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<DIV ALIGN=LEFT CLASS=FORM_TITLE><B><img src='icon/keuangan.

gif'
align='absmiddle' > Laporan Rincian Pemakaian Obat</B></DIV><table width='100%'
cellspacing=0 cellpadding=2><tr><td CLASS='FORM_TITLE' align='left'
></td></tr></table>
<TABLE BORDER=0 CELLSPACING=2 CELLPADDING=2>
<FORM ACTION='' METHOD='POST'>
<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Dari Tanggal
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: 2019-06-01</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>s/d Tanggal
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: 2019-06-13</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Rawatan
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp
;&nbsp;: Semua</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Tipe Pasien
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: Semua</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Kategori Obat
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: Semua</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Obat
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: Semua</TD>
</TR>

<TR>
<TD width='257' CLASS=FORM_SUBTITLE1 ALIGN=LEFT COLSPAN=3>Dokter
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: Semua</TD>
</TR>

</FORM>
</TABLE>
<br>
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<table id="list-pasien" width="100%">


<thead>
<tr>
<td style="font-size: 11px;" align="CENTER" class="TBL_HEAD"
width="20">No.</td>
<td style="font-size: 11px;" align="CENTER" class="TBL_HEAD"
width="130">NAMA OBAT</td>
<td style="font-size: 11px;" align="CENTER" class="TBL_HEAD"
width="150">DOKTER</td>
<td style="font-size: 11px;" align="CENTER" class="TBL_HEAD"
width="40">QTY</td>
</tr>
</thead>
<tbody>
<tr>
<td style="font-size: 11px;" align="right">1</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ACLAM 500
MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">90.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">2</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ACTIFED SYR
HIJAU 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">3</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ACYCLOVIR
SALEP 5persen</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">4</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ACYCLOVIR
TABLET 400MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">5</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ALKOHOL PER
CC UNTUK SC</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">60.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">6</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ALKOHOL
SWAB PRODEVICE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">16.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">39.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">43.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">16.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">44.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">54.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">7</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMARYL 2MG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">8</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMBROXOL
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">9</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMLODIPIN
10MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">10</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMLODIPIN
5MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">11</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMOXICILLIN
500 MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;drg. Hedis
H., Sp.BM</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">12</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMOXSAN 500
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">13</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMOXSAN
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">14</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AMOXSAN SYR
125MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">15</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ANALTRAM
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">145.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">16</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ANTASIDA
DOEN TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">17</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;APIALYS
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">18</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;APIALYS
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">19</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AQUABIDEST
25ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">22.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">20</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ASAM
MEFENAMAT 500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;drg. Hedis
H., Sp.BM</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">21</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ASIFIT
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">22</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ATAROC 25
MCG TAB</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">23</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ATAROC SYR
60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">24</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ATROPIN
SULFAS INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">25</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;AVIL 25MG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">38.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">26</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;AZITHROMYCIN CAPLET 500MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">27</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BACTESYN
ORAL 375MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">16.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">28</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BECOM-C
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">25.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">29</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BETADINE
CAIR PER 100 CC UNTUK SC</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">30</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BETADINE
GARGLE 190 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">31</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BETADINE
SOL 30 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">32</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BETASON
CREAM 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">33</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BETASON-N
CREAM 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">34</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;BIOPLACENTON JELLY 15GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">35</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BIOTHICOL
500MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">36</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BIOTHICOL
FORTE SYRUP 250MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">37</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BIOTHICOL
SYRUP 125MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">38</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BISTURI NO
11</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">39</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BISTURI NO
20</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">40</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BLEDSTOP
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">41</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BLOOD SET
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">42</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BLUE LIGHT
SIZE 1</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">43</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BORAX
GLYCERINE (GOM)</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">44</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BORRAGINOL
-S SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">45</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BREATHY
NASAL SPRAY 30 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">46</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BUDESMA
0,25 NEBUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">47</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BUSCOPAN
PLUS TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">48</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;BYE BYE
FEVER ANAK</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">49</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CAL-95
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">240.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">270.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">50</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CALNIC PLUS
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">51</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;CALSICAL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">52</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CANDISTIN
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">53</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CANUL O2
ANAK GEA (SELANG OXYGEN )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">54</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CANUL O2
DWS GEA (SELANG OXYGEN )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">55</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CAPSUL NO
0</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">56</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CAPSUL NO
00</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">57</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CAPTOPRIL
12,5MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">58</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CATAFLAM
25MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">59</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CATAFLAM
50MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">60</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CDR 10</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">61</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CDR 15</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">62</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CECYL
KAPLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">63</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFADROXIL
CAPSUL 500MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;drg. Hedis
H., Sp.BM</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">64</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFADROXIL
SYRUP 125MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">65</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFILA 200
MG KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">66</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFILA
CAPSUL 100MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">76.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">67</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFILA
SYR / DROPS 100MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">68</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFIXIME
100MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">44.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">69</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFIXIME
200MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">42.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">70</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFIXIME
DRY SYR 100MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">71</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFOTAXIME
1GR INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">72</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFTRIAXONE
1GR INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">73</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CEFXON 1GR
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">74</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CELESTAMINE
SYRUP 30ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">75</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
FENICOL 0,25persen</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">76</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
FENICOL 0,5persen</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">77</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
FENICOL SALEP MATA 1persen</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">78</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
LYTEERS 15ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">79</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
MYCETINE 10MG salep mata</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">80</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CENDO
XITROL TTS MATA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">81</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CETIRIZINE
10MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">82</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CETIRIZINE
SYR 60 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">83</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CHANNA
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">150.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">84</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;CHLORAMFECORT H CREAM 10GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">85</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CHROMIC
2/0</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">86</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;CIPROFLOXACIN 500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">87</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CLACEF 1GR
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">88</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CLANEKSI
500MG CAPLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">27.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">89</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CLINDAMYCIN
300MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">22.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">90</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CLIPPER 3M
PISAU CUKUR DAN ALAT</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">91</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CO-
AMOXICLAV 625MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">92</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COBAZIM
CAPS 1000MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">93</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COLERGIS
SYR 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">94</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COMBO
CATHETER NO 14 PRODEVICE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">95</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COMBO
CATHETER NO 14 TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">96</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COMBO
TRANSFUSI NO 18 TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">97</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COMBO
TRANSFUSI NO 20 TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">98</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;COMTUSI
SYRUP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">99</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CONSTANTIA
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">100</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CONSTULOZ
SYRUP 120ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">101</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CORD CLAM
KENIKO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">102</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CORD CLAM
ONEMED</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">103</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CORMEGA
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">104</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CTM 4MG
CITO TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">105</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;CURAFIX</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">106</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CURCUMA
10</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">107</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CURVIT CL
175ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">108</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;CYCLOPROGYNOVA TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">109</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;CYGEST
400MG SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">110</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DAKTARIN
DIAPERS 10 GRAM</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">111</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;DEHIDRALYTE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">112</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DETTOL
250ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">113</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXA HARSEN
TAB 0.5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">114</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;DEXAMETHASONE 0,5MG TAB</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">115</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;DEXAMETHASONE INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">116</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXTEEM
PLUS TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">117</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXTROSE
10%</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">118</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXTROSE
5%</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">119</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXTROSE 5%
1/2 NS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">120</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXTROSE 5%
1/4 NS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">121</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXYCLAV
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">122</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DEXYCLAV
SYRUP 125G</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">123</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DIAZEPAM
2MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">124</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DOLO
NEUROBION TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">70.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">125</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DOMPERIDONE
10MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">60.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">126</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DOM
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">127</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DOXYCYCLINE
100MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">128</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;DUROGESIC
25MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">129</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ELKANA
SUSPENSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">130</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ELOX CREAM
5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">131</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ENFAMIL A
PLUS LACTO FREE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">132</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPERISONE
HCL 50 MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">133</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPEXOL
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">134</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPEXOL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">135</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPEXOL
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">136</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPHEDRINE
INJEKSI 50MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">137</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPINEPHRINE
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">138</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;EPISAN
SYRUP 100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">139</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ERLAMYCETIN
TETES MATA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">140</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ERYSANBE
200MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">141</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ERYSANBE
SIRUP 200MG/60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">142</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ESOLA
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">143</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FERITRIN
KAPLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">144</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FEROSPAT
EFF TUBE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">145</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FETAVITA
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">146</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FG TROCHES
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">147</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLAGYL
FORTE TABLET 500 MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">148</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLEET
ENEMA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">149</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLUCONAZOLE
150 MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">150</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLUIMUCIL
200MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">151</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLUIMUCIL
SYRUP 75ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">152</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLUOMIZIN
VAGINAL TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">153</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FLUXAR
150MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">154</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FOLAMIL
GENIO CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">150.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">155</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FOLLEY
CATHETER NO 10 MERK RUSCH</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">156</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FOLLEY
CATHETER NO 14 MERK RUSCH</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">157</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;FUSYCOM
CREAM 5 GRAM</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">158</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;GELOFUSINE
500ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">159</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;GENTAMICIN
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">160</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;GENTAMICIN
SALEP 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">161</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;GRAFOLA
CAPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">162</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;H2O2 3
PERSEN 50 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">163</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;HANDSKUN
BERSIH PER PASANG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">36.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">164</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;HEPTASAN
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">23.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">21.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">165</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;HOMOCLOMIN
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">75.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">26.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">166</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;HYDROCORTISONE 1persen SALEP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">167</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;HYPAFIX PER
CM UNTUK SC</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">75.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">168</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;HYSTOLAN
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">169</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IMODIUM
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">170</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IMUNOS
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">171</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IMUNOS
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">172</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IMUNPED
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">173</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IMUNPED
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">174</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;INFUS SET
MAKRO TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">175</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;INFUS SET
MIKRO TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">176</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;INPEPSA
SYRUP 100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">177</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;INTERLAC
OIL DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">178</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;INTERZINC
SYRUP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">179</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IPROX
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">180</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;IREMAX
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">54.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">181</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ISONIAZID
300MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">53.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">182</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ISOPRINOSIN
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">183</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ISPRINOL
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">184</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ISPRINOL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">185</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KA-EN 1B
500ML OTSUKA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">186</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KALCINOL -N
SALEP 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">187</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KANAMYCIN
1GR INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">188</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KASA STERIL
16X16</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">189</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KASA STERIL
PER LEMBAR SC</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">70.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">190</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KCL 7,46
OTSUKA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">191</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KENALOG IN
ORAL BASE 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">192</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KETALAR
INJEKSI HARGA PER STRIP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">193</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;KETRICIN
SALEP 5GR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">194</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LACTAMAM
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">195</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LACTO
B</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">196</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAGESIL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">197</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAKTAFIT
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">210.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">198</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAMESON 4MG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">31.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">42.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">199</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAMETIC
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">200</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LANSOPRAZOL
30MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">26.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">201</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LANTUROL
200MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">55.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">202</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPICEF
500MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">203</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPICEF
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">204</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPICEF
FORTE SYRUP 250 MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">205</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPICEF
SYRUP 125MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">206</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPIFED
EXPECTORANT SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">207</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPIXIME
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">208</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LAPROSIN
SIRUP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">209</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LASAL 2MG
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">17.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">210</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LASAL
EXPECTORANT SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">211</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LASAL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">212</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LASGAN 30
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">213</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;L-BIO
SACHET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">91.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">34.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">214</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LESICHOL
300MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">215</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LEVOSIF
SYRUP 30MG/5ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">216</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LIDOCAIN
INJEKSI 2%</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">217</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;LORATADINE
10 MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">218</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;L-ZINC
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">219</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MALTIRON
PLUS TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">55.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">220</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MALTOFER
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">221</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MARCAIN
SPINAL INJEKSI 0,5persen</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">222</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MASKER
NEBULA ANAK GEA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">223</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MASKER
NEBULA DWS GEA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">224</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MASKER
TALI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">225</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MEFINAL
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">32.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">226</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MELOXICAM
7,5MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">227</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MEROPENEM
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">228</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;METFORMIN
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">229</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;METHYLPREDNISOLONE 4MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">230</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;METVELL
0,125MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">231</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;METVELL
INJEKSI 0,2MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">232</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MICRODRIP
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">233</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MICROLAX
5GR TUBE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">234</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MICROPORE 1
INN MERK 3M</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">235</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MICROPORE 2
INN MERK 3M</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">236</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MILOZ 5MG
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">237</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MKP CAP
LANG 15ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">238</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MOMEFION
0.1% SALEP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">239</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MONELL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">240</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MONOSYN
1</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">241</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MONOSYN
2/0</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">242</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MOPRIN
SYRUP 250MG 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">243</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MOPRIN
TABLET 500MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">244</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MORETIC
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">245</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MUCOPECT
30MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">83.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">246</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MUCOS 30MG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">247</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MUCOS
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">248</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MUCOS
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">249</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MUPIROCIN
SALEP 10 GRAM</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">250</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MY BABY
TELON PLUS 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">251</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;MYCO-Z
SALEP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">252</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NACL 100ML
B BRAUN ( ECOSOL )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">253</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NACL 100ML
( OTSU)</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">254</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NACL 500ML
B BRAUN ( ECOSOL )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">255</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NACL 500ML
OTSUKA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">256</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NAIRET
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">257</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NAIRET
TABLET 2,5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">258</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NARFOZ 4MG
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">259</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NARFOZ 8MG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">260</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEEDLE 23
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">261</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEEDLE 24
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">262</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEO K
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">263</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NERVAPLUS
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">264</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEUROBION
5000 INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">265</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEUROBION
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">266</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NEW DIATAB
4</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">267</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NGT NO 8
100 CM TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">268</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NIFEDIPIN
10MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">269</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NIXAVEN
100MG SYR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">270</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NOPROSTOL
0,2MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">34.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">271</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NORELUT
TABLET 5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">272</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NOROID
DERMA RASH 60ML ANAK</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">273</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NOVA T
IUD</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">274</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NUPERA
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">275</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NUPOVEL
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">276</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NUTRANEX
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">277</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NUTRIFLAM
NEO KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">278</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;NYSTATIN
SUSPENSI 100000 IU</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">279</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OBDHAMIN
CAPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">280</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OBH COMBI
SYRUP GEPENG 100 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">281</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ODR 8MG
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">282</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ODR SIRUP
4MG 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">283</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OMEPRAZOL
20MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">284</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OMEPRAZOLE
INJEKSI 40MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">285</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;ONDANSENTRON 4MG INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">286</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;ONDANSENTRON 4 MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">287</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;ONDANSENTRON 8MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">90.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">288</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ONOIWA
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">25.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">289</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ORALIT
200ML 100 SACHET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">49.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">290</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OREZINC
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">291</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ORINOX 90MG
FILM COATED TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">292</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OSSORAL
200MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">293</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OXCAL
KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">294</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OZEN
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">295</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;OZEN
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">296</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PAKET
PULANG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">297</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PAKET TOPI
PLUS MASKER ( PRO SC )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">298</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PAMOL 125MG
SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">299</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PAMPERS NEW
BORN ISI 26</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">300</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PANADOL
BIRU 10S</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;drg. Hedis
H., Sp.BM</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">301</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PANLOC 40MG
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">302</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PEDIALYTE
500ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">303</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PENDIL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">304</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PENENG BIRU
ANAK</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">305</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PENENG
KUNING</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">306</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PENENG PINK
ANAK</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">307</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PENENG PINK
DWS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">308</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PETHIDIN
HCL INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">309</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;PHENOBARBITAL 30MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">310</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;PHYTOMENADIONE 10MG/ML INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">311</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;PHYTOMENADIONE 10 MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">312</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PLASMINEX
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">25.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">313</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PLASMINEX
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">314</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;POLYSILANE
100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">315</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;POSSEY BLUE
LIGHT KACAMATA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">316</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;POT URINE
50 CC ( SEDANG )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">317</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRAXION
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">318</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRIMOLUT N
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">319</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRIMPERAN
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">320</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROBIOSTIM
CAPSULE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">321</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROCALMA
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">322</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROFENID
100 MG SUPPOSITORIA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">323</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROFERTIL
50MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">324</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROLACTA
DHA MOTHER CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">325</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROMAVIT
CAPLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">155.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">330.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">326</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROMIXIN
500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">327</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRONALGES
100MG SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">328</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRONEURON
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">22.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">329</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROPEPSA
SYRUP 100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">330</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRORIS
125MG SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">331</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRORIS
200MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">332</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PRORIS
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">333</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROTERIN
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">334</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROVITAL
PLUS TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">61.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">28.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Primarani Sekar K., Sp.P.D.</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">335</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROZA
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">336</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PROZA
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">34.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">337</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PSIDII
KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">338</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PULMICORT
BUDESONIDE NEBULES 0,25MG/ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">339</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PUMPISEL
40MG INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">340</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;PYRAZINAMIDE 500MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">48.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">341</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PYREXIN
160MG SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">342</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;PYREXIN
80MG SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">343</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;RACIKAN</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">79.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">21.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">344</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RANITIDIN
25MG INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">33.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">345</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RANITIDINE
TAB 150MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">346</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RANIVEL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">347</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;REDOXON
10</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">348</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHELAFEN
FORTE SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">349</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHELAFEN
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">350</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHINOFED
SUSPENSI SYR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">351</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHINOFED
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">352</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHINOS
JUNIOR SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">353</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHINOS NEO
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">354</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RHINOS SR
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">51.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">355</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RIFAMPICIN
450 MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">17.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">52.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">356</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RL 500ML
ECOSOL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">357</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RL 500ML
OTSUKA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">358</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RL 500ML
SANBE</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">359</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RL 500ML
UNICAP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">44.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">43.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">21.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">58.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">360</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RYVEL
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">361</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RYVEL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">362</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;RYVEL
TAB</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">363</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SAFIL
1</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">364</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SALBUTAMOL
2MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">365</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SALICYL
BEDAK KF</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">366</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANADRYL
DMP 120ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">367</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANADRYL
DMP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">368</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANADRYL
EXP 120ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">369</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMAG
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">370</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMOL
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">371</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMOL
FORTE SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">372</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMOL
INFUS 100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">373</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMOL
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">374</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANMOL TAB
500MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">50.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">37.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">81.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">375</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANPRIMA
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">376</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANTAGESIC
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">377</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SANVITA B
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">378</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SARUNG
TANGAN GAMEX 6,5</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">379</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SARUNG
TANGAN GAMEX 7</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">380</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SARUNG
TANGAN GAMEX 7,5</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">21.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">381</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SARUNG
TANGAN GAMEX 8</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">382</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SCOTTS
ORANGE FLAVOUR 200ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">383</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SIBITAL
INJ</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">384</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SILEX
100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">385</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SILKAM
2/0</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">386</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SILKAM
3/0</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">387</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SIRPLUS
SYRUP SEMUA RASA</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">388</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SIRPLUS
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">271.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">71.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">26.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">60.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">55.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">389</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SOFRATULLE
10X10CM</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">390</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SOFTEX
MATERNITY 10S</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">391</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SOLFION 4
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">26.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">392</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPALK</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">393</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPINOCAN NO
27</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">394</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPORETIK
100MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">395</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPORETIK
200MG CAPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Primarani Sekar K., Sp.P.D.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">396</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPUIT 10CC
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">28.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">26.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">397</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPUIT 1CC
TERUMO ( TUBERCULIN )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">398</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPUIT 3CC
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">16.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">53.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">36.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">399</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SPUIT 5CC
TERUMO</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">17.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">17.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">400</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;STARCEF 200
MG CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">401</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;STESOLID
SUPPOS 10MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">402</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;STESOLID
SUPPOS 5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">403</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SUCRALFATE
SYRUP 200 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">404</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SUCTION
KURET ( CANUL KURET ) NO 6</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">405</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SUCTION NO
8 (BIRU TUA)</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">406</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SUMAGESIC
600MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">90.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">407</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SUPRASMA
SOLUTION FOR INHALATION</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">408</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;SYNTOCINON
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">19.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">409</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TABUNG EDTA
0.5 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">410</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TABUNG EDTA
3 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">411</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TANTUM
VERDE 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">412</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TEGADERM 3M
3591</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">413</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TEMPRA
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">414</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TEMPRA
FORTE SYR 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">415</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TEMPRA
SYRUP 100ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">416</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TEMPRA
SYRUP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">417</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;THECORT
CREAM 5 GRAM</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">418</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;THEOBRON
CAPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">14.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">419</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;THREE WAY (
TROGE ) BIRU</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">420</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;THROMBO
ASPILETS TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">421</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TIRIZ
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">422</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TOPI
OPERASI ( PRO DEVICE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">423</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TRAMAL
SUPPOS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">424</td>
<td style="font-size: 11px;"
align="left">&nbsp;&nbsp;&nbsp;TRANSOFIX</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">425</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TRANSPULMIN
SYRUP 60ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">426</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TREMENZA
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">427</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TRIDEX
PLAIN 500 ML</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">428</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TRILAC 4MG
TAB</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">24.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">429</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TRILAC
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">430</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TROLAC
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">431</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TROVENSIS 4
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">432</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;TYLONIC 300
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">433</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;UNDER PAD
SENSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">15.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">34.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">434</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;URINE
COLLECTOR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">435</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;UROTRACTIN
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">436</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;UTROGESTAN
100MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">45.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">70.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">437</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VACCINE
HEPATITIS B IMUNOGLOBULIN P BEHRING</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">438</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VAKSIN
BIOSAT 1.5 SERUM ANTI TETANUS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">439</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VALISANBE
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">440</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VALISANBE
TABLET 2MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">441</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VALISANBE
TABLET 5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">442</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VAPORIN
KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">443</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VECTRINE
DRY SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Galih
Linggar Astu, Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">444</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VELUTINE
2,5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">13.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">445</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
18 HIJAU ( TROGE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">446</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
20 PINK ( TROGE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">447</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
22 BIRU ( TROGE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">448</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
24 KUNING (TROGE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">11.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">449</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
26 PUTIH (ABBOCATH)</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">450</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VEMPLON NO
26 UNGU (TROGE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">451</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VENTOLIN
NEBULES 2,5MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">452</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VERBAN
GULUNG 4X8</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">9.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">453</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VISANNE
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">454</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VITAMAM 1
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">35.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">40.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">160.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">455</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VITAMAM 2
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">456</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VITAMAM 3
CAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">457</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VITAMIN B6
10MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">90.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">458</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VITAMIN B
COMPLEX TABLET IPI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">459</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOLTADEX 50
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">7.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">460</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOMETA
DROPS</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">461</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOMETA FT
TABLET 10MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">462</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOMETA
SYRUP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">463</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOMIL
KAPSUL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">464</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;VOXIB
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">18.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">465</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;WASLAB
PRODEVICE ( WASH CARE PRO DEVICE )</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">6.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. FX.
Nandono, Sp.OG</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr.
Sugijanto, Sp.OG</td>
<td style="font-size: 11px;" align="right">12.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">466</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;WIACID
150MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">5.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">60.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Kanya
Lalitya J.S.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">467</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;WIACID
INJEKSI</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">468</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;WING NEEDLE
NO 27GX1/2</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
Utami Kusumastuti</td>
<td style="font-size: 11px;" align="right">3.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Siti
N., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">469</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;XEPAVEN 400
MG TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Andi
Yuliana Agnetha</td>
<td style="font-size: 11px;" align="right">8.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Irma
M.</td>
<td style="font-size: 11px;" align="right">4.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">470</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;XEPAZYM
TABLET</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dokter
Luar</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;Dr.dr.
Junita I., Sp.OG</td>
<td style="font-size: 11px;" align="right">10.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">20.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">471</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;YOUNG YOUNG
BREAST PUMP plus BOTOL</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">472</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ZAMEL
DROP</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">473</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ZAMEL
SYR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Barita
N.S., Sp.A</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right"></td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">2.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">474</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ZINCPRO
SYR</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Layla
C.S., Sp.A., M.Kes</td>
<td style="font-size: 11px;" align="right">1.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" align="right">475</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;ZINC TABLET
20MG</td>
<td style="font-size: 11px;" align="left">&nbsp;&nbsp;&nbsp;dr. Dwi
N.</td>
<td style="font-size: 11px;" align="right">30.0&nbsp;&nbsp;&nbsp;</td>
</tr>
<tr>
<td style="font-size: 11px;" colspan="3" class="TBL_HEAD"
align="right">T O T A L</td>
<td style="font-size: 11px;" class="TBL_HEAD" align="right"
id="jumlah_total">11,860.00</td>
</tr>
</tbody>
</table>

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