Records of Patient Medical Checkups

1-Nov-18
JK
TEMPAT TANGGAL SUKU
NO NO. INDEX NAMA KK NAMA PASIEN NIK UMUR PEKERJAAN ALAMAT RT/RW
LAHIR LAHIR L/P BANGSA
1 99079820 NOH TEPLOPO MARIA P. BETE 5304 2145 0755 0001 ASUMANU 7/5/1955 63 P TETUN IRT BEIRAFU 009/003
2 99110060 FRENGKI TAHU GRACIA Z. RUSANTO 5304 1252 0803 0001 ATAMBUA 8/12/2002 16 P KEMAK PELAJAR M.MUTIN 001/001
3 99019910 THOMAS MAYA THOMAS MAYA AILEU 5/21/1973 45 L TETUN PNS M.MUTIN 021/003
4 2069810 LAMBERTUS GATTO LAMBERTUS GATTO FLORES 10/5/1955 63 L FLORES PEN TNI TENUKIIK 011/004
5 99013120 ENY SULASTRI ENY SULASTRI JAWA 9/10/1963 55 P JAWA IRT M.MUTIN 001/001
6 3038310 LAMBERTO P. MAIA LAMBERTO P. MAIA 7/2/1962 56 L MARAE FATUBENAO 016/002
7 2010010 FRANS FINA FRANS FINA JAKARTA 6/29/1945 73 L FLORES TENUKIIK 001/001
8 2010020 FRANS FINA ELISABETH U.P. NTB 7/2/1942 76 P IRT TENUKIIK 001/001
9 3011433 YOSEP BESIN MARIA G. F. BELE ATAMBUA 12/22/2000 17 P TETUN SWASTA FATUBENAO 015/003
10 99013310 ARNOLDUS ASA ARNOLDUS ASA LOONEKE 7/10/1947 71 L DAWAN PEN PNS M.MUTIN 006/002
11 2047820 MARIA BUI HEUK MARIA BUI HEUK 12/17/1950 67 P TETUN IRT TENUKIIK 008/002
12 3063210 FELICIANO TAEK FELICIANO TAEK 7/10/1954 64 L MARAE PEN TNI FATUBENAO 016/005
13 3101810 YACOBUS M. LUAN YACOBUS M. LUAN LEOGOLO 4/9/1952 66 L MARAE PEN PNS FATUBENAO 033/004
14 99071610 MIGUEL MARTINS MIGUEL MARTINS ATABAE 12/29/1959 59 L TETUN PEN TNI M.MUTIN
15 99069233 BENEDIKTUS B. NINO SAMUEL GIAN ATAMBUA 11/23/2013 5 L DAWAN TULAMALAE 002/001
16 99097920 EDMUNDUS SIKI MARIA SIKI KEFA 8/5/1965 53 P DAWAN IRT M.MUTIN 023/007
17 99017420 MUCKTAR BALICK RAHIMA ABDULLAH ALOR 9/7/1963 55 P ALOR IRT MANUAMAN 003/001
18 3120434 ALFONSIUS T. BERE STEFANUS BERE ATAMBUA 9/30/2018 1.BLN L KEMAK FATUBENAO 009/003
19 3188110 URBAUS RIWU URBANUS RIWU SABU 2/8/1989 29 L SABU SWASTA FATUBENAO 014/005
20 99020831 NURDIN TAHIR NABIL YULIANSA ATAMBUA 7/28/2006 12 L BUGIS PELAJAR BEIRAFU 005/003
21 99132120 NELCI FANGIDAE NELCI FANGIDAE 5304 1255 0571 0001 ROTE 5/15/1971 47 P ROTE IRT M.MUTIN
22 3187930 YULIANA LETO FEBRIANTO S, LETTO KALIMANTAN 2/18/2010 8 L MARAE PELAJAR FATUBENAO 032/002
23 3168230 MARTINUS LLAKA YOHANES P. LAKA 1 L MARAE FATUBENAO 012/006
24 99005720 SARLIN ANIKA SARLIN ANIKA KPG 8/10/1970 48 P KPG IRT LIDAK 016/004
25 99020710 LAMBERTUS FATIN LAMBERTUS FATIN FATUBESI 5/15/1955 63 L TETUN PEN PNS M.MUTIN 029/008
26 99019420 ANTONIA MATAROHHI ANTONNIA MATAROHIH KPG 2/22/1947 71 P SABU IRT RINBESI 004/002
27 99043220 YOHANES URUHUE SUYANTI URUHWE ATAMBUA 2/5/1947 71 P AMBON IRT FATUK BOT 024/001
28 99000620 SRI WAHYUNINGSIH TRIWAHYUNINGSIH JAWA 10/2/1955 63 P JAWA IRT RINBESI 011/006
29 3160260 GABRIEL MANEK HENDRIKUS S, MANEK ATAMBUA 3/16/2017 1 L MARAE FATUBENAO 018/003
30 99217833 FARNSISKO DACRUZ DOMINGUS ATAMBUA 10/2/2018 1.BLN L TETUN M.MUTIN 011/004
31 3006620 ROSINA OLIVEIRA ROSINA BOBONARO 8/12/1974 44 P BUNAK IRT FATUBENAO 030/03
32 3109034 FRANCISCO ALVES PRISILIA SILVIA ATAMBUA 13/04/2020135 P TETUN PELAJAR FATUBENAO 021/007
33 99003030 PETRUS MAU YOHANA A. R MAU ATAMBUA 4/19/2012 6 P MARAE PELAJAR RINBESI 001/001
34 2085620 FARNSISKO DACRUZ YULITA MAU ATAMBUA 26 P TETUN IRT TENUKIIK 016/002
35 99020431 OKTAVIANUS KOLO MARIA ORCIANA ATAMBUA 7/31/2017 3.BLN P TETUN TULAMALAE 005/003
36 99051033 PETRUS LUAN WILIAM LUAN ATAMBUA 4/20/2016 2 L TETUN M.MUTIN 028/008
37 99022031 MARGARETA SASI MARGARETA SASI 3/24/1991 27 P DAWAN SWASTA BERDAO
38 3188030 HANDRIANUS E. RESI BRIGITA A. AGIGAE ATAMBUA 7/7/2015 3 P MARAE FATUBENAO 041/006
39 3157520 ALEXANDER K. SERAN MARIA E. KOI ATAMBUA 5/28/1968 49 P TETUN IRT FATUBENAO
KASUS HASIL PEMERIKSAAN LAB KONSELING
ASAL
DIAGNOSA KODE NAMA OBAT TINDAKAN KLINIK KLINIK
B/L DDR GD AU KOL HB PASIEN
SANITASI GIZI
H T GR I DYSPEPSIA L OMEPRASOL AMLODIPIN BC 1
DYSPEPSIA L OMEPRASOL PCT BC 1
COMMON COLD L AMLO IBUPROFEN LOTADIN 1
H T L HCT BC 1
H T GR II L HCT IBUPROFEN OMEPRASOL 1
H T MYALGIA L AMLO DEXA OMEPRASOL 1
H T MYALGIA L AMLO CAPTO PIROXICAM BC 1
H T DISLEPIDEMIA L AMLO SIMVASTATIN AMBROX LORATADIN 87 5.4 214 1
VULNUS L VIT C 1
DM L LANJUT OBAT 1
H T L LANJUT OBAT 1
H T L AMLODIPIN 1
H T BPH L AMLO IBUPROFEN CIMETIDIN NEG 1
H T GR I DYSPEPSIA TB PARU L AMLO CIMETIDIN B6 OAT KAT I 1
PARAOTITIS L PCT BC VIT C 1
COMMON COLD B FUROSEMID AMBROX CEFA 1
ISPA H T L AMBROX CAPTO PCT NEG 1
DIARE TANPA DEHIDRASI B ZINCK BC PCT 1
COMMON COLD B AMBROX IBUPROFEN LORATADIN NEG 1
TONSILITIS B CEFA DEXA PCT 1
COMMON COLD B AMBROX LORATADIN IBUPROFEN 1
ISPA B PCT GG CTM BC 1
IISPA B GG CTM VITC BC 1
H T MYALGIA B AMLO PIROXICAM B1 1
HT SUSP ISK L AMLO SIPRO CIMETIDIN IBUPROFEN 1
DISLIPIDEMIA L SIMVASTATIN 86 4.1 258 1
DISLIDEMIA L SIM VASTATIN BC 96 5 229 1
H T BBATUK L AMLO AMBROX VIT C 1
ISPA B GG CTM VITC BC 1
CEPHALGIA B PCT BC AMOX 1
HIPERMETROPIA L KIE 1
ISPA B GG PCT CTM VIT C NEG 1
FHARINGITIS B AMOX CTM GG VIT C 1
COMMON COLD B GG LORATDIN SF 1
BATUK B PCT GG CTM BC 1
ISPA B PCT GG CTM BC 1
COMMON COLD B ANTASIDA AMBROX LORATADIN PCT NEG 1
STOMATITIS L PCT BC VIT C AMOX 1
TONSILITIS AKUT L CEFA UBPROFEN OMEPRASOL NEG 1
BB TB SUHU TD RR NADI
PEMBERI
RUJUK PETUGAS
LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 44.5 146.5 36 140/75 18 77 MIGUEL

1 42.5 156 36 73/54 67
1 61.4 156 36 139/93 68
1 83.5 158 36 133/76 18 52
1 60 149 36 141/74 18 49
1 56 155 36 138/73 74
1 152 36 133/83 66
1 50 148 36 136/81 18 85
1 37 36 115/90 87
1 79.5 153 36 129/87 65
1 50 159 36 134/73 66
1 48 144 36 144/76 66
1 69 160 36 126/82 72
1 71 160 36 142/83 71
1 12.9 37 38
1 55 138 36 139/77 80
1 76.6 151 36 163/91 62
1 4.5 36 48
1 48.1 156 36 94/60 20 74
1 29.4 127 36 90
1 56.9 154 36 120/83 104
1 7.5 38.2 45
1 10.9 36.6 40
1 62.4 155 36 158/85 16 67
1 63 151 36 137/87 76
1 44.6 149 36 157/77 65
1 52.3 156 36 156/72 18
1 62.7 149 36 167/113 82
1 9.5 36.7 36
1 5 38
1 60.3 153 36 115/71 64
1 17 113 36.8 22 68
1 18.5 115 35.6 86
1 52.1 154 36.6 118/88 28 69
1 5.8 36 38
1 11.1 37.5 38
1 40.3 158 35.8 108/78 22 68
1 10.2 37.3 46
1 56.8 155 35.5 126/82 24 99
2-Nov-18
NO NO. INDEX NAMA KK NAMA PASIEN
1 990423 SUSTER LUSA LURUK BRIA SUSTER YULI BRIA

2 990464 DELFINCE BANOET ADRIANUS ERIK BANOET
3 031554 YOSEP LAKE VERONIKA PALBENU
4 990166 ANGGELITU PIRES ANA PAULA
5 990489 FERNANDUS SIN BLANDINA J PAULA
6 010024 ZAKRIAS BALA HALIJA L MELAJU
7 010192 TEODORUS E BISIK KANATA
8 030114 YOSEP BESIN JUAN BESIN
9 020895 MARIUS MAU YOHANES MAU
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
JK
TEMPAT
NIK TANGGAL LAHIR UMUR
LAHIR L/P
BESI KAMA 7/29/1992 26 P

ATB 9/14/2003 15 L.
ATB 12/2/1992 26 P
SOE 9/21/2014 4 P
ATB 2/11/2006 12 P
ATB 5/5/1962 68 P
ATB 13/072018 2BLN P
ATB 8/15/2005 13 L
ATB 1 B
KASUS
SUKU
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
BANGSA B/L
TETUN SUSTER NENUK DYSPEPSIA B.

DAWAN PELAJAR BERDAO 005/002 TENSION H B
DAWAN SWASTA FATUBENAO 033/004 TB M ILER KASUS BARU B
DAWAN TLM 018/004 ISPA B
MARAE PELAJAR RINBESI 012/007 TONSILITIS AKUT B
ALOR IRT ATB 012/004 DM HT L
TIMOR ATB 002/001 OBS FEBRIS B
KEMAK PELAJAR FATUBENAO 015/005 OMA B
MARAE TENUKIIK 008/003 ISPA B
HASIL PEMERIKSAAN LAB KONSELING
NAMA OBAT TINDAKAN KLINIK KLINIK
DDR GD AU KOL HB
SANITASI GIZI
ANTASID B6
NADIK BC CIMETIDIN
NADIK B6 OAT
PCT GG CTM BC
CEFADROX PCT DEXA
AMLOD METFORMIN
PCT GG CTM BC
AMOX DEXA
PCT GG CTM BC
ASAL RUJ PEMBERI
PETUGAS
PASIEN UK LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 1 45 155 35 105/69 18 60
1 1 59 165 35 1113/65 18 75
1 1 44.2 154 36 117/71 18 103
1 1 11.6 96 47
1 1 36 148 35 98
1 1 44.5 145 35 137/86 18 126
1 1 62 37 49
1 1 30 141 35 92
1 1 8.3 69 35 47 100
11/3/2018
1 99-126210 AMANDIA BORGES AMANDIO BORGES

2 02-090420 MELKIOR LAKE MONIKA SEUK
3 99-190030 BELINA M SOARES BELINA M SOARES
4 99-051130 YASINTA LAU ARKANJELA J DOLOROSA
5 99-0531 YOHANES DAHLAN MARIA BUI BETE
6 99-1324 MARSELINUS BAU GRASILDA BAU
7 99-050810 KALEB O KADJI KALEB O KADJI
8 99-0117 PASKUAL MAU ANTONIA DOS SANTOS
9 02-071420 ADRIANA KAAT ADRIANA KAAT
10 99-132310 CIPRIANUS ALBIS ROBERO CIPRIANUS ALBIS ROBERO
11 03-0103 YOSEP SIRI MORUK MARIA M ABUK
12 99-060731 ANTONIUS LOE AGUSTIN I LOE
13 03-0497 SALVIUS NGONGO EMANUEL S BILI
14 99-1158 JEMRIS TANESIB JASIL TANESIB
15 99-0089 FERDINANDUS KOLO ANASTASIA E KOLO
16 99-0630 DOMINGGUS DEWORA DOMINGGUS DEWORA
17 99-030431 DOMINGGUS GUTERES ROLANDO F GUTERES
18 99-1127 LASARUS L PULING KATARINA M BOKO
19 03-0051 GUIDO MANEK DOMINGGUS MANEK
20 99-0148 APRIS PAY SRI WANDA
21 99-0874 SERAN YEREMIAS SKOLASTIKA SERAN
33
34
35
36
37
38
39
JK
TEMPAT TANGGAL SUKU
NIK UMUR PEKERJAAN
ATABAE 8/8/1982 36 L DAWAN SWASTA

LAKU 7/7/1972 46 P MARAE IRT
530.412.481.103.500.01 ATB 10/8/1995 23 P TETUN GURU
ATB 1/11/2015 3 P TETUN
530.422.610.758.000.1 RAIIKUN 7/21/1958 59 P MARAE P.PNS
ATB 12/17/2007 11 P MARAE PELAJAR
40 L SABU SWASTA
MANATUTU 3/8/1994 24 P TETUN MAHASISWA
ATB 62 P ALOR P.PNS
530,106,020,990,001 WELODI 9/2/1990 28 L TETUN TEKO
HALIBOT 5/27/1979 39 P TETUN IRT
5 L MARAE
ATB 3/5/2018 7BLN L ALOR
ATB 6/2/2008 10 P TETUN PELAJAR
530.322.150.474.000.1 KEFA 4/15/1974 44 L DAWAN SWASTA
ATB 11/17/2003 15 L TETUN PELAJAR
530.410.521.064.000.1 ATB 10/12/1964 52 P ALOR IRT
ATB 7/22/2018 3 BLN L MARAE
SOE 9/11/2017 1 P DAWAN
530.412.510.291.000.3 MALIANA 2/11/1991 28 P TETUN SWASTA
KASUS
ALAMAT RT/RW DIAGNOSA KODE
B/L
MANUMUTIN POST SMH L

TENUKIIK 010/004 COMMON COLD B
ATB 001/001 SUSPEC APP AKUT B
NENUK 007/003 TONSILITIS AKUT B
LIDAK 014/003 DISLI,DISPEPSIA L
MANUMUTIN 009/003 VULNUS LACERATUM L
RINBESI 012/006 BATUK,RHINITIS ALLERGI B
RINBESI 012/006 SUSPEC TB PARU L
TENUKIIK 006/002 HT,DISPEPSIA B
MANUMUTIN 021/006 KONSTIPASI B
FATUBENAO 007/003 PULPITIS B
MANUAMAN 018/004 VULNUS LACERATUM L
FATUBENAO 005/002 EPILEPSI L
MANUMUTIN 024/007 ISPA B
UMANEN 029/009 TONSILITIS AKUT B
OENOPU 010/004 FARINGITIS AKUT B
MANUAMAN 008/002 MIALGIA B
MANUMUTIN 001/001 SUSPEC TB PARU B
FATUBENAO 033/004 OBS FEBRIS B
UMANEN KONJUNGTIVITIS AKUT B
MANUAMAN 009/002 MIYPIO B
TINDAK
NAMA OBAT KLINIK
DDR GD AU KOL HB AN
SANITASI
AMLODIPIN,B1,B12,SIMVASTATIN
AMBROXOL,IBUPROFEN,CTM
NADIC,OMEPRAXOL,CEFIME
AMOX,GG,CTM,BC,DEXA
SIMVASTATIN,ANTASIDA,B6 5.9 228
AMOX,BC,DEXA 1
GG,LORATADIN,DEXA
AMBROXOL,CEFA,PCT
ANTASIDA 89 5.8 194
BC,VITC
AMOX,ASMET,CIMETIDIN
CEFA,BC
PCT,GG,CTMBC
AMOX,AMBROXOL,CTM NEG
CEFA,AMBROXOL,LORATADIN
BC,VITC
GG,CEFA,CIMETIDIN
PCT,CTM,DEXA,BC NEG
ZINC,ORALIT,METOCLOPRAMIDE,B6
S
KONSELING BB TB SUHU TD RR NADI
PEMBERI
ASAL
KLINIK RUJUK LAYANA
PASIEN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
GIZI N
1 1 61.5 169 36 143/101 18 86

1 1 38.5 149 36 112/65 20 65
1 1 39.4 155 36 96/58 16 81
1 1 13 94.5 36 34 80
1 1 52 146 36 113/70 14 72
1 1 23 36 30 98
1 1 .70,8 175 35 117/45 18 80
1 1 33.3 149 36 114/69 28 115
1 1 52 146 35 114/68 16 75
1 1 67 162 35 117/77 16 122
1 1 35.8 149 36 103/69 18 93
1 1 37 147 35 98/53 18 100
1 1 1 25 128 36 28 96
1 1 8.7 74 37 38 120
1 1 21.7 128 36 22 104
1 1 44 160 34 112/73 16 72
1 1 49.9 160 36 109/54 20 87
1 1 64.5 150 35 144/81 24 75
1 1 8.6 78 38 32 120
1 1 8.8 36 36 130
1 1 1 53.1 155 36 113/71 20 80
PETUGAS
BASTI H
11/5/2018
1 99-0631 MATEUS BERE REI RIVALDO BERE

2 99-0149 ZAKEUS LENAMA MARIA MADALENA BERE
3 99-0633 SIMON SIRA ENE MARCIDE MARIA M
4 99-1327 YOHANES SASI YOHANES SASI
5 03-1340 RAFAEL S.MAU MARIA FATIMA MAU
6 99,132,520 ANTONIUS MORUK YASINTA KOLO
7 99,112,410 YOHANES ANDY C. WANGGE YOHANES ANDY A.C.WANGGE
8 2,062,110 YOHANES UKAT YOHANES UKAT
9 99,009,010 PETRUS NAHAK PETRUS NAHAK
10 01-0379 REINALDI K NAHAK LILIANA NUMUR
11 99-0114 KAMILUS KOY DAFLI MARIO
12 99-0031 AGUSTINUS SERAN AGUSTINUS SERAN
13 99,036,810 MANUEL BARETO ABETU
14 99,026,531 LAZARUS LUAN MANUEL A PUTRA
15 99,049,220 PETRONELLA MEAK PETRONELLA MEAK
16 990,108 MARIA VINSENSIA NIIS MAEJIANA Y.IVANAH
17 99,122,630 NIKOLAS SOARE JOANITA C SOARES
18 3,022,332 PAUL BRITO IMANUEL BRITO
19 3,088,820 FRANSISKA HOAR FRASISNKA HOAR
20 2,015,820 HENDRIKUS URAN DELTAN
21 3,101,720 ANJELINO DE ARAUJO FILOMENA
22 99,100,120 IZAK PEREIRA DEJESUS FATIMA DEJESUS
23 3,082,534 THOMAS KOLI YOHANES KOLI
24 99,068,210 GAUDENSIUS RAGA GAUDENSIUS RAGA
25 99,132,433 MARSELINUS BAU GRASILDA BAU
26 99,084,420 FREDERIKUS LAPUDOH WIHELMINA N RAJA
27 99.01.4720 MARSIANUS LOE MAU YULIANA W MAU
28 99,060,731 ANTONIUS LOE AGUSTIN I LOE
29 2,015,020 NIKODEMUS ATEDU MARSELINA DEDEU
30 3,011,433 YOSEP BESIN MARIA G.F.BELE
31 3,187,420 PIUS KOLY MONIKA TAE
33
34
35
36
37
38
39
JK
TEMPAT TANGGAL SUKU
NIK UMUR PEKERJAAN
ATB 2/1/2005 13 L MARAE PELAJAR

530.421.520.566.000.3 BOAS 5/12/1966 52 P TETUN IRT
530.404.601.269.000.1 KUPANG 12/20/1969 49 P MARAE PNS
530,412,140,380,001 FATURENE 1/14/1960 58 L DAWAN TUKANG
5,304,126,805,900,000 ATB 5/25/1990 28 P MARAE PNS
5,304,047,107,730,000 BATUMERAH 7/3/1974 45 P TETUN IRT
ATB 12/23/1986 32 L MARAE SUASTA
KEFA 4/14/1960 58 L DAWAN SUASTA
WEKAFAU 03/0/1925 93 L TETUN SUASTA
ATB 35 P TETUN IRT
MALASIA 3/15/2016 2 L DAWAN
BUILARAN 9/16/1962 56 L TETUN GURU
ATB 1,3 THN L TETUN
11/19/2016 2 L TETUN
ATB 24/07/157 61 L TETUN IRT
ATB 5/14/2018 6 BLN P TETUN
ATB 8/24/2010 8 L MARAE PELAJAR
HALILULIK 001/001 68 P TETUN IRT
ATB 7/6/2018 4 BULANP FLORES
DILI 8/14/1992 28 P TETUN IRT
DILI 5/12/1968 50 P TETUN IRT
ATB 1/22/2017 1.1 L KEMAK
NGADA 6/26/1964 54 L FLORES PNS
ATB 12/17/2007 11 THN P MARAE PELAJAR
SABU 5/4/1975 43 P SABU IRT
TORAJA 7/15/1969 49 P TORAJA IRT
HALIWEN 2/3/2000 18 P KEMAK IRT
FATUBENAO 12/22/2000 17 P TETUN SUASTA
FATUBENAO 10/15/1970 48 P MARAE IRT
KASUS
B/L
MANLETEN 003/002 TONSILITIS AKUT B

UMANEN 016/006 DISLI,RA,MIALGIA B
NAEKASA 001/001 DISLI,ISPA B
MANUMUTIN 023/007 DISPEPSIA,KONJUNGTIVITIS B
FATUBENAO 011/002 DYSPEPSA L
M.TIN 026/002 SUSPEK NEURO SDERMAGGIA B
M.TIN 024/007 Herpers Z L
T.KIIK 001/001 LBP L
M.TIN 006/002 HT L
ATB 001/001 STOMATITIS,DISPEPSIA B
BEIRAFU ISPA B
LIDAK 014/003 SUSP TB PARU B
M.TIN 005/002 ISPA B
BERDAO 003/001 vulnus l L
M.TIN ISPA L
M.AMAN 013/003 Dermatitis Alergi L
M.TIN 006/002 FUROKLOSIS B
FATUBENAO 003/001 HOEMOBTO B
FATUBENAO 001/001 MYALGIA L
T.KIIK 008/003 FURUNRUKOLSE B
FATBENAO 009/003 SUSPEK TB PARU L
M.TIN 013/004 HT L
HALIULUN 009/003 TONSILITIS AKUT L
LIDAK 010/002 HT + ISPA L
M.TIN 009/003 vulnus l L
F.BOT 001/001 HT L
LIDAK 015/002 CTS B
M.AMAN 019/004 vulnus l L
T.KIIK 011/004 ISPA B
FATUBENAO 015/003 vulnus l B
FATUBENAO 017/006 DYSPEPSIA L
HASIL PEMERIKSAAN LAB
NAMA OBAT
DDR GD AU
AMBROXOL,LORATADIN,AMOX, NEG
SIMVASTATIN,PIROXICAM,ANTASIDA 89 5.2
SIMVASTATIN,AMBROXOL,LORATADIN 85 4.6
ANTASIDA,LORATADIN,B6,ALLOPURINOL,GENTAMISIN TETSMATA
ANTASIDA,PCT,B6,
LORATADINEDEXA,VIT C,SALP 2-4
ASIKLVIR,ASIKLOVIR SKK,Bcom
NA.DINKLOFENAK,CIMETADINE,BCOM
AMLODIPIN,AMBROXOL,GG
ANTASIDA,BC,VITC
PCT,GG,CTM,BC
AMBROXOL,DEXA, CTM
PCT,CTM,VIT C
LANJUT
AMBROXOL,CTM,IBUPROFEN,
CTM ,DEXA
AMX,VIT,PCT
VIT K .B.COM
IBUPROFEN,ANTASID,B.COM
PCT,B,COM,AMOX
AMBROXOL,AMOX,
AMLODIPIN,ACAP,ALLOPURINL,
AMX,GG,CTM,B.COM
IBUPROFEN,AMBROXOL,CTM,VIT C
LANJUT
HCT.NA,
NA,BI,METYL 88 4.5
LANJUT
AMBROXOL,LOROPENICOL,PCT,
VIT C
ANTASIDA,B6
PEMERIKSAAN LAB KONSELING BB
PEMBERI
TINDAK ASAL
KLINIK KLINIK RUJUK LAYANA
KOL HB AN PASIEN ( kg )
SANITASI GIZI N
1 1 25.3
223 1 1 54.4
1 1 57.5
1 1 49
1 1 43.4
1 1 51.7
1 1
1 1 57
1 1 47
1 1 66
1 1 10.4
1 1 64.4
1 1 9.5
1 1 10.9
1 1 60
1 1 10
1 1 5.1
1 1 21.6
1 1 55
1 1 6
1 1 39
1 1 44.4
1 1 7.9
1 1 65.2
1 1 23
1 1 82
202 1 1 51.5
1 1 38
1 1 38
1 1 37
1 1 54
TB SUHU TD RR NADI
PETUGAS
( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
137 36 20 90 BASTI H
149 36 121/84 18 78
147 36 127/93 18 87
155 35 109/60 16 83
160 36 102/73 18 83
142 35 142/83 20 75
165 36 117/83 18 94
156 35 125/92 18 66
136 36 136/56 14 73
154 36 152/97 20 79
83 37 44 20
162 36 113/72 69
76 36 38
80 35 22 101
142 36 111/78 18 76
113 36
64 38 44
124 36
152 35 128/68 17 67
61 36.7 32 122
105 36 122/78 17 78
154 35 159/93 18 77
73 36 45 110
167 35 141/93 44 16
36 88 26
150 36 120/100 86 18
154 36 111/65 87 16
147 36 98/53 16 89
155 36 93/59 18 113
35 115/90 18 87
140 36 138/105 18 88
1 99024533 APLONIA LOTU WILSON NUAK

2 3079732 ALIPI DE JESUS FIKA MAYA
3 99021120 WIHELNIA FIKA MAYA
4 3188120 AGUSTINUS SOARES ROMANA DORTEGO
5 99063510 TATAN NOVIAN TATANG NOVIAN
6 99012020 BERNADETA K. ATI BERNADETA K. ATI
7 99013320 ARNOLDUA ASA PAULINA HOAR
8 2042120 SITI RAHMA SITI RAHMA
9 99048710 ROBERT MARTINUS ROBERT MARTINUS
10 2023410 MARSELINUS US ABATAN MARSELINUS US ABATAN
11 2075020 BAU MARTINUS TABITA KARMANI
12 99078732 NYOMAN KUSUMA TANIA F. SERAN
13 99009130 EMANUEL SALU ANTONIUS F. SALU
14 2006320 YULIANA A. M. YULIANA A,M.
15 99022320 AGUSTINUS TANII EMELIA TONBESI
16 99024920 NIKSON NAI BILI MARIA I. MAU
17 99080120 MARSELINUS HALE LIDIYANI LAKA
18 99035210 EDI SANTOSO EDI SANTOSO
19 99021920 MARSELINUS AKUNUT FLORIANSA
20 2037530 MARKUS SOARES AURELIA SOARES
21 99083410 YUKSAN HANAS YUKSAN HANAS
22 99163410 MANEK THIMOTIUS MANEK THIMOTIUS
23 99002430 FERDI BERE ARNOLDUS BERE
24 99003920 MATEUS DO REGO ISABELA UN DASILVA
25 99029410 ARNOL B. NIDJI ARNOL B. NIDJI
26 99049610 MUSLIHIM MUSLIHIM
27 2072134 GUSTAFU RAFAEL P
28 2005220 DONATUS MORUK MARIA LAWA
29 2048060 ROMANUS SERAN KALISTA KOA
30 3072330 ALFONSO DASILVA MARCO DASILVA
31 99057130 JOSE XIMENEZ CLARISYA
32 3188320 EDMUNDUS LOI EMERENSIANA MOTU
33 99011830 MARKUS KEBANA HAKEL A. KEBANA
34 99132910 JANUARIUS MAU BERE JANUARIUS MAU BERE
SUKU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR JK
BANGSA
L/P
ATAMBUA 10/17/2009 9 L TETUN

ATAMBUA 2/3/2018 8.BLN P MARE
5304 1216 4127 0001 ATAMBUA 12/24/1970 48 P MARE
BOBONARO 11/29/1973 45 P MARE
SUBANG 11/10/1991 27 L JAWA
ATAPUPU 11/30/1945 73 P TETUN
MANLEA 4/2/1949 69 P DAWAN
12/12/1944 73 P JAWA
ROTE 5/17/1954 65 L ROTE
4/24/1937 81 L TETUN
5304 1269 0765 0001 ALOR 7/29/1965 53 P ALOR
ATAMBUA 10/10/2011 7P MANADO
ATAMBUA 6/7/2016 2L DAWAN
BANI 2 7/16/1943 75 P DAWAN
KEFA 3/17/1979 39 P DAWAN
ATAMBUA 1/18/1991 27 P KEMAK
FATUKNUTU 3/23/1983 35 P DAWAN
SUARABAYA 4/22/1978 40 L JAWA
ENDE 2/7/1983 35 P
ATAMBUA 10/12/2003 15 P BUNAK
TAKARI 2-Jul 31 L ROTE
LELOWAI 4/4/1958 60 L TETUN
TULAMALAE 11/2/2009 9L
12/12/1965 53 P TETUN
ATAMBUA 5/21/1981 36 L MARAE
MANGGARAI 10/16/1980 38 L FLORES
ATAMBUA 5/14/2018 5. BLN L TETUN
ATAMBUA 1/18/1953 65 P TETUN
ATAMBUA 3/17/2018 7.BLN P TETUN
ATAMBUA 8/8/2011 7L TETUN
ATAMBUA 8/11/2015 3P TETUN
LAHURUS 6/25/1968 50 P MARAE
SABU 12/14/2014 4L SABU
1/10/1981 37 L MARAE
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE KASUS
B/L
PELAJAR WEDOMU DERMATITIS KONTAK L

FATUBENAO 003/002 ISPA B
IRT BERDAO 016/006 H T DM L
IRT FATUBENAO 031/001 MIGREN L
SWASTA ASULAIT GASTRITIS SUSP TYPOID L
IRT BEIRAFU 003/002 D M HT L
PEN PNS M.MUTIN 006/002 ISPA MYALGIA B
IRT TENUKIIK 001/001 DM L
PENDETA MANUAMAN 009/003 V E L
PEN TNI TENUKIIK 001/001 H T MYALGIA L
IRT TENUKIIK 016/006 D M HT L
PELAJAR TULAMALAE 013/004 FHARINGITIS IS[A B
M.MUTIN 008/003 ISPA B
IRT TENUKIIK H T MYALGIA L
IRT M.MUTIN 014/004 H T ISPA MYALGIA L
IRT M.MUTIN 025/008 MYALGIA CEPHALGIA B
GURU M.MUTIN 001/001 ISPA B
SWASTA NAEKASA MYALLGIA L
IRT M.MUTIN 001/001 MYALGIA L
PELAJAR TENUKIIK 011/004 ISPA B
SWASTA LIDAK 032/001 ISPA B
PEN PNS NBATU MERAH SUSP GOUT L
PELAJAR TULAMALAE ISPA FHARINGITIS B
IRT M.MUTIN 002/006 ISPA B
HONORER TULAMALAE FHARINGITIS IS[A B
SWASTA MANUAMAN 004/001 OMSA L
TENUKIIK 010/004 ISPA B
IRT TENUKIIK 007/005 H T ISPA L
TENUKIIK 006/002 DISENTRI B
PELAJAR FATUBENAO 020/007 ISPA B
M.MUTIN 019/005 DERMATITIS L
IRT FATUBENAO 017/006 DERMATITIS L
RINBESI FHARINGITIS IS[A B
PNS M.MUTIN 021/006 H T VP L
NAMA OBAT HASIL PEMERIKSAAN LAB TINDAKAN
DDR GD AU KOL HB
AMOX KETOKONAZOLE VI
AMOX PCT AMBROX CTM VIT C
PIROXICAM B1 4.8 150

COTRIM OMEPRASOL ANTASIDA PCT
AMOX METFORMIN IBUPROFEN
AMBROX PIROXICZM LORSTSDIN
SIMVASTATIN FUROSEMID 91 4.2 240
CEFA NADICK OXIT SK
AMLO LORATADIN NADICK
MEFORMIN OMEPRASOL
AMOX PCT AMBROX VIT C NEG
AMOX CTM PCT NEG
CAPTOPRIL
AMBROX PIROXICZM LORSTSDIN 88 5.3 184
IBUPROFEN BC
AMBROX VITC IBUPROFN
IBUPROFEN BC NEG 87 5.6 136
NADICK B1 4.2
AMBROX CTM VITC PCT NEG
AMBROX METYL VITC
FUROSEMID 149 6.2 108
AMOX PCT AMBROX CTM VIT C NEG
AMBROX LORATADIN PRED
CEFA NADICK OXIT SK
CEFA NDICK GENTIA TT
AMBROX CTM VIT C
AMBROX PCT VIT C AMLODIPIN
COTRM ZINCK ORALIT NEG
AMBROX CTM VIT C
AMOX CTM VIT C OKSIT SK
CTM METHYL BEDAK
AMOX PCT AMBROX CTM VIT C NEG
AMLO CEFA NADICK
KONSELIN ASAL PEMBERI
RUJUK BB TB SUHU TD RR NADI
G PASIEN LAYANAN
KLINIK KLINIK
( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
SANITASI GIZI
1 1 22.6 126 36 88
1 1 5.9 63 36
1 1 43.3 142 36 127/72 79
1 1 61.4 148 36 122/84 122
1 1 66 173 36 140/65 69
1 1 41 149 36 110/66 87
1 1 50 153 36 117/63 63
1 1 50 148 36 124/60 72
1 1 89 167 36 144/81 82
1 1 57 152 36 142/67 64
1 1 52.8 147 36 152/87 94
1 1 19.1 117.5 36
1 1 10.3 84 36
1 1 46 146 36 148/93 62
1 1 68.8 157 36 149/93 89
1 1 57.6 152 36 108/70 86
1 1 56 145 36 122/61 65
1 1 69.5 166 36 105/75 67
1 1 63.4 157 36 111/73 89
1 1 14.2 94 36
1 1 60.1 157 36 114/76 87
1 1 61 158 36 128/84 87
1 1 18.2 119 36
1 1 40.4 144 36 137/79 84
1 1 61 161 36 136/88
1 1 72.2 178 36 135/88 82
1 1 6.4 64.1 37
1 1 56 157 36 161/84 66
1 1 7 70 38.9
1 1 9.3 76.2 36.6
1 1 14.6 96 36
1 1 54.5 147 36 134/96 92
1 1 13 96.5 36
1 1 65 165 36 151/91 78
PETUGAS
MIGUEL
NO NO. INDEX NAMA KK NAMA PASIEN NIK
1 03-052520 NIKOLAS FAHIK LEONORA L LOE 530-412541063000.1

2 99-0858 NO KAMAH NO KAMAH
3 99-0357 JENITRIUS MANEHITU NAURA 530,412,211,110,001
4 99-0289 STEFANUS LIKU STEFANUS LIKU 530.422.240.455.000.1
5 99-0602 GABRIEL MAUK GABRIEL MAUK
6 99-0076 YULIUS TES MAU JOHAN M TES ASA 530.412.170.813.000.1
7 02-0001 ARYANTO ICAN CORNELIA R FINA
8 99-0240 YUSAK Y PAH MARIA GRASELA H PAH 530.412.410.601.000.1
9 99-0411 GANDUT RAFAEL GANDUT RAFAEL
10 99-0061 DOMINIKUS BEKA DOMINIKUS BEKA 530.405.170.943.000.1
11 99-1330 DANIEL BRIA KLARA IBA 530.412.470.863.000.1
12 03-148831 YOHANES A PAREIRA NATANAS L
13 99-1331 LUIS GOMES LUIS GOMES 530.412.241.266.000.1
14 02-0186 KANISIUS ABATAN CRISTIAN NU
15 99-0068 PETRUS LELBOI MODESTA MORU
16 99-1288 JECK KORNELIS ELISABET HARTINI
17 99-0089 ANDREAS KLAU APRILIO O KLAU
18 99-0089 ANDREAS KLAU MARIA DELCIANA
19 99-0409 YULIANA HOAR SERAN STEFANIA P SERAN
20 99-1011 JOAO SOARES MARIANCE A D SOARES
21 02-0224 ALBINO CAIRO NALIA SANTOS
22 03-0446 HUMBERTO DOS SANTOS FLORINDA VEGAS ALVES 530.412.480.262.000.1
23 99-0211 MOSES MAULOKO ZILVANIA E MAU LOKO
24 02-0632 INOSENSIUS FATU INOSENSIUS FATU
TANGGAL SUKU
TEMPAT LAHIR UMUR JK PEKERJAAN ALAMAT RT/RW
LAHIR BANGSA
L/P
LAMAKNEN 10/5/1963 55 P MARAE GURU FATUBENAO 013/004

PEKALONGAN 2/7/1954 64 L JAWA IRT BEIRAFU 003/002
7/27/2017 1.2 P TETUN FATUBAA 027/001
BELU 4/24/1955 62 L KEMAK P.PNS MANUAMAN 011/004
BAUNUBA 9/7/1945 73 L DAWAN P,POLRI MANUAMAN 015/003
ATB 8/17/2013 5 L MARAE FATUBENAO 004/002
ATB 12 P TENUKIIK 001/001
ATB 6/1/2001 17 P ROTE PELAJAR MANUMUTIN 002/002
MANGGARAI 5/23/1961 57 L FLORES PNS BERDAO
LURASIK 9/17/1943 74 L TETUN SWASTA BEIRAFU 010/005
WEULUN 8/7/1963 55 P TETUN IRT MANUMUTIN 023/007
ATB 11/7/2017 1 L MARAE FATUBENAO 022/002
ATSABE 12/24/1966 52 L TETUN PNS MANUMUTIN 020/006
04/12.2017 11BLN P DAWAN TENUKIIK 001/001
FATUBAA 1/1/1960 58 P TETUN IRT FATUBAA 001/001
SEMARANG 2/22/1967 32 P JAWA IRT MANUMUTIN 003/001
ATB 4/12/2014 4 L DAWAN BEIRAFU 015/005
NUROBO 12/20/2009 7 P DAWAN BEIRAFU 015/001
ATB 4/2/2011 7 P TETUN MANUMUTIN 001/001
ATB 11/7/2018 1BLN P TETUN MANUMUTIN 006/003
ATB 12/5/2017 11BLN P TETUN TENUKIIK 011/004
2/8/1962 56 P MARAE IRT FATUBENAO 027/005
ATB 6/16/2018 4BLN P TETUN BEIRAFU 008/007
ATB 1/13/1998 20 L BELU SWASTA TENUKIIK 017/006
DIAGNOSA KODE KASUS NAMA OBAT
B/L
SUSPEC OA B PIROXICAM,DEXA,B1
HT,DISLI L ,AMLODIPIN,SIMVASTATIN,BC
ISPA B GG,CTM,PCT,VITC
HT B AMLODIPIN,LORATADIN,DEXA, BETAMETASON
ISPA,HT B IBUPROFEN,CTM,BC,AMLODIPIN
TONSILITS AKUT B AMOX,PCT,AMBROXOL
OBS FEBRIS B IBUPROFEN,B6
DISPEPSIA B ANTASIDA,BC
DM L METFORMIN,B6,PIROXICAM
HT,MIALGIA L AMLODIPIN,PIROXICAM,B1
DISLI,ISPA B SIMVASTATIN,AMBROXOL,IBUPROFEN,CTM
FURUNKEL ,ISPA B AMOX,PCT,BC,CTM,GGBASITRASIN SK
DM B GLIBEN,B6
ISPA B PCT,GG,CTM,VITC
MIALGIA B IBUPROFEN,B1,
HT,DISLI B AMLODIPIN,SIMVASTATIN,BC
ISPA B PCT,GG,BC
ISPA B IBUPROFEN,AMBROXOL,CTM
ISPA B PCT,AMBROXOL,VITC
ISPA B PCT,GG,CTM,BC
ISPA B PCT,CTM,GG,BC
HT,DM L AMLODIPIN,IBUPROFEN,
OBS FEBRIS B PCT,BC
VULNUS B ASMET,DEXA
TINDAK ASAL
HASIL PEMERIKSAAN LAB KONSELI RUJUK
AN PASIEN
NG
KLINIK KLINIK
DDR GD AU KOL HB
SANITASI GIZI
5.8 1
126 6.8 232 1
1
1
1
NEG 1
NEG 1
1
186 4.1 129 1
1
110 6.3 219 1
1
193 4.3 127 1
1
1
132 4.6 229 1
1
1
1
1
1
1
1
1
PEMBERI
LAYANA BB TB SUHU TD RR NADI PETUGAS
N
1 70 143 36 120/80 16 71
1 84 157 36 155/81 14 96
1 9 76.5 36 35 90
1 70.5 165 35 160/106 16 82
1 54 163 36 158/87 14 76
1 15.6 108 35 20 88
1 29.5 142 37 30 111
1 61 163 36 18 75
1 71.1 160 36 117/78 16 86
1 46 155 36 145/74 14 84
1 65 157 35 126/75 16 79
1 8 37 40 90
1 67 159 36 123/102 18 83
1 10.8 37 44 120
1 37 148 36 118/79 18 62
1 65.6 148 36 180/88 20 81
1 17 36 34 78
1 25 116 36 30 88
1 18 117 36 20 80
1 7.1 36 52 120
1 7.5 36 40 130
1 49 144 36 154/86 18 108
1 7.6 36 38 112
1 49 168 36 125/87 18 99
1 990798 NOCH TEFLOPO MARIA P BETE

2 20478 PAULUS SURI MARIA BUI HENUK
3 020244 ACACIO DECARVAILO ACACIO DE CARVAILO
4 990244 OKTOVIANUS TANI ANTONIO R TINTI
5 990812 YAKOBUS KOLO YAKOBUS KOLO
6 990259 AYUB BLEGUR SALOMI BOLING
7 990089 FERDINANDUS KOLO RISTU KOLO
8 990477 NAOMI FEOH NAOMI FEOH
9 020698 LAMBERTUS GATO LAMBERTUS GATO
10 020100 FRANSISKUS FINA ELISABETH PURNAWATI
11 990084 WILFRIDUS MALI EMRESIA OLO
12 990640 INOSENSIUS ANE ANSGARIUS A E ABAMFAH
13 030632 FELICIANO TAEK FELICIANO TAEK
14 020701 YOHANES SUN HELENA MARGARETA
15 991259 MARKUS SERAN YULIANA MARSIANA
16 990129 BLANDINA HOAR BLANDINA HOAR
17 990979 EDMUNDUS SIKI MARIA SIKI
18 031886 ALFONSIUS MUKA ELFRIDUS K
19 991333 PLIPUS AMAFATIN APRIANUS A
20 990132 BERTA RESI BERTA RESI
21 020158 HENRIKUS URAN BETRAN VIANA
22 990156 FRANSISKUS RAJA ABNER RAJA ULI
23 020669 ROSALIA SOARES ROSALIA SOARES
24 99-0081 ARIS BRIA EDMUNDO DASILVA
25 99-0538 JONI SADIPUN JONI SADIPUN
26 02-0469 KAREL LAPIA LUSENSIA
27 99-0122 ADI BETI MARIA M BUIK
28 99-0034 SITIKNO RULI SUSILAWATI
29 99-0213 TELEFRO SOARES AURELIA C DACOSTA
31 03-0082 ABRAO SOARES ABRAO SOARES
32 03-1885 AMERIKO MAYA MARIA S BERE
33 03-1769 MELKIOR Y TAE MARIA RANGGA
34 99-0339 AGUSTINUS F NAHAK AGUSTINUS F NAHAK
35 99-0183 FLABIANO DOS SANTOS VRUMENSIUS ASA
36 99-0108 NIKOLAS NAHAK ARSENIUS Y NAHAK
37 99-0576 YASIN YASIN
38 99-0159 SIMON MALI SIMON MALI
39 99-0716 MIGUEL MARTINS MIGUEL MARTINS
40 03-1884 AGUSTINUS BAU NATALIA S BAU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR JK
L/P
5304 2145 0755 0001 ASUMANU 7/5/1955 65 P

T KIIK 12/12/1950 70 P
ATABAE 6/12/1946 70 L.
ATB 6/13/2016 2L
BANAIN 7/1/1958 62 L
5304 2171 1063 0001 ALOR 10/21/1963 55 P
ATB 1/10/2014 4L
ROTE 6/16/1948 69 P
ROTE 10/5/1955 65 L
NTB 11/3/1947 75 P
NUALAIN 2/1/1993 25 P
5304 122 0402 0001 ATB 4/21/2002 16 L
MALIANA 7/10/1954 71 L
ATB 11/9/2017 1P
FLORES 9/29/1962 56 P
9/22/1961 58 P
KEFA 05/08//1965 53 P
ATB 10/12/1988 30 L
ATB 4/1/2002 16 L
ATB 10/18/1965 53 P
ATB 9/6/2018 2L
ATB 4/11/2018 7 BLN L
DILI 1/25/1972 46 P
ATB 7/14/2003 15 L
ATB 1/5/1982 35 L
BANYUWANGI 6/30/1964 54 P
ATB 6/14/1995 23 P
SURABAYA 2/1/1965 53 P
MANATUTO 8/20/1958 60 P
ATB 12/17/2007 9P
12/13/1949 70 L
ATB 11/19/1984 33 P
ATB 10/9/1993 25 P
KOTAFOUN 8/8/1958 60 L
ATB 10/27/2000 18 L
ATB 8/13/2012 6L
JEPARA .02/10/1979 40 L
DUABESI 2/20/1962 56 L
ATABAE 29/02/1959 60 L
HENES 5/9/2018 5BLN P
SUKU BANGSA PEKERJAAN ALAMAT RT/RW
TETUN IRT BEIRAFU 009/003

TETUN IRT T.KIIK 008/002
TETUN P PNS T.KIIK 010/004
DAWAN MANUMUTIN 018/003
DAWAN SWASTA TLM 012/004
ALOR GURU BEIRAFU 013/005
TETUN UMANEN 023/09
ROTE IRT BERDAO 017/006
FLORES P TNI T.KIIK 011/004
FLORES IRT T.KIIK 001/001
MARAE IRT TLM
MARAE P TNI FATUBENAO 016/005
TETUN T.KIIK 016/006
TETUN IRT MANUMUTIN 004/002
TETUN IRT NAEKASA 002/001
DAWAN IRT MANUMUTIN 023/007
TETUN SWASTA FATUBENAO 012/004
MARAE IRT MANUMUTIN 001/001
FLORES T.KIIK 008/003
ROTE BAUATOK 004/001
TETUN IRT T.KIIK 001/006
TETUN PELAJAR FATUKBOT 025/003
MAUMERE PNS MANUAMAN 005/004
JAWA IRT TENUKIIK 008/003
TETUN IRT NAEKASA 003/002
JAWA IRT BERDAO 002/001
TETUN PNS MANUMUTIN 022/007
MARAE MANUMUTIN 009/003
MARAE P.TNI FATUBENAO 017/006
MARAE IRT FATUBENAO 028/005
TETUN IRT FATUBENAO 023/004
TETUN P.,PNS LIDAK 001/001
TETUN LIDAK 023/003
MARAE MANUAMAN 013/003
JAWA SWASTA MANUMUTIN 003/001
TETUN PNS MANUAMAN 012/004
TETUN P.TNI MANUMUTIN 015/005
MARAE FATUBENAO 022/002
DIAGNOSA KODE KASUS NAMA OBAT
B/L
HT DYSPEPSIA L ANTASID DYSPEPSIA

ISPA B. ISPA
HT DYSPEPSIA L TERAPI LANJUT
HT DYSPEPSIA L SIMVASTATIN AMLOD PIROX
KULIT ALERGI B BEDAK SALISIL
HT DYSPEPSIA L TERAPI LANJUT
HT DYSPEPSIA L HCT BC
GRAVIDA L GG VITC BC
COMMON COLD B AMBROX LORATADIN IBUPROF
HT DYSPEPSIA L AMLOD
KONSTIPATI B BC VITC
HT DYSPEPSIA L AMLOD CEFADROX AMBROX
DYSPEPSIA L PCT ANTASID
HHD P FEROSEMID CAPTO B1
LORATADIN DEXA L LORATADIN DEXA
DYSPEPSIA B ANTASID DYSPEPSIA
HT DYSPEPSIA B HCT AMOX IBUPROF VITC
FURUNKEL L BC AMOX
ISPA B GG VITC BC
ISK MIALGIA B METRO SIMVASTATIN
PARONIKIA B CEFA,IBUPROFEN,ANTASIDA
SUSPEC ISK B SIPRO,IBUPROFEN,ANTASIDA
MIALGIA B NADIC,B1
SUSPEC ISK B SIPRO,IBUPROFEN,ANTASIDA
DM,ISPA B AMBROXOL,LORATADIN
DISLI,RA L SIMVASTATIN,NADIC,B1
VULNUS L CEFA,BC,DEXA
POST OP B NADIC,B1
COMMON COLD B AMBROXOL,LORATADIN
COMMON COLD B AMBROXOL,VITC,LORATADIN
HT DYSPEPSIA L AMLODIPIN,PIROXICAM,ANTASIDA,
COMMON COLD B AMBROXOL,IBUPROFEN,LORATADIN
ORCHITIS B CEFA,BCDEXA,PCT
RA B NADIC,DEXA,B6
DISPEPSIA B ANTASIDA,PCT,B6
HT DYSPEPSIA L AMLODIPIN,B6
OBS FEBRIS B PCT,B6
PEMBERI
ASAL
HASIL PEMERIKSAAN LAB TINDAKAN KONSELING RUJUK LAYANA
PASIEN
N
KLINIK KLINIK
DDR GD AU KOL HB
SANITASI GIZI
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
BB TB SUHU TD RR NADI PETUGAS
54 146 35 137/82 18 96
49 159 35 121/69 18 65
51 157 35 121/85 18 69
10.8 36 34 100
53.5 154 35 130/65 18 78
62.8 160 35 146/92 18 92
14 35
61 147 35 124/60 18 70
81 158 35 138/72 18 58
51 148 35 111/72 18 85
42 154 35 85/56 18 84
38 151 35 112/74 18 74
47.5 144 35 141/75 18 63
11 35
42 141 35 163/92 18 69
60
54 5 139 35 144/76 18 79
61.9 155 37 131/75 18 83
46 88 36 106/79 18 88
58 145 35 148/89 18 69
6.6 61 35
7.4 38 42
61 146 35 125/76 18 90
48 163 36 125/74 16 81
101 163 38 146/81 20 99
75 154 36 158/91 18 82
52 148 36 120/74 18 88
54 145 36 133/80 18 100
49 145 36 108/67 16 74
22 132 36 22 60
45 162 36 121/79 16 62
47 151 36 118/72 22 75
43 154 36 110/70 18 106
62 161 36 121/70 16 67
42 155 37 109/67 16 103
20 113 36 20 82
76 176 36 102/66 18 79
43 144 36 141/89 24 63
70 160 36 143/94 16 71
5.2 58 36 46 120
1 3188720 PETRONELA LIN PETRONELA LIN

2 99133530 FREDERIKUS BAU BENJAMINO I. A. BAU
3 99131120 JHON DAHKI WILFRIDA BUI TAE
4 99034210 LAURENSIUS DARE LAURENSIUS DARE
5 99133630 KRISTINA MOLO PETRONELA C. OBEM
6 99055420 TARSISIUS A. PARERA MARIA AMDRI
7 3185120 ADRIANUS Y. K.MAU YOHANA L. MUTIK
8 3132610 BALTAZAR BINSASI BALTAZAR BINSASI
9 99118120 EUGENIA DACOSTA EUGENIA DACOSTA
10 99079830 LEXIANUS SIKONE ALEXIANA TABESI
11 99015720 ABDUL RAHMAN DAHLAN ZAINUN SANYA
12 99133732 ALFRDYUS LAYANSAN DIEGO LAYNSAN
13 3025434 SENESON DASNEVES FRANDEL DOS SANTOS
14 99104920 GABRIEL ABYY KATARINA NAILAKE
15 99047120 BALTASAR NAFI THODORA ABI
16 3054220 PETRUS MALI SEBASTIANA KAI BUTI
17 99133810 EMANUEL BAU EMANUEL BAU
18 99156130 PETRUS TANESAF ALEXYA
19 3188831 JULIANUS MAUK VIRLO C. RAJA MAUK
20 3059060 JANUARIUS META KRISTIAN META
21 99033232 ROFINUS SAKU AGNES M. SAKU
22 99093233 ROFINUS SAKU VASULA F. SAKU
23 99029432 ARNOL BERENIGI MARIA VERONIKA
24 3137532 ADRIANUS KABOSU OSKAR KABOSU
25
26
27
28
29
30
TANGGAL
NIK TEMPAT LAHIR UMUR JK SUKU BANGSA
LAHIR
L/P

KPG 8/24/2013 5L TETUN
5304 0364 0787 0001 SIKUTREN 7/24/1987 31 P TETUN
MAUMERE 2/1/1966 52 L MARAE
ATAMBUA 4/28/1997 22 P DAWAN
OENAIES 8/13/1968 50 P DAWAN
H.LULIK 10/22/1994 24 P TETUN
BIONI 8/22/1949 70 L DAWAN
5304 1271 0852 0001 TIMOR 8/31/1951 66 P TETUN
ATAMBUA 10/19/2017 1P DAWAN
ATAMBUA 9/12/1983 35 P SABU
ATAMBUA 7/13/2018 3.BLN L TETUN
SUPUNI 6/26/1976 42 P DAWAN
ASUMANU 7/5/1971 45 P TETUN
ASMANLEA 12/12/1980 38 L DAWAN
9.BLN P DAWAN
ATAMBUA 10/17/2010 8L MARAE
ATAMBUA 1/21/2012 6P DAWAN
ATAMBUA 1/18/2014 4L DAWAN
ATAMBUA 9/30/2014 4P BUNAK
10/15/2016 2L BUNAK
PNS FATUBENAO 003/001 FHARINGITIS AKUT

PELAJAR M. MUTIN 030/009 DIARE TANPA DEHIDRASI
IRT M. MUTIN 005/002 SUSP I S K
SWASTA TULAMALAE 015/005 COLIK CE SUSP BATU SAL KENCING
MAHASISWA M. MUTIN SUSP KISTA OVARIUM SINESTRA
PNS RINBESI 012/006 DYSPEPSIA
IRT FATUBENAO 012/004 DYSPEPSIA
SWASTA FATUBENAO 013/004 BPH
PEN PNS M. MUTIN 019/005 V.EXCORTIS
MANUAMAN 009/002 ISPA
IRT BERADO 004/002 SINUSITIS MAXILARIS
M. MUTIN 028/009 VULNUS
TENUKIIK 011/004 ISPA
IRT M. MUTIN 011/004 H T GR I D M
IRT M. MUTIN 010/003 H T GR I RA
IRT FATUBENAO 008/003 H T GR II
SWASTA M. MUTIN 001/001 DERMATITIS ALERGI H T GR I
RAIBASIN ISPA
FATUBENAO ISPA
PELAJAR FATUBENAO 018/006 OBS FEBRIS
PELAJAR M. MUTIN 025/008 INFLUENZA
M. MUTIN 025/008 ISPA
TULAMALAE ISPA
FATUBENAO ISPA
KASUS NAMA OBAT HASIL PEMERIKSAAN LAB
B/L DDR GD AU KOL HB
B CEFA PCT DEXA

B ZINCK ORALIT GG CTM BC ANTASIDA
B SIPRO UBPROFEN ANTASIDA
L BC NADICK
L KIE
L ANTASIADA BC
L ANTASIADA BC
L GANTI KATETER
L AMOX B6
B PCT GG CTM BC
B KIE
B AMOX PCT BC
B PCT GG CTM VIT C
L AMLO GLIBEN B6 279 3.1 132
L AMLO PIROXICAM DEXA 98 4.7 152
L AMLO PIROXICAM ANTASIDA 6.4 151
L LORATADIN DEXA
B PCT GG CTM VITC
B GG VIT CCTM PCT
B PCT VIT C
B VIT C CTM
B GG VIT CCTM PCT
B GG VIT CCTM PCT
B PCT GG CTM BC
PEMBERI
TINDAK ASAL
KONSELING RUJUK LAYANA BB TB SUHU TD
AN PASIEN
N
KLINIK KLINIK
( kg ) ( Cm ) ( ◦C) ( mmHg)
SANITASI GIZI
1 1 59 158 36 110/80
V 1 1 13.7 106 36
1 1 57.6 152 36 99/63
1V 1 67.2 157 36 119/86
1V 1 55.4 162 36 125/64
1 1 64 162 36 132/90
1 1 41.2 146 36 104/60
1 1 47 159 36.1 141/82
1 1 65 157 36 150/73
1 1 8.1 36.5
1V 1 47 152 36 111/73
1 1 15.8 36.3
1 1 8.2 36.5
1 1 63.7 151 36 160/92
1 1 63 150 36 145/64
1 1 62 155 36 167/95
1 1 50.9 159 36 154/89
1 1
1 1 14.3 107 36
1 1 18 110 36.8
1 1 15.7 107 36.6
1 1 16.1 36.8
1 3 11.7 103 36
1 1 11
RR NADI PETUGAS
( x/mnt) ( x/mnt)
20 82 MIGUEL
21 88
80
85
70
76
63
82
80
80
90
92
85
84
56
86
90
88
120
92
1 03-188931 STEFANUS ASA HAFIKA ASA

2 03-049131 HERY FAYDUS KRISTALIA
3 02-087210 BERNADUS K.SILVA BERNADUS K.SILVA
4 99-053410 MEMBI MEMBI
5 99-018032 NIKOLAUS PAREIRA GALESA GIVANA PAREIRA
6 99-067731 FERDINANDUS ASI YEHEZKIEL ASI
7 03-032720 MARIUS D GOMES MARTINA BUI SIRI
8 02-098320 ADRIANUS J SUBANI MARANATA NEOLAKA
9 03-1890 YOHANES B LEON YOHANES B LEON
10 99-008131 MARTINUS KAES NUBE DOMINIQUE J KAES NUBE
11 99-0908 OKTOVIANUS LESU AURELIA A LESU
12 99-0250 BENEDIKTUS KOLO BENEDIKTUS KOLO
13 99-0540 ADRIANI F MAU ADRIANI F MAU
14 03-0017 YOSEPH E POTOMAUNG YOSEP E POTOMAUNG
15 99-0270 MARKUS LAKI ANASTASIA SEUK NAHAK
16 99-0899 ADRIANUS MAU ASA ANGGELINA BAKI
17 99-1335 FREDERIKUS BAU ATALIA K BAU
18 99-0222 JOSE DOS SANTOS NEVES JOSE DOS SANTOS NEVES
20 02-0982 NIVRONNY SUNE V NIVRONNY SUNE V
21 99-0152 YEREMIAS YOHANES NAHAK RIVALDO TAEK
22 99-0481 YOHANES ATI RAFAEL L ATI
23 03-1439 MARIANUS BERE OLIVIANA RISTI BERE
24 99-0184 MAKARIUS BAU BESIN NOVAN BESIN
JK
TANGGAL
NIK TEMPAT LAHIR UMUR SUKU BANGSA
LAHIR
L/P
ATB 5/1/2018 6 BLN P MARAE

ATB 2/27/2018 9 BLN P DAWAN
ATB 12/24/1971 47 THN L TETUN
SBY 6/13/1989 29 THN L JAWA
ATB 10/20/2014 4 THN P DAWAN
ATB 7/5/2016 2 THN L DAWAN
530,412,650,450,001 SORSIKUN 3/25/1955 65THN P KEMAK
LAHURUS 2/15/1978 40THN P TETUN
ATB 7/26/1989 29YHN L MARAE
ATB 3/22/2013 4THN L DAWAN
ATB 4/21/2008 10THN P MARAE
530.404.510.487.000.1 FULUR 4/11/1987 31THN P MARAE
530.412.140.163.00.1 ATB 10/14/1963 55THN L KEMAK
530.421.470.183.000.1 BETUN 1/7/1983 35THN P TETUN
OEKOLO 2/1/1965 53THN P DAWAN
ATB 7/24/2018 4BLN P TETUN
DILI 7/9/1972 46THN L TETUN
377.104.420.118.700.06 ENDE 11/20/1987 31THN L FLORES
BETUN 2/18/2002 16THN L TETUN
ATB 10/27/2015 3THN P DAWAN
ATB 11/25/2017 1THN L MARAE
KASUS
B/L
FTB 011/002 ISPA B

FTB 035/001 ISPA B
PNS T.KIIK 007/001 LARINGITIS B
SWASTA RINBESI FURUNKEL B
M.MUTIN 012/006 MALARIA B
M.MUTIN 039/008 ASMA + BRONCHIAL B
IRT FATUBENAO 020/003 TB PARU B
IRT TENUKIIK 014/005 HIPEREPOPH B
SWASTA FATUBENAO 022/002 HEPERTESIA REGIO B
BERDAO 004/002 B
PELAJAR BEIRAFU 017/006 FARINGITIS AKUT B
SWASTA MANUAMAN 002/001 DERMATITIS ALLERGI B
GURU MANUMUTIN 002/001 SUSPEC LIPOMA B
PNS FATUBENAO 027/005 DM L
IRT MANUMUTIN 013/004 MIALGIA B
IRT MANUAMAN 002/002 DISLI B
POLISI MANUMUTIN 001/001 HT L
MANUMUTIN 009/003 VULNUS L
SWASTA TENUKIIK LANJUT OBAT L
TLM 020/006 VULNUS L
MANUMUTIN 028/003 FARINGITIS AKUT B
FATUBENAO 028/003 SUSPECDIARE B
LIDAK 022/007 OMK,ISPA B
HASIL PEMERIKSAAN LAB TINDAKAN
NAMA OBAT
DDR GD AU KOL HB
GG, CTM, VIT C

GG, CTM, B.COM
OAT, B6,
ERITROMISIN, IBUPROFEN, CIMETADIN 4.7 140
PRIMAQUIN, PCT, ARTESUNAT +
SALBU, DEXA, GG, CTM, PCT, B.COM
OAT DEWASA,B6
RUJUK RSUD ATB
BC,VITC 105 7.4 183
RUJUK RSUD ATB
AMOX,PCT,DEXA
LORATADIN,DEXA,HODROKORTISIN
PIROXICAM,CIMITIDIN,
METFORMIN,B6 116
IBUPROFEN,B1
SIMVASTATIN,IBUPROFEN 226 6.2 274
GG,CTM,BC,PCT
AMLODIPIN,IBUPROFEN,CIMITIDIN
CEFA,BC,VITC
AMOX,DEXA
PCT,AMOX
B6,PCT
PCT,GG,CTM,BC
PEMBER
ASAL I
KONSELING RUJUK BB TB SUHU TD RR
PASIEN LAYANA
N
KLINIK
KLINIK
SANITAS 1 1 ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
GIZI
I
1 1 7.2 36.5 48
1 1 7.5 36.8 42
1 1 46 169 36 76/63 18
1 1 62 164 36 120/75 18
1 1 14 76 38 20
1 1 11.2 36.8 60
1 1 51 148 36 110/76 32
1 1 1 59.5 150 36 116/71 18
1 1 57.6 160 36 152/96 18
1 1 1 16 105.5 36 20
1 1 15.9 120 36 20
1 1 51.3 161 36 122/87 16
1 1 45.4 145 36 113/58 18
1 1 57.9 160 36 113/74 16
1 1 57.9 152 36 115/83 18
1 1 35.5 152 36 127/61 16
1 1 7.3 37 40
1 1 62 157 36 142/86 18
1 1 22 132 36 20
1 1 73.3 168 36 18
1 1 39 36 121/68 16
1 1 9.2 36 38
1 1 11 86 35 30
1 1 8 85 37 20
PETUGA
NADI
S
( x/mnt)
45
92
98
76
80
74
101
96
86
85
80
80
82
68
89
95
128
75
130
96
96
90
100
112
1 991339 EMANUEL NINO VIKA NINO

2 031893 DANIEL SAFRAN DANIEL SAFRAN 5304 2215 0665 0002
3 020982 NIVRONY SUNE NIVR0N SUNE 3771 0420 1137 0006
4 020982 YOSEP BERE LAU GREGORIUS J . LAU 5304 1201 0711 0002
5 990185 SIGIT BAYU PAMADI SIGIT BAYU PAMADI 5304 1022 0079 0001
6 020297 PETRUS SANDU PETRUS S BETANG 5304 1218 0170 0001
7 990223 AGUSTINUS TANI I AGUSTINUS TANI
8 990029 DOMINIKUS B BITIN GOLIVA ULU M BELAK 5304 2147 0763 0001
9 031075 VALENTINUO NGGERO VALENTINO NGGERO 5304 1228 87 73 002
10 020201 MATAI FAO SILVESTER M SOARES
11 020001 ARYANTO ICAN REINALDIS SAKO 5304 1265 1171 0002
12 030845 AJINO MAIA JIBRAN MAIA
13 990756 MARIANO XAVIER EMERENSIANA BIIN 5304 2267 0408 0001
14 020664 ALEXANDER DIAZ OKRIAN A .DIAZ
15 991134 JOAO PARERA JOAO PARERA 5304 1213 0549 0001
16 990131 FREDERIKA M WELLO FREDERIKA WELLO 5304 2161 0865 0001
17 030797 ALIPI DEJESUS FIKA MAIA
18 990607 ALFRIDUS Y ASA GABRIELA ASUNTA
19 031278 AGUSTINUS SURI YASINTA SOI MAU
20 990860 YULIANIS CH FEOH WATI
21 031433 MARIA HAWA MARIA HAWA 5304 1267 1255 0001
22 031894 ALFATH ALFATH
23 020965 ENGEL BERTUS KOLO JUAN KOLO
24 020817 ROY DANGGA BAHKITA NOVI M A SERAN
25 990289 BOBY ATAUPAH KRISTIAN EMANUEL
26 990152 YEREMIAS YOHANA AMELIA NAHAK
27 990130 SILVESTER DE JESUS DAVID DE JESUS
28 990141 STEVEN SERAN MEGIRIUS SERAN
29 020985 VEKY PORSIANA VEKY PORSIANA
JK
TANGGAL SUKU
TEMPAT LAHIR UMUR PEKERJAAN ALAMAT
LAHIR BANGSA
L/P
ATB 4/1/2011 7 P DAWAN PELAJAR MANUMUTIN

ATB 6/19/1965 53 L. TETUN SWASTA FATUBENAO
ENDE 11/20/1987 32 L FLORES P BUWMN TENUKIIK
ATB 7/1/2011 7 L TETUN PELAJAR FATUBENAO
SURAHARJO 7/20/1990 28 L JAWA P KTU BEIRAFU
MAUMERE 1/18/1970 48 L TIMOR SWASTA TENUKIIK
METABESI 03 07 1971 46 L DAWAN SWASTA MANUMUTIN
LAHORUS 7/7/1983 34 P TETUN IRT BERDAO
ENDE 8/28/1973 44 L ENDE SOPIR FATUBENAO
2.7 L TENUKIIK
KEFA 11/25/1971 47 P DAWAN KADER TENUKIIK
ATB 2/22/2017 1 L MARAE FATUBENAO
BERKASE 4/27/1980 38 P TETUN IRT LIDAK
ATB 10/25/2003 15 L TETUN PELAJAR TENUKIIK
LEQUISA 5/13/1949 68 L TETUN P PNS MANUMUTIN
SUMBA 21/08 1965 53 P SUMBA PNS UMANEN
ATB 8/3/2018 4BLN P MARAE FATUBENAO
ATB 3/5/2016 2 P DAWAN MANUMUTIN
SISS 6/30/1994 24 P MARAE IRT FATUBENAO
KEDIRI 8/6/1950 70 P KEDIRI IRT BEIRAFU
ENDE 12/27/1954 64 P ENDE IRT FATUBENAO
RATO 5/30/1993 25 P BIMA PNS FATUBENAO
6 L TETUN TENUKIIK
AINARO 11/29/1992 25 P TETUN SWASTA TENUKIIK
ATB 5/10/2017 1L DAWAN TLM
ATB 12/30/2016 3L TETUN LIDAK
ATB 5/6/2018 5BLN L TETUN TLM
LAKOR 8/29/1933 97 L AMBON P TNI TENUKIIK
KASUS
RT/RW DIAGNOSA KODE
B/L
014/004 SUSP ISK B.

024/004 SUSP ISK B
POST OP APP AKUT L
031/001 V LASERATUM B
015/003 DYSPEPSIA B
007/003 CAD POST PCS DM L
014/004 DISLIP MIALGIA B
008/002 CA MAMAE DEXTRA B
003/001 MIALGIA B
ASMA B
001/001 DERMATITIS B
031/004 KONYUTIVITIS AKUT B
008/002 DYSPEPSIA B
006/004 ISPA B
001/002 HT L
025/008 HT L
031/002 ISPA B
006/002 GASTRITIS B
012/004 DYSPEPSIA B
015/004 DYSPEPSIA B
037/003 HT DM L
COMMON COLD B
POST OP APP AKUT B
014/005 OMA B
003/001 ISPA B
016/003 ISPA B
009/002 DIARE B
003/001 ISPA B
007/002 GASTRITIS B
NAMA OBAT
DDR GD AU KOL HB
PCT AMOX BC
RUJUK
CEFADROX BC
AMOX PCT BC
0MEPRA PCT BC
NOVOROPED
SIMVASTATIN NSDIK B1 BC
CEFADROX BC
ALUPURINOL IBUPROF BC
SALBUTAMOL AMBROX DEXA CTM
LORATADIN VITC
PCT AMOX BC
ANTASID B6
SALBUTAMOL AMBROX DEXA CTM
CAPTOPRIL BC
AMLOD BC
GGCTM BC
BC METODOPRAMID
OMEPRAZOL B6
AMBROX ANTASID BC
GLIBEN AMLOD ALUPURINOL SIMVASTATIN
AMBROX LORATADIN IBUPROF
VITC BC
CEDROX IBUPROF CIMETADIN KLORAMPENIKOL
SF VITC KALK
GGCTM BC
GG CTM BC ZINC ORALIT
PCT AMOX BC
OMEPRAZOL B6
PEMBER
TINDAK ASAL I
KONSELING RUJUK BB TB SUHU TD
AN PASIEN LAYANA
N
KLINIK
KLINIK
SANITAS 1 1 ( kg ) ( Cm ) ( ◦C) ( mmHg)
GIZI
I
1 1 16 111 35
1 1 66 158 35 130/91
1 1 73 168 35 114/80
1 1 19 134 35
1 1 67.2 158 36 148/83
1 1 73 164 35 134/84
1 1 68 164 36 143/93
1 V 1 56.6 155 35 120/70
1 1 64 168 35 120/82
1 1 16 113 35
1 1 50 155 35 116/70
1 1 9.8 80 35
1 1 54.6 160 35 100/70
1 1 31 149 35
1 1 52 163 35 148/88
1 1 72 153 35 137/90
1 1 5.6 63 35
1 1 10.9 36
1 1 63 158 35 125/87
1 1 28.5 35 96/57
1 1 45 152 35 138/73
1 1 86 187 35 123/8
1 1 19.5 119 35
1 1 49.6 155 35 80/70
1 1 57 153 35 106/57
1 1 5.1 60 35
1 1 12.6
1 1 6.6 65 39
1 1 53 35 145/79
PETUGA
RR NADI
S
( x/mnt) ( x/mnt)
18 79
18 97
18 79
18 80
18 66
18 82
18 82
42
18 57
18 74
18 98
18 81
18 93
18 100
18 90
18 78
18 79
18 98
18 80
18 81
120
18 74
1 99-013320 ARNOLDUS ASA PAULINA HOAR

2 02-025720 SUMIATI SUMIATI
3 03-0038 EUSTASIUS B BANUSU EUCLASIO E BANUSU
4 99-0120 BERNADETHA K ATI BERNADETHA K ATI
6 02-0234 MARSELINUS US ABATAN MARSELINUS US ABATAN
7 99-0225 BERNADETHA BONE BERNADETHA BONE
8 02-0706 HANDRY I LAO HANDRY I LAO
9 99-0513 FRANS BEDA FRANS BEDA
10 99-0513 FRANS BEDA MARIA N L
11 03-0322 MOSES LOE MAU RAFAEL MALI
12 99-0556 DOLFI BERE DONA BERE
13 99-1340 DOMINGGUS NABU NOME MELTON J NABU NOME
14 99-1340 DOMINGGUS NABU NOME MERCI TOBE
15 99-0201 MARTHA BETE MARTHA BETE
16 99-0429 MUIS HAMSA MUIS HAMSA
17 99-0060 ANTONIUS MOENSAKU JENITA MOENSAKO
18 99-0776 EVAJULIA RUNI EVAJULIA RUNI
19 99-0807 ARMINDO CORTEREAL ELISA DA CONSESAO
20 99-0590 HILARIUS NAHAK APE CELESTINA HOAR
21 99-0283 HUSEIN SEMEDI HUSEIN SEMEDI
22 99-0732 YULIANA SOI YULIANA SOI
23 99-0298 MAXIMUS SANTOS ELFRIDA ASTEN
24 03-0383 LAMBERTO P MAIA FERNANDA
25 02-0884 JULIANUS LESU YOHANES R LESU
26 03-1895 BONAVASIUS BANUSU BONAVASIUS BANUSU
27 99-0287 WAHYU ADIYATMAN WAHYU ADIYATMAN
28 03-0066 ROSENA OLIVEIRA DOMINGGUS SOARES
29 99-0174 MUCTHAR BALICH RAHIMA ABDULLA
30 99-0047 EMANUEL ATI YOHANA LAPIA
31 99-1242 THEODORUS BOUK RAYMONDY BOUK
32 99-0240 YUSAK Y PAH YUSAK Y PAH
34 99-1341 STEFANUS TAY KRISTIANUS TAY
35 99-1331 LUIS GOMES LUIS GOMES
36 99-0637 INOCIO DEYESUS SOARES YULIANA TAEK
37 02-0182 SABIDIN BALCK SABIDIN BALICK
38 99-0005 MAKMUR SAMAH MAKMUR SAMAH
39 02-0616 MARIA A FERNANDES MARIA A FERNANDES
40 02-0263 YULIANA AEK MUSKANAN YULIANA A MUSKANAN
41 99-0152 YEREMIAS Y NAHAK RIVALDO TAEK
JK
TANGGAL
LAHIR
L/P
MANLEA 4/2/1949 69 P DAWAN

530,428,520,550,001 LAMONGAN 5/12/1953 65 P JAWA
KEFA 4/9/2016 2 L MARAE
530.421.680.645.000.1 ATAPUPU 11/30/1945 73 P TETUN
DILI 7/19/1972 46 L TETUN
530.412.550.344.000.1 OETFO 4/24/1937 78 L DAWAN
ATB 8/17/1945 73 P TETUN
KUPANG 37 L ROTE
LARANTUKA 5/22/1945 73 L FLORES
LARANTUKA 6/16/1945 73 P FLORES
MANEWAIN 6/13/2013 5 L MARAE
KUPANG 5/16/2013 5 L MARAE
ATB 5/11/2018 5BLN L ROTE
SOE 5/11/1994 24 P DAWAN
BETUN 7/1/1953 70 P TETUN
MALUKU 3/5/1954 69 P AMBON
ATB 6/1/2016 3 P DAWAN
KEDIRI 9/11/1954 69 P JAWA
AINARO 7/4/2018 50 P TETUN
530.422.540.970..000.1 KAKANIUK 9/14/1970 54 P TETUN
SULAWESI 5/15/1952 64 L JAWA
ATB 7/1/1953 70 P TETUN
530.404.711.228.300.04 OENARI 12/31/1983 35 P TETUN
530.412.440.812.100.01 TAPO 4/8/1971 48 P MARAE
ATB 6/29/2018 4BLN L TETUN
UNAB 5/14/1974 44 L DAWAN
531.750.123.109.500.01 JAKARTA 10/23/1995 23 P JAWA
ATB 3/1/2009 7L MARAE
530.422.470.963.000.1 ALOR 9/7/1963 54 P ALOR
530.421.680.281.000.2 ATB 2/28/1981 37 P TETUN
ATB 2/9/2016 3L DAWAN
530.412.030.975.000.1 KUPANG 9/3/1975 43 L KUPANG
ATB 8/13/2012 6L MARAE
KEFA 10/7/2018 1BLN L DAWAN
ATSABE 12/24/1966 52 L TETUN
SOE 9/19/1988 30 P TETUN
530.412.090.580.000.1 ATB 5/9/1980 38 L ALOR
530.422.300.668.000.1 ALOR 6/30/1968 50 L ALOR
ATB 5/8/1973 48 P TETUN
BANI BANI 7/16/1943 75 P DAWAN
BETUN 2/18/2002 16 L TETUN
KASUS
B/L
P,PNS MANUMUTIN 006/002 BATUK B

IRT TENUKIIK 018/006 DM L
IRT BEIRAFU 003/002 DM,HT L
POLOSI MANUMUTIN 001/001 HT L
P,TNI TENUKIIK 001/001 HT,MIALGIA L
IRT BERDAO 007/003 HT,DISPEPSIA L
SWASTA TENUKIIK OBS FEBRIS B
P,PNS TLM 016/005 BATUK B
IRT TLM 016/005 HT,MIALGIA,ISPA B
FATUBENAO 032/002 DERMATITIS ALLERGI B
RINBESI 001/002 FARINGITIS AKUT B
MANUMUTIN 013/004 DERMATITIS ALLERGI B
PELAJAR MANUMUTIN 013/004 DERMATITIS ALLERGI B
IRT KABUNA 001/001 HT L
IRT KABUNA 004/002 DISLI, B
MANUMUTIN 007/003 FURUNKEL B
IRT TLM 016/005 DM L
IRT FATUKBOT 014/005 MIALGIA B
PNS FATUKBOT 009/003 MIALGIA B
SWASTA MANUAMAN 008/002 DM,TB PARU L
IRT UMANEN 007/002 DM,HT L
IRT TUKUNENO 001/001 B20,ISPA L
IRT FATUBENAO 016/005 DM L
TENUKIIK 006/002 DIARE TAMPA DEHIDRASI B
SWASTA FATUBENAO 010/002 DM L
PNS BERDAO 001/001 ALLERGI,ISPA B
FATUBENAO 031/004 KONJUNGTIVITIS,DERMATITIS B
IRT MANUAMAN 005/001 HT L
IRT UMANEN 031/010 ISPA B
MANUAMAN 010/005 OMA B
SWASTA MANUMUTIN 002/001 LIMFADENITIS B
MANUAMAN 013/003 POST ORCHTIS B
MANUMUTIN 008/003 HERNIA B
PNS MANUMUTIN 020/006 DM L
IRT NELA 001/002 ISPA B
SWASTA TENUKIIK 018/006 BATUK,MIALGIA B
SWASTA RINBESI 010/005 MIALGIA B
TENUKIIK 007/003 L
IRT TENUKIIK 003/001 HT L
NAMA OBAT
DDR GD AU KOL HB
AMBROXOL,IBUPROFEN,BC
PIROXICAM,OMEPRAXOL,
GG,CTM,BC,VITC
AMLODIPIN,METFORMIN,LORATADIN,OMEPRAXOL
LANJUT TERAPI 98 6.5 127
AMLODIPIN,LORATADIN,NADIC
AMLODIPN,ANTASIDA,PCT
OMEPRAXOL,PCT
AMBROXOL,VITC
HCT,AMBROXOL,CTM,OMEPRAXOL
KETOKENAZOL,CTM,KETAKENAZOL SALAF
AMOX,PCT,GG,CTM,DEXA
GG,CTM,VITC
LORATADIN,DEXA,SALEP 2-4
AMLODIPIN,SIPRO,IBUPROFEN,OMEPRAXOL,
SIMVASTATIN,CTM,BC
PCT,BC,VITC
METFORMIN,B6,
NADIC,CIMITIDIN,BC 110 4.8 172
NADIC,CIMITIDIN,BC
METFORMIN,AMBROXOL,B6
METFORMIN,HCT,PIROXICAM,OMEPRAZOL
RUJUK RSUD ATB
GIBEN,CODEIN,LIVOFLOXAAN
ZINC,ORALIT,CTM,BC
GLIBEN,B6 210 3.8 166
AMBROXOL,LORATADIN,DEXA,VITC
CTM,DEXA,VITC,KLORAMFENIKOL MATA
AMLODIPIN,BC
AMBROXOL,CTM,IBUPROFEN
AMOX,PCT,DEXA,CTM,BC
CEFA,PCT,CIMETIDIN 142 7.3 185
VITC
GIBEN,NADIC,B6 155 4.2 129

AMBROXOL,IBUPROFEN,CTM ,3,2
AMBROXOL,B1 NADIC
NADIC,CIMITIDIN,B1 6.5
CTP
CAPTOPRIL,PIROXICAM,B1
LANJUT OBAT
PEMBER
TINDAK ASAL I
KONSELING RUJUK BB TB SUHU TD
AN PASIEN LAYANA
N
KLINIK
KLINIK
SANITAS 1 1 ( kg ) ( Cm ) ( ◦C) ( mmHg)
GIZI
I
1 1 50 153 36 121/66
1 1 57.5 144 36 137/71
1 1 8.9 86 36
1 1 41.5 149 35 128/69
1 1 62.5 157 36 136/84
1 1 57 152 36 142/67
1 1 43.3 142 35 170/100
1 1 38 100/70
1 1 42 149 36 106/72
1 1 42 149 35 165/79
1 1 16.7 102 36
1 1 13.5 107 37
1 1 7 66 36
1 1 44 150 36
1 1 58 154 35 166/75
1 1 69 160 36 128/80
1 1 10.1 80 36
1 1 52 148 36 151/86
1 1 52 152 35 117/78
1 1 76 159 36 121/76
1 1 69 165 35 129/78
1 1 63 151 36 131/77
1 1 1 50 157 35 137/90
1 1 1 46 145 36 122/70
1 1 6.8 64 36
1 1 57.7 167 36 141/87
1 1 66 177 35 132/72
1 1 10.6 83 35
1 1 76 151 35 168/97
1 1 45 151 36 116/72
1 1 10.3 37
1 1 70 166 35 156/102
1 1 16 113 36
1 1 4.7 56 36
1 1 67 159 36 120/90
1 1 44 148 35 100/66
1 1 46 167 36 90/73
1 1 68 172 36 99/65
1 1 45 160 36 97/88
1 1 46 149 36 140/83
1 1 40 150 36 111/60
PETUGA
RR NADI
S
( x/mnt) ( x/mnt)
14 63 BASTI H
16 66
20 80
16 88
18 79
14 64
16 91
18 80
16 101
14 79
20 90
30 105
40 110
18 79
14 68
16 77
30 90
16 105
18 70
18 71
14 87
16 64
16 113
16 107
40 120
18 77
18 75
30 78
18 71
16 62
20 76
18 87
30 80
40 130
20 89
16 72
16 73
18 63
16 78
14 68
16 68
1 3010332 YOSEP SIRI MORK YEREMIAS SURI MORUK

2 99022610 YONGKRISS LEO YONGKRIS LEO
3 1027410 FILIPE DEARAUJO FILIPE DE ARAUJO
4 99134220 MARIA DE FATIMA DE JESUS MARIA DE FATIMA DE JESUS
5 99104920 GABRIEL ABY I
6 99025270 WELLEM BUBU ROFINUS BUBU
7 990219 MARSELINUS AKUNUT KLARISA AKUNUT
8 990054 FAROUQ SALIM FAROUQ SALIM
9 990349 LUKAS ATY YOVITA ALEKSA ATY
10 991343 LUIS SOARES OLINDA PAREIRA
11 99063932 ADRIAN O. M. EFRILI S. PARERA
12 1025620 ZAINUDIN SUPARTI
13 99120520 JONISIUS MEAK NEMO DORTIA KAPITAN
14 99006131 HERMAN MMONE ALISIA MONE
15 2046133 JULIO MAIA CANTIKA MAIA
16 3086831 HENDRO DEPADIKI GRACIA HELNI DEPADIKI
17 99014133 STEFANUS SERAN MEGIRIUS SERAN
18 3159432 ALEXIO DE MELLO LIDIA DE MELLO
19 99084233 JEFRI LEITE KRISTINA ELSIANA
20 1005020 HENDRIK SONO HARTINI LUAN
JK
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA
L/P

5304 2118 0692 0002 SOE 6/18/1992 26 L DAWAN
3/12/1995 23 L TETUN
SUPUNI 8/26/1976 42 P DAWAN
KPG 5/3/1905 68 L SABU
ATAMBUA 1/19/2018 10BLN P DAWAN
ATAMBUA 40 L TETUN
ATAMBUA 9/1/2018 3BLN P DAWAN
ATAMBUA 50 P TETUN
JAWA 5/21/1976 42 P JAWA
5304 1260 1283 0003 KPG 12/20/1983 35 P DAWAN
ATAMBUA 5/6/2018 6 BLN L TETUN
ATAMBUA 1/12/2018 9 BLN P KEMAK
ATAMBUA 8/19/2008 10 P ROTE
PELAJAR FATUBENAO 007/003 TONSILITIS AKUT

SWASTA BERDAO VULNUS
SWASTA ATAMBBUA 018/006 HEMATURIA ISK
PNS M. MUTIN 005/002 DISLIPIDEMIA
IRT M. MUTIN 011/04 H T GR I DM TYPE II
SWASTA MANUAMAN 019/004 SUSP TB PARU
MANUMUTIN 001/001 ISPA
SWASTA MANUAMAN 005/001 EPILEPSI
MANUAMAN 012/004 KONSTIPASI
IRT MANUMUTIN 018/002 DYSPEPSIA
NAEKASA I S PA
IRT ATAMBBUA 003/003 KOLIK SUSP BATU SAL KENCING DYSPEPSIA
IRT M. MUTIN 010/003 SUSP ISK
LIDAK 019/005 I S PA
TENUKIIK 010/001 FURUNCULOSIS
FATUBENAO 031/001 I S PA
TULAMALAE 003/001 ISPA
FATUBENAO 009/004 OMA I SPA
PELAJAR M. MUTIN 021/006 DYSPEPSIA
IRT ATAMBBUA 003/001 DYS PEPESIA INSOMNIA
KASUS HASIL PEMERIKSAAN LAB
NAMA OBAT
B/L DDR GD AU KOL
B AMOX PCT BC
L AMOX
B VIT K SIPRO CIMETDIN
L B6 SIMVASTATIN 153 6.5 215
L GLIBEN AMLODIPIN B6 182
L CEFA AMBROX OMEPRASOL ANTASIDA
B PCT GG TCM VITC
L FENITOIN
B LANJUTKAN OBAT
B ANTASID LORATADIN DEXA KETO
B PCT GG CTM VIT C
L OMEPRASOL B6
L IBUPROFEN CIPRO CIMETIDIN
B PCT GG CTM VIT C
B AMOX CTM DEXA BC
B PCT GG CTM VIT C
B PCT CTM BC AMOX
B AMOX DEXA BC PCT CTM
L ANTASIDA PCT BC
L OMEPRASOL BC CTM
TINDAK
SAAN LAB KONSELING BB TB SUHU
AN
ASAL PEMBERI
RUJUK
KLINIK PASIEN LAYANAN
KLINIK
HB SANITAS ( kg ) ( Cm ) ( ◦C)
GIZI
I
1 1 21.9 121 36
1 1 48 164 36
1 1 52.3 168 36
1 1 51.8 152 36
1 1 64.8 151 36
1 1 51.8 167 36
1 1 6.7 70 35
1 1
1 1 5.1 61 36
1 1 50 154 36
1 1 9.1 81 36
1 V 1 62.2 149 36
1 1 43.9 139 36
1 1 9.4 83.5 36.6
1 1 11.2 82.5 36.5
1 1 12.8 95 36
1 1 6.5 65 38
1 1 8.3 75 38
1 1 21.9 125 36
1 1 83.7 160 38
TD RR NADI
PETUGA
S
( mmHg) ( x/mnt) ( x/mnt)
95 MIGUEL
104/61 77
123/78 62
107/73 79
148/90 102
113/84 76
43 100
38
119/85 55
30
126/72 74
122/81 76
30
28
24 72
30
36
88
150/90 73
1 99-013320 ARNOLDUS ASA PAULINA HOAR

2 02-025720 SUMIATI SUMIATI 530,428,520,550,001
3 03-0038 EUSTASIUS B BANUSU EUCLASIO E BANUSU
4 99-0120 BERNADETHA K ATI BERNADETHA K ATI 530.421.680.645.000.1
6 02-0234 MARSELINUS US ABATAN MARSELINUS US ABATAN 530.412.550.344.000.1
7 99-0225 BERNADETHA BONE BERNADETHA BONE
8 02-0706 HANDRY I LAO HANDRY I LAO
9 99-0513 FRANS BEDA FRANS BEDA
10 99-0513 FRANS BEDA MARIA N L
11 03-0322 MOSES LOE MAU RAFAEL MALI
12 99-0556 DOLFI BERE DONA BERE
13 99-1340 DOMINGGUS NABU NOME MELTON J NABU NOME
14 99-1340 DOMINGGUS NABU NOME MERCI TOBE
15 99-0201 MARTHA BETE MARTHA BETE
16 99-0429 MUIS HAMSA MUIS HAMSA
17 99-0060 ANTONIUS MOENSAKU JENITA MOENSAKO
18 99-0776 EVAJULIA RUNI EVAJULIA RUNI
19 99-0807 ARMINDO CORTEREAL ELISA DA CONSESAO
20 99-0590 HILARIUS NAHAK APE CELESTINA HOAR 530.422.540.970..000.1
21 99-0283 HUSEIN SEMEDI HUSEIN SEMEDI
22 99-0732 YULIANA SOI YULIANA SOI
23 99-0298 MAXIMUS SANTOS ELFRIDA ASTEN 530.404.711.228.300.0
24 03-0383 LAMBERTO P MAIA FERNANDA 530.412.440.812.100.0
25 02-0884 JULIANUS LESU YOHANES R LESU
26 03-1895 BONAVASIUS BANUSU BONAVASIUS BANUSU
27 99-0287 WAHYU ADIYATMAN WAHYU ADIYATMAN 531.750.123.109.500
28 03-0066 ROSENA OLIVEIRA DOMINGGUS SOARES
29 99-0174 MUCTHAR BALICH RAHIMA ABDULLA 530.422.470.963.000
30 99-0047 EMANUEL ATI YOHANA LAPIA 530.421.680.281.000
31 99-1242 THEODORUS BOUK RAYMONDY BOUK
32 99-0240 YUSAK Y PAH YUSAK Y PAH 530.412.030.975.000
34 99-1341 STEFANUS TAY KRISTIANUS TAY
35 99-1331 LUIS GOMES LUIS GOMES
36 99-0637 INOCIO DEYESUS SOARES YULIANA TAEK
37 02-0182 SABIDIN BALCK SABIDIN BALICK 530.412.090.580.000
38 99-0005 MAKMUR SAMAH MAKMUR SAMAH 530.422.300.668.000
39 02-0616 MARIA A FERNANDES MARIA A FERNANDES
40 02-0263 YULIANA AEK MUSKANAN YULIANA A MUSKANAN
JK
TANGGAL
TEMPAT LAHIR UMUR SUKU BANGSA PEKERJAAN ALAMAT
LAHIR
L/P
MANLEA 4/2/1949 69 P DAWAN P,PNS MANUMUTIN

LAMONGAN 5/12/1953 65 P JAWA IRT TENUKIIK
KEFA 4/9/2016 2 L MARAE FATUBENAO
ATAPUPU 11/30/1945 73 P TETUN IRT BEIRAFU
DILI 7/19/1972 46 L TETUN POLOSI MANUMUTIN
OETFO 4/24/1937 78 L DAWAN P,TNI TENUKIIK
ATB 8/17/1945 73 P TETUN IRT BERDAO
KUPANG 37 L ROTE SWASTA TENUKIIK
LARANTUKA 5/22/1945 73 L FLORES P,PNS TLM
LARANTUKA 6/16/1945 73 P FLORES IRT TLM
MANEWAIN 6/13/2013 5 L MARAE FATUBENAO
KUPANG 5/16/2013 5 L MARAE RINBESI
ATB 5/11/2018 5BLN L ROTE MANUMUTIN
SOE 5/11/1994 24 P DAWAN PELAJAR MANUMUTIN
BETUN 7/1/1953 70 P TETUN IRT KABUNA
MALUKU 3/5/1954 69 P AMBON IRT KABUNA
ATB 6/1/2016 3 P DAWAN MANUMUTIN
KEDIRI 9/11/1954 69 P JAWA IRT TLM
AINARO 7/4/2018 50 P TETUN IRT FATUKBOT
KAKANIUK 9/14/1970 54 P TETUN PNS FATUKBOT
SULAWESI 5/15/1952 64 L JAWA SWASTA MANUAMAN
ATB 7/1/1953 70 P TETUN IRT UMANEN
OENARI 12/31/1983 35 P TETUN IRT TUKUNENO
TAPO 4/8/1971 48 P MARAE IRT FATUBENAO
ATB 6/29/2018 4BLN L TETUN TENUKIIK
UNAB 5/14/1974 44 L DAWAN SWASTA FATUBENAO
JAKARTA 10/23/1995 23 P JAWA PNS BERDAO
ATB 3/1/2009 7L MARAE FATUBENAO
ALOR 9/7/1963 54 P ALOR IRT MANUAMAN
ATB 2/28/1981 37 P TETUN IRT UMANEN
ATB 2/9/2016 3L DAWAN MANUAMAN
KUPANG 9/3/1975 43 L KUPANG SWASTA MANUMUTIN
ATB 8/13/2012 6L MARAE MANUAMAN
KEFA 10/7/2018 1BLN L DAWAN MANUMUTIN
ATSABE 12/24/1966 52 L TETUN PNS MANUMUTIN
SOE 9/19/1988 30 P TETUN IRT NELA
ATB 5/9/1980 38 L ALOR SWASTA TENUKIIK
ALOR 6/30/1968 50 L ALOR SWASTA RINBESI
ATB 5/8/1973 48 P TETUN TENUKIIK
BANI BANI 7/16/1943 75 P DAWAN IRT TENUKIIK
BETUN 2/18/2002 16 L TETUN TLM
KASUS
RT/RW DIAGNOSA KODE
B/L
006/002 BATUK B
018/006 DM L
024/002 ISPA B
003/002 DM,HT L
001/001 HT L
001/001 HT,MIALGIA L
007/003 HT,DISPEPSIA L
OBS FEBRIS B
016/005 BATUK B
016/005 HT,MIALGIA,ISPA B
032/002 DERMATITIS ALLERGI B
001/002 FARINGITIS AKUT B
001/001 HT L
004/002 DISLI, B
007/003 FURUNKEL B
016/005 DM L
014/005 MIALGIA B
009/003 MIALGIA B
008/002 DM,TB PARU L
007/002 DM,HT L
001/001 B20,ISPA L
016/005 DM L
006/002 DIARE TAMPA DEHIDRASI B
010/002 DM L
001/001 ALLERGI,ISPA B
031/004 KONJUNGTIVITIS,DERMATITIS B
005/001 HT L
031/010 ISPA B
010/005 OMA B
002/001 LIMFADENITIS B
013/003 POST ORCHTIS B
008/003 HERNIA B
020/006 DM L
001/002 ISPA B
018/006 BATUK,MIALGIA B
010/005 MIALGIA B
007/003 L
003/001 HT L
020/004 VULNUS L
NAMA OBAT
DDR GD AU
AMBROXOL,IBUPROFEN,BC
PIROXICAM,OMEPRAXOL,
GG,CTM,BC,VITC
AMLODIPIN,METFORMIN,LORATADIN,OMEPRAXOL
LANJUT TERAPI 98 6.5
AMLODIPIN,LORATADIN,NADIC
AMLODIPN,ANTASIDA,PCT
OMEPRAXOL,PCT
AMBROXOL,VITC
HCT,AMBROXOL,CTM,OMEPRAXOL
KETOKENAZOL,CTM,KETAKENAZOL SALAF
AMOX,PCT,GG,CTM,DEXA
GG,CTM,VITC
LORATADIN,DEXA,SALEP 2-4
AMLODIPIN,SIPRO,IBUPROFEN,OMEPRAXOL,
SIMVASTATIN,CTM,BC
PCT,BC,VITC
METFORMIN,B6,
NADIC,CIMITIDIN,BC 110 4.8
NADIC,CIMITIDIN,BC
METFORMIN,AMBROXOL,B6
METFORMIN,HCT,PIROXICAM,OMEPRAZOL
RUJUK RSUD ATB
GIBEN,CODEIN,LIVOFLOXAAN
ZINC,ORALIT,CTM,BC
GLIBEN,B6 210 3.8
AMBROXOL,LORATADIN,DEXA,VITC
CTM,DEXA,VITC,KLORAMFENIKOL MATA
AMLODIPIN,BC
AMBROXOL,CTM,IBUPROFEN
AMOX,PCT,DEXA,CTM,BC
CEFA,PCT,CIMETIDIN 142 7.3
VITC
GIBEN,NADIC,B6 155 4.2

AMBROXOL,IBUPROFEN,CTM ,3,2
AMBROXOL,B1 NADIC
NADIC,CIMITIDIN,B1 6.5
CTP
CAPTOPRIL,PIROXICAM,B1
LANJUT OBAT
PEMBER
TINDAK ASAL I
SAAN LAB KONSELING RUJUK BB TB
AN PASIEN LAYANA
N
KLINIK
KLINIK
KOL HB SANITAS 1 1 ( kg ) ( Cm )
GIZI
I
1 1 50 153
1 1 57.5 144
1 1 8.9 86
1 1 41.5 149
127 1 1 62.5 157
1 1 57 152
1 1 43.3 142
1 1
1 1 42 149
1 1 42 149
1 1 16.7 102
1 1 13.5 107
1 1 7 66
1 1 44 150
1 1 58 154
1 1 69 160
1 1 10.1 80
1 1 52 148
172 1 1 52 152
1 1 76 159
1 1 69 165
1 1 63 151
1 1 1 50 157
1 1 1 46 145
1 1 6.8 64
166 1 1 57.7 167
1 1 66 177
1 1 10.6 83
1 1 76 151
1 1 45 151
1 1 10.3
185 1 1 70 166
1 1 16 113
1 1 4.7 56
129 1 1 67 159
1 1 44 148
1 1 46 167
1 1 68 172
1 1 45 160
1 1 46 149
1 1 40 150
PETUGA
SUHU TD RR NADI
S
( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
36 121/66 14 63 BASTI H
36 137/71 16 66
36 20 80
35 128/69 16 88
36 136/84 18 79
36 142/67 14 64
35 170/100 16 91
38 100/70 18 80
36 106/72 16 101
35 165/79 14 79
36 20 90
37 30 105
36 40 110
36 18 79
35 166/75 14 68
36 128/80 16 77
36 30 90
36 151/86 16 105
35 117/78 18 70
36 121/76 18 71
35 129/78 14 87
36 131/77 16 64
35 137/90 16 113
36 122/70 16 107
36 40 120
36 141/87 18 77
35 132/72 18 75
35 30 78
35 168/97 18 71
36 116/72 16 62
37 20 76
35 156/102 18 87
36 30 80
36 40 130
36 120/90 20 89
35 100/66 16 72
36 90/73 16 73
36 99/65 18 63
36 97/88 16 78
36 140/83 14 68
36 111/60 16 68
1 02-087210 BERNADUS K DASILVA BERNADUS K DASILVA

2 02-087220 BERNADUS K DASILVA MARIA M MORU
3 02-0706 HANDRY I LAO ALEGRA K LAO
4 99-0342 LAURENSIUS DARE LAURENSIUS DARE
5 99-0423 BENI NDUN BY NDUN
6 03-0681 MAKSIMILIANUS USNAAT YULIANA H SAEFATU
7 03-0681 MAKSIMILIANUS USNAAT MIKAEL N USNAAT
080.45899-0798 NOCH TEFLOPO SUSANA BOE
9 02-0982 NIVRONNY SUNE S NIVRONNY SUNE S
10 99-0025 YOSEP SURI ALBERTUS N SURI
11 03-0695 ZAKARIAS M BERE ZAKARIAS M BERE
12 99-0400 JHON DASILVA MARIA Y NUHA
13 99-0273 PAULINUS ATI SURI PAULINUS ATI SURI
14 99-0047 GABRIEL BEREK FINA BEREK
15 99-0211 FRANSISKUS S ARIS T KRISTIAN RISKI
16 02-0855 PETRUS BEI LETO PETRUS BEI LETO
17 02-0990 PAULUS MANIMAKANI ONI RISAN
18 99-1344 BUDI SOLLA BUDI SOLLA
19 03-0318 OKTOVIANUS LESU JANUARIO ALESU
20 99-0011 LONGGINUS HALE ESKI HALE
21 99-1334 YUSTINUS RAFA E YUSTINUS R E
22 99-1323 CIPRIANUS ALBIS ROBEIRO CIPRIANUS ALBIS ROBEIRO
23 99-0480 HIRONIMUS ASUK TITA HIRONIMUS ASUK TITA
24 02-0989 LUIS SIMOES LUIS SIMOES
25 99-0838 YACOBA KAPITAN YAKOBA KAPITAN
27 03-1888 JULIUS MAUK JOSEPHA J MAUK
TEMPAT TANGGAL SUKU
NIK UMUR JK PEKERJAAN
LAHIR LAHIR BANGSA
L/P
ATB 12/24/1971 47 L TETUN PNS

FATUALA 7/3/1985 33 P TETUN IRT
KUPANG 8/1/2009 9 P SABU
530.421.010.266.000.1 MAUMERE 2/1/1966 52 L FLORES SWASTA
ATB 12/16/2017 11BLN P ROTE
530.412.650.778.000.1 ATB 7/25/1978 40 P TETUN IRT
FATUBENAO 1/6/2003 14 L TETUN
377.104.201.187.000.6 ENDE 11/20/1987 31 L FLORES
KOTAFOUN 9/11/2014 4 L TETUN
530,412,080,660,001 ATB 6/8/1963 55 L TETUN GURU
LARANTUKA 9/22/1975 43 P FLORES IRT
530.421.080.458.000.1 ATB 4/8/1958 60 L KEMAK SWASTA
ATB 2/25/2013 5 P TETUN
ATB 7/7/2017 1.4 P DAWAN
KUPANG 1/31/1970 48 L KEMAK SWASTA
BUILALU 10/23/1985 33 L MARAE GURU
ATB 7/4/1982 35 L FLORES
ATB 1/9/2003 14 L MARAE
ATB 3/6/2017 8BLN L MARAE
SUMBA 8/1/1989 29 P SUMBA SWASTA
WELODI 9/2/1990 28 L TETUN
DEBUBOT 2/28/1958 60 L TETUN SWASTA
530.412.010.157.000.22 TURISKAEN 1/1/1957 61 L TETUN P,TNI
KUPANG 7/22/1966 52 P ROTE IRT
BETUN 2/18/2002 15 L TETUN
ATB 1/23/2008 10 P TETUN
S
ALAMAT RT/RW DIAGNOSA KODE KASUS
B/L
TENUKIIK 007/003 TB PARU B

TENUKIIK 007/003 MIALGIA B
TENUKIIK 008/002 DISPEPSIA B
TLM 015/005 TONSILITIS AKUT B
MANUMUTIN 006/002 OBS FEBRIS B
FATUBENAO 038/004 MIALGIA B
FATUBENAO 038/004 FURUNKEL B
BEIRAFU 009/003 DERMATITIS ALLERGI B
TENUKIIK POST APPAKUT L
TUKUNENO 005/001 ISPA B
FATUBENAO 027/005 SUSPEC HEPERMEKPIA B
TLM 013/004 RA,BATUK B
TLM 012/004 OMI L
NAEKASA 001/001 TONSILITIS AKUT B
MANUAMAN 002/007 ISPA B
TENUKIIK 007/003 HT B
TENUKIIK RHINITIS ALLEGI B
MANUMUTIN 004/001 BATUK B
FATUBENAO 014/005 VULNUS L
MANUAMAN 018/004 ISPA,DIARE TAMPA DEHIDRASI B
MANUMUTIN 002/001 VULNUS L
MANUMUTIN 021/006 POST OP APP L
FATUBAA 004/004 SUSPEC ON GENO DESTRA S B
TENUKIIK 011/004 FURUNKEL B
LIDAK 022/003 IBP B
FATUBENAO 024/004 FARINGITIS AKUT B
TINDAK
NAMA OBAT HASIL PEMERIKSAAN LAB
AN
DDR GD AU KOL HB
OMEPRAZOL,ANTASIDA,OAT
PIROXICAM,B1
ANTASIDA,PCT,METOCLOPRAMIDE
CEFA,DEXA,IBUPROFEN,OMEPRAZOL
PCT,BC,CTM
NADIC,B1
ASMET,ERITOMISIN,CIMITIDIN,BASITRASIN
IBUPROFEN,SIPRO,CIMITIDIN,AMOX,PCT
RAWAT LUKA
PCT,GG,CTM,VITC
RUJUK RS 101 4.2 175
NADIC,AMBROXOL,BC 4.7
RUJUK RS
AMOX ,PCT,BC,DEXA
PCT,GG,CTM,VITC
AMOLODIPIN,ANTASIDA,PCT
LORATADIN,ANTASIDA,B6
AMBROXOL,LORATDIN,VITC
AMOX,IBUPROFEN,CIMITIDIN
ZINC,ORALIT,PCT,GG,CTM,BC
CEFA,DEXA,BC
RAWAT LUKA
NADIC,B1
INSISI,CEFA,AMBROXOL,CTM,
ALLOPURINOL,NADIC,CIMITIDIN
CEFA,BC
PCT,AMOX,AMBROXOL,CTM
PEMBER
KONSEL ASAL I
RUJUK BB TB SUHU TD RR
ING PASIEN LAYANA
N
KLINIK
KLINIK
SANITAS ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
GIZI
I
1 1 45 169 36 85/58 26
1 1 67 159 36 117/71 20
1 1 21.8 137 36.8 30
1 1 65 157 36 133/87 18
1 1 9.5 74 37.4 40
1 1 42.7 157 36 115/68 20
1 1 47.9 156 36 102/57 16
1 1 44.4 144 36 103/69 18
1 1 73 168 36 134/76 16
1 1 12.3 98 36.2 40
1 1 1 73.4 160 36 129/97 14
1 1 46.2 148 36 101/64 18
1 1 1 47 155 36 142/83 18
1 1 18 102 35 30
1 1 8.9 74.5 37 50
1 1 75.7 180 36 146/93 20
1 1 49.6 151 36 113/74 18
1 1 72 164 35 127/86 16
1 1 36.4 151 34 30
1 1 10.1 82 36 40
1 1 64 162 36 108/62 18
1 1 62 162 36 118/69 16
1 1 62 175 36 118/67 16
1 1 43 149 36 111/52 14
1 1 71 156 36 144/86 18
1 1 40 150 36 110/60 18
1 1 22 132 35 30
PETUGA
NADI
S
( x/mnt)
128 BAST H
68
80
86
112
96
69
84
90
100
74
70
67
98
120
85
83
77
65
90
60
88
76
79
69
70
99
1 99002620 GABRIEL MALI MARIA F. BOE

2 3145520 REGIINA DEJESUS REGINA DE JESUS
3 99051634 ANTONIUS CHR DAJAG KESYA
4 3161434 DOMINGUS MUSU APRIANUS BELE MAU
5 99053120 YOHANES DAHLAN MARIA BUI BETE
6 99062810 DEVI SERAN DEVI SERAN
7 99103210 KORNELIS WENI KORNELIS WENI
8 99015232 YEREMIAS NAHAK ANDIKA G. NAHAK
9 99053831 JONI SADIPUN CHELY M.F. SADIPUN
10 3077530 YULIUS ONKI BERE NARDIANUS F' BERE
11 99033910 AGUST F. NAHAK AGUST F. NAHAK
12 99005320 GETRUDIS T. MANEK GETRUDIS T. MANEK
13 99134631 ABEL BENU JESI BENU
14 3006635 ROZENO OLIVEIRA MARSAL SOARES
15 3189930 JULIANUS KOLI MALI FRANSISKUS KOLI MALI
16 99053410 GERVASIUS NGGORI GERVASIUS NGGORI
17 99024120 DOMINIKUS BANA THERESIA YOVITA
18 99093330 ALFONSIUS FATIN
19 99015020 DENNY FAHIK FRANSISKA BERE
20 99014730 DOMINGUS NAI MAU VERONIKA NAI MAU
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
JK
TANGGAL SUKU
NIK TEMPAT LAHIR UMUR
LAHIR BANGSA
L/P
5304 2159 0482 0002 ASSUMANU 4/19/1982 36 P MARAE

BOBONARO 2/20/1960 58 P MARAE
ATAMBUA 10/5/2005 13 P MARAE
RAIKUN 7/21/1958 60 P MARAE
KPG 11/10/1986 32 L TETUN
ALOR 7/7/1962 56 L ALOR
ATAMBUA 5/19/2018 6 BLN L MARAE
62 L TETUN
DILI 2/27/1996 22 L TETUN
ENDE 2/1/1971 47 L ENDE
7/1/1964 54 P DAWAN
7/8/1905 2 P JAWA
27 P TETUN
7/15/2013 5 P KEMAK
KASUS
B/L
IRT UMANEN 039/012 MYALGIA M.791 B

IRT FATUBENAO 031/001 DYSPEPSIA L
PELAJAR RINBESI 001/001 FURUNCELL B
PELAJAR FATUBENAO 004/002 DERMATITIS ALERGI L
PEN PNS LIDAK 014/003 MYALGIA SUSP MIOPIA L
SWASTA M.MUTIN 027/007 DYSPEPSIA L
PNS M.MUTIN 011/004 DISLIPIDEMIA MIGRAIN L
PELAJAR TULAMALAE 020/006 TONSILITIS AKUT L
PELAJAR MANUAMAN TONSILITIS AKUT L
FATUBENAO I S PA B
PEN PNS LIDAK 001/001 VULNUS L
PNS BERDAO 007/003 CORPUS ALLENIUM HT GR II L
PELAJAR M.MUTIN HARDEOLUMINTERNUM L
PELAJAR FATUBENAO CONJUNCTIVITIS L
MAHASISWA FATUBENAO 022/002 TB PARU L
SWASTA KABUNA H T GR I L
IRT TULAMALAE D M L
BEIRAFU I S P A OMA B
PNS M.MUTIN 002/001 VULNUS
NENUK I S PA B
TINDAK
AN
NAMA OBAT
KLINIK
DDR GD AU KOL HB SANITAS
I
NADICK B1
ANTASIDA B6 PCT
ERYTRMYSIN PCT GENTA SK
CTM DEXA VIT C HIDRO SK
NADICK B1 CIMETIDIN 6.5 143
ANTASIDA OMEPRASOL BC
SIMVASTATIN NADICK B1 125 4.8 225
CEFA AMBROX CTM BC
CEFA BC AMBROX CTM
PCT GG CTM BC
AMOX
CEFA IBUPROFEN CIMETIDIN
AMOX DEXA GENTA SK
DEXA CTM GENTA SM
KIE
AMLODIPIN BC
KIE
AMOX AMBROX CTM
AMOX VIT C
GG CTM BC VIT C
PEMBER
ASAL I
KONSELING RUJUK BB TB SUHU TD RR NADI
PASIEN LAYANA
N
KLINIK
1 1 ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
GIZI
1 1 43 150 36 133/81 105

1 1 43.7 145 36 101/70 75
1 1 19.9 121 36 108
1 1 16.2 112 36 118
1 1 51 146 36 115/74 79
1 1 53.4 170 36 106/67 68
1 1 59.9 164 36 136/88 68
1 1 18 111 36.6 100
1 1 36.2 36 22 62
1 1 6.6 37.2 54
1 1 60.5 161 36 116/69 60
1 1 72.4 155 36 177/107 76
1 1 24 132 36 80
1 1 20 127 36 100
1 V 1 40.2 164 36 126/74 119
1 1 64.7 160 36 146/87 75
1 1 50.9 150 36 132/68 92
1 1 32 142 36 100
1 1 50 150 36 120/80
1 1 13.7 10.5 36 22 80
PETUGA
S
MIGUEL
1 020637 PAULUS BORGES MIGUEL BORGES

2 99-0642 HERMAN KLAU HERMAN KLAU
3 99-0157 EMANUEL KOA ARSENIUS KOA
4 991026 YOHANES NAHAK KLAU YOHANES NAHAK KLAU
5 990187 EBIT SUAN ERNAWATI SUAN
6 020982 NIVRONY SUNE NIVRONI SUNE
7 020993 NIKOMEDES SENE NIKOMEDES SENE
8 990154 JEMIANUS MES MARIA FERCI T
9 991347 FELIS MINO GOBIA LEITE FELISMINO GOBIA LEITE
10 990144 JONI SOARES JOVITA ARIA
11 990923 KORNELIS KOFI MARIA KOFI
12 990820 FIDELIS I MAU LEUN AGUSTINUS NAI LEON
13 031527 YOSEP LOKO KATARINA HALEK
14 030220 DOMINGGUS SILA PETRONELA IKUN
15 031666 PETRUS A BERE PETRUS A BERE
16 020998 ROFINO PARERA ROFINO PARERA
17 990090 BUCE MARTINUS ERINA SERAN
18 030723 AFONSO DASILVA MARKO DASILVA
19 10024 ZAKARIAS BALA SITI IZAK MALAJU
20 990643 PANKRADUS BELE DIAN A BRIA
21 990339 AGUST F.NAHAK MARICE M N MANOK
JK
SUKU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR
BANGSA
L/P
ATB 4/11/2015 3 L. MARAE

530.404.300.773.000.1 AIRAE 7/30/1973 45 L TETUN
DILI 10/12/1990 28 L TETUN
ATB 10/23/2013 5 P DAWAN
3771 0420 1137 0006 ENDE 11/20/1987 31 L FLORES
5304 0405 1169 0001 TTU 11/5/1969 49 L DAWAN
ATB 1/24/2014 4 P DAWAN
KAILAKO 8/15/1953 67 L TETUN
9/9/1915 90 P TETUN
ATB 7/1/2003 15 P DAWAN
ATB 7/31/2017 4 L MARAE
EKI 11/15/1959 62 P MARAE
ATB 7/22/1988 30 L MARAE
DILI 11/20/1996 22 L TETUN
BERDAO 1/26/1977 41 L TETUN
ATB 8/8/2014 4 L TETUN
ALOR 12/31/1991 27 P JAWA
PANLK 11/8/1998 20 P MARAE
KPG 3/11/1959 62 P TETUN
KASU
S
B/L
TENUKIIK 011/004 FURUNKEL B.

KONTRAK NENUK 001/001 FURUNKEL L
UMANEN 037/012 SUSPEC ASMA B
SWASTA MANUMUTIN 008/003 TONSILITIS B
LIDAK 001/001 OMA B
P .BWMN TENUKIIK POST OP APP B
GURU TENUKIIK 007/003 V .LASERATUN B
UMANEN 029/009 V .LASERATUN B
P TNI MANUMUTIN 005/002 V .LASERATUN B
GURU ATB 012/004 ISPA B
BEIRAFU 010/004 FARINGITIS B
LIDAK 033/004 BATUK B
IRT FATUBENAO 014/002 DYSPEPESIA B
IRT FATUBENAO 014/004 SUSP TB B
SWASTA FATUBENAO 028/005 DERMATITIS B
SWASTA TENUKIIK 011/004 OMA B
IRT BERDAO 004/002 ISPA B
IRT ATB 012/004 MIALGIA B
NAEKASA 001/001 SELULITIS B
IRT LIDAK 001/001 FARINGITIS B
NAMA OBAT TINDAKAN
KLINIK
DDR GD AU KOL HB
SANITASI
PCT BC AMOX
LANJUT OBAT
SALBUTAMOL,DEXA,GG,AMOX
CEFADROX PCT DEXA
PCT CLORAMP AMOX
AFF HECTING
LANJUT OBAT
LANJUT OBAT
LANJUT OBAT
GG CTM VITC
AMBROX DEXA ANTASID SYRUP
ANTASID CIMETADIN DEXA
CEFADROX DEXA HIDRO
AMOX IBUPROF CIMETA KLORAMPENI
PCT GG CTM BC
NADIK
ERITROMICIN IBUPROF CIMETADIN
CEFADROX AMBROX CTM VITC
KONSELING BB TB SUHU TD RR NADI
ASAL PEMBERI
RUJUK
GIZI
1 1 12.5 36 34 80
1 1 62 161 36 125/79 18 74
1 1 12.5 75 36 53 90
1 1 72 158 35 120/101 18 107
1 1 16.7 108 35 18 113
1 1 73 168 35 123/80 18 97
1 1 54 175 35 94/66 18 56
1 1 16 109 36
1 1 64 160 35 121/71 18 80
1 1 45 153 35 89/63 18 93
1 1 34 143 35 98/63 18 87
1 1 16.5 114 35 84
1 1 40 146 35 94/58 18 83
1 1 34.8 136 35 111/70 18 90
1 1 78 158 35 118/74 18 82
1 1 53.7 157 35 135/87 18 64
1 1 52 158 35 108/65 18 82
1 1 9.3 36 35 90
1 1 59 153 35 130/77 35 97
1 1 45.7 156 35 110/74 35 79
1 1 52 146 35 118/65 35 81
PETUGA
S
1 99-0138 KAMILUS YOSEP FAHIK KAMILUS YOSEP FAHIK

2 99-0396 BASILIUS SERAN BASILIUS SERAN
3 99-0731 SAFIANUS KABOSU MOLO YULIANA NIIS MOLO
4 01-0141 SUPONO SAFA
5 02-0992 ALFONS BESSY REGINA BESSY
6 99-0107 PASKALIS WARA GAO DEMETRIA F WARA GAO
7 99-0100 LUIS DASILVA EDUNDO DASILVA
8 99-1323 CIPRIANUS ALBIS ROBEIRA CIPRIANUS A ROBEIRO
9 02-0982 NIVRONNY SUNE S NIVRONNY SUNE V
10 99-1347 FELISIANO GOBIA LEITE FELISIANO G LEITE
11 02-0989 LUIS SIMOES LUIS SIMOES
12 01.01.31 VIKTOR RABINSON RENHA M R
13 01-0499 GABRIEL BRIA JERSON S BRIA
14 99-0339 AGUS F NAHAK AGUS F NAHAK
15 99-0283 PETRUS BELE HERIBERTUSD BERE
16 99-1341 HERMAN ABATAN FREDERIK E ABATAN
17 03-1086 SERFASIUS ASA DENAYA ASA
18 99-0004 YANUARIUS TAEK DELIO TAEK
19 99-0004 YANUARIUS TAEK ANDREAS TAEK
20 99-0290 LEONARDUS M MAU AMADEUS D M MAU
21 02-0132 BADARUDIN R TAHIR PUTRA TAHIR
22 99-0384 LEONARDUS MALI LEONARDUS MALI
23 .03-1901 GABRIEL Y SUNI YULIANA KAI BUTI
24 99-0641 TAE N RAFAEL TAE RAFAEL
25 99-1902 HIRONIMUS ATOK AURELIA ATOK
26 02-0723 BERNADO FERNANDA B P YESUS
27 03-1792 FLORINDO LETO FLORINDO LETO
28 99-1902 YEREMIAS R VIRGINIA
29 99-1019 ALBERTINA GONSALVES ALBERTINA GONSALVES
30 99-0242 SELL WINATA NIAS F NAS
31 03-0326 ALFRIDUS KOFI FREDIANUS KOFI
32 03-0655 AMERICO MAIA MARIA SRIYANTI BERE
33 99-0488 SUGIANTO WIDIA SEPTIANI
34 99-0457 NAZAR NAZAR
35 02-0497 FILOMENA DASILVA JULIANA D D C
36 02-0664 ALEXANDER DIAZ YAKOBUS DIAZ
37 99-0127 ORLANDO SOARES EMELIA A NANA
38 03-1874 PIUS KOLY MONIKA TAE
39 99-092910 YAKOBUS SLAMET YAKOBUS SLAMET
40 99-092920 YAKOBUS SLAMET NATALIA MIN
41 .03-1900 AGUSTINUS MALI AGUSTINUS MALI
42 99-081720 YOHANES MALI THEODORA BUI
43 99-0259 AYUB BLEGUR SALOMI BOLING
44 99-0538 JONI SADIPUN CHIRIO P ERON S
45 02-0433 SALOMON SOARES SALOMON SOARES
46 99-0287 WAHYU ADIYATMAN WAHYU ADIYATMAN
47 99-1134 JOAO PARERA JOAO PAREIRA
JK
TANGGAL
LAHIR
L/P
130.421.030.369.000.2 TLM 3/3/1969 49 L TETUN

ATB 6/15/1968 50 L TETUN
530.414.590.692.000.2 BAUNUBA 6/19/1992 26 L DAWAN
ATB 4/13/2011 7 P JAWA
ATB 4/7/1999 19 P DAWAN
530.422.610.618.000.1 ENDE 6/21/2018 5BLN P FLORES
ATB 6/14/2003 15 L TETUN
WELODI 9/2/1990 28 L TETUN
377.104.201.187.000.6 ENDE 11/20/1987 30 L FLORES
KAILAKO 8/15/1953 65 L TETUN
530,412,010,157,000,000 TURISKAIN 1/1/1957 61 L TETUN
ATB 10/10/2007 11 P SABU
530.412.300.701.000.1 ATB 30/07./2001 17 L TETUN
KOTAFOUN 8/8/1958 61 L TETUN
ATB 6/19/1994 24 L MARAE
ATB 16 L DAWAN
ATB 10/19/2018 1BLN L MARAE
ATB 5/8/2011 7THN L ALOR
LELOWAI 3/2/1967 52 L MARAE
530.412.670.670.753.000.3 AKADIRUN 7/27/1953 65 P TETUN
UABAU 12/31/1955 63 L DAWAN
OELEU 12/1/1952 66 P TETUN
ATSABE 1/1/1956 62 L KEMAK
TIMOR 2/7/1940 78 P TETUN
JAKARTA 6/3/1970 48 P JAWA
ATB 2/6/2017 1.9 L TETUN
530.412.591.184.300.02 TIMOR 11/19/1984 33 P MARAE
TULUNG AGUNG 9/30/1990 27 P JAWA
317.203.311.258.004.4 PADANG 6/3/1958 60 L PADANG
BALIBO 7/4/1998 20 P TETUN
ATB 7/27/2015 3THN L FLORES
FATUBESI 10/15/1981 37 P DAWAN
530,410,551,070,003 LAHURUS 10/15/1970 48 P MARAE
KLATEN 2/29/1948 70 L JAWA
WEKABU 12/25/1956 61 P TETUN
530.412.311.249.003.2 SISI 12/31/1949 69 L MARAE
530.402.440.579.000.1 HOLPARA 9/1/1979 39 P MARAE
530.421.711.063.000.1 ALOR 10/31/1963 55 P ALOR
ATB 1/19/2013 5L TETUN
530.412.311.247.000.1 TIMOR 12/31/1947 71 L TETUN
531.750.123.095.000.1 JAKARTA 10/23/1995 23 P JAWA
530.412.150.549.000.1 LEQISA 5/13/1949 69 L TETUN
PEKERJAAN ALAMAT RT/RW DIAGNOSA
SWASTA TLM 004/002 BATUK

SWASTA MANUMUTIN 015/005 COMMON COLD
GURU MANUMUTIN 001/002 NIFAS
PELAJAR ATB 017/005 TONSILITIS AKUT
TENUKIIK 015/005 FARINGITS AKUT
PELAJAR FATUKBOT 023/003 PULPIS
MANUMUTIN 021/006 POST OP APP
TENUKIIK
MANUMUTIN 005/002 VULNUS
TENUKIIK 011/004 FURUNKEL
ATB 008/003 VULNUS
ATB 007/003
P,PNS LIDAK 001/001 HT
SWASTA BEIRAFU 010/003 SUSPEC DEMAM TIFOID
MANUMUTIN 028/009 TONSILITIS AKUT
FATUBENAO 022/005 ISPA
MANUAMAN 022/004 ENESIS
TLM 015/005 TONSILITIS AKUT
TENUKIIK 007/002 ISPA
HALILULIK 002/001 MIALGIA
IRT AKADIRUN 026/004 TONSILITIS AKUT
UABAU HIPERUNSEMIK
FATUBENAO 002/001 SUSPEC ISK
IRT TENUKIIK 010/004 DM,
P,TNI FATUBENAO 020/003 DISLI,
FATUBENAO 019/001 ISPA
IRT MANUMUTIN 022/007 ISPA
IRT BEIRAFU DISPEPSIA,DISLI
FATUBENAO 010/004 HEMODOSKZIA
IRT FATUBENAO 028/005 BATUK
SWASTA BERDAO 005/003 DISPEPSIA
SWASTA BERDAO 017/002 MIALGIA,DISPEPSIA
SWASTA TENUKIIK 001/001 ANEMIA RINGAN
PELAJAR TENUKIIK 006/002 COMMON COLD
IRT TLM 020/006 DERMATITIS ALLERGI
IRT FATUBENAO 017/006 SUSPEC ISK
P,PNS NAEKASA 001/001 HT,MIALGIA
IRT NAEKASA 001/001 DM,ANEMIA,DISLI
SWASTA FATUBENAO 004/002 TB PARU
IRT LIDAK 005/003 TB PARU
GURU BEIRAFU 013/005 HT,MIALGIA
MANUAMAN 005/004 TONSILITIS AKUT
PENSIUNAN TENUKIIK 001/001 SUSPEC TB
PNS BERDAO 001/001 FARINGITS AKUT
P,PNS MANUMUTIN 001/002 HT,DISPEPSIA
KODE NAMA OBAT
B/L DDR GD AU KOL
B AMBROXOL,LORATADIN,VITC
B AMBROXOL,,LORATADIN,IBUPROFEN
B SF,BC
B AMOX,AMBROXOL,CTM
B CEFA,OMEPRAXOL,IBUPROFEN
B PCT,GG,CTM,BC
B ASMET,AMOX,CIMITIDIN
B CEFA,BC
B LANJUT OBAT
B CEFA,DEXA,
B RAWAT LUKA
B AMOX,BC
B
L AMOX,AMLODIPIN,VITC
B SIPRO,OMEPRAXOL,IBUPROFEN
B CEFA,DEXA,IBUPROFEN
B PCT,GG,CTM,BC
B GG,CTM,VITC
B
B AMOX,GG,CTM,BC,PCT
B AMBROXOL,CTM,PCT
B NADIC,CIMITIDIN,B1
B AMBROXOL,CEFA,CTM
B ALLPURIL,NADIC, B1
B IBUPROFEN,AMOX,ANTASIDA
L METFORMIN,ALLOPURINOL,NADIC 150 10.7 199
L SIMVASTATIN,ALLOPURINOL,NADIC 98 10.1 232
B PCT,GG,CTM,BC
B AMBROXOL,CTM,VITC
B SIMVASTATIN,OMEPRAXOL,PCT 97 217
B METRONIDAZOL,BC
B AMBROXOL,LORATADIN,IBUPROFEN
B ANTASIDA,B6,PCT
B NADIC,OMEPRAZOL,B1
B SF,B12
B AMBROXOL,LORATADIN,IBUPROFEN
B DEXA,VITC,CETIRIZOL 104 3.9 182
B SIPRO,OMEPRAZOL,B1
L AMLODIPIN,PIROXICAM,B1 115 7.6 188
L METFORMIN,SF,SIMVASTATIN,AMBROXOL 96 6.5 238
B OAT DEWASA ,B6
B OAT DEWASA ,B6
B AMLODIPIN,SIMVASTATIN,PIROXICAM 187
B AMOX,GG,CTM
B CEFA,AMBROXOL,CTM,
B CEFA,DEXA,PCT
B CAPTOPRIL,ANTASIDA,B6
SAAN LAB KONSELING BB TB SUHU
ASAL PEMBERI
TINDAKAN KLINIK RUJUK
HB SANITAS ( kg ) ( Cm ) ( ◦C)
GIZI
I
1 1 38 159 36
1 1 60 164 36
11.5 1 1 44 36
1 1 23.5 119 34
1 1 48 150 36
1 1 6.3 65 36
1 1 48.5 164 36
1 1 64 162 36
1 1 73 168 35
1 1 64 160 36
1 1 42 149 35
1 1 29 115 36
1 1 41 169 36
1 1 60.5 161 35
1 1 44 159 36
1 1 43 172 36
1 1 6.1 63.8 36
1 1 11.1 36
1 1 3.9 36
1 1 15.3 107 37
1 1 18 118 36
1 1 61 149 36
1 1 47 148 35
1 1 69 172 36
1 1 30.88 138 38
1 1 41 155 35
1 1 55 158 36
1 1 7.4 71.1 38
1 1 40 150 36
1 1 72 160 35
1 1 36
1 1 47 149 35
1 1 50.7 158 36
1 1 74.1 164 35
10 1 1 46 162 36
1 1 32.5 114 36
1 1 63.6 151 36
1 1 54 140 36
1 1 64 158 35
1 1 48 36
1 1 39 146 36
1 1 48 148 35
1 1 63 160 36
1 1 28 114 36
1 1 48 161 36
1 1 66 177 36
1 1 51 163 35
TD RR NADI
PETUGA
S
( mmHg) ( x/mnt) ( x/mnt)
115/76 18 95 BAST H
146/88 20 88
119/64 16 80
7 98
99/64 18 87
35 120
20 70
114/72 18 86
116/75 20 79
144/80 14 98
114/62 16 74
30 80
110/74 18 80
127/69 14 66
94/64 20 74
90/60 20 84
32 130
28 80
30 120
30 78
20 90
125/72 18 88
109/65 14 84
114/68 16 72
20 102
109/63 16 72
139/45 14 93
35 120
84/46 14 87
119/79 18 76
24 30
135/76 20 75
118/76 18 89
126/75 16 67
108/67 18 90
30 98
119/82 18 69
146/109 16 88
115/64 14 80
116/65 16 79
80/55 14 83
123/78 16 115
133/79 18 88
20 106
135/70 16 73
116/69 18 54
148/99 14 95
1 020935 MARIA A ,. SUBANI MARIA A. SUBANI

2 991288 JECK KORNELIS ELISABETH
3 020075 JUAIKNA DASILVA JUAKINA DASILVA
4 030512 MARINO MAU BUTI YOSEFINA ROUK
5 031266 JOAO BABTISTA SILVESTER BATISTA
6 991342 MARIA FATIMA MARIA FATIA
7 990154 JEMIANUS MES KRISTINA DIAN
9 031903 FRANSISKUS DEO ESRAFINA DEO
10 990734 EGIDIUS MORUK GRATIA 0 R MORUK
11 031833 YANUARIUS TALO BLANDINA STEFANIA
12 030797 ALIPI DEJESUS FIKA MAIA
13 020657 MADE MAHAYASA LUH DANI
14 990591 DANIEL B MAU MELISA BERE MAU
15 030432 LEONARDUS T TES LEONARDUS TALO
16 991349 GEFHARDUS KAPITAN TERESIA MANES
17 031326 BALTASAR BINSASI BALTASAR BINSASI
18 030869 IGUSTI P .YUNIARSE MARIA G R BEREK
19 031904 ANDREAS BRE ELMA Y LIKA
20 99064010 INOSENSLIUS KRISTOFORUS
21 99014720 DOMINGUS NAI DUA MARIA SAYANG NUAS
22 2098210 NOVRIYANI SUNI NIVRIYSNI SUNI
23 Aug-84 HERMAN KLAU HERMAN KLAU
24 3024331 FERDINAN NOKAS ALDINO NOKAS
25 99084120 ALFONSIUS P. JAO YOSEFINA LURUK
26 99049220 PETRONELA MEAK PETRONELAMEAK
27 99062810 DEVI SERAN DEVI SERAN
28
29
30
JK
TANGGAL SUKU
LAHIR L/P BANGSA
ATB 6/26/1974 44 P TETUN

SEMARANG 2/22/1967 52 P SEMARANG
5304 1266 0276 0001 ATB 01/20/1976 42 P DILI
5304 12570975 0001 ABAT SALI 9/17/1975 43 P TETUN
ATB 9/3/2008 8 L. MARAE
ATB 12/4/2016 2 P DAWAN
5304 0405 1169 0001 TTU 11/5/1969 49 L DAWAN
ATB 7/31/2013 7 P FLORES
ATB 10/21/2005 13 P TETUN
ATB 2/25/2018 10 P GRALDE
ATB 7/3/2018 3 P MARAE
JAWA 11/10/1950 70 P JAWA
ATB 5/9/2013 5 P MARAE
ATB 12/31/1967 50 L MIALGIA
BIONI 8/22/1948 67 L DAWAN
LARANTUKA 5/25/1975 44 P BELU
ATB 6/28/2002 18 P MARAE
ATB 1/12/2009 9 L DAWAN
ATB 1/1/1980 38 P TETUN
ENDE 11/20/1987 31 P FLORES
7/30/1973 45 L TETUN
ATB 10/15/2018 1.BLN L DAWAN
KAKANIUK 2/25/1981 37 P TETUN
61 P TETUN
KPG 11/10/1986 32 L TETUN
KASUS
B/L
TENUKIIK 014/005 DYSPEPSIA B

IRT MANUMUTIN 003/001 HT DYSPEPSIA B
IRT TENUKIIK 010/004 ISPA B
IRT FATUBENAO 007/003 DYSPEPSIA B
PNS MANUMUTIN 005/002 DYSPEPSIA B
UMANEN 029/009 DERMATITIS B
GURU TENUKIIK 007/003 V POST OP L
FATUBENAO 003/001 DYSPEPSIA B
FATUBENAO 017/003 CRALDE COP B
IRT TENUKIIK 002/001 DM HT B
MANUMUTIN 001/001 OBS FEBRIS B
PNS FATUBENAO 016/005 MIALGIA B
IRT MANUMUTIN 007/003 F C COLD B
SWASTA FATUBENAO 013/004 BPH HT L
PNS FATUBENAO 003/001 SUSP HIPERMETROPI B
FATUBENAO 002/001 DYSPEPSIA B
PELAJAR MANUMUTIN 014//004 TONSILITIS DYSPEPSIA L
GURU NENUK FHARINGITIS B
TENUKIIK PSOT OFF APP L
TKO NENUK FURUNCEL DERMATITIS L
FATUBENAO 014/005 FURUNCEL DERMATITIS L
IRT LIDAK DISLIPIDEMIA L
IRT MANUMUTIN COMMON COLD B
SWASTA MANUMUTIN DYSPESIA L
NAMA OBAT TINDAKAN
DDR GD AU KOL HB
SIMVASTATIN CIMETA BC 239

AMLOD SIMVASTATIN BC 98 7.1 139
GG AS MENAMAT LORATADIN
CAPTO ANTASID B6
AMBROX CTM IBUPROF
ANTASID B6 191 5 121
AMOX CTM DEXA BC
AMOX CTM DEXA BC
ANTASID B6 ZINC ORALIT
AMBROX IBUPROF LORATADIN
AMOX CTM DEXA BC
GG CTM BC AMOX
METFOR CAPTO PIROX 286 6.2 162
PCT BC
NADIK B1 117 5.9 129
CEFADROX GG LORATADIN
AMLOD BC
RUJUK
ANTASID PCT B6
PCT ANTASIDA AMBROX CEFA
AMOX AMBROX IBUPROFEN 3.6 158
C VIT C
CEFA LORATATADIN DEXA
AMOX BC NEG
SIMVstTIN SF B12 NEG
AMBROX LORATADIN IBUPROFEN
ANTASIDA BC OMEPRASOL
KONSELING BB TB SUHU TD RR
KLINIK ASAL PEMBERI
KLINIK RUJUK
SANITAS PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
GIZI
I
1 1 54 154 35 136/89 18
1 1 66.7 148 35 148/78 18
1 1 58 150 35 115/72 18
1 1 68 150 35 136/71 18
1 1 25.8 35 18
1 1 51.4 152 35 124/84 18
1 1 9 81 35
1 1 53 175 35 111/73 18
1 1 13.3 102 35 112/81 18
1 1 35 152 36
1 1 5.1 58 36 42
1 1 5.8 62 36
1 1 66 156 35 195/100 18
1 1 14.4 110 36
1 1 55 166 36 130/84 18
1 1 53 155 35 120/84 18
1 1 55.5 159 35 155/78 18
1 1 67 154 35 100/60 18
1 1 40 143 35 100/59 18
1 1 27.9 38
1 1 59.9 145 36 113/76
1 1 73 168 36 113/69
1 1 55 146/84
1 1 5.3 54 39.9 48
1 1 63.2 153 36 150/80
1 1 57 142 36 177/79
1 1 53.4 170 36 111/67
NADI
PETUGA
( x/mnt) S
83
78
81
69
98
79
61
112
116
102
97
84
71
87
74
80
80
110
87
80
57
74
84
66
1 99013220 BERTA RESI BERTA RESI

2 1013130 VIKTOR ROBINSON RENHA MAYELA
3 2072830 MATEUS DASILVA ANSILIA DASILA
4 99048720 ROBERT MARTINUS MELIANA MARTINU
5 3082534 THOMAS KOLI YOHANES KOLI
6 99013120 SOLEH ENI SULASTRI
7 2065230 SIPRIANUS BERE SILVESTER DACOSSTA
8 99013310 ARNOLDUS ASA ARNOLDUS ASA
9 3054220 PETRUS MALI SEBASTIANA KAIBUTI
10 99071610 MIGUEL MARTINS MIGUEL MARTINS
11 99047720 NAOMI M. FEOH NAOMI M. FEOH
12 99034220 LAURENSIUS DARE MARIA GORETI LETO
13 3101810 YAKOBUS M. LUAN YAKOBUS M. LUAN
14 2073420 MANUEL LEITE AMELIA DE AARAUJO
15 99001610 BENEDIKTUS BERE BENEDIKTUS BERE
16 3107510 VALENTINO NGGERO VALENTINO NGGERO
17 3063210 FELICIANO TAEK FELICIANO TAEK
18 99012920 BLANDINA HOAR BLANDINA HOAR
19 2000420 KANELO YUSTINA E. MISA
20 2010020 FRANS FINA ELISABETH U.P.
21 99062810 KAROLUS LAU KAROLUS LAU
22 99097920 EDMUNDUS SIKI MARIA SIKI
23 2024410 ACACIO DACOSTA ACACIO DACOSTA
24 99051210 JOSE SAO GABRIEL JOSE SAO GABRIEL
25 99085020 YULIANA HOAR YULIANA HOAR
26 99019420 ANTONIA MATAROHI ANTONIA MATAROHI
27 99020710 LAMBERTUS FATIN LAMBERTUS FATIN
28 3077334 MARIANUS SERAN MAGDALENA SERAN
29 99016133 MARKUS TALAN ANGELITA TALAN
30 2047820 MARIA BUI HEUK MARIA BUI HEUK
31 99033910 AGUST F. NAHAK AGUST F. NAHAK
32 99053831 JONI S CHELY M.F. SADIPUN
33 99079532 MARSEL E.MANAFE JEREMI MANAFE
34 9901523 STEFANUS S. MALI GABRIEL C. T. MALI
35 99020410 ABIA KOANAK ABIA KOANAK
36 3003830 DOMINGUS MUSU EUSEBIO E. BANUUSU
37 2069930 ANTONIO CASTRO CELESTINA DASILVA
38 99048810 UNTUNG UNTUNG
39 99089970 ADRIANUS M. ASA KAROLINA ELI
40 99021120 WILHELMINA BANFATIN WILHELMINA BANFATIN
41 99018520 SOTER BESIN MARIA Y, BANA
42 2099710 ARONIMUS RANJA WALI ARONIMUS RANJA WALI
43 99079820 NOH TEPLOPO MARIA P.E
44 99023130 ROI GONSALVES NADIRA GONSALVES
45 99038230 ANTONIO MARTINS ANTONIO MARTINS
46 3094333 MARIAM MALI PETRUS MALI
47 3062330 ANTONIUS LEDUNA NORBERTO
48 99113670 YAKOBUS SERAN YOSEP KOLO
49 99003820 STEFANUS LOBOT KEYSIA LOBAT
50 99113410 JOAO PEREIRA JOAO PEREIRA
51
52
53
54
55
JK
TANGGAL SUKU
LAHIR BANGSA
L/P

ATAMBUA 10/10/2007 11 P SABU
KPG 30/08/2010 8 P TETUN
JAKARTA 5/7/1957 61 P ROTE
1/22/2017 1 L KEMAK
BANTEN 9/10/1963 55 P JAWA
5304 1210 1742 1742 0001 LEONEKE 7/10/1947 71 L DAWAN
62 L TETUN
ROTE 6/16/1946 72 P ROTE
LEOGOLO 4/9/1952 66 L MARAE
MALIANA 6/7/1975 43 P KEMAK
WERAU 9/3/1952 66 L TETUN
ENDE 8/28/1973 45 L ENDE
7/10/1954 64 L MARAE
9/22/1961 57 P TETUN
KPG 1/11/1970 48 P TETUN
NTB 11/2/1942 76 P NTB
54 L MARAE
8/5/1965 53 P DAWAN
6/12/1946 72 L TETUN
LELOWAI 29/041940 78 L TETUN
7/21/1966 52 P TETUN
2/22/1947 71 P SABU
FATUBESI 5/15/1955 63 L TETUN
ATAMBUA 5/28/2018 3. BLN P MARAE
12/12/1950 68 P TETUN
62 L TETUN
ATAMBUA 9/8/2010 8 P MAUMERE
5/18/2016 2 L
ATAMBUA 7/15/2018 3. BLN L MARAE
64 L ROTE
KEFA 4/9/2016 2 L MARAE
DILI 8/25/1995 23 P TETUN
5304 22060420 0003 ATAMBUA 4/6/1952 66 L JAWA
2/21/1969 49 P DAWAN
6/10/1985 33 P FLORES
KPG 5/26/1991 27 L SUMBA
5304 2145 0755 0001 ASUMANU 7/5/1955 63 P TETUN
ATAMBUA 5/19/2018 6.BLN L TETUN
ATAMBUA 6/29/2016 2 L DAWAN
FAFOE 6/26/1962 56 L TETUN
ATAMBUA 23 P TETUN
LIQUISA 5/13/1949 69 L TETUN
KASUS
B/L
IRT M.MUTIN 001/001 HT GR I DISLIPIDEMIA L

PELAJAR ATAMBUA 008/003 VULNUSLACERATUM L
PELAJAR TENUKIIK 018/006 VARICELLA B
PENDETA MANUAMAN 009/002 H T GR I L
FATUBENAO 009/003 ISPA GIZI BRK B
IRT M.MUTIN 001/001 H T TERKONTROL L
BEIRAFU 008/003 TONSILITIS AKUT B
PEN PNS FATUKBOT 006/002 DM TYPE II H T L
IRT FATUBENAO 008/003 H T DYSPEPSIA L
PEN TNI M.MUTIN 015/005 H T TB PARU L
IRT BERDAO H T ISPA L
IRT TULAMALAE SUSP TB L
PEN PNS FATUBENAO 033/004 H T BPH L
IRT TENUKIIK HT L
PEN PNS MANUAMAN 004/001 H T L
SOPIR FATUBENAO MYALGIA L
PEN TNI FATUBENAO 016/005 HT L
IRT NAEKASA GASTRITIS GOUT L
IRT TENUKIIK MYALGIA B
IRT TENUKIIK 001/001 H T MYALGIA
FATUKBOT CEPHALGIA B
IRT M.MUTIN 023/007 HHD B
PEN PNS TENUKIIK 010/004 HT DISLIPIDEMIA L
SWASTA MANUAMAN SUSP TB HT GR I L
IRT TULAMALAE H T GR I L
IRT RINBESI DISLIPIDEMIA L
PEN PNS M,.MUTIN HT MYALGIA L
FATUBENAO DIARE ISPA B
M.MUTIN ISPA B
IRT TENUKIIK 008/002 DISLIPIDEMIA L
PNS LIDAK HT DYSPEPSIA L
PELAJAR MANUAMAN TONSILITIS AKUT B
LIDAK ISPA B
UMNEN 038/012 ISPA B
LIDAK 012/004 HT MYALGIA L
FATUBENAO 024/002 DIARE TANPA DEHIDRASI B
IRT TENUKIIK 010/004 SUSP KOLIK L
PEN PNS LIDAK 035/005 ISPA B
IRT MANUAMAN DISLIPIDEMIA L
IRT BERDAO 016/006 ISPA HT L
IRT TULAMALAE 020/011 FHARINGITIS B
HONORER TENUKIIK 009/003 BATUK B
IRT BEIRAFU 009/003 HT GR I DISLIPIDEMIA L
M.MUTIN 006/002 ISPA B
M.MUTIN 006/002 DIARE TANPA DEHIDRASI B
FATUBENAO 033/004 DERMATITIS AKUT L
FATUBENAO ISPA DERMATITIS L
M.MUTIN 026/008 DERMATITIS AKUT L
SWASTA FATUBENAO ISPA B
PEN PNS M.MUTIN H T GR I DYSPEPSIA L
NAMA OBAT TINDAKAN
DDR GD AU KOL HB
HCT SIMVASTATIN PIROXICAM 92 5.6 228

AMOX BC
ACYCLOVIR PCT BC ACYCSALFLOVIT
AMLO BC
GG CTM VIT CBC
HCT PIROXICSM OMEPRASOL 90 6.2 197
PCT GG CTM DEXA AMOX
AMLO GLIBEN PIROXICAM 134 4.9 140
AMLO OMEPRASOL BC
AMLO OAT
HCT IBUPROFEN ANTASIDA 121 7.7 178
VIT K AMBROX ASAM MEFENAMAT
AMLO PIROXICAM COTRI 110 7.3 122
CAPTO 90 205
AMLO NADICK B1 99 5.9 174
IBUPROFEN NADICK B1 7.4
AMLO IBUPROFEN 89 7.3 197
ANTASIDA OMEPRASOL IBUPROFEN 157 9.4 218
NADICK IBUPROFEN B1 110 7 263
AMLO NADICK BC 87 6 156
IBUPROFEN NADICK B1
FUROSEMID CAPTO ALUPURINOL 110 7.5 193
CAPTO SIMVASTATIN ALU 94 8.3
AMBRO CEFA AMLODIPIN
HCT PIRIXICAM CIMETIDIN 92 6.1 182
SIMVASTATIN BC 83 5.8 231
ANTASIAD NADICK B1 92 8.9 173
COTRI ZINCK ORALIT BC
AMBROX CTM VIT C
LANJUT OBAT 94 5.7 260
B6 KETOKONAZOLE AMLO ANTASIDA 85 6.2 156
CEFA BC
AMOX BC VITC
AMBROX CTM VIT C
HCT NADICK CTM 98 11.5 187
ZINCK ORALIT
CEFA PAPAVERIN NADICK VIT C
AMBROX NADICK LORATADIN
SIMVASTATIN NADICK B1 93 5.2 228
AMOX VIT C ANTASIDA 91 5.9 104
CEFA IBUPROFEN VIT C NEG
IBUPPROFEN AMBROX BCMETYL NEG
AMLO CIMETIDIN ALUPURINOL 130 7.1 198
PCT GG VIT C CTM
ZINCK ORALIT PCT BC
CTM DEXA VIT C
AMOX CTM GG PCT
CEFA DEXA LORATADIN
AMBROX NADICK LORATADIN
CEFA OMEPRASOL BC
KONSELING BB TB SUHU TD
PEMBERI
KLINIK ASAL PASIEN RUJUK
KLINIK LAYANAN
SANITAS ( kg ) ( Cm ) ( ◦C) ( mmHg)
GIZI
I
1 1 57 148 36 144/76
1 1 29 115 36
1 1 19.3 122 33.8
1 1 58 146 36 145/66
1 1 7.8 75 35.8
1 1 61 149 36 128/75
1 1 11.5 89 37.9
1 1 75 153 36 120/80
1 1 61.9 155 36 135/80
1 1 71 160 36 108/65
1 1 58 147 36 130/68
1 1 53 150.5 36 104/58
1 1 66.5 160 36 116/71
1 1 57 149 36 108/75
1 1 55 162 36 133/72
1 1 65.3 168 36 118/76
1 1 47 144 36 17/60
1 1 60 149 36 116/72
1 1 66.5 154 36 125/71
1 1 49 146 36 109/69
1 1 58.8 155 36 99/66
1 1 54 134 36 140/72
1 1 49 157 36 110/64
1 1 52 154 36 147/86
1 1 47.5 150 36 142/77
1 1 44.7 149 137
1 1 65 151 36 142/73
1 1 6.2 37
1 1 8.6 72 37.4
1 1 49.5 155 36 121/75
1 1 62 161 125/78
1 1 35.3 127 36
1 1 11.5 36.5
1 1 6 62 36.9
1 1 63 162 120/68
1 1 9.1 36.5
1 1 46.9 159 115/86
1 1 62 162 120/72
1 1 69.3 158 36 114/79
1 1 43 142 121/70
1 1 56.8 149.5 36 113/72
1 1 85.2 165 36 125/79
1 1 55 149 36 141/83
1 1 13.7 95 36
1 1 7.7 65.8 36
1 1 9.3 82.5 36
1 1 5.3 36
1 1 65.4 170 36 133/84
1 1 46 156 36 95/54
1 1 52.5 162 36 142/84
RR NADI
PETUGAS
( x/mnt) ( x/mnt)
73 MIGUEL
88
120
66
35 80
78
20 110
80
85
88
82
76
79
64
69
76
70
86
45
79
16 61
82
63
94
70
71 67
63
50
36 110
65
89
20
100
56
69
32 110
82
96
82
112
106
82
42
50 120
81
84
101
11/24/2018
1 99-1136 YULIUS BRIA SERAN YOSEP KLAU

2 02-0433 SALOMON SOARES SALOMON SOARES
3 99-0531 YOHANES DAHLAN YOHANES DAHLAN
4 99-0599 LION SORU ARMILIA SORU
5 99-0722 YANCE LIN LINCE TAE
6 99-0042 ANGGELINA RIKA ANGGELINA RIKA
7 03-002630 ADRIANUS MAU ADRIANA A MAU
8 99-0036 YOSEP MANEK YUNITA A
9 99-0031 AGUSTINUS SERAN MARGARETA TARI
10 99-0031 AGUSTINUS SERAN AGUSTINUS SERAN
11 99-0014 AGUSTINUS TNESI FERMINA ULUK
12 99-0228 YOHANES D LAU AGNES DE ROSARI
13 99-0835 FITALIS DUARTE ANA AAEK
14 99-0131 FREDERIKA M WELLO FREDERIKA WELLO
15 99-0342 LAURENSIUS DARE DONI DARE
16 99-0379 SILAS TASEYN FEBRYANI Y TASEIN
17 99-0447 BENANSIO DEDEUS TEREJINA GONSALVES
18 03-0001 TOBIAS TATO TOBIAS TATO
19 03-1146 ABILO MONIS FRANSISKO DOS REIS
20 99-0192 FANCE HENUK MIASIA MAYATI
21
JK
SUKU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR
BANGSA
L/P
530.410.260.662.000.1 FAFOE 6/26/1962 56 L TETUN

530.412.311.247.000.1 TIMOR 12/31/1947 66 P TETUN
530.422.181.257.000.1 KRAWAN 6/4/1956 62 L JAWA
ATB 5/15/2018 6BLN P ROTE
ATB 5/28/1958 60 P TETUN
530.422.410.145.000.2 LAFAEKFERA 1/1/1945 72 P TETUN
ATB 6/12/2000 19 P SABU
SURAKATA 7/24/1962 61 P JAWA
BUILARAN 9/16/1962 56 L TETUN
ATB 7/1/1958 60 P MARAE
ATB 3/23/1962 56 P TETUN
BESIKAMA 1/1/1973 45 P TETUN
SUMBA 8/21/1965 53 P SUMBA
ATB 12/26/1999 19 L MARAE
BALIBO 2/9/2009 7 P DAWAN
TIMOR 10/13/1973 45 P KEMAK
MAKTAHON 6/7/1961 57 L MARAE
BOBONARO 6/1/1961 57 L MARAE
BENGKULU 9/20/1960 58 P TETUN
KASU
S
B/L
SWASTA MANUMUTIN 026/008 DERMATITIS ALLERGI B

PENSIUNAN TENUKIIK 001/001 SUSPEC TB PARU B
SWASTA LIDAK 014/003 ISPA ,GASTRITIS B
IRT MANUAMAN 011/002 OBS FEBRIS B
IRT FATUKBOT 003/001 HIPERLIPIDENIA B
LIDAK 014/003 ISPA ,GASTRITIS B
FATUBENAO 012/004 ISPA ,GASTRITIS B
BEIRAFU 016/006 GASTRITIS B
IRT LIDAK 022/002 DISLI,HT L
PNS LIDAK 022/002 OBS FEBRIS B
IRT BEIRAFU HT,GASTRITIS B
PNS BEIRAFU 009/003 DISLI,HT L
IRT BEIRAFU 004/002 MIALGIA B
PNS UMANEN 025/008 HT,DISLI B
TLM 015/005 ISPA B
MANUMUTIN 006/002 TONSILITIS B
IRT MANUMUTIN 002/026 GASTRITIS B
PNS FATUBENAO 004/002 CEPALGIA B
IRT FATUBENAO 031/003 GASTRITIS,MIALGIA B
MANUMUTIN 002/001 DISLI B
NAMA OBAT TINDAKAN
DDR GD AU KOL HB
CEFA,DEXA,LORATADIN
CEFA,AMBROXOL,CTM,PCT
AMBROXOL,VITC,ANTASIDA,BC
ZINC,PCT,BC
SIMVASTATIN,PCT, 92 4.8 256
ANTASIDA,BC,PCT,CAPTOPRIL
PCT,GG,VITC,CTM
ANTASIDA,BC,PCT
AMLODIPIN,SIMFATATIN 98 5.9 210
IBUPROFEN
AMLODIPIN,PCT,AMBROXOL,OMEPRAXOL
SIMVASTATIN,IBUPROFEN 96 4.8 224
IBUPROFEN,B1 4.7
AMLODIPIN,SIMFATATIN 231 6.1 234
GG,VITC,CTM,IBUPROFEN,CTM
PCT,AMOX,CTM,VITC
PCT,ANTASIDA,BC,CTM
IBUPROFEN,BC
ANTASIDA,IBUPROFEN,B1 5.4
SIMVASTATIN,IBUPROFEN 236
KONSELING BB TB SUHU TD RR
ASAL PEMBERI
RUJUK
KLINIK KLINIK PASIEN LAYANAN
( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
SANITASI GIZI
1 1 64 170 36 132/86 20
1 1 46 161 36 121/63 14
1 1 66 171 35 127/77 16
1 1 7.5 38 30
1 1 70 155 36 123/85 16
1 1 29 170 36 173/90 14
1 1 14.5 34 30
SS 1 1 50 35 104/66 18
1 1 56 36 165/104 16
1 1 63 36 116/73 20
1 1 38 147 35 145/64 16
1 1 51 144 36 142/82 18
1 1 54 145 35 108/70 18
1 1 70 153 36 148/91 20
1 1 47 157 35 104/62 18
1 1 23 34 16
S 1 1 21 35 119/68 18
1 1 49 36 137/76 16
1 1 38 140 36 128/74 18
1 1 72 162 36 156/68 18
S
NADI
PETUGA
S
( x/mnt)
88
75
111
130
78
91
90
79
78
72
74
82
65
96
89
85
82
67
65
78
11/24/2018
NO. INDEX NAMA KK NAMA PASIEN NIK
3000120 THOBIAS EDITA 530412611264 0002

99001730 EDUARDUS ATI MARIA A. ATY
99056332 AGUSTINHO GOMES LILI SOARES
99024131 DOMINIKUS BANA MONIKA S. BANA
99014610 GABRIEL LELO GABRIEL LELO
99064410 HERGILIO COREIA HERGILIO C
99134220 MARIA FATIMA DE ARAUJO MARIA FATIMA DE ARAUJO
99006110 DOMINIKUS BEKA DOMINIKUS BEKA
1025436 YUSTIN L. AGNES S.
99002630 GABRIEL MALI JUANA MALI
99115830 JEMRIS TANESIB JASIL TANESIK
1000131 VITALIS HAEKASE MARIA HAEKASE
3022020 DOMINGUS SILS PETRONELA IKUN
1009334 KONDRADUS MANEK SISILIA MANEK
3026420 JOANA DE ARAUJO JOANA DE ARAUJO
99069510 CHARLES SESFAO CGARLES SESFAO
99003131 AGUST SERAN MARIA GRACIA
2037531 MARKUS SOARES AURELIA K. SOARES
99113110 MIGUEL DASILVA MIGUEL DASILVA
99033530 ADRIANUS SAFE SERGIO SAFE
3075631 SILVESTER KOE NONE YENI M. KLAENONI
99104320 DANNIEL SASAKUNAB MAGDALENA KEFI
999113410 JOAO PEREIRA JOAO PEREIRA
999051731 DINCE KOANAK MATIAS F. BOUK
99007520 PINCE KOANAK PINCE KOANAK
2086731 RICARDUS MAU ATOK GABRIELA ATOK
99075220 YOSEP MALI ROSDIANA S. SERAN
99007933 KORNELIS RATU BRAYEN RAJA
99016130 MARKUS TALAN YOHANA TALAN
99075520 JOAO DOS SANTOS MIRANDA DOS SANTOS
99039631 BASILIUS SERAN MARIA S.SERAN
99023531 HIRONIMUS RAGA DOMINIKA RAGA
3011410 YOSEP BESIN YOSEP BESIN
990003910 JONI GAJA ANATASIA BELAK
990165 ARKARIUS Y. SERAN ARKARIUS Y, SERAN
99134710 FELICIANO G. LEITE FELICIANO G. LEITE
99038530 SIMMON LORO KRISTIAN LORO
99074620 ANTONIUS NABU THERESIA KOLO
99064210 HERMAN KLAU HERMAN KLAU
99028930 ROBY ATAOPAH KRISTIAN IMANUEL
99032031 WILIBRODUS HUSEIN SCOLASTIKA F. HUSEIN
2100020 MANUEL DODEUS ANITA A. DE JESUS
JK
TEMPAT TANGGAL
UMUR SUKU BANGSAPEKERJAAN ALAMAT RT/RW
LAHIR LAHIR L/P
LAHURUS 12/21/1964 54 P TETUN IRT FATUBENAO 004/002

5/15/2006 12 P MARAE PELAJAR BAUATOL
ATAMBUA 3/5/1955 63 P TETUN SWASTA LELOWAI
ATAMBUA 8/27/1990 28 P DAWAN SWASTA TULAMALAE
BATU
3/14/1963 55 L TETUN SWASTA NAEKASA
MERAH
BASARTET 2/8/1967 51 L TETUN PNS HAIKRIT
AINARO 5/11/1962 56 P TETUN PNS M.MUTIN
LURASIK 9/17/1943 75 L TETUN SWASTA BEIRAFU 010/005
ATAMBUA 1/20/2017 1 P TETUN ATAMBUA
ATAMBUA 8/3/2012 6 P MARAE UMANEN
ATAMBUA 3/5/2018 8.BLN L DAWAN M.MUTIN 014/07
BENAEK 7/20/2003 15 P DAWAN PELAJAR ATAMBUA 008/003
ASSUMANU 2/26/1932 86 P TETUN IRT FATUBENAO 014/004
ATAMBUA 9/25/2015 3 P DAWAN ATAMBUA
MANATUTO 11/13/1995 23 P TETUN IRT FATUBENAO
SOE 3/30/1977 41 L DAWAN SWASTA M.MUTIN 015/05
4/29/2016 2 P TETUN LIDAK
ATAMBUA 8/9/2015 3 P DAWAN TENUKIIK 011/004
DILI 11/25/1965 53 L TETUN PNS M.MUTIN 20/006
KEFA 8/9/2014 4 L DAWAN M.MUTIN 008/003
ATAMBUA 24//07/2007 11 P DAWAN PELAJAR FATUBENAO
KEFA 5/28/1973 45 P DAWAN IRT M.MUTIN
LEQUISA 5/17/1949 69 L TETUN PEN PNS M.MUTIN
ATAMBUA 3/12/2018 8 BLN L DAWAN M.MUTIN
ROTE 4/5/1978 40 P ROTE LIDAK 016/0004
ATAMBUA 11/23/2010 8 P TETUN PELAJAR TENUKIIK
1970 46 P MMAUMERE GURU UMANEN
ATAMBUA 2/12/2012 6 L SABU BEIRAFU
H.LULIK 9/14/2015 3 P DAWAN M.MUTIN
47 P TETUN IRT TULAMALAE
SOE 3/26/2001 17 P TETUN PELAJAR M.MUTIN
ATAMBUA 4/27/2018 7.BLN P SABU BERDAO
FULAN
12/8/1967 41 L KEMAK SWASTA FATUBENAO
MONU
ATAMBUA 8/3/1992 26 P SABU IRT BEIRAFU
MALAKA 11/7/1977 41 L TETUN PNS TULAMALAE 016/005
KAILAKO 15/;08/1953 65 L KEMAK PEN TNI M.MUTIN
BAUATOK 3/6/2015 3 L MANLETEN
JAKARTA 7/14/1965 53 P DAWAN IRT M.MUTIN
7/30/1973 45 L TETUN TKO NENUK
ATAMBUA 5/12/2017 1 L DAWAN TULAMALAE
ATAMBUA 2/10/2014 4 P TETUN NENUK
ATSABE 1/25/1959 59 P TETUN IRT TENUKIIK
KASUS HASIL PEMERIKS
DIAGNOSA KODE NAMA OBAT
B/L DDR
I S PA JO69 B AMBROX VITC LORATADIN

FURUNCEL B IBUPROFEN CIMETIDIN ERYTROMYCIN
VULNUS B IBU PROFEN BC
I S PA B AMBROX VITC LORATADIN
TB PARU L CEFA AMBROX BC
H T GR II L AMLO IBPROFEN OMEPRASOL
DYSPEPSIA L ANTASIDA BC
HT GR I ISPA L AMLO AMBROX LORATADIN
TONSILITIS ISPA B AMOX SY PCT BC GENTA SK
DEXTROCORDER ISPA L KIE
OBS FEBRIS B PCT BC
DYSPEPSIA L ANTASIDA B6
TB PARU L OAT B6
I S PA B GG CTM VIT C PCT
FHARINGITIS B AMBROX AMOX LORATADIN
I S PA B AMBROX LORATADIN VIT C
TONSILITIS AKUT L PCT CTM BC DEXA AMOX SY NEG
I S PA B PCT GG
HT L NADICK DEXA
I S PA B AMOX SY PCT BC GENTA SK
ISPA DYSPEPSIA B ANTASIDA PCT AMBROX
KULIT ALERGI B LORATADIN CTM
HT GR I L KIE
ISPA DYSPEPSIA B PCT GG CTM BC NEG
DERMATITIS L CIPRO DEXA NEG
DERMATITIS L DEXA CTM
DYSPEPSIA L NEG
ISPA DYSPEPSIA B AMBROX CTM PCT
DYSPEPSIA L ANTASIDA
DISLIPIDEMIA L SIMVASTATIN NADICK CIMETIDIN
DYSPEPSIA L ANTASIDA B6 NEG
ISPA B PCT GG CTM BC
DYSPEPSIA L ANTASIDA B6
FLOUR ALBBUS L METRO CIMETIDIN BC
DM L METFORMIN B1
VULNUS L CEFA BC
ISPA B GG CTM PCT VIT C NEG
HIPERSEMIA L ALUPURINOL CIMET B1
FURUNCEL B CEFA BC
ISPA B GG VIT CBC
ISPA B PCT GG CTM VIT C NEG
LIMPADENTIS L CEFA BC
HASIL PEMERIKSAAN LAB KONSELING PEMBER
TINDAK KLINIK ASAL I
KLINIK RUJUK
GD AU KOL HB AN SANITAS PASIEN LAYANA
GIZI N
I
82 5.7 201 1 1
1 1
1 1
1 1
1 1
1 1
191 5 121 1 1
6.3 163 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 3
1 1
1 1
1 1
1 1
1 1
1 1
1 1
110 10 219 1 1
1 1
1 1
1 1
1 1
163 6.1 162 1 1
1 1
1 1
144 8.9 181 1 1
1 1
1 1
1 1
1 1
PETUGA
( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt) S
43.7 139 36 115/69 70 MIGUEL

28.5 137 36
60 158 36 87/67 71
48.8 158 36 127/86 106
56.7 165 36 140/95 24 102
55.1 154 36 149/63 18 81
51.4 152 36 124/84 79
45.5 155 36 140/83 73
10.5 83 37 25
13.7 109 36 98
9 78 31
42.5 36 56
34 136 36 113/60 32 94
10-Aug 93 36 101
45.2 147 36 115/70 101
32.5 154 36 104/74 93
10.9 37 24
12.5 92.5 36.3 30 90
60.2 161 36 150/107 97
14.5 98 36
50 160 36 117/65 98
69 159 36 111/66 81
51 162 140/86 96
7 69.5 37 32
43 149.5 36.2 115/64 86
16 111 36 88
58.2 123 113/78 84
16 109 36 98
11.1 36 32
43.7 148 36 16/66 77
36.8 154 36 94/86 75
7.8 69.4 37 32
54.3 170 36 107/64 61
74.1 151 36 115/77 79
66.4 162 36 118/81 73
64 160 36 156/68 101
12.7 93.4 22
42.6 141 141/106 134
62 161 36 141/91 87
9 36 24
14 101 36 23
38.1 152 36 105/60 96
NO. INDEX NAMA KK NAMA PASIEN
1 030383 LAMBERTO P. MAIA FERNANADA L M BARETO

2 020645 FILOMENA FATIMA FILOMENA FATIMA
3 020680 MARSELINUS HATI ANTONIUS ALDO
4 020100 FRANSISKUS FINA ELISABETH W . PURNAWATI
5 020001 ARYANTO ICAN REINALDI SAKO
6 030427 LEONITU CARDOSO ELISABETH CARDOSO
7 990776 EVAJULIA RUNI EVAJULIA
8 020234 MARESLINUS US ABATAN MARSELINUS US ABATA
9 990120 BERNADETHA K ATI BERNADETHA ATI
10 99013320 ARNOLDUS ASA PAULINA HOAR
11 2025720 SUMYATI SUMYATI
12 020263 YULIANA AEK MUSKANAN YULIANA AEK MUSKANAN
13 990241 DANI RIKAL ATI
14 990777 SETO PARERA MARIA GRACIA
15 991872 ROSALIA MADE ROSALIA MADE
16 990555 NIKOLAS AMFOTI YOHANES AMFOTI
17 990487 ROBERTH MARTINS ROBERTH MARTINS
D 010281 HELENA MAAK HELENA MAAK
19 990017 PRIMENTUS SERAN ANDREAS SERAN
20 010282 HASNA HASNA
21 991036 ANSELMUS NOE AGATHA
22 990594 BERNADETAHA TAUS YOSEPH
23 990735 DIDIMUS MUTI JUNIOR MUTI
25 990239 JOEL LASI MARTIN LASI
26 990238 FRANSISKUS KEHI RIANA
27 990176 OKTAVIANUS MARTINUS ALEXANDER MARTINUS
28 020097 APRIS ANGSI ALVINOM . EDUK
29 021001 ROMANUS SERAN ROMANUS SERAN
30 990090 NENGKE BUCE MARTINS REVAN MARTINUS
31 990599 AMELIA JORU CONS SERAN
JK
TEMPAT TANGGAL
NIK UMUR SUKU BANGSA
LAHIR LAHIR L/P
MALIANA 02/07 1962 56 P MARAE

5304 1248 0765 0002 DILI 2/2/1965 53 P TETUN
5304 1205 0603 0003 ATB 7/5/2002 16 L. DAWAN
5304 1243 1147 0001 MATARAM 11/3/1947 72 L JAWA
5304 1265 1171 0002 KEFA 11/25/1971 47 P DAWAN
3276 0251 0514 0007 JAKARTA 5/11/2014 4 P TETUN
KEDIRI 9/11/1954 64 P JAWA
5304 1255 0344 0001 DEFTO 4/24/1937 78 L TETUN
5304 2168 0668 0001 ATB 11/30/1945 73 P TETUN
MANLEA 4/2/1949 69 P TETUN
5304 2552 0550 0001 LAMONGAN 5/12/1952 66 P JAWA
BANI2 7/16/1943 75 P DAWAN
ATB 9/24/2015 3 L DAWAN
ATB 12/11/2013 5 P MARAE
5304 0469 1255 0001 WEKABU 12/22/1955 67 P BAUBITIN
ATB 1/7/2012 6 L DAWAN
5304 2207 0554 0001 KPG 5/17/1954 66 L ROTE
5304 1248 1233 0001 ATB 12/8/1933 85 P ROTE
ATB 4/13/2010 8 L TETUN
ABUGIS 12/31/1953 68 P BUGIS
ATB 9/15/2013 5 P TETUN
S ATB 4/9/1998 20 L DAWAN
ATB 6/11/2016 2 L TETUN
TTU 11/5/1969 49 L DAWAN
SOE 3/4/2015 3 L DAWAN
21 P TETUN
ATB 10/24/2010 8 L ROTE
ATB 9/13/2017 1 L TETUN
ATB 1/26/1972 46 L TETUN
ATB 1/27/2009 9 L TETUN
ATB 5/15/2018 1 P ROTE
IRT FATUBENAO 016/002 DM TB PARU KRONIS

IRT TENUKIIK 001/001 DM DYSPEPSIA
PELAJAR TENUKIIK 001/001 COMMON COLD
SWASTA TENUKIIK 001/001 MIALGIA
IRT TENUKIIK 001/001 FARINGITIS AKUT
FATUBENAO ISPA
IRT TLM 016/005 DM DYSPEPSIA
P TNI TENUKIIK 001/001 ISPA
IRT BEIRAFU 003/002 DM HT ISPA
PEN PN M.MUTIN 006/002 DISLIPIDEMIA BATUK
IRT TENUKIIK 018/008 D M TYPE II
IRT TENUKIIK 003/001 HT DYSPEPSIA
BEIRAFU ISPA
TLM 003/005 FARINGITIS AKUT
P PNS NAEKASA 001/001 DM
PELAJAR M.MUTIN 011/002 FARINGITIS AKUT
PENDETA M.AMAN 009/003 HT DYSPEPSIA
IRT ATB 004/002 HT DYSPEPSIA
BEIRAFU 004/001 DERMATITIS
IRT ATB 006/002 DM
M.MUTIN 004/001 OBS FEBRIS
SWASTA NAEKASA 001/001 ISPA
BEIRAFU 007/003 FURUNKEL
GURU TENUKIIK 007/003 V L POST OP
BEIRAFU 011/004 TONSILITIS AKUT
IRT BEIRAFU 014/005 OBS FEBRIS
M.MUTIN 022/007 TONSILITIS AKUT
TENUKIIK 017/006 VARICELA
SWASTA TENUKIIK 006/002 DIARE
BEIRAFU 005/002 SUSP TB PARU
M.AMAN 011/002 ISPA
NAMA OBAT
B/L DDR GD
L GLIBEN AMBROX CEFADROX 79

L METFORMIN HCT SIMVASTATIN 140
B. AMBROX IBUPROF BC
L IBUPROF 0MEPRAZOL
B AMBROX IBUPROF BC
B PCT GG CTM VITC
L METFORMIN HCT SIMVASTATIN
L AMBROX IBUPROF BC 98
L AMLOD METFOR SIMVAS 126
L SIMVASTATIN AMBROX IBUPROFEN 77
L NADICK B1 141
L CAPTO SIMVASTATIN IBUPROF 105
B AMOX PCT CTM GG VITC
B AMOX PCT CTM GG VITC
L METFORMIN B6 121
L AMOX PCT CTM GG VITC V
L AMLOD METFOR SIMVAS 119
L RUJUK
B VITC KETONAZOL
B GLIBEN SIMVASTATIN B6 436
B PCT GG CTM VITC
B AMBROX IBUPROF BC
B PCT GG CTM VITC
L VITC AAF HECTING
B CEFA BC PCT GG VITC DEXA
B IBUPROF BC
B CEFA BC PCT GG VITC DEXA
B ACYCLOFIR PCT GG CTM BC
B LOPERAMID OME B6 ORALIT
B AMBROX CTM AMOX
B ZINC PCT CTM BC
HASIL PEMERIKSAAN LAB KONSELING PEMBER BB
KLINIK RUJUK
AU KOL HB AN SANITAS PASIEN LAYANA ( kg )
GIZI N
I
184 1 1 47.5
7.8 260 1 1 54
1 1 34.8
1 1 50
1 1 58
1 1 17.3
1 1 53
7 257 1 1 54
6.3 204 1 1 41.5
6.7 249 1 1 50
5.8 284 1 1 57
4 159 1 1 45
1 1 10.2
1 1 17.7
4.2 166 1 1 53
1 1 17.8
7.3 177 1 1 86.5
1 1 28
1 1 22.1
7 194 1 1 49
1 1 21
1 1 26
1 1 14
1 1 54
1 1 15
1 1 35
1 1 22
1 1 8.6
1 1 63.4
1 1 24
1 1 7.2
TB SUHU TD RR NADI
PETUGA
( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt) S
144 35 130/61 18 101 CELES

151 35 116/75 18 86
155 35 18 91
148 35 145/88 18 83
155 35 119/70 18 63
104 35 30 98
156 35 135/74 18 96
155 35 145/79 18 73
156 35 140/79 18 86
147 36 111/70 70
146 36 135/75 67
144 35 144/82 18 63
86 35 22 90
108 35 24 104
154 35 121/75 18 57
116 35 18 88
162 35 147/91 18 78
134 35 151/70 18 68
123 35
149 35 122/53 18 76
110 35 80
136 35
35 30
175 35 94/66 18 68
97
147 35 120/87 18 114
124 35 18 82
79 36 30 120
165 35 134/93 18 79
136 35
68 35 40 90
1 99047310 THOMAS KASA THOMAS KASA

2 99018860 MUSA BENU JASINTA
3 99135233 JOANICO DO CARMO CITRIANA NON LENI
4 3042132 STEFANUS BANUNAEK JELITA BANUNAEK
5 2100310 YULIANTO YULIANTO
6 99055420 TARSISIUS A. PERERA MARIA AMDNI
7 99062931 SALMON LEKI BY FINSENSIUS YANTO
8 99134710 FELICIANO G. LEITE FELICIANO G. LEITE
9 99064530 NIKOLAUS BERE WIHELMINA BERE
10 99123430 MAXIMUS HALE GLENFREDO W. HALE
11 99012832 MANSYUR KAILA
12 99037610 ISMAIL ISMAIL
13 02-0697 WIHELMUS G LAWALATA TRISANI MORUK
14 99-0540 ADRIANI F MAU ADRIANI F MAU
15 02-1002 INDRA JAYA INDRA JAYA
16 99-0015 ETELFINA DA COSTA ETELFINA DA COSTA
17
18
19
20
JK
TEMPAT TANGGAL SUKU
NIK UMUR PEKERJAAN
1221 0463 00015304 ATAPUPU 4/21/1963 55 L TETUN PNS

SOE 1/14/2002 16 P DAWAN PELAJAR
5304 0356 0905 0002 DEROK 9/16/2005 13 P TETUN PELAJAR
ATAMBUA 1/1/2007 11 P MARAE PELAJAR
SURABAYA 6/17/1984 34 L JAWA SWASTA
5304 2253 0660 0001 OENAES 8/13/1968 50 P DAWAN PNS
ATAMBUA 5/2/2018 6 BLN L FLORES
KAILAKO 8/15/1953 65 L TETUN PEN TNI
BAUATOK 9/3/1998 20 P TETUN SWASTA
1/19/2006 12 L MARAE PELAJAR
ATAMBUA 4/2/2013 5 P JAWA PELAJAR
JAWA 9/14/1986 52 L JAWA SWASTA
ATB 2/14/1976 42 P SUMBA IRT
530.404.510.487.000.1 FULUR 4/11/1987 30 P MARAE GURU
MATARAM 7/7/1957 61 L NTB P.PNS
530.421.410.763.000.10 GASA 7/1/1963 55 P MARAE IRT
KASUS
B/L
M.MUTIN 004/001 H T GR I L
LIDAK 016/002 COMMON COLD B
M.MUTIN I S PA B
FATUBENAO 008/003 DYSPEPSIA L
TENUKIIK 001/001 DYSPEPSIA ISPA L
RINBESI HT GR II L
M.MUTIN I S PA B
M.MUTIN 005/002 VULNUS L
MANLETEN COMMON COLD B
M.MUTIN 001/001 CONJUNCTIVITIS B
TULAMALAE 005/003 I S PA B
M.MUTIN 023/007 DYSPEPSIA L
TENUKIIK 007/003 DERMATITIS ALLERGI,HT L
MANUMUTIN 002/001 SUSPEC LIPOMA B
TENUKIIK 005/002 SUSPEC BATU SALURAN KENCING B
UMANEN 039/003 HT,BATUK B
NAMA OBAT
DDR GD AU KOL HB
AMLO BC
AMBROX IBUPROFEN LORATADIN NEG
IBUPROFEN AMBROX LORTADIN NEG
ANTASIDA BC
ANTASIDABC CTM
KIE
PCT GG BC CTM
LANJUT OBAT
AMBROX IBUPROFEN LORATADIN
IBUPROFEN DEXA
GG CTM VIT C BC
ANTASIDA B6
LORATADIN,DEXA,AMLODIPIN,SALAF HIDRO
RUJUK RSUD ATB
NADIC,CIMITIDIN,BC
AMLODIPIN,PIRIXICAM,AMBROXOL,
KONSELING BB TB SUHU
TINDAKA KLINIK ASAL PEMBERI
KLINIK RUJUK
N SANITAS PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C)
GIZI
I
1 1 84.6 170 36
1 1 53.2 153 36
1 1 37.8 138 36
1 1 27.6 139 36
1 1 60.3 163 36
1 V 1 65.5 162 36
1 1 6.1 35.3
1 1 14 160 36
1 1 53 158 36
1 1 35.5 152 35
1 1 13.3 106 36
1 1 65.9 175 36
1 1 63.3 155 36
1 1 1 45.4 145 36
1 1 65 162 35
1 1 52 167 34
TD RR NADI
PETUGA
( mmHg) ( x/mnt) ( x/mnt) S
143/98 66 MIGUEL
102/53 94
120
124/76 16 89
161/98 16 71
50
101
130/75 60
118/70 55
126/88 20 72
109/64 16 77
138/82 14 71
122/71 16 72
1 99-0339 AGUST F NAHAK AGUST F NAHAK

2 99-0477 NAOMI F FEOH NAOMI F FEOH
3 99-0798 NOCH TEFLOPO MARIA P BETE
4 99-0473 THOMAS KASA THOMAS KASA
5 99-0129 BLANDINA A HOAR BLANDINA A HOAR
6 03-038310 LAMBERTO P MAIA LAMBERTO P MAIA
7 02-0478 MARIA BAU HEUK MARIA BAU HEUK
8 03-1792 FLORINDO LETO FLORENDO LETO
9 03-1032 KORNELIS WENI KORNELIS WENI
10 99-0241 DOMONIKUS BANA THERESIA Y TANII
11 99-0131 SOLEH ENY SULASTRI
12 99-0512 JOSE SAO GABRIEL MARIA FILIPINA TAHAN
13 03-1889 STEFANUS ASA YULIANA H ASA
14 02-0845 DAVIT US ABATAN DOMINIKUS L ASAB
15 99-0085 MARTERNUS Y LEO RIFALDO A LEO
16 99-0161 MARKUS TALAN MARKUS TALAN
17 02-0367 SALMA A BALICK SALMA A BALICK
18 99-0135 HIRONIMUS HARO CELESTINA DOSANTOS
19 99-0026 MARTEN BANUNAEK FANI SANI
20 99-1353 MANUEL J ASSUNCAO LILIANA DASILVA
21 03-0234 BERE PASKALIS THERESIA MOTU
22 01-0116 DONI LORENG FREDRIK DELANO
23 02-0291 YOSEP BANI YOSEP BANI
24 02-1004 YOSEP BISENTI BAU NATALIA Y DASILVA
25 990047 JOSEPH BERE RUDJI JOSEPH BERE RUJI
26 99-0983 NIKOLAUS KOLO NIKOLAUS KOLO
27 99-0022 MANUEL OLIVEIRA YANTI DA COSTA MAU
28 99-0133 ARNOLDUS ASA ARNOLDUS ASA
29 02-0100 FRANSISKUS FINA ELISABETH W PURNAWATI
30 99-0646 STEFANUS MEAK STEFANUS MEAK
31 99-0969 DAVID PASKALIS BEREEK MATILDA M MT
32 99-1131 MIGUEL DASILVA AMARAL MIGUEL DASILVA AMARAL
33 99-0257 PAULUS SERAN PAULUS SERAN
34 99-0716 MIGUEL MARTINS MIGUEL MARTINS
35 99-0192 FANCE HENUK MIASIA MAYATI
36 99-0192 FANCE HENUK SELO KRISTIAN
37 99-0189 NIMBROT TANAE SEFANI T
38 99-0647 REMIGIUS PASKALIS RIVALDI ASTEN
39 99-0016 BENEDIKTUS BERE BENEDIKTUS BERE
40 02-0608 THOBIAS SOARES THOBIAS SOARES
41 99-0624 NICOLAS WOGE MARIA E F NEO
42 99-0861 RUPERTUS DHAKI RUPERTUS DHAKI
43 03-0989 ABILIO GONSALVES MARIA FATIMA MAU
44 99-0382 ANTONIUS MARTINS AMELIA MARTINS
45 99-0575 MARIANUS LELO KARISNA SATRIA LELO
JK
TANGGAL SUKU
NIK TEMPAT LAHIR UMUR PEKERJAAN
LAHIR L/P BANGSA
530.422.280.856 000.1 KOTAFOUN 8/8/1958 60 L TETUN P,PNS

530.421.460.548.000.1 ROTE 6/16/1948 69 P ROTE IRT
530.421.450.755.000.1 ASUMANU 7/5/1955 62 P TETUN IRT
530.412.210.463.000.1 ATAPUPU 4/21/1963 55 L TETUN PNS
530.412.630.961.000.1 LEOLARAN 9/22/1961 57 L TETUN IRT
530.412.020.762.000.1 BOBONARO 7/2/1962 56 L TETUN P.TNI
530.412.521.250.000.1 LAHURUS 12/12/1950 71 P TETUN IRT
ATSABE 1/1/1956 62 L KEMAK P.TNI
530.402.070.762.000.1 ALOR 7/7/1962 56 L ALOR PNS
530.421.410.764.000.7 HAULASI 7/1/1964 54 P DAWAN IRT
BANTEN 9/10/1963 55 P JAWA IRT
75 P TETUN IRT
BALIK PAPAN 7/25/1983 35 P JAWA IRT
ATB 8/8/2011 7THN L DAWAN PELAJAR
ATB 10/15/2016 2THN L TETUN
530.404.240.374.000.1 OEMOLO 3/24/1974 44 L DAWAN PENDETA
ATB 6/9/1945 73 P BUGIS IRT
BOBONARO 8/3/1969 49 P MARAE IRT
ATSABE 2/22/1996 22 P TETUN
530.412.711.257.000.4 BERELOO 12/31/1957 61 P MARAE P,PNS
ATB 2/14/2018 9BLN L FLORES
KUPANG 9/5/1952 65 L KEMAK PESIUNAN
BOBONARO 12/24/1991 27 P TETUN
530.422.010.150.000.1 ABIS 1/1/1950 67 L MARAE P,PNS
KEFA 7/19/1957 61 L DAWAN SWASTA
530.412.440.783.000.2 DILI 7/4/1983 35 P TETUN GURU
530.412.101.742.000.1 LOONEKE 7/10/1947 71 L DAWAN P,PNS
MATARAM 11/3/1947 71 P JAWA IRT
530.413.200.776.000.1 7/20/1976 42 L TETUN PETANI
WEDOMU 3/12/1981 37 P TETUN PNS
530.412.251.169.000.1 DILI 11/25/1965 53 L TETUN PNS
530.412.250.252.000.1 BESIKAMA 2/25/1952 65 L TETUN P,PNS
ATABAE 12/29/1959 60 L TETUN P,TNI
BENGKULU 9/20/1960 58 P TETUN
ATB 7/27/2013 4 L TETUN
ATB 9/7/2017 1THN P DAWAN
TUFLOPO 4/16/2015 3THN L TETUN
WERAU 9/1/1952 65 L TETUN P,PNS
530.412.246.470.000.1 TIMOR 7/1/1952 65 L TETUN P,PNS
530.421.670.970.000.1 ENDE 9/27/1970 48 P ENDE IRT
NGADA 8/21/1956 62 L FLORES P,PNS
FATUBENAO 10/22/1979 39 P MARAE IRT
ATB 7/11/2017 1.4 P TETUN
KASUS
B/L
LIDAK 001/001 HT,ABD,GASTRITIS L

BERDAO 017/006 GASTRITIS L
BEIRAFU 009/003 HT,GASTRITIS L
MANUMUTIN 004/001 HT B
NAEKASA 002/001 GASTRITIS,GOUT L
FATUBENAO 016/002 HT L
TENUKIIK 008/002 HT L
FATUBENAO 020/003 HT,GOUT,DISLI L
MANUMUTIN 011/004 CEPHALGIA B
TLM 012/004 GOUT,DISLI L
MANUMUTIN 001/001 HT L
UMANEN ISPA,MIALGIA B
TENUKIIK 001/001 ISPA B
FATUKBOT 013/005 ISPA,DERMATITIS B
MANUMUTIN 022/007 FARINGITIS,ISPA B
TENUKIIK 018/006 HT,AMNEMIA L
UMANEN 025/008 HT L
BEIRAFU 006/002 FARINGITIS,ISPA B
MANUMUTIN 006/002 CEPHALGIA B
FATUBENAO 004/002 MIGREIN B
ATB 008/006 OBS FEBRIS B
TENUKIIK 005/002 ISPA,GASTRITIS B
TENUKIIK 004/002 TB PARU B
RINBESI 001/001 ISPA B
MANUMUTIN 011/004 MIALGIA B
MANUMUTIN 019/001 GASTRITIS,ISPA B
MANUMUTIN 006/002 HT,DM L
TENUKIIK 001/001 HT,ISPA L
WEBORA MIGREIN B
MANUMUTIN 001/001 ANEMIA B
MANUMUTIN 020/006 HT,GASTRITIS L
MANUMUTIN HT L
MANUMUTIN 002/001 HT.DISLI L
MANUMUTIN 002/001 FARINGITIS,ISPA B
LIDAK 001/001 DERMATITIS B
NAEKASA 001/001 OMSK AP B
MANUAMAN 004/001 HT B
TENUKIIK 001/001 TINEA B
BEIRAFU 008/003 HT,GASTRITIS B
FATUBENAO 015/005 MIALGIA B
NAEKASA 001/001 ISPA, B
NAMA OBAT
DDR GD AU KOL HB
AMLODIPIN,OMEPRAXOL,PAPAVERIN,B1
HCT,OMEPRAZOL,
AMLODIPIN,OMEPRAXOL,ANTASIDA
AMLODIPIN,IBUPROFEN 95 7.1 133
ALLOPURINOL,ANTASIDA OMEPRAXOL
LANJUT OBAT
SIMVASTATIN,NADIC,ALLOPURINOL 7.5 232
IBUPROFEN,B1 165
SIMVASTATIN,ALLOPURINOL,NADIC 109 7.0 307
PIROXICAM,CIMITIDIN
ANTASIDA,LORATADIN,METILPREDNISON,PIRIXICAM
AMBROXOL,LORATADIN,METILPREDNISON
DEXA,CTM,AMBROXOL
AMBROXOL,CTM,DEXA,PCT SYRUP
CEFA,IBUPROFEN,AMBROXOL, NEG 6.7
HCT,PIROXICAM,SF,VITC 172 6.3 183 6
AMLODIPIN
AMOX,AMBROXOL,CTM,DEXA
IBUPROFEN
NADIC.B1 172 4.7 182
PCT SYRUP NEG
AMBRPCTOXOL,LORATADIN,OMEPRAXOL,PCT
OAT DEWASA ,B6
AMBROXOL,LORATADIN,METILPREDNISON
NADIC.B1
OMEPRAXOL,ANTASIDA,PAPAVERIN 95 7.1 123
AMLODIPIN,GIBEN,PIROXICAM,B1
AMLODIPIN,AMBROXOL,LORATADIN
NADIC,BC,PAPAVERIN
IBUPROFEN,SF,VITC
AMLODIPIN,ALLOPURINOL,NADIC 11.3
CEFA,IBUPROFEN,AMBROXOL, 107 7.4 149
OMEPRAXOL,B1
SIMVASTATIN,AMLODIPIN
AMOX,PCT,VITC
CTM,DEXA,BASITRASIN
AMOX
AMLODIPIN,
GRIVIN,CTM,PCT
AMLODIPIN,BC,OMEPRAXOL
HCT,AMOX
NADIC,METILPREDNISON,B1
AMBROXOL,CTM,DEXA
AMOX,PCT SYRUP
KONSELING PEMBER BB TB SUHU TD
KLINIK RUJUK
AN SANITAS PASIEN LAYANA ( kg ) ( Cm ) ( ◦C) ( mmHg)
GIZI N
I
1 1 62 161 36 121/70
1 1 58.5 147 36 140/60
1 1 54 149 35 153/80
1 1 85 170 36 175/102
1 1 59 149 35 114/56
1 1 54.5 155 35 133/82
1 1 50 158 36 126/62
1 1 54 158 36 131/41
1 1 58.7 164 35 136/91
1 1 50.9 150 36 134/71
1 1 60 149 35 107/64
1 1 61 150 36 143/93
1 1 64 162 35 107/72
1 1 22.8 122 35
1 1 8.4 36
1 1 47.6 160 36 108/66
1 1 54 144 35 132/59
1 1 72 159 36 152/96
1 1 15 101 36
1 1 46 155 36 100/63
1 1 69 154 16 133/79
1 1 7.9 78 36
1 1 58 159 36 127/75
1 1 34.8 156 35 97/68
1 1 51 160 36 123/82
1 1 56 158 35 105/65
1 1 45 150 36 114/72
1 1 74 153 36 141/89
1 1 50 148 36 133/75
1 1 47 161 35 114/68
1 1 47 143 36 119/89
1 1 61 161 36 172/114
1 1 62 170 35 147/102
1 1 71 160 36 159/91
1 1 72 162 35 167/95
1 1 13.2 106 36
1 1 8.2 77 36
1 1 11.5 90 36
1 1 54 162 35 159/91
1 1 42 147 36 119/63
1 1 56 156 36 172/101
1 1 59 153 36 143/76
1 1 69 157 35 121/74
1 1 7.3 69 36
1 1 11.8 82 38
RR NADI
PETUGA
( x/mnt) ( x/mnt) S
16 66
14 78 BASTI H
16 86
18 80
16 83
14 92
14 65
16 82
18 67
18 81
16 72
14 76
20 84
30 84
20 80
18 61
14 96
16 75
20 88
18 87
16 84
30 120
16 86
20 112
16 83
14 77
18 101
14 72
16 76
18 79
16 88
18 86
16 92
20 66
18 71
30 88
20 90
20 90
18 83
16 66
18 73
16 81
20 76
30 120
20 80
11/30/2018
KAS
JK
TANGGAL UMU SUKU KOD US
NO NO. INDEX NAMA KK NAMA PASIEN NIK TEMPAT LAHIR LAHIR R BANGSA PEKERJAAN ALAMAT RT/RW DIAGNOSA E
L/P B/L
1 990620 YOHANES MANANEL FRANSISCO A. MANANEL 5304 1216 0207 0003 ATB 12/16/2007 11 L TETUN PELAJAR MANUMUTIN 008/002 MUMPS B
2 010024 ZAKARIAS BALA HALIJAH MELAJU 5304 1446 1262 0300 BARANUSA 5/5/1962 56 P ALOR IRT ATB 012/004 DM HT L
3 991356 HILARIUS TAE MARIA G HOAR BIUDUK FOHO 6/9/1974 45 P TETUN IRT MANUMUTIN 004/001 FARINGITIS B
4 990090 BUCE MARTINUS REVAN MARTINUS ATB 1/27/2009 11 L TETUN BERDAO 005/002 ISPA B
5 010285 MARFENDY M RAMBO MARFENY M RAMBO SABU 1/7/1992 26 L SABU ATB 003/001 B
6 020872 BERNADUS K DASILVA ALOSIA ATB 6/11/2011 7 P TETUN PELAJAR TENUKIIK 007/003 DERMATITIS B
7 020723 BERNADO BERNADO BOY DEJESUS OELEU 2/1/1952 67 L TETUN IRT TENUKIIK 010/004 DM GUOT L
8 010282 HASNA HASNA ATB 12/31/1953 69 P BUGIS IRT ATB 006/002 DM MIAGIA L
9 990860 YULIANUS C H FOEH ANJAS Y D FOEH 5304 2163 0182 0002 KEDIRI 7/23/1982 36 L ROTE IRT BEIRAFU 016/006 MIALGIA B
10 990860 YULINUS C H FOEH YUARTI N . FOEH ATB 4/3/2002 16 P ROTE PELAJAR BEIRAFU 016/006 GIGI B
11 030302 YOSEPH MAU LEON GERMANA SOI BERE LOUMONA 12/30/1969 49 P MARAE IRT FATUBENAO 016/002 TONSILITIS B
12 030590 JANUARIUS META KRISTIAN META ATB 10/17/2010 8 L MARAE PELAJAR FATUBENAO 018/006 MMP B
13 990554 TARSISIUS A . PARERA MARIA AMDINI 5304 2251 0660 0001 OENAES 8/13/1968 48 P DAWAN PNS RINBESI 012/006 TB PARU B
14 30126 PAULUS MAU PAULUS MAU ATB 7/7/1983 32 L MARAE SWASTA FATUBENAO 042/005 HEPATITIS B
15 020367 SALMA B SALMA B ATB 6/9/1945 71 P DBUGIS IRT TENUKIIK 018/006 DYSILPIDEMIA B
16 990880 JOEL S DE ARAUJO RIVALDO JOSE ATB 808/06/2017 2 L DAWAN MANUMUTIN 006/002 OBS FEBRIS B
17 990880 SILAS TASEYEN YOHANES A KABOSU ATB 8/26/2000 16 L TETUN ISPA B
18 990297 JUVENTUS BAU ORLANDO MAU MANLEA 4/6/2015 3 L TETUN MANLETEN 003/004 ISPA B
19 990648 AURELIUS T EUGENIUS REYMOND WINI 8/26/2002 14 L DAWAN PELAJAR WINI 013/002 VULNUS B
20 991354 MARTEN M BOE LEONEL M BOE ATB 2/22/2018 1 L KEMAK MANUMUTIN 013/004 DIARE B
21 990852 DAMIANUS MUKIT ASRI MUKIT KEFA 12/7/2014 4 P DAWAN TENUKIIK 019/006 COMMON HORDEOTUM B
22 990022 YAKOBUS MESAK KALISTA E ATB 10/7/2018 1 P MARAE UMANEN 039/012 RUJUK
23 990210 ABDUL RASID KASMIAYATI JAWA 37 P JAWA IRT BERDAO 004/002 CTS B
24 990236 FRANSISKUS TEFA YULIANUS K NANA NAIMUTIS 2/19/2000 18 L DAWAN PELAJAR BERDAO 004/002 DIARE B
25 990458 CARLES S .MAU CARLES S .MAU ATB 8/22/1974 44 L MARAE SWASTA MANUMUTIN 004/001 FURUNKEL B
26 991357 BERNADUS BIMA MARIA KORNELIA BANGKA 3/23/2012 6 P FLORES IRT MANUMUTIN 005/002 FARINGITIS B
HASIL PEMERIKSAAN LAB KONSELING ASAL RUJ PEM BB TB SUHU TD RR NADI
TINDA BERI
NAMA OBAT KAN KLINIK PASIE UK LAYA PETUGAS
KLINIK N
DDR GD AU KOL HB NAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
SANITASI GIZI
ALUPURINOL DIAZEPAM 1 1 28 140 35 35 90 S
METFORMIN 1 1 45 145 35 130/74 18 97
IBUPROF VITC CEFADROX 1 1 53.3 152 35 138/94 18 96
AMOX CTM VITC 1 1 24.9 137 36 40 84
1 1 73 174 35 18
CTM KETOCONAZOL 1 1 22.5 122 34 18 80
NADIK ALUPURINOL B1 1 1 41 155 35 121/68 18 70
GLIBEN SIMVASTATIN PIROX CTM 1 1 49 149 36 131/65 18 77
NADIK VITC 1 1 43 151 36 96/51 18 60
AMOX VITC IBUPROF 1 1 35 136 35 81/50 18 81
DEXA PCT AMBROX 1 1 64 154 36 113/64 18 80
PCT METHILPREDNISON 1 1 18 110 35 110
OAT B6 1 1 65.6 162 35 122/76 18 72
RUJUK 1 1 57.9 159 35 126/64 18 85
SIMVAS BC 1 1 54 144 35 121/46 18 99
PCT METHILPREDNISON 1 1
PCT METHILPREDNISON 1 1 7.5 25
PCT METHILPREDNISON 1 1 13.3 35
AMOX VITC IBUPROF 1 1 47.7 154 36 18 100
PCT ZINC AMBROX 1 1 7 35
KLORAMPHENIKOL CETIRIZME PUL 1 1 12 36
NADIK B1 1 1 50 160 35 110/58 18 80

OME ANTASID PCT 1 1 43 156 35 107/66 18 74
CEFADROX NADIK VITC 1 1 59 155 35 107/64 18 69
AMOX PCT VITC 1 1 16 118 35 102

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1-Nov-18

1 44.5 146.5 36 140/75 18 77 MIGUEL

NO NO. INDEX NAMA KK NAMA PASIEN

1 990423 SUSTER LUSA LURUK BRIA SUSTER YULI BRIA

BESI KAMA 7/29/1992 26 P

TETUN SUSTER NENUK DYSPEPSIA B.

NO NO. INDEX NAMA KK NAMA PASIEN

1 99-126210 AMANDIA BORGES AMANDIO BORGES

ATABAE 8/8/1982 36 L DAWAN SWASTA

MANUMUTIN POST SMH L

1 1 61.5 169 36 143/101 18 86

NO NO. INDEX NAMA KK NAMA PASIEN

1 99-0631 MATEUS BERE REI RIVALDO BERE

ATB 2/1/2005 13 L MARAE PELAJAR

MANLETEN 003/002 TONSILITIS AKUT B

1 99024533 APLONIA LOTU WILSON NUAK

ATAMBUA 10/17/2009 9 L TETUN

PELAJAR WEDOMU DERMATITIS KONTAK L

PIROXICAM B1 4.8 150

1 03-052520 NIKOLAS FAHIK LEONORA L LOE 530-412541063000.1

LAMAKNEN 10/5/1963 55 P MARAE GURU FATUBENAO 013/004

( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)

1 990798 NOCH TEFLOPO MARIA P BETE

5304 2145 0755 0001 ASUMANU 7/5/1955 65 P

TETUN IRT BEIRAFU 009/003

HT DYSPEPSIA L ANTASID DYSPEPSIA

( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)

1 3188720 PETRONELA LIN PETRONELA LIN

ATAMBUA 9/23/1977 41 P TETUN

PNS FATUBENAO 003/001 FHARINGITIS AKUT

B/L DDR GD AU KOL HB

B CEFA PCT DEXA

1 03-188931 STEFANUS ASA HAFIKA ASA

ATB 5/1/2018 6 BLN P MARAE

FTB 011/002 ISPA B

GG, CTM, VIT C

1 991339 EMANUEL NINO VIKA NINO

ATB 4/1/2011 7 P DAWAN PELAJAR MANUMUTIN

014/004 SUSP ISK B.

1 99-013320 ARNOLDUS ASA PAULINA HOAR

MANLEA 4/2/1949 69 P DAWAN

P,PNS MANUMUTIN 006/002 BATUK B

GIBEN,NADIC,B6 155 4.2 129

1 3010332 YOSEP SIRI MORK YEREMIAS SURI MORUK

ATAMBUA 2/20/2005 13 L TETUN

PELAJAR FATUBENAO 007/003 TONSILITIS AKUT

1 99-013320 ARNOLDUS ASA PAULINA HOAR

MANLEA 4/2/1949 69 P DAWAN P,PNS MANUMUTIN

GIBEN,NADIC,B6 155 4.2

( ◦C) ( mmHg) ( x/mnt) ( x/mnt)

1 02-087210 BERNADUS K DASILVA BERNADUS K DASILVA

ATB 12/24/1971 47 L TETUN PNS

TENUKIIK 007/003 TB PARU B

1 99002620 GABRIEL MALI MARIA F. BOE

5304 2159 0482 0002 ASSUMANU 4/19/1982 36 P MARAE

IRT UMANEN 039/012 MYALGIA M.791 B

1 1 43 150 36 133/81 105

1 020637 PAULUS BORGES MIGUEL BORGES

ATB 4/11/2015 3 L. MARAE

TENUKIIK 011/004 FURUNKEL B.

1 99-0138 KAMILUS YOSEP FAHIK KAMILUS YOSEP FAHIK

130.421.030.369.000.2 TLM 3/3/1969 49 L TETUN