REGISTER PASIEN RAWAT JALAN

UPT PUSKESMAS SURYALAYA

1-Apr-19
CARA BAYAR POLIKLINIK
PBI
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT U APBD APBN MANDIRI NPBI UMUM KIA MTBS GIGI
1 S.240 2571 SUYONO L 58 JL.KOPO GG HRSULAEMAN
VI V
2 M83 2572 BUDI L 33 PSLUYU 1/5 V V
3 R184 2573 HERDIANA L 21 PSLUYU 5/3 V V
4 W6 2574 MINAH P 18 PSLUYU 3/6 V V
5 DINI DANIARSIH P 61 PSJAYA IV V V
6 E141 2481 EMI P 46 PSLUYU 5/4 V V
7 A115 1138 AJAT L 63 PSLUYU 3/1 V V
8 A115 1837 UGIH HERWATI P PSLUYU 3/1 V V
9 A117 2575 SITI NURJANAH P 23 PSLUYU 4/5 V V
10 O6 571 ODANG SETIAWAN L 49 PSLUYU 2/5 V V
11 R183 2548 DANY MASYKUR L 22 JL. KEMBARMAS V V
12 D85 2577 UFAIRA MEZHA P 5 PSSALAM VII 4/9 V V
13 Y87 655 MELINA YUNIAR P 11 KEMBAR TIMUR III 2/7 V V
14 S47 1177 SOLIHIN L 75 SURYALAYA TMR III NO.9 V V
15 S210 2040 SUYATINAH P 60 SURYADARMA NO.10 V V
16 U18 2578 ZAKIA NURJAINI P 12 PSSALAM 6/9 V V
17 A157 1747 NIVA SILVIA P 12 PSLUYU 1/3 V V
18 A157 241 AWALUDIN L 46 PSLUYU 1/3 V V
19 R162 2033 RAHMAT L 63 PSLUYU 1/3 V V
20 C28 808 PONIRAH P 48 PSSALAM ASRI D15 4/5 V V
21 A454 2579 AGUS L 50 PSLUYU 5/5 V V
22 A360 2074 ASEP SUPRATMAN L 36 PSSALAM VIII 4/9 V V
23 O45 2580 ODE YUSUP L 72 PSLUYU 2/9 V V
24 U16 457 UJANG SUPARNA L 70 PSLUYU 82 2/9 V V
25 K29 344 IMAS JUJU P 38 PSJAYA 1/6 V V
26 K29 2581 JUJUN KURNIA L 18 PSJAYA 1/6 V V
27 D193 2582 M. ARKAN L 2 PSSALAM 1/6 V V
28 D196 1628 DJADJA SENDJAJA L 82 KOMP PENGAIRAN 16 V V
29 A238 1068 ANGGA SAEPULOH L 26 KARASAK 7/5 V V
30 A238 1069 SYAFIRA P 5 KARASAK 7/5 V V
31 T15 1181 AZKA GUNTUR L 7 PSLUYU 5/3 V V
32 U36 2583 SEPTIAN ALFIN L 6 PSLUYU 1/4 V V
33 T44 1546 TOTO L 83 PSLUYU 7/3 V V
34 A250 253 AEP SAEPUDIN L 42 PSLUYU 3/5 V V
35 A250 2259 GALIH RAMADHAN L 9 PSLUYU 3/5 V V
36 A250 2584 ARI RAMDHANI L 17 PSLUYU 3/5 V V
37 S193 1758 ACAH P 65 PSLUYU 3/4 V V
38 E140 2335 ELI KARWATI P 52 PSLUYU 2/4 V V
39 A455 2585 DINAR ASTI NANDAR P 11 PSLUYU 8/4 V V
40 A455 2586 KARINA SEPTIA NANDAR
P 9 PSLUYU 8/4 V V
41 J25 243 ZAHDAN L 4 BABAKAN DENKI 6/8 V V
42 J25 2587 TATI ROHAETI P 43 BABAKAN DENKI 6/8 V V
43 A261 2588 SUSI MUSTIKAWATI P 30 PSLUYU 7/3 V V
44 I135 2589 IKBAL MOH RAHMAT L 26 PSSALAM D27 V V
45 F64 1291 FADLI ILHAMI L 36 PSSALM III NO.10 V V
46 D123 2590 IMAS MARTINI P 42 PSLUYU 5/3 V V
47 R123 1060 CRISTINA RAMBU P 49 SURYALAYA BRT NO 10V V
48 S40 2591 ROBI SUPIATNA L 12 PSLUYU 2/5 V V
49 S40 2592 M RAFKA L PSLUYU 2/5 V V
50 Y 65 YANI P 36 SURYALAYA BARAT V V
51 D 78 786 DEDI PERMANA L PSLUYU 7/3 V V
52 U 38 954 uka P 70 PSLUYU 5/5 V V
53 S 159 951 SITI ROKHAYA P 50 ANCOL TIMUR V V
54 S 159 1116 MAWARDAH P 6 ANCOL TIMUR V V
55 A 314 961 IBNU HANIF RAMDHANL 2 PSLUYU 2/2 V V
56 A 314 2594 TATANG SUMANTRI L 50 PSLUYU 2/2 V V
57 E 122 1548 MAMAH P 53 PSLUYU 1/1 V V
58 A 314 1281 ANDRI SUMPENA L 33 PSLUYU 2/2 V V
59 H 39 2595 RONI ANDRIANA L 19 PSLUYU V V
60 A 45 628 MUTHIÁH MEUTIA P 36 SURYALAYA XVII NO17 V V
61 D230 2507 LOUISE YOHANA P 74 SURYALAYA 9/4 V V
62 D230 2596 DINDIN SABARUDDIN L 74 SURYALAYA 9/4 V V
63 K17 2597 KSURYANI P 28 PSLUYU 5/5 V V
64 K17 2598 IMAS SUNAETI P 46 PSLUYU 5/5 V V
65 T51 2358 TOHA SETIAWAN L 66 PSJAYA III NO.1 V V
66 T51 883 SURYATI P 62 PSJAYA III NO.1 V V
67 D236 2599 DEDE YUNANI P 66 PSLUYU 3/4 V V
68 T32 2600 RESTI NUR AZIZAH P 8 CIBALONG MONTOK V V
69 2601 YUYUN YUNINGSIH L 45 CIBALONG MONTOK V V
70 S89 1089 SUDARMIYATI P 82 PSJAYA X V V
71 S241 2602 RIZAL L 16 PSLUYU 2/5 V V
72 S241 2603 RIZKI MAULANA L 11 PSLUYU 2/5 V V
73 M59 1077 MINAR P 20 SURYALAYA XII V V
74 A438 2404 ANAH P 69 PSLUYU 2/2 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
2-Apr-19
CARA BAYAR POLIKLINIK
PBI
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT U APBD APBN MANDIRI NPBI UMUM KIA MTBS GIGI
1 I81 353 IMAM ROHANI L 42 PSLUYU V V
2 T2 1772 DENIS WARI P 41 PSALAM 4/9 V V
3 T2 2604 GATOT L 20 PSSALAM 4/9 V V
4 E140 2605 ENDANG SADRI L 52 PSLUYU 2/4 V V
5 S121 456 REFAN L 4 PSLUYU 9/3 V V
6 T94 1523 TITING SAOMI P 71 SURYALAYA V V
7 U15 1846 MMIN SITI A P 45 PSLUYU 2/3 V V
8 U15 1845 SANIA P 6 PSLUYU 2/3 V V
9 S193 1758 ACAH P 65 PSLUYU 3/4 V V
10 I51 562 ILAH P 35 PSSALAM 4/9 V V
11 I51 319 MALIK L 2 PSSALAM 4/9 V V
12 M51 2607 AMASIH P 58 PSSAALM 4/7 V V
13 I18 1665 ISAH P 75 PSLUYU 3/5 V V
14 S161 969 KOKOM P 60 PSLUYU 3/6 V V
15 S161 2608 SOLIHIN L 61 PSLUYU 3/6 V V
16 E57 701 EMPU P 75 PSLUYU 6/4 V V
17 R128 1204 RAHMAT L 47 PSLUYU 3/4 V V
18 A248 358 HAFIZ L 1 PSLUYU 1/3 V V
19 S23 415 SUMIRAH P 66 PSLUYU 5/2 V V
20 I69 2606 IWAN LESMANA L 32 PSSALAM 3/9 V V
21 D237 2609 ENOK S P 39 PSSALAM V V
22 D183 131 OOM(IMAS) P 48 PSLUYU 5/3 V V
23 I136 2611 SITI AISYAH P 20 PSSALAM 3/5 V V
24 I84 2612 IDAH P 23 PSLUYU 5/4 V V
25 I103 2440 ISMAIL R L 40 SJAYA 1/6 V V
26 I103 1110 ANGGIA P 32 PSJAYA 1/6 V V
27 A456 2613 AZKA RFAN L 2 CIKAWAO DALAM V V
28 A4456 2614 ABDUL ROHMAN L 29 CIKAWAO DALAM V V
29 O26 336 OYO L 81 PSLUYU 5/5 V V
30 I137 2615 YUYUN R P 33 KARASAK V V
31 S150 2616 KEYSA KIRANA P 8 PSLUYU 1/5 V V
32 S150 764 ARSYA VIRENDRA P 9B PSLUYU 1/5 V V
33 A258 321 ANI KARWATI P 52 PSLUYU 5/5 V V
34 M99 1323 SEPTIANI P P 9 PSLUYU 5/5 V V
35 D200 1705 DEWI WULANSARI P 31 PSLUYU IV V V
36 D200 1706 AMELIA P 5 PSLUYU IV V V
37 I138 2618 INAL MUTAKIT L 20 SURYALAYA BARAT V V
38 P4 1816 PARMAN L 68 SURYALAYA 9/4 V V
39 H70 1635 DENDRA L 2 KEMBAR TIMUR 3 V V
40 S242 2619 SUHERMAN RUSLI L 67 MENGGER GIRANG V V
41 S243 2620 SATTRI L 25 PASLUYU SEL V V
42 R58 1422 RODIAH P 66 PSSALM 4/9 V V
43 S187 1570 SARTIMAH P 65 PSSALAM 4/9 V V
44 U7 2528 UMAH P 64 PSLUYU V V
45 S244 2621 IIS KOMARIAH P 37 SUKRESIK V V
46 P43 1608 ANITA P 5 PSLUYU 4/5 V V
47 D27 902 ARSYILA MUBARAK P 3 PSLUYU 4/9 V V
48 O 2617 ADRIAN L 39 PSLUYU V V
49 H11 2623 ARYADI PRATMA P 33 KEMBAR TIMUR V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
4-Apr-19
CARA BAYAR POLIKLINIK
PBI
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT U APBD APBN MANDIRI NPBI UMUM KIA MTBS GIGI
1 a.18 483 nurhayati 26 suryaladarma v v
2 a.18 484 sabeni 4 suryadarma v v
3 a.457 2624 mira nursabrina 10bln suryadarma v v
4 a.8 2625 chodidjah 70 ps.luyu hilir v v
5 g.8 1065 ikah 69 ps.luyu 1/5 v v
6 k.15 2626 ridha 20 ps.luyu v v
7 r.19 2627 rusdi m.nur 76 suryalaya vii v v
8 j.51 2628 iwan setiawan 28 ps.luyu 03/08 v v
9 d.117 317 dieta 17 ps/luyu 2/5 v v
10 a.169 2371 ai ati 42 ps.luyu 5/5 v v
11 m.120 2315 masudin 46 ps.luyu 53 v v
12 j.8 472 jojon juanda 55 bbk.priangan v v
13 s.119 2629 neni 35 ps.luyu 02/04 v v
14 a.193 465 shinta jayanti 27 paledang v v
15 s.35 776 suherlan 47 ps.luyu 08/04 v v
16 s.35 1067 ena sumiati 40 ps.luu 08/04 v v
17 e.01 162 endrastuti 68 surtyalaya v v
18 o.34 2178 opik 50 ps.luyu 02/04 v v
19 d177 1178 darso L 46 PSSALAM 3/7 V V
20 I48 2630 iwan setiawan L 31 PSSALAM 4/9 V V
21 N95 2631 JAYA SOLEHUDIN L 10 PSSALAM 3/9 V V
22 U44 2632 SOBAR SAEPUDIN L 31 PSSALAM 4/9 V V
23 U44 1511 UCUM P 55 PSSALAM 4/9 V V
24 D41 251 DJUDJU L 68 PSLUYU 3/5 V V
25 S128 1715 NANAN P 44 PSLUYU 2/3 V V
26 U44 1040 SANI P 15 PSLUYU 4/8 V V
27 R36 292 RASIYEM P 50 SURYALAYA X V V
28 M89 2633 MAMAN L 39 SASAK GANTUNG V V
29 S70 1625 GIO FEBRIANO L 3 PSLUYU 8/3 V V
30 K45 1568 AROH MUNAWAROHP 30 KEMBAR MAS V V
31 R186 2634 RAIS ALI L 24 PSLUYU 5/3 V V
32 A451 2533 ASEP RONI L 43 PSLUYU 5/4 V V
33 A451 2635 TITI S P 38 PSLUYU 5/4 V V
34 M127 2636 FAHRI L 10 PSLUYU 2/4 V V
35 Y87 712 ELINDA P 31 PSLUYU 2/5 V V
36 K35 2637 AHMAD MAULANA L 15 PSLUYU 8/4 V V
37 S165 1018 M HANIF L 1 PSLUYU 2/5 V V
38 S169 1187 EUIS ONASIH P 59 PSLUYU 2/5 V V
39 U24 360 BAGAS L 1 PSLUYU 1/5 V V
40 F2 805 FIRDAUS L SURYALAYA V V
41 B31 2638 SYAQILL L 5 PSLUYU 3/4 V V
42 S44 2639 SANTI P PSSALAM 4/9 V V
43 S44 2640 RIYAN L 19 PSSALAM 4/9 V V
44 M81 2641 TEGUH W L 9 PALEDANG 3/3 V V
45 F78 2642 HAFIZ L 110B SURYALAYA 2/4 V V
46 F78 2643 HAFIZHA P 4 SURYALAYA 2/4 V V
47 A366 2644 RIKI MAULANA S L 13 PSLUYU 5/2 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
5-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 M100 NAIMA SYAKILA P 5 JL.SURYALAYA IX V V
2 O45 2580 ODE YUSUP L 71 PSLUYU 2/9 V V
3 P32 2201 PONIMAN L 43 CIJAGRA 1 4/2 V V
4 T71 356 TINA R P 54 PSLUYU 7/3 V V
5 A382 1806 SAFANA P 8 PSLUYU 2/3 V V
6 U16 457 UJANG SUPARNA L 70 PSLUYU 2/9 V V
7 A 171 1928 ASEP SAEPUDIN P 46 V V
8 2664 CINDY RIANI RAHAYU P 12 SURYALAYA RAYA V V
9 D 78 786 DEDI PERMANA L 45 PSLUYU 1/5 V V
10 N 71 1191 NANDANG L PSLUYU 1/5 V V
11 R 187 SITI HIDAYAH P 25 SURYALAYA 18 V V
12 W 10 770 AGUNG MUHAMMAD RIZKYL 10 PS LUYU 8/3 V V
13 T 96 2447 DESTRYANA P 16 PSJAYA VI V V
14 I 103 1110 ANGGIA DIAH P 32 PSJAYA 1/6 V V
15 E 136 2253 RATNANSIH P 52 PSLUYU 1/5 V V
16 U 29 394 ENENG P 38 PSLUYU 7/3 V V
17 A331 2648 ADRIANUS KAUMBUR L 27 CIKAWAO DLM V V
18 E.122 2521 ENGKOS SULAEMAN L 53 PS.LUYU 01/01 V V
19 A.296 789 HASANAH P 51 PS.LUYU 8/4 V V
20 S.193 1758 ACAH P 65 PS.LUYU 3/4 V V
21 A.296 2650 DESI RAMDAYANI P 20 PS.LUYU V V
22 C.3 2651 RAISA KANZA RIZKIA P 51/2 PS.LUYU 5/5 V V
23 E.147 2652 RINI BUDIANTI P 24 PS.LUYU 09/03 V V
24 S.153 802 ALVI SYAHRINA P 30 MUTU MANIKAM 22 V V
25 H.55 2653 TETY P 60 SURYALAYA RAYA V V
26 u7 2654 budianto l 43 ps.luyu 04/09 v v
27 u.7 1433 yunita p 32 ps.luyu 04/09 v v
28 a.1 193 rita suryani p 40 ps.salam 3/7 v v
29 u.19 2655 iip latifa p 39 ps.luyu 05/03 v v
30 u.19 2656 aira p 4 ps.luyu 05/03 v v
31 e.140 2605 endang sadri l 52 ps.luyu 02/04 v v
32 n.137 2140 lia apriliani p 29 suryalaya v v
33 a.349 1343 azka rizki l 3 ps.luyu 07/03 v v
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
6-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 EEM SUHAEMI P 64 POSBINDU RW 07 V V
2 SARIMANAH P 67 POSBINDU RW 07 V V
3 ANISA P 24 POSBINDU RW 07 V
4 ETI TARSIH P 64 POSBINDU RW 07 V V
5 MUNAWAR L 60 POSBINDU RW 07 V
6 U.38 954 UKA P 71 PS.LUYU 5/5 V
7 W.57 1986 AILYA RAMADAN P 1 PS.LUYU 3/5 V
8 U.49 2655 UNUNG L 53 PS.LUYU 01/05 V
9 R.141 1584 HAIKAL HIJALUL L 11BLNPS.LUYU 5/5 V
10 I.139 2656 IRMA FINADA P 15 SURYALAYA V
11 N.103 779 SIFA P 15 SURYALAYA V
12 S.47 2530 TATI P 73 SURYALAYA V
13 R.32 451 H.ROHMAN L 84 PS.JAYA V
14 R.32 2401 IHAT P 62 PS.JAYA V
15 K.44 1958 SITI SARISA P 6 PS.LUYU3/4 V
16 D.176 1150 YUYU YUNINGSIH P 24 PS.LUYU 2/9 V
17 H.27 1493 SITI SARISA P 69 PS.LUYU HIILIR V
18 H.27 2657 HATTA L 71 PS.LUYU HILIR V
19 I.33 250 MOMI P 67 PS.DSALAM V
20 G.23 2658 GUNGUN L 34 PS.LUYU V
21 G.23 2653 DEVIANA P 24 PS,LUYU V
22 B25 288 IIS P 31 PS.LUYU V
23 J.36 2473 YAYAT Z. L 28 PS.LUYU V
24 N.86 990 RATNANGSIH P 55 PS.LUYU8/3 V
25 K.51 2130 FEBRI L 14BLNPS.LUYU V
26 E.108 85 ENDANG P 56 PS.LUYU 2/3 V
27 Y.49 86 YUDI P 55 PS.LUYU V
28 M.126 2497 HARYATI P 41 PS.LUYU V V
29 M.125 2461 MAMAT L 51 PS.LUYU V V
30 S.75 800 SUTIA H. L 77 SURYALAYA V V
31 S.75 1694 H.EDJA P 83 SURYALAYA V V
32 M.128 2660 YANTI P 50 PS.LUYU V V
33 H.51 1934 HADIJAH P 71 BBK.GARUT V V
34 U.5 561 UKIT P 70 PS.LUYU 5/4 V V
35 A.459 2661 DIMASSYAHPUTRA L 18 PS.LUU 02/03 V V
36 N.143 2662 NOVIANI P 27 PS.LUYU 02/03 V V
37 R.109 2663 NAZWA NUR RAMADAN L 13 PS.LUYU 3/5 V V
38 R.109 2664 RINI ASTUTI P 46 PS.LUYU 2/3 V V
39 A.268 445 NANI YUNINGSIH P 49 PS.LUYU 4/9 V V
40 R.181 2665 ADI JULIAN S L 8 PS.LUYU 7/3 V V
41 B.32 2666 CANDRA AGUSTIN L 20 PS.LUYU 7/3 V V
42 A.266 428 PS.LUYU 5/5 P 50 PS.LUYU 05/05 V V
43 W.41 762 WATNO L 46 CIGANITRI V V
44 A325 2667 AGUS TARMAN L 56 PSLUYU 5/2 V V
45 JUMIATI P 60 POSBINDU RW 07 V V
46 NENI P 45 POSBINDU RW 07 V V
47 ANI P 45 POSBINDU RW 07 V V
48 ANONG P 69 POSBINDU RW 07 V V
49 IJAH P 83 POSBINDU RW 07 V V
50 TIAH P 57 POSBINDU RW 07 V V
51 RAYEM P 61 POSBINDU RW 07 V V
52 NINGRUM P 49 POSBINDU RW 07 V V
53 EUIS P 34 POSBINDU RW 07 V V
54 NENENG P 59 POSBINDU RW 07 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
8-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 S247 2668 RIZKY INSAN P 19 PSSALAM V V
2 O2 1275 OJAK L 54 PSLUYU 2/5 V V
3 P.38 2669 ELFA P 21/2 PS.LUYU V V
4 P.38 2670 DEVI P 9 PS.LUYU V V
5 D.120 2671 DANI L 35 PS.LUYU V V
6 Y.68 2672 YAYAT SUHAYAT L 51 SURYALAYA BARU V V
7 S.248 2673 LITA OKTAVIANI P 23 INHOPTENG V V
8 D.140 2674 DEDE.M L 37 CIATEUL V
9 D.140 1537 KEIRA P 6 CIATEUL V
10 A.382 1806 SAFANA P 8 PS.LUYU 2/3 V V
11 A.234 2675 ANIS P 60 PS.SALAM V V
12 U.44 1511 UCUM P 56 PS.SALAM 4/9 V V
13 S.23 415 SUMIRAH P 67 PS.LUYU V V
14 S.23 783 ALIA P 8 PS.LUYU V V
15 A.366 2025 REKA P 22 PS.LUYU V V
16 M.733 1213 JUNUS ANIS. L 71 MUTUMANIKAM V
17 J.6 1482 JUARIAH P 64 SURYALAYATI. V V
18 H.6 1804 SOFI AULIA P 6 PS.LUYU V V
19 H.6 2676 ONI P 36 PS.LUYU V V
20 C.9 1430 MINA P 47 PS.LUYU V V
21 A.114 2677 ARYANI P 6 SURYALYA V
22 M.72 582 ANDRA P L 2 PS.LUYU V V
23 D.238 2678 DIAN ALAMSYAH L 45 PS.LUYU 8/4 V V
24 M.129 2679 MAKSUM L 33 PS.LUYU V V
25 A.231 2680 AGUS NURTANTO L 28 ANCOL 3/9 V V
26 N.77 2681 NGADIMAN L 40 PS.SALAM I
27 A.215 277 SRI P 32 PS.SALAM V V
28 A.215 279 NABILA P 41/2 PS.SALAM V V
29 M.62 972 MOH.AMIN L 49 SURYALAYA V V
30 K.41 1293 KAENAH P 54 PS.LUUYU V V
31 D.154 2098 YANTI .S P 36 PS.LUYU V V
32 I.130 2682 CUCU P 21 PS.LUYU V V
33 D. AKILA SAKI J. P 5 PS.SALAM 0307 V V
34 T.102 2684 TOHIR MURKANA L 73 SURYALAYA V V
35 S.192 1736 SENI P 19 SURYALAYA V V
36 J.36 14063 JUANINGSIH P 47 PS.LUYU V V
37 J.36 1404 AQSAL L 8 PS.LUYU V V
38 J.36 2112 DAMAS L 13 PS.LUYU V V
39 N.129 1285 NYISITISARAH P 52 PS.SALAM VIII V V
40 D.185 1969 NABIL S. P 21/2 PS.LUYU V V
41 R.37 2685 RIVAL L 9 PS.SALAM IX V V
42 A.367 2686 OON YUNINGSIH P 49 PS.LUYU 01/05 V V
43 E.148 2686 EUIS MIMI P 60 PS.LUYU 01/05 V V
44 K.27 1031 DEA ANANDA P 6 PS.LUYU 03/4 V V
45 K.27 2687 RIA P 9 PS.LUYU 03/04 V V
46 M.102 1381 MUJIATI P 51 SURYALAYA BARATV V
47 S.140 532 SALIMAH N P 1 PS.LUYU V V
48 S.140 595 SHANTI P 27 PS.LUYU V V
49 N.89 366 NANIH P 71 PS.LUYU V V
50 Y.83 1050 RAHMA R P 12 PS.LUYU V
51 M.66 2688 NARSIH P 21 SALAMERTA V V
52 A438 2404 ANAH P 73 PSLUYU 1/2 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
9-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 b.30 1460 tuti kurniasih 64 suryalaya iiii 6/4 v v
2 b.30 2689 setiabudi 70 suryalaya iiii 6/4 v v
3 a.460 2690 aat sugeng 48 sukaati04/07 v
4 b.1 1473 nabila 12 ps.luyu3/4 v v
5 b.1 2691 budiarto 42 ps.luyu3/4 v v
6 a.461 2692 naye 55 ps.luyu01/04 v v
7 c.21 2693 chepi haryanto 54 paledang v v
8 a.461 2694 aditia noval 2 ps.salam viiii v v
9 i.39 2695 ietje marliona 75 suryalaya iiii 6/4 v v
10 n.87 1191 nandang 69 ps.luyu v v
11 a.443 2446 m.ahsani 14bln ps.luyu 2/4 v v
12 n.109 937 nia suryani 64 ps.luyu 1/4 v v
13 e.90 203 engkos kosasih 61 ps.luyu 4/4 v v
14 e.149 2696 amas 58 ps.luyu v v
15 a.415 2155 destian eka 6 ps.luyu2/4 v v
16 y.127 2697 ramdani 6 ps.luyu 1/4 v v
17 d.183 131 imas oom 46 ps.luyu 5/3 v v
18 a.263 369 tati 49 ps.luyu 8/3 v v
19 m.5 2143 marni 30 ps luyu 5/3 v v
20 m.5 623 wati 49 ps.luyu 5/3 v v
21 s.169 1187 euis onasih 69 ps.luyu 2/5 v v
22 p.46 2206 kenny a. 19 ps.luyu 2/9 v v
23 d.183 2698 dinar pebrina 27 ps.luyu 005/04 v v
24 n.119 2699 mela nuranti 24 ps.luyu 07/09 v v
25 c.30 184 amasih 46 ps.luyu 3/5 v v
26 m.55 r.mochamad zen 68 suryalaya iiii 6/4 v v
27 a.452 2549 acah 67 ps.luyu 5/2 v v
28 a.232 1270 agung bafria 59 ps.luyu 2/5 v v
29 n.92 402 m.subhan 17 cijagra 4/2 v v
30 j.36 2700 rita oktaviany 18 ps.luyu 7/4 v v
31 s.184 1492 sri ajeng fitri 26 suryalaya xiv v v
32 r.36 292 rasiyem 59 suryalaya x 8/4 v v
33 E86 2701 ENI P 49 PSLUYU 2/9 V V
34 E86 2702 ERIK L 28 PSLUYU 2/9 V V
35 F78 2642 HAFIZH A L 1 SURYALAYA BARATV1 NO.5 V
36 S 34 SOEPARDI L SURYALAYA 8/4 V
37 U26 333 UPIT P 63 PSLUYU 4/4 V V
38 SITI P 33 POSBINDU RW 07 V
39 JUJU P 55 POSBINDU RW 07 V
40 LINDA P 78 POSBINDU RW 07 V
41 ALA P 75 POSBINDU RW 07 V
42 MAMAH P 60 POSBINDU RW 07 V
43 MIMIN P 58 POSBINDU RW 07 V
44 YUYUN P 84 POSBINDU RW 07 V
45 DEWI P 52 POSBINDU RW 07
46 dr.DEWI P SURYALAYA V V
47 Y124 2434 SISILIA P 27 CIHAMPELAS V V
48 Y90 218 YAYA M L 50 PSSALAM
49 Y90 829 YATI P 51 PSSALM 3/9 V V
50 D241 2703 WANDA PUTU L 16 PSLUYU 2/5 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
10-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 a.462 2704 aip saripudin 37 ancol bbk garut v v
2 a.222 2705 nyai ratnasih 57 ps.luyu 04/04 v v
3 a.290 2706 kania 15bln ps.salam 5/9 v v
4 Y.83 2707 FAUZAN 7 PS.LUYU 01/04 V V
5 D.193 1586 UMAY 38 PS.SALAM 3/9 V V
6 a.463 2708 agus purnama 46 ps.luyu 9/3 v v
7 d.209 2709 wandi pebriwirian 18 ps.luyu 02/04 v v
8 h.47 1130 melissa c. 57 bp supi 01/03 v v
9 b.25 288 iis 31 ps.luyu 3/4 v v
10 b.25 2710 sani 8 ps.luyu 3/4 v v
11 b.25 1277 nanda prawira 4 ps.luyu 3/4 v v
12 u.24 1076 viola 3 ps.luyu 8/4 v v
13 u.24 2711 ega eka putri 9 ps.luyu 8/4 v v
14 e.106 2712 endang hidayat 49 ps.luyu 01/3 v v
15 n.88 230 nunung 68 ps.luyu 01/05 v v
16 s.13 2713 sunsun 37 ps.luyu 4/3 v v
17 s.13 293 sandi s 2 ps.luyu 4/3 v v
18 t.67 280 tamim komar 63 ps.salam viii 3/9 v v
19 t.67 1339 entin kartini 65 ps.salam vii 3/9 v v
20 j.12 2714 dea amelia 19 ps.luyu 03/05 v v
21 d.242 2715 dedi 17 ps.luyu 08/03 v v
22 r.149 2716 entin surtini 44 ps.luyu 2/5 v v
23 h.72 1137 dede khajah 56 ps.salam 5/7 v v
24 d.205 2717 didin 46 ps.luyu 4/5 v v
25 r.120 192 rohaeni 64 ps.luyu 3/4 v
26 c.15 1200 cicih 59 ps.luyu 2/3 v
27 i.140 2718 tuti 51 ps.luyu 02/03 v v
28 a.464 2719 nani 57 ps.luyu 05/04 v v
29 j.12 2720 bulan els. P 29 cijagra V
30 J52 2722 DEDET P 56 PSLUYU 1/4 V V
31 I42 2723 ADELIA PUTRI P 1 PSLUYU 5/4 V V
32 S.159 2724 ANITA SARAH A. P 20 TRS BUAH BATU V V
33 S.151 775 SAHRONI L 70 PS.LUYU V V
34 A.131 167 ADANG MARWAN L 50 MENGGER 2/2 V V
35 O.16 1438 O.SAODAH P 57 PS.LUYU 3/7 V V
36 E.57 27 EMPU P 77 PS.LUYU 0604 V V
37 M.100 2725 NAIMA P 6 SURYALAYA IX 4/9 V V
38 S.249 2726 SITI MUFROFIAH P 35 BATU NUNGGAL V V
39 ENTIN KARTINAH P 65 POSBINDU RW 07 V V
40 SUBIT L 74 POSBINDU RW 07 V V
41 SINA P 67 POSBINDU RW 07 V V
42 SUKAESIH P 83 POSBINDU RW 07 V V
43 MAMAT L 80 POSBINDU RW 07 V V
44 TEGUH WAHYUDI L 9 POSBINDU RW 07 V V
45 DEDE KUSMIATI P 58 POSYANDU V
46 IIS AISYAH P 58 POSYANDU V
47 S MUTIAH P 74 POSYANDU V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
11-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 W5 160 M. H.RRWIKUSUMAH L 80 PSJAYA 13 5/6 V V
2 D243 2727 ADZKIYA SENJA P 1BL PSLUYU 8/4 V V
3 D137 1214 AFIFA NAHDA P 6 BL PSLUYU 8/4 V V
4 S.27 2728 SUKANDAR L 59 SEKELIMUS V V
5 E.13223 2386 YATI P 58 PS.LUYU 1/4 V V
6 C.46 2729 NARTATI P 55 PS.LUYU 01/04 V V
7 A.108 82 AGUS SUTISNA L 48 PS.LUYU 3/4 V V
8 A.108 1834 WULAN RAMDANI P 12 PS.LUYU 3/4 V V
9 A.72 291 ACENG L 73 PS.LUYU 1/4 V V
10 A.408 2730 RISMAWATI P 58 SURYALAYA 1/4 V V
11 A.169 2371 AI ATI P 42 PS.LUYU V V
12 W.40 2731 DAFA L 13 PS.LUYU 7/3 V V
13 A.158 355 EUTIK P 61 PS.LUYU 07/03 V V
14 T.71 356 TINA ROHAETI P 55 PS.LUYU 7/3 V V
15 S.250 2732 SUHAENAH P 72 PS.LUYU 08/03 V V
16 G.64 987 GUNGUN L 36 PS.LUYU 6/4 V V
17 E.118 1394 M.RIZKY A L 8 PS.LUYU 3/8 V V
18 E.118 2027 M.RIZKY ARJUNA L 18BLNPS.LUYU 3/8 V V
19 R.152 1813 ARSYILLA R. P 6BLN PS.SALAM 3/9 V V
20 J.36 1404 AQSAL WAHYU L 13 PS.LUYU 7/9 V V
21 J.36 2112 DAMAS AGUSTIA L 8 PS.LUYU 7/9 V V
22 A.465 2733 EPUL L 17 PS.LUYU V V
23 S.251 2734 SARIPUDIN L 25 SURYALAYA IV NO.24V V
24 E.150 2735 SULASTRI P 49 PS.LUYU 02/04 V V
25 D.180 1243 HENI HERNIATI P 29 PS.LUYU V V
26 D.180 2736 DIAN HERDIANSAH L 26 PS.LUYU 9/3 V V
27 Y.83 528 M.RAYHAN RAHADIANL 4 PS.LUYU1/4 V V
28 E.22 753 ENTJEP L 72 PS.LUYU 7/3 V V
29 D.244 2737 FRISKA P 17 PS.LUYU 5/3 V V
30 I.80 302 KESZA P 3 PS.LUYU3/8 V V
31 s.252 2738 linda fuzi p 43 ps.luyu v v
32 d.167 1033 salma p 2 ps.luyu 5/1 v v
33 e.147 2625 rini budiarti p 24 ps.luyu 9/3 v v
34 i.13 140 ida farida p 63 suryalaya v v v
35 a.408 2730 rismawati p 58 suryalaya v 10/4 v v
36 w.51 1252 tetin p 58 ps.luyu 1/5 v v
37 w.51 2739 nurhasanah p 23 ps.luyu 1/5 v v
38 u.10 885 ujang sutisna l 42 ps.luu 05/5 v v
39 e.151 2740 lahiah p 67 kp.kalang v v
40 S136 500 RIANA PUTRI LESTARIP 8 PSLUYU 5/3 V V
41 E152 2742 AI ROKAYAH P 49 PSLUYU 5/4 V V
42 D.130 864 MIMIN AMINAH P 51 PS.LUYU 5/3 V V
43 A.441 2431 DENI SETIAWAN L 21 PS.LUYU 2/5 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
12-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 G8 1065 IKAH P PSLUYU 1/5 V V
2 A197 797 DEDE P 56 PSLUYU 3/4 V V
3 A197 1182 NIA P 23 PSLUYU 3/4 V V
4 U4 AKILA P 6 SUKAATI 3/7 V V
5 N90 2227 NURSHINTA P 1 PSLUYU 5/3 V V
6 E1 163 EDY L 67 SURYALAYA IV NO.18 V V
7 E1 162 ENDRASTUTI P 57 SURYALAYA IV NO.19 V V
8 U18 2743 UJANG WARSA L 55 PSSALAM 6/9 V V
9 S253 2744 SAMAS P 62 PSLUYU 5/3 V V
10 M86 2745 HAFIZAH P 1 PSLUYU 9/3 V V
11 D226 2746 SINTIA SUGIARTI P 12 PSLUYU 5/4 V V
12 W60 2747 WALDI L 41 KATAPANG V V
13 E145 2551 TITIN L 49 GG GEMAH V V
14 E146 2748 ENGKUS KUSNADI L 61 GG. GEMAH V V
15 N145 2749 NELI JAZIROH P 38 PSSALMA SRI 5/5 V V
16 Y104 1305 ENI WATI P 56 PSLUYU 5/4 V V
17 Y104 2750 RIKI RIYANDI L 25 PSLUYU 5/4 V V
18 U8 925 UWAS L 69 PSLUYU 3/4 V V
19 A466 2751 ARIF NGUDIIYONO L 55 KARAPITAN V V
20 U4 1041 UNDANG L 46 PSLUYU 4/8 V V
21 U4 282 CUCU P 49 PSLUYU 4/8 V V
22 O26 336 OYO L 78 PSLUYU 5/5 V V
23 F79 2752 RATIH P 37 PSSALM 3/7 V V
24 F79 2753 DJIBRIL NAUFAL L 10 PSSALAM 3/7 V V
25 F79 2754 IBTISAM P 7 PSSALAM 3/7 V V
26 A36 311 DEDE AISAH P 49 PSLUYU 5/3 V V
27 S135 487 YANI P PSLUYU 1/5 V V
28 S127 1728 AMAR L 6 PSLYU 1/5 V V
29 I72 381 IDAH SAADAH P 45 SURYALAYA NIO.15V V
30 D205 2755 DAUD SABANI L 5 PSLUYU 4/5 V V
31 C14 917 M. LATIF H L 1 PSLUYU 2/5 V V
32 S193 1758 ACAH P 65 PSLUYU 3/4 V V
33 M91 79 MAMAH P 48 PSLUYU 1/5 V V
34 M91 1629 NESHA P 7 PSLUYU 1/5 V V
35 A331 2648 ADRIANUS KAUMBUR
L 27 PSLUYU 2/3 V V
36 D111 `136 JUMINI P 55 PS SALAM 3/7 V V
37 S16 662 SRI P 46 SURYALAYA V V
38 A429 2756 SALMA P 9 PS SALAM 3/7 V V
39 E153 2757 ELA P 34 SURYALAYA 9/4 V V
40 T51 2358 SURYATI P 63 PSJAYA III 1/6 V V
41 C33 1450 CANDRA L 25 BIDURI 2/6 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
13-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARUPX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 a.258 321 ani karwati 52 ps.luyu 5/5 v v
2 i.47 1009 ineu 38 ps.luyu 1/3 v v
3 n.87 1191 nandang 69 ps.luyu 1/5 v v
4 h.51 1934 hodijah 71 bbk.garut 2/8 v v
5 s.222 2255 sitijah 69 ps.luyu 1/5 v v
6 a.54 1869 ahmad 48 ps.luyu 2/4 v v
7 a.360 2014 asep spratman 35 ps.salam viii 4/9 v v
8 m.55 r.moch zen 65 suryalaya v v
9 u.5 561 ukit 70 ps.luyu 5/4 v v
10 d.178 2759 dian firmansyah 26 ps.luyu 5/5 v v
11 a.415 2760 m.difa 8bln ps.luyu 2/4 v v
12 k.20 2166 atik 45 ps.salam viii 4/9 v v
13 n.129 1585 siti sarah 52 ps.salam viii 4/9 v v
14 k.55 2761 halim hamzah 7 ps.luyu 3/6 v v
15 h.99 2762 tati 52 ps.luyu 4/6 v v
16 a.22 305 faisal 3 ps.luyu 4/5 v v
17 s169 1168 euis onasih 59 psluyu 2/5 v v
18 w52 1399 lilis 37 psluyu 2/9 v v
19 d183 131 oom 46 psluyu 5/3 v v
20 a440 2763 fatiya 2,5 psluyu 1/5 v v
21 a183 424 wida 43 psluyu 2/3 v v
22 d188 2764 yeni farida 29 psluyu 1/3 v v
23 a183 1691 tini sutinah 23 psluyu 5/4 v v
24 a183 1692 yumna salsabila 6 psluyu 5/4 v v
25 e154 2766 siti nur ajijah 17 psluyu 5/5 v v
26 N146 2767 NURZAMAN L SUKAATI V V
27 T67 2769 TUTI F P 21 PSSALM 3/9 V V
28 B38 2152 BIBIN P 69 SURYALAYA V NO.11 V V
29 S141 539 ATIN P 34 PSLUYU 4/3 V V
30 R149 2770 DEDE SULAEMAN L 25 PSLUYU 2/5 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
15-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARUPX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 t.92 1461 triastika yogi 57 suryalaya 12 v v
2 o.45 2580 ode yusup 63 ps,luyu 2/9 v v
3 d.231 2514 dedi sutardi 47 ps.luyu 7/3 v v
4 y.109 1768 yayat ruhiyat 46 suryalaya x v vd.140
5 d.140 1537 keira 6 ciatel v v
6 d.140 2772 benzemma 4 ciatel v v
7 e.20 96 entin 49 ps.luyu 5/4 v v
8 h.89 1925 haruna 61 ps.luyu 4/5 v v
9 s.88 1042 sugiri 56 purawinata 4/1 v v
10 i.39 2695 ietje marlina 74 suryalyala iii no.3 v
11 d.25 2483 m.fadil 2 ps.salam 5/9 v v
12 e.56 2773 dewi budiarti 18 jati 5/3 v v
13 n.147 2774 asep sopandi 24 kembar timur v v
14 d.169 1047 ari yati 40 ps.luyu 02/04 v v
15 d.169 2775 krisnadi 15 ps.luyu 02/04 v v
16 y.96 1023 yuyun sutisna 62 ps.luyu 4/5 v v
17 y.96 2776 nengsih 56 ps,luyu 4/3 v v
18 m.130 2777 fadhil 41/2 ps.salam viii 3/9 v v
19 a.219 1259 rafa a.z 9bln ps.luyu 3/9 v v
20 a.219 1358 april 11 ps.luyu 3/9 v v
21 a.219 1429 ratmi 51 ps.luyu 3/9 v v
22 a.468 2778 fitri 8 ps.luyu 08/03 v v
23 a.429 2779 wiwin 37 ps.salam i 3/7 v v
24 j.52 2722 deti julaeha 56 ps.luyu 5/4 v v
25 w.61 2780 wiji rahayu w. ps.luyu 01/04 v v
26 j.19 2781 ai yuningsih 45 ps.luyu 5/5 v v
27 o.17 2782 oneng 45 ps.salam viii 6/9 v v
28 u.41 565 asya ai lani 41/2 ps.salam viii 4/9 v v
29 d.245 2783 wiwit witarsih 31 ps.luyu 05/05 v v
30 n.90 2227 nurshinta 14bln ps.luyu 5/3 v v
31 t.49 1766 wuri ermawati 38 ps.luyu 4/5 v v
32 t.49 409 aliya camelia 8 ps.luyu 4/5 v v
33 t.49 2784 alysa kirania 4 ps.luyu 4/5 v v
34 d.228 2501 darsih 50 ps.luyu 5/3 v v
35 k.29 2785 rini cahyani 10 ps.jaya 1/6 v v
36 a.470 2786 adang suyana 70 karapitan 06/05 v v
37 r.36 292 rasiyem 59 suryalaya x 8/4 v v
38 a.229 631 apong warti 77 ps.luyu 2/4 v v
39 d.173 2787 sri putri dwinur assyfa 8 ps.luyu 3/8 v v
40 y.110 1829 m.azriel 9bln ps.luyu 3/8 v v
41 s.196 1792 sulastri 61 kp.bojong v v
42 a.395 1913 lilis m. 46 ps.luyu 2/5 v v
43 t.50 1186 itoh 51 ps.luyu3/5 v v
44 s.254 2788 tesa 16 s.luyu selatan 4/9 v v
45 h.100 2789 ayu apriyana 17 ps.luyu 04/05 v v
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
16-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 S129 40 YANTI P 36 PSLUYU 5/4 V V
2 N10 2467 HJ NENENG P 74 SURYADARMA V V
3 I131 2524 DADAH YULIANA P 56 PSSALAM I 3/7 V
4 a.462 2790 nazwa p 14 ancol bbk.garut v v
5 a.462 2791 m.fathir l 6 ancol bbk.garut v v
6 r.141 1563 kiki haerunisa p 19 ps.luyu 5/5 v v
7 g.18 142 ginanjar l 59 winata 5/4 v v
8 r,189 2792 m.azriel l 9bln ps.luyu 9/3 v v
9 d.145 2333 yani p 45 ps.luyu 3/5 v v
10 e.102 1347 gilang a. l 11 ps.luyu 3/5 v v
11 e.102 1348 galang a. l 5 ps.luyu 3/5 v v
12 m.99 1323 septiani p 10 ps.luyu 5/5 v
13 a.450 2793 irsa hopipah p 8 ps.luyu 1/5 v v
14 n.87 1191 nandang l 69 ps.luyu 1/5 v v
15 o.46 1275 ojak l 57 ps.luyu 05/02 v v
16 d.226 2794 dodi mulyadi l 45 ps.luyu 5/4 v v
17 b.39 2795 budi ardiansyah l 40 ps.luyu 3/5 v v
18 b.39 2796 gia cristiawati p 13 ps.luyu 3/5 v v
19 d.174 1117 tiara p 3 ps.luyu 4/5 v v
20 i.35 491 ida darsih p 63 ps.salam v 6/9 v v
21 n.116 397 maemaunah p 60 ps.luyu 6/4 v v
22 a.327 1057 iyet suryati p 55 ps.luyu 5/2 v v
23 a.231 2317 dimas l 7 ancol 3/9 v v
24 a.231 2517 wiwi w p 48 ancol 3/9 v v
25 u.36 723 imas otin p 44 ps.luyu 1/4 v v
26 s.18 34 soepardi l 75 suryalaya xii v v
27 a.248 358 hafiz l 1 1/2 ps.luyu01/03 v v
28 a.352 1993 alfarina p 9 ps.salam viii 04/09 v v
29 d.77 1468 aqilla p 11bln ps.salam viiii 4/9 v v
30 d.77 2797 beti p 28 ps.salam viii 4/9 v v
31 y.77 438 rohaeti p 47 ps.huni raya 01/09 v v
32 a.171 1928 asep saepdin l 48 ps.luyu 3/7 v v
33 e.57 701 empu p 76 ps.luyu 6/4 v v
34 i.98 1336 sartini p 34 ps.luyu 6/4 v v
35 y.5 1241 yati p 51 ps.luyu 3/3 v v
36 y.93 2220 yono wijoyo l 52 ps.luyu 5/5 V v
37 y.93 1541 rita karmiati p 19 ps.luyu 5/5 V v
38 r.176 2392 siti maryam p 41 ps.luyu 1/5 v v
39 r.8 2798 fuji astuti p 24 ps.luyu v v
40 a.55 1093 arka m.fahri l 9 ps.luyu 5/5 v v
41 SRI RAHAYU P 61 POSBINDU RW 03 V V
42 RUSTIATI P 46 POSBNDUNU RW 03 V V
43 NENDI L 45 POSBINDU RW 03 V V
44 BUDI SETIAWAN L 46 POSBINDU RW 03 V V
45 ERI P 24 POSBINDU RW 03 V
46 MARI P 70 POSBINDU RW 03 V
47 SUSANTO L 75 POSBINDU RW 03 V
48 SUSI P 57 POSBINDU RW 03 V
49 TETI P 58 POSBINDU RW 03 V
50 AMILA P 23 POSBINDU RW 03 V
51 WIDIE P 28 POSBINDU RW 03 V
52 KARNA L 64 POSBINDU RW 03 V
53 KIKI P 33 POSBINDU RW 03 V
54 DARI L 26 POSBINDU RW 03 V
55 A.55 1860 HADIANI P 39 PS.LUYU 5/5 V V
56 C.38 2799 RINI PITRIANI P 25 PS.LUYU 06/04 V V
57 H12 878 ELI P 10 PSLUYU 1/3 V V
58 H12 2164 DELI P 6 PSLUYYU 1/3 V V
59 A438 2404 ANAH P 86 PSLUYU 2/2
60 R110 686 ROMALA L 55 SOETA V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
18-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 H27 257 Siti aisyah Pertiwi p 70 ps luyu hilir 38 v v
2 R189 2792 M AZRIEL L 9BL PSLUYU 9/3 V V
3 L32 2800 RAFASYA L 10B PSLUYU (CIMAHI) V V
4 L27 2421 LILI SUMARNA L 58 RIUNG SALUYU V V
5 E71 719 ENJU L 63 PSLUYU 5/3 V V
6 J49 2160 JUHAENI P 49 PSLUYU 5/3 V V
7 R132 769 ENUNG P 43 PSLUYU 2/1 V V
8 D228 2501 DARSIH P 49 PSLUYU 5/3 V V
9 Y67 2801 ERNA SARI P 22 PSLUYU 3/4 V V
10 Y67 2084 KAYLA P 2 PSLUYU 3/4 V V
11 S193 1758 ACAH P 65 PSLUYU V
12 F79 2802 FADLI L PSSALAM 3/7 V V
13 F79 2752 RATIH P 37 PSSALAM 3/7 V V
14 Y.55 1675 MIKHAYLA P 5BLN PS.SALAM VIII 4/9 V V
15 D.77 1468 AQRILLA THATITA P 11BLN PS.SALAM VIII 4/9 V V
16 W.62 2803 IDA SURYATI P 53 PS.LUYU 08/03 V V
17 E.148 1990 DAISAUMI P 10BLN PS.LUYU 1/5 V V
18 Y.113 1957 ANIS P 47 PS.LUYU 1/3 V V
19 K.29 2785 RINI CAHYANI P 10 PS.LUYU 1/6 V V
20 R.190 2804 RONI P 44 PS,SALAM VIII 4/9 V V
21 R.190 2805 ELIS SUTINI P 42 PS.SALAM VIII 4/9 V V
22 J.39 247 YANI P 40 PS.LUYU 5/4 V V
23 E.118 2027 M.RIZKY ARJUNA L 18BLN PS.LUYU 3/8 V V
24 S.55 1157 IIM P 37 PS.LUYU 3/5 V V
25 M.7 2808 HANI P 29 PS.LUYU 5/5 V V
26 F.5 2807 IR.FIKRI FARHAN L 49 PS.JAYA VI V
27 A.222 2808 JUNI SUPRIATNA P 23 PS.LUYU 4/4 V V
28 T.105 1920 TAMY WIDARSO L 40 SURYALAYA X 4/8 V V
29 A.147 2809 AYI SURYANA L 63 PALEDANG V
30 I103 148 KENSHIN L 10BLN PSJAYA IV 1/6 V V
31 S16 662 SRI REJEKI P 55 SURYALAYA VII NO.18 V V
32 C30 184 AMASIH P 46 PSLUYU 3/5 V V
33 U43 1502 AAH P 62 PSLUYU 5/3 V V
34 A378 2810 ASTI DESIANA P 38 PS SALAM 3/9 V V
35 A279 2811 NISWATU HASANAH P 37 SURYALAYA III V V
36 T15 185 AFKAR RIZKI L 7 BL PSLUYU 5/3 V V
37 D152 871 M. VALEM L 5 PSLUYU 2/3 V V
38 D201 1767 AMAR IRHAM L 4 SURYALAYA RAYA 3/4 V V
39 A55 957 M. RIZKY RAMADHAN L 10 BL PSLUYU 5/5 V V
40 A55 956 ATO SUGIANTO L 43 PSLUYU 5/5 V V
41 D.246 2812 DINI PURBANDINI P 61 SURYALAYA VII NO.18
V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
20-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 o46 1275 ojak L 56 psluyu 5/2 v v
2 o46 1276 YAYAH P 44 psluyu 5/2 V V
3 T76 538 TITA P 39 PSLUYU 7/4 V V
4 1949 SYIFA P 8 PSLUYU 7/4 V V
5 A471 2813 ACIH SETIASIH P 44 PSLUYU 2/5 V V
6 B30 2689 BUDI SETIABUDI L 67 SURYALAYA III V V
7 B30 1460 TUTI KURNIASIH P 63 SURYALAYA III V V
8 A124 183 AAH P 76 PSLUYU 4/9 V V
9 U44 1511 UCUM P 55 PSSALAM 4/9 V V
10 D140 1537 KEIRA P 6 CIATEUL 2/7 V V
11 Y96 2776 NENGSIH P 56 PSLUYU V V
12 A253 2744 SAMAS P 62 PSLUYU 5/3 V V
13 SITI HADIJAH P 70 POSYANDU RW V V
14 A241 2814 AEP SAEPUDIN P 47 PSLUYU 3/5 V BPJS TAMU
15 A472 2815 ARIE SOLEH PERMANAL 44 SURYALAYA III V V
16 U5 561 UKIT P 70 PSLUYU 5/4 V V
17 U5 2816 BUDI L 38 PSLUYU 5/4 V V
18 N90 2817 MARYATI P 34 PSLUYU 5/3 V V
19 D112/N66 366 NANI P 70 PSLUYU 5/5 V V
20 O30 1001 OMI P 78 PSLUYU 5/5 V V
21 P46 2206 KENNY APRILIANA P 19 PSLUYU 2/9 V V
22 A473 2818 ALBIANSYAH L 1,5 BAPRI 4/1 V V
23 Y93 898 AYU YOLANDA P 17 PSLUYU 5/5 V V
24 D119 2819 M YUKI ALFARIZI L 16B PSLUYU 9/3 V V
25 S77 627 NENI P 40 PSLUYU 4/5 V V
26 K43 559 DINI PUR P 18 PALSUYU 4/5 V V
27 B5 785 BEBEN L 51 SURYA V V V
28 W63 2821 WOWON SUNANDAR L 50 PALEDANG V V
29 W63 2822 M HAFIZ L 1 PALEDANG V V
30 H35 678 SARNI P 67 PSLUYU 5/5 V V
31 I125 2823 NAUFAL ZIDAN L 12 PALEDANG 4/4 V V
32 I125 2824 ANITA ERMINA P 47 PALEDANG 4/4 V V
33 K48 2022 YULIANA JUARSIH P 37 PSLUYU 5/4 V V
34 T111 2515 TRI WAHYUNINGSIH P SALENDRO V V BPJS TAMU
35 H66 880 YUYUN P 32 PSSALAM VIII V V
36 R36 292 RASIEM P 50 SURYALAYA X 8/4 V V
37 R171 2281 RIZQI AGTI L 35 SURYALAYA TIMUR V V
38 M91 79 MAMAH P 48 PSLUYU 1/5 V V
39 S255 2825 SULASTRI P 42 PSLUYU 3/5 V V
40 A468 2826 RATNA SARI P 26 PSLUYU 8/3 V V
41 U36 723 IMAS OTIH P 43 PSLUYU 1/4 V V
42 N146 2768 NURZAMAN L 48 JL. SUKAATI V V
43 I129 99 PRAWIRA L 10 PSLUYU 3/5 V V
44 O47 2827 AI DARYATI P 62 PSLUYU 6/1 V V
45 W51 2739 NURHASANAH P 23 PASIRLUYU 1/5 V V
46 E67 ENDANG L 54 PSLUYU 2/9 V V
47 E67 NUNUNG S P 52 PSLUYU 2/9 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
22-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARUPX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 T62 970 RAFFA SAEPUL L 1,5 PSSALAM SEL 5/9 V V
2 D232 2544 DADANG M L 36 TERUSAN SUKUP 7/6 V V
3 H89 1925 HARUNA L 60 PSLUYU 4/5 V V
4 U50 2828 UJANG TENI L 43 PSLUYU 9/3 V V
5 H51 1934 HADIJAH P 71 `BBK GARUT 2/8 V V
6 T16 2334 TITIN SURYATI P 53 PSLUYU 3/5 V V
7 P26 346 PUTRI SATRIANI P 27 PSSALAM 4/9 V V
8 A171 1928 ASEP SAEPUDIN L 47 SUKAMANA 3/7 V V
9 E157 2829 EGI WINDARA L 26 PSLUYU 5/4 V V
10 C47 RINA NURYANI P 4,7 THPASIRLUYU 5/5 V V
11 D140 2772 BENZEMA L 4 JL CIATEUL V
12 D140 NITA APRILIA P JL CIATEUL V V
13 D140 2674 DEDE MAULANA L JL CIATEUL V V
14 N88 230 NUNUNG P 68 PSLUYU V V
15 A244 1510 SUTARSIH P 74 PSLUYU 1/5 V V
16 O40 2486 OTIH ROSITA P 39 PSLUYU 7/3 V V
17 S191 1722 ANING KARWATI P 32 PSLUYU 7/3 V V
18 E158 2832 EPON KARTIKA P 48 PSLUYU 7/3 V V
19 N65 2833 YATI P 44 PSLUYU 6/4 V V
20 N65 1208 ALFATIH P 9 BLNPSLUYU 6/4 V V
21 S5 399 FAJAR 21 BLN PSLUYU 1/5 V V
22 C22 223 AMINAH P 45 PSLUYU 1/5 V V
23 A391 1873 NAFISA P 4,6 BAPRI8/1 V V
24 N125 1349 RAHMAWATI P 46 PSLUYU 5/2 V V
25 N148 2834 RENDI PERMANA L 23 PSLUYU 5/4 V V
26 U43 1502 AAH P 62 PSLUYU 5/3 V V
27 U24 360 BAGAS L 14 BLNPSLUYU 1/5 V V
28 N88 2835 TINA SUJANA P 48 MERAH DELIMA V V
29 A474 2836 AGUS GUNAWAN L 26 KEBONLEGA V V
30 R100 2176 ROZA L 68 PS JAYA TIMUR V V
31 A475 2838 GILSA P 2 PASIRLUYU 1/5 V V
32 A475 2837 ASEP ROHMAN L 29 PASIRLUYU 1/5 V V
33 E66 2839 ASEP HAMID L 32 PSLUYU 3/5 V V
34 A130 340 ITOH P 72 PASIRLUYU 8/4 V V
35 N 104 788 NANA JUHANAN L 40 PASIRLUYU 7/3 V V
36 M110 2154 MUMUN MUNIAH P 48 PSLUYU 2/4 V V
37 S256 2840 RIZKA P 24 LABUAN 3/4 V V
38 2841 EVANO RAKHA L 1 LABUAN 3/4 V V
39 A53 341 ADE SULAEMAN L 57 PSLUYU 4/3 V V
40 T71 356 TINA ROHAETI P 54 PSLUYU 7/3 V V
41 A158 355 EUTIK P 45 PSLUYU 7/3 V V
42 W61 2780 WIJI RAHAYU P 15 PSLUYU 1/4 V V
43 I33 250 MOMI P 67 PSSALAM 3/9 V V
44 S155 839 FIRZA L 6 PSSALAM 4/9 V V
45 H33 2542 NGATINEM P 42 PSLUYU 8/5 V V
46 E57 701 EMPU P 77 PSLUYU 6/4 V V
47 D173 2842 DANI ARIF L 16 PSLUYU 3/8 V V
48 A232 AGUNG BAFRIA L 56 PSSALAM 3/9 V V
49 Y90 218 YAYA L 52 PSSALAM 3/9 V V
50 Y90 829 YATI P 54 PSSALAM 3/9 V
51 S92 SAMADJI L 55 SURYALAYA ASRI 10/4 V V
52 D140 KEIRA P 4 CIATEUL V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
23-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 I141 2843 RANGGA ARIF L 22 PSLUYU 6/4 V V
2 D186 1368 ETI SUPRIATI P 53 PSLUYU 3/4 V V
3 J40 1648 SALMA P 3 PSLUYU 2/9 V V
4 U35 891 IRA MUTIARA P 23 PSLUYU 1/5 V V
5 S120 1338 SUMARNA L 58 PSLUYU 4/4 V V
6 I142 2845 MAS ELAH P 33 MENGGER 1/2 V V
7 I142 2846 SYAHLUNA P 4 MNGGER 1/2 V V
8 M131 2847 MUHAYANAH P 54 PSSALAM 1 NO.11 V V
9 A477 2848 DUDAH P 47 SURYALAYA IX V V
10 SITI HADIJAH P 70 POSYANDU V V
11 ISWANDI L 57 POSYANDU V V
12 AISYAH P 72 POSYANDU V V
13 ALI BENI L 61 POSYANDU V V
14 NIA P 37 POSYANDU V V
15 DIAN P 30 POSYANDU V V
16 H SYAMSUDIN P 77 POSYANDU V V
17 LIA P 64 POSYANDU V V
18 R89 2849 UCU JUANINGSIH P 78 SURYALAYA VII V V
19 I72 381 IDAH SADAH P 45 SURYALAYA XVIII V V
20 Y57 2558 YUNI P 43 SURYALAYA XVIII V V
21 A332 1128 NANI RUKMINI P 54 PSLUYU 2/4 V V
22 A219 2850 SANI P 20 PSLUYU 3/9 V V
23 M91 79 MAMAH P 48 PSLUYU 1/5 V V
24 E159 2851 ELIS SOLIHAH P 44 SURYALAYA IV V V
25 T83 2852 DEYANSYAH L 23 PSLUYU 1/4 V V
26 T83 1073 TATI SURYATI P 71 PSLUYU 1/4 V V
27 Y55 1408 EUIS SUHAETI P 45 PSSALAM VIII 4/9 V V
28 E98 469 IMAS P 46 PSLUYU 1/5 V V
29 H11 2623 ARYADI L 33 KEMBAR TIMUR V V
30 N143 2662 NOVIANTI P 27 PSLUYU 2/3 V V
31 I131 2524 DADAH YULIANA P 58 PSSALAM 3/7 V V
32 S139 509 R SITI FATIN P 24 SURYALAYA VII NO.30A
V V
33 E1 163 EDDY ISMARYONO L 65 SURYALAYA IV NO.18 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
24-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 f.68 225 aska 2 1/2 ps.luyu 7/4 v v
2 i.95 955 ismail hasyim 70 maskumbang v v
3 a.222 2705 nyai ratnasih 57 ps.luyu 4/4 v v
4 n.10 637 dhiya luthfi 21 ps.lyu v v
5 h.101 2855 yani d.satianingsih 47 ps.luyu 5/2 v v
6 e.160 2856 ina rosita 37 ps.luyu 1/5 v v
7 m.5 624 ibnu putra h 2 1/2 ps.lyu 5/3 v v
8 d.247 2857 novi 31 ps.luyu 2/5 v v
9 m.62 972 moh.amin 49 suryalaya 8/4 v v
10 h.102 2858 miiss darmawati 45 gumil v v
11 r.47 959 ida 49 cijagra i 4/2 v v
12 r.47 960 ica 66 cijagra i 4/2 v v
13 r.191 2859 ratna djuwita 67 suryalaya xii no.15 v v
14 i.42 2860 rizki 5 ps.luyu 5/4 v v
15 w.42 2861 koardin amsar 17 cikanpung 5/5 v v
16 d.198 2862 regina prayoga 9 sukamanah 3/7 v v
17 s.256 2841 evano r 13bln labuan dalam 3/4 v v
18 m.110 2154 mumun 49 ps.luyu 2/4 v v
19 a.169 2371 ai atik 42 ps.lyu 5/5 v v
20 r.176 2392 siti maryam 41 ps.luyu 1/5 v v
21 r.176 2863 dhiska m. 13 ps.luyu 01/05 v v
22 e.40 938 enok 60 ps.salam viii 4/9 v v
23 n.149 2864 moch irfan basil 13 ps.luyu 5/4 v v
24 a.283 673 rissal s 2 ps.luyu 2/5 v v
25 s.242 2619 suherman 68 mengger girang v v
26 m.126 2865 ayu sura s. 19 ps.lyu 5/2 v v
27 h.84 2866 lisda hermayantie 22 ps.luyu 2/5 v v
28 m.79 882 mamat 60 ps.salam viii 4/9 v v
29 r.192 2867 reza rivaldi p ps.jaya iii 1/6 v v
30 k.56 2868 nayla alzahra 13 suruyalaya i 5/4 v v
31 e.103 646 tina oktaviani 2 1/2 ps,luyu 5/4 v v
32 s.257 2869 euis kartini 74 ps.luyu 01/05 v v
33 p.48 2870 padil maulana 4 ps.luyu 03/05 v v
34 p.48 2871 salsa 20 ps.luyu 3/5 v v
35 o.18 734 oman 57 ps.luyu 8/4 v v
36 y.10 2872 neni narliani 36 ps.jaya iv 01/06 v v
37 d.239 2873 dedi junaedi 28 ps.luyu 03/07 v v
38 h.55 2874 luggie achmad 29 suryalaya v v
39 h.11 2330 pipit puspitasari 58 suryalaya v v
40 e.54 541 evi 35 ps.luyu 3/5 v v
41 e.54 2163 fahri 7 ps.luyu 3/5 v v
42 s.49 510 slamet kusnadi 60 suryalaya v v
43 u50 2828 ujang tdi 43 psluyu 9/3 v v
 UPT PUSKESMAS SURYALAYA
25-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 a.8 2625 chodijah 71 ps.luyu 3/6 v v
2 n.11 272 nenti 50 ps.luyu 8/3 v
3 o.40 2486 otih 39 ps.luyu 7/3 v
4 a.473 2873 asep kusnadi 46 bapri v
5 a.473 2876 dian triandini 37 bapri v
6 r.172 2304 rohayati 51 jalan dengki v
7 s.220 2157 leni 46 ps.luyu 03/05 v
8 d.27 1377 tita 46 ps.luyu 2/5 v
9 a.478 2877 agus 47 ps.luyu 3/1 v
10 r.193 716 dian arita 34 ps.luyu 4/9 v
11 r.89 2849 h.ucu 77 suryalaya ix v
12 l.16 419 lilis hustini 53 ps.luyu 01/04 v
13 h.13 318 hanifah 64 ps.lyu 4/3 v
14 a.479 2878 yani suryaningsih 50 ps.lyu 2/4 v
15 s.258 2879 saman 70 ardissasmita 2/3 v v
16 a.468 2778 fitri 9 ps.luyu 8/3 v
17 n.65 1208 al fatih 9bln ps.luyu 6/4 v
18 g.64 987 gungun anis sugara 36 sekar arum 6/4 v
19 b .42 2880 naura salsabila 5bln ps.luyu 5/2 v
20 l.24 2194 leman 45 ps.luyu 5/4 v
21 i.143 2881 ilham maulana 17 nursijan 8/5 v
22 i.143 2882 siti nurhayati 40 nursijan 8/5 v v
23 t.16 2334 titin suryati 54 ps.luyu 3/4 v
24 s.1 88 soegeng s 74 ps salam 3/9 v v
25 m.72 489 karmilah 46 ps.luyu 3/4 v
26 e.66 2839 asep hamid 32 ps.luyu 3/5 v
27 s.242 2619 suherman rusli 68 mengger girang 7/8 v
28 e.66 2883 dani abdul ghani 20 ps.luyu 3/5 v
29 a.480 2884 tia karmila 34 cintaasih 4/12 v v
30 a231 1831 hana aish salma p 4 ancol 3/9 v v
31 m55 1414 R MOCH AMIN L SURYALAYA VII V
32 R149 2885 RUKMANSYAH L 52 PSLUYU 2/5 V V
33 D78 2886 NABILAH P 3 PSLUYU 7/3 V V
34 C.27 2110 RIZKI JAFAR L 9 PS.LUYU 1/5 V V
35 C.27 735 KOMARIAH P 33 PS.LUYU 1/5 V V
36 M.32 2887 RAFI L 8 PS.JAYA 1/6 V V
37 M.32 1667 ENI MARSINI P 35 PS.JAYA 1/6 V V
38 R.105 2888 NONAH P 55 SURYALAYA BARU V V
39 O47 2827 AI DARYATI P 62 PS.LUYU 6/1 V V
40 T.32 2470 IMA ROHIMAH P 22 CIBALONG M.4/4 V V
41 M.159 2889 LIA YULIANTI P 30 SURYALAYA IV V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
26-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARUPX LAMANO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 a.260 339 aseng 60 ps.luyu v
2 a.118 acah 65 ps.luyu v
3 d.86 58 fitri yanti 29 ps.luyu v
4 t.2 2604 gatot 20 ps.salam v
5 a.171 1928 asep.s sukamanah 47 vi
6 i.121 168 iim h 48 bubat v v
7 n.65 2890 fikri m ps.luyu v
8 d.27 902 arsila 3 ps.luyu v
9 j.39 2287 nabila 2 1/2 ps.luyu v v
10 j.39 2286 nanda 7 ps.luyu v
11 j.39 247 yani 40 ps.luyu v
12 r .194 2891 cantika 5 1/2 ps.luyu v
13 d.53 566 siska m 27 ps.luyu v
14 y.128 2892 galuh 2 1/2 ps.luyu v v
15 u.11 57 nurhasah 19 ps.luyu v
16 d.78 786 dedi p 46 ps.luyu v
17 u.46 2893 uri.s 69 kerapitan v v
18 u.46 2894 popon s 62 kerapitan v v
19 f.68 225 aska 2 1/2 ps.luyu v v
20 s.4 216 shinta suryalaya 52 v
21 a.262 362 imas s 53 ps.luyu v
22 i.74 169 irma d 48 komp kopt v
23 s.16 662 sri 46 suryalaya v
24 u.24 464 rina s 20 ps.luyu v
25 g.15 869 zaskia p 10bln ps.luyu v
26 r.134 1477 arvino paledang 1 v
27 y.104 1305 eni wati 57 ps.luyu v
28 h.71 rudi 10 ps.luyu v
29 r5 263 SUSI SUSILAWATI P 27 PSLUYU 3/9 V V
30 I47 1009 INEU P
31 I47 2896 ATRIANA P 15 PSLUYU 1/3 V V
32 E57 329 ARFAN L 1 PSLUYU 3/5 V V
33 T.79 2897 TUTU JANE H L 26 PS.SALAM 03/07 V V
34 T37 859 TATANG SUNARYA L 56 SURYALAYA V V
35 T115 2898 TETI ROHAETI P 56 PASIRSALAM V V
37 S40 722 FURI AGUSTIN P 3 PASIRLUYU V V
38 S77 SOPANDI L 45 PASIRLUYU 4/5 V V
39 R.36 292 RASIEM P 51 SURYALAYA V V
40 K57 2900 KARTINI P 57 PSLUYU 5/5 V V
41 Y17 1892 YULIANA P 26 PSSLAM ASRI V V
42 D140 1537 KEIRA P 6 CIATEUL V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
27-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 2901 A442 CEP MUHAIMIN L 21 SURY VIII V V
2 160 W5 HRR WIKUSUMAH L 80 PSJAYA 5/6 V V
3 1638 A21 ANAH P 73 PSLUYU 2/9 V V
4 2357 Y120 YOSEP SUBAY L 45 JAKSA NARANATA V V
5 1744 S68 IIS P 37 PSLUYU 8/3 V V
6 1922 Y111 KARINA P 2 PSLUYU 5/5 V V
7 1833 A108 ANI SOPIANI P 44 PSLUYU 3/4 V V
8 415 S23 SUMIRAH P 66 PSLUYU 5/2 V V
9 82 A108 AGUS SUTISNA L PSLUYU /2
10 470 K31 KARTIKA P 57 PSLUYU 8/3 V V
11 2902 Y32 KHALISA PUTRI P 5 PSLUYU 1/4 V V
12 344 K29 IMAS JUJU P 38 PSJAYA 1/6 V V
13 2581 K29 JUJUN L 18 PSJAYA 1/6 V V
14 1934 H51 HADIJAH P 71 ANCOL 2/8 V V
15 1570 S.87 SARTIMAH P 65 PS.SALAM V V
16 1128 A.332 NANI RUKMNI P 56 PS.LUYU 2/4 V V
17 253 A250 AEP SAEPUDIN L 42 PSLUYU 3/5 V V
18 2904 I144 YAYAH P 67 SURYALAYA II NO.5 V V
19 270 S129 SISWANTO L 38 PSLUYU 5/4 V V
20 1904 E148 FANNAN L 6 PSLUYU 1/5 V V
21 2905 E148 HENDRA L 40 PSLUYU 1/5 V V
22 1333 N124 NIA ROHAYATI P PSLUYU 1/5 V V
23 1977 A400 YATI RUKMINI P PSLUYU 3/4 V V
24 2905 N124 MARNIANI P 36 PSLUYU 1/5 V V
25 Y.12 647 YANI P 47 PS.UYU 7/4 V V
26 U.13 2186 SILVIA HERLINA P 13 PSLUYU V V
27 A.132 1061 EDAH P 62 PS.LUYU V V
28 A.132 943 ITA JUWITA P 62 PS.SALAM V NO.17 V V
29 J.53 2907 HERNI P 47 PS.LUYU 05/04 V V
30 A.366 1738 ARINI P 46 PS.LUYU 5/2 V V
31 I.145 2905 CAHYATI P 57 PS.LUYU 9/3 V V
32 N.146 2768 NURZAMAN L 49 SUKAATI IV NO8 V V
33 P.48 2870 FADIL L 4 PS.LUYU 3/5 V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
29-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARUPX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 L.27 2421 LILI SUMARNA L 58 RIUNG BDG V V
2 D.20 1982 DIAH P 66 PS.LUHUR HILIR V V
3 D.248 2909 DIDI RUSTANDI L 42 PS.LUYU 5/5 V V
4 M.62 WINNY P 45 SURYALAYA VI 8/4 V V
5 R.195 2910 RIYAN RIYANTO L 28 GEMPOL 3/35 V V
6 D.90 766 DEDE SUPRIATNA L 62 KIRCON V V
7 A.311 942 ANGGA L 31 PS.SALAM ASTRI V V
8 T.15 185 M AFKAR RIZKI L 2BLN PS.LUYU 5/3 V V
9 T.15 1181 AZKA L 8 PS.LUYU 5/3 V V
10 S.259 2911 SATRIO ADHI L 25 KOMP PEMDA V V
11 B.39 2796 GIA KRISTIAWATI P 14 PS.LUYU 3/5 V V
12 S.55 1157 IIM P 38 PS.LUYU 3/5 V V
13 C.30 184 AMASIH P 46 PS.LUYU 3/5 V V
14 M.105 2912 TIARA MUSTIKA D. P 5BLN PS.LUYUN 7/4 V V
15 S.65 73 SOLICHIN L 24 SURYALAYA 02 V V
16 D.226 2746 SINTIA SUGIARTI P 12 PS.LUYU 5/4 V V
17 B.42 2880 NAURA S P 5BLN PS.LUYU 5/2 V V
18 H.103 2913 ADE RUSMIATI P 42 PS.JAYA RAYA V V
19 A.466 2914 ARFIEN PUITRA P L 23 KERAPITAN 4/5 V V
20 N.81 1376 AHMAD L 43 MERAH DELIMA II V V
21 Y.101 2915 JALU L 4 PS.LUYU 4/1 V V
22 Y.101 2916 ANANDA P 8 PS.LUYU 4/1 V V
23 O.26 336 OYO L 78 PS.LUYU 5/5 V V
24 Y.50 2917 ANISA P 26 PS.JAYA IV 1/6 V V
25 Y.50 2918 ZIKRI L 8 PS JAYA IV 1/6 V V
26 A.217 2919 TETI ST NURHAYATI P 43 PS.LUYU 3/5 V V
27 A.481 2920 AYI SUSANTO L 38 MERAH DELIMA II V V
28 A.482 2921 YANTI NURMAWATI P 34 SURYALAYA TENGAH
V V
29 E140 2335 ELI KARWATI P 52 PSLUYU 2/4 V V
30 Y129 2922 YAYAH P 77 PSLUYU 2/3 V V
31 U29 394 ENENG P 38 PSLUYU 7/3 V V
32 Y86 1519 CUCU SARTIKA P 44 PSLUYU 2/4 V V
33 D238 2923 YUNI TRESNAWATI P 39 PSLUYU 8/4 V V
34 Y57 2558 YUNI P 43 SURYALAYA XVII V V
35 R158 1901 REFI P 37 PSLUYU 89 V V
36 I72 381 IDAH SAADAH P 45 SURYALAYA NO.15 V V
37 E161 2924 ELIS MELANI P 23 TERUSAN BUBAT V V
38 U51 2926 HERMAWAN L 17 PSJAYA III V V
39 A296 2019 SULAEMAN L 24 PSLUYU 8/4 V V
40 A141 2148 ATIT P 62 SURYALAYA V V
 REGISTER PASIEN RAWAT JALAN
UPT PUSKESMAS SURYALAYA
30-Apr-19
CARA BAYAR POLIKLINIK
NO PX BARU PX LAMA NO SIK NAMA PASIEN JK U ALAMAT PBI
U MANDIRI NPBI UMUM KIA MTBS GIGI
APBD APBN
1 g.64 987 gungun anis s 36 sekar arum 6/4 v v
2 y.36 1656 nizam 3 suryalaya iii no.32 v v
3 y.36 2927 sulyanti 30 sulyanti v v
4 s.260 2928 hj edja 83 suryalaya iii no.32 v v
5 a.481 2920 ayi susanto 38 merah delima 2/6 v v
6 p.46 2929 pupun widangsih 48 ps.luyu 2/9 v v
7 s.158 907 hati hartika 52 ps.luyu 2/9 v v
8 a.278 906 cucu rodiyah 43 ps.luyu 2/9 v v
9 n.125 1349 rahmawati 47 ps.luyu 5/2 v v
10 a.165 2930 agus trilaksono 60 suryalaya xviii v v
11 a.11 580 mimin 48 ps.luyu 8/3 v v
12 a.456 2613 azka arka 2 cikawao v v
13 w.5 160 h.rr wikusumah 81 ps.jaya 5/6 v v
14 s.168 1145 andi g 4 ps.luyu 5/4 v v
15 h.5 2931 hanafi wirabrata 78 suryalaya iii v v
16 i.142 2845 mas elah 33 mengger 1/2 v v
17 y.26 2932 yayan suryana 44 karapitan 2/5 v v
18 d.76 2933 rd.h.djuhari 83 suryalaya v v
19 e.1 163 eddy ismaryono 67 suryalaya iv no.18 v v
20 a.383 366 anih 73 ps.luyu 3/1 v v
21 i.118 ina runia 52 ps.luyu 3/1 v
22 u41 1375 yuli 22 ps salam vii v v
23 d.250 531 ani hendayati 52 paledang 4/3 v v
24 a325 1057 iyet suryati 53 psluyu 5/2 v v
25 m102 1381 mujiati 51 suryalaya barat i v v
26 s.261 2934 subagiyo 58 jati 5/3 v v
27 d.119 1712 kirana 3 ps.luyu 9/3 v v