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“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก” PowerPoint PPT Presentation


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“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก”. ข้อมูลทั่วไปจังหวัดกำแพงเพชร. สุโขทัย. พิษณุโลก. ตาก. พื้นที่ 8,607 ตร. กม. ลักษณะภูมิประเทศ พื้นที่ราบลุ่มด้านตะวันตก และใต้ เนินเขาเตี้ยๆ สลับที่ราบ ทางตอนกลางและเหนือ

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“กรุพระเครื่อง เมืองคนแกร่ง ศิลาแลงใหญ่ กล้วยไข่หวาน น้ำมันลานกระบือ เลื่องลือมรดกโลก”

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6142937


6142937

8,607 ..


6142937

35

25

55

  • 11

  • 78

  • 956

  • 27

  • 21

  • 68

46

51

242,029 715,743 3 84 ..

42

50

85

78

70


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2544

2555

365,103 | 360,906

362,445 | 353,298

18.05 % 64.49%

19.73% 68.46%

17.45 % 35.50%

11.81% 31.54%


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2 , , ,

497

475 , 22 250

(455 ./6 ), 37 , 213

, , , ,


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624 - 46 - . 448 - . 103 - . 27

18 , 117

1,056

4,195


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2555

124,928


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(24)21,135

2555


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30 ..55 707,703

99.65% , 2,509 (0.35%)


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ICD10


6142937

ICD10


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10

56

56

56

56

56

56

.,,,

.,,

.,,,

.,,

.,, 8 .(4),(2),(1),(1)

3

- ,,


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10


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10


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(410 ) 1

/

60 4

.. .4

4

2

64

17

128

130

52

30 5

10 1

(10) 1

(. )

.. 122

  • .. 20

  • .. 42

  • 2552 2

  • 2555 2


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  • 1 : 4,921

  • 3 1 : 4,464

  • 1 : 7,230

  • 1 : 11,249

  • 3 1 : 9,819

  • 1 : 12,340

  • 1 : 15,842

  • 3 1 : 13,974

  • 1 : 18,835

  • 1 : 1,012

  • 3 1 : 811

  • 1 : 811

77 - .10 , . 21 - . 66

.


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/

PP 33 33 .27


8 9 100

89 (100%)

2554

898 79.46 ( 1,130 )

2555 1032 81.26

2556 40 (.25,775,260 . / . 14,508,390 .)


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1


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Intervention

Information

Process

,

.

Analysis

- . - (LTC) - - 3,2 -DPAC / ANC / WCC

- , ,SRRT/ NCD - / / - -SRM/ DHS/ - - - - - - Service Plan/.

1. : NCD Board / MCH Board / . UC Board / CUP Management2. 3. PP+4. SRM 5./ DHS/ 6./ 7.-8. Data center 9. Referal System10. /11. Service Plan/.

  • 5 49.2% (>90%)- < 12 47% (60%)- 25.4%(10%)

  • LBW 9.3% ( 7%)

  • TSH 7.6%( 3%)

  • 66% - 62.4% ( 57%)- 1,691 .

  • < 20 62.9 : ( 50 : )- 41.3- 52.3%

  • IQ 95

  • - - DM

  • HT


6142937

Intervention

Information

Process

,

.

Analysis

- . - (LTC) - - 3,2 -DPAC / ANC / WCC

- , ,SRRT/ NCD - / / - -SRM/ DHS/ - - - - - - Service Plan/.

1. : NCD Board / MCH Board / . UC Board / CUP Management2. 3. PP+4. SRM 5./ DHS/ 6./ 7.-8. Data center 9. Referal System10. /11. Service Plan/.

()

  • CA Cervix- CA Breast

  • 9.22

  • 4 41.5%- /

  • DM-HT

  • LTC

  • - Median

  • TB Success Rate 88%

  • 20.5%

  • 34.4%

  • 33.2 %


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12 2555 2556

12 2555-2556

60%


2555 2556

2555-2556

10%


2500 2555 2556

.< 2500 2555-2556

7%


2555 25561

2555-2556

100%


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  • MCH Board 4 / ANC LR

  • ...

  • ANC LR


2 tsh

2 TSH

3 %

:


2 tsh1

2 TSH

:


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2 TSH 11.2 3 ( WHO )

2556

  • Phenylketonuria

    TSH

  • 5


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70%


3 2553 2555

3 2553-2555


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  • 3 ( 1,103,567 )

    1) 18

    2)

    3)

  • CUP 11 62 ( 9,033,855 )


20 2555 2556 56

-

20 2555-2556 (..- ..56)


15 19 2555 50

15-19 2555 ( 50 )


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12 2553 2555 45

12 2553-2555( 45 %)


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/


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/

(6-12) ( 70%)

2554 (6-12 )

- 92.55

- 88.25

()

- 7 1.53

- 319 70.10

- 86 18.90

- 43 9.45


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2553 2555


2553 2555

2553 2555


15 2555

15 ( 2555)

: 90

/ 2554

2555

< 10

93.22%

94.85%

< 5

4.45

1.25

.97.60 %

. 97.37%


15 2556 55

15 2556(..-..55)

: 90

/

2555

2556

< 10

< 5

15.64%

16.38%

0.77

0.00

.28.98 %

. 27.39%


60 2556

60 ( 2556)

: 90

/

2555

2556

< 10

< 5

21.08%

19.50%

1.92

0.00

.40.48 %

.53.76%


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3 2

88.11%

72.68 %

89.28 %

76.58 %


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NCD 90.90 (. 5.2 5.3)


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(2555)

eGFR(,,,)

DM 1(> 90) =22.43% HT=23.21%

2(60-89)=39.28%HT=35.51%

3(30-59)=32.57% HT=34.75 %

4(15-29)=5.04%HT=5.76 %

5(<15)= 0.65%HT=0.68 %

DM 15,034 (76.71%) 427 (2.89%)

Lipid ProfileDM 16,169 (82-50%) 6,342 (39.22%)HT 18,424 (62.58%) 8,739 (47.43%)

17,890 (91.28%) 705 (3.94%)

30

524

15,034 (76.71 %) 2,790 (18.56 %)


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/

2555

2556(.-.55)

63.83

47.59

234 234 (100 %)

681 290 (42.58%)

318 263 (82.70%)

393 314 (79.90 %)

1298 486 (37.44 %)

156 79 (50.64 %)

2555

2556 (.-.55)

27.69

35.68

96 60 (62.50 %)

1412 478 (33.85%)

54 10 (18.52 %)

968 273 (28.20%)


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( 2555)


2556 55

2556(..-..55)


2553 25551

2553 2555


2553 25552

2553 2555


2553 2556

2553 2556


2553 25561

2553 2556


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  • / 3.2. 2556


15 n 343 993 2555

15 ( N= 343,993) .. 2555


15 2551 2555

15 .. 2551 2555


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2556 2555 median


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2553 - 2555


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124,928

93,683 ( 74.99 %)

  • 2556

  • -

  • 78

  • 24

  • Long Term Care


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LONG TERM CARE

2555 1

4 1.

2.

3. .

4. .

7 2556 2557


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LONG TERM CARE


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25561. 2. LTC 3. (.) 4. 5.


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2541-2555


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() 2556 2555 Median

() . 2556 Median


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2556

23 .56


2551 2556

2551-2556


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serotype 2537-2555


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1 8 (1 ..-23 ..56)


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HI < 10 .

2556


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    • - (Big cleaning)

    • - /

  • /

  • , ,,

  • SRRT

  • ( SFR online)

  • SRRT 24 . ( , , )

  • War room / 1

  • SRRT /

  • 2 .


2549 2554

2549 - 2554


1 2555

(Success Rate) 90

1/2555


6142937

/ 1/2555

. 3 . 2 . 2 . 1 . 1 . 1

10

40 1 40-49 0 50-59 3 60-69 4 70 2

TB 4 (DM,CA,CVA,) 4 1 1

2

.2


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1/2555


6142937

/

56

  • . .

  • ..

  • (DOT Report)

  • web site

  • 6.

  • 7.


6142937

/

56 ()

(AFB)

1.

2. (Node)

3.

4. (RE,ON,PRE)

5.

6.


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2553-2555

40

34.43


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2553-2555

80

81.00 %


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2553- 2556

6.5

10.88


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2553- 2555


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25

2551-2555


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2556

/

  • :

  • :

  • :

    - 1 1

    - .


2553 2556 13

..2553-2556 ( 13 )

/.


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5


6142937

GMP


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GMP


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GMP


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1. 10 2. Primary GMP 5 5 ()3. Primary GMP 3 60

Primary GMP


6142937

1


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6142937


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2555

., ,, , .,


6142937

2555

-


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2555

/ , ,


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2


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  • HA 4

    ( 36.36)

  • 2 7 . (28 - 29 .. 56)

    .


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  • 5 .

    4 .

  • . 2

  • .. 50 (.. 14 .. 6 30)

18 2556


6142937

/


Service plan

Service Plan

  • Service Plan 2556 18 2555

  • 8 12

    .


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  • . (S)

  • (Node)

  • .

  • .(F2,F3)


6142937

2556

4

1. (Primary Prevention)

2. (EarlyDiagnosis)

3.

4.


6142937

.54 - .55

6,646 : 505 IT

:

1. STEMI Fast track Stroke Fast track

2. M2 ,F1,F2 SK .(,,) S A

3. EMS/(, ) ..


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:

1.

2.

3. CKD

4.


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1 1 : 505 IT

:

1.

2.

3. .

4.


Dm ht

DM / HT ./..

38.54%

DM

49.70%

HT

> 50


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  • . DM HT

  • CPG DM HT

  • /


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  • 1. . 1 (. )

  • 2. .. DHS 6 ( ..///// )


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()

CBL: Context based Learning : CBL

.. . 2555


6142937

(.)


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. 2552 2555 2556

  • . 2555 2556 6,098 52.76


6142937

.

2555 1,930

2 / 18 .

2556 .

15,320 6,194,050


6142937

DistrictHealth System (DHS) SRM ( 25)

  • 25

    1.

    2.

    3.

    ()

    1.

    2.

    3.

  • ()


6142937

DHS (ODOP)


6142937

2556

  • (District Health System : DHS) /

  • 6

  • 15 ..56

  • HA/PCA CBL / SRM&NORM

  • 3

  • Good practice


6142937

DHS 6 - 5( 1 )

- 70 ( 7 )

2554 4 3

255522 (../ 14 / 8 )

2556 2 22


6142937

/ SRM SLM 11

/

./

. .. / ./.

..

.


6142937

.

1

E-cliam

2

Case mixed index RW

3

4


6142937

CMI


6142937

Case Mix Index


6142937

Case Mix Index


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50

(.. .. 55)


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10


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10


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1. 1-2

2. NTDB DATA CENTER

3. service plan


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/

1.

2.

3.

4.


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-

-


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-

-


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() 1669 ( :.)

  • 10


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() 10

  • 70


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DMAT 80

DMAT

( 2556 DMAT 6 .,

  • ., ., ,, .

    .)

MERT

MERT

2556 1 .

10


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3


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UC CUP

2551-2556


6142937

[/] 2545 - 2555


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2551 2556 (1)

CUP

( PP, OP) 2551-2556 (1)


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Health Care Financing


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11 . - 2556 2555 ()

:

4.67%

83.47%

6.61%


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11 . -

2556 2555 ()

:

front office

back office

16.28%

17.06%

22.37%

7.02%

1.10%


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7 31 2555


6142937


6142937


6142937

(Cost) (Charge)


6142937


6142937

AdjRW.6141

x7,700

=4,728

AdjRW .3959

x7,700

=3,048

AdjRW .4001

x7,700

=3,080


6142937

(Diarrhea)


6142937

(Dengue , child , no CC)


6142937


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(... . 23 )


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2556

  • Flow Chart

  • (.1,.2)

  • (.3)


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/ CFO / Account Auditor / web

1 94.58 % 98.67 %

4


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(27 2556)


2553 25562

2553-2556

2553-2555 . . 2554 (8.3%) 2555 (10.8%)

2556 24% 2555


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2556

  • 12

  • ED:NED (Good Health At Low Cost)


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6142937


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/

// > ./.

/


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1. ..

2.

3.

4.

()


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2555 2556 (.-.56)


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() 1

.

5 ..55 ...

35

184


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24 25 2555

24-25/2555

x-Ray 90

24/2555 90

1 ..- 31 2555

25/2555 90

1 ..2555-31 2556


6142937


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2556

1. 2

2. 2

3.

4.

5. /

(..56)


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(HA ) 2556

(.)


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2556

1. (.)

2.

3. .(./.)


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TO BE NUMBER ONE 2555

.. 41


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TO BE NUMBER ONE 2555

TO BE NUMBER ONE

1.

2.

3.


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TO BE NUMBER ONE 2555


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TO BE NUMBER ONE 2555


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TO BE NUMBER ONE 2555


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TO BE NUMBER ONE 2555

To be Number One

95.25%

-


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TO BE NUMBER ONE 2555

- -

- -

2556


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TO BE NUMBER ONE 2555


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TO BE NUMBER ONE 2555

: . . .


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TO BE NUMBER ONE 2555

TO BE NUMBER ONE

2557


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TO BE NUMBER ONE 2555

2556

,

,

,,


To be munber one

TO BE MUNBER ONE

2561

2560

2559 2

2558 1

2557

* 2556

2555

2554


To be munber one1

TO BE MUNBER ONE

TO BE NUMBER ONE IDOL 26 2556

TO BE NUMBER ONE

TO BE NUMBER ONE IDOL


To be munber one2

TO BE MUNBER ONE

TO BE NUMBER ONE TEEN DANCERCISE 8-9 2555


To be munber one3

TO BE MUNBER ONE

TO BE NUMBER ONE 25 2555

TO BE NUMBER ONE


To be munber one4

TO BE MUNBER ONE

TO BE NUMBER ONE 25 2555

TO BE NUMBER ONE


To be munber one5

TO BE MUNBER ONE

TO BE NUMBER ONE


6142937

  • 60

  • 70

  • 61 11


6142937

  • - (55 56 )

  • Alprazolam19

  • Diazepam73

  • Lorazepam22

  • Codeine 7

  • Pseudoephedrine 1


6142937

2556

1. 2556

2. Alprazolam - 16 2556

-


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