LEMBAR PENGAMBILAN D

UMUR
NO NAMA PASIEN NO RM JK DIAGNOSIS
(Thn)
1 YULIANA HAYON 059937 P 22
2 FLORIANA EMA DULI 059767 P 25
3 NURMA SALEH 020627 P 32
4 MARIA LAURENSIA B TOBI 060095 P 19
5 Maria P BURA 058965 P 26

6 NINGSIH SUSILAWATI ABAS 061295 P 27

7 RAMLAH MAMANG 060140 P 36

8 LIDIA EMA BOLENG 060439 P 27
9 YOVITA BAREK 061101 P 22

10 MARIA BETA BARUK 058944 P 36

11 RITA SELVIANA KEWA 060421 P 21

12 MARIA TERINA NOGO MARAN 060947 P 30

13 VINSENSIA RUING 061209 P 30

14 BELINA M SOARES 058471 P 22
15 FLORA T MARAN 06009 P 29
16 HELENA JUHETI MARAN 057958 P 18

17 MARIA MAU KIWAN 058995 P 23

18 MAGDALENA UTO HENAKIN 049724 P 45

19

20 Agnes barek Manuk 046332 P 32

LEMBAR PENGAMBILAN DATA

GOL. DOSIS JUMLAH DURASI TERAPI LAIN

SEFALOSPORIN
CEFTRIAXON 2X1 6 3 METRONIDAZOLE INFUS
CEFTRIAXON 7
CEFTRIAXON 2
CEFTRIAXON 2X1 6 RANITIDIN INJ, KETOROLAC INJ
CEFTRIAXON 2X1 4 RANITIDIN INJ, KETOROLAC INJ
LIDOCAIN INJ, DEXA INJ, KETOROLAK INJ,
CEFTRIAXON 2X1 2 DIPHEN INJ.
DEXA INJ, KETOROLAC INJ, ATROPIN SULFAT,
KALNEX INJ, DIPHEN INJ, MIDAZOLAM INJ.
CEFTRIAXON 2X1 6 ONDANSENTRON INJEKSI
CEFTRIAXON 9 KETOROLAK INJ. RANITIDIN INJ, KALNEX INJ.
CEFTRIAXON 2X1 4 2 RANITIDIN INJ, KETOROLAC INJ, KALNEX INJ
LIDOCAIN INJ, DEXA INJ, DIPHEN INJ,
CEFTRIAXON 2X1 2 1 KETOROLAK IN,ONDANSENTRON INJ.
EPINEFRININJ, CEFADROXIL KAPSUL 500 MG,
CEFTRIAXON 2X1 7 KALNEX INJ, RANITIDIN INJ, KETOROLAC INJ
CEFTRIAXON 2X1 4 RANITIDIN INJ, KETOROLAC INJ.
METRONIDAZOLE INFUS, RANITIDIN INJ, ASAM
CEFTRIAXON 2X1 7 TRANEXSAMAT INJ, KETOROLAC INJ
CEFTRIAXON 2X1 3
CEFTRIAXON 2
CEFTRIAXON 2 CEFADROXIL KAPSUL
RANITIDIN INJ, KALNEX INJ, KETOROLAC INJ,
DIPHEN INJ, DEXA INJ. LIDOCAIN INJ,
CEFTRIAXON 2X1 6 ONDANSENTRON INJ,
METRONIDAZOLE INFUS, FUROSEMID INJEKSI,
CEFTRIAXON 2X1 19 DEXA INJEKSI,

FUROSEMID INJEKSI, DEXA INJ, KETOROLAC INJ,

CEFTRIAXON 2X1 8 DIPHEN INJ, DIAZEPAM INJ
KET
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N
JULI
1 L 52 CEFTRIAXON 1X2
ADRIANUS PAGAR 041671 4
2 L 7 CEFTRIAXON 1X1
MUHAMAD RINALDI SUKSIN 045474 HERNIA INGULILARIS 1

IMUNOCORPRAMAIN
3 P 19 SUSP. 20. OBS FEBRIS CEFTRIAXON 1X2
CLOTILDA NULI KUMANIRENG 057616 DAN DIARE 10 5
4 PAULUS USENG KOTEN 030189 L 9 HERNIA INGULILARIS CEFTRIAXON 1X250 MG 1 1
5 ELISABETH DAI BAWA 061757 P 77 CKB SUSP ICB CEFTRIAXON 3X1 18 6

6 STEFANUS GAWI TEWA 061056 L 61 CKB SUSP ICB 1X2 4 2

CEFTRIAXON
7 L 28 CEFTRIAXON 2X1
URBANUS SULE 061053 4 2

SUSP. ISK KOMPLIKASI

8 MARTINA L MOTEN 060479 P 70 1X2
SEPSIS

CEFTRIAXON

OBS MALAISE, SUSP.

9 L 46 ANEMIA BERAT. EC ACD . CEFTRIAXON 1X2
ALOYSIUS H TUKAN 057328 DM TIPE II DM DF 16 8
10 P 20 CKS . CIDERA KEPALA CEFTRIAXON 1X1
ELIAS DULI 061174 SEDANG 4 4
STT A/R ANTEBRU 1X250
11 MARIA DA SILVA 059905 P 5 1 1
CHILD D CEFTRIAXON MG

DOC.EC. SUSP.
UREMICUM
12 THERESIA TEMAJA HALAN 017016 P 70 1X2 16 8
ENCEPHALOPATI DD/
INTRACANILA PROCESS
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

ULKUS DIABETIKUM R
SCAPULA. TINDAKAN
13 ALI KOPONG LAMBENG 054667 L 43 OPERASI 3X1 15 5
DEBRIDEMENT +
RAWAT LUKA
CEFTRIAXON

OBS. DYSPEPSIA DC
14 MUJAHIDIN LAMEN 060538 L 21 2X1 10 5
SUSP. EFUSI PLEURA
CEFTRIAXON
ULCUS DIBETICUM. DM
TIPE II. ANEMIA
15 JOHARIA TUTO 061149 P 47 2X1 8 4
SEDANG EC, S/KCD DD
ADB.CLASS
CEFTRIAXON

16 ABDULAH KOPONG 056012 L 41 2X1 4 2

CEFTRIAXON

DYPNEA EE SUSP CAP

17 FRANSISKUS DAWA ODJAN 016588 L 70 PPOK EXT AKUT 3X1 15 5
( PNEUMONIA)

CEFOTAXIM

SYNDROM DYSPEPSIA
18 MUHAMAD SALEH 015297 L 43 3X1 15 5
PNEUMONIA

CEFOTAXIM

19 MUSTAMIN RULAN DIAZ 061040 L 23 2X1 8 4

CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

SYNDROM DYSPEPSIA
20 GALVIN MATHEOS 050692 L 44 2X1 14 7
SUSP. SEPSIS

CEFTRIAXON

21 YOSEFINA BOTA PIRAN 061303 P 37 ISPA 3X1 18 6

CEFOTAXIM
HEMPOTOE EC. TB DD
22 VERONIKA SEDA 061565 P 23 3X1 15 5
NON TB CEFOTAXIM

SUSP. TB PARU ANEMIA

23 ALFONS OLA NOTAN 069983 L 40 2X1 12 6
H, M EC. SUSO CKD
CEFTRIAXON

B20 SD IV SUSP TB
PARUWASRING
24 JOHANA ANWAR 006651 P 38 SYNDROM. 2X1 12 6
PENUMONIA DENGAN
EFUSI BILATERAL. BTA +
CEFTRIAXON

PNEUONIA CAP PPOK

EKSASEBASI AKUT,
AORTOSKEROSIS, SUSP.
25 ASNADI K BAON 057565 L 64 2X1 14 7
BRONCHITIS
TERINFEKSIU , EFUSI
PLEURA KIRI
CEFTRIAXON

PNEUMONIA CAP, PPOK

EKSASERBASI, ACITES
26 NURDIN PAUN 048813 L 66 GRAD III SUSP 1X2 14 7
CONGESTIVE
HEPATOPATY
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

SUSP. TB PARU OBS.

BARTOLOMEUS BELAWA SYOK, EES. /PPOK
27 042038 L 57 3X1 9 3
MUKIN VOLEMIK, SEPSIS DD
KARDIOGENIK
CEFOTAXIM

DYSPNEA E.C SUSP CAP,

DD TB PARU RELAPS,
28 THERESIA G GEKENG 061313 P 56 3X1 30 10
ANEMIA HIPOKROMIK
RINGAN
CEFOTAXIM
OBS DYSPNEA E,C
ASMA BRONCIALE ,
29 YOSEP BOTA RITAN 061303 L 57 3X1 18 6
ISPA, PNEUMONIA
ANEMIA SEDANG
CEFOTAXIM
PNEUMONIA ,
30 ALI BABANG 059171 L 54 1X2 12 6
CANDIDIASIS ORAL CEFTRIAXON
SUSP. TB PARU PPOK
31 ALOYSIUS ASAN 063148 L 54 2X1 12 6
EKSASERASI CEFTRIAXON
SUSP. MASA
32 YOSEP LIKU WERUIN 056749 L 29 MEDIASTERNIUM EFUSI 3X1 18 6
PLEURA CEFOTAXIM

33 DESHANA RESTUTI EFIRA 060944 P 30 SUSP. TB PARU, CAP 2X1 12 6

CEFTRIAXON
PNEUMONIA CAP RSI
MARGARETA MANGOTA
34 015701 P 72 CLASS II . ASMA 3X1 18 6
KEAN SERAPAN CEFOTAXIM

SHYOK HIPERVOLEMIK
OBS MALAISE EC LOW
INTAKE OBS
35 FRANSISKUS DEPU HERA 046989 L 61 BRADICARDIA ACKD 3X1 15 3
PRE RENAL ON CKP
SUSP PNC
CEFOTAXIM
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

S IMPENDICSITIS
ANEMIA EC ADB + OBS
36 YULIANA LEWAR 060939 P 38 TROMBOSITOPENIA. 2X1 10 5
CARDIOMEGALI SUSP.
EFUSI PLEURA
CEFTRIAXON
37 AGUSTINUS NAMA 060977 L 14 OSTEOMYELITIS CEFTRIAXON 1X2 6 3
38 ODI TALAN 061304 L 25 SUSP. FRAKTUR SERVIAL 1X2 4 2
CEFTRIAXON
39 IMELDA TEMU KELEN 050622 P 20 APEDIKSITIS CEFTRIAXON QX2 4 2

CKB SUSP ICB TRAUMA

TOMAS TOME
40 061349 L 41 TUMPUL ABDOMEN 1X2 14 7
KUMANIRENG FRAKTUR TERBUKA
CEFOTAXIME

41 JEFRIANUS M 064521 L 56 PNEUMONIA 1X2 6 3

CEFTRIAXON
AGUSTUS

1 KORNELIUS DEMO SAWUN 062320 L 35 ABSES HEPAR 1X2 16 8

CEFTRIAXON

OBS. DYSPEPSIA E.C.

2 GREGORIUS SEDE BOLENG 047761 L 38 SUSP. OHF SUSP. CAP 3X1 18 6
DD TB PARU
CEFOTAXIME
OBS. DOC CC SUSP.
3 YOHANES DANI BAO 061811 L 17 MENINGITIS DL 3X1 24 8
CACEPALITIS CEFTAZIDIN

1X2 8 4

CEFTRIAXON
CEFTRIAXON 2X2 12 3
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

ACITES SUSP. CA
SERVIKS. GEA + AFR VR
4 YULIANA DAI LAGA 029661 P 67 1X2 20 10
GANGRENG DIBILITI II
PENDIS

CEFTRIAXON
HERNIA . HK DEXTA
5 NIKOLAUS H URAN 050805 L 49 INKLARETA POST 1X1 1 1
RELASE SPETRS CEFTRIAXON

CEDERA KEPALA
RINGAN . SUSP.
FRAKTUR BASI SHOK
6 ELTON SIUS SANGA 062656 L 18 ARTERIOR. POST KLL + 1X2 4 2
VL PELIPIS KANAN SUSP.
CKR DD INTOKSIKASI
ALKOHOLIK
CEFTRIAXON

7 MARSELINUS YOSEP NUBA 062654 L 27 CKR + MULTIPLE VE 2X1 2 1

CEFTRIAXON

OBS. DOC CC SUSP

8 MARIA PERADA KERON 062661 P 69 INTRACRANIAL 2X1 8 4
PROCESS EMERGENCY
CEFTRIAXON

9 ADOLFUS L TUKAN 062622 L 24 CKB 2X1 10 5

CEFTRIAXON

10 PAULINUS MADO 062655 L 28 MULTIPEL VE 2X1 10 5

CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

11 WIHELMINA BUDE 059006 P 26 SUSP. ANEMIA 3X1 18 6

CEFTRIAXON
COMBUTSIO / LUKA
12 MARIA PHILOMENA EJA 062127 P 49 2X1 8 4
BAKAR CEFTRIAXON

VINSENSIUS URAN TB RELAPS EC

13 060755 L 58 1X2 10 5
WERANG PNEUMONIA
CEFTRIAXON

SUSP.
IMUNOCOPORMASIDE
14 MARIA ROSALIA W HERA 061960 P 22 1X2 6 3
+ ORAL CARDIDIASIS +
SUSP TB
CEFTRIAXON

15 PETRUS LEWO TAKA 062037 L 65 CKS 1X2 4 2

CEFTRIAXON

16 PHILIPUS TUPI TEMU 054004 L 72 SUSP SNH 2X1 4 2

CEFTRIAXON
PBS DOC. +
17 SAI KOPONG 061871 P 86 2X1 10 5
BRADICARDIA CEFTRIAXON

18 SIMON SABON DONI 062031 L 73 ANEMIA BERAT 2X1 12 6

CEFTRIAXON

ABSES LOVER
19 LUSIA LIPAT SUBAN 062002 P 54 ABDOMEN 1X1 1 1
CEFTRIAXON

SELULITIS + CAP + HER

20 MARIA B MOLAN 062067 P 72 2X1 12 6
ST II
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

OBS. DOC EC SH
21 HENDRIKA H LEWAR 062108 P 70 DD/SNHDD. SEPTIC DD 2X1 12 6
METABOLIK
CEFTRIAXON

SUSP. TB PARU + SUSP.

22 ROBERTUS KOPONG LITE 062171 L 35 3X1 24 8
EFUSI PLEURA
CEFOTAXIME

23 SKOLASTIKA PAREIRA 061881 P 70 HEMALOKZIA 1X2 20 10

CEFTRIAXON

24 SIPRIANUS TOKAN 062161 L 38 OBS. CKB 1X2 8 4

CEFTRIAXON
SUSP. KAD DD HHS CE
25 RAHMAWATI 062219 P 39 2X1 6 2
GASTROPATI CEFTRIAXON

26 ABBAS MUSTOFA 060711 L 56 OBS. ACITES. CC. SUSP. 1X2 10 5

CEFTRIAXON

27 BERNADUS OLA BEREN 061965 L 51 ANEMIA BERAT 3X1 15 5

CEFOTAXIME

OBS. DYSPEPSIA EC.

28 ALCE LAPURUSLI 062352 P 38 SUSP. CAP DD/ TB + 1X2 10 5
SYNDROM OBSTRUKSI
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

SUSP. APP AKUT DD

29 NOVIANUS S. MUKIN 062314 L 30 BSK. POST 1X2 8 4
PENDICTOMY
CEFTRIAXON

MARSELINUS KOPONG
30 061724 L 23 ABSES MANUS DEXTRA CEFTRIAXON 1X2 16 8
HERA

31 ANDREAS OLA TOKAN 061947 L 79 OBS. DYSPEPSIA CEFTRIAXON 2X1 22 11

SEPTEMBER

1 060194 L 51 CEFTRIAXONE 2X1 10

HAKIM SULAIMAN

2 063916 L 64 CEFTRIAXONE 1X2 12

KASINA UMAR
3 SADIMIN 008784 L 50 CEFTRIAXONE 1
HERNIA INGUIRALIS
4 061558 L 64 LATRRALIS ( TINDAKAN CEFTRIAXONE 2X1 2 1
OPERASI)
SYADON B AMA
5 KAROLUS SILI BAGAN 063710 L 70 CEFTRIAXONE

6 P 43 CEFTRIAXON 1X2 10 5
SAIDA TAHIR 063492

7 L 61 DM TEIPE II TERKONTROL, CEFTRIAXON 2

MARTINUS UHE BURAN 062495 SELULITIS , SEPSIS 2X1 1
8 KAROLUS SILI DOGAN 063710 L 70 CEFTRIAXON 2X1 4 2
9 L 54 CEFTRIAXON 1X1
SIMON S. AMA 058112 1 1
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

10 L 50 CEFTRIAXON 2X2
ELIAS TAMA WATON 063564 16 4
11 L 47 CEFTRIAXON 2X1
PETRUS D. ODJAN 048291 2 1

12 L 36 CEFTRIAXON 1X2

BALSIUS W. WEKING 062419 22 11

13 P 35 CEFTRIAXON 1X2
KRISTINA YAYA 063590 8 4

14 P 50 CEFTRIAXON 1X2
SUSP. PNEUMONIA. AKI
DD ACKD E.C. PRE RENAL
YILIANA BELINDA S 063469 DD PNC 10 5

15 L 40 CEFTRIAXON 1X2
YOHANES OLA KEDANG 063488 6 3
16 SAID ULUMANDO 063604 L 48 CEFTRIAXON 8 4

17 L 80 CEFTRIAXON 2X1
RAYMUNDUS REBO 063690 6 3
18 L 59 CEFTRIAXON 2X1
AHMAD SALEH 063759 4 2

CHF. DYSPNEA EC. SUSP

19 L 78 ACKD DD CKD. CHF FC II- CEFTRIAXON 1X2
III EC AP LARDIANOPATI.
PNEUMONIA CAP
ANEMIA BERAT DM TIPE
MARTINUS KIAWUUN 063605 II. ANEMIA BETAR 6 3

20 L 56 CEFTRIAXON 1X2
YOSEP S. KOTEN 063682 6 3
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

21 P 59 CEFTRIAXON 2X1
NIKOLAUS LANANG 063842

22 P 65 CEFTRIAXON 1X2 16 8
SUSP. PNEUMONIA,. HT
EMERGENCY DENGAN
TOD ALO , AAD. HT
FRANSISKA SABU HEWEN 063715 TERKONTROL
23 L 74 CEFTRIAXON 2X1
MARTINUS TUPEN 005961 6 3

24 P 24 CEFTRIAXON 1X2

BRIGITA INA SIBA 060896 16 8

25 P 45 OBS. ACITES + DYSPEPSIA. CEFTRIAXON 1X2

PSUSP. ILEUS OBSTRUKSI .
POST LAPARATOMY
MONIKA P OLA 055202 EKSPLORASI 10 5

26 P 56 CEFTRIAXON 2X1
YOSEFINA BOTA PIRAN 061330 ASMA AKUT 8 4
27 L 54 USOSEPSI, ISK CEFTRIAXON 2X1
PAULUS PORA LEIN 019599 KOMPLIKASI 2 1

28 P 38 CEFTRIAXON 1X2
INF. B20 STD IV. ANEMIA
SEDANG. PRE HAART.
IMACULATA WADA 045559 WASTING SYNDROM 12 6
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

29 L 5 CEFTRIAXON 1X1

HAMDAN SALEH 054182 HERNIA SCROTALIS 1 1

OBS. DOC. EC. SUSP

30 P 52 METABOLIC DD/ICP OBS CEFTRIAXON 1X2
PETRONELA WOLONARA SYNDROM DELIRIUM
HERIN 062746 ADHF 10 5

31 P 58 CEFTRIAXON 1X1

FATIMA HASAN 062705 SNAKE BITE 4 4

32 BERNADUS OLA 061965 L 51 CEFOTAXIME 3X1 6 2
33 L 46 CEFTRIAXON 1X2
RUDOLF FERNANDEZ 011786 DYSPEPSIA EL TB 10 5

34 P 76 CEFTRIAXON 1X2
CAP DYSPNEA EC ASTMA
DD PNEUMINIA DENGAN
THERESIA PENI PAYONG 062869 SINDROM OBS ANEMIA 14 7
35 P 37 CEFTRIAXON 1X2
NELCY FIANA MATA 002358 8 4

36 L 26 CEFTRIAXON 1X2
OBS. ABDOMINAL . SUSP
COLELYTRASIS . SUSP ISK
DESY DARIUS 062953 KOMPLIKASI 10 5

PNEUMONIA CAP PSI

37 P 56 CLASS 1V. TB PARU ON CEFTRIAXON 1X2
YOSEFINA D PIRAN 061303 TREAMENT 8 4
38 L 87 CEFTRIAXON 1X2
HERMAN PARU LIWUN 063048 SUSP. BIO + GEA KRONIS 12 6
39 ADOLFUS F. LEWOTAN 063122 L 22 APPENDICITIS AKUT CEFTRIAXON 1X1 2 2
40 L 65 CEFTRIAXON 1X2
ARIS ARAN RAWA 063056 12 6
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

41 L 22 VULNUS AMPUTATUM CEFTRIAXON 2X1

NEGRO PEDIS + MULTIPLE
MOHAMAD SALEH EWA 063271 VE EC CRUSH 4 2

42 L 53 CEFTRIAXON 1X2
RASBI H ABDULAH 063108 DOC. CC SUSP SNH DD SH 8 4
OKTOBER
1 MARSITA DAUD 064183 P 47 CEFTRIAXONE 1X2 2

064154 P 10 CEFTRIAXONE 2X1 10

2 MARIA ERNESTINA B HERIN
3 H MUHAMAD MADI 064323 L 69 CEFTRIAXONE 2X1 8
ABDOMINAL PAIN, SUSP
064268 P 17 APPENDICITIS ACUTE CEFTRIAXONE 2X1 6 3
4 MARIA IMACULATA Y. K
INF. B20. stadium IV
Tb.paru anaemia sedang
Pneumonia. CAP PSI cLass
064072 L 29 IV CEFTRIAXONE 1X2 10

5 DONATUS A BAYO
SIROSIS HEPATITIS CTP - C
MELENA EC RUPTUR VE +
GNP , VE GRD IV , GHP

027675 L 46 CEFTRIAXONE 1X1 4

6 DARIUS DONI PIRAN

OBS. ILEUS EC SUSP
PERFORASI APP, SEPSIS
064328 L 52 BERAT CEFTRIAXONE 1X2 2 1

7 LUKAS BELAWA MOLAN

063947 P 62 CEFTRIAXONE 2X1 4

8 SUSANA B BLOLON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N
SUSP. TB PARU, SUSP
063775 L 52 LIMFADENOPATI TB ORAL CEFTRIAXONE 1X2 18 14
CANDISISASIS
9 MIKHAEL ENGO WOTAN

053407 L 68 CEFTRIAXONE 1X2 12

10 HERMANUS PATI MOLAN
OBS FEBRIS HR II A.C
SUSP PNEUMONIA
026529 L 55 CEFTRIAXONE 2X2 12 8

11 DAMIANUS LONEK
004108 P 14 CEFTRIAXONE 3
12 FAMILIA BAREK LEIN
062069 L 22 CEFTRIAXONE 1X2 4 2
13 AFRIZAL
DOC SUSP METABOLIK
INTRACRANIAL

063337 P 73 CEFTRIAXONE 1X2 20 10

14 SESILIA GELANG

063492 P 43 CEFTRIAXONE 1X2 10

16 SAIDA TAHIR
OBS GASTRITIS AKUT EC
SUSP VIRAL INFECTION
DD BACTERIAL INFECTION
, SINDROM DISPEPSIA
063331 P 54 CEFTRIAXONE 1X2 12
ISPA

17 ROSALIA L MUKIN
inf. B20 STD IV , oral
063333 L 40 candidiasis, anemia CEFTRIAXONE 2X1 14
sedang , komplikasi
18 FRANSISKUS XAVERIUS M TUA

NOVEMBER
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N
PPOK STABIL, POST
PNEUMONIA, OBS.
ANEMIA SEDANG CAPS
053407 L 68 PSI CLAS IV CEFTRIAXON 2X1 8 7

1 HERMAN PATI MAKIN

DELICIUM CC HIPOXIC
ENSELOPHATY DD
065091 P 73 SEPTIC , PNEUMONIA CEFTRIAXON 2X1 3
CAP PSI CLASS IV
2 THERESIA RAWA BORO

065047 P 2 CEFTRIAXON 2
3 MONIKA BOTA RURON
4 SAKRIL MUDAMING 063303 L 39 CEFTRIAXON 1X2 8
5 TYOSEP RATU WATON 063416 L 50 CEFTRIAXON 2X1 5
SUSP.IMUNOCORPURIT8S
E.C B20 , ORAL
CANDIDIASIS, ANEMIA
064791 L 29 BERAT MASSA INTRA CEFTRIAXON 1X2 18
ABDOMEN
6 ANTONIUS K SOLOT
OBS. BRADIKARDIA,
SUUP. PNEUMONIA,
SUSP HHD OBS DOC
064215 L 72 INTRACARNIAL PROSES CEFTRIAXON 2X1 16 8
SP SH SNH
7 LAMBERTUS WERANG
HERNIA INGGULIARIS
062582 L 84 MEDIAS, IRREPONIBLE CEFTRIAXON 2X1 2
(OPERASI)
8 MATIAS SUBAN
INFEKASI B20 STADIUM IV
045559 P 38 PRE HAART CEFTRIAXON 1X2 2 1
9 IMACULATA RIOUNG
HIPOKALEMIA, SUSP
BRONKITIS KRONIS ,
052407 L 48 PNEUMONIA CEFTRIAXON 2X2 16

10 SIPRIANUS S SOGE
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N

064554 P 13 CEFTRIAXON 1X2 6

11 LUSIAN V GORAN T
HIPOVOLEMIA DD SEPSIS
( TBPARU LAMA AKUT,
CARDIOMEGALI CC NSP
CPCD, EFUSI PLEURA,
022155 P 56 ORAL CANDIDIASIS, CEFTRIAXON 1X2 7
GASTRITIS AKUT

12 THERESIA DERAN TEIS

13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI
N
39
40
41
42
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N
JULI
1 L 52 CEFTRIAXON 1X2 KETOROAC INJ. RANITIDIN INJ. ASA
ADRIANUS PAGAR 041671 4 TRANEXAMAT CITICOLIN INJ. ATS IN
2 L 7 CEFTRIAXON 1X1 KETOROLAC INJ. DEXAMETASON IN
MUHAMAD RINALDI SUKSIN 045474 HERNIA INGULILARIS 1 DYPHENHIDRAMIN INJ. LIDOCAIN IN

IMUNOCORPRAMAIN METOKLORPRAMID INJ. FLUKONAZ

3 P 19 SUSP. 20. OBS FEBRIS CEFTRIAXON 1X2 TAB. RANITIDIN INJ. METHILPREDN
CLOTILDA NULI KUMANIRENG 057616 DAN DIARE 10 5 INJ.
4 PAULUS USENG KOTEN 030189 L 9 HERNIA INGULILARIS CEFTRIAXON 1X250 MG 1 1 KETOROLAC INJ.
5 ELISABETH DAI BAWA 061757 P 77 CKB SUSP ICB CEFTRIAXON 3X1 18 6 CIPROFLOXACIN INF.

KETOROLAC INJ. RANITIDIN INJ. A

6 STEFANUS GAWI TEWA 061056 L 61 CKB SUSP ICB 1X2 4 2 TRANEXSAMAT INJ. CITICOLIN IN
CEFTRIAXON
7 L 28 CEFTRIAXON 2X1 KETOROLAC INJ. ATS INJ. RANITIDIN
URBANUS SULE 061053 4 2 ASAM TRANEXAMAT INJ.

PANTOPRAZOL INJ. CIPROFLOXAC

SUSP. ISK KOMPLIKASI PARASETAMOL TAB. ASAM FOLAT
8 MARTINA L MOTEN 060479 P 70 1X2
SEPSIS TABCAPTOPRIL TAB 25 MG. RANI
INJ. NOVABION INJ. NOVO
CEFTRIAXON

OBS MALAISE, SUSP.

9 L 46 ANEMIA BERAT. EC ACD . CEFTRIAXON 1X2 PANTOPRAZOLE INJ. CIPROFLOXACI
ALOYSIUS H TUKAN 057328 DM TIPE II DM DF 16 8 METRONIDQZOLE TAB.
10 P 20 CKS . CIDERA KEPALA CEFTRIAXON 1X1
ELIAS DULI 061174 SEDANG 4 4 ATS INJ. KETOROLAC INJ. RANITIDIN
STT A/R ANTEBRU 1X250 DEXAMETHASON INJ. SULFAS AT
11 MARIA DA SILVA 059905 P 5 1 1
CHILD D CEFTRIAXON MG DYPHENHIDRAMIN INJ.

DOC.EC. SUSP.
UREMICUM RANITIDIN INJ. METOCLORPRAM
12 THERESIA TEMAJA HALAN 017016 P 70 1X2 16 8
ENCEPHALOPATI DD/ CIPROFLOXACIN INJ. CAPTOPRIL
INTRACANILA PROCESS
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

ULKUS DIABETIKUM R
SCAPULA. TINDAKAN METRONIDAZOL INJ. KETOROLAC
13 ALI KOPONG LAMBENG 054667 L 43 OPERASI 3X1 15 5 OMEPRAZOLE INJ.
DEBRIDEMENT +
RAWAT LUKA
CEFTRIAXON

OBS. DYSPEPSIA DC AZYTROMICIN TAB 500 MG. RAN

14 MUJAHIDIN LAMEN 060538 L 21 2X1 10 5
SUSP. EFUSI PLEURA INJ. LIDOCAIN INJ. KETROLAC INJ
CEFTRIAXON
ULCUS DIBETICUM. DM
TIPE II. ANEMIA METRONIDAZOLE INF. NOVORAP
15 JOHARIA TUTO 061149 P 47 2X1 8 4
SEDANG EC, S/KCD DD METOKORPRAMID INJ. RANITIDI
ADB.CLASS
CEFTRIAXON

PANTOPRAZOL INJ. METOKLORPR

16 ABDULAH KOPONG 056012 L 41 2X1 4 2 INJ. PARASETAMOL TAB.
CEFTRIAXON

RANITIDIN INJ. CITICOLIN INJ.

DYPNEA EE SUSP CAP METHYLPREDNISOLON INJ. VENT
17 FRANSISKUS DAWA ODJAN 016588 L 70 PPOK EXT AKUT 3X1 15 5 NEBULIZER. PANTOPRAZOLE INJ.
( PNEUMONIA) SIMVASTATIN TAB. CAPTOPRIL TA
MG. ASPILET TAB. CLOPIDOGREL
CEFOTAXIM

CLOPIDOGREL TAB. CIPROFLOXA

SYNDROM DYSPEPSIA CAPTOPRIL 6,25 MG. BISOPROLO
18 MUHAMAD SALEH 015297 L 43 3X1 15 5
PNEUMONIA 2,5 MG. PARASETAMOL TAB. 500
ISDN 5 MG
CEFOTAXIM

SIMVASTATIN TAB. OMEPRAZOL

19 MUSTAMIN RULAN DIAZ 061040 L 23 2X1 8 4 FUROSEMID INJ. METHYLPREDN
INJ. CAPTOPRIL TAB 25 MG. ALBU
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

FUROSEMID INJ. CIPROFLOXACIN

SYNDROM DYSPEPSIA PANTOPRAZOLE INJ.
20 GALVIN MATHEOS 050692 L 44 2X1 14 7
SUSP. SEPSIS METOKLORPRAMID INJ. PARASET
TAB. SUCRALFAT SYP
CEFTRIAXON

METTHYL PREDNISOLON INJ. VEN

21 YOSEFINA BOTA PIRAN 061303 P 37 ISPA 3X1 18 6 NEBULIZER INJ. AMINOFILIN INJ.
CIPROFLOXACIN INJ.
CEFOTAXIM
HEMPOTOE EC. TB DD ASAM TRANEXAMAT INJ. RANITI
22 VERONIKA SEDA 061565 P 23 3X1 15 5
NON TB CEFOTAXIM INJ. METOKLORPRAMID INJ.

SUSP. TB PARU ANEMIA METOKLORPRAMID INJ. OMEPRA

23 ALFONS OLA NOTAN 069983 L 40 2X1 12 6
H, M EC. SUSO CKD INJ. RANITIDIN INJ.
CEFTRIAXON

B20 SD IV SUSP TB
PARUWASRING RANITIDIN INJ. AZYTROMICIN IN
24 JOHANA ANWAR 006651 P 38 SYNDROM. 2X1 12 6
COTRIMOXAZOLE TAB. OAT
PENUMONIA DENGAN
EFUSI BILATERAL. BTA +
CEFTRIAXON

PNEUONIA CAP PPOK

EKSASEBASI AKUT, METHYLPRENISOLON INJ.
AORTOSKEROSIS, SUSP.
25 ASNADI K BAON 057565 L 64 2X1 14 7 CIPROFLOXACIN INJ. FUROSEMID
BRONCHITIS RANITIDIN INJ
TERINFEKSIU , EFUSI
PLEURA KIRI
CEFTRIAXON

PNEUMONIA CAP, PPOK

EKSASERBASI, ACITES CIPROFLOXACIN INJ. FUROSEMID
26 NURDIN PAUN 048813 L 66 GRAD III SUSP 1X2 14 7
PANTOPRAZOLE INJ.
CONGESTIVE
HEPATOPATY
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

SUSP. TB PARU OBS.

BARTOLOMEUS BELAWA SYOK, EES. /PPOK CIPROFLOXACIN INJ.
27 042038 L 57 3X1 9 3
MUKIN VOLEMIK, SEPSIS DD METOKLORPRAMID INJ. RANITID
KARDIOGENIK
CEFOTAXIM

DYSPNEA E.C SUSP CAP, CIPROFLOXACIN INJ.

DD TB PARU RELAPS,
28 THERESIA G GEKENG 061313 P 56 3X1 30 10 METHYLPREDNISOLON INJ. FURO
ANEMIA HIPOKROMIK INJ.
RINGAN
CEFOTAXIM
OBS DYSPNEA E,C
ASMA BRONCIALE , METHYLPREDNISOLON INJ.
29 YOSEP BOTA RITAN 061303 L 57 3X1 18 6
ISPA, PNEUMONIA CIPROFLOXACON INJ. OAT KATEG
ANEMIA SEDANG
CEFOTAXIM
PNEUMONIA ,
30 ALI BABANG 059171 L 54 1X2 12 6 CIPROFLOXACIN INJ. AZYTROMIC
CANDIDIASIS ORAL CEFTRIAXON
SUSP. TB PARU PPOK
31 ALOYSIUS ASAN 063148 L 54 2X1 12 6 METHYLPREDNISOLON INJ.
EKSASERASI CEFTRIAXON
SUSP. MASA PANTOPRAZOLE INJ. FUROSEMID
32 YOSEP LIKU WERUIN 056749 L 29 MEDIASTERNIUM EFUSI 3X1 18 6 CIPROFLOXACIN INJ.
PLEURA CEFOTAXIM
RANITIDIN INJ. KETOROLAC INJ. A
33 DESHANA RESTUTI EFIRA 060944 P 30 SUSP. TB PARU, CAP 2X1 12 6
CEFTRIAXON TRANEXAMET INJ.
PNEUMONIA CAP RSI
MARGARETA MANGOTA RANITIDIN INJ. METHYLPREDNIS
34 015701 P 72 CLASS II . ASMA 3X1 18 6
KEAN INJ. CIPROFLOXACIN INJ.
SERAPAN CEFOTAXIM

SHYOK HIPERVOLEMIK
OBS MALAISE EC LOW
INTAKE OBS KETOROLAC INJ. RANITIDIN INJ.
35 FRANSISKUS DEPU HERA 046989 L 61 BRADICARDIA ACKD 3X1 15 3 METOKLORPRAMIT INJ
PRE RENAL ON CKP
SUSP PNC
CEFOTAXIM
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

S IMPENDICSITIS
ANEMIA EC ADB + OBS PANTOPARZOLE INJ. DEXAMETAS
36 YULIANA LEWAR 060939 P 38 TROMBOSITOPENIA. 2X1 10 5 INJ.
CARDIOMEGALI SUSP.
EFUSI PLEURA
CEFTRIAXON
37 AGUSTINUS NAMA 060977 L 14 OSTEOMYELITIS CEFTRIAXON 1X2 6 3 RANITIDIN INJ., KETOROLAC INJ
38 ODI TALAN 061304 L 25 SUSP. FRAKTUR SERVIAL 1X2 4 2 RANITIDIN INJ. KETOROLAC INJ.
CEFTRIAXON
39 IMELDA TEMU KELEN 050622 P 20 APEDIKSITIS CEFTRIAXON QX2 4 2

CKB SUSP ICB TRAUMA

TOMAS TOME RANITIDIN INJ. DEXAMETASON IN
40 061349 L 41 TUMPUL ABDOMEN 1X2 14 7
KUMANIRENG ASAM TRANEXAMAT INJ.
FRAKTUR TERBUKA
CEFOTAXIME
METRONIDAZOLE INJ. RANITIDIN
41 JEFRIANUS M 064521 L 56 PNEUMONIA 1X2 6 3
CEFTRIAXON ONDANSENTRON INJ.
AGUSTUS

METRONIDAZOLE IINJ.
1 KORNELIUS DEMO SAWUN 062320 L 35 ABSES HEPAR 1X2 16 8 METOKLORPRAMID INJ. OMEPRA
INJ. PARASETAMOL TAB. 750 MG
CEFTRIAXON
AZYTROMICIN TAB 500 MG.
OBS. DYSPEPSIA E.C. FLUKONAZOLE TAB 150 MG.
2 GREGORIUS SEDE BOLENG 047761 L 38 SUSP. OHF SUSP. CAP 3X1 18 6 CIPROFLOXACIN INJ 200 MG. ASA
DD TB PARU TRANEXAMAT INJ. FUROSEMID I
CEFOTAXIME
OBS. DOC CC SUSP. METRONIDAZOLE INJ. DEXAMETA
3 YOHANES DANI BAO 061811 L 17 MENINGITIS DL 3X1 24 8 INJ. OMEPRAZOLE INJ. FUROSEM
CACEPALITIS CEFTAZIDIN

DEXAMETASON INJ. PARASETAM

1X2 8 4 TAB. RANITIDIN INJ. CIPROFLOXA
INJ. METRONIDAZOLE TAB.
CEFTRIAXON
CEFTRIAXON 2X2 12 3
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

OMEPRAZOLE INJ. METOKLORPR

ACITES SUSP. CA INJ. METRONIDAZOLE INJ. FUROS
SERVIKS. GEA + AFR VR INJ. FLUKONAZOLE INJ. CAPTOPR
4 YULIANA DAI LAGA 029661 P 67 1X2 20 10
GANGRENG DIBILITI II ANTASIDA SYP. PARASETAMOL TA
PENDIS MG. ACETOSAL TAB 80 MG.
BISOPROLOL TAB.
CEFTRIAXON
HERNIA . HK DEXTA RANITIDIN INJ. KETOROLAC INJ.
5 NIKOLAUS H URAN 050805 L 49 INKLARETA POST 1X1 1 1 ONDANSENTRON INJ.
RELASE SPETRS CEFTRIAXON

CEDERA KEPALA
RINGAN . SUSP. CITICOLIN INJ. KETOROLAC INJ.
FRAKTUR BASI SHOK RANITIDIN INJ. ONDANSENTRON
6 ELTON SIUS SANGA 062656 L 18 ARTERIOR. POST KLL + 1X2 4 2 ATS INJ. ASAM TRANEXAMAT INJ
VL PELIPIS KANAN SUSP. EPINEFRIN INJ.
CKR DD INTOKSIKASI
ALKOHOLIK
CEFTRIAXON
CITICOLIN INJ. KETOROLAC INJ.
7 MARSELINUS YOSEP NUBA 062654 L 27 CKR + MULTIPLE VE 2X1 2 1 ONDANSENTRON INJ. DEZAMETA
CEFTRIAXON INJ. RANITIDIN INJ.

OBS. DOC CC SUSP CITICOLIN INJ. AZYTROMICIN INJ

8 MARIA PERADA KERON 062661 P 69 INTRACRANIAL 2X1 8 4 OMEPRAZOLE INJ. DEXAMETASO
PROCESS EMERGENCY CIPROFLOXACIN INJ.
CEFTRIAXON
RANITIDIN INJ. DEXAMETASON IN
KETOROLAC INJ. OMEPRAZOLE IN
9 ADOLFUS L TUKAN 062622 L 24 CKB 2X1 10 5 ASAM TRANEXAMAT INJ. ATS INJ
CITICOLIN INJ. ONDANSENTRON
CEFTRIAXON
RANITIDIN INJ. KETOROLAC INJ. N
10 PAULINUS MADO 062655 L 28 MULTIPEL VE 2X1 10 5
CEFTRIAXON INJ. DIAZEPAM INJ.
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

AZYTROMICYN TAB ASAM

11 WIHELMINA BUDE 059006 P 26 SUSP. ANEMIA 3X1 18 6 TRANEXAMAT INJ. RANITIDIN INJ
FUROSEMID INJ. PARASETAMOL
CEFTRIAXON
COMBUTSIO / LUKA RANITIDIN INJ. KETOROLAC INJ.
12 MARIA PHILOMENA EJA 062127 P 49 2X1 8 4
BAKAR CEFTRIAXON TRAMADOL INJ. ATS INJ.
CIPROFLOXACIN INJ. PANTOPRAZ
VINSENSIUS URAN TB RELAPS EC INJ. PARASETAMOL INJ. AZYTROM
13 060755 L 58 1X2 10 5
WERANG PNEUMONIA TAB. FUROSEMID INJ. FLUKONAZ
TAB 150 MG
CEFTRIAXON

SUSP.
IMUNOCOPORMASIDE FLUKONAZOLE TAB 150 MG.
14 MARIA ROSALIA W HERA 061960 P 22 1X2 6 3
+ ORAL CARDIDIASIS + LANZOPRAZOLE INJ. AZYTROMIC
SUSP TB
CEFTRIAXON
CITICOLIN INJ. RANITIDIN INJ.
15 PETRUS LEWO TAKA 062037 L 65 CKS 1X2 4 2 ONDANSENTRON INJ. KETOROLA
CEFTRIAXON ASAM TRANEXAMAT INJ.
CITICOLIN INJ. RANITIDIN INJ.
16 PHILIPUS TUPI TEMU 054004 L 72 SUSP SNH 2X1 4 2 DEXAMETASON INJ. CIPROFLOXA
CEFTRIAXON INJ.
PBS DOC. + CIPROFLOXACIN INJ. DOPAMIN IN
17 SAI KOPONG 061871 P 86 2X1 10 5
BRADICARDIA CEFTRIAXON PANTOPRAZOLE INJ.
FUROSEMID INJ. OMEPRAZOLE I
METOCLORPRAMID INJ. ASAM
18 SIMON SABON DONI 062031 L 73 ANEMIA BERAT 2X1 12 6 TRANEXAMAT INJ. AZYTOMICIN I
PANTOPRAZOLE INJ.
CEFTRIAXON
LIDOCAIN INJ. ONDANSENTRON
ABSES LOVER
19 LUSIA LIPAT SUBAN 062002 P 54 ABDOMEN 1X1 1 1 KETOROLAC INJ. DEXAMETASON
CEFTRIAXON DYPHENHIDRAMIN INJ.

SELULITIS + CAP + HER METRONIDAZOLE INJ. KETOROLA

20 MARIA B MOLAN 062067 P 72 2X1 12 6
ST II OMEPRAZOLE INJ. CIPROFLOXAC
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

METRONIDAZOLE INJ. CIPROFLOX

OBS. DOC EC SH INJ. OMEPRAZOLE INJ. CITICOLIN
21 HENDRIKA H LEWAR 062108 P 70 DD/SNHDD. SEPTIC DD 2X1 12 6
AZYTROMICIN TAB. 500 MG.
METABOLIK DEXAMETASON INJ. RANITIDIN I
CEFTRIAXON

ASAM TRANEXAMAT INJ. AZYTRO

SUSP. TB PARU + SUSP.
22 ROBERTUS KOPONG LITE 062171 L 35 3X1 24 8 TAB 500 MG. OMEPRAZOLE KAPS
EFUSI PLEURA DOMPERIDOM TAB
CEFOTAXIME

CIPROFLOXACIN INJ. FUROSEMID

ASAM TRANEXAMAT INJ. OMEPR
23 SKOLASTIKA PAREIRA 061881 P 70 HEMALOKZIA 1X2 20 10 INJ. METRONIDAZOLE INJ. CITICO
INJ.
CEFTRIAXON

PARASETAMOL INF. CITICOLIN IN

24 SIPRIANUS TOKAN 062161 L 38 OBS. CKB 1X2 8 4 INJ. RANITIDIN INJ. KETOROLAC I
CEFTRIAXON
SUSP. KAD DD HHS CE LANSOPARAZOLE INJ. RANITIDIN
25 RAHMAWATI 062219 P 39 2X1 6 2
GASTROPATI CEFTRIAXON METOKLORPRAMID INJ.

FUROSEMID INJ. METRONIDAZO

26 ABBAS MUSTOFA 060711 L 56 OBS. ACITES. CC. SUSP. 1X2 10 5 OMEPRAZOLE INJ. ONDANSENTR
INJ. RANITIDIN INJ. TRAMADOL I
CEFTRIAXON

OMEPRAZOLE INJ. PARASETAMO

27 BERNADUS OLA BEREN 061965 L 51 ANEMIA BERAT 3X1 15 5 CIPROFLOXACIN INJ. PANTOPRAZ
INJ. FUROSEMID INJ.
CEFOTAXIME

OBS. DYSPEPSIA EC. CIPROFLOXACIN INF.

28 ALCE LAPURUSLI 062352 P 38 SUSP. CAP DD/ TB + 1X2 10 5 METHYLPREDNISOLON INJ.
SYNDROM OBSTRUKSI OMEPRAZOLE INJ. RANITIDIN INJ
CEFTRIAXON
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

SUSP. APP AKUT DD RANITIDIN INJ. METRONIDAZOLE

29 NOVIANUS S. MUKIN 062314 L 30 BSK. POST 1X2 8 4 METAMIZOLE INJ. ONDANSENTR
PENDICTOMY KETOROLAC INJ. PARASETAMOL I
CEFTRIAXON
FLUKONAZOLE TAB 150 MG.
MARSELINUS KOPONG
30 061724 L 23 ABSES MANUS DEXTRA CEFTRIAXON 1X2 16 8 OMEPRAZOLE INJ. KETOROLAC IN
HERA METRONIDAZOL INF. RANITIDIN

CIPROFLOXACIN INF. FUROSEMID

31 ANDREAS OLA TOKAN 061947 L 79 OBS. DYSPEPSIA CEFTRIAXON 2X1 22 11 OMEPRAZOLE INJ. METRONIDAZ
INJ. DEXAMETASON INJ.

SEPTEMBER

LEVOFLOXACIN INJ, ASAM TRANEXA

1 060194 L 51 CEFTRIAXONE 2X1 10 INJ. FUROSEMID INJ.
METHYLPREDNISOLON INJ.
HAKIM SULAIMAN METRONIDAZOLE INFUS.

2 063916 L 64 CEFTRIAXONE 1X2 12 CIPROFLOXACIN INFUS,

METHYLPREDNISOLON INJ, OMEPR
KASINA UMAR INJ, METOKLORPRAMID INJ.
3 SADIMIN 008784 L 50 CEFTRIAXONE 1 NOVORAPID INJ. LEVERMIR INJ.
HERNIA INGUIRALIS
4 061558 L 64 LATRRALIS ( TINDAKAN CEFTRIAXONE 2X1 2 1
OPERASI) ONDANSENTRON INJ, DIPHENHIDR
SYADON B AMA INJ, DEXAMETASON INJ, KETOROLA
5 KAROLUS SILI BAGAN 063710 L 70 CEFTRIAXONE

6 P 43 CEFTRIAXON 1X2 10 5 FUROSEMID INJ. OMEPRAZOLE INJ.

SAIDA TAHIR 063492 DIAZEPAM INJ. AZYTROMICYN TAB

7 L 61 DM TEIPE II TERKONTROL, CEFTRIAXON 2 FUROSEMID INJ. OMEPRAZOLE INJ.

MARTINUS UHE BURAN 062495 SELULITIS , SEPSIS 2X1 1 NOVORAPID INJ
8 KAROLUS SILI DOGAN 063710 L 70 CEFTRIAXON 2X1 4 2 METRONIDAZOLE INJ. RANITIDIN IN
9 L 54 CEFTRIAXON 1X1 LIDOCAIN INJ. KETOROLAC INJ. RAN
SIMON S. AMA 058112 1 1 INJ. DIPENHIDRAMIN INJ.
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

10 L 50 CEFTRIAXON 2X2 CITIKOLON INJ. OMEPRAZOLE INJ.

ELIAS TAMA WATON 063564 16 4 DEXAMETASON INJ.
11 L 47 CEFTRIAXON 2X1 KETOROLAC INJ. DEXAMETHASON I
PETRUS D. ODJAN 048291 2 1 RANITIDIN INJ. ONDANSENTRON IN

12 L 36 CEFTRIAXON 1X2 CEFTAZIDIN TAB. OMEPRAZOL INJ.

PARASETAMOL INJ. CIPROFLOXACIN
BALSIUS W. WEKING 062419 22 11 METRONIDAZOLE TAB 500 MG ( PU
13 P 35 CEFTRIAXON 1X2 OMEPRAZOLE INJ. AZYTROMICIN TA
KRISTINA YAYA 063590 8 4 ONDANSENTRON INJ.

14 P 50 CEFTRIAXON 1X2
SUSP. PNEUMONIA. AKI
DD ACKD E.C. PRE RENAL DEXAMETHASON INJ. OMEPRAZOLE
YILIANA BELINDA S 063469 DD PNC 10 5 CITICOLIN INJ. DEXAMETHASON INJ

15 L 40 CEFTRIAXON 1X2 CIPROFLOCAXIN INJ. OMEPRAZOLE

YOHANES OLA KEDANG 063488 6 3 FLUKONAZOLE TAB. COTRIMOXAZO
16 SAID ULUMANDO 063604 L 48 CEFTRIAXON 8 4 AZYTROMICIN TAB

17 L 80 CEFTRIAXON 2X1 OMEPRAZOLE INJ. ASAM TRANEXSA

RAYMUNDUS REBO 063690 6 3 INJ. VIT K INJ. EPINEFRIN INJ.
18 L 59 CEFTRIAXON 2X1 CIPROFLOXACIN INJ. OMEPRAZOLE
AHMAD SALEH 063759 4 2 GLUKONAS INJ.

CHF. DYSPNEA EC. SUSP

19 L 78 ACKD DD CKD. CHF FC II- CEFTRIAXON 1X2
III EC AP LARDIANOPATI.
PNEUMONIA CAP CIPROFLOXACIN INJ. OMEPRAZOLE
ANEMIA BERAT DM TIPE GLUKONAS INJ. FUROSEMID INJ.
MARTINUS KIAWUUN 063605 II. ANEMIA BETAR 6 3 ONDANSENTRON INJ.

20 L 56 CEFTRIAXON 1X2 FUROSEMID INJ. OMEPRAZOLE INJ.

YOSEP S. KOTEN 063682 6 3 CIPROFLOXACIN INJ. VENTOLIN NEB
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

21 P 59 CEFTRIAXON 2X1 FUROSEMID INJ. NOVORAPID INJ.

NIKOLAUS LANANG 063842 OMEPRAZOLE INJ.

22 P 65 CEFTRIAXON 1X2 16 8
SUSP. PNEUMONIA,. HT
EMERGENCY DENGAN CIPROFLOXACIN INJ. METHYL
TOD ALO , AAD. HT PREDNISOLON INJ. OMEPRAZOLE IN
FRANSISKA SABU HEWEN 063715 TERKONTROL FUROSEMID TAB. SPIRONOLAKTON
23 L 74 CEFTRIAXON 2X1 AZYTROMICIN TAB. FUROSEMID INJ
MARTINUS TUPEN 005961 6 3 RANITIDIN INJ.

24 P 24 CEFTRIAXON 1X2 RANITIDIN INJ. OMEPRAZOLE INJ.

CIPROLOXACIN INJ. METOKLORPRA
ONDANSETRON INJ. METRONIDAZO
BRIGITA INA SIBA 060896 16 8 FUROSEMID INJ.

25 P 45 OBS. ACITES + DYSPEPSIA. CEFTRIAXON 1X2

PSUSP. ILEUS OBSTRUKSI . METRONIDAZOLE INJ. RANITIDIN IN
POST LAPARATOMY ASAM TRANEXAMAT INJ. METRONI
MONIKA P OLA 055202 EKSPLORASI 10 5 INJ. KETOROLAC INJ. PARASETAMOL

AZYTROMICIN TAB 500 MG. OMEPR

26 P 56 CEFTRIAXON 2X1 INJ. AMINOFILIN INJ.
YOSEFINA BOTA PIRAN 061330 ASMA AKUT 8 4 METHYLPREDNISOLON INJ
27 L 54 USOSEPSI, ISK CEFTRIAXON 2X1 SEBELUMNYA MENGGUNAKAN
PAULUS PORA LEIN 019599 KOMPLIKASI 2 1 CIPROFLOXACIN INJ.

CIPROFLOXACIN INJ. FLUKONAZOLE

28 P 38 CEFTRIAXON 1X2 150 MG. COTRIMOXAZOLE TAB 980
INF. B20 STD IV. ANEMIA VENTOLIN NEBULIZER INJ. AMBROX
SEDANG. PRE HAART. SALBUTAMOL TAB METHYLPREDNIS
IMACULATA WADA 045559 WASTING SYNDROM 12 6 TABOMEPRAZOLE INJ.
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

29 L 5 CEFTRIAXON 1X1 ONDANSENTRON INJ. DEXAMETASO

LIDOCAIN INJ. DHYPENHINDRAMIN
HAMDAN SALEH 054182 HERNIA SCROTALIS 1 1 KETOROLAC INJ.

OBS. DOC. EC. SUSP CIPROFLOXACIN INJ. METROCLORPR

30 P 52 METABOLIC DD/ICP OBS CEFTRIAXON 1X2 INJ. ASAM TRANEXAMAT INJ.
PETRONELA WOLONARA SYNDROM DELIRIUM OMEPRAZOLE INJ. ONDANSENTRON
HERIN 062746 ADHF 10 5 DIAZEPAM INJ.

31 P 58 CEFTRIAXON 1X1

FATIMA HASAN 062705 SNAKE BITE 4 4 SABU. ATS INJ. ASAM TRANEXAMAT
32 BERNADUS OLA 061965 L 51 CEFOTAXIME 3X1 6 2 CIPROFLOXACIN INJ.
33 L 46 CEFTRIAXON 1X2 PANTOPRAZOLE INJ. VENTOLIN NEB
RUDOLF FERNANDEZ 011786 DYSPEPSIA EL TB 10 5 CIPROFLOXACIN INJ.

34 P 76 CEFTRIAXON 1X2
CAP DYSPNEA EC ASTMA FUROSEMID INJ. AMINOFILIN INJ.
DD PNEUMINIA DENGAN CIPROFLOCAXIN INJ. OMEPRAZOLE
THERESIA PENI PAYONG 062869 SINDROM OBS ANEMIA 14 7 METHYLPREDNISOLON INJ.
35 P 37 CEFTRIAXON 1X2 OMEPRAZOL 40 MG. PARASETAMO
NELCY FIANA MATA 002358 8 4 750 MG. LAXADIN SYP

36 L 26 CEFTRIAXON 1X2 CIPROFLOXACIN INJ. OMEPRAZOLE

OBS. ABDOMINAL . SUSP ONDANSENTRON INJ. SIMVASTATIN
COLELYTRASIS . SUSP ISK METILPREDNISOLON INJ. BUSCOPA
DESY DARIUS 062953 KOMPLIKASI 10 5 VENTOLIN NEBULIZER

PNEUMONIA CAP PSI

37 P 56 CLASS 1V. TB PARU ON CEFTRIAXON 1X2 CIPROFLOXACIN INJ. OMEPRAZOLE
YOSEFINA D PIRAN 061303 TREAMENT 8 4 METOKLORPRAMID INJ.
38 L 87 CEFTRIAXON 1X2
HERMAN PARU LIWUN 063048 SUSP. BIO + GEA KRONIS 12 6 OMEPRAZOLE INJ. FLUCONAZOLE T
39 ADOLFUS F. LEWOTAN 063122 L 22 APPENDICITIS AKUT CEFTRIAXON 1X1 2 2
40 L 65 CEFTRIAXON 1X2 CIPROFLOCAXON INJ.
ARIS ARAN RAWA 063056 12 6 METHYLPREDNISOLON INJ.
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

41 L 22 VULNUS AMPUTATUM CEFTRIAXON 2X1 METRONIDAZOLE INJ. ONDANSENT

NEGRO PEDIS + MULTIPLE INJ. KETOROLAC INJ. DEXAMETASON
MOHAMAD SALEH EWA 063271 VE EC CRUSH 4 2 DYPENHIDRAMIN INJ.RANITIDIN IN

42 L 53 CEFTRIAXON 1X2 CIPROFLOXACIN INJ. METRONIDAZO

RASBI H ABDULAH 063108 DOC. CC SUSP SNH DD SH 8 4 PANTOPRAZOLE INJ. CITICOLIN INJ.
OKTOBER
1 MARSITA DAUD 064183 P 47 CEFTRIAXONE 1X2 2 AZYTROMICIN, NOVORAPID
064154 P 10 CEFTRIAXONE 2X1 10 RANITIDIN INJ, METRONODAZOLE I
2 MARIA ERNESTINA B HERIN KETOROLAC INJ
3 H MUHAMAD MADI 064323 L 69 CEFTRIAXONE 2X1 8 METRONIDAZOLE INFUS, CIPRO INF
ABDOMINAL PAIN, SUSP
064268 P 17 APPENDICITIS ACUTE CEFTRIAXONE 2X1 6 3
4 MARIA IMACULATA Y. K METRONIDAZOLE INJ, RANITIDIN IN
INF. B20. stadium IV
Tb.paru anaemia sedang
Pneumonia. CAP PSI cLass
064072 L 29 IV CEFTRIAXONE 1X2 10
COTRIMOXAZOLE TAB 960 , FLUKON
5 DONATUS A BAYO TAB 150 MG, AZYTROMICIN TAB
SIROSIS HEPATITIS CTP - C
MELENA EC RUPTUR VE +
GNP , VE GRD IV , GHP

027675 L 46 CEFTRIAXONE 1X1 4

6 DARIUS DONI PIRAN ASAM TRANEXAMAT INJ, VIT K INJ.

OBS. ILEUS EC SUSP
PERFORASI APP, SEPSIS
064328 L 52 BERAT CEFTRIAXONE 1X2 2 1

7 LUKAS BELAWA MOLAN RANITIDIN INJ,

AZYTROMICIN TAB 500 MG,

063947 P 62 CEFTRIAXONE 2X1 4 CIPROFLOXACIN INJ 400 MG, RANIT
INJEKSI, CITICOLIN INJ, SPIRONOLAK
8 SUSANA B BLOLON TAB
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N
SUSP. TB PARU, SUSP
063775 L 52 LIMFADENOPATI TB ORAL CEFTRIAXONE 1X2 18 14
CANDISISASIS CIPROFLOXACIN INFUS, RANITIDIN
9 MIKHAEL ENGO WOTAN FLIKONAZOLE INJEKSI 200 MG

AZYTROMICIN TAB 500 MG, METHY

053407 L 68 CEFTRIAXONE 1X2 12 PREDNISOLON INJ. FUROSEMID INJ
10 HERMANUS PATI MOLAN RANITIDIN INJ.
OBS FEBRIS HR II A.C
SUSP PNEUMONIA CIPROFLOXACIN INFUS, FUROSEMID
026529 L 55 CEFTRIAXONE 2X2 12 8 SPIRONOLAKTON 25 MG,
METHYLPREDNISOLON INJ, VENTOL
11 DAMIANUS LONEK NEBULIZER
004108 P 14 CEFTRIAXONE 3 KETOROLAC INJEKSI, RANITIDIN INJ
12 FAMILIA BAREK LEIN CITICOLIN INJ.
062069 L 22 CEFTRIAXONE 1X2 4 2 KETOROLAC INJEKSI, RANITIDIN INJ
13 AFRIZAL CITICOLIN INJ.
DOC SUSP METABOLIK
INTRACRANIAL

063337 P 73 CEFTRIAXONE 1X2 20 10 METHYLPREDNISOLON INJ.

CIPROFLOXACIN INJ. FUROSEMID IN
CITIKOLIN INJ. RANITIDIN INJ.
14 SESILIA GELANG METRONODAZOLE INJ

AZYTROMICIN TAB, FUROSEMIT IN

063492 P 43 CEFTRIAXONE 1X2 10 METHYLPREDNISOLON INJ. OMEPR
16 SAIDA TAHIR INJ
OBS GASTRITIS AKUT EC
SUSP VIRAL INFECTION
DD BACTERIAL INFECTION
, SINDROM DISPEPSIA
063331 P 54 CEFTRIAXONE 1X2 12
ISPA

CIPROFLOXACIN INJ. FUROSEMID IN

17 ROSALIA L MUKIN
inf. B20 STD IV , oral
candidiasis, anemia
063333 L 40
sedang , komplikasi
18 FRANSISKUS XAVERIUS M TUA
RANITIDIN INJ. METOKLORPRAMID
CIPROFLOXACIN INJ. FLUKONAZOLE
CEFTRIAXONE 2X1 14 METHYLPREDNISOLON INJ.
COTRIMOXAZOLE TAB, RANITIDIN IN

NOVEMBER
 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N
PPOK STABIL, POST
PNEUMONIA, OBS.
ANEMIA SEDANG CAPS
053407 L 68 PSI CLAS IV CEFTRIAXON 2X1 8 7

1 HERMAN PATI MAKIN FUROSEMID INJ, LEVOFLOXACIN TA

DELICIUM CC HIPOXIC
ENSELOPHATY DD
065091 P 73 SEPTIC , PNEUMONIA CEFTRIAXON 2X1 3
CAP PSI CLASS IV LEVOFLOXACIN INJ, VENTOLIN NEBU
2 THERESIA RAWA BORO OMEPRAZOLE INJ,

065047 P 2 CEFTRIAXON 2 ASAM TRANEXAMAT INJ, ONDANSE

3 MONIKA BOTA RURON INJ, ATROPIN SULFAT, PROPOFOL
4 SAKRIL MUDAMING 063303 L 39 CEFTRIAXON 1X2 8 PETIDIN INJ,
5 TYOSEP RATU WATON 063416 L 50 CEFTRIAXON 2X1 5 VENTOLIN NEBULIZER,
SUSP.IMUNOCORPURIT8S
E.C B20 , ORAL
CANDIDIASIS, ANEMIA
064791 L 29 BERAT MASSA INTRA CEFTRIAXON 1X2 18
ABDOMEN COTRIMOXAZOLE TAB 960 MG,
PARASETAMOL INJ, FLUKONAZOLE T
6 ANTONIUS K SOLOT MG, ONDANSENTRON INJ, RANITID
OBS. BRADIKARDIA,
SUUP. PNEUMONIA,
SUSP HHD OBS DOC
064215 L 72 INTRACARNIAL PROSES CEFTRIAXON 2X1 16 8
SP SH SNH LEVOFLOXCACIN INJ, RANITIDIN INJ
DEXAETHASONE INJ, PIRACETAM IN
7 LAMBERTUS WERANG CITICOLIN INJ,
HERNIA INGGULIARIS
062582 L 84 MEDIAS, IRREPONIBLE CEFTRIAXON 2X1 2
(OPERASI) LIDOCAIN INJ, ONDANSENTRON INJ
8 MATIAS SUBAN EPINEFRIN INJ
INFEKASI B20 STADIUM IV
045559 P 38 PRE HAART CEFTRIAXON 1X2 2 1 COTIMOXAZOLE TAB, FLUKONAZOLE
9 IMACULATA RIOUNG AZYTROMICIN TAB
HIPOKALEMIA, SUSP
BRONKITIS KRONIS ,
052407 L 48 PNEUMONIA CEFTRIAXON 2X2 16

10 SIPRIANUS S SOGE AXYTROMICINTAB, RANITIDIN INJ

 GOL.
NO NAMA PASIEN NO RM JK UMUR DIAGNOSIS SEFALOSPORI DOSIS JML DURASI TERAPI LAIN
N

064554 P 13 CEFTRIAXON 1X2 6 RANITIDIN INJ, KETOROLAC INJ,

11 LUSIAN V GORAN T DEXAMETHASONE INJ.
HIPOVOLEMIA DD SEPSIS
( TBPARU LAMA AKUT,
CARDIOMEGALI CC NSP
CPCD, EFUSI PLEURA,
022155 P 56 ORAL CANDIDIASIS, CEFTRIAXON 1X2 7
GASTRITIS AKUT

FUROSEMID INJ, METHIL PERDNISO

12 THERESIA DERAN TEIS INJ. CIPROFLOXACIN INFUS
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
Data Penyakit Periode Juli - Desember 2018

Bulan
Penyakit
Juli Agustus September Oktober November Desember
CKD 41 45 57 62 53 25
HT 40 43 24 27 31 17
PENUMONIA 34 46 34 49 26 11
ANEMIA 27 26 38 47 21
DM 26 18 23 19 17 10
GEA 24 38 24 15 5
DYSPEPSIA 19 25 31 18 8
SNH 12 16 15
ISK 11 11 27 9 9
HEMIPARE 10 9
RDN 10
SEPSIS 13 21 11
GHF 13
TB PARU 11 14 7
HHD 10 17 13 8 9
SNAD 10
PNC 16
DIARE 8
TFA 6
PPOK 5
BPH 4
TOTAL
283
182
200
159
113
106
101
43
67
19
10
45
13
32
57
10
16
8
6
5
4
 LEMBAR PENGAMBILAN DA

UMUR
NO NAMA PASIEN NO RM JK DIAGNOSIS
(Thn)
JULI

SUSP. MALARIA .
DEMAM DENGUE +
1 MARTHA GENERE 061278 P 65 SINDROM

OBS. DYSPEPSIA
EC. SUSP. CAP DD
TB RELAPS + AKIDD
2 THERESIA NOGO BEKENG 061313 P 66 ACKD

B20 ST IV. SASTING

SYNDROM , SUSP
JOHARIA ANWAR 006651 P 38 TB PARU

OBS. ABDOMINAL
PAIN EC. SUSP. APP
IMELDA TIMU KELEN 050622 P 20 DD ISK

ASMA SERANGAN
MARGARETA MANGGOTA KEAN 015710 P 73 SEDANG

YULIANA LEWAR 060939 P 38

MARTINA BAREK TOBI 061258 P 57 ABDOMINAL PAIN

OBS. DOC EC
HIPOKALEMIA DD
VERONIKA LETO WEKING 047517 P 71 HIPERTENSI
MARTINA SABU KOTEN 061812 P
LEMBAR PENGAMBILAN DATA

GOL. DOSIS JUMLAH DURASI TERAPI LAIN

SEFALOSPORIN

METOKLORPRAMID INJ. AZYTROMICIN INJ.

CEFOTAXIM 1X3 18 6 PARASETAMOL INF. PANTOPRAZOLE INJ

PANTOPRAZOLE INJ.ASPILET TAB. ISDN TAB

5MG. CLOPIDOGREL TAB 75 MG
CEFTRIAXON 2X1 2 1 CIPROFLOXACIN INF.

PANTOPRAZOLE INJ.ASPILET TAB. ISDN TAB

5MG. CLOPIDOGREL TAB 75 MG
CIPROFLOXACIN INF.METHYLPREDNISOLON
CEFOTAXIM 3X1 21 7 INJ.

AZYTROMICYN TAB 500 MG.

COTRIMOXAZOLE TAB 980 MG. RANITIDIN
INJ. PARASETAMOL TAB 500 MG.
CEFTRIAXON 2X1 10 5 AMBROXOL TAB 30 MG. FUROSEMID INJ.

KETOROLAC INJ. PARASETAMOL INF.

RANITIDIN INJ. DEXAMETASON INJ.
CEFTRIAXON 1X2 2 2 DYPHENHYDRAMIN INJ.

CIPROFLOXACIN INF. LISINOPRIL TAB

METHYLPREDNISOLON INJ. RANITIDIN INJ.
PARASETAMOL INF. AMBROXOL SYP.
CEFOTAXIM 3X1 12 4 VENTOLIN NEBULIZER

DEXAMETHASON INJ. PTU TAB. LAXADIN

SYP. PROPANOLOL TAB. PARASETAMOL TAB
CEFTRIAXON 2X1 8 4 500 MG

PANTOPRAZOLE INJ. METOKLORPRAMIT

INJ. CIPROFLOXACIN INF.ASAM FOLAT.
CEFOTAXIM 3X1 12 4 SUKRALFAT SYP.

PANTOPRAZOLE INJ. CIPROFLOXACIN INJ.

ASAM FOLAT, CAPTOPRIL TAB. AMLODIPIN
CEFTRIAXON 1X2 4 2 TAB
 KET

HARI PERTAMA MASUK

 LEMBAR PENGAMBILAN DATA

UMUR GOL.
NO NAMA PASIEN NO RM JK DIAGNOSIS
(Thn) SEFALOSPORIN

1 CHARELS DALU KELEN 066025 L 18 CKB SUSP. ICB CEFTRIAXON

2 EPIFANIUS RUMAT RUMAH 066176 L 24 OBS. COLIC RENAL CEFTRIAXON

SUSP. BSK

3 THOMAS K MASAN 066154 L 49 ABBDOMINAL PAIN, CEFTRIAXON INJ

LAP. APP, POST APP

4 ANTONIUS L DOREN 066063 L 5 CRPUS ALINEUS CEFTRIAXON

5 IGNASIUS FERNANNDEZ 066102 L 31 ABSES DOGIT III CEFTRIAXON

MANUS 5

6 YOSEP A SOGEN 065653 L 59 ABSES A/R COLLI CEFTRIAXON

POSTERIOR
7 LUSIA LIPAT DOLE 055183 P 36 MASSA ABDOMEN, CEFTRIAXON
SUSP HERNIA

8 NATALIA AGNESIA KABON 065405 P 7 CKR CEFTRIAXON

9 LUSIA WADAN K WURE 066268 P 58 OBS. ABDOMINAL CEFTRIAXON

PAIN E.C MASSA
INTERNAL INTRA
ABDOMEN + ANEMIA

10 BERNADUS DEMON 065357 L 53 OBS. DYSPNEA EC. CEFTRIAXON

SUSP ADUF

11 YOHANES B MUKIN 010028 L 59 OBS ASCRES EC. SUSP CEFTRIAXON

NS + SUSP. EFUSI
PLEURA

12 YUSTINA YURA 065334 P 57 DM TIPE 2 CEFTRIAXON

13 ABDULAH KOPONG 031367 L 41 ISK CEFTRIAXON

14 TN ARNOLDUS ABA 065300 L 57 HIL CEFTRIAXON

15 HAKIM SULAIMAN 060194 L 51 CHF FC II EC CAD CEFTRIAXON

POST OMI
ANTEROSEPTAL ,
PNEUMONIA CAP PSI
CLAS IV

16 VERONIKA YULIANI P 14 OBS MALAISE EC CEFTRIAXON

POST INTOKSIKASI
ORGANIFOSFAT

17 TAUFIK ARIFIN 001745 L 31 RETENSIO URINE CEFTRIAXON

18 YOHANES KELEN 06583 L 46 CKR + SUSP ICB CEFTRIAXON

19 FRANSISKUS D WERANG 042338 L 2 ABSES REGIO FASILIALICEFTRAXON

20 BRUCE LEE KUEN 065602 L 44 TRAUMA THORAX CEFTRIAXON

21 SIMON HAMA MORON 051078 L CEFTRIAXON

22 YULIUS SABON BEDA 030166 L CEFTRIAXON

23 ANTON ARA GAYAK 065413 L CEFTRIAXON

24 YOHANES B F AIKOLI 065361 L CEFOTAXIME

25 NIKOLAUS NARA TUKAN 062215 L CEFOTAXIME

26 FRANS OLA KOTEN 001873 L CETRIAXON

27 PETRUS PEKU LEWAR 065853 L CEFTRIAXON

28 RAYEN JANA PIRAN 065386 L CEFTRIAXON

29 HERMANUS OLE ARAN 065543 L CEFTRIAXON

30 ROBERTUS REBON ODJAN 065683 L CEFTRIAXON

31 PASKALIS LEIN 065982 L CEFTRIAXON

32 FRANSISKUS EBA TUKAN 063449 L CEFTRIAXON

33 ROBERTUS REBON 065683 L CEFTRIAXON

34 BERNADUS BALA E DOREN 063077 L CEFTRIAXON

35 ANTONIUS BUGIS DOREN 065907 L CEFTRIAXON

36 HIJRAH B SULAIMAN 036578 L CEFTRIAXON

37 HENDRIKUS H HERIN 065896 L CEFTRIAXON

38 VINSENSIUS NAREK 065984 L CEFTRIAXON

39 YOSEP HARIBAE L L CEFOTAXIME

40 FABIANUS KUBE KOTEN 066060 L CEFTRIAXON

41 YOSEP BOLI TOBI 058089 L CEFTRIAXON

42 NICOLAUS TUBE ARAN 066104 L CEFTRIAXON

43 YOSEP NAMA KELAN 064589 L CEFTRIAXON

44 BENEDIKTUS B LIWUN 000344 L 80 ACKD ON CKP BPH CEFTRIAXON

ASMA BRONKIAL

45 ELISABETH DA SILVA 065263 P 84 OBS DOC CEFTRIAXON

46 MARSA KEWA KOREBIMA 064910 P 56 TUMOR MAMMAE CEFTRIAXON

ENGAMBILAN DATA

WAKTU
DOSIS JUMLAH DURASI TERAPI LAIN
SUNTUK
WAKTU
NAMA OBAT DOSIS PEMBERIAN
2X1 6 3 KALNEX INJ 3X500 MG
CITICOLIN INJ 3X500 MG
DEXAMETHASON INJ 3X5 MG
PHENYTOIN INJ 3X100 MG
METAMIZOLE INJ 3X1 GR
PARASETAMOL INJ 3X1 GR

2X1 G 6 3 KETOROLAC INJ 2X1

RANITIDIN INJ 2X1
BUSCOPAN INJ 2X1
NEFROLIT KAPSUL 3X1 KPS
CIPROFLOXACIN TAB 2X500 MG OBAT PULANG
OMEPRAZOLE KAPSUL 2X20 MG
PARASETAMOL TAB 3X750 MG

2X1 6 3 RANITIDIN INJ 1X1

PARASETAMOL INF 1X1
METRONIDAZOLE INF 3X1
BUNASCAN INJ 1X1
LIDOCAIN INJ 1X1
ONDANSENTRON INJ 1X1
XYLOCAIN INJ 1X1
FENTANIL INJ 3X1
CLONIDIN INJ 1X1
PARASETAMOL TAB 4X500 MG OBAT PULANG
CEFIXIME KAPSUL 2X200 MG
GENTAMICIN SALAP 2
SUFRATULLE 1

2X500 MG 6 6 PARASETAMOL SYP 3X1,5 CTH

PROPOFOL
DIMENHIDRINAT INJ
ONDANSENTRON INJ
FENTANIL INJ
CEFIXIME SYP 2X1 CTH OBAT PULANG

2X1 6 3 METRONIDAZOLE INF 3X1

KALIUM DIKLOFENAT 3X50 MG
PARAETAMOL TAB 4X500 MG
LIDOCAIN HCL 10 AMPL
CEFIXIME KPS 2X200 MG OBAT PULANG
IBUPROFEN TAB 3X400 MG

1X2 14 7 KALIUM DIKLOFENAT 3X50 MG

PARASETAMOL INF 3X1 G
METRONODAZOLE INF 3X500 MG
RANITIDIN INJ 2X50 MG
LANTUS INJ 1X8 UNIT
NOVORAPID INJ 3X8 UNIT
PARASETAMOL TAB 3X500 MG OBAT PULANG
CEFIXIME KPS 2X200 MG
1X2 2 1 KEROROLAC INJ 1X1
RANITIDIN INJ 1X1
DEXAMETASON INJ 3X1
CEFIXIME KPS 2X 200 MG OBAT PULANG
METRONODAZOLE TAB 3X 500 MG
ASAM MEFENAMAT TAB 3X500 MG
RANITIDIN TAB 2X150 MG

2x1 6 3 ATS INJ 1

CITICOLIN INJ 2X1
RANITIDIN INJ 2X1
KETOROLAC INJ 2X1
LIDOCAIN INJ 1
PENITOIN INJ 3X1
GENTAMICIN SALAP 1
PARASETAMOL SYP 3X1 CCH

2X1 4 2 OMEPRAZOLE INJ 1X1

ONDANSENTRON INJ 1X1
SUKRALFAT SYP 3X1 C
CLINDAMICIN KPS 3X300 MG

2X1 2 1 FUROSEMID INJ 1X1

RANITIDIN INJ 2X1
PARASETAMOL TAB 3X500 MG
LEVOFLOXACIN INJ 2X1
CAPTOPRIL TAB 2X6,25 MG
BISOPROLOL TAB 1X1,25
PARASETAMOL INJ 1
DOBUTAMIN INJ 3

1X2 2 1 RANITIDIN INJ 1

2X2 8 2 FUROSEMID INJ 2X1
AMBROXOL SYP 3X1 C
OMEPRAZOLE INJ 1X1
CAPTOPRIL TAB 2X12,5 MG
BISOPROLOL TAB 1X1,25
CITICOLIN INJ 2X500 MG
DEXAMETASON INJ 4X1
EPINEFRIN INJ 2X1

2X1 3 2 OMEPRAZOL INJ 1X1

ONDANSENTRON INJ 2X1
VENTOLIN INJ 1
FUROSEMID INJ 2X1
CAPTOPRIL TAB 3X25 MG
AMLODIPIN TAB 1X10 MG
AZYTROMYCIN TAB 1X500 MG
LEVOFLOXACIN INJ 1X750 MG

2X1 2 1 CIPROFLOXACIN INJ 2X200 MG

FUROSEMID INJ 1X20 MG
SPIRONOLAKTON INJ 3X100 MG
PROPANOLOLTAB 3X10 MG
LAMIVIDIN TAB 1X100 MG
DULCOLAX SUPP 1
 BUNASCAN INJ 1
LIDOCAIN INJ 1
ONDANSENTRON INJ 1
DEAXMETASON INJ 1
KETOROLAK INJ 1

1X2 4 2 LACTULOSA SYP 3X1 C

2X1 8 4 HARNAL TAB 1X0,2 MG
KETOROLAC INJ 1
PARASETAMOL TAB 3X1000MG
BUNASCAN INJK 1
LIDOCAIN INJ 1
CAPTOPRIL 2X25 MG 2X25 MG
CEFIXIME KPS 2X200 MG
NOVORAPID INJ 3X6 UNIT
LEVERMIN 1X6 UNIT
HARNAL TAB 1X0,2 MG
CAPTOPRIL 3 X 25 MG 3X25 MG
PARASETAMOL TAB 3X750 MG

2X1 10 5 LEVOFLOXACIN INJ 1X750 MG

BROMHEKSIN TAB 8 MG 3X 8 MG
ASAM TRANEXAMAT INJ 3X500 MG
FUROSEMID INJ 1X20 MG
METHYLPREDNISOLON INJ 2X31,25MG
SIMVASTATIN TAB 20 MG 1X20 MG
ASPILETS 80 MG 1X80 MG
CAPTOPRIL TAB 2X6,25 MG
SUCRALFAT SYP 3X1 C
OMEPRAZOLE INJ 2X40 MG
DULCOLAX SUPP 1
METRONIDAZOLE INJ 3X500 MG
ANTIHEMOROID SUPP 1
METOCLORPRAMID INJ 3X10 MG
METILPREDNISOLON TAB 2X8 MG OBAT PULANG
ASAM TRANEXAMAT TAB 3X500 MG
LEVOFLOXACIN TAB 1X500 MG
CEFIXIME KPS 2X200 MG
METRONIDAZOLE TAB 3X500 MG
OMEPRAZOLE KPS 1X20 MG
SUKRALFAT SYP 3X1C
1
2X1 8 4 RANITIDIN INJ 1X1
ONDANSENTRON INJ 1X1
PARASETAMOL INF 1X1
OMEPRAZOLE INJ 1X1
SUCRALFAT SYP 3X1 CTH
NORIT TAB

2X1 18 9 LEVOFLOXACIN INJ 1X750 MG

FUROSEMID INJ 2X1
RANITIDIN INJ 2X50 MG
PARASETAMOL INJ 1X1
PTU TAB 4X200 MG
DEXAMETASON INJ 4X10 MG
PROPANOLOL TAB 3X20 MG
CAPTOIPRIL TAB 2X625 MG
 OMEPRAZOLE INJ 2X40 MG
ONDANSENTRON INJ 1X4 MG
KSR 600 MG TAB 1X600 MG
PTU TAB 4X200 MG OBAT PULANG
PROPANOLOL TAB 4X20 MG
CAPTOPRIL TAB 3X6,25 MG
PARASETAMOL TAB 3X500 MG

1X2 10 5 ASAM TRANEXAMAT INJ 2X1

CITICOLIN INJ 2X1
RANITIDIN INJ 2X1
KETOROLAC INJ 3X1
ATS INJ 1
PARASETAMOL INF 3X1
PETIDIN INJ 1
ONDANSENTRON INJ 1

2X1 4 2 PROPOFOL INJ 1

ONDANSENTRON INJ 1
DEXAMETASON INJ 1
SULFAS ATROPIN INJ 1
PARASETAMOL SYP 4X1 CTH
CEFIXIM SYP 2X1 C

1X2 14 7 AMBROXOL SYP 3X15 ML

PARASETAMOL TAB 4X500 MG
GENTAMICIN SALAP 1
SUFRATULLE 2
LIDOCAIN HCL 10

14 7 OMEPRAZOL INJ
AZYTROMICIN TAB
AMBROXOL SYP
LIDOCAIN INJ
PARASETAMOL TAB
LEFOFLOXACIN INF
CEFIXIME KPS OBAT PULANG
AZYTROMICIN TAB
PARASETAMOL TAB
2 1 RANITIDIN INJ
AMBROXOL SYP
PARASETAMOL TAB
PARASETAMOL INJ
NISTATIN DROP
AZYTROMICIN TAB
LANZOPRAZOLE KPS OBAT PULANG
AZYTROMICIN TAB
CEFIXIME KPS
AMBROXOL TAB
LAXADIN SYP
6 3 AMBROXOL SYP
PARASETAMOL TAB
LISINOPRIL TAB 5 MG
ASAM TRANEXAMAT INJ
AZYTROMICIN TAB OBAT PULANG
LISINOPRIL TAB 10 MG
AMBROXOL TAB
 PARASETAMOL TAB
ASAM TRANEXAMAT TAB
3X1 9 3 RANITIDIN INJ
KETOROLAC INJ
OMEPRAZOL INJ
PARASETAMOL TAB
DIAZEPAM TAB 2 MG
KCL INJ
KSR TAB
SUCRALFAT SYP
SUCRALFAT SYP OBAT PULANG
LANZOPRAZOLE KPS
CEFIXIME KPS
KSR TAB
PARASETAMOL TAB
3X1 15 5 OMEPRAZOL INJ
AMBROXOL SYP
LAXADIN SYP
PARAETAMOL INF
AZYTROMICIN TAB
ASAM TRANEXAMAT INJ
AMBROXOL TAB
BISACODIL SUPP
OMEPRAZOLE KPS OBAT PULANG
AMBROXOL SYP
LACTULOSA SYP
ASAM TARNEXAMAT TAB
FARBION TAB
CEFIXIME KPS
2X1 4 2 RANITIDIN INJ
ASAM TRANEXAMAT INJ
OMEPRAZOLE INJ
AMBROXOL SYP
CEFADROXIL KAPSUL OBAT PULANG
AMBROXOL SYP
ASAM TRANEXAMAT TAB
4 2 RANITIDIN INJ
KETOROLAC INJ
ATS INJ
SABU INJ
DEXAMETASON INJ
DIPENHIDRAMIN INJ
DEXAMETASON TAB OBAT PULANG
1 1 PARASETAMOL SYP
METRONIDAZOLE INF
RANITIDIN INJ
PARASETAMOL INF
8 4 HEPARIN INJ
ASPILET TAB
CLOPIDOGREL TAB
CAPTOPRIL TAB
ISDN
BISOPROLOL TAB
LACTULOSA SYP
LEVOFLOXACIN INF
DIAZEPAM TAB 2 MG
FUROSEMID INJ
 ALOPURINOL TAB
AMBROXOL TAB
CETIRIZIN TAB
ASPILET TAB OBAT PULANG
CLOPIDOGREL TAB
BISOPROLOL TAB
ALOPURINOL TAB
CETIRIZIN TAB
CAPTOPRIL TAB
8 4 RANITIDIN INJ
ONDANSETRON INJ
NOREPINEFRIN INJ
AMBROXOL SYP
AMINOFUSIN INF
6 3 METRONIDAZOLE INF
NATRIUM DIKLOFENAT TAB
TETAGAM INJ
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
4 2 BUNASCAN INJ
LIDOCAIN INJ
EPINEFRIN INJ
ONDANSETRON INJ
MORFIN INJ
CLONIDIN INJ
PARASETAMOL TAB
GENTAMICIN SALAP KULIT
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
GENTAMICIN SALAP KULI
6 3 RANITIDIN INJ
KETOROLAC INJ
FUROSEMID INJ
AMBROXOL SYP
AZYTROMICIN TAB
CEFIXIME KPS OBAT PULANG
AMBROXOL SYP
LAXADIN SYP
FUROSEMID TAB
6 3 RANITIDIN INJ
ONDANSETRON INJ
PARASETAMOL INF
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
GENTAMICIN SALAP KULIT
4 2 RANITIDIN INJ
KETOROLAC INJ
TETAGAM INJ
PROPOFOL INJ
ONDANSETRON INJ
EFEDRIN INJ
DEXAMETASON INJ
DIPENHIDRAMIN INJ
CLONIDIN INJ
FENTANIL INJ
MIDAZOLAM INJ
PARASETAMOL TAB
 GENTAMICIN SALAP KULIT
GENTAMICIN SALAP KULIT OBAT PULANG
CEFIXIME KPS
PARASETAMOL TAB
6 3 KETOROLAC INJ
METRONIDAZOLE INF
IBUPROFEN TAB
KALIUM DIKLOFENAT TAB
ATS INJ
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
KALIUM DIKLOFENAT TAB
10 ATS INJ
ASAM TRANSXAMAT TAB
AMOXICILIN TAB
KETOROLAC INJ
BUNASCAN INJ
LIDOCAIN INJ
ONDANSETRON INJ
DEXAMETASON INJ
DIPENHIDRAMIN INJ
EFEDRIN INJ
MORFIN INJ
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
GENTAMICIN SALAP KULIT
6 3 ATAPULGIT TAB
PARASETAMOL TAB
AMBROXOL TAB
RANITIDIN INJ
NISTATIN DROP
NEW DIATAB
LAMIVUDIN TAB
OMEPRAZOLE KPS OBAT PULANG
FARBION TAB
LAMIVUDIN TAB
CEFIXIME KPS
AMBROXOL TAB
3X1 12 4 PARASETAMOL INF
ASAM TARNEXAMAT INJ
AMINOFUSIN INF
MANITOL INF
LEVOFLOXACIN INF
2 1 RANITIDIN INJ
METHYL PREDNISOLON INJ
OMEPRAZOLE INJ
BISOPROLOL TAB
IBUPROFEN TAB
KETOROLAC INJ
ASPILET TAB
ISDN
DOBUTAMIN INJ
FUROSEMID INJ
OMEPRAZOLE INJ
AZYTROMICIN TAB
SUCRALFAT SYP
PARASETAMOL INF
 ONDANSETRON INJ
PANTOPRAZOLE INJ
ASAM TRANEXAMAT INJ
CODEIN TAB
CIPROFLOXACIN INF
PARASETAMOL TAB OBAT PULANG
ASAM TRANEXAMAT TAB
FARBION TAB
6 3 DIAZEPAM INJ
RANITIDIN INJ
BUNASCAN INJ
ONDANSENTRON INJ
EFEDRIN INJ
FENTANIL INJ
GENTAMICIN SALAP KULIT
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
4 2 METHYL PREDNISOLON INJ
VENTOLIN INJ
LIDOCAIN INJ
BUNASCAN INJ
KETOROLAC INJ
FENTANIL INJ
CLONIDIN INJ
GENTAMICIN SALAP KULIT
CEFIXIME KPS OBAT PULANG
PARASETAMOL TAB
2X1 2 1 RANITIDIN INJ
ONDANSENTRON INJ
METHYLPREDNISOLON TAB 4 MG
AMBROXOL SYP
OMEPRAZOLE INJ
VENTOLIN INJ
LEVOFLOXACIN INF
2X1 14 7 VENTOLIN INJ 3X1
OMEPRAZOLE INJ 2X40 MG
PARASETAMOL INF 3X500 MG
HEPARIN INJ 3X5000 UNIT
LEVOFLOXACIN INF 1X750 MG
PARASETAMOL TAB 3X750 MG
LISINOPRIL TAB 1X5 MG
2X1 2 1 PROPOFOL INJ 2
CEFIXIME KPS 2X200 MG
PARASETAMOL TAB 3X500 MG
GENTAMICIN SALAP KULIT 1
 DATA
RADIOLOGI
DATA LAB KET LAIN
hari selanjutnya
hanya
menggunakan
Levofloxcacin inj

tindakan operasi
 UMUR GOL.
NO NAMA PASIEN NO RM JK (Thn) DIAGNOSIS SEFALOSPORIN

1 LAURENSIUS LAKANG KUMAN 063273 L CEFTRIAXON

2 THOMAS YARYONO TELUMA 062524 L CEFTRIAXON

3 KAROLUS KOPONG 063450 L CEFTRIAXON

4 GABRIEL GEGE 063446 L CEFTRIAXON

5 PETRUS WERANG HURINT 038599 L CEFTRIAXON

6 MANSYUR YUSUF 063359 L CEFTRIAXON

7 PAULUS KADA WEKING 063460 L CEFTRIAXON

8 MATHEUS MALIK 063536 L CEFTRIAXON

9 ENGGEBERTUS SIKU WERUIN 056749 L CEFTRIAXON

10 PIUS KODA KAPUKA 063761 L CEFTRIAXON

11 DOMINIKUS DESA TOBI 063756 L CEFTRIAXON

12 FANSISKUS KIA BALA 063911 L CEFTRIAXON

 WAKTU
DOSIS SUNTUK JUMLAH DURASI TERAPI LAIN

WAKTU
NAMA OBAT DOSIS PEMBERIAN
18 9 COTRIM TAB
AMROXOL SYP
FLUKONAZOLE TAB
RANITIDIN INJ
ONDANSENTRON INJ
METHYLPRENISOLON INJ
NOREPINEFRIN INJ
OMEPRAZOLE INJ
CIPROFLOXACIN INF
METOCLORPRAMID INJ
LAXADIN SYP
24 12 BROMHEKSIN TAB
PARASETAMOL TAB
NISTATIN DROP
COTIM TAB
CIPROFLOXACIN INF
METHYLPRENISOLON INJ
LIDOCAIN INJ
METRONIDAZOLE INJ
FLUKONAZOLE TAB
KETOROLAC INJ
RANITIDIN INJ
12 6 FUROSEMID INJ
PARASETAMOL INF
METFORMIN TAB
CIPROFLOXACIN INF
METOCLORPRAMID INJ
ISDN TAB
METRONIDAZOLE INJ
OMEPRAZOLE INJ
CEFIXIME KPS
LANZOPRAZOLE KAPS
TAMBAH DARAH
18 9 CIPROFLOXACIN INF
LANZOPRAZOLE KAPS
PARASETAMOL TAB
AMBROXOL SYP
NOREPINEFRIN INJ
METHYLPRENISOLON INJ
SUCRALFAT SYP
MEROPENEM INJ
6 3 RANITIDIN INJ
 CITICOLIN INJ
B COM TAB
ASAM FOLAT TAB
ATROPIN SULFAT
AZYTROMICIN TAB
CITICOLIN INJ
CEFIXIME KPS OBAT PULANG
CITICOLIN TAB
PARASETAMOL TAB
B COM TAB
RANITIDIN TAB
8 4 FUROSEMID INJ
OMEPRAZOLE INJ
CAPTOPRIL TAB
METOCLORPRAMID INJ
CIPROFLOXACIN INF
BROMHEKSIN TAB
SUCRALFAT SYP
AZYTROMICIN TAB
METHYLPRENISOLON INJ
LAXADIN SYP
VENTOLIN NEBULIZER
FUROSEMID TAB OBAT PULANG
OMEPRAZOLE KPS
CEFIXIME KPS
METHYLPRENISOLON TAB
CIPROFLOXACIN TAB
12 6 RANITIDIN INJ
ONDANSENTRON INJ
CITICOLIN INJ
PIRACETAM INJ
METOCLORPRAMID INJ
CAPTOPRIL TAB
SUCRALFAT SYP
LAXADIN SYP
BISACODIL SUPP
CITICOLIN TAB OBAT PULANG
CAPTOPRIL TAB 25 MG
RANITIDIN TAB
CEFIXIME KPS
4 2 RANITIDIN INJ
SUCRALFAT SYP
BROMHEKSIN TAB
OMEPRAZOLE INJ
AMINOFUSIN INJ
 AZYTROMICIN TAB
LANZOPRAZOLE KAPS OBAT PULANG
CEFIXIME KPS
TAMBAH DARAH
AMBROXOL TAB
28 14 METHYLPREDNISOLON INJ
FUROSEMID INJ
CIPROFLOXACIN INJ
LIDOCAIN INJ
PARASETAMOL TAB
OMEPRAZOLE INJ
AMBROXOL SYP
SUCRALFAT SYP
CODEIN TAB
CODEIN TAB
METHYLPREDNISOLON TAB OBAT PULANH
FUROSEMID TAB
PARASETAMOL TAB
CEFIXIME KPS
6 3 ATS INJ
KETOROLAC INJ
RANITIDIN INJ
LIDOCAIN INJ
SABU INJ
ASAM TRANEXAMAT INJ
ASAM TRANEXAMAT TAB OBAT PULANG
RANITIDIN TAB
PARASETAMOL TAB
DEXAMETASON TAB
8 4 VENTOLIN NEBULIZER
AMBROXOL SYP
METHYLPREDNISOLON INJ
FUROSEMID INJ
CIPROFLOXACIN INJ
OMEPRAZOLE INJ
CAPTOPRIL TAB
AMLODIPIN TAB
AMBROXOL SYP
SPIRONOLAKTON TAB
LAXADIN SYP
DATA LAB
 TERAPI LAIN
UMUR GOL. WAKTU
NO NAMA PASIEN NO RM JK DIAGNOSIS DOSIS JUMLAH DURASI
(Thn) SEFALOSPORIN SUNTUK WAKTU
NAMA OBAT DOSIS PEMBERIAN
1 BURHAN AMIN 065300 L 58 OBS ARTHALGIA CEFTRIAXON 2X1 8 4 ONDANSENTRON INJ 1X40 MG
ETS PUSP LA DD GA
DM TIPE II PARASETAMOL TAB 3X750 MG
OMEPRAZOLE INJ 3X4 MG
NOVORAPID INJ 1
LEVEMIR INJ 1
PARAETAMOL INF 1
LAXADIN SYP 3X1 C
BUSCOPAN TAB 1
HARNAL 0,2 MG 1X0,2 MG
CEFIXIME KPS 2X200 MG OBAT PULANG
HARNAL 0,2 MG 1X0,2 MG
LAXADIN SYP 3X1 C
NOVORAPID INJ 3X8 UNIT
LAURENSIUS LIWUN 065136 L 54 EFUSI PLEURA S CEFTRIAXON
LIMFADENOPATHY
COLI
2 2X1 8 4 VENTOLIN NEBULIZER 2
AMBROXOL TAB 30 MG 3X30 MG
KETOROLAC INJ 3X30 MG
RANITIDIN INJ 2X50 MG
GENTAMICIN SALAP KULIT 1
SUFRATULLE 3
PARASETAMOL TAB 3X500 MG
PATASETAMOL TAB 3X500 MG OBAT PULANG
3 SUMARNI ABDULAH 020657 P 47 OBS DYSPNEA CEFTRIAXON 1X2 10 5 METHYLPREDNISOLON INJ 2X625 MG
FUROSEMID INJ 3X40 MG
LEVOFLOXACIN INJ 1X750 MG
PARASETAMOL TAB 3X500 MG
AMBROXOL TAB 30 MG 3X1 C
CAPTOPRIL TAB 2X12,5 MG
AZYTROMICIN TAB 1X500 MG
 VENTOLIN NEBULIZER 3X1 C
BISOPROLOL 1X25
FUROSEMID TAB 3X40 MG OBAT PULANG
CEFIXIME KPS 2X200 MG
CAPTOPRIL TAB 2X25 MG
BISOPROLOL 1X2M5 MG
4 SUSANA KUMANIRENG 064816 P 25 OBS. ABDOMINAL CEFTRIAXON 2X1 6 3 PARASETMOL INF 1
PAIN. POST
APPENDICTOMI RANITIDIN INJ 2X50 MG
PER LAPARTOMY ONDANSENTRON INJ 2X4 MG
METRONIDAZOL INF 3X1
KETOROLAC INJ 3X30 MG
OMEPRAZOLE INJ 2X40 MG
PARASETAMOL TAB 3X500 MG
GENTAMICIN SALAP KULIT 1
SUFRATULLE 1
CEFIXIME KPS 2X200 MG OBAT PULANG
METRONIDAZOLE TAB 3X500 MG
RANITIDIN TAB 2X150 MG
PARASETAMOL TAB 3X500 MG
ABSES TULKUS
5 YOHANES D LABA 064662 L 48 DIABETIKUM CEFTRIAXON 2X1 14 7 RANITIDIN INJ
ONDANSENTRON INJ
CAPTOPRIL 25 MG
FUROSEMID INJ
METRONIDAZOLE INF
OMEPRAZOLE INJ
BISOPROLOL
ALOPURINOL TAB
DIAZEPAM 5 MG TAB
6 NOVALINDA LAMATEWELU 064600 P 14 CAP P2 CLASS IV CEFTRIAXON 2X1 8 4 AZYTROMICIN TAB 1X250 MG
SUSP TB PARU
AMBROXOL SYP 3X2 CTH
PARASETAMOL TAB 3X500 MG
7 LUSIA LIPAT DOLE 055183 P MASSA
36 ABDOMEN SUSP HERNIA
CEFTRIAXON 1X2 2 1 TOFEDEX INJ 3X2,5 MG
 RANITIDIN INJ 1
KETOROLAC INJ 1
CEFIXIME KPS 2X200 MG
7 METRONIDASOLE TAB 3X500 MG OBAT PULANG
ASAM MEFENAMAT TAB 3X500 MG
RANITIDIN TAB 2X150 MG

9
10

11

12

13

14
15

16

17
18

19

20
21

22

23
 Ket lain
DATA RADIOLOGI DATA LAB
Selanjutnya menggunakan
antibiotika meropenem ddengan
obat pulang cefixime, ambroxol
syp dan paracetamol