Tanggal IDEN

No Pemeriksaan * TITAS

No Rekam Jenis
No KTP * Nama Pasien
Medis Kelamin

10/2/2017 95 3375043112560063 ahmad muslim 61

10/2/2017 2764 3375034406680001 arofah 57
10/2/2017 685 3375031011550007 asriyono 61
10/2/2017 1906 0 daimah 65
10/2/2017 5297 0 darningsih 70
10/2/2017 2567 3375035504640002 istirohah 53
10/2/2017 5892 3375035804770003 karmila 40
10/2/2017 67 0 muhammad nurdin 61
10/2/2017 6454 0 mujenah 45
10/2/2017 692 3375035201750006 munzaenap 41
10/2/2017 1201 0 nur aini 60
10/2/2017 5412 0 paryatun 64
10/2/2017 3262 0 siti wahyuni 60
10/2/2017 5954 3375037016630009 titi murti 58
10/2/2017 790 0 trisnowati 62
10/3/2017 1595 0 al khoriah 65
10/3/2017 557 3375034706510001 amanah 65
10/3/2017 1586 3375035707650003 kasniyah 51
10/3/2017 823 0 nur sumiyati 50
10/3/2017 976 3375036104550004 salmah alatas 62
10/3/2017 5 3375036104470001 sukarti 71
10/3/2017 4989 33750302016000003 susis retno waluyo 56
10/3/2017 1791 3375031209410001 suyitno 75
10/4/2017 5308 3375044101450036 fatonah 72
10/4/2017 22 3375036303800002 indah nurwati 37
10/4/2017 4643 3375015701680002 kusniyah 49
10/4/2017 724 0 mulyati 50
10/4/2017 2974 3375031911670001 nur edi widiatmoko 50
10/4/2017 3235 3375033005370001 pitono 82
10/4/2017 4434 3375036409700001 purwati 46
10/4/2017 4504 0 sofiah 60
10/4/2017 4198 0 surati 47
10/4/2017 2025 3375035507700011 tumpen 53
10/5/2017 27 337503440170007 ajianti 43
10/5/2017 268 3375035505460001 danonah 70
10/5/2017 3998 0 dul bari 56
10/5/2017 161 3375037112690014 kustiyah 57
10/5/2017 5069 3375031610770002 mochammad gunadi 40
10/5/2017 4722 0 rohadi 59
 10/5/2017 699 3375037112620022 siti aminah 63
10/5/2017 132 3375034808740004 sumarni 43
10/5/2017 90002991 0 wahyu yuliani 49
10/6/2017 1595 0 al khoriah 65
10/6/2017 404 337503586720002 kiptiyah 45
10/6/2017 362 3375034209630002 musiyam 53
10/6/2017 3026 3375034402610008 rumpiah 55
10/6/2017 5352 3375035503640010 soffia 52
10/6/2017 6661 3375037112630038 suremi 53
10/6/2017 5614 3375035702550001 waryu 54
10/7/2017 802 3375035404640008 ginarti 53
10/7/2017 7408 337504450250001 herawati 67
10/7/2017 1586 337503577650003 kasniyah 53
10/7/2017 6256 3375034107600192 kusniyah 56
10/7/2017 501 3375031606680008 m wahyudin 48
10/7/2017 1413 0 raisah 75
10/7/2017 932 337503712660006 ratmi ihwati 50
10/7/2017 258 3375036612500001 siti aisah 67
10/7/2017 1987 3375035404600005 siti chamdiyah 56
10/7/2017 7631 3375036205570004 siti musiyam 70
10/7/2017 11 0 sri warni 61
10/7/2017 846 3375035808680004 sudewi 48
10/7/2017 2782 3375034808700003 sugiarti 46
10/7/2017 1474 3375034505700009 sumiyati 46
10/7/2017 320 3375030905660004 turmuji 51
10/7/2017 1821 3375035808670001 yumarzih 51
10/9/2017 2019 3375036406550002 darmonah 62
10/9/2017 568 3375034105550002 paryatun 62
10/9/2017 699 3375037112620022 siti amirah 63
10/9/2017 33 3375037112820025 sopiah 45
10/9/2017 1614 3375035208530002 sri kudung 63
10/9/2017 2921 3375035705600001 suparmi 57
10/9/2017 214 337503207490002 surya mulya 69
10/10/2017 14 3375031608700009 agus purwoko 47
10/10/2017 2899 0 cicih sukaesih 60
10/10/2017 8164 0 hadi susilo 54
10/10/2017 4587 0 mualifah 53
10/10/2017 692 3375035201750006 munzaenap 41
10/10/2017 902469 0 noviyanto 43
10/10/2017 90000612 0 ratna djuita 40
10/10/2017 1035 0 titis paramaharti 52
10/11/2017 85 3375030102630004 ajid 54
10/11/2017 6108 3375033112420018 ambali 74
10/11/2017 1356 0 dausri 48
10/11/2017 44 337502512520003 dul basir 62
10/11/2017 875 3375031710530002 mugiono 63
10/11/2017 7680 0 muhammad dakian 85
10/11/2017 698 3375034107370122 punyak 83
10/11/2017 306 3375037112540061 ridah 62
10/11/2017 296 3375036610730003 rosini 43
10/11/2017 3368 3375036707660001 shofiati 51
10/11/2017 790 3375035709540002 trisnowati 62
10/11/2017 1372 3375034707680003 tunazah 50
10/11/2017 7 3375034302750002 yaeroni 42
8/9/2017 7496 kastoni 46
8/9/2017 6256 3375034107600192 kusniyah 56
8/9/2017 1032 3375032408580002 lukman hakim 58
8/9/2017 692 3375035201750006 munzaenap 42
8/9/2017 362 3375034209630002 musiyam 52
8/9/2017 1961 3375035510540001 nuryati 62
8/9/2017 192 3375037103750001 rustiana 42
8/9/2017 976 33751836104550004 salmah alatas 65
8/9/2017 741 0 samianah 71
8/9/2017 1212 3375034111750004 sri budiyanti 56
8/9/2017 1206 0 sri sulastri 74
8/9/2017 1000 3375034833630003 sunarsih 54
8/10/2017 685 3375031011550007 asriyono 61
8/10/2017 5418 0 duminah 62
8/10/2017 22 0 indah nurwati 36
8/10/2017 4995 3375034509590001 kasmuti 57
8/10/2017 161 3375037112690014 kustiyah 51
8/10/2017 6674 33750371120082 nur janah 65
8/10/2017 699 3375037112620022 siti amirah 63
8/10/2017 2921 3375035705600001 suparmi 56
8/10/2017 5738 3375011011540002 zunaedi 62
8/11/2017 1323 3375034705650002 darwati 51
8/11/2017 802 3375035404640008 ginarti 52
8/11/2017 4099 3375046702540002 nasriah 63
8/11/2017 3026 3375034402610008 rumpiah 56
8/11/2017 790 3375035709540002 trisnowati 62
8/12/2017 95 3375043112560063 ahmad muslim 59
8/12/2017 5308 3374044101450036 fatonah 71
8/12/2017 2339 0 hartati 47
8/12/2017 997 3375037112640003 murani 52
8/12/2017 4357 3375031905730001 siswanto 58
8/12/2017 1110 3375030304420003 siti jahro 78
8/12/2017 4626 3375034206600001 sriyati 44
8/12/2017 207 3375030604520001 tonari 64
8/12/2017 1821 3375035808670001 yumaroh 51
8/14/2017 742 3375032810370002 budi haryanto 82
8/14/2017 7788 3375037112510045 kartumi 65
8/14/2017 6416 3375034908610003 maryati 55
8/14/2017 2188 3375037001510001 masnah 65
8/14/2017 1201 3375036612570002 nur aini 59
8/14/2017 3160 3345037012620003 rindonah 54
8/14/2017 4460 3375034508600001 samini 56
8/14/2017 1122 3375037112590047 sulimah 58
8/14/2017 2123 3375034812600001 sumarlin 56
8/14/2017 4871 3375034403660001 suwartini 50
8/14/2017 4077 3375035003530002 tuwakal 63
8/14/2017 5612 337503570250001 waryu 53
8/15/2017 14 3375031808700003 agus purwoko 47
8/15/2017 1595 al khoriah 65
8/15/2017 3020 3375031101530002 kartono 63
8/15/2017 2248 3308126411680001 kasiyati 48
8/15/2017 686 3375030205550002 kastolani 61
8/15/2017 201 katonah 56
8/15/2017 590 3375032406590003 muhdir 61
8/15/2017 692 3375035201750006 munzaenap 42
8/15/2017 4434 3375036409700001 purwati 46
8/15/2017 879 3375036606490002 rudiyatin 70
8/15/2017 192 3375037103750000 rustiana 42
8/15/2017 3262 3375037112560037 siti wahyuni 60
8/15/2017 1624 3375037003780005 sri murni 38
8/15/2017 1595 3375030311410001 sudarno 75
8/15/2017 1474 3375034505700009 sumiyati 46
8/15/2017 6661 3375037112630038 suremi 53
8/15/2017 214 337503207490002 sutya mulya 69
8/16/2017 5699 3375031011700011 andik orbaniyanto 46
8/16/2017 4964 3375030211240001 dasto 92
8/16/2017 604 337509690650002 muadah 66
8/16/2017 1961 337503551540001 nuryati 62
8/16/2017 2063 3375037112500057 pariyah 66
8/16/2017 874 poniyati 61
8/16/2017 90003595 3375033010860004 prasetyo angger rachma 30
8/16/2017 5352 3375035503640010 soffia 52
8/16/2017 7801 3374030601610001 suhar 57
8/16/2017 5 3375036104470001 sukarti 71
8/16/2017 90006879 3326131105570002 sularto 60
8/18/2017 6108 3375033112420018 ambali 74
8/18/2017 793 0 casiah 62
8/18/2017 2201 3375035302640004 casmirah 53
8/18/2017 867 3375031212530006 cipto raharjo 63
8/18/2017 276 337503670850001 darkonah 68
8/18/2017 299 3375031408120001 ibrahim zahidan r 5
8/18/2017 6499 3375036505600003 mutmainah 58
8/18/2017 997 3375037112640003 nurani 52
8/18/2017 3715 3375031311690002 saturmin 48
8/18/2017 33 3375037112720025 sopiah 45
8/18/2017 867 3375036008550001 sunarti 61
8/18/2017 1224 3375037112650023 waliyah 51
8/19/2017 2525 3375031508510002 ali djahri 65
8/19/2017 774 3375031810650001 arifin 52
8/19/2017 140 3375037110730002 bardiyati 44
8/19/2017 5891 3375037112450071 chasanah 73
8/19/2017 4955 3375034303570005 chotijah 60
8/19/2017 268 3375035505460001 danonah 80
8/19/2017 772 3375032307690001 darno 58
8/19/2017 6467 3375036802640003 dince setiawati 53
8/19/2017 5260 337503160750004 fx paimanto 60
8/19/2017 831 0 kasri 50
8/19/2017 3103 3375037112550022 kunasriyah 54
8/19/2017 6256 3375034107600192 kusniyah 56
8/19/2017 501 3375031606680008 m wahyudin 49
8/19/2017 1234 3375037112650040 sri margiyanti 51
8/19/2017 2782 337503480870003 sugiarti 46
8/19/2017 345 3375034811610001 sulastri 55
8/19/2017 2921 3375035705600001 suparmi 56
8/19/2017 2765 3375034208550004 tuginem inawati 60
8/19/2017 791 3375032210550002 warmujo 62
8/19/2017 1821 3375035808670001 yumaroh 51
8/21/2017 1285 0 aditia putra julio 5
8/21/2017 685 0 asriyono 61
8/21/2017 5418 0 duminah 62
8/21/2017 2088 3375037112660015 farida 54
8/21/2017 1586 0 kasniyah 51
8/21/2017 362 3375034209630002 musiyam 52
8/21/2017 4460 3375034508600001 sami 56
8/21/2017 259 3375030206410001 sardjo 75
8/21/2017 457 3375034912 sri sumiati 55
8/21/2017 180 337503498650004 suharmi 51
8/21/2017 4802 3375036201660003 susilah 51
8/21/2017 2891 3375035903860003 tusiah 30
8/21/2017 180 3375033012570005 wignyo 54
8/22/2017 95 3375043112560063 ahmad muslim 62
8/22/2017 619 3375037112630045 kunah 54
8/22/2017 1631 33750330126400009 sugeng sidik 60
8/22/2017 4097 3375037112580041 sukartinah 57
8/22/2017 2065 3375031509650002 sutarmo 52
8/22/2017 790 3375035709540002 trisnowati 62
8/23/2017 2857 3375035407550007 casumi 61
8/23/2017 2899 3375035212560004 cicih sukaesih 60
8/23/2017 875 3375031710530002 mugiono 63
8/23/2017 1201 3375036612570002 nur aini 61
8/23/2017 699 3375037112620022 siti aminah 63
8/23/2017 11 3375035411560001 sri warni 60
8/23/2017 6884 3375034203350001 yamyuni 82
8/24/2017 268 3375035505460001 danonah 80
8/24/2017 7265 0 kasturah 66
8/24/2017 4575 3375032410030009 siti aisyah 60
8/24/2017 1340 3375034704590002 sri haryanti 57
8/24/2017 4159 3375035209470003 sri sunariyah 70
8/24/2017 214 337503207490002 surya mulya 69
8/24/2017 800 3375036706750008 taryuni 42
8/24/2017 3691 3375035407550006 tjasiyah bawon 61
8/25/2017 6616 0 casmonah 72
8/25/2017 7872 3375034901700002 daryati 47
8/25/2017 5614 3375035702550001 earyu 53
8/25/2017 3020 3375031101530002 kartono 63
8/25/2017 161 3375037112690014 kustiyah 57
8/25/2017 501 0 m wahyudin 48
8/25/2017 3026 3375034402610008 rumpiah 56
8/25/2017 90000683 0 sudarno 33
8/25/2017 6661 3375037112630038 sukemi 53
8/25/2017 90004662 0 warnoah 68
8/25/2017 90004662 3375032006470002 warsito 70
8/26/2017 742 3375032810370002 budi haryanto 81
8/26/2017 90005763 0 mahmud 53
8/26/2017 385 3375034808750014 minarti 40
8/26/2017 604 33750960650002 muadah 66
8/26/2017 4434 3375036409700001 purwati 46
8/26/2017 725 3375037112760015 saodah 41
8/26/2017 7631 3375036205570004 siti musiyam 70
8/26/2017 2782 0 sugiharti 46
8/26/2017 6876 3375035907710001 sumeri 45
8/26/2017 3339 3375034407710001 waryuni 46
8/28/2017 6108 3375033112420018 ambali 70
8/28/2017 5308 33674044101450036 fatonah 72
8/28/2017 1586 3375035707650003 kasniyah 51
8/28/2017 831 0 kasri 49
8/28/2017 201 0 katonah 56
8/28/2017 3648 0 khasanah 83
8/28/2017 997 3375037112640003 nurani 52
8/28/2017 3235 3375033005370001 pitono 82
8/28/2017 1606 3375034808750015 riyanti 45
8/28/2017 471 3375031505730006 slamet 43
8/28/2017 5861 3375036801430001 sumiyati 74
8/28/2017 2065 3375031509650002 sutarmo 52
8/28/2017 4077 0 tuwakal 63
8/28/2017 791 33755032210550002 warmujo 63
8/28/2017 2902 3375037012530007 wartiah 56
8/28/2017 1821 3375035808670001 yumaroh 51
8/29/2017 14 3375031608700001 agus purwoko 47
8/29/2017 2019 337503640655002 darmonah 62
8/29/2017 3803 3375035510550001 katimah 61
8/29/2017 590 3375032406590003 muhdir 61
8/29/2017 902469 novianto 42
8/29/2017 3157 337503071260002 slamet romadhon 47
8/29/2017 5352 3375035503640010 soffia 52
8/29/2017 33 3375037112720025 sopiah 45
8/29/2017 2765 3375034208550004 tuginem inawati 60
8/30/2017 867 3375031212530006 cipto raharjo 63
8/30/2017 772 3375032307690001 darno 48
8/30/2017 5260 337503160750004 fx paimanto 60
8/30/2017 6256 3375034107600192 kusniyah 53
8/30/2017 2188 3375037001510001 masnah 66
8/30/2017 7680 0 muhammad dakiyan 85
8/30/2017 90005124 0 naila rizka r 7
8/30/2017 3234 0 partini 66
8/30/2017 1720 3375035702460002 rayuti 55
8/30/2017 4504 0 sofiah 60
8/30/2017 2921 3375035705600001 suparmi 57
8/30/2017 4033 3375034110490001 tuminah 67
8/30/2017 1372 3375034707680003 tunazah 50
8/31/2017 1350 3375030910500002 buchori 66
8/31/2017 692 3375035201750006 munzaenap 42
8/31/2017 1201 3375036512570002 nur aini 61
8/31/2017 568 3375034105550002 paryatun 61
8/31/2017 84 33750361127000003 rohyati 46
8/31/2017 7690 3375031583464008 sri kustiyati 53
8/31/2017 4159 3375035209470003 sri sunariyah 70
8/31/2017 4989 33750302016000003 susis retno waluyo 56
 No Telp. Golongan
Tempat Lahir Tanggal Lahir Alamat Lengkap No HP Status
Rumah Darah

12/12/1959 pw gg 1
6/4/1958 perumnel 4/9
11/10/1955 bys 5/6
12/30/1899 0
12/30/1899 0
4/15/1964 wns gg hiu
4/18/1977 pandan arum 6/7
12/30/1899 0
12/30/1899 0
1/12/1975 bys 1/6
12/30/1899 0
12/30/1899 0
12/30/1899 0
7/1/1958 jl selat selayar 5/2
12/30/1899 0
12/12/1950 pw gg 1 2/7
6/7/1951 jl kusbang gg 3 4/10
7/17/1965 wns gg hiu 4/13
12/30/1899 pb gg pahlawan 3/1
4/21/1955 pisangsari gg tongkol
12/30/1899 wns 4/14
1/2/1960 pantaisari 1/10
12/30/1899 pucung sari 1/12
1/1/1945 bys 4/5
3/23/1985 kp gg 7a 5/4
1/17/1968 perum sub inti 2/9
12/30/1899 0
11/19/1967 kp gg 7c 7/7
5/30/1937 wns gg gabus
9/24/1970 pw gg 5 4/5
12/12/1956 bys perumsos 5/7
12/30/1899 0
12/12/1966 bys 1/6
1/4/1974 bys 2/5
5/15/1946 pantaisari gg 2 1/9
12/30/1899 0
12/31/1968 pw gg lumba 6/11
10/16/1977 pw gg 15 2/4
12/30/1899 0
12/31/1953 pw wns gg udang 2/12
8/8/1974 pw bugisan 5/1
12/30/1899 pabean
12/30/1899 0
6/18/1972 jl kunti kesambi 4/5
9/2/1963 pisangsari gg tongkol 5/13
2/4/1961 jl yos sudarso 1/12
3/15/1964 pw ggtongkol 5/11
10/1/1963 wns gg 3
7/1/1963 wns gg 3
4/14/1964 salam manis 8/6
2/3/1950 kp gg 2 4/5
7/17/1965 wns gg hiu 4/13
7/1/1960 pisangsari gg bawal 5/7
6/16/1961 bys perumsos 5/7
12/30/1899 0
12/30/1966 pantaisari 2/10
12/26/1950 wns gg tongkol 6/1
4/14/1960 pw gg 12 5/3
3/22/1947 jl kusbang 4/1
12/30/1899 0
8/18/1968 jl pantaisari gg tambak 4/10
8/8/1970 pw gg 2 3/7
5/5/1970 wns gg 4
5/9/1966 jl kusbang gg 2
8/18/1963 wns 3/10
2/19/1955 wns 3/10
5/1/1955 perumnel
12/31/1953 wns gg udang 2/12
12/31/1972 pw gg tongkol 5/11
8/6/1953 pw gg banyar 4/2
5/17/1961 kp gg 7c 2/2
7/27/1948 sidomukti no 5
8/16/1970 salam manis 3/6
12/30/1899 0
12/30/1899 0
12/30/1899 0
1/12/1975 bys 1/6
12/30/1899 podosugih
12/30/1899 kraton
12/30/1899 0
2/17/1963 wns gg hiu 5/12
3/4/1943 pw gg tongkol 5/11
12/30/1899 0
12/25/1952 wns jl wr supratman 4/13
10/17/1953 salam manis 7/6
5/1/1931 jl kusbang 2/5
7/7/1937 pantaisari 4/10
12/31/1954 bys gg 2 4/5
10/26/1973 cangkring bys 4/8
7/27/1966 pisangsari gg tongkol
9/17/1954 jl sidomukti 5/3
7/7/1968 gedangan 1/6
2/3/1975 jl damar wulan 3/10
9/5/1960 batang
7/1/1960 pisangsari gg bawal 5/7
8/24/1958 jl rajawali utara 2/1
1/12/1975 bys 1/6
9/2/1963 pisangsari gg tongkol 5/13
10/15/1954 bandengan
3/31/1975 pw gg 1 2/7
4/21/1955 pisangsari gg tingkol
11/26/1945 bugisan 2/1
11/1/1975 pantaisari gg 2 1/9
12/12/1942 kp gg 1 4/3
3/8/1963 jl yos usdarso
11/10/1955 bys 5/6
8/17/1954 kp gg 1 5/3
12/30/1899 0
9/5/1959 bys gg 1 3/5
12/31/1962 pw gg lumba 6/11
12/31/1954 kp 3 1/4
12/31/1953 wns gg udang 2/12
5/17/1960 kp gg 7c 2/2
11/10/1954 pasir kramat kraton 2/11
12/21/1966 jl yos sudarso 1/12
4/14/1964 salam manis 8/6
2/27/1954 pb gg cemara bys
2/4/1961 jl yos sudarso 1/12
9/17/1954 jl sidomukti 12 5/3
12/12/1958 jl wr supratman gg 1
1/1/1945 bys gg 2 4/5
5/14/1970 jl apolo 9/5
12/31/1964 perumnel
5/25/1958 bys gg cemara 1/6
12/20/1938 jl kusbang gg 3
12/12/1962 kp gg 2 4/3
4/6/1952 bys gg 3 2/5
8/18/1967 wns 3/10
10/28/1937 jl kusbang 1/1
12/31/1951 bys 2/5
8/5/1961 jl progo gg 8 1/1
1/30/1951 bys gg 2 6/7
12/26/1957 wns 2/10
12/30/1962 kp 1/10
8/5/1960 pandan arum pantaisari
12/31/1959 pw gg 2 4/7
12/8/1960 jl wr supratman gg 6
3/4/1966 kamp baru gg 3 2/2
7/1/1953 perumnel 3/9
7/1/1963 wns gg 3
8/16/1970 salam manis 3/6
12/21/1950 pw gg 1 2/7
11/1/1953 jl wr supratman 3/4
11/24/1968 pw pucungsari
5/2/1955 pw gg 7 2/4
6/5/1960 bys 1/8
5/24/1956 pw gg hiu 5/13
1/12/1975 bys 1/6
9/24/1970 pw gg 5 4/5
6/26/1946 panjang indah 3/3
3/31/1975 pw gg 1 2/7
12/31/1956 pw gg 2 4/7
3/30/1978 pw selat lombok 5/10
11/3/1941 pw gg 10 2/7
5/5/1970 wns gg 4
10/10/1963 wns gg 3
7/27/1948 sidomukti 19 no 5
11/10/1970 jl yudistira 1/7
11/2/1924 jl pantaisari 2/13
6/29/1950 jl sidomukti 2/3
10/15/1954 bandengan 2/3
12/31/1950 bys 6/7
12/11/1955 pantaisari 1/13
10/30/1986 krapyak 4/12
3/15/1964 pw gg tongkol 5/11
1/6/1961 jl kusbang perum sub inti 2/3
4/21/1947 wns 4/14
11/11/1957 kdw 3/7
3/9/1943 pw gg tongkol 5/11
8/9/1959 bugisan jl rajawali 1/5
2/13/1964 jl kutilang 1/2
12/12/1953 pw bugisan 4/1
6/1/1948 bys 5/7
8/14/2012 kesambi 4/4
 5/25/1960 salam manis 1/12
12/31/1964 perumnel no 31
11/13/1969 bys 5/6
12/31/1972 pw gg tongkol
8/20/1955 pw bugisan
12/31/1965 pisangsari gg tongkol
8/19/1951 jl rajawali utara
10/18/1965 pantaisari 3/10
10/31/1973 pw gg 10 3/3
12/31/1945 jl rajawali utara 3/1
3/3/1957 bys 3/8
5/15/1946 pantaisari 1/9
7/23/1969 pantaisari 1/9
2/28/1964 pw jl wr supratman
1/16/1957 salam manis 2/10
6/1/1967 pb jl pantaisari 2/13
12/31/1955 pw gg tongkol 5/11
7/1/1960 pisangsari gg bawal 5/7
6/16/1968 bys 5/7
12/31/1965 pisangsari 3/11
8/8/1970 panjang wetan gg 2 3/7
11/8/1961 pantaisari 4/15
5/17/1960 kp gg 7c 2/2
8/2/1955 salam manis 1/6
10/22/1955 salam manis 7/6
8/1/1967 wns 3/10
12/30/1899 0
12/30/1899 0
8/17/1954 kp gg 1 5/3
12/31/1965 kp gg 1 d 5/6
7/1/1965 wns gg hiu 4/13
9/2/1963 pantaisari gg tongkol 5/13
8/5/1960 pandan arum 6/10
6/2/1941 pw gg 1 6/7
12/9/1959 kp gg 7c 2/2
8/9/1965 pantaisari gg 2 3/10
1/22/1966 pw gg 7 1/4
3/19/1986 bugisan 5/1
12/30/1957 pantaisari gg 2 3/10
12/12/1959 jl wr supratman gg 1
12/31/1963 pantaisari gg setapa
12/30/1954 kp gg 10 7/5
12/31/1958 bys 5/1
9/15/1965 wns 3/13
9/17/1957 jl sidomukti 12 5/3
 7/14/1955 pb cangkring
12/12/1956 kp jl kencono wungu
10/17/1953 kp sm 7/6
12/26/1957 pw wns
12/31/1953 pw wns gg udang
11/14/1956 pw perum sub inti
3/2/1935 kp sm 1/6
9/7/1946 pantaisari gg 2 1/9
8/9/1951 jl rajawali 3/1
9/15/1957 jl kusbang gg pahlawan
4/7/1959 jl kusbang gg 3
12/31/1947 kp gg 7c 2/2
7/27/1948 sidomukti 19
6/27/1975 bys gg 1 4/6
7/14/1955 pisangsari 1/11
12/30/1899 wns gg gabus
9/1/1970 pb bys 3/5
7/1/1963 pw wns no 23
11/1/1953 jl wr supratman 3/4
12/31/1968 pw gg lumba 6/11
12/30/1899 0
2/4/1961 jl yos sudarso 1/12
2/2/1984 wiradesa
10/1/1963 wns gg 3
12/31/1948 krapyak lor
6/20/1947 krapyak lor
10/28/1937 jl kusbang 1/1
12/21/1963 krapyak lor
8/8/1975 bys 7/7
6/29/1950 jl sidomukti 2/3
9/24/1970 pw gg 5 4/5
12/31/1976 bys gg 1 1/5
5/22/1947 jl kusbang
12/30/1899 0
7/19/1971 jl wr supratman gg 9
7/4/1971 wns gg 2
3/4/1943 pw gg tongkol 5/11
1/1/1945 bys gg 2 4/5
7/17/1965 wns gg hiu 4/13
6/1/1967 jl pantai sari 2/13
9/5/1962 bys gg jeruk 1/8
12/31/1935 pantaisari 1/10
12/31/1964 perumnel no 31
5/30/1935 wns gg gabus 4/13
8/8/1972 jl kunti utara 1/4
 5/15/1973 kp gg 8 1/1
7/28/1943 jl kunti utara 8/2
9/15/1965 wns 3/13
7/1/1953 perumnel 3/9
10/22/1955 salam manis 7/6
12/30/1953 bys 2/5
8/18/1967 wns 3/10
8/16/1970 salam manis 3/6
2/19/1955 wns selat selayar 3/3
10/15/1955 kamp baru gg bawal 7/8
5/24/1956 pw gg hiu
12/12/1974 podosugih
12/7/1969 bys perumsos 1/7
3/15/1964 pw gg tongkol 5/11
12/31/1972 pw gg tongkol 5/11
8/2/1955 slam manis 1/6
12/12/1953 bugisan 4/1
7/23/1969 pantaisari 1/9
7/16/1957 salam manis 2/10
7/1/1960 pisangsari gg bawal 5/7
1/30/1951 bys gg 2 6/7
1/1/1931 jl kusbang 2/5
12/30/1899 krapyak
4/18/1950 kp gg 7c no 25
2/17/1946 pantaisari 1/10
12/12/1956 bys perumsos 5/7
5/17/1960 kp gg 7c 2/2
10/1/1949 jl kunti utara 3/8
7/7/1968 bys 1/6
10/9/1950 pantaisari 1/5
1/12/1975 bys 1/6
12/26/1957 wns 2/10
5/1/1955 perumnel
12/21/1970 kamp baru gg 2
3/15/1964 perumnel 2/9
12/31/1947 kp gg 1 c 2/2
1/2/1960 pantaisari no 99 1/10
 WAWANC IMT
ARA

Kurang Kurang
Keteranga Merokok Konsumsi Tinggi Berat
Suku Pekerjaan Aktivitas Makan
n Alkohol Badan Badan
Fisik Sayur

wiraswasta
0
0
0
0
0
buruh
0
0
0
0
buruh
0
0
0
0
0
0
0
0
0
becak
0
0
0
swasta
0
swasta
0
0
0
0
0
0
0
0
0
kary swasta
becak
 0
0
pns
0
0
0
0
0
0
0
buruh
0
0
0
swasta
0
bse
0
pns
0
0
0
0
0
wiraswasta
0
0
0
0
0
0
0
0
swasta
0
swasta
0
buruh
0
swasta
0
kary pabrik
pensiunan
0
buruh
buruh
0
0
0
0
0
0
0
0
0
0
0
buruh
0
0
dagang
0
0
0
0
0
swsata
0
0
0
0
0
0
0
pensiunan
0
buruh
dukun bayi
0
0
wiraswasta
0
0
0
0
0
0
buruh
0
sopir
 0
0
0
0
0
0
0
buruh
wiraswasta
0
0
swata
0
0
0
0
buruh
kuli batu
bururh
0
pensiunan
0
0
0
wiraswasta
0
0
0
pns
0
0
0
0
0
wiraswasta
0
swasta
0
bsi
pns
0
0
0
0
0
 0
0
neklayan
0
0
0
0
nelayan
pns
0
0
0
buruh
0
pns
dagang
0
0
swasta
0
0
0
dagang
0
buruh
0
0
swasta
0
0
0
0
0
0
0
0
0
0
wiraswasta
wiraswasta
buruh
pensiunan
0
buruh
0
 0
0
buruh
0
0
0
0
0
0
0
0
pensiunan
0
0
dagang
0
0
0
0
0
swasta
0
guru
0
0
pensiunan
sopir
buruh
0
0
0
0
0
0
buruh
kary swsata
pns
0
0
dagang
buruh
0
0
0
0
buruh
0
buruh
0
buruh
0
0
swasta
0
0
kuli batu
wiraswasta
nelayan
0
buruh
0
0
0
pns
0
0
0
0
0
buruh
0
dagang
0
0
nelayan
buruh
0
0
0
0
pensiunan
becak
 Tekanan Gula Kolesterol
Darah Darah

Arus
Gula Gula
Lingkar Kolesterol Trigliserid Puncak
Sistol Diastol Darah Darah LDL HDL
Perut Total a Ekspirasi
Sewaktu Puasa (APE)
120 80
130 80
120 80
0 0
140 90
140 90
200 110
0 0
0 0
110 80
0 0
0 0
0 0
130 80
130 80
130 80
130 90
135 85
115 70
140 90
150 90
110 70
190 90
130 80
130 80
200 11
0 0
130 80
140 90
120 80
140 90
0 0
180 100
150 90
130 80
0 0
130 80
110 80
150 90
110 80
150 90
0 0
130 80
120 80
150 90
130 80
130 80
130 80
110 80
160 90
140 90
120 80
200 100
130 80
12 80
150 90
140 80
110 80
130 80
0 0
130 80
120 80
130 80
140 90
120 80
140 90
130 80
130 80
130 80
130 80
140 90
130 80
0 0
140 90
0 0
0 0
140 80
170 100
0 0
0 0
140 90
0 0
0 0
130 80
130 80
160 90
160 90
0 0
130 80
200 100
130 80
130 80
130 80
130 90
110 90
120 80
140 90
150 90
120 80
110 80
160 80
170 90
150 90
140 80
200 110
130 80
120 80
110 80
180 100
120 80
210 110
130 80
130 80
140 90
150 90
120 80
110 80
130 80
130 80
130 80
150 90
110 70
120 80
160 90
110 80
140 90
160 90
120 80
140 90
120 80
130 80
130 80
120 80
150 90
140 90
150 90
130 80
130 80
140 90
110 80
120 80
130 80
150 90
140 90
160 90
110 80
130 80
110 80
120 80
130 80
110 80
130 80
150 90
130 80
140 90
130 80
130 80
140 80
160 90
110 80
110 80
130 80
0 0
120 80
130 80
110 80
130 80
110 80
120 80
130 80
110 80
130 80
110 80
0 0
 90 70
0 0
130 90
130 80
130 80
150 90
130 80
120 80
150 100
150 90
170 100
130 80
160 100
120 80
140 80
130 70
110 70
140 80
130 80
140 90
110 70
130 80
130 80
170 100
130 90
120 80
0 0
0 0
0 0
130 80
140 90
120 80
120 80
120 80
130 90
150 100
130 90
0 0
120 80
130 80
150 90
140 90
110 80
150 90
130 80
130 90
140 90
130 80
119 69
120 70
150 90
140 90
130 80
150 90
130 80
140 90
150 90
120 80
130 80
150 90
140 80
150 90
120 80
170 100
130 80
130 80
110 80
120 70
120 80
160 90
130 80
160 90
140 90
120 80
120 80
130 80
110 80
140 80
110 80
130 80
150 90
130 80
160 90
150 90
120 80
120 80
130 80
110 80
140 80
150 90
120 80
120 70
150 90
140 90
110 80
150 90
90 70
120 80
120 80
140 90
130 80
170 100
130 90
140 90
120 80
150 90
110 80
150 90
140 90
160 90
140 90
180 100
0 0
110 80
120 80
160 90
140 80
120 80
130 90
140 90
130 80
120 80
130 80
140 90
150 90
140 90
130 80
 DIAGNOSA

Kadar Tes Benjolan Hasil

Alkohol Amfetami Abnormal Pap Smear Periksa Krioterapi Diagnosa 1 Diagnosa 2
Pernafasa
n n Urin Payudara IVA

e11 0
i10 r51
e11 0
i64 0
i10 k30
i10 l50
i10 0
i10 0
i10 0
i10 e11
e11 i97
i10 m79.1
e11 0
e11 0
i10 e11
e11 i10
e11 i10
i10 h81
e11 i10
e11 i10
i10 m13
e11 b35
i10 0
i10 e11
e11 0
i10 0
i10 0
e11 i10
i10 j00
i10 e11
i10 0
i10 h10
i10 e11
i10 e11
i10 m79.1
e11 0
e11 m79.1
e11 0
i10 k30
e11 0
i10 j06
e11 0
e11 0
i10 0
i10 0
e11 i10
e11 0
e11 i10
e11 0
i10 e11
e11 i10
e11 0
i10 0
i10 0
i10 k30
i10 l30
e11 i10
e11 e78
e11 i10
i10 k30
e11 i10
e11 0
e11 0
e11 e78
e11 0
i10 e11
e11 i10
e11 0
i10 m79.1
e11 0
e11 i10
e11 m79.1
e11 0
i10 j45
i64 0
i10 l30
i10 e11
e11 i10
e11 0
i10 r51
i10 m79.1
i10 i84
i10 r51
e11 0
i10 e11
i10 0
i10 e11
e11 j00
e11 i10
i10 0
i10 e11
i10 0
i10 0
i10 0
i10 0
e11 t00
e11 i10
i10 m79.1
e11 0
e11 0
e11 i10
i10 m54.4
e11 i10
i10 0
i10 0
e11 0
e11 i10
e11 0
i10 0
e11 0
e11 i10
e11 j00
e11 0
i10 e11
i10 r51
i10 e11
e11 0
e11 i10
e11 i10
e11 i10
e11 i10
j45 0
e11 j00
i10 i84
e11 0
i10 r51
i10 j00
e11 m79.1
i10 0
e11 a09
e11 tumor mamae (d24)
i10 r51
e11 a09
i10 m79.1
e11 0
i10 0
e11 0
e11 0
i10 m79.1
e11 0
e11 0
e11 i10
i10 0
e11 i10
i10 m79.1
e11 m79.1
e11 0
e11 i10
e11 0
e11 i10
e11 0
e11 0
i10 0
e11 i10
e11 0
e11 i10
e11 0
i10 0
I10 konstipasi (k59)
i10 m79.1
e11 0
i10 j02
e11 j06
e11 j06
i10 e11
j45 0
i10 m79.1
j45 0
i10 m15
e11 i10
i10 m15
e11 i10
i10 m79.1
j45 0
j45 0
e11 j06
i10 m79.1
i10 m79.1
e11 0
e11 0
j45 0
e11 z03
i10 0
e11 i10
i10 m79.1
i10 0
i10 k30
e11 l88
i10 e11
e11 k30
e11 0
i10 m79.1
i10 k30
i10 m79.1
e11 0
e11 i10
e11 i10
i10 0
e11 m79.1
e11 l23
j45 0
e11 0
i10 e11
i10 j06
i10 m79.1
i10 m15
e11 0
i10 e11
i10 0
i10 0
e11 0
j45 0
e11 0
e11 i10
e11 i10
e11 i10
e11 0
i10 0
e11 i10
i10 0
i10 0
e11 0
e11 0
e11 0
i10 0
i10 0
i10 r51
i10 m79.1
e11 0
i10 0
i10 0
e11 m79.1
i10 0
i10 0
i10 j00
i10 0
e11 0
i10 0
e11 0
i10 0
e11 i10
e11 0
i10 e11
i10 0
i10 0
i10 0
i10 0
i10 m15
i10 j02
i10 e11
e11 0
e11 i10
e11 0
i10 r51
i10 k30
i10 i84
e11 i10
i10 0
e11 0
e11 r51
e11 j00
e11 l50
i10 j00
i10 0
e11 0
i10 0
i10 j00
i10 m79.1
e11 i10
i10 j00
e11 abses pedis (m71)
e11 0
e11 k29
i10 m54.5
e11 0
i10 e11
i10 k30
i10 e11
i10 0
i10 0
e11 i10
i10 e11
e11 i10
i10 m79.1
i10 0
i10 0
j45 0
e11 0
i10 m15
i10 0
e11 i10
e11 0
i10 0
e11 i10
i10 e11
e11 0
e11 i10
e11 i10
e11 i10
i10 m79.1
e11 0
 Pemeriksa
an
Penunjang
Urin Rutin
Diagnosa Diagnosa Diagnosa Darah &
EKG Radiologi
3 4 5 Lengkap Mikroskop Dirujuk
ik
0 0
0 0
0 0
0 1
r06 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
i10 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 1
0 1
m79.1 0
l30 0
0 0
0 0
j02 0
0 0
0 0
0 0
0 0
 0 0
0 0
m13 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 1
0 0
m79.1 0
0 0
0 0
j06 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
j06 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
m15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 1
0 0
0 0
k30 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
j00 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
_ Panjang Ba 0
_ _ pw gg 10 3/3/
Kandang Pa_ 0
Kandang Pa_ kp gg 1 no 27 5/7
Kandang Pa_ kandang panjang 2/4
Kandang Pa_ kp gg 1d
_ Panjang Ba 0
_ Panjang Ba 0
_ Panjang Bapantaisari 4/9
_ _ 0
_ _ 0
Kandang Pa_ 0
_ _ pw gg1 no 10
_ Panjang Ba 0

_ Panjang Baperum nel 4/9

Kandang Pa_ 0
_ Panjang Bapn sari pb gg 2
_ Panjang Ba 0
_ _ jl berlian
_ Panjang Babys gg jeruk pb
_ Panjang Ba 0
Kandang Pa_ jln palapa 3
_ _ 0
_ Panjang Ba 0

_ Panjang Ba 0
_ Panjang Bapb bys gg 1
_ _ 0
_ _ 0
Kandang Pa_ kp gg 7a
_ Panjang Bapn sari 5/10
Kandang Pa_ kp gg 1
_ Panjang Babys gg 2 7/5
_ _ 0
_ Panjang Ba 0
_ Panjang Ba 0
_ Panjang Babys pb gg 2 7/5
_ Panjang Ba 0
_ Panjang Ba 0
_ _ pw pucungsari 1/12
_ _ 0

_ Panjang Ba 0
_ _ 0
Kandang Pa_ jln palapa 3
_ _ 0
_ Panjang Ba 0
Kandang Pa_ jl damar wulan swadaya

_ _ 0
Kandang Pa_ sm kp 1/13
_ _ 0
_ _ 0
_ Panjang Bapb gg 3 pahlawan

_ _ 0
_ _ 0
_ _ 0
_ Panjang Ba 0
_ _ pw pucung sari
_ Panjang Bajl kunti utara kesambi
_ Panjang Ba 0
_ _ 0
_ Panjang Ba 0
Kandang Pa_ sm kp no 122 2/10
Kandang Pa_ 0
_ Panjang Bajl damar 11 4/9