| Nama Pasien |
: FATIMAH ARUAN |
No.RM |
: 044761 |
| NIK |
: 1219057112770008 |
Pekerjaan |
: IRT |
| Tgl.Lahir |
: 1977-12-31 Usia : 46 tahun 10 bulan 8 hari |
Warga Negara |
: WNI |
| Jenis Kelamin |
: Perempuan |
Agama |
: Islam |
| No.Handphone |
: 0000000000 |
Status Pernikahan |
: Kawin |
| No.Telepon |
: |
Nama Dokter |
: dr. HENRY SIBARANI, M. Kes, M. Ked, Sp. PD |
| Jaminan |
: Umum |
Tanggal Kunjungan |
: 2024-10-17 20:00:00 |
| TD |
: mmHg |
| Nadi |
: x/menit |
RR |
: x/menit |
| Suhu |
: oC |
Spo |
: % |
| TB |
: cm |
BB |
: Kg |
| Rujukan Dari |
:
- |
| Anamnesa |
: |
| Pemeriksaan Fisik |
: Kepala (), Gigi & Mulut (), THT (), Thoraks (), Abdomen (), Genital & Anus (), Ekstremitas (), Kulit (). Catatan : |
| Laboratorium |
:
(1) UR/CR (2) PEWARNAANGRAM (3) TCM |
| Radiologi |
: |
| USG |
: |
| EKG |
: |
| Diagnosa |
:
ICD 10 :
|
| Tindakan Medis |
:
ICD 09 :
|
| Therapy / Resep |
:
Ambroxol HCl (3 x 1 7 tablet)
,
Ambroxol HCl (3x1tab 1 tablet)
,
Furosemide 40 mg (1 x 1 7 tablet)
,
Omeprazole 20 mg (2x1 14 tablet)
,
Paracetamol 500 mg (3 x 1 3 tablet)
,
Salbutamol 4 mg (2x1 4 tablet)
,
Salbutamol 4 mg (2x4mg 1 tablet)
,
Aqua pro injection (- 2 Vial)
,
Aqua pro injection (per 12 jam 1 Vial)
,
Ceftiaxiason inj (1gr/12jam 4 Vial)
,
Ceftiaxiason inj (per 12 jam 3 Vial)
,
Dexamethason inj (per 12 jam 4 Ampul)
,
Dexamethason inj (1amp/12jam 1 Ampul)
,
Furosemide inj (20mg/12jam 1 Ampul)
,
Furosemide inj (per 12 jam 5 Ampul)
,
Furosemide inj (20mg/12j 1 Ampul)
,
Ranitidin inj (50 mg/12jam 2 Ampul)
,
Ranitidin inj (per 12 jam 3 Ampul)
,
Fentolin Nebul (Per 8 Jam 2 Ampul)
,
Azitromycin Tab (1 x 1 4 tablet)
,
Azitromycin Tab (1 x 500mg 1 tablet)
,
Bricasma Respule 5mg/2ml ( (Per 8 Jam 1 ampul)
,
Ringer Lactat / RL (fls 2 fls)
,
Ringer Lactat / RL (20gtt/i 3 fls)
,
Ringer Lactat / RL (Per 8 Jam 4 fls)
,
Ventolin nebul (Per 8 Jam 7 ampul)
,
Ventolin (salbutamol) Inhaler 0,1 mg (Per 8 Jam 2 botol)
,
Pulmicort 0,25 mg/ml (Budesma) (Per 8 Jam 10 Ampul)
|
| Instruksi |
: |
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