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LAPORAN KUNJUNGAN DENGAN DIAGNOSA TERTENTU

No HARI TGL No RM NAMA SEX


1 Selasa 2022-03-01 08: 09075202 ISLAMIYATI P
2 Sabtu 2022-03-05 10: 06277103 RAFIDZ ABDUL RAHMAN ASYIDIQ L
3 Senin 2022-03-07 09: 01104702 SRI HARYANTI P
4 Senin 2022-03-07 10: 02064401 JANUAR BAYU WIDODO L
5 Rabu 2022-03-09 08: 03149102 WAHYUNINGSIH P
6 Kamis 2022-03-10 08: 01178101 RUBI RIYANTO L
7 Sabtu 2022-03-12 08: 05175403 HANAFI SARAHWIJOYO L
8 Sabtu 2022-03-12 09: 05008102 SRI HARYANI P
9 Senin 2022-03-14 09: 03357908 IRAWATI MARIA P
10 Jumat 2022-03-18 08: 04214603 UKI RIYANTO L
11 Jumat 2022-03-18 09: 09616603 SHINTAADINDA DISYACITTA P
12 Sabtu 2022-03-19 11: 01312202 IRMA YUSTINA CASUYUN P
13 Senin 2022-03-21 10: 02440606 HANI RISWANTO L
14 Senin 2022-03-21 11: 06275402 RENI ANDRIANI P
15 Kamis 2022-03-24 10: 06134001 MUSLIM NASHRUDDIN L
16 Sabtu 2022-03-26 09: 01383601 SUSETYO L
17 Sabtu 2022-03-26 10: 02065201 SASMITA SLAMET, TN P
18 Senin 2022-03-28 08: 02263801 DJOKO PRASETIYONO L
NIK ALAMAT TGL LAHIR TH BL
3404086104690003 KADIPOLO RT 002 RW 035 BERBAH 1969-04-21 52 10
3471123006960002 KEPARAKAN LOR MG I/855 A YK 1996-06-30 25 8
3471134707430004 WARUNGBOTO UH 4/920 RT 32 RW 08 1943-07-07 78 8
3471130901820001 JL GOLO UH 5 / 15-F RT 008 RW 002 PANDEYA 1982-01-09 40 1
3471136312780001 NITIKAN UH 6 / 395 RT 040 RW 010 SOROSUTA 1978-12-23 43 2
3471132606780002 TEGALCATAK UH 4 / 609 RT 024 RW 006 WAR 1978-06-26 43 8
3471131502780003 MUJAMUJU UH 2 / 969 RT 042 RW 012 MUJAM 1978-02-15 44 0
3471136504750001 TAHUNAN UH 3 / 309 RT 013 RW 003 TAHUNAN 1975-04-25 46 10
3471137105750001 PAKEL BARU UH 6/1130 1975-05-31 46 9
3471131608930001 TEGAL TURI 7 / 122 RT 012 RW 004 GIWANGAN1993-08-16 28 7
3471135901950001 CONDROWANGSAN 010/000 POTORONO BANG1995-01-19 27 1
3471136610860002 GLAGAH UH 4 / 282 RT 007 RW 002 WARUNGB 1986-10-26 35 4
3471132309800001 SIDIKAN UH 5/571 1980-09-23 41 5
3471054707820001 GANDEKAN LOR GT.II/100 1982-07-07 39 8
3471032302800001 DANUKUSUMAN GK 4 / 1255 YK RT 022 RW 0061980-02-23 42 1
3471133105570001 GLAGAHSARI UH 4/548 B RT/RW 21/05 1957-05-31 64 9
3471130810670002 GAMBIRAN UH 5 / 261 RT 041 RW 010 PANDEY 1967-10-08 54 5
3471132812680002 SIDIKAN UH 5 / 574 RT 024 RW 006 PANDEYAN 1968-02-26 54 1
HR KLINIK JENIS DAFTAR CARA BAYAR No JAMINAN B/L
10 UMUM Registrasi JKN 0000097631155 L
5 UMUM Registrasi JKN 0000096314804 L
0 LANSIA Registrasi JKN 0000044183935 L
29 UMUM Registrasi JKN 0001083094198 L
17 UMUM Registrasi JKN 0002750720962 L
14 UMUM Registrasi JKN 0002612725086 L
25 UMUM Registrasi JKN 0001268397325 L
17 UMUM Registrasi JKN 0002770327574 L
14 UMUM Registrasi JKN 0001819382591 L
2 UMUM Registrasi JKN 0002167124174 L
30 UMUM Registrasi JKN 0000096626619 L
24 UMUM Registrasi JKN 0002350039184 L
28 UMUM Registrasi JKN 0000658039353 L
14 UMUM Registrasi JKN 0001301765207 L
1 UMUM Registrasi Bayar Sendiri L
26 LANSIA Registrasi JKN 0002350030083 L
18 UMUM Registrasi JKN 0000657692482 L
2 UMUM Registrasi JKN 0002167123566 L
PETUGAS PARAMEDIS
DIAGNOSA TINDAKAN
[F20/B] Skizofrenia
[F20/K] Skizofrenia
[F20/B] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/B] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/K] Skizofrenia
[F20/B] Skizofrenia
[F20/K] Skizofrenia
[F20/B] Skizofrenia
[F20/K] Skizofrenia
[F20/L] Skizofrenia
[F20/L] Skizofrenia
RESEP OBAT

[5224] Bioneuron [10] 1x sehari 1 (vitamin)


[5183] Haloperidol 5.0-mg [30] 2x sehari 1/3 (obat r
[5123] Asam Askorbat 50-mg [Vit C] [10] 2x sehari

[5183] Haloperidol 5.0-mg [20] 2x sehari 1/3 (obat r

[5022] Hexymer 2-mg (Trihexyphenidyl) [60] 2x seha


[5363] Klorpromazin HCl 100-mg [15] 2xsehari 1/4 :

[5182] Haloperidol 1.5-mg [18] 2x sehari 1/3 :: [53


[5013] Amlodipin 10-mg [30] 1x sehari 1 (hipertens
[5183] Haloperidol 5.0-mg [20] 2xsehari 1/3 :: [53
[5183] Haloperidol 5.0-mg [9] 1xsehari 1/3 :: [5218
WILAYAH
Luar Kelurahan

Warungboto
Pandeyan
Sorosutan
Warungboto
Mujamuju
Tahunan
Sorosutan
Giwangan

Warungboto
Pandeyan
Pringgokusuman
Baciro
Warungboto
Pandeyan
Pandeyan

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