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  • Kia Terpadu

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    Muhammad Khairunnizar
    8 views19 pages
    This document contains identifying information for patients including name, date of birth, address, phone number, and other medical details. The first entry lists Annisa and her husband M Nur Ali who visited on 1/25/2022. The rest of the entries are blank except for the standard identifying header information. This appears to be a template for collecting identifying and medical details of patients.

    Original Description:

    KIA

    Original Title

    KIA TERPADU

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    This document contains identifying information for patients including name, date of birth, address, phone number, and other medical details. The first entry lists Annisa and her husband M Nur Ali who visited on 1/25/2022. The rest of the entries are blank except for the standard identifying header information. This appears to be a template for collecting identifying and medical details of patients.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views19 pages

    Kia Terpadu

    Uploaded by

    Muhammad Khairunnizar
    This document contains identifying information for patients including name, date of birth, address, phone number, and other medical details. The first entry lists Annisa and her husband M Nur Ali who visited on 1/25/2022. The rest of the entries are blank except for the standard identifying header information. This appears to be a template for collecting identifying and medical details of patients.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 19

    IDENTITAS

    No TGL KUNJUNGAN NIK No HP. NAMA IBU NAMA SUAMI


    1 1/25/2022 6371 055005940000 ANNISA M NUR ALI
    2 6371
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    STATUS KEHAMILAN
    ALAMAT RT G P A UK JARAK HPHT TP TB
    MELAYU 6 2 1 0 7/28/2021 5/4/2022 155
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    10/6/1900
    PEMERIKSAAN LABORATORIUM
    BB LP LILA TFU DJJ PERSENTASI HB GOLDA PROTIEN GDS
    30 O
    KUNJUNGAN KE
    KI K4
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBU
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    DENTITAS PEMERIKSAAN
    NAMA SUAMI ALAMAT TB BB TD LILA LP GOLDA
    HB
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBUNAMA SUAMIALAMAT
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    TGL IDENTITAS
    No PERSALINAN NIK No HP. NAMA IBU NAMA SUAMI
    1 5/4/2022 6371 055005940000 0 ANNISA M NUR ALI
    2 10/6/1900 6371 0 0 0
    3 10/6/1900 0 0 0 0
    4 10/6/1900 0 0 0 0
    5 10/6/1900 0 0 0 0
    6 10/6/1900 0 0 0 0
    7 10/6/1900 0 0 0 0
    8 10/6/1900 0 0 0 0
    9 10/6/1900 0 0 0 0
    10 10/6/1900 0 0 0 0
    11 10/6/1900 0 0 0 0
    12 10/6/1900 0 0 0 0
    13 10/6/1900 0 0 0 0
    14 10/6/1900 0 0 0 0
    15 10/6/1900 0 0 0 0
    16 10/6/1900 0 0 0 0
    17 10/6/1900 0 0 0 0
    18 10/6/1900 0 0 0 0
    19 10/6/1900 0 0 0 0
    20 10/6/1900 0 0 0 0
    21 10/6/1900 0 0 0 0
    22 10/6/1900 0 0 0 0
    23 10/6/1900 0 0 0 0
    24 10/6/1900 0 0 0 0
    25 10/6/1900 0 0 0 0
    26 10/6/1900 0 0 0 0
    27 10/6/1900 0 0 0 0
    28 10/6/1900 0 0 0 0
    29 10/6/1900 0 0 0 0
    30 10/6/1900 0 0 0 0
    31 10/6/1900 0 0 0 0
    32 10/6/1900 0 0 0 0
    33 10/6/1900 0 0 0 0
    34 10/6/1900 0 0 0 0
    ALAMAT RT ANAK KE
    MELAYU 6 2
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    0 0 0
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBUNAMA SUAMIALAMAT
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    IDENTITAS ORANG TUA
    No TGL KUNJUNGAN NIK No HP. NAMA IBU NAMA SUAMI
    1 6371 055005940000 0 ANNISA M NUR ALI
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    IDENTITAS ANAK
    ALAMAT RT NIK NAMA ANAK TGL LAHIR TEMPAT LAHIR
    MELAYU 6
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBU
    NAMA SUAMI ALAMAT
    1
    2
    3
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    20
    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBU NAMA SUAMI
    1 1/25/2022 6371 055005940000 0 ANNISA M NUR ALI
    2 12/30/1899 6/10/1917 0 12/30/1899 12/30/1899
    3 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    4 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    5 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    6 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    7 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    8 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    9 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    10 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    11 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    12 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    13 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    14 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    15 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    16 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    17 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    18 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    19 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    20 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    21 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    22 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    23 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    24 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    25 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    26 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    27 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    28 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    29 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    30 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    31 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    32 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    33 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    34 12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    12/30/1899 12/30/1899 0 12/30/1899 12/30/1899
    STATUS KEHAMILAN PEMERIKSAAN TANGGAL
    ALAMAT RT G P A UK JARAK R NR PERSALINAN
    MELAYU 6 2 1 0 0 0 0 1 5/4/2022
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 12/30/1899
    IDENTITAS
    No TGL KUNJUNGAN NIK No HP. NAMA IBU NAMA SUAMI
    1 1/25/2022 6371 055005940000 12/30/1899 ANNISA M NUR ALI
    2 12/30/1899 6/10/1917 12/30/1899 12/30/1899 12/30/1899
    3 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    4 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    5 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    6 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    7 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    8 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    9 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    10 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    11 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    12 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    13 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    14 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    15 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    16 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    17 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    18 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    19 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    20 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    21 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    22 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    23 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    24 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    25 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    26 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    27 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    28 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    29 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    30 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    31 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    32 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    33 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    34 12/30/1899 12/30/1899 12/30/1899 12/30/1899 12/30/1899
    STATUS KEHAMILAN PEMERIKSAAN TANGGAL
    ALAMAT RT G P A UK JARAK R NR PERSALINAN
    MELAYU 6 2 1 0 0 0 0 1 5/4/2022
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
    12/30/1899 0 0 0 0 0 0 0 1 10/6/1900
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