RS Rapha Theresia Jambi

Jl. Kardinal J. Darmojuwono Jambi 36128

Phone : 0741-3620 888
Fax :
Apoteker : apt. Herwin Aji Pamungkas, S.Farm
SIPA : 446-DGT-1631769495-15.71.07.1005-DPMPTSP-SIPA-2021

E-PRESCRIPTION
Prescriber : dr. Mona Dwi Hardika, Sp.PD
SIP No : -
Registration No : OPR/20220720/00003 | 20-Jul-2022 10:19
Patient : JUMATIN | 00-00-10-74 | Perempuan
Date of Birth : 12-Nov-1982 ( 39 yr 8 mnth 26 day )
R/ LAMESON (METHYLPREDNISOLONE) 8MG TABLET - MG MG No. 28

2 x sehari 1 TABLET PC
PAGI DAN SIANG
det 28
R/ LAMESON (METHYLPREDNISOLONE) 4MG TABLET - No. 14

1 x sehari 1 TABLET PC
MALAM
det 14
R/ LANSOPRAZOLE 30MG KAPSUL (G) - MG MG No. 14

2 x sehari 1 KAPSUL AC
30 MENIT SEBELUM MAKAN
det 14

MEDINFRAS - PH-00012, Print Date/Time:08-Aug-2022/15:05:11, User Page 1 of 2

ID:Bhima
 RS Rapha Theresia Jambi
Jl. Kardinal J. Darmojuwono Jambi 36128
Phone : 0741-3620 888
Fax :
Apoteker : apt. Herwin Aji Pamungkas, S.Farm
SIPA : 446-DGT-1631769495-15.71.07.1005-DPMPTSP-SIPA-2021

E-PRESCRIPTION
Prescriber : dr. Mona Dwi Hardika, Sp.PD
SIP No : -
Registration No : OPR/20220720/00003 | 20-Jul-2022 10:19
Patient : JUMATIN | 00-00-10-74 | Perempuan
Date of Birth : 12-Nov-1982 ( 39 yr 8 mnth 26 day )

Jambi, 08-Aug-2022

P.c.c.

MEDINFRAS - PH-00012, Print Date/Time:08-Aug-2022/15:05:11, User Page 2 of 2

ID:Bhima