FORM MONITORING INDIKATOR PERESEPAN

RS PKU MUHAMMADIYAH YOGYAKARTA

Unit Pelayanan : Rawat Inap

No. Resep Formularium
Tgl dan jenis Nama Pasien Jumlah R/ Nama Obat
resep (0/1)
2859022 injeksi ranitidin 1
BPJS giyanti 3 Paracetamol tablet 500 mg 1
injeksi ondansetron 4 mg 1
2854742 novalgin tablet 1
01 Februari
BPJS kusumawati 3 nebul ventolin 1
2019
nebul pulmicort 1
2859473 neurodex 1
BPJS nurul fatimah 3 antalgin 1
Domperidon tab 10 mg 1
2873783 Candesartan tablet 8 mg 1
BPJS Yohanes Prajoko W 3 Spironolakton tablet 25 mg 1
injeksi furosemid 1
2873987 bisoprolol tablet 5 mg 1
BPJS soemarjati raden nganten 3 irbesartan tablet 150 mg 1
16 Februari
simvastatin tablet 1
2019
2873520 injeksi furosemid 40 mg 0
BPJS ramipril tablet 10 mg 0
abidin dungga 5 Furosemid tablet 40 mg 1
Spironolakton tablet 25 mg 1
Amlodipin tablet 10 mg 1
2877085 injeksi sedacum 15 mg 1
BPJS injeksi kalnex 500 mg 0
joyo wiyono 5 injeksi omeprazole 1
injeksi paracetamol 1 gr 1
injeksi nicardipin 1
2875993 injeksi ondansetron 4 mg 1
19 Februari BPJS taminem 3 injeksi pantoprazole 1
2019 codein tablet 1
2876243 cefixime tablet 100 mg 1
omeprazole tablet 20 mg 1
domperidone tablet 1
tri retno dewi sri wulan 6
Alprazolam tablet 0,5 mg 1
BPJS Urdahex tablet 1
Livron B Plex 0
2877119 injeksi furosemid 0
BPJS Spironolakton tablet 25 mg 1
asmawati 4
 asmawati 4
ramipril tablet 2,5 mg 1
fargoxin tablet 0,25 mg 1
2877147 cefixime tablet 200 mg 1
BPJS musiyem 3 Paracetamol tablet 500 mg 1
20 Februari
Candesartan tablet 16 mg 1
2019
2877950 injeksi ceftriaxone 1 g 1
BPJS Sofel 3 injeksi pantoprazole 1
injeksi antrain 1
2877032 injeksi ranitidin 1
BPJS wakimin harto priyono 3 antasid tab 1
injeksi furosemid 0
2878476 Amlodipin tablet 10 mg 1
BPJS kemrokijah 3 Paracetamol tablet 500 mg 1
diphenhydramin tablet 1
2878082 injeksi neurosanbe 1
BPJS Ruswanto 3 Aspilet tablet 80 mg 1
athorvastatin tablet 20 mg 1
21 Februari
2879035 Paracetamol tablet 500 mg 1
2019
BPJS supraptini 3 Curcuma tablet 1
aspar-K tablet 1
2877982 injeksi ondansetron 8 mg 1
BPJS injeksi pantoprazole 40 mg 1
supraptini 4
injeksi ceftazidim 1 g 1
loperamid tablet 1
2880006 Ciprofloxacin tab 500 mg 1
BPJS Peni Murbiyanti 3 Ranitidin tab 1
domperidone tablet 10 mg 1
2880001 cefixime tablet 200 mg 1
BPJS suyatno 3 Mecobalamin tablet 500 mg 1
paracetamol tablet 500 mg 1
22 Februari
2880067 Aspilet tablet 80 mg 1
2019
BPJS Hadiwiyono 3 Amlodipin tablet 10 mg 1
injeksi mecobalamin 1
2879515 injeksi ceftriaxone 1 g 1
BPJS injeksi ketorolac 1
Suryo Bayu Tirto Aji 4
Ciprofloxacin tab 500 mg 1
antrain tablet 500 mg 0
73
ATOR PERESEPAN
H YOGYAKARTA

Bulan/Th : Februari/2019

FORNAS Generik Substitusi Antibioti

Nama Dokter
(0/1) Gen (0/1) k (0/1)
(0/1)
1 1 0 0
1 1 0 0 dr. Putri
0 1 0 0
0 0 1 0
1 0 1 0 dr. Rhadyaksa Ardaya
1 0 1 0
1 0 1 0
1 1 0 0 dr. Niarna L
1 1 0 0
1 1 0 0
dr. Irsad Andi Arso. Sp. PD.,
1 1 0 0
Sp. JP
1 1 0 0
1 1 0 0
1 1 0 0 dr. Rhadyaksa Ardaya
1 1 0 0
0 1 0 0
1 1 0 0
1 1 0 0 dr. Renaldo Faisal H
1 1 0 0
1 1 0 0
0 0 1 0
0 0 1 0
1 1 0 0 dr. Putri
1 1 0 0
1 1 0 0
0 1 0 0
0 1 0 0 dr. Rhadyaksa Ardaya
1 1 0 0
1 1 0 1
1 1 0 0
1 1 0 0
Dr. H. M. Wibowo, Sp. PD
1 1 0 0
1 0 1 0
0 0 1 0
0 1 0 0
1 1 0 0
dr. Rhadyaksa Ardaya
 dr. Rhadyaksa Ardaya
1 1 0 0
1 1 0 0
1 1 0 1
dr. Adiguno Suryo
1 1 0 0
Wicaksono
1 1 0 0
1 1 0 0
0 1 0 0
1 1 0 0
dr. Maya Um Husna, Sp.PD
1 1 0 0
1 1 0 0
0 1 0 0
1 1 0 0
1 1 0 0 dr. Megawati
0 1 0 0
1 0 1 0
1 0 1 0 dr. putri
1 1 0 0
1 1 0 0
0 0 1 0 dr. Maya Um Husna, Sp.PD
1 0 1 0
0 1 0 0
0 1 0 0
Dr. Putri
1 1 0 0
1 1 0 0
1 1 0 1
1 1 0 0 dr. Niarna Lusi, Sp.PD
1 1 0 0
1 1 0 1
dr. Adiguno Suryo
0 1 0 0
Wicaksono
1 1 0 0
1 0 1 0
1 1 0 0 dr. Megawati Astuti
0 1 0 0
1 1 0 0
1 1 0 0 Dr. Raden Nurul Jaqlen, Sp.
1 1 0 1 B
0 0 1 0