LAPORAN PELAYANAN RAWAT JALAN TINGKAT PERTAMA (RJTP)

BULAN/TAHUN : JANUARI/2019
PUSKESMAS : Datah Kotou
KEC. : Tanah Siang Selatan
KAB. : Murung Raya
KODE PKM : 1060891
Bersama ini kami laporkan pelayanan kesehatan umum rawat jalan peserta Jamkes/BPJS Sehat
No. Tanggal No. KARTU PESERTA Nama Perserta

(1) (2) (3) (4)

1 02/01/2019 0002440262092 ELISYA
2 0001932289896 ANTONIUS
3 0002427438262 NATASYA
4 0001922511609 ATMA
5 0001932295972 SUMIATI
6 0001932291685 NURSYAH
7 0001922509416 UDI
8 1/3/2019 0000977983132 GERASINUS
9 0000888947976 SUBMI
10 0002489366449 SUGIRO
11 1/4/2019 0001927906435 SUCI RAMADANI
12 0001932283034 UBUT
13 0002284646681 SUSILAWATI
14 '000088946356 KURNIANSYAH
15 0000887547003 LAURA
16 1/5/2019 0001065220277 KABUL
17 0001850001434 AHMAD RAPTEN
18 1/7/2019 0001932284349 ARIASMAN
19 0002465107154 SUROSO
20 0002427438262 NATASYA
21 0002454768999 REVA
22 0001932291955 BAWING
23 0002080479587 LEDISA
24 0001922511587 SAPRAN
25 0000888947976 SUBMI
26 0001903210097 TESALONIKA
27 0001932289953 TAUFIK
28 0002044663255 MARIANI
29 1/8/2019 0001932296332 TENDAL
30 0002211804369 MATIUS
31 0001273201536 LUSI
32 0001932291101 RINA
33 0002465217961 SANDY
34 0001922969428 DICKY
35 0001932281414 DORI
36 0002249210182 ARFAN
37 1/9/2019 0001266939011 RAHMADANI
38 0000888950913 UPAH
39 0001446740954 ESTEFANUS
40 0002211531153 RONI
41 0002445635384 MUTIA
42 0002444401664 REZAHADZUL
43 0002445633988 ELVA
44 1/10/2019 0002449866183 KIMBERLY
45 0002457805184 DWIYAH
46 0002457964083 ANETHA
47 0002445308584 RINE
48 0002483145281 ALVANO
49 0001932284261 AGAK
50 0002478108137 MISDA
51 0002172227646 STEFANUS D
52 1/11/2019 0001922509326 ELPI S
53 0001923012854 TETIKADI
54 0001932274719 ROBINSON
55 1/12/2019 0002244789731 INDRA
56 0001932292394 PIKI
57 0001065220751 SERAH
58 0000119588512 SADRIANSYAH
59 0000888947976 SUBMI
60 0001932296297 MARUKI
61 0001065220132 ISE
62 0002455310338 MELINDA
63 0001922510081 IRI
64 0001931745069 WIDA
65 0001932291955 BAWING
66 0002617885186 RIZAL
66 0001932283034 UBUT
66 00022589999638 MEYLIN
66 1/14/2019 0002236329167 NOR JANAH
66 0001931842473 NURLIANTI
66 0002461094133 GHAIRIEL R
67 0002258993766 ROSALAI
68 0001932290638 YEHESKIEL B
69 0001971405369 THOMAS SIDI
70 0001932290402 SUGAN
71 0001932275136 SISKA
72 0002453608236 FATRA ALFARO S
73 0002431445837 DEA FRILIA
74 0000888409135 JUMIATI
75 0001971405369 THOMAS SIDI
76 1/15/2019 0002452786727 NORIAH
 77 0001922509315 KORNELIS
78 0002428173099 ANUGRAH DITUSA
79 0002225493639 SITI FATIMAH
80 0002487516805 SALSABILA
81 0001932294778 ENJELIKA
82 0001231267509 FRANCESCO
83 0002490634462 AHAMAD AL FARIZI
84 0001932290638 YEHESKIEL B
85 0001931854871 NOR AINAH
86 0001065183366 EVI IVANCA
87 0001932290403 SUGAN
88 0001931854871 NOR AINAH
89 1/16/2019 ;0001932281706 APRI
90 0001932129472 HALIJATUN
91 0002257621716 YULIANA
92 0001923012832 KURNIAN
93 0001065220367 BILI
94 0001932294778 ENJELIKA
95 0001231267476 ADOMARDIANSYAH
96 0002257451583 MARSENI
97 0002458333653 FITRA
98 0002458333258 ARIYO
99 1/17/2019 0000888927412 DIYAH
100 0000888959968 ALEXANDER
101 0002270811418 ILIS TIMBO
102 0001932285857 MARKO PANGIN
103 0000888947976 SUBMI
104 0000888948213 HADIAH
105 0000158857582 DARSONO
106 0001926476594 ICIANSYAH
107 0000888947469 PUTIR
108 0000887520767 OKTAVIANA
109 0001932284766 HULLI
110 0000888946468 NURLIANCY
111 0002244816292 ELISABETH
112 0001926476695 HALINE
113 0002463785987 AZIS
114 0000887562696 MASBULANIA
115 0001840770854 SELPRIT
116 0002623504083 RINE
117 0000887547003 LAURA
118 1/18/2019 0001932293834 SETTY
119 0001932281829 MUNA
120 0001932274719 ROBINSON
121 0000888325075 TAUFIK R
122 0002490634462 AHMAD ALFAHRIZA
123 0001565017812 JENI A
124 0001569017823 FERNI
125 0001932282731 LESANA
126 0002257450997 LISTA
127 0001932274348 KISUN
128 0001932295094 OTOK MARLINA
129 1/19/2019 0001932293845 MUKSIN
130 0002456937742 MELKY
131 0001923012927 DIWAN
132 0001932291674 ONO
133 0001932293845 MUKSIN
134 1/21/2019 0001932296297 MARUKI
135 0001932284169 PIYA
136 0001231262739 ITA
137 0002480621354 AJAY
138 0001231267713 CANDRA
139 00002485495359 ANDIKA
140 0002443405994 MISAEL
0001932274539 RAHMADI
0000887519068 RUSNI
000245833405 DERMA
0001932288380 MUHAMMAD ADI
0001231267836 LYDIA N.K
1/22/2019 0002426779124 FIKA
141 0001932291843 JHOSIE ANTO
142 0002442178967 GRACELINA
143 0001932273461 FAUZIAH
144 '0001932276069 JATI
145 000088862867 YOLVI M.LIU
146 0000888899973 RUSMIATI
147 000199581895 ETONI
148 1/23/2019 0000888947976 SUBMI
149 0001932129685 RENALDI
150 0002080479587 LEDISA
151 0002279492706 SUPI
152 0002244781012 IJANTRY
153 0002431445837 DEA FRILIA
154 0002087142333 SANDRA ORTEGA P
155 0001932284169 PIYA
156 1/24/2019 0001932297175 AMAT
157 0001787077809 ZEVANO
158 0000887548408 SAMUEL V.E
159 0001932274359 AINUN
160 0002457805184 DWIYAH PUTRI A
161 1/25/2019 0001932205972 KENTENG
162 0002620981192 FIRMAN
163 0002498816183 FAZAR
164 0002196146226 PETIR SAPUTRA
165 0001932317853 ANNASYA
166 0002457805184 DWIYAH PUTRI A
167 0001922511587 SAPRAN
168 0000887548408 SAMUEL
169 0001652299953 TRI MURTI
170 1/26/2019 0002615819117 RESTIANTO
171 0002456492534 RIYADIL F
172 0002623504083 RINE
173 0002496393371 SHEWUNG
174 1/28/2019 0002452123089 ARFAN
175 0002462400404 LODIANSYAH
176 0000888947976 SUBMI
177 0001932274539 RAHMADI
178 0002284646681 SUSILAWATI
179 0002298079888 ZIO
180 0001932290043 NABIL
181 0001932275564 BERRY
182 0002257451583 MARSENI
183 0002438608149 MUHAMMAD RESKY
184 1/29/2019 0002080479486 YOSUA
185 0002245265548 MEMEY
186 0001932274776 M. XHOLAIFI
187 0001923012832 KURNIAN
188 0001971405369 THOMAS
189 0002456492534 RIYADIL
0002455444822 ALYA
0001932276509 ADBDUL MAJID
0002076333129 MARI
190 0002426779124 FIKA
191 1/30/2019 0000887519889 NOVA KRISTINA
192 0000158857582 DARSONO
193 0002195499407 SHAFIRA EKA HARIANI
194 0001932283034 UBUT
195 0002211507167 SITI APRILIA
196 0001926471464 EKO SUKAMTO
197 0002259049241 CHRISTIAN MAXWELL
198 0001932295972 SUMIATI
199 0001231253054 ADELIA ALFI
200 1/31/2019 0001932275564 BERRY
201 0002472307907 HOLLYWATY
202 0000889043365 ATI
203 0002300735845 NGATENI
204 0000199966432 JEFRIANTO
205 0001932284169 PIYA
206
\
 Mengetahui
Kepala Puskesmas Datah Kotou

FILMANTO
NIP.19740217 199303 1 004
A (RJTP)

lan peserta Jamkes/BPJS Sehat

DIAGNOSA/GEJALA Di Rujuk KET TD BB/TB

(5) (6) (11)

GASTRO ENTERITIS 12kg/85cm
GASTRITIS 110/70 mmHg 60kg/159cm
ISPA 10,7kg/82cm
ALERGI 100/70 mmHg 54kg/157cm
HIPERTENSI 150/100 mmHg 59kg/154cm
ALERGI 110/70 mmHg 54,6kg/150cm
KLL 110/80 mmHg 64,3kg/1161cm
VULNUS PUNCTUM 28,9kg/132cm
HIPERCHOLESTEROL 140/90 MmmHg 58,8kg/158cm
ABSES 130/80 mmHg 59,6kg/160cm
C. COLD 15kg/119cm
DIABETES MELITUS 100/60 mmHg 54kg/151cm
KLL 100/70 mmHg 52,3kg154cm
ISPA 110/70 mmHg 60,6kg/162cm
HIPERTENSI 180/100 mmHg 54,8kg/150cm
FEBRIS 130/80 mmHg 57,5kg/158cm
THALASEMIA RUJUKAN
GOUT 90/70 mmHg 63,2kg/159cm
GOUT 110/90 mmHg 62,3kg/158cm
GASTRO ENTERITIS 120/80 mmHg 13,7kg/84cm
VARICELLA 12kg/82cm
DIABETES MELITUS 110/80 mmHg 44,3kgkg/152cm
GASTRO ENTERITIS 13,3kg/90,3kg
HIPERCHOLESTEROL 110/70 mmHg 61,2kg/159cm
FEBRIS 140/80 mmHg 58,5kg/158cm
FEBRIS 14kg/88cm
GASTRITIS 100/80 mmHg 53,4kg/158cm
HIPERTENSI 150/90 mmHg 54,3kg156cm
ANOREXIA 110/80 mmHg 57,4kg/158cm
GASTRO ENTERITIS 100/70 mmHg 59,4kg/160cm
HIPERCHOLESTEROL 120/70 mmHg 56kg/154cm
ANOREXIA 14,6kg/99cm
FEBRIS 17,6kg/104cm
ALERGI 15,3kg116cm
KONSTIPASI 110/80 mmHg 57kg/159cm
FEBRIS 58,4kg/162cm
ISPA 120,80 mmHg 64kg/163cm
HIPERTENSI 150/90 mmHg 58,2kg/152cm
ISPA 130/70 mmHg 58kg/160cm
GASTRO ENTERITIS 110/80 mmHg 56,3kg/158cm
FEBRIS 7kg/70cm
ISPA 12kg/88cm
FEBRIS 12,5kg/87cm
GASTRO ENTERITIS 7,5kg/68cm
ISPA 9,kg/93cm
CHEPALGIA 140/90 mmHg 48,4kg/150cm
GASTRITIS 140/90 mmHg 50,5kg/154cm
VOMIYING 8,6kg/82cmcm
SUSP. TB PARU RUJUKAN
SUSP. TB PARU RUJUKAN
SUSP TYPOID RUJUKAN
ALERGI 110/80 mmHg 54,4kg/150cm
GASTRITIS 110/70 mmHg 52kg/156cm
GASTRITIS 100/70 mmHg 52kg157cm
ISPA 30kg/122cm
FEBRIS 17,2kg/117cm
CHEPALGIA 120/70 mmHg 51,3kg/147cm
REMATOID ATRITIS 110/70 mmHg 54,4kg/151cm
GASTRITIS 140/90 mmHg 58,3kg/158cm
DIABETES MELITUS + R.A 140/90 mmHg 59,5kg/160cm
GASTRITIS 100/70 mmHg 37kg/147cm
PERSISTENSI GIGI 8.1 18kg/120cm
GASTRITIS 120/90 mmHg 64,3kg/162cm
LYSSA SUSP 100/70 mmHg 46,2kg/148cm
DIABETES MELITUS 110/70 mmHg 56,3kg/157cm
ISPA 10,2kg/85cm
DIABETES MELITUS 100/70 mmHg 54,3kg/151cm
ISPA 15,6kg/108cm
ALERGI 110/70 mmHg 46,4kg/150cm
ALERGI 110/90 mmHg 56,4kg/150cm
FEBRIS 11kg/89cm
ISPA 90/70 mmHg 55kg/150cm
FEBRIS 28kg/1130cm
SUSP. LBP 170/70 mmHg 69,8kg/160cm
ISPA 110/80 mmHg 48kg/152cm
TONSILITIS 100/60 mmHg 53kg/149cm
VOMITING 7,7kg/74cm
GASTRO ENTERITIS 9kg/76cm
CHF RUJUKAN
SUSP. LBP RUJUKAN
KONJUNGTIVITIS 8,2kg/71cm
CHEPALGIA 100/70 mmHg 70kg/160cm
ALERGI 20kg/91cm
STOMATITIS 110/80 mmHg 65kg/150cm
ABSES 13kg/103cm
GASTRO ENTERITIS 18,9kg/114cm
POST SIRKUMSISI 23,5kg/106cm
ISPA 15,4kg/83cm
FEBRIS 28kg/106cm
ABSES PERIAPIKAL 130/90 mmHg 43,2kg/145cm
SUSP. DEMAM TYPOID RUJUKAN
SUSP. TB RUJUKAN
ABSE PERIAPIKAL GIGI 33,34 RUJUKAN
GASTRITIS 90/60 mmHg 56,4kg/157cm
GINGIVITIS 19kg/114cm
GASTRITIS 90/70 mmHg 42kg/146cm
MIALGIA 110/90 mmHg 59,5kg/160cm
KLL 110/70 mmHg 67kg/162cm
DISENTRI 20kg/115cm
GASTRITIS 110/70 mmHg 57kg/152cm
CARIES DENTIS 110/80 mmHg 58,3kg/154cm
GASTRO ENTERITIS 15,4kg/106cm
ANEMIA 90/60 mmHg 54,5kg/158cm
SUSP. ASMA BRONCHIAL 110/70 mmHg 43kg/146cm
ABSES 120/90 mmHg 62,3kg/159cm
KLL 110/70 mmHg 57kg/154cm
FEBRIS 23kg/120cm
REMATOID ATRITIS 110/70 mmHg 60kg/158cm
REMATOID ATRITIS 130/100 mmHg 71kg/153cm
HIPERTENSI 170/90 mmHg 71kg/160cm
HIPERTENSI 170/110 mmHg 85kg/166cm
ANOREXIA 110/60 mmHg 55kg/163cm
GASTRITIS 100/60 mmHg 46kg/149cm
REMATOID ATRITIS 100/70 mmHg 40kg/144cm
REMATOID ATRITIS 100/70 mmHg 71g/157cm
REMATOID ATRITIS 130/100 mmHg 44kg/141cm
REMATOID ATRITIS 120/70 mmHg 44kg/145cm
REMATOID ATRITIS 110/80 mmHg 43kg/157cm
CHEPALGIA 90/60 mmHg 67kg/154cm
REMATOID ATRITIS 130/70 mmHg 55kg/160cm
REMATOID ATRITIS 120/90 mmHg 50kg/154cm
HIPERTENSI 140/110 mmHg 55kg/150cm
MIALGIA 100/70 mmHg 49kg/153cm
ANEMIA 100/70 mmHg 50kg149cm
ANEMIA 100/70 mmHg 51kg/157cm
ALERGI KULIT 110/60 mmHg 48kg/150cm
ALERGI KULIT 5,8kg/65cm
REMATOID ATRITIS 120/80 mmHg 56kg/159cm
CHEPALGIA 120/90 mmHg 48,5kg/150cm
CHEPALGIA RUJUKAN
KISTA OVARIUM RUJUKAN
TB PARU RUJUKAN
DIARE RUJUKAN
ISPA 90/60 mmHg 65,4kg/161cm
ISPA 7kg/75cm
ABSES 110/80 mmHg 58,5kg/160cm
GASTRITIS 110/70 mmHg 52kg/158cm
TB PARU RUJUKAN
DIABETES MELITUS 120/90 mmHg 56kg/154cm
GASTRITIS + TB PARU 130/90 mmHg 46kg/150cm
GASTRITIS 110/70 mmHg 47kg/150cm
ALERGI 8,5kg/76cm
ALERGI 130/100 mmHg 57,6kg/160cm
KONSTIPASI 12kg/94cm
VARICELLA 8kg/70cm
GASTRITIS 110/70 mmHg 54kg/157cm
GASTRITIS 100/70 mmHg 48kg/150cm
GASTRITIS RUJUKAN
ERUPSI GIGI RUJUKAN
PERIODENTITIS GIGI 16 RUJUKAN
SUSP. DEMAM TYPOID 21kg/138cm
PULP. IRREVERSIBEL GIGI 34 110/80 mmHg 54kg/159cm
C.COLD 7kg/74cm
GASTRITIS 130/80 mmHg 44kg/146cm
ABSES + CHEPALGIA 120/70 mmHg 36kg/145cm
KONJUNGTIVITIS + GASTRITIS 100/70 mmHg 67kg/164cm
SUSP.TUKAK LAMBUNG RUJUKAN
PNOTHESA OLE TUKANG GIGI RUJUKAN
HIPERTENSI 150/100 mmHg 58,8/158cm
DIARE 15kg/98cm
ISPA 16kg/102cm
FEBRIS 130/100 mmHg 58,4kg/160cm
TONSILITIS 120/70 mmHg 66kg/162cm
GASTRO ENTERITIS 9kg/74cm
ISPA 11,4kg/93cm
CHEPALGIA 120/70 mmHgm 46,5kg/150cm
ALERGI 110/80 mmHg 56,4kg/158cm
LYSSA SUSP 14kg/102cm
ISPA 18,6kg/108cm
SKIZOPRENIA 110/90 mmHg 52,1kg/1148cm
ISPA 10kg/80cm
ISPA 110/70 mmHg 47kg/150cm
DIARE 6,5kg/66cm
ISPA 7,5kg/72cm
DIARE 17kg/96cm
ISPA 68,5kg/165m
ISPA 10kg/82cm
LBP 110/70 mmHg 93kg/167cm
ISPA 37kg/125cm
SUSP. SIROSIS HEPATIS RUJUKAN
ISPA 15kg/94cm
ISPA 11kg/89cm
ISPA 110/70 mmHg 47kg154cm
ALERGI 110/70 mmHg 51kg/156cm
VARICELLA 13kg/84cm
KONJUNGTIVITIS 120/100 mmHg 51kg/158cm
GASTRITIS 140/100 mmHg 58kg/158cm
GASTRITIS 110/60 mmHg 57,4kg/159cm
DEMAM TYPOID 100/60 mmHg 38kg/145cm
ISPA 11kg/88cm
SUSP. DEMAM TYPOID 23,4kg/117cm
ISPA 120/80 mmHg 60,5kg/162cm
GANGGREN PULPA 110/80 mmHg 58,5kg/154cm
FURUNKEL 11,5kg/87cm
DEMAM TYPOID 43kg/134cm
CHEPALGIA 120/70 mmHg 64kg/156cm
DEMAM TYPOID 39kg/130cm
REMATOID ATRITIS 120/80 mmHg 81,1kg/167cm
GASTRITIS 110/70 mmHg 59,3kg/162cm
ISPA 10,6kg/77cm
ISPA 8,6kg/78cm
ASMA 140/100 mmHg 56,2kg/158cm
SUSP. TB PARU RUJUKAN
TB PARU RUJUKAN
ISPA 36,6kg/135cm
HIPERTENSI 160/100 mmHg 70,5kg/165cm
FEBRIS 23,4kg/108cm
DIABETES MELITUS 100/70 mmHg 54,4kg/151cm
ISPA 17,3kg/117cm
ASMA BRONCHIAL 140/100 mmHg 46,1kg/146cm
ANOREKSIA 10kg/86cm
HIPERTENSI 140/100 mmHg 62,6kg/156cm
LIPOMA RUJUKAN
ISPA + GASTRITIS 110/70 mmHg 51kg/157cm
GOUT 100/70 mmHg 43,8kg/152cm
ISPA 100/70 mmHg 48,2kg/146cm
REMATOID ATRITIS 90/60 mmHg 62,1kg/156cm
POST HEACTING 43,2kg/132cm
GASTRITIS 130/90 mmHg 49,1kg/150cm
 Datah Kotou 30 Juni 2018
Bendahara Dana Kapitasi JKN
Puskesmas Datah Kotou

LIAH AGUSTIN,A.MKG
NIP 19890829 201101 2 007
T
0

a
LAPORAN PELAYANAN RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN/TAHUN : FEBRUARI/2019
PUSKESMAS : Datah Kotou
KEC. : Tanah Siang Selatan
KAB. : Murung Raya
KODE PKM : 1060891
Bersama ini kami laporkan pelayanan kesehatan umum rawat jalan peserta Jamkes/BPJS Sehat
No. Tanggal No. KARTU PESERTA Nama Perserta

(1) (2) (3) (4)

1 01/02/2019 0001932290043 NABIL
2 0001932296646 SALMA
3 0002438613279 AHMAD SALMA
4 0002461376226 MARIYANI
5 0002479241002 RIZAL
6 0002198361677 HIDAYATUL
7 0001926476695 HALINE
8 0001065221177 DEWI
9 0001922510485 TONI
10 000226408882 RIYAN H
11 0002465105692 KAMSINAH
12 0002279494776 LINDAWATI
13 0001932129674 MARIA M
14 2/2/2019 0000887547003 LAURA
15 0001932296297 MARUKI
16 0002436528767 MARTINA
17 0001805328459 RIWUNG
18 2/4/2019 0001932288941 KRASI
19 0000199966432 JEFRIANO
20 0002449573468 MUHAMMAD JALPI
21 1/6/2019 0001926476695 HALINE
22 0001480721365 INDRAWATI
23 0001932276508 ADBDUL MAJID
24 000193186972 AGUS
25 0001932277555 MARYATI
26 '0001922509438 TRISAYU
27 0002493817457 NORAYLA DISKA
28 0002455310338 MELINDA
29 0002465107154 SUROSO
30 0002465105692 KAMSINAH
31 0001932290594 SARIFUDIN
32 0001926476717 HAMAD
33 0001926472138 DIRNAH
34 0001932277544 PASEI
35 0001231268275 KRISNA
36 0002456937742 MELKY
37 1/7/2019 0002258993766 ROSALIA
38 0001932128875 ANDINA
39 0001932164842 YONG MEI
40 0002611164734 DEVANO
41 0001932287062 SITI HAMRAH
42 2/8/2019 0002244330077 KUASIH
43 0001932280863 HALOMOAN
44 0001932290627 YEKONYA SALONICA
45 0002441562254 RALINCHIA
46 0002244816292 ELISABETH
47 0001926472138 DIRNAH
48 '0002244331258 RAHMATTULAH
49 0001231268466 RIANI MARTHA
50 0002258993643 RIO MARCELLO
51 2/9/2019 0001932285093 PURNOMO
52 0001932277162 ADY
53 0001830522688 DEBORA
54 0002440262092 ELISYA
55 0001932289896 ANTONIUS
56 0001932274359 AINUN
57 0001264597672 DIAN
58 2/11/2109 0001548609535 ABDUL LAWANG
59 0001960958417 NURLINDA
60 0001971405369 THOMAS
61 0002080479047 ERNITA
62 0002244239357 RICKY
63 0002244781653 FEDROZA
64 0001932290357 MILE
65 0001932296297 MARUKI
66 0001932288355 SITI ROHANAH
66 0002244781269 GERSIANA
66 0001932206365 MUSTIKA
66 0001932288366 ARIS
66 0002440262092 ELISYA
66 0001932288355 SITI ROHANAH
67 0002244781653 FEDROZA
68 0001931852597 SYAHRAN
69 0001932205184 NOORLITA
70 2/12/2019 0001926476493 KAMBANG
 71 0002452786727 NERIAH
72 0000889051972 NURIANA
73 0001932279726 PITO S
74 0000888943217 LIDIA
75 0002485009732 AIRIL
76 0001932277634 ERNI
77 0001932287038 SALASYAH
78 0000888989365 ZULPI AL ADHA
79 2/13/2019 0001932287062 SITI HAMRAH
80 0001960958417 NUR LINDAH
81 0002485009732 AIRIL
82 2/14/2019 0002198361677 HIDAYATUL
83 0001932281829 MUNO
84 0001932293046 GELORA
85 0001550458258 JUPRIANTO
86 0001931934227 JULIANDA
87 0000119578533 ENDANG
88 0002245958379 PABEY LISTIANTO
89 2/15/2019 0000887532783 WAHYU S
90 0002219974007 GEJA
91 2/16/2019 0000888927416 DIYAH
92 0002202944679 CELSA HISKIA
93 0002041585446 MICHEL
94 0000889053197 PRIYOGI
95 0001550458269 MURNIWATI
96 2/18/2019 0002449866183 KIMBERLY A
97 0002244776973 INDRI NATA
98 0002456937742 MELKY A
99 0001932283034 UBUT
100 0002244789551 ROBERTHA
101 0001932144366 ELIANA VIOLA
102 0002443352512 GWENN A
103 2/19/2019 0002448696824 AURA NABILA S
104 0001932276778 SUHARNO
105 0002465107154 SUROSO
106 0001932285677 LALA
107 0000888968428 RUSTINAWATI
108 0001932296297 MARUKI
109 0001922509372 HELVINA
110 0002444401664 REZAHADJUL
111 2/20/2019 0001926472138 DIRNAH
112 0002300735845 NGATENI
113 0002431445837 DEA FRILIA
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115 0001932129674 MARIA M
116 0001923012922 DIWAN
117 0001927944022 DWIKA
118 0001065219715 JULEHA
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120 0001932297401 DEVIN
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125 0001932296275 MARDI
126 0001932296286 MURNI
127 0002428171716 SIBI WULANDARI
128 0001922510485 TONI
129 0001231247586 ISMIRAWATI
130 0001932996692 MARISA DEWI
131 2/22/2019 0001926476662 H. NUHUNG
132 0001932291955 BAWING
133 0002195499407 SHAFIRA
134 0001922206444 MIKA OCHA
135 0002426780362 RUUT N
136 0002258997107 JELITA
137 0002427438262 NATASYA
138 2/23/2019 0000888970026 ELLA F
139 0001932281829 MUNA
140 0000888943217 LIDIA
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141 0001922509181 UNTUNG
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148 0001327884783 ERMINAH
149 0000888943217 LIDIA
150 0001932296692 MARISA
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153 0001932289446 CELSI
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157 0001932279805 RINGKAN
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167 0002457964067 ANETA
168 0000896310573 SRI MULYANI
169 0001930439765 JAHMINANSYAH
170 0002456107839 RIKE RATNASRI
171 0000119581582 ATHERIANI
172 0002258999537 MARDENI
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174 0002428173099 ANUGRAH
175 0002467713137 DIMAS F
176 0001932286498 BAMBANG
177 0001932207208 RIKA
178 0001932207219 MITHA A
179 00019322774719 ROBINSON
180 0001932288952 FITORIANI
181 0002441668836 JASLAN M.N
182 0001932280446 NURSAM
183 0002087142333 SANDRA O.P
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 Mengetahui
Kepala Puskesmas Datah Kotou

FILMANTO
NIP.19740217 199303 1 004
A (RJTP)

lan peserta Jamkes/BPJS Sehat

DIAGNOSA/GEJALA Di Rujuk KET TD BB/TB

(5) (6) (11)

DEMAM TYPOID 46,5kg/122cm
DEMAM TYPOID 110/70 mmHg 14,8kg/98cm
FEBRIS 8kg/72cm
GASTRO ENTERITIS 8,8kg/76cm
ISPA 8,1kg/70cm
BIPOLAR 110/70 mmHg 65kg/165cm
GASTRITIS 130/100 mmHg 42kg/145cm
DEMAM TYPOID 110/60 mmHg 46kg/150cm
DIARE 110/80 mmHg 52kg/155cm
FEBRIS 100/70 mmHg 59,9kg/156cm
HIPERTENSI 150/100 mmHg 69,7kg/157cm
ABSES 110/80 mmHg 52,1kg/153cm
CARIES GIGI 15,5kg/106cm
HIPERTENSI 170/120 mmHg 59,7kg/150cm
DIABETES MELITUS 130/100 mmHg 58,3kg/162cm
REMATOID ATRITIS 130/90 mmHg 59,5kg/152cm
C.COLD 100/70 mmHg 67,9kg/164cm
TONSILITIS 11/90 mmHg 56,4kg/160cm
POST HEACTING 26,7kg/134cm
GASTRITIS 130/70 mmHg 58,9kg/164cm
CHF 120/90 mmHg 42,2kg/154cm
DIABETES MELITUS 90/70 mmHg 59,6kg/156cm
HIPERTENSI 170/100 mmHg 58,7kg/154cm
ISPA 110/80 mmHg 73,9kg/165cm
GASTRITIS 130/90 mmHg 55,3kg/150cm
CARIES DENTIS 100/60 mmHg 46,4kg/156cm
ISPA 6,8kg/68cm
KLL 16,4kg/118cm
GOUT 110/80 mmHg 64,5kg/163cm
HIPERTENSI 160/100 mmHg 70kg/156cm
ISPA 25,4kg/115cm
HIPERTENSI 140/100 mmHg 58,4kg/162cm
GASTRITIS 100/70 mmHg 46,6kg/148cm
LBP 110/70 mmHg 76,7kg/167cm
TONSILITIS 100/70 mmHg 58,6kg/154cm
ISPA 9,2kg/73cm
LBP 90/60 mmHg 54kg/156cm
FEBRIS 18,5kg/113cm
KONSTIPASI 19,7kg/118cm
ISPA 4,7kg/64cm
HEMOROID 130/80 mmHg 64,2kg/154cm
ISPA 110/80 mmHg 67kg/156cm
FEBRIS 120/80 mmHg 76,2kg/160cm
ISPA 24,4kg/123cm
DIARE 8,8kg/78cm
ISPA 160/100 mmHg 45kg/142cm
GASTRITIS 90/60 mmHg 46,7kg/148cm
DEMAM TYPOID 25,7kg/118cm
FURUNKEL 130/80 mmHg 52,1kg/156cm
FEBRIS 13,4kg/100cm
FEBRIS 110/80 mmHg 53,4kg/150cm
ALERGI 110/70 mmHg 52kg/158cm
ISPA 23kg/115cm
ISPA 10kg/75cm
C.COLD 120/90 mmHg 59,9kg/158cm
SKIZOPRENIA 110/70 mmHg 52,2kg/150cm
REMATOID ATRITIS 170/90 mmHg 95,3kg/156cm
KONJUNGTIVITIS + C.COLD 100/60 mmHg 58,3kg/160cm
PERSISTENSI GIGI 24kg/118cm
GASTRITIS 100/70 mmHg 74kg/164cm
GASTRITIS 120/80 mmHg 52kg/148cm
ISPA 110/70 mmHg 56kg/158cm
ISPA 14,7kg/108cm
ISPA 100/70 mmHg 60kg/150cm
DIABETES MELITUS 140/100 mmHg 59kg/157cm
URTIKARIA 110/80 mmHg 40,7kg/153cm
ISPA 110/70 mmHg 49kg/152cm
GASTRITIS 110/80 mmHg 62,4kg/164cm
GASTRITIS + ISPA 33kg/123cm
ASMA 9,6kg/82cm
SUSP. KISTA OVARIUM RUJUKAN
SUSP. TB PARU RUJUKAN
GANGREN RADIKS GIGI 36 RUJUKAN
SUSP. TINITUS RUJUKAN
140/100 mmHg 40,1kg/147cm
GINGIVITIS 8,1kg/88cm
GASTRITIS 130/90 mmHg 53,1kg/148cm
MIALGIA 19,1kg/107cm
KLL 37,5kg/136cm
DISENTRI 110/70 mmHg 51,8kg/150cm
GASTRITIS 100/70 mmHg 48,6kg/150cm
CARIES DENTIS 100/60 mmHg 55,1kg/149cm
GASTRO ENTERITIS 17,6kg/114cm
CHEPALGIA 100/60 mmHg 46,3kg/145cm
PERSISTENSI GIGI 61 18,3kg/118cm
ANOREXIA 120/70 mmHg 52kg/150cm
BIPOLAR 110/80 mmHg 65kg/165cm
ANEMIA 100/60 mmHg 51,8kg/153cm
KONJUNGTIVITIS 110/70 mmHg 56,3kg/160cm
GASTRITIS 140/110 mmHg 61kg/160cm
RESORBSI FISIOLOGIS GIGI 51 17,3kg/120cm
HIPERTENSI 160/110 mmHg 56,3kg/154cm
ISPA 100/60 mmHg 73,7kg/164cm
OTITIS MEDIA 26,2kg/132cm
EPISTAKSIS 20,8kg/122cm
SUSP. ASMA BRONCHIAL 110/70 mmHg 43,8kg/148cm
TONSILITIS 30kg/123cm
C.COLD 26,1kg/122cm
ANOREXIA 100/70 mmHg 53kg/154cm
HIPERCHOLESTEROL 110/70 mmHg 50kg/154cm
ISPA 9kg/68cm
FEBRIS 36kg/124cm
ISPA 9,7kg/70cm
DIABETES MELITUS 100/70 mmHg 54kg/151cm
POST OP 100/80 mmHg 65kg/142cm
ALERGI 13,3kg/98cm
ISPA 11,4kg/84cm
GATRO ENTERITIS 47kg/135cm
ABSES 100/60 mmHg 52kg/158cm
ABSES 110/70 mmHg 63kg/163cm
KLL 45kg/147cm
GASTRITIS 130/100 mmHg 49,9kg/146cm
DIABETES MELITUS 110/70 mmHg 59kg/160cm
GASTRITIS 120/70 mmHg 65kg/159cm
ISPA 14kg/97cm
GASTRITIS 110/70 mmHg 47kg/150cm
HIPERCHOLESTEROL 120/80 mmHg 62,8kg/159cm
ISPA 9kg/85cm
ISPA 100/70 mmHg 48,8kg/146cm
ISPA 12,6kg/93cm
GASTRITIS 120/80 mmHg 79kg/166cm
ISPA 33,7kg/127cm
ISPA 100/70 mmHg 36,2kg/140 cm
TINE CAPITIS 17,4kg/119cm
SUSP. DEMAM TYPOID 27,8kg/126cm
SUSP. LBP 110/60 mmHg 49,2kg/152cm
ISPA 120/80 mmHg 49,7kg/147cn
GASTRITIS 130/90 mmHg 59,2kg/155cm
HIPERTENSI 180/100 mmHg 58kg/154cm
KLL 110/80 mmHg 64,5kg/161cm
GASTRITIS 120/90 mmHg 54,3kg/150cm
TONSILITIS 120/80 mmHg 89,3kg/158cm
REMATOID ATRITIS 120/90 mmHg 58,5kg/162cm
HIPERTENSI 150/110 mmHg 45,7kg/148cm
GASTRITIS 45kg/132cm
HIPERTENSI 180/110 mmHg 71kg/165cm
DIABETES MELITUS 110/70 mmHg 56,8kg/157cm
ABSES PERIAPIKAL 24kg/120cm
ISPA 15kg/105cm
ISPA 9,6kg/95cm
ISPA 100/60 mmHg 48,8kg/150cm
ISPA 10,3kg/98cm
TONSILITIS 32,4kg/128cm
GASTRITIS 90/70 mmHg 51,2kg/154cm
ALERGI 32,5kg/128cm
ISPA 17,6/1116cm
ALERGI 110/90 mmHg 58kg160cm
ALERGI 27kg/130cm
ALERGI 120/70 mmHg 63,4kg/159cm
GASTRITIS 120/80 mmHg 44,2kg/146cm
GASTRO ENTERITIS 100/70 mmHf 53kg/155cm
SUSP LBP 100/60 mmHg 50kg/156cm
HIPERTENSI 160/100 mmHg 58,6kg/146cm
GASTRITIS 130/90 mmHg 50,5kg/154cm
ISPA 130/80 mmHg 45kg/145cm
GASTRITIS 100/70 mmHg 67,5kg/154cm
ISPA 130/90 mmHg 71kg/160 cm
PERSISTENSI GIGI 71 17,6kg/118cm
ASMA 160/120 mmHg 60kg/156cm
ALERGI 39kg/128cm
SUSP. DEMAM TYPOID 45kg/134cm
ISPA 110/70 mmHg 58,7kg/160 cm
ISPA 13kg/106cm
SUSP. DEMAM TYPOID 23kg/125cm
ISPA 35kg/128cm
ISPA 12,1kg/88cm
GASTRO ENTERITIS 100/60 mmHg 50kg/153cm
ISPA 120/80 mmHg 48kg/154cm
ISPA 120/70 mmHg 56,7kg/152cm
ALERGI 37kg/138cm
ISPA 110/90 mmHg 60kg/155cm
ALERGI 12,3kg/94cm
GASTRITIS 120/70 mmHg 56,7kg/150cm
GASTRITIS 110/70 mmHg 52,4kg/152cm
ANOREXIA 130/90 mmHg 46,5kg/172cm
GASTRO ENTERITIS 10,7kg/90cm
ISPA 8,2kg/86cm
ISPA 140/90 mmHg 40kg/147cm
SUSP. KISTA OVARIUM 110/80 mmHg 51kg/148cm
ISPA 130/90 mmHg 56kg/152cm
GASTRITIS 100/60 mmHg 53,1kg/148cm
DIABETES MELITUS 110/70 mmHg 55,8kg/146cm
ABSES 100/60 mmHg 46,5kg/149cm
ALERGI KULIT 12,4kg/94cm
ISPA 19,5kg/118cm
VARICELLA + STOMATITIS 10,4kg/92cm
CEPHALGIA 100/60 mmHg 58,3kg/159cm
CEPHALGIA 130/90 mmHg 54,2kg/152cm
C.COLD 27,6kg/124cm
ANEMIA 90/70 mmHg 50,8kg/147cm
FARINGITIS 100/80 mmHg 80,8kg/164cm
ISPA 10,8kg/89cm
MIALGIA 100/80 mmHg 76,2kg/165cm
ISPA 16kg/93cm
 Datah Kotou, 28 Februari
Bendahara Dana Kapitasi JKN
Puskesmas Datah Kotou

LIAH AGUSTIN,A.MKG
NIP 19890829 201101 2 007
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