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dr. Simon
Jl. Veteran No.10 Bandung
Telp.022 123 661
SIP No. 291/185-Dinkes/2018
02A Tgl. 02/03/2020
R/ Amoxicillin 500 mg X
S t dd 1
R/ Codein HCl 5mg
PCT 125mg
Mf Pulv da in cap
dtd No. X
S 2 caps 1
R/ Caviplex x
S 1 dd 1
Pro : Karmila (12 thn)
Alamat : Jl. Delima 5
Gambar 4 Resep
Racikan kedua
dr. Simon
Jl. Veteran No.10 Bandung
Telp.022 123 661
SIP No. 291/185-Dinkes/2018
03B Tgl. 02/03/2020
R/ Amoxicillin 5
Luminal 10 tab
CTM 0,03
Mf. La caps No. X
S 3 dd 1 Caps
R/ Ikadryl syr 1 fls
S t dd 1 C
R/ Caviplex syr No. I
S s dd Cth 1
Pro : Dara (16thn)
Alamat : Jl. Solihin Gp
Gambar 5 Resep Racikan ketiga
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