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<big><big><span style="font-weight: bold;">
DATA REGISTER PASIEN <br>
2018-10-01 s/d 01-10-2018<br> POLI UMUM
</span></big></big>
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</table>
<table align="center" width="98%" border="1">
<tr class="row1">
<td>No</td>
<td>Ruangan</td>
<td width='6%'>Tanggal</td>
<td>Khusus</td>
<td>Nama</td>
<td>No RM</td>
<td>No BPJS</td>
<td>Kelamin</td>
<td width='6%'>Lahir</td>
<td>Alamat</td>
<td>Keluhan</td>
<td>Terapi</td>
<td>Tensi</td>
<td>Nadi</td>
<td>Suhu</td>
<td>Pernapasan</td>
<td>Tinggi</td>
<td>Berat</td>
<td colspan='3'>Diagnosa</td>
<td width='20%'>Tindakan</td>
</tr>
<tr align='left' valign="top">
<td>1</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>RAHMA PUTRI ARJIATI.</td>
<td>14748</td>
<td>0002155445818</td>
<td>P</td>
<td>16-11-2009</td>
<td>DUSUN III, RT : 29,RW :8 WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN BATUK JIKA MALAM HARI</td>
<td>TIMBANG BB</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>20</td>
<td>J00</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>2</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>MAYDA AGUNG PRATIWI</td>
<td>14754</td>
<td>0002038060012</td>
<td>P</td>
<td>17-06-1998</td>
<td>DUSUN II, RT : 13,RW :4 WAYUT JIWAN</td>
<td>PASIEN MINTA SURAT SEHAT UNTUK MELAMAR KERJA</td>
<td>CEK TENSI</td>
<td>100/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Z00.0</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>3</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>GUNTUR NURCAHYO</td>
<td>14759</td>
<td>0000739098854</td>
<td>L</td>
<td>28-02-2003</td>
<td>SIRAPAN, RT : 13,RW :4 SIRAPAN MADIUN</td>
<td>PASIEN EMNGELUHKAN BATUK PILEK TENGGOROKAN SERIK</td>
<td>CEK TENSI</td>
<td>100/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J00</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>4</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>RAHMAD NOVIANTO</td>
<td>14761</td>
<td>-</td>
<td>L</td>
<td>23-11-2002</td>
<td>DESA NGEGONG JALAN APOTEK HIDUP NO 25B NGEGONG MANGUHARJO</td>
<td>PASIEN MENGELUHKAN PSUING MUAL </td>
<td>CEK TENSI</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>K29.7</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>5</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>DAWAM</td>
<td>9187</td>
<td>0000738889075</td>
<td>L</td>
<td>08-11-1949</td>
<td>DUSUN 02 NGETREP JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN BATUK BELUM BERKURANG</td>
<td>CEK TENSI, KOLESTROL: 275mg/dL</td>
<td>180/100</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>J06.9</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>6</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SOEMIJATI</td>
<td>2809</td>
<td>0000105019176</td>
<td>P</td>
<td>20-06-1943</td>
<td>TEGUHAN TEGUHAN JIWAN</td>
<td>PASIEN MENGELUHKAN KONTROL BATUK BELUM SEMBUH</td>
<td>CEK TENSI</td>
<td>170/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>J06.9</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>7</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUPINAH</td>
<td>466</td>
<td>0002082155196</td>
<td>P</td>
<td>16-01-1961</td>
<td>DUSUN 02 TEGUHAN JIWAN</td>
<td>RPD: ASMA, KEL: PASIEN MENGELUHKAN NYERI ULU HATI, MBESESEG BATUK SDUAH 3
HARI, NYERI PINGGANG</td>
<td>CEK TENSI, GDA: 136mg/dL, KOLESTROL: 193mg/dL</td>
<td>200/100</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>J00</td>
<td>K29.7</td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>8</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUWITO</td>
<td>560</td>
<td>0000739323639</td>
<td>L</td>
<td>21-04-1957</td>
<td>DESA WAYUT WAYUT JIWAN</td>
<td>RPD: ASMA, KEL: PASIEN MENGELUHKAN SESAK HILANG TIMBUL, TERUTAMA SAAT
MALAM HARI, NYERI TELAN</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J45</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>9</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>WATIFAH</td>
<td>429</td>
<td>0001045449988</td>
<td>P</td>
<td>04-04-1962</td>
<td>DUSUN 02 NGETREP JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKAN KAKI KEMENG DAN OBAT HABIS, </td>
<td>CEK TENSI</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>10</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>KOMARIYATUN</td>
<td>12871</td>
<td>0001045442946</td>
<td>P</td>
<td>21-07-1974</td>
<td>KLAGEN SERUT, RT : 6,RW :1 KLAGEN SERUT JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN BATUK 2 HARI, KONTROL TENSI</td>
<td>CEK TENSI</td>
<td>140/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>J00</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>11</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>YATMIASIH</td>
<td>3164</td>
<td>0000739409152</td>
<td>P</td>
<td>22-02-1960</td>
<td>DUSUN III WAYUT JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN TANGAN KIRI KESEMUTAN, PUSING GIGISAKIT,
</td>
<td>CEK TENSI</td>
<td>160/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>12</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUCI</td>
<td>10155</td>
<td></td>
<td>P</td>
<td>30-06-1956</td>
<td>WAYUT RT 19 RW 05 WAYUT JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKAN KADANG KESEMUTAN</td>
<td>CEK TENSI, GDA: 156mg/dL</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>13</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUPARWO</td>
<td>12864</td>
<td></td>
<td>L</td>
<td>21-05-1976</td>
<td>WAYUT 19/5 WAYUT JIWAN</td>
<td>RPD: PSIKOSA, KEL: PASIEN MENGATAKAN KONTROL RUTIN, TAA</td>
<td>CEK TENSI</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>F20</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>14</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>LASTUTIK</td>
<td>2730</td>
<td></td>
<td>P</td>
<td>27-06-1967</td>
<td>DUSUN 2 KLAGEN SERUT JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN BADAN KEMENG DAN KAKU</td>
<td>CEK TENSI</td>
<td>140/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>M79.1</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>15</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>NANING TRIANINGSIH</td>
<td>5938</td>
<td>0001969269276</td>
<td>P</td>
<td>02-04-1983</td>
<td>DUSUN I GROBOGAN JIWAN</td>
<td>RPD: JIWA, KEL: PASIEN MENGELUHKAN PUSING, KONTROL POLI JIWA</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>F04</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>16</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>YOGA DANIL PRATAMA</td>
<td>12373</td>
<td>0001537133679</td>
<td>L</td>
<td>26-11-2007</td>
<td>KANUNG, RT : 5,RW :1 KANUNG SAWAHAN</td>
<td>PASIEN MENGELUHKAN PANAS MUAL DAN PUSING, 2 HARI</td>
<td>TIMBANG BB</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>20</td>
<td>K29.7</td>
<td>R50</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>17</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SITI ISTIKANAH</td>
<td>12405</td>
<td>0001729252574</td>
<td>P</td>
<td>05-03-1967</td>
<td>DUSUN JAJAR, RT : 18,RW :9 GROBOGAN JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKAN KAKI SAKIT</td>
<td>CEK TENSI, GDA: 346mg/dL, KOLEST: 182mg/dL</td>
<td>130/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.4</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>18</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>NUR HADI</td>
<td>425</td>
<td>0002287365096</td>
<td>L</td>
<td>30-06-1948</td>
<td>DUSUN III BIBRIK JIWAN</td>
<td>RPD: HT+DM, KEL: KONTROL POLI DALAM</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E10.5</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>19</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUWARSI</td>
<td>1266</td>
<td>0001410456532</td>
<td>P</td>
<td>01-01-1953</td>
<td>DUSUN II TEGUHAN JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKAN KAKI KEMENG DAN JIMPE</td>
<td>CEK TENSI, GDA: 358mg/dL</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>20</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SINI</td>
<td>1267</td>
<td>0000738364015</td>
<td>P</td>
<td>02-05-1951</td>
<td>TEGUHAN TEGUHAN JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKAN LUTUT KEMENG, KONTROL RUTIN POLI
DALAM</td>
<td>CEK TENSI</td>
<td>150/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.4</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>21</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>MASJHUDI</td>
<td>5203</td>
<td>0000104809307</td>
<td>L</td>
<td>22-06-1948</td>
<td>DUSUN 04 BIBRIK JIWAN</td>
<td>RPD: HT+DM, KEL: PASIEN MENGELUHKAN TANGAN KIRI KESEMUTAN</td>
<td>CEK TENSI, GDA: 130mg/dL</td>
<td>140/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.5</td>
<td>I10</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>22</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SULASTRI</td>
<td>26</td>
<td>0001449208034</td>
<td>P</td>
<td>30-06-1960</td>
<td>DUSUN 02 TEGUHAN JIWAN</td>
<td>RPD: HT+DM, KEL: PASIEN MENGELUHKAN BATUK NGIKIL SDUAH 1 MINGGU, SUDAH
MINUM OBAT OBH</td>
<td>CEK TENSI, UA: 8.6mg/dL</td>
<td>150/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>23</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>WIJIANTO</td>
<td>25</td>
<td>0001449207573</td>
<td>L</td>
<td>12-12-1952</td>
<td>DUSUN 02 TEGUHAN JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN BATUK 3 HARI, KONTROL HT</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J06.9</td>
<td>I10</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>24</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUMARTINI</td>
<td>4215</td>
<td>0002190528483</td>
<td>P</td>
<td>21-03-1976</td>
<td>DSN KRAJAN GROBOGAN JIWAN</td>
<td>PASIEN MENGELUHKAN PUSING SEPARUH SEBELAH KANAN SUDAH 1 MINGGU</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>R51</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>25</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUKIYEM</td>
<td>4571</td>
<td>0000739362374</td>
<td>P</td>
<td>17-04-1954</td>
<td>RT 9 WAYUT DUSUN II WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN BADAN KEMENG LINU</td>
<td>CEK TENSI, GDA: 101mg/dL, KOLEST: 227mg/ dL, UA: 3.8mg/dL</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>26</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>TASMIATUN</td>
<td>2433</td>
<td></td>
<td>P</td>
<td>23-09-1959</td>
<td>DUSUN 04 TEGUHAN JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN PUSING, BATUK SAAT MENJELANG PAGI</td>
<td>CEK TENSI</td>
<td>140/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>J00</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>27</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>HARDJO KADI</td>
<td>96</td>
<td>0001882055169</td>
<td>L</td>
<td>30-12-1950</td>
<td>MELIKAN WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN KEMENG SEBADAN, TELAPAK TANGAN NGELUPAS</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td>L50</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>28</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>HINGGAR NUR FADIL PANGIBAR</td>
<td>14089</td>
<td>0001536799678</td>
<td>L</td>
<td>06-10-2011</td>
<td>DUSUN 02, RT : 6,RW :4 NGETREP JIWAN</td>
<td>PASIEN MENGELUHKAN BATUK PILEK DAN PANAS 2 HARI</td>
<td>TIMBANG BB</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>18</td>
<td>J06.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>29</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>RINI DARWATI</td>
<td>13845</td>
<td></td>
<td>P</td>
<td>11-01-1980</td>
<td>DUSUN KRAJAN, RT : 18,RW :9 GROBOGAN JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGATAKAN KONTROL RUTIN, TAA</td>
<td>CEK TENSI</td>
<td>170/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>30</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>JAMI</td>
<td>8645</td>
<td>0000738668733</td>
<td>P</td>
<td>30-06-1945</td>
<td>KLAGEN SERUT KLAGEN SERUT JIWAN</td>
<td>PASIEN MENGELUHKAN BOYOK KEMENG SUDAH 2 HARI</td>
<td>CEK TENSI</td>
<td>150/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>31</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SINTO</td>
<td>9158</td>
<td></td>
<td>P</td>
<td>29-12-1977</td>
<td>DUSUN I TEGUHAN JIWAN</td>
<td>PASIEN MENGELUHKAN KAKI KIRI BENGKAK, ADA LUKA LECET DAN GATAL SUDAH 3
HARI, MERIYANG, TANDA RADANG (+)</td>
<td>CEK TENSI, GDA: 103mg/dL, KOLEST: 156mg/dL, UA: 5.8mg/dL</td>
<td>160/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>T14</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>32</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUKARNI</td>
<td>2189</td>
<td>0001045439324</td>
<td>P</td>
<td>02-02-1961</td>
<td>RT 19 DUSUN 11 WAYUT WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN BADAN TERASA KEMENG DAN LINU</td>
<td>CEK TENSI, KOLES: 110/70mg/dL, UA: 185mg/dL, UA: 4.4 mg/dl</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>33</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUPARTI</td>
<td>1462</td>
<td>0001454385216</td>
<td>P</td>
<td>12-12-1967</td>
<td>TAWES TEGUHAN JIWAN</td>
<td>RPD: DM, KEL: PASIEN MENGELUHKANKEJU KEMENG</td>
<td>CEK TENSI, GDA: 376mg/dL</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>34</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUKINEM.</td>
<td>6515</td>
<td>0000738943547</td>
<td>P</td>
<td>30-06-1937</td>
<td>WAYUT DUSUN 02 WAYUT JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN BATUK KAMBUHAN, NAFSU MAKAN MENURUN,
</td>
<td>CEK TENSI, HASIL RONTGEN TORAX : TB PARU KP AKTIF, GDA: 118mg/dL, 4 FDC,2
TAB</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>A15.0</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>35</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SULASTRI</td>
<td>156</td>
<td>0000739618716</td>
<td>P</td>
<td>27-06-1965</td>
<td>DUSUN 04 TEGUHAN JIWAN</td>
<td>RPD: HIPERCOLEST, KEL: PASIEN MENGELUHKAN PUSING 1 HARI , KESEMUTAN
TANGAN KANAN, NYERI PAHA SAMPAI KAKI</td>
<td>CEK TENSI</td>
<td>100/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>36</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>WURIMINTARTI</td>
<td>13139</td>
<td>0001261159604</td>
<td>P</td>
<td>16-04-1979</td>
<td>DUSUN 2, RT : 8,RW :3 KLAGEN SERUT JIWAN</td>
<td>BATUK MUAL MUNTAH 3X RPD DM,GDA:109,KOLESTEROL:188</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J06.9</td>
<td>E11.9</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>37</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>WARSINI</td>
<td>260</td>
<td>0001410468568</td>
<td>P</td>
<td>30-06-1955</td>
<td>DUSUN 03 KLAGEN SERUT JIWAN</td>
<td>KESEMUTAN PADA TANGAN RPD HT DAN DM,GDP:226</td>
<td>CEK TENSI</td>
<td>100/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>E11.5</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>38</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUWARNI</td>
<td>3008</td>
<td></td>
<td>P</td>
<td>10-12-1967</td>
<td>DUSUN IV TEGUHAN JIWAN</td>
<td>PUSING NDREDEG</td>
<td>CEK TENSI</td>
<td>130/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>T14</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br>Rawat Luka Kecil<br> </td>
</tr>
<tr align='left' valign="top">
<td>39</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUKARTI</td>
<td>2871</td>
<td>0002057542446</td>
<td>P</td>
<td>23-11-1962</td>
<td>DSN MUNING GROBOGAN JIWAN</td>
<td>PERUT SAKIT NDREDEG LEMES RPD HT</td>
<td>CEK TENSI</td>
<td>130/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>K29.7</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>40</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>ABDUL AZIZ ALMALIK</td>
<td>5833</td>
<td>000149203354</td>
<td>L</td>
<td>26-08-2013</td>
<td>MUNGGUT RT19/ MUNGGUT WUNGU</td>
<td>BATUK PILEK 1 HARI</td>
<td>TIMBANG BB</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J00</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>41</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SHOLIHAH</td>
<td>5041</td>
<td>0000104827937</td>
<td>P</td>
<td>22-12-1954</td>
<td>DUSUN 1 RT 02/01 NGETREP JIWAN</td>
<td>Pusing leher cengeng RPD DM</td>
<td>CEK TENSI</td>
<td>160/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td>E11.9</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>42</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>TIN YULAS PARWATI</td>
<td>8660</td>
<td>0000104862082</td>
<td>P</td>
<td>10-06-1982</td>
<td>DUSUN II BIBRIK JIWAN</td>
<td>RPD: POST OP APPENDIX, KEL: PUNGGUNG BEKAS SUNTIKAN MASIH NYERI, KONTROL
POLI BEDAH</td>
<td>CEK TENSI</td>
<td>100/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>Z09.0</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>43</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUTINAH</td>
<td>564</td>
<td>0001273208411</td>
<td>P</td>
<td>04-10-1962</td>
<td>DESA WAYUT WAYUT JIWAN</td>
<td>RPD: PJK+HT, KEL: PASIEN MENGELUHLKAN NYERI PERUT DAN NDREDEG</td>
<td>CEK TENSI</td>
<td>160/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I25.9</td>
<td>I10</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>44</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>GIMUN</td>
<td>2194</td>
<td></td>
<td>L</td>
<td>31-12-1938</td>
<td>DUSUN 2 KLAGEN SERUT JIWAN</td>
<td>PASIEN MENGELUHKAN PERUT SENEP SUDAH 3 HARI, , PYUSING MEIANG, MUAL</td>
<td>CEK TENSI</td>
<td>100/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>K29.7</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>45</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>TRI WAHYU UTOMO</td>
<td>3173</td>
<td>0001824501126</td>
<td>L</td>
<td>06-07-1979</td>
<td>WAYUT WAYUT JIWAN</td>
<td>PASIEN EMNGELUHKAN NYERI ULU HATI DAN MUAL</td>
<td>CEK TENSI</td>
<td>90/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>K29.7</td>
<td>M79.1</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>46</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>KATIJEM</td>
<td>2945</td>
<td>0000738640585</td>
<td>P</td>
<td>10-08-1954</td>
<td>TEGUHAN TEGUHAN JIWAN</td>
<td>PASIEN MENGELUHKAN GATAL DI KAKI SERING KAMBUHAN</td>
<td>CEK TENSI, GDA: 208mg/dL</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.8</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>47</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>TITIK MUNAWAROH</td>
<td>12874</td>
<td>0000104869416</td>
<td>P</td>
<td>07-01-1978</td>
<td>DUSUN III, RT : 19,RW :6 KLAGEN SERUT JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN JIKA BANYAK PIKIRAN TERASA NDREDEG,
</td>
<td>CEK TENSI</td>
<td>200/100</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I10</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>48</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SAMUT</td>
<td>13248</td>
<td>0000739408689</td>
<td>L</td>
<td>03-08-1949</td>
<td>DUSUN III, RT : 24,RW :6 WAYUT JIWAN</td>
<td>KEDUA KAKI TERASA BERAT RPD STROKE,KOLESTEROL:165 UA:5,3.GDA:108</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>I69.4</td>
<td>Z71.9</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>49</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUKARMI RAHAYU</td>
<td>7410</td>
<td></td>
<td>P</td>
<td>16-10-1979</td>
<td>DUSUN 04 TEGUHAN JIWAN</td>
<td>PASIEN MENGELUHKAN SAKIT SEMUA DI PINGGANG</td>
<td>CEK TENSI</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>50</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>PANIYEM</td>
<td>4737</td>
<td></td>
<td>P</td>
<td>10-10-1967</td>
<td>DUSUN 02 TEGUHAN JIWAN</td>
<td>RPD: HT, KEL: PASIEN MENGELUHKAN PUSING, KLEMUN KLEMUN, </td>
<td>CEK TENSI</td>
<td>150/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>R51</td>
<td>I10</td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>51</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>MEI SULISTYAWATI</td>
<td>12720</td>
<td>0002155445346</td>
<td>P</td>
<td>31-05-2002</td>
<td>DUSUN II, RT : 15,RW :4 WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN PUSING DAN MUAL</td>
<td>CEK TENSI</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>K29.7</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>52</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>SUMAINAH</td>
<td>12105</td>
<td>0000738126099</td>
<td>P</td>
<td>06-07-1968</td>
<td>DUSUN NGRECO, RT : 17,RW :5 KLAGEN SERUT JIWAN</td>
<td>PASIEN MENGELUHKAN LUTUT KEMENG, LINU</td>
<td>CEK TENSI</td>
<td>140/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>53</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>ILMA NOBELIA AZZAHRA</td>
<td>3483</td>
<td>0002452038221</td>
<td>P</td>
<td>22-03-2012</td>
<td>DUSUN 03 KLAGEN SERUT JIWAN</td>
<td>PASIEN EMNGELUHKAN TELINGA MBRUBUG, </td>
<td>TIMBANG BB</td>
<td>0/0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>20</td>
<td>H61.9</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>54</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>JURIANTO</td>
<td>8097</td>
<td>0000739034932</td>
<td>L</td>
<td>17-07-1970</td>
<td>DUSUN 04 WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN TUMIT KEMENG</td>
<td>CEK TENSI, UA: 5.4mg/dL</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>M79.1</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>55</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>ANDHI PANDANG GURITNO</td>
<td>14760</td>
<td></td>
<td>L</td>
<td>26-04-2003</td>
<td>MAWAR, RT : 3,RW :1 MUNGGUT WUNGU</td>
<td>RPD: ASMA, KEL: PASIEN SESAK NAFAS, WHEEZING (+)</td>
<td>CK TENSI</td>
<td>110/70</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>J45</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>56</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>KABUL</td>
<td>257</td>
<td>0000105008861</td>
<td>L</td>
<td>14-05-1941</td>
<td>WAYUT WAYUT JIWAN</td>
<td>PASIEN MENGELUHKAN SULIT TIDUR</td>
<td>CEK TENSI</td>
<td>140/90</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>E11.5</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>57</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>RANDIKA DWI J.</td>
<td>14762</td>
<td></td>
<td>L</td>
<td>30-01-2003</td>
<td>BIBRIK 10/4 BIBRIK JIWAN</td>
<td>PASIEN MENGELUHKAN PERUT SENEP, PUSING</td>
<td>CEK TENSI</td>
<td>120/60</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>K29.7</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br> </td>
</tr>
<tr align='left' valign="top">
<td>58</td>
<td>POLI UMUM</td>
<td>01-10-2018</td>
<td></td>
<td>MUHAMAD MUNIR</td>
<td>13991</td>
<td>0000739021217</td>
<td>L</td>
<td>15-12-1968</td>
<td>DUSUN 03, RT : 17,RW :6 BIBRIK JIWAN</td>
<td>TIDAK ADA KELUHAN,PASIEN TBC DALAM PENGOBATAN KATAGORI 2 FASE
INSETIF</td>
<td>CEK TENSI,INJEKSI STREPTOMISIN</td>
<td>120/80</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>0</td>
<td>A15.0</td>
<td></td>
<td></td>
<td>
Poliklinik Rawat Jalan<br>Injeksi antibiotika dan obat khusus lainnya<br>
</td>
</tr>
</table>

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