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Laporan Pemeriksaan TCM Bagi Pasien TB Puskesmas Kunto Darussalam

No Nama NIK BPJS Umur Jenis Alamat No. Sediaan Tgl Hasil
( thn ) kelamin Pemeriksaan Pemeriksaan
01 Sri mulyani 1406064707870017 35 P Sei kuti jaya 22/P1407070101/1/0348 05/09/2022 Negatif
02 Rusli 1406060203580001 64 L Sei Kuti jaya 22/P1407070101/1/0360 09/09/2022 Negatif
03 Suwardi 1406062206740004 48 L Sei kuti jaya 22/P1407070101/1/0341 13/09/2022 Negatif
04 Jaka Satria 1406060510080002 13 L Sei Kuti jaya 22/P1407070101/1/0340 13/09/2022 Negatif
05 Rahmanda 1406060309040002 18 L Sei kuti jaya 22/P1407070101/1/0339 13/09/2022 Negatif
06 Salmia 1406064204740004 48 P Sei Kuti jaya 22/P1407070101/1/0338 13/09/2022 Negatif
07 Sareng 1406062906690001 53 L Sei kuti jaya 22/P1407070101/1/0337 13/09/2022 Negatif
08 Puput Wulandari 1406064101800008 42 P Sei Kuti jaya 22/P1407070101/1/0343 13/09/2022 Negatif
09 Riki Anandika 1406062407020003 20 L Sei kuti jaya 22/P1407070101/1/0344 13/09/2022 Negatif
10 Romy reyhanata 1406062910070003 15 L Sei Kuti jaya 22/P1407070101/1/0345 13/09/2022 Negatif
11 Eko master ginting 1406061211930004 28 L Sei kuti jaya 22/P1407070101/1/0346 13/09/2022 Negatif
12 Waskito 1406060105650002 57 L Sei Kuti jaya 22/P1407070101/1/0347 13/09/2022 Negatif
13 Tiara Mustika Mutiara 1406065303090002 13 P Sei kuti jaya 22/P1407070101/1/0349 13/09/2022 Negatif
14 Iskandar 1406061411750003 46 L Sei Kuti jaya 22/P1407070101/1/0350 13/09/2022 Negatif
15 Herlin Anggraeni 1406066502080003 14 P Sei kuti jaya 22/P1407070101/1/0355 13/09/2022 Negatif
16 Wagimun 1406061006770012 45 L Sei Kuti jaya 22/P1407070101/1/0356 13/09/2022 Negatif
17 Rusnadi 1275051405870006 35 L Sei kuti jaya 22/P1407070101/1/0367 13/09/2022 Negatif
18 Nina Fitriana 1275055203900005 32 P Sei Kuti jaya 22/P1407070101/1/0368 13/09/2022 Negatif
19 Sri Rahayu 1275057006130001 09 P Sei kuti jaya 22/P1407070101/1/0370 13/09/2022 Negatif
20 Aisyah 1275054309100002 12 P Sei Kuti jaya 22/P1407070101/1/0369 13/09/2022 Negatif
21 Tugiadi 1406061809740002 47 L Sei kuti jaya 22/P1407070101/1/0365 13/09/2022 Negatif
22 Tukimo 1405011908740001 48 L Sei Kuti jaya 22/P1407070101/1/0362 13/09/2022 Negatif
23 Ruslina 1406064403800004 42 P Sei kuti jaya 22/P1407070101/1/0354 13/09/2022 Negatif
24 Suryani 1406065001780005 43 P Sei Kuti jaya 22/P1407070101/1/0351 14/09/2022 Negatif
25 Ira Nuraini 1406064710040002 17 P Sei kuti jaya 22/P1407070101/1/0352 14/09/2022 Negatif
26 Karsih 1406067112810004 40 P Sei Kuti jaya 22/P1407070101/1/0366 14/09/2022 Negatif
27 Muhammad Rio P 1405012804070001 15 L Sei kuti jaya 22/P1407070101/1/0364 14/09/2022 Negatif
28 Turmia Ningsih 1405015510830008 38 P Sei Kuti jaya 22/P1407070101/1/0363 14/09/2022 Negatif
29 Winarsih 1406064901590001 63 P Sei kuti jaya 22/P1407070101/1/0361 14/09/2022 Negatif
30 Katiwan 1406061801750002 47 L Sei Kuti jaya 22/P1407070101/1/0353 14/09/2022 Negatif
31 Waginah 1406065506780004 44 P Sei kuti jaya 22/P1407070101/1/0357 14/09/2022 Negatif
32 M. Azri D 1406060601020001 20 L Sei Kuti jaya 22/P1407070101/1/0358 14/09/2022 Negatif
33 M. yuga Afarel 1406060806070004 15 L Sei Kuti Jaya 22/P1407070101/1/0359 14/09/2022 Negatif
34 Siti Nuraini 1406064509020002 20 P Kota Baru 22/P1407070101/1/0371 27/09/2022 Positif
35 Dali Bulele 1406060503810004 41 L Kota lama 22/P1407070101/1/0372 27/09/2022 Negatif

Kota lama , 30 september 2022

Kepala Puskesmas Kunto Darussalam Yang Melaporkan

Ns. Rika Fitri Yanti . S.Kep Lusiana Marta Helena. AMK


NIP. 19840629 201001 2 012 NIP. 19780908 200701 2 005

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