You are on page 1of 12

Noka PstNama Tgl Lahir Nm Prog PRB

1 DJAMASRI June 1949 Diabetes Mellitus


2 UMMI SAYEKTI ZAMANUN Sep-59 Diabetes Mellitus
3 ENDAH BUDI PRAJA WARDANI May 1969 Hypertensi
4 KUSONO August 1943 Hypertensi
5 WATINI Apr-59 Hypertensi
6 RASMINAH Nov-47 Hypertensi
7 ALI RONDI June 1942 Hypertensi
8 KODRIYAH Nov-53 Hypertensi
9 SUDARMI Apr-52 Diabetes Mellitus
10 MUNTIYANAH June 1948 Hypertensi
11 MURDI July 1946 Hypertensi
12 NURYANTI August 1954 Hypertensi
13 MUSATUN January 1950 Hypertensi
14 SITI MA'RIFATUN August 1950 Diabetes Mellitus
15 ZUBAIDAH Sep-50 Hypertensi
16 AHMADI May 1962 Hypertensi
17 SRI ISBANDIYAH July 1961 Diabetes Mellitus
18 ANSHORI July 1969 Hypertensi
19 SUPRATIKNYO January 1959 Diabetes Mellitus
20 SUMANTRAH February 1943 Hypertensi
21 SUHARTI July 1961 Hypertensi
22 MARIAMAH July 1954 Hypertensi
23 EKMAH July 1956 Diabetes Mellitus
24 SUHARTOPO January 1955 Hypertensi
25 SUHAIMI Apr-60 Hypertensi
26 ENDARIYATI NOR HIKMAH October 1972 Hypertensi
27 DARWATI June 1960 Diabetes Mellitus
28 MUSLIH December 1959 Hypertensi
29 TUNIYAH March 1949 Hypertensi
30 MUHYI February 1956 Hypertensi
31 KARMIYATI May 1967 Diabetes Mellitus
32 NURYANTO Sep-62 Hypertensi
33 SATRIA MAULANA Sep-91 Asthma
34 ROSIDI December 1965 Hypertensi
35 NIKMAH July 1961 Hypertensi
36 RUBIYONO October 1967 Hypertensi
37 NAFSIYAH December 1955 Hypertensi
38 MELISA SETYOWATI May 1994 Hypertensi
39 ANIS WATI July 1977 Hypertensi
40 SODIK January 1943 PPOK (Penyakit Paru Obstruktif K
41 SUCAHYONO Apr-56 Hypertensi
42 TRI WAHYUNI March 1950 Diabetes Mellitus
43 MUSTAHAL Sep-68 Hypertensi
44 SRI MUJIATI August 1952 Hypertensi
45 SUKEMI March 1963 Hypertensi
46 MUHAMMAD SOLEH December 1957 Hypertensi
47 SALIM July 1944 Hypertensi
48 MUHAMAD ABBAS July 1977 Penyakit Jantung
49 SITI MAESAROH June 1967 Diabetes Mellitus
50 MARSUDI October 1963 Diabetes Mellitus
51 MARIATI January 1962 Penyakit Jantung
52 DEDI SETIAWAN January 1984 PPOK (Penyakit Paru Obstruktif K
53 NURYATI December 1972 Diabetes Mellitus
54 ZARIAH Apr-70 Penyakit Jantung
55 MUDZAKIR June 1965 Diabetes Mellitus
56 ZUMAROH July 1972 Diabetes Mellitus
57 KASIYATI February 1972 Diabetes Mellitus
58 EDI SUNARTO June 1969 Diabetes Mellitus
59 MUNIKAH December 1960 Diabetes Mellitus
60 SITI FATIMAH December 1955 Diabetes Mellitus
61 SHOLICHATUN Sep-62 Diabetes Mellitus
62 SUKAHAR December 1955 PPOK (Penyakit Paru Obstruktif K
63 SUNARDI Nov-52 Hypertensi
Alamat No HP Year of Tgl Mulai % Aktif di FKTP % Pasif PRB
Suwawal timur RT 01 Rw 01 85388245855 2015 0:00 100:00:00
pulorejo 03/01 pwdd 81326432056 2015 0:00 100:00:00
Sinanggul 26/5 85290741716 2015 0:00 100:00:00
Sinanggul 32/6 85228331960 2015 0:00 100:00:00
Sekuro 7/2 81 2015 0:00 100:00:00
Jambu 19/4 85225727050 2015 0:00 100:00:00
Sinanggul 3/1 81901627815 2015 0:00 100:00:00
Sinanggul 25/5 81 2015 0:00 100:00:00
Mambak 1/1 0 2014 0:00 100:00:00
srobyong 03/02 mlonggo 0 2015 0:00 100:00:00
Jambu T 16/4 85290314390 2015 0:00 100:00:00
Jambu T 16/4 85290314390 2015 0:00 100:00:00
Jambu Timur 10/02 81 2015 0:00 100:00:00
mlonggo 8122885173 2014 0:00 100:00:00
KarangGondang 7/2 85257752905 2015 0:00 100:00:00
Sinanggul 3/1 85326478260 2015 0:00 100:00:00
sinanggul 24/4 291591507 2018 0:00 100:00:00
srobyong 3/3 mlonggo 82325769969 2016 0:00 100:00:00
JAMBU 28/6 81326497797 2018 0:00 100:00:00
Sinanggul 25/5 0 2014 0:00 100:00:00
Jambu Barat Rt 041/008 81325442929 2015 0:00 100:00:00
Sinanggul 20/4 85740557994 2015 0:00 100:00:00
mambak 01/03 0 2017 0:00 100:00:00
Srobyong 2/4 8122926043 2015 0:00 100:00:00
Jambu 4/1 85226568118 2015 0:00 100:00:00
sinanggul 39/8, mlonggo 0 2017 0:00 100:00:00
Jambu 27/6 85385897219 2014 0:00 100:00:00
Mlonggo 27/6 89501602572 2015 0:00 100:00:00
Suwawal 3/2 81227215871 2015 0:00 100:00:00
suwawal barat 4/2 813261158633 2019 0:00 100:00:00
KARANGGONDANG 2/8 82220105470 2019 0:00 100:00:00
Kedungrejo 40/8 818912915 2015 0:00 100:00:00
JAMBU T 14/3 81326739039 2019 0:00 100:00:00
Jambu 25/5 82324102199 2015 0:00 100:00:00
Sekacer 25/5 85228113194 2014 0:00 100:00:00
Sinanggul 25/5 85326032539 2015 0:00 100:00:00
Jambu 2/1 81 2015 0:00 100:00:00
SEKURO 30/07 89668137070 2019 0:00 100:00:00
Jambu T 30/6 81326646776 2014 0:00 100:00:00
SEKURO 12/3 85226038022 2019 0:00 100:00:00
Jambu 36/7 81326427786 2015 0:00 100:00:00
Jambu 36/7 81326427786 2015 0:00 100:00:00
Karanggondang 6/2 82133001308 2015 0:00 100:00:00
Sekuro 20/4 81219588758 2015 0:00 100:00:00
Karanggondang 2/4 85200175676 2015 0:00 100:00:00
Jambu 43/8 85229896055 2015 0:00 100:00:00
Sinanggul 20/4 81 2015 0:00 100:00:00
SUWAWAL DEMELING 3/1 81326115833 2018 0:00 100:00:00
JAMBU RT 42/8 291591507 2019 0:00 100:00:00
MAMBAK 1/2 85910674811 2019 0:00 100:00:00
SUWAWAL 2/2 291591507 2018 0:00 100:00:00
SEKURO 15/3 81225333206 2019 0:00 100:00:00
MULYOHARJO 2/3 82158208016 2019 0:00 100:00:00
KUWASEN 12/4 81328565049 2019 0:00 100:00:00
JAMBU 10/3 85226316663 2019 0:00 100:00:00
JAMBU T05/1 81218250354 2018 0:00 100:00:00
srobyong 2/1 85376123921 2018 0:00 100:00:00
SINANGGUL 42/8 82243775750 2018 0:00 100:00:00
JAMBU TIMUR 24/5 81326533392 2018 0:00 100:00:00
SUWAWAL 1/2 291591507 2019 0:00 100:00:00
JAMBU TIMUR 7/2 82221158108 2018 0:00 100:00:00
JAMBU TIMUR 8/2 85292244553 2018 0:00 100:00:00
SINANGGUL 27/5 85290338374 2019 0:00 100:00:00
NO Nama No BPJS Tgl Lahir
1 DJAMASRI June 1949
2 UMMI SAYEKTI ZAMANUN 73657629 Sep-59
3 ENDAH BUDI PRAJA WARDANI 93575439 May 1969
4 KUSONO 93691732 August 1943
5 WATINI 93768647 Apr-59
6 RASMINAH 93769018 Nov-47
7 ALI RONDI 93769165 June 1942
8 KODRIYAH 93771213 Nov-53
9 SUDARMI 93772552 Apr-52
10 MUNTIYANAH 93773182 June 1948
11 MURDI 93773204 July 1946
12 NURYANTI 93773215 August 1954
13 MUSATUN 93773338 January 1950
14 SITI MA'RIFATUN August 1950
15 ZUBAIDAH 93915911 Sep-50
16 AHMADI 93923954 May 1962
17 SRI ISBANDIYAH 93940086 July 1961
18 ANSHORI 93950098 July 1969
19 SUPRATIKNYO 125950577 January 1959
20 SUMANTRAH 167451186 February 1943
21 SUHARTI July 1961
22 MARIAMAH 200188798 July 1954
23 EKMAH 596149165 July 1956
24 SUHARTOPO 1084520957 January 1955
25 SUHAIMI Apr-60
26 ENDARIYATI NOR HIKMAH October 1972
27 DARWATI 1268983089 June 1960
28 MUSLIH 1280204706 December 1959
29 TUNIYAH 1288872044 March 1949
30 MUHYI February 1956
31 KARMIYATI 1327534075 May 1967
32 NURYANTO 1423154081 Sep-62
33 SATRIA MAULANA 1434964926 Sep-91
34 ROSIDI 1441524521 December 1965
35 NIKMAH 1443526683 July 1961
36 RUBIYONO 1443527908 October 1967
37 NAFSIYAH 1466028382 December 1955
38 MELISA SETYOWATI 1698257327 May 1994
39 ANIS WATI 1796978013 July 1977
40 SODIK 1798302036 January 1943
41 SUCAHYONO 1799908176 Apr-56
42 TRI WAHYUNI 1799909695 March 1950
43 MUSTAHAL 1800359199 Sep-68
44 SRI MUJIATI 1810642252 August 1952
45 SUKEMI 1820180261 March 1963
46 MUHAMMAD SOLEH 1823729916 December 1957
47 SALIM 1841873995 July 1944
48 MUHAMAD ABBAS 1901314102 July 1977
49 SITI MAESAROH 1904340802 June 1967
50 MARSUDI 1962962065 October 1963
51 MARIATI 2035799008 January 1962
52 DEDI SETIAWAN 2059254415 January 1984
53 NURYATI December 1972
54 ZARIAH 2059720031 Apr-70
55 MUDZAKIR 2064367203 June 1965
56 ZUMAROH July 1972
57 KASIYATI 2227682733 February 1972
58 EDI SUNARTO 2308795841 June 1969
59 MUNIKAH 2325130143 December 1960
60 SITI FATIMAH 2419867877 December 1955
61 SHOLICHATUN 2437446363 Sep-62
62 SUKAHAR 2469996753 December 1955
63 SUNARDI 2500369143 Nov-52
Nm Prog PRB Alamat No HP Ket
Diabetes Mellitus Suwawal timur RT 01 Rw 01 85388245855 Meninggal
Diabetes Mellitus pulorejo 03/01 pwdd 81326432056
Hypertensi Sinanggul 26/5 85290741716
Hypertensi Sinanggul 32/6 85228331960
Hypertensi Sekuro 7/2 81 PASIF
Hypertensi Jambu 19/4 85225727050 PASIF
Hypertensi Sinanggul 3/1 81901627815
Hypertensi Sinanggul 25/5 81
Diabetes Mellitus Mambak 1/1 0 PASIF
Hypertensi srobyong 03/02 mlonggo 0
Hypertensi Jambu T 16/4 85290314390
Hypertensi Jambu T 16/4 85290314390
Hypertensi Jambu Timur 10/02 81 PASIF
Diabetes Mellitus mlonggo 8122885173
Hypertensi KarangGondang 7/2 85257752905
Hypertensi Sinanggul 3/1 85326478260
Diabetes Mellitus sinanggul 24/4 291591507
Hypertensi srobyong 3/3 mlonggo 82325769969
Diabetes Mellitus JAMBU 28/6 81326497797
Hypertensi Sinanggul 25/5 0
Hypertensi Jambu Barat Rt 041/008 81325442929
Hypertensi Sinanggul 20/4 85740557994
Diabetes Mellitus mambak 01/03 082 241 609 364 Belum Prolanis
Hypertensi Srobyong 2/4 8122926043 PASIF
Hypertensi Jambu 4/1 85226568118 MENINGGAL
Hypertensi sinanggul 39/8, mlonggo 0
Diabetes Mellitus Jambu 27/6 85385897219
Hypertensi Mlonggo 27/6 89501602572
Hypertensi Suwawal 3/2 81227215871
Hypertensi suwawal barat 4/2 813261158633
Diabetes Mellitus KARANGGONDANG 2/8 82220105470
Hypertensi Kedungrejo 40/8 818912915 PASIF
Asthma JAMBU T 14/3 81326739039
Hypertensi Jambu 25/5 82324102199
Hypertensi Sekacer 25/5 85228113194
Hypertensi Sinanggul 25/5 85326032539
Hypertensi Jambu 2/1 81
Hypertensi SEKURO 30/07 89668137070
Hypertensi Jambu T 30/6 81326646776
PPOK (Penyakit Paru ObstrukSEKURO 12/3 85226038022
Hypertensi Jambu 36/7 81326427786 Belum prolanis
Diabetes Mellitus Jambu 36/7 81326427786 Belum Prolanis
Hypertensi Karanggondang 6/2 82133001308
Hypertensi Sekuro 20/4 81219588758
Hypertensi Karanggondang 2/4 85200175676
Hypertensi Jambu 43/8 85229896055
Hypertensi Sinanggul 20/4 Belum Prolanis
Penyakit Jantung SUWAWAL DEMELING 3/1 81326115833 PASIF
Diabetes Mellitus JAMBU RT 42/8 291591507 Belum prolanis
Diabetes Mellitus 85910674811
Penyakit Jantung SUWAWAL 2/2 291591507
PPOK (Penyakit Paru ObstrukSEKURO 15/3 81225333206
Diabetes Mellitus MULYOHARJO 2/3 82158208016
Penyakit Jantung KUWASEN 12/4 81328565049
Diabetes Mellitus JAMBU 10/3 85226316663
Diabetes Mellitus JAMBU T05/1 81218250354
Diabetes Mellitus srobyong 2/1 85376123921 PASIF
Diabetes Mellitus SINANGGUL 42/8 82243775750
Diabetes Mellitus JAMBU TIMUR 24/5 81326533392 Belum Prolanis
Diabetes Mellitus SUWAWAL 1/2 291591507
Diabetes Mellitus JAMBU TIMUR 7/2 82221158108
PPOK (Penyakit Paru ObstrukJAMBU TIMUR 8/2 85292244553
Hypertensi SINANGGUL 27/5 85290338374
NO Nama No BPJS Tgl Lahir
1 DJAMASRI June 1949
2 UMMI SAYEKTI ZAMANUN 73657629 Sep-59
3 ENDAH BUDI PRAJA WARDANI 93575439 May 1969
4 KUSONO 93691732 August 1943
5 WATINI 93768647 Apr-59
6 RASMINAH 93769018 Nov-47
7 ALI RONDI 93769165 June 1942
8 KODRIYAH 93771213 Nov-53
9 SUDARMI 93772552 Apr-52
10 MUNTIYANAH 93773182 June 1948
11 MURDI 93773204 July 1946
12 NURYANTI 93773215 August 1954
13 MUSATUN 93773338 January 1950
14 SITI MA'RIFATUN August 1950
15 ZUBAIDAH 93915911 Sep-50
16 AHMADI 93923954 May 1962
17 SRI ISBANDIYAH 93940086 July 1961
18 ANSHORI 93950098 July 1969
19 SUPRATIKNYO 125950577 January 1959
20 SUMANTRAH 167451186 February 1943
21 SUHARTI July 1961
22 MARIAMAH 200188798 July 1954
23 EKMAH July 1956
24 SUHARTOPO 1084520957 January 1955
25 SUHAIMI Apr-60
26 ENDARIYATI NOR HIKMAH October 1972
27 DARWATI 1268983089 June 1960
28 MUSLIH 1280204706 December 1959
29 TUNIYAH 1288872044 March 1949
30 MUHYI February 1956
31 KARMIYATI 1327534075 May 1967
32 NURYANTO 1423154081 Sep-62
33 SATRIA MAULANA 1434964926 Sep-91
34 ROSIDI 1441524521 December 1965
35 NIKMAH 1443526683 July 1961
36 RUBIYONO 1443527908 October 1967
37 NAFSIYAH 1466028382 December 1955
38 MELISA SETYOWATI 1698257327 May 1994
39 ANIS WATI 1796978013 July 1977
40 SODIK 1798302036 January 1943
41 SUCAHYONO Apr-56
42 TRI WAHYUNI March 1950
43 MUSTAHAL 1800359199 Sep-68
44 SRI MUJIATI 1810642252 August 1952
45 SUKEMI 1820180261 March 1963
46 MUHAMMAD SOLEH 1823729916 December 1957
47 SALIM 1841873995 July 1944
48 MUHAMAD ABBAS 1901314102 July 1977
49 SITI MAESAROH 1904340802 June 1967
50 MARSUDI 1962962065 October 1963
51 MARIATI 2035799008 January 1962
52 DEDI SETIAWAN 2059254415 January 1984
53 NURYATI December 1972
54 ZARIAH 2059720031 Apr-70
55 MUDZAKIR 2064367203 June 1965
56 ZUMAROH July 1972
57 KASIYATI 2227682733 February 1972
58 EDI SUNARTO 2308795841 June 1969
59 MUNIKAH 2325130143 December 1960
60 SITI FATIMAH 2419867877 December 1955
61 SHOLICHATUN 2437446363 Sep-62
62 SUKAHAR 2469996753 December 1955
63 SUNARDI 2500369143 Nov-52
64 Sistiningsih 2272788819
65 Suhardjono 1434962981
66 Khomsatun 2613868187
67 Suyono 1451566618
68 SRI MURTI 2226069382
69 Dwi Fatmawati 2241555985
Nm Prog PRB Alamat No HP Ket
Diabetes Mellitus Suwawal timur RT 01 Rw 01 85388245855 Meninggal
Diabetes Mellitus pulorejo 03/01 pwdd 81326432056
Hypertensi Sinanggul 26/5 85290741716
Hypertensi Sinanggul 32/6 85228331960
Hypertensi Sekuro 7/2 81
Hypertensi Jambu 19/4 85225727050
Hypertensi Sinanggul 3/1 81901627815
Hypertensi Sinanggul 25/5 81
Diabetes Mellitus Mambak 1/1 0
Hypertensi srobyong 03/02 mlonggo 0
Hypertensi Jambu T 16/4 85290314390
Hypertensi Jambu T 16/4 85290314390
Hypertensi Jambu Timur 10/02 81
Diabetes Mellitus mlonggo 8122885173
Hypertensi KarangGondang 7/2 85257752905
Hypertensi Sinanggul 3/1 85326478260
Diabetes Mellitus sinanggul 24/4 291591507
Hypertensi srobyong 3/3 mlonggo 82325769969
Diabetes Mellitus JAMBU 28/6 81326497797
Hypertensi Sinanggul 25/5 0
Hypertensi Jambu Barat Rt 041/008 81325442929
Hypertensi Sinanggul 20/4 85740557994
Diabetes Mellitus mambak 01/03 0
Hypertensi Srobyong 2/4 8122926043
Hypertensi Jambu 4/1 85226568118 MENINGGAL
Hypertensi sinanggul 39/8, mlonggo 0
Diabetes Mellitus Jambu 27/6 85385897219
Hypertensi Mlonggo 27/6 89501602572
Hypertensi Suwawal 3/2 81227215871
Hypertensi suwawal barat 4/2 813261158633
Diabetes Mellitus KARANGGONDANG 2/8 82220105470
Hypertensi Kedungrejo 40/8 818912915
Asthma JAMBU T 14/3 81326739039
Hypertensi Jambu 25/5 82324102199
Hypertensi Sekacer 25/5 85228113194
Hypertensi Sinanggul 25/5 85326032539
Hypertensi Jambu 2/1 81
Hypertensi SEKURO 30/07 89668137070
Hypertensi Jambu T 30/6 81326646776
PPOK (Penyakit Paru ObstrukSEKURO 12/3 85226038022
Hypertensi Jambu 36/7 81326427786
Diabetes Mellitus Jambu 36/7 81326427786
Hypertensi Karanggondang 6/2 82133001308
Hypertensi Sekuro 20/4 81219588758
Hypertensi Karanggondang 2/4 85200175676
Hypertensi Jambu 43/8 85229896055
Hypertensi Sinanggul 20/4 81
Penyakit Jantung SUWAWAL DEMELING 3/1 81326115833
Diabetes Mellitus JAMBU RT 42/8 291591507
Diabetes Mellitus MAMBAK 1/2 85910674811
Penyakit Jantung SUWAWAL 2/2 291591507
PPOK (Penyakit Paru ObstrukSEKURO 15/3 81225333206
Diabetes Mellitus MULYOHARJO 2/3 82158208016
Penyakit Jantung KUWASEN 12/4 81328565049
Diabetes Mellitus JAMBU 10/3 85226316663
Diabetes Mellitus JAMBU T05/1 81218250354
Diabetes Mellitus srobyong 2/1 85376123921
Diabetes Mellitus SINANGGUL 42/8 82243775750
Diabetes Mellitus JAMBU TIMUR 24/5 81326533392
Diabetes Mellitus SUWAWAL 1/2 291591507
Diabetes Mellitus JAMBU TIMUR 7/2 82221158108
PPOK (Penyakit Paru ObstrukJAMBU TIMUR 8/2 85292244553
Hypertensi SINANGGUL 27/5 85290338374
CHF/ PRB
CHF/ PRB
Stroke/PRB
Stroke/PRB

CHF/ PRB hipertiroid

You might also like