PASIEN JKN DESA CINTA DAMAI BULAN APRIL 2019

Tanggal no Nomor Nama Keluhan TB TD R N Kode Dx

1 2 3 4 5 6 7 8 9
4/1/2019 1 0000301750277 SUNINGSIH NYERI ULUHATI, MUAL 158 120/70 18 92 K29.7
4/1/2019 2 0000301761639 BUJANG DEMAM,BATUK, FILEK 162 110/80 20 87 J06.9
4/2/2019 3 0000301769921 ASEP PUTRA SAKIT KEPALA SEBELAH 162 110/70 21 82 G34
4/4/2019 4 0000301770123 MISNA NYERI ULUHATI, MUAL 154 120/80 22 84 K29
4/5/2019 5 0000301761483 DARMI DEMAM,BATUK FILEK 158 120/70 23 93 JO6.9
4/5/2019 6 0000301770999 EKA WAHYUDA DEMAM,BATUK, FILEK 158 110/70 20 87 JO6.9
4/6/2019 7 0000301750907 LISA SUCI RAMADANI DEMAM,BATUK, FILEK 135 - 20 75 J06.9
4/8/2019 8 0000301770123 MISNA DEMAM, BATUK, FILEK 154 120/80 23 84 JO6.9
4/8/2019 9 0000301770999 EKA WAHYUDA BADAN PANAS 158 110/70 24 96
4/9/2019 10 0000301752819 SITI AMINAH DEMAM,BATUK,FILEK 153 120/70 24 89 JO6.9
4/9/2019 11 0000301753787 M. RIYADUS SHOLIHIN GATAL-GATAL 156 120/80 20 88 L309
4/11/2019 12 0000301763812 WATI BADAN PANAS 130 100/70 22 81
4/12/2019 13 0000301777097 SATIMAH PANDANGAN KUNANG-KUNANG 150 100/60 22 89
4/12/2019 14 0000301735653 NADIM SAKIT KEPALA SEBELAH 160 90/60 21 87 G34
4/15/2019 15 0000301761898 MENGKES DEMAM, BATUK ,FILEK 160 110/70 22 90 J06.9
4/16/2019 16 0000301770123 MISNA PUSING ,RASA MELAYANG 154 90/60 21 84
4/20/2019 17 0000301735653 NADIM PUSING 160 100/60 24 87 G34
22/04/2019 18 .0002464351863 TARSINI NYERI ULUHATI, MUAL 154 100/70 22 88 K29.7
4/22/2019 19 .0002464351964 MUHYIDIN BADAN PANAS 167 120/80 23
4/23/2019 20 .0002309414433 MARDINI KEMBUNG 155 100/70 25 88 K29.7
4/24/2019 21 .0002309415737 SUTIANAH NYERI ULUHATI, MUAL 148 130/70 20 84 K29.7
4/25/2019 22 15660200500 ROSNAINI DEMAM, BATUK 145 100/80 22 87 J06.9
4/26/2019 23 .0002309839885 NUR KIA BADAN,TANGAN GATAL2 103 25 89 L30.9
4/29/2019 24 .0002309392765 UMI KULSUM BADAN ,GATAL2 167 120/80 22 80 L30.9
 Diagnosa Rujuk BB THERAFY
10 11 12 13
GASTRITIS T 72 ANTASID
ISPA T 50 PCT,GG,CTM
MIGRAN T 50 ANTALGIN
GASTRITIS T 55 ANTASID
ISPA T 45 PCT,GG,CTM
ISPA T 49 PCT,GG,CTM
ISPA T 26 PCT,GG,CTM
ISPA T 55 PCT,GG,CTM
DEMAM T 49 PCT
ISPA T 52 PCT,GG,CTM
DERMATITIS T 47 CETERIZEN
DEMAM T 34 PCT
ANEMIA T 50 FE
MIGRAN T 65 ANTALGIN
ISPA T 49 PCT,CTM,GG
ANEMIA T 55 FE
CEPALGIA T 65 ANTALGIN
GASTRITIS T 53 ANTASID
DEMAM T 67 PCT
GASTRITIS T 47 ANTASID
GASTRITIS T 58 ANTASID
ISPA T 50 PCT,GUEFNISIN
DERMATITIS T 21 CETERIZEN
DERMATITIS T 58
 PASIEN JKN DESA CINTA DAMAI BULAN MEI 20

Tanggal no Nomor Nama Keluhan TB

1 2 3 4 5
5/2/2019 1 .0000301763812 WATI PUSING 144
5/3/2019 2 .0000301761483 DARMI GATAL-GATAL 155
5/3/2019 3 .0000301750277 SUNINGSIH MAGH 158
5/4/2019 4 0000301752819 SITI AMINAH KAKI BENGKAK 153
5/6/2019 5 .0000301760122 marwan pusING 167
5/7/2019 6 .0000989342774 TUKIRUN LEMAS 168
5/8/2019 7 .0000301735653 NADIM NYERIULUHATI 160
5/9/2019 8. .0002309392765 NURKIA GATAL-GATAL 103
5/10/2019 9. .0002318971105 LESTARI RAHAYU KEMBUNG 155
5/11/2019 10 .0000301750277 SUNINGSIH GATAL-GATAL 158
5/13/2019 11 0002458302491 MASBON PUSING 160
12 0002458302265 KHAIRUDDIN MAAG 163
5/14/2019 13 0001851397198 YASMI ANEMIA 154
14 0002625535405 SULASTRI ANC 154
15 002318971217 WINDARI NOPIYANTI CEK HB 157
5/15/2019 17 0002458302614 MIPTAHUL RAHMA KEMBUNG 161
18 0000301769921 ASEP PUTRA TANGAN BENGKAK 161
19 0002625522603 SITI MUJAYANAH MAAG 155
5/16/2019 20 0000301772733 UCI ARNAH MATA MERAH 157
21 0002321688977 HAJRI RIANI ANEMIA 160
22 0002460604296 IRPAN PERMANA SAKIT GIGI 161
5/17/2019 23 0000301771798 IKA DEWI PUSING 160
24 0001991197852 TARIMAH NYERIULUHATI 154
5/18/2019 25 00023111230396 KASIFAH ANEMIA 154
26 0002460609494 INDRAYANI NST PUSING 145
5/20/2019 27 .0000301761438 DARMI PUSING 155
5/22/2019 28 .0000301770123 MISNA ISPA 154
5/23/2019 29 .0000301735653 NADIM PUSING 160
5/25/2019 30 .0000301750277 SUNINGSIH NYERIULUHATI 158
5/28/2019 31 .0000301777097 SATIMAH GATAL-GATAL 150
TA DAMAI BULAN MEI 2019

TD R N Kode Dx Diagnosa Rujuk BB THERAFY

6 7 8 9 10 11 12 13
100/60 20 80 G34 MIGRAN 48 PCT
120/90 18 85 L309 DERMATITIS 50 CETERIZINE
100/70 20 92 K29.7 GASTRITIS 75 ANTASID
120/80 22 89 ABSES 53 CIPRO/ASMEF
140/80 22 89 G34 MIGRAN 61 IBUPROPEN
90/60 18 87 ANEMIA 67 FE
140/90 22 90 K29.7 GASTRITIS 87 RANITIDIN
22 88 L309 DERMATITIS 21 CETERIZEN
100/80 20 87 K29.7 GASTRITIS 78 RANITIDIN
100/80 20 84 L309 DERMATITIS 72 CTM,DEXA
90/60 20 85 MIGRAN 54 IBUPROPEN
120/80 22 88 GASTRITIS 72 ANTASID
90/60 18 90 ANEMIA 58 FE
100/70 20 87 ANEMIA 61 FE
110/70 20 90 ANEMIA 67 FE
110/80 22 89 GASTRITIS 68 RANITIDIN
110/70 18 86 ABSES 64 CIPRO/ASMEF
120/80 20 87 GASTRITIS 58 ANTASID
120/80 18 90 ABSES 54 CIPRO/ASMEF
90/60 20 86 ANEMIA 65 FE
110/70 22 84 59 ATG, VIT.C
110/70 20 89 MIGRAN 83 IBUPROPEN
120/80 18 88 GASTRITIS 61 RANITIDIN
90/60 18 90 ANEMIA 53 FE
110/70 20 84 MIGRAN 54 IBUPROPEN
120/90 18 85 G34 MIGRAN 50 IBUPROPEN
120/80 23 84 JO6.9 ISPA 55 PCT,GG,CTM
90/60 18 89 ANEMIA 87 FE
100/70 20 92 K29.7 GASTRITIS 75 ANTASID
120/80 20 89 L309 DERMATITIS 49 CETERIZINE
 PASIEN JKN DESA CINTA DAMAI BULAN APRIL 2019

Tanggal no Nomor Nama Keluhan TB TD R N Kode Dx Diagnosa

1 2 3 4 5 6 7 8 9 10
4/1/2019 1 0000301750277 SUNINGSIH NYERI ULUHATI, MUAL 158 120/70 18 92 K29.7 GASTRITIS
4/1/2019 2 0000301761639 BUJANG DEMAM,BATUK, FILEK 162 110/80 20 87 J06.9 ISPA
4/2/2019 3 0000301769921 ASEP PUTRA SAKIT KEPALA SEBELAH 162 110/70 21 82 G34 MIGRAN
4/4/2019 4 0000301770123 MISNA NYERI ULUHATI, MUAL 154 120/80 22 84 K29 GASTRITIS
4/5/2019 5 0000301761483 DARMI DEMAM,BATUK FILEK 158 120/70 23 93 JO6.9 ISPA
4/5/2019 6 0000301770999 EKA WAHYUDA DEMAM,BATUK, FILEK 158 110/70 20 87 JO6.9 ISPA
4/6/2019 7 0000301750907 LISA SUCI RAMADANI DEMAM,BATUK, FILEK 135 - 20 75 J06.9 ISPA
4/8/2019 8 0000301770123 MISNA DEMAM, BATUK, FILEK 154 120/80 23 84 JO6.9 ISPA
4/8/2019 9 0000301770999 EKA WAHYUDA BADAN PANAS 158 110/70 24 96 DEMAM
4/9/2019 10 0000301752819 SITI AMINAH DEMAM,BATUK,FILEK 153 120/70 24 89 JO6.9 ISPA
4/9/2019 11 0000301753787 M. RIYADUS SHOLIHIN GATAL-GATAL 156 120/80 20 88 L309 DERMATITIS
4/11/2019 12 0000301763812 WATI BADAN PANAS 130 100/70 22 81 DEMAM
4/12/2019 13 0000301777097 SATIMAH PANDANGAN KUNANG-KUNANG 150 100/60 22 89 ANEMIA
4/12/2019 14 0000301735653 NADIM SAKIT KEPALA SEBELAH 160 90/60 21 87 G34 MIGRAN
4/15/2019 15 0000301761898 MENGKES DEMAM, BATUK ,FILEK 160 110/70 22 90 J06.9 ISPA
4/16/2019 16 0000301770123 MISNA PUSING ,RASA MELAYANG 154 90/60 21 84 ANEMIA
4/20/2019 17 0000301735653 NADIM PUSING 160 100/60 24 87 G34 CEPALGIA
22/04/2019 18 .0002464351863 TARSINI NYERI ULUHATI, MUAL 154 100/70 22 88 K29.7 GASTRITIS
4/22/2019 19 .0002464351964 MUHYIDIN BADAN PANAS 167 120/80 23 DEMAM
4/23/2019 20 .0002309414433 MARDINI KEMBUNG 155 100/70 25 88 K29.7 GASTRITIS
4/24/2019 21 .0002309415737 SUTIANAH NYERI ULUHATI, MUAL 148 130/70 20 84 K29.7 GASTRITIS
4/25/2019 22 15660200500 ROSNAINI DEMAM, BATUK 145 100/80 22 87 J06.9 ISPA
4/26/2019 23 .0002309839885 NUR KIA BADAN,TANGAN GATAL2 103 25 89 L30.9 DERMATITI
4/29/2019 24 .0002309392765 UMI KULSUM BADAN ,GATAL2 167 120/80 22 80 L30.9 DERMATITI
Rujuk BB THERAFY
11 12 13
T 72 ANTASID
T 50 PCT,GG,CTM
T 50 ANTALGIN
T 55 ANTASID
T 45 PCT,GG,CTM
T 49 PCT,GG,CTM
T 26 PCT,GG,CTM
T 55 PCT,GG,CTM
T 49 PCT
T 52 PCT,GG,CTM
T 47 CETERIZEN
T 34 PCT
T 50 FE
T 65 ANTALGIN
T 49 PCT,CTM,GG
T 55 FE
T 65 ANTALGIN
T 53 ANTASID
T 67 PCT
T 47 ANTASID
T 58 ANTASID
T 50 PCT,GUEFNISIN
T 21 CETERIZEN
T 58
 PASIEN JKN DESA CINTA DAMAI BULAN MEI 2019

Tanggal no Nomor Nama Keluhan TB TD R N Kode Dx Diagnosa Rujuk BB THERAFY

1 2 3 4 5 6 7 8 9 10 11 12 13
5/2/2019 1 .0000301763812 WATI PUSING 144 100/60 20 80 G34 MIGRAN 48 PCT
5/3/2019 2 .0000301761483 DARMI GATAL-GATAL 155 120/90 18 85 L309 DERMATITIS 50 CETERIZINE
5/3/2019 3 .0000301750277 SUNINGSIH MAGH 158 100/70 20 92 K29.7 GASTRITIS 75 ANTASID
5/4/2019 4 0000301752819 SITI AMINAH KAKI BENGKAK 153 120/80 22 89 ABSES 53 CIPRO/ASMEF
5/6/2019 5 .0000301760122marwan pusING 167 140/80 22 89 G34 MIGRAN 61 IBUPROPEN
5/7/2019 6 .0000989342774TUKIRUN LEMAS 168 90/60 18 87 ANEMIA 67 FE
5/8/2019 7 .0000301735653 NADIM NYERIULUHATI 160 140/90 22 90 K29.7 GASTRITIS 87 RANITIDIN
5/9/2019 8. .0002309392765NURKIA GATAL-GATAL 103 22 88 L309 DERMATITIS 21 CETERIZEN
5/10/2019 9. .0002318971105
LESTARI RAHAYUKEMBUNG 155 100/80 20 87 K29.7 GASTRITIS 78 RANITIDIN
5/11/2019 10 .0000301750277 SUNINGSIH GATAL-GATAL 158 100/80 20 84 L309 DERMATITIS 72 CTM,DEXA
5/13/2019 11 0002458302491MASBON PUSING 160 90/60 20 85 MIGRAN 54 IBUPROPEN
12 0002458302265KHAIRUDDIN MAAG 163 120/80 22 88 GASTRITIS 72 ANTASID
5/14/2019 13 0001851397198 YASMI ANEMIA 154 90/60 18 90 ANEMIA 58 FE
14 0002625535405SULASTRI ANC 154 100/70 20 87 ANEMIA 61 FE
15 002318971217
WINDARI NOPIYANTICEK HB 157 110/70 20 90 ANEMIA 67 FE
5/15/2019 17 0002458302614
MIPTAHUL RAHMA KEMBUNG 161 110/80 22 89 GASTRITIS 68 RANITIDIN
18 0000301769921 ASEP PUTRA
TANGAN BENGKAK 161 110/70 18 86 ABSES 64 CIPRO/ASMEF
19 0002625522603
SITI MUJAYANAH MAAG 155 120/80 20 87 GASTRITIS 58 ANTASID
5/16/2019 20 0000301772733 UCI ARNAH MATA MERAH 157 120/80 18 90 ABSES 54 CIPRO/ASMEF
21 0002321688977 HAJRI RIANI ANEMIA 160 90/60 20 86 ANEMIA 65 FE
22 0002460604296
IRPAN PERMANASAKIT GIGI 161 110/70 22 84 59 ATG, VIT.C
5/17/2019 23 0000301771798IKA DEWI PUSING 160 110/70 20 89 MIGRAN 83 IBUPROPEN
24 0001991197852TARIMAH NYERIULUHATI 154 120/80 18 88 GASTRITIS 61 RANITIDIN
5/18/2019 25 00023111230396KASIFAH ANEMIA 154 90/60 18 90 ANEMIA 53 FE
26 0002460609494
INDRAYANI NST PUSING 145 110/70 20 84 MIGRAN 54 IBUPROPEN
5/20/2019 27 .000030176 PUSING 155 120/90 18 85 G34 MIGRAN 50 IBUPROPEN
5/22/2019 28 .000030177 MISNA ISPA 154 120/80 23 84 JO6.9 ISPA 55 PCT,GG,CTM
5/23/2019 29 .000030173 NADIM PUSING 160 90/60 18 89 ANEMIA 87 FE
5/25/2019 30 .000030175 SUNINGSIHNYERIULUHATI 158 100/70 20 92 K29.7 GASTRITIS 75 ANTASID
5/28/2019 31 .000030177 SATIMAH GATAL-GATAL 150 120/80 20 89 L309 DERMATITIS 49 CETERIZINE
 PASIEN JKN DESA CINTA DAMAI BULAN 2019

Tanggal no Nomor Nama Keluhan TB TD R N Kode Dx Diagnosa Rujuk BB THERAFY

1 2 3 4 5 6 7 8 9 10 11 12 13 14
 PASIEN JKN DESA CINTA DAMAI BULAN 2019

Tanggal no Nomor Nama Keluhan TB TD R N Kode Dx Diagnosa Rujuk BB THERAFY

1 2 3 4 5 6 7 8 9 10 11 12 13 14
 PASIEN JKN DESA CINTA DAMAI BULAN

Tanggal no Nomor Nama Keluhan TB TD

1 2 3 4 5 6 7
DAMAI BULAN 2019

R N Kode Dx Diagnosa Rujuk BB THERAFY

8 9 10 11 12 13 14
 PASIEN JKN DESA CINTA DAMAI BULAN

Tanggal no Nomor Nama Keluhan TB TD

1 2 3 4 5 6 7
DAMAI BULAN 2019

R N Kode Dx Diagnosa Rujuk BB THERAFY

8 9 10 11 12 13 14
 PASIEN JKN DESA CINTA DAMAI BULAN

Tanggal no Nomor Nama Keluhan TB TD

1 2 3 4 5 6 7
DAMAI BULAN 2019

R N Kode Dx Diagnosa Rujuk BB THERAFY

8 9 10 11 12 13 14
 PASIEN JKN DESA CINTA DAMAI BULAN

Tanggal no Nomor Nama Keluhan TB TD

1 2 3 4 5 6 7
MAI BULAN 2019

R N Kode Dx Diagnosa Rujuk BB THERAFY

8 9 10 11 12 13 14
 Tanggal no Nomor Nama Keluhan TB TD
1/4/2020 1 0000519208716 watimah gatal gatal 150 110/80
1/4/2020 2 0002309407435 mariah leherberat 146 160/100
2/4/2020 3 0001851397198 yasmi batuk-pilek 152 100/80
2/4/2020 4 0002309403183 nurida mualkembung 160 100/80
3/4/2020 5 0002309403058 sartim bdan lemas 175 90/60
3/4/2020 6 0002309831504 dumi sakit tenggorokan 151 120/80
4/4/2020 7 0002309395443 parikem nyeri tulang 145 140/80
4/4/2020 8 0000519208716 watimah suntik kb 150 110/80
6/4/2020 9 0000301763812 wati ispa 145 90/60
7/4/2020 10 0000301735653 nadim kembung 160 140/80
8/4/2020 11 0002309397805 ropiatun sakit menelan 143 140/80
9/4/2020 12 0000301766354 an marpin gatal gatal
11/4/2020 13 0002309827364 supiati leherberat 142 170/100
13/4/2020 14 0002625535086 Sumiati batuk filek 153 100/80
14/4/2020 15 0002309363493 Tumini stok kb 142 120/80
R N Kode Dx Diagnosa lp BB THERAFY
20 80 1309 dermatitis 90 54 14
20 80 i10 hipertensi 115 62
20 82 j069 ispa 91 57
20 80 k29,7 gastritis 87 50
20 80 p53 anemia 85 58
22 82 R07 laringitis 89 55
20 80 M13 artritis 107 64
20 80 suntk kb 90 54
22 80 jo69 ispa 79 48
20 80 k29.7 gastritis 98 87
20 80 R07 sakit tenggorokan 99 70
22 86 1309 dermatitis 27
20 82 I10 hipertensi 95 62
20 80 jo69 ispa 67 46
20 80 suntik kb 87 62