9

8
7
6
5
4
3
2
1

11

58
57
56
55
54
53
52
51
50
49
48
47
46
45
44
43
42
41
40
39
38
37
36
35
34
33
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
10
B

No
Bulan :
C

TOTAL
Nama Pasien
D

Umur
E

Acyclovir tab 200 mg

Allopurinol
G

Ambroxol SYR
H

Ambroxol tab
I

Amlodipin 10 mg
J

Amlodipin 5 mg
K

Antasida tab
L

Asam Askorbat 250mg

Asam askorbat 50 mg
N

Asam folat
FORM CATATAN HARIAN OBAT PUSTU KELURAHAN KANTOR

Asam mefenamat
O

500mg
Asam traxenamat
P

500mg
Q

Asetil Sistein
R

Attapulgite
S

Betametason salep
T

Bromheksin
U

Captopril 12,5
V

Captopril 25
W

Cetirizine sirup
X

Cetirizine tab
Y

Curcuma
Z

Dexametasone
Domperidon
Garam oralit
Gentamisin SK
Gentamisin SM
Geriavita
Glibenclamid 5 mg
Glimepiride 1 mg
Hidrokortison SK
Hyosin
Ibuprofen 200 mg
Ibuprofen 400mg
Kalsium laktas
Ketokonazol tab
Kloramfenikol TT
Klorfeniramin (CTM)
Loperamid
Loratadin
Metformin 500
Metil prednisolon
Miconazol salep
Mulvit
Mulvit Sirup
Na diklofenak 50 mg
Nistatin drops
Nistatin vaginal
Noza Tab
Obat batuk sirup
Obat batuk (Alpara)
OBH Sirup
Pacdin syr
PCT 500 mg
PCT syr
Perak sulfadiazin
salep
Piridoksin (B6)
Piroxicam 20 mg
Salbutamol 2 mg tab
Salep 2-4
Salicyl talk
Simvastatin 10
Tablet SF
Thiamin tab / B1
Vit A biru
Vit A merah
Vit bcomp
Zinc sirup
Zinc tab
AA AB AC AD AE AF AG AH AI AJ AK AL AM AN AO AP AQ AR AS AT AU AV AW AX AY AZ BA BB BC BD BE BF BG BH BI BJ BK BL BM BN BO BP BQ BR BS BT BU BV BW BX
 No
Bulan :

TOTAL
Nama Pasien
Umur
Acyclovir tab 200 mg
Allopurinol
Ambroxol SYR
Ambroxol tab
Amlodipin 10 mg
Amlodipin 5 mg
Antasida tab
Asam Askorbat 250mg
Asam askorbat 50 mg
Asam folat
Asam mefenamat
500mg
Asam traxenamat
500mg
Asetil Sistein
Attapulgite
Betametason salep
Bromheksin
Captopril 12,5
Captopril 25
Cetirizine sirup
Cetirizine tab
Curcuma
Dexametasone
Domperidon
Garam oralit
Gentamisin SK
Gentamisin SM
Geriavita
Glibenclamid 5 mg
Glimepiride 1 mg
Hidrokortison SK
Hyosin
Ibuprofen 200 mg
Ibuprofen 400mg
Kalsium laktas
Ketokonazol tab
Kloramfenikol TT
Klorfeniramin (CTM)
Loperamid
Loratadin
Metformin 500
Metil prednisolon
FORM CATATAN HARIAN OBAT PUSTU KELURAHAN KANTOR

Miconazol salep
Mulvit
Mulvit Sirup
Na diklofenak 50 mg
Nistatin drops
Nistatin vaginal
Noza Tab
Obat batuk sirup
Obat batuk (Alpara)
OBH Sirup
Pacdin syr
PCT 500 mg
PCT syr
Perak sulfadiazin salep
Piridoksin (B6)
Piroxicam 20 mg
Salbutamol 2 mg tab
Salep 2-4
Salicyl talk
Simvastatin 10
Tablet SF
Thiamin tab / B1
Vit A biru
Vit A merah
Vit bcomp
Zinc sirup
Zinc tab