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DAFTAR KUNJUNGAN DI POLI GIGI

BULAN : JANUARI 2019


No Tanggal Nama Alamat Usia L/P Baru/Lama
1 2/1/2019 UJANG SUSANTO TW. AGUNG 27 L B
2 2/1/2019 RISKI ADI T.MARTO 22 L B
3 2/1/2019 SUTI S.RENGGO 48 P L
4 2/1/2019 AJENG T.MARTO 23 P L
5 10/1/2019 AHMAD MUHAMMAD T.MARTO 28 P B
6 17/1/2019 BUARI TM. ASRI 60 P B
7 17/1/2019 SUMIATI T.MOYO 38 L B
8 17/1/2019 NINIK PUJIATI WR. TAMAN 28 P B
9 17/1/2019 NIMAS AULIA S.RENGGO 22 L L
10 17/1/2019 KARIYATUN A.YUWONO 43 P B
11 21/01/2019 PIPIT JANUASTA TIRTOMOYO 32 L B
12 21/01/2019 M. ANSARI TAMAN SARI 21 L B
13 21/01/2019 YUYUK RAHAYU TAMAN SARI 18 P B
14 21/01/2019 ISTIANA S.RENGGO 32 p L
15 21/01/2019 SUMIATI TIRTOMOYO 38 P L
16 21/01/2019 FEBRIAN FAJAR TIRTOMARTO 16 L b
17 23/01/2019 RIMAWATI SONOWANGI 34 P B
18 23/01/2019 HORIDATUL ULA PRONOJIWO 25 P B
19 25/01/2019 YUYUK RAHAYU TAMAN SARI 18 P L
20 25/01/2019 PIPITJANUARTA TIRTOMARTO 32 P L
21 28/01/2019 YANA PAULINA T.MARTO 18 P B
22 28/01/2019 NABILA TM. ASRI 14 P B
23 28/01/2019 HORIDATUL ULA PRONOJIWO 25 P B
24 29/01/2019 ABDUL MUJIB TM. ASRI 11 L B
25 29/01/2019 INDRAWATI TM. ASRI 50 P L
26 29/01/2019 SUKATI T.MARTO 59 P L
27 29/01/2019 LISMIATI WR. TAMAN 37 P B
28 29/01/2019 RIVICHA S.RENGGO 29 P B
29 31/01/2019 RIVICHA S.RENGGO 29 P L
30 31/01/2019 ANDILIA T.MARTO 14 P B
31 31/01/2019 SAIFUL T.MARTO 40 L B
32 31/01/2019 NGATIYEM T.MOYO 38 P L
33 31/01/2019 HORIDATUL ULA PRONOJIWO 25 P L
FTAR KUNJUNGAN DI POLI GIGI

Diagnosis Tindakan No. RM U/B


16 GR EXO 22284.04 U
36 PI EXO 3657.11 U
33 GP EXO 19147.03 U
KALKULUS SCALLING 116.11 U
23 GP EXO 16996.11 U
21 GP EXO 16756.1 U
23 GP EXO 2447.13 U
47 GP EXO 18004.01 U
36 PI EXO 21039.03 U
27 GP EXO 20410.12 U
27GP EXO 222461.11 U
22GR RESEP 22470.1 U
16GP RESEP 19034.02 U
38gp EXO 17277.03 B
11GR RESEP 2447.13 B
16.gp EXO 4746.11 B
48 GP RESEP 22478.08 U
36 GR RESEP 22475 U
16GP RESEP 19034.02 U
37GP EXO 22461.11 U
47 PI EXO 22516.11 U
54 GR EXO 2684.1 U
36 GR EXO 22475 U
64 PERSISTENSI EXO 22550.1 U
42 GR EXO 374.1 B
25 GIGI GOYANG EXO 6975.11 U `
17 GP EXO 22548.01 U
18 28 GR RESEP 22551.03 B
28.GR EXO 22551.03 B
16.GP EXO 222576.11 B
37.GP EXO 22582.11 B
47.PR RESEP 18681.13 U
37.GP RESEP 22475 U

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