PEMERINTAH KOTA PALEMBANG

DINAS KESEHATAN
PUSKESMAS SAKO
Jl. Sematang Komp. Sangkuriang Blok.A Rt. 58 Rw .23 Kel. Sako Kec. Sako
E-mail : puskesmassako@yahoo.com, Telepon.0711-826194

LOGBOOK PELAYANAN KESEHATAN GIGI DAN MULUT

DI PUSKESMAS SAKO
TAHUN 2020

NO NAMA PASIEN UMUR DIAGNOSA TERAPI KET

1 BILA SAFIRA 28 37 NP ABSES Premedikasi ASISTEN

Gingivitis
2 SEPTIANA 12 Marginalis RA+RB Scalling Oerator

3 SURTIAH 46 46 caries Filling Fuji Operator

4 SUPRIYADI 35 21 periodontitis Exo + Lidocain Operator

Gingivitis
5 BUDI SANTOSO 31 Marginalis RA Scalling Operator
16 PULPITIS
6 KARLINA 20 IRREVERSIBLE Filling fuji ART Operator

MUHAMAD AKBAR 13 PULPITIS ROOT CANAL TREATMENT

7 MAULANA 22 IRREVERSIBLE TEMPORARY FILLING ASISTEN

8 SHINTA SUCIYATI 8 71 Persistensi EXO ASISTEN

21 PULPITIS ROOT CANAL TREATMENT
9 RAHMA AISYA 21 IRREVERSIBLE TEMPORARY FILLING ASISTEN

10 MUHAMMAD KHARIS 41 35 Periodontitis Premedikasi Operator

11 IRA MAYA 57 36 Abses Premedikasi Operator

12 FADJAR JULIANSYACH 8 51 Ulcus Decubitus EXo ASISTEN

13 JHONSON KENEDI 47 26 NP Filling ZOE Operator

14 LINURIA 21 16 NP ABSES Premedikasi ASISTEN

15 RIEDHO SAPUTRA 59 11 NP ABSES Trepanasi ASISTEN

16 EBY YONANDA 17 47 NP ABSES TREPANASI ASISTEN

17 ENGGIE PRATAMA YUDHA 59 37 NP ABSES Premedikasi ASISTEN

Gingivitis
18 PUTRI AYU MARGARETHA 27 Marginalis RA+RB Scalling Oerator

19 BATTIAR 15 46 caries Filling Fuji Operator

20 HERMAN 37 21 periodontitis Exo + Lidocain Operator

21 WENI FEBRIANI 21 Gingivitis Scalling Operator
 Marginalis RA
DAFFA KURNIAWAN 16 PULPITIS
11
22 PRATAMA IRREVERSIBLE Filling fuji ART Operator

13 PULPITIS ROOT CANAL TREATMENT

41
23 NASYWA ANISAH PRATIWI IRREVERSIBLE TEMPORARY FILLING ASISTEN

24 H MUSKINTHA EYANOER 22 EDENTELOUS RA TRY IN BITE RIM ASISTEN

21 PULPITIS ROOT CANAL TREATMENT
22
25 BANE WARTI IRREVERSIBLE TEMPORARY FILLING ASISTEN

26 HARIYADI 33 35 Periodontitis Premedikasi Operator

27 HANIFAH 59 36 Abses Premedikasi Operator

28 FATHI SALMA 7 51 Ulcus Decubitus EXo ASISTEN

29 M.ZIKRI FATHIHA 59 26 NP Filling ZOE Operator

30 DORI 57 16 NP ABSES Premedikasi ASISTEN

31 JAMILAH 45 11 NP ABSES Trepanasi ASISTEN

32 EDI SUSANTO 47 47 NP ABSES TREPANASI ASISTEN

33 ARIS HARDIANTO 21 27 PERIODONTITIS KONSULTASI ASISTEN

34 RIKA SETIAWATI 29 46caries LIGHT CURING Operator

35 MUHAMMAD YUSUF AMIR 18 46 PI Filling zoe ASISTEN

17 NP DENGAN
EXTRACTION B
36 ELLY CAPRIANTI 28 ABSES ASISTEN
SITI MERINA KHARISMA 37 PULPITIS ROOT CANAL TREATMENT A
37 PUTRI 16 IRREVERSIBLE PER VISIT ASISTEN

38 SITI ADELIA PUTRI 18 11 P IRREV LIGHT CURING C ASISTEN

39 SITI NABILA AMALIA PUTRI 11 MUCOCELE Rujuk ASISTEN

46 NP DISERTAI
40 CONDRO LUKITO 24 ABSES TREPANASI ASISTEN

41 ERMITATI 50 GINGIVITIS SCALING C OPERATOR

42 EKO WAHYU S 32 28 IMPAKSI KONSUL ASISTEN

43 RETNO TRI UTARI 45 36 ABSES TREPANASI, MEDIKASI ASISTEN

44 ASNAWI 29 38 NEKROSE EXTRACTION B ASISTEN

45 NUNSIA 37 38 IMPAKSI KONSUL ASISTEN

46 MARYANI 42 48 IMPAKSI KONSUL ASISTEN

47 M AGUNG SAPUTRA 51 26 ABSES TREPANASI ASISTEN

48 RIAN FEBRIYANSAH 20 38 IMPAKSI KONSUL ASISTEN

49 NABILA AYU RAMANIYA 7 55 ABSES TREPANASI ASISTEN

50 SUGENG SUJONO 64 38 IMPAKSI KONSUL ASISTEN
 ROOT CANAL TREATMENT C
51 ENDAH SUKAENDAH 42 34 PI PER VISIT ASISTEN

52 CHANDRA R.S. 17 36 NP ABSES INCISI ABSES ASISTEN

ROOT CANAL TREATMENT C
PER VISIT, TEMPORARY
53 ALEX M. PASKAH S. 23 84 NP FILLING ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
54 ROHIDIN 34 18 IMPAKSI FILLING ASISTEN
LIGHT CURING FILLING
55 MIMIN ANIMAH 53 21 P. IRREV SANDWICH ASISTEN

56 LARAS EKASARI 7 71 PERSISTENSI EXTRAKSI INJECTION B ASISTEN

57 MUHAMMAD FIKRI 58 26 ABSES KONSUL ASISTEN

NEXT TREATMENT B,
58 ALLIF ANUGRAHA 18 46 NEKROSE ABSES TEMPORARY FILLING ASISTEN

MUHAMMAD NEXT TREATMENT B,

59 FATHURRAHIM 47 34 NEKROS ABSES TEMPORARY FILLING ASISTEN

ROOT CANAL TREATMENT B

26 NEKROSE PER VISIT, TEMPORARY
60 INDRA 10 PULPA FILLING ASISTEN

ROOT CANAL TREATMENT C

47 PULPITIS PER VISIT, TEMPORARY
61 RINI SAYANG 14 IRREVERSIBLE FILLING ASISTEN

EDENTULOUS FULL
62 KEANE JONATHAN ALLANSKI 66 RA KONSUL ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
63 MICHAEL FILLIO 16 46 PI FILLING ASISTEN

64 JURNAL WIRAWAN 14 GINGIVITIS SCALING C, PROPHYLAXIS ASISTEN

65 MSY NURHASANAH 49 28 IMPAKSI ODONTECTOMY A ASISTEN

ROOT CANAL TREATMENT B

PER VISIT, TEMPORARY
66 ALIYAH AFIFAH ZAHRA 43 34 PI FILLING ASISTEN

67 AISHA ALIFAH ZAHRA 44 16 NP ABSES TREPANASI ASISTEN

68 JONI EFENDI 71 48 IMPAKSI Rujuk ASISTEN

 ROOT CANAL TREATMENT B
13 PULPITIS PER VISIT, TEMPORARY
69 CHANDRA R.S. 31 IRREVERSIBLE FILLING ASISTEN

70 ALEX M. PASKAH S. 50 36 Pulpitis Premedikasi ASISTEN

21 PULPITIS
71 ROHIDIN 18 IRREVERSIBLE Filling Light Curing ASISTEN

72 MIMIN ANIMAH 57 35 Periodontitis Premedikasi Operator

73 SUNARNI 31 36 Abses Premedikasi Operator

74 CIK UNING 5 51 Ulcus Decubitus EXo ASISTEN

ROOT CANAL TREATMENT C

PER VISIT, TEMPORARY
75 EMMY FAZARINI 10 26 NP FILLING ASISTEN

76 ELLY HASMAR 10 16 NP ABSES Premedikasi ASISTEN

77 SYAMSUL BACHRI 32 11 NP ABSES Trepanasi ASISTEN

78 ZULKIFLI 29 47 NP ABSES TREPANASI ASISTEN

79 YULIANTI 50 27 PERIODONTITIS KONSULTASI ASISTEN

80 INDRIANI UTAMI 18 21 periodontitis Exo + Lidocain Operator

Gingivitis
81 MULYONO 17 Marginalis RA Scalling Operator
82 RANI ANGGRAINI 47 71 Persistensi Exo Operator
27 PULPITIS
REVERSIBLE, PULP CAPPING, LIGHT
83 KAYLA AMBARWATI 17 SECUNDER CARIES CURING C ASISTEN

14, 37 CARIES
MEDIA, DEPOSITE LIGHT CURING FILLING
84 BOY ANDIE 36 OF TEETH SANDWICH (2X), SCALLING A ASISTEN

85 JOYCE GABE MANGIRING. P 7 36 Pulpitis Filling ZOE ASISTEN

86 SUNARNI 10 Gingivitis SCALLING Operator

25 ABRASI
87 CIK UNING 61 SERVIKAL LIGHT CURING B ASISTEN
 37 PULPITIS
IRREVERSIBLE
88 EMMY FAZARINI 25 KRONIS TREPANASI ASISTEN

89 ELLY HASMAR 18 21 periodontitis Exo + Lidocain Operator

Gingivitis
90 SYAMSUL BACHRI 37 Marginalis RA Scalling Operator

91 YUSUF 16 71 Persistensi Exo Operator

27 PULPITIS
REVERSIBLE, PULP CAPPING, LIGHT
92 HERMAN 57 SECUNDER CARIES CURING C ASISTEN

14, 37 CARIES
MEDIA, DEPOSITE LIGHT CURING FILLING
93 MOHAMAD TAUFIQ 40 OF TEETH SANDWICH (2X), SCALLING A ASISTEN

94 STEVY ARISTA 16 36 Pulpitis Filling ZOE ASISTEN

95 ANDRI FITRIYANTO 18 Gingivitis SCALLING Operator

25 ABRASI
96 MELLY AMIYATI 38 SERVIKAL LIGHT CURING B ASISTEN

37 PULPITIS
IRREVERSIBLE
97 BOB MOSES NANLOHY 6 TH KRONIS TREPANASI ASISTEN

98 NOVARINA ADITYASTUTI 4 TH 21 periodontitis Exo + Lidocain Operator

Gingivitis
99 AFDIANESA 17 TH Marginalis RA Scalling Operator

100 ENDANG KUSMIATI 6 TH 71 Persistensi Exo Operator

26 PULPITIS
REVERSIBLE, PULP CAPPING, LIGHT
101 HENDRA YANTO 58 TH SECUNDER CARIES CURING C ASISTEN

14, 37 CARIES LIGHT CURING FILLING

102 YANTI ALWI 48 TH MEDIA, SANDWICH (2X), ASISTEN

103 VICKY PUTRI AMALIA 7 TH 61 Persistensi EXO Operator

104 VALLEN PUTRI PHYLACIA 7 TH 51 PERSISTENSI EXO Operator

25 ABRASI
105 VALLYN PUTRI PHYLACIA 24 TH SERVIKAL LIGHT CURING B ASISTEN
106 RACHAEL GEORGIA AGATHA 15 TH 37 PULPITIS TREPANASI ASISTEN
IRREVERSIBLE
 KRONIS

107 KENZIE HARYAKA WANG 23 TH 21 periodontitis Exo + Lidocain Operator

Gingivitis
108 SUJARWO 29 TH Marginalis RA Scalling Operator
109 MARYANI 43 TH 71 Persistensi Exo Operator
PULP CAPPING, LIGHT
110 M AGUNG SAPUTRA 15 TH 27 Karies Sekunder CURING C ASISTEN
17 PULPITIS LIGHT CURING FILLING
111 RIAN FEBRIYANSAH 38 TH REVERSIBLE SANDWICH ASISTEN

112 NABILA AYU RAMANIYA 30 TH 14, 15 HIPEREMI LIGHT CURING C (2X), ASISTEN

113 SUGENG SUJONO 21 TH 46, 47 Pulpitis LIGHT CURING B (2X) ASISTEN

114 ENDAH SUKAENDAH 65 37 NP RK >2 BID ASISTEN

27pulpitis
115 SECA GALIH RAMADHIKA 47 irreversible PSA 1 SAL ASISTEN

116 YUSUF 68 21 NP EXO KOMPLIKASI ASISTEN

117 HERMAN 56 GINGIVITIS KONSUL, SCALING BERAT ASISTEN

118 MOHAMAD TAUFIQ 31 48 IMPAKSI Rujuk ASISTEN

119 STEVY ARISTA 65 28 IMPAKSI Rujuk ASISTEN

120 ANDRI FITRIYANTO 39 37 NP ABSES Premedikasi ASISTEN

Nama Pemberi Layanan Plt. Kepala Puskesmas Sako

Dini Damar Ayu, Amd.KG drg. Kiki Ayu Marlina

Penata Tk.I
NIP. 198003092009032001