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Form Monev Yanfar Apotek-2017
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Form Monev Yanfar Apotek-2017
Kepala Bidang Pelayanan Medis...
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MONEV AGUSTUS.docx
Deskripsi lengkap
1. NAMA NAMA APOT APOTEK EK
:
ALAMAT
:
KABUPATEN/KOTA
:
PROVINSI
:
No. SIA
:
2. NAMA NAMA APO APOTE TEKE KER R
:
NO. STRA
:
NO. SIPA
:
3. STATUS
:
Praktik di Aot!k "a#a M!ra$%ka PNS/TNI&POLRI/S'a"ta (
). STATUS STATUS KEPE KEPEMIL MILIKA IKAN N APOTEK APOTEK
:
Mi*ik APA Mi*ik APA da$ "!+a%ia$ Mi*ik Pi,ak Lai$ Mi*ik Pi,ak Lai$
-. UML UMLA A APOT APOTEK EKER ER
:
ora
%$0. UMLA UMLA TTK S1 ARMAS ARMASI I D3 ARMASI ARMASI AA4 AA4
:
ora
%$5. UMLA UMLA TENAG TENAGA A NON KEARM KEARMASI ASIAN AN
:
ora
%$6. UMLA UMLA RATA RATA&RA &RATA TA RESEP RESEP PERA PERARI RI
:
*!>+ar
7. 8AKTU 8AKTU TUNGGU TUNGGU OBAT OBAT ADI ADI
:
>!$it
19. 8AKTU 8AKTU TUNGGU TUNGGU OBAT OBAT RAIKAN RAIKAN
:
>!$it
( ;or!t
B!ri ta$da ;o$tr!$% @4 da*a> kotak ada ,a"i* o+"!ra"i4
1. K!,adira$ Aot!k!r di Aot!k Ada Aot!k!r ada #a> +=ka !*a
a> t!rt!$t= Aot!k!r ,a$
"!+=*a$ 2. T!>at T!>at =$t=k >!$di"*a< >!$di"*a< i$?or>a"i i$?or>a"i t!r>a"=k t!r>a"=k !$!>at !$!>ata$ a$ +ro"=r +a%i a"i!$ a"i!$
Ada t!>at di"*a< da$ t!rdaat i$?or>a"i Ada t!>at di"*a< t!tai tidak t!rdaat i$?or>a"i Tidak ada t!>at di"*a< 3. Kart= "tok o+at t!r"!dia di %=da$% =$t=k >a"i$%&>a"i$% o+at ata= d!$%a$ "i"t!> ko>=t!ri"a"i =$t=k >!>a$ta= !>a"=ka$ da$ !$%!*=ara$ o+at a =$t=k "!tia #!$i" o+at a =$t=k +!+!raa o+at "a#a Tidak ada kart= "tok
1. P!$%ka#ia$ r!"! di*ak=ka$ o*!,: Aot!k!r Aot!k!r da$/ata= TTK Sar#a$a ar>a"i D3 ar>a"i A"i"t!$ Aot!k!r4 T!$a%a k!"!,ata$ *ai$ ata= +=ka$ t!$a%a k!"!,ata$ 2. P!ra;ika$ o+at di*ak=ka$ o*!,: Aot!k!r Aot!k!r da$/ata= TTK Sar#a$a ar>a"i D3 ar>a"i A"i"t!$ Aot!k!r4 T!$a%a k!"!,ata$ *ai$ ata= +=ka$ t!$a%a k!"!,ata$ 3. P!$a"i D3 ar>a"i A"i"t!$ Aot!k!r4 T!$a%a k!"!,ata$ *ai$ ata= +=ka$ t!$a%a k!"!,ata$
B!ri ta$da ;o$tr!$% @4 ada ,a"i* o+"!ra"i4
1. a"i*ita" !$
a$a$
!$#a>i$ "ta+i*ita" o+at 2. a"i*ita" !$
a$a$ $arkotika/"ikotroika 3. a"i*ita" !$
a$a$ +a,a$ +!r+a,a
=da, t!r+akar ). R=a$% !ra;ika$ o+at da*a> k!adaa$ +!r"i, -. P!ra*ata$ !ra;ika$ o+at da*a> k!adaa$ +!r"i, 0. a"i*ita" r=a$% t=$%%= 5. a"i*ita" r=a$% PIO/Ko$"!*i$% 6. a"i*ita" !$%ar"ia$
1. ara !$%adaa$ o+at >!*a*=i PB 2. Si"t!> !$
a$a$ o+at di %=da$%
!>=da,ka$ !$;aria$ +!rda"arka$ a*?a+!t ata= k!*a" t!rai 3. Si"t!> !$
a$a$ o+at di %=da$%
!$#a>i$ k!a>a$a$ da$ >=t= o+at >i": t!rk=$;i ada t!ra*i" d**4 ). P!>="$a,a$ r!"! di*!$%kai d!$%a$ +!rita a;ara -. K!t!r"!diaa$ o+at %!$!rik
1. P!$%!*o*aa$ "!diaa$ ?ar>a"i >!*i=ti: a. P!>i*i,a$ +. P!r!$;a$aa$ ;. P!$%adaa$ d. P!$!ri>aa$ !. P!$
a$a$ ?. P!$di"tri+="ia$ %. P!>="$a,a$
2. P!*a
a"i k*i$ik >!*i=ti: a. P!$%ka#ia$ r!"!/i$"tr=k"i !$%o+ata$ +. Di"!$"i$% ;. P!$!*="=ra$ ri'a
+!ria$ i$?or>a"i o+at PIO4 !. Ko$"!*i$% ?. Ro$d!/Vi"it! %. P!>a$ta=a$ t!rai o+at PTO4 ,. Ea*=a"i !$%%=$aa$ o+at EPO4 i. Mo$itori$% !?!k "a>i$% o+at MESO4 #. P!$<=*=,a$ k. P!*a
a"ia$ r!"id!$"ia* ,o>! ,ar>a;< ;ar! 4
1. P!$;atata$ da$ !$%ar"ia$ !*aora$ $arkotika 2. P!$;atata$ da$ !$%ar"ia$ !*aora$ "ikotroika 3. P!$;atata$ da$ !$%ar"ia$ !*aora$ k!*=ar >a"=k o+at da$ !r+!ka*a$ k!"!,ata$ ). P!$%ar"ia$ r!"! -. P!$%ara"ia$ ;atata$ !$%o+ata$ a"i!$ 0. P!$%ar"ia$ ,a"i* !>a$ta=a$ t!rai o+at
1. P!$%ka#ia$ r!"! di*ak=ka$ "!"=ai d!$%a$: a. P!r"
i$"trati? k!*!$%kaa$ r!"!4 +. K!"!"=aia$ ?ar>a"!tik +!$t=k "!diaa$ ot!$"i do"i" d**.4 ;. P!rti>+a$%a$ k*i$ik a*!r%i !?!k "a>i$% i$t!rak"i d**.4 2. Ta$a !$%%=$aa$ +*!$d!r "!+a%ai a*at ra;ika$ 3. P!$4 ). Aot!k!r >!>+!rika$ i$?or>a"i o+at k!ada a"i!$ >!*i=ti: a. At=ra$ akai +. La>a !$%o+ata$ ;. ara !>akaia$ d. E?!k "a>i$% !. I$t!rak"i o+at ?. ara !$
a$a$ o+at -. Aot!k!r >!>+!rika$ i$?or>a"i o+at
!$ta"i
0. Aot!k!r >!*ak"a$aka$ ko$"!*i$%
!$ta"i
5. P!*ak"a$aa$ !*a
a"ia$ r!"id!$"ia* ,o>! ,ar>a;< ;ar! 4 5. P!*ak"a$aa$ !*a
a"ia$ "'a>!dika"i 6. M!*ak=ka$ >o$itori$% !?!k "a>i$% o+at MESO4 7. P!$dok=>!$ta"ia$ k!"a*a,a$ !$%o+ata$ >!di;atio$ !rror 4
1. Ea*=a"i
!*i=ti: a. S=>+!r da
a$="ia +. P!$%!*o*aa$ "!diaa$ ?ar>a"i ;. P!*a
a"i k*i$ik 2. P!$%=k=ra$ ;aaia$ !*a
!$ +. P!$
I"i "!"=ai #a'a+a$ r!"o$d!$/k!adaa$ "!+!$ar$
1. =>*a, aot!k!r
!$%ik=ti k=r"="/!*ati,a$ ?ar>a"i k*i$ik da*a> 3 ti%a4 ta,=$ t!rak,ir 2. !$i" !*ati,a$
a"i k*i$ik4
M!$%!ta,=i Aot!k!r P!$a$%%=$%#a'a+ Aot!k
P!t=%a" Mo$itori$% Ka+/Kota
P!t=%a" Mo$itori$% Proi$"i
P!t=%a" Mo$itori$% P="at
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