Penerima
FAUZIAH
Jln. Datuk Kubah Batu Bara, Kwala Gunung Kec. Datuk Lima Puluh Kode Pos 21255
Indonesia
Telp. -
Email : batubararsud@gmail.com
|
No. Resep |
: 250109RSP244783 |
|
Diagnosa |
: - |
|
Tgl. Resep |
: 2025-01-09 10:40:18 |
|
Nama |
: FAUZIAH |
|
No. RM |
: 050437 |
|
NIK |
: 1219065009730001 |
|
Tgl. lahir |
: 1973-09-10 |
|
Umur |
: |
| No | Nama Obat | Jumlah | Satuan | Dosis |
|---|---|---|---|---|
| 1 | Diazepam 5mg | 30 | tablet | 2 X 1/2 |
| 2 | Olanzapin 10 mg | 30 | tablet | 1x1 |
| 3 | Clozapine 100 mg | 30 | tablet | 1x1 |
| 4 | Risperidon 2 mg | 30 | tablet | 1x1 |
| 5 | asam valproat 250 mg (Depakote) | 30 | tablet | 1x1 |
Penerima
FAUZIAH