Professional Documents
Culture Documents
5 Mei 2018
5 Mei 2018
tanggal 2017
Jenis Kunj Nama Pasien Umur Alamat Diag
No medrek Keluhan/Fisik
B L L P B L
1 jkn hodijah 30 mu 3/10 31 41 prd 5
2 jkn m akmal 9 mu 3/10 16 4
3 jkn oman usman 72 bc 3/2 14 mob 5
4 jkn taupik amirudin 64 bata mrah 11 hp 2
5 pbi naira mutiati r 8 mu 2/6 82 mob 8
6 pbi wida nur rahayu 21 bc 3/5 36 polip 4
7 jkn engkar 59 bc 35 gr 4
8 u humaira 4 bc 5/6 gigi bengkak 4
9 u ai cahyati 25 bc 5/6 gmkg rb 5
10 u imara 6 bd kulon 4/5 71 prs 6
11 u aisyah 44 bd kulon 4/5 46 gp 4
12 u nurhaeni 35 cbl 2/8 36 gp 4
13 u dedeh rahmawati 22 cgd kidul 3/4 46 plpts 4
14 jkn nayla ramadhani 6 cbl 5/2 51 prs 6
15 u noneng 62 bc 2/6 45 gr 4
16 u iis rukanda dewi 30 cgd kidul 4/1 47 gr 4
17 u kirana 15 porib 6 16 plpts 4
18 u tia siti maryam 13 mu 5/4 16 gp 4
19 u ipah sopiah 44 bbk 1/13 38 abs 4
20
Jumlah
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r ibp 10
rjk rskgm
ct
t
cs
r amok 10 pct 10
obs tensi
r amok 1 pct 1
sc 30,000
cs 7,000
ts zoe
t 20,000
ts dv 15,000
cs
ct 25,000
ct 25,000
ts dv 15,000
r amok 10 pct 10
r amok 10 ibp 10
Jumlah Rp 137,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 10 pct 10
sc
ts dv eug pct 10
ts pp
r amok 10 pct 10
ct 25,000
t
ct mahkota amok 10 pct 10
ts dv pct 8 15,000
r pct 6
r amok 10 metro 10 pct 10
r amok 10 pct 10
r amok 10 pct 10
r amok 10 ibp 10
r amok 10 pct 10
r amok 1 pct 1
ts cres 10,000
t
t 20,000
Jumlah Rp 70,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 10 pct 10
r amok 10 pct 10
r amok 10 pct 10
cs 15,000
r amok 10 pct 10
cs 7,000
r amok 10 pct 10
ct amok 10 pct 10
ts cres trep
r pct 10
r amok 10 pct 10
cs amok 5
t
r amok 10 ibp 10
cs
ts cres
knsul
r amok 10 pct 10
r amok 1 pct 1
sc
Jumlah Rp 22,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
knsul
r amok 10 pct 10
r amok 10 pct 10
r amok 10 pct 10
r pct 10 vit c 10
r amok 10 pct 10
ts trep cres 15,000
ts cres 5,000
ct pct 6 25,000
cs
r amok 10 pct 10 ctm 6
ts chkm amok 10
ts dv pct 10 15,000
knsul
ts dv 15,000
t
ct
knsul
t 35,000
R/ pct 6 Capt 6
Jumlah Rp 110,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ts pp
r amok 10 pct 10
ct amok 10 pct 10 0 25,000
t 20,000
ts trep cres
r pct 10 vit c 10
r ibp 10
ts pp 15,000
r amok 10 ibp 10
sc ra 30,000
ts eug 5,000
ts chkm pct 8 5,000
t
cs 15,000
r ibp 10
ts cres 5,000
r amok 10
knsul
R/ ibp 10
Jumlah Rp 120,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 10 pct 10
r amok 10 pct 10
r pct 10
ct
rjk imanuel
rjk rskgm
ts trep cres 15,000
knsul
ts trep cres
cs
ts eug
t ts eug
r amok 10 pct 10 amlod 6
cs
t
cs 15,000
ts eug 5,000
ts dv asmef 10
cs 7,000
t 20,000
Jumlah Rp 62,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r clinda 10 pct 10 dexa 6
t
r pct 10
ts chkm 5,000
cs 22,000
t ts dv pct 6
ts cres 5,000
r pct 5
cs 15,000
t
ts chkm
r amok 10 pct 10
cs
t 20,000
ct 25,000
r amok 10 pct 10
rjk santosa
obs
obs
Jumlah Rp 92,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ts eug amok 10 pct 10
cs
cs 7,000
r amok 10 pct 10
cs pct 5
ct 20,000
ts trep cres
ts eug pct 5 5,000
rjk rskgm
cs 7,000
ts dv pct 6 15,000
cs pct 5 15,000
ts
cs 7,000
abs pa amok 10 pct 10
r amok 10 pct 10
r pct 10
cs amok 5 pct 5 7,000
Jumlah Rp 83,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 10 pct 10
tseug pct 6 5,000
ct pct 6 25,000
r amok 10 pct 6
ts eug pct 6
ts dv amok 10 pct 10
t 20,000
ts dv pct 6
ct amok 10 pct 10 25,000
r amok 10 pct 10
ts dv pct 6
t 20,000
r amok 1 pct 1
r amok 10 pct 10
ts dv pct 6
ts eug ibp 10 5,000
r/ amok 5 pct 5 CTM 3
ts CHKM 0
CS pct 5 7,000
Jumlah Rp 107,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ts pp
ts dv 15,000
r amok 10 pct 10
r amok 10 pct 10
trep pct 6 10,000
rjk rskgm
ts eug amok 10 pct 10
r amok 10 pct 10
ts pp
r amok 10 pct 10
ct
t
ts eug pct 6 5,000
r amok 10 ibp 10 dexa 10
r amok 10 pct 10
Jumlah Rp 30,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ts pp
ct mahkota pct 5
r amok 10 pct 10
ts eug clinda 10 ibp 10 10,000
t sc
t 35,000
rjk rskgm
knsul
trep amok 5 pct 5 10,000
sc
ts pp
r amok 10 pct 10
ts dv pct 6 15,000
cs 30,000
ts trep cres 15,000
r amok 10 ibp 10 dexa 6
ct 25,000
cs 15,000
rjk rskgm
rjk bp tensi
Jumlah Rp 155,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 5 pct 5
r amok 10 pct 10
r amok 10 pct 10
ts trep cres sc 30,000
r amok 10 pct 10
knsul pct 10
r amok 10 ibbp 10
cs 7,000
t 20,000
r amok 4 pct 4
ct
cs
cs 14,000
t 20,000
ts pp 15,000
r amok 10 pct 10
knsul
r amok 10 pct 10
r pct 6
ts zoe 15,000
ct amok 10 pct 10
Jumlah Rp 121,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r clinda 10 asmef 10 ctm 10
ts cres dv 20,000
r amok 10 pct 10
r pct 4
ts trep 5,000
t 20,000
t 20,000
r pct 10
t
cs 7,000
rjk onkologi
r amok 10 pct 10
ts cres clina 10
ts cres 5,000
obs
cs 7,000
r clinda 10 ibp 10
Jumlah Rp 84,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
CS 14,000
Trep+Cres 15,000
R/ Clinda 10 Pct 10 GOM 1
TT 20,000
CT Pct 10 25,000
Obs
CS 14,000
R/ Amoks 10 Pct 10
R/ Amoks 10 Pct 10
R/ Amoks 10 Pct 10
Kontrol
TT
TT 20,000
Rjk RSKGM
R/ Pct 10
Gradier R/ Amoks 10 Pct 10 10,000
PP 15,000
R/ Amoks 10 Pct 10
TT 20,000
BC+Cres 15,000
R/ Amoks 10 Ibup 10 0
Jumlah Rp 168,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
Obs
CS 15,000
R Amoks 10 Pct 10 Capt 6
CS
TT Pct 6 20,000
CS Amoks 5 Pct 5 7,000
CS 15,000
ROM,Eug
Kontrol
Devit Pct 6 15,000
R/ Amoks 5 Pct 5
R/ Amoks 10 Pct 10
ROM,Eug
CS 14,000
Devit Pct 6
Rujuk RSKGM
R/ Pct 10
Jumlah Rp 86,000
Jumlah Rp 27,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
cs pct 4 15,000
ts eug pct 4 5,000
ts dv 15,000
cs 7,000
cs pct 4 15,000
t 20,000
r amok 10 pct 10
obs
rjk rskgm
ts pp 15,000
ts trep cres 15,000
r clinda 10 ibp 10
obs
Jumlah Rp 107,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r amok 1 pct 1
ts dv pct 6 15,000
r amok 10 ibp 10
ts cres 5,000
ct pct 6 25,000
ts pp 15,000
ct pct 6
r amok 10 ibp 10
trep amok 10 pct 10
cs
cs 15,000
obs
t
Jumlah Rp 75,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
r pct 10
ct 25,000
t ts cres trep 35,000
znoe
lc 35,000
r amok 10 metro 10 pct 10
ct 25,000
obs
ts cres pct 10 antasid 10
r amok 5 pct 5
t
sc ant
ts pp 15,000
r ibp 10 vit,c 10
sc rb ant
ts cres amok 10 pct 10 5,000
ts eug 10,000
r amok 10 pct 10
r pct 10
Jumlah Rp 150,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
R/ Amoks 1 Pct 1
R/ Amoks 10 Ibup 10
CS 7,000
TT 35,000
CS 14,000
Scalling 30,000
Trep Pct 6 10,000
PP 15,000
R/ Amoks 10 Ibup 10 Dexa 6
R/ Amoks 10 Pct 10
R/ Amoks 10 Ibup 10
CT Amoks 10 Asmef 10 25,000
R/ Amoks 10 Metro 10 Pct 10
R/ Pct 10
TT 35,000
TT
TT 30,000
R/ Amoks 10 Metro 10 Pct 10
ROM
Devit Pct 6 15,000
Jumlah Rp 216,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ts eug pct 10 5,000
r amok 10 pct 10
ct pct 8
obs tensi
r amok 10 pct 10
r amok 10 ibp 10 capto 10
r amok 10 pct 10
r amok 10 asmef 10
ts eug
ts dv amok 10 pct 10
ts eug ibp 6 5,000
ts cres
t ts eug 20,000
ts cres 5,000
r dexa 6
rjk rs
Jumlah Rp 35,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
t 20,000
rjk rskgm
t 35,000
ct pct 8
trep pct 6
r amok 10 ibp 10 dexa 6
r amok 10 ibp 10 dexa 6
t
t
r amok 5 pct 5 ctm 6
Jumlah Rp 55,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
t 20,000
rjk rskgm
r capt 10 ibp 10
cs 7,000
r amok 1 metro 4
sc 30,000
cs
ts dv asmef 6 15,000
Jumlah Rp 72,000
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
Jumlah Rp -
Obat
tindakan S. Sakit biaya
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
Jumlah Rp -
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
Jumlah Rp -
REGISTER KUNJUNGAN PASIEN PUSKESMA
tanggal 2017
Jenis Kunj Nama Pasien Umur Alamat Diag
No medrek Keluhan/Fisik
B L L P B L
Obat
tindakan S. Sakit biaya
1 Jml 2 Jml 3 Jml 4 Jml 5 Jml
ct mahkota pct 5
rjk rskgm
ct
t
cs
r ibp 10
r amok 10 pct 10
r amok 1 pct 1
obs tensi
cs 7,000
sc 30,000
ts zoe
t
cs
ts dv 15,000
ct 25,000
ct 25,000
ts dv 15,000
r amok 10 pct 10
r amok 10 ibp 10
r amok 10 pct 10
sc
ts dv eug pct 10
ts pp
r amok 10 pct 10
t
ct 25,000
ct mahkota amok 10 pct 10
r pct 6
r amok 10 metro 10 pct 10
ts dv pct 8 15,000
r amok 10 pct 10
r amok 10 pct 10
r amok 10 pct 10
r amok 1 pct 1
r amok 10 ibp 10
ts cres 10,000
t 20,000
r amok 10 pct 10
t 35,000
r amok 10 pct 10
cs 15,000
r amok 10 pct 10
cs 7,000
r amok 10 pct 10
r amok 10 pct 10
ct amok 10 pct 10
r pct 10
ts cres trep
cs amok 5
r amok 10 pct 10
r amok 10 ibp 10
cs
t 35,000
knsul
ts cres
r amok 1 pct 1
r amok 10 pct 10
sc
knsul
r amok 10 pct 10
r amok 10 pct 10
r pct 10 vit c 10
r amok 10 pct 10
ts trep cres 15,000
r amok 10 pct 10
ts cres 5,000
cs
r amok 10 pct 10 ctm 6
ct pct 6 25,000
ts chkm amok 10
ts dv pct 10 15,000
knsul
ts dv 15,000
ct
knsul
t
t
ts pp
R/ pct 6 Capt 6
r amok 10 pct 10
ct amok 10 pct 10 0 25,000
ts trep cres
TT 35,000
r pct 10 vit c 10
ts pp 15,000
r ibp 10
r amok 10 ibp 10
sc ra 30,000
ts eug 5,000
t
cs 15,000
ts chkm pct 8 5,000
ts cres 5,000
r amok 10
r ibp 10
R/ ibp 10
knsul
r amok 10 pct 10
r amok 10 pct 10
r pct 10
rjk imanuel
ct
rjk rskgm
ts trep cres 15,000
ts trep cres
cs
ts eug
t ts eug
r amok 10 pct 10 amlod 6
cs
t
cs 15,000
knsul
ts eug 5,000
cs 7,000
ts dv asmef 10
t
r clinda 10 pct 10 dexa 6
t
r pct 10
cs 22,000
ts chkm 5,000
ts cres 5,000
r pct 5
cs 15,000
t
t 20,000
ts chkm
cs
r amok 10 pct 10
t 35,000
ct 25,000
r amok 10 pct 10
obs
obs
rjk santosa
cs
cs 7,000
ts eug amok 10 pct 10
cs pct 5
r amok 10 pct 10
ct 20,000
ts eug pct 5 5,000
rjk rskgm
cs 7,000
ts trep cres
cs pct 5 15,000
ts dv pct 6 15,000
cs 7,000
r amok 10 pct 10
ts
r amok 10 pct 10
cs amok 5 pct 5 7,000
r amok 10 pct 10
r pct 10
ct pct 6 25,000
r amok 10 pct 6
ts eug pct 6
tseug pct 6 5,000
ts dv amok 10 pct 10
ts dv pct 6
t ts cres trep 35,000
ct amok 10 pct 10 25,000
ts dv pct 6
r amok 10 pct 10
r amok 1 pct 1
t 20,000
r amok 10 pct 10
ts dv pct 6
r/ amok 5 pct 5 CTM 3
ts eug ibp 10 5,000
CS pct 5 7,000
ts CHKM 0
r amok 10 pct 10
ts eug pct 6
r amok 5 pct 5
t
t
r amok 10 ibp 10
cs 7,000
t 20,000
ts eug pct 6 5,000
cs pct 5 15,000
r amok 10 ibp 10
r amok 10 pct 10
TT
ts eug
cs
cs
ct 25,000
r amok 10 pct 10
sc amok 10 pct 10
ts pp
ts dv 15,000
r amok 10 pct 10
r amok 10 pct 10
r amok 10 pct 10
trep pct 6 10,000
rjk rskgm
ts eug amok 10 pct 10
r amok 10 pct 10
ts pp
r amok 10 pct 10
ct
TT 20,000
r amok 10 ibp 10 dexa 10
r amok 10 pct 10
ts eug pct 6 5,000
ts pp
r amok 10 pct 10
ts eug clinda 10 ibp 10 10,000
t 20,000
t 20,000
rjk rskgm
knsul
trep amok 5 pct 5 10,000
sc
ts pp
r amok 10 pct 10
ts dv pct 6 15,000
cs 30,000
ts trep cres 15,000
r amok 10 ibp 10 dexa 6
ct 25,000
cs 15,000
rjk rskgm
rjk bp tensi
r amok 5 pct 5
r amok 10 pct 10
r amok 10 pct 10
ts trep cres sc 30,000
r amok 10 pct 10
knsul pct 10
r amok 10 ibbp 10
cs 7,000
t 20,000
r amok 4 pct 4
ct
cs
cs 14,000
t
ts pp 15,000
r amok 10 pct 10
knsul
r amok 10 pct 10
r pct 6
ts zoe 15,000
ct amok 10 pct 10
r clinda 10 asmef 10 ctm 10
ts cres dv 20,000
r amok 10 pct 10
r pct 4
ts trep 5,000
t
t
r pct 10
t ts eug 20,000
cs 7,000
rjk onkologi
r amok 10 pct 10
ts cres clina 10
ts cres 5,000
obs
cs 7,000
r clinda 10 ibp 10
CS 14,000
Trep+Cres 15,000
R/ Clinda 10 Pct 10 GOM 1
TT 20,000
CT Pct 10 25,000
Obs
CS 14,000
R/ Amoks 10 Pct 10
R/ Amoks 10 Pct 10
R/ Amoks 10 Pct 10
Kontrol
TT
TT 20,000
Rjk RSKGM
R/ Pct 10
Gradier R/ Amoks 10 Pct 10 10,000
PP 15,000
R/ Amoks 10 Pct 10
TT 30,000
BC+Cres 15,000
R/ Amoks 10 Ibup 10 0
Obs
CS 15,000
R Amoks 10 Pct 10 Capt 6
CS
TT Pct 6 20,000
CS Amoks 5 Pct 5 7,000
CS 15,000
ROM,Eug
Kontrol
Devit Pct 6 15,000
R/ Amoks 5 Pct 5
R/ Amoks 10 Pct 10
ROM,Eug
CS 14,000
Devit Pct 6
Rujuk RSKGM
R/ Pct 10
r clnda 10 asmef 10
ts eug pct 6
r amok 10 pct 10
r amok 10 ibp 10 dexa 10
r amok 10 ibp 10
rjk rskgm
cs 7,000
t
t
cs pct 4 15,000
ts eug pct 4 5,000
ts dv 15,000
cs 7,000
cs pct 4 15,000
t 20,000
r amok 10 pct 10
obs
rjk rskgm
ts pp 15,000
ts trep cres 15,000
r clinda 10 ibp 10
obs
r amok 1 pct 1
ts dv pct 6 15,000
r amok 10 ibp 10
ts cres 5,000
ct pct 6 25,000
ts pp 15,000
ct pct 6
r amok 10 ibp 10
trep amok 10 pct 10
cs
cs 15,000
obs
t 20,000
r pct 10
ct 25,000
t 20,000
znoe
lc 35,000
r amok 10 metro 10 pct 10
ct 25,000
obs
ts cres pct 10 antasid 10
r amok 5 pct 5
t ts dv pct 6
sc ant
ts pp 15,000
r ibp 10 vit,c 10
sc rb ant
ts cres amok 10 pct 10 5,000
ts eug 10,000
r amok 10 pct 10
r pct 10
R/ Amoks 1 Pct 1
R/ Amoks 10 Ibup 10
CS 7,000
TT 35,000
CS 14,000
Scalling 30,000
Trep Pct 6 10,000
PP 15,000
R/ Amoks 10 Ibup 10 Dexa 6
R/ Amoks 10 Pct 10
R/ Amoks 10 Ibup 10
CT Amoks 10 Asmef 10 25,000
R/ Amoks 10 Metro 10 Pct 10
R/ Pct 10
t 20,000
t
t 20,000
R/ Amoks 10 Metro 10 Pct 10
ROM
Devit Pct 6 15,000
ts eug pct 10 5,000
r amok 10 pct 10
ct pct 8
obs tensi
r amok 10 pct 10
r amok 10 ibp 10 capto 10
r amok 10 pct 10
r amok 10 asmef 10
ts eug
ts dv amok 10 pct 10
ts eug ibp 6 5,000
ts cres
t 20,000
ts cres 5,000
r dexa 6
rjk rs
t sc
rjk rskgm
t 20,000
ct pct 8
trep pct 6
r amok 10 ibp 10 dexa 6
r amok 10 ibp 10 dexa 6
t
t
r amok 5 pct 5 ctm 6
t 20,000
rjk rskgm
r capt 10 ibp 10
cs 7,000
r amok 1 metro 4
sc 30,000
cs
ts dv asmef 6 15,000