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<big><big><span style="font-weight: bold;">
LAPORAN UNIVERSAL <br>
BULAN 01-01-2022 - 31-01-2022 </span></big></big>
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<td>Total</td>
<td>:</td>
<td>232</td>
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<td width='3%'>No</td>
<td width='6%'>Tanggal</td>
<td width='6%'>No RM</td>
<td width='10%'>Nama</td>
<td width='6%'>Desa</td>
<td width='5%'>Kecamatan</td>
<td width='5%'>Kabupaten</td>
<td width='6%'>Tgl Lahir</td>
<td width='6%'>Umur<br>Th</td>
<td width='2%'>L/P</td>
<td width='7%'>Pekerjaan</td>
<td width='7%'>Ruangan</td>
<td width='7%'>Petugas</td>
<td width='4%'>Status</td>
<td>Kasus</td>
<td>Cara Bayar</td>
<td>Jenis BPJS</td>
<td>No BPJS</td>
<td>Kode Bridging</td>
<td>ICD-10</td>
<td>Diagnosa</td>
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<td>6</td>
<td>03-01-2022</td>
<td>001088</td>
<td>SUTARMI</td>
<td>DARMOREJO</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>15-04-1970</td>
<td>51</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr.VIKY ANINDYA SATRIA PRATAMA PUTRA</td>
<td>LAMA</td>
<td>KASUS BARU</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000738773291</td>
<td>019900010122Y000124</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>41</td>
<td>19-01-2022</td>
<td>003862</td>
<td>MURSAM</td>
<td>DARMOREJO</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>16-07-1959</td>
<td>62</td>
<td>L</td>
<td>Karyawan Swasta</td>
<td>POLI UMUM</td>
<td>dr. Muhammad Abdul Rozaq</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000738799604</td>
<td>019900010122Y000900</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>65</td>
<td>28-01-2022</td>
<td>000266</td>
<td>GINI</td>
<td>WONOREJO</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>30-06-1945</td>
<td>76</td>
<td>P</td>
<td>Mengurus Rumah Tangga</td>
<td>POLI UMUM</td>
<td>dr.VIKY ANINDYA SATRIA PRATAMA PUTRA</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000738414461</td>
<td>019900010122Y001637</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>100</td>
<td>07-01-2022</td>
<td>002055</td>
<td>SITI SUGRIYAH</td>
<td>SIDODADI</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>26-08-1968</td>
<td>53</td>
<td>P</td>
<td>Pembantu Rumah Tangga</td>
<td>PUSTU SIDODADI</td>
<td>dr.KHOIRUN NISA</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000738123129</td>
<td>019900010122Y000331</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>124</td>
<td>14-01-2022</td>
<td>000848</td>
<td>DARMI</td>
<td>KUNCEN</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>30-09-1964</td>
<td>57</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>PUSTU SIDODADI</td>
<td>SRI MARIYATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000736626014</td>
<td>019900010122Y000630</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>159</td>
<td>11-01-2022</td>
<td>011899</td>
<td>GEMI</td>
<td>BLABAKAN</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>30-06-1943</td>
<td>78</td>
<td>P</td>
<td>Belum / Tidak Bekerja</td>
<td>POLINDES BLABAKAN</td>
<td>DIAN PUSPANINGRUM,AMd.Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000738256252</td>
<td>019900010122Y001079</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>183</td>
<td>11-01-2022</td>
<td>022398</td>
<td>LASIDI</td>
<td>DARMOREJO</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>20-07-1948</td>
<td>73</td>
<td>L</td>
<td></td>
<td>POLINDES DARMOREJO</td>
<td>HERLINA APRILIYANTI,AMd,Kep</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PBI (APBN)</td>
<td>0000739060211</td>
<td>019900010122Y000756</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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<td>218</td>
<td>17-01-2022</td>
<td>003170</td>
<td>SRI MARIYATI</td>
<td>SIDODADI</td>
<td>MEJAYAN</td>
<td>MADIUN</td>
<td>29-11-1977</td>
<td>44</td>
<td>P</td>
<td>Pegawai Negeri Sipil</td>
<td>POLINDES KUNCEN</td>
<td>SRI MARIYATI,A.Md.Keb</td>
<td>LAMA</td>
<td>KASUS LAMA</td>
<td>BPJS</td>
<td>PNS DAERAH</td>
<td>0000121206047</td>
<td>019900010122Y000798</td>
<td align='center'>
I10 </td>
<td align='center'>
Essential (primary) hypertension </td>
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