Lampiran 3. Data Klnik Gora

LAMPIRAN 3 :
Klinik GORA Mataram

Jl. R.A. Kartini no. 77 Monjok Selaparang
Kota Mataram Nusa Tengara Barat
Telp. /fax : 0370 635661
LAPORAN DATA PASIEN

BULAN JANUARI 2013
2/1/2013
ALAMAT
JANIS KELAMIN
HASIL PEMERIKSAAN
NO
KODE SAMPEL
UMUR
Hbs Ag
VDRL
TPHA
UL
KGM 1300001
21 TH
LEMBAR, LOBAR
FIT
KGM 1300002
20 TH
LEMBAR, LOBAR
FIT
KGM 1300003
37 TH
PRAYA, LOTENG
FIT
KGM 1300004
41 TH
PRAYA, LOTENG
FIT
KGM 1300005
BODAK, LOTENG
FIT
KGM 1300006
LOTIM
FIT
KGM 1300007
39 TH
SUMBAWA
FIT
KGM 1300008
32 TH
LOTENG
FIT
PPT
RX
KGM 1300009
31 TH
GUNUNG TALO, LOTIM
FIT
10
KGM 1300010
26 TH
LOTIM
FIT
11
KGM 1300011
LOTIM
FIT
12
KGM 1300012
LOTIM
FIT
13
KGM 1300013
LOTIM
FIT
14
KGM 1300014
LOTIM
FIT
15
KGM 1300015
20 TH
LOTIM
FIT
16
KGM 1300016
23 TH
KAYANGAN, LOBAR
FIT
17
KGM 1300017
28 TH
WANASABA, LOTIM
FIT
18
KGM 1300018
32 TH
WANASABA, LOTIM
FIT
19
KGM 1300019
30 TH
WANASABA, LOTIM
FIT
20
KGM 1300020
25 TH
WANASABA, LOTIM
3000
FIT
21
KGM 1300021
23 TH
WANASABA, LOTIM
FIT
22
KGM 1300022
APITAIK, LOTIM
FIT
23
KGM 1300023
21 TH
APITAIK, LOTIM
3000
FIT
24
KGM 1300024
29 TH
WANASABA, LOTIM
FIT
25
KGM 1300025
36 TH
LINGSAR, LOBAR
26
KGM 1300026
35 TH
UJUNG, LOTIM
27
KGM 1300027
30 TH
GEMEL, LOTIM
28
KGM 1300028
22 TH
LINGSAR, LOBAR
29
KGM 1300029
BAYAN, L.U
FIT
30
KGM 1300030
25 TH
BAYAN, L.U
FIT
31
KGM 1300031
24 TH
TORZAN,L.U
32
KGM 1300032
25 TH
UBUNG, LOTENG
FIT
33
KGM 1300033
20 TH
UBUNG, LOTENG
FIT
34
KGM 1300034
27 TH
LOTENG
FIT
NO
NO.REG
UMUR
KGM 1300035
20 TH
LOTENG
KGM 1300036
25 TH
SURABAYA, LOTENG
27 TH
FIT
FIT
FIT
FIT
FIT
3/1/2013
ALAMAT
JANIS KELAMIN
L
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
FIT
KGM 1300037
DOPANG, LOBAR
FIT
KGM 1300038
40 TH
LOMBOK UTARA
FIT
5
6
KGM 1300039
35 TH
LOBAR
FIT
KGM 1300040
31 TH
LOTIM
FIT
KGM 1300041
33 TH
LOTIM
UNFIT
KGM 1300042
38 TH
SUMBAWA
FIT
KGM 1300043
26 TH
LOTENG
10
KGM 1300044
18 TH
LOTENG
FIT
FIT
11
KGM 1300045
21 TH
LOTIM
FIT
12
KGM 1300046
31 TH
SURALAGA, LOTIM
FIT
13
KGM 1300047
34 TH
LOTENG
FIT
14
KGM 1300048
28 TH
LOTENG
FIT
15
KGM 1300049
19 TH
BENGKEL, LOBAR
FIT
16
KGM 1300050
26 TH
BUNGKATE, LOTENG
FIT
17
KGM 1300051
JONTLAK, LOTENG
FIT
18
KGM 1300052
28 TH
GANTI, LOTENG
FIT
NO.REG
UMUR
4/1/2013
NO
ALAMAT
JANIS KELAMIN HASIL PEMERIKSAAN

L
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300053
34 TH
TERENTEM, LOTIM
FIT
KGM 1300054
21 TH
TERENTEM, LOTIM
FIT
KGM 1300055
28 TH
MASBAGIK, LOTIM
FIT
KGM 1300056
24 TH
GERUNG, LOBAR
FIT
KGM 1300057
27 TH
DSN SEBELEK, LOTENG
FIT
KGM 1300058
27 TH
DSN SEBELEK, LOTENG
FIT
KGM 1300059
35 TH
WAKUL, LOTENG
FIT
KGM 1300060
39 TH
WAKUL, LOTENG
FIT
FIT
KGM 1300061
25 TH
BATU LAJAN, LOTENG
10
KGM 1300062
24 TH
MONTNG BAAN, LOTIM
FIT
11
KGM 1300063
29 TH
MONTNG BAAN, LOTIM
FIT
12
KGM 1300064
27 TH
MONTNG BAAN, LOTIM
KP
13
KGM 1300065
29 TH
KIDANG, LOTENG
FIT
14
KGM 1300066
39 TH
GERUNG, LOBAR
3000
FIT
15
KGM 1300067
23 TH
MONTNG ARE, LOBAR
16
KGM 1300068
23 TH
ANJANI, LOTIM
17
KGM 1300069
23 TH
ANJANI, LOTIM
18
KGM 1300070
39 TH
PRESAK, LOTIM
19
KGM 1300071
22 TH
LNDNG NANGKA,LOTIM
20
KGM 1300072
SAMPANG, LOTIM
21
KGM 1300073
31 TH
SAMPANG, LOTIM
NO
NO.REG
UMUR
Hbs Ag
KGM 1300074
24 TH
CINGGU, BIMA
KGM 1300075
31 TH
LEO LAMBU, BIMA
KGM 1300076
22 TH
LEO LAMBU, BIMA
FIT
FIT
FIT
FIT
FIT
FIT
FIT
VDRL
TPHA
UL
PPT
RX
FIT
FIT
3000
FIT
5/1/2013
ALAMAT

L
KGM 1300077
26 TH
LEO LAMBU, BIMA
FIT
KGM 1300078
29TH
LEO LAMBU, BIMA
FIT
KGM 1300079
21 TH
TANGGA, BIMA
FIT
KGM 1300080
19 TH
TOHPATI, LOTENG
FIT
KGM 1300081
28 TH
KURIPAN, LOBAR
FIT
KGM 1300082
21 TH
KURIPAN, LOBAR
FIT
10
KGM 1300083
42 TH
PRINGGRTA, LOTENG
FIT
11
KGM 1300084
23 TH
KARANG DESA. L.U
FIT
12
KGM 1300085
25 TH
SAMBELIE, LOTIM
3000
FIT
13
KGM 1300086
23 TH
NYANGGAT, LOBAR
FIT
14
KGM 1300087
33 TH
AIKMEL, LOTIM
FIT
15
KGM 1300088
24 TH
JELATENG, LOBAR
FIT
16
KGM 1300089
31 TH
JELATENG, LOTENG
FIT
17
KGM 1300090
25 TH
JELATENG, LOBAR
FIT
18
KGM 1300091
20 TH
JELATENG, LOBAR
FIT
19
KGM 1300092
35 TH
JELATENG, LOBAR
FIT
20
KGM 1300093
21 TH
JELATENG, LOBAR
FIT
21
KGM 1300094
20 TH
JELATENG, LOBAR
FIT
22
KGM 1300095
29 TH
PRAYA, LOTENG
NO
NO.REG
UMUR
KGM 1300096
37 TH
KOPANG, LOTENG
KGM 1300097
40 TH
TANAK BEAK, LOTENG
KGM 1300098
29 TH
TANAK BEAK, LOTENG
KGM 1300099
30 TH
JURNG MALNG, LOBAR
KGM 1300100
27 TH
KEDIRI, LOBAR
KGM 1300101
37 TH
MONTONG, LOBAR
KGM 1300102
20 TH
RONDONG, LOBAR
KGM 1300103
31 TH
RONDONG, LOBAR
3000
KGM 1300104
20 TH
RONDONG, LOBAR
3000
10
KGM 1300105
41 TH
RONDONG, LOBAR
11
KGM 1300106
28 TH
PELEPOK, LOBAR
12
KGM 1300107
19 TH
JELATENG, LOBAR
13
KGM 1300108
27 TH
JELATENG, LOBAR
14
KGM 1300109
20 TH
REBN BARU, LOTENG
15
KGM 1300110
43 TH
PELANAGAN, LOBAR
16
KGM 1300111
40 TH
PELANGAN, LOBAR
17
KGM 1300112
25 TH
PRINGGABAYA, LOTIM
18
KGM 1300113
30 TH
SAKRA, LOTIM
19
KGM 1300114
22 TH
SAKRA, LOTIM
20
KGM 1300115
31 TH
SAKRA, LOTIM
21
KGM 1300116
28 TH
SAKRA, LOTIM
22
KGM 1300117
23
KGM 1300118
24
KGM 1300119
FIT
7/1/2013
ALAMAT
JANIS KELAMIN
L
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
3000
FIT
FIT
FIT
FIT
FIT
FIT
3000
FIT
FIT
FIT
FIT
FIT
FIT
KOPANG, LOTENG
41 TH
ANJANI, LOTIM
FIT
31 TH
ANJANI, LOTIM
3000
FIT
25
KGM 1300120
33 TH
BTU TAMENG, LOTIM
FIT
26
KGM 1300121
44 TH
PRINGGABAYA, LOTIM
FIT
27
KGM 1300122
31 TH
PRINGGABAYA, LOTIM
FIT
28
KGM 1300123
38 TH
PENGENJAK, LOTENG
FIT
29
KGM 1300124
33 TH
POHGADING, LOTIM
FIT
30
KGM 1300125
30 TH
SURALAGA, LOTIM
FIT
31
KGM 1300126
22 TH
POHGADING, LOTIM
FIT
32
KGM 1300127
28 TH
DASAN TAPN, LOTIM
FIT
33
KGM 1300128
33 TH
DASAN TAPN, LOTIM
FIT
34
KGM 1300129
29 TH
DASAN TAPEN, LOTIM
3000
FIT
35
KGM 1300130
41 TH
LENDNG BATU, LOTIM
36
KGM 1300131
33 TH
BATUJAI, LOTENG
37
KGM 1300132
38 TH
BUN BUAK, LOTENG
FIT
38
KGM 1300133
32 TH
BAT RURUNG, LOTENG
FIT
39
KGM 1300134
30 TH
LOBAR
40
KGM 1300135
35 TH
LOBAR
NO.REG
UMUR
P
L
FIT
-
FIT
FIT
FIT
8/1/2013
NO
ALAMAT
JANIS KELAMIN
L
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300136
34 TH
LOANG TUNA, LOTENG
FIT
KGM 1300137
25 TH
SENARU, L.U
FIT
KGM 1300138
28 TH
PRINGGABAYA, LOTIM
KGM 1300139
29 TH
NYAMPEN, LOTENG
FIT
KGM 1300140
25 TH
LOTENG
FIT
KGM 1300141
32 TH
LOTENG
FIT
KGM 1300142
21 TH
LOTENG
FIT
KGM 1300143
31 TH
LOTENG
FIT
FIT
KGM 1300144
32 TH
JANTUK, LOTIM
FIT
10
KGM 1300145
31 TH
JANTUK, LOTIM
FIT
11
KGM 1300146
27 TH
MONTNG BRU, LOTNG
FIT
12
KGM 1300147
33 TH
TERES GENIT, LU
3000
FIT
13
KGM 1300148
24 TH
BAYAN, L.U
FIT
14
KGM 1300149
37 TH
JANAPRIA, LOTENG
NO.REG
UMUR
ALAMAT
FIT
9/1/2013
NO

L
Hbs Ag
VDRL
TPHA
UL
2800
PPT
RX
KGM 1300150
24 TH
LOTENG
KGM 1300151
25 TH
LINGSAR, LOBAR
FIT
KGM 1300152
33 TH
KEMBUN, LOTENG
FIT
KGM 1300153
34 TH
KEMBUN, LOTENG
FIT
KGM 1300154
31 TH
LOLAT, LOTIM
FIT
KGM 1300155
37 TH
SENGKERANG, LOTENG
FIT
KGM 1300156
21 TH
AIK DAREK, LOTENG
KGM 1300157
26 TH
CAKRA, MATARAM
FIT
KGM 1300158
30 TH
TELOK DALM, L.U
FIT
FIT
FIT
10/1/2013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300159
22 TH
JONTAK, LOTENG
FIT
KGM 1300160
36 TH
MANTANG, LOTENG
FIT
KGM 1300161
20 TH
LNDNG PAOK, LOTENG
FIT
KGM 1300162
18 TH
MANTANG, LOTENG
FIT
KGM 1300163
22 TH
MANTANG, LOTENG
FIT
KGM 1300164
37 TH
BAGU, LOTENG
KGM 1300165
19 TH
PLAMBIK, LOTENG
FIT
KGM 1300166
19 TH
CERORONG, LOTENG
FIT
KGM 1300167
22 TH
CERORONG, LOTENG
FIT
10
KGM 1300168
26 TH
SALUT,L.U
11
KGM 1300169
37 TH
AMPENAN,MATARAM
FIT
12
KGM 1300170
LOTIM
FIT
13
KGM 1300171
35 TH
LOTIM
FIT
14
KGM 1300172
27 TH
PEJANGGIK, LOTENG
FIT
15
KGM 1300173
20 TH
TAMPAH, LOTENG
FIT
16
KGM 1300174
29 TH
DASN BARU, LOTIM
17
KGM 1300175
18 TH
LNDNG NAKA,LOTNG
18
KGM 1300176
19
KGM 1300177
32 TH
LINGKOK BUNT,LOTNG
20
KGM 1300178
22 TH
JANAPRIA, LOTENG
21
KGM 1300179
27 TH
LOTENG
22
KGM 1300180
26 TH
RINSING, LOTIM
NO
NO.REG
UMUR
KGM 1300181
20 TH
SESAOT, LOBAR
KGM 1300182
31 TH
TANK BEAK, LOTENG
KGM 1300183
18 TH
MONGGAS, LOTENG
KGM 1300184
20 TH
MONGGAS, LOTENG
KGM 1300185
KGM 1300186
KGM 1300187
20 TH
RENTENG, LOTENG
KGM 1300188
20 TH
JAGO, LOTENG
L
P
L
LENEK, LOTENG
PPT
RX
FIT
FIT
FIT
FIT
FIT
FIT
11/1/2013
ALAMAT

L
MONGGAS, LOTENG
MONGGAS, LOTENG
P
L
Hbs Ag
VDRL
TPHA
UL
3000
FIT
FIT
PPT
RX
FIT
FIT
FIT
FIT
FIT
FIT
KGM 1300189
28 TH
JAGO, LOTENG
FIT
10
KGM 1300190
27 TH
JENGGIK, LOTENG
FIT
11
KGM 1300191
43 TH
SAKRA, LOTENG
FIT
12
KGM 1300192
20TH
AIK MBUL, LOTENG
FIT
13
KGM 1300193
39 TH
LOTENG
FIT
14
KGM 1300194
19 TH
JERANJANG, LOBAR
FIT
15
KGM 1300195
19 TH
JERANJANG, LOTENG
FIT
16
KGM 1300196
29 TH
LNDNG NAKA, LOTIM
FIT
17
KGM 1300197
19 TH
SEBELEK, LOBAR
18
KGM 1300198
28 TH
MUNCAN, LOTENG
19
KGM 1300199
23 TH
KARNG ANYAR, LOBAR
P
L
FIT
-
FIT
FIT
12/1/2013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300200
33 TH
SUKEDANE, LOTENG
FIT
KGM 1300201
33 TH
SUKEDANE, LOTENG
FIT
KGM 1300202
19 TH
SUKEDANE, LOTENG
FIT
KGM 1300203
PUNIK, LOTENG
FIT
KGM 1300204
28 TH
JELATENG, LOBAR
FIT
KGM 1300205
36 TH
LOTENG
FIT
KGM 1300206
JELATENG, LOBAR
3000
FIT
KGM 1300207
SAYONG, LOBAR
FIT
KGM 1300208
JELATENG, LOBAR
FIT
10
KGM 1300209
JELATENG, LOBAR
11
KGM 1300210
32 TH
DASAN CERMN, LOBAR
12
KGM 1300211
29 TH
TANJUNG, L.U
13
KGM 1300212
28 TH
LOTENG
FIT
NO.REG
UMUR
PPT
RX
24 TH
P
L
P
PPT
RX
FIT
-
FIT
FIT
14/01/2013
NO
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
KGM 1300213
32 TH
LOTENG
FIT
KGM 1300214
43 TH
BT MULIK, LOBAR
FIT
KGM 1300215
38 TH
SELONG, LOTIM
KGM 1300216
30 TH
SELONG, LOTIM
KGM 1300217
SELONG, LOTIM
FIT
KGM 1300218
31 TH
RENTTENG, LOTENG
FIT
KGM 1300219
27 TH
BELANTING, LOTIM
FIT
KGM 1300220
33 TH
DSN LEKONG, LOTIM
FIT
FIT
+
FIT
KGM 1300221
31 TH
DSN LEKONG, LOTIM
FIT
10
KGM 1300222
29 TH
MAMBEN, LOTIM
FIT
11
KGM 1300223
KRNG KERAKAS,L.U
FIT
12
KGM 1300224
COLOK, LOTENG
FIT
13
KGM 1300225
34 TH
SIDEMEN, LOBAR
14
KGM 1300226
23 TH
GBK KESAH, LOTENG
15
KGM 1300227
35 TH
BANGSAL, LOTENG
16
KGM 1300228
27 TH
BELEKE, LOTENG
17
KGM 1300229
22 TH
BELEKE, LOTENG
18
KGM 1300230
20 TH
19
KGM 1300231
19 TH
20
KGM 1300232
21
KGM 1300233
22
KGM 1300234
23
KGM 1300235
23 TH
24
KGM 1300236
30 TH
25
KGM 1300237
26
KGM 1300238
27
KGM 1300239
FIT
3000
FIT
FIT
FIT
SEMOYANG, LOENG
FIT
SEMOYANG, LOTENG
FIT
43 TH
KURIPAN, LOBAR
FIT
38 TH
JANPRIA, LOTENG
3000
FIT
BT GRANTUNG, L.U
FIT
BAYAN, LU
FIT
BT GRANTUNG, L.U
FIT
BT GRANTUNG, L.U
FIT
BT GRANTUNG, L.U
FIT
SEMBALUN, LOTIM
FIT
35 TH
FIT
28
KGM 1300240
25 TH
TEMPOS, LOBAR
29
KGM 1300241
30 TH
TEMPOS, LOBAR
30
KGM 1300242
20 TH
31
KGM 1300243
32 TH
32
KGM 1300244
33
KGM 1300245
34
KGM 1300246
35
KGM 1300247
36
KGM 1300248
37
KGM 1300249
38
KGM 1300250
39
KGM 1300251
40
KGM 1300252
41
KGM 1300253
27 TH
42
KGM 1300254
43
KGM 1300255
44
45
FIT
LOYOK, LOTIM
FIT
LOYOK, LOTIM
FIT
30 TH
LOYOK, LOBAR
FIT
29 TH
SEKOTONG, LOBAR
FIT
40 TH
SEKOTONG, LOBAR
FIT
SEKOTONG, LOBAR
FIT
31 TH
SEKOTONG, LOBAR
FIT
37 TH
LEMBAR, LOBAR
FIT
23 TH
EKOTONG, LOBAR
2400
FIT
BONGOR, LOBAR
FIT
BONGOR, LOBAR
FIT
PRINGGARATA, LTNG
FIT
23 TH
TNJNG LUAR, LOTIM
FIT
27 TH
TNJNG LUAR, LOTIM
FIT
KGM 1300256
35 TH
BT MULUT, LOTIM
FIT
KGM 1300257
28 TH
SUMBAWA
FIT
46
KGM 1300258
33 TH
PRAYA, LOTENG
FIT
47
KGM 1300259
33 TH
SAKRA, LOTIM
FIT
48
KGM 1300260
22 TH
KRAKAS, L.U
49
KGM 1300261
27 TH
SEPAPAN, LOTIM
3000
50
KGM 1300262
41 TH
DSN SAWU, LOTIM
FIT
51
KGM 1300263
41 TH
LOANG SWK, LOTIM
FIT
52
KGM 1300264
35 TH
LOBAR
FIT
53
KGM 1300265
22 TH
SEMPARU, LOTENG
FIT
54
KGM 1300266
36 TH
AMPENAN, MATARAM
55
KGM 1300267
44 TH
ANAK DWI, LOTIM
FIT
56
KGM 1300268
31 TH
SIKUR,,LOTIM
FIT
57
KGM 1300269
41 TH
BUAL, LOTENG
FIT
58
KGM 1300270
33 TH
KOPANG, LOTENG
FIT
59
KGM 1300271
21 TH
SETELING, LOTENG
FIT
60
KGM 1300272
33 TH
WAJAGESENG, LOTENG
91
KGM 1300273
22 TH
AIK DEWA, LOTIM
FIT
62
KGM 1300274
22 TH
PEJERUK, MATARAM
FIT
63
KGM 1300275
20 TH
KIDANG, LOTENG
FIT
NO.REG
UMUR
PPT
RX
FIT
FIT
-
FIT
FIT
FIT
15/01/2013
NO
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
KGM 1300276
39 TH
WANASABA, LOTIM
FIT
KGM 1300277
20 TH
WANASABA, LOTIM
FIT
KGM 1300278
25 TH
WANASABA, LOTIM
FIT
KGM 1300279
21 TH
WANASABA, LOTIM
FIT
KGM 1300280
38 TH
WANASABA, LOTIM
FIT
KGM 1300281
26 TH
TANAK AU, LOTENG
FIT
KGM 1300282
25 TH
MASBAGIK, LOTIM
KGM 1300283
26 TH
LOTENG
L
L
KGM 1300284
18 TH
PRINGGARATA, LOTNG
10
KGM 1300285
29 TH
SIKUR, LOTIM
11
KGM 1300286
27 TH
SELAGEK, LOTIM
12
KGM 1300287
28 TH
CENGOK, LOTIM
13
KGM 1300288
30 TH
LDNG BEDURI, LOTIM
14
KGM 1300289
48 TH
PRESAK, LOTENG
15
KGM 1300290
43 TH
PRESAK, LOTENG
16
KGM 1300291
25 TH
PRAYA, LOTENG
17
KGM 1300292
17 TH
18
KGM 1300293
31 TH
19
KGM 1300294
20
KGM 1300295
21
KGM 1300296
22
KGM 1300297
23
KGM 1300298
24
KGM 1300299
25
KGM 1300300
26
KGM 1300301
42 TH
KOPANG, LOTENG
27
KGM 1300302
36 TH
WANGWAI, LOTIM
28
KGM 1300303
21 TH
AIK MEL, LOTIM
NO.REG
UMUR
P
L
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
PRAYA, LOTENG
FIT
PRAYA, LOTENG
FIT
41 TH
PRINGGABAYA, LOTIM
27 TH
PRINGGABAYA, LOTIM
33 TH
POHGADING, LOTIM
FIT
FIT
FIT
FIT
FIT
FIT
PPT
RX
P
L
FIT
FIT
-
FIT
FIT
FIT
16/01/2013
NO
ALAMAT

L
30 TH
TNK BEAK, LOBAR
Hbs Ag
VDRL
TPHA
UL
KGM 1300304
KGM 1300305
KGM 1300306
22 TH
MASBAGIK, LOTIM
FIT
KGM 1300307
22 TH
KOPANG, LOTENG
FIT
KGM 1300308
35 TH
DENGGAN, LOTIM
FIT
KGM 1300309
32 TH
DENGGAN, LOTIM
FIT
KGM 1300310
38 TH
PENGEMBUR, LOTENG
3000
FIT
KGM 1300311
40 TH
PENGEMBUR, LOTENG
3000
FIT
AIK DAREK, LOTENG
FIT
-
FIT
KGM 1300312
38 TH
PENGEMBUR, LOTENG
10
KGM 1300313
33 TH
KERUAK, LOTENG
11
KGM 1300314
19 TH
BTU GRANTUNG, L.U
KP
12
KGM 1300315
27 TH
PRINGABAYA,LOTIM
FIT
13
KGM 1300316
33 TH
LOTIM
FIT
14
KGM 1300317
38 TH
PENGKONG, LOTIM
FIT
15
KGM 1300318
19 TH
POHGADING, LOTIM
FIT
16
KGM 1300319
18 TH
KOPANG, LOTENG
FIT
17
KGM 1300320
40 TH
MANGKUNG, LOTENG
FIT
18
KGM 1300321
41 TH
JANAPRIA, LOTENG
FIT
19
KGM 1300322
45 TH
JANAPRIA, LOTRNG
FIT
20
KGM 1300323
21 TH
PAGUTAN, LOBAR
FIT
21
KGM 1300324
49 TH
BAREJULAT, LOTENG
FIT
22
KGM 1300325
27 TH
JONGGAT, LOTENG
FIT
FIT
-
FIT
17/01/2013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300326
25 TH
PELABU, LOBAR
FIT
KGM 1300327
25 TH
PERENDEKAN, LOBAR
FIT
KGM 1300328
35 TH
SINTUNG, LOTENG
FIT
KGM 1300329
21 TH
SINTUNG, LOTENG
FIT
KGM 1300330
30 TH
PRINGGARATA, LOTNG
FIT
KGM 1300331
29 TH
PRINGGARATA, LOTNG
FIT
KGM 1300332
36 TH
WANASABA, LOTIM
FIT
KGM 1300333
WANASABA, LOTIM
FIT
KGM 1300334
37 TH
WANASABA, LOTIM
FIT
10
KGM 1300335
36 TH
WANASABA, LOTIM
FIT
11
KGM 1300336
37 TH
WANASABA, LOTIM
FIT
12
KGM 1300337
29 TH
WANASABA, LOTIM
FIT
13
KGM 1300338
27 TH
WANASABA, LOTIM
FIT
14
KGM 1300339
26 TH
WANASABA, LOTIM
FIT
15
KGM 1300340
22 TH
WANASABA, LOTIM
FIT
16
KGM 1300341
26 TH
LENGKOK BUAK,LOTIM
FIT
17
KGM 1300342
LENGKOK BUAK,LOTIM
FIT
18
KGM 1300343
WANASABA, LOTIM
3000
FIT
19
KGM 1300344
LENGKOK BUAK,LOTIM
FIT
20
KGM 1300345
27 TH
LNDNG LEKONG, LOBR
FIT
21
KGM 1300346
31 TH
DASN MONTNG, LOTM
22
KGM 1300347
25 TH
BATU YANG, LOTIM
FIT
36 TH
PPT
RX
FIT
23
KGM 1300348
19 TH
SEGENTER, L.U
FIT
24
KGM 1300349
34 TH
JANAPRIA, LOTENG
FIT
25
KGM 1300350
34 TH
JANAPRIA, LOTENG
FIT
26
KGM 1300351
34 TH
JANAPRIA, LOTENG
FIT
27
KGM 1300352
30 TH
WIJEN, LOTENG
28
KGM 1300353
30 TH
PUJUT, LOTENG
29
KGM 1300354
27 TH
LOTENG
FIT
30
KGM 1300355
22 TH
LOTENG
FIT
31
KGM 1300356
22 TH
LOTENG
32
KGM 1300357
29 TH
AWANG, LOTENG
33
KGM 1300358
32 TH
AWANG, LOTENG
34
KGM 1300359
28 TH
LOTENG
NO.REG
UMUR
FIT
-
FIT
FIT
FIT
FIT
FIT
18/01/2013
NO
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300360
27 TH
PRESAK, LOTIM
3000
FIT
KGM 1300361
27 TH
JELATENG, LOBAR
FIT
KGM 1300362
26 TH
SEKOTONG, LOBAR
FIT
KGM 1300363
27 TH
KOPANG, LOTENG
FIT
KGM 1300364
30 TH
NARMADA, LOBAR
FIT
KGM 1300365
LOTENG
KGM 1300366
MASBAGI, LOTIM
KGM 1300367
LOTIM
KGM 1300368
27 TH
AWANG, LOTENG
10
KGM 1300369
18 TH
KEKALEK, LOTENG
11
KGM 1300370
33 TH
KEKALEK, LOTENG
12
KGM 1300371
34 TH
SELAGALAS, LOBAR
NO.REG
UMUR
ALAMAT
P
L
FIT
FIT
FIT
FIT
PPT
RX
FIT
-
FIT
FIT
19/01/2013
NO

L
Hbs Ag
VDRL
TPHA
UL
KGM 1300373
24 TH
MONTNG ATS, LOTIM
FIT
KGM 1300374
35 TH
GEMEL, LOTENG
FIT
KGM 1300375
36 TH
BERTAIS, LOBAR
FIT
KGM 1300376
35 TH
BERTAIS, LOBAR
FIT
KGM 1300377
27 TH
BERTAIS, LOBAR
FIT
KGM 1300378
40 TH
PENGEMBUR, LOTENG
3000
FIT
KGM 1300379
40 TH
PENGEMBUR, LOTENG
FIT
KGM 1300380
28 TH
LOMBOK UTARA
FIT
KGM 1300381
26 TH
KAYANGAN, L.U
FIT
10
KGM 1300382
36 TH
BON JERUK, LOTENG
FIT
11
KGM 1300383
FIT
12
KGM 1300384
20 TH
KERUAK, LOTIM
13
KGM 1300385
20 TH
GUNUNG SARI, LOBAR
FIT
14
KGM 1300386
23 TH
GUNUNG SARI, LOBAR
FIT
NO.REG
UMUR
FIT
20/01/2013
NO
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300387
FIT
KGM 1300388
FIT
KGM 1300389
FIT
KGM 1300390
FIT
KGM 1300391
FIT
KGM 1300392
FIT
KGM 1300393
FIT
KGM 1300394
FIT
21/01/2013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300395
30 TH
BAGU, LOTENG
FIT
KGM 1300396
23 TH
KEREMBONG, LOTENG
FIT
KGM 1300397
34 TH
KURIPAN, LOBAR
FIT
KGM 1300398
29 TH
KELING, LOTENG
FIT
KGM 1300399
23 TH
JAKI JAWE, LOTENG
FIT
PPT
RX
KGM 1300400
28 TH
GERENENG, LOTIM
FIT
KGM 1300401
27 TH
NARMADA, LOBAR
FIT
KGM 1300402
27 TH
NARMADA, LOBAR
FIT
KGM 1300403
30 TH
NARMADA, LOBAR
FIT
10
KGM 1300404
30 TH
NARMADA, LOBAR
FIT
11
KGM 1300405
25 TH
BATUKLIANG, LOTENG
FIT
12
KGM 1300406
19 TH
BATUKLIANG, LOTENG
FIT
13
KGM 1300407
21 TH
BATUKLIANG, LOTENG
FIT
14
KGM 1300408
15
KGM 1300409
16
KGM 1300410
17
KGM 1300411
31 TH
SUANGI, LOTIM
18
KGM 1300412
33 TH
SUANGI, LOTIM
19
KGM 1300413
31 TH
SUANGI, LOTIM
20
KGM 1300414
34 TH
21
KGM 1300415
42 TH
22
KGM 1300416
35 TH
BAYAN, L.U
23
KGM 1300417
41 TH
LABUAN LMBOK, LOTM
24
KGM 1300418
24 TH
SURABAYA, LOTIM
25
KGM 1300419
28 TH
CENGOK, LOTIM
26
KGM 1300420
37 TH
CENGOK, LOTIM
27
KGM 1300421
34 TH
JEROWARU,LOTIM
28
KGM 1300422
41 TH
JEROWARU, LOTIM
29
KGM 1300423
33 TH
LINGSAR, LOBAR
30
KGM 1300424
21 TH
31
KGM 1300425
28 TH
32
KGM 1300426
33
KGM 1300427
34
35
DASN LEKONG, LOTIM
FIT
SUKAMULIA, LOTIM
FIT
FIT
FIT
FIT
FIT
SUANGI, LOTIM
FIT
BATUKLIANG, LOTENG
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
3000
FIT
SIDEMEN, LOBAR
FIT
BALIK BATAM, LOTIM
FIT
33 TH
AMPENAN, MATARAM
FIT
17 TH
PUJUT, LOTENG
FIT
KGM 1300428
34 TH
PENGEMBUR, LOTENG
KGM 1300429
23 TH
AMPENAN, MATARAM
+0,700
FIT
36
KGM 1300430
34 TH
PENGENJEK, LOTENG
FIT
37
KGM 1300431
33 TH
PENGENJEK, LOTENG
FIT
38
KGM 1300432
34 TH
LINKOK BUAK, LOTENG
FIT
39
KGM 1300433
43 TH
PEROK BARAT, LOTENG
FIT
40
KGM 1300434
31 TH
LANDAH, LOTENG
FIT
41
KGM 1300435
23 TH
LANDAH, LOTENG
FIT
42
KGM 1300436
36 TH
LANDAH, LOTENG
43
KGM 1300437
36 TH
LOTENG
44
KGM 1300438
22 TH
LABUAN LOMBK, LOTM
45
KGM 1300439
25 TH
KIDANG, LOTENG
46
KGM 1300440
33 TH
BATU RMPING, LOTIM
47
KGM 1300441
26 TH
BERTAIS, LOBAR
48
KGM 1300442
21 TH
PRINGGERATE,LOTENG
49
KGM 1300443
21 TH
TAMAN SARI, LOBAR
50
KGM 1300444
20 TH
MEREMBU, LOBAR
30 TH
DASN LAKONG, LOTIM
FIT
FIT
FIT
FIT
3000
FIT
FIT
FIT
L
P
FIT
FIT
-
FIT
22/01/2013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300445
36 TH
KOKOK PUTEK, LOTIM
FIT
KGM 1300446
33 TH
KOKOK PUTEK, LOTIM
FIT
KGM 1300447
SENERU, L.U
FIT
KGM 1300448
23 TH
BAYAN, L.U
FIT
KGM 1300449
25 TH
BAYAN, L.U
FIT
KGM 1300450
42 TH
BAREJULAT, LOTENG
FIT
KGM 1300451
40 TH
AIK PRAPA, LOTIM
3000
FIT
KGM 1300452
33 TH
KETENJER, LOBAR
FIT
KGM 1300453
23 TH
KETENJER, LOBAR
FIT
10
KGM 1300454
38 TH
WANASABA, LOTIM
FIT
11
KGM 1300455
38 TH
WANASABA, LOTIM
FIT
12
KGM 1300456
29 TH
SUKADANA, LOTIM
FIT
13
KGM 1300457
23 TH
BAGEK PAPAN, LOTIM
3000
FIT
14
KGM 1300458
BAGEK PAPAN, LOTIM
FIT
15
KGM 1300459
20 TH
SIKUR, LOTIM
FIT
16
KGM 1300460
31 TH
RUMAK, LOBAR
FIT
NO
NO.REG
UMUR
Hbs Ag
VDRL
TPHA
UL
KGM 1300461
20 TH
DASAN BAGEK, LOTIM
KGM 1300462
24 TH
TANJUNG, LOTIM
KGM 1300463
33 TH
MERTAK SARE, LOTIM
KGM 1300464
27 TH
MUNCAN, LOBAR
2000
KGM 1300465
22 TH
PRINGGARATA, LOTNG
KGM 1300466
33 TH
KEDATU, LOTENG
FIT
KGM 1300467
30 TH
KURIPAN, LOBAR
FIT
KGM 1300468
31 TH
UBUNG, LOTENG
KGM 1300469
30 TH
KOPANG, LOTENG
FIT
10
KGM 1300470
25 TH
SEMOYANG, LOTENG
FIT
11
KGM 1300471
32 TH
KOPANG, LOTENG
FIT
12
KGM 1300472
28 TH
LOMBOK UTARA
FIT
13
KGM 1300473
32 TH
LOMBOK UTARA
3000
FIT
14
KGM 1300474
21 TH
AWANG, LOTENG
FIT
15
KGM 1300475
39 TH
JANAPRIA, LOTENG
FIT
16
KGM 1300476
JANPRIA, LOTENG
FIT
17
KGM 1300477
36 TH
JANAPRIA, LOTENG
FIT
18
KGM 1300478
33 TH
JANAPRIA, LOTTENG
FIT
19
KGM 1300479
37 TH
MONTNG BAAN, LOTIM
FIT
20
KGM 1300480
27 TH
LOTENG
FIT
21
KGM 1300481
26 TH
MANGGONG, LOTENG
FIT
22
KGM 1300482
38 TH
NARMADA, LOBAR
FIT
23
KGM 1300483
PPT
RX
23/01/2013
ALAMAT

L
KETARE, LOTENG
L
P
PPT
RX
FIT
FIT
FIT
FIT
FIT
FIT
FIT
24
KGM 1300484
25 TH
KETARE, LOTENG
25
KGM 1300485
37 TH
26
KGM 1300486
34 TH
RUMBUK, LOTIM
27
KGM 1300487
25 TH
SAKRA, LOTIM
28
KGM 1300488
30 TH
APITAIK, LOTIM
29
KGM 1300489
19 TH
MONGGAS, LOTENG
30
KGM 1300490
32 TH
MONGGAS, LOTENG
31
KGM 1300491
27 TH
KEDATUK, LOTENG
32
KGM 1300492
26 TH
33
KGM 1300493
26 TH
NO
NO.REG
UMUR
KGM 1300494
30 TH
LABUAPI, LOBAR
KGM 1300495
42 TH
MANGGO, BIMA
KGM 1300496
29 TH
MANGGO, BIMA
KGM 1300497
26 TH
BONGOR, LOBAR
KGM 1300498
35 TH
LEMBAR, LOBAR
KGM 1300499
33 TH
KGM 1300500
KGM 1300501
FIT
FIT
FIT
FIT
FIT
FIT
FIT
FIT
MONGGAS, LOTENG
FIT
PENGEMBUK, LOTENG
FIT
25/01/2013
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
3000
FIT
FIT
FIT
3000
FIT
LEMBAR, LOBAR
FIT
22 TH
LEMBAR, LOBAR
28 TH
WAKUL LOTENG
FIT
FIT
FIT
KGM 1300502
38 TH
DARMAJI, LOTENG
10
KGM 1300503
32 TH
PENGADANG, LOTENG
FIT
11
KGM 1300504
43 TH
KOPANG, LOTENG
FIT
12
KGM 1300505
28 TH
KOPANG, LOTENG
FIT
13
KGM 1300506
27 TH
MNTNG BAAN, LOTIM
FIT
14
KGM 1300507
36 TH
PENJON, LOTENG
FIT
14
KGM 1300508
43 TH
JANAPRIA, LOTENG
FIT
16
KGM 1300509
37 TH
JANAPRIA, LOTENG
FIT
17
KGM 1300510
26 TH
MNTNG BAAN, LOTIM
FIT
18
KGM 1300511
18 TH
MNTNG BAAN, LOTIM
FIT
19
KGM 1300512
33 TH
TANAK BEAK, LOTENG
FIT
20
KGM 1300513
22 TH
BAYAN, L.U
FIT
21
KGM 1300514
27 TH
CENGOK, LOTIM
FIT
NO
NO.REG
UMUR
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300515
16 TH
LOTENG
FIT
KGM 1300516
31 TH
DSN TAPEN, LOTIM
FIT
KGM 1300517
23 TH
WANASABA, LOTIM
FIT
KGM 1300518
24 TH
WANASABA, LOTIM
FIT
KGM 1300519
29 TH
WANASABA, LOTIM
3000
FIT
KGM 1300520
23 TH
WANASABA, LOTIM
FIT
KGM 1300521
28 TH
WANASABA, LOTIM
FIT
KGM 1300522
26 TH
APITAIK, LOTIM
FIT
26/01/2013
ALAMAT

L
KGM 1300523
32 TH
APITAIK, LOTIM
FIT
10
KGM 1300524
31 TH
APITAIK, LOTIM
3000
FIT
11
KGM 1300525
20 TH
BGK LONGGEK, LOTIM
FIT
12
KGM 1300526
36 TH
BGK LONGGEK, LOTIM
FIT
13
KGM 1300527
31 TH
BGK LONGGEK, LOTIM
14
KGM 1300528
30 TH
LOTENG
FIT
14
KGM 1300529
30 TH
LOTENG
FIT
16
KGM 1300530
36 TH
LOTENG
FIT
17
KGM 1300531
35 TH
BATUNYALA, LOTENG
FIT
18
KGM 1300532
42 TH
LOTENG
FIT
19
KGM 1300533
18 TH
LOTENG
FIT
20
KGM 1300534
35 TH
LOTENG
FIT
21
KGM 1300535
20 TH
MAMBEN, LOTIM
FIT
NO.REG
UMUR
FIT
28/01/2013
NO
ALAMAT

L
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
KGM 1300536
23 TH
GANGGA, L.U
KGM 1300537
38 TH
PRESAK, LOTIM
FIT
KGM 1300538
27 TH
PRESAK, LOTIM
FIT
KGM 1300539
20 TH
PRESAK, LOTIM
FIT
KGM 1300540
26 TH
PRESAK, LOTIM
3000
FIT
KGM 1300541
19 TH
SEKOTONG, LOBAR
3000
KGM 1300542
28 TH
TRATAG, LOTENG
FIT
KGM 1300543
33 TH
TRATAG, LOTENG
FIT
KGM 1300544
28 TH
LOBAR
3000
FIT
10
KGM 1300545
23 TH
NARMADA, LOBAR
FIT
11
KGM 1300546
22 TH
NARMADA, LOBAR
FIT
12
KGM 1300547
39 TH
NARMADA, LOBAR
KP
13
KGM 1300548
40 TH
BANYUMULEK, LOBAR
FIT
14
KGM 1300549
30 TH
KBN RANDU, LOTENG
FIT
14
KGM 1300550
22 TH
DSN BARU, LOTENG
FIT
16
KGM 1300551
24 TH
DSN BELAUTAN, L.U
17
KGM 1300552
37 TH
KERUMUT, LOTIM
FIT
18
KGM 1300553
43 TH
KERUMUT, LOTIM
FIT
19
KGM 1300554
43 TH
SELAGEK, LTIM
FIT
20
KGM 1300555
33 TH
MARONG, LOTENG
FIT
21
KGM 1300556
33 TH
SUANGI, LTIM
FIT
22
KGM 1300557
18 TH
GEGUTU, LOBAR
23
KGM 1300558
27 TH
LOTIM
FIT
24
KGM 1300559
33 TH
SURALAGA, LOTIM
FIT
25
KGM 1300560
30 TH
TERARA, LOTIM
3000
FIT
26
KGM 1300561
37 TH
TERARA, LOTIM
FIT
27
KGM 1300562
36 TH
LOTIM
FIT
28
KGM 1300563
33 TH
LOTENG
FIT
29
KGM 1300564
24 TH
LOTENG
FIT
P
P
FIT
FIT
FIT
29/01/2013
NO
NO.REG
UMUR
ALAMAT
KGM 1300565
23 TH
TOHPATI, LOTENG
KGM 1300566
40 TH
AIK BUKAK, LOTENG
KGM 1300567
40 TH
SEKEBUNG, LOTENG
KGM 1300568
43 TH
MBUNG TIANG, LOTIM
KGM 1300569
27 TH
SEKOTONG, LOBAR
KGM 1300570
19 TH
SEKOTONG, LOBAR
KGM 1300571
28 TH
POHDODOL, LOBAR
KGM 1300572
35 TH
KGM 1300573
23 TH
10
KGM 1300574
11
KGM 1300575
12
13
Hbs Ag
VDRL
TPHA
UL
FIT
FIT
FIT
FIT
FIT
FIT
FIT
SEKOTONG, LOBAR
FIT
DSN TAPEN, LOTIM
FIT
26 TH
DSN TAPEN, LOTIM
FIT
39 TH
DSN GEDANG, LOTIM
FIT
KGM 1300576
21 TH
AIK ANYAR, LOTIM
FIT
KGM 1300577
25 TH
AIK ANYAR, LTIM
FIT
14
KGM 1300578
42 TH
MUDUNG, LOTIM
FIT
14
KGM 1300579
33 TH
SIKUR, LOTIM
FIT
16
KGM 1300580
30 TH
SANTONG, L.U
FIT
17
KGM 1300581
33 TH
SAKRA, LOTIM
FIT
18
KGM 1300582
20 TH
SANTONG, L.U
FIT
19
KGM 1300583
46 TH
SAMBELIE, LTIM
FIT
20
KGM 1300584
44 TH
JEROWARU, LTIM
FIT
21
KGM 1300585
23 TH
PRINGGABAYA, LOTIM
3000
FIT
22
KGM 1300586
MANTANG, LOTENG
23
KGM 1300587
26 TH
NO.REG
UMUR
L
P
L
P
TURIDE, LOBAR
PPT
RX
30/01/ 2013
NO
ALAMAT

L
AIK BUKAK, LOTENG
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
KGM 1300588
KGM 1300589
31 TH
TANAK BEAK, LOBAR
FIT
KGM 1300590
38 TH
UBUNG, LOTENG
FIT
KGM 1300591
35 TH
UBUNG, LOTENG
FIT
KGM 1300592
29 TH
SAKRA, LOTIM
FIT
KGM 1300593
20 TH
SAKRA, LOTIM
FIT
KGM 1300594
30 TH
SAKRA, LOTIM
FIT
KGM 1300595
20 TH
SEMBALUN, LOTIM
FIT
KGM 1300596
27 TH
SAKRA, LOTIM
FIT
10
KGM 1300597
28 TH
SAKRA, LOTIM
FIT
11
KGM 1300598
28 TH
SAKRA, LOTIM
FIT
12
KGM 1300599
38 TH
SUKARARA, LOTIM
FIT
13
KGM 1300600
SUKARARA, LOTIM
FIT
14
KGM 1300601
25 TH
DASAN BARU, LOTENG
FIT
14
KGM 1300602
24 TH
BANGSAL, LOTENG
3000
FIT
16
KGM 1300603
25 TH
BANGSAL, LOTENG
3000
FIT
31/012013
NO
NO.REG
UMUR
ALAMAT

Hbs Ag
VDRL
TPHA
UL
KGM 1300604
20 TH
BARABALI, LOTENG
FIT
KGM 1300605
22 TH
SELEBUNG, LOTENG
FIT
KGM 1300606
20 TH
MANTANG, LOTENG
FIT
KGM 1300607
19 TH
LOTENG
3000
FIT
KGM 1300608
20 TH
LOTENG
FIT
KGM 1300609
38 TH
RERENGAN, LOTENG
FIT
KGM 1300610
41 TH
GERUNG, LOBAR
FIT
KGM 1300611
30 TH
BODAK, LOTENG
FIT
KGM 1300612
26 TH
BUN SALAK, LOTEN
FIT
10
KGM 1300613
25 TH
BUN SALAK, LOTENG
FIT
11
KGM 1300614
37 TH
WANASABA, LOTIM
FIT
12
KGM 1300615
28 TH
WANASABA, LOTIM
FIT
13
KGM 1300616
31 TH
WANASABA, LOTIM
FIT
14
KGM 1300617
23 TH
WANASABA, LOTIM
FIT
14
KGM 1300618
29 TH
PRAYA, LOTENG
FIT
16
KGM 1300619
32 TH
SAKRA, LOTIM
FIT
17
KGM 1300620
25 TH
SAKRA, LOTIM
FIT
18
KGM 1300621
40 TH
SAKRA, LOTIM
FIT
19
KGM 1300622
22 TH
KURIPAN, LOBAR
FIT
20
KGM 1300623
20 TH
KURIPAN, LOBAR
FIT
21
KGM 1300624
39 TH
AMPENAN, MATARAM
FIT
TOTAL JUMLAH PASIEN

Total jumlah UNFIT
Jumlah pasien FULL
HBs Ag
pasien P.RX
VDRL
pasien P.E
TPHA
T.U
UL
TOTAL JUMLAH RX
PPT
RX
: 669 orang L : 497 orang P : 172 orang

: 47 orang
: 370 orang
: 40 orang
: 210 orang
:1
: 43 orang
:1
: 4 orang ( P : 2 L : 2 ) ( UNFIT SEMUA )
:: 580 orang ( Tambahan pasian umum : 2 org )
: 3 Orang
: 2 Orang
( Pasien AU : 7 org )
Mataram, 02 Februari 2013

Mengetahui,
Pelaksana Penanggungjawab Harian
Pelaksana Rekam Medis
(Dr. Asri Dwina Prihatni)
(Lalu Supardi)
PPT
RX
Klinik GORA Mataram

Telp. /fax : 0370 635661
e-mail : gora selaparang_mdc@yahoo.com
LAPORAN DATA PASIEN

BULAN FEBRUARI 2013
1/2/2013
NO
KODE SAMPEL
KGM 1300370
KGM 1300371
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
TUBI, LOTENG
FIT
22 TH
PRANTANG, LOTENG
FIT
37 TH
JENGGIK, LOTIM
FIT
18 TH
SURABAYA, LOTIM
FIT
2/2/2013
NO
KODE SAMPEL
UMUR
ALAMAT
KGM 1300372
36 TH
LENTING, LOTIM
KGM 1300373
27 TH
PRINGGABAYA, LOTIM
KGM 1300374
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
L
P
L
FIT
22 TH
LOTIM
FIT
35 TH
TETE BTU, LOTIM
FIT
30 TH
PUNCANG, LOBAR
FIT
34 TH
ADENG, LOBAR
FIT
26 TH
ADENG, LOBAR
FIT
PPT
RX
4/2/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
28 TH
DASN GUNDL, LOTENG
FIT
28 TH
BAGU, LOTENG
FIT
25 TH
BAGU, LOTENG
FIT
31 TH
BAYAN, L.U
FIT
24 TH
BAYAN, L.U
FIT
KGM 1300375
19 TH
DSN SEBELEK, LOTENG
KGM 1300376
29 TH
DSN SEBELEK, LOTENG
FIT
PRAYA, LOTENG
FIT
FIT
8
9
25 TH
10
FIT
TANJUNG, LOTIM
KOPANG, LOTENG
FIT
FIT
KP
11
KGM 1300377
41 TH
GUNUNG SARI, LOBAR
12
KGM 1300378
28 TH
SUKAREMA, LOTIM
27 TH
MONTNG BAAN, LOTIM
FIT
FIT
13
14
KGM 1300379
40 TH
LENTAK, LOTENG
15
KGM 1300380
36 TH
LENTAK, LOTENG
16
KGM 1300381
29 TH
LENTAK, LOTENG
FIT
17
KGM 1300382
28 TH
KESAH
FIT
18
KGM 1300383
30 TH
KEDATU, LOTENG
FIT
FIT
19
KGM 1300384
28 TH
SENGKERANG, LOTENG
FIT
20
KGM 1300385
20 TH
SUMBAWA
FIT
21
KGM 1300386
27 TH
LOTENG
FIT
22
KGM 1300387
27 TH
BAYAN, L.U
FIT
23
KGM 1300388
27 TH
BAYAN, L.U
FIT
24
KGM 1300389
37 TH
SEMBALUN, LOTIM
FIT
25
KGM 1300390
24 TH
WANASABA, LOTIM
FIT
26
KGM 1300391
24 TH
SEMBALUN, LOTIM
FIT
27
KGM 1300392
WANASABA, LOTIM
FIT
28
KGM 1300393
37 TH
WANASABA, LOTIM
FIT
29
KGM 1300394
26 TH
WANASABA, LOTIM
FIT
30
KGM 1300395
21 TH
PRESAK, LOTENG
FIT
31
KGM 1300396
35 TH
PENGEMBOK, LOTENG
32
KGM 1300397
32 TH
TENGANAN, LOTIM
2100
33
KGM 1300398
19 TH
RENTENG, LOTENG
FIT
34
KGM 1300399
29 TH
TENGANAN, LOTIM
FIT
35
KGM 1300400
20 TH
KONDONG, LOTIM
FIT
36
KGM 1300401
FIT
-
FIT
30 TH
LOTENG
FIT
37
35 TH
SURABAYA, LOTIM
FIT
38
37 TH
BANGSAL, LOTENG
FIT
39
38 TH
MENGKURU, LOTIM
FIT
40
40 TH
JEROWARU, LOTIM
FIT
FIT
41
KGM 1300402
21 TH
SURABAYA, LOTIM
42
KGM 1300403
28 TH
SURABAYA, LOTIM
FIT
43
23 TH
SWETE, MATARAM
FIT
44
21 TH
SWETE, MATARAM
FIT
45
36 TH
BAYAN, L.U
FIT
5/2/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
39 TH
KOPANG, LOTENG
FIT
43 TH
BEBER, LOTENG
FIT
23 TH
BEBER, LOTENG
FIT
29 TH
BEBER, LOTENG
FIT
38 TH
LOTIM
FIT
FIT
KGM 1300412
55 TH
SURALAGA, LOTIM
KGM 1300404
21 TH
POL MADAK, LOBAR
FIT
KGM 1300405
35 TH
SAKRA, LOTIM
FIT
KGM 1300406
22 TH
SAKRA, LOTIM
FIT
10
KGM 1300407
29 TH
GERUNG, LOBAR
FIT
11
KGM 1300408
32 TH
SAKRA, LOTIM
FIT
12
KGM 1300409
32 TH
KERUAK, LOTIM
FIT
13
KGM 1300410
35 TH
SAKRA, LOTIM
FIT
14
KGM 1300411
35 TH
MENTOKOK, LOTENG
FIT
15
KGM 1300415
41 TH
LEMBAR, LOBAR
FIT
16
KGM 1300416
22 TH
LNDNG ANDUS, LOBAR
3000
FIT
17
KGM 1300417
24 TH
LNDNG ANDUS, LOBAR
FIT
18
KGM 1300418
27 TH
GERUNG, LOBAR
FIT
19
KGM 1300419
31 TH
LEMBAR, LOBAR
2000
24 TH
SAKRA, LOTIM
20
FIT
-
FIT
21
KGM 1300420
KURIPAN, LOBAR
2800
FIT
22
KGM 1300421
36 TH
DSN TAPEN, LOTIM
3000
FIT
23
KGM 1300413
37 TH
DUMAN, LOBAR
FIT
24
KGM 1300414
30 TH
DUMAN, LOBAR
FIT
25
KGM 1300422
20 TH
SEKOTONG, LOBAR
FIT
KODE SAMPEL
UMUR
6/2/2013
NO
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
KGM 1300423
27 TH
PRINGARATA, LOTENG
KP
KGM 1300424
23 TH
PRINGARATA, LOTENG
FIT
KGM 1300425
33 TH
LABUAPI, LOBAR
FIT
KGM 1300426
30 TH
SAKRA, LOTIM
FIT
KGM 1300427
33 TH
SURALAGA, LOTIM
FIT
KGM 1300428
20 TH
SAKRA, LOTIM
FIT
KGM 1300429
20 TH
LOTIM
FIT
KGM 1300430
26 TH
SEKOTONG, LOBAR
FIT
KGM 1300431
23 TH
SEKOTONG, LOBAR
3000
FIT
10
KGM 1300432
19 TH
SEKOTONG, LOBAR
FIT
11
KGM 1300433
42 TH
BELIAN, LOTENG
FIT
12
KGM 1300434
36 TH
DARMAJI, LOTENG
FIT
13
KGM 1300435
30 TH
KETANGGE, LOTENG
FIT
14
KGM 1300436
36 TH
KETANGGE, LOTENG
FIT
15
KGM 1300437
24 TH
DARMAJI, LOTENG
FIT
16
KGM 1300438
29 TH
KETANGGE, LOTENG
FIT
17
KGM 1300439
26 TH
DARMAJI, LOTENG
FIT
18
KGM 1300440
40 TH
DARMAJI, LOTENG
FIT
19
KGM 1300441
27 TH
GESIK, LOTIM
FIT
39 TH
GELANGGANG, LOTIM
CORDIOMIGOL
I
21
22 TH
PRAYA, LOTENG
FIT
22
26 TH
PRINGABAYA, LOTIM
FIT
23
26 TH
PRINGABAYA, LOTIM
FIT
33 TH
PRINGABAYA, LOTIM
FIT
LOTIM
FIT
FIT
20
KGM 1300442
24
25
26
KGM 1300443
31 TH
27
28
AIKMEL, LOTIM
RENTENG, LOTIM
60 TH
LOTIM
FIT
FIT
29
38 TH
LDNG NANGKE, LOTIM
FIT
30
27 TH
SENGKERANG, LOTENG
FIT
31
32 TH
MASBAGEK, LOTIM
FIT
32
23TH
KEBORO, BIMA
FIT
FIT
FIT
33
KGM 1300782
34
30 TH
PRAYA, LOTENG
7/2/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
44 TH
SANDIK, LOBAR
FIT
36 TH
WANASABA, LOTIM
FIT
28 TH
WANASABA, LOTIM
FIT
38 TH
WANASABA, LOTIM
FIT
25 TH
WANASABA, LOTIM
FIT
34 TH
WANASABA, LOTIM
FIT
26 TH
WANASABA, LOTIM
FIT
26 TH
BAKONG, LOBAR
FIT
FIT
25 TH
BAKONG, LOBAR
10
30 TH
BAKONG, LOBAR
11
25 TH
DASAN BELIE, LOTIM
12
27 TH
RUMBUK, LOTIM
FIT
13
39 TH
LOTIM
3000
FIT
14
35 TH
PRINGABAYA, LOTIM
FIT
15
34 TH
PRINGABAYA, LOTIM
FIT
16
20 TH
PRINGABAYA, LOTIM
FIT
17
20 TH
PRINGABAYA, LOTIM
FIT
18
34 TH
GERUNG, LOBAR
FIT
19
22 TH
TERARA, LOTIM
FIT
20
23 TH
ADENG, LOBAR
FIT
21
22 TH
RUMES, LOTIM
+0,600
FIT
22
23 TH
JEROWARU, LOTIM
FIT
23
29 TH
GUBUK BARU, LOBAR
FIT
24
21 TH
JELANTIK, LOTENG
FIT
25
30 TH
JELANTIK, LOTENG
FIT
26
21 TH
JELANTIK, LOTENG
FIT
27
24 TH
KRAJAN, LOTENG
FIT
28
32 TH
LOTENG
29
33 TH
PRINGARATA, LOTENG
ABNORMAL
PPT
RX
FIT
-
FIT
FIT
8/2/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
27 TH
LOTENG
FIT
30 TH
BTU AMPU, LOTENG
G +4
FIT
24 TH
ARJANGKE, LOTENG
FIT
21 TH
KOPANG, LOTENG
FIT
35 TH
PEREMPONG, LOBAR
23 TH
TALIWANG, MATARAM
FIT
24 TH
TALIWANG, MATARAM
FIT
23 TH
LOTENG
FIT
23 TH
LOTENG
FIT
10
19 TH
KARNG KESUMA,LOBAR
FIT
11
18 TH
KARNG KESUMA,LOBAR
FIT
12
21 TH
PENUJAK, LOTENG
FIT
13
22 TH
PENUJAK, LOTENG
14
25 TH
PENUJAK, LOTENG
FIT
PENUJAK, LOTENG
FIT
15
16
24 TH
SWANGI, LOTIM
FIT
FIT
FIT
9/2/2013
NO
KODE SAMPEL
UMUR
28 TH
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
BANGKT PUNIK,LOTNG
FIT
SEMPARU, LOTENG
FIT
22 TH
SEMPARU, LOTENG
FIT
39 TH
SEMPARU, LOTENG
FIT
30 TH
SEMPARU, LOTENG
23 TH
MANTANG, LOTENG
28 TH
LOTENG
25 TH
BEBER, LOTENG
25 TH
LOTENG
10
42 TH
11
FIT
-
FIT
FIT
FIT
3000
FIT
LOTENG
FIT
LOTENG
G +2
FIT
12
28 TH
SIDEMEN, LOBAR
FIT
13
35 TH
MURBAYA, LOTENG
FIT
14
28 TH
LOBAR
FIT
11/1/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
22 TH
SUMUR PANDE, LOBAR
FIT
30 TH
LOTENG
FIT
45 TH
PRAYA, LOTENG
25 TH
MENEMENG, LOTENG
FIT
28 TH
LOBAR
FIT
26 TH
JEMPONG, LOBAR
FIT
FIT
23 TH
PENAN, MATARAM
25 TH
PENAN, MATARAM
3000
FIT
FIT
29 TH
GANGGA, L.U
FIT
10
20 TH
BATUYANG, LOTIM
FIT
11
34 TH
BATUYANG, LOTIM
FIT
12
30 TH
BATUYANG, LOTIM
FIT
13
30 TH
PIJOT, LOTIM
FIT
14
35 TH
PEMATUNG, LOTIM
FIT
15
20 TH
SAMBELIE, LOTIM
FIT
16
42 TH
MAYONG, L.U
FIT
17
21 TH
MAYONG, L.U
FIT
FIT
18
DSN TERENG, L.U
3000
19
20 TH
SESAIT, L.U
20
23 TH
PRAYA, LOTENG
FIT
21
21 TH
JONGGAT, LOTENG
FIT
22
22 TH
JENGGIK, LOTIM
FIT
23
30 TH
TEBABAN, LOTIM
FIT
24
31 TH
TANAK WIRE, LOTIM
FIT
25
33 TH
LOTENG
FIT
26
40 TH
BILEBANTE, LOTENG
FIT
27
26 TH
PERAMPUAN, LOBAR
FIT
28
25 TH
LOBAR
FIT
29
23 TH
LOBAR
FIT
30
27 TH
SINTUNG, LOTENG
FIT
31
20 TH
SINTUNG, LOTENG
FIT
FIT
12/1/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
29 TH
LOTIM
FIT
20 TH
LEMBAR, LOBAR
FIT
40 TH
TELOK OMBAT, L.U
FIT
33 TH
PEMENANG, L.U
FIT
23 TH
JONGGAT, LOTENG
FIT
41 TH
JONGGAT, LOTENG
FIT
30 TH
JONGGAT, LOTENG
FIT
24 TH
JONGGAT, LOTENG
FIT
30 TH
BEBER, LOTENG
FIT
10
35 TH
AIK BUKAK, LOTENG
FIT
11
30 TH
AIK BUKAK, LOTENG
FIT
12
39 TH
AIK BUKAK, LOTENG
FIT
13
31 TH
AIK BUKAK, LOTENG
FIT
14
27 TH
AIK BUKAK, LOTENG
FIT
15
21 TH
AIK BUKAK, LOTENG
FIT
16
20 TH
KERU, LOBAR
FIT
17
21 TH
TANAK BEAK, LOTENG
FIT
18
21 TH
LOTENG
FIT
19
28 TH
PONGADING, LOTIM
FIT
20
25 TH
LOTENG
FIT
21
18 TH
LABULIE, LOTENG
FIT
22
23 TH
DSN GERIE, LOBAR
23
35 TH
PUJUT, LOTENG
FIT
24
27 TH
LOTENG
FIT
25
25 TH
KEKALIK, LOTIM
FIT
26
25 TH
SEKOTONG, LOBAR
27
35 TH
LABUAN POH, LOBAR
28
42 TH
BRANGAH, LOTENG
29
23 TH
LOTENG
30
37 TH
SEMPARU, LOTENG
FIT
31
33 TH
AIK BERIK, LOTENG
FIT
32
35 TH
AIK BERIK, LOTENG
FIT
33
38 TH
KEBON AYU, LOBAR
FIT
34
30 TH
TAMAN AYU, LOBAR
FIT
35
30 TH
WANASABA, LOTIM
G +4
FIT
36
39 TH
WANASABA, LOTIM
FIT
37
40 TH
WANASABA, LOTIM
FIT
38
35 TH
BINGKOK, LOTENG
FIT
39
35 TH
BAGK LONGGK, LOTIM
FIT
40
34 TH
PRAYA, LOTENG
FIT
41
40 TH
BINGKOK, LOTENG
FIT
42
28 TH
BINGKOK, LOTENG
FIT
43
21 TH
JAGARAGE, LOBAR
FIT
44
35 TH
SURABAYA, LOTIM
FIT
45
38 TH
SURABAYA, LOTIM
FIT
46
25 TH
SEMOYANG, LOTENG
FIT
47
28 TH
SEMOYANG, LOTENG
FIT
48
25 TH
KEBON, LOTENG
FIT
49
57 TH
SINTUNG, LOTENG
50
42 TH
LOTIM
FIT
51
23 TH
LOTIM
FIT
P
L
P
FIT
FIT
-
FIT
FIT
FIT
CORDIOMI GOLI
13/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
35 TH
PAOK DANGKA, LOTIM
FIT
36 TH
LOTENG
FIT
28 TH
LOTENG
FIT
33 TH
LOTENG
FIT
28 TH
LOTIM
FIT
32 TH
LOTIM
FIT
41 TH
LOTIM
FIT
28 TH
LOTIM
44 TH
UBUNG, LOTENG
FIT
10
37 TH
SANDIK, LOTENG
FIT
11
19 TH
TELAGA BANYAK, L.U
FIT
12
19 TH
KURIPAN , LOBAR
FIT
13
19 TH
KURIPAN, LOBAR
FIT
14
31 TH
GEGUTU, LOBAR
FIT
15
20 TH
GEGUTU, LOBAR
FIT
16
20 TH
GEGUTU, LOBAR
FIT
17
28 TH
SELAKAN, LOTENG
FIT
18
25 TH
SELAKAN, LOTENG
FIT
19
20 TH
KALIJAGA, LOTIM
FIT
20
20 TH
KALIJAGA, LOTIM
FIT
21
25 TH
KALIJAGA, LOTIM
FIT
22
30 TH
MONTNG TANGI, LOTM
KP
23
25 TH
MONTNG TANGI, LOTM
FIT
24
30 TH
LOTIM
3000
FIT
25
30 TH
MONTNG TANGI, LOTM
FIT
26
30 TH
MONTNG TANGI, LOTM
FIT
27
30 TH
SUKERARE, LOTENG
G +3
FIT
28
24 TH
MANDI, LOTIM
FIT
29
25 TH
MANDI, LOTIM
FIT
30
24 TH
LOTIM
3000
FIT
31
28 TH
MANDI, LOTIM
3000
FIT
32
35 TH
GELANGGANG, LOTIM
FIT
33
20 TH
MONTNG TANGI, LOTM
FIT
34
24 TH
MONTNG TANGI, LOTM
FIT
35
30 TH
REMPUNG, LOTIM
FIT
36
30 TH
PENYELAK, LOTIM
FIT
37
28 TH
KOPANG, LOTENG
FIT
38
22 TH
PELAMBIK, LOTIM
FIT
39
34 TH
RATU, LOTIM
FIT
40
30 TH
RATU, LOTIM
FIT
41
19 TH
BATU LAWANG, LOTIM
FIT
42
18 TH
BATU LAWANG, LOTIM
FIT
43
36 TH
SELEBUNG, LOTIM
FIT
44
37 TH
KERUAK, LOTIM
FIT
45
38 TH
SELEBUNG, LOTIM
FIT
46
33 TH
SELEBUNG, LOTIM
FIT
47
28 TH
MONTNG SARI, LOTIM
FIT
48
43 TH
BATU LAWANG, LOTIM
FIT
49
20 TH
MENCEH, LOTIM
FIT
FIT
50
28 TH
SELEBUNG, LOTIM
FIT
51
37 TH
SERUMBUNG, LOBAR
FIT
52
24 TH
LOTENG
FIT
53
33 TH
SEGELEN, LOTENG
FIT
54
30 TH
SEMOYANG, LOTENG
55
23 TH
GUNUNG RAWI, LOTIM
FIT
56
28 TH
JURNG KUWAK, LOTIM
3000
FIT
57
31 TH
JURNG KUWAK, LOTIM
FIT
58
22 TH
PUYUNG, LOTIM
FIT
FIT
14/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
35 TH
PRINGERATE, LOTENG
FIT
36 TH
COLOK, LOTENG
FIT
35 TH
PERSIL, LOTENG
FIT
33 TH
PERSIL, LOTENG
39 TH
LABUAPI, LOBAR
28 TH
TANAK AWU, LOTENG
44 TH
BAREN BEBEK, LOTENG
FIT
23 TH
KEREMBONG, LOTENG
FIT
30 TH
OMBE, LOTIM
FIT
10
38 TH
KETARE, LOTENG
11
20 TH
BAREHALI, LOTENG
12
29 TH
WANASABA, LOTIM
13
27 TH
LOTENG
14
P
L
P
PENEDE, LOTIM
P
L
FIT
FIT
FIT
FIT
-
FIT
FIT
FIT
FIT
15
34 TH
SUMBAWA
FIT
16
29 TH
SUMBAWA
FIT
17
36 TH
SUMBAWA
FIT
18
38 TH
SUMBAWA
FIT
19
31 TH
LOBAR
FIT
20
43 TH
LOBAR
FIT
21
42 TH
LOTIM
FIT
22
21 TH
LOBAR
23
20 TH
TANJUNG, L.U
FIT
24
28 TH
PRAYA, LOTENG
FIT
25
33 TH
FIT
26
32 TH
LOTIM
FIT
27
33 TH
AIKMEL, LOTIM
FIT
28
30 TH
MATARAM
FIT
29
24 TH
PRAYA, LOTENG
FIT
30
26 TH
AIKMEL, LOTIM
FIT
FIT
15/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
36 TH
LOBAR
FIT
36 TH
LOBAR
FIT
49 TH
LOTIM
21 TH
LOBAR
FIT
21 TH
KELOTOK, LOTIM
FIT
30 TH
KELOTOK, LOTIM
FIT
19 TH
JEROWARU, LOTIM
FIT
29 TH
TURIDE, MATARAM
FIT
FIT
32 TH
WANASABA, LOTIM
10
31 TH
WANASABA, LOTIM
3000
11
33 TH
LOBAR
12
24 TH
PUNGKIT, SUMBAWA
FIT
13
39 TH
BATU THN, SUMBAWA
FIT
14
29 TH
MOYO, SUMBAWA
FIT
15
22 TH
MOYO, SUMBAWA
FIT
16
23 TH
LENGARAK, LOTENG
FIT
17
27 TH
SUKAMULIA, LOTIM
FIT
18
34 TH
KUMBANG, LOTIM
FIT
FIT
FIT
-
FIT
16/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
KURIPAN, LOBAR
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
L
P
PPT
RX
FIT
43 TH
GERUNG, LOBAR
28 TH
KURIPAN, LOBAR
FIT
19 TH
KURIPAN, LOBAR
FIT
19 TH
KURIPAN, LOBAR
FIT
29 TH
LABULIE, LOTENG
33 TH
KOLH PEDEK, L.U
FIT
38 TH
LEONG, L.U
FIT
FIT
FIT
35 TH
LOMBOK UTARA
FIT
10
37 TH
LOMBOK UTARA
3000
FIT
11
31 TH
BATU NYALE, LOTENG
FIT
12
27 TH
BATU NYALE, LOTENG
3000
FIT
13
21 TH
BATU NYALE, LOTENG
FIT
14
31 TH
BATU NYALE, LOTENG
FIT
15
30 TH
TANJUNG, L.U
FIT
16
33 TH
GONDANG, L.U
FIT
17
25 TH
MATARAM
FIT
18
40 TH
JURNG JALR, LOTENG
FIT
19
32 TH
PRAYA, LOTENG
FIT
20
36 TH
PRAYA, LOTENG
FIT
21
21 TH
PRAYA, LOTENG
FIT
22
28 TH
PRAYA, LOTENG
FIT
23
22 TH
PUJUT, LOTENG
FIT
24
30 TH
TERARE, LOTIM
FIT
25
42 TH
NARMADA, LOBAR
G +4
FIT
18/01/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
28 TH
LAJUT, LOTENG
FIT
29 TH
AIK AMPAT, LOBAR
FIT
46 TH
AIK AMPAT, LOBAR
FIT
32 TH
LOTENG
FIT
34 TH
KEKALEK, LOTIM
FIT
53 TH
DARMAJI, LOTENG
FIT
32 TH
BILEBANTE, LOTENG
FIT
32 TH
SIKUR, LOTIM
FIT
51 TH
SIKUR, LOTIM
+0,500
FIT
10
20 TH
SIKUR, LOTIM
FIT
11
22 TH
DASN LNDNG, LOTIM
FIT
12
26 TH
SIKUR, LOTIM
FIT
13
27 TH
KOPANG, LOTENG
FIT
14
21 TH
SIDEMEN, LOBAR
FIT
15
20 TH
PIDADA, LOTENG
FIT
16
23 TH
PIDADA, LOTENG
FIT
17
22 TH
PENAS, LOBAR
FIT
18
23 TH
LEMBAHSARI, LOBAR
FIT
19
33 TH
LOTIM
20
31 TH
SUMBAWA
21
24 TH
GERUNG, LOBAR
FIT
22
22 TH
GERUNG, LOBAR
FIT
23
24 TH
GERUNG, LOBAR
FIT
24
41 TH
PANCORN BART,LOBAR
FIT
25
34 TH
GERUNG, LOBAR
+0,500
FIT
26
27 TH
GERUNG, LOBAR
FIT
27
24 TH
PUJUT, LOTENG
FIT
28
35 TH
MATARAM
FIT
29
20 TH
DASAN BARU, LOTENG
+0,400
FIT
30
30 TH
DASAN BARU, LOTENG
FIT
31
40 TH
RANGGEGATE,LOTENG
FIT
32
33 TH
RANGGEGATE,LOTENG
FIT
33
36 TH
LOTENG
FIT
FIT
-
FIT
34
21 TH
AIK BUKAK, LOTENG
FIT
35
34 TH
AIK BUKAK, LOTENG
FIT
36
35 TH
AIK BUKAK, LOTENG
FIT
37
25 TH
DAMES, LOTIM
FIT
FIT
38
39
23 TH
JELATENG, LOBAR
FIT
40
37 TH
SEKOTONG, LOBAR
FIT
41
39 TH
SAKRA, LOTIM
+0,400
FIT
42
37 TH
RANJOK, LOBAR
FIT
43
25 TH
LOTIM
FIT
44
80 TH
AIKMEL, LOTIM
FIT
45
20 TH
KUTE, LOTENG
2400
FIT
46
20 TH
KUTE, LOTIM
47
26 TH
SANGI, LOTENG
FIT
48
26 TH
BATU PENYU, LOTENG
FIT
49
20 TH
KETAPAK, LOTENG
3000
FIT
50
21 TH
LOTENG
51
38 TH
TEBABAN, LOTIM
FIT
52
36 TH
TEBABAN, LOTIM
FIT
53
32 TH
GERUNG, LOBAR
FIT
54
26 TH
GERUNG, LOBAR
FIT
55
21 TH
GERUNG, LOBAR
FIT
56
26 TH
GERUNG, LOBAR
FIT
57
22 TH
GERUNG, LOBAR
FIT
58
33 TH
LOANG TUNA, LOTENG
59
38 TH
MASBAGIK, LOTIM
60
PUYUNG, LOTENG
P
L
FIT
FIT
FIT
-
FIT
FIT
61
43 TH
MENGKURU, LOTIM
FIT
62
32 TH
LOTIM
FIT
PPT
RX
19/01/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
21 TH
BERTAIS, MATARAM
FIT
35 TH
LOTIM
FIT
34 TH
LOTIM
FIT
33 TH
LOTIM
FIT
53 TH
LOTIM
FIT
43 TH
KEKAIT, LOBAR
FIT
28 TH
SOKONG, L.U
FIT
28 TH
SOKONG, L.U
FIT
31 TH
AIK BUKAK, LOTENG
FIT
10
21 TH
KEDIRI, LOBAR
11
32 TH
LOBAR
P
L
FIT
FIT
12
26 TH
LOTENG
FIT
13
21 TH
LOTENG
FIT
14
23 TH
LOTENG
FIT
15
30 TH
LOTENG
FIT
16
32 TH
LOTENG
FIT
17
29 TH
JAGO, LOTENG
FIT
18
30 TH
JAGO, LOTENG
FIT
19
30 TH
JAGO, LOTENG
FIT
20
BON JERUK, LOTENG
FIT
21
43 TH
SUMBAWA
FIT
22
18 TH
LOBAR
FIT
23
30 TH
LOTENG
FIT
24
LOTENG
FIT
25
LOTENG
FIT
26
LOTENG
KP
27
35 TH
MONTNG TANGI,LOTIM
FIT
28
35 TH
MONTNG TANGI,LOTIM
FIT
29
24 TH
MONTNG TANGI,LOTIM
FIT
30
29 TH
MONTNG TANGI,LOTIM
FIT
31
37 TH
MONTNG TANGI,LOTIM
FIT
32
29 TH
SURABAYA, LOTIM
FIT
33
19 TH
MONTNG TANGI,LOTIM
FIT
34
29 TH
MENCEH, LOTIM
FIT
35
36 TH
MONTNG TANGI,LOTIM
G +4
FIT
36
39 TH
JEROWARU LOTIM
FIT
37
39 TH
SURABAYA, LOTIM
FIT
38
41 TH
GELANGGANG LOTIM
FIT
39
43 TH
GELANGGANG LOTIM
FIT
40
32 TH
MONTONG TANGI
FIT
41
38 TH
ANYAR, L.U
FIT
42
20 TH
MONTONG TANGI,LT
FIT
43
29 TH
MONTONG TANGI, LT
FIT
44
28 TH
MONTONG TANGI, LT
FIT
45
25 TH
LOYOK LOTIM
FIT
46
28 TH
SAKRA, LOTIM
FIT
47
30 TH
SAKRA, LOTIM
FIT
48
22 TH
SAMBALIA, LOTIM
FIT
49
37 TH
MENCEH, LOTIM
3000
FIT
50
31 TH
MANDI, LOTIM
FIT
51
19 TH
BARE JULAT, LOTENG
3000
FIT
52
26 TH
BARE JULAT, LOTENG
53
25 TH
PRINGGABAYA,LOTIM
FIT
-
FIT
54
19 TH
PUSUK LESTARI LOBAR
55
28 TH
JURIT SELAT LOTIM
56
30 TH
MASBAGEK LOTIM
57
33 TH
TANAK KAKEN LOTIM
58
29 TH PENGKELAK MAS LOT
FIT
FIT
59
34 TH
KEMBANG KERANG LOT
FIT
60
22 TH
LOBAR
61
23 TH
LOTENG
62
35 TH
KURIPAN LOBAR
P
L
L
P
L
FIT
-
FIT
FIT
FIT
-
FIT
FIT
20/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
24 TH
LOTIM
FIT
30 TH
LOTIM
FIT
31 TH
SINTUNG, LOTENG
FIT
35 TH
PRINGERATE, LOTENG
FIT
36 TH
PRINGERATE, LOTENG
FIT
44 TH
LOBAR
FIT
23 TH
LOBAR
FIT
30 TH
SENGKOL, LOTENG
FIT
23 TH
LOTIM
FIT
10
24 TH
KOPANG, LOTENG
11
24 TH
LOMBOK UTARA
FIT
12
24 TH
LOMBOK UTARA
3000
FIT
13
26 TH
PRINGESELE, LOTIM
FIT
14
31 TH
SAKRA, LOTIM
FIT
15
29 TH
SAKRA, LOTIM
FIT
16
28 TH
SAKRA, LOTIM
FIT
17
30 TH
LOTIM
FIT
18
27 TH
JANAPRIA, LOTENG
FIT
19
30 TH
SWANGI, LOTIM
20
26 TH
SEPAPAN, LOTIM
FIT
21
17 TH
SEPAPAN, LOTM
FIT
22
37 TH
GELANGGANG, LOTIM
3000
FIT
23
40 TH
SURYAWANGI, LOTIM
FIT
24
34 TH
SURYAWANGI, LOTIM
FIT
25
32 TH
SENGKOL, LOTENG
FIT
26
32 TH
REPOK PERINE,LOTENG
FIT
27
30 TH
BUJAK, LOTENG
FIT
28
34 TH
LOTENG
FIT
29
42 TH
SUKADAMAI, LOTIM
SUKADAMAI, LOTIM
3000
G +3
30
31
30 TH
JANGKAR, LOTIM
FIT
FIT
FIT
FIT
-
FIT
32
31 TH
TANAK BEAK, LOBAR
FIT
33
33 TH
TANAK BEAK, LOBAR
FIT
JEMPONG, LOBAR
FIT
TIBI SISOK, LOTENG
FIT
34
35
17 TH
21/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
27 TH
LOTIM
FIT
24 TH
LOTIM
FIT
32 TH
TANAK BAEK, LOBAR
FIT
35 TH
PRINGERATE, LOTENG
FIT
40 TH
JANAPRIE, LOTENG
FIT
JANAPRIE, LOTENG
FIT
JANAPRIE, LOTENG
FIT
JANAPRIE, LOTENG
FIT
JANAPRIE, LOTENG
FIT
10
21 TH
PENGEMBUR, LOTENG
FIT
11
27 TH
MESANGGOK, LOBAR
FIT
12
18 TH
AIKMEL, LOTIM
FIT
13
30 TH
LEONG BARAT
FIT
14
31 TH
KEDIRI, LOBAR
FIT
15
33 TH
KURANJI, LOBAR
FIT
16
20 TH
KURANJI, LOBAR
FIT
17
18 TH
KURANJI, LOBAR
FIT
18
31 TH
TANJUNG LUAR,LOTIM
FIT
19
38 TH
LINGSAR, LOBAR
FIT
20
23 TH
JEROWARU, LOTIM
FIT
21
35 TH
LOBAR
22
33 TH
LOTENG
FIT
23
51 TH
PRINGERATE, LOTENG
3000
FIT
24
22 TH
LOTENG
FIT
25
26 TH
LOTENG
FIT
26
33 TH
DASAN LEKONG,LOTIM
FIT
27
45 TH
DASAN LEKONG,LOTIM
FIT
28
21 TH
DASAN LEKONG,LOTIM
FIT
29
41 TH
DASAN LEKONG,LOTIM
FIT
30
21 TH
DASAN LEKONG,LOTIM
FIT
31
28 TH
DASAN LEKONG,LOTIM
FIT
FIT
22/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
29 TH
FIT
20 TH
GEGUTU, LOBAR
FIT
42 TH
LOTIM
FIT
38 TH
BUNKATE, LOTENG
FIT
21 TH
BUNKATE, LOTENG
FIT
24 TH
BAREJULAT, LOTENG
3000
FIT
40 TH
TAMAN DAYE, LOTENG
FIT
38 TH
TAMAN, LOBAR
FIT
30 TH
TAMAN ENDOK, LOBAR
FIT
10
33 TH
TAMAN AYU, LOBAR
FIT
11
24 TH
KEBON AYU, LOBAR
FIT
12
41 TH
PELOLAT, LOBAR
FIT
13
29 TH
TERARA, LOTIM
14
25 TH
BLONGAS, LOBAR
FIT
15
18 TH
BLONGAS, LOBAR
FIT
16
30 TH
BLONGAS, LOBAR
FIT
17
38 TH
PENGENJEK, LOTENG
FIT
18
30 TH
PENGENJEK, LOTENG
FIT
19
48 TH
JABON, LOTENG
FIT
20
35 TH
LOTENG
FIT
21
21 TH
PELEMBAK, MATARAM
22
34 TH
BATU BESON, LOTENG
FIT
23
35 TH
DASAN BARU, LOTENG
FIT
24
35 TH
BATUKLIANG, LOTENG
3000
FIT
PPT
RX
FIT
FIT
23/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
30 TH
TAMAN INDOK, LOBAR
3000
FIT
28 TH
LABUHN HAJI, LOTIM
FIT
21 TH
LABUHN HAJI, LOTIM
FIT
28 TH
LANDO, LOTIM
FIT
30 TH
TERARA, LOTIM
31 TH
PERANTEK, LOTENG
3000
FIT
35 TH
PERANTEK, LOTENG
FIT
25 TH
SENGKERANG, LOTENG
FIT
43 TH
SENGKERANG, LOTENG
3000
FIT
10
21 TH
AIK MUAL, LOTENG
FIT
11
21 TH
SENGKERANG, LOTENG
3000
FIT
12
21 TH
SENGKERANG, LOTENG
FIT
13
42 TH
TANAK AWU, LOTENG
FIT
14
30 TH
KETAPANG, LOBAR
FIT
15
27 TH
KETAPANG, LOBAR
FIT
FIT
25/02/2013
NO
KODE SAMPEL
UMUR
32 TH
ALAMAT
MARONG, MATARAM
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
FIT
31 TH
LOTIM
FIT
21 TH
LOTIM
FIT
41 TH
LOTIM
FIT
32 TH
PRINGERATE, LOTENG
FIT
23 TH
GEGUTU, LOBAR
FIT
GEGUTU, LOBAR
FIT
28 TH
LOTIM
FIT
25 TH
LOTIM
FIT
10
31 TH
LOTIM
FIT
11
19 TH
SENGKERANG, LOTENG
12
40 TH
SUMBAWA
13
26 TH
LOTENG
FIT
14
31 TH
JAGO, LOTENG
FIT
15
38 TH
LOTENG
FIT
16
28 TH
DARMAJI, LOTENG
FIT
17
32 TH
MANTANG, LOTENG
FIT
18
24 TH
LOTIM
FIT
19
35 TH
PONDOK DLM, LOTENG
FIT
20
22 TH
PRINGERATE, LOTENG
FIT
21
PONDOK DLM, LOTENG
FIT
22
PONDOK DLM, LOTENG
FIT
FIT
-
FIT
23
21 TH
PONDOK DLM, LOTENG
FIT
24
20 TH
PONDOK DLM, LOTENG
FIT
25
33 TH
PONDOK DLM, LOTENG
FIT
26
35 TH
PONDOK DLM, LOTENG
FIT
27
22 TH
KURIPAN, LOBAR
FIT
28
39 TH
KURIPAN, LOBAR
FIT
29
18 TH
KURIPAN, LOBAR
FIT
30
34 TH
DASAN BARU, LOBAR
FIT
31
24 TH
PRINGARATE, LOTENG
FIT
32
23 TH
LOTIM
FIT
33
24 TH
BENGKUNG, LOTIM
34
42 TH
MATARAM
FIT
35
34 TH
MATARAM
FIT
36
39 TH
BUNKATE, LOTENG
FIT
37
36 TH
BUNKATE, LOTENG
FIT
38
34 TH
KILANG, LOTIM
FIT
39
44 TH
MONTNG BETOK,LOTIM
FIT
40
31 TH
KILANG, LOTIM
FIT
41
37 TH
PENDUNG, LOTIM
FIT
42
36 TH
LOTIM
FIT
43
35 TH
SURALAGA, LOTIM
FIT
FIT
44
36 TH
SURALAGA, LOTIM
FIT
45
36 TH
SURALAGA, LOTIM
FIT
46
42 TH
SURALAGA, LOTIM
FIT
47
20 TH
SELONG, LOTIM
FIT
48
21 TH
LOTIM
FIT
49
20 TH
GEMEL, LOTENG
FIT
50
27 TH
SELONG, LOTIM
FIT
51
19 TH
KORLEKO, LOTIM
FIT
52
24 TH
KORLEKO, LOTIM
FIT
53
27 TH
TELOK WARU, LOBAR
FIT
54
41 TH
SEKOTONG, LOBAR
3000
FIT
55
35 TH
MESANGGOK, LOBAR
FIT
56
27 TH
TELUK WARU, LOBAR
FIT
57
20 TH
SEKOTONG, LOBAR
FIT
58
25 TH
MASBGEK, LOTIM
FIT
59
20 TH
SIKUR, LOTIM
FIT
60
37 TH
LOTIM
FIT
61
23 TH
LOTIM
62
35 TH
LOTENG
FIT
63
27 TH
LOBAR
FIT
64
35 TH
DASN GERISAK, LOTIM
FIT
65
22 TH
DASN GERISAK, LOTIM
FIT
66
21 TH
DUMAN, LOBAR
FIT
67
28 TH
MASBAGEK, LOTIM
FIT
68
21 TH
BEBER, LOTENG
FIT
69
20 TH
BEBER, LOTENG
FIT
70
25 TH
REPOK PRINE, LOTENG
71
24 TH
SAKRE, LOTIM
FIT
MUNCAN, LOBAR
FIT
72
FIT
FIT
73
24 TH
LANTAN, LOTENG
FIT
74
20 TH
MUNCAN, LOTENG
FIT
75
20 TH
MUNCAN, LOTENG
FIT
76
22 TH
KURIPAN, LOBAR
FIT
77
21 TH
LOTENG
78
20 TH
GELOGOR, LOTENG
FIT
PPT
RX
FIT
26/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
33 TH
LOTIM
FIT
33 TH
SEDAYU,LOBAR
FIT
30 TH
LOBAR
FIT
37 TH
KURIPAN, LOBAR
FIT
28 TH
LOTENG
FIT
36 TH
MONTNG BAAN, LOTIM
G +4
FIT
39 TH
MANGKUNG, LOTENG
FIT
29 TH
GUNUNG BAGK, LOTIM
FIT
27 TH
DASN POTO, LOTIM
FIT
10
45 TH
11
23 TH
LOTIM
FIT
KERU, LOBAR
12
31 TH
GANGGA, L.U
13
40 TH
LOTIM
14
43 TH
LOBAR
FIT
15
24 TH
FIT
DAREK, LOTENG
FIT
16
17
23 TH
DAREK, LOTENG
FIT
19 TH
MENTOKAN, LOTENG
FIT
DAREK, LOTENG
FIT
18
FIT
-
FIT
19
24 TH
DASN BOROK, LOTIM
FIT
20
41 TH
DASN BOROK, LOTIM
FIT
21
21 TH
CENGOK, LOTIM
FIT
22
34 TH
GERUNG, LOBAR
FIT
23
40 TH
SEMOYANG, LOTENG
24
30 TH
NARMADA, LOBAR
25
40 TH
LOTENG
P
L
FIT
-
FIT
FIT
27/02/2013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
41 TH
NARMADA, LOBAR
FIT
29 TH
LOTENG
FIT
33 TH
MANTANG, LOTENG
40 TH
MEDAS, LOBAR
32 TH
LOTIM
FIT
30 TH
LOTIM
FIT
40 TH
KUMBUNG, LOBAR
FIT
35 TH
PELULAN, LOBAR
FIT
FIT
-
FIT
25 TH
KUMBUNG, LOBAR
FIT
10
25 TH
KUMBUNG, LOBAR
FIT
11
37 TH
LOTIM
FIT
12
22 TH
PRAYA, LOTENG
FIT
13
34 TH
LAJUT, LOTENG
KP
14
43 TH
LOTIM
FIT
15
33 TH
LOTIM
FIT
16
29 TH
LOBAR
17
40 TH
PANCOR, LOTIM
FIT
18
34 TH
LOTIM
FIT
19
30 TH
DARMAJI, LOTENG
FIT
20
33 TH
PANCOR, LOTIM
FIT
FIT
21
19 TH
BELEKE, LOBAR
FIT
22
30 TH
BELEKE, LOBAR
FIT
23
25 TH
KIDANG, LOTENG
24
26 TH
LANTAN, LOTENG
FIT
25
21 TH
MUNCAN, LOTENG
FIT
26
25 TH
LOTENG
FIT
27
37 TH
MAJELUK, MATARAM
FIT
28
43 TH
BATU MULIK, LOBAR
FIT
29
24 TH
LOTIM
FIT
30
36 TH
WANASABA, LOTIM
FIT
31
31 TH
BATURENTE, LOTIM
FIT
32
43 TH
BATU BELEK, LOTIM
FIT
33
34 TH
PRINGGEBAYE, LOTIM
FIT
34
20 TH
PRINGGEBAYE, LOTIM
FIT
35
33 TH
LOTIM
FIT
36
22 TH
LOTIM
FIT
37
30 TH
SEKOTONG, LOBAR
FIT
38
21 TH
LOTIM
FIT
39
24 TH
SELEGONG, LOBAR
FIT
40
26 TH
LOTIM
FIT
41
35 TH
LOBAR
FIT
42
20 TH
SEKOTONG, LOBAR
FIT
43
18 TH
LOTIM
FIT
44
19 TH
LOTIM
3000
FIT
45
20 TH
LOBAR
FIT
46
24 TH
SUMBAWA
3000
FIT
47
21 TH
SANTONG, L.U
FIT
48
41 TH
SEMBALUN, LOTIM
FIT
49
24 TH
PRINGESELE, LOTIM
FIT
FIT
28/02/1013
NO
KODE SAMPEL
UMUR
ALAMAT
JANIS
KELAMIN
HASIL PEMERIKSAAN
Hbs Ag
VDRL
TPHA
UL
PPT
RX
20 TH
DARMAJI, LOTENG
FIT
32 TH
LOTIM
FIT
27 TH
SAKRA, LOTIM
FIT
39 TH
AIKMEL, LOTIM
3000
FIT
20 TH
AIKMEL, LOTIM
FIT
31 TH
KERUAK, LOTIM
FIT
28 TH
KERUAK, LOTIM
G+1
FIT
33 TH
KERUAK, LOTIM
FIT
37 TH
SAKRA, LOTIM
KP
10
43 TH
SAKRA, LOTIM
FIT
11
32 TH
SAKRA, LOTIM
FIT
12
34 TH
PANCOR, LOTIM
FIT
P
L
13
36 TH
LOANG TUNE, LOTIM
FIT
14
37 TH
TANJUNG, LOTIM
FIT
15
16 TH
LOTIM
FIT
16
21 TH
TANJUNG, LOTIM
FIT
17
25 TH
KOPANG, LOTIM
FIT
18
36 TH
KOPANG, LOTENG
FIT
19
19 TH
JONTAK, LOTENG
FIT
20
19 TH
KUTE, LOTENG
FIT
21
24 TH
MONTONG ARE,LOBAR
FIT
22
26 TH
MONTONG ARE,LOBAR
FIT
23
22 TH
WAKUL, LOTENG
FIT
24
25 TH
GANGGA, L. U
25
36 TH
GERUNG, LOBAR
3000
FIT
26
37 TH
SAKRA, LOTIM
FIT
27
27 TH
JANAPRIE, LOTENG
FIT
28
23 TH
ARJANGKA, LOTENG
FIT
29
19 TH
ARJANGKA, LOTENG
FIT
TOTAL JUMLAH PASIEN Medical
: 837 orang L : 662 orang

P : 175 orang
Jumlah pasien FULL : 692 orang
Total jumlah UNFIT
VDRL : -
pasien P.RX
: 33 orang
TPHA : -
pasien P.E
: 10 orang
UL : 9 orang
pasien cuti
: 54 orang
PPT : 3 orang
pasien umum : 8 orang ( P : 1 L : 7 )

pasien T.U
TOTAL JUMLAH RX
: 60 orang
HBs Ag : 37 orang
RX : 8 orang
: 2 orang ( P : 1 L : 1 )
: 725 orang ( Pasien AU : 8 org )
Mataram, 02 Maret 2013

Mengetahui,
(Lalu Supardi)
FIT
Klinik GORA Mataram

Telp. /fax : 0370 635661
LAPORAN DATA PASIEN

BULAN MARET 2013
HASIL PEMERIKSAAN
NO
KODE
SAMPEL
JK/UMUR
ALAMAT
KET
FISIK
TB/BB
TENSI/ NADI
LAB
RONT GEN
1/3/2013
1
1301323
L31
PENEGUK-LOTENG
160/60
140/60 76
1301324
L23
BAHAN-LOTENG
167/60
155/89 60
1301325
L30
LANGKO-LOBAR
159/60
130/80 76
1301326
L38
JABON-LOTENG
168/60
135/78 59
1301327
L29
LOTIM
168/50
115/60 70
1301328
L36
APIT AIK-LOTIM
165/50
120/76 67
1301329
L35
SUKERAJE-LOTIM
165/65
110/65 76
1301330
L28
SUKERAJE-LOTIM
163/50
110/80 76
1301331
L26
SUKERAJE-LOTIM
164/51
120/70 75
10
1301332
L36
SUKERAJE-LOTIM
165/48
130/65 76
11
1301333
L36
SUKERAJE-LOTIM
159/49
120/85 60
12
1301334
L37
GERENENG-LOTIM
170/55
125/86 75
13
1301335
L21
LOTIM
152/50
130/80 67
14
1301336
L26
LOTIM
154/42
120/70 85
15
1301337
L29
JERO WARU-LOTIM
164/53
120/65 70
16
1301338
L31
MANGKONG-LOTENG
159/50
110/60 76
17
1301339
L30
MANTANG-LOTENG
159/55
115/65 80
18
1301340
L31
PENEGUK-LOTENG
165/50
120/60 75
19
1301341
L23
JANAPRIE-LOTENG
163/50
130/80 70
20
1301342
P39
KARANG KEMONG-MATARAM
140/56
120/76 73
21
1301343
P26
KOPANG-LOTENG
125/85 80
22
1301344
L36
LENDANG BUNGA-LOTIM
159/48
120/76 73
23
1301345
L29
BODAK-LOTENG
160/60
115/70 83
24
1301346
L36
PRAYA-LOTENG
166/70
25
1301347
L40
SIKUR-LOTIM
172/64
130/80 90
26
1301348
L39
SIKUR-LOTIM
165/65
135/60 78
27
1301349
L23
SUTRA-LU
142/45
145/89 89
28
1301350
L38
SUTRA-LU
151/50
120/90 80
29
1301351
L25
SUTRA-LU
160/50
125/83 76
30
1301352
L23
SUTRA-LU
161/42
130/78 87
31
1301353
L28
COLOK-LOTENG
158/58
120/8 74
32
1301354
L21
PRINGGABAYA-LOTIM
158/40
115/80 75
33
1301355
L20
AIK MEL-LOTIM
160/59
120/86 87
34
1301356
L28
DASAN RE-LOTIM
157/56
120/84 85
35
1301357
L33
AIK MEL-LOTIM
160/58
120/83 75
UNFIT
UNFIT
UNFIT
2/3/2013
UNFIT
UNFIT
UNFIT
4/3/2013
36
1301358
P32
MEJELU-MATARA
166/70
120/75 80
37
1301359
L38
BATU-TUMBANG-LOBAR
165/65
130/80 73
38
1301360
L20
BATU-TUMBANG-LOBAR
159/45
126/80 80
39
1301361
L20
BATU-TUMBANG-LOBAR
164/60
105/80 85
40
1301362
L21
BATU-TUMBANG-LOBAR
167/65
110/70 76
41
1301363
L22
BATU-TUMBANG-LOBAR
155/50
120/80 80
42
1301364
L38
BATU-TUMBANG-LOBAR
165/55
110/70 85
43
1301365
L29
PEMEPEK-LOTENG
160/64
120/70 76
44
1301366
L38
KEKALEK-LOBAR
161/50
125/60 65
45
1301367
L30
SUKADANE-LOTIM
155/60
110/54 64
46
1301368
L32
TEMPOS-LOTENG
166/65
110/85 90
47
1301369
L37
GERUNG-LOBAR
16353
107/76 80
48
1301370
L29
SEUK-LOTIM
160/60
122/76 75
49
1301371
L43
GERUNG-LOBAR
171/50
129/60 58
50
1301372
L19
TEMPOS-LOBAR
163/55
130/59 60
51
1301373
L21
KOPANG-LOTENG
165/60
120/64 56
52
1301374
L40
LOTIM
150/49
106/95 90
53
1301375
P34
LOTIM
155/54
159/ 67 90
54
1301376
L29
PRINGGARATE-LOTENG
150/63
142/63 87
55
1301377
L30
PRINGGARATE-LOTENG
157/56
132/60 64
56
1301378
L39
BATUKLIANG-LOTENG
158/58
115/70 75
57
1301379
L30
PRINGGARATE-LOTENG
156/54
58
1301380
L23
PRINGGARATE-LOTENG
159/58
120/78 90
59
1301381
L19
PRINGGARATE-LOTENG
150/48
115/80 80
60
1301382
P35
KERUAK-LOTIM
152/55
125/56 80
61
1301383
P46
BUNTING-LOTIM
154/56
135/55 76
62
1301384
L41
LOTENG
158/50
110/70 76
63
1301385
L37
ARJANGKE-LOTENG
165/65
110/80 76
64
1301386
L24
ARJANGKE-LOTENG
164/54
100/60 76
65
130137
L19
ARJANGKE-LOTENG
143/47
105/70 72
66
1301388
L23
LABUAN HAJI-LOTIM
170/60
125/70 72
67
1301389
L20
PENGEMBU-LOTENG
170/60
115/60 76
68
1301390
L21
SINTUNG-LOTENG
145/41
102/70 75
69
1301391
L28
MONTONG ARJAN-LOTENG
162/51
108/74 80
70
1301392
L25
SEMPARU-LOTENG
168/55
110/20 87
71
1301393
L32
SENGKERANG-LOTENG
165/53
130/76 70
72
1301394
P37
LONGSERAN-LOBAR
152/52
120/90 80
73
1301395
P27
LANGKO-LOBAR
153/40
130/88 76
74
1301396
L22
TARAKAN-LOTENG
160/50
125/70 72
75
1301397
L31
UNANG UTARA-LOTENG
162/49
112/60 80
76
1301398
L23
LOBAR
167/60
110/70 76
77
1301399
L35
BAYAN-LU
151/40
110/85 80
78
1301400
L28
PELANGAN-LOBAR
174/74
115/68 80
79
1301401
L23
PELANGAN-LOBAR
172/48
105/70 87
80
1301402
L22
MONJOL-MATARAM
162/50
106/95 90
UNFIT
UNFIT
81
1301403
L31
PRINGGARATE-LOTENG
82
1301404
L39
PRINGGARATE-LOTENG
154/50
159/ 67 90
142/63 87
83
1301405
L30
PRINGGARATE-LOTENG
84
1301406
P28
SAKRA-LOTIM
153/50
132/60 64
130/54 70
85
1301407
L23
OMBE DESA-LOBAR
163/55
128/50 89
86
1301408
L23
87
1301409
L19
OMBE DESA-LOBAR
167/87
115/70 83
OMBE DESA-LOBAR
156/50
88
1301410
L37
SUKARARA-LOTIM
160/59
130/80 90
89
1301411
L33
SAKRA-LOTIM
167/55
135/60 78
90
1301412
L26
PERESAK-LOTIM
161/50
120/90 80
91
1301413
L31
MANTANG-LOTENG
165/53
125/83 76
92
1301414
L32
MANTANG-LOTENG
160/60
130/78 87
93
1301415
L21
MANTANG-LOTENG
160/50
120/8 74
94
1301416
L21
WANASABA-LOTIM
155/50
115/80 75
95
1301417
L20
WANASABA-LOTIM
155/50
120/86 87
96
1301418
L24
LOTIM
165/60
120/84 85
97
1301419
L27
KERZOK-LOTIM
160/47
120/83 75
98
1301420
L37
TENGKOK DUDU-LOTIM
158/50
99
1301421
L26
TENGKOK DUDU-LOTIM
170/80
120/75 80
100
1301422
L30
PADAK-LOBAR
170/60
130/80 73
101
1301423
L37
PADAK-LOBAR
170/60
126/80 80
102
1301424
L44
PADAK-LOBAR
160/50
105/80 85
103
1301425
L26
SEKOTONG-LOBAR
155/50
110/70 76
104
1301426
L19
LEMBAR-LOBAR
158/48
120/80 80
105
1301427
L24
PADAK-LOBAR
160/60
110/70 85
106
1301428
L40
SUKAREMA-LOTIM
167/60
120/70 76
107
1301429
L40
KELING-LOTIM
159/60
125/60 65
UNFIT
108
1301430
L40
KERTASARI-LOTIM
168/60
110/54 64
UNFIT
109
1301431
L34
KERTASARI-LOTIM
168/50
110/85 90
110
1301432
L33
SAKRA-LOTIM
165/50
107/76 80
111
1301433
L20
SAKRA-LOTIM
165/65
122/76 75
112
1301434
L19
TEMPOS-LOBAR
163/50
129/60 58
UNFIT
113
1301435
L53
TEMPOS-LOBAR
164/51
130/59 60
UNFIT
114
1301436
L20
TEMPOS-LOBAR
165/48
120/64 56
115
1301437
L24
GONJAK-LOTENG
159/49
106/95 90
116
1301438
L26
TANJUNG-LOTIM
170/55
159/ 67 90
117
1301439
L36
IJO BALIK-LOTIM
152/50
142/63 87
118
1301440
L24
IJO BALIK-LOTIM
154/42
132/60 64
119
1301441
L24
IJO BALIK-LOTIM
164/53
115/70 75
120
1301442
L40
IJO BALIK-LOTIM
159/50
121
1301443
P30
LABUAN HAJI-LOTIM
159/55
120/78 90
122
1301444
L42
IJO BALIK-LOTIM
165/50
115/80 80
123
1301445
L28
GERUNG-LOBAR
140/56
135/55 76
124
1301446
L44
LOTIM
155/50
110/70 76
UNFIT
UNFIT
5/3/2013
6/3/2013
UNFIT
G+4
UNFIT
UNFIT
125
1301447
L29
LOTENG
165/60
110/80 76
126
1301448
L32
LOTENG
160/47
100/60 76
127
1301449
L49
LEMBAR-LOBAR
158/50
105/70 72
128
1301450
L45
170/80
125/70 72
129
13014251
L43
170/60
115/60 76
130
1301452
L39
PRINGGABAYA-LOTIM
170/60
102/70 75
131
1301453
P26
KETAPANG-LOBAR
160/50
108/74 80
132
1301454
P35
LINGSAT-LOBAR
155/50
110/20 87
133
1301455
L41
LENEK-LOTIM
158/48
130/76 70
134
1301456
L45
PANCOR-LOTIM
160/60
120/90 80
135
1301457
L25
167/60
130/88 76
136
1301458
L27
159/60
125/70 72
137
1301459
L47
KERUAK-LOTIM
168/60
112/60 80
138
1301460
L34
LINGKOK MATE-LOTIM
168/50
110/70 76
139
1301461
P28
PANCOR-LOTIM
165/50
110/85 80
140
1301462
L30
LINGSAR-LOBAR
165/65
115/68 80
141
1301463
L20
LOTENG
163/50
105/70 87
142
1301464
L23
TANAK MBANG-LOTENG
164/51
106/95 90
143
1301465
L26
SEMBALUN-LOTIM
165/48
159/ 67 90
144
1301466
L29
MANTANG-LOTENG
159/49
142/63 87
145
1301467
L28
170/55
132/60 64
146
1301468
L22
152/50
130/54 70
147
1301469
L38
154/42
128/50 89
148
1301470
L43
LOBAR
164/53
115/70 83
149
1301471
L38
KETIREK-LOBAR
159/50
150
1301472
L23
159/55
130/80 90
151
1301473
L19
165/50
135/60 78
152
1301474
L30
160/50
145/89 89
153
1301475
L23
155/50
120/90 80
154
1301476
L20
158/48
125/83 76
155
1301477
L28
155/50
130/78 87
156
1301478
L26
165/60
120/8 74
157
1301479
L38
160/47
115/80 75
158
1301480
L31
PENGANTAP-LOBAR
158/50
120/86 87
159
1301481
L30
PONDOK ALAM-LOTENG
170/80
120/84 85
160
1301482
L22
MANTANG AJAN-LOTENG
170/60
120/83 75
161
1301483
L21
162
1301484
L33
163
1301485
164
1301486
165
1301487
P29
166
1301488
167
168
KAWO-LOTENG
170/60
PENGANTAP-LOBAR
160/50
120/75 80
L25
155/50
130/80 73
L19
158/48
126/80 80
MASBAGIK-LOTIM
160/60
105/80 85
L39
GERUNG-LOBAR
167/60
110/70 76
1301489
L43
MENCEH-LOTIM
168/60
110/70 85
1301490
P37
MATARAM
168/50
120/70 76
7/3/2013
UNFIT
UNFIT
169
1301491
L27
LOBAR
165/50
125/60 65
170
1301492
L41
GUNUNG JAYA-LOTIM
165/65
110/54 64
171
1301493
P37
KARANG-JANGKONG-MATRAM
163/50
110/85 90
172
1301494
P38
AIK BUKAK-LOTENG
164/51
107/76 80
173
1301495
P30
165/48
122/76 75
174
1301496
P23
159/49
129/60 58
175
1301497
P35
KARANG SARI-LOTIM
170/55
130/59 60
176
1301498
L34
SURYA WANGI-LOTIM
152/50
120/64 56
177
1301499
L30
JELATENG-LOBAR
154/42
106/95 90
178
1301500
L38
164/53
159/ 67 90
179
1301501
L30
159/50
142/63 87
180
1301502
L35
SELAGALAS-MATARAM
159/55
132/60 64
181
1301503
L36
GUNUNG GUNDIL-LOBAR
165/50
115/70 75
182
1301504
L32
TANAK BEAK-LOTENG
170/60
183
1301505
L29
GERUNG-LOBAR
160/50
120/78 90
184
1301506
L30
MESANGGOK-LOBAR
185
1301507
L24
186
1301508
L32
187
1301509
188
155/50
115/80 80
158/48
125/56 80
PEGADANG-LOTENG
155/50
135/55 76
P32
GELANG-LOBAR
165/60
110/70 76
1301510
L24
LOBAR
158/50
100/60 76
189
1301511
P19
PUNIE JAMAK-MATARAM
170/80
105/70 72
190
1301512
P30
170/60
125/70 72
191
1301513
170/60
115/60 76
192
1301514
L17
160/50
102/70 75
193
1301515
L19
SEMALANG-LOTENG
155/50
108/74 80
194
1301516
L31
NYAMPE-LOTENG
158/48
110/20 87
195
1301517
L33
AIK LAMBE-LOBAR
160/60
130/76 70
196
1301518
P41
GUNUNG KOSONG-LOBAR
167/60
120/90 80
197
1301519
P25
LOBAR
159/60
130/88 76
198
1301520
L30
DASAN AGUNG-MATARAM
168/60
125/70 72
199
1301521
L32
KERUAK-LOTIM
168/50
112/60 80
200
1301522
L22
165/50
110/70 76
201
1301523
L27
MANGGUL-LOTENG
165/65
110/85 80
202
1301524
L26
LOTENG
163/50
115/68 80
203
1301525
L26
BATU YANG-LOTENG
164/51
105/70 87
204
1301526
L43
REMPUNG-LOTIM
165/48
106/95 90
205
1301527
P23
GERUNTUNG-LOTIM
159/49
159/ 67 90
206
1301528
L20
AIK BUKAK-LOTENG
170/55
142/63 87
207
1301529
L33
SUMBEK-LOTENG
152/50
132/60 64
208
1301530
L30
154/42
130/54 70
209
1301531
L23
164/53
128/50 89
210
1301532
L40
159/50
120/90 80
211
1301533
L26
159/55
130/88 76
212
1301534
L28
165/50
125/70 72
UNFIT
8/3/2013
BON KUNYIT-L U
UNFIT
213
1301535
L27
214
1301536
L23
JERO WARU-LOTIM
155/50
112/60 80
158/48
110/70 76
9/3/2013
215
1301537
L42
BENTEK-L U
155/50
115/68 80
216
1301538
P19
LOTENG
165/60
105/70 87
217
1301539
P28
BUN SUMPAK-LOTENG
160/47
106/95 90
218
1301540
P19
158/50
159/ 67 90
219
1301541
P24
SEDAYU-LOBAR
170/80
142/63 87
220
1301542
P35
PRAYA-LOTENG
170/60
132/60 64
221
1301543
P36
JANAPRIE-LOTENG
170/60
130/54 70
222
1301544
L34
160/50
128/50 89
223
1301545
L24
155/50
120/64 56
224
1301546
L33
158/48
106/95 90
225
1301547
L20
160/60
159/ 67 90
226
1301548
L26
BEDONDONG-LOBAR
167/60
142/63 87
227
1301549
L20
PRINGGARATA-LOTENG
168/60
115/70 75
228
1301550
L22
168/50
120/80 80
229
1301551
L22
165/50
120/78 90
230
1301552
L26
BILEBANTE-LOTENG
165/65
135/60 78
231
1301553
L27
LOTENG
163/50
145/89 89
232
1301554
L23
SAKRE-LOTM
164/51
120/90 80
233
1301555
L30
SEKOTONG-LOBAR
165/48
115/70 83
234
1301556
L30
159/49
120/64 56
235
1301557
L23
BAKONG-LOBAR
170/55
130/80 90
236
1301558
L26
KEBON TALO-LOBAR
152/50
135/60 78
237
1301559
L24
LOTENG
154/42
145/89 89
238
1301560
L32
POH GADING-LOTIM
164/53
120/90 80
239
1301561
L47
ORONG BALU-LOTIM
159/50
125/83 76
240
1301562
L28
LOBAR
159/55
130/78 87
241
1301563
L22
165/50
120/81 74
242
1301564
L28
158/50
115/80 75
243
1301565
L42
SUNTELANGE-LOTIM
170/80
120/86 87
244
1301566
L34
PRIGI-LOTIM
170/60
120/84 85
245
1301567
L25
SUNTELANGE-LOTIM
170/60
120/83 75
246
1301568
L20
LOTIM
160/50
120/64 56
247
1301569
PEGADANGAN-LOTIM
155/50
120/75 80
248
1301570
L35
158/48
130/80 73
249
1301571
L35
155/50
126/80 80
250
1301572
L30
TIMBE NUH-LOTIM
165/60
105/80 85
251
1301573
L38
PEGADANGAN-LOTIM
160/47
110/70 76
252
1301574
L21
158/50
120/80 80
253
1301575
P19
170/80
110/70 85
254
1301576
L22
170/60
120/70 76
255
1301577
L33
170/60
125/60 65
256
1301578
L38
160/50
110/54 64
PETUAK-LOTENG
UNFIT
11/3/2013
TIMBE NUH-LOTIM
UNFIT
257
1301579
L31
258
1301580
155/50
110/85 90
158/48
107/76 80
259
1301581
260
1301582
L26
160/60
122/76 75
L25
167/60
129/60 58
261
1301583
L21
159/60
130/59 60
262
1301584
L34
168/60
120/64 56
263
1301585
L21
168/50
106/95 90
264
1301586
L25
LINGKOK GODAK-LOTENG
165/50
159/ 67 90
265
1301587
L27
KOPANG-LOTENG
165/65
142/63 87
266
1301588
P35
KEDIRI-LOBAR
163/50
132/60 64
267
1301589
L38
SUKAREMA-LOTIM
164/51
115/70 75
268
1301590
L20
SAKRA-LOTIM
165/48
120/64 56
269
1301591
L39
LOTIM
159/49
120/78 90
270
1301592
L23
DASAN BANTAK-LOTIM
170/55
115/80 80
271
1301593
L20
LOTENG
152/50
125/56 80
272
1301594
L33
LOTENG
154/42
135/55 76
273
1301595
164/53
110/70 76
274
1301596
L20
159/50
110/80 76
275
1301597
L23
KURIPAN-LOBAR
159/55
100/60 76
276
1301598
L25
LOTENG
165/50
105/70 72
277
1301599
P25
JAGO-LOTENG
155/50
125/70 72
278
1301600
L20
MASBAGIK-LOTIM
165/60
115/60 76
279
1301601
P30
LENDANG NANGKE-LOTIM
160/47
102/70 75
280
1301602
P23
LOBAR
158/50
108/74 80
281
1301603
L22
MASBAGIK-LOTIM
170/80
110/20 87
282
1301604
L42
LOTIM
170/60
120/90 80
283
1301605
L20
LOTIM
160/50
130/88 76
284
1301606
L24
GANGGA-L U
155/50
125/70 72
285
1301607
L18
158/48
112/60 80
286
1301608
L35
LOTENG
160/60
110/70 76
287
1301609
L25
LOTIM
167/60
110/85 80
288
1301610
L28
159/60
115/68 80
289
1301611
L28
168/60
105/70 87
290
1301612
L25
SELONG-LOTIM
168/50
106/95 90
291
1301613
L23
PUYUNG-LOTENG
165/50
159/ 67 90
292
1301614
L39
BUNKATE-LOTENG
165/65
142/63 87
293
1301615
L39
163/50
132/60 64
294
1301616
L40
164/51
130/54 70
295
1301617
L20
BUNKATE-LOTENG
165/48
128/50 89
296
1301618
P30
LOTIM
159/49
120/64 56
297
1301619
P35
SELAGALAS-MATARAM
170/55
106/95 90
298
1301620
L22
GAPUK-LOBAR
152/50
159/ 67 90
299
1301621
L28
154/42
142/63 87
300
1301622
L27
KARANG PENUJAK-LOBAR
164/53
132/60 64
301
1301623
L36
LEMBAR-LOBAR
159/50
115/70 75
MASBAGIK-LOTIM
13/03/2013
302
1301624
L38
NYIUR LEMBANG-LOBAR
159/55
120/80 80
303
1301625
L20
BAGIK MANIS-LOTIM
165/50
120/78 90
304
1301626
L37
KURIPAN-LOBAR
155/50
115/80 80
305
1301627
L31
MEMUNGGU-LOBAR
165/60
125/56 80
306
1301628
L24
KEMBANG SRI-LOTIM
160/47
135/55 76
307
1301629
P24
KELAYU-LOTIM
158/50
110/70 76
308
1301630
P25
170/80
110/80 76
309
1301631
P32
BATU BELEQ-LOTIM
170/60
100/60 76
310
1301632
L30
MENCEH-LOTIM
170/60
105/70 72
311
1301633
L24
160/50
125/70 72
312
1301634
L37
KRUAK-LOTIM
155/50
115/60 76
313
1301635
L20
PRINGGABAYE-LOTIM
158/48
102/70 75
314
1301636
L24
160/60
120/64 56
315
1301637
L44
167/60
106/95 90
1301638
L32
LOTIM
159/60
159/ 67 90
317
316
1301639
L23
LOBAR
168/60
142/63 87
318
1301640
L27
LOANG MAKA-LOTENG
168/50
132/60 64
319
1301641
L20
TIBU SISAK-LOTENG
165/50
115/70 75
320
1301642
L20
165/65
120/80 80
321
1301643
L42
163/50
120/78 90
322
1301644
L28
164/51
115/80 80
323
1301645
L26
165/48
125/56 80
324
1301646
L35
DARMAJI-LOTENG
159/49
135/55 76
325
1301647
L37
GERUNG-LOBAR
170/55
110/70 76
326
1301648
L25
PENGENJEK-LOTENG
152/50
110/80 76
327
1301649
L22
DDASAN GERUNG-LOTIM
154/42
100/60 76
328
1301650
P28
SUGIAN-LOTIM
164/53
105/70 72
329
1301651
P30
159/50
125/70 72
330
1301652
P28
SAMBELIE-LOTIM
159/55
115/60 76
331
1301653
L24
LOTIM
164/51
115/70 83
332
1301654
L24
MANTANG-LOTENG
165/48
105/80 85
333
1301655
P25
KARANG JANGKONG-MTR
164/51
110/70 76
334
1301656
P37
JENGGIK-LOTENG
165/48
135/60 78
335
1301657
L34
JANAPRIE-LOTENG
155/50
145/89 89
336
1301658
L35
SELEBUNG-LOTENG
165/60
120/90 80
337
1301659
L41
SELEBUNG-LOTENG
160/47
125/83 76
338
1301660
L23
TANAK MBENG-LOTENG
158/50
130/78 87
339
1301661
L41
TANAK MBENG-LOTENG
170/80
120/87 74
340
1301662
L33
LOTIM
170/60
115/80 75
341
1301663
L33
LOTIM
170/60
120/86 87
342
1301664
L30
GERUNG-LOBAR
160/50
120/84 85
343
1301665
L20
DASAN TAPEN-LOTIM
155/50
120/83 75
344
1301666
L29
DASAN TAPEN-LOTIM
158/48
105/80 85
345
1301667
L35
DASAN TAPEN-LOTIM
170/60
110/70 76
346
1301668
L29
PERIGO-LOTENG
160/50
130/80 73
LOANG MAKA-LOTENG
14//03/2013
UNFIT
347
1301669
L20
MASBAGIK-LOTIM
155/50
126/80 80
348
1301670
L45
KAYANGAN-L U
158/48
105/80 85
349
1301671
L28
GELANGE-LOTENG
160/60
110/70 76
350
1301672
L31
AIK MEL-LOTIM
167/60
120/80 80
351
1301673
P25
PENGADANG-LOTIM
159/60
110/70 85
352
1301674
L25
GANTI-LOTIM
168/60
120/70 76
353
1301675
L24
PRAYA TIMUR-LOTENG
168/50
125/60 65
354
1301676
L44
GANTI-LOTENG
165/50
110/54 64
355
1301677
L26
GANTI-LOTENG
165/65
110/85 90
356
1301678
L40
JONGGAT-LOTENG
163/50
107/76 80
357
1301679
L40
JONGGAT-LOTENG
164/51
122/76 75
358
1301680
L22
JONGGAT-LOTENG
165/48
129/60 58
359
1301681
L31
ARJANGKE-LOTENG
170/55
120/64 56
360
1301682
L26
JAGARAGA-LOBAAR
152/50
106/95 90
361
1301683
L23
LOTIM
154/42
159/ 67 90
362
1301684
L34
BUJAK-LOTENG
164/53
142/63 87
363
1301685
L20
MANTANG-LOTENG
159/50
132/60 64
364
1301686
L30
TANAK BEAK-LOTENG
159/55
115/70 75
365
1301687
L20
LINGGE-LOTIM
170/60
120/80 80
366
1301688
L26
LOTIM
160/50
120/78 90
367
1301689
L30
PANCOR-LOTIM
155/50
115/80 80
368
1301690
158/48
125/56 80
369
1301691
160/60
135/55 76
370
1301692
P29
167/60
110/70 76
371
1301693
L24
159/60
110/80 76
372
1301694
L27
LOTIM
168/60
100/60 76
373
1301695
L33
BAGEK PUYUNG-LOTIM
168/50
105/70 72
374
1301696
L30
BAGEK PUYUNG-LOTIM
165/50
125/70 72
375
1301697
L32
BAGEK PUYUNG-LOTIM
165/65
115/60 76
376
1301698
P33
AIK MEL-LOTIM
163/50
102/70 75
377
1301699
L23
JANAPRIE-LOTENG
165/48
110/20 87
378
1301700
L25
JANAPRIE-LOTENG
159/49
130/76 70
379
1301701
L40
KOPANG-LOTENG
170/55
120/90 80
380
1301702
L29
KOPANG-LOTENG
152/50
130/88 76
381
1301703
L31
PENUJAK0LOTENG
154/42
125/70 72
382
1301704
L28
KOPANG-LOTENG
159/50
110/70 76
383
1301705
L32
KOPANG-LOTENG
159/55
110/85 80
384
1301706
L25
KOPANG-LOTENG
165/60
115/68 80
385
1301707
P31
PENGELAK EMAS-LOTIM
160/47
105/70 87
386
1301708
L28
TANJUNG-L U
158/50
106/95 90
387
1301709
L20
TANJUNG-L U
170/80
159/ 67 90
388
1301710
P22
GIRI MADIN-LOBAR
170/60
142/63 87
389
1301711
L24
LOANG SAWAK-LOTIM
170/60
132/60 64
390
1301712
L23
LOANG SAWAK-LOTIM
160/50
130/54 70
15/03/2013
LOTENG
NARMADA-LOBAR
16/03/2013
391
1301713
L30
LOANG SAWAK-LOTIM
155/50
128/50 89
392
1301714
L36
LINGKOK DUDU-LOTIM
158/48
107/76 80
393
1301715
L19
LOANG SAWAK-LOTIM
170/60
122/76 75
394
1301716
L27
LOTIM
160/50
129/60 58
395
1301717
P23
LOTENG
155/50
130/59 60
396
1301718
L28
GERUNG-LOBAR
158/48
120/64 56
397
1301719
L31
GERUNG-LOBAR
160/60
106/95 90
398
1301720
P22
BAYAN-L U
167/60
159/ 67 90
399
1301721
L34
PRAYA-LOTENG
159/60
142/63 87
400
1301722
L24
JANAPRIE-LOTENG
168/60
132/60 64
401
1301723
L19
JANAPRIE-LOTENG
168/50
115/70 75
402
1301724
L33
PRAYA-LOTENG
165/50
130/76 70
403
1301725
L41
MASBAGIK-LOTIM
165/65
120/90 80
404
1301726
L33
LOTIM
163/50
130/88 76
405
1301727
LOTIM
164/51
125/70 72
406
1301728
KUTE RAJE-LOTIM
165/48
130/76 70
407
1301729
KUTE RAJE-LOTIM
159/49
120/90 80
408
1301730
KUTE RAJE-LOTIM
170/55
115/70 83
409
1301731
KUTE RAJE-LOTIM
152/50
410
1301732
KUTE RAJE-LOTIM
154/42
130/80 90
411
1301733
P23
LU
164/53
135/60 78
412
1301734
P23
LU
159/50
145/89 89
413
1301735
P21
LU
159/55
120/90 80
414
1301736
LU
170/60
125/83 76
415
1301737
P41
GENDENG-L U
170/60
130/78 87
416
1301738
L29
BENGKEL-LOBAR
160/50
120/81 74
417
1301739
P21
BENGKEL-LOBAR
155/50
115/80 75
418
1301740
L36
LOTENG
158/48
120/86 87
419
1301741
P43
PEMEPEK-LOTENG
170/60
120/84 85
420
1301742
L26
PRAYE-LOTENG
160/50
120/83 75
421
1301743
L21
PRAYE-LOTENG
155/50
107/76 80
422
1301744
P28
JANAPRIE-LOTENG
158/48
122/76 75
423
1301745
L41
POH GADING-LOTIM
160/60
129/60 58
424
1301746
L20
SURYA WANGI-LOTIM
167/60
130/59 60
425
1301747
L30
SURYA WANGI-LOTIM
159/60
120/64 56
426
1301748
L29
SURYA WANGI-LOTIM
168/60
106/95 90
427
1301749
L38
LOTENG
168/50
159/ 67 90
428
1301750
P22
LOBAR
165/50
142/63 87
429
1301751
P28
LOTIM
165/65
132/60 64
430
1301752
P28
LOTIM
431
1301753
P25
LOTIM
432
1301754
L20
BAKAN-LOTENG
433
1301755
L27
LOTIM
159/50
110/70 76
434
1301756
P35
LOTIM
159/55
110/85 80
435
1301757
L30
LOTIM
165/60
115/68 80
19/03/2013
UNFIT
UNFIT
436
1301758
L25
BAGU-LOTENG
160/47
105/70 87
437
1301759
L31
APIT AIK-LOTIM
158/50
106/95 90
438
1301760
P27
JONTLAK0LOTENG
170/80
159/ 67 90
439
1301761
L27
MARONG-LOTENG
170/60
142/63 87
440
1301762
L29
LOTIM
170/60
132/60 64
441
1301763
L32
BATU YANG-LOTIM
160/50
130/54 70
442
1301764
L32
BATU YANG-LOTIM
155/50
128/50 89
443
1301765
L47
LOTIM
158/48
107/76 80
444
1301766
L37
LOTIM
170/60
122/76 75
445
1301767
P26
LABUAN HAJI-LOTIM
160/50
129/60 58
446
1301768
L28
LOTIM
155/50
130/59 60
447
1301769
L22
LOTIM
158/48
120/64 56
448
1301770
L21
LOTIM
160/60
106/95 90
449
1301771
L23
LOTIM
167/60
159/ 67 90
450
1301772
L24
LOTIM
159/60
142/63 87
451
1301773
L23
LOTIM
168/60
132/60 64
452
1301774
L26
LOBAR
168/50
115/70 75
453
1301775
L20
LOTENG
165/50
130/76 70
454
1301776
L34
BATU YANG-LOTIM
165/65
120/90 80
455
1301777
P32
BATU YANG-LOTIM
163/50
130/88 76
456
1301778
P43
PUH GADING-LOTIM
164/51
125/70 72
457
1301779
P29
SAKRA BARAT-LOTIM
165/48
130/76 70
458
1301780
P23
MANTANG-LOTENG
159/49
120/90 80
459
1301781
P23
SANTOK-L U
170/55
115/70 83
460
1301782
L36
168/60
132/60 64
461
1301783
L43
PERIGI-LOTIM
159/50
110/70 76
462
1301784
L43
PERIGI-LOTIM
159/55
110/85 80
463
1301785
L25
LOTIM
165/60
115/68 80
464
1301786
L30
LOTIM
160/47
105/70 87
465
1301787
L26
LOTIM
158/50
106/95 90
466
1301788
L37
BODAK-LOTENG
170/80
159/ 67 90
467
1301789
L37
LOTENG
170/60
142/63 87
468
1301790
L22
PRINGGABAYA-LOTIM
170/60
132/60 64
469
1301791
L24
PRINGGABAYA-LOTIM
160/50
130/54 70
470
1301792
P25
PUJUT-LOTENG
155/50
128/50 89
471
1301793
P35
158/48
107/76 80
472
1301794
P23
170/60
122/76 75
473
1301795
P23
SAKRA-LOTIM
160/50
129/60 58
474
1301796
P29
SEMPUR-LOTIM
155/50
130/59 60
475
1301797
P36
KOPANG-LOTENG
158/48
120/64 56
20/03/2013
21/03/2013
476
1301798
L29
DASAN BARU-LOTIM
477
1301799
P34
DASAN BARU-LOTIM
159/60
142/63 87
478
1301800
P34
KEDIRI-LONAR
168/60
132/60 64
479
1301801
P24
LOANG MAKE-LOTENG
168/50
115/70 75
UNFIT
480
1301802
L43
LOTENG
165/50
130/76 70
481
1301803
L35
LOTENG
165/65
120/90 80
482
1301804
P21
PRAYA-LOTENG
163/50
130/88 76
483
1301805
P42
JANAPRIE-LOTENG
164/51
125/70 72
484
1301806
L34
JANAPRIE-LOTENG
165/48
130/76 70
485
1301807
P21
LOTIM
159/49
120/90 80
486
1301808
P25
LENEK-LOTIM
170/60
122/76 75
487
1301809
L35
GILE LANDO-LOTENG
160/50
129/60 58
488
1301810
L29
SAKRE-LOTIM
155/50
130/59 60
489
1301811
P27
LOTIM
158/48
120/64 56
490
1301812
L35
PENEDE GANDOR-LOTIM
160/60
106/95 90
491
1301813
L28
DASAN TAMAN-MATARAM
167/60
159/ 67 90
UNFIT
492
1301814
L21
GERMENG-LOTIM
159/60
142/63 87
UNFIT
493
1301815
L49
PRINGGABAYA-LOTIM
168/60
132/60 64
494
1301816
L20
AMPENAN-MATARAM
168/50
115/70 75
495
1301817
L20
KIDANG0LOTENG
165/50
130/76 70
496
1301818
L32
LOTIM
170/60
100/60 76
497
1301819
L29
LOTENG
170/60
105/70 72
498
1301820
L32
PUYUNG-LOTENG
160/50
125/70 72
499
1301821
L20
LOBAR
155/50
115/60 76
500
1301822
L22
LOBAR
158/48
102/70 75
501
1301823
L29
PENEGUH-LOTENG
160/60
120/64 56
502
1301824
L25
BAGEK-NUNGGAL-LOTENG
167/60
106/95 90
503
1301825
L31
SURALAGA-LOTIM
159/60
159/ 67 90
504
1301826
L38
RAKAM-LOTIM
168/60
142/63 87
505
1301827
L26
KEBON AYU-LOTIM
168/50
132/60 64
506
1301828
L27
PERIGI-LOTIM
165/50
115/70 75
507
1301829
L22
PERIGI-LOTIM
165/65
120/80 80
508
1301830
L24
PRAYA-LOTENG
163/50
120/78 90
509
1301831
P39
PENGKELAK MAS-LOTIM
164/51
115/80 80
510
1301832
P31
PENGKELAK MAS-LOTIM
165/48
125/56 80
511
1301833
L26
LOTENG
159/49
135/55 76
512
1301834
L21
LOTENG
170/55
110/70 76
513
1301835
L25
GERES-LOTIM
152/50
110/80 76
514
1301836
P36
GERES-LOTIM
154/42
100/60 76
515
1301837
P40
LOTENG
164/53
105/70 72
516
1301838
P29
MANTANG-LOTENG
160/50
125/70 72
517
1301839
P29
MANTANG-LOTENG
155/50
115/60 76
518
1301840
P30
MANTANG-LOTENG
158/48
102/70 75
22/03/2013
23/03/2013
519
1301841
L19
GANGGA-L U
168/50
115/70 75
520
1301842
P34
MONGE-LOTENG
165/50
130/76 70
521
1301843
L20
SEMBARO-L U
165/65
120/90 80
522
1301844
L28
SERANGET-LOTENG
163/50
130/88 76
523
1301845
L22
SERANGET-LOTENG
164/51
125/70 72
UNFIT
524
1301846
L44
BATU-BELEK-LOTIM
165/48
130/76 70
525
1301847
P34
LOTENG
159/49
120/90 80
526
1301848
L31
LOTENG
170/55
115/70 83
527
1301849
L18
KABUL-LOTENG
168/60
132/60 64
528
1301850
P36
MONTONG BETOK-LOTIM
168/50
115/70 75
529
1301851
L21
KEKALEK-LOTIM
165/50
130/76 70
530
1301852
LOMBOK UTARA
170/55
115/70 83
531
1301853
PRINGGERATE-LOTIM
168/60
132/60 64
532
1301854
PRAYA-LOTENG
168/50
115/70 75
533
1301855
LABUAN TERENG-LOBAR
165/50
130/76 70
534
1301856
PADAMARA-LOTIM
168/50
115/70 75
535
1301857
KABAR-LOTIM
165/50
130/76 70
536
1301858
SURYAWANGI-LOBAR
165/65
120/90 80
537
1301859
LOTIM
163/50
130/88 76
538
1301860
SUKARAJA-LOTIM
164/51
125/70 72
539
1301861
SUKARAJA-LOTIM
165/48
130/76 70
540
1301862
LOTIM
159/49
120/90 80
541
1301863
LOTIM
170/55
115/70 83
542
1301864
KUANG RANDUAN-LOTENG
168/60
132/60 64
543
1301865
LOTIM
168/50
115/70 75
544
1301866
165/50
130/76 70
545
1301867
168/50
115/70 75
546
1301868
DASAN TAPEN-LOTIM
168/50
115/70 75
547
1301869
DASAN TAPEN-LOTIM
165/50
130/76 70
548
1301870
WANASABA-LOTIM
165/65
120/90 80
549
1301871
BAGEK-LONGGEK-LOTIM
163/50
130/88 76
550
1301872
PONDOK DALEM-LOTENG
164/51
125/70 72
551
1301873
AIK NGEMBUL-LOTIM
165/48
130/76 70
552
1301874
MANGKUNG-LOTENG
159/49
120/90 80
553
1301875
JERUKPOTO-LOTIM
170/55
115/70 83
554
1301876
KERUAK-LOTIM
168/60
132/60 64
555
1301877
MADAIN-LOTIM
168/50
115/70 75
556
1301878
GUMANTAR-L U
165/50
130/76 70
557
1301879
JANAPRIA-LOTENG
168/50
115/70 75
558
1301880
PUNIE-MTRM
165/50
130/76 70
559
1301881
LOTENG
165/65
120/90 80
560
1301882
RESING-LOTIM
163/50
130/88 76
561
1301883
SAKRA-LOTIM
164/51
125/70 72
562
1301884
LOTIM
165/48
130/76 70
563
1301885
LOTIM
159/49
120/90 80
564
1301886
LOTIM
170/55
115/70 83
565
1301887
LOBAR
168/60
132/60 64
566
1301888
BANJAR SARI-LOTIM
168/50
115/70 75
25/03/2013
567
1301889
KEMBANG KUNING-LOTIM
165/50
130/76 70
568
1301890
LOTIM
168/50
115/70 75
569
1301891
SAKRA-LOTIM
165/50
130/76 70
570
1301892
TANJAR ANJAR-LOTIM
165/65
120/90 80
571
1301893
SAKRA-LOTIM
163/50
130/88 76
572
1301894
TANJAR ANJAR-LOTIM
164/51
125/70 72
573
1301895
SAKRA-LOTIM
165/48
130/76 70
574
1301896
P23
TANGGE-LOTIM
159/55
110/85 80
575
1301897
P22
TANGGE-LOTIM
165/60
115/68 80
576
1301898
L31
SUMBAWA
160/47
105/70 87
577
1301899
L24
SUMBAWA
158/50
106/95 90
578
1301900
L29
SUMBAWA
170/80
159/ 67 90
579
1301901
L26
SUMBAWA
170/60
142/63 87
580
1301902
L46
LOTIM
170/60
132/60 64
581
1301903
L32
SESAIT-L U
160/50
130/54 70
582
1301904
L37
WANASABE-LOTIM
155/50
128/50 89
583
1301905
L30
WANASABE
158/48
107/76 80
584
1301906
L21
WANASABE
170/60
122/76 75
585
1301907
L40
SUWELE-LOTIM
160/50
129/60 58
586
1301908
L34
LABUANAJI-LOTIM
155/50
130/59 60
587
1301909
L33
SWANGI-LOTIM
158/48
120/64 56
588
1301910
L29
JURANG GADUNG-LOTIM
160/60
106/95 90
589
1301911
L28
PONDOK BILA-LOTIM
167/60
159/ 67 90
590
1301912
L25
PENENDE GANDOR-LOTIM
159/60
142/63 87
UNFIT
UNFIT
26/03/2013
UNFIT
UNFIT
UNFIT
27/03/2013
591
1301913
L38
LOTENG
168/50
115/70 75
592
1301914
P33
BANYURIP-LOBAR
165/50
130/76 70
593
1301915
L34
LAMBUK-LOTIM
165/65
120/90 80
594
1301916
L32
RUMBUNG-LOTIM
163/50
130/88 76
595
1301917
L25
LANTAN-LOTENG
164/51
125/70 72
596
1301918
L27
LOTENG
165/48
130/76 70
597
1301919
L26
LOTIM
159/49
120/90 80
598
1301920
L35
LOTENG
159/55
110/85 80
599
1301921
L42
JERUL POTO-LOTIM
165/60
115/68 80
600
1301922
L35
GANJAR-LOBAR
160/47
105/70 87
601
1301923
L19
GANJAR
158/50
106/95 90
602
1301924
L41
PENUJAK-LOTENG
170/80
159/ 67 90
603
1301925
L32
LOTENG
170/60
142/63 87
604
1301926
P30
MONTONG AJANG-LOTENG
170/60
132/60 64
605
1301927
P25
MONTONG AJANG-LOTENG
160/50
130/54 70
606
1301928
P40
LOTIM
155/50
128/50 89
607
1301929
P27
POH GADING-LOTIM
158/48
107/76 80
608
1301930
P31
POH GADING-LOTIM
170/60
122/76 75
609
1301931
P30
PRINGGESELE-LOTIM
160/50
129/60 58
UNFIT
610
1301932
P36
TANJUNG TEROS-LOTIM
155/50
130/59 60
28/03/2013
611
1301933
DSN BARU-LOBAR
159/50
110/70 76
612
1301934
L23
DSN BARU-LOBAR
159/55
110/85 80
613
1301935
L23
JENGGIK-LOTIM
165/60
115/68 80
614
1301936
L38
JENGGIK-LOTIM
160/47
105/70 87
615
1301937
L29
DSN TAPEN-LOTIM
158/50
106/95 90
616
1301938
L26
DSN TAPEN-LOTIM
170/80
159/ 67 90
617
1301939
L27
DSN TAPEN-LOTIM
170/60
142/63 87
618
1301940
L30
PEMEGATAN-LOBAR
170/60
132/60 64
619
1301941
P30
TAMAN AYU-LOBAR
160/50
130/54 70
620
1301942
P35
TAMAN AYU-LOBAR
155/50
128/50 89
621
1301943
P32
KEMBANG KUNING-LOBAR
158/48
107/76 80
622
1301944
P30
LOBAR
170/60
122/76 75
623
1301945
L35
MASBAGIK-LOTIM
160/50
129/60 58
624
1301946
L23
SAKRA-LOTIM
155/50
130/59 60
625
1301947
L19
SAKRA-LOTIM
158/48
120/64 56
626
1301948
L18
SAKRA-LOTIM
160/60
106/95 90
627
1301949
L26
MASBAGIK-LOTIM
167/60
159/ 67 90
628
1301950
L25
PENGENJEK-LOTIM
159/60
142/63 87
629
1301951
L38
PENGENJEK-LOTIM
168/60
132/60 64
630
1301952
L20
SISIK-LOTENG
168/50
115/70 75
631
1301953
L20
SISIK-LOTENG
165/50
130/76 70
632
1301954
L20
PENGENJEK-LOTENG
165/65
120/90 80
633
1301955
L22
KURIPAN-LOBAR
163/50
130/88 76
UNFIT
UNFIT
30/03/2013
634
1301956
L42
GENGGELANG-L U
165/65
120/90 80
635
1301957
P30
BANYUMULEK-LOBAR
163/50
130/88 76
636
1301958
L36
BEBER-LOTENG
164/51
125/70 72
637
1301959
L23
BEBER-LOTENG
165/48
130/76 70
638
1301960
P32
LOBAR
159/49
120/90 80
639
1301961
L24
BATU BAWI-LOBAR
170/55
115/70 83
640
1301962
L21
BATU BAWI-LOBAR
168/60
132/60 64
641
1301963
L25
PESENG-LOBAR
168/50
115/70 75
642
1301964
L35
TAMAN AYU-LOBAR
165/50
130/76 70
643
1301965
PESENG-LOBAR
168/50
115/70 75
644
1301966
L27
MANTANG-LOTENG
165/50
130/76 70
645
1301967
L22
MANTANG-LOTENG
165/65
120/90 80
646
1301968
L32
WANASABA-LOTIM
163/50
130/88 76
647
1301969
L37
WANASABA-LOTIM
164/51
125/70 72
648
1301970
L28
WANASABA-LOTIM
165/48
130/76 70
649
1301971
L38
PRINGGABAYA-LOTIM
159/49
120/90 80
650
1301972
L33
DASAN TAPEN-LOTIM
170/55
115/70 83
651
1301973
L21
WANASABA-LOTIM
168/60
132/60 64
652
1301974
L25
WANASABA-LOTIM
168/50
115/70 75
653
1301975
P26
OMBE BEBAE-LOBAR
165/50
130/76 70
654
1301976
P33
LOTIM
168/50
115/70 75
UNFIT
UNFIT
655
1301977
P35
LOTENG
165/50
130/76 70
656
1301978
P30
LOTENG
165/65
120/90 80
657
1301979
P32
SIDEMEN-LOBAR
163/50
130/88 76
658
1301980
P31
PRAYA-LOTENG
164/51
125/70 72
TOTAL JUMLAH PASIEN MEDICAL
TOTAL JUMALH PSIEN UNFIT

-HbsAg
-VDRL
-TPHA
-UL
-PTT
-RX
-Konseling
: 658 ORANG
L : 446 ORANG
P : 127 ORANG
: 67 Orang
: 51
:::1
:1
:4
: 10
Mataram, 30 Maret 2013
Mengetahui,
(Lalu Supardi)

Lampiran 3. Data Klnik Gora

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Copyright:

Verfügbare Formate

Lampiran 3. Data Klnik Gora

Hochgeladen von

Copyright:

Verfügbare Formate

LAMPIRAN 3 :

Klinik GORA Mataram

LAPORAN DATA PASIEN

GUNUNG TALO, LOTIM

JANIS KELAMIN HASIL PEMERIKSAAN

DSN SEBELEK, LOTENG

DSN SEBELEK, LOTENG

BATU LAJAN, LOTENG

MONTNG BAAN, LOTIM

MONTNG BAAN, LOTIM

MONTNG BAAN, LOTIM

MONTNG ARE, LOBAR

LEO LAMBU, BIMA

LEO LAMBU, BIMA

JANIS KELAMIN HASIL PEMERIKSAAN

LEO LAMBU, BIMA

LEO LAMBU, BIMA

KARANG DESA. L.U

TANAK BEAK, LOTENG

TANAK BEAK, LOTENG

JURNG MALNG, LOBAR

REBN BARU, LOTENG

BTU TAMENG, LOTIM

DASAN TAPN, LOTIM

DASAN TAPN, LOTIM

DASAN TAPEN, LOTIM

LENDNG BATU, LOTIM

BUN BUAK, LOTENG

BAT RURUNG, LOTENG

LOANG TUNA, LOTENG

MONTNG BRU, LOTNG

JANIS KELAMIN HASIL PEMERIKSAAN

AIK DAREK, LOTENG

TELOK DALM, L.U

JANIS KELAMIN HASIL PEMERIKSAAN

LNDNG PAOK, LOTENG

DASN BARU, LOTIM

TANK BEAK, LOTENG

JANIS KELAMIN HASIL PEMERIKSAAN

AIK MBUL, LOTENG

LNDNG NAKA, LOTIM

KARNG ANYAR, LOBAR

JANIS KELAMIN HASIL PEMERIKSAAN

DASAN CERMN, LOBAR

JANIS KELAMIN HASIL PEMERIKSAAN

DSN LEKONG, LOTIM

DSN LEKONG, LOTIM

GBK KESAH, LOTENG

TNJNG LUAR, LOTIM

TNJNG LUAR, LOTIM

DSN SAWU, LOTIM

LOANG SWK, LOTIM

ANAK DWI, LOTIM

AIK DEWA, LOTIM

JANIS KELAMIN HASIL PEMERIKSAAN

TANAK AU, LOTENG

LDNG BEDURI, LOTIM

AIK MEL, LOTIM

JANIS KELAMIN HASIL PEMERIKSAAN

TNK BEAK, LOBAR

AIK DAREK, LOTENG

BTU GRANTUNG, L.U

JANIS KELAMIN HASIL PEMERIKSAAN

LNDNG LEKONG, LOBR