You are on page 1of 9

Nama Puskesmas/Fasyanke: PUSKESMAS KOTO BESAR

Kabupaten/Kota : DHARMASRAYA
Provinsi : DHARMASRAYA
Hari, Tanggal : RABU , 19 JANUARI 2022

Jenis
No NIK Nama sasaran Tanggal Lahir
Kelamin
1 "1310112510580000 SUMADI L 10/25/1958
2 "1310115405880001 NETI SUARNI P 5/14/1988
3 "13100803610001 RAKINO L 3/8/1961
4 "3318111011900003 TENA SUNARIYO L 11/10/1990
5 "3318111707940002 ALI MUSTOFA L 7/17/1994
6 "1302101708800006 HUTRI GUSWANTO L 8/17/1980
7 "1310030806530001 KEMIS L 6/8/1953
8 "1310015707940004 YULI RAHMAWATI P 7/17/1994
9 "1310110810900001 SUTRISNO L 10/8/1990
10 "1810050810870001 EDI SUSANTO L 10/8/1987
11 "1310115212900001 DESTRI ATMINI P 12/12/1990
12 "1310116112630001 SITI ASIYAH P 12/21/1963
13 "1310035501020004 SOFIA LIDIA PUTRI P 1/15/2002
14 "1310115010940001 LIA SETIAWATI P 10/10/1993
15 "1310035408630001 SRIATI P 8/14/1963
16 "1310034605890003 TINA MARVIASIH P 5/6/1989
17 "1310031701770001 SANIPAN L 1/17/1977
18 "1310035204820008 SULASTRI P 4/12/1982
19 "1310115106910001 MIRA JUNITA P 6/11/1991
20 "1310115110870001 NELLY FERAWATI P 10/11/1987
21 "1310112309820001 DWI ASTADI L 9/23/1982
22 "1310115608870001 WIYANTI P 8/16/1987
23 "1310112204790001 JOHN CHENDRI L 4/22/1979
24 "1310036205770002 SUTARMI P 5/23/1977
25 "1310036806990005 ISNAENI SYAKDIAH P 6/28/1999
26 "1310035204570001 NGATIYEM P 4/12/1957
27 "13100116808820001 SURATI AGUSTIANI P 8/28/1982
28 "1310031212830005 UCOK SUGIANTO L 12/12/1983
29 "1304081209910005 JEFRI L 9/12/1993
30 "1310111910750001 SAIRIN L 10/19/1975
31 "1310031408760002 SUTARTO L 8/14/1976
32 "1310034302970003 RAMAYANI P 12/27/1997
33 "1310116608970001 NESTI AGUSTI P 8/26/1993
34 "1707032005860001 SUGIARTO L 11/13/1986
35 "1310110510640001 WIRANTO L 10/5/1964
36 "1310115909850001 SULASIH P 9/19/1985
37 "3321110711990001 EKO EDI SANTOSO L 11/7/1999
38 :1310110108990001 YAKUB RENDINUR L 8/1/1999
39 "1310114308660001 SULARMI P 8/3/1966
40 "1304022001900001 FIKRI GHAZALI L 1/20/1990
41 "1310114109850001 SURYANI P 9/1/1985
42 "350812210580004 EKO SULISTIONO L 8/23/1982
43 "1310030507010001 DODI SETIAWAN L 5/7/2000
SKREENING PTM DI VAKSINASI

Umur Kelompok
Alamat No. Hp
(18 sd ≥ 60 tahun) Umur
63 ≥60 BUKIT MAKMUR "085271636605
33 31-45 DURIAN GADANG "085216364574
60 ≥60 KOTO PANJANG "085365004317
31 31-45 BUKIT GADING "082385853903
27 18-30 BUKIT GADING "082352812596
41 31-45 KOTO PANJANG "085216506228
68 ≥60 BUKIT MAKMUR "082386439546
27 18-30 KOTO PANJANG "082213177359
31 31-45 KOTO PANJANG "082287801376
34 31-45 BUKIT MAKMUR "085348278511
31 31-45 BUKIT MAKMUR "085376289933
58 46-59 KOTO PANJANG "082389220011
20 18-30 BUKIT GADING "082288607282
28 18-30 BUKIT GADING "082384362466
58 46-59 KOTO PANJANG "081366360399
32 31-45 DURIAN GADANG "082285200055
45 31-45 BUKIT GADING "082268860625
39 31-45 BUKIT GADING "082268860625
30 18-30 KOTO TANGAH "081378248884
34 31-45 DURIAN GADANG "082174634300
39 31-45 BUKIT MAKMUR "081266225254
34 31-45 KOTO TANGAH "082285709961
42 31-45 KOTO TANGAH "085272528059
44 31-45 BUKIT GADING "082172887943
22 18-30 BUKIT GADING "082172887943
64 ≥60 KOTO PANJANG "085274665074
39 31-45 KOTO TANGAH "085272528059
38 31-45 KOTO PANJANG "085376591001
28 18-30 KOTO TANGAH "082391055483
46 46-59 DURIAN GADANG "082385821285
45 31-45 KOTO TANGAH "082258490067
24 18-30 RANAH MAKMUR "082287610681
28 18-30 KOTO DIATEH "082288099181
35 31-45 SUKABUMI LEBONG SAKTI"082387654484
57 46-59 BUKIT GADING "089516431620
36 31-45 KOTO PANJANG "081374304292
22 18-30 BUKIT GADING "082210558167
22 18-30 BUKIT MAKMUR "081359301247
55 46-59 BUKIT GADING "089516431620
32 31-45 KOTO PANJANG "085360071446
36 31-45 BUKIT MAKMUR "081311719497
39 31-45 BUKIT GADING "081261335263
21 18-30 BUKIT MAKMUR "082211719375
Kepesertaan BPJS
(tulis 'Ya' pada PEMERIKSAAN
kolom yang
BPJSsesuai) BB TB TD LP GD AU CHOL DLL
118/76
112/67
120/80
100/70
112/60
132/67
145/78
119/98
117/81
122/78
134/88
173/95
134/67
132/67
134/78
115/78
120/80
130/80
112/67
134/66
154/87
131/86
119/79
150/96
131/70
119/93
132/84
117/90
117/82
140/80
115/87
112/76
120/70
151/90
140/90
120/85
132/49
112/88
173/98
115/70
130/74
121/76
112/82
RANAH J 0
SUNGAI 0
SUKA MA 0
GUGUK T 0
TANJUN 0
KOTO A 0
SUNGAI 0
SUNGAI 0
TARATAK 0
TANJUNG 0
RANAH 1
RANAH B 0
RANAH M 0
MAYANG 0
BUKIT G 0
BUKIT M 8
DURIAN 4
KOTO TA 6
KOTO P 10
TOTAL 29
KASUS
PTM

HT

HT

HT
HT

You might also like