No No RM Nama JK Umur

No NO RM NAMA JK UMUR
1 485852 Tn.Agustinus LK 53
2 840133 Tn.Faris LK 37
3 837676 Ny.Hakimah PR 74
4 840327 Tn.Herly LK 48
5 075679 Ny.Muniati PR 55
6 840408 Ny.Sitti PR 55
7 840405 An.Vio Queen PR 13
8 840413 Nn.Monika PR 19
9 840780 Ny. Marwah PR 48
10 832513 Ny. Fatmawati PR 38

11 835424 TN. Wayan sumerta LK 52
12 840914 Tn. Nusran LK 55
13 841012 Tn. Nurdin lk 41

14 495120 Tn. Trisno lk 55
15 823503 Tn. I Nyoman Suwitra LK 61
16 204234 Ny. Asniwati PR 47
17 841023 Tn. Asgar LK 54

18 468358 Tn. Kamaluddin Lk 35
19 841100 Ny. Irna Pr 35
20 179271 Johny, R.Supit Pr 59
21 485852 Tn. Agustinus Lk 53
22 842365 Tn.Thompa Lk 68
23 841006 An. putri rahayu Pr 15
24 337901 Tn. Ramli Lk 51
25 349931 Ny.Dorce pr 29
26 349931 Tn.Amiruddin LK 58
27 861823 Tn. Lakome Lk 73
28 Tn. Nyoman suwita Lk 60
29 An. Putri rahayu P 15
30 Tn. Agustinus Lk 53
31 Tn. Ramli Lk 51
32 tn. Amidin Lk 58
33 841519 Tn. Ade Burhanuddin Lk 68
34 822444 Ny. Siti Pr 55
35 841448 Tn. Rahman Lk 55
36 386982 Tn. Made Suarsa Lk 50
37 192735 Tn. Rizki Rifaldi Lk 18
38 840861 Tn. Parman Lk 58
841860 Tn. Nuhrin Lk 53
39
40 823123 Tn. Biman Lk 55

41 841733 Tn. Yando Lk 60
42 841871 Ny.Onesimus P 49
43 566332 Tn. sechmid LK 65
44 841721 Tn Petrus LK 65
45 841984 Tn.Rijlan LK 45
46 841984 Tn.Yahya Tolo LK 76
47 841360 Ny.Ida P 42
48 841360 Ny.Ida kadili P 61
49 841824 Tn. Ahmad LK 40
50 830459 Ny. Suci Pratiwi P 27
51 841059 Tn. Saiful Malantu LK 36
52 841825 Tn. Arham LK 36
53 841828 Ny. Nurjuhaini P 50
54 841972 Tn. Yosep LK 54

55 841498 Tn. Baharudin LK 40
56 414977 Tn. Fredy LK 74
57 821317 Tn Bahuddin LK 70
58 858721 Tn. Paulus LK 59
59 842314 Tn. Edward Santana LK 22
60 242355 Tn. Makmur LK 62
61 824729 Tn. Abd. Rasyid LK 68
62 842364 Tn. Andry Iswahyudi LK 36
63 841400 Tn. Abd. Azis LK 76
65 835429 Tn. I Wayan Sarjo LK 58
66 842355 Tn. I Made Ardana LK 58
Ny. Roina Laweangi PR 48
67 817427
68 839092 Tn. Madi LK 77

69 841759 Tn. Ato Hazah LK 78
70 842591 Tn. Taufik LK 55
71 842609 Tn. Yusmanto LK 27
72 842549 Ny. Maria 87 70
73 842579 Ny. Ni Luh PR 48
74 Ny. Haera PR 75
75 435298 Tn. Muh Nur Iman LK 20
76 841604 Ny. Harice PR 64
77 518171 Tn. Yahya LK 76
78 320480 Ny. Daeng Tasuka PR 73
78 837416 Tn. Darwis LK 53
79 842564 Tn.Asli LK 68
80 840162 Tn. Ridwan LK 56
81 842876 Tn. Yunus LK 65
82 842877 Tn. I Wayan Mudiane LK 75
83 804000 Nn. Widya Ningsih PR 18
84 555990 Tn. I Nyoman Suarjaya LK 66
85 842883 Tn I Gede anom Lk 38
86 558543 Tn Muh Idris LK 66
87 812888 Tn. Sukino LK 62
88 446054 Tn. I Nengah Sadya LK 57
89 842575 Tn. Hamiun LK 50
90 274127 Ny. Asriatin PR 37
91 843087 Ny. Gusnawati PR 33
92 842772 Ny. Musdiana PR 42
93 843120 Tn. Azhar LK 54
94 843133 Ny. Sahar PR 69
95 842390 Tn. Mustofa LK 60
96 528415 Tn. moh. merdusir LK 86

97 831105 Tn. Abd. Rasid LK 58
98 842210 Tn. Arifin LK 41
99 816779 Nn. Siti Rukmawati PR 19
100 842804 Tn. Syamsur Alam LK 49
101 446742 Tn. Lanuhu LK 65
102 843370 Ny. Suherni PR 51
103 496443 Ny. Marlina PR 64
104 843289 Tn. Wayan LK 39
105 843482 Nn Vegy topei PR 19
106 842947 Ny. Mariani PR 52
107 561311 Tn I Wayan LK 62

108 843407 Tn Ikbal LK 31
109 829790 Tn Lakuse LK 68
110 842415 Tn Muh Said LK 61
111 481875 Tn. Kadir LK 59
112 81288 Tn. Sukino LK 63
113 823503 Tn Inyoman suwitra LK 61
114 843606 Nn. Made yesi PR 18
115 843386 Tn. Latola LK 65
116 551553 Tn. Madjid LK 48
117 843495 Tn. Rusdin LK 50
118 843734 Tn.Yansen LK 49

119 817427 Tn.Irwan H LK 66
120 843704 Tn.Irwan LK 27
121 817427 Ny.Susianti PR 32
122 843602 Ny. Ester PR 31
123 842371 Tn. Stif LK 36
124 830179 Ny. Yusri PR 48
125 279673 Ny. Mintang PR 55

126 378558 Ny. Mariana B PR 61
127 831105 Tn. Ab Rasyid LK 58
128 843882 Tn.Sarifudin LK 68
129 843552 Tn. Pan Budi W. LK 65
130 843474 Tn. Syafrizal Pangeran LK 42
131 833871 Tn. Hein Tadjedje LK 70
132 843485 Tn. Karim D LK 63
133 843816 Tn. I Wayan Tamba. LK 76
134 842043 Tn. Rakib LK 54
135 448350 Ny. Suastika M. PR 58
136 467267 Ny. Erlin salarupa PR 56
137 310733 Ny. Bau Intang PR 58
138 1000264 Tn. Muh Zainal LK 21
139 840658 Tn. Endrik LK 32
140 817427 Ny. Roina Laweangi PR 48
141 459243 Tn. Asmir LK 40
142 824202 Ny. Ida Ayu Kade Era PR 34
143 399 Tn. Yonimus Taewa LK 68
144 843490 Tn. Yusuf Buaya LK 36

145 843137 Tn. I Ketut Wendra LK 46
146 841817 Ny. Onesimus PR 52

147 494619 Tn. Asmawir LK 65
148 844066 Ny. Sulistiani PR 66
149 1000446 Tn. I Nengah Suarjana LK 46
150 100522 Tn. Matius LK 73
151 1000584 Tn. Atong LK 51
152 1000586 Ny. Ni luh D. Nuriani PR 49
153 1000610 Tn. Mappaita LK 70
154 1000613 Nn. Nikma PR 16
155 827317 Tn. Moh Abdul Baliq LK 45
156 1000724 Tn. Ahmad Bajery LK 55

157 835633 Tn. Abidin LK 48
158 1000794 Tn.Gasim LK 40
159 1000810 Tn. Sukino LK 63
160 1006660 Nn. Azmawati PR 21
161 433897 Tn. David LK 61
Tn. Muh. Said

162 1000874 LK 59
Masserang
163 1000889 Tn. Asgar LK 54
164 1000962 Tn. Markopele LK 38
165 98776 Ny. Sumarti PR 54
166 1000568 An. Rehan Dwi Saputra LK 2
167 310733 Ny. Bau Intang PR 59
Tn. Abdul Hamid

168 1000688 LK 60
Manna
169 1001033 Ny. Maria Imacolata PR 29
170 821364 Tn. H. Ningke Jabe LK 53
171 1000551 Tn. Bambang Prasetyo LK 46
172 829790 Tn. Lakuse LK 68

Tn. Muh. Said
173 842415 LK 60
Masserang
174 01 000 989 Ny. Rusnia Pouraga PR 44
175 01 00 11 35 Tn. Hasan LK 65

176 00 20 89 Tn. Daniel LK 56
177 45 91 94 Tn. Armin Gusno LK 63
178 838119 Tn. Mannaga LK 79
179 01 06 13 82 Tn.Rifky Hidayat LK 16
180 01 00 02 04 Tn. Baharuddin LK 40

181 01 00 12 94 Tn. Yakub LK 66
182 654789 Tn. Kamaludin LK 39
183 843495 Tn.Rusdin ladiku LK 49
184 842415 Tn. muh said LK 59

185 286844 Ny. Khairul wijawanti PR 49
186 1001501 Ny. Hajar PR 63
187 408584 Tn. Sarwin LK 48
188 365421 Tn. Abidin LK 48
189 376543 Ny. Mariani PR 52

190 457621 Tn. John Tumbel LK 56
191 0 75679 Ny. Muniati PR 56
192 001033 02 Ny. Maria Imaculata PR 29
193 495998 Tn.Dirwan LK 45
194 01 001803 Ny. Muthoharoh PR 30
195 103562 Tn. Mustafa LK 51
196 459243 Tn. Asmir LK 40

197 838119 Tn.Mannaga LK 79
198 842432 Tn. Wayan Sarjo LK 64
199 01 001943 Tn. Ma'ami Lahuji LK 66
200 01 001981 Tn. Umar Toampa LK 73
201 1002018 Ny. Lusiana PR 37
202 815047 Tn. Yustus Nuva LK 53
203 496400 Tn. I Made sudarsana LK 49
204 811193 Tn. Tri suko turyono LK 51
205 1001135 Tn Hasan LK 61
206 543807 Tn. Jani lembah LK 51
207 488742 Ny. Men Warta PR 84
208 1002198 Tn Alimuddin LK 78
209 1002183 Tn. Made Sartu LK 64
210 843474 Tn Syafrizal Pangeran LK 41
211 400578 Tn Tano LK 44

212 1001964 Nn. Asmaul Husna PR 20
ALAMAT NO.HP RUANGAN TGL MASUK TD
Jl.Sisingamaraja Lrg.Pakola 085342501759 Teratai 11/11/2018 130/90
Jl.Malonda 082322227166 Teratai 13/11/2018 120/80

Biromaru 081341016330 Anggrek 14/11/2018 130/90
Jl.Sungai Ogoton, Nunu 082190014456 Teratai 17/11/2018 130/90
Jl.Lagarutu 085241398189 Teratai 18/11/2018 140/100
Ds.Sumber Sari, Dolago 081253701593 Teratai 19/11/2018 140/90
Jl.Sungai Malei 085342390297 Teratai 19/11/2018 80/60
Tondo 081235668478 Teratai 19/11/2018 120/90
Desa Dolago 81245000115 Teratai 11/26/2018 150/90
110/70
Toli-toli 85259215112 Teratai 11/27/2018
Pasangkayu 85399991309 Teratai 11/27/2018 130/90
Tanamodindi 85397331506 Teratai 11/29/2018 130/80
Tanggul teratai 11/30/2018 110/80

kawatuna 85256160586 teratai 29/11/1018 120/80
Parigi Mountong Ds.Sausu 82293369688 teratai 11/29/2018 130/70
Kolonadale Teratai 11/30/2018 130/70
JL. Zebra 852000000 Teratai 11/30/2018 160/100

Jalan Samudra 85343516223 Teratai 1/12/2018 120/80
Labuan Pantoloan 81354221112 Teratai 1/12/2018 120/80
BTN Lasoani xxxxx Teratai 3/12/2018 120/70
Sisingamaharaja xxxxx Teratai 3/12/2018 130/70
Slamet triyadi - Teratai 3/12/2018 140/90
Ampibabo Teratai 5/12/2018 120/70
Kayumalue Teratai 6/12/2018 120/70
Pue Bongo 85240463255 Teratai 6/12/2018 110/70
Kayumalue xxxxx Teratai 6/12/2018 140/80
jln.ipi kadongo Teratai 12/8/2018 140/80
Parigi moutong, sausu 82293369688 Teratai 29/11/2018 110/70
Ampibabo Teratai 12/5/2018 120/70
jln, sisimangaraja 85342501759 Teratai 12/3/2018 140/90
kayumalue Teratai 12/6/2018 120/70
kayumalue Teratai 12/6/2018 140/80
Jl.Agus Salim 85314151644 TR 10/12/2018 110/70
Dolago - Teratai 11/12/2018 140/80
Buol 82295013299 TR 9/12/2018 140/100
Jl. Lagarutu ICU 9/12/2018 150/100
ICU 12/12/2018 100/70
Parigi Teratai 13/12/2018 140/70
Ampana Teratai 13/12/2018 120/70
JL. Tanggul Mas Teratai 13/12/2018 110/70

PasangKayu Teratai 14/12/2018 120/80
Poso 85396058567 KNG 17/12/2018 180/120

Jln. Tg. Satu - KNG 16/12/2017 120/80
Palu - Flamboyan 16/12/2018 130/80
Toaya - Flamboyan 16/12/2018 110/70
Jl.Trans Palu - Flamboyan 19/12/2018 130/80
P - Flamboyan 14/12/2018 110/70
ds.tombiano - seroja 14/12/2018 140/70
- Teratai 16/12/2018 110/70
Jl. Kasuari - Teratai 19/12/2018 110/60
Ds. Sidundu - Teratai 18/12/2018 100/60
Ds. Lampe - Teratai 16/12/2018 110/80
Ds. Londe Tovea Kec. Sirenja 81345167090 Teratai 16//12/2018 150/90
Jl. Trans Sulawesi 82347931795 Teratai 19/12/2018 100/60

jl. Tombolotutut/ Poso 85245481219 Teratai 19/12/2018 160/90
jln. Watumapida no. 6 85249875441 Teratai 16//12/2018 160/90
Ds. Balukang 81357608145 Kenanga 23/12/2018 100/70
Jl.Trans Palu 82356439187 Flamboyan 25/12/22018 100/70
Ds. Masari Parigi 82390875438 Teratai 26/12/2018 120/70
Ds. Lembah Mukti 82347861543 Kenanga 27/12/2018 120/80
Jln. Cakalang Tondo 8134510075 Teratai 27/12/2018 150/100
Jl. Kasuari 85341434446 Teratai 27/12/2018 130/80
Jl. Bakuku 82349807790 Teratai 29/12/2018 140/90
Pasang Kayu 85399991309 Teratai 28/12/2018 90/50
Ds. Lembah Mukti 82240462450 Teratai 27/12/2018 130/80
82192020294 Teratai 30/12/2018 130/80
ds. Maleo
jl. Lagarutu 82187102040 Teratai 3/1/2019 160/90

Dusun II 81341629521 teratai 1/3/2019 120/80
jl. Setiabudi 85255117160 Teratai 1/3/2019 110/80
Trans Layana Indah 81342656311 Melati 1/3/2019 120/80
Baras 85231515070 Seroja 1/3/2019 120/80
ds. Tindaki 85341434446 Teratai 1/3/2019 120/70
tawaeli 081254632551 Kenanga 1/4/2019 120/80
jl. Tembang 82259597070 Kenanga 1/4/2019 110/70
Palolo 85240680519 Teratai 1/4/2019 130/100
palolo 82347831371 Teratai 1/5/2019 120/90
Tatanga 085259994417 Teratai 1/7/2019 110/70
JL. Sungai lambangan 81328393772 Teratai 1/7/2019 130/70
pemau kec. Dolo baru 85145877158 Teratai 1/7/2019 130/80
Ds. Tikke 82193351372 Teratai 1/7/2019 120/80
jl.Desarunde 85373031890 Melati 1/8/2019 130/80
Pasang kayu 85488016789 Melati 1/8/2019 120/70
kel. Poboya 88678890231 Teratai 1/8/2019 100/60
desa suli kec. Balinggi 85280290620 Teratai 1/8/2019 130/90
desa mekar sari 87845162776 Teratai 9/1/2019 110/80
pedongga 85241337330 bogenvile 9/1/2019 110/70
desa tinombala 81913456063 Teratai 1/9/2019 150/110
desa toinasa 82187771450 Kenanga 10-Jan-19 130/70
Ds. samalili pantai barat 82291569951 Teratai 13/1/2019 130/90
JL. Merpati 85242428193 Teratai 13/1/2019 130/90
Dusun Kuduru 82142284765 Teratai 12/1/2019 120/80
Desa Kampal Parimo 81243662000 Teratai 14/1/2019 130/90
Tondo 82194280530 Teratai 13/1/2019 150/100
Besusu Tengah Palu Timur 82136378345 Teratai 13/1/2019 200/90
Desa Burunga 85398973701 Teratai 28/12/2018 160/80
Jl. Domba 85293826839 Teratai 1/15/2019 130/90

Jl. Jamur 82319108301 Teratai 1/14/2019 100/70
Desa Pajeko 82296125118 Teratai 16/1/2019 120/80
jln. Untad 85267058415 Teratai 16/1/2019 110/70
jl. S Malino No 8A 82347360714 Kenanga 15/1/2019 110/70
jl. soyovav Kel. Taipa 85291052200 Teratai 17/1/2019 120/70
Dusun Bulu Bangu 85218727468 Teratai 18/1/2019 140/90
Jln. Bulumasomba 82296771637 Boegenvile 15/1/2019 110/80
kasimbar Flamboyan 16/1/2019 130/90
Desa Talabosa 82395091614 Teratai 1/19/2019 120/70
Poso 81243445057 Teratai 1/19/2019 130/70
Desa Tanah Lanto 82291254934 Teratai 1/19/2019 120/80

Jl. Malontara 82291862984 Teratai 1/18/2019 100/60
Desa sirenja 82189718428 Teratai 1/21/2019 130/70
jalan tanjung dako no 11 81245071878 Teratai 1/22/2019 140/90
ling bumi nipa 85341169114 Teratai 1/21/2019 130/70
Desa Tinombala 87716650814 Teratai 1/22/2019 140/80
desa tabanan parimo 85242137377 Teratai 22/1/2019 90/60
desa sausu 82395064096 Teratai 23/1/2019 100/60
Jalan Tanjung manibaya 82145523645 Teratai 24/1/2019 130/70
Ds Nopa Bumba 082194137352 Teratai 25/1/2019 140/80
Ds Polo Bunta, Banggai 082345556666 Teratai 25/1/2019 140/80
Petobo 81245486198 Petobo 25/1/2019 110/70

Moutong timur 82346928214 Teratai 25/1/2019 140/90
Dusun Baru 81255429495 teratai 24/1/2019 150/90
Desa Kerang 82240236635 Teratai 25/1/2019 120/90
Dsn.III Malino Flamboyan 22/01/2019 100/60
DS. Pambeue 85397327367 Teratai 1/28/2019 120/80
Loli, Tondo 82348472098 Teratai 1/28/2019 100/80
Jl. Tanjung Tururuka 82113859625 Teratai 1/28/2019 110/80

Jl.Penanda 82347479053 Angrek 28/01/2019 120/60
Jl.Jamur 85242197717 Teratai 1/29/2019 110/80
Tumora Poso 82112569109 Teratai 1/28/2019 110/70
Toili, Luwuk banggai 81523969715 Teratai 1/31/2019 120/80
DS.Lemo kec, Ampibabo 81343474586 Teratai 31/01.2019 140/80
Ds. Poleganyara, Poso 82393765693 Teratai 1/31/2019 140/80

Kelurahan bugis, Kec
81257990457 melati 1/26/2019 80/50
biau,Kab,buol
Ds Tangkura, Poso pesisir
85242080944 Teratai 2/1/2019 120/80
selatan
DS. Sigenti Tinombo 85242587579 teratai 2/2/2019 130/70
JL. Merpati 81336731484 Teratai 2/3/2019 150/100
Toli-toli 85241386760 kenanga 2/2/2019 130/80
Paso 82348328879 kenanga 01/29/2019 150/90
Jln. Vetran Toli - Toli 82293666005 Teratai 4/2/2019 130/80
Pasang Kayu 82349651718 Teratai 5/2/2019 110/70

82192020294 Teratai 5/2/2019 130/80
ds. Maleo
Jl. Maleo 8114508989 teratai 5/2/2019 130/70
Jl. H.M. Soeharto 85145594646 Teratai 06/02.2019 110/70
Tentena 85342012503 Teratai 6/2/2019 120/70
desa Pamona 85298773644 Teratai 6/2/2019 120/80

Sausu 82347211224 Teratai 6/2/2019 120/80
poso 8539619345 kenanga 6/2/2019 120/90

BTN Silae 81340333739 kenanga 6/2/2019 140/80
jl. Tawaili 82231414216 kenanga 2/2/2019 140/90
kayu calia mamuju 8234969932 Teratai 7/2/2019 120/80
Jl.Tombo 85340431593 Teratai 7/2/2019 150/90

jl. Lapetong Dusun Kramat
85342316161 Teratai 8/2/2019 120/80
Santigi
Desa Tindaki 82239734870 Teratai 8/2/2019 110/70
Mamuju Utara 81245146970 Teratai 9/2/2019 150/80
Dolo 85396049691 Teratai 9/2/2019 100/60
Buol 82240874133 Teratai 9/2/2019 130/90
Jl. Tadulako 8E+11 Kenanga 10/2/2019 140/80

Desa Pangalasiang 81341466343 Anggrek 9/2/2019 140/60
Jl. Trans Sulawesi 82346530085 Teratai 11/2/2019 160/120
Tinombala 81913456063 Teratai 11/2/2019 140/80
85342996151 Teratai 9/2/2019 110/60
Jl. Batu Bata Indah 82194258002 Kenanga 9/2/2019 140/90
Jl. Tg. Dako 81245071878 Teratai 12/2/2019 90/60
Jl.Zebra 81341328780 Teratai 12/2/2019 100/80

Ds. Hanggira 82395078659 Teratai 13/2/2019 130/80
Jl. Tanggul Asri Blok D/3 85241356971 Teratai 13/2/2019 110/80
Afd. Delta, PT Pasangkayu 82189185342 Teratai 13/2/2019
Toli-toli 85210961446 Kenanga 13/2/2019 120/80
Desa Tamanip 85796898894 Teratai 10/2/2019 140/100
Ds. Lili Mori 85396975938 Teratai 2/14/2019 110/60
Dusun Bukin Harapan Lariang 82188547064 Teratai 2/14/2019 130/80
Lorong Sukun 82195503535 Kenanga 2/9/2019 130/90
Tompe 85342173181 Teratai 14/2/2019 100/70
Jl. Tanjung dako 81245071878 Teratai 15/2/2019 100/60
Petumbea, Kab. Morowali

0813 2920 7866 Matahari 13/2/2049 110/80
Utara
Mamboro 85228445550 Kenanga 16/2/2019 120/70
Ds. Ampera 82189205488 Anggrek 17/2/2019 100/70
Jl. Sungai Lembara 81245468999 Seroja 16/2/2019 160/100
Jl. Sunga Wera No.44 81341226890 Teratai 2/19/2019 120/70
Jl.karona BTN.II Blok A2
85238410289 Anggrek 2/19/2019 120/80
.No.2
jl. Gunung loli 085241347984 Kenanga 19/02/2019 130/80
Talise 085241318445 Flamboyan 18/02/2019 140/90
Jl. Ponegoro 85241175643 Teratai 25/02/2019 120/70
Ds. polo, Bunta 082259247788 Teratai 21/2/2019 140/90
jl.tg. Dako 081245071878 ICU 21/2/2019 137/45

Btn. Lagarutu 0812247129068 Flamboyan 22/2/2019 100/70
jl. Lekatu no.67 85397412788 Matahari 2/24/2019 100/70
Jl. Gunung sidole 81341008398 Teratai 25/02/2019 110/70
Desa Pangalasiang, Sojol 85341176534 Teratai 25/02/2019 140/90
Desa Tagolu Poso 81243445057 Teratai 26/02/2019 120/80
J. Vetran 82310162970 Kenanga 26/02/2019 150/100

JL. Lagarutu No.52 A 82333809713 Teratai 26/02/2019 120/80
Pasangkayu 82348383068 Teratai 26/02/2019 110/70
Tawaeli 85342639478 Flamboyan 27/02/2019 100/60
Ds. Tinombala 82292945692 Flamboyan 26/02/2019 100/60
Parigi 8525542501 Teratai 27/02/2019 160/90
Jl. Maleo 85341185234 Seroja 27/02/2019 100/60

Jl. Maluku 85376612332 Flamboyan 24/02/2019 170/100
Ds. Tindaki 85299374037 Teratai 1/3/2019 150/90
Ds. Sausu, Tambu 85238457341 Teratai 28/02/2019 140/100
Jl. Otista 85298237734 Teratai 3/1/2019 120/70
Desa Wukur Palolo 85299836700 Teratai 3/2/2019 120/80
Baras 81355414000 Teratai 3/2/2019 160/110
Parigi 82291855348 Teratai 3/2/2019 120/70
JL. Gelatik 82221046286 Flamboyan 3/3/2019 130/90
Mamboro 81341187662 kenanga 3/3/2019 120/60
Desa alindau 85343711168 Teratai 1/3/2019 140/90
kasimbar 85342673301 teratai 3/3/2019 180/90
Jl Dayo dara 82111491011 Flamboyan 4/3/2019 110/60
Lalundu 81340328557 teratai 3/3/2019 130/80
JL. Panglima Polem 81343474586 kenanga 3/5/2019 140/100
Jono Oge 85256005379 kenanga 3/3/2019 130/80

Jl. Padat Karya 82247015253 seroja 2/28/2019 130/80
DIAGNOSIS
Ca.Prostat +BPH grade III
Parafinoma Penis DD Abses Penis

Cystitis, Kista Ginjal Dextra
Susp.Batu Ureter Dextra + Hidronefrosis Dextra DD Stenosis Ureter

Dextra
Tumor Buli susp. Malignancy
Pyonephrosis Dextra e.c Batu UPJ
ISK Complete
Susp.Nephrolitiasis Dextra + Cystitis
Nefrolitiasis Bilateral + Uretrolitiasis bilateral

Batu Ren (D) post pyelolitotomi (D) Batu ureter (S) post Uretrolitotomi
(S) + DJ Stent (D/s)
Obstruksi Uropati ec susp. Ca Prostat
Susp. Batu ureter posterior
Vesicolithiasis
Susp. Obstruksi Renal, Oligouri
Ca Prostat post op ca prostat
Susp. Tumor buli-buli
Batu ureter (S) proksimal

Batu Ren (S) + Batu ureter proksimal (S)
Cystitis, ISK
Batu Ren (S) (post Dj stent (S) +ESWL (S)
susp ca prostat
Aff dj stent
Tumor ren (D)
Susp,Batu Ren (S)
Hematuri e.c susp.ca buli-buli
Kolik renal (S) Susp.Batu Ren (S)
Retensi urin, Hematuri, BPH, Anemia
CA Prostat
TU Ginjal (D)
Susp.CA prostat
Susp,Batu Ren (S)
Kolik renal (S) Susp.Batu Ren (S)
BPH, Retensi urin, Batu ren (S)
Pyonefrosis (D) post nefrostomi, batu ren (S)
Nefrolitiasis Bilateral
Batu ren (s)
Trauma tumpul abdomen + trauma ginjal gr II
BPH + retensi urin
BPH + Susp Batu ren (d) et (s)
Kolik Ureter (d) Susp. Batu ureter (d)

Batu ren (s)
nefrolitiasis sinistra + HNS + CKD

BPH + cuts berat
BPH
Batu Ren (s)
BPH
Trauma Buli
tu.retrovesica
Kolik ureter(S) + Susp. Batu ureter
Kolik ureter(S) + Batu pyelum (S)
Batu staghorn (d)
kolik renalis (d) + batu ren (d)
Kolik ren (s). CKD, Ileus obstruktif parsial
BPH + Hidronefrosis Bilateral

Tumor Buli-buli
BPH , Batu ren (S)
Striktur Urethra
BPH
Hidronefrosis (D) susp. Batu Ureter
Hidronefrosis (S) susp. Batu Ureter
BPH dd/ susp. Ca Prostat
Trauma Ren (D) + Hileum
BPH + retensi urin berulang
batu staghorn dextra + hidronefrosis sinistra ec susp.batu ureter
Hidronefrosis (D) Susp. Batu Ureter (D)
Hidronefrosis (D)Grade II + Abses Peritoneadl (D)
BPH + susp ruptur uretra

BPH grade III post turp
BPH + ISK+ vesikolotitiasis
Epididimitis Dextra
Hidronefrosis (D) susp Batu Ureter
tumor buli-buli + hidronefrosis dextra ec susp.batu ureter + anemia
Tumor Buli-buli + anemia
undescendent testis Dextra
batu staghorn ren (s) susp. batu ureter (s)
BPH
Kolik abdomen ec AKI susp. BSK
Batu ren (D) + Batu ureter distal (S) + CKD
BPH + retensi urin berulang
Post URS (D) + Insersi Dj Stent (D)
hidronefrosis sinistra + hemangioma
Batu ureter proximal (D) + batu pole inferior ginjal kanan
kolik ureter ec sups batu ureter (S)
ca prostat + biochemical relaps pasca terapi hormonal
kolik ureter (s) ec susp batu ureter + pyelonefrosis akut (s)
kolik renal sinistra + retensi urin post kateter + BPH + LBP
Striktur Urethra + Tumor buli-buli
batu staghorn (s)
Tumor penis + skrotum
Kolik ureter (D) ec. Susp Batu ureter (D) + insufisiensi
kolik ureter (D) ec Batu ureter (D)
Batu Staghorn (D) + batu ren (S)
Kolik Ureter (D) e.c susp batu ureter
Hidronefrosis (D) e.c Batu Ureter (D)
Batu pyelum (d) + Anemia
Susp. Ca Prostat
Tumor Penis + Sindrom dispepsia
vesicolitiasis
Kolik Ureter ec Susp. Batu ureter (s)
Batu Ren (D)
Batu Staghorn (D)
Kolik ureter (s) e.c susp batu ureter (s)
Neurogenik bladder
Batu Ren Bilateral + Vesicolitiasis
Cystitis + Pyelonefritis (S)
Batu ren (D) multiple + hidronefrosis (D)+ batu ureter proximal

(S) + hidronefrosis sinistra grade 4
Batu Ren (S) multiple
Orchitis (S)
Retensi urin + Ca Prostat
Tumor Buli
kolik ureter ec batu ureter (S)
Tumor buli
Ca prostat
hidronefrosis (D) ec stenosis ureter + kista ovarium
BPH +Batu buli-buli + Post Prostatektomy dan Sectio Alta
Batu Ren (S) Multiple + CKD on HD+ Anemia
Batu Ren (D) Multiple + Batu Ureter (S) + Post Nefrolitotomi
(D)
kolik ureter (s) ec susp batu ureter + pyelonefrosis akut (s)
Batu Ren Dextra + CKD
kolik ureter (s) ec batu ureter
Batu pyelum (d)
retensi urine + neurogenik bladder
Post URS (D) + pro aff DJ Stent (D)
Batu ren Bilateral + batu ureter distal (D)
Batu buli-bulu + ISK

Kolik ureter e.c Batu ureter dextra
Tumor penis
Susp. Ca Prostat
BPH
Batu Ureter proximal (S) + Batu Buli
Strictur Uretra pars prostatika
Nefrolitiasis (S) + Abses Hepar
BPH
Batu Staghorn (D)
post nefrolitotomi (S)+ dj stent + batu ren (D)
Batu ren bilatetal + DM
Batu Ren (D) + pyelonefritis (D)
Batu Ureter sinistra
Post URS D + DJ stent D

Abses Retroperitoneal + post nefrolitotomi D
Batu Ren (D/S) + Post ESWL
Susp. UPJ Stenosis (S)
susp. Tumor Buli-Buli
Strictur Uretra Pars Bulbosa

batu ren (D) Multiple + Post insersi Dj Stent (S)
post urs (S)

BPH
Tumor Buli-buli
striktur uretra post open sistosomi
BPH
Batu Ren Dextra
Tumor Buli - Buli
Hematuria
Hidronefrosis Dextra + Urolitiasis Dextra
Ca. prostat + post TURP + orchidektomi
Kolik ureter (D) ec. Batu Ureter

Batu ren (D) + Post Nefrolitiasis (D) + DM tipe II
Kolik Ureter (S) ec. Batu Ureter
Tumor Buli-buli
Kolik Ureter (S) ec. Batu Ureter (S)
Batu Ureter post URS (S) + AKI
Tumor buli-buli
Dj Stent D/S
Kolik Ureter (D) ec Susp. batu ureter
Susp. Batu Ren D/S
Undescended Testis (S)
Non Fungsi ren D ec batu staghorn D
BPH + Hemoroid gr. III
Batu ren (S) + post pyelolitotomi (S)
Kolik Abdomen ec Susp. Batu Ureter (D)
Oedema Skrotum ec Susp. Filariasis DD Hipoalbumin
Ca. Prostat + post orchidektomi bilateral H-3
Tumor Buli-buli
Kolik Abdomen
Striktur Uretra
susp batu uretra
Hidronefrosis (S) + Batu Ren (S)
Batu Ren (D) Post ESWL
Orchitis D/S
Post URS (S)

BPH
post URS + insersi DJ Stent
Batu Ren Dextra multiple post nefrolitotomi + post eksplorasi
ILO ren dextra
Tumor buli-buli post TUR-BT + gangren R.Scrotum + sepsis
batu ren (D) +APS
Prolaps Uteri + Cystocele, Hidronefrosis Bilateral
Batu Buli-buli + Batu Ren (S)
batu ren Sinistra + Ilo post nefrolitotomi dextra + DM
Batu ureter proksimal sinistra+ hidronefrosis sinistra post

ureterolitotomi sinistra + insersi DJ stent
Batu ren dextra et sinistra
Tumor Buli - Buli
Post nefrolitotomi sinistra + post aff Dj Stent sinistra
Hidronefrosis dextra ec batu ren dextra
Neurogenik bladder + retensi urin
Post nefrolitotomi dextra + post aff Dj Stent
Post Dj Stent sinistra

Susp. Batu ren Dextra + Hidronefrosis Dextra
Post nefrolitotomi dextra + post aff Dj Stent
Tumor Buli-buli
BPH grade IV
kolik ureter (s) ec susp. Batu ureter
Batu Ren sinistra + batu ureter dextra
Batu pyelum sinistra
epididimitis dextra DD orchitis
Striktur uretra + Batu buli-buli post sachse + sectio alta
striktur uretra + BPH
Tumor Buli - Buli
Batu ureter distal (D) + BPH
Susp. Batu buli-buli + BPH
Batu ureter proksimal dextra
hidronefrosis bilateral ec susp batu ureter

kolik ureter (s) ec batu ureter
PLAN
Pro TUR-Prostat
Pro debridement eksisi parafinoma
Pro URS Dextra
Pro TUR Buli-Buli
Pro Nefrostomi Dextra

Pro TURP/BT
Post TURP
post nefrektomi
Post TURP + Biopsi
Nefrektomi (s)
Nefrektomi (d)
Pro URS (Rujuk RS Wirabuana)
Pro Nefrolithotomi
Renoraphy
Pro Turp
Pro Nefrolithotomi
POST URS (S) + DJ Stent

Pro TurP
Pro neprholitotomi (d)
Pro-TurP
Pro TUR-BT
Pro-TurP
Post Sachse
USG Abdomen
CT-Scan Abdomen
CT-Scan Abdomen
Biopsi Prostat
USG Abdomen, Foto Thorax + BNO 3 posisi
Pro TUR Prostat
nefrolitotomi dextra + insersi Dj stant dextra
CT-Scan Abdomen & USG Abdomen
Drainase Abses
1/28/2019
TUR-P
TUR-P
pro TUR-P
Orchiopexy + Orchidektomi Eksplorasi (D)
pro Sistoscopy + TUR-BT
pro Sitoscopy
orcidopexy dextra
Nefrolitotomi (S) + insersi Dj stent
TURP
USG Abdomen
pro uretrolitotomi (S)+ insersi DJ Stant (S)
POST TURP
Aff Dj Stent
pro Ct scan abdomen tanpa kontras
pro Ct scan abdomen tanpa kontras
pro usg abdomen
Orchidectomi subkapsular bilateral
usg abdomen
usg abdomen
pro sacshe
insersi DJ stent (s) + ESWL
eksisi tumor penis + scrotum
Usg Abdomen
Usg Abdomen
Pro Pyelolitotomi (D)
Usg Abdomen
Ct Scan Tanpa kontras
Ct Scan Tanpa Kontras + pro pyelolitotomi (D)
+ Nefrolitotomi + insersi DJ Stent
Pro Biopsi
Pro Eksisi Silikonoma
pro sectio alta
usg Abdomen
Pro Nefrolitotomi (D)
pro Nefrolitotomi (D)
usg abdomen
usg Abdomen
USG Abdomen + CT Acan abdomen tanpa
kontras
USG abdomen + CT Acan abdomen tanpa
kontras
Pyelolitotomy (D) + Nefrostomy (S)
Pro nefrolitotomi (S) + Insersi DJ stent (S)

USG abdomen
cystotomy + Pro TURP
Post TURP BT
USG abdomen
Pro TURP BT
Post Neoimplenektomi Ureter (D)

Pro prostatektomi + Sectio alta
BNO
Post nefrolitotomi (D) + insersi DJ stunt (S) +
Pro uretrolitotomi (S)
Usg abdomen
Ct-Scan abdomen
USG abdomen
Pro Pyelolitotomi (D)
USG Abdomen
Foto BNO
post ureterolitotomi (D) + insersi dj stent (d)
Post Litotripsy
pro ct scan abdomen tanpa kontras
pro eksisi tumor penis
Post TURP
Post Litotripsi K/P sectio ALTA +
Uretrolithotomi Sinistra
Post Urethroscopi + Sache
CT Scan abdomen
Post Tur-P H+4
Pro Nefrolitotomi (D)
post aff dj stent
Pro Pyelolitotomi (S)
Post Nefrostomi dextra
CT Scan abdomen
Aff Dj Stent (D)

Pro Eksplorasi Retroperitoneal + Nefrektomi (D)
pro APG sinistra
pro usg abdomen Rujuk RS Samaritan
post uretroscopi + end to end anastomosis

uretra
Post pyelolitotomi (D) + Aff Dj stent (S)
aff Dj stent sinistra

pro Tur-P
Pro Sistoscopi + TUR-BT
pro Sistoscopi
Rujuk ke RS Samaritan Rujuk RS Samaritan
CT - Scan Abdomen
Pro TUR - BT
Pulang Paksa
CT-scan abdomen tanpa kontras
USG Abdomen
Rujuk ke RS Samaritan Rujuk RS Samaritan
CT Scan Abdomen tanpa kontras
Aff. Dj Stent bilateral

USG Abdomen
USG Abdomen
Pro. Orchidofunikulisis (S)
Pro Nefrektomi (D)
USG Abdomen
CT-Scan Abdomen tanpa kontras + Pro.

Pyelolitotomi (S)
USG Abdomen
Evaluasi Albumin
pro orchidektomi bilateral
USG Abdomen Pasien Konsul
Uretrosistografi
Ct scan Abdomen
Pro.Nefrostomi( S) Pasien Konsul
Pro.Aff Dj Stent
Pro aff Dj Stent

Urinalisis + usg abdomen pasien konsul
Aff DJ stent
Rujukan RS. Samaritan
Pro repair cystocele Pasien Konsul
Pro Sectio Alta
pro repair/eksplorasi ren dextra
Pro Pyeloitotomi
Pro aff Dj Stent

pasien konsul
pro TUR-BT
CT Scan Abdomen tanpa kontras

CT- scan abdomen
pro pyelolitotomi sinistra
USG abdomen, pro sachse + TUR-P

USG abdomen
pro URS (D) + insersi stent
USG ABDOMEN
pro uretrolitotomi (D)
ct scan abdomen pasien konsul

pro URS (S), k/p uretrolitotomi
TGL OPERASI TGL KELUAR
21/11/2018
22/11/2018
sudah pulang
22/11/2018
22/11/2018
21/11/2018 sudah pulang
22/11/2018
22/11/2018
11/28/2018
11/28/2018 11/29/2018

sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
sudah pulang
5/12/2018
5/12/2018
4/12/2018 4/12/2018
sudah pulang
sudah pulang
sudah pulang
sudah pulang
12/6/2018 12/11/2018
12/4/2018 12/12/2018
12/10/2018
12/10/2018
26/12/2018
14/12/2018 18/12/2018
sudah pulang
sudah pulang
sudah pulang
21/12/2018 26/12/2018
sudah pulang
sudah pulang
Pulpak
4/1/2019 pulang
18/12/2018 24/12/2018
20/12/12018
12/21/2018
tidak op pulang
tidak op 12/20/2018
Pulang 12/22/2018
18/12/2018
22/12/2018
18/12/2018
Meninggal 20//12/2018
27/12/2018 pulang
28/12/2018 pulang
12/21/2018 28/12/2018
26/12/2018 28/12/2018
Tidak operasi 27/12/2018
29/12/2018 30/12/2018
belum ada rencana operasi pulang
7/1/2019 12/1/2019
belum ada rencana operasi pulang
WBC : 17,3 , RBC: 4,05
HB: 11,8 HCT: 36,4, PLT:
pulang 31/01/19
260, GDS: 120, UREA
tidak dioperasi 54,4 CR: 2,34,
10-Jan-19
8/1/2019 13/1/2019
belum ada rencana operasi 07/01/209
1/9/2019 1/10/2019
pulang
1/8/2019 pulang
9/1/2019 14/1/2019
1/8/2019 14/1/2019
14/1/2019 1/19/2019
10/1/2019 1/15/2019
1/9/2018 10/1/2019
belum ada rencana operasi meninggal 13/1/2019
15/1/2019 19/1/2019
11/1/2019 14/1/2019
17/1/2019 1/19/2019
18/1/2019 20/1/2019
15/1/2019 1/19/2019
16/1/2019 1/19/2019
11/1/2019 1/19/2019
16/1/2019 17/1/2019
Belum ada rencana operasi 18/1/2019
18/1/2019 1/22/2019
Belum ada rencana operasi 1/19/2019
17/1/2019 1/19/2019
16/01/2019 pulang 26/01/19
belum ada rencana 1/22/2019
1/22/2019 pulang 26/01/19
1/23/2019 pulang 28/01/19

22/1/2019 pulang 28/01/19
post op 28/01/2019 pulang 31/1/2019
25/1/2019 pulang 28/01/19
belum ada rencana pulang 26/01/19
post op 29/01/2019 pulang 03/02/2019
post op 28/01/2019 pulang 01/02/2019
post op 30/01/2019 Pulang 09/02/2019

rencana op 29/01/2019 pulang 31/01/19
Post Aff DJ stent (D) 29/01/2019 pulang 31/01/19
post op 01/02/2019 pulang 06/02/2019
Post op 30/01/2019 pulang 01/02/2019

post op 31/01/2019 pulang 2/2/2019
belum ada rencana meninggal 31/01/19
post op 01/02/2019 belum pulang
Post op 04/02/2019 pulang 7/2/2019
Post op 04/02/2019 pulang
belum ada rencana belum pulang
Post Op 04/02/2019 pulang 8/2/2019
Belum ada rencana Pulang 14/02/2019
Post op 6/2/2019 Pulang 6/2/2019
Post Op 14/09/2019 Pulang
Post Op 04/01/2019 pulang
Pulang 7/2/2019
Post Op 6/2/2019 PULANG
Post OP 11/02/2019 Pulang 26/02/2019
tidak ada rencana pulang
belum ada rencana Pulang 09/02/2019
belum ada rencana
Post OP 8/2/2019 Pulang 09/02/2019

Post op 8/02/2019 Pulang 12/2/19
post OP 7/2/2019 pulang 8/2/2019

Post Op 11/09/2019 Pulang 15/2/2019
belum ada rencana Meninggal 18/02/2019
Post Sistoskopi 14/02/2019 Pulang 20/02/2019
belum ada rencana
Post TURP + Orchidektomi

pulang 04/03/2019
bilateral 27/02/2019
Belum Ada Rencana Pulang 14/02/2019
Belum ada rencana
Belum ada rencana Meninggal 18/02/2019
Post op 13/02/2019 Pulang 13/02/2019

Post op 20/02/2019 Pulang 21/2/2019
Post Op 20/02/2019 pulang 28/02/2019
Post Op 19/02/2019 Pulang 22/02/2019
Post op 21/02/2019 Pulang 25/02/2019

Tunggu Rencana Operasi Pulang 23/02/2019
Post op 20/02/2019 Pulang 21/2/2019
Op 20/02/2019 Pulang 21/2/2019

Belum ada rencana Puang 26/02/2019
post eksplorasi ren dextra
Belum pulang
(4/3/2019)
Belum ada rencana Belum pulang
pulang 28/02/2019
Post Op Sectio Alta + Nefrostomi
Pulang, 02/03/2019
(S) 27/02/2019
Post op 28/02/2019 pulang 04/03/2019
rencana 6/3/2019 Belum pulang

Belum ada rencana pulang 04/03/2019
Belum ada rencana Pulang, 01/03/2019
Belum ada rencana pulang 02-03-2019
Post Aff Dj Stent (D) 28/02/2019 Pulang, 01/03/2019
Post Aff Dj Stent pulang 5/3/2019

Post Aff Dj Stent pulang 5/3/2019
Belum ada rencana Belum ada rencana
6/3.2019 Belum ada rencana
belum ada rencana Belum ada rencana
post op 5/3/2019 Belum ada rencana
Belum ada rencana belum ada rencana
belum ada rencana belum ada rencana
rencana 6/3/2019 Belum ada rencana

RBC : 5,59 , HGB : 15,3, HCT
RBC : 4,36, HGB : 13,6, HCT : 38,9, PLT : 248
RBC : 4,
RBC : 3
RBC : 4,04, HGB : 10,5, HCT : 3
RB
RBC : 4,21, HGB : 14,1, HCT
RB
RBC: 4,26, HB: 14,8

R
RBC:
RBC: 5,21, HB: 15,5 HC
RB
RBC: 4,73, HB: 10,6 HC
RBC:
RBC: 3,92, HB: 9,3
RBC: 5,29, HB
Rbc: 3
RBC: 4,73, HB: 10,6 HC
RBC:
RBC: 5,29, HB
WBC: 6.3
RBC:
RBC:
ct scan abdomen : kista lobus dextra hepar, mild h

RBC: 6,01,
RBC:
WBC 9.08 RBC: 5.24 H
WB
RBC: 3,84
WBC: 7.69 RBC: 3,25 H
W
WBC : 15.32 , RBC: 3.47, HB: 10,3 HCT: 30
WBC :
WBC :
WBC
WBC : 16,6 ,
WBC : 5,37 , RBC: 4.47, HB: 12 HCT: 37
WBC : 25,1 , RBC: 2,89, HB: 7,8
WBC
WBC : 9,0 , RBC: 4,03 HB: 12,7

WBC :
WBC : 19,1 , R
WBC : 15.5, R
WB
WBC: 8.91, RBC: 5.72, HB: 12.4, PLT:
WBC: 14
WBC; 6.56, Hb: 4.31, RBC: 4.31, H
WBC; 15,8, Hb:
WBC; 9,33, Hb: 11,6, RBC: 4,03, HCT: 33,3, PLT: 253, SGOT: 1
WBC; 7,75, Hb: 13,9, RBC: 5,30, HCT
WBC : 7,8 HGB : 10,5 R

WBC : 7,7 HGB : 14,9 R
PSA : 137,8, wbc:6,08, rbc:4,34, hb: 12,2, hct :36.5, plt 236, sgot :13
hb: 12,3, RBC
hb : 8,2, Rbc : 2,50 ,

Hb: 15.9, WBC: 9.46, RBC: 6.01, PLT: 229, HCT: 45.1, SGOT: 16.
Hb: 14.7, WBC: 11.1, RBC 4.
WB
WBC: 6,96, RBC: 4,76, HB: 11,7, HCT: 34,5, PLT

WB
WBC: 6.7, RBC: 4.58, HB: 11.
WBC: 10.3, RBC: 3.05,
WBC: 7,1, RBC: 4,75, HB: 12,6, HCT: 38,6, PLT: 239
WBC: 12.23, RBC: 5.46,HB: 15.5, HCT: 42.3, PLT:
WBC: 9.7, R
WBC: 5.57, RBC: 5.04, HB: 14.3, HCT:41.0, PLT: 211
WBC: 9.02, RBC: 3.67, HB:9.5, HCT: 29.2, PLT:
WBC: 9.1, R
WBC: 6.8, RBC: 4.65, HB: 13.
WBC:
WBC 7.1, RBC 4.2
WBC 7.7 RBC 5, H

WBC 11, RBC 5,67
WBC 7.74, RBC 3.47, HB 9,
WBC 10.8, RBC 2
SGOT 49, SG
WBC 11.86, RBC 3.44, HB 9.3, HC
WBC 8.80
WBC 8.91, RBC 4
WBC 10.61, RBC 4.6, HB 13.4, HCT 36.3, PLT 204, UREUM 23.8 , CREAT 1.21, G
WBC: 23.43 RBC:2.93 HGB: 7.6 HCT : 22.2 PLT : 432 GDS :14
WBC 6,89, RBC 5,52, HB 15.2, HCT 44.5, PLT 279, UREUM 92,7 , CR
Wbc; 8,51
Wbc;7,31 RBC: 4,13 HB; 11,50 HCT; 33,0 PLT;216, UREUM; 124,2 CREAT; 1
Wbc;
Wbc;15,60 RBC: 4,89 HB; 14,9 HCT; 40,9 PLT;370, UREUM; 20,7 CREAT; 1,17 GOT; 14,5 GPT; 21,8, CT Scan
. Wbc :10.61,rbc:4.60,HGB:13,4,hct: 36.3,PLT: 204.,GDS
WBC 14,30 RBC 4.03 HB 12.,0 HCT 34
WBC: 7.35 RBC 4.77 HB 13,3 HCT 40.0 PLT 284, GDS
. Wbc :13.13,rbc:3.52, HG
Wbc: 8,68, Rbc: 5.12, Hb: 12.5, Hct: 35.8, Plt: 30, SGOT:
WBC;9,43 RBC;2,2
Wbc: 6.19, Rbc: 4.79, Hb: 13.1, Hct: 38.6, Plt: 27
WBC: 8,32, rbc: 5,64, HB: 13,3, HCT:42,4 , PLT:264, GDS: 127, UR: 32, CREATININ:1,3 . SGOT:13. SGPT:23. H
hydronefrosis dextra + vesikolithiasis. CT SCAN ABDOMEN : Hydon
WBC : 11,17. RBC:4,42.HB: 13,2. HCT:37.0. PLT
WBC;16.56 RBC;w.78 HGB;7.8 HCT;21.6 PLT; 235 GDS;174 kretainin; 2,33 urea; 84,9 sgot: 160, SGPT: 127, HBsAg; N
bilier + Nephrolithiasi
Wbc: 7,24, Rbc: 4.743, Hb: 13.5, Hct: 39.6, Plt: 188, SGPT: 13, S
WBC;10,67 RBC;4,31 HGB;10,2 HCT;30,5 PLT; 256 GDS;144,1 kretainin; 2,47 urea; 35,6 sgot: 28,6, SGPT: 34,8, Na: 1
WBC;8.0 RB
WBC;9.96 RBC;3.38 HGB;10,1 HCT;28.1 PLT; 313 GDS;208 kretainin; 2,99 urea; 75.1 sgot: 29, SGPT: 18, uric acid sr :
et sinistra + spondylosi
WBC;11,63 RBC;4,36 HGB;10,3 HCT;31.9 PLT; 386 G
WBC: 10,1, RBC: 5,31, HGB : 16,4, HCT: 47,9, PLT : 377, Ureum : 23,7. USG Abdomen
WBC;5,31 RBC
WBC : 9,22 , RBC: 3,91 HB: 10,2 HCT: 30,0, PLT: 344, GDS: 324, UREA 80,6 CR:
WBC;19,58; RB
WBC; 4,60, RBC : 4,56, HGB : 11,7, HCT : 34,3, PLT : 219,
WBC; 30,74, RBC : 3,72, HGB : 9,4, HCT : 27,1, PLT : 276, Kreatinin : 1,47, Urea : 33,6, GDS : 140, SGOT : 29, SGPT :
WBC : 5,65 ; RBC:4,91 ; HB: 12,6 ; HCT : 3

WBC : 5,96 ; RBC:4,74 ; HB: 12,1 ; HCT : 36,0 ; PLT : 286 ; Urea : 19,3 ; Creatinin : 1,56 : asam urat : 7,7 ; SGOT : 31,1
dengan kristal - kristal uk 0,80 cm suspek batu u
WBC :9,16 ; RBC: 4,53; HB: 8,4 ; HCT: 27,2% ; P

WBC;8,71 RBC;4,11 HGB;10,2 HCT;28,7 PLT; 256 kretainin; 6,73 urea; 134,1; SGOT 22; SGPT: 15 HBsAg; Non reakti
WBC: 9,20, RB
WBC;7,06 RBC;4,34 HGB;11,5 HCT;33,6 PLT;
Wbc ; 9.93, Rbc: 4.88, HGB; 14.1
WBC: 12.26, RBC: 3.48, HGB: 8.2, HCT: 24.9, PLT: 275, GDS: 96, creatinin : 1.34, urea: 27.5, SGOT: 14, SGPT: 22. U
hydronefrosis sedang kanan (grade II - III) dengan kristal - kristal, p
WBC: 10.22,
WBC: 7.93, RBC: 4.93, HGB: 9.4, HCT: 30.4, PLT: 418, GDS: 103, Creatinin : 0.87, Urea: 15.7. CT - Scan : Hydron
WBC : 11.28, RBC : 3.84, HGB : 10.3 HCT : 29.1, PLT : 296, GDS: 115, Creatinin : 5.74, Urea: 99.6, HbsAg: - non reakt
WBC: 12.12, RBC: 4.60, HB: 13.5, HCT: 38

WBC: 2
WBC: 1
WBC: 16.83, RBC: 3.33, HB: 9.1, HCT:26.2, PLT: 37
WBC: 19.92 RBC: 4,00, HB: 10.6, HCT:28.7, PLT: 21, Glukosa: 87, Creatinin:9.3 Urea:159, SGOT: 121, SGPT: 20, B
Hydronefrosis (D) gr. 3
WBC: 13
W
WBC: 5.96, RBC: 4.62, HB: 12.9, H
WB
WBC:12.48
WBC: 14.26, RBC: 4.53, HB: 10.7, HCT: 33.2, PLT: 502, GDS: 151, Creatinin: 1.20, Urea: 21.9, UA: 8.5, SGO
WBC: 9.24, RBC: 4.98, HB: 13.7, HCT: 39.6, PLT: 385, Elektrolit N
WBC: 10,03 RBC: 5,25, HB: 13.4, HCT: 37,3, P
WBC: 6.17, RBC: 4,40,
WBC: 7,56, RBC: 3,17, HB: 8,3, HCT: 23,9, PLT: 293, Elektrolit Na: 143, K: 5,3, Cl: 109, Glukosa: 51
WBC: 4.91, RBC:2.8
WBC: 22.97
WBC: 8,10
WBC: 8,3 RB
GDS: 165
WBC:35.17
wbc:11.10, rbc:5.47, h
WBC :10,5, RBC: 3,9, HB: 10,6, HCT: 29
WBC:11.15, r
Wbc: 12.40, Rbc:4.55, HB: 12.3, HC: 35,5%, PLT: 386, Gd
wbc: 17,9, Rbc:3.34
Wbc: 7.96, Rbc:3.97, Hb:11.8, Hct:34.4
wbc 6,98 , Rbc5,71 Hgb 15,4,Hct 44,0,plt 23

Wbc: 15.12
Wbc: 17,41, Rbc: 4.32, Hb: 11
Wbc: 12.43
Wbc:20.
wbc 5,56 , Rb
Wbc: 8,04, Rbc: 3.04, Hb: 6.1, H
Wbc: 15,02,Rbc: 4,83, H
Wbc:12.8
wbc:10.68, rbc:5.94, hb:12.7, h
Wbc:7.75, rbc:5.05, Hb:13.4, hct:38.7, plt:3
wbc 8.63 hb 13.2 rbc 5.2

wbc 15,64 , rbc 4,18
wb
w
wbc : 10,
wbc 7.58, rbc 5.80, hb 13.5, hc

URINALISIS
Protein: (-), Glukosa : (+4), Leukosit : 5/LPB, Eritrosit : + penuh /LPB,
Protein : +3, Glukosa : (-), Leukosit : 10/LPB, Eritrosit: 15/LPB, Silinder
Protein : (-), Glukosa : (-), Leukosit : 11-12/LPB, Eritrosit : 18-19/LPB, Silinder
Protein : +1, Glukosa : ++2, Leukosit : 8/LPB, Eritrosit : 5/LPB, Sili
protein: +1, leukosit: 5-7, Eritrosit: 25-30, ep
Eritrosit: 2-5, leukosit: penuh, epitel cel: 1-2, B
leukosit: 4, eritrosit: 2, epitel: +, krista
Leukosit 25 eritrosit 15 epital (+)
Leukosit: 2, eritrosit: 10, epitel: +, kris

Leukosit: 2, eritrosit: 10, epitel: +, kris
Leukosit : 5 , Eritrosit : 10
Leukosit : 8 , eritrosit: 5
Leukosit : 5 , Eritrosit : 2
sedimen lekosit +5, eritrosit penuh, epitel +, krista

protein +4, kristal + sedimen leukosit + eritrosit pe
Leukosit: 2, eritrosit: penuh, epitel: +, kr

Leukosit: 4, eritrosit: penuh, epitel: ++, kristal:
sedimen: leukosit 2, eritrosit penuh, epitel +

Leukosit : 2-4, Eritrosit 20-30
Prrotein : +++ , leukosit : 1 , eritrosit : 10. silinder : + ,
Protein : +/- , leukosit : 4 , eritrosit :
Sedimen : Leukosit +15, Eritrosit penuh , Epite

Sedimen : Leukosit >100, Eritrosit 5-10 , Epite
protein: +3, leukosit: +3, eritrosit: +3. Sedimen: leukosit + penu
protein: ++, glukosa-, sedimen leukosit 35, eritro
protein: ++, glukosa-,leukosit (+) penuh, eritrosit (+8
protein (-) glukosa (-) leukosit (2) eritrosit (1) Silinder (
protein : +1, leukosit (10), eritrosit (2), ep
leukosit :5, eritrosit : 3, epitel +, krista
Protein: +2, Sedimen WBC: 5, RBC
protein: +3, leukosit: 21, eritrosit 26 epi

Protein: +2, Glukosa: -, Leukosit: 8, Eritrosit:
Protein: -, Glukosa: -, Leukosit : 10, eritrosit: 4, epi
ph: 6.0, Berat Jenis: 1.015, Leukosit : 70, eritrosi
Protein: +1,Leukosit: 5, eritrosit :
leukosit: 3, eritrosit: 10, epitel : +, cristal:
leukosit: 4, eritrosit:8, epitel : +, kristal: c
Leukosit -, eritrosit 1/lpb, epitel
protein +2, leukosit 5/lpb, eritrosit penuh, epit
protein -, glukosa -, epitel + ,leukosit 2 ,e

Protein : +3 Leukosit : +3 Eritrosit : +3 Sedimen Leukosit :
Protein; - glukosa; -, leukosit :1,eritrosit: 7, epitel: +, silinde
Protein; - glukosa; -, leukosit :1,eritrosit: 7, epitel: +, silinde
protein : +2, bilirubin :+1
URINALISIS: PROTEIN (+++), LEUKOSIT (+ PENUH), ERITR
Urinalisis : Protein :-, Glukosa : -, Sedimen leukosit :2, Sedimen Eritrosit : 1, Sed
Protein : +2 , leukosit : penuh, eritrosit : 2. e

USG Abdomen, BNO, CT-Scan
Urinalisis : Protein :-, Glukosa : -, Sedimen leukosit :10, Sedimen Eritrosit : 4, Se
Urinalisis: protein :-, Glukosa: -, sedimen leukodit : 4, erit
Urinalisis : Protein:+, Glukosa:-, Leukosit: 25, Eritrosit: +(penu
Urinalisis: Protein:+2, Glukoa:-, sedimen leukosit:2, eritrosit:4
Urinalisis: Protein:-, Glukoa:-, sedimen leukosit:2, eritrosit:3
Urinalisis: Protein +3, Glukosa: -, Sedimen Leukosit: penuh, Eritrosit
Urinalisis: Protein -, Glukosa: -, Sedimen Leukosit: banyak, Eritros
Urinalisis: Protein +3, Glukosa: -, Sedimen Leukosit: 4, Eritrosit:

Urinalisis: Protein:- Glukosa:- Sedimen Leukosit: 2,
Urinalisis (protein:+2, urobilinogen:+3, nitrit:+, lekosit:+3, eritrosit:+3. Sedime
USG abdomen : Nefrolithiasis dextra diameter 2,26 cm; k
Urinalisis: protein:+, lekosit:+, Blood:+. Sedimen: lekosit:5-10, eritrosit 3-5, epitel s
Urinalisis: Protein +2, Lekosit: -, Eritrosit: +3, Sedimen: Lekosit: 4, Eritrosit: + Penuh, Epitel:+. (
USG: hydronefrosis sinistra grade 4 dengan uterolitiasis sinistra 1/3 proximal, ukuran 2 cm. batu di ureteropevico junction
dan sinistra dan spondilosis lumba
USG: hydronefrosis dextra et sinistra grade 2. nefrolitiasi
Urinalisis: Protein: +3, Glukosa: -, Sedimen: Lekosit: 1
Urinalisis: Protein:-, Glukosa: -, Sedimen: Lekosit; 2, Erit

Urinalisis: Protein +3, Glucosa:-, Sedimen:Lekosit: 6
USG: Kronik rena disease bilateral dengan hidronefrosis dextra grade 3
USG: Massa Buli-buli, Mild Hydronephro
Urinalisis: protein:-, Glukosa:-, lekosit:4, eritrosit:25, epitel:++, silinder:-, k

Urinalisis : +1, Bilirubin +1. Keton : +1. Leukosit +3 , Sedimen
USG: nefrolitiasis sinistra + mild hidronefrosis sinistra; Ct-scan abdomen ; nefrolith
protein 3+ glukosa -, sedimen leukosit 8 eritrosit 22 silinder (
Urinalisis : protein (+/-), glukosa : (-), Sedimen Leukosit : 5, Eritrosit p
ct scan abdomen hidronefrosis sinistra grade 4 dengan ureterolitiasis sinistra 1/3 proksimal, diam
usg abdomen : hidronefrosis sinistra grade 2, hidrone

urinalisis protein +2, glukosa (-), sedimen leukosit 20, eritrosit 12, silinder (-), epitel (+), kristal

No No RM Nama JK Umur

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No NO RM NAMA JK UMUR

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