Blangko Pemakaian Obat BULAN:........ Obat JKN

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BLANGKO PEMAKAIAN OBAT

BULAN :........

OBAT JKN

NO NAMA OBAT SISA KETERANGAN


1 ALOPERINOL
2 AMBROXOL SYRUP
3 AMBROXOL TABLET
4 AMLODDIPIN 5 MG
5 AMOKSISILIN 500 MG
6 AMOKSISILIN SYRUP
7 ANTIFUNGI/WHITFIELD
8 ANTI HEMOROID
9 ASMEP
10 ASIKLOVIER 400
11 BETAHISTIN
12 BETAMETASON SALP
13 COLFIN SIRUP
14 HIDRO SK
15 IBUPROFEN 400
16 LANSOPRAZOL
17 LORATADIN
18 METHYLERGO
19 METFORMIN
20 METRONIDAZOL
21 MIKONAZOL SALP
22 PARASETAMOL DROP
23 PARASETAMOL/PASIDOL SP
24 SALBUTAMOL 2 MG
25 2-4 SK
26 SIMVASTATIN
27 PIL KB
28 DEPO
29 SPUET 2,5
30 SPUET 5CC
31 UNDERPAD
32 ULSIDEX
33
34
BLANGKO PEMAKAIAN OBAT

BULAN :........

OBAT : PKD

NO NAMA OBAT SISA KETERANGAN


1 AMBROKSOL SYRUP
2 AMLODIPIN 5 MG
3 ANTASIDA DOEN
4 WHITFIELD
5 VIT C
6 FE
7 KALCIMEGA
8 DEKSAMETASON 0,5
9 PHENOL GLISEROL
10 VIT K
11 GLUKOSA INFUS
12 HCT
13 KALK
14 CAPTOPRIL 12,5
15 CAPTOPRIL 25 MG
16 KL;ORAM CAPSUL N500
17 CTM
18 KOTRI D
19 LIDOCAIN
20 METFORMIN
21 METERGIN INJ
22 ANSTREP SP
23 SOLAPLUS SP
24 PARASETAMOL 500 MG
25 PIROKSIKAM 20 MG
26 PIRIDOKSIN/VIT B 6
27 PREDNISON
28 RANITIDIN
29 RL
30 SALICIL BEDAK
31 SIMVASTATIN
32 TETRA
33 VIT B COMPLEK
34 TRUVIT
35 ZINK
36 KAPAS PEMBALUT
37 KASA 2X80
38 KASA 4 X 15
39 ORALIT
40 SARUNG TANGAN M
41 SARUNG TANGAN L
42 SILK 3,0

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