Dr.Hendy Dr.Mandayani Dr.

Teguh
SIP:143/SIP/1999 SIP:163/SIP/2015 SIP:143/SIP/2016
Jl. Haryano MT Banjarmasin Jl. Haryano MT Banjarmasin Jl. P samudera Banjarmasin

Bjm, 27 Agustus 2019 Bjm, 27 Nov 2019

Bjm, 25 Sep 2019
R/ As. Salisilat 0,2 R/ Champora 0,5
R/ Mentol 0,5
ZnO 0,5 Mentol 0,5
Acid Boric 3
Talk ad 10 Talk 9
Talk 6,5
M.f La Pulv adsp M.f La Pulv adsp
M.f La Pulv adsp
Sue Sue
da In lageam
Sue
Pro: Ny.Eny Pro: Yanti (17 tahun)
Alamat. Jl. Batur Alamat. Jl. Panglima
Pro: Telly

Dr. Selvi Dr.Heppy Dr.yana

SIP:098/SIP/2016 SIP:395/SIP/2018 SIP:113/SIP/2018
Jl. jeruk Banjarmasin Jl. Sei Mesa Banjarmasin Jl. Haryano MT Banjarmasin

Bjm, 15 Nov 2019 Bjm, 23 Des 2019 Bjm, 27 Agustus 2019

R/ Adeps lanae 0,5 R/ Cera 0,75 R/ Talk 10
MgO 1 Amilum Manihot 2 As. Salisilat 1,5
ZnO 1 ZnO 0,5 Menntol 0,5
Talk qs ad 10 Talk ad 20 M.f La Pulv adsp
M.f La Pulv adsp M.f La Pulv adsp Sue
Sue did
Sue Pro: Merry
Pro: Sinta (10 th) Pro : KIKI

Dr.Hendy Dr.yana Dr.Heppy

SIP:143/SIP/2017 SIP:113/SIP/2018 SIP:395/SIP/2018
Jl. Haryano MT Banjarmasin Jl. Haryano MT Banjarmasin Jl. Sei Mesa Banjarmasin

Bjm, 29 Agustus 2019

Bjm, 27 Agustus 2019
R/ Na Subcarbonas 300mg Bjm, 23 Des 2019
R/ Efedrin 30 mg
SL ad 500 mg R/ Parasetamol 2
SL ad 250 mg
M.f Caps dtd No. XII Ctm 20 mg
M.f Caps dtd o. XV
Stdd 2 Caps SL 1
Sqdd1 caps
M.f caps dtd No.XII
Pro: Tn. Tanma Stdd 1 cap
Pro: Ny.Eny
Alamat. Jl. Batur
Pro : KIKI (4 tahun)
 Dr. Selvi Dr. Teguh Dr.Mandayani
SIP:098/SIP/2016 SIP:143/SIP/2016 SIP:163/SIP/2015
Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin Jl. Haryano MT Banjarmasin

Bjm, 27 Nov 2019

Bjm, 15 Nov 2019 Bjm, 25 Sep 2019 R/ PCT 300 mg
R/ Aminopyllin 100mg GG 50 mg
R/ Papaverin Hcl 1 Efedrin 15 mg Efedrin Hcl 10 mg
Ibuprofen 1,5 SL qs ad 300mg M.f pulv dtd No. X
M.f caps No.X m.f pulv da in caps dtd No. X Stdd p 1
Stdd caps 1 Stdd caps 1

Pro: Sinta (11 th) Pro: Telly (18 th) Pro: joko (4 th)

Dr. Teguh Dr. Selvi Dr. Teguh

SIP:143/SIP/2016 SIP:098/SIP/2016 SIP:143/SIP/2016
Jl. P samudera Banjarmasin Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin

Bjm, 25 Sep 2019 Bjm, 15 Nov 2019 Bjm, 25 Sep 2019

R/ Aminopyllin 100mg
R/ kloroquin 0,200 R/ Papaverin Hcl 10 mg Efedrin 20 mg
Pct 250 mg Ibuprofen 30 mg
SL qs 200mg
SL 100 mg M.f pulv dtd No. X
m.f pulv dtd No. XV
M.f pulv dtd No.XV Stdd P 1
Stdd p 1
Sbdd P 1
Pro: Sinta (10 bln)
Pro: Telly (27 th)
Pro: Telly (18 th)

Dr.Heppy Dr.Mandayani Dr. Teguh

SIP:395/SIP/2018 SIP:163/SIP/2015 SIP:143/SIP/2016
Jl. Sei Mesa Banjarmasin Jl. Haryano MT Banjarmasin Jl. P samudera Banjarmasin

Bjm, 27 Nov 2019

Bjm, 23 Des 2019
R/ Prednisone 0,100 Bjm, 25 Sep 2019
R/ Dextrometorphan 0,100
Asetosal 3 R/ Efedrin 10 mg
Ctm 2,5 mg
SL 1,5 SL 100mg
Parasetamol 0,250
M.f pulv No. X m.f pulv dtd No. XV
PPA 0,025
Ssdd p 1 o.m did
M.f pulv dtd No.XII
Stdd p 1
Stdd 1 pulv
Pro: Yanti (8 tahun)
Alamat. Jl. Panglima Pro: Telly ( 6 th)
Pro : KIKI (15 tahun)
 Dr. Selvi Dr. Teguh Dr.Mandayani
SIP:098/SIP/2016 SIP:143/SIP/2016 SIP:163/SIP/2015
Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin Jl. Haryano MT Banjarmasin

Bjm, 25 Sep 2019

Bjm, 15 Nov 2019 Bjm, 27 Nov 2019
R/ Champora 0,5
R/ As. Salisilat 0,2
R/ Ungt. Sulfuris Salicylatum 10 Ol. Sesami 5,0
Vaselin putih ad 10
M.f la Ungt Acid Boric 1,0
M.f ungt
SUE Vaselin Album ad 20
Sue
Did M.f Ungt
Sue
did
Pro: joko (6 th)
Pro: Sinta (11 th)
Pro: Telly (18 th)

Dr. Teguh Dr. Selvi Dr. Teguh

SIP:143/SIP/2016 SIP:098/SIP/2016 SIP:143/SIP/2016
Jl. P samudera Banjarmasin Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin
Bjm, 25 Sep 2019 Bjm, 15 Nov 2019

R/ as. Stearate 5 R/ As. Salisilat 200 mg Bjm, 25 Sep 2019

Cera alba 1,5 ZnO 2,5 R/ Zno 0,5
Vas. Album 3,5 Amylum manihot 2,5 Ungt.simplex 10
TEA 1 Vaselin flavum Ad 10 m.f ungt
Propilenglikol 1 m.f ungt sue
Aqua ad 30 sue
m.f cream did
S bdd ue Pro: Telly (12 th)
Pro: Sinta
Pro: Telly (18 th)

Dr.Heppy Dr.Mandayani Dr. Teguh

SIP:395/SIP/2018 SIP:163/SIP/2015 SIP:143/SIP/2016
Jl. Sei Mesa Banjarmasin Jl. Haryano MT Banjarmasin Jl. P samudera Banjarmasin
Bjm, 23 Des 2019 Bjm, 27 Nov 2019
Bjm, 25 Sep 2019
R/ metil salisilat 8 ml
R/ ketoprofen 0,25 R/ as. Salisilat 0,4
Mentol 1,4
CMC Na 0,5 ZnO
Oleum ricini 30
Gliserin 1,5 Amylum manihot aa 5
m.f linimentum
Nipagin 0,05 Vaselin flavum ad 20
suc
Aquadeds ad 10 m.f l.a pasta
M.f gel suc
Pro: Yanti (38 tahun)
sue Alamat. Jl. Panglima
Pro: ny. Telly
Pro :ny. KIKI
 Dr. Selvi Dr. Teguh Dr.Mandayani
SIP:098/SIP/2016 SIP:143/SIP/2016 SIP:163/SIP/2015
Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin Jl. Haryano MT Banjarmasin
Bjm, 27 Nov 2019
Bjm, 15 Nov 2019 Bjm, 25 Sep 2019 R/ Minyak ikan 25
R/ iodium 0,05 PGA 7,5
R/ As. Salisilat 5 gram Kalium iodide 0,5 Aqua 18
NaHCO3 8,2 gram Gliserin 7,5 Oleum menthae 2 tetes
Aqua ad 100 ml Aqua ad 150 m.f emulsi
m.f potio effervescent M.f gargarisma s1dd1 cth
s. haustus S bdd 1 C

Pro: Telly (18 th) Pro: joko (6 th)

Pro: Sinta (11 th)

Dr. Teguh Dr. Selvi Dr. Teguh

SIP:143/SIP/2016 SIP:098/SIP/2016 SIP:143/SIP/2016
Jl. P samudera Banjarmasin Jl. jeruk Banjarmasin Jl. P samudera Banjarmasin

Bjm, 25 Sep 2019 Bjm, 25 Sep 2019

Bjm, 15 Nov 2019 R/ Acid citric 5
R/ GG ¼ tab Aqua 30
R/ Guttae Auriculares Sp. Citri 5
CTM ½ tab
chloramphenicol 20 Na. bicarbonas 6
M.f guttae Syr simplex 20
m.f pulv dtd No.X
S2dd gtt 2 a.d.s Aqua 110
da In syr 60 ml
stdd cth II m.f saturasi
Pro: Sinta (17 th) s. haustus
Pro: Telly (10 th)
Pro: Telly (27 th)

Dr.Heppy Dr.Mandayani Dr. Teguh

SIP:395/SIP/2018 SIP:163/SIP/2015 SIP:143/SIP/2016
Jl. Sei Mesa Banjarmasin Jl. Haryano MT Banjarmasin Jl. P samudera Banjarmasin

Bjm, 27 Nov 2019 Bjm, 25 Sep 2019

Bjm, 23 Des 2019 R/ Phenobarbital 0,4
R/ acid boric 2 0l. citri 0,05
R/ ol. Ricini 10 ZnSO4 0,200 Propilenglycol 10 ml
Campora 0,1 m.f sol isotonis C Nacl ad 150 ml Etanol 10 ml
PGA 3,5 s. collyria o.d.s Aqua ad` 100 ml
Sacch Album 4 m.F la elixir
Aqua ad 100 Pro: Yanti (38 tahun) S.2 dd 1 cth
Alamat. Jl. Panglima
Pro :ny. KIKI Pro: ny. Telly