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  • Format C1 Laporan Kasuscampak Bulan April: Dinas Kesehatan: Kabupaten Sukabumi Provinsi: Jawa Barat

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    This document is a measles case report from April 2014 in Sukabumi Regency, West Java Province. It includes 6 reported measles cases with details of patient name, parent name, address, age, sex, vaccination history, date of onset, date sample collected, test results, vitamin A administration, and classification. All 6 cases were classified as confirmed measles without laboratory confirmation of rubella. The report was generated on April 24, 2014.

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    Format c1 April 2014

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    This document is a measles case report from April 2014 in Sukabumi Regency, West Java Province. It includes 6 reported measles cases with details of patient name, parent name, address, age, sex, vaccination history, date of onset, date sample collected, test results, vitamin A administration, and classification. All 6 cases were classified as confirmed measles without laboratory confirmation of rubella. The report was generated on April 24, 2014.

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    4 views1 page

    Format C1 Laporan Kasuscampak Bulan April: Dinas Kesehatan: Kabupaten Sukabumi Provinsi: Jawa Barat

    Uploaded by

    RISWAN
    This document is a measles case report from April 2014 in Sukabumi Regency, West Java Province. It includes 6 reported measles cases with details of patient name, parent name, address, age, sex, vaccination history, date of onset, date sample collected, test results, vitamin A administration, and classification. All 6 cases were classified as confirmed measles without laboratory confirmation of rubella. The report was generated on April 24, 2014.

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    © All Rights Reserved
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    of 1

    FORMAT C1

    LAPORAN KASUSCAMPAK
    BULAN APRIL

    DINAS KESEHATAN : KABUPATEN SUKABUMI


    PROVINSI : JAWA BARAT

    No. Epid Kasus Nama Nama Alamat Lengkap Umur/Sex Vaksin Tanggal Timbul Tanggal Diambil Hasil Diberi Keadaan Klasifikasi Final
    Anak Orang Tua (Desa/RT/RT) Speciment Vit A Akhir
    L P Brp Kali Tidak/ Dema Rash Darah Urine Darah Urine (Y/T) (H/M) Campak Rubella Bukan
    Tidak m Lab (+) Eid Klinis Lab (+) Campak/Rub
    Tahu
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
    10.16.46.14.001 An. Vijay TN. Kp. Babakan 15 2 - 10/04/ 15/04/ - - - - Y H - - - - -
    Ruswandi Ciguha, 04/03, Thn 2014 2014
    Des. Cibitung
    10.16.46.14.002 An. Andi Tn. Dasep Kp. Babakan 15 2 - 10/04/ 15/04/ 24/04/ - 3 Ml - Y H - - - - -
    Ciguha, 03/03, Thn 2014 2014 2014
    Des. Cibitung
    10.16.46.14.003 An. Dayu Tn. Papud Kp. Ciomas, 15 2 - 14/04/ 17/04 - - - - Y H - - - - -
    03/08, Des. Thn 2014 2014
    Banyumurni
    10.16.46.14.004 An. Tn. Kp. Emang, 15 2 - 09/04/ 13/04/ 24/04/ - 3 Ml - Y H - - - - -
    Nuranisa Dadang 01/05, Des. Thn 2014 2014 2014
    Banyumurni
    10.16.46.14.005 An. Intan TN. Iwan Kp. Simpang, 14 2 - 12/04/ 16/04/ - - - - Y H - - - - -
    07/02, Des. Thn 2014 2014
    Banyumurni
    10.16.46.14.006 Tn. Kp. Emang, 2 - 24/04/ - 3 Ml - Y H - - - - -
    Dadang 01/05, Des. 2014
    Banyumurni

    Sukabumi, 24 April 2014


    Surveilans

    Riswan Nurdiansyah Amd Kep

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