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RSI.

SULTAN HADLIRIN

APORAN RESEP / Detail [ ResepSummary001 ]

PERIODE : 2017-08-01 S/D 2017-08-31

Halaman : 1

NO.Nota Tgl.Resep Nama Pasien Kelompok Pasien Nama Obat Satuan H Jual Qty Disc Disc. Rp Adm. Racik

FRJTB170801-001 01-Aug-17 ELLA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0178 CAL 95 kaplet 6,292.00 2.00 20.00 0 400 10,467

2 400 10,467

FRJTB170801-002 01-Aug-17 TN AGUS KARYAWAN INSTALASI FARMASI RAWAT JALAN

H0079 HEPTASAN 4 MG TAB tab 315.00 30.00 20.00 0 400 7,960

30 400 7,960

FRJTB170801-003 01-Aug-17 MBAK ELI KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0023 Omeprazol TB tablet 689.00 6.00 20.00 0 0 3,307

Z0013 Zypras_0.25 tablet 1,859.00 4.00 20.00 0 700 6,649

10 700 9,956

FRJTB170801-004 01-Aug-17 BU SEPTI KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0090 Pyrantel 125 tablet 562.00 16.00 20.00 0 300 7,494

16 300 7,494

FRJTB170801-006 01-Aug-17 KIKI KARYAWAN INSTALASI FARMASI RAWAT JALAN


U0017 UTROGESTAN 100MG tablet 12,870.00 20.00 20.00 0 0 205,920

20 0 205,920

FRJTB170801-009 01-Aug-17 P CIPTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 10.00 20.00 0 0 12,584

P0010 Patral tablet 10,010.00 4.00 20.00 0 300 32,332

14 300 44,916

FRJTB170801-010 01-Aug-17 SUGIHARTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0007 Abbocath 22 pcs 31,174.00 1.00 20.00 0 0 24,939

I0105 INFUS SET MACRO O pcs 31,460.00 1.00 20.00 0 100 25,268

O0019 ONdancentron_4 ampul 7,150.00 3.00 20.00 0 0 17,160

R0005 Ranitidin IJ ampul 4,504.00 3.00 20.00 0 0 10,810

R0039 WIDA RL OGB AS fls 9,295.00 2.00 20.00 0 0 14,872

S0092 Spuit 3ml pcs 3,689.00 2.00 20.00 0 0 5,902

12 100 98,951

FRJTB170802-001 02-Aug-17 MAS TAQWIM KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0033 Ketorolac_30% ampul 20,849.00 3.00 20.00 0 0 50,038

3 0 50,038

FRJTB170802-010 02-Aug-17 SORAYA KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0027 Pibaksin tube 54,340.00 1.00 20.00 0 0 43,472

P0197 PK PCS 6,000.00 1.00 20.00 0 200 5,000


2 200 48,472

FRJTB170802-011 02-Aug-17 SUGIYANTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0001 WIDA D5% OGB UNI fls 8,970.00 2.00 20.00 0 300 14,652

F0044 Folavit tablet 1,102.00 10.00 20.00 0 0 8,816

O0019 ONdancentron_4 ampul 7,150.00 3.00 20.00 0 0 17,160

R0005 Ranitidin IJ ampul 4,504.00 3.00 20.00 0 0 10,810

18 300 51,438

FRJTB170802-012 02-Aug-17 NY JAMINI KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0197 PK PCS 6,000.00 1.00 20.00 0 200 5,000

1 200 5,000

FRJTB170802-013 02-Aug-17 MAS DENI KARYAWAN INSTALASI FARMASI RAWAT JALAN

g0028 Glucodex tablet 790.00 60.00 20.00 0 0 37,920

60 0 37,920

FRJTB170803-001 03-Aug-17 MAS AFIF KARYAWAN INSTALASI FARMASI RAWAT JALAN

s0026 Scabimite 10 gr tube 53,625.00 1.00 20.00 0 100 43,000

1 100 43,000

FRJTB170803-002 03-Aug-17 BP HADI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0021 Cefadroxil fls 12,792.00 1.00 20.00 0 400 10,634

T0019 Termometer badan pcs 11,700.00 1.00 20.00 0 0 9,360

2 400 19,994
FRJTB170803-007 03-Aug-17 AIZ APT KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0027 Lapistan_500 tablet 1,716.00 10.00 20.00 0 200 13,928

10 200 13,928

FRJTB170804-001 04-Aug-17 SUGIYANTO BBS KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0019 ONdancentron_4 ampul 7,150.00 2.00 20.00 0 0 11,440

R0005 Ranitidin IJ ampul 4,504.00 2.00 20.00 0 400 7,606

S0092 Spuit 3ml pcs 3,689.00 2.00 20.00 0 0 5,902

V0018 Vestein kapsul 5,720.00 6.00 20.00 0 0 27,456

12 400 52,405

FRJTB170804-003 04-Aug-17 JAVAN PUTRA ADITYAKARYAWAN INSTALASI FARMASI RAWAT JALAN

C0022 Cefadroxil_500 kapsul 1,091.00 2.00 20.00 0 0 1,746

D0016 Dexamethasone TAB tablet 176.00 3.00 20.00 0 0 422

P0084 Propyretic 80 supp 8,938.00 1.00 20.00 0 0 7,150

S0017 Sanmol_syr fls 15,373.00 1.00 20.00 0 0 12,298

V0096 VIT C 250MG tablet 221.00 1.00 20.00 0 1,200 1,377

8 1,200 22,994

FRJTB170804-004 04-Aug-17 HANTA SABBHISMA, KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0016 Dexamethasone TAB tablet 176.00 4.00 20.00 0 0 563

M0090 MASKER NEBULIZER pcs 67,639.00 1.00 20.00 0 0 54,111

S0011 Salbutamol_4 tablet 145.00 1.00 20.00 0 1,100 1,216


S0016 Sanmol_drop fls 20,664.00 1.00 20.00 0 0 16,531

S0047 Section cath 8 pcs 10,400.00 1.00 20.00 0 0 8,320

V0096 VIT C 250MG tablet 221.00 1.00 20.00 0 0 177

9 1,100 80,918

FRJTB170805-001 05-Aug-17 doni KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0071 Centabio GEL 20 GR tube 25,526.00 3.00 20.00 0 200 61,462

3 200 61,462

FRJTB170805-003 05-Aug-17 MB ASRI KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0050 Amlodipin_10 tablet 1,216.00 10.00 20.00 0 0 9,728

n0031 Neurosanbe tablet 1,467.00 4.00 20.00 0 0 4,694

o0023 Omeprazol TB tablet 689.00 4.00 20.00 0 0 2,205

r0004 Ranitidin TB tablet 343.00 14.00 20.00 0 0 3,842

s0015 Sanmol tablet 372.00 8.00 20.00 0 0 2,381

s0083 Spasmolit tablet 2,860.00 4.00 20.00 0 400 9,552

s0268 SINCRONIK TAB tab 10,010.00 4.00 20.00 0 0 32,032

48 400 64,434

FRJTB170805-004 05-Aug-17 MAS CIPTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

k0057 KETOPROFEN 50 MG tablet 915.00 5.00 20.00 0 0 3,660

l0041 Levofloxacin_500 AS tablet 1,726.00 10.00 20.00 0 0 13,808

n0031 Neurosanbe tablet 1,467.00 10.00 20.00 0 0 11,736


r0004 Ranitidin TB tablet 343.00 10.00 20.00 0 0 2,744

35 0 31,948

FRJTB170805-005 05-Aug-17 AKHLIS KARYAWAN INSTALASI FARMASI RAWAT JALAN

V0072 VENOSMIL CAPS kapsul 11,440.00 4.00 20.00 0 300 36,908

4 300 36,908

FRJTB170806-001 06-Aug-17 TRIANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0180 ALPHARA TAB tab 889.00 5.00 20.00 0 0 3,556

5 0 3,556

FRJTB170806-002 06-Aug-17 DWI KARYAWAN INSTALASI FARMASI RAWAT JALAN

G0011 Gentamicin SK tube 6,000.00 2.00 20.00 0 400 10,000

2 400 10,000

FRJTB170806-003 06-Aug-17 LISA KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0074 Promavit tablet 3,575.00 10.00 20.00 0 400 29,000

10 400 29,000

FRJTB170806-004 06-Aug-17 SARI KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0179 PULMICORT RESP 0.20 23,201.00 2.00 20.00 0 300 37,422

2 300 37,422

FRJTB170806-005 06-Aug-17 AFIF KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 400 5,904

10 400 5,904
FRJTB170806-006 06-Aug-17 MZ PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0005 Daryantulle B (FRAM pcs 13,228.00 1.00 20.00 0 400 10,982

1 400 10,982

FRJTB170806-007 06-Aug-17 PAK CIPTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0041 Levofloxacin_500 AS tablet 1,726.00 10.00 20.00 0 200 14,008

N0031 Neurosanbe tablet 1,467.00 10.00 20.00 0 0 11,736

R0004 Ranitidin TB tablet 343.00 10.00 20.00 0 0 2,744

30 200 28,488

FRJTB170806-008 06-Aug-17 MISBAH SANITASI KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0067 ANTASIDA DOEN tablet 275.00 10.00 20.00 0 0 2,200

P0007 Paracetamol (ZETAM tablet 184.00 10.00 20.00 0 0 1,472

R0004 Ranitidin TB tablet 343.00 6.00 20.00 0 100 1,746

26 100 5,418

FRJTB170806-009 06-Aug-17 YASIR ZAM2 KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0180 ALPHARA TAB tab 889.00 10.00 20.00 0 300 7,412

10 300 7,412

FRJTB170806-010 06-Aug-17 HANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0034 ALLOPURINOL_300 tablet 715.00 30.00 20.00 0 0 17,160

R0032 Rifampicin_450 tablet 1,584.00 30.00 20.00 0 0 38,016

S0015 Sanmol tablet 372.00 12.00 20.00 0 0 3,571


S0064 Simvastatin_10 tablet 801.00 30.00 20.00 0 0 19,224

102 0 77,971

FRJTB170807-001 07-Aug-17 MAS DONI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0071 Centabio GEL 20 GR tube 25,526.00 2.00 20.00 0 100 40,942

2 100 40,942

FRJTB170807-002 07-Aug-17 MAS WIDODO KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0050 Amlodipin_10 tablet 1,216.00 20.00 20.00 0 0 19,456

K0033 Ketorolac_30% ampul 20,849.00 1.00 20.00 0 400 17,079

O0019 ONdancentron_4 ampul 7,150.00 3.00 20.00 0 0 17,160

P0012 Pehacain ampul 4,047.00 3.00 20.00 0 0 9,713

27 400 63,408

FRJTB170807-003 07-Aug-17 MAS DONI KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0125 SPIRAMYCIN 500 TABLET 2,685.00 10.00 20.00 0 0 21,480

10 0 21,480

FRJTB170807-005 07-Aug-17 SUGIYANTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0009 Neciblock_100ml syr fls 67,925.00 1.00 20.00 0 100 54,440

1 100 54,440

FRJTB170807-006 07-Aug-17 RUDJIANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0008 Megazing tablet 3,289.00 3.00 20.00 0 0 7,894

S0015 Sanmol tablet 372.00 8.00 20.00 0 200 2,581


11 200 10,474

FRJTB170808-001 08-Aug-17 BP YASIR KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0062 Analsik tablet 1,702.00 10.00 20.00 0 100 13,716

C0071 Centabio GEL 20 GR tube 25,526.00 3.00 20.00 0 0 61,262

13 100 74,978

FRJTB170808-002 08-Aug-17 B NURUL KARYAWAN INSTALASI FARMASI RAWAT JALAN

i0008 Imunos tablet 9,295.00 4.00 20.00 0 0 29,744

4 0 29,744

FRJTB170808-003 08-Aug-17 BP KEMISAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

R0105 RECO TETES MATA 1 fls 9,295.00 1.00 20.00 0 0 7,436

1 0 7,436

FRJTB170808-004 08-Aug-17 DR NAJIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

n0005 Naprex fls 46,734.00 1.00 20.00 0 0 37,387

P0003 Pamol125 supp 14,300.00 3.00 20.00 0 0 34,320

P0084 Propyretic 80 supp 8,938.00 3.00 20.00 0 0 21,451

7 0 93,158

FRJTB170808-005 08-Aug-17 AKHLIS KARYAWAN INSTALASI FARMASI RAWAT JALAN

V0072 VENOSMIL CAPS kapsul 11,440.00 2.00 20.00 0 0 18,304

2 0 18,304

FRJTB170808-006 08-Aug-17 RENDY KARYAWAN INSTALASI FARMASI RAWAT JALAN


K0019 Kasa Steril 16x16 pak 11,700.00 2.00 20.00 0 200 18,920

2 200 18,920

FRJTB170808-007 08-Aug-17 MAS BONDAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0038 Ambroxol tablet 275.00 10.00 20.00 0 0 2,200

C0027 Cefixim 100 kapsul 3,736.00 10.00 20.00 0 0 29,888

D0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

30 0 33,496

FRJTB170808-008 08-Aug-17 ELA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0178 CAL 95 kaplet 6,292.00 4.00 20.00 0 0 20,134

4 0 20,134

FRJTB170808-009 08-Aug-17 AISAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

V0029 VIT B6/Pyridoxin tablet 194.00 10.00 20.00 0 400 1,952

10 400 1,952

FRJTB170808-010 08-Aug-17 YUANITA KARYAWAN INSTALASI FARMASI RAWAT JALAN

I0097 INTRASITE GEL 15 G tube 128,700.00 1.00 20.00 0 0 102,960

1 0 102,960

FRJTB170808-011 08-Aug-17 PURYATI KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0002 WIDA NACL OGB fls 8,333.00 1.00 20.00 0 300 6,966

1 300 6,966

FRJTB170809-001 09-Aug-17 AFIF KARYAWAN INSTALASI FARMASI RAWAT JALAN


K0033 Ketorolac_30% ampul 20,849.00 3.00 20.00 0 0 50,038

3 0 50,038

FRJTB170809-002 09-Aug-17 BU HIKMAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

c0114 Codein_10 tablet 787.00 10.00 20.00 0 0 6,296

c0115 Codipront syr fls 73,145.00 2.00 20.00 0 100 117,132

12 100 123,428

FRJTB170809-003 09-Aug-17 MB NURUL KARYAWAN INSTALASI FARMASI RAWAT JALAN

n0009 Neciblock_100ml syr fls 67,925.00 1.00 20.00 0 100 54,440

1 100 54,440

FRJTB170809-004 09-Aug-17 TN HADI KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0027 Lapistan_500 tablet 1,716.00 2.00 20.00 0 800 3,546

N0126 NORFLAM TABLET 4,290.00 2.00 20.00 0 0 6,864

R0004 Ranitidin TB tablet 343.00 2.00 20.00 0 0 549

6 800 10,958

FRJTB170809-005 09-Aug-17 TN ANAS KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 8.00 20.00 0 0 2,381

T0169 TRIAMCINOLONE tablet 1,036.00 2.00 20.00 0 0 1,658

10 0 4,038

FRJTB170809-006 09-Aug-17 MB ENDAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0008 Megazing tablet 3,289.00 10.00 20.00 0 0 26,312


N0001 Na_Diklofenak_50 tablet 459.00 20.00 20.00 0 0 7,344

O0023 Omeprazol TB tablet 689.00 10.00 20.00 0 0 5,512

P0007 Paracetamol (ZETAM tablet 184.00 14.00 20.00 0 0 2,061

R0004 Ranitidin TB tablet 343.00 10.00 20.00 0 0 2,744

64 0 43,973

FRJTB170810-002 10-Aug-17 DR. NAJIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0003 Pamol125 supp 14,300.00 4.00 20.00 0 0 45,760

T0169 TRIAMCINOLONE tablet 1,036.00 10.00 20.00 0 0 8,288

14 0 54,048

FRJTB170810-003 10-Aug-17 DR IKA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0082 CETIRIZIN tablet 429.00 5.00 20.00 0 0 1,716

D0016 Dexamethasone TAB tablet 176.00 4.00 20.00 0 1,300 1,863

s0010 Salbutamol_2 tablet 115.00 4.00 20.00 0 0 368

13 1,300 3,947

FRJTB170810-004 10-Aug-17 NURUL KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0032 Neurosanbe inj ampul 6,743.00 2.00 20.00 0 300 11,089

S0092 Spuit 3ml pcs 3,689.00 2.00 20.00 0 0 5,902

4 300 16,991

FRJTB170810-006 10-Aug-17 MBAK SARI KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0054 Amoxan_dry_syr fls 29,616.00 1.00 20.00 0 300 23,993


1 300 23,993

FRJTB170810-007 10-Aug-17 LUKMAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0067 ANTASIDA DOEN tablet 275.00 20.00 20.00 0 0 4,400

A0077 Asam_Mefenamat_50 tablet 387.00 30.00 20.00 0 0 9,288

C0022 Cefadroxil_500 kapsul 1,091.00 10.00 20.00 0 100 8,828

C0134 CTM TAB tablet 69.00 20.00 20.00 0 0 1,104

I0002 Ibuprofen_200 TAB tablet 271.00 20.00 20.00 0 0 4,336

M0048 Mucohexin tablet 658.00 12.00 20.00 0 0 6,317

N0001 Na_Diklofenak_50 tablet 459.00 20.00 20.00 0 0 7,344

R0004 Ranitidin TB tablet 343.00 20.00 20.00 0 0 5,488

S0015 Sanmol tablet 372.00 8.00 20.00 0 0 2,381

160 100 49,486

FRJTB170812-001 12-Aug-17 AIZ KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0038 Ambroxol tablet 275.00 3.00 20.00 0 0 660

c0022 Cefadroxil_500 kapsul 1,091.00 2.00 20.00 0 400 2,146

g0123 GUAIFENESIN 100 M tab 167.00 1.00 20.00 0 0 134

6 400 2,939

FRJTB170812-002 12-Aug-17 MAS DONI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0071 Centabio GEL 20 GR tube 25,526.00 2.00 20.00 0 0 40,842

n0002 WIDA NACL OGB fls 8,333.00 1.00 20.00 0 400 7,066
3 400 47,908

FRJTB170812-004 12-Aug-17 OLIV KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0077 LACTAMOR kapsul 2,765.00 10.00 20.00 0 200 22,320

M0136 MUPIROCIN OINT 10 tube 35,750.00 1.00 20.00 0 0 28,600

11 200 50,920

FRJTB170812-005 12-Aug-17 IWAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0042 Domperidom tablet 780.00 10.00 20.00 0 500 6,740

S0015 Sanmol tablet 372.00 4.00 20.00 0 0 1,190

14 500 7,930

FRJTB170812-006 12-Aug-17 MBA ULUM KARYAWAN INSTALASI FARMASI RAWAT JALAN

E0119 EMINETON TAB tab 2,002.00 10.00 20.00 0 0 16,016

O0036 Osfit DHA tablet 5,720.00 10.00 20.00 0 200 45,960

20 200 61,976

FRJTB170813-001 13-Aug-17 JAMILAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0017 Acyclovir ZALF tube 4,705.00 1.00 20.00 0 200 3,964

d0016 Dexamethasone TAB tablet 176.00 30.00 20.00 0 0 4,224

n0063 NEURODEX TABLET 787.00 30.00 20.00 0 0 18,888

p0007 Paracetamol (ZETAM tablet 184.00 30.00 20.00 0 0 4,416

91 200 31,492

FRJTB170813-002 13-Aug-17 dr INDIRA KARYAWAN INSTALASI FARMASI RAWAT JALAN


D0029 Dimenhydrinate tablet 186.00 100.00 20.00 0 0 14,880

100 0 14,880

FRJTB170813-003 13-Aug-17 ANGGUN KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0042 Domperidom tablet 780.00 30.00 20.00 0 700 19,420

K0019 Kasa Steril 16x16 pak 11,700.00 1.00 20.00 0 0 9,360

S0015 Sanmol tablet 372.00 4.00 20.00 0 0 1,190

35 700 29,970

FRJTB170813-004 13-Aug-17 dr SURYADI KARYAWAN INSTALASI FARMASI RAWAT JALAN

E0014 Enystin drop fls 44,330.00 1.00 20.00 0 0 35,464

1 0 35,464

FRJTB170813-005 13-Aug-17 MAS PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0093 KASA VERBAN 10 CM pcs 1,345.00 5.00 20.00 0 100 5,480

5 100 5,480

FRJTB170813-006 13-Aug-17 FARICHA KARYAWAN INSTALASI FARMASI RAWAT JALAN

E0029 ETHUROL CAP tablet 7,150.00 10.00 20.00 0 300 57,500

10 300 57,500

FRJTB170814-001 14-Aug-17 PAK ZAMRONI KARYAWAN INSTALASI FARMASI RAWAT JALAN

B0124 BENACOL DTM fls 17,160.00 1.00 20.00 0 200 13,928

1 200 13,928

FRJTB170814-003 14-Aug-17 BU YUANITA KARYAWAN INSTALASI FARMASI RAWAT JALAN


C0022 Cefadroxil_500 kapsul 1,091.00 10.00 20.00 0 0 8,728

P0185 PROVE-C tablet 4,290.00 10.00 20.00 0 0 34,320

20 0 43,048

FRJTB170815-001 15-Aug-17 MB YANTI ICU KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0056 Amoxicillin_500 tablet 1,001.00 10.00 20.00 0 200 8,208

D0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

P0185 PROVE-C tablet 4,290.00 3.00 20.00 0 0 10,296

23 200 19,912

FRJTB170815-002 15-Aug-17 CIPTO D KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0005 Daryantulle B (FRAM pcs 13,228.00 3.00 20.00 0 200 31,947

3 200 31,947

FRJTB170815-003 15-Aug-17 BU HERLINA KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 0 5,504

10 0 5,504

FRJTB170815-004 15-Aug-17 BU SANTI KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0008 OBH_syr fls 11,562.00 1.00 20.00 0 200 9,450

1 200 9,450

FRJTB170815-006 15-Aug-17 EKI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0292 CANDESARTAN 16 tablet 1,872.00 5.00 20.00 0 0 7,488

P0079 PROPRanolol_40 tablet 191.00 8.00 20.00 0 0 1,222


P0088 PTU tablet 562.00 15.00 20.00 0 0 6,744

28 0 15,454

FRJTB170815-007 15-Aug-17 MANAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0007 Nebacetin powder fls 26,455.00 1.00 20.00 0 300 21,464

1 300 21,464

FRJTB170815-008 15-Aug-17 GILANG KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0180 ALPHARA TAB tab 889.00 10.00 20.00 0 400 7,512

D0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

20 400 8,920

FRJTB170815-009 15-Aug-17 FARIDA KARYAWAN INSTALASI FARMASI RAWAT JALAN

Z0001 Zegavit tablet 3,289.00 3.00 20.00 0 100 7,994

3 100 7,994

FRJTB170815-010 15-Aug-17 LATIFA KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 12.00 20.00 0 0 3,571

S0064 Simvastatin_10 tablet 801.00 10.00 20.00 0 0 6,408

22 0 9,979

FRJTB170815-011 15-Aug-17 TN HARJONO KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0052 Cendo Lyters 15ml A fls 32,175.00 1.00 20.00 0 0 25,740

C0065 Cendo Ulcori MD 28,065.00 1.00 20.00 0 300 22,752

L0056 Loratadin_10mg tablet 433.00 7.00 20.00 0 0 2,425


9 300 50,917

FRJTB170815-012 15-Aug-17 TN CIP KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0007 Nebacetin powder fls 26,455.00 2.00 20.00 0 100 42,428

2 100 42,428

FRJTB170815-013 15-Aug-17 SARI KARYAWAN INSTALASI FARMASI RAWAT JALAN

E0026 Ethambutol_500 tablet 894.00 6.00 20.00 0 0 4,291

I0030 INH_100 tablet 186.00 9.00 20.00 0 100 1,439

L0016 Lansoprazole 30 MG kapsul 2,343.00 3.00 20.00 0 0 5,623

L0041 Levofloxacin_500 AS tablet 1,726.00 3.00 20.00 0 0 4,142

V0029 VIT B6/Pyridoxin tablet 194.00 3.00 20.00 0 0 466

24 100 15,962

FRJTB170815-014 15-Aug-17 ENDRO KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0077 Asam_Mefenamat_50 tablet 387.00 10.00 20.00 0 0 3,096

P0057 PP test Onemed pcs 2,288.00 1.00 20.00 0 0 1,830

11 0 4,926

FRJTB170816-006 16-Aug-17 BU NITA KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0012 Nedle 25 pcs 1,316.00 3.00 20.00 0 0 3,158

S0092 Spuit 3ml pcs 3,689.00 3.00 20.00 0 0 8,854

v0104 VAKSIN HEPATITIS E vial 114,400.00 3.00 20.00 0 0 274,560

9 0 286,572
FRJTB170816-007 16-Aug-17 BU LIA KARYAWAN INSTALASI FARMASI RAWAT JALAN

I0097 INTRASITE GEL 15 G tube 128,700.00 1.00 20.00 0 0 102,960

N0013 Nedle 26 pcs 1,316.00 1.00 20.00 0 0 1,053

S0092 Spuit 3ml pcs 3,689.00 1.00 20.00 0 0 2,951

V0104 VAKSIN HEPATITIS E vial 114,400.00 1.00 20.00 0 0 91,520

4 0 198,484

FRJTB170816-008 16-Aug-17 DENI KARYAWAN INSTALASI FARMASI RAWAT JALAN

G0028 Glucodex tablet 790.00 60.00 20.00 0 0 37,920

60 0 37,920

FRJTB170817-003 17-Aug-17 MBK NIA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 4.00 20.00 0 0 5,034

D0016 Dexamethasone TAB tablet 176.00 5.00 20.00 0 0 704

S0010 Salbutamol_2 tablet 115.00 8.00 20.00 0 0 736

S0017 Sanmol_syr fls 15,373.00 1.00 20.00 0 0 12,298

V0096 VIT C 250MG tablet 221.00 1.00 20.00 0 0 177

19 0 18,949

FRJTB170817-004 17-Aug-17 Dr. Ika Lellyana K KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0026 Cefila_syr fls 111,540.00 1.00 20.00 0 200 89,432

1 200 89,432

FRJTB170817-005 17-Aug-17 PAK FAJAR KARYAWAN INSTALASI FARMASI RAWAT JALAN


A0057 Amoxicillin_syr fls 8,580.00 1.00 20.00 0 100 6,964

1 100 6,964

FRJTB170817-006 17-Aug-17 MB WULAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0067 ANTASIDA DOEN tablet 275.00 10.00 20.00 0 0 2,200

D0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

S0015 Sanmol tablet 372.00 8.00 20.00 0 0 2,381

28 0 5,989

FRJTB170817-007 17-Aug-17 AFIF Z MINA KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0033 Ketorolac_30% ampul 20,849.00 3.00 20.00 0 200 50,238

L0045 Lidocain_2% ampul 2,145.00 11.00 20.00 0 0 18,876

R0005 Ranitidin IJ ampul 4,504.00 3.00 20.00 0 0 10,810

17 200 79,923

FRJTB170817-008 17-Aug-17 SOLEH KARYAWAN INSTALASI FARMASI RAWAT JALAN

F0067 Furosemid tablet 237.00 20.00 20.00 0 200 3,992

20 200 3,992

FRJTB170818-001 18-Aug-17 HANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

B0019 Betason N tube 15,802.00 1.00 20.00 0 300 12,942

1 300 12,942

FRJTB170818-002 18-Aug-17 BU ZULI KARYAWAN INSTALASI FARMASI RAWAT JALAN

G0028 Glucodex tablet 790.00 20.00 20.00 0 0 12,640


20 0 12,640

FRJTB170818-003 18-Aug-17 BU HER KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0017 Acyclovir ZALF tube 4,705.00 1.00 20.00 0 0 3,764

1 0 3,764

FRJTB170818-004 18-Aug-17 BP FANDY KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0017 Sanmol_syr fls 15,373.00 1.00 20.00 0 0 12,298

1 0 12,298

FRJTB170818-005 18-Aug-17 MAS PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0042 Aminefron tablet 9,295.00 6.00 20.00 0 0 44,616

M0004 Mecobalamin KAPSUL kapsul 1,001.00 10.00 20.00 0 300 8,308

16 300 52,924

FRJTB170818-006 18-Aug-17 MAS ANTON KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0022 Cefadroxil_500 kapsul 1,091.00 6.00 20.00 0 0 5,237

D0029 Dimenhydrinate tablet 186.00 6.00 20.00 0 0 893

N0031 Neurosanbe tablet 1,467.00 6.00 20.00 0 0 7,042

18 0 13,171

FRJTB170819-001 19-Aug-17 dr FUAD NAJIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0018 Lantus solostar FLEXPEN 121,550.00 1.00 20.00 0 200 97,440

P0014 Pen needle/Needle nopcs 3,554.00 3.00 20.00 0 0 8,530

4 200 105,970
FRJTB170819-002 19-Aug-17 MB PRAPTI KARYAWAN INSTALASI FARMASI RAWAT JALAN

c0096 Citicolin 500 TAB tablet 9,533.00 10.00 20.00 0 200 76,464

10 200 76,464

FRJTB170819-004 19-Aug-17 ANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0027 Pibaksin tube 54,340.00 1.00 20.00 0 0 43,472

1 0 43,472

FRJTB170819-005 19-Aug-17 SARI KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0162 OSKOM TAB tab 8,580.00 6.00 20.00 0 300 41,484

6 300 41,484

FRJTB170819-006 19-Aug-17 SITI KHODIJAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 2.00 20.00 0 0 2,517

D0042 Domperidom tablet 780.00 10.00 20.00 0 0 6,240

P0090 Pyrantel 125 tablet 562.00 1.00 20.00 0 0 450

S0010 Salbutamol_2 tablet 115.00 6.00 20.00 0 1,200 1,752

V0018 Vestein kapsul 5,720.00 4.00 20.00 0 0 18,304

V0096 VIT C 250MG tablet 221.00 1.00 20.00 0 0 177

24 1,200 29,439

FRJTB170819-007 19-Aug-17 RUJIANA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 10.00 20.00 0 400 12,984

10 400 12,984
FRJTB170819-008 19-Aug-17 NOVI KARYAWAN INSTALASI FARMASI RAWAT JALAN

e0133 EZELIN INSULIN GLA vial 110,500.00 1.00 20.00 0 0 88,400

P0014 Pen needle/Needle nopcs 3,554.00 3.00 20.00 0 0 8,530

4 0 96,930

FRJTB170819-009 19-Aug-17 DONY KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0011 Meloxicam_7,5 tablet 1,287.00 10.00 20.00 0 0 10,296

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 200 5,704

20 200 16,000

FRJTB170819-010 19-Aug-17 MAS SOFYAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0029 Ketokonazole 10GR tube 9,100.00 1.00 20.00 0 200 7,480

1 200 7,480

FRJTB170820-001 20-Aug-17 DR.INDIRA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0011 Captopril_25 tablet 179.00 100.00 20.00 0 0 14,320

R0004 Ranitidin TB tablet 343.00 100.00 20.00 0 200 27,640

200 200 41,960

FRJTB170820-002 20-Aug-17 AFIF MINA KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0007 Nebacetin powder fls 26,455.00 1.00 20.00 0 300 21,464

1 300 21,464

FRJTB170820-003 20-Aug-17 SYUKRO KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0077 Asam_Mefenamat_50 tablet 387.00 10.00 20.00 0 0 3,096


D0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 400 1,808

20 400 4,904

FRJTB170820-004 20-Aug-17 PAK SUPRI KARYAWAN INSTALASI FARMASI RAWAT JALAN

V0018 Vestein kapsul 5,720.00 4.00 20.00 0 100 18,404

4 100 18,404

FRJTB170821-001 21-Aug-17 BUDI KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0033 Ketorolac_30% ampul 20,849.00 2.00 20.00 0 0 33,358

L0045 Lidocain_2% ampul 2,145.00 5.00 20.00 0 0 8,580

7 0 41,938

FRJTB170821-003 21-Aug-17 BU HERLINA KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 12.00 20.00 0 0 3,571

T0024 Thiamphenicol_500 kapsul 1,281.00 12.00 20.00 0 100 12,398

24 100 15,969

FRJTB170821-004 21-Aug-17 DR SYAHAR KARYAWAN INSTALASI FARMASI RAWAT JALAN

I0097 INTRASITE GEL 15 G tube 128,700.00 1.00 20.00 0 0 102,960

1 0 102,960

FRJTB170821-005 21-Aug-17 PK NAJIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0054 Amoxan_dry_syr fls 29,616.00 1.00 20.00 0 0 23,693

P0083 Propyretic 160 supp 9,534.00 1.00 20.00 0 0 7,627

P0106 PAMOL 250 supp 20,735.00 3.00 20.00 0 300 50,064


T0169 TRIAMCINOLONE tablet 1,036.00 20.00 20.00 0 0 16,576

25 300 97,960

FRJTB170821-006 21-Aug-17 BU NANIK PPI KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0003 Lacons syr fls 64,350.00 1.00 20.00 0 0 51,480

O0032 Opsite besar 25 X 1 pcs 54,340.00 1.00 20.00 0 0 43,472

2 0 94,952

FRJTB170821-007 21-Aug-17 ITA PERI KARYAWAN INSTALASI FARMASI RAWAT JALAN

G0011 Gentamicin SK tube 6,000.00 1.00 20.00 0 0 4,800

S0083 Spasmolit tablet 2,860.00 2.00 20.00 0 100 4,676

3 100 9,476

FRJTB170821-008 21-Aug-17 VITA KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0022 Cefadroxil_500 kapsul 1,091.00 10.00 20.00 0 0 8,728

C0027 Cefixim 100 kapsul 3,736.00 10.00 20.00 0 100 29,988

O0008 OBH_syr fls 11,562.00 1.00 20.00 0 0 9,250

21 100 47,966

FRJTB170821-009 21-Aug-17 DR. SUSI KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0084 Aspilet 80 tablet 208.00 5.00 20.00 0 0 832

S0064 Simvastatin_10 tablet 801.00 10.00 20.00 0 0 6,408

15 0 7,240

FRJTB170821-010 21-Aug-17 ZUNI KARYAWAN INSTALASI FARMASI RAWAT JALAN


F0119 FLUNARIZINE 5 MG T tab 2,860.00 3.00 20.00 0 0 6,864

S0015 Sanmol tablet 372.00 4.00 20.00 0 0 1,190

7 0 8,054

FRJTB170821-011 21-Aug-17 BONDAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0136 Curcuma tablet 1,238.00 10.00 20.00 0 0 9,904

N0050 Nonemi tablet 1,859.00 10.00 20.00 0 200 15,072

20 200 24,976

FRJTB170822-001 22-Aug-17 SORAYA KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0080 Asam_TranexaMAT_5 tablet 2,002.00 10.00 20.00 0 400 16,416

10 400 16,416

FRJTB170822-005 22-Aug-17 TN CIPTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0114 Codein_10 tablet 787.00 15.00 20.00 0 200 9,644

G0024 Glimepiride 2 tablet 2,556.00 7.00 20.00 0 0 14,314

S0087 SPIRONolacton_25 tablet 450.00 7.00 20.00 0 0 2,520

29 200 26,478

FRJTB170822-008 22-Aug-17 MAS BUDI KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0008 OBH_syr fls 11,562.00 1.00 20.00 0 0 9,250

Z0001 Zegavit tablet 3,289.00 5.00 20.00 0 0 13,156

6 0 22,406

FRJTB170823-001 23-Aug-17 MB NURUL KARYAWAN INSTALASI FARMASI RAWAT JALAN


K0021 kasa veban 5cm pcs 1,625.00 1.00 20.00 0 0 1,300

L0027 Lapistan_500 tablet 1,716.00 3.00 20.00 0 0 4,118

4 0 5,418

FRJTB170823-002 23-Aug-17 SUCI NUR AMALIA, N KARYAWAN INSTALASI FARMASI RAWAT JALAN

E0119 EMINETON TAB tab 2,002.00 15.00 20.00 0 0 24,024

U0017 UTROGESTAN 100MG tablet 12,870.00 6.00 20.00 0 200 61,976

21 200 86,000

FRJTB170823-003 23-Aug-17 LATIFAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 10.00 20.00 0 0 2,976

10 0 2,976

FRJTB170823-004 23-Aug-17 AIZAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0001 L Bio SACHET sachet 8,580.00 3.00 20.00 0 400 20,992

3 400 20,992

FRJTB170823-005 23-Aug-17 LATIFAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0067 ANTASIDA DOEN tablet 275.00 10.00 20.00 0 0 2,200

10 0 2,200

FRJTB170824-001 24-Aug-17 DR AGUS KARYAWAN INSTALASI FARMASI RAWAT JALAN

F0062 Forneuro tablet 7,258.00 6.00 20.00 0 0 34,838

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 0 5,504

S0015 Sanmol tablet 372.00 8.00 20.00 0 0 2,381


T0024 Thiamphenicol_500 kapsul 1,281.00 10.00 20.00 0 0 10,248

34 0 52,971

FRJTB170824-002 24-Aug-17 MUHAMMAD KAFIE KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0126 Cotrimoxazol_syr fls 7,072.00 1.00 20.00 0 0 5,658

Z0022 ZINCPRO SYR fls 9,217.00 1.00 20.00 0 0 7,374

2 0 13,031

FRJTB170824-003 24-Aug-17 BU SRI MULYANI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0114 Codein_10 tablet 787.00 10.00 20.00 0 0 6,296

10 0 6,296

FRJTB170824-004 24-Aug-17 BU AFIFAH KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0022 Cefadroxil_500 kapsul 1,091.00 10.00 20.00 0 0 8,728

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 0 5,504

20 0 14,232

FRJTB170824-005 24-Aug-17 B PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0008 OBH_syr fls 11,562.00 1.00 20.00 0 0 9,250

S0017 Sanmol_syr fls 15,373.00 1.00 20.00 0 0 12,298

2 0 21,548

FRJTB170825-005 25-Aug-17 FAJAR KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0029 Dimenhydrinate tablet 186.00 10.00 20.00 0 0 1,488

10 0 1,488
FRJTB170826-001 26-Aug-17 LISA P KARYAWAN INSTALASI FARMASI RAWAT JALAN

O0036 Osfit DHA tablet 5,720.00 10.00 20.00 0 100 45,860

P0074 Promavit tablet 3,575.00 10.00 20.00 0 0 28,600

20 100 74,460

FRJTB170826-002 26-Aug-17 AYIK KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0084 Aspilet 80 tablet 208.00 30.00 20.00 0 200 5,192

S0064 Simvastatin_10 tablet 801.00 30.00 20.00 0 0 19,224

60 200 24,416

FRJTB170826-003 26-Aug-17 HILDA LILA Y, NN KARYAWAN INSTALASI FARMASI RAWAT JALAN

N0013 Nedle 26 pcs 1,316.00 1.00 20.00 0 0 1,053

S0092 Spuit 3ml pcs 3,689.00 1.00 20.00 0 0 2,951

V0104 VAKSIN HEPATITIS E vial 114,400.00 1.00 20.00 0 0 91,520

3 0 95,524

FRJTB170826-004 26-Aug-17 BU SANTI KARYAWAN INSTALASI FARMASI RAWAT JALAN

F0119 FLUNARIZINE 5 MG T tab 2,860.00 10.00 20.00 0 0 22,880

V0050 VASTIGO TABLET 1,289.00 10.00 20.00 0 0 10,312

20 0 33,192

FRJTB170826-005 26-Aug-17 Dr.Erlieza,Sp.PD KARYAWAN INSTALASI FARMASI RAWAT JALAN

I0101 IMUNOS PLUS capsul 11,869.00 10.00 20.00 0 0 94,952

S0015 Sanmol tablet 372.00 8.00 20.00 0 100 2,481


18 100 97,433

FRJTB170827-004 27-Aug-17 IKA LUTFIANI, NY KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0056 Amoxicillin_500 tablet 1,001.00 10.00 20.00 0 0 8,008

a0180 ALPHARA TAB tab 889.00 10.00 20.00 0 200 7,312

d0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

v0096 VIT C 250MG tablet 221.00 10.00 20.00 0 0 1,768

40 200 18,496

FRJTB170827-005 27-Aug-17 MAS BUDI ICU KARYAWAN INSTALASI FARMASI RAWAT JALAN

v0028 VIT B12/Cyanokobala tablet 23.00 20.00 20.00 0 100 468

20 100 468

FRJTB170827-006 27-Aug-17 MAS DENI KARYAWAN INSTALASI FARMASI RAWAT JALAN

i0097 INTRASITE GEL 15 G tube 128,700.00 1.00 20.00 0 0 102,960

1 0 102,960

FRJTB170827-007 27-Aug-17 MB PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN

a0038 Ambroxol tablet 275.00 10.00 20.00 0 0 2,200

a0056 Amoxicillin_500 tablet 1,001.00 5.00 20.00 0 300 4,304

a0077 Asam_Mefenamat_50 tablet 387.00 5.00 20.00 0 0 1,548

d0016 Dexamethasone TAB tablet 176.00 10.00 20.00 0 0 1,408

30 300 9,460

FRJTB170827-008 27-Aug-17 MB PUJI KARYAWAN INSTALASI FARMASI RAWAT JALAN


a0056 Amoxicillin_500 tablet 1,001.00 10.00 20.00 0 300 8,308

A0077 Asam_Mefenamat_50 tablet 387.00 10.00 20.00 0 0 3,096

20 300 11,404

FRJTB170827-009 27-Aug-17 BP LUKMAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0009 Meiact tablet 30,030.00 5.00 20.00 0 800 120,920

5 800 120,920

FRJTB170828-001 28-Aug-17 LUKMAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0022 Cefadroxil_500 kapsul 1,091.00 10.00 20.00 0 0 8,728

K0008 Kalnex_500 tablet 4,290.00 5.00 20.00 0 0 17,160

S0015 Sanmol tablet 372.00 12.00 20.00 0 0 3,571

27 0 29,459

FRJTB170828-002 28-Aug-17 MBK RENI KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 12.00 20.00 0 400 3,971

12 400 3,971

FRJTB170828-003 28-Aug-17 BU YULI KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 400 5,904

10 400 5,904

FRJTB170828-004 28-Aug-17 MBK DINI KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 2.00 20.00 0 0 2,517

D0016 Dexamethasone TAB tablet 176.00 6.00 20.00 0 0 845


V0018 Vestein kapsul 5,720.00 4.00 20.00 0 1,300 19,604

12 1,300 22,966

FRJTB170828-005 28-Aug-17 MAS DENI KARYAWAN INSTALASI FARMASI RAWAT JALAN

g0028 Glucodex tablet 790.00 60.00 20.00 0 0 37,920

60 0 37,920

FRJTB170829-001 29-Aug-17 BUDI KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0050 Amlodipin_10 tablet 1,216.00 10.00 20.00 0 0 9,728

K0033 Ketorolac_30% ampul 20,849.00 1.00 20.00 0 0 16,679

P0012 Pehacain ampul 4,047.00 4.00 20.00 0 100 13,050

15 100 39,458

FRJTB170829-002 29-Aug-17 DR FUAD NAJIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0084 Aspilet 80 tablet 208.00 10.00 20.00 0 0 1,664

C0110 Clopidogrel tablet 10,868.00 4.00 20.00 0 0 34,778

14 0 36,442

FRJTB170829-003 29-Aug-17 USWATUN KARYAWAN INSTALASI FARMASI RAWAT JALAN

L0098 L-CORE sachet 26,455.00 4.00 20.00 0 100 84,756

S0015 Sanmol tablet 372.00 4.00 20.00 0 0 1,190

8 100 85,946

FRJTB170829-005 29-Aug-17 BP AGUS KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 10.00 20.00 0 0 12,584


L0026 Lapimox tablet 3,432.00 6.00 20.00 0 0 16,474

M0026 METIL PREDNISOLO tablet 688.00 10.00 20.00 0 0 5,504

N0032 Neurosanbe inj ampul 6,743.00 2.00 20.00 0 0 10,789

P0003 Pamol125 supp 14,300.00 2.00 20.00 0 0 22,880

30 0 68,230

FRJTB170829-006 29-Aug-17 EVAN HAFIZ ARKANA,KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 2.00 20.00 0 0 2,517

D0016 Dexamethasone TAB tablet 176.00 4.00 20.00 0 0 563

i0009 Imunos syr fls 82,225.00 1.00 20.00 0 0 65,780

S0011 Salbutamol_4 tablet 145.00 2.00 20.00 0 0 232

V0018 Vestein kapsul 5,720.00 4.00 20.00 0 2,600 20,904

13 2,600 89,996

FRJTB170830-001 30-Aug-17 DR SYAHAR KARYAWAN INSTALASI FARMASI RAWAT JALAN

I0097 INTRASITE GEL 15 G tube 128,700.00 1.00 20.00 0 0 102,960

1 0 102,960

FRJTB170830-002 30-Aug-17 ZULI KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0088 PTU tablet 562.00 20.00 20.00 0 0 8,992

20 0 8,992

FRJTB170830-003 30-Aug-17 YUNI LIA(POLI) KARYAWAN INSTALASI FARMASI RAWAT JALAN

K0094 KASA GULUNG 1/6 pcs 34,667.00 1.00 20.00 0 200 27,934
1 200 27,934

FRJTB170830-004 30-Aug-17 CHABIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0005 Daryantulle B (FRAM pcs 13,228.00 2.00 20.00 0 300 21,465

2 300 21,465

FRJTB170830-005 30-Aug-17 PRAMUDYA KARYAWAN INSTALASI FARMASI RAWAT JALAN

M0026 METIL PREDNISOLO tablet 688.00 8.00 20.00 0 0 4,403

8 0 4,403

FRJTB170831-001 31-Aug-17 BU ITA KARYAWAN INSTALASI FARMASI RAWAT JALAN

P0014 Pen needle/Needle nopcs 3,554.00 10.00 20.00 0 0 28,432

10 0 28,432

FRJTB170831-002 31-Aug-17 M AZAM FAHRUZZAK KARYAWAN INSTALASI FARMASI RAWAT JALAN

C0028 Cefixime_syr fls 47,190.00 1.00 20.00 0 300 38,052

C0082 CETIRIZIN tablet 429.00 5.00 20.00 0 0 1,716

D0016 Dexamethasone TAB tablet 176.00 5.00 20.00 0 0 704

11 300 40,472

FRJTB170831-003 31-Aug-17 RASENDRIYA MAHESWKARYAWAN INSTALASI FARMASI RAWAT JALAN

C0131 Crofed tablet 1,573.00 2.00 20.00 0 0 2,517

D0016 Dexamethasone TAB tablet 176.00 4.00 20.00 0 1,100 1,663

V0018 Vestein kapsul 5,720.00 3.00 20.00 0 0 13,728

9 1,100 17,908
FRJTB170831-004 31-Aug-17 NAZELLIA CHATRA QUKARYAWAN INSTALASI FARMASI RAWAT JALAN

C0028 Cefixime_syr fls 47,190.00 1.00 20.00 0 1,400 39,152

C0134 CTM TAB tablet 69.00 3.00 20.00 0 0 166

D0016 Dexamethasone TAB tablet 176.00 6.00 20.00 0 0 845

S0011 Salbutamol_4 tablet 145.00 3.00 20.00 0 0 348

V0018 Vestein kapsul 5,720.00 6.00 20.00 0 0 27,456

19 1,400 67,966

FRJTB170831-006 31-Aug-17 ETIK SUPRIHATIN, N KARYAWAN INSTALASI FARMASI RAWAT JALAN

V0100 VOMIL B6 TAB tablet 3,432.00 20.00 20.00 0 2,000 56,912

20 2,000 56,912

FRJTB170831-007 31-Aug-17 BP BONDAN KARYAWAN INSTALASI FARMASI RAWAT JALAN

A0058 Amoxsan kapsul 4,319.00 2.00 20.00 0 400 7,310

s0215 SIRPLUS JERUK fls 17,160.00 1.00 20.00 0 0 13,728

3 400 21,038

FRJTB170831-008 31-Aug-17 HABIB KARYAWAN INSTALASI FARMASI RAWAT JALAN

D0005 Daryantulle B (FRAM pcs 13,228.00 2.00 20.00 0 300 21,465

2 300 21,465

FRJTB170831-010 31-Aug-17 SUPRIYANTO KARYAWAN INSTALASI FARMASI RAWAT JALAN

S0015 Sanmol tablet 372.00 16.00 20.00 0 200 4,962

16 200 4,962
Total 39,800 6,435,897

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