Reg Okt 2021

No Status Pelayanan No. RM No.
KK NIK
10 Lama 01/10/2021 00011803 3402092309030087 3402090505630001
21 Lama 01/10/2021 03003801 3402090310060006 3402096210990004
26 Lama 01/10/2021 00013303 3402097112400053
58 Lama 01/10/2021 02003725 3402091608170004 3402094508180001
60 Lama 01/10/2021 02012315 3402093011060010 3402091008120003
92 Lama 02/10/2021 01011609 3402091308150001 3402054109910001
130 Lama 02/10/2021 90010211 3402092510040056 3402094503820002
148 Baru 04/10/2021 00017812 3402091507110002 3402093112620096
151 Lama 04/10/2021 01011004 3402090711030114 3402064601670001
156 Lama 04/10/2021 01002932 3402090511030105 3402095303810002
167 Lama 04/10/2021 03028490 3402052210080001 3402052311060001
168 Lama 04/10/2021 02018590 3402052210080001 3402051201150001
169 Lama 04/10/2021 01014311 3402091812150005 3173044810870008
171 Lama 04/10/2021 00005520 3402092308030136 3402093006520001
193 Lama 04/10/2021 00053590 3402050608190002 3202020211770002
222 Lama 04/10/2021 02029890 3402052606070003 3402052111140001
237 Lama 05/10/2021 02015933 gelar gallant samura 3402151302210001
275 Lama 05/10/2021 01101190 3402040901170001 3402045303800003
325 Lama 05/10/2021 00015608 3402090502650002
481 Lama 06/10/2021 00005632 3402093006110019 3402091503830004
487 Lama 06/10/2021 01000731 3402092308110005 3402094806830001
594 Lama 06/10/2021 02002780 PARMI NGABLAK 3308171702900002
609 Lama 06/10/2021 02002501 3402092911130001 3402090307110001
689 Baru 07/10/2021 02011308 3402091001040234 3402091001040234
690 Lama 07/10/2021 02005515 3402090105070003 3402094205060002
706 Lama 07/10/2021 02012727 3402090706040030 3402091303980001
728 Lama 08/10/2021 02005901 3402091505170001 3402092207170001
885 Lama 11/10/2021 02010023 3402091907160003 3402095701180001
960 Baru 11/10/2021 00018033 3402090312060010 3402092701750005
985 Lama 11/10/2021 02002501 3402092911130001 3402090307110001
993 Lama 11/10/2021 03001322 3402091211050002 3402094207120001
1129 Lama 12/10/2021 02011723 3402092107110006 3402092809160002
1145 Lama 12/10/2021 03000113 3402091101040120 3402090905160002
1327 Lama 13/10/2021 00004315 3402091010050015 3402090712690002
1683 Lama 14/10/2021 02001813 3402091101040140 3402090102930003
1803 Lama 15/10/2021 02000815 3402090712050001 3402097007130001
1822 Lama 15/10/2021 01013108 3402091001040234 6101044111790001
1829 Lama 15/10/2021 02033290 TUKINO RT. 02 3310221305190001
1851 Lama 15/10/2021 00004025 3402091901040050 3402097112640075
1911 Lama 16/10/2021 02003410 3402031305040040 3402055011940001
2045 Lama 16/10/2021 00002127 3402091707190005 3402012810910001
2064 Lama 16/10/2021 01010125 3402090410160010 3402094605950001
2104 Lama 16/10/2021 02008110 3402091105200002 3402097010200001
2301 Lama 18/10/2021 03002420 3402091901110003 3402091910110001
2598 Lama 18/10/2021 03004533 3402090511180005 3402095607190001
2677 Lama 18/10/2021 02009716 3402092309030098 3402096911020002
2842 Lama 19/10/2021 02005430 3402092307190003 3402092911190001
2889 Lama 21/10/2021 02017290 3402050612190002 3402056806200001
2897 Lama 21/10/2021 00003413 3402093103150001 3402021803850006
2928 Lama 21/10/2021 02003822 3402090309070004 3402091708030002
2929 Lama 21/10/2021 04003502 3402092109070003 3402090306080002
2930 Lama 21/10/2021 90003502 3402092109070003 3402097110180001
2931 Lama 21/10/2021 03003502 3402092109070003 3402095412160001
2932 Lama 21/10/2021 01003502 3402092109070003 3402096811730002
2934 Lama 21/10/2021 02012825 3402091206200005 3402021305160001
2939 Lama 21/10/2021 90001429 3402090302070002 3402096312170001
2958 Lama 22/10/2021 01001017 3402091312060010 3402096011720002
2965 Lama 22/10/2021 00011803 3402092309030087 3402090505630001
3000 Lama 22/10/2021 01001527 3402090606040024 3402095406830002
3001 Lama 22/10/2021 02001728 3402092904190003 3402092208190002
3004 Lama 22/10/2021 04000502 3402092302160003 3402091703160001
3261 Lama 25/10/2021 02000532 3402092001040054 3402094207040001
3489 Lama 26/10/2021 01000812 KASIYEM ketandan
3492 Lama 26/10/2021 01014608 3402092408040002 3402094110780001
3493 Lama 26/10/2021 02014608 3402092408040002 3402096306110001
3494 Lama 26/10/2021 03014608 3402092408040002 3402095901130001
3523 Lama 26/10/2021 00005135 3402090801040292 3402091602620005
3609 Baru 26/10/2021 02022019 3402090405190001 3578192507140002
3651 Lama 26/10/2021 02011909 3402091410080003 3402090906090001
3725 Lama 26/10/2021 01013932 3402092001040088 3402095901770002
3726 Lama 26/10/2021 02013932 3402092001040088 3402094902050001
3872 Lama 27/10/2021 00005520 3402092308030136 3402093006520001
3898 Lama 27/10/2021 01006726 3402092304150001 3604114510780005
3903 Lama 27/10/2021 00003915 3402092504190003 3402092709960002
3909 Lama 28/10/2021 02015602 3402090709030174 3402091410030002
3928 Lama 28/10/2021 01001017 3402091312060010 3402096011720002
3962 Lama 28/10/2021 02015003 3402081806200002 3402092309030002
3980 Baru 28/10/2021 02003203 3402081806200002 3402096409940002
3999 Lama 28/10/2021 01010808 3402091312110002 3402094205830001
4139 Lama 28/10/2021 02018690 3402051701070010 3402056608150001
4269 Lama 29/10/2021 00011803 3402092309030087 3402090505630001
4291 Lama 29/10/2021 02013307 3402094604760001
4300 Lama 30/10/2021 00002221 3402092001040344 3402093112540078
4320 Lama 30/10/2021 03002909 3402090507180003 3402060806130003
4346 Lama 30/10/2021 01009533 3402090503050013 3402096906690002
4354 Lama 30/10/2021 00002501 3402092911130001 3402061807830001
4355 Lama 30/10/2021 01002501 3402092911130001 3402095008890001
4364 Lama 30/10/2021 02022323 3402092408170003 3402090611170001
Umur(Th
Nama Nama KK n) JK Alamat
Suradal Suradal 58 L Banjardowo Dk. Bobok
Astri Nurul Damayanti Dwi Haryanto 21 P Bakulan Kulon
Fatimah FATIMAH 80 P BOBOK
Lathifah Rafidah Azkadin Tri Murwanto 3 P Gadungan Kepuh
Nur Ichsan Ramadhan Nur Udin 9 L Panjangjiwo
Nurningsih Nur Hidayat 30 P Jetis
Siti Tujilah Amat Warsudi, Ny / Pawi39 P Kategan
Tugiyono Tugiyono 59 L Ketandan
Sunarti Senen 54 P Boto
Widian Iswati Sunardi 40 P Sanggrahan Dk. Pulokadang
Affan Muhammad SaputrMuhammad Safrudin 14 L Cepoko
FARIS YANU SAPUTRA Muhammad Safrudin 6 L CEPOKO
Ilan Susanti Tarmin 33 P Kategan
Sumardja Sumardja 69 L Tanjung Lor
Asep Ruswandi Asep Ruswandi 43 L Tingas Cepoko
Arsya Dwi Prasetya Wagiyo 6 L Tingas, Cepoko
TUK SRESTA MAHAPALA gelar gallant samura 0 L SUREN KULON
Kristina Murtiningsih Raden Nanang Wiratna 41 P Monggang
Madyapriya MADYAPRIYA 56 L GERSELO
Azwar Andreas Azwar Andreas 38 L Pulokadang
Welas Asih Aris Budiyanto 38 P Sraten Dk. Plembutan
MUSTACHIM PARMI 31 L PRANTEN 001/005 SELOPRO
Riski Yulianto Saputra Margiyanto 10 L Bakulan Kulon
Zulkarnaen Devara SUPRIYADI 0 L GERSELO
Hanifa Faustafika AnaqohSyaiful Efendi 15 P Patalan
Rosyid Dwi Purnomo Tukiran 23 L Kiringan
Jonanda Sidiq Abdullah Arif Budi Santoso 4 L Salam
Sofia Marisa Putri Maryadi 3 P Canden
Mujiyono Mujiyono 46 L Suren Kulon
Riski Yulianto Saputra Margiyanto 10 L Bakulan Kulon
Julia Dewi Noor Salyudi Suyudi 9 P Srayu
Dirga Hafiz Yunanto Paryanto 5 L Canden
Arsyad Nur Rahmat Rahmat 5 L Ngaglik
Tugiman Ngatiya Tugiman Ngatiya 51 L Ngupit Dk. Patalan
Feris Hanafi Sukirman 28 L Ngaglik
Reni Indun Arinda Tri Budiyono 8 P Panjangjiwo
Nurbaya Supriyadi 42 P Gerselo
WIJAYA ADAM MUSTAQI TUKINO 2 L CEPOKO
Teguh Rahayu Teguh Rahayu 56 P Gadungan Kepuh
Noviaryati Cipto Suratno / Kadilan 26 P KARANGASEM
Oktriyanto Oktriyanto 29 L Kiringan
Meita Endah Sarjaniasti Didik Darmadi 26 P Gadungan Kepuh
Putri Riska Nastani Darmaji 0 P Karangasem
Rafka Alfiano Surojo 9 L Tanjung Lor
Nayla Clarissa Qiana Ari Supriyanta 2 P Kadilobo Dk. Suren Kulon
Rhoma Fridiana Sujadi 18 P Salam
Zoffy Ardyasta Evano Purwanto 1 L Gaten
MIKA QORRI AINA Sariyanto 1 P BEKELAN
Mujiyanto Mujiyanto 36 L Ngaglik
Hussein Akmal Lassan Muhammad Yunus 18 L Srayu Dk. Beran
Andien Gajuma Putra Yustinus Akung Hidayat 13 L Bakulan Wetan
Oktaviani Clara Saputri Yustinus Akung Hidayat 2 P Bakulan Wetan
Cecilia Nataline Hidayat Yustinus Akung Hidayat 4 P Bakulan Wetan
Veronika Relika DihantariYustinus Akung Hidayat 47 P Bakulan Wetan
Setyawan Adi Nugroho Purwadi 5 L Gadungan Kepuh
Desta Arsyla Sajiman 3 P Ngibikan
Alfiah Saryono 48 P Sulang Kidul
Unun Matoyah Nur Kholis 38 P Kiringan
Fachrul Akbar PramudanaSumarsono 2 L Kralas
Fayyasy Zayyan Tri Wibo Diantoro 5 L Bakulan Wetan
Riris Fatonah Suhardiman 17 P Pulokadang
Kasiyem kasiyem 59 P Ketandan
Minarsih Sutiyadi 43 P Gerselo
Nabil Latifah Sutiyadi 10 P Gerselo
Zuhra Waran Dita Sutiyadi 8 P Gerselo
Suhar Suhar 59 L Wonolopo
Ali Mukmin Maulidi 7 L Tanjung Karang
Taufiq Adha Al-latif Ariyanto 12 L Jetis
Rubiyem Paijo 44 P Pulokadang
Friska Arthilita Paijo 16 P Pulokadang
Sumardja Sumardja 69 L Tanjung Lor
Nuryani Nur Rois 43 P Gadungan Pasar
Yayang Nur Cahyo Yayang Nur Cahyo 25 L Panjangjiwo
Muhammad Firdan Okta S ugianto 18 L Bakulan Wetan
Alfiah Saryono 48 P Sulang Kidul
DEVANO ALBIZAR RAMA DIMAS APRILIO 1 L BOBOK
Dwi Puji Setyawati Dimas Aprilio Mandala 27 P Dagen Dk.gumuk
Sulasmi Suroto 38 P Gerselo
Mutiya Nur Lestari Sudiran 6 P Tingas, Cepoko
SOLECHAH NANGIM UZAMAN 45 P GADUH
Jumino / Muh. Hasim Jumino / Muh. Hasim 66 L Patran Dk. Banyudono
Hafizh Zulfadhli Rizqi Suryanto 8 L Jetis
Sri Yuniwinarti Siswandi 52 P Suren Kulon
Margiyanto Margiyanto 38 L Bakulan Kulon
Sartini Margiyanto 32 P Bakulan Kulon
Muhammad Fahri Taufiq Agung Surdiyanto 3 L Canden
DESA Jenis Pasien Jaminan Unit Pelayanan
PATALAN BPJS PBI 0000649328422 Infeksius
CANDEN BPJS PBI 0002480659997 Infeksius
PATALAN Bayar 0000648243224 Batuk
PATALAN BPJS PBI 0000648133852 Batuk
CANDEN BPJS PBI 0000647083732 Batuk
LUAR WILAYAH BPJS PBI 0000647771848 Batuk
LUAR WILAYAH JAMKESDA Batuk
PATALAN BPJS NON PBI 0000094804659 Batuk
LUAR WILAYAH Bayar 0001610306741 Batuk
CANDEN BPJS NON PBI 0003070225045 Batuk
LUAR WILAYAH BPJS NON PBI 0002698920821 Umum
PATALAN BPJS PBI 0000648291835 Umum
PATALAN JAMKESDA 0003062806367 Batuk
CANDEN Bayar 0001136217756 Batuk
CANDEN BPJS NON PBI 0000976123989 Infeksius
PATALAN BPJS MANDIRI 0000096759257 Batuk
LUAR WILAYAH BPJS MANDIRI 0002764640147 KIA
CANDEN BPJS NON PBI 0000094658409 Batuk
PATALAN Bayar 0002634425987 Umum
CANDEN JAMKESDA Infeksius
PATALAN JAMKESDA Batuk
PATALAN BPJS PBI 0000648300767 Umum
PATALAN BPJS PBI 0002970215177 Infeksius,Laboratorium
CANDEN BPJS PBI 0000648814588 Umum
PATALAN JAMKESDA Infeksius
LUAR WILAYAH Bayar 0002382408606 Batuk
PATALAN JAMKESDA Umum
CANDEN BPJS PBI 0000648291172 Lansia
PATALAN BPJS PBI 0001691207807 Umum,Psikologi
Tempat Pemeriksaan Periksa ICDX
Puskesmas Induk Sudah J00
Puskesmas Induk Sudah J00,M13.9,I10
Puskesmas Induk Sudah J00,E11.9
Puskesmas Induk Sudah J00,I10
Puskesmas Induk Sudah J02.9
Puskesmas Induk Sudah J00,G40
Puskesmas Induk Sudah J00,F20.9
Puskesmas Induk Sudah J00,M13
Puskesmas Induk Sudah J00,F20.9
Diagnosa
Acute nasopharyngitis [common cold]
Acute nasopharyngitis [common cold],Arthritis, unspecified,Essential (primary) hypertension
Acute nasopharyngitis [common cold],Non-insulin-dependent diabetes mellitus without complications
Acute nasopharyngitis [common cold],Essential (primary) hypertension
Acute pharyngitis, unspecified
Vasomotor and allergic rhinitis
Acute nasopharyngitis [common cold],Epilepsy
Acute nasopharyngitis [common cold],Schizophrenia, unspecified
Acute nasopharyngitis [common cold],Other arthritis
Acute nasopharyngitis [common cold],Schizophrenia, unspecified
Jenis
Kasus Terapi Sistole
Baru Antacid, Asetylsistein, Pct 130
Baru ASETYL, CTM 120
Baru parasetamol 500mg, vitmin bc, asetyl sistin, amlodipin, chloram, salf mata 175
Baru cetirizin sy 1
Baru cetirizin sy, vit c 1
Baru cetirizyn syr 142
Baru asetyl, vc, pct 102
Baru asetylsistein, ctm, metylpred 176
Baru asetylsistein, ctm, dexamethason 155
Baru astylsistein, ctm, metformin, glimepirid 143
Baru asetylsistein, vit c, ctm 124
Baru pamol, domperidon, cetirizin sy 1
Baru amlodipin, asetylsistein, ctm 136
Baru pamol, antasid, asetylsistein 137
Baru dexa, pamol, asetyl sistein, 115
Baru parasetamol syrup, cetirizne syrup 1
Baru ctm, bc 1
Baru Metylpred, Loratadin 130
Baru PARASETAMOL 500MG, CTM, B COMPLEKS 109
Baru asetyl sistein, methylprednisolon, vitmain c, parasetamol 500mg 129
Baru asetyl sistein, cetirizne syrup 141
Baru asetyl sistein, domepridoen, vitmain c, parasetamol 500mg 110
Baru 1
Baru pct, ctm, salbu 70
Baru amox, pct, cetirizyn 107
Baru asetyl, bc 110
Baru cetirizyn, penitoin 70
Baru paraetamol 500mg, ctm,salbutamol 2mg 1
Baru asetylsistein, bc, parasetamol 117
Baru ctm, dexa, salbutamol 1
Baru pct, vc, cetirizyn 100
Baru salbutamol 2mg, methylprednisolon, cetirizine syrup 1
Baru 90
Baru parasetamol 500mg, asetyl sistei, ctm 124
Baru amox, pamol, vit c 125
Baru PAMOL, CTM, VIT C 1
Baru asetil sistein, pct, ctm 126
Baru cetiricyn syr,ctm,kalk 1
Baru asetil sistein, vit c, injeksi haldol 122
Baru asetyl sistein, ctm, pct 96
Baru asetyl sistein, ctm 123
Baru parasetamol 500mg, loratadine, vitamin c 120
Baru ctm, b compleks 1
Baru skd POR 90
Baru pct, ctm, bc, cek darah 90
Baru ctm, mp 133
Baru pct, cerini 90
Baru salbutamol, ctm, c 100
Baru pct, ctm, c 137
Baru amox, pct, c 133
Baru pct, ctm, asetil 116
Baru ctm, c 90
Baru pct, ctm, c 127
Baru asetil sistein, ctm, c 126
Baru ctm, kalk, c 90
Baru cerini sy, c 89
Baru ASETYL SISTEIN, VITMAIN C, CTM 135
Baru asetyl sidstein, antasid, radin 116
Baru asetyl sistin, parasetamol 500mg 101
Baru parasetamol 500mg, ctm 1
Baru pct syrup, cetirizne syrup. 1
Baru pct, asetyl, vc 133
Baru asetil sistein, pct 129
Baru ctm, dexa, bc 122
Baru ctm, c 92
Baru amox, cerini sy, pct 90
Baru nadic, bc, asetil sistien 145
Baru cerini, pct 95
Baru pct, cerini sy 112
Baru asetilsistein, ctm 143
Baru pct, ctm, hidrosalp 102
Baru pct, antasid, bc, cerini sy 140
Baru pct, ctm, asetil sistein, dexa 138
Baru dexa, cerini sy 136
Baru asetyl sistein, parasetamol 500mg, vitaminn c 130
Baru asetyl sistein, vitamin c, loratadine 114
Lama ctm, bcom 100
Baru pamol, asetilsistein, ctm, tetes mata 120
Baru asetilsistein, ctm 120
Baru pct, c, ctm 130
Lama asetylsistein, loratadin, metylpred 120
Lama cetirizin, bc, lodomer 125
Baru PCT, CTM, ASETYL 125
Baru cetirizytn syr 100
Baru Pct, Asetylsistein, Ctm 164
Baru Pct, asetyl, Salbutamol 126
Lama Pct, Asetylsistein, ctm 116
Baru Amox, Pct 1
Respirato Heart
Diastole ry rate rate Keluhan
80 20 65
60 20 89
128 20 88
1 1 1
1 20 1
103 20 109
73 20 68
104 20 79
85 20 87
97 20 95
76 20 91
1 20 125
87 20 90
89 20 90
60 20 81
1 20 1
1 20 78
78 20 104
69 20 97
83 20 107
91 20 105
79 20 83
1 20 71
50 20 89
68 20 68
70 20 88
50 20 89
1 20 56
82 20 68
1 1 1
50 20 89
1 20 80
65 20 80
86 20 68
84 20 88
1 1 1
85 20 101
1 28 89 batuk,p[lek
83 20 87
58 20 102
74 20 67
80 20 80
1 20 80
60 20 80
56 20 83
80 20 82
60 20 87
80 20 80
84 20 80
82 20 86
73 20 88
76 20 83
75 20 80
81 20 79
56 20 83
76 20 80
70 20 90
68 20 66
62 20 90
1 20 78
1 20 1
86 20 84
88 20 98
80 20 87
76 20 80
73 20 80
96 20 88
56 20 80
95 20 52
88 20 97
70 20 84
95 20 80
83 20 80
88 20 80
82 20 78
61 20 86
70 18 80 batuk
90 18 80 batuk
90 18 80 batuk
76 20 80
77 20 64
84 20 88
74 20 63
50 20 89
84 20 103
77 20 77
70 20 77
1 1 1
Kesadaran Dokter Perawat
Compos mentis dr Nindya Anggraini Puspaningrum Suhartinah
Compos mentis dr Nindya Anggraini Puspaningrum Wulan Suciandarini, Amd.Kep
Compos mentis dr Nindya Anggraini Puspaningrum Nurlathifah Syamsiyah
Compos mentis dr Nindya Anggraini Puspaningrum Titi Suryani
Compos mentis dr Nindya Anggraini Puspaningrum Wulan Suciandarini, Amd.Kep
Compos mentis dr. Uswah Khasanah Wulan Suciandarini, Amd.Kep
Compos mentis dr. Septiana Widya Sari Titi Suryani
Compos mentis dr. Septiana Widya Sari Nurlathifah Syamsiyah
Compos mentis dr. Septiana Widya Sari Wulan Suciandarini, Amd.Kep
Compos mentis dr. Yulia Dewi Irawati Titi Suryani
Compos mentis dr. Uswah Khasanah Nurlathifah Syamsiyah
Compos mentis dr. Uswah Khasanah Titis Wahyu UTami, A.Md.Kep
Compos mentis dr. Septiana Widya Sari Titis Wahyu UTami, A.Md.Kep
Compos mentis Sri Lestari, Amd.Keb Titis Wahyu UTami, A.Md.Kep
Compos mentis dr Nindya Anggraini Puspaningrum Titis Wahyu UTami, A.Md.Kep
Compos mentis dr. Septiana Widya Sari Suhartinah
Tinggi Berat Lingkar
badan badan perut
159 57 80
150 50 20
150 45 76
85 13 50
115 19 60
150 60 80
138 38 80
165 60 80
146 55 85
150 66 85
160 45 84
110 19 70
146 57 80
169 76 95
156 54 78
110 14 40
108 7 38
168 60 78
160 56 78
160 65 80
150 54 78
156 59 76
120 21 48
58 9 40
149 45 80
150 60 80
98 13 40
96 13 48
160 51 80
120 21 84
150 50 80
156 13 76
132 16 76
163 58 76
170 52 80
120 26 80
158 66 86
84 10 43
153 45 80
150 42 76
178 67 78
150 76 88
71 8 76
124 24 60
84 14 56
155 64 80
87 10 43
110 9 80
165 51 80
160 80 96
164 56 90
78 12 45
89 22 65
164 80 97
89 15 65
80 15 54
150 54 78
159 57 78
150 60 78
86 46 78
100 17 40
153 43 80
150 56 86
156 70 90
126 35 67
117 25 56
162 42 80
156 23 56
130 35 76
145 45 97
154 47 79
170 78 93
154 74 90
164 51 83
173 85 80
150 54 76
90 10 50
155 55 80
155 45 80
106 21 80
159 65 85
155 55 80
155 51 80
120 24 60
155 62 78
156 50 70
149 47 67
90 13 1
Tindakan
Obat Lab Tindak Lanjut No Telp
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan 093011060010
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rujuk Internal
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rawat Jalan
Rujuk Internal 081804142882
Rawat Jalan
Rawat Jalan
Rawat Jalan
No Kunjungan PCARE Poli Rujukan RS Rujukan
120506021021Y000003
120506021021Y000053
120506021021Y000018
120506021021Y000037
120506021021Y000040
120506021021Y000090
120506021021Y000156
120506021021Y000157
120506021021Y000158
120506021021Y000160
120506021021Y000163
120506021021Y000162
120506021021Y000169
120506021021Y000299
120506021021Y000286
120506021021Y000258
120506021021Y000427
120506021021Y000429
120506021021Y000523
120506021021Y000532
120506021021Y000614
120506021021Y000621
120506021021Y000651
120506021021Y000795
120506021021Y000854
120506021021Y000849
120506021021Y000869
120506021021Y001024
120506021021Y001119
120506021021Y001181
120506021021Y001443
120506021021Y001663
120506021021Y001664
120506021021Y001632
120506021021Y001651
120506021021Y001783
120506021021Y001745
120506021021Y001866
120506021021Y001779
120506021021Y002397
120506021021Y002392
120506021021Y002525
120506021021Y002578
120506021021Y002577
120506021021Y002615
120506021021Y002616
120506021021Y002618
120506021021Y002617
120506021021Y002619
120506021021Y002620
120506021021Y002621
120506021021Y002634
120506021021Y002652
120506021021Y002674
120506021021Y002678
120506021021Y002857
120506021021Y003123
120506021021Y003119
120506021021Y003118
120506021021Y003115
120506021021Y003140
120506021021Y003256
120506021021Y003260
120506021021Y003259
120506021021Y003393
120506021021Y003392
120506021021Y003395
120506021021Y003410
120506021021Y003430
120506021021Y003519
120506021021Y003520
120506021021Y003518
120506021021Y003502
120506021021Y003688
120506021021Y003731
120506021021Y003765
120506021021Y003745
120506021021Y003758
120506021021Y003757
120506021021Y003764
Pelayana Umur(Th
No Status n No. RM No. KK NIK Nama Nama KK n)
2 Lama 01/10/20203003801 340209031340209621Astri Nuru Dwi Haryan21
3 Lama 01/10/20200013303 340209711Fatimah FATIMAH 80
6 Lama 02/10/20201011609 340209130340205410NurningsihNur Hidaya30
7 Lama 02/10/20290010211 340209251340209450Siti Tujilah Amat Warsu 39
9 Lama 04/10/20201011004 340209071340206460Sunarti Senen 54
13 Lama 04/10/20201014311 340209181317304481Ilan SusantTarmin 33
25 Lama 07/10/20202005515 340209010340209420Hanifa FauSyaiful Efe 15
36 Lama 15/10/20202000815 340209071340209700Reni IndunTri Budiyo 8
37 Lama 15/10/20201013108 340209100610104411Nurbaya Supriyadi 42
46 Lama 18/10/20202009716 340209230340209691Rhoma FridSujadi 18
54 Lama 21/10/20201003502 340209210340209681Veronika Re Yustinus A 47
57 Lama 22/10/20201001017 340209131340209601Alfiah Saryono 48
63 Lama 26/10/20201000812 KASIYEM ketandan Kasiyem kasiyem 59
64 Lama 26/10/20201014608 340209240340209411Minarsih Sutiyadi 43
65 Lama 26/10/20202014608 340209240340209630Nabil Latif Sutiyadi 10
66 Lama 26/10/20203014608 340209240340209590Zuhra WaraSutiyadi 8
76 Lama 28/10/20201001017 340209131340209601Alfiah Saryono 48
79 Lama 28/10/20201010808 340209131340209420Sulasmi Suroto 38
82 Lama 29/10/20202013307 340209460SOLECHAHNANGIM U45
87 Lama 30/10/20201002501 340209291340209500Sartini Margiyant 32
Unit Tempat
Jenis Pelayana Pemeriks
JK Alamat DESA Pasien Jaminan n aan Periksa ICDX
P Bakulan KuPATALAN BPJS PBI 000064864Infeksius PuskesmasSudah J00
P BOBOK PATALAN BPJS PBI 000257347Infeksius PuskesmasSudah J00,M13.9,
P Jetis PATALAN Bayar 000064824Batuk PuskesmasSudah J00
P Kategan PATALAN BPJS PBI 000064813Batuk PuskesmasSudah J00
P Boto PATALAN BPJS PBI 000103433Batuk PuskesmasSudah J00
P Kategan PATALAN BPJS PBI 000064885Batuk PuskesmasSudah J00,I10
P Patalan PATALAN BPJS PBI 000064911Batuk PuskesmasSudah J02.9
P PanjangjiwPATALAN BPJS PBI 000234534Batuk PuskesmasSudah J00
P Gerselo PATALAN BPJS PBI 000064979Batuk PuskesmasSudah J00
P Salam PATALAN BPJS PBI 000064837Infeksius PuskesmasSudah J00
P Bakulan WPATALAN BPJS PBI 000169660Batuk PuskesmasSudah J00
P Sulang KiduPATALAN BPJS PBI 000064961Batuk PuskesmasSudah J00
P Ketandan PATALAN BPJS PBI 000064830Umum PuskesmasSudah J00
P Gerselo PATALAN BPJS PBI 000169676Infeksius PuskesmasSudah J00
P Gerselo PATALAN BPJS PBI 000169676Infeksius PuskesmasSudah J00
P Gerselo PATALAN BPJS PBI 000297021Infeksius, PuskesmasSudah J02.9
P Sulang KiduPATALAN BPJS PBI 000064961Batuk PuskesmasSudah J00
P Gerselo PATALAN BPJS NON P000180117Batuk PuskesmasSudah J00
P GADUH PATALAN JAMKESDA Umum PuskesmasSudah J00,F20.9
P Bakulan KuPATALAN BPJS PBI 000064731Batuk PuskesmasSudah J00
Jenis Respirato Heart Kesadara
Diagnosa Kasus Terapi Sistole Diastole ry rate rate Keluhan n
Acute nasoBaru ASETYL, C 120 60 20 89 Compos me
Acute nasop
Baru parasetamol 175 128 20 88 Compos me
Acute nasoBaru cetirizyn sy142 103 20 109 Compos me
Acute nasoBaru asetyl, vc, 102 73 20 68 Compos me
Acute nasoBaru asetylsist 155 85 20 87 Compos me
Acute nasoBaru amlodipin, 136 87 20 90 Compos me
Acute phary
Baru amox, pct, 107 68 20 68 Compos me
Acute nasoBaru PAMOL, CTM 1 1 1 1 Compos me
Acute nasoBaru asetil siste 126 85 20 101 Compos me
Acute nasoBaru ctm, mp 133 80 20 82 Compos me
Acute nasoBaru ASETYL SIS135 70 20 90 Compos me
Acute nasoBaru ctm, dexa, 122 80 20 87 Compos me
Acute nasoBaru ctm, c 92 76 20 80 Compos me
Acute phary
Baru amox, cerin90 73 20 80 Compos me
Acute nasoBaru asetyl siste114 61 20 86 Compos me
Acute nasoBaru asetilsistei 120 90 18 80 batuk Compos me
Acute nasoLama cetirizin, 125 84 20 88 Compos me
Acute nasoLama Pct, Asetyl 116 70 20 77 Compos me
Tinggi Berat Lingkar Tindak
Dokter Perawat badan badan perut Tindakan Obat Lab Lanjut
dr Nindya Wulan Suci150 50 20 Rawat Jalan
dr Nindya Nurlathifa 150 45 76 Rawat Jalan
dr Nindya Wulan Suci150 60 80 Rawat Jalan
dr. Uswah Wulan Suci138 38 80 Rawat Jala
dr. SeptianTiti Suryani146 55 85 Rawat Jala
dr. SeptianTiti Suryani146 57 80 Rawat Jalan
dr. SeptianWulan Suci149 45 80 Rawat Jalan
dr. SeptianTiti Suryani120 26 80 Rawat Jalan
dr. SeptianTitis Wahy 158 66 86 Rawat Jala
dr Nindya Titis Wahy 155 64 80 Rawat Jala
dr. Uswah Titis Wahy 164 80 97 Rawat Jalan
dr. SeptianNurlathifa 150 54 78 Rawat Jala
dr Nindya Titis Wahy 150 56 86 Rawat Jala
dr Nindya Titis Wahy 156 70 90 Rawat Jalan
dr Nindya Titis Wahy 117 25 56 Rujuk Internal
dr Nindya Nurlathifa 150 54 76 Rawat Jala
dr Nindya Titi Suryani155 55 80 Rawat Jalan
dr Nindya Suhartinah149 47 67 Rawat Jala
No
Kunjunga Poli RS
No Telp n PCARE Rujukan Rujukan
Rawat Jalan 120506021021Y000053
Rawat Jalan 120506021021Y000018
Rawat Jalan
120506021021Y000090
120506021021Y000157
Rawat Jalan 120506021021Y000163
Rawat Jalan 120506021021Y000614
Rawat Jalan 120506021021Y001663
120506021021Y001664
120506021021Y002392
Rawat Jalan 120506021021Y002619
120506021021Y002634
120506021021Y003123
Rawat Jalan 120506021021Y003119
Rawat Jalan 120506021021Y003118
Rujuk Internal 120506021021Y003115
120506021021Y003430
Rawat Jalan 120506021021Y003518
Rawat Jalan
120506021021Y003757

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