REKAM UMUR

NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA

MEDIS
L P
1 2 3 4 5 6 7

Dsn Girisetra
32072152106200 02/03 Ds
1 8/8/2017 Neneh Tursinah 55 01 Kalipucang Neck Pain

Dsn Cintamaju
32072167066700 06/02 Ds OA Genu
2 8/12/2017 Hendraisah 50 01 Tunggilis Sinistra

Dsn Girisetra
32072152106200 02/03 Ds
3 8/14/2017 Neneh Tursinah 55 01 Kalipucang Neck Pain

Dsn Girisetra
32072152106200 02/03 Ds
4 8/28/2017 Neneh Tursinah 55 01 Kalipucang Myalgia

Dsn Girisetra
32072152106200 02/03 Ds
5 8/30/2017 Neneh Tursinah 55 01 Kalipucang Myalgia

Dsn Cintamaju
32072167066700 06/02 Ds OA Genu
6 8/30/2017 Hendraisah 50 01 Tunggilis Sinistra

Dsn
Karanggondang
32072170116600 01/09 Ds OA Genu
7 8/30/2017 Nining 51 01 Putrapinggan Bilateral

Dsn Sukamaju
32072151036700 04/10 Ds OA Genu
8 8/30/2017 Ecih 50 04 Tunggilis Dextra
 Dsn Girisetra
32072152106200 02/03 Ds
9 8/30/2017 Neneh Tursinah 55 01 Kalipucang Myalgia

Dsn Cintamaju
32072167066700 06/02 Ds OA Genu
10 8/30/2017 Hendraisah 50 01 Tunggilis Sinistra

Dsn Cintamaju
32072153103900 05/02 Ds Rad Lumbal
11 8/31/2017 Siti Aisah 78 01 Tunggilis Syndrome

Dsn Ciawitali
32072150016300 01/08 Ds OA Genu
12 8/31/2017 Suryati 54 01 Pamotan Bilateral
 RESPON
MODALITAS QUANTY MODALITAS KENDALA SOLUSI
TIME

8 9 10 11 12

- Ultrasound
Terapi 1 09.20 s/d
- Tens 1 09.45

- Infra Red
Terapi 1

- Infra Red 10.10 s/d

Terapi 1 10.30
- Tens 1

- Ultrasound
Terapi 1 11.08 s/d
11.30
- Infra Red
Terapi 1
- Tens 1

- Ultrasound
Terapi 1 11.20 s/d
11.45
- Infra Red
Terapi 1
- Tens 1

- Ultrasound
Terapi 1
09.22 s/d
- Infra Red 09.50
Terapi 1
- Tens 1
- Massage 1

- Infra Red 10.15 s/d

Terapi 1 10.25

11.00 s/d
- Tens 1 11.20

- Infra Red
Terapi 1

- Infra Red
Terapi 1 11.45 s/d
12.00
 11.45 s/d
12.00
- Terapi
Latihan 1
- Tens 1

- Ultrasound
Terapi 1
12.30 s/d
- Infra Red 12.55
Terapi 1
- Tens 1
- Massage 1

- Infra Red 13.00 s/d

Terapi 1 13.20
- Tens 1

- Infra Red
Terapi 1
- Tens 1
08.10 s/d
- Terapi 08.55
Latihan 1

- Ultrasound
Terapi 1

- Ultrasound
Terapi 1 09.11 s/d
09.37
- Infra Red
Terapi 1
- Tens 1
NO TANGGAL NAMA PASIEN UMUR NOMOR KTP/KK ALAMAT DIAGNOSA
1 2 3 L P 5 6 7
Cintamaju 5/2 Rad Lumbal
1 9/2/2017 Ny Siti Aisah 78 3207215310390001 Tunggilis Syndrome

Stifness m.
Sukamaju 4/10 lower flexor
2 9/2/2017 Ny Ecih 50 3207215103670004 Tunggilis hip

Sukamaju 4/10 Rad Lumbal

3 9/2/2017 Tn. Sarmin 54 3207210507630004 Tunggilis Syndrome

Karang gondang 1/9 OA Genu

4 9/4/2017 Ny Nining 50 3207217011660001 Putrapinggan Bilateral

Empangsari 4/6 Stifness M.

5 4-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Sukamaju 04/10 Rad Lumbal

6 5-Sep-17 Tn. Sarmin 55 3207210507630004 Tunggilis Syndrome

Stifness m.
Sukamaju 4/10 lower flexor
7 5-Sep-17 Ny Ecih 50 3207215103670004 Tunggilis hip

Sukamaju 03/10
8 5-Sep-17 TN Maman 54 3207210709630003 Tunggilis Myalgia

Cintamaju 5/2 Rad Lumbal

9 6-Sep-17 Ny Siti Aisah 78 3207215310390001 Tunggilis Syndrome
 Empangsari 4/6 Stifness M.
10 6-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Empangsari 4/6 Stifness M.

11 8-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Sukarenah 4/7
12 8-Sep-17 Ny. Wini M 29 3207205507880002 Padaherang Ischialgia
Cintamaju 5/2 OA Genu
13 8-Sep-17 Ny. Hendraisah 50 3207216706670001 Tunggilis Bilateral

Cintamaju 5/2 Rad Lumbal

14 9-Sep-17 Ny. Hj. Siti Aisah 78 3207215310390001 Tunggilis Syndrome
OA Genu
Bilateral

Girisetra 2/3
15 9-Sep-17 NY. Neneh Tursinah 55 3207215210620000 Kalipucang Myalgia

Empangsari 4/6 Rad Lumbal

16 11-Sep-17 Saebah 67 3207214803500000 Kalipucang Syndrome

Empangsari 4/6 Rad Lumbal

17 11-Sep-17 Nyi Maemunah 55 3207324112530002 Kalipucang Syndrome

Empangsari 4/6 Stifness M.

18 11-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Karang gondang 1/9 OA Genu

19 11-Sep-17 Ny Nining 50 3207217011660001 Putrapinggan Bilateral

Empangsari 1/5 Radiculopaty

20 12-Sep-17 Ny. Hj. Lina Siti Herm 59 3207214810580000 Kalipucang Cervical

OA
Glenohumeral
joint
 Sukamaju 3/10
21 12-Sep-17 Tn. Maman 54 3207210709630003 Tunggilis Myalgia

Empangsari 4/6 Stifness M.

22 13-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Cintamaju 5/2 Rad Lumbal

23 13-Sep-17 Ny. Hj. Siti Aisah 78 3207215310390001 Tunggilis Syndrome
OA Genu
Bilateral

Empangsari 4/6 Rad Lumbal

24 14-Sep-17 Nyi Maemunah 64 3207324112530002 Kalipucang Syndrome

Empangsari 4/6 OA & Palicitis

25 14-Sep-17 Ny. Eti Sukaeti 55 3207215012620002 Kalipucang Plantaris

Empangsari 3/4
26 14-Sep-17 Ny. Surjatun 76 3207215404410001 Kalipucang OA & Myalgia

Empangsari 4/6 Rad Lumbal

27 14-Sep-17 Ny. Saebah 67 3207214803500001 Kalipucang Syndrome

Empangsari 4/6 Rad Lumbal

28 14-Sep-17 Ny. Muyasaroh 68 3207214105490001 Kalipucang Syndrome

Sukamaju 2/10 Post Stroke

29 14-Sep-17 Ny. Kokom 57 320721430660004 Tunggilis Hemiparase D

Empangsari 4/6
30 15-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang Stifness Hip

Empangsari 3/4
31 16-Sep-17 Ny. Surjatun 76 3207215404410001 Kalipucang OA & Myalgia
 Cintamaju 5/2 Rad Lumbal
32 16-Sep-17 Ny. Hj. Siti Aisah 78 3207215310390001 Tunggilis Syndrome
OA Genu
Bilateral

Empangsari 1/5 Radiculopaty

33 16-Sep-17 Ny. Hj. Lina Siti Herm 59 3207214810580002 Kalipucang Cervical
Myalgia

Empangsari 4/6 OA Genu

34 18-Sep-17 Ny. Saebah 67 3207214803500001 Kalipucang Bilateral

Empangsari 4/6 OA & Palicitis

35 18-Sep-17 Ny. Eti Sukaeti 55 3207215012620002 Kalipucang Plantaris

Empangsari 4/6 Rad Lumbal

36 18-Sep-17 Ny. Muyasaroh 68 3207214105490001 Kalipucang Syndrome

Empangsari 3/4
37 18-Sep-17 Ny. Surjatun 76 3207215404410001 Kalipucang OA & Myalgia

Empangsari 01/05 OA Genu

38 19-Sep-17 Tn. Keri Basimin 65 3207211105520002 Kalipucang Dextra

Empangsari 4/6 Stifness M.

39 19-Sep-17 Tn. Eno 69 3207321201480001 Kalipucang adductor Hip

Sukamaju 4/10 Radiculopaty

40 19-Sep-17 Tn. Sarmin 54 3207210507630004 Tunggilis Lumbal
OA Genu
Bilateral

Stifness m.
Sukamaju 4/10 lower flexor
41 19-Sep-17 Ny. Ecih 50 3207215103670004 Tunggilis hip

Sindangkasih 9/10
42 19-Sep-17 NY. Ecin 46 3207216404710000 Banjarharja Triger finger
 Empangsari 3/6
43 20-Sep-17 Ny. Eruk Rukiah 49 3207215305680001 Kalipucang CTS

Cintamaju 5/2 Rad Lumbal

44 20-Sep-17 Ny. Hj. Siti Aisah 78 3207215310390001 Tunggilis Syndrome
OA Genu
Bilateral

Empangsari 01/05 OA Genu

45 22-Sep-17 Tn. Keri Basimin 65 3207211105520002 Kalipucang Dextra

Sindangkasih 9/10
46 22-Sep-17 NY. Ecin 46 3207216404710000 Banjarharja Triger finger

Empangsari 4/6 Rad Lumbal

47 23-Sep-17 Ny. Muyasaroh 68 3207214105490001 Kalipucang Syndrome

Empangsari 3/4
48 23-Sep-17 Ny. Surjatun 76 3207215404410001 Kalipucang OA & Myalgia

49 23-Sep-17 NY. Sarjumi 58 3207217101590001 Pamotan 3/1 Pamotan Myalgia

50 23-Sep-17 Ny. Tuminah 82 3207215502440001 Pamoyan 5/1 Pamotan Myalgia

Girisetra 2/3
51 23-Sep-17 NY. Neneh Tursinah 55 3207215210620000 Kalipucang Myalgia

Empangsari 01/05 OA Genu

52 26-Sep-17 Tn. Keri Basimin 65 3207211105520002 Kalipucang Dextra

Empangsari 04/05
53 26-Sep-17 Ny. Yati Sadiah 59 3207215501580001 Kalipucang Myalgia
 Sindangkasih 09/19
54 26-Sep-17 Ny. Siti Khoeriah 39 3207215903780001 Banjarharja Asma

Empangsari 04/05 frozen

55 26-Sep-17 Tn. Eman Sulaeman 80 3207211104370001 Kalipucang shoulder

Cintamaju 03/01 Radiculopati

56 26-Sep-17 Ny. Marsem 50 3207214109570001 Tunggilis lumbal

Kedung Palungpung spondylosis

57 28-Sep-17 Ny. Ilah 58 3207215202590001 05/04 Tunggilis lumbalis

Kedung Palungpung spondylosis

58 29-Sep-17 Ny. Ilah 58 3207215202590001 05/04 Tunggilis lumbalis

Empangsari 01/05 OA Genu

59 29-Sep-17 Tn. Keri Basimin 65 3207211105520002 Kalipucang Dextra

Empangsari 04/05
60 29-Sep-17 Ny. Yati Sadiah 59 3207215501580001 Kalipucang Myalgia

Empangsari 04/05 frozen

61 29-Sep-17 Tn. Eman Sulaeman 80 3207211104370001 Kalipucang shoulder

Cintamaju 03/01 Radiculopati

62 29-Sep-17 Ny. Marsem 50 3207214109570001 Tunggilis lumbal

Cintamaju 5/2 Rad Lumbal

63 30-Sep-17 Ny. Hj. Siti Aisah 78 3207215310390001 Tunggilis Syndrome
OA Genu
Bilateral

Pamotan 6/01 Hypoaestesia

64 30-Sep-17 Ny. Unaerah 67 3207216510500000 Pamotan at Genu
 Empangsari 03/04 Oa Genu
65 30-Sep-17 Ny. Surjatun 76 3207215404410001 Kalipucang Bilateral

Sukamaju 05/11
66 30-Sep-17 Sdr. Danu Prayitno 20 3207211608970002 Tunggilis Low Back Pain

Pamotan 01/03
67 30-Sep-17 NY. Esih 69 3207215307480001 Pamotan Myalgia

Pamotan 05/01
68 30-Sep-17 Ny. Tuminah 73 3207215502440001 Pamotan Myalgia
 QUANTY
MODALITAS RESPON TIME KENDALA SOLUSI
MODALITAS
8 9 10 11

Infra Red Terapi 1

TENS 2 08.15 s/d 09.00
terapi latihan 1
ultrasound 4

Infra Red Terapi 1

ultrasound 1
TENS 1

Infra Red Terapi 1

ultrasound 1
TENS 1 09.45 s/d 10.10

ultrasound 1
Infra Red Terapi 1
TENS 1 08.10 s/d 08.33

TENS 1
ultrasound 1
terapi latihan 1 08.40 s/d 09.10

Infra Red Terapi 1

ultrasound 1
TENS 1 09.12 s/d 09.40

Infra Red Terapi 1

ultrasound 1
TENS 1
terapi latihan 1 09.42 s/d 10.15

ultrasound 1
Infra Red Terapi 1
terapi latihan 1
TENS 1 10.20 s/d 10.50

Infra Red Terapi 1

TENS 2
ultrasound 4 08.11 s/d 08.45
TENS 1
Infra Red Terapi 2
ultrasound 1
terapi latihan 1 08.10 s/d 08.40

TENS 1
Infra Red Terapi 3
ultrasound 1
terapi latihan 1

TENS 1

TENS 1
ultrasound 1

Infra Red Terapi 2

TENS 2
ultrasound 4

USD 1
TENS 1

Infra Red Terapi 2

TENS 1
ultrasound 1

Infra Red Terapi 2

TENS 1
USD 1

TENS 1
Infra Red Terapi 2
ultrasound 2

ultrasound 2
Infra Red Terapi 1
TENS 1

TENS 2

Infra Red Terapi 2

Ultrasound 2
ultrasound 1
Infra Red Terapi 1
terapi latihan 1
TENS 1

TENS 1
Infra Red Terapi 2
ultrasound 2

Infra Red Terapi 2

TENS 2
ultrasound 4

Infra Red Terapi 1

TENS 1
USD 1

Infra Red Terapi 1

TENS 1
ultrasound 1
Terapi Latihan 1

Infra Red Terapi 2

TENS 1
ultrasound 1

TENS 1
ultrasound 2
Infra Red Terapi 1

TENS 1
Infra Red Terapi 1

Diadinamis 1
TENS 1

TENS 2
ultrasound 4

Infra Red Terapi 2

TENS 2
ultrasound 3
Infra Red Terapi 2

TENS 2
ultrasound 4

TENS 2
Infra Red Terapi 2
Ultrasound 3

Infra Red Terapi 1

TENS 1
ultrasound 2

Infra Red Terapi 1

TENS 1
ultrasound 1

TENS 1
Infra Red Terapi 2

Infra Red Terapi 3

TENS 2
ultrasound 2

Infra Red Terapi 2

TENS 1
Ultrasound 2

TENS 1
ultrasound 2
terapi latihan 1

TENS 1

ultrasound 1
Infra Red Terapi 2

Infra Red Terapi 1

ultrasound 1
TENS 1

ultrasound 1
Infra Red Terapi 1
TENS 1

ultrasound 1
Infra Red Terapi 1
TENS 1

Infra Red Terapi 2

TENS 2
ultrasound 4

Infra Red Terapi 2

TENS 1
Ultrasound 2

ultrasound 1
Infra Red Terapi 1
TENS 1

TENS 1
Infra Red Terapi 2

Infra Red Terapi 3

TENS 2
ultrasound 2

TENS 1
Infra Red Terapi 2

Infra Red Terapi 1

ultrasound 1
TENS 1

Infra Red Terapi 1

USD 1
TENS 1

Infra Red Terapi 2

TENS 1
Ultrasound 2

ultrasound 1
Infra Red Terapi 1
TENS 1
Massage 2
Chest therapy 1

Infra Red Terapi 1

TENS 1
ultrasound 1
terapi latihan 1

TENS 1
Infra Red Terapi 1
ultrasound 1
Terapi Latihan 1

TENS 1
Infra Red Terapi 1
Terapi Latihan 1

TENS 4
Infra Red Terapi 1
Terapi Latihan 1

Infra Red Terapi 2

TENS 2
Ultrasound 2

ultrasound 2
Infra Red Terapi 2
TENS 2

Infra Red Terapi 2

TENS 2
ultrasound 2
terapi latihan 2

TENS 2
Infra Red Terapi 1
ultrasound 2

Infra Red Terapi 1

TENS 4
ultrasound 4

TENS 4
Infra Red Terapi 2

Infra Red Terapi 2

TENS 2
ultrasound 2

Ultrasound 2
Infra Red Terapi 1
tens 2
terapi latihan 1

Infra Red Terapi 1

TENS 2

Infra Red Terapi 1

ultrasound 2
TENS 2
NO TANGGAL NAMA PASIEN UMUR NOMOR KTP/KK ALAMAT DIAGNOSA

1 2 3 L P 5 6 7

Cibuluh I 5/1
1 10/2/2017 Juri Mujiono 67 3207210402500001 Cibuluh Post Stroke

Girisetra 2/3
2 10/2/2017 Neneh T 55 3207215210620001 Kalipucang Myalgia

Sukamaju 6/11 Skoliosis

3 10/3/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Cintamaju 05/02 Rad Lumbal

4 10/4/2017 Siti Aisah 78 3207215310390001 Tunggilis Syndrome

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
5 10/4/2017 Ilah 58 3207215202590001

Empangsari 03/04 Oa Genu

6 10/4/2017 Surjatun 76 3207215404410001 Kalipucang Bilateral

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
7 10/5/2017 Ilah 58 3207215202590001

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
8 10/6/2017 Ilah 58 3207215202590001
 Cibuluh I 5/1
9 10/6/2017 Juri Mujiono 67 3207210402500001 Cibuluh Post Stroke

Sukamaju 6/11 Skoliosis

10 10/6/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Cintamaju 03/01 Radiculopati

11 10/6/2017 Marsem 50 3207214109570001 Tunggilis lumbal

Cintamaju 05/02 Rad Lumbal

12 10/7/2017 Siti Aisah 78 3207215310390000 Tunggilis Syndrome

Girisetra 2/3
13 10/7/2017 Neneh Tursinah 55 3207215210620001 Kalipucang Myalgia

Empang Sari 1/4 Low Back

14 10/7/2017 Ijah Sutijah 49 3207216006680001 Kalipucang Pain

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
15 10/10/2017 Ilah 58 3207215202590001

Sukamaju 6/11 Skoliosis

16 10/10/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Cintamaju 01/01
17 10/11/2017 Ira Hirawati 42 320721511750003 Tunggilis Myalgia
 Cintamaju 05/02 Rad Lumbal
18 10/11/2017 Siti Aisah 78 3207215310390000 Tunggilis Syndrome

Emplak 02/01
19 10/11/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Empangsari 03/04 Oa Genu

20 10/11/2017 Surjatun 76 3207215404410001 Kalipucang Bilateral

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
21 10/12/2017 Ilah 58 3207215202590001

Cibuluh 1 05/01 Radiculopati

22 10/12/2017 Hasim Mas H 63 3207210203540001 Cibuluh lumbal

Emplak 02/01
23 10/13/2017 Toto Darto 50 3207212509680001 Emplak Bell's Palsy

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
24 10/13/2017 Ilah 58 3207215202590001

Cintamaju 05/02 Rad Lumbal

25 10/14/2017 Hj. Siti Aisah 78 3207215310390000 Tunggilis Syndrome

Pamotan 01/03
26 10/14/2017 Esih Sukaesih 69 3207215307480001 Pamotan Myalgia

Sukamaju 6/11 Skoliosis

27 10/14/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis
 Girisetra 6/2
28 10/14/2017 Gilang 28 3207115501900001 Kalipucang Myalgia

Empangsari 2/5
29 10/14/2017 Cecep N 36 3207212411820001 Kalipucang Myalgia

Cintamaju 01/01
30 10/14/2017 Ira Hirawati 42 320721511750003 Tunggilis Myalgia

Cibuluh 1 05/01 Radiculopati

31 10/16/2017 Hasim Mas H 63 3207210203540001 Cibuluh lumbal

Empangsari 2/4
32 10/16/2017 Nenih 54 3207214203630002 Kalipucang Myalgia

Cintamaju 05/02 Rad Lumbal

33 10/17/2017 Siti Aisah 78 3207215310390001 Tunggilis Syndrome

Emplak 02/01
34 10/17/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
35 10/17/2017 Ilah 58 3207215202590001

Sukamaju 6/11 Skoliosis

36 10/17/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Empang Sari 1/4 Neck Pain

37 10/18/2017 Ijah Sutijah 49 3207216006680001 Kalipucang (myalgia)
 Emplak 02/01
38 10/18/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Empang sari 4/7 Low Back

39 10/18/2017 Esih 45 3207214601720001 kalipucang Pain

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
40 10/19/2017 Ilah 58 3207215202590001

Emplak 02/01
41 10/19/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Cibuluh 1 05/01 Radiculopati

42 10/19/2017 Hasim Mas H 63 3207210203540001 Cibuluh lumbal

Scoliosis
Cintamaju 01/01 Toracal-
43 10/19/2017 Ira Hirawati 42 320721511750003 Tunggilis lumbalis

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
44 10/20/2017 Ilah 58 3207215202590001

Empang Sari 1/4 Neck Pain

45 10/20/2017 Ijah Sutijah 49 3207216006680001 Kalipucang (myalgia)

Cintamaju 03/01 Spondylisis

46 10/20/2017 Marsem 50 3207214109570001 Tunggilis lumbalis
Bulakbanjar 9/3 Low Back
47 10/20/2017 Sanim 31 3207210607850003 Banjarharja Pain

Post Stroke
Cintamaju 8/3 Hemiparase
48 10/20/2017 Ating 60 3207214705570001 Tunggilis Dextra
 Empangsari 2/4
49 10/20/2017 Neneh 54 3207214203630002 Kalipucang Myalgia

Emplak 02/01
50 10/21/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Empangsari 03/04 Oa Genu

51 10/21/2017 Surjatun 76 3207215404410001 Kalipucang Bilateral

Bulakbanjar 9/3 Low Back

52 10/21/2017 Sanim 31 3207210607850003 Banjarharja Pain

Sukamaju 6/11 Skoliosis

53 10/21/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Scoliosis
Cintamaju 01/01 Toracal-
54 10/21/2017 Ira Hirawati 42 320721511750003 Tunggilis lumbalis

Emplak 02/01
55 10/23/2017 Toto Darto 49 3207212509680001 Emplak Bell's Palsy

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
56 10/23/2017 Ilah 58 3207215202590001

Cibuluh 1 05/01 Radiculopati

57 10/23/2017 Hasim Mas H 63 3207210203540001 Cibuluh lumbal

58 10/24/2017 Toto Darto 49 3207212509680000 Emplak 2/1 Emplak Bell's Palsy

 Empang Sari 1/4 Neck Pain
59 10/24/2017 Ijah Sutijah 49 3207216006680001 Kalipucang (myalgia)

Karang Tawang Low Back

60 10/24/2017 Eman Suherman 62 3207210803550003 19/06 Emplak Pain

Empang Sari 03/06 Radiculopati

61 10/25/2017 Aminah 53 3207215106640001 Kalipucang lumbal

62 10/25/2017 Toto Darto 49 3207212509680000 Emplak 2/1 Emplak Bell's Palsy

Sukamaju 6/11 Skoliosis

63 10/25/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Cintamaju 06/02 Low Back

64 10/25/2017 Hendraisah 50 3207216706670001 Tunggilis Pain

65 10/25/2017 Toto Darto 49 3207212509680000 Emplak 2/1 Emplak Bell's Palsy

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
66 10/26/2017 Ilah 58 3207215202590001

Bulakbanjar 9/3 Low Back

67 10/26/2017 Sanim 31 3207210607850003 Banjarharja Pain

Empang Sari 03/06 Radiculopati

68 10/27/2017 Aminah 53 3207215106640001 Kalipucang lumbal

69 10/27/2017 Toto Darto 49 3207212509680000 Emplak 2/1 Emplak Bell's Palsy

 Empang Sari 1/4 Neck Pain
70 10/27/2017 Ijah Sutijah 49 3207216006680001 Kalipucang (myalgia)

Cibuluh I 11/03
71 10/27/2017 Rumiah 44 3207215206730001 Cibuluh Myalgia

Cibuluh 11/03
72 10/27/2017 Dodoh Farida 26 Cibuluh Myalgia

Girisetra 2/3
73 10/28/2017 Neneh Tursinah 55 3207215210620001 Kalipucang Myalgia

Kedung Palungpung spondylosis

05/04 Tunggilis lumbalis
74 10/28/2017 Ilah 58 3207215202590001

Ciparakan 07/02 Sprain Ankle

75 10/28/2017 Cicih Haniyati 48 3207216104690002 Ciparakan & OA

Oa Genu
Ciawitali 01/05 Dextra &
76 10/28/2017 Satiem 55 3207215003550003 Pamotan Myalgia

Scoliosis
Cintamaju 01/01 Toracal-
77 10/30/2017 Ira Hirawati 42 320721511750003 Tunggilis lumbalis

Bulakbanjar 9/3 Low Back

78 10/30/2017 Sanim 31 3207210607850003 Banjarharja Pain
 Kedung Palungpung spondylosis
05/04 Tunggilis lumbalis
79 10/31/2017 Ilah 58 3207215202590001

80 10/31/2017 Toto Darto 49 3207212509680000 Emplak 2/1 Emplak Bell's Palsy

Ciparakan 07/02 Sprain Ankle

81 10/31/2017 Cicih Haniyati 48 3207216104690002 Ciparakan & OA

Sukamaju 6/11 Skoliosis

82 10/31/2017 Danu Prayitno 20 3207211608970002 tunggilis Lumbalis

Ciawitali 01/05 OA Genu &

83 10/31/2017 Satiem 62 3207215003550003 Pamotan Myalgia

Cintamaju 03/01 Spondylisis

84 10/31/2017 Marsem 60 3207214109570001 Tunggilis lumbalis
 QUANTY RESPON
MODALITAS KENDALA SOLUSI
MODALITAS TIME

8 9 10 11 12

TENS 4

Infra Red Terapi 1

TENS 2

Infra Red Terapi 2

Ultrasound 3

TENS 2

Infra Red Terapi 1

Ultrasound 2

TENS 4
Infra Red Terapi 1
Ultrasound 6

TENS 4

Ultrasound 4
Infra Red Terapi 1

Infra Red Terapi 2

TENS 2
ultrasound 2

TENS 4

Ultrasound 4
Infra Red Terapi 1

TENS 4
Ultrasound 4
Infra Red Terapi 1

TENS 2
Electrotherapy 4
Infra Red Terapi 1
Ultrasound 1

TENS 2
Infra Red Terapi 1
Ultrasound 2

TENS 2
Infra Red Terapi 2
ultrasound 1
TENS 4
Infra Red Terapi 2
Ultrasound 4

TENS 1
Infra Red Terapi 2
Ultrasound 3

Ultrasound 2
Infra Red Terapi 1
TENS 2
Terapi Latihan 1

TENS 4

Ultrasound 4
Infra Red Terapi 1

TENS 2
Infra Red Terapi 1
Ultrasound 2

TENS 2
Ultrasound 2
Infra Red Terapi 1
TENS 4
Infra Red Terapi 1
Ultrasound 6

Infra Red Terapi 1

Electrotherapy 1
Massage 1
Terapi Latihan 1

Infra Red Terapi 2

Ultrasound 2
TENS 2

TENS 4

Ultrasound 4
Infra Red Terapi 2

TENS 2
Infra Red Terapi 2
Ultrasound 4

Infra Red Terapi 1

Electrotherapy 1
Massage 1
Terapi Latihan 1

TENS 4

Ultrasound 4
Infra Red Terapi 2

TENS 4
Massage 1
Infra Red Terapi 1
Ultrasound 4

TENS 3

Infra Red Terapi 2

TENS 2
Infra Red Terapi 1
Ultrasound 2
Ultrasound 2
Infra Red Terapi 2
TENS 2

TENS 4

Infra Red Terapi 2

TENS 2
Ultrasound 2
Infra Red Terapi 1

TENS 4
Infra Red Terapi 2
Ultrasound 4

Ultrasound 2

Infra Red Terapi 1

TENS 2

TENS 4

Ultrasound 4

Infra Red Terapi 1

TENS 1
Massage 1

TENS 4

Ultrasound 4
Infra Red Terapi 2

TENS 2
Infra Red Terapi 1
Ultrasound 2

Ultrasound 2
Infra Red Terapi 2
TENS 2
Terapi Latihan 1
Infra Red Terapi 1
TENS 1
Massage 1

Infra Red Terapi 2

TENS 2

TENS 4

Infra Red Terapi 2

Infra Red Terapi 1

TENS 1
Massage 1

TENS 4
Infra Red Terapi 2
Ultrasound 4

TENS 2

Ultrasound 4
Infra Red Terapi 2

TENS 4

Infra Red Terapi 2

Ultrasound 2
Infra Red Terapi 2
TENS 2
Terapi Latihan 1

TENS 2
TENS 3

Infra Red Terapi 1

TENS 4

Infra Red Terapi 4

Terapi Latihan 2
Ultrasound 2

Infra Red Terapi 1

TENS 2

Infra Red Terapi 1

TENS 1
Massage 1

Infra Red Terapi 1

TENS 2
ultrasound 2

TENS 3
Ultrasound 2
Infra Red Terapi 1

TENS 2
Infra Red Terapi 1
Ultrasound 2

TENS 2

Ultrasound 2
Infra Red Terapi 1

Infra Red Terapi 1

TENS 1
Massage 1

TENS 4

Ultrasound 4
Infra Red Terapi 2

TENS 4
Terapi Latihan 1
Infra Red Terapi 2
Ultrasound 4
Ultrasound 1
Infra Red Terapi 1
TENS 1
Ultrasound 2
Infra Red Terapi 1
TENS 1
Massage 1

Ultrasound 2
Infra Red Terapi 1
TENS 2

TENS 4

Infra Red Terapi 2

Ultrasound 1
Infra Red Terapi 1
TENS 1

TENS 2
Infra Red Terapi 1
Ultrasound 2

Ultrasound 2

TENS 2
Massage 1
Infra Red Terapi 1
TENS 1

TENS 4

Ultrasound 4
Infra Red Terapi 2

TENS 3
Terapi Latihan 1
Ultrasound 2
Infra Red Terapi 1

TENS 4
Ultrasound 3
Infra Red Terapi 1
Massage 1
Infra Red Terapi 1
TENS 1
Ultrasound 2
Infra Red Terapi 1
TENS 1
Massage 1

TENS 1
Infra Red Terapi 1
Ultrasound 1

TENS 4

Infra Red Terapi 1

TENS 1
Infra Red Terapi 1
Ultrasound 2

TENS 4

Ultrasound 2
Infra Red Terapi 2

Infra Red Terapi 1

TENS 2
Ultrasound 2
Terapi Latihan 1

Infra Red Terapi 1

TENS 2
Ultrasound 2

TENS 2

Ultrasound 2
Infra Red Terapi 1
TENS 3
Terspi Latihan 1
Ultrasound 2
Infra Red Terapi 1
TENS 4

Ultrasound 1
Infra Red Terapi 2
Massage 1
Infra Red Terapi 1
TENS 1

Infra Red Terapi 2

TENS 2
Ultrasound 2
TENS 2
Infra Red Terapi 1
Ultrasound 2

TENS 2
ultrasound 3
Infra Red Terapi 3

TENS 2
ultrasound 2
Infra Red Terapi 1
 UMUR
NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA
L P
1 2 3 4 5 6 7
Dsn Empangsari
03/04 Ds
1 11/1/2017 Surjatun 76 3207215404410001 Kalipucang Oa Genu Bilateral

Dsn Emplak 02/01

2 11/1/2017 Toto Darto 49 3207212509680001 Ds Emplak Bell's Palsy

Dsn Empangsari
01/04 Ds
3 11/1/2017 Ijah Sutijah 49 3207216006680001 Kalipucang Myalgia

Dsn Kedung
Palungpung 05/04
4 11/3/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis

Dsn Emplak 02/01

5 11/3/2017 Toto Darto 49 3207212509680001 Ds Emplak Bell's Palsy

Dsn Empangsari
02/04 Ds
6 11/3/2017 Marsudi 83 3207211003340001 Kalipucang Myalgia+ Vertigo

Dsn Sukajadi 31/08 Stroke Hemiparase

7 11/3/2017 Aminah 31 3207204303860001 Ds Sukanagara Dextra

Dsn Cintamaju Scoliosis Toracal-

8 11/3/2017 Ira Hirawati 42 320721511750003 01/01 Ds Tunggilis lumbalis
 Dsn Sukamaju
9 11/4/2017 Danu Prayitno 20 3207211608970002 06/11 Ds Tunggilis Skoliosis Lumbalis

Dsn Pamotan 04/01

10 11/4/2017 Konok 51 3207214112660001 Ds Pamotan Myalgia

Dsn Empangsari
02/04 Ds
11 11/4/2017 Marsudi 83 3207211003340001 Kalipucang Vertigo
Dsn Empangsari
01/04 Ds
12 11/4/2017 Ijah Sutijah 49 3207216006680001 Kalipucang Myalgia

Dsn Emplak 02/01

13 11/6/2017 Toto Darto 49 3207212509680001 Ds Emplak Bell's Palsy

Dsn Kedung
Palungpung 05/04
14 11/6/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis

Dsn Kedung
Palungpung 02/04
15 11/6/2017 Ade Fatonah 48 3207216409690003 Ds Tunggilis Low Back Pain

Dsn Ciparakan Sprain Ankle & OA

16 11/6/2017 Cicih Haniyati 48 3207216104690002 07/02 Ds Ciparakan Genu
 Dsn Empangsari
03/06 Ds Cervical Tunnel
17 11/6/2017 Eruk Rukiah 49 3207215305680001 Kalipucang Syndrome

Dsn Cintamaju Rad Lumbal

18 11/8/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Syndrome

Dsn Kedung
Palungpung 05/04
19 11/8/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis

Dsn Empangsari
03/04 Ds
20 11/8/2017 Surjatun 76 3207215404410001 Kalipucang Oa Genu Bilateral

Dsn Empangsari
01/04 Ds
21 11/8/2017 Ijah Sutijah 49 3207216006680001 Kalipucang Myalgia

Dsn Cintamaju Scoliosis Toracal-

22 11/8/2017 Ira Hirawati 42 320721511750003 01/01 Ds Tunggilis lumbalis+ Myalgia

Dsn Sindangkasih
02/12 Ds
23 11/9/2017 Sanim 31 3207210607850003 Banjarharja spondylosis lumbalis
 Dsn Girisetra 05/01
24 11/9/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder

Dsn Sindangkasih
02/12 Ds
25 11/9/2017 Turiah 73 3207215003440001 Banjarharja Low Back Pain
Dsn Emplak 02/01
26 11/10/2017 Toto Darto 49 3207212509680001 Ds Emplak Bell's Palsy

Dsn Pamotan 05/01

27 11/10/2017 Watini 60 3207215502570001 Ds Pamotan Myalgia

Dsn Ciawitali 04/05

28 11/10/2017 Iwan 55 3207210201620001 Ds Pamotan Myalgia

Dsn Girisetra 02/03

29 11/10/2017 Neneh Tursinah 55 3207215210620001 Ds Kalipucang Myalgia

Dsn Cintamaju Scoliosis Toracal-

30 11/10/2017 Ira Hirawati 42 320721511750003 01/01 Ds Tunggilis lumbalis

Dsn Cintamaju
31 11/11/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Radiculopaty Lumbal

Dsn Empangsari
01/05 Ds
32 11/11/2017 Mahmud Yusup 50 3207210508670002 Kalipucang Myalgia
 Dsn Girisetra 05/01
33 11/11/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder

Dsn Kedung
Palungpung 05/04
34 11/13/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis

Dsn Sindangkasih
02/12 Ds
35 11/13/2017 Sanim 31 3207210607850003 Banjarharja spondylosis lumbalis

Dsn Sindangmangu
36 11/13/2017 Tika Daniar J 29 3207216203880001 02/04 Ds Bagolo Low Back Pain

Dsn Sukamaju
37 11/14/2017 Danu Prayitno 20 3207211608970002 06/11 Ds Tunggilis Skoliosis Lumbalis

Dsn Girisetra 05/01

38 11/14/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder
 Dsn Balaler 03/02 Global Delay
39 11/15/2017 Adeeva Putri Q 1 3218077001160001 Ds Sindangwangi Development

Dsn Cintamaju
40 11/15/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Radiculopaty Lumbal

Dsn Empangsari
03/04 Ds
41 11/15/2017 Surjatun 76 3207215404410001 Kalipucang Oa Genu Bilateral

Dsn Sukamaju
42 11/15/2017 Maman 54 3207210709630003 03/10 Ds Tunggilis Radiculopaty Lumbal

Dsn Kedung
Palungpung 05/04
43 11/16/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis

Dsn Girisetra 05/01

44 11/16/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder

Dsn Emplak 02/01

45 11/17/2017 Toto Darto 49 3207212509680001 Ds Emplak Bell's Palsy

Dsn Karangsari
01/02 Ds
46 11/17/2017 E.Popo Mustopa 65 3207210406520005 Putrapinggan HNP

Dsn Cintamaju
47 11/18/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Radiculopaty Lumbal
 Dsn Kedung
Palungpung 02/04
48 11/18/2017 Ade Fatonah 48 3207216409690003 Ds Tunggilis Low Back Pain

Dsn Empangsari
03/04 Ds
49 11/18/2017 Surjatun 76 3207215404410001 Kalipucang Oa Genu Bilateral

Dsn Balaler 03/02 Global Delay

50 11/18/2017 Adeeva Putri Q 1 3218077001160001 Ds Sindangwangi Development

Dsn Sindangmangu
51 11/18/2017 Tika Daniar J 29 3207216203880001 02/04 Ds Bagolo Low Back Pain

Dsn Girisetra 04/03

52 11/20/2017 Tri Mulyaningsih 65 3207216211520001 Ds Kalipucang Myalgia

Dsn Girisetra 06/02

53 11/20/2017 Gilang Laila N 27 3207115501900001 Ds Kalipucang Neck Pain

Dsn Kedung
Palungpung 05/04
54 11/22/2017 Ilah 58 3207215202590001 Ds Tunggilis spondylosis lumbalis
 Dsn Cintamaju
55 11/22/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Radiculopaty Lumbal

Dsn Majingklak
56 11/22/2017 Teguh Siswanto 40 3207210207770004 02/06 Ds Pamotan Myalgia

Dsn Sukamaju
57 11/22/2017 Danu Prayitno 20 3207211608970002 06/11 Ds Tunggilis Skoliosis Lumbalis

Dsn Girisetra 05/01

58 11/22/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder

Dsn Girisetra 04/03 Spasme M Erector

59 11/23/2017 Tri Mulyaningsih 65 3207216211520001 Ds Kalipucang Spine

Dsn Cibuluh I 05/01 Post Stroke

60 11/24/2017 Juri Mujiono 67 3207210402500001 Ds Cibuluh Hemiparase Sinistra

Dsn Girisetra 06/02

61 11/24/2017 Gilang Laila N 27 3207115501900001 Ds Kalipucang Neck Pain
 Dsn Empangsari
01/04 Ds
62 11/24/2017 Ijah Sutijah 49 3207216006680001 Kalipucang Myalgia

Dsn Cintamaju
63 11/25/2017 Siti Aisah 78 3207215310390001 05/02 Ds Tunggilis Radiculopaty Lumbal

Dsn Majingklak
64 11/25/2017 Teguh Siswanto 40 3207210207770004 02/06 Ds Pamotan Low Back Pain

Dsn Cicurug 03/01

65 11/27/2017 Nadi 47 3207220103700001 Ds Sukahurip Myalgia

Dsn Girisetra 05/01

66 11/27/2017 Memed 79 3207210509380001 Ds Kalipucang Frozen Shoulder

Dsn Cibuluh I 06/02 RA + Carpal Tunnel

67 11/27/2017 Siti Amanah 45 3207214609720003 Ds Cibuluh Syndrome

Dsn Pamotan 01/01

68 11/28/2017 Rosita 60 3207214707570001 Ds Pamotan Myalgia
 Dsn Cibuluh I 06/02
69 11/28/2017 Siti Amanah 45 3207214609720003 Ds Cibuluh Myalgia

Dsn Empangsari
03/04 Ds
70 11/29/2017 Surjatun 76 3207215404410001 Kalipucang Oa Genu Bilateral

Dsn Cibuluh I 03/01

71 11/29/2017 Omon Aruman 60 3323030112570001 Ds Cibuluh Gout

Dsn Majingklak
72 11/29/2017 Teguh Siswanto 40 3207210207770004 02/06 Ds Pamotan Low Back Pain

Dsn Mangunjaya
01/01 Ds
73 11/29/2017 Seftya Iskandar 27 3207364109900003 Mangunjaya Myalgia

Dsn Cibuluh I 06/02 RA + Carpal Tunnel

74 11/30/2017 Siti Amanah 45 3207214609720003 Ds Cibuluh Syndrome

Dsn Sindangkasih
02/12 Ds
75 11/30/2017 Sanim 31 3207210607850003 Banjarharja spondylosis lumbalis

Dsn Empangsari
01/05 Ds
76 11/30/2017 Mahmud Yusup 50 3207210508670002 Kalipucang Myalgia
MODALITAS QUANTY MODALITAS KENDALA SOLUSI KET

8 9 10 11 12

-Tens 2
-Infra Red
Therapy 3

-Ultrasound 3

-Tens 1
-Infra Red
Therapy 1
-Massage 1

-Tens 1
-Infra Red
Therapy 1

-Ultrasound 1
-Massage 1

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 1

-Tens 1
-Infra Red
Therapy 1
-Massage 1

-Tens 1
-Infra Red
Therapy 1
-Massage 1
-Terapi
Latihan 1

-Terapi
Latihan 1

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1

-Tens 1
-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

Terapi
Latihan 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 3

-Tens 1
-Infra Red
Therapy 1
-Massage 1

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 3
-Infra Red
Therapy 2

-Ultrasound 2

-Tens 1
-Infra Red
Therapy 1

-Ultrasound 1

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 3
-Infra Red
Therapy 2

-Ultrasound 3

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 4
-Infra Red
Therapy 2

-Tens 4
-Infra Red
Therapy 1
-Ultrasound 2

-Tens 4
-Infra Red
Therapy 2
-Terapi
Latihan 2

Tens 4

-Tens 1
-Infra Red
Therapy 1
-Massage 1

-Tens 3
-Infra Red
Therapy 2

-Tens 2
-Infra Red
Therapy 1

2
-Tens
-Infra Red 1
Therapy
2
-Ultrasound

-Tens 3
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Tens 4
-Infra Red
Therapy 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 3
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1
-Terapi
Latihan 4
-Massage 2

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 2

-Tens 1
-Infra Red
Therapy 1

-Tens 4
-Infra Red
Therapy 2

-Tens 4

-Ultrasound 2

-Tens 1
-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 3
-Infra Red
Therapy 2

-Ultrasound 1

-Tens 4
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Terapi
Latihan 4
-Massage 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 3

-Tens 1

-Ultrasound 2
-Massage 1
-Terapi
Latihan 1

-Tens 4
-Infra Red
Therapy 1
-Ultrasound 2
-Terapi
Latihan 1

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 4

-Tens 2
-Infra Red
Therapy 1

-Tens 3
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 3

-Electro
terapi 1
-Tens 1
-Infra Red
Therapy 2

-Ultrasound 1
-Terapi
Latihan 1

-Tens 1
-Massage 1
-Terapi
Latihan 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 2
-Terapi
Latihan 1

-Tens 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Tens 2
-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2
-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 1
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2

-Ultrasound 2
-Tens 4
-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 1
-Terapi
Latihan 2

-Tens 1
-Infra Red
Therapy 1

-Ultrasound 3

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 1
-Ultrasound 2
 UMUR
NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA MODALITAS
L P
1 2 3 4 5 6 7 8

Dsn
Pamotan
01/01 Ds Low Back
1 12/2/2017 Rosita 60 3207214707570001 Pamotan Pain -Tens

-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Cintamaju
05/02 Ds Radiculopa
2 12/2/2017 Siti Aisah 78 3207215310390001 Tunggilis ty Lumbal -Tens

-Infra Red
Therapy

-Ultrasound

Dsn
Kedung
Palungpu
ng 05/04
Ds spondylosi
3 12/2/2017 Ilah 58 3207215202590001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy

Dsn
Majingkla
k 02/06
Ds Low Back
4 12/2/2017 Teguh Siswanto 40 3207210207770004 Pamotan Pain -Tens
-Infra Red
Therapy

-Ultrasound
 Dsn
Empangsa
ri 02/05
Ds
Kalipucan
5 12/2/2017 Wiwit Tutik R 33 3207215604840002 g Myalgia -Tens
-Terapi
Latihan
-Massage

Dsn
Kedung
Palungpu
ng 05/04
Ds spondylosi
6 12/4/2017 Ilah 58 3207215202590001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Cibuluh I
06/02 Ds
7 12/4/2017 Siti Amanah 45 3207214609720003 Cibuluh RA + CTS -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cibuluh I
03/01 Ds
8 12/5/2017 Omon Aruman 60 3323030112570001 Cibuluh Gout -Tens
-Infra Red
Therapy

Dsn
Empangsa
ri 03/05
Ds
Kalipucan Low Back
9 12/5/2017 Aay Heryati 65 3207214612520001 g Pain -Tens
-Infra Red
Therapy
 Dsn
Sindangsa
ri 10/10
Ds
Banjarharj Radiculopa
10 12/5/2017 Parti 64 3207215210530001 a ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cintamaju
02/01 Ds Fascitis -Infra Red
11 12/5/2017 Ating Hayati 61 3207215010560001 Tunggilis Plantari Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Cibuluh I
05/01 Ds Radiculopa
12 12/5/2017 Hasim Mas H 63 3207210203540001 Cibuluh ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Majingkla
k 03/08
Ds Radiculopa
13 12/5/2017 Achmad Sawoko 64 3207210701530001 Pamotan ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
 Dsn
Cintamaju
05/02 Ds Radiculopa
14 12/6/2017 Siti Aisah 78 3207215310390001 Tunggilis ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cintamaju
03/01 Ds
15 12/6/2017 Marsem 60 3207214109570001 Tunggilis Scoliosis -Tens
-Infra Red
Therapy

-Ultrasound
- Faradik

Dsn
Girisetra
05/01 Ds
Kalipucan Frozen
16 12/7/2017 Memed 79 3207210509380001 g Shoulder -Tens
-Infra Red
Therapy

Dsn
Ciawitali
01/05 Ds
17 12/7/2017 Satiem 62 3207215003550003 Pamotan Myalgia -Tens
-Infra Red
Therapy

Dsn
Majingkla
k 03/08
Ds Radiculopa
18 12/7/2017 Achmad Sawoko 64 3207210701530001 Pamotan ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound
 -Terapi
Latihan

Dsn
Sindangka
sih 02/12
Ds
Banjarharj Spondylosi
19 12/7/2017 Sanim 32 3207210607850003 a s lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cibuluh I
06/02 Ds Rheumatoi -Infra Red
20 12/8/2017 Siti Amanah 45 3207214609720003 Cibuluh d Arthritis Therapy

320721 -Ultrasound
-Terapi
320721 Latihan

Dsn
Majingkla
k 02/06
Ds Low Back
21 12/8/2017 Teguh Siswanto 40 3207210207770004 Pamotan Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Cerebral
Balaler Palsy
03/02 Ds Causa
Sindangw Microchep -Terapi
22 12/9/2017 Adeeva Puteri Q S 1 3218077001160001 angi alus Latihan
320721 -Massage
 Dsn
Kedung
Palungpu
ng 05/04
Ds spondylosi
23 12/11/2017 Ilah 58 3207215202590001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Babakan
Sari 03/05 Rotator
Ds Cuff
24 12/11/2017 Rakidah 57 3207205905600001 Ciganjeng Tendonitis -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Sukamaju
03/10 Ds
25 12/11/2017 Mardjukon 66 3213092502510002 Tunggilis Gout -Tens

-Ultrasound

Dsn
Cibuluh I
03/01 Ds
26 12/12/2017 Omon Aruman 60 3323030112570001 Cibuluh Gout -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cibuluh I
06/02 Ds Rheumatoi -Infra Red
27 12/12/2017 Siti Amanah 45 3207214609720003 Cibuluh d Arthritis Therapy
 -Ultrasound
-Terapi
Latihan

Dsn
Pamotan
01/01 Ds
28 12/12/2017 Sawilah 59 3207214612580002 Pamotan Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Sukamaju
03/10 Ds
29 12/12/2017 Mardjukon 66 3213092502510002 Tunggilis Gout -Tens

-Ultrasound

Dsn
Karangta
wang
19/06 Ds
30 12/12/2017 Eman Suherman 62 3207210803550003 Emplak Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Cintamaju
05/02 Ds Radiculopa
31 12/13/2017 Siti Aisah 78 3207215310390001 Tunggilis ty Lumbal -Tens
-Infra Red
Therapy

-Ultrasound
 Dsn
Babakan
Sari 03/05
Ds Frozen
32 12/13/2017 Rakidah 57 3207205905600001 Ciganjeng Shoulder -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Sindangka
sih 02/12
Ds
Banjarharj Spondylosi
33 12/13/2017 Sanim 32 3207210607850003 a s lumbalis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Sindangka
sih 02/12
Ds
Banjarharj
34 12/13/2017 Yathi Rochayathi 29 3207216004880003 a Myalgia -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Kedungpa
lungpung
02/04 Ds
35 12/14/2017 Ade Patonah 48 3207216409690003 Tunggilis Scoliosis -Tens
-Infra Red
Therapy

-Ultrasound
 Dsn
Kedung
Palungpu
ng 05/04
Ds spondylosi
36 12/15/2017 Ilah 58 3207215202590001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Babakan
Sari 03/05
Ds Frozen
37 12/15/2017 Rakidah 57 3207205905600001 Ciganjeng Shoulder -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cibuluh I
06/02 Ds Rheumatoi
38 12/15/2017 Siti Amanah 45 3207214609720003 Cibuluh d Arthritis -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Cibuluh I
05/01 Ds Post
39 12/16/2017 Juri Mujiono 67 3207210402500001 Cibuluh Stroke -Tens
-Infra Red
Therapy
-Terapi
Latihan
- Faradik

Dsn
Pamotan
01/01 Ds
40 12/16/2017 Rosita 60 3207214707570001 Pamotan Myalgia -Tens
 -Infra Red
Therapy

-Ultrasound

Dsn Pasar
04/02 Ds Radiculopa
41 12/18/2017 Ari Zaena N 26 3207205001910003 Ciganjeng ty Lumbal -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Kedungpa
lungpung
02/04 Ds
42 12/18/2017 Ade Patonah 48 3207216409690003 Tunggilis Scoliosis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Sindangka
sih 02/12
Ds
Banjarharj Spondylosi
43 12/18/2017 Sanim 32 3207210607850003 a s lumbalis -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Empangsa
ri 01/05
DsKalipuc Low Back
44 12/18/2017 Yulliany Siti P 25 3207214407920001 ang Pain -Tens
-Infra Red
Therapy
 -Ultrasound
-Terapi
Latihan

Dsn
Pamotan
01/01 Ds Low Back
45 12/19/2017 Sawilah 59 3207214612580002 Pamotan Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Cintamaju
03/01 Ds Spondylosi
46 12/19/2017 Marsem 60 3207214109570001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cibuluh I
05/01 Ds
47 12/19/2017 Elon Dahlan 65 3207211512520001 Cibuluh -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Sindangka
sih 02/12
Ds
Banjarharj Spondylosi
48 12/20/2017 Sanim 32 3207210607850003 a s lumbalis -Tens
 -Ultrasound
-Terapi
Latihan

Dsn
Empangsa
ri 03/04
DsKalipuc Post -Terapi
49 12/21/2017 Riris Riswanto 51 3207210312660001 ang Stroke Latihan
- Faradik

Dsn
Sindangm
angu
13/07 Ds
50 12/21/2017 Uju Samsudin 62 3207211505550001 Bagolo Myalgia Tens

Dsn Cerebral
Balaler Palsy
03/02 Ds Causa
Sindangw Microchep -Terapi
51 12/21/2017 Adeeva Puteri Q S 1 3218077001160001 angi alus Latihan
-Massage

Dsn
Sukamaju
05/11 Ds
52 12/21/2017 Danu Prayitno 20 3207211608970002 Tunggilis Scoliosis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn
Cibuluh I
06/02 Ds Rheumatoi -Infra Red
53 12/21/2017 Siti Amanah 45 3207214609720003 Cibuluh d Arthritis Therapy

-Ultrasound

Dsn
Karangsari
01/02 Ds
Putraping Low Back
54 12/21/2017 E Popo Mustopa 67 3207210406520005 gan Pain -Tens
 -Infra Red
Therapy

Dsn
Kedung
Palungpu
ng 05/04
Ds spondylosi
55 12/23/2017 Ilah 58 3207215202590001 Tunggilis s lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cintamaju
03/01 Ds
56 12/23/2017 Marsem 60 3207214109570001 Tunggilis Scoliosis -Tens
-Infra Red
Therapy
-Terapi
Latihan
-Massage

Dsn
Pamotan
01/01 Ds OA Genu
57 12/23/2017 Rosita 60 3207214707570001 Pamotan DX -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Cintamaju
03/01 Ds
58 12/27/2017 Marsem 60 3207214109570001 Tunggilis Scoliosis -Tens
-Infra Red
Therapy
-Terapi
Latihan
 Dsn
Babakan
Sari 03/05
Ds Frozen
59 12/27/2017 Rakidah 57 3207205905600001 Ciganjeng Shoulder -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Ciparakan
07/02 Ds
60 12/27/2017 Cicih Haniyati 48 3207216104690002 Ciparakan OA -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Empangsa
ri 01/04
Ds
Kalipucan OA Genu
61 12/28/2017 Ijah Sutijah 49 3207216006680001 g DX -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Sindangsa
ri 14/11
Ds
Banjarharj
62 12/28/2017 Saiman 47 3207213005700001 a CTS -Tens
-Infra Red
Therapy
 -Ultrasound

Dsn
Cintamaju Scoliosis
03/01 Ds Toracalis
63 12/30/2017 Marsem 60 3207214109570001 Tunggilis Lumbalis -Tens
-Infra Red
Therapy

Dsn
Empangsa
ri 01/04
Ds
Kalipucan OA Genu
64 12/30/2017 Ijah Sutijah 49 3207216006680001 g DX -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Balaler
03/02 Ds
Sindangw Cerebral -Terapi
65 12/30/2017 Adeeva Puteri Q S 1 3218077001160001 angi Palsy Latihan
-Massage

Dsn
Cintamaju
01/01 Ds
66 12/30/2017 Ira Hirawati 42 3207215111750003 Tunggilis -Tens
-Infra Red
Therapy
 QUANTY Kendala SOLUSI KET
MODALITAS

9 10 11 12

2
1

2
2

1
4

2
4

2
1

2
1

4
4
2

1
1

4
2

2
2

2
1

2
2

1
2

2
2

4
6

4
4

2
1

2
2

1
3

1
2

4
4

1
 UMUR
NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA MODALITAS
L P
1 2 3 4 5 6 7 8

Dsn Cintamaju Scoliosis Toracal

1 1/3/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
04/05 Ds Firiformis
2 1/3/2018 Yana Maryana 29 3207212912880000 Kalipucang Syndrome -Tens
-Infra Red
Therapy
-Terapi
Latihan
Dsn Bagolo kolot
13/07 Ds OA Genu
3 1/4/2018 Uju Samsudin 62 3207211505550001 Kalipucang Bilateral -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
01/04 Ds
4 1/4/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Sindangsari
07/08 Ds -Terapi
5 1/5/2018 Enok Encih 57 3207217001600001 Banjarharja Vertigo Latihan
Dsn Empangsari
04/05 Ds
6 1/5/2018 Yana Maryana 29 3207212912880000 Kalipucang Scoliosis -Tens
 -Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
03/05 Ds
7 1/5/2018 Puji Astuti 47 3207215205700003 Kalipucang Sprain Wirst -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Cintamaju Scoliosis Toracal

8 1/6/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
03/05 Ds
9 1/6/2018 Surjatun 76 3207215404410001 Kalipucang OA Genu -Tens

-Ultrasound
Dsn Cibuluh I 06/02 -Infra Red
10 1/6/2018 Siti Amanah 45 3207214609720003 Ds Cibuluh RA Therapy

-Ultrasound
-Terapi
Latihan

Dsn
Kedungpalungpu
ng 02/04 Ds
11 1/6/2018 Ade Patonah 48 3207216409690003 Tunggilis Low Back Pain -Tens
-Infra Red
Therapy
 Dsn Girisetra 02/03
12 1/6/2018 Neneh Tursinah 55 3207215210620001 Ds Kalipucang Myalgia -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Kedung
Palungpung
05/04 Ds spondylosis
13 1/8/2018 Ilah 58 3207215202590001 Tunggilis lumbalis -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Emplak Radiculopaty

14 1/8/2018 Kasa 70 3207213001470001 04/01 Ds Emplak Lumbal -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
-Faradik

Dsn Emplak Rhematoid

15 1/10/2018 Rumsih 62 3207215507550003 04/01 Ds Emplak Arthritis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Emplak Radiculopaty

16 1/10/2018 Kasa 70 3207213001470001 04/01 Ds Emplak Lumbal -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
-Massage
 Dsn Pamotan
01/01 Ds
17 1/11/2018 Sawilah 59 3207214612580002 Pamotan Myalgia -Tens
-Infra Red
Therapy

-Ultrasound
Dsn Cibuluh I 06/02 -Infra Red
18 1/11/2018 Siti Amanah 45 3207214609720003 Ds Cibuluh RA Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
01/04 Ds
19 1/11/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
04/05 Ds Radiculopaty
20 1/12/2018 Yana Maryana 29 3207212912880000 Kalipucang Lumbal -Tens

-Ultrasound
-Terapi
Latihan

Dsn Girisetra 02/03

21 1/12/2018 Neneh Tursinah 55 3207215210620001 Ds Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound
Dsn Bulakbanjar
09/03 Ds
22 1/12/2018 Saelan 63 3207212809540001 Banjarharja Myalgia -Tens
-Infra Red
Therapy
 -Ultrasound
-Terapi
Latihan

Rhematoid
Dsn Emplak Arthritis+Myalgi -Infra Red
23 1/12/2018 Rumsih 62 3207215507550003 04/01 Ds Emplak a Therapy

-Ultrasound
-Terapi
Latihan

Dsn Emplak Radiculopaty

24 1/12/2018 Kasa 70 3207213001470001 04/01 Ds Emplak Lumbal -Tens
-Infra Red
Therapy

-Ultrasound

Dsn
Kedungpalungpu
ng 02/04 Ds
25 1/13/2018 Ade Patonah 48 3207216409690003 Tunggilis Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Kedung
Palungpung
05/04 Ds spondylosis
26 1/15/2018 Ilah 58 3207215202590001 Tunggilis lumbalis -Tens
-Infra Red
Therapy

Dsn Cintamaju Scoliosis Toracal

27 1/15/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy

Dsn Girisetra 01/01 Frozen

28 1/15/2018 Ani Kustini 52 3207215610650001 Ds Kalipucang Shoulder -Tens
-Infra Red
Therapy
 -Ultrasound
-Terapi
Latihan

Dsn Cihideung Frozen

29 1/16/2018 Asih Kurniasih 25 3278074811920006 04/06 Ds Ciganjeng Shoulder -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
01/04 Ds
30 1/16/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound
Dsn Empangsari
01/05 Ds
31 1/16/2018 Mahmud Yusup 50 3207210508670002 Kalipucang Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Girisetra 02/03

32 1/16/2018 Neneh Tursinah 55 3207215210620001 Ds Kalipucang Myalgia+OA -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Ciawitali 01/07

33 1/17/2018 Kardi 47 3207212706700001 Ds Pamotan Low Back Pain -Tens
-Terapi
Latihan
 Dsn Empangsari
01/04 Ds
34 1/19/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Girisetra 01/01 Frozen

35 1/19/2018 Ani Kustini 52 3207215610650001 Ds Kalipucang Shoulder -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Bulakbanjar Frozen
02/01 Ds Shoulder+Myal
36 1/19/2018 Inah 53 3207215609640001 Banjarharja gia -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Cirateun 05/03 OA Genu

37 1/19/2018 Sumini 75 3207215506420001 Ds Putrapinggan Bilateral -Tens
-Infra Red
Therapy
Dsn Empangsari
01/05 Ds Radiculopaty
38 1/19/2018 Nani Sarniasih 61 3207214603560003 Kalipucang Lumbal -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Majingklak
39 1/19/2018 Turiyah 52 3207216006820003 03/06 Ds Pamotan Low Back Pain -Tens

-Ultrasound
 -Terapi
Latihan

Dsn Babakan Sari Frozen

40 1/20/2018 Rakidah 57 3207205905600001 03/05 Ds Ciganjeng Shoulder -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Kedung
Palungpung
05/04 Ds spondylosis
41 1/22/2018 Ilah 58 3207215202590001 Tunggilis lumbalis -Tens
-Infra Red
Therapy
Dsn Sindangkasih
05/14 Ds Post Stroke
42 1/22/2018 Sumiati 53 3207214512640002 Banjarharja Hemiparase Dx -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Girisetra 01/01 Frozen

43 1/23/2018 Ani Kustini 52 3207215610650001 Ds Kalipucang Shoulder -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
01/04 Ds
44 1/23/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound
Dsn Cibuluh I 06/02 -Infra Red
45 1/23/2018 Siti Amanah 45 3207214609720003 Ds Cibuluh RA Therapy
 -Ultrasound

Dsn Girisetra 06/02

46 1/23/2018 Pipin Suharyati 48 3207214610690002 Ds Kalipucang Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Empangsari
03/05 Ds
47 1/24/2018 Surjatun 76 3207215404410001 Kalipucang OA Genu -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Kedung
Palungpung
05/04 Ds spondylosis
48 1/24/2018 Ilah 58 3207215202590001 Tunggilis lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Girisetra 06/02

49 1/24/2018 Pipin Suharyati 48 3207214610690002 Ds Kalipucang Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Cintamaju Scoliosis Toracal

50 1/25/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy
 -Ultrasound

Dsn Sindangsari
14/11 Ds
51 1/25/2018 Enok Mustiah 45 3207215006720001 Banjarharja Neck Pain -Tens
-Infra Red
Therapy

-Ultrasound
Dsn Sindangkasih
05/14 Ds Post Stroke
52 1/25/2018 Sumiati 53 3207214512640002 Banjarharja Hemiparase Dx -Faradic
-Infra Red
Therapy

-Ultrasound
Dsn Empangsari
01/04 Ds
53 1/26/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Kedung
Palungpung
05/04 Ds spondylosis
54 1/26/2018 Ilah 58 3207215202590001 Tunggilis lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Cintamaju Scoliosis Toracal

55 1/29/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Sukamaju Scoliosis

56 1/29/2018 Danu Prayitno 20 3207211608970002 05/11 Ds Tunggilis Lumbalis -Tens
 -Infra Red
Therapy
-Terapi
Latihan

Dsn Sindangsari
14/11 Ds
57 1/29/2018 Enok Mustiah 45 3207215006720001 Banjarharja Neck Pain -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Girisetra 06/02

58 1/29/2018 Pipin Suharyati 48 3207214610690002 Ds Kalipucang Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
Dsn Sindangkasih
05/14 Ds Post Stroke
59 1/29/2018 Sumiati 53 3207214512640002 Banjarharja Hemiparase Dx -Tens
-Infra Red
Therapy

Dsn Karangtawang Cervical Root

60 1/29/2018 Agus 60 3207210802570001 17/05 Ds Emplak Syndrome -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan

Dsn Girisetra 01/01 Frozen

61 1/30/2018 Ani Kustini 52 3207215610650001 Ds Kalipucang Shoulder -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
 Dsn Kedung
Palungpung
02/04 Ds
62 1/30/2018 Ade Patonah 48 3207216409690003 Tunggilis Low Back Pain -Tens
-Infra Red
Therapy

Dsn Babakan Sari Frozen

63 1/30/2018 Rakidah 57 3207205905600001 03/05 Ds Ciganjeng Shoulder -Tens
-Infra Red
Therapy
Dsn Empangsari
01/04 Ds
64 1/30/2018 Ijah Sutijah 49 3207216006680000 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy

-Ultrasound

Dsn Karangsalam
65 1/31/2018 Intan Rahayu S 27 3207225601890001 05/05 Ds Panajung Low Back Pain -Tens
-Infra Red
Therapy

-Ultrasound
-Terapi
Latihan
 QUANTY KENDALA SOLUSI KET
MODALITAS

9 10 11 12

2
1

1
2

1
1

1
1
3

1
2

2
3

1
2

1
1

1
1

1
2

2
1

1
2

1
 UMUR
NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA MODALITAS
L P
1 2 3 4 5 6 7 8

Dsn Empangsari
03/06 Ds Piriformis
1 2/1/2018 Eruk Rukiah 49 3207215305680001 Kalipucang Syndrome -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Cintamaju
2 2/1/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Skoliosis -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Sindangkasih Post Stroke

05/14 Ds Hemiparase
3 2/1/2018 Sumiati 53 3207214512640002 Banjarharja Dx -Faradic
-Infra Red
Therapy

Dsn Girisetra
01/01 Ds Frozen
4 2/2/2018 Ani Kustini 52 3207215610650001 Kalipucang Shoulder -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Ciparakan Spondylosis

07/02 Ds Lumbalis+Sp
5 2/2/2018 Cicih Haniyati 48 3207216104690002 Ciparakan rain Wirst -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Cintamaju Low Back

6 2/2/2018 Hendraisah 50 3207216706670001 06/02 Ds Tunggilis Pain -Tens
-Infra Red
Therapy
 -Ultrasound

Dsn Kedung
Palungpung 05/04 Spondylosis
7 2/3/2018 Ilah 58 3207215202590001 Ds Tunggilis Lumbalis -Tens
-Infra Red
Therapy

Dsn Kedung
Palungpung 04/04 Frozen
8 2/5/2018 Otong 69 3207211908480001 Ds Tunggilis Shoulder -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Empangsari
01/05 Ds Piriformis
9 2/5/2018 Aisah 71 3207217112460001 Kalipucang Syndrome -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Empangsari CTS (Carpal

01/05 Ds Tunel
10 2/5/2018 Titi Nurhayati 58 3207216711590001 Kalipucang Syndrome) -Faradic
-Infra Red
Therapy
-Ultrasound

Dsn Sindangkasih Post Stroke

05/14 Ds Hemiparase
11 2/5/2018 Sumiati 53 3207214512640002 Banjarharja Dx -Tens
-Infra Red
Therapy

Dsn Empangsari Piriformis

01/04 Ds Syndrome+
12 2/5/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan
 Dsn Sukasirna
13 2/5/2018 Erwin 43 3206260801750001 06/02 Ds Bagolo Myalgia -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Empangsari
01/04 Ds Piriformis
14 2/7/2018 Ijah Sutijah 49 3207216006680001 Kalipucang Syndrome -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Kedung
Palungpung 02/04 Low Back
15 2/7/2018 Ade Patonah 48 3207216409690003 Ds Tunggilis Pain -Tens
-Infra Red
Therapy
-Terapi
Latihan
Dsn Sukasirna
16 2/7/2018 Jojo 60 3207210302580001 07/02 Ds Bagolo OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan
Dsn Sukasirna Low Back
17 2/7/2018 Tati 64 3207214302540001 07/02 Ds Bagolo Pain -Tens
-Infra Red
Therapy

Dsn Bojong 02/07 Piriformis

18 2/7/2018 Sumarni 52 3207215512650002 Ds Putrapinggan Syndrome -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan
Dsn Sukasirna
19 2/8/2018 Erwin 43 3206260801750001 06/02 Ds Bagolo Myalgia -Tens
-Infra Red
Therapy
 Dsn Empangsari CTS (Carpal
01/05 Ds Tunel
20 2/8/2018 Titi Nurhayati 58 3207216711590001 Kalipucang Syndrome) -Faradic
-Infra Red
Therapy
-Terapi
Latihan

Dsn Empangsari
01/05 Ds Piriformis
21 2/8/2018 Aisah 71 3207217112460001 Kalipucang Syndrome -Tens
-Infra Red
Therapy

Dsn Sindangkasih
05/14 Ds
22 2/8/2018 Sumiati 53 3207214512640002 Banjarharja Post Stroke -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Girisetra
01/01 Ds Frozen
23 2/8/2018 Ani Kustini 52 3207215610650001 Kalipucang Shoulder -Tens
-Ultrasound
-Terapi
Latihan

Dsn Girisetra
06/02 Ds
24 2/10/2018 Siti Sutiah Nurdin 71 3207215309460002 Kalipucang Myalgia -Tens
-Infra Red
Therapy
-Ultrasound
Dsn Sukasirna
25 2/10/2018 Juju Juhaeni 59 3207215712580001 04/01 Ds Bagolo OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound
Dsn Sukasirna Low Back
26 2/10/2018 Tati 64 3207214302540001 07/02 Ds Bagolo Pain -Tens
-Infra Red
Therapy

Dsn Emplak 04/01

27 2/10/2018 Suwiti 56 3207214502620001 Ds Emplak Myalgia -Tens
 -Infra Red
Therapy

Dsn Pamotan
01/01 Ds
28 2/10/2018 Wati 37 3207215808800003 Pamotan Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Pamotan
01/02 Ds OA Genu
29 2/10/2018 Irah Rahmiati 53 3207215005640001 Pamotan Sinistra -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Kedung
Palungpung 04/04 Frozen
30 2/12/2018 Otong 69 3207211908480001 Ds Tunggilis Shoulder -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
31 2/12/2018 Wawan Setiawan 51 3207211405660001 Kalipucang Sinistra -Faradic
-Infra Red
Therapy
-Terapi
Latihan

Dsn Kedung
Palungpung 02/04 Low Back
32 2/12/2018 Ade Patonah 48 3207216409690003 Ds Tunggilis Pain -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Sindangkasih
08/15 Ds
33 2/12/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja Vertigo -Tens
 -Infra Red
Therapy
-Terapi
Latihan
Dsn Sukasirna
34 2/12/2018 Erwin 43 3206260801750001 06/02 Ds Bagolo Myalgia -Tens
-Infra Red
Therapy

Dsn Cibuluh I
35 2/12/2018 Darsih 59 3207215305580001 08/02 Ds Cibuluh Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Girisetra
02/03 Ds
36 2/13/2018 Neneh Tursinah 55 3207215210620001 Kalipucang Myalgia -Tens
-Ultrasound
-Pasang
Taping

Dsn Pamotan
04/01 Ds Radiculopat
37 2/13/2018 Konok 51 3207214112660001 Pamotan y -Tens
-Terapi
Latihan

Dsn Empangsari Piriformis

01/04 Ds Syndrome+
38 2/13/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound
-Pasang
Taping

Dsn Cintamaju Low Back

39 2/13/2018 Hendraisah 50 3207216706670001 06/02 Ds Tunggilis Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Girisetra Post Stroke

03/01 Ds Hemiparase
40 2/14/2018 Didi Supriadi 50 3207212005670001 Kalipucang Dx -Tens
 -Infra Red
Therapy
-Faradic
-Terapi
Latihan

Dsn Kawarasan
09/04 Ds
41 2/14/2018 Enok Wasmi Y 45 3207205602720001 Sindangwangi Neck Pain -Tens
-Ultrasound
-Terapi
Latihan

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase -Infra Red
42 2/14/2018 Dudung 60 3207211010570002 Kalipucang Dx Therapy
-Faradic

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
43 2/14/2018 Wawan Setiawan 51 3207211405660001 Kalipucang Sinistra -Tens
-Infra Red
Therapy
-Faradic

Dsn Empangsari
02/04 Ds
44 2/14/2018 Hatim 72 3207210809450001 Kalipucang Neck Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Girisetra
06/02 Ds
45 2/14/2018 Siti Sutiah Nurdin 71 3207215309460002 Kalipucang Myalgia -Tens
-Infra Red
Therapy

Dsn Girisetra
06/02 Ds Low Back
46 2/14/2018 Pipin Suharyati 48 3207214610690002 Kalipucang Pain -Tens
-Infra Red
Therapy
-Ultrasound
-Terapi
Latihan

Dsn Girisetra
02/03 Ds
47 2/15/2018 Neneh Tursinah 55 3207215210620001 Kalipucang Myalgia -Tens
 -Ultrasound
-Pasang
Taping

Dsn Pamotan
01/01 Ds
48 2/15/2018 Rosita 60 3207214707570001 Pamotan Neck Pain -Tens
-Ultrasound
-Terapi
Latihan

CTS (Carpal
Dsn Cibuluh I Tunel
49 2/15/2018 Darsih 59 3207215305580001 08/02 Ds Cibuluh Syndrome) -Faradic
-Infra Red
Therapy
-Ultrasound
Dsn Sukasirna
50 2/15/2018 Erwin 43 3206260801750001 07/02 Ds Bagolo Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Girisetra
06/02 Ds Low Back
51 2/15/2018 Pipin Suharyati 48 3207214610690002 Kalipucang Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Kawarasan
09/04 Ds
52 2/15/2018 Enok Wasmi Y 45 3207205602720001 Sindangwangi Neck Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Empangsari
01/04 Ds
53 2/17/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx -Tens
-Ultrasound
-Pasang
Taping

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase -Infra Red
54 2/17/2018 Dudung 60 3207211010570002 Kalipucang Dx Therapy
-Faradic
 Dsn Empangsari Post Stroke
01/05 Ds Hemiparase
55 2/17/2018 Wawan Setiawan 51 3207211405660001 Kalipucang Sinistra -Tens
-Infra Red
Therapy
-Faradic

Dsn Emplak 04/01

56 2/17/2018 Suwiti 56 3207214502620001 Ds Emplak Myalgia -Tens
-Infra Red
Therapy

Dsn Ciparakan
07/02 Ds
57 2/17/2018 Cicih Haniyati 48 3207216104690002 Ciparakan Myalgia -Tens
-Ultrasound
-Pasang
Taping

Dsn Bulakbanjar
13/05 Ds OA Genu
58 2/19/2018 Karjo 53 3207210303640001 Banjarharja Bilateral -Tens
-Infra Red
Therapy
-Pasang
Taping

Dsn Kedung
Palungpung 04/04 Frozen
59 2/19/2018 Otong 69 3207211908480001 Ds Tunggilis Shoulder -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Girisetra
06/02 Ds OA Genu
60 2/19/2018 Siti Sutiah Nurdin 71 3207215309460002 Kalipucang Bilateral -Tens
-Infra Red
Therapy

Dsn Sindangkasih
08/15 Ds
61 2/19/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja Vertigo -Tens
-Infra Red
Therapy
-Ultrasound
 Dsn Empangsari Post Stroke
01/05 Ds Hemiparase
62 2/19/2018 Dudung 60 3207211010570002 Kalipucang Dx -Tens
-Infra Red
Therapy

RA
Dsn Cibuluh I (Rhematoid -Infra Red
63 2/19/2018 Siti Amanah 45 3207214609720003 06/02 Ds Cibuluh Arthritis) Therapy
-Ultrasound

Dsn Kedung
Palungpung 02/04 Low Back
64 2/20/2018 Ade Patonah 48 3207216409690003 Ds Tunggilis Pain -Tens
-Infra Red
Therapy

Dsn Empangsari
01/05 Ds Radiculopat
65 2/20/2018 Nani Sarniasih 61 3207214603560003 Kalipucang y Lumbal -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Girisetra
02/03 Ds
66 2/20/2018 Neneh Tursinah 55 3207215210620001 Kalipucang Myalgia -Tens
-Infra Red
Therapy
-Ultrasound
-Pasang
Taping

Dsn Girisetra Post Stroke

03/01 Ds Hemiparase
67 2/21/2018 Didi Supriadi 50 3207212005670001 Kalipucang Dx -Tens
-Infra Red
Therapy

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
68 2/21/2018 Dudung 60 3207211010570002 Kalipucang Dx -Tens
-Infra Red
Therapy
 Dsn Pamotan
01/01 Ds
69 2/22/2018 Rosita 60 3207214707570001 Pamotan Myalgia -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Emplak 04/01

70 2/22/2018 Suwiti 56 3207214502620001 Ds Emplak Myalgia -Tens
-Infra Red
Therapy

Dsn Babakansari
03/05 Ds
71 2/23/2018 Rakidah 57 3207205905600001 Ciganjeng Neck Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Empangsari
01/04 Ds
72 2/23/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound
-Pasang
Taping
Dsn Sukasirna
73 2/24/2018 Juju Juhaeni 59 3207215712580001 04/01 Ds Bagolo OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Pamotan
01/01 Ds
74 2/24/2018 Rosita 60 3207214707570001 Pamotan Myalgia -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Kedung
Palungpung 04/04
75 2/26/2018 Otong 69 3207211908480001 Ds Tunggilis Myalgia -Tens
-Infra Red
Therapy
-Terapi
Latihan
 Dsn Empangsari
02/06 Ds
76 2/26/2018 Ecin Juriah 58 3207214710590002 Kalipucang Myalgia -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Sindangkasih
08/15 Ds Neck Pain +
77 2/26/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja CTS -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Sukamaju Neck Pain +

78 2/26/2018 Maman 54 3207210709630003 03/10 Ds Tunggilis CTS -Tens
-Infra Red
Therapy
-Terapi
Latihan

Dsn Empangsari OA Genu Dx

01/05 Ds + Low Back
79 2/27/2018 Nani Sarniasih 61 3207214603560003 Kalipucang Pain -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
80 2/27/2018 Wawan Setiawan 51 3207211405660001 Kalipucang Sinistra -Tens
-Infra Red
Therapy
Dsn Pasar 04/02
81 2/27/2018 Omay Suganda 41 3207201502770003 Ds Ciganjeng Neck Pain -Tens
-Ultrasound
-Terapi
Latihan

Dsn Empangsari
02/06 Ds
82 2/27/2018 Ecin Juriah 58 3207214710590002 Kalipucang Myalgia -Tens
-Infra Red
Therapy
 RA
Dsn Cibuluh I (Rhematoid -Infra Red
83 2/27/2018 Siti Amanah 45 3207214609720003 06/02 Ds Cibuluh Arthritis) Therapy
-Ultrasound

Dsn Empangsari
01/04 Ds
84 2/28/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx -Tens
-Infra Red
Therapy
-Ultrasound

Dsn Girisetra Post Stroke

03/01 Ds Hemiparase
85 2/28/2018 Didi Supriadi 50 3207212005670001 Kalipucang Dx -Tens
-Infra Red
Therapy

Dsn Emplak 04/01

86 2/28/2018 Suwiti 56 3207214502620001 Ds Emplak Myalgia -Tens
-Infra Red
Therapy
 QUANTY KENDALA SOLUSI KET
MODALITAS

9 10 11 12

1
1

1
2

1
3

1
2

1
2

1
2

1
2

2
2

1
1

1
2

2
2

1
1

1
1

1
1

2
2

2
2

1
2

2
1

1
1

1
2

2
1

2
2

1
1

1
1
1

2
2

1
4

1
3

1
2

1
2

2
1

1
1

1
2

1
1

1
2

2
2

2
4
1

1
3

2
2

1
2

1
1
4

1
1

1
1

1
2

1
2

1
2

2
3

1
2

1
1

1
2

2
2

2
1

1
2

2
1
1

2
2

1
 UMUR
NO TANGGAL NAMA PASIEN NOMOR KTP/KK ALAMAT DIAGNOSA
L P
1 2 3 4 5 6 7

Dsn Sukamaju Low Back

1 3/2/2018 Maman 54 3207210709630003 03/10 Ds Tunggilis Pain

Dsn Girisetra
02/03 Ds
2 3/2/2018 Neneh Tursinah 55 3207215210620001 Kalipucang OA Genu Dx

Dsn Empangsari
02/05 Ds Calcaneus
3 3/2/2018 Wiwit Tutik Rostina 33 3207215604840002 Kalipucang Spuur

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
4 3/3/2018 Dudung 61 3207211010570002 Kalipucang Dextra
 Dsn Cintamaju
5 3/5/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Skoliosis

Dsn Kedung
Palungpung 04/04
6 3/5/2018 Otong 69 3207211908480001 Ds Tunggilis Myalgia

Dsn Empangsari
04/04 Ds
7 3/6/2018 Anah 64 3207214107530017 Kalipucang Neck Pain

Dsn Empangsari
01/04 Ds
8 3/6/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx
 Dsn Empangsari Post Stroke
01/05 Ds Hemiparase
9 3/7/2018 Dudung 61 3207211010570002 Kalipucang Dextra

Dsn Cibuluh I Frozen

10 3/7/2018 H. Elon Dahlan 65 3207211512520001 05/01 Ds Cibuluh Shoulder

Dsn Sindangkasih
08/15 Ds
11 3/8/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja Vertigo

Dsn Empangsari
01/04 Ds
12 3/9/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx
 Dsn Kedung
Palungpung 04/04
13 3/9/2018 Otong 69 3207211908480001 Ds Tunggilis Myalgia

Dsn Cintamaju
14 3/9/2018 Ira Hirawati 42 3207215111750003 01/01 Ds Tunggilis Skoliosis

OA Genu +
Dsn Pamotan Piriformis
15 3/10/2018 T Sumartini 73 3207214107440003 01/01 Ds Pamotan Syndrome
 Dsn Pamotan Low Back
16 3/10/2018 Emih 62 3207215503560001 01/01 Ds Pamotan Pain

Dsn Pamotan
17 3/10/2018 Rosita 60 3207214707570001 01/01 Ds Pamotan OA Genu Dx

Dsn Pamotan OA Genu

18 3/10/2018 Esih Ratnaningsih 58 5271055103600001 01/01 Ds Pamotan Bilateral

Dsn Empangsari
02/06 Ds
19 3/12/2018 Ecin Juriah 58 3207214710590002 Kalipucang Myalgia
 Dsn Ciparakan
07/02 Ds
20 3/12/2018 Cicih Haniyati 48 3207216104690002 Ciparakan Myalgia

Dsn Cibuluh I Low Back

21 3/12/2018 Karyamah 58 3207215002600002 12/03 Ds Cibuluh Pain

Dsn Girisetra
05/02 Ds
22 3/13/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Skoliosis

Dsn Emplak 04/01 Low Back

23 3/13/2018 Suwiti 56 3207214502620001 Ds Emplak Pain
 Dsn Girisetra
02/03 Ds
24 3/13/2018 Neneh Tursinah 55 3207215210620001 Kalipucang OA Genu Dx

Dsn Kedung
Palungpung 04/04
25 3/14/2018 Otong 69 3207211908480001 Ds Tunggilis Myalgia

Dsn Sindangkasih
08/15 Ds
26 3/14/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja CTS Bilateral

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
27 3/14/2018 Dudung 61 3207211010570002 Kalipucang Dextra
 Dsn Girisetra Dislocation
05/02 Ds Post Injury
28 3/15/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Of Bottom

Dsn Empangsari
01/04 Ds
29 3/16/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx

Dsn Cintamaju Low Back

30 3/19/2018 Hendraisah 50 3207216706670001 06/02 Ds Tunggilis Pain

Dsn Bojong 02/07 Piriformis

31 3/19/2018 Sumarni 52 3207215512650002 Ds Putrapinggan Syndrome
 Dsn Girisetra
05/02 Ds
32 3/19/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Post Injury

Dsn Sindangkasih CTS

08/15 Ds Bilateral+
33 3/19/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja Vertigo

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
34 3/19/2018 Dudung 61 3207211010570002 Kalipucang Dextra
 Dsn Empangsari
03/05 Ds OA Genu
35 3/19/2018 Karni 55 3207214407620002 Kalipucang Bilateral

Dsn Girisetra
02/03 Ds
36 3/19/2018 Neneh Tursinah 55 3207215210620001 Kalipucang OA Genu Dx

Dsn Cibuluh I Rheumatoid

37 3/20/2018 Siti Amanah 45 3207214609720003 06/02 Ds Cibuluh Artritis

Dsn Kedung
Palungpung 04/04
38 3/20/2018 Otong 69 3207211908480001 Ds Tunggilis Neck Pain
 Dsn Pamotan Low Back
39 3/20/2018 Sawilah 59 3207214612580002 01/01 Ds Pamotan Pain

Dsn Sindangkasih
09/15 Ds
40 3/20/2018 Ecin 46 3207216404710001 Banjarharja CTS

Low Back
Dsn Empangsari Pain+Pirifor
01/04 Ds mis
41 3/20/2018 Ijah Sutijah 49 3207216006680001 Kalipucang Syndrome

Dsn Girisetra
02/03 Ds
42 3/21/2018 Neneh Tursinah 55 3207215210620001 Kalipucang OA Genu Dx
 Dsn Empangsari
03/05 Ds OA Genu
43 3/21/2018 Karni 55 3207214407620002 Kalipucang Bilateral

Dsn Girisetra 05/2

44 3/22/2018 Ayot Kosasih 65 3207210503530003 Ds Kalipucang Post Injury

Dsn Bulakbanjar
02/01 Ds OA Genu
45 3/22/2018 Enar Mardiana 61 3207204806560002 Banjarharja Sinistra

Dsn Sindangkasih
09/15 Ds OA Genu
46 3/23/2018 Sanah 64 3207214706530002 Banjarharja Bilateral
 Dsn Emplak 22/02
47 3/23/2018 Yayat Sudrajat 40 3207210207770005 Ds Emplak Myalgia

Dsn Sukamaju Low Back

48 3/23/2018 Maman 54 3207210709630003 03/10 Ds Tunggilis Pain

Dsn Sindangkasih
09/15 Ds
49 3/23/2018 Ecin 46 3207216404710001 Banjarharja CTS

Dsn Sindangkasih
08/15 Ds
50 3/23/2018 Riyah Nasriyah 45 3207216803720001 Banjarharja CTS Bilateral
 Dsn Bulakbanjar
08/03 Ds Cerebral
51 3/23/2018 Alka Zuan Nur Arif 2 3218082201160002 Banjarharja Palsy

Dsn Empangsari
03/06 Ds Tendinitis
52 3/23/2018 Eruk Rukiah 49 3207215305680001 Kalipucang Achilles

Dsn Empangsari
01/04 Ds
53 3/23/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx

Dsn Girisetra
06/02 Ds OA Genu
54 3/24/2018 Siti Sutiah Nurdin 71 3207215309460002 Kalipucang Bilateral
 Dsn Girisetra
05/02 Ds
55 3/24/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Post Injury

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
56 3/24/2018 Dudung 61 3207211010570002 Kalipucang Dextra

Dsn Girisetra
05/02 Ds
57 3/26/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Post Injury

Dsn Emplak 22/02

58 3/27/2018 Yayat Sudrajat 40 3207210207770005 Ds Emplak Myalgia
 Dsn Girisetra
05/02 Ds
59 3/27/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Post Injury

Dsn Sindangkasih
09/15 Ds
60 3/28/2018 Ecin 46 3207216404710001 Banjarharja Myalgia

Dsn Empangsari
01/04 Ds
61 3/28/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx

Dsn Pamotan
62 3/28/2018 Sarwi 62 3207216306550001 02/01 Ds Pamotan CTS
 Dsn Kedung
Palungpung 05/04 Spondylosis
63 3/29/2018 Ilah 59 3207215202590001 Ds Tunggilis Lumbalis

Dsn Sindangkasih
09/15 Ds Low Back
64 3/29/2018 Karsono Atang S 69 3207211008480001 Banjarharja Pain

Dsn Empangsari
01/05 Ds
65 3/29/2018 Nani Sarniasish 62 3207214603560003 Kalipucang Myalgia

Dsn Empangsari Post Stroke

01/05 Ds Hemiparase
66 3/29/2018 Dudung 61 3207211010570002 Kalipucang Dextra
 OA Genu
Dsn Emplak 04/01 Bilateral+Lo
67 3/29/2018 Ratiah 79 3207215305600003 Ds Emplak w Back Pain

Dsn Girisetra
05/02 Ds
68 3/31/2018 Ayot Kosasih 64 3207210503530003 Kalipucang Post Injury

Dsn Cintamaju
69 3/31/2018 Marsem 60 3207214109570001 03/01 Ds Tunggilis Skoliosis

Dsn Empangsari
01/04 Ds
70 3/31/2018 Ijah Sutijah 49 3207216006680001 Kalipucang OA Genu Dx
 Dsn Empangsari
01/05 Ds Post Injury
71 3/31/2018 Asih Kurniasih 25 3278074811920006 Kalipucang Knee
 QUANTY KENDALA SOLUSI
MODALITAS MODALITAS KET

8 9 10 11 12

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 2

-Ultrasound 2
-Pasang
Taping 2

-Tens 2

-Ultrasound 3
-Pasang
Taping 2

-Tens 4
-Infra Red
Therapy 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 2

-Ultrasound 2

-Tens 4

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2
-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Massage 2

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Tens 4

-Infra Red
Therapy 1
-Terapi
Latihan 1
-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2
-Tens 3

-Infra Red
Therapy 2

-Ultrasound 2
-Terapi
Latihan 1

-Tens 3

-Infra Red
Therapy 2

-Ultrasound 2

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2
-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 2

-Ultrasound 2

-Tens 4

-Infra Red
Therapy 1
-Terapi
Latihan 1
-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 4

-Tens 4

-Infra Red
Therapy 2

-Ultrasound 3

-Massage 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2

-Infra Red
Therapy 2
-Ultrasound 1
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 3

-Tens 3

-Infra Red
Therapy 1

-Ultrasound 3
-Terapi
Latihan 1

-Tens 4

-Infra Red
Therapy 1
-Terapi
Latihan 1
-Tens 3

-Infra Red
Therapy 2

-Ultrasound 2
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Infra Red
Therapy 1

-Ultrasound 1

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 1
-Tens 3

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 1

-Infra Red
Therapy 1

-Ultrasound 1

-Tens 3

-Infra Red
Therapy 2

-Ultrasound 3
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 1
-Ultrasound 2
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 2

-Ultrasound 3

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2

-Tens 2
-Infra Red
Therapy 2

-Massage 2
-Chest
Therapy 1

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 1

-Infra Red
Therapy 1

-Ultrasound 1

-Tens 3
-Infra Red
Therapy 2

-Massage 4
-Terapi
Latihan 4

-Tens 1

-Infra Red
Therapy 2

-Ultrasound 2

-Tens 3

-Infra Red
Therapy 2

-Ultrasound 3

-Tens 2

-Infra Red
Therapy 1
-Ultrasound 1

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 4

-Tens 4

-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 2
-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 4

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 2

-Tens 3

-Infra Red
Therapy 2

-Ultrasound 3
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 1
-Tens 3

-Infra Red
Therapy 2

-Ultrasound 2
-Terapi
Latihan 1

-Tens 2

-Infra Red
Therapy 1
-Terapi
Latihan 2

-Tens 2

-Infra Red
Therapy 2

-Ultrasound 2
-Terapi
Latihan 1

-Tens 4
-Infra Red
Therapy 1
-Terapi
Latihan 1

-Tens 3

-Infra Red
Therapy 2

-Tens 2

-Infra Red
Therapy 2
-Terapi
Latihan 2
-Faradic 1

-Tens 2

-Infra Red
Therapy 1

-Ultrasound 2
-Terapi
Latihan 1

-Tens 3
-Infra Red
Therapy 2

-Ultrasound 3

-Tens 2

-Ultrasound 2
-Terapi
Latihan 1