KOP SURAT RUMAH SAKIT

REKAPITULASI PASIEN ODP

NO REKAM TANGGAL TGL LAMA

NO NAMA PASIEN NIK / N0. Paspor DIAGNOSA TGL MASUK TERAPI
MEDIS LAHIR KELUAR PERAWATAN

Cefadroxyl 2x500 mg,

1 MARLIS 1207262104890010 346925 7-Aug-58 ODP 23-Mar-20 Paracetamol 3x500 mg, Vit C
3x1

ODP Ceftriaxone 2x1, Dexa 3x1,

2 MHD JUSFAR SIMANJUNTAK 1209180211970000 346731 11-Feb-97 Bronchitis 24-Mar-20 OBH 3x1, Cetirizin 2x1

Ambroxol 3x1, Ceterizin 2x1,

3 UMI AMANAH 1207267009740000 346950 30-Sep-74 ODP 24-Mar-20
Vit C 2x1, PCT 3x1
Cefadroxyl 2x500 mg,
4 KURNIAWAN AFRIZAL 1271182804010000 346957 28-Apr-01 ODP 24-Mar-20 Paracetamol 3x500 mg, Vit C
3x1
PCT 3x1, Salbutamol 3x1,
5 IHSAN SYAHPUTRA 1207260901920000 347139 9-Jan-92 ODP
Asma 24-Mar-20 Dexamethason 3x1,
Ceftriaxone 2x1
Cefadroxyl 2x500 mg,
6 AFIF BADAWI 1207262104890010 346958 21-Apr-89 ODP 24-Mar-20 Paracetamol 3x500 mg, Vit C
3x1

ODP Obs 25-Mar-20 Cefadroxyl 2x500 mg,

7 BUNGA YULANDA PUTRI 1207265704010000 320536 17-Apr-01
Febris
Paracetamol 3x500 mg, Vit C
3x1
PCT 4x500mg, Vit C 1x1, B
8 MUHAMMAD AFFAN 1271141606960000 347044 6-Oct-96 ISPA 26-Mar-20
Com 1x1, Ambroxol 3x1
Paracetamol 3x1, Ambroxol
3x1, Neurodex 2x1,
9 ARFIANSYAH ZUHRI 1271042607010000 347035 26-Jul-01 ODP 27-Mar-20 Metylprednison 3x1,
Eritromisin 3x500

ODP Obs PCT 3x1, Omz 2x1, Ambroxol

10 TITA KHAIRUNNISA 1207265904960010 347140 19-Apr-96 Febris 27-Mar-20 3x1, Neurodex 2x1

Inj Ranitidin /12j, Inj

11 JODI ANWAR HARAHAP 1505070807950000 346979 8-Jul-95 ODP DHF 27-Mar-20 Novalgin, PCT 3x1, Antasida
3x1, Curcuma 1x1

Cefadroxyl 2x500 mg,

12 JULIANI 1207266707670000 240006 27-Jul-97 ODP 28-Mar-20 Paracetamol 3x500 mg, Vit C
3x1
Cefadroxyl 2x500 mg,
13 MISRIANI 347169 11-Aug-86 ODP 29-Mar-20 Paracetamol 3x500 mg, Vit C
3x1
Cefadroxyl 2x500 mg,
14 PARLAUNGAN 1207260907620000 188073 1-Jan-62 ODP 29-Mar-20 Paracetamol 3x500 mg, Vit C
3x1
PCT 3x1, B Com 1x1,
15 ERFANI SIREGAR 1210091506920000 347171 15-Jun-92 ODP 2-Apr-20
Cefadroxil 2x1
PCT 3x1, Ceterizin 2x1,
16 ROHAYATI 1207264411650000 347207 4-Nov-65 ODP 4-Apr-20 Ambroxol 3x1, Ciproflxacin
2x1

Cefadroxyl 2x500 mg,

17 FERNANDO 1271011009980000 347209 9-Oct-98 ODP 4-Apr-20 Paracetamol 3x500 mg,
Ambroxol 3x1, Cetrerizin 2x1

Cefadroxyl 2x500 mg,

18 DIAN NISA 1207264102980000 347173 2-Jan-98 ODP 4-Apr-20 Paracetamol 3x500 mg, Vit C
3x1
 KOP SURAT RUMAH SAKIT
REKAPITULASI PASIEN PDP

NO NAMA PASIEN NIK / N0. Paspor NO REKAM TANGGAL DIAGNOSA TGL MASUK TGL KELUAR TERAPI LAMA
MEDIS LAHIR PERAWATAN
1 GUSTI PUTU LINAARIYANTI 346793 3/17/1978 PDP 3/20/2020
2 ABDUL LATIF 346795 3/15/1965 PDP 3/20/2020
3 AHMAD NURPUTRA MINHAD 1271052404820000 251398 4/24/1982 PDP 4/11/2020