DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN

TANGGAL : 11 Nopember 2020

JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT KELUHAN DIAGNOSA THERAFI LAB
L P B L
1 Hj. Salewati P 52 RT 03 L Sering pusing, nyeri tengkuk Hypertensi Amlodifin 10 Mg X GD 130
0000897899343 TD 180/100 SPO2 99, RR 23, Temp 36'4 C Nadi 80 Omeprazol X CH 171
GD 130, CH 171 Vitamin B Comp X
2 Jarianto L 55 RT 09 L Post Op Jantung +/- 3 bulan Jantung Metil Pred 4 mg X
Pasien Umum Cetrizin X

3 Sahabudin L 39 RT 03 L Tangan kaki sakit keram bengkak hypercolesterol Simvas 20 mg X AU 4,0

0001923549434 SPO2 84, Nadi 124, BB 20 Kg Amlodivin 5 mg X CH 298
Nadic 50 mg X
4 Mariati P 46 RT 03 L Lutut sakit sakit, ngilu Gastritis Simvas 20 mg X AU 3,7
0000898368355 nyeri ulu hati TD 120/80 SPO2 88 hypercolesterol Nadic 50 mg X CH 231
Antasida X
5 Werang HM P 64 RT 04 L Batuk , pilek LS +/- 10 hari ISPA Amlodivin 5 mg X
0000897715045 TD 160/80. SPO2 96 Acetyl X
Dexa X
Salbu 4 mg X
6 Siti Rahma P 64 RT 09 P Pusing, Batuk 2 hr , Nyeri Pinggang ISPA Mialgia OBH Syr I
0000897715135 TD 110/70, SPO2 98, Nadi 81, suhu 36'8 C, BB 69 Amlodivin 5 mg X
Kg Dexa X, CTM X
7 Pacinai P 57 RT 09 L Sakit Pinggang, ada mata ikan pada kaki kiri Clavus Amlodivin 5 mg X GD 102
Pasien Umum TD 170/90, SPO2 99, Nadi 96, Suhu 37'4 C Hypertensi Nadic 50 mg X CH 183
Nvitamin B Comp X
8 Nyomang P 41 Rt 09 L Sakit lutut dan tangan kiri Hypercolesterol Nadic 50 mg X Au 3,7
0001975008429 TD 120/90, SPO2 98, Nadi 82, Suhu 36'8 Simvas 20 mg X CH 231
BB 61 Kg Vit B comp X
9 Dello P 20 RT 19 L Sakit Pinggang, kaki Nadic 50 mg X
 0002371653876 TD 90/70,SPO2 99, Nadi 93, suhu 36'8 BB 40 Kg B. Comp X
10 Sahria P 41 RT 06 L Nyeri ulu hati, mual Gastritis Antasid Syr I
0000898018255 TD 140/90, SPO2 97, Nadi 71, Suhu 36'9 BB 75 Kg Omeprazol X
PCT X
11 Rasidin L 50 RT 06 L Sakit Paha Metformin X GD 197
0001923547432 SPO2 99, Nadi 94, Suhu 36'8 C, BB 25 Kg Simvas 20 mg X CH 245
Nadic 50 mg X
12 Ritawati P 48 RT 19 L Pusing Sakit pinggang hypertensi Amlodivin 5 mg X CH 238
0000202119221 TD 190/70, SPO2 99, Nadi 102, Suhu 37 BB 40 Kg Simvas 20 mg X

13 Abd . Latif L 63 RT 06 L Sakit Pinggang, Batuk Hypertensi + Amlodivin 5 mg X GD

0000898017873 TD 170/90, SPO2 99, Nadi 80, Suhu 36'7 BB 60 Kg Hypercolesterol Metformin X CH 210
glimepirid XX
Symvastatin 10 mg X
14 Siyah P 56 RT 06 L Sakit Perut Bagian Bawah kiri Hypertensi Amlodivin 5 mg X CH 301
0001926079874 TD 160/90, SPO2 99, Nadi 69, suhu 36 BB 61 Kg Simvas 20 mg X
15 Hayati P 48 RT 06 L keram tangan dan kaki betahistin X
0001926070986 TD 100/60, BB 60 Omeprazol X
Simvas 20 mg X
16 Najemiah P 48 RT 07 L Sakit Kepala , Gatal-gatal sebadan Amlodivin 5 mg X
0000899822981 TD 150/90, SPO2 99 Nadi 97, T 36'9 BB 69 Omeprazol X
17 Selvi P 28 RT 06 B Pusing, nyeri ulu hati TD 110/80 Gastritis Ranitidine X CH 130
0000897933339 SPO2 99, N 118 T 36 Antasida, PCT X
18 Rahma P 39 RT 06 B Batuk Pilek LS 3 hr Amox Syr I
0001926079053 SPO2 97, Nadi 111, Suhu 36'9 BB 23 Kg ISPA + Susp Thypoid PCT X
Puyer
19 Almiyah P 43 RT 06 L Sakit dada , sesak Ranitidine X GD 331
0000897937762 TD 150/80 SPO2 98, Nadi 100, suhu 36 BB 56 Hypertensi +Asma Nadic 50 mg X CH 246
Symvastatin 20 mg X
20 Abdillah L 65 RT 19 L Pusing Amlodivin 5 mg X
00023729722 TD 160/80 , SPO2 99, Nadi 108 suhu 36'7 hypertensi PCT X
 Gastritis
21 Ida P 50 RT 06 L Mual Amlodivin 5 mg X
Gratis TD 130/90, SPO2 98 Nadi 100, suhu 36'4 Omeprazol X
22 Rosmawati P 59 RT 07 L Keram keram Amlodivin 5 mg X GD 233
Gratis TD 180/90 SPO2 99, Nadi 124, BB 52 Kg Metformin X CH 245
glimepirid XX
Simvas 20 mg X
23 Risna P 33 RT 05 L Jari jari tangan sakit Tonsilitis Meloxicam X
0001926077460 TD 130/90 , SPO2 98, Nadi 100, Suhu 36'8C Dexamethason X
B. Comp X
24 Elsa Mayora P 12 RT 06 L Gatal Gatal Alergi CTM X
0000896913393 SPO2 96, Nadi 88, Suhu 36 Scabimid Cream I
25 Ella P 18 RT 06 B Alergi Alergi Dexamethason X
0000896912155 SPO2 94, Nadi 88, Suhu 36 CTM X
Omeprazol X
JUMLAH 5 20 25 3 22

Sungai Mariam, 11 Nopember 2020

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam Pelaksana

Zuama Dellyannur, SKM dr. Yuditha Patiung

NIP. 19750406 199503 1 002 NIP. 197509262014102001
 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN
TANGGAL : 29 Juli 2020
JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT KELUHAN DIAGNOSA THERAFI LAB
L P B L
1 Anna P 8/15/1978 RT 04 L Batuk Pilek 3 Hr, Gatal Ispa + Urticaria GG X
00001975041909 TD 100/70, SPO2 , RR 76 1806 + 3812 Methyl X
Amox X
CTM X
2 Siti Rahmah P 64 Thn RT 04 B Nyeri bokong , pusing Ischialgia + HT Urgensi Simvastatin X
6402045905560001 RD 170 /100 , SPO2 97, RR 76, BB 55 TB 143 Piroxicam X
Amlodipin 10 mg X
3 Harma P 42 RT 03 L Sakit Kepala Migrain + Dispepsia Ranitidine X
0000898370278 TD 110/70, RR 22, Nadi 86 PCT X
4 Juhrian P 38 RT 02 L Tangan kram Hyperuricemia + B. Comp X GD 94
Umum TD 130/80 , RR 20 Nadi 76 Neuritis Allupurinol X CH 264
5 Suriati P 32 RT 02 L Keram keram ditangan Neuritis Asmef X
Umum TD 140/80 Nadi 86 B. Comp X
6 Ega P 54 RT 01 L Kepala Pusing Dispepsia + HT + Vertigo Amlodipin 5 mg X
0001926075519 TD 130/70 Nadi 93, RR 22 Simvastatin X
PCT X
Antasida X
7 Hj. Halimah P 59 RT 05 L Pusing merasa melayang HT + Vertigo Amlodipin 5 mg X
0000898160984 TD 150/90 , Nadi 74 RR 21 Antasida X
8 Naderian P 38 RT 02 L Nyeri Tengkuk terasa berat Myalgia + HT Amlodipin 5 mg X
000898397829 TD 160/90 RR 21, Nadi 83 Nadic 50 mg X
9 Nurhaini P 38 RT 03 L Nyeri Kepala Hypertensi Amlodipin 5 mg X GD 360
Umum TD 140/80 RR 22 Antasida X CH 141
10 Sumardi L 53 RT 07 L Riwayat DM DM Vit B6 X GD 126
0000899822755 TD 100/70, SPO2 98, Nadi 84 Metformin X CH 178
Nadic 50 mg X
Amlodipin 5 mg X
11 Rasidin L 50 RT 06 L Pusing, sakit Kepala Myalgia Nadic 50 mg X GD 143
0001923547432 TD 120/80 , SPO2 99 Dexametason X CH 119
12 Tini P 65 RT 01 L Kontrol Tekanan Darah Hypertensi Amlodipin 50 mg X CH 112
0000898368963 TD 180/120, BB 67 TB 150 PCT X
13 Rosmawati P 45 RT 07 L Kontrol DM DM T II Metformin X GDS 455
Umum TD 130/80,SPO2 98, nadi 83, Suhu 36,5C Gliben X
14 Marini P 42 RT 06 L Nyeri Tengkuk Hypertensi Catopril 25 mg X GD 108
0001923547443 TD 150/90, BB 83, TB 158 Nadic 50 mg X CH 165
15 Rachel Zakie L 6 RT 07 L Batuk Ambroxol VI
0002294479214 BB 19 kg , TB 11,5
16 M. Azka L 1 RT 04 B Diare 1 minggu Diare Zink X
888802924247396 BB 11,1 kg Cotri X Oralit V
17 Hj. Ati P 63 Tani Baru L Kontrol Hypertensi Hypertensi Simvastatin X GD 140
Umum TD 190/130, BB 80 kg B. Comp X CH 191
Amlodipin 50 mg X
18 Rahmaniah P 41 RT 03 L Kontrol DM T II Simvastatin X GD 300
Umum Tani Baru TD 130/80,SPO2 98, nadi 88, Suhu 36C B. Comp X CH 275
20 Nadian P 20 RT 02 L Nyeri Pinggang OA Piroxicam X
Umum TD 120/80 BB 50 B 152
21 Cakring L 73 RT 09 L Kontrol DM DM T II Gliben X GD 250
0000898323535 TD 130/80 BB 48
22 Maryati P 53 RT 09 L Nyeri Punggung OA + HT Piroxicam X
0000898276083 TD 210/120 SPO2 97 BB 49, TB 147 Amlodipin 50 mg X
23 Rehan L 7 RT 06 L Gatal dikaki Ketoconazole
Umum BB 17 kg Ctm X
24 Rusni P 26 RT 19 L Nyeri Ulu Hati TD 110/70 SPO2 98 dispepsia Lansprazole X
0000944085508 HR 106 BB 60 Nadic 50 mg X
25 Supiansyah L 38 RT 02 L Sakit Kepala Asmef X
0000898397829 TD 130/70 BB 79 kg
26 Supariah P 45 RT 02 L Riwayat DM DM + Colesterol Metformin X GD 300
0000898397829 TD 100/70 , BB 50 B comp X CH 275
Nadic 500 mg X
27 Sabariah P 45 RT 01 L Gatal gatal di badan Ptisiasis Alba cetirizine I
Umum SPO2 99, nadi 99, suhu 36,7C Salycil Talk I
28 Kamarudin L 50 RT 01 L Kontrol Hypertensi Hypertensi Catopril 25 mg X
Umum TD 160/130, BB 72 kg Nadic 50 mg X
29 Sulaiman L 55 RT 02 L Nyeri Punggung Urtikaria Piroxicam X
0000899822981 TD 120/80,SPO2 98, nadi 80, Suhu 36,2C Amlodipin 50 mg X
JUMLAH 9 20 29 29 2 27

Sungai Mariam, 29 Juli 2020

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam Pelaksana

Zuama Dellyannur, SKM dr. Anggara Hadinata

NIP. 19750406 199503 1 002
 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN
TANGGAL : 22 Juli 2020
JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT KELUHAN DIAGNOSA THERAFI LAB
L P B L
1 Suri P 46 RT 14 L Riwayat DM Kontrol DM T II Glimefiride X GD 346
0000896863239 TD 110/70 Metformin X
SPO2 99 bb 86
2 Mamma L 55 RT 14 L Riwayat HT , Sakit sakit badan Myalgia + HT B. Comp X
Umum TD 150/90, SPO2 97, Nadi 88 Suhu 36'7C Nadic 50mg X
Amlodipin 5 mg X
3 Pati L 77 RT 07 L Riwayat Hypertensi Hypertensi Amlodipin 5 mg X
0000899842689 TD 160/100 BB 60
4 Rugayah P 71 RT 07 L Riwayat Hypertensi HT + Hypercolesterol Amlodipin 5 mg X GD 94
0000899843422 TD 160/80 BB 49 Ranitidine X CH 154
Simvastatin X
5 Saparuddin L 55 RT 04 L Gatal di selangkangan urticaria + Cough GG X
0001975041909 TD 110/70 BB 57 Betametason X
CTM X
6 Rahma P 52 RT 06 L Batuk LS 3 hari HT + Cough GG X
000926079053 TD 160/100 HR 96 RR 22 BB 60 Amox X
Amlodipin 5 mg X
7 Sugianto L 26 RT 13 L Tertusuk Paku Vulnus Ictum Asmef X
Umum TD 120/80 HR 73 RR 20 BB 60 Dexa X
Amox X
8 Cakaring L 73 RT 09 L Riwayat Diabetes DM T II Metformin X GD 468
0000898323525 TD 100/70 HR 84, RR 22 BB 47 Gliben X
9 Milda P 15 RT 04 L Sakit gigi, pusing Ginggivitis Nadic 50 mg X
0001926076476 TD 110/80, SPO2 99, Nadi 91, Suhu 36,9'C Dexametason X
10 Mastang P 37 RT 04 L Kram tangan dan kaki, bagian telapak kaki nyeri Myalgia + Hypercolesterol Simpastatin X GD 103
000087552652 TD 110/80, SPO2 98, Nadi 93, Suhu 37'C BB 75,5 B. Comp X AU 4,5
Nadic 25 mg X CH 228
11 Risna P 33 RT 05 L Jari jari tangan sakit Tonsilitis Meloxicam X
0001926077460 TD 130/90 , SPO2 98, Nadi 101, Suhu 36'8C Dexamethason X
 B. Comp X
12 Wannang P 57 RT 01 L Tangan kiri sakit Susp OA gent Pyroxicam X
00008983394872 TD 120/80, SPO2 99, Nadi 82, Suhu 36,9'C BB 47 Dexamethason X
13 Rosida P RT 04 L Tangan kaki sakit Susp OA gent Pyroxicam X
0000898042263 TD 120/80, SPO2 99, Nadi 82, Suhu 36,9'C BB 47 Dexamethason X
14 Ritawati P 48 RT 19 L Pusing, sakit perut kiri HT + Susp. ISK Catopril 25 mg X
0000202119221 TD 200/100, SPO2 98, Nadi 75 BB 62 Nadic 50 mg X
Ciprofloxacim X
15 Hj. Nukrah P 65 RT 07 L Pusing, Riwayat Hypertensi, Colesterol, Hypercolesterol + Simvastatin X
Umum Nyeri Tengkuk TD 200/90 SPO2 98, Nadi 82, HT Urgensi , Disppepsia Catopril 25 mg X
Suhu 36'8 BB 61 Kg PCT X
16 Nursiah P 70 RT 05 L Pusing Myalgia + dispepsia Lansprazole X
000089724949846 TD 120/80, SPO2 97, Nadi 86, Suhu 36,6'C Nadic 50 mg X
17 Musriah P 63 RT 04 L Tangan jkanan kram, kaki sakit, nyeri kepala Hypercolesterol + HT Simvastatin X GD 97
000089799787 TD 140/90, SPO2 99, Nadi 80, Suhu 37'1C BB 63 B. Comp X AU 3,2
Amlodipin 50 mg X CH 263
18 Erna P 41 RT 04 L Kepala terasa berputar putar, Vertigo + Dispepsia Ranitidine X
000898470167 TD 90/60, SPO2 99, Nadi 84 Betahistin X
Dimenhidrinat X
19 Harma P 42 RT 03 L Nyeri Kepala sebelah Ranitidine X
0000898370278 TD 130/80 SPO2 98, Nadi 100, suhu 36 BB 56 Myalgia + Hypercolesterol Nadic 50 mg X CH 281
Symvastatin 20 mg X
20 Ernawati P 37 RT 09 L Sakit dada , Riwayat Asma GERD Lansiprazole X
Umum TD 140/100, SPO2 98, Nadi 96, Suhu 36.9'C BB 67 Sukralfat syr I
21 Ismi P 3 RT 04 B Batuk pilek ls 2 hari, demam sejak semalam ISPA
Umum SPO2 99, Nadi 125, Suhu 36,9'C BB 11,8
22 Hadrah P 59 RT 06 L Paha sebelah kiri nyeri, Nyeri ulu hati Myalgia + Hypertensi Nadic 50 mg X
0000897892413 TD 140/100, SPO2 99 Suhu 36'6 BB 69,5 Kg mlodipin 5 mg X
B. Comp X
23 Rasniawati P 27 RT 05 L Mual, muntah tiap kali makan, KU lemah Bumil dengan Hyperemisis Ranitidine X
0000897753374 TD 90/60, RR 80, SPO2 90 Nadi 102 Vit B6 X
Lansprazole X
24 Rusni P 26 RT 03 L Mual, Muntah GII PI A0 UK 9 mgg Asam folat XXX
0000944085508 TD 100/60, BB 60 B6 X
25 Paradilla P 19 RT 07 L Bumil HPHT 8/3/2020 mual, pusing Bumil GII PI A0 UK 8mgg Tes kehamilan (+)
Umum TD 110/70, SPO2 98, nadi 89, Suhu 36,6C Ranitidine X
Lansoprazole X
B6 X
26 Ella P 35 RT 06 L Pusing, pandangan kabur, kaki kiri kanan kram Dispepsia + Ginggivitis Antasida X
0000896912155 TD 110/80, SPO2 99, Nadi 100 Suhu 37,2'C B comp X
Nadic 500 mg X
27 M. Habib Milyar L 7 Bln RT 06 B Batuk 1 mgg Ispa Puyer Bapil
Suhu 37,1'C BB 6,7
28 Elsa Mayora P 12 RT 06 L Gatal gatal di badan Ptisiasis Alba cetirizine I
0000896913393 SPO2 99, nadi 99, suhu 36,7C Salycil Talk I
29 Najemeiah P 49 RT 07 L Gatal gatal di badan Urtikaria Loratadine X
0000899822981 TD 130/80,SPO2 98, nadi 83, Suhu 36,5C Dexametason X
30 Bunga P 60 RT 03 L Riwayat HT, Kolesterol, Pusing HT + Dispepsia Catopril 12,5 X
Umum TD 120/80, SPO2 98, Nadi 80, Suhu 36,9C Ranitidine X
Nadic 500 mg X

31 Rita P 38 RT 09 B Kontrasepsi pasang IUD anak 3 Pasang IUD IUD

Umum
32 Rahmatia P 58 RT 15 L Keram kedua tangan, lutut sakut DM + Neuritis Metformin 500 mg X GD 488
Umum TD 200/120, SPO2 84, Nadi 61, SUHU 37 BB 64,6 Glimepirid 4 mg X CH 248
B. Comp X
33 Astia P 40 RT 04 L Pandangan kabur Gg. Visus B. Comp X GD 81
0000898314276 TD 90/70, SPO2 98, Nadi 73 Suhu 36,9C, BB 39,2
34 Hj. Ati P 63 Tani Baru L Kontrol Hypertensi Hypertensi Simvastatin X GD 140
Umum TD 190/130, BB 80 kg B. Comp X CH 191

Amlodipin 50 mg X
35 Andri L 9 RT 09 B Gatal gatal seluruh Badan Scabies dgn Scabimid Cream I
Umum SPO2 84, Nadi 124, BB 20 Kg Inflamasi secunder CTM 2 mg X
Bioplacenton Zalf I
JUMLAH 7 28 35 35 4 31

Sungai Mariam, 22 Juli 2020

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam Pelaksana

Zuama Dellyannur, SKM dr. Anggara Hadinata

NIP. 19750406 199503 1 002
 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN
TANGGAL : 15 Juli 2020
JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT KELUHAN DIAGNOSA THERAFI LAB
L P B L
1 Najemeiah P 49 RT 07 L Gatal gatal di badan Urtikaria Loratadine X
0000899822981 TD 130/80,SPO2 98, nadi 83, Suhu 36,5C Dexametason X
2 Bunga P 60 RT 03 L Riwayat HT, Kolesterol, Pusing HT + Dispepsia Catopril 12,5 X
Umum TD 120/80, SPO2 98, Nadi 80, Suhu 36,9C Ranitidine X
Nadic 500 mg X
3 Jamilah P 32 RT 02 B Kontrasepsi Suntik KB 3 bulan Kontrasepsi Suntik KB Suntik KB
Umum
4 Rahmatia P 58 RT 15 L Keram kedua tangan, lutut sakut DM + Neuritis Metformin 500 mg X GD 488
Umum TD 200/120, SPO2 84, Nadi 61, SUHU 37 BB 64,6 Glimepirid 4 mg X CH 248
B. Comp X
5 Astia P 40 RT 04 L Pandangan kabur Gg. Visus B. Comp X GD 81
0000898314276 TD 90/70, SPO2 98, Nadi 73 Suhu 36,9C, BB 39,2
6 Sumardi P 51 RT 07 L Riwayat DM, Sesak, Kaki nyeri DM Neuropati B. Comp X GD 351
0000899822755 TD 100/70, SPO2 98, Nadi 11001, Suhu 36,4 C Pyroxicam X CH 288
BB 38 Kg Metformin 500 mg X
Glimepirid 4 mg X
7 An. Alisha P 1 RT 17 B Batuk 5 hr, sesak nafas BP Puyer Batuk
Umum Suhu 37,1 C, BB 7 kg Eritromicyn Syr I
PCT Syr I
8 An. Alfarazqy Al gusr L 3 RT 07 B Sakit menelan TFA Eritromicyn Syr I
0002371858356 Suhu 36,7C, BB 24,2 kg Dexametason X
9 Hatifah P 74 RT 07 L Riwayat DM, Kolesterol, BAB encer 2x DM + HT Loperaid GD 226
0000897897666 TD 150/100, SPO2 98, Nadi 103, Suhu 37, BB 69,8 Amlodipin 5 mg X CH 268
Metformin 500 mg X
Simvastatin 20 mg X
10 Hj. Lala P 40 RT 03 L Pandangan kabur, Colesterol Hypercolesterol Simvastatin 20 mg X CH 297
0002387906379 TD 100/80, SPO2 98, Nadi 86, Suhu 37, BB 45 kg B. Comp X
11 An. Awaludin L 2 RT 03 B Bab berampas Ls 5 hr GE Zink
Umum Suhu 36,8C BB 10,1 kg Antasida syr I
12 Sitti Rahma P 73 RT 04 L Sakit pinggang Myalgia + HT Amlodipin 5 mg X GD 91
0000897715135 TD 150/90, SPO2 98, nadi 81, BB 57,5 kg Piroxicam X CH 211
13 Wannang P 57 RT 01 L Tangan kiri sakit Susp OA gent Pyroxicam X
00008983394872 TD 120/80, SPO2 99, Nadi 82, Suhu 36,9'C BB 47 Dexamethason X
14 Ritawati P 48 RT 19 L Pusing, sakit perut kiri HT + Susp. ISK Catopril 25 mg X
0000202119221 TD 200/100, SPO2 98, Nadi 75 BB 62 Nadic 50 mg X
Ciprofloxacim X
15 Hj. Nukrah P 65 RT 07 L Pusing, Riwayat Hypertensi, Colesterol, Hypercolesterol + Simvastatin X
Umum Nyeri Tengkuk TD 200/90 SPO2 98, Nadi 82, HT Urgensi , Disppepsia Catopril 25 mg X
Suhu 36'8 BB 61 Kg PCT X
16 Rosida P RT 04 L Tangan kaki sakit Susp OA gent Pyroxicam X
0000898042263 TD 120/80, SPO2 99, Nadi 82, Suhu 36,9'C BB 47 Dexamethason X
17 Musriah P 63 RT 04 L Tangan jkanan kram, kaki sakit, nyeri kepala Hypercolesterol + HT Simvastatin X GD 97
000089799787 TD 140/90, SPO2 99, Nadi 80, Suhu 37'1C BB 63 B. Comp X AU 3,2
Amlodipin 50 mg X CH 263
18 Erna P 41 RT 04 L Kepala terasa berputar putar, Vertigo + Dispepsia Ranitidine X
000898470167 TD 90/60, SPO2 99, Nadi 84 Betahistin X
Dimenhidrinat X
19 Kamarudin L 50 RT 01 L Kontrol Hypertensi Hypertensi Catopril 25 mg X
Umum TD 160/130, BB 72 kg Nadic 50 mg X
20 Ernawati P 37 RT 09 L Sakit dada , Riwayat Asma GERD Lansiprazole X
Umum TD 140/100, SPO2 98, Nadi 96, Suhu 36.9'C BB 67 Sukralfat syr I
21 Ismi P 3 RT 04 B Batuk pilek ls 2 hari, demam sejak semalam ISPA
Umum SPO2 99, Nadi 125, Suhu 36,9'C BB 11,8
22 Suri P 46 RT 14 L Riwayat DM Kontrol DM T II Glimefiride X GD 346
0000896863239 TD 110/70 Metformin X
SPO2 99 bb 86
23 Mamma L 55 RT 14 L Riwayat HT , Sakit sakit badan Myalgia + HT B. Comp X
Umum TD 150/90, SPO2 97, Nadi 88 Suhu 36'7C Nadic 50mg X
 Amlodipin 5 mg X
24 Pati L 77 RT 07 L Riwayat Hypertensi Hypertensi Amlodipin 5 mg X
0000899842689 TD 160/100 BB 60
25 Rugayah P 71 RT 07 L Riwayat Hypertensi HT + Hypercolesterol Amlodipin 5 mg X GD 94
0000899843422 TD 160/80 BB 49 Ranitidine X CH 154
Simvastatin X
26 Saparuddin L 55 RT 04 L Gatal di selangkangan urticaria + Cough GG X
0001975041909 TD 110/70 BB 57 Betametason X
CTM X
27 Maryati P 52 RT 09 L Keram, ngilu, kesemutan HT Urgensi Catopril 25 Mg X
0000898276083 TD 240/110, SPO2 99, Nadi 85, Suhu 36'9 C
28 Hamidah P 23 RT 09 L Sakit Pinggang, HPHT 18/02/2020 GII PI A0 26 mgg SF X
Umum TP 25/11/2020 TD 100/60, Suhu 36'7 C PCT X
JUMLAH 6 22 28 28 5 23

Sungai Mariam, 15 Juli 2020

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam Pelaksana

Zuama Dellyannur, SKM dr. Anggara Hadinata

NIP. 19750406 199503 1 002
 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU
TANGGAL : 21 Oktober 2020
JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT
L P B L
1 Putri P 15 RT 05 L
0001926080144

2 Erna P 41 RT 05 L
0000899876924

3 Efendi L 47 RT 05 L
0000899876384
4 Rusni P 26 RT 03 L
0000944085508

5 Masriah P 28 RT 02 L
0000898398369
6 Syamsul L 5 RT 03 B
Umum
7 Nur Alya P 9 RT 03 B
Umum

8 Harma P 42 RT 03 L
0000898370278

9 Titin P 41 RT 06 L
0001926077411
10 Norma P RT 19 L
0000932932359
11 Rugayah P 71 RT 07 L
0000899843422

12 Saparuddin L 55 RT 04 L
0001975041909

13 Rahma P 52 RT 06 L
000926079053

14 M. Azka L 1 RT 04 B
 888802924247396
15 Hj. Ati P 63 Tani Baru L
Umum

16 Supiansyah L 38 RT 02 L
0000898397829
17 Anna P 42 RT 04 L
00001975041909

18 Suri P 46 RT 14 L
0000896863239

19 Mamma L 55 RT 14 L
Umum

20 Hayati P 48 RT 06 L
0001926070986

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam

Zuama Dellyannur, SKM

NIP. 19750406 199503 1 002
GAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN

KELUHAN DIAGNOSA THERAFI LAB

Gatal gatal seluruh badan Scabies Scabimid Cream I

TD 90/70, SPO2 99, Nadi 102, Suhu 37 BB 40 CTM 2 mg X
Bioplacenton Zalf I
Pilek, Pusing Kepala ISPA + Hypercolesterol Zetrizen X GD 72
TD 110/70, SPO2 99, Nadi 80, Suhu 36'7 BB 60 Dexemetason X CH 231
Symvastatin 10 mg X
Tidak bisa tidur, sering Pusing, Post pasang ring CAD HHD GERP Lansoprazole X CH 235
TD 140/90, SPO2 99, Nadi 69, suhu 36 BB 61 Kg Sukralpat syr I
Mual, Muntah GII PI A0 UK 9 mgg Asam folat XXX
TD 100/60, BB 60 B6 X
Ranitidine X
Periksa Hamil GI P0 A0 UK 31-32 mgg SF X
TD 130/90, SPO2 99 Nadi 97, T 36'9 BB 69 PCT X
Batuk Pilek LS 3 hr Ispa PCT Syr I
SPO2 99, N 118 T 36
Batuk Pilek LS 3 hr ISPA + Susp Thypoid Amox Syr I
SPO2 97, Nadi 102, Suhu 36'9 BB 23 Kg PCT X
Puyer
Nyeri Kepala sebelah Myalgia + Ranitidine X
TD 130/80 SPO2 98, Nadi 100, suhu 36 BB 56 Hypercolesterol Nadic 50 mg X CH 281
Symvastatin 20 mg X
Periksa Hamil Bumil K2 SF XXX
BB 47,6 kg. TD 13/80 Kalk X
Periksa Hamil Bumil K4 SF XXX
BB 51,6 kg, TB 155 TD 110/70 Kalk X
Riwayat Hypertensi HT + Hypercolesterol Amlodipin 5 mg X GD 94
TD 160/80 BB 49 Ranitidine X CH 154
Simvastatin X
Gatal di selangkangan urticaria + Cough GG X
TD 110/70 BB 57 Betametason X
CTM X
Batuk LS 3 hari HT + Cough GG X
TD 160/100 HR 96 RR 22 BB 60 Amox X
Amlodipin 5 mg X
Diare 1 minggu Diare Zink X
BB 11,1 kg Cotri X Oralit V
Kontrol Hypertensi Hypertensi Simvastatin X GD 140
TD 190/130, BB 80 kg B. Comp X CH 191
Amlodipin 50 mg X
Sakit Kepala Asmef X
TD 130/70 BB 79 kg
Batuk Pilek 3 Hr, Gatal Ispa + Urticaria GG X
TD 100/70, SPO2 , RR 76 Methyl X
Amox X
CTM X
Riwayat DM Kontrol DM T II Glimefiride X GD 346
TD 110/70 Metformin X
SPO2 99 bb 86
Riwayat HT , Sakit sakit badan Myalgia + HT B. Comp X
TD 150/90, SPO2 97, Nadi 88 Suhu 36'7C Nadic 50mg X
Amlodipin 5 mg X
keram tangan dan kaki betahistin X
TD 100/60, BB 60 Omeprazol X
Simvas 20 mg X

Sungai Mariam, 21 Oktober 2020

Pelaksana

dr. Anggara Hadinata

 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU
TANGGAL : 13 oktober 2020

JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT
L P B L
1 Rahmatia P 58 RT 15 L
Umum

2 Milda P 15 RT 04 L
0001926076476
3 Pacinai P 57 RT 09 L
Pasien Umum

4 Ega P 54 RT 01 L
0001926075519

5 Tini P 65 RT 01 L
0000898368963
6 Hatifah P 74 RT 07 L
0000897897666

7 Hj. Nukrah P 65 RT 07 L

Umum

8 Werang HM P 64 RT 04 L

0000897715045

9 Rehan L 7 RT 06 L
Umum
10 Sulaiman L 55 RT 02 L
0000899822981
11 Hj. Ati P 63 Tani Baru L
Umum

12 Erna P 41 RT 04 L
000898470167
 13 Hadrah P 59 RT 06 L
0000897892413

14 Mastang P 37 RT 04 L
000087552652

15 Sitti Rahma P 73 RT 04 L
0000897715135
16 Musriah P 63 RT 04 L
000089799787

17 Elsa Mayora P 12 RT 06 L
0000896913393
18 An. Alisha P 1 RT 17 B
Umum

19 Nadian P 20 RT 02 L
Umum
20 Cakring L 73 RT 09 L
0000898323535

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam

Zuama Dellyannur, SKM

NIP. 19750406 199503 1 002
NGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN

KELUHAN DIAGNOSA THERAFI LAB

Keram kedua tangan, lutut sakut DM + Neuritis Metformin 500 mg X GD 488

TD 200/120, SPO2 84, Nadi 61, SUHU 37 BB 64,6 Glimepirid 4 mg X CH 248
B. Comp X
Sakit gigi, pusing Ginggivitis Nadic 50 mg X
TD 110/80, SPO2 99, Nadi 91, Suhu 36,9'C Dexametason X
Sakit Pinggang, ada mata ikan pada kaki kiri Clavus Amlodivin 5 mg X GD 102
TD 170/90, SPO2 99, Nadi 96, Suhu 37'4 C Hypertensi Nadic 50 mg X CH 183
Nvitamin B Comp X
Kepala Pusing Dispepsia + HT + Vertigo Amlodipin 5 mg X
TD 130/70 Nadi 93, RR 22 Simvastatin X
PCT X
Antasida X
Kontrol Tekanan Darah Hypertensi Amlodipin 50 mg X CH 112
TD 180/120, BB 67 TB 150 PCT X
Riwayat DM, Kolesterol, BAB encer 2x DM + HT Loperaid GD 226
TD 150/100, SPO2 98, Nadi 103, Suhu 37, BB 69,8 Amlodipin 5 mg X CH 268
Metformin 500 mg X
Simvastatin 20 mg X

Pusing, Riwayat Hypertensi, Colesterol, Hypercolesterol + Simvastatin X

Nyeri Tengkuk TD 200/90 SPO2 98, Nadi 82, HT Urgensi , Disppepsia Catopril 25 mg X

Suhu 36'8 BB 61 Kg PCT X

Batuk , pilek LS +/- 10 hari ISPA Amlodivin 5 mg X

TD 160/80. SPO2 96 Acetyl X

Dexa X
Salbu 4 mg X
Gatal dikaki Ketoconazole
BB 17 kg Ctm X
Nyeri Punggung Urtikaria Piroxicam X
TD 120/80,SPO2 98, nadi 80, Suhu 36,2C Amlodipin 50 mg X
Kontrol Hypertensi Hypertensi Simvastatin X GD 140
TD 190/130, BB 80 kg B. Comp X CH 191
Amlodipin 50 mg X
Kepala terasa berputar putar, Vertigo + Dispepsia Ranitidine X
TD 90/60, SPO2 99, Nadi 84 Betahistin X
 Dimenhidrinat X
Paha sebelah kiri nyeri, Nyeri ulu hati Myalgia + Hypertensi Nadic 50 mg X
TD 140/100, SPO2 99 Suhu 36'6 BB 69,5 Kg mlodipin 5 mg X
B. Comp X
Kram tangan dan kaki, bagian telapak kaki nyeri Myalgia + Hypercolesterol Simpastatin X GD 103
TD 110/80, SPO2 98, Nadi 93, Suhu 37'C BB 75,5 B. Comp X AU 4,5
Nadic 25 mg X CH 228
Sakit pinggang Myalgia + HT Amlodipin 5 mg X GD 91
TD 150/90, SPO2 98, nadi 81, BB 57,5 kg Piroxicam X CH 211
Tangan jkanan kram, kaki sakit, nyeri kepala Hypercolesterol + HT Simvastatin X GD 97
TD 140/90, SPO2 99, Nadi 80, Suhu 37'1C BB 63 B. Comp X AU 3,2
Amlodipin 50 mg X CH 263
Gatal Gatal Alergi CTM X
SPO2 96, Nadi 88, Suhu 36 Scabimid Cream I
Batuk 5 hr, sesak nafas BP Puyer Batuk
Suhu 37,1 C, BB 7 kg Eritromicyn Syr I
PCT Syr I
Nyeri Pinggang OA Piroxicam X
TD 120/80 BB 50 B 152
Kontrol DM DM T II Gliben X GD 250
TD 130/80 BB 48

Sungai Mariam, 13 Oktober 2020

Pelaksana

dr. Yuditha Patiung

NIP. 197509262014102001
 DATA KUNJUNGAN PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PA
TANGGAL : 07 oktober 2020

JK KUNJ
NO NAMA / NO BPJS USIA ALAMAT
L P B L
1 Ritawati P 48 RT 19 L
0000202119221

2 Risna P 33 RT 05 L
0001926077460

3 Marini P 42 RT 06 L
0001923547443
4 Rachel Zakie L 6 RT 07 L
0002294479214
5 Paradilla P 19 RT 07 L
Umum

6 Eja L 60 RT 09 L
0001926075519

7 Husnul Yasin P 8 bln RT 07 B

Umum
8 Jemi L 33 Rt 19 L
0000896668356
9 Rustang L 67 RT 19 L
0000896668356

10 Acetang L 69 Rt 08 L
0000898361728
11 Rugaya P 71 RT 07 L
00008998432442

12 Pena P 50 RT 15 B
Gratis

13 Yunifa sari P 33 RT 15 B
0000897719422

14 Arifin L 53 Rt 02 L
Gratis
 15 Ahmad Radit L 12 RT 06 B
0001926070997

16 Aulina P 15 RT 08 L

0000898345449

17 Suri P 44 RT 14 L
0000896863239

18 Hamidah P 24 RT 09 L

Umum
19 Najwa P 3,5 Bln RT 06 B
Gratis

Mengetahui
Kepala UPTD Puskesmas Sungai Mariam

Zuama Dellyannur, SKM

NIP. 19750406 199503 1 002
PASIEN KEGIATAN PENGOBATAN DI PUSKESMAS PEMBANTU PANTUAN

KELUHAN DIAGNOSA THERAFI LAB

Pusing, sakit perut kiri HT + Susp. ISK Catopril 25 mg X

TD 200/100, SPO2 98, Nadi 75 BB 62 Nadic 50 mg X
Ciprofloxacim X
Jari jari tangan sakit Tonsilitis Meloxicam X
TD 130/90 , SPO2 98, Nadi 100, Suhu 36'8C Dexamethason X
B. Comp X
Nyeri Tengkuk Hypertensi Catopril 25 mg X GD 108
TD 150/90, BB 83, TB 158 Nadic 50 mg X CH 165
Batuk Ambroxol VI
BB 19 kg , TB 11,5
Bumil HPHT 8/3/2020 mual, pusing Bumil GII PI A0 UK Tes kehamilan (+)
TD 110/70, SPO2 98, nadi 89, Suhu 36,6C UK 8 mgg Ranitidine X
Lansoprazole X
B6 X
Keluhan mual, Pusing, nyeri ulu hati Dispepsia Antasida X
BB 83 TB 152 cm, TD 110/70 mmHg Lansoprazole X
PCT X
BAB encer +/- 4 kl, perut kembung GE tanpa Dehidrasi Zinc V
Suhu 36'7 C Oralit VI
Cek Kesehatan Sehat Vit. B Comp X GD 91
TD 120/80 SPO2 96, Nadi 88 suhu 36
Pusing, Tangan terasa Keram Hypertensi Simpastatin X GD 103
TD 190/100, SPO2 99 Nadi 88 Suhu 37'C B. Comp X AU 4,5
Nadic 25 mg X CH 228
Pusing Neuralgia Nadic 25 mg X
TD 110/100, SPO2 98, Nadi 75 BB 62 Vit. B Comp X
Pusing , nyeri tengkuk Hypertensi Catopril 25 mg X GD 122
TD 180/90 , SPO2 98, Nadi 100, Suhu 36'8C Vit. B Comp X CH 237
Simpastatin X
Batuk, Pilek, Demam ISPA GG X
TD 120/80, SPO2 96 , Nadi 88 Suhu 36 Cetrizine X
Vit C X
Keluhan mual, Pusing, nyeri ulu hati Dispepsia Antasida X
BB 83 TB 152 cm, TD 110/70 mmHg Lansoprazole X
PCT X
Gatal Gatal di bagian paha dan telapak kaki Alergi Metyl Prednisolon X
TD 120/80 SPO2 96 Nadi 88 Suhu 36'8 Cetrizine X
 Betametason Zalf
Gatal - Gatal seluruh Badan Alergi Metyl Prednisolon X
Suhu 36'C SPO2 94 Cetrizine X
Hidrocortison Zalf I
Gatal - Gatal seluruh Badan Alergi Metyl Prednisolon X

Suhu 36'C SPO2 99 BB 45 kg Cetrizine X

Hidrocortison Zalf I
Kontrol DM DM type II glimepirid 1 mg XX
TD 130/80 SPO2 94 Vit B Comp X

Nadik 50 mg X
Bumil , Periksa Kehamilan Bumil G2P1A0 SF XXX

TD 110/80, SPO2 99 Nadi 102 Kalk X

Sering Muntah Setelah menyusus Konseling Konseling
Cara menyusui pada
bayi

Sungai Mariam, 07 Oktober 2020

Pelaksana

dr. Anggara Hadinata