TANGGAL

28/8/2011
5/8/2011
14/7/2011
28/7/2011
21/6/2011
5/6/2011
9/6/2011
27/5/2011
13/7/2011
13/7/2011

6/3/2012
12/1/2012
2/6/2012
2/9/2012
2/9/2012
5/13/2011
5/4/2011
5/3/2011
9/6/2011
6/14/2011
6/11/2011
6/5/2011
30/3/2012
24/3/2012
11/4/2012
7/4/2012
21/1/11
19/2/11
18/211
23/2/11
23/2/11
4/2/11
9/3/11
15/12/11
15/12/11
29/12/11
27/12/11
27/12/11
22/12/11
17/12/11
24/9/11
24/9/11
14/6/11
21/9/11
20/9/11

NAMA
SRI RETNO
FAUZI
PARDAMEAN
HARMAIN
ROMLI YAKUB
MANIAS
DATO
JUNAEDI
MINESTRI
RA. WAHAB, TN
ROBIN
TAMAM
BUDIMAN
ZURYATI
MAS ANDEKA
M. YUSUF
RATNA JUWITA
ICE
WARSONO
EDY
BAHRUDIN
USMAN
AMBARI, TN
SUKRI, NY
SUNARNO, TN
M. ROMLI
JAMIL
SUAKA
SALEH
ALI
SAMPAI
HABI BURARANYMAN
ZARLANI
YUSMANIZAR
SHOLPANI
PUTAR
HUSIN
ROSMAINA
KASIM
JHONSON
SUPRIONO
SALEH
GHOPUR
ZABUR HADI
SAFRI

JK
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L

USIA
62
62
51
74
69
61
41
49
51
67

65
56
58
64
55
58
37
38
52
45
50
61
48
37
42
65
11
45
69
54
57
70
61
50
72
66
68
50
28
48
48
62
52
51
50

LOKASI CTS
BILATERAL
KIRI
BILATERAL
BILATERAL
KANAN
KIRI
KANAN
KIRI
KIRI
KANAN
KANAN
KANAN
KIRI
BILATERAL
BILATERAL
KIRI
BILATERAL
BILATERAL
KIRI
KANAN
BILATERAL
BILATERAL
KIRI
KIRI
KIRI
KANAN
KANAN
KANAN
KIRI
KIRI
KANAN
BILATERAL
KIRI
BILATERAL
KANAN
KANAN
BILATERAL
KANAN
KANAN
KANAN
BILATERAL
KIRI
KANAN
BILATERAL
KIRI

GRADE
4
2
2
5
3
2
2
2
2
3
2
2
2

4
2
3
2
2
2
2
2
2
2
2
2
2
2
2
5
3
2
3
3
3
2
2
5
2
2
2
2
3
2
3
2

DIAGNOSIS
X
C
C
X
C
X
C
X
X
C
C
C
X
C
C
X
C
C
C
C
C
C
X
X
X
X
C
X
C
C
C
X
X
C
X
X
C
X
X
X
C
C
X
C
X

KET
CRS

P
P
N
P

FIBROMIALGIA
TETRAPARESE FLAKSID
P
HEMIPARESE
MYASTERNIA+CTS

P (KANAN LEBIH BERAT)

P
NEUROPATI
P
NEUROPATI
P
P

P
P

28/6/12
28/7/11
21/4/11
6/11/11
6/8/11
3/1/12
7/4/11
11/9/11
17/9/11
8/9/11
7/26/12
7/26/12
6/13/12
6/4/12
7/5/12
7/20/12
19/7/12
197/12
11/12/12
30/10/12
9/8/12
21/9/12
23/8/12
10/1/12
18/10/12
16/10/12
10/10/12
17/9/12
23/10/12

ILMAN
HERMAIN
FAJRI
BAHRUDDIN
BAR RONSYAH
SUPANDI EFFENDI
ROHIM
ROMZI
KUSNADI
ROHMAN
HASAN
INSAN
ZAINAB
WARYANTI
SAMUDRA
SALEH
NOLI
BULHASAN
MUHRI
KETUT
ZAWAWI
ZULKARNAIN
IMSHAK
SUHADA
SAMIN
DAMSIR
IDHAM MUZIR
SAM IRAWAN

L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L
L

RUSLI MUKRI

3/8/2011
4/8/2011

SIWI
SAHABUDIN
CHOLID TRI AQUARIAN
M. HENRI, TN
JUNAIDI
ELINA
ANDI RAHARJO
SUHAIMI
KHARUDIN
TAHMIT
DAMAR JAYA
ASNAWI, TN

L
L
L
L
L
L
L
L
L
L
L
L

6/1/2011
6/3/2011
15/3/2012
5/27/2011
14/06/2011
8/5/11
11/12/12
2/11/12
28/9/12
24/6/2011

51
73
54
50
52
61
56
68
48
76
55
25
53
50
60
59
38
61
53
60
70
47
59
60
49
50
62
40
53
57
60
33
54

50
49
58
65
46
44
57
52

KANAN
BILATERAL
KANAN
BILATERAL
BILATERAL
BILATERAL
KIRI
KANAN
KIRI
KIRI
KIRI
BILATERAL
KANAN
BILATERAL
BILATERAL
BILATERAL
KANAN
KANAN
KANAN
KANAN
BILATERAL
KANAN
KANAN
KIRI
BILATERAL
BILATERAL
KANAN
KIRI
KIRI
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

2
4
2
3
2
2
2
2
2
2
2
2
3
3
6
2
2
2
1
2
2
2
2
2
2
5
1
2
2
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

NORMAL
NORMAL
NORMAL

NORMAL
NORMAL
NORMAL
NORMAL

C
X
X
C
C
C
C
C
C
X
X
C
X
X
X
C
X
C
C
X
X
C
X
X
C
C
C
X
X
N
N
N
N
N
N
N
N
N
N
N
N

P
P

MONOPARESE DX
P
P
NEUROPATI DM
P
ICHIALGIA

BRACHIALGIA
MONOPARESE SI
P
P
KIRI 5 KANAN 3
PARASTESI LENGAN BAWAH KIRI
NEUROPATI DM

NO REGISTRASITANGGAL
237456
1/4/2011
30811
3/8/2011
6395
4/8/2011
533643
10/8/2011
534539
16/8/2011
177003
12/8/2011
502683
3/5/2011
338862
7/12/2011
377814
28/4/2011

NAMA
JK
MAIMIATI
P
SIWI
L
SAHABUDIN
L
KUMALA
P
M. ARKAN
P
MULYATI
P
PERMATA
P
NURMALINA, NY P
PUTRI MUTRIA P
517560
24/6/2011 ASMAH ARFAN, NYP
487275
6/1/2011 CHOLID TRI AQUARIAN
L
004559
6/3/2011 M. HENRI, TN
L
083155
2/3/2011 NORA
P
269102
15/3/2012 MARYAM
P
601266
15/3/2012 JUNAIDI
L
581183
21/1/2012 RUKMINI
P
580859
13/1/2012 NONIH
P
465563
2/4/2012 WIRAWATI
P
509230
5/28/2011 MARETI
P
509828
5/27/2011 ELINA
L
010101
14/06/2011ANDI RAHARJO L
610341
18/4/2012 AYU DEWI, NY P
605609
10/4/2012 HUSNIAH ZULFA P
27103363 25/1/11 MURNIATI
P
42204
13/1/11 MANAM
P
035884
3/2/11
LISTIPA
P
034456
22/3/11 MAISYAH
P
483332
11/3/11 KASIR
P
412995
15/12/11 NINGSIH
P
242811
29/10/11 MISNAWATI
P
544465
26/11/11 YUNIATI W
P
545398
24/9/11 LITA NUR AIDA P
36272
21/9/11 YUSNI DARYATI P
298426
8/5/11
SUHAIMI
L
545459
8/10/11 ROSMIATI
P
132539
18/7/12 ROSNITA SEBAYANG
P
610958
21/4/12 ISTIQOMA
P
691946
7/24/12 SITI HOTIMAH P
607787
7/4/12
MULYANI
P
613887
11/12/12 KHARUDIN
L
575094
21/8/12 YERNELISTAWATI P
056403
14/8/12 NURHASANAH P
011078
14/8/12 HERMAYATI
P
662768
10/10/12 KADARSIH
P
671897
2/11/12 TAHMIT
L
661394
28/9/12 DAMAR JAYA
L

USIA
51
57
60
38
48
50
21
53
24
62
33
54
51

45
50
54
17
57
36
49
58
45
51
58
40
40
57
58
54
40
51
19
49
65
31
55
25
46
43
46
55
60
54
56
44
57

LOKASI CTS
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

GRADE
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL
NORMAL

518021

24/6/2011 ASNAWI, TN

52

KIRI

MONO N RADIALIS SINI

C
C