REGISTER PENGOBATAN HARIAN

PENGUNJUNG
UMUR/
TGL NAMA PASIEN KK TD/ LP ALAMAT PROGNOSA
BERAT
UMUM BPJS
DIAGNOSIS NAMA OBAT DOSIS JUMLAH KET
 REGISTER PEMAKAIAN OBAT
Bulan :
NO NAMA BARANG SAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 2-4 SALEP POT
2 AMINOPHYLLIN 200 MG TABLET
3 ANTASIDA DOEN 500 MG TABLET
4 ANTASIDA DOEN SUPENSI BOTOL
5 ASAM ASCORBAT 50 MG TABLET
6 ASAM ASKORBAT 250 MG TABLET
7 ASAM FOLAT 1 MG TABLET
8 BESI II SULFAT 300 MG TABLET
9 DIMENHYDRINAT 50 MG TABLET
10 ETANOL 70% BOTOL
11 GARAM ORALIT 200 ML AIR SACHET
12 GENTIAN VIOLET POT
13 GLYSERIL GUAIAKOLAT 100 MG TABLET
14 HEMAFORT KAPLET
15 IBUPROFEN 200 MG TABLET
16 IBUPROFEN 200 MG/5 ML SUSPENSI BOTOL
17 KALSIUM LAKTAT 500 MG TABLET
18 KETOKONAZOL CREAM 2% TUBE
19 KLORFENIRAMINE MALEAT (CTM 4
MG) TABLET
20 LAXANA 5 MG TABLET
21 MICONASOL CREAM TUBE
22 MOLAGIT TABLET
23 MOLEX FLU SIRUP BOTOL
24 MOLEXFLU TABLET
25 NEOKAOMINAL SUSPENSI BOTOL
26 OBAT BATUK HITAM 100 ML BOTOL
27 PARACETAMOL 500 MG TABLET
28 PARACETAMOL SYR BOTOL
29 PARASETAMOL DROP BOTOL
30 PEHAVRAL KAPLET
31 PIRIDOKSIN (VIT B6) TABLET
32 PYRANTEL PAMOAT 125 MG TABLET
33 RECOVIT SIRUP BOTOL
34 RIVANOL / ETAKRIDIN BOTOL
35 SALISIL TALK SACK
36 THIAMIN HCL INJ 100 MG/ML AMPUL
37 VITAMIN A 100.000 IU CAPSUL
38 VITAMIN A 200.000 IU CAPSUL
39 VITAMIN B 12 INJ 500 MCG/ML AMPUL
40 VITAMIN B KOMPLEKS TABLET
41 VITAMIN B1 TAB 50 MG TABLET
42 VITAMIN B12 TAB TABLET
43 VITCUR SIRUP BOTOL
44 YODIUM POVIDON 300 ML BOTOL
45 ZINC 20 MG TABLET
46 ZIRKUM SIRUP BOTOL
NO NAMA BARANG SAT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH
20 21 22 23 24 25 26 27 28 29 30 31 JUMLAH