Register Kia 2021.

REGISTER
No. TANGGAL NAMA ANAK

No.RM BARU LAMA
2/1/2021 15553 1 ALIKA NAILA
1 12730 1 ZUNA ZAFAR

2 4494 1 JATMIKO PRAKOSO
3 13893 1 BELLA SYIFA
4 19174 1 BAGUS HAMZAH
5 11145 1 BARTOLOMEUS HATORONGAN
6 7821 1 DESTIA MAHARANI
7 23794 1 ZEA ALMAHYRA
8 1748 1 M HISYAM
9 23793 1 RIZKA BERLYANA
10 22590 1 HAYKAL DIMAS
4/1/2021
11 22119 1 KIREYNA SALSABILA
12 4215 1 AHMAD ALZABAR
13 23798 1 RETIANA DWI
14 23281 1 M RAFIF
15 23788 1 NIZAM SHANUM
16 7868 1 M ZAKI
17 23589 1 RINTIA ANJALIKA
18 16480 1 AUVAR FABYAN
19 7229 1 MUHIDIN
20 18255 1 NIZAM QOIRULLI
20
1 23816 1 HANNY JASMINE PUTRI
2 22606 1 AZKAIRA SYAFANA
3 21826 1 AZRIL KAIS
5/1/2021
4 22847 1 FAJAR AL KAHFI
5 2697 1 HALK HALOO
6 23723 1 AHMAD SANUSI
1 5
1 17499 1 RAFIF REIHAN
2 22723 1 MAI CHRYSOLIVIA
3 4691 1 FADIL ARDIANSYAH
4 6/1/2021 23518 1 MIKAEL JULIAN
5 23829 1 ANGGIE JUWITA
6 23831 1 ALFI SYIFA
7 23830 1 KANZIA ASHALINA
3 4
23610 1 MUHAMAD AZ ZAHWA
7/1/2021 23833 1 SILFIANA HANIFAH
23836 1 SITI KAMILAH
2 1
21900 1 AVIKA RAMADANI
8/1/2021
23851 1 TSABITA NUR
2
16488 1 M AL FATIH
7977 1 FERDY
19268 1 M ABID AKHTAR
10086 1 AHMAD FATULAH
9/1/2021 1011 1 ALEXANDER
7973 1 NABIL ABDULLAH
23856 1 M SHAKA
4691 1 FADIL ARDIANSAH
17499 1 REFFI RAIHAN
9
576 1 ANISA PUTRI
23736 1 ZHAFRAN ATHFAL
2431 1 RAIHAN MAULANA
11/1/2021
7759 1 ARSYILA
22723 1 MAI CHYRYSOVIA
21179 1 HIFZA MAULIDYA
6
23879 1 MUHAMAD REVAN
12/1/2021
23281 1 M RAFIF FATIH
1 1
13/1/2021 1229 1 ANINDITA
14/01/2021 23898 1 ADAM VIENDRA

2 2
2314 1 ADIBAH
23901 1 TEGAR JULIAWAN
15/01/2021 576 1 ANNISA PUTRI
14768 1 M ALFATHI
2963 1 NABILA
1 4
6825 1 ELKANA ALEXANDRA
16/01/2021 11480 1 M REYZA
2
2979 1 M ZERO PAHLEVI

18/01/2021 3195 1 M FAUZI FAVIANDRA
22078 1 ATIKA ZAHRA WULANDARI
14538 1 MAYSA NAYLA
4
19/01/2021 23932 1 KARREL IBRAHIM
22257 1 RUMAISYA
20/01/2021 15844 1 IMAM ABU HANIFA
4215 1 AHMAD ALZABAR
23951 1 KEISHA AYBA
2 3
21/01/2021 7381 1 TIFANI AIRAWATI
19241 1 BABY RAISHA
576 1 ANNISA PUTRI
3
22/01/2021 1704 1 AISYAH MAULIDA
17577 1 ELVIA AZAHRA
2
23/01/2021 23963 1 HAVIN DEOGKATIAZ
5253 1 AQILA JARA
21897 1 M RAFIF LUBIS
23969 1 YOGA AGUSTIANSYAH
4691 1 FADIL ARDIANSYAH
2 3
25/01/2021 417 1 M RIFQI MAULANA
23978 1 FITRA PRATAMA
23983 1 INDRIYANI FAIQAH
21085 1 KENNARD HAYFA
1 3
26/01/2021 23999 1 NADIYA
1
27/01/2021 7507 1 BIMA SATRIA
24001 1 KHOLIS
1 1
28/01/2021 18174 1 GUENEVERE CARTICE
24014 1 FAKRIYAH MUSLIMAH
633 1 ADAM SETIADI
1 2
29/01/2021 24023 1 ZAKI ZIADHIDANE
6713 1 PUTRI RANI
4691 1 FADIL ARDIANSYAH
18451 1 CARLOS DOMINI
24016 1 HILDA FADHILAH
2 3
NIK KTP KS BPJS TELP
3275083001180005 085770060034
3275081502080131
08128091357
3275081403910020 0895330847955
0001633990083
0895620005621
0002927999395 081311826543
317301180390001 082297982573
3275084505000028
089676013816
85889193581
0001837208147 081294828042
08881049792
0001837208642 081294828042
081284646824
089695037996
083128008469
081386207394
08986011196
085312887827
089676222355
085876725675
08881049792
081310738940
081368167674
0001897521063 0895410489035
082114628407
08978304451
08969995850
0000507687827 082111504657
2063741861 081211511506
081281436045
08925937
0002470454392 089607779710
1 081292142665
0002613816268 08990643213
3275090901090070 08561119481
087775683322
3275080305120006 082124989872
3275090708180044 0812115111508
085227647487
3275081201080028 081212878009
0002355391811 08561264640
08969995850
085887133356
082116685629
0002754336148 081210691044
1 -
1 082125756694
1 083891822511
0001837208643 081294828042
081294421018
0000508343471 081316997929
087883350538
000506690357 08951801182
3275080002150016 0812121710
08523030518
3275082306710011 0002896775267 08170819888

0895402259988
1 081317998052
1 -
1 081294828042
1 081386123793
1 0856332658
ALAMAT UMUR
NAMA ORTU DALAM LUAR WILAYAH TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN
WILAYAH L P L P L P
JB 4/7 30/01/2019 1
1
AHMAD AKBAR JB 1/1 30/01/2018 1
GAMIN JB 2/14 6/1/2006
EDI SASMITO JB 13/12 30/04/2008
NANA FAUZI JB 2/14 27/08/2019 1
RIDWAN JB 26/08/2009
ANDI JB 3/14 9/12/2011
NOVIYANDI JB 2/14 12/5/2017 1
RUSNADI JB 5/3 21/11/2016 1
UNTUNG JB 2/2 6/5/2005
EDHO JBB 2/4 23/11/2014
NANDANG JB 5/14 24/09/2006
JAJAT JB 4/3 18/05/2017 1
YOGI JTKMT 1/11/2004
WAHYUDI JBB 6/3 16/9/2017 1
JB 1/12/2020 1
ABDULLAH JB 10/12 11/5/2012
NANA FAUZI JB 4/14 15/06/2017 1
JMASHUDI JB 11/12 2/3/2015
DEDI JB 2/14 13/02/2007
ROMAH JB 4/2 10/0/2011
1 5 2
NUR HUDA JB 6/3 8/4/2017 1
DURYAJAD JB 4/14 20/03.2020 1
RAHMAT JB 2/12 29/05/2020 1
FANI JB 2/2 1/4/2020 1
HUSEN JKM 4/2 27/02/2019 1
MASHUDI JB 4/2 13/03/2016 1
3 1 2
ARIS FADILAH JB 5/2 22/03/2003
NATARISMAN JB 5/2 8/5/2020 1
ARIES FADILA JB 5/2 20/10/2010
AMIN FAUZI JB 4/1 31/07/2017 1
SUTRISNO JB 2/2 6/2/2005
MUKHLISIN JB 6/1 29/01/2018 1
DIYAN JTKMT 7/14 29/11/2017 1
2 1 1
ASHARI JB 2/1 27/03/2012
SUPARMAN JB 5/3 16/06/2014
ACU AEP JB 13/12 13/01/2005
NURDANI JB 4/7 7/6/2020 1
JB 7/9 14/07/2010
1
NORMAN JB 5/12 23/03/2019 1
JB 2/1 1/12/2004
YULINDA JBB 8/8 30/05/2018
ABDULLAH JB 2/14 30/07/2003
NURCAHAYA JB 2/12 11/7/2003
JB 5/3 12/7/2005
MUSLIM JTKMT 5/1 3/9/2017 1
2
EMI/ RISDIAN JB 5/2 13/07/2017 1
SUGIARTO JB 11/12 2/10/2014
SYAHRONI JBB 5/3 26/07/2019 1
DENI JB 5/2 5/12/2016 1
NATARISMAN JB 5/2 8/5/2020 1
MACHMUD JB 6/1 20/09/2018 1
1 1 1 2
YUDO JB 5/7 20/05/2020 1
WAHYUDI JB 6/3 16/09/2017 1
2
INDRA JBB 2/2 21/10/2015 1
DIDIK JB 1/8 9/5/2015

2 1
DANI JB 6/1 18/05/2016 1
WARTOYO JB 5/14 28/07/2003
RISDIAN JB 5/2 13/07/2017 1
NAZUARDI JB 5/2 18/01/2007
JAJAR JTK 1/5 29/06/2009
2
MARKUS JB 4/1 31/05/2016
ARI JB 3/2 5/5/2012
M REZA JTK 3/15 6/7/2018 1

NIMIN JB 2/14 8/3/2018 1
JOKO PRASETYO JBB 02/02 12/11/2018 1
LASAM JB 2/2 6/5/2006
2 1
REZA JB 8/12 29/09/2012
TRIYONO JB 2/14 2/5/2020 1
ALI SUTAN JB 1/14 20/10/2007
JAJAT JB 4/3 18/05/2017 1
DIDI JB 3/1 18/01/2020 1
2 1
WARSINO JBB 2/3 8/3/2010
MUSLIM ARI JKM 1/2 25/03/2018 1
RISDIAN JB 5/2 13/07/2017 1
2
JEJEN JB 4/7 6/2/2017 1
ADE RAHYANA JB 7/3 21/08/2019 1
2
SAHAT JB 5/2 22/3/2019 1
MUHYANI JB 6/12 15/12/2015
EDI RAHMAD JB 1/3 29/03/2020 1
JUMARNOTO JB 2/14 17-8-2006
ARIS FADILAH JB 5/2 20-10-2010
1 1
IWAN SAUDI JB 2/2 20/03/2011
DWI MARYONO JB 17/03/2003
SIIN JB 4/7 8/4/2004
AHMAD EDWIN JB 4/12 19/03/2015
KAMSAH JB 5/7 1/10/2005
jb 4/2 6/5/2010
SUNAR/ ANITA JB 5/8 5/8/2020 1
1
FRANKY JB 5/5 5/10/2019 1
AGUS JB 1/1 16/12/2011
KLONO JB 1/1 1/11/2014
1
IWAN SETIAWAN JB 4/2 9/7/2006
JB 1/1 23/4/2018 1
ARIS FADILLAH JB 5/2 20/10/2010
ISAI ARAD JB 1/2 18/10/2019 1
ZAINUDIN JB 1/3 18/6/2020 1
1 1 1
UR
5 - 15 THN SUHU BB TB ICD
ISPA CC FEBRIS DIARE FARINGITISSTOMATITIS
L P
36,3 13 A09 1
1
PASIEN TIDAK DATANG
1 36,5 65 163 MYALGIA
1 36,5 30,5 J06 1
36,4 11 74 J06 1
1 36 28 SCABIES
1 36 24 118 J06 1
37,8 12,5 J06 1
PASEIN TIDAK DATANG
1 PASEIN TIDAK DATANG
1 UP HECTING
1 36,3 49 150 MYALGIA
36,2 18 105 J06 1
1 36 43 144 J06 1
36 11,5 A09 1
36 3,9 KONSULTASI
1 36 20 K30
36 26 124 J06 1
1 36 22 117 CC
1 36 45 140 L08
1 36,3 25 129 A09 1
7 5 7 2
37 10,5 J02 1
36 7 R50 1
36 7,2 J06 1
PASIEN TIDAK DATANG
36,2 9,5 81 J06 1
PSIEN TIDAK DATANG
2 1 1
1 36,3 44 165 SCABIES
36,1 8 L08
1 36,3 25 L08
36,7 17 100 R50 1
1 36 40 153 HORDEOLUM
36,2 20 96 FURUNKEL
36,2 11 90 A09 1
2 1 1 1
1 36 32 123 J00 1
1 36,2 21 115 L20
1 36 44 144 KIR SEHAT
1 2
36,3 7 KONSTIPASI
1 36 30
1
36,4 9 J06 1
PASIEN TIDAK DATANG
1 36 12,3 RUJUK RS HERMINA PHYMOSIS
1 37 17,8 R50 1
1 36 20 106 KIR SEHAT
1 36 63 174 KIR SEHAT
38 12 R50 1
1 35,8 25 L20
1 36,4 44 L20
6 2
36 13 L08
1 36 22 KONSULTASI
36 10 SCABIES
36,2 16 105 J06 1
36 8 J06 1
37,3 9 R50 1
1 2 1
36,6 7 URTICARIA
36,2 11,5 SOFT TISUE
36,2 16 A06 1
1 36 36 KONSULTASI
1 1
33,5 16 R50 1
1 34,3 69,5
36,6 12,5 98 R50 1
1 36,1 49 142,7 Z00
1 36,3 55 152 J06 1
2 1 1 2
1 36,8 14 J06 1
1 36 23 K30
1 1
16 93,7 URTICARIA
11 86,8 L08
36,2 9 81 L08
1 36,3 55 L08
1
1 36,1 23 128 CC 1
36 7,8 L08
1 36,3 25 130 R50 1
36,1 17.5 104 J06/ L08 1
36,2 9 A09 1
2 1 1 1 1
1 TB KELENJAR
36,6 17 97,6 R50 1
37 13 J06 1
1 1 1
36,1 18 104.5 J06 1
36 8 KONJUNGTIVITIS
1
35,8 11 EPILEPSI
1 36,1 18 R50 1
35,5 8,9 J06 1
1 35,5 40 155 SUSP COVID 19
1 35,9 25,5 K30
2 1 1 1
1 36 48 J06 1
1 36 60 167 KIR SEHAT
36,1 47 155 SUP PJB
1 36 14 J02 1
3 1 1
1 36,3 81 152,5 L08
1
1 36,5 34 141 cc 1
36 7,2 67 J06 1
1 1 1
36,4 8 A09, L08 1
1 34,8 20 121 K30
1 36,1 21 J06 1
1 1 1 1
1 36,1 57 163 Z71.2
10 82,4 J06 1
1 35,9 25 SCABIES
OS TIDAKL DATANG KELAINAN SENDI
36 7,1 R50 1
2 1 1
DIAGNOSA
TONSILITISDERMATITISKONJUNG URTICARIA INF.KULIT DYSPEPSIAVARICELLA SCABIES PAROTITIS OMA
TIVITIS
1 1 1
1
1
1
2 1
1
1
1
2
1
1 1
1
1
1
1
1
1 3
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
RESEP RW 01 RW 02 RW 03 RW 04 RW 05
lain lain
KAOLIN SYRP, ZINK SYRP
PERPANJANG RUJUKAN LEUKIMIA RSUD BEKASI 1

MYALGIA BCOM, B1
AMBROXOL, CTM, BCOM
CTM, GG, CAVIPLEX
CTM, DEXA, SACBISITE SALEP
AMBROXOL, DEXA, CTM, BCOM
PCT SYRP, CTM, GG, CAVIPLEX
PERPANJANG RUJUKAN EPILEPSI 1
PERPNJANG RUJUKAN TB ANAK 1
UP HECTING
NADIC, DEXA, B1
PCT, GG, CTM, BCOM 1
AMBROXOL, CTM, VITC
B6, CTM, ZINK, ORALIT, PCT
KONSULTASI
PCT, DOMPERIDON, B6
GG, PCT, CTM
BCOM, CTM
CTM, VITC, SALEP OXYTETRA
DOMPERIDON, PCT, DIAFOM,ORALIT 1
1 2 2
PCT, CTM, B6 1
PCT, CTM, BCOM
GG, CTM, BCOM 1
PERPANJANG RUJUKAN TB ANAK 1
PCT, GG, CTM, VIT SYRP
PERPANJANG RUJUKAN ICD 9 CM( ENDOFTALMITIS MATA ) RSCM
2 1
CTM, DEXA, SCABISIR SALEP, VIT C 1
CTM, DEXA, BCOM, SALEP OXYTETRA 1
CTM, DEXA, SALEP HYDRO 1
PCT, CTM, B6 1
HORDEOLUM DEXA, VIT C, SALEP OXYTETRA MATA 1
FURUNKEL CTM, DEXA, BCOM, 1
CTM, B6, ZINK SYRP, ORALIT
2 4
PCT, CTM, BCOM 1
CTM, DEXA, CAVIPLEK 1
KIR SEHAT
ANTASID
RUJUKAN RS HERMINA
GG, CTM, BCOM, PCT SYRP

KONSULTASI 1
RUJUK RS HERMINA
PCT, CTM, BCOM
KIR SEHAT
1
AMOX, PCT, GG, CTM 1
CETIZINE, BCOM, CTM 1
CETIRINE, BCOM, VI TC 1
2 2 1
KONSULTASI
CTM, DEXA, BCOM, SALEP SCABISITE
CTM, DEXA, GG, CAVIPLEX 1
GG, CTM, BCOM, SALEP OXYTETRA 1
PCT, CTM, CAVIPLEK 1
1 3
CTM, DEXA, BCOM, SALISIL TALK
RUJUK RS MASMITRA 1
1
B6,CTM, ZINK SY
KONSULTASI
1
GE DOMP, CTM, ZINK TAB, ALPARA 1
PCT,GG, CETIRIZINE, SALISIL TALK
PCT,CTM,KALK, VIT C 1
1
AMBROXOL, CTM, VIT C
1 2
CAVIPLEK SYRP, COPERCETIN SYRP 1
CTM, B6, PCT, ZINK SYRP, ORALIT 1
1 1
DEXA, CTM, BC, SALYSIL TALK

CTM, DEXA, BC
CTM, DEXA, B6, OXYTETRA
ASMEF, DEXA, CTM 1
1
PCT, CTM, BCOM
CTM, DEXA, BCOM
PCT,DEXA,BC
CTM, GG, BCOM, SALEP OXYTETRA 1
PCT, CTM, B6, ZINK SYRP, ORALIT 1
1 1
RUJUK MASMITRA
PCT,CTM,B6
PCT,CTM,GG,BC 1
1
COPERCETYN SYRP. CAVIPLEK SYRP
CAVIPLEX SURP, SLP ERLAMICETIN, HYDROCORTISONE SAL[ 1
1
EPILEPSI RUJUKAN HERMINA GALAXY 1
PCT, CTM, BC
PCT, CTM, BC 1
DOEN, PCT, BC 1
2 1
GG, DEXA, BCOM 1
KIR SEHAT
SUSP PJB
PCT, GG, BCOM
1
AMOX, ASMEF, DEXA, VIT C, SALEP OXYTETRA
pct, ctm, bcom 1

CTM, GG, BCOM
1
ZINK SYRP, SALEP OXYTETRA 1
DOMPERIDON, PCT, B6 1
PCT, GG, DEXA, CAVIPLEX SYRP 1
2 1
KIR SEHAT 1
CTM, GG, BC 1
CTM, DEXA, BC, GENTAMICIN 1
RUJUK BHAKTI KARTINI POLI BEDAH ORTHPEDI 1
PCT 1
1 3 1
RW 06 RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
3 7 4
1 1
1
1
1
1
1
1 1
1
1
1
1
2 1 1
1
1
1 1
1
1
1
1
1 1 1
1
1 1
1
1
1
2 1
1
1
1
1 2
1
1
2
1
1 1
1
1
1
1
1
1
REKAPITULASI MANAJEMEN TERPADU BAYI MUDA
PUSKESMAS JATI BENING
Januari 2020
DALAM WILAYAH
NO KEGIATAN MTBM
L
1 Jumlah total kunjungan bayi muda 1 hari - 2 bulan
2 Jumlah total kunjungan bayi muda dengan kasus baru
NIZAM SHANUM JB
JOSHUA ABNER jb
ARZAN KINZA
RAZIQ PUTRA jb
HUMAIRA
NUR ANANZA
MUHAMAD FADLAN ALFIANSYAH jb
DIRZY PAMUNGKAS jb
ASHRAF jb
NADINE TYMELESTA
KHALID jb
MUHAMMAD ALVIN jb
ALESA AL HUMAIRO
HASNA ANUM
MUHAMMAD AMAR KHAIDAR jb
3 Jumlah total kunjungan bayi muda dengan kasus lama

4 Jumlah total kunjungan bayi muda yang di MTBM
KLASIFIKASI UMUR 0 BULAN - 2 BULAN
DALAM WILAYAH
NO KEGIATAN MTBM
L
a. Penyakit Sangat Berat / Infeksi Bakteri Berat
Kemungkinan Penyakit Sangat b. Infeksi Bakteri Lokal
1
Berat / Infeksi Bakteri
c. Mungkin Bukan Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus
c. Tidak Ada Ikterus

a. Diare Dehidrasi Berat
3 Diare b. Diare Dehidrasi Ringan / Sedang
c. Diare Tanpa Dehidrasi
a. Infeksi HIV Terkonfirmasi
5 Status HIV b. Terpajan HIV
c. Kemungkinan Bukan Infeksi HIV
a. BB Rendah Menurut Umur dan / atau Masalah
Kemunkinan Berat Badan Rendah & Pemberian ASI
6
Masalah Pemberian ASI b. BB Tidak Rendah dan Tidak ada Masalah
Pemberian ASI
Masalah Pemberian Minum atau BB a. BB Rendah atau Masalah Pemberian Minum

7 Rendah pada Bayi yang Tidak
Mendapat ASI b. BB Tidak Rendah dan Tidak ada Masalah
Pemberian Minum
8 Masalah Keluhan Lain
9 Masalah Keluhan Ibu
10 Rujukan
UDA
TOTAL
DALAM WILAYAH LUAR WILAYAH
P L P L+P
jb
jb
jb
jb
jb
jb
DALAM WILAYAH LUAR WILAYAH TOTAL

P L P L+P
REKAPITULASI MANAJEMEN TERPADU BALITA SAKIT
Januari 2021

NO KEGIATAN MTBS
L P L
1 Jumlah total kunjungan balita sakit 2 bulan - 5 tahun
2 Jumlah total kunjungan balita sakit dengan kasus baru
M RAFIF JBB 6/3
AZRIL KAIS JB 2/2
AZKAIRA SYAFANA JB 4/14
HANNY JASMINE JB 6/3
ALMAIRA SAFIQA JB 4/14
M ALFATIH JB 5/12
ELKANA ALEXANDRA JB 5/12
AHMAD ALZABAR JB 4/1
BABY RAISHA JB 4/3
AISYAH MAULIDA JB
HAVIN DEOGKATIAZ JB 5/2
AQILA JARA JB
KHOLIS JB
HILDA FADHILAH jb 1/3
7 6 1
3 Jumlah total kunjungan balita sakit dengan kasus lama
ALIKA NAILA JB 4/7
ZEA ALMAHYRA JB 2/14
AUVAR FABYAN JB 11/12
BAGUS HAMZAH JB 2/14
HALK HALLO JKM 4/2
MIKAEL JULIAN JB 4/1
KANZIA ASHALINA
ARSYILA KANAYA JB 5/2
HIFZA MAULIDYA JB 6/1
ADIBAH JB 6/1
ANNISA PUTRI JB 5/2
KEISHA AYBA JB 3/1
ANNISA PUTRI JB 5/2
M RAFIF LUBIS JB 1/3
KENNARD HAYFA JB
GUENEVERE CARTICE JB 5/5
PUTRI RANI jb 1/1
6 10 1
4 Jumlah total kunjungan balita sakit yang di MTBS
KLASIFIKASI UMUR 2 BULAN - 5 TAHUN (MTBS)
NO KEGIATAN MTBS
L P L
Tanda Bahaya
1 Penyakit Sangat Berat
Umum
a. Pneumonia Berat
Batuk atau Sukar b. Pneumonia
2
Bernafas
c. Batuk Bukan Pneumonia
ZEA ALMAHYRA JB 2/14
BAGUS HAMZAH JB 2/14
HALK HALLO JKM 4/2
AZRIL KAIS JB 2/2
AZKAIRA SYAFANA JB 4/14
HANNY JASMINE JB 6/3
MIKAEL JULIAN JB 4/1
ALMAIRA SAFIQA JB 4/14
M AL FATIH JB 5/12
ARSYLA KAYANA JB 5/2
ADIBAH JB 6/1
ELKANA ALEXANDRA JB 4/1
ANNISA PUTRI JB 5/2
AISYAH MAULIDA JB
HAVIN DEOGKATIAZ JB 5/2
AQILA JARA JB
M RAFIF LUBIS JB 1/3
KHOLIS JB
PUTRI RANI jb 1/1
TOTAL 10 10 1
Diare a. Diare Dehidrasi Berat
b. Diare Dehidrasi Ringan
c. Diare Dehidrasi Sedang
d. Diare Tanpa Dehidrasi
ALIKA NAILA JB 4/7
M RAFIF JBB 6/3
KANZIA ASHALINA JTKMT 7/14
ANINDITA JBB 2/2
KEISHA AYBA JB 3/1
TOTAL 0 3 2
e. Diare Persisten Berat

f. Diare Persisten
g. Disentri
a. Penyakit Berat dengan Demam (risiko tinggi/rendah)
b. Malaria
c. Demam Bukan Malaria
d. Campak Dengan Komplikasi Berat
4 Demam e. Campak dengan komplikasi pada Mulut dan Mata
f. Campak
g. Demam Berdarah Dengue (BDB)
h. Mungkin DBD
i. Demam Mungkin Bukan DBD
AUVAR FABYAN JB 11/12
HIFZA MAULIDYA JB 6/1
ADIBAH JB 6/1
ANNISA PUTRI JB 5/2
BABY RAISHA
AQILA JARA JB
KENNARD HAYFA JB 4/12
PUTRI RANI jb 1/1
HILDA FADHILAH jb 1/3
TOTAL 2 7 0
a. Mastoiditis
b. Infeksi Telinga Akut
5 Masalah Telinga
c. Infeksi Telinga Kronis
5 Masalah Telinga
d. Tidak ada Infeksi Telinga

6 Status Gizi a. Gizi Buruk dengan Komplikasi
b. Gizi Buruk Tanpa Komplikasi
c. Gizi Kurang 0 0 0
d. Normal
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
a. Terkonfirmasi HIV
b. Terpajan HIV
8 Status HIV
c. Diduga Terinfeksi HIV
d. Kemungkinan Bukan Infeksi HIV
a. Imunisasi Dasar
9 Status Imunisasi
b. Imunisasi Lanjutan
a. Umur 6 bulan s/d 11 bulan

10 Status Pemberian Vitamin A
b. Umur 12 bulan s/d 59 bulan

12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
JKM
1 15
JTKMT 7/14
1 18
TOTAL
LUAR WILAYAH
P L+P
21
JTKMT 7/14
1 6
JKM
1 10
0 0
FEBRUARI 2021

NO KEGIATAN MTBM
L P L
AZKIYA

NO KEGIATAN MTBM
L P L
nan
Penyakit a. Penyakit Sangat Berat / Infeksi Bakteri Berat
1 Sangat b. Infeksi Bakteri Lokal
Berat / c. Mungkin Bukan Infeksi
Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus

Kemunkin c. Kemungkinan Bukan Infeksi HIV
an Berat a. BB Rendah Menurut Umur dan / atau Masalah
Badan Pemberian ASI
6 Rendah &
Masalah b. BB Tidak Rendah dan Tidak ada Masalah
Pemberia Pemberian ASI
n Minum
ASI
atau BB a. BB Rendah atau Masalah Pemberian Minum
Rendah
7
pada Bayi b. BB Tidak Rendah dan Tidak ada Masalah
yang Pemberian Minum
Tidak
10 Rujukan
TOTAL
LUAR WILAYAH
P L+P
JKM 6/2
LUAR WILAYAH TOTAL

P L+P
FEBRUARI 2021

NO KEGIATAN MTBS
L P L
NO KEGIATAN MTBS
L P L
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
3

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
a. Mastoiditis
5 Masalah Telinga
5 Masalah Telinga

d. Normal
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
9 Status Imunisasi


12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
TOTAL
LUAR WILAYAH
P L+P
0 0
REKAPAN BULANAN BAYI & BALITA TAHUN 2021
BULAN UMUR L P JUMLAH

29- 3 BLN 10 10 20
3 - 6 BLN 17 13 30
JANUARI 6 - 9 BLN 15 20 35
9 - 11 BLN 14 17 31
12 - 59 BLN 25 22 47
TOTAL 81 82 163
BULAN UMUR L P JUMLAH

29- 3 BLN 9 11 20
3 - 6 BLN 20 16 36
FEBRUARI 6 - 9 BLN 16 18 34
9 - 11 BLN 12 13 25
12 - 59 BLN 23 26 49
TOTAL 80 84 164
BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

29- 3 BLN 10 13 0 1 24
3 - 6 BLN 24 20 2 1 47
MARET 6 - 9 BLN 23 15 0 2 40
9 - 11 BLN 23 20 2 0 45
12 - 59 BLN 37 30 4 3 74
TOTAL 117 98 8 6 230

29- 3 BLN 30 22 0 0 52 28
3 - 6 BLN 38 37 0 0 75 28
APRIL 6 - 9 BLN 35 32 0 0 67 27
9 - 11 BLN 32 34 0 0 66 21
12 - 59 BLN 55 51 1 3 110 36
TOTAL 190 176 1 3 370

29- 3 BLN 20 19 2 2 43
3 - 6 BLN 32 35 0 0 67
mei 6 - 9 BLN 33 30 0 2 65
9 - 11 BLN 35 35 0 0 70
12 - 59 BLN 50 45 4 2 101
TOTAL 170 164 6 6 346

29- 3 BLN 22 18 0 0 40
JUNI
3 - 6 BLN 31 32 1 1 65
JUNI 6 - 9 BLN 27 27 1 0 55
9 - 11 BLN 33 33 1 0 67
12 - 59 BLN 62 46 1 1 110
TOTAL 175 156 4 2 337

29- 3 BLN 20 15 2 1 38
3 - 6 BLN 29 27 1 0 57
JULI 6 - 9 BLN 25 29 1 1 56
9 - 11 BLN 30 27 0 2 59
12 - 59 BLN 45 48 5 3 101
TOTAL 149 146 9 7 311

29- 3 BLN 20 15 2 1 38
3 - 6 BLN 29 27 1 0 57
JULI 6 - 9 BLN 25 29 1 1 56
9 - 11 BLN 30 27 0 2 59
12 - 59 BLN 45 48 5 3 101
TOTAL 149 146 9 7 311

29- 3 BLN 17 10 0 0 27
3 - 6 BLN 26 25 2 2 55
September 6 - 9 BLN 28 25 2 3 58
9 - 11 BLN 28 25 2 2 57
12 - 59 BLN 43 42 6 2 93
TOTAL 142 127 12 9 290

29- 3 BLN 15 14 0 0 29
3 - 6 BLN 25 27 2 3 57
OKTOBER 6 - 9 BLN 26 22 3 3 54
9 - 11 BLN 29 23 2 2 56
12 - 59 BLN 38 39 4 5 86
TOTAL 95 125 11 13 282

29- 3 BLN
3 - 6 BLN
NOVEMBER 6 - 9 BLN
9 - 11 BLN
12 - 59 BLN
TOTAL
REGISTER
No.RM BARU LAMA
FEBRUARI 2021
1 FEBRUARI 2021 7122 1 ABIMANYU
15830 1 ABDILLAH ABQORI
24042 1 AHMAD HAIKAL
652 1 SRI ULFA SUKMA
24043 1 SALSABIL LAILI
2 4
02 FEBRUARI 2021 22985 1 RAISYAN
23006 1 NAYYARA ZARREN
7768 1 RIZKI HANDAYANI
6713 1 PUTRI RANI
10302 1 MARIA
5
03 FEBRUARI 2021 20959 1 MEDIAN ABDUL AZIZ
15930 1 HENDI ARI SAPUTRA
2
04 FEBRUARI 2021 20769 1 CHYRA JIHAN

10631 1 ZAHRA SRI
24060 1 CITRA NUR ANNISA
20878 1 MARINI RAHMAH
1 3
05 februari 2021 23127 1 SEPTY ADIBAH
801 1 SALSABILA
23608 1 FLOREZA
24071 1 NIKEN
17202 1 RIANA ADELIA
24069 1 SYAHRUL JUNTRIADI
2 4
1 06 FEBRUARI 2021 23686 1 PUTRI ADELIA
2 21885 1 ARFINA MUTMAINAH
3 20882 1 AZELLA JENITRA
4 24078 1 M TEGAR PRATAMA
5 22511 1 AZHAR HUWAIDAH
6 12062 1 ADIB MTHAHARA
7 12730 1 ZUNA ZAFAr
8 14932 1 ABIGAIL SASHI KIRANA
9 17146 1 DANIEL HAPOSAN
10 19234 1 RIZKY AL FATIH
11 13858 1 M HILMI
1 10
08 FEBRUARI 2021 1229 1 ANINDITA KHAIRUNISA
1154 1 HAFIZ
13183 1 M REYIKHSAN
11748 1 M HISYAM
4
09 FEBRUARI 2021 23101 1 RISKY FEBRYAN
6930 1 INARA ASSYIFA
11829 1 GILANG RAMADHAN
13858 1 MUHAMAD HILMI
4
10 FEBRUARI 2021 23238 1 MUHAMMAD FATHIR
21237 1 MUHAMAD HAMZAH
24100 1 SAQIL SYAFA
24102 1 ALGHAZY RYUAIRA
12330 1 KANEYA WULANDARI
23950 1 DIRZY PAMUNGKAS
1 5
11 FEBRURI 2021 12100 1 MIKHAEL ALVIN
18185 1 Davina Aira
458 1 FADIL RADITYA
3
12 FEBRUARI 2012
13 FEBRUARI 2021 4529 1 RATIFA DIAN

24114 1 HARYO SENO
2287 1 AURELIA SEPTIANA
22985 1 RAISYAN
16023 1 ALFIAN DWI
21991 1 RAFIN
8295 1 JONATHAN
13858 1 M HILMI
1 8
1 15 FEBRUARI 2021 24126 1 M IQBAL
2 633 1 ADAM SETIADI
3 6713 1 PUTRI RANI
4 11785 1 M RAFA AKBAR
5 24129 1 SULTAN ABIDZAR
6 1010 1 SYAHID ROBBANI
7 24130 1 AISYAH ADIBA
8 22625 1 KHAYLA ALESHA
9 24133 1 AZKIYA
10 19243 1 KHANZIA NADHIFATUL
11 23295 1 TASYA AFRILIA
12 11088 1 FAUZIL ADHIM
4 8
16 FEBRUARI 2021 3599 1 M FAHEL
24142 1 FAYZEL AZEMA
22985 1 RAISYAN
3934 1 KAISU FIKRIYAH
18464 1 EGY SATYA PRANANDA
17 FEBRUARI 2021 6930 1 INARA ASSYIFA

24150 1 M DESTANSYAH
24157 1 AISHKA NAHLA
19736 1 HAWA KHOIRUNNISWA
18 FEBRUARI 2021 12100 1 MIKAEL ALVIN

21731 1 NABILA
22685 1 M ALIF FIANDRA
10335 1 DANIEL PARSAMOAN
24175 1 AURA FARAH
4422 1 NANDA DWI
24180 1 YULINA
13858 1 MUHAMAD HILMI
20 FEBRUARI 2021 20878 1 AMARINI RAHMAH

20709 1 INDRA ALAMSYAH
1822 1 M HABIL
1 22 FEBRUARI 2021 23793 1 RIZKA

2 1333 1 M ARFAN
3 24043 1 SALSABILA LAILI
4 15413 1 AISYAH AZZAHRA
5 22847 1 FAJAR AL KAHFI
6 24195 1 MUHAMAD RAZKIA
7 24194 1 M ALIF MUSLIM
8 24192 1 M ILHAM SAPUTRA
9 22620 1 M FATAN SAHABIL
10 16332 1 SUCI R
11 1791 1 EZZA PUTRI
23 FEBRUARI 2021 23793 1 RIZKA

24205 1 GHANIYAH DZATU RAHMAH
24 FEBRUARI 2021 10086 1 AHMAD FATHULLAH

8431 1 SATRIA IBNU
24216 1 YUMNA WASITQAH
24217 1 ADELIA ANASTASYAH
25 februari 2021 93 1 JUSTIN JOSUA
24219 1 MARYAM NURA
11437 1 ZETA FAKHIRA
18174 1 GUENIVERE
16671 1 YOSUA
26 FEBRUARI 2021 14620 1 M FAIRUZ

24228 1 IZZATUNISA FAIDA
20733 1 M HAFIZ
13332 1 M AFFAN
0002213343112 -
1 081385748147
1 083888949769
0001423282994 083111460780
0000508121223 081283921369
1 -
0838068272
3275081406720029 089663766600
0895322561689
0895322561689
085289821568
08999141670
08577832779
081382597897
081286227999
089652060580
085777473130
1 081413465729
1 08129505579
0002920081972 081226470088
1 085694726900
0001628612021 0895344488212
1 087854344242
1 08770060034
1 081294780807
0002501374072 081316278088
0002909609335 085692449580
0002222778093 085717156173
0001897501063 0895410489035
0000507528718 081210605754
3275080107130006 089676071916
3275082111160005 081295999142
08184297812
0838083006962
0000506542882 08551098979
085717156173
089653523801
0002926734412 089667644181
0895383096164
08988160424
1 085733707756
089686887603
081386036835
1 8589038725
1850029042
LIBUR IMLEK
3275081001170007 082113406933
3275082009180001 0002509919908 087884569240

081290254536
0002074361973 087820187895
081290254536
085221433429
087772118111
085586000774
081218988411
081227563921
081311012400
0003069843535 081213494606
0838068272
0001724131285 085218185226
087874867554
0838083006962
085759075639
0002765030624 089512565884
1 081933845956
081386036835
087882911003
087880034672
085216873484
0857422862314
085883458094
082246493058
085717156173
0002294928909 085777473130
0002914465702 085770025058
1 083899106124
3275021801100020
00000507075704 081218980805
0000508121223 081286921369
3275080707065180 089655957003
3275084505000028
0002059324244 0895404240402
08988160424
089699401740
089653523801
1 08131241503
1 -
1 089680330400
1
3275084311740011 0001651305249
081219978208
3275080607069774 085284562244
08170819888
08528889981
1 083895610730
1 085218243448
1 083818792333
1 081286696418
ALAMAT UMUR
NAMA ORTU DALAM LUAR WILAYAH TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN
WILAYAH L P L P L P
NOVAL RIYADI JB 1/2 6/8/2012

SAYUTIH JB 1/2 17/9/2016 1
OYONG JB 1/14 25/9/2013
ADI JB 6/12 23/7/2014
SOPII JBB 7/3 14/9/2004
WAHYUDI JB 6/3 16/9/2017 1
2
FERI JB 6/3 9/8/2020 1
DARLIS JB 2/1 22/06/2017 1
KLONO JB 1/1 11/11/2004
KLONO JB 1/1 23/04/2018 1
PARSUARUM JB 9/1 31/08/2018 1
1 3
DESKA PRATAMA JB 4/7
JUHARI JB 3/14 30/12/2003
DIMAS JB 5/6 15/02/2020 1

SUPRATMAN JB 1/1 26/10/2011
ISLAMI JB 5/2 7/7/2010
YUDA JBB 6/2 15/09/2003
1
AGUS JB 1/1 19/09/2019 1
BAURI JB 3/2 12/9/2017 1
FARHAN JB 12/12 20/04/2020 1
OYONG JB 1/14 21/10/2004
SAMSURI JTKM 2/2 7/3/2004
KAWIT JBB 5/2 19/06/2003
1 2
YULIANTO JBB 4/8 17/03/2020 1
NUR ALI JKM 5/2 16/04/2003
ADHITYA JB 1/11 4/2/2020 1
KAUSYAH ROHMAN JB 1/14 13/5/2012
DEMIAN JBB 2/3 10/9/2004
DARWADI JB 5/3 21/9/2012
AHMAD AKBAR JB 1/1 30/1/2018 1
MARIMIN JB 2/12 14/12/2018 1
DANUAR JB 9/8 15/1/2013
SUTRISNO JB 2/2 30/11/2019 1
ABDUL HAKIM JTK 3/5 26/07/2008
2 3
INDRA JBB 2/2 21/10/2015
MINAN JB 3/2 31/05/2004
DENI JB 5/2 6/4/2010
RUSNADI JB 5/3 21/11/2016 1
1
MUHLISIN JB 4/3 24/02/2019 1
ADI SUPRIADI JB 11/01 12/4/2018 1
ROJI JB 2/3 16/09/2006
Abdul hakim jkmt 3/5 26/07/2008
1 1
HENDRI JB 4/2 18/09/2020
SYAIFULLOH JB 2/14 13/03/2020 1
ABDULLAH JB 6/1 3/5/2019 1
MADETIA JTA 6/12 11/11/2007
MULYADI JB 4/2 27/07/2010
RAMADHAN JB 6/1 20/12/2020 1
1 1 1
SANDI HARTONO JB 1/2 3/8/2011
IMRON KADIR JB01/03 11/8/2009
ADE JB 01/02 14/04/2014
MUH YANI JB 6/12 17/01/2004

HARYADI JBB 2/5 29/07/2008
YULIANTO JB 4/8 21/09/2009
FERI JB 6/3 9/8/2020 1
ALI SOLE JB 4/7 25/01/2019 1
ANTON JB 4/7 18/03/2020 1
RAVITA JKM 4/1 8/1/2009
ABDUL HAKIM JKM 3/5 2/6/2008
2 1
RIKO/ NUNUNG JB 11/11 10/1/2017 1
KLONO JB 1/1 1/11/2015
KLONO JB 1/1 23/04/2018 1
HENDI/ YANI JB 1/14 20/09/2018 1
USMAN JB 1/3 30/01/2020 1
RAHMATILLOH SIDIQ JB 3/2 30/07/2016 1
USMAN JB 1/3 25/10/2018 1
HGAMA MARTYA JB 4/12 12/2/2016
KIROM/ RISWATI JKM 6/2 12/1/2021 1
SIKIT JB 5/2 29/10/2019 1
SARKIM JB 2/14 4/4/2004
RUSDIANTO JB 2/7 4/1/2011
1 1 1 3 2
ENDI/ FENY JB 2/7 23/07/2017 1
ELICE CAHYADI JBB 3/11 10/2/2021 1
FERI JB 6/3 9/8/2020 1
SISWANTO JBB 3/3 24/08/2011
DARSINDI JB 3/2 15/08/2015
ADI SUPRIYADI JB 11/01 12/4/2018 1
AYUB SHOLEH JT MAKMUR 16/5/2019 1

SUPYAN JB 1/7 2/6/2019 1

NANA JB 4/14 12/1/2020 1
SRIYONO JB 1/1 13/08/2020 1
HAPOSAN POHAN JB 2/2 11/12/2012
IRWAN ACHADI JB 1/2 30/10/2006
SUWANTO JB 2/14 19/07/2008
SAMSUL JB 12/12 17/07/2011
ABDUL HAKIM JKMT 3/5 26/07/2008
YUDA HERMANSYAH JBB 6/2 15/09/2003

IKA SARTIKA JBB 6/2 14/10/2017 1
YATNO JB 6/3 26/11/2015
UNTUNG/SHOFELLY JB 2/2 6/5/2005

SUHARNO JB 1/4 1/3/2011
SOPII JBB 7/3 14/09/2004
BATIN JB 6/1 13/03/2015
YUNITA JB 2/2 1/4/2020 1
ZENI JB 1/5 31/08/2014
DIANA JKM 6/2 14/04/2006
SALAM JBB 5/3 23/12/2019 1
HENDRI JB4/2 21/01/2019 1
JB 12/10 9/5/2019 1
ITA JBB 1/1 18/08//2017 1
UNTUNG JB 2/2 6/5/5005

AZHAR HAMID JB 1/1 14/02/2008
ABDULLAH JB 2/14 30/07/2013

HENDRA JB 4/7 22/10/2015
NASRULLAH JBB 6/3 15/1/2020 1
SAMUD JB 5/2 21/12/2007
HERIYANTO JBB 9/2 1/3/2011
BOY RIVANTO JB8/8 14/06/2020 1
EZWAK TONY JB 2/7 31/03/2003
FRANKY JB 5/5 5/10/2019 1
RENGKUT JB 6/3 14/05/2017
ARIEP SUPRIADI JB 1/7 29/11/2011

NOFIYANDRA JB 2/14 15/4/2014
ALI SOBRI JB 4/14 18/2/2017 1
BUDI JB 9/10 11/9/2007
UR
L P
1 36,6 20 122,5 LACERASI

36,2 14 105 KEJANG
1 25 127 J06 1
1 36,3 18 115 CC 1
1 36,3 66 162,8 SUSP TISSUE TUMOR
OS TIDAK DATANG DELAYED SPEECH
2 2 1 1
36,3 7,5 J06 1
37,3 15 98 R50 1
1 36,3 64 160 H57
36,3 10 82 J06 1
36,4 12 93 CORPUS ILEUM 1
1 3 1
1 35,6 19 117 K30
1 36,3 52 MYALGIA
36 8,3 J06 1
1 36 25 H10
1 36,1 38 139 A09 1
1 36,1 41 152 K30
3 1 1
36 8,4 J06 1
36 15,5 OMA
36 10,8 J06 1
1 36 69 J06 1
1 PASIENRTIDAK DTANA KONSULTASI
1 36 79 CEK GOL DAR
1 2 3
7,2 A09 1
1 36,4 47 148 J06 1
OS TIDAK DATANG PRETERM INFANTS
1 36,1 17 119,6 J06 1
1 36,2 60 159,5 L08
1 36,3 127 137,3 J06 + KONJUNGTIVITIS
OS TIDAK DATANG LEUKIMIA
36 14 KONJUNGTIVITAS
1 36,2 27 125,6 J06 + L08 1
36,3 9,5 A09 1
1 36,1 30 136,2 J06 1
5 1 4 2
1 36 15,5 J06 1
1 PSIEN TIDAK DATANG KONSULTASI
1 36 41 134 L08
36 14 PERPNJNG RUJUKAN
2 1 1
36,1 9 80 J06/A09 1 1
36,5 16 L08
1 36,4 45 142 R50 1
1 36,3 30 J06 1
2 2 1 1
1 36,5 7,6 J06+A09 1 1
36,1 9,4 J06+A09 1 1
10 J06+L08 1
1 36,2 39 155 A09 1
1 36,4 22 131 OTITIS MEDIA
36,0 5,1 R50 1
2 1 3 1 3
1 36,3 49 SOFT TISUE
1 36,3 59 157,6 DIARE
36,4 23 117,8
1 1
1 36,3 41,7 J06 1

1 36,2 35 J06 1
1 36,2 38 OMA
36,1 7,4 J00 1
36 8 J06 1
36,1 9,1 J06 1
1 36 34,5 KONSULTASI
1 36,3 30 K30
3 2 4 1
36 14
94 KONSTIPASI
1 36,2 20
110 J06 1
36, 10
82 J06 1
35,6 12
84 J06 1
36,1 7,4 65 J06 1
36,3 14 104 J06 1
35,6 13 89,5 J06 1
1 PAIEN TIDAK DATANG
36,1 3,5 50 KONTROL BBL
35,9 9 HYPOPIGMENTASI
1 35,9 58,5 167 J06 1
1 36,3 22 121,7 J06, L08 1
2 2 8
36,3 12 80 J06 1
36 3,4 50 KONTROL BBL
36,3 6,8 OMA
1 36,3 27 EPILEPSI
1 36,3 15 J06 1
36,2 15 89 J06,L08 1
1 36 49,5 169 R50 1
35,7 10 STOMATITIS
36,3 11 A09 1
1 36 49 132 RUJUKAN TUMOR DI LEHER

36 5,3 70 H10 , TB
36 7 A09 1
1 36,3 28 J06 1
1 36 37 154 J02, STOMATITIS 1
1 36,3 67 PJR
1 36 29 DERMATITIS ALERGI
1 36 31 KONSULTASI
1 36,0 42 153 J06 1

12 EPILEPSI
1 36 16 ALERGI
1 PAIEN TIDAK DATANG PERPANJANG RUJUKAN TB ANAK RSUD BEKASI

1 36,1 24,3 J06 1
1 36 64 KONSULTASI
1 36,3 15 L08
PASIEN TIDAK DATANG
1 36,2 13,5 L08
1 36,3 43 R50 1
37 8,3 J06 1
36,2 16 ULCUS
36,1 94 A09 1
36,3 9,2 OMA
1 36 45 157 RUJUK TB ANAK

1 36,2 28 132 L08
1 36,7 15,6 112 J06 1

1 36,2 17 J06 1
9 R50 1
1 59 K30
1 36,3 29,5 141 A09, R50 1 1
36,3 7,8 GE
1 36,2 42 J06 1
36,3 9,4 GE 1
1 36 12,5 104 J06 1
1 36,1 28 STOMATITIS 1
1 21,5 112 R50 1
35,9 12,5 95,5 J06 1
1 36,5 51,5 151 J06 1
DIAGNOSA
TIVITIS
1
1 1
1
1
1
1
2 2
1
1 1
1
1
1
1
lain lain
PCT, DEXA, BC 1
RUJUK RS CIKUNIR POLI ANAK 1
PCT, GG, CTM, BC
CTM, MULTIVIT
RUJUK
RUJUK 1
2 1
PCT, CTM, GG, BCOM 1
PCT, CTM, BCOM 1
DEXA, BCOM 1
GG, CTM, DEXA, BCOM 1
3 1
DOMPERIDON, PCT, B6
MYALGIA PCT, B1, B12
PCT, CTM, GG, BCOM

PCT, DEXA 1
DOMPERIDON, DIAFORM, B6 1
DOMPERIDON, CTM, PCT, B6
1 1
PCT, DEXA, BCOM, FENOL GLISERIN 1
PCT, CTM, BCOM
MOLEXFLU, GG, BCOM
1 1
PCT, ORALIT, B6, ZINK
MOLEXFLU, DEXA, VIT C
RUJUK
COTRI, REMCO, MULTIVIT
DEXA, VIT C
AMOX, PCT, BC, ZALF MATA 1
RUJUK 1
PCT, DEXA, CTM, BC
PCT, CTM, VIT C, BETASHON ZALF
PCT, CTM, B6, ZINK, ORALIT 2
AMBROXOL, PCT
1 1 1
GG, DEXA, CTM, BCOM
KONSULTASI 1
DEXA, CTM, VIT C, SALEP OXYTETRA 1
EPILEPSI 1
2 1
COPERCETYN SYRP, ZINK SYRP 1
CTM, DEXA, BCOM, SALEP GENTAMICIN 1
PCT, VIT C, DEXA, GG 1
vi c, dexa, ctm
1 2
GG,CTM,B6,ZINK 1
GG,CTM,BC, ZINK SY
GG,DEXA,CTM,BC,HYDRO SLP 1
DOEN, B6, DIAFORM, ORALIT
PCT,DEXA,CTM 1
PCT,CTM,DEXA 1
2 2
RUJUK KE RSUD BEKASI 1
AMOX, MOLEXFLU
AMOX, CTM, VIT C AMBROXOL
KLORAMPENIKOL TETES TELINGA, CTM, PCT
PCT, CTM, DEXA, BCOM 1
GG, CTM, BCOM, B6, PCT, PCT SYRP
PCT, GG, CTM, BCOM
KONSULTASI
PCT, B6, ZINK
1
CAVIPLEX SYRP
GG, DEXA, BCOM 1
GG, DEXA, CTM
GG, CTM, BCOM 1
GG, CTM, DEXA, BCOM 1
PCT SYRP, GG, CTM, BCOM 1
PERPANJANG RUJUKAN TB ANAK RS HERMINA GALAXY
KONTROL BBL
SALEP HYDRO 1
DOMPERIDON, AMBROXOL, CTM, B1
AMBROXOL, DEXA, CTM, BCOM, SALEP HYDRO
2 2 2
PCT SYRP, GG, CTM, BCOM
KONTROL BBL
PCT, DEXA, BCOM 1
PERPANJANG RUJUKAN EPILEPSI RSUD BEKASI
CTM, DEXA, BCOM, GG, SLP GENTAMICIN 1

PCT, CTM, B6, BCOM 1
GOM
CTM, B6, ZINK
RUJUKAN 1
KLORAMPENIKOL SALEP
PCT, CTM, B6, ZINK SYRP, 1
AMBROXOL, CTM, BCOM 1
PCT, DEXA, BUFACOM 1
PERPANJNG RUJUKAN
CTM, DEXA, VIT C, SALEP HYDRO
GG,DOEN,ASMEF,PAMOL
PERPANJANG RUJUKAN
CTM, DEXA, SLP HIDRO 1
PERPANJANG RUJUKAN TB ANAK RSUD BEKASI 1

DOMPERIDON, PCT, AMBROXOL 1
KONSULTASI
DEXA, CTM, BCOM, SALEP CLORAMPENIKOL 1
PERPANJANG RUJUKAN TB ANAK RSUD BEKASI 2
PCT, DEXA, VIT C, AMOXILIN
PCT, ANTASIDA, AMOXILIN
AMOXILIN, PCT, CTM, DEXA, AMBROXOL
AMOXILIN, PCT, DEXA, CTM 1
ZINK, COTRI, PCT, CTM
KLORAMPENIKOL, SKOLAMPENIKOL TETES TELINGA, CTM, DEA, PCT
RUJUK TB ANAK 1
CETIRIZINE, DEXA, BCOM 1
REMCO, PCT
PCT, CTM, DEXA, GG, BC
ZINK, PCT, CTM, DEXA, BC
SALEP MATA, PCT, B6, ANTASIDA 1
PCT, B6, ZINK, CTM
COTRI, ORALIT
MOLEXFLU, BIONICOM
PCT, BCOM, CTM, ZINK 1
REMCO SYP, PCT SYRP 1
PCT, ANTASID, DONPERIDON, CTM

COTRI, PCT, BCP
REMCO, PCT
MOLEXFLU, BCP
1
1
1
1 1 1
1
1
1 1
1
1 1
1
1
1
1
1 1 2
1
1
1
1
1
1
1
1
1 1 1 1 4
1
1
1
1 1
1
1
1
1
1
1
1
2 1 1 3
1
1
1
1 1 2 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
REGISTER
No.RM BARU LAMA
MARET 2021
1 1/3/2021 13887 1 M FADILLAH
2 20821 1 INTAN GUNAR
3 2368 1 M HUSAIN
4 24240 1 AFZAL ATHALLAH
5 22779 1 M DAFFIN
6 4246 1 DAHAYU RATU
7 10689 1 SAMUEL PEDRO
8 3768 1 M AZKA
9 14388 1 JELITA HADIST
10 18134 1 ADIBA SHAKLA
11 18451 1 CARLOS DOMINI
2/3/2021 24251 1 RAINA AYESHA

20390 1 AFRIZAL
24254 1 TASKIA RIEFAZRA
23794 1 ZEA ALMAHYRA
22732 1 AFIF MAULANA
16550 1 ALIF MAULANA
20509 1 NAUFAL ATHARI
3/3/2021 12845 1 JIHAN AQILAH

24262 1 NAILAH NUR FAUZIAH
24264 1 ZARA ZARINI
23695 1 ARSENIO RAJENDRA
4/3/2021 24283 1 DENATA DWI

24284 1 FADLAN IRSYAD
24281 1 SAQEENA ALESSA
24282 1 JIHAN NADIA
8048 1 PUTRI SELIYANA
24275 1 FATIH SABILA
2698 1 ALAIKUM
21940 1 QISYA ALIFA
10689 1 SAMUEL PEDRO
JUMAT, 5 MARET 2021 19494 1 RIVKY ALFA

21323 1 LAILA ANYA KHALIZA
19418 1 M NURUL F
12038 1 ANANTHA
406 1 ATIKA HUNAFA
SABTU, 6 MARET 2021 24293 1 ULIN MAYAPAN
760 1 NETA AULIA
10689 1 SAMUEL PEDRO
senin, 08 maret 2021 11978 1 M ADNAN AL ARKANI

6421 1 REPANSYAH
13773 1 AHMAD ADNAN
5955 1 SYAUQI AZKA
24312 1 BATRISYIA IRDINA
24310 1 RAF PUTRA
SELASA, 09 MARET 2021 11978 1 M. AND AL ARKANI

23657 1 KANRA FEUVEBRCANT
20450 1 RAKA NOXAN
24318 1 FAHRI DANI
16172 1 M KENZI AL FARIZI
1 RABU, 10 MARET 2021 13773 1 AHMAD ADNAN

2 15061 1 M GIZAR AL SYAUQIE
3 22732 1 AFIF MAULANA
4 16550 1 ALIF FATURRAHMAN
5 24326 1 SUCI SEPTIA
6 19386 1 LUKMAN HAKIM
7 24328 1 IQBAL SAPUTRA
8 22985 1 RAISYAN
9 12730 1 JUNA ZA'FAR
10 11748 1 M HISYAM
11 11978 1 ARKAN
1 JUMAT, 12 MARET 2021 24332 1 ALDI AKHNUARI

2 3964 1 PUTRA RIZKI MAULANA
3 15094 1 YOHANA SAFITRI
4 24334 1 RADITYA ADINATA
5 15645 1 SALWA SALSABILA
6 438 1 NAFISA ALLEA
7 19879 1 FEBRIYANI NURUL
8 23686 1 PUTRI ADELIA
9 17885 1 gladies rexa
13/03/2021 20364 1 SALSABILA AYU

23823 NADIRA FAZILLA
20691 1 MUHAMAD ALIF
12968 1 ALDY RIVALNO
20878 1 AMARINI
18174 1 GUEINEVE CARTICE
1 15/03/2021 23191 1 M FATHAN
2 11606 1 AISYAH
3 24096 1 NAURAH AISYAH
4 4256 1 M FAKHRI
5 6930 1 INARA ASSYIFA
6 15571 1 SAFIRA FITRIANI
7 24015 1 M AMAR
8 7759 1 ARSYILA KAYANA
9 24354 1 LAILA MADYA
10 20878 1 AMARINI RAHMAH
11 24353 1 MUHAMAD RAKA AZAMKA
12 20868 1 NAZWA KAYLA
13 19674 1 FEBRIYANI NURUL
14 22620 1 M FATAN SHABIL
15 22311 1 NADILA ANANDA
16 20709 1 INDRA ALAMSYAH
17 22660 1 M RAFASYA
18 21574 1 INTAN VIOLITA
19 18174 1 GUENIVERE CARLIE
1 SELASA. 16 MARET 2021 20202 1 MICHELLE ZAFANY

2699 1 SINTA BELA NADIRA
9136 1 M RAFFA REZKI
2697 1 HALK HALOO
23487 1 KHOLSA OKTAVIYANI
14729 1 AHMAD MUBAROK
24366 1 M AKRAM ZAYDAN
1 RABU, 17/03/2021 1806 1 MOH IBNU

2 21760 1 ABIIDZAR AL KAHFI
3 760 1 neta aulia putri
4 3282 1 fathir rahman
5 13367 1 tiara marsyala
6 21237 1 m hamzah
KAMIS, 18/03/2021 24396 1 M PANJI SAPUTRA

22311 1 NADILA ANANDA
24353 M RAKA
9394 RASHYA
11349 DYRARAMA
14729 AHMAD MUBAROK
11318 M ADAM
1021 NIA RAMADHAN
JUMAT, 19/03/2021 24194 1 M ALIF MUSLIM
24398 1 PETER ANUGRAH
24401 1 ARUMI
57471 1 CLARYSSA
5599 1 ISMU HIDAYAT
10200 1 AZZAHRA
24099 1 M ALFIAN
17885 1 GLODIA
5471 1 AYDAN REKHA
sabtu, 20/03/2021 7868 1 m zaki

20758 1 arkana relvan
8703 1 m zidan
14468 1 anisa sabila
1 SENIN, 22 MARET 2021 21826 1 AZRIL KAIS

2 21727 1 KHOFIFAH APRILIANA
3 24291 1 FAIRUZ KAMILAH
4 9662 1 RIZKY AGUSTIANI
5 24162 1 AHMAD FAISAL
6 19338 1 DION ATHALLAH
7 24417 1 ZIATAN IBRAHIMOVIC
8 24418 1 KREISYA NUR AUNI
9 24420 1 KEISYA JUWITA
10 23793 1 RIZKA
11 10253 1 SALAMAH AULIA
12 4256 1 M FAKHRI RAMADHAN
SELAS, 23 MARET 2021 15069 1 M ATTAR AL HAIDAR

22920 1 JELITA ZEGA
24486 1 RAINA AGENG
22847 1 FAJAR AL ALKAHFI
22526 1 DELADA
3867 1 M ABIAN SAPUTRA
24488 1 GAZA FAJI
RABU, 24 MARET 2021 22326 1 ROSMAWATI

24496 1 SRIOKTAVIA
24497 1 ELKA AURA
3532 1 M ILHAM
3768 1 M AZKA
21826 1 AZRIL KAIS
24500 1 LUTFI AKBAR
KAMIS, 25 MARET 2021 24504 1 ASYIFA SHERRYL
23963 1 HAVIN DEOGRATIAZ
22658 1 AKMAR NADIF
1085 1 LUKMAN AL HAKIM
21975 1 MALIK
24387 1 CYRA NUR
1 JUM"AT 26 MARET 2021 24508 1 AHMAD ZAIDAN

2 23518 1 MIKAEL JULIAN
3 18174 1 GUINEVERE CARLIE
4 24511 1 ADZKIA NUR FADILAH
5 5690 1 SAHILA RAHMADANI
6 12690 1 MUHAMAD AZAMY
7 20543 1 SITI FATIMA
SABTU, 27 MARET 2021 2823 1 SYAHRANI

24519 1 WIDIANTYO
14405 1 ABDULLAH
11759 1 SILVA NURHAKIM
16550 1 ALIF FATURAHMAN
22732 1 AFIF MAULANA
SENIN, 29 MARET 2021 14921 1 HUMAIROH

23686 1 PUTRI ADELIA
18998 1 ALMAIRA NADIRA
14041 1 RASYEL FEBRIANSYAH
24528 1 SAIRA NASYIHA
14047 1 MELODY MADINA
22985 1 RAISYAN
SELAS, 30 MARET 2021 24535 1 NAZWA KHOIRUNISA

18571 1 M RIZQI PRATAMA
8280 1 ABDURAHMAN
24540 1 M KINZA
24533 1 GE ANDRA KUSUMA
RABU, 31 MARET 2021 19894 1 ISTIQOMAH

24544 1 NAJMIN
24546 1 ASYIFA NUR PERMATA
15844 1 IMAM ABU HANIFA
22723 1 mai chyrsovia
3275080502090007 087782757691
350201420679003 08111267910
08988160424
081310319420
082218143383
08567012818
085811702520
082218143383
081806874771
081310319420
081386123793
0002885109287 08881343663
08124764481
08959884423
089601269011
0812868713
0812868713
082210482730
081213867534
08121387534
089608282424
081213040130
000534405003 081296272295
0002019745991 081296272295
081932610882
0001382799532 081368167674
3275082909090066 085716974640
085715535693
089676013816
081281474228
0001454742707 085811702520
1 083841090099
0001881332436 087781721424
1
0001962576819 081398382717
00013789907213 087820187895
1 08951539189
1
0001454742707 085811702520
087843207028
0000508029287
3275081009080023 082110600068
0001478989394 087762381916
0001443960742 085771100703
085729518513
1 087843207028
0002937902473 085959141999
0001324335699 085959141999
087888134558
0002762051218 087880020254
1 082110600068
1 082110600068
1 0812868713
0002767067098 089629950497
1 089528959510
1 08198289374
1 085881582071
1 0838068272
1 085770060034
1 081295999142
1 087843207028
1 08121018889
1
1 081296817452
1 081318747072
1 083127225006
1 085711124923
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0002927634344 081413465729
0001658092678 08170819888
089519018719
081310117153
0895626746756
8970679501
2294928909 85777473130
3275082306710011 0002896775267 08170819888
3207110106120001 0002143675157 089619834275
081298000575
089660216171
081953216107841
1 0838083006962
1 0218470368
1 089638091445
085876725675
081318439143
0002294928909 085777473130
3275086707780029
3203136206890004 0813180091898
327508430217001 000814101464 081511238384
089653523801
3275086707780029
085770025058
085694726900
0002201040516 081908073277
3275082306710011 0002896775267 08170819888
1 081214572871
1 089676013816
1 08159448335
1 08976013816
1 089687383917
1 082110160935
1 083127246832
1
1 081314870252
327508200710007 81932383179
0002926734412 089667644181
3275084511910010 085733707756
3275087105790017
3275080502090048 085287919402
1 082297982573
1 088637073626
1 081266606305
0001013720859 081317959833
1 089671179595
1 089608387820
1 081285281592
1 085780547092
1 08788827199
1
1 089608650810
081953216107841
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327508003110038 0821407787
082218143383
3173012905200005 082297982573
081210676633
081287994971
3175022203190007 0002754336148 081210691044
08774117594
3275080401770019 083808949769
3301154501920003 08977776330
3275083103040003 081283906771
081284646824
08170819888
0895328279818
085281644034
081280303616
081324695688
0001262002105 087783062850
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089647278059
089647278059
08138887638
0001647812606 0818916185
0838068272
081212835655
087888514747
081380812733
082298006964
1 087883042506
1 085591136415
1 081283509044
1 082114513560
082124989872
08881049762
ALAMAT UMUR
NAMA ORTU DALAM TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN
LUAR WILAYAH
WILAYAH L P L P L P
DAMIN JB 2/1 8/10/2011

ASEP JB 7/1 24/05/2016
PRAYOGA JTMEKAR 6/12 2/12/2006
HERMAN JB5/2 2/12/2006 1
MARTIN JB 1/3 20/07/2020 1
M MAHFUD JB 2/14 8/4/2017 1
POLTAK JB 7/14 12/7/2006
MARTIN JB 1/3 1/4/2015
HADI JB 2/2 3/1/2013
HERMAN JB 5/2 1/3/2016
ISAI JB 1/2 18/10/2019 1
FADLY JBB 3/11 16/04/2019 1

JUNAEDI JB 4/3 17/01/2019 1
HERU JB 2/2 23/11/2005
NOFIYANDRA JB 2/14 12/5/2017 1
ANOM JB 3/2 4/7/2020 1
ANOM JB 3/2 25/05/2019 1
M RAMLI JBB 6/2 20/01/2010
USMAN JKM 1/15 1/6/2014

USMAN JKM 1/15 11/1/2004
SAJI JB 1/3 7/1/2013
PASYA JB 4/11 13/06/2017 1
REDI JKM 11/5 2/6/2006 1

REDI JKMT 11/5 10/7/2015
M TRI JBB 7/10 15/04/2018 1
WAHYUDI JBB 6/3 12/7/2009
NOJET JB 7/3 14/08/2003
MIFTAH JB 5/3 27/02/2021 1
HUSEN JKM 4/2 23/07/2016
WAHYU JB 6/10 27/04/2018 1
POLTAK JB 7/14 12/7/2006
VALFATINO JKM 2/5 23/09/2011

TARDIAT HALIM JB 4/3 12/9/2004
JB 5/2
RETNO HADI JB 6/12 20/12/2015
RAHMARILLAH JB 3/2 17/08/2006
SUKAWATI JKM 5/4 5/3/2006
MARJUKI JB 4/2 5/8/2018 1
POLTAK ADENY JB 7/14 12/7/2006
DARU RAMADHAN JB 14/12 6/1/2017 1

YASIN JBB 1/11 8/2/2007 1
SUPRIYATIN JB 5/6 14/08/2009
GEMBI JB 6/12 24/05/2014
DSOLEH JB 4/7 8/5/2011
L08 JB 4/3 2/12/2019 1
DARA RAMADHAN JB 14/12 6/1/2017 1

ROHMAT JB 3/3 24/2/2020 1
ROHMAT JB 3/3 9/9/2009
NANANG JB 2/3 31/12/2007
VERY JB 6/1 29/04/2019 1

ANOM JB 3/2 4/7/2020 1
ANOM JB 3/2 25/5/2019 1
ISKANDAR JB 6/3 3/9/2009
RONI ROJANI JB 7/1 16/7/2014
TATI TARHANTI JB 5/2 26/9/2005
FERI JB 6/3 9/8/2020 1
AHMAD AKBAR JB 1/1 30/1/2018 1
RUSNADI JB 5/3 21/11/2016 1
DARU RAMADHAN JB 14/12 6/1/2017 1
YOSEF JB 4/4 31/1/2003

DARMANTO JB 5/2 12/4/2007
FRANKY JB 6/5 21/8/2012
QURTUBY JB 7/3 11/6/2015
ABD SOMAD JB 2/1 27/4/2004
JB 6/3 27/5/2018 1
SUPENIN JB 4/2 3/2/2017 1
YULIANTO JBB 4/8 17/3/2020 1
FRANKY jb 5/5 22/9/2008
FITRIYAH JB 2/2 12/11/2018 1

SUMEJO JB 6/3 20/03/2020 1
MUHAMAD SUBUR JB 6/1 24/01/2020 1
YUDHI JB 1/2 8/2/2011
YUDA JB 6/2 15/09/2003
FRANKY JB 5/5 5/10/2019 1
DIDI JB 2/3 1/6/2012
SOPIAN JB 2/2 20/12/2017 1
TRISNA JB 6/3 25/10/2020 1
FARIKIN JB 4/2 31/07/2011
ADI SUPRAYADI JB 11/1 12/4/2018 1
JEMINGAN JB 3/1 15/1/2019 1
SUPARDI JB 8/1 22/12/2020 1
DENI JB 5/2 5/12/2016
AHMAD MU ALIF JB 6/1 18/10/2008
YUDA JBB 6/2 15/09/2003
KARHADI JB 4/2 26/05/2013
FIRMANSYAH JB 3/14 10/3/2013
SUPENI JB 4/2 3/2/2017 1
HENDRI JB 4/2 21/01/2019 1
KARNADI JB 4/2 1/11/2019 1
IKA SARTIKA JBB 6/2 14/10/2017 1
KOSAHROHMAN JB 1/14 14/07/2020 1
JATI WIDODO JBB 7/6/2005
FRANKY JB 5/5 5/10/2019 1

HUSEN JKM 4/2 27/7/2014
ARIF JB 1/11 21/7/2015
HUSEN JKM 4/2 27/02/2019 1
HARIYADI JB 6/3 23/10/2020 1
SUWADI JB 2/14 11/1/2019 1
SYAFRINALA JB 4/5 16/08/2018 1
JB 5/2 4/2/2018 1
AHMAD RISKI JB 3/2 13/05/2020 1
marjuki jb 4/5 1/8/2018 1
firman jb 3/2 12/12/2009
agus jb 6/6 8/3/2013
syaifuloh jb 2/14 13/03/2020 1
SAJI JB 1/3 24/11/2018 1

KARNADI JB 4/2 1/11/2019 1
KARNADI JB 4/2 26/5/2013 1
FAJAR JB 2/10 15/07/2018 1
RAMDAN JB 2/14 5/8/2018 1
SUWADI JB 6/3 11/1/2019 1
ANDRI JB 6/3 2/3/2017 1
JBB 6/2 26/06/2011
DIANA JKM 6/12 14/04/2006
YOSEP JB 6/3 27/06/2020 1
RAHMAT JB 5/2 13/07/2020 1
JOKO JB 6/3 14/11/2017 1
ASYILA JB 7/1 26/01/2010
JOKO JB 5/3 26/06/2015
WAHYU JB 4/3 7/5/2020 1
FRANKY JB 5/5 22/09/2008
JB 12/10 11/1/2018 1
abdullah jb 10/12 11/5/2012

mulyadi jb 4/2 15/02/2020 1
nimansyah jb 3/2 18/06/2014
solihin jb 12/10 25/11/2013
RAHMAT JB 2/2 29/5/2020 1

SUMAN JB 4/2 8/4/2020 1
MUNARTO JB 1/3 9/1/2014
SUMAN JB 4/2 17/8/2008
PUDIN JB 2/2 19/7/2004
ANURPALAK JB 5/3 27/3/2016
M SUPRAPTO JBB 2/2 21/3/2014
ASYIR JTK 2/1 27/11/2011
HAERUDIN JB 1/3 15/10/2007
JB 2/4 6/5/2005
MATRIDI JB 3/7 22/7/2006
FARIKIN JB 4/2 31/07/2011
ALI USMAN JB 1/3 9/2/2019 1

DESLIAMAN JB 6/2 5/4/2018 1
SUKATNO JB 3/7 1/10/2008
VIONITA JB 2/2 1/4/2020 1
DESLIAMAN JB 6/2 20/07/2020 1
BAGUS JB 3/2 3/11/2016
MASRUH JB 3/7 25/01/2009
SUWARDI JB 2/14 11/1/2019 1
ATANG SAPUTRA JB 4/2 6/11/2007

JAFRA JB 1/1 5/10/2004
SIDIK JB 8/1 19/12/2005
ADE JBB 6/8 4/1/2010
MARTIN JB 01/03 01/04/215
RAHMAT JB 2/2 29/05/2020 1
SLAMET RAHARJO JB 3/7 4/8/2008
DEDI JB 4/7 26/08/2010
SAHAT JB 5/2 22/03/2019 1
IWAN IBRAHIM JBB 3/9 8/8/2020 1
M YUNUS/ NURJANAHJB 5/3 22/12/2016
M YUNUS/ NURJANAHJB 5/3 10/4/2020 1
OYONG JB 1/14 25/09/2013
SAHRUL JB 4/2 16/02/2021 1
RUSWANDI JB 12/10 31/03/2004

AMIN FAUZI JB 4/1 31/07/2017 1
FRANKY JB 5/5 5/10/2019 1
ILHAM JB 3/7 15/03/2014
SOFIAN JB 2/2 9/7/2015
MARYADIH JB 6/3 20/07/2014
OSCAR JTKMT 3/2 17/08/2012
NANA JB 6/1 4/10/2004

IGNATIUS JBB 5/7 6/7/2004
ROKHATI JBB 6/4 22/06/2010
DONI JB 5/2 14/02/2014
ANOM JB 3/2 25/05/2019 1
ANOM JB 3/2 4/7/2020 1
FIAN JB 2/2 18/07/2010

YULIANTO JBB 48 17/03/2020 1
SARBINIH JB 4/3 16/10/2019 1
SARBINIH JB 4/3 13/02/2010
HERU JB 4/2 2/1/2021 1
AHMAD HABIBIE JB 7/12 22/2/2014
FERI JB 6/3 9/8/2020 1
SUPRAPTO JB 1/1 14/08/2019 1

RUDI JBB 6/2 17/09/2015
WANTI JB 2/14 23/09/2016
ROBIN JB 5/6 6/12/2019 1
AEM GANDA JBB 1/11 9/12/2017 1
JATIASIH 4/12 26/6/2017 1

SABENIH JB 7/3 16/7/2015
ARI HARSONO JBB 31/07/2015
ALI SUTAN JB 1/14 20/10/2007
natarisman JB 5/2 8/5/2020 1
UR
L P
1 36,5 34 133,5 J06 1

1 35,8 37 132 KONSULTASI
1 35 81 160 J06 1
35 8,3 J06 1
36 8,3 J06 1
36 19 97 K30
1 36 54 171 PARONICIA
1 36,5 20 115 J06 1
1 36,3 27 130 J06 1
1 36 16 98,5 J06 1
36 9,3 PERPANJNAG RUJUKAN KELAINAN SENDI RSUD BEKASI
36 10,5 82,5 TB ANAK

36,3 10 A09 1
1 36 43 153 FLOUR ALBOUS
36 13 102 J06 1
36,4 8,3 J06 1
36 11 81 TB ANAK
1 36,3 36 R50 1
1 36 16 K30
1 36 45 150 K30
1 36,1 17,5 118 K30
36,2 10 STOMATITIS 1
36 39
145 J06 1
1 36 17
140 J06 1
36 17
110 KONSULTASI
1 36 35
130 L08
1 35,4 46,5 150 SKS
PASIEN TIDAK DATANG
1 35,7 21 J06 1
PASIEN TIDAK DATANG
1 36 43 161 PARONICHIA
1 40 J06 1
1 36,3 60,3 SUSP TB
35,0 44,20 FOLIKULITIS
1 36 18 KONSULTASI
1 OS TIDAK DATANG FUNGCTIONAL INTESTINAL DISORDERS
1 36,1 44 155 KIR SEHAT
36,2 8,5 80,5 MALNUTRISI, ISPA
1 KONTROL LUKA
36,3 12 GE
31 KONSULTASI
1 36 25 130 K30
1 36 18 F80.9
1 36,2 25 132,8 J02 1
36 11 88 L08
12 DHF
36,5 9 J06 1
1 30,9 J06 1
1 36 54 159 SCABIES
36 13 85 J06 1
1 36 143,8 K30
1 16 K30
36,3 7 DIARE 1
11 DIARE 1
1 39 152,7 DIARE 1
1 29 121 J06 1
1 47,5 161,9 SCABIES
7 L08
OS TIDAK DATANG LEUKIMIA
OS TIDAK DATANG EPILEPSY
14 FEBRIS 1
1 64 169 KIR SEHAT

1 43 156,2 SCABIES
1 36,1 28 121 DYSPEPSIA
1 35,6 19 115,2 DERMATITIS
1 68 156,8 FARINGITIS 1
11 ISPA 1
16 IRITASI KULIT VAGINA
OS TDK DTG DISENTRI, ANEMIA
1 38,5 38 r50 1
36 12 89 LUKA BAKAR
36 9 A09/R50 1 1
36,3 8,4 R50 1
1 36 29 R50 1
1 36 41 J06 1
36 9 K 30
1 PASIEN TIDAK DATANG
36 15 87 R50 1
38,1 6,6 R50 1
37,2 15 R50 + K30 1
37,1 10,5 R50 1
36,4 5,5 J06 1
1 36,1 16,5 K30
1 36 44 L08
1 36 41 J06, L08 1
1 36 20 123 SCABISITE
1 36,4 20 117 SOFT TISU
36 13 96 L08
36,1 15 89 CC, H10 1
36,4 8,7 SCABIES
36,4 12 J00 1
36,3 7,1 L08
36,3 9 A09 1
1 35,6 15 R50 1
1 36,2 23 J06 1
1 36,6 17 ALERGI
36 11 L08
36,3 5,4 R50 1
36,2 10,7 J06,H10 1
36,3 12 L08
36,5 11 91,2 J06 1

36,2 7,7 A09 1
36 9 80,5 j06 1
1 36,3 25 134 k30
1 36,2 21 j06 1
36,1 10 l08
36,2 10 K30
8,7 SCABIES
20 SCABIES
OS TIDAK DATANG
12,2 FARINGITIS 1
10,7 GDD
12 CC 1
1 17 R50+ K30 1
1 36 45 167 SCABIES
36,6 7,5 FEBRIS 1
36,1 8,1 SCABIES
36 14 ISPA 1
1 36,7 15 CC 1
1 36,2 16 ISPA 1
36,2 7 ISPA 1
1 36 38 URTICARIA
36,1 12 THYPOID 1
1 36,2 20 oma
36 8,9 j06 1
1 36 21 118 k12 1
1 36 22 122 j06 1
37,3 8,6 R50 1

36,4 8,6 J06 1
1 36,1 24 125,7 GASTRITIS
1 34,3 67 153,7 J06 1
1 48 J02 1
1 36,8 15 112 R50 1
1 36 17 115,7 KONSULTASI
1 37,1 22 130 J06 1
1 35,9 63 160 CC 1
1 OS TIDAK DTG BARTER SYNDROM
1 36 52 157 KIR SEHAT
1 29 V.L
OS TDK DATANG GDD

36 11 87 RUJUK POLI TUMBANG
1 36 60 155 KIR SEHAT
36,1 6,4 PERPNJANG RUJUKAN TB ANAK RSUD CHAM
36 6,4 J06 1
1 36 17 V.L
1 36 34 135 KIR SEHAT
36 10,7 80 A09 1
1 36 59 161 CEK GOL. DARAH

1 36 49 152 CEK GOLDAR
1 36 100 165 CEK GOLDAR
1 PASIEN TIDAK DATNG PERPANJANG RUJUKAN B20
1 J06 15
36,9 8,5 A09 1
1 KIR SEHAT
1 36 30,5 139,2 KIR SEHAT / TURNAMEN
PASIENT TIDAK DATANG
36,3 7,4 66 J06 1
1 36,3 13 95 J06 1
36,8 24 127 L20
1 36,5 24 127 J06 1
TINDIK
1 36,3 80 171,3 KIR SEHAT / SEKOLAH

36 18 100 J06 1
37,7 9 R50 1
1 35,9 19 119 KIR SENAT
1 35,9 14 J06 1
1 36 11 GDD
1 36 20 R50 1
1 35,6 56 157 L08

1 36 75 173
1 36 18 L08
36 11 A09 1
36 6,9 A09 1
1 36,3 15 123 CHEPALGIA

PASIEN TIDAK DATANG
36,3 9,3 R50 1
1 36,2 20 130 URTICARIA
36 4,9 KONSULTASI
1 36 23 B86
36,3 7,4 SCABIES
36,5 9,6 J06 1

1 36,3 14 J06 1
35,2 8 A09 1
36,4 10,5 88,5 THYPOID
36,2 14 VONITUS
1 36,8 28 116 J06 1
1 35,8 15 105,7 CC 1
1 36,4 27 K30
36 8,4 J06 1
DIAGNOSA
TONSILITISDERMATITIS KONJUNG URTICARIA INF.KULIT DYSPEPSIA VARICELLA SCABIES PAROTITIS OMA
TIVITIS
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
lain lain
AMBROXOL, CTM, BCOM 1

KONSULTASI 1
AMBROXOL, DEXA, VIT C
DEXA, CTM, GG, BCOM, PCT 1
GG, DEXA, BCOM 1
PCT, B6, CTM, ORALIT
AMOX, ASMEF, DEXA, VIT C
CTM, AMBROXOL, DEXA, BCOM 1
DOMPERIDON, PCT, B6, ORALIT 1
REMCO SYRP, CAVIPLEK 1
PERPANJANG RUJUKAN RSUD BEKASI 1
PERPANJANG RUJUKAN TB ANAK

CTM, B6, ZINK ORALIT 1
PCT, DEXA, FLUCONAZOLE 1
PCT SYRP, CTM, GG, BCOM
PERPNJNAG RUJUKAN TB ANAK 1
SARAN PRIKSA LAB
DOMPERIDON, B6, ORALIT, ZINK

DOMPERIDON, PCT, DIAFOM, ORALIT
PCT, DEXA, CTM, BUFACOM
AMBROXOL, PCT, CTM, VIT C,

REMCO, CAVIPLEK
KONSULTASI
DEXA, CTM, VIT C, SALEP OXYTETRA
SKS 1
PASIEN TIDAK DATANG 1
GG, DEXA, CTM, CAVIPLEK
PERPANJANG RUJUKAN SPEECH DELAY HERMINA GALAXY
EKSTRAKSI KUKU
PCT, CTM, DEXA, AMOX

SUSP TB (CEK BTA) 1
DEXA, CTM 1
RUJUKAN 1
GG, BC, PCT 1
PCT, DOMPERIDON, ZINK

KONSULTASI
ANTASIDA SYRP, PCT SYRP
SPEECH DELAY 1
PCT, CTM, BCOM
CTM, DEXA, BCOM, SALEP OXYTREA 1
PCT, AMOX, DEXA, CTM 1

PCT, AMOX, DEXA
BIONICOM, SALEP SCABISITE 1
PCT, CTM, B6, ZINK 1
PCT, CTM, B6, ANTASID

PCT, CTM, B6
PCT, CTM, B6 1
CTM, B6, ZINK, HYDRO ZALF 1
PCT, DOEN, B6, DIAFORM 1
PCT, CTM, CAVIPLEX 1
AMOX, CTM, DEXA, SCABISID 1
CTM, DEXA, BC, OXY ZALF 1
RUJUK RSUD KOTA BEKASI POLI ANAK 1
EPILEPSY RUJUK RSUD KOTA BEKASI POLI ANAK 1
CTM, B6
AMOX, DEXA, CTM, VIT C, SCABISOL 1

DOEN, PCT, CTM, B6 1
CTM, DEXA, CAPIPLEX, SALYSIL TALK 1
PCT, DOEN, B1 1
PCT, GG, CTM 1
PCT, CTM
RUJUK RS KARUNIA KASIH POLI ANAK
doen, pct, ctm, b6 1
PCT, CTM, DEXA, BCOM, SALEP BIOPLASENTON 1

PCT, CTM, B6, ZINK SYRP 1
PCT, CTM, DEXA, BCOM 1
PCT, CETIRIZINE, BCOM, GG 1
AMBROXO, DEXA, BCOM
PCT, CTM, B6, ORALIT 1
PERPNJNG RUJKAN MAS MITRA KERATITIS 1
REMCO SYRP, CAVIPLEK, SALEP OXYTETRA 1
PCT, CTM, GG, SALISIL 1
KONSULTASI 1
CTM, DOEN, B6, PCT, ORALIT 1
PCT, CTM, BC 1
GG, CTM, PCT 1
AMOX, CTM, VIT C, SALEP OXYTETRA 1
AMBROXOL, CTM, VIT C, SALISIL TALK
CTM, DEXA, BCOM, SALEP 24 1
RUJUK RSUD CAM
AMOX, CTM, PCT, DEXA, CAVIPLEK 1
CTM, DEXA, BCOM, SALP OXYTETRA 1
CTM, BCOM
CTM, DEXA, BCOM, SALEP OXYTETRA
PERPANJANG RUJUKAN CATARAK
CTM, B6, ZINK 1
PCT, CTM, B6 1
AMBROXOL, DEXA, CTM, BC
CTM, B6, BC
PCT, CTM, BCOM 1
PCT, CTM, GG, BCOM, SALEP OXYTETRA
SALEP OXYTETRA, CTM, DEXA, BCOM 1
PCT SYRP, CTM, DEXA, GG 1

CTM, B6, ZINK 1
ctm, gg, bcom 1
domperidon, pct, b6, bcom 1
ambroxol, dexa, bcom
ctm, dexa, bcom, salep oxytetra
PCT, CTM, B6, ORALIT 1

CTM, DEXA, B6, SALEP 24 1
BCOM, CTM, DEXA, SALEP 24 1
RUJUK RS
PCT, DEXA, CTM, BCOM 1
RUJUKAN
DOMPERIDON, PCT, B6 1
CTM, DEXA, VIT C, SALEP 24
PCT, CTM, BCOM 1
CTM, GG, BCOM 1
PCT, CTM, BCOM 1
REMCO SYRP, CAVIPLEX 1
PCT, CTM, GG 1
LORATADINE, SALISIL TALK 1
RUJUKAN MASMITRA 1
pct, dexa, bcom

gg, ctm, bcom 1
pct, dexa, bcom, saelp bufacom 1
pct, ctm, ambroxol, bcom
PCT, CTM, BC 1
PCT, GG, BC, CTM 1
DOEN, PCT, B6 1
AMBROXOL, CTM, VIT C 1
PCT, DEXA, VIT C 1
PCT, CTM, BC 1
PCT, CTM, B6
PCT, CTM, B6 1
RUJUK RSUD BEKASI POLI ANAK 1
GANTI PERBAN 1
RUJUK HERMINA BEKASI POLI TUMBANG 1

KIR SEHAT
PERPNJANG RUJUKAN TB ANAK 1
PCT, CTM, GG 1
DISARANKAN UNTUK KE IGD RUMAH SAKIT 1
KIR SEHAT
PCT, CTM, B6, ZINK, ORALIT
CEK GOL DARAH 1

CEK GOL DARAH 1
CEK GOL DARAH 1
PERPNJNAG B20
REMCO SYRP, DEXA, BCOM 1
KONSULTASI 1
KIR SEHAT
KIR SEHAT / TURNAMEN
KONSULTASI
GG, CTM, DEXA, BCOM
REMCO SYRP, DEXA, BCOM 1
CTM, DEXA, BCOM, SALEP HYDRO 1
AMBROXOL, CTM, BCOM
TTINDIK 1
KIR SEHAT
CTM, GG, BCOM 1
PCT, CTM, B6 1
KIR SEHAT SEKOLAH
DEXA, CAVIPLEK 1
PERPNJANG RUJUKAN RS HERMINA 1
PCT, CTM, B6, BCOM
CTM, DEXA, VIT C, SALEP HYDRO 1

KIR SEHAT
PERPANJANG RUJUKAN RS MASMITRA
CTM, ,DEXA, CAVIPLEJ, SALEP HYDRO 1
PCT, CTM, B6, ORALOT, ZINK 1
PCT, CTM, BCOM 1

PERPNAJNG RUJUKAN RS KARUNIA KASIH ANEMIA DIFISIENSI
PCT, CTM, , BCOM, SALISIL TALK 1
CTM, BCOM, SALISIL TALK 1
1
CTM, DEXA, ZALF 24
PCT, CTM, DEXA, SALEP 24 1
REMCO SYRP, CAVIPLEX 1

PERPANJANG RUJUKAN TB TULANG
REMCO SYRP, CAVIPLEX SYRP
CTM, B6, ZINK SYRP, ORALIT
PCT, CTM, B6, BC, ORALIT

REMCO, DEXA 1
PCT, CTM, DEXA, BC
DOMPERIDON, PCT, B6
GG, DEXA, CTM, BCOM 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
MARET 2021
TOTAL
NO KEGIATAN MTBM
L P L P L+P
1 Jumlah total kunjungan bayi muda 1 hari -
2 Jumlah total kunjungan bayi muda dengan
FATIH SABILA JB 5/3
SARGHA ABQARY JB 8/1
KEYSA AURELIA JB 2/3
GIANKA ZELENA JB 4/7
KIREINA AZZAHRA JB 3/14
JORDAN SETYA JB 2/12
HAFIFAH HILYA JB 4/2
HANANIA ZULFA JB 63
azkiya JB
cyra nur JB 4/2
KIREINA JB 2/14
NARA ADIRA JBB 6/2
BUNGA AISYAH JB 3/13
saiqa nashiha jb 4/2
ABDULLAH AKIF JB 1/1
3 11 0 1
10 13
3 Jumlah total kunjungan bayi muda dengan

NO KEGIATAN MTBM
L P L P L+P
nan
Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus

Kemunkin a. BB Rendah Menurut Umur
an Berat dan / atau Masalah Pemberian
Badan ASI
6 Rendah &
Masalah
Pemberia b. BB Tidak Rendah dan Tidak
n ASI ada Masalah Pemberian ASI
Pemberia
n Minum a. BB Rendah atau Masalah
atau BB Pemberian Minum
Rendah
7
pada Bayi b. BB Tidak Rendah dan Tidak
yang ada Masalah Pemberian Minum
Tidak
Mendapa
10 Rujukan
MARET 2021

NO KEGIATAN MTBS
L P L
INTAN GUNAR JB 7/1
M DAFFIN ( 9 BLN ) JB 1/3
ADIBA SHAKLA JB 5/2
RAINA AYESHA ( 1 THN )
AFRIZAL ( 1 THN ) JB 4/3
ZEA ALMAHYRA ( 3 THN ) JB 2/14
SAQEENA ALESSA ( 2 THN )
ALAIKUM ( 4 THN ) JKM 4/2
M. AND AL ARKANI ( 3 THN ) JB 14/12
KANRA FEUVEBRCANT ( 1 THN ) JB 3/3
ARKAN ( 3 THN ) JB 14/12
NAFISA ALLEA ( 3 THN ) JB 6/3
NADIRA FAZILLA ( 1 THN ) JB 6/3
MUHAMAD ALIF ( 1 THN ) JB 6/3
AISYAH ( 3THN ) JB 2/2
INARA ASSYIFA ( 2 THN ) JB 11/1
SAFIRA FITRIANI ( 2 THN ) JB 3/1
M AMAR ( 1 THN ) JB 8/1
M FATAN SHABIL ( 2 THN ) JB 4/2
INDRA ALAMSYAH ( 3 THN ) JBB
KHOLSA OKTAVIYANI ( 1 THN ) JB
MOH IBNU ( 3THN ) JB 5/2
ABIIDZAR AL KAHFI ( 10 BLN ) JB 3/2
M PANJI SAPUTRA ( 3 THN ) JB 1/3
DYRARAMA ( 2THN ) JB 2/14
PETER ANUGRAH ( 10 BLN ) JB 6/3
M ALFIAN ( 10 BLN ) JB 4/3
arkana relvan ( 1 THN ) jb 4/2
KHOFIFAH APRILIANA ( 1 THN ) JB 4/2
DION ATHALLAH ( 5 THN ) JB 5/3
DELADA ( 9 BLN ) JB 6/2
AKMAR NADIF ( 8 BLN ) JBB
MIKAEL JULIAN ( 3 THN ) JB 4/1
ALMAIRA NADIRA ( 2 THN ) JB 4/3
NAZWA KHOIRUNISA ( 1,7 THN ) JB 1/1
M KINZA ( 13 BLN ) JB 5/6
ABDURAHMAN ( 5 THN ) JB 2/14
18 14 3
DAHAYU RATU JB 2/14
M AZKA ( 5 THN ) JB 1/3
AFIF MAULANA ( 9 BLN ) JB 3/2
ALIF MAULANA ( 2 THN ) JB 3/2
ARSENIO RAJENDRA ( 3 THN ) JB 4/11
NETA AULIA ( 2 THN ) JB 4/2
M ADNAN AL ARKANI ( 3 THN ) JB 14/12
M KENZI AL FARIZI ( 1,11 BLN ) JB 6/1
PUTRI ADELIA ( 1 THN )
GUEINEVE CARTICE ( 1 THN ) JB 5/5
NAURAH AISYAH JB 6/3
ARSYILA KAYANA 9 5 THN ) JB 5/2
GUENIVERE CARLIE ( 1 THN ) JB 5/5
AHMAD MUBAROK ( 2THN ) JB 2/14
neta aulia putri ( 2 THN ) JB 4/2
M ADAM ( 4THN ) JB 6/3
CLARYSSA ( 3THN ) JB 6/3
AYDAN REKHA ( 3 THN ) JB 2/10
AZRIL KAIS ( 11 BLN ) JB 2/2
AHMAD MUBAROK ( 2 THN ) JB 2/14
LUKMAN AL HAKIM ( 4,5 TN ?) JB 5/3
MALIK ( 11 BLN ) JB 5/3
ALIF FATURAHMAN ( 3 THN ) JB 3/2
SAHILA RAHMADANI ( 5 THN ) JB2 /2
16 9 0
NO KEGIATAN MTBS
NO KEGIATAN MTBS
L P L
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
INTAN GUNAR JB 7/1
M DAFFIN ( 9 BLN ) JB 1/3
ADIBA SHAKLA
RAINA AYESHA ( 1TH )
ZEA ALMAHYRA ( 3 THN ) JB 2/14
FADLAN IRSYAD ( 5 THN ) JKMT 11/5
ALAIKUM ( 4 THN ) JKM 4/2
NETA AULIA ( 2 THN ) JB 4/2
M KENZI AL FARIZI ( 1,11 BLN ) JB 6/1
NAFISA ALLEA ( 3 THN ) JB 6/3
NADIRA FAZILLA ( 1 THN ) JB 6/3
SAFIRA FITRIANI ( 2 THN ) JB 3/1
M AMAR ( 1 THN ) JB 8/1
M FATAN SHABIL ( 2 THN ) JB 4/2
INDRA ALAMSYAH ( 3 THN ) JBB 6/2
AHMAD MUBAROK ( 2THN ) JB 2/14
MOH IBNU ( 3THN ) JB 5/2
neta aulia putri ( 2 THN ) JB 4/2
DYRARAMA ( 2THN ) JB 2/14
M ADAM ( 4THN ) JB 6/3
CLARYSSA ( 3THN ) JB 6/3
M ALFIAN ( 10 BLN ) JB 4/3
arkana relvan ( 1 THN ) JB 4/2
KHOFIFAH APRILIANA (11 BLN ) JB 4/2
AKMAR NADIF ( 8 BLN ) JBB 3/9
LUKMAN AL HAKIM ( 4,5 THN ) JB 5/3
MALIK ( 11 BLN ) JB 5/3
SAHILA RAHMADANI ( 5 THN ) JB 2/2
ABDURAHMAN ( 5 THN ) JB 2/14
17 13 4
DAHAYU RATU ( 3 THN ) JB 2/14
AFRIZAL ( 1 THN ) JB 4/3
M ADNAN AL ARKANI ( 3 THN ) JB 14/12
PUTRI ADELIA
GUEINEVE CARTICE ( 1 THN ) JB 5/5
ARSYILA KAYANA 9 5 THN ) JB 5/2
GUENIVERE CARLIE ( 1 THN ) JB 5/5
ABIIDZAR AL KAHFI ( 10 BLN ) JB 3/2
M PANJI SAPUTRA ( 3 THN ) JB 1/3
3 M KINZA ( 13 BLN ) JB 5/6
11 4 0

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
ARSENIO RAJENDRA ( 3 THN ) JB 4/11
FADLAN IRSYAD ( 5 THN ) JKMT 11/5
SAQEENA ALESSA ( 2 THN )
M. AND AL ARKANI ( 3 THN ) JB 14/12
ARKAN ( 3 THN ) JB 14/12
MUHAMAD ALIF ( 1 THN ) JB 6/1
AISYAH ( 3THN ) JB 2/2
NAURAH AISYAH JB 2/2
INARA ASSYIFA JB 11/1
PETER ANUGRAH ( 10 BLN ) JB 6/3
AYDAN REKHA ( 3 THN ) JB 12/10
DION ATHALLAH ( 5 THN ) JB 5/3
GUINEVERE CARLIE JB 5/5
ALMAIRA NADIRA ( 2 THN ) JB 4/3
10 8 1
a. Mastoiditis
5 Masalah Telinga
JELITA ZEGA ( 3 THN ) JB 6/2
d. Normal 2
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
AFIF MAULANA ( 9 BLN ) JB
PETER ANUGRAH ( 10 BLN ) JB
AZRIL KAIS ( 11 BLN ) JB
ABIIDZAR AL KAHFI ( 10 BLN ) JB
M DAFFIN ( 9 BLN ) JB
KHOFIFAH APRILIANA (11 BLN ) JB
AKMAR NADIF ( 8 BLN ) JB
DELADA ( 9 BLN ) JB
M ALFIAN ( 10 BLN ) JB
M KENZI AL FARIZI ( 1,11 BLN ) JB
KANRA FEUVEBRCANT ( 1 THN ) JB
RAINA AYESHA ( 1 THN ) JB
9 Status Imunisasi
MALIK ( 11 BLN ) JB
10 3
SAQEENA ALESSA ( 2 THN ) JB
NADIRA FAZILLA ( 1 THN ) JB
MUHAMAD ALIF ( 1 THN ) JB
INARA ASSYIFA ( 2 THN ) JB
SAFIRA FITRIANI ( 2 THN ) JB
M AMAR ( 1 THN ) JB
M FATAN SHABIL ( 2 THN ) JB
DYRARAMA ( 2THN ) JB
arkana relvan ( 1 THN ) JB
ALMAIRA NADIRA ( 2 THN ) JB
NAZWA KHOIRUNISA ( 1,7 THN ) JB
M KINZA ( 13 BLN ) JB
KHOFIFAH APRILIANA ( 1 THN ) JB
AFRIZAL ( 1 THN ) JB
NETA AULIA ( 2 THN ) JB
AHMAD MUBAROK ( 2THN ) JB
RAINA AYESHA ( 1 THN ) JB
9 11

12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
JBB 3/11
JBB 7/10
2
JBB 4/8
1
LUAR WILAYAH TOTAL
P L+P
JBB 3/11
1
JBB 4/8
JBB 7/10
1
0 0
REGISTER
No.RM BARU LAMA
1-Apr-21 24553 1 MUH DAVA FARISKY

6421 1 REPANSYAH
24554 1 AQILLA ANNISA
4737 1 DARA SITI
10086 1 AHMAD FATULLAH
2-Apr-21 LIBUR HARI RAYA ISA ALMASIH
3-Apr-21 13670 1 DIMAS LANGIT

1565 1 AZKA ADITYA
4384 1 WINDI AYA
6421 1 REPANSYAH
5-Apr-21 24569 1 MUTIARA HATI

24571 1 AZRAM RASYID
19948 1 M NARENDRA
2924 1 DWI FARRIS
4737 1 DARA SITI
445 1 ANNISA PERMATA SARI
6-Apr-21 24042 1 AHMAD HAIAKL

24589 1 ZAHIRA KHOIRUNISA
7-Apr-21 14669 1 HELNA SIREGAR

19918 1 MUHAMAD ANDIKA PRATAMA
2823 1 SYAHRANI PRATIWI
16123 1 RIDHO MUHAMAD
24599 1 SHEENA BEATA
18983 1 AHMAD FAHMI
24240 1 AFZAL ATHALAH
24601 1 ALDI HERDIN
15154 1 MUHAMAD CANDRA
1 8-Apr-21 16392 1 QIYANA ANDARU

2 24608 1 MORTICIA ELEORA
3 11154 1 HAFIZ SAPUTRA
4 14457 1 HANNA SAHILA
5 24610 1 NAZWA ZANIRA
6 24607 1 ADISYA PUTRI
7 8690 1 ABUZAR
8 15645 1 SALWA SALSABILA
9 15938 1 JORDAN MIKAEL
10 23584 1 M FIRDAUS
11 21991 1 RAFIN
12 24613 1 ELZIO
13 20878 1 AMARINI
14 3534 1 RAPHAEL EDI
9-Apr-21 24553 1 MUH DAVA FARIZKY

20390 1 AFRIZAL
20868 1 NAZWA KYLA
24621 1 ZAHIRA KHOIRUNISA
24313 1 KIREINA AZZAHRA
24619 1 GHIBRAN NUR
24620 1 ZHIDAN RAMADHAN
10-Apr-21 3534 1 RAPHAEL EDI

23438 1 FADHEL AKBAR
24572 1 M ALVINO RAMADHAN
4737 1 DARA SITI
1 12-Apr-21 24015 1 MUHAMAD AMMAR

2 23842 1 RAZIQ PUTRA
3 15532 1 TALITA ZAKIYAH
4 24632 1 RINA ANGRAINI
5 24633 1 HAZIZAH
6 24288 1 ANI SAFITRI
7 23139 1 ANNISA NATASYA
8 12730 1 ZUNA ZAFAR
9 18451 1 CARLOS DOMINI
10 11748 1 M HISYAM MUNADI
11 514 1 BIMA ALAMSYAH
12 24626 1 RAFQY NOVIANSYAH
13 11827 1 ADITIA
13-Apr-21 23243 1 M ZAINAL

2409 1 REKSA
3867 1 M ABIAN
23046 1 ANASIA
14-Apr-21 22732 1 AFIF MAULANA

24645 1 NIA KHORUN SALIM
24646 1 ZEFENYA ELENA
10302 1 MARIA CHATERIN
15-Apr-21 3515 1 RADHYTIA RISKI

8431 1 SATRIA IBNU SABIL
23045 1 ARUMI NASYA
24652 1 NAIFA NAFIDZAH ARSYA
16-Apr-21 19234 1 RIZKY AL FATIH

24666 1 ALFIN ZHAFARO
10631 1 ZAHRA SRI
5242 1 M HADI AGUNG
7725 1 DHIFTA ERIYANI
22718 1 ASYIFA
17-Apr-21 24673 1 SITI SARAH

24674 1 LOUIS MARVEL
20878 1 AMARINI RAHMAH
24675 1 MUHAMAD RAISUL
20049 1 M FADILAH
19-Apr-21 17577 1 ELVIA AZAHRA

24687 1 MUHAMAD KEVIN
8933 1 ALYA ALIFFA
588 1 M AZMI
24686 1 JONATHAN ALIANDO
23676 1 HAFIZH IRWANSYAH
23963 1 HAVIN DEOGRATIAZ
23667 1 YONATHAN IMANUEL
20-Apr-21 16550 1 ALIF FATURAHMAN

2823 1 SYAHRANI PRATIWI
5363 1 ABDUL HAFIZ
18094 1 M ALWI MUBARAK
652 1 SRI ULFA
3515 1 RADHITYA RIZKI
8431 1 SATRIA IBNU
6660 1 M FADLI
7725 1 DHIFTA ERIYANI
21-Apr-21 23950 1 DIRZY PAMUNGKAS

24696 1 NADIA AZAHRA
18983 1 AHMAD FAHMI
24700 1 SHAKILA AL MAHYRA
22-Apr-21 4217 1 AGUSTYO WIRASADI

22537 1 ALVA RENDRA
1333 1 M ARFAN
24712 1 BAYU RAMADHANI
13915 1 ANUGRAH DHEA
24528 1 SAIQA NASYITHA
1541 1 ENZO ARSENIO
23-Apr-21 8431 1 SATRIA IBNU

24686 1 JONATHAN ALIANDO
13110 1 HAFIZ PUTRA
22847 1 FAJAR AL KHAFI
14047 1 MELODY
24660 1 MUHAMAD FATHAN
24-Apr-21 24726 1 AYU

16070 1 MUHAMAD KENZO ISLAMI
6114 1 CLIIF SAKYAVIRA
13367 1 TIARA MARSYLA
17847 1 ANUGRAH NAQA
24727 1 KHALIQA KESYA
12100 1 MIKHAEL ALVIN
11184 1 KEANU RAMA
13332 1 MUHAMAD AFFAN RESTU
26-Apr-21 23676 1 HAFIZH IRWANSYAH

20798 1 ADAM RIZKI SETIAWAN
24731 1 NADIA SHAFIYAH
24660 1 MUHAMAD FATHAN
5085 1 NAUFAL
7113 1 M ALDI PRATAMA
4215 1 AHMAD AL ZABAR
24742 1 KAMADYAZ PUTRA
24744 1 M MUSTOFA ALI
27-Apr-21 7381 1 TIFANI AIRWATI

11184 1 KEANU RAMA
19417 1 ADIVA MAULIDIYA
3599 1 MUHAMAD FAHEEL
28-Apr-21 24015 1 MUHAMAD AMAR

22314 1 DEANDRA TRISETIAWATI
29-Apr-21 242 1 ABDUL RAHMAN

14730 1 JUNITA PUTRI
23566 1 CITRA TRI ANANDA
20387 1 QUEEN KHAIRA
24772 1 AZIZ ZAINAL ABIDIN
SABTU, 30 APRIL 2021 24774 1 IBRAHIM PASHA

10943 1 FAKHIRAH SILMY
7821 1 DESTIA MAHARANI
24777 1 KHAIRI HABIBI
11349 1 DYRA RAMA
081293384509
0000508029287
081291429643
0002509913294 083147195702
08131241503
A ALMASIH
089646690886
089663183338
1 081314010245
1 081293546096
000171298607
0002509913294
1 085211417140
083808949769
081282231558
081290336
089663518500
0895321199199
081280303616
08988565273
0001773027314 081298795353
32750817070093 088292214077
081310319420
081221605552
08535244890
089614860089
3275087007180001 0002904065684 081213339850
0000507528718 081210605754
3275080407068722 085693485281
088213846588
089614860589
081219696432
083127225006
082190991982
089516001268
08811031193
081280098250
081293384509
081247644481
0813180091898
081286227999
089504754992
085718920474
085718420474
0001270948318 081282326731
08979165020
08997142771
089638091445
089516054390
08535244890
081319246609
089514557336
089654433527
087870709009
085770060034
081386123793
081295999142
081311300671
089637282738
08561011036
081316686710
083891870098
083891870098
0812868713
1 089516154988
0002911078596 085889164063
1 085289821568
081281061729
081281061729
0003052565842 081298456517
0002891621531 089696607835
0002909609335 085692449580
081386732121
081286227999
0002354274641
0002290323036
085219609935
081310080574
08111777497
0002294928909 085777473130
081310080574
000288528376 082116685629
0001875189407 081385189590
0002250146981 083899111874
000247989272 082112832076
085781427499
081382348917
081210691044
087888201963
0002767067098
32750811506090008 081280303616
0001423282994 081311460780
081281061729
081281061729
081395021384
00022903230360
1 089686887603
1 0895365907138
1 088293212014
08984449021
082311300231
085778754953
081218980805
087771586902
08998864294
08138887638
085811800741
081281061729
085781427499
081513982997
0818916815
0003077825343 0895332879685
089601306804
081310863793
081932383179
08979626744
085263861376
081386036835
082298385916
081286696418
081382348917
081382972735
082116925610
0895332879685
085777473130
083843547720
082258566494
0812115111506
085770025050
087771325315
089630487287
081212878009
082298385916
089667548433
089638091445
08966351313
1 -
0002096027752
0852145562801
1 081385461863
1 083899106124
1 -
1 085263861376
1 089669774592
ALAMAT UMUR
NAMA ORTU DALAM LUAR WILAYAH TANGGAL LAHIR 0 - 2 BLN 29- 1 THN
WILAYAH L P L P
TEDY JB 4/2 11/7/2004

YASIN JBB 1/11 8/2/2007
AJIZAR BINTARA 6/8 12/11/2016
HENDRIKO JB 4/3 19/03/2018
ABDULLAH JB 2/14 30/07/2013
RIYANSYAH JB 4/3 17/12/2018

WARTINI JB 4/14 31/03/2015
WARTINI JB 4/14
YASIN JBB 1/4 8/2/2007
SUMIAJIH JB 5/2 12/3/2007

VONI ASIH JKM 5/2 6/11/2013
EWIN JB 5/14 26/11/2019
JB 4/4 26/4/2009
JB 4/2 19/3/2018
JBB 4/2 20/4/2016
OYONG JB 1/14 21/09/2013

SUPRIYATMAN JB 1/14 24/03/2021 1
MAHDINAN JB 2/14 16/04/2007

NASRULLOH JB 1/3 27/04/2008
YUDI JB 1/2 8/2/2011
NANA JB 6/1 4/10/2004
SUMEJI JB 5/2 17/09/2010
ADITYA JB 3/14 13/02/2015
BUDI SUSANTO JB 11/10 18/08/2014
HERMAN JB 5/2 30/06/2020 1
JURNATA JKM 2/1 13/06/2003
ZAENAL ARIFIN JB 5/2 13/07/2015
HARI JB 1/3 11/5/2019

YERICO JB 1/12 30/07/2018
MINAN JB 3/2 31/05/2004
JUKIH JB 6/3 19/12/2015
FATURAHMAN JB 1/2 21/09/2003
IKHSAN JB 1/3 8/2/2011
HAFIZH JB 1/14 3/10/2013
ABDUL SOMAD JB 2/1 27/05/2004
HAINCHE JB 2/3 1/1/2009
FERI JB B2/4 4/12/2017
ANTONI JB 4/7 18/3/2020 1
RAHMAT JB 5/2 24/03/2021 1
YUDA JBB 6/2 15/09/2003
DAVID JB 11/10 30/01/2013
TEDY LAKSAMANA JB 4/2 11/7/2004

JUNEDI JB4/3 17/01/2019
FIRMANSYAH JB 3/14 10/3/2013
SUPRIATNA JB 1/1 24/03/2021 1
IMAM JB 3/14 1/2/2021
SOBIRAN JB 1/2 21/09/215
SOBIRIN JB 1/2 8/5/2019
DAVID JB 11/10 30/01/2013

MAULANA JB 12/12 8/9/2020 1
MADIH JB 2/14 31/03/2021 1
DESTI JB 5/3 19/03/2018
SUPARDI JB 8/1 22/12/2020 1

ARDI JB 1/1 25/11/2020
ZAENAL JB 5/2 26/11/2012
SAMSURI JB 1/14 7/7/2020 1
ZUPRI JKM 2/2 21/12/2007
ADUL JB 1/14 24/12/2003
KEVIN JKM 3/14 16/09/2016
AHMAD AKBAR JB 1/1 30/01/2018
ISAI ARAD JB 1/2 18/10/2019
RUSNADI JB 5/3 21/11/2016
ISWADI JBB 9/8 19/03/2012
HASANUDIN JB 6/1 2/11/2020 1
YON SUGANDA JBB 1/11 22/04/2003
FRAN ADITYA JTKMT 1/1 2/11/2017

LUTFI JB 3/2 11/7/2018
BAGUS JB 3/2 3/11/2016
BAGUS JB 3/2 19/08/2020 1
ANOM JB 3/2 4/7/2020 1

SUWADI JB 2/14 11/1/2019
YANTO JB 6/1 7/9/2015
RUDY JBB 3/4 31/3/2011
PASAUKIN JB 9/1 31/8/2018
HENDRA REZA JB 4/7 1/7/2008

HENDRA REZA JB 4/7 22/10/2015
ANIM JB 2/2 25/09/2020
MUHLIS JTK 4/1 22/04/2019
SUTRISNO JB 2/2 30/11/2019

JUMARI JB 4/2 10/6/2019
SUPRATMAN JB 1/1 26/10/2011
JB 42/2 13/11/2010
YAMIN JBB 6/3 26/09/2017
DEDE JB 6/1 22/04/2020 1
NURDIANSYAH JB 5/3 16/04/2021

EMRY JB 8/1 2/7/2005
YUDA JBB 6/2 15/09/2003
NURDIANSYAH JB 5/3 9/3/2010
MUSLIM JB 1/1 25/09/2016
ADE RAHYANA JB 7/3

HILAL JB 3/4 12/5/2004
DADAN JKM 2/1 10/7/2014
ELIZ JB 7/1 2/8/2018
ARI IRIANTO JB 1/14 31/12/2015
IWAN WAHYUDIN JB 12/8/2014
SAHAT JB 5/2 22/03/2019
EDY JB 3/13 1/12/2004
ANOM JB 3/2 25/05/2019

NANA JB 6/1 4/10/2004
ABDUL ROHMAN JB 2/14 2/4/2014
MASRONI JB 4/7 19/12/2019
ADI DARMA JB 6/12 23/07/2014
HENDRA JB 4/7 1/7/2008
HENDRA JB 4/7 22/10/2015
ABDUL ROHIM JB 6/3 25/01/2014
YAMIN JBB 6/3 26/09/2017
RAMADHAN JB 6/1 20/12/2020 1

AHMAD FAUZI JKM 2/1 22/6/2015
BUDI SUSANTO JB 11/10 18/8/2014
MANSYUR JB 1/1 24/12/2020 1
TEGUH JB 6/3 13/08/2017

BENRIO JB 3/14 20/06/2020 1
SUHARNO JB 1/4 1/3/2011
CAIRUDIN JB 4/4 18/11/2003
MADIH JB 2/14 6/7/2005
HERU JB 4/2 2/1/2021 1
NANA JB 6/1 13/02/2017
HENDRA JB 4/7 22/10/2015

ARIH IRIANTO JB 1/4 31/12/2015
JOKO JB 5/2 23/10/2005
FANI/ YUNITA JB 2/2 1/4/2020 1
AHMAD HABIBIE JB 7/12 22/02/2014
AHMAD JB 1/7 9/4/2021 1
NURODIN JB 5/14 29/08/2005

YOHANES JB 3/13 7/2/2019
CHARLES JB 12/12 25/07/2003
AGUS JB 6/6 8/3/2013
REZKY JB 4/7 8/1/2013
EDDY JB 8/6 21/12/2015
INDRAWAN JB 5/10 8/8/2017
R BUDI JB 9/10 11/9/2007
IWAN WAHYUDIN JB 6/12 12/8/2014

NOVI JB 4/14 24/01/2020
NANDI JB 2/1 2/3/2015
AHMAD JB 1/7 9/4/2021 1
YUDA JBB 6/2 15/09/2003
HENDI JB 2/3 21/03/2012
MURDANI JB 4/7 22/08/2015
JAJAT JB 4/3 18/05/2017
IKA JBB 6/2 14/10/2017
SATRIO JBB 2/2 5/2/2021 1
FATONI JB 4/2 16/01/2020 1
WARSINO JBB 2/3 8/3/2010

INDRAWAN JB 5/10 8/8/2017
IVAN/DEWI AMBAR SARI JB 4/7 8/11/2019
ENDI JB 2/7 23/07/2017
SUPARDI JB 8/1 22/12/2020 1

HANAFI JB 3/2 6/5/2020 1
SIDUP/ IPEH JBB 6/3 12 THN

SISWOYO JB 5/2 24/6/2013
GONORTY JB 1/14 3/2/2014
RODY JB 6/3 6/4/2014
SAKIN JB 2/2 6/9/2013
FAHRIANSYAH JB 9/12 22/4/2015

YATNO JB 6/3 16/11/2011
ANDI JB 3/14 9/12/2011
EDDY JB 8/6 26/3/2010
RAMDAN JB 6/1 5/8/2018
UMUR
1-4 THN 5 - 15 THN SUHU BB TB ICD
ISPA CC FEBRIS
L P L P
1 35,6 46 150 B86

1 36,1 13,5 J06 1
1 10,5 J00 1
1 36,3 17 J06 1
1 37,1 10 R50 1
1 36 19,5 116 J06 1
1 36 62 162 1 1
1 36 45 HERNIA
1 36,3 34 148 INF KULIT

1 22 ABSES
1 8,6 J06 1
1 36,3 49,5 HYPERKINETIC DISORDES
1 36,3 10 89,8 J06 1
1
70 155,6 A09
1 36,3 23,5 127 J06 1
36 3,2 47 KONTROL BBL
1 36 56,5 149 J06 1

1 36 45,5 149 J06 1
1 36,8 28 URTICARIA
1 36,5 57 165 URTICARIA
1 36,3 17 L20
1 36,3 17 111 J06 1
1 36,5 26 125 R50 1
36,5 8,5 75 J06 1
1 36,6 16 107 SCABIES
1 35,5 10 J06 1
1 35,2 13 89,5 DELAY SPEECH
1 PASIEN TIDAK DATANG OTHER BEGIN NEOPLASMA TISUE NECK PERPNAJANG RUJUK
1 36,1 17 OMA
1 36 30 134 J06 1
1 35 18 113 J06 1
1 35 69 156 J06 1
1 36,4 39 143 J06 1
1 36,4 13 VOMITUS
36 10,1 J06 1
36 4 50 KONTROL BBL
1 36 41 J06 1
1 35 29 K30
1 36 48 150 J06, B86 1

1 36 10 J06, 1
36 3,3 KONTROL BBL
36,2 4,4
1 36,1 21,5 115 ALERGI
1 36,4 9,5 L08
1 36 29,8 K30
PASIEN TIDAK DATANG KONSULTASI
36,3 3 IKTERIK
1 36,3 10,6 J06 1
36,3 6,2 J06 1

1 36 9,5 J00 1
1 36,3 26 130 J06 1
35,9 7,5 J06 1
1 35,4 48 INSCT BITE
1 36 50 151 CC 1
1 36 13 J06 1
1 PASIEN TIDAK DATANG PERPANJNAGN RUJUKAN LEUKIMIA
1 36 9,2 RUJUKAN RS BAKTI KARTINI
1 PERPANJNAGNG RUJUKAN
1 36,3 29 A09
36 8 J06 1
1 35,7 59 164 H59
1 36 14,5 K30
1 36 12 91,9 J06 1
1 36,3 16,5 J06 1
36,3 9,2 J06 1
36 6,5 A09
1 36 10,5 J30 1
1 35,5 15 J06 1
1 35,6 A09
1 36,0 12 J06 1
1 31 J06 1
1 17 J06 1
1 10 ALERGI
1 36,4 9 R50 1
1 36,3 10 L08
1 35,7 10 B 86
1 36 25 J06 1
1 35 44 K30
1 36,5 13,5 J06 1
36 6,6 J06 1
1 36 39 130 B86
1 36 51 EPILEPSI
1 36 40 152 J06 1
1 35,8 43 153 B86
1 36 16 KONSULTASI
1 36,3 8,9 EXASUBITUS

35,7 73 68 K30
1 36,8 14 R50 1
1 36,4 18 111 L08
1 36 19 L20
1 36,3 51 165 KIR SEHAT
1 36,6 9 A09
1 35,1 56 160 DERMATITIS EKTOPIK
1 36,3 19 J06, L20 1
1 36,3 10 J06, 1
1 36 20 J06 1
1 35,2 J06 1
1 36 17 J06 1
1 36,5 26 121 R50 1
1 36,4 15 98,7 TYPOID
37,1 7,5 R50 1

1 36 20 122,7 J06 1
1 36,3 24 J06 1
36,2 5,9 J06 1
1 37,1 14 98 R50 1
36,5 8,9 J06 1
1 36,8 24 133 R50 1
1 35,5 48 155 J06 1
1 36,3 44 J02
36,8 5,2 51 A09
1 36,5 13 96 R50 1
1 36 17 113 K30
1 36 17 111 L08
1 37,2 60 117 J06 1
PASIEN TIDAK DATANG TB ANAK
1 36 24 SCABIES
36 3,7 L20
1 35,5 51 158 L20

1 36 10 95 HERPES
1 36,3 50 ULKUS
1 36,3 22,3 J06 1
1 36 22,3 J06 1
1 35,5 17 J06 1
1 36,3 50 J06 1
1 36,4 12,2 R50 1
1 36,5 51 K30
1 36,3 19 125 B86

1 36,3 8,9 ANOREKSIA
1 36,3 24 117 J06 1
36,3 3,6 L20
1 36 40 152 J06 1
1 36,3 22 124 K30
1 36,3 16 119 J06 1
1 36,1 19 107 J06 1
1 36 13 95,5 J00 1
PASIEN TIDAK DATANG
36,3 8,9 KONSULTASI
1 PASIEN TIDAK DATANG PERPANJANG RUJUKAN

1 36,3 12 94 J06 1
1 36,3 8 75,5 J06 1
1 36,5 12 97 K30
35,8 6,7 J06 1

36 6,2 R50 1
1 36 26 J06 1
1 36,3 19 L08
1 36,3 20 123,1 J06 1
1 36,5 24 128 J06 1
1 36,1 35 135 J06 1
1 36,2 35 127 J06 1

1 19 115 L08
1 25 118 INFEKSI TELINGA
1 36,3 42 149 J02
1 36,3 13 95 ALERGI
DIAGNOSA
DIARE FARINGITISSTOMATITISTONSILITISDERMATITISKONJUNG URTICARIA INF.KULIT DYSPEPSIAVARICELLA
TIVITIS
1
1
1
UE NECK PERPNAJANG RUJUKAN HERMINA GALAXY

1
1
1
1
1
1
1
1
1
1
1
1
1
RESEP
SCABIES PAROTITIS OMA lain lain
1 CTM, DEXA, VIT C, SALEP 24

KONSULTASI
PCT, GG, CTM, DEXA, CAVIPLEK
PCT,CTM,BC
AMOX, PCT, DEXA, CTM, BUFACOM
PCT, CTM, BCOM

REMCO SYRP, CAVILPEK
AMBROXOL, CTM, BCOM
RUJUK RS POLI BEDAH
DEXA, VIT C, SALEP OXYTETRA

DEXA, PCT, BC
PCT, ZINK, ORALIT, PCT, B6
RUJUK RSUD BEKASI POLI JIWA
BABY COUGHT , CAVIPLEX
B6, ZINK, PCT, DIATAB

AMBROXOL, CTM, BCOM
KNTROL BBL
PCT, AMBROXOL, CTM, B6

AMBROXOL, CTM, PCT, B6
CTM, DEXA, BCOM, SALISIL TALK
LORATADINE, VIT C
DEXA, BCOM, CTM, SALEP HYDRO
REMCO, CAVIPLEK
PCT, CTM, B6
GG, CTM, BCOM
KONSULTASI
1 CTM, DEXA, CAVIPLRK, SALEP 24
GG, CTM, DEXA, CAVIPLEK

RUJUK RS HERMINA GALAXY
PERPNJNAG RUJUKAN
PCT, DEXA, CTM,
KONSULTASI
AMBROXOL, CTM, BCOM
PCT, GG, CTM, CAVIPLEK
AMBROXOL, DEXA, CTM, VIT C
AMBROXOL, DEXA, BCOM
CTM, B6, ZINK ORALIT
CTM, GG, BCOM, SALEP OXYTETRA
KONTROL BBL
AMBROXOL, DEXA, BCOM
PCT, CTM, B6, ORALIT
AMBROXOL, PCT, CTM, DEXA, SALEP 24

GG, CTM, DEXA
PERPANJANG RUUKAN RSUD CAHAM
KONTROL BBL
PCT, CTM, DEXA
DEXA, CTM, SALEP HYDRO
DEXA, CTM, BCOM, SALEP OXYTETRA
COTRI, DOMPERIDON, ANTASID

KONSULTASI
IKTERIK
PCT, CTM, DEXA, AMOX, AMBROXOL
PCT, CTM, GG,

PCT, CTM, BCOM
PCT, CTM, AMBROXOL, BCOM
PCT, CTM, GG,
CTM, DEXA, VIT C
CTM, VIT C, BCOM
CTM, DEXA, GG, BCOM SALEP HYDRO
PERPANJANG RUJUKAN LEUKIMIA
KELAINAN SENDI
EPILEPSI
PCT, DOMPERIDON, B6, CTM, ZINK,
PCT, CTM, GG,
TRAUMA PADA MATA RUJUK RS
CTM, B6, BCOM, ORALIT

REMCO SYRP, CAVIPLEK
REMCO SYRP, CAVIPLEK
PCT, CTM, GG
PCT, CTM, B6, ZINK

PCT, CTM, BC
REMCO, MULTIVIT
DOEN, B6, ORALIT, DIAFORM
GG, CTM, DEXA,
AMBROXOL, CTM,BC
REMCO,CAPIVLEX
SLP HIDROKORTISON
PCT,CTM,B6
PCT, CTM, BCOM, SALEP OXYTETRA

1 CTM, DEXA, BCOM, SALEP 24
PCT, CTM, GG
PCT, DOMPERIDON, ZINK
PCT, CTM
PCT, CTM, DEXA, GG
1 CTM, DEXA, VIT C, SALEP 24

RUJUKAN EPILEPSI
PCT, AMBROXOL, CTM, VIT C
1 DEXA, CETIRIZINE, VIT C, SALEP 24
PCT, CTM, BCOM, SALISIL

PCT, CEFIXIME
PERPANJANG RUJUKAN NEPHATIC SYDROM RS ANA
PCT, CTM, BCOM, SALISIL
DEXA, CTM, VIT C, AMOX SYRP
CETIRIZINE, VIT C, DEXA, SALEP 24
RUJUKAN PRINT ULANG POST OPRASI TELINGA
KIR SEHAT
PCT, B6, CTM, ZINK ORALIT

RUJUK RSUD BEKASI
GG, CTM, DEXA, SALEP HYDRO
GG, CTM, BCOM,DEXA
REMCO SYRP, CAVIPLEK SYRP
AMBROXOL, DEXA, PCT, BCOM
DEXA, CTM, GG, BCOM
PCT, CTM, BCOM, SALISIL TALK
KLORAMPENIKOL, PCT, CTM, B6
PCT, CTM
PCT, CTM, GG, MULTIVIT
AMBROXOL, CTM, BC
CTM, GG, DEXA
PCT, CTM, CAVIPLEK

GG, CTM, DEXA, BCOM
PCT, AMBROXOL, CTM, BCOM
PCT, DEXA, VIT C
PCT, CTM, B6, ZINK
PCT, CTM, BCOM
PCT, CTM, B6
SALEP OXYTETRA
PCT, CTM, AMBROXOL, , BCOM
RUJUKSN RSUD BEKASI
1 CTM, DEXA, SALEP 24
SALEP HYDROCORTISONE
CETIRIZINE, DEXA, VIT C

ASICLOFIR, VIT SYRP, PCT SYRP
ULKUS AMOX, DEXA, PCT
AMOX, PCT, CTM, DEXA, AMBROXOL
PCT, DEXA, AMBROXOL, AMOX SYRP
AMOX SYRP, PCT, DEXA, CTM
AMOX, DEXA, PCT
CHLORAMPENIKOL, PCT, DEXA, CTM
PCT, VIT, DOMPERIDON
1 CTM, DXA, BCOM, SALEP 24

ANOREKSIA CTM, BCOM, B6
PCT, GG, CTM, CAVIPLEK
SALEP HYDROCORTISONE
AMBROXOL, CTM, ZINK, BCOM
DOMPERIDON, B6
BCOM, CTM, DEXA, GG, PCT SYRP
CTM,B6, BCOM
RUJUKAN RS RSUD BEKASI D/ RETINOPATHY OF PREMATURITY
KONSULTASI
D/ TB KELENJAR PERPANJANG RUJUKAN RS MASMITRA

CTM, GG, BCOM
PCT, CTM, B6
CTM,GG
PCT, CTM
PCT, DEXA, AMBROXOL, DOMPERIDON SYRP

DEXA, CTM, VIT C, GENTAMICIN
AMBROXOL, CTM, BCP
PCT, DEXA, VIT C, AMBROXOL
GG, DEXA, BCOM
AMBROXOL, AMOX
AMOX, PCT, DEXA, BCP, BETAMETASON
AMOX, PCT, DEXA, BCP
PCT, AMBROXOL, DEXA, AMOX
CTM, DEXA
RW 01 RW 02 RW 03 RW 04 RW 05 RW 06 RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
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
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
PREMATURITY 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
APRIL 2021
DALAM WILAYAH
NO KEGIATAN MTBM
L
ELZIO JB 5/2
ZAHIRA KHOIRUNISA
M ALVINO RAMADHAN JB 2/14
KIREINA AZZAHRA
ADAM RAID JB 2/14
HAWA ADZKIYA
SITI SARAH
ASYIFA
KAMADYAZ PUTRA

DALAM WILAYAH
NO KEGIATAN MTBM
L
1
a. Ikterus Berat
b. Ikterus
2 Ikterus
M ALVINO RAMADHAN JB
Kemunkinan Berat Badan Pemberian ASI
6 Rendah & Masalah Pemberian
ASI b. BB Tidak Rendah dan Tidak ada Masalah
Pemberian ASI
Masalah Pemberian Minum atau a. BB Rendah atau Masalah Pemberian Minum

7 BB Rendah pada Bayi yang Tidak
Mendapat ASI b. BB Tidak Rendah dan Tidak ada Masalah
Pemberian Minum
10 Rujukan
UDA
TOTAL
P L P L+P
JB 1/1
JB 3/14
JB 2/14
JB 5/3
JB
JBB

P L P L+P
JB
MARET 2021

NO KEGIATAN MTBS
L P L
AQILLA ANNISA ( 4 THN )
DIMAS LANGIT ( 3 THN ) JB 4/3
M NARENDRA ( 1,5 THN ) JB 5/14
AFZAL ATHALAH ( 11 BLN ) JB 5/2
QIYANA ANDARU ( 1,5 THN ) JB 1/3
RAFIN ( 2 BLN ) JB 4/7
MUHAMAD AMMAR ( 5 BLN ) JB 8/1
RAZIQ PUTRA ( 6 BLN ) JB 1/1
M ZAINAL ( 3 THN ) JTKMT 1/1
REKSA ( 2,5 THN ) JB 3/2
MARIA CHATERIN ( 3 THN )
NAIFA NAFIDZAH ARSYA ( 3 THN )
DHIFTA ERIYANI ( 4 THN )
ASYIFA ( 1 BLN ) JB 6/1
M AZMI ( 2,5 THN ) JB
M ALWI MUBARAK ( 3 THN ) JB 4/7
DIRZY PAMUNGKAS ( 5 BLN ) JB 6/1
SHAKILA AL MAHYRA JB 1/1
AGUSTYO WIRASADI ( 3,5 THN ) JB 6/3
ALVA RENDRA ( 10 BLN ) JB 3/14
SAIQA NASYITHA ( 3 BLN ) JB 4/2
KHALIQA KESYA ( 5 THN ) JB 8/6
KEANU RAMA ( 4 THN ) JB 5/10
ADIVA MAULIDIYA ( 17 BLN ) JB 4/7
MUHAMAD AMAR ( 4 BLN ) JB 8/1
DEANDRA TRISETIAWATI ( 9 BLN ) JB 3/2
15 10 1
DARA SITI ( 3 THN ) JB 4/3
AZKA ADITYA ( 5 THN ) JB 4/14
DARA SITI JB 4/3
ANNISA PERMATA SARI ( 4 THN )
RINA ANGRAINI ( 10 BLN ) JB 1/14
ANASIA ( 8 BLN ) JB 3/2
ENZO ARSENIO ( 4,5 THN ) JB 4/2
NADIA SHAFIYAH ( 5 THN ) JB 2/1
M ALDI PRATAMA ( 5 THN ) JB 4/7
AHMAD AL ZABAR ( 4 THN ) JB 4/3
15 15 1
NO KEGIATAN MTBS
L P L
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
AQILLA ANNISA ( 4 THN )
AZKA ADITYA ( 5 THN ) JB 4/14
M NARENDRA ( 1,5 THN ) JB 5/14
DARA SITI JB 4/3
ANNISA PERMATA SARI ( 4 THN )
AFZAL ATHALAH ( 11 BLN ) JB 5/2
QIYANA ANDARU ( 1,5 THN ) JB 1/3
RAFIN ( 2 BLN ) JB 4/7
DARA SITI ( 3 THN )
MUHAMAD AMMAR ( 5 BLN ) JB 8/1
RAFQY NOVIANSYAH ( 6 BLN ) JB 6/1
M ZAINAL ( 3 THN ) JTKMT 1/1
REKSA ( 2,5 THN ) JB 3/2
ANASIA ( 8 BLN ) JB 3/2
ASYIFA ( 1 BLN ) JB 6/1
M ALWI MUBARAK ( 3 THN ) JB 4/7
SHAKILA AL MAHYRA JB 1/1
ALVA RENDRA ( 10 BLN ) JB 3/14
KHALIQA KESYA ( 5 THN ) JB 8/6
NADIA SHAFIYAH ( 5 THN ) JB 2/1
M ALDI PRATAMA ( 5 THN ) JB 4/7
AHMAD AL ZABAR ( 4 THN ) JB 4/3
ADIVA MAULIDIYA ( 17 BLN ) JB 4/7
TOTAL 20 15 2
AHMAD HAIAKL ( 5 THN ) JB 1/14
SAIQA NASYITHA ( 3 BLN ) JB 4/2
TOTAL 6 1 0

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
DIMAS LANGIT ( 3 THN ) JB 4/3
RAFQY NOVIANSYAH ( 6 BLN ) JB 6/1
M AZMI ( 2,5 THN ) JB
DIRZY PAMUNGKAS ( 5 BLN ) JB 6/1
AGUSTYO WIRASADI ( 3,5 THN ) JB 6/3
ENZO ARSENIO ( 4,5 THN ) JB 4/2
DEANDRA TRISETIAWATI ( 9 BLN ) JB 3/2
TOTAL 20 8 0
a. Mastoiditis
5 Masalah Telinga
IVAN/DEWI AMBAR SARI JB
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
AFZAL ATHALAH ( 11 BLN ) JB
RAFIN ( 2 BLN ) JB
MUHAMAD AMMAR ( 5 BLN ) JB
RAZIQ PUTRA ( 6 BLN ) JB
RINA ANGRAINI ( 10 BLN ) JB
RAFQY NOVIANSYAH ( 6 BLN ) JB
ANASIA ( 8 BLN ) JB
ASYIFA ( 1 BLN ) JB
ALVA RENDRA ( 10 BLN ) JB
MUHAMAD AMAR ( 4 BLN ) JB
AFIF MAULANA ( 10 BLN ) JB
SAIQA NASYITHA ( 3 BLN ) JB
9 Status Imunisasi
RAZIQ PUTRA ( 6 BLN ) JB
RINA ANGRAINI ( 10 BLN ) JB
DIRZY PAMUNGKAS ( 5 BLN ) JB
MUHAMAD AMAR ( 4 BLN ) JB
DEANDRA TRISETIAWATI ( 9 BLN ) JB
15 10
M NARENDRA ( 1,5 THN )
QIYANA ANDARU ( 1,5 THN )
AHMAD MUBAROK ( 2 THN )
M AZMI ( 2,5 THN )
31 19

12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
BINTARA
JTKMT 1/1
JBB
JTK
JBB
4
JBB 4/2
1
TOTAL
LUAR WILAYAH
P L+P
BINTARA
JBB
JTKMT 1/1
JBB
JKT
JBB
JBB
6
0
JBB
JKT
JBB
JBB
0 0
REGISTER
No.RM BARU LAMA
1 44260 5754 1 NIA RAHMAWATI

2 23116 1 ALESHA SHAQUEENA
3 24096 1 NAURAH AISYAH
4 10086 1 AHMAD FATULLAH
5 8280 1 ABDURAHMAN
6 13159 1 ASYANI PUTRI
7 2228 1 MUHAMAD FIRDAN
8 17202 1 RIANA ADELIA
9 21900 1 AVIKA RAMADANI
44291 11688 1 NADYA BASRI

10128 1 GAVRILLO NATSHA
12730 1 JUNA ZAFAR
24793 1 WONG MING WEI
4256 1 M FAKHRI
458 1 FADLY RADITYA
44321 3951 1 M NUGI ALAMSYAH

17416 1 ANUGRAH GANIA
24799 1 BAYI NY. FARIDAH
24163 1 DESI NATALIA
19894 1 ISTIQOMAH
44352 5754 1 NIA RAHMAWATI

14595 1 ADIBA HUMAIRA
24043 1 SALSBILA LAILI
10583 1 NAIMAH AZAHRA
44382 1 WONG MING WEIN
44413 1563 1 SYIFA
44474 24819 1 KIO GEGE

24700 1 SHAQILA AL MYHRA
12845 1 JIHAN AQILLAH
20882 1 AZELLA JENITRA
44505 13214 1 DHIA RIZKI

24833 1 M GIBRAN
24812 1 M ILHAM WAHYUDI
17536 1 QURATA AYUN
11705 1 PANJI EKA PERMATA
24811 1 M IQBAL R
24835 1 M GIO
7819 1 RUNA SAWARNA
17/05/2021 21254 1 NAWANG WULAN

1553 1 ALIKA NAILA PUTRI
1115 1 YUMNA ARIQA
24847 1 VITRO IGNALIS
24544 1 NAJMIA RAMADHANI
23138 1 KHALID DEAN
19967 1 RIZKY AMELIA
22723 1 MAI CHRYSOLIVIA
24850 1 FHARIEN ADZKIA
5928 1 SYAM ABINAYA
24853 1 HAMDANI MULYANA
23248 1 RINGGANIS ASTARINA
18/5/2021 24859 1 HILWA AISYARAH

24858 1 MOHAMMAD FARIZI
24868 1 RAISAH
24867 1 NURIZAH
648 1 ATTA RIZKY
20878 1 AMARINI ROHMAH
16393 1 GALUH ADIEL
24626 1 RAFQY NOVIANSYAH
24862 1 MAHEK ZAYYAN AL MUBARAQ
19037 1 DEVITA NUR
19904 1 M HAFFIDHZ
15443 1 ALYA DEWINA
19/05/2021 10776 1 RASSYA RANDIKA

24814 1 YASMINE SALSABILAH
24698 1 ADAM RAID
23046 1 ANNASIA
3867 1 M ABIA
5754 1 NIA RAHMAWATI
24875 1 RAIHANI PUTRI
20/05/2021 24553 1 MUH DAVA FARIZKY

22718 1 ASYIFA
24896 1 ARAYAH GINA
24897 1 ABDUL AZIZ
14059 1 HAFIZAH AZZAHRA
15831 1 KARYADI
23463 1 SOPIAN
12776 1 RIFANI RIZKY
21/05/2021 18798 1 MUHAMAD AZKA YUSUF

24904 1 ELVAN ELVARO
3188 1 LIORA ULI
24910 1 QOLBY
24071 1 NIKEN OKTAPIAR
22/05/2021 20827 1 KENZIE GRACIA

23138 1 KHALID DEAN BAGUS
18174 1 GUINEVERE CANICE
22059 1 DELISA MASEL
24916 1 AURIEL PRIANKA
554 1 MOSES
24/05/2021 496 1 ATIKA HUNAFA

16690 1 WINDY TRI R
2314 1 ADIBAH
10677 1 AZRIEL HANAFI
11748 1 M HISYAM
23621 1 LYNTHANK
9662 1 RIZKY AGUSTIANI
554 1 MOSES
25/5/2021 2712 1 ABDUL ROZAK

14718 1 LUTHFI AKBAR
24945 1 BUNGA INDRIYANI
24944 1 NAZWA AISYAH
5476 1 FAUZAN
21826 1 AZRIL KAIS
19776 1 FELICIA KEYVA
23566 1 CITRA TRI A
14233 1 M AKMAL
22847 1 FAJAR ALKHAFI
15844 1 IMAM ABU H
24951 1 M DIAZ ARRASYID
26/05/2021 LIBUR TANGGAL MERAH

1 27 /05/2021 1715 1 M BAGAS
2 23793 1 RIZKA BERLYANA
3 24953 1 BENICIA GEIYA DIALUCIA
4 24211 1 NARA NADIRA
5 24955 1 MUHAMAD FIKRI
6 21179 1 HIFZA MAULLIDYA
7 17343 1 GIANDRA ATHARAYHAN
8 15900 1 MUHAMMAD ANGGI
9 7170 1 AZKA ZAINA
10 14534 1 LATIF AL FATIH
11 24951 1 M DIAS ARRASYID
12 7168 1 NABILA MAJID
13 22183 1 ANDIKA FAHREZA PRATAMA
14 18052 1 FARELULLOH
15 23794 1 ZEA ALMAHYRA
16 15546 1 M RAFIANSYAH
17 18727 1 ABQARY SHAUWQI
1 28/05/2021 20823 1 NURAINI IDIRA

2 24968 1 M IQBAL
3 17885 1 GLADIES REXA
4 24964 1 ARIBA SHAKILLA
5 23845 1 ANDINI PUTRI
6 15154 1 MUHAMAD CANDRA
7 15532 1 TALITA ZAKIYAH ARTHA
8 22259 1 SHAKILLA RAMADHANI
9 15301 1 RENDI CANDRA
10 1562 1 SARAH
11 3711 1 AL FATTAH IBNU
12 24960 1 MUHAMAD RIFKY
29/05/2021 14492 1 FABIAN GARNA

24972 1 ANANTYA YUNDA
24974 1 ALIF
4056 1 ADHA AGAM
24977 1 MUHAMAD ADIT
20769 1 CHYRA JIHAN
SENIN, 31 MEI 2021 19736 1 HAWA KHAIRUNNISWA

13981 1 DEVIN SLAMET
24982 1 IRFAN NASRULLAH
18554 1 KALILA ALDITA
13597 1 AGISTYA YULIANTI
11952 1 SYALOM ABIGEL
26 1 AGAM ABDILAH
14534 1 LATIF AL FATIH
6967 1 PAJRI NURADIAT
6965 1 AHMAD MAULANA
652 1 SRI ULFA SUKMA
653 1 SHILVASYA REULFA
24996 1 SALSABILA FARAH
7768 1 RIZKY HANDAYANI
NIK KTP KS BPJS
0001193117523
0001193117523
0002273178227
0000508121223
0001176627734
2920081972
0001631365007
1
1
1
1
1
1
1
000164805243
0001439805453
1
1
1
0002914465702
0002294928909
1
1
0002440931174
1
1
1
1
1
1
0001904000387
1
1
1
1
0002268233695
1
1
1
1
0002896775267
1
0002208314845
1
1 00013789907013
1
1
1
1
1
1 0001013720859
1
0000505612978
0001744010133
1
1
1
1
1
0002096027752
1
1
1
1
NGGAL MERAH
3275084602840013
000306757749
321508511182013
0001658092678
3275081804960016
3275080809150046
0001175212785
3275082403140006
3175070601080007 0001514795995
3275082103170002
0002798100044
327501502200019
1
1
1
0002903850213
3275080311160019
ALAMAT
TELP NAMA ORTU DALAM LUAR
WILAYAH WILAYAH
085716987984 KURNIAWAN JB 1/3
08998741565 FAISAL JB 10/12
089660216171 TRISNA JB6/3
081380812733 ABDULLAH JB 2/14
081380812733 ABDULLAH JB 2/14
081517175183 ASMUI JB 4/7
081908815904 SUNAYAH JTKMT
081908815904 SAMSURI JKTMT 2/1
082124842547 MURDANI JB 4/7
081380416111 BASRI JB 5/2

081210876765 JOSAFAR JB 7/12
JB1/1
085964153012 WONG YIK MIN JB 2/12
081953216107841 FAKIH JB 4/2
081809070124 ADE WIBAWA JB 1/2
089514599246 SENOAJI JB 04/07

08998864294 MADIH JB 2/14
089515187023 JATI WIBOWO JTKMT 1/11
081262523849 HENDRIK JB 4/3
085591136415 JT ASIH 4/12
085716987984 KURNIAWAN JB 1/3

087782214979 ERIK ANDRIANTO JKM 2/14
081286921369 SOPII JBB 7/3
GHOZALI JB 5/2
085964153012 WONG YIK MIN JB 2/12
DODI MULYADI/ SRI MULYATI JB 6/8
08978125175 AGUS JB 6/1

08984449021 MANSYUR JB 1/1
081213867534 USMAN JKM 1/15
081226470088 ADITYA JB 1/11
085775639448 SYAIFUL JB 4/2

08318639341 M RAFLI JB 5/3
08993280804 JOHAN JB 5/14
JB 5/14
083874992444 KHATULISTIWA JB 2/2
08993280804 JIHAN JB 5/14
085210253004 SUGIYANTO JB 3/7
081297790377 ABDUL SYUKUR JB 10/12
082210348221 NAYOKO JB 2/9

081517175183 ASMUI JB 4/7
081386123793 ISAI JB 1/2
AGUS JB 3/14
081219892038 DARIANIS JBB 2/4
081283509044 SABENIH JB 7/3
081398880476 Bagus jb 12/12
0881025243744 BUDIONO JB 2/1
08881049792 NATRISMAN JB 5/2
08881049792 NATARISMAN JB 5/2
081398880470 WAHYU JB 12/12
0895332084575 UKAT JB 1/14
0821138607003 GITO JB 5/7
0218479480 ARIF RAHMAH JBB 6/3

088976053694 RUDI HARTONO JKM 2/3
081911156818 ALICIA JB 2/12
081411156818 ALICIA JB 2/12
085742861428 JB 3/1
085770025050 IKA SARTIKA JBB
085777473130 YUDA HERMANSYAH JBB 6/2
085210253004 AMIN JB 3/7
089637282238 HASANUDIN JB 6/1
081297765872 DADANG JB 8/1
0878872333816 SUPARTI JB 4/5
08996694764 KARYADI JB 7/1
08996694364 KARYADI JB 7/1
08978397147 REYNALDI JB 4/2

082112779949 ABDUL RAHMAN JBB 7/4
GAMIN JB 2/14
MULYATIKA JB 4/3
BAGUS JB 3/2
KURNIAWAN JB 1/3
HENDRA JB 1/7
081293384509 TEDY JB 4/2

085219609935 DEDE KURNIAWAN JB 6/1
081326997444 SIMON JB 5/14
089718501249 ISWAN JKM 3/2
088290505665 HENDRA JB 1/7
089696694764 KARYADI JB 7/1
08963928691 TN SOPIAN JB 6/3
081297339366 NALIH JBB 4/2
089644543489 ROHWAHANA JBB 6/3

085776428468 DONAL JB 2/2
089699001783 TAGOR JB 4/7
089619828982 FADILAH FAKOH JB 5/3
083808949769 OYONG JB 1/14
087886360814 DANIEL JB 2/5

081398880476 BAGUS JB 12/12
08170819888 FRANKY JB 5/5
JBB 5/3
08129060192 KARDY JB 6/13
081386036835 SANDI JB 1/2
087820187895 RAHMATULLAH JB 3/2

089652508818 SURIYANTO JB 2/3
- DENI JB 6/1
089666677003 SYARIFUDIN JKM 6/1
081295999142 RUSNADI JB 5/3
085210253004 AMIN JB 3/7
081317959833 SUMAN JB 4/2
081386036835 SANDI JB 1/2
- ABDUL GOFUR JB 3/14

081210670633 SLAMET RAHARJA JB 3/7
08229104155 SAIFUL JB 2/1
081502291638 KOMARUDIN JB
081295381900 - JB 1/11
082297982573 RAHMAT JB 2/2
081287802226 RICARDO JB 2/12
082199105528 GONORY JB 1/14
0896086503664 AHMAD JB 1/7
FANI JB 2/2
082124989877 ALI SUTAN JB 1/14
085717487054 DIAN SLAMET JB 2/14
085776267248 WAHYONO JB6/1

081290416314 UNTENG JB 2/2
081388009626 DESTRIYANA JBB 6/3
087785167654 RAHMAT SALEH JBB 6/2
JB 3/14
081310738940 MUHAMAD JB6/1
081280098250 RAHMAT JB 5/2
081382506619 WANHASA JB 2/1
SUSANTO JB 5/6
081319218105 BAMBANG JB 4/7
085717487054 DIAN SELAMET JB 2/14
087782159901 SUSANTO JB 5/6
085218981831 JUMALI JB 3/1
082312579678 TARSINAH JKS 3/5
089601269011 NOVIANDRA JB 2/14
0895343088272 DWI JB 4/2
085215562801 RUDI JB 6/3
085694820630 RANGGA JB 12/12

088809691950 LIKAN JB 6/3
08170819888 FRANKY JB 5/5
081386975818 ASRAR JB 1/3
081311456321 WAHYUDI JKM 4/5
085315244890 ZAENAL ARIFIN JB 5/2
085315244890 ZAENAL JB 5/2
089531779938 NANDA SULAEMAN JB 6/1
085320772531 SUNARDI JB 2/1
DADI MULYADI JBB
08988736882 PUJAMAN JB 2/2
085777370946 AHMAD MUSA JB 4/2
081384876780 R SLAMET JB 5/14

083872930833 NANAG JB 7/12
08999972915 SARJIHAN JB 3/1
082310345905 BUDI JB 2/3
083877825753 M HENDRIK JBB 6/2
081382597897 DIMAS JB 5/6
081932845956 U SUPYAN JB 1/7

0895389484609 DONI SLAMET JB 3/7
0893355663481 ANTUM JB 5/2
081398880476 BAGUS JB 12/12
082211906911 DERIE AGUNG / TRIAS DWI JB 2/12
082124226636 JUHARTO JB 5/14
082113862640 RIDWAN JB 3/6
083877268785 ANDIN JB 2/4
081319218105 BAMBANG JB 4/7
AGUS SUHERI JB 4/3
AGUS SUHERI JB 4/3
ADI DARMA JB 6/12
ADIDARMA JB 6/12
0812466711480 YASIN JB 2/12
KLONO JB 1/1
UMUR
TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN 5 - 15 THN SUHU BB TB
L P L P L P L P
17/06/2009 1 36,3 44
26/07/2020 1 36,3 8,4
25/10/2020 1 36,5 7,4
30/07/2013 1 36 18 117
23/09/2016 1 36,3 14 102
25/08/2013 1 36 21
42985 1 PASIEN TIDAK DATANG
38171 PASIEN
1 TIDAK DATNG
44018 1 36 7
30/03/2004 1 36 57
42980 1 36 16 106
30/01/2018 1 PASIEN TIDAK DATANG
17/09/2020 1 36 9,1
31/07/2011 1 35,8 29
14/04/2014 1 35,3 23
31/01/2012 1 36 19 125
21/07/2019 1 36 8 78
17/12/2020 1 6,7
26/06/2017 1
170/06/2009 1 36 44
42833 1 36,5 14 97,5
14/09/2004 1 62
27/12/2009 1 36 35
17/09/2020 1 36 9,1
40817 1 36 30 146
23/08/2020 1 36 8,8
24/12/2020 1 36 6 58
42010 1 36 11 106
43923 1 36 6,2
24/08/2009 1 32
44501 1 36
42193 1 25
18/05/2007 1 60
28/11/2003 1 33
43780 1 10
25/5/2016 1 27
18/06/2018 1 14
19/03/2004 1 36 48
30/01/2019 1 36,4 11,5
18/10/2019 1 9,3
41886 1 36 17
29/06/2005 1 36 80 159
16/07/2015 1 36 21
44053 1 36,8 7,2
23/10/2004 1 36 57 164
44048 1 36 9,2
23/05/2017 1 36 11 96,5
18/04/2013 1 36 36,2 27
13/06/2010 1 36 43
24/06/2007 1 36 51
31/5/2010 1 41
14/11/2005 1 OS TIDAK DATANG
42554 1 20
17/3/2014 1 20
20/10/2013 1 36,7 19
15/09/2003 1 36,5 38,5
42065 1 26 J06
43872 1 36,7 8,5 J06
17/3/2018 1 35,8 17,5 A09
20/5/2019 1 9,5 J06
20/7/2011 1 51 SCABIES
17/12/2018 1 11 SCABIES
39326 1 36 59 155
27/04/2018 1 36,6 10 89,4
20/03/2021 1 36 4,6
19/08/2020 1 36,6 8 J06
42440 1 36,4 18 J06
17/06/2009 1 36 44
24/04/2009 1 36 37 L08
38298 1 47 160
22/4/2020 1 OS TDK DTG
26/3/2020 1 9.4
38991 1 36,8 56 168
41588 1 37,2 18,5
41492 1 24
42926 1 36,3 11 95
14/11/2018 1 36 11 80
42533 1 36,2 14
43589 1 36,4 10
21/7/2017 1 ` ` 36,6 13
29/12/2011 1 20 121,4
21/10/2014 1 69
28/01/2020 1 9
44053 1 7
43595 1 10
28/5/2020 1 9
38967 1 5 170
42279 1 38,9 23
17/08/2006 1 36,6 36
43590 1 36,2 8
18/05/2016 1 19
25/3/2018 1 36 18
21/11/2016 1 26
40789 1 26 132,8
17/8/2008 1 68 154,2
42279 1 36,4 20
39394 1 56 164,2
39546 1 43
40148 1 36,6 45 147
15/12/2009 1 34 144
31/1/2017 1 11
29/5/2020 1 9,1
43983 1 10
41700 1 20
21/5/2011 1 25
43834 1 7,7
20/10/2007 1 30 137
26/10/2007 1 40 163
43101 1 24
38508 1
24/05/2021 1 2,7 47
23/01/2021 1 6,4
14/02/2021 1 36,2 6,5
20/09/2018 1 36,2 9,4 82
28/05/2019 1 36,3 13 85,6
39512 1 36 36 142
25/08/2016 1 36,9 12,5 89,7
42711 1 36,4 17 112
26/10/2007 1 40 164
22/03/2006 1 39
39485 1 37 146
39570 1 65 163
43074 1 14 94
43346 1 36,7 13 94
43475 1 10
15/03/2006 1 36,3 41 130

42010 1 36 64
22/09/2008 1 36,3 38
19/06/2016 1 36 21
30/05/2005 1 36 54 157
13/07/2015 1 36 17 107
26/11/2012 1 36,2 28 130
43987 1 36,4 9
16/12/2010 1 36,5 33 120
27/11/2005 1 36 51 165
31/01/2001 1 36 58 150
39600 1 36 43 160
20/05/2014 1 36,4 38
11/042005 1 35,2 59 155,7
13/05/2007 1 36 37 156
42744 1 36,8 13 94,6
18/09/2008 1 36,5 41 150
15/02/2020 1 37,9 8,8
02/06/2019 1 11 86,5
30/12/2003 1 36,2 53 165,8
31/7/2019 1 36,7 12 88
08/10/2020 1 36,6 7,2
02/11/2019 1 36.2 10.2 79.6
09/08/2006 1 36,3 49 150
24/05/2007 1 36,4 68 160
25/09/2014 1 36,6 30 126,9
12/07/2016 1 36,4 17 113
09/06/2011 1 36,3 25
10/01/2016 1 36 15
23/07/2014 PASIEN
1 TIDAK DATNG
14/08/2007 1 TIDAK DATANG
06/5/2006 1 36 50 165
11/11/2004 1 36,3 60
DIAGNOSA
ICD
ISPA CC FEBRIS DIARE FARINGITISSTOMATITISTONSILITIS
HERPES
A09 1
R50/ A09 1 1
J06 1
J06 1
K30
J06 1
KEPUTIHAN
KONSULTASI
J06 1
L20
BISUL
J02 1
BISUL
J06 1
J06 1
HERPES
J06 1
TB KELENJAR
GANGGUAN MENSTRUASI/HORMONAL
J06 1
J02 1
R50 1
J06 1
J06
K21.9
J06 1
SESAK
URTICARIA
ALERGI
TUMOR TELINGA
j06 + urticaria
K30
J06 1
INSCT BITE
A09 1
KELAINAN SENDI
L08
HERPES SIMPLEK
J06 1
J06 1
OMA
J06, L08 1
J06 1
131 J06 1
MIOPI
J06 1
MYOPIA
APENDICITIS
J06 1
J06 1
J06 1
EPILEPSY
J06 1
1
1
1
1
SCABIES
SCABIES
J00 1
R50 1
KONSULTASI
ISPA 1
ISPA 1
CHEPALGIA
INF KULIT
ISPA + SCABIES
ENSEPHALITIS
L08
J06 1
J06 1
SCABIES
J06 1
L08
J06 1
J06 1
L08
KIR SEHAT
J06 1
L08
CC 1
R50 1
J06 1
K30
J06 1
J06 1
DERMATITIS ALERGI
K30
J06 + L08 1
EPILEPSY
K30
URTICARIA
THYPOID
KIR SEHAT
K30
K30
FURUNKEL
L08
J06 1
J06 1
J06 1
K30
TB
KIR SEHAT
KONSULTASI
J06 1
MINTA RUJUKAN BARTER SYNDROM
KONTROL BBL
J06 1
J06 1
J06 1
R50, L08 1
SKS
J00 1
MYALGIA
ABLASI RETINA
BARTOLINI
SKS
KONSULTASI
J06,URTICARIA 1
J06 1
J06 1
J00 1
J06 1
R50 1
KONSULTASI
KIR SEHAT
L08
L08
J06 1
R50 1
J06 1
KIR SEHAT
A09 1
R50 1
J02 1
KIR SEHAT
J06 1
PEMBENGKAKAN KELENJAR GETAH BENING
R50 1
A09 1
R50 1
L08
J06 1
J06 1
L08
J00 1
J06 1
SOFT TISUE TUMOR
L20
L20
HAEMORRHAGIC DISORDER
HAEMORRHAGIC DISORDER
SKS
J00 1
DIAGNOSA
DERMATITIS KONJUNG URTICARIA INF.KULIT DYSPEPSIA VARICELLA SCABIES PAROTITIS OMA lain lain
TIVITIS
HERPES
1
1
OMA
1
1
1
1
1
1
.
.
.
1 .
.
.
.
1 .
.
.
.
1 .
1 .
1 .
.
1 .
1 .
.
.
.
1 .
1 .
.
1 .
.
.
.
1 .
.
.
.
.
.
.
.
.
.
.
.
.
1 .
.
.
.
.
.
.
.
1 .
.
.
.
.
.
.
.
.
1 .
1 .
.
.
.
.
.
.
.
.
.
.
.
.
…
1
1
RESEP RW 01 RW 02 RW 03 RW 04 RW 05 RW 06 RW 07
PCT, VIT C, ASICLOVIR, SALEP ASICLOFIR 1

ZINK SYRP, PCT,CTM,B6
PCT, ,CTM,B6, ZINK SYRP 1
PCT, BCOM, CTM, GG
BABY COUGT, CAVIPLEK SYRP
GG, DOMPERIDON SYRP, PARACETAMOL SYRP 1
PERPANJANG RUJUKAN EPILEPSI
PERPANJANG RUJUKAN EPILEPSI
GG, DEXA, AMOX SYRP, PCT SYRP 1
CTM, DEXA, VIT C, SALISIL TALK 1

KONSULTASI
PERPANJANG RUJUKAN RS HERMINA KOTA 1
GG, CTM, BCOM
CETIRIZINE, DEXA, VIT C
BEDAK SALISIL, CTM, BCOM, DEXA 1
PCT, GG, DEXA, VIT C 1

CTM,DEXA,BCOM
RUJUKAN RS HERMINA GALAXY DNGN BBLR
AMOX, PCT, DEXA, GG, CTM, 1
PCT, AMOX, DEXA, VIT B6, AMBROXOL
VIT C, CTM 1
CAVIPLEK SYRP, PCT, GG, DEXA, B6
PERPANJNG RUJUKAN
VIT K, PCT 1
GG, DEXA, BCOM
PCT, AMOX, DEXA,
PCT, CTM, 1
GG, CTM 1
PCT,GG,CTM, CAPIVLEX
PERPANJANG RUJUKAN RS MASMITRA
PCT, AMOX, CTM 1

RUJUK KE MASMITRA 1
GG, CTM, DOEN, HYDRO ZALF
CTM, DEXA, HYDRO ZALF
RUJUK RSUD KOTA BEKASI POLI THT 1
CTM, DEXA, GG, HYDRO ZALF
PCT, CTM, B6, ORALIT, ZINK 1
PCT, CTM, GG, BC
CTM, DEXA, VIT C, SALEP OXYTETRA

CTM, B6, ZINK ORALIT 1
RUJUKAN KELAINAN SENDI RS KARTINI 1
CTM, DEXA, SALEP OXYTETRA
CTM, VIT C, SALEP ASICLOFIR, ASICLOFIR
PCT, GG, DEXA 1
GG, CTM,DEXA,
PCT, DEXA, VIT C 1
GG, DEXA, BCOM, SALEP OXYTETRA 1
GG, CTM,BCOM
DEXA, VIT C, GG, PCT 1
RUJUK OPTIK
REMCO, CAVIPLEX
GG, CTM, BC
PCT, CTM, GG, BC 1
RUJUK RS HERMINA BEKASI
PCT, CTM, DEXA
REMCO, CAVIPLEX 1
PCT, CTM, GG 1
CTM, ORALIT, ZINK 1
PCT,CTM, GG 1
CTM, DEXA, ZALF 24 1
CTM, DEXA, BC 1
PCT, CTM,DEXA, VIT C 1

DISARANKAN UNTUK KE FASKES 1 TERKIAT BPJS
KONSULTASI
PCT, CTM, GG 1
PCT, BCOM 1
CTM, DEXA, VIT C, SALEP OXYTETRA 1
PCT, CTM, AMBROXOL, VIT C, ZALF 24 1

RUJUK 1
CTM, DEXA, BC
PCT, CTM, AMBROXOL, B6
PCT, GG, CTM, B6 1
CTM, DEXA, BC 1
GG, CTM, DEXA 1
CTM, DEXA, BCOM,SALEP OXYTETRA

PCT, CTM, GG, B6, ZINK , ORALIT 1
PCT, DEXA, GG, BC, GENTAMICIN 1
1
MOLEXFLU, GG, BC
DEXA, CTM, GENTAMICIN 1

CTM, GG, BC
PCT, CTM, BC 1
PCT, CTM, GG
DOEN, PCT, CTM, B6
PCT, GG, CTM, BC 1
PCT, AMBROXOL, CTM, BC 1

CTM, BC, HYDROCORTISON ZALF 1
B6, CTM, ZINK, ORALIT 1
GG, CTM, DEXA, OXY TETRA ZALF
RUJUK 1
DOEN, CTM, B6 1
CTM, DEXA, VIT C 1
PCT, CTM, B6, KLORAMFENICOL 1
1
DOEN, PCT, B6 1
DOEN, B6, PCT, ORALIT 1
CTM, KLORO ZALF
CTM, DEXA, BC, OXY ZALF
CTM, DEXA, GG, BC 1
GG, CTM, DEXA, BC
DEXA, AMBROXOL, BC
DOEN, CTM, B6, PCT 1
RUJUK RSUD POLI ANAK 1
GG, CTM, BCOM 1

RUJUKAN RSCM 1
KONTROL BBL
CTM, GG,
PCT, CTM, GG
PCT,CTM,GG,CAVIPLEK 1
SKS 1
CAVIPLEK 1
PCT, DEXA, CTM 1
RUJUK RSUD BEKASI
RUJUK RSUD BEKASI 1
SKS 1
KONSULTASI
REMCO SYRP, CFAVIPLEK, SALISIL TALK
PCT SYRP, CTM, GG, BCOM 1
CTM, DEXA, GG, BC 1
DEXA, SANMOL, VIT C

AMBROXOL, DEXA, AMOX, VIT C 1
PCT, DEXA, AMOX, BCOM 1
KONSULTASI 1
KIR SEHAT
DEXA, CTM, SALEP HYDRO 1
CTM, DEXA, SALEP HYDRO 1
SANMOL, AMOX SYRP, GG, DEXA 1
PCT, AMOX, DOMPERIDON, SYRP 1
PCT, GG, DEXA, 1
KIR SEHAT 1
ANTASIDA SYRP, ZINK 1
RUJUK UNTUK PEMERIKSAAN DARAH KE RS

DEXA, PCT, VIT C
KIR SEHAT 1
PCT SYRP, DEXA, GG, CTM,BCOM 1
PEMBENGKAKAN KELENJAR GETAH BENING
PCT, CTM,B6 1
ORALIT, ZINK, PCT, CTM, B6 1

PCT, ANTASIDA, BC 1
DEXA, CTM, PCT, OXY ZALP 1
B6,CTM, BC, DEXA
GG, CTM,BCOM,PCT
CETIRIZINE, VIT C, DEXA, SALEP GENTAMICIN
MOLEXFLU, VIT C 1
PCT, GG, VIT C,CTM 1
RUJUK RS MAS MITRA 1
SLP OXYTETRA, CTM,DEXA,BCOM 1
CTM,DEXA,BCOM 1
SKS
MOLEXFLU, VIT C 1
RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
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
MEI 2021

NO KEGIATAN MTBM
L P L
DELISA MASEL ( 1 BLN )
BENICIA GEIYA DIALUCIA
NARA NADIRA ( 2 BLN )
SHAKILLA RAMADHANI ( 2 BLN ) JB
ZAHIRA KHOIRUNISA JB
ASHAFIRA SALSABILA
M ALVINO RAMADHAN JB
ARSYFA RUBY JB
ANNISA NUR HIDAYAH JB
MUHAMMAD FATHAN JB
SAMUEL BENEDIC JB
YONCA SEVIM JB
ARABELLA GYANA JUNAS JB
SABIAN JB
RIAN JB
LUKI JB

NO KEGIATAN MTBM
L P L
nan
Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus

Badan Pemberian ASI
6 Rendah &
n Minum
ASI
Rendah
7
Tidak
10 Rujukan
TOTAL
LUAR WILAYAH
P L+P
JBB
JBB
JBB
JBB
LUAR WILAYAH TOTAL

P L+P
MEI 2021 2021

NO KEGIATAN MTBS
L P L
AVIKA RAMADANI ( 11 BLN ) JB 4/7
WONG MING WEI ( 9 BLN ) JB
DESI NATALIA ( 6 BLN ) JB 4/3
ISTIQOMAH ( 4 THN ) JB
KIO GEGE ( 10 BLN ) JB
SHAQILA AL MYHRA ( 6 BLN ) JB
M GIBRAN ( 3 BLN ) JB 5//3
RUNA SAWARNA ( 2 THN ) JB
MAI CHRYSOLIVIA ( 12 BLN ) JB
MAHEK ZAYYAN AL MUBARAQ ( 3THN ) JB
DEVITA NUR ( 2 THN ) JB
YASMINE SALSABILAH ( 3 THN )
ANNASIA ( 10 BLN ) JB
KHALID DEAN BAGUS ( 8 BLN ) JB
FELICIA KEYVA ( 4 BLN ) JB
MUHAMAD FIKRI ( 4 BLN ) JB
KHALID DEAN BAGUS ( 7 BULAN ) JB 12/12
6 11 0
ALESHA SHAQUEENA ( 11 BLN ) JB 10/12
NAURAH AISYAH ( 8 BLN ) JB 6/3
ABDURAHMAN ( 5THN ) JB 2/14
ADIBA HUMAIRA ( 4 THN ) JB
M IQBAL R ( 3 THN ) JB
ALIKA NAILA PUTRI ( 1,5 ) JB
FHARIEN ADZKIA ( 4 THN ) JB
SOPIAN ( 4 THN ) JB
MUHAMAD AZKA YUSUF ( 5THN ) JBB
ELVAN ELVARO ( 2 THN ) JB
AZRIEL HANAFI ( 3 HN ) JKM
AZRIL KAIS ( 2 BLN ) JBB
M BAGAS ( 3 THN ) JB
HIFZA MAULLIDYA ( 3 THN ) JB
GIANDRA ATHARAYHAN ( 2 THN ) JB
ZEA ALMAHYRA ( 4 THN ) JB
M RAFIANSYAH ( 3 THN ) JB
ABQARY SHAUWQI ( 2 THN ) JB
ADHA AGAM ( 3,5 THN ) JB JB
CHYRA JIHAN ( 15 BLN )
HAWA KHAIRUNNISWA ( 2 TN ) JB 1/7
KALILA ALDITA ( 2 THN ) JB 2/12
8 11 3
NO KEGIATAN MTBS
L P L
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
ABDURAHMAN ( 5THN ) JB 2/14
AVIKA RAMADANI ( 11 BLN ) JB
DESI NATALIA ( 6 BLN ) JB
ADIBA HUMAIRA ( 4 THN ) JB
M GIBRAN ( 3 BLN ) JB 5/3
KHALID DEAN ( 8 BLN ) JB
ANNASIA ( 10 BLN ) JB
M ABIA ( 5 BLN ) JB
SOPIAN ( 4 THN ) JB
MUHAMAD AZKA YUSUF ( 5THN ) JBB
GUINEVERE CANICE ( 2 THN ) JB
AZRIEL HANAFI ( 3 HN ) JKM
M BAGAS ( 3 THN ) JB
ZEA ALMAHYRA ( 4 THN ) JB
ADHA AGAM ( 3,5 THN ) JB
TOTAL 17 17 2
NAURAH AISYAH ( 8 BLN ) JB6/3
1 4 0
TOTAL

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
SHAQILA AL MYHRA ( 6 BLN ) JB 1/1
YASMINE SALSABILAH ( 3 THN )
M ABIA ( 5 BLN ) JB
ADHA AGAM ( 3,5 THN ) JB
CHYRA JIHAN ( 15 BLN ) JB
6 12 0
a. Mastoiditis
5 Masalah Telinga
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
AVIKA RAMADANI ( 11 BLN ) JB
DESI NATALIA ( 6 BLN ) JB
SHAQILA AL MYHRA ( 6 BLN ) JB 1/1
M GIBRAN ( 3 BLN ) JB 5/3
M ABIA ( 5 BLN ) JB
9 Status Imunisasi
8 7 0
CHYRA JIHAN ( 15 BLN ) JB
2 8 0


12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
JBB
JBB
JBB
3
0
TOTAL
LUAR WILAYAH
P L+P
JBB
JBB
2
0
JBB
0 0
JBB
1
0
REGISTER
No. TANGGAL
No.RM BARU LAMA
1 2/6/2021 5599 1
2 21781 1
3 3934 1
4 1115 1
5 9157 1
6 2823 1
7 20827 1
8 23781 1
9 24660 1
10 15462 1
11 17930 1
1 3/6/2021 24951 1
2 6965 1
3 6967 1
4 25022 1
5 4529 1
6 25016 1
1 JUMAT, 4 JUNI 2021 8089 1

2 3748 1
3 25032 1
4 12730 1
5 25034 1
6 16415 1
1 SABTU, 5 JUNI 2021 23502 1

2 21122 1
3 14269 1
4 23769 1
5 21940 1
6 13367 1
7 455 1
8 11785 1
1 SENIN, 7 JUNI 2021 24042 1

2 16715 1
3 25053 1
4 2971 1
5 18094 1
6 20387 1
7 22718 1
8 16452 1
1 SELASA, 08 JUNI 2021 20733 1

2 7168 1
3 6967 1
4 6965 1
5 25071 1
6 13495 1
7 22256 1
8 25073 1
1 RABU, 09 JUNI 2021 25076 1

2 25093 1
3 12048 1
4 7868 1
5 23487 1
6 25089 1
7 25087 1
8 25088 1
9 9335 1
1 KAMIS, 10 JUNI 2021 9833 1

2 25095 1
3 24982 1
4 6828 1
5 24015 1
6 24666 1
7 25096 1
8 25034 1
9 10733 1
10 25102 1
11 22625 1
12 25111 1
13 25108 1
14 25109 1
1 JUM' AT 11 JUNI 2021 24867 1

2 25119 1
3 25120 1
4 24071 1
5 15705 1
6 13887 1
1 SABTU, 12 JUNI 2021 25124 1

2 3366 1
3 5955 1
4 21731 1
5 23589 1
6 24629 1
7 24727 1
1 SENIN, 14 JUNI 2021 22129 1

2 7170 1
3 14554 1
4 16541 1
5 24660 1
6 25141 1
7 25143 1
8 7868 1
1 SELASA, 15 JUNI 2021 16715 1

2 4422 1
3 25146 1
4 24194 1
5 24398 1
6 14388 1
7 7482 1
8 10171 1
9 6495 1
10 12776 1
11 25154 1
12 874 1
RABU, 16 JUNI 2021 20873 1

25162 1
21179 1
23781 1
24544 1
25167 1
16452 1
1 KAMIS, 17 JUNI 2021 16023 1

2 12832 1
3 25174 1
4 17925 1
5 24282 1
6 23281 1
7 22416 1
8 25178 1
9 12845 1
10 23127 1
11 24528 1
12 22732 1
13 25177 1
14 21760 1
15 26 1
1 JUM"AT, 18 JUNI 2021 9806 1

2 25187 1
3 18451 1
4 25183 1
5 14833 1
6 25190 1
7 2809 1
8 25192 1
9 25016 1
10 791 1
11 21321 1
12 25196 1
13 24666 1
14 25195 1
25177 1
KAMIS, 19 JUNI 2021 22718 1

23518 1
1565 1
9394 1
576 1
25202 1
1010 1
25200 1
25198 1
15929 1
SENIN. 21 JUNI 2021 17847 1

11184 1
4691 1
17928 1
25204 1
20104 1
25220 1
23046 1
3867 1
6421 1
4201 1
25225 1
24955 1
SELASA, 22 JUNI 2021 25198 1

16550 1
24111 1
12690 1
22537 1
25032 1
25233 1
25228 1
25231 1
15301 1
7725 1
RABU, 23 JUNI 2021 14700 1

25239 1
16480 1
4737 1
20630 1
11725 1
5907 1
25246 1
16393 1
25250 1
22723 1
KAMIS, 24/06/2021 14534 1

9136 1
1686 1
25246 1
7508 1
20758 1
7186 1
7821 1
25256 1
JUM"AT, 25 JUNI 2021 25258 1

24129 1
25259 1
24262 1
1085 1
25250 1
11480 1
17817 1
SABTU, 26/06/2021 22732 1
24875 1
25272 1
4215 1
23463 1
1 SENIN, 28/06/2021 23793 1

2 9814 1
3 15038 1
4 25285 1
5 25286 1
6 24666 1
7 25196 1
8 25289 1
9 20892 1
10 15839 1
11 2605 1
12 2403 1
13 13332 1
SELASA, 29/06/2021 5599 1

14405 1
4176 1
25300 1
1 RABU, 30/6/2021 10335 1

2 2946 1
3 8611 1
4 15138 1
5 16273 1
6 22526 1
7 25309 1
8 23281 1
9 20878 1
NAMA ANAK
ISMU
FAIRUZ ARAFAH
KAISU FIKRIYAH
YUMNA ARIQA FATINA
ZAHWA AIZA
SYAHRANI PRATIWI
KENZIE GRACIA
AFIZAH
MUHAMAD FATHAN
NABILA UMAIRAH
M RAFLI
M DIAS ARRASYID
AHMAD MAULANA
PAJRI NURADIT
FELISYA ATIKA
RATIFA DIAN
QONITA QURRATA
FELISYA ATIKA BALQIS

AHMAD INDRAWAN
ILHAM MAULANA
JUNA ZAFARF
ALEXA CELIA
MUTIARA ADIVA
RIANI MUTIA AZZAHRA

IRVAN ANWAR ADILA
ALYUDA RAFIF
MUHAMMAD AZLAN
QISYA ALIFA
TIARA MARSYLA
KHOIRUNNISA FITRIA
M RAFA AKBAR
AHMAD HAIKAL
DIANUR
RADITYO THURAYYA
ANISA SYAFAKILA
M ALWI MUBAROK
QUEEN KHAIRA
ASYIFA
ZAYDAN
M HAFIZ
NABILA MAJID
PAJRI NURADIAT
AHMAD MAULANA
RIFKI HAFIZ
M SOLAHUDIN
FARIHA AZZAHRA
MARSYA AULIA
IBRAHIM RAMADHAN
RAFA GUNAWAN
QEANU JUL PRATAMA
M ZAKI
KHALISA OKTAVIYANI
AMAT SAPUTRA
AZRIL HAIKAL
KEYSHA SAFIRA
FEBRI ARUM
ADEN SIREGAR
KHALID UZAYR
IRVAN NASRULLOH
ALYA KURNIA
M AMAR KHAIDAR
ALFIN ZHAFARO
DEA KRESNA
ALEXA CELIA
NADIRA MUGHNY
SYAHDIN ABDULLAH
KHAYLA ALESHA
TRIANI AGUSTIN
HILMI AULIA
KHOLIF MUHAMAD
NUR AZIZAH
M FADLIANSYAH
RYU ELVANOAR RAYAN
NIKEN OKTAPIAR
SITI NUR AISYAH
M FADILLAH
KHALISA
AHMAD NIZAR
SYAUQI AZKA
NABILA AZAHRA
RINTIA ANJALIKA
M SYAHRUN
KHALIQA KESYA
FERDIANSYAH
AZKA ZAINA
LATIF AL FATIH
MAULIDA AZ ZAHRA
MUHAMAD FATHAN ( LAHIR SC DI RS MITRA KELUARGA JT ASIH )
DZULSYAFIQ HADIYATULLOH ( LAHIR RS PMC JAKARTA )
SURFINAH
MUHAMAD ZAKI
DIANUR
NANDA DWI
SASKIA KLODIYAH
M ALIF MUSLIM
PETER ANUGRAH
JELITA HADIS KHAIRUNISA
ARYA FEBRIAN
M FICKY FIRMANSYAH
M FASHA FERDIANSYAH
RIFANI RIZKYA PUTRI
RIKI NURAINI
REZA
SYARAFINA ASILAI
NAYLA TURAHMAN
HIFZA MAULIDYA
AFIZAH
NAJMIA RAMADHANI
ADE LISMAYANTI
ZAYDAN
ALIFIANA DWI FARZANA

RAMA ATMA ADITYA
SABRINA YULIYANTI
RAKA
ZIHAN NADIA
M RAFIF FATIH
JOHANES ELEAZAR
QIANA SALAMA
JIHAN AQILLAH
SEPTY ADIBAH
SAIQA NASYTHA
AFIF MAULANA
AFRIZA GHANIA
ABIDZAR ALKHALIFI
AGAM ABDILLAH
FADLAN FADILAH
ZAKIYAH NURROHMAH
CARLOS DOMINIE
RATNA FITRIA
SARASWATI SETIO RIZKI
SITI NURBAETI
NIKOLAS
GLENN CIPTA
QONITA
M HAYKAL
MACHAIRA
AFFAN KHORUL
ALFIN ZHAFARO
SAZKIA OKTAVIANI
AFRIZA GHANIA
ASYIFA APRILIA
MIKAEL JULIAN
AZKA ADIRTYA
RASHYA ZAVIER
ANNISA PUTRI
SUSILO RAFI
SYAHID RABBANI
HARIS AZAM FAIS
REVABIA
HERLANGGA ARI
ANUGRAH
KEANU RAMA PATRIA
FADIL ARDIANSYAH
RAHEL
ILDAM SAPUTRA
SYFA ALZARAH
ELVANO PANJAITAN
ANNASIA
M ABIAN SAPUTRA
RAPANSYAH
RAYYA NUR OKTAVIANI
FAIZAL ZINEDINE
M FIKRI ADRIANSYAH
REVABIA
ALIF FATURRAHMAN
ADELARD TIFRINAN
MUHAMAD AZZAMY
ALVERENDRA PRATAMA
ILHAM MAULANA
AZMI HAMIZAN
AKHMAD NAUFAL
AZHAR ZALFA
RENDI CHANDRA
DHIFTA ERIYANI
TAZKIA AIDA
ISMAIL RAFLY
AUVHAR FABHYAN
DARA SITI
RASYA
BIWI LATIFAH
M ICHWAN
SYABANIA SABRA
GALUH ADIEL
REKSA KENZIE MAULANA
MAI CHRYSOVILIA
LATIF AL FATIH
M RAFA REZAKI
QAYZA
SYABANIA SABRA
ALFIAN NUR
ARKANA RELVAN
M IKHSAN
DESTIA MAHARANI
AISYAH AFIFATUL
KAILA SALSABILA
SULTAN ABIZAR
AL RAYYAN RIZKY
NABILAH NUR FAZIAH
LUKMAN AL HAKIM
REKSA KENZIE MAULANA
M REYZA
ANANDA PUTRI RIYADI
AFIF MAULANA
RAIHANI PUTRI
KALULA ZOYA A RALENAN
AHMAD AL ZABAR
SUCI NURUL
RISKA BERLYANA
BRAM
KAMILA SARTIKA
ABNAN IRWANSYAH
RISKI DIANA
ALFIN ZHAFARO
AFFAN KHOIRUL
ZAINURIDHA PUTRI
ALIFA KARENINA
TIKA ANGRAINI
FIKRIA HANIFA
ARYA WIRASENA
MUHAMAD AFFAN
ISMU
ABDULLAH
FIKRA MOCH YUSRA
MARSHA ALEXANDER
DANIEL PARSAMOAN
M FADLI
M ZAIDAN ILHAM
LADY DIANA
TRISNA
DELADA
EKA IREN
M RAFIF FATIH
AMARINI RAHMAH
NIK KTP KS BPJS
3301203112800028
3175231002561622 0003077825343
327508170610030
3275080204090066
3275086104180002 1
1
1
1
1
1
1
0001276965156
1
1
0002481938572
1
1
1
1
0000507265312
1
1
0001461366944
0002206396629
3275082402110012
3275081607070047 0000506418647
3275086202810011
3275080205200002 0002932778226
0003070897672
6471050301200001
3275083107180002
3275084412800015
1
1
0001319555665
1
1
1
3205286110040009
3275080502090007
3275080502090007
0002142798445
0001478989394
329015201200001 0003072602024
3175231002561622 0003077825343
3101021310200001, 3101025712910001 ( IBU )
0000506807987
1
0000507140662
0001480763362
1
0001382799532
0002461785996
1
1
1
1
1
1
0003075728229
0002933734724
1
3275081810190003
1
1
1
0002356501228
1
1
0002074361973
1
1
1
1
0002231305086
0001837208643
1
1
1
1
1
1
0000508029287
1
1
1
1
0002767067098
0002928380984
0002521766114
0001993736068
1
1
3173045612900001
1
1
1
1
1
1262002105
1
1
0001904838704
0001218670525
1
1
1
0002943286029
1
0002461785996
0002294928909
ALAMAT
TELP NAMA ORTU DALAM LUAR
WILAYAH WILAYAH
AHMAD/ RUKILA JB 7/1
081284440007 M KIDZAL JB 1/3
085218185226 SISWANTO JBB 3/3
AGUS PURWANTO JB 3/14
081280661732 ALI AKBAR JB 71/7
081280303616 NANA JB 6/1
087886360814 DANIEL JB 2/5
0897783542 FAIZAL JB 2/1
0895332879685 AHMAD/ SIRAH ROYANI JB 1/7
081285635522 RONNY JKS 1/10
082246158867 EDI RAHMAT JB 1/3
085717487054 DIAN SLAMET JB 2/14

089677085749 AGUS SUHERI JB 1/3
089677085749 AGUS SUHERI JB 1/3
089519884277 ZAINAL ABIDIN JB 6/1
MUHYANI JB 6/12
ZAINAL ABIDIN JKTM 4/1
081296539436 ZAINAL ABIDIN JB 6/1

087785236395 AHMAD ZAILANI JB 4/2
08119519808 PRAYOGI JB 4/6
JB 1/1
089810799015 TEDDY JB 4/2
085219862774 SUKIRMAN JB 2/14
087879471949 ZAINUR JB 6/3

085692673838 DASRI WANDI JB 5/14
08988734086 WAHYU JB 4/2
0895343608649 SYAHRONI JB 6/1
DIAN RIZKA JB
081932383179 AGUS JB 6/6
087780009021 TURYONO JB 5/2
08788456940 ROHANDI JB 1/14
083888949769 OYONG JB 1/14

083818774236 EMIN JB 1/7
08569859660 AGUS JB 10/13
081316454249 WERRY CIPAYUNG
WASRONI JB 4/7
0852145562801 RODY KARDODY JB 6/3
DEWI ANGRAENI JB 4/14
083818792333 ALI SOBRI JB 4/14

08216905235 SUSANTO JB 5/6
AGUS SUHERI JB 1/3
AGUS SUHERI JB 1/3
081213570013 RISMAN JB 3/5
082124315825 SUDOMO JB 4/7
08977782483 SIROJUDIN JB 2/14
ARIF RAHMAN JB 6/1
081386117699 HERYAWAN ADHE / JUJU JBB 2/4

081388505188 SAMMY JB 6/12
0895602900945 AHMAD JB 6/3
0895332923454 ABDULLAH/ WULANDARI JB 10/12
089687383917 HARIYADI JB 6/3
NANA SURYANA JBB 6/3
081262523849 HENDRIK JB 4/3
085773805160 EDWIN WIRDA JB 3/5
081398212036 EKO JB 1/2
081290336310 MAHDINAR JB 2/14

082254307135 IRSYAD / TRI INDAH JB 2/14
0893355663481 ANTON/SRI DEVI JB 5/2
ALI/ EVA JB 4/9
089638091445 SUPARDI JB 8/1
081386732121 JUMARI / MURNI JB 4/2
089661926503 ASEP JB 1/3
089810799015 TEDDY JB 4/2
085217000621 DAPAN JB 3/1
082211155471 FAIZAL JKM 6/2
085221433429 GAMA JB 4/12
089638088341 KARLIN JB 3/1
DUMYANTI JB
082213761471 M GHANI JB
081411156818 ALICIA JB 2/12

081385461861863 FAKHRIANSYAH JB 9/12
085883527357 DEDE CANDY JB 1/14
083808949769 OYONG JB 1/14
087782757691 FDAMIN JB 2/12
087782757691 DAMIN JB 2/12
087870792807 RISMAN/ RIYANI JB 3/5

IMAM/ SURYANI JKM
087762381916 GEMBI JB 6/12
NANA KUSNANDAR/ SILVIA JB 4/14
NANA KUSNANDAR/ SILVIA JB 4/14
IWAN/ DEWI PARAMITA JB 1/03
085263861376 EDDY JB 8/6
085770085840 SUBUR JB 5/2

081282466321 YULIANA/ SUSANTO JB 05/06
081319218105 BAMBANG JB 4/7
081293289806 SUDARYA JBB 4/2
0895332879685 AHMAD/ SIRAH ROYANI JB 1/7
085885183483 DANI HADAYA/ DJAZIROTUL HABIBAH JB 02/03
089512567544 SARIM JB 5/3
089532923454 ABDULLAH JB 10/12
083818774236 EMON JB 1/7

SUSANTO JB 2/14
0878889557885 SEHROJI JB 5/3
08988160424 DIANA JB 6/12
089534257886 YOSEF JB 6/3
081806874771 HADI JB 2/2
RIMO JB 4/2
081317170747 MAMAN JB 1/1
081317170747 MAMAN JB 1/1
081297339366 NALIH JBB 4/2
087724314866 ADIH JB 4/2
MARDIN JB 5/2
0895373015768 IFON JTKMT 7/.3

085319246609 SAMSURI JB 1/14
081310738940 MOCHAMAD JB 6/1
0897783542 FAIZAL JB 2/1
081283509044 SABENIH JB 7/3
083819403669 MARNI JB 3/14
085222557061 NIMAI JB 4/14
081294350776 ALI SOPHE JB 4/7

08999141601 MA'MUR JB 1/14
08963339318 ROHENDI JB 1/14
JB 5/3
081368167674 WAHYUDI JBB 6/3
081368167674 WAHYUDI JBB 6/3
083874741686 JERRY JB
085884800779 JALALUDIN JB 1/14
081213867534 USMAN JKM 1/15
0895402259908 AGUS JB 1/1
08138887638 HERU JB 4/2
0812868713 ANOM JB 3/2
081806548278 ANDINI JB 2/14
081314870252 AHMAD RISKI JB 3/2
083877268785 ANDI JB 2/4
089677289512 HERIANTO JB 3/2

089671271087 JAMAL JKM 3/1
081386123793 ISAI ARAD/ RODIA JB 1/2
083817055692 DADANG JB
08973416228 MAMIK JBB 1/6
082312096043 NURDIN/ NURHAYATI JB 3/3
JKM 2/4
0859106976843 PILOMANIK JB
0895328500367 ZAENAL ABIDIN JKTRMT 4/1
081316339500 YONO JB 4/2
081280796970 NEMPY JKMT 5/5
08138673212 JUMORI JB 4/2
081386732121 JUMORI/ MURNI JB4/2
087888134558 NANANG JB 2/3
081806948278 ANDINI JB 2/14

081284646824 AMIN FAUZI JB 4/1
WAGIMAN JB 4/14
0811188898 FAJAR JB 2/10
08969995856 RISDIAN JB 5/2
087888102228 HAROYANTO JB 14/13
087820187896 RAHMATULLAH JB 3/7
08773832779 JUWARI JB 3/14
082292310067 IRFAN JB 3/1
085773832779 JUWARI JB 3/14
085711383391 RESKI JB 4/7

082298385915 INDRAWAN JB 5/10
081294828042 ARIS FADILAH JB 5/2
JB
083804355572 MUKLIS JB 5/14
- ROKIB JB 7/12
081287400838 DONARDO JB 13/10
TIKA JB 3/2
83891870098 BAGUS JB 3/2
YASIN JBB 1/11
085887224665 NURDIN JB 4/2
089637475457 JUHRI JB 4/7
081289385857 SUSANTO JB 3/14
082292310067 IRIAN JB 3/1

089629950497 ANOM JB 3/2
087776331683 MIFTAHUL JB 3/4
087880304299 MARYADIH JB 6/3
BENRIO JB 3/14
PRAYOGI JB 4/06
ARIEF JB 2/2
089666204720 WAKFONI JB
081318266583 GEN GESI JB 4/2
085320772531 SUNARDI JB 2/1
M YAMRA JBB 6/3
0895343900124 BAMAR JBB 3/4

085774948630 ABIDIN JTK 4/8
083898960280 MASHUDI JB 11/12
083147195702 HENDRICO JB 4/3
IRFAN JB 3/1
08159601365 ADI MAKBUL JB 3/8
081314409279 PUJIYANTO JB 5/12
081584845194 TAUFIK JB 4/12
085210253004 AMIN JB 3/7
083896428641 LUTHFI JB 3/2
08881049792 NOTARISMAN HIA JB 5/2
081319218105 BAMBANG JB 4/7

08159448333 SARIFAH / ARIF JB 1/11
SOPANI JB 2/7
081584845194 TAUFIK JB 11/12
DONI JB 3/7
085733707756 MULYADI JB 4/2
082181676937 AHMAD JBB 13/8
082310199629 ANDI JB 3/14
085274663554 APRIYADI/ MARDANIATI JB 5/14
089501128695 AHMAD BARSARI JKMT 6/1

081290254536 USMAN JB 1/3
085810701738 ADE SURYANA JB 3/3
081213867534 USMAN JKM 1/15
M YUNUS JB 4/2
083896428641 LUTHFI JB 3/2
089252937 ARI JB 3/2
08998735502 TRIO JB 1/1
0812868713 ANOM JB 3/2
081210943450 HENDRA JB 1/7
081298755447 ARMANDI JB 1/1
0812115111508 JAJAT/ NITA JB 4/3
08963928691 SOPIAN JB 6/3
081290416314 UNTENG JB 2/2

081808665209 TEGUH JB 5/11
MISAR JB 1/3
081389521731 SUHENDY JB 1/1
081389521731 SUHENDI JB 1/1
081386732121 JUMARI JB 4/2
08138673212 JUMARI JB 4/2
082298379988 ISHAK JB 6/3
081288121997 RAGIL JB 12/12
085777334534 NEMAT JB 4/2
085218001870 JATI WIBOWO JTKMT 1/1
083811313809 ADE SUPENA JB 6/3
081286696418 BUDI JB 9/10
082223834350 AHMAD JB 7/1

JBB 6/4
082216080081 FEBRYAN JB 2/14
089615040604 FRANS JB 1/8
085216873484 HAPOSAN POHAN JB 2/2

081845656017 HUSIN JB 2/2
081808418542 MUHIDIN JB 1/14
DIANA JB 7/3
JB
081361983561 DESLIAMAN JB 5/2
DESLIAMAN JB 5/2
081368107674 WAHYUDI JB 6/3
085777473130 YUDA HERMANSYAH JBB 6/2
UMUR
TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN 5 - 15 THN SUHU BB
L P L P L P L P
26/01/2010 1 36,3 15
4/4/2020 1 36 7,6
24/08/2011 1 36,3 27
9/3/2014 1 36,2 18
26/07/2018 1 36 11
4/10/2004 1 36,5 58
28/01/2020 1 36,2 8,4
24/11/2020 1 36,4 8,2
9/4/2021 1 36 4,7
11/3/2019 1 36,2 10
10/6/2005 1 36 97

10/1/2016 1 36 15
9/6/2011 1 36 25
21/04/2018 1 36 15
17/01/2004 1 36 43
21/05/2005 1 36 45
21/4/2018 1 36 15
25/10/2014 1 36,3 18
6/10/2012 1 36,6 21,5
30/1/2018 1 12
11/8/2017 1 36,3 11
22/4/2019 1 36,3 8,3
23/2/2020 1 7
15/9/2003 1 53
24/10/2009 1 27
25/12/2020 1 3,9
27/4/2018 1 OS TDK DTG
8/3/2013 1 24
15/10/2007 1 45
20/9/2018 1 15
21/9/2013 1 36,9 23
1/12/2005 1 36,3 39
3/7/2006 1 36,3 56
14/12/2014 1 36,4 16
19/12/2019 1 36,8 10
6/4/2014 1 36,8 24
22/04/2020 1 36,4 6
31/12/2003 1 36 90
18/02/2017 1 36,7 13
9/6/2011 1 36 25
10/1/2016 1 36,3 15
10/10/2015 1 36,4 18
9/6/2009 1 36,9 38
10/3/2020 1 36,4 8
13/09/2013 1 36 19
2/5/2020 1 36,4 8,5

14/07/2014 1 37,1 18
11/5/2012 1 36,2 20
23/10/2020 1 36,8 6,3
22/12/2016 1 36,3 10
2/6/2018 1 36,1 12
11/11/2018 1 36,9 14
5/2/2010 1 36 35
16/11/2017 1 36,3 15
3/1/2020 1 35,2 9
31/07/2019 1 36 12
9/7/2014 1 36,3 19
22/12/2020 1 36,7 7,2
10/6/2019 1 36,3 10
8/12/2003 1 36,1 57
11/8/2017 1 36,4 11
24/2/2017 1 37 12,5
27/9/2013 1 36,3 24
12/2/2016 1 36 17
31/08/2003 1 36 58
3/3/2007 1 36 43
15/04/2007 1 36,4 52
17/03/2014 1 36,4 20
7/8/2008 36,4 76
8/6/2019 1 36,3 12
21/10/2004 1 36,5 67
3/12/2006 1 36,4 55
8/10/2011 1 36,5 36
19/12/2019 1 36,4 8,7

22/05/2016 1 36,3 14
24/05/2014 1 36 19
12/1/2020 1 36 5
26/08/2013 1 36,2 28
5/3/2021 1 36,4 5,1
21/12/2015 1 36,4 17
27/02/2005 1 OS TDK DTG

25/08/2016 1 36 13
12/7/2016 1 36,4 17
31/03/2011 1 36 23
9/4/2021 1 36,9 4,8
13/10/2020 1 36,6 7
29/09/2006 1 36,3 45
11/5/2012 1 36 20
1/12/2005 1 36 41
19/07/2008 1 36 73
7/4/2007 1 36 50
14/04/2006 1 36 45
27/06/2020 1 36 9,4
3/1/20013 1 36,6 29
19/02/2015 1 36 20
9/5/2010 1 36,6 44
14/06/2008 1 50
11/2/2008 1 36 55
1/6/2006 1 36 30
3/1/2006 1 36,2 73
17/02/2015 1 36,4 16
20/09/2018 1 36 9
24/11/2020 1 36,3 8,5
16/07/2015 1 36 20
4/10/2003 1 36 53
31/12/2003 1 36,2 89,5
25/1/2019 1 9
3/10/2009 1 34,5 44
19/7/2003 1 52
16/6/2019 1 12
12/7/2003 1 36
16/09/2017 1 12
29/6/2020 1 9,2
16/11/2020 1 36,6 7,8
1/6/2015 1 36,7 15
19/9/2019 1 36,4 8
2/1/2021 1 36,7 6,2
4/7/2020 1 36,6 6,5
24/3/2021 1 OS TDK DTG
13/05/2020 1 9,2
25/9/2014 1 36,4 31
18/03/2018 1 37,2 14
1/9/2003 1 36 48
20/05/2021 1 36 9,9
1/9/2003 1 36,3 41
1/1/2006 1 36,3 48
8/5/2008 1 36 27
1 36,4 68
8/2/2010 1 36 45
21/05/2005 1 37,2 45
28/02/2004 1 36,4 51
10/9/2013 1 36,6 33
29/07/2011 1 36 21
10/6/2019 1 36 10
10/10/2010 1 36 36

31/7/2017 1 35,4 19
31/3/2015 1 36,4 19
15/07/2018 1 OS TDK DTG
13/07/2017 1 36,6 14
5/6/2008 1 36,6 70
30/07/2016 1 36,3 13
30/12/2013 1 36,3 39
26/10/2019 1 36,4 10
30/07/2015 1 36,2 15
8/1/2013 1 36,4 24
8/8/2017 1 36,3 13
20/10/2010 1 36 25
21/8/2019 1 35 13
7/7/2009 1 45
10/12/2019 1 36,4 10
25/4/2021 1 36,3 5,1
19/8/2020 1 36,4 8,4
3/11/2016 1 36,4 17
8/2/2007 1 OS TDK DTG
17/10/2016 1 16
7/5/2006 1 54
14/2/2021 1 36,4 6,5
26/10/2019 1 36,3 10
25/5/2019 1 36,7 11
5/3/2020 1 36,3 9,5
20/07/2014 1 36 11
20/06/2020 1 36,9 9
6/10/2012 1 36,8 22
10/10/2011 37,1 23
18/04/2016 1 36,3 15,5
10/9/2006 1 86
16/12/2010 1 36,4 33
26/09/2017 1 36,9 15
11/12/2003 1 36,6 50
24/9/2014 1 35,2 25
2/3/2015 1 36,3 22
19/03/2018 1 36,4 11
1 36 38
10/5/2006 1 75
8/3/2014 1 18
28/7/2011 1 36,2 37
3/2/2015 1 36,3 25
11/7/2018 1 12,5
8/5/2020 1 36,5 9,8
12/7/2016 1 36 17
21/07/2019 1 36 19
15/05/2008 1 36 24
28/07/2011 1 36 37
3/2/2014 1 36 19
15/02/2020 1 9
15/09/2012 1 PAASIEN TIDAK DATANG
9/12/2011 1 27
9/5/2020 1 7,2
30/06/2005 1 36,6 50
30/10/2020 1 36,8 10
9/7/2018 1 36,7 11
11/1/2004 1 36 43
22/12/2016 1 36 13,5
11/7/2018 1 12
5/5/2012 1 35,8 25
23/07/2003 1 46
4/7/2020 1 36,7 7
24/04/2009 1 36,8 37
23/02/2021 1 36,3 5,8
18/05/2017 1 36,3 19
7/10/2017 1 36,4 11
6/5/2005 1 36,2 44
19/07/2018 1 36,3 13
10/5/2015 1 36,5 22
7/1/2010 1 36,4 35
14/08/2014 1 36,1 19
10/6/2019 1 36,2 10
29/07/2011 36,5 21
16/12/2003 1 36,5 60
6/9/2006 1 35,7 65
1/4/2004 1 36 51
15/07/2005 1 58
5/5/2016 1 13,5
11/9/2007 1 36,2 51
26/1/2016 1 15,6
22/06/2010 1 OS TDK DTG
7/5/2013 1
25/11/2019 1 9
11/12/2012 1 31,74
25/8/2003 1 49
20/3/2012 1 26
13/03/2015 1 15,6
16/5/2012 1 23,72
20/07/2020 1 6,9
27/10/2014 1 25
16/09/2017 1 12,2
15/09/2003 1 40
TB ICD
ISPA CC FEBRIS DIARE FARINGITIS
117,3 J06 1
TINDIK
PERPANJANG RUJUKAN
111,5 L08
89,5 J06, L08 1
DERMATITIS EKTOPIK
L08
A09 1
J06 1
88 R50 1
150 L08
DAK DATANG RUJUK

L08
L08
95 RUJUK RS IGD TAUMA KEMASUKAN MURIARA DI HIDUNG
157 MYALGIA
157 KONSILTASI KE POLI TB
CORPUS ALLEIUM
L20 + J06 1
128,5 K30
88 LEUKIMIA
95 L20 + R50 1
L20
DIARE 1
165 KIR SEHAT
119 J02 1
DIARE 1
OS TDK DTG F80.9
J06 1
87 J06 1
86 DERMATITIS ALERGI
130 CC 1
154,5 l08
171,3 KIR SEHAT
114 J06 1
87,2 J06 1
127,7 CHEPALGIA
ENCEPHALITIS
163 OMA
97,8 J06 1
DAK DATANG PENGANTAR RUJUKAN KISTA BARTOLIN
126,5 L08
109 L08
K30
155 K30
J06 1
K30
73,5 H10
DAK DATANG HIPOKALIUM
12,4 J06 1
OMA
A09 1
J06 1
J00 1
J00 1
CHEPALGIA
97 CC/ LO8 1
77,5 KONSUL TUMBANG
88 L08
117 VOMITUS
J06 1
83 SCABIES
167,5 KIR SEHAT
95,5 L08
97 R50 1
123 L08
106 L08
152 SKS
163 CHEPALGIA
167 J06 1
120 J06 1
171 K30
83 J06 1
157 CHEPALGIA
156 J06 1
133,5 J06 1
80 A09 1
106 J06 1
115 SPECH DELAY
MALNUTRISI, J06 1
J06 1
J06 1
112 H10
ODEMA CEREBRI
97,7 L20
113,5 GANTI PERBAN
137,8 K30
J06 1
J06 1
152 J06 1
OMA
104 L20
159 PERPANJANG RUJUKAN PJR ( JANTUNG )
160 CEK GOL. DARAH
170 J06 1
FURUNKEL
131,5 J06 1
115,3 L08
155 J06 1
J06 1
DAK DATANG PERPANJANG RUJUKAN SPECH DELAY
156 J06 1
139 PEPANJANG RUJUKAN
DISFUNGSIONAL HORMON
108 J06 1
L08
J00 1
K30
R50 1
164 OMA
J06 1
154,5 K30
148 K30
87 J06 1
147,5 K30
100 L08 + CC 1
CC
J06 1
106,6 J06 1
J06 1
CC 1
A09 1
KONSULTASI
J06 + A09 1 1
126,9 J06 1
R50 1
159,5 KIR SEHAT
78,3 KELAINAN SENDI
J00 1
MYALGIA
153 MAL NUTRISI
J06 1
J06 1
J06 1
J06 1
J06 1
L08
L08
144 L08
DAK DATANG MINTA RUJUKAN RS MASMITRA D/ RETINOPHATY OF PRIMATURE
ENSEPALITIS
R50 1
118 J06 1
Q87
98,5 J06 1
160,6 R50 1
STOMATITIS
129,5 R50 1
81 A09 1
106 L08
J06 1
INFEKSI MATA
KONJUNGTIVITIS
80,8 J06 1
168,7 KONSULTASI
CC 1
J06 1
J06 1
107 J06 1
ARCHITIS
102,6 L08
174 J06 1
J06 1
J06 1
A09 1
TB PARU
SPEECH DELAY
J06 1
R50 1
J06 1
110 R50 1
172 KIR SEHAT
135 R50 1
J06 1
149,7 CC 1
116 URTICARIA
A09 1
91,5 J06 1
LACERATUM
OMA
LACERATUM DI BIBIR
132 URTICARIA
115 DYSPEPSIA
J06 1
A09 1
113,5 GANTI PERBAN 1

111,7 R50 1
150 J06 1
132 L50
116 J06 1
J06 1
TIDAK DATANG
TRAUMA KENA PAKU
L08
157 CHEPALGIA
J00 1
J06 1
K30
96,5 J06 1
J06 1
128 J00 1
157 KIR SEHAT
A09 1
J00 1
J06 1
J06 1
J06 1
BARTER SYNDROM
196,6 J00 1
115,5 K30
J06 1
R50 1
B86
B86
SUSP. COVID KONTAK ERAT
J06 1
DISMINORE
SUSP. COVID
A09 1
J06 1
J06 1
LUPUS
BENJOLAN DI TANGAN
J06 1
J06 1
J06 1
J06 1
J06 1
J06 1
J06 1
J06 1
R50 1
CONJUNGTIVITIS
DIAGNOSA
STOMATITISTONSILITISDERMATITISKONJUNG URTICARIA INF.KULIT DYSPEPSIAVARICELLA SCABIES PAROTITIS
TIVITIS
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
RESEP
OMA lain lain

TINDIK
EPILEPSI RUJUK RSUD BEKASI
AMOX SYRP, PCT, DEXA, SALEP OXYTETRA
CTM,DEXA,GG,BCOM
CTM, DEXA, SALEP HYDRO
CTM, BCOM, ZINK SYRP
CTM, GG
PCT, CTM, BCOM
ASMEDF, DEXA, BCOM
SUP. ABLACIO RETINA RUJUK RSUD BEKASI

SALEP OXYTETRA, CTM,DEXA,BCOM, AMOX SYRP
SALEP OXYTETRA, CTM, BCOM, DEXA
NATRIUM DECLOFENAK, BCOM, B1
RUJUK RSUD KOTA BEKASI POLI ANAK

DEXA, CTM, VIT C, GG, SALISIL
PCT, CTM, DOMPERIDON, B6
RFUJUK RFSUDFBEKASI
PCT, CTM, DEXA, BC, OXY ZALF
GG, CTM, BC, OXY ZALF
ZINK
DON PERIDON, PCT,AMOX, DEXA

ZINK
SPEECH DELAY RUJUK HERMINA BEKASI POLI TUMBANG
GG, DEXA, AMOX
PCT, DEXA, AMOX, AMBROXOL
CTM, DEXA, AMOX, PCT, BETASON
PCT, CTM, BC
AMOX, PCT, CTM
AMBROXOL, DEXA, CTM

PCT, GG, DEXA, CAVIPLEK
chepalgia PCT, BCOM
RUJUKAN RSUD BEKASI
1 PCT, DEXA, VIT C
PCT, CTM, GG, CAVIPLEK SYRP

RUJUKAN RSUD BEKASI
AMOX, CTM, DEXA, SALEP OXYTETRA
CTM,DEXA,BCOM,SALEP OXYTETRA
PCT, CTM,B6
PCT, DOMPERIDON, B6
PCT, CTM, GG, BCOM
PCT, CTM, B6
CTM, DEXA, PCT, SALEP OXYTETRA SALEP MATA

PCT, CTM,GG,DEXA
1 PCT, DEXA, BCOM
PCT, CTM,GG, ZINK
PCT, GG, CTM,CAVIPLEK
PCT, CTM,BCOM
PCT,CTM,BCOM
CHELGIA PCT, BCOM
PCT, AMOX, CTM, DEXA, BCOM, SALEP OXTETRA

KONSULTASI TUMBANG
CTM, DEXA, VIT C, SALEP OXYTETRA
VOMITUS PCT, CTM, B6, ORALIT
PCT, GG, CTM
CTM, DEXA, BC, ZALF 24
PCT, CTM, DEXA, CAFIPLEX

PCT, CAPIPLEX
CTM, OXY
PCT, DEXA, CTM, SALEP OXYTETRA
SURAT SEHAT
CHEPALGIA ASMEF, BCOM,B1
PCT, AMOX, CTM, BCOM
GG, CTM,BCOM
ANTASIDA, AMOX,PCT, DEXA,B6
AMOX, PCT, DEXA, ANTASIDA
CHEPALGIA PCT, CTM, BCOM
PCT, AMBROXOL, DEXA
GG, BCOM,CTM
ZINK SYRP, ORALIT, PCT,CTM,B6

PERPANJANG RUJUKAN RS HERMINA GALAXY
PCT, CTM, GG,DEXA
GG, CTM, VIT C
PCT, GG,CTM,BCOM
SALEP OXYTETRA SALEP MATA, DEXA, CTM,BCOM
RUJUK RSUD POLI SARAF

CTM, DEXA, BCOMSALEP HYDRO
GANTI PERBAN
DOMPERIDON, PCT, BCOM
PCT, CTM, GG
GG, CTM,DEXA
MOLEXFLU, BCOM, AMBROXOL
1 PCT, DEXA
CTM, DEXA, VIT C, SALEP HYDRO, TABLET FE

PERPANJANG RUJUKAN RSUD BEKASI
CEK GOL. DARAH
DOMPERIDON, PCT,AMBROXOL, B6
FURUNKEL PCT, CTM, DEXA, SALEP OXYTETRA
PCT, CTM, GG
AMOX, DEXA, CTM,SALEP OXYTETRA
PCT, CTM, AMBROXOL, B6, ORALIT
AMOX, DEXA, PCT MOLEXFLU
PERPANJANG RUJUKAN SEPCH DELAY
AMOX, AMBROXOL, MOLEXFLU, DEXA
PERPANJANG RUJUKAN
TES PEK NEGATIF

UNIBABY SYRP, CAVIPLEK
DEXA, CTM, BCOM, SALEP OXYTETRA
DOMPERIDON, CTM,B6, ORALIT

PCT, CTM, BCOM
1 BCOM, B1, CTM
PCT, GG, CTM, CAPIPLEX

DOEN, PCT, B6
DOEN, PCT, B6
PCT, DEXA, GG,
DOEN, PCT, B6
PCT, CTM, GG
PCT, CTM, GG
PCT, CTM, GG, CAFIPLEX
PCT, CTM, BC
CTM, B6, ZINK
CTM, B6, GG, ZINK

PCT, CTM, GG, BC
PCT, CTM, BCOM

KIR SEHAT
KELAINAN SENDI
PCT, DEXA, VIT C
NQADIC, BCOM, B12
MAL NUTRISI B6, GG
PCT, GG, CTM, BCOM
PCT, DOMPERIDON, CTM, B6, AMBROXOL
PCR, AMBROXOL, CTM, BCOM
PCT, DEXA, AMBROXOL, BCOM
CTM,DOMPERIDON,BCOM,SALEP OXYTETRA
CTM,DEXA, BCOM, SALEP OXYTERA
CTM, DEXA, VIT C, SALEP SCABISITE
RUJUK RSUD KOTA BEKASI

PCT, CTM, GG
PCT, CTM, GG, CAFIPLEX
CONGENITAL MALFORMATION SYNDROM RUJUK HERMINA GALAXY POLI ORT
PCT, CTM, GG, BC
CTM, PCT, BC, SALYSIL TALK
PCT, CTM, GOM
PCT, CTM, BC
PCT, CTM, B6, ZINK
PCT, DEXA, CAPIPLEX
PCT, CTM, AMBROXOL, BC

DEXA, CTM
PCT, VIT C, OXY ZALF
KIR SEHAT
PCT, CTM, BC
PCT, CTM, GG
PCT, GG, CTM, BC
REMCO, CAPIPLEX
RUJUK HERMINA GALAXY
CTM, PREDNISON, BC, OXY ZALF
CETIRIZIN, AMBROXOL, VIT C
GG, CTM, PCT
CTM, GG, BC
PCT, CTM, BC, ZINK
RUJUKAN RS MASMITRA
SPECH DELAY PERPANJANG RUJUKAN RS HERMINA GALAXY
GG, CTM, BCOM
PCT, CTM, BCOM
PCT, CTM, GG, BCOM
PCT, DEXA, CAVIPLEK
KIR SEHAT
PCT, BCOM, CTM
PCT, CTM,GG, CAVIPLEK
DOEN, PCT, CTM, B6

CTM, DEXA, BC, SALYSIL TALK
DOEN, ORALIT, DIAFORM, B6
AMOX, PCT, DEXA, VIT C, SALEP GENTAMICIN
1 PCT, DEXA, VIT C
PCT, DEXA, BCOM, GOM
CTM, DEXA, HIDRO ZALF
PCT, B6
GG, CTM, BC
PCT, CTM, GG, B6, ZINK
PCT, CTM,CAVIPLEK SYRP

OBH SYRP, CTM,BCOM
URTICARIA CTM,BCOM,SALISIL
PCT, CTM,GG,BCOM
PCT, CTM, DEXA, GG, BCOM
RUJUK RS MASMITRA DENGAN BPJS
SARAN RUJUK RS IGD
CHEPALGIA DOMPERIDON, PCT, B6

PCT, CTM, BCOM
PCT, GG, CTM, BCOM
GASTRITIS DOMPRRIDON, PCT, B6
GG, CTM, BCOM, GOM
GG, CTM, B6, BCOM, ORALIT
PCT, CTM,BCOM
KIR SEHAT
PCT, CTM,B6,ZINK SYRP
PCT, CTM,BCOM
GG, CTM, BCOM
GG, CTM, BCOM
PERPNAJNG RUJUKAN KS
CTM,B6,BCOM
DOMPERIDON, PCT, B6
PCT, CTM,BCOM
PCT, CTM,B6
CTM, DEXA, BCOM,SCABISITE
CTM, DEXA, BCOM, SALEP SCABISITE
SWAB ANTIGEN ( + ) PKM JT BENING ASMEF, CTM, BIONICOM
HERBACOF, CTM, BCOM, VIT C
ASMEF, BCOM, FE
SARAN KE PUKSESMAS WILAYAH SETEMPAT
CTM, B6, ZINK, ORALIT
HERBACOF, CTM,VIT C
PCT, CTM, DEXA, AMOXILIN

RUJUK RS MASMITRA POLI ANAK
ASMEF, CTM, DEXA
PCT, DEXA, MULTIVIT
AMOX, AMBROXOL, CTM

AMOX, PCT, GG, CTM
PCT, GG, CTM
AMBROXOL, CTM, DEXA, PCT
PCT, CTM, GG
PCT, CTM, DEXA, GG, AMOX
PCT, CTM, AMOX, GG
AMOX, CTM, PCT, VIT C
OXY ZALF MATA, PCT, CTM
RW 01 RW 02 RW 03 RW 04 RW 05 RW 06 RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
OLI TUMBANG
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
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
RW 14 LW
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
REGISTER
No.RM BARU LAMA
KAMIS, 1/7/2021 20852 1 AHMAD ALFRIANSYAH

25312 1 ALENKA KIRANA
22585 1 NAILA FARHA
25071 1 RIFZKI
17123 1 M QABEEL AKHTAR
25146 1 SASKIA KHODIJAH
JUMAT/ 2/7/2021 18213 1 TIFANI IRINE

. 23087 1 RIZKY ANDIKA
22602 1 HANNA JASMINE
25327 1 DESWITA
14560 1 MARCELA
25330 1 NABILA SALSABILA
1 JUNA JAFAR AHMAD
SABTU, 03/07/2021 25340 1 ARIF

25338 1 BELLA OKTAVIA
7868 1 MUHAMAD ZAKI
15738 1 SIFA FAUZIA
3532 1 MUHAMAD ILHAM
SENIN, 05/07/2021 25357 1 TALITA HASNA

23816 1 HANNY JASMINE
13214 1 DHIA RIZKI
25356 1 QIVANHIDQI
24700 1 SHAKILLA AL MAHYRA
20892 1 ALIFA KARENINA
25348 1 AULIA
25346 1 ARTUR DERMAWAN
12216 1 AULIA SAFWA
25344 1 SYAHRUL RAMADHAN
25343 1 NAYLA ASYIFA
SELASA, 06/07/2021 25362 1 RAGIL PRAMUDIA

12968 1 ALDY RIANO
15247 1 KINANTI ALISA
18722 1 DAFFA APRIYANSYAH
514 1 BIMA ALAMSYAH
25365 1 GRACE
20800 1 ARJUNA ALIF
1010 1 SYAHID ROBBANI
RABU, 07/07/2021 23751 1 MUHAMAD ALVIEN

18071 1 DIRGA HAFIDZ
21975 1 MALIK
25372 1 ALETA QUEENBY
25381 1 AZAHRA FILLY
25382 1 RYAN NABIHA
4123 1 ANAGATA BADICAH
10186 1 M DYANDRA
1957 1 WANDA AULIA
584 1 DAFFA AWWAB
KAMIS, 08/07/2021 4348 1 WINDI ALYA

25391 1 KEYTARO
17666 1 ELVAN ELVARO
25393 1 AZKA ARASYA
25394 1 IBRAHIM RAMADHAN
569 1 ALFIAN KHOIRUL
22718 1 SYIFA
JUM"AT, 09 JULI 2021 23116 1 ALESHA SHAQUEENA

25400 1 NABILA RAMADHANI
25399 1 SHAFIYAH RAHMAH
21066 1 DHEVA RANITA
19785 1 BAYU NURDIANSYAH
16861 1 NAZIHAN RAMADANI
10097 1 BAGUS NAIL RIZQI
SABTU, 10 JULI 2021 6915 1 AL KAMORA

25414 1 FEREN M.OM
SENIN, 12/07/2021 24599 1 SHEENA BEATA

20104 1 SYFA AL ZARAH
438 1 NAFISA
24666 1 ALFIN ZHAFARO
25196 1 AFFAN KHOIRUL
8780 1 FANI OKTAVIA
3473 1 KHANZA
20758 1 ARKANA RZVAN
1 SELASA, 13/07/2021 15938 1 JORDAN MIKAEL
2 25436 1 SITI FATIMAH
3 11154 1 DAVID / HAFIZ SAPUTRA
4 25441 1 GUSTI AYU MADE
5 6939 1 ABIGAIL CRISTANDRI
RABU, 14/07/2021 2604 1 ABYAN NANDANA

25460 1 WINDA
58 1 OEY ELENA
KAMIS, 15/07/2021 21179 1 HIFZAN MULIDDYA

25475 1 EVAN JOSUA
JUMAT, 16/07/2021 24313 1 KIREINA AZZAHRA

25346 1 ARTUR DERMAWAN
20104 1 SYFA ALZARAH
10777 1 RATU FAHILA
SABTU, 17/07/2021 7620 1 MALIKA FAIHA

25499 1 DAHLIA DWI ANGELINA
23571 1 allena
SENIN, 19/07/2021 7620 1 MALIKA

20104 1 SYFA
15831 1 NUR FATIMAH
11835 1 ASRIL
15163 1 AHMAD RIFAI
20015 1 NADRIYA
25516 1 QUENJE
22723 1 RICI
4119 1 AZZAHRA
RABU, 21/7/2021 1275 1 ANISA EKA

23781 1 AFIZAH
25528 1 BUNGA LORENZA
25530 1 SACHI PUTRI
25531 1 MAURA RAHMA
18354 1 EZRA MIKHA
25532 1 MUHAMAD ADLIE ZAHIDI
KAMIS, 22/07/2021 25542 1 SATRIA TEGAR

25537 1 JASON DJAUVAR
25536 1 RIZQI YATI
23031 1 NEHEMIA IMANUEL
JUM"AT, 23 / 07/2021 25548 1 KEYLA MAGDALENA
23584 1 M FIRDAUS AL FATIH
25554 1 MUHAMAD AZZAM
22847 1 FAJAR AL KHAFI
16023 1 ALFIANA DWI FARZANA
SABTU, 24/07/2021 25286 1 RIZKI DIANA

8611 1 M ZAIDAN
SENIN, 26/07/2021 25569 1 JAYDEN YESAYA

23118 1 AKBAR GHIFAR
25570 1 LUBNA ATHAYA
24660 1 M FATHAN
15938 1 JORDAN MIKAEL
23522 1 MUHAMAD ADAM
SELASA, 27/07/2021 22732 1 AFIF MAULANA

17874 1 SUTAN
8933 1 ALYA ALIFIA
RABU, 28/07/2021 17495 1 ABBIYU GHANI

19483 1 SONYA MAHARANI
358 1 SOFIA ROSEMARY
20758 1 ARKANA RELVAN
12330 1 KANEYA WULANDARI
23046 1 ANNASIA
3867 1 M ABIAN SAPUTRA
25570 1 LUBNA ATHAYA
KAMIS, 29/7/2021 24727 1 KHALIQA KEYSHA

25597 1 NABILA PUTRI
25598 1 NAURA AZAHRA
25532 1 M ADLIE
24211 1 NARA NADIRA
21321 1 MACHAIRA
25600 1 MUHAMAD DZAKY
25393 1 AZKA ARASYA
25603 1 BAYHAKI
6585 1 VANIA AZZAHRA
JUMAT, 30/7/2021 9335 1 FEBRI ARUM

14468 1 ANISA SABILA
17495 1 ABIYYU GHANI
SABTU, 31/7/2021 25124 1 KHALISA
25609 1 SYIFA AULIA
1 085219609935
0002908024571 085224883839
1 083873925895
1 081313570013
1 081386936553
1 087889557885
0001456317775 08128818863
1 0895620005621
1 0895620005621
1 089671179018
1 085213260036
0000508224363 081319226117
0010002730 0
081289754526
087870709009
089532923454
08970679501
081806347395
0821407787
085320775144
0895620005621
0895620005621
085775639448
087875942202
08984449021
081288121997
085810634672
081361005865
081210173004
0895354690287
0895354690287
081289754526
085315244890
081280433608
082110306794
08551800001
087820187895
083808949769
081563972885
083808949769
3175035908200003 085772312297
0002908740262 081380928353
08111905730
0813983852717
085775639448
0881614609
085775639447
089629950497
082111490816
085716344065
08229929834
081386117699
081318131470
085219609935
08998741565
081290539090
0002052841217 0811198825
3275086303020024 089637585769
088213224421
0002476503246 081212871992
08128968609
081368167674
08225311688
0001773027314 081298795353
085711124923
081386732121
08138673212
085733707756
085733707756
082190991982
089607537223
082132209474
08111791216
085773750317
083897357895
1 081310738940
1 082111958360
1 089504754992
1 081361005865
1
1 08978397147
0002208168753
1
1 081514266819
0002421240849
3275082710160020
0001967120414
0001967120111
1
0002890453511
1
0003077825343
1
3275085106960022 0812868713
1
0002913519947
1
0001967120414
1
1
1
1
1
1
1
ALAMAT
NAMA ORTU DALAM LUAR TANGGAL LAHIR 0 - 2 BLN
WILAYAH WILAYAH L P
DEDE JB 6/2 9/4/2014
EGI JBB 6/2 4/11/2019
MAKTUS JB 5/7 8/1/2013
RISMAN JB 3/5 10/10/2015
RAHMAT WIJAYA JB 4/7 14/7/2019
SEHROJI JB 5/3 7/4/2007
SUTIKO JB 3/1 8/2/2003

NUR HUDA JB 6/3 21/2/2019
NUR HUDA JB 6/3 8/4/2017
RIYANTO JTK 3/4 28/12/2006
SUWANDI JB 6/3 11/3/2010
SAHIDAH JBB 5/2 2/3/2006
JB 1/1 30/01/2018
JB 11/12/2008
JB 20/10/2020
ABDULLAH JB 10/12 11/5/2012
YUDHI HARSONO JB 1/2 8/2/2011
TARNO JB 3/1 4/6/2009
ADE K JBB 6/8 4/1/2010
MUSLIM JBB 3/9 22/02/2014

NURHUDA JB 6/3 8/4/2017
NURHUDA JB 6/3 8/4/2017
SYAIPIL JB4/2 24/08/2009
MN. NS JB 1/04 25/06/2014
DESI RMADANTI JB 1/1 24/12/2020
RAGIL JB 12/12 6/9/2006
SOLEH JB 3/1 28/08/2011
YASATULO NORUTU JB 6/3 25/09/2020
WENDY JB 2/3 4/8/2017
ASEP JB 6/3 11/8/2011
ASEP JB 6/3 1/9/2019
RIANITA JB 6/1 20/06/2012

JB2/2 8/2/2011
ZAENAL ARIFIN JB 5/2 8/3/2010
SUPRIHATIN JB 6/6 15/05/2011
ISWADI JBB9/8 19/03/2012
JB 2/3 14/05/2006
NIKO JB 1/11 23/11/2019
RAHMATULOH JB 3/2 30/07/2016
OTONG JB 1/14 25/11/2020

DANI JB 4/2 23/09/2019
OTONG JB 1/14 21/09/2013
M YUNUS/ NURJANAH JB 5/3 10/4/2020
DEDY JB 19/08/2020
WILLY KURNIAWAN JB 1/13 27/12/2010
JULIADI JB 5/2 29/02/2004
JB 6/12 16/12/2006
SAEFUL JB 4/2 1/5/2013
WAGIMAN JB 4/14 12/3/2005
SAEFUL JB 13/11/2017
ANOM JB 3/2 25/05/2019
WAGIMAN JB 4/14 1/9/2009

DONY JB 2/2 19/12/2021
DONY FIRMANSYAH JB 2/2 5/4/2019
AGUNG JKM 2/2 15/10/2020
HERI JBB 2/4 2/5/2020
ANDI JB 3/14 9/8/2017
DEDE KURNIAWAN JB 6/1 22/04/2020
FAISAL JB 10/12 26/07/2020

RIANO JB 5/5 8/8/2010
VIDYA JB 5/2 9/12/2014
SYARIF SUHADI JB 6/3 23/03/2002
ROBBY HARDIANTO JB 5/2 31/03/2005
JB 25/07/2013
ASEP SUPRIHATNA JB 1/3 9/8/2018
DENI JB 1/2 16/08/2017

WAHYUDI JB 6/3 16/09/2017
LUSI JB 4/10 4/10/2002
ADITYA JB 3/14 13/02/2015

ROKIB JB 7/12 10/12/2019
KOSASIH/ RAMA JB 6/3 27/05/2018
JUMARI/MURNI JB 4/2 10/6/2019
JUMARI/MURNI JB 4/2 29/07/2011
DEWI HANDAYANI JB 4/2 8/10/2009
MULYADI JB 4/2 29/12/2016
MULYADI JB 4/2 15/02/2020
HAINCHE JB 2/3 1/1/2009
SYAIFULLOH JBB 2/4 11/12/2011
MINAN JB 3/2 31/05/2004
JB 2/12 23/05/2006
ANDRI JB 1/1 31/05/2014
MINAN JB 4/14 5/1/2015

JKT 9/2 12/12/2005
OEY MULYADI JB 9/2 23/10/2012
MACHMUD JB 6/1 20/09/2018

ELIESER JBB 2/4 24/3/2009
IMAN JB 3/14 1/2/2021

YASATULO JB 6/3 25/9/2020
ROKIB JB 10/12 10/12/2019
REYNALDI JB 4/2 13/06/2004
JUMARIAH JB 12/12 4/12/2014

DWI PURNOMO JB 5/3 24/11/2020
jummarlan jb 12/12 29/11/2020
JUMARIO JB 12/12 4/12/2014

ROKIB JB 10/12 10/12/2019
KARYADI JB 7/1 8/6/2013
MUTOHIR JB 2/1 7/3/2019
ACHMAD JB 4/2 31/3/2008
RIDWAN JB 4/3 30/8/2011
ADITAMA JB 7/9 14/3/2013
NATARISMAN JB 5/2 8/5/2020
ADI JB 3/11 12/7/2015
SUPARNI JB 4/3 3/6/2004

FAIZAL JB 2/1 24/11/2020
MANGAPUL JT. ASIH 30/05/2005
EDI JT. ASIH 26/12/2006
RIKINASIH JB 6/1 1/11/2005
SANDI JB 1/2 4/10/2009
MARZUKI JBB 1/11 29/01/2015
HERI HARDIYANTO JB 5/3 3/5/2009

HAMONANGAN JB 8/13 8/8/2009
ABDUL SYUKUR JB 5/3 15/06/2008
FIRMAN JB 1/4 9/3/2020
SATRIAMAN PUTRA/ AI MELANI JTKRMAT 1/2 31/08/2017
FERI SUPRIADI JB 2/4 4/12/2017
MARZUKI JBB 1/11 3/2/2013
FANI JB 2/2 1/4/2020
ALI SHOLE JB 4/7 25/01/2019
SUHENDI JB 1/1 14/08/2014

MUHIDIN JB 1/14 20/03/2012
GEDLIN JB 12/12 15/6/2004

SYAMSUL JB 5/2 29/3/2019
SYAMSUL JB 5/2 12/11/2015
AHMAD JB 1/7 9/4/2021
HAINCHE JB 2/3 1/1/2009
AJAT JB 4/3 27/10/2020
ANOM JB 3/2 4/7/2020

JB 2/14 22/07/2019
M SUCIPTO JKM 2/5 10/7/2014
AHMAD SYAHBANI JB 4/7 24/08/2014

TRIAS SAIDI JB 6/1 30/12/2005
JB 5/2 29/11/2018
MULYADI JB 4/2 15/02/2020
MULYADI JB 4/2 27/07/2010
MULYATIKA JB 4/2 19/08/2020
BAGUS JB 3/2 3/11/2016
SYAMSUL JB 5/2 12/11/2015
EDDY JB 8/6 21/12/2015

ANDY JBB 9/8 30/11/2005
JAFAR JB 6/1 11/6/2020
MIRZELA JBB 1/11 29/1/2015
RAHMAT SALEH JBB 6/2 23/01/2021
NEMPY JTK 5/5 10/9/2013
AGUNG JKM 2/2 21/12/2015
AGUNG JKM 2/2 15/10/2020
BOAN JB 1/14 8/8/2005
EKO JB 1/2 13/10/2016
EKO JB 1/2 5/2/2020

SOLIHIN JB 12/10 25/11/2013
ACHMAD SYABANI JB 4/7 24/8/2014
RISMAN JB 3/5 19/12/2019
M AKSIN JB 1/2 12/1/2004
UMUR
29- 1 THN 1-4 THN 5 - 15 THN SUHU BB TB ICD
L P L P L P
1 20 J06
1 7,9 SPEECH DELAY
1 36,2 16,5 SCABIES
1 37,1 18 J06
1 36,8 10 R50
1 36 87 155,5 SKS
1 36 50 152,7
KIR SEHAT
1 37,4 11 J06
1 36,4 11,5 98 J06
1 38 154 KIR SEHAT
1 34 146,5 J00
1 PASIEN TIDAK DATANG LEUKIMIA
1 40 SUSP CAMPAK
1 36 7 J06
1 36 21 J06
1 36 45 J06
1 36 28 140 J06
1 19,5 RIWAYAT HYDROCEPALUS

1 38 10 J06
1 38 10 J06
1 36,5 33 J06
1
1 7,3 J06
1 36,5 66,8 J06
1 36 18 J06
7,6 L08
1 36 14,6 J06
1 43 L08
1 36 10 L08
1 36 19 LUKA LECET
36 28 DYSPEPSIA
28 L08
1 36,3 38 SUSP DB
36 32 SCABIES
1 36 65 J06
1 11 J06
1 36 15 J06
1 PASIEN TIDAK DATANG KONSULTASI

1 36,1 12 L08, J00
1 1 24 J06
1 9 K30
1 36 7 J06
1 19,2 J06
1 36 62 J06
1 36 84 J06
1 36 25 J06
1 67 J06
1 36 16 J06
1 36,2 10 R50
1 36,6 63 J00
1 36,3 6 J06
1 37,1 12 J06
1 36,2 8 L08
1 36,4 9 J06
1 36,4 15 R50, J02
1 36 8,5 J06
1 36 34 L08
1 36 18,6 SARIAWAN
1 PASIEN TIDAK DATANG KONSULTASI
1 36 47 J06
1 36 23 L08
1 36 10,5 A09
1 36,5 33 A09
1 39,4 13,5 R50
1 36 48 OMA
1 36,3 18 J06
1 10 GV
1 36,3 11 92,5 J06
1 36,3 10 SCABIES
1 36,5 23 129,5 SCABIES
1 36,8 30 140 J00
1 36,3 16 103,5 L08
1 36,5 9 75,5 L08
1 36 55 KONSLTASI
1 36 12 129 R50
1 MINTA RUJUKAN D21.0
1 36 70 160 KIR SEHAT
1 36 31 L08
1 36 22 J02
1 36 30 150 J06
1 36 39 115 J06
1 10 J06
1 42 KONSULTASI
1 5,3 URTICARIA
1 8 SCABIES
1 9,3 KONTROL JAHITAN
1 54 J06
1 17 J06
1 7,4 L08
8,3 R50
1
1 18 j06
1 9,3 KONSULTASI
1 23 J06
1 38 SCABIES
1 24,5 KIR SEHAT
1 25 SCABIES
1 26 R50
1 9 KONJUNGTIVITIS
1 24 TYPES
1 36,5 8,5 J00
1 36 41 151 J06
1 36 40,5 154 KONSULTASI
1 36,7 47 160,5 L08
1 36,5 40 J02
1 17 113 RUJUKAN
1 36 65 166 SKS
1 36 25 RUJUKAN RS HERMINA GALA
1 36 45 148 SKS
1 36,8 8,2 J06
1 35,2 14,5 95 J06
36 13 H10
1 36,9 18 124,5 R50
1 PASIENN TIDAK DATANG TB TULANG
1 36,3 10 A09
1 36,3 19 R50
1 36,3 25 J06
1 36,7 51 158,5 THYPOID

1 36,9 11 R50
1 36,8 16 R50
1 36,8 5,7 J06
1 36,0 55 KONSULTASI
1 38,2 R50
1 36,3 7,4 H10

1 36,4 10 CC
1 36,3 32 OMA
1 36,9 44 J06
1 36,3 18 L08
1 36 8,5 81 L08
1 53 SCABIES
1 36 8,4 J06
1 36,3 12 J06
1 36,8 16 R50
1 36,3 16 R50
1 45 155,9 MYOPIA
1 36,2 8 J06
1 36,6 17 A09
1 36 6,6 A09
36,4 34 R50
1 14 SCABISITE
1 36 8,2 L08
1 44 HERPES
1 18 J06
1 37 J06
1 23,9 L08
1 32 OMSK
1 9.6 80 KONJUNGTIVITIS
1 50 161 KIR SEHAT
DIAGNOSA
ISPA CC FEBRIS DIARE FARINGITISSTOMATITISTONSILITISDERMATITISKONJUNG URTICARIA
TIVITIS
1
SPEECH DELAY
1
1
KIR SEHAT
1
1
KIR SEHAT
1
KONSULTASI
SUSP CAMPAK
1
1
1
1
PERPANJANG RUJUKAN
RIWAYAT HYDROCEPALUS
1
1
1
1
1
1
1
1
1
1
LUKA LECET
DYSPEPSIA
1
1
1
KONSULTASI
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
PERPANJANG RUJUKAN
SARIAWAN
KONSULTASI
1
1
1
1
1
1
KONSLTASI
1
KIR SEHAT
1
1
1
1
KONSULTASI
URTICARIA 1
KONTROL JAHITAN
1
1
KONSULTASI
1
KIR SEHAT
1
KONJUNGTIVITIS 1
KONSULTASI
1
1
KONSULTASI
1
1
RS HERMINA GALAXY D/ ANIRIDIA
RUJUKAN RS HERMINA GALAXY DENGAN GANGGUAN MATA
1
1
1
1
TB TULANG
1
1
1
1
1
1
KONSULTASI
1
1
1
1
1
1
1
1
1
1
KONJUNGTIVITIS 1
KIR SEHAT
INF.KULIT DYSPEPSIAVARICELLA SCABIES PAROTITIS OMA lain lain
B20
1
1
1
1
1
1
1
1
1
1
1
1
DOEN, PCT, GG, BC 1

RUJUK HERMINA BEKASI POLI TUMBANG
CTM, DEXA, BC
PCT, CTM, GG, B6 1
PCT, CTM, BC
SURAT KETERANGAN SEHAT U/ SEKOLAH 1
1
PCT, CTM, DEXA, GG, BCP 1
COPERCETIN, CAVIPLEX 1
MOLEXFLU, BC, DEXA 1

KONSULTASI
PERPANJANG RUJUKAN 1
ASICLOFIR, AMOX, PCT, CTM

CTM, PCT, AMBROXOL 1
PCT, AMOX, AMBROXOL
PCT, AMOX, CTM 1
MOLEXFLU, AMOX, DOMPERIDON 1
PERPANJANG RUJUKAN RSUD BEKASI
RUJUK RS MASMITRA
AMOX, PCT, CTM, GG 1
AMOX, CTM, PCT, GG 1
AMOX, PCT, CTM, 1
SWAB ANTIGEN + 1
PCT, GG, CTM, DEXA 1
AMOX, CTM, GG
PCT, GG, AMOX 1
CTM, DEXA, PCT, AMOX 1
PCT, CTM, DEXA, AMOX 1
B1, AMOX, CETIRIZINE 1
CTM, DEXA, PCT, AMOX, GG 1
PCT, BCOM 1
PCT, B6, CTM 1
CETIRIZINE, PCT, BCOM 1
PCT,CTM,AMOX
PCT, GG, CTM 1

PCT, CTM, GG, VIT C
PCT, GG, CTM,BCOM 1
KONSULTASI
GG, BCOM, CTM,M PCT
PCT, CTM, GG, B6 1
CTM, GG, PCT,
CTM, PCT, AMOX
AMOX, PCT 1
PCT, GG, AMOX
PCT, CTM, VIT C 1
PCT, GG, CTM, AMOX
CTM, PCT, GG, VIT C 1
PCT, CTM, CAVIPLRK 1
PCT, CETIRIZINE 1
GG, DEXA, BCOM 1
PCT, GG, CTM, ORALIT 1
GG, CTM,
PCT, CTM, BCOM, SALEP OXYTETRA
ENCEPALITIS RSUD BEKASI
CTM, PCT, GG
CETIRIZINE, KALK 1
VIT C, PCT 1
KONSULTASI 1
PCT, B1 1
CTM, PCT, KALK
ZINK SYRP, PCT, CTM, ORALIT 1
PCT, B6, CTM, ORALIT 1

COPERCETYN SYRP 1
BCOM, B12

GV
SALEP MATA ERLA, PCT SYRP, GG, CTM, BCOM 1
CTM,BCOM,PCT 1
CETIRIZINE, VIT C 1
MOLEXFLU, PREDNISONE, BCOM 1
SALEP OXYTETRA, CTM, BCOM, PCT 1
SALEP OXYTETRA, CTM, BCOM, PCT 1
KONSULTASI 1
PCT, GG, DEXA, DOMPERIDON SYRP
D21.0 1
KIR SEHAT
SALISIL TALK, CTM,VIT C, PCT 1
PCT, DEXA, CTM, MULTI VIT

PCT, AMOX, DEXA, GG
AMOX SYRP, GG, DEXA 1
PCT, AMOX, ANTASID 1
HYDROZALF
CTM, DEXA, BC, ZALF 24 1
AMOX, PCT, GG 1
GG, PCT, BC
CTM, DEXA, BC, OXY TETRA 1
RUJUK
PCT, GG, CTM, PCT
DOEN, PCT, CTM, GG, B6

AMOX, DEXA, CTM, VITC

CTM, PCT, BC
OXY TETRA ZALF MATA
1
CTM, BCOM, GG 1
GG, CTM, BCOM
KONSULTASI
GENTAMICI SLP, DEXA, PCT, VIT C, CETIRIZINE 1
METILPREDNISOLON, VIT C, PCT 1
RUJUKAN RS HERMINA GALAXY
SKS 1
RUJUKAN RUMAH SAKIT HERMINA GALAXY DENGAN GANGGUAN MATA
SKS 1
PCT, CTM,GG,BCOM
PCT, DEXA, CTM,BCOM 1
CTM,BCOM, PCT
TB TULANG RSUD BEKASI 1
ZINK SYRP, ORALIT, PCT, CTM,B6, GG
PCT, CTM,BCOM 1
GG, CTM, BCOM
DOEN, PCT, B6, KLORAMFENICOL

PCT, CTM, BC 1
PCT, CTM 1
PCT, CTM
1
PCT, CTM,BCOM 1
SALEP OXYTETRA MATA 1

PCT, CTM, BCOM
PERPANJANG RUJUKAN ACUTE NEPHRITIC SYNDROME
PCT, DEXA, BCOM

DOMPERIDON, AMOX, PCT, AMBROXOL, B6 1
CTM, VIT C, SALEP 24 1
PCT, CTM, GG 1
ASRAN RUJUK RS KARNA SUSP TYPOID
CTM, PCT, B6
RUJUK OPTIK
GG, CTM, B6, 1
DOEN, B6, DIAFORM,BPCT, ORALIT
GG, CTM, BCOM, ZINK
PCT, CTM, BCOM
CTM, BCOM, ZALP 24
CTM,DEXA,BCOM,OXYTETRA SALEP
ACTCLOVIR, PCT, CTM, B1
BABY COUGHT, ZALF MATA, MULTIVIT 1
GG, CTM, BC 1
CTM, PCT, VIT C, OXY ZALF
RUJUK
AMOX, CTM, DEXA, PCT, OXY 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
JULI 2021
NO KEGIATAN MTBM


NO KEGIATAN MTBM
1 Kemungkinan Penyakit Sangat Berat / Infeksi Bakteri
2 Ikterus
3 Diare
5 Status HIV
6 Kemunkinan Berat Badan Rendah & Masalah Pemberian ASI
Masalah Pemberian Minum atau BB Rendah pada Bayi yang

7
Tidak Mendapat ASI

10 Rujukan
JULI 2021
TOTAL
GIATAN MTBM
L P L P L+P
ru
ma

GIATAN MTBM
L P L P L+P
b. Infeksi Bakteri Lokal
a. Ikterus Berat
b. Ikterus

b. Diare Dehidrasi Ringan / Sedang
b. Terpajan HIV
Pemberian ASI
b. BB Tidak Rendah dan Tidak ada Masalah
Pemberian ASI
a. BB Rendah atau Masalah Pemberian Minum
b. BB Tidak Rendah dan Tidak ada Masalah

Pemberian Minum
JULI 2021
DALAM WILAYAH
NO KEGIATAN MTBS
L P
DALAM WILAYAH
NO KEGIATAN MTBS
L P
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
TOTAL

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
a. Mastoiditis
5 Masalah Telinga
c. Gizi Kurang 0 0
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
9 Status Imunisasi

12 Jumlah Rujukan
T
TOTAL
LUAR WILAYAH
L P L+P
TOTAL
LUAR WILAYAH
L P L+P
0 0 0
REGISTER
No.RM BARU LAMA
SENIN, 2/8/2021 11480 1 M REYZA

24727 1 KHALIQA
7168 1 NABILA MAJID
25613 1 RAFFIKO
23767 1 ATHA FARIZ
22237 1 SALSABILLA
SELASA, 3/8/2021 16550 1 ALIF FATHURRAHMAN

6930 1 INARA ASSYIFA
25621 1 M FADILAH
5203 1 SINTA WIDYAH
25619 1 RANI JUNITA
6467 1 HIYA TINNUFUS
15623 1 ARINI RAHMATIKA
25623 1 REVA PUSPITA
25615 1 SYENA SALSABELA
1 RABU, 4/8/2021 25632 1 M RAFFLI

2 11830 1 ASHRIL HARDIANSYAH
3 25639 1 MANUELA ALICE
KAMIS, 05/08/2021 24528 1 SAIQA NASYITHA

5336 1 OEY EVAN TJUBIANTO
6421 1 REPANSYAH
25613 1 RAFFIKO AL GHANI
17928 1 RAHEL
JUM"AT, 06/08/2021 5472 1 FAISAL R

14371 1 MUHAMAD RAFHALDINO
2924 1 DWI FAMIS
SABTU, 07/08/2021 14468 1 ANISA SABILA

7232 1 FATMA KHAIRIN
14555 1 CITRA DEWI
9156 1 ANANDY PUTRI
25659 1 SULTAN FATIH
15839 1 TIKA ANGGRAINI
18407 1 ANINDYTA SEKAR
6584 1 CHRISTIAN SANTOSO
SENIN, 09/08/2021 15522 1 KALISAH JASMINE

23793 1 RIZKA BERLYANAN
25394 1 IBRAHIM RAMADHAN
25672 1 RAYAS
25177 1 AFRIZA GHANIA PUTRI
15522 1 KALISHAH JASMINE
18407 1 ANINDYA SEKAR
11145 1 BARTOLOMEUS HATORANGAN
RABU LIBUR
KAMIS, 12/08/2021 23281 1 M RAFIF FATIH

9518 1 REVAN FATURAHMAN
1333 1 M ARFAN
16172 1 M KENZI AL FARIZI
JUM'AT, 13/08/2021 25691 1 M ATARASYA BINTANG

17 RANU
SABTU, 14/08/2021 1982 1 ALDO

18571 1 M RIZKI
20823 1 NURAINI IDIRA
12968 1 ALDY RIVALDI
22732 1 AFIF MAULANAN
15785 1 DZAKIYAH TALITA
20208 1 SARIF
12100 1 MIKHAEL ALVIN
SENIN, 16 AGUSTUS 2021 25708 1 SHERIN APRIL

3499 1 PUTRI KHAYLA
9833 1 ADEN SIREGAR
25711 1 MUTIA
19776 1 FELICIA
23571 1 ALENA CITRA
67071 1 REZA FEBRIAN
18571 1 M RIZQI
2515 1 RADITYA FARHAN
7113 1 M ALDI PRATAMA
21900 1 AVIKA RAMADHANI
SELASA, 17/08/2021 LIBUR 17 AGUSTUS
RABU, 18/08/2021 7229 1 MUHIDIN

KAMIS, 19/08/2021 24043 1 SALSABIL LAILI
3499 1 PUTRI KAYLA
5465 1 WIDI ALIFAH
11725 1 BIWI LATIFA
21826 1 AZRIL KAIS
15839 1 TIKA ANGGRAINI
10936 1 RAMADHIKA FARHAN
23522 1 MUHAMAD ADAM
JUM"AT, 20/08/2021 22985 1 RAISYAN

25735 1 KEVINO
19268 1 M ABID AKHTAR
SENIN/ 23/08/2021 2946 1 M FADLI

3499 1 PUTRI KHAYLA
20823 1 NURAINI IDIRA
24599 1 SHEENA BEATA
20892 1 ALIFA
23222 1 M FATHAN
SELASA, 24/08/2021 25691 1 M ATTARSYA BINTANG

25753 1 M HAIKAL IBRAHIM
1748 1 M HISYAM MUNADI
25258 1 KAILA SALSABILA
24574 1 KANAYA AZRINA
14555 1 CITRA DEWI LESTARI
6623 1 HIZKI THEO
. RABU, 25/08/2021 25768 1 M BAZIA

25756 1 FIRMANSYAH
25632 1 M RAFFLI
3499 1 PUTRI
5919 1 ALIFA SYAQILA
kamis, 26/08/2021 18299 1 KIRANA

18751 1 CARLOS
21897 1 CAESAR
JUM'AT, 27/08/2021 11780 1 M SATRIA

3519 1 ENDAH
1635 1 AMANDA
SABTU, 28/08/2021 706131 1 M RAFLI

25792 1 ASKA
14468 1 ANISA
16332 1 SUCI
25767 1 FIRMANSYAH
12389 1 ADITYA
652 1 SRI ULFA
653 1 SHILFASHA
25802 1 ADINDA
1 SEPIA
30/08/2021 1635 1 ANANDA

20225 1 NUR AIDA
31/08/2021 25821 1 AMELIA FAHMI

17441 1 MAULIDA
25828 1 PUTRI AURELIA
111176 1 DAFFA SYAIFULLOH
21154 1 M ABDUL NATAHAN
19665 1 M ALFADLI
1
1 085263861376
1
1 083877820407
1
0002601115492
0002767067098
1 0838083006962
1 089677086675
0001370876376
0001013720332 0895369664669
1
1
1 089518000478
1 08999219456
1 085312149064
1 085773291917
1 081375684683
08138887638
083891357692
083877820407
0000506473064 082249470190
0218470836
3275082604090001 000171298607
3275080507090048 0852879192
081382261138
08128091353
081389015950
08777334534
087888321806
081212858575
0813195584260
081290416314
081386117699
081806948278
081319584260
087888321806
081368167674
083890160431
08121890805
08788463696
081289092890
0002914465702 0857700250508
081368167674
0000508121223 081286921369
0001187447995
1 081519601365
1 082297982573
000507312178 085777334534
081296462521
085717638528
0838068272
0858112515084
0002487860649 08218616321
0001218670525 081845656017
000508224925
0001644034904 085694820630
0001773027314 081298795353
1
1
0002313755392 087884643696
0003080464615 085863102817
1
1
1 085294005252
1 081382261138
1
1 081315472928
0002508802547 081291287442
1
1
1 089677282446
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
ALAMAT
NAMA ORTU DALAM LUAR TANGGAL LAHIR 0 - 2 BLN
WILAYAH WILAYAH L P
HUSNAWATI JB 3/2 5/5/2012

EDDY JB 8/6 21/12/2015
SUSANTO JB 5/6 22/3/2006
TAUFIK JB 3/4 2/5/2016
RENI JB 2/2 21/9/2020
WAHID JB 3/14 31/3/2004
JB 3/2 25/5/2019
ADI SUPRIYADI JB 11/1 12/4/2018
UMARI JB 1/3 19/3/2005
AGUS JB 1/1 28/09/2007
SLAMET JB 5/2 1/6/2004
ROBI JB 5/14 19/10/2013
JAMAL JB 7/1 27/5/2010
ASEP JB 2/1 2/2/2012
ALDIYAH JB 5/1 8/7/2021
HIFZA ABDULLAH JB 4/12 25/9/2004

MUTAHAR JB 2/1 7/3/2009
GENGIS JB 5/2 19/5/2020
HERU JB 4/2 2/1/2021

MULYANI JB 9/2 22/11/2003
YASIN JBB 1/11 8/2/2007
TAUFIK JB 3/4 2/5/2016
JB 4/1 21/08/2019
JB 1/7 11/9/2008
MITA IRININGTYAS JB 1/10 19/12/2008
JB 4/4 26/04/2009
SOLIHIN JB 12/10 20/11/2013

JAINI JBB 6/3 14/04/2009
SUGIARTO JB 3/7 12/7/2007
JB 13/12 25/04/2012
ARI JB 1/11 3/10/2020
NEMAT JB 4/2 1/4/2004
WAHYU JB 5/2 9/7/2010
JB 7/1 22/06/2006
RONI SURI JB 1/2 25/12/2004

UNTENG JB 2/2 6/5/2005
HERI JBB 2/4 2/5/2020
TARI JB 3/1 7/8/2019
ANDRI JB 2/14 24/03/2021
RONI SURI JB 1/2 25/12/2004
WAHYU JB 5/2 9/7/2010
RIDWAN JKM 3/16 26/008/2009
WAHYUDI JB 6/3 16/09/2017

DEDE JB 5/2 8/11/2017
SUHARNO JB 1/4 1/3/2011
FERI JB 6/1 29/04/2019
M JAENURI JB 02/02 25/11/2017

ABDUL SYUKUR
AWAN NIFAL JB 3/1 25/01/2019

RUDI JBB 6/2 17/09/2015
RANGGA JB 12/12 15/03/2006
YUDHI JB 1/2 8/2/2011
ANOM JB 3/2 4/7/2020
SUGENG JB 8/1 13/12/2011
ASRORI JB 6/1 25/02/2006
HARDIYAH / SHELLA JBB 1/9 1/4/2020

JBB 5/2 10/2/2009
MAHDINAN SIREGAR JB 2/14 16/11/2017
MASDI JB 7/1 8/4/2014
RICARDO JB 2/12 6/1/2020
JUMARLAN JB 12/12 29/11/2020
SUHADI JB 4/2 8/2/2007
RUDI JBB 6/2 17/09/2015
RIDWAN JB 4/3 30/08/2011
MURDANI JB 4/7 22/08/2015
MURDANI JB 4/7 7/6/2020
DEDI JB 2/14 13/07/2007

IKA SRTIKA JBB 6/2 14/10/2017
WAHYUDI JB 6/3 16/09/2017
SOPII JBB 7/3 14/09/2004
JBB 5/2 10/2/2009
ZUHAIDIR JB 5/7 3/7/2008
ADI JB 3/8 10/5/2006
RAHMAT JB 2/2 29/5/2020
NEMIT JB 4/2 1/4/2004
TOTO JB 5/2 12/4/2014
AJAT JB 4/3 27/10/2020
FERI JB 6/3 9/8/2020

SUHAYRYANTO JTM 1/11 9/2/2009
BOY JBB 8/8 30/05/2018
HUSIN JB 2/2 25/8/2003

JBB 5/2 10/2/2009
RANGGA JB 12/12 15/3/2006
ADITYA JB 3/14 13/02/2015
RAGIL JB 12/12 6/9/2009
AHMAD BASUKI JB 2/2 1/7/2018
ZAENURI JB 2/2 25/11/2017

IRFAN JB 5/3 25/12/2018
RUSNADI JB 5/3 21/11/2016
AHMAD BASARI JTK 6/1 30/6/2005
SUPARDI JB 1/2 6/7/2012
SUGIARTO JB 3/7 12/7/2007
DEDE JTK 1/5 18/6/2014
M BINTANG JB 4/6/2020
M TAUFIK JB 2/14 4/4/2006
HIFZA JB 11/12 25/9/2004
JBB 5/2 10/2/2009
HANAFI JB 8/1 11/4/2017
SUPRIYADI JB 2/1 6/1/2013

ISMAD JB 01/02 18/10/2019
DONY JB 3/2 4/11/2000
AHMAD JB 06/04 1/2/2015

EMAN JB 3/2 7/10/2004
IMAN JB 10/12 7/4/2009
HIFZA JB 4/12 25/09/2004

BUDI JB 3/02 17/09/2019
SOLIHAN JB 2/10 20/11/2013
SOLIHIN JB 2/10
TAUFIK JB 02/01 4/4/2006
ABDUL HADI JB 06/3 2/10/2016
DANIS JB 6/12 3/7/2014
DANIS JB 6/12 24/08/2003
DARYAN JB 5/2 14/08/2020
HEKSA JB 6/3 26/05/2014
JUNAEDI JB 5/3
RUDI JB 2/14 13/02/2019
YUDI KURNIAWAN JB 1/2 1/5/2020

REDUGA JB 1/1 29/11/2018
PEPEN JB 3/2 27/03/2007
JUMERI JB 6/1 11/3/2007
ABDILLAH JB 3/2 2/9/2014
HAMDANI JB 6/2 11/7/2019
UMUR
29- 1 THN 1-4 THN 5 - 15 THN SUHU BB TB
L P L P L P
1 27
1 17
1` 43
1
1 9,8
1 48 150
1 OS TIDAK DTG
1 15
1 47 175
1 25
1 56 160
1 20,20
1 37,24
1
1 KONSULTASI
1 92 172
1
1 9
1 36 7
1 36 35
1 36 13,4
1 36 13,7
1 36 32 127
1 36 70
1 23,9
1 43
1 36 36
1 36,3 20 123
36 7,7
1 36 50 155
1 36 37 148
1 36 50
1 36 73
1 36 9
1 36,9 9
1 3.8
1 36 73
1 36 37
1 29
1
1 36 15,5 103,8
1 36,3 26
1 36,3 14
1 36,7 13
1 36,7 9,7
1 36,5 42
1 36,5 28
1 36 24
1 36,4 36
1 36 53
1 36,7 10
1 36,7 10
1 36 14
36,3 19
36,4 10
36,3 8
50
PASIEN TIDAK DATANG
25
16,5
7,3
1 50
1 13
1 12.9
1 62
1
1 36,2 47
1 78
1 9
1 48
1 36,5 19
1 10
1 9
1 25
1 12,3
1 50
1 51
1 OS TDK DTG
1 18,5 116,5
1 65
1 12
1 13 97
1 13
1 OS TDK DTG
1 51 157
1 22.5
1 37
1 36.6 30
1 9
1 49,5 174,8
1 92
1 51
1 13
1 24
1 9,5
1 12
1 89
1 39
1 18
1 91
1 12
1 24
1 13
1 24
1 16
1 25
1 20
1 8,5
1 63
1 39
1 15
1 7
1 10
1 38
1 44
1 15,5
1 10
DIAGNOSA
ICD
ISPA CC FEBRIS DIARE FARINGITISSTOMATITISTONSILITISDERMATITIS
R50 1
DYSPEPSIA
DYSPEPSIA
R50 1
J06 1
SCABIES
TB
KONJUNGTIVITIS
KIR SEHAT
KOJUNGTIVITIS
KIR SEHAT
J06 1
J06 1
KEMASUKAN BENDA ASING D HIDUNG
KIR SEHAT
SCABIES
J06 1
1
1
DAK DATANG
A09 1
J06 1
L08
L08 1
K30
J06 1
J06 1
J06 1
L08 1
R50 1
OMA
TB
H10
L08
KONSULTASI
OMA
L08 1
OMA
PERPNAJANG RUJUKAN F80.9

J06 1
K30
J06 1
L08
FARINGITIS
ISK
KONSULTASI
J06 1
L20 1
A09 1
L20 1
KONSULTASI
J06 1
J06 1
J06 1
R50
J06
R50, J06
L20
PASIEN TIDAK DATANG
SCABIES
J06 1
R50 1
SCABISITE
PERPANJANG RUJUKAN SPECH DELAY
J06 1
PERPNAJNG RUJUKAN TB KELENJAR
GV
J06 1
A09 1
R50 1
A09 1
J02 1
KONSULTASI
J06 1
KONSULTASI
UP HECTING
SCABIES
BUKA JAHITAN
KONSULTASI
CC 1
J02 1
J06 1
L08
SPEECH DELAY
EPILEPSI
A09 1
KONSULTASI
MYALGIA
FARINGITIS 1
L08
SCABIES
SCABIES
KONTROL JAHITAN
ISPA 1
J00 1
R50 1
A09 1
K30
OMA
DERMATITIS 1
SCABIES
J00 1
J06 1
J06 1
J06 1
K30
RUJUKAN
RUJUKAN
DERMATITIS 1
ALERGI 1
ALERGI
R50 1
A09 1
RUJUK RS
SCABIES
SCABIES
J06 1
J06 1
DIAGNOSA
KONJUNG URTICARIA INF.KULIT DYSPEPSIAVARICELLA SCABIES PAROTITIS OMA lain lain
TIVITIS
1
1
1
1
1
1
GV
1
1
1
1
1
1
1
1
1
PCT, CTM, BC 1
DOEN, PCT, B6
ASMEF, B6
PCT, BCP 1
GG, CTM, BC, OXY ZALF 1
CTM, DEXA, ZALF KULIT
1
CTM, PCT, BCP 1
1
OXY ZALF MATA 1
1
CTM, PCT, GG, AMOX
AMOX, PCT, CTM 1
RUJUK UGD RS 1
1
DEXA, CTM, BC, AMOX, ZALF KULIT 1

PCT, CTM, GG 1
PCT, CTM, GG, AMOX 1

ABMROXOL, BCOM 1
PERPANJANG RUJUKAN
KONSULTASI 1
PCT, CTM, BCOM, ORALIT 1
PERPANJANG RUJUKAN TAPI BPJS TIDAK AKTIF

AMOXILIN, GG, CTM
PERPANANG RUJUKAN GANGGUAN HYPERKINETIC DISORDER 1
CTM, PCT, VIT C, SALEP OXYTETRA

SALEP GENTAMICIN, BCOM
DOMPERIDON, B6, PCT
PCT, BCOM, CTM
PCT, GG, CTM, BCOM
GGG,CETIRIZINE, AMOX 1
CETIRIZINE, VIT C, SALEP HYDRO 1
PCT, DEXA, CTM 1
DEXA, ASMEF, BCOM 1

PERPANJANG RUJUKAN RSUD CHAM 1
SALEP MATA
SALEP GENTAMICIN, PCT, CTM, BCOM 1
KONSULTASI
DEXA, ASMEF, BCOM 1
CETIRIZINE, VIT C, SALEP HYDRO 1
SARAN RUJUK IGD RS
PERPANJANG RUJUKAN F80.9 1

AMBROXOL SYRP, PCT, CTM, BCOM, B6 1
DOMPERIDON, PCT, CTM 1
GG, CTM, BCOM, DEXA 1
PCT, CETIRIZINE, DEXA, AMOX SYRP, SALEP GENTAMICIN 1

PCT SYRYP, PREDNISONE, CTM, BCOM

KONSULTASI
AMOX, PCT, GG
CTM, BCOM 1
RUJUKAN RS MASMITRA D / GEA 1
PCT, ZINK, ORALIT, DOMPERIDONE 1
CETIRIZINE, SALEP KULIT, BCOM 1
KONSULTASI 1
PCT, CTM, BCOM, GG

GANTI PERBAN
PCT, GG, CTM, BCOM
PCT, CTM, B6
GG, CTM, DEXA, , BCOM
CETIRIZINE, VIT C, SALEP 1
PERPANJANG RUJUKAN
AMBROXOL SYRP, VIT SYRP
SARAN UNTUK CEK HT2TL WIDAL
PCT, CTM, DEXA, GG, BCOM 1

PERPANJANG RUJUKAN
AMOX, PCT, DEXA, VIT C
PCT, CTM, B6, AMBROXOL
PCT, B6, ORALIT, DIAFORM
PCT, CTM, B6, BC 1
ORALIT, DIAFORM, B6, PCT 1
PCT, DEXA, VIT C 1
KONSULTASI 1
PCT SYRP, GG, DEXA, CTM 1

KONSULTASI
UP HECTING
CTM, DEXA, VIT C, ZALF 24 1

B1, VIT C
PCT, CTM, BC
CAVIPLEKS
COPARCETIN, CAPIPLEKS 1
AMOX, CTM, DEXA, BC 1

RUJUK RSUD KOTA BEKASI POLI ANAK 1
DOEN, DIAFORM, B6, ORALIT
1
BC
PCT, CTM, CAVIPLEKS
AMOX, PCT, DEXA, BC

CTM, DEXA, VIT C, SCABIA ZALF
CTM, DEXA, VIT C, SCABIA ZALF
COPARCETIN, CAVIPLEKS 1
BCOM, CTM, VIT SYRP 1

PCT, BCOM, CTM 1
PCT, CTM, BCOM 1
CTM, BCOM, BCOM 1

KONSULTASI 1
CAVIPLEK, CTM

BCOM, CTM 1
CTM, DEXA, BCOM
CTM, BCOM, DEXA
PCT, CTM, BCOM 1
PCT, CTM, BCOM 1
RUJUKAN
RUJUKAN
PCT, CTM, BCOM 1
CTM, PCT 1
CTM, VIT C 1
PCT, CTM, B6

RUJUK RS 1
CTM, DEXA, VIT C, SALEP 24 1
AMOX, CTM, DEXA, VIT C, SALEP 24 1
PCT, DEXA 1
PCT, CTM,GG, BCOM 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
REGISTER
No. TANGGAL NAMA ANAK NIK
No.RM BARU LAMA
1/9/2021 24096 1 NAURAH AISYAH

4007 1 M KHOIRUL IMAN
3934 1 KAISU FIKRIYAH
14842 1 KEYLA SYAFIRA
23463 1 SUCI NURUL
14452 1 ARKAN PUTRA
542 1 MAULANA
21900 1 QISYA ALIFA
25836 1 REVANDRA SETYA
2/9/2021 542 1 MAULANA

22718 1 ASYIFA
13303 1 SHANDY NOVALINA
15004 1 M SOLEH
25859 1 GEOFREY DONOVAN
8431 1 SATRIA IBNU
3/9/2021 25836 1 REVANDRA SETYA

25865 1 GUSTI AYU MADE
16332 1 SUCI
17452 1 M RAFIN
25863 1 SHAKILA VINTAYA
16393 1 GALUH ADELIA
25867 1 KHAIRUNISA
4/9/2021 25873 1 MUHAMAD ROFI

17699 1 NUR AMALIA
22948 1 BY. NY ETIK FATKHA 3375015009870001
10511 1 CAHYANI UTAMI
5336 1 OEY EVAN
6/9/2021 1010 1 SYAHID

9197 1 ILHAM SAPUTRA
25767 1 FIRMANSYAH
13498 1 BUNGA CAECILIA
25895 1 DZULSYAFIQ
24847 1 YITRO IGNAIS
7/9/2021 25900 1 AZKIA ARSANI

553 1 RAFIDAH ABIYYU
8/9/2021 12400 1 M DIANSYAH
1 JUNA JAFAR
89 1 CESA PUTRI
9/9/2021 11978 1 M ADNAN AL ARKANI

25920 1 ASKA MAULANA
25922 1 BAGAS KARA
25921 1 AZKA NUGROHO
18396 1 NAZARA TRI DESTIANI
1488 1 ABIZAR
553 1 RAFIDAH
23463 1 SUCI NURUL
25931 1 ALANAIA
10/9/2021 19443 1 KHOIRUL UMAM

25947 1 AZRIEL HANAFI
5471 1 AYDAN RANKA
9061 1 ARJUNA WAHYU
11/9/2021 3284 1 NAURA AZAHRA

25124 1 KHALISA
25071 1 RIFZKI HAFIZ
25951 1 WILDA YULIANA
22353 1 JOHN ARLI
5955 1 SYAUQI AZKA
1468 1 RAFIQ PUTRA
11168 1 HAIKAL RIZKI
25952 1 OKTAVIANI
25954 1 AULIA
25953 1 KHOLILAH
8863 1 MUTIAH FAUZIAH
3183 1 M FAUZAN
13/9/2021 25956 1 ELVANO ALTHARIZQI

20711 1 YASSER NIZHO
25967 1 GABRIEL ISAAC
24629 1 M SYAHRUN
23793 1 RIZKA BERLYANA
17277 1 REVIN
14/09/2021 22985 1 RAISYAN

25900 1 AZKIA ARSANI
18396 1 NAZARA TRI
15/9/2021 24398 1 PETER ANUGRAH

8431 1 SATRIA IBNU SABIL
553 1 RAFIDAH ABIYYU
20758 1 ARKANA REZVAN
18207 1 SHAFEERA HASNA
25986 1 EGY USDELLA
16897 1 NAZRIEL
25992 1 SAKHA RIVAN
16/9/2021 23781 1 AFIZAH

25943 1 ORI FAJRI
3315 1 ALDIANSYAH
26009 1 NAZIA HAFIZHAH
26007 1 SADHAM
23087 1 REZKY ANDIKA
3867 1 M ABIAN
17/09/2020 12575 1 MADHIYA

26017 1 MARVIAN
5253 1 ADILA JIRA
24239 1 KEYSA
15546 1 M RAFANSYAH
22585 1 NAILA FARNA
26023 1 HANDANI
18/09/2021 9996 1 AZKADINA

15075 1 MAULANA YUSUF
13670 1 DIMAS LANGIT
11302 1 HABIBI AZKA
20733 1 M HAFIZ
652 1 SRI ULFA
26034 1 M NAHEL
3526 1 M WEIDI
3532 1 M ILHAM
20/09/2021 12216 1 AULIA

10097 1 BAGUS
23083 1 SHANUM
19665 1 M AL FATIH
26042 1 FIKY
26041 1 KEYRA
21/09/2021 20738 1 RAYSAH AQILA

1748 1 M HISYAM
1021 1 NIA RAHMADANI
9072 1 AURA MALIKA
25286 1 RIZKI DIANA
24517 1 ABDULLAH AKIF
26025 1 HANNANI
22/09/2021 26061 1 KHAIRA NAZMAENI

20805 1 ALMAERA SHERA
4422 1 NANDA DWI
7381 1 TIFANI AL RAWALI
26073 1 AISYA SYAKIRA
2456 1 MUTIARA TRI
9944 1 M DZULFIKAR
2411 1 DELARD HERNAN
23/09/2021 26080 1 FATHAUAN ABHI

26078 1 MOHAMAD FAIZAL
553 1 RAFIDAH
12690 1 M AZZAMY
22847 1 FAJAR ALKHAFI
26085 1 ALYA SHAQILA
26017 1 MUHAMAD ARVIEN
24/9/2021 22723 1 MAI CHRYSOLIVIA

20454 1 ABBAS ZAINUL
1021 1 NIA RAHMADANI
23046 1 ANNASIA
17988 1 FATHAN RAYYAN
19417 1 ADIVA MAULI
20280 1 M ZIDDAN
26017 1 M ARVIAN
26089 1 ARKANA SYAKIRA
14681 1 KEISYA SALSA
25/9/2021 17568 1 MARWA

23522 1 M ADAM
25593 1 SHAFZA
24700 1 SHAKILLA
25250 1 REKSA KENZIE
21826 1 AZRIL KAIS
210 1 ARSYA
16393 1 GALUH ADIEL
27/09/2021 14906 1 ISABELLA

358 1 SOFIA RESEMARY
26106 1 AZAM
25994 1 ALFARIZKY ADRIAN
26107 1 M AFLAHUL
26111 1 ZAFINA HANAFIYAH
28/9/2021 1 M REFFI
12216 1 AULIA SAFWA
29/9/2021 10186 1 M DYVANDRA

26131 1 PUTRI ZAHIRA
26127 1 M AZRI
18910 1 FARAH NURUL
25900 1 AZKIA ARSANI
23816 1 HANNY
ALAMAT
KTP KS BPJS TELP NAMA ORTU DALAM
WILAYAH
089660216171 TRISNA HADI/ NIKEN JB 6/3
081282305562 MULYADI JB 1/1
0001724131225 085218185226 SISWANTO
0834556002316 ROHMAT JB 2/3
08963928691 SOPIAN JB 6/3
085716715210 RONNI
0002481938572 081281474228 WAHYU JB 6/10

081212765132 M RIZKI JB 6/2
JB 5/3
085212515410 MOHAMAD SANI
081908619691 HAMDANI
081222417543 TRI PRASETYO
081281061729 HRNDRA REZA JB 4/7
081212765132 M RIZKI JB 6/12

085886514740 JB 2/12
SHOLIHIN JB 12/10
SHOLIHIN JB 12/10
083873933770 M FAUZAN JB 5/3
085210253004 AMIN JB 3/7
081210105942 SONY JB5/2
085782035052 ROJALIH
JB 12/12
SAID JB 4/2
081291819980 HADJI PUTRANTO JB 1/10
083891357692 MULYANI JB 9/2
JB3/2
081388502248 JB 1/4
081291287442 M TAUFIK JB 2/14
082298009720 EMANUEL ERNUS JB 1/12
0003054923379 89627020433 DANU JB 2/3
81219892038 DERIANS
0001389734932 87888761955 NURHAYATI

0001658025786 ISWANDI
85770025050 IKA SARTIKA
0002294928909 85777473130 YUDA
82213594015 DIMAS
JB 2/14
DARU RAMADHAN JB 14/12

BAYU
SUTRISNO JB 3/14
1 089684006735 SUTRISNO JB 3/14
1 089637911516 MAMIK RAHAYU JB 3/14
1 087860208151 ADE KRISDIAN JB 10/12
1 082298009720 EMANUEL JB 1/12
0001658025786 ISWADI
1 08963928691 SOPIAN JB 6/3
1 0895330047981 SURYA JB 1/3
FUAD JB 2/14
CHICHI
IKSAN JB 12/10
YUNUS JB 1/2
1 082249470190 MUDIH JB 1/7

1 087870792807 RISMAN JB 3/5
1 081213570017 RISMAN JB 3/5
1 MARWATA JB 2/2
1 081318958883 ARNOLD
0001478989394 087762381916 JB 6/12
1 FAJAR JB 3/5
1 085211417140 SRI
0002253349631 085718084317 DAYAT
1 089530108136 NASAN JB 5/2
1 085718223614 KASA JB 5/2
1 085770670356 NUR CHOLISON JB 3/3
000167163388 081291819980 HADJI JB 1/10
1 NIMIN JB 2/4
0003076630661 085318798980 JAKA JB

1 085691891391 RAHMAT HIDAYAT JB
0002498769112 08989333404 ALOUIS JB 3/6
1 0896367475 IWAN JB 1/3
1 081290416314 UNTUNG JB 2/2
1 DELVIN JB 3/11
1 0838068272 FERI JB 6/3

0001389734932 087888761955 NURYATI
089637911516 MAMIK RAHAYU JB 3/14
1 0895343257886 YOSEPH BAGUS JB 6/3

1 081281061729 HENDRA JB 4/7
0001658025786 ISWADI
1 085733707756 MULYADI JB 4/2
0001881107201 WIBOWO
1 085287919402 SOLIHIN JB 12/10
0001208090046 08521461757 UJANG JB 3/14
1 JB 3/4
1 08569016190 JUHARDI JB 3/7
1` 0897783542 FAIZAL JB 2/1

1 JB 4/2
1 YULANTO
1 089670563233 AMINUDIN JB 2/1
1 089516002590 FREDDY JB 2/2
1 0895620005621 NUR HUDA JB 6/3
1 081398880776 BAGUS JB 12/12
1 JB 4/2
IRMANSYAH JB 8/3
ISAIRAD JB 1/2
ADHI JB 10/12
MUHJAMI JB 6/12
ROHMAT JB 2/3
DWI JB 4/2
MAKTUB JB
ARIEF JB 6/3
NASRUDIN JB 1/3
NASRUDIN JB 1/3
M NARSYAH JB 4/3
M NARSYAH JB 4/3
ALISOBRI JB 2/14
JB 6/12
MULYADI JB 3/2
HADJI PUTRANTO JB 2/10
ANOM JB 3/2
ADE JB 6/8
ADE JB 6/8
WENDY JB 2/3
ASEO JB 1/3
YENI
YOHANI
KIRANI JB 2/2
IMANSYAH JB 8/3
AGUSTANTO JB 4/2
RUSNADI JB 5/3
JB 3/2
SUHERI JB 1/1
SHOLIHIN JB 1/1
ARIEF
EDI SAPUTRA JB 4/2

SRI WAHYUNI JB 4/2
SUSANTO
WARSINO JB 1/10
SYUKIRMAN JB 5/2
MUTAQIN JB 5/2
MUTAQIN JB 3/4
MIFTAHUL
IRVAN JB 2/1
SAEPULLOH JB 7/1
1658025786 ISWADI
0002521766114 MURYADIH JB 6/3
FANI JB 2/2
SUPARJO
ADHI NOVIYANTO JB 10/12
1 NOTARISMAN JB 5/2
0002509861432 DIDI
1
1 TIKA JB 3/2
1 JAENUDIN JB 2/1
1 IVAN JB 4/7
1 ALAMSYAH JB 2/2
1 ADHI JB 10/12
1 WIWIT JB 1/11
1 YASIN JB 5/3
1
1 AJAT JB 4/3
1 HARY JB 3/3
1 MANSYURI JB 1/1
1 LUTHFI JB 3/2
1 RAHMAT JB 2/2
1 HAMDANI JB 4/2
1 AMIN JB 3/7
1 BUDI JB 7/11
1 JJB 5/2
1 WATI JB 4/3
1 ARIS JB 6/1
PANLEVI JB 8/1
1 KASRON JB 7/3
1 JB 12/1
1 SOLIHIN JB 12/10
1 WENDY JB 2/3
0001631365018 SAEPUL JB 4/2

1 RAMDANI
1 RIJONO JB 2/2
1 JB
1 NURHAYATI
1 NUR HUDA JB 6/3
ALAMAT UMUR
TANGGAL LAHIR 0 - 2 BLN 29- 1 THN 1-4 THN 5 - 15 THN SUHU BB
LUAR WILAYAH
L P L P L P L P
25/10/2020 1 36,9 9,2
27/03/2010 1 36,9 56
JBB 3/3 24/08/2011 1 PASIEN TIDAK DATANG
12/8/2015 1 23
7/10/2017 1 10
JKM 5/1 8/6/2016 1
17/07/2005 1
7/7/2020 1 36,3 8,3
17/07/2009 1 39
JBB 1/9 23/11/2016 1
JBB 6/2 15/07/2010 1 36 43
JBB 6/2 21/04/2004 1 69
22/10/2015 1 20
7/7/2020 1 8,3
23/05/2006 1 72
1 13
13/01/2008 1 36,3 54
21/07/2004 1 51
3/2/2015 1 27
20/11/2018 1 12
JBB 1/11 16/09/2016 1 13

26/07/2010 33
31/08/2020 1 9
23/10/2007 1 5
22/11/2013 1 50
3/7/2010 1 36,3 15
20/11/2006 1 41
4/4/2006 36,8 49
18/08/2009 1 38
13/10/2020 36,6 7,8
JBB 3/4 29/06/2005 1 83
JBB 7/4 15/09/2007 1 69

JBB 9/8 15/01/2006 1 59
JBB 6/2 14/10/2017 1 13
JBB 6/2 15/09/2003 1 39
JB 5/14 3/7/2008 1 40
JB 1/1 30/01/2018 1 PASIEN TIDAK DATANG
3/11/2018 1 11,5
6/1/2017 1 36,3 15
JKS 2/10/2016 1 36,9 14
30/03/2021 1 6,9
28/12/2015 1 25
23/12/2013 1 30
21/6/2018 1 36,6 10
18/8/2009 1 37
JBB 9/8 15/1/2006 1 59
7/10/2017 1 11
16/11/2019 1 36,6 10
17/12/2019 1 36,3 11
JKM 6/1 26/3/2018 1 36 19
11/1/2018 1
13/10/2015 1 17
25/7/2018 1 12
19/12/2019 1 10
10/10/2015 1 20
18/7/2017 1 12
12/12/2018 1 11
24/5/2014 1
9/9/2005 1 71
JBB 4/2 18/11/2013 1 23
JBB 3/4 3/10/2003 1 44
29/9/2006 1 56
1/5/2008 1 48
19/1/2012 1 57
23/10/2007 1 50
15/12/2014 1 16
28/10/2020 1` 7
15/10/2019 1
5/8/2010 1 26
5/3/2021 1 6,3
6/5/2005 1
29/11/2018 1 10,3
9/8/2020 1 7,4
JBB 7/4 15/09/2007 1 69
23/12/2013 1 30
27/6/2020 1 9,5
22/10/2015 1 19
JBB 9/8 15/1/2006 1
15/2/2020 1
JTK 1/13 16/1/2013 1
25/11/2013 1 25
1/9/2004 1 45
11/8/2007 1 16
24/6/2019 1 9
24/11/2020 1 36,2 9
15/5/2004 1 63
JBB 4/8 23/5/2016 1 36 13
20/8/2020 1 36,2 9,2
16/12/2019 1 36,3 10
21/2/2019 1 36,6 12
8/10/2020 1 36,3 8
3/11/2016 1 36,2 16
21/10/2008 1 52
18/10/2019 1
7/3/2011 1 33
15/12/2015 1 23
30/01/2021 1 11,3
9/3/2018 1 17
8/1/2013 1
26/01/2013 1
16/05/2016 1 36,3 14
20/03/2009 1 36,6 14
17/12/2018 1 36,3 34
27/05/2017 1 36,3 11
18/2/2017 1 36,4 13
23/07/2014 1 14
12/9/2021 1 22
23/10/2007 1 37
25/05/2019 1
26/02/2013 1 36,6 21
4/12/2010 1 47
4/8/2017 1 15
9/8/2018 1 11
JBB 1/3 29/09/218 1 8
JBB6/2 11/7/2019 1 11
3/11/2003 1 65
7/12/2006 1 41
19/07/2016 1 25
22/9/2020 1
JBB 6/2 2606/2014 1 19
3/11/2011 1 31
14/08/2014 1 20
9/2/2021 1 7,1
JBB 6/3 26/01/2013 1 42
24/12/2017 1 17
31/01/2020 1 9,3
JBB 2/3 19/07/2008 1 73
8/3/2010 1 37
14/11/2011 1 20
3/3/2017 1 15
1/4/2014 1 19
5/3/2020 1 9
20/02/2020 1 36,5 11
19/10/2019 1 36,8 11
JBB 9/8 15/01/2006 1 36 59,5
20/7/2014 1
1/4/2020 1 7.7
JBB 6/2 9/4/2012 24
8/5/2020 1
JKM 4/2 27/1/2017 1
JBB 6/2 26/6/2014 1
19/8/2020 1 9.5
15/9/2019 1 10
8/11/2019 1 10
26/3/2006 1 51
7/3/2011 1
9/2/2017 1 18
23/8/2017 1 14
19/7/2013 1 20
27/10/2020 1 10,5
28/6/2021 1 5,8
24/12/2020 1 8,9
11/7/2018 1 13
29/5/2020 1
14/5/2015 1 17
3/2/2015 1 26
7/12/2003 1 34,5
29/11/2018 1 17
20/09/2010 1 31
25/07/2021 1 4,3
27/04/2021 1 8
10/4/2014 1 17
13/1/2008 1 51
25/11/2013 1 26
4/8/2017 1 14
1/5/2013 1 20,5
JTK 27/9/2014 1 20
26/7/2020 1 10
3/8/2011 1
JBB 7/4 15/9/2007 1 69
8/4/2017 1 10,5
TB ICD
J06 1
156 J06 1
DAK DATANG PERPANJANG RUJUKAN EPILEPSI
J06 1
GV
KONSULTASI
KONSULTASI
PASIEN TIDAK DATANG
K30
MINTA RUJUKAN
PASIEN TIDAK DATANG
J06 1
143 J06 1
KONSULTASI
113 J06 1
A09 1
KONSULTASI
SCABIES
DERMATITIS
AMENOREA
J06 1
L20
108 J06 1
150 DB
J06 1
150 L20
A09 1
SCABIES
SCABIES
KELENJAR LIMFE
R50 1
L20
MINTA RUJUKAN U/ KELENJAR GETAH BENING

MINTA RUJUKAN
J06 1
EXTRASI KUKU
A09 1
DAK DATANG RUJUKAN LEUKIMIA RS HERMINA
J06 1
A09, K30 1
110,5 J06 1
L08
SCABIES
J06 1
J06 1
L08
HEMOROID
KONTROL JAHITAN
J06 1
L08
J06 1
BIBIR PECAH
KONJUNGTIVITIS
K30
J06 1
118 J06 1
93 LIMPADENITIS
L08
SPEECH DELAY
COMBUSIO
K30
CHEPALGIA
J06 1
J06 1
HYPERMENORIA
ALERGI
URTICARIA
KONSULTASI
R50 1
140 H52.1
J06 1
TB
KONSULTASI
J00 1
L08
J06 1
FURUNKEL
J06 1
HEMATURIA
DERMATITIS
L08
SCABIES
OTITIS
114 FEBRIS 1
KONSULTASI
J06 1
161 OTITIS MEDIA
K30
J06 1
J06 1
J06 1
J06 1
J06 1
KONSULTASI
KEELAINAN SENDI
SOFT TISUE TUMOR
A09 1
URTICARIA
ISPA 1
ISPA 1
ISPA 1
J06 1
K30
J06 1
J06 1
J06 1
A09 1
IKTERIK
DERMATITIS
INFEKSI KULIT
MYOPIA
MYOPIA
J06 1
J06 1
J06 1
J06 1
VL
K30
INF. KULIT
EPILEPSI
DYSPESIA
ISPA
ISPA
ISPA
KONSULTASI
J06 1
ANOREXSIA
PERPANJANG RUJUKAN
PERPANJANG RUJUKAN
RUJUKAN TB
VL 1
J06 1
J06 1
J06 1
L08
J06 1
SEECH DELAY
TB TULANG
H10
PASIEN TIDAK DATANG
J06 1
J06 1
TYPOID
J06 1
SCABIES
J06 1
167 OTITIS MEDIA
SOFT TISSUE TUMOR
CC 1
L08
APPENDIC
J06 1
CC
J06 1
CC 1
10 ALERGI
INF KULIT
ISPA 1
CEK SPUTUM
J06 1
TINEA
HEMANGIOMA
KONSULTASI
DERMATITIS
ALERGI
ALERGI
86 J06 1
L08
DIARE 1
J06 1
J06 1
FURUNKEL
J06 1
DIAGNOSA
TIVITIS
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
RESEP RW 01 RW 02 RW 03
lain lain
PCT, CTM, GG 1
CTM, GG, BCOM 1
PEPANJANG RUJUKAN
AMBROXOL, PCT, CTM, GG, B6 1
GV 1
KONSULTASI
KONSULTASI
RUJUKAN F80.9
CTM, B6, ZINK SYRP 1
RJUKAN 1
RUJUKAN 1
AMOX, PCT, DEXA, AMBROXOL
ANTASIDA, AMOX, PCT, DEXA, AMBROXOL
KONSULTASI
ORALIT
KONSULTASI
CTM, DEXA, BCOM, SCABISITE
CETIRIZINE, DEXA, VIT C, SALEP OXYTETRA
FE, VIT C 1
CTM, DEXA, BCOM 1
COPERCETYN SYRP, CAVIPLEK SYRP

RUJUK RS
COPERCETYN SYRP, CAVIPLEK SYRP 1
AMOX, DEXA, CTM, CETIRIZINE, SALEP BETAMETASON
ZINK SYRP, PCT, CTM, B6,DIAFORM 1

CTM, VIT C, SALEP MICONAZOLE
CTM, AMOX, DEXA, VIT C, SALEP
DEXA, VIT C
PCT, CTM, B6, BCOM 1
SALISIL TALK, CTM, DEXA, BCOM
SARAN U/ MINTA DIAGNOSA KE DR

SARAN U/ MINTA DIAGNOSA KE DR
CTM, GG, BCOM, PCT
EKSTRAKSI KUKU PCT, DEXA, AMOX
DOMPERIDON, B6, DIAFORM, ORALIT
RUJUKAN RS HERMINA 1
PCT SYRP, CTM, DEXA, GG, BCOM,
PCT, CTM, B6, ORALIT, ZINK SYRP

CTM, DEXA, GG, BCOM, PCT SYRP, SALISIL TALK
CTM, DEXA, CAVIPLEX, ZALF 24
PCT, GG, CTM, BC
PCT, GG, CTM, BC, ORALIT, ZINK
DEXA, VIT C, BC
RUJUK
1
PCT, CTM, GG, BC 1
CTM, DEXA, GG, B6

AMOX, DEXA, AMBROXOL
AMOX, PCT, DEXA, SALEP MATA 1
PCT, CTM, B6
CTM, GG, BC
CTM, GG, CAVIPLEX
PCT, DEXA, BC 1
DEXA, CTM, BC 1
RUJUK HERMINA GALAXY POLI ANAK
AMOX, PCT, DEXA, VIT C
DOEN, PCT, B6, ORALIT 1
ASMEF, DEXA, VIT C, BC
PCT, CTM, AMBROXOL, VIT C 1
DOEN, PCT, OBH, B6 1
FE, PCT, BC 1
CTM, DEXA, VIT C, HYDRO ZALF
CTM, DEXA, BC, SALYSIL
1
PCT, ZINK, AMOX 1
MYOPIA OPTIK
GG, DEXA, AMOX, PCT 1
RUJUK RSUD KOTA BEKASI 1
PCTSYRP, CTM, GG, BCOM 1

AMOX, PCT, KALK, CTM, GENTAMICIN SALEP
AMOX, PCT, DEXA, VIT B6, AMBROXOL SYRP

RUJUK
AMOX, PCT, DEXA,BETASON ZALF 1
AMOX, PCT, DEXA,
ASMEF, DEXA, VIT C
PCT, CTM, B6, ZINK, ORALIT
CTM, DEXA, B6, BC, ZINK, HYDROCORTISON 1

AMOX, PCT, B6, VIT C 1
DOEN, PCT, CTM, B6, ZINK, ORALIT
GG, CTM, BC, 1
GG, DEXA, CTM, BC 1
PCT, CTM, DEXA, GG, B6 1
PCT, CTM, GG
COPARCETIN, CAVIPLEX 0
KOSULTASI 1
KELAINAN SENDI 1
SOFT TISUE TUMOR
CTM, DOMPERIDON, B6, ZINK ORALIT
SALISIL TALK 1
AMOX, PCT, DEXA, B6
AMOX, PCT, DEXA, AMBROXOL 1
DOMPERIDON, PCT, DEXAA, AMBROXOL 1

CTM, GG, BCOM 1
COPERCETIN, CAVIPLEK 1
PCT, CTM, DEXA, FF, CAIPLEK
DOMPERIDON, B6, CTM, ORALIT
AMOX, PCT, DEXA, CETIRIZINE 1

CAVIPLEK, OXYTETRA, ASMEF, PCT 1
OPTIK
OPTIK
COPERCETYN, CAVIPLEK, 1
PCT, CTM, GG, CAVIPLEK SYRP 1
GG, CTM,BCOM
GG, CTM, DEXA, BCOM, SALEP OXYTRA
AMOX, ASMEF, DEXA 1
DOMPERIDON, B6, CTM 1
CTM, DEXA, BCOM, BCOM, SALEP OXYTETRA 1

RUJUK RSUD BEKASI 1
ANTASIDA, PCT, CTM, B6
AMBROXOL, CTM, DEXA, BCOM 1
GG, CTM, CAVIPLEK 1
AMBROXOL, DEXA, CTM, PCT, BCOM

ZINK, B6, CAIPLEK
PERPANJANG RUJUKAN
PERPANJANG RUJUKAN
RUJUKAN TB
AMOX, PCT, DEXA
GG, CTM, BCOM, SALEP ERLAAMICETIN
AMBROXOL CTM, DEXA, BCOM,
PCT, CTM, DEXA, GG, 1

CTM,DEXA, BCOM
RUJUK HERMINA BEKASI 1
RUJUK 1
SALEP OXYTETRA
DATA KURANG LENGKAP
AMOX, PCT, CTM, B6 1

DOEN, PCT, DEXA, AMOX, AMBROXOL
RUJUK MASMITRA
AMOX, PCT, DEXA, B6, AMBROXOL 1
CTM, DEXA, BC, CTM, ZALF 24 1
PCT, CTM, GG, BC
ASMEF, DEXA, VIT 1
RUJUK
COPARCETIN, CAVIPLEKS
CTM, DEXA, VIT C 1
RUJUK
PCT, CTM, GG, BC 1
PCT, CTM 1
PCT, CTM, GG, BC 1
PCT, CTM, BC 1
CTM, DEXA, BC, SALYSIL 1
CTM, CAVIPLEK, MICONAZOL 1
PCT, CTM, GG, B6, ORALIT
CEK SPUTUM
PCT, CTM, DEXA, GG, CAVIPLEK 1
CTM, VIT C, SALEP MICONAZOLE 1
KONSULTASI 1
KONSULTASI 1
CTM, DEXA, BCOM,SALEP HYDRO 1
PCT, DEXA, CTM 1

CTM, DEXA, HYDRO ZALF
GG, DEXA, AMBROXOL 1
CTM, DEXA, BC, OXY ZALF 1

PCT, DOMPERIDON, BCP
GG, CTM, BC, PCT 1
AMOX, PCT, DEXA, B6, AMBROXOL
AMOX, PCT, DEXA, CETIRIZINE
AMOX, PCT, DEXA, B6, AMBROXOL 1
RW 04 RW 05 RW 06 RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
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
11
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
AGUSTUS 2021
DALAM WILAYAH
NO KEGIATAN MTBM
L
MIKAIL RAMZAN
ZEFA MAKALA
PUTRI LUBNA
ARLET MUTEKAR JB
MALIKA SALIHA
SAYYIDAH

DALAM WILAYAH
NO KEGIATAN MTBM
L
1
a. Ikterus Berat
b. Ikterus
2 Ikterus

Kemunkinan Berat Badan Pemberian ASI
6 Rendah & Masalah Pemberian
ASI b. BB Tidak Rendah dan Tidak ada Masalah Pemberian
ASI
Masalah Pemberian Minum a. BB Rendah atau Masalah Pemberian Minum
7 atau BB Rendah pada Bayi b. BB Tidak Rendah dan Tidak ada Masalah Pemberian
yang Tidak Mendapat ASI Minum
10 Rujukan
UDA
TOTAL
P L P L+P
JBB 14/05
JB 2/7
JB
JB
JB

P L P L+P
AGUSTUS 2021

NO KEGIATAN MTBS
L P L
ATHA FARIZ JB
ALIF FATHURRAHMAN JB
SYENA SALSABELA JB
NO KEGIATAN MTBS
L P L
Tanda Bahaya
Umum
a. Pneumonia Berat
2
Bernafas
ATHA FARIZ JB
TOTAL

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
RAFFIKO JB
ATHA FARIZ JB
a. Mastoiditis
5 Masalah Telinga
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
ATHA FARIZ JB
9 Status Imunisasi
ATHA FARIZ JB


12 Jumlah Rujukan
TOTAL
LUAR WILAYAH
P L+P
TOTAL
LUAR WILAYAH
P L+P
0 0
REGISTER
No.RM BARU LAMA
1 04/10/2021 26181 1 MUHAMAD AZRIEL

2 23377 MUHAMAD KHAIRAN
3 26176 SYAFIQ RAYYAN
4 22920 JELITA ZEGA
5 24239 KEYSA AURELIA
1 05/10/2021 16332 1 SUCI

2 17452 1 M RAFFI
3 22920 1 JELITA ZEGA
4 8705 1 M FIKRI
5 20104 1 SYIFA AL ZARAH
6 7868 1 M ZAKI
7 26191 1 ADELARD REVANO
8 14560 1 MARCELLA H
1 6/10/2021 12653 1 ARYA WIGUNA

2 4176 1 FIKRA MOCH. YUSRA
3 16488 1 MUHAMMAD ALFATIH ARKANA
4 23349 1 THERESIA JANE AMORA
5 26217 1 MUHAMMAD RAIHAN
6 26215 1
7 26214 1 NARA SALSABILAH
8 26218 1 GHASSAN FATKUR
9 778 1 M FAHIM CHASIM
10 2281 1 AURELIA SEPTIANA
1 7/10/2021 8035 1 IKHSAN DWI

2 20892 1 ALIFA KARENINA
3 9518 1 REVAN FATURAHMAN
4 26223 1 MUHAMAD HUSEIN
5 23686 1 PUTRI ADELIA
6 23518 1 MIKAEL JULIAN
7 21179 1 HIFZA MAULIDYA
8 11761 1 BOB KAISAR
9 26231 1 DINARA ALMAHYRA
1 8/10/2021 26241 1 m syawalludin

2 26238 1 zikra
3 26237 1 hannah
4 9656 1 sakinah mayang sari
5 12776 1 rifani
6 20805 1 almera
7 11688 1 nadya
8 4056 1 adha agam
9/10/2021 26251 1 VANESA AURA

10552 1 AISYAH ZAHRO
3455 1 ILHAM NUR
26250 1 UMAIR ZAHEER
1 11/10/2021 26253 1 azmiya sabiya

2 11109 1 adeliya azzahra
3 16897 1 nazriel
4 25160 1 maharani salsabila
5 26255 1 icha
6 18451 1 carlos domini
7 18571 1 m rizqi
8 23238 1 m fathir
9 26258 1 farra dinra
10 26260 1 nafisa zea
11 15413 1 aisyah
12 20709 1 indra alamsyah
13 10722 1 ahmad fauzan
14 612 1 levy nathan
15 8431 1 satria ibnu sabil
16 23016 1 QUEENSHA
17 26271 1 salma
18 16075 1 anisa zahra
12/10/2021 26274 1 m alhamzah

26007 1 sadham
26278 1 kenzie
4246 1 dahayu ratu
11426 1 ananda afika
10472 1 m fakhri
13/10/2021 26285 1 azra

1565 1 azka
9814 1 bram
26254 1 audy
26298 1 rishelia armaika
25214 1 arsya maliano
21731 1 nabila azahra
8035 1 akhasan dwi
26300 1 fabio afriansyah
14/10/2021 13670 DIMAS LANGIT
26308 ASSYFA BERLIANA
21991 RAFIN
23767 ATHAFARIS
26304 TUVA NUR ANANDA
25887 SAID MALIK
23046 ANNASIA
3867 M ABIAN
26036 IBNU ATHOILAH
26313 M ZAYYAN
14251 ANANDA PUTRI
26313 JAN MICHELL
16332 SUCI
14468 ANISA SABILA
13599 AHMAD DZULFAQAR
12305 NUNIK AYU
13199 TIARA RAYANI
15/10/2021
16/10/2021 19665 1 m al fadli

14059 1 hafizah azzahra
24700 1 shakilla al mahyra
18573 1 akhsan wildan
26328 1 mikayla
7318 1 muhammad affandi
24875 1 raihani putri
16239 1 putri novita
4384 1 windi aya
23419 1 nadya azzahra
17/10/2021 23688 1 SANIA OKTAVIA

553 1 RAFIDAH
4737 1 DARA SITI
20432 1 DJARULLAH
12730 1 juna zafar
6967 1 PAJRI
18/10/2021 20432 1 DJARULLOH MUAFA

4737 1 DARA SITI
12305 1 NUNIK AYU
6680 1 KAILA ANISA
23688 1 SANIA OKTAVIA
553 1 RAFIDAH ABIYU
6967 1 FAJRI NURADIAT
1 JUNA ZAFAR
19/10/2021 21482 1 ZEA ALMAHIRA

24228 1 IZZATUNISA FAIDA
23781 1 AFIZAH
25141 1 DZULSYAFIQ HIDAYATULLOH
14842 1 KEYLA SYAFIRA
16541 1 MAULIDA AZ ZAHRA
23393 1 SALMAN AL FARIZI
1 21/10/2021 26357 1 AZIZAH DIAN RAMADHANI

2 26358 1 HAIDAR MAUZA
3 18722 1 DAFFA APRIANSYAH
4 10186 1 M DYVANDRA
5 26364 1 NATASYA ZEEVANYA
6 26366 1 M REFAIH
7 26365 1 SYAFA FARADINA
8 26359 1 M FIKRIANSYAH
9 26368 1 REYHAN
10 19106 1 M ZHAFRAN
11 26369 1 SEPTIYA
12 24042 1 AHMAD HAIKAL
13 4215 1 AHMAD ALJABAR
14 22847 1 FAJAR ALKHAFI
15 26373 1 MAWARDATU
16 2885 1 RISYA
17 17890 1 NIKEN
18 15553 1 ALIKA NAILA
1 22/10/2021 1742 1 rhyzsyahel

6432 1 kayla asyla
22183 ardika fahliza
8705 1 m fikri
7868 1 m zaki
3579 1 mikhael
26379 1 ibnu dzaky
15950 1 m anggi
26381 1 seridwan
26377 1 wahyu aji
15406 1 zayyida tsanida
26374 1 asodel putra
23/10/2021 24660 1 muhamad fathan

26389 1 kenzo evano
26391 1 carissa humaira
26394 1 keendra
16332 1 suci
17452 1 m raffi
25/10/2021 24096 1 DAFFA APRIANYSAH

18722 1 NAURAH AISYAH
26400 1 ANNGISTA ANANDA
22779 1 M DAFFIN
8287 1 FIKRI MIKHAIL
24923 1 SAMUEL BENEDICT
6967 1 PAJRI NUR ADIAT
26/10/2021 18451 1 CARLOS DOMINI

5042 1 NOVITA SARI
26419 1 FAHRI ANDIKA
10793 1 VANESA AURA
14166 1 ALVIAN ALAN KALANDRA
27/10/2021 26428 1 zareena

24923 1 samuel
6970 1 chintya indriyani
16229 1 PUTRI NOVITA
17988 1 FATHAN
2823 1 SYAHRANI
26440 1 keisya putri
28/10/2021 11705 1 panji eka putra

26448 1 ABDIAS
11785 1 m raffa akbar
9156 1 anandiany
7821 1 destia
26477 1 rafsan
20733 1 m hafiz
652 1 sri ulfa
HAMIL 26457 1 sizqia
29/10/2021 25032 1 ilham maulana

23793 1 rizka berlyana
6467 1 HIYA
24443 1 ALESHA
16393 1 GALUH
17305 1 NUNIK AYU
3532 1 M ILHAM
30/10/2021 22718 1 ASYIFA
18077 1 ZULAIKHA
26469 1 ZEESHA ALMAHYRA
26033 1 NATANIA YOVELA
25124 1 KHALISA
16332 1 SUCI
17452 1 M RAFFI
26632 1 NATALIA YOSEVA
26474 1 ABIDAH
081210487404
082216080081
081310164331
081387404589
081319975161
085213474731
081295251716
089526073305
089233021593
085779336179
3275082805090001
0001906119156 081288121997
083890160435
081413465729
081284646824
081310738940
081380716462
1 087779150672
1 081286688031
1 081286688031
1 08978391520
0002614494115 081297339366
1 089638015894
1 081380416111
1 085314221092
0002320951767 085715532642
089653834347
0899193064
081585184117
1 081285882362
1 081212847361
1
1 087883935795
0001195748987 083891830158
1 081386123793
0002901218772 087888514747
1 089653523801
1 0858108836041
1 087779150672
1 089655957003
0002914465702 085770025050
00005062422416 081317011982
1 085657348813
1 081281061729
0002911190264 087777479498
0002798098121 089531870871
1 089508018713
1 083874648832
1 089516002590
0003103601409 088225914634
1 08567012812
1 08395338230
1 081383816374
0002776382752
1
1
1
1
1
1
1
1
00026937664422
0002222979006
0001658025786
0002509913294
1
1
3275084306850012
3275082408170021
1 083123971943
0002518800748 081284595945
1 081280433608
0001631365018 085775639448
1 089601618274
1 089619827872
1 089619827872
1 087878311968
1 081398212036
1 089636325832
1 085325286307
1 083808949769
1 0812115111508
1
0001805158541 0895332851407
0002063742107
1
1
82218143383
81299247010
85609999933
1 081386123793
1
1 085893666076
1
1 81317453921
1 089665005995
1 085609999933
0001631021859 089536457121
1 081293601877
1
1 089501243001
1 087883927572
1 083874992444
1 085718011829
0002509919908 087884567940
1 08128091353
1
1
1
0001423282994 081311460780
0002516226658 089636372330
1 08119519808
1 081290416314
1
1 08970679501
1 089602445406
1 085210253004
1 085217296464
1 0821407787
1 085219609935
0002890893002 081936202411
1 081283314441
1 085215312853
1 087870792807
1 085287291942
1 085287291943
1 085215312853
1 0895332851407
ALAMAT UMUR
NAMA ORTU DALAM TANGGAL LAHIR 0 - 2 BLN 29- 1 THN
LUAR WILAYAH
WILAYAH L P L
MURSIDI JB 6/1 26/12/2019
MURSIDI JBB 2/4 31/10/2018
YOHAN JB 4/14 12/07/2021 1
DESLIANA JB 2/6 05/04/2018
ROHMAT JB 2/3 30/10/2021
EMANUEL JB 1/12 18/08/2009
JB12/14 09/05/2019
JB 12/14 13/01/2008
DESLIANA JB 2/6 05/04/2018
ABDULLAH JB 10/12 14/01/2018
ROKIB JB 10/12 10/12/2019
ABDULAH JB 10/12 11/05/2012
NI REZA JB 10/08/2016
SUWANDI JB 6/3 11/03/2010
ASEP JB 7/1 17/05/2010

FEBRIYAN JB 2/14 7/5/2013
NORMAN JB 5/12 23/03/2019
SUANDY JB 4/3 3/1/2014
JAKARIA JB 4/2 27/02/2015
TAAT JB 1/14 12/8/2019
KRIS JB 3/14 6/7/2019
HARIYANTO JB 1/3 2/8/2006
ABD. KHOLIK JB 7/1 27/05/2015
YULIANTO JB 4/8 21/09/2009
WIYATMI/ DWI WAHYANTO JB 3/1 28/05/2009

RAGIL JB 12/12 6/9/2006
DEDE JB 5/2 8/11/2017
DEDY JB 6/3 11/4/2020 1
YULIANTO JBB 4/8 17/03/2020
AMIN FAUZI JB 4/1 31/07/2017
MAHMUD JB 6/1 20/11/2018
AGUS JB 1/1 27/08/2016
JUFADLI JBB 11/06 26/12/2019
jailani jb 6/1 6/10/2008

ilham jb 28/8/2021 1
ilham jb 16/6/2019
hendri jb 3/2 3/5/2008
nalih jbb 4/2 14/11/2018
macs jb 4/2 31/1/2020
basri jb 5/2 30/3/2004
audi jb 2/3 21/09/2017
JAYA JB 26/11/2003
M IRWAN JB 1/1 15/09/2017
JALIL JB 3/1 22/09/2011
ARIF JBB 2/2 17/07/2021
chairudin jbb 5/7 23/3/2018

susanto jbb 6/2 24/2/2016
jb 3/4 11/8/2017
m roqih jb 10/12 26/3/2021
agus jb 1/1 7/5/2012
isai jb 1/2 18/10/2019
rudi jbb 6/2 17/09/2015
hendri jb 4/2 18/9/2020
madinah jbb 7/2 10/6/2020
deden jb 6/1 8/5/2020
batin jb 6/1 13/3/2015
ika jb 6/2 14/10/2017
simon jb 2/14 27/6/2005
yosef jb 7/12 31/1/2018
hendra jb 4/7 22/10/2015
dede jb 5/3 12/12/2019
masripah jbb 2/4 25/2/2007
sidi jb 6/1 26/12/2003
ronald jb 1/7 23/7/2020

freddy jb 2/2 16/12/2019
carwin jb 6/10/2021 1
m mahfud jb 2/14 8/4/2017
ajat jb 4/3 6/2/2015
alan jb 5/2 30/9/2017
zera jb 2/13 1/1/2002

wagiman jb 4/10 31/03/2015
teguh jb 5/11 19/07/2013
fahri jb 2/3 16/09/2021
reza jb 4/7 19/11/2019
reza jb 18/03/2021 1
nana jb 4/14 12/1/2020
dwi wahyanto jb 3/1 28/05/2009
erlan jb 6/1 26/04/2007
MOCH RIANSYAH JB 4/3 17/12/2018
SRI YANTO JB 5/10 31/10/2020
ANTONI JB 4/7 18/03/2020 1
RENI JB 2/2 21/09/2020 1
ALI SABTI JB 4/14 2/3/2011
SAID SAM JB 31/7/2021 1
MULYATIKA JB 4/2 19/08/2020
BAGUS JB 3/2 3/11/2016
USMAN JB 1/3 13/09/2021 1
M IRHAM JB 2/1 25/03/2020
PAULUS JB 4/2 5/12/2012
ANDES JB 5/2 13/02/2018
JB
SOLIHIN JB 12/10 25/11//2013
M NUR WAHIDIN JB 1/3 9/9/2013
RISTANTO JB 11/12 4/7/2008
ROKIB JB 3/2 1/4/2008
yohani jbb 6/2 11/7/2019

hendra jb 1/7 11/10/2013
mansyur jb 1/1 24/12/2020
aditya jb 10/12 27/3/2018
dadang jb 5/2 28/11/2020
rahmat jb 4/2 8/4/2011
hendra jb 1/7 24/4/2009
paulus jb 4/2 9/11/2015
wagiman jb 4/4 1/9/2009
derri jb 1/2 12/6/2009
NANA JB 6/1 29/7/2006

ISWADI JBB9/8 15/1/2006
JB 4/2 19/3/2018
CHAIRUL JB 2/2 7/6/2010
jb 1/1 30/1/2018
AGUS JB 1/3 9/6/2011
CHOIRUL JB 2/2 7/6/2010

DESTI JB 4/3 19/03/2018
RISYANTO JB 11/12 4/7/2008
UNTUNG JB 2/1 12/4/2009
NANA JB 6/1 29/07/2006
ISWADI JB 9/8 15/01/2006
AGUS SUHARI JB 1/03 9/6/2011
JB 1/1 30/01/2018
NOVIYANDRA JB 2/14 12/5/2017

NOVIYANDRA JB 2/14 15/04/2014
FAIZAL JB 2/14 24/11/2020 1
DANI JB 2/3 13/10/2020
ROHMAT JB 2/3 12/8/2015
SUDARYA JBB 4/2 31/03/2011
NUR AZIZA JB 1/2 29/10/2019
WISNOE JB 3/13 6/6/2016

FARID JB 4/12 22/5/2016
SAEPUL JB 4/2 1/5/2013
TITIN JB 2/3 31/8/2016
MADINAH JB 1/14 24/5/2015
MADINAH JB 1/14 12/2/2021
BUDI JB 6/11 23/5/2009
EKO JB 1/2 16/3/2021 1
DHEANDRA JBB 1/2 30/10/2019
KRISTIYANTO PONDOK KELAPA 10/9/2009
OYONG JB 1/14 25/9/2013
JAJAT JB 4/3 18/5/2017
FANI JB 2/2 1/4/2020
ABD KOSIM JB 1/1 9/8/2005
JAJAT JB 4/2 3/11/2012
WIWIN JB 1/14 21/10/2004
ASMAUL JB 4/7 30/1/2019
minan jb 3/2 21/01/2013

hendrik jb 6/12 8/5/2018
jumali jb 3/2 2/7/2008
abdulloh jb 10/12 14/01/2018
abdulloh jb 1/10 11/5/2012
neni jb 2/1 27/11/2017
sayadih jb 2/1 12/3/2008
wonoroso jb 3/1 3/5/2008
sinanto jb 2/1 25/11/2007
sutrisno jb 6/3 6/3/2007
fahriansyah jb 6/3 6/7/2018
adi chandra jkm 2/8 17/03/2021 1
ahmad/sirah jb 1/7 9/4/2021

indra pekayon 24/02/2021
zulfadli jbb 11/06 3/4/2018
donny jbb 6/2 22/05/2016
solihin jb 12/10 9/5/2019
solihin jb 12/10 13/01/2008

TRISNA JB 6/3 25/10/2020
KELLY ANDRI / JUMIAH JB 5/2 8/6/2020
MARTIN JB 1/3 20/07/2020
ATANG/ ENA JB 4/2 5/9/2012
AUDY JB 3/12 15/04/2021 1
AGUSSUHARI JB 1/3 9/6/2011
ISAL JB 1/2 18/10/2019

ANTON JB 5/2 11/6/2015
ANDI JB 3/1 18/7/2014
HIMAWAN JKM 4/2 26/11/2003
RUSWANTO JBB 6/3 30/11/2014
sahrul jb 4/2 4/12/2020

audy jb 3/12 15/04/2021 1
rony jb 6/3 27/6/2005
PAULUS JB 4/2 9/11/2015
JAENUDIN JB 2/1 15/9/2019
NANANG JB 6/1 4/10/2004
yulianti jks 4/3 15/3/2009
khatulistiwa jb 2/2 28/11/2003

IMAM JB 4/2 21/3/2019
rohendi jb 1/14 20/9/2018
edy jb 13/12 30/4/2012
andi jb 3/14 9/12/2011
agus jb 2/8/2008
ali jb 4/14 18/2/2017
adi jb 6/12 23/7/2014
suryadi jb 1/1 18/09/2008
prayogi jb 4/6 6/10/2012

UNTUNG JB 2/2 6/5/2005
ROBI JB 5/14 10/10/2013
YUDHI JB 1/2 8/2/2011
AGUS JB 6/2 14/4/2017
AMIN JB 3/7 3/2/2015
RISYANTO JB 11/12 4/7/2008
ADEK JBB 6/8 4/1/2018
DEDE KURNIAWAN JB 6/1 22/4/2020
RENDY JB 6/1 10/9/2019
GALIH JKM 1/15 23/6/2020
HERMANTO JB 3/14 13/9/2021
RISMAN JB 3/5 19/12/2019
SOLIHIN JB 12/10 9/5/2019
SOLIHIN JB 12/10 13/1/2018
HERMANTO JB 3/14 13/9/2021
ABD QOSIM JB 1/1 1/9/2021
UMUR
29- 1 THN 1-4 THN 5 - 15 THN SUHU BB TB ICD
P L P L P
1 10 J06
1 10 A09
KONSULTASI
1 15 J06
1 11.3 URTICARIA
1 40 PAROTITIS
1 12 DERMATITIS ALERGI
1 55 EXTRAKSI KUKU
1 15 ALERGI
1 12 FURUNKRL
1 10 J06
1 29 K30
1 27 KIR SEHAT
1 37 OMA
1 36 34 147 R50
1 36 22 129 DERMATITIS
1 36 9,5 R50
1 36 55
1 36 16 120 R50
1 36 13 J06
1 36 15 J06
1 36 39 159 GASTRITIS
1 36 19,5 130 KONSULTASI
1 36 38 150 MIOPIA
1 36 SPEECH DELAY
1 64 J06
1 15 J02
10 J06
1 8,5 R50
1 18 HIDNG BERDARAH
1 9 J06
1 17,5 V.L
1 8 J06
1 50 scabies
4 faringitis
1 10 j06
1 50 herdeolum
1 11 speech delay
1 8,8 a09
1 61 masridinitis
1 13 j06
1 45 SKS U/ SEKOLAH
1 15 R50
1 33 GE
1 6,2 SOFT TISUE TUMOR
1 16 ispa
1 15 vomitus
1 15 r50
1 7 j06
1 18 scabies
1 tb tulang
1 konsultasi
1 9,7 j06
1 9 melaise
1 10 ispa
1 15 l08
1 13 j06
1 45 j06
1 14 kontraktur dikaki
1 18 j06
1 10 a09
1 50 konsultasi
1 52 a09
1 9 scabies + cc
1 9 a09
os tdk dtg konsultasi
1 13 j06
1 17 j06
1 11 omsk
1 16 konsultasi
1 20 j06
1 18 j06
1 4 j06
1 10,5 j06
9 k30
1 7 a09
1 36 speech delay
1 45 paronicia
1 12 J06
1 7,5 IMUNISASI MR
12 J06
9,5 R50
1 32 R50
6,5 IMUNISASI
1 10 R50
1 16 J00
4 IMUNISASI
1 8,3 R50
1 35 R50, J06
1 16 ADA BENDA ASING
11 SCABIES
1 24 SCABIES
1 21 H10
1 46 CACAR AIR
1 27 DERMATITIS
1 9 cc
1 20 j06
1 8,5 urticaria
1 15 j06
1 8 cc
1 27 cc
1 39 scabies
1 31 j06
1 63 j06
1 35 neuralgia
1 30 J06
1 OS TDK DTG NEFROLITHIASIS
1 12 J06
1 26 URTICARIA
1 14 leukimia
1 30 HEMATURIA
1 26 URTICARIA
1 12 ISPA
1 46 CACAR AIR
1 60 PIPI KIRI BENGKAK
1 30 ISPA
1 PERPANJANG RUJUKAN
1 30 DERMATITIS
1 PERPANJANG RUJUKAN
1 14 J06
1 23 J06
9,1 L08
1 7 J06
1 24 L08
1 25 J06
1 8 HRNIA
1 22,5 107,4 URTICARIA

1 25 DYSPEPSIA
1 41 COMBUSUR
1 25 FEBRIS
1 12 L08
1 20 117 KONSULTASI
1 8,8 L08
1 53 151,3 KIR SEHAT
8,4 CC
1 10 KONSULTASI
1 39 141 KIR SEHAT
1 22,5 DIARE
1 18,5 DIARE
1 10 TB
1 65 L08
1 34 DIARE
1 67 DYSPEPSIA
1 14 J06
1 49 cc
1 12,5 diare
1 39 kir sehat
1 17 ispa
1 22 ispa
1 15 diare
1 55 kir sehat
1 36 kir sehat
1 37 kir sehat
1 43 kir sehat
1 13.5 ispa
6.3 ispa
1 7,3 j06
1 8,7 j06
1 13 j02
1 17 perpanjang rujukan
1 13 l08
1 54 dermatitis
1 43 COMBUSTIO
1 8,5 J06
1 10 J06
1 9,5 J06
1 22 K30
7 KONSULTASI
1 29 L08
1 OS TDK DTG TB TULANG

1 17 DYSPEPSIA
1 30 SCABIES
1 46 155 KONSULTASI
1 25 SOFT TISUE MATA
1 8,1 ispa
7 febris
1 40 j06
1 31 j06
1 10 SCABIES
1 54 URTICARIA
1 38 l08
1 54 exostosis
1 9 J06
1 12,5 insect bite
1 25 dyspepsia
1 28 j06
1 6 chepalgia
1 14 j06
1 22 cc
1 50 g1p0a0 h 7 minggu
1 21,5 dyspepsia
1 OS TDK DTG HYPERALDOTERONISM
1 17 J06
1 27 dyspepsia
1 12 Z71.0
1 26 A09
1 43 138 KONSULTASI
1 OS TDK DTG B20
1 OS TDK DTG ENSEFALITIS
1 12,7 J06
1 5,2 L08
1 3,8 VOMITUS
1 9 J06
1 13 SCABIES
1 51 URTICARIA
1 3,9 VOMITUS
1 4,3 ALERGI
DIAGNOSA
ISPA CC FEBRIS DIARE FARINGITISSTOMATITISTONSILITISDERMATITISKONJUNG URTICARIA
TIVITIS
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
1
1
INF.KULIT DYSPEPSIAVARICELLA SCABIES PAROTITIS OMA lain lain
1
1
1
1
1
1
1
1
1
1
1
1
RESEP RW 01 RW 02 RW 03 RW 04 RW 05 RW 06

ZINK ORALIT
KONSULTASI
AMOX, PCT, DEXA, AMBROXOL SYRP 1
SALISIL TALK 1
AMOX, ANTASID, ASMEF, DEXA, CETIRIZINE
DEXA, CTM, SALEP HYDRO

GV 1
KONSULTASI 1
AMOX, PCT, DEXA, CTM
GG, DEXA, CTM, AMOX
PCT, CTM, DOMPERIDON
KIR SEHAT
PCT, DEXA, AMOX 1
PCT, B KOMP 1
CETIRIZINE, BKOMP, VIT C, BETASON
COPARCETIN SY, VIT SY
HERBAKOF, PCT, METHYLPREDNISOLON 1
COPARCETIN SY, VIT SY 1
COPARCETIN SY, VIT SY
COPARCETIN SY
ANTASIDA, B6 1
BKOMP 1
RUJUK
RUJUK RS PERMATA BEKASI 1

AMBROXOL, DEXA, VIT C
PCT, CTM, BCOM 1
PCT, CTM, GG, SALEP OXYTETRA 1
PCT, CTM, B6
PCT, CT, DEXA, BCOM 1
AMOX, PCT, DEXA, CTM, GG, 1
SLEP GENTAMYCIN, PCT, BCOM 1
COPERCETYN SYRP
amox, ctm, vit c, scabilo zalf 1

1
ctm, gg, bc 1
pct, dexa, vitc, oxy zalf 1
rujuk
pct, ctm, b6, zink 1
amox, asmef, dexa, vit c 1
pct, gg, ctm, bc 1
SKS U/ SEKOLAH
VIT SYRP 1
NEW DIATAB, DOMPERIDON 1
ctm, dexa, gg, cavipleks

pct, ctm, b6, zink, oralit
pct, ctm,bc 1
gg, ctm, bc, salysil
ctm, dexa, b1, b12, zalf scabies 1
rujuk rsud poli anak 1
pct, gg, ctm, bc 1

ctm, bc
pct, ctm, gg, bc 1
amox, pct, dexa, ctm 1
coparcetin, cavipleks
ctm, b1
rujuk
ctm, ambroxol, bc
pct, ctm, b6, zink 1
cavipleks
doen, diaform, b6, oralit 1
pct, ctm, bc
pct, ctm, b6, zink, oralit 1
pct, ctm, gg, bc

pct, ctm, gg, cavipleks 1
rujuk rs masmitra 1
ctm, gg, bcom

ctm, gg, bcom
gg, ctm 1
pct, ctm, gg, bcom
pct, ctm, b6
pct, ctm, b6, zink, oralit
rujuk 1
amox, asmef, dexa, vit c 1
COPERCETYN SYRP, VIT SYRP
IMUNISASI
CTM, PCT, B6, GG
PCT, GG, VIT C
IMUNISASI
PCT, GG, CTM, VIT SYRP
IMUNISAsi
COTRI, PCT, B6, CTM
ADA BENDA ASING
PCT, CTM, KALK, SALEP HYDRO
PCT, CTM, KALK, SALEP HYDRO
PCT, CTM,
SALEP ASICLOFIR, ASICLOFIR, PCT, CTM
CAVIPLEK, PCT
pct, ctm, bc
pct, ctm, gg
salysili talk 1
pct, ctm, gg, bc
pct, dexa, bc 1
pct, ctm, bc 1
ctm, dexa, vit c, scabies zalf
pct, ctm, gg, cavipleks 1
pct, ctm, ambroxol, vit c 1
cavipleks 1
AMBROXOL, PCT, CTM, BC 1

PCT, CTM, GG, CAVIPLEKS 1
CTM, ACYCLOVIR, SALYSIL 1
rujuk hermina bekasi poli hematologi anak 1
CTM, DEXA, VIT C 1
CTM, ASICLOFIR , SALISIL TALK 1

PCT, CTM, GG, CAVIPLEK 1
ASICLOFIR TAB, ASICLOFIR SALEP, PCT, CTM
ASMEF, DEXA, VIT C 1
RUJUKAN 1
CTM, VIT C, DEXA
RUJUKAN 1
1
COPERCETYN SYRP, CAVIPLEK SYRP

GG, CTM, BCOM
CTM, DEXA, BCOM, OXYTETRA SALEP 1
AMOX, PCT, CTM,BCOM 1
PCT, CTM, AMBROXOL, BCOM
RUJUK RSUD BEKASI DENGAN LKM 1
CTM, DEXA, BC, SALYSIL

PCT, CTM, BC
ASMEF, PCT, DEXA, VIT C 1
PCT, CTM, BC 1
CTM, DEXA, VIT C, OXY ZALF 1
PCT, CTM, BC 1
DOEN, PVT, CTM, B6

RUJUK RSUD 1
OXY, AMOX, PCT, DEXA, VIT C 1
DOEN, PCT, B6
PCT, CTM, GG, BC
molexflu, bcom 1
pct, b6, ctm, zink syrp
kir sehat 1
copercetyn syrp, vit syrp
copercetyn syrp, vit syrp
pct, ctm, b6, zink syrp
kir sehat 1
kir sehat 1
kir sehat 1
kir sehat 1
copercetyn syrp, vit syrp 1
pct, gg, ctm, salep hydro cortisnone
PCT, CTM, GG
PCT, CTM, GG
PCT, CTM, DEXA, BCOM
CTM, DEXA, VIT C
CTM, PREDNISONE, VIT C, SALEP HYDRO
CTM, PREDNISONE, VIT C,
CTM,DEXA,VIT C 1
CTM, GG, B6 1
DOMPERIDON, PCT, CTM, B6, ORALIT 1
KONSULTASI
AMOX, CTM, DEXA, VIT C, SALEP OXYTETRA 1

CTM, DEXA, AMOX, VIT C, SCABIES ZALF 1
DOMPERIDON, PCT, B6, ORALIT
RUJUK RS
pct, ctm, gg, bc 1

pct, ctm, bc
pct, ambroxol, ctm, vit c 1
CTM, GG, BC 1
AMOX, CTM, DEXA, SCABIES ZALF 1
HYDRO ZALF, VIT C 1
amox, ctm, dexa, vit c, oxy zalf
rujuk rsud poli tht 1

PCT, CTM, GG 1
pct, ctm, dexa 1
doen, pct, b6
ambroxol, doen, pct, ctm,b6
pct, bc
pct, gg, ctm, cavipleks
ctm, bc
b6, 1
doen, pct, b6, oralit 1

RUJUK 1
DOEN, PCT, CTM, GG
DOEN, BC, CTM, B6 1
KONSULTASI 1
doen, pct, b6, oralit
RUJUKAN
PCT, CTM, GG, VIT C 1
CTM, BC, OXY ZALF
PCT, CTM, BC
CTM, GG, BC
CTM, DEXA, BC, SCABIES ZALF
AMOX, CTM, VIT C, ZALF 24
PCT, CTM, BC
HYDRO ZALF 1
RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
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
REGISTER
No. TANGGAL NAMA ANAK NIK
No.RM BARU LAMA
1/11/2021 26488 1 REVA DYAH
11743 1 BELLA BERNADETHE
21699 1 HANIF MAULANA
26478 1 ADZKIYA GILANG
26486 1 AHMAD DZAKY
23174 1 SIDQIA
8690 1 ABUZAR
1579 1 ARSYA
26479 1 PUTRI
23995 1 NAURA ASSYIFA HASANAH
20869 1 NUR NURLAN
26214 1 NARA SALSABILA
22990 1 WILLY AL MUZAKY
6939 1 ABIGAIL CHIRSTIANDRI
1085 1 LUKMAN AL HAKIM
8971 1 GHINA KHAIRA
1 2/11/2021 10793 1 VANESSA AURA

2 16719 1 HAVIN
3 11743 1 BELLA BERNADETHA
4 26493 1 KEVIN
5 2650 1 KALANDRA
6 843 1 SATRIA IBNU
7 11154 1 HAFIZ
8 10678 1 DINDA MAULIDYA
9 20758 1 ARKANA REZVAN
3/11/2021 15445 1 ALYA DEWINA

2217 1 HAWA D
22685 1 M ALFIANDRO
653 1 SHILVASYA REULFA
23799 1 QIARA NATHA
19904 1 MUHAMAD HAFFIDZ
24550 1 ACHMAD NUR RIFAI
26501 1 MOH RIZKY
26500 1 ANANDITA CHELSIE
4/11/2021 25609 1 subur

26033 1 natania yovela
26032 1 natalia yoseva
26510 1 dodi setiawan
778 1 m fahim
20274 1 danang sutawijaya
26514 1 farah dina
11978 1 m and al arkani
16383 1 miquell nathan
5/11/2021 1785 1 m rafa akbar

11338 1 andre wahyudi
9255 1 mikayla azahra
20637 1 dendi
6/11/2021 26527 1 nahla aqillatunisa

16550 1 alif faturahman
4123 1 anagata badillah
24599 1 sheena beata
25395 1 anita nadiya
17452 1 m raffi
16332 1 suci ramadanti
743 1 m ibnu
8/11/2021 26541 1 olivia andini

1704 1 alya maulida
569 1 alfian khoirul
6828 1 alya kurnia
26543 1 shaquina almira
26542 1 aleeyka zahra
24660 1 m fathan
8431 1 satria ibnu
26552 1 syafira kiraina
15675 1 rai
9/11/2021 26557 1 nurhalimah

25160 1 maharani salsabila
5548 1 bunga dahlia
15645 1 salwa salsabila
16383 1 miquel nathan
1 ahda
11748 1 m hisyam
10/11/2021 26583 1 Emmancela zefanya

26587 1 Jihan Hanifah
12570 1 Annisa Ramadhani
26580 1 Arviandra r
1333 1 M Arvan Cahyo
26579 1 Shabhan
16273 1 Trisna
23924 1 Muhammad Fadlan A
26592 1 Asyraf Rasyid
3183 1 M Fauzan M
11/11/2021 20280 1 m ziddan

19749 1 hamizan gyaneswar 327504040190007
21760 1 abizar al kalifi
24504 1 asyifa sheryl
801 1 salsabella
24660 1 muhamad fathan
2621 1 dude mulyana
24686 1 jonathan aliando
12/11/2021 26514 1 farah dina

26603 1 ezza putri pratama
26604 1 dimas khoirul
14622 1 arkan
22895 1 ibnatu alifa
17452 1 m rafi
16332 1 suci
9283 1 syabrina jefita
2634 1 muhamad zidan al fajar
16383 1 miquel nathan
26607 1 rafa nur andini
12216 1 aulia safwa
25956 1 evano altha
26613 1 danish arjuna
20738 1 raysah aqila
11481 1 angunta sembiring
26614 1 muhamad akmal
8280 1 abdurahman
13/11/2021 21897 1 M RAFIF LUBIS

259471 1 AZRIA HINAPI
14718 1 LUTHFI AKBAR
1 KANAYA SHALIMAR
22718 ASYIFA APRILIA
6092 1 FADLI PRADA
ANDI AZKA
M ARYA PRATAMA
23487 1 KHALISSA
11264 1 M ZULFIKAR
FATHIR KHALIL
15/11/2021 4256 1 M FAKHRI

26623 1 ADHWAKYLA PIAR
23238 1 MUHAMMAD FATHIR
12730 1 JUNA
26628 1 M RAFANDI
26567 1 DEVIANA
26557 1 NURHALIMAH
26514 1 FARAH DINA
16/11/2021 26644 1 m raffasya
26645 1 rivany indah
26646 1 rafkha fatir
26653 1 revin doberto
2765 1 khumairoh
26448 1 abdias evanur
26652 1 arshila adinda
23603 1 syahjra afifah
24698 1 adam raid
26657 1 mursalin alasi
23816 1 hanny jasmine
25947 1 azriel hanafi
17/11/2021 778 1 m fahim

22055 1 al fahri
24801 1 aliza adelia
22732 1 afif maulana
24629 1 m syahrun
23566 1 citra tri
11168 1 haikal rizky
26471 1 vioneta charissa
26662 1 qisya athirah
12400 1 m diansyah
16550 1 alif faturahman
25177 1 afriza ghania
26678 1 nathania aliza
18/11/2021 11424 1 wildansyah

26681 1 m alfarizqi
26682 1 shaka
4007 1 m khorul
26684 1 priesya
20758 1 arkana
3473 1 khanza
7736 1 ersandi
1 19/11/2021 18451 1 carlos domini

2 11619 1 dwi cahyo
3 2023 1 karisma kasih
4 26697 1 rahma
5 3916 1 moh. Fazril
6 26698 1 adelia humaira
7 15445 1 alya dewina 3275084308910024
8 4278 1 luis fais
9 26701 1 elkanza shera
10 26702 1 ananda rain 3208096308890003
11 1806 1 m ibnu 1806022103780004
12 17070 1 putri rahayu
13 24239 1 keysya aurelia
14 26706 1 keyla syafira
15 2158 1 ramdani
16 26707 1 clemira aisyah
17 18052 1 farelluloh
18 553 1 rafidah abbiyu
19 10333 1 m khoiruroziq
20/11/2021 19305 1 m rezqiano rafardan

569 1 ALFIAN KHOIRUL
3900 1 FRANDA ANGELIA 3275085406160006
385 1 SHAULLA
23087 1 REZKY ANDIKA
26718 1 GEBI DEVINA
23816 1 HANNY JASMINE
4209 1 evan pratama
1 22/11/2021 26580 1 ARVIANDRA RASENDRIYA

2 7352 1 SITI NURAENI
3 26729 1 PUTRI AISAH
4 22732 1 AFIF MAULANA
5 24161 1 ARRAFAH NUR
6 26662 1 QISYA
7 6464 1 HAYA TINNIFUS
8 3284 1 NAURA AZAHRA
9 9473 1 imanuel
10 25250 1 reksa
11 8642 1 ayu rahmawati
12 26737 1 shafiah silmi
13 25532 1 m adlie
14 19106 1 m zhafran
15 2627 1 yunus abdul
16 26535 1 m fatih
23/11/2021 26127 1 m azri mahardika

4056 1 adha agam rohendi
26753 1 rania
26755 1 rangga mardyansyah
9283 1 syabrina jefita
15073 1 naila maharani
24/11/2021 26358 1 HAIDAR MAUZA

26756 1 AFKAR NURDIANSYAH
26757 1 DZULFIKAR ALIYANSYAH
3282 1 FATHIR RAHMAN
19174 1 BAGUS HAMZAH
26575 1 M RAFFASYA A
16172 1 M KENZIE
19960 1 M FARHAT
10722 1 AHMAD FAUZAN
11792 1 M MAHRAM
20810 1 PETER
26769 1 HUMAEROH
1 25/11/2021 24096 1 NAURAH AISYAH

2 1596 1 LEONY CORNELLI
3 26662 1 QISYA ATHIRAH
4 26773 1 MUHAMAD ZAFRAN 3573053108180004
5 26776 1 NABILA ZAHRA
6 19228 1 ZUHAIR ARDANA
7 4530 1 AVIKA KHOIRNISA
8 26772 1 LUTFI SAMIL
9 12731 1 NABILA ZAHRA
26/11/2021 14906 1 isabella cristy

26323 1 afkar fabian
16488 1 m alfatih
26796 1 nafisah
17489 1 earlita
25381 1 azahra filly
26784 1 muhamad agung
26780 1 bima alamsyah
7482 1 arya febrian
27/11/2021 19494 1 rivky alfa gunawan

26799 1 m rafan
4123 1 anagata badilah
18983 1 ahmad fahmi arsyad
26604 1 dimas khoirul
26773 1 muhamad zafran
24660 1 muhamad fathan
29/11/2021 25177 1 afriza ghania

1563 1 syifa
20454 1 abbas zainul
16550 1 alif fathurrahman
26812 1 m nurul fachri
26811 1 zahira putri
22258 1 fayad
17847 1 anugrah
11959 1 m zulvikar
5253 1 aqila jira
11791 1 m mahram siddiq
1 30/11/2021 26501 1 moh rizky

2 760 1 ganeta aulia
3 24379 1 chandra saputra
4 1659 1 m rizki
5 8617 1 ananda satria
6 26834 1 ario taufiqur r
7 26835 1 zara mashe
8 21940 1 qisya alifa
9 25340 1 arif
10 3428 1 siti fathaya
11 4056 1 adha agam
12 23793 1 rizka berlyana putri
13 26839 1 damar arkana
14 6230 1 tiara
KTP KS BPJS TELP NAMA ORTU
0001013736069 085718259153 ZAINAL ABIDIN

0001717210833 081289127373 AMONIUS
0895364662655 UJANG AHMAD/ ELFIRA
085838690043 GILANG/ RIANA
081288584742 ROMY RIA
085777837663 HAFID
081219696432 HAFITH
085860116270 YOGA
085286403828 RENAL HIDAYAH
085286403828 RENAL HIDAYAH
081295251716 KRIS
085718703550 WAWAN
08111791216 ANDRI
085920593928 M YUNUS
081617189835
1 08571151101 HIMAWAN JAYA

0002754336148 SAHATMAN
0001717210833 081289127373 AMONIUS
1 081513365555 MERY
1 08111117957 WIWI LESTARI
1 HENDRA
0000507528718 081210605754 MINAN
1 08152328910 ADE BUDIONO
1 085733707756 MULYADI
1 08996694764 KARYADI
1 HANDOYO
087880034672 SRIYONO
1 081311460780 ADI DARMA
081385081540 GUNTUR
08996694764 KARYADI
087880034672 SRIYONO
1 085966325730 DIAN
08129826996 MULYADI
1 0895331165943 dani setiawan

1 085215312853 hermanto
1 085215312853 hermanto
0000457996645 085810506533 dul kamis
1 089233021593
0000723307217 082221034822 nayoko
1 081289807142 ade
1 087843207028 daru ramadhan
0001737255824 081295095444 alexandrino
1 08788456940 rohendri
1 08970679501 yudhi
1 0895332851407 abdul khosim
1 087882545609 eni
1 0002909912174 081514079903 indra

0002767067098 089629950497 anom/ linda
081398382717 bowo
0001773027314 081298795353 aditya
andi tridahana
1 085287291942 solihin
085287291942 solihin
087779311283 dian
000507548766 082261279432 purwanto

1 jejen
1 andi
1 ali
1 081556606050 topgi
1 081556606050 topan
0003077825343 0895332879685 ahmad
1 hendra
1 0895373015758 sarmada
1 085212063658 bambang
setyaningsih
m roqih
ilham
ahmad somad
alexandrino
alamsyah / meri
rusnadi
0001655705913 081314244272 Febri pasaribo

1 081288543224 Anthony
0002590308662 supriyanto
1 085780812900 Eva Latifah
0000507075704 081218980805 Suharyo
1 085695692732 Teguh
1
1 081292142665 Nimin
1 081932028080 Suwarno
1 081292142665 Nimim
088808627113 alamsyah
1 081280983041 djunaidi
0002933734724 081314870252 ahmad rizki
085329251631 edi santoso

0895332849685 ahmad/ sirah
082213033967 saeri
085781427499 arih
081289807142 ave
0895331163266 ardi nur/ ita
085814032046 deny
0898352836 pardiono/ shifa
08953528236 pardiono/ shifa
085287291942 solihin
085287291942 solihin
08159370312 jefry
08988160424 made
081295095444 alexandrio
0001904086585 081381239678 wawan
081210173004 wendy
085318799980 jaka aditya/ mayang permatasari
085318799980 jaka aditya/ mayang permatasari
081299646034 agus yanto
085353785368 kasir
08978560487 arif / miftahul
081380812733 abdul hamid
1 081225756694 EDI
081124389901 SYARIFUDIN
08121067663 SLAMET RAHARDJO
1 082167907079 BIMANTO
1 085219609935 DEDE
0002914465702 0887433078855 YUDA
085692521072 RAMA
1 081211454457 ANDI
0002873840411 0895372511229 MATYASIN
0003056417265 08967383917 HARIYADI
SAPII
0001285801626 WENDI
1 FARIKIH
1 089513101387 ARDIAN
1 089653523801 HENDRI
1
0002968532739 HENDRIK
1 082297459678 DEDIK
1 SURYANINGSIH
1 081289807142 ADE
0002895589045 082261947168 hendra
081398883555 nur huda / yati
081287122730 gunawan/ karina putri
08881435596 delvin/ ayu
08953352316 amir bin aat/ uun
085718011829 imam
085718011829 susilawati
0895364662655 bujang rahman
089670898436 gamin
081299458556 husein
0895620005621 nurhuda/ yuli
082114389901 chichi
089233021593 abdul kholik

085312666663 bambang
0895338225629 m yasin/ hesti
0812868713 anom
0896367475 iksan setiawan
082199105528 gonoriy
085211417140 sri murtapa
081280142727 gunawan/ berna deta
081932118621 edi prawira
082213594015 diman
0812868713 anom
081806948278 andini
083841566445 paulus
1 081380800152 roy
1 081226901334 holin
1 081282305562 mulyadi
1 081282305562 mulyadi
1 083806764088
085733707756 mulyadi
1 mulyadi
081211986042 samsul bahri
1 081386123793 ISAI
0001631021848 0895364517121 roni
081386253513 pores
0000791414785 081384773388 warsono
082226008120 imam buchari
08986010426 bambang / rahmawati
08996694764 karayadi
08517146913 nimatul
081285958424 ezra mengko/ erviani
08139541871 purwanto/ amalia
moh sakim/ yuli
085814131468 sulaiman/ santi
0881025124588 rohmat/ masrufah
0881025124588 rohmat/ masrufah
081319229902 ali
08889752860 tukirno
rido hidayat
iswadi
085218185226 suswanto
0002358173766 082116760097 ritza aries

081318131470 ANDI
081229921184 BARIS
1 0895620005621 NUR HUDA

1 085351014564 KARYANIH
1 0895620005621 NUR HUDA
1 0895620005621 NUR HUDA
1 081511012400 endi
1 085780812900 EVA
1 082122474403
1 0895331164197 ABD ROHMAN
1 0812868713 ANOM
0002509856008 085781406004 SULTHONI
0002210974604 081932118621 EDI PERWIRA
1 ROBI
1 082249470190 MUDIN
1 audy
1 083896428641 luthfi
1 jeningan
1 089670237498 marjuki
0001967120414 089670237498 marjuki
1 089636325832 dheandra
1 085210011114 sahrin
1 farida
081315946083 rojana/ lia yuliana

0853142210920 audi
08159415082 suherman
0815337467180 rohmat
08159370312 jefri
089601812917 abdurohman
0002518800748 081284595945 FARID

0002480538172 081295180502 RIA
1 085883319397 ROFI
1
1 0895330847955 NUNA
1 085637670860 HIDAYATULLAH
0002462051218 FERI
1 082114122133 NANA
0000506242416 081317011982 SIMAN
1 081212987988 ACENG
0002089429468 08128400624 FERDINAND
MULYATNO
089660216171 TRISNA / NIKEN

08121803219 FREDDY
081932118621 EDI PRAWIRA
081336700967 M INDRA BAYU/ NINDYA
087881055031 PAIMDA / MURNI
088212229368 AGUS WIDIANDI
0895604155649 ASEP
0811887849 SITI MAIDAH
087882911003 NANA/ SILVI
089635770023 budi santoso

085219714515 rizky yoko
081310164331 rohman
08977817778 candra/ shella
nana
081380928353 willy kurniawan
087883526782 m jafar
081311300671 iswandi
rimo
083841090099 valentino
08993570542 m nur zakaria / anisa
081398382717
088292214077 budi santoso
083814032046 deny subandi
081336700963 m indrabanyu
0895332879685 ahmad/ sirah
081806948278 andini/ hasanah

dadi mulyadi/ sri mulyani
0002509861432 089517325782 didi
0002767067098 089629950497 anom
1 085216444076 m haris
1 087812289751 m rizky
1 089608415690 madinah
1 08979626744 rezky
1 083893211790 andan
1 muh yani
081212987988 aceng
1 085966325730 dian
1 marjuki
1 marjuki
1 marjuki
0001644243851 087884512000
1 085319007184 sutomo
1 081219894200 gani
0002481938572 0812081474228 wahyu
1 081289754526
0001297828629
1 082310345905 budi
1 081290416341 untung
087884204347 luki
0895406210007 marodih
ALAMAT UMUR
DALAM LUAR TANGGAL
0 - 2 BLN 29- 1 THN 1-4 THN 5 - 15 THN SUHU
WILAYA WILAYA LAHIR
H H L P L P L P L P
JBB 7/3 2/9/2006 1
JB 13/12 10/1/2006 1
JB 11/01 16/12/2016 1
JB 8/12 27/01/2019 1
JB 6/3 30/10/2011 1
JB 1/14 9/5/2020 1
JB 1/14 3/10/2013
JB 2/6 19/10/2017 1
JB 6/3 21/08/2020 1
JB 4/2 11/5/2015 1
JB 4/2 22/11/2013 1
JB 3/14 6/7/2019 1
JB 4/2 4/7/2020 1
JB 1/1 31/05/2014 1
JB 4/2 22/12/2016 1
JB 1/14 29/12/2015 1
JKM 4/2 26/11/2003 1

JB 22/3/2019 1
JB 13/12 10/1/2006 1
JB 16/4/2018 1
JB 12/12 14/6/2019 1
JB 4/7 22/10/2015 1
JB 3/2 31/5/2004 1
JB 4/1 7/2/2012 1
JB 4/2 15/2/2020 1
JB 7/1 17/12/2018 1
JB 5/3 6/12/2008 1
JB 1/11 13/08/2020 1
JB 6/12 14/08/2007 1
JB 5/2 10/11/2020 1
JB 7/1 20/07/2011 1
JB 1/2 15/07/2016 1
JB 3/2 28/08/2021 1
JB 1/2 29/10/2014 1
jb 2/1 21/5/2004 1
jb 13/9/2021 1
jb 13/9/2021 1
jb 6/1 16/1/2004 1
jb 7/1 27/05/2015 1
jb 2/9 7/12/2008 1
jb 4/3 3/5/2005 1
jb 14/12 6/1/2017 1
jbb 6/2 4/10/2014 1
jb 1/14 20/09/2018 1
jb 1/2 20/11/2010 1
jb 01/01 4/6/2013 1
jb 6/1 30/10/2004 1
jb 4/3 14/03/2017 1
jb 3/2 25/05/2019 1
jb 6/12 16/12/2006 1
jb 3/14 13/02/2015 1
jb 3/14 6/6/2021 1
jb 12/10 13/01/2008 1
jb 12/10 9/5/2019 1
jb 3/2 28/12/2016 1
jb 4/14 11/12/2010 1
jb 4/7 6/2/2017 1
jb 3/14 9/8/2017 1
jb 4/9 9/7/2014 1
jb 2/7 20/8/2014 1
jb 2/7 19/9/2016 1
jb 1/7 9/4/2021 1
jb 4/7 22/10/2015 1
jtk 7/3 4/11/2021 1
jb 2/14 26/6/2018 1
jb 10/12 1/6/2006 1
jb 10/12 26/03/2021 1
jb 2/2 25/09/2010 1
jb 2/1 27/05/2004 1
jbb 6/2 4/10/2014 1
jb 2/1 13/10/2014 1
jb 5/3 21/11/2016 1
JB 6/6 3/8/2010 1
Jb 5/12 24/02/2005 1
JB 2/2 17/09/2009 1
Jb 7/11 4/8/2017 1
Jb 1/4 1/3/2011 1
Jb 5/2 30/01/2010 1
JBB 16/5/2012 1
JB 2/14 16/12/2020 1
Jb 1/7 16/4/2014 1
Jb 2/14 15/12/2014 1
jb 2/2 26/03/2006 1
jb 6/12 4/4/2019 1
jb 3/2 13/05/2020 1
jb 4/7 26/08/2020 1
jb 3/2 12/9/2017 1
jb 1/7 9/4/2021 1
jb 4/3 21/06/2010 1
jb 1/4 31/12/2015 1
jb 4/2 3/5/2005 1
jb 1/1 18/08/2017 1
jb 6/12 21/07/2011 1
jb 2/1 17/07/2015 1
jb 2/1 23/04/2020 1
jb 12/10 13/01/2008 1
jb 12/10 9/5/2019 1
jbb 2/3 5/7/2013 1
jb 6/12 21/12/2006 1
jbb 6/2 4/10/2014 1
jb 14/03/2004 1
jb 2/3 4/8/2017 1
jb 1/1 28/10/2020 1
jb 1/1 14/01/2015 1
jb 4/2 19/07/2016 1
jb 1/3 3/7/2009 1
jb 1/3 4/6/2021 1
jb 2/14 23/09/2016 1
JB 1/3 29/3/2020 1
JB 6/11 25/3/2010 1
JB 3/7 4/8/2010 1
JB 14/5/2021 1
JB 6/1 22/4/2021 1
JB 14/10/2017 1
JB 1/12 26/08/2012 1
JB 5/2 3/7/2016 1
JB 4/2 27/3/2007 1
JB 6/3 23/10/2020 1
JB 1/3 24/10/2012 1
JB 18/10/2010 1
JB 4/2 31/07/2011 1
JB 1/14 26/5/2008 1
JB 4/2 18/9/2020 1
JB 1/1 30/1/2018 1
JBB 6/8 10/5/2011 1
JB 3/1 11/6/2004 1
JB 10/12 1/6/2006 1
JB 4/3 3/5/2005 1
jbb 2/3 25/9/2019 1
jb 4/3 11/11/2021 1
jtkmt 2/5 27/05/2020 1
jb 1/11 29/11/2018 1
jb 1/1 17/09/2017 1
jb 4/2 21/03/2020 1
jb 4/2 28/05/2017 1
jb 1/1 1/8/2009 1
jb 2/14 20/03/2021 1
jkm 4/2 1/1/2021 1
jb 7/3 8/4/2017 1
jkm 6/1 25/03/2018 1
jb 7/1 27/05/2015 1
jb 6/3 22/05/2020 1
jb 1/14 26/02/2021 1
jb 3/2 4/7/2020 1
jb 1/3 5/3/2021 1
jb 1/14 3/2/2014 1
jbb 4/12 18/11/2013 1
jb 2/06 23/10/2021 1
jb 4/12 9/5/2014 1
jb 5/14 3/7/2008 1
jb 3/2 25/05/2019 1
jb 2/14 24/03/2021 1
jb 6/3 9/6/2021 1
jb 4/2 8/5/2010 1
jb 5/3 31/12/2020 1
jb 1/1 17/1/2021 1
jb 1/1 27/3/2010 1
jb 10/12 8/5/2015 1
jb 4/2 15/02/2020 1
jb 4/2 29/12/2016 1
jb 1/11 17/01/2014
JB 1/2 18/10/2019 1
jb 6/3 2/12/2003 1
jb 12/12 21/12/2013 1 rr : 22
jb 4/13 9/8/2005 1 36
jb 4/5 26/03/2016 1 36,9
jb 6/3 11/6/2019 1
jb 7/1 17/12/2018 1 36,2
jb 5/2 3/3/2016 1 36,8
jb 9/1 4/12/2020 1 36,2
jb 3/2 11/12/2020 1 36,6
jb 5/2 11/2/2018 1 36,2
jb 4/2 27/09/2009 1
jb 2/3 30/01/2021 1
jb 2/3 12/8/2015 1
jb 7/1 7/11/2005 1
jb 4/3 21/03/2018 1 36,4
jks 3/5 5/2/2008 1
jbb 9/8 15/01/2006 1
jbb 3/2 13/07/2018 1
jbb 7/8 18/8/2018 1

JB 3/14 9/8/2017 1
JB 5/2 14/6/2017 1
JB 2/2 1/10/2015 1
JB 6/3 21/2/2019 1
JB 5/2 11/12/2014 1
JB 6/3 8/4/2017 1
JB 6/3 8/4/2017 1
jb 2/7 15/01/2012 1
JB 7/11 4/8/2017 1
JB 4/3 1/2/2016 1
JB 3/2 17/4/2021 1
JB 3/2 4/7/2020 1
JKM 1/12 17/5/2017 1
JB 4/12 9/5/2014 1
JB 5/14 28/5/2009 1
JB 1/7 15/2/2018 1
jb 2/2 17/02/2018 1
jb 3/2 11/7/2018 1
jb 3/1 21/3/2011 1
jbb 1/11 29/3/2018 1
jbb 1/11 29/1/2015 1
jbb 1/2 30/10/2019 1
jb 2/1 11/2/2013 1
jtk 1/1 26/3/2021 1
jb 2/2 26/07/2020 1
jb 2/3 21/09/2017 1
jb 5/2 10/10/2020 1
jb 4/2 24/06/2007 1
jbb 2/3 5/7/2013 1
jbb 5/3 7/12/2017 1
JB 4/12 22/9/2016 1
JB 2/2 18/10/2018 1
JB 2/12 6/10/2016 1
JB 3/2 12/12/2009 1
JB 2/14 27/8/2019 1
JB 6/1 28/7/2021 1
JB 6/1 29/4/2019 1
JB 2/3 31/10/2010 1
JB 2/14 27/6/2005 1
JB 6/12 21/10/2013 1
JTK 3/1 23/11/2016 1
JB 6/3 5/11/2021 1
JB 6/3 25/10/2020 1 36,3

JB 5/2 7/5/2007 1 36
JB 4/12 9/5/2014 1 PASIEN TIDAK DATA
JB 2/12 31/08/2018 1 36,3
JBB 2/3 15/11/2019 1 35,2
JB 1/1 9/11/2019 1 36,7
JB 1/2 21/10/2012 1
JB 4/2 13/05/2013 1
JB 4/14 12/1/2020
jb 7/11 7/12/2003 1
jb 5/2 28/02/2015 1
jb 5/12 23/03/2019 1
jb 3/11 24/03/2021 1
jb 2/03 19/04/2018 1
jb 1/13 27/12/2010 1
jb 3/06 8/9/2008 1
jb 9/08 18/03/2006 1
jb 4/2 19/02/2015 1
jkm 2/5 23/09/2011 1

jb 1/3 7/12/2020 1
jb 6/12 16/12/2006 1
jb 11/10 18/08/2014 1
jb 6/12 21/07/2011 1
jb 2/12 31/08/2018 1
jb 1/7 9/4/2021 1
jb 2/14 24/03/2021 1
jb 6/8 10/1/2011 1
jkm 4/2 27/1/2017 1
jb 3/2 25/5/2019 1
jb 2/3 31/1/2021 1
jb 1/1 17/7/2021 1
jb 5/14 13/4/2020 1
jb 4/7 8/1/2013 1
jb 5/7 6/7/2017 1
jb 6/12 15/12/2015 1
jb 6/12 21/10/2013 1
jb 3/2 28/8/2020 1
jb 4/2 5/8/2018 1
jb 4/2 27/2/2005 1
jb 4/2 16/7/2012 1
jbb 1/9 8/5/2006 1
jb 4/2 23/9/2017 1
jb 7/3 15/12/2020 1
kranji 27/4/2018 1
jb 11/12/2008 1
jb 4/2 30/8/2011 1
jb 2/3 1/9/2017 1
jb 2/2 6/5/2005 1
jb 3/7 21/09/2020 1
jb 2/2 1/7/2011 1
BB TB ICD
ISPA CC FEBRIS DIARE FARINGITIS
87
94
18
13,5 1
52 1
8,2 1
17 1
17 1
15 1 1
20 1
25 1
15 1
8,6 1
30 1
14
15 1
46 155,3
12 SENSORI NEURAL
OS TDK DTG DISLOKASI PATELA
11 INSECT BITE
13 ALERGI
18 J02 1
OS TDK DTG TB
27 DYSPEPSIA
9 J06 1
13 J06 1
47 MYIOPIA
8,1 J06 1
45 J00 1
7 DERMATITIS ALERGI
49 J06 1
15 J06 1
8 J00 1
17 J06 1
55 scabies
45 j06 1
20 j06 1
45 alergi
66 susp appendic
15 j06 1
40 kontrol jahitan
12 l08
24 r50 1
20 a09 1
83 k30
12 j06 1
10 konsultasi gizi
87 gastritis
19,5 j06 1
5,9 j06 1
55 jempol kaki bengkak
13 l08
17 k30
35 otitis media
17 j06 1
15 j06 1
20 k30
20 l08
16 109 j06 1
7,3 j06 1
17 j06 1
3,7 konsultasi
15 scabies
15 j00 1
7,3 r50 1
26 r50 1
70 j00 1
40 luka jahitan
22 j06 1
pasien tidak datang
77 j06 1
43 faringitis 1
30 gatal dimata
22 j06 1
28 typhoid
45 gastritis
23 sub febris 1
7 ispa 1
19 sks
15 ispa 1
50 insect bite
12 konsultasi gizi
9 insect bite
26 148 sks
16 r50 1
7,3 konsultasi gizi
24 r50 1
18 j06 1
konsultasi
11,5 a09, j06 1 1
52 l08
8 b86
8 b86
55 dermatitis
13 b86
35 l08
68 j06 1
40 buka jaihtan up hecting
57 j06, k30 1
13 j06 1
7,5 b86
24 j00 1
22 r50 1
30 oma
7,9 j06 1
14 j06 1
A09 1
18 J06 1
45 155 KIR SEHAT
4,5 KONSULTASI
ENCEPHALITIS
14 EPILEPSY
25 OTITIS MEDIA
16 DYSPEPSIA
54 ALERGI
8 J06 1
11 J06 1
32 R50 1
34 J06 1
46 151 KIR SEHAT
9,5 KONJUNGTIVITIS
11,3 LEUKIMIA
24 CC 1
40 FURUNGKEL
49 ISPA 1
OS TDK DTG KONSULTASI
10 scabies
3,1 46 kontrol bayi
9,5 78 stomatitis
10,5 88 j06 1
14 107 j06 1
8,5 j06 1
13 j06 1
32 l08
8 j06 1
8,9 varicella
10.5 j06 1
18 j06 1
20 j06 1
9,5 j06 1
7,5 j06 1
8,5 j06 1
7,3 a09, 1
22 j06 1
24 j06 1
4,2 tindik
24 j06, oma 1
40 h10,j06 1
11 j06, l08 1
6,7 rujukan jantung
6,4 j06,a09 1 1
26 ge 1
7,6 dermatitis
8,5 r50 1
58 r50 1
18 l08
10 j06 1
18 r50, stomatitis 1
24 k30
OS TDK DTG TB TULANG

67 150 insect bite
31 j06 1
54 155 k29
20,5 j06 1
10 l08
13 a09 1
16 107,5 j06 1
8 vomitus
7,4 a09 1
13 r50 1
25 k30
13,5 j00 1
23.5 j06 1
47,5 k30
13 rr : 26 j06 1
70 j06 1
59 susp tb
13 rr: 24 j06 1
15 dyspepsia
15 J06 1
14 DIARE 1
20 J06 1
11 J06 1
25 J06 1
10,5 J06 1
13 J06 1
22 L08
24 J06 1
15 J06 1
7,8 J06 1
8 URTICARIA
14 KONJUNGTIVITIS
24 TINNITUS
47 J06 1
12 J06 1
14 dyspepsia
13 j06 1
35 gastritis
16 j06 1
18 j06 1
12 konsultasi
31,5 tinitus
5,3 konsultasi
11 84 rr : 24x/mnt 1
13,5 96,9 rr: 20 x/mnt 1
10 scabisite
46 166 scabisite
34 rr : 24 1
10 k30
26 J06 1
12 J06 1
15 L08
30 J06 1
15 J06 1
5.5 J06 1
14 J06 1
25 K30
44 ISK
20 J06 1
15 KONSULTASI
3 KONSULTASI
9 76,5 J06 , RR : 26 1
69 STOMATITIS
PASIEN TIDAK DATANG KONSULTASI
17 105,6 R50 1
9,5 79 J06, RR : 24 1
9 J00, 1
20 120,5 L08
25,5 GANTI PERBAN
6,5 KONSULTASI GIZI DAN DI RUJUK KE RUMAH SAKIT
36 34,5 konsultasi
17 j00 1
9,5 j00 1
6,7 j06 1
14,5 95,5 j06 1
18,5 myiopia
35 scabies
37 furunkel
20 infeksi kulit
50 isk
9 j00 1
89 ganti kacamata bpjs
24,5 r50 1
52 j06 1
17 vomitus
7,3 j06 1
7,5 l08
31 j06 1
19 j06 1
11 f80.8 speech delay
7,6 j06 1
6,2 j06 1
8 j06 1
24 126 j06 1
16 104,5 j06 1
24 j06 1
konsultasi
9 j06 1
10 j06 1
44 jo6 1
24 j06 1
58 j06 1
17 j02 1
8 j06 1
12 speech delay
41 herpes
22 j06 1
14 j06 1
os tdk dtg tb
9 a09 1
52 j02 1
DIAGNOSA
KONJUN
STOMATITIS
TONSILITIS
DERMATITIS URTICARIAINF.KULIT
DYSPEPSIA
VARICELLASCABIESPAROTITIS
GTIVITIS
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
RESEP RW 01 RW 02 RW 03
OMA lain lain
MYALGIA PCT, BCOM
MYALGIA ASMEF, BCOM
TINEA MICONAZOLE SALEP
COPERCETYN SYRP
GG, CTM, BCOM 1
PCT, CTM, GG, BCOM
PCT, CTM, B6, CTM
PCT, CTM, GG, BCOM, SALEP OXYTETRA 1
COPERCETYN SYRP, VIT SYRP 1
CTM, AMBROXOL, BCOM 1
PCT, DEXA, VIT C
PCT, GG, BCOM, CTM 1
PCT, CTM, AMBROXOL, BCOM 1
INSCET PCT, CTM, BCOM 1
PCT, GG, CTM,
KONSULTASI
RUJUK HERMINA GALAXY POLI THT
RUJUK HERMINA GALAXY POLI ORTHOPEDI
AMOX, PCT, DEXA, CTM, BC
CTM, DEXA, BC, HYDRO
PCT, CTM, BC
RUJUK 1
CTM, GG, BC, ZALF SCABIES 1

RUJUK BPJS OPTIK 1
CTM, GG, BCOM
CTM, VIT C
CTM, DEXA, BCOM 1
COPERCETYN SYRP, CAVIPLEK 1
CTM, BCOM, GOM 1
PCT, CTM, GG, B6, ORALIT 1
ctm, vit c, scabies x
pct, ambroxol, ctm, bc 1

pct, ctm, gg 1
pct, ctm, hydro, vit c
rujuk 1
ctm, dexa, gg, cavipleks
pct, dexa, ctm, bcom, salep oxytetra
pct, ctm, bcom 1
domperidon, pct, diaform, oralit 1
domperidon, pct, b6 1
copercetyn syrp, caviplek syrp 1

konsultasi 1
domperidon, pct, b6
ctm, gg, caviplek
gg, ctm, bcom
pct, ctm, dexa, vit c
ctm, dexa, bcomsalep oxytetra
copercetyn syrp, zink syrp, salep mata 1
pct, dexa, vit c

cavipleks, coparcetin, salysil
pct, ctm, gg, b6, zink, oralit
doen, pct, ctm, b6
amox, ctm, dexa, gg
amox, coparcetin
pct, gg, ctm, b6, zink
gg, ctm, bc
1
ctm, dexa, bc
ambroxol, ctm, bcom

pct, ctm, bcom
pct, bcom 1
molexflu, bcom 1
ctm, vit c
pct, ctm, gg, caviplek 1
perpanjang rujukan epilepsi 1
molexflu, b komplex
pct, cefixime, vit c, gom
1 b komplex 1
ambroxol sy, pct, ctm
chloramp, b6, pct, ctm
antasida, pct, ctm 1
domperidone, pct, b komp, ctm
pct, gg, ctm, b komp
surat keterangan sehat
coparcetin sy
pct, vit c, salep oxytetra 1

vit syrp
pct, dexa, ctm, bcom, salep oytetra
sks
copercetyn syrp, domperidon syrp 1
konsultasi
pct, bcom, ctm 1
copercetyn syrp,
rujuk rs 1
gg, ctm, b6, orslit, zink 1
pct, dexa, salep oxytetra
ctm, bcom, salep scabisite 1
ctm, bcom, salep scabisite 1
ctm, vit c, salep hydro
ctm, dexa, vit c, salep 24
ctm, bcom, salep oxytetra
domperidon, ctm, gg, b6, 1
tidak ada obat
domperidon, pct, ctm, b6
copercetyn syrp, caviplex syrp 1
salisil talk 1
ctm, caviplek 1
pct, ctm, bcom 1
amox, pct, dexa, vit c 1
pct, ctm, gg 1
copercetyn syrp, caviplek

AMOX, COPARCETIN, VIT BCP

PCT, CTM, BC
PCT, BCP 1
CTM, DEXA, VIT C, HYDRO ZALF 1
PCT, GG, B6, ORALIT, ZINK 1
PCT, GG, CTM, BC 1
CTM, SALYSIL, BC
PCT, DEXA, BC, OXY ZALF 1

RUJUK HERMINA BEKASI 1
CTM ,DEXA, VIT C
1 DEXA, B1, VIT C
AMBROXOL, CTM, VIT C
1
ctm, dexa, bc, salf 24
kontrol bayi kontrol bayi 1
pct, ctm, bcom, gom
pct, ctm, gg,
copercetyn syrp, caviplek 1
pct, ctm, gg, bcom 1
dexa, cetirizine, vit c, gg, salep betametasone 1
pct, gg, ctm, bcom
ctm, dexa, bcom, pct, salep asiclovir
pct, gg, bcom, b6
zink syrp, oralit, pct, gg, kaolin pecdin syrp 1

zink syrp, oralit, pecdin syrp, remco syrp 1
gg, ctm,bcom
gg, ctm, b6, bcom, pct 1
gg, ctm, dexa, b6, zink syrp 1
gg, dexa, ctm, vitc
ambroxol, ctm, bcom
tindik
dexa, ctm, pct, vit c
ambroxol, dexa, bcom, salep erlamicetin
ctm, dexa, bcom, gg, salisil talk 1
rujukan jantung
gg, b6, ctm,zink syrp 1
zink, diaform, pct 1

pct, ctm, vit c, betason salf 1
pct, gg, ctm, bcp 1
molexflu, vit c 1
pct, prednison, ctm
pct, ctm,gg, bcom 1
pct, dexa, bcom, gom 1
domperidon, pct, b6
RUJUK RSUD KOTA BEKASI 1

pct,dexa,vit c, salep oxytetra 1
pct, ctm,gg, bcom
domperidon, pct, b6
copercetyn syrp, caviplek syrp
ctm, dexa, bcom, salep oxtetra 1
pct, ctm, b6, zink syrp, oralit 1
ambroxol, pct, bcom 1
pct, ctm, b6, zink syrp, oralit 1
pct, ctm, b6, zink syrp, 1
pct, ctm, bcom 1
pct, ctm, bcom 1
ctm, gg, caviplek 1
pct, ctm, dexa, gg, caviplek 1
ambroxol, ctm, vit c, salep oxytetra
gg, bcom, ctm, cek bta
caviplek , ctm, dexa, gg,
pct, dexa, bc
CTM, GG, BC, CAVIPLEKS
PCT, CTM, GG, BC 1
PCT, CTM, GG, BC 1
CTM, PREDNISON, BC
GG, CTM, DEXA, BC 1
PCT, CTM, GG 1
AMOX, CTM, DEXA, VIT C, OXY ZALF
CTM, DEXA, GG, CAVIPLEKS

PCT, CTM, DEXA, GG 1
CTM, BC, SALYSIL 1
PCT, CTM, DEXA, VIT C, OXY ZALF
RUJUK
DOEN, PCT, CTM, AMBROXOL
COPARCETIN, CAVIPLEKS
antasid, pct, ctm, b6 1
doen, pct, b6 1
pct, ctm, gg, bc
ctm, bc, miconazole 1
ctm, gg, bcom 1

ctm, gg, bcom, pct 1
ctm, bcom, salisil talk 1
amox, pct, dexa, ctm, salep scabisite 1
pct, ctm, gg, dexa
pct, , b6, ctm
PCT, GG, CTM, DEXA, B6

CTM, GG, BC 1
PCT, DEXA, CTM, VIT C, OXY ZALF
DOEN, PCT, CTM, B6 1
CTM, GG, BC
CTM, GG, BC 1
CTM, GG, BC 1
DOEN, PCT, B6, AMBROXOL 1
CIPRO, ASMEF, BC
PCT, GG, CTM, BC
PCT, CTM, GG, B6 1

PCT, DEXA, VIT BCOM, BUFACOM 1
KONSULTASI
PCT, CTM, B6, ORALIT, ZINK SYRP
GG, CTM, PCT, CAVIPLEK
PCT, CTM, BCOM, 1
AMOX, DEXA, CTM, BCOM 1
GANTI PERBAN 1
konsulatsi
pct, ctm, caviplek 1
pct, ctm, bcom
ctm, gg, bcom
copercetyn syrp, caviplek 1
rujuk optik
ctm, dexa, vit c, zalp 24
pct, dexa, vit c
amox, pct, dexa, bcom 1
asmef
copercetyn syrp 1
ganti kacamata
pct, ctm, bcom
gg, dexa, bcom
domperidon syrp, pct syrp, caviplek syarp
ctm, pct, gg, bcom
ctm, bcom, salep oxytetra

amox, pct, ctm, bcom
rujuk hermina bekasi 1
pct, gg, ctm 1
pct, ctm, gg 1
pct, ctm, gg, bc
pct, ambroxol, cavipleks
gg, ctm, bc
konsultasi
pct, ctm, gg, bc 1

ctm, gg, bc 1
ambroxol, ctm, vit c 1
ctm, ambroxol, vit c, oxy zalf 1
pct, dexa, ambroxol, vit c
pct, ctm, b6 1
pct, ctm, gg 1
rujuk hermina bekasi
acyclovir, pct, ctm, acyclovir zalf
gg, ctm, bc 1
gg, dexa, bc 1
rujuk rsud 1
ctm, pct, b6, zink, oralit
pct, ctm, vit c 1
RW 04 RW 05 RW 06 RW 07 RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
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
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
OKTOBER 2021

NO KEGIATAN MTBM
L P L
SYAFIQ RAYYAN JB 4/14

NO KEGIATAN MTBM
L P L
nan
Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus

Badan Pemberian ASI
6 Rendah &
n Minum
ASI
Rendah
7
Tidak
10 Rujukan
TOTAL
LUAR WILAYAH
P L+P
LUAR WILAYAH TOTAL

P L+P
NOVEMBER 2021
NO KEGIATAN MTBS

ADZKIYA GILANG
NO KEGIATAN MTBS
1 Tanda Bahaya Umum Penyakit Sangat Berat
a. Pneumonia Berat
b. Pneumonia
2 Batuk atau Sukar Bernafas

ADZKIYA GILANG
3

f. Diare Persisten
g. Disentri
b. Malaria
f. Campak
h. Mungkin DBD
a. Mastoiditis
5 Masalah Telinga
c. Gizi Kurang
a. Anemia Berat
7 Anemia b. Anemia
c. Tidak Anemia
b. Terpajan HIV
8 Status HIV
a. Imunisasi Dasar
9 Status Imunisasi


12 Jumlah Rujukan
ALITA SAKIT
TOTAL
L P L P L+P
JB 8/12
TOTAL
L P L P L+P
JB 8/12
nggi/rendah)
0 0 0 0 0
OKTOBER 2021
TOTAL
NO KEGIATAN MTBM
L P L P L+P
1 Jumlah total kunjungan bayi muda 1 har
2 Jumlah total kunjungan bayi muda deng
3 Jumlah total kunjungan bayi muda den

NO KEGIATAN MTBM
L P L P L+P
nan
Infeksi
a. Ikterus Berat
b. Ikterus
2 Ikterus

a. BB Rendah Menurut
Umur dan / atau Masalah
Pemberian ASI
Kemunkin
an Berat
Badan
6 Rendah &
Masalah
Pemberia
n ASI
b. BB Tidak Rendah dan

Tidak ada Masalah
Pemberian ASI
a. BB Rendah atau Masalah

Pemberian Minum
Masalah
Pemberia
n Minum
atau BB
Rendah
7
pada Bayi
yang
Tidak
Mendapa
t ASI
Masalah
Pemberia
n Minum
atau BB
7 Rendah
pada Bayi
yang
Tidak
Mendapa b. BB Tidak Rendah dan
t ASI Tidak ada Masalah
Pemberian Minum

10 Rujukan
REGISTER
No. TANGGAL NAMA ANAK NIK KTP

No.RM BARU LAMA
1 1/12/2021 26843 1 FITRIYANI

2 26844 1 MUHAMAD RIFAT
3 25102 1 SYAHDIN ABDULLAH
4 22242 1 AHMAN NIZAM
5 10335 1 DANIEL PAESAMOAN
6 1806 1 M IBNU
7 19904 1 MUHAMAD HAFFIDZ
8 15445 1 ALYA DEWINA
9 18071 1 DIRGA HAFIDZ
10 15831 1 NURFATIMA AZAHRA
11 26855 1 RAHMANIA GITHA
12 26854 1 DEVITA KANIA
13 1891 1 REINHART
14 17452 1 M RAFIF
15 8703 1 M ZIDAN
16 23781 1 AFIZAH
17 3428 1 SITI FATHYA
18 16288 1 SIDIK NARENDRA
19 640 1 CLEO AQILA
ALAMAT
KS BPJS TELP NAMA ORTU DALAM LUAR

WILAYAH WILAYAH
081511294687 NIRAH 1
089658409387 RIGWAN 1
082211155471 FAIZAL 1
081298866062 ROHMAT 1
085216873484 HAPOSAN 1
MOH. SAKIM/YULI 1
08996694764 KARYADI 1
08996694764 KARYADI 1
081563972885 DANI 1
089196694764 KARYADI 1
08998757849 FANDI 1
083895533515 ME JANUAR 1
ALEXANDRINO 1
SHOLIHIN 1
0823113150002 NIMANSYAH 1
0897783542 FAIZAL 1
085888170199 ANDRIANTO 1
085888170199 ANDRIANTO 1
089614215540 AGUS 1
UMUR
TANGGAL 0 - 2 BLN 29- 1 THN 1-4 THN 5 - 15 THN
SUHU BB TB
LAHIR
L P L P L P L P
28/05/2021 1 36,2 7,3
8/8/2009 1 36,4 33 145
27/09/2013 1 36,6 24
26/05/2020 1 37 9
11/12/2012 1 36 32 131
11/2/2018 1 36,3 13
20/07/2011 1 35,2 49,5
17/12/2018 1 34,8 13
23/09/2019 1 36,4 15
8/6/2013 1 36,1 23
30/10/2019 1 36,2 11
29/10/2020 1 36 7,7
22/04/2011 1 62
13/01/2008 1 36,3 55
28/06/2014 1 23
24/11/2020 1 9,3
30/08/2011 1 36,2 22
10/10/2016 1 36,2 19
18/08/2011 1 36,9 29
DIAGNOSA
ICD KONJUN
ISPA CC FEBRIS DIAREFARINGITIS
STOMATITIS
TONSILITIS
DERMATITIS
GTIVITIS
J06 1
J06, K30 1
J06 1
J06 1
J06 1
J06 1
J06 1
J06 1
R50/L08 1
J06 1
J06 1
J06 1
MYIOPIA
J06 1
DERMATITIS 1
DERMATITIS 1
J06 1
J06 1
J06 1
GNOSA
URTICARIA
INF.KULIT
DYSPEPSIA
VARICELLA
SCABIESPAROTITIS OMA lain lain
1
RESEP RW 01 RW 02 RW 03 RW 04 RW 05 RW 06 RW 07
PCT, CTM, GG, SALISIL TALK

PCT, ANTASIDA, CTM, GG
PCT, CTM,BCOM,GG
PCT SYRP, CTM, GG, BCOM 1
CTM, DEXA, GG, BCOM 1
PCT, GG, BCOM 1
PCT, DEXA, GG, B6 1
PCT, B6, GG, CTM 1
GG, BCOM, CTM 1
PCT, CTM, GG, B6 1
MYIOPIA 1
PCT, AMBROXOL, VIT C
PCT, CTM,DEXA,VIT C, SALISIL TALK 1
CTM, DEXA, BCOM, SALEP HYDRO 1
GPCT 1
PCT, GG, BCOM
PCT, DEXA, GG, BCOM 1
RW 08 RW 09 RW 10 RW 11 RW 12 RW 13 RW 14 LW
1
1
1

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REGISTER

No. TANGGAL NAMA ANAK

2/1/2021 15553 1 ALIKA NAILA

1 12730 1 ZUNA ZAFAR

14/01/2021 23898 1 ADAM VIENDRA

2979 1 M ZERO PAHLEVI

3275082306710011 0002896775267 08170819888

DIDIK JB 1/8 9/5/2015

M REZA JTK 3/15 6/7/2018 1

KAMSAH JB 5/7 1/10/2005

KAOLIN SYRP, ZINK SYRP

PERPANJANG RUJUKAN LEUKIMIA RSUD BEKASI 1

GG, CTM, BCOM, PCT SYRP

DEXA, CTM, BC, SALYSIL TALK

pct, ctm, bcom 1

3 Jumlah total kunjungan bayi muda dengan kasus lama

c. Tidak Ada Ikterus

Masalah Pemberian Minum atau BB a. BB Rendah atau Masalah Pemberian Minum

DALAM WILAYAH LUAR WILAYAH TOTAL

DALAM WILAYAH LUAR WILAYAH

e. Diare Persisten Berat

d. Tidak ada Infeksi Telinga

a. Umur 6 bulan s/d 11 bulan

11 Masalah Keluhan Lain

DALAM WILAYAH LUAR WILAYAH

3 Jumlah total kunjungan bayi muda dengan kasus lama

c. Tidak Ada Ikterus

LUAR WILAYAH TOTAL

DALAM WILAYAH LUAR WILAYAH

e. Diare Persisten Berat

d. Tidak ada Infeksi Telinga

a. Umur 6 bulan s/d 11 bulan

11 Masalah Keluhan Lain

BULAN UMUR L P JUMLAH

BULAN UMUR L P JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

BULAN UMUR L P ( L ) LW ( P )LW JUMLAH

04 FEBRUARI 2021 20769 1 CHYRA JIHAN

13 FEBRUARI 2021 4529 1 RATIFA DIAN

17 FEBRUARI 2021 6930 1 INARA ASSYIFA

18 FEBRUARI 2021 12100 1 MIKAEL ALVIN

20 FEBRUARI 2021 20878 1 AMARINI RAHMAH

1 22 FEBRUARI 2021 23793 1 RIZKA

23 FEBRUARI 2021 23793 1 RIZKA

24 FEBRUARI 2021 10086 1 AHMAD FATHULLAH

26 FEBRUARI 2021 14620 1 M FAIRUZ

3275082009180001 0002509919908 087884569240

NOVAL RIYADI JB 1/2 6/8/2012

DIMAS JB 5/6 15/02/2020 1

MUH YANI JB 6/12 17/01/2004

ADI SUPRIYADI JB 11/01 12/4/2018 1

AYUB SHOLEH JT MAKMUR 16/5/2019 1

SANDI HARTONO JB 1/2 3/8/2011

YUDA HERMANSYAH JBB 6/2 15/09/2003

UNTUNG/SHOFELLY JB 2/2 6/5/2005