Penerima
SURIYANI BR SITORUS
Jln. Datuk Kubah Batu Bara, Kwala Gunung Kec. Datuk Lima Puluh Kode Pos 21255
Indonesia
Telp. -
Email : batubararsud@gmail.com
|
No. Resep |
: 241120RSP727290 |
|
Diagnosa |
: - |
|
Tgl. Resep |
: 2024-11-20 12:25:27 |
|
Nama |
: SURIYANI BR SITORUS |
|
No. RM |
: 043054 |
|
NIK |
: 1219066106900005 |
|
Tgl. lahir |
: 1990-06-21 |
|
Umur |
: |
| No | Nama Obat | Jumlah | Satuan | Dosis |
|---|---|---|---|---|
| 1 | Lansoprazole 30 mg | 14 | tablet | 2x1 |
| 2 | Codein 20 mg | 21 | tablet | 3x1 |
| 3 | Etambutol 400mg | 90 | tablet | 1x3 |
| 4 | Isoniazid 300mg / INH | 60 | tablet | 1x2 |
| 5 | Sucralfate 500 mg / SUKRALFAT | 1 | tablet | 3x1 sendok makan 1/ ac |
| 6 | vitamin B6 100mg | 30 | tablet | 1x1 |
| 7 | Bedaquiline 100mg (Bdq) | 24 | tablet | 1x2 |
| 8 | Clofazimin 100mg (Cfz) | 30 | tablet | 1x1 |
| 9 | Ethionamid 250mg/ Etionamid (Eto) | 120 | tablet | 1x4 |
| 10 | Levofloxacin 250mg | 120 | tablet | 1x4 |
| 11 | Pirazinamide 500 mg / Pyrazinamide | 90 | tablet | 1x3 |
Penerima
SURIYANI BR SITORUS