No. NO. RM Inisial Jenis Kelamin
Umur
(Tahun) Nama Obat Dosis Pemakaian
1 0009 TH L 54
Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1/2 1 x 1 2 x 1 1 x 1
2 0011 MS L 62
Bisoprolol 5 mg Cavit D3
Sangobion
1 x 1 1 x 1 1 x 1
3 0015 FS L 53 Bisoprolol 5 mg
Sangobion
1 x 1/2 1 x 1
4 0019 S L 57
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
1 x 1 1 x 1 1 x 1 1 x 1
5 0021 JH L 53
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg ISDN
7 0025 ES P 60
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1/2 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Cavit D3
ISDN Lenal Ace Sangobion
11 0033 SH L 39
Amlodipin 10 mg Bisoprolol 5 mg Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
12 0036 ST L 48
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Cavit D3
ISDN Lenal Ace Sangobion
1 x 1 Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
15 0042 RO P 54 Lenal Ace Sangobion
3 x 1 1 x 1
16 0043 RN P 54
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
17 0047 CA L 50
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Lenal Ace Sangobion
1 x 1 3 x 1 1 x 1
19 0054 AT P 64
Bisoprolol 5 mg Cavit D3
Sangobion
1 x 1 2 x 1 1 x 1
20 0057 NS L 45
Amlodipin 10 mg Lenal Ace
Sangobion
21 0058 FA L 57
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Candesartan 16 mg ISDN
Lenal Ace Sangobion
1 x 1
Amlodipin Cavit D3 Lenal Ace Sangobion
1 x 1 2 x 1 3 x 1 1 x 1
24 0066 LD P 32
Amlodipin 10 mg Bisoprolol 5 mg Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
25 0067 AU L 75
Bisoprolol 5 mg Candesartan 16 mg Sangobion
26 0068 ML L 63
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1/2 2 x 1 3 x 1 1 x 1
27 0069 NR L 55
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Amlodipin 10 mg Candesartan 16 mg Cavit D3
ISDN Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Lenal Ace Sangobion
1 x ½ Bisoprolol 5 mg Sangobion
31 0083 MH L 66
Bisoprolol 5 mg ISDN
Sangobion
1 x 1 2 x 1 1 x 1
32 0085 PT L 69
Amlodipin 10 mg Bisoprolol 5 mg ISDN
Lenal Ace Sangobion
1 x 1 Bisoprolol 5 mg Cavit D3
Sangobion
1 x 1 1 x 1 1 x 1 1 x 1
34 0094 BK L 58
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
36 0105 SY P 46
Candesartan 16 mg Cavit
Lenal Sangobion
1 x 1 2 x 1 1 x 1 1 x 1
37 0106 PP L 54
Bisoprolol 5 mg Candesartan 16 mg Cavit D3
ISDN Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
40 0112 LC P 43
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Sangobion
1 x 1 1 x 1 1 x 1
44 0135 SP L 70
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
45 0138 MK L 60
Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1/2 1 x 1 3 x 1 1 x 1
46 0139 JS L 44
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Glikuidon 30 mg Lenal Ace Sangobion
1 x 1 2 x 1 3 x 1 1 x 1
49 0157 MI L 24
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
50 0174 AN L 46
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Glikuidon 30 mg ISDN
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
54 0205 SM L 55
Amlodipin 10 mg Candesartan 16 mg Sangobion
1 x 1 1 x 1/2
55 0208 EL P 42
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
56 0211 SB L 64
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Sangobion
1 x 1 1 x 1 1 x 1 1 x 1
59 0244 NM L 57
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
60 0249 SS P 43
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1 2 x 1 2 x 1 1 x 1
61 0252 MR L 52
Amlodipin 10 mg Bisoprolol 5 mg Cavit D3
Glikuidon 30 mg Lenal Ace Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Amlodipin 10 mg Glikuidon 30 mg Lenal Ace Sangobion
64 0289 YN P 48 Cavit D3 Lenal Ace Sangobion
2 x 1 2 x 1 1 x 1
65 0292 SR P 60
Amlodipin 10 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Sangobion
1 x 1 Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
69 0307 SO L 56
Adalat Oros 30 mg Candesartan 16 mg Cavit D3
Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Sangobion
1 x 1 1 x 1
72 0336 CS L 46
Amlodipin 10 mg Candesartan 16 mg Glikuidon 30 mg Sangobion
1 x 1 1 x 1 1 x 1 1 x 1
73 0337 AD L 65
Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
74 0359 NL P 43
Bisoprolol 5 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 Sangobion
1 x 1 Bisoprolol 5 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 1 x 1 2 x 1 1 x 1
78 0397 JT L 45
Bisoprolol 5 mg Cavit D3
Lenal Ace Sangobion
79 0404 AK L 49
Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 3 x 1 1 x 1
80 0408 SN P 56 Amlodipin 10 mg
Sangobion
1 x 1 1 x 1
81 0410 RA L 34
Adalat Oros 30 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 Glikuidon 30 mg Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
83 0440 AW P 55
Amlodipin Glikuidon 30 mg Sangobion
1 x 1 1 x 1 1 x 1
84 0443 LS P 43
Amlodipin 10 mg Lenal Ace
Sangobion
85 0465 MT L 44
Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
86 0515 ZH L 78
Candesartan 16 mg Lenal Ace
Sangobion
1 x 1/2 1 x 1 1 x 1
87 0523 RS P 48
Amlodipin 10 mg Bisoprolol 5 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1
Amlodipin Lenal Ace Sangobion
1 x 1 2 x 1 1 x 1
89 0528 WL L 58
Amlodipin Lenal Ace Sangobion
1 x 1 1 x 1 1 x 1
90 0535 SU L 81
Candesartan 16 mg Lenal Ace
Sangobion
91 0540 AR L 74
Amlodipin 10 mg Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1
Sangobion
1 x 1 1 x 1
93 0563 SD L 50
Bisoprolol 5 mg Lenal Ace Sangobion
1 x 1 1 x 1 1 x 1
94 0570 MY L 75
Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 2 x 1 1 x 1
95 0622 ST L 52
Adalat Oros 30 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 Candesartan 16 mg Sangobion
97 1960 ED L 54
Adalat Oros 30 mg Candesartan 16 mg Glikuidon 30 mg Lenal Ace Sangobion
1 x 1 1 x 1 2 x 1 2 x 1 1 x 1
98 2178 BH L 58
Adalat Oros 30 mg Candesartan 16 mg Lenal Ace
Sangobion
1 x 1 1 x 1 3 x 1 1 x 1
99 2262 AS L 33
Candesartan 16 mg Cavit D3
Lenal Ace Sangobion
1 x 1 2 x 1 3 x 1 1 x 1
100 2267 AO L 29
Adalat Oros 30 mg Candesartan 16 mg Lenal Ace
Sangobion
Lampiran 5.
Lampiran 6. Surat Ethical Clearance dari Komisi Etik FK USU