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PROVINSI : JAWA BARAT

KAB/KOTA : CIAMIS

PROVINSI : JAWA BARAT


KAB/KOTA : CIAMIS

J. KELAMIN KUNJUNGAN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L P B

1 01 JUNI 2016 4067 NANI 48 1 1


2 01 JUNI 2016 4064 ASEP 20 1 1
3 01 JUNI 2016 4069 REVALINA. J 9 1 1
4 1 JUNI 2016 22975 ANGGIA 7 1
5 1 JUNI 2016 4061 MUHAMAD. R 17 1 1
6 1 JUNI 2016 4067 NANI. S 48 1 1
7 1 JUNI 2016 4064 ASEP. YUDI 20 1 1
8 1 JUNI 2016 0000071376546 SUHADA 84 1
9 1 JUNI 2016 0000070431755 ADHITYA. S 21 1 1
10 1 JUNI 2016 0000071418622 BASIR. S 66 1 1
11 1 JUNI 2016 00000440984102 SULASTRI 19 1
12 1 JUNI 2016 00000439711453 MILDA 21 1
13 1 JUNI 2016 0001171464658 ANDINI 6 1 1
14 1 JUNI 2016 0001425656373 EMI 55 1
15 1 JUNI 2016 0001430206514 ELIS 25 1
16 02 JUNI 2016 4080 TIA 36 1 1

17 4081 INDRI 35 1 1
02 JUNI 2016
18 02 JUNI 2016 14306 NADA 6 1
19 2 JUNI 2016 4083 UUS 44 1 1
20 2 JUNI 2016 4087 GILANG 24 1 1

21 4079 WIWI 64 1 1
2 JUNI 2016

22 19558 PUTRI 13 1
2 JUNI 2016
23 2 JUNI 2016 4077 DEDE 45 1 1

24 3802 MEMED 66 1
2 JUNI 2016

25 4069 REVALINA 9 1
2 JUNI 2016
26 2 JUNI 2016 1381 FAHRI 7.5 1
27 2 JUNI 2016 4088 IPAH 26 1 1
28 2 JUNI 2016 4089 GALUH 3.5 1 1
29 2 JUNI 2016 4091 NONOY 44 1 1
30 2 JUNI 2016 23184 YETI 67
31 2 JUNI 2016 2161 RESPATI 6.5
32 2 JUNI 2016 9591 TUTI 42
33 2 JUNI 2016 16315 WILDA 30
34 2 JUNI 2016 1602 EMA 64
35 03 JUNI 2016 DESINTA 5 1 1
36 03 JUNI 2016 3945 ENCUM 66 1
37 03 JUNI 2016 4102 DANI 34 1 1
38 3 JUNI 2016 4006 IRPAN 20 1 1
39 3 JUNI 2016 4094 SOPIAH 54 1 1
40 3 JUNI 2016 4048 IRMAN 24 1 1
41 3 JUNI 2016 4039 AGUSTINI 47 1 1
42 3 JUNI 2016 4095 QORI 17 1 1
43 3 JUNI 2016 4206 M. AFZAN 12 1 1
44 3 JUNI 2016 2414 AZIS 22 1 1
45 3 JUNI 2016 956 RIFKI 12 1
46 3 JUNI 2016 3437 PRATIWI 10 1 1
47 04 JUNI 2016 4109 RISMA 12 1 1
48 04 JUNI 2016 4040 FITRIYANI 15 1 1
49 04 JUNI 2016 4035 DADEN 39 1
50 4 JUNI 2016 6696 ENDANG 58 1
51 4 JUNI 2016 4104 LACISTA 3.5 1 1
52 4 JUNI 2016 17343 YUYU 45 1 1
53 4 JUNI 2016 4106 AZKI 4.5 1 1
54 4 JUNI 2016 4107 NINA 23 1 1
55 4 JUNI 2016 4107 HASAN 54 1 1
56 4 JUNI 2016 22245 HANUM 7 1 1
57 4 JUNI 2016 4111 MANIAH 48 1 1
58 4 JUNI 2016 2160 M. SULTAN 11 1 1
59 4 JUNI 2016 2881 AMARULLOH 58 1 1
60 4 JUNI 2016 3346 NENI 41 1 1
61 4 JUNI 2016 12251 EMAN 61 1 1
62 4 JUNI 2016 4212 ANA 41 1 1
63 4 JUNI 2016 3755 SULASTRI 14 1 1
64 4 JUNI 2016 21478 MARINI 20 1 1
65 4 JUNI 2016 6600 KOMARIAH 20 1 1
66 06 JUNI 2016 19558 PUTRI 14 1

67 4077 DEDE AHMAD 45 1


06 JUNI 2016
68 06 JUNI 2016 19775 AISYAH 58 1 1
69 6 JUNI 2016 4115 IDA 22 1 1
70 6 JUNI 2016 4118 EEM 60 1 1
71 6 JUNI 2016 DAVID 17 1
72 07 JUNI 2016 4137 LATIFA 8 1 1
73 07 JUNI 2016 4132 MAMAT 18 1 1
74 07 JUNI 2016 17728 RIZKY 7 1 1
75 7 JUNI 2016 4134 LILI 66 1 1
76 7 JUNI 2016 4133 ISMAIL 47 1 1
77 7 JUNI 2016 4139 CHINDY 17 1 1
78 7 JUNI 2016 4123 NAUFA 12 1 1
79 7 JUNI 2016 4061 M.RIZALDY 17 1

80 4091 NONOY 44 1
7 JUNI 2016
81 7 JUNI 2016 4195 GLENIO 7 1 1

82 16784 RAIS 4 1 1
7 JUNI 2016
83 7 JUNI 2016 TRESNA 17 1 1
84 7 JUNI 2016 12462 MAULIDA 5 1 1
85 7 JUNI 2016 2414 AZIS 22 1
86 7 JUNI 2016 19362 TRESNA 16 1
87 7 JUNI 2016 11822 MIMI 45 1 1
88 7 JUNI 2016 19897 KHOERUL 9 1 1
89 7 JUNI 2016 21664 PUTRI 8 1
90 7 JUNI 2016 16315 WILDA 30 1
91 08 JUNI 2016 4142 JUTAN 6.5 1 1
92 08 JUNI 2016 TABITANIE 16 1 1
93 08 JUNI 2016 4100 SILMI 6 1 1
94 8 JUNI 2016 4095 QORI 17 1
95 8 JUNI 2016 4152 ALYA 6.5 1 1
96 8 JUNI 2016 15761 NIA 15 1 1
97 8 JUNI 2016 4156 AISNA 6 1 1
98 8 JUNI 2016 18802 NAOVAL 6 1 1
99 8 JUNI 2016 4148 KIKI 21 1 1
100 8 JUNI 2016 11871 MUSLIH 51 1 1
101 09 JUNI 2016 ISBATH 6 1 1
102 09 JUNI 2016 4115 IDA ROSIDA 22 1
103 09 JUNI 2016 4160 SAEPUL 12 1 1

104 4174 M. FAHRI 5 1 1


9 JUNI 2016

105 16788 NAURA 1.5 1 1


9 JUNI 2016
106 9 JUNI 2016 19558 PUTRI 13 1

107 20660 KIRANA 4 1


9 JUNI 2016
108 9 JUNI 2016 4202 AEP 52 1 1
109 9 JUNI 2016 2160 M. SULTANUDIN 11 1
110 10 JUNI 2016 4133 ISMAIL. N 47 1
111 10 JUNI 2016 4184 ERIS. A 4 1 1

112 4061 M. RIZALDI 17 1


10 JUNI 2016
113 10 JUNI 2016 4176 RISMAN. R 29 1 1
114 10 JUNI 2016 4094 SOPIATI 54 1
115 10 JUNI 2016 6847 NINA 36 1
116 10 JUNI 2016 4177 IMAS. M 23 1 1
117 10 JUNI 2016 MUTHIARA 7 1 1
118 10 JUNI 2016 3418 BUDI. R 40 1 1
119 10 JUNI 2016 9137 INSAN 3.5 1
120 11 JUNI 2016 4201 M REYHAN 18 1 1
121 11 JUNI 2016 4195 YAYA 36 1 1
122 11 JUNI 2016 4091 NONOY 44 1
123 11 JUNI 2016 7697 RATU 6 1
124 11 JUNI 2016 21895 IDA FARIDA 62 1 1
125 11 JUNI 2016 6814 TUTI 45 1
126 13 JUNI 2016 4220 AGI 27 1 1
127 13 JUNI 2016 4212 ANGGA 28 1 1
128 13 JUNI 2016 4207 KATIM 53 1 1
129 13 JUNI 2016 4213 DAPI 6.5 1 1
130 13 JUNI 2016 2938 ENI 47 1
131 13 JUNI 2016 1127 DESINTA 7 1 1
132 13 JUNI 2016 8696 DZIKRI 7 1
133 13 JUNI 2016 22413 ASIAH 51 1
134 13 JUNI 2016 7535 M. RADITHYA 6 1
135 13 JUNI 2016 22302 DIDAH 23 1 1
136 14 JUNI 2016 12944 HARISMAN 34 1
137 14 JUNI 2016 4227 R. SLAMET 50 1 1
138 14 JUNI 2016 3830 RIKA 3 1 1
139 14 JUNI 2016 1713 NAZLA 4 1 1
140 14 JUNI 2016 4234 TIAMA 35 1 1
141 14 JUNI 2016 4237 INDRA 30 1 1
142 14 JUNI 2016 4061 M. RIZAL 46 1
143 14 JUNI 2016 4233 SILUY 18 1 1
144 14 JUNI 2016 2320 YASIL 3 1 1
145 14 JUNI 2016 12462 MAULIDA 4 1
146 14 JUNI 2016 2769 RATNA 14 1 1
147 14 JUNI 2016 5876 TAZKA 3 1 1
148 15 JUNI 2016 4258 NENAH 25 1 1
149 15 JUNI 2016 4263 HERTI 33 1 1
150 15 JUNI 2016 4091 NONOY 44 1
151 15 JUNI 2016 2938 ENI 47 1

152 4259 SOPI 41 1 1


15 JUNI 2016
153 15 JUNI 2016 4264 H. DEDE 56 1 1

154 11130 REZKIANA 3 1


15 JUNI 2016
155 15 JUNI 2016 19362 TRESNA 17 1
156 15 JUNI 2016 4214 WATI 56 1 1
157 15 JUNI 2016 4256 SITI RAHMAH 31 1 1
158 15 JUNI 2016 6539 KARTINAH 55 1
159 15 JUNI 2016 4260 A. HENDI 57 1 1
160 16 JUNI 2016 3724 PUTRI KAYLA 7 1
161 16 JUNI 2016 4219 BAGAS 3 1 1
162 16 JUNI 2016 4218 NAMISHA 6.5 1 1
163 16 JUNI 2016 4217 ALIFA 10 1 1
164 16 JUNI 2016 4220 RAIA 5 1 1
165 16 JUNI 2016 22302 DIDAH 23 1
166 16 JUNI 2016 12593 HENI 25 1
167 17 JUNI 2016 4301 ITA 48 1 1
168 17 JUNI 2016 4303 FIRIZ 14 1 1
169 17 JUNI 2016 2863 NENI 54 1
170 17 JUNI 2016 2769 RATNA 14 1
171 17 JUNI 2016 7798 NANO 69 1 1
172 17 JUNI 2016 6635 ENDAH 40 1
173 17 JUNI 2016 4265 SALMA 13 1 1
174 17 JUNI 2016 976 DEN R 24 1

175 4266 AYU RIMA 6 1 1


17 JUNI 2016
176 17 JUNI 2016 4267 ETI 47 1 1
177 17 JUNI 2016 23096 AGUNG 28 1
178 17 JUNI 2016 6600 KOMARIAH 23 1
179 18 JUNI 2016 20926 NINA 36 1 1

180 174 M. FARYZA 4 1


18 JUNI 2016
181 18 JUNI 2016 4312 TATI 44 1 1
182 18 JUNI 2016 4091 NONOY 44 1
183 18 JUNI 2016 18844 KAILA 8 1

184 4318 MUTIARA 6 1 1


18 JUNI 2016
185 18 JUNI 2016 4271 SUSILO 23 1 1
186 18 JUNI 2016 20250 AGUSTINI 7 1 1
187 18 JUNI 2016 23154 PENI 16 1 1
188 18 JUNI 2016 4272 SITI RAHMAH 16 1 1
189 18 JUNI 2016 7389 DEDE SRI 43 1
190 18 JUNI 2016 3425 WULAN 20 1 1
191 20 JUNI 2016 7396 WILYA 6 1
192 20 JUNI 2016 3992 MARWAH 8 1 1
193 20 JUNI 2016 4331 GINA 6 1 1
194 20 JUNI 2016 4264 DEDE 56 1 1
195 20 JUNI 2016 4329 ERUK 53 1 1
196 20 JUNI 2016 6753 IIS 55 1 1
197 20 JUNI 2016 11624 EDOH 52 1
198 20 JUNI 2016 13329 SILVIA 5 1
199 20 JUNI 2016 1889 NADIA 5 1 1
200 20 JUNI 2016 ANI 49 1
201 21 JUNI 2016 18108 WINDI 8 1
202 21 JUNI 2016 18199 RASTINI 31 1
203 21 JUNI 2016 4351 DADANG 45 1 1
204 21 JUNI 2016 4349 MIMIN 68 1 1
205 21 JUNI 2016 1124 KRISTIAN 6 1
206 21 JUNI 2016 6051 AAS 44 1
207 21 JUNI 2016 4348 EGIS 16 1 1
208 21 JUNI 2016 22508 ALIN 18 1 1
209 21 JUNI 2016 1837 SOFIATUL 6 1
210 21 JUNI 2016 8584 RIZKI 7 1
211 21 JUNI 2016 4228 ANISA 15 1 1
212 22 JUNI 2016 4091 NONOY 44 1
213 22 JUNI 2016 4359 ANDI 24 1 1
214 22 JUNI 2016 4355 SRI 16 1 1
215 22 JUNI 2016 22444 ENNY 69 1 1
216 22 JUNI 2016 12426 NADIA 6 1 1
217 22 JUNI 2016 12593 HENI 25 1
218 23 JUNI 2016 24170 SUSI S 26 1 1
219 23 JUNI 2016 24170 ERULI 53 1
220 23 JUNI 2016 1981 DEBI 6 1
221 23 JUNI 2016 21480 TANZILA 5 1 1
222 23 JUNI 2016 4370 MUHAMAD EZ 7 1 1
223 23 JUNI 2016 4366 YOYOH S 55 1 1
224 23 JUNI 2016 440840709 AYRA N 6 1
225 23 JUNI 2016 71497438 VEGA 9 1
226 23 JUNI 2016 4239 VERA ABRIYAH 36 1 1

227 11130 REZKIANA 3 1


24 JUNI 2016

228 4459 SITI AISYAH 36 1 1


24 JUNI 2016
229 24 JUNI 2016 4461 HAMID 49 1 1
230 24 JUNI 2016 ANANG 59 1
231 24 JUNI 2016 19369 AWALUDIN 59 1 1
232 24 JUNI 2016 440230937 YAYAN 6 1 1
233 24 JUNI 2016 4182 YAYAN 45 1 1
234 24 JUNI 2016 17421 DEDE 9 1 1
235 24 JUNI 2016 6635 ENDAH 41 1
236 24 JUNI 2016 20175 ENDANG 65 1 1
237 24 JUNI 2016 10342 SITI 73 1
238 25 JUNI 2016 4465 DEVI 17 1 1
239 25 JUNI 2016 22323 HASPA 6.5 1 1
240 25 JUNI 2016 4469 ADITYA 5.5 1 1
241 25 JUNI 2016 4351 DADANG 45 1
242 25 JUNI 2016 4139 CHINDY FEBI 17 1
243 25 JUNI 2016 4293 ISMAWAN 39 1 1
244 27 JUNI 2016 4490 JAJA 90 1 1
245 27 JUNI 2016 4061 M. RIZALDY 17 1
246 27 JUNI 2016 14693 EVIH 21 1
247 27 JUNI 2016 20281 WINDA 20 1

248 4482 FARZAN 3 1 1


27 JUNI 2016
249 27 JUNI 2016 16992 ALIYANSAH 34 1 1
250 27 JUNI 2016 4481 DINDIN 24 1 1
251 27 JUNI 2016 20119 M. FAIZ 7 1
252 27 JUNI 2016 988 SUARNI 45 1 1
253 27 JUNI 2016 4484 OGI 16 1 1
254 27 JUNI 2016 4488 ANAS 6 1 1
255 27 JUNI 2016 FITRIYA 6.5 1 1
256 27 JUNI 2016 4217 SANTI 8 1 1
257 27 JUNI 2016 21231 RIZKA 6.5 1
258 27 JUNI 2016 15130 DINA 7 1
259 27 JUNI 2016 4494 IRFAN 7 1 1
260 27 JUNI 2016 3590 IRWAN 6 1
261 27 JUNI 2016 4228 IHSAN 6 1 1
262 27 JUNI 2016 21725 DIAN 20 1
263 27 JUNI 2016 23268 WINDA 20 1
264 27 JUNI 2016 20893 IWAN 61 1
265 27 JUNI 2016 4226 AGUS 56 1 1

266 4227 M. DHIYA 6 1 1


27 JUNI 2016
267 27 JUNI 2016 7483 NOVA 10 1 1
268 28 JUNI 2016 22680 ERNA 35 1 1
269 28 JUNI 2016 2954 RIFKI 12 1 1
270 28 JUNI 2016 4501 M. FAZZIRA 12 1 1
271 28 JUNI 2016 23609 MARPU'AH 51 1
272 28 JUNI 2016 4512 ALDI 6.5 1 1
273 28 JUNI 2016 6165 ROKAYAH 63 1 1
274 29 JUNI 2016 4465 DEVI 17 1
275 29 JUNI 2016 4516 RIMA 20 1 1
276 29 JUNI 2016 4523 LIDA 13 1 1
277 29 JUNI 2016 17338 ELITA 7.5 1 1
278 29 JUNI 2016 871 IRMAN 7 1
279 29 JUNI 2016 1846 DEWI 37 1
280 29 JUNI 2016 4226 AGUS 56 1
281 29 JUNI 2016 TUTI 44 1 1
282 29 JUNI 2016 21725 DIAN 20 1
283 29 JUNI 2016 4235 SHEILA 18 1 1
284 29 JUNI 2016 4403 JUJU 44 1 1
285 29 JUNI 2016 7707 TITIN 46 1 1

286 4274 ONAH 54 1 1


29 JUNI 2016
287 29 JUNI 2016 23102 ADNINDYA 6 1 1
288 29 JUNI 2016 3434 IWAN 21 1 1
289 30 JUNI 2016 3696 ETI 61 1 1

290 4533 AZKA 5.5 1 1


30 JUNI 2016
291 30 JUNI 2016 4532 AAS 39 1 1
292 30 JUNI 2016 4535 ROHMAN 15 1 1
293 30 JUNI 2016 4543 ANDRIAN 21 1 1
294 30 JUNI 2016 4270 SRI WIDIA 30 1 1
295 30 JUNI 2016 AAY 54 1 1
296 30 JUNI 2016 3306 ARGIN 7 1
297 30 JUNI 2016 23268 WINDA 19 1
298 30 JUNI 2016 4183 ILHAM 11 1 1
299 30 JUNI 2016 6600 KOMARIAH 23 1
TOTAL 124 170 191

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS JUNI 2017 JUMLAH
NO TINDAKAN JUMLAH
1 TT 0
1%
2 TS 0 18%
3 P.PULP 72
4 EXT.TTP 1646
55%
5 EXT.SLG 2284 25%
6 CALL 1
7 PREM 4974 0%
8 LL 0
25%

0%

JUMLAH 8977
KUNJUNGAN ALAMAT
NAMA
L KK/INDEKS CIAMIS KERTASARI CIGEMBOR BENTENG

1
1
1

1
1

1
1

1 1
1
1

1 1

1 1

1
1
1

1
1
1
1

1
1
1
1

1 1
1
1

1
1 1
1
1

1
1
1
1

1
1

1
1 1

1
1

1
1

1
1
1

1 1

1
1

1 1

1
1
1

1 1

1
1

1
1
1

1
1

1 1

1
1
1 1

1 1
1 1
1
1
1 1

1
1

1 1
1

1
1

1
1 1

1
1

1 1
1
1

1
1 1
1 1

1
1 1
1

1
1
1 1
1 1
1
1

1
1 1

1
1

1 1

1 1

1
1 1

1
1 1
1 1

1
1

1
1 1
1
1

1
1
1 1

1
1 1
1
1
1 1
1

1
1

1
1
1 1

1
1

1
1 1
1
1

1 1
1

1
1

1 1

1
1
1
1

1
1
1
1
1 1
1
1
1
1 1
1
1 1

1
1
1
1

1
1
1
1
103 65 32 9 16

MLAH

TT
TS
18%
P.PULP
EXT.TTP
EXT.SLG
CALL
25%
PREM
% LL
CALL
25%
PREM
% LL
BULAN : JUNI
PUSKESMAS: CIAMIS

BULAN : JUNI
PUSKESMAS: CIAMIS

ALAMAT

UMUM
LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1 1
1 1
1 1
1
1
1 1
1

1
1
1
1

1
1

1 1

1
1 1
1

1 1

1 1

1 1

1 1

1 1
1 1
1 1
1 1

1 1
1 1
1
1
1 1
1
1
1

1
1 1
1 1
1
1
1
1 1
1
1 1
1
1 1
1

1
1 1

1 1

1
1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1
1

1 1

1
1
1
1
1

1
1
1 1
1
1 1
1
1 1
1 1
1 1
1 1
1
1
1
1 1
1 1

1 1

1 1

1
1
1 1
1

1 1
1 1
1 1
1 1
1 1

1
1
1 1
1 1
1 1
1

1 1
1
1 1
1
1
1 1
1

1
1 1
1 1
1
1
1 1
1
1
1 1
1
1

1
1 1
1 1
1

1 1

1 1

1 1

1 1
1
1
1

1 1
1

1
1
1

1
1

1
1

1 1

1 1
1 1
1

1
1

1
1
1 1
1 1
1 1
1 1
1
1

1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1

1 1
1 1
1 1

1 1
1 1
1
1
1
1 1

1
1

1 1

1 1

1 1
1

1
1

1 1
1
1 1
1 1
1 1
1
1
1
1 1
1 1

1 1

1 1
1 1
1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1
1
1
1

1 1
1 1
1 1
1 1
1

1
1
1
1
1
1 1

1
1

1
1
1

1 1

1 1
1 1
1
1 1
1
1
1

1
16 33 21 106 180
BPJS PEM FISIK TD

UMUM
PNS PBI (APBN) MANDIRI BB TB SISTOL

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1

1
1

1
1

1
1
1
1
1

1
1
1

1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1
1

1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
180 60 38 19 0 0 0
TD DIAGNOSA ICD X

KELUHAN TERAPI
DIASTOL CARIES K.PUL K. PD PERST LL K.004 K.021

35 K047 V.P.D 35
48 K047 V.P.D 48
71 K006 MULTIVIT 71
51 K006 P Vc / V 3ah 51
46 K040 DEVIT. F VPD 46
35 K047 V P CHM 35
48 K047 V.P.D 48
46 K047 V.P 46
48 K047 V.P.D 48
47 K047 V.P.D 47
35 K040 CHKM +TS 35
46 K041 A.P 46
75 ULKUS V.P.PA 75
12 11 K040 V.P 12 11
18 K041 V.P.Vc 18
26 K047 A.P.BI 26

46 K047 TETRA.P.CTM 46

72 KONTROL - 72
35 K045 A.P.BI 44
26 K047 V.P 26
CIPRO.P.BI.RA
36 K047 NI 36

24 K040 DEVIT + 24
TS .V.P.Bc
37 K040 DEVIT +TS P 37

32 K041 EXT 32 A.P.BI -

81 K006 EXT 81 A.P.Bc 81

51 K006 EXT 51 BC 51
38 K010 CIPRO.P 38
51 K021 VC 51 1
35 K047 A.P.Vc 35
24 K040 T.TETAP -
51 K006 EXT 51 51
24 K041 RUJUK 24
46 K040 T.TETAP -
31 K041 A.P.Bi 31
51 K006 A.P.Bc 51
15 K047 A.P.Bi 15
16 K047 V.P.Dx 16
26 K040 V.P.Dx 26
22 K047 V.P.Ctm 22
16 K041 V.Pct 16
38 K047 A.P.Bi 38
47 K047 A.P.Bi 47
11 K041 MULTIVIT 11
46 K047 V.P.Bi 46
13 K047 A.P.Bc 13
35 K047 A.P.Bi 35
65 K006 - 65
11 K021 V.P.Dx 21 1
27 K040 LEF 27
36 K047 Fam. Pct 36
85 K047 V.P.Vc 85
48 K047 V.P.Ci 48
51 K047 V.Pc Vc gg 51
36 K047 A.P.Bi 36
16 K047 CP.BI.Ant 16
54 K047 V.P.Vc 54
44 K047 V.P.Vc 44
46 K021 A.P.Vc 46 1
17 K040 P.V.VITC 17
47 K047 P.PCT 47
41 K047 V.P.Bi 41
22 K047 V.P.Bc 22
35 K040 PENGISARI 35
36 K040 V.P.Bc 36
46 K047 A.P.Bc 46
24 K040 TKF+TS -

37 K040 TKF + TS -
V.P.Vc
22 K047 V.M.P 22
36 K040 V.P.Vc 36
46 K040 V.P.Vc 46
11 K040 RUJUK -
84 KONTROL - 84
26 K047 V.P.D 26
36 K047 V.P.Vc 36
17 K047 V.P.Vc 17
16 K041 V.P.Vc 16
46 K045 V.P.Dx 46
11 K040 T.TETAP 11
46 K040 TKF + TS -
DEVIT + TS
36 K040 V.P 36

71 K006 EXT 71 71

84 K006 EXT 84 A.P.Vc 84


37 K040 RUJUK 37
85 K047 V.P.Vc 85
46 K041 EXT 46 V.P.D -
46 K047 V.P.Dx -
42 K047 V.P.Bi 42
51 K047 V.P.Vc 51
54 K047 A.P.Bc 54
46 K040 T.TETAP -
57 K006 KET Bc 57
46 K040 RUJUK 46
81 K006 Pct Bc 81
48 K010 V.P.Vit 48
81 K041 A.P.Vce ANL 81
38 K047 A.P.Bi 38
51 K006 P.Bc 51
71 K006 Pct 71
21 K041 RUJUK 21
46 K041 RUJUK 46
71 K006 EXT 71 71
35 K041 EXT 35 -
16 K047 V.P.Vc 16

74 K041 Cefa Syr Pct 74


Syr

51 K047 Cefa Syr Pct 51


Syr
24 K040 V.P.Dx -
Cefa Syr Pct
84 K047 Syr -

42 K041 V.P 42
46 K021 A.P.Vc 46 1
16 K040 V.P.Vc 16
75 K047 V.P 75

DEVIT
46 K040 +EUG+C.Ptm 46
F

36 K047 V.P.D 36
22 K047 V.P 22
14 K040 V.P.Vc 14
46 K047 V.P.Bc 46
K006 Bc -
44 K047 V.P.Bi 44
61 K006 KONTROL 61
25 K047 V.P.Vc 25
36 K047 V.P.Ctm 36
36 K040 TKF+TS -
61 K006 EXT 61 Bc 61
? ? ?
21 K041 RUJUK 21
KONTROL v
KONTROL v
38 K041 A.P 38
STOMATITIS V.P.Vc v
27 K047 V.P.Bi 27
51 ULCUS EXT 51 51
62 K006 EXT 62 62
41 K047 A.P.Bi -
51 61 K006 EXT 51 61 51 61
48 K011 V.P.Vc 48
38 K041 V. P. Vit C 38
25 K047 A. P. Bi 25
74 K041 C. P. Syr 74
73 K006 P. A Vit C 73
37 K047 C. P. Da 37
K047 C. P. Bi. R 48
46 K040 TT 46
37 K047 V. P. Bi 37
84 K047 A. Syr. P. Syr 74
84 K047 V. P. Vc 85
48 K047 V. P. Vc 46
51 K006 51
11 K040 V. P. Rani 11
18 K047 V. P. Vc 18
36 K040 CHKM +TS
27 K040 TKF+TS
EKS 15 V. P.
15 K033 15
Vc
17 K047 V. P. Vc 17
Cefa Syr P.
55 K046 Syr 55

46 K041 RUJUK
11 K083 Capt 11
36 K041 A. P. Bi 36
12 K047 V. P 12
37 K047 V. P. Ctm 37
72 K006 EKS 72
84 K040 RUJUK 84
75 K040 RUJUK 75
74 K041 KONTROL 74
84 K047 Cefa 84
37 K047 V. P. Vc 37
28 K047 A. P. Vc 28
34 K041 A. P. Vc 34
36 K047 V. P. Dx 36
17 K047 A. P. Bi 17
46 K041 EKS 46
48 K047 V. P. Ctm 48
26 K047 V. P. Dx 26
36 K047 A. P 36
37 K040 A. P. Bi

71 K006 KONTROL. 71
PCt. Vc
15 K045 A. P. Bi 15
38 K011 RUJUK 38
46 K047 A. P. Bc
17 K040 A. P. Vc 17

74 K047 Cefa Syr P. 74


Syr
24 K021 T. TETAP 24 1
36 K040 Eugenol+TS
72 K006 EKS 72 Pct 72

81 K006 EKS 81 Cefa P 81

15 K047 A. P. Vc 15
51 61 K006 EKS 51 61 51 61
21 K021 RUJUK 21 1
36 K047 A. P. Vc 36
16 K047 A. P. Vc
37 K047 A. P. Bc 37
85 K047 A. P. Bc 85
62 K006 Pc. Bc 62
84 K047 A. P. Bc 84
17 K041 V. P. Vit C 17
14 K047 V. P. Vit C 14
41 K041 A. P. Bi 35
16 K047 A. P. Bi 16
51 K047 R Pct Syr 51
64 K047 A. P 64
36 K047 A. P 46
52 K0NTROL Vit 52
16 K047 V. P. Bi 16
47 K047 A. P. Vc 47
RB LUXASI A. P RB
72 K006 Bc P 72
25 K047 A. P
46 K047 A. P. Bc 46
46 K047 A. P. Vc 46
62 K006 EKS 62 62
51 K006 EKS 51 51
21 K021 T. TETAP 21 1
36 K040
46 K047 46
47 K047 47
35 K041 A. P 35
61 62 K006 61 62
28 K047 28
38 K040 A. P. Vc 38
13 K047 V. P. Vc 13
75 K047 A. P. Vc 75
81 K006 P 81
61 K006 Vc 61
35 K047 V. P. Ctm 35
81 K006 P 81
85 K041 A. P 85
27 K040 RUJUK 27

51 61 K047 Cefa Syr P.


Syr
Diaz. Pct.
37 K047 Amox 37

12 K047 A. Metro. P 12
45 K047 A. P
47 K047 A. P. B, Rani 47
61 K006 EKS 61 61
16 K047 RUJUK 16
74 K112 RUJUK 74
26 K041 RUJUK
47 K041 A. P. Vc 47
22 LUXASI EKS 22 22
46 K040 A. P. Vc 46
51 K006 EKS 51 P 51
61 K006 EKS 61 P 61
47 K047 V. P. Vc
46 K047 A. P. Vc
46 K047 A. P. Vc 46
42 LUXASI P. A. Amlo 42
36 K047 A. P. Vc 36
16 K047 A. P. Vc 16
37 K047 V. P. Dx 37

51 K047 Cefa Syr P Syr 51

15 K047 A. P. Vc 15
16 K047 A. P. Dx 16
51 ULCUS P. Bc 51
47 K047 V. P. Dx 47
11 K040 A. P 11
61 K006 EKS 61 Bc 61
71 K006 EKS 71 71
51 K006 EKS 51 51
51 K006 EKS 51 Bc 51
61 K006 EKS 61 61
61 K006 EKS 61 A. P 61
62 K006 KONTROL 62
81 K006 EKS 81 Vit 81
37 K047 A. P. Vc 37
46 K047 A. P. Vc
31 K032 RUJUK
43 K047 A. P. Bi 43
Cefa Syr P.
64 K047 Syr 64

65 74 K006 EKS 65 74 65 74
37 K041 A. P 37
37 K047 A. P. Vc 37
15 K047 A. P. Vc 15
36 K047 A. P. Vc
51 K006 EKS 51 51
46 K047 A. P 46
46 K040 A. P. Vc
36 K047 A. P. Bc 36
36 K040 A. P. Bc 36
72 K006 EKS 72 72
62 K006 EKS 62 62
36 K047 A. P. Vc
44 K040 A. P. Vc
16 K040 A. P. Vit 16
37 K047 RUJUK
36 K041 A. P 36
36 K047 A. P. Dx 36
26 K045 A. P. Bi 26
EKS Sebagian
11 K041 11 11

61 K006 EKS 61 61
21 K040 A. P 21
26 K041 A. P. Vc 26

84 K040 Cefa Syr P Syr 84

17 K045 A. P. Dx 17
45 K047 A. P. Dx 45
16 K047 A. P. Dx 16
47 K047 A. P. Dx 47
36 K047 V. P. Ctm 36
82 K006 EKS 82 P 82
46 K047 A. P. Dx
46 K040 A. P 46
46 47 K041 EKS 46 47
0 333 6755 166 2960 534 0 7
K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047 K.050 K.051

1
1

1
1
1
1
1
1
1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1

1
1

1
1

1
1
1
1

1
1
1

1
1

1
1
1

1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1
1

1
1
1
1
1

1
1

1
1
1

1
1

1
1
1

1
1
1

1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1
1
1
1
1
1

1
1

1
1
1
1
1

1
1
1
0 0 49 35 0 5 1 129 0 0
KODE

K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081 K.083 K.011

1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1
1

1
1

1
1
1
1
1
1
1
1

1
1

1
1

0 0 0 0 0 51 0 0 1 2
TINDAKAN

K.020 K089 K.103 K116 K.120 DLL TT TS P.PULP EXT.TTP

46

35

12 11

24

37

32

24

46
26

27

46

35
36

22

37

11
46

36
46

46

35

46
16

46

14

36
46

36
27

1 15

46
24
36

17

85

21
1

1 22

1
``

46 47
0 0 0 0 0 10 310 0 526 390
TINDAKAN

KETERANGAN
EXT.SLG CALL PREM LL

35 ABSES PERIAPRIKAL TANPA SINUS


48 ABSES PERIAPRIKAL TANPA SINUS
71 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
PULPITIS
35 ABSES PERIAPRIKAL TANPA SINUS
48 ABSES PERIAPRIKAL TANPA SINUS
46 ABSES PERIAPRIKAL TANPA SINUS
48 ABSES PERIAPRIKAL TANPA SINUS
47 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
46 NEKROSIS PULPA
75 -
PULPITIS
18 NEKROSIS PULPA
26 ABSES PERIAPRIKAL TANPA SINUS
46
ABSES PERIAPRIKAL TANPA SINUS
K KONTROL
44 PERIODONTITIS PALIKASI KRONIS
26 ABSES PERIAPRIKAL TANPA SINUS

36
ABSES PERIAPRIKAL TANPA SINUS

PULPITIS
PULPITIS

NEKROSIS PULPA

81
DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
38 EMBEDED TEETH
51 CARIES DENTINE
55 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
51 DISTURBANCES IN TOOTH ERUPTION
R NEKROSIS PULPA
PULPITIS
31 NEKROSIS PULPA
51 DISTURBANCES IN TOOTH ERUPTION
15 ABSES PERIAPRIKAL TANPA SINUS
16 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
22 ABSES PERIAPRIKAL TANPA SINUS
16 NEKROSIS PULPA
38 ABSES PERIAPRIKAL TANPA SINUS
47 ABSES PERIAPRIKAL TANPA SINUS
- NEKROSIS PULPA
46 ABSES PERIAPRIKAL TANPA SINUS
13 ABSES PERIAPRIKAL TANPA SINUS
35 ABSES PERIAPRIKAL TANPA SINUS
65 DISTURBANCES IN TOOTH ERUPTION
21 CARIES DENTINE
PULPITIS
36 ABSES PERIAPRIKAL TANPA SINUS
85 ABSES PERIAPRIKAL TANPA SINUS
48 ABSES PERIAPRIKAL TANPA SINUS
51 ABSES PERIAPRIKAL TANPA SINUS
36 ABSES PERIAPRIKAL TANPA SINUS
16 ABSES PERIAPRIKAL TANPA SINUS
54 ABSES PERIAPRIKAL TANPA SINUS
44 ABSES PERIAPRIKAL TANPA SINUS
CARIES DENTINE
17 PULPITIS
47 ABSES PERIAPRIKAL TANPA SINUS
41 ABSES PERIAPRIKAL TANPA SINUS
22 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
PULPITIS
46 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS

PULPITIS
22 ABSES PERIAPRIKAL TANPA SINUS
36 PULPITIS
46 PULPITIS
R PULPITIS
K KONTROL
26 ABSES PERIAPRIKAL TANPA SINUS
37 ABSES PERIAPRIKAL TANPA SINUS
17 ABSES PERIAPRIKAL TANPA SINUS
16 NEKROSIS PULPA
46 PERIODONTITIS PALIKASI KRONIS
PULPITIS
PULPITIS

PULPITIS
71 DISTURBANCES IN TOOTH ERUPTION

84
DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
85 ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
46 ABSES PERIAPRIKAL TANPA SINUS
42 ABSES PERIAPRIKAL TANPA SINUS
51 ABSES PERIAPRIKAL TANPA SINUS
54 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
51 DISTURBANCES IN TOOTH ERUPTION
RUJUK PULPITIS
81 DISTURBANCES IN TOOTH ERUPTION
48 EMBEDED TEETH
81 NEKROSIS PULPA
38 ABSES PERIAPRIKAL TANPA SINUS
57 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
R NEKROSIS PULPA
R NEKROSIS PULPA
71 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
16 ABSES PERIAPRIKAL TANPA SINUS

74
NEKROSIS PULPA

51
ABSES PERIAPRIKAL TANPA SINUS
24 PULPITIS

84
ABSES PERIAPRIKAL TANPA SINUS
42 NEKROSIS PULPA
CARIES DENTINE
PULPITIS
75 ABSES PERIAPRIKAL TANPA SINUS

PULPITIS
36 ABSES PERIAPRIKAL TANPA SINUS
22 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
46 ABSES PERIAPRIKAL TANPA SINUS
- DISTURBANCES IN TOOTH ERUPTION
44 ABSES PERIAPRIKAL TANPA SINUS
K DISTURBANCES IN TOOTH ERUPTION
25 ABSES PERIAPRIKAL TANPA SINUS
36 ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
? ?
R NEKROSIS PULPA
K -
K -
38 NEKROSIS PULPA
v -
27 ABSES PERIAPRIKAL TANPA SINUS
51 -
62 DISTURBANCES IN TOOTH ERUPTION
41 ABSES PERIAPRIKAL TANPA SINUS
51 61 DISTURBANCES IN TOOTH ERUPTION
48 IMPACTED TEETH
38 NEKROSIS PULPA
25 ABSESS PERIAPIKAL TANPA SINUS
74 NEKROSIS PULPA
73 DISTURBANCES IN TOOTH ERUPTION
37 ABSESS PERIAPIKAL TANPA SINUS
48 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
37 ABSESS PERIAPIKAL TANPA SINUS
74 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
51 DISTURBANCES IN TOOTH ERUPTION
11 PULPITIS
18 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
PULPITIS

PATHOLOGI REBORSI GIGI


17 ABSESS PERIAPIKAL TANPA SINUS

55
ABSESS PERIAPIKAL DI SINUS
R NEKROSIS PULPA
11 SISA AKAR
36 NEKROSIS PULPA
12 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL TANPA SINUS
72 DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
R PULPITIS
K NEKROSIS PULPA
84 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL TANPA SINUS
28 ABSESS PERIAPIKAL TANPA SINUS
34 NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
17 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
48 ABSESS PERIAPIKAL TANPA SINUS
26 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
37 PULPITIS

71
DISTURBANCES IN TOOTH ERUPTION
15 PERIODONTITIS APIKALIS KRONIS
R IMPACTED TEETH
46 ABSESS PERIAPIKAL TANPA SINUS
17 PULPITIS

74
ABSESS PERIAPIKAL TANPA SINUS
CARIES DENTINE
PULPITIS
72 DISTURBANCES IN TOOTH ERUPTION

81
DISTURBANCES IN TOOTH ERUPTION
15 ABSESS PERIAPIKAL TANPA SINUS
51 61 DISTURBANCES IN TOOTH ERUPTION
R CARIES DENTINE
36 ABSESS PERIAPIKAL TANPA SINUS
16 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
62 DISTURBANCES IN TOOTH ERUPTION
84 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
14 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
16 ABSESS PERIAPIKAL TANPA SINUS
51 ABSESS PERIAPIKAL TANPA SINUS
64 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
52
17 ABSESS PERIAPIKAL TANPA SINUS
47 ABSESS PERIAPIKAL TANPA SINUS
RB
72 DISTURBANCES IN TOOTH ERUPTION
25 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
62 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
CARIES DENTINE
36 PULPITIS
46 ABSESS PERIAPIKAL TANPA SINUS
47 ABSESS PERIAPIKAL TANPA SINUS
35 NEKROSIS PULPA
61 62 DISTURBANCES IN TOOTH ERUPTION
28 ABSESS PERIAPIKAL TANPA SINUS
38 PULPITIS
13 ABSESS PERIAPIKAL TANPA SINUS
75 ABSESS PERIAPIKAL TANPA SINUS
81 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
35 ABSESS PERIAPIKAL TANPA SINUS
81 DISTURBANCES IN TOOTH ERUPTION
85 NEKROSIS PULPA
R PULPITIS

51 61
ABSESS PERIAPIKAL TANPA SINUS

37
ABSESS PERIAPIKAL TANPA SINUS
12 ABSESS PERIAPIKAL TANPA SINUS
47 ABSESS PERIAPIKAL TANPA SINUS
47 ABSESS PERIAPIKAL TANPA SINUS
61 DISTURBANCES IN TOOTH ERUPTION
R ABSESS PERIAPIKAL TANPA SINUS
R SIALOADENITIS
R NEKROSIS PULPA
47 NEKROSIS PULPA

46 PULPITIS
51 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
47 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
42
36 ABSESS PERIAPIKAL TANPA SINUS
16 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL TANPA SINUS

51
ABSESS PERIAPIKAL TANPA SINUS
15 ABSESS PERIAPIKAL TANPA SINUS
16 ABSESS PERIAPIKAL TANPA SINUS
51
47 ABSESS PERIAPIKAL TANPA SINUS
11 PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
K DISTURBANCES IN TOOTH ERUPTION
81 DISTURBANCES IN TOOTH ERUPTION
37 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
R LUKSASI GIGI
43 ABSESS PERIAPIKAL TANPA SINUS

64
ABSESS PERIAPIKAL TANPA SINUS
65 74 DISTURBANCES IN TOOTH ERUPTION
37 NEKROSIS PULPA
37 ABSESS PERIAPIKAL TANPA SINUS
15 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
51 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
46 PULPITIS
36 ABSESS PERIAPIKAL TANPA SINUS
36 PULPITIS
72 DISTURBANCES IN TOOTH ERUPTION
62 DISTURBANCES IN TOOTH ERUPTION
36 ABSESS PERIAPIKAL TANPA SINUS
44 PULPITIS
16 PULPITIS
R ABSESS PERIAPIKAL TANPA SINUS
36 NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
26 PERIODONTITIS APIKALIS KRONIS

NEKROSIS PULPA
6` DISTURBANCES IN TOOTH ERUPTION
21 PULPITIS
26 NEKROSIS PULPA

84
PULPITIS
17 PERIODONTITIS APIKALIS KRONIS
45 ABSESS PERIAPIKAL TANPA SINUS
16 ABSESS PERIAPIKAL TANPA SINUS
47 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
82 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
46 PULPITIS
NEKROSIS PULPA
2455 65 6870 574
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI
TAHUN : 2016

TEMPAT PELAYANAN : POLI GIGI

DOKTER YANG MENANGANI PERAWAT YANG MENANGANI

NO NO TUTI RIKA OTIK RANY KELUHAN


DRG EVIE KURNIAWATI PURWATY, S. RAHMAWAT
HARTIYANTI
, AMKG ST Y

1 1 1 1 35 K047
2 1 2 1 48 K047
3 1 3 1 71 K006
4 1 4 1 51 K006
5 1 5 1 46 K040
6 1 6 1 35 K047
7 1 7 1 48 K047
8 1 8 1 46 K047
9 1 9 1 48 K047
10 1 10 1 47 K047
11 1 11 1 35 K040
12 1 12 1 46 K041
13 1 13 1 75 ULKUS
14 1 14 1 12 11 K040
15 1 15 1 18 K041
16 1 16 1 26 K047

17 1 17 1 46 K047

18 1 18 1 72 KONTROL
19 1 19 1 35 K045
20 1 20 1 26 K047

21 1 21 1 36 K047

22 1 22 1 24 K040

23 1 23 1 37 K040

24 1 24 1 32 K041

25 1 25 1 81 K006

26 1 26 1 51 K006
27 1 27 1 38 K010
28 1 28 1 51 K021
29 1 29 1 35 K047
30 1 30 1 24 K040
31 1 31 1 51 K006
32 1 32 1 24 K041
33 1 33 1 46 K040
34 1 34 1 31 K041
35 1 35 1 51 K006
36 1 36 1 15 K047
37 1 37 1 16 K047
38 1 38 1 26 K040
39 1 39 1 22 K047
40 1 40 1 16 K041
41 1 41 1 38 K047
42 1 42 1 47 K047
43 1 43 1 11 K041
44 1 44 1 46 K047
45 1 45 1 13 K047
46 1 46 1 35 K047
47 1 47 1 65 K006
48 1 48 1 11 K021
49 1 49 1 27 K040
50 1 50 1 36 K047
51 1 51 1 85 K047
52 1 52 1 48 K047
53 1 53 1 51 K047
54 1 54 1 36 K047
55 1 55 1 16 K047
56 1 56 1 54 K047
57 1 57 1 44 K047
58 1 58 1 46 K021
59 1 59 1 17 K040
60 1 60 1 47 K047
61 1 61 1 41 K047
62 1 62 1 22 K047
63 1 63 1 35 K040
64 1 64 1 36 K040
65 1 65 1 46 K047
66 1 66 1 24 K040

67 1 67 1 37 K040

68 1 68 1 22 K047
69 1 69 1 36 K040
70 1 70 1 46 K040
71 1 71 1 11 K040
72 1 72 1 84 KONTROL
73 1 73 1 26 K047
74 1 74 1 36 K047
75 1 75 1 17 K047
76 1 76 1 16 K041
77 1 77 1 46 K045
78 1 78 1 11 K040
79 1 79 1 46 K040

80 1 80 1 36 K040

81 1 81 1 71 K006

82 1 82 1 84 K006
83 1 83 1 37 K040
84 1 84 1 85 K047
85 1 85 1 46 K041
86 1 86 1 46 K047
87 1 87 1 42 K047
88 1 88 1 51 K047
89 1 89 1 54 K047
90 1 90 1 46 K040
91 1 91 1 57 K006
92 1 92 1 46 K040
93 1 93 1 81 K006
94 1 94 1 48 K010
95 1 95 1 81 K041
96 1 96 1 38 K047
97 1 97 1 51 K006
98 1 98 1 71 K006
99 1 99 1 21 K041
100 1 100 1 46 K041
101 1 101 1 71 K006
102 1 102 1 35 K041
103 1 103 1 16 K047

104 1 104 1 74 K041

105 1 105 1 51 K047

106 1 106 1 24 K040

107 1 107 1 84 K047

108 1 108 1 42 K041


109 1 109 1 46 K021
110 1 110 1 16 K040
111 1 111 1 75 K047

112 1 112 1 46 K040

113 1 113 1 36 K047


114 1 114 1 22 K047
115 1 115 1 14 K040
116 1 116 1 46 K047
117 1 117 1 K006
118 1 118 1 44 K047
119 1 119 1 61 K006
120 1 120 1 25 K047
121 1 121 1 36 K047
122 1 122 1 36 K040
123 1 123 1 61 K006
124 1 124 1 ?
125 1 125 1 21 K041
126 1 126 1 KONTROL
127 1 127 1 KONTROL
128 1 128 1 38 K041
129 1 129 1 STOMATITIS
130 1 130 1 27 K047
131 1 131 1 51 ULCUS
132 1 132 1 62 K006
133 1 133 1 41 K047
134 1 134 1 51 61 K006
135 1 135 1 48 K011
136 1 136 1 38 K041
137 1 137 1 25 K047
138 1 138 1 74 K041
139 1 139 1 73 K006
140 1 140 1 37 K047
141 1 141 1 K047
142 1 142 1 46 K040
143 1 143 1 37 K047
144 1 144 1 84 K047
145 1 145 1 84 K047
146 1 146 1 48 K047
147 1 147 1 51 K006
148 1 148 1 11 K040
149 1 149 1 18 K047
150 1 150 1 36 K040
151 1 151 1 27 K040

152 1 152 1 15 K033

153 1 153 1 17 K047

154 1 154 1 55 K046

155 1 155 1 46 K041


156 1 156 1 11 K083
157 1 157 1 36 K041
158 1 158 1 12 K047
159 1 159 1 37 K047
160 1 160 1 72 K006
161 1 161 1 84 K040
162 1 162 1 75 K040
163 1 163 1 74 K041
164 1 164 1 84 K047
165 1 165 1 37 K047
166 1 166 1 28 K047
167 1 167 1 34 K041
168 1 168 1 36 K047
169 1 169 1 17 K047
170 1 170 1 46 K041
171 1 171 1 48 K047
172 1 172 1 26 K047
173 1 173 1 36 K047
174 1 174 1 37 K040

175 1 175 1 71 K006


176 1 176 1 15 K045
177 1 177 1 38 K011
178 1 178 1 46 K047
179 1 179 1 17 K040

180 1 180 1 74 K047

181 1 181 1 24 K021


182 1 182 1 36 K040
183 1 183 1 72 K006

184 1 184 1 81 K006

185 1 185 1 15 K047


186 1 186 1 51 61 K006
187 1 187 1 21 K021
188 1 188 1 36 K047
189 1 189 1 16 K047
190 1 190 1 37 K047
191 1 191 1 85 K047
192 1 192 1 62 K006
193 1 193 1 84 K047
194 1 194 1 17 K041
195 1 195 1 14 K047
196 1 196 1 41 K041
197 1 197 1 16 K047
198 1 198 1 51 K047
199 1 199 1 64 K047
200 1 200 1 36 K047
201 1 201 1 52 K0NTROL
202 1 202 1 16 K047
203 1 203 1 47 K047
204 1 204 1 RB LUXASI
205 1 205 1 72 K006
206 1 206 1 25 K047
207 1 207 1 46 K047
208 1 208 1 46 K047
209 1 209 1 62 K006
210 1 210 1 51 K006
211 1 211 1 21 K021
212 1 212 1 36 K040
213 1 213 1 46 K047
214 1 214 1 47 K047
215 1 215 1 35 K041
216 1 216 1 61 62 K006
217 1 217 1 28 K047
218 1 218 1 38 K040
219 1 219 1 13 K047
220 1 220 1 75 K047
221 1 221 1 81 K006
222 1 222 1 61 K006
223 1 223 1 35 K047
224 1 224 1 81 K006
225 1 225 1 85 K041
226 1 226 1 27 K040

227 1 227 1 51 61 K047

228 1 228 1 37 K047

229 1 229 1 12 K047


230 1 230 1 45 K047
231 1 231 1 47 K047
232 1 232 1 61 K006
233 1 233 1 16 K047
234 1 234 1 74 K112
235 1 235 1 26 K041
236 1 236 1 47 K041
237 1 237 1 22 LUXASI
238 1 238 1 46 K040
239 1 239 1 51 K006
240 1 240 1 61 K006
241 1 241 1 47 K047
242 1 242 1 46 K047
243 1 243 1 46 K047
244 1 244 1 42 LUXASI
245 1 245 1 36 K047
246 1 246 1 16 K047
247 1 247 1 37 K047

248 1 248 1 51 K047

249 1 249 1 15 K047


250 1 250 1 16 K047
251 1 251 1 51 ULCUS
252 1 252 1 47 K047
253 1 253 1 11 K040
254 1 254 1 61 K006
255 1 255 1 71 K006
256 1 256 1 51 K006
257 1 257 1 51 K006
258 1 258 1 61 K006
259 1 259 1 61 K006
260 1 260 1 62 K006
261 1 261 1 81 K006
262 1 262 1 37 K047
263 1 263 1 46 K047
264 1 264 1 31 K032
265 1 265 1 43 K047

266 1 266 1 64 K047

267 1 267 1 65 74 K006


268 1 268 1 37 K041
269 1 269 1 37 K047
270 1 270 1 15 K047
271 1 271 1 36 K047
272 1 272 1 51 K006
273 1 273 1 46 K047
274 1 274 1 46 K040
275 1 275 1 36 K047
276 1 276 1 36 K040
277 1 277 1 72 K006
278 1 278 1 62 K006
279 1 279 1 36 K047
280 1 280 1 44 K040
281 1 281 1 16 K040
282 1 282 1 37 K047
283 1 283 1 36 K041
284 1 284 1 36 K047
285 1 285 1 26 K045

286 1 286 1 11 K041

287 1 287 1 61 K006


288 1 288 1 21 K040
289 1 289 1 26 K041

290 1 290 1 84 K040

291 1 291 1 17 K045


292 1 292 1 45 K047
293 1 293 1 16 K047
294 1 294 1 47 K047
295 1 295 1 36 K047
296 1 296 1 82 K006
297 1 297 1 46 K047
298 1 298 1 46 K040
299 1 299 1 46 47 K041
TOTAL 299 TOTAL 50 99 100 50
KETERANGAN

ABSES PERIAPRIKAL TANPA SINUS


ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
-
PULPITIS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS

ABSES PERIAPRIKAL TANPA SINUS


KONTROL
PERIODONTITIS PALIKASI KRONIS
ABSES PERIAPRIKAL TANPA SINUS

ABSES PERIAPRIKAL TANPA SINUS

PULPITIS
PULPITIS

NEKROSIS PULPA

DISTURBANCES IN TOOTH ERUPTION


DISTURBANCES IN TOOTH ERUPTION
EMBEDED TEETH
CARIES DENTINE
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
PULPITIS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
CARIES DENTINE
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
CARIES DENTINE
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS

PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
PULPITIS
PULPITIS
KONTROL
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
PERIODONTITIS PALIKASI KRONIS
PULPITIS
PULPITIS

PULPITIS
DISTURBANCES IN TOOTH ERUPTION

DISTURBANCES IN TOOTH ERUPTION


PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
EMBEDED TEETH
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS

NEKROSIS PULPA

ABSES PERIAPRIKAL TANPA SINUS


PULPITIS

ABSES PERIAPRIKAL TANPA SINUS


NEKROSIS PULPA
CARIES DENTINE
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS

PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
?
NEKROSIS PULPA
-
-
NEKROSIS PULPA
-
ABSES PERIAPRIKAL TANPA SINUS
-
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
IMPACTED TEETH
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
PULPITIS

PATHOLOGI REBORSI GIGI


ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL DI SINUS


NEKROSIS PULPA
SISA AKAR
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PULPITIS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS

DISTURBANCES IN TOOTH ERUPTION


PERIODONTITIS APIKALIS KRONIS
IMPACTED TEETH
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS

ABSESS PERIAPIKAL TANPA SINUS


CARIES DENTINE
PULPITIS
DISTURBANCES IN TOOTH ERUPTION

DISTURBANCES IN TOOTH ERUPTION


ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
CARIES DENTINE
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


ABSESS PERIAPIKAL TANPA SINUS

DISTURBANCES IN TOOTH ERUPTION


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
CARIES DENTINE
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
PULPITIS

ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
SIALOADENITIS
NEKROSIS PULPA
NEKROSIS PULPA

PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
LUKSASI GIGI
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL TANPA SINUS


DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
PERIODONTITIS APIKALIS KRONIS

NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
NEKROSIS PULPA

PULPITIS
PERIODONTITIS APIKALIS KRONIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN KUNJUNGAN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L P B

1 01 JULI 2016 4548 CANTIKA 7 1 1


2 01 JULI 2016 15630 INTAN 5 1
3 1 JULI 2016 6815 KOKO 45 1
4 1 JULI 2016 988 SUARNI 46 1
5 1 JULI 2016 1958 ABD. KHOIR 10 1 1
6 2 JULI 2016 4556 RINI 32 1 1
7 2 JULI 2016 4564 AISYAH 7 1 1
8 2 JULI 2016 4563 ASEP 47 1 1
9 2 JULI 2016 4569 TINI 38 1 1
10 2 JULI 2016 4465 DEVI 17 1
11 2 JULI 2016 4516 RIMA 20 1

12 4568 FAHMI 26 1 1
2 JULI 2016
13 2 JULI 2016 18975 DEN RAMADHAN 22 1
14 11 JULI 2016 7396 WILYA 9 1
15 11 JULI 2016 4612 FATHIR 6 1 1
16 11 JULI 2016 15761 NIA 33 1
17 11 JULI 2016 13332 VINA 18 1 1
18 11 JULI 2016 22881 YAYAT 48 1
19 11 JULI 2016 10565 ALYA 12 1

20 16788 NAURA 3 1
11 JULI 2016
21 11 JULI 2016 12940 NENENG 36 1
22 11 JULI 2016 19616 AMI 21 1 1
23 11 JULI 2016 IIS 22 1 1
24 11 JULI 2016 4624 SYIFA 25 1 1
25 11 JULI 2016 2936 NAYA 9 1
26 11 JULI 2016 4623 AAS 51 1 1
27 11 JULI 2016 29973 ENTIS 63 1 1
28 11 JULI 2016 ADE 44 1 1
29 11 JULI 2016 4615 NOVI 19 1 1
30 11 JULI 2016 4617 TRIA 24 1 1
31 11 JULI 2016 4625 NAELA 7 1 1
32 11 JULI 2016 4705 ISTI 9 1 1
33 11 JULI 2016 22187 BIANKA 6 1 1
34 11 JULI 2016 1277 ALKHA 1 1 1
35 11 JULI 2016 4582 IWIN 63 1 1
36 11 JULI 2016 6304 ROHMAT 5 1 1
37 11 JULI 2016 964 SATRIA 19 1
38 11 JULI 2016 1379 AULIA 5 1
39 11 JULI 2016 4575 EDIN 25 1 1
40 11 JULI 2016 23378 WARMIN 70 1
41 11 JULI 2016 4582 IWIN 63 1 1
42 11 JULI 2016 4588 M. ARIF 24 1 1

43 4590 HINKA 3.5 1 1


11 JULI 2016
44 11 JULI 2016 4594 M.ANDRE 6 1 1
45 11 JULI 2016 4563 ASEP 47 1
46 11 JULI 2016 4597 TINA 13 1 1
47 11 JULI 2016 4556 RINI 32 1
48 11 JULI 2016 DADANG 59 1 1
49 11 JULI 2016 WANTI 32 1 1
50 11 JULI 2016 IKA 37 1 1
51 11 JULI 2016 4603 NOVI 20 1 1
52 11 JULI 2016 3621 LUSI 23 1 1
53 11 JULI 2016 2070 IRHAM 18 1 1
54 11 JULI 2016 23268 WINDA 20 1
55 11 JULI 2016 23173 SEPTIANI 10 1 1
56 11 JULI 2016 21451 FARIN 18 1
57 11 JULI 2016 21711 JAMILUDIN 46 1
58 11 JULI 2016 20110 SINTA 18 1
59 11 JULI 2016 4244 GHINA 20 1 1
60 11 JULI 2016 DEDE 51 1 1
61 11 JULI 2016 23307 NANDAY 60 1
62 11 JULI 2016 2846 DEDE 38 1
63 11 JULI 2016 4267 ETI 47 1
64 11 JULI 2016 4879 RIKA 12 1 1
65 11 JULI 2016 4168 SARIP 43 1 1
66 11 JULI 2016 4302 ZIKIR 12 1 1
67 11 JULI 2016 3639 ENIH 47 1 1
68 11 JULI 2016 5897 AGNY 6 1
69 11 JULI 2016 4226 AGUS 56 1
70 11 JULI 2016 7798 NANO 69 1

71 4164 HUSNA 7 1 1
11 JULI 2016
72 11 JULI 2016 3639 ENIH 47 1
73 11 JULI 2016 1370 IVAN 9 1 1
74 11 JULI 2016 4166 NIKI 23 1 1
75 12 JULI 2016 16984 FARAH 16 1
76 12 JULI 2016 4631 ALI AKBAR 7 1 1
77 12 JULI 2016 17465 RIZKI 7 1 1
78 12 JULI 2016 20119 M. FAIZ 7 1
79 12 JULI 2016 429 ZALFA 7 1

80 HASAN 3 1 1
12 JULI 2016
81 12 JULI 2016 4632 IRMA 33 1 1
82 12 JULI 2016 3621 LUSI 23 1
83 12 JULI 2016 20842 DUSSY 48 1 1
84 12 JULI 2016 19519 LIEN 15 1 1
85 12 JULI 2016 10699 IDIH 40 1 1
86 12 JULI 2016 4640 JUN RIDWAN 51 1 1
87 12 JULI 2016 4642 VINI 24 1 1
88 12 JULI 2016 12231 DEA 6 1 1
89 12 JULI 2016 4641 IKA 36 1 1
90 12 JULI 2016 4309 M. MUSTAJAB 41 1 1
91 12 JULI 2016 4465 DEVI 17 1 1
92 12 JULI 2016 19332 NUNUNG 44 1 1
93 12 JULI 2016 2161 RESPATI 6.5 1 1
94 12 JULI 2016 2629 ENIH 47 1
95 12 JULI 2016 2829 DAIS 49 1
96 12 JULI 2016 21978 GITA 8 1 1
97 12 JULI 2016 1976 RICO 12 1 1
98 12 JULI 2016 9436 TATI 39 1 1
99 12 JULI 2016 4426 DEDE 63 1 1
100 12 JULI 2016 4425 CEP IMAN 7 1 1
101 12 JULI 2016 13425 RATIMI 53 1 1
102 12 JULI 2016 4431 TONI 27 1 1

103 4668 ANJA M ZAINUL 14 1 1


13 JULI 2016
104 13 JULI 2016 4665 NIA K 40 1 1
105 13 JULI 2016 6294 FITRIANI 4 1 1
106 13 JULI 2016 4556 RINI A 32 1
107 13 JULI 2016 3439 AZKIA A 5 1 1
108 13 JULI 2016 4659 SITI N 18 1 1
109 13 JULI 2016 4660 WILDAN 12 1 1
110 13 JULI 2016 20666 NAUVAL RIZKI 10 1
111 13 JULI 2016 3299 KOKOM 37 1
112 13 JULI 2016 4661 ENCENG 43 1 1
113 13 JULI 2016 20318 KALISA 6.5 1
114 13 JULI 2016 4644 ALSA 11 1 1
115 13 JULI 2016 4658 NURANI 49 1 1
116 13 JULI 2016 671 NIA 47 1 1
117 13 JULI 2016 1330 INTAN 12 1 1
118 13 JULI 2016 19116 NAJWA 8 1
119 13 JULI 2016 20120 FAKHRI 16 1 1
120 13 JULI 2016 3346 NANI H 41 1
121 13 JULI 2016 21479 MARIA 21 1
122 13 JULI 2016 21478 MARINY 20 1
123 13 JULI 2016 23269 TALITA 7 1
124 13 JULI 2016 4435 NUR AYU 17 1 1
125 13 JULI 2016 2904 REMA 32 1
126 13 JULI 2016 4166 NIKI 23 1
127 13 JULI 2016 928 MEYRA 69 1
128 13 JULI 2016 23102 ANINDIA 5 1 1
129 14 JULI 2016 4691 ANIN 7 1 1
130 14 JULI 2016 14306 NADA 6 1 1
131 14 JULI 2016 4697 SRI 35 1 1
132 14 JULI 2016 4698 IDA 23 1 1
133 14 JULI 2016 19341 SABILA 9 1 1
134 14 JULI 2016 4701 QUEEN 7 1 1
135 14 JULI 2016 4689 DADANG 40 1 1
136 14 JULI 2016 4674 NISA 17 1 1
137 14 JULI 2016 21316 REYHAN 6 1
138 14 JULI 2016 13332 VUNA 16 1
139 14 JULI 2016 4679 TISNA 7 1 1
140 14 JULI 2016 6302 BINTANG 5 1 1
141 14 JULI 2016 1219 ALPI 10 1
142 14 JULI 2016 3992 MARWAH 8 1 1
143 14 JULI 2016 4690 KEISHA 12 1 1
144 14 JULI 2016 2372 RENA 9 1 1
145 14 JULI 2016 3967 REVAN 6 1 1
146 14 JULI 2016 11769 ADELA 10 1 1
147 14 JULI 2016 23268 WINDA 19 1
148 14 JULI 2016 7771 ZAKI 12 1 1
149 14 JULI 2016 FARIDAH 19 1
150 14 JULI 2016 FATHAN 20 1
151 14 JULI 2016 4446 UMAR 46 1 1
152 14 JULI 2016 3421 RESTI 15 1 1
153 14 JULI 2016 12739 IMAY 20 1 1
154 14 JULI 2016 5 SUTINAH 50 1
155 14 JULI 2016 23046 AGUNG 28 1
156 15 JULI 2016 10770 TITING 35 1 1
157 15 JULI 2016 8570 TITAN 12 1 1
158 15 JULI 2016 4709 IKIN 53 1 1
159 15 JULI 2016 4665 NIA 40 1
160 15 JULI 2016 4707 ISPA 11 1 1
161 15 JULI 2016 4708 FILZA 5 1 1
162 15 JULI 2016 20119 M FAIZ 7 1
163 15 JULI 2016 19519 LIEN 16 1 1
164 15 JULI 2016 14296 PUTRI 7 1 1
165 15 JULI 2016 4632 IRMA 33 1

166 1976 RICO 12 1


15 JULI 2016
167 15 JULI 2016 22398 SAFA 6 1
168 15 JULI 2016 3442 FITRIANI 26 1 1
169 15 JULI 2016 4309 M. MUSTAJAB 41 1
170 15 JULI 2016 2904 RIMA 32 1
171 15 JULI 2016 12856 PIPIT 12 1
172 15 JULI 2016 13115 DEDEH 48 1 1
173 15 JULI 2016 19186 NISA 19 1 1
174 16 JULI 2016 4721 CUCU 39 1 1
175 16 JULI 2016 4641 IKA 36 1
176 16 JULI 2016 4623 AAS 51 1
177 16 JULI 2016 4465 DEVI 17 1
178 16 JULI 2016 4668 ANJA M ZAINUL 14 1
179 16 JULI 2016 4615 NUVI 19 1
180 16 JULI 2016 4501 M. FAZZIRA 12 1
181 16 JULI 2016 15073 AMEL 6 1
182 16 JULI 2016 8527 ILHAM 9 1 1
183 16 JULI 2016 5783 CANTIKA 10 1
184 16 JULI 2016 3103 ASYIFA 11 1
185 16 JULI 2016 ANDRI 12 1 1
186 16 JULI 2016 3630 RIFKI 9 1
187 16 JULI 2016 3633 TIA 7 1 1
188 16 JULI 2016 2372 RENA 9.5 1
189 16 JULI 2016 4640 JUN 51 1
190 16 JULI 2016 3346 NENI 41 1
191 16 JULI 2016 23173 SEPTIAN 10 1
192 16 JULI 2016 20560 S. ILAM 15 1 1
193 16 JULI 2016 22163 JUHARAFNI 21 1 1
194 16 JULI 2016 1986 SERA 14 1
195 16 JULI 2016 2849 DEDE 39 1
196 16 JULI 2016 1370 EVAN 10 1
197 16 JULI 2016 5010 ARI 21 1 1
198 16 JULI 2016 19090 SANTI 17 1
199 16 JULI 2016 4636 ENAH 47 1 1
200 16 JULI 2016 1 RAFKA 7.5 1 1
201 16 JULI 2016 3443 KIKI 13 1 1
202 18 JULI 2016 RADIKA 6 1 1
203 18 JULI 2016 611 NANDI 32 1
204 18 JULI 2016 4739 HANA 5 1 1
205 18 JULI 2016 7382 DEDI 44 1
206 18 JULI 2016 4735 YUYUN 43 1 1
207 18 JULI 2016 11094 KANAYA 3 1 1
208 18 JULI 2016 4697 SRI ANDAYANI 35 1
209 18 JULI 2016 4738 SITI ELISA 30 1 1
210 18 JULI 2016 4734 HENDARSAH 60 1 1
211 18 JULI 2016 11811 JUHANAH 57 1 1
212 18 JULI 2016 9080 PANDU 6 1
213 18 JULI 2016 4747 ANISA 24 1 1
214 18 JULI 2016 4749 YANYAN 39 1 1
215 18 JULI 2016 3841 SYIFA 7 1
216 18 JULI 2016 4744 AIMAN RIFA 8 1 1
217 18 JULI 2016 4743 NANA 45 1 1
218 18 JULI 2016 4698 IDA ROSIDA 23 1
219 18 JULI 2016 4750 TITAN 5 1 1
220 18 JULI 2016 4746 BAYU 6 1 1
221 18 JULI 2016 4727 MARLINA 40 1 1
222 18 JULI 2016 4740 ANISA 2 1 1
223 18 JULI 2016 4741 ROFIZAL 70 1 1
224 18 JULI 2016 18471 NAISYA 4 1
225 18 JULI 2016 20120 FAKHRI 16 1
226 18 JULI 2016 1 FIAN 28 1
227 18 JULI 2016 23096 AGUNG M 27 1
228 18 JULI 2016 1642 ALWAN 17 1
229 18 JULI 2016 6182 RIZKI 4 1
230 18 JULI 2016 13333 UUN 54 1
231 19 JULI 2016 4752 NURYENI 34 1 1
232 19 JULI 2016 4751 ALIF 15 1 1
233 19 JULI 2016 11919 SITI KOMARIAH 30 1 1
234 19 JULI 2016 4758 SULAEMAN 1.5 1 1
235 19 JULI 2016 4765 DIKA 4 1 1
236 19 JULI 2016 4763 JUARIAH 56 1 1

237 4632 IRMA 33 1


19 JULI 2016
238 19 JULI 2016 4766 IFFA 7 1 1
239 19 JULI 2016 3737 KALYSA 7 1 1
240 19 JULI 2016 FARIDAH 19 1 1
241 19 JULI 2016 4277 NENDEN 59 1 1
242 19 JULI 2016 5040 NIA 34 1 1
243 19 JULI 2016 3422 CEP RAKA 6 1 1
244 20 JULI 2016 1700 SUCIPTO 54 1 1
245 20 JULI 2016 7676 SUKARTINI 40 1 1
246 20 JULI 2016 12370 ECIH 48 1 1
247 20 JULI 2016 3951 AI N 20 1 1
248 20 JULI 2016 2568 IKIN 43 1
249 20 JULI 2016 4775 YUSI 15 1 1
250 20 JULI 2016 452 OYON 62 1 1
251 20 JULI 2016 9949 REZKI 4 1 1
252 20 JULI 2016 2034 SOYIPAH 17 1
253 20 JULI 2016 1896 HAIKAL 8 1 1
254 20 JULI 2016 15130 DINA 7 1
255 20 JULI 2016 20083 GAIDA 18 1
256 20 JULI 2016 23307 NENDAY 60 1
257 20 JULI 2016 19090 SANTI 16 1
258 20 JULI 2016 5043 KARYO 64 1 1
259 20 JULI 2016 5049 MIMIN 52 1 1
260 20 JULI 2016 5046 ILMAN 20 1 1
261 20 JULI 2016 19552 EMID 52 1 1
262 20 JULI 2016 12168 JUJU 45 1
263 20 JULI 2016 7113 NAUVAL 9 1
264 20 JULI 2016 3443 KIKI 13 1
265 21 JULI 2016 4784 AYUNAH 43 1 1
266 21 JULI 2016 17903 AEP 22 1 1
267 21 JULI 2016 611 NANDI 32 1
268 21 JULI 2016 4789 EMPAT 50 1 1
269 21 JULI 2016 4749 YUSI 17 1 1
270 21 JULI 2016 4804 ANI SITI 21 1 1
271 21 JULI 2016 4803 GANGAN 10 1 1
272 21 JULI 2016 4800 DAFA 4 1 1
273 21 JULI 2016 4786 ENI R 52 1 1
274 21 JULI 2016 20110 SINTA NUR 17 1
275 21 JULI 2016 12378 NADI 64 1 1
276 21 JULI 2016 12511 HJ. KUSMINI 50 1
277 21 JULI 2016 9144 UJANG 66 1 1
278 21 JULI 2016 7008 TINI 32 1 1
279 21 JULI 2016 12755 NINA 46 1 1
280 22 JULI 2016 4833 WULAN 12 1 1
281 22 JULI 2016 4205 YUSNIAH 36 1 1
282 22 JULI 2016 4832 CECEM 59 1 1
283 22 JULI 2016 10397 UNASITI 70 1 1
284 22 JULI 2016 22021 RIFAN 14 1
285 22 JULI 2016 3045 IMAM 17 1
286 22 JULI 2016 4823 KARNA 63 1 1
287 22 JULI 2016 4752 NURYANI 34 1
288 22 JULI 2016 4817 ARFAD 11 1 1
289 22 JULI 2016 4819 LILIS 27 1 1
290 22 JULI 2016 748 CUCU AYU 7 1 1
291 22 JULI 2016 4751 ALIT Y 15 1
292 22 JULI 2016 4822 INA L 17 1 1
293 22 JULI 2016 4821 DE PITRI 7 1 1
294 22 JULI 2016 4829 INTAN 6.5 1 1
295 22 JULI 2016 4831 JEJEN 31 1 1
296 22 JULI 2016 SRI REJEKI 35 1 1
297 22 JULI 2016 166041513 M. SYARIF 7 1 1
298 22 JULI 2016 5790 ROKIAH 42 1
299 22 JULI 2016 12453 YAYAT 38 1 1
300 22 JULI 2016 7223 ANDITO 9 1
301 22 JULI 2016 6782 HAZAZ 3 1
302 22 JULI 2016 3211 HILDA 18 1
303 22 JULI 2016 19196 IHAT 24 1 1
304 22 JULI 2016 1333 UUN 54 1
305 23 JULI 2016 4834 ASRAF 35 1 1
306 23 JULI 2016 2568 IKIN 43 1
307 23 JULI 2016 7113 NAUFAL 10 1
308 23 JULI 2016 10443 RIZAL 10 1
309 23 JULI 2016 7676 SUKARTINI 40 1
310 23 JULI 2016 4763 JUARIAH 56 1
311 23 JULI 2016 4844 MURTININGSIH 62 1 1
312 23 JULI 2016 20083 GAIDA 19 1
313 23 JULI 2016 19199 SALEH 63 1 1
314 23 JULI 2016 1451 GILANG 47 1
315 23 JULI 2016 8914 IDAH 33 1 1
316 23 JULI 2016 ASEP 56 1
317 23 JULI 2016 2904 HOLID 5 1
318 23 JULI 2016 TETI 44 1 1
319 23 JULI 2016 5066 BAKRI 68 1 1
320 23 JULI 2016 5067 ZIDAN 6 1 1
321 23 JULI 2016 5070 ST MUTMAINAH 24 1 1
322 23 JULI 2016 17539 EMID 56 1
323 23 JULI 2016 1 FIAN 28 1
324 25 JULI 2016 DEDE 32 1 1
325 25 JULI 2016 12997 RAFI 4 1
326 25 JULI 2016 10408 ZAHRA 2 1 1
327 25 JULI 2016 4055 FEBRIANSYAH 10 1
328 25 JULI 2016 4866 SITI 25 1 1
329 25 JULI 2016 4831 JEJEN 41 1
330 25 JULI 2016 2912 TIRAMA 44 1 1
331 25 JULI 2016 2465 YEYEN 34 1
332 25 JULI 2016 4859 SITI NURI 7 1 1
333 25 JULI 2016 4870 FAUZIA 2.5 1 1
334 25 JULI 2016 4857 ANISA 15 1 1
335 25 JULI 2016 4856 ALFAN 6.5 1 1
336 25 JULI 2016 189 ZAFAR 6 1 1
337 25 JULI 2016 12761 LIA 40 1
338 25 JULI 2016 10860 FEMY 19 1 1
339 25 JULI 2016 18109 KARIN 6 1 1
340 25 JULI 2016 5026 EGI 24 1 1
341 25 JULI 2016 17539 EMI 57 1
342 26 JULI 2016 4875 FAJRI 9 1 1
343 26 JULI 2016 4878 ENGKUS 57 1 1
344 26 JULI 2016 4881 HJ. AI 54 1 1
345 26 JULI 2016 4883 ENDANG 48 1 1
346 26 JULI 2016 4177 IMAS 23 1
347 26 JULI 2016 4819 LILIS 27 1
348 26 JULI 2016 611 NONDI 32 1
349 26 JULI 2016 4881 IIS 44 1 1
350 26 JULI 2016 4892 SOPIA 8 1 1
351 26 JULI 2016 4893 MILA 6 1 1
352 26 JULI 2016 SRI 49 1 1
353 26 JULI 2016 4610 NAZARUDIN 36 1 1
354 26 JULI 2016 18661 NONOH 60 1
355 26 JULI 2016 19199 SALEH 63 1
356 26 JULI 2016 9628 ICIH 65 1
357 26 JULI 2016 5066 BAHRI 68 1
358 27 JULI 2016 14214 SALWA 9 1 1
359 27 JULI 2016 AGUS 53 1 1
360 27 JULI 2016 10397 UNASIH 72 1
361 27 JULI 2016 4896 SYAKINA 7 1 1
362 27 JULI 2016 4904 WAWAN 52 1 1
363 27 JULI 2016 4908 M. DAFA 7 1 1
364 27 JULI 2016 18918 NABIL 5.5 1 1
365 27 JULI 2016 4911 RAHMAWATI 37 1 1
366 27 JULI 2016 13422 OOM 67 1
367 27 JULI 2016 1629 R. TINI 44 1
368 27 JULI 2016 4844 MURTININGSIH 62 1
369 27 JULI 2016 23837 RATU 8 1
370 27 JULI 2016 4896 ALIP 6.5 1 1
371 27 JULI 2016 19109 EUIS 56 1
372 27 JULI 2016 11015 HAMIDAH 43 1 1
373 27 JULI 2016 5088 TEGUH 22 1 1
374 27 JULI 2016 4353 ROHAYATI 44 1 1
375 27 JULI 2016 5089 IWAN 34 1 1
376 27 JULI 2016 7757 ILHAM 20 1 1
377 28 JULI 2016 4937 M. RAFI 7 1 1
378 28 JULI 2016 4940 RENDI 36 1 1
379 28 JULI 2016 4934 M. SAHAL 5.5 1 1
380 28 JULI 2016 4866 SITI 25 1
381 28 JULI 2016 4932 ANISA 24 1 1
382 28 JULI 2016 2063 YOGA 21 1
383 28 JULI 2016 4923 RIZKY 5 1 1
384 28 JULI 2016 4928 YAYAH 30 1 1
385 28 JULI 2016 4920 NANANG 25 1 1
386 28 JULI 2016 22371 ILHAM 8 1
387 28 JULI 2016 1356 EUIS 59 1
388 28 JULI 2016 50 RESTU 17 1
389 28 JULI 2016 22359 ANI 49 1 1
390 28 JULI 2016 5911 DENI 2 1 1
391 28 JULI 2016 12500 ENTO S 36 1 1
392 28 JULI 2016 5026 EGI 24 1
393 29 JULI 2016 4959 MAYA 28 1 1
394 29 JULI 2016 4956 ELIS N 18 1 1
395 29 JULI 2016 4875 FAJRI 9 1
396 29 JULI 2016 4958 WASIAH 43 1 1
397 29 JULI 2016 4952 MARIAH 53 1 1
398 29 JULI 2016 4920 NANANG 25 1 1
399 29 JULI 2016 4954 ABDUL 41 1 1
400 29 JULI 2016 4961 NANI 12 1 1
401 29 JULI 2016 2320 YASIL 3 1
402 29 JULI 2016 4964 CICI 12 1 1
403 29 JULI 2016 7995 YULI 22 1 1
404 29 JULI 2016 4966 DADANG 67 1 1
405 29 JULI 2016 4965 NAZWA 8 1 1
406 29 JULI 2016 4817 ARFAD 11 1
407 29 JULI 2016 7194 YETI 55 1
408 29 JULI 2016 9628 ICIH 68 1
409 29 JULI 2016 3417 RAISYA 7 1
410 29 JULI 2016 19882 DEDE 40 1 1
411 29 JULI 2016 4323 KHALISAN 7 1 1
412 29 JULI 2016 4618 SYAKIRA 6 1 1
413 30 JULI 2016 4969 SALRI 46 1 1
414 30 JULI 2016 4970 SUCI 18 1 1
415 30 JULI 2016 447 FANIA 7 1
416 30 JULI 2016 4177 IMAS 23 1
417 30 JULI 2016 10443 RIZAL 10 1
418 30 JULI 2016 4908 M. DAFA 7 1
419 30 JULI 2016 18311 NAILA 9 1
420 30 JULI 2016 4974 ISRI 11 1 1
421 30 JULI 2016 50 RESTU 18 1
422 30 JULI 2016 4622 GALUH 17 1 1
423 30 JULI 2016 8284 IRA 53 1
424 30 JULI 2016 12378 NADI 64 1
425 30 JULI 2016 5070 SITI 24 1
426 30 JULI 2016 4353 ROHAYATI 44 1
427 30 JULI 2016 6814 TUTI 42 1
428 30 JULI 2016 5088 TEGUH 22 1
TOTAL 168 260 258

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS JULI 2017 JUMLAH
NO TINDAKAN JUMLAH
1 TT 74
0%
2% 9%
2 TS 0
3 P.PULP 315
4 EXT.TTP 1514 31%
5 EXT.SLG 5149 58%
6 CALL 1
0%
7 PREM 9820
8 LL 0
JUMLAH 16873
KUNJUNGAN ALAMAT
NAMA
KK/INDEKS
L CIAMIS KERTASARI CIGEMBOR BENTENG

1
1
1 1

1
1
1
1
1 1
1 1

1 1
1 1
1
1
1
1 1
1 1

1 1

1 1
1

1 1
1

1
1

1
1
1

1 1
1
1
1 1
1
1

1 1

1 1

1
1
1
1
1
1 1
1
1
1
1
1

1 1
1 1
1

1
1
1
1 1

1
1 1
1

1
1
1

1
1 1
1
1
1

1 1
1

1 1
1

1
1

1
1
1 1

1 1
1 1
1 1
1 1
1
1 1
1 1
1 1

1
1
1

1
1 1

1
1

1
1

1
1
1
1 1
1
1
1
1 1
1 1

1
1
1

1 1

1 1

1
1
1
1
1 1

1
1
1 1
1
1
1
1
1
1 1
1 1

1 1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1
1 1

1
1
1 1

1
1

1
1

1
1
1
1
1 1
1
1
1
1

1
1

1
1 1
1
1 1
1
1
1
1
1 1
1 1
1 1

1
1

1
1 1

1 1
1
1
1

1
1 1

1
1
1 1
1
1 1
1 1
1

1
1
1
1 1
1
1 1
1

1 1
1
1
1
1
1 1
1

1 1
1

1
1
1

1
1
1

1 1
1
1
1
1 1
1

1
1
1

1
1
1 1
1 1
1

1
1
1
1 1
1
1 1

1
1
1
1 1
1
1 1
1
1

1
1
1

1 1

1 1

1 1
1
1

1
1 1
1 1
1 1

1
1
1
1
1

1
1 1
1
1
1
1 1
1 1
170 113 40 13 24

JUMLAH

TT
0%
2% 9% TS
P.PULP
EXT.TTP
31% EXT.SLG
CALL
PREM
0% LL
BULAN : JULI
PUSKESMAS: CIAMIS

ALAMAT

UMUM
LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1 1
1 1
1 1
1
1
1
1
1
1
1
1

1 1

1
1
1 1
1
1
1

1
1
1 1
1 1
1
1
1 1
1 1
1 1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1

1 1

1 1
1
1 1
1
1 1
1 1
1 1
1 1
1 1

1
1

1
1
1
1

1
1

1
1 1
1
1
1 1

1 1
1 1
1 1
1 1
1 1
1
1 1
1
1
1 1
1 1

1
1

1
1

1 1

1 1
1 1
1
1
1 1
1 1
1
1 1
1 1
1 1
1
1 1

1
1 1
1
1 1
1 1
1
1
1
1 1
1 1
1
1 1
1
1 1
1 1
1
1
1 1
1
1

1 1
1
1
1 1
1 1
1 1
1
1 1
1 1
1 1

1
1

1
1
1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1
1

1
1

1
1
1 1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
1

1
1
1
1 1
1 1
1 1
1
1 1
1 1

1 1

1 1
1 1
1

1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1

1 1
1
1 1
1 1
1 1
1 1
1
1 1
1

1
1 1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1

1
1
1
1
1 1
1
1 1
1
1 1
1 1

1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1

1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1

1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1

1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1

1 1
1 1
1
1 1
1
1 1
1 1
1 1
1
1
1
1 1
1 1
1 1

1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1

24 29 32 153 264
BPJS PEM FISIK TD

UMUM
PNS PBI (APBN) MANDIRI BB TB SISTOL

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
264 65 67 23 0 0 0
TD DIAGNOSA ICD X

KELUHAN TERAPI
DIASTOL CARIES K.PUL K. PD PERST LL K.004 K.021

71 K006 EKS 71 P. Bc 71
51 K006 EKS 51 51
21 K041 EKS 21
47 K047 A. P. Vc
62 K006 EKS 62 62
46 K047 A. P. Vc 46
61 K047 A. P 3x1/2 61
36 K047 A. P. Vc 36
46 K041 A. P 46
46 K040 Devit+TS 46
36 K041 EKS 36

36 K040 Thian. P. Peha 38

15 K040 A. P 15
64 K047 A. P
81 K006 A. P 81
18 K047 A. P. Vc 18
36 K047 A. P. Dx 36
27 K044 A. P. Vc 27
36 K040 A. P
Cefa Syr P.
51 K047 Syr
48 K041 A. P
36 K047 A. P. Vc 36
36 K041 A. P 36
16 K047 A. P. Dx 16
65 K047 A. P 65
34 K047 A. P. Vc 34
38 K010 A. P. Vc 38
27 K040 CHKM+TS 27
46 K040 Devit+TS 46
36 K083 EKS 36 A. P 36
51 K006 EKS 51 51
51 K006 EKS 51 51
64 K047 Cefa Pct 64
84 K047 Cefa Pct 84
44 K041 A. P. Pc 44
72 K006 P 72
61 K006 EKS 61 A. P 61
74 K040 P 74
36 K047 V. P D 36
36 K047 A. P. Vc 36
44 K047 A. P. Vc 44
46 K040 A. P. Ctm 46

74 K040 Cefa Syr P. 74


Syr
55 K040 A Syr. P. Syr 55
36 K041 EKS 36
54 K046 EKS 54 54
46 K047 A. P. Vc
23 K047 A. P. Dx 23
37 K041 A. P. D 37
46 K047 A. P. Bi 46
21 K047 A. P. D 21
15 K047 A. P. Vc 15
RB K036 RUJUK RB
26 K041 EKS
11 K047 A. P. Vc 11
53 K006 Konsul 53
47 K040 T. TETAP
38 K010 A. P. Vc 38
36 K041 EKS 36 A. P 36
33 K047 A. P. Vc 33
48 K011 RUJUK 48
34 K047 V. P. VC 34
26 K041 A. P. Vc 26
62 K006 EKS 62 Pct 62
28 K041 A. P 28
11 K081 Konsul 11
46 K047 V. P. D 46
33 K006 A. P 33
43 K083 A. P. Vc 43 44
47 K022 A. P 47

71 81 K006 Multivitamin 71 81

46 K047 A. P. Vc 46
36 K047 A. P. Vc 36
46 K047 A. P. Vc 46
46 K040 T. TETAP
83 K006 EKS 83 83
81 K006 EKS 81 81
51 K006 EKS 51 51
51 K006 EKS 51 51

51 K047 Cefa Syr P. 51


Syr
14 K047 A. P. Vc 14
15 K047 A. P
45 K047 A. P. Vc 45
46 K047 A. P. Vc 46
K120 A. P. Vc 1
16 K047 A. P. Dx 16
36 K083 EKS 36 A. P 36
54 K047 A. P. Vc 54
46 K040 A. P 46
16 K047 A. P. Vit C 16
46 K040 Tkf 46
16 K047 A. P. Vit C 16
61 K006 P. Pct 61
46 K047 A. P. Vit C
31 K040 RUJUK 31
72 K006 72
37 K047 A. P. Vit C 36
48 K047 A. P 48
45 K047 A. P. Vit C 45
83 K006 P 83
46 K047 A. P. Vit C 46
48 K047 A. P. Vit C 48

16 K040 Devit+A. P. Bc 16

17 K047 A. P. Ctm 17
51 K006 P. A 51
46 47 K047 A. P. Vc 46 47
81 K006 P 81
47 K041 A. P 47
36 K047 A. P 36
74 K006 M 74
18 K053 V. P. Vc 18
37 K047 A. P. Vc 37
72 K006 P 72
46 K040 A. P. Vc 46
36 K032 A. P 36
38 K047 A. P. Vc 38
11 21 K021 RUJUK RSU 11 21 1
83 K006 P 83
46 47 K021 A. TT. ART 46 47 1
38 K041 A. P. Amlo 38
46 K047 RUJUK RSU 46
38 K040 RUJUK RSU 38
72 K006 P 72
11 21 K040 RUJUK RSU 11 21
38 K053 V. P. Vc 38
46 K047 RUJUK RSU 46
51 K006 P 51
71 K006 Multi 71
71 K006 Pct 71
61 K006 Pct 61
36 K047 A. P. Vit C 36
27 K047 A. P. Vit C 27
85 K047 A. P. Vit C 85
62 K006 A. P. Vit C 62
37 K047 A. P. Ctm 37
22 K047 A. P. Vit C 22
82 K006 P 82
36 K041 A. P
45 K041 A. P 45
84 K006 A. P 84
64 K006 A. P 64
84 K006 A. P 84
11 K047 A. P. Vit C 11
84 K047 P 84
85 K047 P 85
74 K006 Pct 74
46 K041 RJ 46
36 K047 A. P. Vit C 36
38 K011 RJ 38
48 K011 RJ 48
16 K041 A. P. Bi 16
46 K047 A. P. Vit C 46
36 K047 A. P. Vit C 36
25 K040 A. P. Vit C 25
18 K011 RJ 18
46 K047 A. P. Vc 46
21 K062 A. P. Bc 21
46 K047 A. P. Vc 46
17 K041 A. P. Ctm
53 K006 EKS 53 53
71 K006 EKS 71 71
51 K006 EKS 51 51
46 K047 A. P. Vc 46
46 K010 A. P 46
14 K047 A. P. Vit

46 K040 Devit+TS A. P

51 K006 EKS 51 Bc 51
37 K040 RUJUK 37
16 K041 EKS 16 V. P
RB K036 RUJUK RB
85 K006 EKS 85 85
35 K041 EKS 35 35
46 K047 V. P. Dx 46
26 28 K047 V. P. Ctm 26
46 K041 Cefa Rah
34 K041 A. P. Capt
46 K040 T. TETAP
16 K040 CHKM+TS
46 K040 CHKM+TS
52 K006 EKS 52 52
74 K006 EKS 74 74
51 K006 EKS 51 51
75 K047 P. Bc 75
46 K047 A. P. Bc 46
46 K047 A. P. Dx 46
63 K006 EKS 63 63
81 K006 EKS 81 81
54 K006 EKS 54 54
16 K047 A. P. Vc
48 K047 A. P. Ctm 48
11 K021 RUJUK 1
RB K036 RUJUK RB
RB K036 RUJUK RB
36 K040 KONTROL
34 K047 A. P. Amlo Bi
36 K040 RUJUK
11 K021 RUJUK 11 1
46 K047 A. P. Vc 46
28 K047 V. P. Ctm 28
71 81 K006 EKS 71 81 71 81
36 K040 Devit+TS 36
61 K006 Pat 61
16 K047 A. P. d 16
71 K006 A. P 71
46 K047 A. P. Ctm 46
16 K041 A. P. Vc 16
81 K006 A. P 81
45 K047 A. P. Vc 45
36 K047 A. P. Vc 36
41 K047 A. P. Ctm 41
38 K011 A. P. Vc 38
51 K006 A. P. Vit. Bc 51
48 K011 A. P. Vc 48
38 K011 A. P. Vc 38
71 K006 P. Bc 71
11 K011 A. P. Vc 11
41 K047 A. P. Vc 41
22 K047 A. P. Vc 22
75 K040 Cp 75
61 K006 P 61
14 K047 A. P. Vc 14
85 K047 85
38 K047 A. P. Vc 38
51 K006 P 51
Konsultasi KONTROL
27 K047 A. P. Vc 27
38 K011 RJK RSU 38
18 K040 RJK RSU 18
81 K006 P 81
48 K047 A. P. Ctm 48
37 K047 A. P. Dx 37
15 K047 A. P. Vc 15
38 K010 V. Ant. P. Dx 38
51 K040 Cefa P 51
54 K040 54
46 K053 A. P. Vc 46

14 K041 EKS 14 V. P.
Vc
71 K006 EKS 71 71
51 K041 A. P 51
K011 RUJUK 1
44 K047 A. P. Vc 28
28 K047 A. P. Dx 44
81 K006 EKS 81 81
27 K047 A. P. Vc 27
25 K047 A. P. Vc 25
26 K047 A. P. Ctm 26
46 K047 A. P. Vc 46
36 K047 A. P. Vc 36
36 K089 36
21 K046 A. P. Vc 21
61 K047 Cefa P. Vit 61
35 K040 Devit+TS A. P 35
61 K006 EKS 61 61
51 K006 EKS 51 1. P 51
37 K047 A. P. D
RB K036 RUJUK RB
45 K041 RUJUK
46 K041 A. P. Vc 46
16 K047 A. P. Ctm 16
26 K041 RUJUK 26
47 K047 RUJUK 47
21 K021 RUJUK 1
46 K047 A. P. Bc 46
36 K040 TKF+TS
40 K041 A. P. Bc 46
18 K041 A. P. Bc 18
28 K083 A. P. Vc 28
16 K083 A. P. Vc 16
36 K047 A. P. d 36
45 K047 A. P. d 45
54 K006 P 54
84 K040 Cefa 84
26 K046 A. P. Vc 26
38 K011 RUJUK
34 K041 A. P 34
RB K036 RUJUK RB
? 1
16 K047 A. P 16
31 K040 RUJUK 31
21 K047 A. P 21
38 K041 A. P 38
28 K047 A. P. Vc 28
18 K047 A. P. Vc 18
85 K006 P 85
65 K006 A.P. Bc 65
21 K055 V. P. Vc 21
37 K041 A. P. Vc 37
46 K040 Devit A. P 46
27 K047 A. P. Vc 27
71 K006 P 71
15 K041 A. P. Vc 15
37 K040 Multivitamin 37
71 K006 KONTROL Vc 71
84 K041 P 84
17 K041 A. P. Vc 17
36 K040 RJK RSU 36
75 K006 75 K006 75
14 K047 V.P. d 14
26 K041 A. P. d 26
54 K006 P 54
71 K006 P 71
46 K041 RJK RSU 46
36 K021 Multivitamin 36 1
48 K047 A. P. Ctm 48
38 K010 V. P. Bi 38
36 K046 A. P. Vc
85 K041 A. P 85
83 K047 A. P 83
28 K041 A. P. Bc 28
46 K041 A. P. Vc
24 K041 EKS 24 24
38 K041 RUJUK RSU 38
26 K047 A. P. Bi 26
38 K047 A. P. Vc
17 K047 A. P. Vc 17
38 48 K021 T. TETAP 38 48 1
28 K047 RUJUK
24 K040 A. P. Bi 24
47 K041 A. P. Bc 47
51 52 K006 EKS 51 52 51 52
14 K041 A. P 14
26 K041 V. P. Ctm 26
27 K047 A. P. Vc
46 K047 A. P. Vc 46
84 K047 A. P 84
61 K046 Cefa. P 61
46 K041 A. P. Bc 46
36 K047 A. P. Vc 36
17 K046 A. M. Vc
21 K041 A. P. Vc 21
16 K040 A. P. Vc 16
36 K040 Cefa. P 36
51 K046 Cotri. P 51
37 K040 A. P 37
61 K006 EKS 61 61
51 K006 EKS 51 51
44 K040 RUJUK PB 44
37 K040 RUJUK PB 37
85 K040 A. P. Vc 85
48 K047 V. I. Vc 48
26 K040 RUJUK
36 K045 A. P. Bc 36
15 K047 A. P. Bi 15
37 K046 V. P. Vc 37
38 K047 A. P D 38
46 K040 Devit+TS
27 K041 EKS 27 A. P. Vc
16 K041 EKS 16 V. P. Dx
31 K040 EKS 31 A. P. Dx 31
61 K006 EKS 61 A. P. Bc 61
51 K006 EKS 51 Bc 51
35 K040 RUJUK 35
16 K045 V. P. Dx 16
34 K046 A. P. Vc
26 K041 EKS 26 A. P
34 K040 V. P. Vc 34
47 K041 EKS 47 A. P. Dx
51 K006 Pct V 51
26 K047 A. P. Bi 26
18 K047 A. P. Vit
84 K040 A. P 84
37 K047 A. P. Vc 37
61 K006 A. P 61
84 K047 A. P. Dx 84
11 K040 A. P 11
44 K041 EKS 44 44
26 K041 EKS 26 A. P 26
24 K041 EKS 24 A. P. Vc
72 K006 EKS 72 72
81 K006 EKS 81 81
24 K040 Devit+TS 24
18 K046 V. P. Ctm 18
16 K040 A. P 16
36 K047 A. P. Bi 36
34 K041 A. P 34
46 K041 RUJUK 46
71 K006 EXT Pc 71
36 K040 A. P 36
51 K006 EXT A. P 51
36 K041 EXT A. P
46 K047 A. P 46
36 K040 A. P. Vi C
74 K047 A. P. Bc 74
37 K046 A. P. Vit C 37
36 K040 A. P. Vc 36
61 K006 A. P 61
27 K041 RJK RSU
14 K045 A. P. D
16 K041 A. P 16
61 K006 EXT Pc 61
46 K047 A. P. C 46
48 K041 RJK RSU
48 K047 A. P. Vc 48
44 K047 A. P. Vc 44
75 K046 A. P 75
46 K047 A. P. Vc 46
46 K047 A. P. Vc GG 46
36 K040 A. P. Vc 36
46 K040 Devit+TS A. P 46
37 K047 A. P. Vc 37
74 K047 A. P
46 K047 A. P. Vc 46
36 K047 A. P. Dx 36
42 K047 A. P. Bi 42
62 K006 EKS 62 62
46 K040 TKF+TS 46
46 K046 A. P. Vc
34 K040 A. P. Vc
61 K047 A. P 61
46 K047 A. P. Dx 46
54 K041 RUJUK 54
71 K006 EKS 71 71
48 K047 A. P. Dx 48
11 K047 A. P. Dx 11
85 K047 A. P. Dx
46 K040 Devit+TS
84 K006 EKS 84 P. A 84
61 K006 EKS 61
72 K006 EKS 72 72
73 K006 EKS 73 73
14 K040 T. TETAP
36 K041 EKS 36 V. P. D 36
45 K047 A. P. Vc 45
34 K047 A. P. Ctm
14 K040 Devit+TS
36 K047 A. P. D
21 K041 RUJUK
16 K041 EKS 16 A. P. D
0 67 9578 70 5221 498 0 7
K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047 K.050 K.051

1
1

1
1
1
1
1
1

1
1

1
1

1
1
1
1
1
1

1
1

1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1
1

1
1

1
1

1
1
1

1
1

1
1

1
1
1

1
1
1
1
1

1
1

1
1
1

1
1

1
1
1
1

1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1

1
1

1
1

1
1
1

1
1
1

1
1
1

1
1
1

1
1

1
1

1
1
1
1
1

1
1
1

1
1
1
1
1
1
1

1
1
1
1

1
1

1
1

1
1

1
1
1
1
1
1

1
1
1

1
1

1
1
1

1
1

1
1
1
1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1

1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
0 6 63 65 0 3 15 148 0 0
KODE

K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081 K.083 K.011

1
1

1
1
1

1
1
1

1
1

1
1
1
1
1

1
1

1
1
1
1

1
1

1
1
1

1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1

1
1

1
1

1
1
1
1

1
1

1
1
1

1
1

1
1
1

1
1
1
1
0 3 0 1 0 86 0 1 5 11
TINDAKAN

K.020 K089 K.103 K116 K.120 DLL TT TS P.PULP EXT.TTP

21

46
36

1
27
46
36

44
36

26

47
1
36

43 44
1 47

46

1
36

1
46

16

1 36

46 47
36
45

46

16

35

46
16
46
36

16

1
1

14

35

36

16
21
37
46

15

26

46
24

38 48
46
27
16
31

26

47

44
26
24

24
36

46

46

46

14
36
14

16
0 1 0 0 1 11 153 0 664 1030
TINDAKAN

KETERANGAN
EXT.SLG CALL PREM LL

71 DISTURBANCES IN TOOTH ERUPTION


51 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
47 ABSESS PERIAPIKAL TANPA SINUS
62 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
61 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
46 NEKROSIS PULPA
PULPITIS
NEKROSIS PULPA

38
PULPITIS
15 PULPITIS
64 ABESS PERIAPIKAL TANPA SINUS
81 DISTURBANCES IN TOOTH ERUPTION
18 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
27 PERIODONTITIS APIKLAIS AKUT
36 PULPITIS

51
ABSESS PERIAPIKAL TANPA SINUS
48 NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
36 NEKROSIS PULPA
16 ABSESS PERIAPIKAL TANPA SINUS
65 ABSESS PERIAPIKAL TANPA SINUS
34 ABSESS PERIAPIKAL TANPA SINUS
38 EMBEDED TEETH
PULPITIS
PULPITIS
SISA AKAR
51 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
64 ABSESS PERIAPIKAL TANPA SINUS
84 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
72 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
74 PULPITIS
36 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
44 ABSESS PERIAPIKAL TANPA SINUS
46 PULPITIS

74
PULPITIS
55 PULPITIS
NEKROSIS PULPA
54 ABSESS PERIAPIKAL DI SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
23 ABSESS PERIAPIKAL TANPA SINUS
37 NEKROSIS PULPA
46 ABSESS PERIAPIKAL TANPA SINUS
21 ABSESS PERIAPIKAL TANPA SINUS
15 ABSESS PERIAPIKAL TANPA SINUS
R DEPOSITS ON TEETH
NEKROSIS PULPA
11 ABSESS PERIAPIKAL TANPA SINUS
K DISTURBANCES IN TOOTH ERUPTION
PULPITIS
38 EMBEDED TEETH
NEKROSIS PULPA
33 ABSESS PERIAPIKAL TANPA SINUS
R IMPACTED TEETH
34 ABSESS PERIAPIKAL TANPA SINUS
26 NEKROSIS PULPA
62 DISTURBANCES IN TOOTH ERUPTION
28 NEKROSIS PULPA
K KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL
46 ABSESS PERIAPIKAL TANPA SINUS
33 DISTURBANCES IN TOOTH ERUPTION
SISA AKAR
CARIES CEMENTRUM

71 81
DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
83 DISTURBANCES IN TOOTH ERUPTION
81 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION

51
ABSESS PERIAPIKAL TANPA SINUS
14 ABSESS PERIAPIKAL TANPA SINUS
15 ABSESS PERIAPIKAL TANPA SINUS
45 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
1 RECURRENT OPAL APTHAE
16 ABSESS PERIAPIKAL TANPA SINUS
SISA AKAR
54 ABSESS PERIAPIKAL TANPA SINUS
46 PULPITIS
16 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
16 ABSESS PERIAPIKAL TANPA SINUS
61 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
RJ PULPITIS
72 DISTURBANCES IN TOOTH ERUPTION
36 ABSESS PERIAPIKAL TANPA SINUS
48 ABSESS PERIAPIKAL TANPA SINUS
45 ABSESS PERIAPIKAL TANPA SINUS
83 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
48 ABSESS PERIAPIKAL TANPA SINUS

PULPITIS
17 ABSESS PERIAPIKAL TANPA SINUS
51 DISTURBANCES IN TOOTH ERUPTION
46 47 ABSESS PERIAPIKAL TANPA SINUS
81 DISTURBANCES IN TOOTH ERUPTION
47 NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
74 DISTURBANCES IN TOOTH ERUPTION
18 PERIODONTITIS KRONIS
37 ABSESS PERIAPIKAL TANPA SINUS
72 DISTURBANCES IN TOOTH ERUPTION
46 PULPITIS
ERROSION OF TEETH
38 ABSESS PERIAPIKAL TANPA SINUS
R CARIES CEMENTRUM
83 DISTURBANCES IN TOOTH ERUPTION
CARIES CEMENTRUM
38 NEKROSIS PULPA
R ABSESS PERIAPIKAL TANPA SINUS
38 PULPITIS
72 DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
38 PERIODONTITIS KRONIS
R ABSESS PERIAPIKAL TANPA SINUS
51 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
36 ABSESS PERIAPIKAL TANPA SINUS
27 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
62 DISTURBANCES IN TOOTH ERUPTION
37 ABSESS PERIAPIKAL TANPA SINUS
22 ABSESS PERIAPIKAL TANPA SINUS
82 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
84 DISTURBANCES IN TOOTH ERUPTION
64 DISTURBANCES IN TOOTH ERUPTION
84 DISTURBANCES IN TOOTH ERUPTION
11 ABSESS PERIAPIKAL TANPA SINUS
84 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
74 DISTURBANCES IN TOOTH ERUPTION
RJ NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
RJ IMPACTED TEETH
RJ IMPACTED TEETH
16 NEKROSIS PULPA
46 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
25 PULPITIS
RJ IMPACTED TEETH
46 ABSESS PERIAPIKAL TANPA SINUS
21 KEHILANGAN GUSI DAN TULANG ALVEOLAR DARI TRAUMA
46 ABSESS PERIAPIKAL TANPA SINUS
17 NEKROSIS PULPA
53 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
46 EMBEDED TEETH
14 ABSESS PERIAPIKAL TANPA SINUS

PULPITIS
51 DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
NEKROSIS PULPA
R DEPOSITS ON TEETH
85 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
46 ABSESS PERIAPIKAL TANPA SINUS
26 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
34 NEKROSIS PULPA
PULPITIS
PULPITIS
PULPITIS
52 DISTURBANCES IN TOOTH ERUPTION
74 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
75 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
63 DISTURBANCES IN TOOTH ERUPTION
81 DISTURBANCES IN TOOTH ERUPTION
54 DISTURBANCES IN TOOTH ERUPTION
16 ABSESS PERIAPIKAL TANPA SINUS
48 ABSESS PERIAPIKAL TANPA SINUS
R CARIES DENTINE
R DEPOSITS ON TEETH
R DEPOSITS ON TEETH
K PULPITIS
34 ABSESS PERIAPIKAL TANPA SINUS
R PULPITIS
R CARIES DENTINE
46 ABSESS PERIAPIKAL TANPA SINUS
28 ABSESS PERIAPIKAL TANPA SINUS
71 81 DISTURBANCES IN TOOTH ERUPTION
PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
16 ABSESS PERIAPIKAL TANPA SINUS
71 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
81 DISTURBANCES IN TOOTH ERUPTION
45 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
41 ABSESS PERIAPIKAL TANPA SINUS
38 IMPACTED TEETH
51 DISTURBANCES IN TOOTH ERUPTION
48 IMPACTED TEETH
38 IMPACTED TEETH
71 DISTURBANCES IN TOOTH ERUPTION
11 IMPACTED TEETH
41 ABSESS PERIAPIKAL TANPA SINUS
22 ABSESS PERIAPIKAL TANPA SINUS
75 PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
14 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
38 ABSESS PERIAPIKAL TANPA SINUS
51 DISTURBANCES IN TOOTH ERUPTION

27 ABSESS PERIAPIKAL TANPA SINUS


R IMPACTED TEETH
R PULPITIS
81 DISTURBANCES IN TOOTH ERUPTION
48 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL TANPA SINUS
15 ABSESS PERIAPIKAL TANPA SINUS
38 EMBEDED TEETH
51 PULPITIS
54 PULPITIS
46 PERIODONTITIS KRONIS

NEKROSIS PULPA
71 DISTURBANCES IN TOOTH ERUPTION
51 NEKROSIS PULPA
R IMPACTED TEETH
44 ABSESS PERIAPIKAL TANPA SINUS
28 ABSESS PERIAPIKAL TANPA SINUS
81 DISTURBANCES IN TOOTH ERUPTION
27 ABSESS PERIAPIKAL TANPA SINUS
25 ABSESS PERIAPIKAL TANPA SINUS
26 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
36
21 ABSESS PERIAPIKAL DI SINUS
61 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
37 ABSESS PERIAPIKAL TANPA SINUS
R DEPOSITS ON TEETH
R NEKROSIS PULPA
46 NEKROSIS PULPA
16 ABSESS PERIAPIKAL TANPA SINUS
R NEKROSIS PULPA
R ABSESS PERIAPIKAL TANPA SINUS
R CARIES DENTINE
46 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
46 NEKROSIS PULPA
18 NEKROSIS PULPA
28 SISA AKAR
SISA AKAR
36 ABSESS PERIAPIKAL TANPA SINUS
45 ABSESS PERIAPIKAL TANPA SINUS
54 DISTURBANCES IN TOOTH ERUPTION
84 PULPITIS
26 ABSESS PERIAPIKAL DI SINUS
R IMPACTED TEETH
34 NEKROSIS PULPA
R DEPOSITS ON TEETH
1
16 ABSESS PERIAPIKAL TANPA SINUS
R PULPITIS
21 ABSESS PERIAPIKAL TANPA SINUS
38 NEKROSIS PULPA
28 ABSESS PERIAPIKAL TANPA SINUS
18 ABSESS PERIAPIKAL TANPA SINUS
85 DISTURBANCES IN TOOTH ERUPTION
65 DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
NEKROSIS PULPA
PULPITIS
27 ABSESS PERIAPIKAL TANPA SINUS
71 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
K PULPITIS
K DISTURBANCES IN TOOTH ERUPTION
84 NEKROSIS PULPA
17 NEKROSIS PULPA
R PULPITIS
75 DISTURBANCES IN TOOTH ERUPTION
14 ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
54 DISTURBANCES IN TOOTH ERUPTION
71 DISTURBANCES IN TOOTH ERUPTION
R NEKROSIS PULPA
K CARIES DENTINE
48 ABSESS PERIAPIKAL TANPA SINUS
38 EMBEDED TEETH
36 ABSESS PERIAPIKAL DI SINUS
85 NEKROSIS PULPA
83 ABSESS PERIAPIKAL TANPA SINUS
28 NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
R NEKROSIS PULPA
26 ABSESS PERIAPIKAL TANPA SINUS
38 ABSESS PERIAPIKAL TANPA SINUS
17 ABSESS PERIAPIKAL TANPA SINUS
CARIES DENTINE
R ABSESS PERIAPIKAL TANPA SINUS
24 PULPITIS
47 NEKROSIS PULPA
51 52 DISTURBANCES IN TOOTH ERUPTION
14 NEKROSIS PULPA
26 NEKROSIS PULPA
27 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
84 ABSESS PERIAPIKAL TANPA SINUS
61 ABSESS PERIAPIKAL DI SINUS
46 NEKROSIS PULPA
36 ABSESS PERIAPIKAL TANPA SINUS
17 ABSESS PERIAPIKAL DI SINUS
21 NEKROSIS PULPA
16 PULPITIS
36 PULPITIS
51 ABSESS PERIAPIKAL DI SINUS
37 PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
R PULPITIS
85 PULPITIS
48 ABSESS PERIAPIKAL TANPA SINUS
R PULPITIS
36 PERIODONTITIS APIKALIS KRONIS
15 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL DI SINUS
38 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
51 DISTURBANCES IN TOOTH ERUPTION
R PULPITIS
16 PERIODONTITIS APIKALIS KRONIS
34 ABSESS PERIAPIKAL DI SINUS
NEKROSIS PULPA
34 PULPITIS
NEKROSIS PULPA
51 DISTURBANCES IN TOOTH ERUPTION
26 ABSESS PERIAPIKAL TANPA SINUS
18 ABSESS PERIAPIKAL TANPA SINUS
84 PULPITIS
37 ABSESS PERIAPIKAL TANPA SINUS
61 DISTURBANCES IN TOOTH ERUPTION
84 ABSESS PERIAPIKAL TANPA SINUS
11 PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
72 DISTURBANCES IN TOOTH ERUPTION
81 DISTURBANCES IN TOOTH ERUPTION
PULPITIS
18 ABSESS PERIAPIKAL DI SINUS
16 PULPITIS
36 ABSESS PERIAPIKAL TANPA SINUS
34 NEKROSIS PULPA
R NEKROSIS PULPA
71 DISTURBANCES IN TOOTH ERUPTION
36 PULPITIS
51 DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
46 ABSESS PERIAPIKAL TANPA SINUS
36 PULPITIS
74 ABSESS PERIAPIKAL TANPA SINUS
37 ABSESS PERIAPIKAL DI SINUS
36 PULPITIS
61 DISTURBANCES IN TOOTH ERUPTION
RJ NEKROSIS PULPA
14 PERIODONTITIS APIKALIS KRONIS
16 NEKROSIS PULPA
61 DISTURBANCES IN TOOTH ERUPTION
46 ABSESS PERIAPIKAL TANPA SINUS
RJ NEKROSIS PULPA
48 ABSESS PERIAPIKAL TANPA SINUS
44 ABSESS PERIAPIKAL TANPA SINUS
75 ABSESS PERIAPIKAL DI SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
36 PULPITIS
PULPITIS
37 ABSESS PERIAPIKAL TANPA SINUS
74 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
36 ABSESS PERIAPIKAL TANPA SINUS
42 ABSESS PERIAPIKAL TANPA SINUS
62 DISTURBANCES IN TOOTH ERUPTION
PULPITIS
46 ABSESS PERIAPIKAL DI SINUS
34 PULPITIS
61 ABSESS PERIAPIKAL TANPA SINUS
46 ABSESS PERIAPIKAL TANPA SINUS
R NEKROSIS PULPA
71 DISTURBANCES IN TOOTH ERUPTION
48 ABSESS PERIAPIKAL TANPA SINUS
11 ABSESS PERIAPIKAL TANPA SINUS
85 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
84 DISTURBANCES IN TOOTH ERUPTION
61 DISTURBANCES IN TOOTH ERUPTION
72 DISTURBANCES IN TOOTH ERUPTION
73 DISTURBANCES IN TOOTH ERUPTION
PULPITIS
NEKROSIS PULPA
45 ABSESS PERIAPIKAL TANPA SINUS
34 ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
36 ABSESS PERIAPIKAL TANPA SINUS
R NEKROSIS PULPA
NEKROSIS PULPA
4513 0 9931 36
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI

DOKTER YANG MENANGANI PERAWAT YANG MENANGANI

NO NO KELUHAN
TUTI OTIK RANY
DRG EVIE KURNIAWATI RIKA PURWATY, S. RAHMAWAT
HARTIYANTI
, AMKG ST Y

1 1 1 1 71 K006
2 1 2 1 51 K006
3 1 3 1 21 K041
4 1 4 1 47 K047
5 1 5 1 62 K006
6 1 6 1 46 K047
7 1 7 1 61 K047
8 1 8 1 36 K047
9 1 9 1 46 K041
10 1 10 1 46 K040
11 1 11 1 36 K041

12 1 12 1 36 K040

13 1 13 1 15 K040
14 1 14 1 64 K047
15 1 15 1 81 K006
16 1 16 1 18 K047
17 1 17 1 36 K047
18 1 18 1 27 K044
19 1 19 1 36 K040

20 1 20 1 51 K047

21 1 21 1 48 K041
22 1 22 1 36 K047
23 1 23 1 36 K041
24 1 24 1 16 K047
25 1 25 1 65 K047
26 1 26 1 34 K047
27 1 27 1 38 K010
28 1 28 1 27 K040
29 1 29 1 46 K040
30 1 30 1 36 K083
31 1 31 1 51 K006
32 1 32 1 51 K006
33 1 33 1 64 K047
34 1 34 1 84 K047
35 1 35 1 44 K041
36 1 36 1 72 K006
37 1 37 1 61 K006
38 1 38 1 74 K040
39 1 39 1 36 K047
40 1 40 1 36 K047
41 1 41 1 44 K047
42 1 42 1 46 K040

43 1 43 1 74 K040

44 1 44 1 55 K040
45 1 45 1 36 K041
46 1 46 1 54 K046
47 1 47 1 46 K047
48 1 48 1 23 K047
49 1 49 1 37 K041
50 1 50 1 46 K047
51 1 51 1 21 K047
52 1 52 1 15 K047
53 1 53 1 RB K036
54 1 54 1 26 K041
55 1 55 1 11 K047
56 1 56 1 53 K006
57 1 57 1 47 K040
58 1 58 1 38 K010
59 1 59 1 36 K041
60 1 60 1 33 K047
61 1 61 1 48 K011
62 1 62 1 34 K047
63 1 63 1 26 K041
64 1 64 1 62 K006
65 1 65 1 28 K041
66 1 66 1 11 K081
67 1 67 1 46 K047
68 1 68 1 33 K006
69 1 69 1 43 K083
70 1 70 1 47 K022

71 1 71 1 71 81 K006

72 1 72 1 46 K047
73 1 73 1 36 K047
74 1 74 1 46 K047
75 1 75 1 46 K040
76 1 76 1 83 K006
77 1 77 1 81 K006
78 1 78 1 51 K006
79 1 79 1 51 K006

80 1 80 1 51 K047

81 1 81 1 14 K047
82 1 82 1 15 K047
83 1 83 1 45 K047
84 1 84 1 46 K047
85 1 85 1 K120
86 1 86 1 16 K047
87 1 87 1 36 K083
88 1 88 1 54 K047
89 1 89 1 46 K040
90 1 90 1 16 K047
91 1 91 1 46 K040
92 1 92 1 16 K047
93 1 93 1 61 K006
94 1 94 1 46 K047
95 1 95 1 31 K040
96 1 96 1 72 K006
97 1 97 1 37 K047
98 1 98 1 48 K047
99 1 99 1 45 K047
100 1 100 1 83 K006
101 1 101 1 46 K047
102 1 102 1 48 K047

103 1 103 1 16 K040

104 1 104 1 17 K047


105 1 105 1 51 K006
106 1 106 1 46 47 K047
107 1 107 1 81 K006
108 1 108 1 47 K041
109 1 109 1 36 K047
110 1 110 1 74 K006
111 1 111 1 18 K053
112 1 112 1 37 K047
113 1 113 1 72 K006
114 1 114 1 46 K040
115 1 115 1 36 K032
116 1 116 1 38 K047
117 1 117 1 11 21 K021
118 1 118 1 83 K006
119 1 119 1 46 47 K021
120 1 120 1 38 K041
121 1 121 1 46 K047
122 1 122 1 38 K040
123 1 123 1 72 K006
124 1 124 1 11 21 K040
125 1 125 1 38 K053
126 1 126 1 46 K047
127 1 127 1 51 K006
128 1 128 1 71 K006
129 1 129 1 71 K006
130 1 130 1 61 K006
131 1 131 1 36 K047
132 1 132 1 27 K047
133 1 133 1 85 K047
134 1 134 1 62 K006
135 1 135 1 37 K047
136 1 136 1 22 K047
137 1 137 1 82 K006
138 1 138 1 36 K041
139 1 139 1 45 K041
140 1 140 1 84 K006
141 1 141 1 64 K006
142 1 142 1 84 K006
143 1 143 1 11 K047
144 1 144 1 84 K047
145 1 145 1 85 K047
146 1 146 1 74 K006
147 1 147 1 46 K041
148 1 148 1 36 K047
149 1 149 1 38 K011
150 1 150 1 48 K011
151 1 151 1 16 K041
152 1 152 1 46 K047
153 1 153 1 36 K047
154 1 154 1 25 K040
155 1 155 1 18 K011
156 1 156 1 46 K047
157 1 157 1 21 K062
158 1 158 1 46 K047
159 1 159 1 17 K041
160 1 160 1 53 K006
161 1 161 1 71 K006
162 1 162 1 51 K006
163 1 163 1 46 K047
164 1 164 1 46 K010
165 1 165 1 14 K047

166 1 166 1 46 K040

167 1 167 1 51 K006


168 1 168 1 37 K040
169 1 169 1 16 K041
170 1 170 1 RB K036
171 1 171 1 85 K006
172 1 172 1 35 K041
173 1 173 1 46 K047
174 1 174 1 26 28 K047
175 1 175 1 46 K041
176 1 176 1 34 K041
177 1 177 1 46 K040
178 1 178 1 16 K040
179 1 179 1 46 K040
180 1 180 1 52 K006
181 1 181 1 74 K006
182 1 182 1 51 K006
183 1 183 1 75 K047
184 1 184 1 46 K047
185 1 185 1 46 K047
186 1 186 1 63 K006
187 1 187 1 81 K006
188 1 188 1 54 K006
189 1 189 1 16 K047
190 1 190 1 48 K047
191 1 191 1 11 K021
192 1 192 1 RB K036
193 1 193 1 RB K036
194 1 194 1 36 K040
195 1 195 1 34 K047
196 1 196 1 36 K040
197 1 197 1 11 K021
198 1 198 1 46 K047
199 1 199 1 28 K047
200 1 200 1 71 81 K006
201 1 201 1 36 K040
202 1 202 1 61 K006
203 1 203 1 16 K047
204 1 204 1 71 K006
205 1 205 1 46 K047
206 1 206 1 16 K041
207 1 207 1 81 K006
208 1 208 1 45 K047
209 1 209 1 36 K047
210 1 210 1 41 K047
211 1 211 1 38 K011
212 1 212 1 51 K006
213 1 213 1 48 K011
214 1 214 1 38 K011
215 1 215 1 71 K006
216 1 216 1 11 K011
217 1 217 1 41 K047
218 1 218 1 22 K047
219 1 219 1 75 K040
220 1 220 1 61 K006
221 1 221 1 14 K047
222 1 222 1 85 K047
223 1 223 1 38 K047
224 1 224 1 51 K006
225 1 225 1 Konsultasi
226 1 226 1 27 K047
227 1 227 1 38 K011
228 1 228 1 18 K040
229 1 229 1 81 K006
230 1 230 1 48 K047
231 1 231 1 37 K047
232 1 232 1 15 K047
233 1 233 1 38 K010
234 1 234 1 51 K040
235 1 235 1 54 K040
236 1 236 1 46 K053

237 1 237 1 14 K041

238 1 238 1 71 K006


239 1 239 1 51 K041
240 1 240 1 K011
241 1 241 1 44 K047
242 1 242 1 28 K047
243 1 243 1 81 K006
244 1 244 1 27 K047
245 1 245 1 25 K047
246 1 246 1 26 K047
247 1 247 1 46 K047
248 1 248 1 36 K047
249 1 249 1 36 K089
250 1 250 1 21 K046
251 1 251 1 61 K047
252 1 252 1 35 K040
253 1 253 1 61 K006
254 1 254 1 51 K006
255 1 255 1 37 K047
256 1 256 1 RB K036
257 1 257 1 45 K041
258 1 258 1 46 K041
259 1 259 1 16 K047
260 1 260 1 26 K041
261 1 261 1 47 K047
262 1 262 1 21 K021
263 1 263 1 46 K047
264 1 264 1 36 K040
265 1 265 1 40 K041
266 1 266 1 18 K041
267 1 267 1 28 K083
268 1 268 1 16 K083
269 1 269 1 36 K047
270 1 270 1 45 K047
271 1 271 1 54 K006
272 1 272 1 84 K040
273 1 273 1 26 K046
274 1 274 1 38 K011
275 1 275 1 34 K041
276 1 276 1 RB K036
277 1 277 1 ?
278 1 278 1 16 K047
279 1 279 1 31 K040
280 1 280 1 21 K047
281 1 281 1 38 K041
282 1 282 1 28 K047
283 1 283 1 18 K047
284 1 284 1 85 K006
285 1 285 1 65 K006
286 1 286 1 21 K055
287 1 287 1 37 K041
288 1 288 1 46 K040
289 1 289 1 27 K047
290 1 290 1 71 K006
291 1 291 1 15 K041
292 1 292 1 37 K040
293 1 293 1 71 K006
294 1 294 1 84 K041
295 1 295 1 17 K041
296 1 296 1 36 K040
297 1 297 1 75 K006
298 1 298 1 14 K047
299 1 299 1 26 K041
300 1 300 1 54 K006
301 1 301 1 71 K006
302 1 302 1 46 K041
303 1 303 1 36 K021
304 1 304 1 48 K047
305 1 305 1 38 K010
306 1 306 1 36 K046
307 1 307 1 85 K041
308 1 308 1 83 K047
309 1 309 1 28 K041
310 1 310 1 46 K041
311 1 311 1 24 K041
312 1 312 1 38 K041
313 1 313 1 26 K047
314 1 314 1 38 K047
315 1 315 1 17 K047
316 1 316 1 38 48 K021
317 1 317 1 28 K047
318 1 318 1 24 K040
319 1 319 1 47 K041
320 1 320 1 51 52 K006
321 1 321 1 14 K041
322 1 322 1 26 K041
323 1 323 1 27 K047
324 1 324 1 46 K047
325 1 325 1 84 K047
326 1 326 1 61 K046
327 1 327 1 46 K041
328 1 328 1 36 K047
329 1 329 1 17 K046
330 1 330 1 21 K041
331 1 331 1 16 K040
332 1 332 1 36 K040
333 1 333 1 51 K046
334 1 334 1 37 K040
335 1 335 1 61 K006
336 1 336 1 51 K006
337 1 337 1 44 K040
338 1 338 1 37 K040
339 1 339 1 85 K040
340 1 340 1 48 K047
341 1 341 1 26 K040
342 1 342 1 36 K045
343 1 343 1 15 K047
344 1 344 1 37 K046
345 1 345 1 38 K047
346 1 346 1 46 K040
347 1 347 1 27 K041
348 1 348 1 16 K041
349 1 349 1 31 K040
350 1 350 1 61 K006
351 1 351 1 51 K006
352 1 352 1 35 K040
353 1 353 1 16 K045
354 1 354 1 34 K046
355 1 355 1 26 K041
356 1 356 1 34 K040
357 1 357 1 47 K041
358 1 358 1 51 K006
359 1 359 1 26 K047
360 1 360 1 18 K047
361 1 361 1 84 K040
362 1 362 1 37 K047
363 1 363 1 61 K006
364 1 364 1 84 K047
365 1 365 1 11 K040
366 1 366 1 44 K041
367 1 367 1 26 K041
368 1 368 1 24 K041
369 1 369 1 72 K006
370 1 370 1 81 K006
371 1 371 1 24 K040
372 1 372 1 18 K046
373 1 373 1 16 K040
374 1 374 1 36 K047
375 1 375 1 34 K041
376 1 376 1 46 K041
377 1 377 1 71 K006
378 1 378 1 36 K040
379 1 379 1 51 K006
380 1 380 1 36 K041
381 1 381 1 46 K047
382 1 382 1 36 K040
383 1 383 1 74 K047
384 1 384 1 37 K046
385 1 385 1 36 K040
386 1 386 1 61 K006
387 1 387 1 27 K041
388 1 388 1 14 K045
389 1 389 1 16 K041
390 1 390 1 61 K006
391 1 391 1 46 K047
392 1 392 1 48 K041
393 1 393 1 48 K047
394 1 394 1 44 K047
395 1 395 1 75 K046
396 1 396 1 46 K047
397 1 397 1 46 K047
398 1 398 1 36 K040
399 1 399 1 46 K040
400 1 400 1 37 K047
401 1 401 1 74 K047
402 1 402 1 46 K047
403 1 403 1 36 K047
404 1 404 1 42 K047
405 1 405 1 62 K006
406 1 406 1 46 K040
407 1 407 1 46 K046
408 1 408 1 34 K040
409 1 409 1 61 K047
410 1 410 1 46 K047
411 1 411 1 54 K041
412 1 412 1 71 K006
413 1 413 1 48 K047
414 1 414 1 11 K047
415 1 415 1 85 K047
416 1 416 1 46 K040
417 1 417 1 84 K006
418 1 418 1 61 K006
419 1 419 1 72 K006
420 1 420 1 73 K006
421 1 421 1 14 K040
422 1 422 1 36 K041
423 1 423 1 45 K047
424 1 424 1 34 K047
425 1 425 1 14 K040
426 1 426 1 36 K047
427 1 427 1 21 K041
428 1 428 1 16 K041
TOTAL 428 TOTAL 72 143 142 71
KETERANGAN

DISTURBANCES IN TOOTH ERUPTION


DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
PULPITIS
NEKROSIS PULPA

PULPITIS
PULPITIS
ABESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PERIODONTITIS APIKLAIS AKUT
PULPITIS

ABSESS PERIAPIKAL TANPA SINUS


NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
EMBEDED TEETH
PULPITIS
PULPITIS
SISA AKAR
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS

PULPITIS
PULPITIS
NEKROSIS PULPA
ABSESS PERIAPIKAL DI SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DEPOSITS ON TEETH
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
EMBEDED TEETH
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
IMPACTED TEETH
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
SISA AKAR
CARIES CEMENTRUM

DISTURBANCES IN TOOTH ERUPTION


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION

ABSESS PERIAPIKAL TANPA SINUS


ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
RECURRENT OPAL APTHAE
ABSESS PERIAPIKAL TANPA SINUS
SISA AKAR
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PERIODONTITIS KRONIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ERROSION OF TEETH
ABSESS PERIAPIKAL TANPA SINUS
CARIES CEMENTRUM
DISTURBANCES IN TOOTH ERUPTION
CARIES CEMENTRUM
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PERIODONTITIS KRONIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
IMPACTED TEETH
IMPACTED TEETH
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
IMPACTED TEETH
ABSESS PERIAPIKAL TANPA SINUS
KEHILANGAN GUSI DAN TULANG ALVEOLAR DARI TRAUMA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
EMBEDED TEETH
ABSESS PERIAPIKAL TANPA SINUS

PULPITIS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
NEKROSIS PULPA
DEPOSITS ON TEETH
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
PULPITIS
PULPITIS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
CARIES DENTINE
DEPOSITS ON TEETH
DEPOSITS ON TEETH
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
CARIES DENTINE
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
IMPACTED TEETH
DISTURBANCES IN TOOTH ERUPTION
IMPACTED TEETH
IMPACTED TEETH
DISTURBANCES IN TOOTH ERUPTION
IMPACTED TEETH
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION

ABSESS PERIAPIKAL TANPA SINUS


IMPACTED TEETH
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
EMBEDED TEETH
PULPITIS
PULPITIS
PERIODONTITIS KRONIS

NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
IMPACTED TEETH
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS

ABSESS PERIAPIKAL DI SINUS


ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
DEPOSITS ON TEETH
NEKROSIS PULPA
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
CARIES DENTINE
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
SISA AKAR
SISA AKAR
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSESS PERIAPIKAL DI SINUS
IMPACTED TEETH
NEKROSIS PULPA
DEPOSITS ON TEETH

ABSESS PERIAPIKAL TANPA SINUS


PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
NEKROSIS PULPA
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
CARIES DENTINE
ABSESS PERIAPIKAL TANPA SINUS
EMBEDED TEETH
ABSESS PERIAPIKAL DI SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
CARIES DENTINE
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL DI SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL DI SINUS
NEKROSIS PULPA
PULPITIS
PULPITIS
ABSESS PERIAPIKAL DI SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PULPITIS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
PERIODONTITIS APIKALIS KRONIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL DI SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PERIODONTITIS APIKALIS KRONIS
ABSESS PERIAPIKAL DI SINUS
NEKROSIS PULPA
PULPITIS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSESS PERIAPIKAL DI SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL DI SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
PERIODONTITIS APIKALIS KRONIS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL DI SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
ABSESS PERIAPIKAL DI SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L P

1 01 AGUSTUS 2016 16818 KARSINI 40 1


2 01 AGUSTUS 2016 4982 EDI 63 1
3 01 AGUSTUS 2016 4995 DWI 35 1
4 1 AGUSTUS 2016 4976 KHUSNUL 42 1
5 1 AGUSTUS 2016 4983 EUIS 49 1
6 1 AGUSTUS 2016 4985 SUAIDAH 47 1
7 1 AGUSTUS 2016 2063 YOGA 21 1
8 1 AGUSTUS 2016 9723 KARINA 10 1
9 1 AGUSTUS 2016 3652 NUR NAILA 11 1
10 1 AGUSTUS 2016 4986 AAT 52 1
11 1 AGUSTUS 2016 22017 ANISA 9 1
12 1 AGUSTUS 2016 4329 NURSAMSI 19 1
13 2 AGUSTUS 2016 2874 SELLY 18 1
14 2 AGUSTUS 2016 10813 NABILA 22 1
15 2 AGUSTUS 2016 22193 IRMA 26 1
16 2 AGUSTUS 2016 1744 FITRI 32 1
17 2 AGUSTUS 2016 4996 GIFARI 6 1
18 2 AGUSTUS 2016 2639 ALISA 6 1
19 2 AGUSTUS 2016 4817 ARFAD 11 1
20 2 AGUSTUS 2016 4997 SUJANA 43 1
21 2 AGUSTUS 2016 16436 MAYANG 4 1
22 2 AGUSTUS 2016 4928 YAYAH 30 1
23 2 AGUSTUS 2016 9772 FAIZAL 4 1
24 2 AGUSTUS 2016 5003 ENOK 58 1
25 2 AGUSTUS 2016 5091 SRI M 31 1
26 2 AGUSTUS 2016 771 ILHAM 11 1
27 2 AGUSTUS 2016 5096 RIDWAN 5 1
28 2 AGUSTUS 2016 17299 YOYOH 39 1
29 2 AGUSTUS 2016 RINDI 13 1
30 2 AGUSTUS 2016 24023 AJENG 10 1
31 2 AGUSTUS 2016 7224 SISWATI 57 1
32 2 AGUSTUS 2016 4701 KUSNADI 61 1
33 2 AGUSTUS 2016 1356 EMI 54 1
34 2 AGUSTUS 2016 19106 EVIS 55 1
35 2 AGUSTUS 2016 8341 DEDE 45 1
36 2 AGUSTUS 2016 4353 ROHAYAH 44 1
37 3 AGUSTUS 2016 10232 ADRIAN 10 1
38 3 AGUSTUS 2016 1287 NIA 39 1
39 3 AGUSTUS 2016 4177 IMAS 23 1

40 6893 ROBBY 9 1
3 AGUSTUS 2016
41 3 AGUSTUS 2016 3410 DEWI 24 1
42 3 AGUSTUS 2016 5102 ABDUL 27 1
43 3 AGUSTUS 2016 5000 DICKY 15 1
44 3 AGUSTUS 2016 5100 NAILA 6.5 1
45 3 AGUSTUS 2016 5110 EVI 6.6 1
46 3 AGUSTUS 2016 1 SUTINCEU 67 1
47 3 AGUSTUS 2016 5223 AANG 7 1
48 3 AGUSTUS 2016 4633 AI 20 1
49 3 AGUSTUS 2016 13401 KISWOYO 61 1
50 3 AGUSTUS 2016 20660 KIRANA 4 1
51 4 AGUSTUS 2016 4958 WASIYAH 43 1
52 4 AGUSTUS 2016 15973 INA 30 1
53 4 AGUSTUS 2016 5112 DEDEH 30 1
54 4 AGUSTUS 2016 5120 AGUNG 10 1
55 4 AGUSTUS 2016 10670 DAFALAN 8 1
56 4 AGUSTUS 2016 5123 YANI 32 1
57 4 AGUSTUS 2016 5126 LINDA 25 1
58 4 AGUSTUS 2016 4644 OLIH 58 1
59 4 AGUSTUS 2016 4986 AAT 52 1
60 4 AGUSTUS 2016 5127 GILANG 13 1
61 4 AGUSTUS 2016 23867 SANI 29 1
62 4 AGUSTUS 2016 4137 LATIFA 8 1
63 4 AGUSTUS 2016 6154 NOVIA 5 1
64 4 AGUSTUS 2016 4639 REGI 16 1
65 4 AGUSTUS 2016 2161 RAHPATI 7 1
66 4 AGUSTUS 2016 5233 SUCI 7 1
67 4 AGUSTUS 2016 6100 LINA 40 1
68 5 AGUSTUS 2016 5132 ARINDAH 15 1
69 5 AGUSTUS 2016 18862 ADI 12 1
70 5 AGUSTUS 2016 5003 ENOK 58 1
71 5 AGUSTUS 2016 5142 NAZWA 8 1
72 5 AGUSTUS 2016 5091 SRI 31 1
73 5 AGUSTUS 2016 4920 NANANG 25 1
74 5 AGUSTUS 2016 4976 KHUSNUL 42 1
75 5 AGUSTUS 2016 4954 ABDUL 41 1
76 5 AGUSTUS 2016 2874 SELLY 18 1
77 5 AGUSTUS 2016 4817 ARFAD 11 1
78 5 AGUSTUS 2016 1294 SILMI 6 1
79 5 AGUSTUS 2016 5141 HANNA 33 1
80 5 AGUSTUS 2016 2564 ROSI 5.5 1
81 5 AGUSTUS 2016 22193 IRMA 26 1
82 5 AGUSTUS 2016 11946 DIAH 41 1
83 5 AGUSTUS 2016 2948 WIDI 22 1
84 5 AGUSTUS 2016 22435 HABIL 5,5 1
85 5 AGUSTUS 2016 22113 AGRIL 5 1
86 5 AGUSTUS 2016 4385 HERNI 44 1
87 5 AGUSTUS 2016 23238 FIRDA 4 1
88 5 AGUSTUS 2016 MIRELDA 7 1
89 6 AGUSTUS 2016 LILI ROSADI 69 1
90 6 AGUSTUS 2016 4996 GIFARI 6 1
91 6 AGUSTUS 2016 5146 YONO 31 1
92 6 AGUSTUS 2016 5147 NIKEN 6 1
93 6 AGUSTUS 2016 4177 IMAS 23 1
94 6 AGUSTUS 2016 3410 DEWI 24 1
95 6 AGUSTUS 2016 5156 ANDRA 6 1
96 6 AGUSTUS 2016 23837 RATU 6 1
97 6 AGUSTUS 2016 2436 AZKIA 7 1
98 6 AGUSTUS 2016 5153 ARINISA 6 1
99 6 AGUSTUS 2016 20613 ANDRA 7 1
100 6 AGUSTUS 2016 3520 NOVITA 7 1
101 6 AGUSTUS 2016 3521 MELLY 10 1
102 6 AGUSTUS 2016 3801 YULIA 29 1
103 6 AGUSTUS 2016 1192 IJUM 51 1
104 6 AGUSTUS 2016 17983 MEMET 48 1
105 6 AGUSTUS 2016 13509 SRI 44 1
106 6 AGUSTUS 2016 3346 NENI 41 1
107 6 AGUSTUS 2016 5461 ASEP 46 1
108 6 AGUSTUS 2016 1356 EUIS 54 1
109 6 AGUSTUS 2016 4643 KHARISYA 7 1
110 6 AGUSTUS 2016 13194 SATRIA 5 1
111 6 AGUSTUS 2016 9299 DEDE 33 1
112 6 AGUSTUS 2016 4385 HERNI 44 1
113 8 AGUSTUS 2016 5126 LINDA 25 1
114 8 AGUSTUS 2016 5156 WARYANTI 24 1
115 8 AGUSTUS 2016 5169 IYUS 51 1
116 8 AGUSTUS 2016 17977 SYEIRA 7 1
117 8 AGUSTUS 2016 5166 LILI 51 1
118 8 AGUSTUS 2016 4983 EUIS 49 1
119 8 AGUSTUS 2016 15973 INA 30 1
120 8 AGUSTUS 2016 4973 CICI 12 1

121 18862 ADI 14 1


8 AGUSTUS 2016
122 8 AGUSTUS 2016 18844 KAILA 8 1
P 8 AGUSTUS 2016 5182 ALFITO 11 1
124 8 AGUSTUS 2016 5183 SABINA 6 1
125 8 AGUSTUS 2016 22684 IWAN 45 1
126 8 AGUSTUS 2016 TETI 54 1
127 8 AGUSTUS 2016 12118 NGATIRAH 60 1
128 8 AGUSTUS 2016 4701 KUSNADI 57 1
129 8 AGUSTUS 2016 6113 DADANG 60 1
130 8 AGUSTUS 2016 2948 WIDI 22 1
131 8 AGUSTUS 2016 2648 YUSLAN 50 1
132 8 AGUSTUS 2016 23963 TATING 60 1
133 8 AGUSTUS 2016 5259 KOMALA 56 1
134 8 AGUSTUS 2016 2074 KURNIASIH 45 1
135 8 AGUSTUS 2016 22451 HANDRY 28 1
136 9 AGUSTUS 2016 22193 IRMA 17 1
137 9 AGUSTUS 2016 5188 SRI 53 1
138 9 AGUSTUS 2016 18655 ARINI 5 1
139 9 AGUSTUS 2016 24176 NENTI 30 1
140 9 AGUSTUS 2016 19541 MULYANI 29 1
141 9 AGUSTUS 2016 22456 MURNI 33 1
142 9 AGUSTUS 2016 5184 DODI 23 1
143 9 AGUSTUS 2016 10021 GATHFAN 6 1
144 9 AGUSTUS 2016 5196 YANAH 48 1
145 9 AGUSTUS 2016 4348 EGIS 16 1
146 9 AGUSTUS 2016 50160 CECEP 33 1
147 9 AGUSTUS 2016 5197 NAYLA 6 1
148 9 AGUSTUS 2016 5146 YONO 31 1

149 DEWI 35 1
9 AGUSTUS 2016
150 9 AGUSTUS 2016 5289 NURYAMAH 45 1
151 9 AGUSTUS 2016 5288 PRATAMI 52 1
152 9 AGUSTUS 2016 17983 MEMET 48 1
153 9 AGUSTUS 2016 13509 SRI 48 1
154 9 AGUSTUS 2016 20500 KOKOM 65 1
155 9 AGUSTUS 2016 12452 MAULIDA 5 1
156 9 AGUSTUS 2016 17424 GINA 21 1
157 9 AGUSTUS 2016 5268 SUSAN 22 1
158 9 AGUSTUS 2016 3095 ENUNG 23 1
159 9 AGUSTUS 2016 1501 RISMA' 1 1
160 9 AGUSTUS 2016 15399 DEDE 64 1
161 9 AGUSTUS 2016 21949 FIRDA 4 1
162 9 AGUSTUS 2016 4041 ABDUL 55 1
163 9 AGUSTUS 2016 331 SHERYL 8 1
164 10 AGUSTUS 2016 5322 RENI 5 1
165 10 AGUSTUS 2016 2889 DIKI 18 1
166 10 AGUSTUS 2016 5201 KISOH 51 1
167 10 AGUSTUS 2016 1464 DWIKI 16 1
168 10 AGUSTUS 2016 5208 ANWAR 32 1
169 10 AGUSTUS 2016 5003 ENOK 23 1
170 10 AGUSTUS 2016 17338 ELITA 7 1
171 10 AGUSTUS 2016 4177 IMAS 23 1
172 10 AGUSTUS 2016 4658 NURANI 49 1
173 10 AGUSTUS 2016 23837 RATU 8 1
174 10 AGUSTUS 2016 5323 ZAFANA 6 1
175 10 AGUSTUS 2016 2178 ANALIA 7 1
176 10 AGUSTUS 2016 5271 FINKA 5 1
177 10 AGUSTUS 2016 5272 ENI 41 1
178 10 AGUSTUS 2016 23264 KOMARIAH 42 1
179 10 AGUSTUS 2016 5070 SITI 24 1
180 11 AGUSTUS 2016 4489 TRI 29 1
181 11 AGUSTUS 2016 8116 NIA 40 1
182 11 AGUSTUS 2016 5334 FITRI 36 1
183 11 AGUSTUS 2016 5338 YULA 29 1
184 11 AGUSTUS 2016 2588 ENDANG 35 1
185 11 AGUSTUS 2016 15973 INA 30 1
186 11 AGUSTUS 2016 4983 EUIS 49 1
187 11 AGUSTUS 2016 598 YATI 60 1
188 11 AGUSTUS 2016 943 JONI 56 1
189 11 AGUSTUS 2016 18661 NONOH 60 1
190 11 AGUSTUS 2016 5298 ELI 44 1
191 12 AGUSTUS 2016 22014 AZKIA 2 1
192 12 AGUSTUS 2016 5184 DODI 23 1
193 12 AGUSTUS 2016 20130 NADIRA 9 1
194 12 AGUSTUS 2016 KENJO 8 1
195 12 AGUSTUS 2016 LORENJO 7 1
196 12 AGUSTUS 2016 5357 DIANA 8 1
197 12 AGUSTUS 2016 17396 SUHAENDAH 49 1
198 12 AGUSTUS 2016 5363 LINA 63 1
199 12 AGUSTUS 2016 4963 ABDUL 41 1
200 12 AGUSTUS 2016 5301 H RAHMAT 58 1
201 12 AGUSTUS 2016 5300 HJ TETI 52 1
202 12 AGUSTUS 2016 2438 AYI 36 1
203 12 AGUSTUS 2016 13547 ENGKOM 56 1
204 12 AGUSTUS 2016 5289 NURYAMAN 45 1
205 12 AGUSTUS 2016 7852 ENGKOS 51 1
206 12 AGUSTUS 2016 3905 ENUNG 23 1
207 12 AGUSTUS 2016 10936 ISNAENI 8 1
208 12 AGUSTUS 2016 5382 HIMALIA 8 1
209 12 AGUSTUS 2016 5259 TATING 60 1
210 12 AGUSTUS 2016 14600 ULFAH 22 1
211 12 AGUSTUS 2016 2948 WIDI 22 1
212 12 AGUSTUS 2016 M ISA 44 1
213 12 AGUSTUS 2016 21868 NUNUNG 50 1
214 13 AGUSTUS 2016 6696 ENDANG 59 1
215 13 AGUSTUS 2016 5120 AGUNG 10 1
216 13 AGUSTUS 2016 2645 DIAH 50 1
217 13 AGUSTUS 2016 240 AZIS 16 1
218 13 AGUSTUS 2016 22177 KARMAN 62 1
219 13 AGUSTUS 2016 5365 MAMAN 64 1
220 13 AGUSTUS 2016 2159 MAYA 21 1
221 13 AGUSTUS 2016 3491 AZAHRA 7 1
222 13 AGUSTUS 2016 10443 RIZAL 10 1
223 13 AGUSTUS 2016 20620 NAIA 7 1
224 13 AGUSTUS 2016 5461 ASEP 46 1
225 13 AGUSTUS 2016 5304 DADANG 58 1
226 13 AGUSTUS 2016 5395 EVA 16 1
227 13 AGUSTUS 2016 5390 ILHAM' 6 1
228 13 AGUSTUS 2016 5391 LITA 20 1
229 13 AGUSTUS 2016 10352 RIMA 31 1
230 13 AGUSTUS 2016 22388 ERVAN 10 1
231 13 AGUSTUS 2016 17424 GINA 21 1
232 13 AGUSTUS 2016 SITI 36 1
233 13 AGUSTUS 2016 5268 SUSAN 22 1
234 13 AGUSTUS 2016 21479 MARIA 21 1
235 15 AGUSTUS 2016 SOFFA 22 1
236 15 AGUSTUS 2016 5376 ELA 34 1
237 15 AGUSTUS 2016 5376 ROMI 9 1
238 15 AGUSTUS 2016 5373 SAROH 17 1
239 15 AGUSTUS 2016 5334 FITRI 36 1
240 15 AGUSTUS 2016 240 AZIS 15 1
241 15 AGUSTUS 2016 5380 M ADITYA 6 1
242 15 AGUSTUS 2016 SILVA 26 1
243 15 AGUSTUS 2016 20455 RAHENDI 60 1
244 15 AGUSTUS 2016 3670 TUTI 57 1
245 15 AGUSTUS 2016 2284 IRA 53 1
246 15 AGUSTUS 2016 21102 NURLAILA 8 1
247 15 AGUSTUS 2016 20908 YUSUF 54 1
248 15 AGUSTUS 2016 3688 AMALIA 17 1
249 15 AGUSTUS 2016 6982 KARTINAH 40 1
250 15 AGUSTUS 2016 491 ENDANG 31 1
251 15 AGUSTUS 2016 5401 SALSABILA 9 1
252 15 AGUSTUS 2016 5260 TINI 38 1
253 15 AGUSTUS 2016 2486 NANDANG 9 1
254 15 AGUSTUS 2016 5402 ADE P 7 1
255 16 AGUSTUS 2016 5429 FATIYA 6 1
256 16 AGUSTUS 2016 5425 UJU 56 1
257 16 AGUSTUS 2016 5424 WISNU 20 1
258 16 AGUSTUS 2016 5365 MAMAN 64 1
259 16 AGUSTUS 2016 5436 ANISA 16 1
260 16 AGUSTUS 2016 5438 JUJU 37 1
261 16 AGUSTUS 2016 15973 CICIH 47 1
262 16 AGUSTUS 2016 14956 INA 32 1
263 16 AGUSTUS 2016 5440 ADINDA 6 1
264 16 AGUSTUS 2016 3516 GINA 19 1
265 16 AGUSTUS 2016 22855 M FIKRI 11 1
266 16 AGUSTUS 2016 5441 ALFHAZ 7 1
267 16 AGUSTUS 2016 17977 NASRUL 10 1
268 16 AGUSTUS 2016 17978 SYEIRA 10 1
269 16 AGUSTUS 2016 5288 PRATAMI 52 1
270 16 AGUSTUS 2016 7852 ENGKOS 54 1
271 16 AGUSTUS 2016 5301 RAHMAT 58 1
272 16 AGUSTUS 2016 2858 RUSINO 67 1
273 16 AGUSTUS 2016 6113 DADANG 61 1
274 16 AGUSTUS 2016 5 SUTINAH 50 1
275 16 AGUSTUS 2016 5026 EGI 14 1
276 16 AGUSTUS 2016 5409 YAN 20 1
277 18 AGUSTUS 2016 5370 SAROH 17 1
278 18 AGUSTUS 2016 5458 IMAS S 24 1
279 18 AGUSTUS 2016 5463 METI 31 1
280 18 AGUSTUS 2016 5467 SITI ULFAH 10 1
281 18 AGUSTUS 2016 17632 CICI A16 1
282 18 AGUSTUS 2016 5184 DEDI 22 1
283 18 AGUSTUS 2016 5126 LINDA 25 1
284 18 AGUSTUS 2016 5459 IMAS S 34 1
285 18 AGUSTUS 2016 5462 NIA 46 1
286 18 AGUSTUS 2016 5312 DJADJA S 74 1
287 18 AGUSTUS 2016 5313 GINA K 45 1
288 18 AGUSTUS 2016 5289 NURYAMAH 45 1
289 18 AGUSTUS 2016 5304 DADANG S 58 1
290 18 AGUSTUS 2016 8284 IRA 50 1
291 18 AGUSTUS 2016 13333 ARNIATI 31 1
292 18 AGUSTUS 2016 13101 ESIH 52 1
293 18 AGUSTUS 2016 5419 YULINDA 17 1
294 18 AGUSTUS 2016 3045 ENUNG 23 1
295 18 AGUSTUS 2016 5402 HAMDANI 16 1
296 18 AGUSTUS 2016 4309 M MUSTAJAH 41 1
297 19 AGUSTUS 2016 5641 HIPDI 9 1
298 19 AGUSTUS 2016 2716 SYIFA 17 1
299 19 AGUSTUS 2016 5670 RATNASARI 27 1
300 19 AGUSTUS 2016 4083 ABNUR 5 1
301 19 AGUSTUS 2016 22015 UUS 44 1
302 19 AGUSTUS 2016 5674 FARHAN 36 1
303 19 AGUSTUS 2016 5648 YANI 28 1
304 19 AGUSTUS 2016 5677 RISKI 4 1
305 19 AGUSTUS 2016 100 FAHMI 41 1
306 19 AGUSTUS 2016 5425 RAIFAL 6 1
307 19 AGUSTUS 2016 3516 UJU 56 1
308 19 AGUSTUS 2016 5347 M FIKRI 11 1
309 19 AGUSTUS 2016 4957 SOPYAN 39 1
310 19 AGUSTUS 2016 4957 ABDUL 41 1
311 19 AGUSTUS 2016 21102 NURLAELA 8 1
312 19 AGUSTUS 2016 24023 AJENG 10 1
313 19 AGUSTUS 2016 17742 PERDANA 9 1
314 20AGUSTUS 2016 4786 ENI 52 1
315 20 AGUSTUS 2016 5477 SRI 17 1
316 20 AGUSTUS 2016 5475 GUSMAYANTI 28 1
317 20 AGUSTUS 2016 5476 KOSIM 81 1
318 20 AGUSTUS 2016 5473 IRNA 24 1
319 20 AGUSTUS 2016 6885 NURAENI 28 1
320 20 AGUSTUS 2016 5470 EDI 55 1
321 20 AGUSTUS 2016 5471 ENDAH 52 1
322 20 AGUSTUS 2016 17078 REIZKY 8 1
323 20 AGUSTUS 2016 14897 AYANG 17 1
324 20 AGUSTUS 2016 5480 M ADITYA 12 1
325 20 AGUSTUS 2016 7386 KARUS 77 1
326 20 AGUSTUS 2016 1451 GILANG 47 1
327 20 AGUSTUS 2016 21735 AZHAR 8 1
328 20 AGUSTUS 2016 5313 GINA 45 1
329 20 AGUSTUS 2016 20110 SINTA 17 1
330 20 AGUSTUS 2016 19675 SILMI 10 1
331 20 AGUSTUS 2016 5650 TRI 9 1
332 20 AGUSTUS 2016 5651 FAHMI 6 1
333 20 AGUSTUS 2016 10884 SOPIA 17 1
334 20 AGUSTUS 2016 9840 IKA 44 1
335 20 AGUSTUS 2016 10352 RIMA 34 1
336 22 AGUSTUS 2016 5556 TOTONG 31 1
337 22 AGUSTUS 2016 20160 CECEP 33 1
338 22 AGUSTUS 2016 5549 NENENG 35 1
339 22 AGUSTUS 2016 5541 NINING 45 1
340 22 AGUSTUS 2016 5540 DUDU 12 1
341 22 AGUSTUS 2016 5535 EGA 18 1
342 22 AGUSTUS 2016 5537 EDI 61 1
343 22 AGUSTUS 2016 5534 SYAITUL 7 1
344 22 AGUSTUS 2016 12798 YANA 24 1
345 22 AGUSTUS 2016 19959 MEMET 46 1
346 22 AGUSTUS 2016 5554 NAZWA 7 1
347 22 AGUSTUS 2016 5561 AAN 46 1
348 22 AGUSTUS 2016 6815 KOKO 45 1
349 22 AGUSTUS 2016 5562 ADITYA 12 1
350 22 AGUSTUS 2016 5559 AJANG 32 1
351 22 AGUSTUS 2016 5563 SITI S 80 1
352 22 AGUSTUS 2016 5534 FITRI 36 1
353 22 AGUSTUS 2016 5547 DIAN 34 1
354 22 AGUSTUS 2016 692 RINUS 6 1
355 22 AGUSTUS 2016 5467 SITI U 16 1
356 22 AGUSTUS 2016 5533 ADAM 7 1
357 22 AGUSTUS 2016 AZWA 12 1
358 22 AGUSTUS 2016 23184 YETI 56 1
359 22 AGUSTUS 2016 20155 RAHENDI 59 1
360 22 AGUSTUS 2016 167 IRMA 26 1
361 22 AGUSTUS 2016 5288 PRATAMI 51 1
362 22 AGUSTUS 2016 2438 ANJI 36 1
363 22 AGUSTUS 2016 5622 SUPRIYADI 36 1
364 22 AGUSTUS 2016 5619 VALEN 5 1
365 22 AGUSTUS 2016 5618 YAYAH 43 1
366 22 AGUSTUS 2016 AULIA 13 1
367 22 AGUSTUS 2016 10060 SALSABILA 5 1
368 22 AGUSTUS 2016 16315 WILDA 28 1
369 22 AGUSTUS 2016 4403 NAURA 38 1
370 23 AGUSTUS 2016 5582 YANI 22 1
371 23 AGUSTUS 2016 5586 IRFAN 8 1
372 23 AGUSTUS 2016 18954 DELIA 8 1
373 23 AGUSTUS 2016 17396 SUHAENDAH 47 1
374 23 AGUSTUS 2016 17717 QONITINA 19 1
375 23 AGUSTUS 2016 5568 TIMTIM 33 1
376 23 AGUSTUS 2016 5566 HJ SUTIHAT 76 1
377 23 AGUSTUS 2016 5473 IRNA 24 1
378 23 AGUSTUS 2016 3516 MF FIKRI 12 1
379 23 AGUSTUS 2016 13821 YESA 10 1
380 23 AGUSTUS 2016 10474 TALITA 9 1
381 23 AGUSTUS 2016 4617 ZAENAL 51 1
382 23 AGUSTUS 2016 22388 ERVAN 9 1
383 23 AGUSTUS 2016 5289 NURYAMAH 45 1
384 23 AGUSTUS 2016 5490 MUHTADI 60 1
385 23 AGUSTUS 2016 7894 TUQINEM 57 1
386 23 AGUSTUS 2016 13091 ARI 60 1
387 23 AGUSTUS 2016 1333 ARIYANTI 31 1
388 23 AGUSTUS 2016 2852 KUSRI 58 1
389 23 AGUSTUS 2016 5628 OMAN 72 1
390 23 AGUSTUS 2016 5659 YUDI 51 1
391 23 AGUSTUS 2016 5259 TATING 60 1
392 23 AGUSTUS 2016 5625 AMEL 7 1
393 23 AGUSTUS 2016 5633 HELMI 13 1
394 23 AGUSTUS 2016 10352 RIMA 31 1
395 24 AGUSTUS 2016 5677 GALUH 20 1
396 24 AGUSTUS 2016 23364 NURUL 5 1
397 24 AGUSTUS 2016 5681 SULHAN 35 1
398 24 AGUSTUS 2016 5102 ABDUL 27 1
399 24 AGUSTUS 2016 17977 SYIRA 9 1
400 24 AGUSTUS 2016 18735 AIMATUN 9 1
401 24 AGUSTUS 2016 3946 RENDI 9 1
402 24 AGUSTUS 2016 5587 SALSA 14 1
403 24 AGUSTUS 2016 5588 HARI 14 1
404 24 AGUSTUS 2016 5554 NAZWA 7 1
405 24 AGUSTUS 2016 DAFA 7 1
406 24 AGUSTUS 2016 5494 YUYUB 44 1
407 24 AGUSTUS 2016 6704 ENGKUS 53 1
408 24 AGUSTUS 2016 4617 ZAENAL 57 1
409 24 AGUSTUS 2016 8284 IRA 50 1
410 24 AGUSTUS 2016 5666 NURUL 6 1
411 24 AGUSTUS 2016 5622 SUPRIYADI 36 1
412 24 AGUSTUS 2016 5246 NENI 49 1
413 24 AGUSTUS 2016 5657 ANANG 36 1
414 25 AGUSTUS 2016 HJ IAH 50 1
415 25 AGUSTUS 2016 5687 IMA 220 1
416 25 AGUSTUS 2016 5541 NINING 45 1
417 25 AGUSTUS 2016 644 PRANAGEA 7 1
418 20 AGUSTUS 2016 1139 DENAF 8 1
419 20 AGUSTUS 2016 19616 AMI 23 1
420 20 AGUSTUS 2016 19959 MAMAT 46 1
421 20 AGUSTUS 2016 KIRMAN 67 1
422 20 AGUSTUS 2016 5685 ADITYA 22 1
423 20 AGUSTUS 2016 5535 EGA 18 1
424 20 AGUSTUS 2016 5701 REIGA 25 1
425 20 AGUSTUS 2016 18643 GIFARI 8 1
426 20 AGUSTUS 2016 4983 EUIS 49 1
427 20 AGUSTUS 2016
428 20 AGUSTUS 2016
429 20 AGUSTUS 2016
430 20 AGUSTUS 2016
431 20 AGUSTUS 2016
432 20 AGUSTUS 2016
433 20 AGUSTUS 2016
434 20 AGUSTUS 2016
TOTAL 169 257

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS AGUSTUS 2017
JUMLAH

NO TINDAKAN JUMLAH
1 TT 400 3%
1%6%
2 TS 85 8%
3 P.PULP 951
4 EXT.TTP 1338 22%
61%
5 EXT.SLG 3468
6 CALL 0
7 PREM 9698
8 LL 0
JUMLAH 15940
KUNJUNGAN
NAMA
KK/INDEKS
B L CIAMIS KERTASARI CIGEMBOR

1
1
1
1
1 1
1
1 1
1 1
1 1
1
1
1
1 1
1
1 1
1
1
1 1
1
1
1
1
1
1 1
1
1
1
1
1
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1

1
1
1
1
1
1 1
1 1
1 1
1
1
1
1 1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1 1
1 1
1 1
1
1
1 1
1
1
1 1
1
1
1
1 1
1 1
1 1
1
1
1
1
1 1
1 1
1 1
1
1 1
1
1
1 1
1
1 1
11
1
1
1 1
1
1 1
1 1
1 1

1
1
1
1 1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1
1 1
1 1
1 1
1
1 1
1
1
1
1

1 1

1
1 1
1 1
1 1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1
1 1
1
1 1
1 1
1
1
1 1
1 1
1
1 1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1 1
1
1 1
1 1
1
1 1
1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1
1 1
1
1 1
1 1
1
1
1 1
1
1 1
1 1
1 1
1 1
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1 1
1
1
1 1
1 1
1 1
1
1
1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1
1
1 1
1 1
1
1 1
1
1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1 1
1
1
1 1
1 1
1 1
1
1
1
1
1
1
1
1
1 1
1 1
1 1
1
1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1 1
1 1
1 1
1
1 1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1
1 1
1 1
1
1
1 1
1 1
1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1
1
1
1 1
1
1 1
1
1 1

235 201 95 56 14 29

JUMLAH

TT
3%
1%6% TS
8% P.PULP
EXT.TTP
EXT.SLG
22% CALL
PREM
LL
BULAN : AGUSTUS
PUSKESMAS: CIAMIS

ALAMAT

BENTENG LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1
1
1

1
1
1

1
1

1
1
1
1
1

1
1
1
1
1

1
1
1
1
1

1
1
1
1
1

1
1
1

1
1
1
1

1
1

1
1
1
1
1
1

1
1

1
1
1
1
1

1
1

1
1
1
1

1
1
1
1

1
1
1

1
1
1
1

1
1

1
1
1

1
1
1

1
1
1

1
1
1
1

1
1
1
1
1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1

1
1

1
1
1

1
1

1
1

1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1

1
1

1
1
1

1
1
1

1
1

1
1

1
1

1
29 28 25 31 148
BPJS PEM FISIK

UMUM

PNS PBI (APBN) MANDIRI BB TB

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
3
1
2
4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
1
2
1
2
3
4
5
6
7
8

10
11
12
1
2
3
4
5
1
2
3
4
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13

2
3
4
5
6
7
8
1
2
3
4
1
9
2
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
1
2
3
4
5
6
7
8
1
2
3
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
9
10
1
2
1
2
3
1
3
4
4
5
6
1
2
3
4
5
6
7
1
2
3
4
5
6
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
2
3
4
5
1
2
3
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
1
2
3
4
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
2
1
1
2
3
4
5
6
7
8
9
10
11
1
2
3
4
5
1
2
3
4
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
1
2
3
4
5
1
2
3
4
1
2
3
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
1
2
3
4
5
1
1
2
3
4
5
6
7
8
9
10
11
1
2
3
4
1
2
3
4
1
2
3
4
5
6
7
8
9
10
11
12
13

1321 342 176 27 0 0


TD DIAGNOSA ICD X

KELUHAN TERAPI
SISTOL DIASTOL CARIES K.PUL K. PD PERST LL

37 K047 A. P. Vc 37
15 K055 A. P. Capt 15
48 K040 A. P. Vc 48
17 K054 V. P. Vc 17
36 K040 Devit+TS A. P 36
38 K055 EKS 38 A. P 38
36 K041 EKS 36 A. P
74 K006 EKS 74 74
83 K006 EKS 83 A. P 83
36 K041 A. P 36
51 K006 EKS 51 51
37 K054 V. P. Dx 37
46 K047 A. P. Vc 46
51 61 K046 A. P. Bc 51
38 K044 A. P. Vc 38
48 K046 A. P. Vc 48
46 K006 A. P. Vc 46
84 K006 A. P 84
46 K040 CHKM+TS 46
37 K046 A. P. Vc 37
84 K040 C. Vc 84
37 K040 A. P. d 37
74 K006 P. Bc 74
23 K046 A. P. Vc 23
14 K041 A. P. d 14
36 K047 A. P 36
62 K006 A. Syr P. Syr 62
26 K046 M. A. P 26
52 K006 P. Bc 52
54 K006 A. P 54
37 K041 A. P 37
46 K044 A. P 46
36 K047 A. P 36
24 K040 RJK RSU 24
46 K046 P. A 46
36 K041 RJK RSU 36
36 K047 A. P. Bc 36
36 K047 A. P. Bi 36
46 K040 A. P. Bc 46

51 K006 KONTROL A. P. Bc 51

46 K047 A. P. Dx
18 K045 A. P. Dx 18
46 K041 EKS 46 A. P. Dx 46
51 K006 EKS 51 P. Bc 51
81 K006 EKS 81 P 81
14 K040 AA. P. Vc 14
61 K006 EKS 61 61
36 K041 A. P. Vc 36
31 K040 A. P 31
84 K040 A. P
46 K041 EXT A. P. C 46
14 K040 Devit P 14
37 K041 A. P. C 37
74 K006 EXT P 74
64 K046 A. P. C
38 K010 A. P. C 38
37 K040 A. P. D 37
37 K040 A. P. B 37
36 K041 EXT A. P
55 K006 P. Bc 55
15 K047 A. P. D 15
52 K006 EXT 52
65 K041 A. P
13 K083 EXT A. P 13
71 K006 EXT 71
85 K006 A. P
48 K041 RJ
46 K047 A. P. D
46 K047 A. P. Bc
23 K047 A. P. Vit C
52 K006
13 K047
36 K047
17 K040
46 K040
46 K041
46 K046
81 K047
37 K020
71 K006
38 K047
16 K047
36 K047 36
32 K006 52
51 71 K006 5171
38 K047 38
74 K047 74
57 K006 51
25 LUKASI
54 K047 A.P.DX 54
36 K041 V.P.DX 36
84 K047 A.P.VC 84
46 K040 CHKM +TS
46 K041 EKT 46 V.P.VC 61
61 K006 EKT 61 P BC 52
52 K006 EKT 52 P.BC 52
52 K006 KONTROL BC 71
71 K006 EKT 71 51
51 K006 EKT 51 82
82 K006 EKT 82 21
21 K006 KONTOL
48 K047 A.P.BC 48
35K047 35
46 K047 46
47 K047 47
26 K047 26
14 K047 14
44 K047 44
51 K047 51
5161 K006 5161
34 K047 34
38 K047
37 K041 A.P.DX
48 K010 A.P.DX 48
47 K047 A.P.DX 47
84 K006 A.P.DX 84
38 K041 A.P 38
36 K040 DEVIT + TS A.P
14 K040 TKF + TS A.P
26 K040 TKF + TS VIT 26

46 K041 DEVIT + TS A.P.DX

72 K006 EKS 46 A. P. Dx 72
64 K041 EKS 72 P 64
51 K006 A.P 51
21 LUXASI EKS 21 A.P.BC 21
36 K040 RUJUK 36
15 K047 A.P.VC 15
46 K044 A.P
11 K047 A.P.AMLO 11
36 K040 A.P
21 K041 A.P 21
46 K041 A.P 46
16 K041 A.P 16
37 K047 A.PBI 37

38 K040 A.P.VC
46 K040 A.P 46
74 K047 COTRI P 74
46 K046 A.P.VC
46 K041 A.P.VC 46
27 K041 A.P.VC 27
24 K041 A.P.VC 24
85 K047 P.BC 85
11 K041 EKT 11 A.P 11
46 K040 A.P.BC
14 K046 A.P.VC 14
84 K046 A.P 84
46 K041 EKS 46 A.P.VC 46

RB DISKOLASI A.P RB

44 K044 A.P.VC 44
27 K045 V.P.VC 27
46 K047 A.P.VC
47 K047 A.P.VC
27 K044 V.P 27
54 K046 A.P 54
46 K047 V.P.DX
36 K047 A.P.DX 36
15 K040 CHKM + TS
36 K041 A.P.VC
11 K047 A.P.VC 11
84 K041 A.P 84
36 K041 RUJUK 36
36 K040 A.P.VC 36
61 K047 A.P.DX 61
27 K047 CEFA 27
46 K046 A.P.VC 46
11 K040 AP.VC 11
37 K040 A.P.VC 37
23 K046 AP.VC
72 K006 A.P 72
48 K040 A.P
47 K055 EKS 47 A.P 47
62 K006 EKS 62 62
72 K006 EKS 72 72
61 K006 EKS 61 61
61 K006 EKS 61 61
45 K041 V.P.DX 45
46 K047 A.P.VC
14 K040 TKF + TS
36 K046 A.P.
26 K041 P.VC 26
34 K040 A.P 34
38 K047 A.P.DX 38
46 K041 A.P 46
14 K040 CHKM + TS
36 K040 TKF + TS
24 K041 EKS 24 A.P 24
15 K041 EKS 15 A.P 15
47 K041 ESK 47 A.P 47
16 K040 A.P 16
5161 K081 COTRI P 5161
24 K041 CEFA P.VC
64 K006 EKS 62 P 62
84 K045 A.P.BC 84
51 K006 EKS 51 51
73 K006 EKS 73 A.P 73
31 K055 A.P.VC 31
38 K010 A.P.VC 38
46 K040 CHKM + TS
26 K041 A.P.VC 26
41 K041 A.P.VC 41
36 K041 A.P 36
26 K041 A.P 23
44 K040 TKF + TS
45 K040 CHKM + TS
15 K040 EUHENOL TTS
24 K011 RUJUK 21
5161 K006 EKS 5161
46 K041 A.P.VC 5161
16 K040 RUJUK
36 K041 RUJUK 16
RB K036 RUJUK RB
16 K040 A.P.VC 16
42 K052 A.P.C.ANT 42
85 K006 A.P.BC 85
35 K044 V.P.CTM 35
47 K047 A.P.DX 47
28 K052 A.P.CTM 28
26 K047 A.P.BI 26
27 K040 A.P.BC 27
71 K006 EKS 71 71
64 K006 EKT 64 BC 64
73 K006 EKT 73 BC 73
14 K041 RUJUK
15 K045 A.P.BC 15
1121 K021 RUJUK 1121
5161 K006 EKS 5161 5161
1222 K021 TT 1222
46 K040 DEVIT + TS A.P.D 46
53 K006 EKS 53 53
37 K041 EKS 37 A.P.D
26 K036 V.P.BC 26
36 K054 V.P.DX
38 K011 V.P.D 38
48 K041 A.P 46
48 K054 P.D 48
36 K040 A.P.DX 36
46 K046 A.P.VC 46
34 K040 DEVIT + TS A.P.D
47 K041 EKS 47 V.P.D
61 K006 EKS 61 P.BC 61
36K041 A.P.DX 36
46 K046 A.P.DX 46
27 K046 A.P 27
46 K045 A.P 46
36 K040 V,P 36
47 K041 RUJUK 47
37 K046 RUJUK
44 K046 R.P.VC 44
37 K047 A.P.DX 37
62K006 EKS 62 P 62
34 K047 A.P.VC 34
75 K046 A.P.DX 75
K006 RUJUK
74 K046 A.P.DX 74
16 K046 A.P.BI 16
11 K045 A.P.DX 11
26 K046 A.P.BI
36 K046 A.P.DX 36
36 K046 A.P.VC 36
27 K046 A.P.CTM 27
14 K046 A.P.DX
72 K006 P.BC 72
RB K036 A.VC RB
46 K040 DEVIT + TS A.P.D
52 K006 EKS 52 52
73 K006 EKS 73 PA 73
84 K006 EKS 84 A.P 84
27 K045 A.P
45 K040 TT
26 K055 EKS 26 A.P
36 K041 CIPRO P 36
11 K055 EKS 11 A.P.VC
25 K040 RUJUK 11
48 K041 RUJUK
47 K046 A.P.VC 47
46 K041 A.P 46
35 K044 A.P.BC 35
37 K045 A.P.BC 37
54 K046 A.P 54
36 K041 A.P 36
24 K041 A.P.VC 24
37 K041 A.P 37
28 K040 A.P.VC 28
26 K040 A.P.VC 26
4142 K046 A.P.VC 4142
17 K040 A.P.VC 17
44 K040 TS CHKM TS 44
27 K041 A.P 27
46 K045 A.P.VC 46
36 K040 TS CHKM TS 36
17 K044 V.P.BI 17
46 K044 A.P.VC 46
15 K040 TS LODO 15
1121 K021 A.P.BC 1121
28 K055 A.P.VC 28
52 K006 P 52
46 K047 A.P.VC 46
27 K040 A.P.VC 27
74 K006 P.B 74
35 K046 V.P.VC 35
84 K041 CEFA 84
36 K040 V.PD 36
84 K046 A.P.VC 84
28 K046 A.P.VC 28
81 K006 A.P.PC 81
16 K041 A.P.VC 16
46 K040 A.P.VC 46
46 K045 A.P.VC 46
46 K041 A.P.PC 46
36 K041 RUJUK 36
85 K006 A.P 85
46 K046 A.P.VC 46
17 K045 A.P.DX 17
46 K040 A.P.BC 46
46 K041 A.P.D 46
27 K046 A.P.BC 27
25 K040 A.P.DX 25
15 K040 DEVIT + TS A.P.D
26 K011 TT 26
47 K022 TT 47
82 K006 EKS 82 82
36 K021 TT 36
46 K041 A.P.DX 46
22 K046 A.P 22
38 K046 A.P.VC 38
62 K006 EKS 62 62
36 K041 A.P.VC
38 K006 RUJUK
31 K020 TT 31
51 K006 EKS 51 51
85 K045 P.BC 85
21 K021 TT 21
161435 K041 TS 161435
46 K041 TS TKF
11 K047 A.P.D 11
24 K046 A.P.DX
38 K011 A.P.BC 38
24 K041 A.P 24
36 K046 A.P 36
46 K041 A.P.DX 46
K031 A.P 1112
61 K006 A.P.BC 61
46 K046 A.P.VIT.C 46
46 K041 A.P 45
74 K046 A.P 74
46 K046 A.P.DX 46
38 K053 V.P.VIT.C 38
37 K041 A.P.DX 37
37 K041 A.PDX 37
14 K053 A.P.BI 14
34 K040 A.P
14 K041 A.P.VIT.C 14
61 K006 A.P.BC 61
54 K006 P.VIT.V 54
81 K006 P 81
36 K045 A.P.DX 36
23 K046 A.P.BI
45 K047 A.P
16 K046 A.P.VC 16
27 K045 RUJUK
36 K041 A.P.VC 36
28 K046 A.P.DX 28
75 K045 A.P.DX 75
45 K045 A.P.VIT AMLO 44
16 K046 A,P,DX 16
61 K006 A.P 61
38 K045 A.P 38
38 K011 RUJUK 38
38 K011 A.P.D 38
82 K006 P.BC 82
85 K047 A.P.BC 85
36 K041 A.P.VIT 47
16 K041 A.P 16
46 K045 A.P.D 46
16 K047 A.P 16
26 K040 CHKM + TS
46 K040 CHKM + TS
54 K006 EKS 54 54
73 K006 KONTROL 73
16 K047 A.P.DX 16
63 K006 P 63
44 K040 LODOFROM 44
38 K045 A.P.BI 38
17 K041 RUJUK 17
46 K045 RUJUK 46
36 K045 A.P.DX 36
26 K047 RUJUK 26
43 K047 A.P.VC 43
26 K046 A.P.DX 26
46 K041 A.P 46
71 K006 A.P 7181
11 K040 RUJUK 11
46 040 CHKM 46
48 K011 CEFA 48
57 K047 AM.P.DX 57
47 K047 CEFA A.P 47
18 K045 A.P.DX
74 K006 EKS 74
53 K006 EKS 53 74
53 K006 A.P.VC 53
26 K045 A.P.VC 53
11 K040 A.P. 26
74 K006 A.P 74
61 K006 EKS 61 61
24 K040 RUJUK 24
17 K047 A.P.BI 17
16 K047 A.P.DX 16
46 K045 A.P.DX
51 K006 PCT 51
28 K045 A.P.DX 28
1121 K047 A.P.BI 1121
11213 K041 A.P 1213
38 K011 A.P.BC 38
36 K047 A.P.VC 36
14 K047 A.P.D
46 K040 A.PDX 46
52 K006 BC 52
36 K047 A.P.BC 36
45 K040 DEVIT + TS A.P.D
27 K041 EKS 27 A.P.C 27
36 K041 EKS 36 A.P.D 36
46 K041 EKS 46 A.PD
25 K041 EKS 25 A.P.D 25
84 K006 EKS 84 84
36 K006 A.P.BC 36

0 0 3599 175034 5608 28253 6775


K.004 K.021 K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047

1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1

1
1
1

1
1
1
1
1
1
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1
1
1
1
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1
1
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1
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1
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1
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1
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1
1
1
1
1
1
1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1

1
1
1
1
1
1
1
1

1
1

1
1
1
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1
1
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1
1
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1
1
1
1

1
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1
1

1
1
1
1
1
1
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1
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1
1
1
1
1
1
1

1
1
1

1
1
1
1

1
1

1
1
1

1
1

1
1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1

0 5 0 3 67 80 0 24 48 57
KODE

K.050 K.051 K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081

1
1

1
1

1
1

1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1

1
1

1
1
1
1

1
1

1
1
1

1
1

1
1
1

1
1

1
1
1

1
1
1

1
1

1
1
1

1
1
1

1
1

1
1
1

1
1

1
0 0 2 2 4 8 0 80 0 1
K.083 K.011 K.020 K089 K.103 K116 K.120 DLL TT TS

1
1

1
1

1
1

1
1

1222
1

45

1
1
1

1 26
47
36
1 31

21

1
1
1

1
1 7 0 0 0 0 0 16 1428 0
TINDAKAN

P.PULP EXT.TTP EXT.SLG CALL PREM LL

37
15
48
17
36
38
36
74
83
36
51
37
46
51
38
48
46
84
46
37
84
37
74
23
14
36
62
26
52
54
37
46
36
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46
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36
36
46

46
28
46
51
81
14
61
36
31
84
46
14
37
74
64
38
37
37
36
55
15
52
65
13
71
85
RJ

36
52
5171
38
74
51
25
54
36
84
46
46
61
52
52
71
51
82
21
48
R
46
47
26
14
44
51
5161
34
R
37
48
47
84
38
36
14
26

46

72
64
51
21
R
15
R
11
36
21
46
16
37

38
46
74
46
46
27
24
85
11
46
14
84
46

RB

44
27
46
47
27
54
46
36

36
11
84
R
36
61
27
46
11
37
23
72
48
47
62
72
61
61
45
46
14
36
26
34
38
46
14
36
24
15
47
16
5161
24
62
84
51
73
31
38
46
26
41
36
26

44
45
15
5161 R
46
R
R
R
16
42
85
35
47
28
26
27
71
64
73
R
15
R
5161

46
53
37
26
36
38
48
48
36
46
34
47
61
36
46
27
46
36
R
R
44
37
62
34
75
R
74
16
11
26
36
36
27
14
72
RB
46
52
73
84
27

26
36
11
R
R
47
46
35
37
54
36
24
37
28
26
4142
17
44
27
46
36
17
46
15
1121
28
52
46
27
74
35
84
36
84
28
81
16
46
46
46
R
85
46
17
46
46
27
25

15

46
22
33
62
36
R
51
85

161415
46
11
24
38
24
36
46
1112
61
46
45
74
46
38
37
37
14
54
34
14
61
54
81
23
45
16
R
36
28
75
44
16
61
38
R
38
82
85
47
16
46
16
25
46
54

16
63
44
38
R
R
36
R
43
26
46
7181
R
46
48
57
47
18

74
53
53
26
74
61
R
17
16
46
51
28
1121
36
38
36
14
46
52
36

45
27
36
46
25
84

162340 1198 23893 7181 22277 216


TAHUN : 2017
TEMPAT PELAYANAN : POLI G

DOKTER YANG MENANGANI

KETERANGAN NO
DRG EVIE

ABSESS PERIAPIKAL TANPA SINUS 1 1

PENYAKIT PERIODONTAL LAIN 2 1

PULPITIS 3 1

PERIODONTITIS 4 1

PULPITIS 5 1

PENYAKIT PERIODONTAL LAIN 6 1

NEKROSIS PULPA 7 1

DISTURBANCES IN TOOTH ERUPTION 8 1

DISTURBANCES IN TOOTH ERUPTION 9 1

NEKROSIS PULPA 10 1

DISTURBANCES IN TOOTH ERUPTION 11 1

PERIODONTITIS 12 1

ABSESS PERIAPIKAL TANPA SINUS 13 1

ABSESS PERIAPIKAL DI SINUS 14 1

PERIODONTITIS APIKALIS AKUT 15 1

ABSESS PERIAPIKAL DI SINUS 16 1

DISTURBANCES IN TOOTH ERUPTION 17 1

DISTURBANCES IN TOOTH ERUPTION 18 1

PULPITIS 19 1

ABSESS PERIAPIKAL DI SINUS 20 1

PULPITIS 21 1

PULPITIS 22 1

DISTURBANCES IN TOOTH ERUPTION 23 1

ABSESS PERIAPIKAL DI SINUS 24 1

NEKROSIS PULPA 25 1

ABSESS PERIAPIKAL TANPA SINUS 26 1

DISTURBANCES IN TOOTH ERUPTION 27 1

ABSESS PERIAPIKAL DI SINUS 28 1

DISTURBANCES IN TOOTH ERUPTION 29 1

DISTURBANCES IN TOOTH ERUPTION 30 1

NEKROSIS PULPA 31 1

PERIODONTITIS APIKALIS AKUT 32 1

ABSESS PERIAPIKAL TANPA SINUS 33 1

PULPITIS 34 1

ABSESS PERIAPIKAL DI SINUS 35 1

NEKROSIS PULPA 36 1

ABSESS PERIAPIKAL TANPA SINUS 37 1

ABSESS PERIAPIKAL TANPA SINUS 38 1

PULPITIS 39 1

40 1
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS 41 1
PERIODONTITIS APIKALIS KRONIS 42 1

NEKROSIS PULPA 43 1

DISTURBANCES IN TOOTH ERUPTION 44 1

DISTURBANCES IN TOOTH ERUPTION 45 1

PULPITIS 46 1

DISTURBANCES IN TOOTH ERUPTION 47 1

NEKROSIS PULPA 48 1

PULPITIS 49 1

PULPITIS 50 1

NEKROSIS PULPA 51 1

PULPITIS 52 1

NEKROSIS PULPA 53 1

DISTURBANCES IN TOOTH ERUPTION 54 1

ABSESS PERIAPIKAL DI SINUS 55 1

EMBEDED TEETH 56 1

PULPITIS 57 1

PULPITIS 58 1

NEKROSIS PULPA 59 1

DISTURBANCES IN TOOTH ERUPTION 60 1

ABSESS PERIAPIKAL TANPA SINUS 61 1

DISTURBANCES IN TOOTH ERUPTION 62 1

NEKROSIS PULPA 63 1

SISA AKAR 64 1

DISTURBANCES IN TOOTH ERUPTION 65 1

DISTURBANCES IN TOOTH ERUPTION 66 1

NEKROSIS PULPA 67 1

PULPITIS 68 1

NEKROSIS PULPA 69 1

PERIODONTITIS APIKALIS KRONIS 70 1


71 1

NEKROSIS PULPA 72 1

CARIES DENTINE 73 1

PENYAKIT PERIODONTAL LAIN 74 1

DEPOSITS ON TEETH 75 1

DISTURBANCES IN TOOTH ERUPTION 76 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 77 1

ABSESS PERIAPIKAL DI SINUS 78 1

PULPITIS 79 1

ABSESS PERIAPIKAL TANPA SINUS 80 1

ABSESS PERIAPIKAL TANPA SINUS 81 1

PERIODONTITIS APIKALIS KRONIS 82 1

PERIAPICAL ABSCESS WITH SINUS 83 1

DISTURBANCES IN TOOTH ERUPTION 84 1

DISTURBANCES IN TOOTH ERUPTION 85 1

PERIAPICAL ABSCESS WITHOUT SINUS 86 1

PERIAPICAL ABSCESS WITHOUT SINUS 87 1

DISTURBANCES IN TOOTH ERUPTION 88 1


89 1
PERIAPICAL ABSCESS WITHOUT SINUS 90 1

NECROSIS OF PULP 91 1

PERIAPICAL ABSCESS WITHOUT SINUS 92 1

PULPITIS 93 1

NECROSIS OF PULP 94 1

DISTURBANCES IN TOOTH ERUPTION 95 1

DISTURBANCES IN TOOTH ERUPTION 96 1

DISTURBANCES IN TOOTH ERUPTION 97 1

DISTURBANCES IN TOOTH ERUPTION 98 1

DISTURBANCES IN TOOTH ERUPTION 99 1

DISTURBANCES IN TOOTH ERUPTION 100 1

DISTURBANCES IN TOOTH ERUPTION 101 1

PERIAPICAL ABSCESS WITHOUT SINUS 102 1

PERIAPICAL ABSCESS WITHOUT SINUS 103 1

PERIAPICAL ABSCESS WITHOUT SINUS 104 1

PERIAPICAL ABSCESS WITHOUT SINUS 105 1

PERIAPICAL ABSCESS WITHOUT SINUS 106 1

PERIAPICAL ABSCESS WITHOUT SINUS 107 1

PERIAPICAL ABSCESS WITHOUT SINUS 108 1

PERIAPICAL ABSCESS WITHOUT SINUS 109 1

DISTURBANCES IN TOOTH ERUPTION 110 1

PERIAPICAL ABSCESS WITHOUT SINUS 111 1

PERIAPICAL ABSCESS WITHOUT SINUS 112 1

NECROSIS OF PULP 113 1

IMPACTED TEETH 114 1

PERIAPICAL ABSCESS WITHOUT 115 1

DISTURBANCES IN TOOTH ERUPTION 116 1

PULPITIS 117 1

PULPITIS 118 1

PULPITIS 119 1

NECROSIS OF PULP 120 1

121 1
DISTURBANCES IN TOOTH ERUPTION
NECROSIS OF PULP 122 1

NECROSIS OF PULP 123 1

DISTURBANCES IN TOOTH ERUPTION 124 1


125 1

PULPITIS 126 1

PERIAPICAL ABSCESS WITHOUT SINUS 127 1

PERIAPICAL ABSCESS WITHOUT SINUS 128 1

PERIAPICAL ABSCESS WITHOUT SINUS 129 1

PULPITIS 130 1

NEKROSIS PULPA 131 1

NEKROSIS PULPA 132 1

NEKROSIS PULPA 133 1

PERIAPICAL ABSCESS WITHOUT SINUS 134 1


135 1

PULPITIS 136 1

PULPITIS 137 1
PERIAPICAL ABSCESS WITHOUT SINUS 138 1

PERIAPICAL ABSCESS WITH SINUS 139 1

NEKROSIS PULPA 140 1

NEKROSIS PULPA 141 1

NEKROSIS PULPA 142 1

PERIAPICAL ABSCESS WITHOUT SINUS 143 1

NEKROSIS PULPA 144 1

PULPITIS 145 1

PERIAPICAL ABSCESS WITH SINUS 146 1

PERIAPICAL ABSCESS WITH SINUS 147 1

NEKROSIS PULPA 148 1

149 1

150 1

IMPACTED TEETH 151 1

PERIAPICAL ABSCESS WITHOUT SINUS 152 1

PERIAPICAL ABSCESS WITHOUT SINUS 153 1

IMPACTED TEETH 154 1

PERIAPICAL ABSCESS WITH SINUS 155 1

PERIAPICAL ABSCESS WITHOUT SINUS 156 1

PERIAPICAL ABSCESS WITHOUT SINUS 157 1

PULPITIS 158 1

NEKROSIS PULPA 159 1

PERIAPICAL ABSCESS WITHOUT SINUS 160 1

NEKROSIS PULPA 161 1

NEKROSIS PULPA 162 1

PULPITIS 163 1

PERIAPICAL ABSCESS WITHOUT SINUS 164 1

PERIAPICAL ABSCESS WITHOUT SINUS 165 1

PERIAPICAL ABSCESS WITH SINUS 166 1

PULPITIS 167 1

PULPITIS 168 1

PERIAPICAL ABSCESS WITH SINUS 169 1

DISTURBANCES IN TOOTH ERUPTION 170 1

PULPITIS 171 1

ABSESS PERIAPIKAL TANPA SINUS 172 1

DISTURBANCES IN TOOTH ERUPTION 173 1

DISTURBANCES IN TOOTH ERUPTION 174 1

DISTURBANCES IN TOOTH ERUPTION 175 1

DISTURBANCES IN TOOTH ERUPTION 176 1

NEKROSIS PULPA 177 1

ABSESS PERIAPIKAL TANPA SINUS 178 1

PULPITIS 179 1

PERIAPICAL ABSCESS WITH SINUS 180 1

NEKROSIS PULPA 181 1

PULPITIS 182 1

PERIAPICAL ABSCESS WITHOU' 183 1

NEKROSIS PULPA 184 1

PULPITIS 185 1
PULPITIS 186 1

NEKROSIS PULPA 187 1

NEKROSIS PULPA 188 1

NEKROSIS PULPA 189 1

PULPITIS 190 1

LOSS Loss of teeth due to accident 191 1

NEKROSIS PULPA 192 1

DISTURBANCES IN TOOTH ERUPTION 193 1

Chronic apical periodontitis 194 1

DISTURBANCES IN TOOTH ERUPTION 195 1

DISTURBANCES IN TOOTH ERUPTION 196 1

OTHER PERIODONTAL DISEASES 197 1

Embedded teeth 198 1

PULPITIS 199 1

NEKROSIS PULPA 200 1

NEKROSIS PULPA 201 1

NEKROSIS PULPA 202 1

NEKROSIS PULPA 203 1

PULPITIS 204 1

PULPITIS 205 1

PULPITIS 206 1

IMPACTED TEETH 207 1

DISTURBANCES IN TOOTH ERUPTION 208 1

NEKROSIS PULPA 209 1

PULPITIS 210 1

NEKROSIS PULPA 211 1

Deposits [accretions] on teeth 212 1

PULPITIS 213 1

ACUTE PERIODNTITIS 214 1

DISTURBANCES IN TOOTH ERUPTION 215 1

Acute apical periodontitis of pulpal origin 216 1

PERIAPICAL ABSCESS WITHOUT SINUS 217 1

ACUTE PERIODNTITIS 218 1

PERIAPICAL ABSCESS WITHOUT SINUS 219 1

PULPITIS 220 1

DISTURBANCES IN TOOTH ERUPTION 221 1

DISTURBANCES IN TOOTH ERUPTION 222 1

DISTURBANCES IN TOOTH ERUPTION 223 1

NEKROSIS PULPA 224 1

Chronic apical periodontitis 225 1

CARIES DENTINE 226 1

DISTURBANCES IN TOOTH ERUPTION 227 1

CARIES DENTINE 228 1

PULPITIS 229 1

DISTURBANCES IN TOOTH ERUPTION 230 1

NEKROSIS PULPA 231 1

Deposits [accretions] on teeth 232 1

PERIODONTITIS 233 1
IMPACTED TEETH 234 1

NEKROSIS PULPA 235 1

DEPOSITS (ACCRETIONS) ON TEETH 236 1

PULPITIS 237 1

PERIAPICAL ABSCESS WITHOUT SINUS 238 1

PULPITIS 239 1

NEKROSIS PULPA 240 1

DISTURBANCES IN TOOTH ERUPTION 241 1

NEKROSIS PULPA 242 1

PERIAPICAL ABSCESS WITHOUT SINUS 243 1

PERIAPICAL ABSCESS WITHOUT SINUS 244 1

CRONIS APICAL PERIODONTITIS 245 1

PULPITIS 246 1

NEKROSIS PULPA 247 1

PERIAPICAL ABSCESS WITH SINUS 248 1

PERIAPICAL ABSCESS WITH SINUS 249 1

PERIAPICAL ABSCESS WITHOUT SINUS 250 1

DISTURBANCES IN TOOTH ERUPTION 251 1

PERIAPICAL ABSCESS WITHOUT SINUS 252 1

PERIAPICAL ABSCESS WITH SINUS 253 1

DISTURBANCES IN TOOTH ERUPTION 254 1

PERIAPICAL ABSCESS WITH SINUS 255 1

PERIAPICAL ABECESS WITH SINUS 256 1

Chronic apical periodontitis 257 1

PERIAPICAL ABSCESS WITH SINUS 258 1

PERIAPICAL ABSCESS WITH SINUS 259 1

PERIAPICAL ABSCESS WITH SINUS 260 1

PERIAPICAL ABSCESS WITH SINUS 261 1

Chronic apical periodontitis 262 1

DISTURBANCES IN TOOTH ERUPTION 263 1

Deposits [accretions] on teeth 264 1

PULPITIS 265 1

DISTURBANCES IN TOOTH ERUPTION 266 1

DISTURBANCES IN TOOTH ERUPTION 267 1

DISTURBANCES IN TOOTH ERUPTION 268 1

Chronic apical periodontitis 269 1

PULPITIS 270 1

Other periodontal diseases 271 1

PULPITIS 272 1

Other periodontal diseases 273 1

PULPITIS 274 1

NEKROSIS PULPA 275 1

PERIAPICAL ABSCESS WITH SINUS 276 1

NEKROSIS PULPA 277 1

Acute apical periodontitis of pulpal origin 278 1

Chronic apical periodontitis 279 1

PERIAPICAL ABSCESS WITH SINUS 280 1

NEKROSIS PULPA 281 1


NEKROSIS PULPA 282 1

NEKROSIS PULPA 283 1

PULPITIS 284 1

PULPITIS 285 1

PERIAPICAL ABSCESS WITH SINUS 286 1

PULPITIS 287 1

PULPITIS 288 1

NEKROSIS PULPA 289 1

Chronic apical periodontitis 290 1

PULPITIS 291 1

Acute apical periodontitis of pulpal origin 292 1

Acute apical periodontitis of pulpal origin 293 1

CARIES DENTINE 294 1

CARIES DENTINE 295 1

NEKROSIS PULPA 296 1

DISTURBANCES IN TOOTH ERUPTION 297 1

PERIAPICAL ABSCESS WITHOUT SINUS 298 1

PULPITIS 299 1

DISTURBANCES IN TOOTH ERUPTION 300 1

PERIAPICAL ABSCESS WITH SINUS 301 1

NEKROSIS PULPA 302 1

PULPITIS 303 1

PERIAPICAL ABSCESS WITH SINUS 304 1

PERIAPICAL ABSCESS WITH SINUS 305 1

PERIAPICAL ABSCESS WITH SINUS 306 1

DISTURBANCES IN TOOTH ERUPTION 307 1

NEKROSIS PULPA 308 1

PULPITIS 309 1

PULPITIS 310 1

NEKROSIS PULPA 311 1

DISTURBANCES IN TOOTH ERUPTION 312 1

PERIAPICAL ABSCESS WITH SINUS 313 1

Chronic apical periodontitis 314 1

PULPITIS 315 1

NEKROSIS PULPA 316 1

PERIAPICAL ABSCESS WITH SINUS 317 1

PULPITIS 318 1

PULPITIS 319 1

IMPACTED TEETH 320 1

CARIES CEMENTUM 321 1

DISTURBANCES IN TOOTH ERUPTION 322 1

CARIES DENTINE 323 1

NEKROSIS PULPA 324 1

PERIAPICAL ABSCESS WITH SINUS 325 1

PERIAPICAL ABSCESS WITH SINUS 326 1

DISTURBANCES IN TOOTH ERUPTION 327 1

NEKROSIS PULPA 328 1

DISTURBANCES IN TOOTH ERUPTION 329 1


CARIES DENTINE 330 1

DISTURBANCES IN TOOTH ERUPTION 331 1

Chronic apical periodontitis 332 1

CARIES DENTINE 333 1

NEKROSIS PULPA 334 1

NEKROSIS PULPA 335 1

PERIAPICAL ABSCESS WITHOUT SINUS 336 1

PERIAPICAL ABSCESS WITH SINUS 337 1

IMPACTED TEETH 338 1

NEKROSIS PULPA 339 1

PERIAPICAL ABSCESS WITH SINUS 340 1

NEKROSIS PULPA 341 1

Abrasion of teeth 342 1

DISTURBANCES IN TOOTH ERUPTION 343 1

PERIAPICAL ABSCESS WITH SINUS 344 1

NEKROSIS PULPA 345 1

PERIAPICAL ABSCESS WITH SINUS 346 1

PERIAPICAL ABSCESS WITH SINUS 347 1

Chronic periodontitis 348 1

NEKROSIS PULPA 349 1

NEKROSIS PULPA 350 1

CHRONIS PERIODONTITIS 351 1

PULPITIS 352 1

NEKROSIS PULPA 353 1

DISTURBANCES IN TOOTH ERUPTION 354 1

DISTURBANCES IN TOOTH ERUPTION 355 1

DISTURBANCES IN TOOTH ERUPTION 356 1

Chronic apical periodontitis 357 1

PERIAPICAL ABSCESS WITH SINUS 358 1

PERIAPICAL ABSCESS WITHOUT SINUS 359 1

PERIAPICAL ABSCESS WITH SINUS 360 1

Chronic apical periodontitis 361 1

PERIAPICAL ABSCESS WITH SINUS 362 1

NEKROSIS PULPA 363 1

PERIAPICAL ABSCESS WITH SINUS 364 1

CHRONIS APICAL PERIODONTITIS 365 1

CHRONIS APICAL PERIODONTITIS 366 1

DISTURBANCES IN TOOTH ERUPTION 367 1

CHRONIS APICAL PERIODONTITIS 368 1

IMPACTED TEETH 369 1

IMPACTED TEETH 370 1

DISTURBANCES IN TOOTH ERUPTION 371 1

PERIAPICAL ABSCESS WITHOUT SINUS 372 1

NEKROSIS PULPA 373 1

NEKROSIS PULPA 374 1

CHRONIS APICAL PERIODONTITIS 375 1

PERIAPICAL ABSCESS WITHOUT SINUS 376 1

PULPITIS 377 1
PULPITIS 378 1

DISTURBANCES IN TOOTH ERUPTION 379 1

DISTURBANCES IN TOOTH ERUPTION 380 1

PERIAPICAL ABSCESS WITHOUT SINUS 381 1

DISTURBANCES IN TOOTH ERUPTION 382 1

PULPITIS 383 1

CHRONIS APICAL PERIODONTITIS 384 1

NEKROSIS PULPA 385 1

Other periodontal diseases 386 1

PERIAPICAL ABSCESS WITHOUT SINUS 387 1

PERIAPICAL ABSCESS WITHOUT SINUS 388 1

PERIAPICAL ABSCESS WITH SINUS 389 1

NEKROSIS PULPA 390 1

DISTURBANCES IN TOOTH ERUPTION 391 1

DISTURBANCES IN TOOTH ERUPTION 392 1

PULPITIS 393 1

PULPITIS 394 1

IMPACTED TEETH 395 1

PERIAPICAL ABSCESS WITHOUT SINUS 396 1

PERIAPICAL ABSCESS WITHOUT SINUS 397 1

CHRONIS APICAL PERIODONTITIS 398 1

DISTURBANCES IN TOOTH ERUPTION 399 1

DISTURBANCES IN TOOTH ERUPTION 400 1

DISTURBANCES IN TOOTH ERUPTION 401 1

CHRONIS APICAL PERIODONTITIS 402 1

PULPITIS 403 1

DISTURBANCES IN TOOTH ERUPTION 404 1

DISTURBANCES IN TOOTH ERUPTION 405 1

PULPITIS 406 1

PERIAPICAL ABSCESS WITHOUT SINUS 407 1

PERIAPICAL ABSCESS WITHOUT SINUS 408 1

CHRONIS APICAL PERIODONTITIS 409 1

DISTURBANCES IN TOOTH ERUPTION 410 1

CHRONIS APICAL PERIODONTITIS 411 1

PERIAPICAL ABSCESS WITHOUT SINUS 412 1

PULPITIS 413 1

IMPACTED TEETH 414 1

PERIAPICAL ABSCESS WITHOUT SINUS 415 1

CHRONIS APICAL PERIODONTITIS 416 1

CHRONIS APICAL PERIODONTITIS 417 1

CHRONIS APICAL PERIODONTITIS 418 1

CHRONIS APICAL PERIODONTITIS 419 1

CHRONIS APICAL PERIODONTITIS 420 1

CHRONIS APICAL PERIODONTITIS 421 1

CHRONIS APICAL PERIODONTITIS 422 1

CHRONIS APICAL PERIODONTITIS 423 1

CHRONIS APICAL PERIODONTITIS 424 1

CHRONIS APICAL PERIODONTITIS 425 1


CHRONIS APICAL PERIODONTITIS 426 1

CHRONIS APICAL PERIODONTITIS 427 1

CHRONIS APICAL PERIODONTITIS 428 1

CHRONIS APICAL PERIODONTITIS 429 1

CHRONIS APICAL PERIODONTITIS 430 1

CHRONIS APICAL PERIODONTITIS 431 1

CHRONIS APICAL PERIODONTITIS 432 1

CHRONIS APICAL PERIODONTITIS 433 1

CHRONIS APICAL PERIODONTITIS 434 1


TOTAL 434
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI

PERAWAT YANG MENANGANI

NO
TUTI RIKA OTIK RANY
KURNIAWATI PURWATY, S. RAHMAWAT
, AMKG HARTIYANTI ST Y

1 1 KET :
2 1 K021 KARIES GIGI DENTIN/KARIES MEDIA
3 1 K040 PULPITIS
4 1 K041 NEKROSIS PULPA
5 1 K045 GR/PERIODONTITIS APIKALIS KRONIS
6 1 K046 PERIAPIKAL ABSES DGN SINUS
7 1 K047 PERIAPIKAL ABSES TANPA SINUS
8 1 K050 GINGIVITIS AKUT
9 1 K051 GINGIVITIS KRONIS
10 1 K052 PERIODONTITIS AKUT
11 1 K053 PERIODONTITIS KRONIS
12 1 K12 RAS/SARIAWAN
13 1 K006 PERSISTENSI
14 1 K083 ULCUS DECUBITUS
15 1 K011 IMPAKSI
16 1 K020 KARIES EMAIL
17 1
18 1
19 1
20 1
21 1
22 1
23 1
24 1
25 1
26 1
27 1
28 1
29 1
30 1
31 1
32 1
33 1
34 1
35 1
36 1
37 1
38 1
39 1

40 1

41 1
42 1
43 1
44 1
45 1
46 1
47 1
48 1
49 1
50 1
51 1
52 1
53 1
54 1
55 1
56 1
57 1
58 1
59 1
60 1
61 1
62 1
63 1
64 1
65 1
66 1
67 1
68 1
69 1
70 1
71 1
72 1
73 1
74 1
75 1
76 1
77 1
78 1
79 1
80 1
81 1
82 1
83 1
84 1
85 1
86 1
87 1
88 1
89 1
90 1
91 1
92 1
93 1
94 1
95 1
96 1
97 1
98 1
99 1
100 1
101 1
102 1
103 1
104 1
105 1
106 1
107 1
108 1
109 1
110 1
111 1
112 1
113 1
114 1
115 1
116 1
117 1
118 1
119 1
120 1

121 1

122 1
123 1
124 1
125 1
126 1
127 1
128 1
129 1
130 1
131 1
132 1
133 1
134 1
135 1
136 1
137 1
138 1
139 1
140 1
141 1
142 1
143 1
144 1
145 1
146 1
147 1
148 1

149 1

150 1
151 1
152 1
153 1
154 1
155 1
156 1
157 1
158 1
159 1
160 1
161 1
162 1
163 1
164 1
165 1
166 1
167 1
168 1
169 1
170 1
171 1
172 1
173 1
174 1
175 1
176 1
177 1
178 1
179 1
180 1
181 1
182 1
183 1
184 1
185 1
186 1
187 1
188 1
189 1
190 1
191 1
192 1
193 1
194 1
195 1
196 1
197 1
198 1
199 1
200 1
201 1
202 1
203 1
204 1
205 1
206 1
207 1
208 1
209 1
210 1
211 1
212 1
213 1
214 1
215 1
216 1
217 1
218 1
219 1
220 1
221 1
222 1
223 1
224 1
225 1
226 1
227 1
228 1
229 1
230 1
231 1
232 1
233 1
234 1
235 1
236 1
237 1
238 1
239 1
240 1
241 1
242 1
243 1
244 1
245 1
246 1
247 1
248 1
249 1
250 1
251 1
252 1
253 1
254 1
255 1
256 1
257 1
258 1
259 1
260 1
261 1
262 1
263 1
264 1
265 1
266 1
267 1
268 1
269 1
270 1
271 1
272 1
273 1
274 1
275 1
276 1
277 1
278 1
279 1
280 1
281 1
282 1
283 1
284 1
285 1
286 1
287 1
288 1
289 1
290 1
291 1
292 1
293 1
294 1
295 1
296 1
297 1
298 1
299 1
300 1
301 1
302 1
303 1
304 1
305 1
306 1
307 1
308 1
309 1
310 1
311 1
312 1
313 1
314 1
315 1
316 1
317 1
318 1
319 1
320 1
321 1
322 1
323 1
324 1
325 1
326 1
327 1
328 1
329 1
330 1
331 1
332 1
333 1
334 1
335 1
336 1
337 1
338 1
339 1
340 1
341 1
342 1
343 1
344 1
345 1
346 1
347 1
348 1
349 1
350 1
351 1
352 1
353 1
354 1
355 1
356 1
357 1
358 1
359 1
360 1
361 1
362 1
363 1
364 1
365 1
366 1
367 1
368 1
369 1
370 1
371 1
372 1
373 1
374 1
375 1
376 1
377 1
378 1
379 1
380 1
381 1
382 1
383 1
384 1
385 1
386 1
387 1
388 1
389 1
390 1
391 1
392 1
393 1
394 1
395 1
396 1
397 1
398 1
399 1
400 1
401 1
402 1
403 1
404 1
405 1
406 1
407 1
408 1
409 1
410 1
411 1
412 1
413 1
414 1
415 1
416 1
417 1
418 1
419 1
420 1
421 1
422 1
423 1
424 1
425 1
426 1
427 1
428 1
429 1
430 1
431 1
432 1
433 1
434 1
TOTAL 73 145 144 72
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN

NO HARI/TANGGAL NO KARTU NAMA UMUR


PASIEN L P

1 2 SEPTEMBER 2017 2668 KEYSABILA 8 1


2 2 SEPTEMBER 2017 2656 DIAN 33 1
3 2 SEPTEMBER 2017 7068 FAZRIAN 12 1
4 2 SEPTEMBER 2017 2590 HENI 58 1
5 2 SEPTEMBER 2017 2674 IRA 35 1
6 2 SEPTEMBER 2017 25622 ADINDA 14 1
7 2 SEPTEMBER 2017 2603 IWA 65 1
8 2 SEPTEMBER 2017 19552 EMID 52 1

9 2670 EMPOK 46 1
4 SEPTEMBER 2017

10 2576 ELIN 31 1
4 SEPTEMBER 2017
11 4 SEPTEMBER 2017 2741 PUJIYANTI 17 1
12 4 SEPTEMBER 2017 1743 DENDRI 8 1

13 2685 M. NUROHNA 7 1
4 SEPTEMBER 2017

14 5367 SALMA 6 1
4 SEPTEMBER 2017
15 4 SEPTEMBER 2017 1988 M. RIZKI 15 1

16 2683 SELA 17 1
4 SEPTEMBER 2017

17 25235 DEJAN 11 1
4 SEPTEMBER 2017
18 4 SEPTEMBER 2017 1201 AISHNA 7 1
19 4 SEPTEMBER 2017 1713 NAZLA 10 1
20 4 SEPTEMBER 2017 TASYA 9 1
21 4 SEPTEMBER 2017 NAZWA 4 1
22 4 SEPTEMBER 2017 10988 INAH 49 1
23 4 SEPTEMBER 2017 2684 SELI 17 1
24 4 SEPTEMBER 2017 2738 APAN 52 1
25 4 SEPTEMBER 2017 2742 DIMAS 11 1
26 4 SEPTEMBER 2017 2739 ENI 49 1
27 4 SEPTEMBER 2017 2751 TITIN 20 1
28 4 SEPTEMBER 2017 10434 EVA 38 1
29 4 SEPTEMBER 2017 2746 WAWAN 39 1
30 4 SEPTEMBER 2017 1921 M. FAIZ 15 1
31 4 SEPTEMBER 2017 2506 AJEUNG 12 1
32 4 SEPTEMBER 2017 22003 ABDULAH 72 1
33 4 SEPTEMBER 2017 21875 NENIH 70 1
34 4 SEPTEMBER 2017 13991 RANI 31 1
35 4 SEPTEMBER 2017 3807 RENA 25 1
36 4 SEPTEMBER 2017 1200 RIZKI 9 1
37 4 SEPTEMBER 2017 2689 KASIH 9 1
38 4 SEPTEMBER 2017 2321 ITA 62 1
39 4 SEPTEMBER 2017 5258 AIP 34 1
40 4 SEPTEMBER 2017 24422 IIM 29 1
41 4 SEPTEMBER 2017 1899 WIRDA 3 1
42 4 SEPTEMBER 2017 11533 DANELA 6 1

43 2655 ANDISAH 31 1
5 SEPTEMBER 2017
44 5 SEPTEMBER 2017 25831 RAFA 8 1
45 5 SEPTEMBER 2017 2763 SUDARTI 49 1
46 5 SEPTEMBER 2017 2766 PANJI 6 1
47 5 SEPTEMBER 2017 2754 NURAENI 30 1
48 5 SEPTEMBER 2017 2755 YENI 40 1
49 5 SEPTEMBER 2017 2942 RINA 27 1
50 5 SEPTEMBER 2017 15054 ATIN 41 1
51 5 SEPTEMBER 2017 2756 GHINA 7 1
52 5 SEPTEMBER 2017 2701 TIYAAZ 17 1
53 5 SEPTEMBER 2017 2515 ELA 30 1
54 5 SEPTEMBER 2017 26075 EMAH 63 1
55 5 SEPTEMBER 2017 18055 ABONG 75 1
56 5 SEPTEMBER 2017 21754 AISYAH 6.5 1

57 2762 TITIM AISYAH 28 1


5 SEPTEMBER 2017
58 5 SEPTEMBER 2017 2708 YULIA 27 1
59 5 SEPTEMBER 2017 2536 DENI 23 1
60 5 SEPTEMBER 2017 914 NAEEMA 7 1
61 6 SEPTEMBER 2017 2782 WIFA 16 1

62 2786 YANTI 23 1
6 SEPTEMBER 2017
63 6 SEPTEMBER 2017 2624 ZUMROTUN 9 1

64 2785 ALISA 22 1
6 SEPTEMBER 2017
65 6 SEPTEMBER 2017 9557 MURNIATY 34 1
66 6 SEPTEMBER 2017 9845 RAHMA 7 1
67 6 SEPTEMBER 2017 10144 YAYAH 43 1

68 2801 ABDUL 19 1
6 SEPTEMBER 2017
69 6 SEPTEMBER 2017 13226 IDAS 45 1
70 6 SEPTEMBER 2017 898 EVA 18 1
71 6 SEPTEMBER 2017 2717 NURELA 19 1
72 6 SEPTEMBER 2017 13470 HAMAN 7 1
73 6 SEPTEMBER 2017 2715 ANDRIYANA 7 1
74 6 SEPTEMBER 2017 1954 DINA 35 1
75 7 SEPTEMBER 2017 2837 ELAH 29 1
76 7 SEPTEMBER 2017 2058 ANISA 6.5 1
77 7 SEPTEMBER 2017 5153 ARINISA 7 1
78 7 SEPTEMBER 2017 2674 IRA 36 1
79 7 SEPTEMBER 2017 2838 YATI 20 1
80 7 SEPTEMBER 2017 2792 SUSAN 25 1
81 7 SEPTEMBER 2017 2831 RISMA 12 1
82 7 SEPTEMBER 2017 14260 ENDI 44 1

83 2406 NOVI 14 1
7 SEPTEMBER 2017

84 2751 TITIN 20 1
7 SEPTEMBER 2017
85 6782 HAZAZ 3 1
7 SEPTEMBER 2017
86 7 SEPTEMBER 2017 2724 SALSABILA 7 1
87 8 SEPTEMBER 2017 2867 TATANG 31 1
88 8 SEPTEMBER 2017 7986 MAURA 5 1

89 2863 MUSIROH 38 1
8 SEPTEMBER 2017
90 8 SEPTEMBER 2017 2861 ICIH 64 1
91 8 SEPTEMBER 2017 2859 AEF S 40 1

92 2858 SITI FATIMAH 31 1


8 SEPTEMBER 2017
93 8 SEPTEMBER 2017 2854 RANA 22 1
94 8 SEPTEMBER 2017 25000 SULAEMAN 6 1
95 8 SEPTEMBER 2017 2856 ZAKI 10 1
96 8 SEPTEMBER 2017 2813 ATIK 53 1
97 8 SEPTEMBER 2017 2811 CARSAD 58 1
98 8 SEPTEMBER 2017 25329 ENGKUS 61 1 1
99 8 SEPTEMBER 2017 334 MUHTAR 78 1 1
100 9 SEPTEMBER 2017 2755 YENI 40 1

101 2922 ENDAY 22 1


9 SEPTEMBER 2017
102 9 SEPTEMBER 2017 11031 ILHAM 7 1
103 9 SEPTEMBER 2017 5367 SALMA 6 1
104 9 SEPTEMBER 2017 14837 MUTIARA 8 1
105 9 SEPTEMBER 2017 22405 PURIAH 30 1
106 9 SEPTEMBER 2017 10835 PASATRI 10 1
107 9 SEPTEMBER 2017 2838 YATI 20 1
108 9 SEPTEMBER 2017 2756 GHINA 7 1
109 9 SEPTEMBER 2017 9557 MURNIATY 34 1
110 9 SEPTEMBER 2017 2785 ALISA 22 1
111 9 SEPTEMBER 2017 2920 ADE HAYATI 45 1
112 9 SEPTEMBER 2017 18055 ABONG 75 1
113 9 SEPTEMBER 2017 1200 RIZKI 9 1
114 9 SEPTEMBER 2017 2717 NUR ELA 19 1

115 2590 HENI 58 1


11 SEPTEMBER 2017

116 2936 NIDA 10 1


11 SEPTEMBER 2017
117 11 SEPTEMBER 2017 2926 MELI 19 1
118 11 SEPTEMBER 2017 2932 SAMSUL 22 1
119 11 SEPTEMBER 2017 12938 FAIZAH 5 1
120 11 SEPTEMBER 2017 2945 LINA 25 1
121 11 SEPTEMBER 2017 2949 LENI 35 1
122 11 SEPTEMBER 2017 23678 M. MUSLIH 67 1
123 11 SEPTEMBER 2017 5523 TITI 45 1
124 11 SEPTEMBER 2017 8263 YUYUN 51 1
125 11 SEPTEMBER 2017 1319 MIA 29 1
126 11 SEPTEMBER 2017 21875 NENIH 70 1

127 20660 KIRANA 5 1


11 SEPTEMBER 2017
128 11 SEPTEMBER 2017 8349 RIZKI 14 1
129 11 SEPTEMBER 2017 3807 RENA 25 1
130 11 SEPTEMBER 2017 3709 ST SOFIA 17 1
131 11 SEPTEMBER 2017 2887 BAUFAL 8 1
132 11 SEPTEMBER 2017 7711 F. ARIB 16 1
133 11 SEPTEMBER 2017 2882 NAZWA 7 1
134 11 SEPTEMBER 2017 2884 ALLYA 7 1
135 11 SEPTEMBER 2017 10418 MIMIN 46 1
136 11 SEPTEMBER 2017 8507 RASYA 4 1
137 11 SEPTEMBER 2017 1959 IR. ADE 50 1

138 2863 MUSIROH 38 1


12 SEPTEMBER 2017
139 12 SEPTEMBER 2017 10141 KAMELIA 6 1
140 12 SEPTEMBER 2017 11566 TABINA 7 1
141 12 SEPTEMBER 2017 2944 KIREYNA 9 1
142 12 SEPTEMBER 2017 24903 HAIKAL 10 1
143 12 SEPTEMBER 2017 9557 MURNIATY 34 1
144 12 SEPTEMBER 2017 23313 IDAH 41 1
145 12 SEPTEMBER 2017 2953 RISMA 28 1
146 12 SEPTEMBER 2017 2820 IWAN 54 1
147 12 SEPTEMBER 2017 2515 ELA 30 1
148 12 SEPTEMBER 2017 28 MIMIN 52 1
149 12 SEPTEMBER 2017 21803 WIYOSO 54 1
150 12 SEPTEMBER 2017 21981 TATI 68 1
151 12 SEPTEMBER 2017 1541 SRI 50 1
152 12 SEPTEMBER 2017 6782 ENTIN 62 1
153 12 SEPTEMBER 2017 6750 YATI 32 1

154 5258 AIP 34 1


12 SEPTEMBER 2017
155 12 SEPTEMBER 2017 18462 ERNI 50 1
156 12 SEPTEMBER 2017 1200 RIZKI 9 1
157 12 SEPTEMBER 2017 8034 DJORDAN 11 1
158 12 SEPTEMBER 2017 13361 SASI 19 1
159 12 SEPTEMBER 2017 11405 PURIAH 30 1
160 13 SEPTEMBER 2017 2984 NADISA 6 1
161 13 SEPTEMBER 2017 2979 IIS 45 1
162 13 SEPTEMBER 2017 24421 YOYOH 40 1
163 13 SEPTEMBER 2017 2989 VITA 7 1
164 13 SEPTEMBER 2017 19343 ASEP 51 1
165 13 SEPTEMBER 2017 3077 ADING 56 1
166 13 SEPTEMBER 2017 3081 YUYUN 41 1

167 11236 GHEFIRA 11 1


13 SEPTEMBER 2017
168 13 SEPTEMBER 2017 17208 M. MUMU 58 1
169 13 SEPTEMBER 2017 6113 DADANG 63 1

170 21756 RIANI 30 1


13 SEPTEMBER 2017
171 14 SEPTEMBER 2017 2991 HAIKAL 9 1
172 14 SEPTEMBER 2017 16086 IIS 30 1
173 14 SEPTEMBER 2017 2999 IRSYAD 6 1
174 14 SEPTEMBER 2017 3009 ANDISAH 22 1
175 14 SEPTEMBER 2017 3004 M. AZHAR 9 1
176 3007 SOPI 35 1
14 SEPTEMBER 2017
177 14 SEPTEMBER 2017 3008 HAFIZ 8 1
178 14 SEPTEMBER 2017 3003 MUTIARA 6.5 1

179 2926 MELI 19 1


14 SEPTEMBER 2017

180 5523 TITI 45 1


14 SEPTEMBER 2017
181 14 SEPTEMBER 2017 2520 SALIPAH 50 1
182 14 SEPTEMBER 2017 1959 ADE 50 1

183 21761 ENUNG 69 1


14 SEPTEMBER 2017
184 15 SEPTEMBER 2017 3079 KIKI 30 1
185 15 SEPTEMBER 2017 3079 KUINSA 8 1
186 15 SEPTEMBER 2017 3080 ADING 18 1
187 15 SEPTEMBER 2017 3077 ENDAH 28 1
188 15 SEPTEMBER 2017 3076 OOM 47 1
189 15 SEPTEMBER 2017 7137 NARI 59 1
190 15 SEPTEMBER 2017 24068 SARPAN 2.5 1
191 15 SEPTEMBER 2017 3084 ALIP 2.6 1
192 15 SEPTEMBER 2017 3831 RAMA 10 1
193 15 SEPTEMBER 2017 22177 KHAIRUNISA 11 1

194 2722 OVI 7 1


15 SEPTEMBER 2017
195 15 SEPTEMBER 2017 23269 TALITA 7 1
196 15 SEPTEMBER 2017 3046 IKA 31 1
197 15 SEPTEMBER 2017 4401 TAPRIH 8 1
198 15 SEPTEMBER 2017 22405 PURIAH 28 1
199 16 SEPTEMBER 2017 3099 SAHLA 7 1
200 16 SEPTEMBER 2017 TOYAH 60 1
201 16 SEPTEMBER 2017 3095 MARSA 20 1
202 16 SEPTEMBER 2017 3093 DINA 19 1
203 16 SEPTEMBER 2017 3050 KUSNADI 58 1
204 16 SEPTEMBER 2017 2865 ROHIM 50 1
205 16 SEPTEMBER 2017 17206 AI NUR 4 1
206 16 SEPTEMBER 2017 3806 RENA 24 1
207 16 SEPTEMBER 2017 6750 YATI 31 1
208 16 SEPTEMBER 2017 1959 IR. ADE 50 1

209 3113 ENDAH 34 1


18 SEPTEMBER 2017

210 15066 KARTIM 74 1


18 SEPTEMBER 2017
211 18 SEPTEMBER 2017 25199 DADAN 6 1
212 18 SEPTEMBER 2017 1046 ROSLIANA 43 1
213 18 SEPTEMBER 2017 10451 ELISA 29 1
214 18 SEPTEMBER 2017 22734 SRI 23 1
215 18 SEPTEMBER 2017 3118 SANTI 32 1

216 3106 GUNARA 49 1


18 SEPTEMBER 2017

217 3114 IRPAN 37 1


18 SEPTEMBER 2017
218 18 SEPTEMBER 2017 11026 RIEKA 25 1
219 18 SEPTEMBER 2017 1511 HAFIZ 2 1
220 18 SEPTEMBER 2017 3108 RIVA 13 1
221 18 SEPTEMBER 2017 3163 M. VIKI 7 1
222 18 SEPTEMBER 2017 3123 UNDANG 46 1
223 18 SEPTEMBER 2017 13115 DEDEH 51 1

224 3072 DADAN 52 1


18 SEPTEMBER 2017
225 18 SEPTEMBER 2017 5260 TINI 39 1

226 14998 HERTI 29 1


18 SEPTEMBER 2017
227 18 SEPTEMBER 2017 8168 M. ANDHIKA 8 1
228 18 SEPTEMBER 2017 21761 HJ. ENUNG 69 1

229 3080 ADI 18 1


19 SEPTEMBER 2017

230 3131 ANISA 31 1


19 SEPTEMBER 2017

231 3450 GEA 7 1


19 SEPTEMBER 2017
232 19 SEPTEMBER 2017 3132 ALGI 6.5 1

233 3079 KUINSA 8 1


19 SEPTEMBER 2017

234 3077 ENDAH 28 1


19 SEPTEMBER 2017
235 19 SEPTEMBER 2017 3128 TEZAR 30 1
236 19 SEPTEMBER 2017 3133 IYAR 35 1
237 19 SEPTEMBER 2017 3007 SOPI 35 1
238 19 SEPTEMBER 2017 3142 MARY 24 1

239 FAUZIAH 12 1
19 SEPTEMBER 2017
240 19 SEPTEMBER 2017 148 YUNI 20 1
241 19 SEPTEMBER 2017 3050 KUSNADI 58 1

242 15853 SRI 20 1


19 SEPTEMBER 2017
243 19 SEPTEMBER 2017 22348 IDA 53 1
244 19 SEPTEMBER 2017 9501 MIMIN 67 1
245 19 SEPTEMBER 2017 6414 SIFA 7 1
246 19 SEPTEMBER 2017 6038 GHEA 8 1
247 19 SEPTEMBER 2017 2309 MAMAY 7 1
248 19 SEPTEMBER 2017 275 RIJAL 9 1
249 20 SEPTEMBER 2017 3155 YATI 41 1
250 20 SEPTEMBER 2017 3145 SAEFUL 22 1
251 20 SEPTEMBER 2017 26025 SRI 12 1
252 20 SEPTEMBER 2017 3093 DINA 19 1
253 20 SEPTEMBER 2017 3159 ENOK 62 1
254 20 SEPTEMBER 2017 10024 AYUNDYA 16 1
255 20 SEPTEMBER 2017 2379 MAMAN 65 1
256 20 SEPTEMBER 2017 21497 DADAN 48 1
257 20 SEPTEMBER 2017 704 HJ. LIAH 64 1
258 20 SEPTEMBER 2017 19350 REZA 8 1
259 20 SEPTEMBER 2017 3175 IIS 47 1
260 20 SEPTEMBER 2017 25318 TRI 5 1
261 20 SEPTEMBER 2017 14998 HERTI 29 1
262 20 SEPTEMBER 2017 5258 AIP 33 1
263 20 SEPTEMBER 2017 17320 YULIA 27 1
264 20 SEPTEMBER 2017 18602 AISYAH 2.5 1
265 22 SEPTEMBER 2017 3118 SANTI 32 1
266 22 SEPTEMBER 2017 11897 INTAN 12 1
267 22 SEPTEMBER 2017 3238 NANA 30 1
268 22 SEPTEMBER 2017 3191 RANI 26 1
269 22 SEPTEMBER 2017 3009 ANDISAH 22 1
270 22 SEPTEMBER 2017 11026 RIEKA 24 1
271 22 SEPTEMBER 2017 5122 AMELIA 13 1
272 22 SEPTEMBER 2017 945 ANA 44 1
273 22 SEPTEMBER 2017 3123 UNDANG 46 1
274 22 SEPTEMBER 2017 3189 BATRISYA 6 1
275 22 SEPTEMBER 2017 3197 NANANG 60 1
276 22 SEPTEMBER 2017 3450 GEA 5 1
277 22 SEPTEMBER 2017 18060 TATI 50 1
278 22 SEPTEMBER 2017 148 YUNI 20 1
279 22 SEPTEMBER 2017 11236 GHEFIRA 11 1
280 22 SEPTEMBER 2017 3032 WENDI 26 1
281 22 SEPTEMBER 2017 3224 IYON 43 1
282 22 SEPTEMBER 2017 3186 UUN 62 1
283 23 SEPTEMBER 2017 3244 SRI W 67 1
284 23 SEPTEMBER 2017 3248 DEWI 28 1
285 23 SEPTEMBER 2017 7474 LUSI 37 1
286 23 SEPTEMBER 2017 3253 ANDARA 5 1
287 23 SEPTEMBER 2017 11411 FUHRI 7 1
288 23 SEPTEMBER 2017 3255 NAYA 8 1
289 23 SEPTEMBER 2017 2379 MANAN 65 1
290 23 SEPTEMBER 2017 1 HERU 49 1
291 23 SEPTEMBER 2017 2879 MUHAYMIN 4 1
292 23 SEPTEMBER 2017 5258 AIP 33 1
293 23 SEPTEMBER 2017 1501 ZAKI 7 1
294 25 SEPTEMBER 2017 3260 DAIM 65 1
295 25 SEPTEMBER 2017 3261 AYI 26 1
296 25 SEPTEMBER 2017 3113 ENDAH 34 1
297 25 SEPTEMBER 2017 3273 OBAY 57 1
298 25 SEPTEMBER 2017 5147 NIKEN 7 1
299 25 SEPTEMBER 2017 3263 FIRIANI 6 1
300 25 SEPTEMBER 2017 3197 NENENG 60 1
301 25 SEPTEMBER 2017 3265 HENDAR 45 1
302 25 SEPTEMBER 2017 4761 PUTRI 7 1
303 25 SEPTEMBER 2017 14436 ENI 46 1
304 25 SEPTEMBER 2017 3270 SRI 23 1
305 25 SEPTEMBER 2017 2623 TRIA 36 1
306 25 SEPTEMBER 2017 3313 HJ. TRESNASIH 68 1
307 25 SEPTEMBER 2017 3050 KUSNADI 58 1
308 25 SEPTEMBER 2017 7687 ENDING 59 1
309 25 SEPTEMBER 2017 10662 NENI 58 1
310 25 SEPTEMBER 2017 3202 ENTIN 61 1
311 25 SEPTEMBER 2017 26212 IIS 24 1
312 25 SEPTEMBER 2017 18781 SITI MARYAM 46 1
313 25 SEPTEMBER 2017 993 PIPIT 17 1
314 25 SEPTEMBER 2017 12453 TATANG 65 1
315 25 SEPTEMBER 2017 3180 UUN 62 1
316 25 SEPTEMBER 2017 2974 M. RIZKI 6 1
317 25 SEPTEMBER 2017 3208 TETI 45 1
318 25 SEPTEMBER 2017 6956 AKHMAD 8 1
319 25 SEPTEMBER 2017 5495 TINI 29 1
320 26 SEPTEMBER 2017 3277 DHAFIN 6.5 1
321 26 SEPTEMBER 2017 3283 SALSABILA 7 1
322 26 SEPTEMBER 2017 3274 YESPI 9 1
323 26 SEPTEMBER 2017 3285 HENDRA 50 1
324 26 SEPTEMBER 2017 5126 ETI 50 1
325 26 SEPTEMBER 2017 11026 RIEKA 25 1
326 26 SEPTEMBER 2017 11396 DANI 38 1
327 26 SEPTEMBER 2017 3279 NINING 28 1
328 26 SEPTEMBER 2017 3280 AHMAD 72 1
329 26 SEPTEMBER 2017 NUNUNG 50 1
330 26 SEPTEMBER 2017 3070 HJ. CICIH 59 1
331 26 SEPTEMBER 2017 12720 DIAH 52 1
332 26 SEPTEMBER 2017 3113 YATI 45 1
333 26 SEPTEMBER 2017 3231 HARTI 23 1
334 26 SEPTEMBER 2017 5016 ENDANG 43 1
335 26 SEPTEMBER 2017 3237 LUSI 16 1
336 26 SEPTEMBER 2017 3227 TITI 41 1
337 26 SEPTEMBER 2017 2370 DEDE 40 1
338 27 SEPTEMBER 2017 17407 GAHARA 46 1
339 27 SEPTEMBER 2017 3291 RAISA 6 1
340 27 SEPTEMBER 2017 15066 KARTIM 74 1
341 27 SEPTEMBER 2017 1998 ENDON 64 1
342 27 SEPTEMBER 2017 7815 IDA 30 1
343 27 SEPTEMBER 2017 3296 DEVI 21 1
344 27 SEPTEMBER 2017 3295 WIRDA 24 1
345 27 SEPTEMBER 2017 23225 IWAN 57 1
346 27 SEPTEMBER 2017 23743 HEDIANA 18 1
347 27 SEPTEMBER 2017 21553 AL EHSAN 5 1
348 27 SEPTEMBER 2017 914 NAEEMA 7 1
349 27 SEPTEMBER 2017 870 NANA 58 1
350 27 SEPTEMBER 2017 3035 NURMAN 29 1
351 27 SEPTEMBER 2017 5754 MINA 36 1
352 27 SEPTEMBER 2017 KARTIKA 52 1
353 28 SEPTEMBER 2017 2623 TRIA 36 1
354 28 SEPTEMBER 2017 298 NABHAN 10 1
355 28 SEPTEMBER 2017 3305 DIAN 41 1
356 28 SEPTEMBER 2017 2983 RD. DADANG 27 1
357 28 SEPTEMBER 2017 3313 HJ. TRESNASIH 68 1
358 28 SEPTEMBER 2017 3466 EVAN 21 1
359 28 SEPTEMBER 2017 3009 ANDISAH 22 1
360 28 SEPTEMBER 2017 3308 ENCIM 45 1
361 28 SEPTEMBER 2017 10724 NIA 30 1
362 28 SEPTEMBER 2017 3197 NENENG 60 1
363 28 SEPTEMBER 2017 2928 TOYAH 49 1
364 28 SEPTEMBER 2017 4487 INA 35 1
365 28 SEPTEMBER 2017 3319 M. ARGIA 7 1
366 28 SEPTEMBER 2017 2487 AGHNA 8 1
367 28 SEPTEMBER 2017 12453 TATANG 65 1
368 28 SEPTEMBER 2017 3374 CHALISTA 6 1
369 28 SEPTEMBER 2017 YAYAH 56 1
370 28 SEPTEMBER 2017 11211 WITA 43 1
371 28 SEPTEMBER 2017 4403 NOURA 26 1
372 29 SEPTEMBER 2017 2620 DADAN 47 1
373 29 SEPTEMBER 2017 3280 AHMAD 72 1
374 29 SEPTEMBER 2017 1609 RAMMY 9 1
375 29 SEPTEMBER 2017 2867 TATANG 31 1
376 29 SEPTEMBER 2017 3476 SRI 25 1
377 29 SEPTEMBER 2017 3475 ADITYA 17 1
378 29 SEPTEMBER 2017 25420 SRI W 13 1
379 29 SEPTEMBER 2017 3244 SRI 67 1
380 29 SEPTEMBER 2017 23727 KARINDA 23 1
381 29 SEPTEMBER 2017 3324 AI 44 1
382 29 SEPTEMBER 2017 14269 NENI 50 1
383 29 SEPTEMBER 2017 7410 SINTA 15 1
384 29 SEPTEMBER 2017 3382 KOKOM 32 1
385 29 SEPTEMBER 2017 12982 YAYU 32 1
386 29 SEPTEMBER 2017 3231 HARTI 23 1
387 29 SEPTEMBER 2017 823 ALLIN 39 1
388 30 SEPTEMBER 2017 3009 ANDI 22 1
389 30 SEPTEMBER 2017 3499 RIZKI 6 1
390 30 SEPTEMBER 2017 3439 AZKIA 7 1
391 30 SEPTEMBER 2017 3488 IROS 27 1
392 30 SEPTEMBER 2017 3498 N. PUTRI 16 1
393 30 SEPTEMBER 2017 3500 GEA 16 1
394 30 SEPTEMBER 2017 3329 H. YUDI 57 1
395 30 SEPTEMBER 2017 10038 NIA 28 1
396 30 SEPTEMBER 2017 2365 KHAIRY 6 1
397 30 SEPTEMBER 2017 3237 LUSI 16 1
398 30 SEPTEMBER 2017 21779 RISKA 15 1
TOTAL 138 262

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS SEPTEMBER 2017 JUMLAH
NO TINDAKAN JUMLAH
1 TT 172
0%
1%
1%7%

27%

63%
JUMLAH

0%
1%
1%7%
2 TS 0
3 P.PULP 83
4 EXT.TTP 1105 27%
5 EXT.SLG 4075 63%
6 CALL 0
7 PREM 9382
8 LL 62
JUMLAH 14879
KUNJUNGAN
NAMA
B L KK/INDEKS CIAMIS KERTASARI CIGEMBOR

1
1
1
1
1
1
1
1

1
1 1

1 1

1
1 1
1
1
1
1 1
1
1
1
1 1
1 1
1
1 1
1 1
1 1
1
1
1
1
1 1
1 1
1 1
1
1 1
1 1

1
1
1
1
1
1
1
1
1
1
1
1
1 1

1
1
1 1
1

1 1

1
1
1

1
1
1
1
1
1
1
1 1
1 1
1
1
1 1
1
1

1 1

1 1
1 1

1
1
1 1

1 1
1

1 1
1 1
1
1 1
1 1

1
1

1
1
1
1
1
1
1
1 1
1
1
1
1
1

1
1
1
1 1
1 1
1
1
1
1 1
1

1
1
1
1
1
1
1 1
1
1 1
1 1

1 1
1
1 1
1 1
1 1
1
1
1
1
1
1
1
1
1
1

1 1

1
1
1
1
1
1 1
1
1
1 1
1
1
1 1

1 1

1
1

1 1

1 1
1
1
1
1
1 1

1
1

1
1 1

1
1
1
1
1 1
1 1
1 1
1
1 1
1 1

1 1

1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1

1 1

1
1
1
1
1

1 1

1 1
1
1 1
1
1
1

1 1
1

1
1
1 1
1

1
1

1 1
1 1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1 1
1
1 1
1 1
1
1
1 1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1 1
1 1
1
1
1
1 1
1
1
1
1 1
1
1 1
1 1
1 1
1
1
1
1 1
1
1
1 1
1
1
1 1
1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1 1
1 1
1
1
1
1 1
1
1
1
1
1
1
1
1
248 148 74 25 7 9

JUMLAH

TT
0%
1%
1%7% TS
P.PULP
EXT.TTP
27% EXT.SLG
CALL
3%
PREM
JUMLAH

TT
0%
1%
1%7% TS
P.PULP
EXT.TTP
27% EXT.SLG
CALL
3%
PREM
LL
BULAN : SEPTEMBER
PUSKESMAS: CIAMIS

ALAMAT

BENTENG LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1
1
1
1
1
1
1

1
1
1

1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1

1
1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1

1
1

1
1

1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1

1
1

1
1

1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1

1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
9 7 30 39 207
BPJS PEM FISIK

UMUM
PNS PBI (APBN) MANDIRI BB TB

1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1

1
1

1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
218 68 83 27 2 0
TD DIAGNOSA ICD X

KELUHAN TERAPI
SISTOL DIASTOL CARIES K.PUL K. PD PERST LL K.004

61 K006 EKS 61 P 61
48 K047 A. P 48
36 K041 A. P 36
15 K047 A. P
38 K045 A. P 38
45 K045 A. As. Dx 45
35 K041 A. P 35
17 K041 RUJUK 17

13 K041 EKS 13 A. P. 13
Vc
EKS 36 A. P.
36 K041 Bc
36 K041 EKS 36 A. P 36
52 K006 EKS 52 A. P 52

81 K006 EKS 81. P. Bc 81

EKS 85 A. P.
85 K006 85
Bc.GG
36 K047 A. P. Bc

64 K006 EKS 64 A. P. 64
Bc
A. P. Dx EKS
54 K006 54
54
85 K006 EKS 85 A. P 85
64 K006 EKS 64 64
63 K006 EKS 64 63
85 K047 A. P 85
47 K047 A. P
11 K040 A. P 11
36 K047 A. P.Bc 36
36 K040 A. P 36
38 K047 A. P. Amlo 38
46 K081 A. Vc 46
18 K047 V. P. Bc 18
47 K047 A. P. BC 47
21 K040 RUJUK 21
46 K047 A. P. Bc 46
34 K047 V. M. P. Ran 34
48 K103 A. P. Bc 48
36 K047 A. P. Bc 36
36 K040 A. P. Bc 36
61 K006 A. P. Bc
75 K045 A. P. Bi 75
46 K047 V. P. Bc
28 K047 RUJUK 28
37 K041 A. P
61 K006 KONTROL 61
51 K041 51

28 K041 EKS 28 V. P. C

51 K006 EKS 51 51
24 K040 A. P. Bi 24
71 K006 Bc 71
27 K047 A. P 27
26 K047 A. P 26
15 K047 V. P. Bc
38 K047 A. P. Bi 38
51 K047 A. P 51
K116 RUJUK 1
27 K045 V. P. Bc 27
43 K047 A. P 43
26 K047 A 26
81 K006 P 81

36 K047 A. P. Bc 36

11 K040 RUJUK 11
36 K040 A. P
61 K006 EKS 61
11 K021 T. GI 11

36 K040 Devit+TS A. P 36

85 K006 EKS 85 A. P 85
Scaling A. P.
RA K036 Bc 1 RG

47 K047 Cip. P. Dx
64 K047 A. P 64
46 K041 Amlo Rani 46
A. P. Dx EKS
36 K047 54 36

13 K041 V. P. Bc 13
11 K021 T. GI 11
36 K047 V. P. Bc 36
85 K006 EKS 85 85
75 K006 EKS 75 75
45 K040 45 K040 45
22 K021 T. ART 22
81 K006 EKS 81 81
71 K006 EKS 71 71
36 K046 V. P. VC 36
36 K046 A. P 36
36 K041 A. P. Bc 36
24 K041 A. P 24
47 K046 A. Vc
A. P. Dx EKS
46 K047 54

46 K081 EKS 46 V. P.
Bc
74 K045 A. P. Dx EKS 74
54
81 K006 EKS 81 81
18 K041 C. P. D. Bc 18
51 K047 A. P 51

36 K047 A. P. Dx EKS 36
54
36 K047 A. P. Vit C 36
36 K011 C. P. V. R 36

38 K040 A. P. VB 38

38 K010 A. P. Vc 38
74 K006 P 74
62 K006 A. P 62
24 K041 A. P. Dx 24
26 K045 A. P. Dx 26
22 K055 A. P 22
41 K045 A. P. Bi 41
17 K041 EKS 17 A. P 17
EKS 17 V. P.
17 K041 Vc 17

81 K006 EKS 81 P 81
51 K006 EKS 51 Bc 51
65 K006 A. P 65
46 K041 A. P 46
36 K045 A. P. Dx 36
36 K046 V. P. Dx
51 K047 A. P
47 K047 A. P. Dx
46 K041 A. P. Bc 46
15 K041 V. P 15
27 K041 V. P. Bi
61 K006 A. P
36 K047 A. P. Dx
EKS 14 APB
14 K081 12

81 K006 EKS 81 solvit 81

46 K046 V. P. Bc 46
26 K047 A. P. B12 26
51 K047 A. Syr. P. Syr 51
28 K045 A. P. Dx B12 28
47 K040 A. P. Dx B16 47
46 K047 V. P. Bc 46
36 K047 A. P. B12 36
16 K047 A. P. B12 16
14 K021 T. GI 14
18 K055 EKS 18 A. P
A. Syr. P. Syr
74 K047 Bc
36 K041 EKS 36 A. P
36 K021 Semen GI
36 K046 V. P. Bc 65
65 K047 A. P 46
46 K045 A. Ant. Bi 61
61 K006 EKS 61 AP 54
54 K045 A. P. Dx
38 K047 V. P. Bc 75
75 K045 A. Syr. P. Syr 37
37 K047 A. P. Gliben

36 K041 EKS 36 A.P.


B12
61 K006 EKS 61 P. B.c 61
61 K006 EKS 61 61
71 K006 Vc 71
36 K045 A. P
47 K047 A. P. Dx
24 K047 A. P 24
26 K041 A. P. Dx 26
36 K041 A. P. Vc 36
27 K045 A. P. Bc
36 K047 A. P. B12 36
35 K041 RUJUK
46 K040 RUJUK 46
35 K041 RUJUK
45 K041 A. P. Amlo 45
36 K041 A. P 36
EKS 28 A. P.
28 K041 Dx
16 K047 A. P. Dx 16
51 K006 EKS 51 P 51
36 K041 RUJUK 36
37 K041 A. P. Dx 37
RB K036 Scaling RB
81 K006 EKS 81 P 81
11 K047 A. P. Bc 11
14 K044 A. P. Bc 14
51 K045 A. P. Dx 51
48 K021 T. GI 48
38 K041 A. P. Bc 38
26 K021 T. GI 26

75 K006 EKS 75 A. P. 75
Bc
26 K047 A. P. Dx 26
46 K047 A. M. P. Bc 46

37 K044 Cip. P. Bc. Ran 37

62 K006 A. P. Dx 62
37 K041 A. P
74 K045 A. P. Dx 74
46 K047 A. Ant. V 46
KONTROL
36 K045 A. Nat. Dx. 36
Ant
51 K006 EKS 51 P 51
51 K006 EKS 51 P 51
EKS 46 A. P.
46 K041 Bc
EKS 36 V. P.
36 K041 Vc
36 K040 A. P. Bc 36
36 K047 Cip. P. Ran 36
EKS 21 22 A.
21 22 K041 P. B12 21 22

11 K041 A. P 11
75 K006 A. P. Dx 75
46 K047 C. P. B 47
38 K040 C. P. B 48
45 K044 A. P. B 45
35 K041 A. P
61 K006 EKS P 61
54 K047 M. A. P 54
36 K047 A. P. Bc
45 K041 RJ

61 K006 RJ 61

51 K006
37 K040 RJ 37
62 K006 62
48 K041 RJ 48
61 K006 Pct 61
38 K047 A. P. VB
37 K047 A. P. Dx 36
46 K047 A. P. Dx 46
18 K047 A. P. B12 18
26 K047 A. P. B12 26
72 K006 Vit 72
36 K045 RJ 36
36 K047 V. P. Dx 36
37 K047 C. P. R 37
EKS 47 A. P.
47 K041 Dx 47

12 K041 EKS 12 A. P. 12
Bc
51 K006 EKS 51 A. P 51
48 K010 Cip. P. Dx 48
28 K045 A. P. Bc
12 K047 A. P. Bc 12
16 K047 V. P. Dx 16

17 K045 A. ND. Bi. Ant 17

37 K041 A. ND. Bi. Ant 37

46 K047 A. P. Bc 46
62 S075 A. P 62
36 K047 A. P. Bc 36
82 K006 EKS 82 P. Vit 82
36 K047 A. P. Dx 36
15 K047 A. P. Bc 15

34 35 K041 EKS 34 35 V. 34 35
P. Bc
13 K047 A. P. Bi 13

24 K047 A. ND. Bi. Ant 24

82 K006 EKS 82 82
26 K041 EKS 26 A. P 26
EKS 46 A. P.
46 K041 VK
EKS 36 A. P.
36 K041 Bc 36

51 K006 EKS 51 A. P. 51
Bc
81 K006 EKS 81 P 81

75 K006 EKS 75 A. P.
Vc

38 K041 Cip. P. Dx. Bc

46 K045 V. P. Ctm 46
21 K047 A. M. P. Dx 21
36 K045 A. P. Dx. Bc
36 K040 A. P. Dx. Bc 36
EKS 85 A. P.
85 K006 85
Bc
K116 A. P. Dx Vc
18 K047 A. Amlo. Vc
EKS 46 V. P.
46 K041 Bc 46

73 K006 EKS 73 Bc .P 73
24 K047 RUJUK 24
54 K047 A. P. Dx 54
65 K047 A. P. Bc 65
71 72 81 K006 EKS 71 72 81 P 71 72 81
75 K047 A. P. Bc 75
24 K040 A. P. Vi C 24
11 K001 A. P. Dx 11
46 K040 A. P. Vc 46
46 K047 A. P. VB 46
46 K041 A. P. Vi Bc 46
46 K041 V. P. Bc 46
16 K041 A. P 16
46 K041 A. P. BI Gliben 46
16 25 K021 Ant 16 25
46 K047 A. P. Bc
38 K011 C. P. Bc 38
71 K006 P 71
24 K047 A. P. D. Ant 24
18 K041 A. P. D
46 K040 A. P. VIB 46
85 K040 A. P. VB 85
16 K047 A. P. D. A 16
36 K040 A. P. Vit C 36
38 K047 A. P. Dx 38
46 K081 A. P. Bi 46
47 K047 A. P. Dx. An 47
46 K047 A. P. D. A 46
46 K046 C. P. D. An 36
13 K045 A. P. Vit C 13
36 K041 A. P. Dx
81 K006 P 81
11 K047 A. P. Dx 11
51 K047 A. P. Bc 51
46 K041 RJ 46
K116 RJ
74 K006 A. P. Bc 74
24 K041 RJ 24
46 K047 A. P. Vi. Bi 46
11 K041 A. P. Bi 11
23 K047 A. P. Dx 23
36 K046 V. P. Vit C 36
36 K040 A. P 36
74 K046 A. P. Bc 74
52 K006 A. P. Bc 52
51 K006 P. Bc 51
15 K041 A. P 15
31 41 35 K041 A. P. Bc 31 41 35
71 K006 P 71
28 K041 A. P. D 28
54 K006 A. P. Bc 54
24 K055 EKS 24 A. P 24
36 K041 EKS 36 A. P 36
36 K041 EKS 36 APBc 36
41 K055 EKS 41 APBc 41
74 K006 EKS 74 APBc 74
61 K006 EKS 61 A. P 61
11 K047 A. M. P. Bc
17 K047 A. PD. Ant 17
36 K047 A. M. P. Bc 36
36 K047 A. P. Bc 36
37 K045 A. P. Dx 37
46 K040 A. P. Bc
23 K047 V. P. Vc 23
18 K055 RUJUK
45 K055 EKS 45 V. P. Vc 45
13 K021 Tamb GI 13
16 K041 V. P. Bc 16
46 K040 V. P. Bc 46
16 K041 A. P. Amlo 16
47 K047 A. P. Dx 47
36 K047 A. M. P. Bc 36
11 K055 EKS 11 A. P
55 K047 A. M. P. Bc 55
36 K041 RUJUK 36
65 K040 A. P. Bc 65
36 K047 A. P. Dx. Bc
51 K006 EKS 51 P. Vc 51
82 K006 EKS 82 P 82
63 K006 EKS 63 A. P 63
17 K041 A. As. Bc 17
48 K047 A. P. Bc 48
46 K047 A. P. Dx. Bc
16 K047 Cip. P. Bc. Ran 16
12 K041 A. P. Bc 12
38 K047 A. P. Bc 38
46 K047 A. P. Dx 46
45 K055 EKS 45 A. P. Bc 45
26 K033 EKS 26 A. P. Dx 26
16 K041 A. As. Bc 16
48 K047 Cip. P. Dx 48
26 K081 V. P. Dx 26
11 K081 A. As. Dx. Bc 11
47 K040 V. P. Bc 47
18 K047 V. P. Bc 18
16 K055 EKS 16 A. P. Vc 16
71 K006 EKS 16 P. Bc 71
34 K041 V. P. Bc 34
16 K054 A. P. Vc 16
38 K041 A. P. Bi
28 K052 A. P. Bc 28
36 K047 A. P. Bc 36
46 K041 RUJUK 46
26 K046 A. P. Dx 26
51 K006 Bc 51
82 K006 KONTROL 82
46 K041 A. P. Dx 46
17 K041 A. P. Bc 17
16 K045 A. P. Vc 16
17 K055 EKS 17 A. P. Ctm
46 K040 Devit+TS A. P
73 K006 EKS 73 P 73
38 K011 A. P. Dx 38
15 K047 A. P 15
23 K040 A. P
36 K041 A. P. Vc 36
47 K047 A. P. Dx
27 K054 A. P 27
16 K041 A. P 16
11 K047 A. M. P. Bc
17 K045 A. P. Bi 17
36 K046 A. P. Bc 36
51 K047 A. P 51
62 K006 EKS 62 62
736 K047 A. P
71 81 K006 EKS 71 81 A. P 71 81
36 K047 A. P. Dx 36
36 K041 RUJUK
38 K011 RUJUK
15 K041 EKS 15 A. P. Vc 15
38 K041 EKS 38 A. P. Bc
74 K047 A. P. Dx
18 K040 A. As. Bc. Ctm
47 K041 A. P 47
16 K054 A. P 16
46 K041 A. P
23 K047 A. P. Dx
46 K047 A. P. Dx 46
16 K041 A. P 16
16 K047 A. Dx 16
11 K021 RUJUK 11
44 K047 P. KALK 44
26 K041 RUJUK 26
65 K006 Bc 65
18 K047 Cip. P. Dx. Bc 18
46 K041 EKS 46 A. P. Bc
71 K006 EKS 71 P 71
51 K006 EKS 51 Curuit 51
12 K040 A. P. Bc 12
46 K041 A. P. Bc 46
46 K041 A. P. Bc 46
27 K044 A. P. Lanso 27
36 K044 A. P. Dx 36
81 K006 EKS 81 81
11 K081 A. P. Dx
37 K051 A. P. Bc
0 0 156 7261 646 4524 459 0
K.021 K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047 K.050

1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1

1
1
1
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1
1
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1
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1
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1
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1
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1
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1
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1
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1
1
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1
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1
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1
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1
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1
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1
1
1
1
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1
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1
1
1
1
1

1
1
1
1
1
1
1
1

1
1

1
1
1

10 0 2 29 86 0 26 15 114 0
KODE

K.051 K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081 K.083

1
1
1

1
1

1
1

1
1

1
1

1
1

1
1
1

1
1

1
1
1

1
1

1
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1
1
1

1
1

1
1

1
1

1
1

1
1

1
1
1
0 2 0 3 10 0 75 0 7 0
TINDAKAN

K.011 K.020 K089 K.103 K116 K.120 DLL TT TS P.PULP

1
1

37

11

22
1

14

36
1

48

28

1
1

1
1

16 25

1
1

13
1

46

1
1

1
1

4 0 0 1 2 0 11 172 0 83
TINDAKAN

EXT.TTP EXT.SLG CALL PREM LL

61
48
36
15
38
45
35

R
13

36

36
52

81

85

36

64

54

85
64
63
85
47
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36
36
38
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18
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R
46
34
48
36
36
61
75
46
28
37
61
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28

51
24
71
27
26
15
38
51
R
27
43
26
81

36

R
36
61
11

85

1 RG

47
64
46

36

13

36
85
75
R

81
71
36
36
36
24
47

46

46
74

81
18
51

36

36
36

38

38
74
62
24
26
22
41
17

17

81
51
65
46
36
36
51
47
46
15
21
61
36

14

81

46
26
51
28
47
46
36
16

18

74

36
36
65
46
61
54
38
75
37

36

61
61
71
36
47
24
26
36
27
36
R
R
R
45
36

28

16
51
36
37
RB
81
11
14
51

38

75

26
46

37

37
74
46
K
36
51

51
46

36

36
36

21 22

11
75
47
48
45
41
62
54
36
RJ

cenebal pasi

51
RJ
62
RJ
61
38
36
46
18
26
72
RJ
36
37

47

12

51
48
28
12
16

17

37

46
62
36
82
36
15

34 35

13

24

82
26

46

36

51

81

75

38

36
21
36
36

85

1
18

46

73
R
54
65
71 72 81
75
24
11
46
46
46
46
16
46

46
38
71
24
18
46
85
16
36
38
46
47
46
36
13
36
81
11
51
RJ
RJ
74
RJ
46
11
23
36
36
74
52
51
15
31 41 35
71
28
54
24
36
36
41
74
61
11
17
36
36
37
46
23
R
45

16
46
16
47
36
11
55
RJ
65
36
51
82
63
17
48
46
16
12
38
46
45
26
16
48
26
11
47
18
16
71
34
16
38
28
36
R
26
51
K
46
17
16
17

73
38
15
23
36
47
27
16
11
17
36
51
62
36
71 81
36
R
R
15
38
74
18
47
16
46
23
46
16
16
R
44
R
65
18
46
71
51
12
46
46
27
36
81
11
37
1105 4075 0 9382 62
TAHUN : 2017
TEMPAT PELAYANAN : POLI G

DOKTER YANG MENANGANI

KETERANGAN NO
DRG EVIE

DISTURBANCES IN TOOTH ERUPTION 1 1

ABSESS PERIAPIKAL TANPA SINUS 2 1

NEKROSIS PULPA 3 1

ABSESS PERIAPIKAL TANPA SINUS 4 1

PERIODONTITIS APIKALIS KRONIS 5 1

PERIODONTITIS APIKALIS KRONIS 6 1

NEKROSIS PULPA 7 1

NEKROSIS PULPA 8 1

9 1
NEKROSIS PULPA

10 1
NEKROSIS PULPA
NEKROSIS PULPA 11 1

DISTURBANCES IN TOOTH ERUPTION 12 1

13 1
DISTURBANCES IN TOOTH ERUPTION

14 1
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS 15 1

16 1
DISTURBANCES IN TOOTH ERUPTION

17 1
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION 18 1

DISTURBANCES IN TOOTH ERUPTION 19 1

DISTURBANCES IN TOOTH ERUPTION 20 1

ABSESS PERIAPIKAL TANPA SINUS 21 1

ABSESS PERIAPIKAL TANPA SINUS 22 1

PULPITIS 23 1

ABSESS PERIAPIKAL TANPA SINUS 24 1

PULPITIS 25 1

ABSESS PERIAPIKAL TANPA SINUS 26 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL LAIN 27 1

ABSESS PERIAPIKAL TANPA SINUS 28 1

ABSESS PERIAPIKAL TANPA SINUS 29 1

PULPITIS 30 1

ABSESS PERIAPIKAL TANPA SINUS 31 1

ABSESS PERIAPIKAL TANPA SINUS 32 1

ALVEOLITIS OF JAWS 33 1

ABSESS PERIAPIKAL TANPA SINUS 34 1

NEKROSIS PULPA 35 1

DISTURBANCES IN TOOTH ERUPTION 36 1

PERIODONTITIS APIKALIS KRONIS 37 1

ABSESS PERIAPIKAL TANPA SINUS 38 1

ABSESS PERIAPIKAL TANPA SINUS 39 1


NEKROSIS PULPA 40 1

DISTURBANCES IN TOOTH ERUPTION 41 1

NEKROSIS PULPA 42 1

43 1
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 44 1

PULPITIS 45 1

DISTURBANCES IN TOOTH ERUPTION 46 1

ABSESS PERIAPIKAL TANPA SINUS 47 1

ABSESS PERIAPIKAL TANPA SINUS 48 1

ABSESS PERIAPIKAL TANPA SINUS 49 1

ABSESS PERIAPIKAL TANPA SINUS 50 1

ABSESS PERIAPIKAL TANPA SINUS 51 1

MOLEKUL KELENJAR LUDAH 52 1

PERIODONTITIS APIKALIS KRONIS 53 1

ABSESS PERIAPIKAL TANPA SINUS 54 1

ABSESS PERIAPIKAL TANPA SINUS 55 1

DISTURBANCES IN TOOTH ERUPTION 56 1

57 1
ABSESS PERIAPIKAL TANPA SINUS
PULPITIS 58 1

PULPITIS 59 1

DISTURBANCES IN TOOTH ERUPTION 60 1

CARIES DENTINE 61 1

62 1
PULPITIS
DISTURBANCES IN TOOTH ERUPTION 63 1

64 1
DEPOSITS ON TEETH
ABSESS PERIAPIKAL TANPA SINUS 65 1

ABSESS PERIAPIKAL TANPA SINUS 66 1

NEKROSIS PULPA 67 1

68 1
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA 69 1

CARIES DENTINE 70 1

ABSESS PERIAPIKAL TANPA SINUS 71 1

DISTURBANCES IN TOOTH ERUPTION 72 1

DISTURBANCES IN TOOTH ERUPTION 73 1

PULPITIS 74 1

CARIES DENTINE 75 1

DISTURBANCES IN TOOTH ERUPTION 76 1

DISTURBANCES IN TOOTH ERUPTION 77 1

ABSESS PERIAPIKAL DI SINUS 78 1

ABSESS PERIAPIKAL DI SINUS 79 1

NEKROSIS PULPA 80 1

NEKROSIS PULPA 81 1

ABSESS PERIAPIKAL DI SINUS 82 1

83 1
ABSESS PERIAPIKAL TANPA SINUS

84 1
KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL
85 1
PERIODONTITIS APIKALIS KRONIS
DISTURBANCES IN TOOTH ERUPTION 86 1

NEKROSIS PULPA 87 1

ABSESS PERIAPIKAL TANPA SINUS 88 1

89 1
ABSESS PERIAPIKAL TANPA SINUS
ABSESS PERIAPIKAL TANPA SINUS 90 1

IMPACTED TEETH 91 1

92 1
PULPITIS
EMBEDED TEETH 93 1

DISTURBANCES IN TOOTH ERUPTION 94 1

DISTURBANCES IN TOOTH ERUPTION 95 1

NEKROSIS PULPA 96 1

PERIODONTITIS APIKALIS KRONIS 97 1

PENYAKIT PERIODONTAL LAIN 98 1

PERIODONTITIS APIKALIS KRONIS 99 1

NEKROSIS PULPA 100 1

101 1
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 102 1

DISTURBANCES IN TOOTH ERUPTION 103 1

DISTURBANCES IN TOOTH ERUPTION 104 1

NEKROSIS PULPA 105 1

PERIODONTITIS APIKALIS KRONIS 106 1

ABSESS PERIAPIKAL DI SINUS 107 1

ABSESS PERIAPIKAL TANPA SINUS 108 1

ABSESS PERIAPIKAL TANPA SINUS 109 1

NEKROSIS PULPA 110 1

NEKROSIS PULPA 111 1

NEKROSIS PULPA 112 1

DISTURBANCES IN TOOTH ERUPTION 113 1

ABSESS PERIAPIKAL TANPA SINUS 114 1

115 1
KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL

116 1
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL DI SINUS 117 1

ABSESS PERIAPIKAL TANPA SINUS 118 1

ABSESS PERIAPIKAL TANPA SINUS 119 1

PERIODONTITIS APIKALIS KRONIS 120 1

PULPITIS 121 1

ABSESS PERIAPIKAL TANPA SINUS 122 1

ABSESS PERIAPIKAL TANPA SINUS 123 1

ABSESS PERIAPIKAL TANPA SINUS 124 1

CARIES DENTINE 125 1

PENYAKIT PERIODONTAL LAIN 126 1

127 1
ABSESS PERIAPIKAL TANPA SINUS
NEKROSIS PULPA 128 1

CARIES DENTINE 129 1


ABSESS PERIAPIKAL DI SINUS 130 1

ABSESS PERIAPIKAL TANPA SINUS 131 1

PERIODONTITIS APIKALIS KRONIS 132 1

DISTURBANCES IN TOOTH ERUPTION 133 1

PERIODONTITIS APIKALIS KRONIS 134 1

ABSESS PERIAPIKAL TANPA SINUS 135 1

PERIODONTITIS APIKALIS KRONIS 136 1

ABSESS PERIAPIKAL TANPA SINUS 137 1

138 1
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 139 1

DISTURBANCES IN TOOTH ERUPTION 140 1

DISTURBANCES IN TOOTH ERUPTION 141 1

PERIODONTITIS APIKALIS KRONIS 142 1

ABSESS PERIAPIKAL TANPA SINUS 143 1

ABSESS PERIAPIKAL TANPA SINUS 144 1

NEKROSIS PULPA 145 1

NEKROSIS PULPA 146 1

PERIODONTITIS APIKALIS KRONIS 147 1

ABSESS PERIAPIKAL TANPA SINUS 148 1

NEKROSIS PULPA 149 1

PULPITIS 150 1

NEKROSIS PULPA 151 1

NEKROSIS PULPA 152 1

NEKROSIS PULPA 153 1

154 1
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS 155 1

DISTURBANCES IN TOOTH ERUPTION 156 1

NEKROSIS PULPA 157 1

NEKROSIS PULPA 158 1

DEPOSITS ON TEETH 159 1

DISTURBANCES IN TOOTH ERUPTION 160 1

ABSESS PERIAPIKAL TANPA SINUS 161 1

PERIODONTITIS APIKALIS AKUT 162 1

PERIODONTITIS APIKALIS KRONIS 163 1

CARIES DENTINE 164 1

NEKROSIS PULPA 165 1

CARIES DENTINE 166 1

167 1
DISTURBANCES IN TOOTH ERUPTION
ABSESS PERIAPIKAL TANPA SINUS 168 1

ABSESS PERIAPIKAL TANPA SINUS 169 1

170 1
PERIODONTITIS APIKALIS AKUT
DISTURBANCES IN TOOTH ERUPTION 171 1

NEKROSIS PULPA 172 1

PERIODONTITIS APIKALIS KRONIS 173 1

ABSESS PERIAPIKAL TANPA SINUS 174 1

PERIODONTITIS APIKALIS KRONIS 175 1


176 1
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION 177 1

NEKROSIS PULPA 178 1

179 1
ABSESS PERIAPIKAL TANPA SINUS

180 1
NEKROSIS PULPA
PULPITIS 181 1

ABSESS PERIAPIKAL TANPA SINUS 182 1

183 1
NEKROSIS PULPA
NEKROSIS PULPA 184 1

DISTURBANCES IN TOOTH ERUPTION 185 1

ABSESS PERIAPIKAL TANPA SINUS 186 1

PULPITIS 187 1

PERIODONTITIS APIKALIS AKUT 188 1

NEKROSIS PULPA 189 1

DISTURBANCES IN TOOTH ERUPTION 190 1

ABSESS PERIAPIKAL TANPA SINUS 191 1

ABSESS PERIAPIKAL TANPA SINUS 192 1

NEKROSIS PULPA 193 1

194 1
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION 195 1

PULPITIS 196 1

DISTURBANCES IN TOOTH ERUPTION 197 1

NEKROSIS PULPA 198 1

DISTURBANCES IN TOOTH ERUPTION 199 1

ABSESS PERIAPIKAL TANPA SINUS 200 1

ABSESS PERIAPIKAL TANPA SINUS 201 1

ABSESS PERIAPIKAL TANPA SINUS 202 1

ABSESS PERIAPIKAL TANPA SINUS 203 1

ABSESS PERIAPIKAL TANPA SINUS 204 1

DISTURBANCES IN TOOTH ERUPTION 205 1

PERIODONTITIS APIKALIS KRONIS 206 1

ABSESS PERIAPIKAL TANPA SINUS 207 1

ABSESS PERIAPIKAL TANPA SINUS 208 1

209 1
NEKROSIS PULPA

210 1
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 211 1

EMBEDED TEETH 212 1

PERIODONTITIS APIKALIS KRONIS 213 1

ABSESS PERIAPIKAL TANPA SINUS 214 1

ABSESS PERIAPIKAL TANPA SINUS 215 1

216 1
PERIODONTITIS APIKALIS KRONIS

217 1
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS 218 1
219 1
ABSESS PERIAPIKAL TANPA SINUS 220 1

DISTURBANCES IN TOOTH ERUPTION 221 1

ABSESS PERIAPIKAL TANPA SINUS 222 1

ABSESS PERIAPIKAL TANPA SINUS 223 1

224 1
NEKROSIS PULPA
ABSESS PERIAPIKAL TANPA SINUS 225 1

226 1
ABSESS PERIAPIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION 227 1

NEKROSIS PULPA 228 1

229 1
NEKROSIS PULPA

230 1
NEKROSIS PULPA

231 1
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION 232 1

233 1
DISTURBANCES IN TOOTH ERUPTION

234 1
NEKROSIS PULPA
PERIODONTITIS APIKALIS KRONIS 235 1

ABSESS PERIAPIKAL TANPA SINUS 236 1

PERIODONTITIS APIKALIS KRONIS 237 1

PULPITIS 238 1

239 1
DISTURBANCES IN TOOTH ERUPTION
MOLEKUL KELENJAR LUDAH 240 1

ABSESS PERIAPIKAL TANPA SINUS 241 1

242 1
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 243 1

ABSESS PERIAPIKAL TANPA SINUS 244 1

ABSESS PERIAPIKAL TANPA SINUS 245 1

ABSESS PERIAPIKAL TANPA SINUS 246 1

DISTURBANCES IN TOOTH ERUPTION 247 1

ABSESS PERIAPIKAL TANPA SINUS 248 1

PULPITIS 249 1

GIGI TAMBAHAN 250 1

ABSESS PERIAPIKAL DI SINUS 251 1

ABSESS PERIAPIKAL DI SINUS 252 1

ABSESS PERIAPIKAL DI SINUS 253 1

PULP DEGENERATION 254 1

NEKROSIS PULPA 255 1

NEKROSIS PULPA 256 1

CARIES DENTINE 257 1

ABSESS PERIAPIKAL TANPA SINUS 258 1

IMPACTED TEETH 259 1

DISTURBANCES IN TOOTH ERUPTION 260 1

ABSESS PERIAPIKAL TANPA SINUS 261 1

NEKROSIS PULPA 262 1

PULPITIS 263 1
PULPITIS 264 1

ABSESS PERIAPIKAL TANPA SINUS 265 1

PULPITIS 266 1

ABSESS PERIAPIKAL TANPA SINUS 267 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL LAIN 268 1

ABSESS PERIAPIKAL TANPA SINUS 269 1

ABSESS PERIAPIKAL TANPA SINUS 270 1

ABSESS PERIAPIKAL DI SINUS 271 1

PERIODONTITIS APIKALIS KRONIS 272 1

NEKROSIS PULPA 273 1

DISTURBANCES IN TOOTH ERUPTION 274 1

ABSESS PERIAPIKAL TANPA SINUS 275 1

ABSESS PERIAPIKAL TANPA SINUS 276 1

NEKROSIS PULPA 277 1

MOLEKUL KELENJAR LUDAH 278 1

DISTURBANCES IN TOOTH ERUPTION 279 1

NEKROSIS PULPA 280 1

ABSESS PERIAPIKAL TANPA SINUS 281 1

NEKROSIS PULPA 282 1

ABSESS PERIAPIKAL TANPA SINUS 283 1

ABSESS PERIAPIKAL DI SINUS 284 1

PULPITIS 285 1

ABSESS PERIAPIKAL DI SINUS 286 1

DISTURBANCES IN TOOTH ERUPTION 287 1

DISTURBANCES IN TOOTH ERUPTION 288 1

NEKROSIS PULPA 289 1

NEKROSIS PULPA 290 1

DISTURBANCES IN TOOTH ERUPTION 291 1

NEKROSIS PULPA 292 1

DISTURBANCES IN TOOTH ERUPTION 293 1

PENYAKIT PERIODONTAL LAIN 294 1

NEKROSIS PULPA 295 1

NEKROSIS PULPA 296 1

PENYAKIT PERIODONTAL LAIN 297 1

DISTURBANCES IN TOOTH ERUPTION 298 1

DISTURBANCES IN TOOTH ERUPTION 299 1

ABSESS PERIAPIKAL TANPA SINUS 300 1

ABSESS PERIAPIKAL TANPA SINUS 301 1

ABSESS PERIAPIKAL TANPA SINUS 302 1

ABSESS PERIAPIKAL TANPA SINUS 303 1

PERIODONTITIS APIKALIS KRONIS 304 1

PULPITIS 305 1

ABSESS PERIAPIKAL TANPA SINUS 306 1

PENYAKIT PERIODONTAL LAIN 307 1

PENYAKIT PERIODONTAL LAIN 308 1

CARIES DENTINE 309 1

NEKROSIS PULPA 310 1

PULPITIS 311 1
NEKROSIS PULPA 312 1

ABSESS PERIAPIKAL TANPA SINUS 313 1

ABSESS PERIAPIKAL TANPA SINUS 314 1

PENYAKIT PERIODONTAL LAIN 315 1

ABSESS PERIAPIKAL TANPA SINUS 316 1

NEKROSIS PULPA 317 1

PULPITIS 318 1

ABSESS PERIAPIKAL TANPA SINUS 319 1

DISTURBANCES IN TOOTH ERUPTION 320 1

DISTURBANCES IN TOOTH ERUPTION 321 1

DISTURBANCES IN TOOTH ERUPTION 322 1

NEKROSIS PULPA 323 1

ABSESS PERIAPIKAL TANPA SINUS 324 1

ABSESS PERIAPIKAL TANPA SINUS 325 1

ABSESS PERIAPIKAL TANPA SINUS 326 1

NEKROSIS PULPA 327 1

ABSESS PERIAPIKAL TANPA SINUS 328 1

ABSESS PERIAPIKAL TANPA SINUS 329 1

PENYAKIT PERIODONTAL LAIN 330 1

PATHOLOGI RESORBSI GIGI 331 1

NEKROSIS PULPA 332 1

ABSESS PERIAPIKAL TANPA SINUS 333 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 334 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 335 1

PULPITIS 336 1

ABSESS PERIAPIKAL TANPA SINUS 337 1

PENYAKIT PERIODONTAL LAIN 338 1

DISTURBANCES IN TOOTH ERUPTION 339 1

NEKROSIS PULPA 340 1

PERIODONTITIS 341 1

NEKROSIS PULPA 342 1

PERIODONTITIS AKUT 343 1

ABSESS PERIAPIKAL TANPA SINUS 344 1

NEKROSIS PULPA 345 1

ABSESS PERIAPIKAL DI SINUS 346 1

DISTURBANCES IN TOOTH ERUPTION 347 1

DISTURBANCES IN TOOTH ERUPTION 348 1

NEKROSIS PULPA 349 1

NEKROSIS PULPA 350 1

PERIODONTITIS APIKALIS KRONIS 351 1

PENYAKIT PERIODONTAL LAIN 352 1

PULPITIS 353 1

DISTURBANCES IN TOOTH ERUPTION 354 1

IMPACTED TEETH 355 1

ABSESS PERIAPIKAL TANPA SINUS 356 1

PULPITIS 357 1

NEKROSIS PULPA 358 1

ABSESS PERIAPIKAL TANPA SINUS 359 1


PERIODONTITIS 360 1

NEKROSIS PULPA 361 1

ABSESS PERIAPIKAL TANPA SINUS 362 1

PERIODONTITIS APIKALIS KRONIS 363 1

ABSESS PERIAPIKAL DI SINUS 364 1

ABSESS PERIAPIKAL TANPA SINUS 365 1

DISTURBANCES IN TOOTH ERUPTION 366 1

ABSESS PERIAPIKAL TANPA SINUS 367 1

DISTURBANCES IN TOOTH ERUPTION 368 1

ABSESS PERIAPIKAL TANPA SINUS 369 1

NEKROSIS PULPA 370 1

IMPACTED TEETH 371 1

NEKROSIS PULPA 372 1

NEKROSIS PULPA 373 1

ABSESS PERIAPIKAL TANPA SINUS 374 1

PULPITIS 375 1

NEKROSIS PULPA 376 1

PERIODONTITIS 377 1

NEKROSIS PULPA 378 1

ABSESS PERIAPIKAL TANPA SINUS 379 1

ABSESS PERIAPIKAL TANPA SINUS 380 1

NEKROSIS PULPA 381 1

ABSESS PERIAPIKAL TANPA SINUS 382 1

CARIES DENTINE 383 1

ABSESS PERIAPIKAL TANPA SINUS 384 1

NEKROSIS PULPA 385 1

DISTURBANCES IN TOOTH ERUPTION 386 1

ABSESS PERIAPIKAL TANPA SINUS 387 1

NEKROSIS PULPA 388 1

DISTURBANCES IN TOOTH ERUPTION 389 1

DISTURBANCES IN TOOTH ERUPTION 390 1

PULPITIS 391 1

NEKROSIS PULPA 392 1

NEKROSIS PULPA 393 1

PERIODONTITIS APIKALIS AKUT 394 1

PERIODONTITIS APIKALIS AKUT 395 1

DISTURBANCES IN TOOTH ERUPTION 396 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 397 1

PERIODONTITIS AKUT 398 1


TOTAL 398
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI

PERAWAT YANG MENANGANI

NO TUTI RIKA OTIK RANY


KURNIAWATI HARTIYANTI PURWATY, S. RAHMAWAT
, AMKG ST Y

1 1 KET :
2 1 K021 KARIES GIGI DENTIN/KARIES MEDIA
3 1 K040 PULPITIS
4 1 K041 NEKROSIS PULPA
5 1 K045 GR/PERIODONTITIS APIKALIS KRONIS
6 1 K046 PERIAPIKAL ABSES DGN SINUS
7 1 K047 PERIAPIKAL ABSES TANPA SINUS
8 1 K050 GINGIVITIS AKUT

9 1
K051 GINGIVITIS KRONIS

10 1
K052 PERIODONTITIS AKUT
11 1 K053 PERIODONTITIS KRONIS
12 1 K12 RAS/SARIAWAN

13 1
K006 PERSISTENSI

14 1
K083 ULCUS DECUBITUS
15 1 K011 IMPAKSI

16 1
K020 KARIES EMAIL

17 1

18 1
19 1
20 1
21 1
22 1
23 1
24 1
25 1
26 1
27 1
28 1
29 1
30 1
31 1
32 1
33 1
34 1
35 1
36 1
37 1
38 1
39 1
40 1
41 1
42 1

43 1

44 1
45 1
46 1
47 1
48 1
49 1
50 1
51 1
52 1
53 1
54 1
55 1
56 1

57 1

58 1
59 1
60 1
61 1

62 1

63 1

64 1

65 1
66 1
67 1

68 1

69 1
70 1
71 1
72 1
73 1
74 1
75 1
76 1
77 1
78 1
79 1
80 1
81 1
82 1

83 1

84 1
85 1

86 1
87 1
88 1

89 1

90 1
91 1

92 1

93 1
94 1
95 1
96 1
97 1
98 1
99 1
100 1

101 1

102 1
103 1
104 1
105 1
106 1
107 1
108 1
109 1
110 1
111 1
112 1
113 1
114 1

115 1

116 1

117 1
118 1
119 1
120 1
121 1
122 1
123 1
124 1
125 1
126 1

127 1

128 1
129 1
130 1
131 1
132 1
133 1
134 1
135 1
136 1
137 1

138 1

139 1
140 1
141 1
142 1
143 1
144 1
145 1
146 1
147 1
148 1
149 1
150 1
151 1
152 1
153 1

154 1

155 1
156 1
157 1
158 1
159 1
160 1
161 1
162 1
163 1
164 1
165 1
166 1

167 1

168 1
169 1

170 1

171 1
172 1
173 1
174 1
175 1
176 1

177 1
178 1

179 1

180 1

181 1
182 1

183 1

184 1
185 1
186 1
187 1
188 1
189 1
190 1
191 1
192 1
193 1

194 1

195 1
196 1
197 1
198 1
199 1
200 1
201 1
202 1
203 1
204 1
205 1
206 1
207 1
208 1

209 1

210 1

211 1
212 1
213 1
214 1
215 1

216 1

217 1

218 1
219 1
220 1
221 1
222 1
223 1

224 1

225 1

226 1

227 1
228 1

229 1

230 1

231 1

232 1

233 1

234 1

235 1
236 1
237 1
238 1

239 1

240 1
241 1

242 1

243 1
244 1
245 1
246 1
247 1
248 1
249 1
250 1
251 1
252 1
253 1
254 1
255 1
256 1
257 1
258 1
259 1
260 1
261 1
262 1
263 1
264 1
265 1
266 1
267 1
268 1
269 1
270 1
271 1
272 1
273 1
274 1
275 1
276 1
277 1
278 1
279 1
280 1
281 1
282 1
283 1
284 1
285 1
286 1
287 1
288 1
289 1
290 1
291 1
292 1
293 1
294 1
295 1
296 1
297 1
298 1
299 1
300 1
301 1
302 1
303 1
304 1
305 1
306 1
307 1
308 1
309 1
310 1
311 1
312 1
313 1
314 1
315 1
316 1
317 1
318 1
319 1
320 1
321 1
322 1
323 1
324 1
325 1
326 1
327 1
328 1
329 1
330 1
331 1
332 1
333 1
334 1
335 1
336 1
337 1
338 1
339 1
340 1
341 1
342 1
343 1
344 1
345 1
346 1
347 1
348 1
349 1
350 1
351 1
352 1
353 1
354 1
355 1
356 1
357 1
358 1
359 1
360 1
361 1
362 1
363 1
364 1
365 1
366 1
367 1
368 1
369 1
370 1
371 1
372 1
373 1
374 1
375 1
376 1
377 1
378 1
379 1
380 1
381 1
382 1
383 1
384 1
385 1
386 1
387 1
388 1
389 1
390 1
391 1
392 1
393 1
394 1
395 1
396 1
397 1
398 1
TOTAL 67 133 132 66
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L P

1 02 OKTOBER 2017 3526 PRINESYA 2 1


2 02 OKTOBER 2017 10135 M. NAZWAN 4 1
3 2 OKTOBER 2017 3197 NENENG 60 1
4 2 OKTOBER 2017 3514 RIRI 6 1
5 2 OKTOBER 2017 23727 KARINDA 23 1
6 2 OKTOBER 2017 15066 KARTIM 74 1
7 2 OKTOBER 2017 3507 FERDIANSYAH 10 1
8 2 OKTOBER 2017 22373 RENALDI 7 1
9 2 OKTOBER 2017 4487 INA 35 1
10 2 OKTOBER 2017 3517 INTAN 7 1
11 2 OKTOBER 2017 3522 NISA 6 1
12 2 OKTOBER 2017 3508 FAWAZ 11 1
13 2 OKTOBER 2017 3520 M. RIZKI 6 1
14 2 OKTOBER 2017 3737 KALYCA 8 1
15 2 OKTOBER 2017 3187 YENI 33 1
16 2 OKTOBER 2017 2701 TIYAAZ 22 1
17 2 OKTOBER 2017 21392 AAY 57 1
18 2 OKTOBER 2017 13373 ABD. TOHIR 72 1
19 2 OKTOBER 2017 18600 IRSYAD 6 1
20 2 OKTOBER 2017 3407 M. GALIH 7 1
21 2 OKTOBER 2017 3175 IIS 47 1
22 2 OKTOBER 2017 14269 NENI 50 1
23 2 OKTOBER 2017 3368 NENENG 41 1
24 2 OKTOBER 2017 870 NANA 58 1
25 2 OKTOBER 2017 3035 NURMAN 29 1
26 3 OKTOBER 2017 3542 RIVAL 21 1
27 3 OKTOBER 2017 725 HJ. AA 74 1
28 3 OKTOBER 2017 3537 HENI 41 1
29 3 OKTOBER 2017 3536 YULI 41 1
30 3 OKTOBER 2017 22881 YAYAT 50 1
31 3 OKTOBER 2017 2983 RD. DADANG 27 1
32 3 OKTOBER 2017 3541 AREI 8 1
33 3 OKTOBER 2017 WIWI 54 1
34 3 OKTOBER 2017 10038 NIA 28 1
35 3 OKTOBER 2017 3746 SANDI 20 1
36 3 OKTOBER 2017 3413 MELANI 13 1
37 3 OKTOBER 2017 433 ELOH 60 1
38 3 OKTOBER 2017 17314 AZMI 10 1
39 3 OKTOBER 2017 1 RAFKA 8 1
40 4 OKTOBER 2017 3552 DESTY 10 1
41 4 OKTOBER 2017 3476 SRI 25 1
42 4 OKTOBER 2017 3550 DADAH 36 1
43 4 OKTOBER 2017 3554 DEDEN 32 1
44 4 OKTOBER 2017 3553 CUCU 26 1
45 4 OKTOBER 2017 3544 HALIMAH 17 1
46 4 OKTOBER 2017 22436 LATIFAH 51 1
47 4 OKTOBER 2017 10653 DODOH 47 1
48 4 OKTOBER 2017 3578 ADE 21 1
49 4 OKTOBER 2017 3579 JUNAEDI 23 1
50 4 OKTOBER 2017 823 ALLIN 39 1
51 5 OKTOBER 2017 3657 REIHAN 6.5 1
52 5 OKTOBER 2017 3651 ROSMIATI 36 1
53 5 OKTOBER 2017 25012 IMAS 25 1
54 5 OKTOBER 2017 4044 NOVA 6 1
55 5 OKTOBER 2017 22193 GUMBIRA 49 1
56 5 OKTOBER 2017 3329 H. YUDI 57 1
57 5 OKTOBER 2017 2520 SALIPAH 60 1
58 5 OKTOBER 2017 3388 NINA 36 1
59 5 OKTOBER 2017 3584 PUPU 26 1
60 5 OKTOBER 2017 1977 HILMAN 19 1
61 5 OKTOBER 2017 21637 FAJAR 2 1
62 5 OKTOBER 2017 3406 AI HASANAH 31 1
63 5 OKTOBER 2017 3585 JAKARIA 53 1
64 5 OKTOBER 2017 3407 M. GALIH 7 1
65 5 OKTOBER 2017 3432 ADDILA 5 1
66 6 OKTOBER 2017 3904 YAYAH 36 1
67 6 OKTOBER 2017 3914 PRINSYA 6 1
68 6 OKTOBER 2017 3919 RAIS 7 1
69 6 OKTOBER 2017 10824 KEYZA 7 1
70 6 OKTOBER 2017 3916 SITI 19 1
71 6 OKTOBER 2017 3917 SUCI 18 1
72 6 OKTOBER 2017 3913 HERNA 22 1
73 6 OKTOBER 2017 5137 ELIS 39 1
74 6 OKTOBER 2017 3514 RIRI 6 1
75 6 OKTOBER 2017 4487 INA 35 1
76 6 OKTOBER 2017 3542 RIVAL 21 1
77 6 OKTOBER 2017 3351 ALDI 19 1
78 6 OKTOBER 2017 21392 AAY 57 1
79 6 OKTOBER 2017 3599 IIN 38 1
80 6 OKTOBER 2017 3594 FAUZAN 4.5 1
81 6 OKTOBER 2017 3413 MELANI 13 1
82 6 OKTOBER 2017 22337 IIS 63 1
83 6 OKTOBER 2017 20172 NINING 24 1
84 7 OKTOBER 2017 3928 SHABRINA 12 1
85 7 OKTOBER 2017 3544 HALIMAH 17 1
86 7 OKTOBER 2017 15066 KARTIM 74 1
87 7 OKTOBER 2017 3924 FAUZAN 7 1
88 7 OKTOBER 2017 25217 MAYA 7 1
89 7 OKTOBER 2017 7027 DAFA 8 1
90 7 OKTOBER 2017 3935 ANISA 48 1
91 7 OKTOBER 2017 5763 ANISA 9 1
92 7 OKTOBER 2017 3934 FIKRI 29 1
93 7 OKTOBER 2017 3936 SILKA 5 1
94 7 OKTOBER 2017 3927 NOVAL 6 1
95 7 OKTOBER 2017 10529 TATI 68 1

96 13375 ABD. TOHIR 72 1


7 OKTOBER 2017
97 7 OKTOBER 2017 948 ASTRI 44 1
98 7 OKTOBER 2017 12335 TIARA 6 1
99 7 OKTOBER 2017 13226 IDAS 45 1
100 7 OKTOBER 2017 3433 MULYANA 32 1
101 7 OKTOBER 2017 15260 RADITIA 13 1
102 9 OKTOBER 2017 3476 SRI S 25 1
103 9 OKTOBER 2017 273 RATU 7 1
104 9 OKTOBER 2017 25013 ILHAM 6 1
105 9 OKTOBER 2017 21998 M. IQBAL 5 1
106 9 OKTOBER 2017 3729 FRINDHO 9 1
107 9 OKTOBER 2017 3720 OPI 9 1
108 9 OKTOBER 2017 2058 ALUSA 6 1
109 9 OKTOBER 2017 3721 RAFEY 11 1
110 9 OKTOBER 2017 3743 TATANG 31 1
111 9 OKTOBER 2017 24903 HAIKAL 9 1
112 9 OKTOBER 2017 2983 RADEN D 27 1
113 9 OKTOBER 2017 3939 NURHAYAH 40 1
114 9 OKTOBER 2017 3726 MISJA 62 1
115 9 OKTOBER 2017 3725 LIA 29 1
116 9 OKTOBER 2017 3722 AISAH 37 1
117 9 OKTOBER 2017 3197 NANANG 60 1
118 9 OKTOBER 2017 13297 SRI 28 1
119 9 OKTOBER 2017 3737 HERAWAN 25 1
120 9 OKTOBER 2017 3732 SANTI 20 1
121 9 OKTOBER 2017 3741 NIA 38 1
122 9 OKTOBER 2017 3770 CICIH 59 1
123 9 OKTOBER 2017 3175 IIS 47 1
124 9 OKTOBER 2017 433 ELOH 60 1
125 9 OKTOBER 2017 14269 NENI 50 1
126 9 OKTOBER 2017 3620 ETI 43 1
127 9 OKTOBER 2017 3035 NURMAN 29 1
128 9 OKTOBER 2017 3434 RISMA 36 1
129 10 OKTOBER 2017 3760 NAZWA 7 1
130 10 OKTOBER 2017 3765 SYIFA 9 1
131 10 OKTOBER 2017 1038 NAILA 7 1
132 10 OKTOBER 2017 3450 GEA 5 1
133 10 OKTOBER 2017 3766 HERLENA 34 1
134 10 OKTOBER 2017 3753 KEISHA 8 1
135 10 OKTOBER 2017 3536 YULI 41 1
136 10 OKTOBER 2017 3935 ANISA 46 1
137 10 OKTOBER 2017 3752 ROHIMATUL 6 1
138 10 OKTOBER 2017 3744 REKHA 19 1
139 10 OKTOBER 2017 37 RANTINI 21 1
140 10 OKTOBER 2017 3748 SITI 8 1
141 10 OKTOBER 2017 3113 YATI 45 1
142 10 OKTOBER 2017 2405 ZIA 15 1
143 10 OKTOBER 2017 3355 ANTON 13 1
144 10 OKTOBER 2017 3231 HARTI 23 1
145 10 OKTOBER 2017 2383 PATIR 3 1
146 10 OKTOBER 2017 713 RINZI 4 1
147 10 OKTOBER 2017 3623 ENGKUS 45 1
148 10 OKTOBER 2017 3627 SAJI 56 1
149 10 OKTOBER 2017 3599 IIN 38 1
150 10 OKTOBER 2017 6693 ESIH 44 1
151 10 OKTOBER 2017 1173 AGUNG 16 1
152 10 OKTOBER 2017 11506 TESA 14 1
153 10 OKTOBER 2017 3220 APRA 6 1
154 11 OKTOBER 2017 PANJI 7.5 1
155 11 OKTOBER 2017 20308 TETY 40 1
156 11 OKTOBER 2017 3775 DINI 21 1
157 11 OKTOBER 2017 26317 NAJA 5 1
158 11 OKTOBER 2017 3778 ANGGA 4.5 1
159 11 OKTOBER 2017 3769 LUTFI 16 1
160 11 OKTOBER 2017 24549 ZAHRA 5 1
161 11 OKTOBER 2017 3784 SANDIAGA 6 1
162 11 OKTOBER 2017 23694 MARIJEM 45 1
163 11 OKTOBER 2017 3779 ERZA 7 1
164 11 OKTOBER 2017 21392 AAY 57 1
165 11 OKTOBER 2017 11777 IWA 66 1
166 11 OKTOBER 2017 8182 DINDA 7 1
167 11 OKTOBER 2017 SALSA 7 1
168 11 OKTOBER 2017 ENGKUS 45 1
169 11 OKTOBER 2017 3442 AAH 34 1
170 12 OKTOBER 2017 270 IDA 32
171 12 OKTOBER 2017 3810 ANA 37
172 12 OKTOBER 2017 3825 ALI AKBAR 9.5
173 12 OKTOBER 2017 3795 REVIANA 11
174 12 OKTOBER 2017 3803 NISRINA 10
175 12 OKTOBER 2017 3811 NANANG 10
176 12 OKTOBER 2017 3812 AULIA 10
177 12 OKTOBER 2017 3821 RAFEL 10
178 12 OKTOBER 2017 3800 GALIH 5.5
179 12 OKTOBER 2017 3790 EROS 47
180 12 OKTOBER 2017 3804 NANDA 14
181 12 OKTOBER 2017 620 KAYLA 7
182 12 OKTOBER 2017 4317 RIZAL 21
183 12 OKTOBER 2017 3743 TATANG 32
184 12 OKTOBER 2017 3363 KHAIRUNISA 10 1
185 12 OKTOBER 2017 3677 KHOERUL 11 1
186 12 OKTOBER 2017 870 NANA 58 1
187 12 OKTOBER 2017 21916 ASTRI 10 1
188 12 OKTOBER 2017 3650 NADIRA 8.5 1
189 12 OKTOBER 2017 19897 KHOERUL RAKAS 11 1
190 12 OKTOBER 2017 5650 TRI 10 1
191 12 OKTOBER 2017 3441 SONNYA 11 1
192 12 OKTOBER 2017 823 ALLIN 39 1
193 12 OKTOBER 2017 3442 M. VICKY 4 1
194 13 OKTOBER 2017 3837 AZKA 14 1
195 13 OKTOBER 2017 11329 MERI 22 1
196 13 OKTOBER 2017 5722 M. ZIDAN 10 1
197 13 OKTOBER 2017 219904 RAUF 9 1
198 13 OKTOBER 2017 3846 AMELIA 9 1
199 13 OKTOBER 2017 1243 SALMA 9 1
200 13 OKTOBER 2017 10500 KARINA 13 1
201 13 OKTOBER 2017 3744 REKHA 20 1
202 13 OKTOBER 2017 3746 RANTINI 21 1
203 13 OKTOBER 2017 23454 ULFAH 6 1
204 13 OKTOBER 2017 3261 AYI 26 1
205 13 OKTOBER 2017 3838 KOMALASARI 34 1
206 13 OKTOBER 2017 3840 ALFAN 8 1
207 13 OKTOBER 2017 3845 GALUH 7 1
208 13 OKTOBER 2017 3841 ANDREA 6.5 1
209 13 OKTOBER 2017 477 SIRA 8 1
210 13 OKTOBER 2017 3766 HERLINA 34 1
211 13 OKTOBER 2017 1759 AL FATIH 5 1
212 13 OKTOBER 2017 1758 AHMAD 11 1
213 13 OKTOBER 2017 2476 SRI 25 1
214 13 OKTOBER 2017 3842 DINI 28 1
215 13 OKTOBER 2017 3684 LISTIA 20 1

216 13373 ABDULAH 72 1


13 OKTOBER 2017
217 13 OKTOBER 2017 3687 DEVIN 8 1
218 13 OKTOBER 2017 21757 AURA 6.5 1
219 13 OKTOBER 2017 3879 RESI 8 1
220 13 OKTOBER 2017 3579 JUNAEDI 23 1
221 13 OKTOBER 2017 1134 AZRIA 6.5 1

222 2510 NURI 19 1


13 OKTOBER 2017
223 14 OKTOBER 2017 3904 YAYAH 36 1
224 14 OKTOBER 2017 3911 RIMANDA 7 1
225 14 OKTOBER 2017 4309 FAKHIRA 6.5 1
226 14 OKTOBER 2017 3262 PUTRI 9 1
227 14 OKTOBER 2017 3868 FAZRY 5.5 1
228 14 OKTOBER 2017 1101 ROVDETUL 7 1
229 14 OKTOBER 2017 14837 MUTIARA 6.5 1

230 3849 RHISMA 14 1


14 OKTOBER 2017
231 14 OKTOBER 2017 4310 ANANDA 9 1
232 14 OKTOBER 2017 1654 M. RIFKI 8 1
233 14 OKTOBER 2017 3853 NABIL 9.5 1
234 14 OKTOBER 2017 2581 ARIPIN 7 1
235 14 OKTOBER 2017 3865 SITI ROHMAH 29 1
236 14 OKTOBER 2017 3867 FITRI 17 1
237 14 OKTOBER 2017 3769 LUTFI 16 1
238 14 OKTOBER 2017 3693 RAKHA 13 1
239 14 OKTOBER 2017 569 TIA 8 1

240 17206 AI NUR HABIBATUL 4 1


14 OKTOBER 2017
241 14 OKTOBER 2017 21553 AL EHSAN 4 1
242 14 OKTOBER 2017 21600 M. FAUZI 12 1
243 14 OKTOBER 2017 18975 DEN RAMADAN 22 1
244 14 OKTOBER 2017 3237 LUSI SRI 16 1
245 14 OKTOBER 2017 3442 AAH 32 1
246 14 OKTOBER 2017 23944 RINA 33 1
247 14 OKTOBER 2017 3209 CAHYA 6 1
248 14 OKTOBER 2017 11447 M. FARID 5 1
249 14 OKTOBER 2017 3446 FATHAN 9 1
250 16 OKTOBER 2017 270 IDA R 32 1
251 16 OKTOBER 2017 3916 FIRMAN 6.5 1
252 16 OKTOBER 2017 3748 SITI N 9 1
253 16 OKTOBER 2017 3926 DAVIN 10 1
254 16 OKTOBER 2017 3840 ALFAN 8 1
255 16 OKTOBER 2017 3912 SINDI 13 1
256 16 OKTOBER 2017 3914 PEPIN 26 1
257 16 OKTOBER 2017 3915 ANISA 16 1
258 16 OKTOBER 2017 3726 MISJA 63 1
259 16 OKTOBER 2017 3937 KUSNADI 61 1
260 16 OKTOBER 2017 7515 M. RIZKY 6 1
261 16 OKTOBER 2017 18471 NAISYA 7 1
262 16 OKTOBER 2017 25991 PUJI 47 1
263 16 OKTOBER 2017 20660 KIRANA 5.5
264 16 OKTOBER 2017 3898 SURYANI 51 1
265 16 OKTOBER 2017 3580 DEDW 41 1
266 16 OKTOBER 2017 19580 PUTRI 8 1
267 16 OKTOBER 2017 7212 SURYAMAH 75 1
268 16 OKTOBER 2017 3889 SASKIA 10 1
269 16 OKTOBER 2017 3897 SITI 11 1
270 16 OKTOBER 2017 591 ANGGARDA 8 1
271 16 OKTOBER 2017 870 NANA 58 1
272 16 OKTOBER 2017 255 TIA 8 1
273 16 OKTOBER 2017 10322 PRISKA 9 1
274 16 OKTOBER 2017 10298 SAKINAH 5 1
275 16 OKTOBER 2017 24943 AZRIL 7 1
276 17 OKTOBER 2017 3951 HILA 7 1
277 17 OKTOBER 2017 3946 RATU 8 1
278 17 OKTOBER 2017 3948 IHAT 72 1
279 17 OKTOBER 2017 3944 WILLY 10 1
280 17 OKTOBER 2017 3261 AYI 26 1
281 17 OKTOBER 2017 3943 IWA 47 1
282 17 OKTOBER 2017 3942 ANDRIUS 16 1
283 17 OKTOBER 2017 3769 LUTFI 16 1
284 17 OKTOBER 2017 3952 M. RAFI 2 1
285 17 OKTOBER 2017 3938 DADANG 21 1
286 17 OKTOBER 2017 22436 LATIFAH 51 1
287 17 OKTOBER 2017 3701 KOKOM 67 1
288 17 OKTOBER 2017 19526 NURUL 13 1
289 17 OKTOBER 2017 17314 AZMI 10 1
290 17 OKTOBER 2017 12397 DANDI 11 1
291 17 OKTOBER 2017 3908 LUTFI 11 1
292 17 OKTOBER 2017 24101 DADI 52 1
293 17 OKTOBER 2017 4024 M. ANINDRA 7 1
294 18 OKTOBER 2017 2572 NURUL 14 1
295 18 OKTOBER 2017 1382 ADE 28 1
296 18 OKTOBER 2017 3535 NASIKA 5 1
297 18 OKTOBER 2017 3965 NONOK 49 1
298 18 OKTOBER 2017 2964 ARSYAD 5 1
299 18 OKTOBER 2017 10562 PUJI 33 1
300 18 OKTOBER 2017 3960 BUDHIYATI 32 1
301 18 OKTOBER 2017 3025 NURI 44 1
302 18 OKTOBER 2017 3537 ADITYA 4 1
303 18 OKTOBER 2017 3968 ANWAR 37 1
304 18 OKTOBER 2017 3987 LINDA 3.5 1
305 18 OKTOBER 2017 3967 RADITIA 10 1
306 18 OKTOBER 2017 3708 ACHMAD 52 1
307 18 OKTOBER 2017 3912 SINDI 13 1
308 18 OKTOBER 2017 WIWIN 55 1
309 18 OKTOBER 2017 HILMAN 8 1
310 18 OKTOBER 2017 ARGA 9 1
311 18 OKTOBER 2017 21392 AAY 57 1
312 18 OKTOBER 2017 11236 GHEFIRA 11 1
313 18 OKTOBER 2017 ARUMI 9 1
314 18 OKTOBER 2017 IRNI 8 1
315 18 OKTOBER 2017 RIZKA 12 1
316 18 OKTOBER 2017 ADITIA 8 1
317 18 OKTOBER 2017 17792 PERDIANA 10 1
318 19 OKTOBER 2017 4000 IRGI 4 1
319 19 OKTOBER 2017 16836 YUYU 34 1
320 19 OKTOBER 2017 3989 RATIM 50 1
321 19 OKTOBER 2017 3748 SITI N 9 1
322 19 OKTOBER 2017 13685 FAUZAN 4 1
323 19 OKTOBER 2017 3252 M. ALFI 11 1
324 19 OKTOBER 2017 4001 IYAH 45 1
325 19 OKTOBER 2017 6755 ESIH 53 1
326 19 OKTOBER 2017 20935 NIA 48 1
327 19 OKTOBER 2017 7212 SURYAMAH 75 1
328 19 OKTOBER 2017 989 KHAIRINA 7 1
329 19 OKTOBER 2017 4109 MELA 25 1
330 19 OKTOBER 2017 12510 M. IKHSAN 9 1
331 19 OKTOBER 2017 11192 EEM 53 1
332 19 OKTOBER 2017 14 RAQIL 12 1
333 19 OKTOBER 2017 ZIDAN 11 1
334 19 OKTOBER 2017 RIZCKY 11 1
335 19 OKTOBER 2017 M. ADITYA 9 1
336 19 OKTOBER 2017 REVA 11 1
337 19 OKTOBER 2017 RANDI 10 1
338 19 OKTOBER 2017 M. ZHILLAN 11 1
339 19 OKTOBER 2017 DARA 11 1
340 19 OKTOBER 2017 NUR LAILA 11 1
341 20 OKTOBER 2017 3915 ANISA 16 1
342 20 OKTOBER 2017 6679 ANWAR 19 1
343 20 OKTOBER 2017 3769 LUTFI 16 1
344 20 OKTOBER 2017 1243 SALMA 9 1
345 20 OKTOBER 2017 1130 MARSA 8 1
346 20 OKTOBER 2017 139 ZAHRA 5.5 1
347 20 OKTOBER 2017 3699 ERPAN 9 1
348 20 OKTOBER 2017 4053 SRI 49 1
349 20 OKTOBER 2017 4055 NISSA 27 1
350 20 OKTOBER 2017 3261 AYI 26 1
351 20 OKTOBER 2017 26041 ADARA 7 1
352 20 OKTOBER 2017 3938 DADANG 21 1
353 20 OKTOBER 2017 13495 UTJIH 77 1
354 20 OKTOBER 2017 24101 DADI 52 1
355 20 OKTOBER 2017 7613 ZAHRA 10 1
356 20 OKTOBER 2017 3579 JUNAEDI 23 1
357 20 OKTOBER 2017 1704 LENNA 7 1
358 20 OKTOBER 2017 4118 SARI 13 1
359 20 OKTOBER 2017 3842 DINI 28 1
360 20 OKTOBER 2017 4110 TYRA 8 1
361 20 OKTOBER 2017 5016 ENDANG 43 1
362 20 OKTOBER 2017 17645 KEISYA 6 1
363 20 OKTOBER 2017 1611 PUTRI 9 1
364 20 OKTOBER 2017 11160 SASKIA 8 1
365 20 OKTOBER 2017 19350 REZA 11 1
366 20 OKTOBER 2017 11533 DANELLA 6 1
367 21 OKTOBER 2017 4079 DINDA 13 1
368 21 OKTOBER 2017 1981 DEBI 10 1
369 21 OKTOBER 2017 4081 ZAHIRAH 10 1
370 21 OKTOBER 2017 2572 NURUL 14 1
371 21 OKTOBER 2017 3536 CUCU 42 1
372 21 OKTOBER 2017 9722 NAILA 4 1
373 21 OKTOBER 2017 4082 AI SITI 34 1
374 21 OKTOBER 2017 4087 ALIFA 5 1
375 21 OKTOBER 2017 3717 NUROHMAN 17 1
376 21 OKTOBER 2017 3701 KOKOM 67 1
377 21 OKTOBER 2017 3355 ANTON 13 1
378 21 OKTOBER 2017 5621 SYARIDUL 7 1
379 21 OKTOBER 2017 21729 TUMINI 43 1
380 21 OKTOBER 2017 2487 AGHNA 8 1
381 21 OKTOBER 2017 5246 NENI 51 1
382 21 OKTOBER 2017 1091 ISTIQNAH 36 1
383 21 OKTOBER 2017 4128 RITA 18 1
384 21 OKTOBER 2017 2872 NONOK 53 1
385 21 OKTOBER 2017 3898 SURYANI 51 1
386 21 OKTOBER 2017 1173 AGUNG 16 1
387 21 OKTOBER 2017 686 WINDY 11 1
388 21 OKTOBER 2017 4125 AHMAD 43 1
389 21 OKTOBER 2017 3457 MIFTHA 7 1
390 23 OKTOBER 2017 7125 SYIFA 10 1
391 23 OKTOBER 2017 3025 NURI 43 1
392 23 OKTOBER 2017 3928 SHABRINA 12 1
393 23 OKTOBER 2017 4089 SEIRA 9 1
394 23 OKTOBER 2017 4101 ALIA 6 1
395 23 OKTOBER 2017 4191 FAHRA 7 1
396 23 OKTOBER 2017 5132 ARINDAH 15 1
397 23 OKTOBER 2017 4090 DANIA 11 1
398 23 OKTOBER 2017 4093 DEDE 33 1
399 23 OKTOBER 2017 4094 RAAFY 9 1
400 23 OKTOBER 2017 3746 RANTINI 21 1
401 23 OKTOBER 2017 4096 LUSI 36 1
402 23 OKTOBER 2017 4092 WINA 28 1
403 23 OKTOBER 2017 4097 IRMA 13 1
404 23 OKTOBER 2017 4095 ZEIN 5 1
405 23 OKTOBER 2017 21653 DILA 10 1
406 23 OKTOBER 2017 4190 AMELDA 13 1
407 23 OKTOBER 2017 4195 NAZWAN 4 1
408 23 OKTOBER 2017 4198 NANANG 43 1
409 23 OKTOBER 2017 25013 M. ILHAM 7 1
410 23 OKTOBER 2017 25012 IMAS 25 1
411 23 OKTOBER 2017 12430 M. HAIKAL 9.5 1
412 23 OKTOBER 2017 10036 ZAHRAN 6 1
413 23 OKTOBER 2017 3681 KUSNADI 62 1
414 23 OKTOBER 2017 3684 LISTIA 20 1
415 23 OKTOBER 2017 25079 RENA 17 1
416 23 OKTOBER 2017 3677 SAIMAN 68 1
417 23 OKTOBER 2017 3678 HILMAN 8.5 1
418 23 OKTOBER 2017 4146 TITA 7 1
419 23 OKTOBER 2017 21653 DELA 10 1
420 23 OKTOBER 2017 4145 KEYSA 9.5 1
421 23 OKTOBER 2017 6865 NAZMA 7 1
422 23 OKTOBER 2017 3954 IWAN 32 1
423 23 OKTOBER 2017 4137 ANGGA 9 1
424 23 OKTOBER 2017 19866 RIFKI 9 1
425 23 OKTOBER 2017 1676 M. AZMI 9 1
426 23 OKTOBER 2017 4130 AWAL 47 1
427 23 OKTOBER 2017 216 LILIS 52 1
428 23 OKTOBER 2017 RANDI 10 1
429 23 OKTOBER 2017 M. ZHILLAN 11 1
430 23 OKTOBER 2017 DARA 11 1
431 23 OKTOBER 2017 ADITIA 8 1
432 23 OKTOBER 2017 RIZKY 11 1
433 23 OKTOBER 2017 ISNI 8 1
434 23 OKTOBER 2017 REVA 11 1
435 23 OKTOBER 2017 ZIDAN 11 1
436 23 OKTOBER 2017 M. RIVAN 11 1
437 23 OKTOBER 2017 M. ADITIYA 9 1
438 24 OKTOBER 2017 2262 AZKA 7 1
439 24 OKTOBER 2017 4219 BALQIS 8.5 1
440 24 OKTOBER 2017 4214 HANDINI 10 1
441 24 OKTOBER 2017 6299 MERSYA 10 1
442 24 OKTOBER 2017 4360 M. ADITIYA 13 1
443 24 OKTOBER 2017 3915 ANISA 16 1
444 24 OKTOBER 2017 4223 KOMARIAH 73 1
445 24 OKTOBER 2017 4229 SAHIRA 9 1
446 24 OKTOBER 2017 4216 DIAS 12 1
447 24 OKTOBER 2017 1186 FAWAZ 8 1
448 24 OKTOBER 2017 1850 FIKRI 7 1
449 24 OKTOBER 2017 18787 FASHA 10 1
450 24 OKTOBER 2017 4210 RIZKI 7 1
451 24 OKTOBER 2017 3076 OOM 47 1
452 24 OKTOBER 2017 4217 IVA 16 1
453 24 OKTOBER 2017 3942 ANDRIUS 16 1
454 24 OKTOBER 2017 1334 AYSHA 9 1
455 24 OKTOBER 2017 4160 KOMALA 15 1
456 24 OKTOBER 2017 4227 RITA 28 1
457 24 OKTOBER 2017 19860 KUKUN 35 1
458 24 OKTOBER 2017 4067 IWAN 29 1
459 24 OKTOBER 2017 23225 IWAN 57 1
460 24 OKTOBER 2017 20757 AJIS 16 1
461 24 OKTOBER 2017 11192 EEM 53 1
462 24 OKTOBER 2017 13353 ST AMINAH 10 1
463 24 OKTOBER 2017 18230 DAIS 14 1
464 24 OKTOBER 2017 4159 ANGGITA 10 1
465 24 OKTOBER 2017 1611 PUTRI 9 1
466 24 OKTOBER 2017 11514 NURHOLIS 8 1
467 24 OKTOBER 2017 3047 SERA 8 1
468 24 OKTOBER 2017 4125 A SOLIHIN 43 1
469 24 OKTOBER 2017 9072 A PARODI 8 1
470 24 OKTOBER 2017 4163 ASKANA 6 1
471 24 OKTOBER 2017 2146 YAYAN 44 1
472 24 OKTOBER 2017 3427 GINA 11 1
473 24 OKTOBER 2017 8481 M. TEUNGKU 7 1
474 25 OKTOBER 2017 4233 JUJU 41 1
475 25 OKTOBER 2017 4248 DEEVA 9 1
476 25 OKTOBER 2017 3722 AISAH 37 1
477 25 OKTOBER 2017 11130 MARSA 8 1
478 25 OKTOBER 2017 4246 NAILA 9 1
479 25 OKTOBER 2017 20038 NIZAM 6 1
480 25 OKTOBER 2017 7496 FUTRI 7.5 1
481 25 OKTOBER 2017 4089 SEIRA 9 1
482 25 OKTOBER 2017 4234 YUNITA 10 1
483 25 OKTOBER 2017 11764 NAIRA 5 1
484 25 OKTOBER 2017 3948 IHAT 72 1
485 25 OKTOBER 2017 3506 RITA 33 1
486 25 OKTOBER 2017 1817 TATI 12 1
487 25 OKTOBER 2017 10200 YUKI 30 1
488 25 OKTOBER 2017 4238 FARIZA 9 1
489 25 OKTOBER 2017 4237 ALYA 11 1
490 25 OKTOBER 2017 4250 NISLA 7 1
491 25 OKTOBER 2017 4232 ENI 41 1
492 25 OKTOBER 2017 22436 LATIFAH 53 1
493 25 OKTOBER 2017 20083 GAIDA 19 1
494 25 OKTOBER 2017 8445 MAHAR 7 1
495 25 OKTOBER 2017 216 LILIS 54 1
496 25 OKTOBER 2017 3620 ETI 43 1
497 25 OKTOBER 2017 23269 TALITA 9 1
498 25 OKTOBER 2017 4167 ANA 10 1
499 25 OKTOBER 2017 12866 RIZAL 10 1
500 25 OKTOBER 2017 5911 DENI 5.5 1
501 25 OKTOBER 2017 6720 ALYA 9 1
502 25 OKTOBER 2017 4166 LIFIA 9 1
503 25 OKTOBER 2017 4178 AZMI 7 1
504 25 OKTOBER 2017 742 GINA 8 1
505 26 OKTOBER 2017 4260 NAZWAN 9 1
506 26 OKTOBER 2017 4261 LIAH 43 1
507 26 OKTOBER 2017 4269 ERIK 12 1
508 26 OKTOBER 2017 4257 ALTHAF 6 1
509 26 OKTOBER 2017 3260 DAIM 65 1
510 26 OKTOBER 2017 3261 AYI 26 1
511 26 OKTOBER 2017 4274 M. REHAN 14 1
512 26 OKTOBER 2017 4093 DEDE 33 1
513 26 OKTOBER 2017 3952 M. RAFFI 2 1
514 26 OKTOBER 2017 4282 DEWI 12 1
515 26 OKTOBER 2017 4281 DELIA 17 1
516 26 OKTOBER 2017 SHABRINA 12.5 1
517 26 OKTOBER 2017 22556 DJUBAEDAH 68 1
518 26 OKTOBER 2017 13051 HERYALILAH 6 1
519 26 OKTOBER 2017 3678 HILMAN 8.5 1
520 26 OKTOBER 2017 22485 ANNISA 9 1
521 26 OKTOBER 2017 7239 ANISA 16 1
522 26 OKTOBER 2017 4184 ARIA 8 1
523 26 OKTOBER 2017 19866 RIFKI 7 1
524 26 OKTOBER 2017 4075 ALFIANI 7 1
525 26 OKTOBER 2017 308 ZULFIKAR 7 1
526 26 OKTOBER 2017 3898 SURYANI 51 1
527 26 OKTOBER 2017 25033 SABILA 10 1
528 26 OKTOBER 2017 GINA 9 1
529 27 OKTOBER 2017 3460 M. ADITIYA 13 1
530 27 OKTOBER 2017 4309 FEBI 22 1
531 27 OKTOBER 2017 3938 DADANG 21 1
532 27 OKTOBER 2017 4296 CARISSA 6 1
533 27 OKTOBER 2017 4302 ZAHRA 9 1
534 27 OKTOBER 2017 4303 IRA 5 1
535 27 OKTOBER 2017 4298 ARNI 12 1
536 27 OKTOBER 2017 144 NANI 52 1
537 27 OKTOBER 2017 4291 SHEILA 17 1
538 27 OKTOBER 2017 4307 ARIPIN 15 1
539 27 OKTOBER 2017 4301 NAZIFA 5 1
540 27 OKTOBER 2017 4217 IVA 16 1
541 27 OKTOBER 2017 3746 RANTINI 21 1
542 27 OKTOBER 2017 12462 MAULIDA 6 1
543 27 OKTOBER 2017 20660 KIRANA 5 1
544 27 OKTOBER 2017 19860 KUKUN 36 1
545 27 OKTOBER 2017 4364 ANISA 9 1
546 27 OKTOBER 2017 4353 LINDU 7 1
547 27 OKTOBER 2017 20757 AJIS 16 1
548 27 OKTOBER 2017 11514 NURHOLIS 8 1
549 27 OKTOBER 2017 4256 ANISAH 7 1
550 27 OKTOBER 2017 4357 YUSRI 7 1
551 27 OKTOBER 2017 2857 RIZKI 13 1
552 27 OKTOBER 2017 3427 GINA 11 1
553 27 OKTOBER 2017 19350 REZA 11 1
554 28 OKTOBER 2017 4322 NUBADILAH 7 1
555 28 OKTOBER 2017 4238 FARIZA 9 1
556 28 OKTOBER 2017 4227 RITA 28 1
557 28 OKTOBER 2017 4316 IDA 16 1
558 28 OKTOBER 2017 4067 IWAN 29 1
559 28 OKTOBER 2017 4389 ZIDNI 12 1
560 28 OKTOBER 2017 20605 RUKATI 77 1
561 28 OKTOBER 2017 686 WINDY 11 1
562 28 OKTOBER 2017 2910 IDAN 50 1
563 28 OKTOBER 2017 9180 TJUTJU 36 1
564 28 OKTOBER 2017 9072 AHMAD 8 1
565 28 OKTOBER 2017 4128 RITA 18 1
566 28 OKTOBER 2017 4166 LIVIA 9 1
567 28 OKTOBER 2017 19420 KALILA 6.5 1
568 28 OKTOBER 2017 3976 NOVI 7 1
569 28 OKTOBER 2017 8111 SITI AZZAHRA 9 1
570 30 OKTOBER 2017 3039 JASTIN 12 1
571 30 OKTOBER 2017 5168 ASTRI 26 1
572 30 OKTOBER 2017 2788 WAHYU 29 1
573 30 OKTOBER 2017 4326 NATSHA 9 1
574 30 OKTOBER 2017 4326 HARY 5 1
575 30 OKTOBER 2017 3260 DAIM 65 1
576 30 OKTOBER 2017 2119 SENI 37 1
577 30 OKTOBER 2017 4338 TATANG 35 1
578 30 OKTOBER 2017 4340 ENI 64 1
579 30 OKTOBER 2017 814 NABILA 7 1
580 30 OKTOBER 2017 4195 NAZWAN 4 1
581 30 OKTOBER 2017 606 DADI 34 1
582 30 OKTOBER 2017 1998 ENJON 64 1
583 30 OKTOBER 2017 4341 PUTRI 12 1
584 30 OKTOBER 2017 10352 IYAH 55 1
585 30 OKTOBER 2017 4095 ZEIN 5 1
586 30 OKTOBER 2017 3251 M. ALFI 10 1
587 30 OKTOBER 2017 4333 ELIN 43 1
588 30 OKTOBER 2017 JEJEH 57 1
589 30 OKTOBER 2017 4392 RASYA 8 1
590 30 OKTOBER 2017 9992 NOVFI 25 1
591 30 OKTOBER 2017 4380 TRESNA 15 1
592 30 OKTOBER 2017 3185 ODAH 46 1
593 30 OKTOBER 2017 4184 ARIA 8 1
594 30 OKTOBER 2017 12267 NIA 37 1
595 30 OKTOBER 2017 21484 HAMDAN 10 1
596 30 OKTOBER 2017 3640 GOLKAS 7 1
597 30 OKTOBER 2017 4372 RIFA 11 1
598 30 OKTOBER 2017 4381 MALDI 22 1
599 30 OKTOBER 2017 4385 KARTIKA 18 1
600 30 OKTOBER 2017 7403 IMAS 41 1
601 30 OKTOBER 2017 2146 YAYAN 44 1
602 30 OKTOBER 2017 215 HJ. IDA 44 1
603 31 OKTOBER 2017 1334 AIYSHA 9 1
604 31 OKTOBER 2017 4423 ST WAFA 9 1
605 31 OKTOBER 2017 2447 ANISA 11 1
606 31 OKTOBER 2017 4350 SILMI 11 1
607 31 OKTOBER 2017 4349 NENA 12 1
608 31 OKTOBER 2017 17465 RIZKI 8 1
609 31 OKTOBER 2017 3460 M. ADITIYA 13 1
610 31 OKTOBER 2017 3746 RANTINI 21 1
611 31 OKTOBER 2017 25659 NANI 43 1
612 31 OKTOBER 2017 4417 MELA 19 1
613 31 OKTOBER 2017 4425 RIZKI 15 1
614 31 OKTOBER 2017 4421 HERLAMBANG 19 1
615 31 OKTOBER 2017 4067 IWAN 29 1
616 31 OKTOBER 2017 4399 ENIH 48 1
617 31 OKTOBER 2017 4400 KHAIRA 7 1
618 31 OKTOBER 2017 3669 RINA 46 1
619 31 OKTOBER 2017 2879 MUHAYMIN 5 1
620 31 OKTOBER 2017 9180 TJUTJU 36 1
621 31 OKTOBER 2017 8059 NALA 8 1
622 31 OKTOBER 2017 2486 AISAH 59 1
623 31 OKTOBER 2017 13320 OPAN 11 1
624 31 OKTOBER 2017 23254 SRI 45 1
625 31 OKTOBER 2017 4355 YAYAT 66 1
626 31 OKTOBER 2017 3898 SURYANI 51 1
627 31 OKTOBER 2017 4167 ANA 10 1
628 31 OKTOBER 2017 4471 RENA 11 1
629 31 OKTOBER 2017 4018 ASTRI 11 1
TOTAL 235 379

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS OKTOBER 2017 JUMLAH
NO TINDAKAN JUMLAH
1 TT 978
4%
0%
3%4%
2 TS 74
3 P.PULP 863
4 EXT.TTP 1047
57% 32%
5 EXT.SLG 8333
6 CALL 0
7 PREM 14958
8 LL 0
JUMLAH 26253
KUNJUNGAN
NAMA
KK/INDEKS
B L CIAMIS KERTASARI CIGEMBOR

1
1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1 1
1 1
1 1
1 1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1 1
1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1
1
1
1

1 1

1 1
1
1
1
1
1
1
1
1 1
1 1
1
1 1
1 1
1
1
1 1
1
1
1
1
1
1 1
1
1
1
1 1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1 1
1
1 1
1 1
1
1 1
1 1
1
1
1
1 1
1
1 1
1 1
1 1
1
1
1 1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1 1

1 1
1
1
1
1

1
1 1
1
1 1
1
1 1
1 1

1 1

1 1
1 1
1
1
1 1
1
1
1 1
1 1

1
1 1
1 1
1 1
1
1
1 1
1
1 1
1 1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1 1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1 1
1
1 1
1 1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1 1
1 1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1 1
1
1
1 1
1
1 1
1
1
1 1
1 1
1
1
1
1
1 1
1
1
1
1
1
1 1
1 1
1 1
1 1
1
1
1
1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1
1
1 1
1 1
1
1
1
1 1
1 1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1 1
1
1
1
1
371 244 113 32 12 32

JUMLAH

TT
4%
0%
3%4% TS
P.PULP
EXT.TTP
EXT.SLG
32%
CALL
PREM
LL
BULAN : OKTOBER
PUSKESMAS: CIAMIS

ALAMAT

BENTENG LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1

1
1
1
1
1

1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1

1
1

1
1

1
1

1
1
1
1

1
1
1

1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1

1
1

1
1

1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1

1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
32 34 38 82 286
BPJS PEM FISIK

UMUM

PNS PBI (APBN) MANDIRI BB TB

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
324 80 194 31 0 0
TD DIAGNOSA ICD X

KELUHAN TERAPI
SISTOL DIASTOL CARIES K.PUL K. PD PERST LL

K116 A. P. Bc 1
74 K047 A. P. Dx 74
21 K047 V. P. Vc. Ctm 21
84 K041 A. P 84
37 K047 A. P. Dx
34 K041 A. P. Bi
46 K040 A. P. Dx 46
75 K006 A. P. Dx. Bc 75
16 K041 EKS 16
81 K006 EKS 81 81
81 K006 EKS 81 81
84 K006 EKS 84 84
61 K006 EKS 61 61
81 K006 EKS 81 81
24 K041 EKS 24
K116 RUJUK 1
44 K040 A. P. Dx 44
11 K047 A. P. Bi
51 K006 Curuiflex 51
84 K006 A. P 84
18 K011 Cip. P. Dx. Ant
16 K047 A. P. Dx
36 K047 A. P. Bi 36
46 K047 A. P. Dx
15 K047 A. P. Dx. Ant 15
36 K041 V. P. Dx 36
47 K055 A. P. Vc 47
26 K045 A. P. Bc 26
15 K045 A. P 15
28 K045 A. P 28
15 K047 Cip. P. Dx
74 K047 A. P. Dx 74
46 K041 A. P. Dx 46
36 K041 RUJUK
48 K046 V. P. Dx 48
46 K047 A. P 46
24 K047 A. P. Bi 24
46 K041 A. P 46
51 K006 EKS 51 51
74 K006 EKS 74 curvi 74
47 K041 A. P. Dx. Ant
44 K045 A. P 44
48 K047 A. P. Dx. Ant 48
36 K047 A. P. Bi 36
46 K041 A. P 46
26 K055 A. P. Vc 26
47 K047 A. P. Dx 47
36 K040 A. P. Dx. Ant 36
46 K047 Ery. P. Dx 46
18 K047 A. P. Dx 18
51 K006 EKS 51 P 51
48 K040 A. P. Dx 48
36 K047 A. P. Dx 36
81 K006 EKS 81 A. P. GG 81
48 K011 Cip. P. Dx 48
27 K055 EKS 27 A. P. Bc
35 K047 A. P. Vc
36 K041 EKS 36 AP 36
36 K045 A. P. Bc 36
11 K040 RUJUK 11
84 K045 A. Syr. P. Syr 84
26 K047 A. P. Bc 26
26 K047 A. P 26
65 K006 EKS 65 AP. GG 65
84 K041 RUJUK 84
35 K040 lodofor+sem GI 35
84 K006 EKS 84 Vit 84
61 K006 EKS 61 P 61
51 K006 EKS 51 P 51
11 K0121 Dexa 11
46 K047 A. P. Bc 46
46 K047 A. P. Dx 46
37 K040 A. P 37
84 K041 P. Bc
15 K403 A. P. Bi
36 K041 EKS 36 V. P. Dx
47 K040 A. P. Dx 47
44 K040 A. P. Bc
13 K047 A. P. Dx 13
61 K006 EKS 61 A. P 61
46 K046 A. P. Dx
22 K040 RUJUK 22
48 K041 RUJUK 48
46 K040 Devit+TS AP 46
46 K045 EKS 46 APBc
35 K045 EKS 35 APBc
51 K006 EKS 51 51
51 K006 EKS 51 Bc 51
52 K006 EKS 52 52
38 K055 A. P. Vc 38
74 K047 A. P 74
46 K044 A. As. Dx 46
74 K041 A. Syr. P. Syr 74
84 K040 A. P. Vc 84
44 K040 RUJUK 44

11 21 K045 EKS 11 21 A. P. Bc

28 K047 A. P 28
11 21 K040 RUJUK 11 21
13 14 K041 EKS 13 14 APBc 13 14
46 K040 Devit+TS APDx 46
46 K052 A. P. Bc 46
47 K045 A. P. D 47
82 K006 Bc 82
71 K006 P. Bc 71
61 K006 P. 61
74 K006 A. P 74
61 K006 A. P. V. Dx 61
51 K006 Vit C 51
24 K006 A. P. Vc 24
18 K041 A. A. Vit B 18
46 K046 A. P. Bc 46
15 K045 P. C. Vit C 15
37 K040 A. P. Bc 37
36 K044 A. P. A 36
36 K047 A. M. P. Bc 36
16 K045 A. P. Bc 16
21 K044 A. P. I 21
38 K047 V. P. Dx 38
46 K047 A. P. DX 46
47 K046 A. P 47
36 K041 P 37
23 K041 C. P. Bc 23
38 K047 RJ
36 K082 A. P 36
14 K041 RJ
36 K040 V. P. Bc 36
47 48 K045 A. P. Bc
46 K040 V. P. Bc 46
51 K006 Bc 51
64 K006 Bc 64
64 K047 A. P. Dx 64
51 K047 A. P. Bc 51
36 K040 A. P. Dx. An 36
64 K047 A. P. Dx 64
15 K045 A. P. Dx. AN 15
38 K055 A. P. Bi 38
74 K089 P. Dx 74
36 K047 A. P. D 36
36 K046 A. P. Dx 36
46 K047 A. P. VB 46
15 K040 RJ
K036 RJ
36 K040 RJ
65 K006 Asmet 65
74 K047 A. P 74
71 81 K006 Pc 71 81
41 K047 A. Asmet 41
21 K047 A. P. Bi 21
13 K047 A. P. Dx 13
11 K047 A. P. Dx 11
46 K040 RJ
36 K047 A. P. Dx 36
84 K006 A. P. Dx 84
51 K006 EKS 51 P 51
22 K045 EKS 22 APBc
11 K040 Bc 11
75 K047 A. P 75
74 K047 A. P 74
46 K047 A. P. Bc 46
85 K047 A. P 85
51 K047 A. P. Dx 51
26 K047 A. P. Rani 26
51 61 K047 A. P 51
15 16 K036 Scaling APBc 15 16
28 K055 A. P. Gli. Amlo 28
82 K006 EKS 82 82
36 K020 KONTROL
RUJUK 36
22 K047 V. P. Dx 22
48 K040 Devit+TS APDx 48
24 K041 EKS 24 VPDx 24
54 K006 EKS 54 Vit 54
64 K006 EKS 64 Vit 64
65 K006 EKS 65 Vit 65
74 K006 EKS 74 Vit 74
71 K006 EKS 71 A. P 71
82 K006 EKS 82 P. Vit 82
Rc A. P. Dextaco Rc
21 K047 A. P. Bi 21
26 K047 A. P. Dx 26
62 K006 P. Vit 62
36 K047 A. P. Dx 36
18 K041 A. P. Dx. Ant
85 K006 EKS 85 85
64 K006 EKS 64 64
46 K047 A. P. Dx
64 84 K006 EKS 64 84 64 84
62 K006 EKS 62 62
51 61 K006 EKS 51 61 51 61
64 K006 EKS 64 P 64
46 K047 A. P. Dx 46
18 K041 EKS 18 APDx
74 K047 A. P. Dx 74
47 K040 Devit+TS APDx 47
45 K041 EKS 45 V. P. Vc
52 K006 EKS 52 Vc 52
64 K006 EKS 64 Curvi 64
83 K006 EKS 83 Vc 83
52 K006 EKS 52 Vc 52
55 K041 A. P. Dx 55
38 K047 A. P. Ctm Ant
46 K047 A. P. Dx
51 K047 A. Syr. P. Syr 51
37 K047 A. P. Dx 37
22 K040 A. P. Dx 22
46 K047 A. P. Dx 46
54 K047 A. P. Dx 54
62 K041 Curuiflex 62
36 K021 A. P. Dx
36 K040 A. P. Vc
84 K047 A. Syr. PDx Vc 84
36 K040 A. P. Vc 36
47 K103 A. P. Vc
37 K041 A. Bi 37
47 K047 A. P. Dx 47

konsul protisa 1

51 K006 EKS 51 51
71 K006 EKS 71 Curvi 71
36 K040 A. P. Dx 36
46 K047 A. P
71 K006 KONTROL 71

2 REGIO K036 Scaling 2 RG

35 K020 ART
82 K006 EXT P 82
81 K006 EXT D. B 81
74 K006 EXT A. P. D 74
71 K006 EXT P 71
51 K006 EXT P. Bc
62 K006 EXT Vit C

1 RAGIO K036 Scaling M. Vit RB

61 K006 P 61
K089 KONTROL
46 K047 A. P. D 47
65 K047 A. P. Bc. D 65
16 K047 A. P. D 16
63 K006 A. P. D 63
46 K047 A. P. D
38 K011 A. P. D 38
K089 KONTROL

82 K006 EXT P. Bc

51 K006 A. P. D
46 K047 A. P D 46
24 K041 RJ
K081 RJ
23 K047
36 K040 A. P. D
51 K006 EXT 51
61 K006 EXT A. P. D
36 K041 A. P. D 36
48 K040 CHKM A. P
74 K006 EKS 74 APBc 74
46 K047 A. P. Bc. Dx
36 K047 A. P. Bc 36
46 K047 A. P. Bc
36 K047 A. P. Bc 36
18 K047 A. P. Dx. Peha 18
36 K047 A. P. Dx 36
36 K040 A. P. Amlo
35 K055 EKS 35 A.P 35
71 K006 EKS 71 71
46 K021 T. GI 46
36 K047 A. P. Met Bc 36
81 K006 EKS 81 81
36 K047 A. P. Bc 36
22 K047 V. P. Dx 22
46 K021 T. GI 46
15 K047 A. P. Bi
54 K047 A. P. Bc 54
46 K021 T. ART 46
54 K006 EKS 54 P Bc 54
46 K041 EKS 46 A. P. Bc
46 K021 T. GI 46
85 K047 A. P. Bc 85
81 K006 Vc 81
61 K006 KONTROL 61
51 K006 EKS 51 Pct 51
51 K006 EKS 51 Bc 51
37 K047 A. P. Bi 37
11 K081 A. P. Dx 11
37 K047 A. P. Dx. Ant
47 K045 A. P 47
36 K047 A. M. P. Dx 36
46 K047 A. P
51 K006 A. P 51
36 K047 A. M. P. Dx 36
26 K055 A. P. Vc
27 K040 A. P 27
36 K047 A. P. Dx 36
46 K041 RUJUK 46
46 K021 T. ART 46
36 K021 T. ART 36
15 K047 A. P. Bi 15
51 K006 EKS 51 51
37 K021 T. TETAP AP
55 K006 EKS 55 APBc 55
71 K006 EKS 71 P 71
22 K041 A. P. Amlo 22
75 K041 A. Syr. P. Syr 75
15 K045 A. P
47 K060 A. P 47
16 K040 A. P. Bc 16
75 K041 A. P. Truvit 75
28 K047 A. P. Dx 28
51 K047 A. P 51
85 K041 P. Bc 85
15 K047 A. P. Bc 15
36 K047 A. P. Bc
48 K041 EKS 48 APBc
36 K047 A. P. Vc 36
36 K047 A. P. Vc 36
45 K041 RUJUK
36 K041 A. P 36
36 K040 Devit+TS APVc 36
52 K006 EKS 52 A. P. Vc 52
46 K047 A. P. Vc 46
51 61 K006 EXT 51 61 APVc 51 61
46 K047 A. P
84 K047 A. P. Dx Bc 84
48 K047 A. P. Dx 48
24 K047 A. P. Bi 24
46 K047 A. P. Dx Bc
51 K041 KONTROL 51
75 K047 A. P. Dx 75
15 K047 A. P. Bi 15
37 K047 A. P. Gli. Met
18 K041 EKS 18 AP 18
15 K047
81 K006 EKS 81 81
36 37 K041 EKS 36 37 APDx 36 37
36 K047 A. P. Dx 36
16 K047 A. P. Bi. Amlo 16
46 K047 A. P. Dx 46
64 K006 EKS 64 64
36 K041 A. P. Vc 36
46 K0
46 K040 Devit+TS APVc 46
83 K006 EKS 83 APVc 83
84 K006 EKS 84 APVc 84
36 K041 A. P. Vc 36
84 K006 EKS 84 APVc 84
46 K021 T. ART 46
36 K020 T. ART 36
46 K041 EKS 46 APDx
62 K006 A. Bc 62
74 K047 A. P 74
84 K047 A. P. Dx 84
72 K006 Multi Vit 72
46 K047 A. P. Dx. Ant 46
47 K047 A. P. Dx. Ant 47
37 K047 A. P. Dx. Ant
71 K006 Multi Vit 71
36 K047 A. P. Dx. Ant
15 K041 A. P 15
46 K041 A. P 46
73 K006 A. P. Dx 73
46 K047 A. P. Dx. Ant
81 K006 EKS 81 P 81
46 K041 A. P 46
37 K041 A. P
81 K006 Multi Vit 81
26 K081 EKS 26 APDx
36 K040 A. P. Dx 36
36 K040 A. P. Dx
36 K021 T. ART 36
46 K047 A. P. Dx
81 K006 EKS 81 81
46 K040 Devit 46
54 K006 EKS 54 PBc 54
54 K006 EKS 54 54
36 K041 A. P. Dx
46 K047 A. P. Dx 46
74 K047 A. P. Dx 74
48 K047 A. P. Vc 48
Rc Truvit 1
46 K041 EKS 46 APDx 46
27 K040 A. P. Bi
36 K040 RUJUK
61 62 K006 EKS 61 62 Truit 61 62
46 K041 EKS 46 V. P. Vc 46
52 K006 KONTROL 52
45 K045 A. P. Bi. Amlo
26 K047 A. P. Dx 26
36 K047 A. P. Dx 36
16 K047 A. P. Bi 16
36 K047 A. P. Bi
46 K040 RUJUK
65 K047 A. P. Dx 65
46 K047 A. P. Dx 46
72 K006 EKS 72 Bc 72
36 K021 T. GI 36
46 K021 T. GI 46
46 K040 CHKM AP
51 K006 EKS 51 AP 51
81 K006 EKS 81 81
84 K006 EKS 84 AP 84
46 K047 A. P
KONTROL
44 K047 A. P. Dx 44
36 K047 A. P. Dx 36
46 K047 A. P. Dx. Ant
46 K041 Bc 46
38 K011 A. P. Bc
46 K045 A. P 46
74 K047 A. P. Bc 74
11 K021 T. GI 11
36 K044 A. P. Dx 36
51 K047 A. M. P 51
25 K047 A. P. Bc 25
54 K047 A. P 54
36 K047 A. P. Bc
74 K006 EKS 74 A. P. Vc 74
84 K006 EKS 84 AP 84
48 K041 RUJUK 48
47 K047 A. P. Dx
46 K040 RUJUK 46
36 K047 A. P. Bc 36
46 K040 CHKM APVc 46
51 K006 EKS 51 APVc 51
21 K021 T. GI 21
36 K040 CHKM AP 36
71 81 K006 EKS 71 81 PBc 71 81
38 K041 RUJUK 38
54 K047 A. P. Dx 54
74 K047 A. P. Met Bc 74
47 K047 A. P. Ctm 47
26 K040 RUJUK 26
33 K047 A. P. Bc
73 K006 EKS 73 APVc 73
46 K047 A. P. Vc 46
36 K047 A. P. Vc 36
84 K006 EKS 84 APVc 83
36 K047 A. P. Vc
84 K006 EKS 84 APVc 84
16 K021 T. GI 16
36 K047 A. P. Vc
46 K040 Devit+TS APVc 46
36 K047 A. P. Vc
74 K021 T. GI Bc 74
16 K021 T. GI Bc 16
36 K021 T. GI AP 36
11 K021 T. GI 11
46 K040 Devit+TS APDx 46
36 K041 EKS 36 APBc
41 K055 EKS 41 APVc 41
72 K006 EKS 72 AP 72
64 K006 EKS 64 P 64
62 K006 EKS 62 Bc 62
74 K006 EKS 74 P 74
55 K006 EKS 55 P 55
82 K006 P 82
45 K047 A. P
16 K047 A. P 16
36 K047 A. M. P. Bc
36 K040 A. P. Bc
36 K047 A. P. Bc 36
46 K047 A. P 46
14 K041 EKS 14 APBc 14
36 K041 EKS 36 V lb Bc 36
45 K045 RUJUK
36 K047 A. P. Dx
16 K041 A. P. Cap
26 K021 T.GI 26
74 K006 EKS 74 P 74
74 K047 A. P. Bc 74
36 K041 RUJUK
85 K047 A. P. Bc 85
61 K072 Vc 61
46 K047 A. P. Dx
46 K021 T. GI AP 46
81 K006 EKS 81 81
24 25 K041 EKS 24 25 APVc 24 25
84 K006 A. P 84
61 K006 EKS 61 P 61
11 K021 T. GI 11
36 K021 T. GI APVit 36
16 K041 EKS 16 AP
74 K006 EKS 74 Tru
51 K006 EKS 51 P 51
61 K006 EKS 61 P 61
53 K006 EKS 53 P 53
52 K006 EKS 52 52
52 K006 EKS 52 P 52
51 K006 EKS 51 P 51
37 K047 A. Cap
38 K047 A. P. Dx 38
46 K047 V. P. Dx 46
45 K040 A. P. Dx
36 K047 A. P. Bc 36
46 K047 A. P. Dx 46
82 K006 Vit C 82
28 K045 A. P 28
RB K036 RUJUK RB
36 K040 RUJUK
62 K006 EKS 62 62
34 K041 RUJUK
36 K040 A. P. Dx
84 K006 EKS 84 84
36 K040 A. P 36
36 K040 RUJUK 36
81 K006 EKS 81 81
62 K006 K 62
53 K006 EKS 53 P 53
85 K041 A. Truvit 85
84 K006 EKS 84 P 84
46 K021 T. GI 46
34 K041 EKS 34 V. P. Vc 34
11 K002 EKS 11 11
81 K006 EKS 81 AP 81
16 K047 A. P. Dx 16
37 K047 A. P. Dx
46 K047 A.M. P. Dx 46
44 K041 A.Capt.
61 K006 Truvit
36 K047 AP. Dx 36
11 K081 Vc 11
46 K040 CHKM+TS AP
11 K055 A. P. Bi 11
64 K047 A. P 64
46 K040 CHKM+TS
23 K073 Bc 23
36 K047 A. P. Dx
46 K040 Devit APBc 46
46 K021 T. GI 46
46 K047 A. P. Bc 46
81 K006 EKS 81 A Sola 81
36 K047 A. P. Bc
46 K047 A. P. Dx 46
K116 RUJUK 1
46 K040 Devit+TS AP
14 K040 Devit AP 14
36 K041 EKS 36 APDx
51 K006 EKS 51 Tru 51
61 K006 EKS 61 P 61
62 K006 EKS 62 AP 62
26 K040 A. P. Dx 26
23 K047 A. P. Bc
36 K047 A. P. Dx 36
36 K044 A. M. P. Bc 36
71 K006 Vc 71
16 K047 A. P. Dx
46 K047 A. P. Dx. Ant
36 K020 Truvit 36
54 K047 A. Syr. P. Syr 54
14 K103 A. P. Dx
75 K006 EKS 75 P 75
52 52 K006 EKS 52 51 Tru 51 52
36 K041 EKS 36
85 K006 EKS 85 PVc
51 61 K006 EKS 51 61 51 61
71 K006 EKS 71 Vc 71
46 K040 Devit+TS V. P. Vc
84 K006 EKS 84 Colfit 84
46 K041 EKS 46 VPBc
51 K006 EKS 51 A. P. Vc 51
52 K006 EKS 52 Vc 52
46 K047 A. P
36 K047 A. P. Dx 36
46 K047 A. P. Bi 46
36 K047 A. P. Vc 36
31 K055 EXT 31 A. P 31
63 K006 KONTROL 63
26 K047 A. P. Dx 26
36 K047 A. P. Dx 36
65 K041 Vc 65
46 K041 EKS 46 APDx
46 K021 KONTROL 46
84 K041 Truvit 84
71 81 K006 EKS 71 81 ADBc 71 81
63 64 K006 EKS 63 64 63 64
51 K006 EKS 51 A. P 51
RB K036 Scaling AP. Dx RB
36 K047 A. P. Dx 36
85 K047 A. P. Bc 85
84 K041 A. Syr. P. Syr 84
16 K047 A. P. Dx. Ant
28 K047 A. P. Dx 28
23 K045 A. P. 23
18 K047 A. P. Bi 18
74 K041 A. P. Dx 74
51 K047 A. Syr. P. Dx
38 K041 A. P. Dx.Ant
27 K041 A. P 27
47 K004 A. P 47
36 K041 A. P 36
74 K047 A. P
75 K041 A. P. Dx
35 K047 A. P. Dx. Ant 35
46 K047 A. P. Vc 46
74 K041 P. Truvit 74
28 K047 A. P. Dx. Ant 28
64 K006 EKS 64 P 64
36 K041 A. P 36
46 K040 Devit+TS
17 K041 A. P 17
55 K006 EKS 55 P 55
51 K006 A. P 51
KONTROL Mutivit 1
46 K041 RUJUK 46
11 K020 RUJUK 11
22 K022 RUJUK 22
25 K103 A. P. Vc
37 K021 T. GI. Vit 37
36 K040 Devit+TS APBc
54 K006 EKS 54 AP 54
53 K006 EKS 53 Vc 53
84 K006 EKS 84 84
52 K006 EKS 52 Pct Bc 52
81 K006 EKS 81 81
46 K047 A. P. Dx
46 K047 A. P. Dx. Ant
38 K047 A. P. Vc 38
36 K047 Cefa. Na. Dx 36
46 K047 A. P 46
26 K041 A. P 26
46 K047 A. P. M
46 K047 A. P 46
64 K047 A. P 64
17 K046 RUJUK
74 K046 A. P 74
16 K047 A. P. Dx
84 K047 A. P. Dx 84
27 K047 A. P. Bi. Ant
54 K006 EKS 54 54
48 K045 A. P. 48
41 K045 A. P. Bi 41
23 K047 RUJUK 23
64 K006 EKS 64 64
46 K047 A. P. Dx 46
65 K006 EKS 65 65
0 0 1050 11097 431 9121 815
K.004 K.021 K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047

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1 27 0 6 63 83 0 24 8 203
KODE

K.050 K.051 K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081

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K.083 K.011 K.020 K089 K.103 K116 K.120 DLL TT TS

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P.PULP EXT.TTP EXT.SLG CALL PREM LL

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863 1047 8333 0 14958 0
TAHUN : 2017
TEMPAT PELAYANAN : POLI G

DOKTER YANG MENANGANI

KETERANGAN NO
DRG EVIE

MOLEKUL KELENJAR LUDAH 1 1

ABSESS PERIAPIKAL TANPA SINUS 2 1

ABSESS PERIAPIKAL TANPA SINUS 3 1

NEKROSIS PULPA 4 1

ABSESS PERIAPIKAL TANPA SINUS 5 1

NEKROSIS PULPA 6 1

PULPITIS 7 1

DISTURBANCES IN TOOTH ERUPTION 8 1

NEKROSIS PULPA 9 1

DISTURBANCES IN TOOTH ERUPTION 10 1

DISTURBANCES IN TOOTH ERUPTION 11 1

DISTURBANCES IN TOOTH ERUPTION 12 1

DISTURBANCES IN TOOTH ERUPTION 13 1

DISTURBANCES IN TOOTH ERUPTION 14 1

NEKROSIS PULPA 15 1

MOLEKUL KELENJAR LUDAH 16 1

PULPITIS 17 1

ABSESS PERIAPIKAL TANPA SINUS 18 1

DISTURBANCES IN TOOTH ERUPTION 19 1

DISTURBANCES IN TOOTH ERUPTION 20 1

IMPACTED TEETH 21 1

ABSESS PERIAPIKAL TANPA SINUS 22 1

ABSESS PERIAPIKAL TANPA SINUS 23 1

ABSESS PERIAPIKAL TANPA SINUS 24 1

ABSESS PERIAPIKAL TANPA SINUS 25 1

NEKROSIS PULPA 26 1

PENYAKIT PERIODONTAL LAIN 27 1

PERIODONTITIS APIKALIS KRONIS 28 1

PERIODONTITIS APIKALIS KRONIS 29 1

PERIODONTITIS APIKALIS KRONIS 30 1

ABSESS PERIAPIKAL TANPA SINUS 31 1

ABSESS PERIAPIKAL TANPA SINUS 32 1

NEKROSIS PULPA 33 1

NEKROSIS PULPA 34 1

ABSESS PERIAPIKAL DI SINUS 35 1

ABSESS PERIAPIKAL TANPA SINUS 36 1

ABSESS PERIAPIKAL TANPA SINUS 37 1

NEKROSIS PULPA 38 1

DISTURBANCES IN TOOTH ERUPTION 39 1

DISTURBANCES IN TOOTH ERUPTION 40 1

NEKROSIS PULPA 41 1
PERIODONTITIS APIKALIS KRONIS 42 1

ABSESS PERIAPIKAL TANPA SINUS 43 1

ABSESS PERIAPIKAL TANPA SINUS 44 1

NEKROSIS PULPA 45 1

PENYAKIT PERIODONTAL LAIN 46 1

ABSESS PERIAPIKAL TANPA SINUS 47 1

PULPITIS 48 1

ABSESS PERIAPIKAL TANPA SINUS 49 1

ABSESS PERIAPIKAL TANPA SINUS 50 1

DISTURBANCES IN TOOTH ERUPTION 51 1

PULPITIS 52 1

ABSESS PERIAPIKAL TANPA SINUS 53 1

DISTURBANCES IN TOOTH ERUPTION 54 1

IMPACTED TEETH 55 1

PENYAKIT PERIODONTAL LAIN 56 1

ABSESS PERIAPIKAL TANPA SINUS 57 1

NEKROSIS PULPA 58 1

PERIODONTITIS APIKALIS KRONIS 59 1

PULPITIS 60 1

PERIODONTITIS APIKALIS KRONIS 61 1

ABSESS PERIAPIKAL TANPA SINUS 62 1

ABSESS PERIAPIKAL TANPA SINUS 63 1

DISTURBANCES IN TOOTH ERUPTION 64 1

NEKROSIS PULPA 65 1

PULPITIS 66 1

DISTURBANCES IN TOOTH ERUPTION 67 1

DISTURBANCES IN TOOTH ERUPTION 68 1

DISTURBANCES IN TOOTH ERUPTION 69 1


70 1

ABSESS PERIAPIKAL TANPA SINUS 71 1

ABSESS PERIAPIKAL TANPA SINUS 72 1

PULPITIS 73 1

NEKROSIS PULPA 74 1
75 1

NEKROSIS PULPA 76 1

PULPITIS 77 1

PULPITIS 78 1

ABSESS PERIAPIKAL TANPA SINUS 79 1

DISTURBANCES IN TOOTH ERUPTION 80 1

ABSESS PERIAPIKAL DI SINUS 81 1

PULPITIS 82 1

NEKROSIS PULPA 83 1

PULPITIS 84 1

PERIODONTITIS APIKALIS KRONIS 85 1

PERIODONTITIS APIKALIS KRONIS 86 1

DISTURBANCES IN TOOTH ERUPTION 87 1

DISTURBANCES IN TOOTH ERUPTION 88 1

DISTURBANCES IN TOOTH ERUPTION 89 1


PENYAKIT PERIODONTAL LAIN 90 1

ABSESS PERIAPIKAL TANPA SINUS 91 1

PERIODONTITIS APIKALIS AKUT 92 1

NEKROSIS PULPA 93 1

PULPITIS 94 1

PULPITIS 95 1

96 1
PERIODONTITIS APIKALIS KRONIS
ABSESS PERIAPIKAL TANPA SINUS 97 1

PULPITIS 98 1

NEKROSIS PULPA 99 1

PULPITIS 100 1

PERIODNTITIS AKUT 101 1

PERIODONTITIS APIKALIS KRONIS 102 1

DISTURBANCES IN TOOTH ERUPTION 103 1

DISTURBANCES IN TOOTH ERUPTION 104 1

DISTURBANCES IN TOOTH ERUPTION 105 1

DISTURBANCES IN TOOTH ERUPTION 106 1

DISTURBANCES IN TOOTH ERUPTION 107 1

DISTURBANCES IN TOOTH ERUPTION 108 1

DISTURBANCES IN TOOTH ERUPTION 109 1

NEKROSIS PULPA 110 1

ABSESS PERIAPIKAL DI SINUS 111 1

PERIODONTITIS APIKALIS KRONIS 112 1

PULPITIS 113 1

PERIODONTITIS APIKALIS AKUT 114 1

ABSESS PERIAPIKAL TANPA SINUS 115 1

PERIODONTITIS APIKALIS KRONIS 116 1

PERIODONTITIS APIKALIS AKUT 117 1

ABSESS PERIAPIKAL TANPA SINUS 118 1

ABSESS PERIAPIKAL TANPA SINUS 119 1

ABSESS PERIAPIKAL DI SINUS 120 1

NEKROSIS PULPA 121 1

NEKROSIS PULPA 122 1

ABSESS PERIAPIKAL TANPA SINUS 123 1

ATROPI RIDGE ALVEOLAR 124 1

NEKROSIS PULPA 125 1

PULPITIS 126 1

PERIODONTITIS APIKALIS KRONIS 127 1

PULPITIS 128 1

DISTURBANCES IN TOOTH ERUPTION 129 1

DISTURBANCES IN TOOTH ERUPTION 130 1

ABSESS PERIAPIKAL TANPA SINUS 131 1

ABSESS PERIAPIKAL TANPA SINUS 132 1

PULPITIS 133 1

ABSESS PERIAPIKAL TANPA SINUS 134 1

PERIODONTITIS APIKALIS KRONIS 135 1

PENYAKIT PERIODONTAL LAIN 136 1


137 1
ABSESS PERIAPIKAL TANPA SINUS 138 1

ABSESS PERIAPIKAL DI SINUS 139 1

ABSESS PERIAPIKAL TANPA SINUS 140 1

PULPITIS 141 1

DEPOSITS ON TEETH 142 1

PULPITIS 143 1

DISTURBANCES IN TOOTH ERUPTION 144 1

ABSESS PERIAPIKAL TANPA SINUS 145 1

DISTURBANCES IN TOOTH ERUPTION 146 1

ABSESS PERIAPIKAL TANPA SINUS 147 1

ABSESS PERIAPIKAL TANPA SINUS 148 1

ABSESS PERIAPIKAL TANPA SINUS 149 1

ABSESS PERIAPIKAL TANPA SINUS 150 1

PULPITIS 151 1

ABSESS PERIAPIKAL TANPA SINUS 152 1

DISTURBANCES IN TOOTH ERUPTION 153 1

DISTURBANCES IN TOOTH ERUPTION 154 1

PERIODONTITIS APIKALIS KRONIS 155 1

PULPITIS 156 1

ABSESS PERIAPIKAL TANPA SINUS 157 1

ABSESS PERIAPIKAL TANPA SINUS 158 1

ABSESS PERIAPIKAL TANPA SINUS 159 1

ABSESS PERIAPIKAL TANPA SINUS 160 1

ABSESS PERIAPIKAL TANPA SINUS 161 1

ABSESS PERIAPIKAL TANPA SINUS 162 1

ABSESS PERIAPIKAL TANPA SINUS 163 1

DEPOSITS ON TEETH 164 1

PENYAKIT PERIODONTAL LAIN 165 1

DISTURBANCES IN TOOTH ERUPTION 166 1

KARIES EMAIL 167 1


168 1

ABSESS PERIAPIKAL TANPA SINUS 169 1

PULPITIS 170 1

NEKROSIS PULPA 171 1

DISTURBANCES IN TOOTH ERUPTION 172 1

DISTURBANCES IN TOOTH ERUPTION 173 1

DISTURBANCES IN TOOTH ERUPTION 174 1

DISTURBANCES IN TOOTH ERUPTION 175 1

DISTURBANCES IN TOOTH ERUPTION 176 1

DISTURBANCES IN TOOTH ERUPTION 177 1


178 1

ABSESS PERIAPIKAL TANPA SINUS 179 1

ABSESS PERIAPIKAL TANPA SINUS 180 1

DISTURBANCES IN TOOTH ERUPTION 181 1

ABSESS PERIAPIKAL TANPA SINUS 182 1

NEKROSIS PULPA 183 1

DISTURBANCES IN TOOTH ERUPTION 184 1

DISTURBANCES IN TOOTH ERUPTION 185 1


ABSESS PERIAPIKAL TANPA SINUS 186 1

DISTURBANCES IN TOOTH ERUPTION 187 1

DISTURBANCES IN TOOTH ERUPTION 188 1

DISTURBANCES IN TOOTH ERUPTION 189 1

DISTURBANCES IN TOOTH ERUPTION 190 1

ABSESS PERIAPIKAL TANPA SINUS 191 1

NEKROSIS PULPA 192 1

ABSESS PERIAPIKAL TANPA SINUS 193 1

PULPITIS 194 1

NEKROSIS PULPA 195 1

DISTURBANCES IN TOOTH ERUPTION 196 1

DISTURBANCES IN TOOTH ERUPTION 197 1

DISTURBANCES IN TOOTH ERUPTION 198 1

DISTURBANCES IN TOOTH ERUPTION 199 1

NEKROSIS PULPA 200 1

ABSESS PERIAPIKAL TANPA SINUS 201 1

ABSESS PERIAPIKAL TANPA SINUS 202 1

PERIODONTITIS APIKALIS KRONIS 203 1

ABSESS PERIAPIKAL TANPA SINUS 204 1

PULPITIS 205 1

ABSESS PERIAPIKAL TANPA SINUS 206 1

ABSESS PERIAPIKAL TANPA SINUS 207 1

NEKROSIS PULPA 208 1

CARIES DENTINE 209 1

PULPITIS 210 1

ABSESS PERIAPIKAL TANPA SINUS 211 1

PULPITIS 212 1

ALVEOLITIS OF JAWS 213 1

NEKROSIS PULPA 214 1

ABSESS PERIAPIKAL TANPA SINUS 215 1

216 1

DISTURBANCES IN TOOTH ERUPTION 217 1

DISTURBANCES IN TOOTH ERUPTION 218 1

PULPITIS 219 1

ABSESS PERIAPIKAL TANPA SINUS 220 1

DISTURBANCES IN TOOTH ERUPTION 221 1

222 1
DEPOSITS ON TEETH
KARIES EMAIL 223 1

DISTURBANCES IN TOOTH ERUPTION 224 1

DISTURBANCES IN TOOTH ERUPTION 225 1

DISTURBANCES IN TOOTH ERUPTION 226 1

DISTURBANCES IN TOOTH ERUPTION 227 1

DISTURBANCES IN TOOTH ERUPTION 228 1

DISTURBANCES IN TOOTH ERUPTION 229 1

230 1
DEPOSITS ON TEETH
DISTURBANCES IN TOOTH ERUPTION 231 1
232 1
ABSESS PERIAPIKAL TANPA SINUS 233 1

ABSESS PERIAPIKAL TANPA SINUS 234 1

ABSESS PERIAPIKAL TANPA SINUS 235 1

DISTURBANCES IN TOOTH ERUPTION 236 1

ABSESS PERIAPIKAL TANPA SINUS 237 1

IMPACTED TEETH 238 1


239 1

240 1
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION 241 1

ABSESS PERIAPIKAL TANPA SINUS 242 1

NEKROSIS PULPA 243 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 244 1

ABSESS PERIAPIKAL TANPA SINUS 245 1

PULPITIS 246 1

DISTURBANCES IN TOOTH ERUPTION 247 1

DISTURBANCES IN TOOTH ERUPTION 248 1

NEKROSIS PULPA 249 1

PULPITIS 250 1

DISTURBANCES IN TOOTH ERUPTION 251 1

ABSESS PERIAPIKAL TANPA SINUS 252 1

ABSESS PERIAPIKAL TANPA SINUS 253 1

ABSESS PERIAPIKAL TANPA SINUS 254 1

ABSESS PERIAPIKAL TANPA SINUS 255 1

ABSESS PERIAPIKAL TANPA SINUS 256 1

ABSESS PERIAPIKAL TANPA SINUS 257 1

PULPITIS 258 1

PENYAKIT PERIODONTAL LAIN 259 1

DISTURBANCES IN TOOTH ERUPTION 260 1

CARIES DENTINE 261 1

ABSESS PERIAPIKAL TANPA SINUS 262 1

DISTURBANCES IN TOOTH ERUPTION 263 1

ABSESS PERIAPIKAL TANPA SINUS 264 1

ABSESS PERIAPIKAL TANPA SINUS 265 1

CARIES DENTINE 266 1

ABSESS PERIAPIKAL TANPA SINUS 267 1

ABSESS PERIAPIKAL TANPA SINUS 268 1

CARIES DENTINE 269 1

DISTURBANCES IN TOOTH ERUPTION 270 1

NEKROSIS PULPA 271 1

CARIES DENTINE 272 1

ABSESS PERIAPIKAL TANPA SINUS 273 1

DISTURBANCES IN TOOTH ERUPTION 274 1

DISTURBANCES IN TOOTH ERUPTION 275 1

DISTURBANCES IN TOOTH ERUPTION 276 1

DISTURBANCES IN TOOTH ERUPTION 277 1

ABSESS PERIAPIKAL TANPA SINUS 278 1

PENYAKIT PERIODONTAL LAIN 279 1

ABSESS PERIAPIKAL TANPA SINUS 280 1


PERIODONTITIS APIKALIS KRONIS 281 1

ABSESS PERIAPIKAL TANPA SINUS 282 1

ABSESS PERIAPIKAL TANPA SINUS 283 1

DISTURBANCES IN TOOTH ERUPTION 284 1

ABSESS PERIAPIKAL TANPA SINUS 285 1

PENYAKIT PERIODONTAL LAIN 286 1

PULPITIS 287 1

ABSESS PERIAPIKAL TANPA SINUS 288 1

NEKROSIS PULPA 289 1

CARIES DENTINE 290 1

CARIES DENTINE 291 1

ABSESS PERIAPIKAL TANPA SINUS 292 1

DISTURBANCES IN TOOTH ERUPTION 293 1

CARIES DENTINE 294 1

DISTURBANCES IN TOOTH ERUPTION 295 1

DISTURBANCES IN TOOTH ERUPTION 296 1

NEKROSIS PULPA 297 1

NEKROSIS PULPA 298 1

PERIODONTITIS APIKALIS KRONIS 299 1

RESENSI GINGIVA 300 1

PULPITIS 301 1

NEKROSIS PULPA 302 1

ABSESS PERIAPIKAL TANPA SINUS 303 1

ABSESS PERIAPIKAL TANPA SINUS 304 1

NEKROSIS PULPA 305 1

ABSESS PERIAPIKAL TANPA SINUS 306 1

ABSESS PERIAPIKAL TANPA SINUS 307 1

NEKROSIS PULPA 308 1

ABSESS PERIAPIKAL TANPA SINUS 309 1

ABSESS PERIAPIKAL TANPA SINUS 310 1

NEKROSIS PULPA 311 1

NEKROSIS PULPA 312 1

PULPITIS 313 1

DISTURBANCES IN TOOTH ERUPTION 314 1

ABSESS PERIAPIKAL TANPA SINUS 315 1

DISTURBANCES IN TOOTH ERUPTION 316 1

ABSESS PERIAPIKAL TANPA SINUS 317 1

ABSESS PERIAPIKAL TANPA SINUS 318 1

ABSESS PERIAPIKAL TANPA SINUS 319 1

ABSESS PERIAPIKAL TANPA SINUS 320 1

ABSESS PERIAPIKAL TANPA SINUS 321 1

NEKROSIS PULPA 322 1

ABSESS PERIAPIKAL TANPA SINUS 323 1

ABSESS PERIAPIKAL TANPA SINUS 324 1

ABSESS PERIAPIKAL TANPA SINUS 325 1

NEKROSIS PULPA 326 1

ABSESS PERIAPIKAL TANPA SINUS 327 1

DISTURBANCES IN TOOTH ERUPTION 328 1


NEKROSIS PULPA 329 1

ABSESS PERIAPIKAL TANPA SINUS 330 1

ABSESS PERIAPIKAL TANPA SINUS 331 1

ABSESS PERIAPIKAL TANPA SINUS 332 1

DISTURBANCES IN TOOTH ERUPTION 333 1

NEKROSIS PULPA 334 1


335 1

PULPITIS 336 1

DISTURBANCES IN TOOTH ERUPTION 337 1

DISTURBANCES IN TOOTH ERUPTION 338 1

NEKROSIS PULPA 339 1

DISTURBANCES IN TOOTH ERUPTION 340 1

CARIES DENTINE 341 1

KARIES EMAIL 342 1

NEKROSIS PULPA 343 1

DISTURBANCES IN TOOTH ERUPTION 344 1

ABSESS PERIAPIKAL TANPA SINUS 345 1

ABSESS PERIAPIKAL TANPA SINUS 346 1

DISTURBANCES IN TOOTH ERUPTION 347 1

ABSESS PERIAPIKAL TANPA SINUS 348 1

ABSESS PERIAPIKAL TANPA SINUS 349 1

ABSESS PERIAPIKAL TANPA SINUS 350 1

DISTURBANCES IN TOOTH ERUPTION 351 1

ABSESS PERIAPIKAL TANPA SINUS 352 1

NEKROSIS PULPA 353 1

NEKROSIS PULPA 354 1

DISTURBANCES IN TOOTH ERUPTION 355 1

ABSESS PERIAPIKAL TANPA SINUS 356 1

DISTURBANCES IN TOOTH ERUPTION 357 1

NEKROSIS PULPA 358 1

NEKROSIS PULPA 359 1

DISTURBANCES IN TOOTH ERUPTION 360 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 361 1

PULPITIS 362 1

PULPITIS 363 1

CARIES DENTINE 364 1

ABSESS PERIAPIKAL TANPA SINUS 365 1

DISTURBANCES IN TOOTH ERUPTION 366 1

PULPITIS 367 1

DISTURBANCES IN TOOTH ERUPTION 368 1

DISTURBANCES IN TOOTH ERUPTION 369 1

NEKROSIS PULPA 370 1

ABSESS PERIAPIKAL TANPA SINUS 371 1

ABSESS PERIAPIKAL TANPA SINUS 372 1

ABSESS PERIAPIKAL TANPA SINUS 373 1

ABSESS PERIAPIKAL DI SINUS 374 1

NEKROSIS PULPA 375 1

PULPITIS 376 1
PULPITIS 377 1

DISTURBANCES IN TOOTH ERUPTION 378 1

NEKROSIS PULPA 379 1

DISTURBANCES IN TOOTH ERUPTION 380 1

PERIODONTITIS APIKALIS KRONIS 381 1

ABSESS PERIAPIKAL TANPA SINUS 382 1

ABSESS PERIAPIKAL TANPA SINUS 383 1

ABSESS PERIAPIKAL TANPA SINUS 384 1

ABSESS PERIAPIKAL TANPA SINUS 385 1

NEKROSIS PULPA 386 1

ABSESS PERIAPIKAL TANPA SINUS 387 1

ABSESS PERIAPIKAL TANPA SINUS 388 1

DISTURBANCES IN TOOTH ERUPTION 389 1

CARIES DENTINE 390 1

CARIES DENTINE 391 1

PULPITIS 392 1

DISTURBANCES IN TOOTH ERUPTION 393 1

DISTURBANCES IN TOOTH ERUPTION 394 1

DISTURBANCES IN TOOTH ERUPTION 395 1

ABSESS PERIAPIKAL TANPA SINUS 396 1


397 1

ABSESS PERIAPIKAL TANPA SINUS 398 1

ABSESS PERIAPIKAL TANPA SINUS 399 1

ABSESS PERIAPIKAL TANPA SINUS 400 1

NEKROSIS PULPA 401 1

IMPACTED TEETH 402 1

PERIODONTITIS APIKALIS KRONIS 403 1

ABSESS PERIAPIKAL TANPA SINUS 404 1

CARIES DENTINE 405 1

ABSESS PERIAPIKAL TANPA SINUS 406 1

ABSESS PERIAPIKAL TANPA SINUS 407 1

ABSESS PERIAPIKAL TANPA SINUS 408 1

ABSESS PERIAPIKAL TANPA SINUS 409 1

ABSESS PERIAPIKAL TANPA SINUS 410 1

DISTURBANCES IN TOOTH ERUPTION 411 1

DISTURBANCES IN TOOTH ERUPTION 412 1

NEKROSIS PULPA 413 1

ABSESS PERIAPIKAL TANPA SINUS 414 1

PULPITIS 415 1

ABSESS PERIAPIKAL TANPA SINUS 416 1

PULPITIS 417 1

DISTURBANCES IN TOOTH ERUPTION 418 1

CARIES DENTINE 419 1

PULPITIS 420 1

DISTURBANCES IN TOOTH ERUPTION 421 1

NEKROSIS PULPA 422 1

ABSESS PERIAPIKAL TANPA SINUS 423 1

ABSESS PERIAPIKAL TANPA SINUS 424 1


ABSESS PERIAPIKAL TANPA SINUS 425 1

PULPITIS 426 1

ABSESS PERIAPIKAL TANPA SINUS 427 1

DISTURBANCES IN TOOTH ERUPTION 428 1

ABSESS PERIAPIKAL TANPA SINUS 429 1

ABSESS PERIAPIKAL TANPA SINUS 430 1

DISTURBANCES IN TOOTH ERUPTION 431 1

ABSESS PERIAPIKAL TANPA SINUS 432 1

DISTURBANCES IN TOOTH ERUPTION 433 1

CARIES DENTINE 434 1

ABSESS PERIAPIKAL TANPA SINUS 435 1

PULPITIS 436 1

ABSESS PERIAPIKAL TANPA SINUS 437 1

CARIES DENTINE 438 1

CARIES DENTINE 439 1

CARIES DENTINE 440 1

CARIES DENTINE 441 1

PULPITIS 442 1

NEKROSIS PULPA 443 1

PENYAKIT PERIODONTAL LAIN 444 1

DISTURBANCES IN TOOTH ERUPTION 445 1

DISTURBANCES IN TOOTH ERUPTION 446 1

DISTURBANCES IN TOOTH ERUPTION 447 1

DISTURBANCES IN TOOTH ERUPTION 448 1

DISTURBANCES IN TOOTH ERUPTION 449 1

DISTURBANCES IN TOOTH ERUPTION 450 1

ABSESS PERIAPIKAL TANPA SINUS 451 1

ABSESS PERIAPIKAL TANPA SINUS 452 1

ABSESS PERIAPIKAL TANPA SINUS 453 1

PULPITIS 454 1

ABSESS PERIAPIKAL TANPA SINUS 455 1

ABSESS PERIAPIKAL TANPA SINUS 456 1

NEKROSIS PULPA 457 1

NEKROSIS PULPA 458 1

PERIODONTITIS APIKALIS KRONIS 459 1

ABSESS PERIAPIKAL TANPA SINUS 460 1

NEKROSIS PULPA 461 1

CARIES DENTINE 462 1

DISTURBANCES IN TOOTH ERUPTION 463 1

ABSESS PERIAPIKAL TANPA SINUS 464 1

NEKROSIS PULPA 465 1

ABSESS PERIAPIKAL TANPA SINUS 466 1

ANOMALIES OF DENTALARCH RELATIONSHIP 467 1

ABSESS PERIAPIKAL TANPA SINUS 468 1

CARIES DENTINE 469 1

DISTURBANCES IN TOOTH ERUPTION 470 1

NEKROSIS PULPA 471 1

DISTURBANCES IN TOOTH ERUPTION 472 1


DISTURBANCES IN TOOTH ERUPTION 473 1

CARIES DENTINE 474 1

CARIES DENTINE 475 1

NEKROSIS PULPA 476 1

DISTURBANCES IN TOOTH ERUPTION 477 1

DISTURBANCES IN TOOTH ERUPTION 478 1

DISTURBANCES IN TOOTH ERUPTION 479 1

DISTURBANCES IN TOOTH ERUPTION 480 1

DISTURBANCES IN TOOTH ERUPTION 481 1

DISTURBANCES IN TOOTH ERUPTION 482 1

DISTURBANCES IN TOOTH ERUPTION 483 1

ABSESS PERIAPIKAL TANPA SINUS 484 1

ABSESS PERIAPIKAL TANPA SINUS 485 1

ABSESS PERIAPIKAL TANPA SINUS 486 1

PULPITIS 487 1

ABSESS PERIAPIKAL TANPA SINUS 488 1

ABSESS PERIAPIKAL TANPA SINUS 489 1

DISTURBANCES IN TOOTH ERUPTION 490 1

PERIODONTITIS APIKALIS KRONIS 491 1

DEPOSITS ON TEETH 492 1

PULPITIS 493 1

DISTURBANCES IN TOOTH ERUPTION 494 1

NEKROSIS PULPA 495 1

PULPITIS 496 1

DISTURBANCES IN TOOTH ERUPTION 497 1

PULPITIS 498 1

PULPITIS 499 1

DISTURBANCES IN TOOTH ERUPTION 500 1

DISTURBANCES IN TOOTH ERUPTION 501 1

DISTURBANCES IN TOOTH ERUPTION 502 1

NEKROSIS PULPA 503 1

DISTURBANCES IN TOOTH ERUPTION 504 1

CARIES DENTINE 505 1

NEKROSIS PULPA 506 1

ABNORMALITIESOF SIZE AND FORM OF TEETH 507 1

DISTURBANCES IN TOOTH ERUPTION 508 1

ABSESS PERIAPIKAL TANPA SINUS 509 1

ABSESS PERIAPIKAL TANPA SINUS 510 1

ABSESS PERIAPIKAL TANPA SINUS 511 1

NEKROSIS PULPA 512 1

DISTURBANCES IN TOOTH ERUPTION 513 1

ABSESS PERIAPIKAL TANPA SINUS 514 1

KEHILANGAN GIGI AKIBAT KECELAKAAN/PENYAKIT PERIODONTAL 515 1

PULPITIS 516 1

PENYAKIT PERIODONTAL LAIN 517 1

ABSESS PERIAPIKAL TANPA SINUS 518 1

PULPITIS 519 1

ANOMALIES OF TOOTH POSITION 520 1


ABSESS PERIAPIKAL TANPA SINUS 521 1

PULPITIS 522 1

CARIES DENTINE 523 1

ABSESS PERIAPIKAL TANPA SINUS 524 1

DISTURBANCES IN TOOTH ERUPTION 525 1

ABSESS PERIAPIKAL TANPA SINUS 526 1

ABSESS PERIAPIKAL TANPA SINUS 527 1

MOLEKUL KELENJAR LUDAH 528 1

PULPITIS 529 1

PULPITIS 530 1

NEKROSIS PULPA 531 1

DISTURBANCES IN TOOTH ERUPTION 532 1

DISTURBANCES IN TOOTH ERUPTION 533 1

DISTURBANCES IN TOOTH ERUPTION 534 1

PULPITIS 535 1

ABSESS PERIAPIKAL TANPA SINUS 536 1

ABSESS PERIAPIKAL TANPA SINUS 537 1

PERIODONTITIS APIKALIS AKUT 538 1

DISTURBANCES IN TOOTH ERUPTION 539 1

ABSESS PERIAPIKAL TANPA SINUS 540 1

ABSESS PERIAPIKAL TANPA SINUS 541 1

KARIES EMAIL 542 1

ABSESS PERIAPIKAL TANPA SINUS 543 1

ALVEOLITIS OF JAWS 544 1

DISTURBANCES IN TOOTH ERUPTION 545 1

DISTURBANCES IN TOOTH ERUPTION 546 1

NEKROSIS PULPA 547 1

DISTURBANCES IN TOOTH ERUPTION 548 1

DISTURBANCES IN TOOTH ERUPTION 549 1

DISTURBANCES IN TOOTH ERUPTION 550 1

PULPITIS 551 1

DISTURBANCES IN TOOTH ERUPTION 552 1

NEKROSIS PULPA 553 1

DISTURBANCES IN TOOTH ERUPTION 554 1

DISTURBANCES IN TOOTH ERUPTION 555 1

ABSESS PERIAPIKAL TANPA SINUS 556 1

ABSESS PERIAPIKAL TANPA SINUS 557 1

ABSESS PERIAPIKAL TANPA SINUS 558 1

ABSESS PERIAPIKAL TANPA SINUS 559 1

PENYAKIT PERIODONTAL LAIN 560 1

DISTURBANCES IN TOOTH ERUPTION 561 1

ABSESS PERIAPIKAL TANPA SINUS 562 1

ABSESS PERIAPIKAL TANPA SINUS 563 1

NEKROSIS PULPA 564 1

NEKROSIS PULPA 565 1

CARIES DENTINE 566 1

NEKROSIS PULPA 567 1

DISTURBANCES IN TOOTH ERUPTION 568 1


DISTURBANCES IN TOOTH ERUPTION 569 1

DISTURBANCES IN TOOTH ERUPTION 570 1

DEPOSITS ON TEETH 571 1

ABSESS PERIAPIKAL TANPA SINUS 572 1

ABSESS PERIAPIKAL TANPA SINUS 573 1

NEKROSIS PULPA 574 1

ABSESS PERIAPIKAL TANPA SINUS 575 1

ABSESS PERIAPIKAL TANPA SINUS 576 1

PERIODONTITIS APIKALIS KRONIS 577 1

ABSESS PERIAPIKAL TANPA SINUS 578 1

ABSESS PERIAPIKAL TANPA SINUS 579 1

ABSESS PERIAPIKAL TANPA SINUS 580 1

NEKROSIS PULPA 581 1

NEKROSIS PULPA 582 1

DISTURBANCES IN TOOTH FORMATION 583 1

NEKROSIS PULPA 584 1

ABSESS PERIAPIKAL TANPA SINUS 585 1

NEKROSIS PULPA 586 1

ABSESS PERIAPIKAL TANPA SINUS 587 1

ABSESS PERIAPIKAL TANPA SINUS 588 1

NEKROSIS PULPA 589 1

ABSESS PERIAPIKAL TANPA SINUS 590 1

DISTURBANCES IN TOOTH ERUPTION 591 1

NEKROSIS PULPA 592 1

PULPITIS 593 1

NEKROSIS PULPA 594 1

DISTURBANCES IN TOOTH ERUPTION 595 1

DISTURBANCES IN TOOTH ERUPTION 596 1


597 1

NEKROSIS PULPA 598 1

KARIES EMAIL 599 1

CARIES CEMENTRUM 600 1

ALVEOLITIS OF JAWS 601 1

CARIES DENTINE 602 1

PULPITIS 603 1

DISTURBANCES IN TOOTH ERUPTION 604 1

DISTURBANCES IN TOOTH ERUPTION 605 1

DISTURBANCES IN TOOTH ERUPTION 606 1

DISTURBANCES IN TOOTH ERUPTION 607 1

DISTURBANCES IN TOOTH ERUPTION 608 1

ABSESS PERIAPIKAL TANPA SINUS 609 1

ABSESS PERIAPIKAL TANPA SINUS 610 1

ABSESS PERIAPIKAL TANPA SINUS 611 1

ABSESS PERIAPIKAL TANPA SINUS 612 1

ABSESS PERIAPIKAL TANPA SINUS 613 1

NEKROSIS PULPA 614 1

ABSESS PERIAPIKAL TANPA SINUS 615 1

ABSESS PERIAPIKAL TANPA SINUS 616 1


ABSESS PERIAPIKAL TANPA SINUS 617 1

ABSESS PERIAPIKAL DI SINUS 618 1

ABSESS PERIAPIKAL DI SINUS 619 1

ABSESS PERIAPIKAL TANPA SINUS 620 1

ABSESS PERIAPIKAL TANPA SINUS 621 1

ABSESS PERIAPIKAL TANPA SINUS 622 1

DISTURBANCES IN TOOTH ERUPTION 623 1

PERIODONTITIS APIKALIS KRONIS 624 1

PERIODONTITIS APIKALIS KRONIS 625 1

ABSESS PERIAPIKAL TANPA SINUS 626 1

DISTURBANCES IN TOOTH ERUPTION 627 1

ABSESS PERIAPIKAL TANPA SINUS 628 1

DISTURBANCES IN TOOTH ERUPTION 629 1


TOTAL 629
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI

PERAWAT YANG MENANGANI

NO
TUTI RIKA OTIK RANY
KURNIAWATI HARTIYANTI PURWATY, S. RAHMAWAT
, AMKG ST Y

1 1 KET :
2 1 K021 KARIES GIGI DENTIN/KARIES MEDIA
3 1 K040 PULPITIS
4 1 K041 NEKROSIS PULPA
5 1 K045 GR/PERIODONTITIS APIKALIS KRONIS
6 1 K046 PERIAPIKAL ABSES DGN SINUS
7 1 K047 PERIAPIKAL ABSES TANPA SINUS
8 1 K050 GINGIVITIS AKUT
9 1 K051 GINGIVITIS KRONIS
10 1 K052 PERIODONTITIS AKUT
11 1 K053 PERIODONTITIS KRONIS
12 1 K12 RAS/SARIAWAN
13 1 K006 PERSISTENSI
14 1 K083 ULCUS DECUBITUS
15 1 K011 IMPAKSI
16 1 K020 KARIES EMAIL
17 1
18 1
19 1
20 1
21 1
22 1
23 1
24 1
25 1
26 1
27 1
28 1
29 1
30 1
31 1
32 1
33 1
34 1
35 1
36 1
37 1
38 1
39 1
40 1
41 1
42 1
43 1
44 1
45 1
46 1
47 1
48 1
49 1
50 1
51 1
52 1
53 1
54 1
55 1
56 1
57 1
58 1
59 1
60 1
61 1
62 1
63 1
64 1
65 1
66 1
67 1
68 1
69 1
70 1
71 1
72 1
73 1
74 1
75 1
76 1
77 1
78 1
79 1
80 1
81 1
82 1
83 1
84 1
85 1
86 1
87 1
88 1
89 1
90 1
91 1
92 1
93 1
94 1
95 1

96 1

97 1
98 1
99 1
100 1
101 1
102 1
103 1
104 1
105 1
106 1
107 1
108 1
109 1
110 1
111 1
112 1
113 1
114 1
115 1
116 1
117 1
118 1
119 1
120 1
121 1
122 1
123 1
124 1
125 1
126 1
127 1
128 1
129 1
130 1
131 1
132 1
133 1
134 1
135 1
136 1
137 1
138 1
139 1
140 1
141 1
142 1
143 1
144 1
145 1
146 1
147 1
148 1
149 1
150 1
151 1
152 1
153 1
154 1
155 1
156 1
157 1
158 1
159 1
160 1
161 1
162 1
163 1
164 1
165 1
166 1
167 1
168 1
169 1
170 1
171 1
172 1
173 1
174 1
175 1
176 1
177 1
178 1
179 1
180 1
181 1
182 1
183 1
184 1
185 1
186 1
187 1
188 1
189 1
190 1
191 1
192 1
193 1
194 1
195 1
196 1
197 1
198 1
199 1
200 1
201 1
202 1
203 1
204 1
205 1
206 1
207 1
208 1
209 1
210 1
211 1
212 1
213 1
214 1
215 1

216 1

217 1
218 1
219 1
220 1
221 1

222 1

223 1
224 1
225 1
226 1
227 1
228 1
229 1

230 1

231 1
232 1
233 1
234 1
235 1
236 1
237 1
238 1
239 1

240 1

241 1
242 1
243 1
244 1
245 1
246 1
247 1
248 1
249 1
250 1
251 1
252 1
253 1
254 1
255 1
256 1
257 1
258 1
259 1
260 1
261 1
262 1
263 1
264 1
265 1
266 1
267 1
268 1
269 1
270 1
271 1
272 1
273 1
274 1
275 1
276 1
277 1
278 1
279 1
280 1
281 1
282 1
283 1
284 1
285 1
286 1
287 1
288 1
289 1
290 1
291 1
292 1
293 1
294 1
295 1
296 1
297 1
298 1
299 1
300 1
301 1
302 1
303 1
304 1
305 1
306 1
307 1
308 1
309 1
310 1
311 1
312 1
313 1
314 1
315 1
316 1
317 1
318 1
319 1
320 1
321 1
322 1
323 1
324 1
325 1
326 1
327 1
328 1
329 1
330 1
331 1
332 1
333 1
334 1
335 1
336 1
337 1
338 1
339 1
340 1
341 1
342 1
343 1
344 1
345 1
346 1
347 1
348 1
349 1
350 1
351 1
352 1
353 1
354 1
355 1
356 1
357 1
358 1
359 1
360 1
361 1
362 1
363 1
364 1
365 1
366 1
367 1
368 1
369 1
370 1
371 1
372 1
373 1
374 1
375 1
376 1
377 1
378 1
379 1
380 1
381 1
382 1
383 1
384 1
385 1
386 1
387 1
388 1
389 1
390 1
391 1
392 1
393 1
394 1
395 1
396 1
397 1
398 1
399 1
400 1
401 1
402 1
403 1
404 1
405 1
406 1
407 1
408 1
409 1
410 1
411 1
412 1
413 1
414 1
415 1
416 1
417 1
418 1
419 1
420 1
421 1
422 1
423 1
424 1
425 1
426 1
427 1
428 1
429 1
430 1
431 1
432 1
433 1
434 1
435 1
436 1
437 1
438 1
439 1
440 1
441 1
442 1
443 1
444 1
445 1
446 1
447 1
448 1
449 1
450 1
451 1
452 1
453 1
454 1
455 1
456 1
457 1
458 1
459 1
460 1
461 1
462 1
463 1
464 1
465 1
466 1
467 1
468 1
469 1
470 1
471 1
472 1
473 1
474 1
475 1
476 1
477 1
478 1
479 1
480 1
481 1
482 1
483 1
484 1
485 1
486 1
487 1
488 1
489 1
490 1
491 1
492 1
493 1
494 1
495 1
496 1
497 1
498 1
499 1
500 1
501 1
502 1
503 1
504 1
505 1
506 1
507 1
508 1
509 1
510 1
511 1
512 1
513 1
514 1
515 1
516 1
517 1
518 1
519 1
520 1
521 1
522 1
523 1
524 1
525 1
526 1
527 1
528 1
529 1
530 1
531 1
532 1
533 1
534 1
535 1
536 1
537 1
538 1
539 1
540 1
541 1
542 1
543 1
544 1
545 1
546 1
547 1
548 1
549 1
550 1
551 1
552 1
553 1
554 1
555 1
556 1
557 1
558 1
559 1
560 1
561 1
562 1
563 1
564 1
565 1
566 1
567 1
568 1
569 1
570 1
571 1
572 1
573 1
574 1
575 1
576 1
577 1
578 1
579 1
580 1
581 1
582 1
583 1
584 1
585 1
586 1
587 1
588 1
589 1
590 1
591 1
592 1
593 1
594 1
595 1
596 1
597 1
598 1
599 1
600 1
601 1
602 1
603 1
604 1
605 1
606 1
607 1
608 1
609 1
610 1
611 1
612 1
613 1
614 1
615 1
616 1
617 1
618 1
619 1
620 1
621 1
622 1
623 1
624 1
625 1
626 1
627 1
628 1
629 1
105 209 210 105
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L P

1 01 NOVEMBER 2016 7780 MAMAT 51 1


2 01 NOVEMBER 2016 7777 RIO 12 1
3 01 NOVEMBER 2016 7779 SHALSA 16 1
4 01 NOVEMBER 2016 22211 ZAHRA 6 1
5 01 NOVEMBER 2016 1634 LILIS 44 1
6 01 NOVEMBER 2016 8816 EVA 15 1
7 01 NOVEMBER 2016 7347 TAUFIK 18 1
8 01 NOVEMBER 2016 2055 AAS 35 1
9 01 NOVEMBER 2016 7350 ADE 20 1
10 01 NOVEMBER 2016 5391 LITA 6 1
11 01 NOVEMBER 2016 3933 REGA 53 1
12 01 NOVEMBER 2016 6714 MUMU 15
13 01 NOVEMBER 2016 3450 AHMAD 34 1
14 01 NOVEMBER 2016 6975 ARI 48 1
15 01 NOVEMBER 2016 11740 EBAH 48 1
16 02 NOVEMBER 2016 7795 IMAS 32 1
17 02 NOVEMBER 2016 7800 NURFAHRI 9 1
18 02 NOVEMBER 2016 5357 DIANA 8 1
19 02 NOVEMBER 2016 7612 M AI 25 1
20 02 NOVEMBER 2016 1799 RINAWATI 47 1
21 02 NOVEMBER 2016 7196 NANA 56 1
22 02 NOVEMBER 2016 8620 ZAMZAM 38 1
23 02 NOVEMBER 2016 7806 SAMSUL 16 1
24 02 NOVEMBER 2016 7263 SAMROTUL 21 1
25 02 NOVEMBER 2016 6001 EMIS 41 1
26 02 NOVEMBER 2016 7312 M ABDULLAH 11 1
27 02 NOVEMBER 2016 7911 SITI 9 1
28 03 NOVEMBER 2016 7753 OPAH 45 1
29 03 NOVEMBER 2016 7822 EVI 28 1
30 03 NOVEMBER 2016 14105 SOLIHIN 60 1
31 03 NOVEMBER 2016 7824 RAMIREZ 16 1
32 03 NOVEMBER 2016 7815 IDA 32 1
33 03 NOVEMBER 2016 18528 RIDA 8 1
34 03 NOVEMBER 2016 7765 ADE IRFAN 12 1
35 03 NOVEMBER 2016 7807 HERMAN 79 1
36 03 NOVEMBER 2016 7813 SINDI 11 1
37 03 NOVEMBER 2016 10351 M HOERIDO 6 1
38 03 NOVEMBER 2016 705 SANDI 8 1
39 03 NOVEMBER 2016 21275 NURLAELA 8 1
40 03 NOVEMBER 2016 6710 M REGAN 13 1
41 03 NOVEMBER 2016 5260 TINI 38 1
42 03 NOVEMBER 2016 19136 DEDEH 48 1
43 04 NOVEMBER 2016 6556 IBNU 23 1
44 04 NOVEMBER 2016 6327 RENDY 50 1
45 04 NOVEMBER 2016 7837 DEDEH 43 1
46 04 NOVEMBER 2016 7777 TIO 12 1
47 04 NOVEMBER 2016 7826 TIO 7 1
48 04 NOVEMBER 2016 5670 AGNER 5 1
49 04 NOVEMBER 2016 7832 HAERUNISA 6 1
50 04 NOVEMBER 2016 7822 EVI 28 1
51 04 NOVEMBER 2016 2870 EDI 60 1
52 04 NOVEMBER 2016 6776 AI 39 1
53 04 NOVEMBER 2016 7412 IHUN 73 1
54 04 NOVEMBER 2016 6163 YESI 33 1
55 05 NOVEMBER 2016 24164 M AFDHAL 7 1
56 05 NOVEMBER 2016 7770 ANITA 18 1
57 05 NOVEMBER 2016 7612 M AI 25 1
58 5 NOVEMBER 2016 7845 M RIDHO 7 1 1
59 5 NOVEMBER 2016 7850 JEHESKIEL 6 1
60 5 NOVEMBER 2016 8792 NENDAH 41 1
61 5 NOVEMBER 2016 7352 AZIS 15 1
62 5 NOVEMBER 2016 21275 NURLAELASARI 8 1
63 5 NOVEMBER 2016 24019 IIS 55 1
64 5 NOVEMBER 2016 5606 HERMANTO 50 1
65 5 NOVEMBER 2016 19519 JAJANG 45 1
66 5 NOVEMBER 2016 20528 ADIL 8 1
67 5 NOVEMBER 2016 7318 HOLIS 43 1
68 5 NOVEMBER 2016 11928 RASYA 6 1
69 07 NOVEMBER 2016 2564 ROSI 6 1
70 07 NOVEMBER 2016 7853 BAHRUN 70 1
71 07 NOVEMBER 2016 1055 LINDA 4 1
72 7 NOVEMBER 2016 7855 TETA 55 1
73 7 NOVEMBER 2016 6556 IBNU 26 1
74 7 NOVEMBER 2016 7649 MUTIARA 21 1
75 7 NOVEMBER 2016 7765 ADE 7 1
76 7 NOVEMBER 2016 7067 MULKI 8 1
77 7 NOVEMBER 2016 7858 NARA 11 1
78 7 NOVEMBER 2016 7863 ADRIAN 79 1
79 7 NOVEMBER 2016 7807 S HERMAN 25 1
80 7 NOVEMBER 2016 7960 PADLAN 7 1
81 7 NOVEMBER 2016 14087 AHMAD L 8 1
82 7 NOVEMBER 2016 14306 NADA 10 1
83 7 NOVEMBER 2016 18528 RIDO 60 1
84 7 NOVEMBER 2016 5120 AGUNG 11 1
85 7 NOVEMBER 2016 7864 SUTIYAMAH 16 1
86 7 NOVEMBER 2016 18369 ROPI 47 1
87 7 NOVEMBER 2016 7806 SAMSUL 58 1
88 7 NOVEMBER 2016 7868 RAIHAN 7 1
89 7 NOVEMBER 2016 7869 SHERIL 6 1
90 7 NOVEMBER 2016 3153 YATI 55 1
91 7 NOVEMBER 2016 7575 DEDE 45 1
92 7 NOVEMBER 2016 24023 AJENG 11 1
93 7 NOVEMBER 2016 6776 AI 39 1
94 7 NOVEMBER 2016 16984 ILHAM 11 1
95 07 NOVEMBER 2016 23184 YETI 59 1
96 08 NOVEMBER 2016 SRI M 31 1
97 08 NOVEMBER 2016 21906 RANGGA 15 1
98 08 NOVEMBER 2016 7883 ADERAL 5 1
99 8 NOVEMBER 2016 7859 SHANAZ 8 1
100 8 NOVEMBER 2016 7824 RAMIREZ 16 1
101 8 NOVEMBER 2016 7873 MARISA 6 1
102 8 NOVEMBER 2016 IDA S 52 1
103 8 NOVEMBER 2016 569 TIA 9 1
104 8 NOVEMBER 2016 5812 M YUNUS 9 1
105 8 NOVEMBER 2016 19868 ANDI 9 1
106 8 NOVEMBER 2016 7601 HERYATI 43 1
107 8 NOVEMBER 2016 7602 NENENG 57 1
108 8 NOVEMBER 2016 2578 TETI 42 1
109 8 NOVEMBER 2016 7505 IDAH 58 1
110 8 NOVEMBER 2016 281 NENNY 32 1
111 8 NOVEMBER 2016 2799 NENG 20 1
112 09 NOVEMBER 2016 1057 ANGGA 19 1
113 09 NOVEMBER 2016 5357 DIANA 8 1
114 09 NOVEMBER 2016 7887 RIZKY 7 1
115 9 NOVEMBER 2016 1055 LINDA 42 1
116 9 NOVEMBER 2016 19515 IDAH 45 1
117 9 NOVEMBER 2016 7882 ALFI 2 1
118 9 NOVEMBER 2016 7881 MAHARANI 6 1
119 9 NOVEMBER 2016 7893 AI S 30 1
120 9 NOVEMBER 2016 1240 ZULHAM 47 1
121 9 NOVEMBER 2016 7889 AZAM NABIL 6 1
122 9 NOVEMBER 2016 7899 MASYA 6 1
123 9 NOVEMBER 2016 4201 AYANG 13 1
124 9 NOVEMBER 2016 17543 REZA 17 1
125 9 NOVEMBER 2016] 14847 M SAHRUL 19 1
126 9 NOVEMBER 2016 7895 AQUS K 30 1
127 9 NOVEMBER 2016 7897 RENI 40 1
128 9 NOVEMBER 2016 7900 ANITA SITI 18 1
129 09 NOVEMBER 2016 7645 RUMSAH 78 1
130 09 NOVEMBER 2016 12412 HOTIMAH 73 1
131 09 NOVEMBER 2016 18680 ENGKAR 70 1
132 09 NOVEMBER 2016 21604 WAWAN 59 1
133 09 NOVEMBER 2016 1821 RAKSA 7 1
134 09 NOVEMBER 2016 7618 EUIS 55 1
135 09 NOVEMBER 2016 7619 EKI 19 1
136 09 NOVEMBER 2016 11624 EDOH 52 1
137 09 NOVEMBER 2016 18975 DEN RAMAHDAN 23 1
138 09 NOVEMBER 2016 3977 M YAHYA 4 1
139 09 NOVEMBER 2016 5247 ADITIA 8 1
140 09 NOVEMBER 2016 17728 RISKY 8 1
141 10 NOVEMBER 2016 7927 RIKA 30 1
142 10 NOVEMBER 2016 7918 ANDRI 21 1
143 10 NOVEMBER 2016 5996 SRI 18 1
144 10 NOVEMBER 2016 7909 WIJDAN 6 1
145 10 NOVEMBER 2016 6779 NADILA 5 1
146 10 NOVEMBER 2016 7907 HJ DEWI 45 1
147 10 NOVEMBER 2016 7806 SAMSUL 16 1
148 10 NOVEMBER 2016 6191 FADLI 10 1
149 10 NOVEMBER 2016 7853 BAHRUN 70 1
150 10 NOVEMBER 2016 6556 IBNU 30 1
151 10 NOVEMBER 2016 18368 ROPI 11 1
152 10 NOVEMBER 2016 21698 YASMIN 6 1
153 10 NOVEMBER 2016 7777 RIO 12 1
154 10 NOVEMBER 2016 7923 PINA 32 1
155 10 NOVEMBER 2016 7352 AZIZ 15 1
156 10 NOVEMBER 2016 2870 EDI 60 1
157 10 NOVEMBER 2016 13196 ATANG 58 1
158 10 NOVEMBER 2016 7633 IDAH 52 1
159 10 NOVEMBER 2016 5017 UTARI 8 1
160 10 NOVEMBER 2016 11075 TUTI 27 1
161 10 NOVEMBER 2016 6752 ERNI 38 1
162 10 NOVEMBER 2016 7652 NENI 47 1
163 10 NOVEMBER 2016 7630 DINDA 11 1
164 10 NOVEMBER 2016 7237 PARMIN 57 1
165 10 NOVEMBER 2016 7631 RIAN 21 1
166 10 NOVEMBER 2016 17572 IKA 44 1
167 11 NOVEMBER 2016 7937 ZAHRA 7 1
168 11 NOVEMBER 2016 16237 HADIYATI 36 1
169 11 NOVEMBER 2016 7936 AYUNI 7 1
170 11 NOVEMBER 2016 7941 DESTI 26 1
171 11 NOVEMBER 2016 7935 SILMI 20 1
172 11 NOVEMBER 2016 7067 MULKI 9 1
173 11 NOVEMBER 2016 7940 BAGUS 8 1
174 11 NOVEMBER 2016 7943 TENTI 49 1
175 11 NOVEMBER 2016 6906 INAN 37 1
176 11 NOVEMBER 2016 3712 SEPTIAN 11 1
177 11 NOVEMBER 2016 7933 RENDI 13 1
178 11 NOVEMBER 2016 7658 DODOH 47 1
179 11 NOVEMBER 2016 3153 YATI 55 1
180 11 NOVEMBER 2016 7355 TETI 37 1
181 11 NOVEMBER 2016 2521 TITIN 47 1
182 11 NOVEMBER 2016 13 DADANG 13 1
183 11 NOVEMBER 2016 7636 DESI 12 1
184 11 NOVEMBER 2016 5564 PUPU 25 1
185 11 NOVEMBER 2016 281 NENNY 32 1
186 11 NOVEMBER 2016 4201 WILDAN 12 1
187 12 NOVEMBER 2016 2724 SALSABILA 58 1
188 12 NOVEMBER 2016 275 RIJAL 20 1
189 12 NOVEMBER 2016 995 REZA 16 1
190 12 NOVEMBER 2016 4661 ESIH 30 1
191 12 NOVEMBER 2016 4679 YAYAH 8 1
192 12 NOVEMBER 2016 4678 DESY 5 1
193 12 NOVEMBER 2016 543 YENI 5 1
194 12 NOVEMBER 2016 8481 M.TEUNGKU 11 1
195 12 NOVEMBER 2016 10334 DADAN 8 1
196 12 NOVEMBER 2016 21604 WAWAN 59 1
197 12 NOVEMBER 2016 5567 SRI 47 1
198 12 NOVEMBER 2016 21803 WIYOSO 53 1
199 12 NOVEMBER 2016 7657 SRI 36 1
200 12 NOVEMBER 2016 7575 DEDE 45 1
201 12 NOVEMBER 2016 23032 PERYATI 63 1
202 12 NOVEMBER 2016 6928 SITI SARAH 11 1
203 12 NOVEMBER 2016 8041 FAISAL 14 1
204 12 NOVEMBER 2016 4169 ICIH 35 1
205 12 NOVEMBER 2016 7602 NENENG 57 1
206 12 NOVEMBER 2016 332 FAHDAH 8 1
207 12 NOVEMBER 2016 6407 DEDEH 37 1
208 14 NOVEMBER 2016 5775 ELIN 41 1
209 14 NOVEMBER 2016 DIAH 44 1
210 14 NOVEMBER 2016 8113 OOM 52 1
211 14 NOVEMBER 2016 20941 RIZALDI 6 1
212 14 NOVEMBER 2016 7960 RINA 16 1
213 14 NOVEMBER 2016 7970 TRIA 34 1
214 14 NOVEMBER 2016 7970 YAYU 26 1
215 14 NOVEMBER 2016 5122 AMELIA 13 1
216 14 NOVEMBER 2016 7067 MULKI 9 1
217 14 NOVEMBER 2016 6678 RAKA 7 1
218 14 NOVEMBER 2016 7927 RIKA 30 1
219 14 NOVEMBER 2016 7976 ENTIS 73 1
220 14 NOVEMBER 2016 7897 M SAHRUL 19 1
221 14 NOVEMBER 2016 7979 ENANG 31 1
222 14 NOVEMBER 2016 4041 ABDUL 55 1
223 14 NOVEMBER 2016 7662 WIWI 40 1
224 14 NOVEMBER 2016 8066 AFRIZA 11 1
225 14 NOVEMBER 2016 13457 BAGUS 5 1
226 14 NOVEMBER 2016 8047 YUSUF 54 1
227 14 NOVEMBER 2016 20786 LETI 5 1
228 14 NOVEMBER 2016 6771 YOYOH 38 1
229 14 NOVEMBER 2016 8059 NALA 16 1
230 14 NOVEMBER 2016 18427 AYU 43 1
231 14 NOVEMBER 2016 948 ASTRI 43 1
232 15 NOVEMBER 2016 NENAH 42 1
233 15 NOVEMBER 2016 7986 MAURA 5 1
234 15 NOVEMBER 2016 7537 IZAL 28 1
235 15 NOVEMBER 2016 5996 SRI 8 1
236 15 NOVEMBER 2016 3831 RAMA 10 1
237 15 NOVEMBER 2016 7777 RIO 12 1
238 15 NOVEMBER 2016 7981 ADE 15 1
239 15 NOVEMBER 2016 7895 REZA 17 1
240 15 NOVEMBER 2016 7952 ASTRI 20 1
241 15 NOVEMBER 2016 5670 AGNER 5 1
242 15 NOVEMBER 2016 7985 YETI 58 1
243 15 NOVEMBER 2016 7994 ANDRI 21 1
244 15 NOVEMBER 2016 7998 CRISTINA 28 1
245 15 NOVEMBER 2016 7923 PINA 32 1
246 15 NOVEMBER 2016 7996 KHANZA 4 1
247 15 NOVEMBER 2016 19538 USBAT 7 1
248 15 NOVEMBER 2016 12679 YAYAN 37 1
249 15 NOVEMBER 2016 13196 ATANG 58 1
250 15 NOVEMBER 2016 7575 DEDE 45 1
251 15 NOVEMBER 2016 6113 DADANG 58 1
252 15 NOVEMBER 2016 19946 YANI 32 1
253 15 NOVEMBER 2016 6717 RIKI 11 1
254 15 NOVEMBER 2016 8081 ANNA 15 1
255 15 NOVEMBER 2016 7992 DERI 20 1
256 15 NOVEMBER 2016 281 NENY 32 1
257 15 NOVEMBER 2016 10085 MIMIN 63 1
258 16 NOVEMBER 2016 7474 SALSABILA 37 1
259 16 NOVEMBER 2016 8002 DEDE 17 1
260 16 NOVEMBER 2016 4745 MIMIN 61 1
261 16 NOVEMBER 2016 8000 RIZALDI 62 1
262 16 NOVEMBER 2016 8008 AI CAHYA 29 1
263 16 NOVEMBER 2016 6346 WAFA 9 1
264 16 NOVEMBER 2016 5504 DRA LUTFI 52 1
265 16 NOVEMBER 2016 7352 AZIS 15 1
266 16 NOVEMBER 2016 13347 TATI 31 1
267 16 NOVEMBER 2016 7618 EUIS 55 1
268 16 NOVEMBER 2016 11624 EDOH 37 1
269 16 NOVEMBER 2016 8095 YANTI 24 1
270 16 NOVEMBER 2016 7014 LIA 10 1
271 16 NOVEMBER 2016 5915 ISMA 9 1
272 16 NOVEMBER 2016 22025 DIAZ 9 1
273 17 NOVEMBER 2016 7826 CIO P 5 1
274 17 NOVEMBER 2016 8017 ENGKOS 52 1
275 17 NOVEMBER 2016 8029 FERY 48 1
276 17 NOVEMBER 2016 M SALES 15 1
277 17 NOVEMBER 2016 8024 ONENG 19 1
278 17 NOVEMBER 2016 3445 DARIN 18 1
279 17 NOVEMBER 2016 8028 AMELIA 42 1
280 17 NOVEMBER 2016 8030 YANEU 34 1
281 17 NOVEMBER 2016 8019 HARIS 9 1
282 17 NOVEMBER 2016 5122 AMELIA 13 1
283 17 NOVEMBER 2016 21521 AGUS 59 1
284 17 NOVEMBER 2016 20098 PADILAH 72 1
285 17 NOVEMBER 2016 20613 ADAH 57 1
286 17 NOVEMBER 2016 22293 SARIPAH 43 1
287 17 NOVEMBER 2016 334 ENI 58 1
288 17 NOVEMBER 2016 7359 CICIH 53 1
289 17 NOVEMBER 2016 8120 NIKEN 9 1
290 18 NOVEMBER 2016 5357 DIANA 9 1
291 18 NOVEMBER 2016 7907 HJ DEWI 45 1
292 18 NOVEMBER 2016 8261 TISYA 6 1
293 18 NOVEMBER 2016 7895 REZA AGNIA 8 1
294 18 NOVEMBER 2016 6678 RAKA 7 1
295 18 NOVEMBER 2016 7895 REZA 17 1
296 18 NOVEMBER 2016 7952 ASTRI 20 1
297 18 NOVEMBER 2016 8283 TITIN 33 1
298 18 NOVEMBER 2016 5612 YOGI 9 1
299 18 NOVEMBER 2016 11330 DARYATI 56 1
300 18 NOVEMBER 2016 22469 JUJUN 44 1
301 18 NOVEMBER 2016 20818 ADE DIMAS 8 1
302 18 NOVEMBER 2016 8130 MEYLISNA 14 1
303 18 NOVEMBER 2016 8027 FADLI 57 1
304 18 NOVEMBER 2016 7631 PARMIN 32 1
305 18 NOVEMBER 2016 281 NENNY 7 1
306 19 NOVEMBER 2016 8270 PURNAMA 49 1
307 19 NOVEMBER 2016 8215 OOM 43 1
308 19 NOVEMBER 2016 8269 ANDI 33 1
309 19 NOVEMBER 2016 6739 MUTIA 7 1
310 19 NOVEMBER 2016 8002 ADITYA 17 1
311 19 NOVEMBER 2016 8284 METY 34 1
312 19 NOVEMBER 2016 6885 HIDAYAT 47 1
313 19 NOVEMBER 2016 7537 IZAL 28 1
314 19 NOVEMBER 2016 6755 ESIH 48 1
315 19 NOVEMBER 2016 20098 PADILAH 72 1
316 19 NOVEMBER 2016 3154 TAZQIN 7 1
317 19 NOVEMBER 2016 7687 DRS ENDANG 58 1
318 19 NOVEMBER 2016 6814 TUTI 42 1
319 19 NOVEMBER 2016 7237 DINDA 11 1
320 19 NOVEMBER 2016 8277 MAYA 26 1
321 19 NOVEMBER 2016 8120 NIKEN 9 1
322 19 NOVEMBER 2016 13 DADANG 13 1
323 19 NOVEMBER 2016 7633 IDAH 52 1
324 19 NOVEMBER 2016 13347 TATI 81 1
325 19 NOVEMBER 2016 22206 RESTU 5 1
326 19 NOVEMBER 2016 8165 TRESNA 26 1
327 19 NOVEMBER 2016 19670 RIFKI 7 1
328 21 NOVEMBER 2016 8303 DIDI 50 1
329 21 NOVEMBER 2016 8308 RATNA 27 1
330 21 NOVEMBER 2016 197 NINA 30 1
331 21 NOVEMBER 2016 8028 AMELIA 42 1
332 21 NOVEMBER 2016 8030 YANEU 34 1
333 21 NOVEMBER 2016 8293 FITRI 24 1
334 21 NOVEMBER 2016 8298 ANI 45 1
335 21 NOVEMBER 2016 6630 M GIAS 4 1
336 21 NOVEMBER 2016 8302 REIHAN 4 1
337 21 NOVEMBER 2016 21721 FITRI 25 1
338 21 NOVEMBER 2016 8305 ONAH 60 1
339 21 NOVEMBER 2016 8310 DIKRI 14 1
340 21 NOVEMBER 2016 8024 ONENG 19 1
341 21 NOVEMBER 2016 9616 RATU 7 1
342 21 NOVEMBER 2016 7868 RAIHAN 7 1
343 21 NOVEMBER 2016 4152 ALYA 6 1
344 21 NOVEMBER 2016 13407 IDOY 46 1
345 21 NOVEMBER 2016 6763 RADIT 8 1
346 21 NOVEMBER 2016 8081 ANNA 15 1
347 21 NOVEMBER 2016 7154 SRI 42 1
348 21 NOVEMBER 2016 8158 EDOH 51 1
349 21 NOVEMBER 2016 8289 NANA 19 1
350 21 NOVEMBER 2016 21637 FAJAR 3 1
351 21 NOVEMBER 2016 8148 NENY 23 1
352 21 NOVEMBER 2016 19090 SANTI 17 1
353 21 NOVEMBER 2016 13165 CICIH 42 1
354 21 NOVEMBER 2016 15325 FAHMI 7 1
355 21 NOVEMBER 2016 6457 TARISSA 28 1
356 21 NOVEMBER 2016 2578 TETI 42 1
357 21 NOVEMBER 2016 7041 LIA 42 1
358 21 NOVEMBER 2016 8168 M ANDHIKA 27 1
359 22 NOVEMBER 2016 2315 ERMAWATI 29 1
360 22 NOVEMBER 2016 8313 CUCU 24 1
361 22 NOVEMBER 2016 8316 ELSA 20 1
362 22 NOVEMBER 2016 8270 PURNAMA 49 1
363 22 NOVEMBER 2016 12679 YAYAN 39 1
364 22 NOVEMBER 2016 22163 JUHARAFNI 21 1
365 22 NOVEMBER 2016 10843 RDN KURNIATI 54 1
366 22 NOVEMBER 2016 20818 ADE 9 1
367 22 NOVEMBER 2016 18660 NENDA D 11 1
368 22 NOVEMBER 2016 7237 DINDA 11 1
369 22 NOVEMBER 2016 5915 ISMA 10 1
370 22 NOVEMBER 2016 12931 WARMI 42 1
371 23 NOVEMBER 2016 8303 DIDI 50 1
372 23 NOVEMBER 2016 10819 EEN 46 1
373 23 NOVEMBER 2016 22911 DARA 23 1
374 23 NOVEMBER 2016 7296 ANGGI 16 1
375 23 NOVEMBER 2016 20115 LILIS 46 1
376 23 NOVEMBER 2016 5357 DIANA 8 1
377 23 NOVEMBER 2016 8327 ZILDJLA 10 1
378 23 NOVEMBER 2016 1381 FAHRI 8 1
379 23 NOVEMBER 2016 2537 UYU 31 1
380 23 NOVEMBER 2016 8333 TITIN 38 1
381 23 NOVEMBER 2016 8334 SITI 9 1
382 23 NOVEMBER 2016 6755 ESIH 51 1
383 23 NOVEMBER 2016 7359 CICIH 53 1
384 23 NOVEMBER 2016 13347 TATI 33 1
385 23 NOVEMBER 2016 8425 MAMAH 58 1
386 23 NOVEMBER 2016 12480 NURUL 7 1
387 23 NOVEMBER 2016 8173 HERNI 17 1
388 23 NOVEMBER 2016 8148 HENY 23 1
389 23 NOVEMBER 2016 18047 ALISYA 10 1
390 23 NOVEMBER 2016 8130 MEYLISNA 14 1
391 24 NOVEMBER 2016 8341 KHANSA 9 1
392 24 NOVEMBER 2016 22012 DESI 12 1
393 24 NOVEMBER 2016 8353 SUPADMO 71 1
394 24 NOVEMBER 2016 8352 LILIS 48 1
395 24 NOVEMBER 2016 8336 TITI 36 1
396 24 NOVEMBER 2016 3163 M VIKI 6 1
397 24 NOVEMBER 2016 3841 SYIFA 7 1
398 24 NOVEMBER 2016 8308 RATNA 27 1
399 24 NOVEMBER 2016 5534 LILIS 7 1
400 24 NOVEMBER 2016 2844 IAH 6.5 1
401 24 NOVEMBER 2016 7687 H ENDING 23 1
402 24 NOVEMBER 2016 11423 ANIS 6 1
403 24 NOVEMBER 2016 6778 EEN 68 1
404 24 NOVEMBER 2016 8187 M FAIZ 69 1
405 24 NOVEMBER 2016 1086 SITI MARYAM 34 1
406 24 NOVEMBER 2016 12430 TEJA 41 1
407 25 NOVEMBER 2016 JAMILUDIN 46 1
408 25 NOVEMBER 2016 23469 HILMAN 13 1
409 25 NOVEMBER 2016 8367 AISYAH 37 1
410 25 NOVEMBER 2016 2564 ROSI 5 1
411 25 NOVEMBER 2016 7067 MULKI 7 1
412 25 NOVEMBER 2016 3551 DICKY 16 1
413 25 NOVEMBER 2016 8364 SANI 6 1
414 25 NOVEMBER 2016 8030 YANEU 34 1
415 25 NOVEMBER 2016 43407 IDOY 21 1
416 25 NOVEMBER 2016 19896 TARI 60 1
417 25 NOVEMBER 2016 8194 TYARA 23 1
418 25 NOVEMBER 2016 1294 WARMI 18 1
419 26 NOVEMBER 2016 8362 AGUNG 12 1
420 26 NOVEMBER 2016 17446 DADANG 31 1
421 26 NOVEMBER 2016 2152 ADI R 11 1
422 26 NOVEMBER 2016 7523 LUKMAN 25 1
423 26 NOVEMBER 2016 8378 VIRGIN 18 1
424 26 NOVEMBER 2016 8381 FAIZ 8 1
425 26 NOVEMBER 2016 8382 NISA 27 1
426 26 NOVEMBER 2016 8382 FANI 6 1
427 26 NOVEMBER 2016 8102 ANISA 11 1
428 26 NOVEMBER 2016 8298 ANI 45 1
429 26 NOVEMBER 2016 HJ TETI 65 1
430 26 NOVEMBER 2016 1491 GILANG 47 1
431 26 NOVEMBER 2016 23180 MUSHABIHAH 42 1
432 26 NOVEMBER 2016 12720 DIAH 49 1
433 26 NOVEMBER 2016 21726 TIKA 43 1
434 26 NOVEMBER 2016 298 TIAH 42 1
435 26 NOVEMBER 2016 8200 RUKOYAH 51 1
436 26 NOVEMBER 2016 8197 KOKOM 35 1
437 26 NOVEMBER 2016 8202 ANI SURYATI 20 1
438 26 NOVEMBER 2016 2578 TETI 42 1
439 26 NOVEMBER 2016 18047 ALISYA 9 1
440 26 NOVEMBER 2016 8380 DENI 39 1
441 28 NOVEMBER 2016 6437 ZAHWA 9 1
442 28 NOVEMBER 2016 1994 MARIANA 38 1
443 28 NOVEMBER 2016 8367 II AISAH 37 1
444 28 NOVEMBER 2016 20000 DINDA 7 1
445 28 NOVEMBER 2016 8385 IDAR 50 1
446 28 NOVEMBER 2016 8393 TIARA 10 1
447 28 NOVEMBER 2016 6871 DIANI 7 1
448 28 NOVEMBER 2016 8409 SOFA 3 1
449 28 NOVEMBER 2016 8405 JOLIE 6 1
450 28 NOVEMBER 2016 8404 SISKA 4 1
451 28 NOVEMBER 2016 8401 WATI 20 1
452 28 NOVEMBER 2016 8402 TATA 7 1
453 28 NOVEMBER 2016 8310 DIKRI 14 1
454 28 NOVEMBER 2016 2844 IAH 49 1
455 28 NOVEMBER 2016 13357 PRINGGA 16 1
456 28 NOVEMBER 2016 12251 EMAN 61 1
457 28 NOVEMBER 2016 21863 RAISYA 6 1
458 28 NOVEMBER 2016 7154 SRI 45 1
459 28 NOVEMBER 2016 11071 ITA 60 1
460 28 NOVEMBER 2016 12430 TEJA 46 1
461 28 NOVEMBER 2016 21670 NOVAL 6 1
462 28 NOVEMBER 2016 1641 FERI 31 1
463 29 NOVEMBER 2016 8102 ANISA 11 1
464 29 NOVEMBER 2016 24449 RIDWAN 8 1
465 29 NOVEMBER 2016 24456 ADE 19 1
466 29 NOVEMBER 2016 24454 IDAR 22 1
467 29 NOVEMBER 2016 4015 ELIS 29 1
468 29 NOVEMBER 2016 5412 ASIFA 8 1
469 29 NOVEMBER 2016 3430 RAIFAL 6 1
470 29 NOVEMBER 2016 8308 RATNA 27 1
471 29 NOVEMBER 2016 11087 KAMALUDIN 66 1
472 29 NOVEMBER 2016 1086 SITI MARYAM 44 1
473 29 NOVEMBER 2016 13165 CICIH 42 1
474 29 NOVEMBER 2016 8218 HENRIK 17 1
475 30 NOVEMBER 2016 8298 ANI 45 1
476 30 NOVEMBER 2016 2456 NINING 36 1
477 30 NOVEMBER 2016 18316 YULIANTI 32 1
478 30 NOVEMBER 2016 24475 RAMZI 9 1
479 30 NOVEMBER 2016 24469 MUHAEMIN 24 1
480 30 NOVEMBER 2016 24479 DAVID 7 1
481 30 NOVEMBER 2016 5333 RETNAWATI 17 1
482 30 NOVEMBER 2016 12411 NINA 42 1
483 30 NOVEMBER 2016 8222 ANA 69 1
484 30 NOVEMBER 2016 16955 APUD 55 1
TOTAL 202 282

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS NOVEMBER 2017 JUMLAH
NO TINDAKAN JUMLAH
1 TT 0 1%
1% 9%
2 TS 0
3 P.PULP 178
4 EXT.TTP 1584 31%
58%
5 EXT.SLG 5199
6 CALL 0
7 PREM 9666
8 LL 105
JUMLAH 16732
KUNJUNGAN
NAMA
B L KK/INDEKS CIAMIS KERTASARI CIGEMBOR

1
1
1
1
1
1
1 1
1 1
1 1
1
1
1
1 1
1 1
1
1 1
1 1
1 1
1
1
1 1
1 1
1 1
1
1
1 1
1 1
1
1
1
1
1
1 1
1
1 1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1 1
1
1
1
1 1
1 1
1 1
1
1 1
1 1
1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1 1
1 1
1
1
1 1
1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1 1
1 1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1 1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1 1
1 1
1
1
1
1
1
1
1 1
1 1
1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1 1
1
1 1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1
1
1
1
1
1
1
1 1
1 1
1 1
1
1 1
1 1
1
1
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1
1
1 1
1
1
1
1
1
1 1
1
1
1
1 1
1 1
1 1
1 1
1
1
1
1
1 1
1 1
1
1 1
1
1
1 1
1
1
1
1
1
1
1 1
1
1
1 1
1
1
1
1
1
1
1
1 1
1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1
1
1 1
1
1
1
1 1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1
1
1 1
1 1
1
1
1
1 1
1
1
1 1
1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1
1
1
1 1
1
1
1 1
1 1
1
1
1
1
1
1
1
1 1
1
1
1
1 1
1
1 1
1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1
1 1
1
1
1 1
1
1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1
1
1
1
1 1
1 1
1 1
1 1
1
1
1
1
1 1
1
1
1

1
1
1
1
261 224 - 69 53 15 27

JUMLAH

TT
1%
1% 9% TS
P.PULP
EXT.TTP
31% EXT.SLG
% CALL
PREM
LL
BULAN : NOVEMBER
PUSKESMAS: CIAMIS

ALAMAT

BENTENG LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1
1
1
1
1

1
1
1

1
1
1

1
1

1
1

1
1
1
1
1

1
1

1
1
1
1
1
1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1

1
1
1
1

1
1
1
1

1
1

1
1
1

1
1
1
1
1
1
1
1

1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1

1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
1

1
1
1

1
1
1
1
1

1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1

1
1

1
1
1

1
1
1

1
1
1

1
1
1
1
1
1
1
1
1

1
1
1

1
1

1
1

1
1
1

1
1
1

1
1

1
1
1
1
1
1
1

1
1
1

1 1

1 1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
27 29 51 38 203 -
BPJS PEM FISIK

UMUM
PNS PBI (APBN) MANDIRI BB TB

1
2
3
4
5
6
1
2
3
1
2
3
4
5
6
1
2
3
4
5
6
7
8
1
2
1
2
1
2
3
4
5
6
7
8
9
10
1
1
1
1
1
1
2
3
4
5
6
7
8
1
2
1
2
1
2
3
4
5
6
1
2
3
4
5
1
2
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
1
2
1
2
3
1
1
2
3
4
5
6
1
2
3
1
2
3
4
5
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
1
2
3
4
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
2
3
1
2
3
4
5
6
7
1
2
1
2
3
4
5
6
7
8
9
10
11
1
2
3
1
2
3
4

4 1
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
1
2
3
4
1
5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
2
1
2
3
4
5
6
7
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
1
2
3
4
1
2
3
4
1
2
1
2
3
4
5
1
2
3
1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6

1
2
3
4
5
6
7
8
1
2
3
1
2
3
4
1
1
2
3
4
5
6
7
8
1
2
3
4
1
2
3
4
5
6
7
8
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
1
2
1
2
3
4
5
6
7
8
9
10
11
12
1
1
2
3
4
1
2
3
1
2
3
4
1
1
2
3
4
5
6
7
8
9
10
11
1
2
1
2
3
4
1
2
5
1
2
3
4
5
6
7
8
1
2
3
4
1
2
3
1
1
2
3
4
5
6
7
8
1
2
1
1
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
1
2
3
4
5
1
2
1
2
3
4
5
6
7
8
9
10
11
12
13
1
2
3
1
2
3
1
2
3
1
2
3
4
5
6
7
8
1
1
2
3
1
2
3
4
5
6
1
2
1
3
1651 182 406 44 - -
TD DIAGNOSA ICD X

KELUHAN TERAPI
SISTOL DIASTOL CARIES K.PUL K. PD PERST LL

16 K041 V.P 16
36 K040 A.P 36
36 K040 M.A.P 36
85 K047 A.P.Dx 85
48 K041 A.P.Dx 48
11 K021 T.Tetap 11
16 K041 RUJUK 16
36 K041 RUJUK 36
35 K081 EKT 35 A.P
RA RB K036 RUJUK RARB
11 K006 KONTROL 11
48 K047 A.P 48
27 K047 A.P.DX
48 K045 A.P.DX -
36 K055 A.P 36
48 K040 V.P.VC -
84 K041 P.BC 73
K130 P.BC 73
36 K040 A.P.BC 46
16 K040 DEVIT + TS V IBU 38
16 K055 EXT36 -
36 K041 EKT36 -
37 K046 A.P.Bc -
RARB K036 RUJUK
28 K041 RUJUK
23 K073 K0NTROL 23
75 85 K006 ELT 75 85 A.P 7585
38 K047 A.P
18 K047 A.P.DX 18
25 K047 A.P.BC 25
36 K047 A.P.Dx 36
38 K047 A.P.Dx 38
84 K006 A.P.BC 34
63 K047 A.P.DX 63
36 K040 A.P.BC 36
64 K006 EXT64 P.BC 64
81 K006 EXT 81 81 -
46 K047 RUJUK -
46 K047 A.P.Bc 46
75 K047 A.P 75
74 K006 EKS 74 P -
36 K041 RUJUK 36
61 K006 EKS 61 AP 61
62 K006 EKS 62 A.P.Dx 62
81 K006 EKS 81 Vc 81
73 K006 EKS73 A.P 73
11 K081 Bc 11
48 K010 A.P.Dx 48
36 K047 A.P.Dx 36
11 K047 A.P.Bc 11
18 K055 A.P.Bc 18
16 K047 A.P.Bc 16
55 K041 A.P.Dx 55
36 K045 A.P.Peha -
12 K006 Vc 12
47 K047 A.P.Bc 47
14 K041 EKS 14 AP 14
34 K041 EKS 34 AP -
26 K054 A.P.Bc 36
27 K055 EKS 27 APBc 27
52 K006 KONTROL 52
51 61 K006 EKS 5161 P 51 61
37 K041 EKS 37 AP 37
74 K006 EKS 74 ASM 74
71 81 K006 KONTROL 71 81
28 K055 EKS 28 APBc 28
46 K045 EKS 46 AP Bc 46
61 K006 EKS 61 P 61
21 K047 A.P.Bc 21
RA+RB K036 A.P.Bc RA RB
37 K047 A.P.Bc 36
36 K047 A.P.Bc -
36 K047 A.P.Dx -
37 K045 A.P.Dx 37
48 M010 Cefa. P.Dx 48
36 K047 A.P.Bc 36
36 K047 A.P.Dx 36
36 K047 Cefa. P.Vc 38
38 K040 Cefa. P. Bc 38
36 K047 A.P 36
37 K041 A.P.Peha -
85 K047 A.P 85
27 K047 A.P.BC 27
84 K041 Multivit 84
12 K041 Ext 12 .APBc 12
K054 Clin.Nat.An v
25 K041 RUJUK -
36 K040 A.P.Bc 36
82 K006 EKS 82 P 82
16 K047 A.As.Dx.Ant -
36 K040 RUJUK -
11 K040 RUJUK 11
K041 RUJUK v
46 K041 RUJUK 46
14 K040 T.TETAP -
46 K045 EXT 46 APBc 46
51 K006 EXT 51 A.P 51
74 K041 Multivit 74
11 K021 A.P.Dx 11
15 K040 Devit - Ibu 15
46 47 K041 EKS 4647 APBc 46 47
13 K045 EXT 13 VP Bc 13
51 K006 EKS 51 P 51
46 K040 A.P.Bc 46
36 K040 Devit APBc 36
46 K041 RUJUK -
36 K040 RUJUK -
36 K047 A.P 36
52 K006 EXT 52 VIT 52
37 K081 EXT 37 APBc 37
26 K055 EXT 26 AP 26
45 K041 EXT 45 APBc 45
46 K041 EXT 46 APBc -
36 K041 EKS 36 AP.Pc 36
81 K006 EXT 81 P Bc 81
71 K006 EXT 71 APBc 71
84 K006 EXT 84 APBc 74
71 K006 EXT 71 AP 71
38 K010 A.P.Bc 38
36 K047 A.P.Dx 36
38 K047 A.P.Bc 38
17 K047 Resep Luar 17
21 K041 A.P.V 21
12 K047 A.P.Dx 12
46 K047 Cefa.P.Dx 46
31 K055 EXT 13 . PVc 13
36 K041 EXT 36 AP 36
45 K046 A.P.Bc 45
16 K041 RUJUK 16
84 K006 EXT 84 APBc 84
22 K047 U.P.Bc 22
47 K041 RUJUK -
16 K047 A.P.Bc 16
37 K041 EXT 37 APBc -
61 K006 EXT 61 AP 61
47 K010 A.P.Bc 47
46 K041 A.P.Vc 46
44 K041 EXT 44 APBc 44
36 K047 A.P.Bc -
32 K041 KONTROL -
21 K047 A.P.Bc 21
46 K041 RUJUK -
72 K006 EXT 72 P 72
85 K047 A.P 85
36 K041 RUJUK 36
72 K006 EXT 72 P 72
38 K041 RUJUK 38
64 K006 EXT 64 P 64
16 K047 A.P.Bc -
37 K041 RUJUK -
63 K006 EXT 63 P 63
47 K047 A.P.Dx 47
14 K041 EXT 14 VPVc 14
36 K041 EXT 36 VPVc -
46 K041 EXT 46 APDx 46
62 K006 EXT 62 P 62
64 K047 A.P.Bc 64
14 K047 A.M.P.Bc 14
74 K047 A.P.Bc 74
84 K047 Asyr P syr 84
17 K055 A.P.Bi 17
18 K055 A.P.Vc 18
26 K047 V.P.Bc 26
25 K040 Calcyl+ 61 25
36 K040 P.Vc -
45 K055 EXT 45 VPVc 45
18 K047 V.P 18
RB K036 RUJUK RB
38 K047 A.P.Bc -
46 K047 A.P.Dx -
11 K041 EXT 11 AP -
12 K041 EXT 12 APBc -
23 K041 EXT 23 A.P.Dx -
75 K006 EXT 75 APDx 75
72 K006 EXT 72 P 72
64 K006 EXT 64 P 64
61 K006 EXT 61 P 61
84 K047 A.P.Dx 84
81 K006 EXT 81 81
15 K047 Clin.P.Vc 15
36 K047 A.P.Dx 36
26 K041 RUJUK 26
36 K041 A.P.Bi 36
34 K047 A.P.Bi 34
46 K047 A.P.Bc 46
46 K047 A.P.Dx 46
82 K006 EXT 82 82
51 K006 EXT 51 AP 51
75 K047 A.P 75
22 K047 A.P.Dx -
18 K047 V.P.Dx 18
26 K041 EXT 26 APBc 26
36 K041 EXT 36 APBc 36
81 K006 EXT 81 P 81
33 K036 A.P.D 34
71 K006 P. TRUVIT 71
38 K041 A.P.Bc 38
46 K041 A.P.Bc 46
15 K055 A.P.Bc 15
74 K047 A.P.Vc 74
48 K010 C.P.Bc 46
RA/RB K050 A.P.Bc RB/RA
46 K021 A.P.Bc 46
36 K047 A.P.Bc 36
37 K041 A.P.Bc 37
36 K047 P.Bc 36
21 K021 T.Gi 21
14 K041 RUJUK RSU 14
28 K047 A.P.D. 28
61 K047 RUJUK RSU 61
37 K041 A.P.Bc 37
33 K047 A.Bc.P 23
23 K047 A.P.Bc 23
47 K040 A.P.Dx 47
55 K089 VIT Bc 55
37 K040 A.P 37
36 K041 A.P 36
75 K089 Multivit 75
36 K047 A.P.Dx 36
15 K047 Clind.P.V -
11 K021 T.Gi.A.P 11
28 K041 RUJUK 28
36 46 K021 T.Gi 36 46
38 K047 V.P.Dx -
36 K041 RUJUK -
46 K047 A.P.Dx -
18 K055 EXT 18 APBc -
71 K006 EXT 71 APCuruh 71
75 K006 EXT 75 PBc 75
11 K055 A.P.Amlo 11
46 K040 A.P 46
37 K047 A.P.Bc -
47 K040 A.P.Dx 47
51 K006 EXT 51 P 51
12 K055 A.P.Bi 12
36 K041 EXT 36 APBc -
46 K047 A.P.Dx -
36 K041 A.P.Bc 36
47 K047 A.P.M 47
26 K047 A.P.Dx -
38 K011 A.P 38
37 K041 A.P.Dx 37
46 K040 A.P.Vc -
47 K047 A.P.Dx 47
36 K040 EUGENOL APBc 36
61 K006 EXT 61 PBc 61
36 K045 A.P.Vc 36
75 K047 A.P.Vc 75
21 K047 A.P.Dx 21
17 K041 A.P.Dx 17
37 K041 A.P.Dx 37
46 K040 A.P. Dexhaco 46
45 K047 V.P.Bc -
46 K047 A.P.Bc 46
81 K006 EXT 81 PBC 81
25 K045 A.P.Bi 25
51 K006 EXO A.P 51
81 K006 EXO M. 81
84 K006 EXO A.P 84
35 K046 A.P.D 35
48 K011 A.P 48
37 K046 A.P 37
75 K041 A.P 75
74 K006 A.P 74
36 46 K040 A.P 36 46
37 K041 A.P 37
46 K046 A.P 46
43 K047 A.P 43
46 K047 A.P.D 46
16 K047 RUJUK PB 16
46 K040 A.P 46
37 K041 EXT 37 APBc -
26 K041 EXT 26 APDx 26
11 K055 EXT 11 VPBi -
73 K006 EXT 73 PBc 73
82 K006 EXT 82 Bc 82
74 K047 A.P.Bc 74
46 K041 A.P.Vc 46
51 K006 A.Bc 51
83 K006 P.Vit 83
36 K047 V.P.Dx -
46 K047 A.P.Bc 46
36 K041 A.P.Bc 36
51 61 K006 EXT 51 61 PBc -
11 12 K041 EXT 11 12 AP Ant 11 12
36 K041 RUJUK -
K050 RB A.P.Vc RB
71 K006 EXT 71 Bc 71
35 K041 EXT 35 AP -
RB K060 V.P.Vc RB
36 K041 RUJUK -
48 K047 A.P.Vit 48
22 K047 A.P.M.ANT 22
48 K011 A.P.Dx -
14 K041 RUJUK 14
46 K040 RUJUK -
46 K041 EXT 46 AP -
46 K041 EXT 46 APVc 46
62 K006 EXT 62 truvit 62
85 K006 EXT 85 Vc 85
27 K047 A.P.Ctm Dx 27
27 K047 A.P.Bc -
36 K047 A.P 36
36 K047 A.M.P.Bc 36
51 K089 Bc 51
36 K040 A.P 36
82 K006 EXT 82 P 82
84 K041 RUJUK 84
17 K047 A.P.Dx 17
34 K046 A.P -
46 K047 A.P -
21 K040 RUJUK 21
83 K006 EXT 83 AP 83
45 K047 A.M.P.Dx -
26 K021 RUJUK 36
38 K011 RUJUK -
48 K011 A.P.Dx Ant 48
K051 RUJUK v
73 K006 EXT 73 APDx 73
51 K006 EXT 51 Bc 51
61 K006 EXT 61 APDx 61
71 K006 EXT 71 PBc 71
51 K006 EXT 51 PBc 51
71 K006 EXT 71 PBc 71
17 K041 A.P.Dx -
74 K047 A.P.Dx 74
37 K047 A.P.Dx -
46 K047 A.P.Bi 46
46 K041 RUJUK -
36 K047 V.P.Vc 36
36 K041 A.P.Dx 36
52 K006 Curvit 52
51 K047 A.P.Ctm GS 51
34 K055 A.P.Vnc 34
46 K047 A.P 46
38 K044 A.P 38
36 K057 Vit.Pct 36
16 K040 A.P.Vit Ne 16
11 K047 A.M.P.Vit Bc 11
47 K046 V.P.Vit 47
51 K047 A.P 51
52 K006 P.Vc 52.72
26 K041 EXT 26 APBc 26
61 K006 EXT 61 Bc 61
71 K006 EXT 71 P 71
51 K047 A.P 51
38 K010 A.P.BC 38
21 K041 A.P 21
48 K041 A.P.Bc 48
38 K047 Cefa. P. Dx -
82 K046 A.P.Bc 82
35 K021 T.Gi AP V 35
14 K046 A.M.P.Vc 14
46 K041 P.Vit 46
35 K047 A.P.Bc 35
36 K047 A.P.Bc -
44 K041 RUJUK 44
75 K006 EXT 75 P 75
51 K006 EXT 51 P 51
16 K055 RUJUK 16
41 INERUPSI Vc 41
84 K041 A.P 84
26 K047 A.P.Bc 26
16 K041 A.P.Bc 16
36 K040 A.P.Bc 36
36 K047 A.P.Dx -
37 K047 A.P.Dx -
48 K045 A.P 48
73 K006 EXT 73 P 73
14 K041 A.P 14
31 K055 K 31
71 K006 EXT 71 71
81 K006 EXT 81 81
33 K041 EXT 33 VP 33
21 K041 A.P 21
46 K041 A.P 46
38 K041 A.P.Bc 38
72 K006 EXT 72 P 72
71 K006 EXT 71 P 71
65 K046 A.P 65
84 K047 A.P 84
72 K006 EXT 72 P VIT 72
46 K041 A.P 46
15 K041 A.Bi 15
47 K041 RUJUK 47
16 K021 T.TETAP AP 16
12 K021 T.Gi A.P 12
26 K041 EXT 26 APBc -
83 K006 EXT 83 APBc 83
35 K047 V.P.Ctm -
RA K076 Clind.P.Dx RA
16 K041 A.P.Vc 16
26 K041 A.Ibu.Bc 26
36 K047 A.P.Dx 36
18 K011 A.P.Dx 18
16 K041 RUJUK 16
48 K010 V.P.Bc 48
45 K041 EXT 45 APBc 45
82 K006 EXT 82 P 82
61 K006 P.Bc 61
46 K047 A.P.Dx 46
51 K006 Multivit 51
37 K047 A.P.Bc 37
26 K044 A.P.Bc 26
16 K040 RUJUK -
15 K047 A.M.P.Bc 15
36 K041 A.P.Bc 36
74 K006 EXT 74 AP 74
75 K047 A.P.Bc 75
52 K006 EXT 52 P 52
64 K006 EXT 64 P 64
35 K047 A.P.Dx 35
81 K006 EXT 81 PBc 81
62 K006 EXT 62 P 62
36 K047 A.P.Bc 36
25 K041 A.P.Peha 25
47 K047 A.P.Bc 47
34 K047 A.P.Dx 34
36 K041 A.P.Bc 36
48 K041 A.P.Bc 48
51 K006 A.P 51
33 K021 T.TETAP 33 45
43 K047 A.P.Bc 43
74 K047 A.P 74
71 K006 Multivit 71
18 K010 A.P.Dx Bc 18
47 K047 A.P.Dx 47
37 K040 A.P.Vc 37
36 K047 A.P 36
16 K041 EXT 16 APBc -
52 K006 A.Bc 52
36 K047 A.P.M.Bc 36
36 K047 Clind.P.Dx.Bc -
11 K001 TRUVIT 11
38 K040 Captop.Dx 38
36 K046 V.P. 36
18 K 046 V.P.VC 18
47 K046 V.P.D 47
25 K046 V.P.BC 25
55 K041 A.P.BC 55
36 K040 A.P 36
14 K040 A.P 14
47 K044 A.P.DX 47
K116 A.VC 1
45 K047 A.P 45
55 K045 A.P.DX 55
71 K006 EKS71 P.B 71
75 K045 COTRI SYR P 75
64 K047 RESEP LUAR 64
85 K047 A.P.D.BC 85
36 K047 A.P.DX 36
81 K006 EKT 81 81
36 K040 V.P.BC
26 K047 A.P
46 K047 V.P,BC
46 K041 A.P
81 K006 EKT 81 P.BC 81
27 K046 A.P.BC
46 K047 A.P.BI 46
36 K047 A.P.DX.ANT
52 K041 P.BC 52
35 K041 V.P.DX 35
36 K040 A.P.DX
74 K006 A.P.DX 74
11 K081 A.P.DX 11
47 K040 A.P.DX 47
12 K041 EKT 12 AP.BC
51 K006 EXT 51 P.BC 51
51 K006 EXT 51 P.BC 51
47 K047 C.P.D 47
16 K021 TT + TS 16
28 K041 RUJUK
16 K041 RUJUK
24 K041 A.P.VC 24
11 K046 V.P.VC
26 K046 A.P.DX 26
47 K041 A.P.DX 47
84 K103 A.P.BC 84
46 K041 EKS 46 AP.VC 46
51 K006 EKT 51 P.BC 51
KONTROL
38 K011 RUJUK
31 K046 A.P.VC 31
26 K041 A.P 26
- - - 204 9106 228 13428 1416
K.004 K.021 K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047

1
1
1
1
1
1
1
1

1
1
1

1
1
1
1
1

1
1
1
1
1

1
1

1
1
1

1
1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1

1
1
1

1
1
1
1
1
1

1
1
1

1
1
1
1

1
1
1
1
1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1

1
1
1

1
1
1
1

1
1
1
1

1
1
1
1
1

1
1

1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1

1
1
0 12 0 5 38 111 0 12 16 132
KODE

K.050 K.051 K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081

1
1

1
1

1
1
1
1
1
1

1
1
1
1

1
1
1

1
1

1
1
1

1
1
1
1

1
1

1
1

1
1
1
1

1
1
1
1

1
1
1
1

1
1

1
1
1

1
1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1
1

2 1 0 0 2 17 0 97 2 4
K.083 K.011 K.020 K089 K.103 K116 K.120 DLL TT TS

11

1
1

1
14

1
25
1

46

21

11

36 46
1

1
1

1
1
1
1

35
16
12

33 45

1
1

1
1

16
1

0 7 0 3 1 0 0 17 0 0
TINDAKAN

P.PULP EXT.TTP EXT.SLG CALL PREM LL

16
36
36
25
48

R
36
R
K
48
27
48
36
17
73
73
46
38
47
R
47
R
R
K
7585
38
18
25
36
38
84
63
36
64
81
R
46
75
74
R
61
62
81
73
11
48
36
11
18
16
55
36
12
47
14
34
26
27
52
51 61
37
74
71 81
28
46
61
21
RA RB
36
36
36
37
48
36
36
38
38
36
37
85
27
84
12
v
R
36
82
16
R
R
R
R

46
51
74
11
15
46 47
13
51
46
36
R
R
36
52
37
26
45
46
36
81
71
74
71
38
36
38
17
21
12
46
13
36
45
R
84
22
R
16
37
61
47
46
44
36
K
21
R
72
85
R
72
R
64
16
R
63
47
14
36
46
62
64
14
74
84
17
18
26

36
45
18
R
38
46
11
12
22
75
72
64
61
84
81
15
36
R
36
34
46
46
82
51
75
22
18
26
36
81
34
71
38
46
15
74
46
RB RA

36
37
36

R
28
R.JTG
37
23
23
47
55
37
36
75
36
51

38
R
46
18
71
75
11
46
37
47
51
12
36
46
36
47
26
38
37
46
47
36
61
36
75
21
17
37
46
45
46
81
25
51
81
84
35
48
37
75
74
36 46
37
46
43
46
RUJUK
46
37
26
11
73
82
74
46
51
83
36
46
36
51 61
11 12
R
RB
71
35
RB
R
48
22
48
R
R
46
46
62
85
27
27
36
36
51
36
82
R
17
34
46
R
83
45
R
R
48
R
73
51
61
71
51
71
17
74
37
46
R
36
36
52
51
34
46
38
36
16
11
47
51
52.73
26
61
71
51
38
21
48
38
82

14
46
35
36
R
75
51
16
41
84
26
16
36
36
37
48
73
14
K
71
81
33
21
46
38
72
71
65
84
73
46
15
R

26
83
35
RA
16
26
36
18
R
48
45
82
61
46
51
37
26
R
15
36
74
75
52
64
35
81
62
36
25
47
34
36
48
51

43
74
71
18
47
37
36
16
52
36
36
11
38
36
18
47
25
45 55
36
14
47

45
55
71
75

85
36
81
36
26
46
46
81
27
46
36
52
35
36
74
11
47
12
51
51
47

R
R
24
11
26
47
84
46
51
K
R
31
28
132 1595 12920 145 10779 105
DOKTER YANG
MENANGANI
KETERANGAN NO NO
DRG EVIE

NECROSIS OF PULP 1 1 1

PULPITIS 2 1 2

PERIAPICAL ABSCESS WITHOUT SINUS 3 1 3

PERIPAICAL ABSSCESS WITH SINUS 4 1 4

NECROSIS OF PULP 5 1 5

CARIES DENTINE 6 1 6

NECROSIS OF PULP 7 1 7

NECROSIS OF PULP 8 1 8

LOSS OF TEETH ACCIDENT EXTRACTION OR LOCAL PERIODONTAL DISEASE 9 1 9

DEPOSITS ON TEETH 10 1 10

DISTURBANCES IN TOOTH ERUPTION 11 1 11

PERIAPICAL ABSCESS WITHOUT SINUS 12 1 12

PERIAPICAL ABSCESS WITHOUT SINUS 13 1 13

CHRONIC APICAL PERIODONTITIS 14 1 14

OTHER PERIODONTAL DISEASES 15 1 15

ABSES PERIAPRIKAL TANPA SINUS 17 1 17

DISTURBANCES IN TOOTH ERUPTION 18 1 18

DISTURBANCES IN TOOTH ERUPTION 19 1 19

ABSES PERIAPRIKAL TANPA SINUS 20 1 20

EMBEDED TEETH 21 1 21

PULPITIS 22 1 22

NEKROSIS PULPA 23 1 23

PULPITIS 24 1 24

DEPOSITS ON TEETH 25 1 25

NECROSIS OF PULP 26 1 26

ANOMALIS OF TOOTH POSITION 27 1 27

DISTURBANCES IN TOOTH ERUPTION 28 1 28

PERIAPICAL ABSCESS WITHOUT SINUS 29 1 29

PERIAPICAL ABSCESS WITHOUT SINUS 30 1 30

PERIAPICAL ABSCESS WITHOUT SINUS 31 1 31

PERIAPICAL ABSCESS WITHOUT SINUS 32 1 32

PERIAPICAL ABSCESS WITHOUT SINUS 33 1 33

DISTURBANCES IN TOOTH ERUPTION 34 1 34

PERIAPICAL ABSCESS WITHOUT SINUS 35 1 35

PULPITIS 36 1 36

DISTURBANCES IN TOOTH ERUPTION 37 1 37

DISTURBANCES IN TOOTH ERUPTION 38 1 38

ABSES PERIAPRIKAL TANPA SINUS 39 1 39

ABSES PERIAPRIKAL TANPA SINUS 40 1 40

ABSES PERIAPRIKAL TANPA SINUS 41 1 41

DISTURBANCES IN TOOTH ERUPTION 42 1 42

NEKROSIS PULPA 43 1 43
DISTURBANCES IN TOOTH ERUPTION 44 1 44

DISTURBANCES IN TOOTH ERUPTION 45 1 45

DISTURBANCES IN TOOTH ERUPTION 46 1 46

DISTURBANCES IN TOOTH ERUPTION 47 1 47

KEHILANGAN GIGI AKIBAT KECELAKAAN 48 1 48

EMBEDED TEETH 49 1 49

ABSES PERIAPRIKAL TANPA SINUS 50 1 50

ABSES PERIAPRIKAL TANPA SINUS 51 1 51

PENYAKIT PERIODONTAL LAIN 52 1 52

ABSES PERIAPRIKAL TANPA SINUS 53 1 53

NEKROSIS PULPA 54 1 54

PERIODONTAL APLIKASI KRONIS 55 1 55

DISTURBANCES IN TOOTH ERUPTION 56 1 56

ABSES PERIAPRIKAL TANPA SINUS 57 1 57

NEKROSIS PULPA 58 1 58

NEKROSIS PULPA 59 1 59

PERIODONTOSIS 60 1 60

PENYAKIT PERIODONTAL LAIN 61 1 61

DISTURBANCES IN TOOTH ERUPTION 62 1 62

DISTURBANCES IN TOOTH ERUPTION 63 1 63

NEKROSIS PULPA 64 1 64

DISTURBANCES IN TOOTH ERUPTION 65 1 65

DISTURBANCES IN TOOTH ERUPTION 66 1 66

PENYAKIT PERIODONTAL LAIN 67 1 67

PERIODONTITIS APLIKASI KRONIS 68 1 68

DISTURBANCES IN TOOTH ERUPTION 69 1 69

ABSES PERIAPRIKAL TANPA SINUS 70 1 70

DEPOSITS ON TEETH 71 1 71

ABSES PERIAPRIKAL TANPA SINUS 72 1 72

ABSES PERIAPRIKAL TANPA SINUS 73 1 73

ABSES PERIAPRIKAL TANPA SINUS 74 1 74

PERIODONTITIS APLIKASI KRONIS 75 1 75

EMBEDED TEETH 76 1 76

ABSES PERIAPRIKAL TANPA SINUS 77 1 77

ABSES PERIAPRIKAL TANPA SINUS 78 1 78

ABSES PERIAPRIKAL TANPA SINUS 79 1 79

PULPITIS 80 1 80

ABSES PERIAPRIKAL TANPA SINUS 81 1 81

NEKROSIS PULPA 82 1 82

ABSES PERIAPRIKAL TANPA SINUS 83 1 83

ABSES PERIAPRIKAL TANPA SINUS 84 1 84

NEKROSIS PULPA 85 1 85

NEKROSIS PULPA 86 1 86

PERIODONTOSIS 87 1 87

NEKROSIS PULPA 88 1 88

PULPITIS 89 1 89

DISTURBANCES IN TOOTH ERUPTION 90 1 90

ABSES PERIAPRIKAL TANPA SINUS 91 1 91


PULPITIS 92 1 92

PULPITIS 93 1 93

NEKROSIS PULPA 94 1 94

NEKROSIS PULPA 95 1 95

PULPITIS 96 1 96

PERIODONTITIS APLIKASI KRONIS 97 1 97

DISTURBANCES IN TOOTH ERUPTION 98 1 98

NEKROSIS PULPA 99 1 99

CARIES DENTINE 100 1 100

PULPITIS 101 1 101

NEKROSIS PULPA 102 1 102

PERIODONTITIS APLIKASI KRONIS 103 1 103

DISTURBANCES IN TOOTH ERUPTION 104 1 104

PULPITIS 105 1 105

PULPITIS 106 1 106

NEKROSIS PULPA 107 1 107

PULPITIS 108 1 108

ABSES PERIAPRIKAL TANPA SINUS 109 1 109

DISTURBANCES IN TOOTH ERUPTION 110 1 110

KEHILANGAN GIGI AKIBAT KECELAKAAN 111 1 111

PENYAKIT PERIODONTAL LAIN 112 1 112

NEKROSIS PULPA 113 1 113

NEKROSIS PULPA 114 1 114

NEKROSIS PULPA 115 1 115

DISTURBANCES IN TOOTH ERUPTION 116 1 116

DISTURBANCES IN TOOTH ERUPTION 117 1 117

DISTURBANCES IN TOOTH ERUPTION 118 1 118

DISTURBANCES IN TOOTH ERUPTION 119 1 119

EMBEDED TEETH 120 1 120

ABSES PERIAPRIKAL TANPA SINUS 121 1 121

ABSES PERIAPRIKAL TANPA SINUS 122 1 122

ABSES PERIAPRIKAL TANPA SINUS 123 1 123

NEKROSIS PULPA 124 1 124

ABSES PERIAPRIKAL TANPA SINUS 125 1 125

ABSES PERIAPRIKAL TANPA SINUS 126 1 126

PENYAKIT PERIODONTAL LAIN 127 1 127

NEKROSIS PULPA 128 1 128

ABSES PERIAPRIKAL DI SINUS 129 1 129

NEKROSIS PULPA 130 1 130

DISTURBANCES IN TOOTH ERUPTION 131 1 131

ABSES PERIAPRIKAL TANPA SINUS 132 1 132

NEKROSIS PULPA 133 1 133

ABSES PERIAPRIKAL TANPA SINUS 134 1 134

NEKROSIS PULPA 135 1 135

DISTURBANCES IN TOOTH ERUPTION 136 1 136

EMBEDED TEETH 137 1 137

NEKROSIS PULPA 138 1 138

NEKROSIS PULPA 139 1 139


ABSES PERIAPRIKAL TANPA SINUS 140 1 140

NEKROSIS PULPA 141 1 141

ABSES PERIAPRIKAL TANPA SINUS 142 1 142

NEKROSIS PULPA 143 1 143

DISTURBANCES IN TOOTH ERUPTION 144 1 144

ABSES PERIAPRIKAL TANPA SINUS 145 1 145

NEKROSIS PULPA 146 1 146

DISTURBANCES IN TOOTH ERUPTION 147 1 147

NEKROSIS PULPA 148 1 148

DISTURBANCES IN TOOTH ERUPTION 149 1 149

ABSES PERIAPRIKAL TANPA SINUS 150 1 150

NEKROSIS PULPA 151 1 151

DISTURBANCES IN TOOTH ERUPTION 152 1 152

ABSES PERIAPRIKAL TANPA SINUS 153 1 153

NEKROSIS PULPA 154 1 154

NEKROSIS PULPA 155 1 155

NEKROSIS PULPA 156 1 156

DISTURBANCES IN TOOTH ERUPTION 157 1 157

ABSES PERIAPRIKAL TANPA SINUS 158 1 158

ABSES PERIAPRIKAL TANPA SINUS 159 1 159

ABSES PERIAPRIKAL TANPA SINUS 160 1 160

ABSES PERIAPRIKAL TANPA SINUS 161 1 161

PENYAKIT PERIODONTAL LAIN 162 1 162

PENYAKIT PERIODONTAL LAIN 163 1 163

ABSES PERIAPRIKAL TANPA SINUS 164 1 164

PULPITIS 165 1 165

PULPITIS 166 1 166

PENYAKIT PERIODONTAL LAIN 167 1 167

ABSES PERIAPRIKAL TANPA SINUS 168 1 168

DEPOSITS ON TEETH 169 1 169

ABSES PERIAPRIKAL TANPA SINUS 170 1 170

ABSES PERIAPRIKAL TANPA SINUS 171 1 171

NEKROSIS PULPA 172 1 172

NEKROSIS PULPA 173 1 173

NEKROSIS PULPA 174 1 174

DISTURBANCES IN TOOTH ERUPTION 175 1 175

DISTURBANCES IN TOOTH ERUPTION 176 1 176

DISTURBANCES IN TOOTH ERUPTION 177 1 177

DISTURBANCES IN TOOTH ERUPTION 178 1 178

ABSES PERIAPRIKAL TANPA SINUS 179 1 179

DISTURBANCES IN TOOTH ERUPTION 180 1 180

ABSES PERIAPRIKAL TANPA SINUS 181 1 181

ABSES PERIAPRIKAL TANPA SINUS 182 1 182

NEKROSIS PULPA 183 1 183

NEKROSIS PULPA 184 1 184

ABSES PERIAPRIKAL TANPA SINUS 185 1 185

ABSES PERIAPRIKAL TANPA SINUS 186 1 186

ABSES PERIAPRIKAL TANPA SINUS 187 1 187


DISTURBANCES IN TOOTH ERUPTION 188 1 188

DISTURBANCES IN TOOTH ERUPTION 189 1 189

ABSES PERIAPRIKAL TANPA SINUS 190 1 190

ABSES PERIAPRIKAL TANPA SINUS 191 1 191

ABSES PERIAPRIKAL TANPA SINUS 192 1 192

NEKROSIS PULPA 193 1 193

NEKROSIS PULPA 194 1 194

DISTURBANCES IN TOOTH ERUPTION 195 1 195

DEPOSITS ON TEETH 197 1 197

DISTURBANCES IN TOOTH ERUPTION 198 1 198

NEKROSIS PULPA 199 1 199

NEKROSIS PULPA 200 1 200

PENYAKIT PERIODONTAL LAIN 201 1 201

ABSES PERIAPRIKAL TANPA SINUS 202 1 202

EMBEDED TEETH 203 1 203

GINGIVITIS AKUT 204 1 204

CARIES DENTINE 205 1 205

ABSES PERIAPRIKAL TANPA SINUS 206 1 206

NEKROSIS PULPA 207 1 207

ABSES PERIAPRIKAL TANPA SINUS 208 1 208

CARIES DENTINE 209 1 209

NEKROSIS PULPA 210 1 210

ABSES PERIAPRIKAL TANPA SINUS 211 1 211

ABSES PERIAPRIKAL TANPA SINUS 212 1 212

NEKROSIS PULPA 213 1 213

ABSES PERIAPRIKAL TANPA SINUS 214 1 214

ABSES PERIAPRIKAL TANPA SINUS 215 1 215

PULPITIS 216 1 216

- 217 1 217

PULPITIS 218 1 218

NEKROSIS PULPA 219 1 219

- 220 1 220

ABSES PERIAPRIKAL TANPA SINUS 221 1 221

ABSES PERIAPRIKAL TANPA SINUS 222 1 222

CARIES DENTINE 223 1 223

NEKROSIS PULPA 224 1 224

CARIES DENTINE 225 1 225

ABSES PERIAPRIKAL TANPA SINUS 226 1 226

NEKROSIS PULPA 227 1 227

ABSES PERIAPRIKAL TANPA SINUS 228 1 228

PENYAKIT PERIODONTAL LAIN 229 1 229

DISTURBANCES IN TOOTH ERUPTION 230 1 230

DISTURBANCES IN TOOTH ERUPTION 231 1 231

PENYAKIT PERIODONTAL LAIN 232 1 232

PULPITIS 233 1 233

ABSES PERIAPRIKAL TANPA SINUS 234 1 234

PULPITIS 235 1 235

DISTURBANCES IN TOOTH ERUPTION 236 1 236


PENYAKIT PERIODONTAL LAIN 237 1 237

NEKROSIS PULPA 238 1 238

ABSES PERIAPRIKAL TANPA SINUS 239 1 239

NEKROSIS PULPA 240 1 240

ABSES PERIAPRIKAL TANPA SINUS 241 1 241

ABSES PERIAPRIKAL TANPA SINUS 242 1 242

IMPACTED TEETH 243 1 243

NEKROSIS PULPA 244 1 244

PULPITIS 245 1 245

ABSES PERIAPRIKAL TANPA SINUS 246 1 246

PULPITIS 247 1 247

DISTURBANCES IN TOOTH ERUPTION 248 1 248

PERIODONTITIS APLIKASI KRONIS 249 1 249

ABSES PERIAPRIKAL TANPA SINUS 250 1 250

ABSES PERIAPRIKAL TANPA SINUS 251 1 251

NEKROSIS PULPA 252 1 252

NEKROSIS PULPA 253 1 253

PULPITIS 254 1 254

ABSES PERIAPRIKAL TANPA SINUS 255 1 255

ABSES PERIAPRIKAL TANPA SINUS 256 1 256

DISTURBANCES IN TOOTH ERUPTION 257 1 257

PERIODONTITIS APLIKASI KRONIS 258 1 258

DISTURBANCES IN TOOTH ERUPTION 259 1 259

DISTURBANCES IN TOOTH ERUPTION 260 1 260

DISTURBANCES IN TOOTH ERUPTION 261 1 261

ABSES PERIAPRIKAL DI SINUS 262 1 262

IMPACTED TEETH 263 1 263

ABSES PERIAPRIKAL DI SINUS 264 1 264

NEKROSIS PULPA 265 1 265

DISTURBANCES IN TOOTH ERUPTION 266 1 266

PULPITIS 267 1 267

NEKROSIS PULPA 268 1 268

ABSES PERIAPRIKAL DI SINUS 269 1 269

ABSES PERIAPRIKAL TANPA SINUS 270 1 270

ABSES PERIAPRIKAL TANPA SINUS 271 1 271

ABSES PERIAPRIKAL TANPA SINUS 272 1 272

PULPITIS 273 1 273

NEKROSIS PULPA 274 1 274

NEKROSIS PULPA 275 1 275

PENYAKIT PERIODONTAL LAIN 276 1 276

DISTURBANCES IN TOOTH ERUPTION 277 1 277

DISTURBANCES IN TOOTH ERUPTION 278 1 278

ABSES PERIAPRIKAL TANPA SINUS 279 1 279

NEKROSIS PULPA 280 1 280

DISTURBANCES IN TOOTH ERUPTION 281 1 281

DISTURBANCES IN TOOTH ERUPTION 282 1 282

ABSES PERIAPRIKAL TANPA SINUS 283 1 283

ABSES PERIAPRIKAL TANPA SINUS 284 1 284


NEKROSIS PULPA 285 1 285

DISTURBANCES IN TOOTH ERUPTION 286 1 286

NEKROSIS PULPA 287 1 287

NEKROSIS PULPA 288 1 288

GINGIVITIS AKUT 289 1 289

DISTURBANCES IN TOOTH ERUPTION 290 1 290

NEKROSIS PULPA 291 1 291

RESESI GINGIVA 292 1 292

NEKROSIS PULPA 293 1 293

ABSES PERIAPRIKAL TANPA SINUS 294 1 294

ABSES PERIAPRIKAL TANPA SINUS 295 1 295

IMPACTED TEETH 296 1 296

NEKROSIS PULPA 297 1 297

PULPITIS 298 1 298

NEKROSIS PULPA 299 1 299

NEKROSIS PULPA 300 1 300

DISTURBANCES IN TOOTH ERUPTION 301 1 301

DISTURBANCES IN TOOTH ERUPTION 302 1 302

ABSES PERIAPRIKAL TANPA SINUS 303 1 303

ABSES PERIAPRIKAL TANPA SINUS 304 1 304

ABSES PERIAPRIKAL TANPA SINUS 305 1 305

ABSES PERIAPRIKAL TANPA SINUS 306 1 306

- 307 1 307

PULPITIS 308 1 308

DISTURBANCES IN TOOTH ERUPTION 309 1 309

NEKROSIS PULPA 310 1 310

ABSES PERIAPRIKAL TANPA SINUS 311 1 311

ABSES PERIAPRIKAL DI SINUS 312 1 312

ABSES PERIAPRIKAL TANPA SINUS 313 1 313

PULPITIS 314 1 314

DISTURBANCES IN TOOTH ERUPTION 315 1 315

ABSES PERIAPRIKAL TANPA SINUS 316 1 316

CARIES DENTINE 317 1 317

IMPACTED TEETH 318 1 318

IMPACTED TEETH 319 1 319

GINGIVITIS KRONIS 320 1 320

DISTURBANCES IN TOOTH ERUPTION 321 1 321

DISTURBANCES IN TOOTH ERUPTION 322 1 322

DISTURBANCES IN TOOTH ERUPTION 323 1 323

DISTURBANCES IN TOOTH ERUPTION 324 1 324

DISTURBANCES IN TOOTH ERUPTION 325 1 325

DISTURBANCES IN TOOTH ERUPTION 326 1 326

NEKROSIS PULPA 327 1 327

ABSES PERIAPRIKAL TANPA SINUS 328 1 328

ABSES PERIAPRIKAL TANPA SINUS 329 1 329

ABSES PERIAPRIKAL TANPA SINUS 330 1 330

NEKROSIS PULPA 331 1 331

ABSES PERIAPRIKAL TANPA SINUS 332 1 332


NEKROSIS PULPA 333 1 333

DISTURBANCES IN TOOTH ERUPTION 334 1 334

ABSES PERIAPRIKAL TANPA SINUS 335 1 335

PENYAKIT PERIODONTAL LAIN 336 1 336

ABSES PERIAPRIKAL TANPA SINUS 337 1 337

PERIODONTITIS APLIKASI AKUT 338 1 338

- 339 1 339

PULPITIS 340 1 340

ABSES PERIAPRIKAL TANPA SINUS 341 1 341

ABSES PERIAPRIKAL DI SINUS 342 1 342

ABSES PERIAPRIKAL TANPA SINUS 343 1 343

DISTURBANCES IN TOOTH ERUPTION 344 1 344

NEKROSIS PULPA 345 1 345

DISTURBANCES IN TOOTH ERUPTION 346 1 346

DISTURBANCES IN TOOTH ERUPTION 347 1 347

ABSES PERIAPRIKAL TANPA SINUS 348 1 348

EMBEDED TEETH 349 1 349

NEKROSIS PULPA 350 1 350

NEKROSIS PULPA 351 1 351

ABSES PERIAPRIKAL TANPA SINUS 352 1 352

ABSES PERIAPRIKAL DI SINUS 353 1 353

CARIES DENTINE 354 1 354

ABSES PERIAPRIKAL DI SINUS 355 1 355

NEKROSIS PULPA 356 1 356

ABSES PERIAPRIKAL TANPA SINUS 357 1 357

ABSES PERIAPRIKAL TANPA SINUS 358 1 358

NEKROSIS PULPA 359 1 359

DISTURBANCES IN TOOTH ERUPTION 360 1 360

DISTURBANCES IN TOOTH ERUPTION 361 1 361

PENYAKIT PERIODONTAL LAIN 362 1 362

- 363 1 363

NEKROSIS PULPA 364 1 364

ABSES PERIAPRIKAL TANPA SINUS 365 1 365

NEKROSIS PULPA 366 1 366

PULPITIS 367 1 367

ABSES PERIAPRIKAL TANPA SINUS 368 1 368

ABSES PERIAPRIKAL TANPA SINUS 369 1 369

PERIODONTITIS APLIKASI KRONIS 370 1 370

DISTURBANCES IN TOOTH ERUPTION 371 1 371

NEKROSIS PULPA 372 1 372

PENYAKIT PERIODONTAL LAIN 373 1 373

DISTURBANCES IN TOOTH ERUPTION 374 1 374

DISTURBANCES IN TOOTH ERUPTION 375 1 375

NEKROSIS PULPA 376 1 376

NEKROSIS PULPA 377 1 377

NEKROSIS PULPA 378 1 378

NEKROSIS PULPA 379 1 379

DISTURBANCES IN TOOTH ERUPTION 380 1 380


DISTURBANCES IN TOOTH ERUPTION 381 1 381

ABSES PERIAPRIKAL DI SINUS 382 1 382

ABSES PERIAPRIKAL TANPA SINUS 383 1 383

DISTURBANCES IN TOOTH ERUPTION 384 1 384

NEKROSIS PULPA 385 1 385

NEKROSIS PULPA 386 1 386

NEKROSIS PULPA 387 1 387

CARIES DENTINE 388 1 388

CARIES DENTINE 389 1 389

NEKROSIS PULPA 390 1 390

DISTURBANCES IN TOOTH ERUPTION 391 1 391

ABSES PERIAPRIKAL TANPA SINUS 392 1 392

KELAINAN TMJ 393 1 393

NEKROSIS PULPA 394 1 394

NEKROSIS PULPA 395 1 395

ABSES PERIAPRIKAL TANPA SINUS 396 1 396

IMPACTED TEETH 397 1 397

NEKROSIS PULPA 398 1 398

EMBEDED TEETH 399 1 399

NEKROSIS PULPA 400 1 400

DISTURBANCES IN TOOTH ERUPTION 401 1 401

DISTURBANCES IN TOOTH ERUPTION 402 1 402

ABSES PERIAPRIKAL TANPA SINUS 403 1 403

DISTURBANCES IN TOOTH ERUPTION 404 1 404

ABSES PERIAPRIKAL TANPA SINUS 405 1 405

PERIODONTITIS APLIKASI AKUT 406 1 406

PULPITIS 407 1 407

ABSES PERIAPRIKAL TANPA SINUS 408 1 408

NEKROSIS PULPA 409 1 409

DISTURBANCES IN TOOTH ERUPTION 410 1 410

ABSES PERIAPRIKAL TANPA SINUS 411 1 411

DISTURBANCES IN TOOTH ERUPTION 412 1 412

DISTURBANCES IN TOOTH ERUPTION 413 1 413

ABSES PERIAPRIKAL TANPA SINUS 414 1 414

DISTURBANCES IN TOOTH ERUPTION 415 1 415

DISTURBANCES IN TOOTH ERUPTION 416 1 416

ABSES PERIAPRIKAL TANPA SINUS 417 1 417

NEKROSIS PULPA 418 1 418

ABSES PERIAPRIKAL TANPA SINUS 419 1 419

ABSES PERIAPRIKAL TANPA SINUS 420 1 420

NEKROSIS PULPA 421 1 421

NEKROSIS PULPA 422 1 422

DISTURBANCES IN TOOTH ERUPTION 423 1 423

CARIES DENTINE 424 1 424

ABSES PERIAPRIKAL TANPA SINUS 425 1 425

ABSES PERIAPRIKAL TANPA SINUS 426 1 426

DISTURBANCES IN TOOTH ERUPTION 427 1 427

EMBEDED TEETH 428 1 428


ABSES PERIAPRIKAL TANPA SINUS 429 1 429

PULPITIS 430 1 430

ABSES PERIAPRIKAL TANPA SINUS 431 1 431

NEKROSIS PULPA 432 1 432

DISTURBANCES IN TOOTH ERUPTION 433 1 433

ABSES PERIAPRIKAL TANPA SINUS 434 1 434

ABSES PERIAPRIKAL TANPA SINUS 435 1 435

GIGI TAMBAHAN 436 1

PULPITIS 437 1 436

PERIAPICAL ABSCESS WITH SINUS 438 1 437

PERIAPICAL ABSCESS WITH SINUS 439 1 438

PERIAPICAL ABSCESS WITH SINUS 440 1 439

PERIAPICAL ABSCESS WITH SINUS 441 1 440

NECROSIS OF PULP 442 1 441

PULPITIS 443 1 442

PULPITIS 444 1 443

ACCUT APICAL PERIODONTITIS OF PULPA ORIGIN 445 1 444

NECROSIS OF PULP 446 1 445

PERIAPICAL ABSCESS WITHOUT SINUS 447 1 446

CRONIS APICAL PERIODONTITIS 448 1 447

DISTURBANCES IN TOOTH ERUPTION 449 1 448

CRONIS APICAL PERIODONTITIS 450 1 449

PERIAPICAL ABSCESS WITHOUT SINUS 451 1 450

PERIAPICAL ABSCESS WITHOUT SINUS 452 1 451

PERIAPICAL ABSCESS WITHOUT SINUS 453 1 452

DISTURBANCES IN TOOTH ERUPTION 454 1 453

PULPITIS 455 1 454

PERIAPICAL ABSCESS WITHOUT SINUS 456 1 455

PERIAPICAL ABSCESS WITHOUT SINUS 457 1 456

NECROSIS OF PULP 458 1 457

DISTURBANCES IN TOOTH ERUPTION 459 1 458

CRONIS APICAL PERIODONTITIS 460 1 459

PERIAPICAL ABSCESS WITHOUT SINUS 461 1 460

NECROSIS OF PULP 462 1 461

NECROSIS OF PULP 463 1 462

NECROSIS OF PULP 464 1 463

PULPITIS 465 1 464

DISTURBANCES IN TOOTH ERUPTION 466 1 465

LOSS OF TEETH ACCIDENT EXTRACTION OR LOCAL PERIODONTAL DISEASE 467 1 466

PULPITIS 468 1 467

NECROSIS OF PULP 469 1 468

DISTURBANCES IN TOOTH ERUPTION 470 1 469

DISTURBANCES IN TOOTH ERUPTION 471 1 470

PERIAPICAL ABSCESS WITHOUT SINUS 472 1 471

CARIES DENTINE 473 1 472

NECROSIS OF PULP 474 1 473

NECROSIS OF PULP 475 1 474

NECROSIS OF PULP 476 1 475


PERIAPICAL ABSCESS WITH SINUS 477 1 476

PERIAPICAL ABSCESS WITH SINUS 478 1 477

NECROSIS OF PULP 479 1 478

APOLITIS OF JAWY 480 1 479

NECROSIS OF PULP 481 1 480

DISTURBANCES IN TOOTH ERUPTION 482 1 481


483 1 482

IMPACTED TEETH 484 1 483

PERIAPICAL ABSCESS WITHOUT SINUS 485 1 484

NECROSIS OF PULP 486 1 485

- TOTAL 484
PERAWAT YANG MENANGANI

TUTI RIKA OTIK RANY KELUHAN


KURNIAWATI HARTIYANTI PURWATY, S. RAHMAWAT
, AMKG ST Y

1 16 K041
1 36 K040
1 36 K040
1 85 K047
1 48 K041
1 11 K021
1 16 K041
1 36 K041
1 35 K081
1 RA RB K036
1 11 K006
1 48 K047
1 27 K047
1 48 K045
1 36 K055
1 48 K040
1 84 K041
1 K130
1 36 K040
1 16 K040
1 16 K055
1 36 K041
1 37 K046
1 RARB K036
1 28 K041
1 23 K073
1 75 85 K006
1 38 K047
1 18 K047
1 25 K047
1 36 K047
1 38 K047
1 84 K006
1 63 K047
1 36 K040
1 64 K006
1 81 K006
1 46 K047
1 46 K047
1 75 K047
1 74 K006
1 36 K041
1 61 K006
1 62 K006
1 81 K006
1 73 K006
1 11 K081
1 48 K010
1 36 K047
1 11 K047
1 18 K055
1 16 K047
1 55 K041
1 36 K045
1 12 K006
1 47 K047
1 14 K041
1 34 K041
1 26 K054
1 27 K055
1 52 K006
1 51 61 K006
1 37 K041
1 74 K006
1 71 81 K006
1 28 K055
1 46 K045
1 61 K006
1 21 K047
1 RA+RB K036
1 37 K047
1 36 K047
1 36 K047
1 37 K045
1 48 M010
1 36 K047
1 36 K047
1 36 K047
1 38 K040
1 36 K047
1 37 K041
1 85 K047
1 27 K047
1 84 K041
1 12 K041
1 K054
1 25 K041
1 36 K040
1 82 K006
1 16 K047
1 36 K040
1 11 K040
1 K041
1 46 K041
1 14 K040
1 46 K045
1 51 K006
1 74 K041
1 11 K021
1 15 K040
1 46 47 K041
1 13 K045
1 51 K006
1 46 K040
1 36 K040
1 46 K041
1 36 K040
1 36 K047
1 52 K006
1 37 K081
1 26 K055
1 45 K041
1 46 K041
1 36 K041
1 81 K006
1 71 K006
1 84 K006
1 71 K006
1 38 K010
1 36 K047
1 38 K047
1 17 K047
1 21 K041
1 12 K047
1 46 K047
1 31 K055
1 36 K041
1 45 K046
1 16 K041
1 84 K006
1 22 K047
1 47 K041
1 16 K047
1 37 K041
1 61 K006
1 47 K010
1 46 K041
1 44 K041
1 36 K047
1 32 K041
1 21 K047
1 46 K041
1 72 K006
1 85 K047
1 36 K041
1 72 K006
1 38 K041
1 64 K006
1 16 K047
1 37 K041
1 63 K006
1 47 K047
1 14 K041
1 36 K041
1 46 K041
1 62 K006
1 64 K047
1 14 K047
1 74 K047
1 84 K047
1 17 K055
1 18 K055
1 26 K047
1 25 K040
1 36 K040
1 45 K055
1 18 K047
1 RB K036
1 38 K047
1 46 K047
1 11 K041
1 12 K041
1 23 K041
1 75 K006
1 72 K006
1 64 K006
1 61 K006
1 84 K047
1 81 K006
1 15 K047
1 36 K047
1 26 K041
1 36 K041
1 34 K047
1 46 K047
1 46 K047
1 82 K006
1 51 K006
1 75 K047
1 22 K047
1 18 K047
1 26 K041
1 36 K041
1 81 K006
1 33 K036
1 71 K006
1 38 K041
1 46 K041
1 15 K055
1 74 K047
1 48 K010
1 RA/RB K050
1 46 K021
1 36 K047
1 37 K041
1 36 K047
1 21 K021
1 14 K041
1 28 K047
1 61 K047
1 37 K041
1 33 K047
1 23 K047
1 47 K040
1 55 K089
1 37 K040
1 36 K041
1 75 K089
1 36 K047
1 15 K047
1 11 K021
1 28 K041
1 36 46 K021
1 38 K047
1 36 K041
1 46 K047
1 18 K055
1 71 K006
1 75 K006
1 11 K055
1 46 K040
1 37 K047
1 47 K040
1 51 K006
1 12 K055
1 36 K041
1 46 K047
1 36 K041
1 47 K047
1 26 K047
1 38 K011
1 37 K041
1 46 K040
1 47 K047
1 36 K040
1 61 K006
1 36 K045
1 75 K047
1 21 K047
1 17 K041
1 37 K041
1 46 K040
1 45 K047
1 46 K047
1 81 K006
1 25 K045
1 51 K006
1 81 K006
1 84 K006
1 35 K046
1 48 K011
1 37 K046
1 75 K041
1 74 K006
1 36 46 K040
1 37 K041
1 46 K046
1 43 K047
1 46 K047
1 16 K047
1 46 K040
1 37 K041
1 26 K041
1 11 K055
1 73 K006
1 82 K006
1 74 K047
1 46 K041
1 51 K006
1 83 K006
1 36 K047
1 46 K047
1 36 K041
1 51 61 K006
1 11 12 K041
1 36 K041
1 K050 RB
1 71 K006
1 35 K041
1 RB K060
1 36 K041
1 48 K047
1 22 K047
1 48 K011
1 14 K041
1 46 K040
1 46 K041
1 46 K041
1 62 K006
1 85 K006
1 27 K047
1 27 K047
1 36 K047
1 36 K047
1 51 K089
1 36 K040
1 82 K006
1 84 K041
1 17 K047
1 34 K046
1 46 K047
1 21 K040
1 83 K006
1 45 K047
1 26 K021
1 38 K011
1 48 K011
1 K051
1 73 K006
1 51 K006
1 61 K006
1 71 K006
1 51 K006
1 71 K006
1 17 K041
1 74 K047
1 37 K047
1 46 K047
1 46 K041
1 36 K047
1 36 K041
1 52 K006
1 51 K047
1 34 K055
1 46 K047
1 38 K044
1 36 K057
1 16 K040
1 11 K047
1 47 K046
1 51 K047
1 52 K006
1 26 K041
1 61 K006
1 71 K006
1 51 K047
1 38 K010
1 21 K041
1 48 K041
1 38 K047
1 82 K046
1 35 K021
1 14 K046
1 46 K041
1 35 K047
1 36 K047
1 44 K041
1 75 K006
1 51 K006
1 16 K055
1 41 INERUPSI
1 84 K041
1 26 K047
1 16 K041
1 36 K040
1 36 K047
1 37 K047
1 48 K045
1 73 K006
1 14 K041
1 31 K055
1 71 K006
1 81 K006
1 33 K041
1 21 K041
1 46 K041
1 38 K041
1 72 K006
1 71 K006
1 65 K046
1 84 K047
1 72 K006
1 46 K041
1 15 K041
1 47 K041
1 16 K021
1 12 K021
1 26 K041
1 83 K006
1 35 K047
1 RA K076
1 16 K041
1 26 K041
1 36 K047
1 18 K011
1 16 K041
1 48 K010
1 45 K041
1 82 K006
1 61 K006
1 46 K047
1 51 K006
1 37 K047
1 26 K044
1 16 K040
1 15 K047
1 36 K041
1 74 K006
1 75 K047
1 52 K006
1 64 K006
1 35 K047
1 81 K006
1 62 K006
1 36 K047
1 25 K041
1 47 K047
1 34 K047
1 36 K041
1 48 K041
1 51 K006
1 33 K021
1 43 K047
1 74 K047
1 71 K006
1 18 K010
1 47 K047
1 37 K040
1 36 K047
1 16 K041
1 52 K006
1 36 K047
1 36 K047
1 11 K001
1 38 K040
36 K046
18 K 046
47 K046
25 K046
1 55 K041
36 K040
1 14 K040
47 K044
1 K116
45 K047
55 K045
71 K006
75 K045
64 K047
85 K047
36 K047
81 K006
36 K040
26 K047
46 K047
46 K041
81 K006
27 K046
46 K047
36 K047
52 K041
35 K041
36 K040
74 K006
11 K081
47 K040
12 K041
51 K006
51 K006
47 K047
16 K021
28 K041
16 K041
24 K041
11 K046
26 K046
47 K041
84 K103
46 K041
51 K006
KONTROL
38 K011
31 K046
26 K041
74 147 146 71
KETERANGAN

NECROSIS OF PULP
PULPITIS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIPAICAL ABSSCESS WITH SINUS
NECROSIS OF PULP
CARIES DENTINE
NECROSIS OF PULP
NECROSIS OF PULP
LOSS OF TEETH ACCIDENT EXTRACTION OR LOCAL PERIODONTAL DISEASE
DEPOSITS ON TEETH
DISTURBANCES IN TOOTH ERUPTION
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
CHRONIC APICAL PERIODONTITIS
OTHER PERIODONTAL DISEASES
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
EMBEDED TEETH
PULPITIS
NEKROSIS PULPA
PULPITIS
DEPOSITS ON TEETH
NECROSIS OF PULP
ANOMALIS OF TOOTH POSITION
DISTURBANCES IN TOOTH ERUPTION
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
DISTURBANCES IN TOOTH ERUPTION
PERIAPICAL ABSCESS WITHOUT SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
KEHILANGAN GIGI AKIBAT KECELAKAAN
EMBEDED TEETH
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PENYAKIT PERIODONTAL LAIN
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
PERIODONTAL APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
PERIODONTOSIS
PENYAKIT PERIODONTAL LAIN
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
PERIODONTITIS APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DEPOSITS ON TEETH
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PERIODONTITIS APLIKASI KRONIS
EMBEDED TEETH
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
PERIODONTOSIS
NEKROSIS PULPA
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
PULPITIS
PERIODONTITIS APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
CARIES DENTINE
PULPITIS
NEKROSIS PULPA
PERIODONTITIS APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PULPITIS
NEKROSIS PULPA
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
KEHILANGAN GIGI AKIBAT KECELAKAAN
PENYAKIT PERIODONTAL LAIN
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
EMBEDED TEETH
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PENYAKIT PERIODONTAL LAIN
NEKROSIS PULPA
ABSES PERIAPRIKAL DI SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
EMBEDED TEETH
NEKROSIS PULPA
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PENYAKIT PERIODONTAL LAIN
PENYAKIT PERIODONTAL LAIN
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
PULPITIS
PENYAKIT PERIODONTAL LAIN
ABSES PERIAPRIKAL TANPA SINUS
DEPOSITS ON TEETH
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DEPOSITS ON TEETH
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
PENYAKIT PERIODONTAL LAIN
ABSES PERIAPRIKAL TANPA SINUS
EMBEDED TEETH
GINGIVITIS AKUT
CARIES DENTINE
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
CARIES DENTINE
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
-
PULPITIS
NEKROSIS PULPA
-
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
CARIES DENTINE
NEKROSIS PULPA
CARIES DENTINE
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
PENYAKIT PERIODONTAL LAIN
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
IMPACTED TEETH
NEKROSIS PULPA
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
PERIODONTITIS APLIKASI KRONIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
PERIODONTITIS APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL DI SINUS
IMPACTED TEETH
ABSES PERIAPRIKAL DI SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
NEKROSIS PULPA
ABSES PERIAPRIKAL DI SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
PENYAKIT PERIODONTAL LAIN
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
GINGIVITIS AKUT
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
RESESI GINGIVA
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
IMPACTED TEETH
NEKROSIS PULPA
PULPITIS
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
-
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL DI SINUS
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
CARIES DENTINE
IMPACTED TEETH
IMPACTED TEETH
GINGIVITIS KRONIS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
PENYAKIT PERIODONTAL LAIN
ABSES PERIAPRIKAL TANPA SINUS
PERIODONTITIS APLIKASI AKUT
-
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL DI SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
EMBEDED TEETH
NEKROSIS PULPA
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL DI SINUS
CARIES DENTINE
ABSES PERIAPRIKAL DI SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PENYAKIT PERIODONTAL LAIN
-
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
PERIODONTITIS APLIKASI KRONIS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
PENYAKIT PERIODONTAL LAIN
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL DI SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA
NEKROSIS PULPA
NEKROSIS PULPA
CARIES DENTINE
CARIES DENTINE
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
KELAINAN TMJ
NEKROSIS PULPA
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
IMPACTED TEETH
NEKROSIS PULPA
EMBEDED TEETH
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
PERIODONTITIS APLIKASI AKUT
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
CARIES DENTINE
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
DISTURBANCES IN TOOTH ERUPTION
EMBEDED TEETH
ABSES PERIAPRIKAL TANPA SINUS
PULPITIS
ABSES PERIAPRIKAL TANPA SINUS
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS
GIGI TAMBAHAN
PULPITIS
PERIAPICAL ABSCESS WITH SINUS
PERIAPICAL ABSCESS WITH SINUS
PERIAPICAL ABSCESS WITH SINUS
PERIAPICAL ABSCESS WITH SINUS
NECROSIS OF PULP
PULPITIS
PULPITIS
ACCUT APICAL PERIODONTITIS OF PULPA ORIGIN
NECROSIS OF PULP
PERIAPICAL ABSCESS WITHOUT SINUS
CRONIS APICAL PERIODONTITIS
DISTURBANCES IN TOOTH ERUPTION
CRONIS APICAL PERIODONTITIS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
DISTURBANCES IN TOOTH ERUPTION
PULPITIS
PERIAPICAL ABSCESS WITHOUT SINUS
PERIAPICAL ABSCESS WITHOUT SINUS
NECROSIS OF PULP
DISTURBANCES IN TOOTH ERUPTION
CRONIS APICAL PERIODONTITIS
PERIAPICAL ABSCESS WITHOUT SINUS
NECROSIS OF PULP
NECROSIS OF PULP
NECROSIS OF PULP
PULPITIS
DISTURBANCES IN TOOTH ERUPTION
LOSS OF TEETH ACCIDENT EXTRACTION OR LOCAL PERIODONTAL DISEASE
PULPITIS
NECROSIS OF PULP
DISTURBANCES IN TOOTH ERUPTION
DISTURBANCES IN TOOTH ERUPTION
PERIAPICAL ABSCESS WITHOUT SINUS
CARIES DENTINE
NECROSIS OF PULP
NECROSIS OF PULP
NECROSIS OF PULP
PERIAPICAL ABSCESS WITH SINUS
PERIAPICAL ABSCESS WITH SINUS
NECROSIS OF PULP
APOLITIS OF JAWY
NECROSIS OF PULP
DISTURBANCES IN TOOTH ERUPTION

IMPACTED TEETH
PERIAPICAL ABSCESS WITHOUT SINUS
NECROSIS OF PULP
-
PROVINSI : JAWA BARAT
KAB/KOTA : CIAMIS

J. KELAMIN

NO HARI/TANGGAL NO KARTU NAMA PASIEN UMUR


L

1 02 DESEMBER 2017 5352 GHAIDA 5


2 02 DESEMBER 2017 5349 NOVIA 6
3 02 DESEMBER 2017 5407 BUBUN 38 1
4 02 DESEMBER 2017 449 ISMAIL 8 1
5 02 DESEMBER 2017 5340 IYUS 27 1
6 02 DESEMBER 2017 10767 YUDI 35 1
7 02 DESEMBER 2017 5350 AULIA 7
8 02 DESEMBER 2017 5406 WINDA 16
9 02 DESEMBER 2017 2999 IRSYAD 6 1
10 02 DESEMBER 2017 5345 RIFYAL 28 1
11 02 DESEMBER 2017 4002 ANA 29
12 02 DESEMBER 2017 5363 NAZWA 11
13 02 DESEMBER 2017 5362 ALIFA 6
14 02 DESEMBER 2017 3379 RENDI 14 1
15 02 DESEMBER 2017 16975 JENI JESICA 8
16 02 DESEMBER 2017 3808 YANI 23
17 02 DESEMBER 2017 2872 NONOK 54
18 02 DESEMBER 2017 19420 KALILA 6.5
19 02 DESEMBER 2017 25418 RIYANTO 34 1

20 5286 IIS 49
04 DESEMBER 2017
21 04 DESEMBER 2017 5415 M.RAIS 6 1
22 04 DESEMBER 2017 5293 M.IQBAL 18 1
23 04 DESEMBER 2017 5416 SARIAH 51
24 04 DESEMBER 2017 5335 SIPA 10
25 04 DESEMBER 2017 5423 JAJANG 39 1

26 497 RESA 21
04 DESEMBER 2017
27 04 DESEMBER 2017 3346 NENI 42
28 04 DESEMBER 2017 2489 AGIS 18 1
29 04 DESEMBER 2017 13149 SELLY 18
30 04 DESEMBER 2017 5359 HJ. PARTINI 54
31 04 DESEMBER 2017 5218 MAYA 9
32 04 DESEMBER 2017 5217 DEDE 47
33 04 DESEMBER 2017 5209 IKA 35
34 04 DESEMBER 2017 1447 SUTISNA 26 1
35 04 DESEMBER 2017 5163 HOLISOH 58
36 04 DESEMBER 2017 6966 HERNING 48
37 04 DESEMBER 2017 5342 YENI 19
38 04 DESEMBER 2017 8121 ADI 12
39 04 DESEMBER 2017 10002 RATNA 36
40 05 DESEMBER 2017 23845 RISKA 7
41 05 DESEMBER 2017 11143 SITI SAADAH 24
42 05 DESEMBER 2017 1249 M. RIYADI 23 1
43 05 DESEMBER 2017 5429 ADRIAN 10 1
44 05 DESEMBER 2017 5427 M. IQBAL 3 1
45 05 DESEMBER 2017 5432 BOBBY 31 1
46 05 DESEMBER 2017 19521 MARNI 57
47 05 DESEMBER 2017 1269 RUDI 35 1
48 05 DESEMBER 2017 22479 ENDANG 49 1
49 05 DESEMBER 2017 5367 E. SUDARLAN 70 1
50 05 DESEMBER 2017 5222 ZASKIA 4
51 05 DESEMBER 2017 5657 NENI 37
52 05 DESEMBER 2017 6451 ELIS 13
53 05 DESEMBER 2017 13371 ILGI 5.5 1
54 05 DESEMBER 2017 13322 RIKA 43
55 06 DESEMBER 2017 5447 DIKDIK 43 1
56 06 DESEMBER 2017 5436 ENOK 48
57 06 DESEMBER 2017 5439 ALIFA 4
58 06 DESEMBER 2017 5433 ETI 67
59 06 DESEMBER 2017 5434 YUNI 22
60 06 DESEMBER 2017 4002 ANA 29
61 06 DESEMBER 2017 6982 KARTINAH 41
62 06 DESEMBER 2017 4109 METIA 25
63 06 DESEMBER 2017 5235 DIANTO 45 1
64 06 DESEMBER 2017 3808 YANI 22
65 06 DESEMBER 2017 5335 CUNCUN 44

66 5407 BUBUN 38 1
07 DESEMBER 2017
67 07 DESEMBER 2017 5491 NOPI 22
68 07 DESEMBER 2017 5504 ENOK 42
69 07 DESEMBER 2017 5350 AULIA 7
70 07 DESEMBER 2017 5503 LUKMAN 61 1
71 07 DESEMBER 2017 5496 LIZA 45
72 07 DESEMBER 2017 5416 SARIAH 51
73 07 DESEMBER 2017 25859 BUNGA 23
74 07 DESEMBER 2017 10078 SENI 27
75 07 DESEMBER 2017 12370 ECIH 48
76 07 DESEMBER 2017 5377 JEJEH 57
77 07 DESEMBER 2017 1534 LINA 48
78 07 DESEMBER 2017 11320 FITRI 32
79 07 DESEMBER 2017 5209 IKA 35
80 07 DESEMBER 2017 4669 SANTI 30
81 08 DESEMBER 2017 5456 YAYAT 32 1
82 08 DESEMBER 2017 5461 ENDANG 44 1
83 08 DESEMBER 2017 7687 Drs. H. ENDANG 58 1
84 08 DESEMBER 2017 22479 ENDANG 47 1
85 08 DESEMBER 2017 3359 HJ. PARTINI 54
86 08 DESEMBER 2017 5510 ETI. S 48
87 08 DESEMBER 2017 4146 TIKA 7
88 08 DESEMBER 2017 5528 ATI 20
89 08 DESEMBER 2017 5235 DIANTO 35 1
90 08 DESEMBER 2017 5217 DEDE R 45 1
91 08 DESEMBER 2017 5208 CICIH 28
92 08 DESEMBER 2017 25578 GILANG 5 1
93 09 DESEMBER 2017 5478 SYAHRUL 15 1

94 5476 M. RAKI 6.5 1


09 DESEMBER 2017

95 5472 DESI 6
09 DESEMBER 2017

96 3496 TITO 20 1
09 DESEMBER 2017

97 4234 TIARMA 36
09 DESEMBER 2017
98 09 DESEMBER 2017 5496 LIZA 45
99 09 DESEMBER 2017 5471 OPIK 32 1
100 09 DESEMBER 2017 AISAH 37
101 09 DESEMBER 2017 TATAN 42 1
102 09 DESEMBER 2017 5568 SOLIHUDIN 48 1
103 09 DESEMBER 2017 22457 HATIMI 55
104 09 DESEMBER 2017 5570 RATNA 46
105 09 DESEMBER 2017 1508 KAYLA 6
106 09 DESEMBER 2017 6966 HERNING 48
107 09 DESEMBER 2017 5209 IKA 35
108 09 DESEMBER 2017 19420 KALILA 7
109 09 DESEMBER 2017 4818 ADRIANSYAH 12
110 09 DESEMBER 2017 17572 RIAN 21
111 09 DESEMBER 2017 4109 MELA 25
112 11 DESEMBER 2017 1201 AISNA 7
113 11 DESEMBER 2017 5489 YUKI 7
114 11 DESEMBER 2017 5514 NURUL 25
115 11 DESEMBER 2017 5519 NURAFNI 21
116 11 DESEMBER 2017 4725 SALSABILA 7
117 11 DESEMBER 2017 7459 ARIS 20 1
118 11 DESEMBER 2017 8103 SITI 73
119 11 DESEMBER 2017 10725 ENTIN 70
120 11 DESEMBER 2017 13149 SELLY 18
121 11 DESEMBER 2017 22479 ENDANG 49 1
122 11 DESEMBER 2017 5363 NAZWA 11
123 11 DESEMBER 2017 4163 ASKANA 6
124 11 DESEMBER 2017 5163 HOLISOH 58
125 11 DESEMBER 2017 25313 IHYA 16 1
126 11 DESEMBER 2017 5510 ETI 48
127 12 DESEMBER 2017 1998 ENTON. S 64 1
128 12 DESEMBER 2017 5531 ANITA. D 27
129 12 DESEMBER 2017 5530 ILHAM 21 1
130 12 DESEMBER 2017 5527 RANI. R 26
131 12 DESEMBER 2017 5536 RALIHA. Y 17 1
132 12 DESEMBER 2017 5526 AGUNG. S 47 1
133 12 DESEMBER 2017 5537 OTIS. S 43
134 12 DESEMBER 2017 1124 KRISTIAN 6 1
135 12 DESEMBER 2017 18556 RANIA 5
136 12 DESEMBER 2017 7847 ALAN. A 5 1
137 12 DESEMBER 2017 12240 NANANG 43 1
138 12 DESEMBER 2017 22457 HATMI 54
139 12 DESEMBER 2017 5568 SOLIHUDIN 48 1
140 12 DESEMBER 2017 22123 TATI 43
141 12 DESEMBER 2017 4041 ABDUL KARIM 55 1
142 12 DESEMBER 2017 5388 TJUTJU. S 68
143 12 DESEMBER 2017 13051 HESYALILLAH 7
144 12 DESEMBER 2017 20115 IYAY 40
145 12 DESEMBER 2017 5884 NUNUG 22
146 13 DESEMBER 2017 5543 FATIR. R 6 1
147 13 DESEMBER 2017 5496 LIZA. M 45

148 5478 SYAHRUL. R 15 1


13 DESEMBER 2017
149 13 DESEMBER 2017 5542 REVALINA 17
150 13 DESEMBER 2017 5543 TITA. SRI 17
151 13 DESEMBER 2017 5541 SINDI 18
152 13 DESEMBER 2017 5546 AGUS. EKO 49 1
153 13 DESEMBER 2017 5552 YADI. JS 39 1
154 13 DESEMBER 2017 5555 ZIHAN. N 7
155 13 DESEMBER 2017 3602 RAIHAN 17 1
156 13 DESEMBER 2017 3602 TATIN 44
157 13 DESEMBER 2017 18974 ADAH 62
158 13 DESEMBER 2017 2887 KOMAR 75 1
159 13 DESEMBER 2017 3808 YANI. ST. A 23
160 13 DESEMBER 2017 3209 CAHYA. S 64 1
161 13 DESEMBER 2017 4109 NELA. A 25
162 13 DESEMBER 2017 12854 RINA. B 28
163 14 DESEMBER 2017 5416 SARIAH 51
164 14 DESEMBER 2017 5558 IKBAL 14 1
165 14 DESEMBER 2017 5721 ERIS. H 37 1
166 14 DESEMBER 2017 5719 MULKI. M 6 1
167 14 DESEMBER 2017 5519 NURAFNI 21 1
168 14 DESEMBER 2017 20110 SINTA 17
169 14 DESEMBER 2017 12370 ELIH 48
170 14 DESEMBER 2017 21727 SARIP. H 60 1
171 14 DESEMBER 2017 7224 H. KUSWA 66 1
172 14 DESEMBER 2017 5724 M. DENY. S 8 1
173 14 DESEMBER 2017 5595 JIN 52
174 14 DESEMBER 2017 5600 ANISA 15
175 15 DESEMBER 2017 5531 ANITA 22
176 15 DESEMBER 2017 5472 DESI NURAENI 6
177 15 DESEMBER 2017 9839 LAILA 20
178 15 DESEMBER 2017 16579 ELAWATI 41
179 15 DESEMBER 2017 11428 RASYA 7
180 15 DESEMBER 2017 5396 ALINA. M 16
181 15 DESEMBER 2017 5600 NENENG 44
182 15 DESEMBER 2017 5608 AZI 13 1
183 15 DESEMBER 2017 5610 KHOERUNISA 23
184 15 DESEMBER 2017 6441 ABDUL GIFAR 72 1
185 15 DESEMBER 2017 5738 SOFIA 6
186 16 DESEMBER 2017 5782 YULIANA. Y 41
187 16 DESEMBER 2017 5784 PRABU WIBAWA 5 1
188 16 DESEMBER 2017 5781 MARLINA 42
189 16 DESEMBER 2017 5774 SRI YUNI 26
190 16 DESEMBER 2017 5614 ASSYFA NUR 9
191 16 DESEMBER 2017 2434 HJ. IMAS 61
192 16 DESEMBER 2017 21727 SARIF 60 1
193 16 DESEMBER 2017 5741 YUSUF F 37 1
194 16 DESEMBER 2017 22123 TATI 43
195 16 DESEMBER 2017 5612 ANAH R 54
196 16 DESEMBER 2017 22457 HATIMI 54
197 16 DESEMBER 2017 5742 NUR FATMA 7
198 16 DESEMBER 2017 1508 KAYLA 6
199 16 DESEMBER 2017 3705 TATUN. T 42
200 18 DESEMBER 2017 5805 TIEN. G 62
201 18 DESEMBER 2017 16579 ELAWATI 41
202 18 DESEMBER 2017 5803 AZZAHRA 9
203 18 DESEMBER 2017 5800 VENI. S 29
204 18 DESEMBER 2017 2942 RINA. S 26
205 18 DESEMBER 2017 1998 ENGON. S 64 1
206 18 DESEMBER 2017 4074 TITI. SITI 60
207 18 DESEMBER 2017 5787 SITI.DAHLIA 9
208 18 DESEMBER 2017 10465 OKTA. N 8
209 18 DESEMBER 2017 2000 ELDIVO. O 5 1
210 18 DESEMBER 2017 19304 RAIHAN 14 1
211 18 DESEMBER 2017 5552 YADI.ISMA 39 1
212 18 DESEMBER 2017 9368 KOMAR 74 1
213 18 DESEMBER 2017 5616 DIMAS 17 1
214 18 DESEMBER 2017 13115 DEDEH 48
215 18 DESEMBER 2017 21276 ELLY 57
216 18 DESEMBER 2017 22060 JAENUDIN 64 1
217 18 DESEMBER 2017 9915 ATENG. M 55 1
218 18 DESEMBER 2017 26278 ADE TINI 15
219 18 DESEMBER 2017 7234 SAGITA 15
220 18 DESEMBER 2017 21747 DEDE. K 44
221 18 DESEMBER 2017 5743 ENTIN. S 61
222 18 DESEMBER 2017 5745 SUBHAN 40 1
223 18 DESEMBER 2017 32123 TATI. S 44
224 18 DESEMBER 2017 5746 ERI. Z 23
225 18 DESEMBER 2017 755 VERA. F 32
226 19 DESEMBER 2017 5822 IHAT. M 57
227 19 DESEMBER 2017 2228 ENA. STN 22
228 19 DESEMBER 2017 5541 SINDI. F 18
229 19 DESEMBER 2017 5809 M. SYAHRUL 14 1
230 19 DESEMBER 2017 4329 FAHRI 8 1
231 19 DESEMBER 2017 5806 NOVI SANIM 19
232 19 DESEMBER 2017 5774 SRI YUNI 26
233 19 DESEMBER 2017 7333 SUTIMAN 77 1
234 19 DESEMBER 2017 7700 FAISHAL 13 1
235 19 DESEMBER 2017 5396 ALMA N 16
236 19 DESEMBER 2017 1188 DEWI 34
237 19 DESEMBER 2017 5059 IWANG. S 49 1
238 19 DESEMBER 2017 8160 NANDA 11 1
239 19 DESEMBER 2017 6441 ABDUL GIFAR 72 1
240 19 DESEMBER 2017 7930 RISLIA 10
241 19 DESEMBER 2017 4252 ZAHRA 9
242 19 DESEMBER 2017 18240 GEBBY 14
243 20 DESEMBER 2017 5719 MULKI 54 1
244 20 DESEMBER 2017 5784 PRABU. W 5 1
245 20 DESEMBER 2017 5827 AZAHWA 12
246 20 DESEMBER 2017 4725 SALSABILA 7
247 20 DESEMBER 2017 2962 BAIQ ZAHRA 5
248 20 DESEMBER 2017 5831 JUJU. JUBAEDAH 52
249 20 DESEMBER 2017 5826 YOLANDA 12
250 20 DESEMBER 2017 671 M. JITAN 6 1
251 20 DESEMBER 2017 5619 EKA KOMALA 48
252 20 DESEMBER 2017 5758 ARDI PRATAMA 64 1
253 20 DESEMBER 2017 2721 TANZILA. F 6
254 20 DESEMBER 2017 23944 RINA. T 33
255 20 DESEMBER 2017 6759 HERAI 18
256 20 DESEMBER 2017 650 YANTI 46
257 20 DESEMBER 2017 4401 TAPRIH 8 1
258 21 DESEMBER 2017 5860 JIS. M 43
259 21 DESEMBER 2017 10631 MUMUN 46
260 21 DESEMBER 2017 5870 RENI. Y 26
261 21 DESEMBER 2017 5842 SIFA. N 11
262 21 DESEMBER 2017 4727 GALIH 7 1
263 21 DESEMBER 2017 5084 TOAT 70 1
264 21 DESEMBER 2017 5849 TENI. MARIA 13
265 21 DESEMBER 2017 5854 SYARIF 49 1
266 21 DESEMBER 2017 5496 LIZA 45
267 21 DESEMBER 2017 5861 LENI 27
268 21 DESEMBER 2017 22368 LUNITA 13
269 21 DESEMBER 2017 17206 AINUR 7
270 21 DESEMBER 2017 1940 SOENARJO 78 1
271 21 DESEMBER 2017 5765 ETI 57
272 21 DESEMBER 2017 5767 WATI 47
273 21 DESEMBER 2017 5773 RESI. H 17
274 21 DESEMBER 2017 5890 AFATYA 7 1
275 21 DESEMBER 2017 11533 DONELLA 6
276 22 DESEMBER 2017 5879 NUR ROHIM 28 1
277 22 DESEMBER 2017 25247 KENANGA 5.5
278 22 DESEMBER 2017 595 SYIFA 6
279 22 DESEMBER 2017 21698 YASMIN 7
280 22 DESEMBER 2017 3699 ERFAN 9 1
281 22 DESEMBER 2017 4721 DESKA 6.5
282 22 DESEMBER 2017 5882 M. BAHRUL 18 1
283 22 DESEMBER 2017 5874 YUNI 23
284 22 DESEMBER 2017 16579 ELAWATI 44
285 22 DESEMBER 2017 6550 NANDRA 7
286 22 DESEMBER 2017 5878 TATI 33
287 22 DESEMBER 2017 25927 NENI 37
288 22 DESEMBER 2017 5895 AZHAR 7 1
289 22 DESEMBER 2017 5787 SITI.DAHLIA 9
290 22 DESEMBER 2017 5803 AZZAHRA 9
291 22 DESEMBER 2017 2447 ASEP 52 1
292 22 DESEMBER 2017 5624 REVAN 6.5 1
293 22 DESEMBER 2017 5891 JOJOH 46
294 22 DESEMBER 2017 4089 GALUH 5 1
295 22 DESEMBER 2017 10895 IMAS 16
296 22 DESEMBER 2017 5892 IPOK 55
297 23 DESEMBER 2017 5945 NURLAELA 23
298 23 DESEMBER 2017 5940 IKHSAN 2.5 1
299 23 DESEMBER 2017 5941 FANI 20
300 23 DESEMBER 2017 5942 AZKA 9 1
301 23 DESEMBER 2017 MUIN 53 1
302 23 DESEMBER 2017 11199 LUFI 21 1
303 23 DESEMBER 2017 7223 VINA 15
304 23 DESEMBER 2017 26212 IIS 24
305 23 DESEMBER 2017 16975 JENI 8
306 23 DESEMBER 2017 13621 ISMA 7
307 23 DESEMBER 2017 18046 RUKINI 35
308 23 DESEMBER 2017 P RIMA 35
309 27 DESEMBER 2017 5966 RIRIN. F 20
310 27 DESEMBER 2017 8334 SITI. NUR 9
311 27 DESEMBER 2017 24169 BIAH 6 1
312 27 DESEMBER 2017 5967 BAYU. S 18
313 27 DESEMBER 2017 13206 RAHMA 6
314 27 DESEMBER 2017 5800 VANI. S 29
315 27 DESEMBER 2017 6550 NANDRA 6
316 27 DESEMBER 2017 5948 NENI. O 33
317 27 DESEMBER 2017 954 SALMA. HASNA 15
318 27 DESEMBER 2017 5953 IIS. AISYAH 43
319 27 DESEMBER 2017 RAHMA 7
320 27 DESEMBER 2017 5787 SITI. DAHLIA 9
321 27 DESEMBER 2017 8333 TITIN. AMINAH 38
322 27 DESEMBER 2017 5960 GANDI. M 32 1
323 27 DESEMBER 2017 5940 M. IKHSAN 28 1

324 5965 ABDUL AZIZ 15 1


27 DESEMBER 2017
325 27 DESEMBER 2017 13115 DEDEH. J 48
326 27 DESEMBER 2017 16327 RITA 3
327 27 DESEMBER 2017 4365 EMPAT. P 43
328 27 DESEMBER 2017 8438 SITI FATIMAH 25
329 27 DESEMBER 2017 10926 ASTUTI 47
330 27 DESEMBER 2017 5892 IPOK. M 55
331 27 DESEMBER 2017 5904 SUKIANDAR 35 1
332 27 DESEMBER 2017 5746 ENI ZALIAH 23
333 27 DESEMBER 2017 2909 KIRANA. L 5
334 27 DESEMBER 2017 5964 M. HAIKAL 7 1
335 27 DESEMBER 2017 3434 RISMA 36
336 27 DESEMBER 2017 5672 PIPIH 27
337 27 DESEMBER 2017 6820 ELISKA 12
338 28 DESEMBER 2017 21698 YASMIN 5
339 28 DESEMBER 2017 25750 KAISA 6
340 28 DESEMBER 2017 5942 AZKA 9 1
341 28 DESEMBER 2017 5971 M. AL-ARKA 7 1
342 28 DESEMBER 2017 5982 FASYA 13
343 28 DESEMBER 2017 5981 M. SAID 7 1
344 28 DESEMBER 2017 5842 SIFA. N 11
345 28 DESEMBER 2017 5765 ETI 57
346 28 DESEMBER 2017 5979 KOKO HERMAN 61 1
347 28 DESEMBER 2017 5970 TENDI. R 35 1
348 28 DESEMBER 2017 17002 YATI. PARYATI 43
349 28 DESEMBER 2017 5983 NURAINI 17
350 28 DESEMBER 2017 1332 FADILAH. A 17 1
351 28 DESEMBER 2017 16579 ELAWATI 41
352 28 DESEMBER 2017 21457 DADANG 53 1
353 28 DESEMBER 2017 5977 AISHA 2
354 28 DESEMBER 2017 5991 NABILA. A 6.5
355 28 DESEMBER 2017 5639 ESIH. S 42
356 28 DESEMBER 2017 5638 KUSNADI 62 1
357 28 DESEMBER 2017 965 MAX SOFYAN 58 1
358 28 DESEMBER 2017 5635 MUH. DAFFA 7 1
359 28 DESEMBER 2017 10895 IMAS. D 16
360 28 DESEMBER 2017 8438 SITI. F 25
361 28 DESEMBER 2017 4386 ARIADA. P 6 1
362 28 DESEMBER 2017 5418 ABDILLAH. V 8 1
363 28 DESEMBER 2017 5920 DELRA. V 15
364 28 DESEMBER 2017 8445 MAHAR. B 6 1
365 28 DESEMBER 2017 21817 NUNUNG 26
366 28 DESEMBER 2017 7936 RISKA. A 10
367 28 DESEMBER 2017 7613 ZAHRA. A 9.5

368 5915 MOEHZIDAN 6.5 1


28 DESEMBER 2017
369 28 DESEMBER 2017 5676 ANISA 11
370 28 DESEMBER 2017 23242 REKA. A 6
371 29 DESEMBER 2017 5420 DELIA 15
372 29 DESEMBER 2017 7505 NIRA A 23
373 29 DESEMBER 2017 5925 LUTPI 10 1
374 29 DESEMBER 2017 5922 SITI. N 14
375 29 DESEMBER 2017 5947 T. HERDIANTO 59
376 29 DESEMBER 2017 5993 JUA. A 16
377 29 DESEMBER 2017 5992 MAESYAROH 16
378 29 DESEMBER 2017 3439 AZKIA 5
379 29 DESEMBER 2017 545 SYIFA 6
380 29 DESEMBER 2017 5994 MAMAT 52 1
381 29 DESEMBER 2017 3699 ERFAN 8 1
382 29 DESEMBER 2017 5960 GANDI. M 32 1
383 29 DESEMBER 2017 5999 ENDAH. Y 26
384 29 DESEMBER 2017 7011 ABIDAH 68
385 30 DESEMBER 2017 954 SALWA 15
386 30 DESEMBER 2017 20356 UMAY 45 1
387 30 DESEMBER 2017 6009 SALSIH 52
388 30 DESEMBER 2017 5326 SRI 22
389 30 DESEMBER 2017 6003 ENUR 37
390 30 DESEMBER 2017 18556 NAJLA 6
391 30 DESEMBER 2017 11094 KANAYA 8
392 30 DESEMBER 2017 5635 M. DAFA 7 1
393 30 DESEMBER 2017 2489 AGIS 18 1
394 30 DESEMBER 2017 11506 TESA 14 1
395 30 DESEMBER 2017 21071 JUMA 37 1
396 30 DESEMBER 2017 1502 NURUL AENI 14
397 30 DESEMBER 2017 2799 NURAENI 21
398 30 DESEMBER 2017 4848 CUCU 46
399 30 DESEMBER 2017 6820 ELISKA 13
400 30 DESEMBER 2017 16975 JENI 8

401 YOGA 7 1
30 DESEMBER 2017

402 ADE 7 1
30 DESEMBER 2017
403 30 DESEMBER 2017 HOBIR 35 1
404 30 DESEMBER 2017 MIMIN 25
JUMLAH 138

DATA KUNJUNGAN PASIEN BERDASARKAN TINDAKAN


PUSKESMAS CIAMIS DESEMBER 2017
JUMLAH

NO TINDAKAN JUMLAH
1 TT 0 3% 9%
2 TS 0
3 P.PULP 463
4 EXT.TTP 1330 30%
58%
5 EXT.SLG 4640
6 CALL 0
7 PREM 8849
8 LL 0
JUMLAH 15282
J. KELAMIN KUNJUNGAN
NAMA
P B L KK/INDEKS CIAMIS KERTASARI CIGEMBOR

1 1
1 1
1
1
1
1 1
1 1
1 1 1
1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1

1 1

1
1
1 1
1 1 1
1

1 1

1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1 1
1
1
1
1 1 1
1 1 1
1 1
1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1
1 1
1 1 1

1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1
1
1
1 1 1
1 1
1 1 1
1 1 1
1
1
1 1
1 1
1

1 1

1 1 1

1 1
1 1
1 1
1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1 1
1 1
1
1 1
1
1 1
1
1 1
1
1 1
1 1
1
1 1
1
1 1
1 1 1
1
1 1
1
1 1 1
1 1
1 1
1 1
1
1 1

1 1
1 1
1 1
1 1
1
1 1
1
1 1
1 1 1
1 1
1 1
1
1 1 1
1 1 1
1 1
1
1
1 1
1
1 1 1
1 1
1 1
1 1
1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1
1 1
1 1
1 1
1 1
1
1 1 1
1 1
1 1
1 1 1
1
1
1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1
1 1 1
1 1
1 1 1
1
1
1
1 1
1 1
1 1 1
1 1
1
1 1
1 1
1 1
1 1 1
1 1 1
1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1
1 1
1 1
1 1
1
1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1
1 1
1 1 1
1 1
1 1 1
1 1
1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1
1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1
1 1 1
1
1 1
1 1
1 1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1
1 1
1 1
1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1
1 1
1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1
1

1 1

1 1 1
1 1
1 1
1 1 1
1 1
1 1
1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1
1 1
1 1 1
1 1
1
1 1
1 1 1
1
1 1
1 1
1 1
1 1 1
1 1 1
1
1 1
1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1

1 1

1 1 1
1 1 1
1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1
1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1 1
1 1 1
1
1 1
1
1
1 1 1
1 1
1 1
1 1 1
1 1

1
1 1
266 208 196 - 83 48 9

JUMLAH

TT
3% 9% TS
P.PULP
EXT.TTP
EXT.SLG
30%
58% CALL
PREM
LL
BULAN : NOVEMBER
PUSKESMAS: CIAMIS

ALAMAT

BENTENG LINGGASARI SINDANGRASA MALEBER L.WILAYAH

1
1
1
1
1

1
1

1
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1

1
1
1

1
1
1

1
1
1

1
1
1

1
1

1
1
1

1
1
1

1
1

1
1
1
1

1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1
1
1

1
1
1
1

1
1
1

1
1
1
1
1

1
1
1

1
1
1
1

1
1

1
1
1

1
1
1
1
1
1

1
1
1
1
1

1
1

1
1
1
1
1

1
1
1
1
1

1
1
1

1
1

1
1

1
1
1

1
1
1

1
1

1
1

1
1
1

1
1
1

1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1
1
1

1
1
1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1

1
1
1
1
1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1
1

1
1
1
1
1
1
1

1
1

1
1

1
1
13 29 36 48 137
BPJS PEM FISIK

UMUM
PNS PBI (APBN) MANDIRI BB

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
- 197 61 117 29 -
PEM FISIK TD DIAGNOSA ICD X

KELUHAN TERAPI
TB SISTOL DIASTOL CARIES K.PUL K. PD PERST LL

81 K006 EXT 81 P 81
51 K006 EXT 51 51
37 K047 A.P.Bi 37
84 K006 Vc 84
11 K047 A.P.Dx 11
36 K051 A.Vc 36
61 K006 A 61
21 K011 A.P.Dx 21
74 K045 A.P.Dx -
46 K047 A.P.Bc 46
48 K010 A.P.Dx 48
36 K040 A.P.Dx 36
71 K006 EXT 71 APBc 71
36 K041 A.P.Dx -
74 K089 Bc 74
47 K040 Devit.APBc -
16 K047 A.P.Bc -
61 K047 A.P.Bc 61
K036 RUJUK RB
EXT 46 Ce
46 K041 46
P.Bc
71 K006 EXT 71 P 71
37 K047 A.P.Bc 37
46 K047 A.P.Dx 46
52 K006 P.Bc 52
47 K040 A.P.Bc 47

RA K036 SCALLING RA RA

38 K047 A.P.Bc 38
36 K047 M.A.P.Bc 36
46 K047 A.P.Dx -
45 K040 CHKM+TS -
36 K047 A.P.Bc 36
38 K047 A.P.Bc 38
21 K041 A.P.Bc 21
36 K047 A.P.Dx 36
16 K047 A.P.Bc 16
12 K021 T.TETAP 12
K036 RUJUK RB
11 K081 RUJUK 11
16 K045 RUJUK -
81 K006 EXT 81 P 81
RB K036 Scaling RB
45 K045 V.AS.Bc Am -
46 K041 A.P.Bc 46
64 K041 A.P 64
46 K047 A.P.Bc 46
14 K040 A.P.Vc 14
46 K047 V.P.Vc 46
12 K055 A.P.Bc 12
36 K055 A.P.Vc 36
74 K047 A.P 74
25 K047 A.P 25
46 K047 A.P.Bc 46
85 K006 EXT 85 AP 85
26 K040 A.P.Bc 26
41 K055 A.P.VB 41
17 K041 A.P.Bc 17
64 K045 A.P 64
48 K055 A.P.C 48
46 K041 A.P.Bc 46
46 K041 A.P.Bc 46
37 K047 A.P.Bc 37
35 K040 DEVIT.P. 35
45 K041 A.P 45
47 K046 CHKM 47
27 K047 Ce.Vit.Ans 27
EXT 37
37 K041 -
A.As.Bc
46 K041 EXT 46 APBc 46
36 K041 EXT 36 APBc 36
61 K006 EXT 61 AP -
37 K047 A.P.Bc 37
27 K047 A.P. 27
46 K047 A.P.Dx Bc -
36 K047 A.P.Dx 36
48 K041 A.P.Dx 48
26 K047 A.P.Bc 26
46 K047 Clin.P.Dx.Bc -
35 K047 A.P.Peha 35
26 K041 EXT 26 VPBc 26
21 K041 EXT 21 APBc 21
36 K047 A.P.Bc 36
36 K047 A.P.D.Bc 36
36 K047 A.P.Bc 36
11 K047 A.P.Vc 11
11 K047 A.P.Vc 11
45 K040 TS 45
26 K045 A.P.Bi 26
71 K006 P 71
18 K040 C.P.Vb 18
47 K041 RUJUK -
38 K047 RUJUK -
14 K047 RUJUK -
71 K006 P 71
24 K040 CHKM+TS 24

81 K006 EXT 81 Truvit 81

71 K006 EXT 71 P. TRU 71

K075 Cef.Ibu.Peha v

37 K047 Cef.Ibu.Peha -

27 K047 A.P.Dx -
37 K040 A.P.Dx 37
17 K041 EXT 17 ALP 17
36 K047 A.P.Bc 36
16 K047 V.P.Bi 16
38 K047 Cotri.P.chn 38
12 K055 EXT 12 VPBc 12
61 K006 EXT 16 61
21 K021 T.Gi 21
11 K041 AXT 11 APBc 11
61 K006 EXT 61 61
71 K006 EXT 71 APBc 71
45 K041 RUJUK -
35 K040 CHKM+TS -
75 K046 EXT 75 75
61 K047 A.P.Vc 61
16 K047 A.M.P.Bc 16
16 K047 A.P.Bc 16
61 K006 Multivit 61
25 K047 P.AMLO 25
RA K098 RUJUK RA
16 K047 A.P.Bi 16
46 K041 RUJUK -
K055 RUJUK v
36 K040 RUJUK -
61 KO06 A.P 61
16 K047 A.P.BG GG 16
63 K006 EXT 63 63
26 K047 A.P.Bi -
47 K041 A.P.Vc 47
46 K046 A.P.D 46
46 K046 V.P.D 46
37 K040 TT. LOSOFIN 37
12 K041 A.P.M 12
26 K041 A.P.Bc 26
12 K047 A.P.Bc 12
64 K041 A.P.Vc 64
81 K006 Truvit 81
85 K047 A.P.VBc 85
38 K045 V.P.Vc 38
38 K046 V.P.vc 38
16 K047 RUJUK RSU 16
33 34 K041 A.P.Bc 33 34
45 K046 A.P.Bi 45
36 K041 A.P.Bc 36
72 K006 P 72
18 K045 A.P 18
25 K040 TS 25
61 K006 P.Bc 61
27 K047 A.P 27

24 K041 LODOFON. TT 24

47 K046 A.P.Bc 47
46 K046 A.P.Bc 46
36 K047 A.P.Bc 36
38 K055 A.P.Vc 38
37 K041 A.P.Bc 37
61 K006 P.Bc 61
46 K041 A.P 46
27 K055 A.P.Bc 27
45 K041 RUJUK RSU 45
34 K041 RUJUK RSU 34
47 K041 KERAC N 47
65 K041 A. SJ. POT Y 65
35 K041 KETAC M 35
46 K054 A.P.Bc 46
46 K041 A.P.Vc 46
36 K046 A.P.Bc 36
KONTROL RA RB -
61 K006 A.P 61
36 K041 A.P 36
18 K010 A.P.D 18
26 K047 A.P.AMLO 26
26 K046 A.P.Bc 26
27 K054 A.P.Bc 27
84 K089 Bc 84
35 K054 A.P 35
36 K047 A.P.Bc 36
46 K046 V.P.D 46
81 K006 Truvit. SJ 81
26 K041 A.P. 26
36 K045 A.P 36
62 K006 A.P.Vc 62
16 K047 A.P.Bc 16
35 K047 A.P.Vc 35
36 K041 A.P.Bc 36
21 K041 RUJUK 21
26 K041 A.P.Bc 26
81 K047 Truvit g 81
43 K046 V.P.Bc 43
71 K006 P 71
24 K044 A.P.Bc 24
18 K041 A.P 18
46 K020 TT. LOSOFIN 46
33 K041 A.P.PEHAP 33
26 K041 A.P.D 26
RB K036 RUJUK RSU RB
42 41 K041 A.P.Bc 41 42
42 K041 A.P 42
38 K041 RUJUK RSU 38
72 K089 Bc 72
82 K006 P 82
28 K041 RUJUK RSU 28
15 K055 A.P.Vc 15
36 K055 A.P.Bc 36
64 K047 A.P.Bc 64
46 K046 A.P 46
16 K046 A.P.Bc 16
41 K041 A.PSHOPOL 41
36 K047 A.P.CHI 36
36 K047 M.A.P.EL 36
81 K006 P 81
65 K047 A.P.TRUVIT 65
46 K047 A.P.Bc 46
37 K041 C.P.D.Bc 37
36 K047 A.P.RANI 36
22 K041 RUJUK RSU 22
15 K047 A.P.Bc 15
46 K041 A.P.Vc 46
37 K041 A.P.Am 37
46 K047 A.P.Bc 46
46 K047 A.P.Bc 46
RA RB K036 RUJUK RSU RA RB
RA RB K036 RUJUK RSU RA RB
37 K047 A.P.Bc 37
46 K041 A.P.Bc 46
41 K041 A.P.Bc 41
36 K046 A.P.Bc 36
36 K041 A.P.Bc 36
26 K047 A.P.Bc 26
36 K047 A.P.Bc 36
36 K041 A.P.Bc 36
46 K021 GI 46
74 K047 A.P.Bc 74
47 K040 DEVIT.APBc 47
18 K041 A.P.Bc 18
41 K055 A.P.Vc 41
37 K046 A.P.D 37
16 K040 RUJUK RSU 16
26 K041 RUJUK RSU 26
31 K021 TAMBAL 31
65 K006 A.PBc 65
26 K040 RUJUK RSU 26
46 K047 A.P.Bc 46
61 K006 A.P.Bc 61
21 K046 A.P.Bc 21
51 K006 NT. CJ 51
81 K006 P 81
64 K006 - 64
61 K006 TRUVIT CJ 61
62 K006 - 62
13 K041 A.P.Vc 13
46 36 K041 A.P 36
RA RC A SJ P SJ RA
48 K041 RUJUK RSU 48
81 K006 Bc 81
64 K006 SoPnk 64
46 K041 A.P.Vc 46
46 K041 RUJUK RSU 46
23 K041 A.P. 23
64 K006 P. VIT C 64
24 K047 A.P.Vc 24
46 K047 A.P.Eh 46
37 36 K036 A.P.D 37 36
84 K041 P.Vc 84
RA KONTROL TRUVIT OG RA
48 K047 A.P.Bc 48
83 K006 Bc.P. 83
44 K047 a.p.ctm 44
38 K047 A.P.Vc 38
25 K046 A.P.Bc 25
23 K011 RUJUK RSU 23
61 K006 TRUVIT CJ 61
42 K055 RUJUK RSU 42
21 K055 V.P.Vc 21
47 K055 V.P.Bc 47
46 K047 V.P.Bc 46
82 K006 TRUVIT CJ 82
52 K006 P.VBc 52
38 K055 EXT 38 APBc 38
81 K006 EXT 81 Truvit 81
61 K006 EXT 61 VIT 61
51 K006 EXT 51 A 51
61 K006 EXT 61 61
71 K006 EXT 71 71
26 K047 A.P.Dx 26
11 K040 A.P.Vc 11
17 K041 A.P.Bc 17
55 K089 A.P. -
21 K040 A.P.Vc 21
38 K011 A.P.Dx 38
81 K006 Multivit 81
52 K047 A.Bc -
64 K006 A.P 64
48 K021 T.GI -
51 K006 A.SOLVIT 51
11 12 K041 EXT 11 12 11 12
85 K021 TRUVIT 85
22 K040 RUJUK 22
17 K041 EXT 17 APBC 17
22 K041 P.KALK 22
74 K047 A.M.IBU.VIT 74
47 K047 A.P.Bc 47
51 K047 A.P.Vc 51
46 K040 A.P.Bc 46
36 K047 A.P.Dx 36
46 K047 A.P.Bc 46
46 K040 CHKM+FLIT -
74 K006 EXT 74 74
75 K047 A.P.Bc 75
38 K011 A.P 38
47 K047 A.P.Bc 47
36 K047 A.P.D 36
75 K006 A.P.Bc 75
51 K006 A.Bc 51
46 47 K041 A.Bc 46
63 K006 SOLVITA AJ 63
48 K010 P.D.Bc 48
55 K006 P 55
36 K041 A.P.Bc 36
36 37 K047 M.A.P.Bc 37
22 K021 GI 22
81 K006 P 81
52 K006 A.P.Bc 52
16 K047 C.P.Vc 16
46 K041 A.P 46
75 K047 DEXT AJ 75
GAMBOIL
K131 A.P.D GAMBAL

15 K041 A.P.Bc 15
61 K006 A.P 61
36 K041 A.P.ANM 36
22 K041 A.P 22
44 46 K047 A.P.Bc 46
17 K041 A.P.Bc 17
26 27 K047 A.P.Bc 27
36 K041 A.P.Bc 36
81 K006 P 81
81 K006 Bc 81
46 K041 RUJUK RSU -
36 37 K047 A.P.Bc 36
36 46 K047 A.P.Bc 36
61 K006 EXT 61 P 61
82 K006 EXT 82 P 82
51 K006 EXT 61 A.P 51
75 K006 EXT 75 APBc 75
75 K006 EXT 75 A.P 75
61 K006 EXT 61 P 61
62 K006 EXT 62 P 62
21 K055 EXT 21 APBc 21
35 K055 EXT 35 APBc 35
46 K047 A.P.Bc 46
38 K044 A.P.Bc 44
36 K047 A.P.Bc 36
36 K044 A.P.Bc 36
17 K047 EXT 17 APBc 17
38 K047 C.P.Bc 38
85 K006 A.P.TRUVIT 85
51 K047 A.P.Bc 51
16 K040 RUJUK RSU -
47 K047 A.P.Bc 47
36 K040 GI APBc 36
61 K006 EXT 61 P 61
21 K041 A.P 21
22 K041 EXT 22 APBc 22
72 K006 EXT 72 P 72
36 K047 A.P.Bc 36
46 K047 CIPRO 46
72 K006 EXT 72 P 72
46 K040 RUJUK RSU -
46 K041 RUJUK RSU -
46 K041 RUJUK RSU -
BITAR RUJUK RUJUK RSU BIBIR
K131
36 K041 RUJUK RSU -
51 K006 EXT 51 P 51
46 K047 CYPRO 46
15 K047 V.P.D 15
61 K006 P 61
65 K006 A.P 65
34 K041 VIT C 34
16 K047 A.P.Bc 16
52 K006 P.Bc 52
52 K006 P 52
51 K006 A.P 51
31 K055 A.P.Bc 31
51 K006 P.Bc 51
46 K041 A.ASMEF.Bc 46
18 K041 KALK 18
14 K041 A.P.PELS 14
46 K047 A.P.Dx -
38 K047 A.P.Bc 38
36 K047 A.P.Bc 36
16 K040 P.Vc -
47 K041 EXT 47 APBc 47
81 K006 EXT 81 AP 81
61 K006 EXT 61 P 61
61 K006 EXT 61 APV 61
36 K047 A.P.M.Vc 36
36 K047 A.P.Dx -
13 K047 A.P.Dx Bc 13
36 K041 EXT 36 APBc 36
37 K047 A.P.Bc -
36 K047 A.P.Bc 36
46 K041 EXT 46 APBc 46
75 K006 EXT 75 APBc 75
EXT 51 61
51 61 K006 APBc 51 61

81 K006 EXT 81 81
P.TRUVIT
46 K041 A.P.Bc 46
46 K040 DEVIT APBc 46
- - - - 263 8688 208 5574 472
K.004 K.021 K031 K.036 K.040 K.041 K.043 K.045 K.046 K.047

1
1

1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1
1

1
1

1
1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1

1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1
1
1

1
1

1
1

1
1

1
1

1
1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
1
1
1

1
1

1
1

1
1
1

1
1
1
1

1
1
1

1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

1
1

1
1
1

1
1
1

1
1
1
1
1
1

1
1
1

1
1

1
1
1
1

1
1

1
1

1
1
1

1
1

1
1

1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1
0 7 0 8 28 91 0 8 18 113
KODE

K.050 K.051 K.052 K.053 K.054 K.055 K.12 K.006 K.060 K.081

1
1

1
1

1
1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1

1
1
1
1
1

1
1

1
1
1
1

1
1
1
1
1
1
1
1

1
1

1
1

1
1

1
1
1

1
1
1
1
1
1
1
1
1

1
1
1
1
1
1
1

1
1
1

0 1 0 0 3 18 0 85 1 2
K.083 K.011 K.020 K089 K.103 K116 K.120 DLL TT TS

12
1

21

37
24

47

35

1
1

1 46

46
31

1
1

48

22

1
1

36

1
0 3 1 4 0 0 0 10 0 0
TINDAKAN

P.PULP EXT.TTP EXT.SLG CALL PREM LL

81
51
37
84
11
36
61
21
74
46
48
36
71
36
74
47
16
61
R

46

71
37
46
52
47

1 RA

38
36
46
45
36
38
21
36
16

R
R
R
81
RB
45
46
64
46
14
46
12
36
74
25
46
85
26
41
17
64
48
46
46
37
35
45
47
27

37

46
36
61
37
27
46
36
48
26
46
35
26
21
36
36
36
11
11
45
26
71
18
RJ
RJ
RJ
71
24

81

71

37

27
37
17
36
16
38
12
61

11
61
71
R
35
75
61
16
16
61
25
R
16
R
R
R
61
16
63
26
47
46
46

26
12
64
81
85
38
38
R
33 34
45
36
72
18
25
61
27

47
46
36
38
37
61
46
27
R
R

65

46
46
36
KONTROL
61
36
18
26
26
27
84
35
36
46
81
26
36
62
16
35
36
RUJUK RSU
26
81
43
71
24
18

33
26
RUJUK
41 42
42
RUJUK
72
82
RUJUK
15
36
64
46
16
41
36
36
81
65
46
37
36
R
15
46
37
46
46
R
R
37
46
41
36
36
26
36
36

74
47
18
41
37
R
R

65
R
46
61
21
51
81
64
61
62
13
36
RA
R
81
64
46
R
23
64
24
46
37 36
84
RA K
48
83
44
38
25
R
61
R DM
21
47
46
82
52
38
81
61
51
61
71
26
11
17
55
21
38
81
52
64

51
11 12
85
R
17
22
74
47
51
46
36
46
46
74
75
38
47
36
75
51
46
63
48
55
36
37

81
52
16
46
75

15
61
36
22
46
17
27
36
81
81
R
36
36
61
82
51
75
75
61
62
21
35
46
44
36
36
17
38
85
51
R
47

61
21
22
72
36
46
72
R
R
R

R
51
46
15
61
65
34
16
52
52
51
31
51
46
18
14
46
36
36
16
47
81
61
61
36
36
13
36
37
36
46
75

51 61

81

46
46
463 1330 4640 0 8849 0
TAHUN : 2017
TEMPAT PELAYANAN : POLI GIGI

DOKTER YANG MENANGANI

KETERANGAN NO NO
DRG EVIE

DISTURBANCES IN TOOTH ERUPTION 1 1 1

DISTURBANCES IN TOOTH ERUPTION 2 1 2

ABSES PERIAPRIKAL TANPA SINUS 3 1 3

DISTURBANCES IN TOOTH ERUPTION 4 1 4

ABSES PERIAPRIKAL TANPA SINUS 5 1 5

GINGIVITIS KRONIS 6 1 6

DISTURBANCES IN TOOTH ERUPTION 7 1 7

IMPACTED TEETH 8 1 8

PERIODONTITIS APLIKASI KRONIS 9 1 9

ABSES PERIAPRIKAL TANPA SINUS 10 1 10

EMBEDED TEETH 11 1 11

PULPITIS 12 1 12

DISTURBANCES IN TOOTH ERUPTION 13 1 13

NEKROSIS PULPA 14 1 14

- 15 1 15

PULPITIS 16 1 16

ABSES PERIAPRIKAL TANPA SINUS 17 1 17

ABSES PERIAPRIKAL TANPA SINUS 18 1 18

DEPOSITS ON TEETH 19 1 19

20 1 20
NEKROSIS PULPA
DISTURBANCES IN TOOTH ERUPTION 21 1 21

ABSES PERIAPRIKAL TANPA SINUS 22 1 22

ABSES PERIAPRIKAL TANPA SINUS 23 1 23

DISTURBANCES IN TOOTH ERUPTION 24 1 24

PULPITIS 25 1 25

26 1 26
DEPOSITS ON TEETH
ABSES PERIAPRIKAL TANPA SINUS 27 1 27

ABSES PERIAPRIKAL TANPA SINUS 28 1 28

ABSES PERIAPRIKAL TANPA SINUS 29 1 29

PULPITIS 30 1 30

ABSES PERIAPRIKAL TANPA SINUS 31 1 31

ABSES PERIAPRIKAL TANPA SINUS 32 1 32

NEKROSIS PULPA 33 1 33

ABSES PERIAPRIKAL TANPA SINUS 34 1 34

ABSES PERIAPRIKAL TANPA SINUS 35 1 35

CARIES DENTINE 36 1 36

DEPOSITS ON TEETH 37 1 37

KEHILANGAN GIGI AKIBAT KECELAKAAN 38 1 38

PERIODONTITIS APLIKASI KRONIS 39 1 39

DISTURBANCES IN TOOTH ERUPTION 40 1 40

DEPOSITS ON TEETH 41 1 41
PERIODONTITIS APLIKASI KRONIS 42 1 42

NEKROSIS PULPA 43 1 43

NEKROSIS PULPA 44 1 44

ABSES PERIAPRIKAL TANPA SINUS 45 1 45

PULPITIS 46 1 46

ABSES PERIAPRIKAL TANPA SINUS 47 1 47

PENYAKIT PERIODONTAL LAIN 48 1 48

PENYAKIT PERIODONTAL LAIN 49 1 49

ABSES PERIAPRIKAL TANPA SINUS 50 1 50

ABSES PERIAPRIKAL TANPA SINUS 51 1 51

ABSES PERIAPRIKAL TANPA SINUS 52 1 52

DISTURBANCES IN TOOTH ERUPTION 53 1 53

PULPITIS 54 1 54

PERIODONTOSIS 55 1 55

NEKROSIS PULPA 56 1 56

PERIODONTITIS APLIKASI KRONIS 57 1 57

PERIODONTOSIS 58 1 58

NEKROSIS PULPA 59 1 59

NEKROSIS PULPA 60 1 60

ABSES PERIAPRIKAL TANPA SINUS 61 1 61

PULPITIS 62 1 62

NEKROSIS PULPA 63 1 63

ABSES PERIAPRIKAL DI SINUS 64 1 64

ABSES PERIAPRIKAL TANPA SINUS 65 1 65

66 1 66
NEKROSIS PULPA
NEKROSIS PULPA 67 1 67

NEKROSIS PULPA 68 1 68

DISTURBANCES IN TOOTH ERUPTION 69 1 69

ABSES PERIAPRIKAL TANPA SINUS 70 1 70

ABSES PERIAPRIKAL TANPA SINUS 71 1 71

ABSES PERIAPRIKAL TANPA SINUS 72 1 72

ABSES PERIAPRIKAL TANPA SINUS 73 1 73

NEKROSIS PULPA 74 1 74

ABSES PERIAPRIKAL TANPA SINUS 75 1 75

ABSES PERIAPRIKAL TANPA SINUS 76 1 76

ABSES PERIAPRIKAL TANPA SINUS 77 1 77

NEKROSIS PULPA 78 1 78

NEKROSIS PULPA 79 1 79

ABSES PERIAPRIKAL TANPA SINUS 80 1 80

ABSES PERIAPRIKAL TANPA SINUS 81 1 81

ABSES PERIAPRIKAL TANPA SINUS 82 1 82

ABSES PERIAPRIKAL TANPA SINUS 83 1 83

ABSES PERIAPRIKAL TANPA SINUS 84 1 84

PULPITIS 85 1 85

PERIODONTITIS APLIKASI KRONIS 86 1 86

DISTURBANCES IN TOOTH ERUPTION 87 1 87

PULPITIS 88 1 88

NEKROSIS PULPA 89 1 89
ABSES PERIAPRIKAL TANPA SINUS 90 1 90

ABSES PERIAPRIKAL TANPA SINUS 91 1 91

DISTURBANCES IN TOOTH ERUPTION 92 1 92

PULPITIS 93 1 93

94 1 94
DISTURBANCES IN TOOTH ERUPTION

95 1 95
DISTURBANCES IN TOOTH ERUPTION

96 1 96
DENTOFASIAL FUNTIONAL ABNORMALITIES

97 1 97
ABSES PERIAPRIKAL TANPA SINUS
ABSES PERIAPRIKAL TANPA SINUS 98 1 98

PULPITIS 99 1 99

NEKROSIS PULPA 100 1 100

ABSES PERIAPRIKAL TANPA SINUS 101 1 101

ABSES PERIAPRIKAL TANPA SINUS 102 1 102

ABSES PERIAPRIKAL TANPA SINUS 103 1 103

PENYAKIT PERIODONTAL LAIN 104 1 104

DISTURBANCES IN TOOTH ERUPTION 105 1 105

CARIES DENTINE 106 1 106

NEKROSIS PULPA 107 1 107

DISTURBANCES IN TOOTH ERUPTION 108 1 108

DISTURBANCES IN TOOTH ERUPTION 109 1 109

NEKROSIS PULPA 110 1 110

PULPITIS 111 1 111

ABSES PERIAPRIKAL DI SINUS 112 1 112

ABSES PERIAPRIKAL TANPA SINUS 113 1 113

ABSES PERIAPRIKAL TANPA SINUS 114 1 114

ABSES PERIAPRIKAL TANPA SINUS 115 1 115

DISTURBANCES IN TOOTH ERUPTION 116 1 116

ABSES PERIAPRIKAL TANPA SINUS 117 1 117

- 118 1 118

ABSES PERIAPRIKAL TANPA SINUS 119 1 119

NEKROSIS PULPA 120 1 120

PENYAKIT PERIODONTAL LAIN 121 1 121

PULPITIS 122 1 122

DISTURBANCES IN TOOTH ERUPTION 123 1 123

ABSES PERIAPRIKAL TANPA SINUS 124 1 124

DISTURBANCES IN TOOTH ERUPTION 125 1 125

ABSES PERIAPRIKAL TANPA SINUS 126 1 126

NEKROSIS PULPA 127 1 127

ABSES PERIAPRIKAL DI SINUS 128 1 128

ABSES PERIAPRIKAL DI SINUS 129 1 129

PULPITIS 130 1 130

NEKROSIS PULPA 131 1 131

NEKROSIS PULPA 132 1 132

ABSES PERIAPRIKAL TANPA SINUS 133 1 133

NEKROSIS PULPA 134 1 134

DISTURBANCES IN TOOTH ERUPTION 135 1 135


ABSES PERIAPRIKAL TANPA SINUS 136 1 136

PERIODONTITIS APLIKASI KRONIS 137 1 137

ABSES PERIAPRIKAL DI SINUS 138 1 138

ABSES PERIAPRIKAL TANPA SINUS 139 1 139

NEKROSIS PULPA 140 1 140

ABSES PERIAPRIKAL DI SINUS 141 1 141

NEKROSIS PULPA 142 1 142

DISTURBANCES IN TOOTH ERUPTION 143 1 143

PERIODONTITIS APLIKASI KRONIS 144 1 144

PULPITIS 145 1 145

DISTURBANCES IN TOOTH ERUPTION 146 1 146

ABSES PERIAPRIKAL TANPA SINUS 147 1 147

148 1 148
NEKROSIS PULPA
ABSES PERIAPRIKAL DI SINUS 149 1 149

ABSES PERIAPRIKAL DI SINUS 150 1 150

ABSES PERIAPRIKAL TANPA SINUS 151 1 151

PENYAKIT PERIODONTAL LAIN 152 1 152

NEKROSIS PULPA 153 1 153

DISTURBANCES IN TOOTH ERUPTION 154 1 154

NEKROSIS PULPA 155 1 155

PENYAKIT PERIODONTAL LAIN 156 1 156

NEKROSIS PULPA 157 1 157

NEKROSIS PULPA 158 1 158

NEKROSIS PULPA 159 1 159

NEKROSIS PULPA 160 1 160

NEKROSIS PULPA 161 1 161

PERIODONTOSIS 162 1 162

NEKROSIS PULPA 163 1 163

ABSES PERIAPRIKAL DI SINUS 164 1 164

KONTROL 165 1 165

DISTURBANCES IN TOOTH ERUPTION 166 1 166

NEKROSIS PULPA 167 1 167

EMBEDED TEETH 168 1 168

ABSES PERIAPRIKAL TANPA SINUS 169 1 169

ABSES PERIAPRIKAL DI SINUS 170 1 170

PERIODONTOSIS 171 1 171

- 172 1 172

PERIODONTOSIS 173 1 173

ABSES PERIAPRIKAL TANPA SINUS 174 1 174

ABSES PERIAPRIKAL DI SINUS 175 1 175

DISTURBANCES IN TOOTH ERUPTION 176 1 176

ABSES PERIAPRIKAL DI SINUS 177 1 177

PERIODONTITIS APLIKASI KRONIS 178 1 178

DISTURBANCES IN TOOTH ERUPTION 179 1 179

ABSES PERIAPRIKAL TANPA SINUS 180 1 180

ABSES PERIAPRIKAL TANPA SINUS 181 1 181

NEKROSIS PULPA 182 1 182

NEKROSIS PULPA 183 1 183


NEKROSIS PULPA 184 1 184

ABSES PERIAPRIKAL TANPA SINUS 185 1 185

ABSES PERIAPRIKAL DI SINUS 186 1 186

DISTURBANCES IN TOOTH ERUPTION 187 1 187

PERIODONTITIS APLIKASI AKUT 188 1 188

NEKROSIS PULPA 189 1 189

KARIES EMAIL 190 1 190

NEKROSIS PULPA 191 1 191

NEKROSIS PULPA 192 1 192

DEPOSITS ON TEETH 193 1 193

NEKROSIS PULPA 194 1 194

NEKROSIS PULPA 195 1 195

NEKROSIS PULPA 196 1 196

- 197 1 197

DISTURBANCES IN TOOTH ERUPTION 198 1 198

NEKROSIS PULPA 199 1 199

PENYAKIT PERIODONTAL LAIN 200 1 200

PENYAKIT PERIODONTAL LAIN 201 1 201

ABSES PERIAPRIKAL TANPA SINUS 202 1 202

ABSES PERIAPRIKAL DI SINUS 203 1 203

ABSES PERIAPRIKAL DI SINUS 204 1 204

NEKROSIS PULPA 205 1 205

ABSES PERIAPRIKAL TANPA SINUS 206 1 206

ABSES PERIAPRIKAL TANPA SINUS 207 1 207

DISTURBANCES IN TOOTH ERUPTION 208 1 208

ABSES PERIAPRIKAL TANPA SINUS 209 1 209

ABSES PERIAPRIKAL TANPA SINUS 210 1 210

NEKROSIS PULPA 211 1 211

ABSES PERIAPRIKAL TANPA SINUS 212 1 212

NEKROSIS PULPA 213 1 213

ABSES PERIAPRIKAL TANPA SINUS 214 1 214

NEKROSIS PULPA 215 1 215

NEKROSIS PULPA 216 1 216

ABSES PERIAPRIKAL TANPA SINUS 217 1 217

ABSES PERIAPRIKAL TANPA SINUS 218 1 218

DEPOSITS ON TEETH 219 1 219

DEPOSITS ON TEETH 220 1 220

ABSES PERIAPRIKAL TANPA SINUS 221 1 221

NEKROSIS PULPA 222 1 222

NEKROSIS PULPA 223 1 223

ABSES PERIAPRIKAL DI SINUS 224 1 224

NEKROSIS PULPA 225 1 225

ABSES PERIAPRIKAL TANPA SINUS 226 1 226

ABSES PERIAPRIKAL TANPA SINUS 227 1 227

NEKROSIS PULPA 228 1 228

CARIES DENTINE 229 1 229

ABSES PERIAPRIKAL TANPA SINUS 230 1 230

PULPITIS 231 1 231


NEKROSIS PULPA 232 1 232

PENYAKIT PERIODONTAL LAIN 233 1 233

ABSES PERIAPRIKAL DI SINUS 234 1 234

PULPITIS 235 1 235

NEKROSIS PULPA 236 1 236

CARIES DENTINE 237 1 237

DISTURBANCES IN TOOTH ERUPTION 238 1 238

PULPITIS 239 1 239

ABSES PERIAPRIKAL TANPA SINUS 240 1 240

DISTURBANCES IN TOOTH ERUPTION 241 1 241

ABSES PERIAPRIKAL DI SINUS 242 1 242

DISTURBANCES IN TOOTH ERUPTION 243 1 243

DISTURBANCES IN TOOTH ERUPTION 244 1 244

DISTURBANCES IN TOOTH ERUPTION 245 1 245

DISTURBANCES IN TOOTH ERUPTION 246 1 246

DISTURBANCES IN TOOTH ERUPTION 247 1 247

NEKROSIS PULPA 248 1 248

NEKROSIS PULPA 249 1 249

- 250 1 250

NEKROSIS PULPA 251 1 251

DISTURBANCES IN TOOTH ERUPTION 252 1 252

DISTURBANCES IN TOOTH ERUPTION 253 1 253

NEKROSIS PULPA 254 1 254

NEKROSIS PULPA 255 1 255

NEKROSIS PULPA 256 1 256

DISTURBANCES IN TOOTH ERUPTION 257 1 257

ABSES PERIAPRIKAL TANPA SINUS 258 1 258

ABSES PERIAPRIKAL TANPA SINUS 259 1 259

DEPOSITS ON TEETH 260 1 260

NEKROSIS PULPA 261 1 261

- 262 1 262

ABSES PERIAPRIKAL TANPA SINUS 263 1 263

DISTURBANCES IN TOOTH ERUPTION 264 1 264

ABSES PERIAPRIKAL TANPA SINUS 265 1 265

ABSES PERIAPRIKAL TANPA SINUS 266 1 266

ABSES PERIAPRIKAL DI SINUS 267 1 267

IMPACTED TEETH 268 1 268

DISTURBANCES IN TOOTH ERUPTION 269 1 269

PENYAKIT PERIODONTAL LAIN 270 1 270

PENYAKIT PERIODONTAL LAIN 271 1 271

PENYAKIT PERIODONTAL LAIN 272 1 272

ABSES PERIAPRIKAL TANPA SINUS 273 1 273

DISTURBANCES IN TOOTH ERUPTION 274 1 274

DISTURBANCES IN TOOTH ERUPTION 275 1 275

PENYAKIT PERIODONTAL LAIN 276 1 276

DISTURBANCES IN TOOTH ERUPTION 277 1 277

DISTURBANCES IN TOOTH ERUPTION 278 1 278

DISTURBANCES IN TOOTH ERUPTION 279 1 279


DISTURBANCES IN TOOTH ERUPTION 280 1 280

DISTURBANCES IN TOOTH ERUPTION 281 1 281

ABSES PERIAPRIKAL TANPA SINUS 282 1 282

PULPITIS 283 1 283

NEKROSIS PULPA 284 1 284

- 285 1 285

PULPITIS 286 1 286

IMPACTED TEETH 287 1 287

DISTURBANCES IN TOOTH ERUPTION 288 1 288

ABSES PERIAPRIKAL TANPA SINUS 289 1 289

DISTURBANCES IN TOOTH ERUPTION 290 1 290

CARIES DENTINE 291 1 291

DISTURBANCES IN TOOTH ERUPTION 292 1 292

NEKROSIS PULPA 293 1 293

CARIES DENTINE 294 1 294

PULPITIS 295 1 295

NEKROSIS PULPA 296 1 296

NEKROSIS PULPA 297 1 297

ABSES PERIAPRIKAL TANPA SINUS 298 1 298

ABSES PERIAPRIKAL TANPA SINUS 299 1 299

ABSES PERIAPRIKAL TANPA SINUS 300 1 300

PULPITIS 301 1 301

ABSES PERIAPRIKAL TANPA SINUS 302 1 302

ABSES PERIAPRIKAL TANPA SINUS 303 1 303

PULPITIS 304 1 304

DISTURBANCES IN TOOTH ERUPTION 305 1 305

ABSES PERIAPRIKAL TANPA SINUS 306 1 306

IMPACTED TEETH 307 1 307

ABSES PERIAPRIKAL TANPA SINUS 308 1 308

ABSES PERIAPRIKAL TANPA SINUS 309 1 309

DISTURBANCES IN TOOTH ERUPTION 310 1 310

DISTURBANCES IN TOOTH ERUPTION 311 1 311

NEKROSIS PULPA 312 1 312

DISTURBANCES IN TOOTH ERUPTION 313 1 313

EMBEDED TEETH 314 1 314

DISTURBANCES IN TOOTH ERUPTION 315 1 315

NEKROSIS PULPA 316 1 316

ABSES PERIAPRIKAL TANPA SINUS 317 1 317

CARIES DENTINE 318 1 318

DISTURBANCES IN TOOTH ERUPTION 319 1 319

DISTURBANCES IN TOOTH ERUPTION 320 1 320

ABSES PERIAPRIKAL TANPA SINUS 321 1 321

NEKROSIS PULPA 322 1 322

ABSES PERIAPRIKAL TANPA SINUS 323 1 323

324 1 324
CHEEK AND LIP BITTING
NEKROSIS PULPA 325 1 325

DISTURBANCES IN TOOTH ERUPTION 326 1 326

NEKROSIS PULPA 327 1 327


NEKROSIS PULPA 328 1 328

ABSES PERIAPRIKAL TANPA SINUS 329 1 329

NEKROSIS PULPA 330 1 330

ABSES PERIAPRIKAL TANPA SINUS 331 1 331

NEKROSIS PULPA 332 1 332

DISTURBANCES IN TOOTH ERUPTION 333 1 333

DISTURBANCES IN TOOTH ERUPTION 334 1 334

NEKROSIS PULPA 335 1 335

ABSES PERIAPRIKAL TANPA SINUS 336 1 336

ABSES PERIAPRIKAL TANPA SINUS 337 1 337

DISTURBANCES IN TOOTH ERUPTION 338 1 338

DISTURBANCES IN TOOTH ERUPTION 339 1 339

DISTURBANCES IN TOOTH ERUPTION 340 1 340

DISTURBANCES IN TOOTH ERUPTION 341 1 341

DISTURBANCES IN TOOTH ERUPTION 342 1 342

DISTURBANCES IN TOOTH ERUPTION 343 1 343

DISTURBANCES IN TOOTH ERUPTION 344 1 344

PENYAKIT PERIODONTAL LAIN 345 1 345

PENYAKIT PERIODONTAL LAIN 346 1 346

ABSES PERIAPRIKAL TANPA SINUS 347 1 347

PERIODONTITIS APLIKASI AKUT 348 1 348

ABSES PERIAPRIKAL TANPA SINUS 349 1 349

PERIODONTITIS APLIKASI AKUT 350 1 350

NEKROSIS PULPA 351 1 351

ABSES PERIAPRIKAL TANPA SINUS 352 1 352

DISTURBANCES IN TOOTH ERUPTION 353 1 353

ABSES PERIAPRIKAL TANPA SINUS 354 1 354

PULPITIS 355 1 355

ABSES PERIAPRIKAL TANPA SINUS 356 1 356

PULPITIS 357 1 357

DISTURBANCES IN TOOTH ERUPTION 358 1 358

NEKROSIS PULPA 359 1 359

NEKROSIS PULPA 360 1 360

DISTURBANCES IN TOOTH ERUPTION 361 1 361

ABSES PERIAPRIKAL TANPA SINUS 362 1 362

ABSES PERIAPRIKAL TANPA SINUS 363 1 363

DISTURBANCES IN TOOTH ERUPTION 364 1 364

PULPITIS 365 1 365

NEKROSIS PULPA 366 1 366

NEKROSIS PULPA 367 1 367

368 1 368
CHEEK AND LIP BITTING
NEKROSIS PULPA 369 1 369

DISTURBANCES IN TOOTH ERUPTION 370 1 370

ABSES PERIAPRIKAL TANPA SINUS 371 1 371

ABSES PERIAPRIKAL TANPA SINUS 372 1 372

DISTURBANCES IN TOOTH ERUPTION 373 1 373

DISTURBANCES IN TOOTH ERUPTION 374 1 374

NEKROSIS PULPA 375 1 375


ABSES PERIAPRIKAL TANPA SINUS 376 1 376

DISTURBANCES IN TOOTH ERUPTION 377 1 377

DISTURBANCES IN TOOTH ERUPTION 378 1 378

DISTURBANCES IN TOOTH ERUPTION 379 1 379

PENYAKIT PERIODONTAL LAIN 380 1 380

DISTURBANCES IN TOOTH ERUPTION 381 1 381

NEKROSIS PULPA 382 1 382

NEKROSIS PULPA 383 1 383

NEKROSIS PULPA 384 1 384

ABSES PERIAPRIKAL TANPA SINUS 385 1 385

ABSES PERIAPRIKAL TANPA SINUS 386 1 386

ABSES PERIAPRIKAL TANPA SINUS 387 1 387

PULPITIS 388 1 388

NEKROSIS PULPA 389 1 389

DISTURBANCES IN TOOTH ERUPTION 390 1 390

DISTURBANCES IN TOOTH ERUPTION 391 1 391

DISTURBANCES IN TOOTH ERUPTION 392 1 392

ABSES PERIAPRIKAL TANPA SINUS 393 1 393

ABSES PERIAPRIKAL TANPA SINUS 394 1 394

ABSES PERIAPRIKAL TANPA SINUS 395 1 395

NEKROSIS PULPA 396 1 396

ABSES PERIAPRIKAL TANPA SINUS 397 1 397

ABSES PERIAPRIKAL TANPA SINUS 398 1 398

NEKROSIS PULPA 399 1 399

DISTURBANCES IN TOOTH ERUPTION 400 1 400

401 1 401
DISTURBANCES IN TOOTH ERUPTION

402 1 402
DISTURBANCES IN TOOTH ERUPTION
NEKROSIS PULPA 403 1 403

PULPITIS 404 1 404

- TOTAL 404
: 2017
PELAYANAN : POLI GIGI

PERAWAT YANG MENANGANI

TUTI RIKA OTIK RANY


KURNIAWATI HARTIYANTI PURWATY, S. RAHMAWAT
, AMKG ST Y

1 KET :
1 K021 KARIES GIGI DENTIN/KARIES MEDIA
1 K040 PULPITIS
1 K041 NEKROSIS PULPA
1 K045 GR/PERIODONTITIS APIKALIS KRONIS
1 K046 PERIAPIKAL ABSES DGN SINUS
1 K047 PERIAPIKAL ABSES TANPA SINUS
1 K050 GINGIVITIS AKUT
1 K051 GINGIVITIS KRONIS
1 K052 PERIODONTITIS AKUT
1 K053 PERIODONTITIS KRONIS
1 K12 RAS/SARIAWAN
1 K006 PERSISTENSI
1 K083 ULCUS DECUBITUS
1 K011 IMPAKSI
1 K020 KARIES EMAIL
1
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68 135 134 67

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