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  • PRB Feb 2020

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    Awangsih Mulyana
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    prb feb 2020

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    9 views2 pages

    PRB Feb 2020

    Uploaded by

    Awangsih Mulyana

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    FORMAT PELAPORAN PESERTA PRB AKTIF

    Bulan : Februari

    Daftar Peserta Prb Aktif Berkunjung

    No Tanggal Nama Peserta No No Hp Diagnosa Alamat Keterangan Pengambilan Obat


    Berkunjung Kis/Bpjs 23 Hr 30 Hr
    1 1-2-2020 Aris 0000482716449 Chronic Obstructive Pulmonary Disease, Gintung Tengah V
    Unspecified
    2 3-2-2020 Awan 0000482131642 Other Chronic Obstructive Pulmonary Gintung Kolot V
    Disease
    3 10-2-2020 Titi Rohaeti 0000064072157 081294548320 Congestive Heart Failure Karawang Jaya V
    4 12-2-2020 Jejen Ahmad Jaelani 0000482113596 Human Immunodeficiency Virus [Hiv] Sukamulya Rt 019/06 Rujuk
    Disease Resulting In Infectious And
    Parasitic Diseases
    5 15-2-2020 Yeni Yuliana 0001296445184 Heart Failure Rumambe Ii Rujuk
    6 15-2-2020 Marnah 0001996805441 Congestive Heart Failure Dukuh Rujuk
    7 17-2-2020 Imas Rohaeti 0000063593223 Chronic Kidney Disease, Stage 5 Karawang Jaya Rujuk
    8 17-2-2020 Euis Supriatin 0000449347162 0856 95031766 Congestive Heart Failure Sukaresmi V
    9 20-2-2020 Ratem 0001274331251 Schizophrenia Gintung Salam Rujuk
    10 21-2-2020 Iis Sumarsih 0000482215217 Schizophrenia Gintungkerta Rujuk
    11 21-2-2020 Rohati 0000482968563 Chronic Kidne Congestive Heart Failure Y
    Disease, Stage 5
    12 24-2-2020 Rasta Sunarta 0000063665605 Congestive Heart Failure Karawang Jaya Rujuk
    13 24-2-2020 Ocih 0000482698822 Congestive Heart Failure Rujuk

    15 24-2-2020 Kastiyah 0000612572927 Senile Cataract Warung Bambu Rujuk


    16 24-4-2020 Ir. Simon Johanes Harun 0001475162289 O812 1068 865 Chf Warung Bambu Rujuk
    17 25-2-2020 Imas Rohaeti 0000063593223 Chronic Kidney Disease, Stage 5 Karawang Jaya Rujuk
    18 29-2-2020 Karyati 0000482140552 Congestive Heart Failure Sukaresmi Rujuk
    19 29-2-2020 Andul 0000483653068 Complicated Cataract Cibalado Rujuk
    20 29-2-2020 Iwan S 0001273186438 Thalasemia Gintung Tengah Rujuk
    21 29-2-2020 Sumirah 0002283748075 0812 9454 5735 Congestive Heart Failure Krajan Ii Rujuk
    22 29-2-2020 Mukmin Almukarom 0002637348568 Polyneuropathy, Unspecified Sukamulya Rujuk

    Karawang, 3 Maret 2020

    Memet Komarudin, SKM,MM.Kes

    NIP. 19630512 198703 1 011

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