LA

NO Asal Puskesmas Poliklinik

1 BABAH BULOH PARU
2 SAMUDERA PARU
3 SUKAJAYA JANTUNG
4 LHOKSUKON ANAK
5 MUARA BATU JANTUNG
6 TANAH LUAS JANTUNG
7 KUTA MAKMUR JANTUNG
8 SEUNUDDON JANTUNG
9 MUARA DUA JANTUNG
10 TANAH JAMBO AYE JANTUNG
11 KUTA MAKMUR JANTUNG
12 PAYA BAKONG JANTUNG
13 LANGKAHAN JANTUNG
14 DEWANTARA JANTUNG
15 BAKTIYA JANTUNG
16 DEWANTARA JANTUNG
17 BLANG MANGAT PARU
18 SAMUDERA PARU
19 BAKTIYA PARU
20 SAMUDERA PARU
21 KUTA MAKMUR PARU
22 MATANG KULI JANTUNG
23 MUARA BATU JANTUNG
24 MUARA DUA JANTUNG
25
26
27
28
29
30
31
32
33
34
35
 LAPORAN PASIEN RUJUK BALIK (PRB) RSUCM

Nama Dokter No. Hp Pasien

dr. INDRA BUANA, Sp.P -
dr. INDRA BUANA, Sp.P -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. MAGHFIRAH, Sp. A -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. INDRA BUANA, Sp.P -
dr. INDRA BUANA, Sp.P -
dr. INDRA BUANA, Sp.P -
dr. INDRA BUANA, Sp.P -
dr. INDRA BUANA, Sp.P -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA -
RAN PASIEN RUJUK BALIK (PRB) RSUCM

Alamat Pasien Tgl Daftar Diagnosa

BABAH BULOH 11/10/19 ASTHMA
SAMUDERA 11/10/19 ASTHMA
SUKAJAYA 04/04/19 ANGINA PECTORIS
LHOKSUKON 28-03-2019 EPILEPSI
MUARA BATU 11/04/19 HEART FAILURE
TANAH LUAS 22-04-2019 PATEN DUCTUS ARTERIOSUS
KUTA MAKMUR 26-03-2019 PRIMARY PULMONARY HYPERTENSI
SEUNUDDON 19-03-2019 THYROIDITIS
MUARA DUA 18-04-2019 ATHERO SCLEROTIC HEART DISEASE
TANAH JAMBO AYE 23-04-2019 CARDIOMEGALY
KUTA MAKMUR 18-04-2019 CONGESTIVE HEART FAILURE
PAYA BAKONG 04/04/19 ASTHMA
LANGKAHAN 02/04/19 CONGESTIVE HEART FAILURE
DEWANTARA 12/03/19 CARDIOMEGALY
BAKTIYA 28-03-2019 CHRONIC ISCHAEMIC HEART DISEASE
DEWANTARA 11/04/19 CONGESTIVE HEART FAILURE
BLANG MANGAT 08/04/19 PPOK
SAMUDERA 04/10/19 MIXED ASTHMA
BAKTIYA 04/10/19 CHORONIC OBSTRUCTIVE PULMONARY
SAMUDERA 04/10/19 ASTHMA
KUTA MAKMUR 01/10/19 DISEASES OF BRONCHUS
MATANG KULI 16-04-2019 CONGENITAL STENOSIS OF VE
MUARA BATU 23-04-2019 CONGESTIVE HEART FAILURE
MUARA DUA 11/04/19 SECONDARY HYPERTENSION
 Nama Pasien No Kartu
ZULFIANA 0000222245548
NURFAZILLAH 0000981010642
SAIFULLI AMRI 0002490191425
ALFANDY RIZQI SYAHRIL 0002485216304
ASNAWI JAMALUDDIN, ST 0002483734149
ALFIA RAHMATILLAH 0002473094935
RAIMAH 0002467813296
YUSNIATI 0002460711868
M. NADHIR 0002453428912
ZUBAIDAH 0002429858384
HAFSAH 0002425707628
AQILA TULFARIZA 0002423018698
NURDIN 0002619737458
MANAWIYAH 0002621350326
AJURAN IDRIS 0002611903577
NUR ISMY 0000001583076
ROHANI NURHASANAH 0000001392636
FITRIANA 0002497495375
MAISARAH 0000224032623
MAWADDAH 0000980991819
LATIFAH 0001868645417
THIBRAN JAMIL 0002326787919
ABDULLAH 0002294691895
RATNA DEWI 0002277497092
 LA

NO Asal Puskesmas Poliklinik

1 KLINIK VINCA ROSEA DALAM
2 KLINIK HUSADA LHOKSUKON PARU
3 SYAMTALIRA ARON PARU
4 KUTA MAKMUR PARU
5 TANAH LUAS PARU
6 MUARA DUA PARU
7 LHOKSUKON PARU
8 BAKTIYA BARAT PARU
9 SAMUDERA DALAM
10 dr. ELVIANA SARAGIH PARU
11 MEURAH MULYA PARU
12 BLANG MANGAT PARU
13 SYAMTALIRA BAYU PARU
14 LAPANG DALAM
15 BAKTIYA PARU
16 MON GEUDONG PARU
17 LHOKSUKON PARU
18 KLINIK DR. SAMSUL RIZAL PARU
19 PAYA BAKONG PARU
20 COT GIREK PARU
21 SYAMTALIRA ARON PARU
22 SEUNUDDON PARU
23 KLINIK HUSADA LHOKSUKON PARU
24 LHOKSUKON PARU
25 SIMPANG KRAMAT PARU
26 SYAMTALIRA BAYU PARU
27 SAMUDERA PARU
28 KUTA MAKMUR JANTUNG
29 NIBONG JANTUNG
30 DEWANTARA JANTUNG
31 DEWANTARA DALAM
32 SEUNUDDON JIWA
33 NIBONG JIWA
34 LHOKSUKON JIWA
35 MEURAH MULYA JIWA
36 BAKTIYA DALAM
37 LHOKSUKON GINJAL/HIPERTENSI
38 BAKTIYA BARAT SARAF
39 BANDA SAKTI GINJAL/HIPERTENSI
40 LHOKSUKON GINJAL/HIPERTENSI
41 SYAMTALIRA BAYU DALAM
 LAPORAN PASIEN RUJUK BALIK (PRB) RSUCM

Nama Dokter No. Hp Pasien Alamat Pasien

dr. SUHAIMI, Sp.PD 085277842275 -
dr. INDRA BUANA, Sp.P 082360736645 -
dr. INDRA BUANA, Sp.P - SYAMTALIRA ARON
dr. INDRA BUANA, Sp.P - KUTA MAKMUR
dr. INDRA BUANA, Sp.P - TANAH LUAS
dr. INDRA BUANA, Sp.P - MUARA DUA
dr. INDRA BUANA, Sp.P - LHOKSUKON
dr. INDRA BUANA, Sp.P - BAKTIYA BARAT
dr. SUHAIMI, Sp.PD - SAMUDERA
dr. INDRA BUANA, Sp.P 082367284588 -
dr. INDRA BUANA, Sp.P - MEURAH MULYA
dr. INDRA BUANA, Sp.P 085361461771 BLANG MANGAT
dr. INDRA BUANA, Sp.P - SYAMTALIRA BAYU
dr. SUHAIMI, Sp.PD - LAPANG
dr. INDRA BUANA, Sp.P - BAKTIYA
dr. INDRA BUANA, Sp.P - MON GEUDONG
dr. INDRA BUANA, Sp.P 085207371954 LHOKSUKON
dr. INDRA BUANA, Sp.P 085272245531 -
dr. INDRA BUANA, Sp.P - PAYA BAKONG
dr. INDRA BUANA, Sp.P - COT GIREK
dr. INDRA BUANA, Sp.P - SYAMTALIRA ARON
dr. INDRA BUANA, Sp.P - SEUNUDDON
082360736645 -
dr. INDRA BUANA, Sp.P 085215532492 LHOKSUKON
dr. INDRA BUANA, Sp.P - SIMPANG KRAMAT
dr. INDRA BUANA, Sp.P - SYAMTALIRA BAYU
dr. INDRA BUANA, Sp.P - SAMUDERA
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA - KUTA MAKMUR
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA - NIBONG
dr. YURI SAVITRI,S.M.KED (CARDIO), Sp.JP.FIHA - DEWANTARA
dr. SUHAIMI, Sp.PD - DEWANTARA
dr. MILA ASTARI H. M. Ked. Sp.KJ - SEUNUDDON
dr. MILA ASTARI H. M. Ked. Sp.KJ - NIBONG
dr. MILA ASTARI H. M. Ked. Sp.KJ - LHOKSUKON
dr. MILA ASTARI H. M. Ked. Sp.KJ - MEURAH MULYA
dr. SUHAIMI, Sp.PD 085358404462 BAKTIYA
dr. RAHMAWATI,Sp. PD. KGH - LHOKSUKON
dr. BASLI MUHAMMAD, Sp. S - BAKTIYA BARAT
dr. RAHMAWATI,Sp. PD. KGH - BANDA SAKTI
dr. RAHMAWATI,Sp. PD. KGH - LHOKSUKON
dr. SUHAIMI, Sp.PD - SYAMTALIRA BAYU
K (PRB) RSUCM

Tgl Daftar Diagnosa Nama Pasien

28-10-2019 DIABETES MELLITUS UMI SALAMAH
22-10-2019 FAMILY HYSTORY OF ASTHMA ILYAS
28-10-2019 ASHTMA NASRUDDIN ILYAS
17-10-2019 ASHTMA M JAFAR RASYID
16-10-2019 ASHTMA CUT IRADAH
15-10-2019 PPOK ZAINUDDIN
16-10-2019 TUBERCULOSIS OF LUNG M SALEH
16-10-2019 CHRONIC OBSTRUCTIVE PULMONARY ABDUL WAHAB
28-10-2019 DIABETES MELLITUS MAIMUNAH
01/10/19 ASHTMA MUHAMMAD REZA RAMAZAN
14-10-2019 ASHTMA MUSNADI
14-10-2019 RESPIRATORY TUBERCULOSIS NURAINI
14-10-2019 TUBERCULOSIS OF LUNG MURIZAL
19-09-2019 DIABETES MELLITUS IDRIS SULAIMAN
14-10-2019 CHRONIC OBSTRUCTIVE PULMONARY M JALIL
14-10-2019 CHRONIC OBSTRUCTIVE PULMONARY MARYANI DAUD
14-10-2019 TUBERCULOSIS OF LUNG SULAIMAN
14-10-2019 BRONCHITIS IRADHANI
14-10-2019 RESPIRATORY TUBERCULOSIS SYARIFAH
14-10-2019 RESPIRATORY TUBERCULOSIS HUSAINI
14-10-2019 STATUS ASTHMATICUS MARDIANA
14-10-2019 ASHTMA HALIMAH HASBALLAH
22-10-2019 FAMILY HISTORY OF ASTHMA ILYAS
15-10-2019 ASHTMA M USMAN BANSU
15-10-2019 ASHTMA ZULKIFLI
15-10-2019 PPOK AJMI
18-10-2019 CHRONIC BRONCHITIS MARYANI USMAN
28-03-2019 CONGESTIVE HEART FAILURE ZAINAL ABIDIN YUSUF
11/04/19 CHEST PAIN HABIBAH JUHAN
15-01-2019 CONGESTIVE HEART FAILURE NUR ISMY
28-01-2019 DIABETES MELLITUS NURLELA
22-10-2019 SCHIZOPHRENIA SALMIAH
24-10-2019 SCHIZOPHRENIA ARMIA
24-10-2019 SCHIZOPHRENIA CUT NURSIAH
28-10-2019 SCHIZOPHRENIA ZAINAL ABIDIN YUSUF
3/1/2019 DIABETES MELLITUS KARIMUDDIN
30-10-2019 ESSENTIAL [PRIMARY] HYPERTENSI MARYATI
17-10-2019 STROKE CHAIRUL AZMI
29-10-2019 SECONDARY HYPERTENSION AINUL MARDHIAH
30-10-2019 ESSENTIAL [PRIMARY] HYPERTENSI ENY SRI RAHAYU
30-10-2019 DIABETES MELLITUS NURFARIJAH
 No Kartu

0000199427613
0001081896737
0002287345689
0002284369391
0000003159134
0002060086274
0000223379717
0002310100839
0000981017133
0001118108968
0002213470642
0000229484968
0000222386962
0001794078101
0001122608193
0001111363841
0000223628984
0001268654646
0002236236647
0000222658119
0001120990353
0000223293249
0001081896737
0000980935503
0002291668806
0000980633338
0001858490414
0002271196451
0002258389563
0000001583076
0000001953382
0000224121813
0001267717961
0000980923263
0000980675706
0000002598232
0002080175859
0000003152349
0001834133905
0000980918875
0000981013061