Data Offline Surveilans PTM berbasis POSBINDU

Identitas Peserta Posbindu

No Tanggal Pemeriksaan
No KTP

1 29 July 2017 1801066504770001

2 29 July 2017 1801064306690004
3 29 July 2017 1801067006410010
4 29 July 2017 1801065009530002
5 29 July 2017 1801066510620002
6 29 July 2017 1801065412650002
7 29 July 2017 1801065012582004
8 29 July 2017
9 29 July 2107 1801065012582004
10 29 July 2017 1801064101750015
11 29 July 2017
12 29 July 2017 1801065605580001
13 29 July 2017 1801064706720009
14 29 July 2017 1801066008660002
15 29 July 2017 1801063006440019
16 29 July 2017
17 29 July 2017 1801063006450020
18 29 July 2017 1801065203500002
19 29 July 2017 1801065005600002
20 29 July 2017 1801065505700005
21 29 July 2017 1801064301810006
22 29 July 2017 1801065007690008
23 29 July 2017 1801065705600006
24 29 July 2017 1801064303830007
25 29 July 2017 1801064606620006
26 29 July 2017 0000340485557000
27 29 July 2017 1801060204520003
28 29 July 2017 1801060204520003
29 29 July 2017 1801061712680003
30 29 July 2017 1801061704550002
31 29 July 2017 1801060102860012
32 29 July 2017 1801062707710006
33 29 July 2017 1801061101690005
34 29 July 2017 1801063005600003
35 29 July 2017 1801062101800004
36 29 July 2017 1801062501510003
37 29 July 2017 1801062006860006
38 29 July 2017 1801060404680003
39 29 July 2017 1801066602880001
 40 29 July 2017 1801060304650005
41 29 July 2017 1801060106600003
42 29 July 2017 1801061906720002
43 29 July 2017 1801061301740002
44 29 July 2017 1801061702760001
45 29 July 2017 1801060306680005
46 29 July 2017 1801060405700009
47 29 July 2017 1171082511730001
48 29 July 2017 1801061907720003
49 29 July 2017 1801061205770006
50 29 July 2017 1807021907720003
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PTM berbasis POSBINDU
as Peserta Posbindu

Jenis
Nama Pasien Nama Panggilan Tanggal Lahir Agama
Kelamin

YUHANA YUHANA 25 April 1977 P Islam

MAIMUNAH MAIMUNAH 03 June 1969 P Islam
R.YUYUN KARTINI YUYUN 30 June 1946 P Islam
RUSNANI RUSNANI 10 September 1953 P Islam
SAODAH SAODAH 25 October 1962 P Islam
SITI RAHMIATI SITI 07 September 1965 P Islam
STI ROHMAH SITI 10 December 1958 P Islam
HALIMAH HALIMAH P Islam
HJ.FATIMAH FATIMAH 05 May 1950 P Islam
RATNA JUWITA RATNA 01 January 1975 P Islam
MASRIKA MASRIKA P Islam
ASMAINI ASMAINI 16 May 1958 P Islam
SARYATI SARYATI 08 July 1972 P Islam
DIAH PURWANTI DIAH 28 August 1966 P Islam
MURSALIN MURSALIN 30 June 1944 P Islam
SARIAH SARIAH 05 July 1969 P Islam
SYAHRIK SYAHRIK 30 June 1945 P Islam
MUAMAH MUAMAH 02 March 1950 P Islam
SITI MAS SITI 05 June 1960 P Islam
SANIAH SANIAH 05 May 1970 P Islam
NURHASANAH NURHASANAH 03 January 1981 P Islam
ENAH ENAH 05 July 1969 P Islam
ROSLINA ROSLINA 07 May 1960 P Islam
ASNAWATI ASNAWATI 03 March 1983 P Islam
PONIRAH PONIRAH 06 June 1962 P Islam
HALIMAH HALIMAH P Islam
SUWANDI SUWANDI L Islam
SUDIN SUDIN L Islam
LILIK SUSILO EDI EDI L Islam
IWAYAN RENGGA IWAYAN RENGGA L Islam
ARI FERDIYANTO ARI L Islam
BAGIO SADEWO BAGIO L Islam
HARMINTO HARMINTO L Islam
M.SIDIK SIDIK L Islam
IWAYAN JANARYA.D. IWAYAN L Islam
RISMARD LAHAR RISMARD L Islam
JAJAD SUDRAJAD JAJAD L Islam
WAGIYO WAGIYO L Islam
PEPSI NURITA PEPSI NURITA P Islam
 YUNUS YUNUS L Islam
A.NASIH AL QUDZI A.NSIH L QUDZI L Islam
SUNARDI SUNARDI L Islam
SUKADI SUKADI L Islam
SUDAR MAJI SUDAR MAJI L Islam
MARUBA SIAHAAN MARUBA SIAHAAN L Islam
ARIE UDRAL ARIE UDRAL L Islam
M.YAMIN KELANA YAMIN L Islam
HERLIANTO HERLIANTO L Islam
EFENDI EFENDI L Islam
MULYA HARTANTO MULYA HARTANTO L Islam
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 Alamat No Telp/ HP Pendidikan Terakhir

WAY URANG
WAY URANG
CANDI GIRANG
CANDI GIRANG
HARA
CANDI GIRANG
WAY URANG
CANDI GIRANG
CANDI GIRANG
WAY URANG
CANDI GIRANG
CANDI GIRANG
WAY URANG
WAY URANG
WAY URANG
CANDI GIRANG
WAY URANG
CANDI GIRANG
CANDI GIRANG
CANDI GIRANG
WAY URANG
WAY URANG
CANDI GIRANG
WAY URANG
WAY URANG
WAY URANG
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 Riwayat Penyakit Tidak Menu

Golongan Penyakit
Pekerjaan Status eMail
Darah Diabetes

B
B

O
B
O

A
A
A

O
O
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xxx

xxx xxx xxx xxx

Riwayat Penyakit Tidak Menular Pada Keluarga Riwayat Penyakit Tidak Menular Pada Diri Sendiri

Penyakit Penyakit Penyakit Penyakit Penyakit Kolesterol Penyakit Penyakit

Hipertensi Jantung Stroke Asma Kanker Tinggi Diabetes Hipertensi
 xxx
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at Penyakit Tidak Menular Pada Diri Sendiri WAWANCARA

Kurang Kurang
Penyakit Penyakit Penyakit Penyakit Kolesterol Merokok Aktivitas Sayur dan
Jantung Stroke Asma Kanker Tinggi
Fisik Buah
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WAWANCARA Tekanan Darah IMT Pemeriksaan Lab.

Lingkar Pengukuran
Konsumsi Tinggi Berat Perut Fungsi Paru
Sistol Diastol Gula
Alkohol Badan Badan
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 Pemeriksaan Lab. Penyuluhan
Kadar Tes
Benjolan IVA Alkohol Amfetamin Penyuluhan Penyuluhan
Kolesterol Trigliserida Pernafasan Urin
Payudara IVA & CBE Rokok
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Penyuluhan

Penyuluhan
Potensi
Cedera
xxx
xxx
tanggal_pemeriksaanno_ktp nama_pasinama_pangtanggal_lah jenis_kelaminagama alamat no_telp
2017-07-29 1801066504770001 YUHANA YUHANA 1977-04-25 P Islam WAY URANG
2017-07-29 1801064306690004 MAIMUNAH MAIMUNAH 1969-06-03 P Islam WAY URANG
2017-07-29 1801067006410010 R.YUYUN KARTINI YUYUN 1946-06-30 P Islam CANDI GIRANG
2017-07-29 1801065009530002 RUSNANI RUSNANI 1953-09-10 P Islam CANDI GIRANG
2017-07-29 1801066510620002 SAODAH SAODAH 1962-10-25 P Islam HARA
2017-07-29 1801065412650002 SITI RAHMIATI SITI 1965-09-07 P Islam CANDI GIRANG
2017-07-29 1801065012582004 STI ROHMAH SITI 1958-12-10 P Islam WAY URANG
2017-07-29 HALIMAH HALIMAH P Islam CANDI GIRANG
2107-07-29 1801065012582004 HJ.FATIMAH FATIMAH 1950-05-05 P Islam CANDI GIRANG
2017-07-29 1801064101750015 RATNA JUWITA RATNA 1975-01-01 P Islam WAY URANG
2017-07-29 MASRIKA MASRIKA P Islam CANDI GIRANG
2017-07-29 1801065605580001 ASMAINI ASMAINI 1958-05-16 P Islam CANDI GIRANG
2017-07-29 1801064706720009 SARYATI SARYATI 1972-07-08 P Islam WAY URANG
2017-07-29 1801066008660002 DIAH PURWANTI DIAH 1966-08-28 P Islam WAY URANG
2017-07-29 1801063006440019 MURSALIN MURSALIN 1944-06-30 P Islam WAY URANG
2017-07-29 SARIAH SARIAH 1969-07-05 P Islam CANDI GIRANG
2017-07-29 1801063006450020 SYAHRIK SYAHRIK 1945-06-30 P Islam WAY URANG
2017-07-29 1801065203500002 MUAMAH MUAMAH 1950-03-02 P Islam CANDI GIRANG
2017-07-29 1801065005600002 SITI MAS SITI 1960-06-05 P Islam CANDI GIRANG
2017-07-29 1801065505700005 SANIAH SANIAH 1970-05-05 P Islam CANDI GIRANG
2017-07-29 1801064301810006 NURHASANAH NURHASANAH 1981-01-03 P Islam WAY URANG
2017-07-29 1801065007690008 ENAH ENAH 1969-07-05 P Islam WAY URANG
2017-07-29 1801065705600006 ROSLINA ROSLINA 1960-05-07 P Islam CANDI GIRANG
2017-07-29 1801064303830007 ASNAWATI ASNAWATI 1983-03-03 P Islam WAY URANG
2017-07-29 1801064606620006 PONIRAH PONIRAH 1962-06-06 P Islam WAY URANG
2017-07-29 0000340485557000 HALIMAH HALIMAH P Islam WAY URANG
2017-07-29 1801060204520003 SUWANDI SUWANDI L Islam
2017-07-29 1801060204520003 SUDIN SUDIN L Islam
2017-07-29 1801061712680003 LILIK SUSILO EDI EDI L Islam
2017-07-29 1801061704550002 IWAYAN RENGGA IWAYAN RENGGA L Islam
2017-07-29 1801060102860012 ARI FERDIYANTO ARI L Islam
2017-07-29 1801062707710006 BAGIO SADEWO BAGIO L Islam
2017-07-29 1801061101690005 HARMINTO HARMINTO L Islam
2017-07-29 1801063005600003 M.SIDIK SIDIK L Islam
2017-07-29 1801062101800004 IWAYAN JANARYA.D. IWAYAN L Islam
2017-07-29 1801062501510003 RISMARD LAHAR RISMARD L Islam
2017-07-29 1801062006860006 JAJAD SUDRAJAD JAJAD L Islam
2017-07-29 1801060404680003 WAGIYO WAGIYO L Islam
2017-07-29 1801066602880001 PEPSI NURITA PEPSI NURITA P Islam
2017-07-29 1801060304650005 YUNUS YUNUS L Islam
2017-07-29 1801060106600003 A.NASIH AL QUDZI A.NSIH L QUDZI L Islam
2017-07-29 1801061906720002 SUNARDI SUNARDI L Islam
2017-07-29 1801061301740002 SUKADI SUKADI L Islam
2017-07-29 1801061702760001 SUDAR MAJI SUDAR MAJI L Islam
2017-07-29 1801060306680005 MARUBA SIAHAAN MARUBA SIAHAAN L Islam
2017-07-29 1801060405700009 ARIE UDRAL ARIE UDRAL L Islam
2017-07-29 1171082511730001 M.YAMIN KELANA YAMIN L Islam
2017-07-29 1801061907720003 HERLIANTO HERLIANTO L Islam
2017-07-29 1801061205770006 EFENDI EFENDI L Islam
2017-07-29 1807021907720003 MULYA HARTANTO MULYA HARTANTO L Islam
pendidikan_terakhir
pekerjaan statusgolongan_darah emailpenyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
B
B

O
B
O

A
A
A

O
O
penyakit_asma
penyakit_kanker
kolesterol_tinggi
penyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
penyakit_asma
penyakit_kanker
kolesterol_tinggi
merokok
kurang_aktivitas
kurang_sayur
konsumsi_alkoholsistol diastol tinggi_badberat_bad lingkar_pepengukura
gula kolesterol trigliseridabenjolan_ iva kadar_alkotes_amfet penyuluhapenyuluhapenyuluhan_cedera
penyuluhan_cedera
1 posbindu