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 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN JANUARI 2014

NAMA FASKES :PUSKESMAS BUNGI

ALAMAT :LIABUKU

NO KARTU
NO TANGGAL NAMA PESERTA DIAGNOSA
PESERTA
1 1/2/2014 206992809 ALFATH ISPA
2 1/2/2014 194655014 ERNI YUNANI ISPA
3 1/2/2014 1082405103 DIAH SALFAH FEBRIS
4 1/2/2014 1075416478 SITIARA AKSEPTOR KB
5 1/2/2014 1075416491 FAJAR ISPA
6 1/2/2014 134079208 MELI SUFIANI CEPALGIA
7 1/2/2014 956588843 BAHARUDIN V.LACERATUM
8 1/2/2014 956341192 FAHAMU ABSES
9 1/2/2014 956584629 DESTI BUMIL
10 1/2/2014 956991003 EMI KEMBA AKSEPTOR KB
11 1/2/2014 193937038 NAURA ISPA
12 1/2/2014 163470576 MIRZA II,IV PERSISTENSI
13 1/2/2014 134131364 HARTIA 37 GR
14 1/2/2014 956312763 LA AWE ISPA
15 1/2/2014 955270157 KASNAH BATUK
16 1/2/2014 956914312 HASRIANI AKSEPTOR KB
17 1/2/2014 ASKES NAILA ABSES GR
18 1/2/2014 957027058 AFIKA DIARE
19 1/2/2014 955461791 LUH SRIJATI ISPA,GASTRITIS
20 1/2/2014 955460823 KOMANG SUMERTA ISPA
21 1/2/2014 956849602 FATIMAH GASTRITIS
22 1/3/2014 956702518 AINUL MUSTAFA IV,III.CARIES
23 1/3/2014 957054306 MARNI BUMIL
24 1/3/2014 956490592 ARFAN FAISAL GEA
25 1/3/2014 956155149 JUMARIA ABSES
26 1/3/2014 956232797 HASIRUDIN ISPA
27 1/3/2014 956988843 BAHARUDIN V.LACERATUM
28 1/3/2014 194113271 HALIMA STRUMA,MH
29 1/3/2014 198772727 SITI HAFIDAH GASTRITIS
30 1/3/2014 956931917 ARIS BATOM ABSES
31 1/3/2014 956963823 WA DAADA ARHRITIS
32 1/3/2014 956663998 HARDI DIARE
33 1/3/2014 957084761 HELKIYA ISPA
34 1/3/2014 957082656 PETRONELA MIALGIA
35 1/3/2014 957179349 FAILU BUMIL
36 1/3/2014 956490592 ARDILAN ABSES
37 1/3/2014 134074219 ASTINAWATI CEPALGIA
38 1/3/2014 164427884 MULIATI DERMATITIS
39 1/4/2014 957062193 LA HANAFI CEPALGIA
40 1/4/2014 956610527 SAMSIA ISPA,DERMATITIS
41 1/4/2014 949280613 MITRA MIALGIA
42 1/4/2014 956622431 MASSU HIPERTENSI.ABSES
43 1/4/2014 957213764 LA AMU ASMA.B
44 1/4/2014 134121137 TARSIP ASMA.B,ISPA
45 1/4/2014 208485595 MISEL PNEUMONI
46 1/4/2014 954819202 LD. HASINU TB PARU,GASTRITIS
47 1/4/2014 955289812 BAHARUDIN MALAISE
48 1/4/2014 956012242 HASNIA BUMIL
49 1/4/2014 955777940 WAYAN MERTA MIALGIA
50 1/6/2014 956595374 M. EFENDI ISPA
 51 1/6/2014 956609548 NURIATI ISPA
52 1/6/2014 956901982 MUSLIMAT BUMIL
53 1/6/2014 211545461 ALBAR SAKIT GIGI
54 1/6/2014 957219287 WA AILA BUMIL
55 1/6/2014 957172702 NADIRA FEBRIS
56 1/6/2014 941391838 FIFI COMMOND COLD

57 1/6/2014 957179687 RANO COMMOND COLD

58 1/6/2014 955052673 SARIANTI PSORIASIS
59 1/6/2014 955407857 NENGAH RENES MIALGIA
60 1/6/2014 955461791 LUH SRIJATI GASTRITIS
61 1/6/2014 956630354 MADE ARTI BUMIL
62 1/7/2014 1341266818 NASIAH MIALGIA
63 1/7/2014 955949152 NANDA VULNUS ICTUM
64 1/7/2014 107848049 ANDI GALIGO PNEUMONI
65 1/7/2014 134625161 KHAIRON NISA ISPA
66 1/7/2014 957082656 PETRONELA ISPA
67 1/7/2014 956920792 ELFRIDA CONJUNGTIVITIS
68 1/7/2014 957031468 RINI ISPA
69 1/7/2014 957030906 UDDIN ISPA
70 1/7/2014 956914312 I MADE SITI ISPA
71 1/7/2014 957174941 HARIS MH
72 1/7/2014 956913436 SITI HERLINA GASTRITIS,INF KULIT
73 1/7/2014 134079208 MELI SUFIANI ISPA
74 1/7/2014 956582739 ZULFIKAR ISPA
75 1/7/2014 134074219 ASTINAWATI ISPA
76 1/7/2014 134262358 I WAYAN RUMAYA CEPALGIA
77 1/7/2014 955777940 WAYAN MERTA OA
78 1/7/2014 956647113 KOMANG SRIASIH BUMIL
79 1/8/2014 166040368 MULIANI BUMIL
80 1/8/2014 134072695 MURNI AKSEPTOR KB
81 1/8/2014 956329233 HERNI AKSEPTOR KB
82 1/8/2014 956564717 MARWIA AKSEPTOR KB
83 1/8/2014 957213764 LA AMU ISPA
84 1/8/2014 955955428 NETI BUMIL
85 1/8/2014 957210052 RIDA AKSEPTOR KB
86 1/8/2014 956937003 ALIA BUMIL
87 1/8/2014 957011218 WA USA KONJUNGTIVITIS
88 1/8/2014 956990564 RENO ISPA
89 1/8/2014 163470576 M. MIRZA OMA
90 1/8/2014 134131364 WD. HARTIA 37 GR
91 1/8/2014 956601224 HASNIA ISPA
92 1/8/2014 956908157 NURIANI COMMOND COLD
93 1/8/2014 1075418155 WA ISAMU MIALGIA
94 1/8/2014 957031468 RINI MALAISE
95 1/8/2014 1081123907 KESYA FEBRIS
96 1/8/2014 956287247 JURLIA MIALGIA
97 1/9/2014 956913941 CELSEA ISPA
98 1/9/2014 955231817 WA RAHIYA ARHRITIS
99 1/9/2014 956959064 HAWASIA III PERSISTENSI
100 1/9/2014 1075416557 YOS GUNTUR ISPA
101 1/9/2014 134262347 DIVA NANDA KULIT INFEKSI
102 1/9/2014 956931759 LIANA AKSEPTOR KB
103 1/9/2014 956976074 EMI SESA AKSEPTOR KB
104 1/9/2014 956595633 NANDA VULNUS,ISPA
105 1/9/2014 955700572 LA NURU MIALGIA
106 1/9/2014 956591717 MUDERIWING ISPA
107 1/9/2014 957004288 SELIA AKSEPTOR KB
108 1/9/2014 956702518 AINUL MUSTAFA EXO
109 1/10/2014 956685148 JAFAR ISPA
110 1/10/2014 956224181 DAVID ISPA
111 1/10/2014 956014053 DIKI WAHYUDIN ISPA
112 1/10/2014 956439288 ZELIA ISPA
113 1/10/2014 134079208 MELIY MIALGIA
114 1/10/2014 957085874 WD. SITIANI AKSEPTOR KB
115 1/10/2014 956003624 LA IMBI V. LACERATUM
116 1/10/2014 1075416309 MUSNIHI HIPERTENSI
117 1/10/2014 956963823 WA DAADA GASTRITIS
118 1/10/2014 1075416581 WA NIA GASTRITIS
119 1/10/2014 957182973 WA MALUSA MIALGIA
120 1/10/2014 957180273 WA ASI GASTRITIS
121 1/10/2014 957179834 LA RUSI COMMOND COLD

122 1/10/2014 956612114 NAFIA MIALGIA

123 1/10/2014 956924087 WA ANDA MIALGIA
124 1/10/2014 956160911 SIANI HIPERTENSI
125 1/10/2014 955231391 WA HALUSU MIALGIA
126 1/10/2014 957110916 LA INADI HIPERTENSI
127 1/10/2014 956603463 WA ONDI MIALGIA
128 1/10/2014 956592292 WA IDA GASTRITIS
129 1/10/2014 956583977 ESTER GEA
130 1/10/2014 956030242 WA IYA ISPA
131 1/10/2014 955228048 WA DAYA HIPERTENSI
132 1/10/2014 956533667 WA ANIMA MIALGIA
133 1/10/2014 957184165 WA LUHAYA MIALGIA
134 1/11/2014 956709178 LA MUHURI ISPA
135 1/11/2014 956710326 MUSRIHI SKIZOFRENIA
136 1/11/2014 194223271 HALIMA STRUMA,MH
137 1/11/2014 954819202 LA HASINU TB
138 1/11/2014 956896312 NOHO RENOAD ISPA
139 1/11/2014 958000369 MADE SUARTINI BUMIL
140 1/11/2014 956154808 LA BAENA V.LACERATUM
141 1/11/2014 955204806 SURYANI BUMIL
142 1/13/2014 1075418256 HASMA BUMIL
143 1/13/2014 956287247 JURLIA MIALGIA
144 1/13/2014 416044401745 SAMSUL ISPA
145 1/13/2014 956003624 LA IMBI VULNUS
146 1/13/2014 10754184144 LA AIDA DERMATITIS
147 1/13/2014 955943919 AAN FEBRIS
148 1/13/2014 201074297 FARAH AULIA ISPA
149 1/13/2014 957092804 MELISA ISPA
150 1/13/2014 957096988 YONAL ABSES
151 1/13/2014 1075416557 YOS GUNTUR ISPA,GASTRITIS
152 1/13/2014 957097945 GLEDIS ABSES
153 1/13/2014 957211751 WA BATU HIPERTENSI
154 1/13/2014 955231817 RAHIYA ARHRITIS
155 1/13/2014 957213764 LA AMU ISPA
156 1/13/2014 956991003 EMI KEMBA ISPA
157 1/13/2014 134079208 MELI MIALGIA
158 1/13/2014 955916425 WD. HASIYMA OSTEOASTRITIS
159 1/13/2014 957779440 WAYAN MERTA ISPA
160 1/13/2014 956629372 KADEK SUMITRI BUMIL
161 1/13/2014 956416263 FAHIR V.LACERATUM
162 1/15/2014 956347661 ARFIA AKSEPTOR KB
163 1/15/2014 956348829 RENDI OMK
164 1/15/2014 955930645 IRANTO MIALGIA,ALERGI
165 1/15/2014 955930274 NURHADI ISPA,DIARE
166 1/15/2014 956570139 REZA KULIT INFEKSI
167 1/15/2014 956937003 HALIA BUMIL
168 1/15/2014 957236095 MISEL ISPA
169 1/15/2014 957062193 HANAFI INSOMIA
170 1/15/2014 957250855 TIMIN ISPA
171 1/15/2014 956569879 WA ABE POST OPERASI
172 1/15/2014 956570411 AMIRA ISPA
173 1/15/2014 956896525 YUNIA ISPA
174 1/15/2014 955965546 LD OMBO MIALGIA
175 1/15/2014 955915435 LD.EBU ISPA
176 1/15/2014 957031468 LD. MUNAHI ASMA BRONHIALE
177 1/15/2014 134155822 MARTA ISPA
178 1/15/2014 134155844 KESYA INFEKSI SEKUNDER
179 1/15/2014 956899517 JUNITA STOMATITIS
180 1/15/2014 201073634 FARHAN ISPA
181 1/15/2014 955289867 NAHARIA MASTITIS
182 1/15/2014 956589153 ANDI V.ICTUM
183 1/15/2014 134104814 WD. IDA ISPA
184 1/15/2014 955450078 KADEK EGA FEBRIS,BATUK
185 1/15/2014 955549404 WAYAN WAHYUNI GASTRITIS
186 1/15/2014 955416339 PUTU LILI BUMIL

187 1/16/2014 956973947 NINING V.LACERATUM

188 1/16/2014 957021761 ARFIA ARHRITIS
189 1/16/2014 956622431 MASSU ARHRITIS
190 1/16/2014 956899866 ELFIKA FEBRIS
191 1/16/2014 956988887 SIRNIA TONSILITIS
192 1/16/2014 9565003624 LA IMBI GV
193 1/16/2014 1081129116 ASTRID FEBRIS
194 1/16/2014 956154808 LA BAENA V.LACERATUM
195 1/17/2014 956896312 NOHO RENOAD NYERI PINGGANG
196 1/17/2014 957207014 ASMA OMK
197 1/17/2014 957054666 LD.RENDI CACINGAN
198 1/17/2014 957054137 LD.HARMADIN ISPA,MIALGIA
199 1/17/2014 1075418155 WA ISAMU GASTRITIS
200 1/17/2014 957300085 WANTI BUMIL
201 1/17/2014 9566124114 NAFIA FEBRIS
202 1/17/2014 9566124114 ZAKI ABSES
203 1/17/2014 956612327 HARIS ISPA
204 1/17/2014 954849602 FATIMAH ISK
205 1/17/2014 956416263 FAHIR V.LACERATUM(GV)
206 1/17/2014 955228961 RANI GASTRITIS
207 1/18/2014 955296011 NANDA ISPA,GEA
208 1/18/2014 957179193 IBNU KASIM ISPA
209 1/18/2014 957021761 ARFIA OSTEOASTRITIS
210 1/18/2014 955999078 ASRIANI FLOUR ALBUS
211 1/18/2014 10754184144 LA IDA DERMATITIS
212 1/18/2014 956586958 NILA ISPA
213 1/18/2014 1078775155 ZARWA ADRIAS PIODERMA
214 1/18/2014 956694352 M.AMIN ISPA
215 1/18/2014 956943084 WA FIA MIALGIA
216 1/18/2014 956569331 FITRI ISPA
217 1/18/2014 956982093 MUSRIANI ISPA
218 1/18/2014 134084924 NAHADIA GV
219 1/18/2014 1075407052 WD.NITA ISPA
220 1/18/2014 956586958 ERIK ISPA
221 1/18/2014 955802619 KETUT SWINIH OA
222 1/20/2014 956977402 KUSNAWATI MIALGIA
223 1/20/2014 956609548 NURIATI BUMIL
224 1/20/2014 956619731 MARIANTI BUMIL
225 1/20/2014 958914021 MARWATI BUMIL
226 1/20/2014 1075418166 EDIYANTO 8 PULPITIS
227 1/20/2014 956936496 JUNIATI ASMA BRONHIALE
228 1/20/2014 956936529 REFAN ISPA
229 1/20/2014 956684338 SUGIARTO ISPA
230 1/20/2014 956329232 HERNI DIARE
231 1/20/2014 956154808 LA BAENA V.LACERATUM(GV)
232 1/20/2014 956586205 ELSA ISPA
233 1/20/2014 956691303 FALDIN CACINGAN
234 1/20/2014 134121148 WANDINDIN ISPA
235 1/20/2014 955289867 HASAN BASRI PNEUMONI
236 1/20/2014 955289812 BAHARUDIN MALAISE
237 1/20/2014 956899866 ELFIKA ISPA
238 1/20/2014 1081123907 KESYA ISPA
239 1/20/2014 956569847 WA ABE GASTRITIS
240 1/20/2014 956570139 REZA ISPA
241 1/20/2014 956357177 IBAYA AKSEPTOR KB
242 1/20/2014 134116468 NURSIMA AKSEPTOR KB
243 1/20/2014 955777940 WAYAN MERTA MIALGIA
244 1/20/2014 956620495 MUSRINA BUMIL
245 1/21/2014 134072714 ZAMADIL MIALGIA
246 1/21/2014 134079221 M. HIJRAH ISPA
247 1/21/2014 1080635152 RAHMIA V.EKSORIATUM
248 1/21/2014 956622431 MASSU INSOMIA
249 1/21/2014 957100689 SARIATI BUMIL
250 1/21/2014 958595677 PETRA ISPA
251 1/21/2014 134169445 GUSTI ADITYA ISPA

252 1/21/2014 955234708 WA KIPO MIALGIA

253 1/21/2014 956299432 LA MUSA SARIAWAN
254 1/21/2014 956312763 LA AWE MIALGIA
255 1/21/2014 956344893 LA NINI MIALGIA
256 1/21/2014 956566956 LA NISA MIALGIA
257 1/21/2014 955957972 HASNAH BATUK
258 1/21/2014 956305629 WA NEPI GASTRITIS
259 1/21/2014 956334249 LA DIDI HIPERTENSI
260 1/21/2014 956690616 WA AGA GASTRITIS
261 1/21/2014 956704476 WA SAIMA HIPERTENSI
262 1/21/2014 955245249 WA NAI GASTRITIS
263 1/21/2014 956349369 HUSNIA MIALGIA
264 1/21/2014 955231817 WA RAHIYA MIALGIA
265 1/22/2014 957215777 WA LINA HIPERTENSI
266 1/22/2014 956558259 WA SIHU MIALGIA
267 1/22/2014 955216934 HASNIA RINITIS
268 1/22/2014 955215808 HASAN LA JAWA ISPA
269 1/22/2014 955946171 WA BEBE MIALGIA
270 1/22/2014 955492007 LA HAMU ABSES
271 1/22/2014 956588512 LA MAAJI GASTRITIS
272 1/22/2014 955273983 WA SAMIU RINITIS
273 1/22/2014 955261326 WA NAENA ISPA
274 1/22/2014 957199825 FADEL ISPA
275 1/22/2014 1075416636 FIRDA AKSEPTOR KB
276 1/22/2014 956687398 PUTU SUKRI OBSTRUKSI SERUMEN
277 1/22/2014 956985863 DEDE ISPA
 278 1/22/2014 955455017 ZAMLIA FARINGITIS
279 1/22/2014 134169298 SULAIMAN TENSION HEADACHE
280 1/22/2014 167202292 ANDI HUZAIFA ISPA
281 1/22/2014 1081301938 WD.SELA SYAWEPAN HORDEOLUM
282 1/22/2014 1075416636 RISKI DERMATITIS
283 1/22/2014 956655641 PUTU KANIYAH BUMIL
284 1/22/2014 956360226 SURIATI BUMIL
285 1/23/2014 957224171 LA UPIK 16 PERIODENTITIS
286 1/23/2014 1081123569 NURFITRIA ALERGI
287 1/23/2014 957177685 ATIKA HARIS
288 1/23/2014 4210164 MARTEN RANU MALAISE
289 1/23/2014 1075424231 AMNA SURA BUMIL
290 1/23/2014 956994434 INANG ALERGI
291 1/23/2014 195863038 SANTI MAHISU 36 PULPITIS
292 1/23/2014 956416263 FAHIR AFF HECTING
293 1/24/2014 956963823 WA DAADA ISPA
294 1/24/2014 10754184144 LA AIDA DERMATITIS
295 1/24/2014 957213764 LA AMU ASMA BRONHIALE
296 1/24/2014 957234497 LINCE DEMAM
297 1/24/2014 957234892 FADEL ISPA
298 1/24/2014 134262358 I WAYAN RUMAYA SAKIT KEPALA
299 1/24/2014 955976624 LA MAI ASMA BRONHIALE
300 1/24/2014 134136448 LA JAHAMA ASMA BRONHIALE
301 1/24/2014 957055994 ASTIA KULIT ALERGI
302 1/24/2014 1080635152 RAHMIA V.LACERATUM(GV)
303 1/24/2014 956928881 AGIL ISPA
304 1/24/2014 95724601 RAHMAWATI BUMIL,ISPA
305 1/24/2014 134155844 KESYA ISPA

JUMLAH PESERTA YG BERKUNJUNG :305 ORANG

JUMLAH YANG DI RUJUK :0

PENGELOLA RUJUKAN MENGETAHUI

KEPALA PUSKESMAS BUNGI

MULIANI,AMK dr. NI WAYAN SURYADIRMAYANTI

NIP.19761010197032006 NIP.19781129 200604 2017
TP)

DI TANDA TANGAN
RUJUK PASIEN
SMAS BUNGI

SURYADIRMAYANTI
00604 2017
ARFIA
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN 2014

Nama Faskes :
Alamat :
NO KARTU
NO TANGGAL NAMA PESERTA
PESERTA

10

11

12

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14

15

16

17

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35
 LAPORAN PELAYANAN
AT JALAN TINGKAT PERTAMA (RJTP)
BULAN 2014

DI TANDA TANGAN
DIAGNOSA
RUJUK PASIEN
 341 23/1/2014 956433306 Nur Hidayat
342 23/1/2014 956431607 Hasan
343 23/1/2014 955626412 Samni
344 23/1/2014 956125361 Nabil Rizki
345 23/1/2014 955908303 Alisahidin
346 23/1/2014 956172396 Dinda
347 23/1/2014 956077659 Marni
348 23/1/2014 134117886 La Mosi
349 23/1/2014 955745493 Marsela
350 23/1/2014 956488599 Mandiyani
351 23/1/2014 957154004 Harlina
352 23/1/2014 955141119 Wa Liyanta
353 23/1/2014 956315046 Feliadin
354 23/1/2014 956313606 Yanti
355 23/1/2014 956115347 Salsabilah
356 23/1/2014 956414428 Sinta
357 23/1/2014 956412753 Nurlensa
358 23/1/2014 1075413712 Rahman
359 23/1/2014 1075413723 Sanira
360 23/1/2014 956147534 Zeni
361 23/1/2014 955219454 Wabanduru
362 23/1/2014 208192511 Riski
363 24/1/2014 955210426 Wa Saidi
364 24/1/2014 955210926 Fita
365 24/1/2014 955237612 Hartati
366 24/1/2014 955236262 Samniah
367 24/1/2014 956112636 Wahisani
368 24/1/2014 1075414757 Dinarti
369 24/1/2014 1075414735 saida
370 24/1/2014 956115347 Salsabillah
371 25/1/2014 955146802 Yusril
372 25/1/2014 133912135 Suharniati
373 25/1/2014 163735784 Rahyudin
374 25/1/2014 955125876 Nurlita
375 25/1/2014 955623003 Musifa
376 25/1/2014 955164058 Wulan
377 25/1/2014 955717716 Yusril
378 25/1/2014 957189611 Rufiati
379 25/1/2014 955084296 Larumai
380 25/1/2014 198804576 Salsah
381 25/1/2014 957155387 Yusuf
382 25/1/2014 956187009 Muh. Ikbal
383 25/1/2014 966405158 La Masiru

JUMLAH PESERTA YG BERKUNJUNG :383 ORANG

JUMLAH YANG DI RUJUK :0

Pengelola Rujukan

Ruwiyani,AMK
NIP.19840409 200801 2 002
Gastritis
Ispa
KB
Febris
Febris
Ispa
Ispa
Gastritis
Alergi
Abses
Gastritis
Batuk
CC
Ispa
Febris
CC
Pioderm
GEA
Stomatitis
Febris
Osteoartritis
Tonsilitis Akut
Ispa
Susp sinusitis frotal
Batuk
Gastritis
Glaukoma
CC
Gastritis
Ispa
CC
Febris
Artritis
CC
Batuk
Febris
Konjuctivis
Gastritis
Dermatitis
Ispa
Ispa
CC
Abses

Mengetahui
Kepala Puskesmas Sorawolio

dr. Hasrida Hamid

NIP.19810516 200904 2 002
 REKAPITULASI PELAYANAN KEBIDANAN ( KB )
BULAN :
TAHUN :
NO NAMA PASIEN NOMOR KARTU ALAMAT DIAGNOSA

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KEBIDANAN ( KB )

TANGGAL KET
STATUS GPA BIAYA
PEMERIKSAAN PBI NO PBI