BLN Juli-Sept 2017

<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>
Periode : 01-07-2017 s/d 30-09-2017<br>Kode Unit = 01<br>

<table class='grid' border='1'>
<tr>
<th>Kode Penyakit</th>
<th>Nama Diagnosis</th>
<th>ICDX</th>
<th>No.<br>Registrasi</th>
<th>No.Index</th>
<th>Tanggal</th>
<th>Nama</th>
<th>NamaKK</th>
<th>Pekerjaan</th>
<th>Alamat</th>
<th>Dusun</th>
<th>Desa</th>
<th>Tempat Periksa</th>
<th>Petugas Medis</th>
<th>Perawat Bidan</th>
<th>JK</th>
<th>Kelompok<br>Umur</th>
<th>Pengirim</th>
<th>Kunjungan</th>
<th>Jenis<br>Pasien</th>
<th>Tindak<br>Lanjut</th>
<th>Hari</th>
<th>Bulan</th>
<th>Tahun</th>
<th>Unit</th>
<th>Poli Rujuk</th>
<th>Rumah Sakit</th>
<th>Wilayah</th>
<th>Kartu Sehat</th>
<th>NIK</th>
<th>Systole</th>
<th>Diastole</th>
</tr><tr><td align='right'>R50.9</td><td>Fever,
unspecified</td><td></td><td align='right'>38161</td><td
align='right'>80109729</td><td>01-07-2017</td><td>AMELINDA CINDI L</td><td>DWI
SUTOPO</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT
02/02</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td> - </td><td>P</td><td>10-14
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
align='right'>8</td><td align='right'>0</td><td align='right'>13</td><td>BP.
Umum</td><td></td><td></td><td>Dalam
Wilayah</td><td>'</td><td>'</td><td></td><td></td></tr><tr><td
align='right'>A15.2</td><td>Tuberculosis of lung, confirmed
histologically</td><td></td><td align='right'>38160</td><td
align='right'>80106457</td><td>01-07-
2017</td><td>ARDIAN</td><td>AGUS</td><td>PELAJAR/MAHASISWA</td><td>DEMANGAN RT 03
RW 03</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td> - </td><td>L</td><td>5-9
Thn.</td><td>Keluarga</td><td>Lama</td><td>GRATIS (TB
PARU,KUSTA)</td><td>Rajal</td><td align='right'>19</td><td align='right'>5</td><td
align='right'>8</td><td>BP. Umum</td><td></td><td></td><td>Dalam
Wilayah</td><td>'</td><td>'3312082001090001</td><td></td><td></td></tr><tr><td
align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80109720</td><td>01-07-
2017</td><td>BUDI</td><td>BUDI</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT
02/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td> - </td><td>L</td><td>55-59
align='right'>H10.8</td><td>Other conjunctivitis</td><td></td><td
align='right'>38137</td><td align='right'>80109719</td><td>01-07-2017</td><td>DWI
AGUS SETIAWAN</td><td>DWI AGUS SETIAWAN</td><td>PETANI/PEKEBUN</td><td>SURU
KULON</td><td>Suru Kulon</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>I50.0</td><td>Congestive heart failure</td><td></td><td
align='right'>38153</td><td align='right'>80200325</td><td>01-07-2017</td><td>HARTO
SUWITO</td><td>HARTO SUWITO</td><td>PETANI/PEKEBUN</td><td>NGEPOH RT 01 RW
09</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>TRIYOKO</td><td>L</td><td>>70
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI DITANGGUNG
PEMERINTAH</td><td>Rujuk</td><td align='right'>5</td><td align='right'>2</td><td
align='right'>71</td><td>BP. Umum</td><td>Poli Penyakit Dalam</td><td>RS DR SUDIRO
MANGUN SUMARSO</td><td>Dalam
Wilayah</td><td>'0002001836834</td><td>'3312082604460001</td><td></td><td></td></tr
><tr><td align='right'>I64</td><td>Stroke, not specified as haemorrhage or
infarction</td><td></td><td align='right'>38156</td><td
align='right'>80108665</td><td>01-07-
2017</td><td>KASIKEM</td><td>TINO</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN
KULON RT 01 RW 02</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>P</td><td>55-59
Thn.</td><td>Keluarga</td><td>Lama</td><td>ASKES</td><td>Rajal</td><td
Wilayah</td><td>'0000089606529</td><td>'</td><td></td><td></td></tr><tr><td
align='right'>H02.8</td><td>Other specified disorders of eyelid</td><td></td><td
align='right'>38154</td><td align='right'>80109726</td><td>01-07-
2017</td><td>NABILLA DINDA
PERMATASARI</td><td>HARYONO</td><td>PELAJAR/MAHASISWA</td><td>GENDENG RT 01 RW
02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>TRIYOKO</td><td>P</td><td>15-19
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI DITANGGUNG
align='right'>16</td><td>BP. Umum</td><td>Poli Mata</td><td>RS DR SUDIRO MANGUN
SUMARSO</td><td>Dalam
align='right'>K05.4</td><td>Periodontosis</td><td></td><td
2017</td><td>NARNI</td><td>LARNO</td><td>PETANI/PEKEBUN</td><td>GENUKHARJO</td><td>
Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>TRIYOKO</td><td>P</td><td>45-54
Umum</td><td></td><td></td><td>Luar
align='right'>R33</td><td>Retention of urine</td><td></td><td
2017</td><td>PARNO</td><td>PARNO</td><td>PETANI/PEKEBUN</td><td>SECANG
LOR</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td> - </td><td>L</td><td>>70
align='right'>S00.0</td><td>Superficial injury of scalp</td><td></td><td
align='right'>38162</td><td align='right'>80109730</td><td>01-07-2017</td><td>SIGIT
HARYADI</td><td>SIGIT HARYADI</td><td>KARYAWAN SWASTA</td><td>GABELAN KIDUL RT
02/05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td> - </td><td>L</td><td>20-44
align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>SLAMET RIYANTI</td><td>TARKUM</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBER RT 02 RW
01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
PEMERINTAH</td><td>Rajal</td><td align='right'>13</td><td align='right'>5</td><td
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td
align='right'>38165</td><td align='right'>80100295</td><td>01-07-2017</td><td>SRI
LESTARI</td><td>RAHMAD BASUKI</td><td>PETANI/PEKEBUN</td><td>SENGON RT 02 RW
01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'0001675864034</td><td>'331208521280001</td><td>150</td><td>90</td>
</tr><tr><td align='right'>G81.9</td><td>Hemiplegia, unspecified</td><td></td><td
2017</td><td>SUMARNI</td><td>KATIJAN</td><td>MENGURUS RUMAH TANGGA</td><td>BAWUH RT
03/01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td> - </td><td>P</td><td>55-59
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS MANDIRI</td><td>Rujuk</td><td
Umum</td><td>Poli Syaraf</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>C83.2</td><td>Mixed small and large cell (diffuse) non-Hodgkin's
lymphoma</td><td></td><td align='right'>38158</td><td
align='right'>80103997</td><td>01-07-
2017</td><td>TARTI</td><td>TUKIRIN</td><td>MENGURUS RUMAH
TANGGA</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
align='right'>42</td><td>BP. Umum</td><td>Poli Bedah</td><td>RS DR SUDIRO MANGUN
><tr><td align='right'>E78.5</td><td>Hyperlipidaemia, unspecified</td><td></td><td
2017</td><td>TUKINI</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jam
be</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td> - </td><td>P</td><td>45-54
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS MANDIRI</td><td>Rajal</td><td
Wilayah</td><td>'0001889966621</td><td>'</td><td>130</td><td>80</td></tr><tr><td
align='right'>Z00.0</td><td>General medical examination</td><td></td><td
align='right'>38184</td><td align='right'>80109744</td><td>03-07-2017</td><td>AGUNG
WIBOWO</td><td>TUHIR</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 03 RW
02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td> - </td><td>L</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
align='right'>38245</td><td align='right'>80102870</td><td>03-07-2017</td><td>ALYA
FADILLAH</td><td>SUGIYARTO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><td>Blimb
ing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
DITANGGUNG PEMERINTAH</td><td>Rajal</td><td align='right'>26</td><td
align='right'>10</td><td align='right'>9</td><td>BP.
align='right'>80105181</td><td>03-07-
2017</td><td>AMANDA</td><td>SULISTIANTO</td><td>KONSTRUKSI</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>PKD
Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>1-4
align='right'>R05</td><td>Cough</td><td></td><td align='right'>38223</td><td
align='right'>80104762</td><td>03-07-2017</td><td>BAGUS DWI
SAPUTRO</td><td>WALUYO</td><td></td><td>BUNTALAN KULON</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>5-9
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
align='right'>E11.7</td><td>Non-insulin-dependent diabetes mellitus with multiple
complications</td><td></td><td align='right'>38177</td><td
align='right'>80104544</td><td>03-07-
2017</td><td>BAKRI</td><td>BAKRI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 03
RW 5</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>F20.8</td><td>Other schizophrenia</td><td></td><td
2017</td><td>BUDIHARSO</td><td>BUDIHARSO</td><td>PETANI/PEKEBUN</td><td>GEDONG RT
01 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
2017</td><td>CHANDRA SURYAWAN</td><td>PARTO</td><td>KONSTRUKSI</td><td>NGLOROK RT
02 RW 05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Budi
align='right'>L70.8</td><td>Other acne</td><td></td><td align='right'>38255</td><td
align='right'>80107610</td><td>03-07-
2017</td><td>DANI</td><td>KASTO</td><td>PELAJAR/MAHASISWA</td><td>MOJOSARI RT 02 RW
08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'0002001831862</td><td>'33120808010001</td><td></td><td></td></tr><
tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
2017</td><td>DARSONO</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN WETAN
RT 01 RW 01</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
PEMERINTAH</td><td>Rajal</td><td align='right'>2</td><td align='right'></td><td
><tr><td align='right'>R13</td><td>Dysphagia</td><td></td><td
2017</td><td>DARYATI</td><td>MULYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>CEMANGKAH KIDUL</td><td>Cemangkah
Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
align='right'>38213</td><td align='right'>80108240</td><td>03-07-2017</td><td>DIAH
TRI ANJANI</td><td>SUMARYANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 05
RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td> - </td><td>P</td><td>5-9
><tr><td align='right'>Z00.0</td><td>General medical examination</td><td></td><td
align='right'>38283</td><td align='right'>80109782</td><td>03-07-2017</td><td>EKI
NURNITA RUSNIAWATI</td><td>RUSDI</td><td>WIRASWASTA</td><td>TALANG RT 04 RW
06</td><td>Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80300169</td><td>03-07-
2017</td><td>ETA</td><td>GUNAWAN</td><td>PELAJAR/MAHASISWA</td><td>GEDONG RT 01 RE
07</td><td>Gedong</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>10-14
align='right'></td><td align='right'></td><td align='right'>10</td><td>BP.
2017</td><td>GIYEM</td><td>GIYEM</td><td>PETANI/PEKEBUN</td><td>SUMBER
RT01/01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'0000566859734</td><td>'3312084107550001</td><td>190</td><td>100</t
d></tr><tr><td align='right'>H25.8</td><td>Other senile cataract</td><td></td><td
align='right'>38239</td><td align='right'>80109765</td><td>03-07-2017</td><td>HADI
KASMONO</td><td>HADI KASMONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 04 RW
07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td> - </td><td>L</td><td>>70
align='right'>S72.9</td><td>Fracture of femur, part unspecified</td><td></td><td
align='right'>38293</td><td align='right'>80109784</td><td>03-07-2017</td><td>HANIF
AYUB AHFAITAR</td><td>SUKARMAN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT
04/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td> - </td><td>L</td><td>10-14
Umum</td><td>Poli Bedah</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>D50.9</td><td>Iron deficiency anaemia, unspecified</td><td></td><td
2017</td><td>JUMIYEM</td><td>JUMIYEM</td><td>MENGURUS
RUMAH TANGGA</td><td>BANARAN</td><td> Kec. Praci</td><td>KEC.
PRACI</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
align='right'>Z30.5</td><td>Surveillance of (intrauterine) contraceptive
device</td><td></td><td align='right'>38371</td><td
align='right'>80103125</td><td>03-07-
2017</td><td>KARNI</td><td>WIJAYADI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
RT 04 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
PEMERINTAH</td><td>Rajal</td><td align='right'></td><td align='right'>11</td><td
><tr><td align='right'>J01.9</td><td>Acute sinusitis, unspecified</td><td></td><td
2017</td><td>KATINAH</td><td>MARYOTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td> - </td><td>P</td><td>>70
align='right'>80101486</td><td>03-07-
2017</td><td>KATIYEM</td><td>WARNO</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN RT
05 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
tr><td align='right'>I77.6</td><td>Arteritis, unspecified</td><td></td><td
2017</td><td>LAGIYEM</td><td>TIYO</td><td>PETANI/PEKEBUN</td><td>BERO</td><td>Bero<
/td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>60-69
Wilayah</td><td>'</td><td>'</td><td>120</td><td>90</td></tr><tr><td
align='right'>M79.2</td><td>Neuralgia and neuritis, unspecified</td><td></td><td
2017</td><td>LASINEM</td><td>MARTONO</td><td>PETANI/PEKEBUN</td><td>BERO RT
01/08</td><td>Bero</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Wilayah</td><td>'</td><td>'3312085410520001</td><td>100</td><td>80</td></tr><tr><td
align='right'>80109745</td><td>03-07-2017</td><td>LESTARI SUTARTI</td><td>LESTARI
SUTARTI</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER WATU RT 02 RW
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td> - </td><td>P</td><td>20-44
2017</td><td>M.AKBAR</td><td>SUNYOTO</td><td></td><td>BLIMBING</td><td>Blimbing</td
><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>10-14
align='right'>B86</td><td>Scabies</td><td></td><td align='right'>38369</td><td
align='right'>80500255</td><td>03-07-
2017</td><td>MARIYANTI</td><td>RUMIDI</td><td></td><td>NGADIREJO</td><td>Ngadirejo<
/td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>20-44
align='right'>N10</td><td>Acute tubulo-interstitial nephritis</td><td></td><td
2017</td><td>MARTONO</td><td>MARTONO</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 01
RW 03</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>85</td><td>BP. Umum</td><td>Poli Bedah</td><td>RSU MULIA
HATI</td><td>Dalam
Wilayah</td><td>'0000567157397</td><td>'3312080205320001</td><td>150</td><td>90</td
></tr><tr><td align='right'>H90.0</td><td>Conductive hearing loss,
bilateral</td><td></td><td align='right'>38170</td><td
align='right'>80109736</td><td>03-07-
2017</td><td>MARYOTO</td><td>MARYOTO</td><td>PETANI/PEKEBUN</td><td>SECANG LOR RT
03 RW 05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>>70
align='right'>72</td><td>BP. Umum</td><td>Poli THT</td><td>RS DR SUDIRO MANGUN
></tr><tr><td align='right'>T78.4</td><td>Allergy, unspecified</td><td></td><td
2017</td><td>MISIYEM</td><td>MISIYEM</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
WETAN</td><td>Songputri Wetan</td><td>Sindukarto</td><td>PUSTU
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>P</td><td>60-69
align='right'>80101299</td><td>03-07-
2017</td><td>MULYADI</td><td>MULYADI</td><td>WIRASWASTA</td><td>SUMBERWATU RT 01 RW
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>MUSIYEM</td><td>MUSIYEM</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN
RT 06 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>>70
align='right'>K02.1</td><td>Caries of dentine</td><td></td><td
2017</td><td>NARNI</td><td>SURANTO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMPANG RT
01 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td>Hesti Wiji Utami</td><td>P</td><td>20-44
></tr><tr><td align='right'>K74.6</td><td>Other and unspecified cirrhosis of
liver</td><td></td><td align='right'>38215</td><td
align='right'>80200901</td><td>03-07-
2017</td><td>NGADNAN</td><td>NGADNAN</td><td>WIRASWASTA</td><td>PLUMBON</td><td>Plu
mbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td> - </td><td>L</td><td>>70
align='right'>R53</td><td>Malaise and fatigue</td><td></td><td
2017</td><td>PAINO</td><td>PAINO</td><td>WIRASWASTA</td><td>TLISING RT 02 RW
03</td><td>Tlising</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>R51</td><td>Headache</td><td></td><td align='right'>38197</td><td
align='right'>80109721</td><td>03-07-
2017</td><td>PARTI</td><td>SAGIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT
01/06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>K30</td><td>Dyspepsia</td><td></td><td align='right'>38243</td><td
align='right'>80109768</td><td>03-07-
2017</td><td>PONIYEM</td><td>SAMIDI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas
align='right'>F20.8</td><td>Other schizophrenia</td><td></td><td
2017</td><td>PONIYEM</td><td>KATNO</td><td>PETANI/PEKEBUN</td><td>DUNGUPIT</td><td>
Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>PRASTYAN WICAKSONO</td><td>SUPRAPTO</td><td>WIRASWASTA</td><td>TUKUL
RT 01 RW 05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
align='right'>J34.0</td><td>Abscess, furuncle and carbuncle of
nose</td><td></td><td align='right'>38294</td><td
align='right'>80106163</td><td>03-07-
2017</td><td>RADINEM</td><td>LASINO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'0001091858229</td><td>'331208490960001</td><td></td><td></td></tr>
<tr><td align='right'>H02.1</td><td>Ectropion of eyelid</td><td></td><td
2017</td><td>RAHMADI</td><td>TARJO</td><td>WIRASWASTA</td><td>NGLOROK 01
05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Atmoko</td><td>L</td><td>20-44
Umum</td><td>Poli Mata</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
</tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80300071</td><td>03-07-
2017</td><td>SAIKEM</td><td>RIYADI</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RE
p</td><td> - </td><td>P</td><td>0-7 hari</td><td>Keluarga</td><td>Lama</td><td>BPJS
PBI DITANGGUNG PEMERINTAH</td><td>Rajal</td><td align='right'>0</td><td
align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
2017</td><td>SAMIN</td><td>SAMIN</td><td>PETANI/PEKEBUN</td><td>SERUT
RT01/04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80103099</td><td>03-07-
2017</td><td>SANTINI</td><td>PARTO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROK
RT02/05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Budi
<tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80102762</td><td>03-07-
2017</td><td>SARIYEM</td><td>WAGIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>MANDEYAN</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas
Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>60-69
2017</td><td>SATIJEM</td><td>SUGIYATNO</td><td>PEDAGANG</td><td>SUMBER</td><td>Sumb
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
align='right'>80109740</td><td>03-07-2017</td><td>SETIA
WULANDARI</td><td>WINARTO</td><td>WIRASWASTA</td><td>BALEHARJO RT 01
RW01</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>J01.8</td><td>Other acute sinusitis</td><td></td><td
align='right'>38208</td><td align='right'>80700083</td><td>03-07-2017</td><td>SITI
PATIMAH</td><td>YONO</td><td>MENGURUS RUMAH TANGGA</td><td>BAWUH RT 01RW
01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
PEMERINTAH</td><td>Rujuk</td><td align='right'>13</td><td align='right'></td><td
align='right'>6</td><td>BP. Umum</td><td>Poli Anak</td><td>RS DR SUDIRO MANGUN
tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
align='right'>38235</td><td align='right'>80109762</td><td>03-07-2017</td><td>SONY
WIRAWAN</td><td>SUGIYARSO</td><td>PELAJAR/MAHASISWA</td><td>GENDENG RT 01 RW
02</td><td></td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td> - </td><td>L</td><td>10-14
Thn.</td><td>Keluarga</td><td>Baru</td><td>ASKES</td><td>Rajal</td><td
2017</td><td>SRINI</td><td>SOMOREJO</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
WETAN</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>P</td><td>>70
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS MANDIRI</td><td>Rajal</td><td
2017</td><td>SRIYONO</td><td>WAGIMAN</td><td>WIRASWASTA</td><td>MANDEYAN RT 01 RW
01</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>J34.0</td><td>Abscess, furuncle and carbuncle of
align='right'>80108912</td><td>03-07-2017</td><td>SUGIYANTI</td><td>BAMBANG
SUJOKO</td><td>MENGURUS RUMAH TANGGA</td><td>MANDEYAN RT 03 RW
2017</td><td>SULASTRI</td><td>SUWOTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 02 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
<tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>SUMINAH</td><td>SUMINAH</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
align='right'>80109748</td><td>03-07-
2017</td><td>SUPRIYADI</td><td>SUPRIYADI</td><td>WIRASWASTA</td><td>TANJUNG</td><td
>Tanjung</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>L23.0</td><td>Allergic contact dermatitis due to
metals</td><td></td><td align='right'>38268</td><td
align='right'>80107174</td><td>03-07-
2017</td><td>SUTAMI</td><td>SAMI/PURWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>SERUT RT 01 RW
04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>55</td><td>BP. Umum</td><td>Poli Kulit Kelamin</td><td>RS DR SUDIRO
></tr><tr><td align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus
without complications</td><td></td><td align='right'>38219</td><td
align='right'>80100415</td><td>03-07-
2017</td><td>SUTARMI</td><td>SUMARNO</td><td>PENSIUNAN</td><td>GENDENG
RT01/02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td> - </td><td>P</td><td>>70
align='right'>H01.9</td><td>Inflammation of eyelid, unspecified</td><td></td><td
2017</td><td>SUWITOREJO</td><td>SUWITOREJO</td><td>PETANI/PEKEBUN</td><td>SERUT</td
><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>38222</td><td align='right'>80100989</td><td>03-07-2017</td><td>TRI
DIANNINGSIH</td><td>RUDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO KULON RT 01
RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>R05</td><td>Cough</td><td></td><td
2017</td><td>TUGIMAN</td><td>TUGIMAN</td><td>PETANI/PEKEBUN</td><td>BLUTAK RT 07 RW
02</td><td>Blutak</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
2017</td><td>TUKIYEM</td><td>KARNO</td><td>MENGURUS RUMAH TANGGA</td><td>KWENI REJO
RT 02 RW 06</td><td>Kwenirejo</td><td>Sindukarto</td><td>Puskesmas
Induk</td><td></td><td> - </td><td>P</td><td>60-69
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td></td><td
align='right'>K11.2</td><td>Sialoadenitis</td><td></td><td
2017</td><td>TUMIKEM</td><td>WASDI</td><td>MENGURUS RUMAH TANGGA</td><td>KLAMPEYAN
RT 02 RW 04</td><td>Klampeyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
></tr><tr><td align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td
2017</td><td>TUMIYO</td><td>TUMIYO</td><td>KARYAWAN
SWASTA</td><td>BAKALAN</td><td>Bakalan</td><td>Minggarharjo</td><td>Puskesmas
Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>45-54
align='right'>F20.0</td><td>Paranoid schizophrenia</td><td></td><td
2017</td><td>VEBRIANTO</td><td>MESRAN</td><td>PELAJAR/MAHASISWA</td><td>PULO RT 02
RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Jiwa</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
></tr><tr><td align='right'>K12.1</td><td>Other forms of
stomatitis</td><td></td><td align='right'>38232</td><td
align='right'>80106267</td><td>03-07-
2017</td><td>WAGIMAN</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT 02
RW 03</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>38217</td><td align='right'>80109755</td><td>03-07-2017</td><td>WAHYU
FITRIYANI</td><td>WARNO</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 05 RW
03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td
2017</td><td>WARDIYATI</td><td>WARDIYATI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGUNGGAHAN RT 01 RW
01</td><td>Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
Purwati</td><td>Alriyadita win p</td><td>P</td><td>55-59
align='right'>80200052</td><td>03-07-
2017</td><td>WARIKEM</td><td>WARIKEM</td><td></td><td>NGLEMPUNG</td><td>Nglempung</
td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>>70
align='right'>J01.1</td><td>Acute frontal sinusitis</td><td></td><td
2017</td><td>WARSI</td><td>MISDI</td><td>PETANI/PEKEBUN</td><td>BERO</td><td>Bero</
td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td>Sri Sularsih</td><td>P</td><td>20-44
</tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>WIRYANI</td><td>WIRYONO</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>L</td><td>>70
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td
2017</td><td>WIYARNI</td><td>SUGIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN
RT 01 RW 05</td><td>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>P</td><td>20-44
align='right'>17</td><td align='right'></td><td align='right'>44</td><td>BP.
align='right'>80101841</td><td>04-07-
2017</td><td>AGUNG</td><td>SUGIMAN</td><td>PELAJAR/MAHASISWA</td><td>TILENG RT 02
RW 02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td
2017</td><td>ANDINI DYAH</td><td>KATINO</td><td>PELAJAR/MAHASISWA</td><td>SECANG
KIDUL</td><td>Secang Kidul</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
Purwati</td><td> - </td><td>P</td><td>0-7
hari</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
align='right'>R07.1</td><td>Chest pain on breathing</td><td></td><td
2017</td><td>DARMI</td><td>TUGIMIN</td><td>KARYAWAN
SWASTA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80101920</td><td>04-07-
2017</td><td>DARSI</td><td>HANANTO</td><td>PEDAGANG</td><td>SENGON</td><td>Sengon</
td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
MANDIRI</td><td>Rajal</td><td align='right'>4</td><td align='right'>6</td><td
><tr><td align='right'>R07.4</td><td>Chest pain, unspecified</td><td></td><td
2017</td><td>DARSINI</td><td>DARSINI</td><td>PENSIUNAN</td><td>BAKALAN</td><td>Baka
lan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
lan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>L30.8</td><td>Other specified dermatitis</td><td></td><td
2017</td><td>DEWANGGA D S</td><td>SADINO</td><td>PELAJAR/MAHASISWA</td><td>GEDONG
RT 01 RE 07</td><td>Gedong</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita
win p</td><td> - </td><td>L</td><td>5-9
align='right'>80104034</td><td>04-07-
2017</td><td>DIRAN</td><td>DIRAN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo</
td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>45-54
align='right'>4</td><td
align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus without
align='right'>80109372</td><td>04-07-2017</td><td>EDY PURWANTO</td><td>EDY
PURWANTO</td><td>WIRASWASTA</td><td>BLIMBING RT 02 RW
04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
></tr><tr><td align='right'>R05</td><td>Cough</td><td></td><td
align='right'>38385</td><td align='right'>80900355</td><td>04-07-2017</td><td>FITRI
NURYANI</td><td>TAUFIK</td><td>MENGURUS RUMAH
TANGGA</td><td>KWANGSAN</td><td>Kwangsan</td><td>Panekan</td><td>PKD & PUSTU
Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td>20-44
align='right'>80101042</td><td>04-07-2017</td><td>GADING TRIYOGA</td><td>JOKO
PURWANTO</td><td>LAINNYA</td><td>EROMOKO KULON</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'></td><td align='right'>5</td><td>BP.
align='right'>38381</td><td align='right'>80900352</td><td>04-07-2017</td><td>GALIH
HARIMUKTI</td><td>YULIANTO</td><td>KONSTRUKSI</td><td>KWANGSAN</td><td>Kwangsan</td
><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80300195</td><td>04-07-2017</td><td>IKBAR
SYAPUTRA</td><td>SADINO</td><td>WIRASWASTA</td><td>GEDONG RT 01 RE
p</td><td> - </td><td>L</td><td>20-44
align='right'>80109469</td><td>04-07-2017</td><td>JOKO UNTORO</td><td>JOKO
UNTORO</td><td>WIRASWASTA</td><td>POJOK RT 03 RW
06</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS MANDIRI</td><td>Rujuk</td><td
align='right'></td><td align='right'>4</td><td align='right'>32</td><td>BP.
Umum</td><td>Poli Penyakit Dalam</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
><tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>JUMANTI</td><td>PARMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOROK</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU
align='right'>80101817</td><td>04-07-
2017</td><td>KARMIN</td><td>KARMIN</td><td>KARYAWAN SWASTA</td><td>CEMANGKAH KIDUL
RT 02 RW 07</td><td>Cemangkah Kidul</td><td>Sindukarto</td><td>Puskesmas
align='right'>80108195</td><td>04-07-
2017</td><td>KATIKEM</td><td>KATIKEM</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROK
RT 02 RW 05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
Sularsih</td><td> - </td><td>P</td><td>55-59
<tr><td align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td
2017</td><td>KATINEM</td><td>KATINEM</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>K81.8</td><td>Other cholecystitis</td><td></td><td
2017</td><td>KATIYEM</td><td>KATIYEM</td><td>PEDAGANG</td><td>NGLOKO RT 01 RW
03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80900276</td><td>04-07-
2017</td><td>KATNI</td><td>KASNO</td><td>PETANI/PEKEBUN</td><td>NGLOROK RT 02 RW
05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>LESTARI</td><td>KATIJO</td><td>PETANI/PEKEBUN</td><td>BENGLE RT 02 RW
07</td><td>Bengle</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td> - </td><td>P</td><td>60-69
></tr><tr><td align='right'>L21.0</td><td>Seborrhoea capitis</td><td></td><td
2017</td><td>MARIKEM</td><td>MARIKEM</td><td></td><td>TUKUL</td><td>Tukul</td><td>N
gadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>60-
69 Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
align='right'>M10.0</td><td>Idiopathic ut</td><td></td><td
2017</td><td>MARINO</td><td>MARINO</td><td>PETANI/PEKEBUN</td><td>SURU WETAN RT
01/06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>E78.5</td><td>Hyperlipidaemia, unspecified</td><td></td><td
2017</td><td>MARINO</td><td>MARINO</td><td>PETANI/PEKEBUN</td><td>SURU WETAN RT
01/06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102546</td><td>04-07-2017</td><td>MOCHAMMAD TYO FATKHUL WISNU
S</td><td>KOMARUDIN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>MUHAMMAD SULVIKA M</td><td>BUDI
CAHYONO</td><td>WIRASWASTA</td><td>NGLOKO RT 01 RW
03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>D50.9</td><td>Iron deficiency anaemia,
align='right'>80109623</td><td>04-07-
2017</td><td>MULYATI</td><td>SUYARNO</td><td>MENGURUS RUMAH TANGGA</td><td>BOKUNING
RT 01 07</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas
align='right'>M54.3</td><td>Sciatica</td><td></td><td align='right'>38360</td><td
align='right'>80101454</td><td>04-07-
2017</td><td>NARWANTI</td><td>SUNARLI</td><td>PETANI/PEKEBUN</td><td>SECANG
LOR</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>42</td><td>BP. Umum</td><td>Poli Ortopedi</td><td>RS DR SUDIRO MANGUN
2017</td><td>NGADIKEM</td><td>NGADIKEM</td><td>PETANI/PEKEBUN</td><td>TALANG</td><t
d>Talang</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80106690</td><td>04-07-
2017</td><td>PARMAN</td><td>PARMAN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
grandu</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
><tr><td align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td
2017</td><td>PARNI</td><td>SUTOYO</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
WETAN RT 01 RW 01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
><tr><td align='right'>Z36.9</td><td>Antenatal screening,
align='right'>80900354</td><td>04-07-
2017</td><td>PARTI</td><td>NARSO</td><td>MENGURUS RUMAH TANGGA</td><td>KLAMPEYAN RT
O1 RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>A09</td><td>Diarrhoea and gastroenteritis of presumed infectious
origin</td><td></td><td align='right'>38298</td><td
align='right'>80100232</td><td>04-07-
2017</td><td>RAKINEM</td><td>SUHARDI</td><td>MENGURUS RUMAH
TANGGA</td><td>BARAN</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas
Induk</td><td>Budi Prasetyo</td><td>Atmoko</td><td>P</td><td>55-59
></tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80300193</td><td>04-07-
2017</td><td>SADINO</td><td>SADINO</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RE
p</td><td> - </td><td>L</td><td>60-69
align='right'>G43.9</td><td>Migraine, unspecified</td><td></td><td
2017</td><td>SAIKEM</td><td>SADINO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT
01 RE 07</td><td>Gedong</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>20-44
2017</td><td>SARTI</td><td>PAIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>SAMPANG</td><td>Sampang</td><td>Minggarharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>P</td><td>45-54
align='right'>80109805</td><td>04-07-2017</td><td>SIFIA DWI
AYU</td><td>BEJO</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</td><td>Er
omoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>10-14
HARIYADI</td><td>SIGIT HARIYADI</td><td>KARYAWAN SWASTA</td><td>GABELAN KIDUL RT
02/05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>E05.9</td><td>Thyrotoxicosis, unspecified</td><td></td><td
2017</td><td>SIWUHNIYATI</td><td>SUGIYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
LESTARI</td><td>KANDAR</td><td>MENGURUS RUMAH
TANGGA</td><td>BAKALAN</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas
Wilayah</td><td>'</td><td>'</td><td>80</td><td></td></tr><tr><td
align='right'>80100295</td><td>04-07-2017</td><td>SRI LESTARI</td><td>RAHMAD
BASUKI</td><td>PETANI/PEKEBUN</td><td>SENGON RT 02 RW
01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
<tr><td align='right'>L50.1</td><td>Idiopathic urticaria</td><td></td><td
SARWANTI</td><td>SRI
SARWANTI</td><td>PENSIUNAN</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko<
/td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>60-69
align='right'>80101039</td><td>04-07-2017</td><td>SRI SUKAMTI</td><td>SRI
SUKAMTI</td><td>PEDAGANG</td><td>EROMOKO KULON</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>55-59
align='right'>M00.13</td><td>Pneumococcal arthritis and polyarthritis,
forearm</td><td></td><td align='right'>38382</td><td
align='right'>80900089</td><td>04-07-
2017</td><td>SUGENG</td><td>SUGENG</td><td>PERANGKAT DESA</td><td>KLAMPEYAN
RT02RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
Sularsih</td><td> - </td><td>L</td><td>0-7
align='right'>T78.4</td><td>Allergy, unspecified</td><td></td><td
2017</td><td>SUNARSI</td><td>SUPRIONO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLEGONG</td><td>Nglegong</td><td>Sindukarto</td><td>PUSTU
align='right'>80109801</td><td>04-07-
2017</td><td>TRIYONO</td><td>TRIYONO</td><td>PETANI/PEKEBUN</td><td>SECANG KIDUL RT
02 RW 04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas
align='right'>K27.9</td><td>Peptic ulcer, unspecified as acute or chronic, without
haemorrhage or perforation</td><td></td><td align='right'>38380</td><td
align='right'>80900162</td><td>04-07-
2017</td><td>TUKINEM</td><td>BEJO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
2017</td><td>WARDOYO</td><td>WARDOYO</td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>
Talang</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80100485</td><td>04-07-
2017</td><td>WARSITI</td><td>HARTOTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
Induk</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>45-54
></tr><tr><td align='right'>H81.3</td><td>Other peripheral verti</td><td></td><td
2017</td><td>WARTI</td><td>TUMINO</td><td>MENGURUS RUMAH TANGGA</td><td>MOJOSARI
RT01/08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>YATMI</td><td>YATMI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
KIDUL RT 01 RW 03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas
></tr><tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
></tr><tr><td align='right'>H53.8</td><td>Other visual
disturbances</td><td></td><td align='right'>38329</td><td
align='right'>80109799</td><td>04-07-2017</td><td>YULIA PUTRI
W</td><td>PARJO</td><td>KARYAWAN SWASTA</td><td>SERUT
></tr><tr><td align='right'>A78</td><td>Q fever</td><td></td><td
2017</td><td>ARTIKA</td><td>PARMIN</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI
align='right'>A78</td><td>Q fever</td><td></td><td align='right'>40163</td><td
align='right'>81000024</td><td>05-07-
2017</td><td>BAYU</td><td>WAHYUDI</td><td>PELAJAR/MAHASISWA</td><td>SINDUKARTO</td>
<td>Sindukarto</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
Purwaningsih</td><td> - </td><td>L</td><td>5-9
align='right'>80400163</td><td>05-07-
2017</td><td>DARNI</td><td>MARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>TALANG</td><td>Talang</td><td>Ngunggahan</td><td>PKD
Ngunggahan</td><td>Dian
align='right'>J11.1</td><td>Influenza with other respiratory manifestations, virus
not identified</td><td></td><td align='right'>40167</td><td
align='right'>81000032</td><td>05-07-
2017</td><td>DAVIN</td><td>PARTOYO</td><td>KONSTRUKSI</td><td>SONGPUTRI
WT</td><td>Songputri Wetan</td><td>Sindukarto</td><td>PUSTU
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>L</td><td>0-7
align='right'>80108217</td><td>05-07-
2017</td><td>DIHARJO</td><td>DIHARJO</td><td>PETANI/PEKEBUN</td><td>GENDENG RT 02
RW 02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80102807</td><td>05-07-2017</td><td>DWI SULAMI</td><td>TRI
HARIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT 01 RW
2017</td><td>GIMIN</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>JAMBAN</td><td>Jamb
an</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
DITANGGUNG PEMERINTAH</td><td>Rujuk</td><td align='right'>24</td><td
align='right'>10</td><td align='right'>45</td><td>BP. Umum</td><td>Poli
THT</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
Wilayah</td><td>'0000566375692</td><td>'33120811870001</td><td>120</td><td>80</td><
/tr><tr><td align='right'>J11.8</td><td>Influenza with other manifestations, virus
align='right'>80109784</td><td>05-07-2017</td><td>HANIF AYUB
AHFAITAR</td><td>SUKARMAN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT
align='right'>80101107</td><td>05-07-
2017</td><td>ISWATI</td><td>SUTRISNO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>JUMIRAH</td><td>NARTO</td><td>PETANI/PEKEBUN</td><td>BALEROTO RT 02 RW
02</td><td>Baleroto</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100823</td><td>05-07-
<tr><td align='right'>H81.3</td><td>Other peripheral verti</td><td></td><td
07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>I10</td><td>Essential (primary)
hypertension</td><td></td><td align='right'>38391</td><td
align='right'>80101169</td><td>05-07-
></tr><tr><td align='right'>J11.1</td><td>Influenza with other respiratory
manifestations, virus not identified</td><td></td><td align='right'>38695</td><td
align='right'>80200093</td><td>05-07-
2017</td><td>LESTARI</td><td>MARYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMPANG
RT 03 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>PUSTU
></tr><tr><td align='right'>K02.8</td><td>Other dental caries</td><td></td><td
2017</td><td>MARINEM</td><td>TRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
</tr><tr><td align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td
2017</td><td>MISIYEM</td><td>MISIYEM</td><td>PETANI/PEKEBUN</td><td>NGUNGGAHAN</td>
<td>Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
align='right'>80103790</td><td>05-07-
2017</td><td>MURTINI</td><td>MURTINI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>NARDI</td><td>NARDI</td><td>WIRASWASTA</td><td>DUKUH RT 01 RW 09
PONOWAREN TAWANG SARI</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>80104483</td><td>05-07-
2017</td><td>NGATIMIN</td><td>NGATIMIN</td><td>PENSIUNAN</td><td>TEMPURHARJO</td><t
d></td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>Anita Nurlina</td><td>L</td><td>60-69
align='right'>80102542</td><td>05-07-2017</td><td>NUNIK
SURANTI</td><td>SRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100299</td><td>05-07-
2017</td><td>PANIKEM</td><td>PANIKEM</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
align='right'>80109277</td><td>05-07-2017</td><td>RIFKI
RIZALDI</td><td>SRIMULADI</td><td></td><td>EROMOKO WETAN RT 02 RW
2017</td><td>RUKIYEM</td><td>MARSONO</td><td>PETANI/PEKEBUN</td><td>TILENG RT 01 RW
02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101585</td><td>05-07-
2017</td><td>SAKINEM</td><td>TASYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>GENDENG</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>SAMADI</td><td>SAMADI</td><td>PETANI/PEKEBUN</td><td>PLUMBON
RT04/07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td> - </td><td>L</td><td>>70
2017</td><td>SARTI</td><td>SUKIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>PUSTU
align='right'>R07.4</td><td>Chest pain, unspecified</td><td></td><td
2017</td><td>SLAMET</td><td>SLAMET</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 01
align='right'>80109320</td><td>05-07-2017</td><td>SLAMET
RIYANTI</td><td>TARKUM</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT 02 RW
align='right'>I20.8</td><td>Other forms of angina pectoris</td><td></td><td
2017</td><td>SRIYANTO</td><td>MARYONO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN WETAN
RT 01 RW01</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>TRIYOKO</td><td>L</td><td>20-44
align='right'>34</td><td>BP. Umum</td><td>Poli Penyakit Dalam</td><td>RS MAGUAN
HUSADA</td><td>Dalam
Wilayah</td><td>'0000566187625</td><td>'3312081830001</td><td></td><td></td></tr><t
r><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80109832</td><td>05-07-
2017</td><td>SULASTRI</td><td>MUNAJI</td><td>MENGURUS RUMAH
TANGGA</td><td>WONOKARTO RT 02 RW 03 WONOGIRI</td><td>Luar Wilayah</td><td>Luar
Wilayah</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>80109665</td><td>05-07-
2017</td><td>SULIMIN</td><td>SULIMIN</td><td>WIRASWASTA</td><td>PRAMBON RT 01 RW
05</td><td>Prambon</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SULISTIANI</td><td>WARDI</td><td>PEDAGANG</td><td>PANEKAN</td><td>Pane
kan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>45-54
2017</td><td>SUPINO</td><td>SUPINO</td><td>WIRASWASTA</td><td>NGLOKO RT 01 RW
03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUTINEM</td><td>SUHARDI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGRAWAN</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas
2017</td><td>SUTOYO</td><td>SUTOYO</td><td>WIRASWASTA</td><td>SENGON EROMOKO RT 02
RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>R07.3</td><td>Other chest pain</td><td></td><td
2017</td><td>SUTRAPSO</td><td>SUTRAPSO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 04
RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>H81.4</td><td>Verti of central origin</td><td></td><td
WAHYUDI</td><td>SAIDI</td><td>WIRASWASTA</td><td>MANDEYAN RT 01 RW
04</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80300103</td><td>05-07-
2017</td><td>WAGIMAN</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO RT
01/6</td><td>Prangjoho</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>L</td><td>45-54
2017</td><td>WARSINO</td><td>WARSINO</td><td>PETANI/PEKEBUN</td><td>NGRATAN RT 01
RW 09</td><td>Ngratan</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
</tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
2017</td><td>WARTI</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 01 RW
03</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td
2017</td><td>WIDARTI</td><td>MARYADI</td><td>MENGURUS RUMAH TANGGA</td><td>BENGLE
RT 02 RW 07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
</tr><tr><td align='right'>Z30.5</td><td>Surveillance of (intrauterine)
contraceptive device</td><td></td><td align='right'>38931</td><td
align='right'>80500233</td><td>05-07-
2017</td><td>WIJI</td><td>SULARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>PKD
align='right'>80109830</td><td>05-07-
2017</td><td>WIJIATI</td><td>WIJIATI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON </td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>M10.0</td><td>Idiopathic ut</td><td></td><td
2017</td><td>WIJIATI</td><td>WIJIATI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON </td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>R53</td><td>Malaise and fatigue</td><td></td><td
2017</td><td>YAHINO</td><td>YAHINO</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN
RT05/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
</tr><tr><td align='right'>C83.1</td><td>Small cleaved cell (diffuse) non-Hodgkin's
align='right'>80109271</td><td>05-07-2017</td><td>YUNI
ROSDIANA</td><td>YURIANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO KULON RT 03
RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80103326</td><td>06-07-2017</td><td> SEKTI CAHYA
PUTRI</td><td>SUBALI</td><td>PELAJAR/MAHASISWA</td><td>MINGGAR RT 02 RW
align='right'>R50.0</td><td>Fever with chills</td><td></td><td
2017</td><td>ABDULAH</td><td>PRIH
UTAMI</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</
td><td>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>L</td><td>15-19
align='right'>80101386</td><td>06-07-2017</td><td>ARIFIN WIDYA
PUTRA</td><td>WIDODO</td><td>PELAJAR/MAHASISWA</td><td>MOJOSARI</td><td>Mojosari</t
d><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
><tr><td align='right'>T78.4</td><td>Allergy,
align='right'>81000036</td><td>06-07-
2017</td><td>AUREL</td><td>JAYANTO</td><td>LAINNYA</td><td>GUNUNGAN</td><td>Luar
Wilayah</td><td>Luar Wilayah</td><td>PUSTU Sindukarto</td><td>Harni
Purwaningsih</td><td> - </td><td>P</td><td><1
align='right'></td><td align='right'>18</td><td align='right'></td><td>BP.
align='right'>80109839</td><td>06-07-2017</td><td>DONY MUSTOVA</td><td>DONY
MUSTOVA</td><td>KARYAWAN SWASTA</td><td>KEDUNGDADAP RT 04 RW
05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109853</td><td>06-07-
2017</td><td>ERI</td><td>SATINO</td><td>KARYAWAN SWASTA</td><td>WATULEMBU WETAN RT
03 RW 04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
2017</td><td>FAIZ</td><td>SUYADI</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI
KL</td><td>Songputri Kulon</td><td>Sindukarto</td><td>PUSTU
align='right'>S52.40</td><td>Fracture of shafts of both ulna and radius,
closed</td><td></td><td align='right'>38472</td><td
align='right'>80109835</td><td>06-07-2017</td><td>GALIH MULGI
PERDANA</td><td>SUGIYATNO</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU RT 01 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Thn.</td><td>Keluarga</td><td>Baru</td><td>ASKES</td><td>Rujuk</td><td
align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by sputum microscopy
with or without culture</td><td></td><td align='right'>38510</td><td
align='right'>80109313</td><td>06-07-2017</td><td>HENDRI
FIRMANSYAH</td><td>SUDARTO</td><td></td><td>MANDEYAN RT 01 RW
align='right'>80104404</td><td>06-07-
2017</td><td>ISTIYANI</td><td>SUHARYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP RT 04 RW
2017</td><td>KARTI</td><td>SANTOSO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU KULON
RT 01 RW 01</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas
align='right'>80101486</td><td>06-07-
Wilayah</td><td>'0000566714619</td><td>'33120866714619</td><td>120</td><td></td></t
r><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80109843</td><td>06-07-
2017</td><td>KROMO</td><td>KROMO</td><td>PETANI/PEKEBUN</td><td>BONAGUNG
RT01/04</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80400092</td><td>06-07-
2017</td><td>LAGIYEM</td><td>LAGIYEM</td><td>MENGURUS RUMAH
Ngunggahan</td><td>Dian Purwati</td><td> - </td><td>P</td><td>60-69
2017</td><td>LANDEP</td><td>LANDEP</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT
p</td><td> - </td><td>P</td><td>>70
2017</td><td>MAKRUF</td><td>KASIYO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</t
d><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>L50.9</td><td>Urticaria, unspecified</td><td></td><td
2017</td><td>MARYATUN</td><td>MARYONO</td><td>MENGURUS RUMAH
align='right'>38484</td><td align='right'>80109842</td><td>06-07-2017</td><td>NOVAN
ANANDA AP</td><td>AGUS NURWITO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNG DADAP
RT05/05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109836</td><td>06-07-
2017</td><td>PAIMIN</td><td>PAIMIN</td><td>WIRASWASTA</td><td>BARAN RT 01 RW
08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100129</td><td>06-07-
2017</td><td>PAINO</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>GENDENG RT 02 RW
02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
2017</td><td>PALIYEM</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><td>G
endeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
MANDIRI</td><td>Rajal</td><td align='right'>22</td><td align='right'></td><td
align='right'>80102603</td><td>06-07-2017</td><td>PRAPTO SINDU
PRAMONO</td><td>PRAPTO SINDU PRAMONO</td><td>WIRASWASTA</td><td>DEMANGAN RT 02 RW
03</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80104523</td><td>06-07-2017</td><td>RANI
OKTAVIANI</td><td>WAGIMAN</td><td>KONSTRUKSI</td><td>NGUNGGAHAN</td><td>Ngunggahan<
/td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>5-9
2017</td><td>ROSIBAHTUN</td><td>ROSIBAHTUN</td><td>PETANI/PEKEBUN</td><td>PARANGJOH
O </td><td>Prangjoho</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80100312</td><td>06-07-
2017</td><td>SALIMIN</td><td>SALIMIN</td><td>PENSIUNAN</td><td>EROMOKO
align='right'>H54.5</td><td>Low vision, one eye</td><td></td><td
2017</td><td>SATIMO</td><td>SATIMO</td><td>PETANI/PEKEBUN</td><td>PUCUNG</td><td>Pu
cung</td><td>PUCUNG</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
MANDIRI</td><td>Rujuk</td><td align='right'>5</td><td align='right'></td><td
SUMARSO</td><td>Luar
align='right'>80109833</td><td>06-07-2017</td><td>SRI
MURDIYATI</td><td>HARMADI</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT 01 RW
02</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td> - </td><td>P</td><td>45-54
align='right'>80105706</td><td>06-07-
2017</td><td>SUGIYARNI</td><td>SUYATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Handoko Pujipriyatno,S.kep</td><td>Atmoko</td><td>P</td><td>45-54
align='right'>K12.1</td><td>Other forms of stomatitis</td><td></td><td
2017</td><td>SUHARTI</td><td>JUMINI</td><td>LAINNYA</td><td>PLUMBON</td><td>Plumbon
</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
2017</td><td>SUHARTI</td><td>SUKIJO</td><td>PETANI/PEKEBUN</td><td>NGUNGGAHAN RT 01
RW 01</td><td>Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td
2017</td><td>SUMANTO</td><td>TRIYANTO</td><td>PETANI/PEKEBUN</td><td>BARAN RT 01 RW
align='right'>80106743</td><td>06-07-
2017</td><td>SUNARSI</td><td>SARNO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT
02 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUNARSI</td><td>SARNO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT
><tr><td align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus
align='right'>80400127</td><td>06-07-
2017</td><td>SUPRIYANTO</td><td>SUPRIYANTO</td><td>WIRASWASTA</td><td>DEMANGAN</td>
<td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>M79.27</td><td>Neuralgia and neuritis, unspecified, ankle
and foot</td><td></td><td align='right'>38494</td><td
align='right'>80400127</td><td>06-07-
><tr><td align='right'>N89.9</td><td>Noninflammatory disorder of vagina,
align='right'>80800065</td><td>06-07-
2017</td><td>SUSANAH</td><td>PARMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>KUTUKAN</td><td>Kutukan</td><td>Baleharjo</td><td>Puskesmas
align='right'>80108437</td><td>06-07-
2017</td><td>SUTIYEM</td><td>SUTIYEM</td><td>PETANI/PEKEBUN</td><td>SURU WETAN RT
01/06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>I20.0</td><td>Unstable angina</td><td></td><td
2017</td><td>SUTRAPSO</td><td>SUTRAPSO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 04
align='right'>80102782</td><td>06-07-
2017</td><td>TANAYA</td><td>KISWANDI</td><td></td><td>EROMOKO KULON</td><td>Eromoko
2017</td><td>TIFANI FAHIRA
ADISTY</td><td>YUDIYANTO</td><td>PELAJAR/MAHASISWA</td><td>CEMANGKAH KIDUL
RT02/07</td><td>Cemangkah Kidul</td><td>Sindukarto</td><td>Puskesmas
><tr><td align='right'>D73.3</td><td>Abscess of spleen</td><td></td><td
2017</td><td>TIRTA</td><td>MURSITO</td><td>PELAJAR/MAHASISWA</td><td>NGLOKO
RT02/03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80104056</td><td>06-07-2017</td><td>VINA
RISTIANA</td><td>YUDI</td><td>PELAJAR/MAHASISWA</td><td>CEMANGKAH KIDUL RT 02 RW
07</td><td>Cemangkah Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>80104322</td><td>06-07-
2017</td><td>WIDURI</td><td>YUDIYANTO</td><td>MENGURUS RUMAH
Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
><tr><td align='right'>L50.6</td><td>Contact urticaria</td><td></td><td
2017</td><td>WULAN</td><td>WARDOYO</td><td>MENGURUS RUMAH TANGGA</td><td>JOJO
WONODADI</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri
align='right'>80103425</td><td>07-07-2017</td><td>ADELIA DWI
SAPUTRI</td><td>SUPRIYADI</td><td>PELAJAR/MAHASISWA</td><td>BAKALAN</td><td>Bakalan
</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>38558</td><td align='right'>80101858</td><td>07-07-2017</td><td>ADIT
PRASETYO NUGROHO</td><td>BOASTO</td><td>KONSTRUKSI</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas
Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> - </td><td>L</td><td>5-9
align='right'>80100589</td><td>07-07-2017</td><td>ALEN DYTTO ARKA
PRATAMA</td><td>KASINO</td><td>LAINNYA</td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80101391</td><td>07-07-2017</td><td>ANIK ANGGOROWATI</td><td>RIO
APRI</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP RT05 /
05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>ASIH</td><td>IKHSAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON
Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> - </td><td>P</td><td>60-69
align='right'>80300008</td><td>07-07-
2017</td><td>DARNI</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO RT
p</td><td> - </td><td>P</td><td>45-54
align='right'>80104572</td><td>07-07-2017</td><td>DEWI
APRIYANI</td><td>MAINO</td><td>KARYAWAN
SWASTA</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
align='right'>B30.1</td><td>Conjunctivitis due to adenovirus</td><td></td><td
LESTARI</td><td>MISMAN</td><td>PELAJAR/MAHASISWA</td><td>TAMBAK RT 01 RW
04</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80109857</td><td>07-07-2017</td><td>EDI
PRASYO</td><td>MISTO</td><td>WIRASWASTA</td><td>SONG PUTRI
KULON</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td> - </td><td>L</td><td>20-44
align='right'>M08.0</td><td>Juvenile rheumatoid arthritis</td><td></td><td
align='right'>38939</td><td align='right'>80500008</td><td>07-07-2017</td><td>EKO
SURANTI</td><td>EKO</td><td>MENGURUS RUMAH
align='right'>80101042</td><td>07-07-2017</td><td>GADING TRIYOGA</td><td>JOKO
PURWANTO</td><td>LAINNYA</td><td>EROMOKO KULON</td><td>Eromoko
2017</td><td>HARTONO</td><td>HARTONO</td><td></td><td>KUTUKAN RT 01 RW
02</td><td>Kutukan</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>JUMINI</td><td>JUMINI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>P
lumbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80102215</td><td>07-07-
2017</td><td>KATWADI</td><td>KATWADI</td><td>PETANI/PEKEBUN</td><td>NGADIREJO RT 03
RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
d></tr><tr><td align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td
2017</td><td>KIYEM</td><td>PARYOTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KWANGSAN</td><td>Kwangsan</td><td>Panekan</td><td>PUSTU
align='right'>80109860</td><td>07-07-2017</td><td>LIA RESTU
SENDAWATI</td><td>BINTORO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN RT 01 RW
05</td><td>Bakalan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>MARIYEM</td><td>SURATMAN</td><td></td><td>NGLOROK RT 01 RW
05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Handoko
><tr><td align='right'>E11.7</td><td>Non-insulin-dependent diabetes mellitus with
multiple complications</td><td></td><td align='right'>38522</td><td
align='right'>80102003</td><td>07-07-
2017</td><td>MARYONO</td><td>MARYONO</td><td>WIRASWASTA</td><td>BENGLE
02/07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Handoko
><tr><td align='right'>A09</td><td>Diarrhoea and gastroenteritis of presumed
infectious origin</td><td></td><td align='right'>38522</td><td
align='right'>80102003</td><td>07-07-
02/07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Handoko
><tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
2017</td><td>MOHAMMAD WAHYU
SAPUTRA</td><td>DEWANTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT
1/5</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80109862</td><td>07-07-2017</td><td>NETI
PRIHATINI</td><td>PRIYONO</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG RT 01 RW
11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80100805</td><td>07-07-
2017</td><td>PANI</td><td>SUGINO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 01
align='right'>58</td><td>BP. Umum</td><td>Poli Paru - Paru</td><td>RS
DR SUDIRO MANGUN SUMARSO</td><td>Dalam
2017</td><td>PANTI</td><td>SUTARTO</td><td>MENGURUS RUMAH TANGGA</td><td>NGEPOH RT
01 RW 09</td><td>Ngepoh</td><td>Sumberharjo</td><td>PUSTU Baleharjo</td><td>Sri
2017</td><td>PONIYEM</td><td>HARTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>DAYU</td><td>Dayu</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>PONIYEM</td><td>SUKIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>DAYU
RT02/03</td><td>Dayu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>SANTI</td><td>SULISTIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON KIDUL</td><td>Plumbon
Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80103539</td><td>07-07-
2017</td><td>SOMARTO</td><td>SOMARTO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
01 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> - </td><td>L</td><td>>70
><tr><td align='right'>H47.0</td><td>Disorders of optic nerve, not elsewhere
classified</td><td></td><td align='right'>38556</td><td
align='right'>80101511</td><td>07-07-2017</td><td>STEVANUS SAPTA CANDRA
GUNAWAN</td><td>ANANG</td><td>KONSTRUKSI</td><td>BOLAK</td><td></td><td>Tegalharjo<
/td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Sri
Suwarsi</td><td>L</td><td>1-4 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
MANDIRI</td><td>Rujuk</td><td align='right'>16</td><td align='right'>7</td><td
2017</td><td>SUGIYANTI</td><td>PARMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas
2017</td><td>SUKATI</td><td>NARDI</td><td>MENGURUS RUMAH
align='right'>R13</td><td>Dysphagia</td><td></td><td align='right'>38568</td><td
align='right'>80101513</td><td>07-07-
2017</td><td>SUNARDI</td><td>SUNARDI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 02
align='right'>80100132</td><td>07-07-
2017</td><td>SUNARMI</td><td>DAIMIN</td><td>PEGAWAI NEGERI SIPIL</td><td>TUKUL RT
03 RW 05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUNARSO</td><td>SUNARSO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
2017</td><td>SUPARNI</td><td>SARTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 03 RW03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
2017</td><td>SUPARTI</td><td>SUPARTI</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNG
DADAP RT03/05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
with multiple complications</td><td></td><td align='right'>38548</td><td
align='right'>80107948</td><td>07-07-
2017</td><td>SUWARNI</td><td>MARDIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BLIMBING </td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
<tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80108038</td><td>07-07-
2017</td><td>TARYANTO</td><td>TARYANTO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP
RT 01 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
MUJIYANTI</td><td>WAHYUDI</td><td>MENGURUS RUMAH
TANGGA</td><td>PRAMBE</td><td>Prambe</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td>
- </td><td>P</td><td>20-44
align='right'>Z35.6</td><td>Supervision of very young primigravida</td><td></td><td
MUJIYANTI</td><td>WAHYUDI</td><td>MENGURUS RUMAH
align='right'>81000039</td><td>07-07-2017</td><td>TRISNIWATI</td><td>PUGUH
S</td><td>KARYAWAN
SWASTA</td><td>BALEKERTO</td><td>Balekerto</td><td>Sumberharjo</td><td>PUSTU
align='right'>80100231</td><td>07-07-
2017</td><td>TUKINAH</td><td>SARIMIN</td><td>PETANI/PEKEBUN</td><td>NGADIREJO RT 03
RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PKD
2017</td><td>TUKIYEM</td><td>KARNO</td><td>MENGURUS RUMAH TANGGA</td><td>KWENI REJO
RT 02 RW 06</td><td>Kwenirejo</td><td>Sindukarto</td><td>Puskesmas
align='right'>80100273</td><td>07-07-
2017</td><td>TUMIYEM</td><td>KARMIN</td><td>PETANI/PEKEBUN</td><td>NGADIREJO RT 03
RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
><tr><td align='right'>J11.1</td><td>Influenza with other respiratory
align='right'>81000040</td><td>07-07-
2017</td><td>TUMIYEM</td><td>KASIDO</td><td>PETANI/PEKEBUN</td><td>MANDEYAN</td><td
>Mandeyan</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
align='right'>80101134</td><td>07-07-
2017</td><td>ZAIDUN</td><td>ZAIDUN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td><
td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>DAMAR</td><td>SUTIMAN SISWANTO</td><td>PELAJAR/MAHASISWA</td><td>BERO
RT 02 RW 08</td><td>Bero</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>E78.0</td><td>Pure hypercholesterolaemia</td><td></td><td
2017</td><td>GINO</td><td>GINO</td><td>PETANI/PEKEBUN</td><td>GABELAN KIDUL RT 02
RW 07</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80109890</td><td>08-07-
2017</td><td>GIYONO</td><td>GIYONO</td><td>PETANI/PEKEBUN</td><td>SUMBER WATU RT 01
RW 05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>R11</td><td>Nausea and vomiting</td><td></td><td
align='right'>38702</td><td align='right'>80103983</td><td>08-07-2017</td><td>IDA
RAHAYU</td><td>NGATMAN</td><td>PELAJAR/MAHASISWA</td><td>JAMBE</td><td>Jambe</td><t
d>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>10-14
align='right'>80104534</td><td>08-07-2017</td><td>IQBAL</td><td>HENDRO
WITANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
align='right'>N76.0</td><td>Acute vaginitis</td><td></td><td
2017</td><td>KINI</td><td>MARSONO</td><td>MENGURUS RUMAH TANGGA</td><td>SURU
WETAN</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80109880</td><td>08-07-
2017</td><td>MARIYEM</td><td>MARIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>WATULEMBU WETAN RT 03 RW 04</td><td>Watulembu
Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>MARIYEM</td><td>MARIYEM</td><td>MENGURUS RUMAH
2017</td><td>MARSI</td><td>ATMOSUWITO</td><td>PETANI/PEKEBUN</td><td>SAMBONG RT 02
RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>PKD & PUSTU
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>I51.7</td><td>Cardiomegaly</td><td></td><td
2017</td><td>NGADIMIN</td><td>NGADIMIN</td><td>PETANI/PEKEBUN</td><td>POKOH
RT02/03</td><td>Pokoh</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Penyakit Dalam</td><td>RS PKU MUHAMMADIYAH SELOGIRI</td><td>Dalam
2017</td><td>NGADINO PADMOSUWIT0</td><td>NGADINO
PADMOSUWITO</td><td>WIRASWASTA</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharjo</td
><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
<tr><td align='right'>I77.6</td><td>Arteritis, unspecified</td><td></td><td
2017</td><td>NGATINEM</td><td>NGATINEM</td><td></td><td>BAWUH</td><td>Bawuh</td><td
>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>H02.5</td><td>Other disorders affecting eyelid
function</td><td></td><td align='right'>38644</td><td
align='right'>80107781</td><td>08-07-
2017</td><td>NURDIASIH</td><td>SUTRISNO</td><td>WIRASWASTA</td><td>SECANG LOR RT 03
RW 05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>H02.9</td><td>Disorder of eyelid,
align='right'>80109882</td><td>08-07-2017</td><td>PUSPITA
WIDJAYANTI</td><td>WIDIYATNO,SH</td><td>PEGAWAI NEGERI
SIPIL</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas
2017</td><td>SARNO</td><td>SARNO</td><td>PEDAGANG</td><td>SAWAHAN RT 02 RW 07
SEDAYU </td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Dr.
HATINI</td><td>SUTADI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80100818</td><td>08-07-
2017</td><td>SUKARDI</td><td>SUKARDI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td
>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>L02.4</td><td>Cutaneous abscess, furuncle and carbuncle of
limb</td><td></td><td align='right'>38584</td><td
align='right'>80101611</td><td>08-07-
2017</td><td>SUKINI</td><td>SUGIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>TANJUNG</td><td>Tanjung</td><td>Panekan</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Atmoko</td><td>P</td><td>20-44
align='right'>36</td><td>BP. Umum</td><td>Poli Kandungan</td><td>RS DR SUDIRO
</tr><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
drugs</td><td></td><td align='right'>38691</td><td
align='right'>80700224</td><td>08-07-
2017</td><td>SURATMI</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>SERUT</td><td>Ser
ut</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80101735</td><td>08-07-
2017</td><td>WAKIJEM</td><td>PAIMAN</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><t
d>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>C77.0</td><td>Secondary and unspecified malignant neoplasm of lymph
nodes of head, face and neck</td><td></td><td align='right'>38624</td><td
align='right'>80109883</td><td>08-07-
2017</td><td>WIDIYATNO,SH</td><td>WIDIYATNO,SH</td><td>PERANGKAT
DESA</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>45-54
align='right'>G46.4</td><td>Cerebellar stroke syndrome</td><td></td><td
2017</td><td>WIDODO</td><td>WIDODO</td><td></td><td>PLUMBON RT 02 RW
align='right'>80900011</td><td>10-07-
2017</td><td>ADISTIA</td><td>GIYARTO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN</t
d><td>Klampeyan</td><td>Panekan</td><td>PKD
& PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td>15-19
align='right'>38758</td><td align='right'>80109914</td><td>10-07-2017</td><td>AMBAR
WAHYUNINGSIH</td><td>SOYONO</td><td>PELAJAR/MAHASISWA</td><td>SIYONO RT 01 RW
09</td><td></td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk internal</td><td
2017</td><td>ANDI</td><td>ANDI</td><td>WIRASWASTA</td><td>EROMOKO
ETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80105260</td><td>10-07-2017</td><td>ANGELA MAYA
ARININGTYAS</td><td>GIRI YUWONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO WETAN RT 02
align='right'>Z24.0</td><td>Need for immunization against
poliomyelitis</td><td></td><td align='right'>39008</td><td
align='right'>80108945</td><td>10-07-2017</td><td>ANISA
RUBIAH</td><td>ARIYANTO</td><td>KONSTRUKSI</td><td>KUTUKAN RT 02 RW
01</td><td>Kutukan</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
Thn.</td><td>Keluarga</td><td>Lama</td><td>IMUNISASI</td><td>Rajal</td><td
align='right'>Z27.1</td><td>Need for immunization against diphtheria-tetanus-
pertussis, combined [DTP]</td><td></td><td align='right'>39008</td><td
align='right'>80104109</td><td>10-07-2017</td><td>AR
SULAMI</td><td>TRIMO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
align='right'>80108547</td><td>10-07-2017</td><td>ARIA ADI
ANDAYA</td><td>EDI</td><td>KONSTRUKSI</td><td>PANGKAH</td><td>Pangkah</td><td>Baleh
arjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>Hesti Wiji
Utami</td><td>L</td><td><1
align='right'>80108547</td><td>10-07-2017</td><td>ARIA ADI
ANDAYA</td><td>EDI</td><td>KONSTRUKSI</td><td>PANGKAH</td><td>Pangkah</td><td>Baleh
arjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>Hesti Wiji
Utami</td><td>L</td><td><1
align='right'>80108329</td><td>10-07-2017</td><td>ARUM ARUNI</td><td>HARI
KRISTIYANTO</td><td>KONSTRUKSI</td><td>PRAMBON RT 01 RW
05</td><td>Prambon</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80108329</td><td>10-07-2017</td><td>ARUM ARUNI</td><td>HARI
KRISTIYANTO</td><td>KONSTRUKSI</td><td>PRAMBON RT 01 RW
05</td><td>Prambon</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80108345</td><td>10-07-2017</td><td>ATAFARIS</td><td>HERI
SUTRISNO</td><td>KONSTRUKSI</td><td>BALEHARJO RT 01 RW
01</td><td>Baleharjo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td> - </td><td>L</td><td><1
align='right'>80108345</td><td>10-07-2017</td><td>ATAFARIS</td><td>HERI
SUTRISNO</td><td>KONSTRUKSI</td><td>BALEHARJO RT 01 RW
align='right'>A51.5</td><td>Early syphilis, latent</td><td></td><td
align='right'>38764</td><td align='right'>80107601</td><td>10-07-2017</td><td>BIMA
SAKA WIJAYA</td><td>SUMARJO</td><td>PELAJAR/MAHASISWA</td><td>TEGAL REJO RT 02 RW
06</td><td>Tegalrejo</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>TRIYOKO</td><td>L</td><td>10-14
align='right'>801o9919</td><td>10-07-2017</td><td>BU KADIYEM</td><td>BU
KADIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>PANDAN</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80400023</td><td>10-07-
2017</td><td>BUDIYONO</td><td>BUDIYONO</td><td>PETANI/PEKEBUN</td><td>TALANG</td><t
d>Talang</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80300008</td><td>10-07-
2017</td><td>DARNI</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO
RT 2/6</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>J45.0</td><td>Predominantly allergic asthma</td><td></td><td
></tr><tr><td align='right'>G43.9</td><td>Migraine, unspecified</td><td></td><td
2017</td><td>DARYATI</td><td>MULYONO</td><td>MENGURUS RUMAH
Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>80108541</td><td>10-07-2017</td><td>DEDI
AFANDI</td><td>NGATIMAN</td><td>KONSTRUKSI</td><td>BULU</td><td>Bulu</td><td>Baleha
rjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
</td><td>L</td><td><1
align='right'>80108541</td><td>10-07-2017</td><td>DEDI
AFANDI</td><td>NGATIMAN</td><td>KONSTRUKSI</td><td>BULU</td><td>Bulu</td><td>Baleha
rjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80800266</td><td>10-07-2017</td><td>DESINTA KLARISA
PUTRI</td><td>PARYANTO</td><td>KONSTRUKSI</td><td>BALEHARJO</td><td>Baleharjo</td><
td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80900208</td><td>10-07-2017</td><td>DINDA</td><td>ADI
GUNAWAN</td><td>PELAJAR/MAHASISWA</td><td>GEDONG
RT01/02</td><td>Gedong</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>EDI</td><td>EDI</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN</td><td>Klamp
eyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>45-54
align='right'>38759</td><td align='right'>80109915</td><td>10-07-2017</td><td>EDI
SARWOKO</td><td>SUWANDI</td><td>WIRASWASTA</td><td>NGLENGKONG RT 02 RW
10</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>81000043</td><td>10-07-
2017</td><td>ERLANGGA</td><td>GUNAWAN</td><td>KONSTRUKSI</td><td>GUNUNGAN</td><td>L
uar Wilayah</td><td>Luar Wilayah</td><td>PUSTU Sindukarto</td><td>Harni
align='right'>Z35.6</td><td>Supervision of very young primigravida</td><td></td><td
2017</td><td>FERANI</td><td>DWI SUDIYOKO</td><td>MENGURUS RUMAH
TANGGA</td><td>KUTUKAN</td><td>Kutukan</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td>Hesti Wiji Utami</td><td>P</td><td>20-44
align='right'>J35.0</td><td>Chronic tonsillitis</td><td></td><td
2017</td><td>FERNANDO ARYA AHIMSA</td><td>KRISTIANA
RINI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 06 RW 03</td><td>Eromoko
Umum</td><td>Poli THT</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
><tr><td align='right'>J46</td><td>Status asthmaticus</td><td></td><td
2017</td><td>HARSONO</td><td>HARSONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
Thn.</td><td>Keluarga</td><td>Lama</td><td>ASKES</td><td>Rujuk</td><td
Umum</td><td>Poli Paru - Paru</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
2017</td><td>HARTONO</td><td>HARTONO</td><td>PETANI/PEKEBUN</td><td>BAWUH RT 03 RW
01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109908</td><td>10-07-
01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>Z35.5</td><td>Supervision of elderly
primigravida</td><td></td><td align='right'>39016</td><td
align='right'>80800261</td><td>10-07-2017</td><td>HARYANI</td><td>TOTOK
SANTOSO</td><td>MENGURUS RUMAH TANGGA</td><td>KUTUKAN TR 1 RW
align='right'>Z23.5</td><td>Need for immunization against tetanus
alone</td><td></td><td align='right'>39016</td><td
align='right'>80800261</td><td>10-07-2017</td><td>HARYANI</td><td>TOTOK
SANTOSO</td><td>MENGURUS RUMAH TANGGA</td><td>KUTUKAN
TR 1 RW 2</td><td>Kutukan</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
2017</td><td>JUMIYO</td><td>JUMIYO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU KULON
Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>>70
align='right'>80900327</td><td>10-07-
2017</td><td>KARNI</td><td>WAKIYO</td><td>PETANI/PEKEBUN</td><td>NGLOROK</td><td>Ng
lorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>55-59
><tr><td align='right'>T78.4</td><td>Allergy, unspecified</td><td></td><td
2017</td><td>KARNI</td><td>SUYATMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOKO</td><td>Ngloko</td><td>Panekan</td><td>PUSTU
2017</td><td>KARSIYEM</td><td>YITNO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
align='right'>80100565</td><td>10-07-
2017</td><td>KASIYEM</td><td>SUBANDI</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>
Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80900213</td><td>10-07-
2017</td><td>KATIYEM</td><td>WASTO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN RT01
RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80900054</td><td>10-07-
2017</td><td>KATMI</td><td>PAIJAN</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
align='right'>80109912</td><td>10-07-
2017</td><td>LARSI</td><td>SUYUDI</td><td>MENGURUS RUMAH TANGGA</td><td>MOJOSARI RT
02 RW 08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'</td><td>'331208480171ooo2</td><td></td><td></td></tr><tr><td
align='right'>H81.3</td><td>Other peripheral verti</td><td></td><td
2017</td><td>MARDIYONO</td><td>MARDIYONO</td><td>KARYAWAN SWASTA</td><td>SENGON RT
02 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80102029</td><td>10-07-2017</td><td>MISMI</td><td>SISWO
MIHARJO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td>Ngadirejo</td><td>Ngadirej
o</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>55-59
align='right'>80400002</td><td>10-07-
2017</td><td>MISNIYATI</td><td>BUDIYONO</td><td>MENGURUS RUMAH
Ngunggahan</td><td>Dian Purwati</td><td> - </td><td>L</td><td>45-54
align='right'>80109253</td><td>10-07-
2017</td><td>NADIRA</td><td>DIDIK</td><td>KONSTRUKSI</td><td>PRAMBON</td><td>Prambo
n</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
</td><td>P</td><td><1
align='right'>80109253</td><td>10-07-
n</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>P</td><td><1
align='right'>80109920</td><td>10-07-2017</td><td>NOOR
MEISAROH</td><td>SETIAWAN</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</
td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
2017</td><td>PAEDAH</td><td>SAKINO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT
01 RW 03</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80104530</td><td>10-07-2017</td><td>PUGUH HARI
SUNTORO</td><td>SARNO</td><td>WIRASWASTA</td><td>PULO</td><td>Pulo</td><td>Puloharj
o</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>15-19
align='right'>C84.0</td><td>Mycosis funides</td><td></td><td
2017</td><td>RENA</td><td>WAHYU</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 01
RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td> - </td><td>P</td><td>20-44
align='right'>80109911</td><td>10-07-
2017</td><td>ROSIANA</td><td>PRIYANA</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 06 RW 03</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri
align='right'>25</td><td>BP. Umum</td><td></td><td></td><td>Luar
2017</td><td>RUSMINI</td><td>PANTO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT
01 RW 03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>R00.0</td><td>Tachycardia, unspecified</td><td></td><td
2017</td><td>SADIMIN</td><td>SADIMIN</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
>Sampang</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>H81.4</td><td>Verti of central origin</td><td></td><td
align='right'>80500138</td><td>10-07-
2017</td><td>SADINO</td><td>SADINO</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>P
align='right'>80300071</td><td>10-07-
2017</td><td>SAIKEM</td><td>RIYADI</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RE
p</td><td> - </td><td>P</td><td>0-7 hari</td><td>Keluarga</td><td>Lama</td><td>BPJS
2017</td><td>SAKIDI</td><td>SAKIDI</td><td>PENSIUNAN</td><td>EROMOKO KULON
RT01/02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SAMURI</td><td>SAMURI</td><td>PEDAGANG</td><td>SIYONO</td><td>Siyono</
td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
></tr><tr><td align='right'>E05.9</td><td>Thyrotoxicosis,
align='right'>80109901</td><td>10-07-
2017</td><td>SATIJEM</td><td>SATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT
02 RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109901</td><td>10-07-
02 RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80900358</td><td>10-07-
2017</td><td>SATRIYA</td><td>KASNO</td><td>PELAJAR/MAHASISWA</td><td>NGLOROG
RT02RW05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80108937</td><td>10-07-2017</td><td>SITI
KANAYA</td><td>SUGIYARTO</td><td>KONSTRUKSI</td><td>BALEHARJO</td><td>Baleharjo</td
><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80500263</td><td>10-07-
2017</td><td>SIYEM</td><td>SIYEM</td><td>PETANI/PEKEBUN</td><td></td><td></td><td>N
gadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>60-
69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI DITANGGUNG
MURWANI</td><td>SUTARWO</td><td>WIRASWASTA</td><td>BAKALAN RT02 /
07</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SRINI</td><td>KASIDI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 03 RW
02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>SUDARNI</td><td>SUDIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>EROMOKO WETAN</td><td>Eromoko
align='right'>80100096</td><td>10-07-
2017</td><td>SUDARNI</td><td>SUDIYANTO</td><td>MENGURUS RUMAH
align='right'>80101525</td><td>10-07-
2017</td><td>SUDIJANTO</td><td>SUDIJANTO</td><td>PENSIUNAN</td><td>EROMOKO
Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>60-69
2017</td><td>SUKIYEM</td><td>MARTOYO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN RT01
2017</td><td>SUMARWI</td><td>MARYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>KLAMPEYAN</td><td>Klampeyan</td><td>Panekan</td><td>Puskesmas
2017</td><td>SUPAR</td><td>SARNI</td><td>WIRASWASTA</td><td>JABEG RT 01 RW 04
</td><td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109910</td><td>10-07-
2017</td><td>SUPRIYANTI</td><td>SLAMET</td><td>MENGURUS RUMAH
TANGGA</td><td>WATULEMBU KULON RT 01 RW 04</td><td>Watulembu
Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
Wilayah</td><td>'0000566701964</td><td>'3312086501780001</td><td>180</td><td></td><
/tr><tr><td align='right'>I10</td><td>Essential (primary)
align='right'>80109910</td><td>10-07-
2017</td><td>SUPRIYANTI</td><td>SLAMET</td><td>MENGURUS RUMAH
Wilayah</td><td>'0000566701964</td><td>'3312086501780001</td><td>180</td><td></td><
/tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>SURADI</td><td>SURADI</td><td>PETANI/PEKEBUN</td><td>TEPIHARJO
</td><td>Tepiharjo</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>S42.3</td><td>Fracture of shaft of humerus</td><td></td><td
2017</td><td>SUROTO</td><td>SUROTO</td><td>PETANI/PEKEBUN</td><td>PANEKAN RT 1 RW
1</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Ortopedi</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
></tr><tr><td align='right'>Z00.0</td><td>General medical
examination</td><td></td><td align='right'>38711</td><td
align='right'>80109904</td><td>10-07-
2017</td><td>SUTINI</td><td>TARJONO</td><td>WIRASWASTA</td><td>SIDOWAYAH WETAN RT
01 RW 05</td><td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri
align='right'>I84.3</td><td>External thrombosed haemorrhoids</td><td></td><td
2017</td><td>SUYONO</td><td>SUYONO</td><td>WIRASWASTA</td><td>TEPI HARJO RT 02 RW
08</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>34</td><td>BP. Umum</td><td>Poli Bedah</td><td></td><td>Dalam
align='right'>80109555</td><td>10-07-
2017</td><td>SYAHREHAN</td><td>SRIYONO</td><td>PELAJAR/MAHASISWA</td><td>TALANG RT
1 RW 6</td><td>Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>TARWI</td><td>TARWI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON RT
03 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
PEMERINTAH</td><td>Rajal</td><td align='right'></td><td align='right'></td><td
></tr><tr><td align='right'>M10.0</td><td>Idiopathic ut</td><td></td><td
2017</td><td>TAUFAN JUNARTO</td><td>TAUFAN
JUNARTO</td><td>WIRASWASTA</td><td>BALEKERTO RT 02 RW
04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80102063</td><td>10-07-
2017</td><td>TOEGIMAN</td><td>TOEGIMAN</td><td>PENSIUNAN</td><td>TUKUL</td><td>Tuku
l</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>60-69
align='right'>80100671</td><td>10-07-
2017</td><td>TRIMO</td><td>TRIMO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
2017</td><td>TUKINEM</td><td>NGADENAN</td><td>MENGURUS RUMAH
2017</td><td>VINAWATI</td><td>CAROKO HADI
PURNOMO</td><td>WIRASWASTA</td><td>WATULEMBU WETAN RT 02 RW 04</td><td>Watulembu
Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>80900120</td><td>10-07-
2017</td><td>WAGINEM</td><td>WAGINEM</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
align='right'>80900351</td><td>10-07-
2017</td><td>WASINO</td><td>WASINO</td><td>PEDAGANG</td><td>TEPIHARJO</td><td>Tepih
arjo</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
</td><td>L</td><td>20-44
2017</td><td>WIJI</td><td>DARSO</td><td>MENGURUS RUMAH TANGGA</td><td>SURU
KULON</td><td>Suru Kulon</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>WINARNO</td><td>ATMO SUWITO</td><td>WIRASWASTA</td><td>TALANG RT 04 RW
06</td><td>Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>WINARTO</td><td>WINARTO</td><td>KARYAWAN
SWASTA</td><td>KLAMPEYAN</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU
Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>20-44
2017</td><td>YATI</td><td>YATI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>Plumb
on</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
DITANGGUNG PEMERINTAH</td><td>Rajal</td><td align='right'></td><td
align='right'>38708</td><td align='right'>80109902</td><td>10-07-2017</td><td>YULI
AJI PANGESTU</td><td>SUKIRNO</td><td>WIRASWASTA</td><td>MOJOPURO RT 01 RW
11</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
Induk</td><td>Sri Suwarsi</td><td>Atmoko</td><td>L</td><td>15-19
align='right'>L50.2</td><td>Urticaria due to cold and heat</td><td></td><td
align='right'>38866</td><td align='right'>80109546</td><td>11-07-2017</td><td>ALBY
AL FITRIANSYAH</td><td>ABDUL FITRI</td><td></td><td>JATI REJO RT 02 RW
06</td><td>Jatirejo</td><td>Baleharjo</td><td>PUSKESLING</td><td>Budi
Prasetyo</td><td>Anita Nurlina</td><td>L</td><td><1
align='right'>38861</td><td align='right'>80108599</td><td>11-07-2017</td><td>AMBAR
PUTRI ADI S S</td><td>ASMUNGI</td><td>MENGURUS RUMAH TANGGA</td><td>BALEKERTO RT
01 RW 04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80106997</td><td>11-07-2017</td><td>DEVITA NUR
A</td><td>SARWANTO</td><td>PELAJAR/MAHASISWA</td><td>TILENG RT 02 RW
align='right'>80103091</td><td>11-07-2017</td><td>DIAN MARDIANAN
CHRISTIANI</td><td>KETUT</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT 02 RW
align='right'>80109941</td><td>11-07-2017</td><td>EDI
WIBOWO</td><td>SUGIYO</td><td>WIRASWASTA</td><td>POJOK RT 01 RW
06</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>H60.8</td><td>Other otitis externa</td><td></td><td
2017</td><td>FANDI</td><td>SUYADI</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><t
d>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>10-14
align='right'>S52.2</td><td>Fracture of shaft of ulna</td><td></td><td
2017</td><td>GALANG
ARDIANSYAH</td><td>SUKARNO</td><td>PELAJAR/MAHASISWA</td><td>TUNGKUL NGLENGKONG
NGADIREJO</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>HANDOKO</td><td>KARIMAN</td><td>WIRASWASTA</td><td>GUYANGAN</td><td></
td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>80109939</td><td>11-07-
2017</td><td>IQOMAH</td><td>AMTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO</td><td>
</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>K74.6</td><td>Other and unspecified cirrhosis of
liver</td><td></td><td align='right'>38811</td><td
align='right'>80108670</td><td>11-07-
2017</td><td>KARSOMO</td><td>KARSOMO</td><td>PETANI/PEKEBUN</td><td>SIYONO</td><td>
Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80101470</td><td>11-07-
2017</td><td>KASIKEM</td><td>KASIKEM</td><td>PETANI/PEKEBUN</td><td>JATIREJO RT 02
RW 06</td><td>Jatirejo</td><td>Baleharjo</td><td>PUSKESLING</td><td>Budi
<tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>KATIJEM</td><td>KATIJEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TUKUL</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>>70
align='right'>M79.21</td><td>Neuralgia and neuritis, unspecified, shoulder
region</td><td></td><td align='right'>38807</td><td
align='right'>80130888</td><td>11-07-
2017</td><td>KATNO</td><td>KATNO</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>Bolak
</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>>70
2017</td><td>LESTARI</td><td>SULARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KWANGSAN</td><td>Kwangsan</td><td>Panekan</td><td>PUSKESLING</td><td
>Budi Prasetyo</td><td>Anita Nurlina</td><td>P</td><td>20-44
align='right'>80105363</td><td>11-07-2017</td><td>LINA RAHAYU</td><td>EDI
SANTOSO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGEPOH</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80100188</td><td>11-07-2017</td><td>LITA SAGITA</td><td>DANAR SIWI
C</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>80300197</td><td>11-07-
2017</td><td>MULYATI</td><td>MAKNO</td><td>MENGURUS RUMAH TANGGA</td><td>GRITAN RT
02 RW 09</td><td>Geritan</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>45-54
2017</td><td>MUTIARA</td><td>ALI
ASAR</td><td>KONSTRUKSI</td><td>JAKARTA</td><td>Luar Wilayah</td><td>Luar
Wilayah</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80800267</td><td>11-07-2017</td><td>MUTIARA</td><td>ALI
ASAR</td><td>KONSTRUKSI</td><td>JAKARTA</td><td>Luar Wilayah</td><td>Luar
Wilayah</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>NARTI</td><td>SURATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>TANJUNG</td><td>Tanjung</td><td>Panekan</td><td>PUSKESLING</td><td>B
udi Prasetyo</td><td> - </td><td>P</td><td>20-44
2017</td><td>PAIDI</td><td>PAIDI</td><td>PETANI/PEKEBUN</td><td></td><td></td><td>N
gadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>L</td><td>0-7
hari</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
2017</td><td>PAIKEM</td><td>PAIKEM</td><td>PETANI/PEKEBUN</td><td></td><td></td><td
>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>M54.5</td><td>Low back pain</td><td></td><td
2017</td><td>PAINAH</td><td>SOMAN</td><td>MENGURUS RUMAH TANGGA</td><td>SINDUKARTO
RT1 RW 05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>L21.0</td><td>Seborrhoea capitis</td><td></td><td
2017</td><td>PONI</td><td>PONI</td><td>PETANI/PEKEBUN</td><td>MOJOSARI</td><td>Mojo
sari</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>T45.0</td><td>Poisoning by antiallergic and antiemetic
align='right'>80109942</td><td>11-07-
2017</td><td>PURWOKO</td><td>PARTOREJO</td><td>WIRASWASTA</td><td>NGLENGKONG RT 01
RW 10</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>N89.8</td><td>Other specified noninflammatory disorders of
vagina</td><td></td><td align='right'>38813</td><td
align='right'>80107146</td><td>11-07-
2017</td><td>RANTI</td><td>RANTI</td><td>PETANI/PEKEBUN</td><td>TEGALREJO RT 02 RW
2017</td><td>RATMI</td><td>RATMI</td><td>PEDAGANG</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>F43.1</td><td>Post-traumatic stress disorder</td><td></td><td
align='right'>38837</td><td align='right'>80105314</td><td>11-07-2017</td><td>REKNO
SULISETIYAWATI</td><td>TUKINO</td><td></td><td>SAMPANG</td><td>Sampang</td><td>Ming
garharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>J46</td><td>Status asthmaticus</td><td></td><td
2017</td><td>RUSWATI</td><td>SARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>PULO</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas
align='right'>50</td><td>BP. Umum</td><td>Poli Paru - Paru</td><td>RS DR SUDIRO
align='right'>80106933</td><td>11-07-
2017</td><td>SARIKEM</td><td>SARIKEM</td><td>PENSIUNAN</td><td>GEDONG RT 02 RW
02</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>N89.9</td><td>Noninflammatory disorder of vagina,
align='right'>80109931</td><td>11-07-
2017</td><td>SARTI</td><td>ATMOSWITO</td><td>MENGURUS RUMAH
TANGGA</td><td>DUNGPRING RT2 RW
7</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Kandungan</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>80100149</td><td>11-07-
2017</td><td>SATIMAN</td><td>SATIMAN</td><td>PENSIUNAN</td><td></td><td></td><td>Ng
adirejo</td><td>Puskesmas
2017</td><td>SAWI</td><td>KARIYO</td><td>MENGURUS RUMAH
TANGGA</td><td>MOJOSARI</td><td>Mojosari</td><td>Ngadirejo</td><td>PKD
Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>>70
PRAYONO</td><td>MARTOREJO</td><td>WIRASWASTA</td><td>BLUTAK RT 01 RW
2017</td><td>SISKA</td><td>KUSNA</td><td></td><td>JAMBAN</td><td></td><td></td><td>
Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>5-9
SUJATI</td><td>TUKIRAN</td><td>BURUH HARIAN
LEPAS</td><td>POJOK</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>SUGIYO</td><td>SUGIYO</td><td>PETANI/PEKEBUN</td><td>POJOK RT 01 RW
06</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>I77.6</td><td>Arteritis, unspecified</td><td></td><td
2017</td><td>SUKIMIN</td><td>SUKIMIN</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td
>Sambong</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td> - </td><td>L</td><td>>70
2017</td><td>SUMIRAH</td><td>SUKARNO</td><td>PETANI/PEKEBUN</td><td>MOJOSARI</td><t
d>Mojosari</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>60-69
align='right'>80109932</td><td>11-07-
2017</td><td>SUPARMI</td><td>SUPARMI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMKO
2017</td><td>SUTARNI</td><td>SUTARNI</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGRAWAN</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas
align='right'>W22</td><td>Striking against or struck by other objects causing
accidental injury</td><td></td><td align='right'>38857</td><td
align='right'>80109945</td><td>11-07-
2017</td><td>SUTIKEM</td><td>WIRYONO</td><td>MENGURUS RUMAH TANGGA</td><td>TUKUL RT
01 RW 05</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
align='right'>J10.0</td><td>Influenza with pneumonia, influenza virus
identified</td><td></td><td align='right'>39371</td><td
align='right'>80500268</td><td>11-07-
2017</td><td>SUTINEM</td><td>SUTINEM</td><td>MENGURUS RUMAH
2017</td><td>TRIYANI</td><td>DWI RIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>DEMANGAN</td><td>Demangan</td><td>Ngunggahan</td><td>PKD
2017</td><td>TUKIYEM</td><td>TUKIYEM</td><td>PETANI/PEKEBUN</td><td>GRITAN RT 02 RW
09</td><td>Geritan</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>60-69
align='right'>80108582</td><td>11-07-
2017</td><td>WAGIYEM</td><td>WAGIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
RT 03 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>81000125</td><td>11-07-
2017</td><td>WARASMI</td><td>WASTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEKERTO
RT02/04</td><td>Balekerto</td><td>Sumberharjo</td><td>PUSTU
align='right'>J01.9</td><td>Acute sinusitis, unspecified</td><td></td><td
td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>J33.0</td><td>Polyp of nasal cavity</td><td></td><td
2017</td><td>WENING
MAHARANI</td><td>MARDIYANTO</td><td>PELAJAR/MAHASISWA</td><td>SUMBER RT 02 RW
01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>10-14
Umum</td><td>Poli Anak</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>80100110</td><td>11-07-
2017</td><td>WINDARYATI</td><td>SUHARDONO</td><td>KARYAWAN
SWASTA</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas
align='right'>80109927</td><td>11-07-2017</td><td>YOSUA TRI
HAPSORO</td><td>SUYATNO</td><td>PELAJAR/MAHASISWA</td><td>BARAN RT 01 RW
08</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
</tr><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
align='right'>38925</td><td align='right'>80102037</td><td>12-07-2017</td><td>AINI
DWI NUR
K</td><td>MAROI</td><td>LAINNYA</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><
td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>Sri Suwarsi</td><td>P</td><td>5-9
align='right'>80109962</td><td>12-07-2017</td><td>ALNISA ANUGRAH
ESA</td><td>SUKIR</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 2 RT 5
</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>38928</td><td align='right'>80109964</td><td>12-07-2017</td><td>ANDI
KRISTIANTO</td><td>ANDI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW
03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>H40.8</td><td>Other glaucoma</td><td></td><td
align='right'>38910</td><td align='right'>80105782</td><td>12-07-2017</td><td>ARIS
SURANTI.</td><td>MULYONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
KULON</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>I64</td><td>Stroke, not specified as haemorrhage or
align='right'>80107731</td><td>12-07-
2017</td><td>ARIYANTO</td><td>ARIYANTO</td><td>WIRASWASTA</td><td>NGRANDU RT 01 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Wilayah</td><td>'</td><td>'3312082310700001</td><td>170</td><td>100</td></tr><tr><t
d align='right'>J11.1</td><td>Influenza with other respiratory manifestations,
virus not identified</td><td></td><td align='right'>40180</td><td
align='right'>80400141</td><td>12-07-
2017</td><td>ASMANI</td><td>ASMANI</td><td>PETANI/PEKEBUN</td><td>DUNGPRING</td><td
>Dungpring</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td>
align='right'>H66.9</td><td>Otitis media, unspecified</td><td></td><td
align='right'>38896</td><td align='right'>80109957</td><td>12-07-2017</td><td>DEDI
REPANGGA</td><td>SUWOTO</td><td></td><td>EROMOKO
WETAN</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>80500125</td><td>12-07-2017</td><td>FAJAR SURYA
PRATAMA</td><td>HARYANTO</td><td>KONSTRUKSI</td><td>BUNTALAN KULON RT 02 RW
02</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>PKD
Ngadirejo</td><td>Indrarini</td><td> - </td><td>L</td><td>5-9
<tr><td align='right'>H90.2</td><td>Conductive hearing loss,
align='right'>80107630</td><td>12-07-
2017</td><td>HARSI</td><td>WIDODO</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING RT
02 RW 04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>A15.2</td><td>Tuberculosis of lung, confirmed
align='right'>80100529</td><td>12-07-
2017</td><td>HERMANTO</td><td>HERMANTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON
RT 04 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2017</td><td>HIRLAN</td><td>PARTI</td><td>WIRASWASTA</td><td>JATI</td><td></td><td>
</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>20-44
align='right'>80101195</td><td>12-07-2017</td><td>INDRI</td><td>BUDI
SANTOSO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN LOR RT 01 RW 04</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
><tr><td align='right'>H01.9</td><td>Inflammation of eyelid,
align='right'>80108552</td><td>12-07-
2017</td><td>JUMADI</td><td>JUMADI</td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>Ta
lang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80109949</td><td>12-07-
2017</td><td>JUMARDI</td><td>WASIMAN</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 02 RW
05</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Atmoko</td><td>L</td><td>55-59
2017</td><td>KARSITI TRI HASTUTI</td><td>BUDI SANTOSA</td><td>MENGURUS RUMAH
TANGGA</td><td>GABELAN LOR RT01/04</td><td>Gabelan
2017</td><td>KASTARI</td><td>KASTARI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td
>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80102196</td><td>12-07-2017</td><td>LENA
HARYANI</td><td>YANTO</td><td>MENGURUS RUMAH
<tr><td align='right'>Z00.0</td><td>General medical examination</td><td></td><td
2017</td><td>MAHARDIKA</td><td>SRIWANTO</td><td></td><td>MOJOSARI RT 1 RW
8</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>20-44
align='right'>T79.8</td><td>Other early complications of trauma</td><td></td><td
2017</td><td>MARBELA</td><td>RUDI</td><td>PELAJAR/MAHASISWA</td><td>NGLENGKONG</td>
<td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80105851</td><td>12-07-2017</td><td>MARDI SUWITO</td><td>MARDI
SUWITO</td><td>KARYAWAN
align='right'>80102475</td><td>12-07-
2017</td><td>MARYANTO</td><td>MARYANTO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><t
d>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80109951</td><td>12-07-2017</td><td>MUJI
RAHAYU</td><td>PARSO</td><td>WIRASWASTA</td><td>SIDOWAYAH
WETAN</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
2017</td><td>NATATIA</td><td>NGATNO</td><td>KONSTRUKSI</td><td>NGADIREJO</td><td>Ng
adirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>38908</td><td align='right'>80105423</td><td>12-07-2017</td><td>NURUL
FITRI AYU L</td><td>TUMINO</td><td>PELAJAR/MAHASISWA</td><td>MOJOSARI RT 01 RW
align='right'>38923</td><td align='right'>80109963</td><td>12-07-2017</td><td>PAINO
HADI</td><td>PAINO
HADI</td><td></td><td>KINAYUNGAN</td><td></td><td></td><td>Puskesmas
2017</td><td>PARTO</td><td>PARTO</td><td>PETANI/PEKEBUN</td><td>NGUNGGAHAN</td><td>
Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td>
- </td><td>L</td><td>20-44
align='right'>80106902</td><td>12-07-
2017</td><td>PURYADI</td><td>PURYADI</td><td>TRANSPORTASI</td><td></td><td></td><td
>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>55-59
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rujuk internal</td><td
align='right'>80109316</td><td>12-07-
2017</td><td>SAKINO</td><td>SAKINO</td><td>PETANI/PEKEBUN</td><td>SONG PUTRI WETAN
RT 01/01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>PUSTU
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>L</td><td>>70
2017</td><td>SAKIYEM</td><td>SAKIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>SONGPUTRI KULON</td><td>Songputri
Kulon</td><td>Sindukarto</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
</td><td>P</td><td>60-69
align='right'>80400069</td><td>12-07-
2017</td><td>SALIYEM</td><td>SALIYEM</td><td>MENGURUS RUMAH
align='right'>R10.0</td><td>Acute abdomen</td><td></td><td
2017</td><td>SANIYEM</td><td>WAGIYO</td><td>PETANI/PEKEBUN</td><td>GABUG RT 01 RW
06</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>G43.8</td><td>Other migraine</td><td></td><td
2017</td><td>SARINEM</td><td>JUMINO</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
WETAN</td><td>Songputri
Wetan</td><td>Sindukarto</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
</td><td>P</td><td>45-54
2017</td><td>SARIYEM</td><td>SARMO</td><td>PETANI/PEKEBUN</td><td>KEBON AGUNG RT 01
RW 08</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita
win p</td><td> - </td><td>P</td><td>55-59
2017</td><td>SUHARTI</td><td>DARYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEHARJO</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas
Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>45-54
kan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>80101458</td><td>12-07-
2017</td><td>SUMARNING</td><td>SUNARDI</td><td>PEDAGANG</td><td>EROMOKO KULON RT 01
><tr><td align='right'>I10</td><td>Essential (primary)
align='right'>80101577</td><td>12-07-
2017</td><td>SUPAMI</td><td>SUPAMI</td><td></td><td>JATI</td><td></td><td></td><td>
Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>45-54
2017</td><td>SURIP</td><td>SURIP</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
WETAN</td><td>Songputri
Wetan</td><td>Sindukarto</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
2017</td><td>SUTIYEM</td><td>SUTIYEM</td><td>PEDAGANG</td><td>BLIMBING RT 02 RW
04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUTIYEM</td><td>SUTIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>SONGPUTRI KL</td><td>Songputri
2017</td><td>SUWARTI</td><td>SUWARTI</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
WT</td><td>Songputri
</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80109952</td><td>12-07-
2017</td><td>SUYONO</td><td>SUYONO</td><td></td><td>JATI</td><td></td><td></td><td>
Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>55-59
align='right'>Z30.1</td><td>Insertion of (intrauterine) contraceptive
align='right'>80500018</td><td>12-07-
2017</td><td>TARNI</td><td>PARDI</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>PKD
></tr><tr><td align='right'>L20.9</td><td>Atopic dermatitis,
align='right'>80100378</td><td>12-07-
2017</td><td>TEKI</td><td>MAWAN</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT 02
RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80100273</td><td>12-07-
RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>D69.9</td><td>Haemorrhagic condition,
align='right'>80800155</td><td>12-07-2017</td><td>UMI MASYRIFAH</td><td>ARIS
SETIAWAN</td><td>MENGURUS RUMAH
align='right'>80500261</td><td>12-07-
2017</td><td>UPIK</td><td>BINTANG</td><td>MENGURUS RUMAH
TANGGA</td><td>NGADIREJO</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PKD
align='right'>80107570</td><td>12-07-
2017</td><td>WARSIH</td><td>YATNO</td><td>MENGURUS RUMAH TANGGA</td><td>SERUT RT 01
RW 04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101727</td><td>12-07-
RT 01 RW 05</td><td>Bakalan</td><td>Minggarharjo</td><td>Puskesmas
2017</td><td>YANI</td><td>RUSDIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>SONGPUTRI KULON</td><td>Songputri
</td><td>P</td><td>20-44
Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>>70
d></tr><tr><td align='right'>I95.9</td><td>Hypotension,
align='right'>80104746</td><td>12-07-2017</td><td>YG SUKIRAN</td><td>YG
SUKIRAN</td><td>PENSIUNAN</td><td>EROMOKO KULON RT 03 RW 02</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>60-69
2017</td><td>ADDELIA
ARTAMEVIA</td><td>SUYADI</td><td>PELAJAR/MAHASISWA</td><td>BENGLE RT 02 RW
07</td><td>Bengle</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka
Darmarini</td><td> - </td><td>P</td><td>15-19
><tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
2017</td><td>AGUNG</td><td>SUGIMAN</td><td>PELAJAR/MAHASISWA</td><td>TILENG RT 02
RW 02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>F20.9</td><td>Schizophrenia, unspecified</td><td></td><td
SUBROTO</td><td>TOHARI</td><td>WIRASWASTA</td><td>NGRAWAN</td><td>Ngrawan</td><td>N
gunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80109966</td><td>13-07-
2017</td><td>BUDIANTO</td><td>BUDIANTO</td><td></td><td>SONG PUTRI WETAN RT
01/01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
align='right'>80109971</td><td>13-07-
2017</td><td>DALIMIN</td><td>PARYONO</td><td></td><td>SECANG KIDUL RT 3 RW
4</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>55-59
2017</td><td>ELIZABETH SUPRIYANTI</td><td>TUKINO</td><td></td><td>DEMANGAN RT 03 RW
</td><td>P</td><td>20-44
2017</td><td>ENI</td><td>PARTO</td><td>MENGURUS RUMAH
align='right'>81100279</td><td>13-07-2017</td><td>FEBRI
YUSMAN</td><td>YURIYANTO</td><td>KONSTRUKSI</td><td>PANGKAH</td><td>Pangkah</td><td
>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>A88.1</td><td>Epidemic verti</td><td></td><td
2017</td><td>GIYARNI</td><td>SUTRISNO</td><td>MENGURUS RUMAH
TANGGA</td><td>BLIMBING RT 03 RW
></tr><tr><td align='right'>H25.0</td><td>Senile incipient
cataract</td><td></td><td align='right'>38963</td><td
align='right'>80109765</td><td>13-07-2017</td><td>HADI KASMONO</td><td>HADI
KASMONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 04 RW
07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80107899</td><td>13-07-2017</td><td>HANUM SALSABILA
F</td><td>SURANTO</td><td>PELAJAR/MAHASISWA</td><td>PANGKAH RT02 /
08</td><td></td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>L50.1</td><td>Idiopathic urticaria</td><td></td><td
2017</td><td>JAWI</td><td>JAWI</td><td>MENGURUS RUMAH TANGGA</td><td>KERJO
MOJOPURO</td><td></td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102065</td><td>13-07-2017</td><td>JONATHAN RENGGA
A</td><td>YANTO</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</td><td>Ero
moko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
<tr><td align='right'>M00.13</td><td>Pneumococcal arthritis and polyarthritis,
align='right'>81600026</td><td>13-07-
2017</td><td>JUMADI</td><td>JUMADI</td><td>PETANI/PEKEBUN</td><td>PRACIMANTORO</td>
<td>Luar Wilayah</td><td>Luar Wilayah</td><td>PKD Baleharjo</td><td>Sri Eka
Darmarini</td><td> - </td><td>L</td><td>55-59
align='right'>80500260</td><td>13-07-
2017</td><td>JUMINI</td><td>JUMINI</td><td>PETANI/PEKEBUN</td><td>PLUMBON
RT04/07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80400173</td><td>13-07-
2017</td><td>KARMI</td><td>WITO</td><td>PEDAGANG</td><td>TALANG</td><td>Talang</td>
<td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
</td><td>P</td><td>60-69
2017</td><td>KARTIYEM</td><td>RONI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>P
</td><td>P</td><td>45-54
align='right'>38972</td><td align='right'>80102649</td><td>13-07-2017</td><td>KATMI
UTAMI</td><td>UJAI SUPARDI</td><td>MENGURUS RUMAH TANGGA</td><td>NGARAKAN RT 02 RW
02</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>L23.9</td><td>Allergic contact dermatitis, unspecified
cause</td><td></td><td align='right'>39017</td><td
align='right'>80109975</td><td>13-07-
2017</td><td>KONDANG</td><td>SUKARJI</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT
02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>LASIYEM</td><td>LASIYEM</td><td>PETANI/PEKEBUN</td><td>BALEKERTO</td><
td>Balekerto</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
align='right'>N92.4</td><td>Excessive bleeding in the premenopausal
period</td><td></td><td align='right'>38964</td><td
align='right'>81200055</td><td>13-07-
2017</td><td>LASNI</td><td>LASNI</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jambe
</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>0-7 hari</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80300199</td><td>13-07-
2017</td><td>MANTO</td><td>MANTO</td><td>PETANI/PEKEBUN</td><td>GRITAN RT 01 RW
09</td><td>Geritan</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>L</td><td>>70
2017</td><td>MARTO</td><td>MARTO</td><td>PETANI/PEKEBUN</td><td>PRACIMANTORO</td><t
d>Luar Wilayah</td><td>Luar Wilayah</td><td>PKD Baleharjo</td><td>Sri Eka
Darmarini</td><td> - </td><td>L</td><td>>70
align='right'>80101299</td><td>13-07-
align='right'>80100862</td><td>13-07-
2017</td><td>PANTIYEM</td><td>MULYONO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>
Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
></tr><tr><td align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td
2017</td><td>PARNI</td><td>MANTONO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>P
angkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80107216</td><td>13-07-2017</td><td>RENI HESTININGSIH</td><td>AGUNG
SUNARIMO</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU KULON
RT01/05</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas
2017</td><td>RISKI</td><td>PARTO</td><td>PELAJAR/MAHASISWA</td><td>NGUNGGAHAN</td><
td></td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80300194</td><td>13-07-
2017</td><td>SAIKEM</td><td>SADINO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT
p</td><td> - </td><td>P</td><td>20-44
2017</td><td>SAINEM</td><td>PAIJO</td><td>PETANI/PEKEBUN</td><td>PANGKAH RT 01 RW
08</td><td>Pangkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka
><tr><td align='right'>I84.0</td><td>Internal thrombosed
haemorrhoids</td><td></td><td align='right'>38975</td><td
align='right'>80104416</td><td>13-07-
2017</td><td>SAMIDI</td><td>SAMIDI</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80107177</td><td>13-07-
2017</td><td>SARIKEM</td><td>SALIYO</td><td>MENGURUS RUMAH TANGGA</td><td>NGADIREJO
2017</td><td>SARING</td><td>SARING</td><td>PETANI/PEKEBUN</td><td>BALEKERTO</td><td
>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>L40.9</td><td>Psoriasis, unspecified</td><td></td><td
2017</td><td>SARMAN</td><td>SARMAN</td><td></td><td>GEDONG RT 01 RW
02</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>
- </td><td>L</td><td>45-54
align='right'>81100073</td><td>13-07-
2017</td><td>SARMI</td><td>PONIRIN</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>P
2017</td><td>SARTI</td><td>PAIMUN</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>Pa
ngkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80109973</td><td>13-07-
2017</td><td>SATIMO</td><td>SATIMO</td><td></td><td>BON
AGUNG</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>60-69
align='right'>80200804</td><td>13-07-
2017</td><td>SAYEM</td><td>KASINO</td><td>PEDAGANG</td><td>JATIREJO</td><td>Jatirej
o</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>Hesti
Wiji Utami</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2017</td><td>SLAMET
NUGROHO</td><td>SUMANTO</td><td>WIRASWASTA</td><td>NGLOKO</td><td>Ngloko</td><td>Pa
nekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80108614</td><td>13-07-
2017</td><td>SUKIMIN</td><td>SUKIMIN</td><td>PETANI/PEKEBUN</td><td>JAMBE RT 01 RW
08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
<tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
2017</td><td>SUKINAH</td><td>SUYITNO</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP
align='right'>80102915</td><td>13-07-
></tr><tr><td align='right'>H53.8</td><td>Other visual
align='right'>80100290</td><td>13-07-
2017</td><td>SUKINEM</td><td>SUKAMTO</td><td>PETANI/PEKEBUN</td><td>BOLAK RT O2 RW
02</td><td>Bolak</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>B86</td><td>Scabies</td><td></td><td
2017</td><td>SULARTI</td><td>SUMARNO</td><td>MENGURUS RUMAH TANGGA</td><td>TUKUL RT
02/05</td><td></td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80100545</td><td>13-07-
2017</td><td>SUWOTO</td><td>SUWOTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN RT
align='right'>80102063</td><td>13-07-
l</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>Atmoko</td><td>L</td><td>60-69
l</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>Atmoko</td><td>L</td><td>60-69
2017</td><td>TUGIYEM</td><td>TUGIYEM</td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>
</td><td>P</td><td>60-69
align='right'>I84.5</td><td>External haemorrhoids without
complication</td><td></td><td align='right'>38967</td><td
align='right'>80100991</td><td>13-07-
be</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80104427</td><td>13-07-
2017</td><td>TUMIJEM</td><td>MURSINO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEKERTO RT 01 RW
04</td><td>Balekerto</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri
><tr><td align='right'>L23.9</td><td>Allergic contact dermatitis, unspecified
align='right'>80100041</td><td>13-07-
2017</td><td>UNZILLA</td><td>TRIYANTO</td><td></td><td>MOJOSARI</td><td></td><td>Ng
adirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
2017</td><td>WAGIYO</td><td>WAGIYO</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Pa
</td><td>L</td><td>55-59
2017</td><td>WARSIYEM</td><td>WARNO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>
Pangkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td>
- </td><td>P</td><td>45-54
2017</td><td>WASINAH</td><td>WASINAH</td><td>PETANI/PEKEBUN</td><td>BALEKERTO</td><
td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80107745</td><td>13-07-
2017</td><td>ARIF</td><td>ARIF</td><td></td><td>SIYONO RT 01 RW
</td><td>L</td><td>20-44
align='right'>80800241</td><td>14-07-
2017</td><td>ASPIA</td><td>SISWANDI</td><td>KONSTRUKSI</td><td>PRAMBE</td><td>Pramb
e</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80101622</td><td>14-07-2017</td><td>BITA ALIFINA
CAHYANI</td><td>MAROI</td><td>LAINNYA</td><td>SENGON</td><td>Sengon</td><td>Eromoko
</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>5-9
2017</td><td>DARMI</td><td>KARDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>DARMI</td><td>KARDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>39052</td><td align='right'>80109983</td><td>14-07-2017</td><td>DEWI
RISNAWATI</td><td>RIYADI</td><td></td><td>KUTUKAN RT 01 RW
</td><td>P</td><td>20-44
align='right'>H00.0</td><td>Hordeolum and other deep inflammation of
eyelid</td><td></td><td align='right'>39079</td><td
align='right'>80109988</td><td>14-07-
2017</td><td>FADIRA</td><td>SARWANTO</td><td></td><td>BUNTALAN WETAN RT 01 RW
01</td><td></td><td></td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>5-9
align='right'>80109145</td><td>14-07-2017</td><td>FAKHRI HAMDAN AL
GHOFARI</td><td>SURATMAN</td><td>PELAJAR/MAHASISWA</td><td>SUMBER WATU RT 02 RW
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>H60.5</td><td>Acute otitis externa, noninfective</td><td></td><td
2017</td><td>FEBIAN</td><td>KASIDI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO KULON
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>10-14
RW 07</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100478</td><td>14-07-2017</td><td>HADI WIYONO</td><td>HADI
WIYONO</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharj
o</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
align='right'>39044</td><td align='right'>80108390</td><td>14-07-2017</td><td>HARI
SUDARSONO</td><td>HARI
SUDARSONO</td><td>WIRASWASTA</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td>
<td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>20-44
align='right'>80103369</td><td>14-07-
2017</td><td>ISMIATI</td><td>JUMANTO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80109986</td><td>14-07-2017</td><td>KARIYEM</td><td>HADI
KASMONO</td><td></td><td>PLUMBON RT04/07</td><td></td><td></td><td>Puskesmas
align='right'>80109986</td><td>14-07-2017</td><td>KARIYEM</td><td>HADI
KASMONO</td><td></td><td>PLUMBON RT04/07</td><td></td><td></td><td>Puskesmas
2017</td><td>KARTI</td><td>SUGENG</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT
02 RW 02</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td> - </td><td>P</td><td>>70
align='right'>80109991</td><td>14-07-
2017</td><td>KARTOYO</td><td>KARTOYO</td><td></td><td>BONGOS</td><td></td><td></td>
<td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>45-
54 Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
align='right'>80201009</td><td>14-07-
2017</td><td>KASIKEM</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
>Bakalan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
2017</td><td>KASINEM</td><td>KASINEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
2017</td><td>KATINEM</td><td>KATINEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
align='right'>M12.58</td><td>Traumatic arthropathy, other sites</td><td></td><td
2017</td><td>LARISA
PUTRI</td><td>WARTONO</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU WETAN RT 03 RW
- </td><td>P</td><td>10-14
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk</td><td
Umum</td><td>Poli HD</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Luar
align='right'>H54.2</td><td>Low vision, both eyes</td><td></td><td
2017</td><td>LARNI</td><td>KATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>NGADIREJO
RT 02 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>I77.6</td><td>Arteritis, unspecified</td><td></td><td
2017</td><td>LISTRI
ATMINI</td><td>TRIHATMANTO</td><td>PEDAGANG</td><td>TILENG</td><td>Tileng</td><td>P
uloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
2017</td><td>MARGONO</td><td>MARGONO</td><td>PENSIUNAN</td><td>EROMOKO
Iwan Iskandar, MM</td><td> - </td><td>L</td><td>>70
2017</td><td>MARNI</td><td>PADMOREJO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><
td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80800183</td><td>14-07-
2017</td><td>NANIK</td><td>SUTIMAN</td><td>PEDAGANG</td><td>PRAMBON RT 02 RW
05</td><td>Prambon</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>G81.9</td><td>Hemiplegia, unspecified</td><td></td><td
2017</td><td>NGADINEM</td><td>PADIO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT
03 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>PARIJATUL SOLIHIN</td><td>SIDIK</td><td></td><td>TAPOS
TENGAH</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>80500263</td><td>14-07-
2017</td><td>PARTINI</td><td>SULARTO</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td
>Plumbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>Ida Tri
Purbaningsih</td><td>P</td><td>20-44
align='right'>80500072</td><td>14-07-2017</td><td>PRIH UTAMI</td><td>PRIH
UTAMI</td><td>WIRASWASTA</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>
PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>20-44
align='right'>B02.8</td><td>Zoster with other complications</td><td></td><td
align='right'>39060</td><td align='right'>80102613</td><td>14-07-2017</td><td>RIKO
ARDI A</td><td>HERI PURWANTO</td><td>KARYAWAN
SWASTA</td><td>SERUT</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80300052</td><td>14-07-
2017</td><td>SAKIYEM</td><td>SAKIYEM</td><td>PETANI/PEKEBUN</td><td>TILENG RT 01 RW
02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80201004</td><td>14-07-
2017</td><td>SAMINEM</td><td>SAMINEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
</td><td>P</td><td>60-69
2017</td><td>SARMI</td><td>DIKAN</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>Bak
alan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
align='right'>80201017</td><td>14-07-
2017</td><td>SINEM</td><td>SINEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>Bak
alan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
align='right'>80102612</td><td>14-07-2017</td><td>SITI ROHMANIATI</td><td>RIKO ARDI
ANGGARA</td><td>KARYAWAN SWASTA</td><td>TUKUL RT 03 RW
05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>S00.0</td><td>Superficial injury of scalp</td><td></td><td
2017</td><td>SRIYANTI</td><td>FERY</td><td></td><td>WATULEMBU WETAN RT 03 RW
</td><td>P</td><td>20-44
align='right'>80107050</td><td>14-07-
2017</td><td>SUDARTO</td><td>SUDARTO</td><td>PETANI/PEKEBUN</td><td>BALEKERTO RT 01
RW 02</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100536</td><td>14-07-
2017</td><td>SUGENG</td><td>SUGENG</td><td>WIRASWASTA</td><td>NGLOKO RT 02 RW
02</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>I84.0</td><td>Internal thrombosed
haemorrhoids</td><td></td><td align='right'>39071</td><td
align='right'>80102124</td><td>14-07-
2017</td><td>SUGIMO</td><td>SUGIMO</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>Ti
leng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>45-54
align='right'>80500264</td><td>14-07-
2017</td><td>SUGIYARNI</td><td>SUYATNO</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><
td>Plumbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>N30.0</td><td>Acute cystitis</td><td></td><td
2017</td><td>SUMANTO</td><td>SUMANTO</td><td>PETANI/PEKEBUN</td><td>SUMBER WATU RT
02 RW 05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>14</td><td align='right'>6</td><td
2017</td><td>SUMARLI</td><td>SATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>POKOH
SINDUKARTO</td><td></td><td></td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>SUMARLI</td><td>SATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>POKOH
SINDUKARTO</td><td></td><td></td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>SUMINEM</td><td>SUMINEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
align='right'>80101162</td><td>14-07-
2017</td><td>SUMINEM</td><td>SUMINEM</td><td>PETANI/PEKEBUN</td><td>KEBON
AGUNG</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>M54.5</td><td>Low back pain</td><td></td><td
2017</td><td>SUMIYEM</td><td>WAGIYO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>
Bakalan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
2017</td><td>SUMIYEM</td><td>WAGIYO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>
2017</td><td>SUMIYEM</td><td>RATNO</td><td>PETANI/PEKEBUN</td><td>BAKALAN RT 01 RW
05</td><td>Bakalan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri
align='right'>80109987</td><td>14-07-
2017</td><td>SURATI</td><td>SURATI</td><td></td><td>PANEKAN RT02
- </td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
DITANGGUNG PEMERINTAH</td><td>Rujuk internal</td><td align='right'>8</td><td
2017</td><td>SUWANTI</td><td>SUDARTO</td><td>PEDAGANG</td><td>EROMOKO
2017</td><td>TUGIYEM</td><td>SAIMAN</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>
</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
2017</td><td>TUMIKEM</td><td>TUKIJAN</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
align='right'>80101464</td><td>14-07-
2017</td><td>TUMINAH</td><td>HARTONO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
01 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>80201007</td><td>14-07-2017</td><td>TUMINI</td><td>WIRYO
SENTONO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>Bakalan</td><td>Minggarharjo
</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>60-69
align='right'>80109981</td><td>14-07-2017</td><td>VERA RAHAYU</td><td>JOKO TRI
UNTORO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW
2017</td><td>WALUYO</td><td>WALUYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
KULON</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>G81.9</td><td>Hemiplegia, unspecified</td><td></td><td
2017</td><td>WARTI</td><td>SUTARNO</td><td>PEGAWAI NEGERI SIPIL</td><td>SURU KULON
RT 01 RW 07</td><td>Suru Kulon</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80100174</td><td>14-07-
2017</td><td>WATIYEM</td><td>NGALI</td><td>PEDAGANG</td><td>SENGON</td><td>Sengon</
td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>55-59
2017</td><td>WIRATI</td><td>PARNO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>Ba
kalan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
kalan</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
align='right'>39075</td><td align='right'>80109271</td><td>14-07-2017</td><td>YUNI
ROSDIANA</td><td>YURIANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO KULON RT 03
2017</td><td>ANDRIYANTO</td><td>MARYONO</td><td>WIRASWASTA</td><td>TEGALREJO RT 1
RW 6</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>Atmoko</td><td>L</td><td>15-19
></tr><tr><td align='right'>A09</td><td>Diarrhoea and gastroenteritis of presumed
align='right'>80110002</td><td>15-07-
2017</td><td>ANJELINA</td><td>PRIYANTO</td><td>PELAJAR/MAHASISWA</td><td>CEMANGKAH
LOR</td><td>Cemangkah Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>AZIZAH
PRASETYA</td><td>SUKIRMAN</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 04 RW
align='right'>K35.9</td><td>Acute appendicitis, unspecified</td><td></td><td
align='right'>39109</td><td align='right'>80101622</td><td>15-07-2017</td><td>BITA
ALIFINA
</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
2017</td><td>BUDIYONO</td><td>BUDIYONO</td><td>PETANI/PEKEBUN</td><td>NGLEMPUNG RT
01 RW 02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80109971</td><td>15-07-
2017</td><td>DALIMIN</td><td>PARYONO</td><td>PETANI/PEKEBUN</td><td>SECANG KIDUL RT
3 RW 4</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80106150</td><td>15-07-
2017</td><td>DIVA</td><td>YUDI</td><td>KONSTRUKSI</td><td>TEMPURAN
KIDUL</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr.
align='right'>N23</td><td>Unspecified renal colic</td><td></td><td
align='right'>39121</td><td align='right'>80109999</td><td>15-07-2017</td><td>HARI
SUTOPO</td><td>HARI SUTOPO</td><td></td><td>SUMBER
RT01/01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80108628</td><td>15-07-2017</td><td>JOKO PURWANTO</td><td>JOKO
PURWANTO</td><td>WIRASWASTA</td><td>WATULEMBU KULON RT 01 RW 05</td><td>Watulembu
Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80101446</td><td>15-07-
2017</td><td>JUMINAH</td><td>TUGINO</td><td>PEDAGANG</td><td>SECANG KIDUL RT 05 RW
04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>M25.5</td><td>Pain
in joint</td><td></td><td align='right'>39160</td><td
align='right'>80102534</td><td>15-07-
2017</td><td>KARTINI</td><td>KALIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>MARMANTO</td><td>SARMOJI</td><td>WIRASWASTA</td><td>PANGKAH RT 03 RW
08</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>20-44
Umum</td><td>Poli Paru - Paru</td><td>BBKPM SURAKARTA</td><td>Dalam
with neurological complications</td><td></td><td align='right'>39133</td><td
align='right'>80110001</td><td>15-07-
2017</td><td>PUJI</td><td>SATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>CEMANGKAH
KIDUL RT 01 RW 7</td><td>Cemangkah Kidul</td><td>Sindukarto</td><td>Puskesmas
2017</td><td>RIFAN</td><td>SUTARMIN</td><td>PELAJAR/MAHASISWA</td><td>GEDONG RT 03
RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100149</td><td>15-07-
</td><td>L</td><td>60-69
NINGSIH</td><td>SUGIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN KIDUL RTB01
RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80107161</td><td>15-07-
2017</td><td>SUGIYATO</td><td>SUGIYATO</td><td>KARYAWAN SWASTA</td><td>GABELAN
KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SUMIRAH</td><td>KARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>MOJOSARI</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80108399</td><td>15-07-
2017</td><td>SUPARDI</td><td>SUPARDI</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 02
align='right'>80104426</td><td>15-07-
2017</td><td>SUROTO</td><td>SUROTO</td><td>PENSIUNAN</td><td>EROMOKO
KULON</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td> - </td><td>L</td><td>>70
align='right'>80100989</td><td>15-07-2017</td><td>TRI
DIANNINGSIH</td><td>RUDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO KULON RT 01
align='right'>39294</td><td align='right'>80201033</td><td>17-07-2017</td><td>ABDUL
MUTOLIB</td><td>ABDUL
MUTOLIB</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</t
d><td>PUSKESLING</td><td>TRIYOKO</td><td> - </td><td>L</td><td>60-69
align='right'>39259</td><td align='right'>80105114</td><td>17-07-2017</td><td>ADI
RAMADAN</td><td>MISNO</td><td>PELAJAR/MAHASISWA</td><td>DUNGPRING</td><td>Dungpring
</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>15-19
align='right'>80201028</td><td>17-07-2017</td><td>ADITYA
ARDIANSYAH</td><td>BARDI</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU</td><td>Ngrandu<
/td><td>Ngadirejo</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
</td><td>L</td><td>15-19 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
align='right'>B37.0</td><td>Candidal stomatitis</td><td></td><td
align='right'>39216</td><td align='right'>80110007</td><td>17-07-2017</td><td>AJI
NUGROHO</td><td>TUKINO</td><td></td><td>BUNTALAN WETAN</td><td>Buntalan
Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>39228</td><td align='right'>80110010</td><td>17-07-2017</td><td>ALFIN
ABDULAH</td><td>NGATIYO</td><td>WIRASWASTA</td><td>SOKO RT OO2 RW
006</td><td>Pucung</td><td>PUCUNG</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>AMELIA</td><td>SUKATMO</td><td>KONSTRUKSI</td><td>BULU RT 01 RW
04</td><td>Bulu</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>M25.57</td><td>Pain in joint, ankle and foot</td><td></td><td
align='right'>39239</td><td align='right'>80104007</td><td>17-07-2017</td><td>ASIH
RATNASARI</td><td>SUHARNO</td><td>KARYAWAN
SWASTA</td><td>BAKALAN</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas
align='right'>B35.8</td><td>Other dermatophytoses</td><td></td><td
align='right'>39219</td><td align='right'>80109435</td><td>17-07-2017</td><td>ATMO
WIYONO WAKIYO</td><td>ATMO WIYONO WAKIYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
WETAN RT 01 RW 01</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>CITRAMEIVIKA VESTADHANI</td><td>SRI
HARTATI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>K00.7</td><td>Teething syndrome</td><td></td><td
2017</td><td>DANANG</td><td>WARSINO</td><td>PELAJAR/MAHASISWA</td><td>POKOH</td><td
>Pokoh</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
2017</td><td>DARSONO</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><t
d>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>DARYANTO</td><td>DARYANTO</td><td>WIRASWASTA</td><td>GEDONG RT 01 RW
07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>DASIYEM</td><td>KARJONO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
LOR RT 01 RW 04</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> -
align='right'>39196</td><td align='right'>80103578</td><td>17-07-2017</td><td>E.
SUNIYANTI</td><td>JUMADI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80101615</td><td>17-07-2017</td><td>ENI
SUKESIH</td><td>SUTARMAN</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
WETAN</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Anis Purwandari</td><td>P</td><td>20-44
align='right'>80900359</td><td>17-07-
2017</td><td>ERNAWATI</td><td>SUGENG</td><td>PERANGKAT DESA</td><td>KLAMPEYAN
2017</td><td>GITONO</td><td>GITONO</td><td>PETANI/PEKEBUN</td><td>GABELAN
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Sri
align='right'>80100423</td><td>17-07-
2017</td><td>JUMIYEM</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN RT
align='right'>80500010</td><td>17-07-
2017</td><td>KARIMAH</td><td>SATIMIN</td><td>PETANI/PEKEBUN</td><td>NGRANDU
NGADIREJO</td><td>Ngrandu</td><td>Ngadirejo</td><td>PKD
align='right'>80101817</td><td>17-07-
Induk</td><td>Budi Prasetyo</td><td> - </td><td>L</td><td>60-69
align='right'>80201019</td><td>17-07-
2017</td><td>KASIKEM</td><td>KASMO</td><td>PETANI/PEKEBUN</td><td>GABELAN
2017</td><td>KASIKEM</td><td>SUROTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN RT
></tr><tr><td align='right'>G46.4</td><td>Cerebellar stroke
syndrome</td><td></td><td align='right'>39181</td><td
align='right'>80101609</td><td>17-07-
2017</td><td>KASNO</td><td>KASNO</td><td>KARYAWAN SWASTA</td><td>SINDUKARTO RT 01
RW 05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
></tr><tr><td align='right'>G70.8</td><td>Other specified myoneural
disorders</td><td></td><td align='right'>39215</td><td
align='right'>80102912</td><td>17-07-
2017</td><td>KASTINI</td><td>RUSWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>KASTINI</td><td>RUSWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80201024</td><td>17-07-
2017</td><td>LASIYEM</td><td>MISDI</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>80101373</td><td>17-07-
2017</td><td>LESTARI</td><td>LARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>PANEKAN</td><td>Panekan</td><td>Panekan</td><td>PKD & PUSTU
2017</td><td>MARGONO</td><td>KASIDI</td><td>WIRASWASTA</td><td>NGANDONG</td><td>Nga
ndong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>20-44
align='right'>J45.8</td><td>Mixed asthma</td><td></td><td
2017</td><td>MARMANTO</td><td>SARMOJI</td><td>WIRASWASTA</td><td>PANGKAH RT 03 RW
align='right'>80100594</td><td>17-07-
2017</td><td>MISIYEM</td><td>SARMAN</td><td>PETANI/PEKEBUN</td><td>GEDONG</td><td>G
edong</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win p</td><td> -
</td><td>P</td><td>45-54
align='right'>80700197</td><td>17-07-2017</td><td>MUH
ZAELANI</td><td>KARNO</td><td></td><td>GABELAN
LOR</td><td>Tegalrejo</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Sri
align='right'>Z89.9</td><td>Acquired absence of limb, unspecified</td><td></td><td
align='right'>39270</td><td align='right'>80900361</td><td>17-07-2017</td><td>MUH.
FAREL DWI PRAYOGA</td><td>WACHID</td><td>PELAJAR/MAHASISWA</td><td>TEPIHARJO RT 02
RW 08</td><td>Tepiharjo</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>H25.0</td><td>Senile incipient cataract</td><td></td><td
align='right'>39178</td><td align='right'>80102843</td><td>17-07-2017</td><td>MULYO
DIHARJO MARJO</td><td>MULYO DIHARJO
MARJO</td><td>PETANI/PEKEBUN</td><td>NGLENGKONG</td><td>Nglengkong</td><td>Ngadirej
o</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita
Nurlina</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80900191</td><td>17-07-
2017</td><td>MURNIATI</td><td>GIYARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KLAMPEYAN RT02RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD &
PUSTU Panekan</td><td>Sri Sularsih</td><td>
- </td><td>P</td><td>20-44
2017</td><td>NARTO</td><td>NARTO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN RT
01 RW 04 PULOHARJO</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
align='right'>I06.9</td><td>Rheumatic aortic valve disease,
align='right'>80201030</td><td>17-07-
2017</td><td>NGATINEM</td><td>KASDI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td
>Budi Prasetyo</td><td> - </td><td>P</td><td>>70
align='right'>J06.0</td><td>Acute larynpharyngitis</td><td></td><td
2017</td><td>NGATINEM</td><td>RAKIJO</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBERWATU RT 01 RW
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>L20.9</td><td>Atopic dermatitis,
align='right'>80800041</td><td>17-07-
2017</td><td>NGATINEM</td><td>NGATINEM</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>
Bulu</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td>Hesti Wiji Utami</td><td>P</td><td>>70
align='right'>80104168</td><td>17-07-
2017</td><td>NGATIYEM</td><td>SUTIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>39237</td><td align='right'>80110013</td><td>17-07-2017</td><td>NIDYA
WIJAYA</td><td>DAKINO</td><td>PELAJAR/MAHASISWA</td><td>SINDUKARTO RT2 RW
05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>K00.6</td><td>Disturbances in tooth
eruption</td><td></td><td align='right'>39268</td><td
align='right'>80105306</td><td>17-07-2017</td><td>NUR AFNI
SOFIATUN</td><td>WINARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KLAMPEYAN</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU
align='right'>39230</td><td align='right'>80105220</td><td>17-07-2017</td><td>NUR
HASANAH</td><td>SRIYADI</td><td>KARYAWAN
SWASTA</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80101189</td><td>17-07-
2017</td><td>PAIKEM</td><td>KARNOMO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT 01 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Budi
2017</td><td>PARINEM</td><td>KROMO SENTONO</td><td>LAINNYA</td><td>KLAMPEYAN RT01
Sularsih</td><td> - </td><td>P</td><td>>70
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td
2017</td><td>PURWANTI</td><td>SUNARKO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO
RT 02 RW 03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>A90</td><td>Dengue fever [classical dengue]</td><td></td><td
align='right'>39208</td><td align='right'>80108445</td><td>17-07-2017</td><td>PUTRI
MAHARANI</td><td>MARYADI</td><td></td><td>EROMOKO WETAN RT 03 RW 03</td><td>Eromoko
align='right'>80105399</td><td>17-07-
2017</td><td>RUMIATI</td><td>KARNO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
align='right'>80106418</td><td>17-07-2017</td><td>SAFIRA INDAH P</td><td>INDO
PILIANTO</td><td>KONSTRUKSI</td><td>NGLOKO</td><td>Ngloko</td><td>Panekan</td><td>P
KD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td>1-4
2017</td><td>SAMIJEM</td><td>PAIMIN</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>M25.59</td><td>Pain in joint, unspecified site</td><td></td><td
RT02/05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
<tr><td align='right'>J11.1</td><td>Influenza with other respiratory
align='right'>81000055</td><td>17-07-
2017</td><td>SARIKEM</td><td>WAKIMAN</td><td>PETANI/PEKEBUN</td><td>GEDONG</td><td>
Gedong</td><td>Panekan</td><td>PUSTU Sindukarto</td><td>Harni Purwaningsih</td><td>
- </td><td>P</td><td>55-59
2017</td><td>SARIYO</td><td>SARIYO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
grandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Budi Prasetyo</td><td> -
align='right'>80201032</td><td>17-07-2017</td><td>SITI PRIHATI</td><td>SITI
PRIHATIN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</
td><td>PUSKESLING</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>>70
Thn.</td><td>Keluarga</td><td>Baru</td><td>GRATIS (TB
PARU,KUSTA)</td><td>Rajal</td><td align='right'></td><td align='right'></td><td
2017</td><td>SIYEM</td><td>KATIMIN</td><td>PEDAGANG</td><td>PRAMBON</td><td>Prambon
</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>Hesti
Wiji Utami</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
HARTATI</td><td>SRI HARTATI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
PEMERINTAH</td><td>Rujuk internal</td><td align='right'>11</td><td
RAHAYU</td><td>WIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>NGRANDU RT 03 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>PKD
><tr><td align='right'>K27.9</td><td>Peptic ulcer, unspecified as acute or chronic,
without haemorrhage or perforation</td><td></td><td align='right'>39266</td><td
SUKATMI</td><td>AHYAR</td><td>PETANI/PEKEBUN</td><td>NGLOKO</td><td>Ngloko</td><td>
Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
><tr><td align='right'>K00.6</td><td>Disturbances in tooth
eruption</td><td></td><td align='right'>39267</td><td
SUKATMI</td><td>SURATIN</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT 01 RW
2017</td><td>SUGENG</td><td>SUGENG</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL RT
01 RW 03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>PUSKESLING</td><td>Sri
2017</td><td>SUGENG</td><td>SUGENG</td><td>PERANGKAT DESA</td><td>KLAMPEYAN
align='right'>80105366</td><td>17-07-
2017</td><td>SUHARMI</td><td>TUKIJO</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
2017</td><td>SUHARMI</td><td>TUKIJO</td><td>MENGURUS RUMAH
align='right'>F23.8</td><td>Other acute and transient psychotic
align='right'>80105275</td><td>17-07-
2017</td><td>SUHARNI</td><td>RAMLI</td><td>MENGURUS RUMAH
align='right'>80109665</td><td>17-07-
align='right'>80102013</td><td>17-07-
2017</td><td>SUMIKEM</td><td>PASTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
2017</td><td>SUNGKEM</td><td>SUNGKEM</td><td>PETANI/PEKEBUN</td><td>GABELAN
><tr><td align='right'>Z36.8</td><td>Other antenatal screening</td><td></td><td
2017</td><td>SURATI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO
RT03 RW03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>B30.8</td><td>Other viral conjunctivitis</td><td></td><td
2017</td><td>SURIPNO</td><td>SURIPNO</td><td>BURUH HARIAN LEPAS</td><td>EROMOKO
align='right'>80110012</td><td>17-07-
2017</td><td>SUTINO</td><td>TUGIYEM</td><td></td><td>TAMBAKROMO</td><td>Luar
Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>20-44
align='right'>H61.2</td><td>Impacted cerumen</td><td></td><td
2017</td><td>SUTRIYO</td><td>SUTRIYO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
><tr><td align='right'>E21.0</td><td>Primary hyperparathyroidism</td><td></td><td
2017</td><td>SUWARDI</td><td>SUWARDI</td><td>WIRASWASTA</td><td>GENDENG RT 01 RW
2017</td><td>TEMI</td><td>ISKADI</td><td>PETANI/PEKEBUN</td><td>MANDEYAN RT 01 RW
align='right'>80100844</td><td>17-07-
2017</td><td>TUGINEM</td><td>KARIMIN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td
>Ngrandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Budi Prasetyo</td><td> -
2017</td><td>TUGIYEM</td><td>YOTO</td><td>PETANI/PEKEBUN</td><td>GABELAN
2017</td><td>TUKIJEM</td><td>TUKIJEM</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>80105915</td><td>17-07-
2017</td><td>TUKIJEM</td><td>WALUYO</td><td>MENGURUS RUMAH
2017</td><td>TUKIMAN</td><td>TUKIMAN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td
align='right'>M25.55</td><td>Pain in joint, pelvic and thigh</td><td></td><td
2017</td><td>TUKINAH</td><td>TUKINAH</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><t
d>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
><tr><td align='right'>M79.0</td><td>Rheumatism, unspecified</td><td></td><td
2017</td><td>TUKINO</td><td>TUKINO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT 01 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
2017</td><td>TUKIRAN</td><td>TUKIRAN</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>80109737</td><td>17-07-
2017</td><td>TUMIKEM</td><td>WASDI</td><td>MENGURUS RUMAH TANGGA</td><td>KLAMPEYAN
RT 02 RW 04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU
align='right'>80201026</td><td>17-07-
2017</td><td>TUMINEM</td><td>SUKINO</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>I50.9</td><td>Heart failure, unspecified</td><td></td><td
2017</td><td>WAKIJEM</td><td>WAKIJEM</td><td>MENGURUS RUMAH TANGGA</td><td>BARAN RT
02 RW 08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
d></tr><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
2017</td><td>WAKIYEM</td><td>TUKIRIN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td
</td><td>P</td><td>60-69
2017</td><td>WANTINEM</td><td>SUKINO</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>J32.1</td><td>Chronic frontal sinusitis</td><td></td><td
</td><td>P</td><td>45-54
2017</td><td>WARSI</td><td>WARSI</td><td>PETANI/PEKEBUN</td><td>GABELAN
2017</td><td>WARSI</td><td>WIDODO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>Ng
randu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Budi Prasetyo</td><td>Anita
Nurlina</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
2017</td><td>WARTINI</td><td>WARTINI</td><td>MENGURUS RUMAH
align='right'>80110020</td><td>17-07-2017</td><td>WIJI
LESTARI</td><td>KADINO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT 05 RW
align='right'>K02.0</td><td>Caries limited to enamel</td><td></td><td
2017</td><td>WINARSIH</td><td>SYAIFUL</td><td>MENGURUS RUMAH TANGGA</td><td>NGRANDU
RT 01 RW 04</td><td>Ngrandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Budi
2017</td><td>YADI</td><td>YADI</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>39244</td><td align='right'>80110015</td><td>17-07-2017</td><td>YESI
NOLITA</td><td>SUROTO</td><td>PELAJAR/MAHASISWA</td><td>TEMPURHARJO</td><td>Tempurh
arjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
2017</td><td>YULIANA</td><td>JOKO WIDODO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOROG RT02RW05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU
2017</td><td>YUNDA</td><td>SUKIMIN</td><td>WIRASWASTA</td><td>BANYON RT 001 RW
007</td><td>Pasekan</td><td>PASEKAN</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102737</td><td>17-07-2017</td><td>YUSUF SAPUTRA</td><td>MISTO
HARTONO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO KULON RT 04 RW 02</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
tr><td align='right'>L20.8</td><td>Other
atopic dermatitis</td><td></td><td align='right'>40190</td><td
align='right'>81000181</td><td>17-07-
2017</td><td>ZAHIN</td><td>RATINI</td><td>KONSTRUKSI</td><td>SONGPUTRI
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>P</td><td><1
align='right'>L50.3</td><td>Dermatographic urticaria</td><td></td><td
2017</td><td>ADITYA
C.P</td><td>SARIMAN</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedungdad
ap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td> -
</td><td>L</td><td>10-14
align='right'>39357</td><td align='right'>80100606</td><td>18-07-2017</td><td>ANIK
SURYANI</td><td>SUKIR</td><td></td><td>KEDUNGDADAP RT 02 RW
05</td><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80106457</td><td>18-07-
RW 03</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>J11.8</td><td>Influenza with other manifestations, virus not
align='right'>80100519</td><td>18-07-2017</td><td>EKA
LESTARI</td><td>HARDI</td><td>MENGURUS RUMAH
><tr><td align='right'>G70.9</td><td>Myoneural disorder,
align='right'>80110030</td><td>18-07-
2017</td><td>GINEM</td><td>GINEM</td><td>MENGURUS RUMAH TANGGA</td><td>GLAGAH WANGI
RT 006 RW 003</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>H25.1</td><td>Senile nuclear cataract</td><td></td><td
align='right'>39298</td><td align='right'>80109765</td><td>18-07-2017</td><td>HADI
KASMONO</td><td>HADI KASMONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 04 RW
align='right'>F20.0</td><td>Paranoid schizophrenia</td><td></td><td
2017</td><td>JUMIYEM</td><td>SUTARTO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td
><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80800031</td><td>18-07-
2017</td><td>KATI</td><td>TUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMPANG RT
03 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
2017</td><td>KIYEM</td><td>KIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</
td><td>Atmoko</td><td> - </td><td>P</td><td>60-69
align='right'>81200055</td><td>18-07-
2017</td><td>LASNI</td><td>LASNI</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jambe
</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>LESTARI</td><td>SLAMET</td><td>MENGURUS RUMAH
TANGGA</td><td></td><td></td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td>
- </td><td>P</td><td>45-54
align='right'>80100984</td><td>18-07-
td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>39318</td><td align='right'>80108570</td><td>18-07-2017</td><td>MISTO
HERU PURNOMO</td><td>MISTO HERU PURNOMO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
KULON RT 04 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
2017</td><td>MUHAJIRIN</td><td>MUHAJIRIN</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td
><td>Plumbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>NGATINEM</td><td>SIMAN</td><td>MENGURUS
RUMAH TANGGA</td><td>WATULEMBU WETAN RT 03 RW 04</td><td>Watulembu
</td><td>P</td><td>55-59
align='right'>80102163</td><td>18-07-
2017</td><td>PANIYEM</td><td>PANIYEM</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td
><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>PARIMIN</td><td>PARIMIN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td
><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td>Anis
Purwandari</td><td>L</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2017</td><td>PARTI</td><td>PARTI</td><td>PETANI/PEKEBUN</td><td>EROMOKO
Suwarsi</td><td> - </td><td>P</td><td>>70
align='right'>39364</td><td align='right'>80101180</td><td>18-07-2017</td><td>PUJI
ASTUTI</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>39309</td><td align='right'>80105795</td><td>18-07-2017</td><td>RINI
LESTARI</td><td>SUDARMONO</td><td>KARYAWAN SWASTA</td><td>KEDUNGDADAP
2017</td><td>SADIKEM</td><td>SADIKEM</td><td>MENGURUS RUMAH
td><td>Atmoko</td><td> - </td><td>P</td><td>>70
2017</td><td>SADIYEM</td><td>SUGINO</td><td>LAINNYA</td><td>BENGLE</td><td>Bengle</
td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SAKINEM</td><td>SAKINEM</td><td>MENGURUS RUMAH
2017</td><td>SAMIJEM</td><td>SLAMET</td><td>MENGURUS RUMAH
align='right'>80106515</td><td>18-07-
2017</td><td>SATIMO</td><td>SATIMO</td><td></td><td>KEBON AGUNG</td><td>Kebon
Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
PADMINI</td><td>LARMIN</td><td>PEGAWAI NEGERI SIPIL</td><td>BONAGUNG RT01 RW
08</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>45-54
align='right'>J06.8</td><td>Other acute upper respiratory infections of multiple
sites</td><td></td><td align='right'>39345</td><td
align='right'>80201035</td><td>18-07-2017</td><td>SRI RAHAYU</td><td>SRI
RAHAYU</td><td>MENGURUS RUMAH
SUNARSIH</td><td>SRI SUNARSIH</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP
</td><td>Kedungdadap</td><td>Eromoko</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>SUGINO</td><td>SUGINO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 01
RW
2017</td><td>SULINEM</td><td>SAMIN</td><td>MENGURUS RUMAH TANGGA</td><td>MINGGAR
HARJO RT 02 RW 03</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas
Induk</td><td>Sri Suwarsi</td><td>TRIYOKO</td><td>P</td><td>55-59
align='right'>I95.9</td><td>Hypotension, unspecified</td><td></td><td
2017</td><td>SUMIYEM</td><td>TUGINO</td><td>MENGURUS RUMAH
align='right'>C11.9</td><td>Malignant neoplasm of nasopharynx,
align='right'>80110040</td><td>18-07-
2017</td><td>SUPARDI</td><td>SUPARDI</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
RT 03 RW 04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>60-69
align='right'>80109859</td><td>18-07-
2017</td><td>SUPARNI</td><td>SARTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 03 RW03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
align='right'>80106059</td><td>18-07-
2017</td><td>SUTRIYO</td><td>SUTRIYO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
WETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SUWARMI</td><td>SARJUDI</td><td>MENGURUS RUMAH
><tr><td align='right'>L20.8</td><td>Other atopic dermatitis</td><td></td><td
2017</td><td>SUWARTI</td><td>SUSILO</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
KULON</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUYEM</td><td>SUYEM</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP
RT 02 RW
2017</td><td>SYAHRI
ARENGGA</td><td>GUNAWAN</td><td>PELAJAR/MAHASISWA</td><td>DEMANGAN</td><td>Demangan
</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
</td><td>L</td><td>15-19
align='right'>80107278</td><td>18-07-
2017</td><td>TIKEM</td><td>MULYADI</td><td>MENGURUS RUMAH TANGGA</td><td>SURU WETAN
RT 02 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas
><tr><td align='right'>J11.8</td><td>Influenza with other manifestations, virus not
UTAMI</td><td>YUSANTO</td><td>MENGURUS RUMAH TANGGA</td><td>POJOK RT 02 RW
align='right'>K37</td><td>Unspecified appendicitis</td><td></td><td
2017</td><td>TUKIYEM</td><td>SUYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMPANG
RT 01 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas
01 RW
2017</td><td>TUTIK</td><td>SUYITNO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td
>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
2017</td><td>TUYEM</td><td>TUYEM</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP
RT 03 RW
align='right'>80201034</td><td>18-07-
2017</td><td>WAGINAH</td><td>WAGINAH</td><td>MENGURUS RUMAH
td><td>Atmoko</td><td>
- </td><td>P</td><td>>70
2017</td><td>WAGINO</td><td>WAGINO</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 01 RW
2017</td><td>WAHYUNI</td><td>KASINO</td><td>MENGURUS RUMAH
align='right'>Z30.4</td><td>Surveillance of contraceptive drugs</td><td></td><td
2017</td><td>WAHYUNI</td><td>PARMAN</td><td>BURUH HARIAN
LEPAS</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>PKD
align='right'>80800243</td><td>19-07-2017</td><td>AGUNG YULIANTO</td><td>AGUNG
YULIANTO</td><td>PETANI/PEKEBUN</td><td>PRAMBE</td><td>Prambe</td><td>Baleharjo</td
><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>L</td><td>20-44
></tr><tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
2017</td><td>ALDO</td><td>HERI</td><td>PELAJAR/MAHASISWA</td><td>PULO</td><td>Pulo<
/td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>10-14
2017</td><td>ALFIAN LARAS ADI
CANDRA</td><td>SULARNO</td><td>WIRASWASTA</td><td>SUMBER WATU RT 03 RW
align='right'>80110047</td><td>19-07-
2017</td><td>ALVIAN</td><td>PAIDI</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI WETAN
RT 02 RW 01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
2017</td><td>DAFFA</td><td>SRIYONO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</t
d><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109971</td><td>19-07-
3 RW 4</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>M25.56</td><td>Pain in joint, lower leg</td><td></td><td
2017</td><td>GIYARDI</td><td>GIYARDI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td
><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100478</td><td>19-07-2017</td><td>HADI WIYONO</td><td>HADI
WIYONO</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharj
o</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
2017</td><td>HANIFAH</td><td>WAHONO</td><td>PELAJAR/MAHASISWA</td><td>POJOK</td><td
>Pojok</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>D69.0</td><td>Allergic purpura</td><td></td><td
2017</td><td>HISBRI DZAKIA V</td><td>IWAN</td><td>KONSTRUKSI</td><td>EROMOKO WETAN
<tr><td align='right'>B26.9</td><td>Mumps without complication</td><td></td><td
2017</td><td>HISBRI DZAKIA V</td><td>IWAN</td><td>KONSTRUKSI</td><td>EROMOKO WETAN
2017</td><td>HUSNUL
FATHIIMAH</td><td>WAHONO</td><td>KONSTRUKSI</td><td>POJOK</td><td>Pojok</td><td>Nga
direjo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>P</td><td>1-4
align='right'>80110048</td><td>19-07-
2017</td><td>KARNI</td><td></td><td></td><td>NGADIREJO RT 04 RW
03</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>Anita Nurlina</td><td>P</td><td>55-59
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
PBI DITANGGUNG PEMERINTAH</td><td>Rujuk</td><td align='right'>18</td><td
align='right'>0</td><td align='right'>57</td><td>BP. Umum</td><td>Poli Penyakit
Dalam</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>80100049</td><td>19-07-
2017</td><td>KATIYEM</td><td>MARTOYO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO RT 04
align='right'>O16</td><td>Unspecified maternal hypertension</td><td></td><td
2017</td><td>LARSINI</td><td>LARSINI</td><td>PETANI/PEKEBUN</td><td>POJOK</td><td>P
ojok</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>55-59
2017</td><td>MARWANTI</td><td>SARTO</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
WETAN</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
Umum</td><td>Poli Kulit Kelamin</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>D24</td><td>Benign neoplasm of breast</td><td></td><td
2017</td><td>MAYANG
KIRANI</td><td>KASNO</td><td>PELAJAR/MAHASISWA</td><td>SINDUKARTO RT 01 RW
2017</td><td>MISRAN</td><td>MISRAN</td><td>PETANI/PEKEBUN</td><td>SECANG
KIDUL</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100678</td><td>19-07-
2017</td><td>MRAJAK</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>SURU KULON
align='right'>80105771</td><td>19-07-2017</td><td>MUAMMAR
SYARIFUDDIN</td><td>SLAMET</td><td></td><td>EROMOKO KULON</td><td>Eromoko
align='right'>I25.9</td><td>Chronic ischaemic heart disease,
align='right'>80107372</td><td>19-07-2017</td><td>MUHAMMAD
ALVIN</td><td>SIMIN</td><td>KONSTRUKSI</td><td>EROMOKO WETAN RT 03 RW
Iskandar, MM</td><td> - </td><td>L</td><td><1
2017</td><td>NIYEM</td><td>NIYEM</td><td>PETANI/PEKEBUN</td><td>KUTUKAN</td><td>Kut
ukan</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td
HAYATI</td><td>SISWANDI</td><td>LAINNYA</td><td>PRAMBE</td><td>Prambe</td><td>Baleh
arjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>NURMALASARI</td><td>BUDI SETIYAWAN SUPRIYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BUNTALAN KULON RT 01 RW 02</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>Sri Suwarsi</td><td>P</td><td>20-44
align='right'>80100566</td><td>19-07-
RW 08</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
QUR ANI Q</td><td>ABDUL GOFAR</td><td></td><td>EROMOKO KULON</td><td>Eromoko
><tr><td align='right'>H53.8</td><td>Other visual disturbances</td><td></td><td
MARDIYATMINI</td><td>SRI MARDIYATMINI</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
align='right'>80101425</td><td>19-07-
kan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
align='right'>80110038</td><td>19-07-2017</td><td>SUNARTI</td><td>ABU
NAIM</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT 03 RW
></tr><tr><td align='right'>C11.9</td><td>Malignant neoplasm of nasopharynx,
align='right'>80110040</td><td>19-07-
2017</td><td>SUPARDI</td><td>SUPARDI</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
align='right'>80109829</td><td>19-07-
2017</td><td>SUPINO</td><td>SUPINO</td><td>WIRASWASTA</td><td>NGLOKO RT 01 RW
03</td><td>Ngloko</td><td>Panekan</td><td>PUSTU Sindukarto</td><td>Harni
2017</td><td>SURATMI</td><td>PARDIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>EROMOKO WETAN RT 06 RW 03</td><td>Eromoko
align='right'>80106574</td><td>19-07-
2017</td><td>SURIPTI</td><td>KARIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER
RT 01 RW 01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102775</td><td>19-07-
2017</td><td>SUTINEM</td><td>WARTONO</td><td>PETANI/PEKEBUN</td><td>DUNGPRING</td><
td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80100266</td><td>19-07-
2017</td><td>SUYATMI</td><td>GIYARDI</td><td>MENGURUS RUMAH
align='right'>81000140</td><td>19-07-
2017</td><td>TUKIYEM</td><td>SAKINO</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
><tr><td align='right'>R10.0</td><td>Acute abdomen</td><td></td><td
2017</td><td>WAGIYO HADISUWITO</td><td>WAGIYO
HADISUWITO</td><td>PETANI/PEKEBUN</td><td>BAKALAN RT 05 RW
01</td><td>Bakalan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
</tr><tr><td align='right'>I64</td><td>Stroke, not specified as haemorrhage or
align='right'>80107745</td><td>19-07-
align='right'>N30.9</td><td>Cystitis, unspecified</td><td></td><td
2017</td><td>WIYANTI</td><td>KOMARUDIN</td><td>MENGURUS RUMAH
</td><td>P</td><td>20-44
><tr><td align='right'>E05.9</td><td>Thyrotoxicosis, unspecified</td><td></td><td
align='right'>39397</td><td align='right'>80101629</td><td>19-07-2017</td><td>YAHYA
HARTONO</td><td>YAHYA
HARTONO</td><td>LAINNYA</td><td>SUMBER</td><td>Sumber</td><td>Puloharjo</td><td>Pus
kesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>55-59
align='right'>39449</td><td align='right'>80100126</td><td>20-07-2017</td><td>ADE
FATMAWATI</td><td>PARWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>GEDONG</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas
align='right'>80300177</td><td>20-07-2017</td><td>ALBERTUS SUTONO</td><td>ALBERTUS
SUTONO</td><td>TRANSPORTASI</td><td></td><td></td><td></td><td>PKD
Eromoko</td><td>Alriyadita win p</td><td> - </td><td>L</td><td>55-59
align='right'>80105415</td><td>20-07-2017</td><td>ALEX
CRYSTIAN</td><td>SUNARLI</td><td>PELAJAR/MAHASISWA</td><td>SECANG
LOR</td><td>Secang
Lor</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80105181</td><td>20-07-
2017</td><td>AMANDA</td><td>SULISTIANTO</td><td>KONSTRUKSI</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>PKD
align='right'>80100606</td><td>20-07-2017</td><td>ANIK
05</td><td>Kedungdadap</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>20-44
><tr><td align='right'>F20.0</td><td>Paranoid schizophrenia</td><td></td><td
01 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>C34.0</td><td>Malignant neoplasm of main
bronchus</td><td></td><td align='right'>39490</td><td
align='right'>80110061</td><td>20-07-
2017</td><td>CINDI</td><td>ADI</td><td></td><td>SECANG
LOR</td><td></td><td></td><td>PUSKESLING</td><td>Atmoko</td><td> -
</td><td>P</td><td>20-44
align='right'>E11.8</td><td>Non-insulin-dependent diabetes mellitus with
unspecified complications</td><td></td><td align='right'>39423</td><td
align='right'>80100686</td><td>20-07-
2017</td><td>DALINEM</td><td>KARTOWIJO</td><td>PETANI/PEKEBUN</td><td>PLUMBON
Suwarsi</td><td>TRIYOKO</td><td>P</td><td>>70
Suwarsi</td><td>TRIYOKO</td><td>P</td><td>>70
<tr><td align='right'>J11.0</td><td>Influenza with pneumonia, virus not
align='right'>80110062</td><td>20-07-
2017</td><td>DARIS</td><td>ADI</td><td></td><td>SECANG
LOR</td><td></td><td></td><td>PUSKESLING</td><td>Atmoko</td><td>Anis
Purwandari</td><td>P</td><td><1
align='right'>L13.0</td><td>Dermatitis herpetiformis</td><td></td><td
align='right'>39489</td><td align='right'>80109651</td><td>20-07-2017</td><td>DELLA
DELFIRA</td><td>SUKADI</td><td></td><td>SECANG LOR RT 03/05</td><td>Secang
Lor</td><td>Ngunggahan</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
align='right'>B35.9</td><td>Dermatophytosis, unspecified</td><td></td><td
2017</td><td>DIKROMO</td><td>DIKROMO</td><td>PETANI/PEKEBUN</td><td>SECANG
LOR</td><td>Secang
Sularsih</td><td>Sri Purwanti</td><td>P</td><td>20-44
align='right'>80110051</td><td>20-07-
2017</td><td>HARTI</td><td>DARTO</td><td></td><td>PLUMBON KIDUL RT 02 RW
</td><td>P</td><td>45-54
align='right'>80106387</td><td>20-07-
2017</td><td>I'ZAZ</td><td>TEGUH</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>39445</td><td align='right'>80110054</td><td>20-07-2017</td><td>JOKO
APRIYANTO</td><td>SURATMI</td><td></td><td>GUDANG RT 02 RW
</td><td>P</td><td>20-44
align='right'>80109949</td><td>20-07-
</td><td>L</td><td>55-59
2017</td><td>JUMINI</td><td>JUMINI</td><td>PETANI/PEKEBUN</td><td>POJOK RT 02 RW
align='right'>80500060</td><td>20-07-
2017</td><td>JUMIYEM</td><td>JUMIYEM</td><td>PETANI/PEKEBUN</td><td>POJOK</td><td>P
ojok</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>60-69
align='right'>80900163</td><td>20-07-
2017</td><td>KARNI</td><td>SUYITNO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROG
align='right'>80110053</td><td>20-07-
2017</td><td>KARNO</td><td>KARNO</td><td></td><td>EROMOKO WETAN RT 02 RW
</td><td>L</td><td>45-54
align='right'>J11.0</td><td>Influenza with pneumonia, virus not
align='right'>80400178</td><td>20-07-
2017</td><td>KATIJEM</td><td>DIKROMO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
LOR</td><td>Secang
Lor</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td>Anis
Purwandari</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>M00.27</td><td>Other streptococcal arthritis and polyarthritis, ankle
align='right'>80900367</td><td>20-07-
2017</td><td>KATINEM</td><td>SARJO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bulu
</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
</td><td>P</td><td>60-69
2017</td><td>KATINI</td><td>KATINI</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT
02 RW 01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>J11.8</td><td>Influenza with other manifestations,
align='right'>80100039</td><td>20-07-2017</td><td>KUSNUL CAHYA
NINGRUM</td><td>WAHYU SUPRIYADI</td><td>MENGURUS RUMAH
TANGGA</td><td>JAMBAN</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>KUSTINI</td><td>YAYAT HIDAYAT</td><td>MENGURUS RUMAH
TANGGA</td><td>NGRATAN</td><td>Ngratan</td><td>Minggarharjo</td><td>PUSTU
align='right'>H53.9</td><td>Visual disturbance, unspecified</td><td></td><td
2017</td><td>MAULIDYA</td><td>TANTO</td><td></td><td>EROMOKO WETAN RT 05 RW
align='right'>80109088</td><td>20-07-2017</td><td>NASRULLAOH
FATHURROHMAN</td><td>WAHONO</td><td>PELAJAR/MAHASISWA</td><td>POJOK RT 01 RW
06</td><td>Pojok</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>
align='right'>80110049</td><td>20-07-2017</td><td>NATALIA
MARGARETA</td><td>BROTO</td><td></td><td>TUKUL RT 01 RW 05
NGADIREJO</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>39443</td><td align='right'>80101716</td><td>20-07-2017</td><td>NOVI
UTARI</td><td>TIMAN</td><td>WIRASWASTA</td><td>DUNGPRING RT 03 RW
07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>J11.1</td><td>Influenza
with other respiratory manifestations, virus not identified</td><td></td><td
2017</td><td>PAIKEM</td><td>PAIKEM</td><td></td><td>SECANG
align='right'>M79.25</td><td>Neuralgia and neuritis, unspecified, pelvic and
thigh</td><td></td><td align='right'>39433</td><td
align='right'>80109632</td><td>20-07-
2017</td><td>PAIMAN</td><td>PAIMAN</td><td>PETANI/PEKEBUN</td><td>GERITAN RT 01 RW
09</td><td>Geritan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>J41.0</td><td>Simple chronic bronchitis</td><td></td><td
2017</td><td>PANDO</td><td>PANDO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN</td><td>K
lampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td>
- </td><td>L</td><td>>70
align='right'>80110065</td><td>20-07-
2017</td><td>PARTI</td><td>WAKIYO</td><td></td><td>SECANG
</td><td>P</td><td>60-69
align='right'>80106367</td><td>20-07-
2017</td><td>PURWANI</td><td>SARDI</td><td>PETANI/PEKEBUN</td><td>SINDUKARTO</td><t
d>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>RAHAYU</td><td>SUWARJO</td><td>MENGURUS RUMAH
align='right'>80100657</td><td>20-07-2017</td><td>RIO
MANDALA</td><td>SLAMET</td><td>PELAJAR/MAHASISWA</td><td>NGADIREJO</td><td>Ngadirej
o</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>G54.5</td><td>Neuralgic amyotrophy</td><td></td><td
2017</td><td>SAKIJEM</td><td>SISMANTO</td><td></td><td>SECANG
2017</td><td>SARMI</td><td>DARMANTO</td><td></td><td>SECANG LOR</td><td>Secang
</td><td>P</td><td>55-59
align='right'>80106479</td><td>20-07-
2017</td><td>SISMANTO</td><td>SISMANTO</td><td>PETANI/PEKEBUN</td><td>SECANG
KIDUL</td><td>Secang
Kidul</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80102140</td><td>20-07-
2017</td><td>SLAMET</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>SENGON RT 01 RW
align='right'>80500051</td><td>20-07-
2017</td><td>SUMARMI</td><td>SUWARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGADIREJO RT 2 RW 5</td><td></td><td>Eromoko</td><td>Puskesmas
align='right'>80100511</td><td>20-07-
2017</td><td>SUPARNI</td><td>SUPRIYANTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80400245</td><td>20-07-
2017</td><td>SUPARNI6</td><td>SUPARNI</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
LOR</td><td>Secang Lor</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
align='right'>L30.3</td><td>Infective dermatitis</td><td></td><td
2017</td><td>SUPRIYANTI</td><td>SATIJO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>PKD
align='right'>80110060</td><td>20-07-
2017</td><td>SUTARNI</td><td>SARTOYO</td><td></td><td>SECANG
</td><td>P</td><td>60-69
2017</td><td>SUTINI</td><td>HASIM</td><td></td><td>NGLOROK RT 02 RW
05</td><td></td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>80107864</td><td>20-07-
2017</td><td>SUWARNO</td><td>SUWARNO</td><td>PETANI/PEKEBUN</td><td>NGLILIR RT 01
RW 12</td><td>nglilir</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109242</td><td>20-07-
2017</td><td>SUWARTI</td><td>SUWARNO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLILIR
RT 01 RW 12</td><td>nglilir</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TRINEM</td><td>SLAMET</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEHARJO</td><td>Baleharjo</td><td>Baleharjo</td><td>PUSTU
2017</td><td>TRISTAN</td><td>DWI</td><td>KONSTRUKSI</td><td>KLAMPEYAN
2017</td><td>TUMINEM</td><td>PAIMO</td><td>PETANI/PEKEBUN</td><td>NGLOROG
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td
2017</td><td>UNZILLA</td><td>TRIYANTO</td><td></td><td>MOJOSARI</td><td></td><td>Ng
adirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>WASISMI</td><td>SUDALI</td><td></td><td>EROMOKO WETAN RT 06 RW
</td><td>P</td><td>45-54
align='right'>80900366</td><td>20-07-
2017</td><td>WIDODO</td><td>WIDODO</td><td>PEDAGANG</td><td>KLAMPEYAN
align='right'>M79.69</td><td>Pain in limb, site unspecified</td><td></td><td
2017</td><td>WULANSARI</td><td>MARYANTI</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN
align='right'>80108525</td><td>21-07-2017</td><td>ADAM NUR
WAHID</td><td>HARTANTO</td><td>KONSTRUKSI</td><td>SERUT RT 03 RW
04</td><td>Serut</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>L</td><td><1
align='right'>80108525</td><td>21-07-2017</td><td>ADAM NUR
WAHID</td><td>HARTANTO</td><td>KONSTRUKSI</td><td>SERUT RT 03 RW
align='right'>80108723</td><td>21-07-2017</td><td>ADSKHAN WAHYU SUTARNO
AJI</td><td>DWI PRIWAHYUDI</td><td>KONSTRUKSI</td><td>SURU KULON RT 01 RW
07</td><td>Suru Kulon</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80108723</td><td>21-07-2017</td><td>ADSKHAN WAHYU SUTARNO
AJI</td><td>DWI PRIWAHYUDI</td><td>KONSTRUKSI</td><td>SURU KULON RT 01 RW
align='right'>80109266</td><td>21-07-2017</td><td>ALVIN P</td><td>YUDI
S</td><td></td><td>BALEROTO </td><td>Baleroto</td><td>Minggarharjo</td><td>PKD &
PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>L</td><td><1
align='right'>Z24.4</td><td>Need
for immunization against measles alone</td><td></td><td
align='right'>40052</td><td align='right'>80106253</td><td>21-07-2017</td><td>AQILA
HASNA BERLIAN ASTUTI</td><td>SULARTO</td><td>KONSTRUKSI</td><td>SURU
KULON</td><td>Suru Kulon</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>P</td><td><1
align='right'>Z24.4</td><td>Need for immunization against measles
align='right'>80700223</td><td>21-07-2017</td><td>AQILA
ZIDNY</td><td>APRIYANTO</td><td>KONSTRUKSI</td><td>SAMPANG</td><td>Sampang</td><td>
Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80109256</td><td>21-07-2017</td><td>ARIFIN ILHAM</td><td>ANTON
P</td><td></td><td>BAWUH RT 01/01</td><td>Bawuh</td><td>Minggarharjo</td><td>PKD &
align='right'>80101995</td><td>21-07-2017</td><td>BRIYAN
ARYO</td><td>FEBRI</td><td>KONSTRUKSI</td><td>SAMPANG</td><td>Sampang</td><td>Mingg
arharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>39507</td><td align='right'>80110068</td><td>21-07-2017</td><td>DENI
SURYANTO</td><td>MISINEM</td><td>WIRASWASTA</td><td>TEGALREJO RT 01 RW
06</td><td>Tegalrejo</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>H65.0</td><td>Acute serous otitis media</td><td></td><td
align='right'>39500</td><td align='right'>80103389</td><td>21-07-2017</td><td>DHIAN
PRATIWI RINDUMPAKA</td><td>BAMABANG</td><td>KONSTRUKSI</td><td>CEMANGKAH
KIDUL</td><td>Cemangkah Kidul</td><td>Sindukarto</td><td>Puskesmas
align='right'>80110071</td><td>21-07-2017</td><td>DZIKRI FARIS
FADLI</td><td>SUTRISNO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT 03 RW
><tr><td align='right'>Z27.1</td><td>Need for immunization against diphtheria-
tetanus-pertussis, combined [DTP]</td><td></td><td align='right'>40056</td><td
align='right'>80108948</td><td>21-07-2017</td><td>GALIH HAFIZH
ARRASYID</td><td>ARIS SETIYOKO</td><td>KONSTRUKSI</td><td>SURU KULON RT 01 RW
align='right'>80100896</td><td>21-07-
2017</td><td>GANANG</td><td>SUKADI</td><td></td><td>BALEROTO</td><td>Baleroto</td><
td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>
- </td><td>L</td><td><1
align='right'>80100898</td><td>21-07-2017</td><td>HANUM PUTRI
KINANTHI</td><td>GIYANTO</td><td>LAINNYA</td><td>MINGGAR</td><td>Minggar</td><td>Mi
nggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80109254</td><td>21-07-2017</td><td>HARIS RAFIF
A</td><td>PURWANTO</td><td></td><td>BAWUH RT
01/01</td><td>Bawuh</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>807000120</td><td>21-07-2017</td><td>LEON
ASLAN</td><td>RANDY</td><td>KONSTRUKSI</td><td>SERUT</td><td>Serut</td><td>Minggarh
arjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
2017</td><td>NGATINEM</td><td>SIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
WETAN RT 03 RW 04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
align='right'>Z23.5</td><td>Need for immunization against tetanus
align='right'>80109483</td><td>21-07-2017</td><td>NOPIKA DWI
IRIASTUTI</td><td>GIYARTO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT 01 RW
11</td><td>Sambong</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80109259</td><td>21-07-2017</td><td>NURUL
ANGESTI</td><td>MISDI</td><td>KONSTRUKSI</td><td>BERO RT 02 RW
08</td><td>Bero</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti
Wiji Utami</td><td> - </td><td>P</td><td><1
2017</td><td>PAIMAN</td><td>PAIMAN</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td>S
ampang</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80106450</td><td>21-07-2017</td><td>PANDU
PRADITYA</td><td>SUWARNO</td><td>KONSTRUKSI</td><td>NGRATAN</td><td>Ngratan</td><td
align='right'>80106449</td><td>21-07-2017</td><td>RASYA MAULANA
M</td><td>SUPARDI</td><td>KONSTRUKSI</td><td>SAMBONG</td><td>Sambong</td><td>Mingga
rharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80108332</td><td>21-07-2017</td><td>RAYSHA
</td><td>TOLIP</td><td>KONSTRUKSI</td><td>SAMPANG RT 01 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80108332</td><td>21-07-2017</td><td>RAYSHA
</td><td>TOLIP</td><td>KONSTRUKSI</td><td>SAMPANG RT 01 RW
align='right'>39512</td><td align='right'>80110070</td><td>21-07-2017</td><td>REHAN
SAPUTRA</td><td>TEGUH RIYANTO</td><td>KONSTRUKSI</td><td>BLIMBING RT 02 RW
align='right'>80103090</td><td>21-07-
2017</td><td>SARTONO</td><td>SARTONO</td><td>PENSIUNAN</td><td>JAMBE RT 01 RW
08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80105085</td><td>21-07-
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>60-69
align='right'>80101536</td><td>21-07-2017</td><td>SHAVIA KIRANA
PRATIWI</td><td>RUDIHARTONO</td><td>KONSTRUKSI</td><td>SAMBONG</td><td>Sambong</td>
<td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>
- </td><td>P</td><td>1-4
NURANI</td><td>SAMIDI</td><td>MENGURUS RUMAH TANGGA</td><td>BONAGUNG RT02 RW
p</td><td> - </td><td>P</td><td>20-44
align='right'>R10.4</td><td>Other and unspecified abdominal pain</td><td></td><td
2017</td><td>SUDARNI</td><td>SUYONO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80101427</td><td>21-07-
2017</td><td>SUGIYEM</td><td>SENTOT</td><td>MENGURUS RUMAH
2017</td><td>SUHARNI</td><td>RAMLI</td><td>MENGURUS RUMAH
align='right'>80110066</td><td>21-07-
2017</td><td>SUKINI</td><td>NUGROHO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
><tr><td align='right'>I84.4</td><td>External haemorrhoids with other
align='right'>80108838</td><td>21-07-
02 RW 05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
HATI</td><td>Dalam
2017</td><td>SUNARDI</td><td>SUNARDI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 02
RW 01</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SUPARNI</td><td>SUPRIYANTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
2017</td><td>SUPARTI</td><td>SUPARTI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
Prasetyo</td><td> - </td><td>P</td><td>>70
align='right'>80107229</td><td>21-07-
2017</td><td>TUGIMIN</td><td>TUGIMIN</td><td>PETANI/PEKEBUN</td><td>JAMBE RT 01 RW
align='right'>80101851</td><td>21-07-
2017</td><td>TUMINI</td><td>SLAMET</td><td>WIRASWASTA</td><td>PULO</td><td>Pulo</td
><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>45-54
2017</td><td>WARINO</td><td>WARINO</td><td>WIRASWASTA</td><td>BONAGUNG RT02 RW
p</td><td> - </td><td>L</td><td>60-69
2017</td><td>WINARNI</td><td>SUTARNO</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER
Suwarsi</td><td>Anita Nurlina</td><td>P</td><td>45-54
2017</td><td>WIWIT</td><td>MASDIN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>39615</td><td align='right'>80110103</td><td>22-07-2017</td><td>AGUS
PUJIANTO</td><td>AGUS PUJIANTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>DAYU</td><td>Dayu</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>EKAWATI</td><td>SAMSU</td><td>PELAJAR/MAHASISWA</td><td>NGADIREJO RT
04 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>ENDANG PRIHATIN</td><td>SUPARSO</td><td>PEGAWAI NEGERI
SIPIL</td><td>POJOK</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas
align='right'>M80.04</td><td>Postmenopausal osteoporosis with pathological
fracture, hand</td><td></td><td align='right'>39579</td><td
align='right'>80109926</td><td>22-07-2017</td><td>GALANG
ARDIANSYAH</td><td>SUKARNO</td><td>PELAJAR/MAHASISWA</td><td>TUNGKUL NGLENGKONG
NGADIREJO</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>39605</td><td align='right'>80110096</td><td>22-07-2017</td><td>INDAH
SRI MENIK</td><td>JOKO MULYONO</td><td>PEGAWAI NEGERI SIPIL</td><td>DEMANGAN RT 03
RW 03</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80106734</td><td>22-07-2017</td><td>IQBAL PRASETYA
S</td><td>SUGIYANTO</td><td></td><td>BUNTALAN WETAN</td><td>Buntalan
Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>JUMANTO</td><td>JUMANTO</td><td>TRANSPORTASI</td><td>GENDENG</td><td>G
endeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>45-54
align='right'>80100049</td><td>22-07-
2017</td><td>LAGIYEM</td><td>KASINO</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT
02 RW 01</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas
Induk</td><td>Atmoko</td><td> - </td><td>P</td><td>60-69
<tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
2017</td><td>MEYLANA WULANDARI</td><td>GURITNO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80104199</td><td>22-07-2017</td><td>MUTIANI
FATIMAH</td><td>NGATMAN</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedun
gdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80110083</td><td>22-07-
2017</td><td>PARMI</td><td>MARSO</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP
RT 03 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PENTANIA</td><td>MARYONO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>80110001</td><td>22-07-
2017</td><td>PURWANTI</td><td>TOPO</td><td>PEGAWAI NEGERI SIPIL</td><td>NGADIREJO
RT 02 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>39547</td><td align='right'>80110081</td><td>22-07-2017</td><td>PUTRI
WAHYUNI</td><td>AGUS SUSANTO</td><td>MENGURUS RUMAH TANGGA</td><td>TUKUL RT 02 RW
align='right'>80107519</td><td>22-07-
2017</td><td>RUBI</td><td>SUNARYO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 06 RT 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
><tr><td align='right'>H83.1</td><td>Labyrinthine fistula</td><td></td><td
align='right'>39626</td><td align='right'>80110106</td><td>22-07-2017</td><td>SABTO
RINI</td><td>M.ROZIKIN</td><td>MENGURUS
RUMAH TANGGA</td><td>EROMOKO WETAN RT 05 RW 03</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
</td><td>P</td><td>20-44
align='right'>80105847</td><td>22-07-
2017</td><td>SAMIJEM</td><td>SLAMET</td><td>MENGURUS RUMAH
align='right'>80110105</td><td>22-07-
2017</td><td>SARIMO</td><td>SARIMO</td><td>PEGAWAI NEGERI SIPIL</td><td>SAMPANG RT
04 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas
Induk</td><td>Atmoko</td><td> - </td><td>L</td><td>45-54
KUSNIATI</td><td>SIGIT SN</td><td>PEGAWAI NEGERI SIPIL</td><td>WATULEMBU
MAESAROH</td><td>SUTRIYO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT 01
RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
SUYARTI</td><td>EDY SUDARSONO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
2017</td><td>SUPADI</td><td>SUPADI</td><td>PEGAWAI NEGERI SIPIL</td><td>PLUMBON RT
04 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SURADI</td><td>SURADI</td><td>PEGAWAI NEGERI SIPIL</td><td>DUNGPRING
RT3 RW 7</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80106059</td><td>22-07-
2017</td><td>SUWARMI</td><td>PARWOTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>BALEKERTO</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80107257</td><td>22-07-
2017</td><td>SUWARNO</td><td>SUWARNO</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 02 RW
tr><td align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td
RT 02 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TUMIJAN</td><td>TUMIJAN</td><td>PEGAWAI NEGERI
SIPIL</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas
PURNOMO</td><td></td><td></td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko</
td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>20-44
2017</td><td>AHNAF</td><td>SATIMIN</td><td>KONSTRUKSI</td><td>KWENI</td><td>Kwenire
jo</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni Purwaningsih</td><td>
- </td><td>L</td><td>1-4
align='right'>80102037</td><td>24-07-2017</td><td>AINI DWI NUR
td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>5-9
align='right'>39686</td><td align='right'>80105270</td><td>24-07-2017</td><td>AJI
SANTOSO</td><td>AGUS
PURWONO</td><td></td><td>NGADIREJO</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Pusk
esmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>20-44
align='right'>80109231</td><td>24-07-2017</td><td>BUDI WIBOWO</td><td>BUDI
WIBOWO</td><td>WIRASWASTA</td><td>MINGGAR RT 01 RW
Suwarsi</td><td>Sri Suwarsi</td><td>L</td><td>20-44
HANITA</td><td>WAHONO</td><td>MENGURUS RUMAH
TANGGA</td><td>POJOK</td><td>Pojok</td><td>Ngadirejo</td><td>PKD
YULIANTO</td><td>SANTOSO</td><td></td><td>EROMOKO WETAN RT04/03</td><td>Eromoko
</td><td>L</td><td>20-44
2017</td><td>ELWINA SALMA
TANAYA</td><td>SUDARWANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 03 RW
<tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
align='right'>39681</td><td align='right'>80110120</td><td>24-07-2017</td><td>ETIK
PURWANTI</td><td>RIYANTO</td><td></td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko
align='right'>80110121</td><td>24-07-
2017</td><td>EVITA</td><td>PUJIONO</td><td></td><td></td><td></td><td>Sindukarto</t
d><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>20-44
2017</td><td>GIMAN</td><td>GIMAN</td><td></td><td>GEDONG</td><td>Gedong</td><td>Ero
moko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>Sri
Suwarsi</td><td>L</td><td>55-59 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>80107899</td><td>24-07-2017</td><td>HANUM SALSABILA
F</td><td>SURANTO</td><td>PELAJAR/MAHASISWA</td><td>PANGKAH RT02 /
08</td><td></td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>GRATIS (TB
align='right'>80100634</td><td>24-07-2017</td><td>JAGAD SATRIA</td><td>EKO
SUHARIYANTO</td><td>LAINNYA</td><td>TILENG</td><td>Tileng</td><td>Puloharjo</td><td
>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>5-9
2017</td><td>JARNO</td><td>JARNO</td><td></td><td>ERROMOKO
KULON</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>45-54
align='right'>80109949</td><td>24-07-
</td><td>L</td><td>55-59
align='right'>80500156</td><td>24-07-
2017</td><td>KALISTA</td><td>RIYANTI</td><td></td><td>BUNTALAN
KULON</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>PKD
Ngadirejo</td><td>Indrarini</td><td>Ida Tri Purbaningsih</td><td>P</td><td>0-7
2017</td><td>KRISTIYANTI</td><td>JARNO</td><td>TRANSPORTASI</td><td>EROMOKO
2017</td><td>LAMI</td><td>PARSONO</td><td>PETANI/PEKEBUN</td><td>KEBONAGUNG RT
01/8</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>60-69
align='right'>80100137</td><td>24-07-
05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80108112</td><td>24-07-2017</td><td>MOKHAMAD RIYANA</td><td>MOKHAMAD
RIYANA</td><td>WIRASWASTA</td><td>GABELAN LOR RT 01 RW 04</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>20-44
align='right'>80106501</td><td>24-07-
2017</td><td>MURTINI</td><td>SAMANI</td><td>MENGURUS RUMAH
align='right'>80110109</td><td>24-07-2017</td><td>NANI
YULIANA</td><td></td><td></td><td>TILENG</td><td>Tileng</td><td>Puloharjo</td><td>P
uskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>20-44
2017</td><td>PARSONO</td><td>PARSONO</td><td>PETANI/PEKEBUN</td><td>KEBONAGUNG RT
p</td><td> - </td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80108225</td><td>24-07-
2017</td><td>PASRI</td><td>PASRI</td><td>MENGURUS RUMAH TANGGA</td><td>CEMANGKAH
align='right'>81000066</td><td>24-07-
2017</td><td>PONIYEM</td><td>SAMIN</td><td>PETANI/PEKEBUN</td><td>BONGOS</td><td>Lu
ar Wilayah</td><td>Luar Wilayah</td><td>PUSTU Sindukarto</td><td>Harni
align='right'>80107804</td><td>24-07-
2017</td><td>RETNOWATI</td><td>SUMANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>JATIHARJO RT02/06</td><td></td><td>PASEKAN</td><td>Puskesmas
2017</td><td>RIAN</td><td>SUYANTO</td><td></td><td>SERUT
MINGGARHARJO</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80109398</td><td>24-07-
2017</td><td>RISMIATUN</td><td>KATWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BUNTALAN WETAN RT 01 RW 01</td><td>Buntalan
Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>80101347</td><td>24-07-
2017</td><td>RIYANTO</td><td>RIYANTO</td><td>WIRASWASTA</td><td>BLIMBING RT 01 RW
RT01/04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SARJUDI</td><td>SARJUDI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td
<tr><td align='right'>J11.1</td><td>Influenza with other respiratory
align='right'>80102494</td><td>24-07-2017</td><td>SEPTIANA AYU
ANDINI</td><td>TRIYANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 01 RW
><tr><td align='right'>L21.8</td><td>Other seborrhoeic dermatitis</td><td></td><td
PRIYANTO</td><td>SIGIT PRIYANTO</td><td>WIRASWASTA</td><td>SENGON
RT02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>M10.44</td><td>Other secondary ut, hand</td><td></td><td
2017</td><td>SLAMET RIYANTI</td><td>TARKUM</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBER RT 02 RW
align='right'>39</td><td>BP.
align='right'>A87.2</td><td>Lymphocytic choriomeningitis</td><td></td><td
PATMILIH</td><td></td><td></td><td>EROMOKO
</td><td>P</td><td>20-44
SEDONO</td><td>KARNO</td><td>MENGURUS RUMAH
align='right'>80110118</td><td>24-07-
2017</td><td>SUHARDI</td><td>SUHARDI</td><td></td><td>NGRAWAN
RT01/RW02</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>60-69
align='right'>80102606</td><td>24-07-
2017</td><td>SULARSO</td><td>SULARSO</td><td>KARYAWAN
BUMD</td><td>MUNDU</td><td>Mundu</td><td>Puloharjo</td><td>Puskesmas
align='right'>80600148</td><td>24-07-
2017</td><td>SUNARTI</td><td>SUNARDI</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>C34.8</td><td>Malignant neoplasm overlapping bronchus and
lung sites</td><td></td><td align='right'>39695</td><td
align='right'>80109503</td><td>24-07-
2017</td><td>SUTINO</td><td>SUTINO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN RT 01
RW 04</td><td>Klampeyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>43</td><td>BP. Umum</td><td>Poli Penyakit Dalam</td><td>RS PKU
MUHAMMADIYAH SELOGIRI</td><td>Dalam
align='right'>80101894</td><td>24-07-
2017</td><td>TRIYONO</td><td>TRIYONO</td><td>KARYAWAN BUMD</td><td>JATIREJO RT
02/06</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80103714</td><td>24-07-2017</td><td>TUGINO SODINOMO</td><td>TUGINO
SODINOMO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><
td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>60-69
KRISTINI</td><td>RANTO</td><td></td><td>BARAN RT 01 RW
</td><td>L</td><td>20-44
2017</td><td>WIDODO</td><td>WIDODO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
2017</td><td>ZELVIA DIANTI
NINGRUM</td><td>SUTARMAN</td><td></td><td>TEGALREJO</td><td>Tegalrejo</td><td>Tegal
harjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>15-
align='right'>E23.2</td><td>Diabetes insipidus</td><td></td><td
align='right'>39757</td><td align='right'>80101129</td><td>25-07-2017</td><td>ANWAR
SANUSI,S.PD</td><td>ANWAR SANUSI,S.PD</td><td>PEGAWAI NEGERI SIPIL</td><td>PLUMBON
RT 01 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
></tr><tr><td align='right'>L13.0</td><td>Dermatitis herpetiformis</td><td></td><td
align='right'>39699</td><td align='right'>80106369</td><td>25-07-2017</td><td>ARI
SETYANINGSIH</td><td>SUNARYO</td><td>MENGURUS RUMAH
align='right'>L50.8</td><td>Other urticaria</td><td></td><td
2017</td><td>BIMO</td><td>MULAT</td><td></td><td>NGUNGGAHAN</td><td>Ngunggahan</td>
<td>Ngunggahan</td><td>Puskesmas Induk</td><td>Handoko Pujipriyatno,S.kep</td><td>
- </td><td>L</td><td>15-19
2017</td><td>BINTANG SATRIA</td><td>WASINO</td><td>LAINNYA</td><td>PLUMBON
align='right'>80109971</td><td>25-07-
3 RW 4</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas
align='right'>N39.0</td><td>Urinary tract infection, site not
specified</td><td></td><td align='right'>39747</td><td
align='right'>80103801</td><td>25-07-2017</td><td>DEWI
WULANDARI</td><td>SUYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP RT01 RW
2017</td><td>ENIYATUN</td><td>PALIYO</td><td></td><td>PULO</td><td>Pulo</td><td>Pul
oharjo</td><td>Puskesmas Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> -
</td><td>P</td><td>20-44
align='right'>80100145</td><td>25-07-
2017</td><td>GINI</td><td>MARTOYO</td><td>PETANI/PEKEBUN</td><td>POJOK</td><td>Pojo
k</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
></tr><tr><td align='right'>H01.9</td><td>Inflammation of eyelid,
align='right'>80102839</td><td>25-07-
2017</td><td>HANANTO</td><td>HANANTO</td><td>KARYAWAN SWASTA</td><td>SENGON RT 02
><tr><td align='right'>N39.0</td><td>Urinary tract infection, site not
align='right'>80103339</td><td>25-07-2017</td><td>HARTI
SURYANI</td><td>KAMIJO</td><td>PEDAGANG</td><td>BUNTALAN KULON</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>HARTINI</td><td>SUYATMIN</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON
><tr><td align='right'>L30.8</td><td>Other specified dermatitis</td><td></td><td
NUR JAYANTI</td><td>DANANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>GEDONG</td><td>Gedong</td><td>Eromoko</td><td>PKD
Eromoko</td><td>Alriyadita win p</td><td> - </td><td>L</td><td>20-44
align='right'>80110133</td><td>25-07-2017</td><td>IMROATUN
SHOLIHAH</td><td></td><td></td><td>MELIKAN GEMAWANG NGADIROJO</td><td>Luar
Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>
- </td><td>P</td><td>15-19
align='right'>39717</td><td align='right'>80105941</td><td>25-07-2017</td><td>ISNA
AMALIA</td><td>SUPARDI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
2017</td><td>KASINAH</td><td>WIDODO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
2017</td><td>KATINEM</td><td>SUTIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>PARANGJOHO RT 3/6</td><td>Prangjoho</td><td>Eromoko</td><td>PKD
Eromoko</td><td>Alriyadita win p</td><td> - </td><td>P</td><td>55-59
align='right'>I84.0</td><td>Internal thrombosed haemorrhoids</td><td></td><td
2017</td><td>MARTINI</td><td>SUMANTO</td><td>PETANI/PEKEBUN</td><td>NGLOKO RT 01 RW
03</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>MARWANTO</td><td>MARWANTO</td><td>PETANI/PEKEBUN</td><td>DAMPIT RT 02
RW 06</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Handoko
></tr><tr><td align='right'>J11.8</td><td>Influenza with other manifestations,
align='right'>80101424</td><td>25-07-
2017</td><td>MARYATI</td><td>PARMIN</td><td>PETANI/PEKEBUN</td><td>POJOK</td><td>Po
jok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
align='right'>R18</td><td>Ascites</td><td></td><td align='right'>39700</td><td
align='right'>80103574</td><td>25-07-
2017</td><td>PALIYEM</td><td>PALIYEM</td><td>PETANI/PEKEBUN</td><td>DAMPIT</td><td>
Dampit</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>TRIYOKO</td><td>P</td><td>>70
align='right'>M79.26</td><td>Neuralgia and neuritis, unspecified, lower
leg</td><td></td><td align='right'>39701</td><td align='right'>80110125</td><td>25-
07-2017</td><td>RAKINO WARSONO</td><td>RAKINO WARSONO</td><td></td><td>BALEROTO
RT01/RW02</td><td>Baleroto</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>RIPMIYATI</td><td>RIPMIYATI</td><td>MENGURUS RUMAH
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80110129</td><td>25-07-2017</td><td>SINAR</td><td>DWI
HARYONO</td><td></td><td>POJOK</td><td>Pojok</td><td></td><td>Puskesmas
NUR</td><td>FAUZI</td><td>MENGURUS RUMAH
WINARTI</td><td>SUWARTO</td><td>MENGURUS RUMAH
align='right'>80100707</td><td>25-07-2017</td><td>SUKIDJAN AL
SABARISTANTO</td><td>SUKIDJAN AL
SABARISTANTO</td><td>PENSIUNAN</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</t
d><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
align='right'>80101124</td><td>25-07-
2017</td><td>SUKIMAN</td><td>SUKIMAN</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>I84.2</td><td>Internal haemorrhoids without
align='right'>80108001</td><td>25-07-
2017</td><td>SUKIRNO</td><td>SUKIRN0</td><td>PENSIUNAN</td><td>POJOK RT 01 RW
align='right'>80100416</td><td>25-07-
2017</td><td>SUMARNO</td><td>SUMARNO</td><td>PENSIUNAN</td><td>GENDENG</td><td>Gend
eng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>SUMARSIH</td><td>MUSA</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT 01
RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80100068</td><td>25-07-
2017</td><td>SUPRIYANI</td><td>MISDI</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN
></tr><tr><td align='right'>K12.1</td><td>Other forms of
stomatitis</td><td></td><td align='right'>39845</td><td
align='right'>80800110</td><td>25-07-
2017</td><td>SURADI</td><td>SURADI</td><td>PETANI/PEKEBUN</td><td>PRAMBE</td><td>Pr
ambe</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80101182</td><td>25-07-
2017</td><td>SUTARNO</td><td>SUTARNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>MOJOSARI</td><td>Mojosari</td><td>Ngadirejo</td><td>PKD
Ngadirejo</td><td>Indrarini</td><td> - </td><td>L</td><td>>70
align='right'>39709</td><td align='right'>80101030</td><td>25-07-2017</td><td>TATA
AGIL S</td><td>SUMANTO</td><td>PELAJAR/MAHASISWA</td><td>NGLOKO RT 01 RW
03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>TRIYANTO</td><td>TRIYANTO</td><td></td><td>POJOK</td><td>Pojok</td><td
>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>45-54
</td><td>L</td><td>45-54
align='right'>39844</td><td align='right'>80800155</td><td>25-07-2017</td><td>UMI
MASYRIFAH</td><td>ARIS SETIAWAN</td><td>MENGURUS RUMAH
align='right'>80110134</td><td>25-07-
2017</td><td>WAGINO</td><td>WAGINO</td><td>PENSIUNAN</td><td>PRAMBE RT 01 RW
03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80107512</td><td>25-07-
2017</td><td>WAGINO</td><td>WAGINO</td><td>PEGAWAI NEGERI SIPIL</td><td>PANGKAH RT
01 RW 08</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>39752</td><td align='right'>80109196</td><td>25-07-2017</td><td>WINDA
SAPUTRI</td><td>MARDI SUWITO</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT 01 RW
align='right'>80106038</td><td>25-07-
2017</td><td>YUNIATI</td><td>MINARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>MANTENAN</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas
align='right'>B01.9</td><td>Varicella without complication</td><td></td><td
align='right'>39725</td><td align='right'>80102829</td><td>25-07-2017</td><td>ZAHRA
ANJANI</td><td>MINARNO</td><td>PELAJAR/MAHASISWA</td><td>MANTENAN</td><td>Mantenan<
/td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>ALUYSIA SRINIWATI</td><td>ALUYSIA
SRINIWATI</td><td>PENSIUNAN</td><td>SUMBER RT 02 RW
align='right'>80103768</td><td>26-07-2017</td><td>ANA
KARMILA</td><td>SUPARSO</td><td>MENGURUS RUMAH
align='right'>39789</td><td align='right'>80100455</td><td>26-07-2017</td><td>ANI
SISWANTI</td><td>SUMARMO</td><td>PEDAGANG</td><td>EROMOKO KULON</td><td>Eromoko
</td><td>P</td><td>45-54
align='right'>80108705</td><td>26-07-2017</td><td>ARDIKA
RANI</td><td>TUKIRAN</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT 02 RW
align='right'>80101922</td><td>26-07-2017</td><td>AYU
PROBOWATI</td><td>SUKADI</td><td>TRANSPORTASI</td><td>TUKUL
03/05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>DWIYANTI</td><td>WIDODO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
align='right'>J42</td><td>Unspecified chronic bronchitis</td><td></td><td
SUSILO</td><td>EDI SUSILO</td><td></td><td>BOKUNING
LOR</td><td></td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80500008</td><td>26-07-2017</td><td>EKO
SURANTI</td><td>EKO</td><td>MENGURUS RUMAH
2017</td><td>FITRI</td><td>SRIYONO</td><td>MENGURUS RUMAH
align='right'>80100529</td><td>26-07-
2017</td><td>IMAWATI</td><td>ALIP WAHYUDI</td><td>MENGURUS RUMAH
TANGGA</td><td>PRAMBON</td><td>Prambon</td><td>Baleharjo</td><td>PUSTU
align='right'>80101755</td><td>26-07-2017</td><td>INDAH PURNAMASARI</td><td>INDAH
PURNAMASARI</td><td>PEGAWAI NEGERI
SIPIL</td><td>SINDUKARTO</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas
align='right'>80800270</td><td>26-07-2017</td><td>IRAWATI</td><td>EDI
PRASETYO</td><td>LAINNYA</td><td>BALEHARJO</td><td>Baleharjo</td><td>Baleharjo</td>
<td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>P</td><td>20-44
align='right'>80102195</td><td>26-07-2017</td><td>JEHAN PUTRA
J</td><td>YANTO</td><td>KONSTRUKSI</td><td>SENGON</td><td>Sengon</td><td>Eromoko</t
d><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>5-9
align='right'>80104693</td><td>26-07-
2017</td><td>KATIMIN</td><td>KATIMIN</td><td>PETANI/PEKEBUN</td><td>BUNTALAN WETAN
align='right'>80500239</td><td>26-07-
2017</td><td>MESIYEM</td><td>FADHOLI</td><td>PETANI/PEKEBUN</td><td>TUKUL</td><td>T
ukul</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>W20</td><td>Struck by thrown, projected or falling object causing
align='right'>80106420</td><td>26-07-
2017</td><td>MISYANTI</td><td>SUMADI</td><td>MENGURUS RUMAH
2017</td><td>MULYANI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT
d></tr><tr><td align='right'>R05</td><td>Cough</td><td></td><td
align='right'>39759</td><td align='right'>80110136</td><td>26-07-2017</td><td>NASYA
FITRI</td><td>SUKIDI</td><td></td><td>SIDOWAYAH WETAN
RT01/RW05</td><td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>NGATIMIN</td><td>NGATIMIN</td><td></td><td>SUMBERHARJO
EROMOKO</td><td></td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>39773</td><td align='right'>80107880</td><td>26-07-2017</td><td>NILAM
PURNAMASARI</td><td>IWAN SAPUTRA</td><td>MENGURUS RUMAH TANGGA</td><td>TEMPURAN LOR
RT01/08</td><td></td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80800022</td><td>26-07-
2017</td><td>PANIYEM</td><td>TUMINO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bul
u</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>RAJIYEM</td><td>HARYONO</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>
Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>39763</td><td align='right'>80110138</td><td>26-07-2017</td><td>REZA
ARI S</td><td>SUTINO</td><td></td><td>EROMOKO WETAN RT 1 RW
</td><td>L</td><td>15-19
align='right'>80110146</td><td>26-07-2017</td><td>RINTAN AJI
PRATIWI</td><td>SARMAJI</td><td></td><td>PUTUKSARI WURYANTORO</td><td>Kec.
Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
align='right'>80105085</td><td>26-07-
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>Atmoko</td><td>P</td><td>60-69
align='right'>39765</td><td align='right'>80110139</td><td>26-07-2017</td><td>SENO
AJI</td><td>SUMARNI</td><td></td><td>EROMOKO WETAN RT 3 RW
</td><td>L</td><td>20-44
2017</td><td>SITI</td><td>SURADI</td><td>MENGURUS RUMAH
2017</td><td>SIYEM</td><td>KATIMIN</td><td>PEDAGANG</td><td>PRAMBON</td><td>Prambon
</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
01 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>M10.06</td><td>Idiopathic ut, lower leg</td><td></td><td
2017</td><td>SULASTRI</td><td>SULASTRI</td><td>MENGURUS RUMAH
align='right'>80109665</td><td>26-07-
05</td><td>Prambon</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80101162</td><td>26-07-
AGUNG</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80110148</td><td>26-07-
2017</td><td>SUPARNI</td><td>SUPARNI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 03
2017</td><td>SUPRAPTI</td><td>JOKO</td><td></td><td>POJOK</td><td>Pojok</td><td></t
d><td>Puskesmas Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> -
</td><td>P</td><td>20-44
2017</td><td>SURATI</td><td>NGATIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SURATMI</td><td>SURATMI</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL
RT 01 RW 03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas
2017</td><td>SUTARTI</td><td>WARJITO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGADIREJO</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>SUTARTI</td><td>WARJITO</td><td>MENGURUS RUMAH
align='right'>80102089</td><td>27-07-2017</td><td>ABDUL GHOFAR ISMAIL</td><td>ABDUL
GHOFAR ISMAIL</td><td>BURUH HARIAN LEPAS</td><td>EROMOKO KULON</td><td>Eromoko
></tr><tr><td align='right'>J42</td><td>Unspecified chronic
bronchitis</td><td></td><td align='right'>39850</td><td
align='right'>80105260</td><td>27-07-2017</td><td>ANGELA MAYA
ARININGTYAS</td><td>GIRI YUWONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO WETAN RT 02
2017</td><td>DESTIANTO</td><td>NUNUK</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>DEVINA WIDA
KHAILA</td><td>SUDARWANTO</td><td>PELAJAR/MAHASISWA</td><td>TILENG</td><td>Tileng</
TRI ANJANI</td><td>SUMARYANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 05
RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80104724</td><td>27-07-
2017</td><td>HARYONO</td><td>HARYONO</td><td>PEGAWAI NEGERI SIPIL</td><td>SUMBER RT
align='right'>39862</td><td align='right'>80103213</td><td>27-07-2017</td><td>IKA
DAMAYANTI</td><td>SUPARDI</td><td>PELAJAR/MAHASISWA</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101169</td><td>27-07-
td>Ngadirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>Ida
Tri Purbaningsih</td><td>P</td><td>60-69
2017</td><td>MISRAN</td><td>MISRAN</td><td>PETANI/PEKEBUN</td><td>PULO
RT02/06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>I20.1</td><td>Angina pectoris with documented
spasm</td><td></td><td align='right'>39882</td><td
align='right'>80107444</td><td>27-07-
2017</td><td>NARSI</td><td>KATIRAN</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
KIDUL RT 02 RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas
align='right'>80104478</td><td>27-07-
2017</td><td>PARYANTO</td><td>PARYANTO</td><td>PEDAGANG</td><td>SECANG
2017</td><td>RUKIYEM</td><td>WASIKIN</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
align='right'></td><td
2017</td><td>SARNI</td><td>SARNI</td><td>MENGURUS RUMAH
align='right'>80109973</td><td>27-07-
2017</td><td>SATIMO</td><td>SATIMO</td><td></td><td>BON AGUNG</td><td>Eromoko
2017</td><td>SLAMET</td><td>SLAMET</td><td></td><td>WATULEMBU WETAN
RT01/RW04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
SUTARTI</td><td>HERI</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT 02 RW
</tr><tr><td align='right'>I84.5</td><td>External haemorrhoids without
align='right'>80102124</td><td>27-07-
2017</td><td>SUGIMO</td><td>SUGIMO</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>Ti
leng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>45-54
align='right'>80100714</td><td>27-07-
2017</td><td>SUGINO</td><td>SUGINO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 01
></tr><tr><td align='right'>M05.26</td><td>Seropositive rheumatoid vasculitis,
lower leg</td><td></td><td align='right'>39886</td><td
align='right'>80106612</td><td>27-07-
2017</td><td>SUNARTI</td><td>KATINO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
2017</td><td>SUNARYANTI</td><td>GUNADI</td><td>PEGAWAI NEGERI
align='right'>G59.8</td><td>Other mononeuropathies in diseases classified
elsewhere</td><td></td><td align='right'>39849</td><td
align='right'>80100182</td><td>27-07-
2017</td><td>SUPARTI</td><td>KASMO</td><td>PEDAGANG</td><td>EROMOKO KULON RT 01 RW
02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SURATI</td><td>SARJONO</td><td>MENGURUS RUMAH
align='right'>80103943</td><td>27-07-
2017</td><td>SUTARTI</td><td>SARTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBONRT 04 RW
align='right'>80102223</td><td>27-07-2017</td><td>TRI WAHYUNI
ERNAWATI</td><td>IWAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80102407</td><td>27-07-
2017</td><td>WARDI</td><td>WARDI</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 02 RW
2017</td><td>WARNI</td><td>MISRAN</td><td></td><td>PULO
align='right'>39863</td><td align='right'>80110154</td><td>27-07-2017</td><td>WIDIA
NUGROHO</td><td>TIMIN</td><td></td><td>BERO</td><td>Bero</td><td>Minggarharjo</td><
align='right'>80800066</td><td>28-07-2017</td><td>AAN
WAHYU</td><td>TINO</td><td>KONSTRUKSI</td><td>BALEHARJO</td><td>Baleharjo</td><td>B
aleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80107731</td><td>28-07-
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80100753</td><td>28-07-2017</td><td>BUDI HARDIYANTO,SPD</td><td>BUDI
HARDIYANTO,SPD</td><td>PENSIUNAN</td><td>EROMOKO WETAN RT 05 RW 03</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>Anita
Nurlina</td><td>L</td><td>60-69
></tr><tr><td align='right'>R07.3</td><td>Other chest pain</td><td></td><td
align='right'>39932</td><td align='right'>80110167</td><td>28-07-2017</td><td>DHEA
ASTIKA</td><td>WAGIMIN</td><td></td><td>WATULEMBU KULON RT01/05</td><td>Watulembu
AYU ASTARINI</td><td>SULARDI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02
<tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
2017</td><td>DIYANTO</td><td>SANIYEM</td><td>BURUH HARIAN LEPAS</td><td>EROMOKO
2017</td><td>ENI</td><td>PARTO</td><td>MENGURUS RUMAH
align='right'>80110169</td><td>28-07-2017</td><td>FEBRIYANTI DWI
LISTYORINI</td><td></td><td></td><td>SUMBEREJO</td><td>Kec. Wuryantoro</td><td>KEC.
WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
PARU,KUSTA)</td><td>Rajal</td><td align='right'>9</td><td align='right'></td><td
align='right'>39899</td><td align='right'>80102329</td><td>28-07-2017</td><td>IFA
LISTYA U</td><td>SULISNING</td><td></td><td>SECANG LOR</td><td>Secang
Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>15-19
align='right'>A04.8</td><td>Other specified bacterial intestinal
infections</td><td></td><td align='right'>39901</td><td
align='right'>80104718</td><td>28-07-
2017</td><td>INAS</td><td>INAS</td><td>KARYAWAN
SWASTA</td><td>JAMBAN</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>JUMINI</td><td>INAS</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBAN RT 01
RW 011</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80107791</td><td>28-07-
2017</td><td>KASIYO</td><td>KASIYO</td><td>PENSIUNAN</td><td>NGLENGKONG RT 01 RW
2017</td><td>KATENI</td><td>KATINO</td><td>PEDAGANG</td><td>JATIREJO</td><td>Jatire
jo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
2017</td><td>KATINI</td><td>SUNDOKO</td><td>WIRASWASTA</td><td>TUKUL RT 01 RW
05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80101036</td><td>28-07-
2017</td><td>KATIYEM</td><td>TUKINO</td><td>PETANI/PEKEBUN</td><td>DEMANGAN</td><td
>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>L20.8</td><td>Other atopic dermatitis</td><td></td><td
2017</td><td>MEYGIA</td><td>WARNO</td><td>KONSTRUKSI</td><td>MANTENAN</td><td>Mante
nan</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80102480</td><td>28-07-2017</td><td>NUR
ALVIAH</td><td>GIYANTO</td><td>LAINNYA</td><td>TUKUL</td><td>Tukul</td><td>Ngadirej
align='right'>80109204</td><td>28-07-2017</td><td>RIBKA PUSPA AGUSTINA</td><td>NUR
WIYADI TOTO PRASETYO</td><td>WIRASWASTA</td><td>SENGON RT 01 RW
01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80800109</td><td>28-07-
align='right'>80110160</td><td>28-07-
2017</td><td>SAMIDI</td><td>SAMIDI</td><td></td><td>PANEKAN
RT01/RW01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80110160</td><td>28-07-
RT01/RW01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>SUMIKEM</td><td>WIDODO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT
01 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
01 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>SUMIYEM</td><td>TUGINO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON
RT01/RW01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
2017</td><td>SUMIYEM</td><td>KARSO TUKINO</td><td>MENGURUS RUMAH
align='right'>80100179</td><td>28-07-
2017</td><td>SUNARTI</td><td>SUTARNO</td><td>PENSIUNAN</td><td>MOJOSARI RT 01 RW
08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80101398</td><td>28-07-
2017</td><td>SUPARMI</td><td>SUPADI</td><td>PETANI/PEKEBUN</td><td>TILENG
RT02/RW02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80101731</td><td>28-07-
2017</td><td>SUTARMI</td><td>SAMIDI</td><td>PELAJAR/MAHASISWA</td><td>TILENG</td><t
d>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80102468</td><td>28-07-
2017</td><td>SUTIYO</td><td>SUTIYO</td><td>PETANI/PEKEBUN</td><td>SUMBER RT 02 RW
2017</td><td>SUWANDI</td><td>SUWANDI</td><td>WIRASWASTA</td><td>NGLENGKONG</td><td>
Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>C83.2</td><td>Mixed small and large cell (diffuse) non-Hodgkin's
align='right'>80110166</td><td>28-07-
2017</td><td>TUGINEM</td><td>TUGINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TEPIHARJO
RT01/RW08</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
align='right'>77</td><td>BP. Umum</td><td>Poli Bedah</td><td>RS MAGUAN
<tr><td align='right'>B86</td><td>Scabies</td><td></td><td
BASUKI</td><td>WAHYU BASUKI</td><td>WIRASWASTA</td><td>KEDUNGDADAP
RT04/RW05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
align='right'>80110165</td><td>28-07-
2017</td><td>WAHYUNINGSIH</td><td>GIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BUNTALAN KULON RT 02/RW 01</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko
02 RW 08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td> - </td><td>P</td><td>>70
2017</td><td>WIJI</td><td>KATMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PUSTU
2017</td><td>YANTI</td><td>GIYANTO</td><td>MENGURUS RUMAH
align='right'>40015</td><td align='right'>81100281</td><td>29-07-2017</td><td>
DIMAS AGUNG PRASETYO</td><td>ARIF
SULISTYANTO</td><td>PELAJAR/MAHASISWA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</
td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> - </td><td>L</td><td>5-9
align='right'>81100024</td><td>29-07-2017</td><td>ADI
WAHYU</td><td>WAGINO</td><td>PELAJAR/MAHASISWA</td><td>PANGKAH</td><td>Pangkah</td>
<td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80101323</td><td>29-07-2017</td><td>AGUS MARSUDIYANTO</td><td>AGUS
MARSUDIYANTO</td><td>KARYAWAN SWASTA</td><td>EROMOKO WETAN</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>20-44
align='right'>81100266</td><td>29-07-2017</td><td>ANIS
NOVIANA</td><td>PARINO</td><td>KARYAWAN SWASTA</td><td>PANGKAH RT 02 RW
PUTRI</td><td>YADI</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG</td><td>Sambong</td><t
d>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
</td><td>P</td><td>10-14
2017</td><td>ANISYAH CHAERANI</td><td>MISDI</td><td></td><td>SUMBERWATU RT 01 RW
05</td><td></td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>81100143</td><td>29-07-2017</td><td>BAMBANG
RISTANTO</td><td>RANTO</td><td>PELAJAR/MAHASISWA</td><td>PANGKAH</td><td>Pangkah</t
d><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>J04.0</td><td>Acute laryngitis</td><td></td><td
SULAMI</td><td>TRI HARIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT
01 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
YUNIAWATI</td><td>WARSINO</td><td></td><td>BAKALAN RT02 /
07</td><td></td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80700263</td><td>29-07-
2017</td><td>ERLANGGA</td><td>WARTO</td><td>KONSTRUKSI</td><td>SERUT</td><td>Serut<
/td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td> - </td><td>L</td><td>5-9
2017</td><td>FARADILA</td><td>PAIMAN</td><td></td><td>SERUT</td><td></td><td>Mingga
rharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80103016</td><td>29-07-2017</td><td>FATYA MONICA
P</td><td>MULYATMO</td><td></td><td>JAMBE RT 01 RW
><tr><td align='right'>M79.27</td><td>Neuralgia and neuritis, unspecified, ankle
align='right'>80201018</td><td>29-07-
2017</td><td>GITONO</td><td>GITONO</td><td>PETANI/PEKEBUN</td><td>GABELAN
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>HANDAYANI DIAN PRAPTIWI,SOS</td><td>ANTON SUGIRI</td><td>PEGAWAI
NEGERI SIPIL</td><td>WATULEMBU KULON</td><td>Watulembu
Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>20-44
align='right'>80300189</td><td>29-07-
2017</td><td>HARYANTI</td><td>PARDI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
align='right'>80110179</td><td>29-07-
2017</td><td>JAINEM</td><td>SUKIMIN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
align='right'>M79.24</td><td>Neuralgia and neuritis, unspecified,
hand</td><td></td><td align='right'>39965</td><td
align='right'>80101655</td><td>29-07-
2017</td><td>JUWIYAH</td><td>TUGIMIN</td><td>PETANI/PEKEBUN</td><td>JAMBE RT 02 RW
2017</td><td>KARTIYEM</td><td>KARYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEROTO RT 01 RW
02</td><td>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU
2017</td><td>KASMAN</td><td>KASMAN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 01
RW 05</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>KATI</td><td>TOMO</td><td>PETANI/PEKEBUN</td><td>PANGKAH RT 02 RW
align='right'>81100283</td><td>29-07-
2017</td><td>KATIYEM</td><td>KASDI</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>P
DITANGGUNG PEMERINTAH</td><td>Rajal</td><td
align='right'>D75.8</td><td>Other specified diseases of blood and blood-forming
organs</td><td></td><td align='right'>39958</td><td
align='right'>81200055</td><td>29-07-
2017</td><td>LASNI</td><td>LASNI</td><td>PETANI/PEKEBUN</td><td>JAMBE RT 01 RW
align='right'>40028</td><td align='right'>80103300</td><td>29-07-2017</td><td>MAHDA
LENA</td><td>SUGIYANTO</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG</td><td>Sambong</t
d><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td> - </td><td>P</td><td>10-14
align='right'>40028</td><td align='right'>80103300</td><td>29-07-2017</td><td>MAHDA
LENA</td><td>SUGIYANTO</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG</td><td>Sambong</t
d><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>L02.9</td><td>Cutaneous abscess, furuncle and carbuncle,
align='right'>80600146</td><td>29-07-2017</td><td>MAULANA
IBRAHIM</td><td>JUMAIN</td><td>PELAJAR/MAHASISWA</td><td>GABELAN
KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida
Tri Purbaningsih</td><td> - </td><td>L</td><td>0-7
align='right'>D50.0</td><td>Iron deficiency anaemia secondary to blood loss
(chronic)</td><td></td><td align='right'>40000</td><td
align='right'>80109623</td><td>29-07-
align='right'>81100008</td><td>29-07-
2017</td><td>NARTI</td><td>MULYADI</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Be
ngle</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>Z34.9</td><td>Supervision of normal pregnancy,
HALIMAH</td><td>AWAN</td><td>WIRASWASTA</td><td>BAWUH</td><td>Bawuh</td><td>Minggar
harjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
</td><td>P</td><td>20-44
align='right'>80200046</td><td>29-07-
2017</td><td>PAIDI</td><td>PAIDI</td><td></td><td>NGRATAN</td><td>Ngratan</td><td>M
inggarharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>60-69
align='right'>80101595</td><td>29-07-
2017</td><td>PAIJO</td><td>PAIJO</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 01 RW
03</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Budi
<tr><td align='right'>M54.5</td><td>Low back pain</td><td></td><td
2017</td><td>PAIKEM</td><td>PAIKEM</td><td>PETANI/PEKEBUN</td><td>PLUMBON
align='right'>81100263</td><td>29-07-
2017</td><td>PAINO</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>PANGKAH RT 02 RW
align='right'>B00.9</td><td>Herpesviral infection, unspecified</td><td></td><td
2017</td><td>PARTI</td><td>SADINO</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Bawu
h</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td> - </td><td>P</td><td>>70
2017</td><td>PONIYEM</td><td>KASDIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>GABELAN KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD
Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> - </td><td>P</td><td>45-54
align='right'>Z34.9</td><td>Supervision of normal pregnancy,
align='right'>80103543</td><td>29-07-
2017</td><td>PURWANI</td><td>YONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharjo</td><td>PKD & PUSTU
2017</td><td>RAHAYU</td><td>MUKLIYADI</td><td>WIRASWASTA</td><td>BENGLE RT 02 RW
PEMERINTAH</td><td>Rajal</td><td
align='right'>81100080</td><td>29-07-
2017</td><td>RATENI</td><td>SARTO</td><td>PETANI/PEKEBUN</td><td>PANGKAH RT 03 RW
align='right'>R06.6</td><td>Hiccough</td><td></td><td align='right'>39941</td><td
align='right'>80110171</td><td>29-07-
2017</td><td>RATMOKO</td><td>RATMOKO</td><td></td><td>JAMBE
RT02/08</td><td></td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110175</td><td>29-07-
2017</td><td>RATNI</td><td>GITONO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN LOR
RT 01 RW 04</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas
><tr><td align='right'>L50.8</td><td>Other urticaria</td><td></td><td
2017</td><td>SAMIJEM</td><td>WANTO PALIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>GABELAN LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>PKD
2017</td><td>SARINI</td><td>KASMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP RT 1 RW 5</td><td></td><td>Eromoko</td><td>Puskesmas
align='right'>81100073</td><td>29-07-
2017</td><td>SARMI</td><td>PONIRIN</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>P
2017</td><td>SIYEM</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>PANGKAH RT
03 RW 08</td><td>Pangkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka
align='right'>80103539</td><td>29-07-
><tr><td align='right'>D75.9</td><td>Disease of blood and blood-forming organs,
NUR</td><td>FAUZI</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING
EROMOKO</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
hari</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rujuk internal</td><td
REJEKI</td><td>SRI REJEKI </td><td></td><td>SUMBERWATU
SUMBERHARJO</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>20-44
REJEKI</td><td>SRI REJEKI </td><td></td><td>SUMBERWATU
SUMBERHARJO</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>20-44
align='right'>80110118</td><td>29-07-
RT01/RW02</td><td></td><td></td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
- </td><td>L</td><td>60-69
align='right'>81100137</td><td>29-07-
2017</td><td>SUKINAH</td><td>SUKINAH</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td
>Pangkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td>
- </td><td>P</td><td>>70
align='right'>80110172</td><td>29-07-
2017</td><td>SUKINI</td><td>PAIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SURU KULON
align='right'>H01.8</td><td>Other specified inflammation of eyelid</td><td></td><td
2017</td><td>SUNARYO</td><td>SUNARYO</td><td>WIRASWASTA</td><td>EROMOKO
><tr><td
2017</td><td>SUNIYEM</td><td>NGATINO</td><td>MENGURUS RUMAH
TANGGA</td><td>BERO</td><td>Bero</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>P</td><td>>70
2017</td><td>SUPRIHATIN</td><td>SUYITNO</td><td>MENGURUS RUMAH
TANGGA</td><td>CEMANGKAH KIDU RT 02 RW 07</td><td>Cemangkah
Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
><tr><td align='right'>K00.9</td><td>Disorder of tooth development,
align='right'>80101469</td><td>29-07-
2017</td><td>SUPRIYANTI</td><td>KASINO</td><td>PENSIUNAN</td><td>SUMBER RT 02 RW
01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SUPRIYATIN</td><td>SUDARWANTO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
2017</td><td>SURANTO</td><td>SURANTO</td><td>WIRASWASTA</td><td>BERJO</td><td>Kec.
Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Budi
align='right'>80103967</td><td>29-07-
2017</td><td>SURATNO</td><td>SURATNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
align='right'>80102657</td><td>29-07-
2017</td><td>SUWARNI</td><td>SUTARNO</td><td>MENGURUS RUMAH
2017</td><td>SUYANTI</td><td>MUHAJI</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN
><tr><td align='right'>K03.8</td><td>Other specified diseases of hard tissues of
teeth</td><td></td><td align='right'>39940</td><td
align='right'>80110170</td><td>29-07-
2017</td><td>TARNO</td><td>TARNO</td><td></td><td>SIYONO RT 01 RW
MM</td><td>Anita Nurlina</td><td>L</td><td>60-69
align='right'>81100268</td><td>29-07-2017</td><td>TRI YUNITA</td><td>PUJI
WITANTO</td><td>MENGURUS RUMAH TANGGA</td><td>PANGKAH RT 02 RW
</td><td>L</td><td>55-59
2017</td><td>WAHYUNI</td><td>SUPRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE
RT 01 RW 08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>S01.8</td><td>Open wound of other parts of
head</td><td></td><td align='right'>40022</td><td
align='right'>80700260</td><td>29-07-
2017</td><td>WALOYO</td><td>WALOYO</td><td>PETANI/PEKEBUN</td><td>SERUT</td><td>Ser
ut</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td>Sri Sularsih</td><td>L</td><td>20-44
align='right'>80105650</td><td>29-07-
2017</td><td>WASTINI</td><td>SARDI</td><td>PETANI/PEKEBUN</td><td>WATULEMBU KULON
2017</td><td>WIDIYAWATI</td><td>AGUS SUWARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>SIYONO</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80110180</td><td>29-07-
2017</td><td>WIJI</td><td>SUGIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>NGADIREJO
RT 03 RW 03</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>40030</td><td align='right'>80104221</td><td>29-07-2017</td><td>WIJI
LESTARI</td><td>SAIMO</td><td>MENGURUS RUMAH
TANGGA</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</td><td>PKD
Baleharjo</td><td>Sri Eka Darmarini</td><td> - </td><td>P</td><td>20-44
<tr><td align='right'>K12.1</td><td>Other forms of stomatitis</td><td></td><td
2017</td><td>YAYANG
PRATAMA</td><td>SUKIYONO</td><td></td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>E
romoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>H10.9</td><td>Conjunctivitis, unspecified</td><td></td><td
align='right'>39946</td><td align='right'>80109485</td><td>29-07-2017</td><td>YUNI
LISTYANINGSIH</td><td>SETO ADI NUGROHO</td><td>WIRASWASTA</td><td>SEROPAN RT 04 RW
18 BEJIHARJO KARANGMOJO</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>80108302</td><td>31-07-2017</td><td>ANI
ASTUTI</td><td>SUWANDI</td><td>PEDAGANG</td><td>NGLENGKONG RT 02 RW
></tr><tr><td align='right'>A01.0</td><td>Typhoid fever</td><td></td><td
2017</td><td>ARDILA ANGGUN</td><td>WARINO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN
align='right'>80100669</td><td>31-07-
2017</td><td>BASUKI</td><td>BASUKI</td><td>PETANI/PEKEBUN</td><td>BLUTAK</td><td>Bl
utak</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td> - </td><td>L</td><td>20-44
></tr><tr><td align='right'>K00.1</td><td>Supernumerary teeth</td><td></td><td
align='right'>40165</td><td align='right'>80600239</td><td>31-07-2017</td><td>BUDI
RAHAYU</td><td>WIBOWO T</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGLEMPUNG</td><td>Nglempung</td><td>Tegalharjo</td><td>PKD
2017</td><td>ENDANG DWI YANTINI</td><td>AGUS</td><td>MENGURUS RUMAH
TANGGA</td><td>DAYU</td><td>Dayu</td><td>Sumberharjo</td><td>PKD
SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> - </td><td>P</td><td>45-54
align='right'>81200227</td><td>31-07-
2017</td><td>ERISA</td><td>SUKARDI</td><td>KONSTRUKSI</td><td>JAMBE</td><td>Jambe</
td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
2017</td><td>FEBRIAN CANDRA
PAMUNGKAS</td><td>RAHMAN</td><td>KONSTRUKSI</td><td>BOLAK</td><td>Bolak</td><td>Teg
alharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
><tr><td align='right'>Z32.1</td><td>Pregnancy confirmed</td><td></td><td
2017</td><td>HARTINI</td><td>SUYOTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharjo</td><td>PKD
align='right'>80100185</td><td>31-07-2017</td><td>IDA
SETYANINGSIH</td><td>WIDODO</td><td>WIRASWASTA</td><td>MOJOSARI</td><td>Mojosari</t
d><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80600118</td><td>31-07-2017</td><td>IIN
NOVIANTI</td><td>SULISTYO</td><td>MENGURUS RUMAH
TANGGA</td><td>BOLAK</td><td>Bolak</td><td>Tegalharjo</td><td>PKD
></tr><tr><td align='right'>L50.8</td><td>Other urticaria</td><td></td><td
2017</td><td>IKHSAN RIZKY</td><td>SUGIYANTO</td><td>KONSTRUKSI</td><td>GABELAN
align='right'>80104404</td><td>31-07-
><tr><td align='right'>G44.2</td><td>Tension-type headache</td><td></td><td
2017</td><td>ISWATI</td><td>SUTRISNO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</tr><tr><td align='right'>R56.0</td><td>Febrile convulsions</td><td></td><td
2017</td><td>ITA</td><td>ITA</td><td>MENGURUS RUMAH
TANGGA</td><td>TLISING</td><td>Tlising</td><td>Sumberharjo</td><td>PKD
PITOYO</td><td>YATNO</td><td>WIRASWASTA</td><td>MUNDU</td><td>Mundu</td><td>Pulohar
jo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>20-44
2017</td><td>KARNI</td><td>JUMAIN</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
Tri Purbaningsih</td><td> - </td><td>P</td><td>0-7
2017</td><td>KASIYEM</td><td>NGADIMAN</td><td>LAINNYA</td><td>EROMOKO
><tr><td align='right'>H81.3</td><td>Other peripheral verti</td><td></td><td
2017</td><td>KASIYEM</td><td>NGADIMAN</td><td>LAINNYA</td><td>EROMOKO
><tr><td align='right'>N30.8</td><td>Other cystitis</td><td></td><td
2017</td><td>KASMITA EKAWATI</td><td>BUDI CAHYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOKO RT 01 RW 10</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas
2017</td><td>KATMI</td><td>TUKIJO</td><td>PETANI/PEKEBUN</td><td>TLISING RT 02 RW
01</td><td>Tlising</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td> - </td><td>P</td><td>55-59
2017</td><td>KATNI</td><td>MARDI</td><td>MENGURUS RUMAH
TANGGA</td><td>GENDENG</td><td>Gendeng</td><td>Sumberharjo</td><td>PKD
SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td>Handoko
Pujipriyatno,S.kep</td><td>P</td><td>45-54
2017</td><td>LARSI</td><td>TUMINO</td><td>PETANI/PEKEBUN</td><td>MINGGAR</td><td>Mi
nggar</td><td>Minggarharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
Purbaningsih</td><td> - </td><td>P</td><td>55-59
2017</td><td>MARIYAH</td><td>WIRYANTO</td><td>MENGURUS RUMAH
align='right'>81200140</td><td>31-07-
2017</td><td>MARIYEM</td><td>MARIYEM</td><td>PETANI/PEKEBUN</td><td>TLISING</td><td
>Tlising</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>81200156</td><td>31-07-
2017</td><td>MUKINEM</td><td>PAIMAN</td><td>MENGURUS RUMAH
2017</td><td>MULYANI</td><td>SUTRAPSO</td><td>MENGURUS RUMAH
align='right'>40172</td><td align='right'>80600276</td><td>31-07-2017</td><td>NANIK
S</td><td>RADI</td><td>MENGURUS RUMAH
align='right'>80110136</td><td>31-07-2017</td><td>NASYA
FITRI</td><td>SUKIDI</td><td></td><td>SIDOWAYAH WETAN
RT01/RW05</td><td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101189</td><td>31-07-
2017</td><td>PAIKEM</td><td>KARNOMO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT 01 RW
align='right'>80600018</td><td>31-07-
2017</td><td>PAIKEM</td><td>PAIKEM</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>Bol
ak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td>
align='right'>80600200</td><td>31-07-
2017</td><td>PAIKEM</td><td>GIMIN</td><td>MENGURUS RUMAH
2017</td><td>PAINEM</td><td>WIJI</td><td>PETANI/PEKEBUN</td><td>TLISING</td><td>Tli
sing</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>8020028</td><td>31-07-
2017</td><td>PANTIYEM</td><td>PANTIYEM</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td
>Jambe</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td>Handoko Pujipriyatno,S.kep</td><td>P</td><td>60-69
2017</td><td>PARSI</td><td>PARSI</td><td>MENGURUS RUMAH
2017</td><td>PARTOMO</td><td>PARTOMO</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>B
olak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
Purbaningsih</td><td> - </td><td>L</td><td>>70
2017</td><td>PATMOREJO</td><td>PATMOREJO</td><td>MENGURUS RUMAH
TANGGA</td><td>SERUT</td><td>Serut</td><td>Minggarharjo</td><td>PKD
Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> - </td><td>L</td><td>>70
><tr><td align='right'>J04.0</td><td>Acute laryngitis</td><td></td><td
2017</td><td>QURATU AINI
A</td><td>SUTRISNO</td><td>KONSTRUKSI</td><td>SENGON</td><td>Sengon</td><td>Eromoko
<tr><td align='right'>K02.1</td><td>Caries of dentine</td><td></td><td
2017</td><td>RITA</td><td>KANDI</td><td>MENGURUS RUMAH
hari</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI DITANGGUNG
align='right'>H61.8</td><td>Other specified disorders of external
ear</td><td></td><td align='right'>40092</td><td align='right'>80104288</td><td>31-
07-2017</td><td>SAMSURI</td><td>SAMSURI</td><td>PETANI/PEKEBUN</td><td>SURU
WETAN</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td>TRIYOKO</td><td>L</td><td>20-44
align='right'>80600277</td><td>31-07-
2017</td><td>SARTI</td><td>WARTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80800228</td><td>31-07-2017</td><td>SARTINI</td><td>WASIS
SUROSO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGEPOH</td><td>Ngepoh</td><td>Sumberharjo</td><td>PKD
PRAYONO</td><td>MARTOREJO</td><td>WIRASWASTA</td><td>BLUTAK RT 01 RW
2017</td><td>SILVIA ALFI
.A.</td><td>WAHYUDI</td><td>LAINNYA</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharj
o</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
align='right'>Z32.1</td><td>Pregnancy confirmed</td><td></td><td
NURKHAYATI</td><td>WASETYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
><tr><td
align='right'>J04.0</td><td>Acute laryngitis</td><td></td><td
HARTATI</td><td>SRI HARTATI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80600120</td><td>31-07-2017</td><td>SRI LESTARI</td><td>SRI
LESTARI</td><td>MENGURUS RUMAH
TANGGA</td><td>TEGALREJO</td><td>Tegalrejo</td><td>Tegalharjo</td><td>PKD
MURTINI</td><td>PINO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN KIDUL RT 01 RW
05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
PAHATMI</td><td>TAMA</td><td>TRANSPORTASI</td><td>EROMOKO KULON RT 04 RW
align='right'>80100697</td><td>31-07-
2017</td><td>SUGIYARTI</td><td>SUGIYARTI</td><td>MENGURUS RUMAH
2017</td><td>SUKADI</td><td>SUKADI</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT01 /
03</td><td>Ngaraan</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
Purbaningsih</td><td> - </td><td>L</td><td>45-54
2017</td><td>SUKINEM</td><td>GIYONO</td><td>PEDAGANG</td><td>EROMOKO
align='right'>80100290</td><td>31-07-
2017</td><td>SUKINEM</td><td>SUKAMTO</td><td>PETANI/PEKEBUN</td><td>BOLAK RT O2 RW
02</td><td>Bolak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
></tr><tr><td align='right'>I77.6</td><td>Arteritis, unspecified</td><td></td><td
2017</td><td>SULISTIANINGSIH</td><td>WARDI</td><td>PERANGKAT
DESA</td><td>BOLAK</td><td>Bolak</td><td>Tegalharjo</td><td>PKD
eng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td> - </td><td>L</td><td>>70
2017</td><td>SUNARNI</td><td>SUKATMO SUKADI</td><td>PETANI/PEKEBUN</td><td>SAMBONG
RT 02 RW 01</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
></tr><tr><td align='right'>E78.5</td><td>Hyperlipidaemia,
align='right'>80100628</td><td>31-07-2017</td><td>SUNARNI</td><td>SUKATMO
SUKADI</td><td>PETANI/PEKEBUN</td><td>SAMBONG RT 02 RW
01</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>R07.0</td><td>Pain in throat</td><td></td><td
2017</td><td>SUPARMO</td><td>SUPARMO</td><td>PEGAWAI NEGERI SIPIL</td><td>PLUMBON
KIDUL</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80100545</td><td>31-07-
02 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TARNI</td><td>TRIMAN</td><td>MENGURUS RUMAH
></tr><tr><td align='right'>R07.0</td><td>Pain in throat</td><td></td><td
align='right'>40100</td><td align='right'>80102130</td><td>31-07-2017</td><td>TITIK
YULIARSI</td><td>SATIMAN</td><td>TRANSPORTASI</td><td>PUTUK SARI</td><td>Kec.
Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Bedah</td><td>RS MEDIKA MULYA WONOGIRI</td><td>Luar
2017</td><td>TRIYANI</td><td>TRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
2017</td><td>TUKINI</td><td>TUKINI</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><td>G
endeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td> - </td><td>P</td><td>>70
align='right'>81200057</td><td>31-07-
2017</td><td>TUKIYEM</td><td>TUKIYEM</td><td>MENGURUS RUMAH
align='right'>80600233</td><td>31-07-
2017</td><td>TUMIKEM</td><td>TOKARNO</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>B
olak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80104074</td><td>31-07-2017</td><td>WAHYU
HERDANI</td><td>AHMADIN</td><td>PELAJAR/MAHASISWA</td><td>GABELAN LOR RT 02 RW
04</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
2017</td><td>WAHYUNI</td><td>ELLI</td><td>PELAJAR/MAHASISWA</td><td>GENDENG RT
01/02</td><td>Gendeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>81200225</td><td>31-07-
2017</td><td>WIJI</td><td>SUMARNI</td><td>MENGURUS RUMAH
2017</td><td>YATIN0</td><td>YATINO</td><td>PETANI/PEKEBUN</td><td>MINGGAR</td><td>M
inggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>60-69
align='right'>81200092</td><td>01-08-
2017</td><td>ABDUL</td><td>SANTOSA</td><td>LAINNYA</td><td>DAYU</td><td>Dayu</td><t
d>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
align='right'>40285</td><td align='right'>80109206</td><td>01-08-2017</td><td>ADEK
INDRAS</td><td>SUPRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>TEPI HARJO RT 01 RW
08</td><td>Tepiharjo</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80110197</td><td>01-08-
2017</td><td>AKBAR</td><td>KANDI</td><td></td><td>TLISING</td><td></td><td></td><td
>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>5-9
align='right'>80800173</td><td>01-08-2017</td><td>ANDINI NUR
R</td><td>HADI</td><td>KONSTRUKSI</td><td>PRAMBON</td><td>Prambon</td><td>Baleharjo
</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>P</td><td>1-4
align='right'>80900170</td><td>01-08-2017</td><td>AZKA
REYHAN</td><td>GIYONO</td><td>KONSTRUKSI</td><td>KLAMPEYAN
align='right'>K29.1</td><td>Other acute gastritis</td><td></td><td
2017</td><td>BASUKI</td><td>BASUKI</td><td>PETANI/PEKEBUN</td><td>BLUTAK</td><td>Bl
utak</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>80109971</td><td>01-08-
2017</td><td>DANANG DWI
PRAYOGA</td><td>PRIYANTO</td><td>PELAJAR/MAHASISWA</td><td>JAMBE</td><td>Jambe</td>
<td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
align='right'>80110193</td><td>01-08-2017</td><td>DANAR SATRIA PAMBUDI</td><td>BUDI
SANTOSO</td><td></td><td>GABELAN LOR RT 01 RW 04</td><td>Gabelan
</td><td>L</td><td>20-44
align='right'>40220</td><td align='right'>80107128</td><td>01-08-2017</td><td>DANI
MUHAMMAD
NASYIF</td><td>SARPIN</td><td>KONSTRUKSI</td><td>SENGON</td><td>Sengon</td><td>Erom
oko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>5-9
align='right'>41077</td><td align='right'>80400242</td><td>01-08-2017</td><td>DAVID
IQBAL</td><td>YUNIARDI</td><td>PELAJAR/MAHASISWA</td><td>DEMANGAN</td><td>Demangan<
/td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80101374</td><td>01-08-2017</td><td>DESTAN ADAM
S</td><td>YOTO</td><td>LAINNYA</td><td>PANEKAN</td><td>Panekan</td><td>Panekan</td>
<td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>1-4
align='right'>80900368</td><td>01-08-2017</td><td>DWI
MULYANI</td><td>SURONO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROG
YANTI</td><td>TARJONO</td><td>WIRASWASTA</td><td>PRAMBE RT 02 RW
03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
KORNIAWAN</td><td>KASNO</td><td>WIRASWASTA</td><td>POJOK RT 02 RW 06 NGADIROYO
NGUNTORONADI</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>40292</td><td align='right'>80900198</td><td>01-08-2017</td><td>ELISA
RAMADANI</td><td>SUKIYO</td><td>PELAJAR/MAHASISWA</td><td>NGLOROG</td><td>Nglorok</
td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td>Sri
Purwanti</td><td>P</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2017</td><td>FATMAWATI</td><td>SUKINO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN
RT01 RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>GITO</td><td>BANDI</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 01 RW
align='right'>40271</td><td align='right'>80110204</td><td>01-08-2017</td><td>INTAN
D</td><td>SUKATNO</td><td>PELAJAR/MAHASISWA</td><td>NGADIREJO RT 02 RW
03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110195</td><td>01-08-
2017</td><td>ISMAWATI</td><td>WAHYURI</td><td></td><td>NGRAWAN RT03
RW02</td><td></td><td></td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>J40</td><td>Bronchitis, not specified as acute or
chronic</td><td></td><td align='right'>40132</td><td
align='right'>80109949</td><td>01-08-
</td><td>L</td><td>55-59
2017</td><td>JUMIKEM</td><td>SRIYONO</td><td></td><td>DUNGPRING RT2 RW
align='right'>7</td><td align='right'>58</td><td>BP. Umum</td><td>Poli Penyakit
Dalam</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Luar
align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>KARNI</td><td>SAGIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>BENGLE</td><td>Bengle</td><td>Baleharjo</td><td>PUSTU
align='right'>K02.9</td><td>Dental caries, unspecified</td><td></td><td
2017</td><td>KARNO</td><td>KARNO</td><td>PETANI/PEKEBUN</td><td>NGUNGGAHAN</td><td>
Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
Purwati</td><td>Alriyadita win p</td><td>L</td><td>60-69
align='right'>80100827</td><td>01-08-2017</td><td>KARSITI TRI HASTUTI</td><td>BUDI
SANTOSA</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN LOR RT01/04</td><td>Gabelan
2017</td><td>KASINO</td><td>KASINO</td><td>WIRASWASTA</td><td>SECANG
Purwati</td><td> - </td><td>L</td><td>20-44
align='right'>80900367</td><td>01-08-
2017</td><td>KATINEM</td><td>SARJO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bulu
</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
2017</td><td>KATIYEM</td><td>TUKINO</td><td>PETANI/PEKEBUN</td><td>DEMANGAN</td><td
>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
align='right'>80101486</td><td>01-08-
tr><td align='right'>L50.8</td><td>Other urticaria</td><td></td><td
tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>KURNIASIH</td><td>MULYONO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td
>Jambe</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
<tr><td align='right'>N50.9</td><td>Disorder of male genital organs,
align='right'>80500249</td><td>01-08-
2017</td><td>LIDIA</td><td>MUSTOFA</td><td>WIRASWASTA</td><td>NGEPOH</td><td>Ngepoh
</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td>
- </td><td>P</td><td>0-7
2017</td><td>MARINEM</td><td>MARINEM</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><td
>Gendeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
Marganingsih</td><td>Handoko Pujipriyatno,S.kep</td><td>P</td><td>0-7
align='right'>80101380</td><td>01-08-
2017</td><td>MARINI</td><td>SATIMAN</td><td>PEDAGANG</td><td>EROMOKO
align='right'>80100384</td><td>01-08-
2017</td><td>MARMIATI</td><td>PRIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>JAMBE</td><td>Jambe</td><td>Sumberharjo</td><td>PKD
><tr><td align='right'>I95.9</td><td>Hypotension, unspecified</td><td></td><td
td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>MARTI</td><td>SUKIMAN</td><td>KARYAWAN SWASTA</td><td>EROMOKO
2017</td><td>MIKEM</td><td>TUKINI</td><td>MENGURUS RUMAH
RIYANA</td><td>WIRASWASTA</td><td>GABELAN
LOR RT 01 RW 04</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas
2017</td><td>MULYONO</td><td>MULYONO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>J
ambe</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
hari</td><td>Keluarga</td><td>Lama</td><td>GRATIS (TB
align='right'>80900061</td><td>01-08-
2017</td><td>NANIK</td><td>NANIK</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROG RT02
RW05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>40098</td><td align='right'>80110186</td><td>01-08-2017</td><td>NIKES
SEKAR PARAMITA</td><td>PARDI</td><td></td><td>PANEKAN
RT01/RW01</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>15-19
AFNI SOFIATUN</td><td>WINARTO</td><td>MENGURUS RUMAH
01 RW 03</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>PALIYEM</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><td>G
Jambe</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>40101</td><td align='right'>80104530</td><td>01-08-2017</td><td>PUGUH
HARI
SUNTORO</td><td>SARNO</td><td>WIRASWASTA</td><td>PULO</td><td>Pulo</td><td>Puloharj
o</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>15-19
align='right'>80110001</td><td>01-08-
2017</td><td>PURWATMO</td><td>PURWATMO</td><td></td><td>SONGPUTRI WETAN RT 01 RW
</td><td>L</td><td>45-54
2017</td><td>RAFA</td><td>GIYATNO</td><td>KONSTRUKSI</td><td>JAMBE</td><td>Jambe</t
d><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
><tr><td align='right'>M25.54</td><td>Pain in joint, hand</td><td></td><td
2017</td><td>RATI</td><td>SUKIDI</td><td></td><td>SURU
</td><td>P</td><td>45-54
2017</td><td>REVAN</td><td>TUKIYO</td><td>LAINNYA</td><td>SECANG LOR</td><td>Secang
Lor</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
Purwati</td><td>Alriyadita win p</td><td>L</td><td>1-4
align='right'>S42.21</td><td>Fracture of upper end of humerus,
open</td><td></td><td align='right'>40238</td><td
align='right'>80103396</td><td>01-08-2017</td><td>RIRIS
ARIFIANTO</td><td>SURATMO</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON</td><td>Plumbon
</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80900187</td><td>01-08-2017</td><td>RISTA WAHYU
P</td><td>JONI</td><td>PELAJAR/MAHASISWA</td><td>NGLOROG
2017</td><td>SANIYEM</td><td>NGATMAN</td><td>MENGURUS RUMAH
align='right'>H16.3</td><td>Interstitial and deep keratitis</td><td></td><td
2017</td><td>SATIJEM</td><td>SATIJEM</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>TRIYOKO</td><td>P</td><td>60-69
><tr><td align='right'>K05.4</td><td>Periodontosis</td><td></td><td
2017</td><td>SATIJEM</td><td>SATIJEM</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
align='right'>80900049</td><td>01-08-
2017</td><td>SELVI</td><td>SUHARNO</td><td>PELAJAR/MAHASISWA</td><td>NGLOROG
align='right'>80107746</td><td>01-08-2017</td><td>SINTA PUSPA
DEWI</td><td>SUNARTO</td><td>WIRASWASTA</td><td>NGIJO RT 03 RW 02 GIRIWONDO
JUMAPOLO</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
LESTARI</td><td>KIRMAN</td><td>MENGURUS RUMAH
SUNARSIH</td><td>SRI SUNARSIH</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP
</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
WAHYUNI</td><td>KANDUT</td><td>PEGAWAI NEGERI SIPIL</td><td>SENGON
RT02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
</tr><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>SUDARTO</td><td>SUDARTO</td><td>PETANI/PEKEBUN</td><td>BALEKERTO RT 01
RW 02</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80106197</td><td>01-08-
2017</td><td>SUGIYARNI</td><td>SUGIYARNI</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>SUKATMI</td><td>ARIYANTO</td><td>PEDAGANG</td><td>NGRANDU</td><td>Ngra
ndu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>80102915</td><td>01-08-
2017</td><td>SUMARNI</td><td>SUMARNI</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SUMINI</td><td>WARNO</td><td>MENGURUS RUMAH
align='right'>80102325</td><td>01-08-
2017</td><td>SUMINI</td><td>SUMINI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SUMINI</td><td>SUMINI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80110190</td><td>01-08-
2017</td><td>SUMIYATI</td><td>SULIMIN</td><td></td><td>NGRANDU RT 03 RW
</td><td>P</td><td>20-44
2017</td><td>SUMIYATI</td><td>SULIMIN</td><td></td><td>NGRANDU RT 03 RW
</td><td>P</td><td>20-44
align='right'>S42.00</td><td>Fracture of clavicle, closed</td><td></td><td
2017</td><td>SUPARNI</td><td>UNTARI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOKO</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU
align='right'>80101345</td><td>01-08-
2017</td><td>SUPRIYADI</td><td>SUPRIYADI</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td
><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>L</td><td>20-44
align='right'>80101182</td><td>01-08-
2017</td><td>SUTARNO</td><td>SUTARNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>MOJOSARI</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas
><tr><td align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by sputum
microscopy with or without culture</td><td></td><td align='right'>40234</td><td
align='right'>80107257</td><td>01-08-
2017</td><td>SUWARNO</td><td>SUWARNO</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 02 RW
05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
tr><td align='right'>V29.8</td><td>Motorcycle rider [any] injured in other
specified transport accidents</td><td></td><td align='right'>40258</td><td
align='right'>80110198</td><td>01-08-
2017</td><td>SUYATNO</td><td>SUYATNO</td><td></td><td>PULOHARJO</td><td></td><td></
td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
align='right'>80200953</td><td>01-08-
2017</td><td>TUGIYEM</td><td>TUGIYEM</td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>
</td><td>P</td><td>60-69
align='right'>80900137</td><td>01-08-
2017</td><td>TUKIMIN</td><td>TUKIMIN</td><td>LAINNYA</td><td>KLAMPEYAN
align='right'>81200235</td><td>01-08-
2017</td><td>TUKINEM</td><td>SUYOSO</td><td>MENGURUS RUMAH
be</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
2017</td><td>TUKIYEM</td><td>PARDI</td><td>MENGURUS RUMAH TANGGA</td><td>WATU LEMBU
WETAN RT 03/04</td><td></td><td></td><td>Puskesmas Induk</td><td>Budi
align='right'>80500067</td><td>01-08-
2017</td><td>TUTIK</td><td>SUYITNO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td
>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>
- </td><td>P</td><td>45-54
align='right'>80106614</td><td>01-08-
02 RW 08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80900193</td><td>01-08-
2017</td><td>WANTINI</td><td>JONI</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROG
align='right'>80900051</td><td>01-08-
2017</td><td>WARNO</td><td>WARNO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
Sularsih</td><td> - </td><td>L</td><td>>70
align='right'>80900245</td><td>01-08-
2017</td><td>WASTI</td><td>PAIMAN</td><td>PETANI/PEKEBUN</td><td>TEPIHARJO RT 02 RW
08</td><td>Tepiharjo</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80105650</td><td>01-08-
align='right'>80100772</td><td>01-08-
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>>70
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>>70
align='right'>80110202</td><td>01-08-2017</td><td>YUNIKA KUSUMA
DEWI</td><td>SUTARMAN</td><td>WIRASWASTA</td><td>SENGON RT 02 RW
align='right'>40311</td><td align='right'>80110208</td><td>02-08-2017</td><td>AKA
FATHAN FAUZA</td><td>TRI MARGONO</td><td></td><td>TEMPURAN
Umum</td><td>Poli Anak</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Luar
align='right'>80101712</td><td>02-08-2017</td><td>AMINAH
RUSTIANI</td><td>TRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG KIDUL RT 02
RW 04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
<tr><td align='right'>A15.2</td><td>Tuberculosis of lung, confirmed
align='right'>80106457</td><td>02-08-
align='right'>80400072</td><td>02-08-2017</td><td>AWAL
FAHRIZAL</td><td>TRIYONO</td><td>PELAJAR/MAHASISWA</td><td>SECANG
Purwati</td><td> - </td><td>L</td><td>10-14
align='right'>80103548</td><td>02-08-2017</td><td>AZIZ TRY
PRASETYA</td><td>KASDI</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><td>Blimbing<
/td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>Anita
Nurlina</td><td>L</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80400246</td><td>02-08-
2017</td><td>B.IRO</td><td>B.IRO</td><td>LAINNYA</td><td>TALANG</td><td>Talang</td>
align='right'>A01.0</td><td>Typhoid fever</td><td></td><td
align='right'>40307</td><td align='right'>80102396</td><td>02-08-2017</td><td>BAIM
AFANDI</td><td>IMAM</td><td>PELAJAR/MAHASISWA</td><td>NGLEMPUNG RT 01 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>W21</td><td>Striking against or struck by sports equipment causing
align='right'>81200112</td><td>02-08-2017</td><td>BAYU
PRASETYO</td><td>SENAWI</td><td>MENGURUS RUMAH TANGGA</td><td>BLUTAK RT 01 R
07</td><td>Blutak</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80101524</td><td>02-08-
2017</td><td>DAIMIN</td><td>DAIMIN</td><td>PEGAWAI NEGERI
SIPIL</td><td>TUKUL</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas
</tr><tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
align='right'>80105287</td><td>02-08-2017</td><td>DESI </td><td>DANANG
SETYAWAN</td><td>WIRASWASTA</td><td>EROMOKO KULON</td><td>Eromoko
eyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>45-54
2017</td><td>FAZA</td><td>JUMANTO</td><td>PELAJAR/MAHASISWA</td><td>PANDAN RT 01 RW
13</td><td>Pandan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Anita Nurlina</td><td>L</td><td>10-14
align='right'>80100826</td><td>02-08-2017</td><td>INDAH</td><td>BUDI
SANTOSO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN LOR RT 01 RW 04</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td>Atmoko</td><td>P</td><td>10-14
2017</td><td>INDAH</td><td>BUDI SANTOSO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN
RW02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80110222</td><td>02-08-
2017</td><td>JUMIYANTI</td><td>SAMINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TLISING</td><td>Tlising</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80110214</td><td>02-08-
2017</td><td>JUMIYATI</td><td>SIWIT</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>J18.9</td><td>Pneumonia, unspecified</td><td></td><td
2017</td><td>KARJONO SADINO</td><td>KARJONO
SADINO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT 01 RW
04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>KARNI</td><td>GIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>BALEKERTO RT
01 RW 04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>I84.9</td><td>Unspecified haemorrhoids without
align='right'>80101188</td><td>02-08-
2017</td><td>KASMINI</td><td>TUGINO</td><td>MENGURUS RUMAH
align='right'>40337</td><td align='right'>80105851</td><td>02-08-2017</td><td>MARDI
SUWITO</td><td>MARDI SUWITO</td><td>KARYAWAN
align='right'>81200005</td><td>02-08-
align='right'>M10.44</td><td>Other secondary ut, hand</td><td></td><td
2017</td><td>NARTO</td><td>NARTO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN RT
01 RW 04 PULOHARJO</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas
align='right'>H02.9</td><td>Disorder of eyelid, unspecified</td><td></td><td
2017</td><td>NIFATAMA</td><td>PIRHARTANTO</td><td>WIRASWASTA</td><td>EROMOKOWETAN
RT 02/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
Iwan
align='right'>D17.4</td><td>Benign lipomatous neoplasm of intrathoracic
organs</td><td></td><td align='right'>40346</td><td
align='right'>80109648</td><td>02-08-2017</td><td>NOVEMI BESTARI
PUTRI</td><td>ENDAH PURNAMASARI</td><td>WIRASWASTA</td><td>SINDUKARTO RT 01 RW
align='right'>G44.2</td><td>Tension-type headache</td><td></td><td
align='right'>40335</td><td align='right'>80100521</td><td>02-08-2017</td><td>NUNUK
SUPRAPTI</td><td>NUNUK SUPRAPTI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 02 RW
2017</td><td>SAKIYO</td><td>SAKIYO</td><td></td><td>NGLEMPUNG RT 01 RW
- </td><td>L</td><td>>70
align='right'>80110160</td><td>02-08-
RT01/RW01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SARTI</td><td>KARTOREJO</td><td></td><td>BLIMBING</td><td>Blimbing</td
><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SARTI</td><td>KARTOREJO</td><td></td><td>BLIMBING</td><td>Blimbing</td
><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SUMARMI</td><td>SUYADI</td><td>TRANSPORTASI</td><td>BALEKERTO RT 01 RW
align='right'>M54.03</td><td>Panniculitis affecting regions of neck and back,
cervicothoracic region</td><td></td><td align='right'>40321</td><td
align='right'>80110211</td><td>02-08-
2017</td><td>SURADI</td><td>SURADI</td><td>WIRASWASTA</td><td>JAMBAN RT 02 RW
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102184</td><td>02-08-
2017</td><td>SURATMI</td><td>KASIYO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLENGKONG</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas
><tr><td align='right'>I20.8</td><td>Other forms of angina
pectoris</td><td></td><td align='right'>40359</td><td
align='right'>80102186</td><td>02-08-
2017</td><td>SUTARJO</td><td>SUTARJO</td><td>PEDAGANG</td><td>BLIMBING RT 02 RW
04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
</tr><tr><td align='right'>J42</td><td>Unspecified chronic
align='right'>80102048</td><td>02-08-2017</td><td>TARNO</td><td>TARNO</td><td>BURUH
HARIAN LEPAS</td><td>JATIREJO</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas
><tr><td align='right'>M79.20</td><td>Neuralgia and neuritis, unspecified, multiple
align='right'>80102408</td><td>02-08-2017</td><td>TITIK
NURHARYATI</td><td>SOMAN</td><td>MENGURUS RUMAH
align='right'>80101415</td><td>02-08-
2017</td><td>TITIN</td><td>SUPARDI</td><td>MENGURUS RUMAH
HIDAYATI</td><td>LARNO</td><td>MENGURUS RUMAH
Ngunggahan</td><td>Dian Purwati</td><td>Alriyadita win p</td><td>P</td><td>20-44
2017</td><td>TUKINEM</td><td>TUKINEM</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
align='right'>80102680</td><td>02-08-
2017</td><td>WARNI</td><td>SURYADI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLEMPUNG</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas
align='right'>D40.9</td><td>Neoplasm of uncertain or unknown behavior of male
genital organ, unspecified</td><td></td><td align='right'>40348</td><td
align='right'>80101224</td><td>02-08-
2017</td><td>WINARSIH</td><td>SARTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOKO</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas
align='right'>40376</td><td align='right'>80110226</td><td>03-08-2017</td><td>BAGAS
TRI ATMAJA</td><td>SUTARMIN</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 01 RW
2017</td><td>BINTANG
KURNIAWAN</td><td>ARIS</td><td>PELAJAR/MAHASISWA</td><td>NGLOROK RT 02 RW
align='right'>40399</td><td align='right'>80110231</td><td>03-08-2017</td><td>DELA
RAHMAWATI</td><td>HARYATMO</td><td>WIRASWASTA</td><td>CEMANGKAH LOR RT1
RW8</td><td>Cemangkah Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110231</td><td>03-08-2017</td><td>DELA
RAHMAWATI</td><td>HARYATMO</td><td>WIRASWASTA</td><td>CEMANGKAH LOR RT1
RW8</td><td>Cemangkah Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80104034</td><td>03-08-
2017</td><td>DIRAN</td><td>DIRAN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo</
</td><td>L</td><td>45-54
align='right'>80101417</td><td>03-08-2017</td><td>ESTER
SUHARSI</td><td>SUYATNO</td><td>PEGAWAI NEGERI SIPIL</td><td>BARAN
RT01/08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>40392</td><td align='right'>80107819</td><td>03-08-2017</td><td>GIRI
WIBOWO</td><td>SUTARMO</td><td>BURUH HARIAN LEPAS</td><td>WATULEBBU KULO RT 01 RW
05</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>HARYANTI</td><td>SRI YADI</td><td>MENGURUS RUMAH
align='right'>M25.51</td><td>Pain in joint, shouder region</td><td></td><td
align='right'>40391</td><td align='right'>80105358</td><td>03-08-2017</td><td>HERI
PURNOMO</td><td>HERI PURNOMO</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 04 RW
align='right'>80108694</td><td>03-08-
2017</td><td>ISMIYATI</td><td>SUTARMO</td><td>MENGURUS RUMAH
align='right'>W54</td><td>Bitten or struck by dog</td><td></td><td
2017</td><td>JUMANTI</td><td>WIDODO</td><td>MENGURUS RUMAH
TANGGA</td><td>SINDUKARTO RT 01 RW
<tr><td
<tr><td align='right'>J18.9</td><td>Pneumonia, unspecified</td><td></td><td
2017</td><td>KARJONO</td><td>KARJONO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT 03
RW 04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80106443</td><td>03-08-
2017</td><td>KARTINEM</td><td>BANDI</td><td>MENGURUS RUMAH
align='right'>80100637</td><td>03-08-
2017</td><td>KASMI</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>SAMPANG RT 01 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>K11.2</td><td>Sialoadenitis</td><td></td><td
align='right'>40383</td><td align='right'>80110229</td><td>03-08-2017</td><td>MARIA
WASTIATI.Y</td><td>SUGIARTO</td><td>MENGURUS RUMAH TANGGA</td><td>NGARAKAN RT1
RW3</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>MARYONO</td><td>MARYONO</td><td>WIRASWASTA</td><td>BUNTALAN WETAN RT
01 RW 01</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas
2017</td><td>MAYANG
2017</td><td>MUHAMAD DWI I </td><td>SARNO</td><td>PELAJAR/MAHASISWA</td><td>SENGON
RT 02 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
</tr><tr><td align='right'>M25.51</td><td>Pain in joint, shouder
align='right'>80101369</td><td>03-08-
2017</td><td>MULYADI</td><td>MULYADI</td><td>PEGAWAI NEGERI
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Sri Suwarsi</td><td>L</td><td>60-69
align='right'>80101711</td><td>03-08-2017</td><td>PUTRI
AULIA</td><td>TEGUH</td><td></td><td>MANTENAN</td><td>Mantenan</td><td>Ngadirejo</t
d><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>5-9
><tr><td align='right'>M25.57</td><td>Pain in joint, ankle and
foot</td><td></td><td align='right'>40414</td><td
align='right'>80110234</td><td>03-08-2017</td><td>RENDHI
KURNIANDA</td><td>TEGUH</td><td>WIRASWASTA</td><td>PULO
2017</td><td>SAGIYEM</td><td>SAGIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>BARAN RT
d></tr><tr><td align='right'>J09</td><td>Influenza due to identified avian
infliuenza virus</td><td></td><td align='right'>40362</td><td
align='right'>80102762</td><td>03-08-
align='right'>80106037</td><td>03-08-
2017</td><td>SARTO</td><td>SARTO</td><td>PETANI/PEKEBUN</td><td>PURWOHARJO RT.02
RW.04,MOJOPURO</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
01</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas
align='right'>80100298</td><td>03-08-
align='right'>80100598</td><td>03-08-
2017</td><td>SUMI</td><td>KARSONO</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td>Sa
mbong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>0-7 hari</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80101310</td><td>03-08-
RT01/RW01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100472</td><td>03-08-
2017</td><td>SUTIYEM</td><td>SAKINO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>S
engon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
neurological complications</td><td></td><td align='right'>40402</td><td
align='right'>80107948</td><td>03-08-
Induk</td><td>Sri Suwarsi</td><td>Anita Nurlina</td><td>P</td><td>55-59
Wilayah</td><td>'0001800398518</td><td>'361064407580001</td><td>110</td><td></td></
tr><tr><td align='right'>J42</td><td>Unspecified chronic
align='right'>80102968</td><td>03-08-
2017</td><td>SUYATNO</td><td>SUYATNO</td><td>KARYAWAN BUMD</td><td>BARAN RT 01 RW
08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
SETYANINGSIH</td><td>JUMANTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>GENDENG</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas
align='right'>M25.50</td><td>Pain in joint, multiple sites</td><td></td><td
2017</td><td>TUKIYEM</td><td>HARYATMO</td><td>MENGURUS RUMAH
TANGGA</td><td>CEMANGKAH LOR RT1 RW8</td><td>Cemangkah
Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>TUKIYEM</td><td>HARYATMO</td><td>MENGURUS RUMAH
TANGGA</td><td>CEMANGKAH LOR RT1 RW8</td><td>Cemangkah
Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>WAGIMAN</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT 02
RW 03</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
SETYO
AJI</td><td>PARDI</td><td>PELAJAR/MAHASISWA</td><td>KWANGSAN</td><td>Kwangsan</td><
td>Panekan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>15-19
align='right'>80107745</td><td>03-08-
2017</td><td>ADINDA</td><td>LARDI</td><td>MENGURUS RUMAH
align='right'>H53.8</td><td>Other visual disturbances</td><td></td><td
align='right'>40432</td><td align='right'>80109435</td><td>04-08-2017</td><td>ATMO
WIYONO WAKIYO</td><td>ATMO WIYONO WAKIYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
align='right'>80101239</td><td>04-08-2017</td><td>NAHLA
RUSTIANINGSIH</td><td>RUSWANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>80104579</td><td>04-08-
2017</td><td>PARTINI</td><td>SUNARTO</td><td>MENGURUS RUMAH
></tr><tr><td align='right'>H10.3</td><td>Acute conjunctivitis,
align='right'>80110235</td><td>04-08-2017</td><td>RIFA
NUR</td><td>WAHYUDIN</td><td>PELAJAR/MAHASISWA</td><td>PULO RT 01 RW
06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>K40.9</td><td>Unilateral or unspecified inguinal hernia, without
obstruction or gangrene</td><td></td><td align='right'>40416</td><td
align='right'>80106033</td><td>04-08-
2017</td><td>SARINO</td><td>SARINO</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 05
Iwan Iskandar, MM</td><td>Sri Suwarsi</td><td>L</td><td>45-54
><tr><td align='right'>H60.9</td><td>Otitis externa, unspecified</td><td></td><td
2017</td><td>SETYODIKOYO</td><td>SETYODIKOYO</td><td>BURUH HARIAN
LEPAS</td><td>BLIMBING RT3 RW4</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
</td><td>P</td><td>45-54
2017</td><td>SUMANTO</td><td>TRIYANTO</td><td>PETANI/PEKEBUN</td><td>BARAN RT 01 RW
<tr><td align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td
Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
MANDIRI</td><td>Rujuk internal</td><td align='right'>5</td><td
align='right'>80101890</td><td>04-08-
2017</td><td>WASIMIN</td><td>WASIMIN</td><td>WIRASWASTA</td><td>NGLEGONG RT3
RW5</td><td>Nglegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>WATIEM</td><td>TUKIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80110255</td><td>05-08-2017</td><td>ANDI
NUGROHO</td><td>SUKINO</td><td>WIRASWASTA</td><td>BARAN RT 01 RW
align='right'>T31.1</td><td>Burns involving 10-19% of body surface</td><td></td><td
2017</td><td>ANINDITA KEISHA
ZAHRA</td><td>TRIYANTO</td><td>KONSTRUKSI</td><td>NGADIREJO</td><td>Ngadirejo</td><
td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>J20.9</td><td>Acute bronchitis, unspecified</td><td></td><td
2017</td><td>CHANDRA
WIBISANA</td><td>MISDIANTO</td><td>LAINNYA</td><td>PULO</td><td>Pulo</td><td>Puloha
rjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>80108240</td><td>05-08-2017</td><td>DIAH TRI
ANJANI</td><td>SUMARYANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 05 RW
2017</td><td>GIYARNI</td><td>SUTRISNO</td><td>MENGURUS RUMAH
TANGGA</td><td>BLIMBING RT 03 RW
><tr><td align='right'>Z30.9</td><td>Contraceptive management,
align='right'>80700129</td><td>05-08-2017</td><td>HENI
ERNAWATI</td><td>DARNO</td><td>MENGURUS RUMAH
2017</td><td>KRISTINA YOLANDA</td><td>ARI
HARTANTO</td><td>PELAJAR/MAHASISWA</td><td>SUMBER</td><td>Sumber</td><td>Puloharjo<
/td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>15-19
align='right'>80104314</td><td>05-08-2017</td><td>LILIS
HANDAYANI</td><td>SUTARNO</td><td>KARYAWAN
SWASTA</td><td>NGRAWAN</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas
2017</td><td>MANZILATUN</td><td>SUGIYO</td><td>PELAJAR/MAHASISWA</td><td>NGLEMPUNG
RT1 RW1</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>MARSI</td><td>SUTARNO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td><
td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>B36.9</td><td>Superficial mycosis, unspecified</td><td></td><td
2017</td><td>MARSILAH</td><td>SUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>BARAN RT
align='right'>80110254</td><td>05-08-2017</td><td>MELISA KARTIKA
PUTRI</td><td>TARNO</td><td>PELAJAR/MAHASISWA</td><td>JETIS WONOGIRI</td><td>Luar
</td><td>P</td><td>15-19
align='right'>80110252</td><td>05-08-2017</td><td>MONICA RAFAELA R.S</td><td>GIRI
YUWONO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
</td><td>P</td><td>15-19
align='right'>80110252</td><td>05-08-2017</td><td>MONICA RAFAELA R.S</td><td>GIRI
YUWONO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
</td><td>P</td><td>15-19
2017</td><td>MULYATI</td><td>SUGIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBAN
RT 02 RW 11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80700011</td><td>05-08-
2017</td><td>MUSTRIYANI</td><td>SUBALI</td><td>MENGURUS RUMAH
TANGGA</td><td>MINGGAR</td><td>Minggar</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>I51.9</td><td>Heart disease, unspecified</td><td></td><td
2017</td><td>NGATIYEM</td><td>NGATIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>EROMOKO KULON RT 03 RW 02</td><td>Eromoko
MM</td><td> - </td><td>P</td><td>>70
align='right'>40484</td><td align='right'>80110249</td><td>05-08-2017</td><td>NOVI
TRI HANDAYANI</td><td>JONI PURWANTO</td><td>WIRASWASTA</td><td>JAMBE RT1
RW8</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80106892</td><td>05-08-2017</td><td>PREHATIN DWI
AGUSTINA</td><td>TEGUH</td><td>PELAJAR/MAHASISWA</td><td>MANTENAN RT 03 RW
13</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
<tr><td align='right'>H10.8</td><td>Other conjunctivitis</td><td></td><td
2017</td><td>ROSIANA</td><td>PRIYANA</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 06 RW 03</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SANTOSO</td><td>SANTOSO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU
grandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>SETYOWATI</td><td>SANUDIN</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE
RT02/08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110245</td><td>05-08-2017</td><td>SHERLY
YULIANTI</td><td>YULIANTORO</td><td>PELAJAR/MAHASISWA</td><td>BERO RT1 RW
8</td><td>Bero</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SITI</td><td>SURADI</td><td>MENGURUS RUMAH
align='right'>80106203</td><td>05-08-
2017</td><td>SUKIYEM</td><td>SUKIYEM</td><td>MENGURUS RUMAH
align='right'>Z30.9</td><td>Contraceptive management, unspecified</td><td></td><td
2017</td><td>SUMIYEM</td><td>RATNO</td><td>PETANI/PEKEBUN</td><td>BAKALAN RT 01 RW
05</td><td>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80100283</td><td>05-08-
2017</td><td>SUPARNI</td><td>KATINO</td><td>PETANI/PEKEBUN</td><td>SIYONO RT 01 RW
09</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80700045</td><td>05-08-
2017</td><td>TUGINEM</td><td>TUKIRAN</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
>Sampang</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
2017</td><td>WARNI</td><td>NARYO</td><td>PETANI/PEKEBUN</td><td>BAKALAN RT 01 RW
05</td><td>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU
<tr><td align='right'>Z30.9</td><td>Contraceptive management,
align='right'>80700142</td><td>05-08-
2017</td><td>YATI</td><td>SATIMO</td><td>MENGURUS RUMAH
TANGGA</td><td>BAKALAN</td><td>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU
2017</td><td>YULI</td><td>DWI</td><td>MENGURUS RUMAH TANGGA</td><td>SURU WETAN RT
01 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri Sularsih</td><td>P</td><td>20-44
align='right'>40535</td><td align='right'>80110262</td><td>07-08-2017</td><td> ABEN
SUGIANTORO</td><td>NGATNO</td><td>KARYAWAN SWASTA</td><td>NGADIREJO RT 1 RW
align='right'>80110279</td><td>07-08-2017</td><td>AGUS
SUWARNO</td><td>SUKIYO</td><td></td><td>EROMOKO WETAN RT 03 RW 03</td><td>Eromoko
align='right'>N30.9</td><td>Cystitis, unspecified</td><td></td><td
align='right'>40595</td><td align='right'>80110281</td><td>07-08-2017</td><td>AHMAD
SETIYAWAN</td><td>KATIMAN</td><td></td><td>GABELAN KIDUL RT 02 RW
05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr.
Umum</td><td>Poli Anak</td><td>RS PKU MUHAMMADIYAH SELOGIRI</td><td>Dalam
align='right'>80109367</td><td>07-08-
2017</td><td>ALVINO</td><td>SARWANTO</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
KULON RT 01 RW 06</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas
align='right'>40559</td><td align='right'>80110268</td><td>07-08-2017</td><td>ANDRI
NUGROHO</td><td>PAINO</td><td>WIRASWASTA</td><td>TUKLUK RT 01 RW 01
</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>ASIH</td><td>IKHSAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON
2017</td><td>DANANG SAPUTRO </td><td>SULIMIN</td><td></td><td>GENDENG RT 03 RW
02</td><td></td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>A68.0</td><td>Louse-borne relapsing fever</td><td></td><td
2017</td><td>DARI</td><td>JAKINO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80104711</td><td>07-08-2017</td><td>DEFRI SURYADI</td><td>DEFRI
SURYADI</td><td>BURUH HARIAN LEPAS</td><td>PLUMBON KIDUL RT 02 RW
03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
</tr><tr><td align='right'>Z00.0</td><td>General medical
align='right'>80110277</td><td>07-08-2017</td><td>DEVI
ROMADIANI</td><td>SATIJO</td><td>KARYAWAN SWASTA</td><td>PRAMBON RT 01 RW
05</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
ANDOKO</td><td>WARIMIN </td><td>KARYAWAN SWASTA</td><td>NGADIREJO RT 02 RW
2017</td><td>ENDANG DWI YANTINI</td><td>AGUS</td><td>MENGURUS RUMAH
align='right'>40584</td><td align='right'>80100815</td><td>07-08-2017</td><td>GINAH
SHOLIHAH</td><td>KARMIN</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI WETAN RT 01 RW
02</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
><tr><td align='right'>I51.9</td><td>Heart disease, unspecified</td><td></td><td
2017</td><td>GIYARTI</td><td>MARSONO</td><td>PETANI/PEKEBUN</td><td>SERUT RT 01 RW
align='right'>62</td><td>BP. Umum</td><td>Poli Penyakit Dalam</td><td>RS MARGA
HUSADA WONOGIRI</td><td>Dalam
align='right'>80110195</td><td>07-08-
RW02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109949</td><td>07-08-
</td><td>L</td><td>55-59
align='right'>80100423</td><td>07-08-
align='right'>80100221</td><td>07-08-
2017</td><td>JUMIYEM</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>POJOK RT 01 RW
align='right'>80101817</td><td>07-08-
<tr><td align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by sputum
align='right'>80110216</td><td>07-08-
align='right'>80110280</td><td>07-08-
2017</td><td>KARSIMIN</td><td>KARSIMIN</td><td></td><td>SERUT
MINGGARHARJO</td><td></td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
02 RW 02</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>KESYA</td><td>MISDI</td><td>KONSTRUKSI</td><td>BUNTALAN
2017</td><td>KHOIRUL ANAM</td><td>MARTINI</td><td>KARYAWAN SWASTA</td><td>NGADIREJO
RT 02 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>40556</td><td align='right'>80110267</td><td>07-08-2017</td><td>LINA
WATI</td><td>SLAMET RIYADI</td><td>WIRASWASTA</td><td>BALEHARJO RT 01 RW
01</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80108626</td><td>07-08-2017</td><td>MAYANG
align='right'>80110259</td><td>07-08-
2017</td><td>MEGAWATI</td><td>HARTONO</td><td>KARYAWAN
SWASTA</td><td>TEMPURHARJO</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesma
s Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>15-19
align='right'>C82.0</td><td>Small cleaved cell, follicular non-Hodgkin's
align='right'>80110260</td><td>07-08-
2017</td><td>MISNO</td><td>MISNO</td><td>PETANI/PEKEBUN</td><td>SERUT RT02 RW
align='right'>40570</td><td align='right'>80107379</td><td>07-08-2017</td><td>NENI
OKTAFIA SARASWATI</td><td>LARTO</td><td>PELAJAR/MAHASISWA</td><td>BLUTAK
RT01/07</td><td>Blutak</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
DYAH PRATIWI</td><td>AGUS
PUJANTO</td><td>PELAJAR/MAHASISWA</td><td>DAYU</td><td>Dayu</td><td>Sumberharjo</td
><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>15-19
2017</td><td>PARIAH</td><td>HARYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN
RT01/07</td><td></td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PARNI</td><td>TONOREJO</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><td
>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
align='right'>80110282</td><td>07-08-2017</td><td>RAFIF
YULIANTO</td><td>KATIMAN</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT 01 RW
2017</td><td>SAGIMAN</td><td>SAGIMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL
align='right'>80100845</td><td>07-08-
2017</td><td>SAINO</td><td>SAINO</td><td>PERANGKAT DESA</td><td>EROMOKO
align='right'>80100260</td><td>07-08-
2017</td><td>SAJINEM</td><td>KARMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON
KIDUL</td><td></td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SAJINEM</td><td>KARMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON
KIDUL</td><td></td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>A01.4</td><td>Paratyphoid fever, unspecified</td><td></td><td
2017</td><td>SALWA</td><td>TUGINO</td><td></td><td>MUNDU RT 3 RW
align='right'>80110160</td><td>07-08-
grandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
><tr><td align='right'>D00.0</td><td>Carcinoma in situ of lip, oral cavity and
pharynx</td><td></td><td align='right'>40553</td><td
align='right'>80101551</td><td>07-08-
2017</td><td>SIPAN</td><td>SIPAN</td><td>PENSIUNAN</td><td>GENDENG RT 02 RW
><tr><td align='right'>S00.1</td><td>Contusion of eyelid and periocular
area</td><td></td><td align='right'>40567</td><td
align='right'>80110271</td><td>07-08-2017</td><td>SRI HARTINI</td><td>EDI
SUGIYATMO</td><td></td><td>SONG PUTRI WETAN RT
01/01</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas
WASTINI</td><td>YADI</td><td>PETANI/PEKEBUN</td><td>PULO RT 02 RW
align='right'>M10.03</td><td>Idiopathic ut, forearm</td><td></td><td
2017</td><td>SUGENG</td><td>SUGENG</td><td>WIRASWASTA</td><td>NGLOKO RT 02 RW
2017</td><td>SUHARDI</td><td>SUHARDI</td><td>WIRASWASTA</td><td>PRACIMANTORO</td><t
d> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUHARDI</td><td>SUHARDI</td><td>WIRASWASTA</td><td>PRACIMANTORO</td><t
d> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUKINEM</td><td>GIYONO</td><td>PEDAGANG</td><td>EROMOKO
align='right'>80105958</td><td>07-08-
2017</td><td>SUPRIYANTI</td><td>SUMARYOTO</td><td>MENGURUS RUMAH
align='right'>80100415</td><td>07-08-
2017</td><td>TONOREJO</td><td>TONOREJO</td><td>KARYAWAN SWASTA</td><td>BLIMBING RT
03 RW 04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>M10.03</td><td>Idiopathic ut, forearm</td><td></td><td
></tr><tr><td align='right'>J01.8</td><td>Other acute sinusitis</td><td></td><td
td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>80105650</td><td>07-08-
><tr><td align='right'>A01.4</td><td>Paratyphoid fever,
align='right'>80103476</td><td>07-08-
2017</td><td>WIJIATI</td><td>JUMINO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80100772</td><td>07-08-
align='right'>80100455</td><td>08-08-2017</td><td>ANI
</td><td>P</td><td>45-54
align='right'>80102396</td><td>08-08-2017</td><td>BAIM
AFANDI</td><td>IMAM</td><td>PELAJAR/MAHASISWA</td><td>NGLEMPUNG RT 01 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>BANDI</td><td>BANDI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td><td
>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>
- </td><td>L</td><td>60-69
align='right'>80109971</td><td>08-08-
align='right'>80110289</td><td>08-08-
2017</td><td>DARSINI</td><td>SUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>TALANG RT
02 RW 06</td><td>Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>40632</td><td align='right'>80110292</td><td>08-08-2017</td><td>ELISA
GIFANY</td><td>SUKIDI</td><td>WIRASWASTA</td><td>BOKUNING KIDUL RT 03 RW
07</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
Umum</td><td>Poli Penyakit Dalam</td><td>RS MAGUAN HUSADA</td><td>Dalam
2017</td><td>HARYANI</td><td>TOTOK SANTOSO</td><td>MENGURUS RUMAH
TANGGA</td><td>KUTUKAN TR 1 RW 2</td><td>Kutukan</td><td>Baleharjo</td><td>PUSTU
align='right'>80106387</td><td>08-08-
SARI</td><td>MUNASIK</td><td>WIRASWASTA</td><td>BOKUNING KIDUL RT 02
RW03</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
align='right'>80108694</td><td>08-08-
2017</td><td>KAMILISA FITRIANA</td><td>SATIMIN </td><td>WIRASWASTA</td><td>PANEKAN
RT 02 RW 01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101329</td><td>08-08-
2017</td><td>KARSINI</td><td>DARTO</td><td>PETANI/PEKEBUN</td><td>BALEKERTO RT 01
Purwanti</td><td>
><tr><td align='right'>I84.5</td><td>External haemorrhoids without
align='right'>80101188</td><td>08-08-
2017</td><td>KASMINI</td><td>TUGINO</td><td>MENGURUS RUMAH
align='right'>80110294</td><td>08-08-
2017</td><td>MARSI</td><td>KARJONO</td><td>MENGURUS RUMAH
2017</td><td>MISIYEM</td><td>SLAMET</td><td>BURUH HARIAN LEPAS</td><td>EROMOKO
WETAN RT05/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
align='right'>40633</td><td align='right'>80110293</td><td>08-08-2017</td><td>NOVA
ROHMADANI</td><td>SUTARTO</td><td>WIRASWASTA</td><td>BOKUNING LOR RT 03 RW
WAHIDATI</td><td>SUTARJO</td><td>WIRASWASTA</td><td>TILENG RT 02 RW
2017</td><td>PAIJEM</td><td>PAIJEM</td><td>PETANI/PEKEBUN</td><td>MOJOSARI</td><td>
Mojosari</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>60-69
align='right'>80100038</td><td>08-08-
2017</td><td>PARSI</td><td>TATMO</td><td>PETANI/PEKEBUN</td><td>MANDEYAN</td><td>Ma
ndeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>PARTI</td><td>SUKINO</td><td>PETANI/PEKEBUN</td><td>MOJOSARI</td><td>M
ojosari</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>45-54
2017</td><td>PARYONO</td><td>PARYONO</td><td>PETANI/PEKEBUN</td><td>SECANG
2017</td><td>PONI</td><td>PONI</td><td>PETANI/PEKEBUN</td><td>MOJOSARI</td><td>Mojo
sari</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80100277</td><td>08-08-
2017</td><td>PURWANTI</td><td>SUTARNO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON RT04/02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
><tr><td align='right'>O80.9</td><td>Single spontaneous delivery,
align='right'>80109397</td><td>08-08-2017</td><td>RIRIN
ANGGRAINI</td><td>HERU</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN WETAN RT 02
RW 01</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>PKD
></tr><tr><td align='right'>R50.1</td><td>Persistent fever</td><td></td><td
2017</td><td>ROHANI</td><td>SRIYANTO</td><td>MENGURUS RUMAH
align='right'>80107519</td><td>08-08-
2017</td><td>RUBI</td><td>SUNARYO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
WETAN RT 06 RT 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
2017</td><td>SAGIYEM</td><td>LUSTANTO</td><td>MENGURUS
RUMAH TANGGA</td><td>WATULEMBU WETAN RT 02 RW 04</td><td>Watulembu
Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>SARTI</td><td>PAIMAN</td><td>MENGURUS RUMAH
2017</td><td>SLAMET
nekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80100456</td><td>08-08-2017</td><td>SRI EKO
PRIHATIN</td><td>SUTARWO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80101088</td><td>08-08-
2017</td><td>SUGIYANTI</td><td>SUGIYANTI</td><td>PEDAGANG</td><td>KEDUNGDADAP RT 04
align='right'>80101207</td><td>08-08-
2017</td><td>SUPARMI</td><td>SUPARMI</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN
><tr><td align='right'>S42.00</td><td>Fracture of clavicle, closed</td><td></td><td
align='right'>80400127</td><td>08-08-
align='right'>80110287</td><td>08-08-
2017</td><td>SUTINI</td><td>SUGIYOTO</td><td>MENGURUS RUMAH TANGGA</td><td>PANEKAN
RT 02 RW 01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80108783</td><td>08-08-
2017</td><td>TAMA</td><td>TAMA</td><td>PENSIUNAN</td><td>EROMOKO
</td><td>L</td><td>45-54
</td><td>L</td><td>45-54
align='right'>40604</td><td align='right'>80110285</td><td>08-08-2017</td><td>VICKA
FITRIA</td><td>SUTARJO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT 02 RW
align='right'>L70.9</td><td>Acne, unspecified</td><td></td><td
align='right'>40623</td><td align='right'>80109682</td><td>08-08-2017</td><td>VITA
DWI WIGIYAWATI</td><td>TUGIYO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP
align='right'>80108750</td><td>08-08-
2017</td><td>WARSI</td><td>WARSI</td><td>WIRASWASTA</td><td>NGRANDU</td><td>Ngrandu
</td><td>Ngadirejo</td><td>Pu
skesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>60-69
align='right'>80107731</td><td>09-08-
align='right'>80800273</td><td>09-08-2017</td><td>AVIA
ANINDIA</td><td>SURAJI</td><td>KONSTRUKSI</td><td>KWANGSAN</td><td>Kwangsan</td><td
>Panekan</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
<tr><td align='right'>K02.1</td><td>Caries of dentine</td><td></td><td
align='right'>40702</td><td align='right'>80800273</td><td>09-08-2017</td><td>AVIA
ANINDIA</td><td>SURAJI</td><td>KONSTRUKSI</td><td>KWANGSAN</td><td>Kwangsan</td><td
>Panekan</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>BARWATI</td><td>SULIMIN</td><td>MENGURUS RUMAH
><tr><td align='right'>Q89.8</td><td>Other specified congenital
malformations</td><td></td><td align='right'>40672</td><td
align='right'>80101658</td><td>09-08-2017</td><td>DANI
PRASETYO</td><td>ANDOKO</td><td>KONSTRUKSI</td><td>SUMBER</td><td>Sumber</td><td>Pu
loharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'></td><td align='right'>13</td><td>BP. Umum</td><td>Poli
Anak</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
2017</td><td>DARSONO</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><t
d>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>41415</td><td align='right'>80109954</td><td>09-08-2017</td><td>GIGIH
ADI N</td><td>TANTO</td><td>PELAJAR/MAHASISWA</td><td>TALANG RT 04 RW
06</td><td></td><td></td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
2017</td><td>GINAH</td><td>SULIYO</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBERWATU</td><td>Sumberwatu</td><td>Sumberharjo</td><td>PUSKESLING
</td><td>Atmoko</td><td> - </td><td>P</td><td>60-69
align='right'>40653</td><td align='right'>80108036</td><td>09-08-2017</td><td>HEFI
MARDIAS SIWI</td><td>SUMARDI</td><td>WIRASWASTA</td><td>BUNTALAN KULON RT 02 RW
02</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100529</td><td>09-08-
align='right'>80109871</td><td>09-08-2017</td><td>IBRAHIM SETIAWAN</td><td>ARIS
S</td><td></td><td>PRAMBE RT 01/06</td><td>Prambe</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>L</td><td><1
align='right'>80109871</td><td>09-08-2017</td><td>IBRAHIM SETIAWAN</td><td>ARIS
S</td><td></td><td>PRAMBE RT 01/06</td><td>Prambe</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>L</td><td><1
align='right'>80110300</td><td>09-08-2017</td><td>INDRIANI
AGUSTIA</td><td>SUYATI</td><td>KONSTRUKSI</td><td>BAKALAN
RT 01 RW 07</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>KALIMAH</td><td>EKO PURWATO</td><td>MENGURUS RUMAH
2017</td><td>KALIMAH</td><td>EKO PURWATO</td><td>MENGURUS RUMAH
align='right'>A15.3</td><td>Tuberculosis of lung, confirmed by unspecified
means</td><td></td><td align='right'>40680</td><td
align='right'>80110216</td><td>09-08-
01 RW 04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>KATIYEM</td><td>SETYADI</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON
RT 04 RW02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
><tr><td align='right'>R50.0</td><td>Fever with chills</td><td></td><td
2017</td><td>LATISA</td><td>SLAMET</td><td>PELAJAR/MAHASISWA</td><td>POJOK</td><td>
Pojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80102619</td><td>09-08-2017</td><td>M. AKHTAR.
S</td><td>ARI</td><td>LAINNYA</td><td>EROMOKO WETAN RT 06 RW 03</td><td>Eromoko
align='right'>80101435</td><td>09-08-
2017</td><td>MARTINI</td><td>MULYADI</td><td>PETANI/PEKEBUN</td><td>SUMBERWATU RT
01 RW
05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Atmoko</td><td
>Anis Purwandari</td><td>P</td><td>20-44
tr><td align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td
2017</td><td>MUSINAH</td><td>MULYADI</td><td>MENGURUS RUMAH
align='right'>80109253</td><td>09-08-
align='right'>80109253</td><td>09-08-
align='right'>80100946</td><td>09-08-2017</td><td>NAUFAL GILANG NUR
RISKI</td><td>TARNO</td><td>LAINNYA</td><td>JATIREJO</td><td>Jatirejo</td><td>Baleh
arjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>NGATEMI</td><td>NGATEMI</td><td></td><td>SUMBERWATU</td><td>Sumberwatu
</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>PARNI</td><td>SUGIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>DUNGPRING
</td><td></td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
</td><td>P</td><td>45-54
align='right'>80103305</td><td>09-08-
align='right'>80103935</td><td>09-08-
2017</td><td>PARYANTI</td><td>SUKATNO</td><td>MENGURUS RUMAH
2017</td><td>PARYANTI</td><td>SUKATNO</td><td>MENGURUS RUMAH
align='right'>80101569</td><td>09-08-2017</td><td>RAFAEL TRI
WIDIYANTO</td><td>DARMANTO</td><td>KONSTRUKSI</td><td>MALANGAN</td><td>Malangan</td
align='right'>80109702</td><td>09-08-2017</td><td>RAKA
ADIATAMA</td><td>SUTARSO</td><td>KONSTRUKSI</td><td>BALEHARJO RT 01 RW
align='right'>80109702</td><td>09-08-2017</td><td>RAKA
ADIATAMA</td><td>SUTARSO</td><td>KONSTRUKSI</td><td>BALEHARJO RT 01 RW
2017</td><td>RAKINI</td><td>RAKINI</td><td>PETANI/PEKEBUN</td><td>SUMBERWATU</td><t
d>Sumberwatu</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>SETIADI</td><td>SETIADI</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>M25.54</td><td>Pain in joint, hand</td><td></td><td
LESTARI</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>TEGAL REJO RT 02 RW
d></tr><tr><td align='right'>I10</td><td>Essential (primary)
LESTARI</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>TEGAL REJO RT 02 RW
align='right'>80100295</td><td>09-08-2017</td><td>SRI LESTARI</td><td>RAHMAD
BASUKI</td><td>PETANI/PEKEBUN</td><td>SENGON RT 02 RW
SURIPTI</td><td>AGUS</td><td>MENGURUS RUMAH
align='right'>80100971</td><td>09-08-
2017</td><td>SUGIYEM</td><td>SUTARNO</td><td>MENGURUS RUMAH
><tr><td align='right'>R56.0</td><td>Febrile convulsions</td><td></td><td
2017</td><td>SUTANTI</td><td>SUTANTI</td><td>MENGURUS RUMAH
</td><td>Atmoko</td><td> - </td><td>L</td><td>20-44
2017</td><td>SUTARDI</td><td>SUTARDI</td><td>WIRASWASTA</td><td>BARAN
RT 02 RW 08</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUTIYEM</td><td>SUTIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>BALEROTO
RT 04 RW 02</td><td>Baleroto</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80110311</td><td>09-08-
2017</td><td>SUTRI</td><td>KADIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>NGLILIR RT
02 RW 012</td><td>nglilir</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110296</td><td>09-08-
2017</td><td>TARDI</td><td>TARDI</td><td>PETANI/PEKEBUN</td><td>MINGGARHARJO RT 01
RW 02</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>TRIYOKO</td><td>L</td><td>60-69
PURWANTI</td><td>DEDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN RT 05 RW
2017</td><td>TUKIYO</td><td>TUKIYO</td><td>PETANI/PEKEBUN</td><td>TILENG RT 02 RW
d align='right'>M79.2</td><td>Neuralgia and neuritis, unspecified</td><td></td><td
2017</td><td>WAKIMIN</td><td>WAKIMIN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP
align='right'>80900251</td><td>09-08-
2017</td><td>WAKINAH</td><td>SURAJI</td><td>LAINNYA</td><td>KWANGSAN</td><td>Kwangs
an</td><td>Panekan</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80110312</td><td>09-08-
2017</td><td>WIJI</td><td>DIHASJI</td><td>MENGURUS RUMAH
align='right'>Z30.5</td><td>Surveillance of (intrauterine) contraceptive
align='right'>80500233</td><td>09-08-
align='right'>80110299</td><td>09-08-
2017</td><td>WITOREJO</td><td>WITOREJO</td><td>PETANI/PEKEBUN</td><td>SINDUKARTO RT
01 RW 08</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100702</td><td>09-08-
2017</td><td>YATMI</td><td>PARMIN</td><td>PETANI/PEKEBUN</td><td>SIYONO RT 01 RW
align='right'>40682</td><td align='right'>80110305</td><td>09-08-2017</td><td>YOLLA
LUTFI ARUM</td><td>KARJO</td><td>WIRASWASTA</td><td>BLIMBING RT 02 RW
align='right'>A38</td><td>Scarlet fever</td><td></td><td
2017</td><td>ALVARO ZADA YAZER ZEIN</td><td>SUKASNO</td><td></td><td>WATU LEMBU
align='right'>80104762</td><td>10-08-2017</td><td>BAGUS DWI
SAPUTRO</td><td>WALUYO</td><td></td><td>BUNTALAN KULON</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80103266</td><td>10-08-2017</td><td>FARRAS MAHFUZAH
YUMNA</td><td>RAHMAT</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
2017</td><td>GAYATRI RISZKI FEBRIYANTI</td><td>KUMBO
SARMADI</td><td>WIRASWASTA</td><td>PELEM RT 06 RW 05</td><td> Kec.
Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>15-19
align='right'>M79.27</td><td>Neuralgia and neuritis, unspecified, ankle and
align='right'>80106971</td><td>10-08-
align='right'>40760</td><td align='right'>80103213</td><td>10-08-2017</td><td>IKA
DAMAYANTI</td><td>SUPARDI</td><td>PELAJAR/MAHASISWA</td><td>BUNTALAN
2017</td><td>JAENUDIN</td><td>JAENUDIN</td><td>WIRASWASTA</td><td>MOJOPURO RT 01 RW
2017</td><td>KARNI</td><td>KARJONO</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>Ti
leng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
align='right'>80110312</td><td>10-08-
2017</td><td>KARTOREJO</td><td>KARTOREJO</td><td>PETANI/PEKEBUN</td><td>GENDENG
</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>KASINO</td><td>KASINO</td><td>PENSIUNAN</td><td>SUMBER</td><td>Sumber<
/td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>60-69
align='right'>80101486</td><td>10-08-
tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80101486</td><td>10-08-
tr><td align='right'>Z00.0</td><td>General medical examination</td><td></td><td
align='right'>40757</td><td align='right'>80800093</td><td>10-08-2017</td><td>KIKI
WULANDARI</td><td>HARMADI</td><td>WIRASWASTA</td><td>PRAMBE</td><td>Prambe</td><td>
Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80100249</td><td>10-08-
align='right'>80108225</td><td>10-08-
2017</td><td>PURWANTO</td><td>PURWANTO</td><td>WIRASWASTA</td><td>PLUMBON KIDUL RT
01 RW 03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas
></tr><tr><td align='right'>B01.8</td><td>Varicella with other
align='right'>80110316</td><td>10-08-
2017</td><td>REHAN</td><td>DARMADI</td><td>KONSTRUKSI</td><td>PANDAN RT 01 RW
align='right'>40744</td><td align='right'>80108325</td><td>10-08-2017</td><td>RETNO
DWI ASTUTI</td><td>SURATNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 05 RW
align='right'>80101109</td><td>10-08-
2017</td><td>SAJIKEM</td><td>SAJIKEM</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SARDI</td><td>SARDI</td><td>PETANI/PEKEBUN</td><td>GABELAN KIDUL RT 02
align='right'>H25.8</td><td>Other senile cataract</td><td></td><td
2017</td><td>SUGITO</td><td>SUGITO</td><td>PETANI/PEKEBUN</td><td>TALANG RT 02 RW
06</td><td>Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100083</td><td>10-08-
2017</td><td>SUGIYOTO</td><td>SUGIYOTO</td><td>PETANI/PEKEBUN</td><td>PANEKAN</td><
td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80109665</td><td>10-08-
align='right'>80105658</td><td>10-08-
2017</td><td>SUMARSI</td><td>SUMARSI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80101520</td><td>10-08-
2017</td><td>SUMIYATI</td><td>PARIMIN</td><td>PETANI/PEKEBUN</td><td>MANTENAN RT 03
RW 13</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
d></tr><tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80100628</td><td>10-08-2017</td><td>SUNARNI</td><td>SUKATMO
SUKADI</td><td>PETANI/PEKEBUN</td><td>SAMBONG RT 02 RW
><tr><td align='right'>S06.2</td><td>Diffuse brain injury</td><td></td><td
2017</td><td>SUNARTO</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>SERUT
RT01/RW04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SUPARNO</td><td>SUPARNO</td><td>PETANI/PEKEBUN</td><td>SECANG LOR RT
02 RW 05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>M79.20</td><td>Neuralgia and neuritis, unspecified, multiple
align='right'>80700225</td><td>10-08-
2017</td><td>SUPINAH</td><td>KATIJO</td><td>PETANI/PEKEBUN</td><td>BERO</td><td>Ber
o</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>SUPRIYANTI</td><td>SLAMET</td><td>MENGURUS
RUMAH TANGGA</td><td>WATULEMBU KULON RT 01 RW 04</td><td>Watulembu
RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101464</td><td>10-08-
2017</td><td>WAGINI</td><td>LARJO</td><td></td><td>NGRATAN RT03 /
04</td><td>Ngratan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80201043</td><td>11-08-
2017</td><td>AISYAH</td><td>GIYONO</td><td></td><td>BULU</td><td>Bulu</td><td>Baleh
arjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>1-4
align='right'>80103145</td><td>11-08-2017</td><td>ANGGITA
SARI</td><td>KASMIN</td><td>PELAJAR/MAHASISWA</td><td>TUKUL</td><td>Tukul</td><td>N
gadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80400246</td><td>11-08-
2017</td><td>B.IRO</td><td>B.IRO</td><td>LAINNYA</td><td>TALANG</td><td>Talang</td>
align='right'>80110159</td><td>11-08-2017</td><td>DAVIT SULISTYO</td><td>DAVIT
SULISTYO</td><td></td><td>PANEKAN
EROMOKO</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>M79.65</td><td>Pain in limb, pelvic and thigh</td><td></td><td
HARYANTI</td><td>AGUS PURWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT 02 RW
2017</td><td>GIMUN</td><td>GIMUN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo</
td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80101446</td><td>11-08-
04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>A00.9</td><td>Cholera, unspecified</td><td></td><td
RT04/07</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
2017</td><td>KARNO</td><td>KARNO</td><td>PETANI/PEKEBUN</td><td>NGUNGGAHAN</td><td>
Ngunggahan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td>
2017</td><td>KARSIYEM</td><td>SUYIT</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>
Plumbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>60-69
align='right'>80110322</td><td>11-08-2017</td><td>KARSONO TUKINO</td><td>KARSONO
TUKINO</td><td>PETANI/PEKEBUN</td><td>SAMBONG RT 01 RW
2017</td><td>KATINEM</td><td>SARJO</td><td></td><td>BULU</td><td>Bulu</td><td>Baleh
arjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>60-69
2017</td><td>LASINEM</td><td>LASINEM</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
Ngadirejo</td><td>Indrarini</td><td>
FATHIH</td><td>SUTRIYO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW
<tr><td align='right'>A78</td><td>Q fever</td><td></td><td
OKTIANI</td><td>MUHAMMAD SLAMET</td><td></td><td>BUNTALAN KULON</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>PARMI</td><td>AGUS SUTIYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>GERITAN RT 01 RW
09</td><td>Geritan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PARYONO</td><td>PARYONO</td><td>PETANI/PEKEBUN</td><td>SECANG
align='right'>80110001</td><td>11-08-
2017</td><td>RIYANI</td><td>HASAN</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN LOR
RT 02 RW 04</td><td></td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SADIKEM</td><td>SADIKEM</td><td></td><td>BULU</td><td>Bulu</td><td>Bal
eharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>>70
2017</td><td>SARNI</td><td>SARNI</td><td>MENGURUS RUMAH
2017</td><td>SATIYEM</td><td>SARMO</td><td></td><td>PANEKAN</td><td>Panekan</td><td
>Panekan</td><td>PUSKESLING</td><td>Sri Purwanti</td><td>Sri
Suwarsi</td><td>P</td><td>60-69
2017</td><td>SATRIYO</td><td>KATIJO</td><td>PELAJAR/MAHASISWA</td><td>MANTENAN</td>
<td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>8010902</td><td>11-08-
2017</td><td>SIYEM</td><td>SIYEM</td><td>MENGURUS RUMAH
2017</td><td>SUGIYANTI</td><td>SUGIYANTI</td><td>PEDAGANG</td><td>KEDUNGDADAP RT 04
2017</td><td>SUGIYARNI</td><td>SUYATNO</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><
2017</td><td>SUGIYEM</td><td>SUGIYEM</td><td></td><td>BULU</td><td>Bulu</td><td>Bal
eharjo</td><td>PUSKESLING</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>>70
2017</td><td>SUKARTI</td><td>SUGENG</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL 01
RW 03</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101162</td><td>11-08-
AGUNG</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>I50.9</td><td>Heart failure, unspecified</td><td></td><td
2017</td><td>SUPRIYANTO</td><td>SUPRIYANTO</td><td>WIRASWASTA</td><td>TALANG RT 01
RW 06</td><td>Ngunggahan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110323</td><td>11-08-
2017</td><td>SUTARWO</td><td>SUTARWO</td><td>WIRASWASTA</td><td>ERMOKO KULON RT 02
align='right'>J02.9</td><td>Acute pharyngitis, unspecified</td><td></td><td
2017</td><td>TARWI</td><td>TARWI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON RT
03 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
></tr><tr><td align='right'>M79.24</td><td>Neuralgia and neuritis, unspecified,
align='right'>80109131</td><td>11-08-
2017</td><td>TUKIDJO</td><td>TUKIDJO</td><td>PENSIUNAN</td><td>PLUMBON RT 03 RW
align='right'>80400004</td><td>11-08-
randu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Atmoko</td><td>P</td><td>20-44
align='right'>80106192</td><td>11-08-
2017</td><td>WIDATI</td><td>KASNO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80106192</td><td>11-08-
2017</td><td>WIDATI</td><td>KASNO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
><tr><td align='right'>M79.25</td><td>Neuralgia and neuritis, unspecified, pelvic
and thigh</td><td></td><td align='right'>40789</td><td
align='right'>80105666</td><td>11-08-2017</td><td>WIDIYAWATI</td><td>AGUS
SUWARTO</td><td>MENGURUS RUMAH
2017</td><td>YATI</td><td>YATI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>Plumb
on</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80800177</td><td>11-08-
2017</td><td>YATMI</td><td>NGATIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PUSKESLING</td><td>Sri
2017</td><td>ANGELA MAYA ARININGTYAS</td><td>GIRI YUWONO</td><td>KARYAWAN
SWASTA</td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
><tr><td align='right'>R11</td><td>Nausea and vomiting</td><td></td><td
align='right'>40902</td><td align='right'>80110351</td><td>12-08-2017</td><td>APRIL
ADITIA PURWANTO</td><td>WAKIMAN</td><td></td><td>KWENIREJO RT2
RW6</td><td>Kwenirejo</td><td>Sindukarto</td><td>Puskesmas
align='right'>80110352</td><td>12-08-2017</td><td>ARIANA
LUSIAWATI</td><td>SLAMET</td><td>WIRASWASTA</td><td>KLAMPEYAN RT2
RW4</td><td>Klampeyan</td><td>Panekan</td><td>Puskesmas
align='right'>80110355</td><td>12-08-2017</td><td>DIAH SAFITRI</td><td>JOKO
INDRIATMOKO</td><td>MENGURUS RUMAH TANGGA</td><td>BOLAK REJO RT 02 RW
align='right'>80102589</td><td>12-08-
2017</td><td>DJARUMI</td><td>NGATMAN</td><td>MENGURUS RUMAH
<tr><td align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus without
><tr><td align='right'>H57.9</td><td>Disorder of eye and adnexa,
align='right'>80107204</td><td>12-08-
2017</td><td>JAINEM</td><td>TUMIYO</td><td>MENGURUS RUMAH TANGGA</td><td>BALEKERTO
RT 02 RW 04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>P</td><td>>70
Umum</td><td>Poli Mata</td><td>RSU MULIA HATI</td><td>Dalam
align='right'>80108568</td><td>12-08-
Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>>70
></tr><tr><td align='right'>R53</td><td>Malaise and fatigue</td><td></td><td
2017</td><td>KASIYEM</td><td>SUBANDI</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>
Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80100156</td><td>12-08-2017</td><td>KATINEM</td><td>MARDI
SUWITO</td><td>PETANI/PEKEBUN</td><td>SENGON RT 01 RW
2017</td><td>KATNO</td><td>KATNO</td><td>WIRASWASTA</td><td>BOKUNING
KIDUL</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas
KIDUL</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas
align='right'>80104046</td><td>12-08-
2017</td><td>MARTINI</td><td>MAHLIL</td><td>MENGURUS RUMAH
align='right'>D50.0</td><td>Iron deficiency anaemia secondary to blood loss
(chronic)</td><td></td><td align='right'>40921</td><td
align='right'>80109623</td><td>12-08-
2017</td><td>NARSI</td><td>MARDI</td><td>MENGURUS RUMAH TANGGA</td><td>PARANGJOHO
RT 03 RW 6</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80106183</td><td>12-08-2017</td><td>NGALI KARYONO</td><td>NGALI
KARYONO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><t
d>Puskesmas Induk</td><td>Atmoko</td><td> - </td><td>L</td><td>60-69
align='right'>80103557</td><td>12-08-2017</td><td>PANDU
ALFARIZKI</td><td>MARDI</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</td
2017</td><td>RADIMAN</td><td>RADIMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 02
RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>J06.0</td><td>Acute larynpharyngitis</td><td></td><td
2017</td><td>SALSABELA
ROYANI</td><td>WAHYUDI</td><td>PELAJAR/MAHASISWA</td><td>SIYONO</td><td>Siyono</td>
<td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>10-14
2017</td><td>SARINEM</td><td>MIFROH</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING
RT2 RW4</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>40909</td><td align='right'>80103721</td><td>12-08-2017</td><td>SIPAN
WIYANTO</td><td>SIPAN WIYANTO</td><td>PETANI/PEKEBUN</td><td>GABELAN
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas
2017</td><td>SULASTRI</td><td>SULASTRI</td><td>WIRASWASTA</td><td>SENGON RT1
RW1</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>J00</td><td>Acute nasopharyngitis [common cold]</td><td></td><td
align='right'>80108279</td><td>12-08-
2017</td><td>SURYANI</td><td>PARJONO</td><td>MENGURUS RUMAH
5</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
align='right'>80107948</td><td>12-08-
<tr><td align='right'>R05</td><td>Cough</td><td></td><td
align='right'>40880</td><td align='right'>80108221</td><td>12-08-2017</td><td>TEDI
WIGIYATA</td><td>NGATMAN</td><td>LAINNYA</td><td>KEDUNGDADAP RT 01 RW
align='right'>80110335</td><td>12-08-
2017</td><td>TUMIYEM</td><td>TUMIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>TILENG
RT 02 RW 01</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>AFIKA</td><td>HARYANTO</td><td>KONSTRUKSI</td><td>BULU</td><td>Bulu</t
d><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80900126</td><td>14-08-2017</td><td>ALIFIANDRA IGBAL
P</td><td>SETYAWAN</td><td>KONSTRUKSI</td><td>KLAMPEYAN
SUBEKTI</td><td>RUSMANTO</td><td>WIRASWASTA</td><td>NGLOKO RT 02 RW
2017</td><td>ARIANA LUSIAWATI</td><td>SLAMET</td><td>WIRASWASTA</td><td>KLAMPEYAN
align='right'>80105166</td><td>14-08-2017</td><td>ASIFA</td><td>BUDI
AJI</td><td></td><td>EROMOKO KULON</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>Anita
Nurlina</td><td>P</td><td>5-9
align='right'>J45.9</td><td>Asthma,
align='right'>80105202</td><td>14-08-
2017</td><td>BANDI</td><td>BANDI</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP</td><td
>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
2017</td><td>CHELSEA FIANDRA
G</td><td>GUNAWAN</td><td>KONSTRUKSI</td><td>PANEKAN</td><td>Panekan</td><td>Paneka
n</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td><1
2017</td><td>DINEM</td><td>DINEM</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
align='right'>40979</td><td align='right'>80106673</td><td>14-08-2017</td><td>FREDI
PRANDANA</td><td>MARIDI</td><td>WIRASWASTA</td><td>TEMPURHARJO</td><td>Tempurharjo<
/td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
</td><td>L</td><td>20-44
align='right'>F20.6</td><td>Simple schizophrenia</td><td></td><td
align='right'>Z36.8</td><td>Other antenatal screening</td><td></td><td
2017</td><td>HESTIN FITRIANI</td><td>PUJI DWI ANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOROG</td><td>Panekan</td><td>Panekan</td><td>PKD & PUSTU
align='right'>O91.0</td><td>Infection of nipple associated with
childbirth</td><td></td><td align='right'>41568</td><td
align='right'>80400102</td><td>14-08-
2017</td><td>HETTY</td><td>SURIPTO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
KIDUL</td><td>Demangan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian
align='right'>80108330</td><td>14-08-2017</td><td>ILHAM AJI
PAMUNGKAS</td><td>SUKADI</td><td>PELAJAR/MAHASISWA</td><td>BALEROTO RT 04 RW
02</td><td>Baleroto</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>7</td><td>BP. Umum</td><td>Poli Paru - Paru</td><td>BBKPM
SURAKARTA</td><td>Dalam
align='right'>80104404</td><td>14-08-
></tr><tr><td align='right'>J01.8</td><td>Other acute sinusitis</td><td></td><td
align='right'>40974</td><td align='right'>80110366</td><td>14-08-2017</td><td>IWAN
SAPUTRA </td><td>IWAN SAPUTRA </td><td></td><td>TEMPURAN LOR RT 01 RW
endeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>TRIYOKO</td><td>L</td><td>45-54
2017</td><td>KARMI</td><td>KARMI</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN RT 01
align='right'>D24</td><td>Benign neoplasm of breast</td><td></td><td
2017</td><td>KARTI</td><td>SUPRAT</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT
Iskandar, MM</td><td>Atmoko</td><td>P</td><td>45-54
></tr><tr><td align='right'>M00.13</td><td>Pneumococcal arthritis and
polyarthritis, forearm</td><td></td><td align='right'>41031</td><td
align='right'>80900286</td><td>14-08-
2017</td><td>KATIYAH</td><td>PARTOREJO</td><td>PETANI/PEKEBUN</td><td>NGLOROG</td><
td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
Sularsih</td><td>Sri Purwanti</td><td>P</td><td>>70
align='right'>80900276</td><td>14-08-
2017</td><td>KATNI</td><td>KASNO</td><td>PETANI/PEKEBUN</td><td>NGLOROK RT 02 RW
align='right'>80900205</td><td>14-08-2017</td><td>KENZIE</td><td>SULIS
HARGIANTO</td><td>KONSTRUKSI</td><td>NGLOROG</td><td>Nglorok</td><td>Panekan</td><t
d>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>1-4
2017</td><td>KIKI</td><td>SUDARMONO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN KIDUL
RT 01 RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas
RT 02 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PKD
></tr><tr><td align='right'>R50.0</td><td>Fever with chills</td><td></td><td
2017</td><td>MARIJEM</td><td>KEMAN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
2017</td><td>MARIYEM</td><td>WAGIMIN</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
align='right'>M09.06</td><td>Juvenile arthritis in psoriasis, lower
08-2017</td><td>MARNI</td><td>LANTIP</td><td>KARYAWAN SWASTA</td><td>PULO RT 01 RW
2017</td><td>MARNI</td><td>MARNI</td><td>PETANI/PEKEBUN</td><td>NGLOKO</td><td>Nglo
ko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
2017</td><td>MESLAM</td><td>MESLAM</td><td>PETANI/PEKEBUN</td><td>NGLOROG</td><td>N
glorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80100594</td><td>14-08-
</td><td>P</td><td>45-54
align='right'>80110367</td><td>14-08-2017</td><td>MUHAMMAD RIKI
PERDANA</td><td>PANGKI WIDODO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO KULON RT1
RW2</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>MURNIATI</td><td>GIYARTO</td><td>MENGURUS RUMAH
PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td>20-44
align='right'>80106414</td><td>14-08-2017</td><td>NADYA
FATMAWATI</td><td>SUMARJO</td><td>PELAJAR/MAHASISWA</td><td>TEGAL REJO RT.02
RW.06</td><td>Tegalrejo</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80900064</td><td>14-08-
2017</td><td>PANTES</td><td>GIYATMO</td><td>LAINNYA</td><td>KLAMPEYAN
2017</td><td>PUJININGSIH</td><td>AGUS</td><td>MENGURUS RUMAH
tr><td align='right'>B01.8</td><td>Varicella with other
align='right'>80110364</td><td>14-08-2017</td><td>RAFFA SURYA
</td><td>SURYANTO</td><td>PELAJAR/MAHASISWA</td><td>PANDAN RT01 RW
2017</td><td>RANTAUANANI DWI</td><td>FITRI SRIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>SINDUKARTO RT 01 RW
Umum</td><td>Poli Kandungan</td><td>RS
DR SUDIRO MANGUN SUMARSO</td><td>Dalam
2017</td><td>REHAN</td><td>WAHYUDI</td><td></td><td>WATULEMBU
align='right'>80900115</td><td>14-08-2017</td><td>REVAN ARVIN
PRADITYA</td><td>NANIK</td><td>PELAJAR/MAHASISWA</td><td>NGLOROG</td><td>Nglorok</t
d><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80300052</td><td>14-08-
2017</td><td>RUSMANTO</td><td>RUSMANTO</td><td>KARYAWAN SWASTA</td><td>NGLOKO RT 02
RW 03</td><td>Panekan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>SAGIYEM</td><td>LUSTANTO</td><td>MENGURUS RUMAH
2017</td><td>SAKINEM</td><td>SULARDI</td><td>WIRASWASTA</td><td>SUMBER RT 01 RW
<tr><td align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td
<tr><td align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by sputum
align='right'>80110160</td><td>14-08-
2017</td><td>SANUDIN</td><td>SANUDIN</td><td>WIRASWASTA</td><td>JAMBE RT 02 RW
08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SIMIN</td><td>SIMIN</td><td>PEDAGANG</td><td>PRAMBON</td><td>Prambon</
td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
LESTARI</td><td>SUKIYONO</td><td>MENGURUS RUMAH
align='right'>80100697</td><td>14-08-
></tr><tr><td
align='right'>80900371</td><td>14-08-
2017</td><td>SUGIYEM</td><td>KARTOSO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bu
lu</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80900003</td><td>14-08-
2017</td><td>SUKINEM</td><td>SARONO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
align='right'>80102013</td><td>14-08-
Suwarsi</td><td>Anis Purwandari</td><td>P</td><td>60-69
align='right'>80101773</td><td>14-08-
2017</td><td>SUPARNI</td><td>WAGIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>KLAMPEYAN RT 01 RW 04</td><td>Klampeyan</td><td>Panekan</td><td>PKD
align='right'>80101227</td><td>14-08-
2017</td><td>SUPARNO</td><td>SUPARNO</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 01
align='right'>80900330</td><td>14-08-
2017</td><td>SURATI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO
RT03 RW03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>SUTARMI</td><td>SUTARMI</td><td>MENGURUS RUMAH
TANGGA</td><td>KLAMPEYAN RT 02 RW 04</td><td>Klampeyan</td><td>Panekan</td><td>PKD
align='right'>80110358</td><td>14-08-
2017</td><td>SUTARNI</td><td>TULARDI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80103202</td><td>14-08-2017</td><td>TRI WIDIYAH
WANINGSIH</td><td>TULATMAN</td><td>MENGURUS RUMAH
align='right'>80400250</td><td>14-08-
2017</td><td>TRI.R</td><td>SARMO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG KIDUL
RT 02 RW 04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>PKD
2017</td><td>TUMIJEM</td><td>MURSINO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEKERTO RT 01 RW
04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100273</td><td>14-08-
randu</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>Ida Tri
2017</td><td>WARSINI</td><td>TUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN
tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
align='right'>40949</td><td align='right'>80104044</td><td>14-08-2017</td><td>WILDA
ADI S</td><td>WARAN</td><td>KONSTRUKSI</td><td>EROMOKO WETAN</td><td>Eromoko
align='right'>80100411</td><td>14-08-
2017</td><td>WINARTO</td><td>WINARTO</td><td>KARYAWAN
SWASTA</td><td>KLAMPEYAN</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU
Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>20-44
align='right'>80100772</td><td>14-08-
d></tr><tr><td align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td
d></tr><tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
align='right'>80100702</td><td>14-08-
09</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>ALVIAN BUDI
KRISTIAWAN</td><td>SUMADI</td><td>WIRASWASTA</td><td>PLUMBON RT 01 RW
align='right'>E06.9</td><td>Thyroiditis, unspecified</td><td></td><td
align='right'>41074</td><td align='right'>80109162</td><td>15-08-2017</td><td>ANITA
SARI</td><td>SAGINO</td><td>WIRASWASTA</td><td>BENGLE RT 01 RW
align='right'>80110381</td><td>15-08-2017</td><td>APRILINDA
N</td><td>TRIYONO</td><td>WIRASWASTA</td><td>JAMBE RT 02 RW
2017</td><td>ARIYANI AJI</td><td>ARIF RIYADI</td><td>MENGURUS RUMAH
align='right'>80110383</td><td>15-08-2017</td><td>BAGAS PUTRA PRATAMA
</td><td>RAHMAD
BASUKI</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td>
<td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>10-14
align='right'>80109971</td><td>15-08-
align='right'>41068</td><td align='right'>80105623</td><td>15-08-2017</td><td>DARI
RAHAYU</td><td>CATUR</td><td>WIRASWASTA</td><td>SUMBER RT 02 RW
2017</td><td>DHETIK AGUNG PRABANDARI</td><td>DHETIK AGUNG
PRABANDARI</td><td>KARYAWAN SWASTA</td><td>PRODIA WONOGIRI</td><td>Luar
</td><td>P</td><td>20-44
align='right'>41048</td><td align='right'>80110373</td><td>15-08-2017</td><td>ENI
RAHMAWATI</td><td>ENI RAHMAWATI</td><td>KARYAWAN SWASTA</td><td>PRODIA
WONOGIRI</td><td></td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Sri
align='right'>81000008</td><td>15-08-2017</td><td>ISMAWATI
BAROROH</td><td>SARNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas
Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80108694</td><td>15-08-
03</td><td></td><td>Eromoko</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>KARNOMO</td><td>KARNOMO</td><td>PETANI/PEKEBUN</td><td>NGRANDU RT03 RW
align='right'>L02.8</td><td>Cutaneous abscess, furuncle and carbuncle of other
align='right'>80110377</td><td>15-08-
align='right'>80107791</td><td>15-08-
></tr><tr><td align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td
align='right'>80108385</td><td>15-08-
2017</td><td>KATIKEM</td><td>GITO</td><td>MENGURUS RUMAH TANGGA</td><td>KEBONAGUNG
RT 01 RW 08</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD
Eromoko</td><td>Alriyadita win p</td><td> - </td><td>P</td><td>>70
align='right'>80110353</td><td>15-08-
KIDUL</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Anita Nurlina</td><td>L</td><td>20-44
2017</td><td>MARINEM</td><td>MARINEM</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
2017</td><td>MURDIYANA</td><td>TUKINO</td><td>LAINNYA</td><td>NGRANDU</td><td>Ngran
du</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>80100452</td><td>15-08-
2017</td><td>MUSIYEM</td><td>MUSIYEM</td><td>PENSIUNAN</td><td>SENGON
RT02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
></tr><tr><td align='right'>E06.9</td><td>Thyroiditis, unspecified</td><td></td><td
2017</td><td>MUSIYEM</td><td>MUSIYEM</td><td>PENSIUNAN</td><td>SENGON
RT02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80103305</td><td>15-08-
2017</td><td>PARYONO</td><td>PARYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
KIDUL</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas
align='right'>80105758</td><td>15-08-
2017</td><td>RENA</td><td>SURADI</td><td></td><td>SIYONO</td><td>Siyono</td><td>Nga
direjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80110371</td><td>15-08-2017</td><td>RENO
WIBHIANTO</td><td>KARNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 04 RW
align='right'>80300049</td><td>15-08-
2017</td><td>SALINEM</td><td>SALINEM</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RE
p</td><td> - </td><td>P</td><td>60-69
align='right'>80107177</td><td>15-08-
2017</td><td>SARIKEM</td><td>SALIYO</td><td>MENGURUS RUMAH TANGGA</td><td>NGADIREJO
2017</td><td>SATIJEM</td><td>DARTO SENTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>KERJO RT2 RW2 MOJOPURO</td><td>Kec. Wuryantoro</td><td>KEC.
WURYANTORO</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SATIJEM</td><td>DARTO SENTONO</td><td>MENGURUS RUMAH
TANGGA</td><td>KERJO RT2 RW2 MOJOPURO</td><td>Kec. Wuryantoro</td><td>KEC.
WURYANTORO</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
align='right'>80500083</td><td>15-08-
2017</td><td>SEPTI</td><td>KAMIJO</td><td>PELAJAR/MAHASISWA</td><td>TUKUL</td><td>T
ukul</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>15-19
NURANI</td><td>SAMIDI</td><td>MENGURUS RUMAH TANGGA</td><td>KEBONAGUNG RT 01 RW
p</td><td> - </td><td>P</td><td>20-44
<tr><td align='right'>S00.0</td><td>Superficial injury of scalp</td><td></td><td
2017</td><td>SUKIMIN</td><td>SUKIMIN</td><td>WIRASWASTA</td><td>BLIMBING RT 01 RW
2017</td><td>SUMIYATI</td><td>SUMIYATI</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><
</td><td>P</td><td>45-54
align='right'>Z30.8</td><td>Other contraceptive management</td><td></td><td
2017</td><td>SUPATMI</td><td>TARNO</td><td>MENGURUS RUMAH TANGGA</td><td>BENGLE
RT02/07</td><td>Bengle</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80110379</td><td>15-08-
2017</td><td>SUTARTI</td><td>WARTO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT
2017</td><td>WADIYEM</td><td>WADIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBER</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas
2017</td><td>WAGINO</td><td>WAGINO</td><td>PEGAWAI NEGERI
SIPIL</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri
align='right'>80800039</td><td>15-08-
2017</td><td>WAGINO</td><td>WAGINO</td><td>PEGAWAI NEGERI
SIPIL</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</td><td>PUSTU
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>L</td><td>45-54
align='right'>80110380</td><td>15-08-2017</td><td>WINARSO
</td><td>WINARSO</td><td>WIRASWASTA</td><td>MENANGGAL RT 01 RW 05</td><td>Luar
Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80102696</td><td>15-08-
2017</td><td>YULIATI</td><td>ROHMAN</td><td>KARYAWAN SWASTA</td><td>SENGON RT 02 RW
2017</td><td>YUNI</td><td>WIDIARSO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80400340</td><td>16-08-
2017</td><td>ADEFA</td><td>WAHYU</td><td>KONSTRUKSI</td><td>GEDONG</td><td>Gedong</
td><td>Eromoko</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80100243</td><td>16-08-2017</td><td>AISA RENSI
AINI</td><td>SUROTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 05 RW
align='right'>80400251</td><td>16-08-
2017</td><td>ALIF</td><td>SLAMET</td><td>PELAJAR/MAHASISWA</td><td>TALANG</td><td>T
alang</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80100200</td><td>16-08-2017</td><td>ANJAS MEI
SUBEKTI</td><td>LULIK</td><td>PEDAGANG</td><td>GEDONG</td><td>Gedong</td><td>Eromok
</td><td>P</td><td>20-44
2017</td><td>BINEM</td><td>PARJO</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT 02 RW
03</td><td>Ngaraan</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80101622</td><td>16-08-2017</td><td>BITA ALIFINA
</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>5-9
align='right'>80105570</td><td>16-08-
2017</td><td>FAISABILA</td><td>GIRI</td><td></td><td>EROMOKO WETAN</td><td>Eromoko
align='right'>G70.9</td><td>Myoneural disorder, unspecified</td><td></td><td
align='right'>80110388</td><td>16-08-
2017</td><td>IKA</td><td>JAENUDIN</td><td>MENGURUS RUMAH TANGGA</td><td>MOJOPURO RT
01 RW 03</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
align='right'>M25.2</td><td>Flail joint</td><td></td><td
2017</td><td>JINEM</td><td>JINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>NGARAAN</td><td>Ngaraan</td><td>Tegalharjo</td><td>PUSKESLING</td><t
d>Atmoko</td><td> - </td><td>P</td><td>55-59
align='right'>80100423</td><td>16-08-
></tr><tr><td align='right'>G40.8</td><td>Other epilepsy</td><td></td><td
2017</td><td>KATIYEM</td><td>KATIYEM</td><td>MENGURUS RUMAH
d>Atmoko</td><td> - </td><td>P</td><td>>70
Thn.</td><td>Keluarga</td><td>Baru</td><td>GRATIS (TB
2017</td><td>KATIYEM</td><td>KATIYEM</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td
>Ngaraan</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80103012</td><td>16-08-
2017</td><td>KATMO</td><td>KATMO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80110359</td><td>16-08-
2017</td><td>KIKI</td><td>SUDARMONO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN KIDUL
RT 01 RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas
2017</td><td>KINANTI SEKAR</td><td>DONI
A</td><td>PELAJAR/MAHASISWA</td><td>GENDENG</td><td>Gendeng</td><td>Sumberharjo</td
><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> - </td><td>P</td><td>5-9
align='right'>80500110</td><td>16-08-
2017</td><td>KUSMI</td><td></td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td>Ngadir
ejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80105155</td><td>16-08-
2017</td><td>LASMI</td><td>KATIO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jambe
- </td><td>P</td><td>45-54
align='right'>80201051</td><td>16-08-
2017</td><td>LEGINEM</td><td>LEGINEM</td><td>MENGURUS RUMAH
d>Atmoko</td><td> - </td><td>P</td><td>>70
align='right'>80103955</td><td>16-08-2017</td><td>LILIK
SETYOWATI</td><td>SAMURI</td><td>MENGURUS RUMAH TANGGA</td><td>SIYONO RT 01 RW
09</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>MADI</td><td>MADI</td><td>PETANI/PEKEBUN</td><td>BLIMBING RT 02 RW
2017</td><td>MARIYEM</td><td>WARTONO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
RT03/07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100984</td><td>16-08-
td>Ngadirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>60-69
align='right'>80102003</td><td>16-08-
02/07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>MISTIANTI
</td><td>YUDIANTO</td><td>PEDAGANG</td><td>KUTUKAN</td><td>Kutukan</td><td>Baleharj
o</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
</td><td>P</td><td>20-44
align='right'>80102139</td><td>16-08-
></tr><tr><td
2017</td><td>MULYANI</td><td>KALIMAN</td><td>PETANI/PEKEBUN</td><td>NGADIREJO
RT02/03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PKD
Wilayah</td><td>'0000566104476</td><td>'</td><td>0</td><td></td></tr><tr><td
2017</td><td>NARTI</td><td>NARTI</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td>Nga
raan</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>41144</td><td align='right'>80106183</td><td>16-08-2017</td><td>NGALI
KARYONO</td><td>NGALI
d>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
align='right'>80300007</td><td>16-08-
2017</td><td>PADIYO</td><td>PADIYO</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO RT
p</td><td> - </td><td>L</td><td>0-7
2017</td><td>PARMO</td><td>PARMO</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td>Sam
bong</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>
2017</td><td>PARTINI</td><td>WARIMIN</td><td>PETANI/PEKEBUN</td><td></td><td></td><
td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>45-54
2017</td><td>PONIMIN</td><td>PONIMIN</td><td>PEDAGANG</td><td>BALEHARJO RT 01 RW
><tr><td align='right'>M25.56</td><td>Pain in joint, lower leg</td><td></td><td
2017</td><td>PONIYEM</td><td>KASIM</td><td>MENGURUS RUMAH
align='right'>80102319</td><td>16-08-2017</td><td>QURATU AINI
A</td><td>SUTRISNO</td><td>KONSTRUKSI</td><td>SENGON</td><td>Sengon</td><td>Eromoko
align='right'>80201046</td><td>16-08-
2017</td><td>SAKINEM</td><td>SALIM</td><td>MENGURUS RUMAH
d>Atmoko</td><td>Anis Purwandari</td><td>P</td><td>60-69
align='right'>80103378</td><td>16-08-
2017</td><td>SALI</td><td>SALI</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RW 03
align='right'>80103378</td><td>16-08-
><tr><td align='right'>K40.0</td><td>Bilateral inguinal hernia, with obstruction,
without gangrene</td><td></td><td align='right'>41113</td><td
align='right'>80200330</td><td>16-08-
2017</td><td>SALIM</td><td>SALIM</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td>Nga
raan</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
align='right'>80104808</td><td>16-08-
2017</td><td>SARTONO</td><td>SARTONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 04
RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80102140</td><td>16-08-
></tr><tr><td
align='right'>80102140</td><td>16-08-
align='right'>80100083</td><td>16-08-
2017</td><td>SUGIYOTO</td><td>SUGIYOTO</td><td>PETANI/PEKEBUN</td><td>PANEKAN</td><
td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
><tr><td align='right'>G70.9</td><td>Myoneural disorder,
align='right'>80102214</td><td>16-08-
2017</td><td>SUMINI</td><td>KASTONO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SUPARTI</td><td>SUPARTI</td><td>PETANI/PEKEBUN</td><td></td><td></td><
td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>Ida Tri
align='right'>80100076</td><td>16-08-
align='right'>80110287</td><td>16-08-
2017</td><td>SUTINI</td><td>SUGIYOTO</td><td>MENGURUS RUMAH TANGGA</td><td>PANEKAN
RT 02 RW 01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>E21.0</td><td>Primary hyperparathyroidism</td><td></td><td
align='right'>80201048</td><td>16-08-
2017</td><td>TUKINAH</td><td>MARIMIN</td><td>MENGURUS RUMAH
2017</td><td>TUMINAH</td><td>TUMINAH</td><td>PETANI/PEKEBUN</td><td>NGARAKAN</td><t
d>Ngaraan</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>WAKIJEM</td><td>WAKIJEM</td><td>MENGURUS RUMAH
SUSANTO</td><td>SUKAMTO</td><td>WIRASWASTA</td><td>BOLAK RT 01 RW
01</td><td>Bolak</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80300008</td><td>18-08-
p</td><td> - </td><td>P</td><td>45-54
PEMERINTAH</td><td>Rajal</td><td align='right'>17</td><td
2017</td><td>DENIS</td><td>KALIMAN</td><td>PELAJAR/MAHASISWA</td><td>NGADIREJO
RT02/03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Iskandar, MM</td><td>Anis Purwandari</td><td>P</td><td>45-54
YUNIAWATI</td><td>WARSINO</td><td></td><td>BAKALAN RT02 /
07</td><td></td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>
- </td><td>P</td><td>20-44
align='right'>41151</td><td align='right'>80101018</td><td>18-08-2017</td><td>ENY
KURNIASIH</td><td>MUJIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG KIDUL RT 04
RW 06</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>GIMIN</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 03
2017</td><td>HARSONO</td><td>HARSONO</td><td>PETANI/PEKEBUN</td><td>TEMPURHARJO</td
><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101817</td><td>18-08-
2017</td><td>KASMITA EKAWATI</td><td>BUDI CAHYONO</td><td>MENGURUS RUMAH
2017</td><td>KATINI</td><td>KATINI</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT
2017</td><td>LAMINEM</td><td>KARIMIN</td><td>LAINNYA</td><td>BALEHARJO</td><td>Bale
harjo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80200189</td><td>18-08-
2017</td><td>MAKNO</td><td>MAKNO</td><td>PETANI/PEKEBUN</td><td>JAMBAN</td><td>Jamb
an</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>L23.0</td><td>Allergic contact dermatitis due to
metals</td><td></td><td align='right'>41185</td><td
align='right'>80108626</td><td>18-08-2017</td><td>MAYANG
align='right'>80102667</td><td>18-08-2017</td><td>MUHAMMAD TRIZA
R</td><td>SUTRIYO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
<tr><td align='right'>E78.4</td><td>Other hyperlipidaemia</td><td></td><td
2017</td><td>MULYANI</td><td>KALIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>NGADIREJO RT02/03</td><td></td><td>Ngadirejo</td><td>Puskesmas
Induk</td><td>Sri Purwanti</td><td>
Bulu</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80800041</td><td>18-08-
Bulu</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>H61.0</td><td>Perichondritis of external ear</td><td></td><td
2017</td><td>NGATNO</td><td>NGATNO</td><td>PETANI/PEKEBUN</td><td>GEDONG RT3
RW3</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>NURADI</td><td>NURADI</td><td>PETANI/PEKEBUN</td><td>PLIMBON
</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>TRIYOKO</td><td>L</td><td>55-59
align='right'>80100038</td><td>18-08-
ndeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>PARTONO</td><td></td><td>PETANI/PEKEBUN</td><td>PANDAN</td><td>Pandan<
/td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80110001</td><td>18-08-
2017</td><td>PURWANTI</td><td>SLAMET SURYADI</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP </td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
UTAMI</td><td>AGUNG PRASETYO</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT 02 RW
2017</td><td>SAKAT</td><td>SAKAT</td><td>PETANI/PEKEBUN</td><td>NGLENGKONG</td><td>
Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Suwarsi</td><td>Atmoko</td><td>L</td><td>>70
align='right'>80400069</td><td>18-08-
align='right'>80110394</td><td>18-08-2017</td><td>SITI RAHAYU</td><td>ABDUL
GOFAR</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO KULON RT 03 RW
align='right'>81200117</td><td>18-08-
2017</td><td>SRIYANTO</td><td>SRIYANTO</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><
td>Gendeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>80104069</td><td>18-08-
2017</td><td>SUGIYARTO</td><td>SLAMET</td><td>KONSTRUKSI</td><td>MANDEYAN</td><td>M
andeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>M25.58</td><td>Pain in joint, other sites</td><td></td><td
2017</td><td>SUKINI</td><td>SULIS</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SULISTIYAN</td><td>MULYONO</td><td>WIRASWASTA</td><td>SUMBERWATU</td><
td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUMARNI</td><td>TUGIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>KARANGANYAR</td><td>Luar Wilayah</td><td>Luar
</td><td>P</td><td>60-69
align='right'>M25.58</td><td>Pain in joint, other sites</td><td></td><td
2017</td><td>SUNARDI</td><td>SUNARDI</td><td>PETANI/PEKEBUN</td><td>TILENG</td><td>
Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>55-59
align='right'>81200234</td><td>18-08-
2017</td><td>SUPRAPTI</td><td>SUGIYATO</td><td>MENGURUS RUMAH
TANGGA</td><td>BLUTAK</td><td>Blutak</td><td>Sumberharjo</td><td>PKD
SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> - </td><td>P</td><td>>70
align='right'>80500274</td><td>18-08-
2017</td><td>SUPRIHATIN</td><td></td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><td>Plu
mbon</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80300191</td><td>18-08-
2017</td><td>TANTRIYATI</td><td>KRISTIYANTO</td><td>PEDAGANG</td><td>GRITAN RT 01
RW 09</td><td>Geritan</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>20-44
align='right'>81200046</td><td>18-08-
2017</td><td>TARNI</td><td>TRIMAN</td><td>MENGURUS RUMAH
><tr><td align='right'>J11.0</td><td>Influenza with pneumonia, virus not
align='right'>80108209</td><td>18-08-2017</td><td>TOPO</td><td>TOPO</td><td>PEGAWAI
NEGERI SIPIL</td><td>NGADIREJO RT 02 RW
03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PUSTU Baleharjo</td><td>Sri
></tr><tr><td align='right'>S00.0</td><td>Superficial injury of
scalp</td><td></td><td align='right'>41194</td><td
align='right'>80110396</td><td>18-08-2017</td><td>TUGIYEM</td><td>SUGENG
WIDODO</td><td>MENGURUS RUMAH TANGGA</td><td>NGEPOH
</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>81200009</td><td>18-08-
2017</td><td>TUKINI</td><td>TUKINI</td><td>PETANI/PEKEBUN</td><td>GENDENG</td><td>G
2017</td><td>TUMIYEM</td><td>TUMIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
align='right'>80101735</td><td>18-08-
2017</td><td>WAKIJEM</td><td>PAIMAN</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><t
d>Ngadirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>YUNITA</td><td>RUDI</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>ANANDA</td><td>BUDI</td><td>LAINNYA</td><td>NGLEGONG RT 03 RW
05</td><td>Nglegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>80700019</td><td>19-08-
2017</td><td>ANITA</td><td>HERI</td><td>MENGURUS RUMAH
TANGGA</td><td>TEGALREJO</td><td>Tegalrejo</td><td>Tegalharjo</td><td>PKD & PUSTU
align='right'>H65.2</td><td>Chronic serous otitis media</td><td></td><td
2017</td><td>APRILLIA WP</td><td>WALUYO</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP RT04
RW05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110406</td><td>19-08-2017</td><td>BAMBANG SUSILO
SAPUTRO</td><td>BAMBANG SUSILO SAPUTRO</td><td>WIRASWASTA</td><td>SAMBONG RT 02 RW
align='right'>H74.4</td><td>Polyp of middle ear</td><td></td><td
2017</td><td>DAMSIRI </td><td>DAMSIRI</td><td>MENGURUS RUMAH
TANGGA</td><td>DUNGPRING RT 02 RW
align='right'>80700264</td><td>19-08-
2017</td><td>DARMI</td><td>YADI</td><td>MENGURUS RUMAH
TANGGA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>Z34.8</td><td>Supervision of other normal pregnancy</td><td></td><td
cervicothoracic region</td><td></td><td align='right'>41219</td><td
align='right'>80110399</td><td>19-08-
2017</td><td>HARYONO</td><td>HARYONO</td><td>PETANI/PEKEBUN</td><td>SECANG KIDUL RT
align='right'>64</td><td>BP. Umum</td><td>Poli Syaraf</td><td>RS DR SUDIRO MANGUN
2017</td><td>LARSI</td><td>TUMINO</td><td>PETANI/PEKEBUN</td><td>MINGGAR</td><td>Mi
nggar</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>801103887</td><td>19-08-
RT03/07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80104741</td><td>19-08-
align='right'>80100678</td><td>19-08-
2017</td><td>MRAJAK</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>SURU KULON
align='right'>80106944</td><td>19-08-
2017</td><td>NONIK</td><td>RIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGARAAN</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas
Induk</td><td>Sri
2017</td><td>PAIMIN</td><td>PAIMIN</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 02 RW
05</td><td>Minggar</td><td>Minggarharjo</td><td>PKD & PUSTU
Minggarharjo</td><td>Hesti Wiji Utami</td><td> - </td><td>L</td><td>55-59
tr><td align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td
><tr><td align='right'>Z34.8</td><td>Supervision of other normal
pregnancy</td><td></td><td align='right'>41205</td><td
align='right'>80103543</td><td>19-08-
2017</td><td>PURWANI</td><td>YONO</td><td>MENGURUS RUMAH
2017</td><td>PURWANTO</td><td>PURWANTO</td><td>PETANI/PEKEBUN</td><td>MINGGAR RT 01
2017</td><td>RATNI</td><td>SUPRIYADI</td><td>KONSTRUKSI</td><td>WATULEMBU WETAN RT
><tr><td align='right'>E05.9</td><td>Thyrotoxicosis, unspecified</td><td></td><td
2017</td><td>SUDARMI</td><td>SUDARMI</td><td>MENGURUS RUMAH
TANGGA</td><td>CENGKARENG </td><td>Luar Wilayah</td><td>Luar
Wilayah</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
2017</td><td>SULASTRI</td><td>SUNARDI</td><td>MENGURUS RUMAH TANGGA</td><td>DAMPIT
RT 01 RW 06</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SULIS</td><td>SURAMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SURU WETAN
RT 01 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU
kan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>80110168</td><td>19-08-
2017</td><td>SUNARDI</td><td>SUNARDI</td><td>KARYAWAN
SWASTA</td><td>DAMPIT</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80110168</td><td>19-08-
2017</td><td>SUNARDI</td><td>SUNARDI</td><td>KARYAWAN
SWASTA</td><td>DAMPIT</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas
><tr><td align='right'>J02.9</td><td>Acute pharyngitis,
align='right'>80100398</td><td>19-08-
2017</td><td>SUNARTI</td><td>SUNARDI</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>M46.09</td><td>Spinal enthesopathy, site unspecified</td><td></td><td
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Sri Suwarsi</td><td>L</td><td>45-54
align='right'>80110398</td><td>19-08-
2017</td><td>SUTARTO</td><td>SUTARTO</td><td>PETANI/PEKEBUN</td><td>NGEPOH
RT1 RW9</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUTIYEM</td><td>SARYATNO</td><td>MENGURUS RUMAH
align='right'>80101097</td><td>19-08-
2017</td><td>SUTIYEM</td><td>SUTIYEM</td><td>PEDAGANG</td><td>BLIMBING RT 02 RW
Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
><tr><td align='right'>M12.57</td><td>Traumatic arthropathy, ankle and
align='right'>80110198</td><td>19-08-
2017</td><td>SUYATNO</td><td>SUYATNO</td><td>PETANI/PEKEBUN</td><td>PULOHARJO</td><
td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
INDIASTUTI</td><td>SUTIYO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN RT 01 RW
07</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TRIYANI</td><td>MISMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>MALANGAN</td><td>Malangan</td><td>Baleharjo</td><td>Puskesmas
2017</td><td>WARSI</td><td>MISDI</td><td>PETANI/PEKEBUN</td><td>BERO</td><td>Bero</
td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
<tr><td align='right'>B02.3</td><td>Zoster ocular disease</td><td></td><td
2017</td><td>YULIANTI</td><td>SURATNO</td><td>MENGURUS RUMAH
align='right'>80101101</td><td>21-08-2017</td><td> ALVIAN
SIDAN.A.P</td><td>EKOSUPRIYONO</td><td>PELAJAR/MAHASISWA</td><td>NGLEGONG</td><td>N
glegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>10-14
2017</td><td>ADELIA PURWANINGSIH </td><td>LASIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>PULO RT 02 RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas
align='right'>80109869</td><td>21-08-2017</td><td>ADILA NISA
ARDANI</td><td>GIYANTO</td><td></td><td>BAKALAN RT 01 RW
05</td><td></td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti
2017</td><td>ADISTIA</td><td>GIYARTO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN</t
d><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
2017</td><td>ADRIAN</td><td>ARIYADI</td><td></td><td>SAMBONG
MINGGAR</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80900002</td><td>21-08-2017</td><td>ANGELYA EKA
RAMADHANI</td><td>RIYANTO</td><td>LAINNYA</td><td>KLAMPEYAN</td><td>Klampeyan</td><
td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80109348</td><td>21-08-2017</td><td>ANIS ULFIANA</td><td>DWI
YANTO</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU WETAN RT 01 RW
04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>ARIANA LUSIAWATI</td><td>SLAMET</td><td>WIRASWASTA</td><td>KLAMPEYAN
PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri
Sularsih</td><td>L</td><td><1
PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri
align='right'>81100290</td><td>21-08-
2017</td><td>ARKA</td><td>MULYANTO</td><td>KONSTRUKSI</td><td>MALANGAN</td><td>Mala
ngan</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80110085</td><td>21-08-2017</td><td>ASKA
REINAN</td><td>ADITYA</td><td>KONSTRUKSI</td><td>SERUT RT 02 RW
align='right'>41295</td><td align='right'>80102809</td><td>21-08-2017</td><td>ATIN
SUPRIYANTI</td><td>BASARUDIN</td><td>MENGURUS RUMAH
2017</td><td>BINTAR ALDI
PRASETYO</td><td>SUTARMIN</td><td>KONSTRUKSI</td><td>PLUMBON KIDUL</td><td>Plumbon
Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>80110415</td><td>21-08-
2017</td><td>CANDRA</td><td>SAMINAH</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT1
RW4</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
align='right'>41282</td><td align='right'>80101106</td><td>21-08-2017</td><td>DANU
WIJAYA</td><td>SUTRISNO</td><td>PELAJAR/MAHASISWA</td><td>SENGON RT 02 RW
align='right'>41363</td><td align='right'>80102353</td><td>21-08-2017</td><td>DEO
FEBRIAN
A</td><td>WIDODO</td><td>KONSTRUKSI</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td
><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>1-4
align='right'>41330</td><td align='right'>80110428</td><td>21-08-2017</td><td>DIAN
ANDI SURYANTO</td><td>DIAN ANDI SURYANTO</td><td>PELAJAR/MAHASISWA</td><td>BAKALN
RT 02 RW 07</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>81100214</td><td>21-08-2017</td><td>DIAN
LESTARININGSIH</td><td>NURWIYOKO</td><td>MENGURUS RUMAH
align='right'>81100292</td><td>21-08-2017</td><td>DIMAS AGUNG PRASETYA</td><td>ARIF
ANWAR</td><td>WARINO</td><td>WIRASWASTA</td><td>SECANG LOR RT 01 RW
05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>41351</td><td align='right'>80100580</td><td>21-08-2017</td><td>ELICA
ALIFIA R</td><td>DARWANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>80100530</td><td>21-08-2017</td><td>ENI
SETYAWATI</td><td>KAMIJAN</td><td>LAINNYA</td><td>MOJOPURO</td><td>Kec.
Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109888</td><td>21-08-2017</td><td>FAJAR ARIA
BIMA</td><td>KATWADI</td><td>KONSTRUKSI</td><td>SURU KULON RT 02 RW 07</td><td>Suru
Kulon</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Utami</td><td> - </td><td>L</td><td><1
align='right'>80108006</td><td>21-08-2017</td><td>FARIS AL
SHIDIQ</td><td>FAJAR</td><td>KONSTRUKSI</td><td>BAKALAN</td><td>Bakalan</td><td>Min
ggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80108006</td><td>21-08-2017</td><td>FARIS AL
SHIDIQ</td><td>FAJAR</td><td>KONSTRUKSI</td><td>BAKALAN</td><td>Bakalan</td><td>Min
ggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>41296</td><td align='right'>80104215</td><td>21-08-2017</td><td>FARIZ
JAFAR
MAULANA</td><td>TARKUM</td><td>PELAJAR/MAHASISWA</td><td>SUMBER</td><td>Sumber</td>
<td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80700265</td><td>21-08-2017</td><td>FATAH GHANI
AKBAR</td><td>ARIFNO</td><td>KONSTRUKSI</td><td>SERUT</td><td>Serut</td><td>Minggar
harjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri
Thn.</td><td>Keluarga</td><td>Baru</td><td>IMUNISASI</td><td>Rajal</td><td
harjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri
2017</td><td>FRISKA
KURNIAWATI</td><td>TUMIJAN</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON</td><td>Plumbo
n</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>20-44
align='right'>80109877</td><td>21-08-
align='right'>81200237</td><td>21-08-
2017</td><td>HARYANTO</td><td>HARYANTO</td><td>WIRASWASTA</td><td>TLISING</td><td>T
lising</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>L02.8</td><td>Cutaneous abscess, furuncle and carbuncle of other
align='right'>80105296</td><td>21-08-
2017</td><td>HENDRO</td><td>SATINO</td><td>PELAJAR/MAHASISWA</td><td>PULO</td><td>P
ulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>15-19
align='right'>41286</td><td align='right'>80110411</td><td>21-08-2017</td><td>HENNY
N</td><td>KATNO</td><td>WIRASWASTA</td><td>BALEHARJO</td><td></td><td></td><td>Pusk
esmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>20-44
align='right'>41286</td><td align='right'>80110411</td><td>21-08-2017</td><td>HENNY
N</td><td>KATNO</td><td>WIRASWASTA</td><td>BALEHARJO</td><td></td><td></td><td>Pusk
esmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>20-44
2017</td><td>IRNAWATI</td><td>SAMTO</td><td>WIRASWASTA</td><td>PRAMBE</td><td></td>
<td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk internal</td><td
2017</td><td>ISWANTI</td><td>SUTRISNO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td
>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
jo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>20-44
align='right'>80109290</td><td>21-08-
2017</td><td>JUMINI</td><td>INAS</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBAN RT 01
RW 011</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>JUMINO</td><td>JUMINO</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Be
2017</td><td>KASINEM</td><td>KASINEM</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE RT
01 RW 08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>KATIKEM</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td
>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
2017</td><td>KRISTIAWAN</td><td>SUPARNO</td><td>WIRASWASTA</td><td>SENGON</td><td><
/td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>20-44
align='right'>80110435</td><td>21-08-
2017</td><td>LASINEM</td><td>LASINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>DUNGPRING RT 02 RW 07</td><td></td><td></td><td>Puskesmas
align='right'>M00.07</td><td>Staphylococcal arthritis and polyarthritis, ankle and
align='right'>80900079</td><td>21-08-
2017</td><td>MARIYEM</td><td>SARNO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN</td><td
>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>81600289</td><td>21-08-
2017</td><td>MISKIYEM</td><td>KARYONO</td><td>PETANI/PEKEBUN</td><td>PRACIMANTORO</
td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>PKD Baleharjo</td><td>Sri Eka
Darmarini</td><td> - </td><td>P</td><td>>70
align='right'>80108112</td><td>21-08-2017</td><td>MOKHAMAD
RIYANA</td><td>MOKHAMAD RIYANA</td><td>WIRASWASTA</td><td>GABELAN LOR RT 01 RW
04</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>MOKHAMAD RIYANA</td><td>MOKHAMAD
</td><td>L</td><td>45-54
align='right'>80107497</td><td>21-08-
2017</td><td>MUKIYEM</td><td>MUKIYEM</td><td>PELAJAR/MAHASISWA</td><td>GEDONG RT 01
RW 02</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
tr><td align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td
2017</td><td>MULYONO</td><td>MULYONO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td
- </td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80100177</td><td>21-08-
2017</td><td>NAMBANGSARI</td><td>TUKIRAN</td><td>PELAJAR/MAHASISWA</td><td>GEDONG
RT 02 RW 02</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100318</td><td>21-08-
2017</td><td>NGOISAH</td><td>SARDI</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>81100019</td><td>21-08-2017</td><td>NISA DWI
PERTIWI</td><td>WAGINO</td><td></td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</
td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> - </td><td>P</td><td>5-9
2017</td><td>NURWOKO</td><td>NURWOKO</td><td>PETANI/PEKEBUN</td><td>PRACIMANTORO</t
d><td>Luar Wilayah</td><td>Luar Wilayah</td><td>PKD Baleharjo</td><td>Sri Eka
2017</td><td>NUSMIATUN</td><td>SUNARDI</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE
RT 02 RW 08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>PARIYO</td><td>PARIYO</td><td>WIRASWASTA</td><td>PURWOHARJO</td><td>Ke
c. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PARTI</td><td>NARSO</td><td>MENGURUS RUMAH TANGGA</td><td>KLAMPEYAN RT
O1 RW04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>W44</td><td>Foreign body entering into or through eye or natural
orifice causing accidental injury</td><td></td><td align='right'>41313</td><td
align='right'>80102804</td><td>21-08-
2017</td><td>PARWOTO</td><td>PARWOTO</td><td>PETANI/PEKEBUN</td><td>SIYONO</td><td>
align='right'>41352</td><td align='right'>80900380</td><td>21-08-2017</td><td>RAFI
ILHAM</td><td>RATNO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN</td><td>Klampeyan</
td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
2017</td><td>RAHAYU</td><td>MUKLIYADI</td><td>WIRASWASTA</td><td>BENGLE RT 02 RW
align='right'>T16</td><td>Foreign body in ear</td><td></td><td
2017</td><td>RAKHMAT
DARMAWAN</td><td>SAKIDI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT1
RW2</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100232</td><td>21-08-
><tr><td align='right'>C84.0</td><td>Mycosis funides</td><td></td><td
align='right'>80109884</td><td>21-08-
2017</td><td>RENALDI</td><td>ANDRIAN</td><td>KONSTRUKSI</td><td>MINGGAR RT 02 RW
align='right'>80109884</td><td>21-08-
align='right'>80900215</td><td>21-08-2017</td><td>RICO
GILANG</td><td>TRIYONO</td><td>KONSTRUKSI</td><td>NGLOKO</td><td>Ngloko</td><td>Pan
ekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>41406</td><td align='right'>80104037</td><td>21-08-2017</td><td>RIRIN
TUSIDA</td><td>SURANTO</td><td>MENGURUS RUMAH TANGGA</td><td>PANGKAH RT 02 RW
align='right'>41350</td><td align='right'>80110434</td><td>21-08-2017</td><td>RISKI
K</td><td>MULYONO</td><td>PELAJAR/MAHASISWA</td><td>GUYANGAN</td><td></td><td></td>
<td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> - </td><td>L</td><td>20-44
align='right'>80110160</td><td>21-08-
align='right'>M00.07</td><td>Staphylococcal arthritis and polyarthritis, ankle and
align='right'>80900052</td><td>21-08-
2017</td><td>SAMIJEM</td><td>PANDO</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
2017</td><td>SANIYEM</td><td>SANIYEM</td><td>PETANI/PEKEBUN</td><td>GEDONG RT3 RW
2</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>81600296</td><td>21-08-
2017</td><td>SANTI</td><td>AGUS</td><td>MENGURUS RUMAH
TANGGA</td><td>PRACIMANTORO</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>PKD
align='right'>41379</td><td align='right'>80110439</td><td>21-08-2017</td><td>SANTI
FATMAWATI</td><td>SANTI FATMAWATI</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING
RT03/RW04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>C82.2</td><td>Large cell, follicular non-Hodgkin's
align='right'>80110410</td><td>21-08-
2017</td><td>SARMANTO</td><td>SARMANTO</td><td>PETANI/PEKEBUN</td><td>NGRAWAN RT
01/02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
HATI</td><td>Dalam
2017</td><td>SARMANTO</td><td>KARDI</td><td>WIRASWASTA</td><td>SIROTO</td><td></td>
<td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>20-
align='right'>J32.9</td><td>Chronic sinusitis, unspecified</td><td></td><td
2017</td><td>SAUJI</td><td>SAUJI</td><td>WIRASWASTA</td><td>KEDUNG
LUMBU</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
align='right'>80109875</td><td>21-08-2017</td><td>SHELA PUTRI
MAYSHAROH</td><td>WAHONO</td><td>KONSTRUKSI</td><td>SAMPANG RT 01 RW
align='right'>H90.0</td><td>Conductive hearing loss, bilateral</td><td></td><td
2017</td><td>SOMARTO</td><td>SOMARTO</td><td>WIRASWASTA</td><td>PANDAN RT 01 RW
MARYANI</td><td>SUTINO</td><td>PEGAWAI NEGERI SIPIL</td><td>SURU KULON</td><td>Suru
Kulon</td><td>Minggarharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td>
- </td><td>P</td><td>45-54
PURWANTI</td><td>TUMIJAN</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON RT 01 RW
align='right'>80101784</td><td>21-08-
2017</td><td>SUGIYARSIH</td><td>GIYARNO</td><td>MENGURUS RUMAH
2017</td><td>SUGIYARTO</td><td>SUGIYARTO</td><td>PETANI/PEKEBUN</td><td>BLUTAK</td>
<td>Blutak</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>G43.9</td><td>Migraine, unspecified</td><td></td><td
2017</td><td>SUHARMI</td><td>SATINO</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pul
o</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>45-54
align='right'>80101305</td><td>21-08-
2017</td><td>SUHARMI</td><td>SATINO</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pul
o</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>45-54
align='right'>80110430</td><td>21-08-
2017</td><td>SUKIDI</td><td>SUKIDI</td><td>WIRASWASTA</td><td>NGLENGKONG RT 02 RW
align='right'>80900381</td><td>21-08-
2017</td><td>SUKIYEM</td><td>SUKIMIN</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN</td><
td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>80101649</td><td>21-08-
2017</td><td>SULARDI</td><td>SULARDI</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pu
lo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>80109665</td><td>21-08-
align='right'>N10</td><td>Acute tubulo-interstitial nephritis</td><td></td><td
HATI</td><td>Dalam
><tr><td align='right'>B35.9</td><td>Dermatophytosis, unspecified</td><td></td><td
2017</td><td>SUMI</td><td>SUMI</td><td>MENGURUS RUMAH
SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> - </td><td>P</td><td>>70
2017</td><td>SUPARTI</td><td>SAMIDI</td><td>MENGURUS
RUMAH TANGGA</td><td>EROMOKO KULON</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
2017</td><td>SUPARTI</td><td>SAMIDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SUSMIASIH</td><td>SUTRIS</td><td>MENGURUS RUMAH
TANGGA</td><td>KWENIREJO RT2
RW6</td><td>Kwenirejo</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110416</td><td>21-08-
2017</td><td>SUTRISNO</td><td>SUTRISNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGELO</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri
align='right'>80100931</td><td>21-08-
2017</td><td>SUWANTI</td><td>SUDARTO</td><td>PEDAGANG</td><td>EROMOKO
2017</td><td>SUYATI</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>KWANGSAN</td><td
>Kwangsan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td>
- </td><td>P</td><td>45-54
align='right'>80109873</td><td>21-08-2017</td><td>SYAKILA MUTIARA
R</td><td>SUKIMIN</td><td></td><td>SURU KULON RT 01/07</td><td>Suru
Utami</td><td> - </td><td>P</td><td><1
align='right'>80100929</td><td>21-08-2017</td><td>TANTRYA CALLISTA
PUTRI</td><td>TRIYATMO</td><td>LAINNYA</td><td>GEDONG</td><td></td><td>Panekan</td>
<td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>P</td><td>1-4
2017</td><td>TINEM</td><td>SARNEN</td><td>MENGURUS RUMAH TANGGA</td><td>KLAMPEYAN
RT 02 RW 04</td><td>Klampeyan</td><td>Panekan</td><td>PKD & PUSTU
2017</td><td>TINI</td><td>SYARIPUNDIN</td><td>MENGURUS RUMAH TANGGA</td><td>BARAN
RT 02 RW 08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
PALUPI</td><td>SUEGARYONO</td><td>MENGURUS RUMAH TANGGA</td><td>NGUNGGAHAN RT 01 RW
01</td><td>Ngunggahan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td>Atmoko</td><td>P</td><td>45-54
d align='right'>Z00.0</td><td>General medical examination</td><td></td><td
YANTO</td><td>MINAH</td><td>WIRASWASTA</td><td>GLAGAH OMBO RT 3 RW
</td><td>L</td><td>20-44
2017</td><td>TUGIYEM</td><td>TUGIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>NGEPOH
</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
be</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80900379</td><td>21-08-
2017</td><td>TUMINI</td><td>LARDI</td><td>PETANI/PEKEBUN</td><td>NGLOROG</td><td>Ng
lorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
DITANGGUNG PEMERINTAH</td><td>Rajal</td><td
align='right'>81100297</td><td>21-08-
2017</td><td>WAGIMIN</td><td>WAGIMIN</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>
Bengle</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
</td><td>L</td><td>60-69
</td><td>L</td><td>55-59
randu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>80110437</td><td>21-08-
2017</td><td>WASIMAN</td><td>WASIMAN</td><td>WIRASWASTA</td><td>SEKANEM</td><td>
Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>WINDAR</td><td>SURIPTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP</td><td>
</td><td></td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>20-44
align='right'>81100291</td><td>21-08-
2017</td><td>WISNI</td><td>MARYONO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>B
aleharjo</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td>
align='right'>80100772</td><td>21-08-
d></tr><tr><td align='right'>Z27.1</td><td>Need for immunization against
diphtheria-tetanus-pertussis, combined [DTP]</td><td></td><td
align='right'>41430</td><td align='right'>80110080</td><td>21-08-2017</td><td>YUMNA
ALYA SALSABILA</td><td>GIYARNO</td><td>KONSTRUKSI</td><td>SAMPANG RT 01 RW
align='right'>80110080</td><td>21-08-2017</td><td>YUMNA ALYA
SALSABILA</td><td>GIYARNO</td><td>KONSTRUKSI</td><td>SAMPANG RT 01 RW
BUDI
SANTOSO</td><td>ADRAI</td><td>WIRASWASTA</td><td>KLATEN</td><td></td><td></td><td>P
uskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>20-44
align='right'>H02.9</td><td>Disorder of eyelid, unspecified</td><td></td><td
ANGGOROWATI</td><td>RIO APRI</td><td>MENGURUS RUMAH TANGGA</td><td>KEDUNGDADAP RT05
/05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80109971</td><td>22-08-
align='right'>80107400</td><td>22-08-2017</td><td>DINATA DWI
SALSABILA</td><td>SYAIFUL</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU RT 01 RW
ANWAR</td><td>DWI ANWAR</td><td>WIRASWASTA</td><td>SECANG LOR RT 01 RW
05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>41442</td><td align='right'>80110443</td><td>22-08-2017</td><td>DYAH
ISMAWATI</td><td>MARINO</td><td>WIRASWASTA</td><td>NGLEMPUNG</td><td></td><td></td>
<td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>20-44
align='right'>80102485</td><td>22-08-2017</td><td>DZAKY FATHUL
R</td><td>SAIFUL</td><td>KONSTRUKSI</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadire
jo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>1-4
align='right'>41484</td><td align='right'>80101699</td><td>22-08-2017</td><td>GALIH
NURMATARA</td><td>MARGIJATNO</td><td>PELAJAR/MAHASISWA</td><td>SUMBER</td><td>Sumbe
r</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
align='right'>80101667</td><td>22-08-
2017</td><td>GIRI</td><td>GIRI</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80110447</td><td>22-08-2017</td><td>HESTI PUTRI
UTAMI</td><td>SATINO</td><td>PELAJAR/MAHASISWA</td><td>TUKUL RT1 RW
align='right'>80109949</td><td>22-08-
</td><td>L</td><td>55-59
align='right'>80101486</td><td>22-08-
align='right'>80130888</td><td>22-08-
</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>M25.52</td><td>Pain in joint, upper arm</td><td></td><td
2017</td><td>MISIYEM</td><td>MULYATMO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGADIREJO RT 02 RW
03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>81200156</td><td>22-08-
2017</td><td>MUKINEM</td><td>PAIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>TLISING</td><td>Tlising</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>NARTI</td><td>ATMOJO SENO</td><td>PETANI/PEKEBUN</td><td>NGLILIR RT 2
2017</td><td>NARTI</td><td>ATMOJO SENO</td><td>PETANI/PEKEBUN</td><td>NGLILIR RT 2
align='right'>41479</td><td align='right'>80103557</td><td>22-08-2017</td><td>PANDU
ALFARIZKI</td><td>MARDI</td><td>PELAJAR/MAHASISWA</td><td>SENGON</td><td>Sengon</td
2017</td><td>PONIKEM</td><td>NARTO</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE RT 2
RW 1</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>PONIYEM</td><td>KATNO</td><td>PETANI/PEKEBUN</td><td>D
UNGUPIT</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
align='right'>41481</td><td align='right'>80109277</td><td>22-08-2017</td><td>RIFKI
RIZALDI</td><td>SRIMULADI</td><td></td><td>EROMOKO WETAN RT 02 RW
2017</td><td>SAGIYEM</td><td>MARIDI</td><td>PETANI/PEKEBUN</td><td>TEMPURHARJO</td>
<td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SAMINI</td><td>WIYONO</td><td>MENGURUS RUMAH
2017</td><td>SAMINI</td><td>WIYONO</td><td>MENGURUS RUMAH
align='right'>41485</td><td align='right'>80102323</td><td>22-08-2017</td><td>SARI
PUTRI
R</td><td>MARGIJATNO</td><td></td><td>SUMBER</td><td>Sumber</td><td>Puloharjo</td><
td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>P</td><td>10-
14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS MANDIRI</td><td>Rajal</td><td
align='right'>80107769</td><td>22-08-2017</td><td>SEPTIANO NUR WAHID</td><td>AGUS
WIYANTO</td><td></td><td>NGRANDU
RT03/04</td><td></td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
01 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
LESTARI</td><td>JARNO</td><td>MENGURUS RUMAH
><tr><td align='right'>D29.1</td><td>Benign neoplasm of prostate</td><td></td><td
><tr><td align='right'>M25.51</td><td>Pain in joint, shouder
align='right'>80102143</td><td>22-08-
2017</td><td>SUMARTI</td><td>SUTARTO</td><td>MENGURUS RUMAH
align='right'>80101512</td><td>22-08-
2017</td><td>SUNARSI</td><td>SUGIYATNO</td><td>MENGURUS RUMAH
align='right'>80100415</td><td>22-08-
RT01/02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
08-2017</td><td>SUTARTI</td><td>SARTONO</td><td>MENGURUS RUMAH
align='right'>80103587</td><td>22-08-
2017</td><td>SUTARTO</td><td>SUTARTO</td><td>WIRASWASTA</td><td>BUNTALAN
align='right'>M79.26</td><td>Neuralgia and neuritis,
unspecified, lower leg</td><td></td><td align='right'>41461</td><td
align='right'>80110446</td><td>22-08-
2017</td><td>WARNI</td><td>MARYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>DUNGPRING
RT 02 RW 07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas
align='right'>80110449</td><td>22-08-
2017</td><td>WARSIYEM</td><td>HIRO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON RT4 RW 2</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>20-44
2017</td><td>ADINDA</td><td>LARDI</td><td>MENGURUS RUMAH
align='right'>80100589</td><td>23-08-2017</td><td>ALEN DYTTO ARKA
PRATAMA</td><td>KASINO</td><td>LAINNYA</td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80103252</td><td>23-08-2017</td><td>ALFIANSAH
</td><td>SUYANTO</td><td>LAINNYA</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Er
omoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>80700267</td><td>23-08-2017</td><td>ALIFA
NURDITA</td><td>RIYANTO</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><t
align='right'>80108747</td><td>23-08-2017</td><td>ANISA CAHYA
WULANSARI</td><td>WIDODO</td><td>WIRASWASTA</td><td>NGRANDU RT 02 RW
SETYOWATI</td><td>PARWOTO</td><td>WIRASWASTA</td><td>GABUK RT1
RW6</td><td></td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>AURYGA DAFFA</td><td>JOKO INDARTMOKO</td><td></td><td>NGEPOH RT 01 RW
09</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80107774</td><td>23-08-2017</td><td>DANANG E</td><td>DANANG
E</td><td>PEGAWAI NEGERI SIPIL</td><td>WONOGIRI</td><td>Luar Wilayah</td><td>Luar
</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>GRATIS (TB
align='right'>A06.5</td><td>Amoebic lung abscess</td><td></td><td
align='right'>41498</td><td align='right'>80110453</td><td>23-08-2017</td><td>DANU
FEBRIYANTO</td><td>SAIMAN</td><td>PELAJAR/MAHASISWA</td><td>POKOH RT2
RW3</td><td>Pokoh</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
LESTARI</td><td>JAROT</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT 01 RW
</tr><tr><td align='right'>Z00.0</td><td>General medical
align='right'>80110461</td><td>23-08-2017</td><td>DIDIK SULISTYO G</td><td>HADI
SUNARTO</td><td>WIRASWASTA</td><td>NGULU WETAN RT3 RW
</td><td>L</td><td>20-44
HASTUTI</td><td>JOKO RIYADI WIBOWO</td><td>PEDAGANG</td><td>WARENGAN RT2
RW5</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
align='right'>B00.1</td><td>Herpesviral vesicular dermatitis</td><td></td><td
align='right'>L50.0</td><td>Allergic
urticaria</td><td></td><td align='right'>41555</td><td
align='right'>80700269</td><td>23-08-2017</td><td>FERI DWI
SANTOSO</td><td>KATINI</td><td>PELAJAR/MAHASISWA</td><td>BALEROTO</td><td>Baleroto<
align='right'>80100896</td><td>23-08-
2017</td><td>GANANG</td><td>SUKADI</td><td></td><td>BALEROTO</td><td>Baleroto</td><
td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>
- </td><td>L</td><td><1
align='right'>80102839</td><td>23-08-
2017</td><td>HANANTO</td><td>HANANTO</td><td>KARYAWAN SWASTA</td><td>SENGON RT 02
align='right'>80110463</td><td>23-08-
2017</td><td>HARTONO</td><td>HARTONO</td><td>PETANI/PEKEBUN</td><td>NGLOROK RT 02
RW 07</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
NINDYA</td><td>JUMINI</td><td>WIRASWASTA</td><td>GEDONG RT 01 RW
align='right'>80101446</td><td>23-08-
04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80700229</td><td>23-08-
2017</td><td>JUNATAN</td><td>DARSONO</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Ba
leroto</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80900163</td><td>23-08-
2017</td><td>KARNI</td><td>SUYITNO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOROG
RT02RW05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
TANGGA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80110456</td><td>23-08-2017</td><td>MESI
SULISTYANINGSIH</td><td>RATMIN</td><td>PELAJAR/MAHASISWA</td><td>BOKUNING RT 01
07</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan
ambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>0-7 hari</td><td>Keluarga</td><td>Lama</td><td>GRATIS (TB
align='right'>T70.3</td><td>Effects of caisson disease [decompression
sickness]</td><td></td><td align='right'>41504</td><td
align='right'>80110389</td><td>23-08-
2017</td><td>NURHADI</td><td>NURHADI</td><td>PETANI/PEKEBUN</td><td>PLUMBON RT 2 RW
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS MANDIRI</td><td></td><td
align='right'>80103306</td><td>23-08-
2017</td><td>PAIDI</td><td>PAIDI</td><td>KARYAWAN SWASTA</td><td>WATULEMBU
align='right'>80110465</td><td>23-08-
2017</td><td>PANIYEM</td><td>YATOMO</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RT
04 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>T16</td><td>Foreign body in ear</td><td></td><td
></tr><tr><td align='right'>M79.28</td><td>Neuralgia and neuritis, unspecified,
other site</td><td></td><td align='right'>41527</td><td
align='right'>80103623</td><td>23-08-2017</td><td>PONI SARIMOREJO</td><td>SISW0
UTOMO</td><td>PETANI/PEKEBUN</td><td>GABELAN LOR RT 01 RW 04</td><td>Gabelan
</td><td>P</td><td>45-54
align='right'>M10.06</td><td>Idiopathic ut, lower leg</td><td></td><td
align='right'>80700205</td><td>23-08-2017</td><td>RADIKA ASKA S</td><td>JOKO
RISWANTO</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharjo<
/td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80101234</td><td>23-08-
2017</td><td>RATMI</td><td>MISNO</td><td>LAINNYA</td><td>WATULEMBU
WETAN</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80700268</td><td>23-08-2017</td><td>RIKI RAMA
SAPUTRA</td><td>SAIJAN</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><td
2017</td><td>RIYADI</td><td>RIYADI</td><td>PETANI/PEKEBUN</td><td>GEDONG</td><td>Ge
dong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>RUKINEM</td><td>TARYONO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80107714</td><td>23-08-
2017</td><td>SAKINEM</td><td>WASIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
RT 01 RW 03</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas
align='right'>80106943</td><td>23-08-
>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>L</td><td>45-54
align='right'>C85.9</td><td>Non-Hodgkin's lymphoma, unspecified
type</td><td></td><td align='right'>41495</td><td
align='right'>80110410</td><td>23-08-
01/02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100419</td><td>23-08-
2017</td><td>SARMI</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><td>B
aleroto</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80103090</td><td>23-08-
2017</td><td>SATINAH</td><td>SARNO</td><td>MENGURUS RUMAH
align='right'>80110455</td><td>23-08-2017</td><td>SITI FATIMAH</td><td>SITI
FATIMAH</td><td>MENGURUS RUMAH TANGGA</td><td>SINDUKARTO RT2 RW
2017</td><td>SUKINEM</td><td>SUKINEM</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><t
d>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80102606</td><td>23-08-
align='right'>80104187</td><td>23-08-
2017</td><td>SULARTO</td><td>SULARTO</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><t
d>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80110451</td><td>23-08-
2017</td><td>SUMINEM</td><td>GIMAN</td><td>PETANI/PEKEBUN</td><td>GEDONG
align='right'>80110451</td><td>23-08-
2017</td><td>SUMINEM</td><td>GIMAN</td><td>PETANI/PEKEBUN</td><td>GEDONG
d></tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80700271</td><td>23-08-
2017</td><td>SUNARNI</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><t
d>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>H40.5</td><td>Glaucoma secondary to other eye
align='right'>80107967</td><td>23-08-
2017</td><td>SUNARTO</td><td>SUNARTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 02
></tr><tr><td align='right'>R11</td><td>Nausea and vomiting</td><td></td><td
align='right'>80101469</td><td>23-08-
><tr><td align='right'>E78.2</td><td>Mixed hyperlipidaemia</td><td></td><td
2017</td><td>SUTARMI</td><td>SARTONO</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE RT
01 RW 08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100076</td><td>23-08-
td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>60-
2017</td><td>TUGIYEM</td><td>TARJO</td><td>MENGURUS RUMAH TANGGA</td><td>TANJUNG RT
2 RW 1</td><td>Tanjung</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110457</td><td>23-08-
2017</td><td>TUKIJEM</td><td>GIYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN KULON RT2
RW2</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TUKIMAN</td><td>TUKIMAN</td><td>PETANI/PEKEBUN</td><td>WATULEMBU
2017</td><td>TUMIYEM</td><td>SARTONO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80101199</td><td>23-08-2017</td><td>VERONICA
SISWATI</td><td>JAROT</td><td>MENGURUS RUMAH
Induk</td><td>Sri Suwarsi</td><td>Sri Suwarsi</td><td>P</td><td>45-54
align='right'>41534</td><td align='right'>80110460</td><td>23-08-2017</td><td>VIKA
NUR KRISTI</td><td>AAN</td><td>WIRASWASTA</td><td>NGADIREJO RT 03 RW
><tr><td align='right'>J01.1</td><td>Acute frontal sinusitis</td><td></td><td
td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
2017</td><td>WARTI</td><td>AGUS</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80100110</td><td>23-08-
2017</td><td>WINDARYATI</td><td>SUHARDONO</td><td>KARYAWAN
2017</td><td>YATI</td><td>WARNO</td><td>PETANI/PEKEBUN</td><td>BALEROTO</td><td>Bal
eroto</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>S01.0</td><td>Open wound of scalp</td><td></td><td
2017</td><td>YESIKA
AULIA</td><td>SULISTYONO</td><td>PELAJAR/MAHASISWA</td><td>BALEROTO RT 3 RW
2</td><td>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80700270</td><td>23-08-2017</td><td>ZAHRA ANAYA PUTRI</td><td>AGUS
</td><td>PELAJAR/MAHASISWA</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharjo</
td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
with coma</td><td></td><td align='right'>41581</td><td
align='right'>80100686</td><td>24-08-
></tr><tr><td align='right'>H74.4</td><td>Polyp of middle ear</td><td></td><td
2017</td><td>DAMSIRI </td><td>DAMSIRI</td><td>MENGURUS RUMAH
TANGGA</td><td>DUNGPRING RT 02 RW
align='right'>80110476</td><td>24-08-
2017</td><td>DARNO</td><td>DARNO</td><td>WIRASWASTA</td><td>SAMBONG RT 04 RW
011</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>DARYANTO</td><td>DARYANTO</td><td>WIRASWASTA</td><td>GEDONG RT 01 RW
align='right'>I21.9</td><td>Acute myocardial infarction,
align='right'>80110111</td><td>24-08-
moko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita
Nurlina</td><td>L</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
05</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80106387</td><td>24-08-
WETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80108694</td><td>24-08-
Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
2017</td><td>JUMIYEM</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>POJOK RT 01 RW
2017</td><td>KASINAH</td><td>KASINAH</td><td>PETANI/PEKEBUN</td><td>SERUT RT 02 RW
04</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
- </td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
2017</td><td>KATIKEM</td><td>DARSONO</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td
>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
- </td><td>P</td><td>20-44
ojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80113887</td><td>24-08-
align='right'>80110294</td><td>24-08-
align='right'>80104396</td><td>24-08-2017</td><td>NAZIIFAH</td><td>DWI
HARJONO</td><td></td><td>PULO</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas
align='right'>A22.2</td><td>Gastrointestinal anthrax</td><td></td><td
2017</td><td>NAZIIFAH</td><td>DWI
HARJONO</td><td></td><td>PULO</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas
align='right'>80103305</td><td>24-08-
WETAN</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
2017</td><td>PURWANTI</td><td>DAMSIRI</td><td>MENGURUS RUMAH TANGGA</td><td>DUNG
PRING RT 02 RW 07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas
</tr><tr><td align='right'>I10</td><td>Essential (primary)
align='right'>80102677</td><td>24-08-
2017</td><td>RUJINEM</td><td>SUTIYO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SAIKEM</td><td>SAIKEM</td><td>MENGURUS RUMAH
TANGGA</td><td>PANGKAH</td><td></td><td>Baleharjo</td><td>Puskesmas
thoracolumbar region</td><td></td><td align='right'>41606</td><td
align='right'>80100593</td><td>24-08-
align='right'>80100418</td><td>24-08-
2017</td><td>SAMINAH</td><td>SAMINAH</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>
Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>H53.0</td><td>Amblyopia ex anopsia</td><td></td><td
2017</td><td>SARINEM</td><td>PRIYONO</td><td>PENSIUNAN</td><td>GEDONG RT 02 RW
align='right'>80101723</td><td>24-08-
2017</td><td>SARJO</td><td>SARJO</td><td>WIRASWASTA</td><td>PRAMBON</td><td>Prambon
</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>45-54
align='right'>H40.1</td><td>Primary open-angle glaucoma</td><td></td><td
NINGSIH</td><td>SUGIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN KIDUL RTB01
RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80104188</td><td>24-08-
2017</td><td>SUGENG</td><td>SUGENG</td><td>WIRASWASTA</td><td>SIDOWAYAH</td><td>Nga
ndong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>20-44
2017</td><td>SUKIYEM</td><td>SUKIR ATMOREJO
</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>P
uskesmas Induk</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>>70
2017</td><td>SULASI</td><td>WAGINO</td><td>MENGURUS RUMAH
TANGGA</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas
></tr><tr><td align='right'>M54.30</td><td>Sciatica, multiple
align='right'>80100158</td><td>24-08-
2017</td><td>SURANTO</td><td>SURANTO</td><td>WIRASWASTA</td><td>SUMBER</td><td>Sumb
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
align='right'>1</td><td align='right'>48</td><td>BP. Umum</td><td>Poli rehab.
medis/ Fisiot</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>80103943</td><td>24-08-
07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
></tr><tr><td align='right'>I10</td><td>Essential
(primary) hypertension</td><td></td><td align='right'>41584</td><td
align='right'>80110400</td><td>24-08-
</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>WARNI</td><td>SULARNO</td><td>MENGURUS RUMAH TANGGA</td><td>NGLOKO RT
align='right'>80100514</td><td>24-08-2017</td><td>ZANDRA DELVITA</td><td>DWI
YANTO</td><td>PELAJAR/MAHASISWA</td><td>TILENG RT 01 RW
</tr><tr><td align='right'>S00.0</td><td>Superficial injury of
align='right'>80110419</td><td>25-08-2017</td><td>DWI ANWAR</td><td>DWI
ANWAR</td><td>WIRASWASTA</td><td>SECANG LOR RT 01 RW 05</td><td>Secang
Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>20-44
YUNIANTO</td><td>DWI YUNIANTO</td><td>WIRASWASTA</td><td>BAKALAN RT 01 RW
align='right'>41650</td><td align='right'>80106067</td><td>25-08-2017</td><td>EMI
TRININGSIH</td><td>SEMO</td><td>KARYAWAN
SWASTA</td><td>BAKALAN</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas
align='right'>C77.9</td><td>Secondary and unspecified malignant neoplasm of lymph
node, unspecified</td><td></td><td align='right'>41658</td><td
align='right'>80107075</td><td>25-08-
2017</td><td>FITRIANTI</td><td>HENDRIYATMOKO</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON RT 02 RW
align='right'>80104631</td><td>25-08-
2017</td><td>HEZEL</td><td>SUGIYARNI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
2017</td><td>KATIMIN</td><td>KATIMIN</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80600246</td><td>25-08-
2017</td><td>MARISAN</td><td>PURWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLEMPUNG
RT2RW02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>NGATIMIN</td><td>NGATIMIN</td><td>PEDAGANG</td><td>GENDENG
RT03/02</td><td></td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80100972</td><td>25-08-
2017</td><td>NGATINEM</td><td>RAKIJO</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBERWATU RT 01 RW
align='right'>80105515</td><td>25-08-
2017</td><td>NINIK</td><td>TUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>G43.9</td><td>Migraine, unspecified</td><td></td><td
2017</td><td>PARYANTI</td><td>SUGIYANTO</td><td>PETANI/PEKEBUN</td><td>SINDUKARTO</
td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
coma</td><td></td><td align='right'>41664</td><td
align='right'>80103378</td><td>25-08-
</tr><tr><td align='right'>L13.0</td><td>Dermatitis herpetiformis</td><td></td><td
2017</td><td>SUNARMI</td><td>YUSAK</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG LOR
RT 03 RW 05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas
2017</td><td>SUPARMI</td><td>SARWONO</td><td>WIRASWASTA</td><td>BALEKERTO</td><td>B
alekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SUPARMI</td><td>SARWONO</td><td>WIRASWASTA</td><td>BALEKERTO</td><td>B
alekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>TRIYOKO</td><td>P</td><td>60-69
2017</td><td>WALUYO</td><td>WALUYO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
KULON</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>WARSITI</td><td>HARTOTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80107745</td><td>25-08-
align='right'>80100772</td><td>25-08-
2017</td><td>YATNO</td><td>TUGIMIN</td><td>WIRASWASTA</td><td>SENGON RT 02 RW
align='right'>41740</td><td align='right'>80600287</td><td>26-08-2017</td><td>AISYA
SITI
F</td><td>UJAY</td><td>KONSTRUKSI</td><td>NGARAAN</td><td>Ngaraan</td><td>Tegalharj
o</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
align='right'>80105513</td><td>26-08-2017</td><td>AQIRUL
RAHMADANI</td><td>WAGIMAN</td><td>KONSTRUKSI</td><td>NGARAAN</td><td>Ngaraan</td><t
d>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
align='right'>80600089</td><td>26-08-2017</td><td>CANTIKA OVSA
FEFRERA</td><td>SULARNO</td><td>KONSTRUKSI</td><td>BAWUH</td><td>Bawuh</td><td>Ming
garharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
><tr><td align='right'>K00.1</td><td>Supernumerary teeth</td><td></td><td
align='right'>41716</td><td align='right'>80600228</td><td>26-08-2017</td><td>ELLY
SABET</td><td>SAMSUL</td><td>MENGURUS RUMAH TANGGA</td><td>MINGGAR RT 01 RW
03</td><td>Minggar</td><td>Minggarharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80600285</td><td>26-08-2017</td><td>FADILLAH
NOVIA</td><td>SUYADI</td><td>PELAJAR/MAHASISWA</td><td>BAWUH</td><td>Bawuh</td><td>
Minggarharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
</td><td>P</td><td>10-14 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
><tr><td align='right'>A18.2</td><td>Tuberculous peripheral
lymphadenopathy</td><td></td><td align='right'>41753</td><td
align='right'>80600259</td><td>26-08-2017</td><td>FITRI
ANJARWANI</td><td>JARNO</td><td>PELAJAR/MAHASISWA</td><td>BOLAK REJO RT 02 RW
align='right'>80600282</td><td>26-08-
2017</td><td>GIYARTO</td><td>GIYARTO</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td
>Ngaraan</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80600172</td><td>26-08-
2017</td><td>KASDIYANTO</td><td>KASDIYANTO</td><td>PETANI/PEKEBUN</td><td>GABELAN
align='right'>M00.09</td><td>Staphylococcal arthritis and polyarthritis,
unspecified site</td><td></td><td align='right'>41726</td><td
align='right'>80600179</td><td>26-08-
2017</td><td>KATIMAN</td><td>KATIMAN</td><td>PETANI/PEKEBUN</td><td>NGLEMPUNG</td><
td>Nglempung</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>K00.1</td><td>Supernumerary teeth</td><td></td><td
2017</td><td>LARNI</td><td>GIYARDI</td><td>MENGURUS RUMAH
2017</td><td>LARSI</td><td>PAIJO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
align='right'>80200097</td><td>26-08-
2017</td><td>LEGINEM</td><td>KARMIN</td><td></td><td>GABELAN LOR</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>K00.1</td><td>Supernumerary teeth</td><td></td><td
align='right'>41738</td><td align='right'>80100802</td><td>26-08-2017</td><td>LUKY
DEWI</td><td>DAROJI</td><td>PELAJAR/MAHASISWA</td><td>GABELAN KIDUL RT 01 RW
05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>S00.9</td><td>Superficial injury of head, part
align='right'>80110501</td><td>26-08-2017</td><td>MUHAMMAD ARIFIN</td><td>ARI
KRISWANTO</td><td>LAINNYA</td><td>SAMPANG RT 01 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>NGADINO PATMOSUWITO</td><td>NGADINO
PATMOSUWITO</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharjo
</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
2017</td><td>PARMI</td><td>LAGINO</td><td>MENGURUS RUMAH
align='right'>80600283</td><td>26-08-
2017</td><td>PARNI</td><td>SUKADI</td><td>MENGURUS RUMAH
TANGGA</td><td>NGARAAN</td><td>Ngaraan</td><td>Tegalharjo</td><td>PKD
TANGGA</td><td>GABELAN KIDUL</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD
2017</td><td>RATNO</td><td>RATNO</td><td>WIRASWASTA</td><td>NGLOKO RT 03 RW
align='right'>C85.7</td><td>Other specified types of non-Hodgkin's
align='right'>80110410</td><td>26-08-
01/02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td>Atmoko</td><td>L</td><td>>70
align='right'>80600135</td><td>26-08-
2017</td><td>SARMI</td><td>NGADINO</td><td>MENGURUS RUMAH
></tr><tr><td align='right'>Z34.8</td><td>Supervision of other normal
NURKHAYATI</td><td>WASETYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
><tr><td align='right'>F20.0</td><td>Paranoid schizophrenia</td><td></td><td
2017</td><td>SLAMET
nekan</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>L50.6</td><td>Contact urticaria</td><td></td><td
2017</td><td>SLAMET RIYANTO</td><td>SLAMET
RIYANTO</td><td>PETANI/PEKEBUN</td><td>GABELAN KIDUL RT 01 RW 05</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
SUPARNI</td><td>WARDOYO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLEMPUNG</td><td>Nglempung</td><td>Tegalharjo</td><td>PKD
</tr><tr><td align='right'>J11.1</td><td>Influenza with other respiratory
align='right'>80105025</td><td>26-08-2017</td><td>SUCI
RAMADHANI</td><td>SUNARDI</td><td></td><td>GABELAN LOR</td><td>Gabelan
2017</td><td>SUKADI</td><td>SUKADI</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT01 /
03</td><td></td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
d></tr><tr><td align='right'>J11.1</td><td>Influenza with other respiratory
align='right'>80600181</td><td>26-08-
2017</td><td>SUKINEM</td><td>SUKINEM</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
2017</td><td>SUMARNI</td><td>SLAMET</td><td>MENGURUS RUMAH
align='right'>80600198</td><td>26-08-
2017</td><td>SURATI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
></tr><tr><td align='right'>A78</td><td>Q fever</td><td></td><td
2017</td><td>SUTARWI</td><td>AGUNG SANTOSO</td><td>MENGURUS RUMAH
TANGGA</td><td>GENDENG RT2
RW2</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80600070</td><td>26-08-2017</td><td>TATIK
R</td><td>TARNO</td><td>MENGURUS RUMAH
ROHMADI</td><td>KASDIYANTO</td><td>BURUH HARIAN LEPAS</td><td>GABELAN
><tr><td align='right'>Z34.8</td><td>Supervision of other normal
align='right'>80600237</td><td>26-08-
align='right'>80600025</td><td>26-08-
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>PKD
d></tr><tr><td align='right'>S00.0</td><td>Superficial injury of
align='right'>80600286</td><td>26-08-
2017</td><td>WAGIMAN</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>NGARAAN</td><td
>Ngaraan</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80600045</td><td>26-08-
2017</td><td>WINDIYARTI</td><td>SUYADI</td><td>MENGURUS RUMAH
><tr><td align='right'>A78</td><td>Q fever</td><td></td><td
2017</td><td>ABDULOH
MUTAQIM</td><td>SUYITNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedun
gdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>41812</td><td align='right'>80100764</td><td>28-08-2017</td><td>ALIFA
NUGRAENI HAYUNINGTYAS</td><td>SUYANTO</td><td>LAINNYA</td><td>TEGALREJO RT 01 RW
align='right'>80102870</td><td>28-08-2017</td><td>ALYA
FADILLAH</td><td>SUGIYARTO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><td>Blimb
ing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
2017</td><td>ATIK</td><td>SUTRIMO</td><td>WIRASWASTA</td><td>JAMBE RT 01 RW
2017</td><td>AZIZAH
PRASETYA</td><td>SUKIRMAN</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 04 RW
align='right'>H10.0</td><td>Mucopurulent conjunctivitis</td><td></td><td
2017</td><td>DARNI</td><td>LEGIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>GENDENG RT
01 RW 02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80109140</td><td>28-08-2017</td><td>DEDEK
KURNIAWATI</td><td>MISDI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 02 RW
><tr><td align='right'>B02.9</td><td>Zoster without complication</td><td></td><td
align='right'>80102861</td><td>28-08-2017</td><td>DWIATMANTO AGUS
RAHADI</td><td>DWIATMANTO AGUS RAHADI</td><td>PEGAWAI NEGERI
SIPIL</td><td>POJOK</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80102076</td><td>28-08-2017</td><td>EKO WULANDARI</td><td>BUDI
LAKSONO</td><td>MENGURUS RUMAH
align='right'>80101946</td><td>28-08-2017</td><td>ELSA ULLY
ARTHA</td><td>SUHARSO</td><td>LAINNYA</td><td>SENGON</td><td>Sengon</td><td>Eromoko
align='right'>B01.1</td><td>Varicella encephalitis</td><td></td><td
2017</td><td>GILANG
ERLANGGA</td><td>SUWANDI</td><td>PELAJAR/MAHASISWA</td><td>NGLENGKONG</td><td>Nglen
gkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
></tr><tr><td align='right'>E11.1</td><td>Non-insulin-dependent
diabetes mellitus with ketoacidosis</td><td></td><td align='right'>41789</td><td
align='right'>80101817</td><td>28-08-
</tr><tr><td align='right'>M10.0</td><td>Idiopathic ut</td><td></td><td
2017</td><td>KARTINI</td><td>SIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING
RT03/RW04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80200922</td><td>28-08-
2017</td><td>KARYANTI</td><td>SUDADI</td><td>MENGURUS RUMAH
align='right'>80900027</td><td>28-08-
2017</td><td>KATEMI</td><td>SUTIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOROK</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas
ketoacidosis</td><td></td><td align='right'>41777</td><td
</tr><tr><td align='right'>H53.8</td><td>Other visual disturbances</td><td></td><td
2017</td><td>LUKI</td><td>SUYATMIN</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
2017</td><td>MARTOYO</td><td>MARTOYO</td><td>PETANI/PEKEBUN</td><td>SUMBERWATU RT02
RW 05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109576</td><td>28-08-
RT02/06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
FATHIH</td><td>SUTRIYO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 02 RW
align='right'>80200010</td><td>28-08-
2017</td><td>PAIKEM</td><td>GIYONO</td><td>PETANI/PEKEBUN</td><td>SUMBERWATU RT 01
2017</td><td>PAINEM</td><td>WIJI</td><td>PETANI/PEKEBUN</td><td>TLISING</td><td>Tli
sing</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>80100038</td><td>28-08-
align='right'>B05.3</td><td>Measles complicated by otitis media</td><td></td><td
2017</td><td>PUJIYANTI</td><td>SARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>PARANGJOHO RT 03 RW
06</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PUSPITA RIA</td><td>TUKIRAN</td><td>WIRASWASTA</td><td>BENGLE RT 01 RW
align='right'>O85</td><td>Puerperal sepsis</td><td></td><td
align='right'>41754</td><td align='right'>80110503</td><td>28-08-2017</td><td>RANI
NURLITA</td><td>NUNUNG</td><td>PELAJAR/MAHASISWA</td><td>NGLEMPUNG RT 01 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>41837</td><td align='right'>80110529</td><td>28-08-2017</td><td>RENA
HANDAYANI</td><td>SUMADI</td><td>WIRASWASTA</td><td>BAKALAN RT02 /
align='right'>80110160</td><td>28-08-
align='right'>80110526</td><td>28-08-2017</td><td>SLAMET HIDAYAT</td><td>SLAMET
HIDAYAT</td><td>WIRASWASTA</td><td>PLUMBONRT 04 RW
2017</td><td>SRIYANTI</td><td>SRIYANTI</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON
RT 02 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110525</td><td>28-08-
2017</td><td>SUGIMIN</td><td>SUGIMIN</td><td>PEGAWAI NEGERI SIPIL</td><td>GEDONG RT
02 RW 02</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Umum</td><td>Poli Syaraf</td><td>RS PANTI RAHAYU</td><td>Dalam
align='right'>80110527</td><td>28-08-
2017</td><td>SUHARTI</td><td>SUHARTI</td><td>MENGURUS RUMAH
TANGGA</td><td>PASEKAN</td><td>Pasekan</td><td>PASEKAN</td><td>Puskesmas
2017</td><td>SUHARTI</td><td>SUHARTI</td><td>MENGURUS RUMAH
TANGGA</td><td>PASEKAN</td><td>Pasekan</td><td>PASEKAN</td><td>Puskesmas
align='right'>80102606</td><td>28-08-
align='right'>80100111</td><td>28-08-
2017</td><td>SULARTI</td><td>TUKIRAN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
Iwan Iskandar, MM</td><td>Sri Suwarsi</td><td>P</td><td>55-59
align='right'>80101613</td><td>28-08-
2017</td><td>SULASTRI</td><td>MUH.BAKHIR</td><td>MENGURUS RUMAH
TANGGA</td><td>PLUMBON KIDUL</td><td>Plumbon
Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80109665</td><td>28-08-
2017</td><td>SUPRAPTO</td><td>SUPRAPTO</td><td>PEGAWAI NEGERI SIPIL</td><td>SUMBER
RT 02 RW 01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80100386</td><td>28-08-
2017</td><td>SUSANTO</td><td>KARTOSENTONO</td><td></td><td>SURU WETAN</td><td>Suru
Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
><tr><td align='right'>J45.0</td><td>Predominantly allergic asthma</td><td></td><td
align='right'>80700256</td><td>28-08-
2017</td><td>SUTIJEM</td><td>SUMINO</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Ba
wuh</td><td>Minggarharjo</td><td>PKD
& PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td>Sri
Sularsih</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80100545</td><td>28-08-
align='right'>80110524</td><td>28-08-
2017</td><td>SUYANTI</td><td>SUYANTI</td><td>WIRASWASTA</td><td>BALEKERTO RT 02 RW
align='right'>B02.9</td><td>Zoster without complication</td><td></td><td
INDIASTUTI</td><td>SUTIYO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN RT 01 RW
align='right'>K03.1</td><td>Abrasion of teeth</td><td></td><td
MULATNI</td><td>TRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>JATIREJO RT02 RW
06</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TUGINEM</td><td>TUKIRAN</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
>Sampang</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
2017</td><td>WIDARTO</td><td>WARINO</td><td>WIRASWASTA</td><td>BENGLE RT 01 RW
2017</td><td>ABDULLAH</td><td>DAIMIN</td><td>WIRASWASTA</td><td>TUKUL RT 03 RW
align='right'>41906</td><td align='right'>80110549</td><td>29-08-2017</td><td>ARIF
TRIYONO</td><td>NUR KHOYIM</td><td>KONSTRUKSI</td><td>BATILAN 1 RT 01 RW
13</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>ASIFA</td><td>BUDI AJI</td><td></td><td>EROMOKO KULON</td><td>Eromoko
WIJAYA </td><td>WARSONO</td><td>KARYAWAN SWASTA</td><td>DUNGPRING RT 01 RW
align='right'>80109971</td><td>29-08-
align='right'>80110546</td><td>29-08-2017</td><td>DARMO SUWITO</td><td>DARMO
SUWITO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 04 RW
2017</td><td>GIMUN</td><td>GIMUN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo</
td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
align='right'>80104398</td><td>29-08-
2017</td><td>KARDI</td><td>KARDI</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80105466</td><td>29-08-
2017</td><td>KASMI</td><td>MAIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
KULON</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>KATMI</td><td>KATMI</td><td>MENGURUS RUMAH
TANGGA</td><td>POJOK</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80101449</td><td>29-08-
2017</td><td>KATMI</td><td>TUKIJO</td><td>PETANI/PEKEBUN</td><td>TLISING RT 02 RW
01</td><td>Tlising</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
><tr><td align='right'>C84.0</td><td>Mycosis funides</td><td></td><td
2017</td><td>KHOIRUL ANAS</td><td>BUYAMIN</td><td>PELAJAR/MAHASISWA</td><td>SALAK
2017</td><td>KIMIN</td><td>KIMIN</td><td>WIRASWASTA</td><td>TLISING</td><td>Tlising
- </td><td>L</td><td>55-59 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
align='right'>B26.8</td><td>Mumps with other complications</td><td></td><td
2017</td><td>LUKMAN RIFIAN
SAPUTRA</td><td>WASTARI</td><td>LAINNYA</td><td>JAMBAN</td><td>Jamban</td><td>Ngadi
rejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>5-9
2017</td><td>MAKRUF</td><td>KASIYO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</t
d><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80900204</td><td>29-08-
2017</td><td>MARLINA</td><td>SUYITNO</td><td>MENGURUS RUMAH
01 RW 03</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
d align='right'>Z00.0</td><td>General medical examination</td><td></td><td
2017</td><td>RAHMATYAS</td><td>MARYADI</td><td>TRANSPORTASI</td><td>BALEKERTO RT 01
align='right'>41913</td><td align='right'>80110521</td><td>29-08-2017</td><td>RIKE
APRILIA</td><td>WALUYO</td><td>WIRASWASTA</td><td>SERUT RT 01 RW
align='right'>17</td><td>BP. Umum</td><td>Poli Paru - Paru</td><td>BBKPM
SURAKARTA</td><td>Dalam
align='right'>41905</td><td align='right'>80110548</td><td>29-08-2017</td><td>RINA
SETYAWATI</td><td>SALIMAN</td><td>KARYAWAN SWASTA</td><td>PANGKAH RT 01 RW
13</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SABARNO</td><td>SABARNO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
</td><td>L</td><td>60-69
align='right'>41910</td><td align='right'>80106393</td><td>29-08-2017</td><td>SEKAR
KINANTI</td><td>PURNOMO</td><td></td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko<
/td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>5-9
align='right'>80400227</td><td>29-08-
2017</td><td>SITI</td><td>SITI</td><td>MENGURUS RUMAH
TANGGA</td><td>DUNGPRING</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas
RAHAYU</td><td>WASINO</td><td>BURUH HARIAN LEPAS</td><td>NGLEGONG RT 02 RW
align='right'>80100697</td><td>29-08-
></tr><tr><td align='right'>K27.7</td><td>Peptic ulcer, chronic without haemorrhage
or perforation</td><td></td><td align='right'>41939</td><td
align='right'>80900189</td><td>29-08-
2017</td><td>SUDARTO</td><td>SUDARTO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bu
lu</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td>Sri
Purwanti</td><td>L</td><td>45-54
align='right'>M06.9</td><td>Rheumatoid arthritis, unspecified</td><td></td><td
2017</td><td>SUHARSI</td><td>WASINO</td><td>TRANSPORTASI</td><td>GENDENG RT 01 RW
2017</td><td>SUKIYEM</td><td>SUKIR ATMOREJO
</td><td>PETANI/PEKEBUN</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>P
uskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>>70
align='right'>80101425</td><td>29-08-
- </td><td>P</td><td>45-54
align='right'>80101162</td><td>29-08-
2017</td><td>SUPARMI</td><td>SATIMAN</td><td>MENGURUS RUMAH
align='right'>S52.00</td><td>Fracture of upper end of ulna, closed</td><td></td><td
2017</td><td>SURYADI</td><td>SURYADI</td><td>PETANI/PEKEBUN</td><td>DEMANGAN RT 01
><tr><td align='right'>K29.1</td><td>Other acute gastritis</td><td></td><td
RT01/02</td><td>Gendeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
2017</td><td>SUYATMI</td><td>GIYARDI</td><td>MENGURUS RUMAH
align='right'>B02.0</td><td>Zoster encephalitis</td><td></td><td
2017</td><td>TAUFIK WALHIDAYAH</td><td>TAUFIK WALHIDAYAH</td><td>KARYAWAN
SWASTA</td><td>JALAKAN RT 01 RW 03 </td><td>Luar Wilayah</td><td>Luar
</td><td>L</td><td>20-44
2017</td><td>TIMAN</td><td>TIMAN</td><td>PENSIUNAN</td><td>DUNGPRING RT 03 RW
Umum</td><td>Poli Penyakit Dalam</td><td>RSU MULIA HATI</td><td>Dalam
align='right'>80100934</td><td>29-08-
2017</td><td>TUMINEM</td><td>GIMUN</td><td>MENGURUS RUMAH
2017</td><td>WARMI</td><td>GATOT</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT 01
RW 01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110551</td><td>29-08-
2017</td><td>WATIYEM</td><td>TUKIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>BOKUNING
LOR RT 01 RW 06</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas
2017</td><td>YATOMO</td><td>YATOMO</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RW
><tr><td align='right'>H02.9</td><td>Disorder of eyelid,
align='right'>80110555</td><td>30-08-2017</td><td>ALFINA FAMILIA</td><td>SRI
PURWANTI</td><td>PELAJAR/MAHASISWA</td><td>SECANG LOR RT 03 RW 04</td><td>Secang
Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80110556</td><td>30-08-2017</td><td>AMBAR SUCI</td><td>FENDI
SETYAWAN</td><td>MENGURUS RUMAH
align='right'>81000023</td><td>30-08-
2017</td><td>ARTIKA</td><td>KARMIN</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI
RIYANTO</td><td>MULYONO</td><td>WIRASWASTA</td><td>KLEPU RT 01 RW 05
GIRITONTRO</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
04</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi
align='right'>N83.2</td><td>Other and unspecified ovarian cysts</td><td></td><td
align='right'>41964</td><td align='right'>80110561</td><td>30-08-2017</td><td>INDRI
ASTUTI</td><td>INDRI ASTUTI</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI WETAN
RT 02 RW 01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas
Umum</td><td>Poli Kandungan</td><td>RS PKU MUHAMMADIYAH SELOGIRI</td><td>Dalam
align='right'>81000185</td><td>30-08-
2017</td><td>INTAN</td><td>KAMTO</td><td>PELAJAR/MAHASISWA</td><td>SINDUKARTO</td><
td>Sindukarto</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
Purwaningsih</td><td>Sri Eka Darmarini</td><td>P</td><td>10-14
align='right'>K00.9</td><td>Disorder of tooth development,
align='right'>80110547</td><td>30-08-2017</td><td>ISNAINI NUR
RAHMAWATI</td><td>SUPADI</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON RT 04 RW
Umum</td><td>Poli Gigi</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
align='right'>80101797</td><td>30-08-
2017</td><td>KAMIDI</td><td>KAMIDI</td><td>PENSIUNAN</td><td>KEDUNGDADAP
Induk</td><td>Budi Prasetyo</td><td> - </td><td>L</td><td>>70
</tr><tr><td align='right'>W22</td><td>Striking against or struck by other objects
causing accidental injury</td><td></td><td align='right'>41947</td><td
align='right'>80108766</td><td>30-08-
2017</td><td>KARTI</td><td>TARMO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT 3 RW
2017</td><td>KATIYEM</td><td>EKO PURWANTO</td><td>MENGURUS RUMAH
align='right'>80101486</td><td>30-08-
05 RW 03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
2017</td><td>KUNCORO
PUTRO</td><td>NGADIYO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT 03 RW
align='right'>80106880</td><td>30-08-2017</td><td>KUNCORO
PUTRO</td><td>NGADIYO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT 03 RW
2017</td><td>MIKEM</td><td>SLAMETO</td><td>PEDAGANG</td><td>SENGON</td><td>Sengon</
td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
HAYATI</td><td>SUMARNO</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>PAINO</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>SENGON</td><td>Seng
on</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
d></tr><tr><td align='right'>S00.0</td><td>Superficial injury of
align='right'>80110564</td><td>30-08-
2017</td><td>PURWANTO</td><td>PURWANTO</td><td>WIRASWASTA</td><td>SAMPANG RT 03 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>RATRI</td><td>SARNO</td><td>PELAJAR/MAHASISWA</td><td>SURU WETAN RT 01
RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>41952</td><td align='right'>80110557</td><td>30-08-2017</td><td>RESTU
SETYAWAN</td><td>SARIDO</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 01 RW
02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>ROMIYATI</td><td>KAMIDI</td><td>PENSIUNAN</td><td>KEDUNGDADAP</td><td>
Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
- </td><td>P</td><td>55-59
d></tr><tr><td align='right'>H53.8</td><td>Other visual
align='right'>80101140</td><td>30-08-
2017</td><td>SANIYEM</td><td>KASNO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>81000186</td><td>30-08-
2017</td><td>SEPTIANI</td><td>RAKINO</td><td>MENGURUS RUMAH
TANGGA</td><td>GEDONG</td><td>Gedong</td><td>Panekan</td><td>PUSTU
align='right'>80101897</td><td>30-08-
2017</td><td>SLAMET</td><td>SLAMET</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 01
Purwanti</td><td>Sri Suwarsi</td><td>L</td><td>60-69
PURWANTI</td><td>SRI PURWANTI</td><td>PETANI/PEKEBUN</td><td>SECANG
align='right'>81000183</td><td>30-08-
2017</td><td>SULARTI</td><td>SULARTI</td><td>MENGURUS RUMAH
TANGGA</td><td>SONGPUTRI WETAN</td><td>Songputri
Wetan</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
align='right'>80101013</td><td>30-08-2017</td><td>SUNARSI</td><td>EKO
S</td><td>PETANI/PEKEBUN</td><td>NGLEGONG</td><td>Nglegong</td><td>Sindukarto</td><
td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>20-44
align='right'>80104182</td><td>30-08-
2017</td><td>SURIP</td><td>SUKIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>SERUT</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas
2017</td><td>TARDI</td><td>TARDI</td><td>PETANI/PEKEBUN</td><td>MINGGARHARJO RT 01
RW 02</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110563</td><td>30-08-
2017</td><td>TUMINI</td><td>SUYATNO</td><td>MENGURUS RUMAH TANGGA</td><td>BLINDAS
RT1 RW5</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri
SETIYOKO</td><td>MARNI</td><td>KARYAWAN SWASTA</td><td>SENGON RT 02 RW
01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>WASISMI</td><td>SUDALI</td><td></td><td>EROMOKO WETAN RT 06 RW
03</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>
- </td><td>P</td><td>45-54
align='right'>K00.8</td><td>Other disorders of tooth development</td><td></td><td
ASTUTI</td><td>KASIMAN</td><td>MENGURUS RUMAH
Induk</td><td>Sri Suwarsi</td><td>Anis Purwandari</td><td>P</td><td>>70
align='right'>80100772</td><td>30-08-
Induk</td><td>Sri Suwarsi</td><td>Anis Purwandari</td><td>P</td><td>>70
align='right'>80104498</td><td>31-08-2017</td><td>AURELIA SAHRA SHAFHAH
AMARA</td><td>M.BAKIR</td><td>KONSTRUKSI</td><td>PLUMBON KIDUL</td><td>Plumbon
Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80110570</td><td>31-08-2017</td><td>DEVINA DEA </td><td>TEGUH
PUJIANTO</td><td>LAINNYA</td><td>DAYU RT 01 RW
03</td><td>Dayu</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110565</td><td>31-08-
2017</td><td>KALIYEM</td><td>PARJOKO</td><td>MENGURUS RUMAH TANGGA</td><td>WONODADI
Induk</td><td>Budi Prasetyo</td><td>Anita Nurlina</td><td>P</td><td>>70
2017</td><td>KARNI</td><td>SAIDI</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT04
RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>S72.0</td><td>Fracture of neck of femur</td><td></td><td
02
RW 02</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>>70
align='right'>80106642</td><td>31-08-
2017</td><td>KASIJEM</td><td>SUGIYO</td><td>MENGURUS RUMAH TANGGA</td><td>POJOK RT
01 RW 06</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110571</td><td>31-08-2017</td><td>KENZI HANNUSABDEWA</td><td>LOSMA
SRIHANDOKO</td><td>LAINNYA</td><td>EROMOKO KULON RT 03 RW 02</td><td>Eromoko
Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td>Anis
Purwandari</td><td>L</td><td>5-9
align='right'>80110569</td><td>31-08-2017</td><td>MARKA
DINDA</td><td>INAS</td><td>LAINNYA</td><td>JAMBAN RT 01 RW
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Atmoko</td><td>
- </td><td>P</td><td>5-9
align='right'>80103643</td><td>31-08-
2017</td><td>MARSONO</td><td>MARSONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON
2017</td><td>MARSONO</td><td>MARSONO</td><td>PETANI/PEKEBUN</td><td>PLUMBON
align='right'>80107867</td><td>31-08-
2017</td><td>MARYONO</td><td>MARYONO</td><td>PETANI/PEKEBUN</td><td>SAMPANG RT 03
RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110501</td><td>31-08-2017</td><td>MUHAMMAD ARIFIN</td><td>ARI
KRISWANTO</td><td>LAINNYA</td><td>SAMPANG RT 01 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>NGATIYEM</td><td>NGATIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>EROMOKO KULON RT 03 RW 02</td><td>Eromoko
</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>42108</td><td align='right'>80102801</td><td>31-08-2017</td><td>RIZKI
ERHAM SABILANA</td><td>SULARTI</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI
Sindukarto</td><td>Harni Purwaningsih</td><td>Sri Eka
Darmarini</td><td>L</td><td>15-19
align='right'>80109020</td><td>31-08-
2017</td><td>SUHARTI</td><td>DARYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEHARJO</td><td>Baleharjo</td><td>Baleharjo</td><td>Puskesmas
2017</td><td>SUKINI</td><td>TARNO</td><td>MENGURUS RUMAH
align='right'>80110567</td><td>31-08-
2017</td><td>SUKIRAHMATWATI</td><td>WALUYO</td><td>MENGURUS RUMAH
TANGGA</td><td>MANDEYAN RT 02 RW
2017</td><td>SULARNI</td><td>WALUYO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
identified</td><td></td><td
2017</td><td>SULARNI</td><td>WALUYO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
Induk</td><td>Atmoko</td><td>Anis Purwandari</td><td>P</td><td>60-69
align='right'>80106805</td><td>31-08-
2017</td><td>SULOYO</td><td>SULOYO</td><td>WIRASWASTA</td><td>PRAMBON RT 02 RT
05</td><td>Prambon</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80107948</td><td>31-08-
align='right'>80500118</td><td>31-08-
2017</td><td>WAGINEM</td><td>SULARNO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td
>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
</td><td>P</td><td>55-59
2017</td><td>WALIMAN</td><td>WALIMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL
align='right'>80110566</td><td>31-08-
2017</td><td>WALIMAN</td><td>WALIMAN</td><td>PETANI/PEKEBUN</td><td>PLUMBON KIDUL
2017</td><td>ADITYA
ARDIANSYAH</td><td>BARDI</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU</td><td>Ngrandu<
/td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80100622</td><td>02-09-2017</td><td>AFDAL
RISKI</td><td>SUTIYO</td><td>KARYAWAN SWASTA</td><td>SUMBER RT 02 RW
PUJIANTO</td><td>AGUS PUJIANTO</td><td>WIRASWASTA</td><td>NGLEDOK RT 01 RW
07</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Budi
align='right'>80105513</td><td>02-09-2017</td><td>AQIRUL
RAHMADANI</td><td>WAGIMAN</td><td>KONSTRUKSI</td><td>NGARAAN</td><td>Ngaraan</td><t
d>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80107731</td><td>02-09-
d align='right'>B00.9</td><td>Herpesviral infection, unspecified</td><td></td><td
2017</td><td>BORIYEM</td><td>BORIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
RT 01 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80109686</td><td>02-09-2017</td><td>DETI
KURNIATI</td><td>SISWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT 01 RW
align='right'>80110585</td><td>02-09-2017</td><td>EGA FAJAR
SULISTYOWATI</td><td>SULARNO</td><td>WIRASWASTA</td><td>TUKUL RT 02 RW
05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80106881</td><td>02-09-2017</td><td>ENDRI YUNIANTO</td><td>ENDRI
YUNIANTO</td><td>WIRASWASTA</td><td>NGLOKO</td><td>Ngloko</td><td>Panekan</td><td>P
uskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>20-44
align='right'>M54.50</td><td>Low back pain, multiple sites</td><td></td><td
align='right'>42174</td><td align='right'>80105655</td><td>02-09-2017</td><td>ESTI
AGUSTINI</td><td>AGUS</td><td>WIRASWASTA</td><td>TEMPURHARJO RT03 /
Umum</td><td>Poli Penyakit Dalam</td><td>RS MAGUAN HUSADA</td><td>Luar
2017</td><td>FATURRAHMAN
</td><td>SAINUDIN</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 03 RW
align='right'>H53.4</td><td>Visual field defects</td><td></td><td
2017</td><td>GUNTUR AJY
DH</td><td>JARNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedungdadap<
/td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
Mata</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
><tr><td align='right'>J46</td><td>Status asthmaticus</td><td></td><td
2017</td><td>HARSONO</td><td>HARSONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
2017</td><td>HARTINI</td><td>SUKIJEM</td><td>MENGURUS RUMAH TANGGA</td><td>TEGAL
REJO</td><td>Tegalrejo</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>INDAH</td><td>BUDI SANTOSO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN
NINDYA</td><td>JUMINI</td><td>WIRASWASTA</td><td>GEDONG RT 01 RW
07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110603</td><td>02-09-
2017</td><td>JUMINEM</td><td>SULARDI</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT
01 RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>JUMINI</td><td>SUKATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>MINGGAR</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas
2017</td><td>KALIYEM</td><td>PARJOKO</td><td>MENGURUS RUMAH TANGGA</td><td>WONODADI
align='right'>80100827</td><td>02-09-2017</td><td>KARSITI TRI HASTUTI</td><td>BUDI
SANTOSA</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN LOR RT01/04</td><td>Gabelan
align='right'>80101673</td><td>02-09-
2017</td><td>KATNI</td><td>PAIDI</td><td>PETANI/PEKEBUN</td><td>NGRATAN</td><td>Ngr
atan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80110592</td><td>02-09-
2017</td><td>LASIYEM</td><td>MARJON0</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
2017</td><td>MARTONO</td><td>MARTONO</td><td>PETANI/PEKEBUN</td><td>NGLOROG RT 02
RW 05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>45-54
2017</td><td>MUHAMMAD ARIFIN</td><td>ARI KRISWANTO</td><td>LAINNYA</td><td>SAMPANG
RT 01 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80109169</td><td>02-09-
2017</td><td>NINDA</td><td>TUKIMIN</td><td>WIRASWASTA</td><td>JAMBAN RT 02 RW
01</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>NINING WIDYANINGSIH</td><td>MARYADI</td><td>WIRASWASTA</td><td>GEDONG
RT 02 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
on</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
d></tr><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
on</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
d></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td
2017</td><td>PARIJEM</td><td>SAKINO</td><td>MENGURUS RUMAH
2017</td><td>RAHMAT SANTOSO</td><td>SUWARNO</td><td>WIRASWASTA</td><td>PURWOHARJO
RT 02 RW 04</td><td>Kec. Wuryantoro</td><td>KEC. WURYANTORO</td><td>Puskesmas
align='right'>42161</td><td align='right'>80110599</td><td>02-09-2017</td><td>RIZAL
SURYA HUSADA</td><td>SUDARSONO</td><td>PELAJAR/MAHASISWA</td><td>DEMANGAN RT 03 RW
03</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SARWONO</td><td>SARWONO</td><td>PETANI/PEKEBUN</td><td>SIDOWAYAH</td><
td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td>
- </td><td>L</td><td>45-54
align='right'>80110605</td><td>02-09-
2017</td><td>SHADRINA</td><td>GENDRO</td><td>PELAJAR/MAHASISWA</td><td>NGRAWAN</td>
<td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
PURWANTI</td><td>SUGIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN WETAN RT
><tr><td align='right'>H01.9</td><td>Inflammation of eyelid,
align='right'>80103686</td><td>02-09-
2017</td><td>SUDARMIN</td><td>SUDARMIN</td><td>WIRASWASTA</td><td>BERO</td><td>Bero
</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80110591</td><td>02-09-
align='right'>80110591</td><td>02-09-
d></tr><tr><td align='right'>R53</td><td>Malaise and fatigue</td><td></td><td
2017</td><td>SUJADI</td><td>SUJADI</td><td>PETANI/PEKEBUN</td><td>GEDONG RT 01 RW
2017</td><td>SUKATMI</td><td>ARIYANTO</td><td>PEDAGANG</td><td>NGRANDU</td><td>Ngra
ndu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>SUNANTI</td><td>SABARNO</td><td>KARYAWAN SWASTA</td><td>EROMOKO WETAN
2017</td><td>SUPARDI</td><td>SUPARDI</td><td>PETANI/PEKEBUN</td><td>BALEKERTO RT02
2017</td><td>SUPATMI</td><td>MISPAN</td><td>MENGURUS RUMAH TANGGA</td><td>SERUT RT
03 RW 04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>I11.0</td><td>Hypertensive heart disease with (congestive) heart
failure</td><td></td><td align='right'>42177</td><td
align='right'>80103632</td><td>02-09-
RT 02 RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>TRIYANTO</td><td>TRIYANTO</td><td>WIRASWASTA</td><td>KEDUNGRINGIN RT
02 RW 09</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80104139</td><td>02-09-
2017</td><td>TUKINEM</td><td>KASDIANTO</td><td></td><td>NGARAAN RT02 /
03</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>WAGIYEM</td><td>SUKASTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BALEKERTO</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas
ROMAWATI</td><td>ROHMADI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON KIDUL RT 01
RW 02</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110240</td><td>02-09-
align='right'>S05.8</td><td>Other injuries of eye and orbit</td><td></td><td
2017</td><td>YATNI</td><td>SUJADI</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT
01 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
SETIYANTO</td><td>AGUS SETIYANTO</td><td></td><td>TEGALREJO RT02
RW01</td><td>Tegalrejo</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>42943</td><td align='right'>80800274</td><td>04-09-2017</td><td>ALYA
RAHMA FADILA</td><td>YATO</td><td>KONSTRUKSI</td><td>KUTUKAN TR 1 RW
align='right'>80100606</td><td>04-09-2017</td><td>ANIK
align='right'>80104119</td><td>04-09-2017</td><td>BELLA
SEPTIANI</td><td>SUMARMO</td><td></td><td>EROMOKO KULON RT 03 RW 02</td><td>Eromoko
</td><td>P</td><td>20-44
REPANGGA</td><td>SUWOTO</td><td></td><td>EROMOKO
</td><td>L</td><td>20-44
NOVITASARI</td><td>KATINO</td><td>LAINNYA</td><td>NGLENGKONG RT 01 RW
01</td><td></td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>20-44
03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>42215</td><td align='right'>80110612</td><td>04-09-2017</td><td>EKA
ALDIANSYAH</td><td>SUBANDI</td><td></td><td>SUMBERWATU RT 03 RW
align='right'>42232</td><td align='right'>80110616</td><td>04-09-2017</td><td>ENI
APRILIA</td><td>SUDIYONO</td><td></td><td>NDUNGPRING RT02 RW
2017</td><td>FARIDA</td><td>MUKINAH</td><td>PELAJAR/MAHASISWA</td><td>NGLOKO RT03
RW03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
WIDIYANTI</td><td>SUGIMIN</td><td>WIRASWASTA</td><td>WATULEMBU WETAN RT 01 RW
04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>HARIYANTO</td><td>TIYEM</td><td>WIRASWASTA</td><td>BULU RT 2 RW
4</td><td>Bulu</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>JUMINI</td><td>MISMAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
><tr><td align='right'>F20.9</td><td>Schizophrenia, unspecified</td><td></td><td
2017</td><td>KASINAH</td><td>SUDIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>NGRAWAN
RT 03 RW 02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
</tr><tr><td align='right'>N39.0</td><td>Urinary tract infection, site not
align='right'>80105628</td><td>04-09-
2017</td><td>KASIRAH</td><td>KASIRAH</td><td>MENGURUS RUMAH
TANGGA</td><td>SINDUKARTO</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas
2017</td><td>KASTO</td><td>KASTO</td><td>WIRASWASTA</td><td>MOJOSARI</td><td>Mojosa
ri</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>MARSINAH</td><td>WARSENO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
align='right'>80800008</td><td>04-09-
2017</td><td>MIKEM</td><td>P0NIMIN</td><td>PETANI/PEKEBUN</td><td>BALEHARJO</td><td
>Baleharjo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80300203</td><td>04-09-
2017</td><td>NANIT</td><td>DARIYANTO</td><td>KARYAWAN SWASTA</td><td>GEDONG RT 01
RE 07</td><td>Gedong</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win
p</td><td> - </td><td>P</td><td>20-44
2017</td><td>NOVIATUN</td><td>SULIMIN</td><td></td><td>MINGGAR</td><td>Minggar</td>
<td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
2017</td><td>NOVITA KUSUMA
WARDANI</td><td>SAGIMAN</td><td></td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko<
/td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>15-19
2017</td><td>PARTONO</td><td>PARTONO</td><td></td><td>PETUNG
KULON</td><td>Ngandong</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Sri
align='right'>42237</td><td align='right'>80110617</td><td>04-09-2017</td><td>RIZKI
PERDANA</td><td>YAKUB</td><td></td><td>CEMANGKAH LOR RT 01 RW 08</td><td>Cemangkah
Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>15-19
2017</td><td>ROULI</td><td>PRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>CEMANGKAH
LOR</td><td>Cemangkah Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SAIMIN</td><td>SAIMIN</td><td>PENSIUNAN</td><td>PURWOHARJO RT 01 RW
04</td><td></td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110160</td><td>04-09-
align='right'>80100566</td><td>04-09-
RW 08</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita
win p</td><td> - </td><td>P</td><td>55-59
2017</td><td>SARNI</td><td>MENTO</td><td>PETANI/PEKEBUN</td><td>SECANG
RAHAYU</td><td>WIYONO</td><td>WIRASWASTA</td><td>NGRANDU RT 03 RW
2017</td><td>SUDIYATMOKO</td><td>SUGIMIN</td><td></td><td>NGLOKO RT 02 RW
align='right'>80103610</td><td>04-09-
2017</td><td>SUGIYATUN</td><td>SULARDI</td><td>MENGURUS RUMAH
2017</td><td>SUKATMI</td><td>WARNO</td><td>MENGURUS
RUMAH TANGGA</td><td>TILENG</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas
2017</td><td>SUPINAH</td><td>KATIJO</td><td>PETANI/PEKEBUN</td><td>BERO</td><td>Ber
o</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>M79.20</td><td>Neuralgia and neuritis, unspecified, multiple
align='right'>80110607</td><td>04-09-
2017</td><td>SUPRIYADI</td><td>SUPRIYADI</td><td></td><td>EROMOKO WETAN RT 03 RW
2017</td><td>SURATI</td><td>PARMO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
KIDUL RT 01 RW 05</td><td>Gedong</td><td>Eromoko</td><td>PKD
2017</td><td>SUTINAH</td><td>PARJO</td><td>MENGURUS RUMAH
TANGGA</td><td>BERO</td><td>Bero</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80107948</td><td>04-09-
<tr><td align='right'>G46.4</td><td>Cerebellar stroke syndrome</td><td></td><td
RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>TIMIN</td><td>PAINEM</td><td></td><td>HONGGOHARJO
JATIPURNO</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>C85.7</td><td>Other specified types of non-Hodgkin's
align='right'>80110166</td><td>04-09-
2017</td><td>TUGINEM</td><td>TUGINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TEPIHARJO
RT01/RW08</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
align='right'>77</td><td>BP. Umum</td><td>Poli Bedah</td><td>RS MAGUAN
<tr><td align='right'>R05</td><td>Cough</td><td></td><td
2017</td><td>TUMINEM</td><td>SAMINGAN</td><td>MENGURUS RUMAH
TANGGA</td><td>WATULEMBU KULON</td><td>Watulembu
</td><td>P</td><td>60-69
2017</td><td>TUMINI</td><td>SUYATNO</td><td>MENGURUS RUMAH TANGGA</td><td>BLINDAS
RT1 RW5</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>WALUYO</td><td>WALUYO</td><td>PETANI/PEKEBUN</td><td>GODANG</td><td></
td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>45-54
2017</td><td>WARSINI</td><td>SUYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BASUHAN</td><td>Basuhan</td><td>BASUHAN</td><td>Puskesmas
align='right'>80110449</td><td>04-09-
2017</td><td>WARSIYEM</td><td>HIRO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON RT4 RW 2</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
align='right'>80110240</td><td>04-09-
Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>0-7
align='right'>80101916</td><td>04-09-
2017</td><td>YATIN</td><td>YATIN</td><td>WIRASWASTA</td><td>JAMBAN</td><td>Jamban</
td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>42213</td><td align='right'>801006011</td><td>04-09-2017</td><td>YESI
HERMAWAN</td><td>ABDUL RAHMAN</td><td></td><td>BAKI SUKOHARJO</td><td>Luar
</td><td>L</td><td>20-44
align='right'>42208</td><td align='right'>80110608</td><td>04-09-2017</td><td>YULIA
INDRIYANTI</td><td>SUDADI</td><td></td><td>SUMBERHARJO</td><td>Dayu</td><td>Sumberh
arjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk internal</td><td
align='right'>80105431</td><td>04-09-
2017</td><td>YULIANTI</td><td>WARTONO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80110628</td><td>05-09-2017</td><td>AJENG AULIA
RAHMAWATI</td><td>KADIMIN</td><td>PELAJAR/MAHASISWA</td><td>NGLILIR</td><td>nglilir
</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
2017</td><td>ANDRIYANTO</td><td>ANDRIYANTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP
align='right'>80109122</td><td>05-09-2017</td><td>BONDAN BUDI UTOMO
WAHYUNIARTO</td><td>WIYARTO</td><td>PELAJAR/MAHASISWA</td><td>ABELAN KIDUL RT 02 RW
05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas
align='right'>80109971</td><td>05-09-
align='right'>M79.0</td><td>Rheumatism, unspecified</td><td></td><td
align='right'>80101486</td><td>05-09-
/tr><tr><td align='right'>E11.8</td><td>Non-insulin-dependent diabetes mellitus
with unspecified complications</td><td></td><td align='right'>42286</td><td
align='right'>80101486</td><td>05-09-
05 RW
align='right'>80500055</td><td>05-09-
ojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>55-59
2017</td><td>MARDIYANTO</td><td>MARDIYANTO</td><td>PETANI/PEKEBUN</td><td>BLIMBING<
/td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110627</td><td>05-09-
2017</td><td>MUJIONO</td><td>MUJIONO</td><td></td><td>POJOK RT 01 RW
2017</td><td>NABILA</td><td>MARSIDI</td><td>PELAJAR/MAHASISWA</td><td>MANDEYAN</td>
<td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>N30.8</td><td>Other cystitis</td><td></td><td
2017</td><td>NARWITO</td><td>NARWITO</td><td>PETANI/PEKEBUN</td><td>KEDONGDADAP RT
01 RW 05 </td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>J32.9</td><td>Chronic sinusitis,
align='right'>80105757</td><td>05-09-
2017</td><td>NGATIMIN</td><td>NGATIMIN</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><t
d>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>55-59
align='right'>80200010</td><td>05-09-
2017</td><td>RATNI</td><td>SUPRIYADI</td><td>KONSTRUKSI</td><td>WATULEMBU WETAN RT
align='right'>42306</td><td align='right'>80110633</td><td>05-09-2017</td><td>RIDHO
SIDIK JATMIKO</td><td>KOKO PUJIATMOKO</td><td>PELAJAR/MAHASISWA</td><td>SUMBERWATU
RT 02 RW 05</td><td>Sumberwatu</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80107246</td><td>05-09-
2017</td><td>SAKIDI</td><td>SAKIDI</td><td>PENSIUNAN</td><td>EROMOKO KULON
RT01/02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Atmoko</td><td>Anis Purwandari</td><td>L</td><td>60-69
TANGGA</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko</td><td>PKD
2017</td><td>SULIYANTO</td><td>SULIYANTO</td><td></td><td>NGEPOH RT 02 RW
09</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUMARYANTO</td><td>SUMARYANTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
><tr><td align='right'>H81.4</td><td>Verti of central origin</td><td></td><td
2017</td><td>SUPRIYANTI</td><td>SLAMET</td><td>PEDAGANG</td><td>EROMOKO KULON
3/2</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUTARJO</td><td>SUTARJO</td><td>PEDAGANG</td><td>BLIMBING RT 02 RW
</tr><tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
2017</td><td>SUTINEM</td><td>WIYARTO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
2017</td><td>SUYANTI</td><td>RADINO</td><td>MENGURUS RUMAH TANGGA</td><td>CEMANGKAH
d></tr><tr><td align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus
align='right'>80100429</td><td>05-09-
2017</td><td>SUYANTI</td><td>RADINO</td><td>MENGURUS RUMAH TANGGA</td><td>CEMANGKAH
d></tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>80110632</td><td>05-09-2017</td><td>SYARIFUDIN ACHMAD
FAUZI</td><td>WIYONO</td><td></td><td>WATULEMBU WETAN</td><td>Watulembu
</td><td>L</td><td>20-44
align='right'>H60.3</td><td>Other infective otitis externa</td><td></td><td
2017</td><td>TRIYAN MUHAMMAD
ASRORI</td><td>SOPIR</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 03 RW
03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas
align='right'>80100934</td><td>05-09-
2017</td><td>TUMINEM</td><td>GIMUN</td><td>MENGURUS RUMAH
align='right'>80110637</td><td>05-09-2017</td><td>VERA ULVA
AMALIA</td><td>WIYONO</td><td>PELAJAR/MAHASISWA</td><td>MARGO UTAMA RT 01 RW
02</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>WAGINEM</td><td>MISNO</td><td>MENGURUS RUMAH
TANGGA</td><td>KEDUNGDADAP</td><td></td><td></td><td>Puskesmas Induk</td><td>Sri
align='right'>80100749</td><td>05-09-
2017</td><td>WAGIYEM</td><td>PAIDI</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU
align='right'>80500025</td><td>05-09-
2017</td><td>WARNI</td><td>PAIMUN</td><td>MENGURUS RUMAH TANGGA</td><td>NGRANDU RT
01 RW 04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101629</td><td>05-09-2017</td><td>YAHYA HARTONO</td><td>YAHYA
kesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>L</td><td>55-59
2017</td><td>AA.SETYOWATI</td><td>SUHARNO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80110643</td><td>06-09-
2017</td><td>ALVIAN</td><td>YUSANTO</td><td>PELAJAR/MAHASISWA</td><td>POJOK RT 01
RW 06</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80102679</td><td>06-09-2017</td><td>BAGAS AJI
SAPUTRA</td><td>HARTO</td><td>PELAJAR/MAHASISWA</td><td>SUMBER WATU RT 02 RW
align='right'>80110415</td><td>06-09-
2017</td><td>CANDRA</td><td>SAMINAH</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT1
RW4</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td>Atmoko</td><td>L</td><td>5-9
2017</td><td>DARSONO</td><td>DARSONO</td><td></td><td>TEPIHARJO RT 02 RW
08</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Induk</td><td>Atmoko</td><td>Anis Purwandari</td><td>L</td><td>60-69
align='right'>80110649</td><td>06-09-
2017</td><td>DJUREMI</td><td>DJUREMI</td><td>PEGAWAI NEGERI
SIPIL</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>>70
align='right'>80103743</td><td>06-09-
2017</td><td>FAHRUL</td><td>TARYANTO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP<
/td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td>
- </td><td>L</td><td>15-19
jo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80101325</td><td>06-09-
2017</td><td>KARINEM</td><td>TARNO</td><td>PETANI/PEKEBUN</td><td>NGLEGONG</td><td>
Nglegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>KARINEM</td><td>TARNO</td><td>PETANI/PEKEBUN</td><td>NGLEGONG</td><td>
Nglegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>KARSITI TRI HASTUTI</td><td>BUDI SANTOSA</td><td>MENGURUS RUMAH
TANGGA</td><td>GABELAN LOR RT01/04</td><td>Gabelan
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>42344</td><td align='right'>80110641</td><td>06-09-2017</td><td>KARYO
REJO</td><td>KARYO REJO</td><td>PETANI/PEKEBUN</td><td>SERUT RT 01 RW
</tr><tr><td align='right'>H01.8</td><td>Other specified inflammation of
align='right'>80201009</td><td>06-09-
2017</td><td>KASIKEM</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
>Bakalan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>G70.8</td><td>Other specified myoneural disorders</td><td></td><td
2017</td><td>KATINI</td><td>SUNDOKO</td><td>WIRASWASTA</td><td>TUKUL RT 01 RW
><tr><td
align='right'>K00.6</td><td>Disturbances in tooth eruption</td><td></td><td
2017</td><td>MARINEM</td><td>TRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
<tr><td align='right'>R53</td><td>Malaise and fatigue</td><td></td><td
2017</td><td>MISDI</td><td>MISDI</td><td>PETANI/PEKEBUN</td><td>NGLENGKONG RT 02 RW
10</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
</tr><tr><td align='right'>I10</td><td>Essential (primary)
align='right'>80102139</td><td>06-09-
2017</td><td>MUSTAQIM</td><td>JAPAR</td><td></td><td>BOKUNING</td><td>Tempurharjo</
td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80100805</td><td>06-09-
RW 05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas
align='right'>80100038</td><td>06-09-
ndeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>PURWANI</td><td>SARDI</td><td>PETANI/PEKEBUN</td><td>SINDUKARTO</td><t
d>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>H10.3</td><td>Acute conjunctivitis, unspecified</td><td></td><td
2017</td><td>SADEMI</td><td>SADEMI</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING
RT 03 RW 04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SAGIYEM</td><td>LUSTANTO</td><td>MENGURUS RUMAH
Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80106943</td><td>06-09-
<tr><td align='right'>E05.9</td><td>Thyrotoxicosis, unspecified</td><td></td><td
align='right'>80102140</td><td>06-09-
align='right'>80110642</td><td>06-09-2017</td><td>SOCHI
SOFIYANI</td><td>SUPRIYADI</td><td></td><td>EROMOKO WETAN RT 03 RW
MARTINI</td><td>HARSONO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
><tr><td align='right'>I20.9</td><td>Angina pectoris, unspecified</td><td></td><td
Wilayah</td><td>'0000566187625</td><td>'3312081830001</td><td>130</td><td>90</td></
tr><tr><td align='right'>B30.1</td><td>Conjunctivitis due to
adenovirus</td><td></td><td align='right'>42320</td><td
align='right'>80110370</td><td>06-09-
2017</td><td>SUKIMIN</td><td>SUKIMIN</td><td>WIRASWASTA</td><td>BLIMBING RT 01 RW
align='right'>80102834</td><td>06-09-2017</td><td>SUKIYEM</td><td>MARTOYO
KEMAN</td><td>PETANI/PEKEBUN</td><td>SIYONO RT 01 RW
2017</td><td>SUKIYEM</td><td>MARTOYO KEMAN</td><td>PETANI/PEKEBUN</td><td>SIYONO RT
01 RW 09</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
<tr><td align='right'>N18.9</td><td>Chronic renal failure,
align='right'>80105985</td><td>06-09-
2017</td><td>SUPARMI</td><td>SUPARMI</td><td>MENGURUS RUMAH
TANGGA</td><td>SINDUKARTO
RT01/05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>K02.0</td><td>Caries limited to enamel</td><td></td><td
2017</td><td>SUYOTO</td><td>SUYOTO</td><td>PEGAWAI NEGERI SIPIL</td><td>PLUMBON
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>45-54
align='right'>42359</td><td align='right'>80110645</td><td>06-09-2017</td><td>WOKO
YULISTIYANTO</td><td>YULIANTO</td><td></td><td>BOKUNING</td><td></td><td>TEMPURHARJ
O</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80102165</td><td>07-09-2017</td><td>ABIT SYAHRUL
PRANAJA</td><td>AMRINTO</td><td>KONSTRUKSI</td><td>BUNTALAN WETAN</td><td>Buntalan
align='right'>42414</td><td align='right'>80105179</td><td>07-09-2017</td><td>AMAL
ISMU SABAN</td><td>HARI</td><td>PELAJAR/MAHASISWA</td><td>DUNGPRING RT 03 RW
07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>AMINAH</td><td>SARIF HIDAYAT</td><td>MENGURUS RUMAH
TANGGA</td><td>DAYU RT 01 RW 02</td><td>Dayu</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>AMITASARI</td><td>SUKIMAN</td><td>WIRASWASTA</td><td>BAKALAN RT 01 RW
07</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80103604</td><td>07-09-
2017</td><td>AMRINTO</td><td>AMRINTO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>I84.9</td><td>Unspecified haemorrhoids without
align='right'>80103768</td><td>07-09-2017</td><td>ANA
KARMILA</td><td>SUPARSO</td><td>MENGURUS RUMAH
ROSMAWARTI</td><td>SRIYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BAKALAN</td><td>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80110652</td><td>07-09-2017</td><td>ATMO SUWITO</td><td>ATMO
SUWITO</td><td></td><td>GEDONG RT 01 RW
02</td><td>Gedong</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
<td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
Mata</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Dalam
RATNAWATI</td><td>SUMARNO</td><td>WIRASWASTA</td><td>GEDONG RT 03 RW
align='right'>G40.8</td><td>Other epilepsy</td><td></td><td
eyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>45-54
align='right'>80700263</td><td>07-09-
2017</td><td>ERLANGGA</td><td>WARTO</td><td>KONSTRUKSI</td><td>SERUT</td><td>Serut<
align='right'>801106558</td><td>07-09-2017</td><td>JANICE
OKTAFIANI</td><td>HARSONO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
2017</td><td>KARIYEM</td><td>KARIYEM</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td
>Bakalan</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80110653</td><td>07-09-
2017</td><td>KARSONO</td><td>KARSONO</td><td>PETANI/PEKEBUN</td><td>SIYONO RT 01 RW
2017</td><td>KATEMI</td><td>SULARNO</td><td>MENGURUS RUMAH
align='right'>42410</td><td align='right'>80105851</td><td>07-09-2017</td><td>MARDI
SUWITO</td><td>MARDI SUWITO</td><td>KARYAWAN
align='right'>L24.9</td><td>Irritant contact dermatitis, unspecified
align='right'>80100384</td><td>07-09-
2017</td><td>MARMIATI</td><td>PRIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>JAMBE</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas
><tr><td align='right'>Z35.6</td><td>Supervision of very young
primigravida</td><td></td><td align='right'>44425</td><td
align='right'>80109089</td><td>07-09-
2017</td><td>MENIK</td><td>WINARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>MANDEYAN</td><td>Mandeyan</td><td>Sindukarto</td><td>PUSTU
align='right'>80108314</td><td>07-09-2017</td><td>MOHAMMAD WAHYU
SAPUTRA</td><td>DEWANTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT
1/5</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>45-54
2017</td><td>MULYANTO SUYOTO</td><td>MULYANTO SUYOTO</td><td>KARYAWAN
SWASTA</td><td>BAWUH</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas
align='right'>68</td><td>BP. Umum</td><td>Poli Syaraf</td><td>RS MAGUAN
align='right'>80700273</td><td>07-09-
2017</td><td>NURHIDAYATI</td><td>PURWADI</td><td>MENGURUS RUMAH
2017</td><td>PAINI</td><td>PAINI</td><td>MENGURUS RUMAH TANGGA</td><td>SAMPANG RT
03 RW 10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>P</td><td>60-69
align='right'>80600088</td><td>07-09-
TANGGA</td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>PUJIANI</td><td>TARMO</td><td>WIRASWASTA</td><td>NGADIROJO</td><td>Lua
r Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SARMINI</td><td>SUGIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
align='right'>80109901</td><td>07-09-
02 RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>P</td><td>60-69
adirejo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>60-69
2017</td><td>SATIYEM</td><td>KATMAN</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80100697</td><td>07-09-
2017</td><td>SULI</td><td>SUKIYO</td><td>PETANI/PEKEBUN</td><td>SONGPUTRI
KL</td><td>Songputri Kulon</td><td>Sindukarto</td><td>PUSTU
align='right'>G40.8</td><td>Other epilepsy</td><td></td><td
2017</td><td>SUMANTO</td><td>SUMANTO</td><td>PETANI/PEKEBUN</td><td>BARAN RT01 RW
08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>G40.8</td><td>Other epilepsy</td><td></td><td
2017</td><td>SUPARMI</td><td>SATIMAN</td><td>MENGURUS RUMAH
><tr><td align='right'>Z30.8</td><td>Other contraceptive
management</td><td></td><td align='right'>42424</td><td
align='right'>80700143</td><td>07-09-
2017</td><td>SUYANTI</td><td>MARNO</td><td>PETANI/PEKEBUN</td><td>SURU
WETAN</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80101141</td><td>07-09-
2017</td><td>TUKIJO</td><td>TUKIJO</td><td>PETANI/PEKEBUN</td><td>NGLOKO RT 02 RW
Prasetyo</td><td>Anita Nurlina</td><td>L</td><td>>70
with unspecified complications</td><td></td><td align='right'>42372</td><td
align='right'>80102476</td><td>07-09-
2017</td><td>TUMIATUN</td><td>TUMIATUN</td><td>PENSIUNAN</td><td>SINDUKARTO</td><td
>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>P</td><td>60-69
2017</td><td>WARDOYO </td><td>WARDOYO</td><td>WIRASWASTA</td><td>NGLEMPUNG RT 02 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80110654</td><td>07-09-
2017</td><td>WARTONO</td><td>WARTONO</td><td></td><td>GEDONG RT 03 RW
><tr><td align='right'>Z30.8</td><td>Other contraceptive
management</td><td></td><td align='right'>42423</td><td
align='right'>80108556</td><td>07-09-2017</td><td>YULI</td><td>DWI</td><td>MENGURUS
RUMAH TANGGA</td><td>SURU WETAN RT 01 RW 06</td><td>Suru
Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>Q89.8</td><td>Other specified congenital
malformations</td><td></td><td align='right'>42458</td><td
align='right'>80101658</td><td>08-09-2017</td><td>DANI
PRASETYO</td><td>ANDOKO</td><td>KONSTRUKSI</td><td>SUMBER</td><td>Sumber</td><td>Pu
loharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
lan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>DARYANTI</td><td>SUYADI</td><td>WIRASWASTA</td><td>SAMBONG RT 01 RW
align='right'>80100568</td><td>08-09-2017</td><td>DZAKIYATUZ
ZULFA</td><td>WINARTO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN RT 02 RW
04</td><td>Klampeyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
<tr><td align='right'>M25.57</td><td>Pain in joint, ankle and foot</td><td></td><td
align='right'>42433</td><td align='right'>80110660</td><td>08-09-2017</td><td>FIDYA
AMIN NUR LATIFAH</td><td>WIDODO</td><td>WIRASWASTA</td><td>POJOK RT 02 RW
2017</td><td>FITRAH</td><td>JUMINO</td><td>MENGURUS RUMAH
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>P</td><td>45-54
align='right'>80110030</td><td>08-09-
align='right'>42446</td><td align='right'>80107380</td><td>08-09-2017</td><td>HESTI
LESTARI</td><td>SULARJI</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT 03 RW
align='right'>B44.2</td><td>Tonsillar aspergillosis</td><td></td><td
endeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>42436</td><td align='right'>80101471</td><td>08-09-2017</td><td>LILIS
SUGIYATNI</td><td>SRI MULYANTO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
align='right'>80103096</td><td>08-09-2017</td><td>LLELI AMELIA
PUTRI</td><td>PARTO</td><td>KONSTRUKSI</td><td>NGLOROK</td><td>Nglorok</td><td>Pane
kan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>K08.1</td><td>Loss of teeth due to accident, extraction or local
periodontal disease</td><td></td><td align='right'>42468</td><td
align='right'>80101484</td><td>08-09-2017</td><td>MARCHELINE
HAPPY</td><td>DAYAT</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
Umum</td><td>Poli Gigi</td><td>RS MAGUAN HUSADA</td><td>Dalam
2017</td><td>MARTUTIK</td><td>MARTUTIK</td><td>WIRASWASTA</td><td>TUKUL RT 03 RW
align='right'>80110662</td><td>08-09-2017</td><td>RIDWAN
YASIN</td><td>TULARDI</td><td>WIRASWASTA</td><td>PLUMBON KIDUL RT 01 RW
2017</td><td>SUHARMI</td><td>KATINO</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pul
o</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>45-54
2017</td><td>SUKINI</td><td>WALUYO</td><td>MENGURUS RUMAH
align='right'>80110666</td><td>08-09-
2017</td><td>SULARNO</td><td>SULARNO</td><td>WIRASWASTA</td><td>PASEKAN</td><td>Pas
ekan</td><td>PASEKAN</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>45-54
align='right'>M25.50</td><td>Pain in joint, multiple sites</td><td></td><td
2017</td><td>SUPARDI</td><td>SUPARDI</td><td>PETANI/PEKEBUN</td><td>NGADIREJO
RT04/03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80108109</td><td>08-09-
align='right'>80110661</td><td>08-09-2017</td><td>SURYO DANDI
ANDRIANTO</td><td>ARIS</td><td>WIRASWASTA</td><td>KENANGASARI GENUK RT 05 RW 07
GENIK UNGARAN BARAT SEMARANG</td><td>Luar Wilayah</td><td>Luar
</td><td>L</td><td>20-44
SETYANINGSIH</td><td>JUMANTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>GENDENG</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas
2017</td><td>TOPO</td><td>NARYO</td><td>WIRASWASTA</td><td>NGANDONG</td><td>Ngandon
g</td><td>NGANDONG</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
2017</td><td>WAGINAH</td><td>WAGINAH</td><td>MENGURUS RUMAH
align='right'>42467</td><td align='right'>80101629</td><td>08-09-2017</td><td>YAHYA
HARTONO</td><td>YAHYA
kesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>55-59
<tr><td align='right'>D29.1</td><td>Benign neoplasm of prostate</td><td></td><td
2017</td><td>ANTONIUS SUTARTO</td><td>ANTONIUS SUTARTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGUNGGAHAN RT 01 RW
01</td><td>Ngunggahan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>60-69
Umum</td><td>Poli Bedah</td><td>RSU MULIA HATI</td><td>Dalam
align='right'>80110407</td><td>09-09-2017</td><td>DAMSIRI
</td><td>DAMSIRI</td><td>MENGURUS RUMAH TANGGA</td><td>DUNGPRING RT 02 RW
NGADIYA MAWARNI</td><td>NGADIYO</td><td>WIRASWASTA</td><td>SENGON RT 02 RW
align='right'>80101653</td><td>09-09-
2017</td><td>FIESTA</td><td>SUGENG</td><td>KONSTRUKSI</td><td>KEDUNGDADAP RT 01 RW
><tr><td align='right'>A16.8</td><td>Other respiratory tuberculosis, without
mention of bacteriological or histological confirmation</td><td></td><td
2017</td><td>GIBRAN AL
FATHAN</td><td>SLAMET</td><td>KONSTRUKSI</td><td>TUKUL</td><td>Tukul</td><td>Ngadir
ejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>1-4
2017</td><td>GIYEM</td><td>GIYEM</td><td>PETANI/PEKEBUN</td><td>SUMBER
RT01/01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>Q38.5</td><td>Congenital malformations of palate, not
elsewhere classified</td><td></td><td align='right'>42484</td><td
align='right'>80102179</td><td>09-09-2017</td><td>ILHAM DWI
KUSUMA</td><td>LARTO</td><td>KONSTRUKSI</td><td>EROMOKO WETAN</td><td>Eromoko
MM</td><td>Sri Suwarsi</td><td>L</td><td>1-4
tr><td align='right'>K00.4</td><td>Disturbances in tooth formation</td><td></td><td
2017</td><td>LESTARI SUTARTI</td><td>LESTARI SUTARTI</td><td>MENGURUS RUMAH
TANGGA</td><td>SUMBER WATU RT 02 RW
align='right'>80100594</td><td>09-09-
edong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>45-54
2017</td><td>NATASYA</td><td>NGATNO</td><td>KONSTRUKSI</td><td>NGADIREJO</td><td>Ng
adirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>42527</td><td align='right'>80106183</td><td>09-09-2017</td><td>NGALI
KARYONO</td><td>NGALI
d>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>60-69
align='right'>J32.9</td><td>Chronic sinusitis, unspecified</td><td></td><td
d>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>55-59
align='right'>80107243</td><td>09-09-
2017</td><td>PARSI</td><td>SURADI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
KULON RT04/02</td><td></td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>PURWANTI</td><td>DAMSIRI</td><td>MENGURUS RUMAH TANGGA</td><td>DUNG
PRING RT 02 RW 07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas
align='right'>42506</td><td align='right'>80109464</td><td>09-09-2017</td><td>RAFA
RIZKI N</td><td>ANDREAS</td><td></td><td>SONG PUTRI WETAN RT01/01</td><td>Songputri
Wetan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>SAMINEM</td><td>ROKIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>NGRAWAN
RT 02 RW 02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
d align='right'>R05</td><td>Cough</td><td></td><td align='right'>42526</td><td
align='right'>80110684</td><td>09-09-2017</td><td>SITI YUNIATUN
HASANAH</td><td>OKI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON KIDUL RT 02 RW
RAHAYU</td><td>WASINO</td><td>BURUH HARIAN LEPAS</td><td>NGLEGONG RT 02 RW
2017</td><td>SUMIYEM</td><td>HARNO</td><td>MENGURUS RUMAH
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
Purwanti</td><td>Sri Suwarsi</td><td>L</td><td>45-54
align='right'>80108511</td><td>09-09-
2017</td><td>SURADI</td><td>SURADI</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RT
04 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80106574</td><td>09-09-
d></tr><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>TOKARMO</td><td>TOKARMO</td><td>PETANI/PEKEBUN</td><td>GRITAN RT
01/09</td><td>Geritan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110683</td><td>09-09-2017</td><td>TRI AMINI</td><td>YUDI
SETIYAWAN</td><td>MENGURUS RUMAH TANGGA</td><td>BLIMBING RT 01 RW
HARTANTO</td><td>MISTO</td><td>WIRASWASTA</td><td>PRAMBON RT 01 RW
align='right'>80101464</td><td>09-09-
><tr><td align='right'>M25.56</td><td>Pain in joint, lower leg</td><td></td><td
2017</td><td>TUMINEM</td><td>TOKARNO</td><td>MENGURUS
RUMAH TANGGA</td><td>NGADIREJO RT 04 RW
2017</td><td>TUMINEM</td><td>TOKARNO</td><td>MENGURUS RUMAH
><tr><td align='right'>M25.52</td><td>Pain in joint, upper arm</td><td></td><td
2017</td><td>WAGIYEM</td><td>KASTO</td><td>MENGURUS RUMAH
2017</td><td>WARNI</td><td>PAIMUN</td><td>MENGURUS RUMAH TANGGA</td><td>NGRANDU RT
01 RW 04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>YAMTI</td><td>YAMTI</td><td>MENGURUS RUMAH
align='right'>42547</td><td align='right'>80110692</td><td>11-09-2017</td><td>A
DANIYULIFIANTO</td><td></td><td>WIRASWASTA</td><td>SEMARANG</td><td></td><td></td><
align='right'>42599</td><td align='right'>80100126</td><td>11-09-2017</td><td>ADE
FATMAWATI</td><td>PARWANTO</td><td>MENGURUS RUMAH
align='right'>81000057</td><td>11-09-
2017</td><td>AHNAF</td><td>SATIMIN</td><td>KONSTRUKSI</td><td>KWENI</td><td>Kwenire
jo</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni Purwaningsih</td><td>
- </td><td>L</td><td>1-4
align='right'>80110707</td><td>11-09-2017</td><td>AMIN
NANTO</td><td>SUPADI</td><td>WIRASWASTA</td><td>WATULEMBU WETAN </td><td>Watulembu
align='right'>80105151</td><td>11-09-
2017</td><td>ANA</td><td>WARDI</td><td>PELAJAR/MAHASISWA</td><td>JERUK</td><td>
Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80100908</td><td>11-09-2017</td><td>ANDREA
NULAN</td><td>SIGIT</td><td>LAINNYA</td><td>MANDEYAN</td><td>Mandeyan</td><td>Sindu
karto</td><td>PUSTU Sindukarto</td><td>Harni Purwaningsih</td><td> -
align='right'>80800032</td><td>11-09-2017</td><td>ANGGRAINI
PUSPITASARI</td><td>TUKINO</td><td>PELAJAR/MAHASISWA</td><td>SAMPANG RT 03 RW
10</td><td>Sampang</td><td>Minggarharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>D29.1</td><td>Benign neoplasm of prostate</td><td></td><td
2017</td><td>ANTONIUS SUTARTO</td><td>ANTONIUS SUTARTO</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGUNGGAHAN RT 01 RW
align='right'>H90.2</td><td>Conductive hearing loss, unspecified</td><td></td><td
2017</td><td>AULIA</td><td>SUPADI</td><td>PELAJAR/MAHASISWA</td><td>POJOK</td><td>P
align='right'>80110481</td><td>11-09-2017</td><td>CINDY
PERMATASARI</td><td>ADIH</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG LOR RT 03 RW
05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Budi
align='right'>42584</td><td align='right'>80105623</td><td>11-09-2017</td><td>DARI
RAHAYU</td><td>CATUR</td><td>WIRASWASTA</td><td>SUMBER RT 02 RW
01</td><td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>42530</td><td align='right'>80110685</td><td>11-09-2017</td><td>DILA
AYU PUSPITA</td><td>SLAMET</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU WETAN RT 01
RW 04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110337</td><td>11-09-2017</td><td>DZHAHIN HAFFAFA
EL'HUMAIRA</td><td>HASAN SUBROTO</td><td>KONSTRUKSI</td><td>SONGPUTRI WETAN RT 02
RW 01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>PUSTU
Sindukarto</td><td>Harni Purwaningsih</td><td> - </td><td>P</td><td><1
moko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>L</td><td>55-
align='right'>80106387</td><td>11-09-
align='right'>R58</td><td>Haemorrhage, not elsewhere classified</td><td></td><td
2017</td><td>INDRAWATI</td><td>WIWIN SUDARNO</td><td>MENGURUS RUMAH
MM</td><td>TRIYOKO</td><td>P</td><td>20-44
<tr><td align='right'>E11.7</td><td>Non-insulin-dependent diabetes mellitus with
align='right'>80101817</td><td>11-09-
align='right'>80110695</td><td>11-09-2017</td><td>KARSO SUWITO</td><td>KARSO
SUWITO</td><td>PETANI/PEKEBUN</td><td>NGLILIR RT 02 RW
12</td><td>nglilir</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>KINANTHI TYAS
SUMINAR</td><td>KATINO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT 06 RW
03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>LINANINGSIH</td><td></td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 05 RW
align='right'>D69.0</td><td>Allergic purpura</td><td></td><td
2017</td><td>MANTO</td><td>MANTO</td><td>WIRASWASTA</td><td>BALEKERTO</td><td>Balek
erto</td><td>Sumberharjo</td><td>PUSTU Sindukarto</td><td>Harni
2017</td><td>MARSINAH</td><td>WARSENO</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG
Purwanti</td><td>Atmoko</td><td>P</td><td>45-54
></tr><tr><td align='right'>M25.50</td><td>Pain in joint, multiple
align='right'>80110686</td><td>11-09-2017</td><td>MUHAMMAD ARIFIN</td><td>MUHAMMAD
ARIFIN</td><td>WIRASWASTA</td><td>BULU RT OI
04</td><td></td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>L</td><td>20-44
align='right'>80103730</td><td>11-09-
2017</td><td>MUJIYONO</td><td>KASNO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80108078</td><td>11-09-2017</td><td>NADINE</td><td>EKO
WIYANTO</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko
</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>5-9
align='right'>80105187</td><td>11-09-
2017</td><td>NATALIA</td><td>LUSTANTO</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
Purwanti</td><td>Anita Nurlina</td><td>P</td><td>15-19
></tr><tr><td
align='right'>80101716</td><td>11-09-2017</td><td>NOVI
UTARI</td><td>TIMAN</td><td>WIRASWASTA</td><td>DUNGPRING RT 03 RW
WAHID ABDURROHIM</td><td>NUR WAHID
ABDURROHIM</td><td>WIRASWASTA</td><td>PLUMBON</td><td>Plumbon</td><td>Ngadirejo</td
><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80100299</td><td>11-09-
align='right'>80100038</td><td>11-09-
2017</td><td>PRATAMA HANIF
MUDZAKI</td><td>SUKARIM</td><td>WIRASWASTA</td><td>PARANJOHO RT01
RW06</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102334</td><td>11-09-2017</td><td>REHAN
RIZAL</td><td>DEDI</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
WULANDARI</td><td>SUTIMIN</td><td>WIRASWASTA</td><td>PARANGJOHO RT 03 RW
06</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
SUKMA JAYA</td><td>SLAMET</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
align='right'>44434</td><td align='right'>80111066</td><td>11-09-2017</td><td>ROYAN
NUR FAUZI</td><td>WIYANTO</td><td>PELAJAR/MAHASISWA</td><td>SONGPUTRI WETAN RT 01
RW 01</td><td>Songputri Kulon</td><td>Sindukarto</td><td>PUSTU
align='right'>80104274</td><td>11-09-
2017</td><td>RUKINEM</td><td>TARYONO</td><td>PETANI/PEKEBUN</td><td>BUNTALAN
WETAN</td><td>Buntalan Wetan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SAGIMAN</td><td>SAGIMAN</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RT
align='right'>80110160</td><td>11-09-
align='right'>80110365</td><td>11-09-
2017</td><td>SANUDIN</td><td>SANUDIN</td><td>WIRASWASTA</td><td>JAMBE RT 02 RW
align='right'>80110687</td><td>11-09-
2017</td><td>SARTINI</td><td></td><td>PETANI/PEKEBUN</td><td>NGRAWAN</td><td></td><
td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>60-69
align='right'>80110706</td><td>11-09-2017</td><td>SARWANTI</td><td>GIRI
TATMOKO</td><td>MENGURUS RUMAH
2017</td><td>SUDARMI</td><td>SUDARMI</td><td>MENGURUS
RUMAH TANGGA</td><td>WATULEMBU KULON</td><td>Watulembu
</td><td>P</td><td>45-54
- </td><td>P</td><td>45-54
align='right'>80102013</td><td>11-09-
align='right'>80101162</td><td>11-09-
align='right'>80400127</td><td>11-09-
<td>Demangan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80109110</td><td>11-09-
2017</td><td>SUTIKEM</td><td>SAGIMAN</td><td>MENGURUS RUMAH
align='right'>80109146</td><td>11-09-
2017</td><td>SUYITNO</td><td>SUYITNO</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 01
align='right'>42577</td><td align='right'>80110697</td><td>11-09-2017</td><td>TRIA
ADINDA PUTRI</td><td>HADI SUKATMAN</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON
2017</td><td>TUKIYEM</td><td>TUKINO MARTONO</td><td>MENGURUS RUMAH
align='right'>80110688</td><td>11-09-2017</td><td>TUKIYEM</td><td>TUKINO
MARTONO</td><td>MENGURUS RUMAH TANGGA</td><td>PULO RT 01 RW
2017</td><td>TUKIYEM</td><td>TUKINO MARTONO</td><td>MENGURUS RUMAH
align='right'>80102490</td><td>11-09-2017</td><td>WAHYU SUPRIYADI</td><td>WAHYU
SUPRIYADI</td><td>WIRASWASTA</td><td>JAMBAN</td><td>Jamban</td><td>Ngadirejo</td><t
d>PKD Ngadirejo</td><td>Indrarini</td><td> - </td><td>L</td><td>20-44
randu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>K30</td><td>Dyspepsia</td><td></td><td
2017</td><td>WASINEM</td><td>MISADI</td><td>PETANI/PEKEBUN</td><td>JAMBAN</td><td>J
amban</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>45-54
align='right'>80108713</td><td>11-09-
2017</td><td>WIDARNI</td><td>SURATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>SONGPUTRI WETAN</td><td>Songputri
Wetan</td><td>Sindukarto</td><td>PUSTU Sindukarto</td><td>Harni
align='right'>80104964</td><td>11-09-
2017</td><td>WIWIT</td><td>MASDIN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80500065</td><td>11-09-
2017</td><td>YAHYUNI</td><td>BROTO</td><td>PETANI/PEKEBUN</td><td>TUKUL</td><td>Tuk
ul</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80110718</td><td>12-09-
2017</td><td>ADIMAS</td><td>SISWANTO</td><td>PELAJAR/MAHASISWA</td><td>PULO RT 01
RW 06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80109971</td><td>12-09-
align='right'>E78.4</td><td>Other hyperlipidaemia</td><td></td><td
ERI A</td><td>TRIYANTO</td><td>MENGURUS RUMAH
align='right'>80103315</td><td>12-09-2017</td><td>DENI ERI
A</td><td>TRIYANTO</td><td>MENGURUS RUMAH
align='right'>80106150</td><td>12-09-
2017</td><td>DIVA</td><td>YUDI</td><td>KONSTRUKSI</td><td>TEMPURAN
KIDUL</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>A78</td><td>Q fever</td><td></td><td
align='right'>42679</td><td align='right'>80107296</td><td>12-09-2017</td><td>FERI
SETIAWAN</td><td>TARWANTO</td><td>WIRASWASTA</td><td>PUCUNG LOR RT 01 RW
05</td><td>Pucung</td><td>PUCUNG</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80110715</td><td>12-09-2017</td><td>HARI
UTOMO</td><td>SUKINO</td><td>WIRASWASTA</td><td>SUMBEREJO RT 03 RW 05</td><td>Kec.
2017</td><td>HARYANTI</td><td>SRI YADI</td><td>MENGURUS RUMAH
align='right'>H60.5</td><td>Acute otitis externa, noninfective</td><td></td><td
align='right'>42619</td><td align='right'>80100007</td><td>12-09-2017</td><td>HAWA
VIRISKI
AGUSTINE</td><td>GUNAWAN</td><td>PELAJAR/MAHASISWA</td><td>PANEKAN</td><td>Panekan<
/td><td>Panekan</td><td>Puskesmas Induk</td><td>Sri
align='right'>42677</td><td align='right'>80101376</td><td>12-09-2017</td><td>ICA
NUR
AZIZAH</td><td>SULIMIN</td><td>PELAJAR/MAHASISWA</td><td>SAMPANG</td><td>Sampang</t
d><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
2017</td><td>IKA</td><td>JAENUDIN</td><td>MENGURUS
RUMAH TANGGA</td><td>MOJOPURO RT 01 RW 03</td><td>Kec. Wuryantoro</td><td>KEC.
WURYANTORO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>20-44
align='right'>80109949</td><td>12-09-
- </td><td>L</td><td>55-59
2017</td><td>JUWITA ANJAR
SARI</td><td>WIDODO</td><td>PELAJAR/MAHASISWA</td><td>NGRANDU</td><td>Ngrandu</td><
td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
align='right'>80106415</td><td>12-09-
2017</td><td>KATIJO</td><td>KATIJO</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Be
ngle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80101486</td><td>12-09-
tr><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>LEGINO</td><td>LEGINO</td><td>WIRASWASTA</td><td>TILENG</td><td>Tileng
</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>55-59
align='right'>80101169</td><td>12-09-
align='right'>42630</td><td align='right'>80100802</td><td>12-09-2017</td><td>LUKY
DEWI</td><td>DAROJI</td><td>PELAJAR/MAHASISWA</td><td>GABELAN KIDUL RT 01 RW
05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Sri
edong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>NGADINEM</td><td></td><td>MENGURUS RUMAH
align='right'>80105506</td><td>12-09-
2017</td><td>OKTAVIANO</td><td>TEGUH</td><td>KONSTRUKSI</td><td>KEDUNGDADAP</td><td
>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MM</td><td>Anis Purwandari</td><td>L</td><td>5-9
align='right'>80200010</td><td>12-09-
<tr><td align='right'>M25.58</td><td>Pain in joint, other sites</td><td></td><td
2017</td><td>PARMIN</td><td>PARMIN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo
</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80108225</td><td>12-09-
unspecified</td><td></td><td
2017</td><td>PUTRI
SILVIA</td><td>DARSONO</td><td>PELAJAR/MAHASISWA</td><td>KWANGSAN</td><td>Kwangsan<
/td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>H53.9</td><td>Visual disturbance, unspecified</td><td></td><td
align='right'>42680</td><td align='right'>80110726</td><td>12-09-2017</td><td>RANIA
ANGGRAINI</td><td>WAKIMIN</td><td>PELAJAR/MAHASISWA</td><td>PLUMBON KIDUL
</td><td>Plumbon Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>42687</td><td align='right'>80110529</td><td>12-09-2017</td><td>RENA
HANDAYANI</td><td>SUMADI</td><td>WIRASWASTA</td><td>BAKALAN RT02 /
align='right'>80103798</td><td>12-09-
2017</td><td>SATIMAN</td><td>SATIMAN</td><td>PENSIUNAN</td><td>TEMPURHARJO RT 02 RW
align='right'>M54.30</td><td>Sciatica, multiple sites</td><td></td><td
SARWANTI</td><td>SRI
SARWANTI</td><td>PENSIUNAN</td><td>KEDUNGDADAP</td><td>Kedungdadap</td><td>Eromoko<
/td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>60-69
align='right'>M48.4</td><td>Fatigue fracture of vertebra</td><td></td><td
2017</td><td>SUHARMI</td><td>SUGIYAT</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SUPRIYANTI</td><td>SUMARYOTO</td><td>MENGURUS RUMAH
align='right'>B37.0</td><td>Candidal stomatitis</td><td></td><td
d></tr><tr><td align='right'>M79.27</td><td>Neuralgia and neuritis, unspecified,
ankle and foot</td><td></td><td align='right'>42624</td><td
align='right'>80103943</td><td>12-09-
align='right'>42629</td><td align='right'>80108890</td><td>12-09-2017</td><td>TARSO
SUKIR</td><td>TARSO SUKIR</td><td>PETANI/PEKEBUN</td><td>NGLENGKONG RT 02 RW
align='right'>80103918</td><td>12-09-2017</td><td>TRI MULYANTO</td><td>TRI
MULYANTO</td><td>WIRASWASTA</td><td>EROMOKO WETAN</td><td>Eromoko
align='right'>80110029</td><td>12-09-
2017</td><td>WAGINO</td><td>WAGINO</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 01 RW
align='right'>80107044</td><td>12-09-2017</td><td>WAHYU DWI
PURWANINGSIH</td><td>LARNO</td><td>PELAJAR/MAHASISWA</td><td>BLUTAK RT 01 RW
><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
align='right'>80500233</td><td>12-09-
2017</td><td>AFIFAH KHUSNUL
KHOTIMAH</td><td>SUGIYARTO</td><td>PELAJAR/MAHASISWA</td><td>TALANG RT 01 RW
><tr><td align='right'>M79.28</td><td>Neuralgia and neuritis, unspecified, other
site</td><td></td><td align='right'>42729</td><td
KULON</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas
align='right'>80110741</td><td>13-09-2017</td><td>DIAN PUSPITASARI</td><td>TEGUH
JANURI</td><td>MENGURUS RUMAH TANGGA</td><td>NGRATAN RT 01 RW
09</td><td>Ngratan</td><td>Minggarharjo</td><td>Puskesmas
ULYANI</td><td>NARIMO</td><td>MENGURUS RUMAH
align='right'>42704</td><td align='right'>80102757</td><td>13-09-2017</td><td>ERLIN
ROSHELLA
W</td><td>TUKIRIN</td><td></td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><t
d>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>10-14
2017</td><td>GINEM</td><td>SAGINO</td><td>MENGURUS RUMAH TANGGA</td><td>SUMBER RT
align='right'>42693</td><td align='right'>80100506</td><td>13-09-2017</td><td>INA
MAYANGSARI</td><td>KSRI
DARYANTO</td><td>WIRASWASTA</td><td>MUNDU</td><td>Mundu</td><td>Puloharjo</td><td>P
uskesmas Induk</td><td>Sri Suwarsi</td><td> - </td><td>P</td><td>20-44
align='right'>42706</td><td align='right'>80110732</td><td>13-09-2017</td><td>IRMA
PURWANTI</td><td>SUPARMIN</td><td>WIRASWASTA</td><td>KRAGILAN RT 02 RW
align='right'>80110729</td><td>13-09-
2017</td><td>JAMILAH</td><td>AGUS</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON
RT02/01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>N20.1</td><td>Calculus of ureter</td><td></td><td
2017</td><td>KOMARUDIN</td><td>KOMARUDIN</td><td>TENTARA NASIONAL
INDONESIA</td><td>EROMOKO WETAN</td><td>Eromoko
Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
</td><td>L</td><td>45-54
2017</td><td>MEYLANI
PUSPITASARI</td><td>SUYONO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN</td><td>Klam
peyan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
</td><td>P</td><td>10-14
align='right'>E78.4</td><td>Other hyperlipidaemia</td><td></td><td
TRI INTIYASTUTI</td><td>YASIKUN</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
03</td><td>Ngloko</td><td>Panekan</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
04</td><td></td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Atmoko</td><td>
- </td><td>L</td><td>60-69
04</td><td></td><td>KEC. WURYANTORO</td><td>Puskesmas Induk</td><td>Atmoko</td><td>
- </td><td>L</td><td>60-69
align='right'>K29.3</td><td>Chronic superficial gastritis</td><td></td><td
2017</td><td>SATIMAN</td><td>SATIMAN</td><td>PENSIUNAN</td><td>TEMPURHARJO RT 02 RW
Umum</td><td>Poli Penyakit Dalam</td><td>RS DR SUDIRO MANGUN SUMARSO</td><td>Luar
align='right'>80110684</td><td>13-09-2017</td><td>SITI YUNIATUN
HASANAH</td><td>OKI</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON KIDUL RT 02 RW
><tr><td align='right'>M06.06</td><td>Seronegative rheumatoid arthritis, lower
09-2017</td><td>SRI LESTARI</td><td>KANDAR</td><td>MENGURUS RUMAH
SULARSIH</td><td>YATIMIN</td><td>PEGAWAI NEGERI
SIPIL</td><td>DEMANGAN</td><td>Demangan</td><td>Ngunggahan</td><td>Puskesmas
2017</td><td>SULARSO</td><td>SULARSO</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 02
><tr><td align='right'>M79.26</td><td>Neuralgia and neuritis, unspecified, lower
09-2017</td><td>SUMINTEN</td><td>TOTOK MARYOTO</td><td>MENGURUS RUMAH
2017</td><td>SUNARMI</td><td>SUTARSO</td><td>MENGURUS RUMAH TANGGA</td><td>TILENG
RT 02 RW 02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas
Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>55-59
align='right'>80110740</td><td>13-09-2017</td><td>SURIP
SURYANI</td><td>HARSO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON RT 01 RW
01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
align='right'>80100386</td><td>13-09-
Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
align='right'>80100415</td><td>13-09-
align='right'>80100415</td><td>13-09-
align='right'>80110737</td><td>13-09-2017</td><td>TIRTO KROMO</td><td>TIRTO
KROMO</td><td>PETANI/PEKEBUN</td><td>KWANGSAN RT 02 RW
01</td><td>Kwangsan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Atmoko</td><td>
- </td><td>L</td><td>>70
align='right'>80101894</td><td>13-09-
02/06</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas
</tr><tr><td align='right'>M25.5</td><td>Pain in joint</td><td></td><td
2017</td><td>TUGINO</td><td>TUGINO</td><td>WIRASWASTA</td><td>NGRAWAN RT 01 RW
02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas
align='right'>I84.1</td><td>Internal haemorrhoids with other
align='right'>80105650</td><td>13-09-
align='right'>81100194</td><td>13-09-
2017</td><td>WIDARTI</td><td>MARYADI</td><td>MENGURUS RUMAH TANGGA</td><td>BENGLE
RT 02 RW 07</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>ANGGA</td><td>GIARTO</td><td>KONSTRUKSI</td><td>PRAMBE</td><td>Prambe<
/td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80104925</td><td>14-09-
2017</td><td>AULIA</td><td>ARYANTO</td><td></td><td>SIYONO</td><td>Siyono</td><td>N
gadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>L21.9</td><td>Seborrhoeic dermatitis, unspecified</td><td></td><td
2017</td><td>BONDAN BUDI UTOMO
WAHYUNIARTO</td><td>WIYARTO</td><td>PELAJAR/MAHASISWA</td><td>GABELAN KIDUL RT 02
2017</td><td>DARNI</td><td>MARNO</td><td>MENGURUS RUMAH
align='right'>42757</td><td align='right'>80110749</td><td>14-09-2017</td><td>ELIN
SUHARYANI</td><td>WAHYUDI</td><td>KARYAWAN SWASTA</td><td>SIYONO RT
02/10</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>42744</td><td align='right'>80100302</td><td>14-09-2017</td><td>FEBRI
ROHANDIANTO</td><td>SARJU</td><td>LAINNYA</td><td>EROMOKO WETAN</td><td>Eromoko
><tr><td align='right'>N92.1</td><td>Excessive and frequent menstruation with
irregular cycle</td><td></td><td align='right'>42756</td><td
align='right'>80110561</td><td>14-09-2017</td><td>INDRI ASTUTI</td><td>INDRI
ASTUTI</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI WETAN RT 02 RW
01</td><td>Songputri Wetan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80108318</td><td>14-09-
2017</td><td>KASINO</td><td>KASINO</td><td>PETANI/PEKEBUN</td><td>GABELAN KIDUL RT
02 RW 08</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>Puskesmas
align='right'>N18.9</td><td>Chronic renal failure, unspecified</td><td></td><td
2017</td><td>KATIKEM</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>KATINEM</td><td>SUTIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>PARANGJOHO RT 3/6</td><td>Prangjoho</td><td>Eromoko</td><td>PKD
2017</td><td>MALFIROH</td><td>MALFIROH</td><td></td><td>KEDUNG
DADAP</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80108570</td><td>14-09-2017</td><td>MISTO HERU PURNOMO</td><td>MISTO
HERU PURNOMO</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RT 04 RW
2017</td><td>NATALIA</td><td>LUSTANTO</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
KULON</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas
align='right'>M54.50</td><td>Low back pain, multiple sites</td><td></td><td
2017</td><td>PURWANTI</td><td>SUTARNO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
><tr><td align='right'>S82.8</td><td>Fractures of other parts of lower
09-2017</td><td>RAHMATYAS REANA
M</td><td>MARYADI</td><td>TRANSPORTASI</td><td>BALEKERTO RT 01 RW
align='right'>80500277</td><td>14-09-
2017</td><td>RANIA</td><td>KATNI</td><td>KONSTRUKSI</td><td>POJOK</td><td>Pojok</td
><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>RUSMANTO</td><td>KATIMIN</td><td>WIRASWASTA</td><td>EROMOKO KULON RT
p</td><td> - </td><td>P</td><td>60-69
align='right'>42777</td><td align='right'>80110755</td><td>14-09-2017</td><td>SEAN
RAJENDRA</td><td>ANDI</td><td></td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
MARDIYATMINI</td><td>SRI MARDIYATMINI</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
><tr><td align='right'>R11</td><td>Nausea and vomiting</td><td></td><td
2017</td><td>SUDARTO</td><td>SUDARTO</td><td>TRANSPORTASI</td><td>SECANG
KIDUL</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>SUGIYEM</td><td>TEGUH</td><td>MENGURUS RUMAH TANGGA</td><td>MANTENAN
RT 03 RW 13</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUGIYONO</td><td>SUGIYONO</td><td>WIRASWASTA</td><td>DUNGPRING RT 03
RW 07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUKIMAN</td><td>SUKIMAN</td><td>PENSIUNAN</td><td>PRAMBE
RT01/03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUKINI</td><td>WALUYO</td><td>MENGURUS RUMAH
align='right'>80110748</td><td>14-09-
2017</td><td>SUKINO</td><td>SUKINO</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>SULASTRI</td><td>SARJU</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SULISTIYANI</td><td>HERU</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
<tr><td align='right'>M54.5</td><td>Low back pain</td><td></td><td
eng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80108109</td><td>14-09-
RT04/03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
></tr><tr><td align='right'>K04.1</td><td>Necrosis of pulp</td><td></td><td
2017</td><td>SURADI</td><td>SURADI</td><td>PETANI/PEKEBUN</td><td>PRAMBE</td><td>Pr
ambe</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
></tr><tr><td align='right'>K00.7</td><td>Teething syndrome</td><td></td><td
align='right'>80100525</td><td>14-09-
2017</td><td>TIARA</td><td>PARMIN</td><td>PELAJAR/MAHASISWA</td><td>TALANG</td><td>
Talang</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>10-14
align='right'>M06.06</td><td>Seronegative rheumatoid arthritis, lower
09-2017</td><td>TUMINEM</td><td>TOKARNO</td><td>MENGURUS RUMAH
2017</td><td>WAGIYEM</td><td>KASTO</td><td>MENGURUS RUMAH
align='right'>80500080</td><td>14-09-
2017</td><td>WAHYUNI</td><td>PARMAN</td><td>BURUH HARIAN
LEPAS</td><td>NGRANDU</td><td>Ngrandu</td><td>Ngadirejo</td><td>PKD
align='right'>80110657</td><td>14-09-2017</td><td>WARDOYO
</td><td>WARDOYO</td><td>WIRASWASTA</td><td>NGLEMPUNG RT 02 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas
align='right'>M00.94</td><td>Pyogenic arthritis, unspecified, hand</td><td></td><td
</td><td>L</td><td>45-54
align='right'>80107876</td><td>15-09-2017</td><td>0"OZATULO ZAI</td><td>0"OZATULO
ZAI</td><td>PETANI/PEKEBUN</td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
align='right'>80105620</td><td>15-09-2017</td><td>BEJO SAKSONO</td><td>BEJO
SAKSONO</td><td>PETANI/PEKEBUN</td><td>TUKUL</td><td>Tukul</td><td>Ngadirejo</td><t
d>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> - </td><td>L</td><td>45-54
align='right'>80105524</td><td>15-09-
2017</td><td>CHEROLINA</td><td>AGUS</td><td>PELAJAR/MAHASISWA</td><td>SINDUKARTO</t
d><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>CIPTO</td><td>CIPTO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td>N
gadirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>DARSIYEM</td><td>KATIMIN</td><td>MENGURUS
RUMAH TANGGA</td><td>BUNTALAN KULON RT02/02</td><td>Buntalan
Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>42799</td><td align='right'>80110764</td><td>15-09-2017</td><td>DEBBY
ARIYANI</td><td>SATINEM</td><td>WIRASWASTA</td><td>SECANG KIDUL RT 05 RW
04</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
DELFIRA</td><td>SUKADI</td><td></td><td>SECANG LOR RT 03/05</td><td>Secang
Lor</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80300209</td><td>15-09-2017</td><td>DENA
SUGITO</td><td>WARINO</td><td>WIRASWASTA</td><td>BONAGUNG RT 02 RW 08</td><td>Kebon
Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win p</td><td> -
align='right'>80300208</td><td>15-09-2017</td><td>DENI
SUGITO</td><td>WARINO</td><td>WIRASWASTA</td><td>BONAGUNG RT 02 RW 08</td><td>Kebon
Agung</td><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win p</td><td> -
align='right'>H60.9</td><td>Otitis externa, unspecified</td><td></td><td
align='right'>80110649</td><td>15-09-
2017</td><td>DJUREMI</td><td>DJUREMI</td><td>PEGAWAI NEGERI
SIPIL</td><td>BLIMBING</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>>70
align='right'>80101900</td><td>15-09-
2017</td><td>FERNANDA</td><td>WAHONO</td><td>PELAJAR/MAHASISWA</td><td>SUMBER</td><
td>Sumber</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>L</td><td>15-19
align='right'>80107861</td><td>15-09-2017</td><td>IKHSAN
ARIFIN</td><td>MARYANTO</td><td>PELAJAR/MAHASISWA</td><td>SONG PUTRI KULON RT
01/01</td><td></td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>N92.6</td><td>Irregular menstruation, unspecified</td><td></td><td
2017</td><td>INDRAWATI</td><td>WIWIN SUDARNO</td><td>MENGURUS RUMAH
<tr><td align='right'>H00.0</td><td>Hordeolum and other deep inflammation of
align='right'>80500279</td><td>15-09-
2017</td><td>JUMARNI</td><td>RUANTO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>
Ngrandu</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>45-54
align='right'>80109436</td><td>15-09-
><tr><td align='right'>J10.0</td><td>Influenza with pneumonia, influenza virus
align='right'>80500028</td><td>15-09-
2017</td><td>MARIJEM</td><td>KEMAN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
2017</td><td>MIKEM</td><td>P0NIMIN</td><td>PETANI/PEKEBUN</td><td>BALEHARJO</td><td
>Baleharjo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80102029</td><td>15-09-2017</td><td>MISMI</td><td>SISWO
MIHARJO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td>Ngadirejo</td><td>Ngadirej
</td><td>P</td><td>55-59
2017</td><td>NAMSYA</td><td>SUMINO</td><td>PELAJAR/MAHASISWA</td><td>JALAKAN RT 01
RW 09</td><td>Pucung</td><td>PUCUNG</td><td>Puskesmas Induk</td><td>Dr. Iwan
d>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80300207</td><td>15-09-
2017</td><td>NGATMI</td><td>WARINO</td><td>MENGURUS RUMAH TANGGA</td><td>BONAGUNG
RT 02 RW 08</td><td>Kebon Agung</td><td>Eromoko</td><td>PKD
2017</td><td>NONIK</td><td>PUJIYANTO</td><td></td><td>MINGGAR</td><td>Minggar</td><
td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>N92.1</td><td>Excessive and frequent menstruation with irregular
cycle</td><td></td><td align='right'>42782</td><td
align='right'>80107424</td><td>15-09-2017</td><td>PARMI</td><td>AGUS
SUTIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>GERITAN RT 01 RW
2017</td><td>PONIMIN</td><td>PONIMIN</td><td>PEDAGANG</td><td>BALEHARJO RT 01 RW
></tr><tr><td align='right'>F20.9</td><td>Schizophrenia,
align='right'>80102268</td><td>15-09-
2017</td><td>PONIYEM</td><td>KATNO</td><td>PETANI/PEKEBUN</td><td>DUNGUPIT</td><td>
Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80100700</td><td>15-09-2017</td><td>RINI
SUSILOWATI</td><td>KATINO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
align='right'>80104941</td><td>15-09-
2017</td><td>SATIJEM</td><td>SAIMEN</td><td>PEDAGANG</td><td>EROMOKO
align='right'>42953</td><td align='right'>80800096</td><td>15-09-2017</td><td>SIWI
PRIHATIN</td><td>ADI SULARNO</td><td>PEGAWAI NEGERI SIPIL</td><td>WATULEMBU WETAN
</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>PUSTU Baleharjo</td><td>Sri
align='right'>80110757</td><td>15-09-
2017</td><td>SIYEM</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>PANGKAH
RT03 RW 08</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80800146</td><td>15-09-
2017</td><td>SLAMET</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>KUTUKAN</td><td>K
utukan</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>
- </td><td>L</td><td>60-69
align='right'>80107578</td><td>15-09-2017</td><td>SUMARSIH</td><td>BEJO
SAKSONO</td><td>MENGURUS RUMAH
2017</td><td>SUMINO</td><td>SUMINO</td><td>PETANI/PEKEBUN</td><td>JALAKAN RT 01 RW
09</td><td>Pucung</td><td>PUCUNG</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80110598</td><td>15-09-
2017</td><td>SUNANTI</td><td>SABARNO</td><td>KARYAWAN SWASTA</td><td>EROMOKO WETAN
09-2017</td><td>SUTARTI</td><td>SARTONO</td><td>MENGURUS RUMAH
><tr><td align='right'>M79.24</td><td>Neuralgia and neuritis, unspecified,
align='right'>80110761</td><td>15-09-2017</td><td>SUTIMIN MARTO
SUWITO</td><td>SUTIMIN MARTO SUWITO</td><td>PETANI/PEKEBUN</td><td>POKOH RT 02 RW
03</td><td>Pokoh</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
><tr><td align='right'>R10.3</td><td>Pain localized to other parts of lower
abdomen</td><td></td><td align='right'>42800</td><td
align='right'>80105239</td><td>15-09-
2017</td><td>TAMIYEM</td><td>YATOMO</td><td>PETANI/PEKEBUN</td><td>KEDUNGDADAP RW
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rujuk</td><td
2017</td><td>TARTI</td><td>TUKIYO</td><td>MENGURUS RUMAH TANGGA</td><td>TILENG RT
02 RW 02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri
YULIARSI</td><td>SATIMAN</td><td>TRANSPORTASI</td><td>PUTUK SARI</td><td>Kec.
Umum</td><td>Poli Ortopedi</td><td>RS MEDIKA MULYA WONOGIRI</td><td>Luar
2017</td><td>WARINO</td><td>WARINO</td><td>PETANI/PEKEBUN</td><td>BONAGUNG RT 02 RW
p</td><td> - </td><td>L</td><td>60-69
align='right'>80100737</td><td>15-09-2017</td><td>WIDIA EKA
PUTRI</td><td>MASDIN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT
><tr><td align='right'>J06.0</td><td>Acute larynpharyngitis</td><td></td><td
2017</td><td>ARJUNA ARKHAN FAIZA</td><td>BAMBANG</td><td></td><td>SURU
KULON</td><td>Suru Kulon</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri
align='right'>42917</td><td align='right'>80106772</td><td>16-09-2017</td><td>ATIK
NURYANTI</td><td>SUYATNO</td><td>MENGURUS RUMAH
Wilayah</td><td>'0001766288968</td><td>'3312086810001</td><td></td><td></td></tr><t
r><td align='right'>F20.9</td><td>Schizophrenia, unspecified</td><td></td><td
01 RW 07</td><td>Gedong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>DARMI</td><td>TUGIMIN</td><td>KARYAWAN
SWASTA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80101915</td><td>16-09-
2017</td><td>ERNI</td><td>MULATO</td><td>WIRASWASTA</td><td>JAMBE</td><td>Jambe</td
><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>80106469</td><td>16-09-2017</td><td>ERNI
SUMIYATI</td><td>UNTOKO</td><td>WIRASWASTA</td><td>JAMBE RT02 /
08</td><td>Jambe</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri
align='right'>80107658</td><td>16-09-2017</td><td>HARYAT SURYANTO</td><td>HARYAT
SURYANTO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO KULON 2/2</td><td>Eromoko
><tr><td align='right'>K11.2</td><td>Sialoadenitis</td><td></td><td
align='right'>42955</td><td align='right'>80108283</td><td>16-09-2017</td><td>HESTI
DIAN PINASTHI</td><td>SUMARYANTO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN RT
align='right'>80110788</td><td>16-09-
2017</td><td>INDAH</td><td>SARYATNO</td><td>PELAJAR/MAHASISWA</td><td>BERO</td><td>
Bero</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>15-19
align='right'>80110786</td><td>16-09-
2017</td><td>JUADI</td><td>JUADI</td><td>PETANI/PEKEBUN</td><td>SURU WETAN RT 01 RW
06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>I09.9</td><td>Rheumatic heart disease, unspecified</td><td></td><td
2017</td><td>KASINO</td><td>KASINO</td><td>PETANI/PEKEBUN</td><td>JATIREJO RT 02 RW
06</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80102331</td><td>16-09-
2017</td><td>KASIYEM</td><td>PARNO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>KASNI</td><td>HARYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>SERUT</td><td>Serut</td><td>Minggarharjo</td><td>PUSKESLING</td><td>
Sri Suwarsi</td><td> - </td><td>P</td><td>20-44
2017</td><td>KASTONO</td><td>KASTONO</td><td>WIRASWASTA</td><td>EROMOKO
Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>55-59
2017</td><td>LASMI</td><td>KATIO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jambe
</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
2017</td><td>LISTRI
ATMINI</td><td>TRIHATMANTO</td><td>PEDAGANG</td><td>TILENG</td><td>Tileng</td><td>P
uloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>20-44
2017</td><td>MAINO</td><td>MAINO</td><td>PETANI/PEKEBUN</td><td>NGLEMPUNG</td><td>N
glempung</td><td>Tegalharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
2017</td><td>MARIYEM</td><td>SULIMIN</td><td>PETANI/PEKEBUN</td><td>NGLENGKONG</td>
<td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>MARKINEM</td><td>MARKINEM</td><td>MENGURUS RUMAH
TANGGA</td><td>JAMBE</td><td>Jambe</td><td>Sumberharjo</td><td>PUSKESLING</td><td>S
ri Suwarsi</td><td>TRIYOKO</td><td>P</td><td>>70
2017</td><td>MISIYEM</td><td>MISIYEM</td><td></td><td>NGLEMPUNG</td><td>Nglempung</
td><td>Tegalharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
align='right'>M79.2</td><td>Neuralgia
and neuritis, unspecified</td><td></td><td align='right'>42940</td><td
align='right'>80100594</td><td>16-09-
edong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
edong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
RT02/06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>NARNO</td><td>NARNO</td><td>PETANI/PEKEBUN</td><td>SUMBER</td><td>Sumb
er</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>60-69
2017</td><td>NARTO</td><td>NARTO</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>Jambe
</td><td>Sumberharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>55-59
align='right'>80105506</td><td>16-09-
2017</td><td>OKTAVIANO</td><td>TEGUH</td><td>KONSTRUKSI</td><td>KEDUNGDADAP</td><td
>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>PANDU</td><td>ANGGI</td><td>KONSTRUKSI</td><td>BLIMBING RT 02 RW
Iskandar, MM</td><td> - </td><td>L</td><td><1
Jambe</td><td>Sumberharjo</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
><tr><td align='right'>J06.0</td><td>Acute larynpharyngitis</td><td></td><td
2017</td><td>RAISA</td><td>AGUS</td><td>KONSTRUKSI</td><td>SURU KULON</td><td>Suru
Kulon</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri Suwarsi</td><td> -
2017</td><td>RIZAL</td><td>SAMINO</td><td>KONSTRUKSI</td><td>SURU
KULON</td><td>Suru Kulon</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri
Suwarsi</td><td> - </td><td>L</td><td><1
2017</td><td>SAINEM</td><td>KATIYO</td><td>MENGURUS RUMAH
TANGGA</td><td>JAMBE</td><td>Jambe</td><td>Sumberharjo</td><td>PUSKESLING</td><td>S
ri Suwarsi</td><td> - </td><td>P</td><td>>70
2017</td><td>SAMIKEM</td><td>TOTOK</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>Pulo
</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>45-54
align='right'>80100149</td><td>16-09-
</td><td>L</td><td>60-69
align='right'>42880</td><td align='right'>80109740</td><td>16-09-2017</td><td>SETIA
align='right'>80109740</td><td>16-09-2017</td><td>SETIA
></tr><tr><td align='right'>D50.9</td><td>Iron deficiency anaemia,
align='right'>80110780</td><td>16-09-
2017</td><td>SUGONDO</td><td>SUGONDO</td><td>PETANI/PEKEBUN</td><td>BOKUNUING
LOR</td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80101038</td><td>16-09-
2017</td><td>SUKIYEM</td><td>PAIDI</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>B
akalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
Wilayah</td><td>'0001021936612</td><td>'331208580003</td><td></td><td></td></tr><tr
><td align='right'>B35.9</td><td>Dermatophytosis, unspecified</td><td></td><td
2017</td><td>SUTINEM</td><td>RATNO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
2017</td><td>SUTINEM</td><td>RATNO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU WETAN
align='right'>80108320</td><td>16-09-
2017</td><td>TUMINEM</td><td>TUMINEM</td><td>MENGURUS RUMAH TANGGA</td><td>SERUT RT
02 RW 04</td><td>Serut</td><td>Minggarharjo</td><td>PUSKESLING</td><td>Sri
2017</td><td>TUMIRAH</td><td>TUMIRAH</td><td>PETANI/PEKEBUN</td><td>JAMBE</td><td>J
ambe</td><td>Sumberharjo</td><td>PUSKESLING</td><td>TRIYOKO</td><td> -
</td><td>P</td><td>60-69
align='right'>80500078</td><td>16-09-
2017</td><td>WAHONO</td><td>WAHONO</td><td>PETANI/PEKEBUN</td><td>POJOK RT 01 RW
2017</td><td>WARIJEM</td><td>SUNARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>BLUTAK</td><td>Blutak</td><td>Sumberharjo</td><td>PUSKESLING</td><td
>Sri Suwarsi</td><td> - </td><td>P</td><td>45-54
2017</td><td>WARSI</td><td>SURADI</td><td>MENGURUS RUMAH TANGGA</td><td>TEPI HARJO
RT 02 RW 06</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>YATIN</td><td>YATIN</td><td>WIRASWASTA</td><td>JAMBAN</td><td>Jamban</
td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>45-54
align='right'>43014</td><td align='right'>80110798</td><td>18-09-2017</td><td>ABDUL
NASIR</td><td>ABDUL NASIR</td><td>WIRASWASTA</td><td>EROMOKO WETAN</td><td>Eromoko
</td><td>L</td><td>60-69
align='right'>J31.0</td><td>Chronic rhinitis</td><td></td><td
2017</td><td>AKHSANUDIEN</td><td>YUDI</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
align='right'>42969</td><td align='right'>80107865</td><td>18-09-2017</td><td>ALAN
TRI BAGAS</td><td>PARMAN</td><td>WIRASWASTA</td><td>SUMBERWATU RT 01 RW
<tr><td align='right'>A09</td><td>Diarrhoea and gastroenteritis of presumed
align='right'>80103839</td><td>18-09-
2017</td><td>ALIHADI</td><td>SUKINO</td><td>KONSTRUKSI</td><td>KLAMPEYAN</td><td>Kl
ampeyan</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80104974</td><td>18-09-
2017</td><td>ANDREAN</td><td>ANDREAN</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>ARVINO</td><td>PURNAMA</td><td>KONSTRUKSI</td><td>GEDONG RT 02 RW
02</td><td>Gedong</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
Sularsih</td><td> - </td><td>L</td><td><1
align='right'></td><td align='right'>6</td><td
align='right'></td><td>BP. Umum</td><td></td><td></td><td>Dalam
align='right'>80400141</td><td>18-09-
2017</td><td>ASMANI</td><td>ASMANI</td><td>PETANI/PEKEBUN</td><td>DUNGPRING</td><td
>Dungpring</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td>
<td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>B30.9</td><td>Viral conjunctivitis, unspecified</td><td></td><td
align='right'>80101322</td><td>18-09-2017</td><td>DAVA
WAHYU</td><td>GIYATNO</td><td>PELAJAR/MAHASISWA</td><td>TILENG</td><td>Tileng</td><
td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>F00.0</td><td>Dementia in Alzheimer's disease with early
onset</td><td></td><td align='right'>43062</td><td
align='right'>80201067</td><td>18-09-2017</td><td>DHAFIRA</td><td>DWI
RIYANTO</td><td></td><td>DEMANGAN</td><td>Demangan</td><td>Ngunggahan</td><td>PUSKE
SLING</td><td>Atmoko</td><td> - </td><td>P</td><td>1-4
WURYANTO</td><td>DWI WURYANTO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 02 RW
2017</td><td>DZAKI</td><td>WINARTO</td><td></td><td>KLAMPEYAN</td><td>Klampeyan</td
><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
2017</td><td>ERMA</td><td>APRIANTO</td><td>MENGURUS RUMAH
2017</td><td>ERWIN</td><td>ERWIN</td><td>PETANI/PEKEBUN</td><td>MELIKAN
PRACI</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Budi
align='right'>80105105</td><td>18-09-2017</td><td>FASYA AZIZAH</td><td>ARIF
MAULANA</td><td></td><td>MOJOSARI RT 01 RW
08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110792</td><td>18-09-2017</td><td>HARI MUKTI NUGROHO</td><td>HARI
MUKTI NUGROHO</td><td>WIRASWASTA</td><td>BALEKERTO RT 02 RW
04</td><td>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>HARTI</td><td>ERWIN</td><td>MENGURUS RUMAH TANGGA</td><td>MELIKAN
PRACI</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>Z36.9</td><td>Antenatal screening,
align='right'>80900373</td><td>18-09-2017</td><td>HESTIN FITRIANI</td><td>PUJI DWI
ANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGLOROG</td><td>Panekan</td><td>Panekan</td><td>PKD & PUSTU
2017</td><td>JIYEM</td><td>JIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>DEMANGAN</td><td>Demangan</td><td>Ngunggahan</td><td>PUSKESLING</td>
<td>Atmoko</td><td> - </td><td>P</td><td>>70
align='right'>M79.24</td><td>Neuralgia and neuritis, unspecified,
align='right'>80101655</td><td>18-09-
></tr><tr><td align='right'>M00.13</td><td>Pneumococcal arthritis and
polyarthritis, forearm</td><td></td><td align='right'>43037</td><td
align='right'>80900384</td><td>18-09-
2017</td><td>KARIYEM</td><td>MESRAN</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
align='right'>G23.8</td><td>Other specified degenerative diseases of basal
ganglia</td><td></td><td align='right'>43011</td><td
align='right'>80110377</td><td>18-09-
align='right'>80201069</td><td>18-09-
2017</td><td>KARTI</td><td>SADIYO</td><td>MENGURUS RUMAH
<td>Atmoko</td><td> - </td><td>P</td><td>45-54
align='right'>M08.20</td><td>Juvenile arthritis with systemic onset, multiple
align='right'>80500045</td><td>18-09-
2017</td><td>KARTIYEM</td><td>KARTIYEM</td><td>PETANI/PEKEBUN</td><td>PLUMBON</td><
</td><td>P</td><td>45-54
2017</td><td>KASWANTO</td><td>KASWANTO</td><td>WIRASWASTA</td><td>SENGON RT 01 RW
align='right'>80108075</td><td>18-09-
2017</td><td>KATINEM</td><td>KATINEM</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
2017</td><td>LAGIYEM</td><td>LAGIYEM</td><td>PETANI/PEKEBUN</td><td>NLOKO
RT02RW03</td><td>Ngloko</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
align='right'>K02.2</td><td>Caries of cementum</td><td></td><td
RT 02 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>PKD
align='right'>43040</td><td align='right'>80103096</td><td>18-09-2017</td><td>LLELI
AMELIA
PUTRI</td><td>PARTO</td><td>KONSTRUKSI</td><td>NGLOROK</td><td>Nglorok</td><td>Pane
kan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80900204</td><td>18-09-
2017</td><td>MARLINA</td><td>SUYITNO</td><td>MENGURUS RUMAH
ketoacidosis</td><td></td><td align='right'>43001</td><td
align='right'>80110294</td><td>18-09-
align='right'>80103272</td><td>18-09-2017</td><td>MELIA
ANGGRAINI</td><td>TUGIMIN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>80101087</td><td>18-09-2017</td><td>MUH.KAHLIL
GIBRAN</td><td>JAKA</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO WETAN</td><td>Eromoko
</td><td>L</td><td>10-14
2017</td><td>MUHAMMAD
RIPAN</td><td>ISMUNANDAR</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedu
ngdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
tr><td align='right'>D05.7</td><td>Other carcinoma in situ of
breast</td><td></td><td align='right'>42971</td><td
align='right'>80110789</td><td>18-09-
2017</td><td>MULYANI</td><td>JUMADI</td><td></td><td>GEDONG RT 02 RW
2017</td><td>NGATIKEM</td><td>SATIMAN </td><td>MENGURUS RUMAH
align='right'>80110791</td><td>18-09-
2017</td><td>NURHAYATI</td><td>GATOT</td><td>WIRASWASTA</td><td>JAMBAN RT 02 RW
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>OVITASARI</td><td>SATIYO</td><td>WIRASWASTA</td><td>PLUMBON
2017</td><td>PANIYEM</td><td>TUMINO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bul
u</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>PARDI</td><td>PARDI</td><td>MENGURUS RUMAH
TANGGA</td><td>PARANGJOHO</td><td>Prangjoho</td><td>Eromoko</td><td>PKD
align='right'>80100512</td><td>18-09-
2017</td><td>PARTINI</td><td>PARTINI</td><td>PENSIUNAN</td><td>EROMOKO
></tr><tr><td align='right'>L20.8</td><td>Other atopic dermatitis</td><td></td><td
><tr><td align='right'>M10.0</td><td>Idiopathic ut</td><td></td><td
Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
Siyono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80201073</td><td>18-09-
2017</td><td>RAJI</td><td>SAHIT</td><td>WIRASWASTA</td><td>DEMANGAN</td><td>Demanga
n</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
</td><td>L</td><td>45-54
align='right'>80100232</td><td>18-09-
align='right'>80100032</td><td>18-09-
2017</td><td>RATMI</td><td>NARMAN</td><td>PETANI/PEKEBUN</td><td>NGLOROK RT 01 RW
><tr><td align='right'>K12.1</td><td>Other forms of stomatitis</td><td></td><td
2017</td><td>RIYANTI</td><td>SURYADI</td><td>MENGURUS RUMAH
2017</td><td>SAKEM</td><td>TOKARNO KATIMAH</td><td>MENGURUS RUMAH
align='right'>80201068</td><td>18-09-
align='right'></td><td
align='right'>80110160</td><td>18-09-
RT01/RW01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80500059</td><td>18-09-
2017</td><td>SAMIJEM</td><td>KARNO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
grandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SAMIJEM</td><td>KARNO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>N
grandu</td><td>Ngadirejo</td><td>PUSKESLING</td><td>Atmoko</td><td> -
</td><td>P</td><td>60-69
2017</td><td>SAMINEM</td><td>TAMAN</td><td>PETANI/PEKEBUN</td><td>DEMANGAN</td><td>
Demangan</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>SAMURI</td><td>SAMURI</td><td>PEDAGANG</td><td>SIYONO</td><td>Siyono</
td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>80102168</td><td>18-09-
2017</td><td>SANEM</td><td>KARMIN</td><td>MENGURUS RUMAH
align='right'>80103099</td><td>18-09-
RT02/05</td><td>Nglorok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri
<tr><td align='right'>A42.1</td><td>Abdominal actinomycosis</td><td></td><td
2017</td><td>SANTOSO</td><td>SANTOSO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 04
>Balekerto</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td>
- </td><td>L</td><td>45-54
2017</td><td>SARTINI</td><td>SUKIDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>SATIMAN</td><td>SATIMAN</td><td>PETANI/PEKEBUN</td><td>DEMANGAN</td><t
d>Demangan</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>SATIYEM</td><td>SATIYEM</td><td>MENGURUS RUMAH
align='right'>80300210</td><td>18-09-
2017</td><td>SIFA</td><td>CANDRA</td><td>PELAJAR/MAHASISWA</td><td>GEDONG RT 02 RW
p</td><td> - </td><td>P</td><td>5-9
align='right'>80900369</td><td>18-09-
2017</td><td>SIMIN</td><td>SIMIN</td><td>PEDAGANG</td><td>PRAMBON</td><td>Prambon</
td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
PADMINI</td><td>LARMIN</td><td>PEGAWAI NEGERI SIPIL</td><td>BONAGUNG RT01 RW
p</td><td> - </td><td>P</td><td>45-54
align='right'>F20.9</td><td>Schizophrenia,
align='right'>80102761</td><td>18-09-
align='right'>80900189</td><td>18-09-
2017</td><td>SUDARTO</td><td>SUDARTO</td><td>PETANI/PEKEBUN</td><td>BULU</td><td>Bu
lu</td><td>Baleharjo</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
2017</td><td>SUGIYEM</td><td>PARNO</td><td>MENGURUS RUMAH
2017</td><td>SUHARMI</td><td>KASWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>SENGON
RT 01 RW 01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUKASMI</td><td>SUPRIYANTO</td><td>MENGURUS RUMAH
align='right'>J18.0</td><td>Bronchopneumonia, unspecified</td><td></td><td
2017</td><td>SUKIYO</td><td>SUKIYO</td><td>TRANSPORTASI</td><td>CEMANGKAH
LOR</td><td>Cemangkah Lor</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi
</td><td>P</td><td>45-54
2017</td><td>SUMARGIYO</td><td>SUMARGIYO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
Marganingsih</td><td>Handoko Pujipriyatno,S.kep</td><td>L</td><td>>70
2017</td><td>SUNARSI</td><td>NURHADI</td><td>MENGURUS RUMAH
2017</td><td>SUPATMI</td><td>SUPRIYONO</td><td>MENGURUS RUMAH
align='right'>80900188</td><td>18-09-
2017</td><td>SUPRIYANI</td><td>PURWANTO</td><td>PEDAGANG</td><td>NGLOROG
2017</td><td>SURAMI</td><td>PARWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>GEDONG</td><td>Gedong</td><td>Panekan</td><td>Puskesmas
Induk</td><td>Budi Prasetyo</td><td>Atmoko</td><td>P</td><td>55-59
align='right'>80101231</td><td>18-09-
2017</td><td>SURAMI</td><td>SURAMI</td><td>LAINNYA</td><td>NGLOROK</td><td>Nglorok<
/td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
><tr><td align='right'>K29.1</td><td>Other acute gastritis</td><td></td><td
RT01/02</td><td>Gendeng</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>E21.0</td><td>Primary hyperparathyroidism</td><td></td><td
02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80900101</td><td>18-09-
2017</td><td>SUWARNI</td><td>SUWARNI</td><td>PETANI/PEKEBUN</td><td>KLAMPEYAN
Umum</td><td>poli prolanis /geriatri</td><td>RS DR SUDIRO MANGUN
2017</td><td>TARA</td><td>ERWIN</td><td>KONSTRUKSI</td><td>MELIKAN PRACI</td><td>
Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Budi
align='right'>80900385</td><td>18-09-
2017</td><td>TARJO</td><td>TARJO</td><td>PETANI/PEKEBUN</td><td>NGLOROG</td><td>Ngl
orok</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
</td><td>L</td><td>60-69
align='right'>80110797</td><td>18-09-
2017</td><td>TAYEM</td><td>TAYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TEGALOMBO</td><td>Kec. Wuryantoro</td><td>KEC.
WURYANTORO</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
2017</td><td>TOKARNO</td><td>TOKARNO
</td><td>PETANI/PEKEBUN</td><td>DEMANGAN</td><td>Demangan</td><td>Ngunggahan</td><t
d>PUSKESLING</td><td>Atmoko</td><td> - </td><td>L</td><td>>70
INDRASWARSI</td><td>ARIF</td><td>MENGURUS RUMAH TANGGA</td><td>MOJOSARI RT 01 RW
align='right'>80400057</td><td>18-09-2017</td><td>TRIYANI</td><td>DWI
RIYANTO</td><td>MENGURUS RUMAH
align='right'>F29</td><td>Unspecified nonorganic psychosis</td><td></td><td
2017</td><td>TUMIYEM</td><td>TUMIYEM</td><td>MENGURUS RUMAH
<td>Atmoko</td><td>Anis Purwandari</td><td>P</td><td>>70
align='right'>M79.29</td><td>Neuralgia and neuritis, unspecified, site
align='right'>80400346</td><td>18-09-
2017</td><td>WAGINEM</td><td>WAGINEM</td><td>PEDAGANG</td><td>DEMANGAN</td><td>Dema
ngan</td><td>Ngunggahan</td><td>PUSKESLING</td><td>Atmoko</td><td> -
2017</td><td>WAGINO</td><td>WAGINO</td><td>PETANI/PEKEBUN</td><td>TANJUNG</td><td>T
anjung</td><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
</td><td>L</td><td>60-69
SAPUTRI</td><td>MISMAN</td><td>PELAJAR/MAHASISWA</td><td>NGLOROK</td><td>Nglorok</t
d><td>Panekan</td><td>PKD & PUSTU Panekan</td><td>Sri Sularsih</td><td> -
align='right'>80103228</td><td>18-09-
2017</td><td>WARSIH</td><td>WARSIH</td><td>MENGURUS RUMAH
align='right'>F29</td><td>Unspecified nonorganic psychosis</td><td></td><td
2017</td><td>WATI</td><td>WATI</td><td>MENGURUS RUMAH
07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>WIJI</td><td>TUGINO</td><td>MENGURUS RUMAH TANGGA</td><td>KEBON
AGUNG</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>N80.0</td><td>Endometriosis of uterus</td><td></td><td
kalan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>YATUN</td><td>SARTONO</td><td>MENGURUS RUMAH
align='right'>80105500</td><td>19-09-2017</td><td>AHNAF
FAUZAN</td><td>DANANTO</td><td>PELAJAR/MAHASISWA</td><td>GENDENG</td><td>Gedong</td
><td>Eromoko</td><td>PKD Eromoko</td><td>Alriyadita win p</td><td> -
2017</td><td>AMELIA PUTRI APRILAWATI</td><td>KARMIN</td><td></td><td>EROMOKO WETAN
RT 04/03</td><td>Eromoko Wetan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80100248</td><td>19-09-2017</td><td>AMELINA RAGIL
ANSANI</td><td>RIYANTO</td><td></td><td>EROMOKO WETAN RT 06 RW 03</td><td>Eromoko
align='right'>43561</td><td align='right'>81200071</td><td>19-09-2017</td><td>AYU
ISTIQOMAH</td><td>SUROTO</td><td>KONSTRUKSI</td><td>GENDENG</td><td>Gendeng</td><td
>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
align='right'>80109971</td><td>19-09-
lan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Atmoko</td><td> -
align='right'>80105540</td><td>19-09-2017</td><td>DELVIRA
NUGRAHENI</td><td>HARYANTO</td><td>PELAJAR/MAHASISWA</td><td>DAMPIT</td><td>Dampit<
/td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
SETIAWAN</td><td>PAIDI</td><td></td><td>MOJOSARI RT 01 RW
UTAMI</td><td>ROSIDI</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 03 RW
align='right'>I95.8</td><td>Other hypotension</td><td></td><td
align='right'>43106</td><td align='right'>80101018</td><td>19-09-2017</td><td>ENY
KURNIASIH</td><td>MUJIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG KIDUL RT 04
RW 06</td><td>Secang Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
</tr><tr><td align='right'>H02.9</td><td>Disorder of eyelid,
align='right'>80107074</td><td>19-09-2017</td><td>ERNA
MAYASARI</td><td>SUPANDI</td><td>MENGURUS RUMAH TANGGA</td><td>GEDONG RT 03 RW
PEMERINTAH</td><td>Rujuk</td><td align='right'></td><td align='right'>7</td><td
2017</td><td>GINEM</td><td>SUKIDI</td><td>PETANI/PEKEBUN</td><td>SURU KULON RT 01
RW 07</td><td>Suru Kulon</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80100423</td><td>19-09-
align='right'>80103760</td><td>19-09-
2017</td><td>KUSNANTO</td><td>KUSNANTO</td><td>WIRASWASTA</td><td>KRISAK</td><td>Lu
ar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>LAMINEM</td><td>KARIMIN</td><td>LAINNYA</td><td>BALEHARJO</td><td>Bale
harjo</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>LASMINI</td><td>DJAMIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
align='right'>80300027</td><td>19-09-2017</td><td>M.PRIYA
MARDANI</td><td>SUPRIYANTO</td><td>PELAJAR/MAHASISWA</td><td>KEBON AGUNG RT 01 RW
08</td><td>Kebon Agung</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>5-9
></tr><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
align='right'>80500014</td><td>19-09-
2017</td><td>MULYANI</td><td>SUCIPTO</td><td>MENGURUS RUMAH
d>Bengle</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>55-59
align='right'>80200010</td><td>19-09-
<tr><td align='right'>S00.0</td><td>Superficial injury of scalp</td><td></td><td
2017</td><td>PURWANTO</td><td>PURWANTO</td><td>PELAJAR/MAHASISWA</td><td>PANDAN RT
01 RW 13</td><td>Pandan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>J30.1</td><td>Allergic rhinitis due to pollen</td><td></td><td
2017</td><td>RETNONINGSIH</td><td>SUMADI</td><td>WIRASWASTA</td><td>PULO RT 02 RW
07</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>43098</td><td align='right'>80108229</td><td>19-09-2017</td><td>RUDI
TRI FERIYANTO</td><td>TRIYUWONO</td><td>WIRASWASTA</td><td>PETARANGAN 2 RT 08 RW 02
PETARANGAN KLEDUNG TEMANGGUNG</td><td>Luar Wilayah</td><td>Luar
Wilayah</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>20-44
align='right'>80101006</td><td>19-09-
2017</td><td>SABARNO</td><td>SABARNO</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO
2017</td><td>SAMIKEM</td><td>MARIJAN</td><td>MENGURUS RUMAH
Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>P</td><td>>70
align='right'>8201061</td><td>19-09-
2017</td><td>SATIYEM</td><td>SATIYEM</td><td>MENGURUS RUMAH
Ngunggahan</td><td>Dian Purwati</td><td> - </td><td>P</td><td>>70
align='right'>80102140</td><td>19-09-
2017</td><td>SLAMET</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON
HARYANI</td><td>HARYANTO</td><td></td><td>DAMPIT</td><td>Dampit</td><td>Sumberharjo
align='right'>80100707</td><td>19-09-2017</td><td>SUKIDJAN AL
SABARISTANTO</td><td>SUKIDJAN AL
SABARISTANTO</td><td>PENSIUNAN</td><td>PANGKAH</td><td>Pangkah</td><td>Baleharjo</t
d><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>60-69
2017</td><td>SUPRIYANTI</td><td>SLAMET</td><td>PEDAGANG</td><td>EROMOKO KULON
align='right'>80104426</td><td>19-09-
Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>>70
align='right'>80100859</td><td>19-09-
2017</td><td>SUTIRAH</td><td>SULARDI</td><td>MENGURUS RUMAH
</tr><tr><td align='right'>K40.3</td><td>Unilateral or unspecified inguinal hernia,
with obstruction, without gangrene</td><td></td><td align='right'>43110</td><td
align='right'>80110807</td><td>19-09-
2017</td><td>TARMIN</td><td>TARMIN</td><td>PENSIUNAN</td><td>NGRATAN RT
01/09</td><td>Ngratan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80300103</td><td>19-09-
2017</td><td>WAGIMAN</td><td>WAGIMAN</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO RT
p</td><td> - </td><td>L</td><td>45-54
2017</td><td>WARIJEM</td><td>NGATIMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>BENGLE</td><td>Bengle</td><td>Baleharjo</td><td>Puskesmas
align='right'>80110784</td><td>19-09-
2017</td><td>WARSI</td><td>SURADI</td><td>MENGURUS RUMAH TANGGA</td><td>TEPI HARJO
RT 02 RW 06</td><td>Tepiharjo</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>A'ISYAH NUR AINI</td><td>IMAM</td><td>WIRASWASTA</td><td>PLUMBON
MARSUDI</td><td>PAINO</td><td></td><td>GENDENG RT 02
RW02</td><td>Gendeng</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80104983</td><td>20-09-2017</td><td>ANNISSA
APRILIANI</td><td>KATMO</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>43141</td><td align='right'>80103007</td><td>20-09-2017</td><td>DAFA
FAHRIZA P</td><td>MULYONO</td><td></td><td>PLUMBON KIDUL</td><td>Plumbon
Kidul</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80103007</td><td>20-09-2017</td><td>DAFA FAHRIZA
P</td><td>MULYONO</td><td></td><td>PLUMBON KIDUL</td><td>Plumbon
></tr><tr><td align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td
></tr><tr><td align='right'>L50.9</td><td>Urticaria, unspecified</td><td></td><td
2017</td><td>DIYOTO</td><td>DIYOTO</td><td>PETANI/PEKEBUN</td><td>JATISARI
GENUKHARJO</td><td></td><td>KEC. WURYANTORO</td><td>PUSTU Baleharjo</td><td>Sri
Purwaningsih</td><td>Hesti Wiji Utami</td><td>L</td><td>60-69
align='right'>43160</td><td align='right'>80101417</td><td>20-09-2017</td><td>ESTER
SUHARSI</td><td>SUYATNO</td><td>PEGAWAI NEGERI SIPIL</td><td>BARAN
RT01/08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>S52.2</td><td>Fracture of shaft of ulna</td><td></td><td
2017</td><td>GALANG ARDIANSYAH</td><td>SUKARNO</td><td>PELAJAR/MAHASISWA</td><td>
NGLENGKONG NGADIREJO</td><td>Nglengkong</td><td>Ngadirejo</td><td>Puskesmas
><tr><td align='right'>M00.87</td><td>Arthritis and polyarthritis due other
specified bacterial agents, ankle and foot</td><td></td><td
2017</td><td>HARTI</td><td>KASMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
align='right'>43171</td><td align='right'>80101376</td><td>20-09-2017</td><td>ICA
NUR
AZIZAH</td><td>SULIMIN</td><td>PELAJAR/MAHASISWA</td><td>SAMPANG</td><td>Sampang</t
d><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
2017</td><td>KARTINI</td><td>KARTINI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80107523</td><td>20-09-
></tr><tr><td align='right'>G44.2</td><td>Tension-type headache</td><td></td><td
2017</td><td>KATMO</td><td>KATMO</td><td>WIRASWASTA</td><td>EROMOKO
><tr><td align='right'>O34.5</td><td>Maternal care for other abnormalities of
gravid uterus</td><td></td><td align='right'>43130</td><td
align='right'>80700220</td><td>20-09-
2017</td><td>KISYANI</td><td>KATINO</td><td>PETANI/PEKEBUN</td><td>BAKALAN</td><td>
Bakalan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>44</td><td>BP. Umum</td><td>Poli Kandungan</td><td>RS PKU
align='right'>80105363</td><td>20-09-2017</td><td>LINA RAHAYU</td><td>EDI
SANTOSO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGEPOH</td><td>Ngepoh</td><td>Sumberharjo</td><td>Puskesmas
<tr><td align='right'>H81.3</td><td>Other peripheral verti</td><td></td><td
align='right'>43129</td><td align='right'>80103272</td><td>20-09-2017</td><td>MELIA
ANGGRAINI</td><td>TUGIMIN</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO
align='right'>80100925</td><td>20-09-2017</td><td>NENI
OKTAVIANI</td><td>NUNUK</td><td>PELAJAR/MAHASISWA</td><td>EROMOKO KULON RT 02 RW
align='right'>43132</td><td align='right'>80100521</td><td>20-09-2017</td><td>NUNUK
SUPRAPTI</td><td>NUNUK SUPRAPTI</td><td>WIRASWASTA</td><td>EROMOKO KULON RT 02 RW
></tr><tr><td align='right'>C84.0</td><td>Mycosis funides</td><td></td><td
2017</td><td>NURYADI</td><td>NURYADI</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
2017</td><td>PARMIN</td><td>PARMIN</td><td>PENSIUNAN</td><td>SIYONO</td><td>Siyono<
/td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>L</td><td>60-69
2017</td><td>RISTIANA ANDHINI</td><td>YATINO</td><td>WIRASWASTA</td><td>SECANG
Induk</td><td>Atmoko</td><td>Anis Purwandari</td><td>P</td><td>15-19
align='right'>81100149</td><td>20-09-2017</td><td>RYAN HIDAYATULOH</td><td>RAHMAT
HIDAYAHTULOH</td><td>KONSTRUKSI</td><td>PRAMBON</td><td>Prambon</td><td>Baleharjo</
td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> - </td><td>L</td><td>5-9
align='right'>80900049</td><td>20-09-
RT02RW05</td><td>Nglorok</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUKATMI</td><td>SUKIRMIN</td><td>MENGURUS RUMAH
2017</td><td>SUMARNING</td><td>SUNARDI</td><td>PEDAGANG</td><td>EROMOKO KULON RT 01
Purwanti</td><td>
- </td><td>P</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>80106126</td><td>20-09-
align='right'>80100072</td><td>20-09-
2017</td><td>SUMINEM</td><td>SUTOYO</td><td>MENGURUS RUMAH
TANGGA</td><td>NGUNGGAHAN</td><td>Ngunggahan</td><td>Ngunggahan</td><td>Puskesmas
2017</td><td>SUMIYEM</td><td>TUKINO</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td>
Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80101310</td><td>20-09-
RT01/RW01</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80103943</td><td>20-09-
><tr><td align='right'>T79.9</td><td>Unspecified early complication of
trauma</td><td></td><td align='right'>43163</td><td
align='right'>80103563</td><td>20-09-
2017</td><td>SUWARTI</td><td>SUKASNO</td><td>MENGURUS RUMAH
TANGGA</td><td>WATULEMBU KULON</td><td>Watulembu
align='right'>80100545</td><td>20-09-
2017</td><td>SUYATI</td><td>MAMAD</td><td>MENGURUS RUMAH TANGGA</td><td>TILENG RT
01 RW 01</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUYATNI</td><td>RAKIYO</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
></tr><tr><td align='right'>K59.0</td><td>Constipation</td><td></td><td
2017</td><td>TUKIJEM</td><td>SUNARDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
</td><td>L</td><td>45-54
2017</td><td>WARTINI</td><td>RAHMAD</td><td>MENGURUS RUMAH
2017</td><td>WARTINI</td><td>RAHMAD</td><td>MENGURUS RUMAH
align='right'>M25.55</td><td>Pain in joint,
pelvic and thigh</td><td></td><td align='right'>43161</td><td
align='right'>80110238</td><td>20-09-
2017</td><td>WASIMIN</td><td>WASIMIN</td><td>WIRASWASTA</td><td>NGLEGONG RT3
RW5</td><td>Nglegong</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan
RAHAYU</td><td>PUGUH</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU WETAN RT 02 RW
04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110334</td><td>22-09-2017</td><td>ANGGIT NUR
PRASETYO</td><td>SULISTIYONO</td><td></td><td>BALEROTO RT3
RW2</td><td>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80110334</td><td>22-09-2017</td><td>ANGGIT NUR
PRASETYO</td><td>SULISTIYONO</td><td></td><td>BALEROTO RT3
RW2</td><td>Baleroto</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>A51.5</td><td>Early syphilis, latent</td><td></td><td
YULIANTI</td><td>GIHARSO</td><td>MENGURUS RUMAH TANGGA</td><td>TALANG RT 04 RW
align='right'>80109878</td><td>22-09-2017</td><td>DEFAISHA PRAMUDITYA
BAKTI</td><td>MISMAN</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><td>M
inggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>80109878</td><td>22-09-2017</td><td>DEFAISHA PRAMUDITYA
BAKTI</td><td>MISMAN</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><td>M
inggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>H65.0</td><td>Acute serous otitis media</td><td></td><td
></tr><tr><td align='right'>K02.1</td><td>Caries of dentine</td><td></td><td
2017</td><td>ENRIKA DEFA
YULIANTO</td><td>SRIYANTO</td><td>KONSTRUKSI</td><td>GENDENG</td><td>Gendeng</td><t
d>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti Marganingsih</td><td> -
align='right'>80110328</td><td>22-09-2017</td><td>HAYFA ADZKIA FATIN
</td><td>HARTONO</td><td></td><td>SAMPANG RT 02 RW
align='right'>80110328</td><td>22-09-2017</td><td>HAYFA ADZKIA FATIN
</td><td>HARTONO</td><td></td><td>SAMPANG RT 02 RW
2017</td><td>JUMARNI</td><td>RUWANTO</td><td>MENGURUS RUMAH
2017</td><td>KASINAH</td><td>SUDIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>NGRAWAN
RT 03 RW 02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>MARINEM</td><td>SLAMET WITONO</td><td>MENGURUS RUMAH
TANGGA</td><td>KUTUKAN</td><td>Kutukan</td><td>Baleharjo</td><td>PUSTU
2017</td><td>NASRULLOH</td><td>WAHONO</td><td>KONSTRUKSI</td><td>POJOK</td><td>Pojo
k</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
2017</td><td>PAIDI</td><td>PAIDI</td><td>PETANI/PEKEBUN</td><td>NGLEMPUNG</td><td>N
glempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80100862</td><td>22-09-
align='right'>80104020</td><td>22-09-
align='right'>80110820</td><td>22-09-
2017</td><td>RAKIMAN</td><td>RAKIMAN</td><td>PETANI/PEKEBUN</td><td>KWANGSAN RT 02
RW 07</td><td>Kwangsan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80109884</td><td>22-09-
align='right'>80109884</td><td>22-09-
Minggarharjo</td><td>Hesti
Wiji Utami</td><td> - </td><td>L</td><td><1
DWI ASTUTI</td><td>SURATNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP RT 05 RW
></tr><tr><td align='right'>M54.5</td><td>Low back pain</td><td></td><td
2017</td><td>SAKIYEM</td><td>SAKIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>TILENG</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas
align='right'>80110818</td><td>22-09-2017</td><td>SALSABILA JIAN NOVA
ARDIANTO</td><td>NARDI</td><td></td><td>SECANG LOR RT 01 05</td><td>Secang
Lor</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80300173</td><td>22-09-2017</td><td>SRI SUNARSIH</td><td>SRI
SUNARSIH</td><td>MENGURUS RUMAH
align='right'>I20.9</td><td>Angina pectoris, unspecified</td><td></td><td
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Atmoko</td><td>L</td><td>20-44
tr><tr><td align='right'>G46.4</td><td>Cerebellar stroke syndrome</td><td></td><td
2017</td><td>SUDIYANTO</td><td>SUDIJANTO</td><td>PENSIUNAN</td><td>EROMOKO
RW 13</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUPRAPTO</td><td>SUPRAPTO</td><td>PETANI/PEKEBUN</td><td>NGEPOH</td><t
d>Ngepoh</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>80110817</td><td>22-09-
2017</td><td>SURATMAN</td><td>SURATMAN</td><td>WIRASWASTA</td><td>PULO RT 01 RW
06</td><td>Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUTANTI</td><td>NARDI</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG LOR
RT01 RW 05</td><td>Secang Lor</td><td>Ngunggahan</td><td>Puskesmas
align='right'>80110672</td><td>22-09-
2017</td><td>TOKARMO</td><td>TOKARMO</td><td>PETANI/PEKEBUN</td><td>GRITAN RT
01/09</td><td>Geritan</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80102326</td><td>22-09-
2017</td><td>TUKIJEM</td><td>SURIPTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON
align='right'>80101851</td><td>22-09-
2017</td><td>TUMINI</td><td>SLAMET</td><td>WIRASWASTA</td><td>PULO</td><td>Pulo</td
><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
</td><td>P</td><td>45-54
align='right'>80200954</td><td>22-09-
2017</td><td>TUMIYEM</td><td></td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>Talang<
2017</td><td>TUSILAH</td><td>SUTARMAN</td><td>PETANI/PEKEBUN</td><td>PRAMBE</td><td
>Prambe</td><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td>
<tr><td align='right'>I51.9</td><td>Heart disease, unspecified</td><td></td><td
2017</td><td>WIYADI</td><td>WIYADI</td><td>WIRASWASTA</td><td>JEMBUL,PASEKAN</td><t
d>Pasekan</td><td>PASEKAN</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
MANGUN SUMARSO</td><td>Luar
align='right'>80110826</td><td>22-09-
MANGUN SUMARSO</td><td>Luar
align='right'>80101386</td><td>23-09-2017</td><td>ARIFIN WIDYA
PUTRA</td><td>WIDODO</td><td>PELAJAR/MAHASISWA</td><td>MOJOSARI</td><td>Mojosari</t
d><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Handoko Pujipriyatno,S.kep</td><td>
><tr><td align='right'>B37.0</td><td>Candidal stomatitis</td><td></td><td
2017</td><td>DJUMADI</td><td>DJUMADI</td><td>PENSIUNAN</td><td>PLUMBON
><tr><td align='right'>B30.9</td><td>Viral conjunctivitis,
LESTARI</td><td>ERWIN</td><td>PETANI/PEKEBUN</td><td>MINGGAR</td><td>Minggar</td><t
2017</td><td>EKAWATI</td><td>SAMSU</td><td>PELAJAR/MAHASISWA</td><td>NGADIREJO RT
04 RW 03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80107462</td><td>23-09-2017</td><td>HADI WIRYANTO KARNO</td><td>HADI
WIRYANTO
KARNO</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</
td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
</td><td>L</td><td>55-59
align='right'>B30.9</td><td>Viral conjunctivitis, unspecified</td><td></td><td
2017</td><td>HARYONO</td><td>HARYONO</td><td>PETANI/PEKEBUN</td><td>SERUT</td><td>S
erut</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>L50.1</td><td>Idiopathic urticaria</td><td></td><td
2017</td><td>JUMIATI</td><td>SUTARYO</td><td>PEDAGANG</td><td>TILENG RT 01 RW
02</td><td>Tileng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80101817</td><td>23-09-
2017</td><td>KATINEM</td><td>KARTONO</td><td>PETANI/PEKEBUN</td><td>SERUT</td><td>S
erut</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
01/08</td><td>Bero</td><td>Minggarharjo</td><td>PKD & PUSTU
09-2017</td><td>MARIMIN</td><td>MARIMIN</td><td>PETANI/PEKEBUN</td><td>SECANG
align='right'>80200933</td><td>23-09-2017</td><td>MARSI</td><td>ATMO
SUWITO</td><td>MENGURUS RUMAH
TANGGA</td><td>SAMBONG</td><td>Sambong</td><td>Minggarharjo</td><td>PKD & PUSTU
align='right'>80110838</td><td>23-09-
2017</td><td>NARWI</td><td>SARIDI</td><td></td><td>TEMPURAN
2017</td><td>NARWI</td><td>SARIDI</td><td></td><td>TEMPURAN
align='right'>80700278</td><td>23-09-
2017</td><td>NOVITA</td><td>SUYADI</td><td>PELAJAR/MAHASISWA</td><td>BERO</td><td>B
ero</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>80100038</td><td>23-09-
align='right'>80103378</td><td>23-09-
align='right'>80107807</td><td>23-09-
2017</td><td>SAMIJEM</td><td>WARIJAN</td><td>MENGURUS RUMAH TANGGA</td><td>MALANGAN
RT 01 RW 06</td><td>Malangan</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>D06.9</td><td>Carcinoma in situ of cervix,
align='right'>80108261</td><td>23-09-
2017</td><td>SARMI</td><td>SARIKO</td><td>PETANI/PEKEBUN</td><td>MANDEYAN RT 03 RW
align='right'>57</td><td>BP. Umum</td><td>Poli Kandungan</td><td>RS PKU
align='right'>80103090</td><td>23-09-
08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Handoko
Pujipriyatno,S.kep</td><td>Atmoko</td><td>L</td><td>>70
2017</td><td>SARWANTI</td><td>WIDIYATNO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
align='right'>80102406</td><td>23-09-2017</td><td>SITI KUSNIATI</td><td>SIGIT
SN</td><td>PEGAWAI NEGERI SIPIL</td><td>WATULEMBU KULON</td><td>Watulembu
align='right'>80105068</td><td>23-09-
2017</td><td>SRIYATUN</td><td>SUSENO</td><td>PETANI/PEKEBUN</td><td>TLISING RT 01
RW 01</td><td>Tlising</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SUGIYANTI</td><td>BAMBANG SUJOKO</td><td>MENGURUS RUMAH
TANGGA</td><td>MANDEYAN RT 03 RW
RT04/05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80101741</td><td>23-09-
2017</td><td>SULIS</td><td>SURAMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SURU WETAN
RT 01 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>PKD & PUSTU
<tr><td align='right'>G44.2</td><td>Tension-type headache</td><td></td><td
2017</td><td>SURATI</td><td>SURATI</td><td>MENGURUS RUMAH
><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
align='right'>80700020</td><td>23-09-
2017</td><td>SUYATI</td><td>MARIMIN</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Ba
wuh</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
align='right'>N83.2</td><td>Other and unspecified ovarian cysts</td><td></td><td
MULYANI</td><td>SURATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>DAMPIT</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas
align='right'>80110846</td><td>23-09-
2017</td><td>TUKIYEM</td><td>TUKIYEM</td><td>WIRASWASTA</td><td>TAMBAK SARI TRUKAN
PRACI</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas
Induk</td><td>Handoko Pujipriyatno,S.kep</td><td> - </td><td>P</td><td>>70
RAHAYU</td><td>PUGUH</td><td>MENGURUS RUMAH TANGGA</td><td>WATULEMBU WETAN RT 02 RW
04</td><td>Watulembu Wetan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>WINDIYARTI</td><td>SUYADI</td><td>MENGURUS RUMAH TANGGA</td><td>BAWUH
RT 01/01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
RT 01/01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110826</td><td>23-09-
align='right'>80110826</td><td>23-09-
align='right'>43337</td><td align='right'>80100948</td><td>25-09-2017</td><td>AHMAD
PUTRA TRI P</td><td>SURATMO</td><td>LAINNYA</td><td>SONGPUTRI WETAN RT 02 RW
</td><td>P</td><td>45-54
align='right'>43403</td><td align='right'>80110871</td><td>25-09-2017</td><td>ARIF
PUTRA PRATAMA</td><td>NGADIMIN</td><td></td><td>DUNGPRING RT 03 RW
align='right'>H40.8</td><td>Other glaucoma</td><td></td><td
align='right'>43362</td><td align='right'>80105782</td><td>25-09-2017</td><td>ARIS
SURANTI.</td><td>MULYONO</td><td>KARYAWAN SWASTA</td><td>EROMOKO
Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>20-44
align='right'>80100387</td><td>25-09-2017</td><td>CIKA SEPTIANA
R</td><td>KATWANTO</td><td></td><td>BUNTALAN WETAN</td><td>Buntalan
align='right'>C31.9</td><td>Malignant neoplasm of accessory sinus,
align='right'>80110407</td><td>25-09-2017</td><td>DAMSIRI
</td><td>DAMSIRI</td><td>MENGURUS RUMAH TANGGA</td><td>DUNGPRING RT 02 RW
align='right'>80101409</td><td>25-09-
lan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80110862</td><td>25-09-2017</td><td>DAVINA LARASATI</td><td>BOWO
SETIYOKO</td><td>PELAJAR/MAHASISWA</td><td>TEGALREJO</td><td>Tegalrejo</td><td>Tega
lharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
NOVITASARI</td><td>YANTO</td><td>MENGURUS RUMAH TANGGA</td><td>DUNGPRING RT 03 RW
align='right'>80105102</td><td>25-09-2017</td><td>FX SUHARNO</td><td>FX
SUHARNO</td><td>KARYAWAN BUMD</td><td>EROMOKO WETAN RT 03 RW 03</td><td>Eromoko
><tr><td align='right'>F20.9</td><td>Schizophrenia, unspecified</td><td></td><td
2017</td><td>GUNAWAN ARI PURNOMO</td><td>BOINO</td><td>WIRASWASTA</td><td>PANGKAH
RT 03 RW 08</td><td>Pangkah</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>43401</td><td align='right'>80105039</td><td>25-09-2017</td><td>HENI
WARSITI</td><td>SUPRAPTO MIHARJO</td><td>WIRASWASTA</td><td>KEDUNGDADAP RT 01 RW
2017</td><td>ILHAM</td><td>TUGIMIN</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG</td><t
d>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80109436</td><td>25-09-
align='right'>43407</td><td align='right'>80110872</td><td>25-09-2017</td><td>KANSA
BIMA</td><td>SADINO</td><td></td><td>CEMANGKAH KIDUL RT 02 RW 07</td><td>Cemangkah
Kidul</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>L</td><td>10-14
2017</td><td>KARSIYEM</td><td>YITNO</td><td>MENGURUS RUMAH
></tr><tr><td align='right'>G44.2</td><td>Tension-type headache</td><td></td><td
2017</td><td>KATNI</td><td>PRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT
01 RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>L</td><td>>70
align='right'>J98.4</td><td>Other disorders of lung</td><td></td><td
2017</td><td>KINASIH</td><td>KINASIH</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>L60.8</td><td>Other nail disorders</td><td></td><td
align='right'>80110863</td><td>25-09-
2017</td><td>KINEM</td><td>WARINO</td><td>MENGURUS RUMAH TANGGA</td><td>MANDEYAN RT
01 RW 04</td><td>Mandeyan</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr.
2017</td><td>MARIYANTI</td><td>RUMIDI</td><td></td><td>NGADIREJO</td><td>Ngadirejo<
/td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>20-44
align='right'>F20.3</td><td>Undifferentiated schizophrenia</td><td></td><td
Iskandar, MM</td><td>Anita Nurlina</td><td>L</td><td>>70
align='right'>80104020</td><td>25-09-
align='right'>80100700</td><td>25-09-2017</td><td>RINI
align='right'>80110160</td><td>25-09-
RT01/RW01</td><td>Panekan</td><td>Panekan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>C69.9</td><td>Malignant neoplasm of eye, unspecified</td><td></td><td
2017</td><td>SAMIJEM</td><td>KARNO</td><td>PETANI/PEKEBUN</td><td>NGRANDU
</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SARMI</td><td>SUWEKNYO</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
2017</td><td>SINAH</td><td>TUMIJAN</td><td>MENGURUS RUMAH TANGGA</td><td>MINDI
TRUKAN </td><td> Kec. Praci</td><td>KEC. PRACI</td><td>Puskesmas Induk</td><td>Dr.
NUR</td><td>SAMIDI</td><td>MENGURUS RUMAH TANGGA</td><td>BONAGUNG RT01 RW
p</td><td> - </td><td>P</td><td>20-44
JUNATIH</td><td>RADIMIN</td><td>PETANI/PEKEBUN</td><td>PRANGJOHO</td><td>Prangjoho<
/td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
JUNATIH</td><td>RADIMIN</td><td>PETANI/PEKEBUN</td><td>PRANGJOHO</td><td>Prangjoho<
/td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
</td><td>P</td><td>45-54
align='right'>80100164</td><td>25-09-2017</td><td>SRI MARDIYATMINI</td><td>SRI
MARDIYATMINI</td><td>PEGAWAI NEGERI SIPIL</td><td>EROMOKO WETAN RT 02 RW
align='right'>80101105</td><td>25-09-
2017</td><td>SRIYATMI</td><td>SUPARNO</td><td>PENSIUNAN</td><td>TILENG</td><td>Tile
ng</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td>
- </td><td>P</td><td>60-69
></tr><tr><td align='right'>R30.0</td><td>Dysuria</td><td></td><td
2017</td><td>SUGIYARNI</td><td>SUGIYARNI</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>SUKINI</td><td>WASIRAN</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBAN RT
01 RW 11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80500024</td><td>25-09-
2017</td><td>SUKINI</td><td>WALOYO</td><td>PETANI/PEKEBUN</td><td>NGADIREJO</td><td
>Ngadirejo</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
</td><td>P</td><td>45-54
2017</td><td>SUMALI</td><td>SUMALI</td><td>PETANI/PEKEBUN</td><td>TALANG RT 02 RW
><tr><td align='right'>L50.9</td><td>Urticaria, unspecified</td><td></td><td
2017</td><td>SUMARNI</td><td>SUNARTO</td><td>MENGURUS RUMAH
TANGGA</td><td>KWANGSAN</td><td>Kwangsan</td><td>Panekan</td><td>PUSTU
RT04/03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>M08.0</td><td>Juvenile rheumatoid arthritis</td><td></td><td
TANGGA</td><td>PLUMBONRT 04 RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>PKD
><tr><td align='right'>M25.50</td><td>Pain in joint, multiple
align='right'>80110852</td><td>25-09-
2017</td><td>SUWARNO</td><td>SUWARNO</td><td>PENSIUNAN</td><td>EROMOKO WETAN RT 01
align='right'>80102391</td><td>25-09-
align='right'>80101464</td><td>25-09-
><tr><td
2017</td><td>TUMINEM</td><td>TOKARNO</td><td>MENGURUS RUMAH
03</td><td>Ngadirejo</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
Prasetyo</td><td>TRIYOKO</td><td>P</td><td>60-69
2017</td><td>TUMINI</td><td>TUMINI</td><td>PEDAGANG</td><td>JAMBANRT 02 RW
11</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
/tr><tr><td align='right'>H81.4</td><td>Verti of central origin</td><td></td><td
2017</td><td>TUTIK</td><td>M.TRIYANA</td><td>TRANSPORTASI</td><td>GABELAN
2017</td><td>VINDA</td><td>SUWEKNYO</td><td></td><td>SONGPUTRI WETAN RT 01 RW
2017</td><td>WAKINEM</td><td>JUMADI</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RT
align='right'>80104942</td><td>25-09-
d></tr><tr><td align='right'>B67.2</td><td>Echinococcus granulosus infection of
bone</td><td></td><td align='right'>43368</td><td
align='right'>80110855</td><td>25-09-
2017</td><td>WARDANI</td><td>WARDANI</td><td></td><td>PARANG JOHO RT 01 RW
06</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>H71</td><td>Cholesteatoma of middle ear</td><td></td><td
align='right'>43416</td><td align='right'>80104389</td><td>25-09-2017</td><td>WINDA
NINGRUM TIRTA
PUTRI</td><td>HONDO</td><td>PELAJAR/MAHASISWA</td><td>PRAMBE</td><td>Prambe</td><td
>Baleharjo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80400274</td><td>25-09-
2017</td><td>YATMI</td><td>YATMI</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG
align='right'>43413</td><td align='right'>80110873</td><td>25-09-2017</td><td>YENI
PAMELAN</td><td>TUKIR</td><td></td><td>SAMPANG
RT03/10</td><td>Sampang</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80102037</td><td>26-09-2017</td><td>AINI DWI NUR
td>Puskesmas Induk</td><td>Sri Purwanti</td><td> - </td><td>P</td><td>5-9
align='right'>80300212</td><td>26-09-2017</td><td>AISYAH NUR
RAHMAWATI</td><td>SAMIDI</td><td>PELAJAR/MAHASISWA</td><td>BONAGUNG RT01 RW
align='right'>80109971</td><td>26-09-
align='right'>80110885</td><td>26-09-
2017</td><td>DIKI</td><td>TUKIYO</td><td>PELAJAR/MAHASISWA</td><td>BUNTALAN
KULON</td><td>Buntalan Kulon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>DJUMADI</td><td>DJUMADI</td><td>PENSIUNAN</td><td>PLUMBON
><tr><td align='right'>J42</td><td>Unspecified chronic bronchitis</td><td></td><td
2017</td><td>ENDRATMOKO</td><td>PAIDI</td><td>WIRASWASTA</td><td>NGLEMPUNG RT 02 RW
02</td><td>Nglempung</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100529</td><td>26-09-
><tr><td align='right'>G83.8</td><td>Other specified paralytic
syndromes</td><td></td><td align='right'>43431</td><td
align='right'>80110881</td><td>26-09-2017</td><td>KARMIN TOKARMO</td><td>KARMIN
TOKARYO</td><td>PETANI/PEKEBUN</td><td>SAMBONG RT 03 RW
align='right'>77</td><td>BP. Umum</td><td>Poli Syaraf</td><td>RS PKU MUHAMMADIYAH
SELOGIRI</td><td>Dalam
align='right'>E21.0</td><td>Primary hyperparathyroidism</td><td></td><td
2017</td><td>KASNI</td><td>HARYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SERUT RT
02 RW 04</td><td>Serut</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110891</td><td>26-09-
2017</td><td>KATINI</td><td>PRIYONO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG
RT 01 RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
2017</td><td>LEGIYATMI</td><td>SUGENG MARJOKO</td><td>MENGURUS RUMAH
2017</td><td>MARYADI</td><td>MARYADI</td><td>PETANI/PEKEBUN</td><td>BLIMBING, RT 03
RW 04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
><tr><td align='right'>R07.4</td><td>Chest pain, unspecified</td><td></td><td
2017</td><td>MULYONO</td><td>MULYONO</td><td>PETANI/PEKEBUN</td><td>CEMANGKAH KIDUL
ambe</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>80200010</td><td>26-09-
align='right'>80110896</td><td>26-09-
2017</td><td>PRASETYO</td><td>HERMANTO</td><td>WIRASWASTA</td><td>EROMOKO KULON RT
><tr><td align='right'>J42</td><td>Unspecified chronic bronchitis</td><td></td><td
align='right'>43444</td><td align='right'>80101892</td><td>26-09-2017</td><td>RIKE
APRILIA
SARI</td><td>WALUYO</td><td>PELAJAR/MAHASISWA</td><td>SERUT</td><td>Serut</td><td>M
inggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>5</td><td align='right'>17</td><td>BP. Umum</td><td>Poli Paru -
Paru</td><td>BBKPM SURAKARTA</td><td>Dalam
><tr><td align='right'>J06.9</td><td>Acute
upper respiratory infection, unspecified</td><td></td><td
2017</td><td>SAMIDI</td><td>SAMIDI</td><td>WIRASWASTA</td><td>BONAGUNG RT01 RW
p</td><td> - </td><td>L</td><td>20-44
2017</td><td>SAMIJEM</td><td>WARIJAN</td><td>MENGURUS RUMAH TANGGA</td><td>MALANGAN
RT 01 RW 06</td><td>Malangan</td><td>Baleharjo</td><td>Puskesmas
2017</td><td>SARNI</td><td>SUWEKNYO</td><td>MENGURUS RUMAH TANGGA</td><td>SONGPUTRI
HARTINI</td><td>AAS</td><td>MENGURUS RUMAH TANGGA</td><td>SINDUKARTO RT 01 RW
with multiple complications</td><td></td><td align='right'>43442</td><td
align='right'>80100697</td><td>26-09-
2017</td><td>SUDIYANTO</td><td>SUDIJANTO</td><td>PENSIUNAN</td><td>EROMOKO
align='right'>X58</td><td>Exposure to other specified factors as an external cause
of morbidity and mortality</td><td></td><td align='right'>43451</td><td
align='right'>80110888</td><td>26-09-
2017</td><td>SUGIYANTO</td><td>SUGIYATNO</td><td>WIRASWASTA</td><td>SIYONO RT 03 RW
RT01/RW02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101499</td><td>26-09-
2017</td><td>SUKARMI</td><td>MURYADI</td><td>KARYAWAN
SWASTA</td><td>SIYONO</td><td>Siyono</td><td>Ngadirejo</td><td>Puskesmas
align='right'>80110876</td><td>26-09-
2017</td><td>SULARNI</td><td>TIMAN</td><td>MENGURUS RUMAH TANGGA</td><td>DUNG PRING
RT 03 RW 07</td><td>Dungpring</td><td>Ngunggahan</td><td>Puskesmas
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>P</td><td>55-59
2017</td><td>SULARNI</td><td>SUTARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>BOLAKREJO RT 02 RW
align='right'>80100398</td><td>26-09-
LOR</td><td>Gabelan Lor</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUTARNO</td><td>SUTARNO</td><td>WIRASWASTA</td><td>BOLAKREJO RT 02 RW
align='right'>80100076</td><td>26-09-
align='right'>80110884</td><td>26-09-2017</td><td>TUMIYEM</td><td>YADI AL
SUYADI</td><td>PENSIUNAN</td><td>MANDEYAN RT01 RW
align='right'>80110879</td><td>26-09-
2017</td><td>WAGINAH</td><td>PARMAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
hari</td><td>Keluarga</td><td>Baru</td><td>BPJS MANDIRI</td><td>Rajal</td><td
2017</td><td>WAGINAH</td><td>PARMAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
hari</td><td>Keluarga</td><td>Baru</td><td>BPJS MANDIRI</td><td>Rajal</td><td
align='right'>43525</td><td align='right'>80103809</td><td>27-09-2017</td><td>ALIF
NOWO NUR SEJATI</td><td>SUKATMO</td><td>PELAJAR/MAHASISWA</td><td>SAMBONG RT 02 RW
align='right'>80400055</td><td>27-09-
2017</td><td>ALIF.N</td><td>RAHAYU</td><td>KONSTRUKSI</td><td>DEMANGAN</td><td>Dema
ngan</td><td>Ngunggahan</td><td>PKD Ngunggahan</td><td>Dian Purwati</td><td> -
align='right'>80104630</td><td>27-09-2017</td><td>ARLLA AILANI S
A</td><td>ANDRI</td><td></td><td>EROMOKO KULON</td><td>Eromoko
align='right'>80800054</td><td>27-09-2017</td><td>DAVA DWI
KURNIAWAN</td><td>SUYANTO</td><td>KONSTRUKSI</td><td>BALEHARJO</td><td>Baleharjo</t
d><td>Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>D25.9</td><td>Leiomyoma of uterus, unspecified</td><td></td><td
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>TRIYOKO</td><td>P</td><td>>70
><tr><td align='right'>A01.0</td><td>Typhoid fever</td><td></td><td
2017</td><td>KARTIYEM</td><td>TUKIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>SURU
WETAN RT 03 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80106642</td><td>27-09-
2017</td><td>KASIJEM</td><td>SUGIYO</td><td>MENGURUS RUMAH TANGGA</td><td>POJOK RT
01 RW 06</td><td>Pojok</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>KASTO</td><td>KASTO</td><td>WIRASWASTA</td><td>MOJOSARI</td><td>Mojosa
ri</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
align='right'>80105928</td><td>27-09-
2017</td><td>LAGIYEM</td><td>LAGIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>81200137</td><td>27-09-
2017</td><td>LARNI</td><td>SANTOSO</td><td>MENGURUS RUMAH
align='right'>80102188</td><td>27-09-2017</td><td>MAIRA KANSA</td><td>SLAMET
RIYADI</td><td>KONSTRUKSI</td><td>NGEPOH RT 01 RW
09</td><td>Ngepoh</td><td>Sumberharjo</td><td>PKD SUMBERHARJO</td><td>Wahyuti
align='right'>O21.1</td><td>Hyperemesis gravidarum with metabolic
disturbance</td><td></td><td
align='right'>43709</td><td align='right'>80800286</td><td>27-09-2017</td><td>MEGA
KUSTYARINI</td><td>CARLY</td><td>MENGURUS RUMAH
2017</td><td>MULYADI</td><td>MULYADI</td><td>PEGAWAI NEGERI
align='right'>C11.9</td><td>Malignant neoplasm of nasopharynx,
align='right'>80110912</td><td>27-09-
2017</td><td>NARDI</td><td>NARDI</td><td>PENSIUNAN</td><td>NGUNGGAHAN RT 01 RW
2017</td><td>NURYATI</td><td>SIWUR</td><td>MENGURUS RUMAH TANGGA</td><td>NGRAWAN RT
02 RW 02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80100479</td><td>27-09-
2017</td><td>RAKIMAN</td><td>RAKIMAN</td><td>PETANI/PEKEBUN</td><td>PANDAN RT 01 RW
2017</td><td>RAKINEM</td><td>RAKINEM</td><td>MENGURUS RUMAH TANGGA</td><td>BUNTALAN
2017</td><td>RISTIA SARI</td><td>MARGONO</td><td>MENGURUS RUMAH
TANGGA</td><td>EROMOKO WETAN RT 02 RW 03</td><td>Eromoko
</td><td>P</td><td>20-44
align='right'>80109534</td><td>27-09-
2017</td><td>SAFIRA</td><td>SIHUR</td><td>PELAJAR/MAHASISWA</td><td>NGRAWAN RT 02
RW 02</td><td>Ngrawan</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80100118</td><td>27-09-
></tr><tr><td align='right'>H53.1</td><td>Subjective visual
align='right'>80100118</td><td>27-09-
<tr><td align='right'>L50.0</td><td>Allergic urticaria</td><td></td><td
2017</td><td>SUBINI</td><td>WURYONO</td><td>MENGURUS RUMAH
align='right'>R10.4</td><td>Other and unspecified abdominal pain</td><td></td><td
2017</td><td>SUGIYEM</td><td>SUGIYEM</td><td>MENGURUS RUMAH TANGGA</td><td>MINGGAR
RT 02 RW 003</td><td>Minggar</td><td>Minggarharjo</td><td>Puskesmas
align='right'>71</td><td>BP. Umum</td><td>Poli Penyakit Dalam</td><td>RS PKU
align='right'>80102850</td><td>27-09-
2017</td><td>SUHARMI</td><td>SUHARMI</td><td>LAINNYA</td><td>KEDUNGDADAP</td><td>Ke
dungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
2017</td><td>SUKATMI</td><td>AGUNG</td><td>MENGURUS RUMAH TANGGA</td><td>BOKUNING
LOR </td><td>Tempurharjo</td><td>TEMPURHARJO</td><td>Puskesmas Induk</td><td>Sri
align='right'>V98</td><td>Other specified transport accidents</td><td></td><td
2017</td><td>SULARNO</td><td>SULARNO</td><td>PETANI/PEKEBUN</td><td>WATULEMBU
Purwanti</td><td>TRIYOKO</td><td>L</td><td>45-54
align='right'>80101859</td><td>27-09-2017</td><td>SULARSIH</td><td>ABDUL
WACHID</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO WETAN</td><td>Eromoko
</td><td>P</td><td>60-69
align='right'>80102013</td><td>27-09-
align='right'>80101162</td><td>27-09-
align='right'>80110535</td><td>27-09-
2017</td><td>SUTINO</td><td>SUTINO</td><td>WIRASWASTA</td><td>EROMOKO
2017</td><td>SUTINO</td><td>SUTINO</td><td>WIRASWASTA</td><td>EROMOKO
align='right'>80500278</td><td>27-09-
2017</td><td>TARNI</td><td>TRIMO</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td>Ngr
andu</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td>Ida Tri
2017</td><td>TARNI</td><td>TAMBIYATNO</td><td>PETANI/PEKEBUN</td><td>PARANGJOHO RT
align='right'>80110909</td><td>27-09-
2017</td><td>TUGINEM</td><td>SUKRAMNO</td><td>WIRASWASTA</td><td>GEDONG</td><td>Ged
ong</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri Purwanti</td><td> -
</td><td>P</td><td>60-69
2017</td><td>TUKIMIN</td><td>TUKIMIN</td><td>PETANI/PEKEBUN</td><td>SURU WETAN RT
03 RW 06</td><td>Suru Wetan</td><td>Minggarharjo</td><td>Puskesmas
align='right'>80108737</td><td>27-09-
2017</td><td>TUKIMIN</td><td>TUKIMIN</td><td>PENSIUNAN</td><td>PLUMBOM RT 04 RW
align='right'>80101456</td><td>27-09-
align='right'>S82.2</td><td>Fracture of shaft of tibia</td><td></td><td
BAMBANG KRISTYANTO</td><td>SUWARDI</td><td>WIRASWASTA</td><td>EROMOKO WETAN RT 02
></tr><tr><td align='right'>M08.0</td><td>Juvenile rheumatoid
arthritis</td><td></td><td align='right'>43822</td><td
align='right'>80500049</td><td>27-09-
2017</td><td>WAKIYEM</td><td>TUKIRIN</td><td>PETANI/PEKEBUN</td><td>NGRANDU</td><td
>Ngrandu</td><td>Ngadirejo</td><td>PKD Ngadirejo</td><td>Indrarini</td><td> -
RT 01/RW 01</td><td>Bawuh</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101554</td><td>28-09-2017</td><td>ADITYA NAUFAL DARRY</td><td>SRI
PURBOYO</td><td>KONSTRUKSI</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PKD
& PUSTU Panekan</td><td>Sri Sularsih</td><td> - </td><td>L</td><td>1-4
WAHYUDI</td><td>AGUS WAHYUDI</td><td></td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80105278</td><td>28-09-2017</td><td>ARUM NOVITA
SARI</td><td>SRIWANTO</td><td>PELAJAR/MAHASISWA</td><td>PANGKAH</td><td>Pangkah</td
><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>81100302</td><td>28-09-2017</td><td>ATIK WINARTI</td><td>ARIS
SUSANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PKD
align='right'>N20.0</td><td>Calculus of kidney</td><td></td><td
HARDIYANTO,SPD</td><td>BUDI HARDIYANTO,SPD</td><td>PENSIUNAN</td><td>EROMOKO WETAN
Umum</td><td>poli prolanis /geriatri</td><td>RS DR SUDIRO MANGUN
align='right'>80102656</td><td>28-09-2017</td><td>CELSI
WAHYU.</td><td>SUTARNO</td><td>PELAJAR/MAHASISWA</td><td>KEDUNGDADAP</td><td>Kedung
dadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80300008</td><td>28-09-
p</td><td> - </td><td>P</td><td>45-54
SETYANINGSIH</td><td>MOJIYONO</td><td>TRANSPORTASI</td><td>SINDUKARTO</td><td>Sindu
karto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>81100292</td><td>28-09-2017</td><td>DIMAS AGUNG PRASETYA</td><td>ARIF
2017</td><td>ENDANG PURWANTO</td><td>ENDANG
PURWANTO</td><td>WIRASWASTA</td><td>GERITAN RT 01 RW
align='right'>K12.2</td><td>Cellulitis and abscess of mouth</td><td></td><td
align='right'>80102862</td><td>28-09-
2017</td><td>IRFAN</td><td>SUKISNO</td><td>PELAJAR/MAHASISWA</td><td>WATULEMBU
KULON</td><td>Watulembu Kulon</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr.
align='right'>80110315</td><td>28-09-
2017</td><td>JAENUDIN</td><td>JAENUDIN</td><td>WIRASWASTA</td><td>MOJOPURO RT 01 RW
2017</td><td>JUMINO</td><td>JUMINO</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Be
2017</td><td>KASIRAH</td><td>SRIWANTO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><t
d>Pangkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka
align='right'>81100036</td><td>28-09-
2017</td><td>KATI</td><td>TOMO</td><td>PETANI/PEKEBUN</td><td>PANGKAH RT 02 RW
align='right'>80110922</td><td>28-09-
2017</td><td>MAHMUT</td><td>MADI</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING RT 01
RW 04</td><td>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80200189</td><td>28-09-
2017</td><td>MAKNO</td><td>MAKNO</td><td>PETANI/PEKEBUN</td><td>JAMBAN</td><td>Jamb
an</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri Suwarsi</td><td> -
align='right'>80900386</td><td>28-09-
2017</td><td>MARNI</td><td>TRIYATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>PANEKAN</td><td>Panekan</td><td>Panekan</td><td>PKD & PUSTU
Panekan</td><td>Sri Sularsih</td><td>Sri Purwanti</td><td>P</td><td>20-44
align='right'>81100301</td><td>28-09-
2017</td><td>MARYONO</td><td>MARYONO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td
- </td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
align='right'>J35.0</td><td>Chronic tonsillitis</td><td></td><td
2017</td><td>MIRNAWATI</td><td>WAKIYO</td><td>PELAJAR/MAHASISWA</td><td>KLAMPEYAN
2017</td><td>MISYANTI</td><td>SUMADI</td><td>MENGURUS RUMAH
align='right'>81100028</td><td>28-09-2017</td><td>NADIA NUR
ROHMATUL</td><td>SUPARNO</td><td>PELAJAR/MAHASISWA</td><td>MALANGAN</td><td>Malanga
n</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80105757</td><td>28-09-
align='right'>K00.9</td><td>Disorder of tooth development,
align='right'>80900365</td><td>28-09-2017</td><td>PARINEM</td><td>KROMO
SENTONO</td><td>LAINNYA</td><td>KLAMPEYAN RT01
align='right'>80800152</td><td>28-09-2017</td><td>PARIYEM</td><td>KARDI
WARSONO</td><td>MENGURUS RUMAH
TANGGA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PKD
Baleharjo</td><td>Sri Eka Darmarini</td><td> - </td><td>L</td><td>55-59
align='right'>80100792</td><td>28-09-
2017</td><td>RAKIJEM</td><td>SUKIJAN</td><td>MENGURUS RUMAH
align='right'>80101634</td><td>28-09-2017</td><td>RATRI
PRIHANTORO,A.MA</td><td>RATRI PRIHANTORO,A.MA</td><td>PEGAWAI NEGERI
SIPIL</td><td>SENGON</td><td>Sengon</td><td>Eromoko</td><td>Puskesmas
align='right'>43615</td><td align='right'>80104037</td><td>28-09-2017</td><td>RIRIN
TUSIDA</td><td>SURANTO</td><td>MENGURUS RUMAH TANGGA</td><td>PANGKAH RT 02 RW
><tr><td align='right'>K00.9</td><td>Disorder of tooth development,
align='right'>80109654</td><td>28-09-
2017</td><td>SAGINO</td><td>SAGINO</td><td>WIRASWASTA</td><td>NGLOKO RT 01 RW
2017</td><td>SANEM</td><td>SANEM</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>Pan
gkah</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
</td><td>P</td><td>45-54
align='right'>81600296</td><td>28-09-
2017</td><td>SANTI</td><td>AGUS</td><td>MENGURUS RUMAH
TANGGA</td><td>PRACIMANTORO</td><td> Kec. Praci</td><td>KEC. PRACI</td><td>PKD
2017</td><td>SARWENDA YULIANTI</td><td>HANI PURWANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>TANJUNG RT 01 RW 06</td><td>Tanjung</td><td>Panekan</td><td>PKD &
align='right'>80102111</td><td>28-09-
2017</td><td>SELLY</td><td>IWAN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
><tr><td align='right'>E78.3</td><td>Hyperchylomicronaemia</td><td></td><td
2017</td><td>SRIYATUN</td><td>SUSENO</td><td>PETANI/PEKEBUN</td><td>TLISING RT 01
RW 01</td><td>Tlising</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
2017</td><td>SUGIT</td><td>MARTOREJO</td><td>WIRASWASTA</td><td>BLUTAK RT 01 RW
align='right'>80110921</td><td>28-09-
2017</td><td>SUGIYANTO</td><td>SUGIYANTO</td><td>WIRASWASTA</td><td>TURI RT 03 RW
11 SINE SRAGEN</td><td>Luar Wilayah</td><td>Luar Wilayah</td><td>Puskesmas
align='right'>80101784</td><td>28-09-
2017</td><td>SUGIYARSIH</td><td>GIYARNO</td><td>MENGURUS RUMAH
align='right'>80105736</td><td>28-09-
2017</td><td>SUHARNO</td><td>SUHARNO</td><td>PETANI/PEKEBUN</td><td>TUKUL RT 03 RW
align='right'>80107002</td><td>28-09-
2017</td><td>SUKATMAN</td><td>SUKATMAN</td><td>PETANI/PEKEBUN</td><td>PULO</td><td>
Pulo</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
2017</td><td>SULASTRI</td><td>SARIMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>BULU</td><td>Bulu</td><td>Baleharjo</td><td>PUSTU
align='right'>80101301</td><td>28-09-
2017</td><td>SUMARYANTO</td><td>SUMARYANTO</td><td>PETANI/PEKEBUN</td><td>EROMOKO
RW 13</td><td>Mantenan</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan
d></tr><tr><td align='right'>R05</td><td>Cough</td><td></td><td
2017</td><td>SUNARSI</td><td>SETYAWAN</td><td>MENGURUS RUMAH
><tr><td align='right'>H10.9</td><td>Conjunctivitis, unspecified</td><td></td><td
2017</td><td>SUPARTINI</td><td>SUNARTO</td><td>MENGURUS RUMAH TANGGA</td><td>BERO
RT 01 RW 08</td><td>Bero</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr.
d align='right'>H70.9</td><td>Mastoiditis, unspecified</td><td></td><td
2017</td><td>SURASMI</td><td>TUKIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE RT
02 RW 08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>80110927</td><td>28-09-2017</td><td>SUSILOWATI</td><td>BUDI
PURWANTO</td><td>KARYAWAN SWASTA</td><td>KEDUNGDADAP
align='right'>K29.5</td><td>Chronic gastritis, unspecified</td><td></td><td
2017</td><td>SUTARNI</td><td>SUTARNI</td><td>PEGAWAI NEGERI
align='right'>80107948</td><td>28-09-
align='right'>80102657</td><td>28-09-
2017</td><td>TINI</td><td>TINI</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>Bengle
</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
align='right'>80200954</td><td>28-09-
2017</td><td>TUMIYEM</td><td></td><td>PETANI/PEKEBUN</td><td>TALANG</td><td>Talang<
2017</td><td>VINA</td><td>WINARNO</td><td>MENGURUS RUMAH
2017</td><td>WAGIMIN</td><td>WAGIMIN</td><td>PETANI/PEKEBUN</td><td>BENGLE</td><td>
Bengle</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td> -
</td><td>L</td><td>55-59
2017</td><td>WISNI</td><td>MARYONO</td><td>PETANI/PEKEBUN</td><td>PANGKAH</td><td>B
aleharjo</td><td>Baleharjo</td><td>PKD Baleharjo</td><td>Sri Eka Darmarini</td><td>
align='right'>80100903</td><td>29-09-2017</td><td>ABIT AQILA
PRANAJA</td><td>SUTRIS</td><td>LAINNYA</td><td>SAMBONG</td><td>Sambong</td><td>Ming
garharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
WAHYUDI</td><td>AGUS WAHYUDI</td><td></td><td>GABELAN KIDUL</td><td>Gabelan
Kidul</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80600062</td><td>29-09-2017</td><td>ALICHA
RAHMADHANI</td><td>RUDI</td><td>KONSTRUKSI</td><td>NGLEMPUNG</td><td>Nglempung</td>
<td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
align='right'>80600301</td><td>29-09-2017</td><td>ARI.
S</td><td>SURATNO</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
align='right'>43714</td><td align='right'>80800283</td><td>29-09-2017</td><td>BAGUS
PAMBUDI</td><td>HARI</td><td>KONSTRUKSI</td><td>PRAMBON</td><td>Prambon</td><td>Bal
eharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
2017</td><td>BINEM</td><td>PARJO</td><td>PETANI/PEKEBUN</td><td>NGARAAN RT 02 RW
03</td><td>Ngaraan</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
Purbaningsih</td><td> - </td><td>P</td><td>>70
d></tr><tr><td align='right'>K11.2</td><td>Sialoadenitis</td><td></td><td
align='right'>43742</td><td align='right'>80600308</td><td>29-09-2017</td><td>CINTA
RIHADATUL
AISYA</td><td>SUTRIS</td><td>KONSTRUKSI</td><td>SAMBONG</td><td>Sambong</td><td>Min
ggarharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
</td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
2017</td><td>DANANG APRIAWAN</td><td>KATINO</td><td>WIRASWASTA</td><td>MOJOSARI RT
01 RW 08</td><td>Mojosari</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
align='right'>M00.9</td><td>Pyogenic arthritis, unspecified</td><td></td><td
2017</td><td>DAROJI</td><td>DAROJI</td><td>PETANI/PEKEBUN</td><td>GABELAN
></tr><tr><td align='right'>L20.9</td><td>Atopic dermatitis,
LESTARI</td><td>ERWIN</td><td>MENGURUS RUMAH
TANGGA</td><td>MINGGAR</td><td>Minggar</td><td>Minggarharjo</td><td>PKD
></tr><tr><td align='right'>B00.9</td><td>Herpesviral infection,
align='right'>80110196</td><td>29-09-2017</td><td>EKA
DEWI</td><td>SUGIYATO</td><td>MENGURUS RUMAH TANGGA</td><td>BAKALAN RT 02 RW
07</td><td>Bakalan</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>43654</td><td align='right'>80110935</td><td>29-09-2017</td><td>EVA
PRATAMASARI</td><td>SUNARNO</td><td></td><td>SONG PUTRI WETAN RT02 RW
align='right'>80105102</td><td>29-09-2017</td><td>FX SUHARNO</td><td>FX
SUHARNO</td><td>KARYAWAN BUMD</td><td>EROMOKO WETAN RT 03 RW 03</td><td>Eromoko
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>>70
><tr><td align='right'>B35.8</td><td>Other dermatophytoses</td><td></td><td
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anis Purwandari</td><td>L</td><td>>70
2017</td><td>KARMOREJO MUKIYO</td><td>KARMOREJO
MUKIYO</td><td>PETANI/PEKEBUN</td><td>NGRATAN RT 02 RW
09</td><td>Ngratan</td><td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
Iskandar,
2017</td><td>KASINO</td><td>KASINO</td><td>BURUH HARIAN LEPAS</td><td>KEDONGDADAP
align='right'>H25.9</td><td>Senile cataract, unspecified</td><td></td><td
2017</td><td>KATINAH</td><td>KATINAH</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
01/08</td><td>Bero</td><td>Minggarharjo</td><td>PKD & PUSTU
2017</td><td>LESTARI</td><td>KARNO</td><td>WIRASWASTA</td><td>KEDONGDADAP RT04 R
</td><td>P</td><td>45-54
2017</td><td>MULYANI</td><td>WINARTO</td><td>MENGURUS RUMAH
align='right'>80600276</td><td>29-09-2017</td><td>NANIK
S</td><td>RADI</td><td>MENGURUS RUMAH
align='right'>80107778</td><td>29-09-
2017</td><td>NONIK</td><td>PUJIYANTO</td><td></td><td>MINGGAR</td><td>Minggar</td><
td>Minggarharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar, MM</td><td> -
align='right'>A69.0</td><td>Necrotizing ulcerative stomatitis</td><td></td><td
2017</td><td>NURYADI</td><td>NURYADI</td><td>PETANI/PEKEBUN</td><td>SAMPANG</td><td
align='right'>80600305</td><td>29-09-
2017</td><td>PAINO</td><td>PAINO</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>Bolak
</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> -
</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI
align='right'>80700111</td><td>29-09-
2017</td><td>PARTI</td><td>SADINO</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Bawu
align='right'>80200157</td><td>29-09-
2017</td><td>PARTI</td><td>YATMIN</td><td>PETANI/PEKEBUN</td><td>BAWUH</td><td>Bawu
align='right'>80109768</td><td>29-09-
Induk</td><td>Dr. Iwan Iskandar, MM</td><td>Anita Nurlina</td><td>P</td><td>45-54
2017</td><td>RADIKA ASKA S</td><td>JOKO
RISWANTO</td><td>KONSTRUKSI</td><td>BALEROTO</td><td>Baleroto</td><td>Minggarharjo<
/td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji Utami</td><td> -
align='right'>M00.9</td><td>Pyogenic arthritis, unspecified</td><td></td><td
2017</td><td>SAINEM</td><td>SAINEM</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><td>Bol
ak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td>
align='right'>80600309</td><td>29-09-
2017</td><td>SALSA</td><td>SLAMET</td><td>KONSTRUKSI</td><td>NGLEMPUNG</td><td>Ngle
mpung</td><td>Tegalharjo</td>
<td>PKD Tegalharjo</td><td>Ida Tri Purbaningsih</td><td> - </td><td>P</td><td>5-9
align='right'>80103836</td><td>29-09-
2017</td><td>SANIYEM</td><td>WAGIYO</td><td>PETANI/PEKEBUN</td><td>GABUG RT 01 RW
></tr><tr><td align='right'>M00.9</td><td>Pyogenic arthritis,
align='right'>80600135</td><td>29-09-
2017</td><td>SARMI</td><td>NGADINO</td><td>MENGURUS RUMAH
RW 07</td><td>Plumbon</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Sri
2017</td><td>SETYOWATI</td><td>SANUDIN</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE
RT02/08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SRIYANTI</td><td>WARDI</td><td></td><td>PRAMBE</td><td>Prambe</td><td>
Baleharjo</td><td>PUSTU Baleharjo</td><td>Sri Purwaningsih</td><td> -
align='right'>80105025</td><td>29-09-2017</td><td>SUCI
RAMADHANI</td><td>SUNARDI</td><td></td><td>GABELAN LOR</td><td>Gabelan
align='right'>80110938</td><td>29-09-
2017</td><td>SUKINO</td><td>SUKINO</td><td>PETANI/PEKEBUN</td><td>BARAN RT 01 RW
08</td><td>Baran</td><td>Puloharjo</td><td>Puskesmas Induk</td><td>Budi
align='right'>80600147</td><td>29-09-
2017</td><td>SULISTIO</td><td>SULISTIYO</td><td>PETANI/PEKEBUN</td><td>BOLAK</td><t
d>Bolak</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
2017</td><td>SUPARMI</td><td>WARDI</td><td>MENGURUS RUMAH
2017</td><td>SUPRAPTI</td><td>BOWO</td><td>MENGURUS RUMAH
align='right'>80600198</td><td>29-09-
2017</td><td>SURATI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
align='right'>80110937</td><td>29-09-
2017</td><td>SUWARSI</td><td>SAINO</td><td>MENGURUS RUMAH TANGGA</td><td>TUKUL RT
02/05</td><td>Tukul</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SUYATMI</td><td>SUYATMI</td><td>MENGURUS RUMAH TANGGA</td><td>JAMBE
RT02/08</td><td>Jambe</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
></tr><tr><td align='right'>L50.6</td><td>Contact urticaria</td><td></td><td
2017</td><td>TATIK R</td><td>TARNO</td><td>MENGURUS RUMAH
></tr><tr><td align='right'>I20.9</td><td>Angina pectoris,
align='right'>80800060</td><td>29-09-
2017</td><td>TUGINO</td><td>TUGINO</td><td>PETANI/PEKEBUN</td><td>GABELAN
Purbaningsih</td><td> - </td><td>L</td><td>>70
2017</td><td>TUKIJEM</td><td>TUKIJEM</td><td>PETANI/PEKEBUN</td><td>SAMBONG</td><td
>Sambong</td><td>Minggarharjo</td><td>PKD & PUSTU Minggarharjo</td><td>Hesti Wiji
Purbaningsih</td><td> - </td><td>P</td><td>>70
2017</td><td>TUKIYEM</td><td>KATIMAN</td><td>MENGURUS RUMAH
align='right'>80105521</td><td>29-09-
2017</td><td>VITRIYANTI</td><td>RUDI</td><td>MENGURUS RUMAH
TANGGA</td><td>TEGALREJO RT 02 RW
06</td><td>Tegalrejo</td><td>Tegalharjo</td><td>PKD Tegalharjo</td><td>Ida Tri
align='right'>80104942</td><td>29-09-
03 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr.
><tr><td align='right'>M00.9</td><td>Pyogenic arthritis,
align='right'>80200279</td><td>29-09-
2017</td><td>WARSI</td><td>WARSI</td><td>MENGURUS RUMAH TANGGA</td><td>GABELAN
KIDUL RT 01 RW 05</td><td>Gabelan Kidul</td><td>Tegalharjo</td><td>PKD
2017</td><td>WIDODO</td><td>WIDODO</td><td>PETANI/PEKEBUN</td><td>SIYONO</td><td>Si
yono</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>G46.3</td><td>Brain stem stroke syndrome</td><td></td><td
align='right'>80101007</td><td>29-09-2017</td><td>WINARNI</td><td>HONDO
SUNOWO</td><td>MENGURUS RUMAH
align='right'>80600045</td><td>29-09-
></tr><tr><td align='right'>F20.8</td><td>Other schizophrenia</td><td></td><td
PEMERINTAH</td><td>Rajal</td><td align='right'>21</td><td
align='right'>80110947</td><td>30-09-
2017</td><td>DARMI</td><td>SUTIYO</td><td>MENGURUS RUMAH TANGGA</td><td>PARANG JOHO
RT 03/06</td><td>Prangjoho</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Sri
align='right'>80110958</td><td>30-09-2017</td><td>DARMI</td><td>JOKO
ISMOYO</td><td>MENGURUS RUMAH TANGGA</td><td>SECANG LOR RT 02 RW 05</td><td>Secang
Kidul</td><td>Ngunggahan</td><td>Puskesmas Induk</td><td>Handoko
align='right'>80102811</td><td>30-09-
2017</td><td>DIYONO</td><td>DIYONO</td><td>PETANI/PEKEBUN</td><td>GABELAN
Prasetyo</td><td>Anita Nurlina</td><td>L</td><td>60-69
WULANDARI</td><td>WASINO</td><td></td><td>PLUMBON KIDUL RT 01 RW 03</td><td>Plumbon
NUR JAYANTI</td><td>DANANTO</td><td>MENGURUS RUMAH
05</td><td>Kedungdadap</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
align='right'>43807</td><td align='right'>80102222</td><td>30-09-2017</td><td>IYOS
RESMIYATIN</td><td>EKO</td><td>MENGURUS RUMAH TANGGA</td><td>PRAMBE RT 01 RW
03</td><td>Prambe</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>I20.8</td><td>Other forms of angina
pectoris</td><td></td><td align='right'>43750</td><td
align='right'>80104315</td><td>30-09-
2017</td><td>JUMADI</td><td>JUMADI</td><td>PETANI/PEKEBUN</td><td>BUNTALAN WETAN RT
align='right'>80101817</td><td>30-09-
<tr><td align='right'>S72.0</td><td>Fracture of neck of femur</td><td></td><td
Iskandar, MM</td><td>TRIYOKO</td><td>P</td><td>>70
2017</td><td>KASNO</td><td>KASNO</td><td>KARYAWAN SWASTA</td><td>SINDUKARTO RT 01
RW 05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Sri
align='right'>80101749</td><td>30-09-
2017</td><td>KATEMI</td><td>TUKINO</td><td>MENGURUS RUMAH TANGGA</td><td>NGRANDU RT
01 RW 04</td><td>Ngrandu</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi
</tr><tr><td align='right'>L20.9</td><td>Atopic dermatitis,
align='right'>80102886</td><td>30-09-
2017</td><td>KRISNIATI</td><td>WARDI</td><td>WIRASWASTA</td><td>EROMOKO
<tr><td
2017</td><td>PAIJEM</td><td>KATIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
2017</td><td>RINI</td><td>ERIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>SAMBONG RT
04 RW 11</td><td>Sambong</td><td>Minggarharjo</td><td>Puskesmas
2017</td><td>SARIKEM</td><td>SARIKEM</td><td>MENGURUS RUMAH TANGGA</td><td>DAMPIT
RT 03 RW 06</td><td>Dampit</td><td>Sumberharjo</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>SARTINI</td><td>SUKIDI</td><td>MENGURUS RUMAH TANGGA</td><td>EROMOKO
align='right'>80103630</td><td>30-09-
2017</td><td>SOEDJADNO</td><td>SOEDJADNO</td><td>PEGAWAI NEGERI
SIPIL</td><td>JAMBAN</td><td>Jamban</td><td>Ngadirejo</td><td>Puskesmas
</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>45-54
</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> - </td><td>P</td><td>45-54
align='right'>H60.9</td><td>Otitis externa, unspecified</td><td></td><td
RAHMANI</td><td>SUGITO</td><td>PEGAWAI NEGERI SIPIL</td><td>PLUMBON
align='right'>80108255</td><td>30-09-
2017</td><td>SUKIDI</td><td>SUKIDI</td><td>PETANI/PEKEBUN</td><td>EROMOKO KULON RT
03 RW 02</td><td>Eromoko Kulon</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Budi
d></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td
d></tr><tr><td align='right'>G46.4</td><td>Cerebellar stroke
syndrome</td><td></td><td align='right'>43804</td><td
align='right'>80104426</td><td>30-09-
2017</td><td>SUTINI</td><td>KASNO</td><td>MENGURUS RUMAH TANGGA</td><td>SINDUKARTO
RT 01/05</td><td>Sindukarto</td><td>Sindukarto</td><td>Puskesmas Induk</td><td>Budi
2017</td><td>TIARA</td><td>HARIS</td><td>PELAJAR/MAHASISWA</td><td>BLIMBING</td><td
>Blimbing</td><td>Eromoko</td><td>Puskesmas Induk</td><td>Dr. Iwan Iskandar,
align='right'>80102063</td><td>30-09-
l</td><td>Ngadirejo</td><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td> -
</td><td>L</td><td>60-69
02/06</td><td>Jatirejo</td><td>Baleharjo</td><td>Puskesmas Induk</td><td>Budi
><tr><td align='right'>I84.9</td><td>Unspecified haemorrhoids without
align='right'>80104139</td><td>30-09-
2017</td><td>TUKINEM</td><td>KASDIANTO</td><td></td><td>NGARAAN RT02 /
03</td><td>Ngaraan</td><td>Tegalharjo</td><td>Puskesmas Induk</td><td>Dr. Iwan
align='right'>L70.0</td><td>Acne vulgaris</td><td></td><td
S</td><td>KASDIYANTO</td><td></td><td>NGARAAN</td><td>Ngaraan</td><td>Tegalharjo</t
d><td>Puskesmas Induk</td><td>Budi Prasetyo</td><td>Sri
Suwarsi</td><td>P</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI
align='right'>80100029</td><td>30-09-
2017</td><td>WARINEM</td><td>WASINO</td><td>MENGURUS RUMAH TANGGA</td><td>PLUMBON
align='right'>80110950</td><td>30-09-2017</td><td>YULI SRI
FITRIYANI</td><td>YUNIAS</td><td>PETANI/PEKEBUN</td><td>MOJOPURO KULON RT 01 RW
align='right'>J30.4</td><td>Allergic rhinitis, unspecified</td><td></td><td
2017</td><td>YUNIAS</td><td>YUNIAS</td><td>WIRASWASTA</td><td>MOJOPURO RT 01 RW
Wilayah</td><td>'</td><td>'</td><td></td><td></td></tr></table>

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<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>

Periode : 01-07-2017 s/d 30-09-2017<br>Kode Unit = 01<br>

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