JADWAL PENYUNTIKAN PASIEN MDR

NO. MDR
NAMA Nn.Laura
UMUR R 16 Tahun
ALAMAT Kp.Pasar lama

No Tanggal NamaObat Dosis NamaPetugas TTD Keterangan

1 1/8/2018 Kanamicin Inj. 750 mg YayuRahayu

2 2/8/2018 Kanamicin Inj. 750 mg YayuRahayu
3 3/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
4 4/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
5 5/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah

6 6/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah

7 7/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
8 8/8/2018 Kanamicin Inj. 750 mg YayuRahayu
9 9/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
10 10/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
11 11/08/2018 Kanamicin Inj 750 mg Yayu rahayu
12 12/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
13 13/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
14 14/8/2018 Kanamicin Inj. 750 mg YayuRahayu
15 15/8/2018 Kanamicin Inj. 750 mg YayuRahayu
16 16/8/2018 Kanamicin Inj. 750 mg YayuRahayu
17 17/8/2018 Kanamicin Inj. 750 mg YayuRahayu
18 18/8/2018 Kanamicin Inj. 750 mg Aneu syamsiah
19 19/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
20 20/8/2018 Kanamicin Inj. 750 mg YayuRahayu
21 21/8/2018 Kanamicin Inj. 750 mg AneuSyamsiah
22 22/8/2018 Kanamicin Inj. 750 mg YayuRahayu
23 23/8/2018 Kanamicin Inj. 750 mg YayuRahayu
24 24/8/2018 Kanamicin Inj. 750 mg Aneu syamsiah
25 25/8/2018 Kanamicin Inj 750 mg Yayu rahayu
26 26/8/2018 Kanamicin Inj 750 mg Aneu syamsiah
27 27/8/2018 Kanamicin Inj 750 mg Yayu rahayu
28 28/8/2018 Kanamicin Inj 750 mg Yayu rahayu
29 29/8/2018 Kanamicin Inj 750 mg Aneu syamsiah
30 30/8/2018 Kanamicin Inj 750 mg Aneu syamsiah
31 31/8/2018 Kanamicin Inj 750 mg Yayu rahayu

Bogor, 31 Agustus 2018

KepalaPuskesmasCileungsi

dr. DellyMulyati

NIP. 196711282002122002
 JADWAL PENYUNTIKAN PASIEN MDR

NO. MDR
NAMA Nn.Laura
UMUR R 16 Tahun
ALAMAT Kp.Pasar lama

No Tanggal NamaObat Dosis NamaPetugas TTD Keterangan

Kanamicin 750mg
1 1/9/2018 Yayu rahayu
Inj.
Kanamicin 750mg
2 2/9/2018 Yayu rahayu
Inj.
Kanamicin 750mg
3 3/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
4 4/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
5 5/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
6 6/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
7 7/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
8 8/9/2018 Yayu rahayu
Inj.
Kanamicin 750mg
9 9/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
10 10/9/2018 Yayu rahayu
Inj.
Kanamicin 750mg
11 11/9/2018 Ade triyana
Inj.
Kanamicin 750mg
12 12/9/2018 Yayu rahayu
Inj.
 Kanamicin 750mg
13 13/9/2018 Yayu rahayu
Inj.
Kanamicin 750mg
14 14/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
15 15/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
16 16/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
17 17/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
18 18/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
19 19/9/2018 YayuRahayu
Inj.
Kanamicin 750mg
20 20/9/2018 YayuRahayu
Inj.
Kanamicin 750 mg
21 21/9/2018 Ade Triyana
Inj
Kanamicin 750mg
22 22/9/2018 Ade Triyana
Inj.
Kanamicin 750mg
23 23/9/2018 Yayu rahayu
Inj.
Kanamicin 750 mg
24 24/9/2018 Yayu rahayu
Inj
Kanamicin 750mg
25 25/9/2018 Yayu rahayu
Inj.
Kanamicin 750 mg
26 26/9/2018 Ade triyana
Inj
Kanamicin 750mg
27 27/9/2018 Ade triyana
Inj.
Kanamicin 750mg
28 28/9/2018 Yayu rahayu
Inj.
Kanamicin 750 mg
29 29/9/2018 Yayu rahayu
Inj
Kanamicin 750 mg
30 30/9/2018 Yayu rahayu
Inj

Bogor, 30 September 2018

KepalaPuskesmasCileungsi
 dr. DellyMulyati
NIP. 196711282002122002
 JADWAL PENYUNTIKAN PASIEN MDR

NO. MDR
NAMA Nn.Laura
UMUR R 16 Tahun
ALAMAT Kp.Pasar Lama

No Tanggal NamaObat Dosis NamaPetugas TTD Keterangan

Kanamicin
1 4/7/2018 750 Mg Aneu syamsiah
Inj.
Kanamicin 750 Mg Aneu syamsiah
2 5/7/2018
Inj.
Kanamicin 750 Mg Aneu syamsiah
3 6/7/2018
Inj.
Kanamicin 750 Mg
4 7/7/2018 YayuRahayu
Inj.
Kanamicin 750 Mg
5 8/7/2018 YayuRahayu
Inj.
Kanamicin 750 Mg
6 9/7/2018 YayuRahayu
Inj.
Kanamicin 750 Mg
7 10/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
8 11/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
9 12/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
10 13/7/2018 YayuRahayu
Inj.
Kanamicin 750 Mg
11 14/7/2018 YAyuRahayu
Inj.
Kanamicin 750 Mg
12 15/7/2018 YayuRahayu
Inj.
Kanamicin 750 Mg
13 16/7/2018 Aneu syamsiah
Inj.
Kanamicin 750 Mg
14 17/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
15 18/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg YayuRahayu
16 19/7/2018
Inj.
Kanamicin 750 Mg YayuRahayu
17 20/7/2018
Inj.
 Kanamicin 750 Mg YayuRahayu
18 21/7/2018
Inj.
Kanamicin 750 Mg
19 22/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
20 23/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
21 24/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
22 25/7/2018 AneuSyamsiah
Inj.
Kanamicin 750 Mg
23 26/7/2018 Yayu Rahayu
inj
Kanamicin 750 Mg Yayu Rahayu
24 27/7/2018 inj
Kanamicin 750 Mg Yayu Rahayu
25 28/7/2018 inj
Kanamicin 750 Mg Yayu Rahayu
26 29/7/2018 inj
Kanamicin 750 Mg Yayu Rahayu
27 30/7/2018 inj
Kanamicin 750 Mg Aneu syamsiah
28 31/7/2018 inj

Bogor, 31 Juli 2018

KepalaPuskesmasCileungsi

dr. DellyMulyati

NIP. 196711282002122002
PUSKESMAS : CILEUNGSI
BULAN : TRIWULAN III (Juli, Agustus,September 2018 )

NO NAMA RINCIAN TANDA TANGAN

1 ANEU 89 X RP 16.500=Rp 1.468.000

JUMLAH 89 x RP 16.500=RP 1.468.000

Mengetahui

KepalaPuskesmasCileungsi

dr.DellyMulyati

NIP. 196711282002122002