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- DAFTAR KUNJUNGAN PASIEN PUSKESMAS CIPOND LAYANAN POLI UMUM SELURUH STATUS No Tanggal Nama Umur Diagnosa L P 1 Impacted cerumen 2 Mitral stenosis 3 4 Hipertensi primer/essensial Batuk 22-06- 2015 AGUSRAWATI S/6611 - 31 Thn 0 Bln 25 Hari 22-06- 2015 KORMIDA SITORUS/1615 - 47 Thn 4 Bln 21 Hari 22-06- 2015 RISTINA/8963 - 29 Thn 2 Bln 28 Hari Diarrhoea and gastroenteritis of presumed infectious origin 22-06- 2015 LILIS/5044 - 43 Thn 1 Bln 4 Hari

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Page 1: Documentbp

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DAFTAR KUNJUNGAN PASIEN PUSKESMAS CIPONDOH

LAYANAN POLI UMUM

SELURUH STATUS

No Tanggal NamaUmur

Diagnosa TherapyL P1 Impacted cerumen

2 Mitral stenosis

3 -Vitamin B Kompleks tablet

4 Hipertensi primer/essensial -Kaptopril tablet 25 mgBatuk -Hidroklortiazid (HCT) tablet 25 mg

22-06-2015 AGUSRAWATI S/6611

- 31 Thn 0 Bln 25 Hari

22-06-2015 KORMIDA SITORUS/1615

- 47 Thn 4 Bln 21 Hari

22-06-2015 RISTINA/8963 - 29 Thn 2 Bln 28 Hari

Diarrhoea and gastroenteritis of presumed infectious origin -Garam Oralit I serbuk, kombinasi : Natrium

0,52 g,

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

22-06-2015 LILIS/5044 - 43 Thn 1 Bln 4 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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4

5 Batuk -Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

6 Gejala dan tanda umum lainnya

7 Gastritis and duodenitis -Parasetamol tablet 500 mg

8

9 Diabetes melitus, tidak spesifikHipertensi primer/essensial

10 Demam berdarah / DBD

11 Asma -Bromheksin tablet 8 mg / NOVAHEKSIN

-Klorfeniramin maleat (CTM) tablet 4 mg

22-06-2015 LILIS/5044 - 43 Thn 1 Bln 4 Hari

22-06-2015 NELSON B/20161 47 Thn 0 Bln 22 Hari

-

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 ROSITA/36178 - 26 Thn 0 Bln 22 Hari

22-06-2015 ANASTASYA F D/6463

- 11 Thn 0 Bln 22 Hari -Antasida DOEN II suspensi, kombinasi :

Aluminium H

22-06-2015 SILVIAH/6479 - 24 Thn 0 Bln 22 Hari

22-06-2015 RAHMAWATI/18982

- 49 Thn 5 Bln 0 Hari

22-06-2015 ASIAH K/2717 - 11 Thn 0 Bln 22 Hari

22-06-2015 BASRI/5706 42 Thn 5 Bln 8 Hari

-

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11 Asma

-Deksametason tablet 0,5 mg / MOLACORT

-Salbutamol tablet 2 mg (sebagai sulfat)

12 Other dermatitis -Klorfeniramin maleat (CTM) tablet 4 mg

Hipertensi primer/essensial -Kaptopril tablet 25 mg-Parasetamol tablet 500 mg

13

14 Gastritis and duodenitis -Ranitidin tablet 150 mg

15 Hipertensi primer/essensial -Kaptopril tablet 25 mg-Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

16 Gastritis and duodenitis -Clobazam tablet 10 mgHipertensi primer/essensial -Kaptopril tablet 25 mgGeneralized anxiety disorder -Parasetamol tablet 500 mg

22-06-2015 BASRI/5706 42 Thn 5 Bln 8 Hari

-

22-06-2015 SUMARTINI/16148

- 41 Thn 2 Bln 3 Hari

-Betametason Krim 0.1 % (sebagai valerat) - 5 gr

22-06-2015 RUSMIATI/1430 - 48 Thn 5 Bln 8 Hari

Malignant neoplasm of thyroid gland

22-06-2015 KASIH MULYANI/5584

- 33 Thn 0 Bln 22 Hari -Antasida DOEN I tablet kunyah, kombinasi :

Alumini

22-06-2015 DARWIN/23976 48 Thn 3 Bln 1 Hari

-

22-06-2015 UUM/4400 - 48 Thn 5 Bln 8 Hari

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16

17 Candidal stomatitis -Parasetamol tablet 500 mgSakit kepala -Asam Askorbat (Vitamin C) tablet 50 mg

18 -Amoksilin kaplet 500 mg-Ranitidin tablet 150 mg-Asam Mefenamat kaplet 500 mg

19 Acute pharyngitis -Ranitidin tablet 150 mgAcute tonsillitis -Parasetamol tablet 500 mg

-Deksametason tablet 0,5 mg / MOLACORT

20 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Asam Askorbat (Vitamin C) tablet 50 mg

-Parasetamol sirup 120 mg / 5ml - 60 ml

22-06-2015 UUM/4400 - 48 Thn 5 Bln 8 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati

22-06-2015 DEA/4400 - 10 Thn 5 Bln 8 Hari

22-06-2015 SRI RUSMIATI/29439

- 39 Thn 0 Bln 22 Hari

Gangguan lain pada kulit dan jaringan sub kutan

22-06-2015 REZA MUBARAK/16397

15 Thn 0 Bln 22 Hari

-

22-06-2015 HAIATUL H/11324

- 5 Thn 5 Bln 3 Hari

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20 Influenza, virus not identified

21 Batuk -Amoksilin kaplet 500 mgAcute pharyngitis -Ambroksol tablet 30 mg

-Deksametason tablet 0,5 mg / MOLACORT

22 Myalgia -Parasetamol tablet 500 mgGeneralized anxiety disorder -Diazepam tablet 2 mg

-Vitamin B Kompleks tablet

23 Acute pharyngitis

Acute tonsillitis -Deksametason tablet 0,5 mg / MOLACORT

Blepharitis

24 Dispepsia -Parasetamol tablet 500 mg

-Ranitidin tablet 150 mg

25 -Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

22-06-2015 HAIATUL H/11324

- 5 Thn 5 Bln 3 Hari

22-06-2015 AAT/8624 - 49 Thn 0 Bln 26 Hari

22-06-2015 MUGI ASTUTIK/2950

- 43 Thn 5 Bln 7 Hari

22-06-2015 AYU NOVITA SARI/6861

- 19 Thn 5 Bln 1 Hari

-Anti Bakteri DOEN salep kombinasi : Basitrasin 500

22-06-2015 ELISA PARTI/3952

- 32 Thn 2 Bln 9 Hari -Antasida DOEN II suspensi, kombinasi :

Aluminium H

22-06-2015 RAHMA/7538 6 Thn 3 Bln 11 Hari

- Acute upper respiratory infections of multiple and unspecifi

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25

-Deksametason tablet 0,5 mg / MOLACORT

-Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

26 -Deksametason tablet 0,5 mg / MOLACORT

-Amoksilin kaplet 500 mg-Parasetamol tablet 500 mg-Ambroksol tablet 30 mg

27

28 Otitis externa -Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg-Kloramfenikol tetes telinga 3 % - 5 ml

29 Tinea cruris -Klorfeniramin maleat (CTM) tablet 4 mg

-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

22-06-2015 RAHMA/7538 6 Thn 3 Bln 11 Hari

- Acute upper respiratory infections of multiple and unspecifi

22-06-2015 SUDARAWERTI/7538

- 43 Thn 3 Bln 3 Hari

Acute upper respiratory infections of multiple and unspecifi

22-06-2015 M IRFAN NABIL/7538

12 Thn 3 Bln 14 Hari

-

22-06-2015 META AMELIA/8655

- 19 Thn 0 Bln 22 Hari

22-06-2015 IDA FARIDA/6065

- 32 Thn 5 Bln 8 Hari

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29 Tinea cruris

30 Hipertensi primer/essensial -Amlodipin tablet 5 mg-Clobazam tablet 10 mg-Asam Mefenamat kaplet 500 mg

31 Tinnitus -Efedrin tablet 25 mg (HCl)-Parasetamol tablet 500 mg

32 Other dermatitis -Hidrokortison krim 2,5 % - 5 gr-Salisil Bedak 2 % - 50 gr-Klorfeniramin maleat (CTM) tablet 4 mg

33 Fracture of upper end of tibia

34 Hipertensi primer/essensial

35 -Ambroksol tablet 30 mg-Parasetamol tablet 500 mg-Multivit Tablet / PEHAVRAL

36 -Amoksilin kaplet 500 mg-Bromheksin tablet 8 mg / NOVAHEKSIN

22-06-2015 IDA FARIDA/6065

- 32 Thn 5 Bln 8 Hari

22-06-2015 TRINARTI/12378 - 42 Thn 5 Bln 1 Hari

22-06-2015 LIM KIM GOAN/4576

48 Thn 5 Bln 2 Hari

-

22-06-2015 ENI/12245 - 43 Thn 0 Bln 22 Hari

22-06-2015 ZAITUL IKHLAS/8191

45 Thn 4 Bln 8 Hari

-

22-06-2015 HERIYAH/6800 - 49 Thn 5 Bln 8 Hari

22-06-2015 TUTI OCTAVIANI/6800

- 18 Thn 5 Bln 8 Hari

Acute upper respiratory infections of multiple and unspecifi

22-06-2015 SRI RURONINGSIH18426

- 40 Thn 0 Bln 22 Hari

Acute upper respiratory infections of multiple and unspecifi

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36

-Asam Askorbat (Vitamin C) tablet 50 mg

-Deksametason tablet 0,5 mg / MOLACORT

37 Batuk -Gliseril Guaiakolat tablet 100 mg

38 Artritis lainnya -Alopurinol tablet 100 mg-Piroksikam tablet 10 mg

39 Candidal stomatitis -Parasetamol tablet 500 mg-Deksametason tablet 0,5 mg / MOLACORT

-Asam Askorbat (Vitamin C) tablet 50 mg

40 Batuk -Multivit Sirup - 60 ml / LYBEXMyalgia

-Kalsium laktat (Kalk) tablet 500 mg

22-06-2015 SRI RURONINGSIH18426

- 40 Thn 0 Bln 22 Hari

Acute upper respiratory infections of multiple and unspecifi

22-06-2015 FITRIA DEWI/19502

- 35 Thn 2 Bln 13 Hari

22-06-2015 RISMA/2082 - 37 Thn 4 Bln 16 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

22-06-2015 WIWIN WINARSIH/19293

- 32 Thn 4 Bln 3 Hari Demam yang tidak diketahui

sebabnya

22-06-2015 ESTER/36642 - 26 Thn 4 Bln 12 Hari -Besi II Sulfat 200 mg + Asam Folat 0,25 mg

(tablet

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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41 Other idiopathic scoliosis

42

43 Gastritis and duodenitis

-Ranitidin tablet 150 mg

44 Sakit kepala -Parasetamol tablet 500 mg

45 Influenza, virus not identified -Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg-Efedrin tablet 25 mg (HCl)-Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

46

47 -Deksametason tablet 0,5 mg / MOLACORT

-Amoksilin kaplet 500 mg-Parasetamol tablet 500 mg

22-06-2015 REFI MALINDA/6446

12 Thn 3 Bln 27 Hari

-

22-06-2015 SHIREEN ALYA/5696

- 6 Thn 2 Bln 20 Hari

Respiratory tuberculosis, bacteriologically and histological

22-06-2015 SUMARNI/8608 - 44 Thn 0 Bln 27 Hari

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati

22-06-2015 JAWARIYAH/3815

- 40 Thn 3 Bln 16 Hari

22-06-2015 FITRI AULIA/3815

- 8 Thn 3 Bln 16 Hari

22-06-2015 AHMAD SOLIHAN/37836

43 Thn 5 Bln 2 Hari

- Stroke, not specified as haemorrhage or infarction

22-06-2015 RUDI HARTONO/21661

32 Thn 1 Bln 19 Hari

- Cutaneous abscess, furuncle and carbuncle

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47

48 Influenza, virus not identified

-Parasetamol tablet 500 mg

49 Hipertensi primer/essensial -Kaptopril tablet 25 mg

50

-Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin kaplet 500 mg

51 -Ranitidin tablet 150 mg-Parasetamol tablet 500 mg-Vitamin B Kompleks tablet

52 -Gentamycin salep kulit 0,1% - 5 gr

53 Skabies -Gentamycin salep kulit 0,1% - 5 gr-Klorfeniramin maleat (CTM) tablet 4 mg

22-06-2015 RUDI HARTONO/21661

32 Thn 1 Bln 19 Hari

- Cutaneous abscess, furuncle and carbuncle

22-06-2015 NAUFAL A/2674 7 Thn 1 Bln 9 Hari

- -Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 MULIAH/28795 - 47 Thn 11 Bln 1 Hari

22-06-2015 FEBY FRISILIA/5400

- 8 Thn 3 Bln 18 Hari

Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 MANIH/17016 - 60 Thn 2 Bln 21 Hari

22-06-2015 M REVO IBNU/28895

12 Thn 0 Bln 22 Hari

-

22-06-2015 KAMILA PUTRI/6171

- 4 Thn 1 Bln 11 Hari

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54 Cystitis -Asam Mefenamat kaplet 500 mg-Siprofloksasin tablet 500 mg (sebagai HCl)

55 -Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg

56 Tumor ganas pada payudara

57 Asma -Salbutamol tablet 2 mg (sebagai sulfat)

-Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

58 Cholelithiasis

59

-Parasetamol tablet 500 mg

22-06-2015 SELVITRI DAMA/6171

- 38 Thn 0 Bln 22 Hari

22-06-2015 ROMLAH/6379 - 30 Thn 2 Bln 17 Hari

Respiratory tuberculosis, not confirmed bacteriologically or

22-06-2015 DAHLIA/5318 - 47 Thn 4 Bln 19 Hari

22-06-2015 HENDRIYANSYAH/8349

41 Thn 1 Bln 12 Hari

-

22-06-2015 MARYATI/4357 - 41 Thn 0 Bln 22 Hari

22-06-2015 ANISA/2350 - 24 Thn 0 Bln 22 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

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60 Gastritis and duodenitis

-Ranitidin tablet 150 mg

61 -Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

-Asam Askorbat (Vitamin C) tablet 50 mg

62 Varicella / Cacar air -Asiklovir krim 5 % - 5 gr-Parasetamol tablet 500 mg-Asiklovir tablet 400 mg

63 Influenza, virus not identified -Parasetamol sirup 120 mg / 5ml - 60 ml

64

65 Dispepsia -Parasetamol tablet 500 mg

22-06-2015 NINA HERLINA/1707

- 38 Thn 5 Bln 9 Hari

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati

-Antasida DOEN II suspensi, kombinasi : Aluminium H

22-06-2015 DHEA IRAWAN/9127

- 8 Thn 4 Bln 12 Hari

Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 ZALFA ZAHIRA/33382

- 9 Thn 2 Bln 19 Hari

22-06-2015 DINDA AGUSTIANI/2080

- 5 Thn 10 Bln 26 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 NOVITA SARI/8663

- 23 Thn 0 Bln 22 Hari

Rupture of chordae tendineae, not elsewhere classified

22-06-2015 NURUL BADRIAH/7201

- 35 Thn 4 Bln 20 Hari

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65 Dispepsia-Deksametason tablet 0,5 mg / MOLACORT

-Sefadroksil Kapsul 500 mg

66 Influenza, virus not identified -Vitamin B Kompleks tablet-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

67 Cystitis -Siprofloksasin tablet 500 mg (sebagai HCl)

-Asam Mefenamat kaplet 500 mg

68 Influenza, virus not identified -Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg-Deksametason tablet 0,5 mg / MOLACORT

69 Acute bronchitis -Gliseril Guaiakolat tablet 100 mg-Amoksilin kaplet 500 mg-Salbutamol tablet 2 mg (sebagai sulfat)

22-06-2015 NURUL BADRIAH/7201

- 35 Thn 4 Bln 20 Hari

22-06-2015 MIKA ANDRALIA/5593

- 24 Thn 0 Bln 22 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

22-06-2015 AMIR HAMZAH/18960

37 Thn 0 Bln 22 Hari

-

22-06-2015 SURATMI/36229 - 35 Thn 5 Bln 7 Hari

22-06-2015 CHANIA AULYA/36229

- 6 Thn 5 Bln 7 Hari

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70 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg

71 -Fitomenadion(Vit. K1) tablet salut gula 10 mg

72 -Parasetamol tablet 500 mg-Multivit Tablet / PEHAVRAL

73 Thyrotoxicosis [hyperthyroidism]

74 Acute tonsillitis -Deksametason tablet 0,5 mg / MOLACORT

Acute pharyngitis -Amoksilin kaplet 500 mg-Parasetamol tablet 500 mg

75

76

77 Hordeolum and chalazion -Kloramfenikol salep mata 1% - 5 gr-Klorfeniramin maleat (CTM) tablet 4 mg

22-06-2015 FINNA AFRYONITA

- 10 Thn 3 Bln 17 Hari

22-06-2015 KASIAH/3114 - 45 Thn 0 Bln 22 Hari

Excessive and frequent menstruation with irregular cycle

22-06-2015 ASEP GUNAWAN/1025

42 Thn 4 Bln 11 Hari

- Demam yang tidak diketahui sebabnya

22-06-2015 NURDA NINGSIH/1573

- 45 Thn 4 Bln 3 Hari

22-06-2015 SHELA OKTADIANA/1257

- 20 Thn 9 Bln 3 Hari

22-06-2015 SYABRINA APRIL/1257

- 14 Thn 3 Bln 0 Hari

22-06-2015 RINI SOVIATI/5783

- 47 Thn 0 Bln 22 Hari

22-06-2015 RINA WATI/3300 - 33 Thn 0 Bln 22 Hari

Page 15: Documentbp

77 Hordeolum and chalazion

78 Sakit kepala

79

80

81 Mucocele of salivary gland -Asam Mefenamat kaplet 500 mg

82 Sakit kepala -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

Gastritis and duodenitis

-Parasetamol tablet 500 mg

83 Conjunctivitis -Kloramfenikol tetes mata 0,5 % - 5 ml

84

85

86 Cystitis -Siprofloksasin tablet 500 mg (sebagai HCl)

-Asam Mefenamat kaplet 500 mg

22-06-2015 RINA WATI/3300 - 33 Thn 0 Bln 22 Hari

22-06-2015 NOVILYA LIMAYA/71296

- 25 Thn 7 Bln 21 Hari

22-06-2015 BELA ALVINO/37701

- 25 Thn 4 Bln 24 Hari

22-06-2015 RINI SOVIATI/5784

- 46 Thn 0 Bln 22 Hari

-Salep 2-4 kombinasi : Asam Salisilat 2 % + Beleran

22-06-2015 M SYAKI/30494 19 Thn 0 Bln 22 Hari

-

22-06-2015 ARMIYATI/7429 - 48 Thn 3 Bln 26 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

22-06-2015 SWASTI NUG/38119

31 Thn 0 Bln 22 Hari

-

22-06-2015 SUBIASTUTI/8797

- 38 Thn 1 Bln 28 Hari

Excessive, frequent and irregular menstruation

23-06-2015 BAYU/8584 20 Thn 0 Bln 21 Hari

-

23-06-2015 M AGUS FIT/27645

40 Thn 0 Bln 21 Hari

-

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86 Cystitis

87 Hernia inguinalis

88 Schizophrenia

89 Gastritis and duodenitis -Amlodipin tablet 5 mgHipertensi primer/essensial -Ranitidin tablet 150 mg

90 -Vitamin B Kompleks tablet-Metronidazol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

91

92 Acute tonsillitis -Deksametason tablet 0,5 mg / MOLACORT

Acute pharyngitis -Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

-Klorfeniramin maleat (CTM) tablet 4 mg

23-06-2015 M AGUS FIT/27645

40 Thn 0 Bln 21 Hari

-

23-06-2015 ZAINAL ABIDIN/9390

37 Thn 2 Bln 2 Hari

-

23-06-2015 YANDI YANSYAH/3120

32 Thn 5 Bln 9 Hari

-

23-06-2015 NUDI/30935 42 Thn 3 Bln 7 Hari

-

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

23-06-2015 TITI SUNARYATI/2269

- 42 Thn 5 Bln 10 Hari

Keputihan / Candidiasis of vulva and vagina (N77.1*)

23-06-2015 ROMLAH/6379 - 30 Thn 2 Bln 17 Hari

23-06-2015 M ALFAJAR/102 9 Thn 0 Bln 21 Hari

-

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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92

93 Influenza, virus not identified -Parasetamol tablet 500 mg

94 Myalgia -Ibuprofen tablet 400 mg-Vitamin B Kompleks tablet

95

96

97

98 Conjunctivitis -Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

99

Gastritis and duodenitis -Parasetamol tablet 500 mg

23-06-2015 M ALFAJAR/102 9 Thn 0 Bln 21 Hari

-

23-06-2015 DITA BORU HASIAN/203

- 9 Thn 2 Bln 15 Hari -Obat batuk Hitam (OBH) Cairan -100 ml non

Alkohol

23-06-2015 RICKHUL H/3397 24 Thn 2 Bln 3 Hari

-

23-06-2015 RUDOLF PANJ/18841

44 Thn 4 Bln 5 Hari

- Benign lipomatous neoplasm of skin and subcutaneous tissue o

23-06-2015 RESTU AM/36049

17 Thn 4 Bln 17 Hari

- Demam yang tidak diketahui sebabnya

23-06-2015 CHRISTIEN MARGA/5784

- 21 Thn 0 Bln 22 Hari

Gangguan lain pada kulit dan jaringan sub kutan

23-06-2015 AJI ADINATA/23796

11 Thn 0 Bln 22 Hari

-

23-06-2015 REVELINO/71298 39 Thn 0 Bln 21 Hari

- Demam yang tidak diketahui sebabnya

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

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99

-Klorfeniramin maleat (CTM) tablet 4 mg

100 -Asam Mefenamat kaplet 500 mg

101 Influenza, virus not identified -Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

102 Acute pharyngitis -Parasetamol tablet 500 mgAcute tonsillitis -Deksametason tablet 0,5 mg / MOLACORT

-Ambroksol tablet 30 mg

103

104 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

Dispepsia

-Ambroksol tablet 30 mg

23-06-2015 REVELINO/71298 39 Thn 0 Bln 21 Hari

-

23-06-2015 NUR ABDUL/7419

12 Thn 0 Bln 21 Hari

- Gangguan lain pada kulit dan jaringan sub kutan -Anti Bakteri DOEN salep kombinasi : Basitrasin

500

23-06-2015 DIAH AYU NOURMA/7419

- 18 Thn 3 Bln 21 Hari

23-06-2015 NAZWA DESTI/7687

- 10 Thn 4 Bln 22 Hari

23-06-2015 DANIELLA KH /29569

16 Thn 4 Bln 23 Hari

- Demam yang tidak diketahui sebabnya

23-06-2015 PUTRI DITA/786 - 16 Thn 0 Bln 21 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

Page 19: Documentbp

104

105 Calculus of ureter

106 Asma -Ambroksol tablet 30 mg-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Salbutamol tablet 2 mg (sebagai sulfat)

107 -Deksametason tablet 0,5 mg / MOLACORT

-Sefadroksil Kapsul 500 mg-Ambroksol tablet 30 mg-Parasetamol tablet 500 mg

108 Demam berdarah / DBD

109 Influenza, virus not identified -Ranitidin tablet 150 mgDispepsia -Parasetamol tablet 500 mg

-Vitamin B Kompleks tablet

110 -Klorfeniramin maleat (CTM) tablet 4 mg

23-06-2015 PUTRI DITA/786 - 16 Thn 0 Bln 21 Hari

23-06-2015 EFRIANTO/32151 30 Thn 4 Bln 12 Hari

-

23-06-2015 RIZAL ABDUL/1921

14 Thn 4 Bln 20 Hari

-

23-06-2015 BUDI SUTIYONO/9837

31 Thn 2 Bln 27 Hari

- Acute upper respiratory infections of multiple and unspecifi

23-06-2015 DIAN NURHAYATI/3012

- 13 Thn 0 Bln 21 Hari

23-06-2015 SUHENDI/9838 41 Thn 1 Bln 19 Hari

-

23-06-2015 RENDI AKBAR/8672

28 Thn 0 Bln 21 Hari

- Acute upper respiratory infections of multiple and unspecifi

Page 20: Documentbp

110

-Parasetamol tablet 500 mg

111 Conjunctivitis -Kloramfenikol tetes mata 0,5 % - 5 ml-Deksametason tablet 0,5 mg / MOLACORT

112 Other dermatitis -Metampiron (Antalgin) tablet 500 mgMyalgia -Klorfeniramin maleat (CTM) tablet 4 mg

-Vitamin B Kompleks tablet

113 Other dermatitis -Asam Mefenamat kaplet 500 mg-Hidrokortison krim 2,5 % - 5 gr

114

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Parasetamol tablet 500 mg

23-06-2015 RENDI AKBAR/8672

28 Thn 0 Bln 21 Hari

- Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

23-06-2015 NASRIAH/6246 - 20 Thn 3 Bln 13 Hari

23-06-2015 RATIH SUNARTIH/21008

- 29 Thn 0 Bln 21 Hari

23-06-2015 MUINAH/35526 - 29 Thn 3 Bln 28 Hari

23-06-2015 ADEVIA KHAIRUNI/4527

- 8 Thn 4 Bln 5 Hari

Demam yang tidak diketahui sebabnya

-Antasida DOEN II suspensi, kombinasi : Aluminium H

Page 21: Documentbp

115 Other dermatitis -Deksametason tablet 0,5 mg / MOLACORT

Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Salisil Bedak 2 % - 50 gr-Klorfeniramin maleat (CTM) tablet 4 mg

116 Candidal stomatitis -Klorfeniramin maleat (CTM) tablet 4 mg

Miliaria rubra -Hidrokortison krim 2,5 % - 5 gr-Deksametason tablet 0,5 mg / MOLACORT

117 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin kaplet 500 mg

118 Influenza, virus not identified -Parasetamol sirup 120 mg / 5ml - 60 ml

-Deksametason tablet 0,5 mg / MOLACORT

-Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg

23-06-2015 DEDE KURNIASIH/4527

- 40 Thn 3 Bln 1 Hari

23-06-2015 ELY YUSNIAH/3213

- 35 Thn 2 Bln 7 Hari

23-06-2015 NAZWA AULIA/2563

- 8 Thn 1 Bln 4 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

23-06-2015 RIFA/3213 - 5 Thn 4 Bln 27 Hari

Page 22: Documentbp

118 Influenza, virus not identified

119 -Zinc tablet 20 mg-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

120 Batuk -Parasetamol tablet 500 mgHipertensi primer/essensial -Ambroksol tablet 30 mg

-Amlodipin tablet 5 mg-Klorfeniramin maleat (CTM) tablet 4 mg

121 Other dermatitis -Klorfeniramin maleat (CTM) tablet 4 mg

-Hidrokortison krim 2,5 % - 5 gr

122 -Multivit Tablet / PEHAVRAL

123 Epilepsi

124 Hipertensi primer/essensial -Kaptopril tablet 25 mg-Parasetamol tablet 500 mg

23-06-2015 RIFA/3213 - 5 Thn 4 Bln 27 Hari

23-06-2015 DEA OKTAVIANA/6122

- 5 Thn 5 Bln 7 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

23-06-2015 ITA MARIA ULFAH38158

- 48 Thn 4 Bln 28 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

23-06-2015 MARNIH/17403 - 42 Thn 4 Bln 26 Hari

23-06-2015 SUPIAH/4444 - 45 Thn 4 Bln 26 Hari

General examination and investigation of persons without com

23-06-2015 ILHAM ARIPIN/8673

10 Thn 0 Bln 21 Hari

-

23-06-2015 BASRI/2588 50 Thn 5 Bln 7 Hari

-

Page 23: Documentbp

124 Hipertensi primer/essensial

125 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg

126 Atypical autism

127 -Amoksilin kaplet 500 mg-Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

128 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Ambroksol tablet 30 mg

129 Rematisme -Ranitidin tablet 150 mg-Piroksikam tablet 10 mg

130 Otitis externa -Klorfeniramin maleat (CTM) tablet 4 mg

-Kloramfenikol tetes telinga 3 % - 5 ml

23-06-2015 BASRI/2588 50 Thn 5 Bln 7 Hari

-

23-06-2015 EGA BASTIAN/2237

7 Thn 2 Bln 28 Hari

-

23-06-2015 RAVELLINO R/6427

7 Thn 4 Bln 11 Hari

-

23-06-2015 JARONAH/1214 - 30 Thn 0 Bln 21 Hari

Acute upper respiratory infections of multiple and unspecifi

23-06-2015 MUIDAH/13053 - 45 Thn 11 Bln 23 Hari

23-06-2015 SUKETI/2267 - 40 Thn 3 Bln 17 Hari

23-06-2015 WAHIDIN NUR/2267

7 Thn 0 Bln 21 Hari

-

Page 24: Documentbp

130 Otitis externa

131 Batuk -Parasetamol tablet 500 mgMyalgia -Ambroksol tablet 30 mg

132 Hipertensi primer/essensial -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

Generalized anxiety disorder -Kaptopril tablet 25 mg-Clobazam tablet 10 mg

133 Gangguan refraksi dan akomodasi

134

-Sefadroksil Kapsul 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

135 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

23-06-2015 WAHIDIN NUR/2267

7 Thn 0 Bln 21 Hari

-

23-06-2015 SUSILAWATI/996 - 31 Thn 5 Bln 3 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

23-06-2015 SITI MAESAROH/7335

- 43 Thn 4 Bln 5 Hari

23-06-2015 DANIEL/21453 18 Thn 0 Bln 21 Hari

-

23-06-2015 M RIXJAL /110 20 Thn 5 Bln 11 Hari

- Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

23-06-2015 SUSANTI/71299 - 32 Thn 0 Bln 21 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

Page 25: Documentbp

135 Influenza, virus not identified

136 Gastritis and duodenitis -Salisil Bedak 2 % - 50 gr

-Ranitidin tablet 150 mg-Atapulgit tablet 600 mg

137 Fibroadenosis of breast

138

139 Calculus of ureter -Vitamin B Kompleks tablet-Metampiron (Antalgin) tablet 500 mg

140 Other peripheral vertigo -Deksametason tablet 0,5 mg / MOLACORT

-Sianokobalamin (vitamin B12) tablet 50 mcg

141 Influenza, virus not identified -Amlodipin tablet 5 mgHipertensi primer/essensial -Simvastatin tablet 10 mg

-Ambroksol tablet 30 mg

23-06-2015 SUSANTI/71299 - 32 Thn 0 Bln 21 Hari

23-06-2015 LAMRO SIMARMATA/5400

- 44 Thn 5 Bln 7 Hari -Antasida DOEN II suspensi, kombinasi :

Aluminium H

23-06-2015 SARI ISLAMI R T/5138

- 23 Thn 0 Bln 21 Hari

23-06-2015 DYLON M ISA 23 Thn 1 Bln 28 Hari

- Diarrhoea and gastroenteritis of presumed infectious origin

23-06-2015 AHMAD TURMUZI/6832

36 Thn 5 Bln 3 Hari

-

23-06-2015 ATIK DAMIATI/6854

- 49 Thn 5 Bln 1 Hari

23-06-2015 SRI BUDI/23192 46 Thn 4 Bln 28 Hari

-

Page 26: Documentbp

142 -Klorfeniramin maleat (CTM) tablet 4 mg

-Deksametason tablet 0,5 mg / MOLACORT

-Bromheksin tablet 8 mg / NOVAHEKSIN

143 -Bromheksin tablet 8 mg / NOVAHEKSIN

-Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

144 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

145 Gastritis and duodenitis -Ambroksol tablet 30 mgAsma -Klorfeniramin maleat (CTM) tablet 4 mg

Influenza, virus not identified -Salbutamol tablet 2 mg (sebagai sulfat)

-Parasetamol tablet 500 mg

23-06-2015 DAFFA A R/23192

11 Thn 0 Bln 21 Hari

- Acute upper respiratory infections of multiple and unspecifi

23-06-2015 DANAR A N/23192

9 Thn 0 Bln 21 Hari

- Acute upper respiratory infections of multiple and unspecifi

24-06-2015 ROMLAH/6379 - 30 Thn 2 Bln 17 Hari

24-06-2015 HALIMAH/11552 - 38 Thn 5 Bln 10 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

Page 27: Documentbp

145

146 Low back pain

147

148

149 -Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin kaplet 500 mg-Ambroksol tablet 30 mg

150 -Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

151 -Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

-Ambroksol tablet 30 mg

152 Acute tonsillitis -Klorfeniramin maleat (CTM) tablet 4 mg

24-06-2015 HALIMAH/11552 - 38 Thn 5 Bln 10 Hari

24-06-2015 ROSLELI TARIGAN/5120

- 41 Thn 3 Bln 19 Hari

24-06-2015 BEBY SANDANI/8677

- 16 Thn 0 Bln 20 Hari

Demam yang tidak diketahui sebabnya

24-06-2015 RINA/32804 38 Thn 0 Bln 20 Hari

-

24-06-2015 MUHAMAD ILYAS/20537

19 Thn 1 Bln 26 Hari

- Acute upper respiratory infections of multiple and unspecifi

24-06-2015 RAHAYU SRIASIH/28223

- 30 Thn 10 Bln 25 Hari

Demam yang tidak diketahui sebabnya

24-06-2015 M ZAKI MUBAROK/14120

8 Thn 3 Bln 21 Hari

- Acute upper respiratory infections of multiple and unspecifi

24-06-2015 MISLA SPD/386 47 Thn 3 Bln 8 Hari

-

Page 28: Documentbp

152

Acute pharyngitis -Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg-Amlodipin tablet 5 mg

153 Acute tonsillitis -Amoksilin kaplet 500 mgAcute pharyngitis -Parasetamol tablet 500 mg

-Deksametason tablet 0,5 mg / MOLACORT

154 Epilepsi

155 Varicella / Cacar air -Asiklovir tablet 400 mg-Salisil Bedak 2 % - 50 gr-Asam Askorbat (Vitamin C) tablet 50 mg

-Parasetamol tablet 500 mg

156 Influenza, virus not identified

-Multivit Tablet / PEHAVRAL-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

24-06-2015 MISLA SPD/386 47 Thn 3 Bln 8 Hari

-

24-06-2015 NOVI NIKMATUL/2950

- 16 Thn 0 Bln 20 Hari

24-06-2015 MARKUS PARSAORAN1136

13 Thn 4 Bln 24 Hari

-

24-06-2015 RAHMA ARDINA/7579

- 9 Thn 3 Bln 2 Hari

24-06-2015 DARKONI/3653 - 49 Thn 5 Bln 7 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

Page 29: Documentbp

157 -Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

158 Dispepsia

-Ranitidin tablet 150 mg

159 Nonsuppurative otitis media

160 -Zinc tablet 20 mg-Klorfeniramin maleat (CTM) tablet 4 mg

161 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

162 Influenza, virus not identified -Ambroksol tablet 30 mg

24-06-2015 AULIA Z A/19278 - 6 Thn 2 Bln 10 Hari

Acute upper respiratory infections of multiple and unspecifi

24-06-2015 MASITHOH/19278

- 32 Thn 5 Bln 2 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

24-06-2015 M PAMBUDI/7071

46 Thn 2 Bln 16 Hari

-

24-06-2015 RAHMA/7538 6 Thn 3 Bln 11 Hari

- Diarrhoea and gastroenteritis of presumed infectious origin

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

24-06-2015 M IRFAN NABIL/7538

12 Thn 3 Bln 14 Hari

-

24-06-2015 FITRI/7538 - 30 Thn 2 Bln 3 Hari

Page 30: Documentbp

162 Influenza, virus not identified-Vitamin B Kompleks tablet-Asam Askorbat (Vitamin C) tablet 50 mg

163

164 Gastritis and duodenitis -Ranitidin tablet 150 mg-Parasetamol tablet 500 mg

165

Gastritis and duodenitis

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Domperidon tablet 10 mg

24-06-2015 FITRI/7538 - 30 Thn 2 Bln 3 Hari

24-06-2015 ASEP NISPUDIN/8678

35 Thn 0 Bln 20 Hari

- Diarrhoea and gastroenteritis of presumed infectious origin

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

24-06-2015 TINI KARTINI/22926

- 35 Thn 3 Bln 14 Hari Diarrhoea and gastroenteritis of

presumed infectious origin

Demam yang tidak diketahui sebabnya

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

24-06-2015 UMA SAFIRA/22926

- 6 Thn 1 Bln 16 Hari

Demam yang tidak diketahui sebabnya

-Antasida DOEN II suspensi, kombinasi : Aluminium H

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

Page 31: Documentbp

165

-Parasetamol sirup 120 mg / 5ml - 60 ml

166 Asma -Ambroksol tablet 30 mg-Salbutamol tablet 2 mg (sebagai sulfat)

-Deksametason tablet 0,5 mg / MOLACORT

167 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Sianokobalamin (vitamin B12) tablet 50 mcg

-Ambroksol tablet 30 mg-Parasetamol tablet 500 mg

168 -Asam Askorbat (Vitamin C) tablet 50 mg

Influenza, virus not identified -Ambroksol tablet 30 mg-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

169 Influenza, virus not identified

24-06-2015 UMA SAFIRA/22926

- 6 Thn 1 Bln 16 Hari

24-06-2015 NOVI YANTI/8688

- 21 Thn 3 Bln 18 Hari

24-06-2015 CASWIN/5062 31 Thn 4 Bln 24 Hari

-

24-06-2015 ADITIA MAULANA/13735

14 Thn 4 Bln 29 Hari

- Sariawan / Recurrent oral aphthae

24-06-2015 IBNU HERMANSYAH/815

13 Thn 6 Bln 27 Hari

- -Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

Page 32: Documentbp

169

Other dermatitis -Klorfeniramin maleat (CTM) tablet 4 mg

-Gentamycin salep kulit 0,1% - 5 gr

170 Myalgia -Sianokobalamin (vitamin B12) tablet 50 mcg

Gastritis and duodenitis -Ranitidin tablet 150 mg-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

171 Atopic dermatitis, unspecified

172 Diabetes melitus, tidak spesifik

173 -Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Vitamin B Kompleks tablet

174 Other dermatitis -Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

24-06-2015 IBNU HERMANSYAH/815

13 Thn 6 Bln 27 Hari

-

24-06-2015 SITI MUNJIAH/7638

- 34 Thn 3 Bln 6 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

24-06-2015 LUSIANTI/6357 - 40 Thn 4 Bln 1 Hari

24-06-2015 MAFTUHAH/25114

- 42 Thn 5 Bln 5 Hari

24-06-2015 AISYAH NAZWA/3564

- 8 Thn 3 Bln 20 Hari

Demam yang tidak diketahui sebabnya

24-06-2015 ENDANG S/3564 - 31 Thn 4 Bln 25 Hari

Page 33: Documentbp

174 Other dermatitis

-Deksametason tablet 0,5 mg / MOLACORT

-Salisil Bedak 2 % - 50 gr

175 -Metronidazol tablet 500 mg-Nistatin vaginal tablet 100.000 IU/g-Klorfeniramin maleat (CTM) tablet 4 mg

-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

176

-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol sirup 120 mg / 5ml - 60 ml

-Gliseril Guaiakolat tablet 100 mg

177 -Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

24-06-2015 ENDANG S/3564 - 31 Thn 4 Bln 25 Hari

24-06-2015 SRI MULYATI/14800

- 36 Thn 1 Bln 8 Hari

Keputihan / Vulvovaginal Candidiasis

24-06-2015 DINDA AGUSTIANI/2080

- 5 Thn 10 Bln 26 Hari

Acute upper respiratory infections of multiple and unspecifi

-Kotrimoksazol Suspensi kombinasi : Sulfametoksazol

24-06-2015 RAFFI ANDIKA/8689

8 Thn 2 Bln 8 Hari

- Acute upper respiratory infections of multiple and unspecifi

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178 Allergic rhinitis, unspecified -Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

-Vitamin B Kompleks tablet

179

-Domperidon tablet 10 mg-Ranitidin tablet 150 mg-Atapulgit tablet 600 mg

180 -Parasetamol tablet 500 mg-Ambroksol tablet 30 mg-Asam Askorbat (Vitamin C) tablet 50 mg

-Amoksilin kaplet 500 mg

181 Other dermatitis

182 Epilepsi

183 Impacted cerumen -Fenol Gliserol tetes telinga 10 % - 5 ml

-Asam Mefenamat kaplet 500 mg

24-06-2015 MAHDI/35526 34 Thn 3 Bln 28 Hari

-

24-06-2015 WIWIK E/0182 - 47 Thn 4 Bln 21 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati

24-06-2015 ALDI SAPUTRA/624

15 Thn 5 Bln 10 Hari

- Acute upper respiratory infections of multiple and unspecifi

24-06-2015 M AL FARIZ/102 8 Thn 0 Bln 20 Hari

-

24-06-2015 BIMO DWI /898 7 Thn 5 Bln 10 Hari

-

24-06-2015 PIPIH SADIAH/8694

- 22 Thn 9 Bln 18 Hari

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183 Impacted cerumen

-Amoksilin kaplet 500 mg

184 Pityriasis versicolor -Gentamycin salep kulit 0,1% - 5 gr-Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

-Ketokonazol tablet 200 mg-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

185 Influenza, virus not identified -Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

Other dermatitis -Asam Askorbat (Vitamin C) tablet 50 mg

186

187 Batuk

-Ranitidin tablet 150 mg

24-06-2015 PIPIH SADIAH/8694

- 22 Thn 9 Bln 18 Hari

24-06-2015 NICO SYAPUTRA/898

19 Thn 1 Bln 22 Hari

-

24-06-2015 SAMSINAR/28428

- 33 Thn 4 Bln 28 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

24-06-2015 KHAIRUL UMAM/3851

29 Thn 2 Bln 14 Hari

-

24-06-2015 IIN MARLINA/71303

- 33 Thn 0 Bln 20 Hari

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

Diarrhoea and gastroenteritis of presumed infectious origin

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

Page 36: Documentbp

187

188 Gastritis and duodenitis -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Zinc tablet 20 mg-Domperidon tablet 10 mg

189

-Ranitidin tablet 150 mg

190 Bronkitis -Ambroksol tablet 30 mg-Deksametason tablet 0,5 mg / MOLACORT

-Salbutamol tablet 2 mg (sebagai sulfat)

-Amoksilin kaplet 500 mg-Parasetamol tablet 500 mg

191 -Asam Mefenamat kaplet 500 mg

-Amoksilin kaplet 500 mg

24-06-2015 IIN MARLINA/71303

- 33 Thn 0 Bln 20 Hari

25-06-2015 NADHIF ADHAM/3653

5 Thn 3 Bln 14 Hari

-

Diarrhoea and gastroenteritis of presumed infectious origin

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

25-06-2015 FADIA HAQI/3653

13 Thn 3 Bln 17 Hari

- Diarrhoea and gastroenteritis of presumed infectious origin

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

25-06-2015 SELLA LOPINA/4795

- 21 Thn 3 Bln 4 Hari

25-06-2015 JESIKA/2999 - 17 Thn 0 Bln 19 Hari

Gangguan lain pada kulit dan jaringan sub kutan -Anti Bakteri DOEN salep kombinasi : Basitrasin

500

Page 37: Documentbp

191

192 Asma

-Aminofillin tablet 200 mg-Prednison tablet 5 mg

193 Gastritis and duodenitis -Parasetamol tablet 500 mgSakit kepala

-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

194 Myalgia -Asam Mefenamat kaplet 500 mg-Vitamin B Kompleks tablet

195 Acute tonsillitis -Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg-Deksametason tablet 0,5 mg / MOLACORT

-Asam Askorbat (Vitamin C) tablet 50 mg

196 Schizophrenia

25-06-2015 JESIKA/2999 - 17 Thn 0 Bln 19 Hari

Gangguan lain pada kulit dan jaringan sub kutan

25-06-2015 SURADI/15716 48 Thn 5 Bln 10 Hari

- -Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

25-06-2015 TIHAROH/4693 - 43 Thn 2 Bln 21 Hari -Antasida DOEN I tablet kunyah, kombinasi :

Alumini

25-06-2015 MATIUS LEDE/6570

33 Thn 4 Bln 28 Hari

-

25-06-2015 ALBERT GUNAWAN/4975

39 Thn 2 Bln 29 Hari

-

25-06-2015 SAHRUL/10397 12 Thn 2 Bln 3 Hari

-

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197 Biduran / Kaligata / Urtikaria -Deksametason tablet 0,5 mg / MOLACORT

Influenza, virus not identified -Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

198 Gejala dan tanda umum lainnya

199 Influenza, virus not identified -Bromheksin tablet 8 mg / NOVAHEKSIN

-Parasetamol tablet 500 mg-Asam Askorbat (Vitamin C) tablet 50 mg

-Deksametason tablet 0,5 mg / MOLACORT

200 Batuk -Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg

201 -Asam Askorbat (Vitamin C) tablet 50 mg

25-06-2015 AHMAD IRGI/2768

14 Thn 4 Bln 18 Hari

-

25-06-2015 VINCENCO G D/38037

19 Thn 0 Bln 19 Hari

-

25-06-2015 WIWIN WINARSIH/19293

- 32 Thn 4 Bln 3 Hari

25-06-2015 RUSTI RUSANTI/36113

- 38 Thn 9 Bln 23 Hari

25-06-2015 ROHIDA/36592 - 33 Thn 4 Bln 4 Hari

Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

Page 39: Documentbp

201

-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg

202

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

203 Diabetes melitus, tidak spesifik -Sianokobalamin (vitamin B12) tablet 50 mcg

-Metformin HCl tablet 500 mg

204 Acute tonsillitis -Parasetamol tablet 500 mgAcute pharyngitis -Gliseril Guaiakolat tablet 100 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

205 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Mefenamat kaplet 500 mg

25-06-2015 ROHIDA/36592 - 33 Thn 4 Bln 4 Hari

Acute upper respiratory infections of multiple and unspecifi

25-06-2015 SUNARTI/12979 - 42 Thn 2 Bln 2 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

-Antasida DOEN II suspensi, kombinasi : Aluminium H

-Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,

25-06-2015 HJ MURYATI/7060

- 46 Thn 2 Bln 17 Hari

25-06-2015 NATASYA OCTAVIA/7060

- 9 Thn 0 Bln 19 Hari

25-06-2015 IDA RAIDAH/7419

- 42 Thn 3 Bln 26 Hari

Page 40: Documentbp

205 Influenza, virus not identified

-Vitamin B Kompleks tablet

206 Other dermatitis

-Klorfeniramin maleat (CTM) tablet 4 mg

207 Hipertensi primer/essensial -Multivit Tablet / PEHAVRAL-Kaptopril tablet 25 mg

208 Influenza, virus not identified -Asam Mefenamat kaplet 500 mg-Multivit Tablet / PEHAVRAL-Klorfeniramin maleat (CTM) tablet 4 mg

209 Hipertensi primer/essensial -Sianokobalamin (vitamin B12) tablet 50 mcg

Diabetes melitus, tidak spesifik -Hidroklortiazid (HCT) tablet 25 mg-Metformin HCl tablet 500 mg-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

-Kaptopril tablet 25 mg

25-06-2015 IDA RAIDAH/7419

- 42 Thn 3 Bln 26 Hari

25-06-2015 NUR ELANG/7419

9 Thn 0 Bln 19 Hari

- -Salep 2-4 kombinasi : Asam Salisilat 2 % + Beleran

Gangguan lain pada kulit dan jaringan sub kutan

25-06-2015 YETI RAWATI/8615

- 46 Thn 4 Bln 23 Hari

25-06-2015 FERANITA/30987 - 31 Thn 4 Bln 5 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

25-06-2015 ABUN SUPRIANTO/8338

34 Thn 1 Bln 18 Hari

-

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210 Gastritis and duodenitis

Influenza, virus not identified -Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

211 -Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg-Amoksilin kaplet 500 mg

212 Varicella / Cacar air -Asiklovir krim 5 % - 5 gr-Parasetamol tablet 500 mg-Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

213 Kusta, tidak spesifik

214 Pityriasis versicolor -Klorfeniramin maleat (CTM) tablet 4 mg

-Ketokonazol tablet 200 mg-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

25-06-2015 ANJELINA ROHMA/5429

- 9 Thn 1 Bln 29 Hari

-Antasida DOEN II suspensi, kombinasi : Aluminium H

25-06-2015 SADINA DESI/4802

- 10 Thn 3 Bln 12 Hari

Acute upper respiratory infections of multiple and unspecifi

25-06-2015 M RIZKI/3199 15 Thn 2 Bln 13 Hari

-

25-06-2015 TSAMROTUL J/7001

- 8 Thn 4 Bln 27 Hari

25-06-2015 INDAR MURTIANA/9450

- 44 Thn 3 Bln 0 Hari

Page 42: Documentbp

215 Varicella / Cacar air -Asiklovir tablet 400 mg-Asam Askorbat (Vitamin C) tablet 50 mg

-Salisil Bedak 2 % - 50 gr

216 -Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

217 Vertigo of central origin -Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

218 Nonspecific lymphadenitis

219 -Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg-Gliseril Guaiakolat tablet 100 mg-Deksametason tablet 0,5 mg / MOLACORT

220 -Piroksikam tablet 10 mg

25-06-2015 RICO MAULANA/7579

11 Thn 2 Bln 28 Hari

-

25-06-2015 SITI MUNIROH/3695

- 46 Thn 5 Bln 9 Hari

Acute upper respiratory infections of multiple and unspecifi

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

25-06-2015 HENDRIYANSYAH/8349

41 Thn 1 Bln 12 Hari

-

25-06-2015 AHMAD MUHLISIN/5137

20 Thn 3 Bln 7 Hari

-

25-06-2015 MARLENI/8702 - 49 Thn 9 Bln 20 Hari

Acute upper respiratory infections of multiple and unspecifi

25-06-2015 SAYANI/36496 - 40 Thn 2 Bln 24 Hari

Neuralgia dan Neuritis, tidak spesifik

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220Myalgia -Alopurinol tablet 100 mg

-Ranitidin tablet 150 mg

221 Influenza, virus not identified -Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

222 Schizophrenia

-Ranitidin tablet 150 mg-Parasetamol tablet 500 mg

223 Kusta I/T (MB) -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

224 Influenza, virus not identified -Multivit Tablet / PEHAVRALSakit kepala -Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

225

226 Asma

25-06-2015 SAYANI/36496 - 40 Thn 2 Bln 24 Hari

25-06-2015 VIA MARCHELLA/36496

- 9 Thn 1 Bln 24 Hari

25-06-2015 NOVITA SARI/8663

- 23 Thn 0 Bln 22 Hari

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

Diarrhoea and gastroenteritis of presumed infectious origin

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

25-06-2015 HASANUDDIN/5213

42 Thn 5 Bln 2 Hari

-

25-06-2015 ERNI/1079 - 20 Thn 5 Bln 12 Hari

25-06-2015 DARREN DAVIDA/8704

5 Thn 5 Bln 3 Hari

-

25-06-2015 REZA IRZAL KARIM

21 Thn 7 Bln 8 Hari

-

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226Influenza, virus not identified

227 Asma -Amoksilin kaplet 500 mg-Parasetamol tablet 500 mg

-Deksametason tablet 0,5 mg / MOLACORT

-Salbutamol tablet 2 mg (sebagai sulfat)

228 -Ibuprofen tablet 400 mg-Asam Askorbat (Vitamin C) tablet 50 mg

-Vitamin B Kompleks tablet

229 -Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

230 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Parasetamol tablet 500 mg

25-06-2015 REZA IRZAL KARIM

21 Thn 7 Bln 8 Hari

-

25-06-2015 OKTAVIA N/6454 - 17 Thn 0 Bln 19 Hari Acute upper respiratory

infections of multiple and unspecifi

25-06-2015 YUNUS GUNAWAN/10883

37 Thn 3 Bln 4 Hari

- Demam yang tidak diketahui sebabnya

25-06-2015 BINTANG RAMADH.3014

10 Thn 2 Bln 29 Hari

- Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

25-06-2015 YESSY GUSNIL/3014

- 34 Thn 0 Bln 19 Hari

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230 Influenza, virus not identified

-Ambroksol tablet 30 mg-Klorfeniramin maleat (CTM) tablet 4 mg

231 -Sianokobalamin (vitamin B12) tablet 50 mcg

Other dermatitis -Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

232 -Klorfeniramin maleat (CTM) tablet 4 mg

Batuk -Deksametason tablet 0,5 mg / MOLACORT

-Gliseril Guaiakolat tablet 100 mg

233 -Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg

25-06-2015 YESSY GUSNIL/3014

- 34 Thn 0 Bln 19 Hari

25-06-2015 YUMENAH/2441 - 44 Thn 4 Bln 21 Hari

Demam yang tidak diketahui sebabnya

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

-Betametason Krim 0.1 % (sebagai valerat) - 5 gr

25-06-2015 PUJI ASTUTI/6837

- 28 Thn 0 Bln 19 Hari

Gangguan lain pada kulit dan jaringan sub kutan

-Anti Bakteri DOEN salep kombinasi : Basitrasin 500

25-06-2015 SURAEDAH/3354 - 32 Thn 2 Bln 2 Hari

Acute upper respiratory infections of multiple and unspecifi

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233

-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg

234 Other dermatitis -Multivit Tablet / PEHAVRALSakit kepala

-Asam Mefenamat kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

235 -Ambroksol tablet 30 mg-Parasetamol sirup 120 mg / 5ml - 60 ml

236 -Ranitidin tablet 150 mg-Loperamid tablet 2 mg-Zinc tablet 20 mg

237 Influenza, virus not identified

-Parasetamol tablet 500 mg

25-06-2015 SURAEDAH/3354 - 32 Thn 2 Bln 2 Hari

Acute upper respiratory infections of multiple and unspecifi

25-06-2015 SITI SOPIAH/7287

- 31 Thn 4 Bln 10 Hari -Betametason Krim 0.1 % (sebagai valerat) - 5

gr

25-06-2015 RINI SUNARNI/5348

- 37 Thn 3 Bln 24 Hari

-Kotrimoksazol Suspensi kombinasi : Sulfametoksazol

25-06-2015 RURI FAJARWATI/16897

- 32 Thn 1 Bln 14 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

25-06-2015 NURHARYANI/5947

- 37 Thn 5 Bln 12 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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237 Influenza, virus not identified

238 Hipertensi primer/essensial -Klorfeniramin maleat (CTM) tablet 4 mg

Other dermatitis -Amlodipin tablet 5 mg

239 Diabetes melitus, tidak spesifik -Metformin HCl tablet 500 mg-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

240 -Ambroksol tablet 30 mg

-Vitamin B Kompleks tablet-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

241 Gastritis and duodenitis

-Ranitidin tablet 150 mg-Klorfeniramin maleat (CTM) tablet 4 mg

25-06-2015 NURHARYANI/5947

- 37 Thn 5 Bln 12 Hari

26-06-2015 MARNIH/17403 - 42 Thn 4 Bln 26 Hari

-Salep 2-4 kombinasi : Asam Salisilat 2 % + Beleran

26-06-2015 MAFTUHAH/25114

- 42 Thn 5 Bln 5 Hari

26-06-2015 ELVA RIANA/21729

- 37 Thn 4 Bln 18 Hari

Acute upper respiratory infections of multiple and unspecifi

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

26-06-2015 YANTI/5073 - 42 Thn 4 Bln 26 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

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242 Radiodermatitis -Klorfeniramin maleat (CTM) tablet 4 mg

-Asam Askorbat (Vitamin C) tablet 50 mg

243 Sakit kepala -Vitamin B Kompleks tablet-Ibuprofen tablet 400 mg

244

245

246 Gejala dan tanda umum lainnya

247 Gastritis and duodenitis -Kaptopril tablet 25 mgSakit kepala

Hipertensi primer/essensial -Parasetamol tablet 500 mg

248 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

26-06-2015 NUR ABDUL/7419

12 Thn 0 Bln 21 Hari

-

-Anti Bakteri DOEN salep kombinasi : Basitrasin 500

26-06-2015 SHABILLAH/5073 - 12 Thn 8 Bln 22 Hari

26-06-2015 VINCENCO G D/38037

19 Thn 0 Bln 19 Hari

-

26-06-2015 AISYAH NAZWA/3564

- 8 Thn 3 Bln 20 Hari

Demam yang tidak diketahui sebabnya

26-06-2015 BAIHAKI/1790 10 Thn 1 Bln 23 Hari

-

26-06-2015 UUM/4400 - 48 Thn 5 Bln 8 Hari -Antasida DOEN II suspensi, kombinasi :

Aluminium H

26-06-2015 DEA/4400 - 10 Thn 5 Bln 8 Hari

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248 Influenza, virus not identified

249 Faringitis akut, tidak spesifik -Ibuprofen tablet 400 mg-Deksametason tablet 0,5 mg / MOLACORT

250 Influenza, virus not identified -Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

251 Myalgia -Sianokobalamin (vitamin B12) tablet 50 mcg

Hipertensi primer/essensial -Kaptopril tablet 25 mg-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

252 Influenza, virus not identified -Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

26-06-2015 DEA/4400 - 10 Thn 5 Bln 8 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

26-06-2015 ADI RYAN/8998 9 Thn 7 Bln 4 Hari

-

26-06-2015 FITRI RAHMANDA/3075

- 13 Thn 0 Bln 18 Hari

26-06-2015 TAUPAN RIZKY/8794

48 Thn 5 Bln 3 Hari

-

26-06-2015 HARIMAN/14008 44 Thn 10 Bln 26 Hari

-

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253 Myalgia -Klorfeniramin maleat (CTM) tablet 4 mg

-Metampiron (Antalgin) tablet 500 mg

254 -Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

255 Batuk -Klorfeniramin maleat (CTM) tablet 4 mg

-Deksametason tablet 0,5 mg / MOLACORT

256 Katarak, tidak spesifik

257 Gastritis and duodenitis -Parasetamol tablet 500 mg

-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

26-06-2015 RUSTI RUSANTI/36113

- 38 Thn 9 Bln 23 Hari

26-06-2015 RIZKY ACHMAD F/13597

10 Thn 5 Bln 0 Hari

- Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

26-06-2015 WIWI WIDIYANTI/13597

- 33 Thn 3 Bln 16 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

26-06-2015 SUKARTO/1049 49 Thn 2 Bln 12 Hari

-

26-06-2015 SUTIAH/15476 - 41 Thn 2 Bln 7 Hari -Antasida DOEN I tablet kunyah, kombinasi :

Alumini

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257 Gastritis and duodenitis

258 -Asam Askorbat (Vitamin C) tablet 50 mg

-Ibuprofen tablet 400 mg

259 -Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Salbutamol tablet 2 mg (sebagai sulfat)

260

261 Nonspecific lymphadenitis

262 Acute pharyngitis -Parasetamol tablet 500 mg-Asam Askorbat (Vitamin C) tablet 50 mg

263

264 Acute pharyngitis -Asam Askorbat (Vitamin C) tablet 50 mg

26-06-2015 SUTIAH/15476 - 41 Thn 2 Bln 7 Hari

26-06-2015 RIDWAN FEBRIAN/2649

13 Thn 0 Bln 18 Hari

- Penyakit gondok tanpa komplikasi

26-06-2015 BASRI/5706 42 Thn 5 Bln 8 Hari

- Acute upper respiratory infections of multiple and unspecifi

26-06-2015 LUPI/26374 - 36 Thn 1 Bln 22 Hari

Gangguan lain pada kulit dan jaringan sub kutan

26-06-2015 TARTI MUGI/7509

- 28 Thn 3 Bln 17 Hari

26-06-2015 BAGUS ARIE/7209

6 Thn 4 Bln 19 Hari

-

26-06-2015 SURYA HADI W/5903

37 Thn 0 Bln 18 Hari

-

26-06-2015 RATNA TRIYANA/7209

- 35 Thn 11 Bln 2 Hari

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264 Acute pharyngitis

-Parasetamol tablet 500 mg-Deksametason tablet 0,5 mg / MOLACORT

265

266 -Klorfeniramin maleat (CTM) tablet 4 mg

-Siprofloksasin tablet 500 mg (sebagai HCl)

-Gliseril Guaiakolat tablet 100 mg-Multivit Tablet / PEHAVRAL

267 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg

268

-Siprofloksasin tablet 500 mg (sebagai HCl)

-Klorfeniramin maleat (CTM) tablet 4 mg

26-06-2015 RATNA TRIYANA/7209

- 35 Thn 11 Bln 2 Hari

26-06-2015 DESSI MELIANAWATI

- 22 Thn 2 Bln 2 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

26-06-2015 MULYANI/7313 - 40 Thn 5 Bln 5 Hari

Acute upper respiratory infections of multiple and unspecifi

26-06-2015 NADYA T U /7313

- 9 Thn 4 Bln 5 Hari

26-06-2015 SHERLIANY P P/7313

- 18 Thn 0 Bln 18 Hari

Acute upper respiratory infections of multiple and unspecifi

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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268

-Parasetamol tablet 500 mg

269 Degenerative myopia

270 -Gliseril Guaiakolat tablet 100 mg-Multivit Sirup - 60 ml / LYBEX-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol sirup 120 mg / 5ml - 60 ml

271 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg

272

273 Acute pharyngitis -Deksametason tablet 0,5 mg / MOLACORT

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

26-06-2015 SHERLIANY P P/7313

- 18 Thn 0 Bln 18 Hari

Acute upper respiratory infections of multiple and unspecifi

26-06-2015 MAHDI/35526 34 Thn 3 Bln 28 Hari

-

26-06-2015 NOVIA WAHYU/7313

- 5 Thn 3 Bln 28 Hari

Acute upper respiratory infections of multiple and unspecifi

26-06-2015 SUSANTO/6778 30 Thn 5 Bln 9 Hari

-

26-06-2015 TENY ROZALINA/5326

- 27 Thn 2 Bln 29 Hari

Pengawasan terhadap kehamilan resiko tinggi

26-06-2015 PUTRA ARIF/8709

5 Thn 11 Bln 24 Hari

-

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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273 Acute pharyngitis

-Klorfeniramin maleat (CTM) tablet 4 mg

274 Fracture of foot, unspecified

275 Sakit kepala -Parasetamol tablet 500 mgGastritis and duodenitis

-Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat)

276 Other dermatitis

Hipertensi primer/essensial -Klorfeniramin maleat (CTM) tablet 4 mg

-Kaptopril tablet 25 mg

277 Faringitis akut, tidak spesifik -Klorfeniramin maleat (CTM) tablet 4 mg

-Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg

26-06-2015 PUTRA ARIF/8709

5 Thn 11 Bln 24 Hari

-

26-06-2015 ANDRIYANA/8710

29 Thn 9 Bln 16 Hari

-

26-06-2015 SURIFA LESTARI/2620

- 25 Thn 2 Bln 19 Hari -Antasida DOEN I tablet kunyah, kombinasi :

Alumini

26-06-2015 HOLIPAH/6232 - 42 Thn 0 Bln 18 Hari

-Betametason Krim 0.1 % (sebagai valerat) - 5 gr

26-06-2015 SURYANAH/3625 - 32 Thn 4 Bln 9 Hari

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278 Dispepsia -Asam Askorbat (Vitamin C) tablet 50 mg

-Vitamin B Kompleks tablet-Ranitidin tablet 150 mg

279 -Amoksilin kaplet 500 mg-Asam Mefenamat kaplet 500 mg

280 Allergic rhinitis, unspecified -Parasetamol tablet 500 mgAsma -Deksametason tablet 0,5 mg / MOLACORT

-Klorfeniramin maleat (CTM) tablet 4 mg

-Salbutamol tablet 2 mg (sebagai sulfat)

281 Dispepsia -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Domperidon tablet 10 mg

282

283 Diabetes melitus, tidak spesifik

26-06-2015 A ZAHRA/3625 9 Thn 4 Bln 9 Hari

-

26-06-2015 JASINAN/6644 35 Thn 4 Bln 26 Hari

- Burn and corrosion of hip and lower limb, except ankle and f

-Anti Bakteri DOEN salep kombinasi : Basitrasin 500

26-06-2015 ROPIAH/2672 - 45 Thn 4 Bln 26 Hari

26-06-2015 SITI NURAINUN/3488

- 19 Thn 4 Bln 1 Hari

26-06-2015 ALDI SAPUTRA/624

15 Thn 5 Bln 10 Hari

- Demam yang tidak diketahui sebabnya

26-06-2015 ADE AHMADI/29815

38 Thn 5 Bln 2 Hari

-

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283 Diabetes melitus, tidak spesifik

284 Hordeolum and chalazion -Klorfeniramin maleat (CTM) tablet 4 mg

-Kloramfenikol salep mata 1% - 5 gr

285 Influenza, virus not identified -Efedrin tablet 25 mg (HCl)-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

286 Calculus of kidney

287 Other dermatitis -Gentamycin salep kulit 0,1% - 5 gr-Deksametason tablet 0,5 mg / MOLACORT

-Klorfeniramin maleat (CTM) tablet 4 mg

288 Polycystic kidney, unspecified

289 Gejala dan tanda umum lainnya

290 Calculus of kidney -Gentamycin salep kulit 0,1% - 5 gr

26-06-2015 ADE AHMADI/29815

38 Thn 5 Bln 2 Hari

-

26-06-2015 ALIP SAPUTRA/29815

9 Thn 4 Bln 26 Hari

-

26-06-2015 NINA/37973 - 24 Thn 1 Bln 15 Hari

26-06-2015 M AGUS FIT/27645

40 Thn 0 Bln 21 Hari

-

27-06-2015 KRISTYANY A P M35189

- 44 Thn 0 Bln 17 Hari

27-06-2015 MARYANAH/33844

- 33 Thn 3 Bln 16 Hari

27-06-2015 MAKSUDI/6184 41 Thn 0 Bln 17 Hari

-

27-06-2015 M AGUS FIT/27645

40 Thn 0 Bln 21 Hari

-

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290Other dermatitis

-Gentamycin salep kulit 0,1% - 5 gr

291 Gastritis and duodenitis

-Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg

292 Gastritis and duodenitis -Ranitidin tablet 150 mgMyalgia -Ibuprofen tablet 400 mg

-Vitamin B Kompleks tablet

293 Influenza, virus not identified -Deksametason tablet 0,5 mg / MOLACORT

-Klorfeniramin maleat (CTM) tablet 4 mg

-Gliseril Guaiakolat tablet 100 mg-Parasetamol sirup 120 mg / 5ml - 60 ml

294 Influenza, virus not identified -Parasetamol tablet 500 mg

27-06-2015 M AGUS FIT/27645

40 Thn 0 Bln 21 Hari

-

27-06-2015 ALDI SAPUTRA/624

15 Thn 5 Bln 10 Hari

- -Antasida DOEN I tablet kunyah, kombinasi : Alumini

Acute upper respiratory infections of multiple and unspecifi

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

27-06-2015 YUNTAMA/624 - 44 Thn 5 Bln 10 Hari

27-06-2015 ANISAH/18440 - 6 Thn 1 Bln 22 Hari

27-06-2015 ACHMAD ADNAN/36236

4 Thn 5 Bln 8 Hari

- Sariawan / Recurrent oral aphthae

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

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294

295 Gastritis and duodenitis

-Parasetamol sirup 120 mg / 5ml - 60 ml

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Domperidon tablet 10 mg-Gliseril Guaiakolat tablet 100 mg-Klorfeniramin maleat (CTM) tablet 4 mg

296 -Parasetamol tablet 500 mg

Hipertensi primer/essensial

-Kaptopril tablet 25 mg-Multivit Tablet / PEHAVRAL

297 Asma -Klorfeniramin maleat (CTM) tablet 4 mg

-Salbutamol tablet 2 mg (sebagai sulfat)

-Gliseril Guaiakolat tablet 100 mg-Prednison tablet 5 mg

27-06-2015 ACHMAD ADNAN/36236

4 Thn 5 Bln 8 Hari

-

27-06-2015 TARIDA/4482 - 7 Thn 0 Bln 17 Hari

-Kotrimoksazol Suspensi kombinasi : Sulfametoksazol

Acute upper respiratory infections of multiple and unspecifi

27-06-2015 MARIATUN IPTYA/3703

- 36 Thn 5 Bln 3 Hari

Demam yang tidak diketahui sebabnya

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

27-06-2015 REVAN/27974 5 Thn 3 Bln 6 Hari

-

Page 59: Documentbp

298

-Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

299 -Parasetamol tablet 500 mg-Asam Askorbat (Vitamin C) tablet 50 mg

300 Conjunctivitis -Kloramfenikol salep mata 1% - 5 gr-Asam Mefenamat kaplet 500 mg

301 -Asam Askorbat (Vitamin C) tablet 50 mgStomatitis and related lesions

302 -Asam Askorbat (Vitamin C) tablet 50 mg

Penyakit Gondok -Ibuprofen tablet 400 mg

303 -Asam Askorbat (Vitamin C) tablet 50 mg

27-06-2015 NAWATI/41 - 32 Thn 5 Bln 9 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

27-06-2015 ZAHROTU NAZWA/41

- 9 Thn 3 Bln 1 Hari

Diarrhoea and gastroenteritis of presumed infectious origin

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

27-06-2015 M IBRAHIM/7627

5 Thn 5 Bln 1 Hari

-

27-06-2015 NABILA NUR/7627

- 8 Thn 5 Bln 1 Hari

Sariawan / Recurrent oral aphthae

27-06-2015 ALIF FIRDAUS/635

9 Thn 0 Bln 17 Hari

- Sariawan / Recurrent oral aphthae

27-06-2015 SITI ROBIAH/8595

- 12 Thn 8 Bln 16 Hari

Sariawan / Recurrent oral aphthae

Page 60: Documentbp

304 -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

Gastritis and duodenitis -Parasetamol sirup 120 mg / 5ml - 60 ml

-Domperidon tablet 10 mg

305

306 Influenza, virus not identified -Asam Askorbat (Vitamin C) tablet 50 mg

-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

307 Haemorrhoids

308 Nonspecific lymphadenitis

309 -Fitomenadion(Vit. K1) tablet salut gula 10 mg

-Gliseril Guaiakolat tablet 100 mg

27-06-2015 BRYAN/71306 8 Thn 3 Bln 29 Hari

- Demam yang tidak diketahui sebabnya

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

27-06-2015 NURAINI/8713 - 27 Thn 8 Bln 7 Hari

Pengawasan terhadap kehamilan normal, tidak spesifik

27-06-2015 NURAINI/3643 - 45 Thn 4 Bln 0 Hari

27-06-2015 INA NURAENA/71307

- 22 Thn 0 Bln 26 Hari

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati

27-06-2015 CHRISTIAN ADITYA6513

20 Thn 2 Bln 16 Hari

-

27-06-2015 FAJAR AMARULLOH/3803

24 Thn 5 Bln 7 Hari

- Respiratory tuberculosis, not confirmed bacteriologically or

Page 61: Documentbp

310 Acute sinusitis

311 Gejala dan tanda umum lainnya

312 Konjungtivitis, tidak spesifik -Klorfeniramin maleat (CTM) tablet 4 mg

-Gentamycin salep kulit 0,1% - 5 gr

313 Faringitis akut, tidak spesifik -Multivit Sirup - 60 ml / LYBEX-Klorfeniramin maleat (CTM) tablet 4 mg

-Ibuprofen tablet 400 mg

314 Nonsuppurative otitis media -Kloramfenikol tetes telinga 3 % - 5 ml

-Ibuprofen tablet 400 mg

315 Allergic rhinitis, unspecified -Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg

-Efedrin tablet 25 mg (HCl)

27-06-2015 M AZKY M R /29347

12 Thn 0 Bln 27 Hari

-

27-06-2015 M HANIF/732 10 Thn 1 Bln 2 Hari

-

27-06-2015 FITRIA /5518 - 15 Thn 5 Bln 0 Hari

27-06-2015 MAUDYNA PUTRI/17715

- 6 Thn 3 Bln 23 Hari

27-06-2015 RATNAWATI/21652

- 35 Thn 10 Bln 15 Hari

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

27-06-2015 DWIKI ZAHIR/21652

17 Thn 0 Bln 2 Hari

-

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315 Allergic rhinitis, unspecified

316 Gejala dan tanda umum lainnya

317 Other dermatitis -Salisil Bedak 2 % - 50 gr-Klorfeniramin maleat (CTM) tablet 4 mg

318 Hipertensi primer/essensial -Ranitidin tablet 150 mgDispepsia -Parasetamol tablet 500 mg

319 Dispepsia

Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Ranitidin tablet 150 mg

320 Dispepsia -Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Ranitidin tablet 150 mg

321 Dispepsia -Parasetamol tablet 500 mg

27-06-2015 DWIKI ZAHIR/21652

17 Thn 0 Bln 2 Hari

-

27-06-2015 M IRFAN /18366 37 Thn 4 Bln 19 Hari

-

27-06-2015 NASIYAH/4262 - 49 Thn 6 Bln 29 Hari

27-06-2015 KARTIAH/37034 - 42 Thn 3 Bln 0 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

27-06-2015 SUCI/37034 - 17 Thn 3 Bln 0 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

27-06-2015 ROHANI/34721 - 29 Thn 0 Bln 17 Hari

27-06-2015 MERRY YANTI/1102

- 37 Thn 5 Bln 3 Hari

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321 Dispepsia

-Ranitidin tablet 150 mg

322 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Parasetamol tablet 500 mg

323 Gastritis and duodenitis

Sakit kepala -Vitamin B Kompleks tablet-Parasetamol tablet 500 mg

324 Sakit kepala

Gastritis and duodenitis -Parasetamol tablet 500 mgMyalgia -Vitamin B Kompleks tablet

325

326 Other dermatitis -Deksametason tablet 0,5 mg / MOLACORT

-Asam Mefenamat kaplet 500 mg

27-06-2015 MERRY YANTI/1102

- 37 Thn 5 Bln 3 Hari -Antasida DOEN I tablet kunyah, kombinasi :

Alumini

27-06-2015 NUR IRAWAN/9127

30 Thn 4 Bln 20 Hari

-

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

27-06-2015 RITA NOVIANTI/28512

- 27 Thn 0 Bln 17 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

27-06-2015 SAROHA/71310 - 48 Thn 0 Bln 11 Hari

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

27-06-2015 ANA RODHATUL/71310

- 11 Thn 6 Bln 21 Hari

Gangguan lain pada kulit dan jaringan sub kutan

27-06-2015 MUINAH/35526 - 29 Thn 3 Bln 28 Hari

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326 Other dermatitis

327 Biduran / Kaligata / Urtikaria -Klorfeniramin maleat (CTM) tablet 4 mg

-Deksametason tablet 0,5 mg / MOLACORT

328 Influenza, virus not identified -Klorfeniramin maleat (CTM) tablet 4 mg

-Gentamycin salep kulit 0,1% - 5 gr

329 Myopia

330 Hipertensi primer/essensial

331 Gastritis and duodenitis

Thyroid gland -Salisil Bedak 2 % - 50 grOther dermatitis -Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

-Parasetamol tablet 500 mg

27-06-2015 MUINAH/35526 - 29 Thn 3 Bln 28 Hari

27-06-2015 SUPRAPTI/1035 - 40 Thn 4 Bln 7 Hari

27-06-2015 RIDO BAYU/1035 11 Thn 4 Bln 7 Hari

-

27-06-2015 SUSIANTI S PI/7420

- 4 Thn 0 Bln 17 Hari

27-06-2015 SATIYAH/24440 - 46 Thn 4 Bln 18 Hari

27-06-2015 LAKSANA SAHDIATI1862

- 48 Thn 4 Bln 26 Hari

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

-Antasida DOEN I tablet kunyah, kombinasi : Alumini

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332 Gastritis and duodenitis -Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

-Domperidon tablet 10 mg

-Deksametason tablet 0,5 mg / MOLACORT

-Parasetamol tablet 500 mg

27-06-2015 SIMON STEFANUS/1616

8 Thn 3 Bln 4 Hari

-

Acute upper respiratory infections of multiple and unspecifi