DAFTAR PASIEN PRB

KLINIK KIMIA FARMA PROKLAMASI TGL 1 S/D 31 JANUARI 2019

NO. NAMA NO. BPJS OBAT SIGNA JML TGL. AMBIL OBAT TD/ GD TELP KET
PASIEN
1 AGUSMAN 0002044580523 CANDESARTAN 8 MG 1X1 30 82173026640 (tidak
BISOPROLOL 5 MG 1X1 30 aktif)
2 AGUSTIN 0001892411583 METFORMIN 500 MG 2X1 60 081363696352
GLIMEPIRID 2MG
1X1 30
3 ANDI ISMAIL 0001138403485 AMLODIPIN 5 MG 1X1 30 085374891919
B COMP 1X1
SIMVASTATIN 20 MG 30
1X1
4 ANISTA 0000016353538 GLIMEPIRID 2MG 1X1 30 (0751) 29022 RS
IRBERSARTAN 150 MG 1X1
30
5 ANTON 0001496381073 AMLODIPIN 5 MG 1X1 30 081363072395 t'akhir ambil obat : 10/7/2018
( tidak aktif)
6 ARNI 0002074026868 CANDESARTAN 8 MG 1x1 30 082390727569
AMLODIPIN 10 MG 1x1
SIMVASTATIN 20 MG 1x1 30
30
7 ARNIS AMIR 0001256013191 AMLODIPIN 10 MG 1X1 30 082384115331
B COMP 1X1
30
8 ASMAD 0002306843831 METFORMIN 500 MG 1X1 30 081372931554
AMLODIPIN 5 MG 1x1 30
9 ASNIDAR 0001282470862 AMLODIPIN 5 MG 1X1 30 85274312463
B COMP 1X1 30
10 ASNIDAR 0000015343784 AMLODIPIN 5 MG 1X1 30 081267364148
B COMP 1X1
30
11 ASNIWATI 0001797614436 METFORMIN 500 MG 2X1 60 081374863947 RS
GLIMEPIRID 2 MG 1X1 30
SIMVASTATIN 10 MG 1X1
AMLODIPIN 5 MG 1X1 30
30
12 ASRIL 0000016809794 AMLODIPIN 5 MG 1X1 30 081363019011
B COMP 1X1
30
13 ASWAD 0001262546717 AMLODIPIN 10 MG 1X1 30 Bulan depan mulai
B COMP 1X1 ambil obat
30

14 ATIK SUYA TINI 0001894159304 AMLODIPIN 10 MG 1X1 30 081276681999

15 AZDIMAR ALWI 15877001 AMLODIPIN 5 MG 1X1 30 081211014522
SIMVASTATIN 10 MG 1X1
CANDESARTAN 8 MG 30
TROMBOASPILET 1X1
30
16 AZRI YALDI 0002037326321 AMLODIPIN 10 MG 1X1
1X1 30 081363035250
B COMP 1X1 30
17 BASTINA 0000016578167 AMLODIPIN 10 MG 1X1 30 082388120101
SIMVASTATIN 20MG 1X1 30
B COMP
1X1 30
18 BASWAR BACHTY 0000016582937 CANDESARTAN 8 MG 1X1 30 081374582216 cho 272, gdp 151
METFORMIN 500 MG 2X1
SIMVASTATIN 60
20 MG HCT 25 1X1 30
MG 1X1
19 BENHUR 0001892411098 AMLODIPIN 5 MG 1X1 3030 081363696352
20 BUKHARI RAJO 0001445019052 AMLODIPIN 5 MG 1X1 30 085263772000
ENDAH B COMP (tidak aktif)
1X1 30
21 BURNALIS B ISA 0001815341861 AMLODIPIN 5 MG 1X1 30 08126775363
22 CAROLINE TEJA K8 AMLODIPIN 10 MG 1X1 30 08126708470
B COMP 1X1 30
23 CHADIJAH 0001314401545 AMLODIPIN 10 MG 1X1 30
24 CRISTIN STEPHANI 0001447521175 AMLODIPIN 5 MG 1X1 30
25 DAHNIAR MURNI 0001335170575 FUROSEMID 1/2 TAB 1X1/2 15
SPIRONOLAKTON 25 1X1
MG CONCOR 30
2,5MG 1X1 30
SIMVASTATIN 20 MG 1X1
30
26 DARIATI 0002376440212 GLIMEPIRID 2 MG 1x1 30 081231046148
AMLODIPIN 5 MG 1x1 30
27 DARLIS 0001293891456 AMLODIPIN 5 MG 1X1 30
28 DARWIS 0002237673486 AMLODIPIN 10 MG 1X1 30 081374618705
29 DASRUL 0001809184544 AMLODIPIN 10 MG 1X1 30 081363193715
B COMP 1X1 30
30 DESMALINI 0001801661679 AMLODIPIN 5 MG 1X1 30 0811662142/08136 RUJUK RS, Ur 34, cr 1,64 elfg 32
B COMP 1X1 3434945
30
31 DESMATINI 0001801661679 AMLODIPIN 5 MG 1x1 30 081363434945 RS
32 DEWI MULYANI 0002481156382 FUROSEMID 20 MG IN CAPS 30 08126682175
HCT 25 MG 1X1
AMLODIPIN 5 MG
CONCOR 2,5 MG
SPIRONOLAKTON 12,5 MG

33 DIRWAN 0001835772399 RISPERIDON 2 MG 2X1 30 081266080915

CPZ 100 MG 8
ASAM FOLAT 1X1/4 30

34 DRS. APRIS 0000016801266 CANDESARTAN 8 MG 1X1 30 082171875272

SPIRONOLAKTON 25 MG 1x1
30

35 ELFI MODIA 0001438417945 AMLODIPIN 5 MG 1X1 30 085276901653 cho 260,ldl 152

SIMVASTATIN 20 MG 1X1 30
36 ELIZABET 0002272215609 HERBESSER CD 200 MG 1X1 30 85263834005 RS
CONCOR 2,5 MG 1X1
CANDESARTAN 16 MG 30
1x1 30
37 ELY 0002444957379 AMLODIPIN 10 MG 1X1 30 t'akhir ambil obat : 01/9/2018.
CAPTOPRIL 25 MG 2X1 premi tidak aktif
B COPM 60
1X1
38 EMPIE MURINO 0001135092453 CANDESARTAN 8 MG 1X1 30 081363310234
AMLODIPIN 10 MG 1X1
SIMVASTATIN 20 MG 30
1x1 30
39 ENDANG M 0001386486832 SERETIDE 50/250 1
SALBUTAMOL 2 MG 2x1 60
40 ERLINDA LIDYA 0001147847387 AMLODIPIN 10 MG 1X1 30 (0751) 33857
41 ERNAWATI 0001445019423 AMLODIPIN 5 MG 1X1 30 (0751) 20682/
BISOPROLOL 5 MG 1X 15 085263772000
1/2
42 FAIZAL 0001268800661 AMLODIPIN 10 MG 1X1 30 085274682996
B COMP 1X1
30
43 FARINA LAOLI 0001870451256 AMLODIPIN 5 MG 1X1 30 081363207484
44 FAUZUL AKBAR 0001341275883 GLIMEPIRID 4 MG 1X1 30 081270085711
METFORMIN 500 MG 2X1 60
AMLODIPIN 10 MG 1X1
SIMVASTATIN 20 MG 1X1 30

45 FEIZARINA 0001266153052 AMLODIPIN 10 MG 1X1 30

30 081266286616 cho, 193, ldl 107, tg 116, hba1c
METFORMIN 500 MG 12,4. RUJUK RS
3X1 90
46 FENNYWATI 0002432562851 AMLODIPIN 5 MG 1X1 30 08126780939
CHANDRA B COMP
1X1 30
47 FITRI 0001809430266 AMLODIPIN 5 MG 1X1 30 081266749727
B COMP 1X1 30
48 FITRI YENI 0000166675353 METFORMIN 500 MG 2X1 60 082174939765
AMLODIPIN 10 MG 1X1
B COMP 1X1 30

49 FITRUS CERI 0000016143118 AMLODIPIN 5 MG 1X1 30 081363414758 cho 258 ldl 68 hdl 39
SIMVASTATIN 20 MG
1X1 30
50 GHO KUI HUN NIO 0001789018132 AMLODIPIN 5 MG 1X1 30 (0751) 891196
51 GHO TJAI SIOK AMLODIPIN 5 MG 1X1 30 082387220734
SIMVASTATIN 20 MG 1X1
B COMP 1X1 30

52 GHO TJENA 0001786300705 IRBESARTAN 150 MG 1x1 30

LIE/CHARLIE AMLODIPIN 5 MG 1x1 30
GUNAWAN

53 GINIAWATI 0001271600796
METFORMIN 500 MG 2X1 60 82174336247
GUNAWAN
54 METFORMIN 500 MG 2X1 60
HARNI 0001812308646 GLIMEPIRID 2 MG 1X1 30 081268369904
CANDESARTAN 8 MG
1X1 30
55 HELENA 0001281445863 GLIMEPIRID 2 MG 1X1 30 081374824524
METFORMIN 500MG 2X1 60
AMLODIPIN 5 MG
CANDESARTAN 8 MG 1X1 30
TROMBOASPILET 1X1 30
B COMP
1X1 30
1X1 30
56 HENDRIATI ASMURNI 000181994077 AMLODIPIN 5MG 1X1 30 no.kartu tidak terdaftar, cek
ulang no bpjs
57 HENNY TEDJA 0001481059394 METFORMIN 500 MG 3X1 90 RS
58 HERAWATI ALI 0001423607848 AMLODIPIN 5 MG 1X1 30 08126624345/0823
MICARDIS 80 MG 1X1 30 92431188
SIMVASTATIN 20 MG
1X1 30
59 HERMAN 0001429990446 GLIMEPIRID 2MG 1X1 30 RS
METFORMIN 500MG 1X1 30
B COMP
1X1 30
60 HERMAN JAI 0001826400137 AMLODIPIN 5 MG 1X1 30 085274278894
B COMP 1X1 30
61 Herman Saad 0001335201849 glimepirid 1 mg 1X1 30 08126622646
Candesartan 8mg 1X1
30
62 HUSNA MAANI 0000016318473 GLIMEPIRID 2 MG 1X1 30 081363475831
METFORMIN 500 MG 1X1 30
63 ILHAMSYAH 0001647030543 GLIMEPIRID 2 MG 1X1 30 08126603846 (tidak
METFORMIN 500 MG 2X1 aktif)
60
64 IRDAYENI 0000016585356 AMLODIPIN 5 MG 1X1 30 081374654791
65 IRIANI 0001325569329 METFORMIN 500 MG 2X1 60 081270139535 non aktif karena premi
GLIMEPIRID 2 MG 30
AMLODIPIN 10 MG 1X1
SIMVASTATIN 10 MG 30
1X1
66 IRMA GUSTI 0000017070399 CANDESARTAN 16 MG 1x1 30
30 081363228176
AMLODIPIN 10 MG 1x1 30 (tidak aktif)
CLOPIDOGREL 1x1
BCOMP 1x1 30

67 IRMEN JAYA 0001425770908 AMLODIPIN 10 MG 1X1 30

30 082110637282
68 ISMAIZAL M. 0001815116804 AMLODIPIN 10 MG 1X1 30 081363412401
B COMP 1X1 30
69 JALINA 0000015974921 AMLODIPIN 10 MG 1X1 30 082381364839
B COMP 1X1 30 (tidak aktif)
70 JALIUS 0000016708984 AMLODIPIN 10 MG 1X1 30 081374746285 no.kartu tidak terdaftar, cek
(tidak aktif) ulang no bpjs
71 JESSICA 0002069237608 AMLODIPIN 10 MG 1X1 30 08126773847
B COMP 1X1 30
72 JINEM 0001294558356 AMLODIPIN 5 MG 1X1 30 082284761620
73 JOHANA LISA 0001495564839 METFORMIN 500 MG 2x1 60
GLIBENKLAMID 5 1x1 30
MG 1x1
AMLODIPIN 5 MG 30
SIMVASTATIN 20 MG 1x1
74 JONI EFENDI WANGI 0002064359283 CANDEARTAN 8 MG 1x1/2 15 30
AMLODIPIN 5 MG 1x1 30
75 JULIARTI 0001478584899 METFORMIN 500 MG 1x1 30 085264122892 CHO 208 HDL 47 LDL 138
SIMVASTATIN 20 MG 1x1 30
76 LANNY 0002253084895 AMLODIPIN 10 MG 1X1 30 085356792279 cho 314, ldl 206
B COMP 1X1
SIMVASTATIN 20 MG 30
1x1
77 LENI MAKMUR 0001283935689 AMLODIPIN 5 MG 1x1 30 081276144838 cho 314, ldl 206
SIMVASTATIN 20 MG 1x1 30
B COMP 1x1
30
78 LENI NITA 0001381690348 AMLODIPIN 5 MG 1X1 30 (0751)39113 cho 253, ldl, 152, tg 194
SIMVASTATIN 20 MG
1x1 30
79 LIE GIOK HUN 0001865744976 AMLODIPIN 10 MG 1X1 60 085263762400
B COMP 1X1
30
80 LILIANITA BAKRI 0001970909559 CANDESARTAN 8 MG 1x1 30 08116632406/0852
AMLODIPIN 5 MG 1x1 30 63980607
81 LILIS HANANI 0000015935512 CANDESARTAN 8 MG 1X1 30 085374728581
AMLODIPIN 10 MG 1X1
30
82 LINDA 0001320998016 AMLODIPIN 5 MG 1X1 30 081136482930
B COMP 1X1
30
83 LINDAWATI SALEAN 0001318022616 METFORMIN 500 MG 2X1 60 t'akhir berobat : 09/4/2018
B COMP 1X1 30
84 LINDAWATI SUMAN 0001429440851 AMLODIPIN 5 MG 1X1 30 075128614/081378
MICARDIS 80 MG 1X1 458098/085669009
788

85 LISTON HUTAGALUNG 0002057324152 AMLODIPIN 10 MG 1X1 30 081268257504/

SIMVASTATIN 20 MG 1X1 '081275997638
B COMP 1X1 30

86 LUCIA HALIM 000158149813 RISPERIDON MG 2X1 60 081378605711 no.kartu tidak terdaftar, cek
TRIHEKSI FENIDIL 2X1 60 ulang no bpjs
87 LUCIA HALIM 0001296359469 AMLODIPIN 5 MG 1X1 30 (0751) 25979
88 MAHDALENA 0001268801109 AMLODIPIN 5 MG 1X1 30 085274682996 rujuk RS dg ASHD, tgl 5/9
B COMP 1X1 30
89 MAHYUDDIN 0001431452766 AMLODIPIN 10 MG 1X1 30 081374002309
B COMP 1X1
30
90 MAILIS DENI 0002304078254 CANDESARTAN 8 MG 1X1 30 obat untuk bulan januari
AMLODIPIN 5 MG 1X1 30
B COMP
1X1 30
91 MARDALENA 0001657028654 AMLODIPIN 5 MG 1x1 30 08116604555
92 MARDIANTI S.Ag 0000016023622 AMLODIPIN 5 MG 1X1 30 085263972567
93 MARISSA LAMADE 0001430075744 CANDESARTAN 8 MG 1X1 30 08126620209
HCT 25 MG 1X
1/2 15
94 MARLIANTI 0001140698384 AMLODIPIN 5 MG 1X1 30 081266583049
95 MARTINI 0001310410236 AMLODIPIN 10 MG 1X1 30 081277346564
CANDESARTAN 8 MG 1X1
30
96 MARYANTO 0001497468047 METFORMIN 850 MG 2X1 60 081266123800
GLIBENKLAMID 5 MG 2X1
SIMVASTATIN 20 MG 1X1 60
AMLODIPIN 10 MG
1X1 30
97 MASDIARMAN 0001621385313 LISINOPRIL 5 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
CLOPIDOGREL 75 MG
1X1 30
98 MASNIMAR 0000015990164 AMLODIPIN 10 MG 1x1 30
B COMP 1x1 30
99 MASRI WIJAYA 0002211994822 AMLODIPIN 10 MG 1X1 30 087792038814
B COMP 1X1
30
100 MATHILDA RAMAYA 0001813272557 AMLODIPIN 5 MG 1X1 30 085271827282
SIMVASTATIN 20 MG 1X1
30
101 MEILINA DJAFAR 0002272646338 AMLODIPIN 5 MG 1X1 30 082385787122/
B COMP 1X1 '082240765897
30
102 MEINY TEDJA 0001452136094 AMLODIPIN 5 MG 1X1 30 08126631482
METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG
1X1 30
103 MEIYARTI 0001906338262 AMLODIPIN 10 MG 1X1 30 081266171877
CANDESARTAN 8 MG 1X1
SPIRONOLAKTON 25 30
MG 1X1
SIMVASTATIN 10 MG 30
1X1
30
104 MULYADI KOSASIH 0001802597916 METFORMIN 500 MG 2x1 60 8126733372
AMLODIPIN 10 MG 1x1 30
GLIMEPIRID 4 1x1 30
MG
105 MURNIS 0000019488194 AMLODIPIN 5 MG 1x1 30 081363983002
106 MUNSIDA 0001388143978 AMLODIPIN 10 MG 1X1 30 081266065505
107 NAZARUDDIN 0001293217132 AMLODIPIN 5 MG 1X1 30 081267785241/
BCOMP 1X1 0751 840566
108 NELLYWATI WIDJAJA 0001425466721 BISOPROLOL 5 MG 1X 1/2 15 (0751)20800
AMLODIPIN 5 MG 1X1
30
109 NETTI SUHARTI 0001802893443 AMLODIPIN 5 MG 1X1 30
110 NOVALINDA 0001274989072 METFORMIN 500 MG 2x1 60 08126710173
AMLODIPIN 5 MG 1X1 30
111 NOVEMRIS 0002298802184 METFORMIN 500 MG 3X1 90 085102082035
112 NOVIA RAHMAWATI 0000015899681 GLIMEPIRID 4 MG 1X1 30
METFORMIN 850 MG 2X1
60
113 NURA'INI 0002049733899 CANDESARTAN 8MG 1X1 30 0811663406 RUJUK RS
BISOPROLOL 2,5 MG 1X1 30
114 NURAINI 0001885168484 AMLODIPIN 10 MG 1x1 23
GLIMEPIRID 2 MG 1x1 23
115 NURCAYA 0001859736666 AMLODIPIN 5 MG 1X1 30
B COMP 1X1
30
116 NURESA MILDA 0001879240994 AMLODIPIN 10 MG 1X1 30 082391309769 cho 281, ldl, 168, tg 159
SIMVASTATIN 20 MG 1x1 30
117 NURHAYATI 0001450867072 AMLODIPIN 5 MG 1X1 30
B COMP 1X1
30
118 NURHAYATI 0001278073754 BEROTEC INH 1 082170386265
SYMBICORT 1
119 NURLELA 0001422258838 AMLODIPIN 5 MG 1X1 30
120 NURTINI 0002481157372 GLIMEPIRID 1 MG 1x1 30 08126602175
B COMP 1x1 30
121 OE JAT GOAT 0001147842303 CANDESARTAN 8 MG 1x1 30 085272085995 RUJUK RS
HCT 25 MG 1x1 30
METFORMIN 500 2x1 60
MG
122 PRANATA CHANDRA 0002432562603 CANDESARTAN 8MG 1X1 30 08126780939
SIMVASTATIN 20 MG
B COMP 1X1 30

123 RADIAH 0000019328332 MICARDIS 80 MG 1x1 30 081374815687 RS

BISOPROLOL 2,5 MG 1x1 30
SIMVASTATIN 20 MG 1x1 30
ASPILET 1x1 30

124 RASMI 0001256424669 CANDESARTAN 8 MG 1X1 30 085363987967

B COMP 1X1 30
125 RASUNAH 0000017293476 MICARDIS 80 MG 1x1 30 081374815687/085
ACETOSAL 1x1 15 263552366
BISOPROLOL 5 MG 1x1 30

126 RATNA EMILIA 0001304091325 AMLODIPIN 10 MG 1X1 60 082170951835

CANDESARTAN 8 MG
SPIRONOLAKTON 25 MG 1X1 30
SIMVASTATIN 10 MG 30
B COMP 1X1
30
1X1
30
127 REFLINDA 0001860102369 METFORMIN 500 MG 2X1 30 082387458343
GLIMEPIRID 2 MG
AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 30
SIMVASTATIN 20 MG 1X1
30
1X1
128 RENI SEPTIA 0002073607176 AMLODIPIN 5 MG 1X1 30 081363744437
CONCOR 2,5 MG 1X1 30
129 RESWARTI DWI 0001877660649 AMLODIPIN 5 MG 1X1 30 81366553476
130 RAHID HASNUL K 0002082886492 LUMINAL 25 MG 2X1 60
131 ROSLAINI 0001449171819 1X1 30 085263928880
1X1 30
132 ROSMAINI 0000016589621 CANDESARTAN 8 MG 1x1 30 085263928880
AMLODIPIN 10 MG 1x1 30
GLIMEPRIRID 1 MG 1x1 30

133 ROSNI 0001875240426 AMLODIPIN 10 MG 1X1 30 082386558668 t'akhir ambil obat : 23/7/2018
CANDESARTAN 8 MG 1X1 30 (tidak aktif)
134 ROSNINA 0002088850151 METFORMIN 500 MG 2x1 60 081373202370
GLIMEPIRID 2 MG 1x1 30
ASPILET 80 MG 1x1 30
AMLODIPIN 5 MG 1x1 30

135 ROSSER NUSERWAN 0001339907242 GLIMEPIRID 2 MG 1X1 30 081266343539

APTOR 100 MG 1X1
BISOPROLOL 2 MG 30
METFORMIN 500 MG 1X1 30
2X1
136 RUKMINI 0002136402099 CANDESARTAN 8 MG 1X1 60
30 85265836017
137 RUSILA 0001426349632 AMLODIPIN 5 MG 1X1 30 081363440694
IRBESARTAN 150 MG 1X1
30
138 RUSTAM K 0001793055104 CANDESARTAN 16 MG 1X1 30 081267798668
AMODIPIN 10 MG 1X1
B COMP 30
1X1
139 S.UMAR B. 0001433341438 AMLODIPIN 10 MG 1X1 30 082170717428 CHO 217 LDL 136
SIMVASTATIN 20 MG 1X1
30
140 saidan 0000015867562 Furosemid 1x1 1X1 30 081363401238
candesartan 8 mg 1x1 1X1
concor 2,5 mg 1x1 30
amlodipine 5 mg 1x1 1x1 30
clopidogrel 75 mg 1x1 1x1
1x1 30
141 SALMIAH 0000016501318 AMLODIPIN 5 MG 1X1 30 085310188914
METFORMIN 500 MG 3X1
SIMVASTATIN 20 MG 1X1 90

142 SARLINA PUTRI 0000019521832 METFORMIN 500 MG 2X1 60 085263472326

GLIMEPIRID 2 MG 1X1
30
143 SASTRA KURNIAWAN 0001908080122 CANDESARTAN 8 MG 1X1 30 081277885738
BISOPROLOL 2,5 MG 1X1
30
144 SECENWATY 0001873481984 AMLODIPIN 5 MG 1X1 30 085365886333 cho 272, ldl 157, tg 220
B COMP 1X1 30
SIMVASTATIN 20 MG
1x1 30
145 SIMA 0002444957032 AMLODIPIN 10 MG 1X1 30 t'akhir ambil obat : 30/7/2018.
B COMP 1X1 30 premi tdk aktif
146 SITI AMAN 0002038747476 GLIMEPIRID 2 MG 1X1 30 085376416811
AMLODIPIN 1O MG 1X1 30
147 SJALIR 0001335177843 AMLODIPIN 5 MG 1X1 30 0751 31142
148 SRI HAYATI 0002140404669 AMLODIPIN 10 MG 1X1 30 081535490683
SIMVASTATIN 20 MG 1X1 30
149 SUHADATUL 0000204364405 METFORMIN 500 MG 2x1 60 082174570763
SAADIYAH
150 SUSENO 0001873481084 AMLODIPIN 5 MG 1X1 30 085365886333 cho 240, ldl 154, cr 1,46. kontrol
SIMVASTATIN 20 MG 1x1 30 RSUP M Djamil utk sakit kaki

151 SUWARTY 0001459782696 CANDESARTAN 8 MG 1X1 30 085364911440

AMLODIPIN 1O MG 1X1 30
152 SUSI ENDRI 0001255879967 AMLODIPIN 5 MG 1x1 30 081363793766
153 SYAFARUDDIN 0000019488205 AMLODIPIN 5 MG 1X1 30 081363983002
154 SYAFNI 0001305089785 METFORMIN 850 3X1 90 rujuk rs ibnu sina dg dm tipe 2
GLIBENDCLAMID 2 MG 2X1 13/10
SIMVASTATIN 20 MG 60
1X1 30
155 SYAFRIDAR 0001729694349 AMLODIPIN 5 MG 1X1 30 081363441618 pastikan no bpjs. No bpjs tidak
GLIMEPIRID 2 MG 1X1 (tidak aktif) sesuai dengan nama.
METFORMIN 500 MG 30
2X1
156 SYAHBUDDIN 0002043672884 AMLODIPIN 5 MG 1X1 30 81374882007
B COMP 1X1 30
157 SYLVIA 0001483444462 AMLODIPIN 5 MG 1X1 30 082391137998
158 TAHARUDDIN THAAT 0001293890861 METFORMIN 500 MG 1X1 30 0811663706
B COMP 1X1 30
159 TASDIQ WARUWU 0001151861218 AMLODIPIN 5 MG 1X1 30 085271075760
160 THERESIA W 0000016772826 AMLODIPIN 5 MG 1X1 30 085274595118 cho 289, trig 458
SIMVASTATIN 20 MG 1x1 30
161 THIO MAY BWEE 0001273623388 AMLODIPIN 10 MG 1X1 30 085375920778
162 THOMAS SUWIRSO 0001818507587 AMLODIPIN 5 MG 1X1 30 cho 283, ldl 163, trig 284
SIMVASTATIN 20 MG 1x1
30
163 TITIN SUMARNI 0002252851558 METFORMIN 500 MG 2x1 60 081275940210
AMLODIPIN 10 MG 1x1 30
SIMVASTATIN 20
MG 1x1 30
164 TOMMY TJANDRA 0001865738428 GLIMEPIRIDE 4 MG 2x1 30 RUJUK RS
METFORMIN 500 MG 3x1 90
ACARBOSE 50 MG
B.COMP 3x1 90
1X1 30
165 UMAR KHALID 0001730646371 AMLODIPIN 5 MG 1X1 30 081374825972
B COMP 1X1
30
166 WASNIAR 0001259025478 GLIMEPIRID 2 MG 2x1 60 081266085900
METFORMIN 500 MG 2x1
AMLODIPIN 10 60
MG 1x1 60
167 WERDIYANTO 0002046801655 AMLODIPIN 10 MG 1X1 30 081364556931
CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 MG 1X1
30
168 YARLIS 0001797659111 AMLODIPIN 5 MG 1X1 30 081363024339/082
B COMP 1X1 383670006
30
169 YASMAR 0000016688338 MICARDIS 80 MG 1X1 30 0751 22128
HERBESER 100 MG 1X1 30
CLOPIDOGREL 75 MG
GLIMEPIRID 2MG 1X1 30
SIMVASTATIN 20 MG 15
1X1/2
30
170 YASRIZAL 0001806610083 GLIMEPIRID 2 MG 1X1 30 hba1c 8,9; cho 253, ldl 170
171 YOHANES TIMOTEUS 0001438320161 CANDESARTAN 8 MG 1x1 30 081947409395
METFORMIN 500 MG 3x1
GLIMEPIRRID 2 1x1 90
MG 30
172 YULIANA 0001322962233 AMLODIPIN 10 MG 1X1 30 081374325115
B COMP 1X1
30
173 YURNIATI 0000016801255 CANDESARTAN 16 MG 1X1 30 085263694444 cho 205
SIMVASTATIN 10 MG 1x1
30
174 YURNI 0002221040542 AMLODIPIN 10 MG 1X1 30 081374603023 premi tidak aktif
175 YUSNIDAR 0001265695222 AMLODIPIN 1X 5 MG 1X1 30 085363351475
GLIMEPIRID 3 MG
1X1 30
176 YUSNIDAR 0002089516926 AMLODIPIN 5 MG 1X1 30
177 YUSRA, SE 0000016955357 METFORMIN 500 MG 3X1 90 t'akhir berobat : 07/4/2018
B COMP 1X1 30
178 YUSRIZAL 0001294071726 AMLODIPIN 5 MG 1X1 30 rujuk rs dg stroke+ht tgl 15/10

179 YUSWAR HAREFA 0001283951856 AMLODIPIN 5 MG 1X1 30 081374825295

CANDESARTAN 8 MG
1X1 30
180 ZAHARATUL JANNAH 0001422508522 CANDESARTAN 8 MG 1x1 30 081363156663
AMLODIPIN 10 MG 1x1 30 (anak)
181 ZAINAL B 0001818291205 METFORMIN 500 MG 2x1 60 081266171488 RS
GLIMEPIRID 1 MG 1x1 30
182 ZULHASMI 0001642298308 AMLODIPIN 10 MG 1X1 30 081378231400
SIMVASTATIN 20 MG 1X1
30
183 ZULKARNAINI 0001266129876 AMLODIPIN 5 MG 1X1 30 085274304364/082
386231592
184 ZULMAIZIR 0001721108531 CANDESARTAN 8 MG 1x1 30 085263750100
AMLODIPIN 10 MG 1x1
HCT 25 MG 1x1 30
30
 DAFTAR PASIEN PRB
KLINIK KIMIA FARMA PROKLAMASI TGL 1 S/D 28 FEBRUARI 2019

NO. NAMA NO. BPJS OBAT SIGNA JML TGL. AMBIL TD/ GD
OBAT PASIEN
1 AGUSMAN 0002044580523 CANDESARTAN 8 MG 1X1 30
BISOPROLOL 5 MG 1X1 30
2 AGUSTIN 0001892411583 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2MG 1X1 30
SIMVASTATIN 20 MG
1X1 30
3 ANDI ISMAIL 0001138403485 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1X1
30
4 ANISTA 0000016353538 GLIMEPIRID 2MG 1X1 30
METFORMIN 500 MG 2X1 60
5 ANTON 0001496381073 AMLODIPIN 5 MG 1X1 30

6 ARNI 0002074026868 CANDESARTAN 8 MG 1x1 1x1 30

AMLODIPIN 10 MG 1x1 30
SIMVASTATIN 20 MG 30
7 ARNIS AMIR 0001256013191 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
8 ASMAD 0002306843831 METFORMIN 500 MG 1X1 30
AMLODIPIN 5 MG 1x1 30
9 ASNIDAR 0001282470862 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
10 ASNIDAR 0000015343784 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
11 ASNIWATI 0001797614436 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30
AMLODIPIN 5 MG 1X1 30

12 ASRIL 0000016809794 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
13 ASWAD 0001262546717 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30

14 ATIK SUYA TINI 0001894159304 AMLODIPIN 10 MG 1X1 30

15 AZDIMAR ALWI 15877001 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30
CANDESARTAN 8 MG 1X1
TROMBOASPILET 1X1 30

16 AZRI YALDI 0002037326321 AMLODIPIN 10 MG 1X1 30

30
B COMP 1X1 30
17 BASTINA 0000016578167 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20MG 1X1 30
B COMP 1X1 30

18 BASWAR BACHTY 0000016582937 CANDESARTAN 8 MG 1X1 30

METFORMIN 500 MG 2X1 60
SIMVASTATIN 1X1 30
20 MG HCT 25 1X1
MG 30
19 BENHUR 0001892411098 AMLODIPIN 5 MG 1X1 30
20 BUKHARI RAJO ENDAH 0001445019052 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
21 BURNALIS B ISA 0001815341861 AMLODIPIN 5 MG 1X1 30
22 CAROLINE TEJA K8 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
23 CHADIJAH 0001314401545 AMLODIPIN 10 MG 1X1 30
24 CRISTIN STEPHANI 0001447521175 AMLODIPIN 5 MG B 1X1 30
COMP 1X1 30
25 DAHNIAR MURNI 0001335170575 FUROSEMID 1/2 TAB 1X1/2 15
SPIRONOLAKTON 25 1X1 30
MG CONCOR 1X1 30
2,5MG 1X1
SIMVASTATIN 20 MG 30

26 DARIATI 0002376440212 GLIMEPIRID 2 MG 1x1 1x1 30 30

AMLODIPIN 5 MG
27 DARLIS 0001293891456 AMLODIPIN 5 MG 1X1 30
28 DARWIS 0002237673486 AMLODIPIN 10 MG 1X1 30
29 DASRUL 0001809184544 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
30 DESMALINI 0001801661679 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30

31 DESMATINI 0001801661679 AMLODIPIN 5 MG 1x1 30

32 DEWI MULYANI 0002481156382 FUROSEMID 20 MG IN CAPS 1X1 30
HCT 25 MG
AMLODIPIN 5 MG
CONCOR 2,5 MG
SPIRONOLAKTON 12,5 MG

33 DIRWAN 0001835772399 RISPERIDON 2 MG 2X1 30

CPZ 100 MG 1X1/4 8
ASAM FOLAT 1X1 30

34 DRS. APRIS 0000016801266 CANDESARTAN 8 MG 1X1 30

SPIRONOLAKTON 25 MG 1x1 30
SIMVASTATIN 20 MG 1X1

35 DUSKI SAMAD 0000016844422 CANDESARTAN 8 MG 1X1 30

SIMVASTATIN 20 MG 1X1 30
36 ELFI MODIA 0001438417945 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
37 ELIZABET 0002272215609 HERBESSER CD 200 MG 1X1 30
CONCOR 2,5 MG 1X1 30
CANDESARTAN 16 MG 1x1 30

38 ELVIRA 0002032309956 AMLODIPIN 10 MG 1X1 30

39 ELY 0002444957379 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 25 MG 2X1 60
B COPM 1X1
30

40 EMPIE MURINO 0001135092453 CANDESARTAN 8 MG 1X1 30

AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30

41 ENDANG M 0001386486832 SERETIDE 50/250 1

SALBUTAMOL 2 MG 2x1 60
42 ERLINDA LIDYA 0001147847387 AMLODIPIN 10 MG 1X1 30
43 ERNAWATI 0001445019423 AMLODIPIN 5 MG 1X1 30
BISOPROLOL 5 MG 1X 1/2 15
44 FAIZAL 0001268800661 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
45 FARINA LAOLI 0001870451256 AMLODIPIN 5 MG 1X1 30
46 FAUZUL AKBAR 0001341275883 GLIMEPIRID 4 MG 1X1 30
METFORMIN 500 MG 2X1 60
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30

47 FEIZARINA 0001266153052 AMLODIPIN 10 MG 1X1 30

METFORMIN 500 MG 3X1 90

48 FENNYWATI CHANDRA 0002432562851 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
49 FITRI 0001809430266 AMLODIPIN 5 MG 1X1 1X1 30
SIMVASTATIN 20 MG 1X1 30
B COMP
50 FITRI YENI 0000166675353 METFORMIN 500 MG 2X1 60
AMLODIPIN 10 MG 1X1 30
B COMP 1X1
30
51 FITRUS CERI 0000016143118 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
52 GHO KUI HUN NIO 0001789018132 AMLODIPIN 5 MG 1X1 30
53 GHO TJAI SIOK AMLODIPIN 5 MG 1X1 1X1 30
SIMVASTATIN 20 MG 1X1 30
B COMP
30
54 GHO TJENA LIE/CHARLIE 0001786300705 IRBESARTAN 150 MG 1x1 1x1 30 30
GUNAWAN AMLODIPIN 5 MG

55 0001271600796
GINIAWATI GUNAWAN METFORMIN 500 MG 2X1 60
56 METFORMIN 500 MG 2X1 60
HARNI 0001812308646 GLIMEPIRID 2 MG 1X1 30
CANDESARTAN 8 MG 1X1 30

57 HELENA 0001281445863 GLIMEPIRID 2 MG 1X1 30

METFORMIN 500MG 2X1 60
AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
TROMBOASPILET 1X1 30
B COMP 1X1 30

58 HENDRIATI ASMURNI 000181994077 AMLODIPIN 5MG 1X1 30

59 HENNY TEDJA 0001481059394 METFORMIN 500 MG 3X1 90

60 HERAWATI ALI 0001423607848 AMLODIPIN 5 MG 1X1 30
MICARDIS 80 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30

61 HERMAN 0001429990446 GLIMEPIRID 2MG 1X1 30

METFORMIN 500MG 1X1 30
B COMP 1X1 30

62 HERMAN JAI 0001826400137 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
63 Herman Saad 0001335201849 glimepirid 1 mg 1X1 30
SIMVASTATIN 20 MG 1X1 30
Candesartan 8mg 1X1
30
64 HUSNA MAANI 0000016318473 GLIMEPIRID 2 MG 1X1 1X1 30
METFORMIN 500 MG 30
65 ILHAMSYAH 0001647030543 GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60
66 IRDAYENI 0000016585356 AMLODIPIN 5 MG 1X1 30
67 IRIANI 0001325569329 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30

68 IRMA GUSTI 0000017070399 CANDESARTAN 16 MG 1x1 1x1 30

AMLODIPIN 10 MG 1x1 30
CLOPIDOGREL 1x1 30
BCOMP 30

69 IRMEN JAYA 0001425770908 AMLODIPIN 10 MG 1X1 30

70 ISMAIZAL M. 0001815116804 AMLODIPIN 10 MG 1X1 1X1 30
B COMP 30
71 JALINA 0000015974921 AMLODIPIN 10 MG 1X1 1X1 30
B COMP 30
72 JALIUS 0000016708984 AMLODIPIN 10 MG 1X1 30

73 JESSICA 0002069237608 AMLODIPIN 10 MG 1X1 30

B COMP 1X1 30
74 JINEM 0001294558356 AMLODIPIN 5 MG 1X1 30
75 JOHANA LISA 0001495564839 METFORMIN 500 MG 2x1 1x1 60
GLIBENKLAMID 5 1x1 30
MG 1x1 30
AMLODIPIN 5 MG
SIMVASTATIN 20 MG 30
76 JONI EFENDI WANGI 0002064359283 CANDEARTAN 8 MG 1x1/2 15
AMLODIPIN 5 MG 1x1 30
77 JULIARTI 0001478584899 METFORMIN 500 MG 1x1 30
SIMVASTATIN 20 MG 1x1 30
78 LANNY 0002253084895 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1x1
30
79 LENI MAKMUR 0001283935689 AMLODIPIN 5 MG 1x1 1x1 30
SIMVASTATIN 20 MG 1x1 30
B COMP 30

80 LENI NITA 0001381690348 AMLODIPIN 5 MG 1X1 30

SIMVASTATIN 20 MG 1x1 30
81 LIANHARTO 0002078929888 HT 1X1 30
82 LIE GIOK HUN 0001865744976 AMLODIPIN 10 MG 1X1 60
B COMP 1X1 30
83 LILIANITA BAKRI 0001970909559 CANDESARTAN 8 MG 1x1 30
AMLODIPIN 5 MG 1x1 30
84 LILIS HANANI 0000015935512 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
85 LINDA 0001320998016 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
86 LINDAWATI SALEAN 0001318022616 METFORMIN 500 MG 2X1 60
B COMP 1X1 30
87 LINDAWATI SUMAN 0001429440851 AMLODIPIN 5 MG 1X1 30
MICARDIS 80 MG 1X1
88 LISTON HUTAGALUNG 0002057324152 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
B COMP 1X1
30
89 LUCIA HALIM 000158149813 RISPERIDON MG 2X1 60
TRIHEKSI FENIDIL 2X1 60

90 LUCIA HALIM 0001296359469 AMLODIPIN 5 MG 1X1 30

91 MAHDALENA 0001268801109 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
92 MAHYUDDIN 0001431452766 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
93 MAILIS DENI 0002304078254 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30

94 MARDALENA 0001657028654 AMLODIPIN 5 MG 1x1 30

95 MARDIANTI S.Ag 0000016023622 AMLODIPIN 5 MG 1X1 30
96 MARISSA LAMADE 0001430075744 CANDESARTAN 8 MG 1X1 30
HCT 25 MG 1X 1/2 15
97 MARLIANTI 0001140698384 AMLODIPIN 5 MG 1X1 30
98 MARTINI 0001310410236 CANDESARTAN 8 MG 1X1 30
1X1 30
99 MARYANTO 0001497468047 METFORMIN 850 MG 2X1 60
GLIBENKLAMID 5 MG 2X1 1X1 60
SIMVASTATIN 20 MG 1X1 30
AMLODIPIN 10 MG
30
100 MASDIARMAN 0001621385313 LISINOPRIL 5 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
CLOPIDOGREL 75 MG 1X1 30

101 MASNIMAR 0000015990164 AMLODIPIN 10 MG 1x1 1x1 30

B COMP 30
102 MASRI WIJAYA 0002211994822 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
103 MATHILDA RAMAYA 0001813272557 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
104 MEILINA DJAFAR 0002272646338 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
105 MEINY TEDJA 0001452136094 AMLODIPIN 5 MG 1X1 30
METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG 1X1 30

106 MEIYARTI 0001906338262 AMLODIPIN 10 MG 1X1 30

CANDESARTAN 8 MG 1X1 30
SPIRONOLAKTON 25 1X1
MG 1X1 30
SIMVASTATIN 10 MG
30
107 MULIARDI SALIM 0001495422988 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2MG 1X1 30
AMLODIPIN 5 MG 1X1
30
108 MULYADI KOSASIH 0001802597916 METFORMIN 500 MG 2x1 60
AMLODIPIN 10 MG 1x1 30
GLIMEPIRID 4 1x1 30
MG
109 MUNSIDA 0001388143978 AMLODIPIN 10 MG 1X1 30
110 MURNIS 0000019488194 AMLODIPIN 5 MG 1x1 30
111 NAZARUDDIN 0001293217132 AMLODIPIN 5 MG 1X1 30
BCOMP 1X1
112 NELLYWATI WIDJAJA 0001425466721 BISOPROLOL 5 MG 1X 1/2 15
AMLODIPIN 5 MG 1X1 30
113 NETTI SUHARTI 0001802893443 AMLODIPIN 5 MG 1X1 30
114 NJO GIOK SWIE 0001458634397 METFORMIN 500 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
115 NOVALINDA 0001274989072 METFORMIN 500 MG 2x1 60
AMLODIPIN 5 MG 1X1 30
116 NOVEMRIS 0002298802184 METFORMIN 500 MG 3X1 90
117 NOVIA RAHMAWATI 0000015899681 GLIMEPIRID 4 MG 1X1 2X1 30
METFORMIN 850 MG 60
118 NURAINI 0001885168484 AMLODIPIN 10 MG 1x1 23
GLIMEPIRID 2 MG 1x1 23
119 NURA'INI 0002049733899 CANDESARTAN 8MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
120 NURBAIDA 0001270714331 AMLODIPIN 10 MG B 1X1 30
COM 1X1 30
121 NURCAYA 0001859736666 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
122 NURESA MILDA 0001879240994 AMLODIPIN 10 MG 1X1 1x1 30
SIMVASTATIN 20 MG 30
123 NURHAYATI 0001450867072 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
124 NURHAYATI 0001278073754 BEROTEC INH 1
SYMBICORT 1
125 NURLELA 0001422258838 AMLODIPIN 5 MG 1X1 30
126 NURTINI 0002481157372 GLIMEPIRID 1 MG 1x1 30
B COMP 1x1 30
127 OE JAT GOAT 0001147842303 CANDESARTAN 8 MG 1x1 1x1 30 30
HCT 25 MG 2x1 60
METFORMIN 500
MG
128 OLIVIA KARDINAL 0001971703157 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 12,5 MG 2X1 60
SIMVASTATIN 20 MG 1X1 30

129 PRANATA CHANDRA 0002432562603 CANDESARTAN 8MG 1X1 30

SIMVASTATIN 20 MG 1X1 30
B COMP
1X1 30
130 RADIAH 0000019328332 MICARDIS 80 MG 1x1 1x1 30
BISOPROLOL 2,5 MG 1x1 30 30
SIMVASTATIN 20 MG 1x1 30
ASPILET

131 RAHID HASNUL K 0002082886492 LUMINAL 25 MG 2X1 60

132 RASMI 0001256424669 CANDESARTAN 8 MG 1X1 30
B COMP 1X1 30
133 RASUNAH 0000017293476 MICARDIS 80 MG 1x1 1x1 30
ACETOSAL 1x1 15 30
BISOPROLOL 5 MG

134 RATNA EMILIA 0001304091325 AMLODIPIN 10 MG 1X1 60

CANDESARTAN 8 MG 1X1 30
SPIRONOLAKTON 25 MG 1X1 30
SIMVASTATIN 10 MG 1X1
B COMP 30
1X1 30
135 REFLINDA 0001860102369 METFORMIN 500 MG 2X1 30
GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1
SIMVASTATIN 20 MG 30
1X1 30
136 RENI SEPTIA 0002073607176 AMLODIPIN 5 MG 1X1 30
CONCOR 2,5 MG 1X1 30
137 RESWARTI DWI 0001877660649 AMLODIPIN 5 MG 1X1 30
138 ROSLAINI 0001449171819 1X1 30
1X1 30
139 ROSMAINI 0000016589621 CANDESARTAN 8 MG 1x1 1x1 30
AMLODIPIN 10 MG 1x1 30 30
GLIMEPRIRID 1 MG
140 ROSNI 0001875240426 AMLODIPIN 10 MG 1X1 30
CANDESARTAN 8 MG 1X1 30

141 ROSNINA 0002088850151 METFORMIN 500 MG 2x1 60

GLIMEPIRID 2 MG 1x1 30
ASPILET 80 MG 1x1 30
AMLODIPIN 5 MG 1x1 30

142 ROSSER NUSERWAN 0001339907242 GLIMEPIRID 2 MG 1X1 30

APTOR 100 MG 1X1 30
BISOPROLOL 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

143 RUKMINI 0002136402099 CANDESARTAN 8 MG 1X1 30

144 RUSILA 0001426349632 AMLODIPIN 5 MG 1X1 30
IRBESARTAN 300 MG 1X1/2 30
145 RUSTAM K 0001793055104 CANDESARTAN 16 MG 1X1 30
AMODIPIN 10 MG 1X1 30
B COMP 1X1
30
146 S.UMAR B. 0001433341438 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
147 saidan 0000015867562 Furosemid 1x1 1X1 30
candesartan 8 mg 1x1 1X1 30
concor 2,5 mg 1x1 1x1 30
amlodipine 5 mg 1x1 1x1 30
clopidogrel 75 mg 1x1 1x1
30
148 SALMIAH 0000016501318 AMLODIPIN 5 MG 1X1 30
METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG 1X1
30
149 SARLINA PUTRI 0000019521832 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
150 SASTRA KURNIAWAN 0001908080122 CANDESARTAN 8 MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
151 SECENWATY 0001873481984 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1x1 30

152 SIMA 0002444957032 AMLODIPIN 10 MG 1X1 30

B COMP 1X1 30

153 SITI AMAN 0002038747476 GLIMEPIRID 2 MG 1X1 30

AMLODIPIN 1O MG 1X1 30
154 SJALIR 0001335177843 AMLODIPIN 5 MG 1X1 30
155 SRI HAYATI 0002140404669 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
156 SUHADATUL SAADIYAH 0000204364405 METFORMIN 500 MG 2x1 60

157 SUSENO 0001873481084 AMLODIPIN 5 MG 1X1 1x1 30

SIMVASTATIN 20 MG 30

158 SUSI ENDRI 0001255879967 AMLODIPIN 5 MG 1x1 30

159 SUWARTY 0001459782696 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 1O MG 1X1 30
160 SYAFARUDDIN 0000019488205 AMLODIPIN 5 MG 1X1 30
161 SYAFNI 0001305089785 METFORMIN 850 3X1 90
GLIBENDCLAMID 2 MG 2X1 60
SIMVASTATIN 20 MG 1X1 30
162 SYAFRIDAR 0001729694349 AMLODIPIN 5 MG 1X1 30
GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

163 SYAHBUDDIN 0002043672884 AMLODIPIN 5 MG 1X1 1X1 30

B COMP 30
164 SYLVIA 0001483444462 AMLODIPIN 5 MG 1X1 30
165 TAHARUDDIN THAAT 0001293890861 METFORMIN 500 MG 1X1 30
B COMP 1X1 30
166 TASDIQ WARUWU 0001151861218 AMLODIPIN 5 MG 1X1 30
167 THERESIA W 0000016772826 AMLODIPIN 5 MG 1X1 1x1 30
SIMVASTATIN 20 MG 30
168 THIO MAY BWEE 0001273623388 AMLODIPIN 10 MG 1X1 30
169 THOMAS SUWIRSO 0001818507587 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30
170 TITIN SUMARNI 0002252851558 METFORMIN 500 MG 2x1 60
AMLODIPIN 10 MG 1x1 30
SIMVASTATIN 20 1x1 30
MG
171 TOMMY TJANDRA 0001865738428 GLIMEPIRIDE 4 MG 2x1 30
METFORMIN 500 MG 3x1 90
ACARBOSE 50 MG 3x1 90
B.COMP 1X1 30

172 UMAR KHALID 0001730646371 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
173 WASNIAR 0001259025478 GLIMEPIRID 2 MG 2x1 60
METFORMIN 500 MG 2x1 60
AMLODIPIN 10 1x1 60
MG
174 WERDIYANTO 0002046801655 AMLODIPIN 10 MG 1X1 1X1 30
CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 MG 30

175 YARLIS 0001797659111 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
176 YASMAR 0000016688338 MICARDIS 80 MG 1X1 30
HERBESER 100 MG 1X1 30
CLOPIDOGREL 75 MG 1X1 30
GLIMEPIRID 2MG 1X1/2 15
SIMVASTATIN 20 MG 1X1 30

177 YASRIZAL 0001806610083 GLIMEPIRID 2 MG 1X1 30

178 YOHANES TIMOTEUS 0001438320161 CANDESARTAN 8 MG 1x1 30
METFORMIN 500 MG 3x1 90
GLIMEPIRRID 2 1x1 30
MG
179 YULIANA 0001322962233 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
180 YULIUS 0002473964054 METFORMIN 500 MG 1X1 30
B COMP 1X1 30
181 YURNI 0002221040542 AMLODIPIN 10 MG 1X1 30

182 YURNIATI 0000016801255 CANDESARTAN 16 MG 1X1 30

SIMVASTATIN 10 MG 1x1 30
183 YUSNIDAR 0001265695222 AMLODIPIN 1X 5 MG 1X1 30
GLIMEPIRID 3 MG 1X1 30
184 YUSNIDAR 0002089516926 AMLODIPIN 5 MG 1X1 30
185 YUSRA, SE 0000016955357 METFORMIN 500 MG 3X1 90
B COMP 1X1 30
186 YUSRIZAL 0001294071726 AMLODIPIN 5 MG 1X1 30

187 YUSWAR HAREFA 0001283951856 AMLODIPIN 5 MG 1X1 30

CANDESARTAN 8 MG 1X1 30
188 ZAHARATUL JANNAH 0001422508522 CANDESARTAN 8 MG 1x1 30
AMLODIPIN 10 MG 1x1 30
189 ZAINAL B 0001818291205 METFORMIN 500 MG 2x1 60
GLIMEPIRID 1 MG 1x1 30
190 ZULHASMI 0001642298308 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
191 ZULKARNAINI 0001266129876 AMLODIPIN 5 MG 1X1 30

192 ZULMAIZIR 0001721108531 CANDESARTAN 8 MG 1x1 30

AMLODIPIN 10 MG 1x1 30
HCT 25 MG 1x1 30
UARI 2019

TELP KET

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Bulan depan mulai

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08126775363
08126708470

081231046148

081374618705
081363193715

0811662142/08136 RUJUK RS, Ur 34,

3434945 cr 1,64 elfg 32

081363434945 RS
08126682175

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085276901653 cho 260,ldl 152

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081270085711

081266286616 cho, 193, ldl 107,

tg 116, hba1c 12,4.
RUJUK RS

08126780939

081266749727

082174939765

081363414758 cho 258 ldl 68 hdl

39
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081268369904

081374824524

no.kartu tidak
terdaftar, cek ulang
no bpjs

RS
08126624345/0823
92431188

RS

085274278894

08126622646

081363475831
08126603846 (tidak
aktif)
081374654791
081270139535 non aktif karena
premi

081363228176
(tidak aktif)

082110637282
081363412401

082381364839
(tidak aktif)
081374746285 no.kartu tidak
(tidak aktif) terdaftar, cek ulang
no bpjs RUTIN
BEROBAT DI RST

08126773847

082284761620

085264122892 CHO 208 HDL 47

LDL 138
085356792279 cho 314, ldl 206

081276144838 cho 314, ldl 206

(0751)39113 cho 253, ldl, 152,

tg 194
08126700857
085263762400

08116632406/0852
63980607
085374728581

081136482930

t'akhir berobat :
09/4/2018
075128614/081378
458098/085669009
788
081268257504/
'081275997638

081378605711 no.kartu tidak

terdaftar, cek ulang
no bpjs

(0751) 25979
085274682996 rujuk RS dg ASHD,
tgl 5/9
081374002309

obat untuk bulan

januari

08116604555
085263972567
08126620209

081266583049
081277346564

081266123800

087792038814

085271827282

082385787122/
'082240765897
08126631482

081266171877

081228271916

8126733372

081266065505
081363983002
081267785241/
0751 840566
(0751)20800

087875555658

08126710173

085102082035

0811663406 RUJUK RS

082174906911

082391309769 cho 281, ldl, 168,

tg 159

082170386265

08126602175

085272085995 RUJUK RS

08126757057

08126780939

081374815687 RS

085363987967

081374815687/085
263552366

082170951835
082387458343

081363744437

81366553476
085263928880

085263928880

082386558668 t'akhir ambil obat :

(tidak aktif) 23/7/2018

081373202370

081266343539

85265836017
081363440694

081267798668

082170717428 CHO 217 LDL 136

081363401238

085310188914

085263472326

081277885738

085365886333 cho 272, ldl 157, tg

220

t'akhir ambil obat :

30/7/2018. premi
tdk aktif

085376416811

0751 31142
081535490683
082174570763

085365886333 cho 240, ldl 154, cr

1,46. kontrol RSUP
M Djamil utk sakit
kaki

081363793766
085364911440

081363983002
rujuk rs ibnu sina
dg dm tipe 2 13/10

081363441618 pastikan no bpjs.

(tidak aktif) No bpjs tidak
sesuai dengan
nama.

81374882007

082391137998
0811663706

085271075760
085274595118 cho 289, trig 458

085375920778
cho 283, ldl 163,
trig 284
081275940210

RUJUK RS

081374825972

081266085900

081364556931

081363024339/082
383670006
0751 22128

hba1c 8,9; cho

253, ldl 170
081947409395

081374325115

0812335688

081374603023 premi tidak aktif

085263694444 cho 205

085363351475

t'akhir berobat :
07/4/2018
rujuk rs dg
stroke+ht tgl 15/10

081374825295

081363156663
(anak)
081266171488 RS

081378231400

085274304364/082
386231592
085263750100
 DAFTAR PASIEN PRB
KLINIK KIMIA FARMA PROKLAMASI TGL 1 S/D 31 MARET 2019

NO. NAMA NO. BPJS OBAT SIGNA JML TGL. AMBIL TD/ GD
OBAT PASIEN
1 AGUSMAN 0002044580523 CANDESARTAN 8 MG 1X1 30
BISOPROLOL 5 MG 1X1 30
2 AGUSTIN 0001892411583 METFORMIN 500 MG 2X1 60 12/3/2019 120/80
GLIMEPIRID 1X1 30
2MG 30
SIMVASTATIN 20 MG 1X1
3 ANDI ISMAIL 0001138403485 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1X1 30
4 ANISTA 0000016353538 GLIMEPIRID 2MG 1X1 30
METFORMIN 500 MG 2X1 60
5 ANTON 0001496381073 AMLODIPIN 5 MG 1X1 30 18/3/19 130/80
6 ARNI 0002074026868 CANDESARTAN 8 MG 1x1 1x1 30
AMLODIPIN 10 MG 1x1 30
SIMVASTATIN 20 MG 30
7 ARNIS AMIR 0001256013191 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
8 ASMAD 0002306843831 METFORMIN 500 MG 1X1 30
AMLODIPIN 5 1x1 30
MG
9 ASNIDAR 0001282470862 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
10 ASNIDAR 0000015343784 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
11 ASNIWATI 0001797614436 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30
AMLODIPIN 5 MG 1X1 30

12 ASRIL 0000016809794 AMLODIPIN 5 MG 1X1 30 DATANG 140/90

B COMP 1X1 30 15/3/19

13 ASWAD 0001262546717 AMLODIPIN 10 MG 1X1 30 4/3/2019 130/80

B COMP 1X1 30

14 ATIK SUYA TINI 0001894159304 AMLODIPIN 10 MG 1X1 30

15 AZDIMAR ALWI 15877001 AMLODIPIN 5 MG 1X1 30 9/3/2019 130/80
SIMVASTATIN 10 MG 1X1 30
1X1 30
CANDESARTAN 8 MG 1X1
TROMBOASPILET 30
16 AZRI YALDI 0002037326321 AMLODIPIN 10 MG 1X1 30 6/3/2019 130/80
B COMP 1X1 30
17 BASTINA 0000016578167 AMLODIPIN 10 MG 1X1 30 18/3/19 130/90
SIMVASTATIN 20MG 1X1 30
B COMP 1X1 30

18 BASWAR BACHTY 0000016582937 CANDESARTAN 8 MG 1X1 30

METFORMIN 500 2X1 60
MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
HCT 25 MG
19 BENHUR 0001892411098 AMLODIPIN 5 MG 1X1 30 12/3/2019 130/90
20 BUKHARI RAJO 0001445019052 AMLODIPIN 5 MG 1X1 30
ENDAH B COMP 1X1 30
21 BURNALIS B ISA 0001815341861 AMLODIPIN 5 MG 1X1 30 19/3/19 130/80
22 CAROLINE TEJA K8 AMLODIPIN 10 MG 1X1 30 2/3/2019 120/80
B COMP 1X1 30
23 CHADIJAH 0001314401545 AMLODIPIN 10 MG 1X1 30
24 CRISTIN STEPHANI 0001447521175 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
25 DAHNIAR MURNI 0001335170575 FUROSEMID 1/2 TAB 1X1/2 15
SPIRONOLAKTON 1X1 30
25 MG CONCOR 1X1 30
2,5MG 1X1 30
SIMVASTATIN 20 MG

26 DARIATI 0002376440212 GLIMEPIRID 2 MG 1x1 1x1 30 30 3/3/2019 120/80

AMLODIPIN 5 MG
27 DARLIS 0001293891456 AMLODIPIN 5 MG 1X1 30
28 DARWIS 0002237673486 AMLODIPIN 10 MG 1X1 30
29 DASRUL 0001809184544 AMLODIPIN 10 MG 1X1 30 16/3/19 120/80
B COMP 1X1 30
30 DAVID A. ROSE 0000016825083 RAMIPRIL 2,5 MG 1X1 30 120/80
BISOPROLOL 2,5 1X1 30
MG 1X1 30
CLOPIDOGREL 75 MG 16/3/19
31 DESMALINI 0001801661679 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
32 DESMATINI 0001801661679 AMLODIPIN 5 MG 1x1 30
33 DEWI MULYANI 0002481156382 FUROSEMID 20 MG IN CAPS 1X1 30
HCT 25 MG
AMLODIPIN 5 MG
CONCOR 2,5
MG
SPIRONOLAKTON 12,5
MG
34 DIRWAN 0001835772399 RISPERIDON 2 MG 2X1 60 8 5/3/2019 120/80
CPZ 100 MG 1X1/4 30
ASAM FOLAT 1X1

35 DRS. APRIS 0000016801266 CANDESARTAN 8 MG 1X1 30 2/3/2019 120/80

SPIRONOLAKTON 25 1x1 30
MG SIMVASTATIN 20 1X1
MG

36 DUSKI SAMAD 0000016844422 CANDESARTAN 8 MG 1X1 30

SIMVASTATIN 20 MG 1X1 30
37 ELFI MODIA 0001438417945 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
38 ELIZABET 0002272215609 HERBESSER CD 200 MG 1X1 30
CONCOR 2,5 MG 1X1 30
CANDESARTAN 16 MG 1x1 30

39 ELVIRA 0002032309956 AMLODIPIN 10 MG 1X1 30

40 ELY 0002444957379 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 25 MG 2X1 60
B COPM 1X1 30
41 EMILIAWATI 0001432528863 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 1X2
20 MG 60
42 EMPIE MURINO 0001135092453 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30

43 ENDANG M 0001386486832 SERETIDE 50/250 1

SALBUTAMOL 2 MG 2x1 60
44 ERLINDA LIDYA 0001147847387 AMLODIPIN 10 MG 1X1 30 15/3/19 140/90
B COMP 1X1 30
45 ERNAWATI 0001445019423 AMLODIPIN 5 MG 1X1 30
BISOPROLOL 5 MG 1X 1/2 15
46 FAIZAL 0001268800661 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
47 FARINA LAOLI 0001870451256 AMLODIPIN 5 MG 1X1 30 3/3/2019 120/80
SIMVASTATIN 20 MG
48 FAUZUL AKBAR 0001341275883 GLIMEPIRID 4 MG 1X1 30 1/3/2019 120/80
METFORMIN 500 MG 2X1 60
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30

49 FEIZARINA 0001266153052 AMLODIPIN 10 MG 1X1 30

METFORMIN 500 MG 3X1 90
50 FITRI 0001809430266 AMLODIPIN 5 MG 1X1 1X1 30
SIMVASTATIN 20 1X1 30
MG B COMP
30
51 FITRI YENI 0000166675353 METFORMIN 500 MG 2X1 60
AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30

52 FITRUS CERI 0000016143118 AMLODIPIN 5 MG 1X1 30

SIMVASTATIN 20 1X1 30
MG
53 GHO KUI HUN NIO 0001789018132 AMLODIPIN 5 MG 1X1 30 1/3/2019 110/80

54 GHO TJAI SIOK AMLODIPIN 5 MG 1X1 1X1 30 1/3/2019 120/80

SIMVASTATIN 20 MG 1X1 30
B COMP 30
55 GHO TJENA 0001786300705 IRBESARTAN 150 MG 1x1 1x1 30 30
LIE/CHARLIE AMLODIPIN 5 MG
GUNAWAN
56 GINIAWATI 0001271600796
METFORMIN 500 MG 2X1 60
GUNAWAN
57 METFORMIN 500 MG 2X1 60
HARNI 0001812308646 GLIMEPIRID 2 MG 1X1 30
CANDESARTAN 8 MG 1X1 30

58 HELENA 0001281445863 GLIMEPIRID 2 MG 1X1 30

METFORMIN 500MG 2X1 60
AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
1X1 30
TROMBOASPILET 1X1 30
B COMP
59 HENDRIATI 000181994077 AMLODIPIN 5MG 1X1 30
ASMURNI
60 HENNY TEDJA 0001481059394 METFORMIN 500 MG 3X1 90
61 HERAWATI ALI 0001423607848 AMLODIPIN 5 MG 1X1 30 2/3/2019 130/80
MICARDIS 80 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30

62 HERMAN 0001429990446 GLIMEPIRID 2MG 1X1 30

METFORMIN 500MG 1X1 30
B COMP 1X1 30
63 HERMAN JAI 0001826400137 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
64 Herman Saad 0001335201849 glimepirid 1 mg 1X1 30
SIMVASTATIN 20 MG 1X1 30
Candesartan 8mg 1X1 30

65 HUSNA MAANI 0000016318473 GLIMEPIRID 2 MG 1X1 1X1 30 6/3/2019 120/80

METFORMIN 500 MG 30
66 ILHAMSYAH 0001647030543 GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60
67 IRDAYENI 0000016585356 AMLODIPIN 5 MG 1X1 30 15/3/19 120/80
68 IRIANI 0001325569329 METFORMIN 500 MG 2X1 60 19/3/19 130/80
GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30

69 IRMA GUSTI 0000017070399 CANDESARTAN 16 MG 1x1 30

AMLODIPIN 10 MG 1x1 30
CLOPIDOGREL 1x1 30
SIMVASTATIN 1x1 30
10 MG BCOMP 1X1 30

70 IRMEN JAYA 0001425770908 AMLODIPIN 10 MG 1X1 30

71 ISMAIZAL M. 0001815116804 AMLODIPIN 10 MG 1X1 1X1 30
B COMP 30
72 JALINA 0000015974921 AMLODIPIN 10 MG 1X1 1X1 30 12/3/2019 120/80
B COMP 30
73 JALIUS 0000016708984 AMLODIPIN 10 MG 1X1 30

74 JESSICA 0002069237608 AMLODIPIN 10 MG 1X1 30 2/3/2019 110/70

B COMP 1X1 30
75 JINEM 0001294558356 AMLODIPIN 5 MG 1X1 30 11/3/2019 140/90
B COMP 1X1 30
76 JOHANA LISA 0001495564839 METFORMIN 500 MG 2x1 1x1 60
1x1 30
GLIBENKLAMID 5 MG 1x1 30
AMLODIPIN 5 30
MG
77 JONI EFENDI WANGI 0002064359283 SIMVASTATIN 20
CANDEARTAN MG
8 MG 1x1/2 15 30
AMLODIPIN 5 MG 1x1
78 JULIARTI 0001478584899 METFORMIN 500 MG 1x1 30 30
SIMVASTATIN 20 1x1
MG
79 JUNAIDI 0001331984474 CAPTOPRIL 25 MG 1X1 30 12/3/2019 130/80
80 LANNY 0002253084895 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1x1 30

81 LENI MAKMUR 0001283935689 AMLODIPIN 5 MG 1x1 1x1 30 13/3/19 130/80

SIMVASTATIN 20 MG 1x1 30
B COMP 30

82 LENI NITA 0001381690348 AMLODIPIN 5 MG 1X1 30

SIMVASTATIN 20 MG 1x1 30
83 LIE GIOK HUN 0001865744976 AMLODIPIN 10 MG 1X1 60
B COMP 1X1 30
84 LILIANITA BAKRI 0001970909559 CANDESARTAN 8 MG 1x1 30
AMLODIPIN 5 1x1 30
MG
85 LILIS HANANI 0000015935512 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
86 LINDA 0001320998016 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
87 LINDAWATI SALEAN 0001318022616 METFORMIN 500 MG 2X1 60
B COMP 1X1 30
88 LINDAWATI SUMAN 0001429440851 AMLODIPIN 5 MG 1X1 30 18/3/19 130/90
MICARDIS 80 MG 1X1

89 LISTON 0002057324152 AMLODIPIN 10 MG 1X1 30

HUTAGALUNG SIMVASTATIN 20 MG 1X1 30
B COMP 1X1 30

90 LUCIA HALIM 000158149813 RISPERIDON MG 2X1 60

TRIHEKSI FENIDIL 2X1 60
91 LUCIA HALIM 0001296359469 AMLODIPIN 5 MG 1X1 30
92 MAHDALENA 0001268801109 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
93 MAHYUDDIN 0001431452766 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
94 MAILIS DENI 0002304078254 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
95 MARDALENA 0001657028654 AMLODIPIN 5 MG 1x1 30
96 MARDIANTI S.Ag 0000016023622 AMLODIPIN 5 MG 1X1 30 18/3/19 120/80
B COM 1X1 30
97 MARISSA LAMADE 0001430075744 CANDESARTAN 8 MG 1X1 30
HCT 25 MG 1X 1/2 15
98 MARLIANTI 0001140698384 AMLODIPIN 5 MG 1X1 30
99 MARTINI 0001310410236 CANDESARTAN 8 MG 1X1 30
1X1 30
100 MARYANTO 0001497468047 METFORMIN 850 MG 2X1 60
GLIBENKLAMID 5 MG 2X1 1X1 60
SIMVASTATIN 20 MG 1X1 30
AMLODIPIN 10 MG 30

101 MASDIARMAN 0001621385313 LISINOPRIL 5 MG 1X1 30

AMLODIPIN 5 MG 1X1 30
CLOPIDOGREL 75 MG 1X1 30
102 MASNIMAR 0000015990164 AMLODIPIN 10 MG 1x1 1x1 30 30
B COMP
103 MASRI WIJAYA 0002211994822 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
104 MATHILDA RAMAYA 0001813272557 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
105 MEILINA DJAFAR 0002272646338 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
106 MEINY TEDJA 0001452136094 AMLODIPIN 5 MG 1X1 30
METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG 1X1 30

107 MEIYARTI 0001906338262 AMLODIPIN 10 MG 1X1 30

CANDESARTAN 8 MG 1X1 30
1X1 30
SPIRONOLAKTON 25 MG 1X1
30
SIMVASTATIN 10 MG
108 MULIARDI SALIM 0001495422988 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2MG 1X1 30
AMLODIPIN 5 MG 1X1 30
109 MULYADI KOSASIH 0001802597916 METFORMIN 500 MG 2x1 60 30
AMLODIPIN 10 1x1 30
MG 1x1
GLIMEPIRID 4 MG
110 MUNSIDA 0001388143978 AMLODIPIN 10 MG 1X1 30
111 MURNIS 0000019488194 AMLODIPIN 5 MG 1x1 30
112 NAZARUDDIN 0001293217132 AMLODIPIN 5 MG 1X1 30
BCOMP 1X1
113 NELLYWATI WIDJAJA 0001425466721 BISOPROLOL 5 MG 1X 1/2 15 2/3/2019 130/80
AMLODIPIN 5 MG 1X1 30
114 NETTI SUHARTI 0001802893443 AMLODIPIN 5 MG 1X1 30
115 NJO GIOK SWIE 0001458634397 METFORMIN 500 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
116 NOVALINDA 0001274989072 METFORMIN 500 MG 2x1 60
AMLODIPIN 5 1X1 30
MG
117 NOVEMRIS 0002298802184 METFORMIN 500 MG 3X1 90
118 NOVIA RAHMAWATI 0000015899681 GLIMEPIRID 4 MG 1X1 2X1 30
METFORMIN 850 MG 60
119 NURAINI 0001885168484 AMLODIPIN 10 MG 1x1 23 23
GLIMEPIRID 2 MG 1x1
120 NURA'INI 0002049733899 CANDESARTAN 8MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
121 NURBAIDA 0001270714331 AMLODIPIN 10 MG 1X1 30
B COM 1X1 30
122 NURCAYA 0001859736666 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
123 NURESA MILDA 0001879240994 AMLODIPIN 10 MG 1X1 1x1 30 30
SIMVASTATIN 20 MG
124 NURHAYATI 0001450867072 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
125 NURHAYATI 0001278073754 BEROTEC INH 1
SYMBICORT 1
126 NURLELA 0001422258838 AMLODIPIN 5 MG 1X1 30
127 NURTINI 0002481157372 GLIMEPIRID 1 MG 1x1 30 6/3/2019 140/90
B COMP 1x1 30
128 OE JAT GOAT 0001147842303 CANDESARTAN 8 MG 1x1 1x1 30 30
HCT 25 2x1 60
MG
METFORMIN 500 MG
129 OLIVIA KARDINAL 0001971703157 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 12,5 MG 2X1 60
SIMVASTATIN 20 MG 1X1 30
130 PRANATA CHANDRA 0002432562603 CANDESARTAN 8MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
B COMP 30
1X1
131 RADIAH 0000019328332 MICARDIS 80 MG 1x1 1x1 30 30
BISOPROLOL 2,5 MG 1x1 30 30
SIMVASTATIN 20 MG 1x1
ASPILET

132 RAHID HASNUL K 0002082886492 LUMINAL 25 MG 2X1 60 18/3/19

133 RASMI 0001256424669 CANDESARTAN 8 MG 1X1 30
B COMP 1X1 30
134 RASUNAH 0000017293476 MICARDIS 80 MG 1x1 1x1 30 15
ACETOSAL 1x1 30
BISOPROLOL 5 MG

135 RATNA EMILIA 0001304091325 AMLODIPIN 10 MG 1X1 60

CANDESARTAN 8 MG 1X1 30
SPIRONOLAKTON 25 1X1 30
MG SIMVASTATIN 1X1 30
10 MG B COMP 30
1X1
136 REFLINDA 0001860102369 METFORMIN 500 MG 2X1 30
GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
1X1 30
CANDESARTAN 8 MG 30
SIMVASTATIN 20 MG 1X1
137 RENI SEPTIA 0002073607176 AMLODIPIN 5 MG 1X1 30
CONCOR 2,5 MG 1X1 30
138 RESWARTI DWI 0001877660649 AMLODIPIN 5 MG 1X1 30
139 ROSLAINI 0001449171819 1X1 30
1X1 30
140 ROSMAINI 0000016589621 CANDESARTAN 8 MG 1x1 1x1 30 30
AMLODIPIN 10 MG 1x1 30
GLIMEPRIRID 1 MG
141 ROSNI 0001875240426 AMLODIPIN 10 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
142 ROSNINA 0002088850151 METFORMIN 500 MG 2x1 60 30
GLIMEPIRID 2 MG 1x1 30
ASPILET 80 MG 1x1 30
AMLODIPIN 5 1x1
MG
143 ROSSER NUSERWAN 0001339907242 GLIMEPIRID 2 MG 1X1 30
APTOR 100 MG 1X1 30
BISOPROLOL 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

144 RUKMINI 0002136402099 CANDESARTAN 8 MG 1X1 30

145 RUSILA 0001426349632 AMLODIPIN 5 MG 1X1 30
IRBESARTAN 300 MG 1X1/2 30
146 RUSTAM K 0001793055104 CANDESARTAN 16 MG 1X1 30
AMODIPIN 10 MG 1X1 30
B COMP 1X1 30

147 S.UMAR B. 0001433341438 AMLODIPIN 10 MG 1X1 30

SIMVASTATIN 20 1X1 30
MG
148 saidan 0000015867562 Furosemid 1x1 1X1 30
candesartan 8 mg 1x1 1X1 30
concor 2,5 mg 1x1 1x1 30
amlodipine 5 mg 1x1 1x1 30
clopidogrel 75 mg 1x1 1x1 30

149 SALMIAH 0000016501318 AMLODIPIN 5 MG 1X1 30

METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG 1X1 30
150 SARLINA PUTRI 0000019521832 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
151 SASTRA KURNIAWAN 0001908080122 CANDESARTAN 8 MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
152 SECENWATY 0001873481984 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 1x1 30
20 MG
153 SIMA 0002444957032 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
154 SITI AMAN 0002038747476 GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 1O MG 1X1 30
155 SJALIR 0001335177843 AMLODIPIN 5 MG 1X1 30
156 SRI HAYATI 0002140404669 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 1X1 30
MG
157 SUHADATUL 0000204364405 METFORMIN 500 MG 2x1 60 13/3/19 130/80
SAADIYAH
158 SUSENO 0001873481084 AMLODIPIN 5 MG 1X1 1x1 30 30
SIMVASTATIN 20
MG
159 SUSI ENDRI 0001255879967 AMLODIPIN 5 MG 1x1 30
160 SUWARTY 0001459782696 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 1O MG 1X1 30
161 SYAFARUDDIN 0000019488205 AMLODIPIN 5 MG 1X1 30
162 SYAFNI 0001305089785 METFORMIN 850 3X1 90
GLIBENDCLAMID 2 MG 2X1 60
SIMVASTATIN 20 MG 1X1 30

163 SYAFRIDAR 0001729694349 AMLODIPIN 5 MG 1X1 30

GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

164 SYAHBUDDIN 0002043672884 AMLODIPIN 5 MG 1X1 1X1 30

B COMP 30
165 SYAMSU MARNI 0002682499659 AMLODIPIN 10 MG 1X1 30
CANDESARTAN 8 1X1 30
MG
166 SYLVIA 0001483444462 AMLODIPIN 5 MG 1X1 30
167 TAHARUDDIN THAAT 0001293890861 METFORMIN 500 MG 1X1 30
B COMP 1X1 30
168 TASDIQ WARUWU 0001151861218 AMLODIPIN 5 MG 1X1 30

169 THERESIA W 0000016772826 AMLODIPIN 5 MG 1X1 1x1 30 30

SIMVASTATIN 20
MG
170 THIO MAY BWEE 0001273623388 AMLODIPIN 10 MG 1X1 30 13/3/19 130/80
SIMVASTATIN 1X1 30
10 MG
171 THOMAS SUWIRSO 0001818507587 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30
172 TITIN SUMARNI 0002252851558 METFORMIN 500 MG 2x1 60
AMLODIPIN 10 1x1 30
MG 1x1 30
SIMVASTATIN 20 MG
173 TOMMY TJANDRA 0001865738428 GLIMEPIRIDE 4 MG 2x1 30
METFORMIN 500 MG 3x1 90
ACARBOSE 50 MG 3x1 90
B.COMP 1X1 30

174 UMAR KHALID 0001730646371 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
175 WASNIAR 0001259025478 GLIMEPIRID 2 MG 2x1 60
METFORMIN 500 MG 2x1 60
1x1 60
AMLODIPIN 10 MG
176 WERDIYANTO 0002046801655 AMLODIPIN 10 MG 1X1 1X1 30 1/3/2019 120/80
CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 MG 30

177 YARLIS 0001797659111 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
178 YASMAR 0000016688338 MICARDIS 80 MG 1X1 30
HERBESER 100 MG 1X1 30
CLOPIDOGREL 75 MG 1X1 30
GLIMEPIRID 2MG 1X1/2 15
SIMVASTATIN 20 MG 1X1 30

179 YASRIZAL 0001806610083 GLIMEPIRID 2 MG 1X1 30

180 YOHANES TIMOTEUS 0001438320161 CANDESARTAN 8 MG 1x1 30
METFORMIN 500 3x1 90
MG 1x1 30
GLIMEPIRRID 2 MG
181 YULIANA 0001322962233 AMLODIPIN 10 MG 1X1 30 11/3/2019 160/90
B COMP 1X1 30
182 YULIUS 0002473964054 METFORMIN 500 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
B COMP 1X1
30 1/3/2019 120/80
183 YURNI 0002221040542 AMLODIPIN 10 MG 1X1 30
184 YURNIATI 0000016801255 CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 1x1 30
MG

185 YUSNIDAR 0001265695222 AMLODIPIN 1X 5 MG 1X1 30

GLIMEPIRID 3 MG 1X1 30
186 YUSNIDAR 0002089516926 AMLODIPIN 5 MG 1X1 30
187 YUSRA, SE 0000016955357 METFORMIN 500 MG 3X1 90
B COMP 1X1 30
188 YUSRIZAL 0001294071726 AMLODIPIN 5 MG 1X1 30
189 YUSWAR HAREFA 0001283951856 AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
190 ZAHARATUL JANNAH 0001422508522 CANDESARTAN 8 MG 1x1 30 30
AMLODIPIN 10 1x1
MG
191 ZAINAL B 0001818291205 METFORMIN 500 MG 2x1 60 30
GLIMEPIRID 1 1x1
MG
192 ZULHASMI 0001642298308 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
193 ZULKARNAINI 0001266129876 AMLODIPIN 5 MG 1X1 30

194 ZULMAIZIR 0001721108531 CANDESARTAN 8 MG 1x1 30

AMLODIPIN 10 1x1 30
MG HCT 25 1x1 30
MG
INDRA KASIM 0001382378995 ADALAT OROS 1x1 30
CONCOR 1x1 30
CLOPIDOGREL 75 MG 1x1 30
2X1
METFORMIN 500 MG
GLIMEPIRID 1X1 60
SYOFYAN 0001302499102 2 MG 30 18/3/19 120/80
TELP KET

82173026640
(tidak aktif)
081363696352

085374891919

(0751) 29022

081363072755
082390727569

082384115331

081372931554

85274312463

081267364148

081374863947

081363019011 NYERI DADA

KIRI> 3 BULAN
RUJUK SP. JP
RST

Bulan depan
mulai ambil obat

081276681999
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081363035250

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081363696352
085263772000
(tidak aktif)
08126775363
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081374746265

081231046148

081374618705
081363193715

081277780087

0811662142/081
363434945
081363434945
08126682175

081266080915 AKTIVITAS
BERJUALAN,
BISIKAN (-),
KELUYURAN
TIDAK ADA

082171875272

085274185631

085276901653

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085263772000
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08126603846 CHOL: 216

(tidak aktif)
081374654791
081270139535

081363228176
(tidak aktif)

082110637282
081363412401

082381364839
(tidak aktif)
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(tidak aktif)
08126773847

082284761620

085264122892

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(tidak aktif)
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081535490683

082174570763 GDP: 293

KOL: 236
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081363983002

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(tidak aktif)

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085375920778

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081374825972

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081947409395

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(anak)
081266171488

081378231400

085274304364/0
82386231592
085263750100

081374375999

GDP: 193
085263700336
 DAFTAR PASIEN PRB
KLINIK KIMIA FARMA PROKLAMASI TGL 1 S/D 30 APRIL 2019

NO. NAMA NO. BPJS OBAT DIAGNOSA SIGNA JML

1 ABDUL TAMIS 1327148662 AMLODIPIN 1X1 30

SIMVASTATIN B 1X1 30
COMP 2X1 60

2 AGUSMAN 0002044580523 CANDESARTAN 8 MG 1X1 30 30

BISOPROLOL 5 MG 1X1
3 AGUSTIN 0001892411583 METFORMIN 500 MG 2X1 60
GLIMEPIRID 1X1 30
2MG 30
SIMVASTATIN 20 MG 1X1
4 ANDI ISMAIL 0001138403485 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1X1 30
5 ANISTA 0000016353538 GLIMEPIRID 2MG 1X1 30
METFORMIN 500 MG 2X1 60
6 ANTON 0001496381073 AMLODIPIN 5 MG 1X1 30

7 ARNI 0002074026868 CANDESARTAN 8 MG 1x1 1x1 30

AMLODIPIN 10 MG 1x1 30
SIMVASTATIN 20 MG 30

8 ARNIS AMIR 0001256013191 AMLODIPIN 10 MG 1X1 30

B COMP 1X1 30
9 ASMAD 0002306843831 METFORMIN 500 MG 1X1 30 30
AMLODIPIN 5 1x1
MG
10 ASNIDAR 0001282470862 AMLODIPIN 5 MG 1X1 30 30
B COMP 1X1
11 ASNIDAR 0000015343784 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
12 ASNIWATI 0001797614436 METFORMIN 500 MG 2X1 60 30
GLIMEPIRID 2 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30
AMLODIPIN 5 MG 1X1

13 ASRIL 0000016809794 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
14 ASWAD 0001262546717 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30

15 ATIK SUYA TINI 0001894159304 AMLODIPIN 10 MG 1X1 30

16 AZDIMAR ALWI 15877001 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 10 MG 1X1 30
1X1 30
CANDESARTAN 8 MG 1X1 30
TROMBOASPILET
17 AZRI YALDI 0002037326321 AMLODIPIN 10 MG 1X1 30 30
B COMP 1X1
18 BASTINA 0000016578167 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20MG 1X1 30
B COMP 1X1 30

19 BASWAR BACHTY 0000016582937 CANDESARTAN 8 MG 1X1 30

METFORMIN 500 2X1 60
MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
HCT 25 MG
20 BENHUR 0001892411098 AMLODIPIN 5 MG 1X1 30
21 BUKHARI RAJO 0001445019052 AMLODIPIN 5 MG 1X1 30
ENDAH B COMP 1X1 30
22 BURNALIS B ISA 0001815341861 AMLODIPIN 5 MG 1X1 30
23 CAROLINE TEJA K8 AMLODIPIN 10 MG 1X1 30 30
B COMP 1X1
24 CHADIJAH 0001314401545 AMLODIPIN 10 MG 1X1 30
25 CRISTIN STEPHANI 0001447521175 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
26 DAHLIAR DARWIS 00018028683111 METFORMIN 500 MG B 2X1 60
COMP 1X1 30
27 DAHNIAR MURNI 0001335170575 FUROSEMID 1/2 TAB 1X1/2 15
SPIRONOLAKTON 1X1 30
25 MG CONCOR 1X1 30
2,5MG 1X1 30
SIMVASTATIN 20 MG

28 DARIATI 0002376440212 GLIMEPIRID 2 MG 1x1 1x1 30 30

AMLODIPIN 5 MG
29 DARLIS 0001293891456 AMLODIPIN 5 MG 1X1 30
30 DARWIS 0002237673486 AMLODIPIN 10 MG 1X1 30
31 DASRUL 0001809184544 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
32 DAVID A. ROSE 0000016825083 RAMIPRIL 2,5 MG 1X1 30
BISOPROLOL 2,5 1X1 30
MG 1X1 30
CLOPIDOGREL 75 MG
33 DESMALINI 0001801661679 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
34 DESMATINI 0001801661679 AMLODIPIN 5 MG 1x1 30
35 DEWI MULYANI 0002481156382 FUROSEMID 20 MG IN CAPS 1X1 30
HCT 25 MG
AMLODIPIN 5 MG
CONCOR 2,5
MG
SPIRONOLAKTON 12,5
MG
36 DIRWAN 0001835772399 RISPERIDON 2 MG 2X1 30 8
CPZ 100 MG 1X1/4 30
ASAM FOLAT 1X1

37 DRS. APRIS 0000016801266 CANDESARTAN 8 MG 1X1 30

SPIRONOLAKTON 25 1x1 30
MG SIMVASTATIN 20 1X1
MG

38 DUSKI SAMAD 0000016844422 CANDESARTAN 8 MG 1X1 30

SIMVASTATIN 20 MG 1X1 30
39 ELFI MODIA 0001438417945 AMLODIPIN 5 MG 1X1 30 30
SIMVASTATIN 20 MG 1X1
40 ELIZABET 0002272215609 HERBESSER CD 200 MG 1X1 30
CONCOR 2,5 MG 1X1 30
CANDESARTAN 16 MG 1x1 30

41 ELVIRA 0002032309956 AMLODIPIN 10 MG 1X1 30

42 ELY 0002444957379 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 25 MG 2X1 60
B COPM 1X1 30
43 EMILIAWATI 0001432528863 AMLODIPIN 5 MG 1X1
SIMVASTATIN 1X2 30
20 MG 60
44 EMPIE MURINO 0001135092453 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30

45 ENDANG M 0001386486832 SERETIDE 50/250 1

SALBUTAMOL 2 MG 2x1 60
46 ERLINDA LIDYA 0001147847387 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
47 ERNAWATI 0001445019423 AMLODIPIN 5 MG 1X1 30 15
BISOPROLOL 5 MG 1X 1/2
48 FAIZAL 0001268800661 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
49 FARINA LAOLI 0001870451256 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG
50 FAUZUL AKBAR 0001341275883 GLIMEPIRID 4 MG 1X1 30 60
METFORMIN 500 MG 2X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1

51 FEIZARINA 0001266153052 AMLODIPIN 10 MG 1X1 30

METFORMIN 500 MG 3X1 90
52 FITRI 0001809430266 AMLODIPIN 5 MG 1X1 1X1 30
SIMVASTATIN 20 1X1 30
MG B COMP 30

53 FITRI YENI 0000166675353 METFORMIN 500 MG 2X1 60

AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30

54 FITRUS CERI 0000016143118 AMLODIPIN 5 MG 1X1 30

SIMVASTATIN 20 1X1 30
MG
55 GHO KUI HUN NIO 0001789018132 AMLODIPIN 5 MG 1X1 30

56 GHO TJAI SIOK AMLODIPIN 5 MG 1X1 1X1 30

SIMVASTATIN 20 MG 1X1 30
B COMP 30
57 GHO TJENA 0001786300705 IRBESARTAN 150 MG 1x1 1x1 30 30
LIE/CHARLIE AMLODIPIN 5 MG
GUNAWAN
58 GINIAWATI 0001271600796
METFORMIN 500 MG 2X1 60
GUNAWAN
59 METFORMIN 500 MG 2X1 60
HARNI 0001812308646 GLIMEPIRID 2 MG 1X1 30
CANDESARTAN 8 MG 1X1 30

60 HELENA 0001281445863 GLIMEPIRID 2 MG 1X1 30

METFORMIN 500MG 2X1 60 30
AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
1X1 30
TROMBOASPILET 1X1
B COMP
61 HENDRIATI 000181994077 AMLODIPIN 5MG 1X1 30
ASMURNI
62 HENNY TEDJA 0001481059394 METFORMIN 500 MG 3X1 90
63 HERAWATI ALI 0001423607848 AMLODIPIN 5 MG 1X1 30
MICARDIS 80 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30

64 HERMAN 0001429990446 GLIMEPIRID 2MG 1X1 30

METFORMIN 500MG 1X1 30
B COMP 1X1 30
65 HERMAN JAI 0001826400137 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
66 Herman Saad 0001335201849 glimepirid 1 mg 1X1 30
SIMVASTATIN 20 MG 1X1 30
Candesartan 8mg 1X1 30

67 HUSNA MAANI 0000016318473 GLIMEPIRID 2 MG 1X1 1X1 30 30

METFORMIN 500 MG
68 ILHAMSYAH 0001647030543 GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60
69 INDRA KASIM 1382378995 ADALAT OROS CONCOR 1X1 30
2,5 MG CLOPIDOGREL 1X1 30 30
75 MG 1X1
70 IRDAYENI 0000016585356 AMLODIPIN 5 MG 1X1 30
71 IRIANI 0001325569329 METFORMIN 500 MG 2X1 60 30
GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 10 MG 1X1

72 IRMA GUSTI 0000017070399 CANDESARTAN 16 MG 1x1 30 30

AMLODIPIN 10 MG 1x1 30
CLOPIDOGREL 1x1 30
SIMVASTATIN 1x1
10 MG BCOMP 1X1 30

73 IRMEN JAYA 0001425770908 AMLODIPIN 10 MG 1X1 30

74 ISMAIZAL M. 0001815116804 AMLODIPIN 10 MG 1X1 1X1 30 30
B COMP
75 JALINA 0000015974921 AMLODIPIN 10 MG 1X1 1X1 30 30
B COMP
76 JALIUS 0000016708984 AMLODIPIN 10 MG 1X1 30

77 JESSICA 0002069237608 AMLODIPIN 10 MG 1X1 30 30

B COMP 1X1
78 JINEM 0001294558356 AMLODIPIN 5 MG 1X1 30
79 JOHANA LISA 0001495564839 METFORMIN 500 MG 2x1 1x1 60
1x1 30
GLIBENKLAMID 5 MG 1x1 30
AMLODIPIN 5 30
MG
80 JONI EFENDI WANGI 0002064359283 SIMVASTATIN
CANDEARTAN20 MG
8 MG 1x1/2 15 30
AMLODIPIN 5 MG 1x1
81 JULIARTI 0001478584899 METFORMIN 500 MG 1x1 30 30
SIMVASTATIN 20 1x1
MG
82 JUNAIDI 0001331984474 CAPTOPRIL 25 MG 1X1 30
83 LANNY 0002253084895 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
SIMVASTATIN 20 MG 1x1 30

84 LENI MAKMUR 0001283935689 AMLODIPIN 5 MG 1x1 1x1 30 30

SIMVASTATIN 20 MG 1x1 30
B COMP

85 LENI NITA 0001381690348 AMLODIPIN 5 MG 1X1 30

SIMVASTATIN 20 MG 1x1 30
86 LIE GIOK HUN 0001865744976 AMLODIPIN 10 MG 1X1 60
B COMP 1X1 30
87 LILIANITA BAKRI 0001970909559 CANDESARTAN 8 MG 1x1 30 30
AMLODIPIN 5 1x1
MG
88 LILIS HANANI 0000015935512 CANDESARTAN 8 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
89 LINDA 0001320998016 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
90 LINDAWATI SALEAN 0001318022616 METFORMIN 500 MG 2X1 60 30
B COMP 1X1
91 LINDAWATI SUMAN 0001429440851 AMLODIPIN 5 MG 1X1 30
MICARDIS 80 MG 1X1

92 LISTON 0002057324152 AMLODIPIN 10 MG 1X1 30

HUTAGALUNG SIMVASTATIN 20 MG 1X1 30
B COMP 1X1 30

93 LUCIA HALIM 000158149813 RISPERIDON MG 2X1 60 60

TRIHEKSI FENIDIL 2X1
94 LUCIA HALIM 0001296359469 AMLODIPIN 5 MG 1X1 30
95 MAHDALENA 0001268801109 AMLODIPIN 5 MG 1X1 30 30
B COMP 1X1
96 MAHYUDDIN 0001431452766 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
97 MAILIS DENI 0002304078254 CANDESARTAN 8 MG 1X1 30 30
AMLODIPIN 5 MG 1X1 30
B COMP 1X1

98 MARDALENA 0001657028654 AMLODIPIN 5 MG 1x1 30

99 MARDIANTI S.Ag 0000016023622 AMLODIPIN 5 MG 1X1 30
100 MARISSA LAMADE 0001430075744 CANDESARTAN 8 MG 1X1 30
HCT 25 MG 1X 1/2 15
101 MARLIANTI 0001140698384 AMLODIPIN 5 MG 1X1 30
102 MARTINI 0001310410236 CANDESARTAN 8 MG 1X1 30
1X1 30
103 MARYANTO 0001497468047 METFORMIN 850 MG 2X1 60
GLIBENKLAMID 5 MG 2X1 1X1 60
SIMVASTATIN 20 MG 1X1 30
AMLODIPIN 10 MG 30

104 MASDIARMAN 0001621385313 LISINOPRIL 5 MG 1X1 30 30

AMLODIPIN 5 MG 1X1 30
CLOPIDOGREL 75 MG 1X1
105 MASNIMAR 0000015990164 AMLODIPIN 10 MG 1x1 1x1 30 30
B COMP
106 MASRI WIJAYA 0002211994822 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
107 MATHILDA RAMAYA 0001813272557 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
108 MASWAR 128722607 CONCOR 2,5 MG APTOR 1X1 30
SIMVASTATIN 20 MG 1X1 30
1X1 30

109 MEILINA DJAFAR 0002272646338 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
110 MEINY TEDJA 0001452136094 AMLODIPIN 5 MG 1X1 30 90
METFORMIN 500 MG 3X1 30
SIMVASTATIN 20 MG 1X1

111 MEIYARTI 0001906338262 AMLODIPIN 10 MG 1X1 30

CANDESARTAN 8 MG 1X1 30
1X1 30
SPIRONOLAKTON 25 MG 1X1 30

SIMVASTATIN 10 MG
112 MULIARDI SALIM 0001495422988 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2MG 1X1 30
AMLODIPIN 5 MG 1X1 30
113 MULYADI KOSASIH 0001802597916 METFORMIN 500 MG 2x1 60 30
AMLODIPIN 10 1x1 30
MG 1x1
GLIMEPIRID 4 MG
114 MUNSIDA 0001388143978 AMLODIPIN 10 MG 1X1 30
115 MURNIS 0000019488194 AMLODIPIN 5 MG 1x1 30
116 NAZARUDDIN 0001293217132 AMLODIPIN 5 MG 1X1 30
BCOMP 1X1
117 NELIS MAWIDAR 0001264245075400 GLIMEPIRID 2 MG 1X1 30
0
118 NELLYWATI WIDJAJA 0001425466721 BISOPROLOL 5 MG 1X 1/2 15
AMLODIPIN 5 MG 1X1 30
119 NETTI SUHARTI 0001802893443 AMLODIPIN 5 MG 1X1 30
120 NJO GIOK SWIE 0001458634397 METFORMIN 500 MG 1X1 30
AMLODIPIN 10 MG 1X1 30
121 NOVALINDA 0001274989072 METFORMIN 500 MG 2x1 60
AMLODIPIN 5 1X1 30
MG
122 NOVEMRIS 0002298802184 METFORMIN 500 MG 3X1 90
123 NOVIA RAHMAWATI 0000015899681 GLIMEPIRID 4 MG 1X1 2X1 30
METFORMIN 850 MG 60
124 NURAINI 0001885168484 AMLODIPIN 10 MG 1x1 23 23
GLIMEPIRID 2 MG 1x1
125 NURA'INI 0002049733899 CANDESARTAN 8MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
126 NURBAIDA 0001270714331 AMLODIPIN 10 MG 1X1 30
B COM 1X1 30
127 NURCAYA 0001859736666 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
128 NURESA MILDA 0001879240994 AMLODIPIN 10 MG 1X1 1x1 30 30
SIMVASTATIN 20 MG
129 NURHAYATI 0001450867072 AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
130 NURHAYATI 0001278073754 BEROTEC INH 1 1
SYMBICORT
131 NURLELA 0001422258838 AMLODIPIN 5 MG 1X1 30
132 NURTINI 0002481157372 GLIMEPIRID 1 MG 1x1 30
B COMP 1x1 30
133 OE JAT GOAT 0001147842303 CANDESARTAN 8 MG 1x1 1x1 30 30
HCT 25 2x1 60
MG
METFORMIN 500 MG
134 OLIVIA KARDINAL 0001971703157 AMLODIPIN 10 MG 1X1 30
CAPTOPRIL 12,5 MG 2X1 60
SIMVASTATIN 20 MG 1X1 30

135 PRANATA CHANDRA 0002432562603 CANDESARTAN 8MG 1X1 30

SIMVASTATIN 20 MG 1X1 30
B COMP 30
1X1
136 RADIAH 0000019328332 MICARDIS 80 MG 1x1 1x1 30 30
BISOPROLOL 2,5 MG 1x1 30 30
SIMVASTATIN 20 MG 1x1
ASPILET

137 RAHID HASNUL K 0002082886492 LUMINAL 25 MG 2X1 60

138 RASMI 0001256424669 CANDESARTAN 8 MG 1X1 30
B COMP 1X1 30
139 RASUNAH 0000017293476 MICARDIS 80 MG 1x1 1x1 30 15
ACETOSAL 1x1 30
BISOPROLOL 5 MG
140 RATNA EMILIA 0001304091325 AMLODIPIN 10 MG 1X1 60
CANDESARTAN 8 MG 1X1 30
SPIRONOLAKTON 25 1X1 30
MG SIMVASTATIN 1X1 30
10 MG B COMP 30
1X1

141 REFLINDA 0001860102369 METFORMIN 500 MG 2X1 30

GLIMEPIRID 2 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
1X1 30
CANDESARTAN 8 MG 30
SIMVASTATIN 20 MG 1X1
142 RENI SEPTIA 0002073607176 AMLODIPIN 5 MG 1X1 30 30
CONCOR 2,5 MG 1X1
143 RESWARTI DWI 0001877660649 AMLODIPIN 5 MG 1X1 30
144 ROSLAINI 0001449171819 1X1 30 30
1X1
145 ROSMAINI 0000016589621 CANDESARTAN 8 MG 1x1 1x1 30 30
AMLODIPIN 10 MG 1x1 30
GLIMEPRIRID 1 MG
146 ROSNI 0001875240426 AMLODIPIN 10 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
147 ROSNINA 0002088850151 METFORMIN 500 MG 2x1 60 30
GLIMEPIRID 2 MG 1x1 30 30
ASPILET 80 MG 1x1
AMLODIPIN 5 1x1
MG
148 ROSSER NUSERWAN 0001339907242 GLIMEPIRID 2 MG 1X1 30
APTOR 100 MG 1X1 30
BISOPROLOL 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

149 RUKMINI 0002136402099 CANDESARTAN 8 MG 1X1 30

150 RUSILA 0001426349632 AMLODIPIN 5 MG 1X1 30
IRBESARTAN 300 MG 1X1/2 30
151 RUSTAM K 0001793055104 CANDESARTAN 16 MG 1X1 30
AMODIPIN 10 MG 1X1 30
B COMP 1X1 30

152 S.UMAR B. 0001433341438 AMLODIPIN 10 MG 1X1 30

SIMVASTATIN 20 1X1 30
MG
153 saidan 0000015867562 Furosemid 1x1 1X1 30
candesartan 8 mg 1x1 1X1 30
concor 2,5 mg 1x1 1x1 30 30
amlodipine 5 mg 1x1 1x1 30
clopidogrel 75 mg 1x1 1x1

154 SALMIAH 0000016501318 AMLODIPIN 5 MG 1X1 30

METFORMIN 500 MG 3X1 90
SIMVASTATIN 20 MG 1X1 30
155 SARLINA PUTRI 0000019521832 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
156 SASTRA KURNIAWAN 0001908080122 CANDESARTAN 8 MG 1X1 30
BISOPROLOL 2,5 MG 1X1 30
157 SECENWATY 0001873481984 AMLODIPIN 5 MG 1X1 30 30
B COMP 1X1 30
SIMVASTATIN 1x1
20 MG
158 SIMA 0002444957032 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
159 SITI AMAN 0002038747476 GLIMEPIRID 2 MG 1X1 30 30
AMLODIPIN 1O MG 1X1
160 SJALIR 0001335177843 AMLODIPIN 5 MG 1X1 30
161 SRI HAYATI 0002140404669 AMLODIPIN 10 MG 1X1 30 30
SIMVASTATIN 20 1X1
MG
162 SUHADATUL 0000204364405 METFORMIN 500 MG 2x1 60
SAADIYAH
163 SUSENO 0001873481084 AMLODIPIN 5 MG 1X1 1x1 30 30
SIMVASTATIN 20
MG
164 SUSI ENDRI 0001255879967 AMLODIPIN 5 MG 1x1 30
165 SUWARTY 0001459782696 CANDESARTAN 8 MG 1X1 30 30
AMLODIPIN 1O MG 1X1
166 SYAFARUDDIN 0000019488205 AMLODIPIN 5 MG 1X1 30
167 SYAFNI 0001305089785 METFORMIN 850 3X1 90
GLIBENDCLAMID 2 MG 2X1 60 30
SIMVASTATIN 20 MG 1X1

168 SYAFRIDAR 0001729694349 AMLODIPIN 5 MG 1X1 30

GLIMEPIRID 2 MG 1X1 30
METFORMIN 500 MG 2X1 60

169 SYAHBUDDIN 0002043672884 AMLODIPIN 5 MG 1X1 1X1 30 30

B COMP
170 SYAMSU MARNI 0002682499659 AMLODIPIN 10 MG 1X1 30
CANDESARTAN 8 1X1 30
MG
171 SUKIANTO 1311323488 METFORMIN ACARBOSE 3X1 90
100MG ALLOPURINOL 3X1 90
GLIMEPIRID 2 MG 2X1 60
1X1 30

172 SUYATI 0001645271785 METFORMIN 500MG 2X1 60

GLIMEPIRID 2 MG 1X1 30
173 SYOFYAN 1302499102 METFORMIN 500 MG 2X1 60
GLIMEPIRID 2 MG 1X1 30
174 SYLVIA 0001483444462 AMLODIPIN 5 MG 1X1 30
175 TAHARUDDIN THAAT 0001293890861 METFORMIN 500 MG 1X1 30 30
B COMP 1X1
176 TASDIQ WARUWU 0001151861218 AMLODIPIN 5 MG 1X1 30

177 THERESIA W 0000016772826 AMLODIPIN 5 MG 1X1 1x1 30 30

SIMVASTATIN 20
MG
178 THIO MAY BWEE 0001273623388 AMLODIPIN 10 MG 1X1 30
179 THOMAS SUWIRSO 0001818507587 AMLODIPIN 5 MG 1X1 30
SIMVASTATIN 20 MG 1x1 30
180 TITIN SUMARNI 0002252851558 METFORMIN 500 MG 2x1 60 30
AMLODIPIN 10 1x1 30
MG 1x1
SIMVASTATIN 20 MG
181 TOMMY TJANDRA 0001865738428 GLIMEPIRIDE 4 MG 2x1 30 90
METFORMIN 500 MG 3x1 90
ACARBOSE 50 MG 3x1 30
B.COMP 1X1

182 UMAR KHALID 0001730646371 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
183 WASNIAR 0001259025478 GLIMEPIRID 2 MG 2x1 60
METFORMIN 500 MG 2x1 60
1x1 60
AMLODIPIN 10 MG
184 WERDIYANTO 0002046801655 AMLODIPIN 10 MG 1X1 1X1 30 30
CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 MG

185 YARLIS 0001797659111 AMLODIPIN 5 MG 1X1 30

B COMP 1X1 30
186 YASMAR 0000016688338 MICARDIS 80 MG 1X1 30 30
HERBESER 100 MG 1X1 30
CLOPIDOGREL 75 MG 1X1 15
GLIMEPIRID 2MG 1X1/2 30
SIMVASTATIN 20 MG 1X1

187 YASRIZAL 0001806610083 GLIMEPIRID 2 MG 1X1 30

188 YOHANES TIMOTEUS 0001438320161 CANDESARTAN 8 MG 1x1 30
METFORMIN 500 3x1 90 30
MG 1x1
GLIMEPIRRID 2 MG
189 YULIANA 0001322962233 AMLODIPIN 10 MG 1X1 30
B COMP 1X1 30
190 YULIUS 0002473964054 METFORMIN 500 MG 1X1 30
AMLODIPIN 5 MG 1X1 30
B COMP 1X1 30
191 YURNI 0002221040542 AMLODIPIN 10 MG 1X1 30
192 YURNIATI 0000016801255 CANDESARTAN 16 MG 1X1 30
SIMVASTATIN 10 1x1 30
MG

193 YUSNIDAR 0001265695222 AMLODIPIN 1X 5 MG 1X1 30

GLIMEPIRID 3 MG 1X1 30
194 YUSNIDAR 0002089516926 AMLODIPIN 5 MG 1X1 30
195 YUSRA, SE 0000016955357 METFORMIN 500 MG 3X1 90
B COMP 1X1 30
196 YUSRIZAL 0001294071726 AMLODIPIN 5 MG 1X1 30
197 YUSWAR HAREFA 0001283951856 AMLODIPIN 5 MG 1X1 30
CANDESARTAN 8 MG 1X1 30
198 ZAHARATUL JANNAH 0001422508522 CANDESARTAN 8 MG 1x1 30 30
AMLODIPIN 10 1x1
MG
199 ZAINAL B 0001818291205 METFORMIN 500 MG 2x1 60 30
GLIMEPIRID 1 1x1
MG
200 ZULHASMI 0001642298308 AMLODIPIN 10 MG 1X1 30
SIMVASTATIN 20 MG 1X1 30
201 ZULKARNAINI 0001266129876 AMLODIPIN 5 MG 1X1 30

202 ZULMAIZIR 0001721108531 CANDESARTAN 8 MG 1x1 30

AMLODIPIN 10 1x1 30 30
MG HCT 25 1x1
MG
APRIL 2019

TGL. AMBIL TD/ GD TELP KET

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