELVARA CAHAUGD PRIBADI RJ201801A0033517
RJ201801A0033518
*DEXTRAL 1,800.00 4.00
TOTAL RESEP ELVARA CAHAYA SHASILEA,AN
16-02-2019 M BRIYAN AL UGD PRIBADI RJ201801A0033524
PRONALGES SUP 15,400.00 1.00
RJ201801A0033525
RJ201801A0033526
*AMBROXOL 385.00 3.00
*DEXTRAL 1,800.00 3.00
TOTAL RESEP M BRIYAN AL FIKRI,BY
16-02-2019 ANI APRIANI, UGD PRIBADI RJ201801A0033529
DANASONE 1,200.00 10.00
TOTAL RESEP ANI APRIANI,NY
16-02-2019 LIANA,NY UGD PRIBADI RJ201801A0033530
SUCRALFAT 38,000.00 1.00
TOTAL RESEP LIANA,NY
16-02-2019 AZKA TAZKIY UGD PRIBADI RJ201801A0033532
*DEXTRAL 1,800.00 4.00
TOTAL RESEP AZKA TAZKIYA,AN
16-02-2019 ZAITUN,NY UGD PRIBADI RJ201801A0033559

RL OTSU/BRAUN 35,000.00 1.00
VASOFIK NO.24 35,000.00 1.00
SPUIT 5 CC 6,600.00 1.00
DYMEN HIDRINAT 400.00 10.00
HISTIGO 1,800.00 10.00
DANASONE 1,200.00 10.00
SIOBION 0.00 0.00
TOTAL RESEP ZAITUN,NY
16-02-2019 EZA GUMILA UGD PRIBADI RJ201801A0033544
DANASONE 1,200.00 8.00
TOTAL RESEP EZA GUMILANG ERMAWAN,AN
16-02-2019 KHAVIMKA A, UGD PRIBADI RJ201801A0033537
DANASONE 1,200.00 8.00
DEXTRAL 1,800.00 4.00
TOTAL RESEP KHAVIMKA A,AN
16-02-2019 NADHIRA ARYUGD PRIBADI RJ201801A0033550
RJ201801A0033551

*DEXTRAL 1,800.00 4.00
TOTAL RESEP NADHIRA ARYABIYA AHMAD,AN
16-02-2019 ANANG SETI UGD PRIBADI RJ201801A0033552
DANASONE 1,200.00 10.00
BROCON 1,650.00 10.00
TOTAL RESEP ANANG SETIAWAN,TN
16-02-2019 AZKA ALKHALUGD PRIBADI RJ201801A0033553
BETAMETASON ZALF 15,000.00 1.00
POT KRIM 3,500.00 1.00
TOTAL RESEP AZKA ALKHALFI PRATAMA,AN
16-02-2019 FRISDA ALDY UGD PRIBADI RJ201801A0033563
NOVAPYRON 2,000.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP FRISDA ALDYA,NY
MILORIN 6,534.00 10.00
16-02-2019 AKHWAN,AN UGD PRIBADI RJ201801A0033569
DANASONE 1,200.00 10.00
TOTAL RESEP AKHWAN,AN
16-02-2019 LEVINA FRED UGD PRIBADI RJ201801A0033574

TOTAL RESEP LEVINA FREDERIKA AULELE,BY
17-02-2019 TONI SUTIAN UGD PRIBADI RJ201801A0033575
DANASONE 1,200.00 10.00
TOTAL RESEP TONI SUTIANA,TN
17-02-2019 ATHA HAFISDUGD PRIBADI RJ201801A0033576
TOTAL RESEP ATHA HAFISD,AN
17-02-2019 GWENETH S PUGD PRIBADI RJ201801A0033585
DEXTRAL SYR 15,400.00 0.00
VITCUR 16,500.00 1.00
TOTAL RESEP GWENETH S PRIBADI,AN
17-02-2019 RUBI RAYA R UGD PRIBADI RJ201801A0033584
FARSIFEN 400MG 880.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP RUBI RAYA R,TN
17-02-2019 NURWIDIANT UGD PRIBADI RJ201801A0033587
BROADAMOX 1,900.00 10.00
HIDROCORTISON 2,5 % 13,000.00 2.00

TOTAL RESEP NURWIDIANTI,NY
17-02-2019 SYAILENDRA, UGD PRIBADI RJ201801A0033589
DEXTRAL 1,800.00 7.00
DANASONE 1,200.00 6.00
Vit.B COM 900.00 10.00
XILTROP 30,000.00 1.00
TOTAL RESEP SYAILENDRA,AN
17-02-2019 DEWI ASTUTIUGD PRIBADI RJ201801A0033601
SUCRALFAT 38,000.00 1.00
OMEDOM 1,540.00 10.00
DIONICOL 1,800.00 10.00
TOTAL RESEP DEWI ASTUTI,NY
17-02-2019 ALDILA AZAM UGD PRIBADI RJ201801A0033604
MOLAGIT 1,800.00 10.00
TOTAL RESEP ALDILA AZAM,TN
17-02-2019 LILIS SURYANUGD PRIBADI RJ201801A0033621
SPASMINAL 1,800.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP LILIS SURYANI,NY

17-02-2019 HERMAYANTI UGD PRIBADI RJ201801A0033624
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP HERMAYANTI KASEH DIREGAR,NY
17-02-2019 OMBI,TN UGD PRIBADI RJ201801A0033650
FARSIFEN 400MG 880.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP OMBI,TN
17-02-2019 DOMINIQUE AUGD PRIBADI RJ201801A0033658
DEXTRAL 1,800.00 3.00
DANASONE 1,200.00 3.00
Vit. C 363.00 5.00
VITCUR 16,500.00 0.00
TOTAL RESEP DOMINIQUE ANYA KHANI,AN
17-02-2019 IRANADHIRA, UGD PRIBADI RJ201801A0033662
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP IRANADHIRA,NY
17-02-2019 RYAN CHAND UGD PRIBADI RJ201801A0033678
FARSIFEN 400MG 880.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP RYAN CHANDRA DEWITA,NY

17-02-2019 ATANG,TN UGD PRIBADI RJ201801A0033667
BROADAMOX 1,900.00 10.00
CARGESIK 1,814.00 10.00
TOTAL RESEP ATANG,TN
17-02-2019 MUHAMMAD HUGD PRIBADI RJ201801A0033684
CURVIT 30,000.00 1.00
TOTAL RESEP MUHAMMAD HAFIZ,BY
17-02-2019 NAJWA,AN UGD PRIBADI RJ201801A0033683
PRIMADEX SIRUP 17,600.00 1.00
GUANISTREP 13,000.00 1.00
TOTAL RESEP NAJWA,AN
17-02-2019 SIFA DWI RA UGD PRIBADI RJ201801A0033685
CURVIT 30,000.00 1.00
DIONICOL 1,800.00 1.00
PRORIS SUPP 11,000.00 3.00
TOTAL RESEP SIFA DWI RAFANDA,AN
18-02-2019 FAUZI,TN UGD PRIBADI RJ201801A0033690
ERLA TETES TELINGA 16,000.00 1.00
FLOXIGRA 500MG 1,000.00 10.00
CARGESIK 1,814.00 10.00
TOTAL RESEP FAUZI,TN

18-02-2019 ZHAFRAN,AN UGD PRIBADI RJ201801A0033691
XILTROP 30,000.00 1.00
DEXTRAL SYR 15,400.00 1.00
TOTAL RESEP ZHAFRAN,AN
18-02-2019 RAVIDA,AN UGD PRIBADI RJ201801A0033692
DIONICOL 15,000.00 1.00
DEXTRAL SYR 15,400.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP RAVIDA,AN
18-02-2019 NAWA IKHRI UGD PRIBADI RJ201801A0033711
*DEXTRAL 1,800.00 4.00
TOTAL RESEP NAWA IKHRIMA,AN
18-02-2019 SITI NURKHA UGD PRIBADI RJ201801A0033703
SCOPMA 0.00 0.00
MOLAGIT 1,800.00 10.00
OMEDOM 1,540.00 10.00
RJ201801A0033704
ONDANSENTRON INJ 4 MG 22,000.00 1.00
SCOPAMIN 44,000.00 1.00
NEDLE 25 660.00 2.00

TOTAL RESEP SITI NURKHALIZA,AN
18-02-2019 KHAMSIDI,TNUGD PRIBADI RJ201801A0033735
ACYCLOVIR 400 MG 1,056.00 20.00
ACYCLOVIR CREAM 5 GR 9,680.00 1.00
BROCON 1,650.00 10.00
TOTAL RESEP KHAMSIDI,TN
18-02-2019 TAMIN,TN UGD PRIBADI RJ201801A0033737
SPUIT 5 CC 6,600.00 1.00
NEDLE 26 880.00 1.00
TOTAL RESEP TAMIN,TN
18-02-2019 KHOLLIS FEB UGD PRIBADI RJ201801A0033744
DANASONE 1,200.00 10.00
DIAFORM 1000 720.00 10.00
FLUTAMOL 1,100.00 10.00
TOTAL RESEP KHOLLIS FEBRYANTO,TN
18-02-2019 AMIDAH,NN UGD PRIBADI RJ201801A0033751
Vit.B COM 900.00 10.00
ANASTAN 770.00 10.00
TOTAL RESEP AMIDAH,NN
18-02-2019 JIHAN AQILA UGD PRIBADI RJ201801A0033753
RJ201801A0033754
Vit. C 363.00 10.00
TOTAL RESEP JIHAN AQILA ULYA,AN
18-02-2019 FARREL PRAB UGD PRIBADI RJ201801A0033756
*DEXTRAL 1,800.00 4.00
TOTAL RESEP FARREL PRABU WIJAYA,AN
18-02-2019 MUHLIS TAOPUGD PRIBADI RJ201801A0033764
Vit.B COM 900.00 10.00
DANASONE 1,200.00 10.00
BROCON 1,650.00 10.00
TOTAL RESEP MUHLIS TAOPIKILLAH,TN
18-02-2019 VELIKA WIDI UGD PRIBADI RJ201801A0033771
RJ201801A0033772
Vit. C 363.00 10.00
RJ201801A0033773
*DOMPERIDON 598.00 6.00
TOTAL RESEP VELIKA WIDIA SUKMA,AN
18-02-2019 SITI DEWI SRUGD PRIBADI RJ201801A0033775
Vit.B COM 900.00 10.00
ANASTAN 770.00 10.00
TOTAL RESEP SITI DEWI SRI ASTATI,NN
18-02-2019 SALWA REFIAUGD PRIBADI RJ201801A0033781
Vit.B COM 900.00 10.00
MOLAGIT 0.00 0.00
TOTAL RESEP SALWA REFIANISA,NN
18-02-2019 MIKAIL,AN UGD PRIBADI RJ201801A0033786
*FLUTAMOL 550.00 4.00
TOTAL RESEP MIKAIL,AN
18-02-2019 EDIN SALIBINUGD PRIBADI RJ201801A0033796
Vit.B COM 900.00 10.00
RJ201801A0033797
DEXTRAL 1,800.00 10.00
TOTAL RESEP EDIN SALIBIN,TN
18-02-2019 DION KURNI UGD PRIBADI RJ201801A0033812
BROADAMOX 1,900.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP DION KURNIAWAN,TN
18-02-2019 NAZZA VANIS UGD PRIBADI RJ201801A0033822
HISTIGO 1,800.00 10.00

OMEDOM 1,540.00 10.00
SIOBION 1,500.00 10.00
TOTAL RESEP NAZZA VANISSA,NN
18-02-2019 PANDI ISMAT UGD PRIBADI RJ201801A0033823
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP PANDI ISMATULLOH,TN
18-02-2019 PIAN,TN UGD PRIBADI RJ201801A0033825
CARGESIK 1,814.00 6.00
DANASONE 1,200.00 6.00
TOTAL RESEP PIAN,TN
18-02-2019 NAJWA,AN UGD PRIBADI RJ201801A0033829
ORALIT 960.00 5.00
VESPERUM 13,200.00 1.00
TOTAL RESEP NAJWA,AN
18-02-2019 PUTRI,NN UGD PRIBADI RJ201801A0033833
GASELA 1,320.00 10.00
TOTAL RESEP PUTRI,NN
18-02-2019 AZMI SHAKEI UGD PRIBADI RJ201801A0033834
BISOLVON 5,000.00 2.00
VITCUR 16,500.00 1.00
VESPERUM 13,200.00 1.00
TOTAL RESEP AZMI SHAKEIL FADILLAH,AN

19-02-2019 MASTOAH,NY UGD PRIBADI RJ201801A0033836
HISTIGO 1,800.00 10.00
TOTAL RESEP MASTOAH,NY
19-02-2019 M.IKO PUTRA UGD PRIBADI RJ201801A0033839
DANASONE 1,200.00 5.00
VITCUR 16,500.00 1.00
TOTAL RESEP M.IKO PUTRA B,AN
19-02-2019 VERLI RACHMUGD PRIBADI RJ201801A0033849
VESPERUM 13,200.00 1.00
TOTAL RESEP VERLI RACHMAWATI L,AN
19-02-2019 AHMAD PANDU
UGD PRIBADI RJ201801A0033845
TOTAL RESEP AHMAD PANDU ALFATIH,BY
19-02-2019 WAHYU ARIF UGD PRIBADI RJ201801A0033856
AMBROXOL 770.00 10.00
TOTAL RESEP WAHYU ARIFIANTO,TN
19-02-2019 AHMAD KAMAUGD PRIBADI RJ201801A0033857
FARSIFEN 400MG 880.00 10.00
AMBROXOL 770.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP AHMAD KAMALUDIN,TN

19-02-2019 DEWI SILVIA UGD PRIBADI RJ201801A0033861
OMEDOM 1,540.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP DEWI SILVIA,NN
19-02-2019 SYAHRUL FAUUGD PRIBADI RJ201801A0033864
FLUTAMOL 1,100.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP SYAHRUL FAUZI,TN
19-02-2019 MARISA,AN UGD PRIBADI RJ201801A0033871
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP MARISA,AN
19-02-2019 DZAKY V A,A UGD PRIBADI RJ201801A0033880
ANABION 24,500.00 1.00
TOTAL RESEP DZAKY V A,AN
19-02-2019 ETTY RATNAWUGD PRIBADI RJ201801A0033876
HISTIGO 1,800.00 10.00
TOTAL RESEP ETTY RATNAWATI,NY
19-02-2019 RADITYA M. UGD PRIBADI RJ201801A0033879

ANABION 24,500.00 1.00
TOTAL RESEP RADITYA M. WIJAYA,AN
19-02-2019 RENATA JELI UGD PRIBADI RJ201801A0033885
ANABION 24,500.00 1.00
TOTAL RESEP RENATA JELITA WIJAYA,AN
19-02-2019 CUCUM,NY UGD PRIBADI RJ201801A0033886
RJ201801A0033887
MELOXICAM 7,5MG 770.00 10.00
TOTAL RESEP CUCUM,NY
19-02-2019 HINDUN,NY UGD PRIBADI RJ201801A0033894
SIDIADRYL 4,000.00 1.00
SPUIT 3CC TERUMO 0.00 0.00
NEDLE 26 880.00 1.00
TOTAL RESEP HINDUN,NY
19-02-2019 ADINDA MAKAUGD PRIBADI RJ201801A0033917
MUCOS DROP 40,000.00 1.00
TOTAL RESEP ADINDA MAKAILA KEYSA A,BY
19-02-2019 SRI LENI,NY UGD PRIBADI RJ201801A0033924
SPASMINAL 1,800.00 15.00

SUCRALFAT 38,000.00 1.00
TOTAL RESEP SRI LENI,NY
19-02-2019 HENDRIK,TN UGD PRIBADI RJ201801A0033927
DANASONE 1,200.00 15.00
DEXTRAL 1,800.00 15.00
TOTAL RESEP HENDRIK,TN
19-02-2019 SITI NUR AZI UGD PRIBADI RJ201801A0033929
TOTAL RESEP SITI NUR AZIZAH Z,AN
19-02-2019 ALYA ARYANI UGD PRIBADI RJ201801A0033937
TOTAL RESEP ALYA ARYANI,AN
19-02-2019 MOHAMMAD IUGD PRIBADI RJ201801A0033934
TOTAL RESEP MOHAMMAD IKHROM MAHDANI,TN
19-02-2019 JULIANA SID UGD PRIBADI RJ201801A0033943
DANASONE 1,200.00 15.00
TOTAL RESEP JULIANA SIDABUTAR,NN
19-02-2019 MUHAMMAD SUGD PRIBADI RJ201801A0033952

TOTAL RESEP MUHAMMAD SALMAN ALFARISI,AN
19-02-2019 QHANZA CALUUGD PRIBADI RJ201801A0033954
GASELA 1,320.00 6.00
DANASONE 1,200.00 6.00
TOTAL RESEP QHANZA CALUELLA,AN
19-02-2019 LASNO,TN UGD PRIBADI RJ201801A0033956
DANASONE 1,200.00 15.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP LASNO,TN
19-02-2019 HASANAH,NN UGD PRIBADI RJ201801A0033957
AMBEVEN 2,640.00 15.00
ADROME 1,210.00 10.00
TOTAL RESEP HASANAH,NN
19-02-2019 HAIDAR ASSEUGD PRIBADI RJ201801A0033958
DEXTRAL 1,800.00 15.00
DANASONE 1,200.00 15.00
TOTAL RESEP HAIDAR ASSEGAF,TN
20-02-2019 ARIANA ELIZ UGD PRIBADI RJ201801A0033964
RJ201801A0033965
*Vit. C 363.00 2.00
*MOLACORT 0.5MG 0.00 0.00
TOTAL RESEP ARIANA ELIZANDRA CARMELA,AN
20-02-2019 MEILANI CIT UGD PRIBADI RJ201801A0033969
TOTAL RESEP MEILANI CITRA DEWI,NY
20-02-2019 SRI HARTINA UGD PRIBADI RJ201801A0033970
LIBROZYM 1,250.00 10.00
RJ201801A0033971
LOPAMID 800.00 10.00
SUCRALFAT 38,000.00 1.00
RJ201801A0033972
DEXTRAL 1,800.00 10.00
TOTAL RESEP SRI HARTINAH,NY
20-02-2019 VELIKA WIDI UGD PRIBADI RJ201801A0033974
PARACETAMOL MEF 0.00 0.00
ORALIT 960.00 6.00
TOTAL RESEP VELIKA WIDIA SUKMA,AN
20-02-2019 ADIVA GANDYUGD PRIBADI RJ201801A0033973
LACTO-B 8,126.00 10.00
ORALIT 960.00 10.00
VESPERUM 13,200.00 1.00

TOTAL RESEP ADIVA GANDY KHALISHA,AN
20-02-2019 NITA,NY UGD PRIBADI RJ201801A0033976
BROADAMOX 1,900.00 10.00
FLUTAMOL 1,100.00 10.00
TOTAL RESEP NITA,NY
20-02-2019 LILIS SURYANUGD PRIBADI RJ201801A0033980
GASTRUCID 0.00 0.00
TOTAL RESEP LILIS SURYANI,NY
20-02-2019 RADJAB ALGHUGD PRIBADI RJ201801A0033983
XILTROP 30,000.00 1.00
ALERON 770.00 3.00
Vit. C 363.00 3.00
TOTAL RESEP RADJAB ALGHANI,AN
20-02-2019 REZA RELAVAUGD PRIBADI RJ201801A0033985
FLOXIGRA 500MG 1,000.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP REZA RELAVAN,TN
20-02-2019 MIA WIDYANIUGD PRIBADI RJ201801A0034027

Vit.B COM 900.00 10.00
TOTAL RESEP MIA WIDYANINGSIH,AN
20-02-2019 ZHAFIE ALZA UGD PRIBADI RJ201801A0034034
ALERON 770.00 6.00
Vit. C 363.00 5.00
TOTAL RESEP ZHAFIE ALZAFIRO C,AN
20-02-2019 AMINAH,NY UGD PRIBADI RJ201801A0034041
GASELA 1,320.00 10.00
OMEDOM 1,540.00 10.00
RJ201801A0034054
RANITIDIN 16,000.00 1.00
SCOPAMIN 44,000.00 1.00
TOTAL RESEP AMINAH,NY
20-02-2019 NURYANA,TN UGD PRIBADI RJ201801A0034053
FLOXIGRA 500MG 1,000.00 10.00
FLUTAMOL 1,100.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP NURYANA,TN
20-02-2019 SELVI,NN UGD PRIBADI RJ201801A0034056

DANASONE 1,200.00 10.00
Vit. C 363.00 10.00
TOTAL RESEP SELVI,NN
20-02-2019 MUMUN,NY UGD PRIBADI RJ201801A0034068
GASELA 1,320.00 10.00
ANASTAN 770.00 6.00
TOTAL RESEP MUMUN,NY
20-02-2019 MERIANDANI UGD PRIBADI RJ201801A0034073
FLUTAMOL 1,100.00 7.00
DANASONE 1,200.00 6.00
TOTAL RESEP MERIANDANI,AN
20-02-2019 RENI,NY UGD PRIBADI RJ201801A0034075
ANASTAN 770.00 10.00
PARACETAMOL MEF 16,500.00 0.00
CIPROFLOXACIN 600.00 10.00
TOTAL RESEP RENI,NY
20-02-2019 LESTRI,NY UGD PRIBADI RJ201801A0034076
ANASTAN 770.00 10.00
KETOCONAZOLE TABLET 600.00 10.00
TOTAL RESEP LESTRI,NY
20-02-2019 HALWA GHANUGD PRIBADI RJ201801A0034078
BROADAMOX 1,900.00 3.00
DANASONE 1,200.00 6.00
TOTAL RESEP HALWA GHANIA,AN

20-02-2019 ARI ANANDA, UGD PRIBADI RJ201801A0034081
BROCON 1,650.00 10.00
FLOXIGRA 500MG 1,000.00 10.00
ANASTAN 770.00 8.00
TOTAL RESEP ARI ANANDA,TN
20-02-2019 SHERLY NICE UGD PRIBADI RJ201801A0034083
FLOXIGRA 500MG 1,000.00 10.00
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP SHERLY NICE PRIYANTI,NY
20-02-2019 SITI NURKHA UGD PRIBADI RJ201801A0034082
SPASMINAL 1,800.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP SITI NURKHALIZA,AN
21-02-2019 FAUZAN,TN UGD PRIBADI RJ201801A0034085
GASELA 1,320.00 10.00
SPASMINAL 1,800.00 10.00
TOTAL RESEP FAUZAN,TN
21-02-2019 SUNDARI,NN UGD PRIBADI RJ201801A0034086
LOPAMID 800.00 10.00
MOLAGIT 1,800.00 10.00
SPASMINAL 1,800.00 10.00
ORALIT 960.00 6.00
BROCON 1,650.00 10.00
TOTAL RESEP SUNDARI,NN

21-02-2019 GOJALI,TN UGD PRIBADI RJ201801A0034091
ANASTAN 770.00 6.00
DANASONE 1,200.00 6.00
TOTAL RESEP GOJALI,TN
21-02-2019 EVI NURUMIAUGD PRIBADI RJ201801A0034100
MELOXICAM 7,5MG 770.00 10.00
TOTAL RESEP EVI NURUMIA,NY
21-02-2019 M.HAFIDZAN UGD PRIBADI RJ201801A0034099
TOTAL RESEP M.HAFIDZAN IRSYAD,AN
21-02-2019 ROIMAH,NY UGD PRIBADI RJ201801A0034107
DANASONE 1,200.00 15.00
TOTAL RESEP ROIMAH,NY
21-02-2019 SITI RUSMIATUGD PRIBADI RJ201801A0034134
ANASTAN 0.00 0.00
METHIL PREDNISOLON 8M 960.00 10.00
TOTAL RESEP SITI RUSMIATI,NY

21-02-2019 M.ARI FADIL UGD PRIBADI RJ201801A0034136
ERLA ZALP MATA 9,350.00 1.00
BROADAMOX 1,900.00 15.00
TOTAL RESEP M.ARI FADILAH,TN
21-02-2019 A.RAFI WIJA UGD PRIBADI RJ201801A0034141
DANASONE 1,200.00 15.00
TOTAL RESEP A.RAFI WIJAYA,AN
21-02-2019 KETUT TISNI UGD PRIBADI RJ201801A0034138
DANASONE 1,200.00 15.00
ARCAVIT-C 2,552.00 10.00
DEXTRAL 1,800.00 15.00
TOTAL RESEP KETUT TISNI,NY
21-02-2019 LAURA MARG UGD PRIBADI RJ201801A0034144
DANASONE 1,200.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP LAURA MARGA,NY
21-02-2019 PUTRA HAFIZ UGD PRIBADI RJ201801A0034147
TOTAL RESEP PUTRA HAFIZ,TN
21-02-2019 NAWWAF RIF UGD PRIBADI RJ201801A0034148

*Vit. C 363.00 2.00
*DANASONE 600.00 5.00
TOTAL RESEP NAWWAF RIFAT,AN
21-02-2019 PARIDAH,NY UGD PRIBADI RJ201801A0034151
MILORIN 6,534.00 5.00
RJ201801A0034152
RJ201801A0034153
*GENTAMICIN ZALF 13,500.00 1.00
*BETAMETASON ZALF 15,000.00 1.00
TOTAL RESEP PARIDAH,NY
21-02-2019 HJ.IMAS,NY UGD PRIBADI RJ201801A0034154
FLAMIGRA 880.00 10.00
TOTAL RESEP HJ.IMAS,NY
21-02-2019 KAYLA AWALIUGD PRIBADI RJ201801A0034156
TOTAL RESEP KAYLA AWALIA PUTRI,AN
21-02-2019 PENDI RAMDAUGD PRIBADI RJ201801A0034160
ANASTAN 0.00 0.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP PENDI RAMDANI,TN

21-02-2019 ALEXANDER, UGD PRIBADI RJ201801A0034163
DANASONE 1,200.00 10.00
TOTAL RESEP ALEXANDER,TN
21-02-2019 LUCKY,TN UGD PRIBADI RJ201801A0034165
DANASONE 1,200.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP LUCKY,TN
21-02-2019 YANA A JAYA UGD PRIBADI RJ201801A0034168
GASTRUCID 0.00 0.00
TOTAL RESEP YANA A JAYA,TN
21-02-2019 AMANDA,AN UGD PRIBADI RJ201801A0034167
TOTAL RESEP AMANDA,AN
21-02-2019 CASMIA,NY UGD PRIBADI RJ201801A0034173
DANASONE 1,200.00 10.00
TOTAL RESEP CASMIA,NY
21-02-2019 GWEN CLARISUGD PRIBADI RJ201801A0034193

RJ201801A0034194
*VITAZYM 0.00 4.00
*RANITIDIN 440.00 4.00
TOTAL RESEP GWEN CLARISSA,AN
21-02-2019 JOKE TENNY UGD PRIBADI RJ201801A0034202
TOTAL RESEP JOKE TENNY SEROH,TN
21-02-2019 PATRICIA I. UGD PRIBADI RJ201801A0034203
TOTAL RESEP PATRICIA I.N SEROH,AN
21-02-2019 EKI HANDRAYUGD PRIBADI RJ201801A0034209
TOTAL RESEP EKI HANDRAYANI,TN
21-02-2019 YUNITA WAHYUGD PRIBADI RJ201801A0034215
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP YUNITA WAHYUNING L,NN
21-02-2019 ILLA RATANIAUGD PRIBADI RJ201801A0034218
TOTAL RESEP ILLA RATANIA FINADI,NY

21-02-2019 YATI HARYAT UGD PRIBADI RJ201801A0034220
AMBROXOL 770.00 10.00
TOTAL RESEP YATI HARYATI,NY
22-02-2019 DIANIS AGUS UGD PRIBADI RJ201801A0034238
DIONICOL 15,000.00 1.00
CURVIT 30,000.00 1.00
TOTAL RESEP DIANIS AGUSTYA,AN
22-02-2019 DIAN SUBKI, UGD PRIBADI RJ201801A0034235
DEXTRAL 1,800.00 10.00
TOTAL RESEP DIAN SUBKI,TN
22-02-2019 PUJI ASTUTIKUGD PRIBADI RJ201801A0034241
DANASONE 1,200.00 10.00
HIDROCORTISON 2,5 % 13,000.00 1.00
TOTAL RESEP PUJI ASTUTIK,NY
22-02-2019 MAESAROH,N UGD PRIBADI RJ201801A0034280
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP MAESAROH,NY
22-02-2019 MADE SASI K UGD PRIBADI RJ201801A0034291

TOTAL RESEP MADE SASI KIRANA,NY
22-02-2019 ANTONIUS STUGD PRIBADI RJ201801A0034267
TOTAL RESEP ANTONIUS STEVEN,TN
22-02-2019 DARSIH WIJA UGD PRIBADI RJ201801A0034275
TOTAL RESEP DARSIH WIJAYA,NY
22-02-2019 HAWA ALFARIUGD PRIBADI RJ201801A0034277
LACTO-B 8,126.00 5.00
CURVIT 0.00 0.00
TOTAL RESEP HAWA ALFARIZKIA,BY
22-02-2019 YANUAR SANDUGD PRIBADI RJ201801A0034283
BROADAMOX 1,900.00 10.00
LIDOCAIN 8,800.00 1.00
NEDLE 26 880.00 1.00
TOTAL RESEP YANUAR SANDI,TN
22-02-2019 ARIANTO,TN UGD PRIBADI RJ201801A0034301

TOTAL RESEP ARIANTO,TN
22-02-2019 M AZHRI,AN UGD PRIBADI RJ201801A0034312
XILTROP 30,000.00 1.00
CURCUMA 2,500.00 1.00
TOTAL RESEP M AZHRI,AN
22-02-2019 MOH NUR TRIUGD PRIBADI RJ201801A0034315
VOLTADEX 50MG 1,100.00 10.00
TOTAL RESEP MOH NUR TRI PRASETYO W,TN
22-02-2019 TATAN SETIA UGD PRIBADI RJ201801A0034317
RANITIDIN 16,000.00 1.00
TOTAL RESEP TATAN SETIADANA,TN
22-02-2019 ADI,TN UGD PRIBADI RJ201801A0034324
RL OTSU/BRAUN 35,000.00 1.00
VASOFIK NO.24 35,000.00 1.00
RANITIDIN 16,000.00 1.00
ANTRAIN 35,000.00 1.00
NEDLE 26 880.00 1.00

TOTAL RESEP ADI,TN
22-02-2019 DHUHAFATIH UGD PRIBADI RJ201801A0034320
GG 1000 500.00 2.00
Vit. C 363.00 3.00
XILTROP 30,000.00 1.00
TOTAL RESEP DHUHAFATIH,AN
22-02-2019 ARSYILA SAH UGD PRIBADI RJ201801A0034321
XILTROP 30,000.00 1.00
DEXTRAL 1,800.00 3.00
DANASONE 1,200.00 2.00
Vit. C 363.00 4.00
TOTAL RESEP ARSYILA SAHFITRI,AN
22-02-2019 DANIEL,TN UGD PRIBADI RJ201801A0034318
RANITIDIN 16,000.00 1.00
VOLTADEX 50MG 1,100.00 10.00
TOTAL RESEP DANIEL,TN
23-02-2019 SANDY,TN UGD PRIBADI RJ201801A0034327
ANASTAN 770.00 0.00

TOTAL RESEP SANDY,TN
23-02-2019 AL FATTAH,T UGD PRIBADI RJ201801A0034336
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
RJ201801A0034337
METFORMIN 500.00 20.00
TOTAL RESEP AL FATTAH,TN
23-02-2019 DANDI WAHY UGD PRIBADI RJ201801A0034344
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP DANDI WAHYUDI,TN
23-02-2019 SURYA SAPUTUGD PRIBADI RJ201801A0034353
*AMBROXOL 385.00 8.00
*DEXTRAL 1,800.00 4.00
RJ201801A0034354
TOTAL RESEP SURYA SAPUTRA,AN
23-02-2019 SNO,TN UGD PRIBADI RJ201801A0034357
DANASONE 1,200.00 10.00
TOTAL RESEP SNO,TN

23-02-2019 VALENTINA,A UGD PRIBADI RJ201801A0034358
RJ201801A0034359
*AMBROXOL 385.00 6.00
*DEXTRAL 1,800.00 4.00
TOTAL RESEP VALENTINA,AN
23-02-2019 MIA AUDINA, UGD PRIBADI RJ201801A0034371
TOTAL RESEP MIA AUDINA,NY
23-02-2019 AMMAR FADLYUGD PRIBADI RJ201801A0034375
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP AMMAR FADLY NUR F,TN
23-02-2019 SITI NURSHO UGD PRIBADI RJ201801A0034376
DANASONE 1,200.00 10.00
TOTAL RESEP SITI NURSHOBAH,NY
23-02-2019 TABHITA JOY UGD PRIBADI RJ201801A0034378
DANASONE 1,200.00 10.00

DEXTRAL 1,800.00 4.00
TOTAL RESEP TABHITA JOY G.N,AN
23-02-2019 OKI ROOSIANUGD PRIBADI RJ201801A0034377
NOVAPYRON 2,000.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP OKI ROOSIANA W,NY
23-02-2019 FIKKY HERNA UGD PRIBADI RJ201801A0034380
DANASONE 1,200.00 10.00
BROCON 1,650.00 10.00
TOTAL RESEP FIKKY HERNANDY,AN
23-02-2019 FERDINAN AZUGD PRIBADI RJ201801A0034382
DANASONE 1,200.00 10.00
TOTAL RESEP FERDINAN AZIZ,AN
24-02-2019 DONI,TN UGD PRIBADI RJ201801A0034387
LIDOCAIN 8,800.00 1.00
SILK 3-0 SUTURE 33,000.00 1.00
NEDLE 26 880.00 1.00
TOTAL RESEP DONI,TN
24-02-2019 H FATIMAH,N UGD PRIBADI RJ201801A0034388
METFORMIN 500.00 10.00
LATIBET 440.00 10.00

TOTAL RESEP H FATIMAH,NY
24-02-2019 KAMALUDIN, UGD PRIBADI RJ201801A0034390
TOTAL RESEP KAMALUDIN,TN
24-02-2019 FADHEL,AN UGD PRIBADI RJ201801A0034391
ANABION 24,500.00 1.00
ALERON 770.00 2.00
GG 1000 500.00 2.00
DANASONE 1,200.00 1.00
TOTAL RESEP FADHEL,AN
24-02-2019 HUMAIRA A,A UGD PRIBADI RJ201801A0034394
ALERON 770.00 4.00
GG 1000 500.00 4.00
Vit.B COM 900.00 4.00
TOTAL RESEP HUMAIRA A,AN
24-02-2019 M. HABIBI M UGD PRIBADI RJ201801A0034398
VITCUR 16,500.00 1.00
TOTAL RESEP M. HABIBI MUBAROK,AN
24-02-2019 HUMANISEM, UGD PRIBADI RJ201801A0034410

MELOXICAM 15 MG 1,550.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP HUMANISEM,NY
24-02-2019 MARYANTO,T UGD PRIBADI RJ201801A0034415
DEXAMETASON.INJ 3,600.00 1.00
NEDLE 26 880.00 1.00
KETOCONAZOLE TABLET 600.00 10.00
DANASONE 1,200.00 10.00
CURCUMA 2,500.00 10.00
KETOCONAZOLE CREAM 11,200.00 1.00
TOTAL RESEP MARYANTO,TN
24-02-2019 ABDUL AZIZ, UGD PRIBADI RJ201801A0034423
TOTAL RESEP ABDUL AZIZ,TN
24-02-2019 PINAH,NY UGD PRIBADI RJ201801A0034438
GASELA 1,320.00 10.00

TOTAL RESEP PINAH,NY
24-02-2019 AYSHA AILAN UGD PRIBADI RJ201801A0034436
VENTOLIN 30,000.00 1.00
TOTAL RESEP AYSHA AILANI ARKA,AN
24-02-2019 PRICYLA HIL UGD PRIBADI RJ201801A0034452
DIONICOL 1,800.00 5.00
DANASONE 1,200.00 5.00
ALERON 770.00 5.00
Vit. C 363.00 3.00
TOTAL RESEP PRICYLA HILYATUN THOYYIBAH,AN
24-02-2019 ALAN S SAND UGD PRIBADI RJ201801A0034448
DANASONE 1,200.00 10.00
MELOXICAM 15 MG 1,550.00 10.00
TOTAL RESEP ALAN S SANDI,TN
24-02-2019 TANURI,NY UGD PRIBADI RJ201801A0034442
NOVAPYRON 2,000.00 10.00
VOLTADEX 50MG 1,100.00 10.00
LIDOCAIN 8,800.00 1.00
NEDLE 25 660.00 1.00
TOTAL RESEP TANURI,NY
24-02-2019 DITA AFIKA, UGD PRIBADI RJ201801A0034440

DANASONE 1,200.00 5.00
ALERON 770.00 5.00
CURVIT 30,000.00 1.00
TOTAL RESEP DITA AFIKA,AN
24-02-2019 H.SHOLAHUD UGD PRIBADI RJ201801A0034455
FLUTAMOL 1,100.00 10.00
AMBROXOL 770.00 10.00
TOTAL RESEP H.SHOLAHUDDIN,TN
24-02-2019 ILHAM,AN UGD PRIBADI RJ201801A0034456
PRORIS SUPP 11,000.00 1.00
DANASONE 1,200.00 3.00
ALERON 770.00 3.00
CURVIT 30,000.00 1.00
TOTAL RESEP ILHAM,AN
24-02-2019 SELVI KOMAL UGD PRIBADI RJ201801A0034463
SPASMINAL 1,800.00 10.00
DANASONE 1,200.00 10.00

TOTAL RESEP SELVI KOMALASARI,NY
24-02-2019 FINZA,AN UGD PRIBADI RJ201801A0034476
BROADAMOX 1,900.00 10.00
AMBROXOL 770.00 10.00
TOTAL RESEP FINZA,AN
24-02-2019 CLARA KOYOGUGD PRIBADI RJ201801A0034475
FLUTAMOL 1,100.00 4.00
DANASONE 1,200.00 4.00
Vit. C 363.00 3.00
CURVIT 30,000.00 1.00
TOTAL RESEP CLARA KOYOGIAN,AN
24-02-2019 KANAYA PUTRUGD PRIBADI RJ201801A0034482
CURVIT 30,000.00 1.00
TOTAL RESEP KANAYA PUTRI S,AN
24-02-2019 SAILA ATAYA UGD PRIBADI RJ201801A0034483
CURVIT 30,000.00 1.00

GG 1000 500.00 2.00
Vit. C 363.00 2.00
TOTAL RESEP SAILA ATAYA S,AN
24-02-2019 AYU AZIZAH, UGD PRIBADI RJ201801A0034484
FLOXIGRA 500MG 1,000.00 10.00
DANASONE 1,200.00 10.00
ALERON 770.00 10.00
TOTAL RESEP AYU AZIZAH,NY
24-02-2019 NUR TYAS PR UGD PRIBADI RJ201801A0034508
RL OTSU/BRAUN 35,000.00 1.00
VASOFIK NO.24 35,000.00 1.00
TOTAL RESEP NUR TYAS PRATIWI,NY
24-02-2019 SEMI,TN UGD PRIBADI RJ201801A0034501
FLUTAMOL 1,100.00 10.00
TOTAL RESEP SEMI,TN
24-02-2019 SITI LISNAW UGD PRIBADI RJ201801A0034514

SPASMAL 1,000.00 10.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP SITI LISNAWATI,NN
24-02-2019 DUDI ROHADIUGD PRIBADI RJ201801A0034513
CEFTRIAXONE 27,000.00 1.00
SPUIT 10 CC 7,500.00 1.00
AQUA BIDES 50 CC 0.00 0.00
DANASONE 1,200.00 10.00
TOTAL RESEP DUDI ROHADI,TN
24-02-2019 ISMAIL,AN UGD PRIBADI RJ201801A0034520
FLUTAMOL 1,100.00 3.00
Vit. C 363.00 2.00
BISOLVON 5,000.00 1.00
TOTAL RESEP ISMAIL,AN
25-02-2019 JISMANI,AN UGD PRIBADI RJ201801A0034548
FULMICORT 0,5 / 1 NEBU 50,000.00 1.00
TOTAL RESEP JISMANI,AN
25-02-2019 AGNES ALICI UGD PRIBADI RJ201801A0034549
Vit. C 363.00 10.00
RJ201801A0034550

*DEXTRAL 1,800.00 6.00
TOTAL RESEP AGNES ALICIA R,AN
25-02-2019 YANUAR SANDUGD PRIBADI RJ201801A0034560
TOTAL RESEP YANUAR SANDI,TN
25-02-2019 ANDI KUSWA UGD PRIBADI RJ201801A0034586
TOTAL RESEP ANDI KUSWARA,TN
25-02-2019 ZIDAN ABSARUGD PRIBADI RJ201801A0034590
*FLUTAMOL 550.00 6.00
RJ201801A0034591
Vit. C 363.00 10.00
TOTAL RESEP ZIDAN ABSAR R,AN
25-02-2019 TATI,NY UGD PRIBADI RJ201801A0034592
Vit.B COM 900.00 8.00
VOLTADEX 50MG 1,100.00 10.00
NEDLE 26 880.00 1.00
TOTAL RESEP TATI,NY
25-02-2019 M.RAIHAN,ANUGD PRIBADI RJ201801A0034611
MUCOS DROP 40,000.00 1.00
PRORIS SUPP 11,000.00 1.00

TOTAL RESEP M.RAIHAN,AN
25-02-2019 ROHMAN,TN UGD PRIBADI RJ201801A0034603
ASAM MEFENAMAT 500MG 0.00 0.00
TOTAL RESEP ROHMAN,TN
25-02-2019 SARI,NN UGD PRIBADI RJ201801A0034615
TOTAL RESEP SARI,NN
25-02-2019 JORHAN PIRTUGD PRIBADI RJ201801A0034618
Vit.B COM 0.00 0.00
DANASONE 1,200.00 10.00
DEXTRAL 1,800.00 10.00
TOTAL RESEP JORHAN PIRTUA,TN
25-02-2019 ROSALYA MAFUGD PRIBADI RJ201801A0034617
Vit.B COM 0.00 0.00
ANASTAN 770.00 1.00
LIDOCAIN 8,800.00 1.00
NEDLE 26 880.00 1.00
SILK 3-0 SUTURE 33,000.00 1.00
TOTAL RESEP ROSALYA MAFIYANTI,NY
25-02-2019 FAIZ SIDQI UGD PRIBADI RJ201801A0034640

TOTAL RESEP FAIZ SIDQI ABQORI,AN
25-02-2019 IKHSAN K,AN UGD PRIBADI RJ201801A0034644
Vit.B COM 0.00 0.00
RJ201801A0034645
DEXTRAL 1,800.00 10.00
RJ201801A0034646
DANASONE 1,200.00 10.00
TOTAL RESEP IKHSAN K,AN
25-02-2019 RAHMA,AN UGD PRIBADI RJ201801A0034654
*FLUTAMOL 550.00 6.00
RJ201801A0034655
Vit. C 363.00 10.00
PRORIS SUPP 11,000.00 4.00
TOTAL RESEP RAHMA,AN
25-02-2019 SURYAMIN,T UGD PRIBADI RJ201801A0034658
ACIVAR 0.00 0.00
TOTAL RESEP SURYAMIN,TN
25-02-2019 NATASYA T.P UGD PRIBADI RJ201801A0034668

RJ201801A0034669
Vit. C 363.00 10.00
TOTAL RESEP NATASYA T.P,AN
25-02-2019 ASYIFA ALYA UGD PRIBADI RJ201801A0034667
STESOLID 10 MG 88,000.00 2.00
TOTAL RESEP ASYIFA ALYA,AN
25-02-2019 SUMILAH,NY UGD PRIBADI RJ201801A0034685
FLUCADEX 1,100.00 10.00
TOTAL RESEP SUMILAH,NY
25-02-2019 SITI ASIH,NY UGD PRIBADI RJ201801A0034688
ARCAVIT-C 2,552.00 10.00
FLUCADEX 1,100.00 10.00
TOTAL RESEP SITI ASIH,NY
25-02-2019 NABILA,AN UGD PRIBADI RJ201801A0034693
FLUCADEX 1,100.00 10.00
CURVIT 30,000.00 1.00
TOTAL RESEP NABILA,AN
25-02-2019 AHMAD MUHDUGD PRIBADI RJ201801A0034692
AMBROXOL 770.00 10.00
ARCAVIT-C 2,552.00 10.00
TOTAL RESEP AHMAD MUHDORI,TN
25-02-2019 MAHDALENA, UGD PRIBADI RJ201801A0034694
AMBROXOL 770.00 10.00
ARCAVIT-C 2,552.00 10.00

FARSIFEN 400MG 880.00 10.00
TOTAL RESEP MAHDALENA,AN
25-02-2019 AJI,TN UGD PRIBADI RJ201801A0034697
FLOXIGRA 500MG 1,000.00 10.00
FLUCADEX 1,100.00 10.00
TOTAL RESEP AJI,TN
26-02-2019 HIRZAN DANYUGD PRIBADI RJ201801A0034720
TOTAL RESEP HIRZAN DANY,TN
26-02-2019 MUHAMMAD AUGD PRIBADI RJ201801A0034734
RJ201801A0034735
*AMBROXOL 385.00 2.50
TOTAL RESEP MUHAMMAD ALBY SARIPUDIN,BY
26-02-2019 TAPRICHA,NYUGD PRIBADI RJ201801A0034727
DANASONE 1,200.00 10.00
SUCRALFAT 0.00 0.00
TOTAL RESEP TAPRICHA,NY
26-02-2019 MUTIARA HAFUGD PRIBADI RJ201801A0034741
RJ201801A0034742
TOTAL RESEP MUTIARA HAFIZ,AN
26-02-2019 SYAIFUL MUAUGD PRIBADI RJ201801A0034748
ANASTAN 0.00 0.00
DANASONE 1,200.00 10.00
CAVIPLEX TABLET 0.00 0.00
TOTAL RESEP SYAIFUL MUARIF,TN
26-02-2019 AMIN MAHMUUGD PRIBADI RJ201801A0034754
SCOPMA 0.00 0.00
TOTAL RESEP AMIN MAHMUD,TN
26-02-2019 ANARGYA AG UGD PRIBADI RJ201801A0034755
TOTAL RESEP ANARGYA AGHNA PD,AN
26-02-2019 ATHARYA AG UGD PRIBADI RJ201801A0034756
*Vit. C 363.00 2.00
RJ201801A0034757
TOTAL RESEP ATHARYA AGHNA,AN
26-02-2019 SUSI FITRI Y UGD PRIBADI RJ201801A0034760
OMEDOM 0.00 0.00
GASELA 0.00 0.00
SUCRALFAT 0.00 0.00
TOTAL RESEP SUSI FITRI YANTI,NN

26-02-2019 MUHAMMAD MUGD PRIBADI RJ201801A0034765
*AMBROXOL 385.00 5.00
RJ201801A0034766
TOTAL RESEP MUHAMMAD MUDRIKA,AN
26-02-2019 DEDE,NY UGD PRIBADI RJ201801A0034768
SCOPMA 0.00 0.00
LOPAMID 800.00 15.00
SUCRALFAT 38,000.00 0.10
TOTAL RESEP DEDE,NY
26-02-2019 PATAS SUPRI UGD PRIBADI RJ201801A0034775
Vit. C 363.00 10.00
TOTAL RESEP PATAS SUPRIHATIN,TN
26-02-2019 ALFADILLA P UGD PRIBADI RJ201801A0034782
TOTAL RESEP ALFADILLA PUSPA,NY
26-02-2019 DIMAS FIRMAUGD PRIBADI RJ201801A0034784
*LIBROZYM 1,250.00 5.00
*RANITIDIN 440.00 5.00
TOTAL RESEP DIMAS FIRMANSYAH,AN

26-02-2019 FADIL AL HAFUGD PRIBADI RJ201801A0034794
DANASONE 1,200.00 6.00
ERLA TETES TELINGA 16,000.00 1.00
TOTAL RESEP FADIL AL HAFIZ,AN
26-02-2019 FERISA AULIAUGD PRIBADI RJ201801A0034803
*AMBROXOL 385.00 2.50
*DANASONE 600.00 2.50
RJ201801A0034804
TOTAL RESEP FERISA AULIA PUTRI,BY
26-02-2019 MUHAMAD MAUGD PRIBADI RJ201801A0034805
DANASONE 1,200.00 15.00
TOTAL RESEP MUHAMAD MAMUR,TN
26-02-2019 KARTIKA AYU UGD PRIBADI RJ201801A0034810
RJ201801A0034811
TOTAL RESEP KARTIKA AYUNI ZAHRAA,AN
26-02-2019 HARIONO,TN UGD PRIBADI RJ201801A0034814
SCOPMA 0.00 0.00
ORALIT 960.00 10.00
LOPAMID 800.00 10.00
Vit.B COM 900.00 0.00
TOTAL RESEP HARIONO,TN
26-02-2019 ENTAT SUARTUGD PRIBADI RJ201801A0034830
TOTAL RESEP ENTAT SUARTI,NY
26-02-2019 KAYLA AULIA UGD PRIBADI RJ201801A0034848
DANASONE 1,200.00 10.00
AMBROXOL 770.00 10.00
OMEDOM 1,540.00 10.00
TOTAL RESEP KAYLA AULIA ZAHRA,AN
27-02-2019 REZA A JAYA UGD PRIBADI RJ201801A0034855
FG TROCHES 0.00 0.00
MELOXICAM 15 MG 1,550.00 10.00
TOTAL RESEP REZA A JAYA,TN
27-02-2019 KARMINAH,N UGD PRIBADI RJ201801A0034856
ANASTAN 770.00 10.00
ARCAVIT-C 2,552.00 10.00
SILK 3-0 SUTURE 33,000.00 1.00
LIDOCAIN 8,800.00 1.00
TOTAL RESEP KARMINAH,NN
27-02-2019 NABILA,AN UGD PRIBADI RJ201801A0034864
DIONICOL 1,800.00 10.00

TOTAL RESEP NABILA,AN
27-02-2019 ANDINATA S UGD PRIBADI RJ201801A0034863
BROCON 1,650.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP ANDINATA SIMORANGKIR,TN
27-02-2019 TUTY SUGIARUGD PRIBADI RJ201801A0034867
VOLTADEX 50MG 1,100.00 10.00
GASELA 1,320.00 6.00
TOTAL RESEP TUTY SUGIARTI,NY
27-02-2019 MULYADI,TN UGD PRIBADI RJ201801A0034866
LIBROZYM 1,250.00 5.00
TOTAL RESEP MULYADI,TN
27-02-2019 SUTRISNO ALUGD PRIBADI RJ201801A0034868
BROCON 1,650.00 10.00
DANASONE 1,200.00 6.00
TOTAL RESEP SUTRISNO ALBITO,TN
27-02-2019 KIARRA AUREUGD PRIBADI RJ201801A0034869
CURVIT 30,000.00 1.00
TOTAL RESEP KIARRA AURELIAMSHEEHAN,AN
27-02-2019 SAEPUDIN,TNUGD PRIBADI RJ201801A0034872
MOLAGIT 1,800.00 10.00
SPASMINAL 1,800.00 10.00

TOTAL RESEP SAEPUDIN,TN
27-02-2019 KEANU ELVANUGD PRIBADI RJ201801A0034886
TOTAL RESEP KEANU ELVAN M,BY
27-02-2019 SITI NURFAI UGD PRIBADI RJ201801A0034892
ALERON 770.00 2.00
GG 1000 500.00 2.00
FARSIFEN 400MG 880.00 1.00
DANASONE 1,200.00 2.00
Vit. C 363.00 2.00
RJ201801A0034984
TOTAL RESEP SITI NURFAIDAH,BY
27-02-2019 TIKA APRIYA UGD PRIBADI RJ201801A0034912
FLOXIGRA 500MG 1,000.00 10.00
OMEDOM 1,540.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP TIKA APRIYANI,NY
27-02-2019 USEP,TN UGD PRIBADI RJ201801A0034910
FLOXIGRA 500MG 1,000.00 10.00
TOTAL RESEP USEP,TN
27-02-2019 VITA AYU A, UGD PRIBADI RJ201801A0034911

FARSIFEN 400MG 880.00 10.00
TOTAL RESEP VITA AYU A,NN
27-02-2019 NUR AFIFAH UGD PRIBADI RJ201801A0034913
TOTAL RESEP NUR AFIFAH FAUZIAH,AN
27-02-2019 FARRIS RASY UGD PRIBADI RJ201801A0034917
BROCON 1,650.00 10.00
BROADAMOX 1,900.00 10.00
TOTAL RESEP FARRIS RASYAD D,AN
27-02-2019 MISTA,TN UGD PRIBADI RJ201801A0034923
AMBROXOL 770.00 10.00
FARSIFEN 400MG 880.00 10.00
TOTAL RESEP MISTA,TN
27-02-2019 WASRO,TN UGD PRIBADI RJ201801A0034925
DEXTRAL 1,800.00 10.00
DANASONE 1,200.00 6.00
TOTAL RESEP WASRO,TN
GG 1000 500.00 2.00
ALERON 770.00 1.50
Vit.B COM 900.00 2.00

TOTAL RESEP MUHAMMAD FAHMI D,BY
27-02-2019 SUYUD,TN UGD PRIBADI RJ201801A0034942
GASELA 1,320.00 10.00
TOTAL RESEP SUYUD,TN
27-02-2019 DESILA,NY UGD PRIBADI RJ201801A0034941
TOTAL RESEP DESILA,NY
27-02-2019 SURI,TN UGD PRIBADI RJ201801A0034947
BROADAMOX 1,900.00 10.00
TOTAL RESEP SURI,TN
27-02-2019 MA'RUF S,TN UGD PRIBADI RJ201801A0034956
DANASONE 1,200.00 6.00
DEXTRAL 1,800.00 6.00
TOTAL RESEP MA'RUF S,TN
27-02-2019 VINKY AMELI UGD PRIBADI RJ201801A0034962
FLOXIGRA 500MG 1,000.00 10.00
GASELA 1,320.00 10.00
TOTAL RESEP VINKY AMELIA,NY
27-02-2019 A SURURIL H UGD PRIBADI RJ201801A0034963

GASELA 1,320.00 10.00
AMBROXOL 770.00 10.00
TOTAL RESEP A SURURIL HUDA,TN
27-02-2019 SEPTIE SUKM UGD PRIBADI RJ201801A0034973
GASELA 1,320.00 8.00
TOTAL RESEP SEPTIE SUKMATA,AN
27-02-2019 ASKA BRAMA UGD PRIBADI RJ201801A0034979
CURVIT 30,000.00 1.00
TOTAL RESEP ASKA BRAMASTYA SUWONDO,AN
27-02-2019 M. RAFKA EL UGD PRIBADI RJ201801A0034975
MUCOS DROP 0.00 0.00
TOTAL RESEP M. RAFKA ELFAHREZA. W,BY
27-02-2019 RAKA NASUTIUGD PRIBADI RJ201801A0034976
ALERON 770.00 1.00
GG 1000 500.00 2.00
Vit.B COM 900.00 2.00
Vit. C 363.00 2.00
CURVIT 30,000.00 1.00
TOTAL RESEP RAKA NASUTION,BY
27-02-2019 ARI SAPUTRA UGD PRIBADI RJ201801A0034981
DEXTRAL 1,800.00 10.00

DANASONE 1,200.00 10.00
TOTAL RESEP ARI SAPUTRA,TN
28-02-2019 RIZKI LUIS,T UGD PRIBADI RJ201801A0034988
ANASTAN 770.00 10.00
DANASONE 1,200.00 10.00
TOTAL RESEP RIZKI LUIS,TN
RJ201801A0035013
ITRAMOL SYRUP 0.00 0.00
28-02-2019 M. ZALFANAB UGD PRIBADI RJ201801A0035041
DIONICOL 15,000.00 1.00
PLASTIK KLIP (K) 150.00 1.00
TOTAL RESEP M. ZALFANABID ALFARISI,AN
28-02-2019 ANNISA,NN UGD PRIBADI RJ201801A0035025
DANASONE 1,200.00 10.00
TOTAL RESEP ANNISA,NN
28-02-2019 PIERRE KENZ UGD PRIBADI RJ201801A0035026
FULMICORT 0,5 / 1 NEBU 50,000.00 1.00
VENTOLIN 30,000.00 1.00

TOTAL RESEP PIERRE KENZIE A NABABAN,BY
28-02-2019 JEANNY MARYUGD PRIBADI RJ201801A0035027
DANASONE 1,200.00 10.00
TOTAL RESEP JEANNY MARYANI,NY
28-02-2019 ARYA GALIH UGD PRIBADI RJ201801A0035046
RJ201801A0035047
*Vit.B COM 440.00 3.00
TOTAL RESEP ARYA GALIH PRATAMA,AN
*Vit. C 363.00 5.00
*DEXTEEM PLUS 1,000.00 10.00
RJ201801A0035045
28-02-2019 ROSALYA MAFUGD PRIBADI RJ201801A0035051
CARGESIK 1,200.00 10.00
ARCAVIT-C 2,552.00 5.00
TOTAL RESEP ROSALYA MAFIYANTI,NY
28-02-2019 AMIT,TN UGD PRIBADI RJ201801A0035063

Vit. C 363.00 10.00
DEXAMETASON 0.00 0.00
DEXTRAL 0.00 0.00
TOTAL RESEP AMIT,TN
28-02-2019 DRS.BASUKI, UGD PRIBADI RJ201801A0035066
FG TROCHES 0.00 0.00
DANASONE 1,200.00 10.00
ALPARA 1,800.00 0.00
TOTAL RESEP DRS.BASUKI,SH,MH,TN
28-02-2019 M. UMAIR AH UGD PRIBADI RJ201801A0035070
*Vit. C 363.00 1.00
*AMBROXOL 770.00 2.50
RJ201801A0035071
TOTAL RESEP M. UMAIR AHSAN P,AN
28-02-2019 DIEGO,AN UGD PRIBADI RJ201801A0035081
TOTAL RESEP DIEGO,AN
28-02-2019 WAHYUNI,NY UGD PRIBADI RJ201801A0035080
ORALIT 960.00 6.00
LOPAMID 800.00 15.00
TOTAL RESEP WAHYUNI,NY
28-02-2019 MUHAMMAD RUGD PRIBADI RJ201801A0035085

TOTAL RESEP MUHAMMAD RULIFF N,AN
28-02-2019 ARJUNA,AN UGD PRIBADI RJ201801A0035095
*Vit. C 363.00 2.00
*DANASONE 600.00 5.00
RJ201801A0035096
TOTAL RESEP ARJUNA,AN
28-02-2019 ANINDITA,AN UGD PRIBADI RJ201801A0035100
*AMBROXOL 385.00 3.00
RJ201801A0035101
TOTAL RESEP ANINDITA,AN
28-02-2019 TID RIZAL,TNUGD PRIBADI RJ201801A0035106
LOPAMID 800.00 10.00
DANASONE 1,200.00 10.00
SUCRALFAT 38,000.00 1.00
TOTAL RESEP TID RIZAL,TN
SUBTOTAL RJ
Total Rp
11,000.00
12,100.00
24,500.00
15,000.00
62,600.00
7,920.00
8,000.00
11,000.00
24,200.00
6,050.00
880.00
15,400.00
73,450.00
40,000.00
40,000.00
80,000.00
7,700.00
6,000.00
4,400.00
4,620.00
22,720.00
27,500.00
8,000.00
7,700.00
43,200.00
5,000.00
9,000.00
6,000.00
0.00
20,000.00
16,500.00
18,700.00
6,000.00
13,200.00
25,520.00
79,920.00
18,000.00
8,800.00
13,200.00
19,800.00
59,800.00
7,656.00
6,000.00
13,656.00
13,500.00
8,240.00
12,000.00
3,600.00
37,340.00
4,400.00
4,400.00
0.00
0.00
8,800.00
16,500.00
11,000.00
6,000.00
7,700.00
27,500.00
68,700.00
7,000.00
8,800.00
6,000.00
4,620.00
26,420.00
5,000.00
8,800.00
6,000.00
4,400.00
0.00
24,200.00
16,500.00
16,500.00
6,000.00
19,800.00
58,800.00
16,500.00
18,000.00
6,000.00
40,500.00
27,500.00
15,400.00
8,800.00
18,000.00
6,050.00
880.00
76,630.00
16,500.00
11,000.00
6,000.00
3,630.00
37,130.00
16,500.00
16,500.00
25,520.00
58,520.00
11,000.00
33,000.00
12,760.00
7,200.00
2,400.00
3,080.00
330.00
69,770.00
24,200.00
24,200.00
27,500.00
8,000.00
8,800.00
12,000.00
56,300.00
15,400.00
13,000.00
28,400.00
16,500.00
18,700.00
6,000.00
13,200.00
54,400.00
2,640.00
4,400.00
7,040.00
11,000.00
1,500.00
2,000.00
0.00
12,760.00
27,260.00
18,000.00
27,500.00
8,000.00
8,800.00
62,300.00
8,800.00
10,000.00
44,000.00
5,000.00
67,800.00
12,760.00
1,500.00
1,800.00
24,500.00
40,560.00
8,800.00
10,000.00
0.00
7,000.00
25,800.00
12,100.00
24,500.00
3,080.00
2,000.00
4,000.00
2,178.00
47,858.00
12,100.00
24,500.00
14,000.00
50,600.00
3,600.00
12,100.00
24,200.00
12,000.00
6,000.00
5,000.00
62,900.00
8,800.00
10,000.00
8,000.00
19,800.00
46,600.00
15,000.00
12,100.00
24,500.00
11,000.00
62,600.00
12,000.00
19,800.00
10,000.00
4,000.00
45,800.00
8,800.00
6,000.00
10,000.00
24,200.00
49,000.00
12,760.00
15,000.00
18,000.00
45,760.00
12,100.00
15,000.00
3,080.00
2,000.00
4,000.00
2,541.00
24,500.00
63,221.00
8,800.00
11,000.00
16,500.00
15,400.00
10,000.00
61,700.00
8,800.00
18,000.00
15,400.00
11,000.00
53,200.00
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0.00
0.00
12,000.00
6,600.00
6,000.00
0.00
12,600.00
0.00
12,000.00
0.00
12,000.00
0.00
0.00
10,000.00
6,600.00
0.00
16,600.00
726.00
3,000.00
0.00
19,800.00
23,526.00
0.00
0.00
0.00
0.00
5,000.00
1,925.00
0.00
12,760.00
19,685.00
0.00
12,000.00
3,800.00
15,800.00
10,000.00
0.00
3,630.00
13,630.00
16,500.00
11,000.00
0.00
27,500.00
6,250.00
0.00
2,200.00
8,450.00
7,200.00
16,000.00
0.00
23,200.00
962.50
0.00
1,500.00
45,000.00
47,462.50
0.00
18,000.00
0.00
18,000.00
12,760.00
5,000.00
0.00
1,650.00
19,410.00
0.00
9,600.00
8,000.00
0.00
0.00
17,600.00
10,000.00
9,350.00
19,350.00
12,000.00
7,700.00
990.00
15,400.00
36,090.00
10,000.00
0.00
15,500.00
25,500.00
16,500.00
7,700.00
25,520.00
33,000.00
8,800.00
6,050.00
97,570.00
18,000.00
18,000.00
16,500.00
12,000.00
16,500.00
45,000.00
11,000.00
7,920.00
18,920.00
7,800.00
4,800.00
6,250.00
18,850.00
16,500.00
7,200.00
10,000.00
33,700.00
30,000.00
30,000.00
18,000.00
18,000.00
16,280.00
52,280.00
25,000.00
25,000.00
1,540.00
1,000.00
880.00
1,000.00
2,400.00
726.00
13,500.00
2,000.00
23,046.00
10,000.00
15,400.00
10,000.00
13,200.00
48,600.00
10,000.00
19,800.00
7,700.00
37,500.00
19,800.00
8,800.00
5,000.00
33,600.00
13,500.00
13,500.00
16,500.00
19,000.00
10,000.00
45,500.00
16,500.00
7,700.00
7,700.00
8,800.00
40,700.00
10,000.00
18,000.00
7,000.00
7,200.00
42,200.00
1,500.00
1,000.00
1,155.00
1,800.00
5,455.00
13,200.00
8,000.00
21,200.00
13,000.00
8,000.00
21,000.00
19,000.00
10,000.00
6,600.00
35,600.00
7,200.00
10,800.00
6,000.00
24,000.00
10,000.00
19,800.00
10,000.00
13,200.00
53,000.00
16,500.00
10,000.00
13,200.00
7,700.00
47,400.00
8,000.00
10,560.00
18,560.00
33,000.00
12,760.00
30,000.00
75,760.00
0.00
25,000.00
25,000.00
1,000.00
770.00
1,000.00
1,800.00
726.00
30,000.00
35,296.00
16,500.00
18,000.00
12,000.00
46,500.00
7,700.00
16,500.00
12,000.00
13,500.00
49,700.00
45,000.00
12,760.00
0.00
57,760.00
10,000.00
15,000.00
150.00
25,150.00
9,900.00
12,000.00
15,000.00
36,900.00
50,000.00
30,000.00
2,500.00
0.00
825.00
83,325.00
0.00
9,900.00
4,000.00
12,000.00
25,900.00
12,760.00
1,320.00
9,000.00
0.00
23,080.00
1,815.00
10,000.00
0.00
19,800.00
31,615.00
12,000.00
12,760.00
24,760.00
3,630.00
0.00
10,000.00
0.00
13,630.00
0.00
12,000.00
0.00
12,000.00
363.00
2,500.00
0.00
1,925.00
12,760.00
17,548.00
44,000.00
44,000.00
5,760.00
11,960.00
4,400.00
12,000.00
34,120.00
10,000.00
18,000.00
10,000.00
38,000.00
726.00
3,000.00
0.00
9,350.00
13,076.00
3,000.00
1,155.00
0.00
12,760.00
16,915.00
10,000.00
8,000.00
12,000.00
10,000.00
38,000.00
78,000.00
26,798,997

Pasien Umum Feb19

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Laporan Penjualan Obat - Rinci

Tanggal Cetak07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

AMOXiCILIN 500MG 500.00 12.00 6000.00

TOTAL RESEP KRISNA WATI,NY 31,600.00

25-02-2019 DJUSNELLY ALPOLI GIGI PRIBADI RJ201801A0034536

Tanggal Ceta 07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

WE CARE 22,000.00 1.00 22,000.00

CALCIUM LACTAT 800.00 10.00 8,000.00

SIOBION 1,500.00 10.00 15,000.00

SIOBION 1,500.00 15.00 22,500.00

TOTAL RESEP ARLIN TERRA,BY 13,500.00

FOLAXIN 1,200.00 30.00 36,000.00

TOTAL RESEP ARI SUCIATI,NY 57,000.00

PARACETAMOL 1,000.00 10.00 10,000.00

Tanggal Ceta 07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

NORAGES 22,000.00 1.00 22,000.00

VASOFIX NO.22 28,000.00 2.00 56,000.00

06-02-2019 SITI MUNAW OPNAME RSC PRIBADI R2018-A000000283

VASOFIX NO.22 28,000.00 1.00 28,000.00

SPUIT 3CC TERUMO 6,050.00 4.00 24,200.00

SPUIT 3CC TERUMO 6,050.00 1.00 6,050.00

11-02-2019 ROKHANI,NY OPNAME RSC PRIBADI R2018-A000000296

VASOFIX NO.22 28,000.00 1.00 28,000.00

INFUS SET ADULT 26,400.00 1.00 26,400.00

PROGRESIC SYRUP 12,760.00 1.00 12,760.00

18-02-2019 PUTRI AYU N OPNAME RSC PRIBADI R2018-A000000302

TOTAL RESEP KHAWLA ADREENA,AN 109,160.00

VASOFIX NO.22 28,000.00 1.00 28,000.00

VASOFIK NO.24 35,000.00 1.00 35,000.00

Tanggal Ceta 07-03-2019 Dari Tgl 01-02-2019 S/D 28-02-2019

ANTASIDA DOEN 800.00 10.00

FARIZOL 824.00 10.00

PLASTIK KLIP (K) 0.00 0.00

LOSTACEF CAPSUL 500MG 1,650.00 10.00

LOSTACEF CAPSUL 500MG 1,650.00 10.00

02-02-2019 MIKAIL,AN UGD PRIBADI RJ201801A0031893

KETOROLAC INJ 24,200.00 1.00

TOTAL RESEP DEVINA T N,NN

02-02-2019 MARI,NY UGD PRIBADI RJ201801A0032002

03-02-2019 ALBY DWI AR UGD PRIBADI RJ201801A0032007

LOSTACEF CAPSUL 500MG 1,650.00 10.00

ARCAVIT-C 2,552.00 10.00

TOTAL RESEP CINDI,NN

TOTAL RESEP BAGUS HANDOKO,TN

04-02-2019 CAHAYA,AN UGD PRIBADI RJ201801A0032104

BISOLVON 5,000.00 1.00

04-02-2019 II BADRU TA UGD PRIBADI RJ201801A0032174

TOTAL RESEP UMIN,TN

05-02-2019 HARI SADEW UGD PRIBADI RJ201801A0032250

LACTO-B 8,126.00 6.00

PROGRESIC SYRUP 12,760.00 1.00

DIONICOL 1,800.00 10.00

LOSTACEF CAPSUL 500MG 1,650.00 10.00

SPUIT 3CC TERUMO 6,050.00 1.00

NEDLE 25 660.00 1.00

LICODEXON 600.00 10.00

VENTOLIN 30,000.00 1.00