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LAPORAN KUNJUNGAN RAWAT JALAN

PUSKESMAS SIMO
BULAN FEBRUARI

JENIS KUNJUNGAN

BAYAR BPJS TOTAL KUNJ DALAM


JAMKESDA
WIL
SARANA 50%
NO KUNJUNGAN
YANKES UMUM PBI RUJUK NON PBI RUJUK
KADER/ KUNJ RAWAT
UKS JAMKESDA RUJUK
HANSIP JALAN
L P L P L P L P L P
L P L P L P L P L
1 PKM INDUK BARU 268 229 0 0 0 0 37 70 10 7 24 23 7 5 0 2 0 1 315
LAMA 228 428 0 0 0 0 187 499 41 85 166 273 45 53 0 3 0 1 587
JUMLAH 496 657 0 0 0 0 224 569 51 92 190 296 52 58 0 5 0 2 902
PKD 4 8 0 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 5
2 BARU
TALAKBROTO
LAMA 2 9 0 0 0 0 4 17 0 0 4 8 0 0 0 0 0 0 10
JUMLAH 0 17 0 0 0 0 0 0 0 0 4 8 0 0 0 0 0 0 15
3 PKD GUNUNG BARU 2 8 0 0 0 0 5 5 0 0 0 0 0 0 0 0 0 0 7
LAMA 2 0 0 0 0 0 7 25 0 0 3 3 0 0 0 0 0 0 12
JUMLAH 4 8 0 0 0 0 12 30 0 0 3 3 0 0 0 0 0 0 19
4 PKD WALEN BARU 1 6 0 0 0 0 12 38 0 0 0 0 0 0 0 0 0 0 13
LAMA 0 0 0 0 0 0 5 17 0 0 0 1 0 0 0 0 0 0 5
JUMLAH 1 6 0 0 0 0 17 55 0 0 0 1 0 0 0 0 0 0 18
5 PKD PENTUR BARU 5 10 0 0 0 0 1 1 0 0 0 2 0 0 0 0 0 0 6
LAMA 0 1 0 0 0 0 5 9 0 0 1 2 0 0 0 0 0 0 6
JUMLAH 5 11 0 0 0 0 6 10 0 0 1 4 0 0 0 0 0 0 12
PKD KD 3 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
6 BARU
LENGKONG
LAMA 0 0 0 0 0 0 1 10 0 0 0 1 0 0 0 0 0 0 1
JUMLAH 3 14 0 0 0 0 1 10 0 0 0 1 0 0 0 0 0 0 4
7 PKD TETER BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PKD 0 10 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1
8 BARU
BENDUNGAN
LAMA 0 0 0 0 0 0 3 2 0 0 3 2 0 0 0 0 0 0 6
JUMLAH 0 10 0 0 0 0 3 2 0 0 4 2 0 0 0 0 0 0 7

9 PUSTU TEMON BARU 19 18 0 0 0 0 8 7 0 0 0 0 0 0 0 0 0 0 27

LAMA 0 0 0 0 0 0 2 10 0 0 1 1 0 0 0 0 0 0 3
JUMLAH 19 18 0 0 0 0 10 17 0 0 1 1 0 0 0 0 0 0 30
10 PKD BLAGUNG BARU 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LAMA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 PKD WATES BARU 1 3 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
LAMA 2 8 0 0 0 0 0 17 0 0 0 1 0 0 0 0 0 0 2
JUMLAH 3 11 0 0 0 0 0 18 0 0 0 1 0 0 0 0 0 0 3
PUSTU 2 3 0 0 0 0 1 8 0 0 0 0 0 0 0 0 0 0 3
12 BARU
SUMBER
LAMA 0 3 0 0 0 0 5 19 0 0 1 0 0 0 0 0 0 0 6
JUMLAH 2 6 0 0 0 0 6 27 0 0 1 0 0 0 0 0 0 0 9
TOTAL BARU 305 309 0 0 0 0 65 136 10 7 25 25 7 5 0 2 0 1 381
LAMA 234 449 0 0 0 0 219 625 41 85 179 292 45 53 0 3 0 1 638
JUMLAH 533 758 0 0 0 0 279 738 51 92 204 317 52 58 0 5 0 2 1019

Simo, 28 Februari 201


Mengetahui
Kepala Puskesmas Sim

drg. Ninuk Sri Sunarsi


NIP : 1964061319920
TOTAL KUNJ
TOTAL KUNJ DALAM LUAR WIL
WIL

KUNJ RAWAT KERJA KAB


RUJUK
JALAN
P L P L P L P
395 17 11 45 28 35 20
1304 82 133 20 21 20 50
1699 99 144 65 49 55 70
14 0 0 0 0 0 0

34 0 0 0 0 0 0
48 0 0 0 0 0 0
13 0 0 0 0 0 0
28 0 0 0 0 0 0
41 0 0 0 0 0 0
44 0 0 0 0 0 0
18 0 0 0 0 0 0
62 0 0 0 0 0 0
13 0 0 0 0 0 0
12 0 0 0 0 0 0
25 0 0 0 0 0 0
14 0 0 0 0 0 0

11 0 0 0 0 0 0
25 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
10 0 0 0 0 0 0

4 0 0 0 0 0 0
14 0 0 0 0 0 0
25 0 0 0 0 0 0

11 0 0 0 0 0 0
36 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
4 0 0 0 0 0 0
26 0 0 0 0 0 0
30 0 0 0 0 0 0
11 0 0 0 0 0 0

22 0 0 0 0 0 0
33 0 0 0 0 0 0
543 17 11 45 28 35 20
1470 82 133 20 21 20 50
2013 99 144 65 49 55 70

Simo, 28 Februari 2017


Mengetahui
Kepala Puskesmas Simo

drg. Ninuk Sri Sunarsih


NIP : 196406131992032006

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