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Analisis Resep

A. Resep

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B. Menulis Ulang Resep

PUSKESMAS KECAMATAN MAMPANG PRAPATANJL. KEMANG DALAM III RT. C4/03 TELP. 021-7196578

JAKARTA SELATAN

ASKES / JAMSOSTEK / UMUM

KAK PG!"# 24 $"%PU S&'(PU )"*+J(#+, K#$#*"#

K. G++M""MTS RKKI "#(' 

6 M"'( 2016'. L(D&(' P(%('+,"

26 *

R/ CTM #&.

S 3 ).

R/ I)'&(# #&.

S 3 ).

R/ A%'&& #&.

S 3 ).

R/ + C #&. :

S 2 I

 NAMA; A+,

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C. Skrinning Resep

No. Parameter Keterangan

P(',"'""# A%+#+,'",+ ;

1.  N"%"= #&%&' ++# )'"(= ""%" "# #&%&' (()&(' 

A"

2. T"#**" )(#+,"# '(,() A"

3. N"%"= %'= $(#+, ("%+# )",+(# A"

4. ('" ""# "# +#**+ )",+(# A"

5. C"'" )""+ >S+*#"'"? A"

6. K(('"#*"# "+##" A"

7. T"#" "#*"# "" )"'" &(' T+" ""

P(',"'""# @"'%",(+ ;

1. N"%" &" "# (""# ,(+""# A"

2. (# ,(+""# T+" ""

3. D&,+, "# $%"< &" A"

4. A'"# "'" )(#**#""# A"

5. S"++", "# "%" )(%""+"# T+" ""

P(',"'""# K+#+, ;

1. " )(#**#""# &" T+" ""

2. D)+",+ )(#*&""# T+" ""

3. I#('",+ &" T+" ""4. K(()""# +#+",+ T()"

5. K'" +#+",+ T+" ""

Analisis Pesyaratan Administrasi

('","'"#

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? T"#" " )(#+,"# '(,() (#*"# "#" R/ ; +#B("+&

(? N"%" &"= $%"< &"= "# "'" )(%""# >+" +)('"#? ; )'"(,'+)+& ""

&'+#"+&

P"" '(,() +#+ $*" +" +(%"# +#**+ ""# )",+(#= ,(

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P'&,(# S($""%&,+,++#

,('&,+%= ('+&%+,+#= &,+,++#? %(#(""# )(#+#*""# )(#('+%""# "#++&+ (""% $"'+#*"#

 )"'-)"'.

D&,+, A#" 6-12 "

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1 )""+ F "( 4%* F 2%*

1

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K(('"#*"# ; PP# 10H

  M"' ) 25H

"# C$M mg

NA F R) 10.400 / 1000 "( F R) 10=4 /"(

JA F > 5 "( R) 10=4 1.1 1.25? )(""#"#

F R) 72 R) 1.000

F Rp ".*0'23

'# &upro4en '**mg

NA F R) 14.700 / 100 "( F R) 147 / "(

JA F > 5 "( R) 147 1.1 1.25? )(""#"#

F R) 1.011 R) 1.000

F Rp '.*""23

+# Amro,ol +*mg

NA F R) 15.858 / 100 "( F R) 158=58 / "(

JA F >5 "( R) 158=58 1.1 1.25? )(""#"#

F R) 1.090 R) 1.000

F Rp '.*5*23

# /itamin C -*mg

NA F R) 45.750 / 1000 "(F R) 45=75 / "(

JA F > 10 "( R) 45=75 1.1 1.25? )(""#"#

F R) 629 R) 1.000

F Rp ".6'523

$O$A7 1AR8A !

R/ CTM 4%* F R) 1.072

R/ +)'&(# 200%* F R) 2.011

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R/ "%'&& 30%* F R) 2.090

R/ +"%+# C 50%* F R) 1.629

$otal 1arga 9 Rp 6.:*' ; Rp 6.:**23

F. Permasala)an Dalam Resep

1. T"#" "#*"# "" )"'" &(' 

" +#+ ")" %(#*"+""# ('+*""# )"" (","

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" +#+ +""# "*"' +" ('$"+ (,""

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A)&( !&"#+," @"'%J. K(%"#* D""% N&. 01

T(). >021? 8400257Apoteker ! =oanista &lus Kotan2 S.Farm.2 Apt.

S.&.K ! +"*">A

 N&. 31 J""'"= 06-03-2016

Nn. Ais)a Mulya

T+*" "+ ,(021? 8400257Apoteker ! =oanista &lus Kotan2 S.Farm.2 Apt.

S.&.K ! +"*">A

 N&. 31 J""'"= 06-03-2016

Nn. Ais)a Mulya

T+*" "+ ,(021? 8400257Apoteker ! =oanista &lus Kotan2 S.Farm.2 Apt.

S.&.K ! +"*">A

 N&. 31 J""'"= 06-03-2016

Nn. Ais)a Mulya

D" "+ ,(

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&. Salinan Resep

Apotek Yoanista Farm Jl. Kemang Dalam no. 01

Nomor Telepon : 021 – 840057Apoteker : Yoanista Ilus Kotan, S.Farm., Apt.

S.I.P.A : 3101/A

SALINAN RESEP

 N"%" &(' ; '. L(T"#**" '(,() ; 03 M"'( 2016

 N&%&' '(,() ; 31

 N"%" )",+(# ; N#. A+,7 "

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$U8AS Compounding and Dispensing

ANA7&S&S R(S(P

Kelas C

D+,,# &(< ;

=oanista &lus Kotan '*"-**"+++

FAKU7$AS FARMAS& UN&/(RS&$AS PANCAS&7A

PRO8RAM S$UD& PROF(S& APO$(K(R 

?akarta

'*"6