dr. HARTONO dr.

HENDARTO
SIP. 1712/IDI/XII/2017 SIP. 2812/IDI/XII/2018
Jl. Slamet Riyadi No. 12, Malang Jl. Tumenggung Suryo No. 20, Malang
Telp. 0341-494949 Telp. 0341-556677
Malang , 11 September 2020 Malang , 17 Agustus 2020
R/ Papaverin R/ Amoxicillin 200 mg
Cotrimoxazole aa No. V GG 1/2 tab
PGS qs Codein HCl 20 mg No III
Sirup simplex 10 SL qs
Aqua ad 100 Mf pulv da in cap dtd No. X
Mf suspensi S t dd 1 pc
S t dd 1 C ------------------------------------------ttd
----------------------------------------ttd Pro : Radix ( 15 tahun )
Pro : Nn . Jasmin (17 th)

dr. HENDARTO dr. HARTONO

SIP. 2812/IDI/XII/2018 SIP. 1712/IDI/XII/2017
Jl. Tumenggung Suryo No. 20, Malang Jl. Slamet Riyadi No. 12, Malang
Telp. 0341-556677 Telp. 0341-494949
Malang , 17 Agustus 2020 Malang , 11 September 2020
R/ Ambroxol No VI R/ Menthol 1
CTM No IV Calamin 2
Elaeosacchara Auranthi 0,1 Aethanolum 50% ad 100 ml
Mfla pulv dtd No. X Mf lotio
S b dd 1 pulv prn Sue
------------------------------------------ttd --------------------------------------------ttd

Pro : Cantika ( 12 th ) Pro : Tn Joko ( 50 th)

dr. HARTONO dr. HENDARTO

SIP. 1712/IDI/XII/2017 SIP. 2812/IDI/XII/2018
Jl. Slamet Riyadi No. 12, Malang Jl. Tumenggung Suryo No. 20, Malang
Telp. 0341-494949 Telp. 0341-556677
Malang , 11 September 2020 Malang , 17 Agustus 2020
R/ Sulfur Praecip R/ Tawas 5%
Asam benzoat aa 2 % MgO 10%
Camphora 1% Talk venet ad 20
Vaselin flavum 20 Adde
Mf unguentum Oleum Rosae gtt II
Sue Mfla pulvis adspers
--------------------------------------------ttd S bedak tabur
------------------------------------------ttd
Pro : Ananda ( 17 th)
Pro : Kejora ( 20 th )
 dr. HARTONO dr. HENDARTO
SIP. 1712/IDI/XII/2017 SIP. 2812/IDI/XII/2018
Jl. Slamet Riyadi No. 12, Malang Jl. Tumenggung Suryo No. 20, Malang
Telp. 0341-494949 Telp. 0341-556677
Malang , 11 September 2020 Malang , 17 Agustus 2020
R/ Papaverin 6 tab R/ Mucphexin 1/3 tab
PGS qs Dextamin 1/3 tab
Sirup simplex 15 Codein HCl 5 mg
Aqua ad 60 SL qs
Mf suspensi Mf pulv da in cap dtd No. XII
S t dd 1 C S t dd 1 pc
----------------------------------------ttd ------------------------------------------ttd
Pro : Nn . Jasmin (17 th) Pro : Radix ( 15 tahun )

dr. HENDARTO dr. HARTONO

SIP. 2812/IDI/XII/2018 SIP. 1712/IDI/XII/2017
Jl. Tumenggung Suryo No. 20, Malang Jl. Slamet Riyadi No. 12, Malang
Telp. 0341-556677 Telp. 0341-494949
Malang , 17 Agustus 2020 Malang , 11 September 2020
R/ Ambroxol 15 mg R/ Acidum salicylicum 1
CTM 2 mg Glycerolum 3
Elaeosacchara Auranthi 0,1 Aethanolum 50% ad 100 ml
Mfla pulv dtd No. XX Mf lotio
S b dd 1 pulv prn Sue
------------------------------------------ttd --------------------------------------------ttd

Pro : Cantika ( 12 th ) Pro : Tn Joko ( 50 th)

dr. HARTONO dr. HENDARTO

SIP. 1712/IDI/XII/2017 SIP. 2812/IDI/XII/2018
Jl. Slamet Riyadi No. 12, Malang Jl. Tumenggung Suryo No. 20, Malang
Telp. 0341-494949 Telp. 0341-556677
Malang , 11 September 2020 Malang , 17 Agustus 2020
R/ Ungt 2-4 10 R/ Menthol 0,5
adde Camphora 0,4
Icthiol 5% Talk venet ad 20
Mf unguentum Adde
Sue Oleum Rosae gtt II
--------------------------------------------ttd Mfla pulvis adspers
S bedak tabur
Pro : Ny Airy ( 55 th) ------------------------------------------ttd

Pro : Kejora ( 12 th )
 dr. HARTONO dr. HENDARTO
SIP. 1712/IDI/XII/2017 SIP. 2812/IDI/XII/2018
Jl. Slamet Riyadi No. 12, Malang Jl. Tumenggung Suryo No. 20, Malang
Telp. 0341-494949 Telp. 0341-556677
Malang , 17 Agustus 2020 Malang , 14 Agustus 2020

R/ asam salisilat 2% R/ strocain ½ tab

Seng oksida Polycrol F ½ tab
Amylum tritici aa 25% Oleum Mentha Pip qs
Vaselin flavum 10 Mfla pil dtd No. XII
Mfla pasta suc S 3 dd 1 pil ½ hac
-------------------------------------ttd -------------------------------------ttd
Pro : Nn. Cinta ( 18 tahun ) Pro : Nn. Mentari ( 17 tahun )
Alamat : Alamat :

Untuk absen : ganjil Untuk absen : genap

dr. HENDARTO dr. HARTONO

SIP. 2812/IDI/XII/2018 SIP. 1712/IDI/XII/2017
Jl. Tumenggung Suryo No. 20, Malang Jl. Slamet Riyadi No. 12, Malang
Telp. 0341-556677 Telp. 0341-494949
Malang , 14 Agustus 2020 Malang , 17 Agustus 2020

R/ amm. Clorida 5 R/ salep Whitefield 10

Codein 0,2 Licadet 2%
Mfla pil No. XII Mfla ungt
S t dd 1 pil S salep kutu air
-------------------------------------ttd -------------------------------------ttd
Pro : Tn Bagus ( 47 tahun ) Pro : Tn Purnomo ( 40 tahun )
Alamat : Alamat :

Untuk absen : ganjil

Untuk absen : genap

Jangan menggunakan air krn akan mengeluarka NH3 menyebabkan pil pecah

Salep : acid benzoicum 500 mg

Acid salicylicum 500 mg

Lanolin 4,500

Vaselin flavum ad 10 gram

 dr. HARTONO dr. HENDARTO
SIP .073/DI/SOLO/XII/2018 SIP .028/DI/SOLO/XII/2018
Jl. Slamet Riyadi No. 25, Malang Jl. Slamet Riyadi No. 12, Malang
Telp. 0341-334417 Telp. 0341-112202

Malang,........2020 Malang,........2020

R/ CTM tab III R / Salbutamol tab 1

PGS q.s Dexamethason tab 1
Syrup Simplex 20 ml CTM tab 1
Aqua ad 60 Mf.la. pulv da in cap dtd no. X
S t dd pulv I pc
m.f suspensi
S t dd 1 cth (alergi)
R/ Bedak salicyl 1 fls
S. adpers
R/ Paracetamol 1/5 tab
Dexamethasone 0,2 mg
Elaeosacch MP 0,2
m.f pulvs dtd No. X Pro : Cinta ( 15 tahun)
S t. dd. pulv I Alamat : Jln. Slamet Riyadi No 28 Malang

Pro : Adinda ( 5tahun )

Alamat : Jln. Slamet Riyadi No 17 Malang
 dr. HARTONO
SIP .073/DI/SOLO/XII/2018
Jl. Slamet Riyadi No. 25, Malang
Telp. 0341-334417

Malang,........2020

R/ Acidum salicylicum 0,2

  Champora 0,5
Glyserol 5
Aethanolum 50% ad 60 ml
Sue

R/ Menthol 2%
  ZnO 10%
Vaselin album ad 25
Sue

Pro : Dilan ( 35tahun )

Alamat : Jln. Slamet Riyadi No 74 Malang

R/ Zinci Chlorid 1

Alumen 1

Ol. MP gtt I

Aquadest ad 100

M.f Gargarisma

S. gargle

dr. HENDARTO
SIP .028/DI/SOLO/XII/2018
Jl. Slamet Riyadi No. 12, Malang
Telp. 0341-112202
 Malang,........2020

R / Salbutamol tab 1
Dexamethason tab 1
CTM tab 1
Mf.la. pulv dtd no. VI
S t dd pulv I pc

R/ Bedak salicyl 1 fls

S. adpers

Pro : Cinta ( 15tahun)

Alamat : Jln. Slamet Riyadi No 17 Malang

Acidum salicylicum 0,2

Champhora 1
Glycerol 1ml
Aethanolum 70% ad 20ml
s.u.e

R/ OBH syr 1 fls

S t dd 1 cth

Pro : Cantika ( 12 Tahun)

Alamat :
 dr. MOERBONO
SIP. 043/IDI/SOLO/2015
Jl. Slamet Riyadi No. 12, Solo
Telp. 0271-495905

Solo, 14 Juni 2018

R / Salbutamol 4 mg tab 1
Dexamethason 0,75 mg tab 1
CTM tab 1
Mf.la. pulv dtd no. X
S t dd pulv I

R / Mefinal tab 500mg NO.X

S tdd 1 tab

R/ Bedak Salisil 1 fls

S adpers

Pro : Rhei (20 tahun)

Alamat :