HASIL MONITORING KESESUAIAN PERESEPAN TERHADAP FORMULARIUM

Periode 01-12-2017 s/d 31-12-2017

Filter Data
No Tanggal No.Index Nama Thn/Bln/Hr
1 02-12-2017 11130569 KAMILAH 63/5/1

02-12-2017 11013324 SAKINO 60/4/17

02-12-2017 11014833 LESTARI 35/3/13

2 04-12-2017 1101S153 SARNI 48/2/28

04-12-2017 1101L364 ADITYA CAHYA NUGRAHA 23/4/19

04-12-2017 11016821 SRI PURWANTI 37/4/8

3 05-12-2017 1101L895 SUPADMI 63/4/22

05-12-2017 1101CB81 ASEP SETIANTO SYAHPUTRO11/2/27

05-12-2017 11017241 TUIMAN 54/9/1

4 06-12-2017 1101G242 MARYONO 74/8/15

06-12-2017 1101BZ89 WARTI 78//11

 06-12-2017 11015687 SUMIYEM 65/3/20

5 07-12-2017 1101CL13 KENISA SIMRA CRISTANTO 0/4/7

07-12-2017 1101CO69 ANDRIAN ZAKY ABRISAN 0/6/19

07-12-2017 1101AC24 SUWARNI 75/3/2

6 08-12-2017 11011785 LESTARI 35/2/26

08-12-2017 1101BP11 YULIA MAHARANI 1/4/28

08-12-2017 1101BE75 SYAKILLA CAHAYA PUTRI 2/2/22

7 09-12-2017 11072454 YULIANI 52/4/22

09-12-2017 1101F583 KURNIAWAN DITO SAPUTRA 15/6/3

09-12-2017 11011343 SARIMUN 74/6/1

8 11-12-2017 1101CN25 ISKANDAR 67/4/7

11-12-2017 11017355 KARIMAN 56/7/4

11-12-2017 1101CO95 MOMON 72/11/10

 9 12-12-2017 1101Q190 WAHYUTI 57/7/5

12-12-2017 1101K561 SALIMIN 47/1/29

12-12-2017 11050010 MUCHAMAD TOHIR 17/1/9

10 13-12-2017 1101P901 MURSID TRI ROHMADI 57/2/17

13-12-2017 1101CP32 SURADI 51/2/18

13-12-2017 1101K937 TRI YATMINI 40/7/26

11 14-12-2017 11013473 WIJI 72/1/9

14-12-2017 1101BD44 SISWO SUMARNO 72/3/25

14-12-2017 1101BT05 WIJI 65/9/2

12 15-12-2017 1101F629 KAYLA GENDHIS CAESARANI9/10/29

15-12-2017 1101BT61 PANEM 69/10/14

15-12-2017 11013027 MEISRI HIDAYAT 24/1/16

13 16-12-2017 1101D402 HERI BUDI SETYAWAN 25/2/23

16-12-2017 73014569 SUGIMAN 59/6/3

16-12-2017 11050010 MUCHAMAD TOHIR 17/1/13

14 18-12-2017 1101X667 FAREL ANGGY ARDYANSAH 22/5/13

18-12-2017 1101I035 NUR WINARSO 43/10/22

18-12-2017 1101A792 ANISA LUTFI NUROHMAH 15/4/5

15 19-12-2017 11080437 SUNARTI 60/8/16

19-12-2017 1101P326 MUHAMMAD ALDI YUSUP 7/8/28

 19-12-2017 1101CC26 SUPARDI 34/8/13

16 20-12-2017 1101L364 ADITYA CAHYA NUGRAHA 23/5/5

20-12-2017 11013193 BIBIT PARTO WIYONO 68/8/19

20-12-2017 11017218 ENI SUTARTI 32/11/18

17 21-12-2017 11072174 REGI LINTANG PANJERINO 9/7/29

21-12-2017 1101BW55 ADITYA NAUFAL AL ARKHAN 1/8/1

21-12-2017 1101AD69 KAMILA SAFIYA SALSABILA 3/4/4

18 22-12-2017 1101AD77 SRI MULYANI 51/2/5

22-12-2017 11010808 SUPRIYANTI 53/0/12

22-12-2017 1101W219 RUSTIANI 24/3/16

19 23-12-2017 1101A021 SRI JUMINI 62/1/26

23-12-2017 1101H943 PUJI ASTUTI 37/6/16

23-12-2017 1101R086 SIWI MAITA ANJANI 23/7/8

20 26-12-2017 1101X347 QUEENA ZIZI ELVARETA 4/8/2

26-12-2017 1101G242 MARYONO 74/9/5

26-12-2017 11020335 KUNIMIN 67/3/11

21 27-12-2017 1101T435 WIJI 51/9/19

27-12-2017 11013800 DIAH AYU DWI PANGESTI 20/4/23

27-12-2017 1101X001 WAGINEM 47/8/15

22 28-12-2017 1101X687 NOVA CANTIKA ANGGRAINI 7/1/23

28-12-2017 7301CG41 SUNARYO 43/4/27

28-12-2017 1101CQ16 FITRIA NUR FAUZA 0/6/3

23 29-12-2017 1101V193 HENI BADRIYAH 42/10/25

29-12-2017 11360187 AMIR SUYATNO 61/11/28

 29-12-2017 1101CQ36 PUJI RAHAYU 33/2/19

24 30-12-2017 1101CQ47 SINGGIH DWI RATNO PUTRO 41/8/19

30-12-2017 6701CG46 ERIKA DWI NINGRUM 17/4/4

30-12-2017 1101K561 SALIMIN 47/2/16

 Nama KK Dusun/Obat Desa SESUAI
WIJI HARTO WIHARJO Kenanga Gemantar
Amlodipin 5 MG
Vit B Complek Tab
SAKINO Ngelo Jendi
Loratadin Tab 10 mg
Miconasole Cream
Vit B Complek Tab
DIDIK MARYANTO Brajan Kaliancar
CETIRIZIN
Methyl Prednisolon 4 mg Tab
WAHYUDI AL MULYONOBrajan Kaliancar
Amoksillin 500 mg Tab
Asam Mefenamat 500 mg Tab
Deksametason 0,5 mg Tab
Piridoksin HCL ( Vit B6 ) 10 Mg
DARMIN Josutan Kaliancar
Vit B Complek Tab
Betahistin Tab 6 mg
PARNO Nanggan Gemantar

N-Acetylsistein 200 mg
Asam Askorbat (Vit C ) 50 mg Tab
LILIK SETYAWAN Gemutren Pule
Na. Diklofenak 50 mg Tab
Deksametason 0,5 mg Tab
N-Acetylsistein 200 mg
Piridoksin HCL ( Vit B6 ) 10 Mg
SUTAMIN Jetak Pule
CETIRIZIN
Antasida DOEN
Domperidon 10 mg
N-Acetylsistein 200 mg
Parasetamol 500 mg Tab
TUIMAN Josutan Kaliancar
Antasida DOEN
Amoksillin 500 mg Tab
Asam Mefenamat 500 mg Tab
Deksametason 0,5 mg Tab
MARYONO Keloran Keloran
Deksametason 0,5 mg Tab
Vit B Complek Tab
Na. Diklofenak 50 mg Tab
PARMO WIYONO Randubang Pare
Amlodipin 10 MG
Na. Diklofenak 50 mg Tab
Deksametason 0,5 mg Tab
Piridoksin HCL ( Vit B6 ) 10 Mg
 Loratadin Tab 10 mg
SUMIYEM Bulu Jendi
Betahistin Tab 6 mg
Vit B Complek Tab
ARIE CRISTANTO Bendungan Jendi
Vaksin DPT-Combo
Vaksin Polio
Parasetamol Drop
EDI PURWANTO Traman Pare
Vaksin Polio
Parasetamol Drop
WESTU SUWARNO Kaliancar Kaliancar
Metformin 500 mg Tab
Amlodipin 10 MG
Vit B Complek Tab
Simvastatin 10 mg Tab
WALUYO Ngaliyan Singodutan
Ibuprofen 400 mg
Vit B Complek Tab
Antasida DOEN
AGUS HARIYANTO Kaliancar Kaliancar
Klorfeniramin maleat ( CTM ) 4 Mg
Asam Askorbat (Vit C ) 250 mg
N-Acetylsistein 200 mg
Parasetamol 500 mg Tab
TRI HANDAYANI Pule Pule
Zink Disrpersible 20 mg
Vit B Complek Tab
SUSILO Singodutan Singodutan
Amoksillin 500 mg Tab
Deksametason 0,5 mg Tab
CETIRIZIN
SUPRIHATIN Kalikatir Nambangan
N-Acetylsistein 200 mg
CETIRIZIN
Vit B Complek Tab
Parasetamol 500 mg Tab
SARIMUN Gunung Wijil Kaliancar
Ibuprofen 400 mg
N-Acetylsistein 200 mg
CETIRIZIN
Vit B Complek Tab
ISKANDAR Tandan Kepatihan
Vit B Complek Tab
Antasida DOEN
Asam Mefenamat 500 mg Tab
Klorfeniramin maleat ( CTM ) 4 Mg
KARIMAN Gamping Sendangijo
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Klorfeniramin maleat ( CTM ) 4 Mg
MOMON Gamping Sendangijo
Ciprofloksasin 500 mg Tab
 Asam Mefenamat 500 mg Tab
Vit B Complek Tab
Parasetamol 500 mg Tab
SADIKIN Kalikatir Gemantar
Asam Mefenamat 500 mg Tab
Vit B Complek Tab
SALIMIN Jetak Jendi
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Deksametason 0,5 mg Tab
Antasida DOEN
SAIMIN Kedung Rejo Sendangijo
Amoksillin 500 mg Tab
Asam Mefenamat 500 mg Tab
Antasida DOEN
Kassa 4 x 3 cm
Handskun no 71/2
Handskun No. 8
MURSID TRI ROHMADI Ngepos Nambangan
Amlodipin 5 MG
Parasetamol 500 mg Tab
Deksametason 0,5 mg Tab
N-Acetylsistein 200 mg
Vit B Complek Tab
SURADI Ceperan Jendi
N-Acetylsistein 200 mg
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Vit B Complek Tab
JOKO TEGUH S Jendi
Asam Mefenamat 500 mg Tab
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
N-Acetylsistein 200 mg
Vit B Complek Tab
Amlodipin 10 MG
Captopril 25 Mg
Amoksillin 500 mg Tab
Domperidon 10 mg
PURO WITONO Gempeng Jaten
Glibenklamida 5 mg Tab
Antasida DOEN
Omeprazole 20 mg
Amlodipin 10 MG
Captopril 25 Mg

SISWO SUMARNO Ngelo Jendi

CETIRIZIN
Antasida DOEN
Omeprazole 20 mg
N-Acetylsistein 200 mg
WIJI Kalipuru Keloran
Captopril 25 Mg
 Amlodipin 5 MG
Vit B Complek Tab
Asam Askorbat (Vit C ) 50 mg Tab
TARDI Sanggrahan Singodutan
Methyl Prednisolon 4 mg Tab
Parasetamol Sirup 120 mg/5ml
Klorfeniramin maleat ( CTM ) 4 Mg
Asam Askorbat (Vit C ) 50 mg Tab
PANEM Ngasinan Kepatihan
Metformin 500 mg Tab
Vit B Complek Tab
SARINO Kadipaten Jendi
Vit B Complek Tab
Betahistin Tab 6 mg
Asam Mefenamat 500 mg Tab
SIH PURWANTO Susukan Pare
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Omeprazole 20 mg

Activated Attapulgit 600 mg

Amlodipin 10 MG
SUGIMAN Kec. WONOGIRI
Allupurinol 100 mg
Metformin 500 mg Tab
Omeprazole 20 mg
SAIMIN Kedung Rejo Sendangijo
Kassa 4 x 3 cm
Handskun No. 7
Handskun No. 8
PARIMIN Susukan Pare
Klorfeniramin maleat ( CTM ) 4 Mg
N-Acetylsistein 200 mg
Parasetamol 500 mg Tab
Vaksin TT
KAMDIYAH Bagusan Sendangijo
Parasetamol 500 mg Tab
Domperidon 10 mg
Klorfeniramin maleat ( CTM ) 4 Mg

SUNARTO Gunung Wijil Kaliancar

Asam Mefenamat 500 mg Tab
Vit B Complek Tab
Amoksillin 500 mg Tab
SAMINO Keloran Keloran
Vit B Complek Tab
Amlodipin 5 MG
Metformin 500 mg Tab
ADE SUTISNA Karang Tengah Jaten
Ranitidin 150 mg Tab
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
N-Acetylsistein 200 mg
SUPARDI Ngelo Jendi
Vit B Complek Tab
Asam Mefenamat 500 mg Tab
DARMIN Josutan Kaliancar
Omeprazole 20 mg
Antasida DOEN
BIBIT PARTO WIYONO Kedung BSendangijo
Amlodipin 10 MG
Captopril 25 Mg
TARNO Gunung Wijil Kaliancar
Amoksillin 500 mg Tab
Activated Attapulgit 600 mg
Asam Mefenamat 500 mg Tab
SUSILO Singodutan Singodutan
Amoksillin 500 mg Tab
Activated Attapulgit 600 mg
Domperidon 10 mg
SUDARNO Nglenggong Jendi
Parasetamol Drop
Vaksin DPT-Combo
WIDOYO Kenangan Gemantar
Asam Askorbat (Vit C ) 50 mg Tab
Ambroxsol 30 mg
Klorfeniramin maleat ( CTM ) 4 Mg
Deksametason 0,5 mg Tab
Klorfeniramin maleat ( CTM ) 4 Mg
Prednison 5 mg Tab
Asam Askorbat (Vit C ) 50 mg Tab
Parasetamol Drop
Kloramfenikol TM
KATIMAN Kenangan Gemantar
Vit B Complek Tab
Amlodipin 10 MG
SUKAMTYO Nanggan Gemantar
N-Acetylsistein 200 mg
Deksametason 0,5 mg Tab
CETIRIZIN
Vit B Complek Tab
SUYATNO Kedung Banteng Sendangijo
Asam Mefenamat 500 mg Tab
Vit B Complek Tab
Fitomenadion 10 mg Tab
POERNOMO Josutan Kaliancar
Amoksillin 500 mg Tab
N-Acetylsistein 200 mg
Vit B Complek Tab
SUKAMTO Geritan Jendi
Activated Attapulgit 600 mg
Buscopan 10 mg
Metoklopropamid 10 mg
Vit B Complek Tab
SIKAR Dukuh Gemantar
Kloramfenikol TM
 Vit B Complek Tab
TRIO BAYU Singodutan Singodutan
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
N-Acetylsistein 200 mg
Asam Askorbat (Vit C ) 50 mg Tab
MARYONO Keloran Keloran
Deksametason 0,5 mg Tab
Amlodipin 10 MG
Vit B Complek Tab
Na. Diklofenak 50 mg Tab
KUNIMIN Gondang Pare
Amlodipin 10 MG
Piroksikam 20 mg
Deksametason 0,5 mg Tab
Piridoksin HCL ( Vit B6 ) 10 Mg
SAMTO Pronogaten Jaten
Amlodipin 5 MG
Antasida DOEN
Amoksillin 500 mg Tab
Ibuprofen 400 mg
N-Acetylsistein 200 mg
SRIYADI Ngricik Pule
Klorfeniramin maleat ( CTM ) 4 Mg
Parasetamol 500 mg Tab
Amoksillin 500 mg Tab
N-Acetylsistein 200 mg
Deksametason 0,5 mg Tab
SUPRIYATNO Klampisan Kaliancar
Asam Mefenamat 500 mg Tab
Amlodipin 10 MG
Vit B Complek Tab
Simvastatin 10 mg Tab
SUTARNO Tegalsari Kepatihan
Vit B Complek Tab
Acyclovir 200 mg Tab
Loratadin Tab 10 mg
SUNARYO Kec. WONOGIRI
Amoksillin 500 mg Tab
Deksametason 0,5 mg Tab
Metformin 500 mg Tab
Vit B Complek Tab
BUDI SARTONO Getas Jaten
Vaksin DPT-Combo
Vaksin Polio
Parasetamol Drop
AHMAD NURDIN Nangger Nambangan
Fitomenadion 10 mg Tab
Vit B Complek Tab
AMIR SUYATNO Keblokan Sendangijo

Amlodipin 10 MG
Metformin 500 mg Tab
 Klorfeniramin maleat ( CTM ) 4 Mg
MUHAMMAD ROKHMANKadipate Jendi
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Deksametason 0,5 mg Tab
Kloramfenikol Salep Kulit
Antasida DOEN
Vit B Complek Tab
Gentamicin TM
SINGGIH DWI RATNO P Tlogorejo Pare
Asam Mefenamat 500 mg Tab
Deksametason 0,5 mg Tab
Kloramfenikol TM
WASNO Kec. NGUNTORONADI
Amoksillin 500 mg Tab
Asam Mefenamat 500 mg Tab
Deksametason 0,5 mg Tab
Antasida DOEN
SALIMIN Jetak Jendi
Piridoksin HCL ( Vit B6 ) 10 Mg
Amoksillin 500 mg Tab
Parasetamol 500 mg Tab
Deksametason 0,5 mg Tab
TIDAK SESUAI